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        <OtherCompensationAmt>34812</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>SUSAN O'MARA MD</PersonNm>
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        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
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        <OtherCompensationAmt>42078</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>ROHIT SATOSKAR MD</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
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        <OtherCompensationAmt>35315</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>JOHN D ROCKWOOD</PersonNm>
        <TitleTxt>PRESIDENT/DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>1354152</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>62751</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>EDWARD HEALTON MD</PersonNm>
        <TitleTxt>DIRECTOR (AS OF 9/2024)</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>ELLEN BLACK</PersonNm>
        <TitleTxt>SECRETARY</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>1.00</AverageHoursPerWeekRltdOrgRt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>MARK MEGINNIS</PersonNm>
        <TitleTxt>CFO/TREASURER</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>20.00</AverageHoursPerWeekRltdOrgRt>
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        <ReportableCompFromRltdOrgAmt>265713</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>54916</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>ERIC PITTS</PersonNm>
        <TitleTxt>PHARMACY DIRECTOR</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>24992</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>NANCY DIBENEDETTO</PersonNm>
        <TitleTxt>VP, QUALITY SAFETY IS &amp; CMPLNC</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>275374</ReportableCompFromOrgAmt>
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        <OtherCompensationAmt>38701</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>ADRIENNE SARNECKI</PersonNm>
        <TitleTxt>VP, CLINICAL SVS &amp; CNO</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>34445</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>JILL ANDERSON</PersonNm>
        <TitleTxt>VP, AMBULATORY CARE</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>37940</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>LINDA BRIGGS</PersonNm>
        <TitleTxt>AVP, ACCESS &amp; BUSINESS DEVELOPMENT</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>15821</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>ALLISON RESCHOVSKY</PersonNm>
        <TitleTxt>FORMER OFFICER</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>40.00</AverageHoursPerWeekRltdOrgRt>
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        <ReportableCompFromRltdOrgAmt>291533</ReportableCompFromRltdOrgAmt>
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      <TotalReportableCompFromOrgAmt>4967402</TotalReportableCompFromOrgAmt>
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      <CompensationFromOtherSrcsInd>0</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>AYA HEALTHCARE INC</BusinessNameLine1Txt>
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        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 123519 DEPT 3519</AddressLine1Txt>
            <CityNm>DALLAS</CityNm>
            <StateAbbreviationCd>TX</StateAbbreviationCd>
            <ZIPCd>753123519</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>STAFFING SERVICES</ServicesDesc>
        <CompensationAmt>1711071</CompensationAmt>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>CRITICAL CONNECTION INC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>13028 COLLECTIONS CENTER DRIVE</AddressLine1Txt>
            <CityNm>CHICAGO</CityNm>
            <StateAbbreviationCd>IL</StateAbbreviationCd>
            <ZIPCd>60693</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>STAFFING SERVICES</ServicesDesc>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>AMN HEALTHCARE INC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>2735 COLLECTION CENTER DR</AddressLine1Txt>
            <CityNm>CHICAGO</CityNm>
            <StateAbbreviationCd>IL</StateAbbreviationCd>
            <ZIPCd>60693</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>STAFFING SERVICES</ServicesDesc>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>GOOGLE INC</BusinessNameLine1Txt>
          </BusinessName>
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        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 883654</AddressLine1Txt>
            <CityNm>LOS ANGELES</CityNm>
            <StateAbbreviationCd>CA</StateAbbreviationCd>
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        </ContractorAddress>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>TOTAL RENAL CARE INC</BusinessNameLine1Txt>
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        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 8500-1607</AddressLine1Txt>
            <CityNm>PHILADELPHIA</CityNm>
            <StateAbbreviationCd>PA</StateAbbreviationCd>
            <ZIPCd>191781607</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>MEDICAL SERVICES</ServicesDesc>
        <CompensationAmt>324722</CompensationAmt>
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      <CntrctRcvdGreaterThan100KCnt>15</CntrctRcvdGreaterThan100KCnt>
      <GovernmentGrantsAmt>767092</GovernmentGrantsAmt>
      <AllOtherContributionsAmt>1517674</AllOtherContributionsAmt>
      <NoncashContributionsAmt>15131</NoncashContributionsAmt>
      <TotalContributionsAmt>2284766</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>NET PATIENT SERVICE RE</Desc>
        <BusinessCd>624100</BusinessCd>
        <TotalRevenueColumnAmt>171653007</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>171653007</RelatedOrExemptFuncIncomeAmt>
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      <ProgramServiceRevenueGrp>
        <Desc>OTHER PHYSICIAN FEES</Desc>
        <BusinessCd>624100</BusinessCd>
        <TotalRevenueColumnAmt>1375686</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>1375686</RelatedOrExemptFuncIncomeAmt>
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      <ProgramServiceRevenueGrp>
        <Desc>MANAGEMENT FEES</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>87434</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>87434</RelatedOrExemptFuncIncomeAmt>
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        <TotalRevenueColumnAmt>927272</TotalRevenueColumnAmt>
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        <RealAmt>70220</RealAmt>
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      <RentalIncomeOrLossGrp>
        <RealAmt>70220</RealAmt>
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      <NetRentalIncomeOrLossGrp>
        <TotalRevenueColumnAmt>70220</TotalRevenueColumnAmt>
        <ExclusionAmt>70220</ExclusionAmt>
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        <SecuritiesAmt>793539</SecuritiesAmt>
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        <OtherAmt>2897</OtherAmt>
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        <TotalRevenueColumnAmt>790642</TotalRevenueColumnAmt>
        <ExclusionAmt>790642</ExclusionAmt>
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        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>1101978</TotalRevenueColumnAmt>
        <ExclusionAmt>1101978</ExclusionAmt>
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      <OtherRevenueMiscGrp>
        <Desc>REBATE INCOME</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>180912</TotalRevenueColumnAmt>
        <ExclusionAmt>180912</ExclusionAmt>
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      <MiscellaneousRevenueGrp>
        <TotalRevenueColumnAmt>904384</TotalRevenueColumnAmt>
        <ExclusionAmt>904384</ExclusionAmt>
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        <TotalRevenueColumnAmt>179376301</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>173116127</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
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        <ProgramServicesAmt>3147215</ProgramServicesAmt>
        <ManagementAndGeneralAmt>612489</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>83566709</ProgramServicesAmt>
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        <ManagementAndGeneralAmt>2236373</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>894547</ProgramServicesAmt>
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        <ProgramServicesAmt>6864486</ProgramServicesAmt>
        <ManagementAndGeneralAmt>6860055</ManagementAndGeneralAmt>
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        <ManagementAndGeneralAmt>21905188</ManagementAndGeneralAmt>
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        <ManagementAndGeneralAmt>47400</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>88757</ProgramServicesAmt>
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        <ProgramServicesAmt>1287959</ProgramServicesAmt>
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        <ManagementAndGeneralAmt>1615276</ManagementAndGeneralAmt>
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        <ManagementAndGeneralAmt>721500</ManagementAndGeneralAmt>
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        <ManagementAndGeneralAmt>54402523</ManagementAndGeneralAmt>
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        <EOYAmt>1683320</EOYAmt>
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        <EOYAmt>15674171</EOYAmt>
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        <EOYAmt>662141</EOYAmt>
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        <EOYAmt>525304</EOYAmt>
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        <BOYAmt>31783609</BOYAmt>
        <EOYAmt>37164784</EOYAmt>
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        <EOYAmt>71167394</EOYAmt>
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      <IntangibleAssetsGrp>
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        <EOYAmt>5025337</EOYAmt>
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      <OtherAssetsTotalGrp>
        <BOYAmt>8667604</BOYAmt>
        <EOYAmt>15378961</EOYAmt>
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      <TotalAssetsGrp>
        <BOYAmt>129938771</BOYAmt>
        <EOYAmt>147445825</EOYAmt>
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      <AccountsPayableAccrExpnssGrp>
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        <EOYAmt>15151875</EOYAmt>
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        <BOYAmt>913790</BOYAmt>
        <EOYAmt>725889</EOYAmt>
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      <OtherLiabilitiesGrp>
        <BOYAmt>11354919</BOYAmt>
        <EOYAmt>8912820</EOYAmt>
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      <TotalLiabilitiesGrp>
        <BOYAmt>27263655</BOYAmt>
        <EOYAmt>24790584</EOYAmt>
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      <OrganizationFollowsFASB117Ind>X</OrganizationFollowsFASB117Ind>
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        <BOYAmt>83021077</BOYAmt>
        <EOYAmt>102796787</EOYAmt>
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      <DonorRestrictionNetAssetsGrp>
        <BOYAmt>19654039</BOYAmt>
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        <FormAndLineReferenceDesc>NATIONAL REHABILITATION HOSPITAL</FormAndLineReferenceDesc>
        <ExplanationTxt>PART V, SECTION B, LINE 5: CHNA INPUTHOSPITAL LEADROLE DESCRIPTIONTHE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) HOSPITAL LEAD SERVES AS THE COORDINATOR OF ALL ASPECTS OF THE COMMUNITY HEALTH ASSESSMENT PROCESS. HE/SHE HELPS ESTABLISH AND COORDINATE THE ACTIVITIES OF THE ADVISORY TASK FORCE. THE LEAD ALSO HELPS PRODUCE THE HOSPITAL'S COMMUNITY HEALTH NEEDS ASSESSMENT AND IMPLEMENTATION STRATEGY. HE/SHE WORKS COLLABORATIVELY WITH REPRESENTATIVES FROM THE CORPORATE COMMUNITY HEALTH DEPARTMENT AND GEORGETOWN UNIVERSITY. THE LEAD ALSO WORKS CLOSELY WITH THE WRITER. HE/SHE REVIEWS ALL NARRATIVES PRIOR TO PUBLICATION.NAME OF HOSPITAL LEAD: HARSH THAKKAREXECUTIVE SPONSORROLE DESCRIPTIONTHE EXECUTIVE SPONSOR SERVES AS THE CONDUIT BETWEEN THE ADVISORY TASK FORCE AND THE SENIOR MANAGEMENT TEAM. THE SPONSOR IS AN ACTIVE PARTICIPANT OF THE ADVISORY TASK FORCE AND HE/SHE COMMUNICATES THE HOSPITAL'S CLINICAL STRENGTHS AND PROGRAM PRIORITIES TO DIVERSE AUDIENCES.NAME OF EXECUTIVE SPONSOR: ERIC WISOTZKYADVISORY TASK FORCEROLE DESCRIPTIONTHE ADVISORY TASK FORCE (ATF) REVIEWS PRIMARY/SECONDARY DATA AND LOCAL/STATE/FEDERAL COMMUNITY HEALTH GOALS. BASED ON FINDINGS, THE ATF PROVIDES INPUT INTO THE HOSPITAL'S THREE-YEAR IMPLEMENTATION STRATEGY. AS AMBASSADORS FOR THE CHNA PROCESS, THE ATF MEMBERS SUPPORT EFFORTS TO OPTIMIZE COMMUNITY PARTICIPATION. NOTE : THE ATF SHOULD BE A COMBINATION OF COMMUNITY REPRESENTATIVES AND STAFF. COMMUNITY REPRESENTATIVES SHOULD MAKEUP AT LEAST 50% OF TOTAL PARTICIPANTS. NAME : ERIC WISOTZKY, M.D. TITLE/AFFILIATION WITH HOSPITAL : VICE PRESIDENT OF MEDICAL AFFAIRS CHIEF MEDICAL OFFICER NAME OF ORGANIZATION : MEDSTAR NATIONAL REHABILITATION HOSPITALNAME : SUZANNE GROAH, M.D., MSPH TITLE/AFFILIATION WITH HOSPITAL : CHIEF, PARALYSIS REHABILITATION AND RECOVERY PROGRAM AT MEDSTAR NRH DIRECTOR, SPINAL CORD INJURY RESEARCH PROFESSOR, REHABILITATION MEDICINE AT GEORGETOWN UNIVERSITY HOSPITAL PRESIDENT-ELECT, AMERICAN SPINAL INJURY ASSOCIATIONNAME OF ORGANIZATION : MEDSTAR NATIONAL REHABILITATION HOSPITALNAME : HARSH THAKKARTITLE/AFFILIATION WITH HOSPITAL : COMMUNITY HEALTH HOSPITAL LEAD, COMMUNITY OUTREACH MANAGER, CPT NAME OF ORGANIZATION : MEDSTAR NATIONAL REHABILITATION HOSPITALNAME : AVERY MOORE TITLE/AFFILIATION WITH HOSPITAL : COMMUNITY MEMBERNAME OF ORGANIZATION : COMMUNITY MEMBERNAME : BEVERLIE BETTS ACREE TITLE/AFFILIATION WITH HOSPITAL : COMMUNITY MEMBERNAME OF ORGANIZATION : COMMUNITY MEMBERNAME : JENNIFER SHEEHY TITLE/AFFILIATION WITH HOSPITAL : COMMUNITY MEMBER NAME OF ORGANIZATION : COMMUNITY MEMBERNAME : RUSSELL ROGERSTITLE/AFFILIATION WITH HOSPITAL : PARTNERSHIPS &amp; DEVELOPMENT DIVISIONNAME OF ORGANIZATION : DC DEPARTMENT OF PARKS AND RECREATION (DPR)NAME : LORNA OWEHTITLE/AFFILIATION WITH HOSPITAL : COMMUNITY MEMBER NAME OF ORGANIZATION : COMMUNITY MEMBERNAME : PATRICIA FISHER TITLE/AFFILIATION WITH HOSPITAL : COMMUNITY RELATIONS COORDINATOR NAME OF ORGANIZATION : DC MEDICAID/CHOICE FIRSTNAME : DORDINDA WILLIAMS TITLE/AFFILIATION WITH HOSPITAL : VICE PRESIDENT, FAMILY SERVICES NAME OF ORGANIZATION : SO OTHERS MAY EAT (SOME)NAME : YARNE WHITE TITLE/AFFILIATION WITH HOSPITAL : DIRECTOR OF HOUSING INTAKE NAME OF ORGANIZATION : SO OTHERS MAY EAT (SOME)NAME : TALLULAH ANDERSONTITLE/AFFILIATION WITH HOSPITAL : MANAGER COMM. RELATIONS/ENGAGEMENTNAME OF ORGANIZATION : DC MEDICAID NAME : SARA BENAWIDTH TITLE/AFFILIATION WITH HOSPITAL : DIRECTOR NAME OF ORGANIZATION : DOH</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>NATIONAL REHABILITATION HOSPITAL</FormAndLineReferenceDesc>
        <ExplanationTxt>PART V, SECTION B, LINE 11: IMPLEMENTATION STRATEGIESTHE IMPLEMENTATION STRATEGIES SERVE AS A ROADMAP FOR HOW COMMUNITY BENEFIT RESOURCES WILL BE ALLOCATED AND DEPLOYED. MEDSTAR'S HOSPITALS WILL BE ABLE TO MEASURE OUR CONTRIBUTION TO IMPROVING THE HEALTH OF UNDERSERVED AND VULNERABLE POPULATIONS IN THE REGIONS WE SERVE. THREE-YEAR IMPLEMENTATION STRATEGIES WITH MEASURABLE OBJECTIVES WERE DEVELOPED FOR EACH HOSPITAL'S COMMUNITY BENEFIT SERVICE AREA - A SPECIFIC COMMUNITY OR TARGET POPULATION OF FOCUS. PRIORITIES WERE BASED ON COMMUNITY NEED AS DETERMINED BY QUANTITATIVE DATA AND COMMUNITY INPUT, AS WELL AS ON HOSPITAL EXPERTISE, RESOURCES, STRENGTHS OF EXISTING PROGRAMMING AND PARTNERSHIPS, AND ALIGNMENT WITH NATIONAL, STATE, AND LOCAL HEALTH GOALS. THE MEDSTAR HEALTH CORPORATE COMMUNITY HEALTH DEPARTMENT WILL PROVIDE SYSTEM-WIDE COORDINATION AND OVERSIGHT OF COMMUNITY BENEFIT PROGRAMMING.HOSPITAL ADVISORY TASK FORCES CONVENE AT LEAST ANNUALLY TO MONITOR PROGRESS OF STRATEGY EXECUTION AND TO PROVIDE ONGOING RECOMMENDATIONS RELATED TO OUTCOMES ACHIEVEMENT, PROGRAM DEVELOPMENT, PARTNERSHIP APPROACHES, AND OVERALL IMPLEMENTATION IMPROVEMENT.FOR SIGNIFICANT NEEDS IDENTIFIED IN THE CHNA THAT THE HOSPITAL HAS NOT PRIORITIZED AS FOCUS AREAS THROUGH ITS IMPLEMENTATION STRATEGY, THESE NEEDS WILL BE ADDRESSED BY COLLABORATING WITH OTHER LEADING ORGANIZATIONS, AND BY TAKING A SUPPORTER ROLE ON IDENTIFIED NEEDS THAT ARE BEYOND THE SCOPE OF THE HOSPITAL'S STRENGTHS.</ExplanationTxt>
      </SupplementalInformationGrp>
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            <AddressLine1Txt>6355 WALKER LN STE 512</AddressLine1Txt>
            <CityNm>ALEXANDRIA</CityNm>
            <StateAbbreviationCd>VA</StateAbbreviationCd>
            <ZIPCd>223103251</ZIPCd>
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          <FacilityTxt>OUTPATIENT PHYSICAL THERAPY</FacilityTxt>
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        <OthHlthCareFcltsGrp>
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          <USAddress>
            <AddressLine1Txt>810 BESTGATE RD STE 310</AddressLine1Txt>
            <CityNm>ANNAPOLIS</CityNm>
            <StateAbbreviationCd>MD</StateAbbreviationCd>
            <ZIPCd>214013648</ZIPCd>
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          <FacilityTxt>OUTPATIENT PHYSICAL THERAPY</FacilityTxt>
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          <USAddress>
            <AddressLine1Txt>4040 N FAIRFAX DR STE 120</AddressLine1Txt>
            <CityNm>ARLINGTON</CityNm>
            <StateAbbreviationCd>VA</StateAbbreviationCd>
            <ZIPCd>222031613</ZIPCd>
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            <AddressLine1Txt>658 BOULTON ST STE A</AddressLine1Txt>
            <CityNm>BEL AIR</CityNm>
            <StateAbbreviationCd>MD</StateAbbreviationCd>
            <ZIPCd>210144563</ZIPCd>
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            <AddressLine1Txt>12 MEDSTAR BLVD STE 325</AddressLine1Txt>
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            <StateAbbreviationCd>MD</StateAbbreviationCd>
            <ZIPCd>210151817</ZIPCd>
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            <AddressLine1Txt>13950 BRANDYWINE RD STE 200</AddressLine1Txt>
            <CityNm>BRANDYWINE</CityNm>
            <StateAbbreviationCd>MD</StateAbbreviationCd>
            <ZIPCd>206135815</ZIPCd>
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            <AddressLine1Txt>4400 JOHN MCCORMACK RD NE RAYMOND A</AddressLine1Txt>
            <AddressLine2Txt>DU</AddressLine2Txt>
            <CityNm>WASHINGTON</CityNm>
            <StateAbbreviationCd>DC</StateAbbreviationCd>
            <ZIPCd>200643406</ZIPCd>
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          <USAddress>
            <AddressLine1Txt>3455 WILKENS AVE STE 306</AddressLine1Txt>
            <CityNm>BALTIMORE</CityNm>
            <StateAbbreviationCd>MD</StateAbbreviationCd>
            <ZIPCd>212295214</ZIPCd>
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          <FacilityTxt>OUTPATIENT PHYSICAL THERAPY</FacilityTxt>
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            <BusinessNameLine1Txt>9 - MEDSTAR HEALTH PHYSICAL THERAPY AT CHEVY</BusinessNameLine1Txt>
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          <USAddress>
            <AddressLine1Txt>5454 WISCONSIN AVE FL 11</AddressLine1Txt>
            <CityNm>CHEVY CHASE</CityNm>
            <StateAbbreviationCd>MD</StateAbbreviationCd>
            <ZIPCd>208156901</ZIPCd>
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          <FacilityTxt>OUTPATIENT PHYSICAL THERAPY</FacilityTxt>
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          <BusinessName>
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          <USAddress>
            <AddressLine1Txt>8926 WOODYARD RD STE 501</AddressLine1Txt>
            <CityNm>CLINTON</CityNm>
            <StateAbbreviationCd>MD</StateAbbreviationCd>
            <ZIPCd>207354234</ZIPCd>
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          <FacilityTxt>OUTPATIENT PHYSICAL THERAPY</FacilityTxt>
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            <AddressLine1Txt>10534 YORK RD STE 104</AddressLine1Txt>
            <CityNm>COCKEYSVILLE</CityNm>
            <StateAbbreviationCd>MD</StateAbbreviationCd>
            <ZIPCd>210302348</ZIPCd>
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            <BusinessNameLine1Txt>12 - MEDSTAR HEALTH PHYSICAL THERAPY AT COPPI</BusinessNameLine1Txt>
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          <USAddress>
            <AddressLine1Txt>2523 GWYNNS FALLS PARKWAY STE 131</AddressLine1Txt>
            <AddressLine2Txt>CSU</AddressLine2Txt>
            <CityNm>BALTIMORE</CityNm>
            <StateAbbreviationCd>MD</StateAbbreviationCd>
            <ZIPCd>212163201</ZIPCd>
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          <FacilityTxt>OUTPATIENT PHYSICAL THERAPY</FacilityTxt>
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            <AddressLine1Txt>1576 MERRITT BLVD STE 7</AddressLine1Txt>
            <CityNm>DUNDALK</CityNm>
            <StateAbbreviationCd>MD</StateAbbreviationCd>
            <ZIPCd>212222114</ZIPCd>
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            <AddressLine1Txt>9501 OLD ANNAPOLIS RD STE 125</AddressLine1Txt>
            <CityNm>ELLICOTT CITY</CityNm>
            <StateAbbreviationCd>MD</StateAbbreviationCd>
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            <AddressLine1Txt>1420 KEY HWY STE 300</AddressLine1Txt>
            <CityNm>BALTIMORE</CityNm>
            <StateAbbreviationCd>MD</StateAbbreviationCd>
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            <AddressLine1Txt>163 THOMAS JOHNSON DR STE G</AddressLine1Txt>
            <CityNm>FREDERICK</CityNm>
            <StateAbbreviationCd>MD</StateAbbreviationCd>
            <ZIPCd>217024673</ZIPCd>
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          <FacilityTxt>OUTPATIENT PHYSICAL THERAPY</FacilityTxt>
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          <BusinessName>
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            <AddressLine1Txt>740 MD ROUTE 3 S</AddressLine1Txt>
            <CityNm>GAMBRILLS</CityNm>
            <StateAbbreviationCd>MD</StateAbbreviationCd>
            <ZIPCd>210541318</ZIPCd>
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          <BusinessName>
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          <USAddress>
            <AddressLine1Txt>3700 O ST NW THOMPSON ATHLETIC CTR</AddressLine1Txt>
            <CityNm>WASHINGTON</CityNm>
            <StateAbbreviationCd>DC</StateAbbreviationCd>
            <ZIPCd>200570002</ZIPCd>
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          <BusinessName>
            <BusinessNameLine1Txt>19 - MEDSTAR HEALTH PHYSICAL THERAPY AT GOUCH</BusinessNameLine1Txt>
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          <USAddress>
            <AddressLine1Txt>1021 DULANEY VALLEY RD DECKER</AddressLine1Txt>
            <AddressLine2Txt>SPORTS</AddressLine2Txt>
            <CityNm>BALTIMORE</CityNm>
            <StateAbbreviationCd>MD</StateAbbreviationCd>
            <ZIPCd>212042753</ZIPCd>
          </USAddress>
          <FacilityTxt>OUTPATIENT PHYSICAL THERAPY</FacilityTxt>
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          <BusinessName>
            <BusinessNameLine1Txt>20 - MEDSTAR HEALTH PHYSICAL THERAPY AT HOLLY</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>24035 THREE NOTCH RD</AddressLine1Txt>
            <CityNm>HOLLYWOOD</CityNm>
            <StateAbbreviationCd>MD</StateAbbreviationCd>
            <ZIPCd>206364871</ZIPCd>
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          <FacilityTxt>OUTPATIENT PHYSICAL THERAPY</FacilityTxt>
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            <BusinessNameLine1Txt>21 - MEDSTAR HEALTH PHYSICAL THERAPY AT HUNT</BusinessNameLine1Txt>
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          <USAddress>
            <AddressLine1Txt>2 LOVETON CIR STE G100</AddressLine1Txt>
            <CityNm>SPARKS</CityNm>
            <StateAbbreviationCd>MD</StateAbbreviationCd>
            <ZIPCd>211529273</ZIPCd>
          </USAddress>
          <FacilityTxt>OUTPATIENT PHYSICAL THERAPY</FacilityTxt>
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          <BusinessName>
            <BusinessNameLine1Txt>22 - MEDSTAR HEALTH PHYSICAL THERAPY AT HYATT</BusinessNameLine1Txt>
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          <USAddress>
            <AddressLine1Txt>6401 AMERICA BLVD STE 204</AddressLine1Txt>
            <CityNm>HYATTSVILLE</CityNm>
            <StateAbbreviationCd>MD</StateAbbreviationCd>
            <ZIPCd>207822357</ZIPCd>
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            <AddressLine1Txt>106 IRVING ST NW STE 5000</AddressLine1Txt>
            <CityNm>WASHINGTON</CityNm>
            <StateAbbreviationCd>DC</StateAbbreviationCd>
            <ZIPCd>200102981</ZIPCd>
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          <USAddress>
            <AddressLine1Txt>102 IRVING ST NW</AddressLine1Txt>
            <CityNm>WASHINGTON</CityNm>
            <StateAbbreviationCd>DC</StateAbbreviationCd>
            <ZIPCd>200102921</ZIPCd>
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          <FacilityTxt>OUTPATIENT PHYSICAL THERAPY</FacilityTxt>
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          <BusinessName>
            <BusinessNameLine1Txt>25 - MEDSTAR HEALTH PHYSICAL THERAPY AT LAFAY</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>1120 20TH ST NW STE 116</AddressLine1Txt>
            <CityNm>WASHINGTON</CityNm>
            <StateAbbreviationCd>DC</StateAbbreviationCd>
            <ZIPCd>200363406</ZIPCd>
          </USAddress>
          <FacilityTxt>OUTPATIENT PHYSICAL THERAPY</FacilityTxt>
        </OthHlthCareFcltsGrp>
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          <BusinessName>
            <BusinessNameLine1Txt>26 - MEDSTAR HEALTH PHYSICAL THERAPY AT LAKE</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>12825 MINNIEVILLE RD STE 201</AddressLine1Txt>
            <CityNm>WOODBRIDGE</CityNm>
            <StateAbbreviationCd>VA</StateAbbreviationCd>
            <ZIPCd>221923602</ZIPCd>
          </USAddress>
          <FacilityTxt>OUTPATIENT PHYSICAL THERAPY</FacilityTxt>
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          <BusinessName>
            <BusinessNameLine1Txt>27 - MEDSTAR HEALTH PHYSICAL THERAPY AT LEISU</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>3305 N LEISURE WORLD BLVD STE 200</AddressLine1Txt>
            <CityNm>SILVER SPRING</CityNm>
            <StateAbbreviationCd>MD</StateAbbreviationCd>
            <ZIPCd>209061367</ZIPCd>
          </USAddress>
          <FacilityTxt>OUTPATIENT PHYSICAL THERAPY</FacilityTxt>
        </OthHlthCareFcltsGrp>
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          <BusinessName>
            <BusinessNameLine1Txt>28 - MEDSTAR HEALTH PHYSICAL THERAPY AT LEONA</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>23511 HOLLYWOOD RD STE 1</AddressLine1Txt>
            <CityNm>LEONARDTOWN</CityNm>
            <StateAbbreviationCd>MD</StateAbbreviationCd>
            <ZIPCd>206505833</ZIPCd>
          </USAddress>
          <FacilityTxt>OUTPATIENT PHYSICAL THERAPY</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>29 - MEDSTAR HEALTH PHYSICAL THERAPY AT LOCH</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>5445 LOCH RAVEN BLVD STE 403A</AddressLine1Txt>
            <CityNm>BALTIMORE</CityNm>
            <StateAbbreviationCd>MD</StateAbbreviationCd>
            <ZIPCd>212392943</ZIPCd>
          </USAddress>
          <FacilityTxt>OUTPATIENT PHYSICAL THERAPY</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>30 - MEDSTAR HEALTH PHYSICAL THERAPY AT LORTO</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>9455 LORTON MARKET ST STE 201</AddressLine1Txt>
            <CityNm>LORTON</CityNm>
            <StateAbbreviationCd>VA</StateAbbreviationCd>
            <ZIPCd>220791965</ZIPCd>
          </USAddress>
          <FacilityTxt>OUTPATIENT PHYSICAL THERAPY</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>31 - MEDSTAR HEALTH PHYSICAL THERAPY AT LUTHE</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>1400 FRONT AVE STE 205</AddressLine1Txt>
            <CityNm>LUTHERVILLE</CityNm>
            <StateAbbreviationCd>MD</StateAbbreviationCd>
            <ZIPCd>210935365</ZIPCd>
          </USAddress>
          <FacilityTxt>OUTPATIENT PHYSICAL THERAPY</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>32 - MEDSTAR HEALTH PHYSICAL THERAPY AT MCLEA</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>1420 BEVERLY RD 2ND FLOOR</AddressLine1Txt>
            <CityNm>MCLEAN</CityNm>
            <StateAbbreviationCd>VA</StateAbbreviationCd>
            <ZIPCd>221013732</ZIPCd>
          </USAddress>
          <FacilityTxt>OUTPATIENT PHYSICAL THERAPY</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>33 - MEDSTAR HEALTH PHYSICAL THERAPY AT MITCH</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>12158 CENTRAL AVE</AddressLine1Txt>
            <CityNm>MITCHELLVILLE</CityNm>
            <StateAbbreviationCd>MD</StateAbbreviationCd>
            <ZIPCd>207211932</ZIPCd>
          </USAddress>
          <FacilityTxt>OUTPATIENT PHYSICAL THERAPY</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>34 - MEDSTAR HEALTH PHYSICAL THERAPY AT MORGA</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>1700 E COLD SPRING LN HILL FIELD</AddressLine1Txt>
            <AddressLine2Txt>HOUSE</AddressLine2Txt>
            <CityNm>BALTIMORE</CityNm>
            <StateAbbreviationCd>MD</StateAbbreviationCd>
            <ZIPCd>212510001</ZIPCd>
          </USAddress>
          <FacilityTxt>OUTPATIENT PHYSICAL THERAPY</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>35 - MEDSTAR HEALTH PHYSICAL THERAPY AT NAVY</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>925 HALF ST SE ONE HILL SOUTH</AddressLine1Txt>
            <CityNm>WASHINGTON</CityNm>
            <StateAbbreviationCd>DC</StateAbbreviationCd>
            <ZIPCd>200033658</ZIPCd>
          </USAddress>
          <FacilityTxt>OUTPATIENT PHYSICAL THERAPY</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>36 - MEDSTAR HEALTH PHYSICAL THERAPY AT OXON</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>6196 OXON HILL RD STE 450</AddressLine1Txt>
            <CityNm>OXON HILL</CityNm>
            <StateAbbreviationCd>MD</StateAbbreviationCd>
            <ZIPCd>207453173</ZIPCd>
          </USAddress>
          <FacilityTxt>OUTPATIENT PHYSICAL THERAPY</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>37 - MEDSTAR HEALTH PHYSICAL THERAPY AT PASAD</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>8028 RITCHIE HWY STE 120</AddressLine1Txt>
            <CityNm>PASADENA</CityNm>
            <StateAbbreviationCd>MD</StateAbbreviationCd>
            <ZIPCd>211221069</ZIPCd>
          </USAddress>
          <FacilityTxt>OUTPATIENT PHYSICAL THERAPY</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>38 - MEDSTAR HEALTH PHYSICAL THERAPY AT PERRY</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>5009 HONEYGO CENTER DR STE 209</AddressLine1Txt>
            <CityNm>PERRY HALL</CityNm>
            <StateAbbreviationCd>MD</StateAbbreviationCd>
            <ZIPCd>211289842</ZIPCd>
          </USAddress>
          <FacilityTxt>OUTPATIENT PHYSICAL THERAPY</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>39 - MEDSTAR HEALTH PHYSICAL THERAPY AT PIKES</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>1838 GREENE TREE RD STE 245</AddressLine1Txt>
            <CityNm>BALTIMORE</CityNm>
            <StateAbbreviationCd>MD</StateAbbreviationCd>
            <ZIPCd>212087110</ZIPCd>
          </USAddress>
          <FacilityTxt>OUTPATIENT PHYSICAL THERAPY</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>40 - MEDSTAR HEALTH PHYSICAL THERAPY AT POTOM</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>12400 PARK POTOMAC AVE STE R2A</AddressLine1Txt>
            <CityNm>POTOMAC</CityNm>
            <StateAbbreviationCd>MD</StateAbbreviationCd>
            <ZIPCd>208546973</ZIPCd>
          </USAddress>
          <FacilityTxt>OUTPATIENT PHYSICAL THERAPY</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>41 - MEDSTAR HEALTH PHYSICAL THERAPY AT REIST</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>116 WESTMINSTER PIKE STE 100</AddressLine1Txt>
            <CityNm>REISTERSTOWN</CityNm>
            <StateAbbreviationCd>MD</StateAbbreviationCd>
            <ZIPCd>211361056</ZIPCd>
          </USAddress>
          <FacilityTxt>OUTPATIENT PHYSICAL THERAPY</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>42 - MEDSTAR HEALTH PHYSICAL THERAPY AT ROSED</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>9101 FRANKLIN SQUARE DR STE 205</AddressLine1Txt>
            <CityNm>BALTIMORE</CityNm>
            <StateAbbreviationCd>MD</StateAbbreviationCd>
            <ZIPCd>212373975</ZIPCd>
          </USAddress>
          <FacilityTxt>OUTPATIENT PHYSICAL THERAPY</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>43 - MEDSTAR HEALTH PHYSICAL THERAPY AT SOUTH</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>2900 S HANOVER ST STE 102</AddressLine1Txt>
            <CityNm>BALTIMORE</CityNm>
            <StateAbbreviationCd>MD</StateAbbreviationCd>
            <ZIPCd>212251232</ZIPCd>
          </USAddress>
          <FacilityTxt>OUTPATIENT PHYSICAL THERAPY</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>44 - MEDSTAR HEALTH PHYSICAL THERAPY AT STEVE</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>100 CAMPUS CIRCLE DR CAVES SPORTS</AddressLine1Txt>
            <AddressLine2Txt>WEL</AddressLine2Txt>
            <CityNm>OWINGS MILLS</CityNm>
            <StateAbbreviationCd>MD</StateAbbreviationCd>
            <ZIPCd>211177803</ZIPCd>
          </USAddress>
          <FacilityTxt>OUTPATIENT PHYSICAL THERAPY</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>45 - MEDSTAR HEALTH PHYSICAL THERAPY AT TIMON</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>2118 GREENSPRING DR STE 200</AddressLine1Txt>
            <CityNm>LUTHERVILLE TIMONIUM</CityNm>
            <StateAbbreviationCd>MD</StateAbbreviationCd>
            <ZIPCd>210933112</ZIPCd>
          </USAddress>
          <FacilityTxt>OUTPATIENT PHYSICAL THERAPY</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>46 - MEDSTAR HEALTH PHYSICAL THERAPY AT TOWSO</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>8000 YORK RD FIELD HOUSE 101</AddressLine1Txt>
            <CityNm>TOWSON</CityNm>
            <StateAbbreviationCd>MD</StateAbbreviationCd>
            <ZIPCd>212520001</ZIPCd>
          </USAddress>
          <FacilityTxt>OUTPATIENT PHYSICAL THERAPY</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>47 - MEDSTAR HEALTH PHYSICAL THERAPY AT UNION</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>3333 N CALVERT ST STE 210</AddressLine1Txt>
            <CityNm>BALTIMORE</CityNm>
            <StateAbbreviationCd>MD</StateAbbreviationCd>
            <ZIPCd>212182867</ZIPCd>
          </USAddress>
          <FacilityTxt>OUTPATIENT PHYSICAL THERAPY</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>48 - MEDSTAR HEALTH PHYSICAL THERAPY AT WALDO</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>3060 WALDORF MARKET PLACE STE 36</AddressLine1Txt>
            <CityNm>WALDORF</CityNm>
            <StateAbbreviationCd>MD</StateAbbreviationCd>
            <ZIPCd>206034871</ZIPCd>
          </USAddress>
          <FacilityTxt>OUTPATIENT PHYSICAL THERAPY</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>49 - MEDSTAR HEALTH PHYSICAL THERAPY AT WAUGH</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>2410 EVERGREEN RD STE 100</AddressLine1Txt>
            <CityNm>GAMBRILLS</CityNm>
            <StateAbbreviationCd>MD</StateAbbreviationCd>
            <ZIPCd>210541979</ZIPCd>
          </USAddress>
          <FacilityTxt>OUTPATIENT PHYSICAL THERAPY</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>50 - MEDSTAR HEALTH PHYSICAL THERAPY AT WAUGH</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>2401 BRANDERMILL BLVD 130A</AddressLine1Txt>
            <CityNm>GAMBRILLS</CityNm>
            <StateAbbreviationCd>MD</StateAbbreviationCd>
            <ZIPCd>210541604</ZIPCd>
          </USAddress>
          <FacilityTxt>OUTPATIENT PHYSICAL THERAPY</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>51 - MEDSTAR HEALTH PHYSICAL THERAPY AT WAVER</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>1100 E 33RD ST STE 105</AddressLine1Txt>
            <CityNm>BALTIMORE</CityNm>
            <StateAbbreviationCd>MD</StateAbbreviationCd>
            <ZIPCd>212186795</ZIPCd>
          </USAddress>
          <FacilityTxt>OUTPATIENT PHYSICAL THERAPY</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>52 - MEDSTAR HEALTH PHYSICAL THERAPY AT WESTM</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>412 MALCOLM DR STE 200</AddressLine1Txt>
            <CityNm>WESTMINSTER</CityNm>
            <StateAbbreviationCd>MD</StateAbbreviationCd>
            <ZIPCd>211576115</ZIPCd>
          </USAddress>
          <FacilityTxt>OUTPATIENT PHYSICAL THERAPY</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>53 - MEDSTAR HEALTH PHYSICAL THERAPY AT WHITE</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>4240 ALTAMONT PL STE 101</AddressLine1Txt>
            <CityNm>WHITE PLAINS</CityNm>
            <StateAbbreviationCd>MD</StateAbbreviationCd>
            <ZIPCd>206959997</ZIPCd>
          </USAddress>
          <FacilityTxt>OUTPATIENT PHYSICAL THERAPY</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>54 - MEDSTAR HEALTH PHYSICAL THERAPY AT IRVIN</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>106 IRVING ST NW STE 410S</AddressLine1Txt>
            <CityNm>WASHINGTON</CityNm>
            <StateAbbreviationCd>DC</StateAbbreviationCd>
            <ZIPCd>200102927</ZIPCd>
          </USAddress>
          <FacilityTxt>OUTPATIENT PHYSICAL THERAPY</FacilityTxt>
        </OthHlthCareFcltsGrp>
      </OthHlthCareFcltsNotHospitalGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>BAD DEBT</FormAndLineReferenceDesc>
        <ExplanationTxt>PART III, LINES 2 &amp; 4:MEDSTAR HEALTH AND ITS AFFILIATED ORGANIZATIONS REPORT BAD DEBT EXPENSE IN ACCORDANCE WITH ASU 2011-07, WHICH REQUIRES CERTAIN HEALTHCARE ENTITIES TO CHANGE THE PRESENTATION OF THEIR STATEMENT OF OPERATIONS BY RECLASSIFYING THE PROVISION FOR BAD DEBTS ASSOCIATED WITH PATIENT SERVICE REVENUE FROM AN OPERATING EXPENSE TO A DEDUCTION FROM PATIENT SERVICE REVENUE (NET OF CONTRACTUAL ALLOWANCES AND DISCOUNTS). HOWEVER, MEDSTAR AND ITS AFFILIATED ENTITIES DO NOT MAKE A DETERMINATION AS TO WHETHER SELF-PAY AMOUNTS ARE COLLECTIBLE IN DETERMINING REVENUE RECOGNITION. RESERVE MODELS, WHICH HAVE BEEN DEVELOPED BASED ON HISTORICAL COLLECTION RESULTS AND WHICH ARE ADJUSTED PERIODICALLY BASED ON ACTUAL COLLECTIONS EXPERIENCE, ARE USED TO ESTIMATE UNCOLLECTIBLE AMOUNTS ACROSS ALL PAYORS INCLUDING SELF-PAY. BAD DEBT DETERMINATIONS ARE MADE ONLY AFTER SUFFICIENT EVIDENCE IS OBTAINED TO SUPPORT THAT AN AMOUNT IS NOT COLLECTIBLE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>MEDICARE</FormAndLineReferenceDesc>
        <ExplanationTxt>PART III, LINE 8:THIS IS A COST-TO-CHARGE RATIO DETERMINED FROM OUR FINANCIAL REPORT.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART III, LINE 9B:</FormAndLineReferenceDesc>
        <ExplanationTxt>IF IT IS DETERMINED THAT A PATIENT MAY POTENTIALLY QUALIFY FOR A CHARITABLE/FINANCIAL PROGRAM, A HOLD IS PLACED ON THE ACCOUNT TO PREVENT IT FROM BEING REPORTED AS BAD DEBT UNTIL PROGRAM APPROVALS HAVE BEEN OBTAINED. IF IT IS APPROVED, THE ACCOUNT IS DOCUMENTED AND THE NECESSARY ADJUSTMENTS ARE MADE TO CLOSE THE ACCOUNT.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>NEEDS ASSESSMENT</FormAndLineReferenceDesc>
        <ExplanationTxt>PART VI, LINE 2:IN FY24, MEDSTAR NATIONAL REHABILITATION HOSPITAL (MNRH) CONDUCTED A COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) IN ACCORDANCE WITH THE GUIDELINES ESTABLISHED BY THE PATIENT PROTECTION AND AFFORDABLE CARE ACT AND THE INTERNAL REVENUE SERVICE. THE HOSPITAL'S CHNA AND THREE-YEAR IMPLEMENTATION STRATEGIES WERE ENDORSED BY MNRH'S BOARD OF DIRECTORS AND APPROVED BY THE MEDSTAR HEALTH BOARD OF DIRECTORS. THE DOCUMENT BECAME AVAILABLE ON THE HOSPITAL'S WEBSITE ON JUNE 30, 2024 AND SERVED AS A GUIDE FOR PROGRAMMING PRIORITIES IN FISCAL YEARS 2025-2027.THE CATEGORIES OF HEALTH AND WELLNESS, ACCESS TO CARE AND SOCIAL DRIVERS OF HEALTH WERE USED TO DETERMINE WHAT PROGRAMMING TO PRIORITIZE FOR THE CHNA. A SMALL NUMBER OF STRATEGIES IN EACH CATEGORY WERE SELECTED AS PRIORITIES DUE TO THE SIZE AND SCALE OF IMPACT AND MEASURABLE OUTCOMES. HEALTH PRIORITIES INCLUDE HEALTH AND WELLNESS (CHRONIC DISEASE PREVENTION AND MANAGEMENT, CHRONIC PAIN AND BEHAVIORAL HEALTH), ACCESS TO CARE (ACCESS TO HEALTH INSURANCE, ACCESS TO HEALTH CARE AND PROVIDERS AND TRANSPORTATION) AND SOCIAL DRIVERS OF HEALTH (HOUSING AND HOMELESSNESS, FOOD INSECURITY, POVERTY AND VIOLENCE). ALL OTHER PROGRAMMING WAS INTEGRATED AS PART OF THE HOSPITAL'S OVERALL COMMUNITY HEALTH PORTFOLIO. THESE ADDITIONAL PROGRAMS WERE CAPTURED IN THE INVENTORY FOR THE WHOLE PICTURE OF CONTRIBUTING TO THE HEALTH OF THE COMMUNITIES SERVED AS WELL AS SORTED FOR WHAT COUNTS AS COMMUNITY BENEFIT FOR REGULATORY REPORTING.THE HOSPITAL IDENTIFIED THE COMMUNITY BENEFIT SERVICE AREA (CBSA) AS ALL RESIDENTS WITH A DISABILITY LIVING IN WASHINGTON, D.C., MONTGOMERY AND PRINCE GEORGE'S COUNTIES IN MARYLAND AND ARLINGTON AND FAIRFAX COUNTIES IN VIRGINIA. THE HOSPITAL'S CBSA IS IDENTIFIED BASED ON HOSPITAL UTILIZATION DATA AND SECONDARY PUBLIC HEALTH DATA AS WELL AS ITS PROXIMITY TO THE HOSPITAL. THE ADVISORY TASK FORCE (ATF) INCLUDED A DIVERSE GROUP OF INDIVIDUALS, INCLUDING HOSPITAL LEADERS, GRASSROOTS ACTIVISTS, COMMUNITY RESIDENTS, FAITH-BASED LEADERS, HOSPITAL REPRESENTATIVES, PUBLIC HEALTH LEADERS AND OTHER STAKEHOLDER ORGANIZATIONS, SUCH AS REPRESENTATIVES FROM LOCAL HEALTH DEPARTMENTS WHO ARE INSTRUMENTAL IN THE ENTIRE CHNA PROCESS.REPRESENTATIVES FROM THE HOSPITAL ROUTINELY PARTICIPATE IN THE MEDSTAR HEALTH COMMUNITY HEALTH WORKGROUP. THE WORKGROUP IS COMPRISED OF COMMUNITY HEALTH PROFESSIONALS WHO REPRESENT ALL TEN MEDSTAR HEALTH HOSPITALS. THE TEAM ANALYZES LOCAL AND REGIONAL COMMUNITY HEALTH DATA, ESTABLISHES SYSTEM-WIDE COMMUNITY HEALTH PROGRAMMING PERFORMANCE AND EVALUATION MEASURES AND SHARES BEST PRACTICES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE</FormAndLineReferenceDesc>
        <ExplanationTxt>PART VI, LINE 3:AS ONE OF THE REGION'S LEADING NOT-FOR-PROFIT HEALTHCARE SYSTEMS, MEDSTAR HEALTH IS COMMITTED TO ENSURING THAT UNINSURED AND UNDERINSURED PATIENTS MEETING ELIGIBILITY CRITERIA, AND PATIENTS DETERMINED ELIGIBLE FOR PRESUMPTIVE ELIGIBILITY WITHIN MARYLAND, THE DISTRICT OF COLUMBIA, OR NORTHERN VIRGINIA WHO LACK FINANCIAL RESOURCES HAVE ACCESS TO MEDICALLY NECESSARY HOSPITAL SERVICES. MEDSTAR HEALTH HOSPITALS AND HOSPITAL BASED-PHYSICIAN PRACTICES WILL:. TREAT ALL PATIENTS EQUITABLY, WITH DIGNITY, RESPECT, AND COMPASSION. . SERVE THE EMERGENCY HEALTH CARE NEEDS OF EVERYONE WHO PRESENTS TO OUR MEDSTAR HEALTH HOSPITALS AND HOSPITAL-BASED PHYSICIAN PRACTICES REGARDLESS OF A PATIENT'S ABILITY TO PAY FOR CARE.. ASSIST THOSE PATIENTS WHO ARE ADMITTED THROUGH OUR ADMISSION PROCESS FOR NON-URGENT, MEDICALLY NECESSARY CARE WHO CANNOT PAY FOR THE CARE THEY RECEIVE.. BALANCE NEEDED FINANCIAL ASSISTANCE FOR SOME PATIENTS WITH BROADER FISCAL RESPONSIBILITIES IN ORDER TO KEEP ITS HOSPITALS' DOORS OPEN FOR ALL WHO MAY NEED CARE IN THE COMMUNITY.MEDSTAR HEALTH WILL NOT WITHHOLD FINANCIAL ASSISTANCE OR DENY A PATIENT'S APPLICATION FOR FINANCIAL ASSISTANCE ON THE BASIS OF RACE, COLOR, RELIGION, ANCESTRY OR NATIONAL ORIGIN, SEX, AGE, MARITAL STATUS, SEXUAL ORIENTATION, GENDER IDENTITY, GENETIC INFORMATION, OR DISABILITY. IN ADDITION, MEDSTAR HEALTH WILL NOT USE A PATIENT'S CITIZENSHIP OR IMMIGRATION STATUS AS AN ELIGIBILITY REQUIREMENT FOR FINANCIAL ASSISTANCE.IN MEETING ITS COMMITMENTS, MEDSTAR HEALTH HOSPITALS AND HOSPITAL-BASED PHYSICIAN PRACTICES WILL WORK WITH THEIR PATIENTS SEEKING EMERGENCY AND MEDICALLY NECESSARY CARE TO GAIN AN UNDERSTANDING OF EACH PATIENT'S FINANCIAL RESOURCES. BASED ON THIS INFORMATION, MEDSTAR HEALTH HOSPITALS AND HOSPITAL-BASED PHYSICIAN PRACTICES WILL MAKE ELIGIBILITY DETERMINATIONS FOR FINANCIAL ASSISTANCE FOR PATIENTS WHO RESIDE WITHIN MARYLAND, THE DISTRICT OF COLUMBIA, OR NORTHERN VIRGINIA. IN DETERMINING ELIGIBILITY FOR FINANCIAL ASSISTANCE, MEDSTAR HEALTH HOSPITALS AND HOSPITAL-BASED PHYSICIAN PRACTICES WILL:. DETERMINE WHETHER THE PATIENT HAS HEALTH INSURANCE. . DETERMINE WHETHER THE PATIENT IS PRESUMPTIVELY ELIGIBLE FOR FREE OR REDUCED-COST CARE. . DETERMINE WHETHER UNINSURED PATIENTS ARE ELIGIBLE FOR PUBLIC OR PRIVATE HEALTH INSURANCE. . TO THE EXTENT POSSIBLE, OFFER ASSISTANCE TO UNINSURED PATIENTS IF THE PATIENT CHOOSES TO APPLY FOR PUBLIC OR PRIVATE HEALTH INSURANCE. . TO THE EXTENT PRACTICABLE, DETERMINE WHETHER THE PATIENT IS ELIGIBLE FOR OTHER PUBLIC PROGRAMS THAT MAY ASSIST WITH HEALTH CARE COSTS. . USE INFORMATION IN THE POSSESSION OF THE HOSPITAL, IF AVAILABLE, TO DETERMINE WHETHER THE PATIENT IS QUALIFIED FOR FREE OR REDUCED-COST CARE UNDER THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY.MEDSTAR HEALTH WILL WIDELY PUBLICIZE THE MEDSTAR FINANCIAL ASSISTANCE POLICY BY:. PROVIDING ACCESS TO THE MEDSTAR FINANCIAL ASSISTANCE POLICY, FINANCIAL ASSISTANCE APPLICATIONS, AND MEDSTAR PATIENT INFORMATION SHEET ON ALL HOSPITAL WEBSITES AND PATIENT PORTALS.. PROVIDING HARD COPIES OF THE MEDSTAR FINANCIAL ASSISTANCE POLICY, MEDSTAR UNIFORM FINANCIAL ASSISTANCE APPLICATION, AND MEDSTAR PATIENT INFORMATION SHEET TO PATIENTS UPON REQUEST.. PROVIDING HARD COPIES OF THE MEDSTAR FINANCIAL ASSISTANCE POLICY, MEDSTAR UNIFORM FINANCIAL ASSISTANCE APPLICATION, AND MEDSTAR PATIENT INFORMATION SHEET TO PATIENTS UPON REQUEST BY MAIL AND WITHOUT CHARGE.. PROVIDING NOTIFICATION AND INFORMATION ABOUT THE MEDSTAR FINANCIAL ASSISTANCE POLICY BY:- OFFERING COPIES AS PART OF ALL REGISTRATION OR DISCHARGES PROCESSES AND ANSWERING QUESTIONS ON HOW TO APPLY FOR ASSISTANCE. - PROVIDING WRITTEN NOTICES ON BILLING STATEMENTS.- DISPLAYING MEDSTAR HEALTH FINANCIAL ASSISTANCE POLICY INFORMATION AT ALL HOSPITAL REGISTRATION POINTS, INCLUDING THE BUSINESS OFFICE, INFORMING PATIENTS OF THEIR RIGHTS TO APPLY FOR FINANCIAL ASSISTANCE AND WHO TO CONTACT AT THE HOSPITAL FOR ADDITIONAL INFORMATION. - TRANSLATING THE MEDSTAR HEALTH FINANCIAL ASSISTANCE POLICY, MEDSTAR HEALTH UNIFORM FINANCIAL ASSISTANCE APPLICATION, AND THE MEDSTAR HEALTH PATIENT INFORMATION SHEET INTO PRIMARY LANGUAGES THAT CONSTITUTE THE LESSER OF 1000 INDIVIDUALS OR 5% OF THE OVERALL POPULATION WITHIN THE CITY OR COUNTY IN WHICH THE HOSPITAL IS LOCATED AS MEASURED BY THE MOST RECENT CENSUS.. MEDSTAR HEALTH WILL PROVIDE PUBLIC NOTICES YEARLY IN LOCAL NEWSPAPERS SERVING ALL HOSPITAL TARGET POPULATIONS.. THE MEDSTAR HEALTH PATIENT INFORMATION SHEET SHALL BE PROVIDED TO THE PATIENT, THE PATIENT'S FAMILY, OR THE PATIENT'S AUTHORIZED REPRESENTATIVE: - BEFORE DISCHARGE;- WITH THE HOSPITAL BILL; - ON REQUEST; AND - IN EACH WRITTEN COMMUNICATION TO THE PATIENT REGARDING COLLECTION OF THE HOSPITAL BILL.MEDSTAR HEALTH WILL PROVIDE A FINANCIAL ASSISTANCE PROBABLE AND LIKELY ELIGIBILITY DETERMINATION TO THE PATIENT WITHIN TWO BUSINESS DAYS FROM RECEIPT OF THE INITIAL MEDSTAR HEALTH UNIFORM FINANCIAL ASSISTANCE APPLICATION. . THE FINAL ELIGIBILITY DETERMINATION WILL BE MADE AND COMMUNICATED TO THE PATIENT BASED ON RECEIPT AND REVIEW OF A COMPLETED APPLICATION. MEDSTAR HEALTH BELIEVES THAT ITS PATIENTS HAVE PERSONAL RESPONSIBILITIES RELATED TO THE FINANCIAL ASPECTS OF THEIR HEALTHCARE NEEDS. FINANCIAL ASSISTANCE AND PAYMENT PLANS AVAILABLE UNDER THIS POLICY WILL NOT BE AVAILABLE TO THOSE PATIENTS WHO FAIL TO FULFILL THEIR RESPONSIBILITIES. FOR PURPOSES OF THIS POLICY, PATIENT RESPONSIBILITIES INCLUDE: . COMPLY WITH PROVIDING THE NECESSARY FINANCIAL DISCLOSURE FORMS TO EVALUATE THEIR ELIGIBILITY FOR PUBLICLY FUNDED HEALTHCARE PROGRAMS, CHARITY CARE PROGRAMS, AND OTHER FORMS OF FINANCIAL ASSISTANCE. THESE DISCLOSURE FORMS MUST BE COMPLETED ACCURATELY, TRUTHFULLY, AND TIMELY TO ALLOW MEDSTAR HEALTH'S FACILITIES TO PROPERLY COUNSEL PATIENTS CONCERNING THE AVAILABILITY OF FINANCIAL ASSISTANCE. . WORKING WITH MEDSTAR HEALTH HOSPITAL PATIENT ADVOCATES AND PATIENT FINANCIAL SERVICES STAFF TO ENSURE THERE IS A COMPLETE UNDERSTANDING OF THE PATIENT'S FINANCIAL SITUATION AND CONSTRAINTS. . MAKING APPLICABLE PAYMENTS FOR SERVICES IN A TIMELY FASHION, INCLUDING ANY PAYMENTS MADE PURSUANT TO DEFERRED AND PERIODIC PAYMENT SCHEDULES. . PROVIDING UPDATED FINANCIAL INFORMATION TO MEDSTAR HEALTH HOSPITAL PATIENT ADVOCATES OR CUSTOMER SERVICE REPRESENTATIVES ON A TIMELY BASIS AS THE PATIENT'S FINANCIAL CIRCUMSTANCES MAY CHANGE. . IT IS A PATIENT'S RESPONSIBILITY, DURING THEIR 12-MONTH ELIGIBILITY PERIOD, TO NOTIFY MEDSTAR HEALTH OF THEIR EXISTING HOUSEHOLD ELIGIBILITY FOR FREE CARE, REDUCED COST-CARE, AND/OR ELIGIBILITY UNDER FINANCIAL HARDSHIP PROVISIONS FOR MEDICALLY NECESSARY CARE RECEIVED DURING THE 12-MONTH ELIGIBILITY PERIOD.. IN THE EVENT A PATIENT FAILS TO MEET THESE RESPONSIBILITIES, MEDSTAR RESERVES THE RIGHT TO PURSUE ADDITIONAL BILLING AND COLLECTION EFFORTS. IN THE EVENT OF NON-PAYMENT, BILLING AND COLLECTION EFFORTS ARE DEFINED IN THE MEDSTAR BILLING AND COLLECTION POLICY. A FREE COPY IS AVAILABLE ON ALL HOSPITAL WEBSITES AND PATIENT PORTALS VIA THE FOLLOWING URL: WWW.MEDSTARHEALTH.ORG/FINANCIALASSISTANCE, OR BY CALLING CUSTOMER SERVICE AT 1-800-280-9006.PATIENTS OF MEDSTAR HEALTH'S HOSPITALS AND HOSPITAL-BASED PHYSICIAN PRACTICES MAY BE ELIGIBLE FOR FULL FINANCIAL ASSISTANCE OR PARTIAL SLIDING-SCALE FINANCIAL ASSISTANCE AS SET FORTH UNDER THIS POLICY. THE PATIENT ADVOCATE AND PATIENT FINANCIAL SERVICES STAFF WILL DETERMINE ELIGIBILITY FOR FULL FINANCIAL ASSISTANCE AND PARTIAL SLIDING-SCALE FINANCIAL ASSISTANCE BASED ON REVIEW OF INCOME FOR THE PATIENT AND THEIR FAMILY (HOUSEHOLD), OTHER FINANCIAL RESOURCES AVAILABLE TO THE PATIENT'S FAMILY, FAMILY SIZE, AND THE EXTENT OF THE MEDICAL COSTS TO BE INCURRED BY THE PATIENT.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>COMMUNITY INFORMATION</FormAndLineReferenceDesc>
        <ExplanationTxt>PART VI, LINE 4:GEOGRAPHIC:MNRH SERVES THE GREATER WASHINGTON, D.C. AREA, INCLUDING ALL OF THE DISTRICT OF COLUMBIA, AS WELL AS MONTGOMERY AND PRINCE GEORGE'S COUNTIES IN MARYLAND, AND ARLINGTON AND FAIRFAX COUNTIES IN VIRGINIA. THIS AREA WAS SELECTED BASED ON HOSPITAL UTILIZATION, SECONDARY PUBLIC HEALTH DATA, AND PROXIMITY TO THE HOSPITAL. DEMOGRAPHICS:ACCORDING TO CDC'S DISABILITY AND HEALTH DATA SYSTEM, 42% OF DISTRICT RESIDENTS WITH DISABILITIES DO NOT MEET AEROBIC AND MUSCLE STRENGTHENING GUIDELINES. COST BARRIERS PERSIST, WITH 84% REPORTING THEY WERE UNABLE TO SEE A DOCTOR IN THE PAST YEAR DUE TO COST. HEALTH DISPARITIES ARE EVIDENT: 34% OF ADULTS WITH DISABILITIES EXPERIENCE DEPRESSION (VS. 16% OF NON-DISABLED ADULTS), 42% HAVE OBESITY (VS. 21%), AND 13% HAVE DIABETES (VS. 7%). ONLY 22% OF WORKING-AGE ADULTS WITH DISABILITIES ARE EMPLOYED, AND THE POVERTY RATE IS 33%.IN THE UNITED STATES, DISABILITIES ARE MORE COMMON AMONG ADULTS 65 YEARS OF AGE AND OLDER AS WELL AS ADULTS WITH INCOME BELOW THE FEDERAL POVERTY LEVEL. MOBILITY DISABILITY WAS THE MOST COMMON DISABILITY, REPORTED BY APPROXIMATELY 1 IN 7 ADULTS, FOLLOWED BY COGNITION (1 IN 10), INDEPENDENT LIVING (1 IN 15), HEARING (1 IN 17), VISION (1 IN 21), AND SELF-CARE (1 IN 27). DISABILITY WAS MORE COMMONLY REPORTED NON-HISPANIC AMERICAN INDIANS/ALASKA NATIVES (AI/AN) (54.9%), HISPANICS (50.5%), AND THOSE WHO REPORTED THAT THEY ARE "OTHER NON-HISPANIC RACE OR MULTI-RACIAL" (49.9%) REPORTED A DISABILITY.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PROMOTION OF COMMUNITY HEALTH</FormAndLineReferenceDesc>
        <ExplanationTxt>PART VI, LINE 5:MNRH PROMOTES THE HEALTH AND WELL-BEING OF THE DISABILITY COMMUNITY THROUGH INITIATIVES FOCUSED ON HEALTH AND WELLNESS, ACCESS TO CARE, AND SOCIAL DRIVERS OF HEALTH. THESE PROGRAMS ADDRESS PRIORITY NEEDS IDENTIFIED THROUGH THE CHNA AND ARE DESIGNED TO REDUCE DISPARITIES, IMPROVE ACCESS, AND ENHANCE COMMUNITY ENGAGEMENT.HEALTH AND WELLNESS:MNRH CONTINUED TO INTEGRATE ADAPTIVE SPORTS, FITNESS, AND WELLNESS EDUCATION INTO COMMUNITY PROGRAMMING. ATHLETIC TRAINERS PROVIDED MEDICAL SUPPORT FOR ADAPTIVE SPORTING EVENTS, INCLUDING THE WHEELCHAIR RUGBY AND WHEELCHAIR TENNIS TOURNAMENTS, AS WELL AS HIGH SCHOOL INJURY PREVENTION CLINICS. MNRH COLLABORATED WITH OLD GLORY RUGBY AND THE NATIONAL ARTHRITIS FOUNDATION TO PROMOTE CHRONIC PAIN PREVENTION AND COMMUNITY AWARENESS, PARTICIPATING IN THE ANNUAL WALK FOR ARTHRITIS AND CHRONIC PAIN. BLOOD PRESSURE SCREENINGS AND HEALTH EDUCATION WERE OFFERED THROUGHOUT THE YEAR.NEW PATIENT-LED INITIATIVES, SUCH AS THE SCI ANONYMOUS GROUP AND ONGOING GROUPS SUCH AS URBAN RE-ENTRY SUPPORT GROUP, PROVIDED PEER CONNECTION, VIOLENCE PREVENTION EDUCATION, AND HOUSING ASSISTANCE RESOURCES. SUPPORT GROUP ATTENDANCE INCREASED ACROSS PROGRAMS SERVING INDIVIDUALS WITH SPINAL CORD INJURIES/DISORDERS (SCI/D), AMPUTATIONS, TRAUMATIC BRAIN INJURY (TBI), AND STROKE. MONTHLY SCI AND AMPUTEE CLINICS CONTINUED TO OFFER COMPREHENSIVE REHABILITATION SERVICES.ACCESS TO CARE:MNRH STRENGTHENED PARTNERSHIPS WITH LOCAL INDEPENDENT LIVING CENTERS IN D.C. AND MARYLAND TO DISTRIBUTE INFORMATION ON MEDICAID, MEDICARE, AND OPEN ENROLLMENT RESOURCES. TWO ADAPTIVE DRIVING REHABILITATION WORKSHOPS WERE HOSTED TO PROMOTE INDEPENDENCE AND COMMUNITY INTEGRATION.MNRH COLLABORATED WITH UNITED SPINAL NATIONAL TO CONDUCT THE ACCESS TO MEDICINE SURVEY FOR D.C. WHEELCHAIR-ACCESSIBLE SCALES WERE PLACED IN COMMUNITY PHYSICIAN OFFICES TO IMPROVE EQUITABLE CLINICAL ASSESSMENT. PARTNERSHIPS EXPANDED TO INCLUDE GUN VIOLENCE PREVENTION ORGANIZATIONS AND SO OTHERS MIGHT EAT (SOME), PROVIDING HOUSING AND MENTAL HEALTH RESOURCES. A FIRE SAFETY AND PREVENTION TABLE WAS HOSTED AT MNRH TO RAISE AWARENESS AMONG PATIENTS AND CAREGIVERS. MNRH SERVED INDIVIDUALS WHO HAVE FINANCIAL STRAINS AND WOULDN'T BE ABLE TO RECEIVE THE LEVEL OF CARE FOR THEIR SPECIALIZED NEEDS IN MOST ENVIRONMENTS. THE MITCHELL E DAVIS SPECIAL ASSISTANCE FUND AT MNRH PROVIDED FINANCIAL ASSISTANCE TO FINANCIALLY INSECURE RESIDENTS THAT REQUIRE HIGH QUALITY AND SPECIALTY CARE AND SPECIALIZED EQUIPMENT. THE PROGRAM HAS SPECIFIC GUIDELINES TO ENSURE CASE MANAGERS IDENTIFY AND SUPPORT THE PARTICIPANTS WITH THE GREATEST NEEDS.SOCIAL DRIVERS OF HEALTH:SOCIAL DRIVERS OF HEALTH SCREENINGS REACHED A RECORD HIGH AT MNRH THIS YEAR, CONNECTING PATIENTS TO CRITICAL COMMUNITY-BASED RESOURCES. THE HOSPITAL'S COLLABORATION WITH SOME EXPANDED OUTREACH AROUND HOUSING INSECURITY AND MENTAL HEALTH, WHILE VIOLENCE PREVENTION PARTNERSHIPS STRENGTHENED COMMUNITY EDUCATION EFFORTS. THE EQUITY PRACTICE INTEREST COMMITTEE (EPIC) CONTINUED TO BUILD AWARENESS, EDUCATION, COMMUNITY INVOLVEMENT AND ENHANCE HEALTH EQUITY THROUGH TRAININGS AND EDUCATION ON INTERSECTIONALITY, HEALTHCARE DISPARITIES AND CURRENT IMMIGRATION ISSUES. MNRH ALSO PROVIDED PROFESSIONAL EDUCATION OPPORTUNITIES THROUGH DRIVER'S TRAINING EDUCATION CLINICS FOR THERAPISTS AND PATIENTS, ALONG WITH ONGOING COMMUNITY WORKSHOPS EMPHASIZING INDEPENDENCE, SAFETY, AND INCLUSION.</ExplanationTxt>
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        <FormAndLineReferenceDesc>AFFILIATED HEALTH CARE SYSTEM</FormAndLineReferenceDesc>
        <ExplanationTxt>PART VI, LINE 6:MNRH IS PROUDLY PART OF MEDSTAR HEALTH, AND AS A RESULT, IS ABLE TO EXPAND ITS CAPACITY TO MEET THE NEEDS OF THE COMMUNITY BY PARTNERING WITH OTHER MEDSTAR HEALTH HOSPITALS AND ASSOCIATED ENTITIES. MEDSTAR HEALTH RESOURCES SUPPORT THE HOSPITAL'S COMMUNITY HEALTH PLANNING EFFORTS TO ADDRESS THE NEEDS OF THE UNINSURED AND OTHER VULNERABLE POPULATIONS. THROUGH ITS COMMUNITY HEALTH FUNCTION, MEDSTAR HEALTH PROVIDES MNRH WITH TECHNICAL SUPPORT TO ENHANCE COMMUNITY HEALTH PROGRAMMING AND EVALUATION. MEDSTAR HEALTH'S CORPORATE PHILANTHROPY DEPARTMENT IDENTIFIES AND SEEKS PUBLIC AND PRIVATE FUNDING SOURCES TO ENSURE THE AVAILABILITY OF HIGH-QUALITY HEALTH SERVICES, REGARDLESS OF ABILITY TO PAY.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>STATE FILING OF COMMUNITY BENEFIT REPORT</FormAndLineReferenceDesc>
        <ExplanationTxt>PART VI, LINE 7:THE COMMUNITY BENEFIT REPORT FOR MNRH IS FILED IN THE DISTRICT OF COLUMBIA.</ExplanationTxt>
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        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>305031</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>ALLISON RESCHOVSKY</PersonNm>
        <TitleTxt>FORMER OFFICER</TitleTxt>
        <BaseCompensationFilingOrgAmt>0</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>240974</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>50559</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>8172</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>0</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>1834</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>0</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>301539</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>ERIC PITTS</PersonNm>
        <TitleTxt>PHARMACY DIRECTOR</TitleTxt>
        <BaseCompensationFilingOrgAmt>242191</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>24992</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>267183</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>LINDA BRIGGS</PersonNm>
        <TitleTxt>AVP, ACCESS &amp; BUSINESS DEVELOPMENT</TitleTxt>
        <BaseCompensationFilingOrgAmt>112349</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>129051</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>6234</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>9587</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>257221</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE J, PART I, LINE 4B:</FormAndLineReferenceDesc>
        <ExplanationTxt>ROHIT SATOSKAR, M.D. PARTICIPATED IN A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN DESCRIBED IN SECTION 457(F) DURING THIS YEAR.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE J, PART III:</FormAndLineReferenceDesc>
        <ExplanationTxt>DETAILED BELOW ARE SEVERAL ONE-TIME PAYMENTS TO CERTAIN EXECUTIVES RELATED TO VARIOUS RETIREMENT, RETENTION AND LONG-TERM INCENTIVE PLANS. THESE PLANS AND PAYMENTS ARE NOT A ROUTINE PART OF THE TYPICAL MEDSTAR EXECUTIVE COMPENSATION PROGRAM, AND SUPPORTED IMPORTANT OBJECTIVES OF OUR ORGANIZATION. MR. SAMET'S OTHER REPORTABLE COMPENSATION IN PART II, COLUMN (B)(III) INCLUDES A PAYMENT OF $79,000, WHICH REPRESENTS THE PREMIUM PAYMENT OF THE SPLIT DOLLAR LIFE INSURANCE POLICY ASSIGNED TO MR. SAMET. ALLISON RESCHOVSKY'S COMPENSATION IS FOR SERVICES PROVIDED AS ATTORNEY TO MEDSTAR-GEORGETOWN MEDICAL CENTER, AND MONTGOMERY GENERAL HOSPITAL, INC. MARK MEGINNIS' COMPENSATION IS FOR SERVICES PROVIDED AS CFO TO MEDSTAR NATIONAL REHABILITATION HOSPITAL, MEDSTAR URGENT CARE, AND NUMEROUS MEDSTAR HEALTH AMBULATORY BUSINESSES. JOHN ROCKWOOD'S OTHER REPORTABLE COMPENSATION IN PART II, COLUMN (B)(III) INCLUDES $365,000 REPRESENTING A LONG-TERM RETENTION ARRANGEMENT. LINDA BRIGGS'S OTHER REPORTABLE COMPENSATION IN PART II, COLUMN (B)(III) INCLUDES $97,943 REPRESENTING SEVERANCE PAYMENTS RECEIVED BY MS. BRIGGS.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleJ>
    <IRS990ScheduleL documentId="RetDoc1042800001">
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <BusinessName>
            <BusinessNameLine1Txt>THE CHRISTMAN COMPANY</BusinessNameLine1Txt>
          </BusinessName>
        </NameOfInterested>
        <RelationshipDescriptionTxt>SEE PART V</RelationshipDescriptionTxt>
        <TransactionAmt>3745600</TransactionAmt>
        <TransactionDesc>CONSTRUCTION</TransactionDesc>
        <SharingOfRevenuesInd>0</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>BUSINESS TRANSACTION INVOLVING INTERESTED PERSONS</FormAndLineReferenceDesc>
        <ExplanationTxt>SCHEDULE L, PART IV:THE FOLLOWING IS A SUBSTANTIAL CONTRIBUTOR (IN EXCESS OF $5,000) THAT ALSO PROVIDED SERVICES TO MEDSTAR NATIONAL REHABILITATION NETWORK VALUED IN EXCESS OF $100,000: THE CHRISTMAN COMPANY. PER MEDSTAR'S CONFLICT OF INTEREST POLICY, THESE TRANSACTIONS ARE AT ARMS-LENGTH FOR FAIR MARKET VALUE.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleL>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 6</FormAndLineReferenceDesc>
        <ExplanationTxt>ORGANIZATION MEMBERS THE ORGANIZATION IS AN AFFILIATE AND SUBSIDIARY OF MEDSTAR HEALTH, INC., OR ONE OF ITS AFFILIATES AND SUBSIDIARIES, IS THE SOLE MEMBER OF THE ORGANIZATION.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 7A</FormAndLineReferenceDesc>
        <ExplanationTxt>DESCRIPTION OF MEMBERS AS AN AFFILIATE AND SUBSIDIARY OF MEDSTAR HEALTH, INC.THE ORGANIZATION MAY RECOMMEND PERSON(S) FOR MEMBERSHIP ON THE ORGANIZATION'S GOVERNING BODY. ANY SUCH RECOMMENDATION BY THE ORGANIZATION IS SUBJECT TO APPROVAL BY THE GOVERNANCE COMMITTEE OF THE BOARD OF DIRECTORS OF MEDSTAR HEALTH, INC. THE BOARD OF MEDSTAR HEALTH, INC. HAS DELEGATED CERTAIN APPROVAL AUTHORITY TO THE GOVERNANCE COMMITTEE AND THE PRESIDENT &amp; CEO OF MEDSTAR HEALTH, INC.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 7B</FormAndLineReferenceDesc>
        <ExplanationTxt>DECISIONS OF GOVERNING BODY AS AN AFFILIATE AND SUBSIDIARY OF MEDSTAR HEALTH, INC. THE BYLAWS OF THE ORGANIZATION ARE SUBJECT TO CERTAIN RESERVED POWERS, WHICH PROVIDE THAT THE SOLE MEMBER OF THE ORGANIZATION MUST APPROVE CERTAIN DECISIONS, INCLUDING BUT NOT LIMITED TO MATTERS CONCERNING THE SALE OR PURCHASE OF REAL OR PERSONAL PROPERTY, CAPITAL BUDGETS, STRATEGIC PLANNING, INVESTMENTS, AND CORPORATE GOVERNANCE. RECOMMENDATION BY THE ORGANIZATION IS SUBJECT TO APPROVAL BY THE GOVERNANCE COMMITTEE OF THE BOARD OF DIRECTORS OF MEDSTAR HEALTH, INC. THE BOARD OF MEDSTAR HEALTH, INC. HAS DELEGATED CERTAIN APPROVAL AUTHORITY TO THE GOVERNANCE COMMITTEE AND THE PRESIDENT &amp; CEO OF MEDSTAR HEALTH, INC.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>PROCESS FOR REVIEWING FORM 990 THE PROCESS FOR REVIEWING THE FORM 990 INCLUDED EDUCATION AND TRANSPARENCY. SENIOR FINANCIAL EXECUTIVES, WORKING WITH INDEPENDENT OUTSIDE EXPERTS, THOROUGHLY REVIEWED FORM 990 AND ACCOMPANYING INSTRUCTIONS. IN ADDITION, SENIOR EXECUTIVES REVIEWED THE RELEVANT SECTIONS OF THE FORM 990 WITH THE FOLLOWING COMMITTEES OF THE ORGANIZATION'S GOVERNING BODY: FINANCE, AUDIT, GOVERNANCE, AND EXECUTIVE COMPENSATION. FOLLOWING THESE MEETINGS, THE GOVERNING BODY WAS PROVIDED A COPY OF THE FORM 990 IN ITS FINAL FORM AND GIVEN AN OPPORTUNITY TO PROVIDE ANY INPUT OR COMMENTS RELATING TO THE FORM 990 PRIOR TO ITS FILING.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>CONFLICT OF INTEREST POLICY ENFORCEMENT APPOINTMENT OF BOARDS OF DIRECTORS MEDSTAR HEALTH (AND ITS SUBSIDIARIES) REQUIRE ALL NOMINATED DIRECTORS, PRIOR TO THEIR APPOINTMENT OR ELECTION, TO DISCLOSE THE EXISTENCE OF (OR POTENTIAL EXISTENCE OF) ANY TRANSACTION WITH MEDSTAR THAT WOULD RESULT IN A CONFLICT OF INTEREST. SUCH DISCLOSURES (IF ANY) ARE REVIEWED BY THE GOVERNANCE COMMITTEE OF THE MEDSTAR HEALTH BOARD OF DIRECTORS WHICH DETERMINES HOW THE MATTER SHOULD BE RESOLVED. ANNUAL DISCLOSURES - ALL OFFICERS, DIRECTORS, AND SENIOR MANAGERS ALL OFFICERS, DIRECTORS AND SENIOR MANAGERS ARE REQUIRED, NOT LESS THAN ANNUALLY, TO COMPLETE A SURVEY OF QUESTIONS CONCERNING ANY TRANSACTIONS OR RELATIONSHIPS WHICH WOULD OR COULD REPRESENT A CONFLICT OF INTEREST. SUCH DISCLOSURES (IF ANY) RELATED TO DIRECTORS ARE REVIEWED BY THE GOVERNANCE COMMITTEE OF THE MEDSTAR HEALTH BOARD OF DIRECTORS WHICH DETERMINES HOW THE MATTER SHOULD BE RESOLVED. SUCH DISCLOSURES (IF ANY) RELATED TO OFFICERS AND SENIOR MANAGERS ARE REVIEWED BY AN APPROPRIATE EXECUTIVE WHO DETERMINES HOW THE MATTER SHOULD BE RESOLVED. IN ADDITION, OFFICERS AND DIRECTORS OF MARYLAND HOSPITALS AND NURSING CENTERS ARE REQUIRED TO ANNUALLY DISCLOSE ADDITIONAL INFORMATION RELATING TO POTENTIAL CONFLICTS OF INTEREST AND SUCH DISCLOSURES ARE REPORTED TO THE MARYLAND HEALTH SERVICES COST REVIEW COMMISSION (HSCRC).</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15</FormAndLineReferenceDesc>
        <ExplanationTxt>EXECUTIVE COMPENSATION PROCESS THE EXECUTIVE COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS OF MEDSTAR HEALTH, INC. (THE "COMMITTEE") HAS OVERSIGHT OF THE EXECUTIVE COMPENSATION PROGRAM (THE "PROGRAM") OF MEDSTAR HEALTH, INC. AND ITS AFFILIATES. TOTAL COMPENSATION FOR THE TOP MANAGEMENT OFFICIALS, OFFICERS AND KEY EMPLOYEES OF MEDSTAR HEALTH, INC. AND ITS AFFILIATES ARE REVIEWED AND APPROVED BY THE COMMITTEE WITH ASSISTANCE AND GUIDANCE FROM AN INDEPENDENT THIRD PARTY ADVISOR. THE MEMBERS OF THE COMMITTEE ARE INDEPENDENT FROM ALL OF THE PARTICIPANTS IN THE PROGRAM. THE MAIN OBJECTIVE OF THE PROGRAM IS TO PROVIDE MARKET COMPETITIVE TOTAL COMPENSATION THAT IS INTERNALLY EQUITABLE AND HAS A STRONG PAY-FOR-PERFORMANCE LINKAGE. PERFORMANCE IS EVALUATED AT THE SYSTEM, OPERATING UNIT, AND INDIVIDUAL LEVELS. THE OVERALL TOTAL COMPENSATION PHILOSOPHY IS MANAGED AT THE 75TH PERCENTILE OF THE COMPETITIVE MARKET FOR COMPARABLE SIZE (NET REVENUE) AND TYPE ("TAX-EXEMPT HEALTHCARE ORGANIZATIONS"). WHERE APPROPRIATE, ADDITIONAL INDUSTRY DATA IS CONSIDERED (GENERAL BUSINESS AND/OR TAXABLE HEALTHCARE) FOR SELECTED POSITIONS THAT CAN BE RECRUITED FROM OR POTENTIALLY LOST TO THESE INDUSTRIES (E.G., INFORMATION TECHNOLOGY, FINANCE, ETC.). THE COMMITTEE HAS ENGAGED ERNST &amp; YOUNG LLP ("E&amp;Y") TO SERVE AS AN ADVISOR ON THE REASONABLENESS AND COMPETITIVENESS OF THE PROGRAM. IN DETERMINING REASONABLENESS AND COMPETITIVENESS, E&amp;Y REVIEWS MARKET PRACTICES AND TRENDS, AND MAKES RECOMMENDATIONS RELATED TO THE PROGRAM. E&amp;Y UTILIZES INFORMATION FROM CUSTOM SURVEYS, NATIONAL COMPENSATION SURVEYS, PROPRIETARY DATABASES, AND CLIENT EXPERIENCES TO DETERMINE ITS FINAL RECOMMENDATIONS. E&amp;Y PRESENTS THEIR FINDINGS AND RECOMMENDATIONS TO THE COMMITTEE. THE COMMITTEE MAKES THE FINAL DECISIONS ON ALL OF THE COMPENSATION DETERMINATIONS OF THE PROGRAM. ALL DECISIONS MADE BY THE COMMITTEE ARE CONTEMPORANEOUSLY DOCUMENTED.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>FINANCIAL STATEMENT AVAILABILITY MEDSTAR HEALTH POSTS ITS ANNUAL FINANCIAL AUDIT AND QUARTERLY FINANCIAL REPORTS TO THE ELECTRONIC MUNICIPAL MARKET ACCESS (EMMA) SYSTEM. THE ORGANIZATION ALSO E-MAILS ITS ANNUAL AND QUARTERLY DISCLOSURES TO HOLDERS OF THE COMPANY'S PUBLICLY TRADED DEBT. THE COMPANY'S GOVERNANCE DOCUMENTS AND CONFLICTS OF INTEREST POLICIES ARE AVAILABLE UPON REQUEST THROUGH ITS CORPORATE (OR AS APPLICABLE ENTITY) PUBLIC INFORMATION OFFICES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XI, LINE 9:</FormAndLineReferenceDesc>
        <ExplanationTxt>NET EQUITY TRANSFER 20,080,401. INCOME TAX PROVISION -2,408.</ExplanationTxt>
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    </IRS990ScheduleO>
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          <BusinessNameLine1Txt>NATIONAL REHABILITATION HOSPITAL</BusinessNameLine1Txt>
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        <DisregardedEntityName>
          <BusinessNameLine1Txt>CHURCH HOME CORPORATION</BusinessNameLine1Txt>
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          <AddressLine1Txt>10980 GRANTCHESTER WAY</AddressLine1Txt>
          <CityNm>COLUMBIA</CityNm>
          <StateAbbreviationCd>MD</StateAbbreviationCd>
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      <IdRelatedTaxExemptOrgGrp>
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          <BusinessNameLine1Txt>FRANKLIN SQUARE HOSPITAL CENTER INC</BusinessNameLine1Txt>
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          <AddressLine1Txt>9000 FRANKLIN SQUARE DRIVE</AddressLine1Txt>
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          <BusinessNameLine1Txt>HARBOR HOSPITAL INC</BusinessNameLine1Txt>
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          <AddressLine1Txt>3001 SOUTH HANOVER STREET</AddressLine1Txt>
          <CityNm>BALTIMORE</CityNm>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>MONTGOMERY GENERAL HOSPITAL</BusinessNameLine1Txt>
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          <AddressLine1Txt>18101 PRINCE PHILIP DRIVE</AddressLine1Txt>
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          <BusinessNameLine1Txt>THE GOOD SAMARITAN HOSPITAL OF MARYLAND</BusinessNameLine1Txt>
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          <AddressLine1Txt>5601 LOCH RAVEN BLVD</AddressLine1Txt>
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      <IdRelatedTaxExemptOrgGrp>
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          <BusinessNameLine1Txt>THE UNION MEMORIAL HOSPITAL</BusinessNameLine1Txt>
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          <AddressLine1Txt>201 EAST UNIVERSITY PARKWAY</AddressLine1Txt>
          <CityNm>BALTIMORE</CityNm>
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          <ZIPCd>21218</ZIPCd>
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          <BusinessNameLine1Txt>MEDSTAR HEALTH RESEARCH INSTITUTE</BusinessNameLine1Txt>
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          <BusinessNameLine1Txt>THE MEDSTAR-GEORGETOWN MEDICAL CENTER I</BusinessNameLine1Txt>
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          <AddressLine1Txt>HOPSITAL ADMIN 1 MAIN BLDG</AddressLine1Txt>
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        </USAddress>
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        <PublicCharityStatusTxt>LINE 3</PublicCharityStatusTxt>
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        <ControlledOrganizationInd>0</ControlledOrganizationInd>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>WASHINGTON HOSPITAL CENTER CORPORATION</BusinessNameLine1Txt>
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          <AddressLine1Txt>110 IRVING STREET NW</AddressLine1Txt>
          <CityNm>WASHINGTON</CityNm>
          <StateAbbreviationCd>DC</StateAbbreviationCd>
          <ZIPCd>20010</ZIPCd>
        </USAddress>
        <EIN>521272129</EIN>
        <PrimaryActivitiesTxt>HOSPITAL</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>DC</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 3</PublicCharityStatusTxt>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>HH MEDSTAR HEALTH INC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>10980 GRANTCHESTER WAY</AddressLine1Txt>
          <CityNm>COLUMBIA</CityNm>
          <StateAbbreviationCd>MD</StateAbbreviationCd>
          <ZIPCd>21044</ZIPCd>
        </USAddress>
        <EIN>521542230</EIN>
        <PrimaryActivitiesTxt>MEDICAL SVCS</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MD</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 12C, III-FI</PublicCharityStatusTxt>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>MEDSTAR AMBULATORY SERVICES INC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>10980 GRANTCHESTER WAY</AddressLine1Txt>
          <CityNm>COLUMBIA</CityNm>
          <StateAbbreviationCd>MD</StateAbbreviationCd>
          <ZIPCd>21044</ZIPCd>
        </USAddress>
        <EIN>521132992</EIN>
        <PrimaryActivitiesTxt>ADMIN SVCS</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MD</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 12C, III-FI</PublicCharityStatusTxt>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>BAY LIFE SERVICES INC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>10980 GRANTCHESTER WAY</AddressLine1Txt>
          <CityNm>COLUMBIA</CityNm>
          <StateAbbreviationCd>MD</StateAbbreviationCd>
          <ZIPCd>21044</ZIPCd>
        </USAddress>
        <EIN>521496539</EIN>
        <PrimaryActivitiesTxt>MENTAL HEALTH</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MD</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 10</PublicCharityStatusTxt>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>CHURCH HOME AND HOSPITAL OF THE CITY OF</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>10980 GRANTCHESTER WAY</AddressLine1Txt>
          <CityNm>COLUMBIA</CityNm>
          <StateAbbreviationCd>MD</StateAbbreviationCd>
          <ZIPCd>21044</ZIPCd>
        </USAddress>
        <EIN>520591600</EIN>
        <PrimaryActivitiesTxt>MEDICAL FUND</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MD</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 12A, I</PublicCharityStatusTxt>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>GOOD SAMARITAN NURSING CENTER INC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>5601 LOCH RAVEN BLVD</AddressLine1Txt>
          <CityNm>BALTIMORE</CityNm>
          <StateAbbreviationCd>MD</StateAbbreviationCd>
          <ZIPCd>21239</ZIPCd>
        </USAddress>
        <EIN>521672866</EIN>
        <PrimaryActivitiesTxt>MEDICAL SVCS</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MD</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 10</PublicCharityStatusTxt>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>GS HOUSING INC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>5601 LOCH RAVEN BLVD</AddressLine1Txt>
          <CityNm>BALTIMORE</CityNm>
          <StateAbbreviationCd>MD</StateAbbreviationCd>
          <ZIPCd>21239</ZIPCd>
        </USAddress>
        <EIN>521481656</EIN>
        <PrimaryActivitiesTxt>ELDER HOUSING</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MD</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 10</PublicCharityStatusTxt>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>GS PROPERTIES INC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>5601 LOCH RAVEN BLVD</AddressLine1Txt>
          <CityNm>BALTIMORE</CityNm>
          <StateAbbreviationCd>MD</StateAbbreviationCd>
          <ZIPCd>21239</ZIPCd>
        </USAddress>
        <EIN>521429853</EIN>
        <PrimaryActivitiesTxt>ADMIN SVCS</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MD</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 12A, I</PublicCharityStatusTxt>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>MEDSTAR HEALTH VISITING NURSES ASSOCIATI</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>4061 POWDERMILL ROAD</AddressLine1Txt>
          <CityNm>CALVERTON</CityNm>
          <StateAbbreviationCd>MD</StateAbbreviationCd>
          <ZIPCd>20705</ZIPCd>
        </USAddress>
        <EIN>530196597</EIN>
        <PrimaryActivitiesTxt>MEDICAL SVCS</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MD</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 10</PublicCharityStatusTxt>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>MEDSTAR VNA HEALTHCARE</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>4061 POWDERMILL ROAD SUITE 210</AddressLine1Txt>
          <CityNm>CALVERTON</CityNm>
          <StateAbbreviationCd>MD</StateAbbreviationCd>
          <ZIPCd>20705</ZIPCd>
        </USAddress>
        <EIN>521458516</EIN>
        <PrimaryActivitiesTxt>MEDICAL SVCS</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MD</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 10</PublicCharityStatusTxt>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>MGH WOMEN'S BOARD</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>18101 PRINCE PHILIP DRIVE</AddressLine1Txt>
          <CityNm>OLNEY</CityNm>
          <StateAbbreviationCd>MD</StateAbbreviationCd>
          <ZIPCd>20832</ZIPCd>
        </USAddress>
        <EIN>526039600</EIN>
        <PrimaryActivitiesTxt>FOUNDATION</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MD</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 12C, III-FI</PublicCharityStatusTxt>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>REGIONAL REHAB AT OLNEY INC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>18101 PRINCE PHILIP DRIVE</AddressLine1Txt>
          <CityNm>OLNEY</CityNm>
          <StateAbbreviationCd>MD</StateAbbreviationCd>
          <ZIPCd>20832</ZIPCd>
        </USAddress>
        <EIN>522310902</EIN>
        <PrimaryActivitiesTxt>MEDICAL SVCS</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MD</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 3</PublicCharityStatusTxt>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>SUBURBAN NRH MEDICAL REHABILITATION I</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>102 IRVING STREET NW</AddressLine1Txt>
          <CityNm>WASHINGTON</CityNm>
          <StateAbbreviationCd>DC</StateAbbreviationCd>
          <ZIPCd>20010</ZIPCd>
        </USAddress>
        <EIN>521931151</EIN>
        <PrimaryActivitiesTxt>MEDICAL SVCS</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>DC</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 3</PublicCharityStatusTxt>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>VNA INC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>4061 POWDERMILL ROAD SUITE 210</AddressLine1Txt>
          <CityNm>CALVERTON</CityNm>
          <StateAbbreviationCd>MD</StateAbbreviationCd>
          <ZIPCd>20705</ZIPCd>
        </USAddress>
        <EIN>521332411</EIN>
        <PrimaryActivitiesTxt>ADMIN SVCS</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MD</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 12A, I</PublicCharityStatusTxt>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>WOODBOURNE WOODS INC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>5601 LOCH RAVEN BLVD</AddressLine1Txt>
          <CityNm>BALTIMORE</CityNm>
          <StateAbbreviationCd>MD</StateAbbreviationCd>
          <ZIPCd>21239</ZIPCd>
        </USAddress>
        <EIN>522299070</EIN>
        <PrimaryActivitiesTxt>ELDER HOUSING</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MD</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 10</PublicCharityStatusTxt>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>HOSPICE OF ST MARY'S INC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>PO BOX 527</AddressLine1Txt>
          <CityNm>LEONARDTOWN</CityNm>
          <StateAbbreviationCd>MD</StateAbbreviationCd>
          <ZIPCd>20650</ZIPCd>
        </USAddress>
        <EIN>522153926</EIN>
        <PrimaryActivitiesTxt>SUPPORT ORG</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MD</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 12A, I</PublicCharityStatusTxt>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>ST MARY'S HOSPITAL OF ST MARY'S COUNTY</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>25500 POINT LOOKOUT ROAD</AddressLine1Txt>
          <CityNm>LEONARDTOWN</CityNm>
          <StateAbbreviationCd>MD</StateAbbreviationCd>
          <ZIPCd>20650</ZIPCd>
        </USAddress>
        <EIN>520619006</EIN>
        <PrimaryActivitiesTxt>HOSPITAL</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MD</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 3</PublicCharityStatusTxt>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>MEDSTAR SOUTHERN MD HOSPITAL CENTER INC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>7503 SURRATTS ROAD</AddressLine1Txt>
          <CityNm>CLINTON</CityNm>
          <StateAbbreviationCd>MD</StateAbbreviationCd>
          <ZIPCd>20735</ZIPCd>
        </USAddress>
        <EIN>460726303</EIN>
        <PrimaryActivitiesTxt>HOSPITAL</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MD</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 3</PublicCharityStatusTxt>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>SIGNATURE BY MEDSTAR HEALTH LLC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>10980 GRANTCHESTER WAY</AddressLine1Txt>
          <CityNm>COLUMBIA</CityNm>
          <StateAbbreviationCd>MD</StateAbbreviationCd>
          <ZIPCd>21044</ZIPCd>
        </USAddress>
        <EIN>333437538</EIN>
        <PrimaryActivitiesTxt>MEDICAL SVCS</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MD</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 10</PublicCharityStatusTxt>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedOrgTxblPartnershipGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>MEDSTAR SHAH MSO LLC</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>10980 GRANTCHESTER WAY</AddressLine1Txt>
          <CityNm>COLUMBIA</CityNm>
          <StateAbbreviationCd>MD</StateAbbreviationCd>
          <ZIPCd>21044</ZIPCd>
        </USAddress>
        <EIN>462700536</EIN>
        <PrimaryActivitiesTxt>MGMT SVCS</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MD</LegalDomicileStateCd>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <PredominantIncomeTypeTxt>N/A</PredominantIncomeTypeTxt>
        <DisproportionateAllocationsInd>0</DisproportionateAllocationsInd>
        <GeneralOrManagingPartnerInd>0</GeneralOrManagingPartnerInd>
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      <IdRelatedOrgTxblPartnershipGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>22590 SHADY COURT LLC</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>24035 THREE NOTCH ROAD</AddressLine1Txt>
          <CityNm>HOLLYWOOD</CityNm>
          <StateAbbreviationCd>MD</StateAbbreviationCd>
          <ZIPCd>20636</ZIPCd>
        </USAddress>
        <EIN>473361777</EIN>
        <PrimaryActivitiesTxt>REAL ESTATE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MD</LegalDomicileStateCd>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <PredominantIncomeTypeTxt>N/A</PredominantIncomeTypeTxt>
        <DisproportionateAllocationsInd>0</DisproportionateAllocationsInd>
        <GeneralOrManagingPartnerInd>0</GeneralOrManagingPartnerInd>
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      <IdRelatedOrgTxblPartnershipGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>24035 THREE NOTCH ROAD LLC</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>24035 THREE NOTCH ROAD</AddressLine1Txt>
          <CityNm>HOLLYWOOD</CityNm>
          <StateAbbreviationCd>MD</StateAbbreviationCd>
          <ZIPCd>20636</ZIPCd>
        </USAddress>
        <EIN>473375076</EIN>
        <PrimaryActivitiesTxt>REAL ESTATE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MD</LegalDomicileStateCd>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <PredominantIncomeTypeTxt>N/A</PredominantIncomeTypeTxt>
        <DisproportionateAllocationsInd>0</DisproportionateAllocationsInd>
        <GeneralOrManagingPartnerInd>0</GeneralOrManagingPartnerInd>
      </IdRelatedOrgTxblPartnershipGrp>
      <IdRelatedOrgTxblPartnershipGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>37767 MARKET DRIVE LLC</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>37767 MARKET DRIVE</AddressLine1Txt>
          <CityNm>CHARLOTTE HALL</CityNm>
          <StateAbbreviationCd>MD</StateAbbreviationCd>
          <ZIPCd>20622</ZIPCd>
        </USAddress>
        <PrimaryActivitiesTxt>REAL ESTATE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MD</LegalDomicileStateCd>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <PredominantIncomeTypeTxt>N/A</PredominantIncomeTypeTxt>
        <DisproportionateAllocationsInd>0</DisproportionateAllocationsInd>
        <GeneralOrManagingPartnerInd>0</GeneralOrManagingPartnerInd>
      </IdRelatedOrgTxblPartnershipGrp>
      <IdRelatedOrgTxblPartnershipGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>26840 POINT LOOKOUT ROAD LLC</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>24035 THREE NOTCH ROAD</AddressLine1Txt>
          <CityNm>HOLLYWOOD</CityNm>
          <StateAbbreviationCd>MD</StateAbbreviationCd>
          <ZIPCd>20636</ZIPCd>
        </USAddress>
        <EIN>473393670</EIN>
        <PrimaryActivitiesTxt>REAL ESTATE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MD</LegalDomicileStateCd>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <PredominantIncomeTypeTxt>N/A</PredominantIncomeTypeTxt>
        <DisproportionateAllocationsInd>0</DisproportionateAllocationsInd>
        <GeneralOrManagingPartnerInd>0</GeneralOrManagingPartnerInd>
      </IdRelatedOrgTxblPartnershipGrp>
      <IdRelatedOrgTxblPartnershipGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>MONTGOMERY COMMUNITY MRI LP</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>4110 ASPEN HILL ROAD</AddressLine1Txt>
          <CityNm>ROCKVILLE</CityNm>
          <StateAbbreviationCd>MD</StateAbbreviationCd>
          <ZIPCd>20853</ZIPCd>
        </USAddress>
        <EIN>521534253</EIN>
        <PrimaryActivitiesTxt>MRI SCREENING</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MD</LegalDomicileStateCd>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <PredominantIncomeTypeTxt>N/A</PredominantIncomeTypeTxt>
        <DisproportionateAllocationsInd>0</DisproportionateAllocationsInd>
        <GeneralOrManagingPartnerInd>0</GeneralOrManagingPartnerInd>
      </IdRelatedOrgTxblPartnershipGrp>
      <IdRelatedOrgTxblPartnershipGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>PHYSIOTHERAPY ASSOCIATES NRH REHAB LLC</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>4714 GETTYSBURG ROAD</AddressLine1Txt>
          <CityNm>MECHANICSBURG</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>17055</ZIPCd>
        </USAddress>
        <EIN>522212036</EIN>
        <PrimaryActivitiesTxt>PHYSIOTHERAPY</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>PA</LegalDomicileStateCd>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <PredominantIncomeTypeTxt>N/A</PredominantIncomeTypeTxt>
        <DisproportionateAllocationsInd>0</DisproportionateAllocationsInd>
        <GeneralOrManagingPartnerInd>0</GeneralOrManagingPartnerInd>
      </IdRelatedOrgTxblPartnershipGrp>
      <IdRelatedOrgTxblPartnershipGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>PHYSICIAN IMAGING OF WASHINGTON HOSPITAL CENTER LLC</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>840 CRESCENT CENTRE DR</AddressLine1Txt>
          <CityNm>FRANKLIN</CityNm>
          <StateAbbreviationCd>TN</StateAbbreviationCd>
          <ZIPCd>37067</ZIPCd>
        </USAddress>
        <EIN>562616090</EIN>
        <PrimaryActivitiesTxt>RADIOLOGY SVC</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>TN</LegalDomicileStateCd>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <PredominantIncomeTypeTxt>N/A</PredominantIncomeTypeTxt>
        <DisproportionateAllocationsInd>0</DisproportionateAllocationsInd>
        <GeneralOrManagingPartnerInd>0</GeneralOrManagingPartnerInd>
      </IdRelatedOrgTxblPartnershipGrp>
      <IdRelatedOrgTxblPartnershipGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>FRANKLIN IMAGING LLC</BusinessNameLine1Txt>
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          <AddressLine1Txt>10980 GRANTCHESTER WAY</AddressLine1Txt>
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          <AddressLine1Txt>10980 GRANTCHESTER WAY</AddressLine1Txt>
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          <AddressLine1Txt>10980 GRANTCHESTER WAY</AddressLine1Txt>
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          <AddressLine1Txt>10980 GRANTCHESTER WAY</AddressLine1Txt>
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          <AddressLine1Txt>10980 GRANTCHESTER WAY</AddressLine1Txt>
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          <AddressLine1Txt>10980 GRANTCHESTER WAY</AddressLine1Txt>
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          <AddressLine1Txt>10980 GRANTCHESTER WAY</AddressLine1Txt>
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        <LegalDomicileForeignCountryCd>CJ</LegalDomicileForeignCountryCd>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <EntityTypeTxt>C</EntityTypeTxt>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <ReceiptOfIntAnntsRntsRyltsInd>0</ReceiptOfIntAnntsRntsRyltsInd>
      <GiftGrntOrCapContriToOthOrgInd>0</GiftGrntOrCapContriToOthOrgInd>
      <GiftGrntCapContriFromOthOrgInd>0</GiftGrntCapContriFromOthOrgInd>
      <LoansOrGuaranteesToOtherOrgInd>0</LoansOrGuaranteesToOtherOrgInd>
      <LoansOrGuaranteesFromOthOrgInd>0</LoansOrGuaranteesFromOthOrgInd>
      <DivRelatedOrganizationInd>0</DivRelatedOrganizationInd>
      <AssetSaleToOtherOrgInd>0</AssetSaleToOtherOrgInd>
      <AssetPurchaseFromOtherOrgInd>0</AssetPurchaseFromOtherOrgInd>
      <AssetExchangeInd>0</AssetExchangeInd>
      <RentalOfFacilitiesToOthOrgInd>0</RentalOfFacilitiesToOthOrgInd>
      <RentalOfFcltsFromOthOrgInd>0</RentalOfFcltsFromOthOrgInd>
      <PerformOfServicesForOthOrgInd>0</PerformOfServicesForOthOrgInd>
      <PerformOfServicesByOtherOrgInd>1</PerformOfServicesByOtherOrgInd>
      <SharingOfFacilitiesInd>0</SharingOfFacilitiesInd>
      <PaidEmployeesSharingInd>0</PaidEmployeesSharingInd>
      <ReimbursementPaidToOtherOrgInd>1</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>1</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>0</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>1</TransferFromOtherOrgInd>
    </IRS990ScheduleR>
  </ReturnData>
</Return>