2013-05-14T11:20:03-05:00 2012-06-30 COHEN RUTHERFORD KNIGHT PC 6903 ROCKLEDGE DRIVE SUITE 500 BETHESDA MD 208171800 990 2011-07-01 521656507 ATLANTIC GENERAL HOSPITAL % CHERYL NOTTINGHAM ATLA 4106411100 9733 HEALTHWAY DRIVE BERLIN MD 21811 CHERYL NOTTINGHAM 2013-05-13 TINA C ECKLOFF 3018281008 2011 2016-02-24 21:20:13Z MICHAEL FRANKLIN 9733 HEALTHWAY DR BERLIN MD 21811 89163932 false X www.atlanticgeneral.org X 1989 MD TO PROVIDE QUALITY CARE, PERSONALIZED SERVICE AND EDUCATION TO IMPROVE INDIVIDUAL AND COMMUNITY HEALTH. 20 19 883 300 191572 969058 826119 87840221 87199389 468442 456832 574354 540145 89852075 89022485 0 0 0 0 45127446 47328084 0 0 191856 43028718 39755820 88156164 87083904 1695911 1938581 77078385 85601952 40063835 46739002 37014550 38862950 TO PROVIDE QUALITY CARE, PERSONALIZED SERVICE AND EDUCATION TO IMPROVE INDIVIDUAL AND COMMUNITY HEALTH. false false 69978941 87278064 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. 69978941 true true false false false false false false true true false false false true false false true false false false false false false true false true true false false true true false false false false false false false false false false false false false false true false false false false false true 38 0 true 883 true true true false false false false true true false false false false X 20 19 false false false false false false false true true false false true true true true true true true true false MD X CHERYL NOTTINGHAM 4106419095 9733 HEALTHWAY DRIVE Berlin MD 21811 MICHAEL FRANKLIN 40.0 X X 362974 0 16500 J RUSSELL BARRETT 2.0 X 0 0 0 ROBERT DAVIS 2.0 X 0 0 0 JEFFREY GREENWOOD 2.0 X 0 0 0 DEBBIE GOELLER 2.0 X 0 0 0 ROBERT DURKIN 2.0 X 0 0 0 MICHAEL JAMES 2.0 X 0 0 0 WILLIAM HUDSON 2.0 X X 0 0 0 W TODD HERSHEY 2.0 X 0 0 0 IRA SHOCKLEY 2.0 X 0 0 0 JOHN TOWNSEND 2.0 X X 0 0 0 MICHAEL GUERRIERI 2.0 X 0 0 0 WINN BOOTH 3.0 X X 0 0 0 KATHLEEN CLARK 2.0 X 0 0 0 JAMES BERGEY JR 2.0 X X 0 0 0 ERIC BONTEMPO 2.0 X 0 0 0 LOUIS TAYLOR 3.0 X X 0 0 0 JOHN BURBAGE JR 3.0 X X 0 0 0 HUGH CROPPER 2.0 X 0 0 0 ELIZABETH GREGORY 2.0 X 0 0 0 GARRY MUMFORD 2.0 X 0 0 0 GREGORY SHOCKLEY 2.0 X 0 0 0 Thomas D Beck 2.0 X 0 0 0 CHERYL NOTTINGHAM 40.0 X 181231 0 16500 COLLEEN WAREING 40.0 X 140841 0 6998 JAMES BRANNON 40.0 X 147026 0 7025 CHARLES KIM 40.0 X 392546 0 16500 JEFFREY FERNLEY 40.0 X 364157 0 16500 JAMES SKOLKA 40.0 X 385389 0 22000 SCOTT KNOWLTON 40.0 X 368570 0 16500 Michael Stivelman 40.0 X 362922 0 18000 2705656 0 136523 42 false true false 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 11 214960 611159 10100 826119 NET PATIENT REVENUE 86680899 86680899 0 0 OTHER OPERATING 621110 518490 326918 191572 0 87199389 257523 0 0 257523 0 0 110125 110125 110125 0 0 110125 152167 47142 152167 47142 199309 0 0 199309 69395 214960 56287 13108 0 13108 0 231825 85160 146665 0 0 146665 CAFETERIA 169151 169151 0 0 MISCELLANEOUS 101096 101096 0 0 270247 89022485 87278064 191572 726730 0 0 0 0 0 0 0 0 592865 0 592865 0 0 0 0 0 38223377 32662859 5415252 145266 534000 534000 0 0 5397480 5285845 111635 0 2580362 2187348 382383 10631 0 0 0 0 76333 9366 66967 0 171537 0 171537 0 0 0 0 0 0 0 0 0 2940231 2211892 728339 0 753667 125007 628021 639 17282953 15199878 2069996 13079 1473449 0 1473449 0 0 0 0 0 1667868 1476730 191138 0 225543 130950 88117 6476 0 0 0 0 62721 20766 41955 0 0 0 0 0 0 0 0 0 4660298 3728238 932060 0 2380864 454196 1926668 0 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 3544450 1697498 1836280 10672 87083904 69978941 16913107 191856 0 0 17698098 17259762 39517 11667 8214265 9207236 0 0 0 0 0 0 1668379 1955288 1679500 1609728 78518619 33370412 36650305 45148207 4593386 4513706 6048647 2441167 0 0 0 0 486288 3455191 77078385 85601952 9816508 12143449 0 0 0 0 9982383 20999672 0 0 0 0 17284421 4724056 0 0 2980523 8871825 40063835 46739002 X 36823608 38622485 190942 240465 0 0 37014550 38862950 77078385 85601952 X 1938581 -90181 X false true true X false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 4800523 17498 149677 32813 4635531 0.64000 0.36000 0.00000 true false 70015023 33370412 36644611 8503596 8503596 45148207 0 SWAP 107733 INTEREST PAYABLE 63971 ADVANCES FROM THIRD PARTIES 1089863 CAPITAL LEASE 827202 LINE OF CREDIT 0 SOFTWARE LEASE 3849679 INSURANCE UNPAID LOSS 2933377 8871825 ENDOWMENT FUND HELD BY UNRELATED ENTITY SCHEDULE D, PART V, LINE 3 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. GOLF TOURNAMENT 119415 78395 41020 5382 7234 5435 2620 PENGUIN SWIM 87715 87715 14482 166 2893 1 77225 48850 28375 15440 200 2435 284355 214960 69395 19864 7400 20875 200 7948 56287 13108 true true true X true X true true true false true true 1782191 0 1782191 0.02050 1782191 0 1782191 0.02050 722503 3175 719328 0.00830 651691 651691 0.00750 10658436 6354896 4303540 0.04940 6359 6359 0.00010 97217 97217 0.00110 12136206 6358071 5778135 0.06640 13918397 6358071 7560326 0.08690 40 221 221 375 684 684 2776 32225 32225 0.00040 24730 24730 0.00030 10384 81122 17 81105 0.00090 2561 32244 300 31944 0.00040 548 46016 46016 0.00050 16684 217242 317 216925 0.00250 false 3991078 46546728 35122361 11424367 X true true 1 1 ATLANTIC GENERAL HOSPITAL

9733 HEALTHWAY DRIVE BERLIN MD 21811

X X X ATLANTIC GENERAL HOSPITAL 1 true true 200. true 300. true X X X X true true X X X X X true X X X X true X false false 14 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 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. X X X X false false false false false false false false false 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 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 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 false false false false 0.00000 0.00000 0.00000 true false false false false 0.00000 0.00000 0.00000 true false false false 0 false 0 false true false true false 0 false 0 false false 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) ATLANTIC IMMEDICARE LLC 9733 HEALTHWAY DRIVE BERLIN MD 21811 205095845 HEALTHCARE MD 398996 340313 AGH