TIDALHEALTH ATLANTIC INC: Form 990, tax year 2011
View the entire original 990 at ProPublica ↗
- Organization
- TIDALHEALTH ATLANTIC INC (EIN 52-1656507)
- Tax period
- 2011-07-01 to 2012-06-30
- Filed
- 2013-05-14
- IRS object ID
- 201331349349302853
- Schema version
- 2011v1.5
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule D
- Schedule G
- Schedule H
- Schedule J
- Schedule K
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2013-05-14T11:20:03-05:00 | Timestamp |
| Tax Period End Date | 2012-06-30 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | COHEN RUTHERFORD KNIGHT PC | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 6903 ROCKLEDGE DRIVE SUITE 500 | AddressLine1 |
| City | BETHESDA | City |
| State | MD | State |
| ZIP Code | 208171800 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2011-07-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 521656507 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ATLANTIC GENERAL HOSPITAL | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| In Care Of Name | % CHERYL NOTTINGHAM | InCareOfName |
| Name Control | ATLA | NameControl |
| Phone | 4106411100 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 9733 HEALTHWAY DRIVE | AddressLine1 |
| City | BERLIN | City |
| State | MD | State |
| ZIP Code | 21811 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | CHERYL NOTTINGHAM | Name |
| Title | VP FINANCE | Title |
| Date Signed | 2013-05-13 | DateSigned |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | TINA C ECKLOFF | Name |
| Phone | 3018281008 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2011 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | MICHAEL FRANKLIN | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 9733 HEALTHWAY DR | AddressLine1 |
| City | BERLIN | City |
| State | MD | State |
| ZIP Code | 21811 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 89163932 | GrossReceipts |
| Group Return For Affiliates | false | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | www.atlanticgeneral.org | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1989 | YearFormation |
| State Legal Domicile | MD | StateLegalDomicile |
| Activity Or Mission Description | TO PROVIDE QUALITY CARE, PERSONALIZED SERVICE AND EDUCATION TO IMPROVE INDIVIDUAL AND COMMUNITY HEALTH. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 20 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 19 | NbrIndependentVotingMembers |
| Total Nbr Employees | 883 | TotalNbrEmployees |
| Total Nbr Volunteers | 300 | TotalNbrVolunteers |
| Total Gross UBI | 191572 | TotalGrossUBI |
| Contributions Grants Prior Year | 969058 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 826119 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 87840221 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 87199389 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 468442 | InvestmentIncomePriorYear |
| Investment Income Current Year | 456832 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 574354 | OtherRevenuePriorYear |
| Other Revenue Current Year | 540145 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 89852075 | TotalRevenuePriorYear |
| Total Revenue Current Year | 89022485 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 0 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 0 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 45127446 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 47328084 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 191856 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 43028718 | OtherExpensePriorYear |
| Other Expenses Current Year | 39755820 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 88156164 | TotalExpensesPriorYear |
| Total Expenses Current Year | 87083904 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 1695911 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 1938581 | RevenuesLessExpensesCY |
| Total Assets BOY | 77078385 | TotalAssetsBOY |
| Total Assets EOY | 85601952 | TotalAssetsEOY |
| Total Liabilities BOY | 40063835 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 46739002 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 37014550 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 38862950 | NetAssetsOrFundBalancesEOY |
| Mission Description | TO PROVIDE QUALITY CARE, PERSONALIZED SERVICE AND EDUCATION TO IMPROVE INDIVIDUAL AND COMMUNITY HEALTH. | MissionDescription |
| Significant New Program Services | false | SignificantNewProgramServices |
| Significant Change | false | SignificantChange |
| Expense | 69978941 | Expense |
| Revenue | 87278064 | Revenue |
| Description | 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 2011 tax year: ADMISSIONS: 3,054, PATIENT DAYS: 12,267, ED VISITS: 37,200, SURGERIES: 7,515, OTHER OUTPATIENT VISITS: 72,312, TOTAL VISITS TO OUR PHYSICIAN PRACITICES WERE 62,915. | Description |
| Total Program Service Expense | 69978941 | TotalProgramServiceExpense |
| Described In501 C3 | true | DescribedIn501C3 |
| Schedule B Required | true | ScheduleBRequired |
| Political Activities | false | PoliticalActivities |
| Lobbying Activities | false | LobbyingActivities |
| Donor Advised Funds | false | DonorAdvisedFunds |
| Conservation Easements | false | ConservationEasements |
| Collections Of Art | false | CollectionsOfArt |
| Credit Counseling | false | CreditCounseling |
| Term Or Permanent Endowments | true | TermOrPermanentEndowments |
| Report Land Bldg Equip | true | ReportLandBldgEquip |
| Report Invest Oth Securities | false | ReportInvestOthSecurities |
| Report Prog Rel Invest | false | ReportProgRelInvest |
| Report Other Assets | false | ReportOtherAssets |
| Report Other Liabilities | true | ReportOtherLiabilities |
| Report Fin48 Footnote | false | ReportFin48Footnote |
| Independent Audit Financial Stmt | false | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | true | ConsolidatedAuditFinancialStmt |
| School | false | School |
| Foreign Office | false | ForeignOffice |
| Foreign Activities | false | ForeignActivities |
| More Than5000 K To Organizations | false | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividuals |
| Professional Fundraising | false | ProfessionalFundraising |
| Fundraising Activities | true | FundraisingActivities |
| Gaming | false | Gaming |
| Hospital | true | Hospital |
| Financial Stmt Attached | true | FinancialStmtAttached |
| Grants To Organizations | false | GrantsToOrganizations |
| Grants To Individuals | false | GrantsToIndividuals |
| Schedule J Required | true | ScheduleJRequired |
| Tax Exempt Bonds | true | TaxExemptBonds |
| Invest Tax Exempt Bonds | false | InvestTaxExemptBonds |
| Escrow Account | false | EscrowAccount |
| On Behalf Of Issuer | false | OnBehalfOfIssuer |
| Excess Benefit Transaction | false | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | false | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | false | LoanToOfficerOrDQP |
| Grant To Related Person | false | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | false | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | false | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | false | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | false | DeductibleNonCashContributions |
| Deductible Contributions Of Art | false | DeductibleContributionsOfArt |
| Terminated | false | Terminated |
| Partial Liquidation | false | PartialLiquidation |
| Disregarded Entity | true | DisregardedEntity |
| Related Entity | false | RelatedEntity |
| Related Org Controlled Entity | false | RelatedOrgControlledEntity |
| Transaction Related Entity | false | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | false | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | false | ActivitiesConductedPartnership |
| Schedule O Required | true | ScheduleORequired |
| Number Forms Transmitted With1096 | 38 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | true | ComplianceWithBackupWitholding |
| Number Of Employees | 883 | NumberOfEmployees |
| Employment Tax Returns Filed | true | EmploymentTaxReturnsFiled |
| Unrelated Business Income | true | UnrelatedBusinessIncome |
| Form990-T Filed | true | Form990-TFiled |
| Foreign Financial Account | false | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTrans |
| Taxable Party Notification | false | TaxablePartyNotification |
| Non Deductible Contributions | false | NonDeductibleContributions |
| Quid Pro Quo Contributions | true | QuidProQuoContributions |
| Quid Pro Quo Disclosure | true | QuidProQuoDisclosure |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | false | FundsToPayPremiums |
| Premiums Paid | false | PremiumsPaid |
| Indoor Tanning Services | false | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 20 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 19 | NumberIndependentVotingMembers |
| Family Or Business Relationship | false | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | false | DelegationOfManagementDuties |
| Changes To Organizing Docs | false | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuse |
| Members Or Stockholders | false | MembersOrStockholders |
| Election Of Board Members | false | ElectionOfBoardMembers |
| Decisions Subject To Approval | false | DecisionsSubjectToApproval |
| Minutes Of Governing Body | true | MinutesOfGoverningBody |
| Minutes Of Committees | true | MinutesOfCommittees |
| Officer Mailing Address | false | OfficerMailingAddress |
| Local Chapters | false | LocalChapters |
| Form990 Provided To Governing Body | true | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | true | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | true | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | true | RegularMonitoringEnforcement |
| Whistleblower Policy | true | WhistleblowerPolicy |
| Document Retention Policy | true | DocumentRetentionPolicy |
| Compensation Process CEO | true | CompensationProcessCEO |
| Compensation Process Other | true | CompensationProcessOther |
| Investment In Joint Venture | false | InvestmentInJointVenture |
| States Where Copy Of Return Is Filed | MD | StatesWhereCopyOfReturnIsFiled |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | CHERYL NOTTINGHAM | NamePerson |
| Telephone Number | 4106419095 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 9733 HEALTHWAY DRIVE | AddressLine1 |
| City | Berlin | City |
| State | MD | State |
| ZIP Code | 21811 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (31 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | Key EmployeeKeyEmployee | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|---|
| MICHAEL FRANKLIN | ||||||||
| PRESIDENT & CEO | 40.0 | X | X | 362974 | 0 | 16500 | ||
| J RUSSELL BARRETT | ||||||||
| DIRECTOR | 2.0 | X | 0 | 0 | 0 | |||
| ROBERT DAVIS | ||||||||
| DIRECTOR | 2.0 | X | 0 | 0 | 0 | |||
| JEFFREY GREENWOOD | ||||||||
| EX OFFICIO | 2.0 | X | 0 | 0 | 0 | |||
| DEBBIE GOELLER | ||||||||
| EX OFFICIO | 2.0 | X | 0 | 0 | 0 | |||
| ROBERT DURKIN | ||||||||
| DIRECTOR | 2.0 | X | 0 | 0 | 0 | |||
| MICHAEL JAMES | ||||||||
| DIRECTOR | 2.0 | X | 0 | 0 | 0 | |||
| WILLIAM HUDSON | ||||||||
| SECRETARY | 2.0 | X | X | 0 | 0 | 0 | ||
| W TODD HERSHEY | ||||||||
| EX OFFICIO | 2.0 | X | 0 | 0 | 0 | |||
| IRA SHOCKLEY | ||||||||
| DIRECTOR | 2.0 | X | 0 | 0 | 0 | |||
| JOHN TOWNSEND | ||||||||
| VICE CHAIR | 2.0 | X | X | 0 | 0 | 0 | ||
| MICHAEL GUERRIERI | ||||||||
| DIRECTOR | 2.0 | X | 0 | 0 | 0 | |||
| WINN BOOTH | ||||||||
| CHAIR | 3.0 | X | X | 0 | 0 | 0 | ||
| KATHLEEN CLARK | ||||||||
| DIRECTOR | 2.0 | X | 0 | 0 | 0 | |||
| JAMES BERGEY JR | ||||||||
| TREASURER | 2.0 | X | X | 0 | 0 | 0 | ||
| ERIC BONTEMPO | ||||||||
| EX OFFICIO | 2.0 | X | 0 | 0 | 0 | |||
| LOUIS TAYLOR | ||||||||
| VICE CHAIR | 3.0 | X | X | 0 | 0 | 0 | ||
| JOHN BURBAGE JR | ||||||||
| SECRETARY | 3.0 | X | X | 0 | 0 | 0 | ||
| HUGH CROPPER | ||||||||
| DIRECTOR | 2.0 | X | 0 | 0 | 0 | |||
| ELIZABETH GREGORY | ||||||||
| DIRECTOR | 2.0 | X | 0 | 0 | 0 | |||
| GARRY MUMFORD | ||||||||
| DIRECTOR | 2.0 | X | 0 | 0 | 0 | |||
| GREGORY SHOCKLEY | ||||||||
| DIRECTOR | 2.0 | X | 0 | 0 | 0 | |||
| Thomas D Beck | ||||||||
| EX OFFICIO | 2.0 | X | 0 | 0 | 0 | |||
| CHERYL NOTTINGHAM | ||||||||
| CFO | 40.0 | X | 181231 | 0 | 16500 | |||
| COLLEEN WAREING | ||||||||
| VP PATIENT CARE | 40.0 | 140841 | 0 | 6998 | X | |||
| JAMES BRANNON | ||||||||
| VP PROFESSIONAL SERVICES | 40.0 | 147026 | 0 | 7025 | X | |||
| CHARLES KIM | ||||||||
| PHYSICIAN | 40.0 | 392546 | 0 | 16500 | X | |||
| JEFFREY FERNLEY | ||||||||
| PHYSICIAN | 40.0 | 364157 | 0 | 16500 | X | |||
| JAMES SKOLKA | ||||||||
| PHYSICIAN | 40.0 | 385389 | 0 | 22000 | X | |||
| SCOTT KNOWLTON | ||||||||
| PHYSICIAN | 40.0 | 368570 | 0 | 16500 | X | |||
| Michael Stivelman | ||||||||
| PHYSICIAN | 40.0 | 362922 | 0 | 18000 | X | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 2705656 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 0 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 136523 | TotalOtherCompensation |
| Number Individuals GT100 K | 42 | NumberIndividualsGT100K |
| Formers Listed | false | FormersListed |
| Total Comp GT150 K | true | TotalCompGT150K |
| Compensation From Other Sources | false | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| Wavelength Information Systems | |||||
| PO Box 739 | BERLIN | MD | 21811 | IT Services | 1533230 |
| GENESIS ELDERCARE Rehabilitation Se | |||||
| PO Box 7247-6524 | PHILADELPHIA | PA | 131706524 | PT, OT & ST Services | 368627 |
| WOUND CARE CENTERS INC | |||||
| PO BOX 637114 | CINCINNATI | OH | 452637114 | Wound Care Svcs | 336286 |
| ATLANTIC ENDOSCOPY CENTER LLC | |||||
| PO BOX 242 | BERLIN | MD | 21811 | Management of Edno | 332637 |
| ATS INC | |||||
| 2040 SHIPLEY DRIVE | SALISBURY | MD | 21801 | IT and Communication | 259830 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 11 | NumberOfContractorsGT100K |
| Fundraising Events | 214960 | FundraisingEvents |
| All Other Contributions | 611159 | AllOtherContributions |
| Noncash Contributions | 10100 | NoncashContributions |
| Total Contributions | 826119 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (2 entries)
| DescriptionDescription | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome | Unrelated Business RevenueUnrelatedBusinessRevenue | ExclusionExclusionAmount | Business CodeBusinessCode |
|---|---|---|---|---|---|
| NET PATIENT REVENUE | 86680899 | 86680899 | 0 | $0 | |
| OTHER OPERATING | 518490 | 326918 | 191572 | $0 | 621110 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 87199389 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 257523 | TotalRevenueColumn |
| Related Or Exempt Function Income | 0 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $257,523 | ExclusionAmount |
Income From Invest Bond Proceeds IncomeFromInvestBondProceeds
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Royalties Revenue RoyaltiesRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Gross Rents GrossRents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 110125 | Real |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 110125 | Real |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 110125 | TotalRevenueColumn |
| Related Or Exempt Function Income | 0 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $110,125 | ExclusionAmount |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 152167 | Securities |
| Other | 47142 | Other |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 152167 | Securities |
| Other | 47142 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 199309 | TotalRevenueColumn |
| Related Or Exempt Function Income | 0 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $199,309 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Income Fundraising Events | 69395 | GrossIncomeFundraisingEvents |
| Cntrbtns Rprtd Fundraising Events | 214960 | CntrbtnsRprtdFundraisingEvents |
| Fundraising Direct Expenses | 56287 | FundraisingDirectExpenses |
Net Income From Fundraising Events NetIncomeFromFundraisingEvents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 13108 | TotalRevenueColumn |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $13,108 | ExclusionAmount |
Net Income From Gaming NetIncomeFromGaming
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Sales Of Inventory | 231825 | GrossSalesOfInventory |
| Cost Of Goods Sold | 85160 | CostOfGoodsSold |
Net Income Or Loss NetIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 146665 | TotalRevenueColumn |
| Related Or Exempt Function Income | 0 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $146,665 | ExclusionAmount |
Other Revenue Misc OtherRevenueMisc (2 entries)
| DescriptionDescription | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome | Unrelated Business RevenueUnrelatedBusinessRevenue | ExclusionExclusionAmount |
|---|---|---|---|---|
| CAFETERIA | 169151 | 169151 | 0 | $0 |
| MISCELLANEOUS | 101096 | 101096 | 0 | $0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 270247 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 89022485 | TotalRevenueColumn |
| Related Or Exempt Function Income | 87278064 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 191572 | UnrelatedBusinessRevenue |
| Exclusion | $726,730 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
| Program Services | 0 | ProgramServices |
Grants To Domestic Individuals GrantsToDomesticIndividuals
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
| Program Services | 0 | ProgramServices |
Foreign Grants ForeignGrants
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
| Program Services | 0 | ProgramServices |
Benefits To Members BenefitsToMembers
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
| Program Services | 0 | ProgramServices |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 592865 | Total |
| Program Services | 0 | ProgramServices |
| Management And General | 592865 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Comp Disqual Persons CompDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
| Program Services | 0 | ProgramServices |
| Management And General | 0 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 38223377 | Total |
| Program Services | 32662859 | ProgramServices |
| Management And General | 5415252 | ManagementAndGeneral |
| Fundraising | 145266 | Fundraising |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 534000 | Total |
| Program Services | 534000 | ProgramServices |
| Management And General | 0 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 5397480 | Total |
| Program Services | 5285845 | ProgramServices |
| Management And General | 111635 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2580362 | Total |
| Program Services | 2187348 | ProgramServices |
| Management And General | 382383 | ManagementAndGeneral |
| Fundraising | 10631 | Fundraising |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
| Program Services | 0 | ProgramServices |
| Management And General | 0 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 76333 | Total |
| Program Services | 9366 | ProgramServices |
| Management And General | 66967 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 171537 | Total |
| Program Services | 0 | ProgramServices |
| Management And General | 171537 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Fees For Services Lobbying FeesForServicesLobbying
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
| Fundraising | 0 | Fundraising |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
| Fundraising | 0 | Fundraising |
Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
| Program Services | 0 | ProgramServices |
| Management And General | 0 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2940231 | Total |
| Program Services | 2211892 | ProgramServices |
| Management And General | 728339 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 753667 | Total |
| Program Services | 125007 | ProgramServices |
| Management And General | 628021 | ManagementAndGeneral |
| Fundraising | 639 | Fundraising |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 17282953 | Total |
| Program Services | 15199878 | ProgramServices |
| Management And General | 2069996 | ManagementAndGeneral |
| Fundraising | 13079 | Fundraising |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1473449 | Total |
| Program Services | 0 | ProgramServices |
| Management And General | 1473449 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Royalties Royalties
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
| Program Services | 0 | ProgramServices |
| Management And General | 0 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1667868 | Total |
| Program Services | 1476730 | ProgramServices |
| Management And General | 191138 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 225543 | Total |
| Program Services | 130950 | ProgramServices |
| Management And General | 88117 | ManagementAndGeneral |
| Fundraising | 6476 | Fundraising |
Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
| Program Services | 0 | ProgramServices |
| Management And General | 0 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 62721 | Total |
| Program Services | 20766 | ProgramServices |
| Management And General | 41955 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
| Program Services | 0 | ProgramServices |
| Management And General | 0 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Payments To Affiliates PaymentsToAffiliates
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
| Program Services | 0 | ProgramServices |
| Management And General | 0 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4660298 | Total |
| Program Services | 3728238 | ProgramServices |
| Management And General | 932060 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2380864 | Total |
| Program Services | 454196 | ProgramServices |
| Management And General | 1926668 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral | FundraisingFundraising |
|---|---|---|---|---|
| OUTSIDE LAB SERVICES | 819960 | 819960 | 0 | 0 |
| REPAIRS & MAINTENANCE | 3183718 | 2922180 | 256445 | 5093 |
| LAUNDRY AND LINENS | 463120 | 463120 | 0 | 0 |
| DATA PROCESSING | 49108 | 49108 | 0 | 0 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3544450 | Total |
| Program Services | 1697498 | ProgramServices |
| Management And General | 1836280 | ManagementAndGeneral |
| Fundraising | 10672 | Fundraising |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 87083904 | Total |
| Program Services | 69978941 | ProgramServices |
| Management And General | 16913107 | ManagementAndGeneral |
| Fundraising | 191856 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 17698098 | BOY |
| EOY | 17259762 | EOY |
Pledges And Grants Receivable PledgesAndGrantsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 39517 | BOY |
| EOY | 11667 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 8214265 | BOY |
| EOY | 9207236 | EOY |
Receivables From Officers Etc ReceivablesFromOfficersEtc
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Receivables From Disqual Persons ReceivablesFromDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Other Notes Loans Receivable Net OtherNotesLoansReceivableNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1668379 | BOY |
| EOY | 1955288 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1679500 | BOY |
| EOY | 1609728 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 78518619 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 33370412 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 36650305 | BOY |
| EOY | 45148207 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4593386 | BOY |
| EOY | 4513706 | EOY |
Investments Other Securities InvestmentsOtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 6048647 | BOY |
| EOY | 2441167 | EOY |
Investments Program Related InvestmentsProgramRelated
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Intangible Assets IntangibleAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 486288 | BOY |
| EOY | 3455191 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 77078385 | BOY |
| EOY | 85601952 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 9816508 | BOY |
| EOY | 12143449 | EOY |
Grants Payable GrantsPayable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Deferred Revenue DeferredRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Tax Exempt Bond Liabilities TaxExemptBondLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 9982383 | BOY |
| EOY | 20999672 | EOY |
Escrow Account Liability EscrowAccountLiability
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Loans From Officers Directors LoansFromOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 17284421 | BOY |
| EOY | 4724056 | EOY |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2980523 | BOY |
| EOY | 8871825 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 40063835 | BOY |
| EOY | 46739002 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 36823608 | BOY |
| EOY | 38622485 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 190942 | BOY |
| EOY | 240465 | EOY |
Permanently Restricted Net Assets PermanentlyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 37014550 | BOY |
| EOY | 38862950 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 77078385 | BOY |
| EOY | 85601952 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | 1938581 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | -90181 | ReconcilationOtherChanges |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | false | AccountantCompileOrReview |
| FS Audited | true | FSAudited |
| Audit Committee | true | AuditCommittee |
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
| Federal Grant Audit Required | false | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital170b1 Aiii | X | Hospital170b1Aiii |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Art Public Exhibition Amts | ArtPublicExhibitionAmts | |
| Held Works Of Art Amts | HeldWorksOfArtAmts |
Current Year CurrentYear
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 4800523 | BeginningOfYearBalance |
| Investment Earnings Or Losses | 17498 | InvestmentEarningsOrLosses |
| Other Expenditures | 149677 | OtherExpenditures |
| Administrative Expenses | 32813 | AdministrativeExpenses |
| End Of Year Balance | 4635531 | EndOfYearBalance |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Year Minus3 Years | CurrentYearMinus3Years | |
| Board Designated EOY Balance | 0.64000 | BoardDesignatedEOYBalance |
| Permanent Endowment EOY Balance | 0.36000 | PermanentEndowmentEOYBalance |
| Term Endowment EOY Balance | 0.00000 | TermEndowmentEOYBalance |
| Endowments Held By Unrelated Orgs | true | EndowmentsHeldByUnrelatedOrgs |
| Endowments Held By Related Orgs | false | EndowmentsHeldByRelatedOrgs |
| Land | Land |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 70015023 | OtherCostOrOtherBasis |
| Depreciation | 33370412 | Depreciation |
| Book Value | 36644611 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Leasehold Improvements | LeaseholdImprovements | |
| Equipment | Equipment |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 8503596 | OtherCostOrOtherBasis |
| Book Value | 8503596 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 45148207 | TotalOfBookValueLandBuildings |
| Federal Income Tax Liability | 0 | FederalIncomeTaxLiability |
Other Liabilities OtherLiabilities (7 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| SWAP | $107,733 |
| INTEREST PAYABLE | $63,971 |
| ADVANCES FROM THIRD PARTIES | $1,089,863 |
| CAPITAL LEASE | $827,202 |
| LINE OF CREDIT | $0 |
| SOFTWARE LEASE | $3,849,679 |
| INSURANCE UNPAID LOSS | $2,933,377 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 8871825 | TotalOfAmounts |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | ENDOWMENT FUND HELD BY UNRELATED ENTITY | Identifier |
| Return Reference | SCHEDULE D, PART V, LINE 3 | ReturnReference |
| Explanation | 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 2011 tax year ending balance for the Fund was $1,662,916. | Explanation |
Schedule G IRS990ScheduleG
Events Information EventsInformation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Event1 | GOLF TOURNAMENT | NameOfEvent1 |
| Gross Receipts Event1 | 119415 | GrossReceiptsEvent1 |
| Charitable Contributions Event1 | 78395 | CharitableContributionsEvent1 |
| Gross Revenue Event1 | 41020 | GrossRevenueEvent1 |
| Non Cash Prizes Event1 | 5382 | NonCashPrizesEvent1 |
| Rent Facility Costs Event1 | 7234 | RentFacilityCostsEvent1 |
| Food And Beverage Event1 | 5435 | FoodAndBeverageEvent1 |
| Other Direct Expenses Event1 | 2620 | OtherDirectExpensesEvent1 |
| Name Of Event2 | PENGUIN SWIM | NameOfEvent2 |
| Gross Receipts Event2 | 87715 | GrossReceiptsEvent2 |
| Charitable Contributions Event2 | 87715 | CharitableContributionsEvent2 |
| Non Cash Prizes Event2 | 14482 | NonCashPrizesEvent2 |
| Rent Facility Costs Event2 | 166 | RentFacilityCostsEvent2 |
| Other Direct Expenses Event2 | 2893 | OtherDirectExpensesEvent2 |
| Total Number Of Other Events | 1 | TotalNumberOfOtherEvents |
| Gross Receipts Other Events | 77225 | GrossReceiptsOtherEvents |
| Charitable Contrib Other Events | 48850 | CharitableContribOtherEvents |
| Gross Revenue Other Events | 28375 | GrossRevenueOtherEvents |
| Food And Beverage Other Events | 15440 | FoodAndBeverageOtherEvents |
| Entertainment Other Events | 200 | EntertainmentOtherEvents |
| Other Direct Expenses Other Events | 2435 | OtherDirectExpensesOtherEvents |
| Gross Receipts Total | 284355 | GrossReceiptsTotal |
| Charitable Contributions Total | 214960 | CharitableContributionsTotal |
| Gross Revenue Total Events | 69395 | GrossRevenueTotalEvents |
| Non Cash Prizes Total Events | 19864 | NonCashPrizesTotalEvents |
| Rent Facility Costs Total Events | 7400 | RentFacilityCostsTotalEvents |
| Food And Beverage Total Events | 20875 | FoodAndBeverageTotalEvents |
| Entertainment Total Events | 200 | EntertainmentTotalEvents |
| Other Direct Expenses Total Events | 7948 | OtherDirectExpensesTotalEvents |
| Direct Expense Summary Events | 56287 | DirectExpenseSummaryEvents |
| Net Income Summary | 13108 | NetIncomeSummary |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Charity Care Policy | true | CharityCarePolicy |
| Written Policy | true | WrittenPolicy |
| FPG Reference Free Care | true | FPGReferenceFreeCare |
| Pcent200 | X | Pcent200 |
| FPG Reference Discounted Care | true | FPGReferenceDiscountedCare |
| Pcent300 | X | Pcent300 |
| Free Disc Care Medically Indigent | true | FreeDiscCareMedicallyIndigent |
| Amounts Budgeted For Charity Care | true | AmountsBudgetedForCharityCare |
| Expenses Exceeded Budget | true | ExpensesExceededBudget |
| Unable To Provide Care | false | UnableToProvideCare |
| Annual Community Benefit Report | true | AnnualCommunityBenefitReport |
| Report Publically Available | true | ReportPublicallyAvailable |
Charity Care At Cost CharityCareAtCost
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 1782191 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 1782191 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.02050 | PercentOfTotalExpense |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 1782191 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 1782191 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.02050 | PercentOfTotalExpense |
Community Health Services CommunityHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 722503 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 3175 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 719328 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00830 | PercentOfTotalExpense |
Health Professions Education HealthProfessionsEducation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 651691 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 651691 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00750 | PercentOfTotalExpense |
Subsidized Health Services SubsidizedHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 10658436 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 6354896 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 4303540 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.04940 | PercentOfTotalExpense |
Research Research
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 6359 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 6359 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00010 | PercentOfTotalExpense |
Cash And In Kind Contributions CashAndInKindContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 97217 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 97217 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00110 | PercentOfTotalExpense |
Total Other Benefits TotalOtherBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 12136206 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 6358071 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 5778135 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.06640 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 13918397 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 6358071 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 7560326 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.08690 | PercentOfTotalExpense |
Physical Improvements And Housing PhysicalImprovementsAndHousing
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 40 | PersonsServed |
| Total Community Building Expense | 221 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 221 | NetCommunityBuildingExpense |
Economic Development EconomicDevelopment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 375 | PersonsServed |
| Total Community Building Expense | 684 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 684 | NetCommunityBuildingExpense |
Community Support CommunitySupport
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 2776 | PersonsServed |
| Total Community Building Expense | 32225 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 32225 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00040 | PercentOfTotalExpense |
Environmental Improvements EnvironmentalImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 24730 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 24730 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00030 | PercentOfTotalExpense |
Coalition Building CoalitionBuilding
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 10384 | PersonsServed |
| Total Community Building Expense | 81122 | TotalCommunityBuildingExpense |
| Direct Offsetting Revenue | 17 | DirectOffsettingRevenue |
| Net Community Building Expense | 81105 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00090 | PercentOfTotalExpense |
Health Improvement Advocacy HealthImprovementAdvocacy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 2561 | PersonsServed |
| Total Community Building Expense | 32244 | TotalCommunityBuildingExpense |
| Direct Offsetting Revenue | 300 | DirectOffsettingRevenue |
| Net Community Building Expense | 31944 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00040 | PercentOfTotalExpense |
Workforce Development WorkforceDevelopment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 548 | PersonsServed |
| Total Community Building Expense | 46016 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 46016 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00050 | PercentOfTotalExpense |
Total Total
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 16684 | PersonsServed |
| Total Community Building Expense | 217242 | TotalCommunityBuildingExpense |
| Direct Offsetting Revenue | 317 | DirectOffsettingRevenue |
| Net Community Building Expense | 216925 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00250 | PercentOfTotalExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | false | BadDebtExpenseReported |
| Bad Debt Expense | $3,991,078 | BadDebtExpenseAmount |
| Amount Reimbursed By Medicare | 46546728 | AmountReimbursedByMedicare |
| Cost Of Care Reimbursed By Medicare | 35122361 | CostOfCareReimbursedByMedicare |
| Medicare Surplus Or Shortfall | 11424367 | MedicareSurplusOrShortfall |
Costing Methodology Used CostingMethodologyUsed
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | X | Other |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | true | WrittenDebtCollectionPolicy |
| Provision For Charity Care | true | ProvisionForCharityCare |
| Number Of Hospital Facilities | 1 | NumberOfHospitalFacilities |
Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility Number | 1 | FacilityNumber |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ATLANTIC GENERAL HOSPITAL | BusinessNameLine1 |
Address Address
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 9733 HEALTHWAY DRIVE | AddressLine1 |
| City | BERLIN | City |
| State | MD | State |
| ZIP Code | 21811 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Licensed Hospital | X | LicensedHospital |
| General Medical And Surgical | X | GeneralMedicalAndSurgical |
| Er24 Hours | X | Er24Hours |
Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ATLANTIC GENERAL HOSPITAL | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital Facility Number | 1 | HospitalFacilityNumber |
| Eligibility Criteria Explained | true | EligibilityCriteriaExplained |
| Uses FPG Free | true | UsesFPGFree |
| FPG Free Percent | 200. | FPGFreePercent |
| Uses FPG Discounted | true | UsesFPGDiscounted |
| FPG Discount Percent | 300. | FPGDiscountPercent |
| Explains Basis | true | ExplainsBasis |
| Income Level | X | IncomeLevel |
| Asset Level | X | AssetLevel |
| Medical Indigency | X | MedicalIndigency |
| State Regulation | X | StateRegulation |
| Explains Application Method | true | ExplainsApplicationMethod |
| Includes Publicity Measures | true | IncludesPublicityMeasures |
| Posted On Website | X | PostedOnWebsite |
| Posted In Emergency Room | X | PostedInEmergencyRoom |
| Posted In Admission Office | X | PostedInAdmissionOffice |
| Provided On Admission | X | ProvidedOnAdmission |
| Available On Request | X | AvailableOnRequest |
| Actions On Nonpayment | true | ActionsOnNonpayment |
| Notify Upon Admission | X | NotifyUponAdmission |
| Notify Before Discharge | X | NotifyBeforeDischarge |
| Notified All Patients | X | NotifiedAllPatients |
| Documented Determination | X | DocumentedDetermination |
| Nondiscrim Emergency Care Policy | true | NondiscrimEmergencyCarePolicy |
| Used Other Method | X | UsedOtherMethod |
| Amounts Generally Billed | false | AmountsGenerallyBilled |
| Gross Charges | false | GrossCharges |
Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Other Facilities | 14 | NumberOfOtherFacilities |
Other Facilities OtherFacilities (14 entries)
| Address Line1Address/AddressLine1 | CityAddress/City | StateAddress/State | ZIP CodeAddress/ZIPCode | Facility TypeFacilityType |
|---|---|---|---|---|
| Atlantic Health Center | ||||
| 9714 Healthway Dr | Berlin | MD | 21811 | medical office |
| Townsend Medical Center | ||||
| 1001 Philadelphia Ave | Ocean City | MD | 21842 | medical office |
| Ocean Pines Medical Office | ||||
| 11107 Racetrack Rd | Berlin | MD | 21811 | medical office |
| CardioPulmonary Clinic | ||||
| Routes 346 50 | Berlin | MD | 21811 | medical office |
| Atlantic Endoscopy Center | ||||
| 10231 Old Ocean City Blvd 205 | Berlin | MD | 21811 | medical office |
| Dr Mcwhite's office | ||||
| 10231 Old Ocean City Blvd 210 | Berlin | MD | 21811 | medical office |
| The Wound Care Center | ||||
| 10231 Old Ocean City Blvd 104 | Berlin | MD | 21811 | medical office |
| Medical Office Kirby | ||||
| 10231 Old Ocean City Blvd 208 | berlin | MD | 21811 | medical office |
| Pocomoke Medical Office | ||||
| 101-A Market Street | Pocomoke | MD | 21851 | medical office |
| Immedicare Clinic | ||||
| 101 East Dupont Highway | Millsboro | DE | 11192 | medical office |
| Immedicare Clinic | ||||
| 11011 Manklin Creek Rd | berlin | MD | 21811 | medical office |
| Selbyville Medical Office | ||||
| 38394 Dupont Highway | Selbyville | DE | 19944 | medical office |
| Medical Office | ||||
| 10311 Old Ocean City ste 2 | berlin | MD | 21801 | medical office |
| Medical Office | ||||
| 314 Franklin Ave ste 103 | berlin | MD | 21811 | medical office |
Form990 Schedule H Part VI Form990ScheduleHPartVI (16 entries)
| IdentifierIdentifier | ExplanationExplanation |
|---|---|
| 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. 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. |
| 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 ORGANIZATIONDURING THE YEAR. |
| 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. |
| PART I LINES 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 2011 tax year, THE MEDICAID PROVIDER ASSESSMENT WAS $350,315. |
| Part I, Line 7G | Atlantic General Hospital incurred $4,271,230 of net community benefit expense from undertaking subsidized health services during its 2011 tax year. Of this amount, $4,090,614 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 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 self-paying patients. These estimates are calculated by management based on historical collection experience and analysis of financial class and age of groups of accounts receivable. These estimates of allowances are included in net patient service revenue, whereas the provision for uncollectible accounts is reported as an operating expense. The bad debt expense reported on Line 2 was the amount of gross patient charges uncollected from patients that did not qualify for financial assistance. WE BELIEVE THAT A MATERIALLY SIGNIFICANT PERCENTAGE OF OUR BAD DEBT EXPENSE WOULD BE CLASSIFIED AS "CHARITY CARE" HAD THE PATIENT CREATING THE BAD DEBT EXPENSE FILED FOR FINANCIAL ASSISTANCE. HOWEVER, WE DO NOT CURRENTLY POSSESS THE CAPACITY FOR DETERMINING HOW MANY OF OUR PATIENTS WOULD HAVE BEEN ELIGIBLE FOR CHARITY CARE HAD THEY COMPLETED THE FINANCIAL ASSISTANCE APPLICATION. ANY ESTIMATE ON OUR PART WOULD BE PURELY "SPECULATIVE" AND WE COULD NOT SUPPORT IT THROUGH EMPIRICAL DATA, THEREFORE, WE HAVE CHOSEN TO LEAVE THIS NUMBER BLANK. WE HAVE NOT NOTED THE NUMBER AS BEING ZERO, SINCE WE KNOW SOME OF THE BAD DEBT EXPENSE WOULD QUALIFY AS CHARITY CARE, BUT WE HAVE LEFT THIS ANSWER BLANK BECAUSE WE FEEL AN ACCURATE ESTIMATE IS UNOBTAINABLE. |
| 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, AND RECEIVE, FINANCIAL ASSISTANCE, at any point, POST DISCHARGE. 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 V, LINE 17 | 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. |
| PART V, LINE 19D | THE HOSPITAL FACILITY PROVIDES A DISCOUNT OF AT LEAST 50% OFF OF GROSS CHARGES FOR THE PROVISION OF EMERGENCY AND OTHER MEDICALLY NECESSARY CARE TO ANY INDIVIDUAL THAT IS ELIGIBLE FOR FINANCIAL ASSISTANCE UNDER THE HOSPITAL FACILITY'S FINANCIAL ASSISTANCE POLICY. PURSUANT TO THE HEALTH SERVICES COST REVIEW COMMISSION (HSCRC) ALL-PAYOR SYSTEM FOR HOSPITALS IN THE STATE OF MARYLAND, THE GREATEST DISCOUNT OFF OF GROSS CHARGES FOR THE PROVISION OF EMERGENCY AND OTHER MEDICALLY NECESSARY CARE PERMITTED TO ANY COMMERCIAL INSURER OR MEDICARE IS ONLY 6%. AS A RESULT, THE HOSPITAL FACILITY WAS ABLE TO DETERMINE THAT THE MAXIMUM AMOUNT CHARGED TO INDIVIDUALS THAT WERE ELIGIBLE FOR FINANCIAL ASSISTANCE UNDER THE HOSPITAL FACILITY'S FINANCIAL ASSISTANCE POLICY WAS NOT GREATER THAN THE AMOUNT GENERALLY BILLED TO INDIVIDUALS WHO HAVE INSURANCE COVERING SUCH CARE. |
| Part V, Line 21 | 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. |
| PART VI, LINE 2 NEEDS ASSESSMENT | 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 2015. 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 CANER 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 2010 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: PUBLIC SAFETY NET COUNCIL CHILD ADVOCACY BOARD WORCESTER COUNTY SCHOOL BOARD YMCA 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 FOR TOTAL HEALTH ADVISORY 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. IN THE 2010 TAX YEAR, THE COMMITTEE DECIDED TO TAKE HEALTH CONFERENCE "ON THE ROAD" AND TO HOLD IT IN DIFFERENT TOWNS IN OUR SERVICE AREA EACH YEAR. HAVING HELD IT IN THE NORTHERN END OF THE COUNTY SINCE ITS INCEPTION, IT WAS HELD IN THE SOUTHERNMOST TOWN IN THE COUNTY IN NOVEMBER 2010.WE MET WITH GREAT SUCCESS, 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 PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE | 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 COMMUNITY INFORMATION | 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 51,454. 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. MEDIAN HOUSEHOLD INCOME OF RESIDENTS OF WORCESTER COUNTY IN 2008 WAS $50,347 (BELOW THE STATEWIDE AVERAGE OF $70,482). THE PERCENTAGE OF RESIDENTS BELOW THE POVERTY LEVEL IS 10.5% COMPARED TO A 8.2% STATEWIDE. THE AVERAGE AGE OF THE RESIDENTS IS BROKEN DOWN AS FOLLOWS: 5> 5%, 18>18.8%, 65< 23%. 51.6% OF THE POPULATION IS FEMALE, 14.8% OF THE POPULATION IS BLACK AND 83% OF THE POPULATION IS WHITE. 51% OF THE PATIENTS CARED FOR AT THE HOSPITAL ARE MEDICARE PATIENTS. THE REMAINING PAYOR MIX IS THE FOLLOWING: MEDICAID 6%, COMMERCIAL AND HMO'S 23%, CARE FIRST 13%, AND SELF PAY AND OTHERS 7%. IN THE WORCESTER COUNTY HEALTH DEPARTMENT REPORT FROM 2005, THE AGE-ADJUSTED MORTALITY RATE IS 800/100,000 AND FOR THE OVER 64 YEARS OF AGE POPULATION IT WAS 4,000/100,000. INFORMATION FROM THE SAME REPORT SHOWED THE TOP THREE LEADING CAUSES OF DEATH IN THE COUNTY WERE: #1 CANCER, #2 CARDIOVASCULAR DISEASES, #3 ACCIDENTS. 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 100,000 EACH YEAR DURING THE TOURIST SEASON. |
| PART VI, LINE 5 PROMOTION OF COMMUNITY HEALTH | THE ORGANIZATION UNDERTAKES NUMEROUS ACTIVITIES TO PROMOTE THE HEALTH OF ITS COMMUNITY. IN PARTICULAR, THE ORGANIZATION HAS IDENTIFIED A COMMUNITY NEED FOR ACESS 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. IN 2011, THE NET COST TO THE ORGANIZATION FROM THE PHYSICIAN PRACTICES WAS $4,649,626. 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 HABITAT FOR HUMANITY. THROUGH THIS GROUP OUR STAFF HAS LOGGED MANY HOURS OF SERVICE TO BUILD HOUSES FOR 3 LOCAL FAMILIES. SCHOOL MENTORING PROGRAMS IS ANOTHER COMMUNITY BUILDING ACTIVITY 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 SUCH AS LIONS CLUB AND ROTARY, YMCA AND THE LOCAL COUNTY SCHOOL BOARD. WE ALSO PARTICIPATE IN THE ACS RELAY FOR LIFE, 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 A 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. 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 TO OFFER A FAIR WITH MANY SCREENINGS AND HEALTH INFORMATION. WE ALSO SPONSOR AN EDUCATIONAL AND SCREENING CONFERENCE ONCE A YEAR CALLED OUR VISIONS FOR TOTAL 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 SPONSORSHIP OF FOOD PLAY PRODUCTIONS. 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 AFFILIATED HEALTH CARE SYSTEM | 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. AGH's employed physicians provided $226,199 of charity care at gross charges during the 2011 tax year. In addition, the Hospital runs Atlantic Health Clinic, which is a facility THAT OFFERS CARE ON A SLIDING FEE COST BASIS. |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | X | CompensationCommittee |
| Written Employment Contract | X | WrittenEmploymentContract |
| Compensation Survey | X | CompensationSurvey |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | false | SeverancePayment |
| Supplemental Nonqual Retire Plan | false | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | false | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | false | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | false | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | false | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | false | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | false | AnyNonFixedPayments |
| Initial Contract Exception | false | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (8 entries)
| Base Compensation Filing OrgBaseCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Filing OrgBonusFilingOrg | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Filing OrgOtherCompensationFilingOrg | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Filing OrgDeferredCompFilingOrg | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Filing OrgTotalCompensationFilingOrg | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| MICHAEL FRANKLIN | |||||||||||||
| 311944 | 0 | 34530 | 0 | 16500 | 0 | 16500 | 0 | 0 | 0 | 379474 | 0 | 0 | 0 |
| CHERYL NOTTINGHAM | |||||||||||||
| 170331 | 0 | 10900 | 0 | 0 | 0 | 16500 | 0 | 0 | 0 | 197731 | 0 | 0 | 0 |
| CHARLES KIM | |||||||||||||
| 373481 | 0 | 2565 | 0 | 16500 | 0 | 16500 | 0 | 0 | 0 | 409046 | 0 | 0 | 0 |
| JEFFREY FERNLEY | |||||||||||||
| 340617 | 0 | 7040 | 0 | 16500 | 0 | 16500 | 0 | 0 | 0 | 380657 | 0 | 0 | 0 |
| JAMES SKOLKA | |||||||||||||
| 362363 | 0 | 1026 | 0 | 22000 | 0 | 22000 | 0 | 0 | 0 | 407389 | 0 | 0 | 0 |
| SCOTT KNOWLTON | |||||||||||||
| 368000 | 0 | 570 | 0 | 0 | 0 | 16500 | 0 | 0 | 0 | 385070 | 0 | 0 | 0 |
| JAMES BRANNON | |||||||||||||
| 138757 | 0 | 8269 | 0 | 0 | 0 | 7025 | 0 | 0 | 0 | 154051 | 0 | 0 | 0 |
| Michael Stivelman | |||||||||||||
| 360727 | 0 | 2195 | 0 | 0 | 0 | 18000 | 0 | 0 | 0 | 380922 | 0 | 0 | 0 |
Schedule K IRS990ScheduleK
Form990 Schedule K Part I Form990ScheduleKPartI (2 entries)
| Date IssuedDateIssued | Issue PriceIssuePrice | Description Of PurposeDescriptionOfPurpose | DefeasedDefeased | On Behalf Of IssuerOnBehalfOfIssuer | Pool FinancingPoolFinancing |
|---|---|---|---|---|---|
| MAYOR AND COUNCIL OF BERLIN MD | |||||
| 2010-06-29 | 2200000 | 2010 A REVENUE BOND CANCER CENTER, | false | false | false |
| MAYOR AND COUNCIL OF BERLIN MD | |||||
| 2010-12-13 | 10000000 | 2010 SERIES B&C REV BOND CANCER CT | false | false | false |
Form990 Schedule K Part II Form990ScheduleKPartII (2 entries)
| Amount RetiredAmountRetired | Amount Bond DefeasedAmountBondDefeased | Total ProceedsTotalProceeds | Amount In Reserve FundAmountInReserveFund | Capitalized InterestCapitalizedInterest | Refunding EscrowRefundingEscrow | Issuance Costs From ProceedsIssuanceCostsFromProceeds | Credit EnhancementCreditEnhancement | Working Capital ExpendituresWorkingCapitalExpenditures | Capital ExpendituresCapitalExpenditures | Other Spent ProceedsOtherSpentProceeds | Amount UnspentAmountUnspent | Year Of Subst CompletionYearOfSubstCompletion | Current RefundingCurrentRefunding | Advance RefundingAdvanceRefunding | Final Allocation MadeFinalAllocationMade | Adequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 281111 | 0 | 2200000 | 0 | 0 | 0 | 44000 | 0 | 0 | 2156000 | 0 | 0 | 2012 | false | false | true | true |
| 457351 | 0 | 10000867 | 0 | 0 | 0 | 59584 | 0 | 0 | 7500117 | 0 | 2441166 | 2012 | false | false | false | true |
Form990 Schedule K Part III Form990ScheduleKPartIII (2 entries)
| Owning Bond Financed PropertyOwningBondFinancedProperty | Any Lease ArrangementsAnyLeaseArrangements | Mngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprty | Any Research AgreementsAnyResearchAgreements | Prcntge Prvt Business Use By OthersPrcntgePrvtBusinessUseByOthers | Percentage Of Prvt Business Re UBIPercentageOfPrvtBusinessReUBI | Total Private Business UseTotalPrivateBusinessUse | Post Issuance Compliance ProcdrsPostIssuanceComplianceProcdrs |
|---|---|---|---|---|---|---|---|
| false | false | false | false | 0.00000 | 0.00000 | 0.00000 | true |
| false | false | false | false | 0.00000 | 0.00000 | 0.00000 | true |
Form990 Schedule K Part IV Form990ScheduleKPartIV (2 entries)
| Form8038 T FiledForm8038TFiled | Variable Rate IssueVariableRateIssue | Hedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecds | Gross Proceeds Invested In GICGrossProceedsInvestedInGIC | Business Name Line1NameOfGICProvider/BusinessNameLine1 | Gross Proceeds InvestedGrossProceedsInvested | Exception To RebateExceptionToRebate |
|---|---|---|---|---|---|---|
| 0 | ||||||
| false | false | false | false | 0 | false | true |
| 0 | ||||||
| false | true | false | false | 0 | false | false |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (5 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| PROCESS OF REVIEWING RETURN | PART VI 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. |
| MONITORING AND ENFORCING CONFLICTS OF INTEREST | PART VI, 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. |
| DETERMINATION OF COMPENSATION | PART VI, 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. |
| DOCUMENT AVAILABILITY | PART VI, LINE 19 | THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. |
| RECONCILIATION OF NET ASSETS | PART XI, LINE 5 | DONATED SERVICES $ 14,250 RESTRICTED CONTRIBUTION 132,694 OTHER CONTRIBUTION (248,678) CHANGE IN SWAP FAIR VALUE 312,759 UNREALIZED GAIN (243,816) NET ASSETS RELEASED (53,171) INCOME FROM MD ECARE K-1 (4,218) ROUNDING (1) --------- (90,181) |
Schedule R IRS990ScheduleR
Form990 Schedule R Part I Form990ScheduleRPartI
Name Of Disregarded Entity NameOfDisregardedEntity
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ATLANTIC IMMEDICARE LLC | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 9733 HEALTHWAY DRIVE | AddressLine1 |
| City | BERLIN | City |
| State | MD | State |
| ZIP Code | 21811 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 205095845 | EIN |
| Primary Activities | HEALTHCARE | PrimaryActivities |
| Legal Domicile State | MD | LegalDomicileState |
| Total Income | 398996 | TotalIncome |
| EOY Assets | 340313 | EOYAssets |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | AGH | BusinessNameLine1 |
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