4A (Expenses $ 408626426 including grants of $ 194471) (Revenue $ 501081392)
"SEE SCHEDULE OMEDSTAR FRANKLIN SQUARE'S LARGEST PROGRAM IS ACCESS TO AND THE PROVISION OF ACUTE HOSPITAL SERVICES TO THE COMMUNITIES OF EASTERN BALTIMORE COUNTY, MARYLAND AND THE SURROUNDING AREAS. IN ADDITION TO THE PROGRAM SERVICE EXPENSES LISTED ABOVE, MEDSTAR FRANKLIN SQUARE INCURRED $82.2M OF MANAGEMENT AND GENERAL EXPENSES IN PROVIDING SERVICES TO ITS COMMUNITIES. MEDSTAR FRANKLIN SQUARE OFFERS CLINICAL SERVICES IN MEDICINE, SURGERY, ONCOLOGY, CARDIOLOGY (INCLUDING ANGIOPLASTY), OBSTETRICS AND GYNECOLOGY, PEDIATRICS, EMERGENCY SERVICES, BEHAVIORAL HEALTH, NEURO-STROKE CARE, AND A VARIETY OF AMBULATORY SERVICES. MEDSTAR FRANKLIN SQUARE EXPANDED CAPABILITIES IN THE TREATMENT OF NEUROVASCULAR/STROKE CARE WITH A NEUROVASCULAR CENTER, STROKE CARE CENTER, AND NEUROCARE ICU. MEDSTAR FRANKLIN SQUARE ALSO CONSTRUCTED A HELIPAD ON THE ROOF OF THE HOSPITAL TO FACILITATE PATIENT CARE. ACCREDITED BY THE JOINT COMMISSION, MEDSTAR FRANKLIN SQUARE IS PROUD TO HAVE EARNED SOME OF THE REGION'S AND NATION'S MOST PRESTIGIOUS HONORS AND ACCOLADES, INCLUDING: MAGNET DESIGNATION BY THE AMERICAN NURSES CREDENTIALING CENTER (ANCC) FOR EXCELLENCE IN NURSING; THE AMERICAN HEART ASSOCIATION'S ""MISSION: LIFELINE - STEMI RECEIVING CENTER"" GOLD AWARD; THE AMERICAN HEART ASSOCIATION/AMERICAN STROKE ASSOCIATION'S ""GET WITH THE GUIDELINES"" STROKE GOLD PLUS ACHIEVEMENT AWARD, THE CRIB FOR KIDS NATIONAL SAFE SLEEP HOSPITAL CERTIFICATION; BALTIMORE MAGAZINE RECOGNIZED 78 MEDSTAR HEALTH PHYSICIANS AS ""TOP DOCTORS"" IN NOVEMBER 2021; BALTIMORE MAGAZINE RECOGNIZED 5 MEDSTAR FRANKLIN SQUARE NURSES FOR EXCELLENCE IN NURSING IN 2021; CARDIOPULMONARY REHABILITATION CERTIFIED BY THE AMERICAN ASSOCIATION OF CARDIOVASCULAR AND PULMONARY REHABILITATION; MARYLAND PATIENT SAFETY CENTER'S NEONATAL ABSTINENCE SYNDROME CENTER OF EXCELLENCE AWARD; NURSE IMPROVING CARE FOR HEALTHSYSTEM ELDERS (NICHE) SENIOR FRIENDLY, AND RECOGNITION BY US NEWS AND WORLD REPORT AS HIGH PERFORMING IN HEART FAILURE, DIABETES CARE, STROKE, CHRONIC OBSTRUCTIVE PULMONARY DISEASE, AND LUNG CANCER.SINCE MARCH 2020, MEDSTAR HEALTH HAS CARED FOR 1 IN 4 COVID-19 PATIENTS IN THE REGION. OPERATING AS ONE MEDSTAR AND ALIGNING WITH GUIDANCE FROM THE CENTERS FOR DISEASE CONTROL AND PREVENTION (CDC) AND LOCAL DEPARTMENTS OF HEALTH, MEDSTAR HEALTH COVID-19 PREPARATIONS AND RESPONSE CONTINUE TO BE GUIDED BY THREE CRITICAL DRIVERS: PROVIDE A SAFE CARE ENVIRONMENT FOR PATIENTS AND ASSOCIATES; MITIGATE COMMUNITY SPREAD OF COVID-19; AND ENSURE OPERATIONAL CONTINUITY TO FULFILL OUR CORE MISSION OF CARING FOR OUR COMMUNITIES.THESE EFFORTS HAVE EVOLVED AND TRANSITIONED IN MULTIPLE WAYS THROUGHOUT THE DURATION OF THE COVID-19 PANDEMIC, LEADING TO A NUMBER OF INTEGRATED CARE APPROACHES IN PLACE TODAY: UTILIZATION OF MEDSTAR HEALTH URGENT CARE, MEDSTAR EVISIT AND OUR DIGITAL CAPABILITIES TO CREATE ACCESS, TESTING SITES, AND TELEHEALTH FOR PRIMARY CARE AND FOLLOW-UP VISITS; EXPANDED MANAGEMENT OF CARE CONTINUUM NEEDS FOR PATIENTS THROUGH MEDSTAR HEALTH HOME CARE; EXECUTION OF INNOVATIVE LABORATORY APPROACHES INTEGRATED WITH OCCUPATIONAL HEALTH TO BETTER SUPPORT ASSOCIATES MANAGING THROUGH COVID-19 EXPOSURES; DEPLOYMENT OF COMMUNITY MOBILE UNITS AND CLINICS FOR COVID-19 VACCINATIONS/BOOSTERS; INCREASED MANAGEMENT OF SUPPLY AND ACQUISITION OF PERSONAL PROTECTIVE EQUIPMENT (PPE), N95 RESPIRATORS, COVID-19 VACCINES AND BOOSTERS; REINFORCEMENT OF A MANDATORY COVID-19 VACCINATION POLICY RESULTING IN COMPLIANCE OF 99% OF ASSOCIATES AND PHYSICIANS; AND ADMINISTRATION OF MORE THAN 36,800 COVID-19 VACCINATIONS/BOOSTERS TO MEDSTAR HEALTH ASSOCIATES AND PHYSICIANS AND MORE THAN 74,500 TO PATIENTS ACROSS THE REGION IN FY 2022."

4B (Expenses $ 50090143 including grants of $ 0) (Revenue $ 32190580)
MEDSTAR FRANKLIN SQUARE PROVIDED $50.1M IN SUBSIDIZED (MISSION DRIVEN) HEALTH SERVICES IN FISCAL YEAR 2022. 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 INCLUDE HOSPITALISTS, BEHAVIORAL HEALTH, NEUROLOGY, EMERGENCY MEDICINE, WOMEN'S AND CHILDREN'S HEALTH, AND PALLIATIVE CARE.

4C (Expenses $ 18749719 including grants of $ 0) (Revenue $ 0)
MEDSTAR FRANKLIN SQUARE PROVIDED $18.7M IN HEALTH PROFESSIONS EDUCATION IN FISCAL YEAR 2022. THIS CATEGORY INCLUDES TRAINING IN GRADUATE MEDICAL EDUCATION, AND EDUCATION FOR PHYSICIANS, MEDICAL STUDENTS, NURSES, AND OTHER HEALTH PROFESSIONS.

FRANKLIN SQUARE HOSPITAL CENTER
PART V, SECTION B, LINE 5: HOSPITAL 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: PATRICIA ISENNOCKROLE 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: JILL DONALDSON AND STUART LEVINE, MDROLE 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 : LYN ELIOTTTITLE : CEOORGANIZATION : ABILITIES NETWORK HEALTHY FAMILIESNAME : AIMEE SMITHTITLE : COMMUNITY SERVICES COORDINATORORGANIZATION : BALTIMORE COUNTY DEPT SOCIAL SERVICESNAME : DON SCHLIMMTITLE : ADMINISTRATORORGANIZATION : BALTIMORE COUNTY HEALTH & HUMAN SERVICES/LOCAL MGT BOARDNAME : LAURA CULBERTSONTITLE : CHIEF QUALITYORGANIZATION : BALTIMORE COUNTY DEPT HEALTHNAME : CONSTANCE NOTAROTITLE : PUBLIC HEALTH NURSE ADMINISTRATORORGANIZATION : BALTIMORE COUNTY DEPT HEALTHNAME : LEE OHNMACHTTITLE : BEHAVIORAL HEALTH PROGRAM MANAGERORGANIZATION : BALTIMORE COUNTY DEPT HEALTH NAME : RENE YOUNGFELLOW TITLE : DIVISION CHIEF, CLINICAL SERVICES-CENTER BASED SERVICESORGANIZATION : BALTIMORE COUNTY DEPT HEALTHNAME : COLLEEN MAHONEYTITLE : CHIEF OF POLICY, PLANNING AND ADMINISTRATIONORGANIZATION : BALTIMORE COUNTY DEPT PLANNINGNAME : SUSAN HAHNTITLE : PROGRAM SPECIALISTORGANIZATION : BALTIMORE COUNTY PUBLIC SCHOOLSNAME : PAM BROWNTITLE : DIRECTOR MATERNAL CHILD HEALTHORGANIZATION : BALTIMORE MEDICAL SYSTEMSNAME : MITCH POSNERTITLE : EXECUTIVE DIRECTORORGANIZATION : COMMUNITY ASSISTANCE NETWORKNAME : ERIC WASHINGTONTITLE : BOARD MEMBERORGANIZATION : COMMUNITY COLLEGE BALTIMORE COUNTYNAME : NANCY MATTUCCITITLE : HEALTH SERVICESORGANIZATION : BALTIMORE COUNTY PUBLIC SCHOOLSNAME : JUANITA IGNACIOTITLE : DIRECTORORGANIZATION : CREATIVE KIDSNAME : DIANA FERTSCH, M.D.TITLE : PEDIATRICIANORGANIZATION : DUNDALK PEDIATRICSNAME : JENNIE FUMAROLATITLE : DIRECTORORGANIZATION : EPIPHANY COMMUNITY SERVICESNAME : GAIL REIDTITLE : DIRECTOR COMMUNITY OUTREACHORGANIZATION : FAMILY CRISIS CENTERNAME : PATRICIA BARGERTITLE : COMMUNITY SERVICES MANAGER ORGANIZATION : FAMILY TREENAME : AMELIA JACKSON, N.P.TITLE : FAMILY NURSE PRACTITIONERORGANIZATION : HEALTH CARE FOR THE HOMELESSNAME : PAM NEWLANDTITLE : SR. VP, CEOORGANIZATION : HENDERSON WEBBNAME : NAISHA VINSONTITLE : SR. PHILANTHROPY OFFICERORGANIZATION : MEDSTAR HEALTH PHILANTHROPYNAME : MOLLY FIELDSTITLE : COMMUNITY HEALTH ADVOCATEORGANIZATION : MEDSTAR FRANKLIN SQUARE MEDICAL CENTERNAME : EMILY SHEELERTITLE : DIR. FINANCIAL SERVICES MULTISITEORGANIZATION : MEDSTAR FRANKLIN SQUARE MEDICAL CENTERNAME : LUCAS CARLSON, M.D.TITLE : MEDICAL DIRECTOR CARE TRANSFORMATIONORGANIZATION : MEDSTAR FRANKLIN SQUARE MEDICAL CENTERNAME : MIKE HARTNETTTITLE : VP MARKETING ORGANIZATION : MEDSTAR FRANKLIN SQUARE MEDICAL CENTERNAME : REBECCA LANDRETHTITLE : SR. DIR. NURSING OPERATIONSORGANIZATION : MEDSTAR FRANKLIN SQUARE MEDICAL CENTERNAME : PATRICIA ISENNOCKTITLE : RN REG. DIR POPULATION HEALTH ORGANIZATION : MEDSTAR FRANKLIN SQUARE MEDICAL CENTERNAME : KAREN POLITE-LAMMATITLE : RN PROGRAM MANAGER ORGANIZATION : MEDSTAR FRANKLIN SQUARE MEDICAL CENTERNAME : JERRICK JONESTITLE : COMMUNITY HEALTH ADVOCATEORGANIZATION : MEDSTAR FRANKLIN SQUARE MEDICAL CENTERNAME : STUART LEVINE, M.D.TITLE : PRESIDENTORGANIZATION : MEDSTAR FRANKLIN SQUARE MEDICAL CENTERNAME : LESLIE KAMINSKITITLE : BOARD MEMBERORGANIZATION : MEDSTAR FRANKLIN SQUARE MEDICAL CENTERNAME : FERNANDO MENA, M.D.TITLE : CHIEF PEDIATRICS NICUORGANIZATION : MEDSTAR FRANKLIN SQUARE MEDICAL CENTERNAME : DESTINY MURDOCKTITLE : COMMUNITY HEALTH ADVOCATEORGANIZATION : MEDSTAR FRANKLIN SQUARE MEDICAL CENTERNAME : JESSICA PAGUIRIGANTITLE : SOCIAL WORKORGANIZATION : MEDSTAR FRANKLIN SQUARE MEDICAL CENTERNAME : CORNELIU SANDA, M.D.TITLE : BEHAVIORAL HEALTHORGANIZATION : MEDSTAR FRANKLIN SQUARE MEDICAL CENTERNAME : JACQUE WIENECKETITLE : DIRECTOR CASE MANAGEMENTORGANIZATION : MFSMC CASE MANAGEMENTNAME : NANCY BARR, M.D.TITLE : MEDIAL DIRECTORORGANIZATION : MFSMC FAMILY HEALTH CENTERNAME : ROBIN HOLTTITLE : MANAGER COMMUNICATIONSORGANIZATION : MFSMC MARKETINGNAME : ALBERT ABOULAFIA, M.D.TITLE : PHYSICIAN DIRECTORORGANIZATION : MFSMC ONCOLOGYNAME : DAVID GHADISHA, M.D.TITLE : DEPARTMENT CHAIR ORGANIZATION : MFSMC WOMEN'SNAME : STEPHANIE DETTERLINE, M.D.TITLE : VP MEDICAL AFFAIRS ORGANIZATION : MEDSTAR FRANKLIN SQUARE MEDICAL CENTERNAME : JAIME CLARKTITLE : DIRECTOR OF OUTREACHORGANIZATION : NATIONAL ALLIANCE MENTAL ILLNESS METRO BALTIMORENAME : CHRISTOPHER BURNETTTITLE : PASTORORGANIZATION : ST. STEPHEN AME CHURCHNAME : KATIE MCELROYTITLE : ASSISTANT PROFESSORORGANIZATION : UNIVERSITY OF MD SCHOOL OF NURSING FAMILYNAME : BETH LITTRELLTITLE : DIRECTOR OF COMMUNITY ENGAGEMENTORGANIZATION : UNITED WAYNAME : JOHN GONTRUMTITLE : ATTORNEY/PARTNERORGANIZATION : WHITEFORD, TAYLOR, PRESTON, LLPNAME : PEGGY GAGEN TITLE : COMMUNITY MEMBERORGANIZATION : COMMUNITY NAME : PHYLLIS GRAYTITLE : AVP CARE TRANSFORMATIONORGANIZATION : MEDSTAR HEALTH - BALTIMORENAME : RAQUEL LAMPTEYTITLE : COMMUNITY HEALTH SYSTEM MGR.ORGANIZATION : MEDSTAR HEALTHNAME : DIANA QUINNTITLE : SR. DIR. COMMUNITY HEALTHORGANIZATION : MEDSTAR HEALTH

FRANKLIN SQUARE HOSPITAL CENTER
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.

CHARITY CARE AT COST
PART I, LINE 7AMARYLAND'S REGULATORY SYSTEM CREATES A UNIQUE PROCESS FOR HOSPITAL PAYMENT THAT DIFFERS FROM THE REST OF THE NATION. THE HEALTH SERVICES COST REVIEW COMMISSION (HSCRC), DETERMINES PAYMENT THROUGH A RATE-SETTING PROCESS AND ALL PAYORS, INCLUDING GOVERNMENTAL PAYORS, PAY THE SAME AMOUNT FOR THE SAME SERVICES DELIVERED AT THE SAME HOSPITAL. MARYLAND'S UNIQUE ALL-PAYOR SYSTEM INCLUDES A METHOD FOR REFERENCING UNCOMPENSATED CARE IN EACH PAYORS' RATES, WHICH DOES NOT ENABLE MARYLAND HOSPITALS TO BREAKOUT ANY OFFSETTING REVENUE RELATED TO UNCOMPENSATED CARE.

UNREIMBURSED MEDICAID
PART I, LINE 7BMARYLAND'S REGULATORY SYSTEM CREATES A UNIQUE PROCESS FOR HOSPITAL PAYMENT THAT DIFFERS FROM THE REST OF THE NATION. THE HEALTH SERVICES COST REVIEW COMMISSION (HSCRC), DETERMINES PAYMENT THROUGH A RATE-SETTING PROCESS AND ALL PAYORS, INCLUDING GOVERNMENTAL PAYORS, PAY THE SAME AMOUNT FOR THE SAME SERVICES DELIVERED AT THE SAME HOSPITAL. MARYLAND'S UNIQUE ALL-PAYOR SYSTEM INCLUDES A METHOD FOR REFERENCING UNCOMPENSATED CARE IN EACH PAYORS' RATES, WHICH DOES NOT ENABLE MARYLAND HOSPITALS TO BREAKOUT ANY OFFSETTING REVENUE RELATED TO UNCOMPENSATED CARE. 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, LINE 2 & 4MEDSTAR 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 8MARYLAND'S REGULATORY SYSTEM CREATES A UNIQUE PROCESS FOR HOSPITAL PAYMENT THAT DIFFERS FROM THE REST OF THE NATION. THE HEALTH SERVICES COST REVIEW COMMISSION (HSCRC) DETERMINES PAYMENT THROUGH A RATE-SETTING PROCESS AND ALL PAYORS, INCLUDING GOVERNMENTAL PAYORS, PAY THE SAME AMOUNT FOR THE SAME SERVICES DELIVERED AT THE SAME HOSPITAL. MARYLAND'S UNIQUE ALL-PAYOR SYSTEM INCLUDES A METHOD FOR REFERENCING UNCOMPENSATED CARE IN EACH PAYORS' RATES, WHICH DOES NOT ENABLE MARYLAND HOSPITALS TO BREAKOUT ANY OFFSETTING REVENUE RELATED TO UNCOMPENSATED CARE. AS SUCH, THE NET EFFECT FOR MEDICARE EXPENSES AND REVENUES IN MARYLAND IS ZERO.

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 FY21, MEDSTAR FRANKLIN SQUARE MEDICAL CENTER (MFSMC) 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 MFSMC'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, 2021 AND WILL GUIDE PROGRAMMING PRIORITIES IN FISCAL YEARS 2022-2024.THE CATEGORIES HEALTH AND WELLNESS, ACCESS TO CARE AND SOCIAL DETERMINANTS OF HEALTH WERE USED TO DETERMINE WHAT PROGRAMMING TO PRIORITIZE FOR THE CHNA. TWO TO THREE STRATEGIES IN EACH CATEGORY WERE SELECTED AS PRIORITIES DUE TO THE SIZE AND SCALE OF IMPACT AND MEASURABLE OUTCOMES. 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'S COMMUNITY BENEFIT SERVICE AREA (CBSA) IS BASED ON THE ADVISORY TASK FORCE (ATF) RECOMMENDATION. THE HOSPITAL IDENTIFIED SOUTHEAST BALTIMORE COUNTY AS ITS CBSA, WHICH INCLUDES ALL RESIDENTS LIVING IN ZIP CODES 21220 AND 21221. THE HOSPITAL SELECTED THIS GEOGRAPHIC AREA BASED ON HOSPITAL UTILIZATION DATA AND SECONDARY PUBLIC HEALTH DATA AS WELL AS ITS PROXIMITY TO THE HOSPITAL. THE 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.HEALTH PRIORITIES FOR THE CBSA INCLUDE HEALTH AND WELLNESS (CHRONIC DISEASE PREVENTION AND MANAGEMENT, BEHAVIORAL HEALTH, MATERNAL AND CHILD HEALTH), ACCESS TO HEALTH CARE SERVICES (TRANSPORTATION AND ACCESS TO AFFORDABLE HEALTH CARE AND INSURANCE) AND SOCIAL DETERMINANTS OF HEALTH (HOUSING, EMPLOYMENT AND RACIAL DISCRIMINATION). AS A PROUD MEMBER OF MEDSTAR HEALTH, 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 HOSPITALS. THE TEAM ANALYZES LOCAL AND REGIONAL COMMUNITY HEALTH DATA, ESTABLISHES SYSTEM-WIDE COMMUNITY HEALTH PROGRAMMING PERFORMANCE AND EVALUATION MEASURES AND SHARES BEST PRACTICES.

COMMUNITY INFORMATION
PART VI, LINE 4THE COMMUNITIES THE ORGANIZATION SERVES INCLUDES ZIP CODES 21220 AND 21221, BOTH SUBURBAN GEOGRAPHIC SERVICE AREAS. THERE ARE 12 HOSPITALS SERVING BALTIMORE COUNTY, AND TWO FEDERALLY DESIGNATED MEDICALLY UNDERSERVED AREAS PRESENT IN THE COMMUNITY. THERE ARE 39,199 PEOPLE IN 21220 AND THE MEDIAN INCOME IS $61,672. THERE ARE 42,154 PEOPLE IN 21221 AND THE MEDIAN INCOME IS $52,355. BALTIMORE COUNTY INCLUDES RESIDENTS WITH INCOMES BELOW THE FEDERAL POVERTY GUIDELINE (6.0%), UNINSURED (6.7%) AND MEDICAID RECIPIENTS (24%).

AFFILIATED HEALTH CARE SYSTEM
PART VI, LINE 6:AS A PROUD MEMBER OF MEDSTAR HEALTH, MFSMC IS ABLE TO EXPAND ITS CAPACITY TO MEET THE NEEDS OF THE COMMUNITY BY PARTNERING WITH OTHER MEDSTAR HOSPITALS AND ASSOCIATED ENTITIES. MEDSTAR HEALTH RESOURCES ASSIST THE HOSPITAL IN COMMUNITY HEALTH PLANNING TO MEET THE NEEDS OF THE UNINSURED AND OTHER VULNERABLE POPULATIONS. THROUGH ITS COMMUNITY HEALTH FUNCTION, MEDSTAR HEALTH PROVIDES MFSMC WITH TECHNICAL SUPPORT TO ENHANCE COMMUNITY HEALTH PROGRAMMING AND EVALUATION. MEDSTAR'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.

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 THE COMMUNITIES WE SERVE 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.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 THE COMMUNITIES THAT WE SERVE. 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 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 FINANCIAL ASSISTANCE POLICY, MEDSTAR UNIFORM FINANCIAL ASSISTANCE APPLICATION, AND THE MEDSTAR 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. FINAL ELIGIBILITY DETERMINATIONS ARE 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 PERIODIC PAYMENT PLANS AVAILABLE UNDER THIS POLICY WILL NOT BE AVAILABLE TO THOSE PATIENTS WHO FAIL TO FULFILL THEIR RESPONSIBILITIES. FOR PURPOSES OF THIS POLICY, PATIENT RESPONSIBILITIES INCLUDE: * 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 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 MEDICAL 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.

STATE FILING OF COMMUNITY BENEFIT REPORT
PART VI, LINE 7:THE COMMUNITY BENEFIT REPORT FOR MFSMC IS FILED IN THE STATE OF MARYLAND.

PROMOTION OF COMMUNITY HEALTH
PART VI, LINE 5:AS A COMMUNITY PARTNER, MFSMC ENGAGES IN SEVERAL COMMUNITY BENEFIT ACTIVITIES TO IMPROVE AND PROMOTE THE HEALTH AND WELLBEING OF THE COMMUNITY. PRIORITY AREAS, AS DETERMINED BY THE CHNA, FALL UNDER 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 WELLNESSCHRONIC DISEASE PREVENTION AND MANAGEMENT - NO COST PROGRAMS OFFERED TO SUPPORT HEALTHY LIFESTYLE CHANGES FOR COMMUNITY MEMBERS, PROGRAMS INCLUDE, CDC DIABETES PREVENTION PROGRAM, STOP SMOKING TODAY! TOBACCO CESSATION PROGRAM, AND THE STROKE SUPPORT GROUP. MFSMC ACTIVELY PARTICIPATES IN PROVIDING HEALTH EDUCATION ACROSS THE CBSA. SUPPORT GROUPS ARE OFFERED TO COMMUNITY MEMBERS FOR A VARIETY OF TOPICS INCLUDING ALZHEIMER'S CAREGIVERS, MENTAL HEALTH, DIABETES, BREASTFEEDING, CANCER, AND STROKE.BEHAVIORAL HEALTH - THE SCREENING, BRIEF INTERVENTION, AND REFERRAL TO TREATMENT (SBIRT) PROGRAM IS PROVIDED TO SUPPORT SUBSTANCE ABUSE RECOVERY IN THE COMMUNITY AND PROMOTE ACCESS TO BEHAVIORAL HEALTH PROGRAMS. THIS PROGRAM INCLUDES THREE MAIN COMPONENTS: SCREENING, BRIEF INTERVENTION, AND REFERRAL TO TREATMENT. THOSE WHO SCREEN POSITIVE FOR HIGH-RISK BEHAVIORS ARE CONNECTED TO PEER RECOVERY COACHES WHO CONDUCT A BRIEF INTERVENTION AND REFER TO TREATMENT IF APPROPRIATE. SBIRT IS CONDUCTED IN THE EMERGENCY DEPARTMENT, PRIMARY CARE, FAMILY HEALTH AND WOMEN'S HEALTH SETTINGS. PEER RECOVERY COACHES ARE INTEGRAL TO HOSPITAL CARE TEAMS TO ASSIST WITH IMPROVING ACCESS TO SUBSTANCE USE TREATMENT AND SOCIAL SERVICE LINKAGE, AND SUPPORT COMMUNITY EDUCATION EFFORTS. THE OPIOID SURVIVOR OUTREACH PROGRAM (OSOP) SENDS PEER RECOVERY COACHES IN THE FIELD TO SEE RECENT OVERDOSE SURVIVORS AND LINK THEM TO TREATMENT SERVICES, NALOXONE TRAININGS AND PROVIDE CONSISTENT POINT OF CONTACT SHOULD SOMEONE WISH TO ENTER CARE.MATERNAL AND CHILD HEALTH - THE HOSPITAL SUPPORTS POSITIVE BIRTH OUTCOMES IN ITS ROLE AS THE BACKBONE ORGANIZATION FOR THE HEALTHY BABIES COLLABORATIVE. ACTIVITIES INCLUDE A BREASTFEEDING MOMS SUPPORT GROUP.ACCESS TO CARECONNECTFEST! OFFERS A VARIETY OF BASIC MAINSTREAM RESOURCES AND PROVIDES DIRECT SERVICES APPLICATION ASSISTANCE AND REFERRALS FOR MANY BASIC NEEDS TO HELP MAINTAIN AND IMPROVE COMMUNITY HEALTH. CONNECTFEST! IS A COLLABORATION OF MEDSTAR FRANKLIN SQUARE MEDICAL CENTER, BALTIMORE COUNTY DEPARTMENTS OF HEALTH, PLANNING, SOCIAL SERVICES, BALTIMORE COUNTY PUBLIC SCHOOLS AND SOUTHEAST NETWORK SERVICE PROVIDERS.PATIENT FINANCIAL SERVICES PROVIDES FINANCIAL ASSISTANCE TO UNINSURED PATIENTS WHO RESIDE WITHIN THE COMMUNITY 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. OUR HOSPITAL PARTNERS WITH UBER HEALTH TO PROMOTE ACCESS TO CARE FOR VULNERABLE POPULATIONS. THROUGH THIS PARTNERSHIP, RIDES ARE PROVIDED TO PATIENTS AND/OR FAMILIES WITH FINANCIAL NEED. THE TRANSPORTATION ASSISTANCE ENABLES PATIENTS TO ATTEND NECESSARY APPOINTMENTS WITH THEIR HEALTH CARE PROVIDERS.THE HOSPITAL SUBSIDIZES HEALTH SERVICES TO ENSURE RESIDENTS HAVE ACCESS TO THE CLINICAL CARE THEY NEED.SOCIAL DETERMINANTS OF HEALTHSOCIAL NEEDS SCREENINGS ARE PROVIDED TO SCREEN FOR 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. OUR COMMUNITY PARTNER, AUNT BERTHA, PROVIDES AN ONLINE PLATFORM THAT ALLOWS STAFF TO TRACK AND MANAGE REFERRALS WITH LOCAL NONPROFIT GROUPS.THROUGH THE BALTIMORE POPULATION HEALTH WORKFORCE COLLABORATIVE PROGRAM COMMUNITY RESIDENTS ARE HIRED AND TRAINED AS COMMUNITY HEALTH ADVOCATES OR PEER RECOVERY COACHES. PARTICIPANTS BENEFIT FROM THE EMPLOYMENT OPPORTUNITY WHILE THE COMMUNITY BENEFITS THROUGH THEIR WORK DELIVERING BRIEF INTERVENTIONS AND CONNECTING THOSE IN NEED TO SOCIAL SERVICES, PROVIDING HEALTH EDUCATION, SUPPORTING CARE DELIVERY, AND PROMOTING SELF-ADVOCACY.COMMUNITY HEALTH WORKERS IMPROVE THE HEALTH OF THEIR COMMUNITIES BY CONDUCTING SOCIAL NEEDS SCREENING, EDUCATING PATIENTS ON DISEASE AND INJURY PREVENTION AND LINKING COMMUNITY MEMBERS TO HEALTHCARE AND SOCIAL SERVICES, INCLUDING FOOD ACCESS, TRANSPORTATION, HOUSING, AND UTILITY ASSISTANCE.HOUSING - ASSESS ROLE OF HOSPITAL IN HOUSING RELATED TO HEALTH. SUPPORT HOUSING PARTNERS AND INITIATIVES.DISASTER READINESSTHE HOSPITAL STRENGTHENED THE COMMUNITY HEALTH RESILIENCE BY IMPROVING THE ABILITY OF THE COMMUNITY TO WITHSTAND AND RECOVER FROM CORONAVIRUS, A PUBLIC HEALTH EMERGENCY THAT SURFACED IN MARCH 2020. LEADERSHIP PARTICIPATED IN COMMUNITY-WIDE TASK FORCES AND STAFF IMPLEMENTED PROGRAMS ASSOCIATED WITH ADDRESSING HEALTH NEEDS ARISING FROM CORONAVIRUS. STAFF PLANNED AND IMPLEMENTED COMMUNITY RESPONSE EFFORTS INCLUDING COVID-19 TESTING AND VACCINATION EVENTS AND PUBLIC EDUCATION EFFORTS. EVENTS AND OUTREACH OCCURRED AT HOSPITAL CAMPUSES AND AT TARGETED COMMUNITY LOCATIONS SUCH AS SENIOR COMPLEXES, CHURCHES AND COMMUNITY CENTERS TO BEST REACH UNDERSERVED AND AT-RISK POPULATIONS. PPE (PERSONAL PROTECTIVE EQUIPMENT) AND CLINICAL EQUIPMENT WERE ALSO DONATED TO OTHER NON-PROFITS SUPPORTING DISASTER RELIEF EFFORTS.