4A (Expenses $ 517623000 including grants of $ 175556204) (Revenue $ 449543000)
EDUCATION, GENERAL/OTHER - HOWARD UNIVERSITY IS A COMPREHENSIVE RESEARCH-ORIENTED HISTORICALLY BLACK PRIVATE UNIVERSITY PROVIDING AN EDUCATIONAL EXPERIENCE OF EXCEPTIONAL QUALITY TO STUDENTS OF HIGH ACADEMIC POTENTIAL WITH PARTICULAR EMPHASIS UPON THE PROVISION OF EDUCATIONAL OPPORTUNITIES TO ALL STUDENTS. HOWARD UNIVERSITY IS THE NATION'S TOP PRODUCER OF MINORITY LAWYERS, DENTISTS, PHYSICIANS AND AFRICAN AMERICAN PHDS IN THE SCIENCE AND TECHNOLOGY FIELDS. THE UNIVERSITY SERVES A COMMUNITY OF MORE THAN 12,000 STUDENTS.

4B (Expenses $ 260366000 including grants of $ 0) (Revenue $ 312719000)
A PRIVATE, NONPROFIT INSTITUTION, HOWARD UNIVERSITY HOSPITAL IS THE NATION'S ONLY TEACHING HOSPITAL LOCATED ON THE CAMPUS OF A HISTORICALLY BLACK UNIVERSITY. IT OFFERS MEDICAL STUDENTS A SUPERIOR LEARNING ENVIRONMENT AND OPPORTUNITIES TO OBSERVE OR PARTICIPATE IN CLINICAL AND RESEARCH WORK WITH PROFESSIONALS THAT UNIQUELY ADDRESSES THE SPECIAL HEALTH CARE NEEDS OF MEDICALLY UNDERSERVED COMMUNITIES. HOWARD UNIVERSITY HOSPITAL ADMITS PATIENTS REGARDLESS OF THEIR ABILITY TO PAY.

4C (Expenses $ 41895459 including grants of $ 0) (Revenue $ 32773807)
THE UNIVERSITY OFFERS EDUCATIONAL SUPPORT THROUGH ITS AUXILIARY SERVICES FOR THE BENEFIT OF STAFF, FACULTY AND STUDENTS AND TO COMPLEMENT THE QUALITY OF THE ACADEMIC LIFE. AUXILIARY SERVICES INCLUDE STUDENT HOUSING, FOOD SERVICES, PARKING, TRANSPORTATION SERVICES AND PUBLIC TELEVISION STATION.

HOWARD UNIVERSITY HOSPITAL
PART V, SECTION B, LINE 3J: THROUGH THE WORK OF THE DC HEALTH MATTERS COLLABORATIVE, A COMPREHENSIVE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) WAS COMPLETED IN JUNE 2022. THE COLLABORATIVE WAS FOUNDED IN 2012 IN RESPONSE TO NEW REQUIREMENTS IN THE PATIENT PROTECTION AND AFFORDABLE CARE ACT OF 2010 (ACA), WHICH MANDATED NONPROFIT HOSPITALS TO ISSUE A COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) AND CORRESPONDING COMMUNITY HEALTH IMPROVEMENT PLAN (CHIP) EVERY THREE YEARS. TO REDUCE REDUNDANCY, COMBINE RESOURCES, AND IMPROVE PARTNERSHIPS, A GROUP OF HOSPITALS AND HEALTH CENTERS CAME TOGETHER TO PRODUCE A JOINT DISTRICT-WIDE CHNA AND CHIP IN 2013, 2016, 2019, AND 2022. SINCE 2016, THE WORK OF THE COLLABORATIVE HAS CENTERED ON THE NEEDS IDENTIFIED IN THE COMMUNITY HEALTH NEEDS ASSESSMENTS: MENTAL HEALTH, CARE COORDINATION, HEALTH LITERACY, AND PLACE-BASED CARE. DC HEALTH MATTERS COLLABORATIVE RECOGNIZES THAT MOST OF HEALTH IS DRIVEN BY SOCIAL FACTORS OUTSIDE OF HEALTHCARE, SUCH AS HOUSING, EDUCATION, AND ENVIRONMENT.THE CHIEF INFLUENCE ON COMMUNITY HEALTH IN THE LAST THREE YEARS HAS BEEN THE COVID-19 PANDEMIC. LIKEWISE, THE SHAPE AND SCOPE OF THE CHNA WAS GOVERNED BY CONSTRAINTS OF THE PUBLIC HEALTH CRISIS AND CHANGED SEVERAL TIMES SINCE PLANNING BEGAN IN 2020. THIS FINAL DOCUMENT INCLUDED AN ABBREVIATED CHNA PROCESS, AND INCLUDES THREE MAIN ELEMENTS: 1) DESCRIPTIONS OF THE WORK OF THE D.C. HEALTH MATTERS COLLABORATIVE SINCE THE 2019 CHNA WAS RELEASED, 2) SUMMARIES OF THE DIVERSE LANDSCAPE OF EXISTING LOCAL RESEARCH DOCUMENTING COMMUNITY HEALTH AND OTHER SOCIAL FACTORS, INCLUDING THOSE BY D.C. HEALTH, GEORGETOWN UNIVERSITY, D.C. APPLESEED, MEDSTAR AND CHILDREN'S NATIONAL HOSPITAL, AMONG OTHERS, 3) INTERVIEWS WITH LEADERS IN HEALTH PROVIDER ORGANIZATIONS, INCLUDING FQHCS, WHICH SERVE AND REPRESENT LOW-INCOME, MINORITY, AND MEDICALLY UNDERSERVED RESIDENTS IN OUR COMMUNITY, TO IDENTIFY AND PRIORITIZE SIGNIFICANT HEALTH NEEDS IN THE COMMUNITY.FOR THE CHNA, COMMUNITY WAS DEFINED BY THE GEOGRAPHIC BOUNDARIES OF THE DISTRICT OF COLUMBIA.AFTER TWO YEARS OF PROVIDING SERVICES DURING THE PUBLIC HEALTH EMERGENCY, HEALTH SYSTEM STAKEHOLDERS HAD A UNIQUE AND IMPORTANT OPPORTUNITY TO TAKE STOCK TOGETHER. CONCERNS ABOUT WELL-BEING, SOCIAL NEEDS, WORKFORCE BURN-OUT, AND EQUITY ARE TOP OF MIND FOR HEALTHCARE LEADERS. STAND-OUT THEMES INCLUDE: 1) WORSENED BEHAVIORAL HEALTH AND MENTAL WELL-BEING (INCLUDING, BUT NOT LIMITED TO, SOCIAL ISOLATION, SUBSTANCE ABUSE, STRESS CREATED DURING THE COVID-19 PANDEMIC, POOR LIFE SATISFACTION), 2) RECOGNITION OF THE SIGNIFICANT IMPACT OF SOCIAL NEEDS AND CONDITIONS THAT IMPACT WELL- BEING (ACCESS TO CHILDCARE, HOUSING, EMPLOYMENT, FOOD INSECURITY, TRANSPORTATION), 3) DECREASED NEIGHBORHOOD SAFETY AND NEED FOR VIOLENCE PREVENTION, 4) BARRIERS IN ACCESSING HEALTHCARE (SUCH AS ACCESS TO AND GAPS IN INSURANCE COVERAGE, FEAR OR MISTRUST OF PROVIDERS, INSTITUTIONAL RACISM AND EXPERIENCE OF DISCRIMINATION, COMMUNICATION CHALLENGES, LIFE CIRCUMSTANCES), 5) ACUTE AND DISPARATE SOCIAL AND HEALTHCARE NEEDS OF BLACK D.C. RESIDENTS, WHICH LEADS TO WORSE CHRONIC DISEASE BURDEN, HIGHER MORTALITY RATES FROM COVID-19, LESS ACCESS TO WEALTH AND INCOME OPPORTUNITIES, AND LOWER LIFE EXPECTANCY, 6) IMPACT OF PATIENT/RESIDENT ACCESS TO TECHNOLOGY AND ONLINE PLATFORMS TO ACCESS HEALTHCARE, SOCIAL AND EDUCATIONAL SERVICES, AS WELL AS NEED FOR PROVIDERS TO MAXIMIZE HEALTH INFORMATION EXCHANGE FOR CARE AND COORDINATION, 7) THE IMPORTANCE OF EMERGENCY PREPAREDNESS FOR GOVERNMENT SYSTEMS, HEALTH PROVIDERS, AND INDIVIDUALS, 8) URGENT NEED FOR ADEQUATE LABOR POOL HEALTH AND BEHAVIORAL HEALTH PROFESSIONS, INCLUDING TRADITIONAL AND NONTRADITIONAL POSITIONS, 9) ESSENTIALITY OF CULTURAL AND LINGUISTIC COMPETENCE AND TRAUMA-INFORMED CARE AMONG PROVIDERS, AND APPROPRIATE, RESPECTFUL COMMUNICATION WITH COMMUNITIES.LEVERAGING EXISTING ASSESSMENTS RESULTED IN REDUCED DUPLICATION AND ALIGNMENT OF PRIORITIES WITH OTHER INITIATIVES TO ACHIEVE SHARED OUTCOMES FOR OUR COMMUNITY. GOING FORWARD, THE COLLABORATIVE WILL CONTINUE TO HAVE DISCUSSIONS ABOUT AREAS FOR PARTNERSHIP IN THE DEVELOPMENT AND EXECUTION OF OUR RESPECTIVE COMMUNITY HEALTH IMPROVEMENT WORK.

HOWARD UNIVERSITY HOSPITAL
"PART V, SECTION B, LINE 5: GIVEN THE FATIGUE IN THE HEALTH SYSTEM AND THE COMMUNITY DURING THE COVID-19 PANDEMIC, AND THE LIMITATIONS TO COMMUNITY ENGAGEMENT POSED BY COVID INFECTION RISK, SUCH ALIGNMENT WAS EVEN MORE IMPORTANT IN 2022.THE 2022 CHNA INCLUDES THREE MAIN ELEMENTS: DESCRIPTIONS OF THE WORK OF THE D.C. HEALTH MATTERS COLLABORATIVE SINCE THE 2019 CHNA WAS RELEASED; SUMMARIES OF THE DIVERSE LANDSCAPE OF EXISTING LOCAL RESEARCH ON COMMUNITY HEALTH AND OTHER SOCIAL FACTORS; INTERVIEWS WITH LEADERS IN HEALTH PROVIDER ORGANIZATIONS.THE COLLABORATIVE REVIEWED 16 LOCAL REPORTS RELEASED 2019-2022 FOCUSED ON HEALTH, INCLUSIVE OF BEHAVIORAL HEALTH, COVID-19 IMPACTS, AND RELEVANT SOCIAL ISSUES RELATED TO HEALTH SUCH AS HOUSING AND TRANSPORTATION. AMONG OTHERS, THIS INCLUDED: 1) THE D.C. COMMUNITY HEALTH NEEDS ASSESSMENT PUBLISHED IN 2019 BY D.C. HEALTH 2) THE ""HEALTH DISPARITIES IN THE BLACK COMMUNITY"" REPORT PUBLISHED JUNE 2020 BY GEORGETOWN UNIVERSITY'S SCHOOL OF NURSING AND HEALTH STUDIES. 3) ""D.C. FRONTLINE AND ESSENTIAL WORKERS' NEEDS DURING COVID-19"" PUBLISHED IN NOVEMBER 2020 BY D.C. APPLESEED 4) MEDSTAR HEALTH'S CHNA REPORT PUBLISHED IN JUNE 2021 BY MEDSTAR HEALTH 5) D.C. HEALTH'S ""COVID-19 PANDEMIC HEALTH AND HEALTHCARE RECOVERY REPORT"" RELEASED IN MAY 2021. 6) ""A PATH FORWARD: TRANSFORMING THE PUBLIC BEHAVIORAL HEALTH SYSTEM FOR CHILDREN, YOUTH, AND THEIR FAMILIES"" PUBLISHED IN 2021 BY CHILDREN'S LAW CENTER, CHILDREN'S NATIONAL HOSPITAL, D.C. BEHAVIORAL HEALTH ASSOCIATION, EARLY CHILDHOOD INNOVATION NETWORK, HEALTH ALLIANCE NETWORK, MEDSTAR GEORGETOWN UNIVERSITY HOSPITAL DIVISION OF CHILD AND ADOLESCENT PSYCHIATRY, PARENT WATCH, AND TOTAL FAMILY CARE COALITION 6) CHILDREN'S NATIONAL HOSPITAL (CNH) AND HSC PEDIATRIC CENTER (HSC) PEDIATRIC CHNA RELEASED IN JUNE 2022.INTERVIEWS WITH OUR MEMBER ORGANIZATION'S LEADERSHIP HAVE BEEN A KEY ELEMENT OF OUR NEEDS ASSESSMENT PROCESS THROUGH THE LAST DECADE. AFTER TWO YEARS OF PROVIDING SERVICES DURING THE PUBLIC HEALTH EMERGENCY, HEALTH SYSTEM STAKEHOLDERS HAD A UNIQUE AND IMPORTANT OPPORTUNITY TO TAKE STOCK. IN 18 INTERVIEWS, STEERING COMMITTEE MEMBERS SPOKE WITH THEIR LEADERSHIP ABOUT WHERE WE ARE AS A HEALTH SYSTEM AND AS A CITY, WHERE WE WANT TO BE, AND HOW TO BEST GET THERE.LASTLY, A WEALTH OF UP-TO-DATE QUANTITATIVE DATA ARE CONTINUALLY UPDATED ON THE D.C. HEALTH MATTERS DATA DASHBOARD. THIS PORTAL, SPONSORED BY THE D.C. HEALTH MATTERS COLLABORATIVE, INCLUDES THOUSANDS OF INDICATORS ACROSS DOZENS OF DATA SOURCES, SERVES AS A LIVE NEEDS ASSESSMENT FREE FOR PUBLIC USE."

HOWARD UNIVERSITY HOSPITAL
PART V, SECTION B, LINE 6A: THE HOSPITAL FACILITY'S CHNA WAS CONDUCTED WITH FOUR OTHER HOSPITAL FACILITIES AS FOLLOWS: CHILDREN'S NATIONAL HEALTH SYSTEM, HSC HEALTHCARE SYSTEM, PROVIDENCE HEALTH SYSTEM, AND SIBLEY MEMORIAL HOSPITAL.

HOWARD UNIVERSITY HOSPITAL
PART V, SECTION B, LINE 6B: THE HOSPITAL FACILITY'S CHNA WAS ALSO CONDUCTED WITH THE FOUR FEDERALLY QUALIFIED HEALTH CENTERS (FQHCS): BREAD FOR THE CITY, COMMUNITY OF HOPE, MARY'S CENTER, AND UNITY HEALTH CARE.

HOWARD UNIVERSITY HOSPITAL
PART V, SECTION B, LINE 11: THE COMMUNITY HEALTH IMPROVEMENT PLAN (CHIP) WAS DEVELOPED IN RESPONSE TO THE 2022-2025 COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) SELECTED THREE PRIORITY AREAS OF FOCUS: MENTAL WELL-BEING, EQUITABLE ACCESS TO CARE (AND EVERYTHING PATIENTS NEED INCLUDING COORDINATION OF THAT CARE, HOUSING AND SOCIAL SUPPORT SERVICES), AND COMMUNITY-BASED WORKFORCE DEVELOPMENT (INCLUDING RETENTION AND DEVELOPMENT OF THE HEALTHCARE WORKFORCE). THE CHNA IDENTIFIED SALIENT AND IMPORTANT FINDINGS, AND COLLABORATIVE MEMBERS COMPLETED A MATRIX TO IDENTIFY STRATEGIES MOST ALIGNED WITH THEIR ORGANIZATION GOALS AND RESOURCES. THROUGH A STRUCTURED PROCESS, THE COLLABORATIVE SELECTED NINE STRATEGIES FOR THE 2020 COMMUNITY HEALTH IMPROVEMENT PLAN (CHIP) THAT OFFER THE OPPORTUNITY TO INFLUENCE POLICIES, SYSTEMS, OR SOCIAL CONDITIONS THAT CAN MAKE A DIFFERENCE IN THE LIVES OF DC RESIDENTS. THE COLLABORATIVE CONSOLIDATED STRATEGIES BEING ADDRESSED BY OTHER GROUPS TO ELIMINATE REDUNDANCY. FINDINGS THAT THE CHIP WILL NOT ADDRESS WILL BE ADDRESSED WITH ONGOING WORK SUCH AS DC HEALTH'S COMMUNITY HEALTH NEEDS ASSESSMENT, THE MAYOR'S COMMISSION ON HEALTHCARE SYSTEM TRANSFORMATION FORTHCOMING RECOMMENDATIONS, AND THE COMMUNITY HEALTH IMPROVEMENT EFFORTS OF THE DC HOSPITAL ASSOCIATION AND DC PRIMARY CARE ASSOCIATION. THE MENTAL WELL-BEING GOALS FOR HOWARD UNIVERSITY HOSPITAL ARE: 1) IMPLEMENTATION OF ADDICTION CONSULT SERVICES (ACS) AND INPATIENT WITHDRAWAL MANAGEMENT, 2) PROVIDE ADDICTION CONSULTS TO PATIENTS WITH SUBSTANCE USE OR CO-OCCURRING DISORDERS, 3) ADDICTION CONSULTS INCLUDE EVALUATION AND DIAGNOSIS, TREATMENT PLAN, MOTIVATIONAL ENHANCEMENT THERAPY, RECOVERY COACHING, PATIENT NAVIGATION, AND LINKAGE TO COMMUNITY-BASED SUPPORTS, 4) IMPLEMENT MOTHERS FIRST, AN HUH COLLABORATIVE MATERNAL BEHAVIORAL HOME-BASED CARE SERVCE. THE EQUITABLE ACCESS TO CARE COORDINATION GOALS ARE: 1) EXPAND OPEN ACCESS AMBULATORY SUBSTANCE USE DISORDERS (SUD) AND CO-OCCURRING SUD AND PSYCHIATRIC DISORDER CLINICS, 2) INCREASE ACCESS TO CULTURALLY APPROPRIATE COMMUNITY-BASED SUD TREATMENT SERVICS IN COMMUNITIES AT HIGH RISK FOR SUBSTANCE USE DISORDERS.THE COMMUNITY-BASED WORKFORCE DEVELOPMENT GOALS ARE: 1) HELP STRENGTHEN D.C. COMMUNITY WORKFORECE. THE COLLABORATIVE WILL CONTINUE TO HOST THE DATA DASHBOARD OF COMMUNITY HEALTH INDICATORS AND RESOURCES TAILORED TO D.C. FOR THE PURPOSE OF TRACKING AND MONITORING COLLABORATIVE WORK.

HOWARD UNIVERSITY HOSPITAL
PART V, SECTION B, LINE 13B: IF THE PATIENT IS ABOVE THE FPG, THE HOSPITAL ASSESSES THE ABILITY TO PAY AND WILL SET UP A PAYMENT PLAN IN COORDINATION WITH THE PATIENT.

HOWARD UNIVERSITY HOSPITAL
PART V, SECTION B, LINE 13H: THE HOSPITAL ALSO REVIEWS OTHER DOCUMENTS, SUCH AS CREDIT CARD REPORTS, PAYSTUBS, AND LIVING EXPENSE REPORTS, ETC AS CRITERIA TO DETERMINE ELIGIBILITY FOR FREE OR DISCOUNTED CARE.

HOWARD UNIVERSITY HOSPITAL
PART V, SECTION B, LINE 16J: THE HOSPITAL PROVIDES NOTIFICATION ON THE PATIENT'S BILLING STATEMENT THAT FINANCIAL ASSISTANCE IS AVAILABLE FOR THOSE WHO QUALIFY. A TOLL-FREE NUMBER IS PROVIDED FOR PATIENTS TO CALL FOR ADDITIONAL INFORMATION. THE HOSPITAL EMPLOY'S AND PROVIDES FINANCIAL COUNSELORS AND PATIENT ACCOUNT CUSTOMER SERVICE REPRESENTATIVES WHO ASSIST PATIENT'S IN IDENTIFYING ELIGIBILITY FOR FEDERAL AND/OR DISTRICT PROGRAMS THAT CAN PROVIDE FINANCIAL ASSISTANCE FOR QUALIFIED PATIENTS.IN ADDITION TO THE FINANCIAL COUNSELORS AND PATIENT ACCOUNT CUSTOMER SERVICE REPRESENTATIVES, THE HOSPITAL UTILIZES A THIRD-PARTY ELIGIBILITY VENDOR TO COMPLETE PATIENT FINANCIAL ASSISTANCE INTERVIEWS WITH UNINSURED PATIENTS. THIS VENDOR ALSO ASSISTS PATIENTS WITH THE COMPLETION OF HOSPITAL FINANCIAL ASSISTANT APPLICATION IF THE PATIENT IS DETERMINED INELIGIBLE FOR FEDERAL AND/OR DISTRICT MEDICAL FINANCIAL ASSISTANT PROGRAMS.

FORM 990, SCHEDULE H, PART V, SECTION B, LINE 10A
THE HOSPITAL FACILITY'S MOST RECENT ADOPTED IMPLEMENTATION STRATEGY IS PUBLICLY AVAILABLE AND POSTED ON THE FOLLOWING WEBSITE:HTTPS://WWW.HUHEALTHCARE.COM/ABOUT-US/CHNA/FORM 990, SCHEDULE H, PART V, SECTION B, LINE 16A, LINE 16B AND LINE 16CTHE FINANCIAL ASSISTANCE POLICY (FAP) WAS PUBLICLY AVAILABLE AND POSTED ON THE FOLLOWING WEBSITE: HTTPS://WWW.HUHEALTHCARE.COM/APP/FILES/PUBLIC/5DC557E3-5C9F-4D10-8521-686DD8888CF3/CFO_011_16_FINANCIAL%20ASSISTANCE%20POLICY%20WEBSITE%2001272023.PDFTHE FINANCIAL ASSISTANCE POLICY (FAP) APPLICATION WAS PUBLICLY AVAILABLE AND POSTED ON THE FOLLOWING WEBSITE:HTTP://HUHEALTHCARE.COM/HEALTHCARE/HOSPITAL/PATIENTS-AND-VISITORS/PATIENT-FINANCIAL-SERVICES/FINANCIAL-ASSISTANCE-APPLICATIONA PLAIN LANGUAGE SUMMARY OF THE FINANCIAL ASSISTANCE POLICY (FAP) WAS PUBLICLY AVAILABLE AND POSTED ON THE FOLLOWING WEBSITE:HTTPS://WWW.HUHEALTHCARE.COM/PATIENTS-VISITORS/FINANCIAL-SERVICES/FINANCIAL-ASSISTANCE/

PART I, LINE 6A:
HOWARD UNIVERSITY HOSPITAL (HUH) IS PART OF HOWARD UNIVERSITY. SERVICE TO THE NATION HAS BEEN, AND CONTINUES TO BE, ONE OF THE PRIMARY MISSIONS OF HOWARD UNIVERSITY. A COMMUNITY BENEFIT REPORT IS PREPARED ANNUALLY BY THE OFFICE OF UNIVERSITY RESEARCH AND PLANNING, AND THE HOWARD UNIVERSITY COMMUNITY ASSOCIATION, WHICH ILLUSTRATES A FRACTION OF THE MANY CIVIC AND COMMUNITY ACTIVITIES IN WHICH THE HOWARD UNIVERSITY FACULTY, STAFF, STUDENTS, AND ALUMNI ARE ENGAGED. HOWARD UNIVERSITY OFFERS OVER 100 PROGRAMS, SERVICES, AND ACTIVITIES THAT ARE AVAILABLE TO THE PUBLIC. SOME OF THESE INCLUDE: HEALTH EDUCATION, SCREENING AND CLINICAL SERVICES, ACTIVITIES IN COORDINATION WITH THE DISTRICT OF COLUMBIA PUBLIC SCHOOLS, BOARDER BABIES PROGRAM, AND A TOBACCO CONTROL PROGRAM. THE COMMUNITY BENEFIT REPORT IS AVAILABLE ON THE HOWARD UNIVERSITY WEBSITE.

PART I, LINE 7:
PART I, 7A: CHARITY CARE AT COST - FREE OR DISCOUNTED HEALTH CARE SERVICES PROVIDED TO PERSONS WHO MET THE ORGANIZATIONS CRITERIA FOR FINANCIAL ASSISTANCE AND ARE THEREFORE DEEMED UNABLE TO PAY FOR ALL OR A PORTION OF SUCH SERVICES. PART I, 7B: MEDICAID - WHEN MEDICAID, A STATE HEALTH CARE PROGRAM FOR QUALIFYING LOW-INCOME RESIDENTS, DOES NOT REIMBURSE HUH FOR THE FULL COST OF HEALTH CARE SERVICES PROVIDED TO PATIENTS, HUH THEN COVERS THE ADDITIONAL COSTS AT A FINANCIAL LOSS.PART I, 7B: COSTS - OTHER MEANS-TESTED GOVERNMENT PROGRAMS - GOVERNMENT PROGRAMS FOR WHICH ELIGIBILITY FOR BENEFITS OR COVERAGE IS DETERMINED BY THE RECIPIENT'S INCOME OR ASSET LEVEL.PART I, 7E: COMMUNITY HEALTH IMPROVEMENT SERVICES ACTIVITIES AND SERVICES FOR WHICH THERE IS NO ABILITY TO GENERATE BILLS FOR SERVICES TO BE REIMBURSED. THESE SERVICES ARE NOT EXPECTED TO BE FINANCIALLY SELF-SUPPORTING, ALTHOUGH SOME MAY BE SUPPORTED BY OUTSIDE GRANTS OR OTHER MEANS OF FUNDING. SOME EXAMPLES INCLUDE FREE CLINIC SERVICES, PROGRAMS DIRECTED AT IMPROVING WOMEN'S HEALTH, FREE OR LOW COST PRESCRIPTION MEDICATIONS, AND RURAL AND URBAN OUTREACH PROGRAMS.COMMUNITY BENEFIT OPERATIONS COSTS ASSOCIATED WITH DEDICATED STAFF, COMMUNITY HEALTH NEEDS AND/OR ASSESSMENTS, AND OTHER COSTS ASSOCIATED WITH COMMUNITY BENEFIT STRATEGY AND OPERATIONS.PART I, LINE 7F: HEALTH PROFESSIONALS EDUCATION PROGRAMS THAT RESULT IN A DEGREE, CERTIFICATE, OR TRAINING THAT IS NECESSARY TO BE LICENSED TO PRACTICE AS A HEALTH PROFESSIONAL, AS REQUIRED BY STATE LAW; OR CONTINUING EDUCATION THAT IS NECESSARY TO RETAIN STATE LICENSE OR CERTIFICATION BY A BOARD IN THE INDIVIDUAL'S HEALTH PROFESSION SPECIALTY.PART I, LINE 7G: CLINICAL SERVICES THAT ARE PROVIDED, DESPITE A FINANCIAL LOSS TO THE ORGANIZATION. THE FINANCIAL LOSS IS MEASURED AFTER REMOVING LOSSES, MEASURED BY COSTS, ASSOCIATED WITH BAD DEBT, CHARITY CARE ELIGIBLE ALLOWANCES, MEDICAID NON OR UNDER-REIMBURSED SERVICES, AND OTHER MEANS-TESTED GOVERNMENT PROGRAMS. DESPITE THE FINANCIAL LOSS, THE SERVICE IS PROVIDED BECAUSE IT MEETS AN IDENTIFIED COMMUNITY NEED, SUCH AS PROVIDING ACCESS THAT IS NEEDED TO CARE FOR LOW-INCOME INDIVIDUALS. IF THE SERVICE WAS NO LONGER OFFERED, ACCESS TO HEALTH SERVICES WOULD BE IMPAIRED; OR PROVIDING THE SERVICE WOULD BECOME THE RESPONSIBILITY OF THE GOVERNMENT OR OTHER TAX-EXEMPT ORGANIZATION.THIS AMOUNT INCLUDES SUBSIDIZED HEALTH SERVICES PROVIDED AS A PART OF THE HOSPITAL'S EMERGENCY DEPARTMENT, NEONATAL INTENSIVE CARE UNIT, AND INPATIENT PSYCHIATRIC UNIT (WHICH ALSO INCLUDES SUBSIDIZED SUBSTANCE ABUSE TREATMENT PROGRAMS).PART I, LINE 7H: ANY STUDY OR INVESTIGATION OF WHICH THE GOAL IS TO GENERATE GENERALIZED KNOWLEDGE MADE AVAILABLE TO THE PUBLIC, SUCH AS KNOWLEDGE ABOUT: 1. UNDERLYING BIOLOGICAL MECHANISMS OF HEALTH AND DISEASE, NATURAL PROCESSES OR PRINCIPLES AFFECTING HEALTH OR ILLNESS;2. EVALUATION OF SAFETY AND EFFICACY OF INTERVENTIONS FOR DISEASE SUCH AS CLINICAL TRIALS AND STUDIES OF THERAPEUTIC PROTOCOLS;3. LABORATORY-BASED STUDIES, EPIDEMIOLOGY, HEALTH OUTCOMES, AND EFFECTIVENESS4. BEHAVIORAL OR SOCIOLOGICAL STUDIES RELATED TO HEALTH AND DELIVERY OF CARE, OR PREVENTION STUDIES RELATED TO CHANGES IN THE HEALTH CARE DELIVERY SYSTEM; AND 5. COMMUNICATION OF FINDINGS AND OBSERVATIONS (INCLUDING PUBLIC IN A MEDICAL JOURNAL)THIS CATEGORY ONLY INCLUDES RESEARCH INTERNALLY FUNDED, OR RESEARCH FUNDED BY A TAX-EXEMPT OR GOVERNMENT AGENCY.PART I, LINE 7I: CASH CONTRIBUTIONS MADE TO ENTITIES AND COMMUNITY GROUPS THAT SHARE THE ORGANIZATION'S GOALS AND MISSION. IN-KIND CONTRIBUTIONS INCLUDE THE COST OF HOURS DONATED BY STAFF TO THE COMMUNITY WHILE ON THE ORGANIZATION'S PAYROLL, INDIRECT COST OF SPACE DONATED TO TAX-EXEMPT COMMUNITY GROUPS (SUCH AS FOR MEETINGS), AND THE FINANCIAL VALUE OF DONATED FOOD, EQUIPMENT AND SUPPLIES.

PART I, LINE 7G:
CLINICAL SERVICES THAT ARE PROVIDED, DESPITE A FINANCIAL LOSS TO THE ORGANIZATION. THE FINANCIAL LOSS IS MEASURED AFTER REMOVING LOSSES, MEASURED BY COSTS, ASSOCIATED WITH BAD DEBT, CHARITY CARE ELIGIBLE ALLOWANCES, MEDICAID NON OR UNDER-REIMBURSED SERVICES, AND OTHER MEANS-TESTED GOVERNMENT PROGRAMS. DESPITE THE FINANCIAL LOSS, THE SERVICE IS PROVIDED BECAUSE IT MEETS AN IDENTIFIED COMMUNITY NEED, SUCH AS PROVIDING ACCESS THAT IS NEEDED TO CARE FOR LOW-INCOME INDIVIDUALS. IF THE SERVICE WAS NO LONGER OFFERED, ACCESS TO HEALTH SERVICES WOULD BE IMPAIRED; OR PROVIDING THE SERVICE WOULD BECOME THE RESPONSIBILITY OF THE GOVERNMENT OR OTHER TAX-EXEMPT ORGANIZATION.THIS AMOUNT INCLUDES SUBSIDIZED HEALTH SERVICES PROVIDED AS A PART OF THE HOSPITAL'S EMERGENCY DEPARTMENT, NEONATAL INTENSIVE CARE UNIT, AND INPATIENT PSYCHIATRIC UNIT (WHICH ALSO INCLUDES SUBSIDIZED SUBSTANCE ABUSE TREATMENT PROGRAMS).PART I, LINE 7H: ANY STUDY OR INVESTIGATION OF WHICH THE GOAL IS TO GENERATE GENERALIZED KNOWLEDGE MADE AVAILABLE TO THE PUBLIC, SUCH AS KNOWLEDGE ABOUT: 1. UNDERLYING BIOLOGICAL MECHANISMS OF HEALTH AND DISEASE, NATURAL PROCESSES OR PRINCIPLES AFFECTING HEALTH OR ILLNESS;2. EVALUATION OF SAFETY AND EFFICACY OF INTERVENTIONS FOR DISEASE SUCH AS CLINICAL TRIALS AND STUDIES OF THERAPEUTIC PROTOCOLS;3. LABORATORY-BASED STUDIES, EPIDEMIOLOGY, HEALTH OUTCOMES, AND EFFECTIVENESS4. BEHAVIORAL OR SOCIOLOGICAL STUDIES RELATED TO HEALTH AND DELIVERY OF CARE, OR PREVENTION STUDIES RELATED TO CHANGES IN THE HEALTH CARE DELIVERY SYSTEM; AND 5. COMMUNICATION OF FINDINGS AND OBSERVATIONS (INCLUDING PUBLIC IN A MEDICAL JOURNAL)THIS CATEGORY ONLY INCLUDES RESEARCH INTERNALLY FUNDED, OR RESEARCH FUNDED BY A TAX-EXEMPT OR GOVERNMENT AGENCY.PART I, LINE 7I: CASH CONTRIBUTIONS MADE TO ENTITIES AND COMMUNITY GROUPS THAT SHARE THE ORGANIZATION'S GOALS AND MISSION. IN-KIND CONTRIBUTIONS INCLUDE THE COST OF HOURS DONATED BY STAFF TO THE COMMUNITY WHILE ON THE ORGANIZATION'S PAYROLL, INDIRECT COST OF SPACE DONATED TO TAX-EXEMPT COMMUNITY GROUPS (SUCH AS FOR MEETINGS), AND THE FINANCIAL VALUE OF DONATED FOOD, EQUIPMENT AND SUPPLIES.

PART II, COMMUNITY BUILDING ACTIVITIES:
HOWARD UNIVERSITY PARTICIPATES IN SEVERAL HOUSING AND URBAN DEVELOPMENT (HUD) PROGRAMS WHOSE MISSION IS TO CREATE STRONG, SUSTAINABLE, INCLUSIVE COMMUNITIES AND QUALITY, AFFORDABLE HOMES FOR ALL. HUD IS WORKING TO STRENGTHEN THE HOUSING MARKET TO BOLSTER THE ECONOMY AND PROTECT CONSUMERS; MEET THE NEED FOR QUALITY, AFFORDABLE RENTAL HOMES; UTILIZE HOUSING AS A PLATFORM FOR IMPROVING QUALITY OF LIFE; AND BUILD INCLUSIVE AND SUSTAINABLE COMMUNITIES FREE FROM DISCRIMINATION. AFFORDABLE HOUSING AND ECONOMIC STABILITY ARE INTRINSICALLY LINKED TO THE PREVENTION OF HEALTH PROBLEMS ASSOCIATED WITH POVERTY, HOMELESSNESS, AND OTHER ENVIRONMENTAL CHALLENGES.

PART III, LINE 2:
BAD DEBT WRITE OFFS REPRESENT ACTUAL WRITE OFFS MULTIPLIED BY THE RATIO OF COST TO CHARGES (RCC) AS REPORTED ON THE MEDICARE COST REPORT

PART III, LINE 3:
HOWARD UNIVERSITY HOSPITAL IS COMMITTED TO PROVIDING, WITHIN THE LIMITS OF ITS RESOURCES, FINANCIAL ASSISTANCE FOR NON-ELECTIVE MEDICALLY NECCESARY TREATEMENT TO UNINSURED AND UNDERINSURED PATIENTS WHO DO NOT HAVE THE MEANS TO PAY FOR SUCH SERVICES. THE HOSPITAL USES A STANDARD POLICY THAT EVALUATES WHETHER A PATIENT QUALIFIES FOR FINANCIAL ASSISTANCE UTILIZING EVALUATION CRITERIA SUCH AS: PATIENT MEDICAID ELIGIBLITY, ELIGIBILITY FOR OTHER PUBLICLY-FUNDED PROGRAM ASSISTANCE, PATIENT ESTIMATED HOUSEHOLD INCOME, AND PATIENT ESTIMATED FEDERAL POVERTY LEVEL (FPL). THE POLICY CAN ALSO PRESUME PATIENT ELIGIBILITY FOR FINANCIAL ASSISTANCE EVEN IF FINANCIAL COUNSELING EFFORTS ARE UNABLE ABLE TO BE COMPLETED AND ALL OTHER FUNDING SOURCES HAVE BEEN EXHAUSTED. HOWARD UNIVERSITY HOSPITAL IS REPORTING AMOUNTS AS CHARITY CARE INSTEAD OF BAD DEBT BASED UPON THE FINANCIAL ASSISTANCE POLICY EVALUATION. THE HOSPITAL IS REPORTING AN AMOUNT OF ZERO FOR SECTION A, LINE THREE BECAUSE THE FINANCIAL ASSISTANCE POLICY INCLUDES A PROVISION THAT ALLOWS FOR PRESUMPTIVE ELIGIBLITY EVEN IF FINANCIAL COUNSELING EFFORTS ARE UNABLE TO BE COMPLETED.

PART III, LINE 4:
THE HOSPITAL PROVIDES SERVICES TO PATIENTS WHO MEET THE CRITERIA OF ITS CHARITY CARE POLICY WITHOUT CHARGE, OR AT AMOUNTS LESS THAN ESTABLISHED RATES. THE CRITERIA FOR CHARITY SERVICES ARE COMPRISED OF FAMILY INCOME, NET WORTH, AND ELIGIBILITY AT THE TIME OF APPLICATION. IN ADDITION THE HOSPITAL PROVIDES SERVICES TO PATIENTS UNDER THE DISTRICT OF COLUMBIA CHARITY CARE PROGRAM, DC ALLIANCE.

PART III, LINE 8:
MEDICARE IS AN ENTITLEMENT PROGRAM IN WHICH THE HOSPITAL DOES NOT HAVE THE ABILITY TO NEGOTIATE PAYMENT RATES. THEREFORE, ANY SHORTFALL FOR SERVICES PROVIDED SHOULD BE CONSIDERED A CONTRIBUTION TO THE COMMUNITY.

PART III, LINE 9B:
HOWARD UNIVERSITY HOSPITAL (HUH) WILL FORGO EXTRAORDINARY COLLECTION ACTIONS AGAINST PATIENTS UNTIL MAKING REASONABLE EFFORTS TO DETERMINE WHETHER THE PATIENT IS ELIGIBLE FOR ASSISTANCE UNDER THE HOWARD UNIVERSITY HOSPITAL FINANCIAL ASSISTANCE POLICY. HOWARD UNIVERSITY HOSPITAL'S PATIENT ACCOUNTS DEPARTMENT WILL IDENTIFY ALL ACCOUNTS TO BE PLACED IN COLLECTIONS USING THE FOLLOWING CRITERIA:NO ACCOUNTS WILL BE SENT FOR COLLECTIONS UNTIL IT HAS BEEN DETERMINED THAT THE PATIENT IS NOT ELIGIBLE FOR FINANCIAL ASSISTANCE UNDER HUH'S FINANCIAL ASSISTANCE POLICY.

PART VI, LINE 2:
NEEDS ASSESSMENT-IN ORDER TO COMPLY WITH THE PATIENT PROTECTION AND AFFORDABLE CARE ACT, HOWARD UNIVERSITY HOSPITAL (HUH) COMPETED THE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) AS A MEMBER OF THE DC HEALTH MATTERS COLLABORATIVE (DCHMC). AS REQUIRED, THE 2019 AND 2022 CHNA ARE UTILIZED TO IDENTIFY THE NEEDS THAT ARE THE MOST SIGNIFICANT TO THE COMMUNITY. APPROXIMATELY 75-80% OF ALL COMMUNITY OUTREACH INITIATIVES THAT ARE OFFERED BY THE HOSPITAL ARE THE RESULT OF A DIRECT REQUEST OF AN INDIVIDUAL WITHIN THE COMMUNITY OR A COMMUNITY ORGANIZATION. HUH IS OFTEN CONTACTED TO PARTNER WITH OR PARTICIPATE IN MANY OF THE PROGRAMS THAT ARE INCLUDED AS PART OF THIS SCHEDULE.

PART VI, LINE 3:
"HOWARD UNIVERSITY HOSPITAL (HUH) IS A PRIVATE, NON-PROFIT HOSPITAL WITH A COMMITMENT TO PROVIDE, WITHIN THE LIMITS OF THE RESOURCES OF THE INSTITUTION, CHARITABLE MEDICAL CARE FOR:- UNINSURED PATIENTS HOW DO NOT HAVE THE ABILITY TO PAY FOR MEDICAL SERVICES AT THE TIME SERVICES ARE RENDERED.- INSURED PATIENTS WHO'S COVERAGE IS INADEQUATE TO COVER A CATASTROPHIC SITUATION.- EMERGENCY PATIENTS WHO FINANCIAL ABILITY TO PAY COULD NOT BE DETERMINED PRIOR TO DELIVERING SERVICES.- PATIENTS WHO'S INCOME IS SUFFICIENT TO PAY FOR BASIC LIVING COSTS BUT NOT MEDICAL CARE, AND ALSO THOSE PERSONS WITH GENERALLY ADEQUATE INCOMES WHO ARE SUDDENLY FACED WITH CATASTROPHICALLY LARGE MEDICAL BILLS.- PATIENTS WHO DEMONSTRATE ABILITY TO PAY PART BUT NOT ALL OF THEIR LIABILITY.HOWARD UNIVERSITY HOSPITAL (HUH) WILL PROVIDE ANNUALLY NO LESS THAN 3% OF ITS TOTAL OPERATING EXPENSE IN COMPENSATED CARE MEASURED COST. THE COST OF PROVIDING UNCOMPENSATED CARE SHALL BE DETERMINED BY APPLYING ANNUAL FAMILY INCOME AND MAINTENANCE NEED LEVEL CALCULATED AGAINST AN EXPECTED PAYOR PAYMENT. DC MEDICAID FEE SCHEDULE WILL BE UTILIZED AS THE EXPECTED PAYOR PAYMENT IN CASES WHERE APPLICANT IS UNINSURED. THIS OPPORTUNITY IS MADE AVAILABLE TO ALL INDIVIDUALS HAVING RECEIVED HEALTH CARE SERVICES WITHIN HUH.ALL HUH EMPLOYEES IN BUSINESS OPERATIONS (I.E. PATIENT ACCESS, BILLING, CREDIT AND COLLECTIONS, CASH PROCESSING, AND CUSTOMER SERVICE) ARE TRAINED IN HUH'S UNCOMPENSATED CARE POLICY AND ITS APPLICATION IN ORDER TO DIRECT PATIENT INQUIRIES TO THE APPROPRIATE FACILITY REPRESENTATIVES.HUH FINANCIAL COUNSELORS AND PATIENT ACCOUNT CUSTOMER SERVICE OFFICES ARE RESPONSIBLE FOR DETERMINING A PATIENT'S ELIGIBILITY FOR DISCOUNTED DEBT OR CHARITY ALLOCATION THROUGH THE UNCOMPENSATED CARE/CHARITY CARE POLICY AND ARE RESPONSIBLE FOR NOTIFYING PATIENTS IN WRITING OF THEIR ELIGIBILITY FOR FINANCIAL ASSISTANCE. FINANCIAL COUNSELING IS PROVIDED TO PATIENTS ABOUT THEIR PAYMENT OBLIGATIONS AND HOSPITAL BILLS. INFORMATION ON HOSPITAL-BASED FINANCIAL SUPPORT POLICIES AND EXTERNAL PROGRAMS THAT PROVIDE COVERAGE FOR SERVICES ARE MAD AVAILABLE TO PATIENTS DURING THE PRE-REGISTRATION AND REGISTRATION PROCESSES AND/OR THROUGH COMMUNICATIONS WITH PATIENTS SEEKING FINANCIAL ASSISTANCE. IN THE EVENT THAT A PATIENT DOES NOT QUALITY FOR MEDICAL ASSISTANCE UNDER STATE, DISTRICT, OR FEDERAL PROGRAMS, A ""PATIENT REQUEST FOR UNCOMPENSATED CARE"" APPLICATION WILL BE PROVIDED TO THE PATIENT FOR COMPLETION AND SUBMISSION TO THE FINANCIAL COUNSELOR'S OFFICE IN ACCORDANCE WITH THE HOSPITAL'S UNCOMPENSATED CARE/CHARITY CARE POLICY."

PART VI, LINE 6:
LIST OF STATES RECEIVING COMMUNITY BENEFIT REPORT: THE DISTRICT OF COLUMBIA

PART VI, LINE 7, REPORTS FILED WITH STATES
DC

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COMMUNITY INFORMATION-HOWARD UNIVERSITY HOSPITAL (HUH) IS LOCATED IN WASHINGTON, DC AND IS A NOT-FOR-PROFIT ACUTE CARE HOSPITAL. THE HOSPITAL PROVIDES INPATIENT, OUTPATIENT, AND EMERGENCY HEALTH CARE SERVICES FOR THE RESIDENTS OF THE DISTRICT OF COLUMBIA AND SURROUNDING STATES. THE MAJORITY OF THE HOSPITAL'S PATIENT POPULATION HAS HEALTH CARE COVERAGE PROVIDED BY LOCAL MEDICAID, DC ALLIANCE (A PROGRAM PROVIDING MEDICAL ASSISTANCE TO QUALIFYING DISTRICT RESIDENTS WHO ARE NOT ELIGIBLE FOR OTHER FEDERAL OR LOCAL MEDICAL BENEFITS), MEDICARE PATIENTS, AND INDIGENT AND UNINSURED PATIENTS.HUH IS A LEVEL ONE (1) TRAUMA CENTER OFFERING COMPREHENSIVE HEALTH CARE FACILITIES IN WASHINGTON, DC. HUH SERVES THE WASHINGTON, DC POPULATION OF MORE THAN 712,000 PEOPLE, AND THE MORE THAN 6.3 MILLION PEOPLE IN THE GREATER WASHINGTON METROPOLITAN AREA (DMV). HUH IS A DISPROPORTIONATE SHARE HOSPITAL AND IN FY 2022 OUR GENERAL ADMITTANCE PAYOR MIX FOR MEDICARE AND MEDICAID BENEFIT COVERED PATIENTS WAS 32% AND 54% RESPECTIVELY. HOWARD UNIVERSITY IS HISTORICALLY AMONG THE TOP PRODUCERS OF BLACK MEDICAL STUDENTS IN THE NATION. IN FURTHERANCE OF THE HOSPITAL'S COMMITMENT TO EDUCATION, THE HOSPITAL MAINTAINS AN ENVIRONMENT THAT SUPPORTS THE TRAINING OF POSTGRADUATE TRAINEES, MEDICAL, DENTAL, NURSING, ALLIED HEALTH PROFESSIONALS, AND OTHER STUDENTS BY HEALTH CARE PRACTITIONERS. THE DISTRICT OF COLUMBIA HAS HISTORICALLY HAD SOME OF THE HIGHEST RATES IN THE NATION FOR CANCER RELATED DEATHS. HOWARD UNIVERSITY HOSPITAL'S (HUH) CANCER CENTER WAS ESTABLISHED IN TO ADDRESS HEALTH DISPARITIES IN THE LOCAL COMMUNITY, SPECIFICALLY FOR MINORITIES AND HISTORICALLY UNDERSERVED POPULATIONS. THE CANCER CENTERS MISSION IS TO REDUCE THE BURDEN OF CANCER THROUGH RESEARCH, EDUCATION, AND SERVICE, WITH AN EMPHASIS ON THE UNIQUE ETHNIC AND CULTURAL ASPECTS OF MINORITY AND UNDERSERVED POPULATIONS. UNDER A GRANT FROM THE DISTRICT OF COLUMBIA DEPARTMENT OF HEALTH AND THE DC CANCER CONSORTIUM, THE CANCER CENTER OFFERS FREE COLON SCREENING TO DISTRICT OF COLUMBIA RESIDENTS BETWEEN THE AGES OF 50 AND 64 AT HOWARD UNIVERSITY HOSPITAL.HOWARD UNIVERSITY'S CENTER FOR SICKLE CELL DISEASE (SCD) WAS FOUNDED BY THE LATE DR. ROLAND B. SCOTT IN 1971 WITH THE INTENT TO ADDRESS THE NEEDS OF PATIENTS AND FAMILIES IN THE WASHINGTON METROPOLITAN AREA AFFECTED BY SCD. THE CENTER CONTINUES TO ADVANCE THE TREATMENT OF PATIENTS AND FAMILIES BY OFFERING COMPREHENSIVE MEDICAL CARE, RESEARCH, TESTING, EDUCATION, COUNSELING, AND COMMUNITY OUTREACH.HOWARD UNIVERSITY'S CENTER FOR WELLNESS AND WEIGHT LOSS SURGERY IS AN ACCREDITED CENTER OF EXCELLENCE BY THE BARIATRIC SURGERY CENTER NETWORK (BSCN) ACCREDITATION PROGRAM OF THE AMERICAN COLLEGE OF SURGEONS (ACS). THE CENTER PROVIDES A WELLNESS AND WEIGHT LOSS PROGRAM CUSTOMIZED TO FIT PATIENTS' NEEDS THROUGH BOTH SURGICAL AND MEDICAL WEIGHT LOSS PROGRAMS. THE CENTER ALSO PROVIDES PATIENTS TREATMENT TO ASSIST WITH THE PATIENTS EMOTIONAL SUPPORT NEEDS DURING THE WEIGHT LOSS PROGRAM AND TREATMENT.ACCORDING TO THE CENTERS FOR DISEASE CONTROL AND PREVENTION (CDC), ALMOST 23% OF THE POPULATION IN DC ARE LIVING WITH SOME TYPE OF DISABILITY. BASED ON INFORMATION FROM THE DISTRICT OF COLUMBIA HEALTH REPORT IN 2020, 1.8% OF THE POPULATION IN THE DISTRICT OF COLUMBIA WERE LIVING WITH HIV, AND BLACK RESIDENTS HAD DISPROPORTIONATELY HIGHER RATES AT 2.8%.

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HOWARD UNIVERSITY HOSPITAL (HUH) IS A PRIVATE, NON-PROFIT INSTITUTION AND ONE OF THE NATION'S ONLY TEACHING HOSPITALS LOCATED ON THE CAMPUS OF A HISTORICALLY BLACK UNIVERSITY. IT OFFERS MEDICAL STUDENTS A SUPERIOR LEARNING ENVIRONMENT AND OPPORTUNITIES TO OBSERVE OR PARTICIPATE IN CLINICAL AND RESEARCH WORK WITH PRACTICING PROFESSIONALS. HUH WAS ORIGINALLY ESTABLISHED ON THE BASIS OF BEING ABLE TO PROVIDE HEALTH CARE SERVICES TO THE UNDERSERVED BY PROVIDING A REFUGE WHERE EX-SLAVES RECEIVED THE MEDICAL CARE THEY WERE DENIED ELSEWHERE. IN THIS REGARD, HOWARD UNIVERSITY AND HUH HAVE OFFERED THE FOLLOWING PROGRAMS DURING THE YEAR:HOWARD UNIVERSITY COLLEGE OF MEDICINE PROVIDES STUDENTS OF HIGH ACADEMIC POTENTIAL WITH A MEDICAL EDUCATION OF EXCEPTIONAL QUALITY AND PREPARES PHYSICIANS AND OTHER HEALTH CARE PROFESSIONALS TO SERVE THE UNDERSERVED. THE EMPHASIS IS ON DEVELOPING SKILLS AND HABITS OF LIFE-LONG LEARNING AND PRODUCING WORLD LEADERS IN MEDICINE. THE COLLEGE'S LIVING ALUMNI, MORE THAN 4,000, ARE A TESTIMONY THAT AN EXCELLENT MEDICAL EDUCATION CAN BE OBTAINED AT HOWARD UNIVERSITY. ALTHOUGH OPPORTUNITIES FOR MINORITY STUDENTS HAVE INCREASED AT OTHER MEDICAL SCHOOL, THE COLLEGE UNIQUELY ADDRESSES THE SPECIAL HEALTHCARE CARE NEEDS OF MEDICALLY UNDERSERVED COMMUNITIES AND CONTINUES TO PRODUCE A SIGNIFICANT NUMBER OF THE NATION'S MINORITY PHYSICIANS. THE COLLEGE IS A PART OF HOWARD UNIVERSITY, A COMPREHENSIVE RESEARCH UNIVERSITY. WHILE THE UNIVERSITY COMMUNITY HAS TRADITIONALLY BEEN PREDOMINATELY BLACK, HOWARD UNIVERSITY HAS BEEN AN INTERRACIAL AND COSMOPOLITAN INSTITUTION THROUGHOUT ITS HISTORY, WITH STUDENTS, FACULTY, AND STAFF OF ALL RACES AND FROM MANY FOREIGN NATIONS. ALL MUST MEET THE HIGH STANDARDS OF EXCELLENCE OF HOWARD UNIVERSITY, WHICH HAS THE LARGEST CONCENTRATION OF BLACK FACULTY AND STUDENT SCHOLARSHIPS IN THE COUNTRY. IN ADDITION TO THE COLLEGE OF MEDICINE, THE HOWARD UNIVERSITY HEALTH SCIENCES CENTER INCLUDES THE HOWARD UNIVERSITY HOSPITAL, THE COLLEGE OF DENTISTRY, THE COLLEGE OF PHARMACY, THE COLLEGE OF NURSING, THE COLLEGE OF ALLIED HEALTH SCIENCES, THE LOUIS STOKES HEALTH SCIENCES LIBRARY, AND THE STUDENT HEALTH CENTER.THE COMMUNITY DENTISTRY PROGRAM INCLUDES A DENTAL OUTREACH PROGRAM THAT PROVIDES HEALTH EDUCATION AND DENTAL SCREENING FOR HOMELESS CHILDREN AGES 6 TO 12 YEARS OLD WHO RESIDE IN SHELTERS. THE OUTREACH PROGRAM ALSO PROVIDES HEALTH SCREENINGS AND DENTAL CARE FOR PARENTS AND YOUNG CHILDREN WHO ARE ATTENDING HEAD START PROGRAMS IN THE DISTRICT OF COLUMBIA. EDUCATION AND TRAINING IS PROVIDED FOR NURSING HOME CAREGIVERS IN THE PROPER CARE FOR THE DENTAL NEEDS OF THE ELDERLY, INCLUDING ASSESSMENTS OF DENTAL PROSTHESIS. OTHER OUTREACH PROGRAMS AIMED AT PROVIDING DENTAL SCREENINGS FOR PATIENTS WITH MENTAL HEALTH CONCERNS AND OTHER HANDICAP PATIENTS ARE ALSO PROVIDED.A SIX WEEK HIGH SCHOOL ENRICHMENT PROGRAM IS PROVIDED FOR HIGH SCHOOL STUDENTS WITH A STRONG INTEREST IN THE HEALTH PROFESSIONS. PARTICIPANTS OBTAIN INSTRUCTION IN SCIENCE, MATH, RESEARCH, WRITING, AND COLLEGE PREPARATION SKILLS. RISING SENIORS RESIDE ON CAMPUS AND RECEIVE STIPENDS PROVIDED THAT FUNDS ARE AVAILABLE.THE MULTIDISCIPLINARY CENTER FOR GERONTOLOGY SEEKS TO IMPROVE THE QUALITY OF LIFE FOR MINORITY SENIORS THROUGH RESEARCH, TRAINING, AND EDUCATIONAL PROGRAMS FOR FACULTY, STUDENTS, AND COMMUNITY RESIDENTS. THE CENTER WAS ESTABLISHED IN 1994 WITH A $1 MILLION GRANT FROM THE U.S. ADMINISTRATION ON AGING. CURRENTLY, THE CENTER IS FUNDED PRIMARILY BY EXTERNAL GRANTS. THE CENTER HAS CONTINUED TO DEVELOP AND PRODUCE POSITIVE OUTCOMES AND RESULTS IN THE FIELD OF GERONTOLOGY. THE SPEECH AND HEARING CLINIC PROVIDES COMPREHENSIVE RESEARCH-ORIENTED CLINICAL SERVICES TO INDIVIDUALS WHO REQUIRE SPEECH, LANGUAGE, AND HEARING EVALUATIONS AND/OR TREATMENT.THE BOARDER BABIES PROGRAM PROVIDES SUPPORT FOR BABIES AND CHILDREN FROM BIRTH TO 12 YEARS OLD WHO HAVE BEEN ABANDONED AT HOWARD UNIVERSITY HOSPITAL. THE CHILDREN WERE ABUSED OR NEGLECTED, AND ARE NOW IN FOSTER CARE OR ARE LIVING WITH GRANDPARENTS OR OTHER RELATIVES.EDUCATION GRAND ROUNDS ARE OPEN TO COMMUNITY PHYSICIANS AT NO CHARGE AND ALLOWS THE OPPORTUNITY TO EARN CATEGORY 1 CREDITS THAT ARE REQUIRED FOR RE-LICENSURE. THE PROGRAM FOCUS IS ON IMPROVING PATIENT CARE AND OUTCOMES.HEALTH FAIRS ARE PROVIDED TO THE PUBLIC WITH HEALTH CARE INFORMATION AND SCREENING SERVICES IN VARIETY OF VENUES THROUGHOUT THE YEAR. HOWARD UNIVERSITY HOSPITAL HAS OFTEN CO-SPONSORED SUCH FAIRS WITH COMMUNITY ORGANIZATIONS AND CHURCHES.THE TOBACCO CONTROL PROGRAM AIMS TO EDUCATE THE COMMUNITY ON THE DANGERS OF TOBACCO PRODUCTS. INFORMATION, SUPPORT, AND ASSISTANCE ARE PROVIDED TO SMOKERS WHO ARE TRYING TO QUIT SMOKING. THE PROGRAM ALSO SUPPORTS INITIATIVES TO PREVENT YOUTH SMOKING AND ADVOCACY CAMPAIGNS TO REDUCE TOBACCO USE AND EXPOSURE.