SCHEDULE H (Form 990)
Department of the Treasury
Internal Revenue Service
Hospitals
MediumBullet Complete if the organization answered "Yes" to Form 990, Part IV, question 20.
MediumBullet Attach to Form 990. MediumBullet See separate instructions.
OMB No. 1545-0047
2012
Open to Public Inspection
Name of the organization
NATIONAL REHABILITATION HOSPITAL
 
Employer identification number

52-1369749
Part I
Financial Assistance and Certain Other Community Benefits at Cost
Yes
No
1a
Did the organization have a financial assistance policy during the tax year? If "No," skip to question 6a ...
1a
Yes
 
b
If "Yes," was it a written policy? .......................
1b
Yes
 
2
If the organization had multiple hospital facilities, indicate which of the following best describes application of the financial assistance policy to its various hospital facilities during the tax year.
3
Answer the following based on the financial assistance eligibility criteria that applied to the largest number of the organization's patients during the tax year.
a
Did the organization use Federal Poverty Guidelines (FPG) as a factor in determining eligibility for providing free care?
If "Yes," indicate which of the following was the FPG family income limit for eligibility for free care:
3a
Yes
 
%
b
Did the organization use FPG as a factor in determining eligibility for providing discounted care? If "Yes," indicate
which of the following was the family income limit for eligibility for discounted care: .........
3b
Yes
 
%
c
If the organization used factors other than FPG in determining eligibility, describe in Part VI the income based criteria for determining eligibility for free or discounted care. Include in the description whether the organization used an asset test or other threshold, regardless of income, as a factor in determining eligibility for free or discounted care.
4
Did the organization's financial assistance policy that applied to the largest number of its patients during the tax year provide for free or discounted care to the "medically indigent"? ..............

4

Yes

 
5a
Did the organization budget amounts for free or discounted care provided under its financial assistance policy during the tax year? ............................

5a

Yes

 
b
If "Yes," did the organization's financial assistance expenses exceed the budgeted amount? ......
5b
Yes
 
c
If "Yes" to line 5b, as a result of budget considerations, was the organization unable to provide free or discountedcare to a patient who was eligibile for free or discounted care? ..............
5c
 
No
6a
Did the organization prepare a community benefit report during the tax year? ..........
6a
Yes
 
b
If "Yes," did the organization make it available to the public? ..............
6b
Yes
 
Complete the following table using the worksheets provided in the Schedule H instructions. Do not submit these worksheets with the Schedule H.
7
Financial Assistance and Certain Other Community Benefits at Cost
Financial Assistance and
Means-Tested
Government Programs
 (a) Number of activities or programs (optional) (b) Persons served (optional) (c) Total community benefit expense (d) Direct offsetting revenue (e) Net community benefit expense (f) Percent of total expense
a Financial Assistance at cost
(from Worksheet 1) .. 		    1,088,915   1,088,915 1.100 %
b Medicaid (from Worksheet 3,
column a) .... 		    9,487,812 10,665,142 -1,177,330 1.200 %
c Costs of other means-tested
government programs (from
Worksheet 3, column b) . 		           
d Total Financial Assistance
and Means-Tested
Government Programs . 		    10,576,727 10,665,142 -88,415 0.100 %
Other Benefits
     349,818   349,818 0.400 %
e Community health
improvement services and
community benefit operations
(from Worksheet 4) ..
f Health professions education
(from Worksheet 5) .. 		    3,095,583 392,836 2,702,747 2.700 %
g Subsidized health services
(from Worksheet 6) .. 		           
h Research (from Worksheet 7)     2,459,504 2,687,964 -228,460 0.200 %
i Cash and in-kind
contributions for community
benefit (from Worksheet 8) 		    52,103   52,103 0.100 %
j Total. Other Benefits ..     5,957,008 3,080,800 2,876,208 2.900 %
k Total. Add lines 7d and 7j .     16,533,735 13,745,942 2,787,793 2.800 %
For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2012
Schedule H (Form 990) 2012
Page
Part II
Community Building Activities Complete this table if the organization conducted any community building activities during the tax year, and describe in Part VI how its community building activities promoted the health of the communities it serves.
(a) Number of activities or programs (optional) (b) Persons served (optional) (c) Total community building expense (d) Direct offsetting
revenue 		(e) Net community building expense (f) Percent of total expense
1 Physical improvements and housing            
2 Economic development            
3 Community support            
4 Environmental improvements            
5 Leadership development and training for community members            
6 Coalition building            
7 Community health improvement advocacy     48,109   48,109  
8 Workforce development            
9 Other            
10 Total     48,109   48,109  
Part III
Bad Debt, Medicare, & Collection Practices
Section A. Bad Debt Expense
Yes
No
1
Did the organization report bad debt expense in accordance with Heathcare Financial Management Association Statement No. 15? ..........................
1
Yes
 
2
Enter the amount of the organization's bad debt expense. Explain in Part VI the methodology used by the organization to estimate this amount. ......
2
2,386,610
3
Enter the estimated amount of the organization's bad debt expense attributable to patients eligible under the organization's financial assistance policy. Explain in Part VI the methodology used by the organization to estimate this amount and the rationale, if any, for including this portion of bad debt as community benefit. ......
3
 
4
Provide in Part VI the text of the footnote to the organization’s financial statements that describes bad debt expense or the page number on which this footnote is contained in the attached financial statements.
Section B. Medicare
5
Enter total revenue received from Medicare (including DSH and IME).....
5
19,304,554
6
Enter Medicare allowable costs of care relating to payments on line 5.....
6
18,209,453
7
Subtract line 6 from line 5. This is the surplus (or shortfall)........
7
1,095,101
8
Describe in Part VI the extent to which any shortfall reported in line 7 should be treated as community benefit.Also describe in Part VI the costing methodology or source used to determine the amount reported on line 6.Check the box that describes the method used:
Section C. Collection Practices
9a
Did the organization have a written debt collection policy during the tax year? ..........
9a
Yes
 
b
If "Yes," did the organization’s collection policy that applied to the largest number of its patients during the tax year contain provisions on the collection practices to be followed for patients who are known to qualify for financial assistance? Describe in Part VI.......................

9b

Yes

 
Part IV
Management Companies and Joint Ventures(owned 10% or more by officers, directors, trustees, key employees, and physicians—see instructions)
(a) Name of entity (b) Description of primary
activity of entity 		(c) Organization's
profit % or stock
ownership % 		(d) Officers, directors,
trustees, or key
employees' profit %
or stock ownership % 		(e) Physicians'
profit % or stock
ownership %
1
2
3
4
5
6
7
8
9
10
11
12
13
Schedule H (Form 990) 2012
Schedule H (Form 990) 2012
Page
Part VFacility Information
Section A. Hospital Facilities
(list in order of size from largest to smallest—see instructions)
How many hospital facilities did the organization operate during the tax year?1
Name, address, and primary website address 		Licensed Hospital General-Medical-Surgical Children's Hospital Teaching Hospital Critical Hospital Research Facility ER-24Hours ER-Other Other (Describe) Facility reporting group
1 NATIONAL REHABILITATION HOSPITAL
102 IRVING STREET NW
WASHINGTON,DC20010 		X X   X   X X      
Schedule H (Form 990) 2012
Schedule H (Form 990) 2012
Page
Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)
NATIONAL REHABILITATION HOSPITAL
Name of hospital facility or facility reporting group  
For single facility filers only: line Number of Hospital Facility (from Schedule H, Part V, Section A) 1
Yes No
Community Health Needs Assessment (Lines 1 through 8c are optional for tax years begining on or before March 23, 2012)
1 During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 9.................... 1 Yes  
If “Yes,” indicate what the CHNA report describes (check all that apply):
a
b
c
d
e
f
g
h
i
j
2 Indicate the tax year the hospital facility last conducted a CHNA: 20 11
3 In conducting its most recent CHNA, did the hospital facility take into account input from representatives of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If “Yes,” describe in Part VI how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted .................... 3 Yes  
4 Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If “Yes,” list the other hospital facilities in Part VI................................ 4   No
5 Did the hospital facility make its CHNA report widely available to the public? ............. 5 Yes  
If “Yes,” indicate how the CHNA report was made widely available (check all that apply):
a
b
c
6 If the hospital facility addressed needs identified in its most recently conducted CHNA, indicate how (check all that apply to date):
a
b
c
d
e
f
g
h
i
7 Did the hospital facility address all of the needs identified in its most recently conducted CHNA? If “No,” explain in Part VI which needs it has not addressed and the reasons why it has not addressed such needs ........ 7   No
8a Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)? ........................... 8a   No
b If "Yes" to line 8a, did the organization file Form 4720 to report the section 4959 excise tax? ...... 8b    
c If "Yes" to line 8b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $  

Schedule H (Form 990) 2012
Schedule H (Form 990) 2012
Page
Part VFacility Information (continued)

Financial Assistance Policy Yes No
9 Did the hospital facility have in place during the tax year a written financial assistance policy that:
Explained eligibility criteria for financial assistance, and whether such assistance includes free or discounted care? 9 Yes  
10 Used federal poverty guidelines (FPG) to determine eligibility for providing free care?........... 10 Yes  
If "Yes," indicate the FPG family income limit for eligibility for free care: 200.%
If "No," explain in Part VI the criteria the hospital facility used.
11 Used FPG to determine eligibility for providing discounted care?................. 11 Yes  
If “Yes,” indicate the FPG family income limit for eligibility for discounted care: 400.%
If "No," explain in Part VI the criteria the hospital facility used.
12 Explained the basis for calculating amounts charged to patients?................. 12 Yes  
If “Yes,” indicate the factors used in determining such amounts (check all that apply):
a
b
c
d
e
f
g
h
13 Explained the method for applying for financial assistance?................... 13 Yes  
14 Included measures to publicize the policy within the community served by the hospital facility?....... 14 Yes  
If “Yes,” indicate how the hospital facility publicized the policy (check all that apply):
a
b
c
d
e
f
g
Billing and Collections
15 Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained actions the hospital facility may take upon non-payment?....... 15 Yes  
16 Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the patient’s eligibility under the facility’s FAP:
a
b
c
d
e
17 Did the hospital facility or an authorized third party perform any of the following actions during the tax year before making reasonable efforts to determine the patient’s eligibility under the facility’s FAP?.......... 17   No
If “Yes,” check all actions in which the hospital facility or a third party engaged:
a
b
c
d
e
Schedule H (Form 990) 2012
Schedule H (Form 990) 2012
Page
Part VFacility Information (continued)

18 Indicate which efforts the hospital facility made before initiating any of the actions listed in line 17 (check all that apply):
a
b
c
d
e
Policy Relating to Emergency Medical Care
Yes No
19 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that requires the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?.......... 19 Yes  
If “No,” indicate why:
a
b
c
d
Charges to Individuals Eligible for Assistance under the FAP (FAP-Eligible Individuals)
20 Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.
a
b
c
d
21 During the tax year, did the hospital facility charge any FAP-eligible individuals to whom the hospital facility provided emergency or other medically necessary services, more than the amounts generally billed to individuals who had insurance covering such care? ............................ 21   No
If “Yes,” explain in Part VI.
22 During the tax year, did the hospital facility charge any FAP-eligible individuals an amount equal to the gross charge for any service provided to that individual? ......................... 22   No
If “Yes,” explain in Part VI.
Schedule H (Form 990) 2012
Schedule H (Form 990) 2012
Page
Part VFacility Information (continued)

Section C. Other Health Care Facilities That Are Not Licensed, Registered, or Similarly Recognized as a Hospital Facility
(list in order of size, from largest to smallest)
How many non-hospital health care facilities did the organization operate during the tax year?30
Name and address Type of Facility (describe)
1 NRH Regional Rehab at Mitchellville
12140 Central Avenue
Mitchellville,MD20721 		Outpatient Physical Therapy
2 Union Memorial Sport Medicine at Bel Air
658 Boulton Street
Bel Air,MD21014 		Outpatient Physical Therapy
3 NRH Regional Rehab at Dundalk
1576 Merritt Boulevard
Dundalk,MD21222 		Outpatient Physical Therapy
4 Curtis National Hand Center at Luther
1400 Front Avenue
Lutherville,MD21093 		Outpatient Physical Therapy
5 NRH Regional Rehab at Good Samaritan
5601 Lock Raven Blvd Walker Bldg
Baltimore,MD21239 		Outpatient Physical Therapy
6 Union Memorial Sport Medicine at Luther
1407 York Road
Lutherville,MD21093 		Outpatient Physical Therapy
7 NRH Regional Rehab at White Marsh - Perr
5009 Honeygo Center Drive Suite 20
Perry Hall,MD21128 		Outpatient Physical Therapy
8 NRH Regional Rehab at Pasadena
8109 Ritchie Highway
Pasadena,MD21122 		Outpatient Physical Therapy
9 NRH Regional Rehab at Wilkens Avenue
3455 Wilkens Avenue
Baltimore,MD21229 		Outpatient Physical Therapy
10 NRH Regional Rehab at Dorsey Hall
9501 Old Annapolis Road
Ellicott City,MD21042 		Outpatient Physical Therapy
11 Union Memorial Sport Medicine at Stadium
900 East 33rd Street
Baltimore,MD21218 		Outpatient Physical Therapy
12 Harborview Sports Medicine & Physician T
2900 South Hanover Street Suite 10
Baltimore,MD21225 		Outpatient Physical Therapy
13 NRH Regional Rehab at Oxon Hill
6196 Oxon Hill Road
Oxon Hill,MD20745 		Outpatient Physical Therapy
14 NRH Regional Rehab at Ballston
3833 N Fairfax Drive
Arlington,VA22203 		Outpatient Physical Therapy
15 NRH Regional Rehab at K Street
2021 K Street NW
Washington,DC20006 		Outpatient Physical Therapy
16 NRH Regional Rehab at 19th street
1145 19th Street NW
Washington,DC20036 		Outpatient Physical Therapy
17 NRH Regional Rehab at Bethesda
6410 Rockledge Drive
Bethesda,MD20817 		Outpatient Physical Therapy
18 NRH Regional Rehab at Friendship Heights
5530 Wisconsin Avenue
Chevy Chase,MD20815 		Outpatient Physical Therapy
19 NRH Regional Rehab at Sub Wellness Cntr
20500 Seneca Meadows Parkway
Germantown,MD20874 		Outpatient Physical Therapy
20 NRH Regional Rehab at Germantown
NRH Regional Rehab at Germantown
Germantown,MD20874 		Outpatient Physical Therapy
21 NRH Regional Rehab at Montrose
6001 Montrose Road
Rockville,MD20852 		Outpatient Physical Therapy
22 NRH Regional Rehab at Wheaton
2730 University Blvd West
Wheaton,MD20902 		Outpatient Physical Therapy
23 NRH Regional Rehab at Olney
18109 Prince Philip Drive
Olney,MD20832 		Outpatient Physical Therapy
24 NRH Regional Rehab at Waldorf
3 Post Office Road
Waldorf,MD20602 		Outpatient Physical Therapy
25 NRH Regional Rehab at St Mary's
24035 Three Notch Road
Hollywood,MD20636 		Outpatient Physical Therapy
26 NRH Regional Rehab at Peninsula
1655 Woodbrooke Drive Suite 102
Salisbury,MD21804 		Outpatient Physical Therapy
27 NRH Regional Rehab at Dunkirk
10845 Town Center Blvd Suite 100
Dunkirk,MD20754 		Outpatient Physical Therapy
28 NRH Regional Rehab at Pr Frederick N
120 Hospital Road Suite 100
Prince Frederick,MD20678 		Outpatient Physical Therapy
29 NRH Regional Rehab at Pr Frederick S
220 Solomon Island Road South
Prince Frederick,MD20678 		Outpatient Physical Therapy
30 NRH Regional Rehab at Solomons
14090 Solomons Island Road South
Prince Frederick,MD20678 		Outpatient Physical Therapy
Schedule H (Form 990) 2012
Schedule H (Form 990) 2012
Page
Part VI
Supplemental Information
Complete this part to provide the following information.
1 Required descriptions. Provide the descriptions required for Part I, lines 3c, 6a, and 7; Part II; Part III, lines 4, 8, and 9b; Part V, Section A; and Part V, Section B, lines 1j, 3, 4, 5c, 6i, 7, 10, 11, 12h, 14g, 16e, 17e, 18e, 19c, 19d, 20d, 21, and 22.
2 Needs assessment. Describe how the organization assesses the health care needs of the communities it serves, in addition to any needs assessments reported in Part V, Section B.
3 Patient education of eligibility for assistance. Describe how the organization informs and educates patients and persons who may be billed for patient care about their eligibility for assistance under federal, state, or local government programs or under the organization’s financial assistance policy.
4 Community information. Describe the community the organization serves, taking into account the geographic area and demographic constituents it serves.
5 Promotion of community health. Provide any other information important to describing how the organization’s hospital facilities or other health care facilities further its exempt purpose by promoting the health of the community (e.g., open medical staff, community board, use of surplus funds, etc.).
6 Affiliated health care system. If the organization is part of an affiliated health care system, describe the respective roles of the organization and its affiliates in promoting the health of the communities served.
7 State filing of community benefit report. If applicable, identify all states with which the organization, or a related organization, files a community benefit report.
8 Facility reporting group(s). If applicable, for each hospital facility in a facility reporting group provide the descriptions required for Part V, Section B, lines 1j, 3, 4, 5c, 6i, 7, 10, 11, 12h, 14g, 16e, 17e, 18e, 19c, 19d, 20d, 21, and 22.
Identifier ReturnReference Explanation
PERCENT OF TOTAL EXPENSE PART I, LINE 7, COLUMN (F) BAD DEBT EXPENSE OF $2,386,610 HAS BEEN REMOVED FROM TOTAL EXPENSE TO CALCUATE THE PERCENTAGES IN COLUMN (F). BAD DEBT PART III, LINE 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 BREAKOUT ANY OFFSETTING REVENUE RELATED TO UNCOMPENSATED CARE. AS SUCH, THE NET EFFECT FOR MEDICARE EXPENSES AND REVENUES IN MARYLAND IS ZERO. MEDICARE PART III, LINE 8 THE AMOUNT REPORTED ON PART III, LINE 6 WAS DETERMINED USING THE COST DATA FROM THE FY 2012 MEDICARE COST REPORT.
NEEDS ASSESSMENT PART V, SECTION B, LINE 7 The 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. PART VI, Line 2 IN FY12, MEDSTAR NATIONAL REHABILITATION 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 WAS LED BY 12 ADVISORY TASK FORCE (ATF) MEMBERS, WHICH WAS COMPRISED OF A DIVERSE GROUP OF INDIVIDUALS, INCLUDING COMMUNITY RESIDENTS, HOSPITAL REPRESENTATIVES, PUBLIC HEALTH LEADERS, AND OTHER STAKEHOLDER ORGANIZATIONS, SUCH AS REPRESENTATIVES FROM LOCAL HEALTH DEPARTMENTS. THE ATF REVIEWED QUANTITATIVE AND QUALITATIVE COMMUNITY HEALTH DATA, AS WELL AS LOCAL, REGIONAL AND NATIONAL HEALTH GOALS. BASED ON THEIR FINDINGS, THE ATF DESIGNED A SURVEY TO IDENTIFY TRENDS IN HOW PARTICIPANTS PERCEIVED THE SEVERITY OF KEY HEALTH ISSUES IN THE FOLLOWING CATEGORIES: WELLNESS AND PREVENTION, ACCESS TO CARE, QUALITY OF LIFE, AND ENVIRONMENT. COMMUNITY MEMBERS RESPONDED TO THE SURVEY BY ATTENDING A COMMUNITY INPUT SESSION OR COMPLETING IT ONLINE OR VIA HARDCOPY. BASED ON THE ATF'S RECOMMENDATION, THE HOSPITAL IDENTIFIED WASHINGTON, D.C., AS ITS COMMUNITY BENEFIT SERVICE AREA (CBSA) - A GEOGRAPHY WITH A HIGH DENSITY OF LOW-INCOME OR VULNERABLE RESIDENTS WITHIN CLOSE PROXIMITY OF THE HOSPITAL. HEALTH PRIORITY FOR THE CBSA IS SECONDARY STROKE AMONG SPANISH-SPEAKING STROKE SURVIVORS AND THEIR CAREGIVERS. THE HOSPITAL'S FY12 CHNA AND 3-YEAR IMPLEMENTATION STRATEGY WAS ENDORSED BY MEDSTAR NATIONAL REHABILITATION HOSPITAL'S BOARD OF DIRECTORS AND APPROVED BY THE MEDSTAR HEALTH BOARD OF DIRECTORS. THE DOCUMENT BECAME AVAILABLE ON THE HOSPITAL'S OFFICIAL WEBSITE ON JUNE 30, 2012. AS A PROUD MEMBER OF MEDSTAR HEALTH, REPRESENTATIVES FROM MEDSTAR NATIONAL REHABILITATION HOSPITAL ROUTINELY PARTICIPATE IN THE MEDSTAR HEALTH COMMUNITY BENEFIT WORKGROUP. THE WORKGROUP IS COMPRISED OF COMMUNITY HEALTH PROFESSIONALS WHO REPRESENT ALL NINE 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.
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 patients within the communities we serve who lack financial resources have access to necessary hospital services. MedStar Health and its healthcare facilities will: " Treat all patients equitably, with dignity, with respect and with compassion. " Serve the emergency health care needs of everyone who presents at our facilities regardless of a patient's ability to pay for care. " Assist those patients who are admitted through our admissions process for non-urgent, medically necessary care who cannot pay for part of all of 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's facilities will work with their uninsured patients to gain an understanding of each patient's financial resources prior to admission (for scheduled services) or prior to billing (for emergency services). Based on this information and patient eligibility, MedStar Health's facilities will assist uninsured patients who reside within the communities we serve in one or more of the following ways: " Assist with enrollment in publicly-funded entitlement programs (e.g., Medicaid). " Assist with enrollment in publicly-funded programs for the uninsured (e.g., D.C. Healthcare Alliance). " Assist with consideration of funding that may be available from other charitable organizations. " Provide charity care and financial assistance according to applicable guidelines. " Provide financial assistance for payment of facility charges using a sliding scale based on patient family income and financial resources. " Offer periodic payment plans to assist patients with financing their healthcare services. Each MedStar Health facility (in cooperation and consultation with the finance division of MedStar Health) will specify the communities it serves based on the geographic areas it has served historically for the purpose of implementing this policy. Each facility will post the policy, including a description of the applicable communities it serves, in each major patient registration area and in any other areas required by applicable regulations, will communicate the information to patients as required by this policy and applicable regulations and will make a copy of the policy available to all patients. MedStar Health believes that its patients have personal responsibilities related to the financial aspects of their healthcare needs. The charity care, 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: " Completing financial disclosure forms necessary 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 the facility's financial counselors and other financial services staff to ensure there is a complete understanding of the patient's financial situation and constraints. " Completing appropriate applications for publicly-funded healthcare programs. This responsibility includes responding in a timely fashion to requests for documentation to support eligibility. " 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 the facility's financial counselors on a timely basis as the patient's circumstances may change.
COMMUNITY INFORMATION PART VI, LINE 4 MedStar National Rehabilitation Hospital is established for non-profit, charitable, health care provision, education, training, and research purposes. As a national specialty hospital, its goal is to serve the community at large by providing the leadership and resources to restore and return physically disabled persons to optimum levels of independent living within an accepting and supporting community. Services are available for persons with Stroke, Traumatic Spinal Cord and Brain Injuries, Musculoskeletal and Orthopedic disorders, and other Neurological and acute physical-medical conditions. Emphasis is placed on prevention and correction of physically disabling conditions and the emotional impact thereof, as well as on development of cost effective care delivery systems. Geographic: The primary communities served by MedStar National Rehabilitation are the District of Columbia, Prince George's County, Maryland, and parts of Montgomery County and Baltimore, Maryland. MedStar National Rehabilitation's extended service area includes upper Montgomery County and Howard County in Maryland, and Charles County and surrounding areas in Southern Maryland. Demographic: As a specialty hospital, MedStar National Rehabilitation serves a large, diverse population of approximately 3.9 million people, 44.8% of whom are white, 41.5% African American, 6.0% Asian, 4.2% Other, 0.3% American Indian/Alaska Native, and 0.1% Native Hawaiian/Pacific Islander. The average household income across the region the hospital serves is $66,974. According to the Centers for Disease Control and Prevention (CDC), approximately 19.6% of adults in DC are living with a disability. According to the American Community Survey (ACS), approximately 8.6%, 6.8%, and 10.0% of adults ages 16-64 in Prince George's County, Montgomery County, Baltimore County, MD, respectively, live with a disability.
PROMOTION OF COMMUNITY HEALTH PART VI, LINE 5 As a community partner, MedStar National Rehabilitation Hospital engages in a number of community benefit activities to improve and promote the health and wellbeing of the community. During FY 2013 MedStar National Rehabilitation Hospital engaged in the following activities in furtherance of its charitable purposes and in step with the needs identified by the hospital as priorities within the community. These activities included, but were not limited to: o Conducting community outreach, awareness, education, support, and preventive care programs related to physical and medical rehabilitation. Some of the programs offered to the community included participation in health fairs, presentations at local schools, lectures to various community, educational, and professional groups, and counseling and advocacy to support groups for the disabled community. o Providing presentations to various community and academic groups, non-profit organizations and governmental agencies for education, and orientation on assistive technology, work-site accommodations, and vocational opportunities for persons with disabilities, and how to comply with provisions of the Americans with Disabilities Act. o Supporting for various sports and recreational events for participating athletes with disabilities. o Hosting and sponsoring workshops, conferences, and networking meetings for persons with disabilities and others interested in assisting such persons, including the National Head Injury Foundation, Washington Amputee Society, National Stroke Association, National Arthritis Foundation, and the Spinal Cord Injury Network. o Providing speakers, lecturers, and consulting services to numerous public service television programs, professional and educational meetings regarding persons with disabilities, and providing free publications on the subject for the benefit of thousands of individuals in the community.
AFFILIATED HEALTH CARE SYSTEM PART VI, LINE 6 As a proud member of MedStar Health, MedStar National Rehabilitation Hospital 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 MedStar National Rehabilitation Hospital with technical support to enhance community health programming and evaluation. MedStar's corporate philanthropy division identifies 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 National Rehabilitation Hospital is only filed in the District of Columbia.
Schedule H (Form 990) 2012
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