ADVENTIST REHABILITATION HOSPITAL OF MARYLAND INC: Form 990, tax year 2024

View the entire original 990 at ProPublica ↗

Organization: ADVENTIST REHABILITATION HOSPITAL OF MARYLAND INC (EIN 20-1486678)
Tax period: 2024-01-01 to 2024-12-31
Filed: 2025-11-14
IRS object ID: 202543189349314154
Schema version: 2024v5.2
Source: Download XML · Original 990 at ProPublica

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

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

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2025-11-14T16:31:07-06:00	ReturnTs
Tax Period End	2024-12-31	TaxPeriodEndDt
Return Type	990	ReturnTypeCd
Tax Period Begin	2024-01-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	201486678	EIN

Business Name BusinessName

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

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

US Address USAddress

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

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	KEVIN CARGILL	PersonNm
Person Title	SVP & CFO	PersonTitleTxt
Phone	3013153030	PhoneNum
Signature	2025-11-14	SignatureDt

Field	Value	IRS element (for citing)
IRS Responsible Prty Info Curr	0	IRSResponsiblePrtyInfoCurrInd
Tax	2024	TaxYr
Build TS	2025-03-06 01:10:19Z	BuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

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

Field	Value	IRS element (for citing)
Principal Officer	JOHN SACKETT	PrincipalOfficerNm

US Address USAddress

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

Field	Value	IRS element (for citing)
Gross Receipts	$87,924,624	GrossReceiptsAmt
Group Return For Affiliates	0	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.ADVENTISTHEALTHCARE.COM	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	2004	FormationYr
Legal Domicile State	MD	LegalDomicileStateCd
Activity Or Mission	TO OPERATE A REHABILITATION HOSPITAL AND OUTPATIENT SERVICES TO SERVE THE COMMUNITY IN MARYLAND.	ActivityOrMissionDesc
Voting Members Governing Body	7	VotingMembersGoverningBodyCnt
Voting Members Independent	0	VotingMembersIndependentCnt
Total Employee	0	TotalEmployeeCnt
Total Volunteers	7	TotalVolunteersCnt
Total Gross UBI	$0	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$570,178	PYContributionsGrantsAmt
CY Contributions Grants	$340,621	CYContributionsGrantsAmt
PY Program Service Revenue	$67,394,923	PYProgramServiceRevenueAmt
CY Program Service Revenue	$73,920,987	CYProgramServiceRevenueAmt
PY Investment Income	$410,944	PYInvestmentIncomeAmt
CY Investment Income	$580,844	CYInvestmentIncomeAmt
PY Other Revenue	-$4,711	PYOtherRevenueAmt
CY Other Revenue	-$3,914	CYOtherRevenueAmt
PY Total Revenue	$68,371,334	PYTotalRevenueAmt
CY Total Revenue	$74,838,538	CYTotalRevenueAmt
PY Grants And Similar Paid	$68	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$114	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$43,111,617	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$45,803,290	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$239,657	CYTotalFundraisingExpenseAmt
PY Other Expenses	$20,941,623	PYOtherExpensesAmt
CY Other Expenses	$23,607,548	CYOtherExpensesAmt
PY Total Expenses	$64,053,308	PYTotalExpensesAmt
CY Total Expenses	$69,410,952	CYTotalExpensesAmt
PY Revenues Less Expenses	$4,318,026	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$5,427,586	CYRevenuesLessExpensesAmt
Total Assets BOY	$59,838,501	TotalAssetsBOYAmt
Total Assets EOY	$70,588,330	TotalAssetsEOYAmt
Total Liabilities BOY	$11,851,716	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$16,866,059	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$47,986,785	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$53,722,271	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	WE EXTEND GOD'S CARE THROUGH THE MINISTRY OF PHYSICAL, MENTAL AND SPIRITUAL HEALING.	MissionDesc
Significant New Program Srvc	0	SignificantNewProgramSrvcInd
Significant Change	0	SignificantChangeInd
Expense	$56,325,026	ExpenseAmt
Grant	$114	GrantAmt
Revenue	$73,920,987	RevenueAmt
Desc	ADVENTIST HEALTHCARE REHABILITATION (AHC REHAB) IS THE FIRST AND ONLY ACUTE REHABILITATION HOSPITAL IN MONTGOMERY COUNTY, MARYLAND, THAT OFFERS COMPREHENSIVE PROGRAMS FOR BRAIN INJURIES, SPINAL CORD INJURIES, STROKES, AMPUTATION, ORTHOPEDIC INJURIES AND SURGERIES, SPORTS-RELATED INJURIES, WORK-RELATED INJURIES, AND NEUROLOGICAL DISORDERS.EXPERT CARE TEAMS WORK SIDE-BY-SIDE WITH PATIENTS, USING INNOVATIVE THERAPIES, STATE-OF-THE-ART EQUIPMENT, AND GROUND-BREAKING TECHNOLOGY TO OFFER NEW WAYS TO HEAL AND RETURN TO THE ACTIVITIES OF DAILY LIFE. EVERY DAY, WE CELEBRATE PATIENT ACCOMPLISHMENTS, BIG AND SMALL.CONTINUES ON SCHEDULE O.AHC REHAB OFFERS INPATIENT CARE IN MARYLAND IN TWO LOCATIONS, IN ROCKVILLE AND IN THE WHITE OAK AREA OF SILVER SPRING. OUTPATIENT SERVICES ARE AVAILABLE IN ROCKVILLE, GAITHERSBURG, SILVER SPRING AND FORT WASHINGTON.AHC REHAB CARES FOR PERSONS WITH FUNCTIONAL LIMITATIONS, AGE 18 AND OLDER, AND UNDER SPECIAL CIRCUMSTANCES, EMANCIPATED MINORS. SPECIALIZED PROGRAMS AND SERVICES INCLUDE:- ACUTE INPATIENT REHABILITATION- SPINAL CORD INJURY PROGRAM- AMPUTATION REHABILITATION AND SUPPORT- BRAIN INJURY RECOVERY- SPORTS THERAPY- CONCUSSION MANAGEMENT- STROKE AND NEUROLOGICAL REHABILITATION- JOINT REPLACEMENT REHABILITATION- PHYSICAL THERAPY - CARDIAC REHABILITATION- DRIVER EVALUATION AND ASSESSMENT- OCCUPATIONAL THERAPY- LYMPHEDEMA THERAPY AND CANCER REHABILITATION- LEE SILVERMAN VOICE TREATMENT (LSVT) SPEECH LANGUAGE & SWALLOWING THERAPY- PELVIC HEALTH REHABILITATIONADVENTIST HEALTHCARE REHABILITATION HOLDS THE JOINT COMMISSION ACCREDITATION, RECOGNIZED NATIONALLY AS A SYMBOL OF HEALTHCARE QUALITY THAT REFLECTS AN ORGANIZATION'S COMMITMENT TO MEETING THE HIGHEST STANDARDS. ADVENTIST HEALTHCARE REHABILITATION'S PROGRAMS ALSO HOLD THE SEAL OF APPROVAL FROM THE COMMISSION ON ACCREDITATION OF REHABILITATION FACILITIES (CARF), AN INDEPENDENT, INTERNATIONAL EVALUATOR OF HEALTH AND HUMAN SERVICES ORGANIZATIONS. CARF ACCREDITATION RECOGNIZES AHC REHAB'S SKILLED WORKFORCE AND COMMITMENT TO PATIENT SAFETY. THE MOST RECENT CARF ACCREDITATION SURVEY TOOK PLACE IN FALL 2023.AHC REHAB, WHICH BEGAN SERVING THE COMMUNITY IN 2001, WAS THE FIRST HOSPITAL IN THE D.C. METROPOLITAN AREA TO EARN CARF'S SPECIALTY ACCREDITATION IN AMPUTEE REHABILITATION. CARF INTRODUCED ITS AMPUTEE SPECIALTY STANDARDS IN JULY 2007 WITH INPUT FROM THE AMPUTEE COALITION OF AMERICA, VETERANS HEALTH ADMINISTRATION, DEPARTMENT OF DEFENSE, AMERICAN ACADEMY OF ORTHOTISTS & PROSTHETISTS, AND PERSONS WITH LIMB LOSS. THE STANDARDS, WHICH BECAME EFFECTIVE IN JANUARY 2008, REQUIRE ACCREDITED AMPUTEE PROGRAMS TO PROVIDE A HOLISTIC, INTERDISCIPLINARY TEAM APPROACH TO CARE AND TO OFFER POST-CARE ASSISTANCE IN TRANSITIONING BACK TO THE COMMUNITY. THE ACUTE INPATIENT PROGRAM IS RUN BY A TEAM OF REHABILITATION EXPERTS WHO GUIDE PATIENTS THROUGH A PRACTICAL AND PERSONAL TREATMENT PROGRAM. THE FOCUS IS HELPING PATIENCE INCREASE THEIR SELF-RELIANCE AND GAIN INDEPENDENCE. IN 2024, A SURVEY BY NEWSWEEK AND STATISTA INC. NAMED AHC REHAB AMONG THE BEST INPATIENT REHABILITATION FACILITIES IN THE UNITED STATES. THE NEWSWEEK RANKINGS CONSIDERED REPUTATION, QUALITY OF CARE, SERVICE, AND POST HOSPITALIZATION FOLLOW-UP, AS WELL AS INPATIENT ACCOMMODATIONS AND AMENITIES.WITHIN THE AHC REHAB INPATIENT PROGRAM, A PHYSIATRIST, OR A MEDICAL DOCTOR WHO SPECIALIZES IN PHYSICAL REHABILITATION, LEADS THE TEAM. PATIENTS HAVE ACCESS TO SPECIALIZED REHABILITATION NURSING CARE 24 HOURS A DAY, SEVEN DAYS A WEEK. THERAPY SERVICES INCLUDE PHYSICAL THERAPY, OCCUPATIONAL THERAPY, SPEECH LANGUAGE PATHOLOGY AND RECREATIONAL THERAPY. AHC REHAB'S SPINAL CORD INJURY PROGRAM ADDRESSES BOTH TRAUMATIC SPINAL CORD INJURIES RESULTING FROM A FALL OR ACCIDENT, AND NON-TRAUMATIC SPINAL CORD INJURIES FROM A STROKE, TUMOR, OR INFECTION ON THE SPINAL CORD. AGAIN, A TEAM APPROACH AND AN INTERDISCIPLINARY PLAN OF CARE HELPS PATIENTS ON THEIR ROAD TO RECOVERY.AN AMPUTEE PROGRAM ALSO UTILIZES AN INTERDISCIPLINARY TEAM APPROACH TO HELP PATIENTS ADJUST PHYSICALLY AND PSYCHOLOGICALLY AFTER THE LOSS OF A LIMB SO THEY CAN RESUME ACTIVE AND PRODUCTIVE LIVES. INDIVIDUALS MAY BE TREATED AS INPATIENTS OR OUTPATIENTS, DEPENDING ON THEIR NEEDS. PATIENTS WORK TO IMPROVE STRENGTH, COORDINATION, AND ENDURANCE, AND LEARN PROPER WOUND CARE. WHEN READY, PATIENTS ARE PRESCRIBED PROSTHETIC DEVICES THAT ARE BOTH FUNCTIONAL AND COMFORTABLE TO WEAR. ONCE FITTED WITH A NEW LIMB, PATIENT LEARN TO USE PROSTHESES WITH CONFIDENCE AND TO INCORPORATE IT INTO DAILY LIFE. THE PROGRAM BRINGS THE AMPUTEE COMMUNITY TOGETHER EACH YEAR FOR A 5K EVENT, TO HIGHLIGHT THE ACCOMPLISHMENTS OF PARTICIPANTS. THE EVENT CREATES CONNECTION AMONG PATIENTS WHO SHARE THE CHALLENGES OF LIMB LOSS AND CELEBRATES THEIR TRIUMPHS.A BRAIN INJURY PROGRAM ADDRESSES TRAUMATIC BRAIN INJURIES FROM AN EXTERNAL PHYSICAL FORCE, SUCH AS A CAR ACCIDENT, FALL, SPORTS OR WORKPLACE INJURIES, AS WELL AS ACQUIRED NON-TRAUMATIC BRAIN INJURIES CAUSED BY INTERNAL TRAUMA TO THE BRAIN, SUCH AS TUMORS, BLOOD CLOTS, SEIZURES, OR INFECTIONS. EACH OF THESE TYPES OF BRAIN INJURIES MAY RESULT IN IMPAIRMENT OF PHYSICAL, COGNITIVE, BEHAVIORAL AND/OR EMOTIONAL CAPABILITIES. REHABILITATION FOLLOWING A BRAIN INJURY IS VERY COMPLEX BECAUSE OF THE NEED TO ADDRESS MULTIPLE AREAS OF DEFICIT, INCLUDING PHYSICAL IMPAIRMENTS, FUNCTIONAL DEFICIENCIES (SUCH AS DIFFICULTY WALKING OR DRESSING), BEHAVIORAL DIFFICULTIES, EMOTIONAL CONSEQUENCES AND SOCIAL OR INTERPERSONAL LIMITATIONS. OFTEN, SIGNIFICANT COGNITIVE DEFICITS, SUCH AS LIMITED ATTENTION SPAN OR POOR MEMORY, UNDERLIE AND EXACERBATE THESE PROBLEMS. PATIENTS IN THE REHAB BRAIN INJURY PROGRAM RECEIVE INTENSIVE, INTEGRATED REHABILITATION FROM AN INTERDISCIPLINARY TEAM DESIGNED TO MAXIMIZE RECOVERY. TEAM MEMBERS, INCLUDING A NEUROPSYCHOLOGIST, MEET AT LEAST ONCE A WEEK TO DISCUSS PATIENT GOALS, PROGRESS, AND TREATMENT STRATEGIES.OTHER PROGRAMS INCLUDE A STROKE RECOVERY PROGRAM, IN WHICH PATIENTS RECEIVE AN INTENSIVE COURSE OF INTEGRATED THERAPIES AND MEDICAL MANAGEMENT. THE OBJECTIVE IS TO RESTORE MOVEMENT, IMPROVE SPEECH, TEACH SELF- AND HOME CARE SKILLS, AND IMPROVE COGNITIVE AND MEMORY FUNCTIONS. STROKE PATIENTS AND THEIR FAMILIES ARE GUIDED THROUGH A PATIENT-FOCUSED, COMPREHENSIVE, AND OUTCOME-ORIENTED PROGRAM BY A CARING, EXPERIENCED TEAM OF HEALTHCARE PROFESSIONALS.THE ORTHOPEDIC REHABILITATION PROGRAM IS DESIGNED FOR THOSE WHO HAVE UNDERGONE A TOTAL HIP OR KNEE REPLACEMENT OR HAVE SUSTAINED TRAUMA TO BONES OR JOINTS. THE PROGRAM FOCUSES ON HELPING PATIENTS REGAIN THEIR STRENGTH, MOBILITY, ENDURANCE, AND RANGE OF MOTION.IN OUR CARDIAC REHABILITATION PROGRAM, PATIENTS WITH HEART DISEASE OR THOSE RECOVERING FROM HEART SURGERY RECEIVE MEDICALLY MONITORED EXERCISE TO IMPROVE ENDURANCE AND REGAIN THE ABILITY TO COMPLETE ACTIVITIES OF DAILY LIVING.AHC REHAB'S DRIVER REHABILITATION PROGRAM DETERMINES WHETHER IT IS SAFE FOR AN INDIVIDUAL TO CONTINUE DRIVING FOLLOWING AN INJURY/ILLNESS OR AGE-RELATED CHANGES. A DRIVING PROGRAM MAY INCLUDE A CLINICAL EVALUATION WHICH INCLUDES AN ASSESSMENT OF VISION, VISUAL PERCEPTION, COGNITION, REACTION TIME AND MOTOR SKILLS RELATED TO DRIVING. IT MAY ALSO INCLUDE A BEHIND-THE-WHEEL EVALUATION, IN ADDITION TO TRAINING CONDUCTED BY AN OCCUPATIONAL THERAPIST WHO SPECIALIZES IN DRIVING REHABILITATION.OUR CERTIFIED LYMPHEDEMA THERAPISTS PROVIDE DECONGESTIVE TREATMENT FOR PEOPLE SUFFERING FROM A BUILDUP OF FLUID IN THE BODY, USUALLY IN THE ARMS AND LEGS. THE THERAPY IS OFTEN BENEFICIAL TO CANCER PATIENTS, WHO CAN EXPERIENCE LYMPHEDEMA FROM THEIR TREATMENT. THERAPY INVOLVES A SPECIALIZED MASSAGE TECHNIQUE CALLED MANUAL LYMPH DRAINAGE (MLD), SKIN AND NAIL CARE, COMPRESSION BANDAGING AND GARMENTS, REMEDIAL EXERCISE, AND SELF-CARE TRAINING. THE PROGRAM AIMS TO REDUCE SWELLING, RESTORE MOBILITY, IMPROVE ANY DISFIGUREMENT, PREVENT INFECTION, AND IMPROVE QUALITY OF LIFE.	Desc
Total Program Service Expenses	$56,325,026	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (1)	DescribedInSection501c3Ind
Schedule B Required	Yes (1)	ScheduleBRequiredInd
Political Campaign Acty	0	PoliticalCampaignActyInd
Lobbying Activities	0	LobbyingActivitiesInd
Subject To Proxy Tax	0	SubjectToProxyTaxInd
Donor Advised Fund	0	DonorAdvisedFundInd
Conservation Easements	0	ConservationEasementsInd
Collections Of Art	0	CollectionsOfArtInd
Credit Counseling	0	CreditCounselingInd
Donor Rstr Or Quasi Endowments	0	DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment	Yes (1)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	0	ReportInvestmentsOtherSecInd
Report Program Related Invst	0	ReportProgramRelatedInvstInd
Report Other Assets	Yes (1)	ReportOtherAssetsInd
Report Other Liabilities	Yes (1)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (1)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	0	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (1)	ConsolidatedAuditFinclStmtInd
School Operating	0	SchoolOperatingInd
Foreign Office	0	ForeignOfficeInd
Foreign Activities	0	ForeignActivitiesInd
More Than5000 K To Org	0	MoreThan5000KToOrgInd
More Than5000 K To Individuals	0	MoreThan5000KToIndividualsInd
Professional Fundraising	0	ProfessionalFundraisingInd
Fundraising Activities	Yes (1)	FundraisingActivitiesInd
Gaming Activities	0	GamingActivitiesInd
Operate Hospital	Yes (1)	OperateHospitalInd
Audited Financial Stmt Att	Yes (1)	AuditedFinancialStmtAttInd
Grants To Organizations	0	GrantsToOrganizationsInd
Grants To Individuals	0	GrantsToIndividualsInd
Schedule J Required	Yes (1)	ScheduleJRequiredInd
Tax Exempt Bonds	0	TaxExemptBondsInd
Engaged In Excess Benefit Trans	0	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	0	PYExcessBenefitTransInd
Loan Outstanding	0	LoanOutstandingInd
Grant To Related Person	0	GrantToRelatedPersonInd
Business Rln With Org Mem	0	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	0	BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent	0	BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri	0	DeductibleNonCashContriInd
Deductible Art Contribution	0	DeductibleArtContributionInd
Terminate Operations	0	TerminateOperationsInd
Partial Liquidation	0	PartialLiquidationInd
Disregarded Entity	0	DisregardedEntityInd
Related Entity	Yes (1)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (1)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	0	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	0	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	0	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (1)	ScheduleORequiredInd
IRP Document	0	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Employee	0	EmployeeCnt
Unrelated Bus Incm Over Limit	0	UnrelatedBusIncmOverLimitInd
Foreign Financial Account	0	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTransInd
Taxable Party Notification	0	TaxablePartyNotificationInd
Nondeductible Contributions	0	NondeductibleContributionsInd
Quid Pro Quo Contributions	Yes (1)	QuidProQuoContributionsInd
Quid Pro Quo Contri Discl	Yes (1)	QuidProQuoContriDisclInd
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	0	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	0	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	0	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	0	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	0	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	7	GoverningBodyVotingMembersCnt
Independent Voting Member	0	IndependentVotingMemberCnt
Family Or Business Rln	0	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	0	DelegationOfMgmtDutiesInd
Change To Org Documents	0	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	0	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (1)	MembersOrStockholdersInd
Election Of Board Members	Yes (1)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (1)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (1)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (1)	MinutesOfCommitteesInd
Officer Mailing Address	0	OfficerMailingAddressInd
Local Chapters	Yes (1)	LocalChaptersInd
Policies Reference Chapters	Yes (1)	PoliciesReferenceChaptersInd
Form990 Provided To Gvrn Body	Yes (1)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (1)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (1)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (1)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (1)	WhistleblowerPolicyInd
Document Retention Policy	Yes (1)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (1)	CompensationProcessCEOInd
Compensation Process Other	Yes (1)	CompensationProcessOtherInd
Investment In Joint Venture	0	InvestmentInJointVentureInd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	KEVIN CARGILL SVP & CFO	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Phone	3013153030	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	820 WEST DIAMOND AVE SUITE 600	AddressLine1Txt
City	GAITHERSBURG	CityNm
State Abbreviation	MD	StateAbbreviationCd
ZIP	20878	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (16 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	OfficerOfficerInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
JOHN SACKETT
CHAIR; PRES. & CEO,AHC,START 8/2024	2.00	48.00	Yes (X)	$0	$1,332,344	$76,309
PATSY MCNEIL MD
SVP, SYSTEM CMO; EVP, START 8/2024	2.00	48.00	Yes (X)	$0	$849,786	$171,158
ANTHONY STAHL
PRESIDENT, WOMC	4.00	46.00	Yes (X)	$0	$816,472	$188,090
DANIEL L COCHRAN
PRESIDENT, SGMC	2.00	48.00	Yes (X)	$0	$811,057	$187,785
BRENT REITZ
SECY; PRES, POST-ACUTE CARE SRV, AHC	28.00	22.00	Yes (X)	$0	$586,798	$140,103	Yes (X)
EUNMEE SHIM
PRES, FWMC BD MBR END 12/2024	1.00	49.00	Yes (X)	$0	$661,112	$62,480
BRENDAN JOHNSON
SVP, HR, AHC; BD MBR END 12/2024	20.00	20.00	Yes (X)	$0	$604,656	$47,553
TERRENCE SHEEHAN MD
VP & CMO OF POST-ACUTE CARE	20.00	20.00	Yes (X)	$0	$543,123	$15,635
ANDREW NICKLAS
AVP, GOVT RELATIONS, END 6/2024	20.00	20.00	Yes (X)	$0	$123,650	$20,160
GEORGE R GRANGE
VP, POST-ACUTE & WOMC ADMR	40.00			$297,710	$0	$76,679		Yes (X)
ALEXANDRU DINU MD
PHYSICIAN	40.00			$309,065	$0	$27,900		Yes (X)
SUSAN SAVERY
VP & CFO, POST-ACUTE SVS	40.00			$250,585	$0	$76,397		Yes (X)
ERIN BAUMGARDNER
VP, CNO & ROCKVILLE ADMR	40.00			$219,446	$0	$67,423		Yes (X)
MICHELLE BABCOCK
AVP, POST-ACUTE OPERATIONS	40.00			$198,598	$0	$21,423		Yes (X)
SUSAN GLOVER
FMR. VP,CARDIO SVC LINE, END 1/2024	5.00	35.00		$0	$812,830	$16,657			Yes (X)
MARTA BRITO PEREZ
FORMER CONSULTANT, AHC	0.00	30.00		$0	$79,106	$5,322			Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$1,275,404	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$7,220,934	TotReportableCompRltdOrgAmt
Total Other Compensation	$1,201,074	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	124	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (1)	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (1)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	0	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
CRITICAL CONNECTION
PO BOX 560713	ROCKLEDGE	FL	32956	STAFFING/RECRUITMENT SERVICES	$350,882
QUEST DIAGNOSTICS
14225 NEWBROOK DR	CHANTILLY	VA	191761303	CLINICAL LAB SERVICES	$322,174
HANDCRAFT LINEN SERVICES
2810 COFER ROAD	RICHMOND	VA	232247102	LINEN & UNIFORM SVCS	$291,476
QUALIVIS LLC
PO BOX 123847 DEPT3847	DALLAS	TX	753123847	STAFFING/RECRUITMENT SERVICES	$271,448
SODEXO INC
PO BOX 360170	PITTSBURGH	PA	152516170	DIETARY AND PLANT OPS	$248,279

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	9	CntrctRcvdGreaterThan100KCnt
Fundraising	$18,699	FundraisingAmt
Government Grants	$55,303	GovernmentGrantsAmt
All Other Contributions	$266,619	AllOtherContributionsAmt
Total Contributions	$340,621	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

Field	Value	IRS element (for citing)
Desc	OCCUPATIONAL/SPEECH/PT	Desc
Business	900099	BusinessCd
Total Revenue Column	$73,920,987	TotalRevenueColumnAmt
Related Or Exempt Func Income	$73,920,987	RelatedOrExemptFuncIncomeAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$73,920,987	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$444,190	TotalRevenueColumnAmt
Exclusion	$444,190	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$13,212,237	SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$13,075,583	SecuritiesAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$136,654	SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$136,654	TotalRevenueColumnAmt
Exclusion	$136,654	ExclusionAmt

Field	Value	IRS element (for citing)
Fundraising Gross Income	$0	FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event	$18,699	ContriRptFundraisingEventAmt
Fundraising Direct Expenses	$10,503	FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$10,503	TotalRevenueColumnAmt
Exclusion	-$10,503	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp

Field	Value	IRS element (for citing)
Desc	VENDING REVENUE	Desc
Business	621990	BusinessCd
Total Revenue Column	$6,589	TotalRevenueColumnAmt
Exclusion	$6,589	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$6,589	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$74,838,538	TotalRevenueColumnAmt
Related Or Exempt Func Income	$73,920,987	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$576,930	ExclusionAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part IX	Yes (X)	InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$114	TotalAmt
Program Services	$114	ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$38,300,110	TotalAmt
Program Services	$36,340,744	ProgramServicesAmt
Management And General	$1,755,609	ManagementAndGeneralAmt
Fundraising	$203,757	FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$1,298,987	TotalAmt
Program Services	$1,185,367	ProgramServicesAmt
Management And General	$113,304	ManagementAndGeneralAmt
Fundraising	$316	FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$3,335,856	TotalAmt
Program Services	$3,178,752	ProgramServicesAmt
Management And General	$157,067	ManagementAndGeneralAmt
Fundraising	$37	FundraisingAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$2,868,337	TotalAmt
Program Services	$2,682,630	ProgramServicesAmt
Management And General	$185,220	ManagementAndGeneralAmt
Fundraising	$487	FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$14,206	TotalAmt
Management And General	$14,206	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$10,922	TotalAmt
Management And General	$10,922	ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$24,030	TotalAmt
Management And General	$24,030	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$7,001,826	TotalAmt
Program Services	$3,819,846	ProgramServicesAmt
Management And General	$3,150,480	ManagementAndGeneralAmt
Fundraising	$31,500	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$137,702	TotalAmt
Management And General	$137,383	ManagementAndGeneralAmt
Fundraising	$319	FundraisingAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$447,438	TotalAmt
Program Services	$263,554	ProgramServicesAmt
Management And General	$181,812	ManagementAndGeneralAmt
Fundraising	$2,072	FundraisingAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$2,622,185	TotalAmt
Program Services	$1,966,639	ProgramServicesAmt
Management And General	$655,546	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$4,842,193	TotalAmt
Program Services	$2,578,815	ProgramServicesAmt
Management And General	$2,263,378	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$160,760	TotalAmt
Program Services	$54,118	ProgramServicesAmt
Management And General	$105,873	ManagementAndGeneralAmt
Fundraising	$769	FundraisingAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$65,930	TotalAmt
Program Services	$61,041	ProgramServicesAmt
Management And General	$4,889	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$2,071,784	TotalAmt
Program Services	$1,787,068	ProgramServicesAmt
Management And General	$284,316	ManagementAndGeneralAmt
Fundraising	$400	FundraisingAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$295,369	TotalAmt
Management And General	$295,369	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES	$2,333,922	$2,333,922
SHARED SVCS ALLOCATION	$2,051,324		$2,051,324
COST ALLOC. FROM PARENT	$1,417,193		$1,417,193
COLLECTION FEES/LICENSE	$110,764	$72,416	$38,348

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$69,410,952	TotalAmt
Program Services	$56,325,026	ProgramServicesAmt
Management And General	$12,846,269	ManagementAndGeneralAmt
Fundraising	$239,657	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$263,622	BOYAmt
EOY	$260,015	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$27,348,462	BOYAmt
EOY	$34,827,892	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$378,077	BOYAmt
EOY	$497,787	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$7,616,145	BOYAmt
EOY	$7,931,973	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$170,619	BOYAmt
EOY	$20,126	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$129,889	BOYAmt
EOY	$123,656	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$163,601	BOYAmt
EOY	$113,410	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$39,178,108	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$20,465,005	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$19,961,939	BOYAmt
EOY	$18,713,103	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$472,115	BOYAmt
EOY	$477,897	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$652,240	BOYAmt
EOY	$620,030	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$2,681,792	BOYAmt
EOY	$7,002,441	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$59,838,501	BOYAmt
EOY	$70,588,330	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$5,401,957	BOYAmt
EOY	$6,182,434	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
EOY	$12,054	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$6,449,759	BOYAmt
EOY	$10,671,571	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$11,851,716	BOYAmt
EOY	$16,866,059	EOYAmt

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

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$47,150,567	BOYAmt
EOY	$52,725,359	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$836,218	BOYAmt
EOY	$996,912	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$47,986,785	BOYAmt
EOY	$53,722,271	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$59,838,501	BOYAmt
EOY	$70,588,330	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$5,427,586	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$311,825	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	-$3,925	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	0	AccountantCompileOrReviewInd
FS Audited	Yes (1)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

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

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

Schedule A IRS990ScheduleA

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

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

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

Contributor US Address ContributorUSAddress

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

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

Schedule D IRS990ScheduleD

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$23,816,545	OtherCostOrOtherBasisAmt
Depreciation	$10,268,801	DepreciationAmt
Book Value	$13,547,744	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$2,602,387	OtherCostOrOtherBasisAmt
Depreciation	$1,317,027	DepreciationAmt
Book Value	$1,285,360	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$9,970,210	OtherCostOrOtherBasisAmt
Depreciation	$7,017,353	DepreciationAmt
Book Value	$2,952,857	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$2,788,966	OtherCostOrOtherBasisAmt
Depreciation	$1,861,824	DepreciationAmt
Book Value	$927,142	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$18,713,103	TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (3 entries)

DescDesc	Book ValueBookValueAmt
OPERATING LEASE RIGHT-OF-USE ASSET	$6,343,574
FINANCING LEASE RIGHT-OF-USE ASSET	$573,813
SECURITY DEPOSIT	$85,054

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$7,002,441	TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)

DescDesc	AmtAmt
DUE TO PARENT ORGANIZATION	$3,399,722
OPERATING LEASE OBLIGATIONS	$6,652,695
FINANCING LEASE OBLIGATIONS	$606,393
OTHER LONG TERM LIABILITIES	$12,761

Field	Value	IRS element (for citing)
Total Liability	$10,671,571	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART X, LINE 2:	FormAndLineReferenceDesc
Explanation	THE CORPORATION ACCOUNTS FOR UNCERTAINTY IN INCOME TAXES USING A RECOGNITION THRESHOLD OF MORE-LIKELY-THAN-NOT TO BE SUSTAINED UPON EXAMINATION BY THE APPROPRIATE TAXING AUTHORITY. MEASUREMENT OF THE TAX UNCERTAINTY OCCURS IF THE RECOGNITION THRESHOLD IS MET. MANAGEMENT DETERMINED THERE WERE NO TAX UNCERTAINTIES THAT MET THE RECOGNITION THRESHOLD IN 2024 OR 2023. THE CORPORATION'S POLICY IS TO RECOGNIZE INTEREST RELATED TO UNRECOGNIZED TAX BENEFITS AND PENALTIES IN INTEREST EXPENSE IN OPERATING EXPENSES.	ExplanationTxt

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

Field	Value	IRS element (for citing)
Event1	REHAB 2024 TRIUMPH TREK	Event1Nm
Gross Receipts Event1	$18,699	GrossReceiptsEvent1Amt
Charitable Contri Event1	$18,699	CharitableContriEvent1Amt
Cash Prizes Event1	$0	CashPrizesEvent1Amt
Non Cash Prizes Event1	$1,435	NonCashPrizesEvent1Amt
Rent Facility Costs Event1	$1,697	RentFacilityCostsEvent1Amt
Food And Beverage Event1	$860	FoodAndBeverageEvent1Amt
Entertainment Event1	$875	EntertainmentEvent1Amt
Other Direct Expenses Event1	$5,636	OtherDirectExpensesEvent1Amt
Gross Receipts Total	$18,699	GrossReceiptsTotalAmt
Charitable Contributions Tot	$18,699	CharitableContributionsTotAmt
Non Cash Prizes Total Events	$1,435	NonCashPrizesTotalEventsAmt
Rent Fclty Costs Total Events	$1,697	RentFcltyCostsTotalEventsAmt
Food And Beverage Total Events	$860	FoodAndBeverageTotalEventsAmt
Entertainment Total Events	$875	EntertainmentTotalEventsAmt
Oth Direct Expnss Total Events	$5,636	OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events	$10,503	DirectExpenseSummaryEventsAmt
Net Income Summary	-$10,503	NetIncomeSummaryAmt

Schedule H IRS990ScheduleH

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

Discounted Care Oth Percentage DiscountedCareOthPercentageGrp

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

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

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$66,327	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$66,327	NetCommunityBenefitExpnsAmt
Total Expense	0.00100	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$66,327	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$66,327	NetCommunityBenefitExpnsAmt
Total Expense	0.00100	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$341,851	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$158	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$341,693	NetCommunityBenefitExpnsAmt
Total Expense	0.00490	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$294,044	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$2,436	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$291,608	NetCommunityBenefitExpnsAmt
Total Expense	0.00420	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$5,231,066	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$3,645,332	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,585,734	NetCommunityBenefitExpnsAmt
Total Expense	0.02280	TotalExpensePct

Research ResearchGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$102	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$102	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$144,901	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$144,901	NetCommunityBenefitExpnsAmt
Total Expense	0.00210	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$6,011,964	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$3,647,926	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,364,038	NetCommunityBenefitExpnsAmt
Total Expense	0.03400	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$6,078,291	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$3,647,926	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,430,365	NetCommunityBenefitExpnsAmt
Total Expense	0.03500	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$2,490	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$2,490	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Coalition Building CoalitionBuildingGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$32,696	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$32,696	NetCommunityBenefitExpnsAmt
Total Expense	0.00050	TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$12,923	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$12,923	NetCommunityBenefitExpnsAmt
Total Expense	0.00020	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$48,109	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$48,109	NetCommunityBenefitExpnsAmt
Total Expense	0.00070	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (1)	BadDebtExpenseReportedInd
Bad Debt Expense	$610,664	BadDebtExpenseAmt
Reimbursed By Medicare	$39,166,752	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$36,937,175	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	$2,229,577	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

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

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

Hospital Facilities HospitalFacilitiesGrp (2 entries)

FacilityFacilityNum	Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Website AddressWebsiteAddressTxt	State LicenseStateLicenseNum	Licensed HospitalLicensedHospitalInd	OtherOtherDesc	Facility Reporting GroupFacilityReportingGroupCd
AHC-REHABILITATION - ROCKVILLE
1	9909 MEDICAL CENTER DRIVE	ROCKVILLE	MD	20850	SEE PART VI FOR WEBSITE	15-077	Yes (X)	SAME LEGAL ENTITY AS LICENSE 15-081	A
AHC-REHABILITATION - WHITE OAK
2	11890 HEALING WAY	SILVER SPRING	MD	20904	SEE PART VI FOR WEBSITE	15-081	Yes (X)	SAME LEGAL ENTITY AS LICENSE 15-077	A

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	AHC-REHABILITATION - ROCKVILLEWHITE OAK	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
First Licensed CY Or PY	0	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	0	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (1)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Prior CHNA Impact	Yes (X)	PriorCHNAImpactInd
CHNA Conducted	22	CHNAConductedYr
Take Into Account Others Input	Yes (1)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	Yes (1)	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	0	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (1)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	SEE URL ON SECTION C	OwnWebsiteURLTxt
Other Website	Yes (X)	OtherWebsiteInd
Other Website URL	ADVENTISTHEALTHCARE.COM/ABOUT/COMMUNITY/HEALTH-NEEDS-ASSESSMENT	OtherWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Rpt Available Thru Other Method	Yes (X)	RptAvailableThruOtherMethodInd
Implementation Strategy Adopt	Yes (1)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	22	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (1)	StrategyPostedWebsiteInd
Strategy Website URL	ADVENTISTHEALTHCARE.COM/ABOUT/COMMUNITY/HEALTH-NEEDS-ASSESSMENT	StrategyWebsiteURLTxt
Organization Incur Excise Tax	0	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (1)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	200.000000000000	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	600.000000000000	FPGFamilyIncmLmtDscntCarePct
Asset Level Criteria	Yes (X)	AssetLevelCriteriaInd
Medical Indigency Criteria	Yes (X)	MedicalIndigencyCriteriaInd
Explained Basis	Yes (1)	ExplainedBasisInd
App Financial Asst Expln	Yes (1)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Includes Publicity Measures	Yes (1)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	SEE URLS ON SECTION C	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	SEE URLS ON SECTION C	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	SEE URLS ON SECTION C	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill Display	Yes (X)	NotifiedFAPCopyBillDisplayInd
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
FAP Translated	Yes (X)	FAPTranslatedInd
Other Publicity	Yes (X)	OtherPublicityInd
FAP Actions On Nonpayment	Yes (1)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	0	CollectionActivitiesInd
Provided Written Notice	Yes (X)	ProvidedWrittenNoticeInd
Made Effort Orally Notify	Yes (X)	MadeEffortOrallyNotifyInd
Processed FAP Application	Yes (X)	ProcessedFAPApplicationInd
Made Presumptive Elig Determ	Yes (X)	MadePresumptiveEligDetermInd
Nondis Emergency Care Policy	Yes (1)	NondisEmergencyCarePolicyInd
Look Back Medicaid Medcr Prvt	Yes (X)	LookBackMedicaidMedcrPrvtInd
Amounts Generally Billed	0	AmountsGenerallyBilledInd
Gross Charges	0	GrossChargesInd

Supplemental Information SupplementalInformationGrp (7 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART V, SECTION B	FACILITY REPORTING GROUP A
FACILITY REPORTING GROUP A CONSISTS OF:	- FACILITY 1: AHC-REHABILITATION - ROCKVILLE, - FACILITY 2: AHC-REHABILITATION - WHITE OAK
AHC-REHABILITATION - ROCKVILLE/WHITE OAK PART V, SECTION B, LINE 5:	THE FOLLOWING NARRATIVE IS BASED ON THE LAST CONDUCTED CHNA IN 2022:THE 2022 MONTGOMERY COUNTY HOSPITAL COLLABORATIVE (MCHC) CHNA RELIED ON MULTIPLE TOOLS AND RESOURCES TO UNDERSTAND AND IDENTIFY THE UNMET HEALTH NEEDS OF THE PEOPLE WE SERVE. USING THE COUNTY HEALTH RANKINGS MODEL AS THE GUIDE FOR FACTORS THAT INFLUENCE LENGTH AND QUALITY OF LIFE, OVER 100 INDICATORS WERE IDENTIFIED AND INTEGRATED TO CREATE A HEALTH PROFILE OF MONTGOMERY AND PRINCE GEORGE'S COUNTIES. IN ADDITION TO GATHERING TIMELY, RELIABLE, AND VALID SECONDARY HEALTH DATA AND REPORTS, THE MCHC COLLECTED FIRSTHAND INFORMATION FROM THE COMMUNITY AND EXPERTS IN THE FIELD VIA OUR COMMUNITY HEALTH IMPROVEMENT PROCESS (HEALTHY MONTGOMERY), EXTERNAL ADVISORY BOARD CONVERSATIONS, AND KEY INFORMANT INTERVIEWS.HEALTHY MONTGOMERY:SERVING AS THE LOCAL HEALTH IMPROVEMENT COALITION (LHIC), HEALTHY MONTGOMERY BRINGS TOGETHER MONTGOMERY COUNTY GOVERNMENT AGENCIES, THE FOUR HOSPITAL SYSTEMS, THE MINORITY HEALTH INITIATIVES/HEALTH PROGRAMS, ADVOCACY GROUPS, ACADEMIC INSTITUTIONS, COMMUNITY-BASED SERVICE PROVIDERS, THE HEALTH INSURANCE COMMUNITY, AND OTHER STAKEHOLDERS TO SET A HEALTH PRIORITY AGENDA AND AN ACTION PLAN FOR MONTGOMERY COUNTY'S PRIORITIZED NEEDS. HEALTHY MONTGOMERY AIMS TO: IMPROVE ACCESS TO HEALTH AND SOCIAL SERVICES; ACHIEVE HEALTH EQUITY FOR ALL RESIDENTS; AND ENHANCE THE PHYSICAL AND SOCIAL ENVIRONMENT TO SUPPORT OPTIMAL HEALTH AND WELL-BEING. THE MCHC CONTRIBUTES UP TO $150,000 ANNUALLY TO SUPPORT THE INFRASTRUCTURE OF HEALTHY MONTGOMERY. IN ADDITION TO PROVIDING FINANCIAL SUPPORT, REPRESENTATIVES FROM EACH HEALTH SYSTEM PLAY AN ACTIVE ROLE THROUGH REPRESENTATION ON MULTIPLE HEALTHY MONTGOMERY COMMITTEES AND PLANNING GROUPS, INCLUDING THE HEALTHY MONTGOMERY STEERING COMMITTEE, WHICH IS THE GOVERNING BODY FOR THE GROUP (SEE APPENDIX B OF THE CHNA FOR A FULL LIST OF STEERING COMMITTEE MEMBERS).EXTERNAL ADVISORY GROUPS:THE FOUR HEALTH SYSTEMS HAVE CONVENED A GROUP OF EXTERNAL PARTICIPANTS REPRESENTING THE BROAD INTERESTS OF THE COMMUNITY WE SERVE TO SHARE ADVICE AND FEEDBACK. PARTICIPANTS INCLUDE: THE PUBLIC HEALTH OFFICER, THE DIRECTOR OF THE MONTGOMERY COUNTY DEPARTMENT OF HEALTH AND HUMAN SERVICES, VARIOUS INDIVIDUALS FROM LOCAL AND STATE GOVERNMENTAL AGENCIES, LEADERS FROM COMMUNITY-BASED ORGANIZATIONS, FOUNDATIONS, CHURCHES, COLLEGES, COALITIONS, AND ASSOCIATIONS. THESE PARTICIPANTS ARE EXPERTS IN A RANGE OF AREAS, INCLUDING PUBLIC HEALTH, HEALTH CARE, MINORITY POPULATIONS AND DISPARITIES IN HEALTH CARE, SOCIAL DETERMINANTS OF HEALTH (SDOH), AND SOCIAL SERVICES. THROUGH FEEDBACK AND ADVICE, THEY PROVIDE ONGOING INPUT TO ENSURE THAT WE HAVE IDENTIFIED AND RESPONDED TO THE MOST PRESSING COMMUNITY HEALTH NEEDS. THROUGHOUT THE CHNA, ADVISORY GROUP MEMBERS WERE INVITED TO PARTICIPATE, PARTICULARLY IN THE PRIORITIZATION PROCESS, THOUGHT LEADERS' DISCUSSIONS, AND DATA EXPLORATION PROCESS. A COMPREHENSIVE LIST OF MEMBERS OF THE EXTERNAL ADVISORY GROUP IS AVAILABLE IN APPENDIX C OF THE CHNA.COMMUNITY SURVEYS, CONVERSATIONS, AND KEY INFORMANT INTERVIEWS: IN 2021, THE MCHC WIDELY DISTRIBUTED A 19-QUESTION COMMUNITY HEALTH NEEDS ASSESSMENT SURVEY CENTERED ON HEALTH STATUS, ACCESS TO CARE, AND PERCEIVED COMMUNITY HEALTH NEEDS AND STRENGTHS. THE SURVEY IS AVAILABLE IN BOTH ENGLISH AND IN SPANISH. SURVEY DISSEMINATION INCLUDES COMMUNITY EVENTS, PROGRAMS, VIA EMAIL, LISTSERVS, SOCIAL MEDIA, COMMUNITY PARTNERS AND ORGANIZATIONS. COMMUNITY CONVERSATIONS AND KEY INFORMANT INTERVIEWS WERE CONDUCTED IN PARTNERSHIP WITH HEALTHY MONTGOMERY AND THE MONTGOMERY COUNTY DEPARTMENT OF HEALTH AND HUMAN SERVICES' OVERSIGHT, PARTICIPATION, AND SUPPORT. THE FINDINGS FROM THE KEY INFORMANT INTERVIEWS ARE REFERENCED IN APPENDIX D OF THE CHNA.
AHC-REHABILITATION - ROCKVILLE/WHITE OAK PART V, SECTION B, LINE 6A:	THE MOST RECENTLY CONDUCTED CHNA, COMPLETED IN 2022, WAS DONE IN COLLABORATION WITH ALL THE HOSPITALS IN MONTGOMERY COUNTY, MD: ADVENTIST HEALTHCARE SHADY GROVE MEDICAL CENTER, ADVENTIST HEALTHCARE WHITE OAK MEDICAL CENTER, ADVENTIST HEALTHCARE REHABILITATION, HOLY CROSS GERMANTOWN, HOLY CROSS SILVER SPRING, MEDSTAR MONTGOMERY, AND SUBURBAN HOSPITAL.
AHC-REHABILITATION - ROCKVILLE/WHITE OAK 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/WHITE OAK PART V, SECTION B, LINE 11:	A FUNDAMENTAL COMPONENT OF A COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA), AS DESCRIBED BY THE CATHOLIC HEALTH ASSOCIATION, IS THE PRIORITIZATION OF THE IDENTIFIED NEEDS. TO EFFECTIVELY ACHIEVE THIS GOAL, THE MONTGOMERY COUNTY HOSPITAL COLLABORATIVE (MCHC) ENGAGED LOCAL PUBLIC HEALTH LEADERS, SERVICE PROVIDERS, AND COMMUNITY ADVOCATES TO PARTICIPATE IN THE PRIORITY-SETTING PROCESS (PLEASE REFER TO APPENDIX I OF THE CHNA REPORT FOR A LIST OF COMMUNITY STAKEHOLDERS INVITED TO PARTAKE IN THIS PROCESS). THE FOLLOWING THREE CRITERIA PRIORITIZED THE NEEDS IDENTIFIED FROM THE PRIMARY AND SECONDARY DATA ANALYSIS: SEVERITY (HIGH LEVEL OF SERIOUSNESS OR URGENCY IN THE COMMUNITY), FEASIBILITY (COULD REALISTICALLY IMPROVE IN THE NEXT THREE YEARS), AND OUTCOME (POTENTIAL IMPACT ON THE GREATEST NUMBER OF PEOPLE IDENTIFIED). USING THESE CRITERIA, ALONG WITH INDIVIDUAL PROFESSIONAL EXPERTISE AND EXPERIENCE, MCHC STAKEHOLDERS INFORMED NINE HEALTH FACTORS AS TOP UNMET NEEDS: ACCESS TO CARE (ACCESS TO MENTAL HEALTH PROVIDERS, ACCESS TO PRIMARY CARE PROVIDERS, LACK OF INSURANCE), HEALTHY BEHAVIORS (FOOD INSECURITY, ADULT OBESITY, PHYSICAL INACTIVITY), AND EDUCATION, INCOME, JOB AND ENVIRONMENT (WORKFORCE/LABOR SHORTAGES, INCOME INEQUALITY, HOUSING COST BURDEN).THESE NINE HEALTH FACTORS ARE RECOGNIZED AS ROOT CAUSES THAT IMPACT A PERSON'S HEALTH, WELLBEING, AND QUALITY OF LIFE. BY CONSIDERING THESE ROOT CAUSES, MEANINGFUL CHANGES CAN BE MADE TO DECREASE RISK FOR THE TOP HEALTH OUTCOMES IN OUR COMMUNITY: HEART DISEASE, DIABETES, MENTAL HEALTH, CANCER, MATERNAL AND CHILD HEALTH, INFECTIONS, AND UNINTENTIONAL INJURIES (SEE FIGURE 5, ON THE CHNA REPORT). THROUGH A MULTI-SECTORAL COLLABORATION, THE MCHC WILL TACKLE THE TOP HEALTH FACTORS BY LEVERAGING A COLLABORATIVE IMPLEMENTATION STRATEGY, PAYING PARTICULAR ATTENTION TO THE MOST VULNERABLE POPULATIONS IN OUR COMMUNITIES.THE MCHC ADDRESSES UNMET HEALTH NEEDS WITHIN THE CONTEXT OF OUR OVERALL APPROACH. SPECIFICALLY, TAKING INTO CONSIDERATION EACH HEALTH SYSTEM'S MISSION COMMITMENTS, INDIVIDUAL HOSPITAL KEY CLINICAL STRENGTHS, AS WELL AS THE OVERARCHING GOALS ESTABLISHED BY OUR LOCAL HEALTH IMPROVEMENT COALITION, HEALTHY MONTGOMERY. KEY FINDINGS FROM ALL DATA SOURCES WERE REVIEWED, AND THE MOST PRESSING NEEDS WERE INCORPORATED INTO OUR IMPLEMENTATION STRATEGY. THE CHNA IMPLEMENTATION STRATEGY REFLECTS THE MCHC'S OVERALL APPROACH TO IMPROVING COMMUNITY HEALTH BY TARGETING THE INTERSECTION BETWEEN THE IDENTIFIED NEEDS OF THE COMMUNITY AND THE KEY STRENGTHS AND MISSION COMMITMENTS OF EACH ORGANIZATION TO HELP BUILD A CONTINUUM OF CARE. EACH HEALTH SYSTEM HAS ESTABLISHED LEAD COMMUNITY HEALTH IMPROVEMENT ACCOUNTABILITY LEVERS, WHICH INCLUDE AN ORGANIZATIONAL STRUCTURE TO PROVIDE OVERSIGHT OF ONGOING PLANNING, BUDGETING, STRATEGIC IMPLEMENTATION, AND MULTI-YEAR EVALUATION.THE IMPLEMENTATION STRATEGY OUTLINES THE MAJOR ACTIVITIES THE MCHC ARE IMPLEMENTING TO ADDRESS THE UNMET NEEDS IDENTIFIED IN THE 2022 COMMUNITY HEALTH NEEDS ASSESSMENT. THE ACTIVITIES ARE SUMMARIZED BY PRIORITY AND KEY FOCUS AREA. THE OBJECTIVES LISTED FOR EACH PRIORITY ARE DERIVED FROM HEALTHY PEOPLE 2030. THE IMPLEMENTATION STRATEGY SHOULD BE CONSIDERED A LIVING PLAN THAT IS UPDATED AND EVALUATED, AT A MINIMUM, EACH YEAR OR AS EMERGING NEEDS ARISE.A HIGHLIGHT OF SOME OF THE INITIATIVES BEING UNDERTAKEN:ACCESS TO BEHAVIORAL HEALTH: BEHAVIORAL HEALTH SCREENINGS WITH LINKS TO TREATMENT AND RESOURCES; IN-SERVICES FOR PRIMARY CARE PROVIDERS TO EQUIP THEM WITH SKILLS AND KNOWLEDGE TO ADDRESS MENTAL HEALTH NEEDS IN THE PRIMARY CARE SETTING; FREE MENTAL HEALTH AND WELLNESS WORKSHOPS, EVENTS AND SUPPORT GROUPS IN THE COMMUNITY; BEHAVIORAL HEALTH INTERNSHIPS AND MEDICAL ROTATIONS; AWARDING GRANT FUNDING TO LOCAL ORGANIZATIONS ADDRESSING ACCESS TO MENTAL HEALTH SERVICES.ACCESS TO PRIMARY CARE: GRANTS AND IN-KIND SUPPORT FOR LOCAL CLINICS AND FEDERALLY QUALIFIED HEALTH CENTERS (FQHCS); SCREENINGS, REFERRALS, AND LINKAGES TO COMMUNITY RESOURCES; ADDRESS ACCESS BARRIERS THROUGH TRANSPORTATION AND LANGUAGE ASSISTANCE PROGRAMS; PARTNER WITH THE COUNTY TO PROVIDE PERINATAL SERVICES AT A REDUCED COST FOR LOW INCOME AND UNINSURED WOMEN.HEALTHY BEHAVIORS: LINKAGES TO COMMUNITY AND SOCIAL SERVICES; AWARD GRANT FUNDING TO ORGANIZATIONS; ADDRESS SOCIAL SERVICE NEEDS SUCH AS FOOD ACCESS; PROVIDE DIABETES EDUCATION AND CLASSES FOR THE COMMUNITY; PROVIDE HEALTHY LIFESTYLE CLASSES FOR THE COMMUNITY.EDUCATION, INCOME, JOB & ENVIRONMENT: WORKFORCE DEVELOPMENT PROGRAMS TO ADVANCE HEALTH/ALLIED HEALTH CAREERS; AWARD GRANTS TO ORGANIZATIONS ADDRESSING WORKFORCE DEVELOPMENT AND VOCATIONAL TRAINING; OFFER INTERNSHIPS, FELLOWSHIPS, AND CLINICAL ROTATIONS ACROSS OUR ENTITIES; AWARD GRANTS TO ORGANIZATIONS ADDRESSING HOUSING AND HOMELESSNESS.A COMPLETE LIST OF INITIATIVES CAN BE VIEWED HERE: HTTPS://WWW.ADVENTISTHEALTHCARE.COM/ABOUT/COMMUNITY/HEALTH-NEEDS-ASSESSMENT
AHC-REHABILITATION - ROCKVILLE/WHITE OAK PART V, SECTION B, LINE 16J:	THE POLICY IS ALSO STRATEGICALLY POSTED AT OUR PATIENT FINANCIAL SERVICES OFFICE.PART V, SECTION B, LINE 16A: HTTPS://WWW.ADVENTISTHEALTHCARE.COM/PATIENTS/BILLING/FINANCIAL-ASSISTANCE/PART V, SECTION B, LINE 16B: SAME URL AS LISTED ON LINE 16APART V, SECTION B, LINE 16C: SAME URL AS LISTED ON LINE 16A

Supplemental Information Detail SupplementalInformationDetail (15 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE 3C:	IN CONSIDERATION FOR FINANCIAL ASSISTANCE TO OUR PATIENTS, ADVENTIST HEALTHCARE ALSO CONSIDERS CIRCUMSTANCES BEYOND INCOME. THE PATIENT'S CIRCUMSTANCES COULD INCLUDE THE NEEDS OF THE PATIENT AND/OR FAMILY AND OTHER FINANCIAL RESOURCES. IT IS OUR MISSION TO PROVIDE NECESSARY MEDICAL CARE TO THOSE WHO ARE UNABLE TO PAY FOR THAT CARE. IN GENERAL, ADVENTIST HEALTHCARE HAS 15 LEVELS OF FINANCIAL ASSISTANCE. THEY ARE AS FOLLOWS:- ANNUAL INCOME <= 1.0X OF FPL, 0% PATIENT RESPONSIBILITY- ANNUAL INCOME > 1.00X AND <= 1.25X OF FPL, 0% PATIENT RESPONSIBILITY- ANNUAL INCOME > 1.25X AND <= 1.50X OF FPL, 0% PATIENT RESPONSIBILITY- ANNUAL INCOME > 1.50X AND <= 1.75X OF FPL, 0% PATIENT RESPONSIBILITY- ANNUAL INCOME > 1.75X AND <= 2.00X OF FPL, 0% PATIENT RESPONSIBILITY- ANNUAL INCOME > 2.00X AND <= 2.25X OF FPL, 10% PATIENT RESPONSIBILITY- ANNUAL INCOME > 2.25X AND <= 2.50X OF FPL, 20% PATIENT RESPONSIBILITY- ANNUAL INCOME > 2.50X AND <= 2.75X OF FPL, 30% PATIENT RESPONSIBILITY- ANNUAL INCOME > 2.75X AND <= 3.00X OF FPL, 40% PATIENT RESPONSIBILITY- ANNUAL INCOME > 3.00X AND <= 3.50X OF FPL, 50% PATIENT RESPONSIBILITY- ANNUAL INCOME > 3.50X AND <= 4.00X OF FPL, 60% PATIENT RESPONSIBILITY- ANNUAL INCOME > 4.00X AND <= 4.50X OF FPL, 70% PATIENT RESPONSIBILITY- ANNUAL INCOME > 4.50X AND <= 5.00X OF FPL, 80% PATIENT RESPONSIBILITY- ANNUAL INCOME > 5.00X AND <= 5.50X OF FPL, 90% PATIENT RESPONSIBILITY- ANNUAL INCOME > 5.50X AND <= 6.00X OF FPL, 95% PATIENT RESPONSIBILITY
PART I, LINE 7:	FOR PURPOSES OF PREPARING SCHEDULE H OF FORM 990, ADVENTIST REHABILITATION HOSPITAL OF MARYLAND CALCULATED A COST TO CHARGE RATIO AS REFLECTED IN ITS 2024 AUDITED FINANCIAL STATEMENTS. THIS RATIO WAS USED TO CONVERT THE ANNUAL CHARITY CARE PROVISION FROM CHARGE TO COST.
PART I, LINE 7G:	SUBSIDIZED HEALTH SERVICES INCLUDED PAYMENTS FOR NON-EMPLOYED BUT HOSPITAL-BASED PHYSICIANS, NON-RESIDENT HOSPITAL STAFF, HOSPITALISTS, EMERGENCY ON-CALL, OFF-CAMPUS EMERGENCY CENTER, AND WOMEN'S AND CHILDREN'S SERVICES SUBSIDIES.
PART II, COMMUNITY BUILDING ACTIVITIES:	ADVENTIST REHABILITATION HOSPITAL OF MARYLAND, INC.'S COMMUNITY BUILDING ACTIVITIES WERE DONE JOINTLY AT THE CORPORATE LEVEL WITH ADVENTIST HEALTHCARE, INC. TO CENTRALIZE THE ACTIVITIES PERFORMED AS A SYSTEM. ADVENTIST REHABILITATION HOSPITAL OF MARYLAND, INC. PLAYED AN INTEGRAL ROLE AND CONTRIBUTED TO SEVERAL OUTREACH PROGRAMS AS PART OF ITS MISSION. ADVENTIST REHABILITATION HOSPITAL OF MARYLAND, INC. AND ADVENTIST HEALTHCARE'S MISSION IS "WE EXTEND GOD'S CARE THROUGH THE MINISTRY OF PHYSICAL, MENTAL AND SPIRITUAL HEALING." ADVENTIST REHABILITATION HOSPITAL OF MARYLAND, INC. AND ADVENTIST HEALTHCARE GO BEYOND TRADITIONAL HOSPITAL CARE TO OFFER EXPERTISE AND RESOURCES THAT HELP STRENGTHEN THE COMMUNITY'S INFRASTRUCTURE IN A WAY THAT PROMOTES HEALTH AND WELL-BEING.IN 2024, MOST ADVENTIST HEALTHCARE'S COMMUNITY BUILDING ACTIVITIES CONSISTED OF: LOWERING HEALTHCARE COSTS AND PROMOTING HEALTH AND WELLBEING OF THE COMMUNITY; ADVOCATING ON COMMUNITY HEALTH IMPROVEMENTS THROUGH OUR GOVERNMENT RELATIONS AND PUBLIC POLICY DEPARTMENT; AND ESTABLISHING ADDITIONAL COMMUNITY PARTNERSHIPS.GOVERNMENT RELATIONS AND PUBLIC POLICY DEPARTMENT INITIATIVES:IN 2024, ADVENTIST HEALTHCARE WORKED WITH FEDERAL, STATE, AND LOCAL LEADERS TO SUPPORT EQUITABLE ACCESS TO HEALTH CARE SERVICES. WE WORKED WITH STAKEHOLDERS TO SUPPORT HEALTH CARE WORKER SAFETY AND TO SUPPORT THE WORKFORCE PIPELINE IN THE STATE AND COUNTRY. WE WORKED TO SECURE STATE FUNDING TO ENHANCE THE HEALTH CARE INFRASTRUCTURE IN TRADITIONAL MARGINALIZED COMMUNITIES. WE SUPPORTED COMMUNITY DEVELOPMENT PROJECTS ACROSS MONTGOMERY AND PRINCE GEORGE'S COUNTIES. WE CONTINUE TO PROVIDE FINANCIAL SUPPORT TO COMMUNITY PARTNERS ADDRESSING PUBLIC NEEDS INCLUDING HOUSING AND FOOD INSECURITY.HEALTH PARTNERSHIPS WITHIN THE COMMUNITY:ADVENTIST HEALTHCARE AIMS TO IMPROVE THE HEALTH OF COMMUNITIES IT SERVES. IT DOES THIS BY RAISING AWARENESS OF COMMUNITY HEALTH NEEDS AND LOCAL DISPARITIES, IMPROVING ACCESS TO CULTURALLY APPROPRIATE CARE, AND PROVIDING COMMUNITY WELLNESS OUTREACH AND EDUCATION. ADVENTIST HEALTHCARE WORKS TO ADDRESS NOT JUST THE PHYSICAL AND MENTAL HEALTH NEEDS OF OUR PATIENTS AND COMMUNITY MEMBERS, BUT TO ADDRESS WHOLE-PERSON HEALTH. TO DO THIS, WE DEVELOP PARTNERSHIPS AND COLLABORATE WITH KEY STAKEHOLDERS IN THE COMMUNITY. THROUGH COLLABORATION, WE CAN EXPAND OUR EXPERTISE AND RESOURCES AND THEREFORE HAVE A LARGER COLLECTIVE IMPACT ON THE HEALTH AND WELL-BEING OF OUR COMMUNITY. A SAMPLING OF OUR PARTNERSHIPS IS DESCRIBED BELOW:1) HEALTHY MONTGOMERY:HEALTHY MONTGOMERY IS THE LOCAL HEALTH IMPROVEMENT COALITION FOR MONTGOMERY COUNTY, MARYLAND. ADVENTIST HEALTHCARE PARTNERS WITH AND SUPPORTS HEALTHY MONTGOMERY BOTH STRATEGICALLY AND FINANCIALLY. REPRESENTATIVES FROM ADVENTIST HEALTHCARE SIT ON THE HEALTHY MONTGOMERY STEERING COMMITTEE, THE HEALTH IN ALL POLICY WORKGROUP, AND THE HOSPITAL WORKGROUP, AMONG OTHERS. ADVENTIST HEALTHCARE ALSO CONTRIBUTES UP TO $50,000 ANNUALLY TO SUPPORT THE INFRASTRUCTURE OF HEALTHY MONTGOMERY. HEALTHY MONTGOMERY, IN PARTNERSHIP WITH COMMUNITY STAKEHOLDERS SUCH AS LOCAL POLICY MAKERS, HOSPITALS, ADVOCACY GROUPS AND ACADEMIC INSTITUTIONS, AMONG OTHERS, REVIEWS THE NEEDS AND RESOURCES IN THE COUNTY AND WORKS TO SET PRIORITIES FOR IMPROVING HEALTH AND WELL-BEING. THE OVERALL GOALS OF HEALTHY MONTGOMERY ARE TO IMPROVE ACCESS TO HEALTH AND SOCIAL SERVICES, ACHIEVE HEALTH EQUITY FOR ALL RESIDENTS, AND ENHANCE THE PHYSICAL AND SOCIAL ENVIRONMENT TO SUPPORT OPTIMAL HEALTH AND WELL-BEING. AMONG ITS MANY ACCOMPLISHMENTS, HEALTHY MONTGOMERY HAS BEEN ABLE TO PROVIDE LOCAL LEVEL DATA THAT IS STRATIFIED BY SEX, AGE, RACE, AND ETHNICITY. BY MAKING THIS DATA MORE EASILY AVAILABLE, COMMUNITY STAKEHOLDERS, ADVENTIST HEALTHCARE INCLUDED, ARE BETTER ABLE TO IDENTIFY NEEDS IN THE COMMUNITY THAT MAY HAVE OTHERWISE BEEN MASKED BY LESS GRANULAR DATA. THIS ALLOWS FOR MORE STRATEGIC AND TARGETED HEALTH PREVENTION AND PROMOTION PROGRAMMING TO BE DEVELOPED.2) PRINCE GEORGE'S HEALTHCARE ACTION COALITION:PRINCE GEORGE'S HEALTHCARE ACTION COALITION (PGHAC) SERVES AS A COMMUNITY HEALTH NETWORK AND FORUM FOR COLLABORATION TO ADVANCE THE HEALTH OF PRINCE GEORGE'S COUNTY. THIS COMMUNITY-POWERED COALITION REPRESENTS OVER 70 COMMUNITY ORGANIZATIONS, HEALTH CARE PROVIDERS AND STAKEHOLDERS IN COMMUNITY HEALTH.THE COALITION WAS FORMED IN 2012 UNDER THE LEADERSHIP OF PRINCE GEORGE'S COUNTY HEALTH DEPARTMENT (PGCHD), WITH THE HEALTH OFFICER SERVING AS CO-CHAIR. THE PGHAC LEADS THE PROCESS FOR DEVELOPING AND EXECUTING THE COMMUNITY HEALTH IMPROVEMENT PLAN FOR THE COUNTY. THIS INCLUDES ORGANIZING SEVERAL WORK GROUPS AND BRINGING TOGETHER PARTNERS IN AREAS SUCH AS HEALTH EQUITY, BEHAVIORAL HEALTH AND HEALTHY EATING AND ACTIVE LIVING.3) NEXUS MONTGOMERY:NEXUS MONTGOMERY IS A PARTNERSHIP OF FOUR HEALTH SYSTEMS IN MONTGOMERY COUNTY, MARYLAND, INCLUDING ADVENTIST HEALTHCARE, HOLY CROSS HEALTH, MEDSTAR MONTGOMERY AND SUBURBAN HOSPITAL. THE PARTNERSHIP IS FOCUSED ON IMPROVING THE WELL-BEING OF PATIENTS AND COMMUNITY MEMBERS AND REDUCING POTENTIAL AVOIDABLE UTILIZATION (PAU)'S AND TOTAL COST OF CARE. EXAMPLES OF STRATEGIES AND PROGRAMS THAT THE PARTNERSHIP HAS WORKED ON INCLUDE WELLNESS AND INDEPENDENCE FOR SENIORS AT HOME (WISH), HOSPITAL CARE TRANSITIONS, UNINSURED/PROJECT ACCESS, AND SEVERELY MENTALLY ILL/BEHAVIORAL HEALTH. THE GOALS OF THESE PROGRAMS ARE TO STABILIZE HEALTH OF OLDER ADULTS TO REDUCE HOSPITAL ADMISSIONS, IMPROVE TRANSITIONS FROM HOSPITAL-TO-HOME, CONNECT UNINSURED TO SPECIALTY CARE, AND IMPROVE COMMUNITY-BASED RESOURCES FOR THE SEVERELY MENTALLY ILL.4) FOUNDATION SCHOOLS:THE MISSION OF FOUNDATION SCHOOLS IS TO PROVIDE HIGHLY SPECIALIZED EDUCATIONAL AND THERAPEUTIC PROGRAM FOR STUDENTS IDENTIFIED WITH EMOTIONAL DISABILITIES, AS WELL AS THOSE WITH SOCIAL, EMOTIONAL AND LEARNING CHALLENGES, PREPARING THEM TO BE LIFELONG LEARNERS. THROUGH A COMBINATION OF PERSONALIZED ACADEMIC AND THERAPEUTIC PROGRAMMING, THEY PROVIDE STUDENTS WITH TOOLS NEEDED TO BE PROMOTED TO THE NEXT GRADE LEVEL, GRADUATE FROM HIGH SCHOOL, AND ESTABLISH THEMSELVES IN THE WORLD. IN 2024, THE ADVENTIST HEALTHCARE COMMUNITY PARTNERSHIP FUND PROVIDED THE FOUNDATION SCHOOLS WITH A GRANT TO SUPPORT CAREER AND COLLEGE PREPARATION FOR STUDENTS WITH DISABILITIES. THIS INCLUDED SUPPORT FOR STUDENTS INTERESTED IN POST-SECONDARY EDUCATION AS WELL AS THOSE PREPARING TO ENTER THE WORKFORCE.5) MID-COUNTY UNITED MINISTRIES:MID-COUNTY UNITED MINISTRIES IS A GRASSROOTS ORGANIZATION THAT PROVIDES EMERGENCY ASSISTANCE TO PEOPLE IN CRISIS. THEY ASSIST WITH FOOD, MEDICINE, EVICTION PREVENTION AND UTILITIES WHILE EMPHASIZING CLIENT CHOICE, PROBLEM-SOLVING AND SELF-SUFFICIENCY. IN 2024, THE ADVENTIST HEALTHCARE COMMUNITY PARTNERSHIP FUND PROVIDED MID-COUNTY UNITED MINISTRIES WITH A GRANT TO PROVIDE EMERGENCY RENTAL AND UTILITY ASSISTANCE TO PREVENT HOUSING LOSS AND UTILITY SHUT OFF. CLIENTS WERE ALSO PROVIDED WITH CASE MANAGEMENT SERVICES TO IDENTIFY LONG-TERM SOLUTIONS AND ACCESS TO THE ORGANIZATION'S FOOD PANTRY. 6) HABITAT FOR HUMANITY:HABITAT FOR HUMANITY IS A MOVEMENT OF PEOPLE IN YOUR LOCAL AREA AND AROUND THE WORLD WORKING TOGETHER TO BUILD MORE PROSPEROUS AND VIBRANT COMMUNITIES BY MAKING SURE EVERYONE HAS A SAFE, AFFORDABLE PLACE TO CALL HOME. IN 2024, THE ADVENTIST HEALTHCARE COMMUNITY PARTNERSHIP FUND PROVIDED HABITAT FOR HUMANITY WITH A GRANT TO ASSIST WITH THEIR REPAIR AND ACCESSIBILITY MODIFICATION PROGRAM WHICH PROVIDES HOME REPAIRS AND ACCESSIBILITY MODIFICATIONS FOR LOW-INCOME HOMEOWNERS, ENABLING THEM TO SAFELY STAY AND AGE IN THEIR HOMES. 7) SUNFLOWER BAKERY:SUNFLOWER BAKERY PREPARES YOUNG ADULTS WITH LEARNING DIFFERENCES FOR EMPLOYMENT IN PASTRY, BAKING AND OTHER FOOD INDUSTRIES.IN 2024, THE ADVENTIST HEALTHCARE COMMUNITY PARTNERSHIP FUND PROVIDED SUNFLOWER BAKERY WITH A GRANT TO SUPPORT THEIR HOSPITALITY AND CULINARY ARTS WORKFORCE DEVELOPMENT TRAINING PROGRAM DESIGNED FOR INDIVIDUALS WITH LEARNING DISABILITIES. ITS THREE TRAINING PROGRAMS COMBINE FORMAL CURRICULUM INSTRUCTION WITH ON-THE-JOB TRAINING, JOB DEVELOPMENT, AND JOB PLACEMENT SUPERVISED BY A PROFESSIONAL JOB COACH.
PART III, LINE 2:	TO ESTIMATE THE COST OF BAD DEBT THAT WE HAVE REPORTED ON SCHEDULE H, WE MULTIPLIED THE ORGANIZATION'S COST TO CHARGE RATIO (CCR) TIMES THE BAD DEBT PROVISION THAT HAS BEEN DERIVED FROM THE 2024 AUDITED FINANCIAL STATEMENTS. THE ORGANIZATION'S CCR IS THE QUOTIENT THAT RESULTS WHEN TOTAL OPERATING EXPENSE IS DIVIDED BY TOTAL GROSS 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:	8) GENERATION HOPE:GENERATION HOPE'S GOAL IS TO DISMANTLE GENERATIONAL POVERTY THROUGH EDUCATIONAL ATTAINMENT. THEIR PROGRAMMING ADDRESSES AN URGENT NEED IN THE COMMUNITY BY FOCUSING ON THE BEST LONG-TERM POVERTY SOLUTIONS AND MAKING A LASTING IMPACT ON THE REGION'S LOW-INCOME TEEN PARENTS AND THEIR CHILDREN. THE GOAL FOR THE SCHOLAR PROGRAM IS THAT TEEN PARENTS EARN A COLLEGE DEGREE AND SECURE THRIVING FUTURES FOR THEIR FAMILIES. FOR NEXT GENERATION ACADEMY, THEIR GOAL IS THAT THE CHILDREN OF TEEN PARENTS ARE PREPARED FOR SUCCESS AND WELLBEING IN KINDERGARTEN AND BEYOND.IN 2024, ADVENTIST HEALTHCARE PROVIDED GENERATION HOPE WITH GRANT FUNDING TO SUPPORT THEIR SCHOLAR PROGRAM AND NEXT GENERATION ACADEMY. WITH THIS FUNDING GENERATION HOPE PROVIDED MENTAL HEALTH SUPPORT TO SCHOLARS AND THEIR CHILDREN, PROVIDED SCHOLARS WITH WORKFORCE DEVELOPMENT SUPPORT, AND SUPPORTED SCHOLARS IN MAINTAINING HIGH GPAS AND GRADUATION RATES TO SET THEM UP FOR LONG TERM SUCCESS.ADVENTIST REHABILITATION HOSPITAL OF MARYLAND, INC. AND ADVENTIST HEALTHCARE AS A SYSTEM CONTINUES TO PROVIDE COMMUNITY BUILDING ACTIVITIES IN 2025. 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 THE CREDIT LOSS EXPENSE WHEN THE CORPORATION HAS EXHAUSTED ALL COLLECTION EFFORTS AND DETERMINES ACCOUNTS ARE IMPAIRED BASED ON CHANGES IN PATIENT CREDIT WORTHINESS. PATIENT ACCOUNTS RECEIVABLE ALSO INCLUDES MANAGEMENT'S ESTIMATE OF THE IMPACT OF CERTAIN UNDERCHARGES TO BE RECOUPED OR OVERCHARGES TO BE PAID BACK FOR INPATIENT AND OUTPATIENT SERVICES IN SUBSEQUENT YEARS' RATES AS DISCUSSED EARLIER.
PART III, LINE 8:	IN ORDER TO DETERMINE THE COST OF PROVIDING MEDICARE SERVICES, WE MULTIPLIED TOTAL MEDICARE CHARGES PER THE HOSPITAL'S GENERAL LEDGER TIMES THE COST TO CHARGE RATIO REFLECTED IN THE ENTITY'S INCOME STATEMENT.WE ESTIMATED TOTAL PAYMENTS RECEIVED BY MULTIPLYING THE HISTORICAL COLLECTION PERCENTAGE OF MEDICARE ACCOUNTS TIMES TOTAL MEDICARE CHARGES AS REPORTED IN THE HOSPITAL'S GENERAL LEDGER.ANY DEFICIT REPORTED REPRESENTS THE DIFFERENCE BETWEEN TOTAL ESTIMATED MEDICARE RECEIPTS AND TOTAL ALLOWABLE ESTIMATED COSTS INCURRED TO TREAT THE HOSPITAL'S MEDICARE PATIENTS.
PART III, LINE 9B:	> THAT ALL PATIENTS RECEIVE A NOTICE ON FINANCIAL ASSISTANCE AND A PHONE CALL, BY ADVENTIST HEALTHCARE'S STAFF AND OUTSOURCED VENDORS, MENTIONING THE OPPORTUNITY TO HAVE THEIR BILL REDUCED IF THE DEBTOR QUALIFIES FOR ADVENTIST HEALTHCARE'S FINANCIAL ASSISTANCE.> WHEN A DEBTOR HAS AFFIRMED A DEBT AND HAS BEEN GIVEN AN OPPORTUNITY TO APPLY FOR ADVENTIST HEALTHCARE'S FINANCIAL ASSISTANCE, AND HAS APPLIED FOR AND BEEN GRANTED ASSISTANCE THAT REDUCED THE OUTSTANDING BALANCE BUT LEAVING AN AMOUNT STILL OWED TO AN ADVENTIST HEALTHCARE FACILITY OR HAS NOT APPLIED FOR ASSISTANCE IN THE ALLOTTED TIME PERIOD:1) FOR EXISTING ACCOUNTS, THE COLLECTION AGENCY WILL RECEIVE "DAILY NOTIFICATION TO REDUCE THE OUTSTANDING BALANCE OF ANY DEBTOR WHO QUALIFIES FOR ADVENTIST HEALTHCARE'S FINANCIAL ASSISTANCE. THE AGENCY WILL SEND A LETTER TO THE DEBTOR, ACKNOWLEDGING THE NEW BALANCE WITHIN 15 DAYS OF THE NOTICE TO ADJUST.2) ONCE THE DEBTOR AFFIRMS THE DEBT, THE AGENCY WILL INFORM THE DEBTOR ABOUT ADVENTIST HEALTHCARE'S FINANCIAL ASSISTANCE POLICY, AND ASK IF THEY HAD RECEIVED INFORMATION ON HOW TO COMPLETE THE APPLICATION, OR THE CRITERIA FOR QUALIFICATION.3) WHEN A DEBTOR EXPRESSES A DESIRE TO COMPLETE THE APPLICATION FOR FINANCIAL ASSISTANCE, THEY WILL BE REFERRED TO THE OFFICE OF ADVENTIST HEALTHCARE'S MANAGER OF COLLECTIONS / CUSTOMER SERVICE (301-315-3660). THE COLLECTION AGENCY WILL PLACE THE ACCOUNT ON "HOLD" FOR 2 WEEKS TO ALLOW THE DEBTOR AMPLE TIME TO COMPLETE A FINANCIAL ASSISTANCE APPLICATION.4) WHEN THE DEBTOR HAS COMPLETED THE APPLICATION FOR FINANCIAL ASSISTANCE AND BEEN APPROVED, THE AGENCY WILL RECEIVE IMMEDIATE NOTIFICATION FROM THE MANAGER OF COLLECTIONS/CUSTOMER SERVICE. NOTIFICATION WILL INCLUDE THE AMOUNT OF DEBT REDUCTION FOR WHICH THE DEBTOR IS QUALIFIED. THE MANAGER OF COLLECTIONS/CUSTOMER SERVICE WILL ADJUST THE DEBTOR'S BALANCE ON ADVENTIST HEALTHCARE'S BOOKS.
PART VI, LINE 2:	IN ADDITION TO COMPLETING OUR CHNAS EVERY THREE YEARS, ADVENTIST HEALTHCARE ASSESSES THE NEEDS OF THE COMMUNITY WE SERVE THROUGH SEVERAL METHODS: > REPRESENTATIVES FROM ADVENTIST HEALTHCARE SERVE ON THE LOCAL HEALTH IMPROVEMENT COALITIONS IN OUR SERVICE AREA, HEALTHY MONTGOMERY, AND PRINCE GEORGE'S HEALTH ACTION COALITION. BY PARTICIPATING IN THE STEERING COMMITTEES AS WELL AS SEVERAL SUB-COMMITTEES AND WORKGROUPS, WE STAY APPRISED OF EXISTING AND DEVELOPING HEALTH NEEDS IN THE COMMUNITY AND CAN WORK WITH OTHER STAKEHOLDERS TO DEVELOP STRATEGIES FOR ADDRESSING THEM. > WE ARE ALSO ABLE TO GATHER INFORMATION AROUND COMMUNITY NEEDS THROUGH OUR NUMEROUS COMMUNITY PARTNERSHIPS AND OUTREACH EFFORTS. THROUGH OUR OUTREACH EFFORTS, WE GATHER INFORMATION DIRECTLY FROM THE COMMUNITY MEMBERS WE ARE SERVING. THROUGH OUR PARTNERSHIPS WITH COMMUNITY ORGANIZATIONS, WE LEARN ABOUT THE NEEDS OF THE STAKEHOLDERS THOSE ORGANIZATIONS REPRESENT. ONE EXAMPLE OF THIS IS OUR COMMUNITY PARTNERSHIP FUND THROUGH WHICH WE DEVELOP COLLABORATIONS WITH OTHER ORGANIZATIONS AND AWARD GRANT AND SPONSORSHIP FUNDING. ADDITIONALLY, SEVERAL OF OUR STAFF AND LEADERS SERVE ON THE BOARDS OF LOCAL COMMUNITY ORGANIZATIONS AND GATHER ADDITIONAL INSIGHT INTO THE NEEDS OF OUR COMMUNITY.> ADDITIONALLY, ADVENTIST HEALTHCARE LEADS THE PHYSICIAN ALLIANCE, A CLINICALLY INTEGRATED NETWORK MADE UP OF PRIMARY AND SPECIALTY CARE PHYSICIANS INCLUDING CLINICS AND FEDERALLY QUALIFIED HEALTH CENTERS (FQHC) IN OUR COMMUNITY. ADVENTIST HEALTHCARE HAS ALSO FORMED A CARE TRANSFORMATION ORGANIZATION AS PART OF THE MARYLAND PRIMARY CARE PROGRAM. THROUGH BOTH THESE INITIATIVES, WE MONITOR HEALTH NEEDS AND DATA ACROSS OUR COMMUNITY INCLUDING CLINICAL DATA, SOCIAL DETERMINANTS OF HEALTH (SDOH) DATA, AND DIRECT PATIENT FEEDBACK, BOTH ON A POPULATION AND INDIVIDUAL LEVEL.AT ADVENTIST HEALTHCARE REHABILITATION, WE STRIVE TO PROVIDE THE BEST CUSTOMER SERVICE EXPERIENCE POSSIBLE FOR OUR PATIENTS AND THEIR LOVED ONES. WE FOCUS ON EACH PATIENT INDIVIDUALLY AND CARE FOR THE WHOLE PERSON THROUGH THE REHABILITATIVE PROCESS. PRESS GANEY ADMINISTERS OUR CUSTOMER SATISFACTION SURVEYS AND WE CONTINUOUSLY ANALYZE CUSTOMER FEEDBACK AND OUR SCORES TO IMPROVE THE CUSTOMER EXPERIENCE. WE ALSO REGULARLY CONVENE A PATIENT/FAMILY ADVISORY BOARD TO RECEIVE FEEDBACK AND CONTINUE TO IMPROVE HOW WE OFFER CARE TO OUR PATIENTS AND COMMUNITY MEMBERS.ACUTE REHABILITATION HOSPITALS THROUGHOUT THE COUNTRY ENTER DATA INTO A NATIONAL DATABASE AS A MEANS TO REPORT OUTCOMES AND AS A WAY TO EVALUATE AND IMPROVE OVERALL RESULTS. WE STRIVE TO GET EACH PATIENT BACK TO THE COMMUNITY AS QUICKLY AND SAFELY AS POSSIBLE. OUR OUTCOMES FOR PATIENTS DISCHARGED DURING A SPECIFIED PERIOD ARE REPORTED IN OUR CHNAS.THE CENTERS FOR MEDICARE AND MEDICAID SERVICES (CMS) BREAKS DOWN THE DIAGNOSTIC CATEGORIES FOR PATIENTS THAT UTILIZE ACUTE REHABILITATION SERVICES INTO 21 REHAB IMPAIRMENT CATEGORIES CALLED RIC'S. THE 21 RIC'S ARE FURTHER GROUPED INTO CMGS OR CASE MIX GROUPS. ALL ACUTE REHAB HOSPITALS SUBMIT THEIR DATA TO CMS; THUS, WE CAN COMPARE OURSELVES TO OTHERS NATIONWIDE AS WELL AS TO OUR REGIONAL AREA, WHICH INCLUDES DE, MD, VA, DC, NC, SC, WV, GA, AND FL. OUR VOLUMES ARE COMPARABLE TO THE NATION AND REGION. WE ARE PROUD THAT OUR PATIENTS DEMONSTRATE MORE IMPROVEMENT THAN THE NATION IN EVERY MAJOR DIAGNOSTIC CATEGORY WE SERVE (BRAIN INJURY, SPINAL CORD INJURY, AMPUTEE, ORTHOPEDIC, GENERAL REHAB, AND STROKE) THIS SPEAKS TO STRONG CLINICAL OUTCOMES WITH OUR PROGRAM.
PART VI, LINE 3:	PATIENT EDUCATION OF ELIGIBILITY:ADVENTIST HEALTHCARE EDUCATES OUR PATIENTS AND COMMUNITY RESIDENTS ABOUT CHARITY CARE AND FINANCIAL ASSISTANCE IN MANY WAYS. THEY INCLUDE, BUT ARE NOT LIMITED TO, THE FOLLOWING: (1) ADVENTIST HEALTHCARE HAS FINANCIAL ASSISTANCE SIGNAGE IN ALL ITS FACILITIES, ON ALL PATIENT STATEMENTS AND ON OUR HOSPITALS' WEBSITES; (2) DURING PRE-REGISTRATION AND REGISTRATION, PATIENTS WHO ARE REGISTERED AS SELF-PAY, OR EXPRESS A FINANCIAL HARDSHIP, ARE INFORMED ABOUT THE HOSPITAL'S CHARITY CARE POLICY AND MAILED OR GIVEN A CHARITY APPLICATION. ADDITIONALLY, AN ADVENTIST HEALTHCARE PATIENT FINANCIAL ADVISOR WILL VISIT ADMITTED PATIENTS TO REVIEW FINANCIAL OPTIONS, INCLUDING AHC'S FINANCIAL ASSISTANCE PROGRAM; (3) WHEN GOING THROUGH THE MEDICAID ELIGIBILITY SCREENING, SELF-PAY PATIENTS ARE GIVEN A CHARITY APPLICATION DURING THAT PROCESS JUST IN CASE THE PATIENT DOES NOT QUALIFY FOR MEDICAID; (4) WHEN PATIENTS WITH A BALANCE RECEIVE A STATEMENT, THE PATIENT STATEMENT INCLUDES NOTIFICATION OF THE AVAILABILITY OF FINANCIAL ASSISTANCE AND THE CONTACT INFORMATION TO SPEAK WITH A REPRESENTATIVE OR OBTAIN A FINANCIAL ASSISTANCE PACKAGE; (5) WHEN PATIENTS WITH A BALANCE CONTACT THE COLLECTION DEPARTMENT AND EXPRESS FINANCIAL HARDSHIP, CUSTOMER SERVICE REPS AND SELF-PAY COLLECTORS WILL NOTIFY THE PATIENT OF THE AVAILABILITY OF ADVENTIST HEALTHCARE'S FINANCIAL ASSISTANCE AND MAIL A CHARITY APPLICATION TO THE PATIENT AND (6) RESIDENTS WHO PARTICIPATE IN OUR COMMUNITY PROGRAMS, SUCH AS BREAST CANCER, MATERNITY, ETC., ARE INFORMED OF ADVENTIST HEALTHCARE'S CHARITY PROGRAM PRIOR TO RECEIVING SERVICES.
PART VI, LINE 4:	THE MONTGOMERY COUNTY HOSPITAL COLLABORATIVE (MCHC) SERVES PORTIONS OF MONTGOMERY, PRINCE GEORGE'S, FREDERICK, CAROL, AND HOWARD COUNTIES, AND THE DISTRICT OF COLUMBIA, SPANNING 86 ZIP CODES AND ALMOST 2.3 MILLION PEOPLE. HOWEVER, THE GOAL OF THIS CHNA IS TO IDENTIFY AND PRIORITIZE KEY AREAS AND COMMUNITIES OF FOCUS FOR MEANINGFUL ENGAGEMENT. TO DO THIS, THE MCHC IDENTIFIED ZIP CODES IN EACH HOSPITAL'S PRIMARY SERVICE AREA AS OUR COLLECTIVE COMMUNITY BENEFIT SERVICE AREA (CBSA) AND HIGHLIGHTED COMMUNITIES OF FOCUS WITHIN THE CBSA TO PROVIDE A VALUABLE SNAPSHOT OF THE HOSPITAL'S EXISTING COMMUNITIES SERVED AND NEW AREAS OF INTEREST.DESCRIPTION OF SERVICE AREA: THE MCHC CBSA COMPRISES 38 ZIP CODES THAT SPAN APPROXIMATELY 388 SQUARE MILES OF MONTGOMERY COUNTY AND NORTHERN PRINCE GEORGE'S COUNTY, WITH A TOTAL POPULATION OF 1,250,503 (CENTER FOR APPLIED RESEARCH AND ENGAGEMENT SYSTEMS, 2022). THE POPULATION DENSITY FOR THIS AREA, ESTIMATED AT 3,218 PERSONS PER SQUARE MILE, IS GREATER THAN MONTGOMERY COUNTY (2,116 PERSONS PER SQUARE MILE), PRINCE GEORGE'S COUNTY (1,883 PERSONS PER SQUARE MILE), AND THE STATE (620 PERSONS PER SQUARE MILE). FOR A FULL LISTING OF THE ZIP CODES COMPRISING THE MCHC CBSA SEE APPENDIX E OF THE CHNA.THE MCHC CBSA SERVES PORTIONS OF MONTGOMERY AND PRINCE GEORGE'S COUNTIES, TWO MAJORITY MINORITY COUNTIES RICH IN CULTURAL DIVERSITY. THE LARGEST POPULATIONS BY RACE/ETHNICITY WITHIN THE SERVICE AREA ARE NON-HISPANIC WHITES (37.3%), NON-HISPANIC BLACKS (22.6%), HISPANIC OR LATINO (22.5%) AND NON-HISPANIC ASIAN (13.5%). MORE THAN 33% OF THE MCHC CBSA POPULATION ARE OF FOREIGN BIRTH COMPARED TO 32% IN MONTGOMERY COUNTY, 23% IN PRINCE GEORGE'S COUNTY, AND 15.2% IN MARYLAND. THE LANGUAGES SPOKEN IN THIS REGION ALSO REFLECT ITS DIVERSITY. HOWEVER, APPROXIMATELY 16.5% OF THE CBSA POPULATION, AGED 5 AND OLDER, SPEAK ENGLISH LESS THAN VERY WELL COMPARED TO 7% OF THE MARYLAND POPULATION.LIMITED ENGLISH PROFICIENCY (LEP), OR THE INABILITY TO SPEAK ENGLISH WELL, CREATES BARRIERS TO HEALTH CARE ACCESS, PROVIDER COMMUNICATIONS, AND HEALTH LITERACY/EDUCATION. THE HIGHEST PERCENTAGE OF LIMITED ENGLISH PROFICIENCY BY LANGUAGE SPOKEN IN THE HOME IS SPANISH (UNITED STATES CENSUS BUREAU, 2022). THE CBSA IS NOT ONLY RICH IN DIVERSITY BUT ALSO IN RESOURCES. THE AREA HAS OVER 170 PRIVATE AND COUNTY-RUN FITNESS AND RECREATION FACILITIES, ROUGHLY 75% OF RESIDENTS LIVE WITHIN HALF A MILE OF A PARK, MORE THAN 240 GROCERY STORES SERVE THE AREA, AND THERE ARE MORE THAN 100 SOCIAL AND PROFESSIONAL ORGANIZATIONS PER PERSON. THE AVERAGE HOUSEHOLD INCOME OF $138,054 FOR PERSONS IN THE MCHC CBSA IS HIGHER THAN THE STATE AVERAGE OF $111,417 AND THE PRICE GEORGE'S COUNTY AVERAGE OF $102,593, BUT LOWER THAN THAT FOR MONTGOMERY COUNTY OVERALL ($149,437). HOWEVER, DESPITE THE PLETHORA OF RESOURCES AND ABOVE-AVERAGE INCOMES, DISPARITIES EXIST, PARTICULARLY FOR POPULATIONS EXPERIENCING VULNERABILITIES.VULNERABLE POPULATIONS:POPULATIONS EXPERIENCING VULNERABILITY (ALSO REFERRED TO AS VULNERABLE POPULATIONS) ARE GROUPS AND COMMUNITIES AT A HIGHER RISK FOR POOR HEALTH OUTCOMES BECAUSE OF THE BARRIERS THEY EXPERIENCE DUE TO STRUCTURAL AND SOCIETAL FACTORS THEY FACE, SUCH AS SYSTEMIC RACISM, DISCRIMINATION, STIGMA, AND POVERTY (BACIU, NEGUSSIE, GELLER, & ET AL., 2017). IN 2021, THE EQUITY DATA TEAM OF MONTGOMERY COUNTY'S PLANNING DEPARTMENT DEVELOPED A MAPPING TOOL TO IDENTIFY VULNERABLE POPULATIONS WITHIN MONTGOMERY COUNTY. THE TEAM IDENTIFIED 56 EQUITY FOCUS AREAS (EFAS) BY LOOKING AT DEMOGRAPHIC DATA AT THE CENSUS TRACT LEVEL (SEE APPENDIX F FOR A FULL LIST OF DEMOGRAPHIC DATA). THEY FOCUSED ON IDENTIFYING AREAS THAT HAD HIGH CONCENTRATIONS OF LOWER-INCOME HOUSEHOLDS, PEOPLE OF COLOR, AND INDIVIDUALS WHO MAY SPEAK ENGLISH LESS THAN VERY WELL (ZORICH, MUKHERJEE, & BLYTON, 2021). APPROXIMATELY ONE-QUARTER OF MONTGOMERY COUNTY'S POPULATION RESIDES IN THE EFAS. IN ADDITION TO POPULATIONS RESIDING IN THE EFAS, OTHER POPULATIONS EXPERIENCING VULNERABILITIES INCLUDE LOW-INCOME, RACIAL, AND ETHNIC MINORITIES, UNINSURED, SENIORS, PREGNANT WOMEN AND INFANTS, THE HOMELESS AND THOSE WITH DISABILITIES. FOR ADDITIONAL DETAILS REGARDING EACH OF THESE POPULATIONS, PLEASE SEE THE "DEFINING COMMUNITIES SERVED" SECTION OF THE CHNA.
PART VI, LINE 5:	ADVENTIST HEALTHCARE REHABILITATION PARTNERS WITH COMMUNITY ORGANIZATIONS AND AGENCIES TO PROVIDE EDUCATION ON PREVENTION AND REHABILITATION FOR MANY HEALTH AND DISEASE-RELATED ISSUES FOR VALUABLE INPUT ON THE HEALTH NEEDS OF COMMUNITY MEMBERS. THIS INCLUDES SENIOR CENTERS, CHURCHES, SCHOOLS, SUPPORT GROUPS AND PROFESSIONAL ORGANIZATIONS. THE ADVENTIST HEALTHCARE REHABILITATION-ROCKVILLE SITE IS ALSO THE HOST FACILITY FOR A VARIETY OF SUPPORT GROUPS AND SPECIALTY THERAPEUTIC GROUPS FOR PATIENTS PAST AND PRESENT ALONG WITH THEIR FAMILIES AND CAREGIVER NETWORKS. DUE TO THE PANDEMIC, MANY SUPPORT GROUPS AND PROGRAMS CONTINUED VIRTUALLY AND PARTICIPATION INCREASED SIGNIFICANTLY IN SOME PROGRAMS. WE PARTNER WITH CLINICS THAT SERVE THE LOW-INCOME RESIDENTS OF MONTGOMERY COUNTY, MANY OF WHOM ARE LIMITED ENGLISH PROFICIENT AND/OR RACIAL AND ETHNIC MINORITIES. ONE OF ADVENTIST HEALTHCARE REHABILITATION'S SAFETY NET CLINIC PARTNERS IS MERCY HEALTH CLINIC, WHICH PROVIDES PRIMARY CARE TO UNINSURED, LOW-INCOME ADULT RESIDENTS OF MONTGOMERY COUNTY. WE ALSO PARTNER WITH MERCY HEALTH CLINIC BY PROVIDING FREE DIAGNOSTIC SERVICES/LAB WORK TO THEIR UNINSURED PATIENTS. ANOTHER KEY PARTNER IS MOBILE MEDICAL CARE (MOBILE MED), WHICH OPERATES THREE MOBILE HEALTHCARE VEHICLES AND PROVIDES PRIMARY AND PREVENTATIVE HEALTHCARE TO THE UNINSURED, LOW INCOME, WORKING POOR, AND HOMELESS IN MONTGOMERY COUNTY. WE ALSO PARTNER WITH MOBILE MED BY PROVIDING FREE DIAGNOSTIC SERVICES/LAB WORK TO THEIR UNINSURED PATIENTS. THESE CLINICS WERE ALSO SUPPORTED WITH CASH DONATIONS FROM ADVENTIST HEALTHCARE THROUGH OUR COMMUNITY PARTNERSHIP FUND.FURTHER, ADVENTIST HEALTHCARE REHABILITATION HAS PARTNERED WITH COMMUNITY ORGANIZATIONS SERVING THE SAME POPULATIONS AS ADVENTIST HEALTHCARE REHABILITATION. AMONG THEM ARE THE MARYLAND BRAIN INJURY ASSOCIATION, THE STROKE COMEBACK CENTER, DISABILITY PARTNERSHIPS AND REBUILDING TOGETHER MONTGOMERY COUNTY. EACH OF THESE ORGANIZATIONS PROVIDE SERVICES TO SUPPORT PERSONS SERVED AFTER A BRAIN INJURY, SPINAL CORD INJURY, STROKE, OR OTHER LIFE CHANGING DEBILITATING EVENT. IN ADDITION TO THE FORMAL ADVISORY BOARD THAT HELPS ADDRESS COMMUNITY NEEDS, THE STAFF OF ADVENTIST HEALTHCARE AND ADVENTIST HEALTHCARE REHABILITATION PARTICIPATES IN VARIOUS WAYS IN THE COMMUNITY. TO OBTAIN INPUT AND GUIDANCE FROM THOSE WE SERVE, WE ESTABLISHED A PATIENT-FAMILY ADVISORY COUNCIL WHICH KEEPS OUR PROGRAMS AND SERVICES RELEVANT TO THE COMMUNITY'S HEALTH NEEDS AND ALLOWS FOR DIRECT DIALOGUE WITH OUR CUSTOMERS. FURTHER, WE ACTIVELY PARTICIPATE IN NUMEROUS COMMITTEES, COALITIONS, AND PARTNERSHIPS THAT PROVIDE INFORMATION ON THE HEALTH NEEDS IN THE COMMUNITY, SUCH AS HEALTHY MONTGOMERY, THE LOCAL HEALTH IMPROVEMENT COALITION. THE HEALTH PROFESSIONALS THAT PROVIDE PROGRAMS IN THE COMMUNITY ALSO PROVIDE VALUABLE INFORMATION AND KNOWLEDGE OF COMMUNITY NEEDS.
PART VI, LINE 6:	ADVENTIST HEALTHCARE, BASED IN GAITHERSBURG, MD., IS A FAITH-BASED, NOT-FOR-PROFIT ORGANIZATION OF DEDICATED PROFESSIONALS WHO WORK TOGETHER EACH DAY TO PROVIDE EXCELLENT WELLNESS, DISEASE MANAGEMENT AND HEALTH-CARE SERVICES TO THE COMMUNITY. WE WERE FOUNDED UPON THE PRINCIPLE OF WELLNESS MORE THAN 100 YEARS AGO AND TODAY PROVIDE INNOVATIVE CARE TO HEART-ATTACK VICTIMS, CANCER PATIENTS, PREMATURE BABIES, AND THE COMMUNITY.OUR UNWAVERING FOCUS HAS ALWAYS BEEN ON THE HEALTH AND WELLNESS OF THE COMMUNITIES WE SERVE. WE ARE ALREADY A STEP AHEAD AS HEALTH CARE REFORM IS CHALLENGING HOSPITAL SYSTEMS NATIONWIDE TO IMPROVE THE HEALTH OF POPULATIONS; OUR INTEGRATED, HEALTH-CARE DELIVERY NETWORK INCLUDES FIVE NATIONALLY ACCREDITED, ACUTE-CARE AND SPECIALTY HOSPITALS, MENTAL HEALTH SERVICES, HOME HEALTH AGENCIES AND URGENT CARE CENTERS, SERVING THE WASHINGTON, D.C. METROPOLITAN AREA.ADVENTIST HEALTHCARE INCLUDES: ADVENTIST HEALTHCARE SHADY GROVE MEDICAL CENTER, ADVENTIST HEALTHCARE WHITE OAK MEDICAL CENTER, ADVENTIST HEALTHCARE FORT WASHINGTON MEDICAL CENTER, ADVENTIST HEALTHCARE REHABILITATION, ADVENTIST HEALTHCARE HOME CARE SERVICES, THE REGINALD S. LOURIE CENTER FOR CHILDREN'S SOCIAL & EMOTIONAL WELLNESS, ADVENTIST MEDICAL GROUP, ADVENTIST HEALTHCARE PHYSICIAN ALLIANCE CLINICALLY INTEGRATED NETWORK, AND OTHER HEALTH SERVICES. WITH MORE THAN 2,300 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 2024, THERE WERE APPROXIMATELY 716,828 OVERALL ENCOUNTERS ACROSS ALL OUR FACILITIES AND PROGRAMS. WE ALSO PROVIDED SIGNIFICANT CHARITY CARE AND COMMUNITY BENEFIT. AS ONE OF THE LARGEST EMPLOYERS IN THE STATE OF MARYLAND, WE ARE GRATEFUL TO HAVE THE DEDICATED COMMITMENT OF 6,500 EMPLOYEES, 2,300+ AFFILIATED PROVIDERS THROUGH OUR CLINICALLY INTEGRATED NETWORK, AND NUMEROUS VOLUNTEERS PROVIDING OVER 46,000 VOLUNTEER HOURS, THROUGHOUT ADVENTIST HEALTHCARE WHO PROVIDE COMPASSIONATE, HIGH-QUALITY CARE EVERY DAY.IN ADDITION TO PROVIDING CHARITY CARE AT OUR FACILITIES, ADVENTIST HEALTHCARE IS INVOLVED IN NUMEROUS OUTREACH INITIATIVES DESIGNED TO IMPROVE ACCESS TO HEALTH CARE FOR LOW-INCOME AND UNINSURED INDIVIDUALS, AS WELL AS HISTORICALLY UNDER-SERVED COMMUNITIES INCLUDING MINORITIES AND IMMIGRANTS. OUR GOAL IS EFFECTIVE PREVENTION, TREATMENT, AND CARE PROGRAMS FOR ALL INDIVIDUALS, REGARDLESS OF THEIR ECONOMIC, CULTURAL, LINGUISTIC, OR DEMOGRAPHIC CHARACTERISTICS.VISIT WWW.ADVENTISTHEALTHCARE.COM TO LEARN EVEN MORE ABOUT OUR SERVICES AND OUR LONGSTANDING BELIEF THAT A HEALTHY LIFESTYLE IS THE BEST WAY TO PREVENT DISEASE, AND THAT PREVENTION IS MUCH BETTER THAN A CURE.
PART VI, LINE 7, REPORTS FILED WITH STATES	MD

Schedule J IRS990ScheduleJ

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

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (15 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
JOHN SACKETT
CHAIR; PRES. & CEO,AHC,START 8/2024	$0	$795,383	$0	$196,958	$0	$340,003	$0	$30,500	$0	$45,809	$0	$1,408,653	$0	$0
PATSY MCNEIL MD
SVP, SYSTEM CMO; EVP, START 8/2024	$0	$550,773	$0	$152,096	$0	$146,917	$0	$162,838	$0	$8,320	$0	$1,020,944	$0	$119,414
ANTHONY STAHL
PRESIDENT, WOMC	$0	$446,411	$0	$157,841	$0	$212,220	$0	$162,944	$0	$25,146	$0	$1,004,562	$0	$121,167
DANIEL L COCHRAN
PRESIDENT, SGMC	$0	$454,426	$0	$129,295	$0	$227,336	$0	$169,661	$0	$18,124	$0	$998,842	$0	$142,055
SUSAN GLOVER
FMR. VP,CARDIO SVC LINE, END 1/2024	$0	$22,457	$0	$82,754	$0	$707,619	$0	$16,003	$0	$654	$0	$829,487	$0	$0
BRENT REITZ
SECY; PRES, POST-ACUTE CARE SRV, AHC	$0	$313,813	$0	$112,375	$0	$160,610	$0	$115,038	$0	$25,065	$0	$726,901	$0	$87,236
EUNMEE SHIM
PRES, FWMC BD MBR END 12/2024	$0	$378,744	$0	$123,521	$0	$158,847	$0	$28,460	$0	$34,020	$0	$723,592	$0	$95,537
BRENDAN JOHNSON
SVP, HR, AHC; BD MBR END 12/2024	$0	$306,491	$0	$113,636	$0	$184,529	$0	$22,500	$0	$25,053	$0	$652,209	$0	$90,321
TERRENCE SHEEHAN MD
VP & CMO OF POST-ACUTE CARE	$0	$317,246	$0	$223,838	$0	$2,039	$0	$15,250	$0	$385	$0	$558,758	$0	$0
GEORGE R GRANGE
VP, POST-ACUTE & WOMC ADMR	$173,797	$0	$50,789	$0	$73,124	$0	$49,910	$0	$26,769	$0	$374,389	$0	$34,913	$0
ALEXANDRU DINU MD
PHYSICIAN	$258,886	$0	$47,912	$0	$2,267	$0	$15,900	$0	$12,000	$0	$336,965	$0	$0	$0
SUSAN SAVERY
VP & CFO, POST-ACUTE SVS	$187,740	$0	$38,441	$0	$24,404	$0	$75,656	$0	$741	$0	$326,982	$0	$0	$0
ERIN BAUMGARDNER
VP, CNO & ROCKVILLE ADMR	$156,275	$0	$32,438	$0	$30,733	$0	$66,539	$0	$884	$0	$286,869	$0	$0	$0
MICHELLE BABCOCK
AVP, POST-ACUTE OPERATIONS	$165,120	$0	$32,438	$0	$1,040	$0	$20,312	$0	$1,111	$0	$220,021	$0	$0	$0
MARTA BRITO PEREZ
FORMER CONSULTANT, AHC	$0	$39,830	$0	$39,276	$0	$0	$0	$2,000	$0	$3,322	$0	$84,428	$0	$0

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE 3	PAY PRACTICE: ADVENTIST HEALTHCARE UTILIZES A SINGLE EMPLOYER ID FOR ALL ITS AFFILIATED ENTITIES FOR EMPLOYMENT PURPOSES. AS SUCH, ACTUAL COMPENSATION AND BENEFITS ARE CHARGED TO THE RESPECTIVE ENTITIES AND THE RESULTING COMPENSATION AND BENEFITS ARE REPORTED ON EACH AFFILIATE'S 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, AND SENIOR EXECUTIVES IS ENTIRELY SET BY A COMMITTEE OF THE ADVENTIST HEALTHCARE BOARD OF TRUSTEES. IN SETTING COMPENSATION, THIS 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 ADVENTIST HEALTHCARE REGION. TO FURTHER ENSURE REASONABLENESS, BOTH COMPENSATION AND BENEFITS ARE TARGETED AT THE 50TH PERCENTILE (OR MEDIAN) OF THE MARKET.
PART I, LINE 4B	CERTAIN EMPLOYEES RECEIVED COMPENSATION FROM A DISTRIBUTION UNDER AN EXECUTIVE RETENTION 457F PLAN, WHICH BECAME EFFECTIVE ON JANUARY 1, 2015. PRE-TAX CONTRIBUTIONS ARE ACCUMULATED ANNUALLY AND ARE DISTRIBUTED ON JANUARY 1ST OF THE 2ND YEAR, IF STILL EMPLOYED, OR SOONER BASED ON CERTAIN EXCEPTIONS. THERE IS TYPICALLY A 2-YEAR DEFERRAL PERIOD BEFORE PAYMENTS ARE RELEASED. CONTRIBUTIONS ACCUMULATED IN 2022 WERE GENERALLY DISTRIBUTED ON JANUARY 1, 2024 IF THE EXECUTIVE IS THEN EMPLOYED AND CONTRIBUTIONS ACCUMULATED IN 2023 WILL GENERALLY BE DISTRIBUTED ON JANUARY 1, 2025 IF THE EXECUTIVE IS THEN EMPLOYED. AMOUNTS LISTED UNDER PART II, COLUMN F INCLUDE PAYOUT AMOUNTS WHICH WERE CONSIDERED DEFERRED COMPENSATION FROM THE 457F PLAN IN OUR PRIOR YEAR RETURNS AND THESE AMOUNTS ARE NOW BEING SHOWN UNDER THE OTHER REPORTABLE INCOME, COLUMN B (III). THE ADVENTIST HEALTHCARE EXECUTIVE RETENTION PLAN PAYS CERTAIN PARTICIPANTS THEIR RETIREMENT PAYMENTS IN DIRECT CASH, RATHER THAN RETENTION BENEFITS OF DEFERRED CASH, AFTER ATTAINING THE PLAN'S RETIREMENT AGE. THE FOLLOWING EXECUTIVE RECEIVED A SUPPLEMENTAL RETIREMENT PAYMENT UNDER THIS PLAN FEATURE: JOHN SACKETT: $229,019 RETIREMENT AGE PAYMENT. THE FOLLOWING EMPLOYEE RECEIVED A PAYOUT OF THEIR ENTIRE ACCRUED BENEFIT UNDER THE SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP), DUE TO HAVING COMPLETED THE NECESSARY YEARS OF SERVICE AND ATTAINING THE NECESSARY AGE FOR VESTING AND PAYMENT. SUSAN GLOVER: $699,993.
PART I, LINE 7	THE ANNUAL INCENTIVE COMPENSATION INCLUDES PAYMENTS BASED ON SATISFACTION OF PRE-DETERMINED PERFORMANCE TARGETS SUCH AS QUALITY/PATIENT SAFETY GOALS, EMPLOYEE AND PATIENT ENGAGEMENT GOALS, ORGANIZATIONAL GROWTH, AND FINANCIAL PERFORMANCE, AMONG OTHER THINGS. THE ANNUAL INCENTIVE COMPENSATION APPLIES TO DIRECTORS AND ABOVE.
SUPPLEMENTAL INFORMATION:	OTHER REPORTABLE COMPENSATION INCLUDES RETENTION PAYMENTS AND LUMP-SUM ADJUSTMENTS IN LIEU OF THE ACROSS-THE-BOARD INCREASE (FOR EMPLOYEES WHO ARE AT OR REACH THE RANGE MAXIMUM FOR THEIR POSITION). OTHER REPORTABLE COMPENSATION ALSO INCLUDES LONG-TERM DISABILITY COVERAGE, CELL PHONE ALLOWANCES, CASH-OUT OF UNUSED PAID TIME OFF (PTO) HOURS, IMPUTED VALUE OF LIFE INSURANCE COVERAGE, AND SEVERANCE, AS APPLICABLE. CERTAIN EXECUTIVES CAN ALSO RECEIVE REPORTABLE COMPENSATION THROUGH A SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP) ONCE THEY HAVE VESTED IN THE PLAN. NON-TAXABLE BENEFITS INCLUDES PRE-TAX PAYROLL DEDUCTIONS (SUCH AS FLEXIBLE MEDICAL SPENDING, DEPENDENT CARE, AND EMPLOYEE HEALTH BENEFIT PREMIUMS), AND THE EMPLOYER PORTION OF CERTAIN EMPLOYEE BENEFITS SUCH AS HEALTH INSURANCE, DENTAL INSURANCE, VISION INSURANCE, AND LIFE INSURANCE, ETC.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (10 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART III, LINE 4A, PROGRAM SERVICE ACCOMPLISHMENTS, CONTINUED:	AHC REHAB ALSO PROVIDES SPECIALIZED SPEECH THERAPY SERVICES, INCLUDING LEE SILVERMAN VOICE TREATMENT (LSVT). LSVT LOUD IS A HIGHLY EFFECTIVE, INTENSIVE SPEECH THERAPY PROGRAM DESIGNED FOR PARKINSON'S PATIENTS TO IMPROVE SPEECH AND VOICE FUNCTION. THE THERAPY TARGETS VOCAL LOUDNESS TO TRIGGER IMPROVED FUNCTION AND COORDINATION ACROSS THE VARIOUS SUBSYSTEMS OF SPEECH. LSVT BIG-CERTIFIED PHYSICAL THERAPISTS FOCUS ON COMBINING MOTOR RETRAINING, SENSORY RE-TRAINING, AND HIGH AMPLITUDE MOVEMENTS TO ELICIT MAXIMUM OUTCOMES. THE TREATMENT REGIMEN INCLUDES EMPHASIS ON PATIENT EDUCATION AND CARRYOVER OF GAINS TO DAILY COMMUNICATION ENVIRONMENTS. THE LSVT PROTOCOL INVOLVES FOUR 1-HOUR THERAPY SESSIONS PER WEEK FOR 4 WEEKS. AHC REHAB IN WHITE OAK ALSO EMPLOYS A FACILITY DOG NAMED PERU TO SUPPORT INPATIENTS RECEIVING TREATMENT. PERU TRAINED AND HANDLED BY A REHABILITATION PSYCHOLOGIST, INTERACTS WITH PATIENTS USING 40 COMMANDS THAT ENCOURAGE THEM TO COMPLETE TASKS AND MANAGE PAIN AND ANXIETY DURING TREATMENT. PERU HAS GAINED STATEWIDE RECOGNITION FOR HIS INNOVATIVE WORK. IN 2025, A SECOND DOG WILL BEGIN SERVING ADVENTIST AHC REHAB PATIENTS IN ROCKVILLE. REHABILITATION SERVICES AT OUTPATIENT CENTERS INCLUDE SAFE, EFFECTIVE, EVIDENCE-BASED PHYSICAL THERAPY AND TREATMENT FOR MANY SPORTS- AND WORK-RELATED INJURIES. COMMON CONDITIONS WE TREAT INCLUDE MUSCLE TEARS AND TENDONITIS, BACK AND NECK PAIN, LIGAMENT SPRAINS, SPINAL DISC INJURIES, POST-SURGERY BONE FRACTURES, POST-SURGICAL LIGAMENT RECONSTRUCTION AND SCIATICA. OUTPATIENT CENTERS ALSO OFFER PATIENTS CERTIFIED MANUAL THERAPISTS, FREE INJURY SCREENINGS, DRY NEEDLING FOR PAIN MANAGEMENT AND ANTI-GRAVITY TREADMILL EQUIPMENT. AHC REHAB ALSO OPERATES A SPORTS PERFORMANCE INSTITUTE IN ROCKVILLE, WHERE TRAINERS OFFER SPECIALIZED CONDITIONING FOR ATHLETES. WITH HIGH-QUALITY REHABILITATION PROGRAMS AND DEDICATED TEAM MEMBERS, AHC REHAB HAS GUIDED COMMUNITY MEMBERS WHOSE HEALTH HAS BEEN DEEPLY IMPACTED BY ILLNESS OR INJURY TO REGAIN VIGOR AND MORE SEAMLESSLY RETURN TO DAILY LIVING.
FORM 990, PART VI, SECTION A, LINE 6	ADVENTIST HEALTHCARE, INC. IS THE SOLE CORPORATE MEMBER OF ADVENTIST REHABILITATION HOSPITAL OF MARYLAND, INC. WITH THE AUTHORITY TO APPROVE ITS BOARD MEMBERSHIP.
FORM 990, PART VI, SECTION A, LINE 7A	THE BOARD OF TRUSTEES OF ADVENTIST HEALTHCARE, INC. APPOINTS THE MEMBERS OF ADVENTIST REHABILITATION HOSPITAL OF MARYLAND GOVERNING BODY.
FORM 990, PART VI, SECTION A, LINE 7B	THE BOARD OF TRUSTEES APPROVES ALL ACTIONS OF MANAGEMENT.
FORM 990, PART VI, SECTION B, LINE 11B	PRIOR TO FILING THE FORM 990 WITH THE IRS, THE RETURN WAS REVIEWED BY THE ORGANIZATION'S FINANCE DEPARTMENT AND EXECUTIVE MANAGEMENT TEAM. ALSO, PRIOR TO FILING THE FORM 990 WITH THE IRS, ALL MEMBERS OF THE BOARD ARE PROVIDED A COPY OF THE FORM 990 FOR THEIR REVIEW.
FORM 990, PART VI, SECTION B, LINE 12C	PURSUANT TO THE ORGANIZATION'S CONFLICT OF INTEREST POLICY, EACH FACILITY BOARD MEMBER, OFFICER, DIRECTOR AND ANY EMPLOYEE IN A POSITION THAT REQUIRES COORDINATION AND/OR NEGOTIATION WITH CONTRACTORS OR SUPPLIES, IS REQUIRED ON AN ANNUAL BASIS TO DISCLOSE ANY BUSINESS OR FINANCIAL RELATIONSHIP OUTSIDE OF THE ORGANIZATION. AN ACTUAL OR POTENTIAL CONFLICT OF INTEREST, OR THE PERCEPTION OR APPEARANCE OF A CONFLICT OF INTEREST, OCCURS WHEN A COVERED PERSON IS IN A POSITION TO INFLUENCE A DECISION THAT MAY RESULT IN A PERSONAL GAIN FOR THAT EMPLOYEE, A RELATIVE, OR OTHER PERSON LIVING IN THE SAME HOUSEHOLD, AS A RESULT OF ADVENTIST HEALTHCARE'S BUSINESS ACTIVITIES. A RELATIVE IS DEFINED AS ANY PERSON WHO IS RELATED BY BLOOD OR MARRIAGE, OR WHOSE RELATIONSHIP WITH THE COVERED PERSON IS SIMILAR TO THAT OF PERSONS WHO ARE RELATED BY BLOOD OR MARRIAGE. NO "PRESUMPTION OF GUILT" IS CREATED BY THE MERE EXISTENCE OF A RELATIONSHIP BETWEEN AN ADVENTIST HEALTHCARE EMPLOYEE AND AN OUTSIDE FIRM OR BUSINESS ENDEAVOR, OR OTHER POTENTIAL CONFLICT OF INTEREST. HOWEVER, IF A COVERED PERSON HAS ANY BUSINESS, FINANCIAL, OR OTHER RELATIONSHIP WITH ANY ORGANIZATION WHEREBY THE EXISTENCE OF THAT RELATIONSHIP EITHER CREATES A CONFLICT OF INTEREST OR IS PERCEIVED TO CREATE A CONFLICT OF INTEREST, THE COVERED PERSON MUST DISCLOSE THIS RELATIONSHIP TO THE DESIGNATED SENIOR MANAGER, OR GOVERNING BOARD, AS THE CASE MAY BE, AT THE LOCATION WHERE THE EMPLOYEE IS ASSIGNED. THE SENIOR MANAGER WILL REVIEW THE RELATIONSHIP, MAKE COMMENTS AND RECOMMENDATIONS, AND FORWARD ALL DOCUMENTATION TO THE ORGANIZATIONAL INTEGRITY COMMITTEE FOR A FINAL DECISION. COMPLIANCE WITH THE CONFLICT OF INTEREST POLICY IS MONITORED AND ENFORCED BY THE HUMAN RESOURCES DEPARTMENT, ORGANIZATIONAL INTEGRITY DEPARTMENT AND THE LEGAL DEPARTMENT.
FORM 990, PART VI, SECTION B, LINE 15	WHEN SETTING COMPENSATION FOR EXECUTIVES, OFFICERS, KEY EMPLOYEES, AND ALL EMPLOYEES, THE ORGANIZATION FULLY COMPLIES WITH THE PROCEDURAL SAFEGUARDS EMBEDDED IN THE IRS REGULATIONS. COMPENSATION IS ENTIRELY SET BY A COMMITTEE OF THE BOARD OF TRUSTEES. IN SETTING COMPENSATION, THE GOVERNING BOARD COMMITTEE RELIES UPON MARKET COMPARABILITY DATA PROVIDED BY AN INDEPENDENT OUTSIDE COMPENSATION CONSULTANT. TO ENSURE REASONABLENESS, COMPENSATION IS TARGETED AT THE 50TH PERCENTILE OF THE NATURAL MARKET. GENERAL EXPLANATION: EMPLOYEES OF ANY OF THE ADVENTIST HEALTHCARE INC. AND AFFILIATED TAX EXEMPT ENTITIES IN THE STATE OF MARYLAND (INCLUDING ADVENTIST REHABILITATION HOSPITAL OF MARYLAND, INC.) ARE PAID THROUGH A COMMON PAYMASTER, ADVENTIST HEALTHCARE, INC. AND ARE REPORTED ON ITS FORM 941. SALARY AND BENEFIT EXPENSES REPORTED ON THEIR RESPECTIVE RETURNS ARE ACTUAL CHARGES RELATED TO THE EMPLOYEES WORKING ON THE SPECIFIC TAX EXEMPT ENTITY. COMPENSATION INCLUDED REGULAR BASE SALARY, BONUS, PAID TIME OFF CASH OUT (ONLY FOR EMPLOYEES WHO LEAVE OUR ORGANIZATION), TAXABLE RELOCATION ALLOWANCE, HOLIDAY GIFT, RETROACTIVE COMPENSATION ADJUSTMENT, BEREAVEMENT LEAVE, EDUCATION, AND WITHDRAWAL OF DEFERRED COMPENSATION, AS APPLICABLE. THE SAME AND NON-ADDITIVE COMPENSATION AND EMPLOYMENT BENEFIT PLAN CONTRIBUTION AMOUNTS WERE ALSO DISCLOSED IN THE ADVENTIST HEALTHCARE INC.'S RELATED ENTITIES RETURNS. VENDOR PAYMENTS FOR ANY OF THE ADVENTIST HEALTHCARE, INC. AND RELATED ENTITIES IN THE STATE OF MARYLAND ARE MADE THROUGH A COMMON PAYMASTER, ADVENTIST HEALTHCARE, INC.
FORM 990, PART VI, SECTION C, LINE 19	THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS, ARE AVAILABLE TO THE PUBLIC UPON REQUEST.
FORM 990, PART IX, LINE 11G	CONTRACT LABOR AND OTHER PURCHASE SERVICE: PROGRAM SERVICE EXPENSES 3,819,846. MANAGEMENT AND GENERAL EXPENSES 3,150,480. FUNDRAISING EXPENSES 31,500. TOTAL EXPENSES 7,001,826.
FORM 990, PART XI, LINE 9:	OTHER UNRESTRICTED NET ASSETS ACTIVITY -3,925.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (11 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd	Direct Controlling NADirectControllingNACd
ADVENTIST HEALTHCARE INC
820 W DIAMOND AVE SUITE 600	GAITHERSBURG	MD	208781419	521532556	HEALTHCARE SERVICES	MD	501(C)(3)	LINE 3	MID-ATLANTIC ADVENTIST HEALTHCARE CORPORATION	0
ADVENTIST HEALTHCARE URGENT CARE CENTERS INC
820 W DIAMOND AVE SUITE 600	GAITHERSBURG	MD	208781419	461577511	CLINIC - EMERGENCY CARE	MD	501(C)(3)	LINE 10	ADVENTIST HEALTHCARE INC	0
ADVENTIST HOME HEALTH SERVICES INC
820 W DIAMOND AVE SUITE 600	GAITHERSBURG	MD	208781419	520986808	HOME CARE SERVICES	MD	501(C)(3)	LINE 10	ADVENTIST HEALTHCARE INC	0
ADVENTIST PHYSICIAN SERVICES INC
820 W DIAMOND AVE SUITE 600	GAITHERSBURG	MD	208781419	204600646	PHYSICIAN SERVICES	MD	501(C)(3)	LINE 10	ADVENTIST HEALTHCARE INC	0
ADVENTIST REHABILITATION INC
820 W DIAMOND AVE SUITE 600	GAITHERSBURG	MD	208781419	300780513	REHABILITATION SERVICES	MD	501(C)(3)	LINE 10	ADVENTIST REHABILITATION HOSPITAL OF MARYLAND INC	Yes (1)
MID-ATLANTIC ADVENTIST HEALTHCARE CORPORATION
820 W DIAMOND AVE SUITE 600	GAITHERSBURG	MD	208781419	521884153	HOLDING COMPANY	MD	501(C)(3)	LINE 10		0	N/A
REGINALD S LOURIE CENTER FOR INFANTS AND YOUNG CHILDREN
820 W DIAMOND AVE SUITE 600	GAITHERSBURG	MD	208781419	521255870	BEHAVIORAL CARE	MD	501(C)(3)	LINE 10	ADVENTIST HEALTHCARE INC	0
SHADY GROVE ADVENTIST HOSPITAL FOUNDATION INC
820 W DIAMOND AVE SUITE 600	GAITHERSBURG	MD	208781419	521216429	FUNDRAISING	MD	501(C)(3)	LINE 12A, I		0	N/A
WASHINGTON ADVENTIST HOSPITAL FOUNDATION INC
820 W DIAMOND AVE SUITE 600	GAITHERSBURG	MD	208781419	521692158	FUNDRAISING	MD	501(C)(3)	LINE 12A, I	ADVENTIST HEALTHCARE INC	0
ADVENTIST HEALTHCARE FORT WASHINGTON MEDICAL CENTER INC
820 W DIAMOND AVE SUITE 600	GAITHERSBURG	MD	208781419	842670875	ACUTE CARE HOSPITAL	MD	501(C)(3)	LINE 3	ADVENTIST HEALTHCARE INC	0
ADVENTIST HEALTHCARE HOWARD UNIVERSITY HOSPITAL INC
820 W DIAMOND AVE SUITE 600	GAITHERSBURG	MD	208781419	922770959	ACUTE CARE SERVICES	DC	501(C)(3)	LINE 10	ADVENTIST HEALTHCARE INC	0

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (5 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Direct Controlling NADirectControllingNACd	Predominant Income TypePredominantIncomeTypeTxt	Disproportionate AllocationsDisproportionateAllocationsInd	General Or Managing PartnerGeneralOrManagingPartnerInd
SHADY GROVE MEDICAL BUILDING LLC
1650 TYSONS BOULEVARD STE 820	MCLEAN	VA	22102	274599411	MEDICAL OFFICE BUILDING	MD	N/A	RELATED	0	0
NEXUS MONTGOMERY REGIONAL PARTNERSHIP LLC
820 WEST DIAMOND AVE SUITE 600	GAITHERSBURG	MD	20878	815410250	HEALTHCARE & COMMUNITY SERVICE FOR IMPROVED HEALTH	MD	N/A	RELATED	0	0
ADVENTIST HEALTHCARE SURGERY CENTER AT NATIONAL HARBOR LLC
251 NATIONAL HARBOR BOULEVARD SUITE	OXEN HILL	MD	20745	852814304	AMBULATORY SURGICAL SERVICES	MD	N/A	RELATED	0	0
MID-ATLANTIC RADIATION ONCOLOGY LLC
10101 WOODLOCH FOREST DR	THE WOODLANDS	TX	77380	844560643	RADIATION ONCOLOGY SERVICES	MD	N/A	RELATED	0	0
ROCKVILLE MID-ATLANTIC RADIATION ONCOLOGY LLC
10101 WOODLOCH FOREST DR	THE WOODLANDS	TX	77380	932337860	RADIATION ONCOLOGY SERVICES	MD	N/A	RELATED	0	0

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