2024-05-09T11:41:15-05:00 2023-06-30 205991824 SC&H GROUP INC 910 RIDGEBROOK ROAD SPARKS MD 21152 990 2022-07-01 521169362 LUMINIS HEALTH ANNE ARUNDEL MEDICAL CENTER INC ANNE 4434811308 2000 MEDICAL PARKWAY 606 ANNAPOLIS MD 21401 STEPHANIE SCHNITTGER CFO 4434811308 2024-05-07 1 STEPHANIE SCHNITTGER 999009999 0 LORI S BURGHAUSER P00370694 4104031500 2024-05-07 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z VICTORIA BAYLESS 2000 MEDICAL PARKWAY 606 ANNAPOLIS MD 21401 727318140 0 X WWW.LUMINISHEALTH.ORG X 1902 MD TO ENHANCE THE COMPREHENSIVE HEALTH CARE WE PROVIDE TO THE LOCAL AND REGIONAL COMMUNITY WE SERVE. 14 12 3807 300 594707 792 9124787 6733878 644528976 617106400 25539628 21704665 6000376 6913021 685193767 652457964 374835 253999 0 0 244422674 263065891 0 0 0 429231579 374551783 674029088 637871673 11164679 14586291 1001929184 1018477918 467556044 435572344 534373140 582905574 X AS A CHARITABLE ORGANIZATION, LUMINIS HEALTH ANNE ARUNDEL MEDICAL CENTER'S (LHAAMC) MISSION IS TO ENHANCE THE HEALTH OF THE PEOPLE WE SERVE AND ITS VISION "LIVING HEALTHIER TOGETHER." IN ADDITION TO TRADITIONAL PATIENT SERVICES LIKE DIAGNOSIS, TREATMENT AND REHABILITATION, THIS VISION IS ACCOMPLISHED BY ENSURING THAT HEALTH AND WELLNESS ARE FUNDAMENTAL TO EVERYONE, THAT WORKING SIDE-BY-SIDE WITH OUR COMMUNITY AND PATIENTS TO EMPOWER THEM TO TAKE CONTROL OF THEIR HEALTH, THAT PARTNERSHIPS AND CONNECTIVITY FORM THE FOUNDATION OF CARE, THAT EVIDENCE-BASED CARE IS CENTERED AROUND PEOPLE AND FAMILY, THAT ACCESS TO CARE SHOULD BE REFRESHINGLY EASY, AND THAT LUMINIS HEALTH WILL GENERATE A POSITIVE IMPACT FOR ALL. 0 0 454419033 253999 606355152 INPATIENTTHE LHAAMC WOMEN'S AND CHILDREN'S CENTER OFFERS MULTIGENERATIONAL PROGRAMS TO SUPPORT A WOMAN FROM THE TIME SHE BEGINS GYNECOLOGICAL CARE THROUGH THE CHILDBEARING YEARS AND BEYOND. WE OFFER THE MOST COMPREHENSIVE WOMEN'S SERVICES; ALL-INCLUSIVE MATERNITY, NEWBORN AND PEDIATRIC CARE; ADVANCED TREATMENTS FOR ANY HEALTH CHALLENGES WOMEN AND THEIR FAMILIES MAY ENCOUNTER; AND EXTENSIVE SCREENING, PREVENTION AND WELLNESS PROGRAMS TO HELP THEM LEAD LONGER, HEALTHIER AND MORE FULFILLING LIVES.LHAAMC IS KNOWN FOR EXCELLENCE IN OBSTETRICAL SERVICES, AND WE OFFER MOMS MANY OPTIONS AS THEY MAKE INFORMED CHOICES DURING LABOR AND DELIVERY. OUR GOAL IS FOR EACH MOTHER AND HER FAMILY TO FEEL RESPECTED AND TO EXPERIENCE THE BIRTHING PROCESS AND POSTPARTUM EXPERIENCE THEY DESIRE. LHAAMC DELIVERS MORE THAN 5,300 BABIES EACH YEAR, THE SECOND HIGHEST NUMBER OF DELIVERIES IN THE STATE OF MARYLAND.LHAAMC'S NEONATAL INTENSIVE CARE UNIT (NICU) IS DESIGNATED AS A LEVEL III NICU, AND IS ABLE TO CARE FOR THE MOST CRITICALLY ILL NEWBORNS, ALLOWING BABIES BORN EARLY OR WITH COMPLICATIONS TO STAY WITH THEIR MOTHERS AT LHAAMC. HOSPITALS THAT DO NOT HAVE THIS LEVEL OF NICU CARE OFTEN MUST TRANSFER BABIES TO OTHER HEALTH CARE FACILITIES, MEANING THAT MOTHERS AND BABIES CANNOT REMAIN TOGETHER.THE LHAAMC NICU, ALSO KNOWN AS "TEDDY'S PLACE", IS A STATE-OF-THE-ART 30-BED UNIT, EQUIPPED WITH LIFE-SAVING TECHNOLOGY AND STAFFED BY FULL- AND PART-TIME NEONATOLOGISTS, NEONATAL NURSE PRACTITIONERS, AND NURSES WITH SPECIALIZED NICU TRAINING. LHAAMC WAS RECOGNIZED AS A 2022 PREGNANCY HUMAN EXPERIENCE AWARD WINNER, RECEIVING THE GUARDIAN OF EXCELLENCE-PATIENT EXPERIENCE, NICU AWARD.AT LHAAMC, THE CENTER FOR MATERNAL-FETAL MEDICINE OFFERS WOMEN THE HIGHEST LEVEL OF OBSTETRIC CARE, WITH HIGHLY TRAINED PHYSICIANS ABLE TO PERFORM AND OVERSEE A WIDE RANGE OF COMPLICATIONS.THE LHAAMC CENTER OFFERS CARE TO WOMEN WHO COME FROM AS FAR AWAY AS MARYLAND'S ST. MARY'S AND WICOMINCO COUNTIES, AS WELL AS DELAWARE. TYPICAL PATIENTS INCLUDE WOMEN WHO ARE CARRYING TWINS OR TRIPLETS, WOMEN REQUIRING DIABETES EDUCATION OR SPECIALIZED TESTING, SUCH AS AMNIOCENTESIS, OR WOMEN WHO WILL BE 35 OR OLDER AT THE TIME OF DELIVERY. THE LHAAMC WOMEN'S CENTER FOR PELVIC HEALTH PROVIDES COMPREHENSIVE AND INNOVATIVE PELVIC HEALTH CARE FOR WOMEN OF ALL AGES SUFFERING FROM PROBLEMS AND DISORDERS OF THE PELVIC REGION. OUR EXPERIENCED SPECIALISTS EMPLOY A COMPASSIONATE AND PROFESSIONAL APPROACH TO DIAGNOSE AND TREAT ALL COMPONENTS OF PELVIC PROBLEMS, WITH THE GOAL OF ENSURING WELLNESS AND MAINTAINING DIGNITY. THE LHAAMC WOMEN'S CENTER ADDRESSES ISSUES INCLUDING URINARY INCONTINENCE, PELVIC SUPPORT PROBLEMS, FECAL INCONTINENCE, CHILDBIRTH, AND PREGNANCY RELATED PELVIC FLOOR DISORDERS, INCONTINENCE CLEARLY LINKED TO PROLAPSE OR PELVIC FLOOR DYSFUNCTION, AND PELVIC ORGAN PROLAPSE (CYSTOCELE, RECTOCELE, UTERINE, VAGINAL VAULT, PERINEAL). LHAAMC'S WOMEN'S CENTER FOR PELVIC HEALTH IS A RECIPIENT OF THE SAFETY CERTIFICATION IN OUTPATIENT PRACTICE EXCELLENCE (SCOPE) FOR WOMEN'S HEALTH. IT IS ONE OF ONLY TWO WOMEN'S HEALTH PRACTICES IN MARYLAND AND AMONG ONLY 95 IN THE COUNTRY TO RECEIVE THIS DESIGNATION.STROKELHAAMC HAS EARNED CERTIFICATION AS A PRIMARY STROKE CENTER FROM THE JOINT COMMISSION, AND WAS THE FIRST HOSPITAL IN THE REGION (AND ONE OF THE FIRST EIGHT IN THE STATE) TO HAVE EARNED THIS HIGHLY SPECIALIZED DESIGNATION. BECAUSE SUCCESSFUL TREATMENT OF STROKE PATIENTS IS SO TIME-CRITICAL, THE PRESENCE OF A CERTIFIED STROKE CENTER IN ANNE ARUNDEL COUNTY IS SIGNIFICANT FOR THE RESIDENTS OF THE REGION BECAUSE THEY NO LONGER HAVE TO WASTE PRECIOUS TIME AND TRAVEL 30 OR MORE MILES TO GET LIFE-SAVING TREATMENT. THE JOINT COMMISSION CERTIFICATION MEANS LHAAMC HAS DEMONSTRATED THAT ITS STROKE PROGRAM FOLLOWS NATIONAL STANDARDS AND GUIDELINES THAT CAN SIGNIFICANTLY IMPROVE OUTCOMES FOR STROKE PATIENTS. IN MARYLAND, SOMEONE IS HOSPITALIZED FOR A STROKE EVERY 30 MINUTES AND SOMEONE DIES EVERY THREE HOURS, ACCORDING TO THE MARYLAND INSTITUTE FOR EMERGENCY MEDICAL SERVICES SYSTEMS (MIEMSS). STROKE IS THE 3RD LEADING CAUSE OF DEATH IN MARYLAND. LHAAMC STROKE PROGRAM IS DESIGNATED A MIEMSS PRIMARY STROKE CENTER.LHAAMC IS THE RECIPIENT OF THE STROKE GOLD PLUS ACHIEVEMENT AWARD FROM THE AMERICAN HEART ASSOCIATION/AMERICAN STROKE ASSOCIATION, THE HIGHEST AWARD GIVEN TO STROKE PROGRAMS NATIONALLY. THE STROKE CARE CENTER IS A RECIPIENT OF THE GOLD PLUS TARGET ELITE QUALITY ACHIEVEMENT AWARD FROM THE AMERICAN HEART AND STROKE ASSOCIATION (AHA/ASA).LHAAMC OFFERS TREATMENT WITH TISSUE PLASMINOGEN ACTIVATOR (TPA), A CLOT-BUSTING MEDICATION APPROVED FOR USE IN CERTAIN PATIENTS HAVING A STROKE. TPA MUST BE GIVEN WITHIN A FEW HOURS AFTER SYMPTOMS BEGIN. THE PROCEDURE IS DONE THROUGH AN INTRAVENOUS (IV) LINE BY SPECIALLY TRAINED HOSPITAL PERSONNEL. LHAAMC TREATED MORE THAN 700 STROKE PATIENTS DURING FISCAL YEAR 2023. HEART AND VASCULAR INSTITUTETHE LHAAMC HEART AND VASCULAR INSTITUTE IS A COMPREHENSIVE PROGRAM OFFERING EXCEPTIONAL EMERGENCY, INTERVENTIONAL AND SURGICAL CARE TO OUR COMMUNITY. THE HEART AND VASCULAR INSTITUTE FEATURES A DEDICATED HEART AND VASCULAR UNIT, VASCULAR SCREENING, SURGERY AND TREATMENT, CARDIAC-CATHERIZATION, INTERVENTIONAL MEDICINE, EMERGENCY ANGIOPLASTY, CARDIOPULMONARY REHABILITATION AND INTERVENTIONAL RADIOLOGY. A REGIONAL RESOURCE TO OUR COMMUNITY, THE LHAAMC HEART AND VASCULAR INSTITUTE IS NATIONALLY RECOGNIZED AS A STANDARD FOR CARE AND TREATMENT OF HEART ATTACK PATIENTS AND RECIPIENT OF THE GOLD PERFORMANCE ACHIEVEMENT AWARD FROM THE AMERICAN COLLEGE OF CARDIOLOGY. LHAAMC IS ALSO A PARTICIPANT IN THE C-PORT E PROGRAM, OFFERING ELECTIVE ANGIOPLASTY SERVICES TO OUR COMMUNITY.LHAAMC HAS RECEIVED A PERFORMANCE ACHIEVEMENT AWARD FROM THE AMERICAN COLLEGE OF CARDIOLOGY WHICH RECOGNIZES LHAAMC FOR CONSISTENTLY FOLLOWING HEART ATTACK TREATMENT GUIDELINES AND IMPROVING OUTCOMES FOR HIGH-RISK PATIENTS. SURGICAL SERVICESLHAAMC SURGEONS PERFORM A VARIETY OF INPATIENT AND OUTPATIENT SURGICAL PROCEDURES FROM THE ROUTINE TO THE TECHNOLOGICALLY ADVANCED, SUCH AS ROBOTICS. IN ADDITION TO GENERAL SURGERIES, THEY SPECIALIZE IN BREAST, COLON AND RECTAL, ORTHOPEDIC, PEDIATRIC, RETINAL, THORACIC, VASCULAR, UROLOGY, GYNECOLOGY, UROGYNECOLOGY, OPHTHALMOLOGY, AND EAR, NOSE AND THROAT SURGERY, AS WELL AS NEUROSURGERY AND PLASTIC RECONSTRUCTIVE SURGERY. BOARD-CERTIFIED ANESTHESIOLOGISTS PLAN AND SUPERVISE ANESTHESIA CARE FOR ALL PATIENTS. IN ADDITION, 24-HOUR PHYSICIAN CARE THROUGH THE HOSPITALIST AND INTENSIVIST PROGRAMS MEANS A DOCTOR IS ALWAYS NEARBY TO MAKE SURE RECOVERY FOR INPATIENTS IS PROGRESSING SMOOTHLY.LHAAMC'S BARIATRIC SURGERY PROGRAM IS A LEVEL 1 FACILITY, NATIONALLY ACCREDITED BY THE AMERICAN COLLEGE OF SURGEONS FOR PROVIDING A HIGH QUALITY OF CARE AND EXCELLENT OUTCOMES. LHAAMC'S WEIGHT LOSS AND METABOLIC SURGERY PROGRAM IS ACCREDITED AS A COMPREHENSIVE CENTER BY THE METABOLIC AND BARIATRIC SURGERY ACCREDITATION AND QUALITY IMPROVEMENT PROGRAM, SIGNIFYING THE PROGRAM MEETS THE HIGHEST STANDARDS FOR PATIENT SAFETY AND QUALITY CARE. AT THE LHAAMC JOINT CENTER, OUR SURGEONS HOLD SUPERIOR CREDENTIALS AND MANY OF OUR SURGEONS SPECIALIZE IN KNEE AND HIP REPLACEMENT. OUR VOLUME OF SURGERY ALSO CONTRIBUTES TO OUR MEDICAL EXPERTISE. LHAAMC PERFORMS MORE THAN 1,900 JOINT REPLACEMENTS PER YEAR, WHICH MAKES US CONSISTENTLY ONE OF THE HIGHEST VOLUME JOINT REPLACEMENT CENTERS IN THE STATE. OVER THE PAST FIVE YEARS, LHAAMC IS SECOND IN THE STATE FOR THE NUMBER OF JOINT REPLACEMENTS PERFORMED AT A HOSPITAL.U.S NEWS & WORLD REPORT CONSISTENTLY RECOGNIZES LHAAMC AS A BEST HOSPITAL IN MARYLAND AND THE BALTIMORE METRO AREA, AS HIGH PERFORMING FOR HIP AND KNEE REPLACEMENTS. JOINT CAMPANOTHER UNIQUE PART OF THE LHAAMC JOINT CENTER IS OUR "JOINT CAMP". AN IMPORTANT PART OF THE PROGRAM, THE JOINT CAMP GETS ITS NAME IN PART FROM THE SENSE OF SHARED EXPERIENCES, CAMARADERIE AND COMPANIONSHIP MANY PATIENTS FEEL TOWARD ONE ANOTHER. THE PHILOSOPHY OF JOINT CAMP IS THAT YOU AND YOUR FAMILY ARE NOT BYSTANDERS, BUT RATHER ACTIVE PARTICIPANTS WITH A COMMON GOAL. A TRAINED COORDINATOR HELPS GUIDE AND ASSIST YOU EVERY STEP OF THE WAY.OUTPATIENTTHE LHAAMC GEATON AND JOANN DECESARIS CANCER INSTITUTE ENCOMPASSES A LARGE ARRAY OF SERVICES RANGING FROM PREVENTION, SCREENING, DIAGNOSIS AND TREATMENT THROUGH SURVIVORSHIP. MANY DIFFERENT TYPES OF CANCER SPECIALISTS CONTRIBUTE TO THE CARE OF PATIENTS IN OUR PROGRAMS. IT IS OUR GOAL TO PROVIDE THE BEST EXPERIENCE POSSIBLE, NO MATTER WHERE OR HOW A PERSON ENCOUNTERS OUR CANCER CENTER SERVICES.(CONTINUED ON PAGE 87) 454419033 1 1 0 1 0 0 0 0 0 0 1 1 0 1 1 1 0 1 0 0 1 0 0 0 0 0 1 1 1 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 1 0 1 271 0 3807 1 1 1 0 0 0 0 0 0 0 0 0 1 0 X 14 12 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 MD X STEPHANIE SCHNITTGER 4434811308 2000 MEDICAL PARKWAY SUITE 606 ANNAPOLIS MD 21401 VICTORIA BAYLESS LH CEO/BOARD MEMBER 1.00 40.00 X X 0 1988889 290314 JEFFREY GELFAND BOARD MEMBER/MEDICAL DIRECTOR 1.00 40.00 X 0 1294095 8700 STEPHEN CATTANEO BOARD MEMBER (PART YEAR)/PHYSICIAN 1.00 40.00 X 0 1144259 46453 SHERRY PERKINS PHD RN FAAN LHAAMC PRES/PART YEAR BOARD MEMBER 1.00 40.00 X X 1031557 0 68615 LEISA RUSSELL CHAIR 1.00 1.00 X X 0 0 0 RENE LAVIGNE VICE CHAIR 1.00 1.00 X X 0 0 0 CARLETTA ALLEN BOARD MEMBER (PART YEAR) 1.00 1.00 X 0 0 0 PATRICIA ARZUAGA BOARD MEMBER 1.00 1.00 X 0 0 0 JAMES CHAMBERS PART YEAR CHAIR/BOARD MEMBER 1.00 1.00 X 0 0 0 PATRICIA DARROW-SMITH BOARD MEMBER (PART YEAR) 1.00 1.00 X 0 0 0 KAREN DRENKARD PHD RN BOARD MEMBER (PART YEAR) 1.00 1.00 X 0 0 0 KEITH GHEZZI BOARD MEMBER 1.00 1.00 X 0 0 0 ATHENA GROVES BOARD MEMBER 1.00 1.00 X 0 0 0 NIELS HOLCH ESQ BOARD MEMBER 1.00 1.00 X 0 0 0 ALAN HYATT BOARD MEMBER 1.00 1.00 X 0 0 0 GARY MICHAEL BOARD MEMBER 1.00 1.00 X 0 0 0 MISTI MUKHERJEE ESQ VICE CHAIR 1.00 1.00 X 0 0 0 JOYCE PHILLIP BOARD MEMBER 1.00 1.00 X 0 0 0 THEODORE PINCUS BOARD MEMBER (PART YEAR) 1.00 1.00 X 0 0 0 HEIDI ROTHENHAUS RN JD BOARD MEMBER (PART YEAR) 1.00 1.00 X 0 0 0 RANDOLPH H ROWEL PHD BOARD MEMBER (PART YEAR) 1.00 1.00 X 0 0 0 DAVID TODD MD EX-OFFICIO (PART YEAR) 1.00 2.00 X 0 0 0 MARK WHITLOCK BOARD MEMBER 1.00 1.00 X 0 0 0 TIMOTHY ADELMAN LH GENERAL COUNSEL/SECRETARY 1.00 40.00 X 0 616996 89055 KEVIN SMITH LH CFO/TREASURER 1.00 40.00 X 0 611683 91736 MITCHELL SCHWARTZ MD CHIEF PHYSICIAN EXECUTIVE 1.00 40.00 X 0 967579 37232 JENNIFER HARRINGTON CHIEF OPERATING OFFICER 40.00 1.00 X 466860 0 62097 BARBARA JACOBS CHIEF NURSING OFFICER 40.00 1.00 X 355245 0 12856 ADRIAN PARK MD SURGERY DIVISION CHAIR 40.00 1.00 X 1054711 0 115784 MONICA JONES MD WOMEN'S & CHILDREN'S DIVIS 40.00 1.00 X 788703 0 67978 STEPHEN SELINGER CHIEF MEDICAL OFFICER - LHAAMC 40.00 1.00 X 595144 0 21722 ROBERT RICE EXECUTIVE MEDICAL DIRECTOR CANCER SERVICES 40.00 1.00 X 460379 0 34272 CATHERINE COPERTINO VICE PRESIDENT - CANCER SERVICES 40.00 0.00 X 364775 0 37915 MARY CLANCE MD FORMER BOARD MEMBER/ PHYSICIAN 40.00 0.00 X 251347 0 8111 ROBERT REILLY FORMER CFO 0.00 0.00 X 0 467093 24846 5368721 7090594 1017686 547 1 1 0 ANESTHESIA COMPANY LLC PO BOX 418205 BOSTON MD 02241 MEDICAL PROFESSIONAL FEES 3243837 BIO-MEDICAL APPLICATIONS OF MD INC 16343 COLLECTION CENTER DR CHICAGO IL 60693 MEDICAL PROFESSIONAL FEES 3205228 MEDICAL STAFFING OPTIONS 3805 EDWARDS RD CINCINNATI OH 45209 MEDICAL PROFESSIONAL FEES 2653643 QUEST DIAGNOSTICS INC PO BOX 912512 PASADENA CA 91110 MEDICAL PROFESSIONAL FEES 2355068 MEDPRO HEALTHCARE STAFFING 1580 SAWGRASS CORPORATE PKWY SUITE SUNRISE FL 33323 MEDICAL PROFESSIONAL FEES 2119483 48 1862076 4567793 304009 6733878 ADMISSION/ROOM CHARGES 621990 290118544 290118544 ANCILLIARY SERVICES 621500 271143838 259768156 11375682 EMERGENCY ROOM CHARGES 621990 55343928 55343928 PATIENT EDUCATION/MISC 624100 500090 500090 617106400 11654663 9959 11644704 5457985 5457985 1321248 91248 1230000 1230000 1230000 79360945 74768928 4592017 4592017 4592017 CAFETERIA 722210 3447559 3447559 BEDSIDE PHARMACY 456110 624434 624434 MANAGEMENT SERVICES 812900 584748 584748 1026280 1026280 5683021 652457964 606355152 594707 38774227 X 253999 253999 1997232 1517896 479336 220461161 167550482 52910679 6629291 5038261 1591030 17285362 13136876 4148486 16692845 12686562 4006283 421056 421056 14678 14678 904792 904792 176698037 66779463 109918574 18771 5819 12952 14067478 10548808 3518670 720017 64802 655215 9132648 5936221 3196427 439878 281522 158356 825801 206450 619351 7692593 7692593 19836880 19836880 14879827 14731029 148798 MEDICAL SUPPLIES 128269052 128115129 153923 DUES, BOOKS, AND SUBSCR 517734 36241 481493 EXCISE AND OTHER TAXES 112541 112541 637871673 454419033 183452640 0 64352868 9392679 94459627 84949274 7013941 8035895 83248127 4047805 729969814 435247975 303763879 294721839 297294008 361481667 100462172 77716456 3569204 -215968 47765358 178348271 1001929184 1018477918 77869254 88662695 43591528 26149622 126231579 157869323 161279184 120120000 58584499 42770704 467556044 435572344 X 514126540 561600364 20246600 21305210 534373140 582905574 1001929184 1018477918 X 14586291 16529557 17416586 X X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 14678 14678 0 PART II-B, LINE 1: THE ORGANIZATION PAYS DUES TO THE MARYLAND HOSPITAL ASSOCIATION AND ANNE ARUNDEL COUNTY CHAMBER OF COMMERCE. A PORTION OF THE DUES PAID TO THESE ORGANIZATION'S ARE USED FOR LOBBYING ACTIVITIES. 9077780 9077780 413110000 192583286 220526714 9214246 8768446 445800 289713504 226532550 63180954 8854284 7363693 1490591 294721839 INVESTMENT IN PREMIER INC. 8562983 F CSV OFFICERS LIFE INSURANCE 850300 F CAPE AND GLOBAL DEVELOPING MARKETS FUND 13995541 F ABERDEEN US PRIVATE EQUITY VII 5882066 F HARVEST MLP INCOME FD II LLC 20311108 F WARBURG PINCUS GLOBAL GROWTH LP 6157710 F STEPSTONE VC GLOBAL PARTNERS VIII 8224065 F STEPSTONE VC GLOBAL PARTNERS IX 6713453 F STEPSTONE VC GLOBAL PARTNERS X 3314051 F CHV V, L.P. 2165487 F EPSILON HEALTHCARE 560000 F WARBURG PINCUS LP14 979692 F 77716456 LIMITED USE ASSETS 6062593 BENEFICIAL INTEREST IN LUMINIS HEALTH AAMC FOUNDATION, INC. 22084625 RESTRICTED COLLATERAL FOR INTEREST RATE SWAP AGREEMENTS 5818049 RIGHT OF USE ASSET 5810356 OTHER LONG TERM ASSETS 23223073 INTERCOMPANY RECEIVABLES 115349575 178348271 FAIR VALUE OF INTEREST RATE SWAP DERIVATIVE CONTRACTS 36885838 DEFERRED DEBT ISSUE COSTS -1644178 OPERATING LEASE 5865212 ACCRUED INTEREST ON BOND LIABILITIES 1663832 42770704 X PART X, LINE 2: MANAGEMENT ANNUALLY REVIEWS ITS TAX POSITIONS AND HAS DETERMINED THAT THERE ARE NO MATERIAL UNCERTAIN TAX POSITIONS THAT REQUIRE RECOGNITION IN THE CONSOLIDATED FINANCIAL STATEMENTS. ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES REQUIRE MANAGEMENT TO EVALUATE UNCERTAIN TAX POSITIONS TAKEN BY THE SYSTEM. THE FINANCIAL STATEMENT EFFECTS OF A TAX POSITION ARE RECOGNIZED WHEN THE POSITION IS MORE LIKELY THAN NOT, BASED ON THE TECHNICAL MERITS, TO BE SUSTAINED UPON EXAMINATION BY THE INTERNAL REVENUE SERVICE. MANAGEMENT HAS CONCLUDED THAT AS OF JUNE 30, 2023 AND 2022, THERE ARE NO UNCERTAIN POSITIONS TAKEN OR EXPECTED TO BE TAKEN. THE ORGANIZATION HAS RECOGNIZED NO INTEREST OR PENALTIES RELATED TO UNCERTAIN TAX POSITIONS. CENTRAL AMERICA AND THE CARIBBEAN 0 0 INVESTMENTS 14106131 0 0 0 0 0 0 14106131 0 14106131 0 0 1 1 1 0 PART III ACCOUNTING METHOD: 1 1 1 X 300.000000000000 1 X 350.000000000000 1 1 1 0 1 1 6084706 6084706 0.00950 6084706 6084706 0.00950 5899359 5899359 0.00920 15800380 15800380 0.02480 39528920 39528920 0.06200 197629 197629 0.00030 5847747 5847747 0.00920 67274035 67274035 0.10550 73358741 73358741 0.11500 73118 73118 0.00010 74791 74791 0.00010 103843 103843 0.00020 1598905 1598905 0.00250 1850657 1850657 0.00290 1 30983323 10947106 179622359 209714890 -30092531 X 1 1 1 1 LUMINIS HEALTH ANNE ARUNDEL MEDICAL CENTER INC 2001 MEDICAL PARKWAY ANNAPOLIS MD 21401 SEE PART V, SECTION C 02003 X X X LUMINIS HEALTH ANNE ARUNDEL MEDICAL CENT 1 0 0 1 X X X X X X X X X 21 1 1 1 1 X HTTPS://WWW.LUMINISHEALTH.ORG/EN/COMMUNITY-HEALTH/NEEDS-ASSESSMENT X HTTPS://STATIC1.SQUARESPACE.COM/STATIC/60EDC5E386EE0A080F500E40/T/63C0597A0 X 1 21 1 HTTPS://WWW.LUMINISHEALTH.ORG/SITES/DEFAULT/FILES/2022-10/LUMINIS-HEALTH-CH 0 1 X 300.000000000000 350.000000000000 1 1 X X X X 1 X SEE PART V, PAGE 8 X SEE PART V, PAGE 8 X SEE PART V, PAGE 8 X X X X X X 1 X 0 X X X X 1 X 0 0 LUMINIS HEALTH ANNE ARUNDEL MEDICAL CENTER PART V, SECTION B, LINE 5: SEE STATEMENT FOR PART VI, LINE 2 ON PAGE 59 FOR SUPPORTING NARRATIVE. LUMINIS HEALTH ANNE ARUNDEL MEDICAL CENTER PART V, SECTION B, LINE 6A: THE CHNA WAS A JOINT UNDERTAKING, LED BY THE ANNE ARUNDEL COUNTY DEPARTMENT OF HEALTH, LUMINIS HEALTH, INC. AND UNIVERSITY OF MARYLAND BALTIMORE WASHINGTON MEDICAL CENTER. THE RESEARCH AND SURVEY DATA WERE SOURCED BY SECONDARY DATA PROFILES, KEY INFORMANT SURVEYS AND FOCUS GROUPS. LUMINIS HEALTH ANNE ARUNDEL MEDICAL CENTER PART V, SECTION B, LINE 6B: ANNE ARUNDEL COUNTY DEPARTMENT OF HEALTHANNE ARUNDEL COUNTY PARTNERSHIP FOR CHILDREN YOUTH AND FAMILIESANNE ARUNDEL MENTAL HEALTH AGENCYANNE ARUNDEL DEPARTMENT OF AGINGANNE ARUNDEL COUNTY OFFICE OF THE COUNTY EXECUTIVE LUMINIS HEALTH ANNE ARUNDEL MEDICAL CENTER PART V, SECTION B, LINE 11: THE CHNA IDENTIFIED 31 COMMUNITY HEALTH NEEDS. THE CHNA DATA WAS COMPILED FROM SECONDARY DATA SOURCES AND QUALITATIVE INFORMATION OBTAINED FROM KEY INFORMANT INTERVIEWS AND SEVERAL FOCUS GROUPS OF DIVERSE COMMUNITY MEMBERS. IT OUTLINED 31 HEALTH NEEDS IN THE ANNE ARUNDEL COUNTY COMMUNITY. WHILE A SINGULAR ENTITY OR HOSPITAL DOES NOT HAVE THE CAPACITY OR RESOURCES TO ADDRESS ALL OF THE NEEDS, LHAAMC INTENDS TO COLLABORATE WITH PARTNERS AND ADDRESS MANY OF THE NEEDS TO BETTER THE HEALTH OF THE COMMUNITY. LHAAMC'S SENIOR LEADERSHIP AND SELECT PATIENT ADVISORS PRIORITIZED AND CATEGORIZED THE NEEDS. THE RESULTS AND CORRELATING ACTION PLANS ARE INCLUDED BELOW.CHRONIC DISEASE: REDUCE INCIDENCE AND MORTALITY FROM CANCER BY IMPROVING RISK FACTORS AND SCREENING RATES. REDUCE MORTALITY FROM HEART DISEASE BY PROVIDING EDUCATION RELATED TO HEART DISEASE AND RISK FACTORS. IMPROVE ACCESS TO CARDIOLOGISTS TO REDUCE UTILIZATION.THE WELLMOBILE CLINIC: PROVIDE FREE SCREENING TO VULNERABLE RESIDENTS ACROSS THE COUNTY. THE WELL-MOBILE CLINIC FOCUSES ON LOW-INCOME, IMMIGRANT, AND MINORITY NEIGHBORHOODS TO IMPROVE HEALTH AWARENESS, ACCESS TO CARE, AND HEALTH OUTCOMES.OBESITY/DIABETES PREVENTION: INCREASE EDUCATION ABOUT LIFESTYLE RISK FACTORS TO REDUCE OBESITY. INCREASE ACCESS TO SCREENINGS AND PREVENTION PROGRAMS TO REDUCE INCIDENCE OF DIABETES.BEHAVIORAL HEALTH: INCREASE THE COMMUNITY'S AWARENESS OF PROGRAMS. INCREASE ACCESS TO BEHAVIORAL HEALTH TREATMENT FOR CHILDREN, TEENS, AND ADULTS.SOCIAL DETERMINANTS OF HEALTH (SDOH): CREATE HEALTH SYSTEM ADVISORY COUNCILS TO IDENTIFY HOW TO IMPROVE SOCIAL DETERMINANTS OF HEALTH. PILOT STRATEGIES TO ADDRESS FOOD INSECURITY AND LIMIT DISEASE BURDEN (CANCER, HEART DISEASE, DIABETES).SIGNIFICANT NEEDS IDENTIFIED IN THE CHNA THAT ARE NOT BEING ADDRESSED INCLUDE LACK OF AFFORDABLE HOUSING AS WELL AS ACCESS TO TRANSPORTATION AND HEALTHY FOODS. LACK OF AFFORDABLE HOUSING WAS MENTIONED BY MANY PARTICIPANTS. IT IS NON-EXISTENT IN MOST PARTS OF THE COUNTY CREATING STRESS, AND WORST OF ALL EXPERIENCING HOMELESSNESS AMONG LOW-INCOME FAMILIES. ACCESS TO TRANSPORTATION ALSO CONTINUES TO BE A HUGE ISSUE, ESPECIALLY FOR LOW-INCOME RESIDENTS AND SENIORS LIVING IN AREAS OF NORTH AND SOUTH COUNTY. EXPANDED ACCESS TO HEALTHY FOODS IN LOW-INCOME NEIGHBORHOODS WAS ALSO IDENTIFIED AS A SIGNFICIANT NEED. LHAAMC CANNOT ADEQUATELY ADDRESS THESE NEEDS AS THEY REQUIRE INTERVENTION FROM PUBLIC SERVICES AND LOCAL GOVERNMENT. LUMINIS HEALTH ANNE ARUNDEL MEDICAL CENTER: PART V FACILITY INFORMATION - WEBSITEHTTPS://WWW.LUMINISHEALTH.ORG/EN/LOCATIONS/LHAAMC?LANGUAGE_CONTENT_ENTITY=ENPART V LINE 7A CHNA WEBSITE:HTTPS://WWW.LUMINISHEALTH.ORG/SITES/DEFAULT/FILES/2022-10/CHNA-2022-ANNE-ARUNDEL-CO1_0.PDFPART V LINE 7B CHNA WEBSITE:HTTPS://STATIC1.SQUARESPACE.COM/STATIC/60EDC5E386EE0A080F500E40/T/63C0597A021EA81230E6A76E/1673550209729/CHNA+2022.PDF PART V, LINE 16A, FAP WEBSITE:HTTPS://WWW.LUMINISHEALTH.ORG/EN/FINANCIAL-ASSISTANCELUMINIS HEALTH ANNE ARUNDEL MEDICAL CENTER:PART V, LINE 16B, FAP APPLICATION WEBSITE:HTTPS://WWW.LUMINISHEALTH.ORG/SITES/DEFAULT/FILES/2022-06/MARYLAND-STATE-UNIFORM-FINANCIAL-ASSISTANCE-APPLICATION_0.PDFLUMINIS HEALTH ANNE ARUNDEL MEDICAL CENTER:PART V, LINE 16C, FAP PLAIN LANGUAGE SUMMARY WEBSITE:HTTPS://WWW.LUMINISHEALTH.ORG/SITES/DEFAULT/FILES/2022-08/FAP-FY21.PDF 2 1 - BLOOD DRAW SITE- SAJAK PAVILION 2002 MEDICAL PARKWAY ANNAPOLIS MD 21401 BLOOD DRAW LABORATORY 2 - BLOOD DRAW SITE- KENT ISLAND 1630 MAIN STREET CHESTER MD 21619 BLOOD DRAW LABORATORY PART I, LINE 7: CHARITY CARE REPORTED IN LINE 7A WAS CALCULATED USING A COST TO CHARGE RATIO DERIVED USING THE RATIO OF PATIENT CARE COST TO CHARGES AND THE HOSPITAL'S AUDITED FINANCIAL STATEMENTS. OTHER COST AMOUNTS INCLUDED IN LINE 7 RELATING TO COMMUNITY BENEFITS AND COMMUNITY BUILDING ACTIVITIES WERE OBTAINED FROM THE ORGANIZATION'S COMMUNITY BENEFIT REPORT FILING WITH THE HSCRC IN THE STATE OF MARYLAND. THESE COSTS WERE DETERMINED USING A VARIETY OF SOURCES, INCLUDING PAYROLL INFORMATION (FOR DIRECT LABOR COSTS) AND THE ORGANIZATION'S GENERAL LEDGER SYSTEM DETAIL (FOR OTHER DIRECT COSTS E.G. SUPPLIES). INDIRECT COSTS IN THESE AREAS OF BENEFIT WERE DETERMINED BY APPLYING AN INDIRECT COST RATIO TO THE DIRECT COST AMOUNTS OBTAINED. THIS RATIO IS CALCULATED USING SCHEDULE M OF THE HOSPITAL'S ANNUAL COST REPORT FILING WITH THE HSCRC IN THE STATE OF MARYLAND.PART I, LINE 7A, COLUMN (D) AND LINE 7F, COLUMNS (C) AND (D): 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 CONSIDERING UNCOMPENSATED CARE IN EACH PAYORS' RATES, AND THEREFORE MARYLAND HOSPITALS ARE UNABLE TO BREAKOUT ANY 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. PART I, LINE 7G: PHYSICIAN CLINIC COSTS ARE INCLUDED AS SUBSIDIZED HEALTH SERVICES BECAUSE THEY WOULD NOT OTHERWISE BE AVAILABLE TO MEET PATIENT DEMAND.THE HOSPITAL MAINTAINS 24/7 INPATIENT COVERAGE WITH THE HOSPITALIST PROGRAM AND PHYSICIAN COVERAGE FOR BEHAVIORAL HEALTH AT ED, FIRST ASSISTS, RADIATION ONCOLOGY, BREAST CENTER FOR EXCELLENCE, ADULT HOSPITALISTS, INTENSIVIST SERVICE, PEDIATRIC HOSPITALIST, ACUTE CARE SURGERY, OB HOSPITALIST, RETINOPATHY SERVICES, WOMENS CTR/PELVIC HEALTH, HEMATOLOGY-ONCOLOGY SPECIAL, ANNAPOLIS THORACIC, ANNAPOLIS SURGICAL ONCOLOGY, GYN ONCOLOGY CENTER, PALLIATIVE CARE SERVICE, MICROVASCULAR SURGERY, SURVIVORSHIP PROGRAM, PAIN MANAGEMENT AND ANNAPOLIS ONCOLOGY AT A COST INCLUDED IN PART I, LINE 7G OF $39,528,920. THIS COVERAGE PROVIDES AND GUARANTEES ROUND THE CLOCK ACCESS FOR PATIENTS TO NEEDED SERVICES.PHYSICIAN RECRUITMENT, PARTICULARLY PRIMARY CARE RECRUITMENT, CONTINUES TO BE A MAJOR INITIATIVE FOR THE ORGANIZATION. WHILE THE UNINSURED AND UNDERSERVED POPULATION CAN ACCESS CARE THROUGH THE COMMUNITY CLINICS OPERATED BY PHYSICIAN ENTERPRISE, LLC, SPECIALTY CARE REMAINS A CHALLENGE. THEREFORE, LHAAMC FINANCIALLY SUBSIDIZES SPECIALISTS WHO TAKE ON THE CARE OF THE UNDERSERVED/UNINSURED FROM THE CLINICS. THIS INCENTIVE ALLOWS FOR ADDITIONAL CARE FOR THE UNDERSERVED. SINCE HEALTHCARE SYSTEM NAVIGATION IS A CHALLENGE, A CARE MANAGER IN THE CLINICS ASSISTS WITH PLACING THESE PATIENTS IN APPROPRIATE SPECIALTY CARE. LHAAMC CONTINUES TO MONITOR AND ADDRESS THE PROBLEMS ASSOCIATED WITH CARE FOR THE UNINSURED AND UNDERSERVED. PART I, LN 7 COL(F): LUMINIS HEALTH ANNE ARUNDEL MEDICAL CENTER (LHAAMC) PROMOTES ACCESS TO ALL MEDICALLY NECESSARY SERVICES REGARDLESS OF AN INDIVIDUAL'S ABILITY TO PAY. LHAAMC WILL PROVIDE FINANCIAL ASSISTANCE BASED ON INDIGENCE OR HIGH MEDICAL EXPENSES FOR PATIENTS WHO MEET SPECIFIED FINANCIAL CRITERIA AND REQUEST SUCH ASSISTANCE. A PATIENT WHO IS ELIGIBLE FOR FINANCIAL ASSISTANCE WILL NOT BE CHARGED MORE THAN THE AMOUNT GENERALLY BILLED TO OTHER PAYERS. PART II, COMMUNITY BUILDING ACTIVITIES: SUPPORT SYSTEMS ENHANCEMENT INCLUDES EMERGENCY MANAGEMENT ACTIVITIES, ALTERNATE CARE SITE NAVAL SUPPORT ACTIVITY, OTHER DRILLS AND REAL TIME ACTIVITIES. THE HOSPITAL HAS A DISASTER PREPAREDNESS COORDINATOR THAT IS RESPONSIBLE FOR STAFF TRAINING, COORDINATING DISASTER DRILLS AND KEEPING THE HOSPITAL'S DISASTER PREPAREDNESS INVENTORY UP TO DATE. COALITION BUILDING INCLUDES HOSPITAL REPRESENTATION TO COMMUNITY COALITIONS, COLLABORATIVE PARTNERSHIPS WITH COMMUNITY GROUPS TO IMPROVE COMMUNITY HEALTH, COMMUNITY MEETING COSTS, VISIONING SESSIONS AND COSTS FOR TASK FORCE SPECIFIC PROJECTS AND INITIATIVES. THE HOSPITALS ONGOING WORK WITH COMMUNITY GROUPS AND PARTICIPATION IN ADVISORY COMMITTEES AND COUNCILS CREATE A CONTINUOUS COMMUNICATIONS PROCESS, BRINGING NEW IDEAS FROM ANNE ARUNDEL COUNTY RESIDENTS AND ORGANIZATIONS INTO THE HOSPITAL'S COMMUNITY BENEFIT PLANNING PROCESS. LHAAMC IS COMMITTED TO ADDRESSING THE MOST SIGNIFICANT HEALTH NEED IN THE COUNTY WHICH IS BEHAVIORAL HEALTH. LHAAMC RUNS AN OUTPATIENT MENTAL HEALTH CLINIC WITH MENTAL HEALTH SERVICES FOR PATIENTS AGE 13 AND OLDER. LUMINIS HEALTH J. KENT MCNEW FAMILY MEDICAL CENTER, INC. OPENED IN MAY 2020 WITH 16 MENTAL HEALTH, IN-PATIENT BEDS. PART III, LINE 2: SEE PART III, LINE 3 FOR EXPLANATION PART III, LINE 3: THE HOSPITAL HAS ADOPTED HEALTHCARE FINANCIAL MANAGEMENT ASSOCIATION STATEMENT #15. THE HOSPITAL'S POLICY IS TO WRITE OFF ALL PATIENT ACCOUNTS THAT HAVE BEEN IDENTIFIED AS UNCOLLECTIBLE. AN ALLOWANCE FOR DOUBTFUL ACCOUNTS IS RECORDED FOR ACCOUNTS NOT YET WRITTEN OFF THAT ARE ANTICIPATED TO BECOME UNCOLLECTIBLE IN FUTURE PERIODS. INSURANCE COVERAGE AND CREDIT INFORMATION ARE OBTAINED FROM PATIENTS WHEN AVAILABLE. NO COLLATERAL IS OBTAINED FOR ACCOUNTS RECEIVABLE. BAD DEBT EXPENSE AT COST WAS DETERMINED BY USING A COST TO CHARGE RATIO. THE BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE ORGANIZATION'S CHARITY CARE POLICY WAS DETERMINED BY SPECIFIC IDENTIFICATION REVIEWING BAD DEBT RECORDS AND DETERMINING WHO WOULD HAVE BECOME ELIGIBLE FOR CHARITY CARE IF ALL INFORMATION HAD BEEN OBTAINED FROM THE PATIENTS. PART III, LINE 4: SEE FOOTNOTE #2(J) OF AUDITED FINANCIAL STATEMENTS - PAGES 15-17. PART III, LINE 8: COMMUNITY BENEFIT QUESTION IS NOT APPLICABLE IN MARYLAND AS MARYLAND HOSPITALS ARE REIMBURSED UNDER THE HSCRC WAIVER PROGRAM WHEREIN NET REVENUE (REIMBURSEMENT) IS BASED ON A PERCENTAGE OF REGULATED CHARGES. COSTING METHODOLOGY BASED ON TRIAL BALANCE EXPENSES ADJUSTED TO ALLOWABLE EXPENSE IN ACCORDANCE WITH MEDICARE COST REPORTING RULES AND REGULATIONS. COST NUMBERS REPORTED ARE CONSISTENT WITH LHAAMC'S MEDICARE COST REPORT FILING. PART III, LINE 9B: EACH LHAAMC PATIENT BILL INCLUDES CONTACT INFORMATION FOR FINANCIAL ASSISTANCE AND STATES WHERE TO CALL TO REQUEST A PAYMENT PLAN. SHORT AND LONG TERM INTEREST FREE PAYMENT PLANS ARE AVAILABLE. THE HOSPITAL TAKES INTO ACCOUNT THE BALANCE OF THE BILL AND THE PATIENT'S FINANCIAL CIRCUMSTANCES IN DETERMINING THE APPROPRIATE AGREEMENT. SHOULD THE PATIENT CONTACT PATIENT FINANCIAL SERVICES CUSTOMER SERVICE UNIT REGARDING INABILITY TO PAY, FINANCIAL ASSISTANCE IS OFFERED, THE AMOUNT OF WHICH IS BASED ON THE FINANCIAL ASSISTANCE SCREENING PROCESS.IF THERE IS NO INDICATION FROM THE PATIENT OR A REPRESENTATIVE THAT THEY CANNOT PAY AND NO ATTEMPT AT PAYMENT OR REASONABLE PAYMENT ARRANGEMENTS ARE MADE, THE ACCOUNT IS REFERRED TO A COLLECTION AGENCY. THE COLLECTION AGENCY IS EDUCATED ON HOW TO MAKE REFERRALS TO LHAAMC'S FINANCIAL COUNSELING DEPARTMENT FOR INDIVIDUALS INDICATING THEY HAVE AN INABILITY TO PAY.THE HOSPITAL COLLECTION POLICY ALLOWS THE HOSPITAL TO TAKE INTO ACCOUNT PATIENT CIRCUMSTANCES SUCH AS THE AMOUNT OF THE BILL AND AMOUNTS OWED TO OTHER PROVIDERS IN DETERMINATION OF ULTIMATE AMOUNT TO BE PAID. PART VI, LINE 2: THE SUMMATIVE (QUANTITATIVE) DATA CONTAINED IN THIS NEEDS ASSESSMENT WAS GATHERED FROM A VARIETY OF LOCAL, STATE AND NATIONAL SOURCES. POPULATION AND SOCIO-ECONOMIC STATISTICS WERE COMPILED USING DATA FROM THE UNITED STATES (U.S.) CENSUS BUREAU'S POPULATION ESTIMATES PROGRAM AND THE AMERICAN COMMUNITY SURVEY 1-YEAR AND 5 YEAR ESTIMATES. THESE DATA SHOULD BE CONSIDERED LESS RELIABLE DUE TO THE GAP OF TEN YEARS SINCE THE LAST FULL CENSUS. ALL DATA HERE ARE BASED ON CENSUS ESTIMATES EXCEPT FOR 2020 CENSUS POPULATION DATA. BIRTH AND DEATH DATA FILES WERE OBTAINED FROM THE MARYLAND DEPARTMENT OF HEALTH AND MENTAL HYGIENE, VITAL STATISTICS ADMINISTRATION. THE EMERGENCY DEPARTMENT AND INPATIENT HOSPITAL DISCHARGE DATA FILES WERE OBTAINED FROM THE MARYLAND HEALTH SERVICES COST REVIEW COMMISSION FOR TOPICS LIKE BIRTH, MORTALITY AND HOSPITAL UTILIZATION. OTHER DATA SOURCES USED FOR THIS REPORT WERE: MARYLAND VITAL STATISTICS ANNUAL REPORTS, MARYLAND DEPARTMENT OF HEALTH AND MENTAL HYGIENE'S ANNUAL CANCER REPORTS, BEHAVIORAL RISK FACTOR SURVEILLANCE SYSTEM (BRFSS), CENTERS FOR DISEASE CONTROL AND PREVENTION'S CDC WONDER ONLINE DATABASE, CENTERS FOR MEDICARE AND MEDICAID SERVICES, NATIONAL VITAL STATISTICS REPORTS AND COUNTY HEALTH RANKINGS, AND A VARIETY OF LOCAL DATABASES. THE SPECIFIC DATA SOURCES ARE LISTED THROUGHOUT THE REPORT.THE FY2022 CHNA DRAWS ON QUALITATIVE DATA GATHERED FROM 11 KEY INFORMANTS AND 16 FOCUS GROUPS. FOCUS GROUP AREAS INCLUDED EMERGENCY DEPARTMENT PERSONNEL, BEHAVIORAL HEALTH PROVIDERS, HISPANIC RESIDENTS AND ADVOCATES. A FULL LIST OF FOCUS GROUPS AND KEY INFORMANTS CAN BE FOUND BELOW. INTERVIEWS AND CONVERSATIONS WERE RECORDED, WITH THE PERMISSION OF PARTICIPANTS, AND TRANSCRIBED VERBATIM. THE AUTHOR THANKS LISA KOVACS, ADMINISTRATIVE COORDINATOR AT THE ANNE ARUNDEL COUNTY PARTNERSHIP FOR CHILDREN, YOUTH AND FAMILIES, FOR THE HOURS OF TRANSCRIPTION TIME SPENT ENSURING THIS CHNA ACCURATELY REPRESENTS THE VOICES OF OUR COMMUNITY. THE DATA WAS READ AND REREAD UNTIL DOMINANT THEMES EMERGED WHICH BECAME THE SUBTEXT OF THE REPORT. ALL PARTICIPANTS GAVE PERMISSION FOR THEIR WORDS TO BE USED IN THE FINAL REPORT, ALTHOUGH THEIR IDENTITIES ARE PROTECTED.THE FY2022 CHNA DRAWS ON QUALITATIVE DATA GATHERED FROM 11 KEY INFORMANTS AS FOLLOWS:PRESIDENT, LUMINIS HEALTH ANNE ARUNDEL MEDICAL CENTER (LHAAMC)CEO, UNIVERSITY OF MARYLAND BALTIMORE WASHINGTON MEDICAL CENTERANNE ARUNDEL COUNTY HEALTH OFFICEREXECUTIVE DIRECTOR, ANNE ARUNDEL COUNTY MENTAL HEALTH AGENCYDIRECTOR, ANNE ARUNDEL COUNTY CRISIS RESPONSECLINICAL DIRECTOR, ANNE ARUNDEL COUNTY MENTAL HEALTH AGENCYSCHOOLS SUPERINTENDENTPRIMARY CARE DOCTORCOUNTY EXECUTIVEFAITH LEADERPUBLIC HOUSING RESIDENTSIXTEEN FOCUS GROUPS CONTRIBUTED TO THE REPORT AS FOLLOWS:LHAAMC AND UMBWMC EMERGENCY DEPARTMENT AND EMERGENCY RESPONSE (6)BEHAVIORAL HEALTH PROVIDERS (20)BEHAVIORAL HEALTH CO-OCCURRING COMMITTEE (10)DISABLED RESIDENTS (PROVIDERS AND CLIENTS) (8)SENIORS (PROVIDERS AND CLIENTS) (10)CHILDCARE PROVIDERS AND EARLY CHILDHOOD EDUCATORS (15)HUMAN SERVICES TEAM (10)PUPIL PERSONNEL WORKERS (12)ANNE ARUNDEL COUNTY HEALTH DEPARTMENT SENIOR STAFF (12)PUBLIC HOUSING PROVIDERS (2)NOT FOR PROFIT LEADERS (30)SOUTH COUNTY STAKEHOLDERS (24)NORTH COUNTY STAKEHOLDERS (28)WEST COUNTY STAKEHOLDERS (12)ANNAPOLIS STAKEHOLDERS (25)THE CHNA CAN BE ACCESSED ONLINE VIA HTTPS://WWW.LUMINISHEALTH.ORG/SITES/DEFAULT/FILES/2022-10/CHNA-2022-ANNE-ARUNDEL-CO1_0.PDF PART VI, LINE 3: PUBLIC NOTICE AND INFORMATION REGARDING THE LUMINIS HEALTH ANNE ARUNDEL MEDICAL CENTER'S CHARITY CARE POLICY INCLUDES THE FOLLOWING:A) ANNUAL NOTICE THAT CHARITY CARE IS PROVIDED AND THE CRITERIA IS PROVIDED AND PUBLISHED IN THE LOCAL NEWSPAPER, THE CAPITAL GAZETTE. B) THE NOTICE PROVIDED BY THE UNITED STATES DEPARTMENT OF HEALTH AND HUMAN SERVICES REGARDING MEDICAL CARE FOR THOSE WHO CANNOT AFFORD TO PAY IS POSTED AT THE POINT OF ADMISSION, THE BUSINESS OFFICE, CASHIER, AND EMERGENCY ROOM. C) INDIVIDUAL NOTICE IS PROVIDED TO EACH PERSON SEEKING SERVICE AT THE TIME OF ADMISSION OR PRE-ADMISSION TESTING.D) INFORMATION ON HOW TO OBTAIN FINANCIAL ASSISTANCE IS INCLUDED ON EVERY PATIENT LETTER AND STATEMENT.E) THE MEDICAL CENTER'S CALL CENTER REPRESENTATIVES AND COLLECTORS INFORM PATIENTS OF FINANCIAL ASSISTANCE AVAILABILITY IF THE PATIENT INDICATES THEY ARE UNABLE TO PAY THEIR BILL.F) FINANCIAL ASSISTANCE APPLICATION FORMS, IN ENGLISH AND SPANISH, ARE AVAILABLE ON THE MEDICAL CENTER'S WEBSITE.G) THE MEDICAL CENTER'S FINANCIAL ASSISTANCE POLICY, IN ENGLISH AND SPANISH, IS AVAILABLE ON THE MEDICAL CENTER'S WEBSITE.H) PAMPHLETS EXPLAINING FINANCIAL ASSISTANCE ARE AVAILABLE AT THE INFORMATION DESK AS WELL AS REGISTRATION STATIONS, INCLUDING THE EMERGENCY ROOM THROUGHOUT THE MEDICAL CENTER. PART VI, LINE 4: ANNE ARUNDEL COUNTY IS THE FIFTH LARGEST COUNTY IN THE STATE COVERING 415 SQUARE MILES. IT HAS 534 MILES OF NATURAL SHORELINE. MOST RECENT HOUSEHOLD MEDIAN INCOME ESTIMATES STAND AT $113,125 (US CENSUS ESTIMATES, 2022.) THE UNEMPLOYMENT RATE (MARYLAND GOVERNMENT, 2022) IS 2.8 PERCENT, LOWER THAN THE STATE AVERAGE OF 3.2 PERCENT. HOWEVER, THERE ARE 32,000 ANNE ARUNDEL COUNTY RESIDENTS (5.4 PERCENT) LIVING BELOW THE POVERTY LEVEL COMPARED TO THE STATE AVERAGE OF 9.6 PERCENT (US CENSUS ESTIMATES, 2022.) IN 2022, THE RATE OF POVERTY FOR CHILDREN IS MUCH HIGHER, AT 6.3 PERCENT. ALTHOUGH ANNE ARUNDEL COUNTY HAS A HIGH STANDARD OF LIVING OVERALL, ECONOMIC DISTRESS IS SPREAD UNEQUALLY THROUGHOUT THE COUNTY WITH POCKETS OF LOW INCOME AND POVERTY LEVEL FAMILIES CLUSTERED IN NORTH AND SOUTH COUNTY AREAS AND IN ANNAPOLIS. AS A RESULT, SOCIAL DETERMINANTS OF HEALTH ARE A CONSIDERABLE FACTOR FOR INDIVIDUALS AND FAMILIES LIVING IN POVERTY. ACCESS TO HEALTHY FOOD, EMOTIONAL STABILITY, THE CLEANLINESS AND SAFETY OF THE ENVIRONMENT, TRANSPORTATION, AND ACCESS TO HEALTH SERVICES ALL IMPACT HEALTH AND WELLNESS. THE GAP BETWEEN RICH AND POOR CONTINUES TO WIDEN. THE NUMBER OF RESIDENT HOUSEHOLDS WITH AN INCOME ABOVE $200,000 HAS GROWN BY 47 PERCENT WHILE THOSE HOUSEHOLDS WITH AN INCOME BELOW $25,000 HAVE SHRUNK.THE WHITE CAUCASIAN POPULATION IS 71.4 PERCENT OF THE POPULATION AND THE BLACK POPULATION MAKES UP 19.8 PERCENT OF THE POPULATION. THE HISPANIC POPULATION IS GROWING MORE SIGNIFICANTLY THAN ALL RACES/ETHNICITIES AND IS NOW AT 9.4 PERCENT. THE COUNTY HAS THE FOURTH LARGEST HISPANIC POPULATION BY PERCENTAGE AMONG MARYLAND COUNTIES. THE DISTRIBUTION OF THE POPULATION IS UNEVEN IN THE COUNTY WITH A HIGH OF 22.8 PERCENT HISPANIC IN THE CITY OF ANNAPOLIS. THE LARGEST SECTOR OF THE HISPANIC POPULATION IS FROM CENTRAL AMERICAN COUNTRIES, INCLUDING A GROWING POPULATION FROM EL SALVADOR. THIS IS SIGNIFICANTLY DIFFERENT FROM THE OVERALL U.S. HISPANIC POPULATION, WHICH IS OVERWHELMINGLY MEXICAN (63 PERCENT.)THE NUMBER OF OLDER MARYLANDERS IS INCREASING. OF THE NEARLY 6.1 MILLION PEOPLE IN MARYLAND IN 2020, 22.62 PERCENT WERE AGED 60 OR OVER. THIS PERCENTAGE IS EXPECTED TO INCREASE TO 26.57 PERCENT BY THE YEAR 2040. INDIVIDUALS 85 AND OVER ARE THE FASTEST GROWING SEGMENT OF THE POPULATION. IN 2020, 62.8 PERCENT OF MARYLAND'S OLDER ADULTS (60+) RESIDE IN BALTIMORE CITY AND IN ANNE ARUNDEL, BALTIMORE, MONTGOMERY AND PRINCE GEORGE'S COUNTIES. IN 2035, THESE WILL REMAIN THE JURISDICTIONS WITH THE LARGEST NUMBER OF INDIVIDUALS OVER 60 (MARYLAND DEPARTMENT OF AGING, 2021). THE ANNE ARUNDEL COUNTY 60+ POPULATION IS EXPECTED TO RISE OVER 27 PERCENTBETWEEN 2020 AND 2045, FROM 129,440 TO 164,524.INFANT MORTALITY AND LOW BIRTH WEIGHT CONTINUES TO NEGATIVELY IMPACT OUR FAMILIES. OTHER DRIVERS IN THE COUNTY INCLUDE A RISING RATE OF REPORTED DOMESTIC VIOLENCE AND HUMAN TRAFFICKING CASES. THERE IS AN EPIDEMIC RELATED TO OPIOID OVERDOSES AND DEATHS INCLUDING A LACK OF SPECIALTY PROVIDERS AND MENTAL HEALTH PROVIDERS, IN PARTICULAR SPANISH SPEAKING PROVIDERS. THE EMERGENCY ROOMS ARE OVERCROWDED AS A RESULT. PART VI, LINE 5: THE FOLLOWING ARE SEVERAL EXAMPLES OF HOSPITAL ACTIVITIES AND INITIATIVES:THE HOSPITAL HAS DOCTOR ON-CALL ROTATIONS IN EVERY SPECIALTY FOR WHICH THERE MAY BE AN EMERGENCY OR INPATIENT NEED. ON-CALL COVERAGE IS PROVIDED TO ALL PATIENTS REGARDLESS OF INSURANCE STATUS. THERE ARE NO GAPS IN AVAILABILITY OF ANY SPECIALTY FOR UNINSURED OR UNDERSERVED PATIENTS. IN ADDITION, THE HOSPITAL HAS HOSPITALIST PROGRAMS IN MEDICINE, PEDIATRICS, GENERAL SURGERY, OBSTETRICS AND AN INTENSIVIST PROGRAM. THESE PHYSICIANS PROVIDE 24-HOUR IN-HOUSE COVERAGE FOR EACH OF THESE AREAS FOR ALL PATIENTS REGARDLESS OF INSURANCE STATUS. THE HOSPITAL ALSO PROVIDES SPECIALTY PROGRAMS FOR THORACIC SURGERY, NEONATAL OPHTHALMOLOGY, GYN ONCOLOGY, PALLIATIVE CARE, NEUROLOGY/STROKE, WOMEN'S PELVIC HEALTH, SURGICAL ONCOLOGY, AND THE BREAST CENTER.THE HOSPITAL AND MANY OF ITS PHYSICIANS SUPPORT THE ANNE ARUNDEL COUNTY HEALTH DEPARTMENT'S REACH PROGRAM (RESIDENTS ACCESS TO A COALITION OF HEALTH), WHICH OFFERS ACCESS TO AFFORDABLE HEALTH SERVICES FOR LOW-INCOME UNINSURED INDIVIDUALS IN ANNE ARUNDEL COUNTY. THE HOSPITAL CONTINUES ITS "GREEN INITIATIVE" PROGRAM IN ORDER TO IMPROVE AND PROTECT THE HEALTH OF STAFF AND THE COMMUNITY BY IMPLEMENTING ENVIRONMENTALLY FRIENDLY INITIATIVES. THE HOSPITAL PAVILION SOUTH TOWER IS THE FIRST 24/7 HOSPITAL TO BE LEED GOLD CERTIFIED. VARIOUS PROGRAMS UNDER THIS INITIATIVE INCLUDE BATTERY RECYCLING, REUSABLE SHARPS CONTAINERS, REPROCESSING TO REDUCE MEDICAL WASTE, AND USE OF GREEN SEAL CERTIFIED CLEANERS. THE HOSPITAL EMPLOYS A SUSTAINABILITY MANAGER AS PART OF THIS PROGRAM.THE HOSPITAL ALSO HAS A DISASTER PREPAREDNESS COORDINATOR THAT IS RESPONSIBLE TO PROVIDE STAFF TRAINING, COORDINATE DISASTER DRILLS, AND KEEP THE HOSPITAL'S DISASTER PREPAREDNESS SUPPLY INVENTORY UP TO DATE. HOSPITAL EMPLOYEES HAVE COMPLETED FEMA EMERGENCY PREPARATION COURSES TO BETTER COLLABORATE WITH OTHER COUNTY SERVICE PROVIDERS TO BETTER SERVE THE COMMUNITY. THESE STAFF MEMBERS PARTICIPATED IN A NUMBER OF COLLABORATIVE PLANNING MEETINGS AND DRILLS WITH DESIGNATED COUNTY SERVICES AND FIRST RESPONDERS. EACH YEAR, THE COMMUNITY HEALTH AND WELLNESS DEPARTMENT PARTNERS WITH THE ANNE ARUNDEL COUNTY HEALTH DEPARTMENT AND OTHER LOCAL NON-PROFITS AND FAITH BASED ORGANIZATIONS TO PROVIDE EDUCATION AND ACCESS TO SCREENINGS. THIS YEAR, EFFORTS WERE PRIMARILY FOCUSED ON DIABETES PREVENTION AND TO COVID 19 EDUCATION AND PREVENTION INCLUDING VACCINE CLINICS. PART VI, LINE 6: THE HEALTH SYSTEM'S LUMINIS HEALTH COMMUNITY CLINICS, LLC (FKA AAMC COMMUNITY CLINICS, LLC), A GROUP WITHIN PHYSICIAN ENTERPRISE, LLC CURRENTLY HAS (3) LOCATIONS: MORRIS BLUM, FOREST DRIVE, AND ARUNDEL LODGE.THE MOST SIGNIFICANT EFFORT PUT FORTH IN FY2023 WAS TO CONTINUE TO FOCUS ON THE UNDERSERVED POPULATION. RESOURCES WERE ALLOCATED TO THE CONTINUED OPERATIONS OF THE COMMUNITY HEALTH CENTER ON FOREST DRIVE IN ANNAPOLIS AND OF THE MORRIS BLUM COMMUNITY HEALTH CENTER WITHIN THE STATE-DESIGNATED HEALTH ENTERPRISE ZONE (HEZ) IN ANNAPOLIS ON GLENWOOD STREET. INCLUDED IN THE HEZ EFFORT IS THE ANNAPOLIS COMMUNITY HEALTH PARTNERSHIP, WHICH CONSISTS OF LUMINIS HEALTH ANNE ARUNDEL MEDICAL CENTER, THE HOUSING AUTHORITY OF THE CITY OF ANNAPOLIS, THE CITY OF ANNAPOLIS, THE ANNE ARUNDEL COUNTY DEPARTMENT OF HEALTH AND THE ANNE ARUNDEL COUNTY DEPARTMENT OF AGING AND DISABILITIES.THE ANNAPOLIS COMMUNITY HEALTH PARTNERSHIP IS FOCUSING ON A CURRENTLY MEDICALLY UNDERSERVED NEIGHBORHOOD WITH HIGH RATES OF EMERGENCY ROOM UTILIZATION, HOSPITAL ADMISSIONS AND READMISSIONS, AND A LARGE VOLUME OF MEDICAL 911 CALLS. THROUGH FUNDING PROVIDED BY THE HEZ DESIGNATION, THE PARTNERSHIP ESTABLISHED A PATIENT-CENTERED MEDICAL HOME AT THE MORRIS H. BLUM SENIOR APARTMENTS BUILDING. THIS MEDICAL OFFICE, NESTLED IN THE COMMUNITY IT IS MEANT TO SERVE, IS EASILY ACCESSIBLE BY FOOT OR PUBLIC TRANSPORTATION. THE PRIMARY CARE MEDICAL HOME PERSONNEL PROVIDE MEDICAL TREATMENT TO PATIENTS AGE SIX YEARS OLD TO ADULTS. THE MORRIS BLUM MEDICAL CLINIC PROVIDES MEDICAL CARE TO THE RESIDENTS OF THE BUILDING AND THE SURROUNDING COMMUNITY WHO ARE UNINSURED AND UNDER-SERVED. THE AAMC COMMUNITY CLINICS ACCEPT MOST MAJOR INSURANCE COMPANIES AND HAS A SLIDING FEE SCALE FOR INDIVIDUALS WHO LACK INSURANCE COVERAGE. THE SLIDING SCALE IS BASED ON FEDERAL POVERTY GUIDELINES, GROSS HOUSEHOLD INCOME AND NUMBER OF HOUSEHOLD DEPENDENTS. BY HAVING A REGULAR DOCTOR IN A REGULAR SITE, PATIENT-PHYSICIAN RELATIONSHIPS STRENGTHEN AND CARE IMPROVES. HEALTH OUTCOMES ARE BEING MONITORED AND DEMONSTRATED BY MEASURING PATIENT SATISFACTION, IMPROVING MANAGEMENT OF CHRONIC DISEASE AND DECREASING PREVENTABLE MEDICAL 911 CALLS, EMERGENCY ROOM VISITS AND HOSPITAL ADMISSIONS. THERE WERE 2,210 PATIENT VISITS AT MORRIS BLUM IN FY2023.THE FOREST DRIVE CLINIC ALSO PROVIDES PRIMARY CARE SERVICES TO PATIENTS IN ALL STAGES OF LIFE (NEWBORN-GERIATRIC). MEDICAL SERVICES ARE PROVIDED BY QUALIFIED, PROFESSIONAL EMPLOYED STAFF, AND IS CONVENIENTLY LOCATED ON SEVERAL LOCAL BUS ROUTES. THE PRIMARY CARE SITE PROVIDES 24 HOUR CALL COVERAGE FOR PATIENT CALLS AND ALL CLINICS UTILIZE ELECTRONIC MEDICAL RECORDS. IN FY2023 FOREST DRIVE HAD 11,537 PATIENT VISITS. ALL CLINIC LOCATIONS PROVIDE INTERPRETERS VIA IN PERSON AND/OR TELEPHONIC. THERE ARE FIVE BI-LINGUAL STAFF AND THREE BILINGUAL PROVIDERS AMONG THE THREE CLINICS. IN THE EVENT WE ARE UNABLE TO PROVIDE 1-1 INTERPRETATION, TELEPHONIC INTERPRETATION AND/OR VIDEO INTERPRETATION VIA MARTTI IS PROVIDED 24/7. LUMINIS HEALTH COMMUNITY CLINICS ACCEPT MOST MAJOR INSURANCE COMPANIES AND HAS A SLIDING FEE SCALE FOR INDIVIDUALS WHO LACK INSURANCE COVERAGE. THE SLIDING SCALE IS BASED ON FEDERAL POVERTY GUIDELINES, GROSS HOUSEHOLD INCOME AND NUMBER OF HOUSEHOLD DEPENDENTS. PATIENTS AT LUMINIS HEALTH COMMUNITY CLINICS MUST PRESENT PROOF OF INCOME AND UNDERGO A FINANCIAL ANALYSIS AT THE TIME OF THE INITIAL APPOINTMENT AND ON AN ANNUAL BASIS THEREAFTER. IF THE PATIENT'S INCOME CHANGES, A NEW FINANCIAL ANALYSIS IS COMPLETED. PATIENTS WHO MAY QUALIFY FOR INSURANCE ARE REFERRED TO LHAAMC FINANCIAL ASSISTORS TO REVIEW THEIR ELIGIBILITY. ALL PATIENTS ARE TREATED WITH DIGNITY, RESPECT AND CONFIDENTIALITY. PART VI, LINE 7, REPORTS FILED WITH STATES MD 1 PHYSICIAN ENTERPRISE LLC 2000 MEDICAL PARKWAY SUITE 606 ANNAPOLIS MD 21401 270263214 222014 0 TO SUPPORT OPERATIONS OF PHYSICIAN ENTERPRISE, LLC LUMINIS HEALTH PATHWAYS INC 2000 MEDICAL PARKWAY SUITE 606 ANNAPOLIS MD 21401 521722088 31985 0 TO SUPPORT OPERATIONS OF LUMINIS HEALTH PATHWAYS, INC. 2 0 PART I, LINE 2: THE ORGANIZATION CONTRIBUTED FUNDS TO RELATED ORGANIZATIONS TO SUPPORT ITS EXEMPT PURPOSE. THE ORGANIZATION MONITORS THE USE OF THESE FUNDS THROUGH BOARD MEETINGS AND THROUGH THE REVIEW OF THE ENTITY'S FINANCIAL INFORMATION. X X X X X 1 1 0 0 0 0 0 0 0 VICTORIA BAYLESS LH CEO/BOARD MEMBER 0 1205852 0 478758 0 304279 0 290064 0 250 0 2279203 0 200600 JEFFREY GELFAND BOARD MEMBER/MEDICAL DIRECTOR 0 1273595 0 0 0 20500 0 8700 0 0 0 1302795 0 0 STEPHEN CATTANEO BOARD MEMBER (PART YEAR)/PHYSICIAN 0 1124259 0 500 0 19500 0 8700 0 37753 0 1190712 0 0 ADRIAN PARK MD SURGERY DIVISION CHAIR 759107 0 191583 0 104021 0 83848 0 31936 0 1170495 0 54195 0 SHERRY PERKINS PHD RN FAAN LHAAMC PRES/PART YEAR BOARD MEMBER 653409 0 194594 0 183554 0 68388 0 227 0 1100172 0 90949 0 MITCHELL SCHWARTZ MD CHIEF PHYSICIAN EXECUTIVE 0 665818 0 202032 0 99729 0 8700 0 28532 0 1004811 0 0 MONICA JONES MD WOMEN'S & CHILDREN'S DIVIS 589930 0 148190 0 50583 0 60590 0 7388 0 856681 0 28050 0 TIMOTHY ADELMAN LH GENERAL COUNSEL/SECRETARY 0 451357 0 139501 0 26138 0 61251 0 27804 0 706051 0 0 KEVIN SMITH LH CFO/TREASURER 0 463815 0 137573 0 10295 0 60894 0 30842 0 703419 0 0 STEPHEN SELINGER CHIEF MEDICAL OFFICER - LHAAMC 475986 0 119158 0 0 0 9150 0 12572 0 616866 0 0 0 JENNIFER HARRINGTON CHIEF OPERATING OFFICER 335869 0 85623 0 45368 0 34325 0 27772 0 528957 0 13724 0 ROBERT RICE EXECUTIVE MEDICAL DIRECTOR CANCER SE 416108 0 44271 0 0 0 9150 0 25122 0 494651 0 0 0 ROBERT REILLY FORMER CFO 0 0 0 0 0 467093 0 0 0 24846 0 491939 0 0 CATHERINE COPERTINO VICE PRESIDENT - CANCER SERVICES 266443 0 67959 0 30373 0 12459 0 25456 0 402690 0 0 0 BARBARA JACOBS CHIEF NURSING OFFICER 222224 0 92274 0 40747 0 3407 0 9449 0 368101 0 0 0 MARY CLANCE MD FORMER BOARD MEMBER/ PHYSICIAN 240596 0 500 0 10251 0 8111 0 0 0 259458 0 0 0 PART I, LINES 4A-B DURING THE YEAR, ROBERT REILLY RECEIVED A SEVERANCE PAYMENT OF $476,815. THE FOLLOWING PARTICIPATED IN THE ORGANIZATION'S 457(F) PLAN: VICTORIA BAYLESS $277,014 ADRIAN PARK, M.D. $ 75,148 SHERRY PERKINS $ 59,688 TIMOTHY ADELMAN $ 52,551 KEVIN SMITH $ 52,194 MONICA JONES, M.D. $ 51,890 JENNIFER HARRINGTON $ 21,811 DURING THE YEAR, THE FOLLOWING DIRECTORS AND OFFICERS RECEIVED PAYMENTS AS PART OF THEIR PARTICIPATION IN THE ORGANIZATION'S 457(F) PLAN: VICTORIA BAYLESS $215,140 SHERRY PERKINS $128,303 ADRIAN PARK, M.D. $ 80,705 MONICA JONES, M.D. $ 28,740 JENNIFER HARRINGTON $ 17,805 A MARYLAND HEALTH AND HIGHER EDUCATION FACILITIES AUTHORITY 520936091 574218TJ2 2014-11-01 134824993 FINANCE ACQUISITION/ADVANCE FUNDING 2009 BONDS 0 0 0 B MARYLAND HEALTH AND HIGHER EDUCATION FACILITIES AUTHORITY 520936091 5742182Z5 2017-11-01 46852994 FINANCE ACQUISITION/ADVANCE REFUND 2010 BONDS 0 0 0 C MARYLAND HEALTH AND HIGHER EDUCATION FACILITIES AUTHORITY 520936091 NONEAVAIL 2022-02-03 60220000 REFINANCE 2009 BONDS 0 0 0 D MARYLAND HEALTH AND HIGHER EDUCATION FACILITIES AUTHORITY 520936901 NONEAVAIL 2022-07-01 49100000 REFINANCE 2022 BONDS 0 0 0 A 128999993 134824993 6446856 15734149 749019 111894969 2014 0 1 1 1 B 9875523 46852994 486585 46366409 2017 0 1 1 1 C 60220000 195342 60024658 2022 1 0 1 1 D 49100000 139413 48960587 2022 0 1 1 1 A 0 0 0 1 1 0.00180 0.00180 0 0 1 B 0 0 0 0 0 0 1 C 0 0 1 0 1 0 0.02930 0.02930 0 0 1 D 0 0 0 1 1 0.00360 0.00360 0 0 1 A 0 0 0 1 0 0 0 0 1 B 0 0 0 1 0 0 0 0 1 C 0 1 0 0 1 0 0 0 0 D 0 1 0 0 0 0 0 0 0 A 1 B 1 C 1 D 1 DATE REBATE COMPUTATION PERFORMED ISSUER NAME: MARYLAND HEALTH AND HIGHER EDUCATION FACILITIES AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 07/01/2019 ISSUER NAME: MARYLAND HEALTH AND HIGHER EDUCATION FACILITIES AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 07/01/2022 FORM 990, PART VI, SECTION A, LINE 6 THE SOLE STOCKHOLDER OF THE ORGANIZATION IS LUMINIS HEALTH, INC., 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 STOCKHOLDER OF THE ORGANIZATION IS LUMINIS HEALTH, INC., A SECTION 501(C)(3) ENTITY THAT SERVES AS THE PARENT CORPORATION OF THE INTEGRATED HEALTH SYSTEM. LUMINIS HEALTH, INC. 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 STOCKHOLDER OF THE ORGANIZATION IS LUMINIS HEALTH, INC., A SECTION 501(C)(3) ENTITY THAT SERVES AS THE PARENT CORPORATION OF THE INTEGRATED HEALTH SYSTEM. LUMINIS HEALTH, INC. HAS THE EXPRESS POWER AND RESPONSIBILITY TO APPROVE DECISIONS OF THE BOARD OF DIRECTORS. FORM 990, PART VI, SECTION B, LINE 11B RESPONSIBILITY FOR THE DETAILED REVIEW OF THE FORM 990 HAS BEEN ASSIGNED TO THE AUDIT AND COMPLIANCE COMMITTEE OF LUMINIS HEALTH, INC. THE AUDIT AND COMPLIANCE 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 ANY MEMBER OF THE BOARD OF TRUSTEES, MEMBERS OF ANY LUMINIS HEALTH (LH) BOARD OF DIRECTORS, A MEMBER OF A COMMITTEE TO THE BOARD OF TRUSTEES/DIRECTORS, A LH LEADERSHIP MEMBER, AND DESIGNATED EMPLOYEES OF THE ORGANIZATION (COVERED PERSON(S)) REVIEW THE ORGANIZATION'S CONFLICT OF INTEREST POLICY ON AN ANNUAL BASIS AND RETURN AN ATTESTATION WITH A DISCLOSURE OF ANY ACTUAL AND OR POTENTIAL CONFLICTS OF INTEREST. SUBSEQUENT TO THE COMPLETION OF THE ANNUAL CONFLICT OF INTEREST QUESTIONNAIRE, IF A COVERED PERSON BECOMES AWARE OF AN ACTUAL OR POTENTIAL CONFLICT OF INTEREST, THE COVERED PERSON SHALL PROMPTLY DISCLOSE IT TO THE CHIEF EXECUTIVE OFFICER OF LUMINIS HEALTH. IF REASONABLE CAUSE EXISTS TO BELIEVE THAT A COVERED PERSON HAS FAILED TO DISCLOSE AN ACTUAL OR POTENTIAL CONFLICT OF INTEREST, THE COVERED PERSON SHALL BE INFORMED OF THE BASIS FOR SUCH BELIEF AND PROVIDED AN OPPORTUNITY TO EXPLAIN THE ALLEGED FAILURE TO DISCLOSE. ALL CONFLICT OF INTEREST ATTESTATION FORMS SHALL BE REVIEWED BY THE CHIEF COMPLIANCE OFFICER OR HIS/HER DESIGNEE TO DETERMINE IF A CONFLICT OR POTENTIAL CONFLICT OF INTEREST EXISTS. IF THE CHIEF COMPLIANCE OFFICER OR HIS/HER DESIGNEE DETERMINES THAT AN ACTUAL OR POTENTIAL CONFLICT OF INTEREST EXIST, THE MATTER SHALL BE REFERRED TO THE CEO OF LUMINIS HEALTH FOR REVIEW. THE CEO OF LUMINIS HEALTH SHALL PRESENT THE ACTUAL OR POTENTIAL CONFLICT OF INTEREST TO THE CHAIR OF THE BOARD OF TRUSTEES FOR REVIEW AND CONSIDERATION. THE CHAIR OF THE BOARD OF TRUSTEES AND THE CEO MAY DETERMINE THAT A CONFLICT OF INTEREST EXISTS OR THEY MAY PRESENT THE MATTER TO THE BOARD. IF A CONFLICT OR POTENTIAL CONFLICT IS DEEMED TO EXIST, THE COVERED PERSON MUST REMOVE THEMSELF FROM THE ROOM DURING ANY DISCUSSION OF THE MATTER, REFRAIN FROM PARTICIPATING IN DISCUSSION AND VOTING UPON OR OTHER DECISION MAKING IN REGARD TO THE MATTER, AVOID USING THEIR PERSONAL INFLUENCE, AVOID MAKING AN ADMINISTRATIVE DECISION ON THE MATTER, AND, IN THE CASE OF A COVERED PERSON WITH VOTING RIGHTS, MUST NOT BE COUNTED IN DETERMINING THE QUORUM FOR ACTION ON THE MATTER, EVEN WHERE PERMITTED BY THE BY-LAWS. IF A MORE ADVANTAGEOUS TRANSACTION OR ARRANGEMENT IS NOT REASONABLY ATTAINABLE UNDER CIRCUMSTANCES THAT WOULD NOT GIVE RISE TO A CONFLICT OF INTEREST, THE BOARD SHALL DETERMINE WHETHER THE TRANSACTION OR ARRANGEMENT IS IN THE ORGANIZATION'S BEST INTEREST AND FOR ITS OWN BENEFIT AND WHETHER THE TRANSACTION IS FAIR AND REASONABLE TO THE ORGANIZATION AND SHALL MAKE ITS DECISIONS AS TO WHETHER TO ENTER INTO THE TRANSACTION OR ARRANGEMENT IN CONFORMITY WITH SUCH DETERMINATION. IF THE BOARD DETERMINES THAT THE TRANSACTION IS IN THE BEST INTEREST OF LUMINIS HEALTH, THE BOARD MAY IMPOSE SUCH CONDITIONS OR REQUIREMENTS ON THE COVERED PERSON INCLUDING, BUT NOT LIMITED TO, REQUIRING THAT THE COVERED PERSON RECUSE THEMSELF FROM DELIBERATIONS AND DECISIONS RELATING TO THOSE MATTERS WHERE THE COVERED PERSON HAS AN INTEREST WHICH COULD CONFLICT, OR APPEAR TO CONFLICT, WITH THEIR DUTY OF LOYALTY TO THE BEST INTERESTS OF LUMINIS HEALTH. FORM 990, PART VI, SECTION B, LINE 15 LUMINIS HEALTH INC'S AND LUMINIS HEALTH ANNE ARUNDEL MEDICAL CENTER'S EXECUTIVE COMPENSATION AND DEVELOPMENT COMMITTEE DETERMINES THE PRESIDENT'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 FINANCIAL SERVICES OFFICE OR CAN BE OBTAINED ONLINE AT WWW.GUIDESTAR.ORG. FORM 990, PART IX, LINE 11G SERVICE CONTRACTS: PROGRAM SERVICE EXPENSES 4,010,097. MANAGEMENT AND GENERAL EXPENSES 2,457,801. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 6,467,898. MEDICAL WASTE MANAGEMENT: PROGRAM SERVICE EXPENSES 774,205. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 774,205. PROFESSIONAL HOSPITAL SERVICES - PHYSICIAN ENTERPRISES: PROGRAM SERVICE EXPENSES 34,344,395. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 34,344,395. SHARED SERVICE ALLOCATION: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 102,865,766. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 102,865,766. TEMPORARY AGENCY: PROGRAM SERVICE EXPENSES 21,018,192. MANAGEMENT AND GENERAL EXPENSES 1,582,014. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 22,600,206. CONTRACTED SERVICES: PROGRAM SERVICE EXPENSES 6,632,574. MANAGEMENT AND GENERAL EXPENSES 3,012,993. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 9,645,567. FORM 990, PART XI, LINE 9: CHANGE IN BENEFICIAL INTEREST IN LUMINIS HEALTH AAMC FOUNDATION, INC. 1,124,618. UNREALIZED GAIN FOR CONTRACTS UNDER SFAS 133 12,123,343. CHANGE IN NET VALUE OF NON-PROFIT SUBSIDIARIES -2,762,154. CHANGE IN PENSION FUND STATUS -3,039,524. OTHER TRANSFER -131,832. PENSION ADJUSTMENT FOR ACTUARIAL VALUE 10,102,135. FORM 990, PAGE 12, PART XII, LINE 2C: THIS PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. FORM 990, PAGE 2, PART III, LINE 4A - CONTINUED: THE DECESARIS CANCER INSTITUTE HAS RECEIVED THE COMMISSION ON CANCER (COC) OUTSTANDING ACHIEVEMENT AWARD. THE COC GRANTED ACCREDITATION WITH COMMENDATION TO THE DECESARIS CANCER INSTITUTE, RECOGNIZING ITS CANCER COMMITTEE LEADERSHIP, CANCER DATA MANAGEMENT, CLINICAL SERVICES, RESEARCH, COMMUNITY OUTREACH, AND QUALITY IMPROVEMENT. IT IS ONE OF ONLY FOUR CANCER PROGRAMS IN MARYLAND (AND ONE OF ONLY 95 PROGRAMS NATIONWIDE) TO RECEIVE THE PRESTIGIOUS AWARD FROM THE COC, AN ORGANIZATION ESTABLISHED BY THE AMERICAN COLLEGE OF SURGEONS. A FACILITY RECEIVES THE AWARD ONLY IF DEMONSTRATING A "COMMENDATION" LEVEL OF COMPLIANCE WITH SEVEN COC-ESTABLISHED STANDARDS OF CARE. LHAAMC DEMONSTRATED COMMENDATION-LEVEL COMPLIANCE IN SIX AREAS: CANCER COMMITTEE LEADERSHIP, CANCER DATA MANAGEMENT, CLINICAL SERVICES, RESEARCH, COMMUNITY OUTREACH, AND QUALITY IMPROVEMENT. THE DECESARIS CANCER INSTITUTE IS THE RECIPIENT OF THE ASSOCIATION OF COMMUNITY CANCER CENTERS INNOVATOR AWARD FOR ITS INNOVATIVE SYMPTOM MANAGEMENT CLINIC, VERY FEW CANCER CENTER PROGRAMS NATIONWIDE RECEIVE THIS HONOR. THE REBECCA FORTNEY BREAST CENTER IS NATIONALLY RECOGNIZED FOR ITS OUTSTANDING CARE, RESEARCH AND COMPREHENSIVE PROGRAMS. IT OFFERS KIND, SENSITIVE, AND TAILORED BREAST DISEASE TREATMENT AND CARE FOR WOMEN. WITH OUR HIGHLY EXPERIENCED BREAST SPECIALISTS AND SPECIALTY TRAINED STAFF PLUS STATE-OF-THE-ART FACILITIES, WE ARE A BREAST CENTER DEDICATED TO GIVING YOU NEW HOPE AND GOOD HEALTH. THE BREAST CANCER CENTER RECEIVED ACCREDITATION BY THE NATIONAL ACCREDITATION PROGRAM FOR BREAST CENTERS (NAPBC). LHAAMC MADE A COMMITMENT TO FURTHER SERVE BREAST PATIENTS IN THE REGION BY EXPANDING THE BREAST CENTER UNDER THE UMBRELLA OF THE DECESARIS CANCER INSTITUTE, AND ADDING AN ADDITIONAL FELLOWSHIP-TRAINED BREAST SURGEON TO THE CARE TEAM. THE CANCER INSTITUTE OFFERS A WIDE RANGE OF SUPPORT GROUPS TO PATIENTS AS A SOURCE OF COMFORT, ENCOURAGEMENT AND INFORMATION, AND AS A WAY TO CONNECT WITH OTHERS WHO KNOW WHAT THE PATIENTS ARE GOING THROUGH AS A PATIENT, FAMILY MEMBER OR CAREGIVER. SOME OF OUR SUPPORT GROUPS INCLUDE GENERAL CANCER SUPPORT GROUP; MONTHLY LUNG CANCER SUPPORT GROUP; MOVING FORWARD, A MONTHLY MEETING FOR WOMEN DIAGNOSED WITH BREAST CANCER WITHIN THE LAST TWO YEARS; SISTER TO SISTER, PROVIDING SPECIALIZED SUPPORT FOR AFRICAN-AMERICAN WOMEN; AND SURVIVORS OFFERING SUPPORT, WHERE BREAST CANCER SURVIVORS ARE TRAINED TO PROVIDE ONE-ON-ONE MENTORING TO NEWLY DIAGNOSED PATIENTS THROUGH THEIR FIRST YEAR OF TREATMENT. EMERGENCY SERVICES THE LHAAMC EMERGENCY ROOM IS ONE OF THE BUSIEST IN THE AREA, SERVING MORE THAN 95,000 PATIENTS EACH YEAR. AAMC'S ED EMPLOYS TRAINED PHYSICIANS, PHYSICIAN ASSISTANTS, AND NURSE PRACTITIONERS WHO ARE ON DUTY 24/7, AND SPECIALISTS ARE ON CALL FOR CONSULTATION. LHAAMC'S EMERGENCY DEPARTMENT INCLUDES: - EMERGENCY TRAINED NURSES AND MEDICAL TECHNICIANS WHO PROVIDE CARE AND MONITOR PATIENT CONDITIONS THROUGHOUT THE EPISODE OF CARE. ALL PATIENTS ARE TRIAGED AND ASSIGNED A PRIORITY BASED ON THE ASSESSED MEDICAL NEED. THOSE PATIENTS WITH MORE SERIOUS CONDITIONS ARE GENERALLY TREATED IN THE MAIN ED AREA WHILE PATIENTS WITH LESS SEVERE OR MINOR CONDITIONS ARE TREATED IN THE RAPID CLINICAL EVALUATION AND INTERMEDIATE CARE AREAS. THE DEPARTMENT HAS 33 MAIN SIDE BEDS AND 10 INTERMEDIATE CARE BEDS. ADDITIONALLY, THERE IS A 10-BED AREA FOR HOLDING ADULT PATIENTS AND AN EIGHT-BED AREA FOR HOLDING PEDIATRIC PATIENTS WAITING FOR ADMISSION. A PRIVATE SIX-BED AREA IS AVAILABLE FOR PATIENTS WITH MENTAL HEALTH PROBLEMS. - SUTURING, SPLINTING AND CASTING SERVICES ARE AVAILABLE FOR MINOR TRAUMA. HIGH-LEVEL TRAUMA PATIENTS ARE STABILIZED AND TRANSFERRED TO NEARBY TRAUMA CENTERS. THE HOSPITAL IS CHEST PAIN CERTIFIED AND HAS A VERY ROBUST CARDIAC PROGRAM INCLUDING RAPID STABILIZATION AND TRANSFER TO THE CATH-LAB WHEN INDICATED. LHAAMC IS ALSO STROKE CERTIFIED AND EQUIPPED TO MANAGE PATIENTS ARRIVING WITH ACUTE STROKE SYMPTOMS. - X-RAY SERVICES AVAILABLE WITHIN THE ED TO EXPEDITE DIAGNOSIS AND TREATMENT INCLUDE TWO RADIOLOGY ROOMS AND A STATE OF THE ART CT SCANNER. NEW TECHNOLOGY ALLOWS X-RAYS TO BE TRANSMITTED ELECTRONICALLY ENABLING THE ED DOCTORS, SPECIALISTS AND PRIMARY CARE PHYSICIANS TO VIEW X-RAYS AND OTHER DIAGNOSTIC TESTS ON A COMPUTER WITHIN MINUTES OF BEING TAKEN. - HOSPITALISTS AND INTENSIVISTS (DOCTORS SPECIALLY TRAINED IN CRITICAL CARE AND INPATIENT CARE) ADMIT PATIENTS TO THE ACUTE CARE PAVILION ONCE THE DETERMINATION IS MADE THAT FURTHER MEDICAL AND NURSING ARE NEEDED. - MENTAL HEALTH ASSESSMENT AND PLACEMENT SERVICES ARE PROVIDED BY LICENSED MENTAL HEALTH CLINICIANS. - DOMESTIC VIOLENCE ASSESSMENT AND SUPPORT SERVICES ARE PROVIDED BY TRAINED COUNSELORS. - PATIENT ADVOCATES AND VOLUNTEERS ARE AVAILABLE TO ASSIST FAMILIES WITH PERSONAL NEEDS AND COMFORT CARE. - COMMUNITY HEALTH EDUCATION AND SUPPORT. COMMUNITY HEALTH EDUCATION SERVICES ENCOURAGE HEALTHY LIFESTYLES AND DISEASE PREVENTION. IN MOST CASES, LHAAMC PROVIDED THESE SERVICES AT MINIMAL OR NO COST. LHAAMC PHYSICIANS, PHARMACISTS, REGISTERED NURSES, DIETITIANS AND OTHER PROFESSIONALS VOLUNTEER THEIR TIME AND EXPERTISE TO PROVIDE UP-TO-DATE INFORMATION ON DISEASE PREVENTION AND OTHER HEALTH-RELATED ISSUES THROUGH FREE SEMINARS AND PROGRAMS. THESE PROGRAMS, DESIGNED TO MEET THE HEALTH NEEDS OF THE COMMUNITY ARE COORDINATED AND PROVIDED BY COMMUNITY HEALTH AND WELLNESS, LUMINIS HEALTH PATHWAYS, AND CANCER PREVENTION AND OFFERED TO LOCAL CLUBS, SCHOOLS, CORPORATIONS, CIVIC ORGANIZATIONS AND THE GENERAL PUBLIC. CLASS TOPICS ARE BASED ON COMMUNITY HEALTH ASSESSMENTS, RESULTS OF CUSTOMER INTEREST SURVEYS, FOCUS GROUPS, AND FEEDBACK PROVIDED ON PROGRAM EVALUATIONS. TOPICS INCLUDE CANCER PREVENTION AND RISK REDUCTION, CARDIAC RISK, VASCULAR DISEASE, BACK CARE, ARTHRITIS, PAIN MANAGEMENT, DIABETES, WOMEN'S CARE, SUBSTANCE USE REDUCTION, TOBACCO USE REDUCTION, AND HEALTHCARE DECISIONS. MOST CLASSES WERE OFFERED AT A BREAK-EVEN COST OR A LOSS TO THE MEDICAL CENTER. THE COMMUNITY CLINIC AT FOREST DRIVE OPENED AND HAS BECOME A TRUSTED COMMUNITY RESOURCE. A PRIMARY CARE CLINIC OPENED IN THE MORRIS BLUM BUILDING, A SENIOR HOUSING PROJECT IN ANNAPOLIS. THE CLINICS ARE LOCATED WITHIN, AND HAVE BECOME A PART OF, THE COMMUNITY. THE CLINICS ARE A PATIENT-CENTERED MEDICAL HOME FOR NEW AND/OR ESTABLISHED PATIENTS WHO NEED SERVICES RANGING FROM PREVENTATIVE, ACUTE AND/OR CHRONIC CARE. THE GOAL OF THE COMMUNITY CLINICS IS TO BUILD A PROVIDER-PATIENT PARTNERSHIP WITH A FOCUS ON PATIENT EDUCATION AND CONTINUITY OF CARE, THEREBY REDUCING UNNECESSARY EMERGENCY ROOM VISITS. PATIENTS RECEIVE CARE AT ALL OF OUR COMMUNITY CLINICS REGARDLESS OF ABILITY TO PAY. EACH SELF-PAY PATIENT MEETS WITH A STAFF MEMBER TO DETERMINE HIS/HER ABILITY TO PAY BASED ON A SLIDING FEE SCALE, INCLUDING ZERO PAYMENT. THE SLIDING FEE SCALE IS IN ACCORDANCE WITH FEDERAL POVERTY GUIDELINES BASED ON GROSS HOUSEHOLD INCOME AND NUMBER OF DEPENDENTS IN THE HOUSEHOLD. OVER 5,000 UNIQUE PATIENTS RECEIVE CARE IN THE COMMUNITY CLINICS EACH YEAR. LHAAMC OPENED THE JAMES AND SYLVIA EARL SIMULATION TO ADVANCE INNOVATION AND LEARNING CENTER (SAIL). THIS FACILITY IS DEDICATED TO THE ADVANCEMENT AND PRACTICE OF MEDICINE THROUGH RESEARCH, TRAINING AND INNOVATION DESIGNED TO IMPROVE SURGICAL AND MEDICAL PROCEDURES AND OUTCOMES FOR PATIENTS. THIS TYPE OF TRAINING IS TYPICALLY ONLY AVAILABLE IN MAJOR ACADEMIC MEDICAL CENTERS AND INCLUDES SOPHISTICATED LIFE LIKE TECHNOLOGY FEATURING HIGH FIDELITY MANNEQUINS THAT SIMULATE REAL LIFE MEDICAL SITUATIONS. PARTICIPANTS INCLUDED SURGEONS, RESIDENTS, MEDICAL STUDENTS, NURSES, EMERGENCY MEDICAL TECHNICIANS, MILITARY PERSONNEL AND ALLIED HEALTH PROFESSIONALS. ADDITIONALLY, LHAAMC OPENED THE HACKERMAN-PATZ HOSPITALITY HOUSE. THIS HOME-LIKE LODGING FACILITY IS DESIGNED TO MEET THE NEEDS OF PATIENTS AND THEIR FAMILIES SO THEY MAY STAY CLOSE TO THE HOSPITAL WHERE LOVED ONES RECEIVE TREATMENT. THE FACILITY HOUSES 20 PRIVATE GUEST ROOMS AS WELL AS A GREAT ROOM, FULLY FURNISHED KITCHEN AND PLAYROOM. FORM 990, PAGE 3, PART IV, LINE 10 FUNDS ARE HELD IN AN ENDOWMENT AND ARE REPORTED ON THE FORM 990 FOR THE LUMINIS HEALTH ANNE ARUNDEL MEDICAL CENTER FOUNDATION. THE FOUNDATION PROVIDES THESE FUNDS TO THE AFFILIATED ANNE ARUNDEL ENTITIES, INCLUDING LUMINIS HEALTH ANNE ARUNDEL MEDICAL CENTER, IN ORDER TO FURTHER THE EXEMPT PURPOSE OF THE HEALTH SYSTEM. LUMINIS HEALTH PATHWAYS INC 2000 MEDICAL PARKWAY SUITE 606 ANNAPOLIS MD 21401 521722088 ALCOHOL & DRUG ABUSE TREATMENT SERVICES MD 501(C)(3) LINE 3 LUMINIS HEALTH ANNE ARUNDEL MEDICAL CENTER INC 1 LUMINIS HEALTH IMAGING INC 2000 MEDICAL PARKWAY SUITE 606 ANNAPOLIS MD 21401 521467734 OUTPATIENT DIAGNOSTICS AND IMAGING SERVICES MD 501(C)(3) LINE 3 LUMINIS HEALTH CLINICAL ENTERPRISE INC 0 LUMINIS HEALTH INC 2000 MEDICAL PARKWAY SUITE 606 ANNAPOLIS MD 21401 521622253 SUPPORT HEALTH CARE RELATED ENTITIES MD 501(C)(3) LINE 12C, III-FI N/A 0 LUMINIS HEALTH ANNE ARUNDEL MEDICAL CENTER FOUNDATION INC 2000 MEDICAL PARKWAY SUITE 606 ANNAPOLIS MD 21401 521331298 SUPPORTING ORGANIZATION OF LUMINIS HEALTH, INC. 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