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        <BusinessNameLine1>Adventist Rehabilitation Hospital of</BusinessNameLine1>
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      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Line 19</Identifier>
        <ReturnReference>Form 990, Part VI, Line 19: Other Organization Documents Publicly Available</ReturnReference>
        <Explanation>The governing documents, conflict of interest policy and financial statements, are available to the public upon request.General ExplanationEmployees of any of the Adventist HealthCare Inc. and affiliated Tax Exempt entities in the state of Maryland (including Adventist Home Health Services, Inc) are paid through a common paymaster, Adventist HealthCare, Inc. and are reported on its Form 941. Salary and benefit expenses reported on their respective returns are actual charges related to the employees working on the specific tax exempt entity.Compensation included regular base salary, bonus, paid time off cash out, taxable relocation allowance, holiday gift, retroactive compensation adjustment, bereavement leave, education, and withdrawal of deferred compensation, as applicable. The same and non-additive compensation and employment benefit plan contribution amounts were also disclosed in the Adventist HealthCare Inc.'s related entities returns.Vendors payment for any of the Adventist HealthCare, Inc. and related entities in the State of Maryland are made through a common paymaster, Adventist HealthCare, Inc.</Explanation>
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        <Identifier>Form 990, Part VI, Line 15b</Identifier>
        <ReturnReference>Form 990, Part VI, Line 15b: Compensation Review and Approval Process for Officers and Key Employees</ReturnReference>
        <Explanation>When setting officers and or key employees compensation, the organization fully complies with the procedural safeguards embedded in the IRS regulations. Executive compensation is entirely set by a committee of the Board of Trustees of Adventist HealthCare, Inc. In setting compensation, the governing board committee relies upon market comparability data provided by an independent outside compensation consultant. To ensure reasonableness, compensation is set at the 50th percentile of the natural market</Explanation>
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        <Explanation>Pursuant to the organizations conflict of interest policy, each facility board member, officer, director and any employee in a position that requires coordination and/or negotiation with contractors or supplies, is required on an annual basis to disclose any business or financial relationship outside of the organization. Compliance with policy is monitored and enforced by the Human Resources Department, Corporate Integrity Department and the Legal Department.</Explanation>
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      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Line 11</Identifier>
        <ReturnReference>Form 990, Part VI, Line 11: Form 990 Review Process</ReturnReference>
        <Explanation>The Board of Trustees of Adventist Rehabilitation Hospital of Maryland are made up of the executives and officers from Adventist Healthcare Inc. Adventist Healthcare Inc. (AHC) and its controlled entities subscribe to the same policies and procedures of AHC, which are subjected to the approval by its board of trustees.The executive management of AHC reviewed all controlled entities' From 990 prior to filing with IRS.</Explanation>
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        <ReturnReference>Form 990, Part VI, Line 7a: How Members or Shareholders Elect Governing Body</ReturnReference>
        <Explanation>The Board of Trustees of Adventist Healthcare, Inc. appoints the members of Adventist Rehabilitation Hospital of Maryland governing body.</Explanation>
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        <Explanation>Adventist HealthCare, Inc. is the sole corporate member of Adventist Rehabilitation Hospital of Maryland, Inc. with the authority to approve its Board membership.</Explanation>
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        <Explanation>Client Note 1 - Page 2 - Part III, 4a.Adventist Rehabilitation Hospital of Maryland, a separate legal entity managed by Adventist Healthcare Executive Team, is the first and only acute rehabilitation hospital in Montgomery County, MD., that offers comprehensive rehabilitation programs for traumatic brain injuries, spinal cord injuries, strokes, amputation, orthopedic injuries and surgeries, sports-related injuries, work-related injuries, cardiopulmonary conditions, and neurological disorders.We believe that rehabilitation is all about helping our patients set their goals and reach them. Expert care teams working side-by-side with patients, using innovative therapies, state-of-the-art equipment and ground-breaking technology combine to offer new ways to heal. Adventist Rehabilitation Hospital is built around our patients and leads the way back to life from stroke, brain injury, spinal cord injury, amputation and trauma. Every day, we celebrate patient advances, big and small.We have recently upgraded our services through the addition of an accessible van, rehabilitation equipment (such as power wheel chairs or light/sport wheel chairs) a car simulator for practice car transfers and sleeper chairs. Adventist Rehab has locations in Rockville and Takoma Park with outpatient services in Rockville and Silver Spring.Adventist Rehab offers specialized inpatient and outpatient treatment for persons with functional limitations, caring for patients 18 and older and, under special circumstances, emancipated minors. Our many rehabilitation programs and services include:Acute Inpatient Rehabilitation Spinal Cord Injury Amputee Program Stroke Brain Injury Orthopedic ProgramsOrthopedic Rehabilitation Prosthetics &amp; Orthotics Outpatient ServicesDriver Rehabilitation Program Lymphedema Therapy Joint Replacement Program Seating &amp; Mobility Clinic Lee Silverman Voice Treatment (LSVT) Speech Language &amp; Swallowing Therapy Adventist Rehabilitation Hospital of Maryland is the only hospital in the D.C. metropolitan area and the third in the nation to earn a specialty accreditation in amputee rehabilitation from the Commission on Accreditation of Rehabilitation Facilities (CARF) International. CARF introduced its amputee specialty standards in July 2007 with input from the Amputee Coalition of America (ACA), Veterans Health Administration, Department of Defense, American Academy of Orthotists &amp; Prosthetists, and persons with limb loss. The standards, which became effective in January 2008, require accredited amputee programs to provide a holistic, interdisciplinary team approach to care and to offer post-care assistance in transitioning back to the community.Our Acute Inpatient Rehabilitation Program is run by a team of rehabilitation experts who will guide you along a practical and personal treatment program focused on increasing self-reliance and gaining independence. The team is led by a physiatrist, a medical doctor who specializes in physical rehabilitation. We provide specialized rehabilitation nursing 24 hours a day, seven days a week. Therapy services include physical therapy, occupational therapy, speech language pathology, and recreational therapy.The Spinal Cord Injury Program addresses both Traumatic Spinal Cord Injuries result from a fall or some kind of accident, and Non-Traumatic Spinal Cord Injuries that result from a stroke and disruption to the spinal cord, tumor on spinal cord, or infection. Again, a team approach to put together an Interdisciplinary Plan of Care helps the patient on the road to recovery.Adventist Rehabilitation's Amputee Program utilizes an interdisciplinary team approach to help post-amputee patients to adjust physically and psychologically after the loss of a limb and resume active and productive lives. Individuals may be treated as inpatients or outpatients, depending on their personal needs. Patients work to improve strength, coordination and endurance and also learn proper wound care. When ready, our patients are prescribed prosthetic devices that are both functional and comfortable to wear. Once tined with a new limb, the patient learns to use the prosthesis with confidence and to incorporate it into daily life.The interdisciplinary team approach of the Brain Injury Program at Adventist Rehab addresses traumatic brain injuries caused by an external physical force, such as a car accident, fall, sports or workplace injuries, etc.; as well as acquired brain injuries caused by internal trauma to the brain, such as tumors, blood clots, seizures, infections, etc. Each of these types of brain injuries may result in impairment of physical, cognitive, behavioral, and/or emotional capabilities. Rehabilitation following a brain injury is very complex because of the need to address multiple areas of deficit, including physical impairments, functional deficiencies (such as difficulty walking or dressing), behavioral difficulties, emotional consequences and social or interpersonal limitations. Often, significant cognitive deficits, such as limited attention span or poor memory, underlie and exacerbate these problems. Patients in our Brain Injury Program receive intensive, integrated rehabilitation designed to maximize their recovery. Team members, including a neuropsychologist, meet at least once a week to discuss goals, progress and treatment strategies.Other programs offered include a Stroke Program for recovering stroke patients to take part in an intensive course of integrated therapy and medical management. The objective is to restore movement, improve speech, teach self care and home care skills and improve cognitive and memory functions. Stroke patients and their families will be guided through a patient-focused, comprehensive, and outcome-oriented stroke program by a caring, competent team of healthcare professionals. The Orthopedic Rehabilitation Program is designed for those who have undergone a total hip or knee replacement or have sustained trauma to bones or joints. The program focuses on helping patients regain their strength, mobility, endurance and range of motion.The Driver Rehabilitation Program determines whether it is safe for the client to continue driving following an injury/illness or age related changes. A driving program may include a clinical evaluation which includes an assessment of vision, visual perception, cognition, reaction time, and motor skills related to driving. It may also include a behind-the-wheel evaluation, in addition to training conducted by an Occupational Therapist who specializes in driving rehabilitation.Our certified Lymphedema Therapists provide a complete decongestive treatment approach for people suffering from lymph edema. This involves a specialized massage technique called manual lymph drainage (MLD), skin and nail care, compression bandaging and garments, remedial exercise and self-care training. The goal of our program is to help individuals reduce increase volume resulting from lymph edema, restore mobility, improve cosmesis, prevent infection, and improve their quality of life.A Joint Replacement Program at Adventist Rehabilitation Center helps patients to achieve goals for optimal results. One of the important critical factors for successful outcomes following knee or hip replacement for patients is for patients to diligently follow the physical rehabilitation process. Adventist Rehab provides both the support and resources for a positive outcome.Lee Silverman Voice Treatment (LSVT)-certified speech language pathologists at Adventist Rehabilitation Center can complete a comprehensive assessment to determine candidacy for LSVT. LSVT is a highly effective intensive speech therapy program designed for Parkinson's patients. LSVT is designed to improve speech and voice function. The therapy targets vocal loudness in order to trigger improved function and coordination across the various subsystems of speech. LSVT combines motor retraining with sensory re-training to elicit maximum outcomes. The treatment regimen includes emphasis on patient education and carryover of gains to daily communication environments. The LSVT protocol involves four 1-hour therapy sessions per week for 4 weeks.Adventist Rehabilitation Hospital is built around our patients and leads the way back to life from stroke, brain injury, spinal cord injury, amputation and trauma. Expert care teams working side-by-side with patients, using innovative therapies, state-of-the-art equipment and ground-breaking technology combine to offer new ways to heal. As a nonprofit organization, Adventist Rehabilitation Hospital depends on this support and dollar for dollar, every donation makes a difference by helping us maintain outstanding programs and services and keep pace with the latest advances in technology and equipment for rehabilitative care.Schedule J Additional InformationCOMPENSATION DEFINED. THE COMPENSATION REPORTED FOR THE EMPLOYEES SET FORTH ON SCHEDULE J IS COMPRISED OF THE FOLLOWING:**BASE COMPENSATION -</Explanation>
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