2026-05-11T07:15:30-05:00 2025-06-30 135565207 KPMG LLP 8350 BROAD STREET SUITE 900 MCLEAN VA 22102 990 2024-07-01 520591685 THE UNION MEMORIAL HOSPITAL UNIO 4107726721 201 EAST UNIVERSITY PARKWAY BALTIMORE MD 21218 ROSS DARROW VP, TREASURER & CIO 4107726721 2026-05-08 1 0 ISAAC IRBY P02444754 7032868000 2024 2025-03-06 01:10:19Z MEDSTAR UNION MEMORIAL HOSPITAL THOMAS J SENKER 201 EAST UNIVERSITY PARKWAY BALTIMORE MD 21218 472689210 0 X WWW.MEDSTARUNIONMEMORIAL.ORG X 1854 MD SEE SCHEDULE OWE ARE A REGIONAL HOSPITAL WITH SPECIALTY SERVICES OF DISTINCTION CONNECTED BY CLINICAL EDUCATION, INNOVATION, AND AN INTEGRATED APPROACH TO CARE. 24 15 2238 237 89292 0 8407465 8575175 432609880 460590969 2661569 2446092 2504672 1076974 446183586 472689210 110204 83205 0 0 187282224 193448438 0 0 0 267138085 288585952 454530513 482117595 -8346927 -9428385 257122271 265366966 54182312 51714974 202939959 213651992 X SEE SCHEDULE OMEDSTAR UNION MEMORIAL HOSPITAL, PART OF MEDSTAR HEALTH, IS A REGIONAL HOSPITAL WITH SPECIALTY SERVICES OF DISTINCTION CONNECTED BY CLINICAL EDUCATION, INNOVATION, AND AN INTEGRATED APPROACH TO CARE. MEDSTAR UNION MEMORIAL IS AN ACUTE CARE HOSPITAL LOCATED IN THE NORTH-CENTRAL SECTION OF BALTIMORE CITY, MARYLAND. MEDSTAR UNION MEMORIAL IS KNOWN FOR THE CURTIS NATIONAL HAND CENTER, MEDSTAR HEART & VASCULAR INSTITUTE, MEDSTAR ORTHOPAEDIC INSTITUTE, AND THE DEVELOPMENT OF THE FIRST HOSPITAL-BASED SPORTS MEDICINE PROGRAM IN THE COUNTRY. OTHER SPECIALTIES INCLUDE PRIMARY CARE, EMERGENCY MEDICINE, OUTPATIENT BEHAVIORAL HEALTH, GENERAL MEDICAL AND SURGICAL SERVICES, DIAGNOSTIC IMAGING, AND LAB SERVICES. IN FISCAL YEAR 2025, MEDSTAR UNION MEMORIAL HAD 8,331 INPATIENT ADMISSIONS AND 100,501 OUTPATIENT VISITS INCLUDING 42,443 EMERGENCY VISITS. 0 0 347166806 83205 432609640 SEE SCHEDULE OMEDSTAR UNION MEMORIAL HOSPITAL PROVIDES ACCESS TO AND THE PROVISION OF ACUTE HOSPITAL SERVICES TO THE COMMUNITIES OF NORTHERN BALTIMORE CITY, MARYLAND, THE SURROUNDING AREAS, AND THE REGION. IN ADDITION TO THE PROGRAM SERVICE EXPENSES LISTED ABOVE, MEDSTAR UNION MEMORIAL INCURRED $69.9M OF MANAGEMENT AND GENERAL EXPENSES IN PROVIDING SERVICES TO ITS COMMUNITIES. MEDSTAR UNION MEMORIAL OPERATES A CARDIAC REGIONAL TREATMENT CENTER IN PARTNERSHIP WITH MEDSTAR HEART & VASCULAR INSTITUTE TO SHARE BEST PRACTICES AND IMPROVE CARE FOR HEART PATIENTS. THE CURTIS NATIONAL HAND CENTER AT MEDSTAR UNION MEMORIAL IS DESIGNATED AS THE HAND AND UPPER EXTREMITY TRAUMA CENTER FOR THE STATE OF MARYLAND BY THE MARYLAND INSTITUTE OF EMERGENCY MEDICAL SYSTEMS - THE ONLY SUCH CENTER IN THE U.S. TO EARN THIS DISTINCTION. MEDSTAR UNION MEMORIAL HAS ONE OF THE MOST COMPREHENSIVE ORTHOPAEDIC AND SPORTS MEDICINE PROGRAMS IN THE REGION AND HAS THE UNIQUE DISTINCTION OF HAVING ITS OWN BIOMECHANICS RESEARCH FACILITY AND SURGICAL SKILLS TRAINING LAB. MEDSTAR UNION MEMORIAL IS ACCREDITED BY THE JOINT COMMISSION (JC), IS DESIGNATED AS AN ADVANCED PRIMARY STROKE CENTER, AND IS CERTIFIED IN PALLIATIVE CARE. THE AMERICAN HEART ASSOCIATION AND AMERICAN STROKE ASSOCIATION HONORED MEDSTAR UNION MEMORIAL WITH THE 2025 GET WITH THE GUIDELINES-STROKE GOLD PLUS WITH TARGET: TYPE 2 DIABETES HONOR ROLL AWARD FOR HIGH-QUALITY CARE. MEDSTAR UNION MEMORIAL RECEIVED AN A GRADE FROM THE LOWN INSTITUTE, WHICH OFFERS THE ONLY AVAILABLE RANKING THAT COMBINES METRICS OF HEALTH EQUITY AND VALUE OF CARE ALONGSIDE PATIENT OUTCOMES, AS WELL AS B GRADE IN FALL 2025 FROM LEAPFROG AND FIVE STARS FROM THE CENTER FOR MEDICARE AND MEDICAID SERVICES (CMS). IN ADDITION, MEDSTAR UNION MEMORIAL HOSPITAL RECEIVED THE 2026 AND 2025 AMERICA'S 250 BEST HOSPITALS AWARD, 2026 AND 2025 AMERICA'S 100 BEST HOSPITALS FOR CARDIAC CARE AWARD, 2026 AMERICA'S 100 BEST HOSPITALS FOR CORONARY INTERVENTION AWARD, 2026 AND 2025 AMERICA'S 50 BEST HOSPITALS FOR OUTPATIENT JOINT REPLACEMENT AWARD, 2026 AND 2025 PULMONARY CARE EXCELLENCE AWARD, AND 2025 CORONARY INTERVENTION EXCELLENCE AWARD FROM HEALTHGRADES. MEDSTAR UNION MEMORIAL ALSO WAS NAMED TO NEWSWEEK'S LIST OF AMERICA'S BEST-IN-STATE HOSPITALS 2026 FOR MARYLAND. 40257210 27981329 MEDSTAR UNION MEMORIAL PROVIDED $40.3M IN SUBSIDIZED (MISSION DRIVEN) HEALTH SERVICES IN FISCAL YEAR 2025. THESE CRITICAL SERVICES, WHICH ARE DRIVEN BY COMMUNITY NEEDS, OPERATE AT A LOSS. THEY ADDRESS PRIORITIES PRIMARILY THROUGH DISEASE PREVENTION AND IMPROVEMENT OF HEALTH STATUS. SERVICES PROVIDED INCLUDE EMERGENCY MEDICINE, WOMEN'S AND CHILDREN'S HEALTH, AND BEHAVIORAL HEALTH. 24772496 MEDSTAR UNION MEMORIAL PROVIDED $24.8M IN HEALTH PROFESSIONS EDUCATION IN FISCAL YEAR 2025. THIS CATEGORY INCLUDES TRAINING IN GRADUATE MEDICAL EDUCATION, EDUCATION FOR PHYSICIANS, MEDICAL STUDENTS, NURSES, AND OTHER HEALTH PROFESSIONS. 412196512 1 1 0 1 0 0 0 0 0 0 1 1 0 1 1 1 0 1 0 0 0 0 0 0 0 0 1 1 1 1 1 0 0 0 0 0 1 0 0 0 0 0 0 1 1 1 0 0 0 1 0 0 2238 1 1 1 0 0 0 0 0 0 0 0 0 1 0 X 24 15 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 MD X ROSS DARROW 4107726721 10980 GRANTCHESTER WAY COLUMBIA MD 21044 ANTHONY READ DIRECTOR 1.00 0.00 X 0 0 0 BISHOP DENIS J MADDEN DIRECTOR 1.00 0.00 X 0 0 0 DANIEL P CAHILL DIRECTOR 1.00 0.00 X 0 0 0 DAVID ZACHARY MARTIN MD DIRECTOR 1.00 39.00 X 0 1665086 35478 DAWN M MOTOVIDLAK CHAIR 1.00 0.00 X X 0 0 0 HOLLY TILFORD DIRECTOR 1.00 0.00 X 0 0 0 JEFFREY ELKIN DIRECTOR 1.00 0.00 X 0 0 0 JUDITH FEUSTLE DIRECTOR 1.00 0.00 X 0 0 0 KATHLEEN DYER DIRECTOR 1.00 0.00 X 0 0 0 KENNETH A SAMET DIRECTOR 1.00 39.00 X 0 6456778 105996 KIM SYDNOR PHD VICE CHAIR 1.00 0.00 X X 0 0 0 MAHSA MOHEBTASH MD DIRECTOR 1.00 39.00 X 0 878137 11452 PAUL DENNIS CONNELLY DIRECTOR 1.00 0.00 X 0 0 0 PAUL SACK MD DIRECTOR 39.00 1.00 X 340014 0 30857 REBECCA E PEARCE DIRECTOR 1.00 0.00 X 0 0 0 SAMER S NAJJAR MD DIRECTOR 1.00 39.00 X 880622 0 35288 SHAMS T QUAZI MD DIRECTOR 20.00 20.00 X 272445 272445 35224 VERONICA COOL DIRECTOR 1.00 0.00 X 0 0 0 ZEENA DORAI MD DIRECTOR 39.00 1.00 X 1326718 0 21588 MARK R JENSEN DIRECTOR 39.00 1.00 X 509227 0 30807 KRITIS DASGUPTA DIRECTOR 39.00 1.00 X 337959 0 35111 VICTOR ABIAMIRI DIRECTOR 1.00 0.00 X 0 0 0 KAREN FALKLER DIRECTOR 1.00 0.00 X 0 0 0 MYCHELLE FARMER MD DIRECTOR 1.00 0.00 X 0 0 0 DEANA STOUT ASSISTANT TREASURER 10.00 30.00 X 144841 434523 59849 THOMAS J SENKER PRESIDENT 20.00 20.00 X 795927 795927 40882 CAROLINA CHAVARRIA SECRETARY 39.00 1.00 X 128453 0 19920 BRIAN CAWLEY SENIOR VP, OPERATIONS 39.00 1.00 X 393915 0 35552 KAREN OWINGS CNO 40.00 0.00 X 377645 0 42860 PETER KUEHL MD PHYSICIAN 40.00 0.00 X 322704 0 20559 PHYLLIS GRAY AVP, OPERATIONS 40.00 0.00 X 271697 0 38185 JULIA OSEMI AKPAMA REGISTERED NURSE 40.00 0.00 X 235375 0 7333 BRADLEY CHAMBERS FORMER OFFICER/DIRECTOR 1.00 39.00 X 0 1796365 63528 YOLANDA BROOKS FORMER OFFICER 39.00 1.00 X 122019 0 10346 STUART BELL MD FORMER KEY EMPLOYEE 1.00 39.00 X 0 156947 18118 6459561 12456208 698933 275 1 1 0 AMN HEALTHCARE INC 2735 COLLECTION CENTER DR CHICAGO IL 60693 STAFFING SERVICES 6469616 SP PLUS CORPORATION 1790 PAYSPHERE CIRCLE CHICAGO IL 606741790 PARKING SERVICES 1414127 AYA HEALTHCARE INC PO BOX 123519 DEPT 3519 DALLAS TX 753123519 STAFFING SERVICES 1226914 MEDICAL SOLUTIONS LLC PO BOX 850737 MINNEAPOLIS MN 554850737 STAFFING SERVICES 1180846 DVA RENAL HEALTHCARE INC PO BOX 781607 PHILADELPHIA PA 191781607 MEDICAL SERVICES 729013 32 5692839 2882336 24842 8575175 NET PATIENT SERVICE RE 621400 446574749 446574749 PHARMACY 900099 14016220 14016220 460590969 1113052 1113052 467051 0 467051 467051 467051 1333040 0 1333040 1333040 1333040 REBATE INCOME 900099 805502 805502 PARKING LOT REVENUE 900099 601070 89292 511778 EXPENSE RECOVERY 900099 200948 200948 -997597 -997597 609923 472689210 460590969 89292 3433774 X 29750 29750 53455 53455 4962791 4588686 374105 132364 122387 9977 153620081 142038411 11581670 2268076 2097063 171013 21568392 19946943 1621449 10896734 10070260 826474 48301222 982182 47319040 5750 5750 80340471 78990835 1349636 301488 4589 296899 1126146 2128803 -1002657 133691 243555 -109864 382973 317848 65125 112175 75514 36661 2407961 2279376 128585 14906871 14110119 796752 5726987 5051846 675141 MED/SURG SUPPLIES 62244262 62222098 22164 IMPLANTS/PROSTHESES 40769425 40769425 MAINTENANCE 11292689 10846136 446553 UTILITIES 7171568 6653285 518283 13362273 8573946 4788327 482117595 412196512 69921083 0 16810 6556 3104150 2799783 58298620 62240920 7131217 7111961 598369 865888 457049409 376581452 90132876 80467957 86711758 94139063 11128471 17734838 257122271 265366966 23751166 23417879 1815645 1031140 28615501 27265955 54182312 51714974 X 163108329 172285797 39831630 41366195 202939959 213651992 257122271 265366966 X -9428385 8501542 11638876 X X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 25513 25513 0 PART II-B, LINE 1: THE EXPENSES INCURRED BY THE ORGANIZATION FOR LOBBYING ACTIVITIES REFLECTS THE PORTION OF MEMBERSHIP DUES PAID TO THE MARYLAND HOSPITAL ASSOCIATION (MHA) AND THE AMERICAN HOSPITAL ASSOCIATION (AHA) THAT WERE USED FOR LOBBYING PURPOSES. 1925817 1925817 165941456 130809172 35132284 3216692 2652286 564406 279917037 241337358 38579679 6048407 1782636 4265771 80467957 BOARD DESIGNATED 53935021 F RESTRICTED INVESTMENT FUNDS 40204042 F 94139063 OPERATING LEASE ROU ASSET 8931651 L/T DEPOSITS 70322 CASH SURRENDER-INSUR L/T 23155 INTERCOMPANY RECEIVABLES 8709710 17734838 ADVANCE FROM THIRD PARTIES 13905302 OPERATING LEASE LIABILITY 9330212 WORKERS COMPENSATION 2284738 CREDIT BALANCE PATIENT A/R 1447495 OTHER LIABILITIES 261025 PENDING PFS REFUNDS 37183 27265955 X PART X, LINE 2: FIN 48 FOOTNOTE INCOME TAXES ARE ACCOUNTED FOR UNDER THE ASSET AND LIABILITY METHOD. DEFERRED TAX ASSETS AND LIABILITIES ARE RECOGNIZED FOR THE FUTURE TAX CONSEQUENCES ATTRIBUTABLE TO DIFFERENCES BETWEEN THE FINANCIAL STATEMENT CARRYING AMOUNTS OF EXISTING ASSETS AND LIABILITIES AND THEIR RESPECTIVE TAX BASES AND OPERATING LOSS AND TAX CREDIT CARRYFORWARDS. DEFERRED TAX ASSETS AND LIABILITIES ARE MEASURED USING ENACTED TAX RATES EXPECTED TO APPLY TO TAXABLE INCOME IN THE YEARS IN WHICH THOSE TEMPORARY DIFFERENCES ARE EXPECTED TO BE RECOVERED OR SETTLED. THE EFFECT ON DEFERRED TAX ASSETS AND LIABILITIES OF A CHANGE IN TAX RATES IS RECOGNIZED IN THE PERIOD THAT INCLUDES THE ENACTMENT DATE. ANY CHANGES TO THE VALUATION ALLOWANCE ON THE DEFERRED TAX ASSET ARE REFLECTED IN THE YEAR OF CHANGE. THE CORPORATION ACCOUNTS FOR UNCERTAIN TAX POSITIONS IN ACCORDANCE WITH THE FASB ACCOUNTING STANDARDS CODIFICATION (ASC) TOPIC 740, INCOME TAXES. THERE WAS NO LIABILITY RECORDED FOR UNCERTAIN TAX POSITIONS AS OF JUNE 30, 2025. 1 1 X 1 X 1 X 1 1 1 0 1 1 12188767 12188767 0.02530 12188767 12188767 0.02530 2738406 123354 2615052 0.00540 24772496 24772496 0.05140 40257210 27981329 12275881 0.02550 3032066 15090 3016976 0.00630 117622 117622 0.00020 70917800 28119773 42798027 0.08880 83106567 28119773 54986794 0.11410 34847 34847 0.00010 8302 8302 0.00000 43149 43149 0.00010 1 6527359 X 1 1 1 1 UNION MEMORIAL HOSPITAL 201 EAST UNIVERSITY PARKWAY BALTIMORE MD 21218 WWW.MEDSTARUNIONMEMORIAL.ORG STATE LICENSE NUMBER: 30066 X X X X UNION MEMORIAL HOSPITAL 1 0 0 1 X X X X X X X X X 23 1 0 0 1 X WWW.MEDSTARUNIONMEMORIAL.ORG X 1 23 1 WWW. MEDSTARUNIONMEMORIAL.ORG 0 1 X 200.000000000000 400.000000000000 X X X X X X 1 1 X X X X 1 X WWW.MEDSTARUNIONMEMORIAL.ORG X WWW.MEDSTARUNIONMEMORIAL.ORG X WWW.MEDSTARUNIONMEMORIAL.ORG X X X X X X 1 X 0 X X X X 1 X 0 0 UNION MEMORIAL HOSPITAL 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: NAIMA HOLLAND, MSN, RNEXECUTIVE 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: THOMAS J. SENKERADVISORY 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 : DAWN MOTOVIDLAKTITLE/AFFILIATION WITH HOSPITAL : BOARD MEMBER, CHAIR PRESIDENT/CEO BHS ONLINENAME OF ORGANIZATION : BHS ONLINENAME : DANIEL P. CAHILL TITLE/AFFILIATION WITH HOSPITAL : BOARD MEMBER, SVP MARKETING, WEBB MASONNAME OF ORGANIZATION : WEBB MASONNAME : VERONICA COOLTITLE/AFFILIATION WITH HOSPITAL : BOARD MEMBER, FOUNDER/CEO COOL ASSOCIATESNAME OF ORGANIZATION : COOL ASSOCIATESNAME : KIM SYDNOR, PHDTITLE/AFFILIATION WITH HOSPITAL : DEAN - MORGAN STATE UNIVERSITY, MGSH BOARD MEMBERNAME OF ORGANIZATION : MORGAN STATE UNIVERSITYNAME : TRICIA ISENNOCKTITLE/AFFILIATION WITH HOSPITAL : COMMUNITY HEALTH ADVISORNAME OF ORGANIZATION : MEDSTAR HEALTHNAME : DANA FRANK, M.D. TITLE/AFFILIATION WITH HOSPITAL : CHAIRMAN, MEDICINE, MGSH/MUMH NAME OF ORGANIZATION : MEDSTAR HEALTHNAME : KENNETH WALSCH TITLE/AFFILIATION WITH HOSPITAL : ASSISTANT VICE PRESIDENT, QUALITY, SAFETY, RISK MANAGEMENT NAME OF ORGANIZATION : MEDSTAR HEALTHNAME : DEBORAH BANGLEDORF TITLE/AFFILIATION WITH HOSPITAL : DIRECTOR, MARKETING AND COMMUNICATIONS NAME OF ORGANIZATION : MEDSTAR HEALTHNAME : KIMBERLY FLOYDTITLE/AFFILIATION WITH HOSPITAL : RN PROGRAM MANAGER- COMMUNITY HEALTHNAME OF ORGANIZATION : MEDSTAR HEALTHNAME : PEGGY THOMAS TITLE/AFFILIATION WITH HOSPITAL : COMMUNITY REPRESENTATIVENAME OF ORGANIZATION : COMMUNITY RESIDENTNAME : SHEILA WILLIAMS TITLE/AFFILIATION WITH HOSPITAL : COMMUNITY REPRESENTATIVENAME OF ORGANIZATION : HUBER MEMORIAL CHURCHNAME : EVANGELINE WAIHENYA TITLE/AFFILIATION WITH HOSPITAL : PARISHIONERNAME OF ORGANIZATION : ST. MATTHEWS CHURCHNAME : SUSAN BENDERTITLE/AFFILIATION WITH HOSPITAL : COONAME OF ORGANIZATION : KESWICKNAME : NICHOLE BATTLE TITLE/AFFILIATION WITH HOSPITAL : CEO NAME OF ORGANIZATION : GEDCONAME : MARK FLETCHERTITLE/AFFILIATION WITH HOSPITAL : DEPUTY CHIEF OF EMSNAME OF ORGANIZATION : BALTIMORE CITY FIRE DEPARTMENTNAME : MELVIN WILSON TITLE/AFFILIATION WITH HOSPITAL : EXECUTIVE DIRECTOR NAME OF ORGANIZATION : TURNAROUND TUESDAYNAME : ADONGO MATTHEWSTITLE/AFFILIATION WITH HOSPITAL : EXECUTIVE DIRECTORNAME OF ORGANIZATION : SHEPHERD'S CLINICNAME : LISA JONESTITLE/AFFILIATION WITH HOSPITAL : COMMUNITY MEDIATION DIRECTORNAME OF ORGANIZATION : WOODBOURNE MCCABE SAFE STREETSNAME : PAT JONESTITLE/AFFILIATION WITH HOSPITAL : DIRECTORNAME OF ORGANIZATION : ST. MATTHEW'S CHURCHNAME : HEATHER WILSONTITLE/AFFILIATION WITH HOSPITAL : VICE PRESIDENT, OPERATIONSNAME OF ORGANIZATION : Y IN CENTRAL MARYLANDNAME : LUCAS CARLSON, M.D.TITLE/AFFILIATION WITH HOSPITAL : REGIONAL MEDICAL DIRECTOR, CARE TRANSFORMATIONNAME OF ORGANIZATION : MEDSTAR HEALTHNAME : JEFFREY GRIFFINTITLE/AFFILIATION WITH HOSPITAL : EXECUTIVE DIRECTORNAME OF ORGANIZATION : FRANCISCAN CENTERNAME : RAQUEL LAMPTEYTITLE/AFFILIATION WITH HOSPITAL : SR. DIRECTOR, COMMUNITY HEALTHNAME OF ORGANIZATION : MEDSTAR HEALTHNAME : DIANA QUINNTITLE/AFFILIATION WITH HOSPITAL : COMMUNITY HEALTH ADVISOR, COMMUNITY HEALTHNAME OF ORGANIZATION : MEDSTAR HEALTHNAME : PHYLLIS GRAYTITLE/AFFILIATION WITH HOSPITAL : AVP CARE TRANSFORMATIONNAME OF ORGANIZATION : MEDSTAR HEALTHNAME : AARON KAUFMANTITLE/AFFILIATION WITH HOSPITAL : DIRECTOR OF COMMUNITY PROJECTSNAME OF ORGANIZATION : CENTRAL BALTIMORE PARTNERSHIPNAME : ADEOLA ALAYANDETITLE/AFFILIATION WITH HOSPITAL : DIRECTOR HEALTH PROMOTION AND DISEASE PREVENTIONNAME OF ORGANIZATION : BALTIMORE CITY HEALTH DEPARTMENTNAME : ALEX YAZAJI, M.D.TITLE/AFFILIATION WITH HOSPITAL : VICE PRESIDENT, MEDICAL AFFAIRSNAME OF ORGANIZATION : MEDSTAR HEALTHNAME : ALIZA AAMRINTITLE/AFFILIATION WITH HOSPITAL : COMMUNITY HEALTH PROGRAM COORDINATOR/JOY WELLNESSNAME OF ORGANIZATION : MEDSTAR HEALTHNAME : ANGELA PROFILITITLE/AFFILIATION WITH HOSPITAL : DIRECTOR NURSING EMERG SERVICESNAME OF ORGANIZATION : MEDSTAR HEALTHNAME : ANGIE WINDERTITLE/AFFILIATION WITH HOSPITAL : PRESIDENTNAME OF ORGANIZATION : NECONAME : BERNARD RAVITZTITLE/AFFILIATION WITH HOSPITAL : AVP MEDICAL AFFAIRSNAME OF ORGANIZATION : MEDSTAR HEALTHNAME : CAT GOODRICHTITLE/AFFILIATION WITH HOSPITAL : PASTORNAME OF ORGANIZATION : FAITH PRESBYTERIAN CHURCHNAME : CLAIRE WILSONTITLE/AFFILIATION WITH HOSPITAL : REGIONAL DIRECTOR, COMMUNITY HEALTHNAME OF ORGANIZATION : MEDSTAR HEALTHNAME : DAVON CARTERTITLE/AFFILIATION WITH HOSPITAL : PROGRAM COORDINATOR SMOCNAME OF ORGANIZATION : MEDSTAR HEALTHNAME : DIANA EMERSONTITLE/AFFILIATION WITH HOSPITAL : EXECUTIVE DIRECTOR NAME OF ORGANIZATION : WAVERY MAIN STREETNAME : DIANE MCELVERSONTITLE/AFFILIATION WITH HOSPITAL : MD RESIDENT SERVICES COORDINATORNAME OF ORGANIZATION : J VAN STORY BRANCH/ COMMUNITY HOUSING PARTNERSNAME : DONALD EADDYTITLE/AFFILIATION WITH HOSPITAL : VP, STRATEGIC PARTNERSHIPS AND CIVIC ENGAGEMENTNAME OF ORGANIZATION : Y IN CENTRAL MARYLANDNAME : HARVEY MILESTITLE/AFFILIATION WITH HOSPITAL : COMMUNITY SCHOOL COORDINATORNAME OF ORGANIZATION : GARDENVILLE ELEMENTARY SCHOOLNAME : DESTINY MURDOCKTITLE/AFFILIATION WITH HOSPITAL : COMMUNITY HEALTH PROGRAM COORDINATOR/JVSBNAME OF ORGANIZATION : MEDSTAR HEALTHNAME : JOHN COLMERSTITLE/AFFILIATION WITH HOSPITAL : PARISHIONERNAME OF ORGANIZATION : FAITH PRESBYTERIAN CHURCHNAME : KAREN MEYERSTITLE/AFFILIATION WITH HOSPITAL : CHAIR OF SOCIAL AND ENVIRONMENTAL JUSTICE COUNCILNAME OF ORGANIZATION : FAITH PRESBYTERIAN CHURCHNAME : KATHLEEN MCHUGHTITLE/AFFILIATION WITH HOSPITAL : MEDICAL DIRECTORNAME OF ORGANIZATION : SHEPHERD'S CLINICNAME : JOAN CARLSONTITLE/AFFILIATION WITH HOSPITAL : AVP, MISSION INTEGRATION, MGSHNAME OF ORGANIZATION : MEDSTAR HEALTHNAME : KIMBERLY LYLESTITLE/AFFILIATION WITH HOSPITAL : SENIOR DIRECTORNAME OF ORGANIZATION : HCAM NAME : RENEE HILLIARDTITLE/AFFILIATION WITH HOSPITAL : SENIOR CLINICAL CONSULTANTNAME OF ORGANIZATION : MT ZION BAPTIST CHURCHNAME : NAISHA VINSONTITLE/AFFILIATION WITH HOSPITAL : AVP GRANT DEVELOPMENT - MEDSTARNAME OF ORGANIZATION : MEDSTAR HEALTHNAME : REBECCA PETERSONTITLE/AFFILIATION WITH HOSPITAL : SUPERVISOR- COMMUNITY HEALTH ADVOCATENAME OF ORGANIZATION : MEDSTAR HEALTHNAME : TARA MYERSTITLE/AFFILIATION WITH HOSPITAL : HUMAN SERVICES MANAGERNAME OF ORGANIZATION : MAYOR'S OFFICE OF CHILDREN & FAMILY SUCCESSNAME : SAMANTHA SAILSMANTITLE/AFFILIATION WITH HOSPITAL : REG PROG MGR COMM HEALTH -COMMUNITY HEALTHNAME OF ORGANIZATION : MEDSTAR HEALTHNAME : SONYA GRAYTITLE/AFFILIATION WITH HOSPITAL : BOARD MEMBERNAME OF ORGANIZATION : MEDSTAR HEALTHNAME : THOMAS J. SENKERTITLE/AFFILIATION WITH HOSPITAL : PRESIDENT, MGSH AND MUMHNAME OF ORGANIZATION : MEDSTAR HEALTH UNION MEMORIAL HOSPITAL 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 HOSPITAL 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. CHARITY CARE AT COST PART I, LINE 7A:MARYLAND'S REGULATORY SYSTEM CREATES A UNIQUE PROCESS FOR HOSPITAL PAYMENT THAT DIFFERS FROM THE REST OF THE NATION. THE HEALTH SERVICES COST REVIEW COMMISSION (HSCRC) DETERMINES PAYMENT THROUGH A RATE-SETTING PROCESS AND ALL PAYORS, INCLUDING GOVERNMENTAL PAYORS, PAY THE SAME AMOUNT FOR THE SAME SERVICES DELIVERED AT THE SAME HOSPITAL. MARYLAND'S UNIQUE ALL-PAYOR SYSTEM INCLUDES A METHOD FOR REFERENCING UNCOMPENSATED CARE IN EACH PAYORS' RATES, WHICH DOES NOT ENABLE MARYLAND HOSPITALS TO BREAK OUT ANY OFFSETTING REVENUE RELATED TO UNCOMPENSATED CARE. UNREIMBURSED MEDICAID PART I, LINE 7B:MARYLAND'S REGULATORY SYSTEM CREATES A UNIQUE PROCESS FOR HOSPITAL PAYMENT THAT DIFFERS FROM THE REST OF THE NATION. THE HEALTH SERVICES COST REVIEW COMMISSION (HSCRC), DETERMINES PAYMENT THROUGH A RATE-SETTING PROCESS AND ALL PAYORS, INCLUDING GOVERNMENTAL PAYORS, PAY THE SAME AMOUNT FOR THE SAME SERVICES DELIVERED AT THE SAME HOSPITAL. MARYLAND'S UNIQUE ALL-PAYOR SYSTEM INCLUDES A METHOD FOR REFERENCING UNCOMPENSATED CARE IN EACH PAYORS' RATES, WHICH DOES NOT ENABLE MARYLAND HOSPITALS TO BREAK OUT ANY OFFSETTING REVENUE RELATED TO UNCOMPENSATED CARE. COMMUNITY BENEFIT EXPENSES ARE EQUAL TO MEDICAID REVENUES IN MARYLAND, AS SUCH, THE NET EFFECT IS ZERO. THE EXCEPTION TO THIS IS THE IMPACT ON THE HOSPITAL OF ITS SHARE OF THE MEDICAID ASSESSMENT. IN RECENT YEARS, THE STATE OF MARYLAND HAS CLOSED FISCAL GAPS IN THE STATE MEDICAID BUDGET BY ASSESSING HOSPITALS THROUGH THE RATE-SETTING SYSTEM. BAD DEBT PART III, LINES 2 & 4:MEDSTAR HEALTH AND ITS AFFILIATED ORGANIZATIONS REPORT BAD DEBT EXPENSE IN ACCORDANCE WITH ASU 2011-07, WHICH REQUIRES CERTAIN HEALTHCARE ENTITIES TO CHANGE THE PRESENTATION OF THEIR STATEMENT OF OPERATIONS BY RECLASSIFYING THE PROVISION FOR BAD DEBTS ASSOCIATED WITH PATIENT SERVICE REVENUE FROM AN OPERATING EXPENSE TO A DEDUCTION FROM PATIENT SERVICE REVENUE (NET OF CONTRACTUAL ALLOWANCES AND DISCOUNTS). HOWEVER, MEDSTAR AND ITS AFFILIATED ENTITIES DO NOT MAKE A DETERMINATION AS TO WHETHER SELF-PAY AMOUNTS ARE COLLECTIBLE IN DETERMINING REVENUE RECOGNITION. RESERVE MODELS, WHICH HAVE BEEN DEVELOPED BASED ON HISTORICAL COLLECTION RESULTS AND WHICH ARE ADJUSTED PERIODICALLY BASED ON ACTUAL COLLECTIONS EXPERIENCE, ARE USED TO ESTIMATE UNCOLLECTIBLE AMOUNTS ACROSS ALL PAYORS INCLUDING SELF-PAY. BAD DEBT DETERMINATIONS ARE MADE ONLY AFTER SUFFICIENT EVIDENCE IS OBTAINED TO SUPPORT THAT AN AMOUNT IS NOT COLLECTIBLE. MEDICARE PART III, LINE 8:MARYLAND'S REGULATORY SYSTEM CREATES A UNIQUE PROCESS FOR HOSPITAL PAYMENT THAT DIFFERS FROM THE REST OF THE NATION. THE HEALTH SERVICES COST REVIEW COMMISSION (HSCRC) DETERMINES PAYMENT THROUGH A RATE-SETTING PROCESS AND ALL PAYORS, INCLUDING GOVERNMENTAL PAYORS, PAY THE SAME AMOUNT FOR THE SAME SERVICES DELIVERED AT THE SAME HOSPITAL. MARYLAND'S UNIQUE ALL-PAYOR SYSTEM INCLUDES A METHOD FOR REFERENCING UNCOMPENSATED CARE IN EACH PAYORS' RATES, WHICH DOES NOT ENABLE MARYLAND HOSPITALS TO BREAK OUT ANY OFFSETTING REVENUE RELATED TO UNCOMPENSATED CARE. AS SUCH, THE NET EFFECT FOR MEDICARE EXPENSES AND REVENUES IN MARYLAND IS ZERO. PART III, LINE 9B: IF IT IS DETERMINED THAT A PATIENT MAY POTENTIALLY QUALIFY FOR A CHARITABLE/FINANCIAL PROGRAM, A HOLD IS PLACED ON THE ACCOUNT TO PREVENT IT FROM BEING REPORTED AS BAD DEBT UNTIL PROGRAM APPROVALS HAVE BEEN OBTAINED. IF IT IS APPROVED, THE ACCOUNT IS DOCUMENTED AND THE NECESSARY ADJUSTMENTS ARE MADE TO CLOSE THE ACCOUNT. NEEDS ASSESSMENT PART VI, LINE 2:IN FY24, MEDSTAR UNION MEMORIAL HOSPITAL CONDUCTED A COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) IN ACCORDANCE WITH THE GUIDELINES ESTABLISHED BY THE PATIENT PROTECTION AND AFFORDABLE CARE ACT AND THE INTERNAL REVENUE SERVICE. THE HOSPITAL'S CHNA AND THREE-YEAR IMPLEMENTATION STRATEGIES WERE ENDORSED BY MEDSTAR UNION MEMORIAL HOSPITAL'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. MEDSTAR UNION MEMORIAL HOSPITAL'S HEALTH PRIORITIES INCLUDE HEALTH AND WELLNESS (CHRONIC DISEASE PREVENTION AND MANAGEMENT AND BEHAVIORAL HEALTH), ACCESS TO CARE (ACCESS TO HEALTH INSURANCE AND PROVIDERS, ACCESS TO HEALTHCARE APPOINTMENTS, COST OF HEALTH CARE 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 NORTH CENTRAL BALTIMORE CITY AS ITS COMMUNITY BENEFIT SERVICE AREA (CBSA), WHICH INCLUDES RESIDENTS LIVING IN ZIP CODE 21218. 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. PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE PART VI, LINE 3:AS ONE OF THE REGION'S LEADING NOT-FOR-PROFIT HEALTHCARE SYSTEMS, MEDSTAR HEALTH IS COMMITTED TO ENSURING THAT UNINSURED 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 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 ON THE BASIS OF 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 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. COMMUNITY INFORMATION PART VI, LINE 4:MEDSTAR UNION MEMORIAL HOSPITAL SERVES ZIP CODE 21218, AN URBAN GEOGRAPHIC SERVICE AREA. THERE ARE 17 HOSPITALS SERVING BALTIMORE CITY, AND 15 FEDERALLY DESIGNATED MEDICALLY UNDERSERVED AREAS PRESENT IN THE COMMUNITY.THERE ARE 46,238 RESIDENTS IN 21218 (WAVERLY AREA) AND THE AVERAGE INCOME IS $58,378. BALTIMORE CITY INCLUDES RESIDENTS WITH INCOMES BELOW THE FEDERAL POVERTY GUIDELINE (15.3%), UNINSURED (5.9%) AND MEDICAID RECIPIENTS (49.8%). CITY RESIDENTS STRUGGLE WITH ADULT OBESITY, WHICH IS EVIDENT WITH HIGHER RATES (37%) IN COMPARISON TO STATE AND NATIONAL RATES (34%). RESIDENTS ALSO STRUGGLE WITH ADULT SMOKING (18%), DRUG OVERDOSE DEATHS (138 PER 100,000), UNEMPLOYMENT (4.3%), HOUSING COST BURDEN (21%), AND CHILDHOOD POVERTY (24%). PROMOTION OF COMMUNITY HEALTH: PART VI, LINE 5:AS A COMMUNITY PARTNER, MEDSTAR UNION MEMORIAL HOSPITAL ENGAGES IN SEVERAL COMMUNITY BENEFIT ACTIVITIES TO IMPROVE AND PROMOTE THE HEALTH AND WELL-BEING OF THE COMMUNITY. PRIORITY AREAS, AS DETERMINED BY THE CHNA, FALL INTO THREE AREAS OF FOCUS INCLUDING HEALTH AND WELLNESS, ACCESS TO CARE, AND SOCIAL DETERMINANTS OF HEALTH. PROGRAMS INCLUDE (BUT ARE NOT LIMITED TO):HEALTH AND WELLNESS MEDSTAR UNION MEMORIAL HOSPITAL ADDRESSES HEALTH AND WELLNESS BY OFFERING A VARIETY OF PROGRAMS AND RESOURCES THAT SOUGHT TO ADDRESS CHRONIC DISEASE PREVENTION AND MANAGEMENT. MEDSTAR UNION MEMORIAL HOSPITAL'S COMMUNITY-BASED EDUCATION COURSES ARE OFFERED TO SUPPORT HEALTHY LIFESTYLE CHANGES FOR COMMUNITY MEMBERS. PROGRAMS INCLUDE THE DIABETES PREVENTION PROGRAM LED BY THE CENTERS FOR DISEASE CONTROL, DIABETES SELF-MANAGEMENT EDUCATION, SENIOR PHYSICAL FITNESS, SMOKING CESSATION EDUCATION, AND STROKE SUPPORT GROUPS. MEDSTAR UNION MEMORIAL HOSPITAL HAS COLLABORATED WITH OTHER AREA PROVIDERS TO ESTABLISH A HEALTH AND WELLNESS CENTER IN THE J VAN STORY BRANCH APARTMENTS FOR THE SENIOR AND DISABLED RESIDENTS. HEALTH CARE NAVIGATION, SOCIAL NEEDS, RESOURCE PROVISION, AND MENTAL HEALTH SERVICES ARE MADE AVAILABLE ONSITE TO ADDRESS THE RESIDENTS' COMPLEX HEALTH CARE NEEDS.MEDSTAR UNION MEMORIAL HOSPITAL OFFERS SCREENING, BRIEF INTERVENTION, AND REFERRAL TO TREATMENT (SBIRT) PROGRAMS TO SUPPORT INDIVIDUALS WITH SUBSTANCE USE DISORDERS. AN ENHANCEMENT OF SBIRT INCLUDES THE OPIOID OVERDOSE SURVIVOR OUTREACH PROGRAM (OSOP). OSOP LINKS COMMUNITY MEMBERS WITH A HISTORY OF SUBSTANCE ABUSE TREATMENT WITH THE RESOURCES THEY NEED TO PREVENT A FUTURE OVERDOSE. ACCESS TO CAREMEDSTAR UNION MEMORIAL HOSPITAL IS ALSO A FOUNDING AND CURRENT PARTNER OF SHEPHERD'S CLINIC, A FREE CLINIC FOR UNDERINSURED AND UNINSURED RESIDENTS. STAFF PROVIDE SUPPORT FOR CLINIC OPERATIONS, INCLUDING A MEDICAL PROVIDER, WELLNESS DIRECTOR, AND ADMINISTRATIVE PERSONNEL. PATIENTS CAN RECEIVE MEDICAL CARE AND PARTICIPATE IN WELLNESS PROGRAM OFFERINGS AT JOY WELLNESS CENTER. MEDSTAR UNION MEMORIAL HOSPITAL ALSO PARTNERS WITH ST. MARY'S OUTREACH CENTER, A CENTER WITHIN ROLAND VIEW TOWERS APARTMENTS THAT SUPPORTS AGING IN PLACE THROUGH CASE MANAGEMENT SERVICES. STAFF PROVIDE SUPPORT FOR BENEFIT ASSISTANCE, ACCESS TO HEALTHCARE REFERRALS, AND PROVIDE HEALTH EDUCATION AND PREVENTATIVE SERVICES. MEDSTAR UNION MEMORIAL HOSPITAL ALSO ADDRESSES ACCESS TO CARE BY HELPING TO REDUCE THE FINANCIAL BURDEN FOR PATIENTS AND THEIR FAMILIES. PATIENT FINANCIAL SERVICES PROVIDES FINANCIAL ASSISTANCE TO UNINSURED RESIDENTS BY ASSISTING WITH ENROLLMENT IN PUBLICLY FUNDED ENTITLEMENT PROGRAMS, REFERRING PATIENTS TO STATE OR FEDERAL INSURANCE EXCHANGE NAVIGATOR RESOURCES AND ASSISTING WITH CONSIDERATION OF FUNDING THAT MAY BE AVAILABLE FROM OTHER CHARITABLE ORGANIZATIONS.ADDITIONALLY, THE HOSPITAL SUBSIDIZES HEALTH SERVICES TO ENSURE RESIDENTS HAVE ACCESS TO THE CLINICAL CARE THEY NEED.SOCIAL DRIVERS OF HEALTHCOMMUNITY RESIDENTS ARE HIRED AND TRAINED AS COMMUNITY HEALTH ADVOCATES OR PEER RECOVERY COACHES TO ADDRESS THE SOCIAL DRIVERS OF HEALTH IN THE COMMUNITY. THESE POSITIONS SERVE TO EMPOWER INDIVIDUALS AND THEIR FAMILIES INTO BETTER ECONOMIC CONDITIONS. AS PART OF THEIR RESPONSIBILITIES, THE COMMUNITY HEALTH ADVOCATES CONDUCT SOCIAL NEEDS SCREENINGS. SOCIAL NEEDS SCREENINGS IDENTIFY ISSUES SUCH AS FOOD AND HOUSING INSECURITY, AND BARRIERS RELATED TO TRANSPORTATION, EMPLOYMENT, AND UTILITIES. IDENTIFIED NEEDS ARE ADDRESSED BY CONNECTING THE PARTICIPANT TO SOCIAL SERVICES AND OTHER RESOURCES IN THE COMMUNITY. MEDSTAR UNION MEMORIAL HOSPITAL HAS A PARTNERSHIP WITH UBER HEALTH TO ADDRESS TRANSPORTATION BARRIERS TO ACCESS MEDICAL SERVICES. THROUGH THIS PARTNERSHIP, RIDES ARE PROVIDED TO ELIGIBLE RESIDENTS AND/OR FAMILIES WITH DEMONSTRATED FINANCIAL NEED. THE TRANSPORTATION ASSISTANCE ENABLES PATIENTS TO ACCESS COMMUNITY RESOURCES AND ATTEND NECESSARY APPOINTMENTS WITH THEIR HEALTH CARE PROVIDERS. MEDSTAR UNION MEMORIAL HOSPITAL ADDRESSES FOOD INSECURITY BY ENROLLING PATIENTS INTO A FOOD PRESCRIPTION DELIVERY PROGRAM THROUGH ITS PARTNER HUNGRY HARVEST. THIS TEMPORARY SOURCE OF FOOD ASSISTANCE ALLOWS COMMUNITY HEALTH ADVOCATES TO IDENTIFY A LONG-TERM STRATEGY FOR FOOD ACCESS (E.G., MEALS ON WHEELS, ETC.). AFFILIATED HEALTH CARE SYSTEM PART VI, LINE 6:MEDSTAR UNION MEMORIAL HOSPITAL IS PROUDLY PART OF MEDSTAR HEALTH, AND AS A RESULT, CAN EXPAND ITS CAPACITY TO MEET THE NEEDS OF THE COMMUNITY BY PARTNERING WITH OTHER MEDSTAR 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 MEDSTAR UNION MEMORIAL HOSPITAL 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. STATE FILING OF COMMUNITY BENEFIT REPORT PART VI, LINE 7:THE COMMUNITY BENEFIT REPORT FOR MEDSTAR UNION MEMORIAL HOSPITAL IS FILED IN THE STATE OF MARYLAND. 1 AMERICAN HEART ASSOCIATION 7272 GREENVILLE AVENUE DALLAS DALLAS TX 75231 135613797 501(C)(3) 15000 0 ES GRFW S25 BALTIMORE (FY25 BALTIMORE HEART WALK) CRISTO REY CORPORATE INTERNSHIP PROGRAM INC 420 SOUTH CHESTER STREET BALTIMORE MD 21231 205300491 501(C)(3) 14750 0 SPONSORSHIP 2 0 SCHOLARSHIPS 15 53455 SCHEDULE I, PART I, LINE 2: OUR GRANT MONITORING PROCEDURE BRINGS TOGETHER ALL KEY PERSONNEL INVOLVED IN THE GRANT AT THE ONSET OF THE AWARD TO DISCUSS MANAGEMENT, RESPONSIBILITIES, BUDGETS, AND REPORTING. THIS INITIAL MEETING IS DOCUMENTED AND DISBURSED TO ALL INVOLVED. THE ACTUAL GRANT MONITORING IS DONE BY THE HOSPITAL DEPARTMENT IMPLEMENTING THE GRANT. MEDSTAR CORPORATE'S GRANTS AND PHILANTHROPY DEPARTMENT ENSURES THAT EACH GRANT HAS A COST CENTER AND/OR GRANT ACCOUNT SET UP BASED ON THE TERMS OF THE GRANT AWARD. MEDSTAR CORPORATE'S GRANTS AND PHILANTHROPY DEPARTMENT ALSO TRACKS AND REMINDS HOSPITAL DEPARTMENTS WHEN PROGRESS REPORTS ARE DUE THROUGHOUT THE LIFE OF THE GRANT. X 1 1 X X X X X X 0 1 0 0 0 0 0 0 0 KENNETH A SAMET DIRECTOR 0 2415571 0 3962207 0 79000 0 68897 0 37099 0 6562774 0 0 BRADLEY CHAMBERS FORMER OFFICER/DIRECTOR 0 914660 0 881705 0 0 0 26597 0 36931 0 1859893 0 0 DAVID ZACHARY MARTIN MD DIRECTOR 0 1400696 0 264390 0 0 0 9900 0 25578 0 1700564 0 0 THOMAS J SENKER PRESIDENT 340009 340009 290918 290918 165000 165000 4950 4950 15491 15491 816368 816368 0 0 ZEENA DORAI MD DIRECTOR 1196570 0 130148 0 0 0 9900 0 11688 0 1348306 0 0 0 SAMER S NAJJAR MD DIRECTOR 577696 0 302926 0 0 0 9900 0 25388 0 915910 0 0 0 MAHSA MOHEBTASH MD DIRECTOR 0 791403 0 86734 0 0 0 9900 0 1552 0 889589 0 0 DEANA STOUT ASSISTANT TREASURER 97354 292060 47487 142463 0 0 8463 25386 6500 19500 159804 479409 0 0 SHAMS T QUAZI MD DIRECTOR 239945 239945 32500 32500 0 0 4950 4950 12662 12662 290057 290057 0 0 MARK R JENSEN DIRECTOR 484227 0 25000 0 0 0 9900 0 20907 0 540034 0 0 0 BRIAN CAWLEY SENIOR VP, OPERATIONS 320283 0 73632 0 0 0 9900 0 25652 0 429467 0 0 0 KAREN OWINGS CNO 305644 0 72001 0 0 0 22601 0 20259 0 420505 0 0 0 KRITIS DASGUPTA DIRECTOR 324510 0 13449 0 0 0 9900 0 25211 0 373070 0 0 0 PAUL SACK MD DIRECTOR 290972 0 49042 0 0 0 9900 0 20957 0 370871 0 0 0 PETER KUEHL MD PHYSICIAN 307204 0 15500 0 0 0 9787 0 10772 0 343263 0 0 0 PHYLLIS GRAY AVP, OPERATIONS 217987 0 53710 0 0 0 18367 0 19818 0 309882 0 0 0 JULIA OSEMI AKPAMA REGISTERED NURSE 235375 0 0 0 0 0 7333 0 0 0 242708 0 0 0 STUART BELL MD FORMER KEY EMPLOYEE 0 124784 0 32163 0 0 0 5618 0 12500 0 175065 0 0 YOLANDA BROOKS FORMER OFFICER 113019 0 9000 0 0 0 313 0 10033 0 132365 0 0 0 SOCIAL CLUB DUES SCHEDULE J, PART I, LINE 1: THE ORGANIZATION PAID BUSINESS CLUB DUES FOR TWO ASSOCIATES IN SENIOR MANAGEMENT THIS YEAR. PARTICIPATION IN THESE ACTIVITIES WAS FOR BUSINESS PURPOSES, AND HELPED THE ORGANIZATION FURTHER ITS EXEMPT PURPOSE. SCHEDULE J, PART I, LINE 4B: MAHSA MOHEBTASH, M.D, AND ZEENA DORAI, M.D. PARTICIPATED IN A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN DESCRIBED IN SECTION 457(F) DURING THIS YEAR. SCHEDULE J, PART III: 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. THOMAS J. SENKER'S OTHER REPORTABLE COMPENSATION IN PART II, COLUMN (B)(III) INCLUDES $330,000 REPRESENTING A LONG-TERM RETENTION ARRANGEMENT. THOMAS J. SENKER'S COMPENSATION IS FOR SERVICES PROVIDED AS PRESIDENT AT MEDSTAR GOOD SAMARITAN HOSPITAL AND MEDSTAR UNION MEMORIAL HOSPITAL DEANA STOUT'S COMPENSATION IS FOR SERVICES PROVIDED AS CFO/TREASURER AT MEDSTAR HARBOR HOSPITAL, MEDSTAR FRANKLIN SQUARE MEDICAL CENTER, MEDSTAR GOOD SAMARITAN HOSPITAL AND MEDSTAR UNION MEMORIAL HOSPITAL ARTHREX INC SEE PART V 3268499 MEDICAL SUPPLIES 0 BUSINESS TRANSACTION INVOLVING INTERESTED PERSONS SCHEDULE L, PART IV:THE FOLLOWING IS A SUBSTANTIAL CONTRIBUTOR (IN EXCESS OF $5,000) THAT ALSO PROVIDED SERVICES TO MEDSTAR UNION MEMORIAL HOSPITAL VALUED IN EXCESS OF $100,000: ARTHREX, INC. PER MEDSTAR'S CONFLICT OF INTEREST POLICY, THESE TRANSACTIONS ARE AT ARMS-LENGTH FOR FAIR MARKET VALUE. FORM 990, PART VI, SECTION A, LINE 6 ORGANIZATION MEMBERS THE ORGANIZATION IS AN AFFILIATE AND SUBSIDIARY OF MEDSTAR HEALTH, INC. MEDSTAR HEALTH, INC., OR ONE OF ITS AFFILIATES AND SUBSIDIARIES, IS THE SOLE MEMBER OF THE ORGANIZATION. FORM 990, PART VI, SECTION A, LINE 7A 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 & CEO OF MEDSTAR HEALTH, INC. FORM 990, PART VI, SECTION A, LINE 7B 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. FORM 990, PART VI, SECTION B, LINE 11B 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, STRATEGIC PLANNING, AND EXECUTIVE COMPENSATION. FOLLOWING THESE MEETINGS, THE GOVERNING BODY WAS PROVIDED A COPY OF THE FORM 990 IN ITS FINAL FORM AND GIVEN AN OPPORTUNITY TO PROVIDE ANY INPUT OR COMMENTS RELATING TO THE FORM 990 PRIOR TO ITS FILING. FORM 990, PART VI, SECTION B, LINE 12C CONFLICT OF INTEREST POLICY 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) ARE REVIEWED BY THE GOVERNANCE COMMITTEE OF THE MEDSTAR HEALTH BOARD OF DIRECTORS WHICH DETERMINES HOW THE MATTER SHOULD BE RESOLVED. FORM 990, PART VI, SECTION B, LINE 15 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 & YOUNG LLP ("E&Y") TO SERVE AS AN ADVISOR ON THE REASONABLENESS AND COMPETITIVENESS OF THE PROGRAM. IN DETERMINING REASONABLENESS AND COMPETITIVENESS, E&Y REVIEWS MARKET PRACTICES AND TRENDS, AND MAKES RECOMMENDATIONS RELATED TO THE PROGRAM. E&Y UTILIZES INFORMATION FROM CUSTOM SURVEYS, NATIONAL COMPENSATION SURVEYS, PROPRIETARY DATABASES, AND CLIENT EXPERIENCES TO DETERMINE ITS FINAL RECOMMENDATIONS. E&Y PRESENTS THEIR FINDINGS AND RECOMMENDATIONS TO THE COMMITTEE. THE COMMITTEE MAKES THE FINAL DECISIONS ON ALL OF THE COMPENSATION DETERMINATIONS OF THE PROGRAM. ALL DECISIONS MADE BY THE COMMITTEE ARE CONTEMPORANEOUSLY DOCUMENTED. FORM 990, PART VI, SECTION C, LINE 19 FINANCIAL STATEMENTS 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. FORM 990, PART IX, LINE 11G PURCHASED PROFESSIONAL SERVICES: PROGRAM SERVICE EXPENSES 5,632,874. MANAGEMENT AND GENERAL EXPENSES 304,344. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 5,937,218. PHYSICIAN SERVICES: PROGRAM SERVICE EXPENSES 860,728. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 860,728. PHYS SVCS EXP - INTERCOMPANY: PROGRAM SERVICE EXPENSES 1,760,831. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,760,831. PROFESSIONAL FEE-NON MD: PROGRAM SERVICE EXPENSES 21,665. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 21,665. PROFESSIONAL FEES-OTHER: PROGRAM SERVICE EXPENSES 239,472. MANAGEMENT AND GENERAL EXPENSES 5,124. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 244,596. INDIRECT ADMIN ALLOCATION: PROGRAM SERVICE EXPENSES 239,770. MANAGEMENT AND GENERAL EXPENSES -357. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 239,413. PHARMACY SERVICES: PROGRAM SERVICE EXPENSES 12,523. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 12,523. EEG SERVICES: PROGRAM SERVICE EXPENSES 35,275. MANAGEMENT AND GENERAL EXPENSES 5,340. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 40,615. PHARMACEUTICAL REPACKAGING: PROGRAM SERVICE EXPENSES 856. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 856. LAB SERVICES: PROGRAM SERVICE EXPENSES 375,909. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 375,909. APHERESIS: PROGRAM SERVICE EXPENSES 290,728. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 290,728. BLOOD BANK FEES: PROGRAM SERVICE EXPENSES 1,391,427. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,391,427. AMBULANCE FEES: PROGRAM SERVICE EXPENSES 1,080. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,080. COMMERCIAL LAUNDRY: PROGRAM SERVICE EXPENSES 696,523. MANAGEMENT AND GENERAL EXPENSES 97. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 696,620. PATIENT EDUCATION: PROGRAM SERVICE EXPENSES 102. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 102. DISCHARGE PLACEMENT EXPENSES: PROGRAM SERVICE EXPENSES 4,000. MANAGEMENT AND GENERAL EXPENSES 111,534. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 115,534. PATIENT TRANSPORTATION: PROGRAM SERVICE EXPENSES 969,044. MANAGEMENT AND GENERAL EXPENSES 27,966. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 997,010. RECOVERY-VARIABLE PURCH SRVS: PROGRAM SERVICE EXPENSES 32,325. MANAGEMENT AND GENERAL EXPENSES 974. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 33,299. MISC PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 142,840. MANAGEMENT AND GENERAL EXPENSES 15,791. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 158,631. HOUSEKEEPING SERVICES: PROGRAM SERVICE EXPENSES 54,858. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 54,858. CLEANING-CONTRACT SERVICE: PROGRAM SERVICE EXPENSES 302,123. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 302,123. SUBSIDY EXPENSE - INTERCOMPANY: PROGRAM SERVICE EXPENSES 62,460,404. MANAGEMENT AND GENERAL EXPENSES 119,752. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 62,580,156. OFFICE SERVICES: PROGRAM SERVICE EXPENSES 323. MANAGEMENT AND GENERAL EXPENSES 3,759. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 4,082. PRINTING SERVICES: PROGRAM SERVICE EXPENSES 1,002. MANAGEMENT AND GENERAL EXPENSES 5,407. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 6,409. COURIER SERVICES: PROGRAM SERVICE EXPENSES 157,791. MANAGEMENT AND GENERAL EXPENSES 1,429. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 159,220. BUS TRANSPORT SERVICES: PROGRAM SERVICE EXPENSES 368,885. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 368,885. ANSWERING SERVICE: PROGRAM SERVICE EXPENSES 25. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 25. SECURITY SYSTEM-CONTRACT SVC: PROGRAM SERVICE EXPENSES 73,691. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 73,691. PROTECTION SERVICE: PROGRAM SERVICE EXPENSES 327. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 327. COMPUTER SERVICES: PROGRAM SERVICE EXPENSES 267. MANAGEMENT AND GENERAL EXPENSES 109,095. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 109,362. RECOVERY FIXED PURCHASED SVC: PROGRAM SERVICE EXPENSES -6,854. MANAGEMENT AND GENERAL EXPENSES FORM 990, PART XI, LINE 9: EQUITY TRANSFERS 11,696,891. INCOME TAX PROVISION -58,015. FINANCIAL STATEMENTS AND REPORTING PART XII, LINE 2C: THE UNION MEMORIAL HOSPITAL IS PART OF THE MEDSTAR HEALTH, INC. AUDIT AND SUBJECT TO OVERSIGHT BY THE AUDIT COMMITTEE OF THE MEDSTAR BOARD. 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