2021-11-12T11:52:15-06:00 2020-12-31 380859910 BAKER TILLY US LLP 1570 FRUITVILLE PIKE STE 400 LANCASTER PA 17601 990 2020-01-01 521532556 ADVENTIST HEALTHCARE INC ADVE 3013153030 820 WEST DIAMOND AVE NO 600 GAITHERSBURG MD 208781419 JAMES G LEE EVP & CFO 3013153025 2021-11-12 1 JAMES LEE XXX-XX-XXXX KERRI N BOGDA CPA P00760402 7177404863 2 AAL1 IAL1 2020 2022-09-23 18:48:47Z TERRY FORDE 820 WEST DIAMOND AVE NO 600 GAITHERSBURG MD 208781419 1011055621 0 1071 X WWW.ADVENTISTHEALTHCARE.COM X 1983 MD HEALTH-CARE NETWORK: SERVICES INCLUDING ACUTE CARE, AMBULATORY AND POPULATION HEALTH MANAGEMENT. 15 12 7307 571 1378975 0 2148331 9117078 746814121 811063206 14011028 14043231 -1746385 -2781796 761227095 831441719 1423475 1299487 0 0 370541393 375397404 0 0 1246973 349633100 403685814 721597968 780382705 39629127 51059014 1335425748 1592455100 867503311 1078327091 467922437 514128009 X WE EXTEND GOD'S CARE THROUGH THE MINISTRY OF PHYSICAL, MENTAL AND SPIRITUAL HEALING. 0 0 591882962 1299487 751219251 THE MISSION OF ADVENTIST HEALTHCARE IS TO "EXTEND GOD'S CARE THROUGH THE MINISTRY OF PHYSICAL, MENTAL AND SPIRITUAL HEALING." IN MEETING THIS MISSION, AND IN COMPLIANCE WITH STATE AND FEDERAL LAWS, WE PROVIDE CARE TO ALL PATIENTS REGARDLESS OF THEIR ABILITY TO PAY. COMPASSION IS REFLECTED IN OUR MISSION AND OUR ORGANIZATION'S COMMITMENT TO PROVIDING CONSISTENTLY HIGH LEVELS OF CHARITY AND UNCOMPENSATED CARE. TO MEET THE NEEDS OF OUR COMMUNITIES, ADVENTIST HEALTHCARE CONTINUES TO INNOVATE AND EXPAND THE RANGE OF OUR SERVICES TO BUILD ON THE STRONG FOUNDATION WE HAVE LAID FOR A HEALTHY, ENGAGED COMMUNITY. CONTINUES ON SCHEDULE O.WE RESPOND PROACTIVELY TO VARIOUS HEALTH CARE NEEDS WITH A CONTINUUM OF EXCELLENT PROGRAMS AND WIDE-RANGING SERVICES TO MEET DIVERSE POPULATIONS AS WE STRIVE TO:1. MAINTAIN AND GROW QUALITY HEALTH SERVICES2. INCREASE ACCESS TO CARE3. PROMOTE HEALTH EQUITY AND WELLNESS1. MAINTAIN AND GROW QUALITY HEALTH SERVICES:ADVENTIST HEALTHCARE IS GROWING PROGRAMS AND SERVICES IN THE AREAS OF ONCOLOGY, CARDIAC CARE, NEUROSCIENCES, REHABILITATION, BEHAVIORAL HEALTH, HOME CARE AND THROUGH PARTNERSHIPS WITH COMMUNITY-BASED ORGANIZATIONS ALIGNED WITH OUR MISSION. IN ADDITION, OUR HEALTH SYSTEM EXPANDED ITS CAPACITY THROUGHOUT 2020 IN RESPONSE TO THE COVID-19 PANDEMIC. THE COMMUNITY BENEFITS FROM THESE QUALITY PROGRAMS AND SERVICES, WHICH PROMOTE HEALTH AND WELLNESS FOR CHILDREN, SENIORS, FAMILIES, AND IN A HOLISTIC WAY, BUILD HEALTHIER COMMUNITIES.ADVENTIST HEALTHCARE WHITE OAK MEDICAL CENTER OPENED A MEDICAL PAVILION IN 2020 THAT EXPANDED ACCESS TO ADVANCED RADIATION ONCOLOGY AND OTHER CANCER SERVICES FOR RESIDENTS OF SILVER SPRING, MARYLAND. MEANWHILE, ADVENTIST HEALTHCARE SHADY GROVE MEDICAL CENTER BEGAN CUTTING-EDGE CLINIC TRIALS AT ITS AQUILINO CANCER CENTER THAT AIM TO TREAT THE PSYCHOLOGICAL TOLL THAT CANCER HAS ON PATIENTS. EFFORTS LIKE THESE ARE PART OF OUR COMMITMENT TO PROVIDE THE LATEST DIAGNOSTIC AND TREATMENT SERVICES WITH COMPASSION, TO GAIN A DEEP UNDERSTANDING OF THE UNIQUE DEMANDS OF CANCER PATIENTS, AND TO ACCOMMODATE PATIENT NEEDS AND PREFERENCES. OUR WHOLE-PERSON CANCER CARE SERVICES ALSO INCLUDE NUTRITION COUNSELING, STRESS MANAGEMENT, FITNESS PROGRAMS AND SUPPORT GROUPS. ADVENTIST HEALTHCARE CONTINUES TO EXPAND ITS GEOGRAPHY AND BRING ITS TRADITION OF HOLISTIC CARE TO A WIDER RANGE OF CITIZENS. IN 2020, THE SYSTEM PARTNERED WITH THE STATE OF MARYLAND AT FORT WASHINGTON MEDICAL CENTER TO ADD BEDS AND SERVE RESIDENTS OF PRINCE GEORGE'S COUNTY, MARYLAND, WHO WERE HIT HARD BY COVID-19. THE HEALTH SYSTEM ALSO OPENED A PRIMARY CARE CENTER IN FORT WASHINGTON AND BROKE GROUND ON A MEDICAL PAVILION AT NATIONAL HARBOR IN OXON HILL, NEAR WASHINGTON, D.C. THE NEW FACILITY WILL BECOME HOME TO A FULL RANGE OF SPECIALTY AND PREVENTATIVE CARE SERVICES INCLUDING A CANCER AND SURGERY CENTER, WOUND CARE, INTERVENTIONAL RADIOLOGY, A CARDIAC CATHETERIZATION LAB, REHABILITATION, IMAGING, AND VARIOUS OTHER AMBULATORY SERVICES. IT WILL PROVIDE EASY ACCESS FROM WASHINGTON, D.C., MARYLAND AND VIRGINIA WITH A DEDICATED EXIT OFF THE CAPITAL BELTWAY. ADDITIONALLY, ADVENTIST HEALTHCARE ENGAGED WITH RESIDENTS IN WASHINGTON, D.C. THOUGH ITS MANAGEMENT SERVICES AGREEMENT WITH HOWARD UNIVERSITY HOSPITAL. THROUGH THIS AGREEMENT, ADVENTIST HEALTHCARE BROUGHT IN A SENIOR LEADERSHIP TEAM TO HELP STRENGTHEN HOWARD UNIVERSITY HOSPITAL'S PRESENCE IN D.C. THE PARTNERSHIP BETWEEN THESE TWO INSTITUTIONS WILL PROVIDE ACCESS FOR THE TALENTED HOWARD MEDICAL TRAINEES, RESIDENTS, MEDICAL STUDENTS AND GRADUATES TO TRAIN AND WORK WITHIN ADVENTIST HEALTHCARE'S NETWORK OF HOSPITALS. HOWARD UNIVERSITY HOSPITAL IS A PRIVATE, NONPROFIT INSTITUTION THAT HAS SERVED THE COMMUNITY FOR MORE THAN 150 YEARS. IT IS ONE OF THE MOST COMPREHENSIVE HEALTH SYSTEMS IN D.C., WITH A LEVEL 1 TRAUMA CENTER AND AN EMERGENCY DEPARTMENT THAT SEES APPROXIMATELY 50,000 PATIENTS ANNUALLY. IT IS RECOGNIZED AS A NATIONAL LEADER IN TRAINING FUTURE DOCTORS, NURSES AND OTHER HEALTHCARE PROFESSIONALS.BOTH ADVENTIST HEALTHCARE WHITE OAK MEDICAL CENTER AND ADVENTIST HEALTHCARE SHADY GROVE MEDICAL CENTER RECEIVED 2020 RECOGNITION FROM THE AMERICAN STROKE ASSOCIATION FOR LIFESAVING, HIGH-QUALITY STROKE CARE. BOTH HOSPITALS EARNED THE GOLD PLUS ACHIEVEMENT AWARD IN THE ASSOCIATION'S "GET WITH THE GUIDELINES-STROKE" PROGRAM, WHICH FOCUSES ON IMPROVING STROKE CARE BY PROMOTING CONSISTENT USE OF THE LATEST SCIENTIFIC TREATMENT GUIDELINES. TO RECEIVE THIS AWARD, EACH HOSPITAL ACHIEVED 85 PERCENT OR HIGHER COMPLIANCE WITH THE PROGRAM'S STANDARDS FOR TWO OR MORE CONSECUTIVE 12-MONTH PERIODS. IN ADDITION, BOTH HOSPITALS ACHIEVED 75 PERCENT OR HIGHER COMPLIANCE WITH FIVE OF EIGHT QUALITY MEASURES.ADDITIONALLY, BOTH HOSPITALS RECEIVED THE AMERICAN HEART ASSOCIATION'S "TARGET: STROKE HONOR ROLL ELITE PLUS" STATUS FOR MAINTAINING A SHORT TIME PERIOD BETWEEN A PATIENT'S ARRIVAL AND TREATMENT WITH A CLOT-DISSOLVING MEDICATION. PROVIDING MEDICATION WITHIN THE FIRST THREE HOURS AFTER SYMPTOMS HAS BEEN SHOWN TO SIGNIFICANTLY REDUCE THE EFFECTS OF STROKE AND LESSEN THE CHANCE OF PERMANENT DISABILITY.SHADY GROVE MEDICAL CENTER FURTHER AFFIRMED ITS COMMITMENT TO THE CARE OF STROKE PATIENTS BY EXPANDING ITS CAPABILITIES TO INCLUDE MECHANICAL THROMBECTOMY, A PROCEDURE THAT HAS BEEN SHOWN IN RECENT STUDIES TO IMPROVE OUTCOMES FOR STROKE PATIENTS. THESE KIND OF GROWTH INITIATIVES ARE PARTNERED WITH A COMMITMENT TO QUALITY CARE. SHADY GROVE IN EARLY 2020 EARNED A FIVE-STAR RATING FROM THE CENTERS FOR MEDICARE & MEDICAID SERVICES. THE RATING IS BASED ON SEVEN QUALITY AND PERFORMANCE MEASURES AS COMPARED TO OVER 4,000 HOSPITALS ACROSS THE COUNTRY. LESS THAN 9% OF HOSPITALS RECEIVED FIVE STARS.WHITE OAK MEDICAL CENTER CONTINUES THE LEGACY OF OUTSTANDING CARDIAC SERVICES THAT IT ESTABLISHED WHEN IT WAS THE FORMER WASHINGTON ADVENTIST HOSPITAL (WAH). WAH WAS THE HOME OF MANY CARDIAC FIRSTS IN THE GREATER D.C. AREA AFTER LAUNCHING ITS HEART PROGRAM IN 1962. THOSE PROCEDURES INCLUDE MITRAL VALVULOPLASTY AND SEVERAL SOPHISTICATED TYPES OF ECHOCARDIOGRAPHY. AFTER RELOCATING IN 2019 AND NOW KNOWN AS WHITE OAK MEDICAL CENTER, THE HOSPITAL PERFORMS SUBSTANTIAL CARDIAC SURGERY AND PCI PROCEDURES, AND BACKS UP MULTIPLE HOSPITALS THAT REQUIRE AN AFFILIATION WITH A CARDIAC SURGERY PROGRAM FOR THEIR PRIMARY AND NONPRIMARY ELECTIVE PCI PROGRAMS. IN 2020, THE SOCIETY OF THORACIC SURGEONS AWARDED WHITE OAK MEDICAL CENTER ITS THREE-STAR RATING - THE HIGHEST POSSIBLE QUALITY RATING - FOR CORONARY ARTERY BYPASS GRAFT SURGERY, AORTIC VALVE REPLACEMENT SURGERY AND MITRAL VALVE REPAIR AND REPLACEMENT - THE THREE MAIN TYPES OF HEART SURGERY. THE RATING PLACES WHITE OAK MEDICAL CENTER AMONG THE ELITE IN HEART SURGERY IN NORTH AMERICA. HISTORICALLY, APPROXIMATELY ONLY 4-8% OF HOSPITALS RECEIVE THE THREE-STAR RATING FOR AORTIC VALVE SURGERY; 6-10% OF HOSPITALS RECEIVE THE DISTINCTION FOR BYPASS SURGERY. THE STS STAR-RATING SYSTEM IS ONE OF THE MOST SOPHISTICATED AND HIGHLY REGARDED OVERALL MEASURES OF QUALITY IN HEALTHCARE.THE HOSPITAL IS ALSO AMONG A SELECT FEW HOSPITALS IN THE COUNTRY TO BE RECOGNIZED WITH THE AMERICAN COLLEGE OF CARDIOLOGY'S NCDR ACTION REGISTRY'S PLATINUM PERFORMANCE ACHIEVEMENT AWARD FOR PROVIDING THE HIGHEST QUALITY CARE TO HEART ATTACK PATIENTS.THE FORMER WASHINGTON ADVENTIST HOSPITAL FACILITY IN TAKOMA PARK HAS PLAYED A CRITICAL ROLE IN MARYLAND'S COVID-19 RESPONSE. THE STATE OF MARYLAND HAS PARTNERED WITH ADVENTIST HEALTHCARE TO USE THE FACILITY AS AN ALTERNATE CARE SITE (ACS) FOR THE TREATMENT OF COVID-19 PATIENTS. THE ACS HAS MADE IT POSSIBLE FOR COMMUNITY HOSPITALS IN ITS REGION OF THE STATE TO TRANSFER COVID-19 PATIENTS FOR SPECIALIZED CARE AND FREE ACUTE-CARE BEDS FOR RESIDENTS. THE FACILITY ALSO HAS HOUSED A REHABILITATION UNIT SPECIALIZING IN COVID RECOVERY AND AN INFUSION SITE FOR THE ADMINISTRATION OF MONOCLONAL ANTIBODY TREATMENTS FOR COVID-19. THE CAMPUS ALSO OFFERS NEARBY RESIDENTS AN URGENT CARE CENTER.IN ADDITION TO PROVIDING THE ACS, ADVENTIST HEALTHCARE HAS PLAYED AN INTEGRAL ROLE IN CARING FOR MARYLANDERS DURING THE COVID-19 PANDEMIC IN OTHER WAYS. FORT WASHINGTON MEDICAL CENTER HAS HOSTED COVID-19 FIELD HOSPITAL UNITS FOR THE STATE AND EXPANDED ITS CRITICAL CARE CAPACITY IN RESPONSE TO THE PANDEMIC. OUR SYSTEM'S ACUTE-CARE FACILITIES EACH HAVE CARED FOR CRITICALLY ILL AND RECOVERING INPATIENTS WITH THE DISEASE, WHILE OUR URGENT CARE SITES HAVE PROVIDED ACCESS TO TESTING. WITH THE APPROVAL OF COVID-19 VACCINES, ADVENTIST HEALTHCARE STOOD UP THREE COMMUNITY VACCINATION SITES IN MARYLAND TO ASSIST IN PROVIDING SHOTS TO RESIDENTS. 41514930 43920457 SHADY GROVE MEDICAL CENTER'S BEHAVIORAL HEALTH SERVICES:ADVENTIST HEALTHCARE SHADY GROVE MEDICAL CENTER'S BEHAVIORAL HEALTH SERVICES EXTEND CARE TO INDIVIDUALS WITH MENTAL ILLNESS AND SUBSTANCE ABUSE CHALLENGES.SHADY GROVE MEDICAL CENTER IS A NONPROFIT, ACCREDITED BY THE JOINT COMMISSION AND PROVIDES PSYCHIATRIC TREATMENT AT FREESTANDING FACILITIES LOCATED ON ADVENTIST HEALTHCARE'S CAMPUS IN ROCKVILLE, MONTGOMERY COUNTY, MARYLAND.CONTINUES ON SCHEDULE OSHADY GROVE MEDICAL CENTER PROVIDES A BROAD RANGE OF BEHAVIORAL HEALTH SERVICES SUCH AS ACUTE CARE, SPECIAL AND GENERAL EDUCATION PROGRAMS, CHEMICAL DEPENDENCY PROGRAMS, OUTPATIENT PROGRAMS, PARTIAL HOSPITALIZATION PROGRAMS, INTENSIVE OUTPATIENT SERVICES AND AN OUTPATIENT WELLNESS CLINIC.SHADY GROVE MEDICAL CENTER'S BEHAVIORAL HEALTH FACILITIES INCLUDE 117 ACUTE-CARE INPATIENT BEDS. AMONG THEM ARE THE SPECIALIZED MAGNOLIA UNIT, A 10-BED UNIT DEDICATED TO SERVING GERIATRIC ADULTS. THE UNIT PROVIDES CRITICAL STABILIZATION AND SHORT-TERM INPATIENT TREATMENT FOR OLDER ADULTS WHO EXPERIENCE SUDDEN LIFE CHANGES AND STRESSORS THAT TRIGGER DEPRESSION, ANXIETY AND OTHER CHALLENGES THAT IMPACT THEIR DAILY ACTIVITIES. SHADY GROVE MEDICAL CENTER'S BEHAVIORAL HEALTH TEAM MEMBERS CARED FOR APPROXIMATELY 3,045 PATIENTS IN 2020.SERVICES ALSO INCLUDE THE RIDGE SCHOOL, A SPECIAL AND GENERAL EDUCATION DAY SCHOOL FOR STUDENTS IN GRADES 6 THROUGH 12 WITH EMOTIONAL AND LEARNING DISABILITIES OR OTHER BEHAVIORAL HEALTH IMPAIRMENTS THAT IS APPROVED BY THE MARYLAND STATE DEPARTMENT OF EDUCATION.SHADY GROVE MEDICAL CENTER ALSO OFFERS 16 ASSISTED LIVING BEDS AND A FULL CONTINUUM OF OUTPATIENT SERVICES.THE BEHAVIORAL HEALTH UNIT AT ADVENTIST HEALTHCARE WHITE OAK MEDICAL CENTER:THE BEHAVIORAL HEALTH UNIT AT WHITE OAK MEDICAL CENTER OFFERS 26 ADULT INPATIENT BEDS IN ADDITION TO PARTIAL HOSPITALIZATION AND INTENSIVE OUTPATIENT PROGRAMS IN SILVER SPRING, MARYLAND. THE NEW BEHAVIORAL HEALTH UNIT AT WHITE OAK OPENED IN MARCH 2020 AND CARED FOR APPROXIMATELY 22 PATIENTS.COMMUNITY-BASED RESIDENTIAL SERVICES:THE MANOR IS AN ASSISTED LIVING FACILITY IN TAKOMA PARK, MARYLAND, FOR INDIVIDUALS WITH CHRONIC AND SEVERE MENTAL ILLNESS WHO ARE UNABLE TO LIVE INDEPENDENTLY. THE FACILITY PROVIDES A SAFE AND SUPPORTIVE RESIDENTIAL ENVIRONMENT AS AN ALTERNATIVE TO LONG-TERM PSYCHIATRIC HOSPITALIZATION.COMMUNITY SERVICE:SHADY GROVE MEDICAL CENTER IS COMMITTED TO SERVING AS A MENTAL HEALTH RESOURCE TO FAMILIES AND BEHAVIORAL HEALTH SPECIALISTS IN THE COMMUNITIES IT SERVES. THE ORGANIZATION HAS DEDICATED SIGNIFICANT RESOURCES TO PROVIDING CONTINUING EDUCATION SYMPOSIUMS FOR CLINICIANS AS WELL AS FREE MENTAL HEALTH SUPPORT GROUPS TO THE COMMUNITY.SHADY GROVE MEDICAL CENTER SPONSORS AND SUPPORTS COMMUNITY ORGANIZATIONS SUCH AS THE AMERICAN FOUNDATION FOR SUICIDE PREVENTION AND THE NATIONAL ALLIANCE ON MENTAL ILLNESS OF MONTGOMERY COUNTY. 19890821 14544523 ADVENTIST HEALTHCARE, INC. HAS CONTRACTED WITH MEDICAL FACULTY ASSOCIATES, INC. (MFA) TO EMPLOY CERTAIN PHYSICIANS WHO SUPPORT THE CONTINUUM OF HEALTH SERVICES OFFERED BY ADVENTIST HEALTHCARE.THE MFA IS THE LARGEST MULTI-SPECIALTY PHYSICIAN PRACTICE IN THE WASHINGTON, D.C. AREA. THE MFA IS A NON-PROFIT ORGANIZATION INDEPENDENT OF THE GEORGE WASHINGTON UNIVERSITY AND GW HOSPITAL. IT HAS MORE THAN 800 DOCTORS IN 51 MEDICAL SPECIALTIES.THROUGH THIS CONTRACTUAL RELATIONSHIP, MFA EMPLOYS ABOUT 10 COMMUNITY PHYSICIANS IN A VARIETY OF MEDICAL AND SURGICAL SPECIALTIES TO SERVE ADVENTIST HEALTHCARE'S COMMUNITIES IN........CONTINUES ON SCHEDULE O, MONTGOMERY, FREDERICK, AND PRINCE GEORGE'S COUNTIES IN MARYLAND. MFA PROVIDES ADMINISTRATIVE, FINANCIAL MANAGEMENT, TECHNICAL AND BUSINESS SUPPORT SERVICES THAT ARE ESSENTIAL FOR PHYSICIANS TO PROVIDE QUALITY CARE AND OPERATE SUCCESSFUL PRACTICES. 653288713 1 1 0 1 0 0 0 0 0 0 1 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 1 1 1 0 1 1 0 0 0 0 0 1 0 0 1 0 0 0 0 0 1 1 1 1 0 0 1 857 0 7307 1 1 1 0 0 0 0 0 0 0 0 0 1 0 X 15 12 0 0 0 0 1 1 1 1 1 0 1 1 1 1 1 1 1 1 1 1 1 1 MD X JAMES G LEE EXEC VP & CFO 3013153030 820 WEST DIAMOND AVE SUITE 600 GAITHERSBURG MD 208781419 X TERRY FORDE PRESIDENT & CEO,AHC; BOARD MEMBER 45.00 5.00 X X 1575074 0 308054 MARISSA LESLIE MD BOARD;SYSTEM CHIEF OF PSYCHIATRY,AHC 40.00 X 357875 0 27976 ROSEMARIE MELENDEZRNBSNCEN BOARD;DIR ED&NURSING;TERM END 5/20 40.00 X 144207 0 25600 BRETT GAMMA MD BOARD MEMBER 1.00 X 55199 0 0 DAVID E WEIGLEY BOARD CHAIR 1.00 X 10155 0 0 NICOLAS CACCIABEVE MD BOARD MEMBER 1.00 X 4500 0 0 EMMANUEL ASIEDU TREASURER 1.00 X 750 0 0 PAUL ALPUCHE ESQ BOARD MEMBER 1.00 X 0 0 0 JAMES BOYLE BOARD MEMBER 1.00 X 0 0 0 FRANKLIN DAVID BOARD MEMBER 1.00 X 0 0 0 JANET DEVINNEY BOARD MEMBER 1.00 X 0 0 0 WALTER F FENNELL BOARD MEMBER 1.00 X 0 0 0 CHERYL KISUNZU BOARD MEMBER 1.00 X 0 0 0 WILLIAM MILLER BOARD MEMBER 1.00 X 0 0 0 HENRY MOSLEY BOARD MEMBER 1.00 X 0 0 0 ROBERT T VANDEMAN SECRETARY 1.00 X 0 0 0 JOHN SACKETT EVP & COO, AHC 40.00 20.00 X 1125840 0 67261 JAMES LEE EVP & CFO, AHC 30.00 20.00 X 856033 0 169870 DANIEL COCHRAN PRESIDENT, SGMC 45.00 5.00 X 682712 0 174407 MARTA BRITO PEREZ SVP,POP. HEALTH/POST-ACUTE CARE SVCS 10.00 40.00 X 675749 0 41973 ANTHONY STAHL PRESIDENT, WOMC 42.00 8.00 X 531420 0 122590 BRENDAN JOHNSON SVP OF HUMAN RESOURCES, AHC 50.00 X 508643 0 107768 BRENT REITZ PRESIDENT, POST-ACUTE CARE SVCS, AHC 10.00 40.00 X 495001 0 119350 KRISTEN PULIO SVP,CHIEF REV OFFR/CFO,NON-HOSP SVS 49.00 1.00 X 469649 0 106261 PAUL MASSIMIANO PHYSICIAN 50.00 X 1060805 0 45143 ANTHONY RONGIONE PHYSICIAN 50.00 X 1060955 0 29929 NIV AD PHYSICIAN 50.00 X 1065222 0 6317 KENNETH DESTEFANO SVP, GENERAL COUNSEL, AHC 50.00 X 666053 0 123355 ANITA JENKINS PRESIDENT,HOWARD UNIVERSITY HOSPITAL 50.00 X 747799 0 41214 KEITH BALLENGER FORMER PRESIDENT, HOME HEALTH 0.00 0.00 X 290426 0 11411 12384067 0 1528479 626 1 1 0 QUEST DIAGNOSTICS 14225 NEWBROOK DR CHANTILLY VA 191761303 CLINICAL LAB SERVICES 22083159 CARETECH SOLUTIONS INC PO BOX 674271 DETROIT MI 482674271 IT SERVICES 11218043 AYA HEALTHCARE INC PO BOX 123519 DEPT3519 DALLAS TX 753123519 STAFFING/RECRUITMENT SERVICES 7626513 SODEXO INC PO BOX 360170 PITTSBURGH PA 152516170 DIETARY AND PLANT OPS 7247050 ADEX MEDICAL STAFFING LLC 13083 TELECOM PARKWAY NORTH TEMPLE TERRACE FL 336370926 STAFFING/RECRUITMENT SERVICES 4292941 164 1713517 7007061 396500 9117078 ACUTE CARE 622110 741792256 741792256 BEHAVIORAL HEALTH 622110 43920457 43920457 PHYSICIAN PRACTICE 621110 14544523 14544523 10805970 9426995 1378975 811063206 9068963 9068963 532741 532741 4956511 8073208 -3116697 -3116697 -3116697 175923184 171432743 48914 4490441 -48914 4441527 4441527 190622 59037 131585 131585 PARKING REVENUE 621990 192893 192893 VENDING REVENUE 621990 10423 10423 203316 831441719 809684231 1378975 11261435 X 1299487 1299487 8762414 8762414 307127730 269139642 37212413 775675 11172586 8016700 3123611 32275 25716203 21114031 4532446 69726 22618471 18733073 3833836 51562 6552110 4730282 1821828 1636599 1636599 505786 505786 110000 110000 903051 903051 120413492 111250674 9014681 148137 2233584 221749 1993818 18017 4057837 2178622 1833978 45237 30234836 22676127 7558709 61799192 40490811 21270182 38199 1252572 804167 437417 10988 830667 569672 260882 113 43409542 31441209 11961523 6810 8862148 1147969 7714179 MEDICAL SUPPLIES 117306572 117306572 COLLECTION FEES/LICENSE 2218160 2167926 50234 RECRUITING 1359666 1359666 780382705 653288713 125847019 1246973 113739 428209 81673047 101033421 1288663 1289123 99499743 99793336 1547552 11486267 37517089 10872189 10298319 11717907 14549067 1103344665 409804913 689602727 693539752 266662300 429458680 28694438 42635856 48091039 49430284 6993958 6832860 78729731 104101552 1335425748 1592455100 145500946 166403094 376915 50092819 546840043 536789709 36528536 165468623 138256871 159572846 867503311 1078327091 X 466629235 512363696 1293202 1764313 467922437 514128009 1335425748 1592455100 X 51059014 4595163 -9448605 X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 1 0 0 0 0 1 110000 0 0 110000 0 PART II-B, LINE 1: IN 2020, ADVENTIST HEALTHCARE, INC. ENGAGED IN LOBBYING ACTIVITIES AT THE LOCAL, STATE AND FEDERAL LEVEL. ACTIVITIES INCLUDED DISCUSSIONS WITH ELECTED OFFICIALS AT ALL LEVELS OF GOVERNMENT REGARDING THE DEMANDS OF THE COVID-19 PANDEMIC ON HOSPITALS AND HEALTHCARE PROVIDERS AND ENSURING CONTINUED SUPPORT FOR EACH IN ORDER TO PROVIDE NEEDED ACCESS TO CARE FOR THE COMMUNITY. AHC COORDINATED WITH MONTGOMERY COUNTY AND PRINCE GEORGE'S COUNTY OFFICIALS ON VARIOUS REGIONAL HEALTH CARE MATTERS, PARTICULARLY INVOLVING ISSUES OF ACCESS TO CARE. AT THE STATE LEVEL, LEGISLATORS WERE CONTACTED REGARDING ACCESS TO CARE, HEALTHCARE BILLING REFORM, MENTAL HEALTH POLICY, AND WORKFORCE DEVELOPMENT. AT THE FEDERAL LEVEL, ADVENTIST HEALTHCARE WORKED WITH LEGISLATORS ON ISSUES RELATED TO FEDERAL HEALTH REFORM AND ACCESS TO CARE. 23386249 23386249 638738590 179053235 459685355 51668464 25056270 26612194 337239774 187268022 149971752 52311588 18427386 33884202 693539752 DEFERRED COMPENSATION FUND 1405257 OTHER ASSETS 2070886 FINANCING LEASE RIGHT-OF-USE ASSET 3172497 OPERATING LEASE RIGHT-OF-USE ASSET 85424273 ASSETS HELD FOR SALE 12028639 104101552 DEFERRED COMPENSATION 5791523 PROFESSIONAL LIABILITY INS: SE 19936827 OTHER LONG TERM LIABILITIES 30451135 CONSTRUCTION PAYABLE 1787415 FINANCING LEASE OBLIGATIONS 14513787 OPERATING LEASE OBLIGATIONS 87092159 159572846 X PART X, LINE 2: FIN 48 NOTES: 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 2020 OR 2019. THE CORPORATION'S POLICY IS TO RECOGNIZE INTEREST RELATED TO UNRECOGNIZED TAX BENEFITS IN INTEREST EXPENSE AND PENALTIES IN OPERATING EXPENSES. 1 1 X 1 X 1 X 600.000000000000 1 1 1 0 1 1 18233921 18233921 0.02340 13775310 11342855 2432455 0.00310 32009231 11342855 20666376 0.02650 11746478 585431 11161047 0.01430 752297 48691 703606 0.00090 51415882 19671645 31744237 0.04070 1982433 578545 1403888 0.00180 664747 664747 0.00090 66561837 20884312 45677525 0.05860 98571068 32227167 66343901 0.08510 206536 206536 0.00030 487557 880 486677 0.00060 224521 224521 0.00030 918614 880 917734 0.00120 1 28781844 251826602 239692130 12134472 X 1 1 5 1 SHADY GROVE MEDICAL CENTER 9901 MEDICAL CENTER DRIVE ROCKVILLE MD 20850 SEE PART VI FOR WEBSITE 15-023 X X X 2 WHITE OAK MEDICAL CENTER 11890 HEALING WAY SILVER SPRING MD 20904 SEE PART VI FOR WEBSITE 15-031 X X X RELOCATED FROM TAKOMA PARK TO WHITE OAK 3 AHC-REHABILITATION - ROCKVILLE 9909 MEDICAL CENTER DRIVE ROCKVILLE MD 20850 SEE PART VI FOR WEBSITE 15-077 ADVENTIST REHAB HOSP OF MARYLAND 201486678 X SAME SEPARATE LEGAL ENTITY AS LICENSE 15-081 4 AHC-REHABILITATION - TAKOMA PARK 7600 CARROLL AVENUE TAKOMA PARK MD 20912 SEE PART VI FOR WEBSITE 15-081 ADVENTIST REHAB HOSP OF MARYLAND 201486678 X SAME SEPARATE LEGAL ENTITY AS LICENSE 15-077 5 AHC FORT WASHINGTON MEDICAL CENTER INC 11711 LIVINGSTON ROAD FORT WASHINGTON MD 20744 SEE PART VI FOR WEBSITE 16-003 AHC FORT WASHINGTON MEDICAL CENTER 842670875 X X X SEPARATE LEGAL ENTITY MANAGED BY AHC SHADY GROVE MEDICAL CENTER 1 0 0 1 X X X X X X X X X 19 1 0 0 1 X SEE URL ON SECTION C X X 1 20 1 ADVENTISTHEALTHCARE.COM/ABOUT/COMMUNITY/HEALTH-NEEDS-ASSESSMENT/ 0 1 X 200.000000000000 600.000000000000 X X 1 1 X X X 1 X SEE URL ON SECTION C X SEE URL ON SECTION C X SEE URL ON SECTION C X X X X X X X 1 X 0 X X X X 1 X 0 0 WHITE OAK MEDICAL CENTER 2 0 0 1 X X X X X X X X X 19 1 0 0 1 X SEE URL ON SECTION C X X 1 20 1 ADVENTISTHEALTHCARE.COM/ABOUT/COMMUNITY/HEALTH-NEEDS-ASSESSMENT/ 0 1 X 200.000000000000 600.000000000000 X X 1 1 X X X 1 X SEE URL ON SECTION C X SEE URL ON SECTION C X SEE URL ON SECTION C X X X X X X X 1 X 0 X X X X 1 X 0 0 AHC-REHABILITATION - ROCKVILLE 3 0 0 1 X X X X X X X X X 19 1 1 0 1 X SEE URL ON SECTION C X ADVENTISTHEALTHCARE.COM/ABOUT/COMMUNITY/HEALTH-NEEDS-ASSESSMENT/ X X 1 20 1 ADVENTISTHEALTHCARE.COM/ABOUT/COMMUNITY/HEALTH-NEEDS-ASSESSMENT/ 0 1 X 200.000000000000 600.000000000000 X X 1 1 X X X 1 X SEE URLS ON SECTION C X SEE URLS ON SECTION C X SEE URLS ON SECTION C X X X X X X X 1 X 0 X X X X 1 X 0 0 AHC-REHABILITATION - TAKOMA PARK 4 1 0 1 X X X X X X X X X 19 1 1 0 1 X SEE URL ON SECTION C X ADVENTISTHEALTHCARE.COM/ABOUT/COMMUNITY/HEALTH-NEEDS-ASSESSMENT/ X X 1 20 1 ADVENTISTHEALTHCARE.COM/ABOUT/COMMUNITY/HEALTH-NEEDS-ASSESSMENT/ 0 1 X 200.000000000000 600.000000000000 X X 1 1 X X X 1 X SEE URLS ON SECTION C X SEE URLS ON SECTION C X SEE URLS ON SECTION C X X X X X X X 1 X 0 X X X X 1 X 0 0 AHC FORT WASHINGTON MEDICAL CENTER INC 5 0 0 1 X X X X X X X X X 19 1 1 1 1 X SEE URL ON SECTION C X SEE URL ON SECTION C X X 1 19 1 ADVENTISTHEALTHCARE.COM/ABOUT/COMMUNITY/HEALTH-NEEDS-ASSESSMENT/ 0 1 X 200.000000000000 600.000000000000 X X 1 1 X X X 1 X SEE URL ON SECTION C X SEE URL ON SECTION C X SEE URL ON SECTION C X X X X X X X 1 X 0 X X X X 1 X 0 0 SHADY GROVE MEDICAL CENTER PART V, SECTION B, LINE 5: THE FOLLOWING NARRATIVE IS BASED ON THE LAST CONDUCTED CHNA IN 2019:A KEY PRIORITY OF THIS CHNA WAS TO GATHER INPUT FROM A DIVERSE AND REPRESENTATIVE SAMPLE OF THE COMMUNITY. SEVERAL STRATEGIES WERE EMPLOYED TO ACHIEVE THIS INCLUDING PARTNERING WITH THE LOCAL HEALTH IMPROVEMENT COALITION (HEALTHY MONTGOMERY), CONDUCTING A COMMUNITY SURVEY, AND COMPLETING KEY INFORMANT INTERVIEWS AND COMMUNITY CONVERSATIONS.PARTNERSHIP WITH HEALTHY MONTGOMERY: ADVENTIST HEALTHCARE, IN ADDITION TO THE OTHER MONTGOMERY COUNTY HOSPITALS, COLLABORATES WITH HEALTHY MONTGOMERY WHICH SERVES AS THE LOCAL HEALTH IMPROVEMENT COALITION. HEALTHY MONTGOMERY WORKS TO BRING TOGETHER THE COUNTY GOVERNMENT, HOSPITAL SYSTEMS, MINORITY HEALTH PROGRAMS, ADVOCACY GROUPS, ACADEMIC INSTITUTIONS, AND OTHER COMMUNITY-BASED STAKEHOLDERS TO ACHIEVE OPTIMAL HEALTH AND WELL-BEING FOR ALL COUNTY RESIDENTS. THE GROUP WORKS TO SET A HEALTH PRIORITY AGENDA AS WELL AS AN ACTION PLAN TO ADDRESS THE PRIORITIZED NEEDS. IN DOING SO, THE GROUP HAS ESTABLISHED A CORE MEASURE SET FOR THE TOP PRIORITY AREAS AS WELL AS A COMMUNITY HEALTH DASHBOARD FOR THE COUNTY. THE DASHBOARD ENCOMPASSES INDICATORS THAT SPAN PHYSICAL AND MENTAL HEALTH, HEALTH BEHAVIORS, AND SOCIAL DETERMINANTS. ADVENTIST HEALTHCARE CONTRIBUTES $50,000 ANNUALLY TO SUPPORT THE INFRASTRUCTURE OF HEALTHY MONTGOMERY. IN ADDITION TO PROVIDING FINANCIAL SUPPORT, REPRESENTATIVES FROM ADVENTIST HEALTHCARE (AHC) PLAY AN ACTIVE ROLE THROUGH REPRESENTATION ON MULTIPLE COMMITTEES AND PLANNING GROUPS INCLUDING THE HEALTHY MONTGOMERY STEERING COMMITTEE WHICH SETS THE DIRECTION FOR THE GROUP.IN COMPLETING THIS CHNA, ADVENTIST HEALTHCARE UTILIZED THE HEALTHY MONTGOMERY PRIORITY AREAS NOT ONLY AS A STARTING POINT FOR IDENTIFYING THE NEEDS IN THE COMMUNITY BUT ALSO AS A FACTOR FOR CONSIDERATION WHEN COMPLETING THE PRIORITIZATION PROCESS.COMMUNITY SURVEY: THE COMMUNITY HEALTH NEEDS ASSESSMENT SURVEY CONSISTED OF THIRTEEN QUESTIONS CENTERED ON HEALTH STATUS, ACCESS TO CARE, AND PERCEIVED COMMUNITY HEALTH NEEDS AND STRENGTHS. AVAILABLE IN ENGLISH AND SPANISH, THE SURVEY WAS DISSEMINATED THROUGH SEVERAL AVENUES INCLUDING AT COMMUNITY EVENTS AND PROGRAMS, VIA EMAIL AND LISTSERVS, SOCIAL MEDIA, AND THROUGH COMMUNITY PARTNERS AND ORGANIZATIONS. TO ENCOURAGE PARTICIPATION, THREE PRIZES WERE OFFERED AS INCENTIVES. ALL SURVEY PARTICIPANTS WERE PROVIDED WITH THE OPTION TO ENTER THE VOLUNTARY RAFFLE UPON COMPLETING THE SURVEY FOR A CHANCE TO WIN A $300 AMAZON GIFT CARD OR ONE OF TWO $50 VISA GIFT CARDS. IDENTIFYING INFORMATION COLLECTED IN CONNECTION WITH THE RAFFLE ENTRY WAS STORED SEPARATELY FROM AND NOT ASSOCIATED WITH SURVEY RESPONSES TO MAINTAIN CONFIDENTIALITY.KEY INFORMANT INTERVIEWS & COMMUNITY CONVERSATIONS: IN COMPLEMENT TO THE DATA COLLECTED THROUGH THE COMMUNITY SURVEY, KEY INFORMANT INTERVIEWS WERE CONDUCTED WITH COMMUNITY LEADERS AND ORGANIZATIONS THAT REPRESENT THE INTERESTS OF DIVERSE AND OFTEN HARD TO REACH POPULATIONS.STAKEHOLDERS ACROSS MONTGOMERY COUNTY WERE INTERVIEWED AND INCLUDED REPRESENTATIVES FROM MULTIPLE SECTORS AND POPULATIONS SUCH AS: > COUNTY GOVERNMENT;> SOCIAL SERVICE & ADVOCACY ORGANIZATIONS;> HEALTHCARE FOUNDATIONS;> HEALTH CARE PRACTITIONERS & CLINICS;> FIRE AND RESCUE, LAW ENFORCEMENT, AND CRISIS INTERVENTION;> SCHOOL & UNIVERSITY SYSTEMS;> BEHAVIORAL HEALTH;> HOUSING & HOMELESSNESS;> FOOD SECURITY & DISTRIBUTION;> EMPLOYMENT & WORKFORCE DEVELOPMENT;> MULTIPLE FAITH COMMUNITIES & DENOMINATIONS;> LGBTQ COMMUNITIES;> PEOPLE WITH DISABILITIES;> MINORITY AND IMMIGRANT POPULATIONS.TO ENSURE CONSISTENCY, A SCRIPT WAS DEVELOPED OUTLINING THE PURPOSE OF THE INTERVIEW, HOW THE DATA WOULD BE USED, AND THREE PRIMARY QUESTIONS TO ASK. EACH INTERVIEWEE WAS ASKED TO IDENTIFY WHAT THEY BELIEVED TO BE THE TOP ISSUES IMPACTING THE HEALTH OF THE COMMUNITY; WHAT STRENGTHS AND RESOURCES ARE AVAILABLE IN THE COMMUNITY; AND WHAT SERVICES OR RESOURCES THEY WOULD LIKE TO SEE TO ADDRESS THE HEALTH NEEDS OF THEIR COMMUNITY.PUBLIC COMMENT: ADVENTIST HEALTHCARE WELCOMES FEEDBACK FROM THE PUBLIC ON PAST AND CURRENT COMMUNITY HEALTH NEEDS ASSESSMENTS. A DEDICATED EMAIL ADDRESS (OURCOMMUNITY@ADVENTISTHEALTHCARE.COM) IS LISTED ON THE ADVENTIST HEALTHCARE WEBSITE ALONG WITH EACH HOSPITAL'S REPORT. WHITE OAK MEDICAL CENTER PART V, SECTION B, LINE 5: THE FOLLOWING NARRATIVE IS BASED ON THE LAST CONDUCTED CHNA IN 2019:A KEY PRIORITY OF THIS CHNA WAS TO GATHER INPUT FROM A DIVERSE AND REPRESENTATIVE SAMPLE OF THE COMMUNITY. SEVERAL STRATEGIES WERE EMPLOYED TO ACHIEVE THIS INCLUDING PARTNERING WITH THE LOCAL HEALTH IMPROVEMENT COALITION (HEALTHY MONTGOMERY), CONDUCTING A COMMUNITY SURVEY, AND COMPLETING KEY INFORMANT INTERVIEWS AND COMMUNITY CONVERSATIONS.PARTNERSHIP WITH HEALTHY MONTGOMERY: ADVENTIST HEALTHCARE, IN ADDITION TO THE OTHER MONTGOMERY COUNTY HOSPITALS, COLLABORATES WITH HEALTHY MONTGOMERY WHICH SERVES AS THE LOCAL HEALTH IMPROVEMENT COALITION. HEALTHY MONTGOMERY WORKS TO BRING TOGETHER THE COUNTY GOVERNMENT, HOSPITAL SYSTEMS, MINORITY HEALTH PROGRAMS, ADVOCACY GROUPS, ACADEMIC INSTITUTIONS, AND OTHER COMMUNITY-BASED STAKEHOLDERS TO ACHIEVE OPTIMAL HEALTH AND WELL-BEING FOR ALL COUNTY RESIDENTS. THE GROUP WORKS TO SET A HEALTH PRIORITY AGENDA AS WELL AS AN ACTION PLAN TO ADDRESS THE PRIORITIZED NEEDS. IN DOING SO, THE GROUP HAS ESTABLISHED A CORE MEASURE SET FOR THE TOP PRIORITY AREAS AS WELL AS A COMMUNITY HEALTH DASHBOARD FOR THE COUNTY. THE DASHBOARD ENCOMPASSES INDICATORS THAT SPAN PHYSICAL AND MENTAL HEALTH, HEALTH BEHAVIORS, AND SOCIAL DETERMINANTS.ADVENTIST HEALTHCARE CONTRIBUTES $50,000 ANNUALLY TO SUPPORT THE INFRASTRUCTURE OF HEALTHY MONTGOMERY. IN ADDITION TO PROVIDING FINANCIAL SUPPORT, REPRESENTATIVES FROM ADVENTIST HEALTHCARE (AHC) PLAY AN ACTIVE ROLE THROUGH REPRESENTATION ON MULTIPLE COMMITTEES AND PLANNING GROUPS INCLUDING THE HEALTHY MONTGOMERY STEERING COMMITTEE WHICH SETS THE DIRECTION FOR THE GROUP.IN COMPLETING THIS CHNA, ADVENTIST HEALTHCARE UTILIZED THE HEALTHY MONTGOMERY PRIORITY AREAS NOT ONLY AS A STARTING POINT FOR IDENTIFYING THE NEEDS IN THE COMMUNITY BUT ALSO AS A FACTOR FOR CONSIDERATION WHEN COMPLETING THE PRIORITIZATION PROCESS.COMMUNITY SURVEY: THE COMMUNITY HEALTH NEEDS ASSESSMENT SURVEY CONSISTED OF THIRTEEN QUESTIONS CENTERED ON HEALTH STATUS, ACCESS TO CARE, AND PERCEIVED COMMUNITY HEALTH NEEDS AND STRENGTHS. AVAILABLE IN ENGLISH AND SPANISH, THE SURVEY WAS DISSEMINATED THROUGH SEVERAL AVENUES INCLUDING AT COMMUNITY EVENTS AND PROGRAMS, VIA EMAIL AND LISTSERVS, SOCIAL MEDIA, AND THROUGH COMMUNITY PARTNERS AND ORGANIZATIONS. TO ENCOURAGE PARTICIPATION, THREE PRIZES WERE OFFERED AS INCENTIVES. ALL SURVEY PARTICIPANTS WERE PROVIDED WITH THE OPTION TO ENTER THE VOLUNTARY RAFFLE UPON COMPLETING THE SURVEY FOR A CHANCE TO WIN A $300 AMAZON GIFT CARD OR ONE OF TWO $50 VISA GIFT CARDS. IDENTIFYING INFORMATION COLLECTED IN CONNECTION WITH THE RAFFLE ENTRY WAS STORED SEPARATELY FROM AND NOT ASSOCIATED WITH SURVEY RESPONSES TO MAINTAIN CONFIDENTIALITY.KEY INFORMANT INTERVIEWS & COMMUNITY CONVERSATIONS: IN COMPLEMENT TO THE DATA COLLECTED THROUGH THE COMMUNITY SURVEY, KEY INFORMANT INTERVIEWS WERE CONDUCTED WITH COMMUNITY LEADERS AND ORGANIZATIONS THAT REPRESENT THE INTERESTS OF DIVERSE AND OFTEN HARD TO REACH POPULATIONS.STAKEHOLDERS ACROSS MONTGOMERY COUNTY WERE INTERVIEWED AND INCLUDED REPRESENTATIVES FROM MULTIPLE SECTORS AND POPULATIONS SUCH AS:> COUNTY GOVERNMENT;> SOCIAL SERVICE & ADVOCACY ORGANIZATIONS;> HEALTHCARE FOUNDATIONS;> HEALTH CARE PRACTITIONERS & CLINICS;> FIRE AND RESCUE, LAW ENFORCEMENT, AND CRISIS INTERVENTION;> SCHOOL & UNIVERSITY SYSTEMS;> BEHAVIORAL HEALTH;> HOUSING & HOMELESSNESS;> FOOD SECURITY & DISTRIBUTION;> EMPLOYMENT & WORKFORCE DEVELOPMENT;> MULTIPLE FAITH COMMUNITIES & DENOMINATIONS;> LGBTQ COMMUNITIES;> PEOPLE WITH DISABILITIES;> MINORITY AND IMMIGRANT POPULATIONS.TO ENSURE CONSISTENCY, A SCRIPT WAS DEVELOPED OUTLINING THE PURPOSE OF THE INTERVIEW, HOW THE DATA WOULD BE USED, AND THREE PRIMARY QUESTIONS TO ASK. EACH INTERVIEWEE WAS ASKED TO IDENTIFY WHAT THEY BELIEVED TO BE THE TOP ISSUES IMPACTING THE HEALTH OF THE COMMUNITY; WHAT STRENGTHS AND RESOURCES ARE AVAILABLE IN THE COMMUNITY; AND WHAT SERVICES OR RESOURCES THEY WOULD LIKE TO SEE TO ADDRESS THE HEALTH NEEDS OF THEIR COMMUNITY.PUBLIC COMMENT: ADVENTIST HEALTHCARE WELCOMES FEEDBACK FROM THE PUBLIC ON PAST AND CURRENT COMMUNITY HEALTH NEEDS ASSESSMENTS. A DEDICATED EMAIL ADDRESS (OURCOMMUNITY@ADVENTISTHEALTHCARE.COM) IS LISTED ON THE ADVENTIST HEALTHCARE WEBSITE ALONG WITH EACH HOSPITAL'S REPORT. AHC-REHABILITATION - ROCKVILLE PART V, SECTION B, LINE 5: THE FOLLOWING NARRATIVE IS BASED ON THE LAST CONDUCTED CHNA IN 2019:A KEY PRIORITY OF THIS CHNA WAS TO GATHER INPUT FROM A DIVERSE AND REPRESENTATIVE SAMPLE OF THE COMMUNITY. SEVERAL STRATEGIES WERE EMPLOYED TO ACHIEVE THIS INCLUDING PARTNERING WITH THE LOCAL HEALTH IMPROVEMENT COALITION (HEALTHY MONTGOMERY), CONDUCTING A COMMUNITY SURVEY, AND COMPLETING KEY INFORMANT INTERVIEWS AND COMMUNITY CONVERSATIONS.PARTNERSHIP WITH HEALTHY MONTGOMERY: ADVENTIST HEALTHCARE, IN ADDITION TO THE OTHER MONTGOMERY COUNTY HOSPITALS, COLLABORATES WITH HEALTHY MONTGOMERY WHICH SERVES AS THE LOCAL HEALTH IMPROVEMENT COALITION. HEALTHY MONTGOMERY WORKS TO BRING TOGETHER THE COUNTY GOVERNMENT, HOSPITAL SYSTEMS, MINORITY HEALTH PROGRAMS, ADVOCACY GROUPS, ACADEMIC INSTITUTIONS, AND OTHER COMMUNITY-BASED STAKEHOLDERS TO ACHIEVE OPTIMAL HEALTH AND WELL-BEING FOR ALL COUNTY RESIDENTS. THE GROUP WORKS TO SET A HEALTH PRIORITY AGENDA AS WELL AS AN ACTION PLAN TO ADDRESS THE PRIORITIZED NEEDS. IN DOING SO, THE GROUP HAS ESTABLISHED A CORE MEASURE SET FOR THE TOP PRIORITY AREAS AS WELL AS A COMMUNITY HEALTH DASHBOARD FOR THE COUNTY. THE DASHBOARD ENCOMPASSES INDICATORS THAT SPAN PHYSICAL AND MENTAL HEALTH, HEALTH BEHAVIORS, AND SOCIAL DETERMINANTS.ADVENTIST HEALTHCARE CONTRIBUTES $50,000 ANNUALLY TO SUPPORT THE INFRASTRUCTURE OF HEALTHY MONTGOMERY. IN ADDITION TO PROVIDING FINANCIAL SUPPORT, REPRESENTATIVES FROM ADVENTIST HEALTHCARE (AHC) PLAY AN ACTIVE ROLE THROUGH REPRESENTATION ON MULTIPLE COMMITTEES AND PLANNING GROUPS INCLUDING THE HEALTHY MONTGOMERY STEERING COMMITTEE WHICH SETS THE DIRECTION FOR THE GROUP.IN COMPLETING THIS CHNA, ADVENTIST HEALTHCARE UTILIZED THE HEALTHY MONTGOMERY PRIORITY AREAS NOT ONLY AS A STARTING POINT FOR IDENTIFYING THE NEEDS IN THE COMMUNITY BUT ALSO AS A FACTOR FOR CONSIDERATION WHEN COMPLETING THE PRIORITIZATION PROCESS.COMMUNITY SURVEY: THE COMMUNITY HEALTH NEEDS ASSESSMENT SURVEY CONSISTED OF THIRTEEN QUESTIONS CENTERED ON HEALTH STATUS, ACCESS TO CARE, AND PERCEIVED COMMUNITY HEALTH NEEDS AND STRENGTHS. AVAILABLE IN ENGLISH AND SPANISH, THE SURVEY WAS DISSEMINATED THROUGH SEVERAL AVENUES INCLUDING AT COMMUNITY EVENTS AND PROGRAMS, VIA EMAIL AND LISTSERVS, SOCIAL MEDIA, AND THROUGH COMMUNITY PARTNERS AND ORGANIZATIONS. TO ENCOURAGE PARTICIPATION, THREE PRIZES WERE OFFERED AS INCENTIVES. ALL SURVEY PARTICIPANTS WERE PROVIDED WITH THE OPTION TO ENTER THE VOLUNTARY RAFFLE UPON COMPLETING THE SURVEY FOR A CHANCE TO WIN A $300 AMAZON GIFT CARD OR ONE OF TWO $50 VISA GIFT CARDS. IDENTIFYING INFORMATION COLLECTED IN CONNECTION WITH THE RAFFLE ENTRY WAS STORED SEPARATELY FROM AND NOT ASSOCIATED WITH SURVEY RESPONSES TO MAINTAIN CONFIDENTIALITY.KEY INFORMANT INTERVIEWS & COMMUNITY CONVERSATIONS: IN COMPLEMENT TO THE DATA COLLECTED THROUGH THE COMMUNITY SURVEY, KEY INFORMANT INTERVIEWS WERE CONDUCTED WITH COMMUNITY LEADERS AND ORGANIZATIONS THAT REPRESENT THE INTERESTS OF DIVERSE AND OFTEN HARD TO REACH POPULATIONS.STAKEHOLDERS ACROSS MONTGOMERY COUNTY WERE INTERVIEWED AND INCLUDED REPRESENTATIVES FROM MULTIPLE SECTORS AND POPULATIONS SUCH AS:> COUNTY GOVERNMENT; > SOCIAL SERVICE & ADVOCACY ORGANIZATIONS;> HEALTHCARE FOUNDATIONS;> HEALTH CARE PRACTITIONERS & CLINICS;> FIRE AND RESCUE, LAW ENFORCEMENT, AND CRISIS INTERVENTION;> SCHOOL & UNIVERSITY SYSTEMS;> BEHAVIORAL HEALTH;> HOUSING & HOMELESSNESS;> FOOD SECURITY & DISTRIBUTION;> EMPLOYMENT & WORKFORCE DEVELOPMENT;> MULTIPLE FAITH COMMUNITIES & DENOMINATIONS;> LGBTQ COMMUNITIES;> PEOPLE WITH DISABILITIES;> MINORITY AND IMMIGRANT POPULATIONS.TO ENSURE CONSISTENCY, A SCRIPT WAS DEVELOPED OUTLINING THE PURPOSE OF THE INTERVIEW, HOW THE DATA WOULD BE USED, AND THREE PRIMARY QUESTIONS TO ASK. EACH INTERVIEWEE WAS ASKED TO IDENTIFY WHAT THEY BELIEVED TO BE THE TOP ISSUES IMPACTING THE HEALTH OF THE COMMUNITY; WHAT STRENGTHS AND RESOURCES ARE AVAILABLE IN THE COMMUNITY; AND WHAT SERVICES OR RESOURCES THEY WOULD LIKE TO SEE TO ADDRESS THE HEALTH NEEDS OF THEIR COMMUNITY.PUBLIC COMMENT: ADVENTIST HEALTHCARE WELCOMES FEEDBACK FROM THE PUBLIC ON PAST AND CURRENT COMMUNITY HEALTH NEEDS ASSESSMENTS. A DEDICATED EMAIL ADDRESS (OURCOMMUNITY@ADVENTISTHEALTHCARE.COM) IS LISTED ON THE ADVENTIST HEALTHCARE WEBSITE ALONG WITH EACH HOSPITAL'S REPORT. AHC-REHABILITATION - TAKOMA PARK PART V, SECTION B, LINE 5: THE FOLLOWING NARRATIVE IS BASED ON THE LAST CONDUCTED CHNA IN 2019:A KEY PRIORITY OF THIS CHNA WAS TO GATHER INPUT FROM A DIVERSE AND REPRESENTATIVE SAMPLE OF THE COMMUNITY. SEVERAL STRATEGIES WERE EMPLOYED TO ACHIEVE THIS INCLUDING PARTNERING WITH THE LOCAL HEALTH IMPROVEMENT COALITION (HEALTHY MONTGOMERY), CONDUCTING A COMMUNITY SURVEY, AND COMPLETING KEY INFORMANT INTERVIEWS AND COMMUNITY CONVERSATIONS.PARTNERSHIP WITH HEALTHY MONTGOMERY: ADVENTIST HEALTHCARE, IN ADDITION TO THE OTHER MONTGOMERY COUNTY HOSPITALS, COLLABORATES WITH HEALTHY MONTGOMERY WHICH SERVES AS THE LOCAL HEALTH IMPROVEMENT COALITION. HEALTHY MONTGOMERY WORKS TO BRING TOGETHER THE COUNTY GOVERNMENT, HOSPITAL SYSTEMS, MINORITY HEALTH PROGRAMS, ADVOCACY GROUPS, ACADEMIC INSTITUTIONS, AND OTHER COMMUNITY-BASED STAKEHOLDERS TO ACHIEVE OPTIMAL HEALTH AND WELL-BEING FOR ALL COUNTY RESIDENTS. THE GROUP WORKS TO SET A HEALTH PRIORITY AGENDA AS WELL AS AN ACTION PLAN TO ADDRESS THE PRIORITIZED NEEDS. IN DOING SO, THE GROUP HAS ESTABLISHED A CORE MEASURE SET FOR THE TOP PRIORITY AREAS AS WELL AS A COMMUNITY HEALTH DASHBOARD FOR THE COUNTY. THE DASHBOARD ENCOMPASSES INDICATORS THAT SPAN PHYSICAL AND MENTAL HEALTH, HEALTH BEHAVIORS, AND SOCIAL DETERMINANTS.ADVENTIST HEALTHCARE CONTRIBUTES $50,000 ANNUALLY TO SUPPORT THE INFRASTRUCTURE OF HEALTHY MONTGOMERY. IN ADDITION TO PROVIDING FINANCIAL SUPPORT, REPRESENTATIVES FROM ADVENTIST HEALTHCARE (AHC) PLAY AN ACTIVE ROLE THROUGH REPRESENTATION ON MULTIPLE COMMITTEES AND PLANNING GROUPS INCLUDING THE HEALTHY MONTGOMERY STEERING COMMITTEE WHICH SETS THE DIRECTION FOR THE GROUP.IN COMPLETING THIS CHNA, ADVENTIST HEALTHCARE UTILIZED THE HEALTHY MONTGOMERY PRIORITY AREAS NOT ONLY AS A STARTING POINT FOR IDENTIFYING THE NEEDS IN THE COMMUNITY BUT ALSO AS A FACTOR FOR CONSIDERATION WHEN COMPLETING THE PRIORITIZATION PROCESS.COMMUNITY SURVEY: THE COMMUNITY HEALTH NEEDS ASSESSMENT SURVEY CONSISTED OF THIRTEEN QUESTIONS CENTERED ON HEALTH STATUS, ACCESS TO CARE, AND PERCEIVED COMMUNITY HEALTH NEEDS AND STRENGTHS. AVAILABLE IN ENGLISH AND SPANISH, THE SURVEY WAS DISSEMINATED THROUGH SEVERAL AVENUES INCLUDING AT COMMUNITY EVENTS AND PROGRAMS, VIA EMAIL AND LISTSERVS, SOCIAL MEDIA, AND THROUGH COMMUNITY PARTNERS AND ORGANIZATIONS. TO ENCOURAGE PARTICIPATION, THREE PRIZES WERE OFFERED AS INCENTIVES. ALL SURVEY PARTICIPANTS WERE PROVIDED WITH THE OPTION TO ENTER THE VOLUNTARY RAFFLE UPON COMPLETING THE SURVEY FOR A CHANCE TO WIN A $300 AMAZON GIFT CARD OR ONE OF TWO $50 VISA GIFT CARDS. IDENTIFYING INFORMATION COLLECTED IN CONNECTION WITH THE RAFFLE ENTRY WAS STORED SEPARATELY FROM AND NOT ASSOCIATED WITH SURVEY RESPONSES TO MAINTAIN CONFIDENTIALITY.KEY INFORMANT INTERVIEWS & COMMUNITY CONVERSATIONS: IN COMPLEMENT TO THE DATA COLLECTED THROUGH THE COMMUNITY SURVEY, KEY INFORMANT INTERVIEWS WERE CONDUCTED WITH COMMUNITY LEADERS AND ORGANIZATIONS THAT REPRESENT THE INTERESTS OF DIVERSE AND OFTEN HARD TO REACH POPULATIONS.STAKEHOLDERS ACROSS MONTGOMERY COUNTY WERE INTERVIEWED AND INCLUDED REPRESENTATIVES FROM MULTIPLE SECTORS AND POPULATIONS SUCH AS:> COUNTY GOVERNMENT; > SOCIAL SERVICE & ADVOCACY ORGANIZATIONS;> HEALTHCARE FOUNDATIONS;> HEALTH CARE PRACTITIONERS & CLINICS;> FIRE AND RESCUE, LAW ENFORCEMENT, AND CRISIS INTERVENTION;> SCHOOL & UNIVERSITY SYSTEMS;> BEHAVIORAL HEALTH;> HOUSING & HOMELESSNESS;> FOOD SECURITY & DISTRIBUTION;> EMPLOYMENT & WORKFORCE DEVELOPMENT;> MULTIPLE FAITH COMMUNITIES & DENOMINATIONS;> LGBTQ COMMUNITIES;> PEOPLE WITH DISABILITIES;> MINORITY AND IMMIGRANT POPULATIONS.TO ENSURE CONSISTENCY, A SCRIPT WAS DEVELOPED OUTLINING THE PURPOSE OF THE INTERVIEW, HOW THE DATA WOULD BE USED, AND THREE PRIMARY QUESTIONS TO ASK. EACH INTERVIEWEE WAS ASKED TO IDENTIFY WHAT THEY BELIEVED TO BE THE TOP ISSUES IMPACTING THE HEALTH OF THE COMMUNITY; WHAT STRENGTHS AND RESOURCES ARE AVAILABLE IN THE COMMUNITY; AND WHAT SERVICES OR RESOURCES THEY WOULD LIKE TO SEE TO ADDRESS THE HEALTH NEEDS OF THEIR COMMUNITY.PUBLIC COMMENT: ADVENTIST HEALTHCARE WELCOMES FEEDBACK FROM THE PUBLIC ON PAST AND CURRENT COMMUNITY HEALTH NEEDS ASSESSMENTS. A DEDICATED EMAIL ADDRESS (OURCOMMUNITY@ADVENTISTHEALTHCARE.COM) IS LISTED ON THE ADVENTIST HEALTHCARE WEBSITE ALONG WITH EACH HOSPITAL'S REPORT. AHC FORT WASHINGTON MEDICAL CENTER INC. PART V, SECTION B, LINE 5: IN 2015, THE PRINCE GEORGE'S COUNTY GOVERNMENT AND MARYLAND-NATIONAL CAPITAL PARKS AND PLANNING COMMISSION CONDUCTED A SPECIAL STUDY TO DEVELOP A PRIMARY HEALTHCARE STRATEGIC PLAN IN PREPARATION FOR ENHANCING THE HEALTHCARE DELIVERY NETWORK. A KEY RECOMMENDATION FROM THE PLAN WAS TO "BUILD COLLABORATION AMONG PRINCE GEORGE'S COUNTY HOSPITALS" WHICH INCLUDED CONDUCTING A JOINT COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) WITH THE PRINCE GEORGE'S COUNTY HEALTH DEPARTMENT. FORT WASHINGTON MEDICAL CENTER INC., ALONG WITH THE OTHER FOUR HOSPITALS LOCATED IN PRINCE GEORGE'S COUNTY, TEAMED UP WITH THE PRINCE GEORGE'S COUNTY HEALTH DEPARTMENT TO CREATE A "CORE TEAM" TO FACILITATE THE 2019 CHNA PROCESS. THE PROCESS WAS DEVELOPED TO 1) MAXIMIZE COMMUNITY INPUT, 2) LEARN FROM THE COMMUNITY EXPERTS, 3) UTILIZE EXISTING DATA, AND 4) TO ENSURE A COMPREHENSIVE COMMUNITY PRIORITIZATION. THE PROCESS INCLUDED: 1) A COMMUNITY RESIDENT SURVEY IN BOTH ENGLISH AND SPANISH, 2) AN ANALYSIS OF DEMOGRAPHICS AND POPULATION DESCRIPTIONS THROUGH SOCIOECONOMIC INDICATORS AND COMPREHENSIVE HEALTH INDICATOR PROFILE, 3) HOSPITAL SERVICE PROFILES OF RESIDENTS SERVICED BY THE CORE TEAM, 4) A COMMUNITY-BASED ORGANIZATION SURVEY AND KEY INFORMANT INTERVIEWS, AND 5) A COMMUNITY PRIORITIZATIONS PROCESS THAT INCLUDED 40 REPRESENTATIVES FROM ACROSS THE COUNTY WHO ARE IDENTIFIED BELOW.KLEINMAN, DDS, MSCD, DUSHANKA, UMD-PUBLIC HEALTH, DEPT. OF EPIDEMIOLOGY & BIOSTATISTICS;TERRY, MILLY, AFRICAN WOMEN'S CANCER AWARENESS ASSOCIATION;GRANT, TERESA, PGC DEPARTMENT OF FAMILY SERVICES;CARVANA, ANTHONY, COMMUNITY COUNSELING AND MENTORING SERVICES, INC.;MCDONOUGH, MARY LOU, PGC DEPARTMENT OF CORRECTIONS;HOWELL, MICHELLE, THE ARC;SHIVER, SANDERS, PGC PUBLIC SCHOOLS;HOBAN, EVELYN, PGC HEALTH DEPARTMENT;HALL, PHD, MPH, CLARENCE, PACANET USA;BELON-BUTLER, ELANA, PGC DEPARTMENT OF FAMILY SERVICES;GOMEZ, MARIA, MARY'S CENTER;LOBRANO, MD, MARCIA, COMMUNITY CLINIC, INC.;MALLOY, COLENTHIA, GREATER BADEN MEDICAL CENTER;MATTHEWS, SAUNDRA, COMMUNITY CLINIC, INC.;DEMUS, LESLIE, HEART TO HAND;SPANN, MONICA, PGC HEALTH DEPARTMENT HEALTH ENTERPRISE ZONE;ALDOORY, PHD, LINDA, UNIVERSITY OF MARYLAND, DEPARTMENT OF COMMUNICATION;WILSON, ALICIA, LA CLINICA DEL PUEBLO;MOORE, MAJOR ELAINE, PGC POLICE DEPARTMENT;COOPER, MD, CARNELL, DIMENSIONS HEALTHCARE SYSTEM/PRINCE GEORGE'S HOSPITAL CENTER;HALL, MD, TRUDY, LAUREL REGIONAL HOSPITAL CENTER;JOHNSON-THREAT, MD, YVETTE, MEDSTAR SOUTHERN MARYLAND HOSPITAL CENTER;MOORE, SHERRI, DOCTORS COMMUNITY HOSPITAL;SMITH, MD, SHARNELL, FORT WASHINGTON MEDICAL CENTER/NEXUS;SULLIVAN, TIFFANY, DIMENSIONS HEALTHCARE SYSTEM;WATERS, MD, JD, FCLM, VICTOR, FORT WASHINGTON MEDICAL CENTER/NEXUS;PROCTOR, NATALIE STANDINGONTHEROCK, WILD TURKEY CLAN, CEDARVILLE BAND OF PISCATAWAY CONOY;DODO, KODJO, PGC HEALTH DEPARTMENT, WIC PROGRAM;HEWLETT, ELIZABETH, MARYLAND NATIONAL PARK AND PLANNING COMMISSION;BRYANT, TRACY, UNITED HEALTHCARE COMMUNITY PLAN;MOOREHEAD, CREIGHTON, NORVARTIS (FORMERLY WITH KAISER);AMIN, MENA, THE COMMUNITY FOUNDATION, PRINCE GEORGE'S COUNTY;BARRON, EREK, HOUSE OF DELEGATES;OWUSU-ASCHEAW, POKUAA, FOR SENATOR JOANNE BENSON;CREEKMUR, PAMELA B., PGC HEALTH DEPARTMENT;HARRINGTON, DAVID, PGC CHAMBER OF COMMERCE;CARTER, MD, PHD, ERNEST, PGC HEALTH DEPARTMENT;BROWN, ERIC, PGC DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT;WOOD, DENNIS, PGC FIRE/EMS DEPARTMENT;BATES, RN, MS, KAREN, OFFICE OF SCHOOL HEALTH, PRINCE GEORGE'S COUNTY PUBLIC SCHOOLS;BROWN, GLORIA, PGC DEPARTMENT OF SOCIAL SERVICES;BRUCE, GERALYN, PGC DEPT. PUBLIC WORKS & TRANSPORTATION;SNOWDEN, CAROL LYNN, PGC DEPARTMENT OF FAMILY SERVICES. AHC-REHABILITATION - ROCKVILLE PART V, SECTION B, LINE 6A: ADVENTIST REHABILITATION TAKOMA PARK AND ADVENTIST REHABILITATION ROCKVILLE CONDUCTED THEIR CHNAS IN PARTNERSHIP. AHC-REHABILITATION - TAKOMA PARK PART V, SECTION B, LINE 6A: ADVENTIST REHABILITATION TAKOMA PARK AND ADVENTIST REHABILITATION ROCKVILLE CONDUCTED THEIR CHNAS IN PARTNERSHIP. AHC FORT WASHINGTON MEDICAL CENTER INC. PART V, SECTION B, LINE 6A: DOCTORS COMMUNITY HOSPITAL; LAUREL REGIONAL HOSPITAL; MEDSTAR SOUTHERN MARYLAND HOSPITAL CENTER; AND PRINCE GEORGE'S HOSPITAL CENTER. AHC FORT WASHINGTON MEDICAL CENTER INC. PART V, SECTION B, LINE 6B: PRINCE GEORGE'S COUNTY HEALTH DEPARTMENT;SOUTHERN MARYLAND REGIONAL COALITION FOR CARE TRANSITIONS;PRINCE GEORGE'S COMMUNITY COLLEGE HEALTH BUSINESS SCHOOL;FRIENDLY HIGH SCHOOL, BEHAVIORAL HEALTH;RIVER JORDAN PROJECT, PRINCE GEORGE'S COUNTY DISTRICT 8 HEALTH;COMMUNITY COALITION;PRINCE GEORGE'S CHAMBER OF COMMERCE AND AMERICAN DIABETES ASSOCIATION. SHADY GROVE MEDICAL CENTER 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 20878;PART V, SECTION B, LINE 7A: THE CHNA REPORT IS FOUND ON THIS URL: HTTPS://WWW.ADVENTISTHEALTHCARE.COM/ABOUT/COMMUNITY/HEALTH-NEEDS-ASSESSMENT WHITE OAK MEDICAL CENTER 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 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 FORT WASHINGTON MEDICAL CENTER INC. 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 20878;PART V, SECTION B, LINE 7A: THE CHNA REPORT IS FOUND ON THIS URL: HTTPS://WWW.ADVENTISTHEALTHCARE.COM/ABOUT/COMMUNITY/HEALTH-NEEDS-ASSESSMENTPART V, SECTION B, LINE 7B:THE CHNA REPORT CAN ALSO BE FOUND ON THESE LINKS:HTTPS://WWW.DCHWEB.ORG/WELLNESS/COMMUNITY-HEALTH-NEED-ASSESSMENTHTTPS://WWW.UMMS.ORG/CAPITAL/COMMUNITY/COMMUNITY-HEALTH-NEEDS-ASSESSMENT SHADY GROVE MEDICAL CENTER PART V, SECTION B, LINE 11: IN 2020 ADVENTIST HEALTHCARE ADOPTED A SYSTEM-LEVEL IMPLEMENTATION STRATEGY TO ADDRESS THE PRIORITY AREAS IDENTIFIED THROUGH OUR COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) PROCESS: CHRONIC DISEASE, BEHAVIORAL HEALTH, DISABILITY AND REHABILITATION SERVICES, MATERNAL AND CHILD HEALTH, AND SOCIAL DETERMINANTS OF HEALTH.A COMPLETE LIST OF ONGOING AND ANTICIPATED PROGRAMS ARE DETAILED HERE: HTTPS://WWW.ADVENTISTHEALTHCARE.COM/APP/FILES/PUBLIC/AF087E4A-4571-420A-8CAF-C0B4166EA484/2020-CHNA-AHC-IMPLEMENTATIONSTRATEGY.PDFPROGRAMS ARE BROKEN DOWN BY MAIN PRIORITY BEING ADDRESSED AND INCLUDE A PROGRAM DESCRIPTION, THE ROLE ADVENTIST HEALTHCARE WILL BE PLAYING, ADDITIONAL PRIORITY AREAS BEING ADDRESSED, EVALUATION METRICS AND PARTNERS.IN ADDITION TO THESE PROGRAMS, ADVENTIST HEALTHCARE IS COMMITTED TO PROVIDING FINANCIAL SUPPORT TO IMPROVE THE HEALTH AND WELLBEING OF OUR COMMUNITY THROUGH THE COMMUNITY PARTNERSHIP FUND. THE ADVENTIST HEALTHCARE COMMUNITY PARTNERSHIP FUND PROVIDES FUNDING FOR 501(C)(3) NON-PROFIT ORGANIZATIONS WHOSE ACTIVITIES ALIGN WITH OUR MISSION AND THE FOLLOWING FUNDING OBJECTIVES:HEALTH & WELLNESS SUPPORT COMMUNITY HEALTH SERVICES, EDUCATION, AND PREVENTION AND WELLNESS PROGRAMS;CAPACITY BUILDING: IMPROVE COMMUNITY HEALTH THROUGH COLLABORATIVE PARTNERSHIPS, ECONOMIC AND WORKFORCE DEVELOPMENT, AND ADVOCACY.WHEN REVIEWING APPLICATIONS FOR GRANTS AND SPONSORSHIPS, THE PRIORITIES FOR THE COMMUNITY PARTNERSHIP FUND INCLUDE:> ACTIVITIES THAT ADDRESS A PRIORITY AREA OF NEED IDENTIFIED IN OUR HOSPITALS' COMMUNITY HEALTH NEEDS ASSESSMENTS;> ACTIVITIES THAT TARGET POPULATIONS IN ADVENTIST HEALTHCARE'S SERVICE AREA THAT ARE SOCIALLY AND ECONOMICALLY DISADVANTAGED OR MEDICALLY UNDERSERVED;> ACTIVITIES THAT ALIGN WITH ADVENTIST HEALTHCARE'S COMMUNITY-BASED MISSION;> ACTIVITIES THAT HAVE A MEASURABLE IMPACT ON THE COMMUNITY BEING SERVED.ADVENTIST HEALTHCARE WILL NOT DIRECTLY ADDRESS CANCER, ASTHMA, AND INFECTIOUS DISEASES (I.E. HIV/AIDS AND INFLUENZA) AS PRIORITY AREAS FOR THIS CHNA CYCLE. DUE TO THE WIDE RANGE OF HEALTH ISSUES IDENTIFIED AND LIMITED RESOURCES, ADVENTIST HEALTHCARE ELECTED TO FOCUS ON THE AREAS OF NEED IDENTIFIED AS HIGHER PRIORITY DURING THE CHNA PRIORITIZATION PROCESS. WHITE OAK MEDICAL CENTER PART V, SECTION B, LINE 11: IN 2020 ADVENTIST HEALTHCARE ADOPTED A SYSTEM-LEVEL IMPLEMENTATION STRATEGY TO ADDRESS THE PRIORITY AREAS IDENTIFIED THROUGH OUR COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) PROCESS: CHRONIC DISEASE, BEHAVIORAL HEALTH, DISABILITY AND REHABILITATION SERVICES, MATERNAL AND CHILD HEALTH, AND SOCIAL DETERMINANTS OF HEALTH.A COMPLETE LIST OF ONGOING AND ANTICIPATED PROGRAMS ARE DETAILED HERE: HTTPS://WWW.ADVENTISTHEALTHCARE.COM/APP/FILES/PUBLIC/AF087E4A-4571-420A-8CAF-C0B4166EA484/2020-CHNA-AHC-IMPLEMENTATIONSTRATEGY.PDFPROGRAMS ARE BROKEN DOWN BY MAIN PRIORITY BEING ADDRESSED AND INCLUDE A PROGRAM DESCRIPTION, THE ROLE ADVENTIST HEALTHCARE WILL BE PLAYING, ADDITIONAL PRIORITY AREAS BEING ADDRESSED, EVALUATION METRICS AND PARTNERS.IN ADDITION TO THESE PROGRAMS, ADVENTIST HEALTHCARE IS COMMITTED TO PROVIDING FINANCIAL SUPPORT TO IMPROVE THE HEALTH AND WELLBEING OF OUR COMMUNITY THROUGH THE COMMUNITY PARTNERSHIP FUND. THE ADVENTIST HEALTHCARE COMMUNITY PARTNERSHIP FUND PROVIDES FUNDING FOR 501(C)(3) NON-PROFIT ORGANIZATIONS WHOSE ACTIVITIES ALIGN WITH OUR MISSION AND THE FOLLOWING FUNDING OBJECTIVES:HEALTH & WELLNESS SUPPORT COMMUNITY HEALTH SERVICES, EDUCATION, AND PREVENTION AND WELLNESS PROGRAMS;CAPACITY BUILDING: IMPROVE COMMUNITY HEALTH THROUGH COLLABORATIVE PARTNERSHIPS, ECONOMIC AND WORKFORCE DEVELOPMENT, AND ADVOCACY.WHEN REVIEWING APPLICATIONS FOR GRANTS AND SPONSORSHIPS, THE PRIORITIES FOR THE COMMUNITY PARTNERSHIP FUND INCLUDE:> ACTIVITIES THAT ADDRESS A PRIORITY AREA OF NEED IDENTIFIED IN OUR HOSPITALS' COMMUNITY HEALTH NEEDS ASSESSMENTS;> ACTIVITIES THAT TARGET POPULATIONS IN ADVENTIST HEALTHCARE'S SERVICE AREA THAT ARE SOCIALLY AND ECONOMICALLY DISADVANTAGED OR MEDICALLY UNDERSERVED;> ACTIVITIES THAT ALIGN WITH ADVENTIST HEALTHCARE'S COMMUNITY-BASED MISSION;> ACTIVITIES THAT HAVE A MEASURABLE IMPACT ON THE COMMUNITY BEING SERVED.ADVENTIST HEALTHCARE WILL NOT DIRECTLY ADDRESS CANCER, ASTHMA, AND INFECTIOUS DISEASES (I.E. HIV/AIDS AND INFLUENZA) AS PRIORITY AREAS FOR THIS CHNA CYCLE. DUE TO THE WIDE RANGE OF HEALTH ISSUES IDENTIFIED AND LIMITED RESOURCES, ADVENTIST HEALTHCARE ELECTED TO FOCUS ON THE AREAS OF NEED IDENTIFIED AS HIGHER PRIORITY DURING THE CHNA PRIORITIZATION PROCESS. AHC-REHABILITATION - ROCKVILLE PART V, SECTION B, LINE 11: IN 2020 ADVENTIST HEALTHCARE ADOPTED A SYSTEM-LEVEL IMPLEMENTATION STRATEGY TO ADDRESS THE PRIORITY AREAS IDENTIFIED THROUGH OUR COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) PROCESS: CHRONIC DISEASE, BEHAVIORAL HEALTH, DISABILITY AND REHABILITATION SERVICES, MATERNAL AND CHILD HEALTH, AND SOCIAL DETERMINANTS OF HEALTH.A COMPLETE LIST OF ONGOING AND ANTICIPATED PROGRAMS ARE DETAILED HERE: HTTPS://WWW.ADVENTISTHEALTHCARE.COM/APP/FILES/PUBLIC/AF087E4A-4571-420A-8CAF-C0B4166EA484/2020-CHNA-AHC-IMPLEMENTATIONSTRATEGY.PDFPROGRAMS ARE BROKEN DOWN BY MAIN PRIORITY BEING ADDRESSED AND INCLUDE A PROGRAM DESCRIPTION, THE ROLE ADVENTIST HEALTHCARE WILL BE PLAYING, ADDITIONAL PRIORITY AREAS BEING ADDRESSED, EVALUATION METRICS AND PARTNERS.IN ADDITION TO THESE PROGRAMS, ADVENTIST HEALTHCARE IS COMMITTED TO PROVIDING FINANCIAL SUPPORT TO IMPROVE THE HEALTH AND WELLBEING OF OUR COMMUNITY THROUGH THE COMMUNITY PARTNERSHIP FUND. THE ADVENTIST HEALTHCARE COMMUNITY PARTNERSHIP FUND PROVIDES FUNDING FOR 501(C)(3) NON-PROFIT ORGANIZATIONS WHOSE ACTIVITIES ALIGN WITH OUR MISSION AND THE FOLLOWING FUNDING OBJECTIVES:HEALTH & WELLNESS SUPPORT COMMUNITY HEALTH SERVICES, EDUCATION, AND PREVENTION AND WELLNESS PROGRAMS;CAPACITY BUILDING: IMPROVE COMMUNITY HEALTH THROUGH COLLABORATIVE PARTNERSHIPS, ECONOMIC AND WORKFORCE DEVELOPMENT, AND ADVOCACY.WHEN REVIEWING APPLICATIONS FOR GRANTS AND SPONSORSHIPS, THE PRIORITIES FOR THE COMMUNITY PARTNERSHIP FUND INCLUDE:> ACTIVITIES THAT ADDRESS A PRIORITY AREA OF NEED IDENTIFIED IN OUR HOSPITALS' COMMUNITY HEALTH NEEDS ASSESSMENTS;> ACTIVITIES THAT TARGET POPULATIONS IN ADVENTIST HEALTHCARE'S SERVICE AREA THAT ARE SOCIALLY AND ECONOMICALLY DISADVANTAGED OR MEDICALLY UNDERSERVED;> ACTIVITIES THAT ALIGN WITH ADVENTIST HEALTHCARE'S COMMUNITY-BASED MISSION;> ACTIVITIES THAT HAVE A MEASURABLE IMPACT ON THE COMMUNITY BEING SERVED.ADVENTIST HEALTHCARE WILL NOT DIRECTLY ADDRESS CANCER, ASTHMA, AND INFECTIOUS DISEASES (I.E. HIV/AIDS AND INFLUENZA) AS PRIORITY AREAS FOR THIS CHNA CYCLE. DUE TO THE WIDE RANGE OF HEALTH ISSUES IDENTIFIED AND LIMITED RESOURCES, ADVENTIST HEALTHCARE ELECTED TO FOCUS ON THE AREAS OF NEED IDENTIFIED AS HIGHER PRIORITY DURING THE CHNA PRIORITIZATION PROCESS. AHC-REHABILITATION - TAKOMA PARK PART V, SECTION B, LINE 11: IN 2020 ADVENTIST HEALTHCARE ADOPTED A SYSTEM-LEVEL IMPLEMENTATION STRATEGY TO ADDRESS THE PRIORITY AREAS IDENTIFIED THROUGH OUR COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) PROCESS: CHRONIC DISEASE, BEHAVIORAL HEALTH, DISABILITY AND REHABILITATION SERVICES, MATERNAL AND CHILD HEALTH, AND SOCIAL DETERMINANTS OF HEALTH.A COMPLETE LIST OF ONGOING AND ANTICIPATED PROGRAMS ARE DETAILED HERE: HTTPS://WWW.ADVENTISTHEALTHCARE.COM/APP/FILES/PUBLIC/AF087E4A-4571-420A-8CAF-C0B4166EA484/2020-CHNA-AHC-IMPLEMENTATIONSTRATEGY.PDFPROGRAMS ARE BROKEN DOWN BY MAIN PRIORITY BEING ADDRESSED AND INCLUDE A PROGRAM DESCRIPTION, THE ROLE ADVENTIST HEALTHCARE WILL BE PLAYING, ADDITIONAL PRIORITY AREAS BEING ADDRESSED, EVALUATION METRICS AND PARTNERS.IN ADDITION TO THESE PROGRAMS, ADVENTIST HEALTHCARE IS COMMITTED TO PROVIDING FINANCIAL SUPPORT TO IMPROVE THE HEALTH AND WELLBEING OF OUR COMMUNITY THROUGH THE COMMUNITY PARTNERSHIP FUND. THE ADVENTIST HEALTHCARE COMMUNITY PARTNERSHIP FUND PROVIDES FUNDING FOR 501(C)(3) NON-PROFIT ORGANIZATIONS WHOSE ACTIVITIES ALIGN WITH OUR MISSION AND THE FOLLOWING FUNDING OBJECTIVES:HEALTH & WELLNESS SUPPORT COMMUNITY HEALTH SERVICES, EDUCATION, AND PREVENTION AND WELLNESS PROGRAMS;CAPACITY BUILDING: IMPROVE COMMUNITY HEALTH THROUGH COLLABORATIVE PARTNERSHIPS, ECONOMIC AND WORKFORCE DEVELOPMENT, AND ADVOCACY.WHEN REVIEWING APPLICATIONS FOR GRANTS AND SPONSORSHIPS, THE PRIORITIES FOR THE COMMUNITY PARTNERSHIP FUND INCLUDE:> ACTIVITIES THAT ADDRESS A PRIORITY AREA OF NEED IDENTIFIED IN OUR HOSPITALS' COMMUNITY HEALTH NEEDS ASSESSMENTS;> ACTIVITIES THAT TARGET POPULATIONS IN ADVENTIST HEALTHCARE'S SERVICE AREA THAT ARE SOCIALLY AND ECONOMICALLY DISADVANTAGED OR MEDICALLY UNDERSERVED;> ACTIVITIES THAT ALIGN WITH ADVENTIST HEALTHCARE'S COMMUNITY-BASED MISSION;> ACTIVITIES THAT HAVE A MEASURABLE IMPACT ON THE COMMUNITY BEING SERVED.ADVENTIST HEALTHCARE WILL NOT DIRECTLY ADDRESS CANCER, ASTHMA, AND INFECTIOUS DISEASES (I.E. HIV/AIDS AND INFLUENZA) AS PRIORITY AREAS FOR THIS CHNA CYCLE. DUE TO THE WIDE RANGE OF HEALTH ISSUES IDENTIFIED AND LIMITED RESOURCES, ADVENTIST HEALTHCARE ELECTED TO FOCUS ON THE AREAS OF NEED IDENTIFIED AS HIGHER PRIORITY DURING THE CHNA PRIORITIZATION PROCESS. AHC FORT WASHINGTON MEDICAL CENTER INC. PART V, SECTION B, LINE 11: THE HOSPITAL ALONE CANNOT ADDRESS ALL COMMUNITY NEEDS DUE TO BUDGET CONSTRAINTS. HOWEVER, TO ENSURE THAT ALL HEALTH NEEDS WERE MET, FWMC, ALONG WITH THE OTHER FOUR HOSPITALS IN PRINCE GEORGE'S COUNTY AND THE PRINCE GEORGE'S COUNTY HEALTH DEPARTMENT, IDENTIFIED AT LEAST ONE AND OFTEN MULTIPLE RESOURCES AVAILABLE TO MEET EACH IDENTIFIED COMMUNITY HEALTH NEED. WHILE THE CORE TEAM LED THE DATA GATHERING PROCESS OF THE CHNA, THERE WAS RECOGNITION THAT THERE MUST BE SHARED OWNERSHIP OF THE COUNTY'S COMMUNITY'S HEALTH. FWMC IS DIRECTLY ADDRESSING NEEDS RELATED TO DIABETES AND HEART DISEASE THROUGH DIABETIC EDUCATION AND TRAINING CLASSES, AN EXERCISE AND FITNESS PROGRAM, AND COMMUNITY OUTREACH SCREENING PROGRAMS. IN ADDITION, THE HOSPITAL ADDED INPATIENT DIALYSIS AND LITHOTRIPSY SERVICES. FWMC PARTNERS WITH PG COUNTY HEALTH DEPARTMENT AND GILEAD SCIENCES. INC., TO ADDRESS THE GROWING CONCERN OF HIV AND HEPATITIS C IN THE COMMUNITY THROUGH FREE HIV AND HEPATITIS C TESTING IN THE EMERGENCY ROOM DEPARTMENT. IN ORDER TO ASSURE THAT THE COMMUNITY HAS ACCESS TO ALL IDENTIFIED NEEDS, THOSE SERVICES THAT CANNOT BE DIRECTLY DONE BY FWMC ARE SERVICES THAT THE HOSPITAL HAS DEVELOPED A LINK TO CARE TO ASSURE THAT THEY CAN REFER ANY PATIENT TO THE SERVICES THAT ARE IDENTIFIED OR NEEDED. SHADY GROVE MEDICAL CENTER 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 WHITE OAK MEDICAL CENTER 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 - 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 AHC FORT WASHINGTON MEDICAL CENTER INC. 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 5 1 - ADVENTIST HOME HEALTH SERVICES INC 12041 BOURNEFIELD WAY SUITE B SILVER SPRING MD 20904 HOME HEALTH SERVICES 2 - REGINALD S LOURIE CENTER FOR INFANTS 12301 ACADEMY WAY ROCKVILLE MD 20852 NAME CONT.: AND YOUNG CHILDREN, INC. INFANT & CHILDREN DEVELOPMENT CARE CTR. 3 - SHADY GROVE ADVENTIST RADIATION 20330 SENECA MEADOWS PARKWAY GERMANTOWN MD 20876 NAME CONTINUED: ONCOLOGY CENTER. OUTPATIENT CANCER TREATMENT CENTER. 4 - ADVENTIST HEALTHCARE URGENT CARE 750 ROCKVILLE PIKE ROCKVILLE MD 20852 NAME CONTINUED: CENTERS, INC. CENTERS ALSO IN GERMANTOWN,LAUREL,TAKOMA PARK 5 - ADVENTIST REHABILITATION INC 831 E UNIVERSITY BOULEVARD 14 SILVER SPRING MD 20903 REHABILITATION 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: MARYLAND'S UNIQUE ALL PAYER SYSTEM PROVIDES A MECHANISM FOR INCLUDING UNCOMPENSATED CARE FUNDING IN EACH PROVIDER'S RATES. FOR PURPOSES OF COMPLETING ADVENTIST HEALTHCARE'S FORM 990, THESE UNCOMPENSATED CARE ADJUSTMENTS TO OUR APPROVED RATE ORDER ARE NOT PRESENTED AS AN OFFSET TO THE LEVEL OF UNCOMPENSATED CARE WE PROVIDED.SINCE THE HSCRC ASSESSES HOSPITALS TO SUBSIDIZE THE STATE'S MEDICAID BUDGET DEFICIT, THESE ASSESSMENTS (NET OF AMOUNTS BUILT IN RATES) ARE ALSO COUNTED TOWARD COMMUNITY BENEFITS.FOR PURPOSES OF PREPARING SCHEDULE H OF FORM 990, ADVENTIST HEALTHCARE CALCULATED A COST TO CHARGE RATIO AS REFLECTED IN ITS 2020 AUDITED FINANCIAL STATEMENTS. THE COST TO CHARGE RATIO WAS USED TO REDUCE THE YEARLY CHARITY CARE PROVISION FROM CHARGE TO COST.IN ADDITION, ADVENTIST HEALTHCARE ALSO CONSIDERS THE NET MEDICAID DEFICIT ASSESSMENT AS A COMPONENT OF COMMUNITY BENEFIT. THIS ASSESSMENT IS CHARGED TO ALL MARYLAND HOSPITALS TO FUND THE STATE MEDICAID BUDGET SHORTFALL. 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 HEALTHCARE, INC. CONTRIBUTED TO NUMEROUS COMMUNITY BUILDING ACTIVITIES AS PART OF FULFILLING ADVENTIST HEALTHCARE'S MISSION. ADVENTIST HEALTHCARE'S MISSION IS "WE EXTEND GOD'S CARE THROUGH THE MINISTRY OF PHYSICAL, MENTAL AND SPIRITUAL HEALING." ADVENTIST HEALTHCARE GOES 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 2020, A MAJORITY OF 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 2020, ADVENTIST HEALTHCARE WORKED WITH STATE AND FEDERAL LEADERS TO ENSURE ACCESS TO CARE AND ADEQUATE SUPPORT FOR HEALTHCARE PROVIDERS THROUGHOUT THE COVID19 PANDEMIC. WE ALSO CONTINUED TO SUPPORT OUR COMMUNITY PARTNERS LIKE MANNA FOOD AND OTHERS TO ENSURE VULNERABLE POPULATIONS HAD ACCESS TO FOOD AND OTHER ESSENTIAL NEEDS. WE WORKED WITH THE MARYLAND HOSPITAL ASSOCIATION TO EXPAND ACCESS TO CARE, IN PART BY SUPPORTING PUBLIC POLICY THAT SUPPORTS HEALTH PROFESSIONALS WHO PROVIDE PUBLIC SERVICE IN MARYLAND STATE OR LOCAL GOVERNMENT OR NONPROFIT AGENCIES IN MARYLAND TO LOW INCOME OR UNDERSERVED RESIDENTS. WE WORK CLOSELY WITH LOCAL CHAMBERS OF COMMERCE TO SUPPORT ECONOMIC AND COMMUNITY DEVELOPMENT PROJECTS ACROSS MONTGOMERY COUNTY AND PRINCE GEORGE'S COUNTY.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. A TEAM OF HEALTH EDUCATORS, CLINICAL CARE COORDINATORS, NURSES, PATIENT NAVIGATORS, PUBLIC HEALTH RESEARCHERS AND INTERNS WORK TOGETHER TO ENSURE THE DELIVERY OF POPULATION-BASED CARE AND PROMOTE HEALTH EQUITY IN THE COMMUNITIES WE SERVE.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)FAITH COMMUNITY NURSE NETWORK (FCN):ADVENTIST HEALTHCARE, THROUGH OUR FAITH COMMUNITY HEALTH NETWORK, SERVES THE LOCAL COMMUNITIES OF FAITH (CHURCHES, TEMPLES, MOSQUES, ETC.), BY PROVIDING ASSESSMENT, TRAINING AND CONSULTATION, EMPOWERING THEM TO BECOME CENTERS OF HEALTH AND HEALING, RESULTING IN IMPROVED WHOLE PERSON HEALTH.WE "PROMOTE COMMUNITY HEALTH THROUGH FAITH LEADERS". TOGETHER, SINCE 1995, THIS PARTNERSHIP HAS HELPED INACHIEVING A THRIVING CULTURE DEMONSTRATING PHYSICAL, MENTAL AND SPIRITUAL WELLBEING.OUR COMMITMENT IS TO HELP OUR COMMUNITIES OF FAITH TO DEVELOP STRONG HEALTH MINISTRIES TO REACH THE MEMBERS AND SURROUNDING COMMUNITIES. THIS IS ACCOMPLISHED THROUGH THE ONGOING TRAININGS OF THE FAITH COMMUNITY NURSES, HEALTH MINISTERS, HEALTH TEAMS, PASTORS AND ADMINISTRATORS, SUPPLYING EVIDENCE-BASED EDUCATION AND TOOLS NECESSARY TO ASSESS THE NEEDS AND RISK FACTORS, OUTLINE LIFESTYLE STRATEGIES FOR DISEASE PREVENTION AND MANAGEMENT, IMPLEMENT HEALTH PROGRAMMING (BASED ON ASSESSMENT RESULTS) WITH ONGOING MEASUREMENT AND EVALUATION OF HEALTH OUTCOMES, THEREBY INCREASING THE POTENTIAL FOR OPTIMAL HEALTH AND WHOLENESS. ALL OF THIS IS DONE IN CONJUNCTION WITH THE NEEDS IDENTIFIED IN THE ADVENTIST HEALTHCARE'S COMMUNITY HEALTH NEEDS ASSESSMENT.IT IS NOT A NEW IDEA FOR CHURCHES TO DEVELOP AND IMPLEMENT HEALTH PROGRAMS. CHURCHES CAN BRING A HOLISTIC PERSPECTIVE TO AN UNDERSTANDING OF HEALTH AS BEING IN HARMONY WITH ONESELF, ONE'S GOD, OTHERS AND THE ENVIRONMENT. THE CHURCH IS A KNOWN AND TRUSTED PLACE WHERE PEOPLE FEEL COMFORTABLE IN THEIR MOST VULNERABLE HOUR. IT IS A NATURAL "REFERENCE POINT." AT ADVENTIST HEALTHCARE, WE BELIEVE THIS TO BE A NECESSARY, NATURAL, SYMBIOTIC AND SYNERGISTIC PARTNERSHIP.2)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 $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.3)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 PAMELA CREEKMUR SERVING AS CHAIRWOMAN. 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.4)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; IMPROVE COMMUNITY-BASED RESOURCES FOR THE SEVERELY MENTALLY ILL. MOST RECENTLY NEXUS IS MOVING FORWARD WITH A REGIONAL INITIATIVE TO ADDRESS DIABETES PREVENTION AND MANAGEMENT IN OUR COMMUNITY.5)CASA:THE ADVENTIST HEALTHCARE COMMUNITY PARTNERSHIP FUND (CPF) PROVIDED CASA DE MARYLAND GRANT FUNDING TO SUPPORT ACCESS TO CARE AND SOCIAL SERVICES AMONG LOW-INCOME POPULATIONS IN MONTGOMERY AND PRINCE GEORGE'S COUNTIES. FUNDS WERE USED FOR SERVICES SUCH AS PROVIDER HEALTH AND SOCIAL SERVICE NAVIGATION ASSISTANCE, ASSISTANCE ENROLLING IN OR PRESERVING HEALTH INSURANCE THROUGH PUBLIC OPTIONS AND HEALTH LITERACY WORKSHOPS. FUND WERE UTILIZED TO INCREASE CAPACITY FOR THEIR MULTILINGUAL HEALTH AND SOCIAL SERVICES HOTLINE WHICH PROVIDES HEALTH EDUCATION AND INFORMATION, AS WELL AS NAVIGATIONAL ASSISTANCE TO HEALTH SERVICES, FOOD BANKS, SHELTERS, AND OTHER VITAL SOCIAL SERVICES. THE HOTLINE WAS ALSO ASSISTING CALLERS IN ACCESSING COVID TESTING AND TREATMENT, QUARANTINE SUPPORT AND CONTACT TRACING, AS WELL AS UNEMPLOYMENT AND OTHER PUBLIC BENEFITS. 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 REPORTED IN THE 2020 AUDITED FINANCIAL STATEMENTS. THE ORGANIZATION'S CCR IS THE QUOTIENT THAT RESULTS WHEN TOTAL OPERATING EXPENSE IS DIVIDED BY TOTAL CHARGES 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: 6)LEADERSHIP MONTGOMERY:LEADERSHIP MONTGOMERY'S MISSION IS TO EDUCATE, INSPIRE, CONVENE, AND CONNECT LEADERS TO ADVANCE MONTGOMERY COUNTY. THEY OFFER SEVERAL PROGRAMS FOR BUILDING A NETWORK OF ENGAGED LEADERS IN OUR COMMUNITY. THEY ALSO HAVE A STRONG FOCUS ON VOLUNTEERING THROUGH THEIR CORPORATE VOLUNTEER COUNCIL PROGRAM WHICH IS DESIGNED TO CONNECT BUSINESSES AND PROFESSIONALS TO STRUCTURED VOLUNTEER AND COMMUNITY ENGAGEMENT OPPORTUNITIES. ADDITIONALLY, THEY HAVE A STRONG FOCUS ON RACIAL EQUITY AND SOCIAL JUSTICE. THEIR REAL INCLUSION PROGRAM EXAMINES THE SYSTEMIC BELIEFS, PRACTICES AND POLICIES THAT HAVE PERPETUATED RACIAL INEQUITIES AND SITUATES THAT ANALYSIS WITHIN THE CONTEXT OF ORGANIZATIONAL LEADERSHIP.IN 2020 ADVENTIST HEALTHCARE PROVIDED LEADERSHIP MONTGOMERY WITH GRANT FUNDING TO EXPAND THEIR RACIAL EQUITY PROGRAMS AND TRAININGS AS WELL AS TO ASSIST WITH THE COORDINATION OF VIRTUAL VOLUNTEER OPPORTUNITIES IN THE COMMUNITY.7)IDENTITY:IDENTITY IS A NON-PROFIT AIMED AT CREATING OPPORTUNITIES FOR LATINO AND OTHER MULTICULTURAL YOUTH IN MONTGOMERY COUNTY TO REALIZE THEIR HIGHEST POTENTIAL THROUGH INCREASED RESILIENCE AGAINST NEGATIVE BEHAVIORS AND INCREASED SELF-MANAGEMENT AND SELF-EFFICACY. THEIR PROGRAMS PROVIDE SOCIAL AND EMOTIONAL SUPPORT, ACADEMIC AID, AND WORKFORCE DEVELOPMENT SKILL-BUILDING SUPPORTED BY WRAPAROUND SERVICES, INCLUDING FAMILY CASE MANAGEMENT, BEHAVIORAL HEALTH (INDIVIDUAL, FAMILY AND GROUP THERAPY UTILIZING BOTH TRADITIONAL AND NON-TRADITIONAL TECHNIQUES), ACCESS TO HEALTHCARE AND FITNESS AND RECREATION. ALL PROGRAMS ARE TRAUMA-INFORMED AND ARE BASED ON THE POSITIVE YOUTH DEVELOPMENT MODEL.THE ADVENTIST HEALTHCARE COMMUNITY PARTNERSHIP FUND PROVIDED IDENTITY WITH GRANT DOLLARS IN 2020 TO RESPOND TO THE TRAUMATIC MENTAL HEALTH IMPACTS OF COVID-19 BY SUPPORTING YOUTH DEVELOPMENT SPECIALISTS AND PARENT OUTREACH WORKERS IN PROVIDING TRAUMA-INFORMED MENTAL HEALTH SUPPORT SERVICES; UP TO 250 HOURS OF VIRTUAL CLINICAL THERAPY; AND PSYCHO EDUCATIONAL GROUPS AND WEBINARS.ADVENTIST HEALTHCARE AS A SYSTEM CONTINUES TO PROVIDE COMMUNITY BUILDING ACTIVITIES IN 2021. 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: ACUTE CARE HOSPITALS IN MARYLAND ARE EXEMPT FROM MEDICARE REIMBURSEMENT METHODOLOGY AND ALL PAYORS (INCLUDING MEDICARE AND MEDICAID) PAY HOSPITALS' CHARGES, WHICH ARE REGULATED BY THE STATE'S HEALTH SERVICES COST REVIEW COMMISSION (HSCRC). SPECIFICALLY, MEDICARE IS AWARDED A DISCOUNT OF 7.7% OF CHARGES WITHOUT AN ADVANCE FUNDING DEPOSIT WITH PROVIDERS, AS WELL AS A 2% REDUCTION FOR SEQUESTRATION. A SHORTFALL WILL ONLY EXIST WHEN THE MEDICARE COLLECTION EXPERIENCE IS LOWER THAN THE FACILITY'S COST TO CHARGE RATIO. IF SUCH A SHORTFALL EXISTS, NONE OF IT SHOULD BE COUNTED TOWARDS A COMMUNITY BENEFIT CALCULATION.ADVENTIST HEALTHCARE USES ITS INCOME STATEMENT TO COMPUTE A COST TO CHARGE RATIO USED TO ESTIMATE THE COST OF PROVIDING CARE TO 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: NEEDS ASSESSMENT:ADVENTIST HEALTHCARE FORMED A COMMUNITY BENEFIT STEERING COMMITTEE (CBSC) IN 2011 TO GUIDE ITS COMMUNITY BENEFIT ACTIVITIES AND STRATEGY. THE COMMUNITY BENEFIT STEERING COMMITTEE HAS REPRESENTATION FROM EACH OF OUR HOSPITAL ENTITIES AS WELL AS ADDITIONAL KEY SYSTEM-WIDE DEPARTMENTS SUCH AS FINANCE, POPULATION HEALTH AND MISSION INTEGRATION. THE CBSC LEADS THE COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS AND THE DEVELOPMENT AND MONITORING OF EACH HOSPITAL'S IMPLEMENTATION STRATEGY. 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 ARE ABLE TO 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 ONE HEALTH QUALITY 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 AND CAN HEAR FEEDBACK REGARDING COMMUNITY NEEDS FROM OUR PROVIDERS AND PATIENTS. 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: COMMUNITY INFORMATION:ADVENTIST HEALTHCARE SHADY GROVE MEDICAL CENTER (SGMC) PRIMARILY SERVICES RESIDENTS OF MONTGOMERY COUNTY, MARYLAND. APPROXIMATELY 85.0 PERCENT OF DISCHARGES COME FROM OUR TOTAL SERVICE AREA, WHICH IS CONSIDERED ADVENTIST HEALTHCARE SHADY GROVE MEDICAL CENTER'S COMMUNITY BENEFIT SERVICE AREA (CBSA). WITHIN THAT AREA, 60.0 PERCENT OF DISCHARGES ACCOUNT FOR THE PRIMARY SERVICE AREA (PSA), WHICH INCLUDES THE FOLLOWING ZIP CODES/CITIES: 20874 GERMANTOWN, 20878 GAITHERSBURG, 20850 ROCKVILLE, 20877 GAITHERSBURG, 20886 MONTGOMERY VILLAGE, 20879 GAITHERSBURG, 20852 ROCKVILLE, 20876 GERMANTOWN, 20854 POTOMAC, 20871 CLARKSBURG, AND 88888 HOMELESS. THE REMAINING 25.0 PERCENT OF DISCHARGES ACCOUNT FOR OUR SECONDARY SERVICE AREA (SSA), WHICH INCLUDES THE FOLLOWING ZIP CODES/CITIES: 20906 - SILVER SPRING, 20853 ROCKVILLE, 20855 DERWOOD, 20851 ROCKVILLE, 20872 DAMASCUS, 20882 GAITHERSBURG, 20832 OLNEY, 20902 SILVER SPRING, 20904 SILVER SPRING, 20837 POOLESVILLE, 20841 BOYDS, 20817 BETHESDA, 20814 BETHESDA, 21703 FREDRICK, 20901 SILVER SPRING, 20910 SILVER SPRING, 21771 MOUNT AIRY, 20895 KENSINGTON, 21704 FREDRICK, 21702 FREDRICK.IN MARYLAND, THE POPULATION DEMOGRAPHICS ARE RAPIDLY CHANGING, PARTICULARLY AMONG RESIDENTS LIVING IN MONTGOMERY COUNTY. ADVENTIST HEALTHCARE SERVES SOME OF THE MOST DIVERSE COMMUNITIES IN THE UNITED STATES, CONSTANTLY UNDERGOING ECONOMIC, SOCIAL AND DEMOGRAPHIC SHIFTS THAT RESULT FROM AN EVER-CHANGING, EVER-GROWING POPULATION. MONTGOMERY COUNTY IS THE MOST POPULOUS JURISDICTION IN MARYLAND AND HAS RETAINED ITS STATUS AS THE SECOND LARGEST JURISDICTION IN THE WASHINGTON, D.C. METROPOLITAN AREA. FROM 1990 TO 2017, MONTGOMERY COUNTY'S POPULATION GREW 38 PERCENT, INCREASING FROM 765,476 TO 1,058,810 PEOPLE. THE GREATEST POPULATION GROWTH OCCURRED INSIDE THE CAPITAL BELTWAY (INTERSTATE 495). ACCORDING TO THE MARYLAND-NATIONAL CAPITAL PARK AND PLANNING COMMISSION (MNCPPC), THE GROWTH IN MONTGOMERY COUNTY WAS DRIVEN LARGELY BY BIRTHS TO RESIDENTS AND INCREASING INTERNATIONAL MIGRATION. AT 32.6 PERCENT, MONTGOMERY COUNTY HAS A FOREIGN-BORN POPULATION TWICE THAT OF THE STATE OF MARYLAND. MONTGOMERY COUNTY IS A MAJORITY-MINORITY COUNTY, MEANING IT IS MADE UP OF LESS THAN 50 PERCENT NON-HISPANIC WHITES. THE MAJORITY OF RESIDENTS (43.4 PERCENT) IN MONTGOMERY COUNTY ARE NON-HISPANIC WHITE, FOLLOWED BY BLACK AND HISPANIC (19.9 PERCENT EACH), AND ASIAN (15.6 PERCENT). THE RACIAL AND ETHNIC DIVERSITY IN THE COUNTY HAS CONTINUED TO INCREASE WITH THE INCREASE IN THE OVERALL POPULATION. AGING POPULATION: ACCORDING TO THE MARYLAND-NATIONAL CAPITAL PARK AND PLANNING COMMISSION (MNCPPC), THERE HAS BEEN A NOTICEABLE POPULATION AGE SHIFT IN MONTGOMERY COUNTY FROM 1990 TO 2016, LARGELY IN PART TO THE AGING BABY BOOMER GENERATION BORN BETWEEN 1946 AND 1964. FROM 1990-2016 THE MEDIAN AGE OF RESIDENTS IN THE COUNTY ROSE FROM 33.9 YEARS TO 39 YEARS. MEANWHILE, THE PERCENTAGE OF YOUNG ADULTS, 20 TO 34 YEARS, DECREASED BY 7.7 PERCENT AND ADULTS AGE 35 TO 44 YEARS DECREASED BY 3.9 PERCENT. CHILDREN UNDER AGE 18 DECREASED MARGINALLY AND ARE PROJECTED TO REMAIN STEADY. THE FASTEST GROWING POPULATION, 65+, IS PROJECTED TO GROW 7 PERCENT REACHING 21 PERCENT OF THE POPULATION BY 2040. FOREIGN-BORN POPULATION: ACCORDING TO THE U.S. CENSUS BUREAU, MARYLAND IS ONE OF THE TOP TEN DESTINATIONS FOR FOREIGN-BORN INDIVIDUALS WITH A SIGNIFICANT NUMBER RESIDING IN MONTGOMERY COUNTY. FROM 1980 TO 2016, THE POPULATION OF FOREIGN-BORN INDIVIDUALS LIVING IN MONTGOMERY COUNTY INCREASED FROM 12.0 PERCENT TO 33.0 PERCENT. THE MAJORITY OF FOREIGN-BORN RESIDENTS WHO LIVE IN MONTGOMERY COUNTY COME FROM BOTH ASIA AND LATIN AMERICA, WITH THE TOP FIVE COUNTRIES CONSISTING OF EL SALVADOR, CHINA, INDIA, KOREA, AND ETHIOPIA. OF THOSE INDIVIDUALS WHO ARE FOREIGN-BORN AND LIVING IN MONTGOMERY COUNTY, 15.4 PERCENT PRIMARILY SPEAK ENGLISH, 30.8 PERCENT SPEAK SPANISH, 22.4 PERCENT SPEAK AN ASIAN OR PACIFIC ISLANDER LANGUAGE AND 21.4 PERCENT SPEAK AN INDO-EUROPEAN LANGUAGE. IN THE SGMC CBSA, 13.6 PERCENT OF INDIVIDUALS AGED 5+ ARE LIMITED ENGLISH PROFICIENT. WHEN COMPARED TO MONTGOMERY COUNTY AND MARYLAND, SGMC'S CBSA HAS THE SECOND HIGHEST PERCENTAGE OVERALL OF LIMITED ENGLISH PROFICIENT RESIDENTS. INCOME & POVERTY: THE MEDIAN HOUSEHOLD INCOME IN MONTGOMERY COUNTY IS $103,178.14 COMPARATIVELY, THE 2017 MEDIAN HOUSEHOLD INCOME IN MARYLAND IS $78,916, WHICH IS HIGHER THAN THE U.S. MEDIAN OF $57,652. ALTHOUGH THE MEDIAN HOUSEHOLD INCOME OF MONTGOMERY COUNTY IS HIGHER THAN THE STATE'S, SIGNIFICANT INCOME DISPARITIES EXIST WHEN BROKEN DOWN BY RACIAL/ETHNIC GROUPS. THE MEDIAN HOUSEHOLD INCOME OF WHITE AND ASIAN HOUSEHOLDS IS OVER $30,000 HIGHER THAN THAT OF BLACK AND HISPANIC HOUSEHOLDS.THE 2017 FEDERAL POVERTY LEVEL FOR A FAMILY OF FOUR IS $24,600.15. MONTGOMERY COUNTY EXPERIENCED A DECREASE IN RESIDENTS LIVING BELOW THE FEDERAL POVERTY LEVEL FROM 7.5 PERCENT IN 2015 TO 7.0 PERCENT IN 2017. IN 2017, IN MARYLAND, AS WELL AS WITHIN MONTGOMERY COUNTY, FEWER RESIDENTS WERE LIVING BELOW THE POVERTY LEVEL (9.7 PERCENT) THAN IN 2015 (10.0 PERCENT). DESPITE THE SLIGHT DECREASE IN POVERTY RATES, A LARGE INCOME INEQUALITY GAP PERSISTS. BLACK AND HISPANIC RESIDENTS IN MONTGOMERY COUNTY EXPERIENCE POVERTY AT A RATE NEARLY THREE TIMES THAT OF WHITE RESIDENTS.HEALTH INSURANCE COVERAGE: DESPITE MONTGOMERY COUNTY'S RELATIVE WEALTH REGARDING INCOME, EDUCATION AND SUPPORT FOR PUBLIC SERVICES, BETWEEN 80,000 AND 90,000 RESIDENTS ARE UNINSURED. IN MONTGOMERY COUNTY AS WELL AS IN THE STATE OF MARYLAND OVERALL, HISPANICS ARE SIGNIFICANTLY MORE LIKELY NOT TO HAVE HEALTH INSURANCE COMPARED TO WHITE AND BLACK INDIVIDUALS.ADVENTIST HEALTHCARE WHITE OAK MEDICAL CENTER (WOMC) PRIMARILY SERVICES RESIDENTS OF MONTGOMERY AND PRINCE GEORGE'S COUNTIES IN MARYLAND. AS A NEW HOSPITAL, WOMC HAS A REDEFINED PROJECTED COMMUNITY BENEFIT SERVICE AREA (CBSA) IN COMPARISON TO ITS PREVIOUS LOCATION IN TAKOMA PARK (WHILE OPERATING AS WASHINGTON ADVENTIST HOSPITAL). THE PROJECTED CBSA WAS DETERMINED TAKING SEVERAL FACTORS INTO ACCOUNT SUCH AS PROXIMITY (DRIVE TIME AND DISTANCE) OF ZIP CODES TO ACUTE CARE HOSPITALS AND PROVIDERS, PREVIOUS PRESENCE AND MARKET SHARE WITHIN EACH ZIP CODE, AND PROJECTED SHIFT OF PRESENCE AND MARKET SHARE AS A RESULT OF THE RELOCATION OF THE HOSPITAL TO WHITE OAK. APPROXIMATELY 85.0 PERCENT OF DISCHARGES COME FROM OUR TOTAL SERVICE AREA, WHICH IS CONSIDERED ADVENTIST HEALTHCARE WHITE OAK MEDICAL CENTER'S COMMUNITY BENEFIT SERVICE AREA (CBSA). WITHIN THAT AREA, 60.0 PERCENT OF DISCHARGES ACCOUNT FOR THE PRIMARY SERVICE AREA (PSA) AND INCLUDE THE FOLLOWING ZIP CODES/CITIES: 20783 HYATTSVILLE, 20912 TAKOMA PARK, 20782 HYATTSVILLE, 20903 SILVER SPRING, 20901 SILVER SPRING, 20904 SILVER SPRING, 20740 COLLEGE PARK, 20906 SILVER SPRING, 20705 BELTSVILLE, AND 88888 HOMELESS. THE REMAINING 25.0 PERCENT OF DISCHARGES ACCOUNT FOR OUR SECONDARY SERVICE AREA (SSA) WHICH INCLUDES THE FOLLOWING ZIP CODES/CITIES: 20011 WASHINGTON, 20737 RIVERDALE, 20902 SILVER SPRING, 20770 GREENBELT, 20784 HYATTSVILLE, 20706 LANHAM, 20781 HYATTSVILLE, 20712 MOUNT RAINIER, 20785 HYATTSVILLE, 20012 WASHINGTON, 20707 LAUREL, 20708 LAUREL, 20743 CAPITOL HEIGHTS, 20774 UPPER MARLBORO, 20747 DISTRICT HEIGHTS, 20710 BLADENSBURG, 20905 SILVER SPRING, 20721 BOWIE, 20772 UPPER MARLBORO, 20866 BURTONSVILLE, 20715 BOWIE, 20850 ROCKVILLE, 20853 ROCKVILLE, 20723 LAUREL.MONTGOMERY COUNTY IS THE MOST POPULOUS JURISDICTION IN MARYLAND AND HAS RETAINED ITS STATUS AS THE SECOND LARGEST JURISDICTION IN THE WASHINGTON, D.C. METROPOLITAN AREA. FROM 1990 TO 2017, MONTGOMERY COUNTY'S POPULATION GREW 38 PERCENT, INCREASING FROM 765,476 TO 1,058,810 PEOPLE. THE GREATEST POPULATION GROWTH OCCURRED INSIDE THE CAPITAL BELTWAY (INTERSTATE 495), WHICH ALSO INCLUDES PRINCE GEORGE'S COUNTY. ACCORDING TO THE MARYLAND-NATIONAL CAPITAL PARK AND PLANNING COMMISSION (MNCPPC), THE GROWTH IN MONTGOMERY COUNTY WAS DRIVEN LARGELY BY BIRTHS TO RESIDENTS AND INCREASING INTERNATIONAL MIGRATION. AT 32.6 PERCENT, MONTGOMERY COUNTY HAS A FOREIGN-BORN POPULATION TWICE THAT OF THE STATE OF MARYLAND. PRINCE GEORGE'S COUNTY IS THE SECOND-LARGEST JURISDICTION IN MARYLAND WITH NEARLY ONE MILLION RESIDENTS. THE COUNTY HAS SEEN SIGNIFICANT POPULATION GROWTH INCREASING BY NEARLY 50,000 RESIDENTS OR 5.7 PERCENT FROM 2010 TO 2017. PART VI, LINE 5: COMMUNITY HEALTH PROMOTION:IN KEEPING WITH OUR MISSION, ADVENTIST HEALTHCARE CONTINUES TO PROMOTE GOOD HEALTH IN THE COMMUNITY THROUGH A WIDE VARIETY OF HEALTH AND WELLNESS SERVICES OFFERED THROUGHOUT MONTGOMERY AND PRINCE GEORGE'S COUNTIES IN MARYLAND, AS WELL AS SOME AREAS IN WASHINGTON D.C. AND THE SURROUNDING REGION. BELOW IS A BRIEF SUMMARY OF THE HEALTH PROMOTION ACTIVITIES IN 2020, INCLUDING HEALTH EDUCATION/LECTURES, HEALTH SCREENINGS, SUPPORT GROUPS, AS WELL AS SERVING ON COMMUNITY BOARDS AND COMMITTEES AND SUPPORTING MONTGOMERY COUNTY'S SAFETY NET CLINICS FOR UNINSURED AND UNDERINSURED RESIDENTS. WE FOCUS ON PREVENTION AND MANAGEMENT OF CHRONIC DISEASES PREVALENT IN THE COMMUNITIES WE SERVE, AS WELL AS OUTREACH AND CULTURALLY COMPETENT SERVICES TO VULNERABLE POPULATIONS.> A VARIETY OF HEALTH EDUCATION LECTURES AND PROGRAMS WERE CONVERTED TO BE VIRTUAL TO CONTINUE TO BE A RESOURCE FOR COMMUNITY MEMBERS DURING COVID. > MATERNAL/CHILD/FAMILY EDUCATORS PROVIDED SUPPORT AND ASSISTANCE TO THOUSANDS OF NEW AND EXPERIENCED PARENTS AND CAREGIVERS THROUGH CLASSES AND SUPPORT GROUPS. THESE PROGRAMS WERE ALSO CONVERTED TO BE OFFERED VIRTUALLY. EXAMPLES OF PROGRAMS INCLUDED BREASTFEEDING SUPPORT GROUPS, DISCOVERING MOTHERHOOD, NAVIGATING FATHERHOOD, AND PERINATAL LOSS. WE ALSO OFFER A FREE WARM LINE THAT IS STAFFED BY A CERTIFIED LACTATION CONSULTANT WHO IS ABLE TO ANSWER BREASTFEEDING QUESTIONS.> ADVENTIST HEALTHCARE HAS A HEALTH MINISTRY PROGRAM THAT SPECIFICALLY SUPPORTS FAITH COMMUNITY NURSES AND CONGREGATIONS TO ADDRESS HEALTH ISSUES IN FAITH-BASED COMMUNITIES. MORE THAN 140 CONGREGATIONS OF VARIOUS FAITHS ARE INVOLVED IN OUR PROGRAM, RECEIVING ONGOING SUPPORT AND RESOURCES.> PERSONNEL FROM VARIOUS DEPARTMENTS ARE ACTIVE IN THE COMMUNITY SERVING ON VARIOUS BOARDS, COALITIONS AND COMMITTEES TO HELP ADDRESS HEALTH IN THE COMMUNITY, PARTICULARLY THE HEALTH OF THE UNDERSERVED AND AT-RISK POPULATIONS. > EACH OF THE HOSPITALS SUPPORTS ACCESS TO CARE BY PROVIDING FINANCIAL AND IN-KIND SUPPORT TO THE SAFETY NET CLINICS IN MONTGOMERY COUNTY. THIS SUPPORT INCLUDES FINANCIAL CONTRIBUTIONS AND PROVISION OF LABORATORY AND RADIOLOGY SERVICES.> TO MEET THE CONTINUING NEEDS OF OUR DIVERSE COMMUNITY, ADVENTIST HEALTHCARE PROVIDES CULTURAL AND LINGUISTIC COMPETENCY TRAINING TO MEDICAL AND SUPPORT STAFF.> THROUGH ADVENTIST HEALTHCARE'S COMMUNITY PARTNERSHIP FUND (CPF), GRANT AND SPONSORSHIP FUNDING IS PROVIDED TO NON-PROFIT ORGANIZATIONS IN THE COMMUNITY ACROSS TWO FUNDING OBJECTIVES: HEALTH AND WELLNESS AND PARTNERSHIPS. FUNDING IS AWARDED TO ORGANIZATIONS ADDRESSING NEEDS IDENTIFIED IN ONE OF AHC'S COMMUNITY HEALTH NEEDS ASSESSMENTS. IN 2020, CPF PRIORITIES AND PROCESSES PIVOTED TO ADDRESS COVID 19. WE PROVIDED FUNDING TO ORGANIZATIONS TO ENABLE THEM TO EXPAND AND ADAPT THEIR SERVICES AND TO IMPLEMENT PROGRAMS ADDRESSING NEEDS EXACERBATED BY COVID. WE ALSO CHANGED OUR PROCESSES TO REDUCE APPLICANT BURDEN AND TURNAROUND TIME FOR FUNDING DECISIONS.> IN 2020, ADVENTIST HEALTHCARE ALSO PARTNERED WITH THE STATE TO OPEN AN ALTERNATIVE CARE SITE AT OUR WASHINGTON ADVENTIST HOSPITAL SITE IN TAKOMA PARK TO PROVIDE DEDICATED, HIGH-QUALITY CARE FOR COVID PATIENTS. THE ALTERNATIVE CARE SITE IS ONE OF SEVERAL INFUSION CENTERS IN MARYLAND THAT ADMINISTERS MONOCLONAL ANTIBODY TREATMENTS.ADVENTIST HEALTHCARE IS COMMITTED TO ENSURING THAT THE COMMUNITIES IT SERVES THRIVE IN A CULTURE OF WELLNESS AND ENJOY ACCESS TO AND THE BENEFITS OF HIGH QUALITY, EQUITABLE HEALTHCARE THAT PROMOTES PHYSICAL, MENTAL AND SPIRITUAL WELLBEING. PART VI, LINE 6: AFFILIATED HEALTH CARE: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 AS A WHOLE.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 HEALTHCARE URGENT CARE CENTERS, AND OTHER HEALTH SERVICES. TOGETHER 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 2020, THERE WERE APPROXIMATELY 673,144 OVERALL ENCOUNTERS ACROSS ALL OF 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 5,934 EMPLOYEES AND NUMEROUS VOLUNTEERS PROVIDING OVER 25,929 HOURS OF TIME, THROUGHOUT ADVENTIST HEALTHCARE WHO PROVIDE COMPASSIONATE, HIGH-QUALITY CARE EACH AND 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 PART VI, LINE 4: COMMUNITY INFORMATION:BOTH MONTGOMERY AND PRINCE GEORGE'S COUNTIES ARE MAJORITY-MINORITY COUNTIES MEANING THEY ARE MADE UP OF LESS THAN 50 PERCENT NON-HISPANIC WHITES. THE MAJORITY OF RESIDENTS (62.0 PERCENT) IN PRINCE GEORGE'S COUNTY ARE BLACK, FOLLOWED BY HISPANIC OR LATINO (19.1 PERCENT). THE MAJORITY OF RESIDENTS (43.4 PERCENT) IN MONTGOMERY COUNTY ARE NON-HISPANIC WHITE, FOLLOWED BY BLACK AND HISPANIC (19.9 PERCENT EACH), AND ASIAN (15.6 PERCENT). THE RACIAL AND ETHNIC DIVERSITY IN THE COUNTY HAS CONTINUED TO INCREASE WITH THE INCREASE IN THE OVERALL POPULATION.AGING POPULATION: ACCORDING TO THE MARYLAND-NATIONAL CAPITAL PARK AND PLANNING COMMISSION (MNCPPC), THERE HAS BEEN A NOTICEABLE POPULATION AGE SHIFT IN MONTGOMERY COUNTY FROM 1990 TO 2016, LARGELY IN PART TO THE AGING BABY BOOMER GENERATION BORN BETWEEN 1946 AND 1964. FROM 1990-2016 THE MEDIAN AGE OF RESIDENTS IN THE COUNTY ROSE FROM 33.9 YEARS TO 39 YEARS. MEANWHILE, THE PERCENTAGE OF YOUNG ADULTS, 20 TO 34 YEARS, DECREASED BY 7.7 PERCENT AND ADULTS AGE 35 TO 44 YEARS DECREASED BY 3.9 PERCENT. CHILDREN UNDER AGE 18 DECREASED MARGINALLY AND ARE PROJECTED TO REMAIN STEADY. ACCORDING TO DATA FROM THE U.S. CENSUS AMERICAN COMMUNITY SURVEY, THERE HAS ALSO BEEN A SIGNIFICANT POPULATION AGE SHIFT IN PRINCE GEORGE'S COUNTY FROM 1990 TO 2016. SIMILAR TO MONTGOMERY COUNTY, THE LARGEST AGE GROUP IN 1990 WAS 20-34 YEARS, COMPARED TO 45-64 YEARS IN 2016. THE 35-44 AGE GROUP HAS DECREASED 4.0 PERCENT AND CHILDREN UNDER AGE 18 DECREASED MARGINALLY AND ARE PROJECTED TO REMAIN STEADY. THE FASTEST GROWING POPULATION, 65+, IS PROJECTED TO GROW 7.0 PERCENT IN MONTGOMERY AND 9.0 PERCENT IN PRINCE GEORGE'S, REACHING 21.0 PERCENT OF THE POPULATION IN BOTH COUNTIES BY THE YEAR 2040.FOREIGN BORN POPULATION: ACCORDING TO THE U.S. CENSUS BUREAU, MARYLAND IS ONE OF THE TOP TEN DESTINATIONS FOR FOREIGN-BORN INDIVIDUALS WITH A SIGNIFICANT NUMBER RESIDING IN MONTGOMERY COUNTY. FROM 1980 TO 2016, THE POPULATION OF FOREIGN-BORN INDIVIDUALS LIVING IN MONTGOMERY COUNTY INCREASED FROM 12.0 PERCENT TO 33.0 PERCENT. THE MAJORITY OF FOREIGN-BORN RESIDENTS WHO LIVE IN MONTGOMERY COUNTY COME FROM BOTH ASIA AND LATIN AMERICA, WITH THE TOP FIVE COUNTRIES CONSISTING OF EL SALVADOR, CHINA, INDIA, KOREA, AND ETHIOPIA. OF THOSE INDIVIDUALS WHO ARE FOREIGN-BORN AND LIVING IN MONTGOMERY COUNTY, 15.4 PERCENT PRIMARILY SPEAK ENGLISH, 30.8 PERCENT SPEAK SPANISH, 22.4 PERCENT SPEAK AN ASIAN OR PACIFIC ISLANDER LANGUAGE AND 21.4 PERCENT SPEAK AN INDO-EUROPEAN LANGUAGE. IN PRINCE GEORGE'S COUNTY, ONE OUT OF EVERY FIVE RESIDENTS OR 22.6 PERCENT ARE BORN OUTSIDE THE UNITED STATES. IN 2017 ALONE, THERE WERE OVER 200,000 FOREIGN-BORN RESIDENTS IN THE COUNTY. THE TOP FIVE COUNTRIES THAT CONTRIBUTE THE MOST TO THE FOREIGN-BORN POPULATION INCLUDE: EL SALVADOR, NIGERIA, GUATEMALA, MEXICO, AND JAMAICA. OF THE FOREIGN-BORN RESIDENTS LIVING IN PRINCE GEORGE'S COUNTY, ONE IN FIVE OR 21.5 PERCENT SPEAK ENGLISH AS THEIR PRIMARY LANGUAGE AND 44 PERCENT SPEAK SPANISH. IN THE WOMC CBSA, NEARLY 15.0 PERCENT OF INDIVIDUALS AGED 5+ ARE LIMITED ENGLISH PROFICIENT. WHEN COMPARED TO BOTH COUNTIES AND MARYLAND, WOMC'S CBSA HAS THE HIGHEST PERCENTAGE OVERALL OF LIMITED ENGLISH PROFICIENT RESIDENTS.INCOME & POVERTY: THE MEDIAN HOUSEHOLD INCOMES IN MONTGOMERY AND PRINCE GEORGE'S COUNTIES ARE $103,178 AND $78,607, RESPECTIVELY. COMPARATIVELY, THE 2017 MEDIAN HOUSEHOLD INCOME IN MARYLAND IS $78,916, WHICH IS HIGHER THAN THE U.S. MEDIAN OF $57,652. WHEN BROKEN DOWN BY RACE AND ETHNICITY, SIGNIFICANT INCOME DISPARITIES EXIST. IN MONTGOMERY COUNTY, THE MEDIAN INCOME OF WHITE AND ASIAN HOUSEHOLDS IS OVER $30,000 HIGHER THAN THAT OF BLACK AND HISPANIC HOUSEHOLDS. IN PRINCE GEORGE'S COUNTY, ASIAN AND WHITE HOUSEHOLDS HAVE THE LARGEST MEDIAN HOUSEHOLD INCOME, FOLLOWED BY BLACK HOUSEHOLDS AND HISPANIC HOUSEHOLDS WHO HAVE THE LARGEST INCOME INEQUALITY.THE 2017 FEDERAL POVERTY LEVEL FOR A FAMILY OF FOUR IS $24,600.19. MONTGOMERY COUNTY EXPERIENCED A DECREASE IN RESIDENTS LIVING BELOW THE FEDERAL POVERTY LEVEL FROM 7.5 PERCENT IN 2015 TO 7.0 PERCENT IN 2017. IN 2017, ACROSS ALL COUNTIES IN MARYLAND, FEWER RESIDENTS WERE LIVING BELOW THE POVERTY LEVEL (9.7 PERCENT) THAN IN 2015 (10.0 PERCENT). DESPITE THE SLIGHT DECREASE IN POVERTY RATES, A LARGE INCOME INEQUALITY GAP PERSISTS. IN MARYLAND, WHITE INDIVIDUALS HAVE THE LOWEST PERCENTAGE OF RESIDENTS LIVING IN POVERTY WHEN COMPARED TO NON-WHITE INDIVIDUALS. IN PRINCE GEORGE'S COUNTY, WHITE RESIDENTS HAVE A HIGHER PERCENTAGE OF INDIVIDUALS LIVING IN POVERTY COMPARED TO BLACK AND ASIAN RESIDENTS WHO EXPERIENCE THE LOWEST RATES OF POVERTY. IN MONTGOMERY COUNTY BLACK AND HISPANIC RESIDENTS EXPERIENCE POVERTY AT A RATE NEARLY THREE TIMES THAT OF WHITE RESIDENTS.HEALTH INSURANCE COVERAGE: DESPITE MONTGOMERY COUNTY'S RELATIVE WEALTH REGARDING INCOME, EDUCATION AND SUPPORT FOR PUBLIC SERVICES, BETWEEN 80,000 AND 90,000 RESIDENTS ARE UNINSURED. MORE THAN 100,000 RESIDENTS IN PRINCE GEORGE'S COUNTY ARE UNINSURED. IN MONTGOMERY AND PRINCE GEORGE'S COUNTIES AS WELL AS IN MARYLAND OVERALL, HISPANICS ARE SIGNIFICANTLY MORE LIKELY TO NOT HAVE HEALTH INSURANCE COVERAGE COMPARED TO WHITE AND BLACK INDIVIDUALS. 1 ADVENTIST HEALTH INTERNATIONAL 11060 ANDERSON ST LOMA LINDA CA 92350 330940020 501-(C)-(3) 30000 COVID19 EMERGENCY FUNDING: TO INCREASE CAPACITY FOR THEIR MULTILINGUAL HEALTH AND SOCIAL SERVICES HOTLINE. BIOHEALTH INNOVATION INC 1 CHURCH STREET 801 ROCKVILLE MD 20850 453824067 501-(C)-(3) 25000 TO PROVIDE CONTRIBUTION TOWARDS RESEARCH. CASA OF MARYLAND INC 8151 15TH AVENUE LANGLEY PARK MD 20783 521372972 501-(C)-(3) 30000 TO SUPPORT INCREASED CAPACITY FOR THE MULTILINGUAL HEALTH AND SOCIAL SERVICES HOTLINE. THE HOTLINE PROVIDES: HEALTH EDUCATION NAVIGATIONAL ASSISTANCE TO HEALTH SERVICES, FOOD BANKS, SHELTER, UNEMPLOYMENT, PUBLIC BENEFITS AND OTHER VITAL SOCIAL SERVICES ASSISTANCE ACCESSING COVID TESTING AND TREATMENT AS WELL AS QUARANTINE SUPPORT. CENTRE POINTE COUNSELING PO BOX 1278 LINCOLNTON NC 28093 521288655 501-(C)-(3) 20000 DONATION TOWARDS SPIRITUALLY BASED COUNSELING. COMMUNITY HEALTH AND EMPOWERMENT INC 8545 PINEY BRANCH RD SILVER SPRING MD 20910 273662468 501-(C)-(3) 80000 COVID19 EMERGENCY FUNDING: TO SUPPORT COVID-19 POSITIVE FAMILIES TO STAY HOME SAFELY; TO PURCHASE AND DELIVER FOOD, TOILETRIES AND SUPPLIES; AND PROVIDE CASE MANAGEMENT AND NAVIGATION SERVICES FOR IMPACTED FAMILIES. ALSO, TO HELP WITH THE LONG BRANCH HEALTHY FOOD ACCESS PROGRAM, WHICH PROVIDES SUPPORT AND FRESH PRODUCE FOR INDIVIDUALS WITH DIABETES EXPERIENCING FOOD INSECURITY. CROSSROADS COMMUNITY FOOD NETWORK INC 6930 CARROLL AVE SUITE 426 TAKOMA PARK MD 20912 364635237 501-(C)-(3) 35000 COVID19 EMERGENCY FUNDING: TO PROVIDE WEEKLY FRESH PRODUCE DELIVERIES FOR 230+ LOW INCOME SENIORS. US DREAM ACADEMY INC 5950 SYMPHONY WOODS ROAD COLUMBIA MD 21044 593514841 501-(C)-(3) 88940 DONATION TO THE DREAM ACADEMY TO HELP OUR NATION'S CHILDREN REACH FOR THEIR DREAMS. THROUGH ACADEMIC, SOCIAL, AND VALUES ENRICHMENT, THE DREAM ACADEMY EMPOWERS THOSE CHILDREN MOST AT RISK OF INCARCERATION TO BELIEVE IN THEMSELVES AND TO SUCCEED. EVERYMIND 1000 TWINBROOK PARKWAY ROCKVILLE MD 20851 520681147 501-(C)-(3) 25000 SPONSORSHIP OF THE EVERYMIND 5K RUN/3K WALK RAISING FUNDS FOR EVERYMIND AND RAISING AWARENESS OF THE IMPORTANCE OF MENTAL HEALTH AND WELLNESS. FOOD & FRIENDS 219 RIDGE ROAD NE WASHINGTON DC 20011 521648941 501-(C)-(3) 20000 COVID19 EMERGENCY FUNDING: TO PURCHASE LARGER FOOD AND INGREDIENT QUANTITIES TO FULFILL PREPARED MEAL DELIVERIES FOR SENIORS AND CHRONICALLY ILL INDIVIDUALS. GENERATION HOPE 415 MICHIGAN AVE NE 250 WASHINGTON DC 20017 273554088 501-(C)-(3) 20000 GENERATION HOPE SURROUNDS MOTIVATED TEEN PARENTS (OUR SCHOLARS) AND THEIR CHILDREN WITH THE MENTORS, EMOTIONAL SUPPORT, AND FINANCIAL RESOURCES THAT THEY NEED TO THRIVE IN COLLEGE AND KINDERGARTEN, THEREBY DRIVING A TWO-GENERATION SOLUTION TO POVERTY. GEORGE MASON UNIVERSITY FOUNDATION INC 4400 UNIVERSITY DRIVE MSN 1A3 FAIRFAX VA 22030 541603842 501-(C)-(3) 5000 FUNDS PROVIDED TO "THE STEPHEN S. FULLER INSTITUTE FOR RESEARCH ON THE WASHINGTON REGION'S ECONOMIC FUTURE", IN ORDER TO HELP PRODUCE HIGH-QUALITY AND POLICY-RELEVANT RESEARCH, SUCH AS HOUSING RESEARCH. HEARTS & HOMES FOR YOUTH INC 3919 NATIONAL DR SUITE 400 BURTONSVILLE MD 20866 526060576 501-(C)-(3) 15000 HEARTS & HOMES FOR YOUTH IS A NONPROFIT ORGANIZATION DEDICATED TO EMPOWERING YOUTH WHO HAVE EXPERIENCED ABUSE, NEGLECT, MENTAL HEALTH ISSUES, HOMELESSNESS, AND OTHER TRAUMA, TO MAKE POSITIVE LIFE CHOICES AND BUILD BRIGHTER FUTURES. HOPE CONNECTIONS FOR CANCER SUPPORT INC 9650 ROCKVILLE PIKE BETHESDA MD 20814 203792198 501-(C)-(3) 5000 FUNDS WERE PROVIDED FOR A 7-DAY CHALLENGE TO SPONSOR THE CELEBRATION OF HOPE, TO BENEFIT IN THEIR MISSION OF "TO HELP PEOPLE WITH CANCER AND THEIR LOVED ONES DEAL WITH THE EMOTIONAL AND PHYSICAL IMPACT OF CANCER THROUGH PARTICIPATION IN PROFESSIONALLY FACILITATED PROGRAMS OF EMOTIONAL SUPPORT, EDUCATION, WELLNESS, AND HOPE." IDENTITY 414 EAST DIAMOND AVENUE GAITHERSBURG MD 20877 522120012 501-(C)-(3) 40000 COVID19 EMERGENCY FUNDING: TO PROVIDE 200-250 HOURS OF VIRTUAL CLINICAL THERAPY, TRAUMA INFORMED SUPPORT SERVICES, AND EDUCATION WEBINARS FOR YOUTH AND FAMILIES. IMPACT SILVER SPRING 8545 PINEY BRANCH ROAD SILVER SPRING MD 20901 522164844 501-(C)-(3) 15000 TO SUPPOT TO BRING TOGETHER A DIVERSE CROSS-SECTION OF THE COMMUNITY TO INCREASE OUR COLLECTIVE AWARENESS AND UNDERSTANDING AROUND CRITICAL ISSUES AND THEMES AFFECTING COMMUNITY WELL-BEING. INSTITUTE FOR PUBLIC HEALTH INNOVATION 1301 CONNECTICUTT AVE NW STE 200 WASHINGTON DC 20036 463039129 501-(C)-(3) 37500 PARTNERSHIPS WITH INSTITUTE FOR PUBLIC HEALTH INNOVATION TO COMPLETE IMPLEMENTATION STRATEGY DEVELOPMENT. LEADERSHIP MONTGOMERY 6010 EXECUTIVE BLVD 200 ROCKVILLE MD 20852 521627257 501-(C)-(3) 65000 COVID19 EMERGENCY FUNDING: TO DESIGN AND IMPLEMENT RACIAL EQUITY PROGRAMS AND TOOLS AND TO WORK WITH AREA NON-PROFITS TO COORDINATE VIRTUAL VOLUNTEER OPPORTUNITIES. SUPPORT FOR LEADERSHIP MONTGOMERY'S CORPORATE VOLUNTEER COUNCIL PROGRAM. PARTNERSHIP WITH THEM TO HELP ADVENTIST HEALTHCARE TO DEVELOP AN INTERNAL CORPORATE VOLUNTEER PROGRAM. MANNA FOOD CENTER 614 LOFSTRAND LANE ROCKVILLE MD 20850 521289203 501-(C)-(3) 115000 COVID19 EMERGENCY FUNDING: TO PURCHASE 44,000 LBS. OF SHELF STABLE FOOD FOR 1,450 FAMILIES. PROMOTING FOOD SECURITY AND ENHANCING COMMUNITY HEALTH IN EASTERN MONTGOMERY COUNTY. MANSFIELD KASEMAN HEALTH CLINIC 114 WEST MONTGOMERY AVENUE ROCKVILLE MD 20850 272529951 501-(C)-(3) 40000 COVID19 EMERGENCY FUNDING: TO EXPAND TELEHEALTH CAPABILITIES AND PURCHASE PERSONAL PROTECTIVE EQUIPMENT. MARY'S CENTER FOR MATERNAL & CHILD CARE 2333 ONTARIO ROAD NW WASHINGTON DC 20009 521594116 501-(C)-(3) 43500 COVID19 EMERGENCY FUNDING: TO EXPAND TELEHEALTH SERVICES AND PROVIDE FREE COVID-19 TESTING FOR UNINSURED IMMIGRANT POPULATIONS. TO SUPPORT THE 2020 GALA SPONSORSHIP AND TO SUPPORT THE DEVELOPMENT OF NEW AND EXPANDED CLINIC SPACE FOR MARY'S CENTER IN MONTGOMERY COUNTY, AND TO ALLOW THE ORGANIZATION TO EXPAND HEALTH CARE SERVICES FOR ALL RESIDENTS. MERCY HEALTH CLINIC 9913 KENTSDALE DRIVE POTOMAC MD 20854 522230932 501-(C)-(3) 40000 COVID19 EMERGENCY FUNDING: TO INCREASE HOURS FOR DIRECT MEDICAL AND SUPPORT STAFF. MOBILE MEDICAL CARE INC 9309 OLD GEORGETOWN ROAD BETHESDA MD 208141620 237022588 501-(C)-(3) 42500 COVID19 EMERGENCY FUNDING: TO EXPAND TELEHEALTH SERVICES, PATIENT OUTREACH AND ENGAGEMENT, AND LIMITED HOME VISITS FOR HIGH RISK PATIENTS. MONTGOMERY COUNTY BUSINESS HALL OF FAME 7401 WISCONSIN AVE SUITE 300 BETHESDA MD 20814 520807134 LLP 10000 HELP STUDENTS REALIZE THEIR DREAMS OF OBTAINING A COLLEGE EDUCATION BY SUPPORTING THE UNIVERSITIES AT SHADY GROVE SCHOLARSHIP FUND. MONTGOMERY COUNTY COALITION 600-B EAST GUDE DRIVE ROCKVILLE MD 20850 521735674 501-(C)-(3) 40000 COVID19 EMERGENCY FUNDING: TO SUPPORT THEIR STAFF AS THEY DOUBLE CAPACITY IN THEIR MENS SHELTER AND INCREASE SERVICES AND SUPPORTS FOR CLIENTS CURRENTLY IN PERMANENT SUPPORTIVE HOUSING. MONTGOMERY HOSPICE 1355 PICCARD DRIVE SUITE 100 ROCKVILLE MD 20850 521114719 501-(C)-(3) 25000 COVID19 EMERGENCY FUNDING: TO PREVENT SPREAD OF COVID-19 AMONG STAFF AND PATIENTS THROUGH N-95 FIT TESTING AND PURCHASE OF PERSONAL PROTECTIVE EQUIPMENT AND CLEANING SUPPLIES. NAAHHR 1000 THIRD STREET TILLAMOOK OR 97141 930622075 501-(C)-(3) 6000 2020 NATIONAL ASSOCIATION OF ADVENTIST HEALTHCARE HUMAN RESOURCES ANNUAL CONFERENCE SPONSORSHIP, TO HELP ENHANCE ADVENTIST HEALTHCARE EMPLOYEE ENGAGEMENT. PACIFIC UNION CONFERENCE OF SEVENTH-DAY ADVENTIST PO BOX 5005 WESTLAKE VILLAGE CA 913595005 951816033 C CORP 10000 SPONSORSHIP FOR THE 2020 CONSCIENCE AND JUSTICE COUNCIL CONFERENCE. THE LUCILLE BYARD SYMPOSIUM - INTERSECTIONS OF MENTAL HEALTH AND SOCIAL JUSTICE. PINE FORGE ACADEMY PO BOX 338 PINE FORGE PA 19548 236003304 501-(C)-(3) 50000 DONATION FOR THE CHEMISTRY LAB, IN SUPPORT OF PINE FORGE'S MISSION TO PREPARE STUDENTS SPIRITUALLY, INTELLECTUALLY, PHYSICALLY, AND SOCIALLY FOR SERVICE TO GOD AND MAN. REBUILDING TOGETHER MONTGOMERY COUNTY 3925 PLYERS MIL ROAD SUITE 202 KENSINGTON MD 20895 521667026 501-(C)-(3) 10000 ADDRESSING SOCIAL DETERMINANTS OF HEALTH - SAFE AND HEALTHY HOMES GRANT - BUILD CAPACITY AND SUSTAINABILITY OF THE HEALTHCARE NETWORK SERVING VULNERABLE MONTGOMERY COUNTY RESIDENTS BY PROVIDING A CONTINUATION OF SERVICES FOR LOW-INCOME PATIENTS WHOSE HOME ENVIRONMENTS ARE NEGATIVELY AFFECTING THEIR HEALTH OUTCOMES (I.E. REPAIRS OR INSTALLATION OF SAFE SHOWERS/RAILINGS, ETC.). THE SHEPHERD'S TABLE INC 8210 DIXON AVE SILVER SPRING MD 20910 521381738 501-(C)-(3) 15000 FOOD SERVICE PROGRAM GRANT - PROVIDE 3 MEALS A DAY FOR PEOPLE WHO ARE FOOD INSECURE, EXPERIENCING HOMELESSNESS OR ARE LIVING IN POVERTY. SPENCERVILLE ADVENTIST ACADEMY 15930 GOOD HOPE ROAD SILVER SPRING MD 20904 521714576 501-(C)-(3) 5000 SPONSORSHIP OF SPENCERVILLE ADVENTIST ACADEMY'S 5TH ANNUAL 5K RUN, TO SUPPORT ITS MISSION OF PROVIDING "A DISTINCTIVE SEVENTH-DAY ADVENTIST CHRISTIAN EDUCATION PREPARING THE WHOLE PERSON FOR SERVICE TO GOD AND MAN AND FOR ETERNAL LIFE." STARTING WITH TODAY INC 1523 PACIFIC AVE CAPITOL HEIGHTS MD 20743 463385162 501-(C)-(3) 12000 STARTING WITH TODAY SEEKS TO CONTINUE TO ADDRESS THE SOCIOECONOMIC, CULTURAL, AND TRANSPORTATION GAPS IN BLACK PEOPLE ACCESSING MENTAL HEALTH PROGRAMMING. STRATHMORE HALL FOUNDATION INC 5301 TUCKERMAN LANE BETHESDA MD 20852 521714576 501-(C)-(3) 10000 SHOW SPONSORSHIP OF ACADEMY OF ST MARTIN IN THE FIELDS WITH JOSHUA BELL. THIS SUPPORT HELPS THE STRATHMORE HALL FOUNDATION TO FURTHER ITS MISSION TO PRESENT AND PRODUCE EXEMPLARY VISUAL AND PERFORMING ARTS PROGRAMS FOR DIVERSE AUDIENCES; CREATES DYNAMIC ARTS EDUCATION EXPERIENCES; AND NURTURES CREATIVE IDEAS AND CONVERSATIONS THAT ADVANCE THE FUTURE OF THE ARTS. STROKE COMEBACK CENTER 50 W EDMONSTON DR STE 301 ROCKVILLE MD 20852 542012975 501-(C)-(3) 10000 TOPROVIDE ONGOING AND PERSONALLY MEANINGFUL PROGRAMS WITHIN A SUPPORTIVE AND PEER-DRIVEN ENVIRONMENT THAT IS AFFORDABLE FOR ALL STROKE AND BRAIN TRAUMA SURVIVORS, ENABLING THEM TO ACHIEVE THEIR MAXIMUM POTENTIAL. THE LEUKEMIA & LYMPHOMA SOCIETY INC 3601 EISENHOWER AVE SUITE 450 ALEXANDRIA VA 22304 135644916 C CORP 5000 SPONSORSHIP FOR THE 2020 LEUKEMIA BALL BRONZE SPONSORSHIP, TO HELP IN THEIR MISSION TO CURE LEUKEMIA, LYMPHOMA, HODGKIN'S LYMPHOMA AND MYELOMA, AND IMPROVE THE QUALITY OF LIFE OF PATIENTS AND THEIR FAMILIES. UNIVERSITY SYSTEM OF MARYLAND FOUNDATION 3300 METZEROTT ROAD ADELPHI MD 20783 521125663 501-(C)-(3) 10000 SCHOLARSHIP FUNDING IN SUPPORT OF STUDENTS WHO ARE STUDYING IN PROGRAMS RELATED TO THE ALLIED HEALTH PROFESSIONS. VIETNAMESE AMERICAN SERVICES 11528 COLT TER SILVER SPRING MD 20902 475530373 501-(C)-(3) 10000 HEALTH CARE PROGRAM FOR VIETNAMESE COMMUNITY - PROVIDE PATIENT NAVIGATION, HEALTH INSURANCE ENROLLMENT ASSISTANCE, HEALTH EDUCATION, AND ACCESS TO HEALTH SERVICES TO VIETNAMESE COMMUNITY MEMBERS. WASHINGTON ADVENTIST UNIVERSITY 7600 FLOWER AVENUE TAKOMA PARK MD 20912 520643528 501-(C)-(3) 200000 DONATION TO FURTHER WASHINGTON ADVENTIST UNIVERSITY'S VISION "TO PRODUCE GRADUATES WHO BRING COMPETENCE AND MORAL LEADERSHIP TO THEIR COMMUNITIES." 35 3 PART I, LINE 2: ADVENTIST HEALTHCARE (AHC) IS COMMITTED TO IDENTIFYING AND RESPONDING TO PRIORITY HEALTH NEEDS AND OUTCOMES FOR THE PEOPLE AND COMMUNITIES WE SERVE. THE ADVENTIST HEALTHCARE COMMUNITY PARTNERSHIP FUND (CPF) PROVIDES FUNDING FOR ORGANIZATIONS WHOSE ACTIVITIES SUPPORT OUR MISSION TO PROMOTE HEALTH EQUITY AND WELLNESS IN OUR COMMUNITY. CPF AWARDS GRANTS AND EVENT SPONSORSHIPS TO 501(C)(3) ORGANIZATIONS WHOSE ACTIVITIES ALIGN WITH OUR MISSION AND OUR FUNDING OBJECTIVES: 1. HEALTH & WELLNESS: SUPPORT COMMUNITY HEALTH SERVICES, EDUCATION, AND PREVENTION AND WELLNESS PROGRAMS 2. PARTNERSHIPS: LEVERAGE PARTNERSHIPS TO ADDRESS SOCIOECONOMIC DISADVANTAGES THAT AFFECT HEALTH 2020 FUNDING PRIORITIES: OUR FUNDING PRIORITIES CHANGE OVER TIME TO ALIGN WITH THE FINDINGS OF OUR COMMUNITY HEALTH NEEDS ASSESSMENTS. IN 2020, IN RESPONSE TO COVID-19, OUR PRIORITY AREAS SHIFTED TO ALSO ADDRESS THE PANDEMIC. IN THE SPRING, IN LIEU OF OUR REGULAR SPRING GRANT AND SPONSORSHIP APPLICATION CYCLE, WE RELEASED A COVID-19 EMERGENCY RESPONSE APPLICATION. ORGANIZATIONS WERE ELIGIBLE TO APPLY FOR UP TO $20,000 IN FUNDING THROUGH A SIMPLIFIED APPLICATION FORM WITH AN EXPEDITED REVIEW PROCESS. THESE GRANTS WERE INTENDED TO SUPPORT ORGANIZATIONS IN MEETING EMERGENT COMMUNITY NEEDS AND ALLEVIATE OPERATIONAL HARDSHIPS AS ORGANIZATIONS WORKED TO PIVOT THEIR SERVICE OFFERINGS AND MEET THE INCREASING DEMAND. FOR GRANTEES IN THE MIDDLE OF A FUNDING CYCLE, REPORTING DEADLINES WERE EXTENDED. THE OPTION TO REDIRECT FUNDS TOWARD COVID-19 EFFORTS WAS ALSO PROVIDED. FOR THE FALL 2020 GRANT AND SPONSORSHIP CYCLE, NEW FUNDING PRIORITIES WERE ESTABLISHED. WE CONTINUED TO FOCUS ON PRIORITIZED NEEDS IDENTIFIED THROUGH OUR COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS AS WELL AS NEEDS EXACERBATED BY COVID-19. OUR FUNDING PRIORITIES INCLUDED: 1. ACCESS TO CARE 2. MENTAL HEALTH FOR ADULTS AND YOUTH 3. WORKFORCE DEVELOPMENT 4. SOCIAL SERVICES 5. EDUCATIONAL EQUITY FOR YOUTH 6. RACIAL EQUITY AND JUSTICE 7. REHABILITATION AND DISABILITY SERVICES 8. HIV & HEPATITIS C ADDITIONALLY, FUNDING REQUESTS HAD TO: 1. BE DESIGNED TO ADDRESS DOCUMENTED HEALTH DISPARITIES OR INEQUITIES 2. HAVE A MEASURABLE IMPACT ON THE COMMUNITY BEING SERVED 3. ALIGN WITH ADVENTIST HEALTHCARE'S COMMUNITY-BASED MISSION 4. INCLUDE MEANINGFUL PARTNERSHIPS (PREFERRED BUT NOT REQUIRED) APPLICATION AND REVIEW PROCESS: ALL PROSPECTIVE APPLICANTS ARE ASKED TO COMPLETE A GRANT APPLICATION OR EVENT SPONSORSHIP APPLICATION (E.G., FUNDRAISING GALAS AND SPORTING EVENTS). APPLICATIONS ARE REVIEWED BY THE COMMUNITY PARTNERSHIP FUND BOARD WHICH IS MADE UP OF REPRESENTATIVES FROM ACROSS THE AHC SYSTEM. GRANT MONITORING: ALL GRANT RECIPIENTS (GRANTS TYPICALLY RANGE FROM $10,000-$100,000) ARE ASKED TO COMPLETE BOTH A MID-YEAR PROGRESS REPORT AS WELL AS A FINAL END-OF-YEAR REPORT. FOR THE MID-YEAR REPORT, GRANTEES ARE ASKED TO DESCRIBE THE FOLLOWING: - NUMBER OF INDIVIDUALS WHO HAVE BEEN SERVED THUS FAR; - OUTCOMES, TO DATE, OF THE MEASURABLE OBJECTIVES SPECIFIED IN THE ORIGINAL APPLICATION; - DESCRIPTION OF THE WORK THAT HAS BEEN COMPLETED TO DATE; - CHANGES MADE TO THE PROGRAM/ACTIVITY AS ORIGINALLY DESCRIBED; - CHALLENGES OR DELAYS THAT HAVE BEEN ENCOUNTERED; - EXPENDITURE OF FUNDS THUS FAR; - ESTIMATED EXPENDITURES FOR THE DURATION OF THE GRANT PERIOD. FOR THE FINAL REPORT, GRANTEES ARE ASKED TO DESCRIBE THE FOLLOWING: - TOTAL NUMBER OF INDIVIDUALS SERVED WITH THE FUNDING THAT WAS PROVIDED; - OUTCOMES FOR THE MEASURABLE OBJECTIVES SPECIFIED IN THE ORIGINAL APPLICATION AS WELL AS ANY OTHER OUTCOMES; - DESCRIPTION OF THE WORK THAT WAS ACCOMPLISHED; - CHANGES MADE TO THE PROGRAM/ACTIVITY AS ORIGINALLY DESCRIBED; - CHALLENGES OR DELAYS THAT WERE ENCOUNTERED; - EXPENDITURE OF GRANT FUNDS. SPONSORSHIP MONITORING: ALL SPONSORSHIP RECIPIENTS (SPONSORSHIPS ARE UP TO $5,000) ARE ASKED TO COMPLETE A FINAL REPORT AFTER THEIR EVENT TAKES PLACE. IN THE FINAL REPORT, SPONSORSHIP RECIPIENTS ARE ASKED TO DESCRIBE THE FOLLOWING: - NUMBER OF PARTICIPANTS - EVENT/PROGRAM OUTCOMES THE INFORMATION PROVIDED IN THESE REPORTS IS UTILIZED TO EVALUATE THE OVERALL IMPACT OF THE GRANTEE AND THE FUNDING PROVIDED. IT IS ALSO USED TO INFORM DECISION MAKING REGARDING FUTURE FUNDING AND PARTNERSHIP ENDEAVORS WITH EACH GRANTEE. X X 1 1 X X X X X 1 1 0 0 0 0 0 1 0 TERRY FORDE PRESIDENT & CEO,AHC; BOARD MEMBER 910479 0 363083 0 301512 0 272570 0 35484 0 1883128 0 189349 0 JOHN SACKETT EVP & COO, AHC 646430 0 194690 0 284720 0 26000 0 41261 0 1193101 0 100516 0 PAUL MASSIMIANO PHYSICIAN 1056529 0 0 0 4276 0 25755 0 19388 0 1105948 0 0 0 ANTHONY RONGIONE PHYSICIAN 1058129 0 0 0 2826 0 25755 0 4174 0 1090884 0 0 0 NIV AD PHYSICIAN 1061419 0 0 0 3803 0 5700 0 617 0 1071539 0 0 0 JAMES LEE EVP & CFO, AHC 579230 0 165825 0 110978 0 147781 0 22089 0 1025903 0 71660 0 DANIEL COCHRAN PRESIDENT, SGMC 457069 0 116669 0 108974 0 157560 0 16847 0 857119 0 63802 0 KENNETH DESTEFANO SVP, GENERAL COUNSEL, AHC 415102 0 129009 0 121942 0 109384 0 13971 0 789408 0 60095 0 ANITA JENKINS PRESIDENT,HOWARD UNIVERSITY HOSPITAL 437907 0 0 0 309892 0 26000 0 15214 0 789013 0 0 0 MARTA BRITO PEREZ SVP,POP. HEALTH/POST-ACUTE CARE SVCS 429700 0 133233 0 112816 0 26000 0 15973 0 717722 0 0 0 ANTHONY STAHL PRESIDENT, WOMC 330524 0 0 0 200896 0 105224 0 17366 0 654010 0 0 0 BRENDAN JOHNSON SVP OF HUMAN RESOURCES, AHC 311887 0 99000 0 97756 0 85835 0 21933 0 616411 0 48832 0 BRENT REITZ PRESIDENT, POST-ACUTE CARE SVCS, AHC 312524 0 84544 0 97933 0 97388 0 21962 0 614351 0 53449 0 KRISTEN PULIO SVP,CHIEF REV OFFR/CFO,NON-HOSP SVS 308910 0 72627 0 88112 0 98069 0 8192 0 575910 0 58329 0 MARISSA LESLIE MD BOARD;SYSTEM CHIEF OF PSYCHIATRY,AHC 312363 0 43858 0 1654 0 17955 0 10021 0 385851 0 0 0 KEITH BALLENGER FORMER PRESIDENT, HOME HEALTH 0 0 51384 0 239042 0 0 0 11411 0 301837 0 26011 0 ROSEMARIE MELENDEZRNBSNCEN BOARD;DIR ED&NURSING;TERM END 5/20 45897 0 0 0 98310 0 3107 0 22493 0 169807 0 0 0 PART I, LINE 1A HOUSING ALLOWANCE OR RESIDENCE FOR PERSONAL USE: AS PART OF A RELOCATION PLAN TO THE WASHINGTON, DC AREA, ADVENTIST HEALTHCARE, INC. AND ANITA JENKINS, THE PRESIDENT OF HOWARD UNIVERSITY HOSPITAL, ENTERED INTO A JOINT OWNERSHIP ARRANGEMENT OF A RESIDENTIAL PROPERTY IN THE DISTRICT OF COLUMBIA TO BE USED AS MS. JENKINS'S RESIDENCE. THIS ARRANGEMENT WAS ENTERED ON JUNE 1, 2020. ADVENTIST HEALTHCARE CONTRIBUTED HALF THE PROPERTY'S PURCHASE PRICE THROUGH A SINGLE MEMBER LIMITED LIABILITY COMPANY, AND MS. JENKINS PURCHASED THE OTHER HALF PERSONALLY. FOR THE DURATION OF OCCUPANCY, ADVENTIST HEALTHCARE WILL, BASED UPON THE TERMS OF THE ARRANGEMENT, INCLUDE ON MS. JENKINS'S FORM W2, AS IMPUTED INCOME, ONE-HALF OF THE FAIR MARKET RENTAL VALUE OF THE PROPERTY. THE IMPUTED INCOME FOR MS. JENKIN'S USE OF THE RESIDENCE THROUGH DECEMBER 31, 2021 IS INTENDED TO BE REPORTED ON MS. JENKINS'S 2021 FORM W2. HEALTH OR SOCIAL CLUB DUES OR INITIATION FEES: ADVENTIST HEALTHCARE OWNS A CORPORATE MEMBERSHIP AT A LOCAL GOLF CLUB, IN WHICH THREE ADVENTIST HEALTHCARE EMPLOYEES CAN BE DESIGNATED TO USE THE FACILITIES. CLUB EXPENSES ARE PAID BY ADVENTIST HEALTHCARE, BUT ARE TREATED AS TAXABLE INCOME TO THE RESPECTIVE ADVENTIST HEALTHCARE EMPLOYEES, SUBJECT TO FEDERAL AND STATE TAX WITHHOLDINGS. THE CLUB EXPENDITURES ARE REVIEWED ANNUALLY BY THE EXECUTIVE COMPENSATION COMMITTEE OF THE BOARD OF TRUSTEES, IN ACCORDANCE WITH IRS INTERMEDIATE SANCTIONS GUIDELINES. 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, LINES 4A-B 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 2018 WERE GENERALLY DISTRIBUTED ON JANUARY 1, 2020 AND CONTRIBUTIONS ACCUMULATED IN 2019 WILL GENERALLY BE DISTRIBUTED ON JANUARY 1, 2021. 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 457(F) PLAN DISCUSSED IMMEDIATELY ABOVE PAYS CERTAIN PARTICIPANTS SUPPLEMENTAL 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: $130,857 EARLY LUMP-SUM; MARTA BRITO PEREZ: $88,930 EARLY LUMP-SUM; ANITA JENKINS: $112,182 EARLY LUMP-SUM. ALSO, IN 2020, A SEVERANCE PAYMENT WAS MADE TO: ROSEMARIE MELENDEZ: $98,198; KEITH BALLENGER: $208,904. 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 DISTRIBUTIONS UNDER AN EXECUTIVE RETENTION 457F PLAN, 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 (ONLY FOR EMPLOYEES WHO LEAVE OUR ORGANIZATION), IMPUTED VALUE OF LIFE INSURANCE BENEFITS, 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. 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. A MHHEFA (2011A) 520936091 574218CH4 2011-09-01 57508761 SEE PART VI 0 0 0 B MHHEFA (2013) 520936091 NONEAVAIL 2013-06-12 15623500 SEE PART VI 0 0 0 C MHHEFA (2014A) 520936091 NONEAVAIL 2014-02-26 25000000 SEE PART VI 0 0 0 D MHHEFA (2016A) 520936091 574218T37 2016-12-14 280619392 SEE PART VI 0 0 0 A 57508761 5968288 909734 53581715 2005 1 0 1 1 B 9586837 15623500 15623500 1982 1 0 1 1 C 4599478 25000000 168000 24832000 2014 1 0 1 1 D 2435000 280619392 22835810 33127437 3004524 225516993 2019 1 0 1 1 A 0 1 1 1 1 1 0.01250 0.00000 0.01250 0 0 1 B 0 0 0 0 0.00000 0.00000 0.00000 0 0 1 C 0 1 1 1 1 1 0.00030 0.00000 0.00030 0 0 1 D 0 1 1 1 1 1 0.00000 0.00000 0.00000 0 0 1 A 0 0 0 1 0 0 0 0 1 B 0 0 0 1 0 0 0 0 1 C 0 0 0 1 0 0 0 0 1 D 0 1 0 0 0 0 0 0 1 A 1 B 1 C 1 D 1 PART I, II, & IV: BONDS A-D (ENTITY 1): PART I BOND ISSUES: BOND A (ENTITY 1): COLUMN (A) ISSUER NAME: MARYLAND HEALTH AND HIGHER EDUCATIONAL FACILITIES AUTHORITY (MHHEFA) 2011A COLUMN (F) DESCRIPTION OF PURPOSE: REFUNDING SERIES 2003 B, 2004 AND 2005 ISSUED 2/27/2003, 9/14/04 AND 12/20/05. THE SERIES 2003B, 2004 AND 2005 WERE USED FOR CONSTRUCTION AND RENOVATIONS AT WASHINGTON ADVENTIST HOSPITAL (WAH), SG, ADVENTIST BEHAVIORAL HEALTH (ABH), AND SG NURSING AND REHABILITATION CENTER, EQUIPMENT AT WAH, SG, ABH, AND SG NURSING AND REHABILITATION CENTER, REFINANCE A LINE OF CREDIT; FINANCED AND REFINANCED, A PORTION OF THE EXISTING FACILITIES OF ADVENTIST REHABILITATION HOSPITAL OF MARYLAND (ARHM), ACQUISITION OF LIFE SCIENCES LAND, CONSTRUCTION, RENOVATIONS, PARKING LOTS, FENCES, WALKWAYS, AND LANDSCAPING FOR THE INSTITUTION, ARHM, AND SG NURSING, EQUIPMENT FOR ARHM AND SG NURSING, PLANNING AND DESIGN COSTS RELATED TO SG TOWER, COST OF ACQUISITION OF AN INTEREST IN ARHM; BOND B (ENTITY 1): COLUMN (A) ISSUER NAME: MHHEFA 2013 COLUMN (F) DESCRIPTION OF PURPOSE: REFUND OF 2003 A BONDS REFUND 1991 A FOR THE "1991 A-1 PROJECT" - PROJECTS FINANCED OR REFINANCED WITH THE PROCEEDS OF THE 1983 BONDS, INCLUDING CONSTRUCTION, RENOVATION AND EQUIPPING OF FACILITIES AT WAH; BOND C (ENTITY 1): COLUMN (A) ISSUE NAME: MHHEFA 2014A COLUMN (F) DESCRIPTION OF PURPOSE: ADVENTIST HEALTHCARE SHADY GROVE MEDICAL CENTER (SGMC) F/K/A SHADY GROVE ADVENTIST HOSPITAL - CAF AND KITCHEN SANITARY PIPING CHANGES, PIXUS EXPANSION, INTERIOR WAY/EXTERIOR WAY FINDING, SGMC BASED IT PROJECTS (GE VIEWPOINT, I-HEAL, AEROSCOUT), BUILD OUT OF EXISTING SHELL; RENOVATION IN PLACE OF EXISTING PHARMACY AND IV PREP ROOMS; ADVENTIST HEALTHCARE WASHINGTON ADVENTIST HOSPITAL (AHC-WAH) F/K/A WASHINGTON ADVENTIST HOSPITAL - ULTRASOUND EQUIPMENT, AHC-WAH CERTIFICATE OF NEED EXPENSES; THESE BONDS WERE REFUNDED BY THE ISSUANCE OF THE SERIES 2020 BONDS. THE 2020 BONDS WERE DELIVERED IN EXCHANGE FOR THE PAYMENT OF MONEY ON 12/30/20. THE 2014A BONDS WERE CALLED ON 1/4/21. BOND D (ENTITY 1): COLUMN (A) ISSUE NAME: MHHEFA 2016A COLUMN (F) DESCRIPTION OF PURPOSE: THE 2016A BONDS FINANCED THE CONSTRUCTION OF THE WAH-WHITE OAK REPLACEMENT HOSPITAL. THE HOSPITAL WAS COMPLETED IN 2019 AND OPENED ON 8/25/2019. THE HOSPITAL IS APPROXIMATELY 440,000 SQUARE FEET AND 8 LEVELS. NOTE THAT THE PRIVATE USE PERCENTAGE REPORTED IN THE 2019 SCHEDULE K SHOULD HAVE BEEN 0%. BONDS A-C (ENTITY 2): BOND A (ENTITY 2): COLUMN (A) ISSUER NAME: MHHEFA 2016B (REISSUED IN 2018) ON JULY 3, 2018, THE 2016B BOND WAS REISSUED AS THE 2018 BOND. THE 2016A BONDS WERE NOT AMENDED OR REISSUED ON THIS DATE. THE 2016 ISSUE HAS BEEN PREVIOUSLY REPORTED IN ONE COLUMN AND IS NOW SPLIT BETWEEN TWO COLUMNS, ONE FOR THE 2016A) AND ONE FOR THE 2016B (WHICH WAS DISCLOSED IN THE 2016 COLUMN IN PRIOR YEAR RETURNS). THE 2016B BOND REFUNDED THE 2005 A AND 2011 B BONDS AND FUNDED THE TERMINATION FEE ASSOCIATED WITH THE 2005 A SWAP. 2005 A - SHADY GROVE ADVENTIST HOSPITAL (SGAH) EXPANSION PROJECT SHADY GROVE (SG) TOWER; RENOVATION TO SURGERY DEPARTMENT, MEDICAL/ONCOLOGY NURSING, MEDICAL NURSING, SURGICAL UNITS, EXPANDED EMERGENCY, OBSTETRICS, AND NEONATAL INTENSIVE CARE UNIT; POWER PLANT, ROAD AND ENTRANCEWAY; SIGNAGE AND PARKING; OTHER ROUTINE CAPITAL PROJECTS; 2011 B - REFUNDING OF 2004 A AND 2005 B. FINANCED AND REFINANCED EXISTING FACILITIES AT ARHM, ACQUISITION OF LIFE SCIENCES LAND, FINANCED OR REFINANCED CONSTRUCTION, RENOVATION, PARKING LOTS, FENCES, WALKWAYS, LANDSCAPING, VARIOUS MAJOR MEDICAL EQUIPMENT, FINANCED OR REFINANCED CERTAIN PLANNING AND DESIGN COSTS RELATED TO THE CONSTRUCTION OF THE SG TOWER, COST OF ACQUISITION OF AN INTEREST IN ARHM; ACQUISITION, CONSTRUCTION, RENOVATION, AND EQUIPPING OF ARHM AND WAH, RENOVATION TO WAH AND SG. BOND B (ENTITY 2): COLUMN (A) ISSUER NAME: MHHEFA 2017 (REISSUED IN 2018) COLUMN (F) DESCRIPTION OF PURPOSE: THE 2017 BOND FINANCED THE CONSTRUCTION OF A CENTRAL UTILITY PLANT ON THE SITE OF THE WAH-WHITE OAK REPLACEMENT HOSPITAL. THE CENTRAL UTILITY PLANT WILL PROVIDE CHILLED WATER, HEAT HOT WATER, PROVIDE DOMESTIC HOT WATER, EMERGENCY POWER AND A 1-MEGAWATT COGENERATION UNIT FOR WAH WHITE OAK DURING AND AFTER THE CONSTRUCTION OF THE NEW HOSPITAL. ON SEPTEMBER 25, 2018, THE 2017 BOND WAS REISSUED. NOTE THAT THE PRIVATE USE PERCENTAGE REPORTED IN THE 2019 SCHEDULE K SHOULD HAVE BEEN 0%. PART II, PROCEEDS, COLUMN A: 2011 A HAS A RESERVE FUND VALUED AT $5,968,288 AS OF 12/31/20. THIS RESERVE FUND WAS RESIZED WITH RESPECT TO THE REFUNDING OF THE 2003A BONDS AND COMBINED WITH THE 2011 A RESERVE FUND. ROW 3 WILL NOT TIE TO THE SUM OF ROWS 4-12 FOR THIS BOND ISSUE. PART IV, ARBITRAGE, COLUMN A: THE ARBITRAGE CALCULATION DATE FOR THE 2011 A BONDS WAS SEPTEMBER 1, 2016. PART IV, ARBITRAGE, COLUMN B: THE ARBITRAGE CALCULATION DATE FOR THE 2013 BONDS WAS JUNE 12, 2018. PART IV, ARBITRAGE, COLUMN C: THE ARBITRAGE CALCULATION DATE FOR THE 2014A BONDS WAS JULY 1, 2018. BOND C (ENTITY 2): MHHEFA 2020/2021 THE 2020/2021 ARE PART OF A SINGLE ISSUE SINCE THEY WERE SOLD AT THE SAME TIME BUT THE 2021 BONDS WERE NOT DELIVERED AS OF THE END OF 2020 AND THEREFORE ARE NOT INCLUDED ON THIS SCHEDULE. THE PROCEEDS OF THE 2020 BONDS REFUNDED THE 2014A BONDS. THE 2014A PROJECT CONSISTED OF THE CONSTRUCTION, RENOVATION AND EQUIPPING OF FACILITIES AT THE WASHINGTON ADVENTIST HOSPITAL ("WAH") AND SHADY GROVE ADVENTIST HOSPITAL, INCLUDING THE ADDITION OF 25 BEDS AND THE ACQUISITION AND EQUIPPING OF CERTAIN RADIOLOGY EQUIPMENT AT WAH. THE 2020 BONDS WERE DELIVERED IN EXCHANGE FOR THE PAYMENT OF MONEY ON 12/30/20. THE 2014A BONDS WERE CALLED ON 1/4/21. A MHHEFA (2016B) REISSUED IN 2018 520936091 NONEAVAIL 2018-07-03 126395000 SEE PART VI 0 0 0 B MHHEFA (2017) REISSUED IN 2018 520936091 NONEAVAIL 2018-09-25 40000000 SEE PART VI 0 0 0 C MHHEFA (20202021) 520936091 57421CBT0 2020-12-30 75956550 SEE PART VI 0 0 0 A 4005000 126395000 126395000 2019 1 0 1 1 B 2400000 43100935 1016162 42084773 2019 0 0 1 1 C 20910762 20656289 254472 2015 1 0 0 1 A 0 1 1 1 1 1 0.00000 0.00000 0.00000 0 0 1 B 0 1 1 1 1 1 0.00000 0.00000 0.00000 0 0 1 C 0 1 1 1 1 1 0.00030 0.00000 0.00030 0 0 1 A 0 1 0 0 0 0 0 0 1 B 0 1 0 0 0 0 0 0 1 C 0 1 0 0 0 0 0 0 1 A 1 B 1 C 1 TERRY FORDE OFFICER SEE PT.V X 1530411 1547552 0 1 1 1547552 MARIJANE FORDE SEE PART V. WIFE OF TERRY FORDE. 64244 SEE PART V. MARIJANE FORDE WAS EMPLOYED WITH ADVENTIST HEALTHCARE, INC. AS A NURSE RESIDENCY RECRUITER DURING 2020 AND RECEIVED A SALARY OF $64,244. MARIJANE'S HUSBAND IS TERRY FORDE, WHO IS THE PRESIDENT & CEO OF ADVENTIST HEALTHCARE, INC. AND SECRETARY OF ADVENTIST HEALTHCARE, INC.'S BOARD. TERRY DOES NOT SUPERVISE MARIJANE AND TERRY HAS NO CONTROL OVER MARIJANE'S SALARY. 0 DWAYNE LESLIE SEE PART V. HUSBAND OF MARISSA LESLIE, MD. 311428 SEE PART V. DWAYNE LESLIE WAS EMPLOYED WITH ADVENTIST HEALTHCARE, INC. AS VP, CHIEF COMPLIANCE OFFICER AND DEPUTY GENERAL COUNSEL DURING 2020 AND RECEIVED A SALARY OF $311,428. DWAYNE'S WIFE IS MARISSA LESLIE, MD, WHO IS ADVENTIST HEALTHCARE, INC.'S SYSTEM CHIEF OF PSYCHIATRY AND A BOARD TRUSTEE OF ADVENTIST HEALTHCARE INC.'S BOARD. MARISSA DOES NOT SUPERVISE DWAYNE AND MARISSA HAS NO CONTROL OVER DWAYNE'S SALARY. 0 PART II LOANS PART II, SUPPLEMENTAL RETIREMENT BENEFIT-COLLATERAL ASSIGNMENT SPLIT DOLLAR (CASD)- TERRY FORDE, THE ORGANIZATION'S CEO, AGREED TO RELINQUISH BENEFITS TO WHICH HE WAS OTHERWISE ENTITLED IN EXCHANGE FOR A SPLIT DOLLAR LIFE INSURANCE RETENTION AND LOAN PLAN (THE PLAN). THIS EXCHANGE WAS DONE AT NO ADDED COST TO THE ORGANIZATION. THE PLAN RECEIVED IN EXCHANGE ENABLES THE ORGANIZATION TO ACHIEVE SUBSTANTIAL EXCISE TAX SAVINGS OTHERWISE APPLICABLE TO COMPENSATION, BECAUSE THE PLAN SATISFIES REGULATIONS FOR TREATING THE ORGANIZATION'S PLAN CONTRIBUTIONS AS LOANS RATHER THAN AS COMPENSATION. THE ORGANIZATION WILL BE FULLY REPAID ITS LOAN, PLUS INTEREST, BY THE CEO OR HIS ESTATE. TO ENSURE REPAYMENT, THE LOAN IS SECURED BY A COLLATERAL ASSIGNMENT ON THE LIFE INSURANCE POLICY'S CASH VALUE AND DEATH PROCEEDS. IN ADDITION TO EXCISE SAVINGS AND A RECOVERY OF THE ORGANIZATION'S CONTRIBUTIONS WITH INTEREST, THE PLAN IS STRUCTURED TO PROVIDE THE ORGANIZATION WITH A SIGNIFICANT RETENTION INCENTIVE. THE ORGANIZATION'S ADVISORS HAVE OPINED THAT THIS NEW PROGRAM SATISFIES ALL APPLICABLE LAWS, COMPENSATION REASONABLENESS AND BEST PRACTICE STANDARDS. FORM 990, PART III, LINE 4A, PROGRAM SERVICE ACCOMPLISHMENTS, CONTINUED: ADVENTIST HEALTHCARE REMAINS ONE OF THE LEADING PROVIDERS OF MENTAL HEALTHCARE IN THE WASHINGTON, D.C., METROPOLITAN AREA. IT ESTABLISHED THE FIRST BEHAVIORAL HEALTH UNIT IN MONTGOMERY COUNTY IN 1949. IT PROVIDES A SPECTRUM OF SERVICES AND TREATMENT OPTIONS FOR CHILDREN, ADOLESCENTS, ADULTS AND SENIORS: HOSPITAL-BASED PROGRAMS, SCHOOL PROGRAMS, OUTPATIENT SERVICES AND COMMUNITY-BASED SERVICES. ITS FACILITIES EMPLOY HIGHLY SKILLED, MULTIDISCIPLINARY TEAMS OF PSYCHIATRISTS, SOCIAL WORKERS, CASE MANAGERS, PSYCHIATRIC NURSES, EXPRESSIVE THERAPISTS AND CHAPLAINS WHO PROVIDE COMPASSIONATE BEHAVIORAL HEALTHCARE. ADVENTIST HEALTHCARE EXPANDED ACCESS TO THESE CRUCIAL MENTAL HEALTH SERVICES IN 2020 IN RESPONSE TO THE COVID-19 PANDEMIC. ADVENTIST HEALTHCARE ALSO OFFERS QUALITY POST-ACUTE CARE. ADVENTIST HEALTHCARE REHABILITATION IS THE FIRST AND ONLY HOSPITAL IN A FIVE-STATE AREA TO OBTAIN ACCREDITATIONS FROM THE COMMISSION ON ACCREDITATION OF REHABILITATION FACILITIES INTERNATIONAL FOR CARE OF HOSPITALIZED PATIENTS IN FOUR SPECIALTY AREAS - BRAIN INJURY, SPINAL CORD INJURY, STROKE AND AMPUTATION. ADVENTIST HEALTHCARE'S HOME HEALTH DIVISION WAS NAMED A TOP AGENCY BY HOMECARE ELITE FOR THE NINTH YEAR IN A ROW IN 2019, THE LAST YEAR THE RECOGNITION WAS AWARDED. HERE IS A SNAPSHOT OF ADVENTIST HEALTHCARE IN 2020: 4 HOSPITALS (THREE ACUTE CARE AND ONE SPECIALTY); 1,948 PHYSICIANS AND MEDICAL STAFF MEMBERS; 5,934 EMPLOYEES; 6,036 NEWBORNS DELIVERED; 99,754 HEALTH & WELLNESS ENCOUNTERS. IN RESPONSE TO COVID-19, ADVENTIST HEALTHCARE IN 2020 PROVIDED: 62,801 COVID-19 TESTS; 31,148 TELEHEALTH VISITS; $617,000 IN EMERGENCY FUNDING TO NONPROFITS. 2. INCREASE ACCESS TO CARE: ADVENTIST HEALTHCARE JOINS WITH SEVERAL ORGANIZATIONS TO BRING FREE SERVICES TO COMMUNITIES IN NEED WITH A SPECIAL FOCUS ON WOMEN AND CHILDREN, LOW-INCOME, UNINSURED, AND MINORITY POPULATIONS. ADVENTIST HEALTHCARE IS DEDICATED TO PROGRAMS THAT HELP BUILD HEALTHY FAMILIES AND COMMUNITIES. ADVENTIST HEALTHCARE PARTNERS WITH LOCAL SAFETY NET CLINICS THAT OFFER PRIMARY CARE, OR A MEDICAL HOME, TO UNINSURED RESIDENTS OF MONTGOMERY COUNTY. THROUGH THESE PARTNERSHIPS, ADVENTIST HEALTHCARE HELPS ENSURE THAT UNINSURED PATIENTS HAVE COORDINATED CARE BETWEEN THE CLINIC THAT SERVES AS THEIR MEDICAL HOME AND THE HOSPITAL WHERE THEY RECEIVE CARE AND EDUCATIONAL PROGRAMS. THE PARTNERSHIPS WE HAVE DEVELOPED WITH LOCAL SAFETY NET CLINICS, SUCH AS MERCY HEALTH CLINIC, COMMUNITY CLINIC, INC., MOBILE MEDICAL CARE, INC., AND MARY'S CENTER, IMPROVE ACCESS TO PRIMARY CARE SERVICES FOR UNINSURED AND UNDER-INSURED RESIDENTS. ADVENTIST HEALTHCARE'S SUPPORT INCLUDES BUT IS NOT LIMITED TO PROVIDING LAB WORK, X-RAY SERVICES AND FINANCIAL SUPPORT OF CLINICAL OPERATIONS TO SERVE THE UNINSURED OR UNDER-INSURED POPULATION OF MONTGOMERY COUNTY. THIS ALSO HELPS TO DECREASE INAPPROPRIATE EMERGENCY DEPARTMENT UTILIZATION BY THIS PORTION OF THE POPULATION. THESE CLINICS HAVE SERVED AS A VITAL HEALTH SAFETY NET TO PROVIDE IMPORTANT PRIMARY AND PREVENTIVE HEALTH SERVICES TO OVER 20,000 MEN, WOMEN AND CHILDREN IN NEED. MERCY HEALTH CLINIC IN GAITHERSBURG HAS BENEFITED FROM OUR SERVICES INCLUDING LABORATORY SUPPORT, BLOOD TESTS AND OTHER DIAGNOSTIC SERVICES. IN THE LONG BRANCH SECTION OF SILVER SPRING, OUR PARTNERSHIP WITH MARY'S CENTER PROVIDES A FULL RANGE OF SERVICES FROM PRENATAL CARE TO PEDIATRIC/ADOLESCENT HEALTH SERVICES TO WOMEN'S SERVICES TO SOCIAL-SERVICES PROGRAMS. OUR WORK WITH MOBILE MED ENABLES REGULAR MEDICAL CARE, SUCH AS ROUTINE PHYSICALS, FOR UNINSURED AND LOW-INCOME RESIDENTS. IN ADDITION TO PARTNERING WITH CLINICS, ADVENTIST HEALTHCARE ALSO ADDRESSES COMMUNITY NEEDS THROUGH SPECIALIZED SERVICES IN ITS FACILITIES, SUCH AS THE SHADY GROVE MEDICAL CENTER FORENSIC MEDICAL UNIT. THE ONLY UNIT OF ITS KIND IN MONTGOMERY COUNTY, MARYLAND, ITS NURSES PROVIDE FORENSIC EVIDENCE COLLECTION AND SPECIALIZED MEDICAL CARE TO WOMEN, MEN AND CHILDREN WHO ARE VICTIMS OF SEXUAL ASSAULT, ABUSE, NEGLECT AND HUMAN TRAFFICKING. SHADY GROVE MEDICAL CENTER AND WHITE OAK MEDICAL CENTER ARE ALSO ACTIVE PARTICIPANTS IN MONTGOMERY COUNTY'S MATERNITY PARTNERSHIP PROGRAM, WHICH PROVIDES PRENATAL CARE AND MATERNITY SERVICES TO LOW-INCOME, UNINSURED PREGNANT WOMEN. FOR THE PAST 13 YEARS, THE ADVENTIST HEALTHCARE GERMANTOWN EMERGENCY CENTER IN GERMANTOWN, MARYLAND, HAS BROUGHT VITAL EMERGENCY SERVICES TO A DIVERSE COMMUNITY. THE EMERGENCY CENTER'S MEDICAL CAMPUS ALSO HAS A PRIMARY CARE CLINIC FOR UNINSURED RESIDENTS, A PRENATAL CLINIC FOR LOW-INCOME WOMEN, OUTPATIENT RADIOLOGY SERVICES AND PHYSICIAN OFFICES. GERMANTOWN IS ALSO HOME TO THE SHADY GROVE ADVENTIST RADIATION ONCOLOGY CENTER (LEGALLY KNOWN AS ADVENTIST CANCER CARE, LLC), WHICH DELIVERS CONVENIENT AND INTEGRAL CARE TO CANCER PATIENTS IN UPPER MONTGOMERY COUNTY. RADIATION ONCOLOGY IS PART OF THE TREATMENT FOR 60-65% OF PATIENTS WITH CANCER. 3. PROMOTE HEALTH EQUITY AND WELLNESS: ADVENTIST HEALTHCARE IS THE LARGEST PROVIDER OF COMMUNITY BENEFIT IN MONTGOMERY COUNTY, MARYLAND, AND CONTRIBUTES TO SOCIETAL WELL-BEING THROUGH COMMUNITY HEALTH IMPROVEMENT PROGRAMS AND COLLABORATIVE PARTNERSHIPS. OUR ORGANIZATION WORKS WITH MANNA FOOD CENTER, IDENTITY, AND MONTGOMERY COUNTY COALITION FOR THE HOMELESS TO ADDRESS SOCIAL NEEDS SUCH AS HUNGER, HOMELESSNESS, LITERACY, AND ACCESS TO CARE. IN ADDITION, ADVENTIST HEALTHCARE PARTNERS WITH SAFETY-NET CLINICS LIKE CCI HEALTH AND WELLNESS SERVICES, MOBILE MED, MERCY HEALTH CLINIC AND MANSFIELD KASEMAN CLINIC, PROVIDING MATERIAL SUPPORT AND EXPERTISE IN HEALTH EDUCATION, IT AND HEALTH AWARENESS CAMPAIGNS. THE ADVENTIST HEALTHCARE COMMUNITY PARTNERSHIP FUND PROVIDES FINANCIAL SUPPORT TO THESE AND OTHER ORGANIZATIONS ALIGNED WITH OUR COMMUNITY-BASED MISSION TO IMPROVE HEALTH OUTCOMES. ADVENTIST HEALTHCARE FOCUSES SPECIFICALLY ON COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) PRIORITY AREAS, OR POPULATIONS IN OUR SERVICE AREA THAT ARE SOCIALLY AND ECONOMICALLY DISADVANTAGED OR MEDICALLY UNDERSERVED. SEVERAL TEAMS ACROSS OUR SYSTEM CARRY OUT OUR GOAL OF IMPROVING THE HEALTH AND WELL-BEING OF PEOPLE AND COMMUNITIES. THE LIFEWORK STRATEGIES (LWS) TEAM PROVIDES EMPLOYEE HEALTH AND WELLNESS PROGRAMS, EMPLOYEE ASSISTANCE PROGRAMS, OCCUPATIONAL SCREENINGS, AND ONGOING HEALTH ASSESSMENT AND WELLNESS-TRACKING SERVICES. MOST RECENTLY, LWS HAS LED OPERATIONS OF ADVENTIST HEALTHCARE'S COVID-19 COMMUNITY VACCINATION CLINICS. ADVENTIST HEALTHCARE'S HEALTH AND WELLNESS TEAM PROVIDES HEALTH EDUCATION, SCREENINGS, SUPPORT GROUPS AND OTHER PROGRAMMING AT NO COST TO PATIENTS AND COMMUNITY MEMBERS. PROGRAMMING IS DEVELOPED IN RESPONSE TO COMMUNITY NEEDS AND PRIORITIES AS DETERMINED BY THE CHNA PROCESS AND ACCOUNTS FOR ACCESS BARRIERS THAT PARTICIPANTS MAY ENCOUNTER. NURSES AND EMPLOYEES ON ADVENTIST HEALTHCARE'S POPULATION HEALTH MANAGEMENT TEAM WORK WITH PATIENTS TO ADDRESS ONGOING NEEDS FOR HEALTH RESOURCES. THE POPULATION HEALTH TEAM WORKS IN THE COMMUNITY AND IN PATIENT HOMES. FOR INSTANCE, THEY CONNECT PATIENTS WITH PRIMARY CARE PHYSICIANS AND OTHER CAREGIVERS TO ENSURE NUTRITIONAL NEEDS ARE MET, AND THAT PATIENTS HAVE ACCESS TO AND ARE TAKING MEDICATIONS APPROPRIATELY. DURING THE COVID-19 PANDEMIC, THE CARE TRANSITIONS TEAM HAS CONNECTED PATIENTS WITH COVID-19 TESTING, EDUCATION AND DISEASE MANAGEMENT. ADVENTIST HEALTHCARE SPONSORS A CLINICALLY INTEGRATED NETWORK, A GROUP OF PHYSICIANS FOCUSED ON IMPROVING QUALITY OF CARE. ADDITIONALLY, ADVENTIST HEALTHCARE IS A MEMBER OF NEXUS MONTGOMERY, A COLLABORATIVE EFFORT AMONG THE SIX MONTGOMERY COUNTY HOSPITALS AND A NETWORK OF COMMUNITY-BASED ORGANIZATIONS WHOSE INITIATIVES IMPROVE THE HEALTH OF THOSE AT RISK OF AVOIDABLE HOSPITALIZATION. THE TARGET POPULATION INCLUDES MEDICARE SENIORS, THE MEDICALLY FRAIL, THOSE WITH SEVERE BEHAVIORAL HEALTH CONDITIONS AND THOSE WHO ARE NOT ELIGIBLE FOR HEALTH INSURANCE. FINALLY, ADVENTIST HEALTHCARE HAS PLAYED A VITAL ROLE IN CARING FOR OUR COMMUNITIES DURING THE COVID-19 PANDEMIC. IN 2020, ITS THREE ACUTE-CARE HOSPITALS AND ITS ACS TREATED 6,754 CASES OF THE DISEASE. THE CARE TRANSITIONS TEAM WORKED WITH MORE THAN 16,428 PATIENTS WHO NEEDED PHYSICAL OR MENTAL HEALTH SERVICES RELATED TO COVID-19. AT THE SAME TIME, ADVENTIST HEALTHCARE FACILITIES HAVE CONTINUED TO DELIVER OTHER VITAL EMERGENCY AND MEDICAL SERVICES SAFELY AND SEAMLESSLY FOR THOSE WHO NEEDED THEM. THE HEALTH SYSTEM ALSO HAS USED DIGITAL AND PRINT COMMUNICATIONS TO INFORM AND EDUCATE COMMUNITY MEMBERS ABOUT COVID-19 CARE, PUBLIC HEALTH MEASURES AND, MOST RECENTLY, THE IMPORTANCE OF VACCINATION. AS PROGRESS IS MADE TOWARD ENDING THE PANDEMIC, THE HEALTH SYSTEM REMAINS PREPARED TO SERVE ALL THOSE WHO NEED CARE. FORM 990, PART VI, SECTION A, LINE 1 THE GOVERNING BODY HAS DELEGATED BROAD AUTHORITY TO AN EXECUTIVE COMMITTEE DURING SUCH TIMES WHEREBY IT IS IMPRACTICAL TO CONVENE THE FULL BOARD, AND WHEN IT IS NECESSARY TO CARRY OUT THE GOVERNANCE FUNCTIONS OF THE BOARD. THE EXECUTIVE COMMITTEE SHALL HAVE ALL THE POWERS OF THE BOARD IN THE MANAGEMENT AND DIRECTION OF THE AFFAIRS OF ADVENTIST HEALTHCARE, INC., PROVIDED SUCH ACTIONS ARE NOT IN CONFLICT WITH GENERAL POLICIES ENACTED BY THE BOARD OF TRUSTEES. THE EXECUTIVE COMMITTEE SHALL BE CHAIRED BY THE CHAIR OF THE BOARD OF TRUSTEES, AND SHALL CONSIST OF THE BOARD OFFICERS, A PHYSICIAN BOARD MEMBER, THE CHAIR OF THE FINANCE COMMITTEE, AND ANOTHER BOARD MEMBER DESIGNATED BY THE CHAIR OF THE BOARD OF TRUSTEES. EXCEPT FOR EX-OFFICIO MEMBERS, ALL COMMITTEE MEMBERS SHALL BE APPOINTED BY THE CHAIR OF THE BOARD OF TRUSTEES AND SERVE FOR A TERM OF ONE YEAR AND/OR UNTIL THEIR SUCCESSORS ARE APPOINTED AND QUALIFIED. FORM 990, PART VI, SECTION A, LINE 6 MID-ATLANTIC ADVENTIST HEALTHCARE, INC. IS THE SOLE MEMBER OF ADVENTIST HEALTHCARE, INC. FORM 990, PART VI, SECTION A, LINE 7A MID-ATLANTIC ADVENTIST HEALTHCARE, INC. CAN ELECT MEMBERS OF THE BOARD. FORM 990, PART VI, SECTION A, LINE 7B DECISIONS SUBJECT TO APPROVAL. SEE BYLAWS, ARTICLE II, SECTION 2: RESERVED AUTHORITY AND RESPONSIBILITY. THE FOLLOWING ACTIONS SHALL BE RESERVED TO THE MEMBERSHIP: A. THE ADOPTION, ALTERING, AMENDING OR REPLACING OF THE ARTICLES OF INCORPORATION OR THE BYLAWS OF THE CORPORATION; B. THE LIQUIDATION, DISSOLUTION, WINDING UP, ABANDONMENT OF THE CORPORATION; C. APPOINTMENT OF MEMBERS OF THE BOARD OF TRUSTEES FROM NOMINEES SUBMITTED BY THE BOARD OF TRUSTEES; D. REMOVAL OF MEMBERS OF THE BOARD OF TRUSTEES E. APPOINTMENT AND REMOVAL OF THE CHIEF EXECUTIVE OFFICER ("CEO") OF THE CORPORATION, IN CONSULTATION WITH THE BOARD OF TRUSTEES. ALL MEMBERS HAVE RIGHTS TO VOTE. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 WAS REVIEWED IN DETAIL PRIOR TO FILING. VARIOUS SECTIONS WERE REVIEWED BY THE EXECUTIVE MANAGEMENT TEAM AND CERTAIN KEY SECTIONS BY THE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS. AN OVERALL REVIEW WAS CONDUCTED BY THE ORGANIZATION'S FINANCE DEPARTMENT WITH THE ORGANIZATION'S OUTSIDE TAX ADVISORS. PRIOR TO FILING, ALL MEMBERS OF THE BOARD ARE PROVIDED A COPY OF THIS FORM 990 THROUGH EMAIL, WITH A LINK TO THE COMPANY'S INTRANET WEBSITE. 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 AS A TAX EXEMPT ORGANIZATION, ADVENTIST HEALTHCARE, INC. IS SUBJECT TO IRS RULES AND REGULATIONS THAT ENSURE THAT ANY ORGANIZATION THAT IS EXEMPT FROM TAX IS ORGANIZED AND OPERATED EXCLUSIVELY FOR CHARITABLE PURPOSES, AND THAT NO INDIVIDUAL INAPPROPRIATELY BENEFITS FROM THE NET EARNINGS OF THE ORGANIZATION. THE INTENT OF THIS PROVISION IS GENERALLY CONSTRUED TO GUARD AGAINST INDIVIDUALS BENEFITING AT THE ORGANIZATION'S EXPENSE BY, FOR EXAMPLE, RECEIVING COMPENSATION AND BENEFITS BEYOND AN AMOUNT WHICH IS FAIR AND REASONABLE (AN "EXCESS BENEFIT"). > TO ASSIST TAX-EXEMPT ORGANIZATIONS IN AVOIDING EXCESS BENEFIT TRANSACTIONS, THE IRS HAS ESTABLISHED GUIDELINES WHICH NEED TO BE FOLLOWED WHEN SETTING COMPENSATION FOR ITS OFFICERS AND DIRECTORS. > IRS GUIDELINES SET FORTH THAT A COMPENSATION ARRANGEMENT BETWEEN AN EXEMPT ORGANIZATION AND ITS OFFICER OR DIRECTOR SHALL BE PRESUMED TO BE REASONABLE IF THE FOLLOWING THREE CONDITIONS ARE SATISFIED: 1. THE COMPENSATION ARRANGEMENT IS APPROVED BY THE ORGANIZATION'S GOVERNING BODY OR A COMMITTEE OF THE GOVERNING BODY COMPOSED ENTIRELY OF INDIVIDUALS WHO DO NOT HAVE A CONFLICT OF INTEREST WITH RESPECT TO THE ARRANGEMENT; 2. THE GOVERNING BODY, OR COMMITTEE THEREOF, OBTAINED AND RELIED UPON APPROPRIATE DATA AS TO COMPARABILITY PRIOR TO MAKING ITS DETERMINATION; AND 3. THE GOVERNING BODY OR COMMITTEE THEREOF ADEQUATELY DOCUMENTED THE BASIS FOR ITS DETERMINATION CONCURRENTLY WITH MAKING THAT DETERMINATION. > WHEN SETTING EXECUTIVE COMPENSATION, ADVENTIST HEALTHCARE, INC. FULLY COMPLIES WITH THE PROCEDURAL SAFEGUARDS EMBODIED IN IRS REGULATIONS. > EXECUTIVE COMPENSATION FOR ADVENTIST HEALTHCARE, INC. IS ENTIRELY SET BY A COMMITTEE OF ADVENTIST HEALTHCARE, INC.'S GOVERNING BOARD; > IN SETTING COMPENSATION, THE GOVERNING BOARD COMMITTEE RELIES UPON MARKET COMPARABILITY DATA PROVIDED BY AN INDEPENDENT OUTSIDE COMPENSATION CONSULTANT; AND > TO FURTHER ENSURE REASONABLENESS, COMPENSATION IS SET AT THE 50TH PERCENTILE (OR MEDIAN) OF THE MARKET. 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 VII, SECTION A: ADVENTIST HEALTHCARE MAINTAINS A BOARD LEADER WELLNESS POLICY. PURSUANT TO THIS POLICY, ELIGIBLE MEMBERS OF THE ADVENTIST HEALTHCARE BOARD OF TRUSTEES ARE ENTITLED TO RECEIVE REIMBURSEMENT (UP TO $12,000) FOR QUALIFYING HEALTH CARE OR WELLNESS EXPENSES INCURRED BY THEM. REIMBURSEMENTS ARE TAXABLE TO THE BOARD MEMBER. THE AMOUNT SET FORTH IN PART VII, SECTION A, COLUMN (D) FOR DR. WEIGLEY REPRESENTS REIMBURSEMENTS RECEIVED UNDER THIS POLICY DURING 2020. ADVENTIST HEALTHCARE ALSO PROVIDES ITEMS THAT COULD BE CATEGORIZED AS DE MINIMIS BENEFITS TO BOARD MEMBERS AND TREATS THIS AS TAXABLE COMPENSATION. FORM 990, PART IX, LINE 11G CONTRACT LABOR: PROGRAM SERVICE EXPENSES 59,400,568. MANAGEMENT AND GENERAL EXPENSES 844,523. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 60,245,091. PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 50,450,707. MANAGEMENT AND GENERAL EXPENSES 5,271,917. FUNDRAISING EXPENSES 70,141. TOTAL EXPENSES 55,792,765. CONSULTING SERVICES: PROGRAM SERVICE EXPENSES 1,399,399. MANAGEMENT AND GENERAL EXPENSES 2,898,241. FUNDRAISING EXPENSES 77,996. TOTAL EXPENSES 4,375,636. FORM 990, PART XI, LINE 9: OTHER RESTRICTED NET ASSETS ACTIVITY 9,962,253. DEFERRED COMPENSATION PLAN LIABILITY ADJUSTMENT 859,714. NET ORGANIZATION TRANSFER -12,694,591. DISCONTINUED OPERATIONS -7,575,981. 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