2013-11-15T17:32:04-06:00 2012-12-31 521532556 ADVENTIST HEALTHCARE INC 820 W DIAMOND AVE SUITE 600 GAITHERSBURG MD 208781419 990 2012-01-01 201486678 ADVENTIST REHABILITATION HOSPITAL OF MARYLAND ADVE 3013153030 820 WEST DIAMOND AVE NO 600 GAITHERSBURG MD 208781419 JAMES G LEE 3013153025 2013-11-15 1 THOMAS CHAN P01461717 3013153030 2012 2016-03-07 17:11:31Z X WILLIAM G ROBERTSON 820 WEST DIAMOND AVE NO 600 GAITHERSBURG MD 208781419 42946895 0 X WWW.ADVENTISTHEALTHCARE.COM/AHRM X 2004 MD WE DEMONSTRATE GOD'S CARE BY IMPROVING THE HEALTH OF PEOPLE AND COMMUNITY THROUGH ( SEE SCH. O) A MINISTRY OF PHYSICAL, MENTAL, AND SPIRITUAL HEALING. 6 3 0 70 0 0 161336 132394 32210141 34137487 206309 124592 50000 50000 32627786 34444473 2200 769 0 0 20085207 21168937 0 0 0 9982937 10141662 30070344 31311368 2557442 3133105 26966251 29903369 7730364 7549490 19235887 22353879 X TO OPERATE A REHABILITATION HOSPITAL AND OUTPATIENT SERVICES TO SERVE THE COMMUNITY IN MARYLAND. 0 0 24542958 769 34137487 ADVENTIST REHABILIATTION HOSPITAL OF MARYLAND, A SEPARATE LEGAL ENTITY MANAGED BY ADVENTIST HEALTHCARE EXECUTIVE TEAM, IS THE FIRST AND ONLY ACUTE REHABILIATTION HOSPITAL IN MONTGOMERY COUNTY, MD., THAT OFFERS COMPREHENSIVE REHABILITATION PROGRAMS FOR TRAUMATIC BRAIN INJURIES, SPINAL CORD INJURIES, STROKES, AMPUTATION, ORTHOPEDIC INJURIES AND SUGERIES, SPORTS-RELATED INJURIES, WORK-RELATED INJURIES, CARDIOPULMONARY CONDITIONS, AND NEUROLOGICAL DISORDERS.WE BELIEVE THAT REHABILITATION IS ALL ABOUT HELPING OUR PATIENTS SET THEIR GOALS AND REACH THEM. EXPERT CARE TEAMS WORKING SIDE-BY-SIDE WITH PATIENTS, USING INNOVATIVE THERAPIES, STATE-OF-THE-ART EQUIPMENT AND GROUND-BREAKING TECHNOLOGY COMBINE TO OFFER NEW WAYS TO HEAL. ADVENTIST REHABILITATION HOSPITAL IS BUILT AROUND OUR PATIENTS AND LEADS THE WAY BACK TO LIFE FROM STROKE, BRAIN INJURY, SPINAL CORD INJURY, AMPUTATION AND TRAUMA. EVERY DAY, WE CELEBRATE PATIENT ADVANCES, BIG AND SMALL.WE HAVE RECENTLY UPGRADED OUR SERVICES THROUGH THE ADDITION OF AN ACCESSIBLE VAN, REHABILITATION EQUIPMENT (SUCH AS POWER WHEEL CHAIRS OR LIGHT/SPORT WHEEL CHAIRS) A CAR SIMULATOR FOR PRACTICE CAR TRANSFERS AND SLEEPER CHAIRS. ADVENTIST REHAB HAS LOCATIONS IN ROCKVILLE AND TAKOMA PARK WITH OUTPATIENT SERVICES IN ROCKVILLE AND SILVER SPRING.ADVENTIST REHAB OFFERS SPECIALIZED INPATIENT AND OUTPATIENT TREATMENT FOR PERSONS WITH FUNCTIONAL LIMITATIONS, CARING FOR PATIENTS 18 AND OLDER AND, UNDER SPECIAL CIRCUMSTANCES, EMANCIPATED MINORS. OUR MANY REHABILITATION PROGRAMS AND SERVICES INCLUDE:ACUTE INPATIENT REHABILITATION SPINAL CORD INJURY AMPUTEE PROGRAM STROKE BRAIN INJURY ORTHOPEDIC PROGRAMSORTHOPEDIC REHABILITATION PROSTHETICS & ORTHOTICS OUTPATIENT SERVICESDRIVER REHABILITATION PROGRAM LYMPHEDEMA THERAPY JOINT REPLACEMENT PROGRAM SEATING & MOBILITY CLINIC LEE SILVERMAN VOICE TREATMENT (LSVT) SPEECH LANGUAGE & SWALLOWING THERAPY ADVENTIST REHABILITATION HOSPITAL OF MARYLAND IS THE ONLY HOSPITAL IN THE D.C. METROPOLITAN AREA AND THE THIRD IN THE NATION TO EARN A SPECIALTY ACCREDITATION IN AMPUTEE REHABILITATION FROM THE COMMISSION ON ACCREDITATION OF REHABILITATION FACILITIES (CARF) INTERNATIONAL. CARF INTRODUCED ITS AMPUTEE SPECIALTY STANDARDS IN JULY 2007 WITH INPUT FROM THE AMPUTEE COALITION OF AMERICA (ACA), VETERANS HEALTH ADMINISTRATION, DEPARTMENT OF DEFENSE, AMERICAN ACADEMY OF ORTHOTISTS & PROSTHETISTS, AND PERSONS WITH LIMB LOSS. THE STANDARDS, WHICH BECAME EFFECTIVE IN JANUARY 2008, REQUIRE ACCREDITED AMPUTEE PROGRAMS TO PROVIDE A HOLISTIC, INTERDISCIPLINARY TEAM APPROACH TO CARE AND TO OFFER POST-CARE ASSISTANCE IN TRANSITIONING BACK TO THE COMMUNITY.OUR ACUTE INPATIENT REHABILITATION PROGRAM IS RUN BY A TEAM OF REHABILITATION EXPERTS WHO WILL GUIDE YOU ALONG A PRACTICAL AND PERSONAL TREATMENT PROGRAM FOCUSED ON INCREASING SELF-RELIANCE AND GAINING INDEPENDENCE. THE TEAM IS LED BY A PHYSIATRIST, A MEDICAL DOCTOR WHO SPECIALIZES IN PHYSICAL REHABILITATION. WE PROVIDE SPECIALIZED REHABILITATION NURSING 24 HOURS A DAY, SEVEN DAYS A WEEK. THERAPY SERVICES INCLUDE PHYSICAL THERAPY, OCCUPATIONAL THERAPY, SPEECH LANGUAGE PATHOLOGY, AND RECREATIONAL THERAPY.THE SPINAL CORD INJURY PROGRAM ADDRESSES BOTH TRAUMATIC SPINAL CORD INJURIES RESULT FROM A FALL OR SOME KIND OF ACCIDENT, AND NON-TRAUMATIC SPINAL CORD INJURIES THAT RESULT FROM A STROKE AND DISRUPTION TO THE SPINAL CORD, TUMOR ON SPINAL CORD, OR INFECTION. AGAIN, A TEAM APPROACH TO PUT TOGETHER AN INTERDISCIPLINARY PLAN OF CARE HELPS THE PATIENT ON THE ROAD TO RECOVERY.ADVENTIST REHABILITATION'S AMPUTEE PROGRAM UTILIZES AN INTERDISCIPLINARY TEAM APPROACH TO HELP POST-AMPUTEE PATIENTS TO ADJUST PHYSICALLY AND PSYCHOLOGICALLY AFTER THE LOSS OF A LIMB AND RESUME ACTIVE AND PRODUCTIVE LIVES. INDIVIDUALS MAY BE TREATED AS INPATIENTS OR OUTPATIENTS, DEPENDING ON THEIR PERSONAL NEEDS. PATIENTS WORK TO IMPROVE STRENGTH, COORDINATION AND ENDURANCE AND ALSO LEARN PROPER WOUND CARE. WHEN READY, OUR PATIENTS ARE PRESCRIBED PROSTHETIC DEVICES THAT ARE BOTH FUNCTIONAL AND COMFORTABLE TO WEAR. ONCE TINED WITH A NEW LIMB, THE PATIENT LEARNS TO USE THE PROSTHESIS WITH CONFIDENCE AND TO INCORPORATE IT INTO DAILY LIFE.THE INTERDISCIPLINARY TEAM APPROACH OF THE BRAIN INJURY PROGRAM AT ADVENTIST REHAB ADDRESSES TRAUMATIC BRAIN INJURIES CAUSED BY AN EXTERNAL PHYSICAL FORCE, SUCH AS A CAR ACCIDENT, FALL, SPORTS OR WORKPLACE INJURIES, ETC.; AS WELL AS ACQUIRED BRAIN INJURIES CAUSED BY INTERNAL TRAUMA TO THE BRAIN, SUCH AS TUMORS, BLOOD CLOTS, SEIZURES, INFECTIONS, ETC. EACH OF THESE TYPES OF BRAIN INJURIES MAY RESULT IN IMPAIRMENT OF PHYSICAL, COGNITIVE, BEHAVIORAL, AND/OR EMOTIONAL CAPABILITIES. REHABILITATION FOLLOWING A BRAIN INJURY IS VERY COMPLEX BECAUSE OF THE NEED TO ADDRESS MULTIPLE AREAS OF DEFICIT, INCLUDING PHYSICAL IMPAIRMENTS, FUNCTIONAL DEFICIENCIES (SUCH AS DIFFICULTY WALKING OR DRESSING), BEHAVIORAL DIFFICULTIES, EMOTIONAL CONSEQUENCES AND SOCIAL OR INTERPERSONAL LIMITATIONS. OFTEN, SIGNIFICANT COGNITIVE DEFICITS, SUCH AS LIMITED ATTENTION SPAN OR POOR MEMORY, UNDERLIE AND EXACERBATE THESE PROBLEMS. PATIENTS IN OUR BRAIN INJURY PROGRAM RECEIVE INTENSIVE, INTEGRATED REHABILITATION DESIGNED TO MAXIMIZE THEIR RECOVERY. TEAM MEMBERS, INCLUDING A NEUROPSYCHOLOGIST, MEET AT LEAST ONCE A WEEK TO DISCUSS GOALS, PROGRESS AND TREATMENT STRATEGIES.OTHER PROGRAMS OFFERED INCLUDE A STROKE PROGRAM FOR RECOVERING STROKE PATIENTS TO TAKE PART IN AN INTENSIVE COURSE OF INTEGRATED THERAPY AND MEDICAL MANAGEMENT. THE OBJECTIVE IS TO RESTORE MOVEMENT, IMPROVE SPEECH, TEACH SELF CARE AND HOME CARE SKILLS AND IMPROVE COGNITIVE AND MEMORY FUNCTIONS. STROKE PATIENTS AND THEIR FAMILIES WILL BE GUIDED THROUGH A PATIENT-FOCUSED, COMPREHENSIVE, AND OUTCOME-ORIENTED STROKE PROGRAM BY A CARING, COMPETENT TEAM OF HEALTHCARE PROFESSIONALS. THE ORTHOPEDIC REHABILITATION PROGRAM IS DESIGNED FOR THOSE WHO HAVE UNDERGONE A TOTAL HIP OR KNEE REPLACEMENT OR HAVE SUSTAINED TRAUMA TO BONES OR JOINTS. THE PROGRAM FOCUSES ON HELPING PATIENTS REGAIN THEIR STRENGTH, MOBILITY, ENDURANCE AND RANGE OF MOTION.THE DRIVER REHABILITATION PROGRAM DETERMINES WHETHER IT IS SAFE FOR THE CLIENT TO CONTINUE DRIVING FOLLOWING AN INJURY/ILLNESS OR AGE RELATED CHANGES. A DRIVING PROGRAM MAY INCLUDE A CLINICAL EVALUATION WHICH INCLUDES AN ASSESSMENT OF VISION, VISUAL PERCEPTION, COGNITION, REACTION TIME, AND MOTOR SKILLS RELATED TO DRIVING. IT MAY ALSO INCLUDE A BEHIND-THE-WHEEL EVALUATION, IN ADDITION TO TRAINING CONDUCTED BY AN OCCUPATIONAL THERAPIST WHO SPECIALIZES IN DRIVING REHABILITATION.OUR CERTIFIED LYMPHEDEMA THERAPISTS PROVIDE A COMPLETE DECONGESTIVE TREATMENT APPROACH FOR PEOPLE SUFFERING FROM LYMPHEDEMA. THIS INVOLVES A SPECIALIZED MASSAGE TECHNIQUE CALLED MANUAL LYMPH DRAINAGE (MLD), SKIN AND NAIL CARE, COMPRESSION BANDAGING AND GARMENTS, REMEDIAL EXERCISE AND SELF-CARE TRAINING. THE GOAL OF OUR PROGRAM IS TO HELP INDIVIDUALS REDUCE INCREASE VOLUME RESULTING FROM LYMPHEDEMA, RESTORE MOBILITY, IMPROVE COSMESIS, PREVENT INFECTION, AND IMPROVE THEIR QUALITY OF LIFE.A JOINT REPLACEMENT PROGRAM AT ADVENTIST REHABILITATION CENTER HELPS PATIENTS TO ACHIEVE GOALS FOR OPTIMAL RESULTS. ONE OF THE IMPORTANT CRITICAL FACTORS FOR SUCCESSFUL OUTCOMES FOLLOWING KNEE OR HIP REPLACEMENT FOR PATIENTS IS FOR PATIENTS TO DILIGENTLY FOLLOW THE PHYSICAL REHABILITATION PROCESS. ADVENTIST REHAB PROVIDES BOTH THE SUPPORT AND RESOURCES FOR A POSITIVE OUTCOME.LEE SILVERMAN VOICE TREATMENT (LSVT)-CERTIFIED SPEECH LANGUAGE PATHOLOGISTS AT ADVENTIST REHABILITATION CENTER CAN COMPLETE A COMPREHENSIVE ASSESSMENT TO DETERMINE CANDIDACY FOR LSVT. LSVT IS A HIGHLY EFFECTIVE INTENSIVE SPEECH THERAPY PROGRAM DESIGNED FOR PARKINSON'S PATIENTS. LSVT IS DESIGNED TO IMPROVE SPEECH AND VOICE FUNCTION. THE THERAPY TARGETS VOCAL LOUDNESS IN ORDER TO TRIGGER IMPROVED FUNCTION AND COORDINATION ACROSS THE VARIOUS SUBSYSTEMS OF SPEECH. LSVT COMBINES MOTOR RETRAINING WITH SENSORY RE-TRAINING TO ELICIT MAXIMUM OUTCOMES. THE TREATMENT REGIMEN INCLUDES EMPHASIS ON PATIENT EDUCATION AND CARRYOVER OF GAINS TO DAILY COMMUNICATION ENVIRONMENTS. THE LSVT PROTOCOL INVOLVES FOUR 1-HOUR THERAPY SESSIONS PER WEEK FOR 4 WEEKS.ADVENTIST REHABILITATION HOSPITAL IS BUILT AROUND OUR PATIENTS AND LEADS THE WAY BACK TO LIFE FROM STROKE, BRAIN INJURY, SPINAL CORD INJURY, AMPUTATION AND TRAUMA. EXPERT CARE TEAMS WORKING SIDE-BY-SIDE WITH PATIENTS, USING INNOVATIVE THERAPIES, STATE-OF-THE-ART EQUIPMENT AND GROUND-BREAKING TECHNOLOGY COMBINE TO OFFER NEW WAYS TO HEAL. AS A NONPROFIT ORGANIZATION, ADVENTIST REHABILITATION HOSPITAL DEPENDS ON THIS SUPPORT AND DOLLAR FOR DOLLAR, EVERY DONATION MAKES A DIFFERENCE BY HELPING US MAINTAIN OUTSTANDING PROGRAMS AND SERVICES AND KEEP PACE WITH THE LATEST ADVANCES IN TECHNOLOGY AND EQUIPMENT FOR REHABILITATIVE CARE. 24542958 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 1 0 1 0 0 0 0 0 0 0 0 1 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 X 6 3 0 0 0 0 1 1 1 1 1 0 1 1 1 1 1 1 1 1 1 1 0 X JAMES G LEE 3013153030 820 W DIAMOND AVE SUITE 600 GAITHERSBURG MD 208781419 TERRY FORDE 4.00 58.00 X X 0 645184 27990 JAMES G LEE 4.00 58.00 X X 0 690296 31592 JAMES LITSINGER 50.00 X 0 267172 30798 CHARLES ATWELL 1.00 X 0 0 0 INDER CHAWLA MD 1.00 X 0 0 0 TONY TOUMA 1.00 X 0 0 0 WILLIAM G ROBERTSON 4.00 58.00 X 0 1197474 49502 VAL DANIELS 50.00 X 160398 0 17114 BRENT REITZ 50.00 X 0 314352 16573 PARVEEN PETER 40.00 X 139848 0 17427 SUSANA JONES 40.00 X 126668 0 7998 BARBARA BLANDFORD 40.00 X 118565 0 18705 INGRID BLACK 40.00 X 111988 0 11501 BETH DAUGHERTY 40.00 X 155619 0 4774 813086 3114478 233974 6 0 1 0 SOLIANT HEALTH PO BOX 1024640 ATLANTA GA 303684640 CONTRACT NURSING/TECH 167253 SODEXHO MARRIOTT SERVICES PO BOX 536922 ATLANTA GA 303526922 DIETARY AND PLANT OPS 138507 2 50000 44968 37426 132394 OCCUPATIONAL/SPEECH/PH 900099 26747295 26747295 WOMEN AND CHILDREN 900099 7146475 7146475 ONCOLOGY 900099 240149 240149 3568 3568 34137487 156072 156072 50000 0 50000 50000 50000 8470942 8502422 -31480 -31480 -31480 34444473 34137487 0 174592 769 769 813089 813089 16887767 15288616 1599151 432213 385573 46640 1704434 1156376 548058 1331434 1130074 201360 13535 13535 19352 19352 2390675 2206996 183679 43422 1381 42041 2352027 1660570 691457 1649840 1247444 402396 1153611 658664 494947 138351 104479 33872 55816 49732 6084 217401 217401 922530 922530 590599 555479 35120 111972 111972 MEDICAL SUPPLIES 444836 79078 365758 RECRUITING 37695 17727 19968 31311368 24542958 6768410 0 1299 3800 5766090 8176839 20706 20328 11017694 11409793 19621 20502 104013 104013 144897 111353 16272803 7643365 8434292 8629438 386886 388580 1038753 1006543 32000 32180 26966251 29903369 3182510 2665401 336235 4547854 4547854 7730364 7549490 X 19033148 22136963 202739 216916 19235887 22353879 26966251 29903369 3133105 -15113 0 X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 11714754 4345462 7369292 181282 122045 59237 3271695 2147137 1124558 1105072 1028721 76351 8629438 DUE TO AFFILIATES 4347854 COMPLIANCE LIABILITY RESERVE 200000 4547854 X DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: PART X, LINE 2: FIN 48 NOTES 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 2012 OR 2011. 1 1 1 X 1 X 450.000000000000 1 1 0 0 668948 668948 0.02140 1637084 1567202 69882 0.00220 2306032 1567202 738830 0.02360 769 769 0.00000 769 769 2306801 1567202 739599 0.02360 1 551644 10692 17833353 16306731 1526622 X 1 1 1 1 ADVENTIST REHABILITATION HOSP OF MD

1801 RESEARCH BLVD ROCKVILLE MD 20850

X REHAB HOSPITAL ADVENTIST REHABILITATION HOSP OF MD 1 1 1 100.000000000000 1 450.000000000000 1 X 1 1 X X X X X X X 1 X X 0 1 X 0 0 PART I, LINE 3C: IN CONSIDERATION FOR FINANCIAL ASSISTANCE TO OUR PATIENTS, ARHM ALSO CONSIDERS CIRCUMSTANCES BEYOND INCOME. OUR 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, AHC HAS 12 LEVELS OF FINANCIAL ASSISTANCE. THEY ARE AS FOLLOW:- ANNUAL INCOME <= 1.0X OF FPL, 0% PATIENT RESPONSIBILITY- ANNUAL INCOME > 1.00X AND <= 1.25X OF FPL, 10% PATIENT RESPONSIBILITY- ANNUAL INCOME > 1.25X AND <= 1.50X OF FPL, 20% PATIENT RESPONSIBILITY- ANNUAL INCOME > 1.50X AND <= 1.75X OF FPL, 30% PATIENT RESPONSIBILITY- ANNUAL INCOME > 1.75X AND <= 2.00X OF FPL, 40% PATIENT RESPONSIBILITY- ANNUAL INCOME > 2.00X AND <= 2.25X OF FPL, 50% PATIENT RESPONSIBILITY- ANNUAL INCOME > 2.25X AND <= 2.50X OF FPL, 60% PATIENT RESPONSIBILITY- ANNUAL INCOME > 2.50X AND <= 2.75X OF FPL, 70% PATIENT RESPONSIBILITY- ANNUAL INCOME >2.75X AND <= 3.00X OF FPL, 80% PATIENT RESPONSIBILITY- ANNUAL INCOME >3.00X AND <= 3.50X OF FPL, 85% PATIENT RESPONSIBILITY- ANNUAL INCOME >3.50X AND <= 4.00X OF FPL, 90% PATIENT RESPONSIBILITY- ANNUAL INCOME >4.00X AND <= 4.50X OF FPL, 95% PATIENT RESPONSIBILITY PART I, L7 COL(F): BAD DEBT EXPENSENO BAD DEBT IS INCLUDED IN THE FUNCTIONAL EXPENSES INPART IX OF THE FORM 990 AND THEREFORE NO ADJUSTMENT WAS NECESSARY TOCOMPUTE THE PERCENTAGES IN THE CHART FOR LINE 7. PART III, LINE 4: BAD DEBTPATIENT ACCOUNTS ARE WRITTEN OFF WHEN THEY AREDETERMINED TO BE UNCOLLECTIBLE BASED UPON MANAGEMENT'S ASSESSMENT OFINDIVIDUAL ACCOUNTS. THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS ISESTIMATED BASED UPON A PERIODIC REVIEW OF THE ACCOUNTS RECEIVABLE AGING,PAYOR CLASSIFICATIONS, AND APPLICATION OF HISTORICAL WRITE-OFFPERCENTAGES.AS PRESCRIBED BY HFMA STATEMENT 15, THERE ARE INSTANCES IN WHICH OURCOLLECTION EFFORTS PROVIDE INFORMATION THAT HELPS US DETERMINE AN ACCOUNTACTUALLY QUALIFIES FOR CHARITY CARE. WHEN THIS OCCURS, WE RECORD THISCHANGE IN OUR BILLING AND COLLECTION SYSTEM USING A UNIQUE SERVICE CODE.WE PREPARED AN ANALYSIS THAT PROVIDED US WITH A RATIO OF BAD DEBT ACCOUNTSTHAT WERE SUBSEQUENTLY RECLASSIFIED AS CHARITY CARE. WE THEN MULTIPLIEDTHAT RATIO TIMES OUR BAD DEBT PROVISIONS TO DETERMINE THE AMOUNT OF BADDEBT THAT WE BELIEVE WILL ULTIMATELY MEET OUR CRITERIA FOR CHARITY CARE. PART III, LINE 8: MEDICAREIN ORDER TO DETERMINE THE COST OF PROVIDING MEDICARE SERVICES,ADVENTIST REHABILITATION HOSPITAL OF MARYLANDL UTILIZED COST TO CHARGE RATIOS ASDETERMINED BY THE HOSPITALS MEDICARE COST REPORT. THE TOTAL COST WASCOMPARED TO PAYMENTS RECEIVED FROM THE MEDICARE PROGRAM. THE SHORTFALLCALCULATED REPRESENTS UNREIMBURSED COSTS UNDER THE MEDICARE PROGRAM THATTHE HOSPITAL ABSORBS ON BEHALF OF THE PATIENTS THAT IT SERVES.AHC USED MEDICARE'S COST REPORT STEP DOWN AND INDIRECT COST ALLOCATION TOCOMPUTE COST TO CHARGE RATIO TO ASSESS THE LEVEL OF COMMUNITY BENEFITS INPROVIDING BAD DEBT, CHARITY AND ADMINISTRATIVE DEDUCTIONS. SINCEMARYLAND'S COST REGULATION COMMISSION AND RELATED AGENCIES ALSO ASSESSHOSPITAL PROVIDERS TO SUBSIDIZE MEDICAID AND DISPROPORTION SHARE HOSPITALPROVIDERS, THESE ASSESSMENTS ARE ALSO COUNTED TOWARD COMMUNITY BENEFITS. PART III, LINE 9B: ARHM PROVIDES QUALITY MEDICAL SERVICES REGARDLESS OFA PATIENT'S ABILITY TO PAY, RACE, CREED, SEX, AGE, NATIONAL ORIGIN ORFINANCIAL STATUS. OUR FINANICAL ASSISTANCE POLICY ENCOURAGES THE PATIENTAND THEIR REPRESENTATIVE TO COOPERATE WITH AND AVAIL THEMSELVES OF ALLAVAILABLE PROGRAMS (INCLUDING MEDICAID, WORKERS COMPENSATION, AND STATEAND LOCAL PROGRAMS) WHICH MIGHT PROVIDE COVERAGE. OUR REGISTRATION,FINANCIAL COUNSELORS, CUSTOMER SERVICE, AND COLLECTION STAFF ARETHOROUGHLY FAMILIAR WITH THE CRITERIA AND PROCESS OF FINANCIAL ASSISTANCE.FINANCIAL ASSISTANCE PROCESS AND COLLECTION PROTOCOL ARE WELL DEFINED WITHMANAGERS AVAILABLE TO GUIDE AND HANDLE EXCEPTION SITUATIONS. OUTSOURCEDAGENCIES AND COLLECTIONS FIRMS ARE EXPECTED TO ADHERE TO AHC'S POLICYWITHOUT EXCEPTIONS. BAD DEBT, CHARITY AND ADMINISRATIVE WRITEOFF ARECLEARLY DEFINED WITH PRE-DETEMRINED AUTHORIZATION LEVELS DEPENDING ON THEMAGNITUDE GRANTED. AHC ALSO REVISES ITS FINANCIAL ASSISTANCE POLICY ASFEDERAL GOVERNMENT AND/OR STATE GOVERNMENT REVISE THEIR POVERTYGUIDELINES. OVERALL, AHC EXPECTS ITS STAFF TO TREAT ITS PATIENTS WITHDIGNITY AND RESPECT, AS THEY WOULD LIKE TO BE TREATED. ADVENTIST REHABILITATION HOSP OF MD PART V, SECTION B, LINE 14G: THE POLICY IS ALSO STRATEGICALLY POSTED AT OUR PATIENT FINICAL SERVICE OFFICE. ADVENTIST REHABILITATION HOSP OF MD PART V, SECTION B, LINE 20D: BECAUSE MARYLAND IS AN ALL-PAYOR RATE REGULATED STATE, ALL INDIVIDUALS, REGARDLESS OF THEIR PAYER TYPE, ARE CHARGED THE RATES ESTABLISHED BY THE MARYLAND HEALTH SERVICES COST REVIEW COMMISSION (HSCRC). THE HSCRC RATE SYSTEM IS USED TO DETERMINE THE MAXIMUM AMOUNTS THAT CAN BE CHARGED. PART VI, LINE 2: NEEDS ASSESSMENT:A COMPLETE COMMUNITY HEALTH NEEDS ASSESSMENT WILL BE COMPLETED IN CALENDAR YEAR 2013.THE ADVENTIST REHABILITATION HOSPITAL OF MARYLAND WORKS WITH THE COMMUNITY BENEFIT COUNCIL TO ASSESS THE NEEDS OF THE COMMUNITY AND IDENTIFIES UNMET HEALTH CARE NEEDS IN OUR COMMUNITY IN A VARIETY OF WAYS.IN 2011, ADVENTIST HEALTHCARES CENTER ON HEALTH DISPARITIES, WHICH SUPPORTS ADVENTIST REHABILITATION HOSPITAL OF MARYLAND, DEVELOPED AND RELEASED ITS ANNUAL PROGRESS REPORT, PARTNERING TOWARD A HEALTHIER FUTURE: HEALTH DISPARITIES IN THE ERA OF REFORM IMPLEMENTATION. THIS PROGRESS REPORT OFFERED AN UPDATE ON HEALTH DISPARITIES AFFECTING COMMUNITIES IN ADVENTIST REHABS SERVICE AREAS, INCLUDING MONTGOMERY COUNTY. WE ALSO LOOK AT DEMOGRAPHIC TRENDS AND ASSESS DISPARITIES ACROSS A RANGE OF ISSUES WITHIN BROAD HEALTH TOPICS AFFECTING OUR COMMUNITY. NATIONAL, STATE, AND COUNTY LEVEL STATISTICS ARE USED TO ASSESS THE COMMUNITY RELATING TO THE PREVALENCE OF DISEASES AS WELL AS SOCIAL DETERMINANTS OF HEALTH. INFORMATION IS OBTAINED FROM THE MARYLAND VITAL STATISTICS ADMINISTRATION, THE MARYLAND HEALTH CARE COMMISSION, THE MARYLAND DEPARTMENT OF HEALTH AND MENTAL HYGIENES (DHMH) OFFICE ON MINORITY HEALTH & HEALTH DISPARITIES, AND FROM DHMHS STATE HEALTH IMPROVEMENT PROCESS (SHIP). INFORMATION IS ALSO GLEANED FROM THE U.S. CENSUS BUREAU. LOCALLY, WE ARE INVOLVED WITH THE MONTGOMERY COUNTYS HEALTH AND HUMAN SERVICES HEALTHY MONTGOMERY STEERING COMMITTEE WHICH ASSESSES AND IDENTIFIES NEEDS OF THE COMMUNITY. THE HEALTH IMPROVEMENT PROCESS HAS THREE GOALS: (1) IMPROVE ACCESS TO HEALTH AND SOCIAL SERVICES; (2) ACHIEVE HEALTH EQUITY FOR ALL RESIDENTS; AND (3) ENHANCE THE PHYSICAL AND SOCIAL ENVIRONMENT TO SUPPORT OPTIMAL HEALTH AND WELL-BEING. THE FOUR OBJECTIVES ARE:(1) TO IDENTIFY AND PRIORITIZE HEALTH NEEDS IN THE COUNTY AS A WHOLE AND IN THE DIVERSE COMMUNITIES WITHIN THE COUNTY; (2) TO ESTABLISH A COMPREHENSIVE SET OF INDICATORS RELATED TO HEALTH PROCESSES, HEALTH OUTCOMES AND SOCIAL DETERMINANTS OF HEALTH IN MONTGOMERY COUNTY THAT INCORPORATE A WIDE VARIETY OF COUNTY AND SUB-COUNTYINFORMATION RESOURCES AND UTILIZE METHODS APPROPRIATE TO THEIR COLLECTION, ANALYSIS AND APPLICATION; 3) TO FOSTER PROJECTS TO ACHIEVE HEALTH EQUITY BY ADDRESSING HEALTH AND WELLBEING NEEDS, IMPROVING HEALTH OUTCOMES AND REDUCING DEMOGRAPHIC, GEOGRAPHIC, AND SOCIOECONOMIC DISPARITIES IN HEALTH AND WELL-BEING; AND (4) TO COORDINATE AND LEVERAGE RESOURCES TO SUPPORT THE HEALTHY MONTGOMERY INFRASTRUCTURE AND IMPROVEMENT PROJECTS.THE MONTGOMERY COUNTY COMMUNITY HEALTH IMPROVEMENT PROCESS LAUNCHED IN JUNE 2009 WITH A COMPREHENSIVE SCAN OF ALL EXISTING AND PAST PLANNING PROCESSES. PAST ASSESSMENT, PLANNING, AND EVALUATION PROCESSES WERE COMPILED THAT RELATED TO HEALTH AND WELL-BEING AND SOCIAL DETERMINANTS OF HEALTH ACROSS A MULTITUDE OF SECTORS, POPULATIONS, AND COMMUNITIES WITHIN MONTGOMERY COUNTY. THE GROUP ALSO DEVELOPED THE HEALTHY MONTGOMERY WEBSITE: HTTP://WWW.HEALTHYMONTGOMERY.ORG. THIS WEBSITE IS A ONE-STOPSOURCE OF POPULATION-BASED DATA AND INFORMATION ABOUT COMMUNITY HEALTH AND OUTLINES THIRTY-THREE COMMUNITY INDICATORS. THE PURPOSE OF THE MONTGOMERY COUNTY HEALTHY 25 MONTGOMERY COMMUNITY HEALTH IMPROVEMENT PROCESS IS TO ADDRESS THE NEED OF ORGANIZATIONS TO HAVE VALID, RELIABLE, AND USER-FRIENDLY DATA RELATED TO HEALTH AND THESOCIAL DETERMINANTS OF HEALTH, AND TO COORDINATE EFFORTS OF PUBLIC AND PRIVATE ORGANIZATIONS TO IDENTIFY AND ADDRESS HEALTH ISSUES IN MONTGOMERY COUNTY.DURING ITS PRIORITY-SETTING PROCESS IN OCTOBER 2011, THE STEERING COMMITTEE IDENTIFIED SIX PRIORITY AREAS: BEHAVIORAL HEALTH, CANCERS, CARDIOVASCULAR HEALTH, DIABETES, MATERNAL AND INFANT HEALTH, AND OBESITYIN ADDITION TO SELECTING THESE SIX BROAD PRIORITIES FOR ACTION, THE HMSC SELECTED THREE OVERARCHING THEMES (LENSES) THAT HEALTHY MONTGOMERY SHOULD ADDRESS IN THE HEALTH AND WELL-BEING ACTION PLANS FOR EACH OF THE SIX PRIORITY AREAS. THE THEMES ARE: LACK OF ACCESS, HEALTH INEQUITIES, AND UNHEALTHY BEHAVIORSTHE HOSPITAL ALSO UTILIZES CUSTOMER SATISFACTION SURVEY RESULTS TO HELP UNDERSTAND AND MEET THE NEEDS OF INDIVIDUALS UTILIZING THE SERVICES OF THE REHABILITATION HOSPITAL. THE RESULTS OF THESE SURVEYS PROVIDE INFORMATION OF GAPS IN SERVICES AND NEEDS IN THE COMMUNITY. PART VI, LINE 4: COMMUNITY INFORMATION - SERVED: ADVENTIST REHABILITATION HOSPITAL OF MARYLAND IS THE FIRST AND ONLY ACUTE REHABILITATION HOSPITAL IN MONTGOMERY COUNTY, MARYLAND THAT OFFERS COMPREHENSIVE REHABILITATION PROGRAMS FOR BRAIN INJURIES, SPINAL CORD INJURIES, STROKE, AMPUTATION, ORTHOPEDIC INJURIES AND SURGERIES, SPORTS-RELATED INJURIES, WORK-RELATED INJURIES, CARDIOPULMONARY CONDITIONS, AND NEUROLOGICAL DISORDERS. SPECIALIZED INPATIENT TREATMENT PROGRAMS ARE AVAILABLE FOR PERSONS WITH FUNCTIONAL LIMITATIONS WHO ARE 18 YEARS OF AGE OR OLDER, AND UNDER SPECIAL CIRCUMSTANCES, EMANCIPATED MINORS.ADVENTIST REHABILITATION HOSPITAL OF MARYLAND PRIMARILY SERVES RESIDENTS OF MONTGOMERY COUNTY (77.6 PERCENT OF DISCHARGES), FOLLOWED BY PRINCE GEORGES COUNTY (18.3 PERCENT), FREDERICK COUNTY (3.1 PERCENT) AND OTHER AREAS (1 PERCENT).OUR COMMUNITY BENEFIT SERVICE AREA (CBSA), ENCOMPASSING 80 PERCENT OF ALL DISCHARGES, INCLUDES 1,700,889 PEOPLE FROM THE RACIAL/ETHNIC CATEGORIES BELOW, OF WHICH APPROXIMATELY 57 PERCENT ARE RACIAL AND ETHNIC MINORITIES. POPULATION ESTIMATES BY RACE/ETHNICITY FOR ADVENTIST REHABILITATION HOSPITAL OF MARYLANDS CBSA (80 PERCENT OF DISCHARGES, IN 2011) ARE AS FOLLOWS: WHITE 43 PERCENT; AFRICAN AMERICAN/BLACK 32 PERCENT; HISPANIC/LATINO 15.5 PERCENT; ASIAN 9.1 PERCENT; NATIVE AMERICAN 0.3 PERCENT; NATIVE HAWAIIAN/PACIFIC ISLANDER 0.1 PERCENT.POPULATION DEMOGRAPHICS ARE RAPIDLY CHANGING IN THE STATE OF MARYLAND, PARTICULARLY AMONG RESIDENTS LIVING IN MONTGOMERY COUNTY. WE SERVE ONE OF THE MOST DIVERSE COMMUNITIES IN THE UNITED STATES, CONSTANTLY UNDERGOING THE ECONOMIC, SOCIAL AND DEMOGRAPHIC SHIFTS THAT RESULT FROM AN EVER-CHANGING AND GROWING POPULATION. OVER THE PAST DECADE, MONTGOMERY COUNTY HAS BECOME THE MOST POPULOUS JURISDICTION IN MARYLAND, THE SECOND LARGEST JURISDICTION IN THE WASHINGTON, D.C. METROPOLITAN AREA, AND THE FORTY-SECOND MOST POPULOUS COUNTY IN THE NATION, WITH A POPULATION OF NEARLY ONE MILLION (U.S. CENSUS BUREAU, 2011). RACIAL AND ETHNIC DIVERSITY HAS INCREASED CONCURRENTLY WITH THE EXPANDING POPULATION. NON-HISPANIC WHITES NOW COMPRISE ONLY 49 PERCENT OF THE MONTGOMERY COUNTY POPULATION, A DECREASE OF MORE THAN 20 PERCENT OVER THE LAST TWO DECADES. FOR THE FIRST TIME, MINORITIES ACCOUNT FOR MORE THAN HALF OF MONTGOMERY COUNTYS POPULATION WITH THE HISPANIC OR LATINO POPULATIONS OUTNUMBERING ALL OTHER MINORITY POPULATIONS (U.S. CENSUS BUREAU, 2011). THE PERCENTAGE OF HISPANICS OR LATINOS IN MONTGOMERY COUNTY, CURRENTLY AT 17 PERCENT, IS ALSO MORE THAN DOUBLE THE TOTAL PERCENTAGE OF HISPANICS OR LATINOS IN THE STATE OF MARYLAND. ACCORDING TO THE U.S. CENSUS BUREAU, MARYLAND IS ONE OF THE TOP TEN DESTINATIONS FOR FOREIGN-BORN INDIVIDUALS, WITH 41 PERCENT OF THE FOREIGN-BORN IN MARYLAND RESIDING IN MONTGOMERY COUNTY. THE COUNTYS FOREIGN-BORN POPULATION HAS GONE FROM 12 PERCENT IN 1980 TO GREATER THAN 30 PERCENT TODAY. IMMIGRANTS CONTRIBUTE GREATLY TO OUR COMMUNITY, AND OUR HOSPITAL PROVIDERS ARE COMMITTED TO UNDERSTANDING THEIR NEEDS AND WORKING TO TREAT THEM IN A CULTURALLY COMPETENT MANNER.1 LITERACY, ESL AND ADULT EDUCATION. LITERACY COUNCIL OF MONTGOMERY COUNTY. HTTP://WWW.LITERACYCOUNCILMCMD.ORG/LITADULTEDU.HTML FOREIGN-BORN POPULATION OF MONTGOMERY COUNTY REGION, 1950-2000-CENSUS YEARS. MONTGOMERY PLANNING. 2000. HTTP://WWW.MONTGOMERYPLANNING.ORG/RESEARCH/DATA_LIBRARY/POPULATION/PO34.SHTM PART VI, LINE 5: PROMOTION OF COMMUNITY HEALTH.ADVENTIST REHABILITATION HOSPITAL PARTNERS WITH COMMUNITY ORGANIZATIONS AND AGENCIES TO PROVIDE EDUCATION ON PREVENTION AND REHABILITATION FOR MANY HEALTH AND DISEASE-RELATED ISSUES FOR VALUABLE INPUT ON THE HEALTH NEEDS OF COMMUNITY MEMBERS. THIS INCLUDES SENIOR CENTERS, CHURCHES, SCHOOLS, SUPPORT GROUPS AND PROFESSIONAL ORGANIZATIONS. THE ADVENTIST REHAB-ROCKVILLE SITE IS ALSO THE HOST FACILITY FOR A VARIETY OF SUPPORT GROUPS AND SPECIALTY THERAPEUTIC GROUPS FOR PATIENTS PAST AND PRESENT ALONG WITH THEIR FAMILIES AND CAREGIVER NETWORKS. WE PARTNER WITH CLINICS THAT SERVE THE LOW-INCOME RESIDENTS OF MONTGOMERY COUNTY, MANY OF WHOMARE LIMITED ENGLISH PROFICIENT AND/OR RACIAL AND ETHNIC MINORITIES. ONE OF ADVENTIST REHABS SAFETY NET CLINIC PARTNERS IS MERCY HEALTH CLINIC, WHICH PROVIDES PRIMARY CARE TO UNINSURED, LOW-INCOME ADULT RESIDENTS OF MONTGOMERY COUNTY. WE ALSO PARTNER WITH MERCY HEALTH CLINIC BY PROVIDING FREE DIAGNOSTIC SERVICES/LAB WORK TO THEIR UNINSURED PATIENTS. ANOTHER KEY PARTNER IS MOBILE MEDICAL CARE (MOBILE MED), WHICH OPERATES THREE MOBILE HEALTHCARE VEHICLES AND PROVIDES PRIMARY AND PREVENTATIVE HEALTHCARE TO THE UNINSURED, LOW INCOME, WORKING POOR, AND HOMELESS IN MONTGOMERY COUNTY. WE ALSO PARTNER WITH MOBILE MED BY PROVIDING FREE DIAGNOSTIC SERVICES/LAB WORK TO THEIR UNINSURED PATIENTS. IN FISCAL YEAR 2012, THESE CLINICS WERE SUPPORTED WITH CASH DONATIONS FROM ADVENTIST HEALTHCARE FOR GENERAL OPERATING COSTS, TOTALING $1,665,166.AS PART OF A PARTNERSHIP WITH THE MONTGOMERY CARES/PRIMARY CARE COALITION INITIATIVE, ADVENTIST REHAB PROVIDES 500 PHYSICAL THERAPY VISITS ANNUALLY FOR UNINSURED, LOW-INCOME MONTGOMERY COUNTY RESIDENTS. IN ADDITION TO THE FORMAL ADVISORY BOARD THAT HELPS ADDRESS COMMUNITY NEEDS, THE STAFF OF ADVENTIST HEALTHCARE AND ADVENTIST REHABILITATION HOSPITAL OF MARYLAND PARTICIPATES IN VARIOUS WAYS IN THE COMMUNITY. WE ACTIVELY PARTICIPATE IN NUMEROUS COMMITTEES, COALITIONS, AND PARTNERSHIPS THAT PROVIDE INFORMATION ON THE HEALTH NEEDS IN THE COMMUNITY. THE HEALTH PROFESSIONALS THAT PROVIDE PROGRAMS IN THE COMMUNITY ALSO PROVIDE VALUABLE INFORMATION AND KNOWLEDGE OF COMMUNITY NEEDS. X X X X 0 1 0 0 0 0 0 0 0 TERRY FORDE 0 475406 0 50286 0 119492 0 5000 0 22990 0 673174 0 0 JAMES G LEE 0 471913 0 78047 0 140336 0 12500 0 19092 0 721888 0 0 JAMES LITSINGER 0 184732 0 30000 0 52440 0 9020 0 21778 0 297970 0 0 WILLIAM G ROBERTSON 0 822694 0 157055 0 217725 0 12500 0 37002 0 1246976 0 0 VAL DANIELS 140447 0 11676 0 8275 0 2919 0 14195 0 177512 0 0 0 BRENT REITZ 0 186672 0 10000 0 117680 0 0 0 16573 0 330925 0 0 PARVEEN PETER 130492 0 0 0 9356 0 4320 0 13107 0 157275 0 0 0 BETH DAUGHERTY 126677 0 18777 0 10165 0 2540 0 2234 0 160393 0 0 0 PART I, LINE 3 INDEPENDENT GUIDELINES: WHEN SETTING COMPENSATION FOR THE OFFICERS, DIRECTORS, TRUSTEES, KEY EMPLOYEES, AND THE HIGHEST COMPENSATED EMPLOYEES, ADVENTIST HEALTHCARE FULLY COMPLIES WITH THE PROCEDURAL SAFE GUARDS 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 HEALTHCARES 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. PAY PHILOSOPHY FOR ALL ADVENTIST HEALTHCARE EMPLOYEES INCLUDING THOSE LISTED ON SCHEDULE J, THE GOAL OF ADVENTIST HEALTHCARE IS TO OFFER COMPETITIVE SALARIES IN ORDER TO ATTRACT, HIRE AND RETAIN QUALIFIED AND TALENTED INDIVIDUALS. MAINTAINING A QUALITY, STABLE WORKFORCE HAS A POSITIVE IMPACT ON THE WORKPLACE AND ON THE CARE PROVIDED TO OUR PATIENTS/RESIDENTS AND THEIR FAMILIES. IN GENERAL, NON-EXECUTIVE EMPLOYEES ARE COMPENSATED UTILIZING THE FULL WAGE SCALE FOR THEIR RESPECTIVE POSITIONS, COMPARED TO THE MARKET. HOWEVER, EXECUTIVES ARE GENERALLY LIMITED TO THE MEDIAN OF THE MARKET FOR THEIR RESPECTIVE POSITIONS. PART I, LINE 4B CUMULATIVE LUMP-SUM TAXABLE PAYMENTS MADE AS A RESULT OF TAX LAW CHANGES THAT AFFECTED THE ADMINISTRATION OF THE ADVENTIST HEALTHCARES CAPITAL ACCUMULATION ACCOUNT (CAA) PLAN ESTABLISHED PURSUANT TO SECTION 457(F) OF THE INTERNAL REVENUE CODE WERE AS FOLLOWS: WILLIAM G. ROBERTSON: $210,451 JAMES G. LEE: $108,501 TERRY FORDE: $108,953 BRENT REITZ: $42,520 JAMES LITSINGER: S27,220 SUPPLEMENTAL INFORMATION PART III COMPENSATION DEFINED THE COMPENSATION REPORTED FOR THE EMPLOYEES SET FORTH ON SCHEDULE J IS COMPRISED OF THE FOLLOWING: BASE COMPENSATION INCLUDES NONDISCRETIONARY PAYMENTS, AGREED UPON IN ADVANCE, CONTINGENT ONLY UPON THE PAYEES PERFORMANCE OF AGREED UPON SERVICES (SUCH AS SALARY OR FEES). INCENTIVE COMPENSATION INCLUDES PAYMENTS BASED ON SATISFACTION OF PRE-DETERMINED PERFORMANCE TARGETS SUCH AS QUALITY/PATIENT SAFETY GOALS, EMPLOYEE AND CUSTOMER ENGAGEMENT GOALS, ORGANIZATIONAL GROWTH, AND FINANCIAL PERFORMANCE, AMONG OTHER THINGS. OTHER REPORTABLE COMPENSATION INCLUDES CERTAIN CUMULATIVE LUMP-SUM TAXABLE PAYMENTS MADE AS A RESULT OF TAX LAW CHANGES THAT AFFECTED THE ADMINISTRATION OF ADVENTIST HEALTHCARES CAPITAL ACCUMULATION ACCOUNT (CAA) PLAN ESTABLISHED PURSUANT TO SECTION 457(F) OF THE INTERNAL REVENUE CODE. IN ADDITION, OTHER REPORTABLE COMPENSATION INCLUDES LONG-TERM DISABILITY COVERAGE, CELL PHONE ALLOWANCES, CASH-OUT OF UNUSED PAID TIME OFF (PTO) HOURS, IMPUTED VALUE OF LIFE INSURANCE BENEFITS, OUT-OF-STATE COMMUTE, AND SEVERANCE, AS APPLICABLE. NON-TAXABLE BENEFITS INCLUDES PRE-TAX PAYROLL DEDUCTIONS (SUCH AS FLEXIBLE MEDICAL SPENDING, DEPENDENT CARE, AND EMPLOYEE HEALTH BENEFIT PREMIUM), AND THE EMPLOYER PORTION OF CERTAIN EMPLOYEE BENEFITS SUCH AS HEALTH INSURANCE, DENTAL INSURANCE, VISION INSURANCE, LIFE INSURANCE, BASE CONTRIBUTIONS TO RETIREMENT PLANS, MATCHING OF EMPLOYEES RETIREMENT CONTRIBUTIONS, ETC. PAY PRACTICE ADVENTIST HEALTHCARE UTILIZES A SINGLE EMPLOYER ID FOR ALL OF 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 AFFILIATES 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.S RELATED ENTITIES RETURNS. FORM 990, PART VI, SECTION A, LINE 6 ADVENTIST HEALTHCARE, INC. IS THE SOLE CORPORATE MEMBER OF ADVENTIST REHABILITATION HOSPITAL OF MARYLAND, INC. WITH THE AUTHORITY TO APPROVE ITS BOARD MEMBERSHIP. FORM 990, PART VI, SECTION A, LINE 7A THE BOARD OF TRUSTEES OF ADVENTIST HEALTHCARE, INC. APPOINTS THE MEMBERS OF ADVENTIST REHABILITATION HOSPITAL OF MARYLAND GOVERNING BODY. FORM 990, PART VI, SECTION A, LINE 7B THE BOARD OF TRUSTEES APPROVES ALL ACTIONS OF MANAGEMENT. FORM 990, PART VI, SECTION B, LINE 11 DURING THE PREPARATION PROCESS, EXECUTIVE MANAGEMENT TEAM REVIEWED VARIOUS SECTIONS OF THE DRAFT FORM 990 BASED ON A PLANNED COMPLETION TIME TABLE. IN ADDITION, THE EXECUTIVE COMMITTEE OF THE BOARD REVIEWED CERTAIN KEY SECTIONS OF THE FORM. PRIOR TO FILING, ALL MEMBERS OF THE BOARD ARE PROVIDED A COPY OF THIS FORM 990 THROUGH EMAIL, WHICH IS LINKED TO THE COMPANY'S INTRANET WEBSITE. FORM 990, PART VI, SECTION B, LINE 12C PURSUANT TO THE ORGANIZATIONS 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. COMPLIANCE WITH POLICY IS MONITORED AND ENFORCED BY THE HUMAN RESOURCES DEPARTMENT, CORPORATE INTEGRITY DEPARTMENT AND THE LEGAL DEPARTMENT. FORM 990, PART VI, SECTION B, LINE 15 WHEN SETTING EXECUTIVE COMPENSATION, OFFICERS OR KEY EMPLOYEES, THE ORGANIZATION FULLY COMPLIES WITH THE PROCEDURAL SAFEGUARDS EMBEDDED IN THE IRS REGULATIONS. EXECUTIVE 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 INDEPENDED OUTSIDE COMPENSATION CONSULTANT. TO ENSURE REASONABLENESS, COMPENSATION IS SET AT THE 50TH PERCENTILE OF THE NATURAL MARKET. 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. GENERAL EXPLANATION EMPLOYEES OF ANY OF THE ADVENTIST HEALTHCARE INC. AND AFFILIATED TAX EXEMPT ENTITIES IN THE STATE OF MARYLAND 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, 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 CONTRIBUTIOON AMOUNTS WERE ALSO DISCLOSED IN THE ADVENTIST HEALTHCARE INC.'S RELATED ENTITIES RETURNS. VENDORS PAYMENT FOR ANY OF THE ADVENTIST HEALTHCARE, INC. AND RELATED ENTITIES IN THE STATE OF MARYLAND ARE MADE THROUGH A COMMON PAYMASTER, ADVENTIST HEALTHCARE, INC. ADVENTIST HEALTHCARE INC 820 W DIAMOND AVE SUITE 600 GAITHERSBURG MD 208781419 521532556 HEALTHCARE SERVICES MD 501(C)(3) LINE 3 N/A 1 ADVENTIST HOME HEALTH SERVICES INC 820 W DIAMOND AVE SUITE 600 GAITHERSBURG MD 208781419 520986808 HOME CARE SERVICES MD 501(C)(3) LINE 9 N/A 1 ADVENTIST PHYSICIAN SERVICES INC 820 W DIAMOND AVE SUITE 600 GAITHERSBURG MD 208781419 204600646 PHYSICIAN SERVICES MD 501(C)(3) LINE 9 N/A 1 ADVENTIST SENIOR LIVING SERVICES 820 W DIAMOND AVE SUITE 600 GAITHERSBURG MD 208781419 521739959 MANAGEMENT SERVICES MD 501(C)(3) LINE 9 N/A 1 GLADE VALLEY NURSING AND REHABILITATION CENTER 820 W DIAMOND AVE SUITE 600 GAITHERSBURG MD 208781419 521924309 NURSING HOME MD 501(C)(3) LINE 9 N/A 0 HACKETTSTOWN COMMUNITY HOSPITAL 651 WILLOW GROVE STREET HACKETTSTOWN NJ 07840 226106281 HOSPITAL NJ 501(C)(3) LINE 3 N/A 1 HACKETTSTOWN REGIONAL MEDICAL CENTER - EMS 651 WILLOW GROVE STREET HACKETTSTOWN NJ 07840 270820164 AMBULANCE SERVICE NJ 501(C)(3) LINE 3 N/A 0 HACKETTSTOWN COMMUNITY HOSPITAL FOUNDATION 651 WILLOW GROVE STREET HACKETTSTOWN NJ 07840 222333410 FUNDRAISING NJ 501(C)(3) LINE 11A, I N/A 0 MEDICAL CENTER PARTNERS INC 651 WILLOW GROVE STREET HACKETTSTOWN NJ 07840 454789273 PHYSICIAN SERVICES NJ 501(C)(3) LINE 9 N/A 1 MID-ATLANTIC ADVENTIST HEALTHCARE CORPORATION 820 W DIAMOND AVE SUITE 600 GAITHERSBURG MD 208781419 511884153 HOLDING COMPANY MD 501(C)(3) LINE 9 N/A 0 ADVENTIST BEHAVIORAL HEALTH FOUNDATION 820 W DIAMOND AVE SUITE 600 GAITHERSBURG MD 208781419 205479860 FUNDRAISING MD 501(C)(3) LINE 11A, I N/A 1 REGINALD S LOURIE CENTER FOR INFANTS AND YOUNG CHILDREN 820 W DIAMOND AVE SUITE 600 GAITHERSBURG MD 208781419 521255870 BEHAVIORAL CARE MD 501(C)(3) LINE 9 N/A 1 SHADY GROVE ADVENTIST HOSPITAL FOUNDATION 820 W DIAMOND AVE SUITE 600 GAITHERSBURG MD 208781419 521216429 FUNDRAISING MD 501(C)(3) LINE 11A, I N/A 0 WASHINGTON ADVENTIST HOSPITAL FOUNDATION 820 W DIAMOND AVE SUITE 600 GAITHERSBURG MD 208781419 521692158 FUNDRAISING MD 501(C)(3) LINE 11A, I N/A 1 GERMANTOWN OUTPATIENT IMAGING 820 WEST DIAMOND AVE SUITE 600 GAITHERSBURG MD 208781419 204395818 OUTPATIENT IMAGING MD SHADY GROVE RADIOLOGY CONSULTANTS PC 0 0 ADVENTIST MANAGEMENT SERVICES INC 820 WEST DIAMOND AVE SUITE 600 GAITHERSSBURG MD 208781419 521575694 MANAGEMENT SERVICES MD N/A C 0 LIFEWORK STRATEGIES INC 820 WEST DIAMOND AVE SUITE 600 GAITHERSSBURG MD 208781419 521704500 EMPLOYER ASSISTANCE MD N/A C 0 PREMIER MEDICAL NETWORK INC 820 WEST DIAMOND AVE SUITE 600 GAITHERSSBURG MD 208781419 521952469 JOINT PHYSICIAN CONT. MD N/A C 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0