2011-05-13T11:23:58-05:00 2010-06-30 SC&H TAX & ADVISORY SERVICES LLC 910 RIDGEBROOK ROAD SPARKS MD 21152 990 2009-07-01 521331298 ANNE ARUNDEL MEDICAL CENTER FOUNDATION INC ANNE 4434816554 2001 MEDICAL PARKWAY ANNAPOLIS MD 21401 ROBERT REILLY 4434816555 2011-05-09 1 Lori S Burghauser 4104031500 2011-05-09 2009 2016-02-24 21:20:13Z ROBERT REILLY 2001 MEDICAL PARKWAY ANNAPOLIS MD 21401 10314882 0 X WWW.AAHS.ORG X 1983 MD TO SUPPORT ANNE ARUNDEL MEDICAL CENTER, INC. AND RELATED ENTITIES OF ANNE ARUNDEL HEALTH SYSTEM. 25 23 0 0 0 0 7071452 9845329 0 731127 336440 -108657 -147009 7693922 10034760 1234102 953836 0 0 361183 111273 1539879 1345446 1432506 2940731 2497615 4753191 7537145 36115071 31089359 3594745 2240322 32520326 28849037 TO SUPPORT ANNE ARUNDEL MEDICAL CENTER, INC. AND RELATED ENTITIES OF ANNE ARUNDEL HEALTH SYSTEM. 0 0 902049 902049 0 CONTRIBUTIONS TO ANNE ARUNDEL MEDICAL CENTER, INC. 39000 39000 0 SCHOLARSHIPS TO BENEFIT THIRTEEN NURSING STUDENTS 7424 7424 0 CONTRIBUTIONS TO ANNE ARUNDEL HEALTH CARE SERVICES, INC., A SUBSIDIARY OF ANNE ARUNDEL MEDICAL CENTER, INC. 5363 5363 0 CONTRIBUTIONS TO ANNE ARUNDEL GENERAL TREATMENT SERVICES, INC., A SUBSIDIARY OF ANNE ARUNDEL MEDICAL CENTER, INC. 5363 5363 953836 1 1 0 1 0 0 0 0 1 1 0 1 0 0 0 0 0 1 1 0 0 1 1 1 0 0 0 0 0 0 0 0 1 1 0 0 0 1 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 25 23 1 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 MD AZ FL VA DC X SANDRA L HUFFER 4434816554 2001 MEDICAL PARKWAY ANNAPOLIS MD 21401 JOHN BELCHER 1.00 X X 0 0 0 J KENNETH DRIESSEN 1.00 X X 0 0 0 NICHOLAS LAMBROW 1.00 X X 0 0 0 LESLY SAJAK 1.00 X X 0 0 0 JOANN DECESARIS 1.00 X X 0 0 0 EDWARD GOSSELIN 1.00 X X 0 0 0 LISA HILLMAN 40.00 X X 0 271870 58845 BRUCE ABBOTT 1.00 X 0 0 0 CARL BRUNETTO 1.00 X 0 0 0 MARTIN L DOORDAN 40.00 X 0 782159 237340 THOMAS DUCKER MD 1.00 X 0 0 0 DOROTHY ELDER 1.00 X 0 0 0 PAUL ELDER MD-Part Year 1.00 X 0 0 0 KENNETH GILL 1.00 X 0 0 0 BECKY GRECO 1.00 X 0 0 0 ANTHONY IZZO 1.00 X 0 0 0 HENRY N LIBBY 1.00 X 0 0 0 JAMES MANDRIN 1.00 X 0 0 0 PATRICIA MCMANUS 1.00 X 0 0 0 NANCY MERRILL 1.00 X 0 0 0 CHARLES E MOORE JR 1.00 X 0 0 0 CULLEN MURRAY 1.00 X 0 0 0 THEODORE PINCUS 1.00 X 0 0 0 JERRY SOUTH 1.00 X 0 0 0 BRANT STANDRIDGE 1.00 X 0 0 0 JUDITH STEWART 1.00 X 0 0 0 KONRAD WAYSON 1.00 X 0 0 0 LAURA WESTERVELT 1.00 X 0 0 0 JUDY ZAZULIA-WAHL 1.00 X 0 0 0 0 1054029 296185 0 0 1 0 0 534557 400000 8910772 1157954 9845329 336440 336440 133113 534557 280122 -147009 -147009 10034760 0 0 189431 914836 914836 39000 39000 270 270 3900 3900 42000 42000 111273 111273 19212 19212 45606 45606 107280 107280 115243 115243 43571 43571 172178 172178 3328 3328 STAFFING CONTRACT 872935 872935 MISCELLANEOUS 6983 6983 2497615 953836 3900 1539879 403819 12975 8401528 2669741 15781737 15308627 0 1000 246897 206064 44161 40833 11157033 12736147 326793 320036 36115071 31089359 602980 650445 2991765 1589877 3594745 2240322 X 996686 1026908 20558269 16690196 10965371 11131933 32520326 28849037 36115071 31089359 X 0 1 1 X 0 X X X 0 0 0 ANNE ARUNDEL MEDICAL CENTER INC 521169362 3 1 1 1 909473 Anne Arundel General Treatment Services Inc 521722088 3 1 1 1 5363 ANNE ARUNDEL HEALTH CARE SERVICES INC 521467734 3 1 1 1 7424 3 922260 RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 1 42000 0 0 42000 0 Part II-B, Line 1i: Explanation of Other Lobbying Activities: ANNE ARUNDEL MEDICAL CENTER FOUNDATION, INC. PAID ITS LOBBYIST, IKON PUBLIC AFFAIRS GROUP, TO DIRECTLY CONTACT FEDERAL LEGISLATORS ON MATTERS AFFECTING HEALTH CARE. 10965371 276062 389000 39000 109500 350000 11131933 11087793 78578 436000 36000 201000 400000 10965371 0.00000 1.00000 0.00000 0 0 82411 82411 0 164486 123653 40833 40833 DUE TO AFFILIATE 1589877 1589877 10034760 2497615 7537145 1267045 -12475479 -11208434 -3671289 Part V, Line 4: Description of Intended Use of Endowment Funds: THE ORGANIZATION USES THE ENDOWMENT FUNDS TO PROVIDE SUPPORT FOR ANNE ARUNDEL MEDICAL CENTER, INC. AND TO SUPPORT ITS OPERATING EXPENSES THAT ARE NECESSARY TO FULFILL THE ORGANIZATION'S EXEMPT PURPOSE. Part X: Description of Uncertain Tax Positions Under FIN 48: Anne Arundel Medical Center Foundation, Inc. is a subsidiary of the consolidated group known as Anne Arundel Health System, Inc. ("Group"). An audit was performed and audited financial statements were issued for Anne Arundel Health System, Inc. and its subsidiaries on a consolidated basis. In the notes to consolidated financial statements for Anne Arundel Health System, Inc., it is noted that the Group adopted ASC 740 on July 1, 2007 and that the Group has determined that it does not have any uncertain tax positions through June 30, 2010. Part XI, Line 8 - Other Adjustments: DISTRIBUTIONS ON CHARITABLE GIFT ANNUITIES: -139924. CHANGE IN PRESENT VALUE OF PLEDGES RECEIVABLE: 374827. CHANGE IN DEFERRED REVENUE: -847937. CHANGE IN CHARITABLE GIFT ANNUITY PAYABLE: 63019. INCREASE IN CASH SURRENDER VALUE OF LIFE INSURANCE: 1841. TRANSFER TO AFFILIATE FOR PURCHASE OF EQUIPMENT AND CONSTRUCTION PROJECT: -11927305. X X X X X X 1 HERITAGE COMPANY INC Telephone Solicitation 0 262593 62773 0 Community counseling Service Co Inc Fundraising consultation 0 0 48500 0 262593 111273 MD AZ FL VA DC GOLF EVENT 154290 130740 23550 27858 16255 GALA 513380 403817 109563 125624 110385 667670 534557 133113 153482 126640 280122 -147009 1 ANNE ARUNDEL MEDICAL CENTER INC 2001 MEDICAL PARKWAY ANNAPOLIS MD 21401 521169362 501(C)(3) 902049 TO SUPPORT OPERATIONS OF ANNE ARUNDEL MEDICAL CENTER, INC. ANNE ARUNDEL GENERAL TREATMENT SERVICES INC 2001 MEDICAL PARKWAY ANNAPOLIS MD 21401 521722088 501(C)(3) 5363 TO SUPPORT OPERATIONS OF ANNE ARUNDEL GENERAL TREATMENT SERVICES, INC. ANNE ARUNDEL HEALTH CARE SERVICES INC 2001 MEDICAL PARKWAY ANNAPOLIS MD 21401 521467734 501(C)(3) 7424 TO SUPPORT OPERATIONS OF HEALTH CARE SERVICES, INC. 3 0 SCHOLARSHIPS TO BENEFIT NURSING STUDENTS 13 39000 Procedure for Monitoring Grants in the U.S.: Part I, Line 2: Schedule I, Part I, Line 2: The Foundation gives contributions to fund its related organizations in order to fulfill the Foundation's exempt purpose of being a supporting organization. In addition, the Foundation selects individuals who are seeking a nursing degree to receive scholarships based upon their need. The Foundation monitors the use of these funds through board meetings and through the review of the entity's financial information. X X X X X 0 1 0 0 0 0 0 0 0 LISA HILLMAN 0 208491 0 39412 0 23967 0 43339 0 15506 0 330715 0 0 MARTIN L DOORDAN 0 609043 0 145819 0 27297 0 217858 0 19482 0 1019499 0 0 Part I, Line 4a The following participated in the organization's 457(f) plan: Martin L. Doordan $181,188 Lisa Hillman $14,001 X 5 1875 FMV X 28 1070763 FMV X ENTERTAINMENT 34 17464 FMV X FOOD & DRINK 32 7069 FMV X GOLF PACKAGES 9 4620 FMV X JEWELRY 11 15185 FMV X LODGING/TRANSPORTATION 15 12615 FMV X MISCELLANEOUS 19 10697 FMV X OTHER SERVICES 24 16016 FMV X RETAIL STORE GIFT CERTIFICATES 4 950 FMV X SPORTS MEMORIBILIA 3 700 FMV 0 0 1 0 Method for Determining Number of Contributors: Part I, Column (b): THIS COLUMN REPRESENTS THE NUMBER OF CONTRIBUTIONS RECEIVED. Third Party Use: Part I, Line 32b: THE FOUNDATION'S NON-CASH CONTRIBUTIONS INCLUDE PUBLICLY-TRADED SECURITIES AND ITEMS FOR SILENT AUCTIONS. THESE ITEMS ARE SOLICITED AND REVIEWED PRIOR TO ACCEPTANCE. Form 990, Part VI, Section A, line 2 DR. PAUL ELDER AND DOROTHY ELDER, WHO ARE HUSBAND AND WIFE, ARE BOTH BOARD MEMBERS OF ANNE ARUNDEL MEDICAL CENTER FOUNDATION, INC. Form 990, Part VI, Section A, line 6 THE SOLE MEMBER OF THE ORGANIZATION IS THE ANNE ARUNDEL HEALTH SYSTEM, INC. ("AAHS"), A SECTION 501(C)(3) ENTITY THAT SERVES AS THE PARENT CORPORATION OF THE INTEGRATED HEALTH SYSTEM. Form 990, Part VI, Section A, line 7a THE SOLE MEMBER OF THE ORGANIZATION IS THE ANNE ARUNDEL HEALTH SYSTEM, INC. ("AAHS"), A SECTION 501(C)(3) ENTITY THAT SERVES AS THE PARENT CORPORATION OF THE INTEGRATED HEALTH SYSTEM. AAHS HAS THE EXPRESS POWER AND RESPONSIBILITY TO ELECT AND REMOVE THE BOARD OF DIRECTORS AND OFFICERS OF THE CORPORATION. Form 990, Part VI, Section A, line 7b THE SOLE MEMBER OF THE ORGANIZATION IS THE ANNE ARUNDEL HEALTH SYSTEM, INC. ("AAHS"), A SECTION 501(C)(3) ENTITY THAT SERVES AS THE PARENT CORPORATION OF THE INTEGRATED HEALTH SYSTEM. AAHS HAS THE EXPRESS POWER AND RESPONSIBILITY TO APPROVE DECISIONS OF THE BOARD OF DIRECTORS. Form 990, Part VI, Section B, line 11 The Board has assigned responsibility for the detailed review of the Form 990 to the Finance and Audit Committee of Anne Arundel Health System, Inc. (parent). The Finance and Audit Committee reviews the Form 990 and provides summary information to the full board. The Form 990 is made available to the full board for review prior to its filing. Form 990, Part VI, Section B, line 12c THE ORGANIZATION REQUIRES THAT EACH MEMBER OF THE BOARD REVIEW THE ORGANIZATION'S CONFLICT OF INTEREST POLICY ON AN ANNUAL BASIS AND RETURN AN ACKNOWLEDGEMENT OF RECEIPT AND DISCLOSURE OF ANY POTENTIAL CONFLICTS OF INTEREST. The Board, Management and the accounts payable function monitor transactions for potential excess benefit transactions/private inurement. Form 990, Part VI, Section B, line 15 The Organization reimburses Anne Arundel Medical Center for compensation and benefit costs. Anne Arundel Medical Center's executive compensation committee determines the Executive Director's compensation following the IRC Section 4958 rebuttable presumption test. All other compensation is determined through consultation with an independent outside compensation consulting firm. Form 990, Part VI, Section C, line 19 The Organization's governing documents, conflict of interest policy and financial statements are retained in the Finance office and are available for public inspection upon request. FORM 990 IS AVAILABLE BY REQUEST TO THE FINANCe OFFICE OR CAN BE OBTAINED ONLINE AT GUIDESTAR.ORG. FORM 990, PAGE 12, PART XI, LINE 2C THIS PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. Schedule G, Part I, Line 2b, Column (v) Explanation of Fundraising Payments Community Counseling Service Co., Inc. ("CCS") provided professional fundraising services to assist in a major fundraising campaign. CCS managed the campaign on a day-to-day basis and helped leadership implement the campaign in an effective manner. CCS assisted in the preparation of campaign promotional and operational materials, as well as assisted in the identification and recruitment of campaign leaders. CCS guided and trained the solicitors for all phases and divisions. CCS at no time actively sought contributions on behalf of the organization. FORM 990, PAGE 5, PART V, LINE 2 PAYROLL AND BENEFITS FOR ALL OFFICERS, DIRECTORS AND EMPLOYEES OF THE CONSOLIDATED GROUP KNOWN AS ANNE ARUNDEL HEALTH SYSTEM, INC. IS ADMINISTERED THROUGH ANNE ARUNDEL MEDICAL CENTER, INC. (AAMC). AAMC SUBSEQUENTLY BILLS EACH ENTITY FOR THE AMOUNT OF WAGE AND BENEFIT EXPENSE INCURRED BY THEM. THIS IS REPORTED ON THE FORM 990 AS "STAFFING CONTRACT EXPENSE" ON PAGE 1O. ANNE ARUNDEL HEALTH SYSTEM INC 2001 MEDICAL PARKWAY ANNAPOLIS MD 21401 521622253 SUPPORT HEALTH CARE Related Entities MD 501(C)(3) 9 N/A ANNE ARUNDEL REAL ESTATE HOLDING COMPANY INC 2001 MEDICAL PARKWAY aNNAPOLIS MD 21401 521622251 REAL ESTATE HOLDING COMPANY MD 501(C)(2) n/a ANNE ARUNDEL HEALTH SYSTEM INC ANNE ARUNDEL HEALTH CARE SERVICES INC 2001 MEDICAL PARKWAY aNNAPOLIS MD 21401 521467734 OUTPATIENT DIAGNOSTICS AND IMAGING SERVICES MD 501(C)(3) 3 Anne Arundel Medical Center Inc ANNE ARUNDEL HEALTH SYSTEM RESEARCH INSTITUTE INC 2001 MEDICAL PARKWAY aNNAPOLIS MD 21401 263038406 Medical Research MD 501(C)(3) 4 ANNE ARUNDEL HEALTH SYSTEM INC ANNE ARUNDEL MEDICAL CENTER INC 2001 MEDICAL PARKWAY aNNAPOLIS MD 21401 521169362 Medical/Hospital Services MD 501(C)(3) 3 ANNE ARUNDEL HEALTH SYSTEM INC ANNE ARUNDEL GENERAL TREATMENT SERVICES INC 2001 MEDICAL PARKWAY aNNAPOLIS MD 21401 521722088 ALCOHOL & DRUG ABUSE TREATMENT SERVICES MD 501(C)(3) 3 ANNE ARUNDEL MEDICAL CENTER INC PHYSICIAN ENTERPRISE LLC 2001 MEDICAL PARKWAY aNNAPOLIS MD 21401 270263214 MEDICAL / PHYSICIAN SERVICES MD 501(C)(3) 3 ANNE ARUNDEL HEALTH SYSTEM INC ANNAPOLIS EXCHANGE LOT IV LLC 2001 MEDICAL PARKWAY ANNAPOLIS MD 21401 522020156 Commercial medical real estate leasing MD N/A ANNAPOLIS EXCHANGE LOT V LLC 2001 MEDICAL PARKWAY ANNAPOLIS MD 21401 522020157 Commercial medical real estate leasing MD N/A MEDICAL OFFICE LLC 2001 MEDICAL PARKWAY ANNAPOLIS MD 21401 202290229 Commercial medical real estate leasing MD N/A KENT ISLAND MEDICAL ARTS LLC 2001 MEDICAL PARKWAY ANNAPOLIS MD 21401 260623450 Commercial medical real estate leasing MD N/A BLUE BUILDING LLC 2001 MEDICAL PARKWAY ANNAPOLIS MD 21401 263525250 Commercial medical real estate leasing MD N/A PAVILION PARK INC 2001 MEDICAL PARKWAY ANNAPOLIS MD 21401 521890034 REAL ESTATE LEASING MD N/A C ANNE ARUNDEL HEALTH CARE ENTERPRISES INC 2001 MEDICAL PARKWAY ANNAPOLIS MD 21401 521646304 MEDICAL SERVICES MD N/A C COTTAGE INSURANCE COMPANY LTD BOX 1109 GRAND CAYMAN CJ CJ KY1-110 980461499 CAPTIVE INSURER - PROFESSIONAL LIABILITY INSURANCE CJ N/A C 0 1 1 0 0 0 0 1 0 1 0 0 0 0 1 0 0 0