2018-05-15T11:41:30-05:00 2017-06-30 560747981 Dixon Hughes Goodman LLP 1410 Spring Hill Road 5th Floor Tysons VA 22102 990 2016-07-01 521656507 ATLANTIC GENERAL HOSPITAL ATLA 4106411100 9733 HEALTHWAY DRIVE BERLIN MD 21811 CHERYL NOTTINGHAM VP Finance 4106411100 2018-05-14 1 Tamara L Vineyard P01775208 7039700400 2018-05-14 2016 2022-09-23 18:48:47Z MICHAEL FRANKLIN 9733 HEALTHWAY DR BERLIN MD 21811 122328640 0 X www.atlanticgeneral.org X 1989 MD To create a coordinated care delivery system that will provide access to quality care, personalized service, and education to improve individual and community health. We accomplish our mission through our set of values, which are honored in all our interactions. 20 18 1028 226 192278 0 1317521 3447385 113982471 117271884 193172 426959 499987 817246 115993151 121963474 0 0 0 0 58981778 62630132 0 0 214259 53740421 54468323 112722199 117098455 3270952 4865019 91144899 96204478 42658309 41708966 48486590 54495512 To create a coordinated care delivery system that will provide access to quality care, personalized service, and education to improve individual and community health. We accomplish our mission through our set of values, which are honored in all our interactions. 0 0 99216313 117681414 ATLANTIC GENERAL HOSPITAL IS A NON PROFIT HEALTHCARE PROVIDER FOCUSING ON INPATIENT AND OUTPATIENT SERVICES FOR OUR LOCAL COMMUNITY. WE ALSO OPERATE MULTIPLE PHYSICIAN OFFICES THROUGHOUT THE REGION THAT PROVIDES FAMILY, INTERNAL AND SPECIALTY MEDICINE TO OUR LOCAL RESIDENTS. WE HAD THE FOLLOWING KEY STATISTICS DURING THE 2016 TAX YEAR: ADMISSIONS: 3,269, PATIENT DAYS: 11,513, ED VISITS: 38,186, SURGERIES: 8,211, OTHER OUTPATIENT VISITS: 67,529, TOTAL VISITS TO OUR PHYSICIAN PRACTICES WERE 95,559. 99216313 1 1 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 0 0 0 0 0 0 0 1 0 1 1 0 0 1 1 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 1 27 0 1 1028 1 1 1 0 0 0 1 1 1 1 0 0 0 0 X 20 18 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 MD X CHERYL NOTTINGHAM 4106419095 9733 HEALTHWAY DRIVE Berlin MD 21811 LOUIS TAYLOR Chairman 2.00 X X 0 0 0 HeaTHER STANSBURY Vice Chairman 2.00 X X 0 0 0 Hugh CROPPER IV TREASURER 2.00 X X 0 0 0 WillIAM ESHAM III Secretary 2.00 X X 0 0 0 Dr Jon Andes dIRECTOR 2.00 X 0 0 0 J Ryan Bergey III dIRECTOR 2.00 X 0 0 0 Cory Carpenter mD vice chief of Staff, Ex-officio 2.00 X 0 0 0 EDWIN CASTANEDA MD DIRECTOR 2.00 X 0 0 0 Charlotte Cathell director 2.00 X 0 0 0 TODD FERRANTE ex OFFICIO 2.00 X 0 0 0 DEBBIE GOELLER EX OFFICIO 2.00 X 0 0 0 JEFFREY GREENWOOD MD director 2.00 X 0 0 0 MICHAEL GUERRIERI DIRECTOR 2.00 X 0 0 0 G Hale Harrison DIRECTOR 2.00 X 0 0 0 MICHAEL JAMES DIRECTOR 2.00 X 0 0 0 Harriet L Johnson DIRECTOR 2.00 X 0 0 0 Gregory Shockley DIRECTOR 2.00 X 0 0 0 Lois Sirman diRECTOR 2.00 X 0 0 0 ROBERT THOMPSON dIRECTOR 2.00 X 0 0 0 MICHAEL FRANKLIN PRESIDENT & CEO, Ex-Officio 40.00 X X 552216 0 28462 alae zarif MD chief of Staff, Ex-officio 40.00 X 971822 0 28462 CHERYL NOTTINGHAM CFO 40.00 X 224218 0 24526 JAMES BRANNON VP PROFESSIONAL SERVICES 40.00 X 173781 0 25491 COLLEEN WAREING VP PATIENT CARE 40.00 X 166269 0 20080 Curtis D Asbury PHYSICIAN 40.00 X 866164 0 13958 RABINDRA PAUL PHYSICIAN 40.00 X 572886 0 28357 James M Skolka PHYSICIAN 40.00 X 394653 0 28462 JAMES CHERRY PHYSICIAN 40.00 X 571745 0 27929 Sara Moghaddam PHYSICIAN 40.00 X 496537 0 11276 4990291 0 237003 90 0 1 0 ALLSCRIPTS HEALTHCARE LLC 305 CHURCH AT NORTH HILL STREET RALEIGH NC 27609 it SERVICES 1480772 THE WHAYLAND COMPANY LLC 30613 SUSSEX HIGHWAY laurel DE 19956 construction 892150 PENINSULA REGIONAL MEDICAL CENTER 100 EAST CARROLL STREET SALISBURY MD 21801 medical services 847682 HORIZON CSA LLC 265 PIT ROAD MOORESVILLE NC 28115 Medical services 688480 ATLANTIC GASTROENTEROLOGY PA 314 FRANKLIN AVENUE Berlin MD 21811 medical services 686324 32 274088 3173297 53491 3447385 NET PATIENT REVENUE 621110 114530350 114530350 Pharmacy 621110 2562637 2466050 96587 OTHER OPERATING 621110 178897 83206 95691 117271884 385623 385623 261874 169853 92021 92021 92021 84255 42919 0 -42919 84255 41336 41336 107431 274088 97124 10307 10307 168380 55270 113110 113110 MISCELLANEOUS 621110 381384 381384 CAFETERIA 621110 220424 220424 601808 121963474 117681414 192278 642397 5186516 4038181 1148335 47099214 41941901 5006932 150381 635000 635000 6406618 2096538 4309068 1012 3302784 2896240 395958 10586 97988 71782 26206 5658492 5549441 109051 905439 897655 1699 6085 2126147 1781381 343945 821 3980913 19786 3961127 1008907 1002651 6256 230503 192738 35305 2460 98308 78399 19909 734628 734628 6609425 6605493 3932 1563567 1563567 supplies 23216949 23094838 105094 17017 PURCHASED SERVICES & PR 3222077 2135139 1077324 9614 REPAIRS & MAINTENANCE 2242905 1946719 285405 10781 OUTSIDE LAB SERVICES 1170105 1170105 1601970 1399131 197337 5502 117098455 99216313 17667883 214259 13604572 12064308 27767 2531290 9041690 10340795 2623947 2738539 1702323 2171393 113091704 63912394 48584150 49179310 10244494 11908268 7696 7696 66304 49056 5241956 5213823 91144899 96204478 10108847 11818136 15132689 13695546 7815130 7143901 9601643 9051383 42658309 41708966 X 48369206 51562512 117384 2933000 48486590 54495512 91144899 96204478 X 4865019 1378017 -234114 X X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 5007236 279635 -74567 32083 5180221 5306622 -63878 204117 31391 5007236 5587476 29024 270811 39067 5306622 4979858 730740 83940 39182 5587476 4635531 547495 166017 37151 4979858 0.62000 0.38000 0.00000 0 0 5841074 5841074 40997191 16973781 24023410 60611857 46938613 13673244 5641582 5641582 49179310 donor RESTRICTED CASH 84906 Board designated restricted cash 66913 DEFERRED FINANCING COSTS 774312 INSURANCE RECOVERABLE 4287692 5213823 ADVANCES FROM THIRD PARTIES 934662 CAPITAL LEASE 1613863 INSURANCE UNPAID LOSS 4287692 INSURANCE IBNR FOR CAPTIVE 2022793 swap contract 192373 9051383 X 120461614 1378017 169853 1547870 118913744 3049730 3049730 121963474 117268308 169853 169853 117098455 0 117098455 Part V, Line 4: THE COMMUNITY FOUNDATION OF THE EASTERN SHORE HOLDS, AND ACCOUNTS FOR IN ITS FINANCIAL STATEMENTS, A PERMANENT ENDOWMENT FUND (THE "FUND") ESTABLISHED IN THE HOSPITAL'S NAME. THE HOSPITAL IS THE SOLE BENEFICIARY OF THE FUND AND IS ENTITLED TO INVESTMENT INCOME EARNED BY THE FUND. THE 2016 TAX YEAR ENDING BALANCE FOR THE FUND WAS $1,958,131. Part X, Line 2: The Corporation is exempt from federal income tax under section 501(c)(3) of the Internal Revenue Code as a public charity. Federal tax law requires that the Corporation be operated in a manner consistent with its initial exemption application in order to maintain its exempt status. Management has analyzed the operations of the Corporation and concluded that it remains in compliance with the requirements for exemption. The state in which the Corporation operates also provides general exemption from state income taxation for organizations that are exempt from federal income taxation. However, the Corporation is subject to both federal and state income taxation at corporate tax rates on its unrelated business income. Exemption from other state taxes, such as real and personal property taxes, is separately determined. Current accounting standards define the threshold for recognizing uncertain income tax return positions in the financial statements as "more likely than not" that the position is sustainable, based on technical merits, and also provide guidance on the measurement, classification, and disclosure of tax return positions in the financial statements. Management believes there is no impact on the Corporation's accompanying financial statements related to uncertain income tax provisions. Part XI, Line 2d - Other Adjustments: rental expenses 169,853. Part XI, Line 4b - Other Adjustments: Restricted contribution 3,049,730. Part XII, Line 2d - Other Adjustments: rental expenses 169,853. 2017 Anniversary Celebration 140295 84545 55750 12397 31808 350 4685 Golf Classic 131697 80016 51681 1248 8851 7888 3969 1750 1 109527 109527 19205 4973 381519 274088 107431 1248 28056 20285 35777 350 11408 97124 10307 1 1 1 X 1 X 1 1 1 0 1 1 1669450 1669450 0.01430 1669450 1669450 0.01430 1160778 2303 1158475 0.00990 647615 1600 646015 0.00550 7643881 359084 7284797 0.06220 45292 45292 0.00040 9497566 362987 9134579 0.07800 11167016 362987 10804029 0.09230 1094 1094 0.00000 1055 1055 0.00000 158039 158039 0.00130 27139 27139 0.00020 2600 2600 0.00000 3828 3828 0.00000 102296 102296 0.00090 296051 296051 0.00240 0 3146936 49973063 31264669 18708394 X 1 1 1 1 ATLANTIC GENERAL HOSPITAL 9733 HEALTHWAY DRIVE BERLIN MD 21811 X X X atlantic general hospital 1 0 0 1 X X X X X X X X X 15 1 0 0 1 X www.atlanticgeneral.org X 1 15 1 www.atlanticgeneral.org 0 1 X 200.000000000000 300.000000000000 X X X 1 1 X X X X 1 X www.atlanticgeneral.org X www.atlanticgeneral.org X www.atlanticgeneral.org X X X X X 1 X 0 X X X 1 0 0 atlantic general hospital Part V, Section B, Line 5: THE HOSPITAL FACILITY TOOK INTO ACCOUNT INPUT FROM REPRESENTATIVES OF THE COMMUNITY SERVED BY THE HOSPITAL FACILITY, INCLUDING THOSE WITH SPECIAL EXPERTISE IN PUBLIC HEALTH AND REPRESENTATIVES FROM UNDERSERVED, UNINSURED OR MINIORITY GROUPS. IN PARTICULAR, INFORMATION WAS GATHERED FROM PARTICIPANTS IN OUR FREE CLINICS AND SCREENINGS, CHURCH GROUPS (VARIOUS CONGREGATIONS TO WHOM WE PROVIDE SERVICES AND THROUGH THOSE REPRESENTED IN OUR FAITH BASED PARTNERSHIP), LOCAL BUSINESSES AND THROUGH OUR COMMUNITY HEALTH FAIRS. THIS PRIMARY DATA WAS COLLECTED THROUGH THE USE OF PAPER QUESTIONNAIRES PROVIDED DIRECTLY TO THE PARTICIPANTS, AS WELL AS QUESTIONNAIRES THAT COULD BE ACCESSED ON THE HOSPITAL FACILITY'S WEBSITE.WE ALSO CONSULTED WITH NUMEROUS AGENCIES IN THE COMMUNITY WHO ARE KNOWLEDGEABLE ABOUT HEALTH NEEDS OF THE COMMUNITY, INCLUDING:WORCESTER COUNTY HEALTH DEPARTMENTWORCESTER COUNTY PREVENTION OFFICEWORCESTER COUNTY MENTAL/BEHAVIOR HEALTH SERVICESMAC, INC. (MAINTAINING ACTIVE CITIZENS-YOUR AREA AGENCY OF AGING)CAREGIVERS RESOURCE CENTERLOCAL PARKS AND RECREATION DEPARTMENTSTRI-COUNTY DIABETES ALLIANCETRI-COUNTY COMMUNITY HEALTH BOARDCOASTAL HOSPICEWORCESTER COUNTY BOARD OF EDUCATIONWORCESTER YOUTH AND FAMILY SERVICES atlantic general hospital Part V, Section B, Line 6a: PART OF THE DATA USED IN OUR COMMUNITY HEALTH NEEDS ASSESSMENT STEMS FROM THE TRI-COUNTY NEEDS ASSESSMENT UNDERTAKEN IN CONJUNCTION WITH PENINSULA REGIONAL MEDICAL CENTER IN SALISBURY AND MCCREADY HOSPITAL IN CRISFIELD. atlantic general hospital Part V, Section B, Line 11: DURING THE HOSPITAL FACILITY'S 2017 TAX YEAR, IT CONTINUED TO ADDRESS COMMUNITY HEALTH NEEDS IDENTIFIED IN ITS MOST RECENTLY CONDUCTED CHNA PURSUANT TO THE IMPLEMENTATION STRATEGY. BELOW IS A BRIEF DESCRIPTION OF SOME OF THE ACTIVITIES UNDERTAKEN TO MEET IDENTIFIED COMMUNITY HEALTH NEEDS:1. INCREASE COMMUNITY ACCESS TO COMPREHENSIVE, QUALITY HEALTHCARE SERVICES.1) Reduce unnecessary healthcare costs and reduction in hospital admissions and readmissions during FY172) Increase in awareness and self-management of chronic disease during FY17 3) Reduce health disparities during FY17. Partner with poultry plants to promote wellness by community education events and access to screenings. Provide community health events to target minority populations by increasing relationships with faith-based partnerships, local businesses and cultural/ethnic community events. Educate community on financial assistance options to improve affordability of care and reduce delay in care.4) Increase community capacity and collaboration for shared responsibility to address unmet health needs during FY17 5) Increase number of practicing primary care providers and specialists to community during FY172. Decrease the incidence of advanced breast, lung, colon, and skin cancer in community1) Increase awareness around importance of prevention and early detection and reduce health disparities. 2) Increase provider services in community to provide for cancer related treatment. 3) Improve access and referrals to community resources resulting in better outcomes. 4) Increase support to patients and caregivers. 5) Increase participation in community cancer screenings especially at-risk and vulnerable populations. 3. Promote community respiratory health through better prevention, detection, treatment, and education efforts1) Decrease tobacco use in Worcester County. Provide speakers to community groups on smoking cessation. 2) Increase participation in community lung/respiratory screenings especially at-risk and vulnerable populations. 3) Increase awareness around importance of prevention and early detection. 4) Increase health literacy for health conditions/healthy living. Improve Health Literacy in middle schools related to tobacco use5) Increase provider services in community to provide for respiratory related treatment6) Decrease hospital admissions and readmissions. Reduce emergency department (ED) visits for chronic obstructive pulmonary disease (COPD) and asthma4. Support community members in achieving a healthy weight 1) Increase health literacy and self-management for health conditions/healthy living by increasing awareness around importance of nutrition, exercise and healthy weight. Improve Health Literacy in elementary and middle schools related to nutrition and exercise through the integrated health literacy program. 2) Increase patient engagement in self-management of chronic conditions. Continue to provide education on health living topics to Faith-based Partnership and community senior centers 3) Increase awareness of community resources, programs and services. 4) Increase participation in community BMI screenings and Hypertension screenings especially at-risk and vulnerable populations. 5) Increase and strengthen capacity and collaboration for shared responsibility to address unmet health needs. Integrate Healthy People 2020 objectives into AGHS offices. 6) Increase access to healthy foods and nutritional information. Provide speakers to community groups on nutrition5. Decrease incidence of diabetes in the community.1) Reduce unnecessary healthcare costs and decrease hospital admissions and readmissions. 2) Increase awareness around importance of prevention of diabetes and early detection. 3) Increase patient engagement in self-management of chronic conditions. 4) Increase provider services in community to provide for diabetes related treatment. 5) Increase participation in community glucose screenings especially at-risk and vulnerable populations. 6) Increase community capacity and collaboration for shared responsibility to address unmet health needs. 6. Improve cardiovascular health of community 1) Increase awareness around importance of prevention and early detection of heart disease and hypertension. 2) Increase health literacy for health conditions/healthy living. Improve Health Literacy in elementary and middle schools related to heart health. 3) Increase participation in community hypertension, cholesterol and carotid screenings especially at-risk and vulnerable populations. Increase community health screenings for high blood pressure, carotid artery and cholesterol4) Increase provider services in community to provide for cardiovascular related treatment. Ensure proper professionals in community to provide vascular care5) Increase community capacity and collaboration for shared responsibility to address unmet health needs. 6) Increase patient engagement in self-management of chronic conditions. Utilize Faith Based Partnerships, to provide access 7) Increase care for individuals suffering from chronic conditions and decrease hospital admissions and readmissions8) Decrease tobacco use in Worcester County. Maintain AGH/HS campus and locations as tobacco free7. Initiative Promote and ensure local resources are in place to address mental health.1) Increase accurate and up-to-date information and referral service2) Improve Health Literacy in elementary and middle schools related to mental health3) Increase awareness of community resources, programs and services. Participate in community events that spotlight mental health services. 4) Increase and strengthen capacity and collaboration for shared responsibility to address unmet health needs5) Increase provider services in community to provide for mental health related treatment8. Initiative: Reduce opioid substance abuse to protect community health, safety, and quality of life for all1) Improve health literacy in middle schools related to opioid abuse.2) Increase accurate and up-to-date information and referral service.3) Decrease opioid abuse and over dose rates4) Increase and strengthen capacity for shared responsibility to address unmet health needs. 9. Initiative: Prevent illness and disability related to arthritis and other rheumatic conditions, osteoporosis, and chronic back conditions in the community1) Reduce unnecessary healthcare costs 2) Increase provider services to community to provide for arthritis and other rheumatic conditions, osteoporosis, and chronic back condition related treatments 3) Increase health literacy and self-management for chronic health conditions/healthy living.THE HOSPITAL FACILITY WILL NOT ATTEMPT TO ADDRESS ALL OF THE IDENTIFIED NEEDS IN ITS COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA). WHEN UNDERTAKING THE CHNA AND IMPLEMENTATION STRATEGY,THE HOSPITAL FACILITY WENT THROUGH A PRIORITIZATION PROCESS TO DETERMINE THOSE COMMUNITY HEALTH NEEDS THAT THE HOSPITAL FACILITY WOULD ATTEMPT TO ADDRESS. SOME OF THE FACTORS CONSIDERED WHEN PRIORITIZING THE NEEDS WERE THE SIZE AND SEVERITY OF THE NEED, THE HOSPITAL FACILITY'S ABILITY TO IMPACT THE NEED, THE AVAILABILITY OF OTHER RESOURCES AND STAKEHOLDERS IN THE COMMUNITY THAT ARE ALREADY ATTEMPTING TO MEET THE NEED, AND THE ABILITY FOR THE HOSPITAL TO EFFICIENTLY UTILIZE FINANCIAL RESOURCES TO EFFECT EACH NEED.PURSUANT TO THE PRIORITIZATION PROCESS, THE HOSPITAL FACIITY DETERMINED THAT CERTAIN IDENTIFIED NEEDS WOULD NOT BE ADDRESSED BY THE HOSPITAL FACILITY, INCLUDING TRANSPORTATION AND DENTAL HEALTH SERVICES. WHILE TRANSPORTATION, PUBLIC OR PRIVATE, REMAINS A BARRIER IN THE RURAL COMMUNITY TO BETTER ACCESS TO HEALTH CARE, THERE ARE OTHER COMMUNITY ORGANIZATIONS BETTER ALIGNED TO ADDRESS THIS PRIORITY. FOR EXAMPLE, THERE IS THE SHORE TRANSIT SYSTEM, SHORE UP AND MEDICAL TRANSIT THROUGH AMERICAN CANCER SOCIETY AND OTHER ORGANIZATIONS THAT ADDRESS THIS NEED. IN ADDITION, DENTAL HEALTH SERVICES IS CURRENTLY ADDRESSED IN THE COMMUNITY BY THE PROGRAM AT THE COUNTY HEALTH DEPARTMENT, AS WELL AS THE FEDERAL PROGRAM THREE LOWER COUNTIES (TLC) AND BY LA RED IN SUSSEX COUNTY, DE.Each of the health needs listed in the Hospital's CHNA as well as Worcester County Health Department's Community Needs Assessment is important and is being addressed by numerous programs and initiatives operated by the Hospital and/or other community partners of the Hospital. Needs not addressed as a priority area in the Implementation Plan are being addressed in the community by other organizations and by organizations better situated to address the need. atlantic general hospital Part V, Section B, Line 20e: THE HOSPITAL FACILITY OR AN AUTHORIZED THIRD PARTY DID NOT UNDERTAKE ANY OF THE COLLECTION ACTIONS NOTED IN PART V, SECTION B, LINE 16 BEFORE MAKING REASONABLE EFFORTS TO DETERMINE ANY PATIENT'S ELIGIBILITY UNDER THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY. IN ORDER TO HELP DETERMINE PATIENTS' ELIGIBILITY UNDER THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY, THE HOSPITAL UNDERTAKES A NUMBER OF ACTIONS, INCLUDING NOTIFYING PATIENTS OF THE FINANCIAL ASSISTANCE POLICY ON ADMISSION, NOTIFYING PATIENTS OF THE FINANCIAL ASSISTANCE POLICY PRIOR TO DISCHARGE, NOTIFYING PATIENTS OF THE FINANCIAL ASSISTANCE POLICY IN COMMUNICATIONS WITH THE PATIENTS' BILLS, AND DOCUMENTING ITS DETERMINATION OF WHETHER PATIENTS WERE ELIGIBLE FOR FINANCIAL ASSISTANCE UNDER THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY. atlantic general hospital Part V, Section B, Line 23: THE HOSPITAL FACILITY DOES NOT CHARGE ANY INDIVIDUALS THAT IT KNOWS ARE ELIGIBLE FOR FINANCIAL ASSISTANCE AN AMOUNT EQUAL TO THE GROSS CHARGE FOR ANY SERVICE. THE HOSPITAL USES THE CHARGE MASTER RATES FOR A SERVICE AS A STARTING POINT AGAINST WHICH THE DISCOUNTS MANDATED IN THE HOSPITAL FACILITY'S FINANCIAL ASSISTANCE POLICY ARE APPLIED TO DETERMINE THE AMOUNT ACTUALLY BILLED TO PATIENTS ELIGIBLE UNDER THE FINANCIAL ASSISTANCE POLICY. THE HOSPITAL FACILITY WILL NOT COLLECT PAYMENT FROM ANY PATIENT ELIGIBLE UNDER THE FINANCIAL ASSISTANCE POLICY IN EXCESS OF THE REDUCED AMOUNT THAT IS ACTUALLY BILLED TO SUCH FINANCIAL ASSISTANCE PATIENT. In addition, if the hospital charged an individual that had not yet been determined to be eligible for financial assistance at the time of charge an amount equal to gross charges, then upon determining the individual was eligible for financial assistance under the hospital's financial assistance policy, the hospital promptly corrects the bill. Part V, Section, Line 22 Maryland waiver medicare exempt 19 1 - ATLANTIC HEALTH CENTER 9714 HEALTHWAY DR BERLIN MD 21811 MEDICAL OFFICE 2 - AGHS Neurology 314 Franklin Avenue Suite 104 berLIN MD 21811 MEDICAL OFFICE 3 - AGHS Surgical Associates AGH Bariatric C 10231 OLD OCEAN CITY BLVD SUITE 207 bERLIN MD 21811 MEDICAL OFFICE 4 - Atlantic Urology 10231 Old Ocean City Blvd Suite 206 bERLIN MD 21811 MEDICAL OFFICE 5 - berlin Internal Medicine 314 Franklin Avenue Suite 103 bERLIN MD 21811 MEDICAL OFFICE 6 - Berlin Primary Care & Pulmonology 10344 Old Ocean City Blvd Suite 2 bERLIN MD 21811 MEDICAL OFFICE 7 - AGH REGIONAL CANCER CARE CENTER 10231 OLD OCEAN CITY BLVD SUITE 208 bERLIN MD 21811 MEDICAL OFFICE 8 - OCEAN PINES PRIMARY CARE 11107 RACETRACK ROAD bERLIN MD 21811 MEDICAL OFFICE 9 - OCEAN VIEW INTERNAL MEDICINE 96 ATLANTIC AVENUE UNIT 3 OCEAN VIEW DE 19970 MEDICAL OFFICE 10 - POCOMOKE MEDICAL CENTER 500 MARKET STREET SUITE 101 POCOMOKE MD 21851 MEDICAL OFFICE 11 - SELBYVILLE WOMEN'S HEALTH 38394 DUPONT BOULEVARD UNIT H SELBYVILLE DE 19975 MEDICAL OFFICE 12 - WEST FENWICK MEDICAL CENTER 37464 LION DRIVE SELBYVILLE DE 19975 MEDICAL OFFICE 13 - AGH DERMATOLOGY 38394 DUPONT BOULEVARD UNIT F/G seLBYVILLE DE 19975 MEDICAL OFFICE 14 - TOWNSEND MEDICAL CENTER 1001 PHILADELPHIA AVENUE OCEAN CITY MD 21842 MEDICAL OFFICE 15 - WEST OCEAN CITY PRIMARY CARE 12308 OCEAN GATEWAY UNIT 1 Ocean City MD 21842 MEDICAL OFFICE 16 - WEST OCEAN CITY PEDIATRICS 12308 OCEAN GATEWAY UNIT 3 ocean City MD 21842 MEDICAL OFFICE 17 - ATLANTIC ENDOSCOPY CENTER 10231 OLD OCEAN CITY BLVD SUITE 304 BERLIN MD 21811 MEDICAL OFFICE 18 - WOUND CARE CENTER 10231 OLD OCEAN CITY BLVD SUITE 104 BERLIN MD 21811 MEDICAL OFFICE 19 - WEST OCEAN CITY WOMEN'S HEALTH 12308 OCEAN GATEWAY UNIT 8 berLIN MD 21811 MEDICAL OFFICE Part I, Line 3c: IN ADDITION TO QUALIFYING FOR FINANCIAL ASSISTANCE BECAUSE THE PATIENT'S FAMILY INCOME FALLS BELOW THE FEDERAL POVERTY GUIDELINES THRESHOLDS (FREE CARE FOR FAMILY INCOME LESS THAN 200% OF THE FEDERAL POVERTY GUIDELINES, AND DISCOUNTED CARE FOR FAMILY INCOME LESS THAN 300% OF THE FEDERAL POVERTY GUIDELINES), A PATIENT MAY QUALIFY FOR FINANCIAL ASSISTANCE IF THAT PATIENT INCURS A FINANCIAL HARDSHIP AND HAS FAMILY INCOME UNDER 500% OF THE FEDERAL POVERTY GUIDELINES. A FINANCIAL HARDSHIP MEANS MEDICAL DEBT INCURRED BY A FAMILY OVER A TWELVE MONTH PERIOD THAT EXCEEDS 25% OF THE FAMILY'S INCOME. ONLY INCOME AND FAMILY SIZE WILL BE CONSIDERED IN APPROVING APPLICATIONS FOR FINANCIAL ASSISTANCE, UNLESS THE AMOUNT OWED IS GREATER THAN $20,000, THE PATIENT'S TAX RETURN SHOWS A SIGNIFICANT AMOUNT OF INTEREST INCOME, OR THE PATIENT INDICATES THAT THE PATIENT HAS BEEN LIVING OFF OF THEIR SAVINGS ACCOUNT. IF ONE OF THE SCENARIOS LISTED ABOVE IS APPLICABLE, THEN THE ORGANIZATION MAY CONSIDER THE PATIENT'S LIQUID ASSETS, INCLUDING THE PATIENT'S CHECKING AND SAVINGS ACCOUNTS, STOCKS, BONDS, CD'S, MONEY MARKET OR ANY OTHER ACCOUNTS FOR THE PAST THREE MONTHS. HOWEVER, THE FOLLOWING ASSETS ARE ALWAYS EXCLUDED: THE FIRST $10,000 OF MONETARY ASSETS, UP TO $150,000 IN A PRIMARY RESIDENCE, AND CERTAIN RETIREMENT BENEFITS, SUCH AS 401K PLANS WHERE THE IRS HAS GRANTED PREFERENTIAL TAX TREATMENT. IF THE PATIENT IS ALREADY ENROLLED IN A MEANS-TESTED PROGRAM, THE PATIENT IS DEEMED ELIGIBLE FOR FREE CARE ON A PRESUMPTIVE BASIS, WITHOUT REQUIRING ANY OF THE FINANCIAL DOCUMENTS REQUIRED ON A FULL APPLICATION. SCHEDULE H, PART I, LINE 5 IT IS THE ORGANIZATION'S POLICY TO PROVIDE FINANCIAL ASSISTANCE TO ANY INDIVIDUAL THAT QUALIFIES UNDER THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY, REGARDLESS OF THE AMOUNT OF CHARITY CARE BUDGETED FOR BY THE ORGANIZATION DURING THE YEAR. SCHEDULE H, PART I, LINE 6 THE ORGANIZATION FILES A COMMUNITY BENEFIT REPORT WITH THE MARYLAND HEALTH SERVICES COST REVIEW COMMISSION ANNUALLY. THE COMMUNITY BENEFIT REPORT IS AVAILABLE TO THE PUBLIC. SCHEDULE H, PART I, LINE 7A, 7B AND 7F MARYLAND HOSPITAL ASSOCIATION UNIFIED MARYLAND HOSPITAL RESPONSES SCHEDULE H PART I LINE 7A, 7B AND 7F 7A. CHARITY CARE AT COST AND 7F. HEALTH PROFESSIONS EDUCATION ARE EXPLAINED IN THE FOLLOWING: MARYLAND'S REGULATORY SYSTEM CREATES A UNIQUE PROCESS FOR HOSPITAL PAYMENT THAT DIFFERS FROM THE REST OF THE NATION. THE HEALTH SERVICES COST REVIEW COMMISSION, (HSCRC) DETERMINES PAYMENT THROUGH A RATE SETTING PROCESS AND ALL PAYORS, INCLUDING GOVERNMENTAL PAYORS, PAY THE SAME AMOUNT FOR THE SAME SERVICES DELIVERED AT THE SAME HOSPITAL. MARYLAND'S UNIQUE ALL PAYOR SYSTEM INCLUDES A METHOD FOR REFERENCING UNCOMPENSATED CARE IN EACH PAYORS' RATES, WHICH DOES NOT ENABLE MARYLAND HOSPITALS TO BREAKOUT ANY OFFSETTING REVENUE RELATED TO UNCOMPENSATED CARE. 7B. UNREIMBURSED MEDICAID IS EXPLAINED IN THE FOLLOWING: MARYLAND'S REGULATORY SYSTEM CREATES A UNIQUE PROCESS FOR HOSPITAL PAYMENT THAT DIFFERS FROM THE REST OF THE NATION. THE HEALTH SERVICES COST REVIEW COMMISSION, (HSCRC) DETERMINES PAYMENT THROUGH A RATE SETTING PROCESS AND ALL PAYORS, INCLUDING GOVERNMENTAL PAYORS, PAY THE SAME AMOUNT FOR THE SAME SERVICES DELIVERED AT THE SAME HOSPITAL. MARYLAND'S UNIQUE ALL PAYOR SYSTEM INCLUDES A METHOD FOR REFERENCING UNCOMPENSATED CARE IN EACH PAYORS' RATES, WHICH DOES NOT ENABLE MARYLAND HOSPITALS TO BREAKOUT ANY DIRECTED OFFSETTING REVENUE RELATED TO UNCOMPENSATED CARE. COMMUNITY BENEFIT EXPENSES ARE EQUAL TO MEDICAID REVENUES IN MARYLAND, AS SUCH, THE NET EFFECT IS ZERO. THE EXCEPTION TO THIS IS THE IMPACT ON THE HOSPITAL OF ITS SHARE OF THE MEDICAID ASSESSMENT. IN RECENT YEARS, THE STATE OF MARYLAND HAS CLOSED FISCAL GAPS IN THE STATE MEDICAID BUDGET BY ASSESSING HOSPITALS THROUGH THE RATE SETTING SYSTEM. DURING THE 2017 TAX YEAR, THE MEDICAID PROVIDER ASSESSMENT WAS $375,705. SCHEDULE H, PART I, LINE 7G ATLANTIC GENERAL HOSPITAL INCURRED $4,497,291 OF NET COMMUNITY BENEFIT EXPENSE FROM UNDERTAKING SUBSIDIZED HEALTH SERVICES DURING ITS 2017 TAX YEAR. OF THIS AMOUNT, $6,951,819 WAS RELATED TO LOSSES ASSOCIATED WITH OPERATING PHYSICIAN PRACTICES RUN DIRECTLY BY ATLANTIC GENERAL HOSPITAL. ATLANTIC GENERAL HOSPITAL HAS PUT TOGETHER THIS PHYSICIAN NETWORK, DESPITE THE FINANCIAL LOSS IT CREATES FOR THE ORGANIZATION, IN ORDER TO MEET AN IDENTIFIED COMMUNITY NEED. IN PARTICULAR, THERE IS A SHORTAGE OF PRIMARY CARE AND SPECIALIST PHYSICIANS IN THE COMMUNITY, AND IN ORDER TO HELP PROVIDE ADEQUATE PHYSICIAN COVERAGE TO ITS COMMUNITY, ATLANTIC GENERAL HAS RECRUITED AND EMPLOYED PHYSICIANS TO REDUCE THE GAP. THIS SHORTAGE OF PHYSICIANS IS PARTICULARLY ACUTE IN THE RURAL AREAS SURROUNDING THE HOSPITAL, WHICH ATLANTIC GENERAL HOSPITAL HAS ATTEMPTED TO ALLEVIATE BY LOCATING ITS PHYSICIAN OFFICES THROUGHOUT THE COMMUNITY (INCLUDING IN RURAL AREAS). Part III, Line 4: Text from the organization's AFS footnote:NET PATIENT SERVICE REVENUE AND PATIENT ACCOUNTS RECEIVABLE Net patient service revenue is reported at estimated net realizable amounts from patients, third party payers, and others for services rendered.Patient accounts receivable include hospital and physician charges for accounts due from Medicare, Maryland Medical Assistance (Medicaid), CareFirst, commercial and managed care insurers, and self-paying patients. Deducted from patient accounts receivable are estimates of allowances for the excess of charges over the payments on patient accounts to be received from third party payers and uncollectible amounts related to selfpaying patients. These estimates are calculated by management based on historical collection experience and analysis of financial class and age of groups of accounts receivable. Part III, Line 8: WE USED THE MEDICARE COST REPORT TO DETERMINE MEDICARE ALLOWABLE COSTS COMPARED TO MEDICARE TOTAL REVENUE. Part III, Line 9b: THE CURRENT FINANCIAL ASSISTANCE APPLICATION PROCESS ALLOWS FOR PATIENTS TO APPLY FOR FINANCIAL ASSISTANCE. FINANCIAL ASSISTANCE WILL BE CONSIDERED FOR ALL APPLICATIONS RECEIVED WITHIN 240 DAYS OF THE FIRST POST-DISCHARGE BILLING STATEMENT. WHEN A PATIENT IS SUBSEQUENTLY FOUND ELIGIBLE FOR FINANCIAL ASSISTANCE POST DISCHARGE, THE ORGANIZATION WILL APPLY THE APPLICABLE FINANCIAL ASSISTANCE DISCOUNT TO ALL OUTSTANDING BALANCES ON THE PATIENT'S ACCOUNT AND IMMEDIATELY CEASE TO ATTEMPT TO COLLECT ANY AMOUNTS IN EXCESS OF ANY FINANCIAL ASSISTANCE DISCOUNTED AMOUNT STILL DUE. THE HOSPITAL WILL PROVIDE A REFUND FOR AMOUNTS PAID BY A PATIENT THAT WAS SUBSEQUENTLY FOUND TO BE ELIGIBLE FOR FINANCIAL ASSISTANCE ON THE DATE OF SERVICE, WHICH AMOUNTS WERE IN EXCESS OF THE AMOUNT DUE AFTER THE APPLICATION OF THE APPLICABLE FINANCIAL ASSISTANCE DISCOUNT, SO LONG AS THE APPLICATION FOR FINANCIAL ASSISTANCE WAS SUBMITTED BY THE PATIENT WITHIN TWO YEARS OF THE DATE OF SERVICE. Part VI, Line 2: THE ORGANIZATION ASSESSES THE HEALTH CARE NEEDS OF THE COMMUNITY IT SERVES THROUGH MANY DIFFERENT ACTIVITIES, STUDIES AND COLLABORATIONS WITH LOCAL GOVERNMENT AND NON-GOVERNMENT ORGANIZATIONS. THE HOSPITAL IS CURRENTLY WORKING UNDER THE STRATEGIC INITIATIVES WHICH WERE DEVELOPED FOR PLANNING THROUGH 2018. EACH YEAR, WITHIN THIS FRAMEWORK THE HOSPITAL MAKES PLANS FOR THE UPCOMING YEAR USING THE SWOT/GAP ANALYSIS MODEL. USING THIS MODEL THE LEADERSHIP TEAM MEETS WITH THE MEDICAL STAFF TO LOOK AT STRENGTHS, wEAKNESSES, OPPORTUNITIES AND THREATS TO PLAN FOR THE COMING FISCAL YEAR. THIS INFORMATION THEN GOES TO THE BOARD TO, ALONG WITH SENIOR LEADERSHIP, FINALIZE THE STRATEGIC INITIATIVES FOR THE COMING YEAR. USING THIS INFORMATION THE COMMUNITY BENEFITS COMMITTEE AND THE VISIONS FOR TOTAL HEALTH ADVISORY BOARD DETERMINE THE GOALS FOR THE COMING YEAR. THE DOCUMENTS USED BY THE HOSPITAL TO DETERMINE COMMUNITY NEEDS ARE: THE HEALTH ASSESSMENT PUBLICATION FROM THE HEALTH DEPARTMENT, LOCAL AGENCIES AND 3 HOSPITALS, WORCESTER COUNTY LOCAL HEALTH PLAN, FY2008 TRI-COUNTY ADOLESCENTS ASSOCIATION STATE OF MARYLAND CANCER REGISTRY LATEST CENSUS UPDATE FEEDBACK FROM AREA PHYSICIANS AND COMMUNITY MEMBERS QUESTIONNAIRES AND EVALUATIONS FROM OUR COMMUNITY EVENTS NCR PICKER PATIENT EVALUATIONS AND FEEDBACK HOSPITAL PERCEPTION SURVEY 2015 IN ADDITION, INFORMATION REGARDING COMMUNITY HEALTH NEEDS IS OBTAINED AS A RESULT OF THE ORGANIZATION'S LEADERSHIP MEMBERS SITTING ON THE BOARDS OF MANY COMMUNITY ORGANIZATIONS, INCLUDING: T-CHIP, SART, SAFE, PLAY IT SAFE COMMITTEE, OCEAN CITY DRUG AND ALCOHOL ABUSE PREVENTION COMMITTEE, MHA ADVISORY BOARD, FAITH BASED COALITION, ENCARE, BLOOD BANK OF DELMARVA, TRI COUNTY DIABETES, CHAMBERS OF COMMERCE OF TOWNS THROUGHOUT THE REGION, MANY HEALTH DEPARTMENT COUNCILS, MHA COMMITTEES, STATE HEALTH DEPARTMENT BOARDS, WE ALSO HAVE A "VISIONS (HEALTHY HAPPENINGS) BOARD COMPRISED OF COMMUNITY PROVIDERS OF HEALTH RELATED SERVICES INCLUDING TRADITIONAL AS WELL AS INTEGRATIVE HEALTH SERVICES. THROUGH THIS COMMITTEE WE CAN KEEP OUR FINGER ON THE PULSE OF THE AREA IN WHICH WE SERVE. THIS COMMITTEE GIVES US GREAT FEEDBACK ON SERVICES AND PROGRAMS THAT ARE NEEDED THOSE THAT ARE WORKING AND THOSE THAT AREN'T. IT IS THROUGH THIS COMMITTEE THAT PUTS ON A MAJOR HEALTH CONFERENCE EACH YEAR, WHICH PROVIDES HEALTH EDUCATION AS WELL AS SCREENINGS. WE MET WITH GREAT SUCCESS IN SELBVILLE, DELWARE LOCATION OF MAJOR HEALTHY HAPPENINGS HEALTH FAIR, AND ACCORDING TO THE EVALUATIONS, WERE ABLE TO PROVIDE SERVICES TO PEOPLE WHO OTHERWISE WOULD NOT HAVE GOTTEN THEM. THE ORGANIZATION'S AUXILIARY VOLUNTEERS ARE ANOTHER GREAT RESOURCE FOR DETERMINING COMMUNITY HEALTH NEEDS. THE ORGANIZATION HAS OVER 400 AUXILLIANS. THEY ARE ACTIVE ON MANY COMMITTEES WITHIN THE HOSPITAL AND ALSO REPRESENT THE HOSPITAL ON DIFFERENT COMMUNITY BOARDS. IN ADDITION, THE ORGANIZATION WORKS VERY CLOSELY WITH ITS LOCAL HEALTH DEPARTMENT TO PLAN SERVICES TO MEET COMMUNITY NEEDS AND DECREASE THE DUPLICATION OF SERVICES IN THE COMMUNITY. MEMBERS OF THE HOSPITAL STAFF SIT ON MANY COMMITTEES AND BOARDS OF THE LOCAL HEALTH DEPARTMENT. Part VI, Line 3: WE INFORM INDIVIDUALS IN THE COMMUNITY ABOUT THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY IN A NUMBER OF WAYS. FIRST, THERE IS SIGNAGE THROUGHOUT THE HOSPITAL, AS WELL AS BROCHURES IN ALL WAITING AREAS, EXPLAINING THAT THE ORGANIZATION PROVIDES FINANCIAL ASSISTANCE. IN ADDITION, ARTICLES ARE PUBLISHED IN NEWSLETTERS THAT ARE DISTRIBUTED TO THE HOMES OF ALL RESIDENTS IN THE COMMUNITY NOTING THE EXISTENCE OF THE ORGANIZATION'S FINANCIAL ASSISTANCE PROGRAM. HOSPITAL STAFF IS EDUCATED TO ANSWER QUESTIONS RELATED TO APPLYING FOR FINANCIAL ASSISTANCE, AND HOSPITAL SUPPORT SERVICES HELPS PATIENTS APPLY FOR MEDICAL ASSISTANCE (SUCH AS MEDICAID). FURTHERMORE,HOSPITAL FINANCIAL COUNSELORS HELP GUIDE PATIENTS TO FINANCIAL AID SERVICES THEY MAY QUALIFY FOR. ALL INPATIENTS ARE PROVIDED WITH A FINANCIAL ASSISTANCE APPLICATION IN THEIR DISCHARGE PACKAGE. IN ADDITION, DURING THE REGISTRATION PROCESS, IF THE PATIENT DOES NOT HAVE INSURANCE THE REGISTRAR OR FINANCIAL COUNSELOR WILL ASK IF THEY ARE INTERESTED IN APPLYING FOR FINANCIAL ASSISTANCE AND HELP WITH FILLING OUT THE APPLICATION. ANY PATIENT WHO SEEKS FINANCIAL OR MEDICAL ASSISTANCE WILL READILY FIND INFORMATION AND HOSPITAL STAFF TO HELP WITH THE PROCESS. Part VI, Line 4: ATLANTIC GENERAL IS LOCATED IN WORCESTER COUNTY, WHICH IS THE EASTERNMOST COUNTY LOCATED IN THE U.S. STATE OF MARYLAND. WORCESTER COUNTY COMPRISES ATLANTIC GENERAL'S PRIMARY SERVICE AREA. WORCESTER COUNTY CONTAINS THE ENTIRE LENGTH OF THE STATE'S ATLANTIC COASt LINE. IT IS HOME TO THE POPULAR VACATION RESORT AREA OF OCEAN CITY. THE COUNTY IS APPROXIMATELY 60 MILES LONG. ACCORDING TO THE U.S. CENSUS BUREAU, THE COUNTY HAS A TOTAL AREA OF 695 SQUARE MILES OF WHICH, 473 SQUARE MILES OF IT IS LAND AND 221 SQUARE MILES OF IT IS WATER. ATLANTIC GENERAL IS LOCATED IN A NON-URBAN AREA OF WORCESTER COUNTY, 10 MILES FROM THE ATLANTIC OCEAN. THE 2010 CENSUS SHOWED A POPULATION OF THE COUNTY OF 51,769 (2016 update), A 0.61% growth in population 2010-2016. THE LARGEST CONCENTRATION OF THE POPULATION IS IN THE NORTHERN PART OF THE COUNTY, WHICH IS WHERE THE OCEAN CITY RESORT AREA IS LOCATED, AS WELL AS THE BERLIN/OCEAN PINES AREA. THE AREa IS A MECCA FOR RETIREES WHO LIVE HERE FULL TIME OR DIVIDE THEIR TIME BETWEEN MARYLAND AND FLORIDA. ETHNICITY IS AS FOLLOWS: White 42,024,Black/Af Amer 7,159, Am Ind/AK Native 143, Asian 729, Native HI/PI 13, Some Other Race 699, 2+ Races 1,002MEDIAN HOUSEHOLD INCOME OF RESIDENTS OF WORCESTER COUNTY $60,834 . THE PERCENTAGE OF RESIDENTS BELOW THE POVERTY LEVEL IS 7.31%. THE AVERAGE AGE OF THE RESIDENTS IS BROKEN DOWN AS FOLLOWS: 2016 Male Population by Age 25,146 2016 Pop, Male: Age <18 4,591 (18.26%) 2016 Pop, Male: Age 18+ 20,555 (81.74%) 2016 Pop, Male: Age 65+ 6,211 (24.70%) 2016 Median Age Male 47.92016 Female Population by Age 26,623 2016 Pop, Female: Age <18 4,497 (16.89%) 2016 Pop, Female: Age 18+ 22,126 (83.11%) 2016 Pop, Female: Age 65+ 7,328 (27.53%) 2016 Median Age Female 50.348.16% OF THE PATIENTS CARED FOR AT THE HOSPITAL ARE MEDICARE PATIENTS. THE REMAINING PAYOR MIX IS THE FOLLOWING: MEDICAID 16.89%, COMMERCIAL 10.93%, blue cross 18.44%, SELF PAY 2.89% AND OTHERS 2.69%. IN THE WORCESTER COUNTY VITAL STATS 2014, THE AGE-ADJUSTED MORTALITY RATE IS 599/100,000. ACCORDING TO THE WORCESTER COUNTY HEALTH DEPARTMENT 2017 COMMUNITY HEALTH IMPROVEMENT PLAN, PRIORITY AREAS IN THE COUNTY INCLUDE; #1 PROMOTE HEALTHY LIFESTYLES AND PREVENT CHRONIC DISEASE #2 PROMOTE SAFE SCHOOL ENVIRONMENTS AND HEALTHY BEHAVIORS #3 ACCESS TO HEALTH CARE #4 STRENGTHEN BEHAVIORAL HEALTH SERVICES. DURING THE SUMMER MONTHS, THE ORGANIZATION PROVIDES A SIGNIFICANT AMOUNT OF HEALTH CARE SERVICES (PREDOMINANTLY EMERGENCY CARE) TO TOURISTS VISITING THE OCEAN RESORT OF OCEAN CITY, MD. THIs IS RELATED TO THE FACT THAT THE POPULATION OF OCEAN CITY INCREASES BY ABOUT 200,000 EACH YEAR DURING THE TOURIST SEASON. Part VI, Line 5: THE ORGANIZATION'S GOVERNING BODY IS COMPOSED PRIMARILY OF INDEPENDENT MEMBERS FROM THE ORGANIZATION'S COMMUNITY. IN ADDITION,THE ORGANIZATION'S MEDICAL STAFF iS OPEN TO ALL QUALIFIED PHYSICIANS IN THE COMMUNITY. ALL FINANCIAL SURPLUSES EARNED BY THE ORGANIZATION ARE USED TO ENHANCE THE ORGANIZATION'S PATIENT SERVICES, INCLUDING THROUGH THE UNDERTAKING OF VARIOUS COMMUNITY BENEFIT ACTIVITIES. THE ORGANIZATION UNDERTAKES NUMEROUS ACTIVITIES TO PROMOTE THE HEALTH OF ITS COMMUNITY. IN PARTICULAR, THE ORGANIZATION HAS IDENTIFIED A COMMUNITY NEED FOR ACCESS TO ADDITIONAL PHYSICIANS LOCATED IN THE COMMUNITY. IN ORDER TO MEET THIS IDENTIFIED COMMUNITY NEED, THE ORGANIZATION HAS DIRECTLY EMPLOYED NUMEROUS PHYSICIANS AT A sUBSTANTIAL COST TO THE ORGANIZATION. DURING FY2017, THE PHYSICIAN PRACTICES INCURRED A LOSS OF $6,951,819.IN ADDITION, THE ORGANIZATION UNDERTAKES COMMUNITY BUILDING ACTIVITIES TO PROMOTE THE PROGRAMS THE ORGANIZATION OFFERS AND ASSURE THEY ARE REACHING THE TARGETED AUDIENCE. EXAMPLES OF THESE SPECIFIC ACTIVITIES WOULD BE THE SMALL NEIGHBORHOOD-TYPE HEALTH FAIRS IN WHICH WE ARE INVOLVED, AT WHICH EVENTS YOUNG PEOPLE ARE TARGETED AND NEEDS THAT ARE FILLED THROUGH OUR SPEAKERS BUREAU.OTHER INVOLVEMENT IN COMMUNITY BUILDING ACTIVITIES INCLUDE: OUR PARTICIPATION IN THE LOCAL SCHOOL MENTORING PROGRAMS IN WHICH OUR STAFF IS VERY ACTIVE. WE HAVE STUDENTS FROM OUR LOCAL HIGH SCHOOL WHO DO A SHADOWING PROGRAM THROUGHOUT ALL DEPARTMENTS OF OUR HOSPITAL. THIS HELPS THEM IN MAKING A CAREER CHOICE THROUGH EXPOSURE TO DIFFERENT JOBS IN THE HEALTH CARE ARENA. WE HAVE STAFF WHO REPRESENT THE HOSPITAL ON MANY CIVIC BOARDS SUCH AS ALL THE LOCAL AREA CHAMBERS, VARIOUS CIVIC GROUPS, AND THE LOCAL COUNTY SCHOOL BOARD. WE ALSO PARTICIPATE IN THE ACS RELAY FOR LIFE, KOMEN RACE, OUT OF THE DARKNESS, AND MARCH OF DIMES WALK FOR BABIES.WE PROVIDE EMS TRAINING FOR THE LOCAL FIRE COMPANIES, MOST OF WHOM ARE VOLUNTEER STAFFED. WE OFFER AN EXCHANGE PROGRAM OF EQUIPMENT WHICH HELPS THEM WITH TRANSPORTS TO THE EMERGENCY DEPARTMENT.AGH WORKS WITH THE LOCAL FAITH BASED COMMUNITIES BY PROVIDING EDUCATION AND SERVICES TO THEIR CONGREGATIONS. WE HAVE A FAITH BASED MEDICAL HOME GROUP WHICH MEETS WITH CLERGY AND LAY HEALTH AMBASSADORS FROM THEIR HOUSES OF WORSHIP TO FUNNEL THE MESSAGE OF HEALTH AND WELLNESS TO THEIR PEOPLE.ONE OF OUR BUILDINGS ON CAMPUS HOUSES OUR COUNTY CHILD ADVOCACY CENTER. THROUGH THIS STATE OF THE ART FACILITY THE VICTIM HAS TO TELL THEIR STORY ONLY ONCE TO ONE PERSON WHILE ALL THE OTHERS WHO NEED TO SEE AND HEAR THE TESTIMONY CAN WATCH THROUGH A CLOSED CIRCUIT SYSTEM.ALSO PART OF OUR COMMUNITY BUILDING PROGRAM INCLUDES OUR PARTICIPATION IN DISASTER PREPAREDNESS. BECAUSE WE ARE GEOGRAPHICALLY LOCATED IN AN AREA OF EXTREME POTENTIAL DISASTER, ONLY 6 MILES FROM THE ATLANTIC OCEAN, WE WOULD BE THE SOURCE OF CARE AND PROTECTION FOR MANY IN THE AREA SHOULD A MAJOR HURRICANE HIT OUR AREA OF COASTLINE. PART OF THE HOSPITAL'S PROVISION FOR THE COMMUNITY IN SUCH A DISASTER WOULD BE TO PROVIDE CLEAN DRINKING WATER FOR THEM; THROUGH THE NEW WATER PURIFICATION SYSTEM WHICH WE RECENTLY PURCHASED AND INSTALLED WE HAVE THE ABILITY TO PROVIDE CLEAN WATER FOR NOT JUST OUR PATIENTS AND STAFF BUT FOR THE COMMUNITY AT LARGE.WE ALSO WORK CLOSELY WITH OUR LOCAL PUBLIC AND PRIVATE SCHOOLS TO OFFER EDUCATION PROGRAMMING. EACH YEAR WE HOST OVER 500 KINDERGARTEN STUDENTS FOR OUR HOSPITAL TOURS. THIS SERVES TO INTRODUCE THEM TO THE SERVICES OF THE HOSPITAL IN HOPES THAT THEIR TRIP FOR SERVICES WILL NOT BE AS FRIGHTENING. FOR THE PAST SEVERAL YEARS WE HAVE SPONSORED A MAJOR ASSEMBLY PROGRAM WHICH FIGHTS CHILDHOOD OBESITY INTO THE ELEMENTARY SCHOOLS. MANY OF OUR ASSOCIATES SERVE ON VARIOUS BOARDS OF THE SCHOOL SYSTEM OFFERING OUR EXPERTISE. THROUGH OUR SPEAKER'S BUREAU WE SEND SPEAKERS INTO MANY CLASSROOMS FOR INSTRUCTION. The Integrated Health Literacy Program (IHLP) serves approximately 3,500 students across Worcester County. Currently, the program is implemented in grades one through six county-wide and is being piloted in seventh and eighth grade classrooms at one local middle school. Students are taught four health lessons that are integrated into their core area (mathematics, science, reading language arts, and social studies) curriculum. All lessons in the program are taught by core area classroom teachers. The IHLP team plans to continue to work with Worcester County Public Schools and other key stakeholders to expand the program into the remaining seventh and eighTH grade classrooms in the county next year. SOME ADDITIONAL SERVICES WHICH THE HOSPITAL PROVIDES FOR FREE TO THE COMMUNITY, WHICH PROMOTE HEALTH INCLUDE:1. LIVING WELL PROGRAM - THIS CHRONIC DISEASE SELF MANAGEMENT PROGRAM FROM STANFORD UNIVERSITY TEACHES PEOPLE HOW TO LIVE A BETTER LIFE IN THE MIDST OF THE LIMITATIONS CAUSED BY THEIR CHRONIC CONDITIONS.2. HYPERTENSION CLINICS - BLOOD PRESSURE SCREENINGS IN LOCAL PHARMACIES MONTHLY AS WELL AS AT MANY OTHER MEETINGS AND CONVENTIONS IN THE AREA. THESE HELP RESIDENTS MONITOR THEIR BLOOD PRESSURE AND RELIEVE SOME OVERCROWDING IN PHYSICIAN OFFICES. THIS ALLOWS US THE OPPORTUNITY TO PROVIDE ONE-ON-ONE TEACHING TO INDIVIDUALS. 3. HEALTHFAIRS -THE HOSPITAL IS INVOLVED IN SEVERAL LARGE AND SMALL HEALTHFAIR EVENTS IN VARIOUS LOCATIONS THROUGHOUT THE YEAR. ONE SUCH EVENT IS A PARTNERSHIP WITH AARP/TOWN OF OCEAN CITY TO OFFER A FAIR WITH MANY SCREENINGS AND HEALTH INFORMATION. WE ALSO SPONSOR AN EDUCATIONAL AND SCREENING CONFERENCE ONCE A YEAR CALLED HEALTHY HAPPENINGS HEALTH CONFERENCE. THIS IS HELD IN VARIOUS LOCATIONS WITHIN OUR SERVICE AREA WHICH ALLOWS US TO PROVIDE FREE SERVICES TO THOSE WHO MIGHT NOT OTHERWISE BE ABLE TO ACCESS HEALTH CARE. WE ALSO PARTNER WITH MANY CHURCHES AND COMMUNITY GROUPS TO OFFER SMALL HEALTH FAIRS.4. WE PROVIDE EDUCATION IN WRITTEN FORM THROUGH LOCAL PUBLICATIONS (NEWSPAPERS AND MAGAZINES) AND OUR OWN ON CALL QUARTERLY PUBLICATION. MANY OF OUR PHYSICIANS PROVIDE ARTICLES FOR THESE.5. WE ALSO HAVE A SPEAKER'S BUREAU WHICH PROVIDES EDUCATIONAL PRESENTATIONS FOR AREA CIVIC GROUPS, BUSINESSES, CHURCHES, SCHOOLS AND CONVENTIONS WHICH ARE HELD IN OUR RESORT AREA.6. WE PROVIDE EDUCATION FOR THE LOCAL SCHOOLS THROUGH OUR HOSPITAL TOUR PROGRAM AND IHLP. THESE PROGRAMS ALLOW US TO SPREAD THE HEALTH MESSAGE AGAINST CHILDHOOD OBESITY TO THE YOUNGER GENERATION.7. BEING IN A BEACH RESORT COMMUNITY THERE ARE MANY SPORTING EVENTS WHICH OCCUR LOCALLY. WE PARTICIPATE IN MANY OF THESE BY PROVIDING FIRST AID ON SITE FOR THOSE IN ATTENDANCE AND THOSE PARTICIPATING In THE ACTIVITY. Part VI, Line 6: IN ADDITION TO OPERATING AN ACUTE CARE HOSPITAL THAT PROVIDES A 24 HOUR ER, ATLANTIC GENERAL HOSPITAL EMPLOYS A NETWORK OF PRIMARY CARE AND SPECIALIST PHYSICIANS THAT PROVIDE NEEDED HEALTH CARE SERVICES THROUGHOUT ATLANTIC GENERAL'S COMMUNITY, INCLUDING SERVING SOME OF THE HOSPITAL'S MORE RURAL AREAS. BECAUSE OF THE RURAL NATURE OF THE COMMUNITIES THE HOSPITAL SERVES, TRANSPORTATION FOR HEALTHCARE CAN BE CHALLENGING. BY LOCATING THESE EMPLOYED PHYSICIANS' OFFICES THROUGHOUT THE HOSPITAL'S SERVICE REGION, THE HOSPITAL IS ABLE TO HELP IMPROVE ACCESS TO PHYSICIANS' SERVICES FOR MEMBERS OF THE COMMUNITY.IN ADDITION, THE HOSPITAL RUNS ATLANTIC HEALTH CLINIC, WHICH IS A FACILITY THAT OFFERS CARE ON A SLIDING FEE COST BASIS. Part VI, Line 7, Reports Filed With States MD X X X X 0 0 0 0 0 0 0 0 0 MICHAEL FRANKLIN PRESIDENT & CEO, Ex-Officio 453334 0 74114 0 24768 0 6625 0 21837 0 580678 0 0 0 alae zarif MD chief of Staff, Ex-officio 624519 0 346756 0 547 0 6625 0 21837 0 1000284 0 0 0 CHERYL NOTTINGHAM CFO 205241 0 18256 0 721 0 5807 0 18719 0 248744 0 0 0 JAMES BRANNON VP PROFESSIONAL SERVICES 161518 0 11590 0 673 0 4187 0 21304 0 199272 0 0 0 COLLEEN WAREING VP PATIENT CARE 152263 0 13032 0 974 0 4035 0 16045 0 186349 0 0 0 Curtis D Asbury PHYSICIAN 327738 0 519969 0 18457 0 6625 0 7333 0 880122 0 0 0 RABINDRA PAUL PHYSICIAN 476227 0 95659 0 1000 0 6625 0 21732 0 601243 0 0 0 James M Skolka PHYSICIAN 366494 0 9901 0 18258 0 6625 0 21837 0 423115 0 0 0 JAMES CHERRY PHYSICIAN 553051 0 196 0 18498 0 6625 0 21304 0 599674 0 0 0 Sara Moghaddam PHYSICIAN 351840 0 126649 0 18048 0 3943 0 7333 0 507813 0 0 0 A MAYOR AND COUNCIL OF BERLIN MD 2010-06-29 2200000 0 0 0 B MAYOR AND COUNCIL OF BERLIN MD 2010-12-13 10000000 0 0 0 A 1014444 2200000 44000 2156000 2012 0 0 1 1 B 4369307 10000867 59584 9518440 422843 2012 0 0 1 1 A 0 0 0 0 0 0 1 B 0 0 0 0 0 0 1 A 0 1 0 0 0 0 0 0 1 B 0 1 0 0 1 0 0 0 1 A 0 B 0 X 2 9290 X construction 1 29165 X media 2 15036 0 1 0 Form 990, Part VI, Section B, line 11b THE DIRECTOR OF FINANCE COMPILES THE NECESSARY INFORMATION FROM THE ORGANIZATION'S ACCOUNTING RECORDS, INFORMATION RECEIVED FROM THE FOUNDATION, AND INFORMATION RECEIVED FROM THE PATIENT BILLING OFFICE. THE COMPILED INFORMATION IS THEN SENT TO THE ORGANIZATION'S OUTSIDE TAX ACCOUNTANTS TO HELP PREPARE THE FORM 990. A DRAFT OF THE FORM 990 IS THEN REVIEWED BY THE DIRECTOR OF FINANCE, THE CFO, AND THE CEO OF THE ORGANIZATION AND ANY COMMENTS ARE REFLECTED IN A FURTHER REVISED DRAFT. PRIOR TO FILING THE FORM 990, THE LATEST VERSION OF THE FORM 990 IS MADE AVAILABLE TO ALL MEMBERS OF THE BOARD FOR THEIR REVIEW AND COMMENTS. Form 990, Part VI, Section B, line 12c IT IS THE POLICY OF ATLANTIC GENERAL HOSPITAL/HEALTH SYSTEM THAT MEMBERS OF THE BOARD OF DIRECTORS, THE HOSPITAL PRESIDENT, AND THE SENIOR LEADERSHIP STAFF WILL BE REQUIRED TO SIGN AN ANNUAL CONFLICT OF INTEREST STATEMENT AND TO ADHERE TO THE CONFLICT OF INTEREST POLICY. THIS WILL BE SIGNED ANNUALLY IN OCTOBER. ALL CANDIDATES FOR BOARD MEMBERSHIP MUST BE ADVISED OF THIS POLICY PRIOR TO THEIR ELECTION TO THE BOARD. Form 990, Part VI, Section B, line 15 THE ORGANIZATION UTILIZES A COMPENSATION COMMITTEE, A WRITTEN EMPLOYMENT CONTRACT, A COMPENSTION SURVEY OR STUDY AND AN APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE. Form 990, Part VI, Section C, line 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. Form 990, Part XI, line 9: Net assets released from restriction -132,904. pledges receivable adjustment -101,210. Form 990, Part XII, Line 2c: the process has not changed from the prior year.