2014-05-15T08:47:12-05:00 2013-06-30 COHEN RUTHERFORD KNIGHT PC 6903 ROCKLEDGE DRIVE SUITE 500 BETHESDA MD 208171800 990 2012-07-01 521289729 Dimensions Health Corporation % LISA GOODLETT DIME 2404562245 7300 VAN DUSEN ROAD Suite LAUREL MD 20707 LISA GOODLETT 2404562245 2014-05-14 true TINA C ECKLOFF 3018281008 2014-05-09 2012 2015-11-30 17:44:51Z NEIL MOORE 7300 VAN DUSEN RD LAUREL MD 20707 359246986 false X WWW.DIMENSIONSHEALTH.COM X 1982 MD our stated mission is to provide high quality, efficient healthcare services to preserve, restore and improve the health status of our community. 11 11 2860 111 0 0 33854560 32307979 341183614 320893908 -419 505411 1448002 5449732 376485757 359157030 41045 18014 0 0 197705801 206765320 0 0 0 155804846 135340130 353551692 342123464 22934065 17033566 211487005 232163417 249513475 239808547 -38026470 -7645130 OUR STATED MISSION IS TO PROVIDE HIGH QUALITY, EFFICIENT HEALTHCARE SERVICES TO PRESERVE, RESTORE AND IMPROVE THE HEALTH STATUS OF OUR COMMUNITY. THIS MISSION IS PURSUED IN COLLABORATION WITH OUR RELATED ORGANIZATIONS. WE URGE THOSE INTERESTED TO ACCESS MORE DETAILED AND COMPLETE INFORMATION AT WWW.DIMENSIONSHEALTH.ORG false false 307877706 18014 320893908 THE MAIN FUNCTION OF THE ORGANIZATION IS TO PROVIDE COMMUNITY BENEFITS THROUGH PROGRAMS AND ACTIVITIES THAT IMPROVE ACCESS TO HEALTH CARE AND IMPROVE THE OVERALL HEALTH OF THE COMMUNITIES WE SERVE. OUR STATED MISSION IS TO PROVIDE HIGH QUALITY, EFFICIENT HEALTHCARE SERVICES TO PRESERVE, RESTORE AND IMPROVE THE HEALTH STATUS OF OUR COMMUNITY. THIS MISSION IS PURSUED IN COLLABORATION with OUR RELATED ORGANIZATIONS, WHICH ARE LISTED IN PART VI. WHILE WE HAVE ATTEMPTED TO SUMMARIZE OUR PROGRAM SERVICE ACCOMPLISHMENTS BELOW, WE URGE THOSE INTERESTED TO ACCESS MORE DETAILED AND COMPLETE INFORMATION AT www.DIMENSIONSHEALTH.ORG. THE ORGANIZATION OPERATES LAUREL REGIONAL HOSPITAL (LRH), WHICH SERVES THE COMMUNITIES LOCATED IN PRINCE GEORGE'S, ANNE ARUNDEL, HOWARD, AND MONTGOMERY COUNTIES WITH A POPULATION OF APPROXIMATELY 2,400,000. IN ACCORDANCE WITH OUR TAX-EXEMPT PURPOSE, THE ORGANIZATION OPERATES AN EMERGENCY ROOM OPEN TO ALL PERSONS REGARDLESS OF THE ABILITY TO PAY THAT SERVED APPROXIMATELY 36,402 PATIENTS during the 2012 tax year. ALL PHYSICIANS LICENSED IN THE STATE OF MARYLAND WHO MEET THE FACILITY BYLAW REQUIREMENTS ARE ELIGIBLE TO APPLY FOR MEDICAL STAFF PRIVILEGES. APPROXIMATELY, 410 HAVE PRIVILEGES AT LRH. THE organization HAS A GOVERNING BODY PRIMARILY COMPRISED OF INDEPENDENT PERSONS REPRESENTATIVE OF THE COMMUNITY, AND PARTICIPATES IN THE MEDICARE AND MEDICAID PROGRAMS. WE HAVE IDENTIFIED SEVERAL HEALTH-RELATED TRENDS, NEEDS, AND PROBLEMS FACING OUR POPULATION, INCLUDING ACCESS TO PRENATAL CARE, ISSUES RELATED TO AGING, SUBSTANCE ABUSE, ACCESS TO SPECIALTY CARE, MATERNAL AND CHILD HEALTH ETC. THE ORGANIZATION'S STRATEGIES FOR ADDRESSING THESE ISSUES INCLUDES PROVIDING CLASSES, SEMINARS, SCREENING AND HEALTH SERVICES, DIABETES EDUCATION. MORE INFORMATION ABOUT THESE STRATEGIES IS AVAILABLE ON THE WEB SITE IDENTIFIED ABOVE. DURING THE MOST RECENT REPORTING PERIOD LRH PROVIDED over $4,309,302.40 IN CHARITY CARE, at cost, TO THE COMMUNITY. ADDITIONALLY, LRH EXPENDED APPROXIMATELY $9,161,902 ON COMMUNITY BENEFIT PROGRAMS SUCH AS MISSION-DRIVEN HEALTH SERVICES, EDUCATION AND OUTREACH, GRANTS AND SCHOLARSHIPS. THESE ARE PROGRAMS AND ACTIVITIES BENEFITING THE COMMUNITIES WE SERVE, INCLUDING SCREENINGS AND SPEAKERS WHO ARE EDUCATED ON A WIDE RANGE OF TOPICS. LRH ALSO OFFERS CPR, ACLS, AND SMOKING CESSATION CLASSES. LRH IS PROUD TO PARTNER WITH OUTREACH GROUPS SUCH AS ALCOHOLICS ANONYMOUS, NARCOTICS ANONYMOUS, AND A PARKINSON'S SUPPORT GROUP. FOR MORE DETAILED INFORMATION, PLEASE VISIT THE WEB SITE IDENTIFIED ABOVE. In addition, THE ORGANIZATION OPERATES PRINCE GEORGE'S HOSPITAL CENTER (PGHC), AN ACUTE CARE HOSPITAL IN PRINCE GEORGE'S COUNTY, WHICH PROVIDES QUALITY CARE TO A POPULATION OF APPROXIMATELY 1,500,000. IN ACCORDANCE WITH OUR TAX-EXEMPT PURPOSE PGHC OPERATES AN EMERGENCY ROOM OPEN TO ALL PERSONS REGARDLESS OF ABILITY TO PAY THAT SERVED APPROXIMATELY 51,881 PATIENTS during the 2012 tax year. ALL PHYSICIANS LICENSED IN THE STATE OF MARYLAND WHO MEET THE FACILITY BYLAW REQUIREMENTS ARE ELIGIBLE TO APPLY FOR MEDICAL STAFF PRIVILEGES. APPROXIMATELY, 563 HAVE PRIVILEGES AT PGHC. THE ORGANIZATION THAT OPERATES PRINCE GEORGES HOSPITAL CENTER HAS A GOVERNING BODY PRIMARILY COMPRISED OF INDEPENDENT PERSONS REPRESENTATIVE OF THE COMMUNITY, AND PGHC PARTICIPATES IN THE MEDICARE AND MEDICAID PROGRAMS. WE HAVE IDENTIFIED SEVERAL HEALTH-RELATED TRENDS, NEEDS, AND PROBLEMS FACING THE PGHC COMMUNITY POPULATION, INCLUDING ACCESS TO PRENATAL CARE, ISSUES RELATED TO AGING, SUBSTANCE ABUSE AND ACCESS TO SPECIALTY CARE, E.G. EMERGENCY AND TRAUMA SERVICES, MATERNAL AND CHILD HEALTH. THE ORGANIZATION'S STRATEGIES FOR ADDRESSING THESE ISSUES INCLUDES PROVIDING CLASSES, SEMINARS, SCREENING AND HEALTH SERVICES, DIABETES EDUCATION. MORE INFORMATION ABOUT THESE STRATEGIES IS AVAILABLE ON THE WEB SITE IDENTIFIED ABOVE. DURING THE MOST RECENT REPORTING PERIOD pghc PROVIDED over $16,193,038.16 IN CHARITY CARE, at cost, TO THE COMMUNITY. ADDITIONALLY, pghc EXPENDED APPROXIMATELY $14,410,962 TO COMMUNITY BENEFIT PROGRAMS SUCH AS EDUCATION AND outREACH, GRANTS AND SCHOLARSHIPS, AND MISSION DRIVEN HEALTH CARE SERVICES ON PROGRAMS AND ACTIVITIES BENEFITING THE COMMUNITIES PGHC SERVES. THESE PROGRAMS AND ACTIVITIES INCLUDED TRAUMA SERVICES,PREEMIE SUPPORT GROUP, SMOKING CESSATION PRESENTATIONS, PROVIDED FLU SHOTS TO THE PUBLIC, PROVIDE BLOOD PRESSURE SCREENINGS TO LOCAL CHURCHES, ETC. FOR MORE DETAILED INFORMATION, PLEASE VISIT THE WEB SITE IDENTIFIED ABOVE. 307877706 true true false false false false false false false false true false false true true true false true false false true false false false true false true true false true true false false false false false false false false false false false false false true true true false false true 302 0 true 2860 false true CJ false false false true true false false false false X 11 11 false false false false false false false true true false false true true true true true true true true false MD X LISA GOODLETT 3016182109 7300 VAN DUSEN ROAD Laurel MD 20707 Thomas HENDERSHOTT 1.0 1.0 X 0 0 0 Francis R Costa Jr 1.0 0.0 X 0 0 0 BARBARA FRUSH 1.0 0.0 X 0 0 0 Said Daee 1.0 0.0 X 0 0 0 C PHILIPS NICHOLS JR 1.0 0.0 X 0 0 0 Elizabeth Hewlett 1.0 0.0 X 0 0 0 BENJAMIN STALLINGS MD 1.0 0.0 X 0 0 0 Syed Sadiq 1.0 0.0 X 0 0 0 TAWANA GAINES 1.0 0.0 X 0 0 0 ANDREA HARRISON 1.0 0.0 X 0 0 0 BRADFORD SEAMON 1.0 0.0 X 0 0 0 FREDERICK SMALLS 1.0 0.0 X 0 0 0 NEIL MOORE 38.0 2.0 X 576920 0 46922 JOHN O'BRIEN III 40.0 0.0 X 313462 0 38165 KANWALJIT SINGH TANEJA 20.0 20.0 X 279559 0 39680 GITA K SHAH 39.0 0.0 X 296037 0 49967 TRUDY HALL 39.0 1.0 X 0 0 0 JOHN SPEARMAN 39.0 1.0 X 152986 0 16652 Carnell Cooper 39.0 1.0 X 365190 0 4456 DAVID GOLDMAN 39.0 1.0 X 266604 0 29193 JYOTI DHAROD 40.0 0.0 X 198313 0 21343 SHEILA JARRETT 40.0 0.0 X 199685 0 39122 MICHAEL JACOBS 20.0 20.0 X 193195 0 31371 DANIEL J O'BRIEN JR 40.0 0.0 X 217652 0 4386 KENNETH GLOVER 0.0 0.0 X 117475 0 25894 3177078 0 347151 223 true true false PHOENIX 1130 EAST ARAPHAO ROAD STE 500 RICHARDSON TX 75081 INFORMATION SYSTEM 4557444 SODEXHO PO BOX 536922 ATLANTA GA 303536922 FOOD SERVICE 4373819 ALLIANTADVANTAGE 7201 Wisconsin Avenue Suite 705 BETHESDA MD 20814 STAFFING 1638251 EMCARE OF MARYLAND LLC 7032 COLLECTION CTR DR CHICAGO IL 60693 STAFFING 2662455 BROADWAY SERVICES INC 3709 EAST MONUMENT STREET BALTIMORE MD 21205 SECURITY 2089525 69 30487742 1820237 32307979 NET PATIENT REVENUE 319104205 319104205 0 0 CAFETERIA/MEAL SERVICE/ VENDING 934249 934249 0 PARKING 327921 327921 TRAUMA FEES 527488 527488 SMOKING CESSATION PROGRAM 45 45 320893908 17411 17411 0 0 719898 719898 0 719898 719898 488000 488000 488000 488000 56525 72750 89956 -33431 -33431 0 0 OTHER 4763265 4763265 4763265 359157030 325657173 0 1191878 0 18014 18014 0 0 1457199 0 1457199 0 0 162020196 150030701 11989495 16043007 14855824 1187183 17312786 16031640 1281146 9932132 9197154 734978 724326 724326 65670 65670 796343 796343 0 0 0 29340665 20245059 9095606 0 330542 204936 125606 429345 309128 120217 167402 16740 150662 0 3911806 3794452 117354 203788 116159 87629 0 5489 4446 1043 3171068 2885672 285396 0 11038842 8941462 2097380 6424917 5755948 668969 PROFESSIONAL FEES 2436955 1681499 755456 0 PHYSICIAN FEES 17414795 17414795 0 0 REPAIRS AND MAINT 4580115 3160279 1419836 0 DUES AND MEMBERSHIPS 219265 210494 8771 0 54078797 53003304 1075493 342123464 307877706 34245758 0 12567991 41375362 28788393 4091285 0 0 45817346 37918534 0 0 0 0 0 0 5062611 5444819 3396118 4378409 264952798 198471460 51386336 66481338 0 0 11235823 11315233 0 0 56199 0 53176188 61158437 211487005 232163417 45636289 63664074 0 0 4360856 600000 55685683 52635912 0 0 0 0 0 0 0 0 143830647 122908561 249513475 239808547 X -40769571 -11334237 2743101 3689107 0 0 -38026470 -7645130 211487005 232163417 X 17033566 3300 13344474 X false true X true true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 743311 743311 65650196 37228524 28421672 34751481 32669504 2081977 163188335 128573432 34614903 619475 619475 66481338 DUE FROM AFFILIATES 45587184 NON-CURRENT ACCOUNTS RECEIVABL 3636200 INVESTMENT AEI 4834485 INVESTMENT DAL 1000000 DEFERRED FINANCING COSTS 210784 OTHER ACCOUNTS RECEIVABLE 3665989 DEPOSITS 1443129 INVEST PG FOUNDATION 425297 INVEST LRH FOUNDATOIN 355369 61158437 0 ADVANCES FROM THIRD PARTIES 12385945 CAPITAL LEASE OBLIGATIONS 4269774 DUE TO AFFILIATES 30246814 ACCRUED EMPLOYEE BENEFIT LIAB 76006028 122908561 X FIN 48 DISCLOSURE SCHEDULE D, PART X, LINE 2 The Corporation is exempt from federal income tax under section 501(c)(3) of the Internal Revenue Code as a public charity. Federal tax law requires that the Corporation be operated in a manner consistent with its initial exemption application in order to maintain its exempt status. Management has analyzed the operations of the Corporation and concluded that it remains in compliance with the requirements for exemption. The state in which the Corporation operates also recognizes this exemption for state income tax purposes. Organizations otherwise exempt from federal and state income taxation are nonetheless subject to taxation at corporate tax rates at both the federal and state levels on their unrelated business income. Exemption from other state taxes, such as real and personal property tax, is separately determined. For 2013 and 2012, management has determined that it did not have any income tax liability. Although exempt from federal and state income taxes, the Corporation is required to file an annual federal information return on Form 990. In addition, to the extent that the Corporation has gross income from business activities unrelated to its exempt purpose in excess of $1,000 for any tax year, it must also file a Form 990-T tax return. Generally, federal and state taxing authorities must propose any taxable adjustments within three years from the due date of the 990-T or the actual filing date, whichever is later, unless unrelated business gross income is under reported by 25% or more, in which case the relevant time period is six years. No statute of limitations applies for years for which no 990-T has been filed. The Corporation is not currently under audit by any taxing authority and has not been notified of any impending audit. Current accounting standards define the threshold for recognizing uncertain income tax return positions in the financial statements as "more likely than not" that the position is sustainable, based on its technical merits, and also provide guidance on the measurement, classification and disclosure of tax return positions in the financial statements. Management believes there is no impact on the Corporation's accompanying consolidated financial statements related to uncertain income tax positions. Central America and the Caribbean Investments 18071000 18071000 18071000 true false true true false false Part I, Line 3 THE AMOUNT INDICATED AS FOREIGN INVESTMENTS IN PART I WAS DIMENSIONS HEALTH CORPORATION'S equity OWNERSHIP INTEREST IN DIMENSIONS ASSURANCE COMPANY, LTD ("DAL"), A CAYMAN ISLAND CORPORATION. DAL IS A WHOLLY-OWNED SUBSIDIARY OF DIMENSIONS HEALTH CORPORATION THAT PROVIDES DIRECT COVERAGE FOR PROFESSIONAL, MALPRACTICE, AND COMPREHENSIVE GENERAL LIABILITY FOR DIMENSIONS HEALTH CORPORATION AND ITS ASSOCIATED HEALTH CARE FACILITIES. AS OF THE END OF THE 2012 TAX YEAR, THE VALUE OF DIMENSIONS HEALTH CORPORATION'S equity OWNERSHIP IN DAL WAS $18,071,000. golf tourn 129275 72750 56525 5278 41339 24200 19139 0 129275 72750 56525 5278 41339 24200 19139 89956 -33431 true true X true X true X 500. true false true true 21256309 21256309 0.06210 21256309 21256309 0.06210 5618 342496 12619 329877 0.00100 504 180311 180311 0.00050 23649616 23649616 0.06910 43425 43425 0.00010 6122 24215848 12619 24203229 0.07070 6122 45472157 12619 45459538 0.13280 17419 17419 0.00010 17419 17419 0.00010 false 22356364 102220781 81121337 21099444 X true true 2 1 PRINCE GEORGES HOSPITAL CENTER

3001 HOSPITAL DR CHEVERLY MD 20707

X X X 2 LAUREL REGIONAL HOSPITAL

7300 VAN DUSEN RD LAUREL MD 20707

X X X PRINCE GEORGES HOSPITAL CENTER 1 true X X X X X X X X X 12 true false true X X X X X X X true false true true 200. true 500. true X X X X X X true true X X X X X true false X X X X true X false false LAUREL REGIONAL HOSPITAL 2 true X X X X X X X X X 12 true false true X X X X X X X true false true true 200. true 500. true X X X X X X true true X X X X X true false X X X X true X false false 6 GLADYS SPELLMAN SPECIALTY CARE UNIT

7300 VAN DUSEN ROAD LAUREL MD 20707

ACUTE CARE DIMENSIONS SURGERY CENTER

14999 HEALTH CENTER DR STE 103 BOWIE MD 20716

AMBULATORY SURGERY CENTER CORA B WOOD SENIOR CENTER

3601 TAYLOR STREET STE 108 BRENTWOOD MD 20722

SENIOR HEALTH CENTER LARKIN CHASE CARE & REHABILITATION

15005 HEALTH CENTER DRIVE BOWIE MD 20716

REHABILITATION CENTER GLENRIDGE MEDICAL CENTER

7582 ANNAPOLIS ROAD LANHAM MD 20784

MEDICAL CENTER Bowie Health Center

15001 Health Center Drive Bowie MD 20716

Freestanding Emergency PART I, LINE 3 In the evaluation of an application for financial assistance, a patient's total resource will be taken into account which will include an analysis of the assets held by the patient (narrowly defined under the organization's financial assistance policy as those assets that are convertible to cash and unnecessary for the patient's daily living expenses). In addition, if a self-pay patient that receives emergency or other medically necessary services does not provide the organization with sufficient information for the organization to determine whether the patient may qualify for financial assistance pursuant to the organization's financial assistance policy, and the organization determines that the account is likely uncollectible because the patient has not paid at all, or a portion, of the subsequent bill for services provided, the organization will run the patient's account through a program called isolutions to determine whether the patient may qualify for presumptive charity care. Isolutions takes the patient's financial and demographic information and determines whether the patient is likely to qualify under the organization's financial assistance policy. If the isolutions program indicates that a patient is likely to qualify for free or discounted care, the organization will accept that patient into its financial assistance policy and discount the patient's account from 25 to 100%, depending upon the results of the isolutions program. PART I, LINE 5 The Organization doesn't budget a preset percentage for Charity Care. It is the organization's policy to provide financial assistance to any individual that qualifies under the organization's financial assistance policy, regardless of the amount of charity care provided by the organization during the year. It is part of our mission to serve as the safety net for the uninsured and underinsured. Part I, Line 6A Community Benefit Report The organization submits a community benefit report annually to the Maryland HSCRC. Part I, Line 7A Column D Charity Care 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. Part I, Line 7B Columns C-F Unreimbursed Medicaid 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 directed 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 on 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. Part I, Line 7F, Health Professions education 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 referencing Uncompensated Care in each payors' rates, which does not enable Maryland hospitals to breakout any offsetting revenue related to Uncompensated Care. Part I, Line 7 Column F The organization's bad debt expense that was reported on Form 990, Part IX $30,276,887 was reduced from total expense to determine the percentages of total expenses. Part I, Line 7g column c Access to primary and specialist health care services is an identified and considerable health need throughout the organization's community. For example, the national benchmark is 631 people: 1 primary care physician, whereas, for Prince George's County, the number of people per primary care physician is approximately 1077:1. This stems in large part from the county's very high uninsured and underinsured population that can afford to pay little to no reimbursement for services received. In order to meet this substantial community health need, the organization has brought in specialists and primary care physicians into the organization's community and into the organization's two hospital facilities (PGHC and LRH). First, the organization pays physicians to cover the bad debts they incur when providing services to uninsured and underinsured patients at PGHC and LRH. Such physician subsidies have been reported on Part I, Line 7G as subsidized health services. In addition, the organization has employed primary care and specialist physicians through its direct tax-exempt subsidiary physician practice, Dimensions Healthcare Associates, to provide patient services to the community, including uninsured and underinsured patients that would not otherwise have access to physician services. The direct subsidies paid from the organization to DHA during the tax year to support the continued existence of the physician practice, and to help reduce the physician shortfall in the community, have not been reported on Part I, Line 7G as subsidized health services because the losses were incurred by a subsidiary organization. However, this substantial loss is incurred indirectly by the hospital organization in order to meet an identified community need and had a net community benefit expense of $15,390,302 during the 2012 tax year. Part III, Line 4 Bad Debt The organization's footnote for "Accounts Receivable and Contractual Allowances" The corporation's policy is to write off all patient accounts that have been identified as uncollectible. An allowance for doubtful accounts is recorded for accounts not yet written off that are anticipated to become uncollectible in future periods. In evaluating the collectibility of accounts receivable, the Corporation analyzes its past history and identifies trends for each of its major payers of revenue to estimate the appropriate allowance for doubtful accounts and provision for bad debts. Management regularly reviews data about these major payers of revenue in evaluating the sufficiency of the allowance for doubtful accounts. For accounts receivable associated with services provided to patients who have third-party coverage, the Corporation 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 payer has not yet paid, or for payers who are known to be having financial difficulties that make the realization of amounts due unlikely). For accounts receivable 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 Corporation 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 (or the discounted rates if negotiated) and the amounts actually collected after all reasonable collection efforts have been exhausted is charged off against the allowance for doubtful accounts. Discounts ranging from 2 % to 6% of hospital charges are given to Medicare, Medicaid and certain approved commercial health insurance and health maintenance organizations (HMOs). Also, these payers routinely review patient billings and deny payment for certain procedures that they deem medically unnecessary or performed without appropriate pre-authorization. Discounts and denials are recorded as reductions of net patient revenue. Accounts receivable from these third-party payers have been adjusted to reflect the difference between charges and the estimated reimbursable amounts. The amount of bad debt reported on line 2 was the cost of the bad debt expense, as determined using the ratio of patient care cost to charges determined in worksheet 2. The organization estimates that only a minimal amount of its bad debt expense was attributable to patients that would be eligible for financial assistance under the organization's financial assistance policy. As referenced in the disclosure to Schedule H, Part I, line 3, the organization uses a computer program to help determine whether patients may qualify for presumptive charity care, and the organization believes this program helps capture the vast majority of the patients that are eligible for financial assistance under the organization's financial assistance policy that did not provide the organization with sufficient information to qualify them for financial assistance. Part III, Line 8 Medicare The costing source is the Medicare cost report and the methodology is Medicare allowable cost to Medicare revenues received. Part III, Line 9 Debt Collection Policy All self-pay patients may apply for the financial assistance program. Patients may apply for the program in patient financial services customer service area or patient access department. Income, assets and other criteria are evaluated for determination of patient finances to qualify for the program. 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. The write off (ranging from 25% to 100%) to charity care is according to a sliding fee scale for income. Once charity care has been approved, there is no further attempt made by the organization to collect. Furthermore, the organization will refund any patient payments in excess of the amounts due pursuant to the financial assistance policy, if it is later found out (even after collection efforts have begun) that the patient was eligible for financial assistance at the time of the service. Part V, Line 3 Prince Georges Hospital Center The Community Health Needs Assessment (CHNA) took into account input from representatives of the community served by the hospital facility, including persons with special knowledge of or expertise in public health, as well as leaders and representatives of medically underserved, low-income, and minority populations. In particular, two community input meetings were conducted, one with community leaders and one with health experts. At the meeting with community leaders, participants included representatives from the Prince Georges County Health Department, federally qualified health centers, faith-based organizations, and business leaders. At the meeting with public health experts, attendees included hospital board members, administrators, physicians, and nurses. Furthermore, the CHNA took into account data received pursuant to the University of Maryland School of Public Health Public Health Impact Study (SPHPHIS) Random Household Survey conducted in 2012, pursuant to which Prince Georges County residents 18 years and older responded to a telephone interview survey. Part V, Line 3 Laurel Regional Hospital The Community Health Needs Assessment (CHNA) took into account input from representatives of the community served by the hospital facility, including persons with special knowledge of or expertise in public health, as well as leaders and representatives of medically underserved, low-income, and minority populations. In particular, two community input meetings were conducted, one with community leaders and one with health experts. At the meeting with community leaders, participants included representatives from the Prince Georges County Health Department, public schools, senior service organizations, local government offices, faith-based organizations, and business leaders. At the meeting with public health experts, attendees included hospital board members, administrators, physicians, a senior services representative, and nurses. Furthermore, the CHNA took into account data received pursuant to the University of Maryland School of Public Health Public Health Impact Study (SPHPHIS) Random Household Survey conducted in 2012, pursuant to which Prince Georges County residents 18 years and older responded to a telephone interview survey. PART V, LINE 6 Prince Georges Hospital Center Prince George's Hospital Center (PGHC) finished conducting its first CHNA in June 2013. As a result, PGHC did not begin executing the Implementation Strategy prior to the end of its 2012 tax year (June 30, 2013). PGHC has put processes in place to begin addressing the community health needs identified in the CHNA during its 2013 tax year. It is the intention of Dimensions Health Corporation to describe actions taken by PGHC to address community health needs identified in the CHNA on its 2013 Form 990. PART V, LINE 6 Laurel Regional Hospital Laurel Regional Hospital (LRH) finished conducting its first CHNA in June 2013. As a result, LRH did not begin executing the Implementation Strategy prior to the end of its 2012 tax year (June 30, 2013). LRH has put processes in place to begin addressing the community health needs identified in the CHNA during its 2013 tax year. It is the intention of Dimensions Health Corporation to describe actions taken by LRH to address community health needs identified in the CHNA on its 2013 Form 990. PART V, LINE 7 Prince Georges Hospital Center Pursuant to the CHNA and CHNA Implementation Strategy, the hospital facility undertook a prioritization process for determining those identified community health needs that the hospital facility would attempt to address. As a result of this prioritization process, the hospital facility determined that it was not currently positioned to focus on certain health concerns identified by the CHNA. For example, the hospital facility will not focus upon addressing respiratory health and septicemia health concerns due to the lack of available resources to make the most impactful change in these areas. Although these needs will not be focus areas under the CHNA Implementation Strategy, they will be taken into account and incorporated into the strategic plan where appropriate. In addition, since the hospital facility currently provides emergency psychiatric, inpatient behavioral health and outpatient partial hospitalization services to assist with the mental health needs in the community, behavioral health was not selected as one of the community health needs focus areas. Though these needs are not presently being addressed by PGHC as an area of focus, the hospital facility will explore opportunities to collaborate with other community and public health organizations such as the health department and federally qualified health centers to address these needs. PART V, LINE 7 Laurel Regional Hospital Pursuant to the CHNA and CHNA Implementation Strategy, the hospital facility undertook a prioritization process for determining those identified community health needs that the hospital facility would attempt to address. As a result of this prioritization process, the hospital facility determined that it was not currently positioned to focus on certain health concerns identified by the CHNA. For example, the hospital facility will not focus upon addressing heart and kidney failure health concerns due to the lack of available resources to make the most impactful change in these areas. Though these needs are not presently being addressed by LRH as an area of focus, the hospital facility will explore opportunities to collaborate with other community and public health organizations such as the health department and federally qualified health centers to address these needs. Part V, Line 18 Prince Georges Hospital Center The hospital facility or an authorized third party did not undertake any of the collection actions noted in Part V, Section B, Line 16 before making reasonable efforts to determine any patient's eligibility under the hospital's financial assistance policy. In order to help determine patients' eligibility under the hospital's financial assistance policy, the hospital undertakes a number of actions, including notifying patients of the financial assistance policy on admission, notifying patients of the financial assistance policy prior to discharge, notifying patients of the financial assistance policy in communications with the patients' bills, and documenting its determination of whether patients were eligible for financial assistance under the hospital's financial assistance policy. Part V, Line 18 Laurel Regional Hospital The hospital facility or an authorized third party did not undertake any of the collection actions noted in Part V, Section B, Line 17 before making reasonable efforts to determine any patient's eligibility under the hospital's financial assistance policy. In order to help determine patients' eligibility under the hospital's financial assistance policy, the hospital undertakes a number of actions, including notifying patients of the financial assistance policy on admission, notifying patients of the financial assistance policy prior to discharge, notifying patients of the financial assistance policy in communications with the patients' bills, and documenting its determination of whether patients were eligible for financial assistance under the hospital's financial assistance policy. Part V, Line 20 Prince Georges Hospital Center The hospital facility provides a discount of at least 25% off of gross charges for the provision of emergency and other medically necessary care to any individual that is eligible for financial assistance under the hospital's financial assistance policy. Pursuant to the health services cost review commission (HSCRC) all-payor system for hospitals in the state of Maryland, the greatest discount off of gross charges for the provision of emergency and other medically necessary care permitted to any commercial insurer or medicare is only 6%. As a result, the hospital facility was able to determine that the maximum amount charged to individuals that were eligible for financial assistance under the hospital facility's financial assistance policy was not greater than the amount generally billed to individuals who have insurance covering such care. Part V, Line 20 Laurel Regional Hospital The hospital facility provides a discount of at least 25% off of gross charges for the provision of emergency and other medically necessary care to any individual that is eligible for financial assistance under the hospital's financial assistance policy. Pursuant to the health services cost review commission (HSCRC) all-payor system for hospitals in the state of Maryland, the greatest discount off of gross charges for the provision of emergency and other medically necessary care permitted to any commercial insurer or medicare is only 6%. As a result, the hospital facility was able to determine that the maximum amount charged to individuals that were eligible for financial assistance under the hospital facility's financial assistance policy was not greater than the amount generally billed to individuals who have insurance covering such care. Part V, Line 22 Prince Georges Hospital Center The hospital facility does not charge any individuals that it knows are eligible for financial assistance an amount equal to the gross charge for any service. The hospital uses the charge master rates for a service as a starting point against which the discounts mandated in the hospital facility's financial assistance policy are applied to determine the amount actually billed to patients eligible under the financial assistance policy. The hospital facility will not collect payment from any patient eligible under the financial assistance policy in excess of the reduced amount that is actually billed to such financial assistance patient. Part V, Line 22 Laurel Regional Hospital The hospital facility does not charge any individuals that it knows are eligible for financial assistance an amount equal to the gross charge for any service. The hospital uses the charge master rates for a service as a starting point against which the discounts mandated in the hospital facility's financial assistance policy are applied to determine the amount actually billed to patients eligible under the financial assistance policy. The hospital facility will not collect payment from any patient eligible under the financial assistance policy in excess of the reduced amount that is actually billed to such financial assistance patient. Part VI, Line 2, Needs Assessment In addition to conducting a Community Health Needs Assessment (CHNA) for PGHC and LRH, the organization has undertaken certain activities to help determine the needs of its community. A Prince George's County Health Profile Snapshot Report was completed by PGHC in June 2006. The report was generated as a result of a collaborative effort between PGHC and the Prince Georges' County Health Department. The data referenced in the Report was acquired from US Census data and from the Public Health Quick Stats for Prince Georges' County, Maryland and the most recent Maryland Vital Statistics Report. Additionally, there have been healthcare assessment reports/studies prepared by Rand Corporation in February 2009, Prince George's County Government Improvement Plan in 2011, and a public impact health study by The University of Maryland School of Public Health in 2012. The main findings of both the 2006 PG County Health Profile Snapshot Report, the 2009 Rand Report, the Prince George's County Report and the 2012 UM SPH Public Health Impact Study is that there are significant health disparities in Prince Georges' County and that the County lacks a robust health safety net. A common theme is that there are healthcare disparities which include (1) Rates of uninsurance that are relatively high when compared with surrounding jurisdictions and (2) A shortage of primary care physicians in the community. In March 2008, the PGCH Board of directors established a community health task force (CHTF) committee. The CHTF includes collaborations with such organizations as the Prince George's County Health Action Forum and the Prince George's County Health Department. The purpose of the CHTF is to assist management in the development of relationships and a plan to work with identified community-based health services and to make an optimal range of services more widely available to improve community health status. To date, the CHTF has focused attention on community health needs, providing improved health information, and is currently working with the National Institute of Health - National Library of Medicine (NIH-NLM) to identify sustainable community health delivery initiatives. LRH management actively solicits information from community stakeholders and other community-based organizations to assess the health needs in our community. LRH representatives serve as members of a variety of healthcare focused community organizations and provide staff expertise and other resources, including hosting meetings at our facility, and participating in events, by providing health screening services. Some of these organizations include: *Prince George's County Health Department *Prince George's Care Access Network Health Information and Resource Initiative (PG CAN) *Health Action Forum of Prince George's County *Prince George's Healthcare Action Coalition *National Capital Area Breast Health Quality Consortium *The Prince George's County Local Health Disparities Committee *The Health Empowerment Network of Maryland, Inc. (HENM) - A community based organization made up of partners such as the Prince George's County Health Department, University of Maryland Prevention Resource Center, Prince George's County Area Agency on Aging, Department of Mental Health and Hygiene, Integrity Health Partners and the City of Seat Pleasant among others. Part VI, Line 3, Patient education of eligibility for assistance Dimensions Healthcare System provides compassionate care for all, regardless of an individual's ability to pay. It is our mission to serve as the safety net for the uninsured and underinsured and to help save lives and improve our patients' quality of living. Dimensions Healthcare System, through the provision of discounted or free health care services, (depending upon the established criteria set out below), provides financial assistance to those who need emergency and other medically necessary services but do not have the resources to pay for that care. It does so by preserving the dignity of the individual who needs assistance. The provision of free and discounted care through our Financial Assistance Program is consistent, appropriate and essential to the execution of our mission, vision and values, and is consistent with our tax-exempt, charitable status. Dimensions Healthcare System is committed to: Communicating the organization's mission to the patient so they can more fully and freely participate in providing the needed financial information without fear of losing basic assets and income; assessing the patients' capacity to pay and reach payment arrangements that do not jeopardize the patients' health and basic living arrangements or undermine their capacity for self-sufficiency; upholding and honoring patients' rights to appeal decisions and seek reconsideration for financial assistance and to have a self-selected advocate to assist the patient throughout the process; avoiding seeking or demanding payment from or seizing income or assets from patients eligible for financial assistance; and providing options for payment arrangements, without requiring that the patient select higher cost options for repayment. In order to promote the health and well-being of the community served, individuals with limited financial resources who are unable to access entitlement programs shall be eligible for free or discounted health care services based on established criteria. Eligibility criteria will be based, in large part, upon the Federal Poverty guidelines and will be updated annually in conjunction with the published updates by the United States Department of Health and Human Services. All open self-pay balances may be considered for financial assistance. If a determination is made that the patient has the ability to pay all or a portion of the bill, such a determination does not prevent a reassessment of the person's ability to pay at a later date. The need for financial assistance is to be re-evaluated at the following times: *Subsequent rendering of services, *Income change, *Family size change, *When an account that is closed is to be reopened, or *When the last financial evaluation was completed more than six months before. Appropriate signage will be visible in the facility in order to create awareness of the financial assistance program and the assistance available. At a minimum, signage will be posted in all patient intake areas, including, but not limited to, the Emergency Department, the Billing Office, and the Admission/Patient Registration areas. Information such as brochures will be included in patient services/information folders and/or at patient intake areas. All public information and/or forms regarding the provision of financial assistance will use languages that are appropriate for the facility's service area in accordance with the state's Language Assistance Services Act. The necessity for medical treatment of any patient will be based on the clinical judgment of the provider without regard to the financial status of the patient. All patients will be treated with respect and fairness regardless of their ability to pay. Where possible, prior to the admission of the patient, the Hospital will conduct a pre-Admission interview with the patient, the guarantor, and/or his/her legal representative to determine potential eligibility under the organization's financial assistance policy. If a pre-Admission interview is not possible, this interview should be conducted upon admission or as soon as Possible thereafter. In the case of an emergency admission, the Hospital's evaluation of payment alternatives should not take place until the required medical care has been provided. At the time of the initial interview, the following information should be gathered: a) Routine and comprehensive demographic and financial data. b) Complete information regarding all existing third party coverage. Identification of potentially eligible patients can take place at any time during the rendering of services or during the collection process. Also, those patients who may qualify for medical assistance from a governmental program should be referred to the appropriate program, such as Medicaid, prior to consideration for financial assistance. Medicaid Eligibility All uninsured Inpatients at Dimensions are assisted by DHS Medicaid Eligibility staff to evaluate the patients for Maryland Medicaid eligibility. Once they are evaluated, the staff will assist the patients with the completion of the Medicaid application. The application is presented to DSS for review and certification. The staff monitors the application process to ensure that a determination is made on the application. DHS patients do not receive a bill during this process. Once the Medicaid application determination has been made, patients who qualify will receive a bill. If a patient is deemed ineligible for Medicaid, the patient will be categorized as self pay and assessed for possible eligibility under the financial assistance program. assessed for possible eligibility under the financial assistance program. Part VI, Line 4, Community Information Dimensions Healthcare System (DHS) is the largest not-for-profit provider of health care services in Prince George's County. Additional counties and areas served include Anne Arundel, Howard, and Montgomery Counties and the District of Columbia. DHS hospitals' primary coverage area is Prince George's County. The population estimate for Prince George's County in 2010 was 863,420. In Prince George's County, the median household income was $73,447 and the percentage of persons below poverty level was 8.2%. Of the counties and areas served, Prince George's County has the highest percentage of households with income below the federal poverty line as well as higher percentage of uninsured (15.6%), Medicaid recipients (15.7%) and the highest mortality rate (747.8%/100,000). In the other service areas, Anne Arundel County, The District of Columbia, Howard and Montgomery Counties, median household income was $85,690, $61,835 $105,692 and $95,660, the percentage of persons below poverty level being 5.5%, 18.2%, 4.5% and 6.3% respectively (US Census Bureau Stat and County Quick Facts). For each of the Counties and Areas comprising the service area, 9.9%-10.2% of the population is 65 years of age of older and approximately 7%-27.4% represent Medicaid patients. In Prince George's and other service areas, smoking, obesity and excessive alcohol consumption are health risk factors. There are Risk factors for premature death; such as High Blood pressure ranging between 19.8% -28.2%; Obesity 16.4% - 34%; Smoker 11.9% - 22.4%. Access to primary health care services remains an issue of concern in Prince George's County. Prince George's County has substantially lower per capita numbers of primary care physicians when compared to neighboring jurisdictions. The national benchmark is 631:1 for access to primary care physician, compared to 1077:1 for Prince George's County. The number of safety net clinics in Prince George's Hospital is 5, which compares to 38-40 in the District of Columbia and 11 in Montgomery County. In light of the County's high uninsured or underinsured population that pays little to no reimbursement for services received, the County's level of private-practice primary care doctors and primary care clinics has not kept pace with the health care needs of County residents. The capacity of community-based care, including safety-net clinics, remains severely limited. This lack of primary care services and patient "medical homes" has resulted in an increase use of the hospital's emergency departments and other specialty health care services. For the fiscal year ending June 30, 2013, PGHC and LRH, had a patient and third party payer mix that included 57.9% and 38.7%, respectively, for Medicaid and uninsured self-pay patients. Community Challenges & Health Statistics: Despite the higher than average median household income, educational attainment, and percentage of individuals in the work force represented by Prince Georgians in comparison with national figures, the County does contain several pockets of low socioeconomic status. The 2009 Community Health Status Report data reveals that medically vulnerable Prince Georgian's (uninsured and Medicaid enrolled individuals) number approximately 297,784 or 35.7% of the population. As a result, issues such as diabetes mortality, heart disease, hypertension, stroke, and deaths from breast, colorectal and prostate cancers, HIV and infant mortality all represent significant health challenges for community members. Furthermore, persistent disparities in mortality and health status for several health indices are seen in various racial and ethnic populations. The racial and ethnic minorities are approximately 2/3 of Prince George's County Medicaid beneficiaries. County and Maryland State Health Statistics are similar to National trends regarding the status of minority health. Part VI, Line 5, Promotion of community health Dimensions Health Corporation (DHC) maintains clinical affiliation agreements with and supports clinical placements for both nursing and ancillary programs in and out of state. In addition, with state support, DHC participates in the NSP II Grant which is a partnership designed to promote BSN and MSN completion for RNS. DHC also participated in the NSP I Grant. One of the provisions in this grant is the availability of $4,000 per year for up to 15 Prince George's County residents who are enrolled in an entry level nursing program. In terms of community-based mentoring DHC staff members participate on a small scale in career days at local county schools. Additionally, DHC has established collaborations with such organizations as the Prince George's County (Maryland) Health Action Forum and the Prince George's County Health Department. The purpose of the collaborations is to assist management in the development of relationships and a plan to work with identified community-based health services and to make an optimal range of services more widely available to improve community health status. To date, this effort has focused attention on community health needs, provided improved health information, and DHC is currently working with the National Institute of Health - National Library of Medicine to identify sustainable community health information delivery initiatives. DHC also provided a number of health fairs, health employee internships, and other programs to promote health in the surrounding communities. DHC is comprised of an 11 member Board of Directors. The Board is entirely composed of independent individuals who live in the community. The Dimensions Health System provides a broad array of inpatient and community based services to residents in the metropolitan region. The system operates several facilities, including two acute care hospitals. All physicians licensed in the State of Maryland who meet the facility bylaw requirements are eligible to apply for privileges at the two acute care hospitals, PGHC and LRH. Although PGHC has one of the largest populations of uninsured patients in the state, we believe that all patients should receive the highest level of care regardless of economic standing. This goal can only be achieved with experienced specialist physicians caring for all of our patients, even when so many of our patients cannot afford to pay. To overcome this formidable dilemma, we reimburse physicians for bad debts incurred by the physicians caring for hospital patients, so the "GAP" exists in the Hospital's profits but not in patient care. In particular, we are not reimbursed from the HSCRC all-payor system for these physician subsidy payments. We have also identified several health-related trends, needs, and problems facing our population, including access to specialty care, maternal and child health, etc. The organization's strategies for addressing these issues include providing classes, seminars, screening and health services, diabetes education, cpr, acls, preemie support group, smoking cessation presentations, provide flu shots to the public, provide blood pressure screenings to local churches. Prince George's Hospital Center (PGHC) and Laurel Regional Hospital (LRH) have partnered with community-based organizations to increase their capacity to provide services to the community. This includes providing various federally qualified health centers (FQHC) sites in Prince George's County with additional healthcare providers to facilitate access to sub-specialty services for uninsured and underinsured residents. We are also proud to partner with outreach groups such as alcoholics anonymous, narcotics anonymous, and Parkinson's support group. The hospitals have also worked with local and state health officials to develop the Prince George's County and the State Health Improvement Plans and continues to work closely with the Health Department to implement programs that address the health plan goals. PGHC and LRH are improving and adapting current health programs into sustainable community-based programs to impact the overall health and wellness of the community in a positive way. This service expansion and adaptation is being achieved through collaborative partnerships with community organizations as well as state and local health agencies Part VI, Line 6, Affiliated Healthcare System Dimensions Healthcare System is the largest not-for-profit provider of health care services in Prince George's County. Dimension Health Corporation provides many different services to the Community it serves, including operating Prince George's Hospital Center (PGHC), Laurel Regional Hospital, Gladys Spellman Care Unity and Bowie Health Center. PGHC offers a comprehensive range of inpatient and outpatient medical and surgical services including: Emergency and trauma services (designated Level II regional trauma center for southern Maryland), Critical care services, Cardiac care services (comprehensive cardiac care - only program of its kind in the County). Laurel Regional Hospital offers a comprehensive range of inpatient and outpatient medical and surgical services including emergency services, critical care services, cardiac care services, laboratory and pathology testing, medical and surgical services, maternal and child health, physical rehabilitation (only hospital-based CARF accredited rehab unit in the County), Pulmonary rehabilitation program, wound care center (94 percent healing rate). Gladys Spellman, which is now located within LRH's facility, provides nursing home care. Bowie Health Center is a hospital-based emergency service center. In addition, Dimensions Healthcare Associates, Inc. (DHA), a subsidiary of Dimensions Health Corporation, employs multi-specialty physicians, including primary care physicians, to provide patient services to the Community, including uninsured and underinsured patients that would not otherwise have access to physician services. The cost to DHC of funding the shortfall of this tax-exempt physician practice was $15,390,302 during the 2012 tax year. It has been determined that subsidizing the operating losses of DHA meets an identified community need for providing additional primary care and specialist physicians in the community. true SCHOLARSHIPS 4 18014 PROCEDURES FOR MONITORING GRANT USE SCHEDULE I, PART I, LINE 2 PURSUANT TO THE NSP I GRANT PARTICIPATED IN BY DHC, DHC PAYS on a continuing basis for the cost of tuition and related expenses such as books, licensing fees, and examinations, up to $4,000.00 per fiscal year. Students must be enrolled in the Associate/Bachelors degree Nursing program or complete pre-requisites with Nursing as their stated field of study. As a condition of Dimensions Healthcare System's obligations described above, each Scholarship Recipient agrees to the following: 1.To supply evidence of current enrollment in a Nursing Program of study and/or pre-requisite study for acceptance into the school of Nursing Program. A copy of your course registration meets this requirement. 2.To write a 200 word essay on how this scholarship is enabling you to pursue your nursing education and an update on your progress through your nursing program. 3.To maintain a full-time course of study for the period of time covered by this Agreement. 4.To maintain a cumulative GPA of at least 2.5 on a scale of 4.0 throughout the duration of this Agreement. Such evidence will require submission of a copy of the transcript for each quarter or semester. 5.To interview, if requested, with Nursing and Human Resources representatives as appointed by the Corporation. 6.To successfully graduate with an Associate degree (or higher) in Nursing. Such evidence will require submission of an original diploma, which will be copied by the Corporation. 7.To take the NCLEX-RN Examination at the first available testing date after graduation. If the scholarship recipient is unsuccessful in passing the NCLEX-RN examination on the first attempt, he/she must schedule retesting at the first available date. 8.That she/he will meet all conditions of employment as a Registered Nurse as required by Dimensions Healthcare System. As part of the application process for employment, she/he will be required to complete pre-employment drug testing and undergo a criminal background check. 9.That she/he will be subject to and comply with all policies, rules, and regulations of Dimensions Healthcare System. 10.If she/he does not comply with the conditions as described in paragraphs 1 through 10 of Section B, withdraws from the program, does not graduate from the program or does not begin employment with Dimensions Healthcare System within three (3) months of graduation, this Agreement becomes null and void and scholarship recipient agrees to repay any and all funds remitted by Dimensions Healthcare System through this scholarship program to Dimensions Healthcare System within three (3) months of graduation or withdrawal from the program. 11.If she/he begins employment with Dimensions Healthcare System, but does not remain an employee for ONE (1) YEAR, she/he agrees to repay any and all funds remitted by Dimensions Healthcare System through this scholarship program to Dimensions Healthcare System on a prorated basis, based on the amount of time worked at time of separation. This payment will be remitted to Dimensions Healthcare System within three (3) months of separation. X false false X X X true false false false false false false false false NEIL MOORE 576920 0 0 0 0 0 22500 0 24422 0 623842 0 0 0 JOHN O'BRIEN III 313462 0 0 0 0 0 22236 0 15929 0 351627 0 0 0 KANWALJIT SINGH TANEJA 279559 0 0 0 0 0 22500 0 17180 0 319239 0 0 0 GITA K SHAH 296037 0 0 0 0 0 22500 0 27467 0 346004 0 0 0 DAVID GOLDMAN 266604 0 0 0 0 0 10610 0 18583 0 295797 0 0 0 KENNETH GLOVER 81475 0 0 0 36000 0 0 0 25894 0 143369 0 0 0 JYOTI DHAROD 198313 0 0 0 0 0 15917 0 5426 0 219656 0 0 0 SHEILA JARRETT 199685 0 0 0 0 0 22500 0 16622 0 238807 0 0 0 MICHAEL JACOBS 193195 0 0 0 0 0 11965 0 19406 0 224566 0 0 0 DANIEL J O'BRIEN JR 217652 0 0 0 0 0 0 0 4386 0 222038 0 0 0 JOHN SPEARMAN 152986 0 0 0 0 0 0 0 16652 0 169638 0 0 0 Carnell Cooper 365190 0 0 0 0 0 0 0 4456 0 369646 0 0 0 Severance payment Schedule J, Part I, Line 4A A serverance payment was made to the following individual: Kenneth E. Glover $36,000 DESCRIPTION OF 990 REVIEW PROCESS PART VI, LINE 11 A DRAFT OF THE 990 IS PREPARED IN COORDINATION BETWEEN THE ORGANIZATION'S FINANCE DEPARTMENT, THE ORGANIZATION'S OPERATIONS DEPARTMENT, AND THE ORGANIZATION'S OUTSIDE ACCOUNTANTS. THE EXECUTIVE VICE PRESIDENT AND CHIEF FINANCIAL OFFICER REVIEWS THE DRAFT 990 THAT IS PREPARED AND ANY COMMENTS OR QUESTIONS ARE REFLECTED IN A FURTHER REVISED 990. THE LATEST VERSION OF THE 990 IS MADE AVAILABLE TO ALL MEMBERS OF THE BOARD OF DIRECTORS FOR THEIR REVIEW AND COMMENTS PRIOR TO FILING. ANY ADDITIONAL COMMENTS FROM BOARD MEMBERS ARE RESPONDED TO PRIOR TO FILING THE FORM 990. CONFLICTS MONITORING AND ENFORCEMENT PART VI, LINE 12 THE ORGANIZATION HAS ADOPTED A CONFLICT OF INTEREST POLICY THAT COVERS THE ORGANIZATION AND ITS SUBSIDIARIES. ANY POSSIBLE CONFLICT OF INTEREST ON THE PART OF ANY DIRECTOR SHOULD BE DISCLOSED IN WRITING TO THE MEMBERS OF THE BOARD OF DIRECTORS AND MADE A MATTER OF RECORD. ANY MEMBER OF THE BOARD OF DIRECTORS HAVING A POTENTIAL CONFLICT OF INTEREST ON ANY MATTER UNDER CONSIDERATION WILL NOT VOTE OR USE HIS OR HER PERSONAL INFLUENCE ON THE MATTER, AND HE OR SHE SHOULD NOT BE COUNTED IN DETERMINING THE QUORUM FOR THE MEETING. DETERMINATION OF COMPENSATION PART VI, LINE 15 THE ORGANIZATION HAS ADOPTED A PROCESS FOR DETERMINING EXECUTIVE COMPENSATION THAT COVERS THE ORGANIZATION AND ITS SUBSIDIARIES. THE ORGANIZATION UTILIZES A WRITTEN EMPLOYMENT CONTRACT, A COMPENSATION SURVEY OR STUDY, AN APPROVAL BY BOARD/COMPENSATION COMMITTEE AND CONTEMPORANEOUS WRITTEN SUBSTANTIATION OF THE DECISION-MAKING PROCESS. In addition, DHC has a process in place to ensure the compensation paid to employed physicians is not greater than fair market value, which covers DHC and its affiliates. In particular, compensation surveys are regularly consulted and each physician contract is approved by DHC counsel, DHC CEO, and DHC CFO. DOCUMENT AVAILABILITY PART VI, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. net asset reconciliation part xi, line 5 change in minimum pension liability $ 28,348,881 net assets transfer to DHA (15,390,303) change in beneficial int in foundations 385,896 ------------ total $ 13,344,474 AUDITS PART XII, QUESTIONS 2 AND 3 DIMENSIONS HEALTH CORPORATION AND ITS SUBSIDIARES UNDERWENT A CONSOLIDATED AUDIT OF THEIR FINANCIAL STATEMENT THAT COMPLIED WITH SINGLE AUDIT ACT/OMB CIRCULAR A-133 REQUIREMENTS DUE TO THE EXPENDITURE OF FEDERAL AWARDS. THE ACCOUNTING FIRM OF COHEN, RUTHERFORD + KNIGHT P.C. HAS ISSUED AN UNMODIFIED OPINION REGARDING THE CONSOLIDATED FINANCIAL STATEMENTS IN CONFORMANCE WITH GENERALLY ACCEPTED AUDIT STANDARDS AND Government Auditing Standards and unmodified report related to the schedule of expenditures of federal awards in accordance with THE SINGLE AUDIT ACT/OMB CIRCULAR A-133 REQUIREMENTS FOR THE FISCAL YEAR THAT CORRESPONDS TO THE TAX REPORTING YEAR GOVERNED BY THIS FORM 990. OTHER EXPENSES FORM 990 PART IX DESCRIPTION:SUPPLIES TOTAL EXPENSES:51657200 PROGRAM SERVICES:51140628 MANAGEMENT AND GENERAL:516572 FUNDRAISING: OTHER EXPENSES FORM 990 PART IX DESCRIPTION:EQUP RENT AND MAINT TOTAL EXPENSES:1944119 PROGRAM SERVICES:1730266 MANAGEMENT AND GENERAL:213853 FUNDRAISING: OTHER EXPENSES FORM 990 PART IX DESCRIPTION:EDUCATION HONORARIUM TOTAL EXPENSES:72690 MANAGEMENT AND GENERAL:72690 OTHER EXPENSES FORM 990 PART IX DESCRIPTION:PERMITS AND LIC TOTAL EXPENSES:76290 MANAGEMENT AND GENERAL:76290 OTHER EXPENSES FORM 990 PART IX DESCRIPTION:TAXES TOTAL EXPENSES:136600 MANAGEMENT AND GENERAL:136600 OTHER EXPENSES FORM 990 PART IX DESCRIPTION:OTHER TOTAL EXPENSES:191898 PROGRAM SERVICES:132410 MANAGEMENT AND GENERAL:59488 DIMENSIONS HEALTHCARE ASSOCIATES 7300 VAN DUSEN RD LAUREL MD 20707 521902711 HEALTHCARE MD 501(c)(3) 509(a)(3) dhc true AFFILIATED ENTERPRISES 7300 DUSEN RD LAUREL MD 20707 521542144 HEALTHCARE MD DHC C CORP 951689 3852381 1.00000 true DIMENSIONS ASSURANCE PO BOX 1363 GENESIS BUILDING GEORGE TOWN GRAND CAYMAN CJ 980348082 insurance CJ DHC c corp 10910670 44493995 1.00000 true MADISON MANOR 7300 VAN DUSEN RD LAUREL MD 20707 521269059 HEALTHCARE MD DHC C CORP 267372 3748645 1.00000 true false false false false false false false false false true false true false true true true true false false dimensions healthcare associates l,o,q 15390303 fmv AFFILIATED ENTERPRISES j 122246 fmv