2013-05-14T13:48:56-05:00 2012-06-30 205991824 SC&H TAX & ADVISORY SERVICES LLC 910 RIDGEBROOK ROAD SPARKS MD 21152 990 2011-07-01 521331298 ANNE ARUNDEL MEDICAL CENTER FOUNDATION INC ANNE 4434816555 2001 MEDICAL PARKWAY ANNAPOLIS MD 21401 ROBERT REILLY 4434816555 2013-05-13 1 LORI S BURGHAUSER P00370694 4104031500 2013-05-13 2011 2016-02-24 21:20:13Z ROBERT REILLY 2001 MEDICAL PARKWAY ANNAPOLIS MD 21401 9512424 0 X WWW.AAHS.ORG X 1983 MD TO SUPPORT ANNE ARUNDEL MEDICAL CENTER, INC. AND RELATED ENTITIES OF ANNE ARUNDEL HEALTH SYSTEM. 27 24 11 0 0 0 7487915 8540949 0 0 1531783 770082 -197620 -133739 8822078 9177292 1090331 1679990 0 0 879131 974515 88273 46696 1720373 747447 703562 2805182 3404763 6016896 5772529 35176677 34024171 2844914 3212898 32331763 30811273 X TO SUPPORT ANNE ARUNDEL MEDICAL CENTER, INC. AND RELATED ENTITIES OF ANNE ARUNDEL HEALTH SYSTEM. 0 0 1485641 1485641 0 CONTRIBUTIONS TO ANNE ARUNDEL MEDICAL CENTER, INC. 111360 111360 0 CONTRIBUTIONS TO PHYSICIAN ENTERPRISE, LLC 60000 60000 0 SCHOLARSHIPS TO BENEFIT TWELVE NURSING STUDENTS 16588 16588 0 CONTRIBUTIONS TO ANNE ARUNDEL GENERAL TREATMENT SERVICES, INC., A SUBSIDIARY OF ANNE ARUNDEL MEDICAL CENTER, INC. 6401 6401 0 CONTRIBUTIONS TO ANNE ARUNDEL HEALTH CARE SERVICES, INC., A SUBSIDIARY OF ANNE ARUNDEL MEDICAL CENTER, INC. 22989 22989 1679990 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 0 1 0 0 11 1 0 0 0 0 0 1 1 0 0 0 0 X 27 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 X JOHN BELCHER 1.00 X X 0 0 0 JOANN DECESARIS 1.00 X X 0 0 0 JUDY ZAZULIA-WAHL 1.00 X X 0 0 0 THEODORE PINCUS 1.00 X X 0 0 0 LISA HILLMAN 40.00 X X 380812 0 16525 BRUCE ABBOTT 1.00 X 0 0 0 KATHY ADELMAN 1.00 X 0 0 0 PAMELA BATSTONE 1.00 X 0 0 0 VICTORIA BAYLESS 1.00 X 0 774544 106244 JUNE CAUDILL 1.00 X 0 0 0 MARTIN L DOORDAN 1.00 X 0 936615 44121 PAUL ELDER MD 1.00 X 0 0 0 MICHAEL FOUNDOS 1.00 X 0 0 0 PHIL GIBBS 1.00 X 0 0 0 EDWARD GOSSELIN 1.00 X 0 0 0 BARRY P GOSSETT 1.00 X 0 0 0 BECKY GRECO 1.00 X 0 0 0 ANTHONY IZZO 1.00 X 0 0 0 NICHOLAS LAMBROW 1.00 X 0 0 0 HENRY N LIBBY 1.00 X 0 0 0 PATRICIA MCMANUS 1.00 X 0 0 0 CHARLES E MOORE JR 1.00 X 0 0 0 THOMAS J MULRENIN 1.00 X 0 0 0 CULLEN MURRAY 1.00 X 0 0 0 JAMES L MYERS 1.00 X 0 0 0 MARIA C SCOTT MD 1.00 X 0 0 0 JERRY SOUTH 1.00 X 0 0 0 BRANT STANDRIDGE 1.00 X 0 0 0 LAURA WESTERVELT 1.00 X 0 0 0 ROBERT HARRISON 40.00 X 113636 0 2388 LAWRENCE KUSHNER 40.00 X 141490 0 4270 JAN WOOD 40.00 X 100067 0 8344 736005 1711159 181892 4 0 1 0 0 831986 405000 7303963 1465982 8540949 770082 770082 201393 831986 335132 -133739 -133739 9177292 0 0 636343 1619990 1619990 60000 60000 397337 397337 417971 417971 99458 99458 59749 59749 4400 4400 46696 46696 6873 6873 159360 159360 61774 61774 101313 101313 117605 117605 244250 244250 1418 1418 MISCELLANEOUS 6170 6170 TEMPORARY SERVICES 399 399 3404763 1679990 4400 1720373 254603 117900 2002245 4088728 16424057 14641736 246897 208785 39530 38112 16122363 14803029 333879 334666 35176677 34024171 663288 628648 2181626 2584250 2844914 3212898 X 1180591 1015454 20084343 18892847 11066829 10902972 32331763 30811273 35176677 34024171 X 5772529 -7293019 X X 0 1 1 X 0 X X X 0 0 0 ANNE ARUNDEL MEDICAL CENTER INC 521169362 3 1 1 1 1485641 ANNE ARUNDEL GENERAL TREATMENT SERVICES INC 521722088 3 1 1 1 16588 PHYSICIAN ENTERPRISE LLC 270263214 3 1 1 1 111360 ANNE ARUNDEL HEALTH CARE SERVICES INC 521467734 3 1 1 1 6401 4 1619990 RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 11066829 43143 420032 70032 207000 350000 10902972 11131933 126896 392000 42000 192000 350000 11066829 10965371 276062 389000 39000 109500 350000 11131933 11087793 78578 436000 36000 201000 400000 10965371 0.00000 1.00000 0.00000 0 0 82411 82411 0 164486 126374 38112 38112 DUE TO AFFILIATE 2584250 2584250 DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS: 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. DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: PART X: 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, 2012. X X X X X X 1 HERITAGE COMPANY INC PO BOX 16325 LITTLE ROCK AR 722316325 TELEPHONE SOLICITATION 0 295670 46696 248974 295670 46696 248974 MD AZ VA GOLF EVENT 200160 180310 19850 45147 9076 GALA 833219 651676 181543 141830 139079 1033379 831986 201393 186977 148155 335132 -133739 1 ANNE ARUNDEL MEDICAL CENTER INC 2001 MEDICAL PARKWAY ANNAPOLIS MD 21401 521169362 501(C)(3) 1485641 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) 16588 TO SUPPORT OPERATIONS OF ANNE ARUNDEL GENERAL TREATMENT SERVICES, INC. PHYSICIAN ENTERPRISE LLC 2001 MEDICAL PARKWAY ANNAPOLIS MD 21401 270263214 501(C)(3) 111360 TO SUPPORT OPERATIONS OF PHYSICIAN ENTERPRISE, LLC ANNE ARUNDEL HEALTH CARE SERVICES INC 2001 MEDICAL PARKWAY ANNAPOLIS MD 21401 521467734 501(C)(3) 6401 TO SUPPORT OPERATIONS OF ANNE ARUNDEL HEALTH CARE SERVICES, INC. 4 0 SCHOLARSHIPS TO BENEFIT NURSING STUDENTS 12 60000 PROCEDURE FOR MONITORING GRANTS IN THE U.S.: PART I, LINE 2: SCHEDULE I, 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. 0 1 0 0 0 0 0 0 0 LISA HILLMAN 238447 0 99614 0 42751 0 10138 0 6387 0 397337 0 425 0 VICTORIA BAYLESS 0 497530 0 207000 0 70014 0 99569 0 6675 0 880788 0 0 MARTIN L DOORDAN 0 365254 0 429559 0 141802 0 41223 0 2898 0 980736 0 40946 PART I, LINE 4B THE FOLLOWING PARTICIPATED IN THE ORGANIZATION'S 457(F) PLAN: VICTORIA BAYLESS $94,669 MARTIN DOORDAN $34,323 LISA HILLMAN $2,788 SUPPLEMENTAL INFORMATION PART III SCHEDULE J, PART I, LINE 3: THE TOP MANAGEMENT OFFICIALS ARE UNCOMPENSATED BY THE REPORTING ORGANIZATION. THE REPORTING ORGANIZATION RELIES ON THE ANNE ARUNDEL MEDICAL CENTER, A RELATED ORGANIZATION, TO ESTABLISH COMPENSATION FOR THE TOP MANAGEMENT OFFICIAL. X 15 7534 FMV X 25 1351974 FMV X ENTERTAINMENT 19 8356 FMV X FOOD & DRINK 30 15600 FMV X GOLF PACKAGES 7 4092 FMV X JEWELRY 13 11218 FMV X LODGING/TRANSPORTATION 12 16750 FMV X MISCELLANEOUS 2 1750 FMV X GIFT CERTIFICATES 119 45283 FMV X SPORTS MEMORIBILIA 14 3605 FMV 0 0 1 0 THIRD PARTY USE: PART I, LINE 32B: THE FOUNDATION'S NON-CASH CONTRIBUTIONS INCLUDE PUBLICLY-TRADED SECURITIES AND ITEMS FOR SILENT AUCTIONS. THESE ITEMS ARE SOLICITED AND REVIEWED PRIOR TO ACCEPTANCE. 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 THE BOARD HAS ASSIGNED RESPONSIBILITY FOR THE DETAILED REVIEW OF THE FORM 990 TO THE FINANCE AND AUDIT COMMITTEE OF ANNE ARUNDEL HEALTH SYSTEM, INC. (PARENT). THE FINANCE AND AUDIT COMMITTEE REVIEWS THE FORM 990 AND PROVIDES SUMMARY INFORMATION TO THE FULL BOARD. THE FORM 990 IS MADE AVAILABLE TO THE FULL BOARD FOR REVIEW PRIOR TO ITS FILING. FORM 990, PART VI, SECTION B, LINE 12C THE ORGANIZATION REQUIRES THAT 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. THE BOARD, MANAGEMENT AND THE ACCOUNTS PAYABLE FUNCTION MONITOR TRANSACTIONS FOR POTENTIAL EXCESS BENEFIT TRANSACTIONS/PRIVATE INUREMENT. 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 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 IS AVAILABLE BY REQUEST TO THE FINANCE OFFICE OR CAN BE OBTAINED ONLINE AT WWW.GUIDESTAR.ORG. FORM 990, PAGE 7, PART VII, SECTION A: THE FOLLOWING INDIVIDUALS LISTED BELOW ARE OFFICERS AND/OR EMPLOYEES OF RELATED ANNE ARUNDEL HEALTH SYSTEM ENTITIES WHO WORK A COMBINED TOTAL OF FORTY PLUS HOURS FOR THE ANNE ARUNDEL HEALTH SYSTEM: VICTORIA BAYLESS MARTIN DOORDAN (DURING CALENDAR YEAR 2011) LISA HILLMAN CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 5: NET UNREALIZED LOSSES ON INVESTMENTS: -1,390,390. DISTRIBUTIONS ON CHARITABLE GIFT ANNUITIES -121,155. CHANGE IN PRESENT VALUE OF PLEDGES RECEIVABLE 352,184. CHANGE IN DEFERRED REVENUE -2,134,506. CHANGE IN CHARITABLE GIFT ANNUITY PAYABLE 37,707. INCREASE IN CASH SURRENDER VALUE OF LIFE INSURANCE 651. TRANSFER TO AFFILIATE FOR PURCHASE OF EQUIPMENT AND CONSTRUCTION PROJECT -4,017,510. TRANSFER TO AFFILIATE FOR PURCHASE OF EQUIPMENT AND CONSTRUCTION -20,000. TOTAL TO FORM 990, PART XI, LINE 5: -7,293,019. 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. 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