2012-05-15T14:47:49-05:00 2011-06-30 COHEN RUTHERFORD KNIGHT PC 6903 ROCKLEDGE DRIVE SUITE 500 BETHESDA MD 208171800 990 2010-07-01 521289729 Dimensions Health Corporation DIME 2404562245 7300 VAN DUSEN ROAD LAUREL MD 20707 NEIL MOORE 2012-05-15 3018281008 2010 2016-02-24 21:20:13Z NEIL MOORE 7300 VAN DUSEN RD LAUREL MD 20707 366041938 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. 10 9 3039 224 0 0 23770781 34749148 330127848 328912185 230549 180254 1502656 2128049 355631834 365969636 5403 5403 0 0 187973101 187358227 0 0 0 157395006 151001275 345373510 338364905 10258324 27604731 235174785 206986139 286565345 221301652 -51390560 -14315513 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 310255575 5403 330331312 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 IS 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 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. ALL PHYSICIANS LICENSED IN THE STATE OF MARYLAND WHO MEET THE FACILITY BYLAW REQUIREMENTS ARE ELIGIBLE TO APPLY FOR MEDICAL STAFF PRIVILEGES. APPROXIMATELY, 366 HAVE PRIVILEGES AT LRH. THE SYSTEM THAT OPERATES LRH 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 A TOTAL OF $4,466,953 IN CHARITY CARE TO THE COMMUNITY. ADDITIONALLY, LRH EXPENDED APPROXIMATELY $11,278,137 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. 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. ALL PHYSICIANS LICENSED IN THE STATE OF MARYLAND WHO MEET THE FACILITY BYLAW REQUIREMENTS ARE ELIGIBLE TO APPLY FOR MEDICAL STAFF PRIVILEGES. APPROXIMATELY, 547 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 THE ORGANIZATION PROVIDED A TOTAL OF $15,636,755 IN CHARITY CARE TO THE COMMUNITY. ADDITIONALLY, THE ORGANIZATION EXPENDED APPROXIMATELY $31,925,894 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. 310255575 true true false true false false false false false true true false true true false false true false true false 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 388 0 true 3039 false true CJ false false false true true false false false false false X 10 9 false false false false false false false true true false false true true true true true true true true false MD X NEIL MOORE 3016182109 7300 VAN DUSEN ROAD Laurel MD 20707 X WILLIAM F WILLIAMS 1.0 X 0 0 0 TOM HENDERSHOTT 1.0 X 0 0 0 ELIZABETH HEWLETT 1.0 X 0 0 0 BARBARA FRUSH 1.0 X 0 0 0 C PHILIPS NICHOLS JR 1.0 X 0 0 0 SAYED SADIQ MD 1.0 X 0 0 0 BENJAMIN STALLINGS MD 1.0 X 0 0 0 V PREM CHANDAR 1.0 X 71000 0 0 TAWANA GAINES 1.0 X 0 0 0 INGRID TURNER 1.0 X 0 0 0 GWEN MCCALL 1.0 X Michael Herman 1.0 X 0 0 0 Camille Exum 1.0 X 0 0 0 M Ali Khan 1.0 X 0 0 0 RICHARD MACPHERSON 1.0 X 0 0 0 NEIL MOORE 20.0 X 323029 0 21589 JOHN O BRIEN 20.0 X 319940 0 38621 STEWART SEITZ 40.0 X 163961 24763 DAVID GOLDMAN 39.0 X 260183 0 34047 KENNETH GLOVER 20.0 X 189106 0 9524 K SINGH TANEJA 20.0 X 255412 36570 RUBY ANDERSON 40.0 X 177088 0 24902 SHEILA JARRETT 40.0 X 218405 0 15104 SUSANA OLBES 40.0 X 187833 0 23533 MICHAEL JACOBS 40.0 X 182000 0 28384 OSAZEE OMOZEE 40.0 X 180083 0 15959 GT DUNLOP ECKER 20.0 X 474963 0 26449 3003003 0 299445 189 true true false PHOENIX 910 CLOPPER RD GAITHERSBURG MD 20878 MIS SERVICES 4625115 SODEXHO PO BOX 536922 ATLANTA GA 303536922 FOOD SERVICE 4120903 ALLIANTADVANTAGE 7700 OLD GEORGETOWN RD STE 530 BETHESDA MD 20814 AGENCY NURSES 1980562 EMCARE OF MARYLAND LLC 7032 COLLECTION CTR DR DURHAM NC 27713 EMERGENCY ROOM SERV 2240656 BROADWAY SERVICES INC 3709 EAST MONUMENT STREET BALTIMORE MD 21205 SECURITY 1999335 37 51400 32671153 2026595 2805 34749148 NET PATIENT REVENUE 327306932 327306932 0 CAFETERIA/MEAL SERVICE/ VENDING 813719 813719 PARKING 349783 349783 TRAUMA FEES 441751 441751 328912185 177754 177754 0 0 721824 721824 721824 721824 2500 2500 2500 2500 59400 51400 72302 -12902 -12902 0 0 OTHER 1419127 1419127 1419127 365969636 330331312 0 889176 0 5403 5403 0 0 1765577 1765577 0 147007440 139775386 7232054 0 15075420 14170895 904525 0 14107536 13261084 846452 0 9402254 8838119 564135 0 612374 0 612374 0 816639 0 816639 0 25612 0 25612 0 4105 4105 0 0 0 0 0 0 0 27853248 19218741 8634507 0 328109 203428 124681 0 317894 228884 89010 0 186987 18699 168288 0 0 0 0 0 5490206 5325500 164706 0 169195 96441 72754 0 0 0 0 0 0 0 0 0 3463051 3151376 311675 0 0 8959406 7257119 1702287 0 6822922 6262860 560062 0 PROFESSIONAL FEES 3406717 2350635 1056082 0 PHYSICIAN FEES 13130588 13130588 0 0 REPAIRS AND MAINT 4705020 3246464 1458556 0 DUES AND MEMBERSHIPS 46332 44479 1853 0 SUPPLIES 50369818 49866120 503698 0 24293052 23803354 489698 0 338364905 310255575 28109330 0 8209810 12642565 15667011 23881815 52196801 46442351 4799616 5321168 4145080 4030187 236723223 182679727 57671467 54043496 11077117 11178784 80200 68200 81327683 49377573 235174785 206986139 49011876 46387655 2745409 4259835 61315225 58575454 173492835 112078708 286565345 221301652 X -53269681 -18584932 1879121 4269419 -51390560 -14315513 235174785 206986139 X 27604731 9470316 X false true true X false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false true false false false false true 4105 false 4105 false 743311 743311 64048386 35199291 28849095 35231159 31169686 4061473 134720192 116310750 18409442 1980175 0 1980175 54043496 BOND FUNDS HELD IN TRUST 11178784 F 11178784 DUE FROM AFFILIATES 35590508 NON-CURRENT ACCOUNTS RECEIVABL 4298627 INVESTMENT AEI 4834485 INVESTMENT DAL 1000000 DEFERRED FINANCING COSTS 274266 DEFERRED COMPENSATION 66683 OTHER ACCOUNTS RECEIVABLE 3313004 49377573 0 ADVANCES FROM THIRD PARTIES 12163428 CAPITAL LEASE OBLIGATIONS 3039262 DUE TO AFFILIATES 19067131 ACCRUED EMPLOYEE BENEFIT LIAB 77808887 112078708 golf 110800 51400 59400 8705 25737 21075 16785 0 110800 51400 59400 8705 25737 21075 16785 72302 -12902 true true X true X true X 500. true false true true 20104716 20104716 0.06350 20104716 20104716 0.06350 193261 11951 181310 0.00060 322023 322023 0.00100 39691068 8393849 31297219 0.09890 20325 20325 0.00010 40226677 8405800 31820877 0.10060 60331393 8405800 51925593 0.16410 2337 2337 2337 2337 false 14977291 92631761 77323726 15308035 X true true 4 1 PRINCE GEORGES HOSPITAL CENTER

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2900 MERCY LANE CHEVERLY MD 20707

X PRINCE GEORGES HOSPITAL CENTER 1 LAUREL REGIONAL HOSPITAL 2 BOWIE HEALTH CENTER 3 GLADYS SPELMAN SPECIALTY HOSPITAL 4 4 CORA B WOOD SENIOR CENTER

3601 TAYLOR STREET STE 108 BRENTWOOD MD 20722

SENIOR HEALTH CENTER GLENRIDGE MEDICAL CENTER

7582 ANNAPOLIS ROAD LANHAM MD 20784

MEDICAL CENTER DIMENSIONS SURGERY CENTER

14999 HEALTH CENTER DR STE 103 BOWIE MD 20716

AMBULATORY SURGERY CENTER LARKIN CHASE CARE & REHABILITATION

15005 HEALTH CENTER DRIVE BOWIE MD 20716

REHABILITATION CENTER 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 $21,765,846 was reduced from total expense to determine the percentages of total expenses. Part I, Line 7g column c None of the subsidized health services stem from physician clinics. DHC provides direct subsidies, which are not reimbursed, to physicians that provide care to patients cared for at PGHC and Laurel. In particular, DHC pays physicians to cover their bad debts, which is in accordance with DHC's safety net mission that allows gaps to exist in the hospital's profits but not in its patient care services. The provision of these physician subsidies meets an identified community need. Part III, Line 4 Bad Debt 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. 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 cost of bad debt expense was determined using the ratio of patient care cost to charges determined in Worksheet 2. 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 The organization has a written debt collection policy. Under the policy, the organization attempts to collect on accounts that have not qualified for financial assistance under the organization's financial assistance policy. However, after the collection process has begun with respect to an account, 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 at any point, 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. Part VI, Line 2 Needs Assessment 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, as well as the Maryland Vital Statistics Report. In addition, the organization has used the healthcare assessment report prepared by the Rand Corporation in February 2009 to assist in determining its community health needs. The main findings of both the 2006 PG County Health Profile Snapshot Report and the 2009 Rand Report is that there are significant health disparities among the residents of Prince Georges' County and that the County lacks a robust health safety net for those patients that are uninsured or underinsured. Per the Rand Report, significant disparities were found among residents of Prince Georges' County with respect to the (1) Rates of uninsurance and underinsurance and (2) access to primary care physicians within the County. In addition, the 2006 PG County Health Profile Snapshot Report demonstrated the major role diabetes plays in the health needs of the community. The 50,000 county diagnoses of diabetes comprised more than 16% of the State of Maryland diabetes cases from 2002 to 2006, raising concerns that the population is not receiving enough guidance on how to handle and prevent the condition of diabetes. Furthermore, the organization through its role as the largest provider of healthcare to the community (including the underserved portion of the community) has identified several health-related trends, needs, and problems facing the community, including adequate access to prenatal care, issues related to aging, substance abuse, access to specialty care, Maternal and Child health, etc. We are also proud to partner with outreach groups such as Alcoholics Anonymous, Narcotics Anonymous, and a Parkinson's Support group. In March 2008, the PGHC Board of Directors established a Community Health Task Force (CHTF) committee in order to help address community health needs. 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 CHTF assists the organization's management in the development of relationships between the organization and other community-based health service organizations in order to make an optimal range of health services more widely available to the community to improve community health status. In addition, the CHTF has worked to focus attention on community health needs, providing improved health information to the community, and is currently working with the National Institute of Health - National Library of Medicine (NIH - NLM) to identify sustainable community health delivery initiatives. Pursuant to the Patient Protection and Affordable Care Act (ACA) all hospital facilities must conduct a Community Health Needs Assessment (CHNA), which includes Board approval of the CHNA written report and implementation strategy, by their 2012 tax year. All of the organization's hospital facilities are currently in the process of undertaking their CHNAs, and will each complete a formal CHNA, per ACA guidelines, prior to the end of their 2012 tax year. 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 medical and health care 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 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 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 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. 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. 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 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. Those patients who may qualify for financial 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. Part VI, Line 4 Community Information Dimensions Healthcare System is the largest not-for-profit provider of health care services in Prince George's County. Additional counties served include Anne Arundel, Howard, and Montgomery Counties. DHS hospitals' primary coverage area is Prince George's County and Anne Arundel County. The population estimate for Prince George's County in 2010 was 863,420. Anne Arundel County has a population of 537,656. The US Census Bureau State and County Quick Facts indicated that the median household income was $69,545 and the percentage of persons below the poverty level was 7.8% in Prince George's County. The median household income in Anne Arundel County was 79,843, with the percentage of persons below poverty level being 6.8% in 2009. Between the two counties, 9-12% of the population is 65 years of age or older and approximately 7 - 8% represent Medicaid patients. 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 1,077:1 for Prince George's County. In Prince George's and Anne Arundel counties smoking, obesity and excessive alcohol consumption are health risk factors. There are Risk factors for premature death in both Counties; such as High Blood pressure ranging between 26.2% -28.2%; Obesity 23.3% - 25.5%; Smoker 17.8% - 22.4%. 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. According to the CDC document Summary Health Statistics of the U.S. Population: National Health Interview Survey (2004) being poor and uninsured are two of the strongest determinants of whether a person "did not receive medical care", or whether they "delayed" seeking care. 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. These are certainly planning considerations in this majority minority community. Additionally, 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) undertakes an array of different activities to promote the health of its community. First, DHC plays a critical role in providing access to physicians for members of its community. DHC provides direct subsidies, which are not reimbursed, to physicians that provide care to patients cared for at PGHC and Laurel. In particular, DHC pays physicians to cover their bad debts, which is in accordance with DHC's safety net mission that allows gaps to exist in the hospital's profits but not in its patient care services. Also, DHC has responded to the identified community need of a primary care physician shortage in the community by employing primary care physicians in order to bring those physicians into the community. Second, DHC attempts to improve the education of its community about one of the most persistent health care problems in its community: diabetes. For those without insurance or with high deductible insurance plans, the Diabetes center at PGHC worked with the Glen Ridge Medical Center (a Dimensions facility) to develop and provide free diabetes education services to patients. More than 150 participants have been enrolled in the education services and the plan is to continue this initiative on an ongoing basis. In addition, Laurel Regional Hospital and clinicians have devoted more than 4,000 hours of their time to providing health screenings and education to community members at various locations throughout the County. Events and programs like the Hospital's annual "Step forward to a Healthier Life Community Health Fair", "Senior Dining and Lecture series" and Blood pressure and Screening Education program respond to the need to provide health services and education to the community to promote awareness and prevention. Furthermore, the organization through its role as the largest provider of healthcare to the community (including the underserved portion of the community) has identified several health-related trends, needs, and problems facing the community, including adequate access to prenatal care, issues related to aging, substance abuse, access to specialty care, Maternal and Child health. The organization's strategies for addressing these issues includes 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, etc. We are also proud to partner with outreach groups such as Alcoholics Anonymous, Narcotics Anonymous, and a Parkinson's Support group. Furthermore, DHC maintains clinical affiliation agreements with and supports clinical placements for both nursing and ancillary programs in and out of state. For instance, 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. DHC staff members participate on a small scale in career days at local community schools. DHC also provided a number of health fairs, health employee internships, and other programs to promote health in the surrounding communities. Additionally, DHC has established collaborations with such organizations as the Prince Georges County (Maryland) Health Action Forum, National Institute of Health- National Library of Medicine, and the Prince Georges County Health Department 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, providing improved health information access, and identifying sustainable community health information delivery initiatives. In order to ensure that DHC is always operated to promote the health of its community, DHC has a Board of Directors comprised of people from the community, has an open medical staff, and uses its surplus funds exclusively to enhance patient care services and provide community benefit activities. DHC is comprised of an 11 member Board of Directors and none of the members are employed by Dimensions. The Board members are predominantly from the community served by DHC. All physicians licensed in the State of Maryland who meet the facility bylaw requirements are eligible to apply for privileges. Approximately 366 physicians currently hold privileges at the Dimensions' Laurel Regional Hospital and 547 have privileges at the Prince George's Hospital Center. 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. When DHC has surplus funds it uses such funds to improve patient care services, provide additional community benefit activities, and enhance its role as the health safety net for the community it provides. Part VI, Line 6 Affiliated Health Care System Prince George's Hospital Center, Laurel Regional Hospital, Gladys Spellman Specialty Hospital and Nursing Home, Bowie Health Center are members of Dimensions Healthcare System, the largest not-for-profit provider of health care services in Prince George's County. Dimension Health Corporation is a very unique organization in that it provides so many different services to the Community it serves. 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 (it is the only hospital-based CARF accredited rehab unit in the County), Pulmonary rehabilitation services, and wound care services. Gladys Spellman provides nursing home care and Bowie Health Center is a hospital-based emergency service center. In addition, Dimensions Healthcare Associates, Inc., 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. STATE FILING OF COMMUNITY BENEFIT REPORT 990 SCHEDULE H, PART VI MD, false SCHOLARSHIPS 5403 X false false X X X false false false false false false false false false NEIL MOORE 323029 0 0 0 0 0 0 0 21589 0 344618 0 GT DUNLOP ECKER 474963 0 0 0 0 0 0 0 26449 0 501412 0 JOHN O BRIEN 319940 0 0 0 0 0 22000 0 16621 0 358561 0 K SINGH TANEJA 255412 0 0 22000 14570 291982 STEWART SEITZ 163961 0 0 13585 11178 188724 DAVID GOLDMAN 260183 0 0 0 0 0 10340 0 23707 0 294230 0 KENNETH GLOVER 189106 0 0 0 0 0 0 0 9524 0 198630 0 RUBY ANDERSON 177088 0 0 0 0 0 7263 0 17639 0 201990 0 SHEILA JARRETT 218405 0 0 0 0 0 0 0 15104 0 233509 0 SUSANA OLBES 187833 0 0 0 0 0 22000 0 1533 0 211366 0 MICHAEL JACOBS 182000 0 0 0 0 0 11366 0 17018 0 210384 0 OSAZEE OMOZEE 180083 0 0 0 0 0 15191 0 768 0 196042 0 part i, line 1a A single $15 Giant gift card was provided and accepted by a majority of the organization's employees (including officers and key employees) as a one-time Holiday gift. The organization grossed-up each recipient employee's Form W-2 so that the organization bore the tax associated with the receipt of the Giant gift card. 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. 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. 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 $26,394,000 forgiveness of intercompany debt (12,207,948) loss on discontinued operations ( 3,945,000) restricted net assets released ( 823,000) unrealized gain 30,000 rounding 22,264 ------------ total $ 9,470,316 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:WILLIAM F WILLIAMS TITLE:DIRECTOR HOURS: HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:TOM HENDERSHOTT TITLE:DIRECTOR HOURS:1 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:ELIZABETH HEWLETT TITLE:DIRECTOR HOURS: HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:BARBARA FRUSH TITLE:SECRETARY HOURS: HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:C PHILIPS NICHOLS JR TITLE:CHAIRMAN OF THE BOARD HOURS: HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:SAYED SADIQ MD TITLE:DIRECTOR HOURS: HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:BENJAMIN STALLINGS MD TITLE:TREASURER HOURS: HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:V PREM CHANDAR TITLE:DIRECTOR HOURS: HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:TAWANA GAINES TITLE:VICE CHAIR HOURS: HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:INGRID TURNER TITLE:DIRECTOR HOURS: HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:GWEN MCCALL TITLE:DIRECTOR HOURS: HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:Michael Herman TITLE:Director HOURS: HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:Camille Exum TITLE:Director HOURS: HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:M Ali Khan TITLE:Director HOURS: HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:RICHARD MACPHERSON TITLE:DIRECTOR HOURS: HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:NEIL MOORE TITLE:ceo/cfo HOURS:20 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:JOHN O BRIEN TITLE:COO AND PRES PGHC HOURS:21 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:STEWART SEITZ TITLE:PRES GSSHNC AEI BHC HOURS: HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:DAVID GOLDMAN TITLE:VICE PRESIDENT MEDICAL AFFAIRS HOURS:1 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:KENNETH GLOVER TITLE:CEO HOURS:20 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:K SINGH TANEJA TITLE:VP PHYSICAN CLIN PGM HOURS:20 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:RUBY ANDERSON TITLE:VP CNO PGHC HOURS: HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:SHEILA JARRETT TITLE:RN HOURS: HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:SUSANA OLBES TITLE:RN HOURS: HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:MICHAEL JACOBS TITLE:VP HR HOURS: HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:OSAZEE OMOZEE TITLE:RN HOURS: HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:GT DUNLOP ECKER TITLE:PRES & CEO HOURS:20 DIMENSIONS HEALTHCARE ASSOCIATES 7300 VAN DUSEN RD LAUREL MD 20707 521902711 HEALTHCARE MD 501(c)(3) 509(a)(3) dhc AFFILIATED ENTERPRISES 7300 DUSEN RD LAUREL MD 20707 521542144 HEALTHCARE MD DHC C CORP 1111918 4390246 1.00000 DIMENSIONS ASSURANCE PO BOX 1363 GENESIS BUILDING GEORGE TOWN GRAND CAYMAN CJ 980348082 insurance CJ DHC c corp 7011730 38719769 1.00000 MADISON MANOR 7300 VAN DUSEN RD LAUREL MD 20707 521269059 HEALTHCARE MD DHC C CORP 617701 2818014 1.00000 false false false false false false false false false false false false true true true true false false DIMENSIONS ASSURANCE LTD N 5440500 dimensions healthcare associates n 12207949