ADVENTIST HEALTHCARE FORT WASHINGTON MEDICAL CENTER INC: Form 990, tax year 2022

View the entire original 990 at ProPublica ↗

Organization: ADVENTIST HEALTHCARE FORT WASHINGTON MEDICAL CENTER INC (EIN 84-2670875)
Tax period: 2022-01-01 to 2022-12-31
Filed: 2023-11-15
IRS object ID: 202313199349319526
Schema version: 2022v5.0
Source: Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule H
Schedule J
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2023-11-15T15:00:29-06:00	ReturnTs
Tax Period End	2022-12-31	TaxPeriodEndDt
Return Type	990	ReturnTypeCd
Tax Period Begin	2022-01-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	842670875	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	ADVENTIST HEALTHCARE FORT WASHINGTON	BusinessNameLine1Txt
Business Name Line2	MEDICAL CENTER INC	BusinessNameLine2Txt

Field	Value	IRS element (for citing)
Business Name Control	ADVE	BusinessNameControlTxt
Phone	3013153030	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	820 WEST DIAMOND AVE 600	AddressLine1Txt
City	GAITHERSBURG	CityNm
State Abbreviation	MD	StateAbbreviationCd
ZIP	208781419	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	KRISTEN PULIO	PersonNm
Person Title	SR. VICE PRESIDENT & CFO	PersonTitleTxt
Phone	3013153030	PhoneNum
Signature	2023-11-15	SignatureDt

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

Field	Value	IRS element (for citing)
Person First	KRISTEN	PersonFirstNm
Person Last	PULIO	PersonLastNm

Field	Value	IRS element (for citing)
SSN	XXX-XX-XXXX	SSN

Field	Value	IRS element (for citing)
IRS Responsible Prty Info Curr	0	IRSResponsiblePrtyInfoCurrInd

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

Field	Value	IRS element (for citing)
Trusted Customer	2	TrustedCustomerCd
Authentication Assurance Level	AAL1	AuthenticationAssuranceLevelCd
Identity Assurance Level	IAL1	IdentityAssuranceLevelCd

Field	Value	IRS element (for citing)
Tax	2022	TaxYr
Build TS	2023-04-26 12:10:37Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	TERRY FORDE	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	820 WEST DIAMOND AVE 600	AddressLine1Txt
City	GAITHERSBURG	CityNm
State Abbreviation	MD	StateAbbreviationCd
ZIP	208781419	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$60,774,945	GrossReceiptsAmt
Group Return For Affiliates	0	GroupReturnForAffiliatesInd
Group Exemption	1071	GroupExemptionNum
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.ADVENTISTHEALTHCARE.COM	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	2019	FormationYr
Legal Domicile State	MD	LegalDomicileStateCd
Activity Or Mission	HEALTH-CARE NETWORK: SERVICES SUCH AS ACUTE CARE, 24/7 EMERGENCY CARE, AND GENERAL SURGERY.	ActivityOrMissionDesc
Voting Members Governing Body	14	VotingMembersGoverningBodyCnt
Voting Members Independent	6	VotingMembersIndependentCnt
Total Employee	0	TotalEmployeeCnt
Total Volunteers	6	TotalVolunteersCnt
Total Gross UBI	$0	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$1,573,737	PYContributionsGrantsAmt
CY Contributions Grants	$3,450,528	CYContributionsGrantsAmt
PY Program Service Revenue	$61,073,094	PYProgramServiceRevenueAmt
CY Program Service Revenue	$57,312,863	CYProgramServiceRevenueAmt
PY Investment Income	$39,885	PYInvestmentIncomeAmt
CY Investment Income	$11,554	CYInvestmentIncomeAmt
PY Other Revenue	$81,925	PYOtherRevenueAmt
CY Other Revenue	$0	CYOtherRevenueAmt
PY Total Revenue	$62,768,641	PYTotalRevenueAmt
CY Total Revenue	$60,774,945	CYTotalRevenueAmt
PY Grants And Similar Paid	$0	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$0	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$27,991,048	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$28,737,344	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$196,315	CYTotalFundraisingExpenseAmt
PY Other Expenses	$32,194,894	PYOtherExpensesAmt
CY Other Expenses	$31,853,977	CYOtherExpensesAmt
PY Total Expenses	$60,185,942	PYTotalExpensesAmt
CY Total Expenses	$60,591,321	CYTotalExpensesAmt
PY Revenues Less Expenses	$2,582,699	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$183,624	CYRevenuesLessExpensesAmt
Total Assets BOY	$39,765,979	TotalAssetsBOYAmt
Total Assets EOY	$59,296,581	TotalAssetsEOYAmt
Total Liabilities BOY	$27,385,336	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$46,732,315	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$12,380,643	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$12,564,266	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	WE EXTEND GOD'S CARE THROUGH THE MINISTRY OF PHYSICAL, MENTAL AND SPIRITUAL HEALING.	MissionDesc
Significant New Program Srvc	0	SignificantNewProgramSrvcInd
Significant Change	0	SignificantChangeInd
Expense	$46,192,550	ExpenseAmt
Revenue	$57,312,863	RevenueAmt
Desc	IN 2022, ADVENTIST HEALTHCARE FORT WASHINGTON MEDICAL CENTER INC., AN ACUTE CARE HOSPITAL, PROVIDED MEDICAL AND SURGICAL SERVICES TO THE COMMUNITY. IN ADDITION, THEY PROVIDED BENEFITS TO THE COMMUNITY THAT INCLUDED, CHARITY CARE, COMMUNITY HEALTH EDUCATION, COMMUNITY WOUND CARE EDUCATION, COMMUNITY SPONSORSHIP OPPORTUNITIES, AND COMMUNITY ENGAGEMENT ACTIVITIES.THE HOSPITAL RECEIVED A "B" HOSPITAL SAFETY GRADE RATING BY THE LEAPFROG GROUP. CONTINUES ON SCHEDULE O.THE LEAPFROG GROUP, A NATIONAL WATCHDOG ORGANIZATION THAT USES ITS INFLUENCE TO FOSTER POSITIVE CHANGE IN HEALTH CARE HAS AWARDED ADVENTIST HEALTHCARE FORT WASHINGTON MEDICAL CENTER A "B" HOSPITAL SAFETY GRADE RATING, MAKING IT ONE OF THE SAFEST HOSPITALS IN MARYLAND. THIS IMPROVED RATING DEMONSTRATES THE PROGRESS MADE TO THE QUALITY OF CARE PROVIDED TO PATIENTS SINCE JOINING ADVENTIST HEALTHCARE. FORT WASHINGTON MEDICAL CENTER JOINED THE ADVENTIST HEALTHCARE SYSTEM IN 2019 AND HAS SINCE MADE TREMENDOUS STRIDES TO IMPROVE ITS DELIVERY OF CARE.IN OCTOBER 2019, ADVENTIST HEALTHCARE FORT WASHINGTON MEDICAL CENTER BECOME PART OF THE ADVENTIST HEALTHCARE SYSTEM. GIVEN THE CHANGES IN HEALTHCARE BOTH NATIONALLY AND IN MARYLAND, JOINING ADVENTIST HEALTHCARE ALLOWS ADVENTIST HEALTHCARE FORT WASHINGTON MEDICAL CENTER TO EXPAND ITS HIGH-QUALITY HEALTHCARE SERVICES IN PRINCE GEORGE'S COUNTY AND OVERCOME THE CHALLENGES OF OPERATING AS A STANDALONE COMMUNITY HOSPITAL.AN EXCITING MILESTONE OCCURRED IN JULY 2022 WHEN THE ORGANIZATION OFFICIALLY PURCHASED LAND THAT IS ENVISIONED TO SERVE AS THE FUTURE HOME OF ITS NEW HOSPITAL. THIS IS THE FIRST OF SEVERAL IMPORTANT STEPS IN THE HOSPITAL'S JOURNEY TOWARD EXCELLENCE AND CREATING A REGIONAL HEALTH CARE HUB AND ECONOMIC ENGINE FOR SOUTHWESTERN PRINCE GEORGE'S COUNTY. THE LAND IS LOCATED ABOUT TWO MILES FROM THE CURRENT HOSPITAL.IN COMBINATION WITH A GRANT RECEIVED FROM GILEAD SCIENCES, INC., ADVENTIST HEALTHCARE FORT WASHINGTON MEDICAL CENTER ADDRESSES THE HIV EPIDEMIC IN PRINCE GEORGE'S COUNTY AND HELPS PREVENT DEVELOPING COMPLICATIONS SUCH AS LIVER FAILURE, LIVER CANCER, AND CIRRHOSIS BROUGHT ON BY A HEPATITIS C DIAGNOSIS. THE PROGRAM ALSO ALLOWS FWMC TO ADMINISTER 20,000 HIV AND HEPATITIS C TESTS TO PATIENTS WHO COME THROUGH ITS EMERGENCY DEPARTMENT. THE PROGRAM HAS LINKED NEARLY 4,900 PATIENTS TO LIFE-SAVING CARE OR HEALTH INFORMATION AFTER BEING DIAGNOSED. THIS PROGRAM NOT ONLY PROVIDES DIAGNOSTIC AWARENESS, BUT IT ALSO PROVIDES NAVIGATIONAL SERVICES FOR FOLLOW UP AND CONTINUED CARE BASED ON THE TEST RESULTS.IN ADDITION, THE HOSPITAL WAS ACTIVE IN THE COMMUNITY, HOSTING A SERIES OF COMMUNITY CONVERSATIONS AND PARTICIPATING IN EVENTS THROUGHOUT THE YEAR INCLUDING FARMERS MARKETS AND CHURCH EVENTS. FREE BLOOD PRESSURE SCREENINGS WERE ADMINISTERED AT THESE COMMUNITY EVENTS AND HEALTH INFORMATION WAS DISTRIBUTED. THESE EVENTS ALSO ALLOW THE HOSPITAL TEAM AN OPPORTUNITY TO SOLICIT FEEDBACK ON THE SERVICES COMMUNITY MEMBERS WOULD LIKE TO SEE THE HOSPITAL PROVIDE PATIENTS.AMONG THE YEAR'S COMMUNITY CONTRIBUTIONS WAS A DONATION OF 300 YOUTH-SIZED FACE MASKS TO FORT FOOTE ELEMENTARY SCHOOL IN OCTOBER 2022.	Desc
Total Program Service Expenses	$46,192,550	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (1)	DescribedInSection501c3Ind
Schedule B Required	Yes (1)	ScheduleBRequiredInd
Political Campaign Acty	0	PoliticalCampaignActyInd
Lobbying Activities	Yes (1)	LobbyingActivitiesInd
Subject To Proxy Tax	0	SubjectToProxyTaxInd
Donor Advised Fund	0	DonorAdvisedFundInd
Conservation Easements	0	ConservationEasementsInd
Collections Of Art	0	CollectionsOfArtInd
Credit Counseling	0	CreditCounselingInd
Donor Rstr Or Quasi Endowments	0	DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment	Yes (1)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	0	ReportInvestmentsOtherSecInd
Report Program Related Invst	0	ReportProgramRelatedInvstInd
Report Other Assets	Yes (1)	ReportOtherAssetsInd
Report Other Liabilities	Yes (1)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (1)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	Yes (1)	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	0	ConsolidatedAuditFinclStmtInd
School Operating	0	SchoolOperatingInd
Foreign Office	0	ForeignOfficeInd
Foreign Activities	0	ForeignActivitiesInd
More Than5000 K To Org	0	MoreThan5000KToOrgInd
More Than5000 K To Individuals	0	MoreThan5000KToIndividualsInd
Professional Fundraising	0	ProfessionalFundraisingInd
Fundraising Activities	0	FundraisingActivitiesInd
Gaming Activities	0	GamingActivitiesInd
Operate Hospital	Yes (1)	OperateHospitalInd
Audited Financial Stmt Att	Yes (1)	AuditedFinancialStmtAttInd
Grants To Organizations	0	GrantsToOrganizationsInd
Grants To Individuals	0	GrantsToIndividualsInd
Schedule J Required	Yes (1)	ScheduleJRequiredInd
Tax Exempt Bonds	0	TaxExemptBondsInd
Engaged In Excess Benefit Trans	0	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	0	PYExcessBenefitTransInd
Loan Outstanding	0	LoanOutstandingInd
Grant To Related Person	0	GrantToRelatedPersonInd
Business Rln With Org Mem	0	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	0	BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent	0	BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri	0	DeductibleNonCashContriInd
Deductible Art Contribution	0	DeductibleArtContributionInd
Terminate Operations	0	TerminateOperationsInd
Partial Liquidation	0	PartialLiquidationInd
Disregarded Entity	0	DisregardedEntityInd
Related Entity	Yes (1)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (1)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	0	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	0	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	0	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (1)	ScheduleORequiredInd
Info In Schedule O Part V	Yes (X)	InfoInScheduleOPartVInd
IRP Document	0	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Employee	0	EmployeeCnt
Unrelated Bus Incm Over Limit	0	UnrelatedBusIncmOverLimitInd
Foreign Financial Account	0	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTransInd
Taxable Party Notification	0	TaxablePartyNotificationInd
Nondeductible Contributions	0	NondeductibleContributionsInd
Quid Pro Quo Contributions	0	QuidProQuoContributionsInd
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	0	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	0	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	0	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	0	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	0	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	14	GoverningBodyVotingMembersCnt
Independent Voting Member	6	IndependentVotingMemberCnt
Family Or Business Rln	0	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	0	DelegationOfMgmtDutiesInd
Change To Org Documents	0	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	0	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (1)	MembersOrStockholdersInd
Election Of Board Members	Yes (1)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (1)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (1)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (1)	MinutesOfCommitteesInd
Officer Mailing Address	0	OfficerMailingAddressInd
Local Chapters	0	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (1)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (1)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (1)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (1)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (1)	WhistleblowerPolicyInd
Document Retention Policy	Yes (1)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (1)	CompensationProcessCEOInd
Compensation Process Other	Yes (1)	CompensationProcessOtherInd
Investment In Joint Venture	0	InvestmentInJointVentureInd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	KRISTEN PULIO SVP & CFO	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Phone	3013153030	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	820 WEST DIAMOND AVE SUITE 600	AddressLine1Txt
City	GAITHERSBURG	CityNm
State Abbreviation	MD	StateAbbreviationCd
ZIP	208781419	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (20 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Highest Compensated EmployeeHighestCompensatedEmployeeInd
TERRY FORDE
CHAIR; PRESIDENT & CEO,AHC	2.00	48.00	Yes (X)	Yes (X)	$0	$1,513,716	$63,683
JOHN SACKETT
VICE CHAIR; EVP/COO,AHC	2.00	48.00	Yes (X)		$0	$1,034,422	$70,167
KRISTEN PULIO
SVP & CFO, AHC	3.00	47.00	Yes (X)	Yes (X)	$0	$751,379	$179,851
EUNMEE SHIM
SECY.; PRESIDENT, FWMC	40.00	10.00	Yes (X)	Yes (X)	$0	$691,885	$150,467
CARLIN WILLIAMS MD
BOARD MEMBER; PHYSICIAN, FWMC	40.00		Yes (X)		$0	$460,744	$47,123
SHAUN KHOSLA MD
BOARD MEMBER; PHYSICIAN, FWMC	40.00		Yes (X)		$360,338	$0	$14,807
KENNETH FISHER MD
BOARD MEMBER; CMO, FWMC	40.00		Yes (X)		$259,272	$0	$69,303
EMMANUEL ASIEDU
BOARD MEMBER	1.00		Yes (X)		$0	$12,750	$0
GINA BROWN
BOARD MEMBER	1.00		Yes (X)		$0	$0	$0
CHARLES DAY SR
BOARD MEMBER	1.00		Yes (X)		$0	$0	$0
PASTOR MARCUS HARRIS
BOARD MEMBER	1.00		Yes (X)		$0	$0	$0
MICHELLE HEREFORD
BOARD MEMBER	1.00		Yes (X)		$0	$0	$0
ALVIN KIBBLE
BOARD MEMBER	1.00		Yes (X)		$0	$0	$0
KIMBERLY ROBERTSON
BOARD MEMBER	1.00		Yes (X)		$0	$0	$0
JAMES G LEE
EVP & CSO-GWTH, AHC-UNTIL MAY 2022	6.00	44.00		Yes (X)	$0	$628,944	$22,795
KEVIN CARGILL
VP AND CFO, WOMC & FWMC	20.00	20.00			$0	$424,458	$114,178	Yes (X)
ANNA CAZES
VP, CNO/COO	40.00				$267,776	$0	$95,542	Yes (X)
STEVEN PETERSON
ANCILLARY SERVICES DIRECTOR	40.00				$180,458	$0	$30,163	Yes (X)
ZANZETA SMITH
DIRECTOR, SERVICE LINE & PROGRAM DEV.	40.00				$179,733	$0	$15,311	Yes (X)
PAULINA ANIM
REGISTERED NURSE II	40.00				$177,253	$0	$0	Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$1,424,830	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$5,518,298	TotReportableCompRltdOrgAmt
Total Other Compensation	$873,390	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	71	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	0	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (1)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	0	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
QUALIVIS LLC
PO BOX 123847 DEPT3847	DALLAS	TX	753123847	STAFFING/RECRUITMENT SERVICES	$3,638,922
QUEST DIAGNOSTICS
14225 NEWBROOK DR	CHANTILLY	VA	191761303	CLINICAL LAB SERVICES	$3,395,666
USACS INTEGRATED ACUTE CARE SERVICES
PO BOX 645948	CINCINNATI	OH	45264	PHYSICIAN PROVIDERS	$1,291,235
MEDPRO HEALTHCARE STAFFING
9001 MEDICAL CENTER DR	ROCKVILLE	MD	20850	STAFFING/RECRUITMENT SERVICES	$1,048,324
NORTH AMERICAN PARTNERS IN ANESTHESIA MD
1305 WALT WHITMAN ROAD SUITE 300	MELVILLE	NY	11747	ANESTHESIA SERVICES	$670,504

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	23	CntrctRcvdGreaterThan100KCnt
Government Grants	$3,074,929	GovernmentGrantsAmt
All Other Contributions	$375,599	AllOtherContributionsAmt
Total Contributions	$3,450,528	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

Field	Value	IRS element (for citing)
Desc	PATIENT SERVICES	Desc
Business	622110	BusinessCd
Total Revenue Column	$57,312,863	TotalRevenueColumnAmt
Related Or Exempt Func Income	$57,312,863	RelatedOrExemptFuncIncomeAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$57,312,863	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$11,554	TotalRevenueColumnAmt
Exclusion	$11,554	ExclusionAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$60,774,945	TotalRevenueColumnAmt
Related Or Exempt Func Income	$57,312,863	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$11,554	ExclusionAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part IX	Yes (X)	InfoInScheduleOPartIXInd

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$703,718	TotalAmt
Management And General	$703,718	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$24,115,296	TotalAmt
Program Services	$19,819,214	ProgramServicesAmt
Management And General	$4,128,221	ManagementAndGeneralAmt
Fundraising	$167,861	FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$554,056	TotalAmt
Program Services	$489,057	ProgramServicesAmt
Management And General	$57,797	ManagementAndGeneralAmt
Fundraising	$7,202	FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$1,537,252	TotalAmt
Program Services	$1,220,367	ProgramServicesAmt
Management And General	$307,973	ManagementAndGeneralAmt
Fundraising	$8,912	FundraisingAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$1,827,022	TotalAmt
Program Services	$1,461,757	ProgramServicesAmt
Management And General	$353,673	ManagementAndGeneralAmt
Fundraising	$11,592	FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$31,056	TotalAmt
Program Services	$31,056	ProgramServicesAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$156,117	TotalAmt
Management And General	$156,117	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$15,000	TotalAmt
Management And General	$15,000	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$14,591,580	TotalAmt
Program Services	$12,985,767	ProgramServicesAmt
Management And General	$1,605,813	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$522,615	TotalAmt
Program Services	$45	ProgramServicesAmt
Management And General	$522,570	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$373,086	TotalAmt
Program Services	$228,406	ProgramServicesAmt
Management And General	$144,677	ManagementAndGeneralAmt
Fundraising	$3	FundraisingAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$984,817	TotalAmt
Program Services	$738,613	ProgramServicesAmt
Management And General	$246,204	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$2,865,051	TotalAmt
Program Services	$1,255,139	ProgramServicesAmt
Management And General	$1,609,413	ManagementAndGeneralAmt
Fundraising	$499	FundraisingAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$186,365	TotalAmt
Program Services	$97,085	ProgramServicesAmt
Management And General	$89,034	ManagementAndGeneralAmt
Fundraising	$246	FundraisingAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$34,818	TotalAmt
Program Services	$3,816	ProgramServicesAmt
Management And General	$31,002	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$267,638	TotalAmt
Management And General	$267,638	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$1,740,552	TotalAmt
Program Services	$1,425,336	ProgramServicesAmt
Management And General	$315,216	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$1,534,494	TotalAmt
Program Services	$390,889	ProgramServicesAmt
Management And General	$1,143,605	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (2 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES	$5,799,221	$5,799,221
COLLECTION FEES/LICENSE	$2,751,567	$246,782	$2,504,785

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$60,591,321	TotalAmt
Program Services	$46,192,550	ProgramServicesAmt
Management And General	$14,202,456	ManagementAndGeneralAmt
Fundraising	$196,315	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$77,190	BOYAmt
EOY	$139,545	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$3,474,695	BOYAmt
EOY	$3,543,120	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$1,666	BOYAmt
EOY	$1,012	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$5,861,700	BOYAmt
EOY	$3,743,339	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$490,184	BOYAmt
EOY	$2,027,258	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$766,376	BOYAmt
EOY	$1,149,713	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$139,078	BOYAmt
EOY	$259,748	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$29,705,913	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$3,670,903	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$24,563,007	BOYAmt
EOY	$26,035,010	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$96,263	BOYAmt
EOY	$104,767	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$4,295,820	BOYAmt
EOY	$22,293,069	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$39,765,979	BOYAmt
EOY	$59,296,581	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$10,815,141	BOYAmt
EOY	$16,623,325	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
EOY	$14,805	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$13,805,635	BOYAmt
EOY	$5,737,608	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$2,764,560	BOYAmt
EOY	$24,356,577	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$27,385,336	BOYAmt
EOY	$46,732,315	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows FASB117	Yes (X)	OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$12,096,628	BOYAmt
EOY	$12,196,910	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$284,015	BOYAmt
EOY	$367,356	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$12,380,643	BOYAmt
EOY	$12,564,266	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$39,765,979	BOYAmt
EOY	$59,296,581	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$183,624	ReconcilationRevenueExpnssAmt
Other Changes In Net Assets	-$1	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	0	AccountantCompileOrReviewInd
FS Audited	Yes (1)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Separate Basis Fincl Stmt	Yes (X)	SeparateBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (1)	AuditCommitteeInd
Federal Grant Audit Required	Yes (1)	FederalGrantAuditRequiredInd
Federal Grant Audit Performed	Yes (1)	FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor US Address ContributorUSAddress

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	0	VolunteersInd
Paid Staff Or Management	Yes (1)	PaidStaffOrManagementInd
Media Advertisements	0	MediaAdvertisementsInd
Mailings Members	0	MailingsMembersInd
Publications Or Broadcast	0	PublicationsOrBroadcastInd
Grants Other Organizations	0	GrantsOtherOrganizationsInd
Direct Contact Legislators	Yes (1)	DirectContactLegislatorsInd
Direct Contact Legislators	$15,000	DirectContactLegislatorsAmt
Rallies Demonstrations	0	RalliesDemonstrationsInd
Other Activities	0	OtherActivitiesInd
Total Lobbying Expenditures	$15,000	TotalLobbyingExpendituresAmt
Not Described Section501c3	0	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART II-B, LINE 1:	FormAndLineReferenceDesc
Explanation	ADVENTIST HEALTHCARE FORT WASHINGTON MEDICAL CENTER INC. ADVOCATED FOR STATE FUNDING TO SUPPORT ITS VISION TO BUILD A NEW HOSPITAL IN THE COMMUNITY AND PROVIDE STATE OF THE ART, QUALITY CARE.	ExplanationTxt

Schedule D IRS990ScheduleD

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$3,110,000	OtherCostOrOtherBasisAmt
Book Value	$3,110,000	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$11,454,227	OtherCostOrOtherBasisAmt
Depreciation	$894,976	DepreciationAmt
Book Value	$10,559,251	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$2,259,112	OtherCostOrOtherBasisAmt
Depreciation	$641,752	DepreciationAmt
Book Value	$1,617,360	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$10,172,532	OtherCostOrOtherBasisAmt
Depreciation	$2,072,608	DepreciationAmt
Book Value	$8,099,924	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$2,710,042	OtherCostOrOtherBasisAmt
Depreciation	$61,567	DepreciationAmt
Book Value	$2,648,475	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$26,035,010	TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (4 entries)

DescDesc	Book ValueBookValueAmt
MORTGAGE RESERVE FUND	$1,374,470
FINANCING LEASE RIGHT-OF-USE ASSET	$84,425
OPERATING LEASE RIGHT-OF-USE ASSET	$20,797,209
SECURITY DEPOSIT	$36,965

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$22,293,069	TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)

DescDesc	AmtAmt
FINANCING LEASE OBLIGATIONS	$90,987
OPERATING LEASE OBLIGATIONS	$20,925,385
OTHER LONG TERM LIABILITIES	$3,340,205

Field	Value	IRS element (for citing)
Total Liability	$24,356,577	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd
Total Rev Etc Audited Fincl Stmt	$59,480,050	TotalRevEtcAuditedFinclStmtAmt
Revenue Not Reported	$0	RevenueNotReportedAmt
Revenue Subtotal	$59,480,050	RevenueSubtotalAmt
Investment Expenses Not Incld	$11,554	InvestmentExpensesNotIncldAmt
Other Revenues Not Included	$1,283,341	OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt	$1,294,895	RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990	$60,774,945	TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt	$60,591,321	TotExpnsEtcAuditedFinclStmtAmt
Expenses Not Reported	$0	ExpensesNotReportedAmt
Expenses Subtotal	$60,591,321	ExpensesSubtotalAmt
Expenses Not Rpt Fincl Stmt	$0	ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990	$60,591,321	TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

PART X, LINE 2:

THE CORPORATION ACCOUNTS FOR UNCERTAINTY IN INCOME TAXES USING A RECOGNITION THRESHOLD OF MORE-LIKELY-THAN-NOT TO BE SUSTAINED UPON EXAMINATION BY THE APPROPRIATE TAXING AUTHORITY. MEASUREMENT OF THE TAX UNCERTAINTY OCCURS IF THE RECOGNITION THRESHOLD IS MET. MANAGEMENT DETERMINED THERE WERE NO TAX UNCERTAINTIES THAT MET THE RECOGNITION THRESHOLD IN 2022 OR 2021. THE CORPORATION'S POLICY IS TO RECOGNIZE INTEREST RELATED TO UNRECOGNIZED TAX BENEFITS AND PENALTIES IN INTEREST EXPENSE IN OPERATING EXPENSES.

PART XI, LINE 4B - OTHER ADJUSTMENTS:

RESTRICTED CONTRIBUTIONS ASSETS RELEASED FOR OPERATIONS

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (1)	FinancialAssistancePolicyInd
Written Policy	Yes (1)	WrittenPolicyInd
FPG Reference Free Care	Yes (1)	FPGReferenceFreeCareInd
Percent200	Yes (X)	Percent200Ind
FPG Reference Discounted Care	Yes (1)	FPGReferenceDiscountedCareInd

Discounted Care Oth Percentage DiscountedCareOthPercentageGrp

Field	Value	IRS element (for citing)
Other	Yes (X)	OtherInd
Discounted Care Other	600.000000000000	DiscountedCareOtherPct

Field	Value	IRS element (for citing)
Free Care Medically Indigent	Yes (1)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (1)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	0	ExpensesExceedBudgetInd
Annual Community Bnft Report	Yes (1)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (1)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$511,324	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$511,324	NetCommunityBenefitExpnsAmt
Total Expense	0.00840	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,000,889	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$819,523	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$181,366	NetCommunityBenefitExpnsAmt
Total Expense	0.00300	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,512,213	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$819,523	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$692,690	NetCommunityBenefitExpnsAmt
Total Expense	0.01140	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,754,003	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$699,163	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,054,840	NetCommunityBenefitExpnsAmt
Total Expense	0.01740	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$46,757	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$46,757	NetCommunityBenefitExpnsAmt
Total Expense	0.00080	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$7,161,042	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$2,087,722	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$5,073,320	NetCommunityBenefitExpnsAmt
Total Expense	0.08370	TotalExpensePct

Research ResearchGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$21	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$21	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$85,067	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$85,067	NetCommunityBenefitExpnsAmt
Total Expense	0.00140	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$9,046,890	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$2,786,885	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$6,260,005	NetCommunityBenefitExpnsAmt
Total Expense	0.10330	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$10,559,103	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$3,606,408	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$6,952,695	NetCommunityBenefitExpnsAmt
Total Expense	0.11470	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$306	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$306	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Coalition Building CoalitionBuildingGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$11,086	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$11,086	NetCommunityBenefitExpnsAmt
Total Expense	0.00020	TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$10,649	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$10,649	NetCommunityBenefitExpnsAmt
Total Expense	0.00020	TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$38	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$38	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$22,079	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$22,079	NetCommunityBenefitExpnsAmt
Total Expense	0.00040	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (1)	BadDebtExpenseReportedInd
Bad Debt Expense	$3,686,914	BadDebtExpenseAmt
Reimbursed By Medicare	$25,348,001	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$23,176,651	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	$2,171,350	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Cost To Charge Ratio	Yes (X)	CostToChargeRatioInd

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (1)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (1)	FinancialAssistancePrvsnInd
Hospital Facilities	1	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	AHC FORT WASHINGTON MEDICAL CENTER INC	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	11711 LIVINGSTON ROAD	AddressLine1Txt
City	FORT WASHINGTON	CityNm
State Abbreviation	MD	StateAbbreviationCd
ZIP	20744	ZIPCd

Field	Value	IRS element (for citing)
Website Address	HTTPS://WWW.ADVENTISTHEALTHCARE.COM/	WebsiteAddressTxt
State License	16003	StateLicenseNum
Licensed Hospital	Yes (X)	LicensedHospitalInd
General Medical And Surgical	Yes (X)	GeneralMedicalAndSurgicalInd
Emergency Room24 Hrs	Yes (X)	EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	AHC FORT WASHINGTON MEDICAL CENTER INC	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
First Licensed CY Or PY	0	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	0	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (1)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Prior CHNA Impact	Yes (X)	PriorCHNAImpactInd
CHNA Conducted	22	CHNAConductedYr
Take Into Account Others Input	Yes (1)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	Yes (1)	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	Yes (1)	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (1)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	SEE URL ON SECTION C	OwnWebsiteURLTxt
Other Website	Yes (X)	OtherWebsiteInd
Other Website URL	SEE URL ON SECTION C	OtherWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Rpt Available Thru Other Method	Yes (X)	RptAvailableThruOtherMethodInd
Implementation Strategy Adopt	Yes (1)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	23	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (1)	StrategyPostedWebsiteInd
Strategy Website URL	ADVENTISTHEALTHCARE.COM/ABOUT/COMMUNITY/HEALTH-NEEDS-ASSESSMENT	StrategyWebsiteURLTxt
Organization Incur Excise Tax	0	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (1)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	200.000000000000	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	600.000000000000	FPGFamilyIncmLmtDscntCarePct
Asset Level Criteria	Yes (X)	AssetLevelCriteriaInd
Medical Indigency Criteria	Yes (X)	MedicalIndigencyCriteriaInd
Explained Basis	Yes (1)	ExplainedBasisInd
App Financial Asst Expln	Yes (1)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Includes Publicity Measures	Yes (1)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	SEE URL ON SECTION C	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	SEE URL ON SECTION C	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	SEE URL ON SECTION C	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill Display	Yes (X)	NotifiedFAPCopyBillDisplayInd
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
FAP Translated	Yes (X)	FAPTranslatedInd
Other Publicity	Yes (X)	OtherPublicityInd
FAP Actions On Nonpayment	Yes (1)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	0	CollectionActivitiesInd
Provided Written Notice	Yes (X)	ProvidedWrittenNoticeInd
Made Effort Orally Notify	Yes (X)	MadeEffortOrallyNotifyInd
Processed FAP Application	Yes (X)	ProcessedFAPApplicationInd
Made Presumptive Elig Determ	Yes (X)	MadePresumptiveEligDetermInd
Nondis Emergency Care Policy	Yes (1)	NondisEmergencyCarePolicyInd
Prospective Medicare Medicaid	Yes (X)	ProspectiveMedicareMedicaidInd
Amounts Generally Billed	0	AmountsGenerallyBilledInd
Gross Charges	0	GrossChargesInd

Supplemental Information SupplementalInformationGrp (6 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
AHC FORT WASHINGTON MEDICAL CENTER INC.	PART V, SECTION B, LINE 5: IN CONDUCTING OUR MOST RECENT CHNA, COMPLETED IN 2022, WE CONSIDERED INPUT FROM PERSONS WHO REPRESENT THE BROAD INTEREST OF THE COMMUNITY THROUGH THREE AVENUES: A COMMUNITY RESIDENT SURVEY, COMMUNITY EXPERT SURVEY, AND KEY INFORMANT INTERVIEWS.COMMUNITY RESIDENT SURVEY:PRINCE GEORGE'S COUNTY IS HOME TO OVER 967,000 RESIDENTS AND GROWING, WITH A WIDE RANGE OF HEALTH NEEDS AND DISPARITIES. THE COMMUNITY RESIDENT SURVEY WAS A STRATEGY DEVELOPED TO COMPLEMENT THE OVERALL COMMUNITY HEALTH ASSESSMENT (CHA) GOAL OF IDENTIFYING THE HEALTH NEEDS AND ISSUES FOR THE COUNTY'S DIVERSE POPULATION BY HEARING DIRECTLY FROM OUR RESIDENTS. THE 2022 COMMUNITY RESIDENT SURVEY WAS MODIFIED FROM THE 2019 COMMUNITY RESIDENT SURVEY, WITH ANY ADAPTATIONS BASED ON THE COMMUNITY HEALTH STATUS AND ASSESSMENT RECOMMENDATIONS OF THE MOBILIZING FOR ACTION THROUGH PLANNING AND PARTNERSHIPS (MAPP) FRAMEWORK. EFFORTS WERE MADE TO ENSURE THE SURVEY QUESTIONS CORRESPONDED WITH THE COMMUNITY EXPERT SURVEY, ANOTHER KEY ASSESSMENT OF THE MAPP FRAMEWORK. THE SURVEY QUESTIONS INCLUDED MOSTLY MULTIPLE CHOICE AND RATING SCALES WITH A FEW OPEN-ENDED RESPONSES FOR DEMOGRAPHICS AND AN OPTION FOR WRITING IN A RESPONSE IF THE PARTICIPANT ANSWERED WITH "OTHER." THE SURVEY WAS TRANSLATED INTO SPANISH (THE MOST COMMON LANGUAGE SPOKEN IN THE COUNTY AFTER ENGLISH) AND WAS MADE AVAILABLE ONLINE AND THROUGH PRINTED COPIES. COMMUNITY EXPERT SURVEY:PRINCE GEORGE'S COUNTY IS DIVERSE, AND OUR GROWING POPULATION HAS A WIDE RANGE OF NEEDS, DISPARITIES, AND PERCEPTIONS ABOUT HEALTH. THE COMMUNITY EXPERT SURVEY WAS DEVELOPED AS A STRATEGY THAT COMPLEMENTS THE OVERALL COMMUNITY HEALTH ASSESSMENT (CHA) GOAL OF IDENTIFYING THE HEALTH NEEDS AND ISSUES AMONG THE COUNTY'S DIFFERENT POPULATIONS, THROUGH PROVIDERS, COMMUNITY-BASED ORGANIZATIONS, LOCAL GOVERNMENTS, AND POPULATION REPRESENTATIVES THAT CAN SPEAK FOR THE COMMUNITIES THEY SERVE. THE CORE CHNA TEAM PROVIDED LISTS OF COMMUNITY-BASED PARTNERS AND REPRESENTATIVES TO BE INCLUDED IN THE SURVEY SUCH AS THE MEMBERSHIP OF THE PRINCE GEORGE'S COUNTY HEALTH ACTION COALITION, AS WELL AS COMMUNITY LEADERS, AND REPRESENTATIVES OF SPECIFIC POPULATIONS. THE SURVEY WAS DEVELOPED BASED ON EXISTING COMMUNITY SURVEYS WITH SOME MODIFICATIONS SPECIFIC TO THE COUNTY. EFFORTS WERE MADE TO ENSURE THE SURVEY QUESTIONS CORRESPONDED WITH THE COMMUNITY RESIDENT SURVEY WHICH WAS ALSO PART OF CHNA DATA COLLECTION EFFORTS. AN EMAIL REQUEST WAS SENT TO APPROXIMATELY 100 PARTICIPANTS BY THE PRINCE GEORGE'S COUNTY HEALTH DEPARTMENT IN APRIL 2022, AND HOSPITAL PARTNERS WERE ALSO PROVIDED WITH THE SURVEY LINK TO SHARE WITH THEIR COMMUNITY EXPERTS. KEY INFORMANT INTERVIEWS:KEY INFORMANT INTERVIEWS WERE CONDUCTED BY 16 COUNTY LEADERS DRAWN FROM DIVERSE BACKGROUNDS WITH VARYING PERSPECTIVES ON HEALTH IN THE COUNTY. THE KEY INFORMANT INTERVIEWS WERE UTILIZED AS AN OPPORTUNITY TO INCLUDE PERSPECTIVES FROM POPULATIONS THAT MAY BE UNDER-REPRESENTED THROUGH OTHER COLLECTION METHODS AND HAVE A NEED FOR DIFFERENT OR INCREASED RESOURCES TO ACHIEVE THEIR BEST HEALTH. THE SPECIAL POPULATIONS REPRESENTED INCLUDED VETERANS, SENIORS, THOSE EXPERIENCING HOMELESSNESS OR HOUSING INSECURITY, IMMIGRANTS, REFUGEES, AND THE HISPANIC AND FILIPINO COMMUNITIES. TWENTY-NINE INDIVIDUALS WERE IDENTIFIED BY AREA HOSPITALS AND THE PRINCE GEORGE'S COUNTY HEALTH DEPARTMENT (PHCHD) AS KEY INFORMANTS TO REPRESENT SPECIAL POPULATIONS IN THE COUNTY, INCLUDING VETERANS, SENIORS, THOSE EXPERIENCING HOMELESSNESS OR HOUSING INSECURITY, IMMIGRANTS, REFUGEES, AND THE HISPANIC AND FILIPINO COMMUNITIES, AS WELL AS ORGANIZATIONS SUCH AS EDUCATIONAL INSTITUTIONS THAT MAY SERVE MORE THAN ONE POPULATION. THE INDIVIDUALS IDENTIFIED AS KEY INFORMANTS WERE EITHER MEMBERS OF OR DIRECTLY SERVE THESE SPECIAL POPULATIONS. OF THE 29 POTENTIAL RESPONDENTS, 16 INDIVIDUALS COMPLETED THE INTERVIEWS. DESPITE MULTIPLE ATTEMPTS TO SCHEDULE INTERVIEWS, IT IS RECOGNIZED THAT SOME ORGANIZATIONS/ INDIVIDUALS WERE NOT INCLUDED DUE TO A LACK OF RESPONSE AND/OR TIME LIMITATIONS. HOWEVER, EFFORTS WERE MADE TO INCLUDE REPRESENTATION IN THE COMMUNITY EXPERT SURVEY FOR UNDER-REPRESENTED POPULATIONS TO ENSURE INCLUSION IN THE COMMUNITY HEALTH ASSESSMENT PROCESS. THE COMPREHENSIVE INTERVIEW GUIDE DEVELOPED FOR THE 2016 AND 2019 COMMUNITY HEALTH ASSESSMENTS WAS UTILIZED FOR CONSISTENCY (SEE APPENDIX B OF THE CHA), WHICH CONSISTED OF 17 OPEN-ENDED QUESTIONS WITH RELATED PROBES. THE GUIDE ADDRESSED THE FOLLOWING FOCUS AREAS: ASSETS AND BARRIERS RELATIVE TO HEALTH PROMOTION IN THE COUNTY, OPINIONS ON THE LEADING HEALTH THREATS CURRENTLY FACING THE COUNTY, SPECIFIC PRIORITIES IN THE AREAS OF PHYSICAL, BEHAVIORAL, AND ENVIRONMENTAL HEALTH, AND EMERGING THREATS TO RESIDENTS' HEALTH. INTERVIEWS WERE CONDUCTED BY THE PRINCE GEORGE'S COUNTY HEALTH DEPARTMENT'S OFFICE OF ASSESSMENT AND PLANNING. THE FULL LIST OF INTERVIEWEES CAN BE FOUND IN APPENDIX A OF THE CHA.
AHC FORT WASHINGTON MEDICAL CENTER INC.	PART V, SECTION B, LINE 6A: LUMINIS HEALTH DOCTORS COMMUNITY HOSPITAL; MEDSTAR SOUTHERN MARYLAND HOSPITAL CENTER; UM CAPITAL REGION HEALTH.
AHC FORT WASHINGTON MEDICAL CENTER INC.	PART V, SECTION B, LINE 6B: PRINCE GEORGE'S COUNTY HEALTH DEPARTMENT.
AHC FORT WASHINGTON MEDICAL CENTER INC.	PART V, SECTION B, LINE 7D: A HARD COPY OF THE CHNA IS ALSO AVAILABLE UPON REQUEST FROM THE ADVENTIST HEALTHCARE SUPPORT CENTER (CORPORATE OFFICE) WHICH IS LOCATED AT: 820 WEST DIAMOND AVENUE 4TH FLOOR, GAITHERSBURG, MD 20878;PART V, SECTION B, LINE 7A: THE CHNA REPORT IS FOUND ON THIS URL: HTTPS://WWW.ADVENTISTHEALTHCARE.COM/ABOUT/COMMUNITY/HEALTH-NEEDS-ASSESSMENTPART V, SECTION B, LINE 7B:THE CHNA REPORT CAN ALSO BE FOUND ON THESE LINKS:HTTPS://WWW.LUMINISHEALTH.ORG/EN/COMMUNITY-HEALTH/NEEDS-ASSESSMENTHTTPS://WWW.UMMS.ORG/CAPITAL/COMMUNITY/COMMUNITY-HEALTH-NEEDS-ASSESSMENT
AHC FORT WASHINGTON MEDICAL CENTER INC.	PART V, SECTION B, LINE 11: THE HOSPITAL ALONE CANNOT ADDRESS ALL COMMUNITY NEEDS DUE TO BUDGET CONSTRAINTS. HOWEVER, TO ENSURE THAT ALL HEALTH NEEDS WERE MET, FWMC, ALONG WITH THE OTHER FOUR HOSPITALS IN PRINCE GEORGE'S COUNTY AND THE PRINCE GEORGE'S COUNTY HEALTH DEPARTMENT, IDENTIFIED AT LEAST ONE AND OFTEN MULTIPLE RESOURCES AVAILABLE TO MEET EACH IDENTIFIED COMMUNITY HEALTH NEED. WHILE THE CORE TEAM LED THE DATA GATHERING PROCESS OF THE CHNA, THERE WAS RECOGNITION THAT THERE MUST BE SHARED OWNERSHIP OF THE COUNTY'S COMMUNITY'S HEALTH. FWMC IS DIRECTLY ADDRESSING NEEDS RELATED TO ACCESS TO CARE, FOOD ACCESS, INFECTIOUS DISEASE (PARTICULARLY HIV AND HEP C), BEHAVIORAL HEALTH, AND OBESITY. OF THE CORE PRIORITY AREAS IDENTIFIED IN THE MOST RECENT CHNA, THE ONLY AREA THAT FWMC IS NOT DIRECTLY ADDRESSING IS CANCER AS THIS IS NOT AN AREA WE HAVE SUFFICIENT EXPERTISE AND RESOURCES. HOWEVER, THE HOSPITAL MAKES APPROPRIATE REFERRALS TO OTHER HOSPITAL AND COMMUNITY RESOURCES FOR OUR PATIENTS AND COMMUNITY MEMBERS. A HIGHLIGHT OF SOME OF THE INITIATIVES BEING UNDERTAKEN:ACCESS TO CARE: INCREASE ACCESS TO DIABETES COMPLICATION PREVENTION SERVICES AND SELF-MANAGEMENT RESOURCES; PROVIDE MEDICATION ASSISTANCE FOR LOW-INCOME PATIENTS WITH CHRONIC ILLNESSES; INCREASE ACCESS TO HEART HEALTH EDUCATION AND SELF-MANAGEMENT RESOURCES.FOOD ACCESS: INCREASE ACCESS TO FRESH MEALS IN THE OXON HILL NEIGHBORHOOD WHILE SUPPORTING LOCALLY OWNED RESTAURANTS.INFECTIOUS DISEASE: IMPROVE CARE OF INDIVIDUALS LIVING WITH HIV AND HEP C BY PROVIDING PRIVATE, SAFE, AND EFFECTIVE MEANS OF TESTING.BEHAVIORAL HEALTH: DECREASE THE NUMBER OF DRUG AND ALCOHOL ABUSE IN THE COMMUNITY BY SCREENING EVERYONE PATIENT THAT COMES INTO THE EMERGENCY DEPARTMENT FOR DRUG AND ALCOHOL ABUSE AND CONNECT THE PATIENT TO TREATMENT.OBESITY: INCREASE ACCESS TO NEEDED BARIATRIC SERVICES IN THE COMMUNITY; PROMOTE HEALTH THROUGH SCREENINGS, EDUCATION, AND AWARENESS OF LOCAL RESOURCES.A COMPLETE LIST OF INITIATIVES CAN BE VIEWED HERE: HTTPS://WWW.ADVENTISTHEALTHCARE.COM/ABOUT/COMMUNITY/HEALTH-NEEDS-ASSESSMENT/
AHC FORT WASHINGTON MEDICAL CENTER INC.	PART V, SECTION B, LINE 16J: THE POLICY IS ALSO STRATEGICALLY POSTED AT OUR PATIENT FINANCIAL SERVICES OFFICE.PART V, SECTION B, LINE 16A: HTTPS://WWW.ADVENTISTHEALTHCARE.COM/PATIENTS/BILLING/FINANCIAL-ASSISTANCE/PART V, SECTION B, LINE 16B: SAME URL AS LISTED ON LINE 16APART V, SECTION B, LINE 16C: SAME URL AS LISTED ON LINE 16A

Supplemental Information Detail SupplementalInformationDetail (14 entries)

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PART I, LINE 3C:	IN CONSIDERATION FOR FINANCIAL ASSISTANCE TO OUR PATIENTS, ADVENTIST HEALTHCARE ALSO CONSIDERS CIRCUMSTANCES BEYOND INCOME. THE PATIENT'S CIRCUMSTANCES COULD INCLUDE THE NEEDS OF THE PATIENT AND/OR FAMILY AND OTHER FINANCIAL RESOURCES. IT IS OUR MISSION TO PROVIDE NECESSARY MEDICAL CARE TO THOSE WHO ARE UNABLE TO PAY FOR THAT CARE. IN GENERAL, ADVENTIST HEALTHCARE HAS 15 LEVELS OF FINANCIAL ASSISTANCE. THEY ARE AS FOLLOWS:- ANNUAL INCOME <= 1.0X OF FPL, 0% PATIENT RESPONSIBILITY- ANNUAL INCOME > 1.00X AND <= 1.25X OF FPL, 0% PATIENT RESPONSIBILITY- ANNUAL INCOME > 1.25X AND <= 1.50X OF FPL, 0% PATIENT RESPONSIBILITY- ANNUAL INCOME > 1.50X AND <= 1.75X OF FPL, 0% PATIENT RESPONSIBILITY- ANNUAL INCOME > 1.75X AND <= 2.00X OF FPL, 0% PATIENT RESPONSIBILITY- ANNUAL INCOME > 2.00X AND <= 2.25X OF FPL, 10% PATIENT RESPONSIBILITY- ANNUAL INCOME > 2.25X AND <= 2.50X OF FPL, 20% PATIENT RESPONSIBILITY- ANNUAL INCOME > 2.50X AND <= 2.75X OF FPL, 30% PATIENT RESPONSIBILITY- ANNUAL INCOME > 2.75X AND <= 3.00X OF FPL, 40% PATIENT RESPONSIBILITY- ANNUAL INCOME > 3.00X AND <= 3.50X OF FPL, 50% PATIENT RESPONSIBILITY- ANNUAL INCOME > 3.50X AND <= 4.00X OF FPL, 60% PATIENT RESPONSIBILITY- ANNUAL INCOME > 4.00X AND <= 4.50X OF FPL, 70% PATIENT RESPONSIBILITY- ANNUAL INCOME > 4.50X AND <= 5.00X OF FPL, 80% PATIENT RESPONSIBILITY- ANNUAL INCOME > 5.00X AND <= 5.50X OF FPL, 90% PATIENT RESPONSIBILITY- ANNUAL INCOME > 5.50X AND <= 6.00X OF FPL, 95% PATIENT RESPONSIBILITY
PART I, LINE 7:	MARYLAND'S UNIQUE ALL-PAYER SYSTEM PROVIDES A MECHANISM FOR INCLUDING UNCOMPENSATED CARE FUNDING IN EACH PROVIDER'S RATES. FOR PURPOSES OF COMPLETING ADVENTIST HEALTHCARE'S (AHC) FORM 990, THESE UNCOMPENSATED CARE ADJUSTMENTS TO OUR HOSPITALS' APPROVED RATE ORDERS ARE NOT PRESENTED AS AN OFFSET TO THE LEVEL OF UNCOMPENSATED CARE WE PROVIDED.SINCE THE HSCRC ASSESSES HOSPITALS TO SUBSIDIZE THE STATE'S MEDICAID BUDGET DEFICIT, THESE ASSESSMENTS (NET OF AMOUNTS BUILT IN RATES) ARE ALSO COUNTED TOWARD COMMUNITY BENEFITS AND THIS IS IMPUTED ON SCHEDULE H, PART I, LINE 7B.FOR PURPOSES OF PREPARING SCHEDULE H OF FORM 990, AHC CALCULATED A COST TO CHARGE RATIO AS REFLECTED IN ITS 2022 AUDITED FINANCIAL STATEMENTS. THIS RATIO WAS USED TO CONVERT THE ANNUAL CHARITY CARE PROVISION FROM CHARGE TO COST.
PART II, COMMUNITY BUILDING ACTIVITIES:	ADVENTIST HEALTHCARE FORT WASHINGTON MEDICAL CENTER'S COMMUNITY BUILDING ACTIVITIES WERE DONE JOINTLY AT THE CORPORATE LEVEL WITH ADVENTIST HEALTHCARE, INC. TO CENTRALIZE THE ACTIVITIES PERFORMED AS A SYSTEM. ADVENTIST HEALTHCARE FORT WASHINGTON MEDICAL CENTER PLAYED AN INTEGRAL ROLE AND CONTRIBUTED TO SEVERAL OUTREACH PROGRAMS AS PART OF ITS MISSION. ADVENTIST HEALTHCARE FORT WASHINGTON MEDICAL CENTER AND ADVENTIST HEALTHCARE'S MISSION IS "WE EXTEND GOD'S CARE THROUGH THE MINISTRY OF PHYSICAL, MENTAL AND SPIRITUAL HEALING." ADVENTIST HEALTHCARE FORT WASHINGTON MEDICAL CENTER AND ADVENTIST HEALTHCARE GO BEYOND TRADITIONAL HOSPITAL CARE TO OFFER EXPERTISE AND RESOURCES THAT HELP STRENGTHEN THE COMMUNITY'S INFRASTRUCTURE IN A WAY THAT PROMOTES HEALTH AND WELL-BEING.IN 2022, MOST ADVENTIST HEALTHCARE'S COMMUNITY BUILDING ACTIVITIES CONSISTED OF: LOWERING HEALTHCARE COSTS AND PROMOTING HEALTH AND WELLBEING OF THE COMMUNITY; ADVOCATING ON COMMUNITY HEALTH IMPROVEMENTS THROUGH OUR GOVERNMENT RELATIONS AND PUBLIC POLICY DEPARTMENT; AND ESTABLISHING ADDITIONAL COMMUNITY PARTNERSHIPS.GOVERNMENT RELATIONS AND PUBLIC POLICY DEPARTMENT INITIATIVES:IN 2022, ADVENTIST HEALTHCARE WORKED WITH FEDERAL, STATE, AND LOCAL LEADERS TO SUPPORT THE HEALTH CARE WORKFORCE PIPELINE AND SECURE STATE SUPPORT TO BRING HEALTHCARE RESOURCES TO UNDERSERVED COMMUNITIES. WE WORKED TO ENSURE CHILDREN ON MEDICAID HAD ADEQUATE ACCESS TO DENTAL SURGERY. WE WORKED CLOSELY WITH LOCAL STAKEHOLDER PARTNERS TO SUPPORT IMPROVEMENTS TO THE TRANSPORTATION INFRASTRUCTURE IN OUR COMMUNITY AND OTHER COMMUNITY DEVELOPMENT PROJECTS ACROSS MONTGOMERY AND PRINCE GEORGE'S COUNTIES. WE CONTINUE TO PROVIDE FINANCIAL SUPPORT TO COMMUNITY PARTNERS ADDRESSING PUBLIC NEEDS INCLUDING HOUSING AND FOOD INSECURITY.HEALTH PARTNERSHIPS WITHIN THE COMMUNITY:ADVENTIST HEALTHCARE AIMS TO IMPROVE THE HEALTH OF COMMUNITIES IT SERVES. IT DOES THIS BY RAISING AWARENESS OF COMMUNITY HEALTH NEEDS AND LOCAL DISPARITIES, IMPROVING ACCESS TO CULTURALLY APPROPRIATE CARE AND PROVIDING COMMUNITY WELLNESS OUTREACH AND EDUCATION.ADVENTIST HEALTHCARE WORKS TO ADDRESS NOT JUST THE PHYSICAL AND MENTAL HEALTH NEEDS OF OUR PATIENTS AND COMMUNITY MEMBERS, BUT TO ADDRESS WHOLE-PERSON HEALTH. TO DO THIS, WE DEVELOP PARTNERSHIPS AND COLLABORATE WITH KEY STAKEHOLDERS IN THE COMMUNITY. THROUGH COLLABORATION, WE CAN EXPAND OUR EXPERTISE AND RESOURCES AND THEREFORE HAVE A LARGER COLLECTIVE IMPACT ON THE HEALTH AND WELL-BEING OF OUR COMMUNITY. A SAMPLING OF OUR PARTNERSHIPS IS DESCRIBED BELOW:1) HEALTHY MONTGOMERY:HEALTHY MONTGOMERY IS THE LOCAL HEALTH IMPROVEMENT COALITION FOR MONTGOMERY COUNTY, MARYLAND. ADVENTIST HEALTHCARE PARTNERS WITH AND SUPPORTS HEALTHY MONTGOMERY BOTH STRATEGICALLY AND FINANCIALLY. REPRESENTATIVES FROM ADVENTIST HEALTHCARE SIT ON THE HEALTHY MONTGOMERY STEERING COMMITTEE, THE HEALTH IN ALL POLICY WORKGROUP, AND THE HOSPITAL WORKGROUP, AMONG OTHERS. ADVENTIST HEALTHCARE ALSO CONTRIBUTES UP TO $50,000 ANNUALLY TO SUPPORT THE INFRASTRUCTURE OF HEALTHY MONTGOMERY. HEALTHY MONTGOMERY, IN PARTNERSHIP WITH COMMUNITY STAKEHOLDERS SUCH AS LOCAL POLICY MAKERS, HOSPITALS, ADVOCACY GROUPS AND ACADEMIC INSTITUTIONS, AMONG OTHERS, REVIEWS THE NEEDS AND RESOURCES IN THE COUNTY AND WORKS TO SET PRIORITIES FOR IMPROVING HEALTH AND WELL-BEING. THE OVERALL GOALS OF HEALTHY MONTGOMERY ARE TO IMPROVE ACCESS TO HEALTH AND SOCIAL SERVICES, ACHIEVE HEALTH EQUITY FOR ALL RESIDENTS, AND ENHANCE THE PHYSICAL AND SOCIAL ENVIRONMENT TO SUPPORT OPTIMAL HEALTH AND WELL-BEING. AMONG ITS MANY ACCOMPLISHMENTS, HEALTHY MONTGOMERY HAS BEEN ABLE TO PROVIDE LOCAL LEVEL DATA THAT IS STRATIFIED BY SEX, AGE, RACE, AND ETHNICITY. BY MAKING THIS DATA MORE EASILY AVAILABLE, COMMUNITY STAKEHOLDERS, ADVENTIST HEALTHCARE INCLUDED, ARE BETTER ABLE TO IDENTIFY NEEDS IN THE COMMUNITY THAT MAY HAVE OTHERWISE BEEN MASKED BY LESS GRANULAR DATA. THIS ALLOWS FOR MORE STRATEGIC AND TARGETED HEALTH PREVENTION AND PROMOTION PROGRAMMING TO BE DEVELOPED.2) PRINCE GEORGE'S HEALTHCARE ACTION COALITION:PRINCE GEORGE'S HEALTHCARE ACTION COALITION (PGHAC) SERVES AS A COMMUNITY HEALTH NETWORK AND FORUM FOR COLLABORATION TO ADVANCE THE HEALTH OF PRINCE GEORGE'S COUNTY. THIS COMMUNITY-POWERED COALITION REPRESENTS OVER 70 COMMUNITY ORGANIZATIONS, HEALTH CARE PROVIDERS AND STAKEHOLDERS IN COMMUNITY HEALTH.THE COALITION WAS FORMED IN 2012 UNDER THE LEADERSHIP OF PRINCE GEORGE'S COUNTY HEALTH DEPARTMENT (PGCHD), WITH HEALTH OFFICER SERVING AS CO-CHAIR. THE PGHAC LEADS THE PROCESS FOR DEVELOPING AND EXECUTING THE COMMUNITY HEALTH IMPROVEMENT PLAN FOR THE COUNTY. THIS INCLUDES ORGANIZING SEVERAL WORK GROUPS AND BRINGING TOGETHER PARTNERS IN AREAS SUCH AS HEALTH EQUITY, BEHAVIORAL HEALTH AND HEALTHY EATING AND ACTIVE LIVING.3) NEXUS MONTGOMERY:NEXUS MONTGOMERY IS A PARTNERSHIP OF FOUR HEALTH SYSTEMS IN MONTGOMERY COUNTY, MARYLAND, INCLUDING ADVENTIST HEALTHCARE, HOLY CROSS HEALTH, MEDSTAR MONTGOMERY AND SUBURBAN HOSPITAL. THE PARTNERSHIP IS FOCUSED ON IMPROVING THE WELL-BEING OF PATIENTS AND COMMUNITY MEMBERS AND REDUCING POTENTIAL AVOIDABLE UTILIZATION (PAU)'S AND TOTAL COST OF CARE. EXAMPLES OF STRATEGIES AND PROGRAMS THAT THE PARTNERSHIP HAS WORKED ON INCLUDE: WELLNESS AND INDEPENDENCE FOR SENIORS AT HOME (WISH), HOSPITAL CARE TRANSITIONS, UNINSURED/PROJECT ACCESS AND SEVERELY MENTALLY ILL/BEHAVIORAL HEALTH. THE GOALS OF THESE PROGRAMS ARE TO: STABILIZE HEALTH OF OLDER ADULTS TO REDUCE HOSPITAL ADMISSIONS; IMPROVE TRANSITIONS FROM HOSPITAL-TO-HOME; CONNECT UNINSURED TO SPECIALTY CARE; AND IMPROVE COMMUNITY-BASED RESOURCES FOR THE SEVERELY MENTALLY ILL.4) CASA:CASA IS THE FOREMOST IMMIGRANT ORGANIZATION IN THE MID-ATLANTIC REGION AND A NATIONAL LEADER IN SUPPORTING IMMIGRANT FAMILIES AND ENSURING THAT ALL INDIVIDUALS HAVE THE CORE SUPPORTS NECESSARY FOR FULL PARTICIPATION IN SOCIETY. NOW A NATIONAL IMMIGRANT POWERHOUSE, CASA CREATES CHANGE WITH ITS POWER BUILDING MODEL BLENDING HUMAN SERVICES, COMMUNITY ORGANIZING, AND ADVOCACY TO SERVE THE FULL SPECTRUM OF THE NEEDS, DREAMS, AND ASPIRATIONS OF MEMBERS.IN 2022, THE ADVENTIST HEALTHCARE COMMUNITY PARTNERSHIP FUND (CPF) PROVIDED CASA DE MARYLAND GRANT FUNDING TO SUPPORT THEIR ESOL PROGRAM. CASA'S ESOL PROGRAM SEEKS TO IMPROVE PARTICIPANTS' LISTENING, SPEAKING, READING, AND WRITING SKILLS IN ENGLISH SO THAT THEY MAY INCREASE THEIR EMPLOYABILITY, INCREASE THEIR ACCESS TO HEALTH AND SOCIAL SERVICES, BETTER INTEGRATE INTO U.S. SOCIETY, AND ACHIEVE THEIR PERSONAL GOALS.5) IMPACT SILVER SPRING:IMPACT SILVER SPRING'S MISSION IS TO ADVANCE RACIAL EQUITY, JUSTICE, AND LIBERATION BY WORKING FOR CHANGE IN INDIVIDUALS, COMMUNITIES, ORGANIZATIONS, AND SYSTEMS.IN 2022, THE ADVENTIST HEALTHCARE COMMUNITY PARTNERSHIP FUND (CPF) PROVIDED IMPACT SILVER SPRING WITH GRANT FUNDING TO CREATE INCREASED CONNECTIONS BETWEEN LOW-INCOME COMMUNITIES OF COLOR AND THE RESOURCES AVAILABLE IN THEIR COMMUNITIES, TO PROVIDE ACCESSIBLE OPPORTUNITIES FOR HEALTH AND WELLNESS ACTIVITIES AIMED AT INCREASING PHYSICAL AND MENTAL HEALTH, AND TO ADVOCATE FOR HOUSING POLICIES THAT WILL PROVIDE RELIEF TO COMMUNITIES DISPROPORTIONATELY IMPACTED BY THE ONGOING EFFECTS OF COVID.6) INTERFAITH WORKS:INTERFAITH WORKS PROVIDES EMERGENCY SHELTER, SUPPORTIVE HOUSING, ESSENTIAL NEEDS, AND EMPLOYMENT PROGRAMS TO OVER 35,000 RESIDENTS OF MONTGOMERY COUNTY, MD, EVERY YEAR.IN 2022, ADVENTIST HEALTHCARE PROVIDED INTERFAITH WORKS WITH GRANT FUNDING TO SUPPORT THEIR VOCATIONAL SERVICES PROGRAM. THE GOAL OF THE PROGRAM IS TO PLACE LOW-INCOME MONTGOMERY COUNTY RESIDENTS, AND THOSE EXPERIENCING HOMELESSNESS, IN LONG-TERM JOBS. THE PROGRAM PROVIDES COMPREHENSIVE, INDIVIDUALIZED SUPPORT TO CLIENTS, THEREBY STRENGTHENING THE FINANCIAL STABILITY OF INDIVIDUALS AND FAMILIES THROUGH JOB TRAINING AND READINESS PROGRAMS, EMPLOYMENT ASSISTANCE, AND SUPPORT UPON EMPLOYMENT. THEIR BILINGUAL (ENGLISH/SPANISH/FRENCH) VOCATIONAL COUNSELORS WORK WITH CLIENTS UNTIL THEY SUCCESSFULLY GAIN EMPLOYMENT AND OFFER SUPPORT FOR A MINIMUM OF ONE YEAR FOLLOWING EMPLOYMENT.
PART III, LINE 2:	TO ESTIMATE THE COST OF BAD DEBT THAT WE HAVE REPORTED ON SCHEDULE H, WE MULTIPLIED THE ORGANIZATION'S COST TO CHARGE RATIO (CCR) TIMES THE BAD DEBT PROVISION THAT HAS BEEN DERIVED FROM THE 2022 AUDITED FINANCIAL STATEMENTS. THE ORGANIZATION'S CCR IS THE QUOTIENT THAT RESULTS WHEN TOTAL OPERATING EXPENSE IS DIVIDED BY TOTAL GROSS PATIENT REVENUE AS REFLECTED IN THE ORGANIZATION'S GENERAL LEDGER.THE BAD DEBT EXPENSE THAT IS RECORDED IN THE GENERAL LEDGER REFLECTS THE AMOUNT OF PROVISION MANAGEMENT DEEMS NECESSARY TO REPORT PATIENT ACCOUNTS RECEIVABLE AT THEIR NET REALIZABLE VALUE. IN EVALUATING THE COLLECTABILITY OF PATIENT ACCOUNTS RECEIVABLE, WE ANALYZE HISTORICAL TRENDS FOR EACH MAJOR PAYOR AND ESTIMATE THE APPROPRIATE ALLOWANCE FOR DOUBTFUL COLLECTIONS.
PART II, COMMUNITY BUILDING ACTIVITIES, CONTINUED:	7) GENERATION HOPE:GENERATION HOPE'S GOAL IS TO DISMANTLE GENERATIONAL POVERTY THROUGH EDUCATIONAL ATTAINMENT. THEIR PROGRAMMING ADDRESSES AN URGENT NEED IN THE COMMUNITY BY FOCUSING ON THE BEST LONG-TERM POVERTY SOLUTIONS AND MAKING A LASTING IMPACT ON THE REGION'S LOW-INCOME TEEN PARENTS AND THEIR CHILDREN. OUR GOAL FOR OUR SCHOLAR PROGRAM IS THAT TEEN PARENTS EARN A COLLEGE DEGREE AND SECURE THRIVING FUTURES FOR THEIR FAMILIES. FOR NEXT GENERATION ACADEMY, OUR GOAL IS THAT THE CHILDREN OF TEEN PARENTS ARE PREPARED FOR SUCCESS AND WELLBEING IN KINDERGARTEN AND BEYOND.IN 2022, ADVENTIST HEALTHCARE PROVIDED GENERATION HOPE WITH GRANT FUNDING TO SUPPORT THEIR SCHOLAR PROGRAM AND NEXT GENERATION ACADEMY. WITH THIS FUNDING GENERATION HOPE PROVIDED MENTAL HEALTH SUPPORT TO SCHOLARS AND THEIR CHILDREN, PROVIDED SCHOLARS WITH WORKFORCE DEVELOPMENT SUPPORT, AND SUPPORTED SCHOLARS IN MAINTAINING HIGH GPAS AND GRADUATION RATES TO SET THEM UP FOR LONG TERM SUCCESS.8) REBUILDING TOGETHER MONTGOMERY COUNTY (RTMC):REBUILDING TOGETHER MAKES ESSENTIAL REPAIRS TO COMMUNITY MEMBERS' HOMES SO THAT THEY CAN STAY IN THEIR HOMES LONGER AND AGE SAFELY IN PLACE. AMONG ONE OF RTMC'S CORE ACTIVITIES IS THE SAFE AND HEALTHY HOMES PROGRAM, WHOSE GOAL IS TO LEVERAGE THEIR EXPERTISE IN THE HOME REPAIR FIELD AND FURTHER DEVELOP THEIR CROSS-SECTOR PARTNERSHIPS TO POSITIVELY AFFECT COMMUNITY HOME-HEALTH OUTCOMES.IN 2022, ADVENTIST HEALTHCARE PROVIDED RTMC WITH A SPONSORSHIP FOR THEIR NATIONAL REBUILDING DAY. ADDITIONALLY, A TEAM FROM ADVENTIST HEALTHCARE PARTICIPATED IN NATIONAL REBUILDING DAY PROVIDING CRITICAL HOME REPAIRS AND BEAUTIFICATION FOR A COMMUNITY MEMBER IN NEED.ADVENTIST HEALTHCARE FORT WASHINGTON MEDICAL CENTER AND ADVENTIST HEALTHCARE AS A SYSTEM CONTINUE TO PROVIDE COMMUNITY BUILDING ACTIVITIES IN 2023. PROVIDING COMMUNITY BUILDING ACTIVITIES IS ESSENTIAL TO ACHIEVING AND MAINTAINING OUR MISSION.
PART III, LINE 4:	THE CORPORATION ASSESSES COLLECTABILITY ON PATIENT CONTRACTS PRIOR TO THE RECOGNITION OF NET PATIENT SERVICE REVENUE. PATIENT ACCOUNTS RECEIVABLE ARE REPORTED AT THEIR NET REALIZABLE VALUE. ACCOUNTS ARE WRITTEN OFF THROUGH BAD DEBT EXPENSE WHEN THE CORPORATION HAS EXHAUSTED ALL COLLECTION EFFORTS AND DETERMINES ACCOUNTS ARE IMPAIRED BASED ON CHANGES IN PATIENT CREDIT WORTHINESS. PATIENT ACCOUNTS RECEIVABLE ALSO INCLUDES MANAGEMENT'S ESTIMATE OF THE IMPACT OF CERTAIN UNDERCHARGES TO BE RECOUPED OR OVERCHARGES TO BE PAID BACK FOR INPATIENT AND OUTPATIENT SERVICES IN SUBSEQUENT YEARS' RATES AS DISCUSSED EARLIER.
PART III, LINE 8:	ACUTE CARE HOSPITALS IN MARYLAND ARE EXEMPT FROM MEDICARE REIMBURSEMENT METHODOLOGY AND ALL PAYORS (INCLUDING MEDICARE AND MEDICAID) PAY HOSPITALS A CERTAIN PRESCRIBED PERCENTAGE OF CHARGES, WHICH ARE REGULATED BY THE STATE'S HEALTH SERVICES COST REVIEW COMMISSION (HSCRC). SPECIFICALLY, MEDICARE IS AWARDED A DISCOUNT OF 7.7% OF CHARGES WITHOUT AN ADVANCE FUNDING DEPOSIT WITH PROVIDERS, AS WELL AS A 2% REDUCTION FOR SEQUESTRATION. ON TOP OF THESE "STANDARD DEDUCTIONS", A MEDICARE PERFORMANCE ADJUSTMENT IS ALSO APPLIED TO HOSPITAL CLAIMS. THIS ADJUSTMENT CAN EITHER BE POSITIVE OR NEGATIVE, DEPENDING ON HOW WELL EACH INDIVIDUAL HOSPITAL PERFORMS UNDER VARIOUS PROGRAMS THAT ARE DESIGNED TO ENSURE THE GROWTH IN COST PER MEDICARE BENEFICIARY FALLS AT OR BELOW THE NATIONAL GROWTH RATE. A SHORTFALL WILL ONLY EXIST WHEN THE MEDICARE COLLECTION EXPERIENCE IS LOWER THAN THE FACILITY'S COST TO CHARGE RATIO (WHICH WOULD BE HIGHLY UNUSUAL GIVEN THE MARYLAND REIMBURSEMENT ENVIRONMENT). IF SUCH A SHORTFALL EXISTS, NONE OF IT SHOULD BE COUNTED TOWARDS A COMMUNITY BENEFIT CALCULATION.ADVENTIST HEALTHCARE USES ITS INCOME STATEMENT TO COMPUTE A COST TO CHARGE RATIO USED TO ESTIMATE THE COST OF PROVIDING CARE TO MEDICARE PATIENTS.
PART III, LINE 9B:	> THAT ALL PATIENTS RECEIVE A NOTICE ON FINANCIAL ASSISTANCE AND A PHONE CALL, BY ADVENTIST HEALTHCARE'S STAFF AND OUTSOURCED VENDORS, MENTIONING THE OPPORTUNITY TO HAVE THEIR BILL REDUCED IF THE DEBTOR QUALIFIES FOR ADVENTIST HEALTHCARE'S FINANCIAL ASSISTANCE.> WHEN A DEBTOR HAS AFFIRMED A DEBT AND HAS BEEN GIVEN AN OPPORTUNITY TO APPLY FOR ADVENTIST HEALTHCARE'S FINANCIAL ASSISTANCE, AND HAS APPLIED FOR AND BEEN GRANTED ASSISTANCE THAT REDUCED THE OUTSTANDING BALANCE BUT LEAVING AN AMOUNT STILL OWED TO AN ADVENTIST HEALTHCARE FACILITY OR HAS NOT APPLIED FOR ASSISTANCE IN THE ALLOTTED TIME PERIOD:1) FOR EXISTING ACCOUNTS, THE COLLECTION AGENCY WILL RECEIVE "DAILY NOTIFICATION TO REDUCE THE OUTSTANDING BALANCE OF ANY DEBTOR WHO QUALIFIES FOR ADVENTIST HEALTHCARE'S FINANCIAL ASSISTANCE. THE AGENCY WILL SEND A LETTER TO THE DEBTOR, ACKNOWLEDGING THE NEW BALANCE WITHIN 30 DAYS OF THE NOTICE TO ADJUST.2) ONCE THE DEBTOR AFFIRMS THE DEBT, THE AGENCY WILL INFORM THE DEBTOR ABOUT ADVENTIST HEALTHCARE'S FINANCIAL ASSISTANCE POLICY AND ASK IF THEY HAD RECEIVED INFORMATION ON HOW TO COMPLETE THE APPLICATION, OR THE CRITERIA FOR QUALIFICATION.3) WHEN A DEBTOR EXPRESSES A DESIRE TO COMPLETE THE APPLICATION FOR FINANCIAL ASSISTANCE, THEY WILL BE REFERRED TO ADVENTIST HEALTHCARE'S FINANCIAL COUNSELOR (301)-203-3475. THE COLLECTION AGENCY WILL PLACE THE ACCOUNT ON "HOLD" FOR 60 DAYS UNTIL THE FINANCIAL ASSISTANCE APPLICATION IS COMPLETE. 4) WHEN THE DEBTOR HAS COMPLETED THE APPLICATION FOR FINANCIAL ASSISTANCE AND BEEN APPROVED, THE AGENCY WILL RECEIVE IMMEDIATE NOTIFICATION FROM THE PATIENT FINANCIAL SERVICES DEPARTMENT. NOTIFICATION WILL INCLUDE THE AMOUNT OF DEBT REDUCTION THE DEBTOR QUALIFIED FOR. THE PATIENT FINANCIAL SERVICE LEADER WILL APPROVE THE ADJUSTMENT AND THE DEBTOR'S BALANCE WILL BE ADJUSTED ON ADVENTIST HEALTHCARE'S BOOKS.
PART VI, LINE 2:	FORT WASHINGTON MEDICAL CENTER (FWMC) PARTICIPATED AS A MEMBER OF A "CORE TEAM" COMPRISED OF 4 HOSPITALS IN PRINCE GEORGE'S COUNTY AND THE PRINCE GEORGE'S COUNTY HEALTH DEPARTMENT, TO CONDUCT A COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) IN 2022. AS REQUIRED TO IDENTIFY THE NEEDS OF THOSE LIVING IN ITS PRIMARY AND SECONDARY SERVICE AREAS IN PRINCE GEORGE'S COUNTY. THIS COMMUNITY HEALTH NEEDS ASSESSMENT WAS CONDUCTED TO IDENTIFY HEALTH NEEDS AND DEVELOP STRATEGIES TO IMPROVE HEALTH CONDITIONS IN THE SURROUNDING COMMUNITIES SERVICED BY THE HOSPITAL. IN ADDITION, WE ARE ACTIVELY INVOLVED WITH THE PRINCE GEORGE'S COUNTY HEALTHCARE ACTION COALITION (PGHAC) DEVELOPED BY THE MARYLAND DEPARTMENT OF HEALTH AND MENTAL HYGIENE TO ASSIST IN MAKING MARYLAND HEALTHIER. PGHAC'S MISSION IS TO IMPROVE THE HEALTH OF THE RESIDENTS OF PRINCE GEORGE'S COUNTY BY INCREASING ACCESS TO CARE, PROMOTING COLLABORATION AMONG HEALTH CARE PROVIDERS AND KEY STAKEHOLDERS, AND INTEGRATING AND COORDINATING PATIENT CARE TO REDUCE DUPLICATION OF AND ENHANCE SEAMLESS HEALTH SERVICE DELIVERY. FWMC IS INVOLVED WITH THE "ACCESS TO CARE" WORK GROUP WITH A FOCUS ON ENSURING RESIDENTS RECEIVE NEEDED HEALTH CARE, PARTICULARLY LOW INCOME, UNINSURED/UNDERINSURED ADULTS AND CHILDREN. THE ORGANIZATION HAS BEEN INVOLVED FROM THE BEGINNING OF THE INITIATIVE WORKING WITH PUBLIC HEALTH EXPERTS, AGENCIES, HOSPITAL PERSONNEL AND COMMUNITY ORGANIZATIONS TO LAY A FOUNDATION FOR ADDRESSING THIS ISSUE AND ESTABLISHING WAYS TO PROMOTE AND COMMUNICATE THE INITIATIVE AND MONITOR AND MEASURE ITS OVERALL EFFECTIVENESS. ADDITIONALLY, REPRESENTATIVES OF FWMC ARE ACTIVELY INVOLVED IN COMMUNITY GROUPS AND COALITIONS, COLLABORATE WITH COMMUNITY PARTNERS AND LOCAL BUSINESSES, AND TAKE PART IN COMMUNITY EVENTS AND PROGRAMMING. THROUGH THESE ACTIVITIES, OUR TEAM CAN HEAR FROM COMMUNITY MEMBERS, LEADERS, AND STAKEHOLDERS ON A REGULAR BASIS REGARDING EMERGING AND EVOLVING COMMUNITY NEEDS.
PART VI, LINE 3:	PATIENT EDUCATION OF ELIGIBILITY:ADVENTIST HEALTHCARE EDUCATES OUR PATIENTS AND COMMUNITY RESIDENTS ABOUT CHARITY CARE AND FINANCIAL ASSISTANCE IN MANY WAYS. THEY INCLUDE, BUT ARE NOT LIMITED TO, THE FOLLOWING: (1) ADVENTIST HEALTHCARE HAS FINANCIAL ASSISTANCE SIGNAGE IN ALL ITS FACILITIES, ON ALL PATIENT STATEMENTS AND ON OUR HOSPITALS' WEBSITES; (2) DURING PRE-REGISTRATION AND REGISTRATION, PATIENTS WHO ARE REGISTERED AS SELF-PAY, OR EXPRESS A FINANCIAL HARDSHIP, ARE INFORMED ABOUT THE HOSPITAL'S CHARITY CARE POLICY AND MAILED OR GIVEN A CHARITY APPLICATION. ADDITIONALLY, AN ADVENTIST HEALTHCARE PATIENT FINANCIAL ADVISOR WILL VISIT ADMITTED PATIENTS TO REVIEW FINANCIAL OPTIONS, INCLUDING AHC'S FINANCIAL ASSISTANCE PROGRAM; (3) WHEN GOING THROUGH THE MEDICAID ELIGIBILITY SCREENING, SELF-PAY PATIENTS ARE GIVEN A CHARITY APPLICATION DURING THAT PROCESS JUST IN CASE THE PATIENT DOES NOT QUALIFY FOR MEDICAID; (4) WHEN PATIENTS WITH A BALANCE RECEIVES A STATEMENT, THE PATIENT STATEMENT INCLUDES NOTIFICATION OF THE AVAILABILITY OF FINANCIAL ASSISTANCE AND THE CONTACT INFORMATION TO SPEAK WITH A REPRESENTATIVE OR OBTAIN A FINANCIAL ASSISTANCE PACKAGE; (5) WHEN PATIENTS WITH A BALANCE CONTACT THE COLLECTION DEPARTMENT AND EXPRESS FINANCIAL HARDSHIP, CUSTOMER SERVICE REPS AND SELF-PAY COLLECTORS WILL NOTIFY THE PATIENT OF THE AVAILABILITY OF ADVENTIST HEALTHCARE'S FINANCIAL ASSISTANCE AND MAIL A CHARITY APPLICATION TO THE PATIENT AND (6) RESIDENTS WHO PARTICIPATE IN OUR COMMUNITY PROGRAMS, SUCH AS BREAST CANCER, MATERNITY, ETC., ARE INFORMED OF ADVENTIST HEALTHCARE'S CHARITY PROGRAM PRIOR TO RECEIVING SERVICES.
PART VI, LINE 4:	FORT WASHINGTON, OXON HILL, AND TEMPLE HILLS COMPRISE FORT WASHINGTON MEDICAL CENTER'S COMMUNITY-BASED SERVICE AREA (CBSA) AND ARE LOCATED IN PRINCE GEORGE'S COUNTY. THE SUBURBAN CITIES ARE WITHIN A SHORTDISTANCE FROM THE WASHINGTON, D.C/MARYLAND LINE. FORT WASHINGTON ENCOMPASSES A 14-SQUARE MILE RADIUS. ACCORDING TO CLARITAS.COM, IT HAS A POPULATION OF 54,890 PEOPLE. THE RACIAL DYNAMIC OF FORT WASHINGTON IS PRIMARILY AFRICAN AMERICAN WITH 73.6% RESIDENTS; 10.49% WHITE RESIDENTS; 6.4% ASIAN, AND THE REMAINDER OF OTHER RACES ARE, NATIVE HAWAIIAN, AMERICAN INDIAN, AND PACIFIC ISLANDER. THE MEDIAN FORT WASHINGTON HOUSEHOLD INCOME IS $59,291 AND THE MEDIAN AGE OF THE FORT WASHINGTON RESIDENT IS 44 YEARS. SURROUNDING PORTIONS OF FORT WASHINGTON IS 9-SQUARE MILES OF LAND IN OXON HILL, MARYLAND. IT EXTENDS ALONG THE 210 NORTH CORRIDORS AND ALONG SOUTHERN AVENUE, WHICH SEPARATES IT FROM WASHINGTON, D.C. ACCORDING TO THE CLARITAS.COM, ITS POPULATION IS 30,187 RESIDENTS. THE RACIAL MAKE-UP OF OXON HILL IS 74.95% AFRICAN AMERICANS; 9.56% WHITE RESIDENTS AND 5.10% ASIAN RESIDENTS. THE MEDIAN OXON HILL HOUSEHOLD INCOME IS $86,714 AND THE AVERAGE AGE OF THE OXON HILL RESIDENT IS 38 YEARS. ANOTHER COMPONENT OF THE FWMC SERVICE AREA IS TEMPLE HILLS, WHICH IS 1.4 SQUARE MILES, AND IS WEST OF OXON HILL AND SOUTHEAST OF WASHINGTON, D.C. TEMPLE HILLS HAS A POPULATION OF 37,588 PEOPLE, AFRICAN AMERICAN COMPRISE MOST OF THE POPULATION WITH 85.36% RESIDENTS, 6.48%WHITE RESIDENTS AND 6.80% HISPANIC RESIDENTS. THERE IS A SMALL POPULATION OF NATIVE HAWAIIAN, ASIANS, AMERICAN INDIAN AND PACIFIC ISLANDERS. NEARLY 16.8% OF THE POPULATION IS CONSIDERED BELOW THE POVERTY LINE. THE MEDIAN TEMPLE HILLS HOUSEHOLD INCOME IS $60,920 AND THE AVERAGE AGE OF THE TEMPLE HILLS RESIDENT IS 31 YEARS.
PART VI, LINE 5:	FORT WASHINGTON MEDICAL CENTER PROVIDES CARE TO SOME OF THE MOST MEDICALLY UNDERSERVED AREAS IN PRINCE GEORGE'S COUNTY. THE LOW NUMBER OF SPECIALTY AND SUB-SPECIALTY PHYSICIANS AND THE LACK OF ACCESS TO HEALTHY DINING OPTIONS AND MEDICAL FACILITIES HAVE CREATED HEALTH DISPARITIES. ACCORDING TO THE MOST RECENT COMMUNITY HEALTH NEEDS ASSESSMENT CONDUCTED BY THE PRINCE GEORGE'S COUNTY DEPARTMENT OF HEALTH, WE HAVE SOME OF THE HIGHEST INSTANCES OF HEART DISEASE, DIABETES, STROKE AND HYPERTENSION, BREAST CANCER, PROSTATE CANCER, HIV, SEXUALLY TRANSMITTED ILLNESSES, SENIOR HEALTH ISSUES, AND ASTHMA IN MARYLAND. MEETING THESE CARE NEEDS IS WHY ACCESS TO HIGH QUALITY AND COMPASSIONATE CARE IS A CRITICAL PART OF OUR PLAN. BELOW IS A BRIEF SUMMARY OF THE HEALTH PROMOTIONAL ACTIVITIES THE FORT WASHINGTON MEDICAL CENTER TEAM PERFORMED FOR THE COMMUNITY IN 2022.> PARTICIPATED IN SEVERAL COMMUNITY EVENTS THROUGHOUT THE YEAR, INCLUDING FARMERS MARKETS AND CHURCH EVENTS WHERE FREE BLOOD PRESSURE SCREENINGS WERE ADMINISTERED AND HEALTH INFORMATION WAS DISTRIBUTED.> PARTICIPATED IN SEVERAL COMMUNITY TOWN HALL MEETINGS AND CHURCH SERVICES TO PROMOTE THE PROGRAMS AND SERVICES OFFERED BY ADVENTIST HEALTHCARE FORT WASHINGTON MEDICAL CENTER, TO OFFER THE HOSPITAL'S COMMUNITY SUPPORT, AND TO SOLICITED COMMUNITY FEEDBACK ON THE SERVICES THEY WOULD LIKE TO SEE THE HOSPITAL PROVIDE PATIENTS. > PERSONNEL FROM VARIOUS DEPARTMENTS ARE ACTIVE IN THE COMMUNITY SERVING ON VARIOUS BOARDS, COALITIONS AND COMMITTEES TO HELP ADDRESS HEALTH IN THE COMMUNITY, PARTICULARLY THE HEALTH OF THE UNDERSERVED AND AT-RISK POPULATIONS.> TO MEET THE CONTINUING NEEDS OF OUR DIVERSE COMMUNITY, ADVENTIST HEALTHCARE PROVIDES CULTURAL AND LINGUISTIC COMPETENCY TRAINING TO MEDICAL AND SUPPORT STAFF.THE TEAM AT FORT WASHINGTON MEDICAL CENTER ARE STRONG ADVOCATES FOR INVESTING IN THE AREAS ANCHORED TO FORT WASHINGTON. WE INTEND TO CLOSE THE HEALTH EQUITY GAP IN THE COUNTY THAT HAS LONG EXISTED BUT BECAME GLARINGLY APPARENT DURING THE PANDEMIC AND WE AIM TO PROVIDE THE HIGHEST QUALITY CARE TO ENSURE HEALING FOR THE WHOLE PERSON IN BODY, MIND AND SPIRIT.
PART VI, LINE 6:	ADVENTIST HEALTHCARE, BASED IN GAITHERSBURG, MD., IS A FAITH-BASED, NOT-FOR-PROFIT ORGANIZATION OF DEDICATED PROFESSIONALS WHO WORK TOGETHER EACH DAY TO PROVIDE EXCELLENT WELLNESS, DISEASE MANAGEMENT AND HEALTH-CARE SERVICES TO THE COMMUNITY. WE WERE FOUNDED UPON THE PRINCIPLE OF WELLNESS MORE THAN 100 YEARS AGO AND TODAY PROVIDE INNOVATIVE CARE TO HEART-ATTACK VICTIMS, CANCER PATIENTS, PREMATURE BABIES, AND THE COMMUNITY. OUR UNWAVERING FOCUS HAS ALWAYS BEEN ON THE HEALTH AND WELLNESS OF THE COMMUNITIES WE SERVE. WE ARE ALREADY A STEP AHEAD AS HEALTH CARE REFORM IS CHALLENGING HOSPITAL SYSTEMS NATIONWIDE TO IMPROVE THE HEALTH OF POPULATIONS; OUR INTEGRATED, HEALTH-CARE DELIVERY NETWORK INCLUDES FOUR NATIONALLY ACCREDITED, ACUTE-CARE AND SPECIALTY HOSPITALS, MENTAL HEALTH SERVICES, HOME HEALTH AGENCIES AND URGENT CARE CENTERS, SERVING THE WASHINGTON, D.C. METROPOLITAN AREA.ADVENTIST HEALTHCARE INCLUDES: ADVENTIST HEALTHCARE SHADY GROVE MEDICAL CENTER, ADVENTIST HEALTHCARE WHITE OAK MEDICAL CENTER, ADVENTIST HEALTHCARE FORT WASHINGTON MEDICAL CENTER, ADVENTIST HEALTHCARE REHABILITATION, ADVENTIST HEALTHCARE HOME CARE SERVICES, THE REGINALD S. LOURIE CENTER FOR CHILDREN'S SOCIAL & EMOTIONAL WELLNESS, ADVENTIST MEDICAL GROUP, ADVENTIST HEALTHCARE PHYSICIAN ALLIANCE CLINICALLY INTEGRATED NETWORK, ADVENTIST HEALTHCARE URGENT CARE CENTERS, AND OTHER HEALTH SERVICES. WITH MORE THAN 2,000 AFFILIATED PRIMARY AND SPECIALTY CARE PHYSICIANS, ADVENTIST HEALTHCARE ENCOMPASSES MANY OF THE NECESSARY CARE DELIVERY COMPONENTS NEEDED TO DELIVER POPULATION-BASED CARE ACROSS THE CONTINUUM.OUR COMMITMENT TO THE COMMUNITY EXTENDS BEYOND OUR WALLS TO ENCOMPASS THE MOST VULNERABLE AND UNDERSERVED. IN 2022, THERE WERE APPROXIMATELY 89,125 OVERALL ENCOUNTERS ACROSS ALL OUR FACILITIES AND PROGRAMS. WE ALSO PROVIDED SIGNIFICANT CHARITY CARE AND COMMUNITY BENEFIT. AS ONE OF THE LARGEST EMPLOYERS IN THE STATE OF MARYLAND, WE ARE GRATEFUL TO HAVE THE DEDICATED COMMITMENT OF 6,101 EMPLOYEES, 1,950 AFFILIATED PROVIDERS THROUGH OUR CLINICALLY INTEGRATED NETWORK, AND NUMEROUS VOLUNTEERS PROVIDING OVER 50,350 VOLUNTEER HOURS, THROUGHOUT ADVENTIST HEALTHCARE WHO PROVIDE COMPASSIONATE, HIGH-QUALITY CARE EVERY DAY.IN ADDITION TO PROVIDING CHARITY CARE AT OUR FACILITIES, ADVENTIST HEALTHCARE IS INVOLVED IN NUMEROUS OUTREACH INITIATIVES DESIGNED TO IMPROVE ACCESS TO HEALTH CARE FOR LOW-INCOME AND UNINSURED INDIVIDUALS, AS WELL AS HISTORICALLY UNDER-SERVED COMMUNITIES INCLUDING MINORITIES AND IMMIGRANTS. OUR GOAL IS EFFECTIVE PREVENTION, TREATMENT, AND CARE PROGRAMS FOR ALL INDIVIDUALS, REGARDLESS OF THEIR ECONOMIC, CULTURAL, LINGUISTIC OR DEMOGRAPHIC CHARACTERISTICS.VISIT WWW.ADVENTISTHEALTHCARE.COM TO LEARN EVEN MORE ABOUT OUR SERVICES AND OUR LONGSTANDING BELIEF THAT A HEALTHY LIFESTYLE IS THE BEST WAY TO PREVENT DISEASE, AND THAT PREVENTION IS MUCH BETTER THAN A CURE.
PART VI, LINE 7, REPORTS FILED WITH STATES	MD

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Severance Payment	0	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (1)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	0	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	0	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	0	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	0	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	0	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	Yes (1)	AnyNonFixedPaymentsInd
Initial Contract Exception	0	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (13 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
TERRY FORDE
CHAIR; PRESIDENT & CEO,AHC	$0	$983,798	$0	$342,201	$0	$187,717	$0	$27,000	$0	$36,683	$0	$1,577,399	$0	$0
JOHN SACKETT
VICE CHAIR; EVP/COO,AHC	$0	$596,569	$0	$170,553	$0	$267,300	$0	$27,000	$0	$43,167	$0	$1,104,589	$0	$0
KRISTEN PULIO
SVP & CFO, AHC	$0	$524,682	$0	$93,631	$0	$133,066	$0	$172,176	$0	$7,675	$0	$931,230	$0	$78,950
EUNMEE SHIM
SECY.; PRESIDENT, FWMC	$0	$379,781	$0	$72,466	$0	$239,638	$0	$119,862	$0	$30,605	$0	$842,352	$0	$98,494
JAMES G LEE
EVP & CSO-GWTH, AHC-UNTIL MAY 2022	$0	$330,703	$0	$154,714	$0	$143,527	$0	$12,198	$0	$10,597	$0	$651,739	$0	$121,781
KEVIN CARGILL
VP AND CFO, WOMC & FWMC	$0	$261,668	$0	$55,172	$0	$107,618	$0	$90,369	$0	$23,809	$0	$538,636	$0	$0
CARLIN WILLIAMS MD
BOARD MEMBER; PHYSICIAN, FWMC	$0	$313,846	$0	$136,548	$0	$10,350	$0	$19,580	$0	$27,543	$0	$507,867	$0	$0
SHAUN KHOSLA MD
BOARD MEMBER; PHYSICIAN, FWMC	$298,489	$0	$43,750	$0	$18,099	$0	$13,000	$0	$1,807	$0	$375,145	$0	$0	$0
ANNA CAZES
VP, CNO/COO	$230,173	$0	$0	$0	$37,603	$0	$84,217	$0	$11,325	$0	$363,318	$0	$0	$0
KENNETH FISHER MD
BOARD MEMBER; CMO, FWMC	$217,039	$0	$15,000	$0	$27,233	$0	$69,057	$0	$246	$0	$328,575	$0	$0	$0
STEVEN PETERSON
ANCILLARY SERVICES DIRECTOR	$163,458	$0	$15,567	$0	$1,433	$0	$16,083	$0	$14,080	$0	$210,621	$0	$0	$0
ZANZETA SMITH
DIRECTOR, SERVICE LINE & PROGRAM DEV	$162,092	$0	$16,736	$0	$905	$0	$8,184	$0	$7,127	$0	$195,044	$0	$0	$0
PAULINA ANIM
REGISTERED NURSE II	$171,075	$0	$0	$0	$6,178	$0	$0	$0	$0	$0	$177,253	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE 3	PAY PRACTICE: ADVENTIST HEALTHCARE UTILIZES A SINGLE EMPLOYER ID FOR ALL ITS AFFILIATED ENTITIES FOR EMPLOYMENT PURPOSES. AS SUCH, ACTUAL COMPENSATION AND BENEFITS ARE CHARGED TO THE RESPECTIVE ENTITIES AND THE RESULTING COMPENSATION AND BENEFITS ARE REPORTED ON EACH AFFILIATE IRS FORM 990 AS IF PAID DIRECTLY BY SUCH AFFILIATE. AS APPLICABLE, THE SAME AND NON-ADDITIVE COMPENSATION AND EMPLOYMENT BENEFIT PLAN CONTRIBUTION AMOUNTS WERE ALSO DISCLOSED IN THE ADVENTIST HEALTHCARE INC. RELATED ENTITIES' RETURNS. INDEPENDENT GUIDELINES: WHEN SETTING COMPENSATION FOR THE OFFICERS, DIRECTORS, TRUSTEES, KEY EMPLOYEES, AND THE HIGHEST COMPENSATED EMPLOYEES, ADVENTIST HEALTHCARE FULLY COMPLIES WITH THE PROCEDURAL SAFEGUARDS EMBODIED IN IRS REGULATIONS. COMPENSATION FOR ADVENTIST HEALTHCARE OFFICERS, DIRECTORS, TRUSTEES, KEY EMPLOYEES, AND THE HIGHEST COMPENSATED EMPLOYEES IS ENTIRELY SET BY A COMMITTEE OF ADVENTIST HEALTHCARE BOARD OF TRUSTEES. IN SETTING COMPENSATION, THE GOVERNING BOARD COMMITTEE RELIES UPON MARKET COMPARABILITY DATA PROVIDED BY AN INDEPENDENT OUTSIDE COMPENSATION CONSULTANT WHO PROVIDES A SUMMARY OF HEALTH CARE SALARIES AND BENEFITS FOR COMPARABLE SIZED ORGANIZATIONS BOTH NATIONALLY AND IN THE BALTIMORE-WASHINGTON REGION. TO FURTHER ENSURE REASONABLENESS, BOTH COMPENSATION AND BENEFITS ARE TARGETED AT THE 50TH PERCENTILE (OR MEDIAN) OF THE MARKET.
PART I, LINE 4B	CERTAIN EMPLOYEES RECEIVED COMPENSATION FROM A DISTRIBUTION UNDER AN EXECUTIVE RETENTION 457F PLAN, WHICH BECAME EFFECTIVE ON JANUARY 1, 2015. PRE-TAX CONTRIBUTIONS ARE ACCUMULATED ANNUALLY AND ARE DISTRIBUTED ON JANUARY 1ST OF THE 2ND YEAR, IF STILL EMPLOYED, OR SOONER BASED ON CERTAIN EXCEPTIONS. THERE IS TYPICALLY A 2-YEAR DEFERRAL PERIOD BEFORE PAYMENTS ARE RELEASED. CONTRIBUTIONS ACCUMULATED IN 2020 WERE GENERALLY DISTRIBUTED ON JANUARY 1, 2022 AND CONTRIBUTIONS ACCUMULATED IN 2021 WILL GENERALLY BE DISTRIBUTED ON JANUARY 1, 2023. AMOUNTS LISTED UNDER PART II, COLUMN F INCLUDE PAYOUT AMOUNTS WHICH WERE CONSIDERED DEFERRED COMPENSATION FROM THE 457F PLAN IN OUR PRIOR YEAR RETURNS AND THESE AMOUNTS ARE NOW BEING SHOWN UNDER THE OTHER REPORTABLE INCOME, COLUMN B (III). THE ADVENTIST HEALTHCARE EXECUTIVE RETENTION PLAN PAYS CERTAIN PARTICIPANTS THEIR RETIREMENT PAYMENTS IN DIRECT CASH, RATHER THAN RETENTION BENEFITS OF DEFERRED CASH, AFTER ATTAINING THE PLAN'S RETIREMENT AGE. THE FOLLOWING EXECUTIVE RECEIVED A SUPPLEMENTAL RETIREMENT PAYMENT UNDER THIS PLAN FEATURE: JOHN SACKETT: $156,680 - RETIREMENT AGE PAYMENT.
PART I, LINE 7	THE ANNUAL INCENTIVE COMPENSATION INCLUDES PAYMENTS BASED ON SATISFACTION OF PRE-DETERMINED PERFORMANCE TARGETS SUCH AS QUALITY/PATIENT SAFETY GOALS, EMPLOYEE AND PATIENT ENGAGEMENT GOALS, ORGANIZATIONAL GROWTH, AND FINANCIAL PERFORMANCE, AMONG OTHER THINGS. THE ANNUAL INCENTIVE COMPENSATION APPLIES TO DIRECTORS AND ABOVE.
SUPPLEMENTAL INFORMATION:	OTHER REPORTABLE COMPENSATION INCLUDES RETENTION PAYMENTS AND LUMP-SUM ADJUSTMENTS IN LIEU OF THE ACROSS-THE-BOARD INCREASE (FOR EMPLOYEES WHO ARE AT OR REACH THE RANGE MAXIMUM FOR THEIR POSITION). OTHER REPORTABLE COMPENSATION ALSO INCLUDES LONG-TERM DISABILITY COVERAGE, CELL PHONE ALLOWANCES, CASH-OUT OF UNUSED PAID TIME OFF (PTO) HOURS, IMPUTED VALUE OF LIFE INSURANCE COVERAGE, AND SEVERANCE, AS APPLICABLE. CERTAIN EXECUTIVES CAN ALSO RECEIVE REPORTABLE COMPENSATION THROUGH A SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP) ONCE THEY HAVE VESTED IN THE PLAN. IN 2022, THERE WERE NO SERP PAYOUTS MADE. NON-TAXABLE BENEFITS INCLUDES PRE-TAX PAYROLL DEDUCTIONS (SUCH AS FLEXIBLE MEDICAL SPENDING, DEPENDENT CARE, AND EMPLOYEE HEALTH BENEFIT PREMIUMS), AND THE EMPLOYER PORTION OF CERTAIN EMPLOYEE BENEFITS SUCH AS HEALTH INSURANCE, DENTAL INSURANCE, VISION INSURANCE, AND LIFE INSURANCE, ETC.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (11 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART V, LINE 1A, 2A, AND 2B	GENERAL EXPLANATION: EMPLOYEES OF ANY OF THE ADVENTIST HEALTHCARE INC. AND AFFILIATED TAX EXEMPT ENTITIES IN THE STATE OF MARYLAND (INCLUDING ADVENTIST HEALTHCARE FORT WASHINGTON MEDICAL CENTER INC.) ARE PAID THROUGH A COMMON PAYMASTER, ADVENTIST HEALTHCARE, INC. AND ARE REPORTED ON ITS FORM 941. SALARY AND BENEFIT EXPENSES REPORTED ON THEIR RESPECTIVE RETURNS ARE ACTUAL CHARGES RELATED TO THE EMPLOYEES WORKING ON THE SPECIFIC TAX EXEMPT ENTITY. VENDOR PAYMENTS FOR ANY OF THE ADVENTIST HEALTHCARE, INC. AND RELATED ENTITIES IN THE STATE OF MARYLAND ARE MADE THROUGH A COMMON PAYMASTER, ADVENTIST HEALTHCARE, INC. ANY APPLICABLE FORMS 1099 ARE PROCESSED BY ADVENTIST HEALTHCARE, INC.
FORM 990, PART VI, SECTION A, LINE 1A	THE GOVERNING BODY HAS DELEGATED BROAD AUTHORITY TO AN EXECUTIVE COMMITTEE DURING SUCH TIMES WHEREBY IT IS IMPRACTICABLE TO CONVENE THE FULL BOARD, AND WHEN IT IS NECESSARY TO CARRY OUT THE GOVERNANCE FUNCTIONS OF THE BOARD. THE EXECUTIVE COMMITTEE SHALL HAVE ALL THE POWERS OF THE BOARD IN THE MANAGEMENT AND DIRECTION OF THE AFFAIRS OF ADVENTIST HEALTHCARE FORT WASHINGTON MEDICAL CENTER INC., PROVIDED SUCH ACTIONS ARE NOT IN CONFLICT WITH GENERAL POLICIES ENACTED BY THE BOARD OF TRUSTEES. THE EXECUTIVE COMMITTEE SHALL BE CHAIRED BY THE CHAIR OF THE BOARD OF TRUSTEES, AND SHALL CONSIST OF THE BOARD OFFICERS, A PHYSICIAN BOARD MEMBER, THE CHAIR OF THE FINANCE COMMITTEE, AND ANOTHER BOARD MEMBER DESIGNATED BY THE CHAIR OF THE BOARD OF TRUSTEES. EXCEPT FOR EX-OFFICIO MEMBERS, ALL COMMITTEE MEMBERS SHALL BE APPOINTED BY THE CHAIR OF THE BOARD OF TRUSTEES AND SERVE FOR A TERM OF ONE YEAR AND/OR UNTIL THEIR SUCCESSORS ARE APPOINTED AND QUALIFIED.
FORM 990, PART VI, SECTION A, LINE 6	ADVENTIST HEALTHCARE, INC. IS THE SOLE MEMBER OF ADVENTIST HEALTHCARE FORT WASHINGTON MEDICAL CENTER INC.
FORM 990, PART VI, SECTION A, LINE 7A	ADVENTIST HEALTHCARE, INC. CAN ELECT MEMBERS OF THE BOARD.
FORM 990, PART VI, SECTION A, LINE 7B	DECISIONS SUBJECT TO APPROVAL. SEE BY LAWS, ARTICLE II, SECTION 2: RESERVED AUTHORITY AND RESPONSIBILITY. THE FOLLOWING ACTIONS SHALL BE RESERVED TO THE MEMBER: A. THE ADOPTION, ALTERING, AMENDING OR REPLACING OF THE ARTICLES OF INCORPORATION OR THE BYLAWS OF THE CORPORATION; B. THE LIQUIDATION, DISSOLUTION, WINDING UP, OR ABANDONMENT OF THE CORPORATION; C. APPOINTMENT OF MEMBERS OF THE BOARD OF DIRECTORS FROM NOMINEES SUBMITTED BY THE NOMINATING COMMITTEE (AS DEFINED HEREUNDER); D. REMOVAL OF MEMBERS OF THE BOARD OF DIRECTORS; E. APPOINTMENT AND REMOVAL OF THE PRESIDENT OF THE CORPORATION, IN CONSULTATION WITH THE BOARD OF DIRECTORS; F. THE PURCHASE, SALE OR DISPOSITION OF REAL PROPERTY OF THE CORPORATION; G. AUTHORIZATION AND APPROVAL OF THE ISSUANCE OF DEBT AND THE USE OF PROCEEDS OF SUCH DEBT FOR AND ON BEHALF OF THE CORPORATION; H. DEVELOPMENT OF CAPITAL INVESTMENT, CAPITAL ALLOCATION AND BORROWING POLICIES FOR THE CORPORATION; I. CEASING THE PROVISION OF HEALTH CARE SERVICES NECESSARY FOR OPERATION AS A LICENSED GENERAL ACUTE CARE FACILITY AT ANY SITE; J. ADOPTING THE HOSPITAL CORPORATION'S ANNUAL AND LONG-TERM CAPITAL AND OPERATION BUDGETS; K. MAKING ANY CHANGES IN ANY OF THE CORPORATION'S INSURANCE PROGRAM; AND L. RECOMMENDING ANY UNBUDGETED CAPITAL EXPENDITURE OF THE HOSPITAL CORPORATION'S CAPITAL BUDGET IN EXCESS OF $50,000. ALL MEMBERS HAVE RIGHTS TO VOTE.
FORM 990, PART VI, SECTION B, LINE 11B	PRIOR TO FILING THE FORM 990 WITH THE IRS, THE RETURN WAS REVIEWED BY THE ORGANIZATION'S FINANCE DEPARTMENT AND EXECUTIVE MANAGEMENT TEAM. ALSO, PRIOR TO FILING THE FORM 990 WITH THE IRS, ALL MEMBERS OF THE BOARD ARE PROVIDED A COPY OF THE FORM 990 FOR THEIR REVIEW.
FORM 990, PART VI, SECTION B, LINE 12C	PURSUANT TO THE ORGANIZATION'S CONFLICT OF INTEREST POLICY, EACH FACILITY BOARD MEMBER, OFFICER, DIRECTOR AND ANY EMPLOYEE IN A POSITION THAT REQUIRES COORDINATION AND/OR NEGOTIATION WITH CONTRACTORS OR SUPPLIES, IS REQUIRED ON AN ANNUAL BASIS TO DISCLOSE ANY BUSINESS OR FINANCIAL RELATIONSHIP OUTSIDE OF THE ORGANIZATION. AN ACTUAL OR POTENTIAL CONFLICT OF INTEREST, OR THE PERCEPTION OR APPEARANCE OF A CONFLICT OF INTEREST, OCCURS WHEN A COVERED PERSON IS IN A POSITION TO INFLUENCE A DECISION THAT MAY RESULT IN A PERSONAL GAIN FOR THAT EMPLOYEE, A RELATIVE, OR OTHER PERSON LIVING IN THE SAME HOUSEHOLD, AS A RESULT OF ADVENTIST HEALTHCARE'S BUSINESS ACTIVITIES. A RELATIVE IS DEFINED AS ANY PERSON WHO IS RELATED BY BLOOD OR MARRIAGE, OR WHOSE RELATIONSHIP WITH THE COVERED PERSON IS SIMILAR TO THAT OF PERSONS WHO ARE RELATED BY BLOOD OR MARRIAGE. NO "PRESUMPTION OF GUILT" IS CREATED BY THE MERE EXISTENCE OF A RELATIONSHIP BETWEEN AN ADVENTIST HEALTHCARE EMPLOYEE AND AN OUTSIDE FIRM OR BUSINESS ENDEAVOR, OR OTHER POTENTIAL CONFLICT OF INTEREST. HOWEVER, IF A COVERED PERSON HAS ANY BUSINESS, FINANCIAL, OR OTHER RELATIONSHIP WITH ANY ORGANIZATION WHEREBY THE EXISTENCE OF THAT RELATIONSHIP EITHER CREATES A CONFLICT OF INTEREST OR IS PERCEIVED TO CREATE A CONFLICT OF INTEREST, THE COVERED PERSON MUST DISCLOSE THIS RELATIONSHIP TO THE DESIGNATED SENIOR MANAGER, OR GOVERNING BOARD, AS THE CASE MAY BE, AT THE LOCATION WHERE THE EMPLOYEE IS ASSIGNED. THE SENIOR MANAGER WILL REVIEW THE RELATIONSHIP, MAKE COMMENTS AND RECOMMENDATIONS, AND FORWARD ALL DOCUMENTATION TO THE ORGANIZATIONAL INTEGRITY COMMITTEE FOR A FINAL DECISION. COMPLIANCE WITH THE CONFLICT OF INTEREST POLICY IS MONITORED AND ENFORCED BY THE HUMAN RESOURCES DEPARTMENT, ORGANIZATIONAL INTEGRITY DEPARTMENT AND THE LEGAL DEPARTMENT.
FORM 990, PART VI, SECTION B, LINE 15	WHEN SETTING COMPENSATION FOR EXECUTIVES, OFFICERS, KEY EMPLOYEES, AND ALL EMPLOYEES, THE ORGANIZATION FULLY COMPLIES WITH THE PROCEDURAL SAFEGUARDS EMBEDDED IN THE IRS REGULATIONS. COMPENSATION IS ENTIRELY SET BY A COMMITTEE OF THE BOARD OF TRUSTEES. IN SETTING COMPENSATION, THE GOVERNING BOARD COMMITTEE RELIES UPON MARKET COMPARABILITY DATA PROVIDED BY AN INDEPENDENT OUTSIDE COMPENSATION CONSULTANT. TO ENSURE REASONABLENESS, COMPENSATION IS SET AT THE 50TH PERCENTILE OF THE NATURAL MARKET. GENERAL EXPLANATION: EMPLOYEES OF ANY OF THE ADVENTIST HEALTHCARE INC. AND AFFILIATED TAX EXEMPT ENTITIES IN THE STATE OF MARYLAND (INCLUDING ADVENTIST HEALTHCARE FORT WASHINGTON MEDICAL CENTER INC.) ARE PAID THROUGH A COMMON PAYMASTER, ADVENTIST HEALTHCARE, INC. AND ARE REPORTED ON ITS FORM 941. SALARY AND BENEFIT EXPENSES REPORTED ON THEIR RESPECTIVE RETURNS ARE ACTUAL CHARGES RELATED TO THE EMPLOYEES WORKING ON THE SPECIFIC TAX EXEMPT ENTITY. COMPENSATION INCLUDED REGULAR BASE SALARY, BONUS, PAID TIME OFF CASH OUT (ONLY FOR EMPLOYEES WHO LEAVE OUR ORGANIZATION), TAXABLE RELOCATION ALLOWANCE, HOLIDAY GIFT, RETROACTIVE COMPENSATION ADJUSTMENT, BEREAVEMENT LEAVE, EDUCATION, AND WITHDRAWAL OF DEFERRED COMPENSATION, AS APPLICABLE. THE SAME AND NON-ADDITIVE COMPENSATION AND EMPLOYMENT BENEFIT PLAN CONTRIBUTION AMOUNTS WERE ALSO DISCLOSED IN THE ADVENTIST HEALTHCARE INC.'S RELATED ENTITIES RETURNS. VENDOR PAYMENTS FOR ANY OF THE ADVENTIST HEALTHCARE, INC. AND RELATED ENTITIES IN THE STATE OF MARYLAND ARE MADE THROUGH A COMMON PAYMASTER, ADVENTIST HEALTHCARE, INC.
FORM 990, PART VI, SECTION C, LINE 19	THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS, ARE AVAILABLE TO THE PUBLIC UPON REQUEST.
FORM 990, PART IX, LINE 11G	CONSULTING AND PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 4,299,201. MANAGEMENT AND GENERAL EXPENSES 1,564,018. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 5,863,219. CONTRACT LABOR: PROGRAM SERVICE EXPENSES 8,686,566. MANAGEMENT AND GENERAL EXPENSES 41,795. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 8,728,361.
FORM 990, PART XI, LINE 9:	OTHER RESTRICTED NET ASSETS ACTIVITY -1.

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp

Disregarded Entity Name DisregardedEntityName

Field	Value	IRS element (for citing)
Business Name Line1	FORT WASHINGTON AMBULATORY SERVICES LLC	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	174 WATERFRONT STREET SUITE 225	AddressLine1Txt
City	OXON HILL	CityNm
State Abbreviation	MD	StateAbbreviationCd
ZIP	20745	ZIPCd

Field	Value	IRS element (for citing)
EIN	814231152	EIN
Primary Activities	AMBULATORY SERVICES	PrimaryActivitiesTxt
Legal Domicile State	MD	LegalDomicileStateCd
Total Income	$0	TotalIncomeAmt
End Of Year Assets	$0	EndOfYearAssetsAmt

Direct Controlling Entity Name DirectControllingEntityName

Field	Value	IRS element (for citing)
Business Name Line1	ADVENTIST HEALTHCARE FORT WASHINGTON MEDICAL CENTER INC	BusinessNameLine1Txt

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (10 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd	Direct Controlling NADirectControllingNACd
ADVENTIST HEALTHCARE INC
820 W DIAMOND AVE SUITE 600	GAITHERSBURG	MD	208781419	521532556	HEALTHCARE SERVICES	MD	501(C)(3)	LINE 3	MID-ATLANTIC ADVENTIST HEALTHCARE CORPORATION	0
ADVENTIST HEALTHCARE URGENT CARE CENTERS INC
820 W DIAMOND AVE SUITE 600	GAITHERSBURG	MD	208781419	461577511	CLINIC - EMERGENCY CARE	MD	501(C)(3)	LINE 10	ADVENTIST HEALTHCARE INC	0
ADVENTIST HOME HEALTH SERVICES INC
820 W DIAMOND AVE SUITE 600	GAITHERSBURG	MD	208781419	520986808	HOME CARE SERVICES	MD	501(C)(3)	LINE 10	ADVENTIST HEALTHCARE INC	0
ADVENTIST PHYSICIAN SERVICES INC
820 W DIAMOND AVE SUITE 600	GAITHERSBURG	MD	208781419	204600646	PHYSICIAN SERVICES	MD	501(C)(3)	LINE 10	ADVENTIST HEALTHCARE INC	0
ADVENTIST REHABILITATION HOSPITAL OF MARYLAND INC
820 W DIAMOND AVE SUITE 600	GAITHERSBURG	MD	208781419	201486678	REHABILITATION HOSPITAL	MD	501(C)(3)	LINE 3	ADVENTIST HEALTHCARE INC	0
ADVENTIST REHABILITATION INC
820 W DIAMOND AVE SUITE 600	GAITHERSBURG	MD	208781419	300780513	REHABILITATION SERVICES	MD	501(C)(3)	LINE 10	ADVENTIST REHABILITATION HOSPITAL OF MARYLAND INC	0
MID-ATLANTIC ADVENTIST HEALTHCARE CORPORATION
820 W DIAMOND AVE SUITE 600	GAITHERSBURG	MD	208781419	521884153	HOLDING COMPANY	MD	501(C)(3)	LINE 10		0	N/A
REGINALD S LOURIE CENTER FOR INFANTS AND YOUNG CHILDREN INC
820 W DIAMOND AVE SUITE 600	GAITHERSBURG	MD	208781419	521255870	BEHAVIORAL CARE	MD	501(C)(3)	LINE 10	ADVENTIST HEALTHCARE INC	0
SHADY GROVE ADVENTIST HOSPITAL FOUNDATION INC
820 W DIAMOND AVE SUITE 600	GAITHERSBURG	MD	208781419	521216429	FUNDRAISING	MD	501(C)(3)	LINE 12A, I		0	N/A
WASHINGTON ADVENTIST HOSPITAL FOUNDATION INC
820 W DIAMOND AVE SUITE 600	GAITHERSBURG	MD	208781419	521692158	FUNDRAISING	MD	501(C)(3)	LINE 12A, I	ADVENTIST HEALTHCARE INC	0

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (5 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Direct Controlling NADirectControllingNACd	Predominant Income TypePredominantIncomeTypeTxt	Disproportionate AllocationsDisproportionateAllocationsInd	General Or Managing PartnerGeneralOrManagingPartnerInd
SHADY GROVE MEDICAL BUILDING LLC
1650 TYSONS BOULEVARD STE 820	MCLEAN	VA	22102	274599411	MEDICAL OFFICE BUILDING	MD	N/A	RELATED	0	0
NEXUS MONTGOMERY REGIONAL PARTNERSHIP LLC
820 WEST DIAMOND AVE SUITE 600	GAITHERSBURG	MD	20878	815410250	HEALTHCARE & COMMUNITY SERVICE FOR IMPROVED HEALTH	MD	N/A	RELATED	0	0
CORELIFE ADVENTIST LLC
821 WEST BENFIELD ROAD SUITE 5	SEVERNA PARK	MD	21146	841813204	PROVIDES WELLNESS AND WEIGHT MANAGEMENT	MD	N/A	RELATED	0	0
ADVENTIST HEALTHCARE SURGERY CENTER AT NATIONAL HARBOR LLC
251 NATIONAL HARBOR BOULEVARD SUITE	OXEN HILL	MD	20745	852814304	AMBULATORY SURGICAL SERVICES	MD	N/A	RELATED	0	0
MID-ATLANTIC RADIATION ONCOLOGY LLC
10101 WOODLOCH FOREST DR	THE WOODLANDS	TX	77380	844560643	RADIATION ONCOLOGY SERVICES	MD	N/A	RELATED	0	0

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	0	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	0	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	0	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	0	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	0	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	0	DivRelatedOrganizationInd
Asset Sale To Other Org	0	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	0	AssetPurchaseFromOtherOrgInd
Asset Exchange	0	AssetExchangeInd
Rental Of Facilities To Oth Org	0	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	0	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	0	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	0	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	0	SharingOfFacilitiesInd
Paid Employees Sharing	0	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	0	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	0	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	0	TransferToOtherOrgInd
Transfer From Other Org	0	TransferFromOtherOrgInd