2017-05-11T09:17:03-05:00 2016-06-30 205991824 SC&H TAX & ADVISORY SERVICES LLC 910 RIDGEBROOK ROAD SPARKS MD 21152 990 2015-07-01 521331298 ANNE ARUNDEL MEDICAL CENTER FOUNDATION INC ANNE 4434816555 2001 MEDICAL PARKWAY ANNAPOLIS MD 21401 ROBERT REILLY CFO 4434816555 2017-05-09 1 LORI S BURGHAUSER P00370694 4104031500 2017-05-09 2015 2021-01-29 14:40:06Z ROBERT REILLY 2001 MEDICAL PARKWAY ANNAPOLIS MD 21401 7929844 0 X WWW.AAHS.ORG X 1983 MD TO SUPPORT ANNE ARUNDEL MEDICAL CENTER, INC. AND RELATED ENTITIES OF ANNE ARUNDEL HEALTH SYSTEM. 29 24 16 150 0 0 6714437 6809063 0 0 1395722 679505 25866 -90969 8136025 7397599 2699465 3578978 0 0 450827 980807 622116 324216 1907170 745096 761350 4517504 5645351 3618521 1752248 29090671 27298623 3144152 2876269 25946519 24422354 X TO SUPPORT ANNE ARUNDEL MEDICAL CENTER, INC. AND RELATED ENTITIES OF ANNE ARUNDEL HEALTH SYSTEM. 0 0 2375991 2375991 0 CONTRIBUTIONS TO ANNE ARUNDEL MEDICAL CENTER, INC. 808007 808007 0 CONTRIBUTIONS TO PHYSICIAN ENTERPRISE, LLC. 244528 244528 0 CONTRIBUTIONS TO ANNE ARUNDEL GENERAL TREATMENT SERVICES, INC. 46452 46452 0 CONTRIBUTIONS TO ANNE ARUNDEL RESEARCH INSTITUTE. 104000 104000 SCHOLARSHIPS TO BENEFIT NURSING STUDENTS. 150452 150452 0 3578978 1 1 0 0 0 0 0 0 0 1 1 0 0 0 1 1 0 1 0 0 0 0 0 1 1 0 0 1 1 1 0 0 0 0 0 0 0 0 1 1 0 0 0 1 0 0 0 1 6 0 16 1 0 0 0 0 0 1 1 1 0 0 0 0 0 X 29 24 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 MD X SANDRA HUFFER 4434816554 2001 MEDICAL PARKWAY ANNAPOLIS MD 21401 THEODORE PINCUS CHAIRMAN 1.00 2.00 X X 0 0 0 RICHARD C SPRINGER VICE CHAIRMAN 1.00 0.00 X X 0 0 0 CHARLES E MOORE JR TREASURER 1.00 0.00 X X 0 0 0 JUDY ZAZULIA-WAHL SECRETARY 1.00 0.00 X X 0 0 0 JAN WOOD PRESIDENT 40.00 0.00 X X 295709 0 26077 CATHERINE ADELMAN BOARD MEMBER 1.00 0.00 X 0 0 0 JOSEPH G BALDWIN BOARD MEMBER 1.00 0.00 X 0 0 0 PAMELA BATSTONE BOARD MEMBER 1.00 0.00 X 0 0 0 VICTORIA BAYLESS BOARD MEMBER 1.00 48.00 X 0 1122147 174997 JAMES BOLDUC BOARD MEMBER 1.00 0.00 X 0 0 0 BETTY BUCK BOARD MEMBER 1.00 0.00 X 0 0 0 JERRY COLLIER BOARD MEMBER 1.00 0.00 X 0 0 0 JOANN DECESARIS BOARD MEMBER 1.00 0.00 X 0 0 0 MARTIN L DOORDAN BOARD MEMBER 1.00 0.00 X 0 1228791 58 RICHARD FRANYO BOARD MEMBER 1.00 0.00 X 0 0 0 BARRY P GOSSETT BOARD MEMBER 1.00 0.00 X 0 0 0 KEN GUMMERSON MD BOARD MEMBER 1.00 2.00 X 0 27375 0 ANTHONY IZZO BOARD MEMBER 1.00 0.00 X 0 0 0 HENRY N LIBBY BOARD MEMBER 1.00 0.00 X 0 0 0 TODD M MOHR BOARD MEMBER 1.00 0.00 X 0 0 0 SHERRY MORRISSETTE BOARD MEMBER 1.00 2.00 X 0 0 0 THOMAS J MULRENIN BOARD MEMBER 1.00 0.00 X 0 10850 0 JAMES MYERS BOARD MEMBER 1.00 0.00 X 0 0 0 MARK POWELL BOARD MEMBER 1.00 0.00 X 0 0 0 JAMES ROBERTS BOARD MEMBER 1.00 0.00 X 0 0 0 LESLY B SAJAK BOARD MEMBER 1.00 0.00 X 0 0 0 MARGARET SAMEK-SMITH BOARD MEMBER 1.00 0.00 X 0 0 0 MARIA C SCOTT MD BOARD MEMBER 1.00 0.00 X 0 0 0 RYAN STANGLE BOARD MEMBER 1.00 0.00 X 0 0 0 LAURA WESTERVELT BOARD MEMBER 1.00 0.00 X 0 0 0 LISA MICHELSEN DIRECTOR - ADVANCEMENT 40.00 0.00 X 131113 0 2623 MARGUERITE COOK DIRECTOR- GIVING 40.00 0.00 X 109743 0 19715 LISA HILLMAN FORMER PRESIDENT 40.00 0.00 X 117363 0 0 653928 2389163 223470 4 1 1 0 0 806938 807500 5194625 2796145 6809063 679505 679505 441276 806938 532245 -90969 -90969 7397599 0 0 588536 3474978 3474978 104000 104000 584980 584980 330720 330720 65107 65107 1459 1459 4700 4700 324216 324216 6996 6996 25492 7558 17934 65467 65467 70266 70266 29687 29687 112657 112657 5020 5020 315088 315088 25833 25833 SPONSORSHIPS 70000 70000 DUES, BOOKS & SUBS. 13473 13473 TEMPORARY SERVICES 7602 7602 EDUCATION & PROF. DEV. 7192 7192 418 418 5645351 3578978 159203 1907170 36437 14404 4079048 2716078 7419637 6333281 736373 70000 5000 1376764 252504 233425 1124260 16778973 15765698 473151 603529 29090671 27298623 324551 291091 2819601 2585178 3144152 2876269 X 1177796 1148374 14365410 13027598 10403313 10246382 25946519 24422354 29090671 27298623 X 1752248 -1269014 -2007399 X X 0 1 X 1 0 X X 4 ANNE ARUNDEL MEDICAL CENTER INC 521169362 3 1 5289266 0 ANNE ARUNDEL GENERAL TREATMENT SERVICES INC 521722088 3 1 244528 0 PHYSICIAN ENTERPRISE LLC 270263214 3 1 845636 0 ANNE ARUNDEL HEALTH SYSTEM RESEARCH INSTITUTE INC 263038406 4 1 46452 0 4 6425882 0 8540949 8605617 6795520 6714437 6809063 37465586 8540949 8605617 6795520 6714437 6809063 37465586 2943748 34521838 770082 1099241 437071 1395722 679505 4381621 276949 408887 441276 1127112 42974319 0.80330 0.86010 X 1 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 SCHEDULE A, SECTION C, PART IV, LINE 1: ANNE ARUNDEL MEDICAL CENTER FOUNDATION, INC. IS A SUBSIDIARY OF ANNE ARUNDEL HEALTH SYSTEM, INC. , WHICH IS THE PARENT OF THE INTEGRATED HEALTH SYSTEM. THE BOARD FOR EACH OF THE SUBSIDIARY ENTITIES IS FOCUSED ON OPERATIONS AND BEST PRACTICES OF THE RESPECTIVE ENTITY. AS SUCH, THERE IS SOME BOARD OVERLAP BUT NOT MAJORITY OVERLAP. CONTROL OF THE SUPPORTING ORGANIZATION IS VESTED IN THE SAME PERSONS WHO ULTIMATELY CONTROL THE SUPPORTED ORGANIZATION'S THROUGH ANNE ARUNDEL HEALTH SYSTEM, INC. THE PARENT. ALL MANAGEMENT DECISIONS ARE MADE AT THE PARENT COMPANY'S BOARD LEVEL. SCHEDULE A, SECTION A, LINE 6: IN ADDITION TO PROVIDING SUPPORT TO ITS SUPPORTING ORGANIZATIONS, THE FOUNDATION PROVIDES SUPPORT TO NURSING STUDENTS BY FUNDING SCHOLARSHIPS. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 10403313 81069 469000 119000 238000 350000 10246382 10616052 20261 435500 85500 233000 350000 10403313 10748536 81516 386001 36000 214000 350001 10616052 10902972 37564 425000 75000 192000 350000 10748536 11066829 43143 420032 70032 207000 350000 10902972 0.01450 0.98550 0.00000 0 0 916667 916667 279494 113683 165811 180603 138821 41782 1124260 DUE TO AFFILIATE 2585178 2585178 X PART V, LINE 4: THE ORGANIZATION USES THE ENDOWMENT FUNDS TO PROVIDE SUPPORT FOR ANNE ARUNDEL MEDICAL CENTER, INC. AND TO SUPPORT ITS OPERATING EXPENSES THAT ARE NECESSARY TO FULFILL THE ORGANIZATION'S EXEMPT PURPOSE. PART X, LINE 2: UNDER THE REQUIREMENTS OF ASC 740, INCOME TAXES, TAX-EXEMPT ORGANIZATIONS COULD BE REQUIRED TO RECORD AN OBLIGATION AS THE RESULT OF A TAX POSITION THEY HAVE HISTORICALLY TAKEN ON VARIOUS TAX EXPOSURE ITEMS. ANNE ARUNDEL HEALTH SYSTEM, INC. AND SUBSIDIARIES (THE "GROUP") HAS DETERMINED THAT IT DOES NOT HAVE ANY UNCERTAIN TAX POSITIONS THROUGH JUNE 30, 2016. X X X X X X X 1 HANOVER RESEARCH 4401 WILSON BOULEVARD 4TH FLOOR ARLINGTON VA 22203 GRANT SEEKING/ CONSULTING/ DEVELOPMENT 0 1885206 50000 1835206 CHAD GOBEL & ASSOCIATES 2 STATE ST SUITE 805 ROCHESTER NY 14614 CONSULTING FOR NEW GRATEFUL PATIENT PROGRAM 0 109000 176417 0 HERITAGE COMPANY INC 2402 WILDWOOD AVE SHERWOOD AR 72120 TELEPHONE SOLICITATION 0 88791 17351 71440 KELLER MCINTYRE 1156 15TH STREET NW SUITE 525 WASHINGTON DC 20005 GOVERNMENT RELATIONS/ CONSULTING RETAINER FEES 0 0 6000 0 GIVING COLLABORATIVE 53 MORGAN AVENUE EAST HAVEN CT 06512 AUDIT OF FUND PROGRAM AND RECOMMENDATIONS 0 0 28198 0 CCS 100 EAST PRATT STREET SUITE 1520 BALTIMORE MD 21202 CONDUCTED ORG. AUDIT AND DEVELOPED STRATEGIC PLAN 0 0 46250 0 2082997 324216 1906646 MD AAMC GOLF CLASSIC 187490 129240 58250 10986 17873 20501 GALA 1060724 677698 383026 21917 244875 14700 201393 1248214 806938 441276 32903 262748 14700 221894 532245 -90969 1 ANNE ARUNDEL MEDICAL CENTER INC 2001 MEDICAL PARKWAY ANNAPOLIS MD 21401 521169362 501(C)(3) 2375991 TO SUPPORT OPERATIONS OF ANNE ARUNDEL MEDICAL CENTER, INC. ANNE ARUNDEL GENERAL TREATMENT SERVICES INC 2001 MEDICAL PARKWAY ANNAPOLIS MD 21401 521722088 501(C)(3) 244528 TO SUPPORT OPERATIONS OF ANNE ARUNDEL GENERAL TREATMENT SERVICES, INC. PHYSICIAN ENTERPRISE LLC 2001 MEDICAL PARKWAY ANNAPOLIS MD 21401 270263214 501(C)(3) 808007 TO SUPPORT OPERATIONS OF PHYSICIAN ENTERPRISE, LLC ANNE ARUNDEL HEALTH SYSTEM RESEARCH INSTITUTE INC 2001 MEDICAL PARKWAY ANNAPOLIS MD 21401 263038406 501(C)(3) 46452 TO SUPPORT OPERATIONS OF ANNE ARUNDEL HEALTH SYSTEM RESEARCH INSTITUTE, INC. 4 0 SCHOLARSHIPS TO BENEFIT NURSING STUDENTS 38 104000 PART I, LINE 2: THE FOUNDATION GIVES CONTRIBUTIONS TO FUND ITS RELATED ORGANIZATIONS IN ORDER TO FULFILL THE FOUNDATION'S EXEMPT PURPOSE OF BEING A SUPPORTING ORGANIZATION. THE FOUNDATION MONITORS THE USE OF THESE FUNDS THROUGH BOARD MEETINGS AND THROUGH THE REVIEW OF THE ENTITY'S FINANCIAL INFORMATION. IN ADDITION, THE FOUNDATION SELECTS INDIVIDUALS WHO ARE SEEKING A NURSING DEGREE TO RECEIVE SCHOLARSHIPS BASED UPON THEIR NEED. X X X X X 1 1 0 0 0 0 0 0 0 JAN WOOD PRESIDENT 198911 0 66000 0 30798 0 8580 0 17497 0 321786 0 0 0 VICTORIA BAYLESS BOARD MEMBER 0 722355 0 326720 0 73072 0 155541 0 19456 0 1297144 0 0 MARTIN L DOORDAN BOARD MEMBER 0 1073524 0 0 0 155267 0 58 0 0 0 1228849 0 125079 LISA HILLMAN FORMER PRESIDENT 45500 0 0 0 71863 0 0 0 0 0 117363 0 0 0 PART I, LINES 4A-B LISA MICHELSEN RECEIVED $25,210 OF SEVERANCE PAYMENTS DURING CALENDAR YEAR 2015. THE FOLLOWING PARTICIPATED IN THE ORGANIZATION'S 457(F) PLAN: VICTORIA BAYLESS $ 150,241 JAN WOOD $ 3,280 MARTIN DOORDAN $ 58 DURING THE YEAR, THE FOLLOWING RECEIVED PAYMENTS AS PART OF THEIR PARTICIPATION IN THE ORGANIZATION'S 457(F) PLAN: MARTIN DOORDAN $ 125,079 X 6 1118 FMV X 447 FMV X 489 FMV X 1 1000 FMV X 27 706061 FMV X 1 371855 PRESENT VALUE X 1 916667 HOUSE APPRAISAL X 1 1 FMV X NOTE RECEIVABLE 1 736372 PRESENT VALUE X JEWELRY 16 21553 FMV X GIFT CERTIFICATES 66 18936 FMV X FOOD & DRINK GIFT CERTIFICATES 72 7722 FMV X ENTERTAINMENT GIFT CERTIFICATES 29 6886 FMV X GOLF PACKAGES 9 4488 FMV X SPORTS MEMORABILIA 4 2550 FMV 0 0 1 1 PART I, LINE 32B: THE FOUNDATION'S NON-CASH CONTRIBUTIONS TYPICALLY INCLUDE PUBLICLY TRADED SECURITIES AND ITEMS FOR SILENT AUCTIONS. THESE ITEMS ARE SOLICITED AND REVIEWED PRIOR TO ACCEPTANCE. ADDITIONALLY IN FYE 2016, THE ORGANIZATION RECEIVED AN INTEREST IN A HOUSE AND NOTE RECEIVABLE AS PART OF LARGE ESTATE BEQUEST. THE HOUSE IS CURRENTLY BEING SOLD BY A THIRD PARTY TO CONVERT TO CASH. FORM 990, PART VI, SECTION A, LINE 6 THE SOLE MEMBER OF THE ORGANIZATION IS THE ANNE ARUNDEL HEALTH SYSTEM, INC. ("AAHS"), A SECTION 501(C)(3) ENTITY THAT SERVES AS THE PARENT CORPORATION OF THE INTEGRATED HEALTH SYSTEM. FORM 990, PART VI, SECTION A, LINE 7A THE SOLE MEMBER OF THE ORGANIZATION IS THE ANNE ARUNDEL HEALTH SYSTEM, INC. ("AAHS"), A SECTION 501(C)(3) ENTITY THAT SERVES AS THE PARENT CORPORATION OF THE INTEGRATED HEALTH SYSTEM. AAHS HAS THE EXPRESS POWER AND RESPONSIBILITY TO ELECT AND REMOVE THE BOARD OF DIRECTORS AND OFFICERS OF THE CORPORATION. FORM 990, PART VI, SECTION A, LINE 7B THE SOLE MEMBER OF THE ORGANIZATION IS THE ANNE ARUNDEL HEALTH SYSTEM, INC. ("AAHS"), A SECTION 501(C)(3) ENTITY THAT SERVES AS THE PARENT CORPORATION OF THE INTEGRATED HEALTH SYSTEM. AAHS HAS THE EXPRESS POWER AND RESPONSIBILITY TO APPROVE DECISIONS OF THE BOARD OF DIRECTORS. FORM 990, PART VI, SECTION B, LINE 11 RESPONSIBILITY FOR THE DETAILED REVIEW OF THE FORM 990 HAS BEEN ASSIGNED TO THE AUDIT AND COMPLIANCE COMMITTEE OF ANNE ARUNDEL HEALTH SYSTEM, INC. (PARENT). THE AUDIT AND COMPLIANCE COMMITTEE REVIEWS THE FORM 990 AND PROVIDES SUMMARY INFORMATION TO THE FULL BOARD. THE FORM 990 IS MADE AVAILABLE TO THE FULL BOARD DURING A BOARD MEETING FOR REVIEW PRIOR TO ITS FILING. FORM 990, PART VI, SECTION B, LINE 12C THE ORGANIZATION REQUIRES THAT SENIOR EXECUTIVE LEADERS AND EACH MEMBER OF THE BOARD REVIEW THE ORGANIZATION'S CONFLICT OF INTEREST POLICY ON AN ANNUAL BASIS AND RETURN AN ACKNOWLEDGEMENT OF RECEIPT AND DISCLOSURE OF ANY POTENTIAL CONFLICTS OF INTEREST. SUBSEQUENT TO THE COMPLETION OF THE ANNUAL CONFLICT OF INTEREST QUESTIONNAIRE, IF A COVERED INDIVIDUAL BECOMES AWARE OF AN ACTUAL OR POTENTIAL CONFLICT OF INTEREST, THE COVERED INDIVIDUAL SHALL PROMPTLY DISCLOSE IT TO THE PRESIDENT OF AAHS. IF AAHS HAS REASONABLE CAUSE TO BELIEVE THAT A COVERED INDIVIDUAL HAS FAILED TO DISCLOSE A POTENTIAL CONFLICT OF INTEREST, IT SHALL INFORM THE COVERED INDIVIDUAL OF THE BASIS FOR SUCH BELIEF AND PROVIDE THE COVERED INDIVIDUAL AN OPPORTUNITY TO EXPLAIN THE ALLEGED FAILURE TO DISCLOSE. AFTER DISCLOSURE OF AN ACTUAL OR POTENTIAL CONFLICT OF INTEREST BY A MEMBER OF THE BOARD OF TRUSTEES OR AN OFFICER OR SENIOR EXECUTIVE, THE EXECUTIVE COMMITTEE OF THE AAHS BOARD SHALL DECIDE IF A CONFLICT OF INTEREST EXISTS. IF THE INTERESTED PERSON IS A MEMBER OF THE EXECUTIVE COMMITTEE, AFTER ANY DISCUSSION WITH THE INTERESTED MEMBER SUCH MEMBER SHALL LEAVE THE EXECUTIVE COMMITTEE MEETING WHILE THE DETERMINATION OF A CONFLICT OF INTEREST IS DISCUSSED AND VOTED UPON. THE EXECUTIVE COMMITTTEE MAY REQUEST THAT LEGAL COUNSEL OR OTHER ADVISORS ASSIST AND ADVISE THE COMMITTEE IN CONNECTION WITH THE INVESTIGATION AND DETERMINATION OF ANY CONFLICT OF INTEREST ISSUE. IF A CONFLICT OR POTENTIAL CONFLICT IS DEEMED TO EXIST, THE MEMBER MUST REMOVE HIMSELF OR HERSELF FROM THE ROOM DURING ANY DISCUSSION OF THE MATTER, REFRAIN FROM PARTICIPATING IN DISCUSSION AND VOTING UPON OR OTHER DECISION MAKING IN REGARD TO THE MATTER, AVOID USING HIS OR HER PERSONAL INFLUENCE, AVOID MAKING AN ADMINISTRATIVE DECISION ON THE MATTER, AND, IN THE CASE OF A DIRECTOR, MUST NOT BE COUNTED IN DETERMINING THE QUORUM FOR ACTION ON THE MATTER, EVEN WHERE PERMITTED BY THE BY-LAWS. IF A MORE ADVANTAGEOUS TRANSACTION OR ARRANGEMENT IS NOT REASONABLY ATTAINABLE UNDER CIRCUMSTANCES THAT WOULD NOT GIVE RISE TO A CONFLICT OF INTEREST, THE EXECUTIVE COMMITTEE SHALL DETERMINE BY A MAJORITY VOTE WHETHER THE TRANSACTION OR ARRANGEMENT IS IN THE ORGANIZATION'S BEST INTEREST AND FOR ITS OWN BENEFIT AND WHETHER THE TRANSACTION IS FAIR AND REASONABLE TO THE ORGANIZATION AND SHALL MAKE ITS DECISIONS AS TO WHETHER TO ENTER INTO THE TRANSACTION OR ARRANGEMENT IN CONFORMITY WITH SUCH DETERMINATION. IF THE EXECUTIVE COMMITTEE DETERMINES THAT THE TRANSACTION IS IN THE BEST INTEREST OF AAHS, THE COMMITTEE MAY IMPOSE SUCH CONDITIONS OR REQUIREMENTS ON THE COVERED INDIVIDUAL INCLUDING, BUT NOT LIMITED TO REQUIRING THAT THE COVERED INDIVIDUAL RECUSE HER/HIMSELF FROM DELIBERATIONS AND DECISIONS RELATING TO THOSE MATTERS WHERE THE INDIVIDUAL HAS A PERSONAL INTEREST WHICH COULD CONFLICT, OR APPEAR TO CONFLICT, WITH HER/HIS DUTY OF LOYALTY TO THE BEST INTERESTS OF THE ORGANIZATION AND AAHS. FORM 990, PART VI, SECTION B, LINE 15 THE ORGANIZATION REIMBURSES ANNE ARUNDEL MEDICAL CENTER FOR COMPENSATION AND BENEFIT COSTS. ANNE ARUNDEL MEDICAL CENTER'S EXECUTIVE COMPENSATION COMMITTEE DETERMINES THE EXECUTIVE DIRECTOR'S COMPENSATION FOLLOWING THE IRC SECTION 4958 REBUTTABLE PRESUMPTION TEST. ALL OTHER COMPENSATION IS DETERMINED THROUGH CONSULTATION WITH AN INDEPENDENT OUTSIDE COMPENSATION CONSULTING FIRM. FORM 990, PART VI, SECTION C, LINE 18 THE FORM 990 IS AVAILABLE BY REQUEST TO THE FINANCIAL SERVICES OFFICE OR CAN BE OBTAINED ONLINE VIA WWW.GUIDESTAR.ORG. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE RETAINED IN THE FINANCE OFFICE AND ARE AVAILABLE FOR PUBLIC INSPECTION UPON REQUEST. FORM 990, PART XI, LINE 9: DISTRIBUTIONS ON CHARITABLE GIFT ANNUITIES -37,458. CHANGE IN PRESENT VALUE OF PLEDGES RECEIVABLE 120,293. CHANGE IN DEFERRED REVENUE 818,245. CHANGE IN CHARITABLE GIFT ANNUITY PAYABLE 15,590. INCREASE IN CASH SURRENDER VALUE OF LIFE INSURANCE 26,835. TRANSFER TO AFFILIATE FOR PURCHASE OF EQUIPMENT AND CONSTRUCTION PROJECT -2,950,904. FORM 990, PAGE 12, PART XII, LINE 2C THIS PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. FORM 990, PAGE 5, PART V, LINE 2 PAYROLL AND BENEFITS FOR ALL OFFICERS, DIRECTORS AND EMPLOYEES OF THE CONSOLIDATED GROUP KNOWN AS ANNE ARUNDEL HEALTH SYSTEM, INC. IS ADMINISTERED THROUGH ANNE ARUNDEL MEDICAL CENTER, INC. (AAMC). AAMC SUBSEQUENTLY BILLS EACH ENTITY FOR THE AMOUNT OF WAGE AND BENEFIT EXPENSE INCURRED BY THEM. ANNE ARUNDEL HEALTH SYSTEM INC 2001 MEDICAL PARKWAY ANNAPOLIS MD 21401 521622253 SUPPORT HEALTH CARE RELATED ENTITIES MD 501(C)(3) 9 N/A 0 ANNE ARUNDEL REAL ESTATE HOLDING COMPANY INC 2001 MEDICAL PARKWAY ANNAPOLIS MD 21401 521622251 REAL ESTATE HOLDING COMPANY MD 501(C)(2) ANNE ARUNDEL HEALTH SYSTEM INC 0 ANNE ARUNDEL HEALTH CARE SERVICES INC 2001 MEDICAL PARKWAY ANNAPOLIS MD 21401 521467734 OUTPATIENT DIAGNOSTICS AND IMAGING SERVICES MD 501(C)(3) 3 ANNE ARUNDEL MEDICAL CENTER INC 0 ANNE ARUNDEL HEALTH SYSTEM RESEARCH INSTITUTE INC 2001 MEDICAL PARKWAY ANNAPOLIS MD 21401 263038406 MEDICAL RESEARCH MD 501(C)(3) 4 ANNE ARUNDEL HEALTH SYSTEM INC 0 ANNE ARUNDEL MEDICAL CENTER INC 2001 MEDICAL PARKWAY ANNAPOLIS MD 21401 521169362 MEDICAL/HOSPITAL SERVICES MD 501(C)(3) 3 ANNE ARUNDEL HEALTH SYSTEM INC 0 ANNE ARUNDEL GENERAL TREATMENT SERVICES INC 2001 MEDICAL PARKWAY ANNAPOLIS MD 21401 521722088 ALCOHOL & DRUG ABUSE TREATMENT SERVICES MD 501(C)(3) 3 ANNE ARUNDEL MEDICAL CENTER INC 0 PHYSICIAN ENTERPRISE LLC 2001 MEDICAL PARKWAY ANNAPOLIS MD 21401 270263214 MEDICAL / PHYSICIAN SERVICES MD 501(C)(3) 3 ANNE ARUNDEL HEALTH SYSTEM INC 0 ANNAPOLIS EXCHANGE LOT IV LLC 2001 MEDICAL PARKWAY ANNAPOLIS MD 21401 522020156 COMMERCIAL REAL ESTATE LEASING MD N/A ANNAPOLIS EXCHANGE LOT V LLC 2001 MEDICAL PARKWAY ANNAPOLIS MD 21401 522020157 MEDICAL REAL ESTATE LEASING MD N/A MEDICAL OFFICE LLC 2001 MEDICAL PARKWAY ANNAPOLIS MD 21401 202290229 MEDICAL REAL ESTATE LEASING MD N/A KENT ISLAND MEDICAL ARTS LLC 2001 MEDICAL PARKWAY ANNAPOLIS MD 21401 260623450 MEDICAL REAL ESTATE LEASING MD N/A PAVILION PARK INC 2001 MEDICAL PARKWAY ANNAPOLIS MD 21401 521890034 REAL ESTATE LEASING MD N/A C 0 ANNE ARUNDEL HEALTH CARE ENTERPRISES INC 2001 MEDICAL PARKWAY ANNAPOLIS MD 21401 521646304 MEDICAL SERVICES MD N/A C 0 COTTAGE INSURANCE COMPANY LTD BOX 1109 GRAND CAYMAN CJ CJ KY1-110 980461499 CAPTIVE INSURER - PROFESSIONAL LIABILITY INSURANCE CJ N/A C 0 CHARITABLE REMAINDER TRUST (10) INVESTMENT TRUST MD N/A T 0 0 1 1 0 0 0 0 0 0 0 1 1 0 0 1 1 0 1 0