ADVENTIST REHABILITATION HOSPITAL OF MARYLAND INC: Form 990, tax year 2022

View the entire original 990 at ProPublica ↗

Organization: ADVENTIST REHABILITATION HOSPITAL OF MARYLAND INC (EIN 20-1486678)
Tax period: 2022-01-01 to 2022-12-31
Filed: 2023-11-15
IRS object ID: 202303199349319635
Schema version: 2022v5.0
Source: Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header
Form 990
Schedule A
Schedule B
Schedule D
Schedule G
Schedule H
Schedule J
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2023-11-15T15:21:42-06:00	ReturnTs
Tax Period End	2022-12-31	TaxPeriodEndDt
Return Type	990	ReturnTypeCd
Tax Period Begin	2022-01-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	201486678	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	ADVENTIST REHABILITATION HOSPITAL OF	BusinessNameLine1Txt
Business Name Line2	MARYLAND INC	BusinessNameLine2Txt

Field	Value	IRS element (for citing)
Business Name Control	ADVE	BusinessNameControlTxt
Phone	3013153030	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	820 WEST DIAMOND AVE 600	AddressLine1Txt
City	GAITHERSBURG	CityNm
State Abbreviation	MD	StateAbbreviationCd
ZIP	208781419	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	KRISTEN PULIO	PersonNm
Person Title	SR. VICE PRESIDENT & CFO	PersonTitleTxt
Phone	3013153030	PhoneNum
Signature	2023-11-15	SignatureDt

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

Field	Value	IRS element (for citing)
Person First	KRISTEN	PersonFirstNm
Person Last	PULIO	PersonLastNm

Field	Value	IRS element (for citing)
SSN	XXX-XX-XXXX	SSN

Field	Value	IRS element (for citing)
IRS Responsible Prty Info Curr	0	IRSResponsiblePrtyInfoCurrInd

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

Field	Value	IRS element (for citing)
Trusted Customer	2	TrustedCustomerCd
Authentication Assurance Level	AAL1	AuthenticationAssuranceLevelCd
Identity Assurance Level	IAL1	IdentityAssuranceLevelCd

Field	Value	IRS element (for citing)
Tax	2022	TaxYr
Build TS	2023-04-26 12:10:37Z	BuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

Field	Value	IRS element (for citing)
Business Name Line1	ADVENTIST HEALTHCARE REHABILITATION	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Principal Officer	TERRY FORDE	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	820 WEST DIAMOND AVE 600	AddressLine1Txt
City	GAITHERSBURG	CityNm
State Abbreviation	MD	StateAbbreviationCd
ZIP	208781419	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$69,188,255	GrossReceiptsAmt
Group Return For Affiliates	0	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.ADVENTISTHEALTHCARE.COM	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	2004	FormationYr
Legal Domicile State	MD	LegalDomicileStateCd
Activity Or Mission	TO OPERATE A REHABILITATION HOSPITAL AND OUTPATIENT SERVICES TO SERVE THE COMMUNITY IN MARYLAND.	ActivityOrMissionDesc
Voting Members Governing Body	9	VotingMembersGoverningBodyCnt
Voting Members Independent	0	VotingMembersIndependentCnt
Total Employee	0	TotalEmployeeCnt
Total Volunteers	70	TotalVolunteersCnt
Total Gross UBI	$0	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$277,879	PYContributionsGrantsAmt
CY Contributions Grants	$396,790	CYContributionsGrantsAmt
PY Program Service Revenue	$56,848,775	PYProgramServiceRevenueAmt
CY Program Service Revenue	$60,711,020	CYProgramServiceRevenueAmt
PY Investment Income	$594,050	PYInvestmentIncomeAmt
CY Investment Income	-$63,377	CYInvestmentIncomeAmt
PY Other Revenue	-$29,802	PYOtherRevenueAmt
CY Other Revenue	-$47,847	CYOtherRevenueAmt
PY Total Revenue	$57,690,902	PYTotalRevenueAmt
CY Total Revenue	$60,996,586	CYTotalRevenueAmt
PY Grants And Similar Paid	$1,758	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$3,102	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$35,528,022	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$39,186,219	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$231,892	CYTotalFundraisingExpenseAmt
PY Other Expenses	$17,618,051	PYOtherExpensesAmt
CY Other Expenses	$20,160,660	CYOtherExpensesAmt
PY Total Expenses	$53,147,831	PYTotalExpensesAmt
CY Total Expenses	$59,349,981	CYTotalExpensesAmt
PY Revenues Less Expenses	$4,543,071	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$1,646,605	CYRevenuesLessExpensesAmt
Total Assets BOY	$54,576,602	TotalAssetsBOYAmt
Total Assets EOY	$52,939,280	TotalAssetsEOYAmt
Total Liabilities BOY	$12,955,744	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$10,146,127	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$41,620,858	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$42,793,153	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	WE EXTEND GOD'S CARE THROUGH THE MINISTRY OF PHYSICAL, MENTAL AND SPIRITUAL HEALING.	MissionDesc
Significant New Program Srvc	0	SignificantNewProgramSrvcInd
Significant Change	0	SignificantChangeInd
Expense	$47,969,049	ExpenseAmt
Grant	$3,102	GrantAmt
Revenue	$60,711,020	RevenueAmt
Desc	ADVENTIST HEALTHCARE REHABILITATION (AHC REHAB) IS THE FIRST AND ONLY ACUTE REHABILITATION HOSPITAL IN MONTGOMERY COUNTY, MARYLAND, THAT OFFERS COMPREHENSIVE PROGRAMS FOR BRAIN INJURIES, SPINAL CORD INJURIES, STROKES, AMPUTATION, ORTHOPEDIC INJURIES AND SURGERIES, SPORTS-RELATED INJURIES, WORK-RELATED INJURIES, AND NEUROLOGICAL DISORDERS.EXPERT CARE TEAMS WORK SIDE-BY-SIDE WITH PATIENTS, USING INNOVATIVE THERAPIES, STATE-OF-THE-ART EQUIPMENT, AND GROUND-BREAKING TECHNOLOGY TO OFFER NEW WAYS TO HEAL AND RETURN TO THE ACTIVITIES OF DAILY LIFE. EVERY DAY, WE CELEBRATE PATIENT ACCOMPLISHMENTS, BIG AND SMALL.CONTINUES ON SCHEDULE O.AHC REHAB OFFERS INPATIENT CARE IN MARYLAND IN TWO LOCATIONS, IN ROCKVILLE AND IN THE WHITE OAK AREA OF SILVER SPRING. OUTPATIENT SERVICES ARE AVAILABLE IN ROCKVILLE, GAITHERSBURG, SILVER SPRING AND FORT WASHINGTON.AHC REHAB CARES FOR PERSONS WITH FUNCTIONAL LIMITATIONS, AGE 18 AND OLDER, AND UNDER SPECIAL CIRCUMSTANCES, EMANCIPATED MINORS. SPECIALIZED PROGRAMS AND SERVICES INCLUDE:- ACUTE INPATIENT REHABILITATION- SPINAL CORD INJURY PROGRAM- AMPUTATION REHABILITATION AND SUPPORT- BRAIN INJURY RECOVERY- SPORTS THERAPY- CONCUSSION MANAGEMENT- STROKE AND NEUROLOGICAL REHABILITATION- JOINT REPLACEMENT REHABILITATION- PHYSICAL THERAPY - CARDIAC REHABILITATION- POST-COVID-19 REHABILITATION- DRIVER EVALUATION AND ASSESSMENT- OCCUPATIONAL THERAPY- LYMPHEDEMA THERAPY AND CANCER REHABILITATION- LEE SILVERMAN VOICE TREATMENT (LSVT) SPEECH LANGUAGE & SWALLOWING THERAPY- PELVIC HEALTH REHABILITATIONADVENTIST HEALTHCARE REHABILITATION HOLDS THE JOINT COMMISSION ACCREDITATION, RECOGNIZED NATIONALLY AS A SYMBOL OF HEALTHCARE QUALITY THAT REFLECTS AN ORGANIZATION'S COMMITMENT TO MEETING THE HIGHEST STANDARDS.ADVENTIST HEALTHCARE REHABILITATION'S PROGRAMS ALSO HOLD THE SEAL OF APPROVAL FROM THE COMMISSION ON ACCREDITATION OF REHABILITATION FACILITIES (CARF), AN INDEPENDENT, INTERNATIONAL EVALUATOR OF HEALTH AND HUMAN SERVICES ORGANIZATIONS. CARF ACCREDITATION RECOGNIZES AHC REHAB'S SKILLED WORKFORCE AND COMMITMENT TO PATIENT SAFETY. THE MOST RECENT CARF ACCREDITATION SURVEY TOOK PLACE IN FALL 2020.AHC REHAB, WHICH BEGAN SERVING THE COMMUNITY IN 2001, WAS THE FIRST HOSPITAL IN THE D.C. METROPOLITAN AREA TO EARN CARF'S SPECIALTY ACCREDITATION IN AMPUTEE REHABILITATION. CARF INTRODUCED ITS AMPUTEE SPECIALTY STANDARDS IN JULY 2007 WITH INPUT FROM THE AMPUTEE COALITION OF AMERICA, VETERANS HEALTH ADMINISTRATION, DEPARTMENT OF DEFENSE, AMERICAN ACADEMY OF ORTHOTISTS & 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.THE ACUTE INPATIENT PROGRAM IS RUN BY A TEAM OF REHABILITATION EXPERTS WHO GUIDE PATIENTS THROUGH A PRACTICAL AND PERSONAL TREATMENT PROGRAM. THE FOCUS IS HELPING PATIENCE INCREASE THEIR SELF-RELIANCE AND GAIN INDEPENDENCE. IN 2022, A SURVEY BY NEWSWEEK AND STATISTA INC. NAMED AHC REHAB AMONG THE BEST INPATIENT REHABILITATION FACILITIES IN THE UNITED STATES AND FIRST IN ITS REGION. THE NEWSWEEK RANKINGS CONSIDERED REPUTATION, QUALITY OF CARE, SERVICE, AND POST HOSPITALIZATION FOLLOW-UP, AS WELL AS INPATIENT ACCOMMODATIONS AND AMENITIES.WITHIN THE AHC REHAB INPATIENT PROGRAM, A PHYSIATRIST, OR A MEDICAL DOCTOR WHO SPECIALIZES IN PHYSICAL REHABILITATION, LEADS THE TEAM. PATIENTS HAVE ACCESS TO SPECIALIZED REHABILITATION NURSING CARE 24 HOURS A DAY, SEVEN DAYS A WEEK. THERAPY SERVICES INCLUDE PHYSICAL THERAPY, OCCUPATIONAL THERAPY, SPEECH LANGUAGE PATHOLOGY AND RECREATIONAL THERAPY.AHC REHAB'S SPINAL CORD INJURY PROGRAM ADDRESSES BOTH TRAUMATIC SPINAL CORD INJURIES RESULTING FROM A FALL OR ACCIDENT, AND NON-TRAUMATIC SPINAL CORD INJURIES FROM A STROKE, TUMOR, OR INFECTION ON THE SPINAL CORD. AGAIN, A TEAM APPROACH AND AN INTERDISCIPLINARY PLAN OF CARE HELPS PATIENTS ON THEIR ROAD TO RECOVERY.AN AMPUTEE PROGRAM ALSO UTILIZES AN INTERDISCIPLINARY TEAM APPROACH TO HELP PATIENTS ADJUST PHYSICALLY AND PSYCHOLOGICALLY AFTER THE LOSS OF A LIMB SO THEY CAN RESUME ACTIVE AND PRODUCTIVE LIVES. INDIVIDUALS MAY BE TREATED AS INPATIENTS OR OUTPATIENTS, DEPENDING ON THEIR NEEDS. PATIENTS WORK TO IMPROVE STRENGTH, COORDINATION AND ENDURANCE, AND LEARN PROPER WOUND CARE. WHEN READY, PATIENTS ARE PRESCRIBED PROSTHETIC DEVICES THAT ARE BOTH FUNCTIONAL AND COMFORTABLE TO WEAR. ONCE FITTED WITH A NEW LIMB, PATIENT LEARN TO USE PROSTHESES WITH CONFIDENCE AND TO INCORPORATE IT INTO DAILY LIFE. THE PROGRAM BRINGS THE AMPUTEE COMMUNITY TOGETHER EACH YEAR FOR AN AMPUTEE 5K EVENT, TO HIGHLIGHT THE ACCOMPLISHMENTS OF PARTICIPANTS. THE EVENT CREATES CONNECTION AMONG PATIENTS WHO SHARE THE CHALLENGES OF LIMB LOSS AND CELEBRATES THEIR TRIUMPHS.A BRAIN INJURY PROGRAM ADDRESSES TRAUMATIC BRAIN INJURIES FROM AN EXTERNAL PHYSICAL FORCE, SUCH AS A CAR ACCIDENT, FALL, SPORTS OR WORKPLACE INJURIES, AS WELL AS ACQUIRED NON-TRAUMATIC BRAIN INJURIES CAUSED BY INTERNAL TRAUMA TO THE BRAIN, SUCH AS TUMORS, BLOOD CLOTS, SEIZURES, OR INFECTIONS. 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 THE REHAB BRAIN INJURY PROGRAM RECEIVE INTENSIVE, INTEGRATED REHABILITATION FROM AN INTERDISCIPLINARY TEAM DESIGNED TO MAXIMIZE RECOVERY. TEAM MEMBERS, INCLUDING A NEUROPSYCHOLOGIST, MEET AT LEAST ONCE A WEEK TO DISCUSS PATIENT GOALS, PROGRESS, AND TREATMENT STRATEGIES.AHC REHAB PARTNERS WITH MONTGOMERY COUNTY PUBLIC SCHOOLS (MCPS) ON ITS ATHLETIC TRAINING PROGRAM FOR COUNTY HIGH SCHOOL ATHLETES. AHC REHAB ASSISTS THE COUNTY WITH BASELINE COGNITIVE TESTING FOR HIGH SCHOOL ATHLETES PRIOR TO THEIR RESPECTIVE SPORTS SEASONS.OTHER PROGRAMS INCLUDE A STROKE RECOVERY PROGRAM, IN WHICH PATIENTS RECEIVE AN INTENSIVE COURSE OF INTEGRATED THERAPIES AND MEDICAL MANAGEMENT. THE OBJECTIVE IS TO RESTORE MOVEMENT, IMPROVE SPEECH, TEACH SELF- AND HOME CARE SKILLS, AND IMPROVE COGNITIVE AND MEMORY FUNCTIONS. STROKE PATIENTS AND THEIR FAMILIES ARE GUIDED THROUGH A PATIENT-FOCUSED, COMPREHENSIVE, AND OUTCOME-ORIENTED PROGRAM BY A CARING, EXPERIENCED 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.IN OUR CARDIAC REHABILITATION PROGRAM, PATIENTS WITH HEART DISEASE OR THOSE RECOVERING FROM HEART SURGERY RECEIVE MEDICALLY MONITORED EXERCISE TO IMPROVE ENDURANCE AND REGAIN THE ABILITY TO COMPLETE ACTIVITIES OF DAILY LIVING.AHC REHAB'S DRIVER REHABILITATION PROGRAM DETERMINES WHETHER IT IS SAFE FOR AN INDIVIDUAL 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 DECONGESTIVE TREATMENT FOR PEOPLE SUFFERING FROM A BUILDUP OF FLUID IN THE BODY, USUALLY IN THE ARMS AND LEGS. THE THERAPY IS OFTEN BENEFICIAL TO CANCER PATIENTS, WHO CAN EXPERIENCE LYMPHEDEMA FROM THEIR TREATMENT. THERAPY 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 PROGRAM AIMS TO REDUCE SWELLING, RESTORE MOBILITY, IMPROVE ANY DISFIGUREMENT, PREVENT INFECTION, AND IMPROVE QUALITY OF LIFE.	Desc
Total Program Service Expenses	$47,969,049	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (1)	DescribedInSection501c3Ind
Schedule B Required	Yes (1)	ScheduleBRequiredInd
Political Campaign Acty	0	PoliticalCampaignActyInd
Lobbying Activities	0	LobbyingActivitiesInd
Subject To Proxy Tax	0	SubjectToProxyTaxInd
Donor Advised Fund	0	DonorAdvisedFundInd
Conservation Easements	0	ConservationEasementsInd
Collections Of Art	0	CollectionsOfArtInd
Credit Counseling	0	CreditCounselingInd
Donor Rstr Or Quasi Endowments	0	DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment	Yes (1)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	0	ReportInvestmentsOtherSecInd
Report Program Related Invst	0	ReportProgramRelatedInvstInd
Report Other Assets	0	ReportOtherAssetsInd
Report Other Liabilities	Yes (1)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (1)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	0	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (1)	ConsolidatedAuditFinclStmtInd
School Operating	0	SchoolOperatingInd
Foreign Office	0	ForeignOfficeInd
Foreign Activities	0	ForeignActivitiesInd
More Than5000 K To Org	0	MoreThan5000KToOrgInd
More Than5000 K To Individuals	0	MoreThan5000KToIndividualsInd
Professional Fundraising	0	ProfessionalFundraisingInd
Fundraising Activities	Yes (1)	FundraisingActivitiesInd
Gaming Activities	0	GamingActivitiesInd
Operate Hospital	Yes (1)	OperateHospitalInd
Audited Financial Stmt Att	Yes (1)	AuditedFinancialStmtAttInd
Grants To Organizations	0	GrantsToOrganizationsInd
Grants To Individuals	0	GrantsToIndividualsInd
Schedule J Required	Yes (1)	ScheduleJRequiredInd
Tax Exempt Bonds	0	TaxExemptBondsInd
Engaged In Excess Benefit Trans	0	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	0	PYExcessBenefitTransInd
Loan Outstanding	0	LoanOutstandingInd
Grant To Related Person	0	GrantToRelatedPersonInd
Business Rln With Org Mem	0	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	0	BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent	0	BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri	0	DeductibleNonCashContriInd
Deductible Art Contribution	0	DeductibleArtContributionInd
Terminate Operations	0	TerminateOperationsInd
Partial Liquidation	0	PartialLiquidationInd
Disregarded Entity	0	DisregardedEntityInd
Related Entity	Yes (1)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (1)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	0	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	0	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	0	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (1)	ScheduleORequiredInd
IRP Document	0	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Employee	0	EmployeeCnt
Unrelated Bus Incm Over Limit	0	UnrelatedBusIncmOverLimitInd
Foreign Financial Account	0	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTransInd
Taxable Party Notification	0	TaxablePartyNotificationInd
Nondeductible Contributions	0	NondeductibleContributionsInd
Quid Pro Quo Contributions	Yes (1)	QuidProQuoContributionsInd
Quid Pro Quo Contri Discl	Yes (1)	QuidProQuoContriDisclInd
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	0	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	0	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	0	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	0	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	0	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	9	GoverningBodyVotingMembersCnt
Independent Voting Member	0	IndependentVotingMemberCnt
Family Or Business Rln	0	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	0	DelegationOfMgmtDutiesInd
Change To Org Documents	0	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	0	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (1)	MembersOrStockholdersInd
Election Of Board Members	Yes (1)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (1)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (1)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (1)	MinutesOfCommitteesInd
Officer Mailing Address	0	OfficerMailingAddressInd
Local Chapters	Yes (1)	LocalChaptersInd
Policies Reference Chapters	Yes (1)	PoliciesReferenceChaptersInd
Form990 Provided To Gvrn Body	Yes (1)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (1)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (1)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (1)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (1)	WhistleblowerPolicyInd
Document Retention Policy	Yes (1)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (1)	CompensationProcessCEOInd
Compensation Process Other	Yes (1)	CompensationProcessOtherInd
Investment In Joint Venture	0	InvestmentInJointVentureInd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	KRISTEN PULIO SVP & CFO	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Phone	3013153030	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	820 WEST DIAMOND AVE 600	AddressLine1Txt
City	GAITHERSBURG	CityNm
State Abbreviation	MD	StateAbbreviationCd
ZIP	208781419	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (15 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	OfficerOfficerInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd
JOHN SACKETT
CHAIR; EVP & COO, AHC	2.00	48.00	Yes (X)	$0	$1,034,422	$70,167
DANIEL L COCHRAN
PRESIDENT, SGMC	1.00	49.00	Yes (X)	$0	$785,143	$184,334
ANTHONY STAHL
PRESIDENT, WOMC	4.00	46.00	Yes (X)	$0	$691,035	$170,625
EUNMEE SHIM
PRESIDENT, FWMC	1.00	49.00	Yes (X)	$0	$691,885	$150,467
MARTA BRITO PEREZ
SVP,POP. HEALTH/POST-ACUTE CARE SVCS	3.00	47.00	Yes (X)	$0	$769,858	$42,454
BRENT REITZ
SECY; PRES, POST-ACUTE CARE SRV, AHC	20.00	20.00	Yes (X)	$0	$571,930	$130,113	Yes (X)
BRENDAN JOHNSON
SVP OF HUMAN RESOURCES, AHC	20.00	20.00	Yes (X)	$0	$567,919	$133,186
SUSAN L GLOVER
SVP,Q&PS,END 4/2022;VP,CV,AHC	20.00	20.00	Yes (X)	$0	$561,897	$50,997
TERRENCE SHEEHAN MD
CMO, PHYSICIAN INTEGRATION SVCS	20.00	20.00	Yes (X)	$0	$554,276	$13,878
JOHN J KENNEY PHD
BOARD MEMBER, PARTIAL YEAR	1.00		Yes (X)	$0	$0	$0
GEORGE R GRANGE
VP, POST-ACUTE & ADMR, WOMC	40.00			$230,000	$0	$69,800		Yes (X)
SUSAN SAVERY
AVP FINANCE, POST-ACUTE CARE SVCS	40.00			$223,489	$0	$25,284		Yes (X)
VICTORIA ESTRADA
REGISTERED NURSE II	40.00			$179,774	$0	$35,019		Yes (X)
ELAN BURMAN
PROGRAM DIRECTOR, FOUNDATION	40.00			$174,813	$0	$23,686		Yes (X)
IRENE MEKEDE
REGISTERED NURSE II	40.00			$182,488	$0	$9,808		Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$990,564	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$6,228,365	TotReportableCompRltdOrgAmt
Total Other Compensation	$1,109,818	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	86	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	0	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (1)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	0	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (4 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
CRITICAL CONNECTION
2401 RESEARCH BLVD 109	ROCKVILLE	MD	20850	CONTRACT LABOR	$583,523
QUEST DIAGNOSTICS
14225 NEWBROOK DR	CHANTILLY	VA	191761303	CLINICAL LAB SERVICES	$446,363
SODEXO INC
PO BOX 536922	ATLANTA	GA	303536922	DIETARY AND PLANT OPS	$245,476
HANDCRAFT LINEN SERVICES
2810 COFER ROAD	RICHMOND	VA	232247102	LINEN & UNIFORM SVCS	$166,446

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	4	CntrctRcvdGreaterThan100KCnt
Fundraising	$32,654	FundraisingAmt
Government Grants	$187,226	GovernmentGrantsAmt
All Other Contributions	$176,910	AllOtherContributionsAmt
Total Contributions	$396,790	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

Field	Value	IRS element (for citing)
Desc	OCCUPATIONAL/SPEECH/PT	Desc
Business	900099	BusinessCd
Total Revenue Column	$60,711,020	TotalRevenueColumnAmt
Related Or Exempt Func Income	$60,711,020	RelatedOrExemptFuncIncomeAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$60,711,020	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$200,661	TotalRevenueColumnAmt
Exclusion	$200,661	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$7,874,733	SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$8,138,771	SecuritiesAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	-$264,038	SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$264,038	TotalRevenueColumnAmt
Exclusion	-$264,038	ExclusionAmt

Field	Value	IRS element (for citing)
Fundraising Gross Income	$500	FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event	$32,654	ContriRptFundraisingEventAmt
Fundraising Direct Expenses	$52,898	FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$52,398	TotalRevenueColumnAmt
Exclusion	-$52,398	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp

Field	Value	IRS element (for citing)
Desc	VENDING REVENUE	Desc
Business	621990	BusinessCd
Total Revenue Column	$4,551	TotalRevenueColumnAmt
Exclusion	$4,551	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$4,551	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$60,996,586	TotalRevenueColumnAmt
Related Or Exempt Func Income	$60,711,020	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	-$111,224	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$3,102	TotalAmt
Program Services	$3,102	ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$33,256,641	TotalAmt
Program Services	$31,841,594	ProgramServicesAmt
Management And General	$1,238,067	ManagementAndGeneralAmt
Fundraising	$176,980	FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$640,476	TotalAmt
Program Services	$589,065	ProgramServicesAmt
Management And General	$45,764	ManagementAndGeneralAmt
Fundraising	$5,647	FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$2,719,115	TotalAmt
Program Services	$2,565,579	ProgramServicesAmt
Management And General	$152,613	ManagementAndGeneralAmt
Fundraising	$923	FundraisingAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$2,569,987	TotalAmt
Program Services	$2,371,742	ProgramServicesAmt
Management And General	$186,558	ManagementAndGeneralAmt
Fundraising	$11,687	FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$15,243	TotalAmt
Management And General	$15,243	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$15,281	TotalAmt
Management And General	$15,281	ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$20,493	TotalAmt
Management And General	$20,493	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$5,268,500	TotalAmt
Program Services	$3,664,642	ProgramServicesAmt
Management And General	$1,589,793	ManagementAndGeneralAmt
Fundraising	$14,065	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$113,878	TotalAmt
Program Services	$19,361	ProgramServicesAmt
Management And General	$94,517	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$276,296	TotalAmt
Program Services	$237,925	ProgramServicesAmt
Management And General	$25,460	ManagementAndGeneralAmt
Fundraising	$12,911	FundraisingAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$2,596,409	TotalAmt
Program Services	$1,947,307	ProgramServicesAmt
Management And General	$649,102	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$3,639,106	TotalAmt
Program Services	$1,507,827	ProgramServicesAmt
Management And General	$2,131,279	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$69,927	TotalAmt
Program Services	$34,888	ProgramServicesAmt
Management And General	$28,387	ManagementAndGeneralAmt
Fundraising	$6,652	FundraisingAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$46,605	TotalAmt
Program Services	$43,021	ProgramServicesAmt
Management And General	$2,194	ManagementAndGeneralAmt
Fundraising	$1,390	FundraisingAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$2,569,180	TotalAmt
Program Services	$1,741,238	ProgramServicesAmt
Management And General	$827,942	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$147,580	TotalAmt
Management And General	$147,580	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt	FundraisingFundraisingAmt
MEDICAL SUPPLIES	$2,156,474	$1,327,781	$827,056	$1,637
SHARED SVCS ALLOCATION	$1,685,681		$1,685,681
COST ALLOC. FROM PARENT	$1,417,193		$1,417,193
COLLECTION FEES/LICENSE	$122,739	$73,902	$48,837

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$75	TotalAmt
Program Services	$75	ProgramServicesAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$59,349,981	TotalAmt
Program Services	$47,969,049	ProgramServicesAmt
Management And General	$11,149,040	ManagementAndGeneralAmt
Fundraising	$231,892	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$302,432	BOYAmt
EOY	$327,094	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$22,140,586	BOYAmt
EOY	$21,065,936	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$119,057	BOYAmt
EOY	$72,103	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$7,554,669	BOYAmt
EOY	$6,972,209	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$106,147	BOYAmt
EOY	$340,993	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$134,277	BOYAmt
EOY	$120,956	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$179,328	BOYAmt
EOY	$166,215	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$37,864,976	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$16,682,043	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$22,163,876	BOYAmt
EOY	$21,182,933	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$453,988	BOYAmt
EOY	$710,006	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$716,658	BOYAmt
EOY	$684,449	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$705,584	BOYAmt
EOY	$1,296,386	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$54,576,602	BOYAmt
EOY	$52,939,280	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$6,617,464	BOYAmt
EOY	$4,816,395	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$6,338,280	BOYAmt
EOY	$5,329,732	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$12,955,744	BOYAmt
EOY	$10,146,127	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows FASB117	Yes (X)	OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$41,150,699	BOYAmt
EOY	$42,306,293	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$470,159	BOYAmt
EOY	$486,860	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$41,620,858	BOYAmt
EOY	$42,793,153	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$54,576,602	BOYAmt
EOY	$52,939,280	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$1,646,605	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	-$501,674	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	$27,364	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	0	AccountantCompileOrReviewInd
FS Audited	Yes (1)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Consolidated Basis Fincl Stmt	Yes (X)	ConsolidatedBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (1)	AuditCommitteeInd
Federal Grant Audit Required	Yes (1)	FederalGrantAuditRequiredInd
Federal Grant Audit Performed	Yes (1)	FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor US Address ContributorUSAddress

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule D IRS990ScheduleD

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$23,617,451	OtherCostOrOtherBasisAmt
Depreciation	$9,115,914	DepreciationAmt
Book Value	$14,501,537	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$2,550,307	OtherCostOrOtherBasisAmt
Depreciation	$874,035	DepreciationAmt
Book Value	$1,676,272	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$8,985,631	OtherCostOrOtherBasisAmt
Depreciation	$5,158,377	DepreciationAmt
Book Value	$3,827,254	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$2,711,587	OtherCostOrOtherBasisAmt
Depreciation	$1,533,717	DepreciationAmt
Book Value	$1,177,870	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$21,182,933	TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)

DescDesc	AmtAmt
DUE TO PARENT ORGANIZATION	$4,056,111
OPERATING LEASE OBLIGATIONS	$333,350
OTHER LONG TERM LIABILITIES	$9,058
FINANCING LEASE OBLIGATIONS	$931,213

Field	Value	IRS element (for citing)
Total Liability	$5,329,732	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART X, LINE 2:	FormAndLineReferenceDesc
Explanation	THE CORPORATION ACCOUNTS FOR UNCERTAINTY IN INCOME TAXES USING A RECOGNITION THRESHOLD OF MORE-LIKELY-THAN-NOT TO BE SUSTAINED UPON EXAMINATION BY THE APPROPRIATE TAXING AUTHORITY. MEASUREMENT OF THE TAX UNCERTAINTY OCCURS IF THE RECOGNITION THRESHOLD IS MET. MANAGEMENT DETERMINED THERE WERE NO TAX UNCERTAINTIES THAT MET THE RECOGNITION THRESHOLD IN 2022 OR 2021. THE CORPORATION'S POLICY IS TO RECOGNIZE INTEREST RELATED TO UNRECOGNIZED TAX BENEFITS AND PENALTIES IN INTEREST EXPENSE IN OPERATING EXPENSES.	ExplanationTxt

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

Field	Value	IRS element (for citing)
Event1	5K AMPUTEE WALK	Event1Nm
Gross Receipts Event1	$33,154	GrossReceiptsEvent1Amt
Charitable Contri Event1	$32,654	CharitableContriEvent1Amt
Gross Revenue Event1	$500	GrossRevenueEvent1Amt
Non Cash Prizes Event1	$6,327	NonCashPrizesEvent1Amt
Rent Facility Costs Event1	$1,050	RentFacilityCostsEvent1Amt
Food And Beverage Event1	$2,896	FoodAndBeverageEvent1Amt
Other Direct Expenses Event1	$42,625	OtherDirectExpensesEvent1Amt
Gross Receipts Total	$33,154	GrossReceiptsTotalAmt
Charitable Contributions Tot	$32,654	CharitableContributionsTotAmt
Gross Revenue Total Events	$500	GrossRevenueTotalEventsAmt
Non Cash Prizes Total Events	$6,327	NonCashPrizesTotalEventsAmt
Rent Fclty Costs Total Events	$1,050	RentFcltyCostsTotalEventsAmt
Food And Beverage Total Events	$2,896	FoodAndBeverageTotalEventsAmt
Oth Direct Expnss Total Events	$42,625	OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events	$52,898	DirectExpenseSummaryEventsAmt
Net Income Summary	-$52,398	NetIncomeSummaryAmt

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (1)	FinancialAssistancePolicyInd
Written Policy	Yes (1)	WrittenPolicyInd
All Hospitals Policy	Yes (X)	AllHospitalsPolicyInd
FPG Reference Free Care	Yes (1)	FPGReferenceFreeCareInd
Percent200	Yes (X)	Percent200Ind
FPG Reference Discounted Care	Yes (1)	FPGReferenceDiscountedCareInd

Discounted Care Oth Percentage DiscountedCareOthPercentageGrp

Field	Value	IRS element (for citing)
Other	Yes (X)	OtherInd
Discounted Care Other	600.000000000000	DiscountedCareOtherPct

Field	Value	IRS element (for citing)
Free Care Medically Indigent	Yes (1)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (1)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	0	ExpensesExceedBudgetInd
Annual Community Bnft Report	Yes (1)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (1)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$57,904	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$57,904	NetCommunityBenefitExpnsAmt
Total Expense	0.00100	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$57,904	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$57,904	NetCommunityBenefitExpnsAmt
Total Expense	0.00100	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$701,198	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$310,898	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$390,300	NetCommunityBenefitExpnsAmt
Total Expense	0.00660	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$192,042	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$192,042	NetCommunityBenefitExpnsAmt
Total Expense	0.00320	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$4,508,647	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$3,617,646	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$891,001	NetCommunityBenefitExpnsAmt
Total Expense	0.01500	TotalExpensePct

Research ResearchGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$48,576	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$48,576	NetCommunityBenefitExpnsAmt
Total Expense	0.00080	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$166,389	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$166,389	NetCommunityBenefitExpnsAmt
Total Expense	0.00280	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$5,616,852	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$3,928,544	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,688,308	NetCommunityBenefitExpnsAmt
Total Expense	0.02840	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$5,674,756	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$3,928,544	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,746,212	NetCommunityBenefitExpnsAmt
Total Expense	0.02940	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$425	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$425	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Leadership Development LeadershipDevelopmentGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$2,559	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$2,559	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Coalition Building CoalitionBuildingGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$15,418	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$15,418	NetCommunityBenefitExpnsAmt
Total Expense	0.00030	TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$14,810	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$14,810	NetCommunityBenefitExpnsAmt
Total Expense	0.00020	TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$53	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$53	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$33,265	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$33,265	NetCommunityBenefitExpnsAmt
Total Expense	0.00050	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (1)	BadDebtExpenseReportedInd
Bad Debt Expense	$454,533	BadDebtExpenseAmt
Reimbursed By Medicare	$41,430,678	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$32,769,190	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	$8,661,488	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Cost To Charge Ratio	Yes (X)	CostToChargeRatioInd

Field	Value	IRS element (for citing)
Written Debt Collection Policy	0	WrittenDebtCollectionPolicyInd
Hospital Facilities	2	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp (2 entries)

FacilityFacilityNum	Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Website AddressWebsiteAddressTxt	State LicenseStateLicenseNum	Licensed HospitalLicensedHospitalInd	OtherOtherDesc
AHC-REHABILITATION - ROCKVILLE
1	9909 MEDICAL CENTER DRIVE	ROCKVILLE	MD	20850	SEE PART VI FOR WEBSITE	15-077	Yes (X)	SAME LEGAL ENTITY AS LICENSE 15-081
AHC-REHABILITATION - TAKOMA PARK
2	7600 CARROLL AVENUE	TAKOMA PARK	MD	20912	SEE PART VI FOR WEBSITE	15-081	Yes (X)	SAME LEGAL ENTITY AS LICENSE 15-077

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp (2 entries)

FacilityFacilityNum	First Licensed CY Or PYFirstLicensedCYOrPYInd	Tax Exempt Hospital CY Or PYTaxExemptHospitalCYOrPYInd	CHNA ConductedCHNAConductedInd	Community DefinitionCommunityDefinitionInd	Community DemographicsCommunityDemographicsInd	Existing ResourcesExistingResourcesInd	How Data ObtainedHowDataObtainedInd	Community Health NeedsCommunityHealthNeedsInd	Other Health IssuesOtherHealthIssuesInd	Community Hlth Needs Id ProcessCommunityHlthNeedsIdProcessInd	Consulting ProcessConsultingProcessInd	Prior CHNA ImpactPriorCHNAImpactInd	CHNA ConductedCHNAConductedYr	Take Into Account Others InputTakeIntoAccountOthersInputInd	CHNA Conducted With Other FcltsCHNAConductedWithOtherFcltsInd	CHNA Conducted With Non FcltsCHNAConductedWithNonFcltsInd	CHNA Report Widely AvailableCHNAReportWidelyAvailableInd	Rpt Available On Own WebsiteRptAvailableOnOwnWebsiteInd	Own Website URLOwnWebsiteURLTxt	Other WebsiteOtherWebsiteInd	Other Website URLOtherWebsiteURLTxt	Paper Copy Public InspectionPaperCopyPublicInspectionInd	Rpt Available Thru Other MethodRptAvailableThruOtherMethodInd	Implementation Strategy AdoptImplementationStrategyAdoptInd	Implementation Strategy AdptImplementationStrategyAdptYr	Strategy Posted WebsiteStrategyPostedWebsiteInd	Strategy Website URLStrategyWebsiteURLTxt	Organization Incur Excise TaxOrganizationIncurExciseTaxInd	Elig Criteria ExplainedEligCriteriaExplainedInd	FPG Family Incm Lmt Free DscntFPGFamilyIncmLmtFreeDscntInd	FPG Family Incm Lmt Free CareFPGFamilyIncmLmtFreeCarePct	FPG Family Incm Lmt Dscnt CareFPGFamilyIncmLmtDscntCarePct	Asset Level CriteriaAssetLevelCriteriaInd	Medical Indigency CriteriaMedicalIndigencyCriteriaInd	Explained BasisExplainedBasisInd	App Financial Asst ExplnAppFinancialAsstExplnInd	Described InfoDescribedInfoInd	Described Suprt DocDescribedSuprtDocInd	Provided Hospital ContactProvidedHospitalContactInd	Includes Publicity MeasuresIncludesPublicityMeasuresInd	FAP Available On WebsiteFAPAvailableOnWebsiteInd	FAP Available On Website URLFAPAvailableOnWebsiteURLTxt	FAP App Available On WebsiteFAPAppAvailableOnWebsiteInd	FAP App Available On Website URLFAPAppAvailableOnWebsiteURLTxt	FAP Summary On WebsiteFAPSummaryOnWebsiteInd	FAP Summary On Website URLFAPSummaryOnWebsiteURLTxt	FAP Avlbl On Request No ChargeFAPAvlblOnRequestNoChargeInd	FAP App Avlbl On Request No ChrgFAPAppAvlblOnRequestNoChrgInd	FAP Sum Avlbl On Request No ChrgFAPSumAvlblOnRequestNoChrgInd	Notified FAP Copy Bill DisplayNotifiedFAPCopyBillDisplayInd	Communtity Notified FAPCommuntityNotifiedFAPInd	FAP TranslatedFAPTranslatedInd	Other PublicityOtherPublicityInd	FAP Actions On NonpaymentFAPActionsOnNonpaymentInd	Permit No ActionsPermitNoActionsInd	Collection ActivitiesCollectionActivitiesInd	Provided Written NoticeProvidedWrittenNoticeInd	Made Effort Orally NotifyMadeEffortOrallyNotifyInd	Processed FAP ApplicationProcessedFAPApplicationInd	Made Presumptive Elig DetermMadePresumptiveEligDetermInd	Nondis Emergency Care PolicyNondisEmergencyCarePolicyInd	Look Back Medicaid Medcr PrvtLookBackMedicaidMedcrPrvtInd	Amounts Generally BilledAmountsGenerallyBilledInd	Gross ChargesGrossChargesInd
AHC-REHABILITATION - ROCKVILLE
1	0	0	Yes (1)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	22	Yes (1)	Yes (1)	0	Yes (1)	Yes (X)	SEE URL ON SECTION C	Yes (X)	ADVENTISTHEALTHCARE.COM/ABOUT/COMMUNITY/HEALTH-NEEDS-ASSESSMENT	Yes (X)	Yes (X)	Yes (1)	22	Yes (1)	ADVENTISTHEALTHCARE.COM/ABOUT/COMMUNITY/HEALTH-NEEDS-ASSESSMENT	0	Yes (1)	Yes (X)	200.000000000000	600.000000000000	Yes (X)	Yes (X)	Yes (1)	Yes (1)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (X)	SEE URLS ON SECTION C	Yes (X)	SEE URLS ON SECTION C	Yes (X)	SEE URLS ON SECTION C	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (X)	0	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (X)	0	0
AHC-REHABILITATION - TAKOMA PARK
2	0	0	Yes (1)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	22	Yes (1)	Yes (1)	0	Yes (1)	Yes (X)	SEE URL ON SECTION C	Yes (X)	ADVENTISTHEALTHCARE.COM/ABOUT/COMMUNITY/HEALTH-NEEDS-ASSESSMENT	Yes (X)	Yes (X)	Yes (1)	22	Yes (1)	ADVENTISTHEALTHCARE.COM/ABOUT/COMMUNITY/HEALTH-NEEDS-ASSESSMENT	0	Yes (1)	Yes (X)	200.000000000000	600.000000000000	Yes (X)	Yes (X)	Yes (1)	Yes (1)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (X)	SEE URLS ON SECTION C	Yes (X)	SEE URLS ON SECTION C	Yes (X)	SEE URLS ON SECTION C	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (X)	0	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (X)	0	0

Supplemental Information SupplementalInformationGrp (10 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
AHC-REHABILITATION - ROCKVILLE	PART V, SECTION B, LINE 5: THE FOLLOWING NARRATIVE IS BASED ON THE LAST CONDUCTED CHNA IN 2022:THE 2022 MONTGOMERY COUNTY HOSPITAL COLLABORATIVE (MCHC) CHNA RELIED ON MULTIPLE TOOLS AND RESOURCES TO UNDERSTAND AND IDENTIFY THE UNMET HEALTH NEEDS OF THE PEOPLE WE SERVE. USING THE COUNTY HEALTH RANKINGS MODEL AS THE GUIDE FOR FACTORS THAT INFLUENCE LENGTH AND QUALITY OF LIFE, OVER 100 INDICATORS WERE IDENTIFIED AND INTEGRATED TO CREATE A HEALTH PROFILE OF MONTGOMERY AND PRINCE GEORGE'S COUNTIES. IN ADDITION TO GATHERING TIMELY, RELIABLE, AND VALID SECONDARY HEALTH DATA AND REPORTS, THE MCHC COLLECTED FIRSTHAND INFORMATION FROM THE COMMUNITY AND EXPERTS IN THE FIELD VIA OUR COMMUNITY HEALTH IMPROVEMENT PROCESS (HEALTHY MONTGOMERY), EXTERNAL ADVISORY BOARD CONVERSATIONS, AND KEY INFORMANT INTERVIEWS.HEALTHY MONTGOMERY:SERVING AS THE LOCAL HEALTH IMPROVEMENT COALITION (LHIC), HEALTHY MONTGOMERY BRINGS TOGETHER MONTGOMERY COUNTY GOVERNMENT AGENCIES, THE FOUR HOSPITAL SYSTEMS, THE MINORITY HEALTH INITIATIVES/HEALTH PROGRAMS, ADVOCACY GROUPS, ACADEMIC INSTITUTIONS, COMMUNITY-BASED SERVICE PROVIDERS, THE HEALTH INSURANCE COMMUNITY, AND OTHER STAKEHOLDERS TO SET A HEALTH PRIORITY AGENDA AND AN ACTION PLAN FOR MONTGOMERY COUNTY'S PRIORITIZED NEEDS. HEALTHY MONTGOMERY AIMS TO: IMPROVE ACCESS TO HEALTH AND SOCIAL SERVICES; ACHIEVE HEALTH EQUITY FOR ALL RESIDENTS; AND ENHANCE THE PHYSICAL AND SOCIAL ENVIRONMENT TO SUPPORT OPTIMAL HEALTH AND WELL-BEING. THE MCHC CONTRIBUTES UP TO $150,000 ANNUALLY TO SUPPORT THE INFRASTRUCTURE OF HEALTHY MONTGOMERY. IN ADDITION TO PROVIDING FINANCIAL SUPPORT, REPRESENTATIVES FROM EACH HEALTH SYSTEM PLAY AN ACTIVE ROLE THROUGH REPRESENTATION ON MULTIPLE HEALTHY MONTGOMERY COMMITTEES AND PLANNING GROUPS, INCLUDING THE HEALTHY MONTGOMERY STEERING COMMITTEE, WHICH IS THE GOVERNING BODY FOR THE GROUP (SEE APPENDIX B OF THE CHNA FOR A FULL LIST OF STEERING COMMITTEE MEMBERS).EXTERNAL ADVISORY GROUPS:THE FOUR HEALTH SYSTEMS HAVE CONVENED A GROUP OF EXTERNAL PARTICIPANTS REPRESENTING THE BROAD INTEREST OF THE COMMUNITY WE SERVE TO SHARE ADVICE AND FEEDBACK. PARTICIPANTS INCLUDE: THE PUBLIC HEALTH OFFICER, THE DIRECTOR OF THE MONTGOMERY COUNTY DEPARTMENT OF HEALTH AND HUMAN SERVICES, VARIOUS INDIVIDUALS FROM LOCAL AND STATE GOVERNMENTAL AGENCIES, LEADERS FROM COMMUNITY-BASED ORGANIZATIONS, FOUNDATIONS, CHURCHES, COLLEGES, COALITIONS, AND ASSOCIATIONS. THESE PARTICIPANTS ARE EXPERTS IN A RANGE OF AREAS, INCLUDING PUBLIC HEALTH, HEALTH CARE, MINORITY POPULATIONS AND DISPARITIES IN HEALTH CARE, SOCIAL DETERMINANTS OF HEALTH (SDOH), AND SOCIAL SERVICES. THROUGH FEEDBACK AND ADVICE, THEY PROVIDE ONGOING INPUT TO ENSURE THAT WE HAVE IDENTIFIED AND RESPONDED TO THE MOST PRESSING COMMUNITY HEALTH NEEDS. THROUGHOUT THE CHNA, ADVISORY GROUP MEMBERS WERE INVITED TO PARTICIPATE, PARTICULARLY IN THE PRIORITIZATION PROCESS, THOUGHT LEADERS' DISCUSSIONS, AND DATA EXPLORATION PROCESS. A COMPREHENSIVE LIST OF MEMBERS OF THE EXTERNAL ADVISORY GROUP IS AVAILABLE IN APPENDIX C OF THE CHNA.COMMUNITY SURVEYS, CONVERSATIONS, AND KEY INFORMANT INTERVIEWS:IN 2021, THE MCHC WIDELY DISTRIBUTED A 19-QUESTION COMMUNITY HEALTH NEEDS ASSESSMENT SURVEY CENTERED ON HEALTH STATUS, ACCESS TO CARE, AND PERCEIVED COMMUNITY HEALTH NEEDS AND STRENGTHS. THE SURVEY IS AVAILABLE IN BOTH ENGLISH AND IN SPANISH. SURVEY DISSEMINATION INCLUDES COMMUNITY EVENTS, PROGRAMS, VIA EMAIL, LISTSERVS, SOCIAL MEDIA, COMMUNITY PARTNERS AND ORGANIZATIONS. COMMUNITY CONVERSATIONS AND KEY INFORMANT INTERVIEWS WERE CONDUCTED IN PARTNERSHIP WITH HEALTHY MONTGOMERY AND THE MONTGOMERY COUNTY DEPARTMENT OF HEALTH AND HUMAN SERVICES' OVERSIGHT, PARTICIPATION, AND SUPPORT. THE FINDINGS FROM THE KEY INFORMANT INTERVIEWS ARE REFERENCED IN APPENDIX D OF THE CHNA.
AHC-REHABILITATION - TAKOMA PARK	PART V, SECTION B, LINE 5: THE FOLLOWING NARRATIVE IS BASED ON THE LAST CONDUCTED CHNA IN 2022:THE 2022 MONTGOMERY COUNTY HOSPITAL COLLABORATIVE (MCHC) CHNA RELIED ON MULTIPLE TOOLS AND RESOURCES TO UNDERSTAND AND IDENTIFY THE UNMET HEALTH NEEDS OF THE PEOPLE WE SERVE. USING THE COUNTY HEALTH RANKINGS MODEL AS THE GUIDE FOR FACTORS THAT INFLUENCE LENGTH AND QUALITY OF LIFE, OVER 100 INDICATORS WERE IDENTIFIED AND INTEGRATED TO CREATE A HEALTH PROFILE OF MONTGOMERY AND PRINCE GEORGE'S COUNTIES. IN ADDITION TO GATHERING TIMELY, RELIABLE, AND VALID SECONDARY HEALTH DATA AND REPORTS, THE MCHC COLLECTED FIRSTHAND INFORMATION FROM THE COMMUNITY AND EXPERTS IN THE FIELD VIA OUR COMMUNITY HEALTH IMPROVEMENT PROCESS (HEALTHY MONTGOMERY), EXTERNAL ADVISORY BOARD CONVERSATIONS, AND KEY INFORMANT INTERVIEWS.HEALTHY MONTGOMERY:SERVING AS THE LOCAL HEALTH IMPROVEMENT COALITION (LHIC), HEALTHY MONTGOMERY BRINGS TOGETHER MONTGOMERY COUNTY GOVERNMENT AGENCIES, THE FOUR HOSPITAL SYSTEMS, THE MINORITY HEALTH INITIATIVES/HEALTH PROGRAMS, ADVOCACY GROUPS, ACADEMIC INSTITUTIONS, COMMUNITY-BASED SERVICE PROVIDERS, THE HEALTH INSURANCE COMMUNITY, AND OTHER STAKEHOLDERS TO SET A HEALTH PRIORITY AGENDA AND AN ACTION PLAN FOR MONTGOMERY COUNTY'S PRIORITIZED NEEDS. HEALTHY MONTGOMERY AIMS TO: IMPROVE ACCESS TO HEALTH AND SOCIAL SERVICES; ACHIEVE HEALTH EQUITY FOR ALL RESIDENTS; AND ENHANCE THE PHYSICAL AND SOCIAL ENVIRONMENT TO SUPPORT OPTIMAL HEALTH AND WELL-BEING. THE MCHC CONTRIBUTES UP TO $150,000 ANNUALLY TO SUPPORT THE INFRASTRUCTURE OF HEALTHY MONTGOMERY. IN ADDITION TO PROVIDING FINANCIAL SUPPORT, REPRESENTATIVES FROM EACH HEALTH SYSTEM PLAY AN ACTIVE ROLE THROUGH REPRESENTATION ON MULTIPLE HEALTHY MONTGOMERY COMMITTEES AND PLANNING GROUPS, INCLUDING THE HEALTHY MONTGOMERY STEERING COMMITTEE, WHICH IS THE GOVERNING BODY FOR THE GROUP (SEE APPENDIX B OF THE CHNA FOR A FULL LIST OF STEERING COMMITTEE MEMBERS).EXTERNAL ADVISORY GROUPS:THE FOUR HEALTH SYSTEMS HAVE CONVENED A GROUP OF EXTERNAL PARTICIPANTS REPRESENTING THE BROAD INTEREST OF THE COMMUNITY WE SERVE TO SHARE ADVICE AND FEEDBACK. PARTICIPANTS INCLUDE: THE PUBLIC HEALTH OFFICER, THE DIRECTOR OF THE MONTGOMERY COUNTY DEPARTMENT OF HEALTH AND HUMAN SERVICES, VARIOUS INDIVIDUALS FROM LOCAL AND STATE GOVERNMENTAL AGENCIES, LEADERS FROM COMMUNITY-BASED ORGANIZATIONS, FOUNDATIONS, CHURCHES, COLLEGES, COALITIONS, AND ASSOCIATIONS. THESE PARTICIPANTS ARE EXPERTS IN A RANGE OF AREAS, INCLUDING PUBLIC HEALTH, HEALTH CARE, MINORITY POPULATIONS AND DISPARITIES IN HEALTH CARE, SOCIAL DETERMINANTS OF HEALTH (SDOH), AND SOCIAL SERVICES. THROUGH FEEDBACK AND ADVICE, THEY PROVIDE ONGOING INPUT TO ENSURE THAT WE HAVE IDENTIFIED AND RESPONDED TO THE MOST PRESSING COMMUNITY HEALTH NEEDS. THROUGHOUT THE CHNA, ADVISORY GROUP MEMBERS WERE INVITED TO PARTICIPATE, PARTICULARLY IN THE PRIORITIZATION PROCESS, THOUGHT LEADERS' DISCUSSIONS, AND DATA EXPLORATION PROCESS. A COMPREHENSIVE LIST OF MEMBERS OF THE EXTERNAL ADVISORY GROUP IS AVAILABLE IN APPENDIX C OF THE CHNA.COMMUNITY SURVEYS, CONVERSATIONS, AND KEY INFORMANT INTERVIEWS:IN 2021, THE MCHC WIDELY DISTRIBUTED A 19-QUESTION COMMUNITY HEALTH NEEDS ASSESSMENT SURVEY CENTERED ON HEALTH STATUS, ACCESS TO CARE, AND PERCEIVED COMMUNITY HEALTH NEEDS AND STRENGTHS. THE SURVEY IS AVAILABLE IN BOTH ENGLISH AND IN SPANISH. SURVEY DISSEMINATION INCLUDES COMMUNITY EVENTS, PROGRAMS, VIA EMAIL, LISTSERVS, SOCIAL MEDIA, COMMUNITY PARTNERS AND ORGANIZATIONS. COMMUNITY CONVERSATIONS AND KEY INFORMANT INTERVIEWS WERE CONDUCTED IN PARTNERSHIP WITH HEALTHY MONTGOMERY AND THE MONTGOMERY COUNTY DEPARTMENT OF HEALTH AND HUMAN SERVICES' OVERSIGHT, PARTICIPATION, AND SUPPORT. THE FINDINGS FROM THE KEY INFORMANT INTERVIEWS ARE REFERENCED IN APPENDIX D OF THE CHNA.
AHC-REHABILITATION - ROCKVILLE	PART V, SECTION B, LINE 6A: THE MOST RECENTLY CONDUCTED CHNA, COMPLETED IN 2022, WAS DONE IN COLLABORATION WITH ALL THE HOSPITALS IN MONTGOMERY COUNTY, MD: ADVENTIST HEALTHCARE SHADY GROVE MEDICAL CENTER, ADVENTIST HEALTHCARE WHITE OAK MEDICAL CENTER, ADVENTIST HEALTHCARE REHABILITATION, HOLY CROSS GERMANTOWN, HOLY CROSS SILVER SPRING, MEDSTAR MONTGOMERY, AND SUBURBAN HOSPITAL.
AHC-REHABILITATION - TAKOMA PARK	PART V, SECTION B, LINE 6A: THE MOST RECENTLY CONDUCTED CHNA, COMPLETED IN 2022, WAS DONE IN COLLABORATION WITH ALL THE HOSPITALS IN MONTGOMERY COUNTY, MD: ADVENTIST HEALTHCARE SHADY GROVE MEDICAL CENTER, ADVENTIST HEALTHCARE WHITE OAK MEDICAL CENTER, ADVENTIST HEALTHCARE REHABILITATION, HOLY CROSS GERMANTOWN, HOLY CROSS SILVER SPRING, MEDSTAR MONTGOMERY, AND SUBURBAN HOSPITAL.
AHC-REHABILITATION - ROCKVILLE	PART V, SECTION B, LINE 7D: A HARD COPY OF THE CHNA IS ALSO AVAILABLE UPON REQUEST FROM THE ADVENTIST HEALTHCARE SUPPORT CENTER (CORPORATE OFFICE) WHICH IS LOCATED AT: 820 WEST DIAMOND AVENUE 4TH FLOOR, GAITHERSBURG, MD 20878PART V, SECTION B, LINE 7A: THE CHNA REPORT IS FOUND OF THIS URL: HTTPS://WWW.ADVENTISTHEALTHCARE.COM/ABOUT/COMMUNITY/HEALTH-NEEDS-ASSESSMENT
AHC-REHABILITATION - TAKOMA PARK	PART V, SECTION B, LINE 7D: A HARD COPY OF THE CHNA IS ALSO AVAILABLE UPON REQUEST FROM THE ADVENTIST HEALTHCARE SUPPORT CENTER (CORPORATE OFFICE) WHICH IS LOCATED AT: 820 WEST DIAMOND AVENUE 4TH FLOOR, GAITHERSBURG, MD 20878PART V, SECTION B, LINE 7A: THE CHNA REPORT IS FOUND ON THIS URL: HTTPS://WWW.ADVENTISTHEALTHCARE.COM/ABOUT/COMMUNITY/HEALTH-NEEDS-ASSESSMENT
AHC-REHABILITATION - ROCKVILLE	PART V, SECTION B, LINE 11: A FUNDAMENTAL COMPONENT OF A COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA), AS DESCRIBED BY THE CATHOLIC HEALTH ASSOCIATION, IS THE PRIORITIZATION OF THE IDENTIFIED NEEDS. TO EFFECTIVELY ACHIEVE THIS GOAL, THE MONTGOMERY COUNTY HOSPITAL COLLABORATIVE (MCHC) ENGAGED LOCAL PUBLIC HEALTH LEADERS, SERVICE PROVIDERS, AND COMMUNITY ADVOCATES TO PARTICIPATE IN THE PRIORITY-SETTING PROCESS (PLEASE REFER TO APPENDIX I OF THE CHNA REPORT FOR A LIST OF COMMUNITY STAKEHOLDERS INVITED TO PARTAKE IN THIS PROCESS). THE FOLLOWING THREE CRITERIA PRIORITIZED THE NEEDS IDENTIFIED FROM THE PRIMARY AND SECONDARY DATA ANALYSIS: SEVERITY (HIGH LEVEL OF SERIOUSNESS OR URGENCY IN THE COMMUNITY), FEASIBILITY (COULD REALISTICALLY IMPROVE IN THE NEXT THREE YEARS), AND OUTCOME (POTENTIAL IMPACT ON THE GREATEST NUMBER OF PEOPLE IDENTIFIED). USING THESE CRITERIA, ALONG WITH INDIVIDUAL PROFESSIONAL EXPERTISE AND EXPERIENCE, MCHC STAKEHOLDERS INFORMED NINE HEALTH FACTORS AS TOP UNMET NEEDS: ACCESS TO CARE (ACCESS TO MENTAL HEALTH PROVIDERS, ACCESS TO PRIMARY CARE PROVIDERS, LACK OF INSURANCE), HEALTHY BEHAVIORS (FOOD INSECURITY, ADULT OBESITY, PHYSICAL INACTIVITY), AND EDUCATION, INCOME, JOB AND ENVIRONMENT (WORKFORCE/LABOR SHORTAGES, INCOME INEQUALITY, HOUSING COST BURDEN).THESE NINE HEALTH FACTORS ARE RECOGNIZED AS ROOT CAUSES THAT IMPACT A PERSON'S HEALTH, WELLBEING, AND QUALITY OF LIFE. BY CONSIDERING THESE ROOT CAUSES, MEANINGFUL CHANGES CAN BE MADE TO DECREASE RISK FOR THE TOP HEALTH OUTCOMES IN OUR COMMUNITY: HEART DISEASE, DIABETES, MENTAL HEALTH, CANCER, MATERNAL AND CHILD HEALTH, INFECTIONS, AND UNINTENTIONAL INJURIES (SEE FIGURE 5). THROUGH A MULTI-SECTORAL COLLABORATION, THE MCHC WILL TACKLE THE TOP HEALTH FACTORS BY LEVERAGING A COLLABORATIVE IMPLEMENTATION STRATEGY, PAYING PARTICULAR ATTENTION TO THE MOST VULNERABLE POPULATIONS IN OUR COMMUNITIES.THE MCHC ADDRESSES UNMET HEALTH NEEDS WITHIN THE CONTEXT OF OUR OVERALL APPROACH. SPECIFICALLY, TAKING INTO CONSIDERATION EACH HEALTH SYSTEM'S MISSION COMMITMENTS, INDIVIDUAL HOSPITAL KEY CLINICAL STRENGTHS, AS WELL AS THE OVERARCHING GOALS ESTABLISHED BY OUR LOCAL HEALTH IMPROVEMENT COALITION, HEALTHY MONTGOMERY. KEY FINDINGS FROM ALL DATA SOURCES WERE REVIEWED, AND THE MOST PRESSING NEEDS WERE INCORPORATED INTO OUR IMPLEMENTATION STRATEGY. THE CHNA IMPLEMENTATION STRATEGY REFLECTS THE MCHC'S OVERALL APPROACH TO IMPROVING COMMUNITY HEALTH BY TARGETING THE INTERSECTION BETWEEN THE IDENTIFIED NEEDS OF THE COMMUNITY AND THE KEY STRENGTHS AND MISSION COMMITMENTS OF EACH ORGANIZATION TO HELP BUILD A CONTINUUM OF CARE. EACH HEALTH SYSTEM HAS ESTABLISHED LEAD COMMUNITY HEALTH IMPROVEMENT ACCOUNTABILITY LEVERS, WHICH INCLUDES AN ORGANIZATIONAL STRUCTURE TO PROVIDE OVERSIGHT OF ONGOING PLANNING, BUDGETING, STRATEGIC IMPLEMENTATION, AND MULTI-YEAR EVALUATION.THE IMPLEMENTATION STRATEGY OUTLINES THE MAJOR ACTIVITIES THE MCHC ARE IMPLEMENTING TO ADDRESS THE UNMET NEEDS IDENTIFIED IN THE 2022 COMMUNITY HEALTH NEEDS ASSESSMENT. THE ACTIVITIES ARE SUMMARIZED BY PRIORITY AND KEY FOCUS AREA. THE OBJECTIVES LISTED FOR EACH PRIORITY ARE DERIVED FROM HEALTHY PEOPLE 2030. THE IMPLEMENTATION STRATEGY SHOULD BE CONSIDERED A LIVING PLAN THAT IS UPDATED AND EVALUATED, AT A MINIMUM, EACH YEAR OR AS EMERGING NEEDS ARISE.A HIGHLIGHT OF SOME OF THE INITIATIVES BEING UNDERTAKEN:ACCESS TO BEHAVIORAL HEALTH: BEHAVIORAL HEALTH SCREENINGS WITH LINKS TO TREATMENT AND RESOURCES; INSERVICES FOR PRIMARY CARE PROVIDERS TO EQUIP THEM WITH SKILLS AND KNOWLEDGE TO ADDRESS MENTAL HEALTH NEEDS IN THE PRIMARY CARE SETTING; FREE MENTAL HEALTH AND WELLNESS WORKSHOPS, EVENTS, AND SUPPORT GROUPS IN THE COMMUNITY; BEHAVIORAL HEALTH INTERNSHIPS AND MEDICAL ROTATIONS; AWARDING GRANT FUNDING TO LOCAL ORGANIZATIONS ADDRESSING ACCESS TO MENTAL HEALTH SERVICES.ACCESS TO PRIMARY CARE: GRANT AND IN-KIND SUPPORT FOR LOCAL CLINICS AND FEDERALLY QUALIFIED HEALTH CENTERS (FQHCS); SCREENINGS, REFERRALS, AND LINKAGES TO COMMUNITY RESOURCES; ADDRESS ACCESS BARRIERS THROUGH TRANSPORTATION AND LANGUAGE ASSISTANCE PROGRAMS; PARTNER WITH THE COUNTY TO PROVIDE PERINATAL SERVICES AT A REDUCED COST FOR LOW INCOME AND UNINSURED WOMEN.HEALTHY BEHAVIORS: LINKAGES TO COMMUNITY AND SOCIAL SERVICES; AWARD GRANT FUNDING TO ORGANIZATIONS ADDRESS SOCIAL SERVICE NEEDS SUCH AS FOOD ACCESS; PROVIDE DIABETES EDUCATION AND CLASSES FOR THE COMMUNITY; PROVIDE HEALTHY LIFESTYLE CLASSES FOR THE COMMUNITY.EDUCATION, INCOME, JOB & ENVIRONMENT: WORKFORCE DEVELOPMENT PROGRAMS TO ADVANCE IN HEALTH/ALLIED HEALTH CAREERS; AWARD GRANTS TO ORGANIZATIONS ADDRESSING WORKFORCE DEVELOPMENT AND VOCATIONAL TRAINING; OFFER INTERNSHIPS, FELLOWSHIPS, AND CLINICAL ROTATIONS ACROSS OUR ENTITIES; AWARD GRANTS TO ORGANIZATIONS ADDRESSING HOUSING AND HOMELESSNESS.A COMPLETE LIST OF INITIATIVES CAN BE VIEWED HERE: HTTPS://WWW.ADVENTISTHEALTHCARE.COM/ABOUT/COMMUNITY/HEALTH-NEEDS-ASSESSMENT
AHC-REHABILITATION - TAKOMA PARK	PART V, SECTION B, LINE 11: A FUNDAMENTAL COMPONENT OF A COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA), AS DESCRIBED BY THE CATHOLIC HEALTH ASSOCIATION, IS THE PRIORITIZATION OF THE IDENTIFIED NEEDS. TO EFFECTIVELY ACHIEVE THIS GOAL, THE MONTGOMERY COUNTY HOSPITAL COLLABORATIVE (MCHC) ENGAGED LOCAL PUBLIC HEALTH LEADERS, SERVICE PROVIDERS, AND COMMUNITY ADVOCATES TO PARTICIPATE IN THE PRIORITY-SETTING PROCESS (PLEASE REFER TO APPENDIX I OF THE CHNA REPORT FOR A LIST OF COMMUNITY STAKEHOLDERS INVITED TO PARTAKE IN THIS PROCESS). THE FOLLOWING THREE CRITERIA PRIORITIZED THE NEEDS IDENTIFIED FROM THE PRIMARY AND SECONDARY DATA ANALYSIS: SEVERITY (HIGH LEVEL OF SERIOUSNESS OR URGENCY IN THE COMMUNITY), FEASIBILITY (COULD REALISTICALLY IMPROVE IN THE NEXT THREE YEARS), AND OUTCOME (POTENTIAL IMPACT ON THE GREATEST NUMBER OF PEOPLE IDENTIFIED). USING THESE CRITERIA, ALONG WITH INDIVIDUAL PROFESSIONAL EXPERTISE AND EXPERIENCE, MCHC STAKEHOLDERS INFORMED NINE HEALTH FACTORS AS TOP UNMET NEEDS: ACCESS TO CARE (ACCESS TO MENTAL HEALTH PROVIDERS, ACCESS TO PRIMARY CARE PROVIDERS, LACK OF INSURANCE), HEALTHY BEHAVIORS (FOOD INSECURITY, ADULT OBESITY, PHYSICAL INACTIVITY), AND EDUCATION, INCOME, JOB AND ENVIRONMENT (WORKFORCE/LABOR SHORTAGES, INCOME INEQUALITY, HOUSING COST BURDEN).THESE NINE HEALTH FACTORS ARE RECOGNIZED AS ROOT CAUSES THAT IMPACT A PERSON'S HEALTH, WELLBEING, AND QUALITY OF LIFE. BY CONSIDERING THESE ROOT CAUSES, MEANINGFUL CHANGES CAN BE MADE TO DECREASE RISK FOR THE TOP HEALTH OUTCOMES IN OUR COMMUNITY: HEART DISEASE, DIABETES, MENTAL HEALTH, CANCER, MATERNAL AND CHILD HEALTH, INFECTIONS, AND UNINTENTIONAL INJURIES (SEE FIGURE 5). THROUGH A MULTI-SECTORAL COLLABORATION, THE MCHC WILL TACKLE THE TOP HEALTH FACTORS BY LEVERAGING A COLLABORATIVE IMPLEMENTATION STRATEGY, PAYING PARTICULAR ATTENTION TO THE MOST VULNERABLE POPULATIONS IN OUR COMMUNITIES.THE MCHC ADDRESSES UNMET HEALTH NEEDS WITHIN THE CONTEXT OF OUR OVERALL APPROACH. SPECIFICALLY, TAKING INTO CONSIDERATION EACH HEALTH SYSTEM'S MISSION COMMITMENTS, INDIVIDUAL HOSPITAL KEY CLINICAL STRENGTHS, AS WELL AS THE OVERARCHING GOALS ESTABLISHED BY OUR LOCAL HEALTH IMPROVEMENT COALITION, HEALTHY MONTGOMERY. KEY FINDINGS FROM ALL DATA SOURCES WERE REVIEWED, AND THE MOST PRESSING NEEDS WERE INCORPORATED INTO OUR IMPLEMENTATION STRATEGY. THE CHNA IMPLEMENTATION STRATEGY REFLECTS THE MCHC'S OVERALL APPROACH TO IMPROVING COMMUNITY HEALTH BY TARGETING THE INTERSECTION BETWEEN THE IDENTIFIED NEEDS OF THE COMMUNITY AND THE KEY STRENGTHS AND MISSION COMMITMENTS OF EACH ORGANIZATION TO HELP BUILD A CONTINUUM OF CARE. EACH HEALTH SYSTEM HAS ESTABLISHED LEAD COMMUNITY HEALTH IMPROVEMENT ACCOUNTABILITY LEVERS, WHICH INCLUDES AN ORGANIZATIONAL STRUCTURE TO PROVIDE OVERSIGHT OF ONGOING PLANNING, BUDGETING, STRATEGIC IMPLEMENTATION, AND MULTI-YEAR EVALUATION.THE IMPLEMENTATION STRATEGY OUTLINES THE MAJOR ACTIVITIES THE MCHC ARE IMPLEMENTING TO ADDRESS THE UNMET NEEDS IDENTIFIED IN THE 2022 COMMUNITY HEALTH NEEDS ASSESSMENT. THE ACTIVITIES ARE SUMMARIZED BY PRIORITY AND KEY FOCUS AREA. THE OBJECTIVES LISTED FOR EACH PRIORITY ARE DERIVED FROM HEALTHY PEOPLE 2030. THE IMPLEMENTATION STRATEGY SHOULD BE CONSIDERED A LIVING PLAN THAT IS UPDATED AND EVALUATED, AT A MINIMUM, EACH YEAR OR AS EMERGING NEEDS ARISE.A HIGHLIGHT OF SOME OF THE INITIATIVES BEING UNDERTAKEN:ACCESS TO BEHAVIORAL HEALTH: BEHAVIORAL HEALTH SCREENINGS WITH LINKS TO TREATMENT AND RESOURCES; INSERVICES FOR PRIMARY CARE PROVIDERS TO EQUIP THEM WITH SKILLS AND KNOWLEDGE TO ADDRESS MENTAL HEALTH NEEDS IN THE PRIMARY CARE SETTING; FREE MENTAL HEALTH AND WELLNESS WORKSHOPS, EVENTS, AND SUPPORT GROUPS IN THE COMMUNITY; BEHAVIORAL HEALTH INTERNSHIPS AND MEDICAL ROTATIONS; AWARDING GRANT FUNDING TO LOCAL ORGANIZATIONS ADDRESSING ACCESS TO MENTAL HEALTH SERVICES.ACCESS TO PRIMARY CARE: GRANT AND IN-KIND SUPPORT FOR LOCAL CLINICS AND FEDERALLY QUALIFIED HEALTH CENTERS (FQHCS); SCREENINGS, REFERRALS, AND LINKAGES TO COMMUNITY RESOURCES; ADDRESS ACCESS BARRIERS THROUGH TRANSPORTATION AND LANGUAGE ASSISTANCE PROGRAMS; PARTNER WITH THE COUNTY TO PROVIDE PERINATAL SERVICES AT A REDUCED COST FOR LOW INCOME AND UNINSURED WOMEN.HEALTHY BEHAVIORS: LINKAGES TO COMMUNITY AND SOCIAL SERVICES; AWARD GRANT FUNDING TO ORGANIZATIONS ADDRESS SOCIAL SERVICE NEEDS SUCH AS FOOD ACCESS; PROVIDE DIABETES EDUCATION AND CLASSES FOR THE COMMUNITY; PROVIDE HEALTHY LIFESTYLE CLASSES FOR THE COMMUNITY.EDUCATION, INCOME, JOB & ENVIRONMENT: WORKFORCE DEVELOPMENT PROGRAMS TO ADVANCE IN HEALTH/ALLIED HEALTH CAREERS; AWARD GRANTS TO ORGANIZATIONS ADDRESSING WORKFORCE DEVELOPMENT AND VOCATIONAL TRAINING; OFFER INTERNSHIPS, FELLOWSHIPS, AND CLINICAL ROTATIONS ACROSS OUR ENTITIES; AWARD GRANTS TO ORGANIZATIONS ADDRESSING HOUSING AND HOMELESSNESS.A COMPLETE LIST OF INITIATIVES CAN BE VIEWED HERE: HTTPS://WWW.ADVENTISTHEALTHCARE.COM/ABOUT/COMMUNITY/HEALTH-NEEDS-ASSESSMENT
AHC-REHABILITATION - ROCKVILLE	PART V, SECTION B, LINE 16J: THE POLICY IS ALSO STRATEGICALLY POSTED AT OUR PATIENT FINANCIAL SERVICES OFFICE.PART V, SECTION B, LINE 16A: HTTPS://WWW.ADVENTISTHEALTHCARE.COM/PATIENTS/BILLING/FINANCIAL-ASSISTANCE/PART V, SECTION B, LINE 16B: SAME URL AS LISTED ON LINE 16APART V, SECTION B, LINE 16C: SAME URL AS LISTED ON LINE 16A
AHC-REHABILITATION - TAKOMA PARK	PART V, SECTION B, LINE 16J: THE POLICY IS ALSO STRATEGICALLY POSTED AT OUR PATIENT FINANCIAL SERVICES OFFICE.PART V, SECTION B, LINE 16A: HTTPS://WWW.ADVENTISTHEALTHCARE.COM/PATIENTS/BILLING/FINANCIAL-ASSISTANCE/PART V, SECTION B, LINE 16B: SAME URL AS LISTED ON LINE 16APART V, SECTION B, LINE 16C: SAME URL AS LISTED ON LINE 16A

Supplemental Information Detail SupplementalInformationDetail (15 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE 3C:	IN CONSIDERATION FOR FINANCIAL ASSISTANCE TO OUR PATIENTS, ADVENTIST HEALTHCARE ALSO CONSIDERS CIRCUMSTANCES BEYOND INCOME. THE PATIENT'S CIRCUMSTANCES COULD INCLUDE THE NEEDS OF THE PATIENT AND/OR FAMILY AND OTHER FINANCIAL RESOURCES. IT IS OUR MISSION TO PROVIDE NECESSARY MEDICAL CARE TO THOSE WHO ARE UNABLE TO PAY FOR THAT CARE. IN GENERAL, ADVENTIST HEALTHCARE HAS 15 LEVELS OF FINANCIAL ASSISTANCE. THEY ARE AS FOLLOWS:- ANNUAL INCOME <= 1.0X OF FPL, 0% PATIENT RESPONSIBILITY- ANNUAL INCOME > 1.00X AND <= 1.25X OF FPL, 0% PATIENT RESPONSIBILITY- ANNUAL INCOME > 1.25X AND <= 1.50X OF FPL, 0% PATIENT RESPONSIBILITY- ANNUAL INCOME > 1.50X AND <= 1.75X OF FPL, 0% PATIENT RESPONSIBILITY- ANNUAL INCOME > 1.75X AND <= 2.00X OF FPL, 0% PATIENT RESPONSIBILITY- ANNUAL INCOME > 2.00X AND <= 2.25X OF FPL, 10% PATIENT RESPONSIBILITY- ANNUAL INCOME > 2.25X AND <= 2.50X OF FPL, 20% PATIENT RESPONSIBILITY- ANNUAL INCOME > 2.50X AND <= 2.75X OF FPL, 30% PATIENT RESPONSIBILITY- ANNUAL INCOME > 2.75X AND <= 3.00X OF FPL, 40% PATIENT RESPONSIBILITY- ANNUAL INCOME > 3.00X AND <= 3.50X OF FPL, 50% PATIENT RESPONSIBILITY- ANNUAL INCOME > 3.50X AND <= 4.00X OF FPL, 60% PATIENT RESPONSIBILITY- ANNUAL INCOME > 4.00X AND <= 4.50X OF FPL, 70% PATIENT RESPONSIBILITY- ANNUAL INCOME > 4.50X AND <= 5.00X OF FPL, 80% PATIENT RESPONSIBILITY- ANNUAL INCOME > 5.00X AND <= 5.50X OF FPL, 90% PATIENT RESPONSIBILITY- ANNUAL INCOME > 5.50X AND <= 6.00X OF FPL, 95% PATIENT RESPONSIBILITY
PART I, LINE 7:	FOR PURPOSES OF PREPARING SCHEDULE H OF FORM 990, ADVENTIST REHABILITATION HOSPITAL OF MARYLAND CALCULATED A COST TO CHARGE RATIO AS REFLECTED IN ITS 2022 AUDITED FINANCIAL STATEMENTS. THIS RATIO WAS USED TO CONVERT THE ANNUAL CHARITY CARE PROVISION FROM CHARGE TO COST.
PART I, LINE 7G:	SUBSIDIZED HEALTH SERVICES INCLUDED PAYMENTS FOR NON-EMPLOYED BUT HOSPITAL-BASED PHYSICIANS, NON-RESIDENT HOSPITAL STAFF, HOSPITALISTS, EMERGENCY ON-CALL, OFF-CAMPUS EMERGENCY CENTER, AND WOMEN'S AND CHILDREN'S SERVICES SUBSIDIES.
PART II, COMMUNITY BUILDING ACTIVITIES:	ADVENTIST REHABILITATION HOSPITAL OF MARYLAND, INC.'S COMMUNITY BUILDING ACTIVITIES WERE DONE JOINTLY AT THE CORPORATE LEVEL WITH ADVENTIST HEALTHCARE, INC. TO CENTRALIZE THE ACTIVITIES PERFORMED AS A SYSTEM. ADVENTIST REHABILITATION HOSPITAL OF MARYLAND, INC. PLAYED AN INTEGRAL ROLE AND CONTRIBUTED TO SEVERAL OUTREACH PROGRAMS AS PART OF ITS MISSION. ADVENTIST REHABILITATION HOSPITAL OF MARYLAND, INC. AND ADVENTIST HEALTHCARE'S MISSION IS "WE EXTEND GOD'S CARE THROUGH THE MINISTRY OF PHYSICAL, MENTAL AND SPIRITUAL HEALING." ADVENTIST REHABILITATION HOSPITAL OF MARYLAND, INC. AND ADVENTIST HEALTHCARE GO BEYOND TRADITIONAL HOSPITAL CARE TO OFFER EXPERTISE AND RESOURCES THAT HELP STRENGTHEN THE COMMUNITY'S INFRASTRUCTURE IN A WAY THAT PROMOTES HEALTH AND WELL-BEING.IN 2022, MOST ADVENTIST HEALTHCARE'S COMMUNITY BUILDING ACTIVITIES CONSISTED OF: LOWERING HEALTHCARE COSTS AND PROMOTING HEALTH AND WELLBEING OF THE COMMUNITY; ADVOCATING ON COMMUNITY HEALTH IMPROVEMENTS THROUGH OUR GOVERNMENT RELATIONS AND PUBLIC POLICY DEPARTMENT; AND ESTABLISHING ADDITIONAL COMMUNITY PARTNERSHIPS.GOVERNMENT RELATIONS AND PUBLIC POLICY DEPARTMENT INITIATIVES:IN 2022, ADVENTIST HEALTHCARE WORKED WITH FEDERAL, STATE, AND LOCAL LEADERS TO SUPPORT THE HEALTH CARE WORKFORCE PIPELINE AND SECURE STATE SUPPORT TO BRING HEALTHCARE RESOURCES TO UNDERSERVED COMMUNITIES. WE WORKED TO ENSURE CHILDREN ON MEDICAID HAD ADEQUATE ACCESS TO DENTAL SURGERY. WE WORKED CLOSELY WITH LOCAL STAKEHOLDER PARTNERS TO SUPPORT IMPROVEMENTS TO THE TRANSPORTATION INFRASTRUCTURE IN OUR COMMUNITY AND OTHER COMMUNITY DEVELOPMENT PROJECTS ACROSS MONTGOMERY AND PRINCE GEORGE'S COUNTIES. WE CONTINUE TO PROVIDE FINANCIAL SUPPORT TO COMMUNITY PARTNERS ADDRESSING PUBLIC NEEDS INCLUDING HOUSING AND FOOD INSECURITY.HEALTH PARTNERSHIPS WITHIN THE COMMUNITY:ADVENTIST HEALTHCARE AIMS TO IMPROVE THE HEALTH OF COMMUNITIES IT SERVES. IT DOES THIS BY RAISING AWARENESS OF COMMUNITY HEALTH NEEDS AND LOCAL DISPARITIES, IMPROVING ACCESS TO CULTURALLY APPROPRIATE CARE AND PROVIDING COMMUNITY WELLNESS OUTREACH AND EDUCATION.ADVENTIST HEALTHCARE WORKS TO ADDRESS NOT JUST THE PHYSICAL AND MENTAL HEALTH NEEDS OF OUR PATIENTS AND COMMUNITY MEMBERS, BUT TO ADDRESS WHOLE-PERSON HEALTH. TO DO THIS, WE DEVELOP PARTNERSHIPS AND COLLABORATE WITH KEY STAKEHOLDERS IN THE COMMUNITY. THROUGH COLLABORATION, WE CAN EXPAND OUR EXPERTISE AND RESOURCES AND THEREFORE HAVE A LARGER COLLECTIVE IMPACT ON THE HEALTH AND WELL-BEING OF OUR COMMUNITY. A SAMPLING OF OUR PARTNERSHIPS IS DESCRIBED BELOW:1) HEALTHY MONTGOMERY:HEALTHY MONTGOMERY IS THE LOCAL HEALTH IMPROVEMENT COALITION FOR MONTGOMERY COUNTY, MARYLAND. ADVENTIST HEALTHCARE PARTNERS WITH AND SUPPORTS HEALTHY MONTGOMERY BOTH STRATEGICALLY AND FINANCIALLY. REPRESENTATIVES FROM ADVENTIST HEALTHCARE SIT ON THE HEALTHY MONTGOMERY STEERING COMMITTEE, THE HEALTH IN ALL POLICY WORKGROUP, AND THE HOSPITAL WORKGROUP, AMONG OTHERS. ADVENTIST HEALTHCARE ALSO CONTRIBUTES UP TO $50,000 ANNUALLY TO SUPPORT THE INFRASTRUCTURE OF HEALTHY MONTGOMERY. HEALTHY MONTGOMERY, IN PARTNERSHIP WITH COMMUNITY STAKEHOLDERS SUCH AS LOCAL POLICY MAKERS, HOSPITALS, ADVOCACY GROUPS AND ACADEMIC INSTITUTIONS, AMONG OTHERS, REVIEWS THE NEEDS AND RESOURCES IN THE COUNTY AND WORKS TO SET PRIORITIES FOR IMPROVING HEALTH AND WELL-BEING. THE OVERALL GOALS OF HEALTHY MONTGOMERY ARE TO IMPROVE ACCESS TO HEALTH AND SOCIAL SERVICES, ACHIEVE HEALTH EQUITY FOR ALL RESIDENTS, AND ENHANCE THE PHYSICAL AND SOCIAL ENVIRONMENT TO SUPPORT OPTIMAL HEALTH AND WELL-BEING. AMONG ITS MANY ACCOMPLISHMENTS, HEALTHY MONTGOMERY HAS BEEN ABLE TO PROVIDE LOCAL LEVEL DATA THAT IS STRATIFIED BY SEX, AGE, RACE, AND ETHNICITY. BY MAKING THIS DATA MORE EASILY AVAILABLE, COMMUNITY STAKEHOLDERS, ADVENTIST HEALTHCARE INCLUDED, ARE BETTER ABLE TO IDENTIFY NEEDS IN THE COMMUNITY THAT MAY HAVE OTHERWISE BEEN MASKED BY LESS GRANULAR DATA. THIS ALLOWS FOR MORE STRATEGIC AND TARGETED HEALTH PREVENTION AND PROMOTION PROGRAMMING TO BE DEVELOPED.2) PRINCE GEORGE'S HEALTHCARE ACTION COALITION:PRINCE GEORGE'S HEALTHCARE ACTION COALITION (PGHAC) SERVES AS A COMMUNITY HEALTH NETWORK AND FORUM FOR COLLABORATION TO ADVANCE THE HEALTH OF PRINCE GEORGE'S COUNTY. THIS COMMUNITY-POWERED COALITION REPRESENTS OVER 70 COMMUNITY ORGANIZATIONS, HEALTH CARE PROVIDERS AND STAKEHOLDERS IN COMMUNITY HEALTH.THE COALITION WAS FORMED IN 2012 UNDER THE LEADERSHIP OF PRINCE GEORGE'S COUNTY HEALTH DEPARTMENT (PGCHD), WITH HEALTH OFFICER SERVING AS CO-CHAIR. THE PGHAC LEADS THE PROCESS FOR DEVELOPING AND EXECUTING THE COMMUNITY HEALTH IMPROVEMENT PLAN FOR THE COUNTY. THIS INCLUDES ORGANIZING SEVERAL WORK GROUPS AND BRINGING TOGETHER PARTNERS IN AREAS SUCH AS HEALTH EQUITY, BEHAVIORAL HEALTH AND HEALTHY EATING AND ACTIVE LIVING.3) NEXUS MONTGOMERY:NEXUS MONTGOMERY IS A PARTNERSHIP OF FOUR HEALTH SYSTEMS IN MONTGOMERY COUNTY, MARYLAND, INCLUDING ADVENTIST HEALTHCARE, HOLY CROSS HEALTH, MEDSTAR MONTGOMERY AND SUBURBAN HOSPITAL. THE PARTNERSHIP IS FOCUSED ON IMPROVING THE WELL-BEING OF PATIENTS AND COMMUNITY MEMBERS AND REDUCING POTENTIAL AVOIDABLE UTILIZATION (PAU)'S AND TOTAL COST OF CARE. EXAMPLES OF STRATEGIES AND PROGRAMS THAT THE PARTNERSHIP HAS WORKED ON INCLUDE: WELLNESS AND INDEPENDENCE FOR SENIORS AT HOME (WISH), HOSPITAL CARE TRANSITIONS, UNINSURED/PROJECT ACCESS AND SEVERELY MENTALLY ILL/BEHAVIORAL HEALTH. THE GOALS OF THESE PROGRAMS ARE TO: STABILIZE HEALTH OF OLDER ADULTS TO REDUCE HOSPITAL ADMISSIONS; IMPROVE TRANSITIONS FROM HOSPITAL-TO-HOME; CONNECT UNINSURED TO SPECIALTY CARE; AND IMPROVE COMMUNITY-BASED RESOURCES FOR THE SEVERELY MENTALLY ILL.4) CASA:CASA IS THE FOREMOST IMMIGRANT ORGANIZATION IN THE MID-ATLANTIC REGION AND A NATIONAL LEADER IN SUPPORTING IMMIGRANT FAMILIES AND ENSURING THAT ALL INDIVIDUALS HAVE THE CORE SUPPORTS NECESSARY FOR FULL PARTICIPATION IN SOCIETY. NOW A NATIONAL IMMIGRANT POWERHOUSE, CASA CREATES CHANGE WITH ITS POWER BUILDING MODEL BLENDING HUMAN SERVICES, COMMUNITY ORGANIZING, AND ADVOCACY TO SERVE THE FULL SPECTRUM OF THE NEEDS, DREAMS, AND ASPIRATIONS OF MEMBERS.IN 2022, THE ADVENTIST HEALTHCARE COMMUNITY PARTNERSHIP FUND (CPF) PROVIDED CASA DE MARYLAND GRANT FUNDING TO SUPPORT THEIR ESOL PROGRAM. CASA'S ESOL PROGRAM SEEKS TO IMPROVE PARTICIPANTS' LISTENING, SPEAKING, READING, AND WRITING SKILLS IN ENGLISH SO THAT THEY MAY INCREASE THEIR EMPLOYABILITY, INCREASE THEIR ACCESS TO HEALTH AND SOCIAL SERVICES, BETTER INTEGRATE INTO U.S. SOCIETY, AND ACHIEVE THEIR PERSONAL GOALS.5) IMPACT SILVER SPRING:IMPACT SILVER SPRING'S MISSION IS TO ADVANCE RACIAL EQUITY, JUSTICE, AND LIBERATION BY WORKING FOR CHANGE IN INDIVIDUALS, COMMUNITIES, ORGANIZATIONS, AND SYSTEMS.IN 2022, THE ADVENTIST HEALTHCARE COMMUNITY PARTNERSHIP FUND (CPF) PROVIDED IMPACT SILVER SPRING WITH GRANT FUNDING TO CREATE INCREASED CONNECTIONS BETWEEN LOW-INCOME COMMUNITIES OF COLOR AND THE RESOURCES AVAILABLE IN THEIR COMMUNITIES, TO PROVIDE ACCESSIBLE OPPORTUNITIES FOR HEALTH AND WELLNESS ACTIVITIES AIMED AT INCREASING PHYSICAL AND MENTAL HEALTH, AND TO ADVOCATE FOR HOUSING POLICIES THAT WILL PROVIDE RELIEF TO COMMUNITIES DISPROPORTIONATELY IMPACTED BY THE ONGOING EFFECTS OF COVID.6) INTERFAITH WORKS:INTERFAITH WORKS PROVIDES EMERGENCY SHELTER, SUPPORTIVE HOUSING, ESSENTIAL NEEDS, AND EMPLOYMENT PROGRAMS TO OVER 35,000 RESIDENTS OF MONTGOMERY COUNTY, MD, EVERY YEAR.IN 2022, ADVENTIST HEALTHCARE PROVIDED INTERFAITH WORKS WITH GRANT FUNDING TO SUPPORT THEIR VOCATIONAL SERVICES PROGRAM. THE GOAL OF THE PROGRAM IS TO PLACE LOW-INCOME MONTGOMERY COUNTY RESIDENTS, AND THOSE EXPERIENCING HOMELESSNESS, IN LONG-TERM JOBS. THE PROGRAM PROVIDES COMPREHENSIVE, INDIVIDUALIZED SUPPORT TO CLIENTS, THEREBY STRENGTHENING THE FINANCIAL STABILITY OF INDIVIDUALS AND FAMILIES THROUGH JOB TRAINING AND READINESS PROGRAMS, EMPLOYMENT ASSISTANCE, AND SUPPORT UPON EMPLOYMENT. THEIR BILINGUAL (ENGLISH/SPANISH/FRENCH) VOCATIONAL COUNSELORS WORK WITH CLIENTS UNTIL THEY SUCCESSFULLY GAIN EMPLOYMENT AND OFFER SUPPORT FOR A MINIMUM OF ONE YEAR FOLLOWING EMPLOYMENT.
PART III, LINE 2:	TO ESTIMATE THE COST OF BAD DEBT THAT WE HAVE REPORTED ON SCHEDULE H, WE MULTIPLIED THE ORGANIZATION'S COST TO CHARGE RATIO (CCR) TIMES THE BAD DEBT PROVISION THAT HAS BEEN DERIVED FROM THE 2022 AUDITED FINANCIAL STATEMENTS. THE ORGANIZATION'S CCR IS THE QUOTIENT THAT RESULTS WHEN TOTAL OPERATING EXPENSE IS DIVIDED BY TOTAL GROSS PATIENT REVENUE AS REFLECTED IN THE ORGANIZATION'S GENERAL LEDGER.THE BAD DEBT EXPENSE THAT IS RECORDED IN THE GENERAL LEDGER REFLECTS THE AMOUNT OF PROVISION MANAGEMENT DEEMS NECESSARY TO REPORT PATIENT ACCOUNTS RECEIVABLE AT THEIR NET REALIZABLE VALUE. IN EVALUATING THE COLLECTABILITY OF PATIENT ACCOUNTS RECEIVABLE, WE ANALYZE HISTORICAL TRENDS FOR EACH MAJOR PAYOR AND ESTIMATE THE APPROPRIATE ALLOWANCE FOR DOUBTFUL COLLECTIONS.
PART II, COMMUNITY BUILDING ACTIVITIES, CONTINUED:	7) GENERATION HOPE:GENERATION HOPE'S GOAL IS TO DISMANTLE GENERATIONAL POVERTY THROUGH EDUCATIONAL ATTAINMENT. THEIR PROGRAMMING ADDRESSES AN URGENT NEED IN THE COMMUNITY BY FOCUSING ON THE BEST LONG-TERM POVERTY SOLUTIONS AND MAKING A LASTING IMPACT ON THE REGION'S LOW-INCOME TEEN PARENTS AND THEIR CHILDREN. OUR GOAL FOR OUR SCHOLAR PROGRAM IS THAT TEEN PARENTS EARN A COLLEGE DEGREE AND SECURE THRIVING FUTURES FOR THEIR FAMILIES. FOR NEXT GENERATION ACADEMY, OUR GOAL IS THAT THE CHILDREN OF TEEN PARENTS ARE PREPARED FOR SUCCESS AND WELLBEING IN KINDERGARTEN AND BEYOND.IN 2022, ADVENTIST HEALTHCARE PROVIDED GENERATION HOPE WITH GRANT FUNDING TO SUPPORT THEIR SCHOLAR PROGRAM AND NEXT GENERATION ACADEMY. WITH THIS FUNDING GENERATION HOPE PROVIDED MENTAL HEALTH SUPPORT TO SCHOLARS AND THEIR CHILDREN, PROVIDED SCHOLARS WITH WORKFORCE DEVELOPMENT SUPPORT, AND SUPPORTED SCHOLARS IN MAINTAINING HIGH GPAS AND GRADUATION RATES TO SET THEM UP FOR LONG TERM SUCCESS.8) REBUILDING TOGETHER MONTGOMERY COUNTY (RTMC):REBUILDING TOGETHER MAKES ESSENTIAL REPAIRS TO COMMUNITY MEMBERS' HOMES SO THAT THEY CAN STAY IN THEIR HOMES LONGER AND AGE SAFELY IN PLACE. AMONG ONE OF RTMC'S CORE ACTIVITIES IS THE SAFE AND HEALTHY HOMES PROGRAM, WHOSE GOAL IS TO LEVERAGE THEIR EXPERTISE IN THE HOME REPAIR FIELD AND FURTHER DEVELOP THEIR CROSS-SECTOR PARTNERSHIPS TO POSITIVELY AFFECT COMMUNITY HOME-HEALTH OUTCOMES.IN 2022, ADVENTIST HEALTHCARE PROVIDED RTMC WITH A SPONSORSHIP FOR THEIR NATIONAL REBUILDING DAY. ADDITIONALLY, A TEAM FROM ADVENTIST HEALTHCARE PARTICIPATED IN NATIONAL REBUILDING DAY PROVIDING CRITICAL HOME REPAIRS AND BEAUTIFICATION FOR A COMMUNITY MEMBER IN NEED.ADVENTIST REHABILITATION HOSPITAL OF MARYLAND, INC. AND ADVENTIST HEALTHCARE AS A SYSTEM CONTINUES TO PROVIDE COMMUNITY BUILDING ACTIVITIES IN 2022. PROVIDING COMMUNITY BUILDING ACTIVITIES IS ESSENTIAL TO ACHIEVING AND MAINTAINING OUR MISSION.
PART III, LINE 4:	THE CORPORATION ASSESSES COLLECTABILITY ON PATIENT CONTRACTS PRIOR TO THE RECOGNITION OF NET PATIENT SERVICE REVENUE. PATIENT ACCOUNTS RECEIVABLE ARE REPORTED AT THEIR NET REALIZABLE VALUE. ACCOUNTS ARE WRITTEN OFF THROUGH BAD DEBT EXPENSE WHEN THE CORPORATION HAS EXHAUSTED ALL COLLECTION EFFORTS AND DETERMINES ACCOUNTS ARE IMPAIRED BASED ON CHANGES IN PATIENT CREDIT WORTHINESS. PATIENT ACCOUNTS RECEIVABLE ALSO INCLUDES MANAGEMENT'S ESTIMATE OF THE IMPACT OF CERTAIN UNDERCHARGES TO BE RECOUPED OR OVERCHARGES TO BE PAID BACK FOR INPATIENT AND OUTPATIENT SERVICES IN SUBSEQUENT YEARS' RATES AS DISCUSSED EARLIER.
PART III, LINE 8:	IN ORDER TO DETERMINE THE COST OF PROVIDING MEDICARE SERVICES, WE MULTIPLIED TOTAL MEDICARE CHARGES PER THE HOSPITAL'S GENERAL LEDGER TIMES THE COST TO CHARGE RATIO REFLECTED IN THE ENTITY'S INCOME STATEMENT.WE ESTIMATED TOTAL PAYMENTS RECEIVED BY MULTIPLYING THE HISTORICAL COLLECTION PERCENTAGE OF MEDICARE ACCOUNTS TIMES TOTAL MEDICARE CHARGES AS REPORTED IN THE HOSPITAL'S GENERAL LEDGER.ANY DEFICIT REPORTED REPRESENTS THE DIFFERENCE BETWEEN TOTAL ESTIMATED MEDICARE RECEIPTS AND TOTAL ALLOWABLE ESTIMATED COSTS INCURRED TO TREAT THE HOSPITAL'S MEDICARE PATIENTS.
PART III, LINE 9B:	> THAT ALL PATIENTS RECEIVE A NOTICE ON FINANCIAL ASSISTANCE AND A PHONE CALL, BY ADVENTIST HEALTHCARE'S STAFF AND OUTSOURCED VENDORS, MENTIONING THE OPPORTUNITY TO HAVE THEIR BILL REDUCED IF THE DEBTOR QUALIFIES FOR ADVENTIST HEALTHCARE'S FINANCIAL ASSISTANCE.> WHEN A DEBTOR HAS AFFIRMED A DEBT AND HAS BEEN GIVEN AN OPPORTUNITY TO APPLY FOR ADVENTIST HEALTHCARE'S FINANCIAL ASSISTANCE, AND HAS APPLIED FOR AND BEEN GRANTED ASSISTANCE THAT REDUCED THE OUTSTANDING BALANCE BUT LEAVING AN AMOUNT STILL OWED TO AN ADVENTIST HEALTHCARE FACILITY OR HAS NOT APPLIED FOR ASSISTANCE IN THE ALLOTTED TIME PERIOD:1) FOR EXISTING ACCOUNTS, THE COLLECTION AGENCY WILL RECEIVE "DAILY NOTIFICATION TO REDUCE THE OUTSTANDING BALANCE OF ANY DEBTOR WHO QUALIFIES FOR ADVENTIST HEALTHCARE'S FINANCIAL ASSISTANCE. THE AGENCY WILL SEND A LETTER TO THE DEBTOR, ACKNOWLEDGING THE NEW BALANCE WITHIN 15 DAYS OF THE NOTICE TO ADJUST.2) ONCE THE DEBTOR AFFIRMS THE DEBT, THE AGENCY WILL INFORM THE DEBTOR ABOUT ADVENTIST HEALTHCARE'S FINANCIAL ASSISTANCE POLICY, AND ASK IF THEY HAD RECEIVED INFORMATION ON HOW TO COMPLETE THE APPLICATION, OR THE CRITERIA FOR QUALIFICATION.3) WHEN A DEBTOR EXPRESSES A DESIRE TO COMPLETE THE APPLICATION FOR FINANCIAL ASSISTANCE, THEY WILL BE REFERRED TO THE OFFICE OF ADVENTIST HEALTHCARE'S MANAGER OF COLLECTIONS / CUSTOMER SERVICE (301-315-3660). THE COLLECTION AGENCY WILL PLACE THE ACCOUNT ON "HOLD" FOR 2 WEEKS TO ALLOW THE DEBTOR AMPLE TIME TO COMPLETE A FINANCIAL ASSISTANCE APPLICATION.4) WHEN THE DEBTOR HAS COMPLETED THE APPLICATION FOR FINANCIAL ASSISTANCE AND BEEN APPROVED, THE AGENCY WILL RECEIVE IMMEDIATE NOTIFICATION FROM THE MANAGER OF COLLECTIONS/CUSTOMER SERVICE. NOTIFICATION WILL INCLUDE THE AMOUNT OF DEBT REDUCTION THE DEBTOR QUALIFIED FOR. THE MANAGER OF COLLECTIONS/CUSTOMER SERVICE WILL ADJUST THE DEBTOR'S BALANCE ON ADVENTIST HEALTHCARE'S BOOKS.
PART VI, LINE 2:	IN ADDITION TO COMPLETING OUR CHNAS EVERY THREE YEARS, ADVENTIST HEALTHCARE ASSESSES THE NEEDS OF THE COMMUNITY WE SERVE THROUGH SEVERAL METHODS: > REPRESENTATIVES FROM ADVENTIST HEALTHCARE SERVE ON THE LOCAL HEALTH IMPROVEMENT COALITIONS IN OUR SERVICE AREA, HEALTHY MONTGOMERY AND PRINCE GEORGE'S HEALTH ACTION COALITION. BY PARTICIPATING IN THE STEERING COMMITTEES AS WELL AS SEVERAL SUB-COMMITTEES AND WORKGROUPS, WE STAY APPRISED OF EXISTING AND DEVELOPING HEALTH NEEDS IN THE COMMUNITY AND ARE ABLE TO WORK WITH OTHER STAKEHOLDERS TO DEVELOP STRATEGIES FOR ADDRESSING THEM. > WE ARE ALSO ABLE TO GATHER INFORMATION AROUND COMMUNITY NEEDS THROUGH OUR NUMEROUS COMMUNITY PARTNERSHIPS AND OUTREACH EFFORTS. THROUGH OUR OUTREACH EFFORTS, WE GATHER INFORMATION DIRECTLY FROM THE COMMUNITY MEMBERS WE ARE SERVING. THROUGH OUR PARTNERSHIPS WITH COMMUNITY ORGANIZATIONS, WE LEARN ABOUT THE NEEDS OF THE STAKEHOLDERS THOSE ORGANIZATIONS REPRESENT. ONE EXAMPLE OF THIS IS OUR COMMUNITY PARTNERSHIP FUND THROUGH WHICH WE DEVELOP COLLABORATIONS WITH OTHER ORGANIZATIONS AND AWARD GRANT AND SPONSORSHIP FUNDING. ADDITIONALLY, SEVERAL OF OUR STAFF AND LEADERS SERVE ON THE BOARDS OF LOCAL COMMUNITY ORGANIZATIONS AND GATHER ADDITIONAL INSIGHT INTO THE NEEDS OF OUR COMMUNITY. > ADDITIONALLY, ADVENTIST HEALTHCARE LEADS THE PHYSICIAN ALLIANCE, A CLINICALLY INTEGRATED NETWORK MADE UP OF PRIMARY AND SPECIALTY CARE PHYSICIANS INCLUDING CLINICS AND FQHCS IN OUR COMMUNITY. ADVENTIST HEALTHCARE HAS ALSO FORMED A CARE TRANSFORMATION ORGANIZATION AS PART OF THE MARYLAND PRIMARY CARE PROGRAM. THROUGH BOTH THESE INITIATIVES, WE MONITOR HEALTH NEEDS AND DATA ACROSS OUR COMMUNITY INCLUDING CLINICAL DATA, SDOH DATA, AND DIRECT PATIENT FEEDBACK, BOTH ON A POPULATION AND INDIVIDUAL LEVEL.AT ADVENTIST HEALTHCARE REHABILITATION, WE STRIVE TO PROVIDE THE BEST CUSTOMER SERVICE EXPERIENCE POSSIBLE FOR OUR PATIENTS AND THEIR LOVED ONES. WE FOCUS ON EACH PATIENT INDIVIDUALLY AND CARE FOR THE WHOLE PERSON THROUGH THE REHABILITATIVE PROCESS. PRESS GANEY ADMINISTERS OUR CUSTOMER SATISFACTION SURVEYS AND WE CONTINUOUSLY ANALYZE CUSTOMER FEEDBACK AND OUR SCORES TO IMPROVE THE CUSTOMER EXPERIENCE. WE ALSO REGULARLY CONVENE A PATIENT/FAMILY ADVISORY BOARD TO RECEIVE FEEDBACK AND CONTINUE TO IMPROVE HOW WE OFFER CARE TO OUR PATIENTS AND COMMUNITY MEMBERS.ACUTE REHABILITATION HOSPITALS THROUGHOUT THE COUNTRY ENTER DATA INTO A NATIONAL DATABASE AS A MEANS TO REPORT OUTCOMES AND AS A WAY TO EVALUATE AND IMPROVE OVERALL RESULTS. WE STRIVE TO GET EACH PATIENT BACK TO THE COMMUNITY AS QUICKLY AND SAFELY AS POSSIBLE. OUR OUTCOMES FOR PATIENTS DISCHARGED DURING A SPECIFIED PERIOD ARE REPORTED IN OUR CHNAS.THE CENTERS FOR MEDICARE AND MEDICAID SERVICES (CMS) BREAKS DOWN THE DIAGNOSTIC CATEGORIES FOR PATIENTS THAT UTILIZE ACUTE REHABILITATION SERVICES INTO 21 REHAB IMPAIRMENT CATEGORIES CALLED RIC'S. THE 21 RIC'S ARE FURTHER GROUPED INTO CMGS OR CASE MIX GROUPS. ALL ACUTE REHAB HOSPITALS SUBMIT THEIR DATA TO CMS; THUS, WE CAN COMPARE OURSELVES TO OTHERS NATIONWIDE AS WELL AS TO OUR REGIONAL AREA, WHICH INCLUDES DE, MD, VA, DC, NC, SC, WV, GA, AND FL. OUR VOLUMES ARE COMPARABLE TO THE NATION AND REGION. WE ARE PROUD THAT OUR PATIENTS DEMONSTRATE MORE IMPROVEMENT THAN THE NATION IN EVERY MAJOR DIAGNOSTIC CATEGORY WE SERVE (BRAIN INJURY, SPINAL CORD INJURY, AMPUTEE, ORTHOPEDIC, GENERAL REHAB, AND STROKE) THIS SPEAKS TO STRONG CLINICAL OUTCOMES WITH OUR PROGRAM.
PART VI, LINE 3:	PATIENT EDUCATION OF ELIGIBILITY:ADVENTIST HEALTHCARE EDUCATES OUR PATIENTS AND COMMUNITY RESIDENTS ABOUT CHARITY CARE AND FINANCIAL ASSISTANCE IN MANY WAYS. THEY INCLUDE, BUT ARE NOT LIMITED TO, THE FOLLOWING: (1) ADVENTIST HEALTHCARE HAS FINANCIAL ASSISTANCE SIGNAGE IN ALL ITS FACILITIES, ON ALL PATIENT STATEMENTS AND ON OUR HOSPITALS' WEBSITES; (2) DURING PRE-REGISTRATION AND REGISTRATION, PATIENTS WHO ARE REGISTERED AS SELF-PAY, OR EXPRESS A FINANCIAL HARDSHIP, ARE INFORMED ABOUT THE HOSPITAL'S CHARITY CARE POLICY AND MAILED OR GIVEN A CHARITY APPLICATION. ADDITIONALLY, AN ADVENTIST HEALTHCARE PATIENT FINANCIAL ADVISOR WILL VISIT ADMITTED PATIENTS TO REVIEW FINANCIAL OPTIONS, INCLUDING AHC'S FINANCIAL ASSISTANCE PROGRAM; (3) WHEN GOING THROUGH THE MEDICAID ELIGIBILITY SCREENING, SELF-PAY PATIENTS ARE GIVEN A CHARITY APPLICATION DURING THAT PROCESS JUST IN CASE THE PATIENT DOES NOT QUALIFY FOR MEDICAID; (4) WHEN PATIENTS WITH A BALANCE RECEIVES A STATEMENT, THE PATIENT STATEMENT INCLUDES NOTIFICATION OF THE AVAILABILITY OF FINANCIAL ASSISTANCE AND THE CONTACT INFORMATION TO SPEAK WITH A REPRESENTATIVE OR OBTAIN A FINANCIAL ASSISTANCE PACKAGE; (5) WHEN PATIENTS WITH A BALANCE CONTACT THE COLLECTION DEPARTMENT AND EXPRESS FINANCIAL HARDSHIP, CUSTOMER SERVICE REPS AND SELF-PAY COLLECTORS WILL NOTIFY THE PATIENT OF THE AVAILABILITY OF ADVENTIST HEALTHCARE'S FINANCIAL ASSISTANCE AND MAIL A CHARITY APPLICATION TO THE PATIENT AND (6) RESIDENTS WHO PARTICIPATE IN OUR COMMUNITY PROGRAMS, SUCH AS BREAST CANCER, MATERNITY, ETC., ARE INFORMED OF ADVENTIST HEALTHCARE'S CHARITY PROGRAM PRIOR TO RECEIVING SERVICES.
PART VI, LINE 4:	THE MONTGOMERY COUNTY HOSPITAL COLLABORATIVE (MCHC) SERVES PORTIONS OF MONTGOMERY, PRINCE GEORGE'S, FREDERICK, CAROL, AND HOWARD COUNTIES, AND THE DISTRICT OF COLUMBIA, SPANNING 86 ZIP CODES AND ALMOST 2.3 MILLION PEOPLE. HOWEVER, THE GOAL OF THIS CHNA IS TO IDENTIFY AND PRIORITIZE KEY AREAS AND COMMUNITIES OF FOCUS FOR MEANINGFUL ENGAGEMENT. IN ORDER TO DO THIS, THE MCHC IDENTIFIED ZIP CODES IN EACH HOSPITAL'S PRIMARY SERVICE AREA AS OUR COLLECTIVE COMMUNITY BENEFIT SERVICE AREA (CBSA) AND HIGHLIGHTED COMMUNITIES OF FOCUS WITHIN THE CBSA TO PROVIDE A VALUABLE SNAPSHOT OF THE HOSPITAL'S EXISTING COMMUNITIES SERVED AND NEW AREAS OF INTEREST.DESCRIPTION OF SERVICE AREA:THE MCHC CBSA COMPRISES 38 ZIP CODES THAT SPAN APPROXIMATELY 388 SQUARE MILES OF MONTGOMERY COUNTY AND NORTHERN PRINCE GEORGE'S COUNTY, WITH A TOTAL POPULATION OF 1,250,503 (CENTER FOR APPLIED RESEARCH AND ENGAGEMENT SYSTEMS, 2022). THE POPULATION DENSITY FOR THIS AREA, ESTIMATED AT 3,218 PERSONS PER SQUARE MILE, IS GREATER THAN MONTGOMERY COUNTY (2,116 PERSONS PER SQUARE MILE), PRINCE GEORGE'S COUNTY (1,883 PERSONS PER SQUARE MILE), AND THE STATE (620 PERSONS PER SQUARE MILE). FOR A FULL LISTING OF THE ZIP CODES COMPRISING THE MCHC CBSA SEE APPENDIX E OF THE CHNA.THE MCHC CBSA SERVES PORTIONS OF MONTGOMERY AND PRINCE GEORGE'S COUNTIES, TWO MAJORITY MINORITY COUNTIES RICH IN CULTURAL DIVERSITY. THE LARGEST POPULATIONS BY RACE/ETHNICITY WITHIN THE SERVICE AREA ARE NON-HISPANIC WHITES (37.3%), NON-HISPANIC BLACKS (22.6%), HISPANIC OR LATINO (22.5%) AND NON-HISPANIC ASIAN (13.5%). MORE THAN 33% OF THE MCHC CBSA POPULATION ARE OF FOREIGN BIRTH COMPARED TO 32% IN MONTGOMERY COUNTY, 23% IN PRINCE GEORGE'S COUNTY, AND 15.2% IN MARYLAND. THE LANGUAGES SPOKEN IN THIS REGION ALSO REFLECT ITS DIVERSITY. HOWEVER, APPROXIMATELY 16.5% OF THE CBSA POPULATION, AGED 5 AND OLDER, SPEAK ENGLISH LESS THAN VERY WELL COMPARED TO 7% OF THE MARYLAND POPULATION.LIMITED ENGLISH PROFICIENCY (LEP), OR THE INABILITY TO SPEAK ENGLISH WELL, CREATES BARRIERS TO HEALTH CARE ACCESS, PROVIDER COMMUNICATIONS, AND HEALTH LITERACY/EDUCATION. THE HIGHEST PERCENTAGE OF LIMITED ENGLISH PROFICIENCY BY LANGUAGE SPOKEN IN THE HOME IS SPANISH (UNITED STATES CENSUS BUREAU, 2022). THE CBSA IS NOT ONLY RICH IN DIVERSITY BUT ALSO IN RESOURCES. THE AREA HAS OVER 170 PRIVATE AND COUNTY-RUN FITNESS AND RECREATION FACILITIES, ROUGHLY 75% OF RESIDENTS LIVE WITHIN HALF A MILE OF A PARK, MORE THAN 240 GROCERY STORES SERVE THE AREA, AND THERE ARE MORE THAN 100 SOCIAL AND PROFESSIONAL ORGANIZATIONS PER PERSON. THE AVERAGE HOUSEHOLD INCOME OF $138,054 FOR PERSONS IN THE MCHC CBSA IS HIGHER THAN THE STATE AVERAGE OF $111,417 AND THE PRICE GEORGE'S COUNTY AVERAGE OF $102,593, BUT LOWER THAN THAT FOR MONTGOMERY COUNTY OVERALL ($149,437). HOWEVER, DESPITE THE PLETHORA OF RESOURCES AND ABOVE-AVERAGE INCOMES, DISPARITIES EXIST, PARTICULARLY FOR POPULATIONS EXPERIENCING VULNERABILITIES.VULNERABLE POPULATIONS:POPULATIONS EXPERIENCING VULNERABILITY (ALSO REFERRED TO AS VULNERABLE POPULATIONS) ARE GROUPS AND COMMUNITIES AT A HIGHER RISK FOR POOR HEALTH OUTCOMES BECAUSE OF THE BARRIERS THEY EXPERIENCE DUE TO STRUCTURAL AND SOCIETAL FACTORS THEY FACE, SUCH AS SYSTEMIC RACISM, DISCRIMINATION, STIGMA, AND POVERTY (BACIU, NEGUSSIE, GELLER, & ET AL., 2017). IN 2021, THE EQUITY DATA TEAM OF MONTGOMERY COUNTY'S PLANNING DEPARTMENT DEVELOPED A MAPPING TOOL TO IDENTIFY VULNERABLE POPULATIONS WITHIN MONTGOMERY COUNTY. THE TEAM IDENTIFIED 56 EQUITY FOCUS AREAS (EFAS) BY LOOKING AT DEMOGRAPHIC DATA AT THE CENSUS TRACT LEVEL (SEE APPENDIX F FOR A FULL LIST OF DEMOGRAPHIC DATA). THEY FOCUSED ON IDENTIFYING AREAS THAT HAD HIGH CONCENTRATIONS OF LOWER-INCOME HOUSEHOLDS, PEOPLE OF COLOR, AND INDIVIDUALS WHO MAY SPEAK ENGLISH LESS THAN VERY WELL (ZORICH, MUKHERJEE, & BLYTON, 2021). APPROXIMATELY ONE-QUARTER OF MONTGOMERY COUNTY'S POPULATION RESIDES IN THE EFAS. IN ADDITION TO POPULATIONS RESIDING IN THE EFAS, OTHER POPULATIONS EXPERIENCING VULNERABILITIES INCLUDE LOW-INCOME, RACIAL, AND ETHNIC MINORITIES, UNINSURED, SENIORS, PREGNANT WOMEN AND INFANTS, THE HOMELESS AND THOSE WITH DISABILITIES. FOR ADDITIONAL DETAILS REGARDING EACH OF THESE POPULATIONS, PLEASE SEE THE "DEFINING COMMUNITIES SERVED" SECTION OF THE CHNA.
PART VI, LINE 5:	ADVENTIST HEALTHCARE REHABILITATION PARTNERS WITH COMMUNITY ORGANIZATIONS AND AGENCIES TO PROVIDE EDUCATION ON PREVENTION AND REHABILITATION FOR MANY HEALTH AND DISEASE-RELATED ISSUES FOR VALUABLE INPUT ON THE HEALTH NEEDS OF COMMUNITY MEMBERS. THIS INCLUDES SENIOR CENTERS, CHURCHES, SCHOOLS, SUPPORT GROUPS AND PROFESSIONAL ORGANIZATIONS. THE ADVENTIST HEALTHCARE REHABILITATION-ROCKVILLE SITE IS ALSO THE HOST FACILITY FOR A VARIETY OF SUPPORT GROUPS AND SPECIALTY THERAPEUTIC GROUPS FOR PATIENTS PAST AND PRESENT ALONG WITH THEIR FAMILIES AND CAREGIVER NETWORKS. DUE TO THE PANDEMIC, MANY SUPPORT GROUPS AND PROGRAMS CONTINUED VIRTUALLY AND PARTICIPATION INCREASED SIGNIFICANTLY IN SOME PROGRAMS. WE PARTNER WITH CLINICS THAT SERVE THE LOW-INCOME RESIDENTS OF MONTGOMERY COUNTY, MANY OF WHOM ARE LIMITED ENGLISH PROFICIENT AND/OR RACIAL AND ETHNIC MINORITIES. ONE OF ADVENTIST HEALTHCARE REHABILITATION'S SAFETY NET CLINIC PARTNERS IS MERCY HEALTH CLINIC, WHICH PROVIDES PRIMARY CARE TO UNINSURED, LOW-INCOME ADULT RESIDENTS OF MONTGOMERY COUNTY. WE ALSO PARTNER WITH MERCY HEALTH CLINIC BY PROVIDING FREE DIAGNOSTIC SERVICES/LAB WORK TO THEIR UNINSURED PATIENTS. ANOTHER KEY PARTNER IS MOBILE MEDICAL CARE (MOBILE MED), WHICH OPERATES THREE MOBILE HEALTHCARE VEHICLES AND PROVIDES PRIMARY AND PREVENTATIVE HEALTHCARE TO THE UNINSURED, LOW INCOME, WORKING POOR, AND HOMELESS IN MONTGOMERY COUNTY. WE ALSO PARTNER WITH MOBILE MED BY PROVIDING FREE DIAGNOSTIC SERVICES/LAB WORK TO THEIR UNINSURED PATIENTS. THESE CLINICS WERE ALSO SUPPORTED WITH CASH DONATIONS FROM ADVENTIST HEALTHCARE THROUGH OUR COMMUNITY PARTNERSHIP FUND.FURTHER, ADVENTIST HEALTHCARE REHABILITATION HAS PARTNERED WITH COMMUNITY ORGANIZATIONS SERVING THE SAME POPULATIONS AS ADVENTIST HEALTHCARE REHABILITATION. AMONG THEM ARE THE MARYLAND BRAIN INJURY ASSOCIATION, THE STROKE COMEBACK CENTER, DISABILITY PARTNERSHIPS AND REBUILDING TOGETHER MONTGOMERY COUNTY. EACH OF THESE ORGANIZATIONS PROVIDE SERVICES TO SUPPORT PERSONS SERVED AFTER A BRAIN INJURY, SPINAL CORD INJURY, STROKE, OR OTHER LIFE CHANGING DEBILITATING EVENT. IN ADDITION TO THE FORMAL ADVISORY BOARD THAT HELPS ADDRESS COMMUNITY NEEDS, THE STAFF OF ADVENTIST HEALTHCARE AND ADVENTIST HEALTHCARE REHABILITATION PARTICIPATES IN VARIOUS WAYS IN THE COMMUNITY. TO OBTAIN INPUT AND GUIDANCE FROM THOSE WE SERVE, WE ESTABLISHED A PATIENT-FAMILY ADVISORY COUNCIL WHICH KEEPS OUR PROGRAMS AND SERVICES RELEVANT TO THE COMMUNITY'S HEALTH NEEDS AND ALLOWS FOR DIRECT DIALOGUE WITH OUR CUSTOMERS. FURTHER, WE ACTIVELY PARTICIPATE IN NUMEROUS COMMITTEES, COALITIONS, AND PARTNERSHIPS THAT PROVIDE INFORMATION ON THE HEALTH NEEDS IN THE COMMUNITY, SUCH AS HEALTHY MONTGOMERY, THE LOCAL HEALTH IMPROVEMENT COALITION. THE HEALTH PROFESSIONALS THAT PROVIDE PROGRAMS IN THE COMMUNITY ALSO PROVIDE VALUABLE INFORMATION AND KNOWLEDGE OF COMMUNITY NEEDS.
PART VI, LINE 6:	ADVENTIST HEALTHCARE, BASED IN GAITHERSBURG, MD., IS A FAITH-BASED, NOT-FOR-PROFIT ORGANIZATION OF DEDICATED PROFESSIONALS WHO WORK TOGETHER EACH DAY TO PROVIDE EXCELLENT WELLNESS, DISEASE MANAGEMENT AND HEALTH-CARE SERVICES TO THE COMMUNITY. WE WERE FOUNDED UPON THE PRINCIPLE OF WELLNESS MORE THAN 100 YEARS AGO AND TODAY PROVIDE INNOVATIVE CARE TO HEART-ATTACK VICTIMS, CANCER PATIENTS, PREMATURE BABIES, AND THE COMMUNITY. OUR UNWAVERING FOCUS HAS ALWAYS BEEN ON THE HEALTH AND WELLNESS OF THE COMMUNITIES WE SERVE. WE ARE ALREADY A STEP AHEAD AS HEALTH CARE REFORM IS CHALLENGING HOSPITAL SYSTEMS NATIONWIDE TO IMPROVE THE HEALTH OF POPULATIONS; OUR INTEGRATED, HEALTH-CARE DELIVERY NETWORK INCLUDES FOUR NATIONALLY ACCREDITED, ACUTE-CARE AND SPECIALTY HOSPITALS, MENTAL HEALTH SERVICES, HOME HEALTH AGENCIES AND URGENT CARE CENTERS, SERVING THE WASHINGTON, D.C. METROPOLITAN AREA.ADVENTIST HEALTHCARE INCLUDES: ADVENTIST HEALTHCARE SHADY GROVE MEDICAL CENTER, ADVENTIST HEALTHCARE WHITE OAK MEDICAL CENTER, ADVENTIST HEALTHCARE FORT WASHINGTON MEDICAL CENTER, ADVENTIST HEALTHCARE REHABILITATION, ADVENTIST HEALTHCARE HOME CARE SERVICES, THE REGINALD S. LOURIE CENTER FOR CHILDREN'S SOCIAL & EMOTIONAL WELLNESS, ADVENTIST MEDICAL GROUP, ADVENTIST HEALTHCARE PHYSICIAN ALLIANCE CLINICALLY INTEGRATED NETWORK, ADVENTIST HEALTHCARE URGENT CARE CENTERS, AND OTHER HEALTH SERVICES. WITH MORE THAN 2,000 AFFILIATED PRIMARY AND SPECIALTY CARE PHYSICIANS, ADVENTIST HEALTHCARE ENCOMPASSES MANY OF THE NECESSARY CARE DELIVERY COMPONENTS NEEDED TO DELIVER POPULATION-BASED CARE ACROSS THE CONTINUUM.OUR COMMITMENT TO THE COMMUNITY EXTENDS BEYOND OUR WALLS TO ENCOMPASS THE MOST VULNERABLE AND UNDERSERVED. IN 2022, THERE WERE APPROXIMATELY 89,125 OVERALL ENCOUNTERS ACROSS ALL OUR FACILITIES AND PROGRAMS. WE ALSO PROVIDED SIGNIFICANT CHARITY CARE AND COMMUNITY BENEFIT. AS ONE OF THE LARGEST EMPLOYERS IN THE STATE OF MARYLAND, WE ARE GRATEFUL TO HAVE THE DEDICATED COMMITMENT OF 6,101 EMPLOYEES, 1,950 AFFILIATED PROVIDERS THROUGH OUR CLINICALLY INTEGRATED NETWORK, AND NUMEROUS VOLUNTEERS PROVIDING OVER 50,350 VOLUNTEER HOURS, THROUGHOUT ADVENTIST HEALTHCARE WHO PROVIDE COMPASSIONATE, HIGH-QUALITY CARE EVERY DAY.IN ADDITION TO PROVIDING CHARITY CARE AT OUR FACILITIES, ADVENTIST HEALTHCARE IS INVOLVED IN NUMEROUS OUTREACH INITIATIVES DESIGNED TO IMPROVE ACCESS TO HEALTH CARE FOR LOW-INCOME AND UNINSURED INDIVIDUALS, AS WELL AS HISTORICALLY UNDER-SERVED COMMUNITIES INCLUDING MINORITIES AND IMMIGRANTS. OUR GOAL IS EFFECTIVE PREVENTION, TREATMENT, AND CARE PROGRAMS FOR ALL INDIVIDUALS, REGARDLESS OF THEIR ECONOMIC, CULTURAL, LINGUISTIC OR DEMOGRAPHIC CHARACTERISTICS.VISIT WWW.ADVENTISTHEALTHCARE.COM TO LEARN EVEN MORE ABOUT OUR SERVICES AND OUR LONGSTANDING BELIEF THAT A HEALTHY LIFESTYLE IS THE BEST WAY TO PREVENT DISEASE, AND THAT PREVENTION IS MUCH BETTER THAN A CURE.
PART VI, LINE 7, REPORTS FILED WITH STATES	MD

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Compensation Committee	Yes (X)	CompensationCommitteeInd
Independent Consultant	Yes (X)	IndependentConsultantInd
Form990 Of Other Organizations	Yes (X)	Form990OfOtherOrganizationsInd
Compensation Survey	Yes (X)	CompensationSurveyInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
Severance Payment	0	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (1)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	0	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	0	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	0	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	0	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	0	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	Yes (1)	AnyNonFixedPaymentsInd
Initial Contract Exception	0	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (14 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
JOHN SACKETT
CHAIR; EVP & COO, AHC	$0	$596,569	$0	$170,553	$0	$267,300	$0	$27,000	$0	$43,167	$0	$1,104,589	$0	$0
DANIEL L COCHRAN
PRESIDENT, SGMC	$0	$453,362	$0	$110,730	$0	$221,051	$0	$167,162	$0	$17,172	$0	$969,477	$0	$132,453
ANTHONY STAHL
PRESIDENT, WOMC	$0	$405,527	$0	$110,639	$0	$174,869	$0	$148,167	$0	$22,458	$0	$861,660	$0	$85,274
EUNMEE SHIM
PRESIDENT, FWMC	$0	$379,781	$0	$72,466	$0	$239,638	$0	$119,862	$0	$30,605	$0	$842,352	$0	$98,494
MARTA BRITO PEREZ
SVP,POP. HEALTH/POST-ACUTE CARE SVCS	$0	$471,287	$0	$126,323	$0	$172,248	$0	$27,000	$0	$15,454	$0	$812,312	$0	$0
BRENT REITZ
SECY; PRES, POST-ACUTE CARE SRV, AHC	$0	$308,905	$0	$102,576	$0	$160,449	$0	$107,736	$0	$22,377	$0	$702,043	$0	$77,888
BRENDAN JOHNSON
SVP OF HUMAN RESOURCES, AHC	$0	$336,299	$0	$98,402	$0	$133,218	$0	$110,821	$0	$22,365	$0	$701,105	$0	$66,835
SUSAN L GLOVER
SVP,Q&PS,END 4/2022;VP,CV,AHC	$0	$327,224	$0	$94,893	$0	$139,780	$0	$26,000	$0	$24,997	$0	$612,894	$0	$0
TERRENCE SHEEHAN MD
CMO, PHYSICIAN INTEGRATION SVCS	$0	$319,967	$0	$232,867	$0	$1,442	$0	$13,500	$0	$378	$0	$568,154	$0	$0
GEORGE R GRANGE
VP, POST-ACUTE & ADMR, WOMC	$167,864	$0	$36,117	$0	$26,019	$0	$46,870	$0	$22,930	$0	$299,800	$0	$0	$0
SUSAN SAVERY
AVP FINANCE, POST-ACUTE CARE SVCS	$188,154	$0	$33,893	$0	$1,442	$0	$22,806	$0	$2,478	$0	$248,773	$0	$0	$0
VICTORIA ESTRADA
REGISTERED NURSE II	$161,689	$0	$3,450	$0	$14,635	$0	$13,000	$0	$22,019	$0	$214,793	$0	$0	$0
ELAN BURMAN
PROGRAM DIRECTOR, FOUNDATION	$150,831	$0	$23,138	$0	$844	$0	$20,500	$0	$3,186	$0	$198,499	$0	$0	$0
IRENE MEKEDE
REGISTERED NURSE II	$173,443	$0	$2,500	$0	$6,545	$0	$9,710	$0	$98	$0	$192,296	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE 3	PAY PRACTICE: ADVENTIST HEALTHCARE UTILIZES A SINGLE EMPLOYER ID FOR ALL ITS AFFILIATED ENTITIES FOR EMPLOYMENT PURPOSES. AS SUCH, ACTUAL COMPENSATION AND BENEFITS ARE CHARGED TO THE RESPECTIVE ENTITIES AND THE RESULTING COMPENSATION AND BENEFITS ARE REPORTED ON EACH AFFILIATE IRS FORM 990 AS IF PAID DIRECTLY BY SUCH AFFILIATE. AS APPLICABLE, THE SAME AND NON-ADDITIVE COMPENSATION AND EMPLOYMENT BENEFIT PLAN CONTRIBUTION AMOUNTS WERE ALSO DISCLOSED IN THE ADVENTIST HEALTHCARE INC. RELATED ENTITIES' RETURNS. INDEPENDENT GUIDELINES: WHEN SETTING COMPENSATION FOR THE OFFICERS, DIRECTORS, TRUSTEES, KEY EMPLOYEES, AND THE HIGHEST COMPENSATED EMPLOYEES, ADVENTIST HEALTHCARE FULLY COMPLIES WITH THE PROCEDURAL SAFEGUARDS EMBODIED IN IRS REGULATIONS. COMPENSATION FOR ADVENTIST HEALTHCARE OFFICERS, DIRECTORS, TRUSTEES, KEY EMPLOYEES, AND THE HIGHEST COMPENSATED EMPLOYEES IS ENTIRELY SET BY A COMMITTEE OF ADVENTIST HEALTHCARE BOARD OF TRUSTEES. IN SETTING COMPENSATION, THE GOVERNING BOARD COMMITTEE RELIES UPON MARKET COMPARABILITY DATA PROVIDED BY AN INDEPENDENT OUTSIDE COMPENSATION CONSULTANT WHO PROVIDES A SUMMARY OF HEALTH CARE SALARIES AND BENEFITS FOR COMPARABLE SIZED ORGANIZATIONS BOTH NATIONALLY AND IN THE BALTIMORE-WASHINGTON REGION. TO FURTHER ENSURE REASONABLENESS, BOTH COMPENSATION AND BENEFITS ARE TARGETED AT THE 50TH PERCENTILE (OR MEDIAN) OF THE MARKET.
PART I, LINE 4B	CERTAIN EMPLOYEES RECEIVED COMPENSATION FROM A DISTRIBUTION UNDER AN EXECUTIVE RETENTION 457F PLAN, WHICH BECAME EFFECTIVE ON JANUARY 1, 2015. PRE-TAX CONTRIBUTIONS ARE ACCUMULATED ANNUALLY AND ARE DISTRIBUTED ON JANUARY 1ST OF THE 2ND YEAR, IF STILL EMPLOYED, OR SOONER BASED ON CERTAIN EXCEPTIONS. THERE IS TYPICALLY A 2-YEAR DEFERRAL PERIOD BEFORE PAYMENTS ARE RELEASED. CONTRIBUTIONS ACCUMULATED IN 2020 WERE GENERALLY DISTRIBUTED ON JANUARY 1, 2022 AND CONTRIBUTIONS ACCUMULATED IN 2021 WILL GENERALLY BE DISTRIBUTED ON JANUARY 1, 2023. AMOUNTS LISTED UNDER PART II, COLUMN F INCLUDE PAYOUT AMOUNTS WHICH WERE CONSIDERED DEFERRED COMPENSATION FROM THE 457F PLAN IN OUR PRIOR YEAR RETURNS AND THESE AMOUNTS ARE NOW BEING SHOWN UNDER THE OTHER REPORTABLE INCOME, COLUMN B (III). THE ADVENTIST HEALTHCARE EXECUTIVE RETENTION PLAN PAYS CERTAIN PARTICIPANTS THEIR RETIREMENT PAYMENTS IN DIRECT CASH, RATHER THAN RETENTION BENEFITS OF DEFERRED CASH, AFTER ATTAINING THE PLAN'S RETIREMENT AGE. THE FOLLOWING THREE EXECUTIVES RECEIVED SUPPLEMENTAL RETIREMENT PAYMENTS UNDER THIS PLAN FEATURE: JOHN SACKETT: $156,680 RETIREMENT AGE PAYMENT; MARTA BRITO PEREZ: $129,542 RETIREMENT AGE PAYMENT; SUSAN GLOVER: $79,755 RETIREMENT AGE PAYMENT.
PART I, LINE 7	THE ANNUAL INCENTIVE COMPENSATION INCLUDES PAYMENTS BASED ON SATISFACTION OF PRE-DETERMINED PERFORMANCE TARGETS SUCH AS QUALITY/PATIENT SAFETY GOALS, EMPLOYEE AND PATIENT ENGAGEMENT GOALS, ORGANIZATIONAL GROWTH, AND FINANCIAL PERFORMANCE, AMONG OTHER THINGS. THE ANNUAL INCENTIVE COMPENSATION APPLIES TO DIRECTORS AND ABOVE.
SUPPLEMENTAL INFORMATION:	OTHER REPORTABLE COMPENSATION INCLUDES RETENTION PAYMENTS AND LUMP-SUM ADJUSTMENTS IN LIEU OF THE ACROSS-THE-BOARD INCREASE (FOR EMPLOYEES WHO ARE AT OR REACH THE RANGE MAXIMUM FOR THEIR POSITION). OTHER REPORTABLE COMPENSATION ALSO INCLUDES LONG-TERM DISABILITY COVERAGE, CELL PHONE ALLOWANCES, CASH-OUT OF UNUSED PAID TIME OFF (PTO) HOURS, IMPUTED VALUE OF LIFE INSURANCE COVERAGE, AND SEVERANCE, AS APPLICABLE. CERTAIN EXECUTIVES CAN ALSO RECEIVE REPORTABLE COMPENSATION THROUGH A SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP) ONCE THEY HAVE VESTED IN THE PLAN. IN 2022, THERE WERE NO SERP PAYOUTS MADE. NON-TAXABLE BENEFITS INCLUDES PRE-TAX PAYROLL DEDUCTIONS (SUCH AS FLEXIBLE MEDICAL SPENDING, DEPENDENT CARE, AND EMPLOYEE HEALTH BENEFIT PREMIUMS), AND THE EMPLOYER PORTION OF CERTAIN EMPLOYEE BENEFITS SUCH AS HEALTH INSURANCE, DENTAL INSURANCE, VISION INSURANCE, AND LIFE INSURANCE, ETC.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (9 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART III, LINE 4A, PROGRAM SERVICE ACCOMPLISHMENTS, CONTINUED:	AHC REHAB ALSO PROVIDES SPECIALIZED SPEECH THERAPY SERVICES, INCLUDING LEE SILVERMAN VOICE TREATMENT (LSVT). LSVT LOUD IS A HIGHLY EFFECTIVE, INTENSIVE SPEECH THERAPY PROGRAM DESIGNED FOR PARKINSON'S PATIENTS TO IMPROVE SPEECH AND VOICE FUNCTION. THE THERAPY TARGETS VOCAL LOUDNESS TO TRIGGER IMPROVED FUNCTION AND COORDINATION ACROSS THE VARIOUS SUBSYSTEMS OF SPEECH. LSVT BIG-CERTIFIED PHYSICAL THERAPISTS FOCUS ON COMBINING MOTOR RETRAINING, SENSORY RE-TRAINING, AND HIGH AMPLITUDE MOVEMENTS 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. AHC REHAB IN WHITE OAK ALSO EMPLOYS A FACILITY DOG TO SUPPORT INPATIENTS RECEIVING TREATMENT. PERU THE DOG, TRAINED AND HANDLED BY A REHABILITATION PSYCHOLOGIST, INTERACTS WITH PATIENTS USING 40 COMMANDS THAT ENCOURAGE THEM TO COMPLETE TASKS AND MANAGE PAIN AND ANXIETY DURING TREATMENT. PERU HAS GAINED STATEWIDE RECOGNITION FOR HIS INNOVATIVE WORK. REHABILITATION SERVICES AT OUTPATIENT CENTERS INCLUDE SAFE, EFFECTIVE, EVIDENCE-BASED PHYSICAL THERAPY AND TREATMENT FOR MANY SPORTS- AND WORK-RELATED INJURIES. COMMON CONDITIONS WE TREAT INCLUDE MUSCLE TEARS AND TENDONITIS, BACK AND NECK PAIN, LIGAMENT SPRAINS, SPINAL DISC INJURIES, POST-SURGERY BONE FRACTURES, POST-SURGICAL LIGAMENT RECONSTRUCTION AND SCIATICA. OUTPATIENT CENTERS ALSO OFFER PATIENTS CERTIFIED MANUAL THERAPISTS, FREE INJURY SCREENINGS, DRY NEEDLING FOR PAIN MANAGEMENT AND ANTI-GRAVITY TREADMILL EQUIPMENT. FINALLY, TO MEET THE EXTRAORDINARY NEEDS OF OUR COMMUNITY IN RESPONSE TO THE PANDEMIC, AHC REHAB OPERATED AN INPATIENT UNIT SPECIFICALLY FOR COVID-19 PATIENTS. THE UNIT WAS LOCATED AT THE ALTERNATE CARE SITE THAT ADVENTIST HEALTHCARE OPERATED FOR THE STATE OF MARYLAND IN TAKOMA PARK, MARYLAND, UNTIL MAY 2023. WITH HIGH-QUALITY REHABILITATION PROGRAMS AND DEDICATED TEAM MEMBERS, COMMUNITY MEMBERS WHOSE HEALTH HAS BEEN DEEPLY IMPACTED BY COVID-19 HAVE REGAINED VIGOR AND MORE SEAMLESSLY RETURNED TO DAILY LIVING.
FORM 990, PART VI, SECTION A, LINE 6	ADVENTIST HEALTHCARE, INC. IS THE SOLE CORPORATE MEMBER OF ADVENTIST REHABILITATION HOSPITAL OF MARYLAND, INC. WITH THE AUTHORITY TO APPROVE ITS BOARD MEMBERSHIP.
FORM 990, PART VI, SECTION A, LINE 7A	THE BOARD OF TRUSTEES OF ADVENTIST HEALTHCARE, INC. APPOINTS THE MEMBERS OF ADVENTIST REHABILITATION HOSPITAL OF MARYLAND GOVERNING BODY.
FORM 990, PART VI, SECTION A, LINE 7B	THE BOARD OF TRUSTEES APPROVES ALL ACTIONS OF MANAGEMENT.
FORM 990, PART VI, SECTION B, LINE 11B	PRIOR TO FILING THE FORM 990 WITH THE IRS, THE RETURN WAS REVIEWED BY THE ORGANIZATION'S FINANCE DEPARTMENT AND EXECUTIVE MANAGEMENT TEAM. ALSO, PRIOR TO FILING THE FORM 990 WITH THE IRS, ALL MEMBERS OF THE BOARD ARE PROVIDED A COPY OF THE FORM 990 FOR THEIR REVIEW.
FORM 990, PART VI, SECTION B, LINE 12C	PURSUANT TO THE ORGANIZATION'S 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. AN ACTUAL OR POTENTIAL CONFLICT OF INTEREST, OR THE PERCEPTION OR APPEARANCE OF A CONFLICT OF INTEREST, OCCURS WHEN A COVERED PERSON IS IN A POSITION TO INFLUENCE A DECISION THAT MAY RESULT IN A PERSONAL GAIN FOR THAT EMPLOYEE, A RELATIVE, OR OTHER PERSON LIVING IN THE SAME HOUSEHOLD, AS A RESULT OF ADVENTIST HEALTHCARE'S BUSINESS ACTIVITIES. A RELATIVE IS DEFINED AS ANY PERSON WHO IS RELATED BY BLOOD OR MARRIAGE, OR WHOSE RELATIONSHIP WITH THE COVERED PERSON IS SIMILAR TO THAT OF PERSONS WHO ARE RELATED BY BLOOD OR MARRIAGE. NO "PRESUMPTION OF GUILT" IS CREATED BY THE MERE EXISTENCE OF A RELATIONSHIP BETWEEN AN ADVENTIST HEALTHCARE EMPLOYEE AND AN OUTSIDE FIRM OR BUSINESS ENDEAVOR, OR OTHER POTENTIAL CONFLICT OF INTEREST. HOWEVER, IF A COVERED PERSON HAS ANY BUSINESS, FINANCIAL, OR OTHER RELATIONSHIP WITH ANY ORGANIZATION WHEREBY THE EXISTENCE OF THAT RELATIONSHIP EITHER CREATES A CONFLICT OF INTEREST OR IS PERCEIVED TO CREATE A CONFLICT OF INTEREST, THE COVERED PERSON MUST DISCLOSE THIS RELATIONSHIP TO THE DESIGNATED SENIOR MANAGER, OR GOVERNING BOARD, AS THE CASE MAY BE, AT THE LOCATION WHERE THE EMPLOYEE IS ASSIGNED. THE SENIOR MANAGER WILL REVIEW THE RELATIONSHIP, MAKE COMMENTS AND RECOMMENDATIONS, AND FORWARD ALL DOCUMENTATION TO THE ORGANIZATIONAL INTEGRITY COMMITTEE FOR A FINAL DECISION. COMPLIANCE WITH THE CONFLICT OF INTEREST POLICY IS MONITORED AND ENFORCED BY THE HUMAN RESOURCES DEPARTMENT, ORGANIZATIONAL INTEGRITY DEPARTMENT AND THE LEGAL DEPARTMENT.
FORM 990, PART VI, SECTION B, LINE 15	WHEN SETTING COMPENSATION FOR EXECUTIVES, OFFICERS, KEY EMPLOYEES, AND ALL EMPLOYEES, THE ORGANIZATION FULLY COMPLIES WITH THE PROCEDURAL SAFEGUARDS EMBEDDED IN THE IRS REGULATIONS. COMPENSATION IS ENTIRELY SET BY A COMMITTEE OF THE BOARD OF TRUSTEES. 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. GENERAL EXPLANATION: EMPLOYEES OF ANY OF THE ADVENTIST HEALTHCARE INC. AND AFFILIATED TAX EXEMPT ENTITIES IN THE STATE OF MARYLAND (INCLUDING ADVENTIST REHABILITATION HOSPITAL OF MARYLAND, 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 (ONLY FOR EMPLOYEES WHO LEAVE OUR ORGANIZATION), 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. VENDOR PAYMENTS FOR ANY OF THE ADVENTIST HEALTHCARE, INC. AND RELATED ENTITIES IN THE STATE OF MARYLAND ARE MADE THROUGH A COMMON PAYMASTER, ADVENTIST HEALTHCARE, INC.
FORM 990, PART VI, SECTION C, LINE 19	THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS, ARE AVAILABLE TO THE PUBLIC UPON REQUEST.
FORM 990, PART XI, LINE 9:	NET ORGANIZATION TRANSFER 27,364.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (10 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd	Direct Controlling NADirectControllingNACd
ADVENTIST HEALTHCARE INC
820 W DIAMOND AVE SUITE 600	GAITHERSBURG	MD	208781419	521532556	HEALTHCARE SERVICES	MD	501(C)(3)	LINE 3	MID-ATLANTIC ADVENTIST HEALTHCARE CORPORATION	0
ADVENTIST HEALTHCARE URGENT CARE CENTERS INC
820 W DIAMOND AVE SUITE 600	GAITHERSBURG	MD	208781419	461577511	CLINIC - EMERGENCY CARE	MD	501(C)(3)	LINE 10	ADVENTIST HEALTHCARE INC	0
ADVENTIST HOME HEALTH SERVICES INC
820 W DIAMOND AVE SUITE 600	GAITHERSBURG	MD	208781419	520986808	HOME CARE SERVICES	MD	501(C)(3)	LINE 10	ADVENTIST HEALTHCARE INC	0
ADVENTIST PHYSICIAN SERVICES INC
820 W DIAMOND AVE SUITE 600	GAITHERSBURG	MD	208781419	204600646	PHYSICIAN SERVICES	MD	501(C)(3)	LINE 10	ADVENTIST HEALTHCARE INC	0
ADVENTIST REHABILITATION INC
820 W DIAMOND AVE SUITE 600	GAITHERSBURG	MD	208781419	300780513	REHABILITATION SERVICES	MD	501(C)(3)	LINE 10	ADVENTIST REHABILITATION HOSPITAL OF MARYLAND INC	Yes (1)
MID-ATLANTIC ADVENTIST HEALTHCARE CORPORATION
820 W DIAMOND AVE SUITE 600	GAITHERSBURG	MD	208781419	521884153	HOLDING COMPANY	MD	501(C)(3)	LINE 10		0	N/A
REGINALD S LOURIE CENTER FOR INFANTS AND YOUNG CHILDREN
820 W DIAMOND AVE SUITE 600	GAITHERSBURG	MD	208781419	521255870	BEHAVIORAL CARE	MD	501(C)(3)	LINE 10	ADVENTIST HEALTHCARE INC	0
SHADY GROVE ADVENTIST HOSPITAL FOUNDATION INC
820 W DIAMOND AVE SUITE 600	GAITHERSBURG	MD	208781419	521216429	FUNDRAISING	MD	501(C)(3)	LINE 12A, I		0	N/A
WASHINGTON ADVENTIST HOSPITAL FOUNDATION INC
820 W DIAMOND AVE SUITE 600	GAITHERSBURG	MD	208781419	521692158	FUNDRAISING	MD	501(C)(3)	LINE 12A, I	ADVENTIST HEALTHCARE INC	0
ADVENTIST HEALTHCARE FORT WASHINGTON MEDICAL CENTER INC
820 W DIAMOND AVE SUITE 600	GAITHERSBURG	MD	208781419	842670875	ACUTE CARE HOSPITAL	MD	501(C)(3)	LINE 3	ADVENTIST HEALTHCARE INC	0

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (5 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Direct Controlling NADirectControllingNACd	Predominant Income TypePredominantIncomeTypeTxt	Disproportionate AllocationsDisproportionateAllocationsInd	General Or Managing PartnerGeneralOrManagingPartnerInd
SHADY GROVE MEDICAL BUILDING LLC
1650 TYSONS BOULEVARD STE 820	MCLEAN	VA	22102	274599411	MEDICAL OFFICE BUILDING	MD	N/A	RELATED	0	0
NEXUS MONTGOMERY REGIONAL PARTNERSHIP LLC
820 WEST DIAMOND AVE SUITE 600	GAITHERSBURG	MD	20878	815410250	HEALTHCARE & COMMUNITY SERVICE FOR IMPROVED HEALTH	MD	N/A	RELATED	0	0
CORELIFE ADVENTIST LLC
821 WEST BENFIELD ROAD SUITE 5	SEVERNA PARK	MD	21146	841813204	PROVIDES WELLNESS AND WEIGHT MANAGEMENT	MD	N/A	RELATED	0	0
ADVENTIST HEALTHCARE SURGERY CENTER AT NATIONAL HARBOR LLC
251 NATIONAL HARBOR BOULEVARD SUITE	OXEN HILL	MD	20745	852814304	AMBULATORY SURGICAL SERVICES	MD	N/A	RELATED	0	0
MID-ATLANTIC RADIATION ONCOLOGY LLC
10101 WOODLOCH FOREST DR	THE WOODLANDS	TX	77380	844560643	RADIATION ONCOLOGY SERVICES	MD	N/A	RELATED	0	0

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	0	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	0	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	0	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	0	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	0	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	0	DivRelatedOrganizationInd
Asset Sale To Other Org	0	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	0	AssetPurchaseFromOtherOrgInd
Asset Exchange	0	AssetExchangeInd
Rental Of Facilities To Oth Org	0	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	0	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	0	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	0	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	0	SharingOfFacilitiesInd
Paid Employees Sharing	0	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	0	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	0	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	0	TransferToOtherOrgInd
Transfer From Other Org	0	TransferFromOtherOrgInd