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      <ActivityOrMissionDesc>WE DEMONSTRATE GOD'S CARE BY IMPROVING THE HEALTH OF PEOPLE AND COMMUNITIES THROUGH A (SEE SCH O) MINISTRY OF PYHSICAL MENTAL AND SPIRITUAL HEALING.</ActivityOrMissionDesc>
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      <MissionDesc>WE DEMONSTRATE GOD'S CARE BY IMPROVING THE HEALTH OF PEOPLE AND COMMUNITIES THROUGH A MINISTRY OF PHYSICAL, MENTAL, AND SPIRITUAL HEALING.</MissionDesc>
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      <Desc>THE MISSION OF ADVENTIST HEALTHCARE IS TO "DEMONSTRATE GOD'S CARE BY IMPROVING THE HEALTH OF PEOPLE AND COMMUNITIES THROUGH A MINISTRY OF PHYSICAL, MENTAL AND SPIRITUAL HEALING." IN MEETING THIS MISSION AND IN COMPLIANCE WITH STATE AND FEDERAL LAWS, WE PROVIDE CARE TO ALL PATIENTS REGARDLESS OF THEIR ABILITY TO PAY. COMPASSION IS REFLECTED IN OUR MISSION AND OUR ORGANIZATION CONSISTENTLY PROVIDES HIGH LEVELS OF CHARITY AND UNCOMPENSATED CARE. TO MEET THE NEEDS OF OUR COMMUNITIES, ADVENTIST HEALTHCARE CONTINUES TO INNOVATE AND EXPAND THE RANGE OF OUR SERVICES TO BUILD ON THE STRONG FOUNDATION WE HAVE LAID FOR A HEALTHY, ENGAGED COMMUNITY. WE RESPOND PROACTIVELY TO VARIOUS HEALTH CARE NEEDS WITH A CONTINUUM OF EXCELLENT PROGRAMS AND WIDE-RANGING SERVICES TO MEET DIVERSE POPULATIONS AS WE STRIVE TO:1. MAINTAIN AND GROW CURRENT SERVICES2. EXPAND HEALTH SERVICES/INCREASE ACCESS TO CARE3. PROMOTE HEALTH EQUITY AND WELLNESS;1. MAINTAIN AND GROW CURRENT SERVICES: WE CONTINUE TO GROW PROGRAMS AND SERVICES IN THE AREAS OF ONCOLOGY, HEART/CARDIAC, REHABILITATION, BEHAVIORAL HEALTH AND OTHER HEALTH CARE SERVICES SUPPORTING COMMUNITY-BASED ORGANIZATIONS ALIGNED WITH OUR MISSION. THE BENEFIT TO THE COMMUNITY WILL BE IN SUSTAINING AND GROWING QUALITY PROGRAMS THAT PROMOTE HEALTHY CHILDREN, ENCOURAGE HEALTHY LIFESTYLES FOR SENIORS, FOSTER HEALTHY FAMILIES, AND IN A HOLISTIC WAY, BUILD HEALTHIER COMMUNITIES.ENHANCEMENTS TO OUR COMPREHENSIVE INPATIENT AND OUTPATIENT CANCER CARE SERVICES AT WASHINGTON ADVENTIST AND SHADY GROVE ADVENTIST HOSPITALS ENSURE THAT WE CONTINUE TO PROVIDE THE LATEST DIAGNOSTIC AND TREATMENT SERVICES THAT ARE DELIVERED WITH COMPASSION AND A DEEP UNDERSTANDING OF THE UNIQUE DEMANDS OF CANCER. BOTH INPATIENT AND OUTPATIENT SERVICES ARE AVAILABLE TO ACCOMMODATE A RANGE OF PATIENT NEEDS AND PREFERENCES. WE CARE FOR THE WHOLE PATIENT BY OFFERING EDUCATIONAL PROGRAMS AND SPECIAL SERVICES SUCH AS NUTRITION COUNSELING, STRESS MANAGEMENT, FITNESS PROGRAMS, SUPPORT GROUPS AND SMOKING CESSATION PROGRAMS, AS WELL AS THE AMERICAN CANCER SOCIETY PROGRAM, "LOOK GOOD, FEEL BETTER."WASHINGTON ADVENTIST HOSPITAL HAS BEEN PROVIDING FULL-SERVICE MEDICAL AND SURGICAL CARE TO THE RESIDENTS OF EASTERN MONTGOMERY COUNTY, WESTERN PRINCE GEORGE'S COUNTY AND WASHINGTON, D.C. FOR MORE THAN 100 YEARS. WHILE WASHINGTON ADVENTIST'S HISTORY REFLECTS THE SPECIAL CARE IT HAS PROVIDED FOR GENERATIONS OF FAMILIES, OF SPECIAL NOTE IS THE CARDIOVASCULAR INSTITUTE AT WASHINGTON ADVENTIST HOSPITAL. THE HOSPITAL WAS THE FIRST IN THE GREATER D.C. AREA TO PERFORM NUMEROUS CARDIAC PROCEDURES DATING FROM ITS FIRST HEART PROCEDURE IN 1962, INCLUDING MITRAL VALVULOPLASTY AND A NUMBER OF SOPHISTICATED TYPES OF ECHOCARDIOGRAPHY. NOT ONLY DOES WASHINGTON ADVENTIST HOSPITAL PROVIDE SUBSTANTIAL CARDIAC SURGERY AND PCI PROCEDURES, INCLUDING SERVING AS A SITE FOR CARDIAC RESEARCH, BUT IT ALSO IS THE BACKUP FOR MULTIPLE HOSPITALS WITH PRIMARY AND NONPRIMARY, ELECTIVE PCI PROGRAMS THAT REQUIRE AN AFFILIATION WITH A CARDIAC SURGERY PROGRAM. IN ADDITION, THE CARDIOVASCULAR INSTITUTE HOUSES THE CENTER FOR CARDIAC &amp; VASCULAR RESEARCH, WHICH IS DEDICATED TO THE PURSUIT OF ADVANCES THAT IMPROVE THE QUALITY OF LIFE FOR PATIENTS COPING WITH CARDIOVASCULAR DISEASE.ADVENTIST HEALTHCARE ESTABLISHED THE FIRST BEHAVIORAL HEALTH UNIT IN MONTGOMERY COUNTY IN 1949 AND REMAINS ONE OF THE LEADING PROVIDERS OF MENTAL HEALTHCARE IN THE WASHINGTON, DC METROPOLITAN AREA. SINCE ITS INCEPTION, ADVENTIST BEHAVIORAL HEALTH HAS EXPANDED TO INCLUDE SEVERAL TREATMENT CENTERS ACROSS MONTGOMERY COUNTY AS WELL AS THE EASTERN SHORE OF MARYLAND. ADVENTIST BEHAVIORAL HEALTH IS THE MOST COMPREHENSIVE PROVIDER OF BEHAVIORAL HEALTH SERVICES IN THE NATIONAL CAPITAL AREA. ADVENTIST BEHAVIORAL HEALTH PROVIDES A WIDE-RANGING SPECTRUM OF SERVICES AND TREATMENT OPTIONS FOR CHILDREN, ADOLESCENTS, ADULTS AND SENIORS. SERVICES ARE PROVIDED IN A VARIETY OF SETTINGS INCLUDING HOSPITAL-BASED PROGRAMS, RESIDENTIAL TREATMENT CENTERS, SCHOOL PROGRAMS, RESIDENTIAL GROUP HOMES, OUTPATIENT SERVICES AND COMMUNITY-BASED SERVICES. OUR FACILITIES OFFER A HIGHLY-SKILLED, MULTIDISCIPLINARY TEAM OF PSYCHIATRISTS, SOCIAL WORKERS, CASE MANAGERS, PSYCHIATRIC NURSES, EXPRESSIVE THERAPISTS AND CHAPLAINS WHO PROVIDE COMPASSIONATE BEHAVIORAL HEALTH CARE.HERE IS A SNAPSHOT OF OUR ORGANIZATION IN 2013: &gt; 1 ACCOUNTABLE CARE ORGANIZATION, THE MID-ATLANTIC PRIMARY CARE ACO, MANAGED BY ADVENTIST HEALTHCARE&gt; 5 HOSPITALS, THREE ACUTE CARE AND TWO SPECIALTY&gt; 100 + COMMUNITY PARTNERS &gt; 1,025 LICENSED ACUTE CARE AND SPECIALTY BEDS&gt; 1,319 VOLUNTEERS&gt; 2,175 PHYSICIANS/MEDICAL STAFF MEMBERS&gt; 6,236 EMPLOYEES IN MARYLAND&gt; 6,600 COVERED LIVES/PATIENT CENTERED MEDICAL HOME&gt; 7,018 NEWBORNS&gt; 26,920 SURGERIES&gt; 40,572 ACUTE AND SPECIALTY ADMISSIONS&gt; 54,000 HEALTH AND WELLNESS ENCOUNTERS&gt; 110,681 VOLUNTEER HOURS&gt; 73,927 HOME HEALTH VISITS&gt; 176,798 EMERGENCY VISITS&gt; 267,373 OUTPATIENT VISITS&gt; 650,000 OVERALL ENCOUNTERS (APPROX.)&gt; $62,166,175 COMMUNITY BENEFIT&gt; $731,400,000 REVENUE;2. EXPAND HEALTH SERVICES/INCREASE ACCESS TO CARE:ADVENTIST HEALTHCARE PARTNERS WITH SEVERAL ORGANIZATIONS IN ORDER TO BRING FREE SERVICES TO COMMUNITIES IN NEED WITH A SPECIAL FOCUS ON WOMEN AND CHILDREN, LOW-INCOME, UNINSURED, AND MINORITY POPULATIONS. ADVENTIST HEALTHCARE IS DEDICATED TO PROGRAMS THAT HELP BUILD HEALTHY FAMILIES AND COMMUNITIES. ADVENTIST HEALTHCARE PARTNERS WITH LOCAL SAFETY NET CLINICS THAT OFFER PRIMARY CARE, OR A MEDICAL HOME, TO UNINSURED RESIDENTS OF MONTGOMERY COUNTY. THROUGH THESE PARTNERSHIPS, ADVENTIST HEALTHCARE HELPS ENSURE THAT UNINSURED PATIENTS HAVE COORDINATED CARE BETWEEN THE CLINIC THAT SERVES AS THEIR MEDICAL HOME AND THE HOSPITAL WHERE THEY RECEIVE CARE AND EDUCATIONAL PROGRAMS. THE PARTNERSHIPS WE HAVE DEVELOPED WITH LOCAL SAFETY NET CLINICS, SUCH AS MERCY HEALTH CLINIC, COMMUNITY CLINIC, INC., MOBILE MEDICAL CARE, INC., AND MARY'S CENTER, IMPROVE ACCESS TO PRIMARY CARE SERVICES FOR UNINSURED AND UNDER-INSURED RESIDENTS. ADVENTIST HEALTHCARE'S SUPPORT INCLUDES BUT IS NOT LIMITED TO PROVIDING LAB WORK, X-RAY SERVICES AND FINANCIAL SUPPORT OF CLINICAL OPERATIONS TO SERVE THE UNINSURED OR UNDER-INSURED POPULATION OF MONTGOMERY COUNTY. THIS ALSO HELPS TO DECREASE INAPPROPRIATE EMERGENCY DEPARTMENT UTILIZATION BY THIS PORTION OF THE POPULATION. THESE CLINICS HAVE SERVED AS A VITAL HEALTH SAFETY NET TO PROVIDE IMPORTANT PRIMARY AND PREVENTIVE HEALTH SERVICES TO OVER 20,000 MEN, WOMEN AND CHILDREN IN NEED. MERCY HEALTH CLINIC IN GAITHERSBURG HAS BENEFITED FROM OUR SERVICES INCLUDING LABORATORY SUPPORT, BLOOD TESTS AND OTHER DIAGNOSTIC SERVICES. IN THE LONG BRANCH SECTION OF SILVER SPRING, OUR PARTNERSHIP WITH MARY'S CENTER PROVIDES A FULL RANGE OF SERVICES FROM PRENATAL CARE TO PEDIATRIC/ADOLESCENT HEALTH SERVICES TO WOMEN'S SERVICES TO SOCIAL-SERVICES PROGRAMS. OUR WORK WITH MOBILE MED AND ITS MOBILE MEDICAL VANS ENABLES REGULAR MEDICAL CARE, SUCH AS ROUTINE PHYSICALS, FOR UNINSURED AND LOW-INCOME RESIDENTS.IN ADDITION TO PROVIDING SERVICES TO THOSE MOST IN NEED, ADVENTIST HEALTHCARE ALSO PROVIDES SPECIALIZED SERVICES SUCH AS THE SHADY GROVE ADVENTIST HOSPITAL FORENSIC MEDICAL UNIT. THIS UNIT, WHICH IS THE ONLY ONE IN MONTGOMERY COUNTY, PROVIDES FORENSIC EVIDENCE COLLECTION AND SPECIALIZED MEDICAL CARE TO WOMEN, MEN AND CHILDREN WHO ARE VICTIMS OF SEXUAL ASSAULT AND ABUSE. SHADY GROVE ADVENTIST HOSPITAL'S FORENSIC MEDICAL UNIT TREATS ABOUT 200 PATIENTS EACH YEAR.SHADY GROVE ADVENTIST HOSPITAL AND WASHINGTON ADVENTIST HOSPITAL ARE ALSO ACTIVE PARTICIPANTS IN MONTGOMERY COUNTY'S MATERNITY PARTNERSHIP PROGRAM, WHICH PROVIDES PRENATAL CARE AND MATERNITY SERVICES TO LOW-INCOME, UNINSURED PREGNANT WOMEN. OUR SHADY GROVE PRENATAL CENTER IN GERMANTOWN IS A CLINIC THAT PROVIDES FREE PRENATAL CARE TO ABOUT 200 UPCOUNTY RESIDENTS EACH YEAR WHO ARE UNINSURED OR UNDER INSURED. FOR THE PAST SIX YEARS, THE SHADY GROVE ADVENTIST EMERGENCY CENTER IN GERMANTOWN (GEC) HAS BROUGHT VITAL EMERGENCY SERVICES TO A FAST-GROWING COMMUNITY THAT HAD TO BATTLE TRAFFIC AND A 30-MILE SPAN ALONG I-270 FROM ROCKVILLE TO FREDERICK WITHOUT A HOSPITAL. THE EMERGENCY CENTER'S MEDICAL CAMPUS ALSO HAS A PRIMARY CARE CLINIC FOR UNINSURED RESIDENTS, A PRENATAL CLINIC FOR LOW-INCOME WOMEN, OUTPATIENT RADIOLOGY SERVICES AND PHYSICIAN OFFICES. WE RECENTLY WELCOMED THE ADDITION OF THE NEARBY SHADY GROVE ADVENTIST RADIATION ONCOLOGY CENTER AT GERMANTOWN, ON SENECA MEADOWS PARKWAY. IN THE FIVE YEARS SINCE IT HAS OPENED, THE GEC HAS TREATED AN AVERAGE OF 36,000 EMERGENCY PATIENTS EACH YEAR. THE FREESTANDING FACILITY HAS ALSO REDUCED OUT-OF-SERVICE AMBULANCE TIMES IN UPPER MONTGOMERY COUNTY BY 40 PERCENT, ACCORDING TO THE COUNTY'S FIRE AND RESCUE SERVICE.</Desc>
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        <Desc>ADVENTIST BEHAVIORAL HEALTH:ADVENTIST BEHAVIORAL HEALTH IS A COMPREHENSIVE NETWORK OF MENTAL HEALTH FACILITIES PROVIDING CARE TO MENTALLY ILL INDIVIDUALS ACROSS THEIR LIFE SPAN. WITH LOCATIONS IN MONTGOMERY COUNTY IN MARYLAND AND ON THE EASTERN SHORE OF MARYLAND, ADVENTIST BEHAVIORAL HEALTH OFFERS A BROAD RANGE OF SERVICES SUCH AS ACUTE CARE, RESIDENTIAL TREATMENT, SPECIAL EDUCATION AND GENERAL EDUCATION PROGRAMS, CHEMICAL DEPENDENCY PROGRAMS, PARTIAL HOSPITALIZATION PROGRAMS, INTENSIVE OUTPATIENT SERVICES, AND COMMUNITY-BASED RESIDENTIAL SERVICES. IN 2013, ADVENTIST BEHAVIORAL HEALTH PROVIDED $1,707,933 IN UNCOMPENSATED MENTAL HEALTH CARE ACROSS ITS TWO MAIN CAMPUSES.ADVENTIST BEHAVIORAL HEALTH'S FACILITIES OFFER A TOTAL OF 161 ACUTE CARE BEDS, 99 RESIDENTIAL TREATMENT CENTER BEDS, 32 GROUP HOME BEDS AND A FULL CONTINUUM OF OUTPATIENT SERVICES. ADVENTIST BEHAVIORAL HEALTH CARED FOR APPROXIMATELY 14,331 PATIENTS, CLIENTS AND RESIDENTS ACROSS ITS ENTITIES IN 2012.ADVENTIST BEHAVIORAL HEALTH ROCKVILLE:THE ADVENTIST BEHAVIORAL HEALTH ROCKVILLE CAMPUS IS A NOT-FOR-PROFIT, JOINT COMMISSION ACCREDITED, 107-BED ACUTE PSYCHIATRIC TREATMENT FACILITY LOCATED IN MONTGOMERY COUNTY. COUPLED WITH AN ADDITIONAL 82-BED RESIDENTIAL TREATMENT CENTER (RTC) FOR ADOLESCENTS, ADVENTIST BEHAVIORAL HEALTH IS THE LARGEST PROVIDER OF MENTAL HEALTH SERVICES IN MONTGOMERY COUNTY. THE ROCKVILLE CAMPUS ALSO PROVIDES OUTPATIENT CHEMICAL DEPENDENCY SERVICES FOR ADOLESCENTS AND ADULTS AND OPERATES A PARTIAL HOSPITALIZATION PROGRAM FOR ADOLESCENTS.ADVENTIST BEHAVIORAL HEALTH'S ACUTE SERVICES INCLUDE THE SPECIALIZED MAGNOLIA UNIT, A 10-BED ACUTE INPATIENT UNIT DEDICATED TO SERVING GERIATRIC ADULTS. THE UNIT PROVIDES CRITICAL STABILIZATION AND SHORT-TERM INPATIENT TREATMENT FOR OLDER ADULTS WHO EXPERIENCE SUDDEN LIFE CHANGES AND STRESSORS THAT TRIGGER DEPRESSION, ANXIETY AND OTHER CHALLENGES THAT IMPACT THEIR DAILY ACTIVITIES. BASED IN ROCKVILLE, MARYLAND, THE MAGNOLIA UNIT IS THE ONLY ONE OF ITS KIND IN MONTGOMERY COUNTY. THE RIDGE SCHOOL OF MONTGOMERY COUNTY, A SPECIAL AND GENERAL EDUCATION SCHOOL APPROVED BY THE MARYLAND STATE DEPARTMENT OF EDUCATION, IS LOCATED AT THE ADVENTIST BEHAVIORAL HEALTH ROCKVILLE CAMPUS AND SERVES ADOLESCENTS FROM MARYLAND AND WASHINGTON, D.C. THE BEHAVIORAL HEALTH UNIT AT WASHINGTON ADVENTIST HOSPITAL:THE BEHAVIORAL HEALTH UNIT OFFERS FOUR ADOLESCENT AND 38 ADULT ACUTE CARE BEDS IN ADDITION TO PARTIAL HOSPITALIZATION AND INTENSIVE OUTPATIENT PROGRAMS AT ITS TAKOMA PARK, MARYLAND LOCATION.THE REGINALD S. LOURIE CENTER FOR INFANTS AND YOUNG CHILDREN (LOURIE CENTER):THE LOURIE CENTER'S MISSION IS TO UNDERSTAND AND STRENGTHEN THE EMOTIONAL HEALTH OF PARENT-CHILD RELATIONSHIPS WITHIN OUR COMMUNITY THROUGH EARLY PREVENTION, INTERVENTION, EDUCATION, RESEARCH AND TRAINING. THE LOURIE CENTER PROVIDES FOUR CORE SERVICES TO BENEFIT INFANTS, CHILDREN AND THEIR FAMILIES: THE PARENT-CHILD CLINICAL SERVICES PROGRAM, LOURIE CENTER SCHOOL, THERAPEUTIC NURSERY PROGRAM AND EARLY HEAD START. ADVENTIST BEHAVIORAL HEALTH EASTERN SHORE:ADVENTIST BEHAVIORAL HEALTH EASTERN SHORE IS THE REGION'S ONLY ACUTE CARE AND RESIDENTIAL MENTAL HEALTH RESOURCE FOR CHILDREN AND ADOLESCENTS. THE FACILITY OFFERS 15 ACUTE CARE BEDS AND 59 RTC BEDS. THE RIDGE SCHOOL OF THE EASTERN SHORE IS A SPECIAL AND GENERAL EDUCATION SCHOOL FOR STUDENTS IN GRADES THREE TO 12. THE SCHOOL SERVES RESIDENTS OF THE EASTERN SHORE RTC AS WELL AS DAY STUDENTS WHO LIVE IN THE LOCAL COMMUNITY. THERAPEUTIC GROUP HOMES &amp; ASSISTED LIVING:ADVENTIST BEHAVIORAL HEALTH'S GROUP HOMES INCLUDE TWO HOMES FOR ADOLESCENTS AND ONE FOR ADULTS. THE ADOLESCENT HOMES, OR COTTAGES, OFFER ADOLESCENTS 13 TO 17 YEARS OF AGE A SAFE AND THERAPEUTIC RESIDENTIAL ENVIRONMENT IN WHICH TO SUPPORT THEIR TRANSITION BACK TO THEIR FAMILIES, THE COMMUNITY, AND, IN SOME CASES, INDEPENDENT LIVING. THE GROUP HOMES ARE LOCATED IN MONTGOMERY COUNTY IN COMMUNITIES.THE MANOR IS AN ASSISTED LIVING FACILITY IN TAKOMA PARK FOR INDIVIDUALS WITH CHRONIC AND SEVERE MENTAL ILLNESS WHO ARE UNABLE TO LIVE INDEPENDENTLY. THE FACILITY PROVIDES A SAFE AND SUPPORTIVE RESIDENTIAL ENVIRONMENT AS AN ALTERNATIVE TO LONG-TERM PSYCHIATRIC HOSPITALIZATION.COMMUNITY SERVICE:ADVENTIST BEHAVIORAL HEALTH IS COMMITTED TO SERVING AS A MENTAL HEALTH RESOURCE TO FAMILIES AND BEHAVIORAL HEALTH SPECIALISTS IN THE COMMUNITIES IT SERVES. THE ORGANIZATION HAS DEDICATED SIGNIFICANT RESOURCES TO PROVIDING CONTINUING EDUCATION SYMPOSIUMS FOR CLINICIANS AS WELL AS FREE EDUCATIONAL WORKSHOPS FOR CONSUMERS. ADVENTIST BEHAVIORAL HEALTH AND ITS EMPLOYEES ALSO SPONSOR AND SUPPORT COMMUNITY ORGANIZATIONS SUCH AS THE MENTAL HEALTH ASSOCIATION OF MONTGOMERY COUNTY AND THE NATIONAL ALLIANCE ON MENTAL ILLNESS.</Desc>
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        <ExplanationTxt>IN 2013, ADVENTIST HEALTHCARE, INC. WAS ENGAGED IN LOBBYING ACTIVITIES AT THE LOCAL, STATE AND FEDERAL LEVEL. ACTIVITIES INCLUDED DISCUSSIONS WITH MONTGOMERY COUNTY AND PRINCE GEORGES COUNTY OFFICIALS ABOUT VARIOUS REGIONAL HEALTH CARE MATTERS, PARTICULARLY INVOLVING THE LOCAL HEALTH CARE SAFETY NET AND ISSUES OF ACCESS TO CARE. CONTACT WITH LEGISLATORS AND LOBBYING ON ISSUES AT THE STATE LEVEL ALSO TOOK PLACE, PARTICULARLY AROUND ISSUES OF PUBLIC HEALTH AND ACCESS TO HEALTH CARE SERVICES. AT THE FEDERAL LEVEL, ADVENTIST HEALTHCARE WAS ENGAGED IN MONITORING LEGISLATIVE AND EXECUTIVE ACTION RELATED TO FEDERAL HEALTH REFORM, HEALTHCARE REIMBURSEMENT AND ACCESS TO CARE.</ExplanationTxt>
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      <OtherLiabilitiesOrgGrp>
        <Desc>DEFERRED COMPENSATION</Desc>
        <Amt>164057</Amt>
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      <OtherLiabilitiesOrgGrp>
        <Desc>PROFESSIONAL LIABILITY INS: SE</Desc>
        <Amt>9324911</Amt>
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        <Desc>COMPLIANCE LIABILITY RESERVE</Desc>
        <Amt>2203807</Amt>
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      <OtherLiabilitiesOrgGrp>
        <Desc>OTHER LONG TERM LIABILITIES</Desc>
        <Amt>8740541</Amt>
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      <TotalLiabilityAmt>36536897</TotalLiabilityAmt>
      <FootnoteTextInd>X</FootnoteTextInd>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART X, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>FIN 48 NOTES: THE CORPORATION ACCOUNTS FOR UNCERTAINTY IN INCOME TAXES USING A RECOGNITION THRESHOLD OF MORE-LIKELY-THAN-NOT TO BE SUSTAINED UPON EXAMINATION BY THE APPROPRIATE TAXING AUTHORITY. MEASUREMENT OF THE TAX UNCERTAINTY OCCURS IF THE RECOGNITION THRESHOLD IS MET. MANAGEMENT DETERMINED THERE WERE NO TAX UNCERTAINTIES THAT MET THE RECOGNITION THRESHOLD IN 2013 OR 2012.</ExplanationTxt>
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      <WrittenPolicyInd>1</WrittenPolicyInd>
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      <ManagementCoAndJntVenturesGrp>
        <EntityName>
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      <HospitalFacilitiesGrp>
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        <BusinessName>
          <BusinessNameLine1>SHADY GROVE ADVENTIST HOSPITAL</BusinessNameLine1>
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        <USAddress>
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          <State>MD</State>
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        <GeneralMedicalAndSurgicalInd>X</GeneralMedicalAndSurgicalInd>
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      <HospitalFacilitiesGrp>
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        <BusinessName>
          <BusinessNameLine1>WASHINGTON ADVENTIST HOSPITAL</BusinessNameLine1>
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        <USAddress>
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          <City>TAKOMA PARK</City>
          <State>MD</State>
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        <LicensedHospitalInd>X</LicensedHospitalInd>
        <GeneralMedicalAndSurgicalInd>X</GeneralMedicalAndSurgicalInd>
        <EmergencyRoom24HrsInd>X</EmergencyRoom24HrsInd>
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      <HospitalFacilitiesGrp>
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        <GeneralMedicalAndSurgicalInd>X</GeneralMedicalAndSurgicalInd>
        <EmergencyRoom24HrsInd>X</EmergencyRoom24HrsInd>
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      <HospitalFacilitiesGrp>
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        <BusinessName>
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      <HospitalFacilitiesGrp>
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      <HospitalFacilitiesGrp>
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      <HospitalFcltyPoliciesPrctcGrp>
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        </HospitalFacilityName>
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        <OwnWebsiteURLTxt>SEE URL ON SECTION C</OwnWebsiteURLTxt>
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      <HospitalFcltyPoliciesPrctcGrp>
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        </HospitalFacilityName>
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        <CHNAReportWidelyAvailableInd>1</CHNAReportWidelyAvailableInd>
        <RptAvailableOnOwnWebsiteInd>X</RptAvailableOnOwnWebsiteInd>
        <OwnWebsiteURLTxt>SEE URL ON SECTION C</OwnWebsiteURLTxt>
        <RptAvailableUponRequestInd>X</RptAvailableUponRequestInd>
        <RptAvailableThruOtherMethodInd>X</RptAvailableThruOtherMethodInd>
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      </HospitalFcltyPoliciesPrctcGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>SHADY GROVE ADVENTIST HOSPITAL</FormAndLineReferenceDesc>
        <ExplanationTxt>PART V, SECTION B, LINE 3: SHADY GROVE ADVENTIST HOSPITAL, A MEMBER OF ADVENTIST HEALTHCARE, HAS ONGOING PARTNERSHIPS WITH SEVERAL COMMUNITY-BASED ORGANIZATIONS AND HEALTH CARE CLINICS THAT PROVIDE VALUABLE INPUT ON THE HEALTH NEEDS OF COMMUNITY MEMBERS. 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. 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 EXPANDED OUR PRENATAL SERVICES IN 2006 BY PARTNERING WITH THE MONTGOMERY COUNTY DEPARTMENT OF HEALTH AND HUMAN SERVICES IN ITS MATERNAL PARTNERSHIPS PROGRAM, A REFERRAL PROGRAM THAT COLLABORATES WITH HOSPITALS TO PROVIDE OBSTETRIC AND GYNECOLOGIC SERVICES FOR UNINSURED WOMEN IN MONTGOMERY COUNTY. WE ALSO PROVIDE HEALTH SERVICES FOR WOMEN IN THE COMMUNITY WITH BREAST CANCER THROUGH A PARTNERSHIP WITH THE KOMEN FOUNDATION. IN ADDITION, ADVENTIST HEALTHCARE AND THE CENTER ON HEALTH DISPARITIES HAVE ONGOING COLLABORATIONS WITH SINAI HOSPITAL OF BALTIMORE, THE UNIVERSITY OF MARYLAND SCHOOL OF PUBLIC HEALTH, AND THE PRIMARY CARE COALITION OF MONTGOMERY COUNTY. PUBLIC HEALTH EXPERTS FROM THESE VARIOUS PARTNER ORGANIZATIONS PROVIDE SHADY GROVE ADVENTIST HOSPITAL WITH IMPORTANT INPUT ON THE NEEDS AFFECTING THE HEALTH OF THE COMMUNITIES WE SERVE. SHADY GROVE ADVENTIST HOSPITAL'S HEALTH MINISTRY DEPARTMENT PARTNERS WITH FAITH COMMUNITIES OF ALL RELIGIONS, ASSISTING THEM IN ASSESSING THE HEALTH NEEDS OF THEIR CONGREGATIONS AS WELL AS PROVIDING RESOURCES TO HELP IMPLEMENT PROGRAMS THAT ADDRESS THESE NEEDS. SOME OF THE CONGREGATIONS HAVE TRAINED FAITH COMMUNITY NURSES (FCN) THAT NOT ONLY IDENTIFY SPECIFIC NEEDS, BUT PROVIDE EDUCATION, COUNSELING, REFERRAL, AND ADVOCACY SERVICES. THESE FCNS OFTEN FOLLOW UP WITH THEIR CONGREGANTS AFTER A HOSPITALIZATION OR OTHER MEDICAL NEED. IN ADDITION, WE CONVENED AN ADVISORY BOARD TO HELP GUIDE OUR EFFORTS TO REDUCE AND ELIMINATE HEALTH DISPARITIES, TO IDENTIFY COMMUNITY NEEDS, AND TO HELP ASSESS AND DIRECT OUR RESPONSE TO THOSE NEEDS. THE ADVISORY BOARD IS COMPRISED OF BOTH INTERNAL AND EXTERNAL/COMMUNITY LEADERS.ADVENTIST HEALTHCARE COMMUNITY BENEFIT ADVISORY BOARD MEMBERS: &gt; AISHA BIVENS, JD, BSN; ASSOCIATE VICE PRESIDENT OF CLINICAL EFFECTIVENESS; WASHINGTON ADVENTIST HOSPITAL; &gt; PERRY CHAN; SENIOR PROGRAM COORDINATOR, ASIAN AMERICAN HEALTH INITIATIVE; MONTGOMERY COUNTY DEPARTMENT OF HEALTH AND HUMAN SERVICES; &gt; IRENE DANKWA-MULLAN, MD, MPH; DIRECTOR, OFFICE OF INNOVATION AND PROGRAM COORDINATION; NATIONAL INSTITUTE ON MINORITY HEALTH AND HEALTH DISPARITIES; &gt; STEVE GALEN, MS; PRESIDENT AND CEO; PRIMARY CARE COALITION OF MONTGOMERY COUNTY;&gt; CAROL W. GARVEY, MD, MPH; CHAIR; PRIMARY CARE COALITION; &gt; CARLESSIA HUSSEIN, DRPH, RN; DIRECTOR, OFFICE OF MINORITY HEALTH AND HEALTH DISPARITIES; MARYLAND DEPARTMENT OF HEALTH AND MENTAL HYGIENE; &gt; JUDY LICHTY, MPH; REGIONAL DIRECTOR, HEALTH AND WELLNESS; ADVENTIST HEALTHCARE; &gt; SKIP MARGOT, RN, MS; CNE AND VP OF PATIENT CARE SERVICES; SHADY GROVE ADVENTIST HOSPITAL; &gt; SONIA MORA, RN; MANAGER, PUBLIC HEALTH SERVICES/LATINO HEALTH INITIATIVE; MONTGOMERY COUNTY DEPARTMENT OF HEALTH AND HUMAN SERVICES; &gt; RICHARD "DICK" PAVLIN, MHCA; EXECUTIVE DIRECTOR; MERCY HEALTH CLINIC; &gt; OLIVIA CARTER-POKRAS, PHD; ASSOCIATE PROFESSOR; UNIVERSITY OF MARYLAND COLLEGE PARK, SCHOOL OF PUBLIC HEALTH; &gt; HOWARD ROSS; CHIEF LEARNING OFFICER; COOK ROSS, INC.; &gt; TERRENCE P. SHEEHAN, MD; CHIEF MEDICAL OFFICER; ADVENTIST REHABILITATION HOSPITAL OF MARYLAND; &gt; TOM SWEENEY, RN, MBA, FACHE; VICE PRESIDENT CHIEF NURSING OFFICER; WASHINGTON ADVENTIST HOSPITAL; &gt; LOIS A. WESSEL, RN CFNP; ASSOCIATE DIRECTOR FOR PROGRAMS; ASSOCIATION OF CLINICIANS FOR THE UNDERSERVED; IN ADDITION TO THE FORMAL ADVISORY BOARD, THE STAFF OF ADVENTIST HEALTHCARE AND SHADY GROVE ADVENTIST HOSPITAL PARTICIPATES IN VARIOUS WAYS IN THE COMMUNITY. WE ACTIVELY PARTICIPATE IN NUMEROUS COMMITTEES, COALITIONS, AND PARTNERSHIPS THAT PROVIDE INFORMATION ON THE HEALTH NEEDS IN THE COMMUNITY. THE HEALTH PROFESSIONALS THAT PROVIDE PROGRAMS IN THE COMMUNITY ALSO PROVIDE VALUABLE INFORMATION AND KNOWLEDGE OF COMMUNITY NEEDS. FINALLY, THE COMMUNITY'S PERSPECTIVE WAS OBTAINED THROUGH A COMMUNITY HEALTH NEEDS ASSESSMENT SURVEY OFFERED TO THE PUBLIC THROUGH POSTINGS ON THIS ORGANIZATION'S FACEBOOK PAGES, NEWSLETTERS, EMAIL LIST SERVES, AND MEETINGS WITH COMMUNITY LEADERS. A 25-ITEM SURVEY, AVAILABLE ONLINE THROUGH SURVEYMONKEY.COM, ASKED COMMUNITY MEMBERS AND COMMUNITY LEADERS ALIKE TO IDENTIFY THEIR SOCIODEMOGRAPHIC INFORMATION, HEALTH NEEDS, PROBLEMS AFFECTING THE HEALTH OF THE COMMUNITY, BARRIERS TO ACCESSING CARE, AND STRENGTHS/RESOURCES IN THE COMMUNITY.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>WASHINGTON ADVENTIST HOSPITAL</FormAndLineReferenceDesc>
        <ExplanationTxt>PART V, SECTION B, LINE 3: WASHINGTON ADVENTIST HOSPITAL, A MEMBER OF ADVENTIST HEALTHCARE, HAS ONGOING PARTNERSHIPS WITH SEVERAL COMMUNITY-BASED ORGANIZATIONS AND HEALTH CARE CLINICS THAT PROVIDE VALUABLE INPUT ON THE HEALTH NEEDS OF COMMUNITY MEMBERS. WE PARTNER WITH CLINICS THAT IMPROVE ACCESS TO CARE BY SERVING THE LOW-INCOME RESIDENTS OF MONTGOMERY COUNTY AND PRINCE GEORGE'S COUNTY, MANY OF WHOM ARE LIMITED ENGLISH PROFICIENT AND/OR RACIAL AND ETHNIC MINORITIES. ONE OF WASHINGTON ADVENTIST HOSPITAL'S SAFETY NET CLINIC PARTNERS IS MARY'S CENTER FOR MATERNAL AND CHILD CARE. ANOTHER PARTNER, MOBILE MEDICAL CARE, INC. (MOBILEMED), OPERATES THREE MOBILE HEALTHCARE VEHICLES AND PROVIDES PRIMARY AND PREVENTATIVE HEALTHCARE TO THE UNINSURED, LOW INCOME, WORKING POOR AND HOMELESS IN MONTGOMERY COUNTY. WE EXPANDED OUR PRENATAL SERVICES IN 2006 BY PARTNERING WITH THE MONTGOMERY COUNTY DEPARTMENT OF HEALTH AND HUMAN SERVICES IN ITS MATERNAL PARTNERSHIPS PROGRAM, A REFERRAL PROGRAM THAT COLLABORATES WITH HOSPITALS TO PROVIDE OBSTETRIC AND GYNECOLOGIC SERVICES FOR UNINSURED WOMEN IN MONTGOMERY COUNTY. WE ALSO PROVIDE HEALTH SERVICES FOR WOMEN IN THE COMMUNITY WITH BREAST CANCER THROUGH A PARTNERSHIP WITH THE KOMEN FOUNDATION. IN ADDITION, ADVENTIST HEALTHCARE AND THE CENTER ON HEALTH DISPARITIES HAVE ONGOING COLLABORATIONS WITH SINAI HOSPITAL OF BALTIMORE, THE UNIVERSITY OF MARYLAND SCHOOL OF PUBLIC HEALTH, AND THE PRIMARY CARE COALITION OF MONTGOMERY COUNTY. PUBLIC HEALTH EXPERTS FROM THESE VARIOUS PARTNER ORGANIZATIONS PROVIDE WASHINGTON ADVENTIST HOSPITAL WITH IMPORTANT INPUT ON THE NEEDS AFFECTING THE HEALTH OF THE COMMUNITIES WE SERVE.WASHINGTON ADVENTIST HOSPITAL'S HEALTH MINISTRY DEPARTMENT PARTNERS WITH FAITH COMMUNITIES OF ALL RELIGIONS, ASSISTING THEM IN ASSESSING THE HEALTH NEEDS OF THEIR CONGREGATIONS AS WELL AS PROVIDING RESOURCES TO HELP IMPLEMENT PROGRAMS THAT ADDRESS THESE NEEDS. SOME OF THE CONGREGATIONS HAVE TRAINED FAITH COMMUNITY NURSES (FCN) THAT NOT ONLY IDENTIFY SPECIFIC NEEDS, BUT PROVIDE EDUCATION, COUNSELING, REFERRAL, AND ADVOCACY SERVICES. THESE FCNS OFTEN FOLLOW UP WITH THEIR CONGREGANTS AFTER A HOSPITALIZATION OR OTHER MEDICAL NEED.IN ADDITION, WE CONVENED AN ADVISORY BOARD TO HELP GUIDE OUR EFFORTS TO REDUCE AND ELIMINATE HEALTH DISPARITIES, TO IDENTIFY COMMUNITY NEEDS, AND TO HELP ASSESS AND DIRECT OUR RESPONSE TO THOSE NEEDS. THE ADVISORY BOARD IS COMPRISED OF BOTH INTERNAL AND EXTERNAL/COMMUNITY LEADERS.ADVENTIST HEALTHCARE COMMUNITY BENEFIT ADVISORY BOARD MEMBERS: &gt; AISHA BIVENS, JD, BSN; ASSOCIATE VICE PRESIDENT OF CLINICAL EFFECTIVENESS; WASHINGTON ADVENTIST HOSPITAL; &gt; PERRY CHAN; SENIOR PROGRAM COORDINATOR, ASIAN AMERICAN HEALTH INITIATIVE; MONTGOMERY COUNTY DEPARTMENT OF HEALTH AND HUMAN SERVICES; &gt; IRENE DANKWA-MULLAN, MD, MPH; DIRECTOR, OFFICE OF INNOVATION AND PROGRAM COORDINATION; NATIONAL INSTITUTE ON MINORITY HEALTH AND HEALTH DISPARITIES; &gt; STEVE GALEN, MS; PRESIDENT AND CEO; PRIMARY CARE COALITION OF MONTGOMERY COUNTY; &gt; CAROL W. GARVEY, MD, MPH; CHAIR; PRIMARY CARE COALITION; &gt; CARLESSIA HUSSEIN, DRPH, RN; DIRECTOR, OFFICE OF MINORITY HEALTH AND HEALTH DISPARITIES; MARYLAND DEPARTMENT OF HEALTH AND MENTAL HYGIENE; &gt; JUDY LICHTY, MPH; REGIONAL DIRECTOR, HEALTH AND WELLNESS; ADVENTIST HEALTHCARE; &gt; SKIP MARGOT, RN, MS; CNE AND VP OF PATIENT CARE SERVICES; SHADY GROVE ADVENTIST HOSPITAL; &gt; SONIA MORA, RN; MANAGER, PUBLIC HEALTH SERVICES/LATINO HEALTH INITIATIVE; MONTGOMERY COUNTY DEPARTMENT OF HEALTH AND HUMAN SERVICES; &gt; RICHARD "DICK" PAVLIN, MHCA; EXECUTIVE DIRECTOR; MERCY HEALTH CLINIC; &gt; OLIVIA CARTER-POKRAS, PHD; ASSOCIATE PROFESSOR; UNIVERSITY OF MARYLAND COLLEGE PARK, SCHOOL OF PUBLIC HEALTH; &gt; HOWARD ROSS; CHIEF LEARNING OFFICER; COOK ROSS, INC.; &gt; TERRENCE P. SHEEHAN, MD; CHIEF MEDICAL OFFICER; ADVENTIST REHABILITATION HOSPITAL OF MARYLAND; &gt; TOM SWEENEY, RN, MBA, FACHE; VICE PRESIDENT CHIEF NURSING OFFICER; WASHINGTON ADVENTIST HOSPITAL; &gt; LOIS A. WESSEL, RN CFNP; ASSOCIATE DIRECTOR FOR PROGRAMS; ASSOCIATION OF CLINICIANS FOR THE UNDERSERVED; IN ADDITION TO THE FORMAL ADVISORY BOARD, THE STAFF OF ADVENTIST HEALTHCARE AND WASHINGTON ADVENTIST HOSPITAL PARTICIPATES IN VARIOUS WAYS IN THE COMMUNITY. WE ACTIVELY PARTICIPATE IN NUMEROUS COMMITTEES, COALITIONS, AND PARTNERSHIPS THAT PROVIDE INFORMATION ON THE HEALTH NEEDS IN THE COMMUNITY. THE HEALTH PROFESSIONALS THAT PROVIDE PROGRAMS IN THE COMMUNITY ALSO PROVIDE VALUABLE INFORMATION AND KNOWLEDGE OF COMMUNITY NEEDS.FINALLY, THE COMMUNITY'S PERSPECTIVE WAS OBTAINED THROUGH A COMMUNITY HEALTH NEEDS ASSESSMENT SURVEY OFFERED TO THE PUBLIC THROUGH POSTINGS ON THIS ORGANIZATION'S FACEBOOK PAGES, NEWSLETTERS, EMAIL LIST SERVES, AND MEETINGS WITH COMMUNITY LEADERS. A 25-ITEM SURVEY, AVAILABLE ONLINE THROUGH SURVEYMONKEY.COM, ASKED COMMUNITY MEMBERS AND COMMUNITY LEADERS ALIKE TO IDENTIFY THEIR SOCIODEMOGRAPHIC INFORMATION, HEALTH NEEDS, PROBLEMS AFFECTING THE HEALTH OF THE COMMUNITY, BARRIERS TO ACCESSING CARE, AND STRENGTHS/RESOURCES IN THE COMMUNITY.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>HACKETTSTOWN COMMUNITY HOSPITAL</FormAndLineReferenceDesc>
        <ExplanationTxt>PART V, SECTION B, LINE 3: HACKETTSTOWN COMMUNITY HOSPITAL UNDERTOOK A COMPREHENSIVE COMMUNITY HEALTH NEEDS ASSESSMENT WHICH CONCLUDED IN 2012. THE PURPOSE OF THE STUDY WAS TO GATHER CURRENT STATISTICS AND QUALITATIVE FEEDBACK ON THE KEY HEALTH ISSUES FACING OUR SERVICE MARKET RESIDENTS. LOCAL RESIDENTS WERE ASKED TO PARTICIPATE IN A SURVEY AS WELL AS FOCUS GROUPS ADDRESSING THE ISSUES OF MEN, WOMEN AND DIABETICS. AFTER COMPLETION OF THE COMMUNITY HEALTH NEEDS ASSESSMENT, APPROXIMATELY 25 LEADERS FROM HACKETTSTOWN COMMUNITY HOSPITAL, COMMUNITY AGENCIES AND AREA HEALTHCARE AND SOCIAL SERVICES ORGANIZATIONS MET TO REVIEW AND PRIORITIZE THE FINDINGS AND TO DEVELOP AN IMPLEMENTATION PLAN. THE FOLLOWING KEY STAKEHOLDERS PARTICIPATED IN THE PROCESS:PRESIDENT, HACKETTSTOWN REGIONAL MEDICAL CENTER;CHIEF MEDICAL OFFICER, HRMC;EXECUTIVE DIRECTOR, HRMC;CHIEF NURSING OFFICER;ADMINISTRATIVE DIRECTOR, HRMC;MANAGER, MARKETING AND PUBLIC RELATIONS, HRMC;MANAGER, EDUCATION, HRMC;MANAGER, CARE MANAGEMENT, HRMC;MANAGER, CENTER FOR HEALTHIER LIVING, HRMC;COORDINATOR, HEALTHLINK, HRMC;FINANCIAL COUNSELOR, HRMC;WARREN COUNTY HEALTH DEPARTMENT;WARREN COUNTY AGENCY ON AGING AND DISABILITY;WARREN COUNTY DEPARTMENT OF HUMAN SERVICES;KAREN ANN QUINLAN HOME CARE;KAREN ANN QUINLAN HOSPICE;HACKETTSTOWN POLICE DEPARTMENT;SUPERINTENDENT, HACKETTSTOWN PUBLIC SCHOOLS;COLONIAL MANOR, SENIOR LIVING;DOMESTIC ABUSE AND SEXUAL ASSAULT;FAMILY GUIDANCE CENTER;UNITED WAY OF NORTHERN NJ;WRNJ RADIO;ZUFALL, FEDERALLY QUALIFIED HEALTH CENTER</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>ADVENTIST REHABILITATION HOSPITAL OF MARYLAND</FormAndLineReferenceDesc>
        <ExplanationTxt>PART V, SECTION B, LINE 3: ADVENTIST HEALTHCARE AND THE CENTER ON HEALTH DISPARITIES HAVE ONGOING COLLABORATIONS WITH SINAI HOSPITAL OF BALTIMORE, THE UNIVERSITY OF MARYLAND SCHOOL OF PUBLIC HEALTH, AND THE PRIMARY CARE COALITION OF MONTGOMERY COUNTY. PUBLIC HEALTH EXPERTS FROM THESE VARIOUS PARTNER ORGANIZATIONS PROVIDE ADVENTIST REHABILITATION HOSPITAL OF MARYLAND WITH IMPORTANT INPUT ON THE NEEDS AFFECTING THE HEALTH OF THE COMMUNITIES WE SERVE.ADVENTIST REHABILITATION HOSPITAL OF MARYLAND'S HEALTH MINISTRY DEPARTMENT PARTNERS WITH FAITH COMMUNITIES OF ALL RELIGIONS, ASSISTING THEM IN ASSESSING THE HEALTH NEEDS OF THEIR CONGREGATIONS AS WELL AS PROVIDING RESOURCES TO HELP IMPLEMENT PROGRAMS THAT ADDRESS THOSE NEEDS. SOME OF THE CONGREGATIONS HAVE TRAINED FAITH COMMUNITY NURSES (FCN) THAT NOT ONLY IDENTIFY SPECIFIC NEEDS, BUT ALSO PROVIDE EDUCATION, COUNSELING, REFERRAL, AND ADVOCACY SERVICES. THESE FCNS OFTEN FOLLOW UP WITH THEIR CONGREGANTS AFTER A HOSPITALIZATION OR OTHER MEDICAL NEED. ADDITIONALLY, ADVENTIST HEALTHCARE CONVENED A COMMUNITY ADVISORY BOARD TO HELP GUIDE OUR EFFORTS TO REDUCE AND ELIMINATE HEALTH DISPARITIES, TO IDENTIFY COMMUNITY NEEDS, AND TO HELP ASSESS AND DIRECT OUR RESPONSE TO THOSE NEEDS. THE ADVISORY BOARD IS COMPRISED OF BOTH INTERNAL AND EXTERNAL/COMMUNITY LEADERS. ADVENTIST HEALTHCARE COMMUNITY BENEFIT ADVISORY BOARD MEMBERS: &gt; AISHA BIVENS, JD, BSN; ASSOCIATE VICE PRESIDENT OF CLINICAL EFFECTIVENESS; WASHINGTON ADVENTIST HOSPITAL; &gt; PERRY CHAN; SENIOR PROGRAM COORDINATOR, ASIAN AMERICAN HEALTH INITIATIVE; MONTGOMERY COUNTY DEPARTMENT OF HEALTH AND HUMAN SERVICES; &gt; IRENE DANKWA-MULLAN, MD, MPH; DIRECTOR, OFFICE OF INNOVATION AND PROGRAM COORDINATION; NATIONAL INSTITUTE ON MINORITY HEALTH AND HEALTH DISPARITIES; &gt; STEVE GALEN, MS; PRESIDENT AND CEO; PRIMARY CARE COALITION OF MONTGOMERY COUNTY; &gt; CAROL W. GARVEY, MD, MPH; CHAIR; PRIMARY CARE COALITION; &gt; CARLESSIA HUSSEIN, DRPH, RN; DIRECTOR, OFFICE OF MINORITY HEALTH AND HEALTH DISPARITIES; MARYLAND DEPARTMENT OF HEALTH AND MENTAL HYGIENE; &gt; JUDY LICHTY, MPH; REGIONAL DIRECTOR, HEALTH AND WELLNESS; ADVENTIST HEALTHCARE; &gt; SKIP MARGOT, RN, MS; CNE AND VP OF PATIENT CARE SERVICES; SHADY GROVE ADVENTIST HOSPITAL; &gt; SONIA MORA, RN; MANAGER, PUBLIC HEALTH SERVICES/LATINO HEALTH INITIATIVE; MONTGOMERY COUNTY DEPARTMENT OF HEALTH AND HUMAN SERVICES; &gt; RICHARD "DICK" PAVLIN, MHCA; EXECUTIVE DIRECTOR; MERCY HEALTH CLINIC; &gt; OLIVIA CARTER-POKRAS, PHD; ASSOCIATE PROFESSOR; UNIVERSITY OF MARYLAND COLLEGE PARK, SCHOOL OF PUBLIC HEALTH; &gt; HOWARD ROSS; CHIEF LEARNING OFFICER; COOK ROSS, INC.; &gt; TERRENCE P. SHEEHAN, MD; CHIEF MEDICAL OFFICER; ADVENTIST REHABILITATION HOSPITAL OF MARYLAND; &gt; TOM SWEENEY, RN, MBA, FACHE; VICE PRESIDENT CHIEF NURSING OFFICER; WASHINGTON ADVENTIST HOSPITAL; &gt; LOIS A. WESSEL, RN CFNP; ASSOCIATE DIRECTOR FOR PROGRAMS; ASSOCIATION OF CLINICIANS FOR THE UNDERSERVED;IN ADDITION TO THE FORMAL ADVISORY BOARD, THE STAFF OF ADVENTIST HEALTHCARE AND ADVENTIST REHABILITATION HOSPITAL OF MARYLAND PARTICIPATES IN VARIOUS WAYS IN THE COMMUNITY. WE ACTIVELY PARTICIPATE IN NUMEROUS COMMITTEES, COALITIONS, AND PARTNERSHIPS THAT PROVIDE INFORMATION ON THE HEALTH NEEDS IN THE COMMUNITY. THE HEALTH PROFESSIONALS THAT PROVIDE PROGRAMS IN THE COMMUNITY ALSO PROVIDE VALUABLE INFORMATION AND KNOWLEDGE OF COMMUNITY NEEDS.FINALLY, THE COMMUNITY'S PERSPECTIVE WAS OBTAINED THROUGH A COMMUNITY HEALTH NEEDS ASSESSMENT SURVEY, CUSTOMER SATISFACTION SURVEYS, AND KEY INFORMANT INTERVIEWS. THE CHNA SURVEY WAS OFFERED TO THE PUBLIC THROUGH POSTINGS ON ADVENTIST HEALTHCARE'S FACEBOOK PAGES, NEWSLETTERS, EMAIL LIST SERVES, AND MEETINGS WITH COMMUNITY LEADERS. A 25-ITEM SURVEY, AVAILABLE ONLINE THROUGH SURVEYMONKEY.COM, ASKED COMMUNITY MEMBERS AND COMMUNITY LEADERS ALIKE TO IDENTIFY THEIR SOCIO-DEMOGRAPHIC INFORMATION, HEALTH NEEDS, PROBLEMS AFFECTING THE HEALTH OF THE COMMUNITY, BARRIERS TO ACCESSING CARE, AND STRENGTHS/RESOURCES IN THE COMMUNITY.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>ADVENTIST BEHAVIORAL HEALTH - ROCKVILLE</FormAndLineReferenceDesc>
        <ExplanationTxt>PART V, SECTION B, LINE 3: ADVENTIST BEHAVIORAL HEALTH BELIEVES THAT MENTAL HEALTH CARE IS BEST DELIVERED THROUGH PROGRAMS AND SERVICES THAT ADDRESS THE NEEDS OF THE COMMUNITY IT SERVES. THE COMMUNITY ADVISORY COUNCIL (CAC) WAS FORMED FOR THE PURPOSE OF INCORPORATING FEEDBACK FROM THE COMMUNITY IN THE PLANNING AND DELIVERY OF OUR SERVICES. THROUGH REGULAR AND PRODUCTIVE DIALOGUE WITH OUR CAC, ADVENTIST BEHAVIORAL HEALTH AIMS TO STRENGTHEN ITS EXISTING PROGRAMS AND BETTER ADDRESS GAPS IN MENTAL HEALTH CARE. THE CAC CONSISTS OF 17 MEMBERS WHO HAVE DEMONSTRATED AN INTEREST IN THE MENTAL HEALTH CONCERNS OF THE COMMUNITY THROUGH THEIR PROFESSION OR VOLUNTEER SERVICE. THIS INCLUDES, BUT IS NOT LIMITED TO, FORMER PATIENTS AND/OR THEIR FAMILY MEMBERS, MENTAL HEALTH ADVOCACY GROUPS, COUNTY AND STATE LEADERS, MONTGOMERY COUNTY PUBLIC SCHOOLS, AND MONTGOMERY COUNTY POLICE DEPARTMENT. THE COMMUNITY ADVISORY COUNCIL MEETS BIMONTHLY AT ADVENTIST BEHAVIORAL HEALTH IN ROCKVILLE.THE CURRENT MEMBERS OF ABH ROCKVILLE'S COMMUNITY ADVISORY COUNCIL INCLUDE:&gt; CLINICAL DIRECTOR OF MONTGOMERY COUNTY COALITION FOR THE; HOMELESS/HOMEBUILDERS CARE ASSESSMENT CENTER;&gt; MONTGOMERY COUNTY POLICE DEPARTMENT CRISIS INTERVENTION TEAM COORDINATOR;&gt; EXECUTIVE DIRECTOR OF THE MONTGOMERY COUNTY FEDERATION OF FAMILIES FOR; CHILDREN'S MENTAL HEALTH, INC.;&gt; NAMI MONTGOMERY COUNTY DIRECTOR OF CHILDREN AND ADOLESCENT PROGRAM AND; FAMILY-TO-FAMILY COORDINATOR;&gt; FORMER PATIENTS AND/OR FAMILY MEMBERS OF ADVENTIST BEHAVIORAL HEALTH;&gt; ABH VICE PRESIDENT OF OPERATIONS;&gt; ABH INTERIM CHIEF NURSING OFFICER AND STAFF EDUCATOR;&gt; ABH COMMUNICATIONS DIRECTOR;&gt; ABH ASSOCIATE VICE PRESIDENT, BUSINESS DEVELOPMENT;&gt; ABH MEDICAL DIRECTOR;&gt; ABH PSYCHIATRIST;&gt; ABH DIRECTOR OF COMMUNITY BASED RESIDENTIAL SERVICES;&gt; ABH DIRECTOR OF ADULT CLINICAL SERVICES;&gt; ABH CHAPLAIN;&gt; ABH ASSOCIATE VICE PRESIDENT, QUALITY AND PATIENT SAFETY AND LOCAL; INTEGRITY/CHIEF PRIVACY OFFICER;ADVENTIST BEHAVIORAL HEALTH, A MEMBER OF ADVENTIST HEALTHCARE, HAS ONGOING PARTNERSHIPS WITH SEVERAL COMMUNITY-BASED ORGANIZATIONS AND HEALTH CARE CLINICS THAT PROVIDE VALUABLE INPUT ON THE HEALTH NEEDS OF COMMUNITY MEMBERS. 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'S SAFETY NET CLINIC PARTNERS IS MERCY HEALTH CLINIC, WHICH PROVIDES PRIMARY CARE TO UNINSURED, LOW-INCOME ADULT RESIDENTS OF MONTGOMERY COUNTY. ADVENTIST HEALTHCARE ALSO PARTNERS 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. ADVENTIST HEALTHCARE ALSO PROVIDES HEALTH SERVICES FOR WOMEN IN THE COMMUNITY WITH BREAST CANCER THROUGH A PARTNERSHIP WITH THE KOMEN FOUNDATION. IN ADDITION, ADVENTIST HEALTHCARE AND THE CENTER ON HEALTH DISPARITIES HAVE ONGOING COLLABORATIONS WITH SINAI HOSPITAL OF BALTIMORE, THE UNIVERSITY OF MARYLAND'S SCHOOL OF PUBLIC HEALTH, AND THE PRIMARY CARE COALITION OF MONTGOMERY COUNTY. PUBLIC HEALTH EXPERTS FROM THESE VARIOUS PARTNER ORGANIZATIONS PROVIDE ADVENTIST HEALTHCARE AND ADVENTIST BEHAVIORAL HEALTH WITH IMPORTANT INPUT ON THE NEEDS AFFECTING THE HEALTH OF THE COMMUNITIES WE SERVE.ADVENTIST HEALTHCARE'S HEALTH MINISTRY DEPARTMENT PARTNERS WITH FAITH COMMUNITIES OF ALL RELIGIONS, ASSISTING THEM IN ASSESSING THE HEALTH NEEDS OF THEIR CONGREGATIONS AS WELL AS PROVIDING RESOURCES TO HELP IMPLEMENT PROGRAMS THAT ADDRESS THESE NEEDS. SOME OF THE CONGREGATIONS HAVE TRAINED FAITH COMMUNITY NURSES (FCN) THAT NOT ONLY IDENTIFY SPECIFIC NEEDS, BUT PROVIDE EDUCATION, COUNSELING, REFERRAL, AND ADVOCACY SERVICES. THESE FCNS OFTEN FOLLOW UP WITH THEIR CONGREGANTS AFTER A HOSPITALIZATION OR OTHER MEDICAL NEED. IN ADDITION, ADVENTIST HEALTHCARE CONVENED A COMMUNITY ADVISORY BOARD TO HELP GUIDE OUR EFFORTS TO REDUCE AND ELIMINATE HEALTH DISPARITIES, TO IDENTIFY COMMUNITY NEEDS, AND TO HELP ASSESS AND DIRECT OUR RESPONSE TO THOSE NEEDS. THE ADVISORY BOARD IS COMPRISED OF BOTH INTERNAL AND EXTERNAL/COMMUNITY LEADERS.ADVENTIST HEALTHCARE COMMUNITY BENEFIT ADVISORY BOARD MEMBERS: &gt; AISHA BIVENS, JD, BSN; ASSOCIATE VICE PRESIDENT OF CLINICAL EFFECTIVENESS; WASHINGTON ADVENTIST HOSPITAL; &gt; PERRY CHAN; SENIOR PROGRAM COORDINATOR, ASIAN AMERICAN HEALTH INITIATIVE; MONTGOMERY COUNTY DEPARTMENT OF HEALTH AND HUMAN SERVICES; &gt; IRENE DANKWA-MULLAN, MD, MPH; DIRECTOR, OFFICE OF INNOVATION AND PROGRAM COORDINATION; NATIONAL INSTITUTE ON MINORITY HEALTH AND HEALTH DISPARITIES; &gt; STEVE GALEN, MS; PRESIDENT AND CEO; PRIMARY CARE COALITION OF MONTGOMERY COUNTY; &gt; CAROL W. GARVEY, MD, MPH; CHAIR; PRIMARY CARE COALITION; &gt; CARLESSIA HUSSEIN, DRPH, RN; DIRECTOR, OFFICE OF MINORITY HEALTH AND HEALTH DISPARITIES; MARYLAND DEPARTMENT OF HEALTH AND MENTAL HYGIENE; &gt; JUDY LICHTY, MPH; REGIONAL DIRECTOR, HEALTH AND WELLNESS; ADVENTIST HEALTHCARE; &gt; SKIP MARGOT, RN, MS; CNE AND VP OF PATIENT CARE SERVICES; SHADY GROVE ADVENTIST HOSPITAL; &gt; SONIA MORA, RN; MANAGER, PUBLIC HEALTH SERVICES/LATINO HEALTH INITIATIVE; MONTGOMERY COUNTY DEPARTMENT OF HEALTH AND HUMAN SERVICES; &gt; RICHARD "DICK" PAVLIN, MHCA; EXECUTIVE DIRECTOR; MERCY HEALTH CLINIC; &gt; OLIVIA CARTER-POKRAS, PHD; ASSOCIATE PROFESSOR; UNIVERSITY OF MARYLAND COLLEGE PARK, SCHOOL OF PUBLIC HEALTH; &gt; HOWARD ROSS; CHIEF LEARNING OFFICER; COOK ROSS, INC.; &gt; TERRENCE P. SHEEHAN, MD; CHIEF MEDICAL OFFICER; ADVENTIST REHABILITATION HOSPITAL OF MARYLAND; &gt; TOM SWEENEY, RN, MBA, FACHE; VICE PRESIDENT CHIEF NURSING OFFICER; WASHINGTON ADVENTIST HOSPITAL; &gt; LOIS A. WESSEL, RN CFNP; ASSOCIATE DIRECTOR FOR PROGRAMS; ASSOCIATION OF CLINICIANS FOR THE UNDERSERVED;IN ADDITION TO THE FORMAL ADVISORY BOARD, THE STAFF OF ADVENTIST HEALTHCARE AND ADVENTIST BEHAVIORAL HEALTH PARTICIPATES IN VARIOUS WAYS IN THE COMMUNITY. WE ACTIVELY PARTICIPATE IN NUMEROUS COMMITTEES, COALITIONS, AND PARTNERSHIPS THAT PROVIDE INFORMATION ON THE HEALTH NEEDS IN THE COMMUNITY. THE HEALTH PROFESSIONALS THAT PROVIDE PROGRAMS IN THE COMMUNITY ALSO PROVIDE VALUABLE INFORMATION AND KNOWLEDGE OF COMMUNITY NEEDS. FINALLY, THE COMMUNITY'S PERSPECTIVE WAS OBTAINED THROUGH A COMMUNITY HEALTH NEEDS ASSESSMENT SURVEY OFFERED TO THE PUBLIC THROUGH POSTINGS ON ADVENTIST HEALTHCARE ENTITY FACEBOOK PAGES, NEWSLETTERS, E-MAIL LIST SERVES, AND MEETINGS WITH COMMUNITY LEADERS. A 25-ITEM SURVEY, AVAILABLE ONLINE THROUGH SURVEYMONKEY.COM, ASKED COMMUNITY MEMBERS AND COMMUNITY LEADERS ALIKE TO PROVIDE SOCIODEMOGRAPHIC INFORMATION, HEALTH NEEDS, PROBLEMS AFFECTING THE HEALTH OF THE COMMUNITY, BARRIERS TO ACCESSING CARE, AND STRENGTHS/RESOURCES IN THE COMMUNITY.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>ADVENTIST BEHAVIORAL HEALTH - EASTERN SHORE</FormAndLineReferenceDesc>
        <ExplanationTxt>PART V, SECTION B, LINE 3: ADVENTIST BEHAVIORAL HEALTH EASTERN SHORE BELIEVES THAT MENTAL HEALTH CARE IS BEST DELIVERED THROUGH PROGRAMS AND SERVICES THAT ADDRESS THE NEEDS OF THE COMMUNITY IT SERVES. THE LOCAL COMMUNITY ADVISORY BOARD (CAB) OF ADVENTIST BEHAVIORAL HEALTH EASTERN SHORE WAS FORMED FOR THE PURPOSE OF PROVIDING BETTER SERVICES FOR OUR RESIDENTS AND THEIR FAMILIES, THROUGH INTERACTIVE AND PARTICIPATORY INPUT WITHIN THE GROUP AND TO TREAT "SHORE KIDS" ON THE SHORE. THROUGH REGULAR AND PRODUCTIVE DIALOGUE WITH ITS COMMUNITY ADVISORY BOARD, ADVENTIST BEHAVIORAL HEALTH EASTERN SHORE AIMS TO STRENGTHEN ITS EXISTING PROGRAMS AND ADDRESS GAPS IN MENTAL HEALTH CARE. THE COMMUNITY ADVISORY BOARD CONSISTS OF MEMBERS WHO HAVE DEMONSTRATED AN INTEREST IN THE MENTAL HEALTH CONCERNS OF THE COMMUNITY THROUGH THEIR WORK OR VOLUNTEER SERVICES. THIS INCLUDES, BUT IS NOT LIMITED TO: PARENT/FAMILY NAVIGATORS, MID-SHORE MENTAL HEALTH CORE SERVICE AGENCY REPRESENTATIVE, PARENTS OF PATIENTS, DORCHESTER COUNTY DEPARTMENT OF JUVENILE SERVICES PROGRAM SUPERVISOR, WICOMICO SOMERSET REGIONAL CORE SERVICE AGENCY REPRESENTATIVE, DORCHESTER COUNTY DEPARTMENT OF SOCIAL SERVICES REPRESENTATIVE, EASTERN SHORE MOBILE CRISIS REPRESENTATIVE, AND DORCHESTER COUNTY PUBLIC SCHOOLS SPECIAL EDUCATION NON-PUBLIC COORDINATOR. THE COMMUNITY ADVISORY BOARD IS BEING LED BY KEVIN DRUMHELLER, EXECUTIVE DIRECTOR OF ADVENTIST BEHAVIORAL HEALTH EASTERN SHORE, AND BARBARA COLEMAN, SCRIBE. THE COMMUNITY ADVISORY BOARD FOR ADVENTIST BEHAVIORAL HEALTH EASTERN SHORE HELD ITS FIRST MEETING IN NOVEMBER 2012 AND MEETS QUARTERLY.ADDITIONALLY, ADVENTIST BEHAVIORAL HEALTH HAS CONVENED A COMMUNITY ADVISORY BOARD TO HELP GUIDE OUR EFFORTS TO PROVIDE NEEDED SERVICES TO THE EASTERN SHORE. THE COMMUNITY ADVISORY BOARD IS COMPRISED OF EXTERNAL COMMUNITY LEADERS AND FAMILY MEMBERS OF CHILDREN PLACED IN OUR FACILITY.ADVENTIST BEHAVIORAL HEALTH EASTERN SHORE COMMUNITY ADVISORY BOARD MEMBERS: &gt; AUDRA CHERBONNIER; FAMILY NAVIGATOR, PARENT; MARYLAND COALITION OF FAMILIES; &gt; ADELAIDE (ADDIE) ECKARDT; DELEGATE; HOUSE OF DELEGATES; &gt; REBECCA HUTCHISON; CHILD AND ADOLESCENT COORDINATOR; MID SHORE MENTAL HEALTH SYSTEMS; &gt; DIANE LANE; EXECUTIVE DIRECTOR AND PARENT; CHESAPEAKE VOYAGERS, INC.; &gt; KENNETH MALIK; CHIEF; CAMBRIDGE POLICE DEPARTMENT; &gt; CAROL MASDEN; DIRECTOR AND PARENT; EASTERN SHORE MOBILE CRISIS; &gt; CHRISTOPHER MIELE; PROGRAM SUPERVISOR; DEPARTMENT OF JUVENILE SERVICES; &gt; HEIDI ROCHON; DIRECTOR AND PARENT; MARYLAND COALITION OF FAMILIES; &gt; DARLENE SAMPSON; ASSISTANT DIRECTOR OF SERVICES; DORCHESTER COUNTY DEPARTMENT OF SOCIAL SERVICES; &gt; CHALARRA SESSOMS; CHILD AND ADOLESCENT DIRECTOR; WICOMICO/SOMERSET BEHAVIORAL HEALTH AUTHORITY; &gt; BERNADETT TOWNSEND; FAMILY NAVIGATOR AND PARENT; MARYLAND COALITION OF FAMILIES; &gt; DEBBIE USAB; DIRECTOR; DORCHESTER COUNTY PUBLIC SCHOOLS SPECIAL EDUCATION;IN ADDITION TO THE ADVISORY BOARD, THE STAFF OF ADVENTIST HEALTHCARE AND ADVENTIST BEHAVIORAL HEALTH PARTICIPATES IN VARIOUS WAYS IN THE COMMUNITY. WE ACTIVELY PARTICIPATE IN NUMEROUS COMMITTEES, COALITIONS, AND PARTNERSHIPS THAT PROVIDE INFORMATION ON THE HEALTH NEEDS IN THE COMMUNITY. THE HEALTH PROFESSIONALS THAT PROVIDE PROGRAMS IN THE COMMUNITY ALSO PROVIDE VALUABLE INFORMATION AND KNOWLEDGE OF COMMUNITY NEEDS.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>SHADY GROVE ADVENTIST HOSPITAL</FormAndLineReferenceDesc>
        <ExplanationTxt>PART V, SECTION B, LINE 5D: A HARD COPY OF THE CHNA IS ALSO AVAILABLE UPON REQUEST FROM THE ADVENTIST HEALTHCARE SUPPORT CENTER WHICH IS LOCATED AT: 820 WEST DIAMOND AVENUE,4TH FLOOR,GAITHERSBURG, MD 20878;PART V, SECTION B, LINE 5A: THE CHNA REPORT CAN BE FOUND ON EITHER ONE OF THESE URLS: HTTP://WWW.ADVENTISTHEALTHCARE.COM/APP/FILES/PUBLIC/3166/2013-CHNA-SGAH.PDF,OR,HTTP://WWW.ADVENTISTHEALTHCARE.COM/ABOUT/COMMUNITY/HEALTH-NEEDS-ASSESSMENT</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>WASHINGTON ADVENTIST HOSPITAL</FormAndLineReferenceDesc>
        <ExplanationTxt>PART V, SECTION B, LINE 5D: A HARD COPY OF THE CHNA IS ALSO AVAILABLE UPON REQUEST FROM THE ADVENTIST HEALTHCARE SUPPORT CENTER WHICH IS LOCATED AT: 820 WEST DIAMOND AVENUE4TH FLOORGAITHERSBURG, MD 20878PART V, SECTION B, LINE 5A: THE CHNA REPORT CAN BE FOUND ON EITHER ONE OF THESE URLS: HTTP://WWW.ADVENTISTHEALTHCARE.COM/APP/FILES/PUBLIC/3167/2013-CHNA-WAH.PDF,OR,HTTP://WWW.ADVENTISTHEALTHCARE.COM/ABOUT/COMMUNITY/HEALTH-NEEDS-ASSESSMENT</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>ADVENTIST REHABILITATION HOSPITAL OF MARYLAND</FormAndLineReferenceDesc>
        <ExplanationTxt>PART V, SECTION B, LINE 5D: A HARD COPY OF THE CHNA IS ALSO AVAILABLE UPON REQUEST FROM THE ADVENTIST HEALTHCARE SUPPORT CENTER WHICH IS LOCATED AT: 820 WEST DIAMOND AVENUE4TH FLOORGAITHERSBURG, MD 20878PART V, SECTION B, LINE 5A: THE CHNA REPORT CAN BE FOUND ON EITHER ONE OF THESE URLS: HTTP://WWW.ADVENTISTHEALTHCARE.COM/APP/FILES/PUBLIC/3275/2013-CHNA-ARHM.PDF,OR,HTTP://WWW.ADVENTISTHEALTHCARE.COM/ABOUT/COMMUNITY/HEALTH-NEEDS-ASSESSMENT</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>ADVENTIST BEHAVIORAL HEALTH - ROCKVILLE</FormAndLineReferenceDesc>
        <ExplanationTxt>PART V, SECTION B, LINE 5D: A HARD COPY OF THE CHNA IS ALSO AVAILABLE UPON REQUEST FROM THE ADVENTIST HEALTHCARE SUPPORT CENTER WHICH IS LOCATED AT: 820 WEST DIAMOND AVENUE4TH FLOORGAITHERSBURG, MD 20878PART V, SECTION B, LINE 5A: THE CHNA REPORT CAN BE FOUND ON EITHER ONE OF THESE URLS: HTTP://WWW.ADVENTISTHEALTHCARE.COM/APP/FILES/PUBLIC/3274/2013-CHNA-ABH-RV.PDF,OR,HTTP://WWW.ADVENTISTHEALTHCARE.COM/ABOUT/COMMUNITY/HEALTH-NEEDS-ASSESSMENT</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>ADVENTIST BEHAVIORAL HEALTH - EASTERN SHORE</FormAndLineReferenceDesc>
        <ExplanationTxt>PART V, SECTION B, LINE 5D: A HARD COPY OF THE CHNA IS ALSO AVAILABLE UPON REQUEST FROM THE ADVENTIST HEALTHCARE SUPPORT CENTER WHICH IS LOCATED AT: 820 WEST DIAMOND AVENUE4TH FLOORGAITHERSBURG, MD 20878PART V, SECTION B, LINE 5A: THE CHNA REPORT CAN BE FOUND ON EITHER ONE OF THESE URLS: HTTP://WWW.ADVENTISTHEALTHCARE.COM/APP/FILES/PUBLIC/3273/2013-CHNA-ABH-ES.PDF,OR,HTTP://WWW.ADVENTISTHEALTHCARE.COM/ABOUT/COMMUNITY/HEALTH-NEEDS-ASSESSMENT</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>SHADY GROVE ADVENTIST HOSPITAL</FormAndLineReferenceDesc>
        <ExplanationTxt>PART V, SECTION B, LINE 7: AREAS OF NEED NOT DIRECTLY ADDRESSED BY SHADY GROVE ADVENTIST HOSPITAL AND THE RATIONALE ARE LISTED BELOW. FOR ADDITIONAL DETAILS INCLUDING THE CHNA FINDINGS, GOALS, AND RELEVANT LOCALLY AVAILABLE RESOURCES PLEASE SEE SHADY GROVE ADVENTIST HOSPITAL'S IMPLEMENTATION STRATEGY WHICH CAN BE FOUND HERE: HTTP://WWW.ADVENTISTHEALTHCARE.COM/APP/FILES/PUBLIC/3339/2013-CHNA-SGAH-IMPLEMENTATIONSTRATEGY.PDF -ASTHMA: SGAH DOES NOT CURRENTLY PROVIDE COMMUNITY OUTREACH AND EDUCATIONAL PROGRAMS SPECIFICALLY FOR ASTHMA BECAUSE ASTHMA PREVALENCE AND RATES OF ED VISITS IN MONTGOMERY COUNTY ARE BELOW RATES STATEWIDE, AND BECAUSE THERE ARE OTHER ASTHMA RESOURCES AVAILABLE IN THE COUNTY. SGAH WILL CONTINUE TO MONITOR TRENDS IN ASTHMA TO DETERMINE WHETHER FUTURE REALLOCATION OF RESOURCES IS NEEDED TO PROVIDE ASTHMA-RELATED COMMUNITY PROGRAMS.-HIV/AIDS: SGAH DOES NOT CURRENTLY PROVIDE COMMUNITY OUTREACH AND EDUCATIONAL PROGRAMS FOR HIV/AIDS DUE TO LIMITED FINANCIAL RESOURCES. ADVENTIST HEALTHCARE'S CENTER ON HEALTH DISPARITIES LED AN INITIATIVE CALLED PROJECT BEAT IT! (BECOMING EMPOWERED AFRICANS THROUGH IMPROVED TREATMENT OF TYPE 2 DIABETES, HIV/AIDS, AND HEPATITIS B), WHICH WAS A GRANT-FUNDED INITIATIVE FROM U.S. DHHS OFFICE OF MINORITY HEALTH THAT PROVIDED CULTURALLY APPROPRIATE HEALTH EDUCATION CLASSES TO HEALTH CARE PROVIDERS AND THE AFRICAN IMMIGRANT COMMUNITY TO IMPROVE HEALTH OUTCOMES RELATED TO THESE CHRONIC AND INFECTIOUS DISEASES. THE 20-MONTH GRANT FUNDED PROJECT ENDED IN SEPTEMBER 2013.-BEHAVIORAL HEALTH: SGAH DOES NOT PROVIDE BEHAVIORAL HEALTH SERVICES BECAUSE THESE SERVICES ARE ALREADY PROVIDED BY THE NEIGHBORING SPECIALTY CARE HOSPITAL WITHIN ITS HOSPITAL SYSTEM, ADVENTIST BEHAVIORAL HEALTH. IN ADDITION TO ADVENTIST BEHAVIORAL HEALTH, THERE ARE MANY ORGANIZATIONS THAT PROVIDE BEHAVIORAL HEALTH SERVICES WITHIN THE SGAH SERVICE AREA.-SOCIAL DETERMINANTS OF HEALTH (FOOD ACCESS; HOUSING QUALITY; EDUCATION; TRANSPORT): SGAH DOES NOT DIRECTLY ADDRESS MANY OF THE SOCIAL DETERMINANTS OF HEALTH BECAUSE THOSE ARE NOT SPECIALTY AREAS OF THE HOSPITAL AND SGAH DOES NOT HAVE THE RESOURCES OR EXPERTISE TO MEET MANY OF THESE NEEDS. INSTEAD, SGAH PARTNERS WITH AND SUPPORT OTHER ORGANIZATIONS IN THE COMMUNITY THAT SPECIALIZE IN ADDRESSING NEEDS RELATED TO FOOD ACCESS, HOUSING QUALITY, EDUCATION, TRANSPORTATION, AND OTHER SOCIAL DETERMINANTS OF HEALTH.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>WASHINGTON ADVENTIST HOSPITAL</FormAndLineReferenceDesc>
        <ExplanationTxt>PART V, SECTION B, LINE 7: AREAS OF NEED NOT DIRECTLY ADDRESSED BY WASHINGTON ADVENTIST HOSPITAL AND THE RATIONALE ARE LISTED BELOW. FOR ADDITIONAL DETAILS INCLUDING THE CHNA FINDINGS, GOALS, AND RELEVANT LOCALLY AVAILABLE RESOURCES PLEASE SEE WASHINGTON ADVENTIST HOSPITAL'S IMPLEMENTATION STRATEGY WHICH CAN BE FOUND HERE: HTTP://WWW.ADVENTISTHEALTHCARE.COM/APP/FILES/PUBLIC/3338/2013-CHNA-WAH- IMPLEMENTATIONSTRATEGY.PDF &gt; ASTHMA: WAH DOES NOT CURRENTLY PROVIDE COMMUNITY OUTREACH AND EDUCATIONAL PROGRAMS SPECIFICALLY FOR ASTHMA BECAUSE ASTHMA PREVALENCE AND RATES OF ER VISITS IN MONTGOMERY COUNTY AND PRINCE GEORGE'S COUNTY ARE BELOW RATES STATEWIDE, AND BECAUSE THERE ARE OTHER ASTHMA RESOURCES AVAILABLE IN THE COUNTY. WAH WILL CONTINUE TO MONITOR TRENDS IN ASTHMA TO DETERMINE WHETHER FUTURE REALLOCATION OF RESOURCES IS NEEDED TO PROVIDE ASTHMA-RELATED COMMUNITY PROGRAMS.&gt; HIV/AIDS: WAH DOES NOT CURRENTLY PROVIDE COMMUNITY OUTREACH AND EDUCATIONAL PROGRAMS FOR HIV/AIDS DUE TO LIMITED FINANCIAL RESOURCES, AND BECAUSE MANY HIV/AIDS SERVICES ARE PROVIDED BY OTHER LOCAL ORGANIZATIONS. ADVENTIST HEALTHCARE'S CENTER ON HEALTH DISPARITIES LED AN INITIATIVE CALLED PROJECT BEAT IT! (BECOMING EMPOWERED AFRICANS THROUGH IMPROVED TREATMENT OF TYPE 2 DIABETES, HIV/AIDS, AND HEPATITIS B), WHICH WAS A GRANT-FUNDED INITIATIVE FROM U.S. DHHS OFFICE OF MINORITY HEALTH THAT PROVIDED CULTURALLY APPROPRIATE HEALTH EDUCATION CLASSES TO HEALTH CARE PROVIDERS AND THE AFRICAN IMMIGRANT COMMUNITY TO IMPROVE HEALTH OUTCOMES RELATED TO THESE CHRONIC AND INFECTIOUS DISEASES. THE 20-MONTH GRANT FUNDED PROJECT ENDED IN SEPTEMBER 2013.&gt; SOCIAL DETERMINANTS OF HEALTH (FOOD ACCESS; HOUSING QUALITY; EDUCATION; TRANSPORTATION: WAH DOES NOT DIRECTLY ADDRESS MANY OF THE SOCIAL DETERMINANTS OF HEALTH BECAUSE THOSE ARE NOT SPECIALTY AREAS OF THE HOSPITAL AND WAH DOES NOT HAVE THE RESOURCES OR EXPERTISE TO MEET MANY OF THESE NEEDS. INSTEAD, WAH PARTNERS WITH AND SUPPORTS OTHER ORGANIZATIONS IN THE COMMUNITY THAT SPECIALIZE IN ADDRESSING NEEDS RELATED TO FOOD ACCESS, HOUSING QUALITY, EDUCATION, TRANSPORTATION, AND OTHER SOCIAL DETERMINANTS OF HEALTH.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>HACKETTSTOWN COMMUNITY HOSPITAL</FormAndLineReferenceDesc>
        <ExplanationTxt>PART V, SECTION B, LINE 7: HEALTH NEEDS IDENTIFIED AS LOW PRIORITY TO BE CONSIDERED FOR THE FUTURE DUE TO LACK OF RESOURCES AND/OR EXPERTISE AT THIS TIME:TRANSPORTATION BARRIERS;ELDER ABUSE;LIMITED SUBSTANCE ABUSE TREATMENT AND RESOURCES (ALSO NOTING CO-MORBIDITY WITH MENTAL HEALTH ISSUES);PROMINENT MENTAL HEALTH ISSUES (NOTING CONNECTION BETWEEN PHYSICAL AND MENTAL WELL-BEING);UNCOORDINATED CARE ACROSS PROVIDERS (FOR NON-CHRONIC CONDITIONS)</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>ADVENTIST REHABILITATION HOSPITAL OF MARYLAND</FormAndLineReferenceDesc>
        <ExplanationTxt>PART V, SECTION B, LINE 7: AREAS OF NEED NOT DIRECTLY ADDRESSED BY ADVENTIST REHABILITATION HOSPITAL OF MARYLAND AND THE RATIONALE ARE LISTED BELOW. FOR ADDITIONAL DETAILS INCLUDING THE CHNA FINDINGS, GOALS, AND RELEVANT LOCALLY AVAILABLE RESOURCES PLEASE SEE ADVENTIST REHABILITATION HOSPITAL OF MARYLAND'S IMPLEMENTATION STRATEGY WHICH CAN BE FOUND HERE: HTTP://WWW.ADVENTISTHEALTHCARE.COM/APP/FILES/PUBLIC/3446/2013-CHNA-ARHM-IMPLEMENTATIONSTRATEGY.PDF &gt; ASTHMA: ARHM DOES NOT CURRENTLY DIRECTLY ADDRESS ASTHMA BECAUSE IT IS NOT A SPECIALTY AREA OF THE HOSPITAL. SUFFICIENT RESOURCES AND EXPERTISE ARE NOT AVAILABLE TO MEET THESE NEEDS. ADDITIONAL RESOURCES ARE AVAILABLE IN THE COMMUNITY.&gt; INFLUENZA: ARHM DOES NOT DIRECTLY PROVIDE INFLUENZA SERVICES AS THEY FALL OUTSIDE THE SCOPE OF THE HOSPITAL AS A REHABILITATION CENTER. INFLUENZA SERVICES ARE ALREADY PROVIDED BY THE ACUTE CARE HOSPITALS IN THE ADVENTIST HEALTHCARE SYSTEM, SHADY GROVE ADVENTIST HOSPITAL AND WASHINGTON ADVENTIST HOSPITAL, AS WELL AS BY SEVERAL OTHER ORGANIZATIONS IN ARHM'S SERVICE AREA.&gt; HIV/AIDS: ARHM DOES NOT PROVIDE HIV/AIDS SERVICES AS THEY FALL OUTSIDE THE SCOPE OF THE HOSPITAL AS A REHABILITATION CENTER. HIV/AIDS SERVICES ARE ALREADY PROVIDED BY OTHER ENTITIES IN THE ADVENTIST HEALTHCARE NETWORK, AS WELL AS BY SEVERAL OTHER ORGANIZATIONS IN ARHM'S SERVICE AREA.&gt; MATERNAL AND INFANT HEALTH: ARHM DOES NOT PROVIDE MATERNAL AND INFANT SERVICES AS THEY FALL OUTSIDE THE SCOPE OF THE HOSPITAL AS A REHABILITATION CENTER. A FULL SPECTRUM OF MATERNAL AND INFANT SERVICES IS ALREADY PROVIDED BY SHADY GROVE ADVENTIST HOSPITAL, AS WELL AS BY SEVERAL OTHER ORGANIZATIONS IN ARHM'S SERVICE AREA.&gt; BEHAVIORAL HEALTH: ARHM DOES NOT PROVIDE BEHAVIORAL HEALTH SERVICES BECAUSE THESE SERVICES ARE ALREADY PROVIDED BY A NEIGHBORING SPECIALTY CARE HOSPITAL WITHIN ITS HOSPITAL SYSTEM, ADVENTIST BEHAVIORAL HEALTH. IN ADDITION TO ADVENTIST BEHAVIORAL HEALTH, THERE ARE MANY ORGANIZATIONS THAT PROVIDE BEHAVIORAL HEALTH SERVICES WITHIN THE ARHM SERVICE AREA.&gt; SENIOR HEALTH: ARHM DOES NOT DIRECTLY PROVIDE SENIOR CARE COMMUNITY OUTREACH SERVICES AS THEY FALL OUTSIDE THE SCOPE OF THE HOSPITAL AS A REHABILITATION CENTER. MANY OLDER ADULTS AND SENIORS ARE SERVED BY VARIOUS PROGRAMS AT ARHM, ALTHOUGH THESE NOT SPECIFICALLY/EXCLUSIVELY OFFERED TO SENIORS. SENIOR HEALTH SERVICES ARE ALREADY PROVIDED BY OTHER ENTITIES IN THE ADVENTIST HEALTHCARE NETWORK, AS WELL AS BY SEVERAL OTHER ORGANIZATIONS IN ARHM'S SERVICE AREA.&gt; SOCIAL DETERMINANTS OF HEALTH (FOOD ACCESS; HOUSING QUALITY; EDUCATION; TRANSPORTATION): ARHM DOES NOT DIRECTLY ADDRESS MANY OF THE SOCIAL DETERMINANTS OF HEALTH AS THEY FALL OUTSIDE THE SPECIALTY AREAS OF THE HOSPITAL AND ARHM DOES NOT HAVE THE RESOURCES OR EXPERTISE TO MEET THOSE NEEDS. INSTEAD ARHM SUPPORTS AND PARTNERS WITH OTHER ORGANIZATIONS IN THE COMMUNITY THAT SPECIALIZE IN ADDRESSING NEEDS RELATED TO FOOD ACCESS, HOUSING QUALITY, EDUCATION, AND TRANSPORTATION.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>ADVENTIST BEHAVIORAL HEALTH - ROCKVILLE</FormAndLineReferenceDesc>
        <ExplanationTxt>PART V, SECTION B, LINE 7: AREAS OF NEED NOT DIRECTLY ADDRESSED BY ADVENTIST BEHAVIORAL HEALTH ROCKVILLE AND THE RATIONALE ARE LISTED BELOW. FOR ADDITIONAL DETAILS INCLUDING THE CHNA FINDINGS, GOALS, AND RELEVANT LOCALLY AVAILABLE RESOURCES PLEASE SEE ADVENTIST BEHAVIORAL HEALTH ROCKVILLE'S IMPLEMENTATION STRATEGY WHICH CAN BE FOUND HERE: HTTP://WWW.ADVENTISTHEALTHCARE.COM/APP/FILES/PUBLIC/3447/2013-CHNA-ABH-RV-IMPLEMENTATIONSTRATEGY.PDF &gt; CANCER: ABH ROCKVILLE DOES NOT PROVIDE DIRECT SERVICES AROUND CANCER AS THEY FALL OUTSIDE THE SCOPE OF THE HOSPITAL AS A BEHAVIORAL HEALTH CENTER. CANCER SERVICES ARE ALREADY PROVIDED BY OTHER ENTITIES IN THE ADVENTIST HEALTHCARE NETWORK, AS WELL AS BY SEVERAL OTHER ORGANIZATIONS IN ABH ROCKVILLE'S SERVICE AREA.&gt; HEART DISEASE &amp; STROKE: ABH ROCKVILLE DOES NOT PROVIDE HEART DISEASE AND STROKE SERVICES AS THEY FALL OUTSIDE THE SCOPE OF THE HOSPITAL AS A BEHAVIORAL HEALTH CENTER. HEART DISEASE AND STROKE SERVICES ARE ALREADY PROVIDED BY OTHER ENTITIES IN THE ADVENTIST HEALTHCARE NETWORK, AS WELL AS BY SEVERAL OTHER ORGANIZATIONS IN ABH ROCKVILLE'S SERVICE AREA.&gt; DIABETES: ABH ROCKVILLE DOES NOT DIRECTLY PROVIDE DIABETES SERVICES AS THEY FALL OUTSIDE THE SCOPE OF THE HOSPITAL AS A BEHAVIORAL HEALTH CENTER. DIABETES SERVICES ARE ALREADY PROVIDED BY OTHER ENTITIES IN THE ADVENTIST HEALTHCARE NETWORK, AS WELL AS BY SEVERAL OTHER ORGANIZATIONS IN ABH ROCKVILLE'S SERVICE AREA.&gt; OBESITY: ABH ROCKVILLE DOES NOT DIRECTLY PROVIDE OBESITY SERVICES AS THEY FALL OUTSIDE THE SCOPE OF THE HOSPITAL AS A BEHAVIORAL HEALTH CENTER. OBESITY SERVICES ARE ALREADY PROVIDED BY OTHER ENTITIES IN THE ADVENTIST HEALTHCARE NETWORK, AS WELL AS BY SEVERAL OTHER ORGANIZATIONS IN ABH ROCKVILLE'S SERVICE AREA.&gt; ASTHMA: ABH ROCKVILLE DOES NOT DIRECTLY PROVIDE ASTHMA SERVICES AS THEY FALL OUTSIDE THE SCOPE OF THE HOSPITAL AS A BEHAVIORAL HEALTH CENTER. ASTHMA SERVICES ARE ALREADY PROVIDED BY OTHER ENTITIES IN THE ADVENTIST HEALTHCARE NETWORK, AS WELL AS BY SEVERAL OTHER ORGANIZATIONS IN ABH ROCKVILLE'S SERVICE AREA.&gt; INFLUENZA: ABH ROCKVILLE DOES NOT DIRECTLY PROVIDE INFLUENZA SERVICES AS THEY FALL OUTSIDE THE SCOPE OF THE HOSPITAL AS A BEHAVIORAL HEALTH CENTER. INFLUENZA SERVICES ARE ALREADY PROVIDED BY OTHER ENTITIES IN THE ADVENTIST HEALTHCARE NETWORK, AS WELL AS BY SEVERAL OTHER ORGANIZATIONS IN ABH ROCKVILLE'S SERVICE AREA.&gt; HIV/AIDS: ABH ROCKVILLE DOES NOT PROVIDE HIV/AIDS SERVICES AS THEY FALL OUTSIDE THE SCOPE OF THE HOSPITAL AS A BEHAVIORAL HEALTH CENTER. HIV/AIDS SERVICES ARE ALREADY PROVIDED BY OTHER ENTITIES IN THE ADVENTIST HEALTHCARE NETWORK, AS WELL AS BY SEVERAL OTHER ORGANIZATIONS IN ABH ROCKVILLE'S SERVICE AREA.&gt; MATERNAL AND INFANT HEALTH: ABH ROCKVILLE DOES NOT PROVIDE MATERNAL AND INFANT SERVICES AS THEY FALL OUTSIDE THE SCOPE OF THE HOSPITAL AS A BEHAVIORAL HEALTH CENTER. A FULL SPECTRUM OF MATERNAL AND INFANT SERVICES IS ALREADY PROVIDED BY SHADY GROVE ADVENTIST HOSPITAL, AS WELL AS BY SEVERAL OTHER ORGANIZATIONS IN ABH ROCKVILLE'S SERVICE AREA.&gt; SENIOR HEALTH: ABH ROCKVILLE DOES NOT DIRECTLY PROVIDE SENIOR CARE COMMUNITY OUTREACH SERVICES AS THEY FALL OUTSIDE THE SCOPE OF THE HOSPITAL AS A BEHAVIORAL HEALTH CENTER. SENIOR HEALTH SERVICES ARE ALREADY PROVIDED BY OTHER ENTITIES IN THE ADVENTIST HEALTHCARE NETWORK, AS WELL AS BY SEVERAL OTHER ORGANIZATIONS IN ABH ROCKVILLE'S SERVICE AREA.&gt; SOCIAL DETERMINANTS OF HEALTH (FOOD ACCESS; HOUSING QUALITY; EDUCATION; TRANSPORTATION): ABH ROCKVILLE DOES NOT DIRECTLY ADDRESS MANY OF THE SOCIAL DETERMINANTS OF HEALTH AS THEY FALL OUTSIDE THE SPECIALTY AREAS OF THE HOSPITAL. ABH ROCKVILLE DOES NOT HAVE THE RESOURCES OR EXPERTISE TO MEET THOSE NEEDS. INSTEAD ABH ROCKVILLE SUPPORTS AND PARTNERS WITH OTHER ORGANIZATIONS IN THE COMMUNITY THAT SPECIALIZE IN ADDRESSING NEEDS RELATED TO FOOD ACCESS, HOUSING QUALITY, EDUCATION, AND TRANSPORTATION.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>ADVENTIST BEHAVIORAL HEALTH - EASTERN SHORE</FormAndLineReferenceDesc>
        <ExplanationTxt>PART V, SECTION B, LINE 7: AREAS OF NEED NOT DIRECTLY ADDRESSED BY ADVENTIST BEHAVIORAL HEALTH EASTERN SHORE AND THE RATIONALE ARE LISTED BELOW. FOR ADDITIONAL DETAILS INCLUDING THE CHNA FINDINGS, GOALS, AND RELEVANT LOCALLY AVAILABLE RESOURCES PLEASE SEE ADVENTIST BEHAVIORAL HEALTH EASTERN SHORE'S IMPLEMENTATION STRATEGY WHICH CAN BE FOUND HERE: HTTP://WWW.ADVENTISTHEALTHCARE.COM/APP/FILES/PUBLIC/3448/2013-CHNA-ABH-ES-IMPLEMENTATIONSTRATEGY.PDF &gt; CANCER: ABH EASTERN SHORE DOES NOT PROVIDE DIRECT SERVICES AROUND CANCER AS THEY FALL OUTSIDE THE SCOPE OF THE HOSPITAL AS A BEHAVIORAL HEALTH CENTER. CANCER SERVICES ARE ALREADY PROVIDED BY OTHER LOCAL HOSPITAL, GOVERNMENT AND COMMUNITY ENTITIES IN THE ABH EASTERN SHORE SERVICE AREA.&gt; HEART DISEASE &amp; STROKE: ABH EASTERN SHORE DOES NOT PROVIDE DIRECT SERVICES AROUND HEART DISEASE AND STROKE AS THEY FALL OUTSIDE THE SCOPE OF THE HOSPITAL AS A BEHAVIORAL HEALTH CENTER. HEART DISEASE AND STROKE SERVICES ARE ALREADY PROVIDED BY OTHER LOCAL HOSPITAL, GOVERNMENT AND COMMUNITY ENTITIES IN THE ABH EASTERN SHORE SERVICE AREA.&gt; DIABETES: ABH EASTERN SHORE DOES NOT PROVIDE DIRECT SERVICES AROUND DIABETES AS THEY FALL OUTSIDE THE SCOPE OF THE HOSPITAL AS A BEHAVIORAL HEALTH CENTER. SERVICES FOR THOSE AFFECTED BY DIABETES ARE ALREADY PROVIDED BY OTHER LOCAL HOSPITAL, GOVERNMENT AND COMMUNITY ENTITIES IN THE ABH EASTERN SHORE SERVICE AREA.&gt; OBESITY: ABH EASTERN SHORE DOES NOT PROVIDE DIRECT SERVICES AROUND OBESITY AS THEY FALL OUTSIDE THE SCOPE OF THE HOSPITAL AS A BEHAVIORAL HEALTH CENTER. SERVICES FOR THOSE WHO ARE OVERWEIGHT OR OBESE ARE ALREADY PROVIDED BY OTHER LOCAL HOSPITAL, GOVERNMENT AND COMMUNITY ENTITIES IN THE ABH EASTERN SHORE SERVICE AREA.&gt; ASTHMA: ABH EASTERN SHORE DOES NOT CURRENTLY DIRECTLY ADDRESS ASTHMA BECAUSE IT IS NOT A SPECIALTY AREA OF THE HOSPITAL. SUFFICIENT RESOURCES AND EXPERTISE ARE NOT AVAILABLE TO MEET THESE NEEDS. ADDITIONAL RESOURCES ARE AVAILABLE IN THE COMMUNITY.&gt; INFLUENZA: ABH EASTERN SHORE DOES NOT PROVIDE INFLUENZA SERVICES AS THEY FALL OUTSIDE THE SCOPE OF THE HOSPITAL AS A BEHAVIORAL HEALTH CENTER. INFLUENZA SERVICES ARE ALREADY AVAILABLE THROUGH MULTIPLE PROVIDERS IN THE ABH EASTERN SHORE SERVICE AREA.&gt; HIV/AIDS: ABH EASTERN SHORE DOES NOT PROVIDE DIRECT SERVICES AROUND HIV/AIDS AS THEY FALL OUTSIDE THE SCOPE OF THE HOSPITAL AS A BEHAVIORAL HEALTH CENTER. SERVICES AROUND HIV/AIDS ARE ALREADY PROVIDED BY OTHER LOCAL HOSPITAL, GOVERNMENT AND COMMUNITY ENTITIES IN THE ABH EASTERN SHORE SERVICE AREA.&gt; POPULATION HEALTH (MATERNAL AND INFANT HEALTH; SENIOR HEALTH): ABH EASTERN SHORE DOES NOT DIRECTLY PROVIDE MATERNAL AND INFANT SERVICES OR SENIOR HEALTH SERVICES AS THEY FALL OUTSIDE THE SCOPE OF THE HOSPITAL AS A BEHAVIORAL HEALTH CENTER. SEVERAL RESOURCES FOR MATERNAL, INFANT AND SENIOR HEALTH ARE AVAILABLE THROUGH COMMUNITY AND GOVERNMENT ORGANIZATIONS IN THE ABH EASTERN SHORE SERVICE AREA.&gt; SOCIAL DETERMINANTS OF HEALTH (FOOD ACCESS; HOUSING QUALITY; EDUCATION; TRANSPORTATION): ABH EASTERN SHORE DOES NOT DIRECTLY ADDRESS MANY OF THE SOCIAL DETERMINANTS OF HEALTH AS THEY FALL OUTSIDE THE SPECIALTY AREAS OF THE HOSPITAL AND SUFFICIENT RESOURCES AND EXPERTISE ARE NOT AVAILABLE. INSTEAD ABH EASTERN SHORE SUPPORTS AND PARTNERS WITH OTHER ORGANIZATIONS IN THE COMMUNITY THAT SPECIALIZE IN ADDRESSING NEEDS RELATED TO FOOD ACCESS, HOUSING QUALITY, EDUCATION AND TRANSPORTATION.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>SHADY GROVE ADVENTIST HOSPITAL</FormAndLineReferenceDesc>
        <ExplanationTxt>PART V, SECTION B, LINE 14G: THE POLICY IS ALSO STRATEGICALLY POSTED AT OUR PATIENTS FINANCIAL SERVICES OFFICE.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>WASHINGTON ADVENTIST HOSPITAL</FormAndLineReferenceDesc>
        <ExplanationTxt>PART V, SECTION B, LINE 14G: THE POLICY IS ALSO STRATEGICALLY POSTED AT OUR PATIENTS FINANCIAL SERVICES OFFICE.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>ADVENTIST REHABILITATION HOSPITAL OF MARYLAND</FormAndLineReferenceDesc>
        <ExplanationTxt>PART V, SECTION B, LINE 14G: THE POLICY IS ALSO STRATEGICALLY POSTED AT OUR PATIENTS FINANCIAL SERVICES OFFICE.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>ADVENTIST BEHAVIORAL HEALTH - ROCKVILLE</FormAndLineReferenceDesc>
        <ExplanationTxt>PART V, SECTION B, LINE 14G: THE POLICY IS ALSO STRATEGICALLY POSTED AT OUR PATIENTS FINANCIAL SERVICES OFFICE.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>ADVENTIST BEHAVIORAL HEALTH - EASTERN SHORE</FormAndLineReferenceDesc>
        <ExplanationTxt>PART V, SECTION B, LINE 14G: THE POLICY IS ALSO STRATEGICALLY POSTED AT OUR PATIENTS FINANCIAL SERVICES OFFICE.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>SHADY GROVE ADVENTIST HOSPITAL</FormAndLineReferenceDesc>
        <ExplanationTxt>PART V, SECTION B, LINE 20D: BECAUSE MARYLAND IS AN ALL-PAYOR RATE REGULATED STATE, ALL INDIVIDUALS, REGARDLESS OF THEIR PAYER TYPE, ARE CHARGED THE RATES ESTABLISHED BY THE MARYLAND HEALTH SERVICES COST REVIEW COMMISSION (HSCRC). THE HSCRC RATE SYSTEM IS USED TO DETERMINE THE MAXIMUM AMOUNTS THAT CAN BE CHARGED.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>WASHINGTON ADVENTIST HOSPITAL</FormAndLineReferenceDesc>
        <ExplanationTxt>PART V, SECTION B, LINE 20D: BECAUSE MARYLAND IS AN ALL-PAYOR RATE REGULATED STATE, ALL INDIVIDUALS, REGARDLESS OF THEIR PAYER TYPE, ARE CHARGED THE RATES ESTABLISHED BY THE MARYLAND HEALTH SERVICES COST REVIEW COMMISSION (HSCRC). THE HSCRC RATE SYSTEM IS USED TO DETERMINE THE MAXIMUM AMOUNTS THAT CAN BE CHARGED.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>ADVENTIST REHABILITATION HOSPITAL OF MARYLAND</FormAndLineReferenceDesc>
        <ExplanationTxt>PART V, SECTION B, LINE 20D: BECAUSE MARYLAND IS AN ALL-PAYOR RATE REGULATED STATE, ALL INDIVIDUALS, REGARDLESS OF THEIR PAYER TYPE, ARE CHARGED THE RATES ESTABLISHED BY THE MARYLAND HEALTH SERVICES COST REVIEW COMMISSION (HSCRC). THE HSCRC RATE SYSTEM IS USED TO DETERMINE THE MAXIMUM AMOUNTS THAT CAN BE CHARGED.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>ADVENTIST BEHAVIORAL HEALTH - ROCKVILLE</FormAndLineReferenceDesc>
        <ExplanationTxt>PART V, SECTION B, LINE 20D: BECAUSE MARYLAND IS AN ALL-PAYOR RATE REGULATED STATE, ALL INDIVIDUALS, REGARDLESS OF THEIR PAYER TYPE, ARE CHARGED THE RATES ESTABLISHED BY THE MARYLAND HEALTH SERVICES COST REVIEW COMMISSION (HSCRC). THE HSCRC RATE SYSTEM IS USED TO DETERMINE THE MAXIMUM AMOUNTS THAT CAN BE CHARGED.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>ADVENTIST BEHAVIORAL HEALTH - EASTERN SHORE</FormAndLineReferenceDesc>
        <ExplanationTxt>PART V, SECTION B, LINE 20D: BECAUSE MARYLAND IS AN ALL-PAYOR RATE REGULATED STATE, ALL INDIVIDUALS, REGARDLESS OF THEIR PAYER TYPE, ARE CHARGED THE RATES ESTABLISHED BY THE MARYLAND HEALTH SERVICES COST REVIEW COMMISSION (HSCRC). THE HSCRC RATE SYSTEM IS USED TO DETERMINE THE MAXIMUM AMOUNTS THAT CAN BE CHARGED.</ExplanationTxt>
      </SupplementalInformationGrp>
      <FacilityNum>6</FacilityNum>
      <OthHlthCareFcltsNotHospitalGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1>ADVENTIST BEHAVIORAL HEALTH AT ANNE ARUN</BusinessNameLine1>
          </BusinessName>
          <USAddress>
            <AddressLine1>14 ROMIG DRIVE</AddressLine1>
            <City>CROWNSVILLE</City>
            <State>MD</State>
            <ZIPCode>21032</ZIPCode>
          </USAddress>
          <FacilityTxt>BEHAVIORAL TREATMENT FACILITY</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1>REGINALD S LOURIE CENTER FOR INFANTS AN</BusinessNameLine1>
          </BusinessName>
          <USAddress>
            <AddressLine1>12301 ACADEMY WAY</AddressLine1>
            <City>ROCKVILLE</City>
            <State>MD</State>
            <ZIPCode>20852</ZIPCode>
          </USAddress>
          <FacilityTxt>INFANT AND YOUNG CHILDREN DEVELOPMENT CARE CENTER.</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1>SHADY GROVE ADVENTIST RADIATION ONCOLOGY</BusinessNameLine1>
          </BusinessName>
          <USAddress>
            <AddressLine1>40 WEST GUDE DR</AddressLine1>
            <City>ROCKVILLE</City>
            <State>MD</State>
            <ZIPCode>20850</ZIPCode>
          </USAddress>
          <FacilityTxt>OUTPATIENT CANCER TREATMET CENTER</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1>SHADY GROVE ADVENTIST EMERGENCY CTR</BusinessNameLine1>
          </BusinessName>
          <USAddress>
            <AddressLine1>19731 GERMANTOWN ROAD</AddressLine1>
            <City>GERMANTOWN</City>
            <State>MD</State>
            <ZIPCode>20874</ZIPCode>
          </USAddress>
          <FacilityTxt>FREE STANDING ER CENTER</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1>ADVENTIST HOME HEALTH SERVICES</BusinessNameLine1>
          </BusinessName>
          <USAddress>
            <AddressLine1>12041 BORNEFIELD WAY SUITE B</AddressLine1>
            <City>SILVER SPRING</City>
            <State>MD</State>
            <ZIPCode>20904</ZIPCode>
          </USAddress>
          <FacilityTxt>HOME HEALTH SERVICES</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1>ADVENTIST REHABILITATION INC</BusinessNameLine1>
          </BusinessName>
          <USAddress>
            <AddressLine1>831 E UNIVERSITY BOULEVARD 14</AddressLine1>
            <City>SILVER SPRING</City>
            <State>MD</State>
            <ZIPCode>20903</ZIPCode>
          </USAddress>
          <FacilityTxt>REHABILITATION</FacilityTxt>
        </OthHlthCareFcltsGrp>
      </OthHlthCareFcltsNotHospitalGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 3C:</FormAndLineReferenceDesc>
        <ExplanationTxt>IN CONSIDERATION FOR FINANCIAL ASSISTANCE TO OUR PATIENTS, AHC ALSO CONSIDERS CIRCUMSTANCES BEYOND INCOME. OUR 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, AHC HAS 15 LEVELS OF FINANCIAL ASSISTANCE. THEY ARE AS FOLLOW:- ANNUAL INCOME &lt;= 1.0X OF FPL, 0% PATIENT RESPONSIBILITY- ANNUAL INCOME &gt; 1.00X AND &lt;= 1.25X OF FPL, 0% PATIENT RESPONSIBILITY- ANNUAL INCOME &gt; 1.25X AND &lt;= 1.50X OF FPL, 0% PATIENT RESPONSIBILITY- ANNUAL INCOME &gt; 1.50X AND &lt;= 1.75X OF FPL, 0% PATIENT RESPONSIBILITY- ANNUAL INCOME &gt; 1.75X AND &lt;= 2.00X OF FPL, 0% PATIENT RESPONSIBILITY- ANNUAL INCOME &gt; 2.00X AND &lt;= 2.25X OF FPL, 10% PATIENT RESPONSIBILITY- ANNUAL INCOME &gt; 2.25X AND &lt;= 2.50X OF FPL, 20% PATIENT RESPONSIBILITY- ANNUAL INCOME &gt; 2.50X AND &lt;= 2.75X OF FPL, 30% PATIENT RESPONSIBILITY- ANNUAL INCOME &gt; 2.75X AND &lt;= 3.00X OF FPL, 40% PATIENT RESPONSIBILITY- ANNUAL INCOME &gt; 3.00X AND &lt;= 3.50X OF FPL, 50% PATIENT RESPONSIBILITY- ANNUAL INCOME &gt; 3.50X AND &lt;= 4.00X OF FPL, 60% PATIENT RESPONSIBILITY- ANNUAL INCOME &gt; 4.00X AND &lt;= 4.50X OF FPL, 70% PATIENT RESPONSIBILITY- ANNUAL INCOME &gt; 4.50X AND &lt;= 5.00X OF FPL, 80% PATIENT RESPONSIBILITY- ANNUAL INCOME &gt; 5.00X AND &lt;= 5.50X OF FPL, 90% PATIENT RESPONSIBILITY- ANNUAL INCOME &gt; 5.50X AND &lt;= 6.00X OF FPL, 95% PATIENT RESPONSIBILITY</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 7:</FormAndLineReferenceDesc>
        <ExplanationTxt>MARYLAND'S UNIQUE ALL PAYER SYSTEM INCLUDES A METHOD FOR REFERENCING UNCOMPENSATED CARE IN EACH PAYORS' RATES, WHICH DOES NOT ENABLE MARYLAND HOSPITALS TO BREAKOUT ANY OFFSETTING REVENUE RELATED TO UNCOMPENSATED CARE.FOR THE REPORTING OF COMMUNITY BENEFIT, AHC USED MEDICARE'S COST REPORT METHODOLOGY OF COST TO CHARGE RATIO. THE COST TO CHARGE RATIO WAS USED TO REDUCE THE YEARLY CHARITY CARE PROVISION FROM CHARGE TO COST.AHC ALSO APPLIED THE COST TO CHARGE RATIO TO BAD DEBT EXPENSES AND ADMINISTRATIVE DEDUCTION TO COST.IN ADDITION, AHC ALSO CONSIDERED GOVERNMENT ASSESSMENTS THROUGH THE STATE'S HEALTH SERVICE COST REGULATORY AGENCY AND OTHER RELATED STATE GOVERNMENT AGENCIES.AHC COMPUTED THE COMMUNITY BENEFITS BY ITS HOSPITAL FACILITIES AND AGGREGATED THE TOTAL.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 7G:</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART III, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>TO ESTIMATE THE COST OF BAD DEBT THAT WE HAVE REPORTED ON SCHEDULE H, WE MULTIPLIED THE ORGANIZATION'S COST TO CHARGE RATIO (CCR) TIMES THE BAD DEBT PROVISION THAT HAS BEEN REPORTED IN THE GENERAL LEDGER. THE ORGANIZATION'S CCR IS THE QUOTIENT THAT RESULTS WHEN TOTAL COST IS DIVIDED BY TOTAL CHARGES AS REFLECTED ON WORKSHEET C PART I OF THE 2013 MEDICARE COST REPORT.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 PAST HISTORY AND TRENDS FOR EACH MAJOR PAYER AND ESTIMATE THE APPROPRIATE ALLOWANCE FOR DOUBTFUL COLLECTIONS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART III, LINE 4:</FormAndLineReferenceDesc>
        <ExplanationTxt>PATIENT ACCOUNTS RECEIVABLE ARE REPORTED AT NET REALIZABLE VALUE. ACCOUNTS ARE WRITTEN OFF WHEN THEY ARE DETERMINED TO BE UNCOLLECTIBLE BASED UPON MANAGEMENT'S ASSESSMENT OF INDIVIDUAL ACCOUNTS. IN EVALUATING THE COLLECTABILITY OF PATIENT ACCOUNTS RECEIVABLE, THE CORPORATION ANALYZES ITS PAST HISTORY AND IDENTIFIES TRENDS FOR EACH OF ITS MAJOR PAYOR SOURCES OF REVENUE TO ESTIMATE THE APPROPRIATE ALLOWANCE FOR DOUBTFUL COLLECTIONS AND PROVISION FOR DOUBTFUL COLLECTIONS. FOR PATIENT ACCOUNTS RECEIVABLE ASSOCIATED WITH SERVICES PROVIDED TO PATIENTS WHO HAVE THIRD-PARTY COVERAGE, THE CORPORATION ANALYZES CONTRACTUALLY DUE AMOUNTS AND PROVIDES AN ALLOWANCE FOR DOUBTFUL COLLECTIONS AND PROVISION FOR DOUBTFUL COLLECTIONS, IF NECESSARY. FOR RECEIVABLES ASSOCIATED WITH SELF-PAY PATIENTS (WHICH INCLUDES BOTH PATIENTS WITHOUT INSURANCE AND PATIENTS WITH DEDUCTIBLE AND COPAYMENT BALANCES DUE FOR WHICH THIRD-PARTY COVERAGE EXISTS FOR PART OF THE BILL), THE CORPORATION RECORDS A PROVISION FOR DOUBTFUL COLLECTIONS IN THE PERIOD OF SERVICE ON THE BASIS OF ITS PAST EXPERIENCE, WHICH INDICATES THAT MANY PATIENTS ARE UNABLE TO PAY THE PORTION OF THEIR BILL FOR WHICH THEY ARE FINANCIALLY RESPONSIBLE. THE DIFFERENCE BETWEEN THE BILLED RATES AND THE AMOUNTS ACTUALLY COLLECTED AFTER ALL REASONABLE COLLECTION EFFORTS HAVE BEEN EXHAUSTED IS CHARGED OFF AGAINST THE ALLOWANCE FOR DOUBTFUL COLLECTIONS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART III, LINE 8:</FormAndLineReferenceDesc>
        <ExplanationTxt>ACUTE CARE HOSPITALS IN MARYLAND ARE EXEMPT FROM MEDICARE REIMBURSEMENT METHODOLOGY AND ALL PAYORS (INCLUDING MEDICARE AND MEDICAID)PAY HOSPITALS' CHARGES, WHICH ARE REGULATED BY THE STATE'S HEALTH SERVICES COST REVIEW COMMISSION (HSCRC). SPECIFICALLY, MEDICARE ENJOYS A DISCOUNT OF 6% OF CHARGES WITHOUT AN ADVANCE FUNDING DEPOSIT WITH PROVIDERS. THERE SHOULD BE NO SHORTFALL AND THEREFORE COUNT TOWARD COMMUNITY BENEFIT.AHC USED SCHEDULE C OF THE MEDICARE COST REPORT TO COMPUTE A COST TO CHARGE RATIO USED TO ESTIMATE THE COST OF COMMUNITY BENEFITS IN PROVIDING BAD DEBT AND CHARITY DEDUCTIONS. SINCE THE HSCRC ASSESSES HOSPITALS TO SUBSIDIZE MEDICAID DEFICITS BUDGET, THESE ASSESSMENTS ARE ALSO COUNTED TOWARD COMMUNITY BENEFITS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART III, LINE 9B:</FormAndLineReferenceDesc>
        <ExplanationTxt>AHC PROVIDES QUALITY MEDICAL SERVICES REGARDLESS OF A PATIENT'S ABILITY TO PAY, RACE, CREED, SEX, AGE, NATIONAL ORIGIN OR FINANCIAL STATUS. OUR FINANICAL ASSISTANCE POLICY ENCOURAGES THE PATIENT AND THEIR REPRESENTATIVE TO COOPERATE WITH AND AVAIL THEMSELVES OF ALL AVAILABLE PROGRAMS (INCLUDING MEDICAID, WORKERS COMPENSATION, AND STATE AND LOCAL PROGRAMS) WHICH MIGHT PROVIDE COVERAGE. OUR REGISTRATION, FINANCIAL COUNSELORS, CUSTOMER SERVICE, AND COLLECTION STAFF ARE THOROUGHLY FAMILIAR WITH THE CRITERIA AND PROCESS OF FINANCIAL ASSISTANCE. FINANCIAL ASSISTANCE PROCESS AND COLLECTION PROTOCOL ARE WELL DEFINED WITH MANAGERS AVAILABLE TO GUIDE AND HANDLE EXCEPTION SITUATIONS. OUTSOURCED AGENCIES AND COLLECTIONS FIRMS ARE EXPECTED TO ADHERE TO AHC'S POLICY WITHOUT EXCEPTIONS. BAD DEBT, CHARITY AND ADMINISRATIVE WRITEOFF ARE CLEARLY DEFINED WITH PRE-DETEMRINED AUTHORIZATION LEVELS DEPENDING ON THE MAGNITUDE GRANTED. AHC ALSO REVISES ITS FINANCIAL ASSISTANCE POLICY AS FEDERAL GOVERNMENT AND/OR STATE GOVERNMENT REVISE THEIR POVERTY GUIDELINES. OVERALL, AHC EXPECTS ITS STAFF TO TREAT ITS PATIENTS WITH DIGNITY AND RESPECT, AS THEY WOULD LIKE TO BE TREATED.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>NEEDS ASSESSMENT:ADVENTIST HEALTHCARE, INCLUDING SHADY GROVE ADVENTIST HOSPITAL, WASHINGTON ADVENTIST HOSPITAL, AND ADVENTIST BEHAVIORAL HEALTH, FORMED A COMMUNITY BENEFIT COUNCIL (CBC) IN 2011 TO GUIDE AND LEAD ITS COMMUNITY BENEFIT ACTIVITIES, INCLUDING CONDUCTING THE COMMUNITY HEALTH NEEDS ASSESSMENT. THE COMMUNITY BENEFIT COUNCIL HAS REPRESENTATION FROM VARIOUS DEPARTMENTS WITHIN ADVENTIST HEALTHCARE AND IS LED BY ISMAEL GAMA, ASSOCIATE VICE PRESIDENT OF MISSION INTEGRATION &amp; PASTORAL CARE SERVICES. AS A STARTING POINT FOR ASSESSING THE HEALTH NEEDS OF THE COMMUNITY, THE COMMUNITY BENEFIT COUNCIL DECIDED TO RESEARCH TOPICS IN ALIGNMENT WITH MONTGOMERY COUNTY'S HEALTHY MONTGOMERY FOCUS AREAS OF: CANCER, CARDIOVASCULAR DISEASES, DIABETES, MATERNAL &amp; INFANT HEALTH, BEHAVIORAL HEALTH, AND OBESITY. THE COMMUNITY BENEFIT COUNCIL ALSO DECIDED TO RESEARCH ADDITIONAL TOPICS OF INTEREST TO THE HOSPITALS AND THE COMMUNITIES SERVED INCLUDING: ASTHMA, INFLUENZA, HIV/AIDS, SENIOR HEALTH, INCOME AND POVERTY, ACCESS TO CARE/HEALTH INSURANCE COVERAGE, FOOD ACCESS, HOUSING QUALITY, EDUCATION, AND TRANSPORTATION. THE TOPICS INCLUDED IN THE COMMUNITY HEALTH NEEDS ASSESSMENTS WERE REVIEWED, DISCUSSED AND APPROVED BY THE COMMUNITY BENEFIT ADVISORY BOARD AND BY THE BOARDS OF EACH ENTITY.SINCE 2006, ADVENTIST HEALTHCARE HAS REGULARLY CONVENED AN ADVISORY BOARD TO HELP GUIDE OUR EFFORTS TO REDUCE AND ELIMINATE HEALTH DISPARITIES, TO IDENTIFY COMMUNITY NEEDS, AND TO HELP ASSESS AND DIRECT OUR RESPONSE TO THOSE NEEDS. THE ADVISORY BOARD IS COMPRISED OF BOTH INTERNAL AND EXTERNAL (COMMUNITY) LEADERS. MEMBERS INCLUDE CLINICIANS, RESEARCHERS, ADMINISTRATORS AND OTHERS FROM OUR HOSPITALS, COMMUNITY-BASED ORGANIZATIONS, LOCAL AND STATE HEALTH DEPARTMENTS, UNIVERSITY OF MARYLAND, THE NATIONAL INSTITUTES OF HEALTH (SPECIFICALLY, THE NATIONAL INSTITUTE OF MINORITY HEALTH AND HEALTH DISPARITIES), AND OTHER PUBLIC HEALTH STAKEHOLDER ORGANIZATIONS. THE COMMUNITY HEALTH NEEDS ASSESSMENTS WERE REVIEWED AND APPROVED BY THE BOARD OF TRUSTEES AT EACH ENTITY, AS WELL AS BY THE ADVENTIST HEALTHCARE BOARD OF TRUSTEES. AFTER COMPLETION OF THE COMMUNITY HEALTH NEEDS ASSESSMENTS, THE PRESIDENT'S COUNCIL OR EXECUTIVE COUNCIL AT EACH HOSPITAL MET TO DISCUSS AND VOTE UPON FOCUS AREAS FOR IMPLEMENTATION OF STRATEGIES TO ADDRESS IDENTIFIED HEALTH NEEDS. THE IMPLEMENTATION STRATEGIES DEVELOPED BY EACH ENTITY WERE ALSO REVIEWED AND APPROVED BY THE BOARD OF TRUSTEES AT EACH ENTITY, THE ADVENTIST HEALTHCARE BOARD OF TRUSTEES, AND THE COMMUNITY BENEFIT ADVISORY BOARD.IN ADDITION TO INPUT FROM VARIOUS BOARDS, THE COMMUNITY PERSPECTIVE WAS OBTAINED THROUGH A COMMUNITY HEALTH NEEDS ASSESSMENT SURVEY OFFERED TO THE PUBLIC THROUGH POSTINGS ON ADVENTIST HEALTHCARE ENTITY FACEBOOK PAGES, NEWSLETTERS, EMAIL LISTSERVS, MEETINGS WITH COMMUNITY LEADERS, AND HEALTH FAIRS. ADDITIONALLY, ADVENTIST BEHAVIORAL HEALTH HAS A COMMUNITY ADVISORY COUNCIL, WHICH INCORPORATES FEEDBACK FROM THE COMMUNITY IN THE PLANNING AND DELIVERY OF SERVICES.TO OBTAIN SECONDARY DATA FOR THE COMMUNITY HEALTH NEEDS ASSESSMENTS, WE WORKED WITH MONTGOMERY COUNTY'S HEALTH AND HUMAN SERVICES, COMMUNITY HEALTH IMPROVEMENT PROCESS (CHIP), TO REVIEW THE STATE OF MARYLAND'S STATE HEALTH IMPROVEMENT PROCESS' (SHIP) 39 HEALTH INDICATORS. ADVENTIST HEALTHCARE HAS REPRESENTATION ON THE HEALTHY MONTGOMERY STEERING COMMITTEE. THE GROUP'S COLLABORATIVE EFFORTS IN 2011 FOCUSED ON A SELECTION PROCESS FOR MONTGOMERY COUNTY'S HEALTH PRIORITIES. DATA WAS COLLECTED AND A VENDOR (HEALTHY COMMUNITY INSTITUTE) WAS SELECTED TO IMPLEMENT A COMMUNITY TRACKING TOOL THAT IS LINKED TO PUBLIC HEALTH INTERVENTIONS THAT IMPROVE HEALTH OUTCOMES. THIS ONGOING SURVEILLANCE IS POPULATION-BASED DATA THAT SHOWS HEALTH SERVICES UTILIZATION AND SOCIAL AND ENVIRONMENTAL DETERMINANTS OF HEALTH, INCLUDING SOCIO-ECONOMIC STATUS, SOCIAL ISOLATION, HOUSING AND AIR QUALITY. IT IS AVAILABLE TO THE PUBLIC ON THE HEALTHY MONTGOMERY WEBSITE.ADVENTIST HEALTHCARE'S CENTER FOR HEALTH EQUITY AND WELLNESS (FORMERLY CENTER ON HEALTH DISPARITIES) DEVELOPS AND RELEASES ANNUAL PROGRESS REPORTS, AND THESE REPORTS HELPED TO INFORM THE HOSPITALS' COMMUNITY HEALTH NEEDS ASSESSMENTS. ALL PROGRESS REPORTS DEVELOPED BY THE CENTER FOR HEALTH EQUITY AND WELLNESS ("THE CENTER") ARE MADE AVAILABLE TO THE PUBLIC ON THE CENTER'S WEBSITE, AS WELL AS IN HARD COPY THROUGH CONFERENCES AND UPON REQUEST. THE CENTER'S 2011 PROGRESS REPORT, ENTITLED HEALTH DISPARITIES IN THE ERA OF REFORM IMPLEMENTATION, DETAILED DEMOGRAPHIC TRENDS AND ASSESSED DISPARITIES ACROSS A RANGE OF ISSUES WITHIN THREE BROAD HEALTH TOPICS AFFECTING OUR COMMUNITY: MATERNAL AND INFANT HEALTH, HEART DISEASE AND STROKE, AND CANCER. THE REPORT INCORPORATED DESCRIPTIVE FINDINGS FROM NATIONAL, STATE AND COUNTY-LEVEL DATABASES ON THE RACIAL AND ETHNIC MAKEUP OF THE POPULATION, THE PREVALENCE OF DISEASE ACROSS THESE GROUPS, AND THE RATES OF RECEIVING APPROPRIATE TREATMENT. TO CREATE THIS REPORT, THE CENTER ANALYZED THE U.S. CENSUS BUREAU'S AMERICAN COMMUNITY SURVEY AND PROFILES OF GENERAL POPULATION AND HOUSING CHARACTERISTICS TO PRODUCE A BROAD DEMOGRAPHIC OVERVIEW BY COUNTY, RACE, AND ETHNICITY. IN MARYLAND, THE CENTER PRODUCED DESCRIPTIVE TABULATIONS BASED ON DATA FROM THE MARYLAND BEHAVIORAL RISK FACTOR SURVEILLANCE SYSTEM, THE MARYLAND CANCER REGISTRY, THE MARYLAND VITAL STATISTICS ADMINISTRATION, THE MARYLAND HEALTH CARE COMMISSION, AND THE MARYLAND DEPARTMENT OF HEALTH AND MENTAL HYGIENE'S (MDHMH) OFFICE ON MINORITY HEALTH &amp; HEALTH DISPARITIES. IN ADDITION TO THESE DATA SOURCES, THE CENTER ALSO SUMMARIZED FINDINGS FROM VARIOUS NATIONAL AND STATE-LEVEL REPORTS ON INSURANCE COVERAGE, DISEASE CONDITION, AND HEALTHY BEHAVIORS RELEASED BY THE AGENCY FOR HEALTHCARE RESEARCH AND QUALITY, THE KAISER FAMILY FOUNDATION, AND THE MDHMH'S FAMILY HEALTH ADMINISTRATION, OFFICE OF CHRONIC DISEASE PREVENTION.THE CENTER'S 2012 PROGRESS REPORT WAS A HEALTH EQUITY REPORT THAT INCLUDED INFORMATION ABOUT PATIENTS TREATED AT SHADY GROVE ADVENTIST HOSPITAL AND WASHINGTON ADVENTIST HOSPITAL IN 2011 AND EXAMINED THE INTERSECTION OF QUALITY AND HEALTH EQUITY. THIS REPORT CONVEYED GENERAL INFORMATION ABOUT THE PATIENT POPULATION SERVED AT ADVENTIST HEALTHCARE HOSPITALS, WHERE THEY RECEIVED CARE WITHIN THE HOSPITALS, AND THE QUALITY OF CARE RECEIVED. THE 2012 REPORT INCLUDED HOSPITAL-SPECIFIC DATA ON CANCER, INPATIENT CLINICAL QUALITY INDICATORS, HOSPITAL READMISSION RATES, AND PATIENT EXPERIENCE. THE CENTER'S 2013 HEALTH EQUITY REPORT SHARED DEMOGRAPHIC, CLINICAL, AND QUALITY INFORMATION ABOUT ADVENTIST HEALTHCARE HOSPITALS AND OTHER ENTITIES, AND HIGHLIGHTED EFFORTS TO IMPROVE PATIENT EXPERIENCES AND OUTCOMES IN THE COMMUNITIES WE SERVE. SPECIAL HIGHLIGHTS IN THE 2013 REPORT INCLUDED INFORMATION ABOUT FEDERAL STANDARDS TO INCREASE CULTURALLY COMPETENT CARE AND REDUCE HEALTH DISPARITIES, THE IMPLEMENTATION OF THE AFFORDABLE CARE ACT (ACA) IN THE STATE OF MARYLAND, EFFORTS TO REDUCE READMISSIONS AND IMPROVE PATIENT-CENTERED CARE ACROSS THE ADVENTIST HEALTHCARE SYSTEM, AND ADVENTIST HEALTHCARE HOSPITALS' COMMUNITY HEALTH NEEDS ASSESSMENT RESULTS AND NEXT STEPS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 3:</FormAndLineReferenceDesc>
        <ExplanationTxt>PATIENT EDUCATION OF ELIGIBILITY:AHC 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) AHC HAS FINANCIAL ASSISTANCE SIGNAGE IN ALL ITS FACILITIES, ON ALL PATIENT STATEMENTS AND ON OUR HOSPITALS' WEBSITE; (2) PATIENTS THAT ARE REGISTERED AS SELF PAY OR WITH NO INSURANCE, ARE INFORMED ABOUT THE HOSPITAL'S CHARITY CARE POLICY AND GIVEN A CHARITY APPLICATION; (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 CONTACT THE COLLECTION DEPARTMENT AND EXPRESS FINANCIAL HARDSHIP, CUSTOMER SERVICE REPS AND SELF PAY COLLECTORS WILL MAIL A CHARITY APPLICATION TO THE PATIENT; AND (5) RESIDENTS THAT PARTICIPATE IN OUR COMMUNITY PROGRAMS, SUCH AS BREAST CANCER, MATERNITY, ETC., ARE INFORMED OF AHC'S CHARITY PROGRAM PRIOR TO RECEIVING SERVICES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 4:</FormAndLineReferenceDesc>
        <ExplanationTxt>COMMUNITY INFORMATION:AHC'S SERVICE AREAS ARE SITUATED IN THE WASHINGTON/BALTIMORE METROPOLITANAREA. SPECIFICALLY, SHADY GROVE ADVENTIST HOSPITAL PRIMARILY SERVES RESIDENTS OF MONTGOMERY COUNTY,MARYLAND. APPROXIMATELY 80 PERCENT OF DISCHARGES COME FROM OUR TOTAL SERVICE AREA, WHICH IS CONSIDERED SHADY GROVE ADVENTIST HOSPITAL'S COMMUNITY BENEFIT SERVICE AREA "CBSA". WITHIN THAT AREA, 60 PERCENT OF DISCHARGES ARE FROM THE PRIMARY SERVICE AREA INCLUDING THE FOLLOWING ZIP CODES/CITIES:20874 GERMANTOWN, 20878 GAITHERSBURG, 20850 ROCKVILLE, 20877 GAITHERSBURG,20886 MONTGOMERY VILLAGE, 20879 GAITHERSBURG, AND 20876 GERMANTOWN.WE DRAW 20 PERCENT OF DISCHARGES FROM OUR SECONDARY SERVICE AREA INCLUDING THE FOLLOWING ZIP CODES/CITIES: 20852 ROCKVILLE, 20854 POTOMAC, 20906 SILVER SPRING, 20871 CLARKSBURG, 20872 DAMASCUS, 20855 DERWOOD, 20851 ROCKVILLE, 20853 ROCKVILLE, 20882 GAITHERSBURG, AND 20841 BOYDS.WASHINGTON ADVENTIST HOSPITAL PRIMARILY SERVES RESIDENTS OF PRINCE GEORGE'S COUNTY AND MONTGOMERY COUNTY, MARYLAND. APPROXIMATELY 80 PERCENT OF DISCHARGES COME FROM OUR TOTAL SERVICE AREA, WHICH IS CONSIDERED WASHINGTON ADVENTIST HOSPITAL'S COMMUNITY BENEFIT SERVICE AREA "CBSA".WITHIN THAT AREA, 60 PERCENT OF DISCHARGES ARE FROM THE PRIMARY SERVICE AREA INCLUDING THE FOLLOWING ZIP CODES/CITIES: 20783 HYATTSVILLE, 20912 TAKOMA PARK, 20782 HYATTSVILLE, 20903 SILVER SPRING,20904 SILVER SPRING, 20901 SILVER SPRING, 20910 SILVER SPRING, 20740 COLLEGE PARK, 20902 SILVER SPRING, 20906 SILVER SPRING, 20737 RIVERDALE, 20011 WASHINGTON, AND 20705 BELTSVILLE.WE DRAW 20PERCENT OF DISCHARGES FROM OUR SECONDARY SERVICE AREA INCLUDING THE FOLLOWING ZIP CODES/CITIES: 20706 LANHAM, 20707 LAUREL, 20708 LAUREL, 20712 MOUNT RAINIER, 20722 BRENTWOOD, 20743 CAPITOL HEIGHTS, 20744 FORT WASHINGTON, 20747 DISTRICT HEIGHTS, 20770 GREENBELT, 20774 UPPER MARLBORO, 20781 HYATTSVILLE, 20784 HYATTSVILLE, 20785 HYATTSVILLE, 20850 ROCKVILLE, 20853 ROCKVILLE, 20866 BURTONSVILLE, 20874 GERMANTOWN, 20877 GAITHERSBURG, 20878 GAITHERSBURG, 20886 MONTGOMERY VILLAGE, 20905 SILVER SPRING, 20012 WASHINGTON D.C., 20019 WASHINGTON D.C.WE SERVE ONE OF THE MOST ETHNICALLY DIVERSE COMMUNITIES IN THE UNITED STATES; NON-HISPANIC WHITES NOW COMPRISE ONLY 49% OF THE POPULATION OF MONTGOMERY COUNTY, MD., A DECREASE OF MORE THAN 20% OVER THE LAST TWO DECADES. FOR THE FIRST TIME, MINORITIES ACCOUNT FOR MORE THAN HALF OF THE COUNTY'S POPULATION, MAKING IT ONE OF ONLY 336 "MAJORITY-MINORITY" COUNTIES IN THE NATION. ACCORDING TO THE U.S. BUREAU CENSUS BUREAU, THE PERCENTAGE OF HISPANICS OR LATINOS IN MONTGOMERY COUNTY IS MORE THAN DOUBLE THE PERCENTAGE OF HISPANICS OR LATINOS IN THE STATE OF MARYLAND AND WITHIN THE COUNTY, IT OUTNUMBERS ALL POPULATIONS OTHER THAN NON-HISPANIC WHITES. THE U.S. CENSUS BUREAU HAS ALSO FOUND THAT MARYLAND IS ONE OF THE TOP TEN DESTINATIONS FOR FOREIGN-BORN INDIVIDUALS, AND 41% OF THE FOREIGN-BORN IN MARYLAND RESIDE IN MONTGOMERY COUNTY. THE COUNTY'S FOREIGN-BORN POPULATION HAS GROWN FROM 12% IN 1980 TO CURRENTLY MORE THAN 30%. IMMIGRANTS CONTRIBUTE GREATLY TO OUR COMMUNITY AND OUR HOSPITAL PROVIDERS ARE COMMITTED TO UNDERSTANDING THEIR NEEDS AND WORKING TO TREAT THEM IN A CULTURALLY COMPETENT MANNER.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 5:</FormAndLineReferenceDesc>
        <ExplanationTxt>COMMUNITY HEALTH PROMOTION:IN KEEPING WITH OUR MISSION, ADVENTIST HEALTHCARE CONTINUES TO PROMOTE GOOD HEALTH IN THE COMMUNITY THROUGH A ROBUST VARIETY OF METHODS OFFERING HEALTH AND WELLNESS SERVICES THROUGHOUT MONTGOMERY, PRINCE GEORGES, AND FREDERICK COUNTIES IN MARYLAND AS WELL AS SOME AREAS IN WASHINGTON D.C.IN 2012 WE PROVIDED MORE THAN 64,000 ENCOUNTERS IN JUST THE HEALTH AND WELLNESS AREAS. BELOW IS A BRIEF SUMMARY OF THE HEALTH PROMOTION ACTIVITIES WHICH INCLUDES EDUCATION, SCREENINGS, LECTURES, SUPPORT GROUPS, AS WELL AS SUPPORTING THE COMMUNITY SERVING ON COMMUNITY BOARDS AND COMMITTEES AND SUPPORTING THE SAFETY NET CLINICS. WE FOCUS ON CHRONIC DISEASES PREVALENT WITH THE COMMUNITIES WE SERVE AS WELL AS THOSE GROUPS THAT ARE MOST VULNERABLE.&gt; A VARIETY OF HEALTH SCREENINGS WERE HELD IN COMMUNITY SETTINGS SUCH AS SENIOR LIVING COMMUNITIES, SCHOOLS, SHOPPING CENTERS, BUSINESSES, AND OTHER PRIVATE AND RELIGIOUS INSTITUTIONS. &gt; MATERNAL AND CHILD EDUCATION PROVIDED MORE THAN 500 CLASSES, TOURS, AND SUPPORT GROUPS&gt; EDUCATIONAL CLASSES TO THE COMMUNITY INCLUDED BABYSITTING, CPR, HEALTHY EATING, AND GENERAL HEALTH LECTURES&gt; INFLUENZA AND PNEUMONIA VACCINATIONS WERE OFFERED FOR FREE OR REDUCED COST IN MANY COMMUNITY SETTINGS. SOME OF THESE VACCINATIONS WERE OFFERED IN PARTNERSHIP WITH MONTGOMERY COUNTY HEALTH DEPARTMENT AND THROUGH PARTNERSHIPS AND GRANTS.&gt; DIABETES PREVENTION INCLUDED FREE PRE-DIABETIC CLASSES AS WELL AS INDIVIDUAL COUNSELING AND CLASSES FOR THOSE WITH DIABETES.&gt; IN THE AREA OF CARDIAC AND VASCULAR HEALTH WE PROVIDED OVER 52 SCREENING EVENTS INCLUDING 2 LARGE HEART EVENTS AND ONE LARGE STROKE EVENT OFFERING FREE SCREENINGS WITH OVER 2500 ENCOUNTERS.&gt; CANCER IS ANOTHER AREA OF CONCENTRATION TO REACH OUT TO THE COMMUNITY. THE HOSPITAL PARTICIPANTS IN BREAST CANCER AND COLORECTAL SCREENINGS FOR LOW-INCOME AND UNINSURED CLIENTS. IN ADDITION 189 PEOPLE PARTICIPATED IN THE CANCER SCREENING DAYS RECEIVING SCREENING FOR MULTIPLE TYPES OF CANCER (BREAST, COLORECTAL, SKIN, BLADDER, PROSTATE, AND THYROID. ADDITIONAL SCREENINGS HAVE BEEN CONDUCTED FOR LUNG CANCER. THE CANCER PROGRAM ALSO PROVIDES FREE SUPPORT GROUPS AND NAVIGATION SERVICES FOR THE COMMUNITY.&gt; ADVENTIST HEALTHCARE HAS A SPECIFIC PROGRAM THAT SUPPORTS FAITH COMMUNITY NURSES AND HEALTH MINISTERS TO ADDRESS HEALTH ISSUES IN THE FAITH COMMUNITIES. OVER 140 FAITH COMMUNITIES ARE INVOLVED IN OUR PROGRAM THAT RECEIVES SUPPORT AND RESOURCES.&gt; PERSONNEL FROM VARIOUS DEPARTMENTS ARE ACTIVE IN THE COMMUNITY SERVING ON VARIOUS BOARDS, COALITIONS AND COMMITTEES TO HELP ADDRESS HEALTH IN THE COMMUNITY, PARTICULARLY THE HEALTH OF THE UNDERSERVED AND AT-RISK POPULATIONS.&gt; EACH OF THE HOSPITALS SUPPORTS ACCESS TO CARE BY PROVIDING FINANCIAL AND IN-KIND SUPPORT TO THE SAFETY NET CLINICS. THIS SUPPORT INCLUDES FINANCIAL CONTRIBUTIONS AND PROVISION OF LABORATORY AND RADIOLOGY SERVICES.&gt; TO MEET THE CONTINUING NEEDS OF OUR DIVERSE COMMUNITY, THE HOSPITALS PROVIDE CULTURAL COMPETENCY TRAINING TO MEDICAL AND SUPPORT STAFF. WE ARE COMMITTED TO CONTINUE TO PROMOTE THE HEALTH OF THE COMMUNITY THROUGH NEW AND INNOVATIVE MEASURES UTILIZING THE ENTIRE HEALTH SYSTEM FROM ACUTE CARE, REHABILITATION HOSPITAL AND BEHAVIORAL HEALTH.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 6:</FormAndLineReferenceDesc>
        <ExplanationTxt>AFFILIATED HEALTH CARE:ADVENTIST HEALTHCARE, BASED IN ROCKVILLE, 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 AND 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 AND HOME HEALTH AGENCIES, SERVING THE WASHINGTON, D.C. METROPOLITAN AREA AND NORTHWESTERN NEW JERSEY.ADVENTIST HEALTHCARE IS SHADY GROVE ADVENTIST HOSPITAL, WASHINGTON ADVENTIST HOSPITAL, HACKETTSTOWN REGIONAL MEDICAL CENTER IN NEW JERSEY, ADVENTIST BEHAVIORAL HEALTH, ADVENTIST REHABILITATION HOSPITAL OF MARYLAND, ADVENTIST HOME HEALTH SERVICES, THE REGINALD S. LOURIE CENTER FOR INFANTS AND YOUNG CHILDREN AND OTHER HEALTH SERVICES. TOGETHER, WITH OUR HEALTH &amp; WELLNESS PROGRAMS, OUR CENTER ON HEALTH DISPARITIES AND MORE THAN 2,000 AFFILIATED 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 2011, WE CARED FOR NEARLY 400,000 RESIDENTS, AND PROVIDED SIGNIFICANT CHARITY CARE AND COMMUNITY BENEFIT MORE THAN $62 MILLION. AS ONE OF THE LARGEST EMPLOYERS IN THE STATE OF MARYLAND, WE ARE GRATEFUL TO HAVE THE DEDICATED COMMITMENT OF NEARLY 6,500 EMPLOYEES AND ALMOST 1,600 VOLUNTEERS THROUGHOUT ADVENTIST HEALTHCARE WHO PROVIDE COMPASSIONATE, HIGH-QUALITY CARE EACH AND EVERY DAY. IN ADDITION TO PROVIDING CHARITY CARE AT OUR FACILITIES, ADVENTIST HEALTHCARE IS INVOLVED IN NUMEROUS OUTREACH INITIATIVES DESIGNED TO IMPROVE ACCESS TO HEALTH CARE FOR LOW INCOME AND UNINSURED INDIVIDUALS, AS WELL AS HISTORICALLY UNDER-SERVED COMMUNITIES INCLUDING MINORITIES AND IMMIGRANTS. OUR GOAL IS EFFECTIVE PREVENTION, TREATMENT AND CARE PROGRAMS FOR ALL INDIVIDUALS, REGARDLESS OF THEIR ECONOMIC, CULTURAL, LINGUISTIC OR DEMOGRAPHIC CHARACTERISTICS.VISIT WWW.ADVENTISTHEALTHCARE.COM TO LEARN EVEN MORE ABOUT OUR SERVICES AND OUR LONGSTANDING BELIEF THAT A HEALTHY LIFESTYLE IS THE BEST WAY TO PREVENT DISEASE, AND THAT PREVENTION IS MUCH BETTER THAN A CURE. AHC EXPECTS OUR OPERATING DIVISION TO BE EFFICIENT IN HEALTH SERVICESDELIVERY AND INVOLVED IN THE LOCAL COMMUNITY WHILE THE OVERALL PLANNING AND INVOLVEMENT IN THE COMMUNITY ARE COORDINATED THROUGH THE CORPORATE OFFICE. THE PURPOSE IS NOT TO CREATE REDUNDANCY AND INEFFECTIVE USES OF RESOURCES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 7, REPORTS FILED WITH STATES</FormAndLineReferenceDesc>
        <ExplanationTxt>MD</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleH>
    <IRS990ScheduleI documentId="RetDoc1041900001">
      <GrantRecordsMaintainedInd>1</GrantRecordsMaintainedInd>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1>AMERICAN HEART ASSOCIATION</BusinessNameLine1>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1>4301 N FAIRFAX DR SUITE 530</AddressLine1>
          <City>ARLINGTON</City>
          <State>VA</State>
          <ZIPCode>22203</ZIPCode>
        </USAddress>
        <RecipientEIN>135613797</RecipientEIN>
        <IRCSectionDesc>501-(C)-(3)</IRCSectionDesc>
        <CashGrantAmt>5000</CashGrantAmt>
        <PurposeOfGrantTxt>PROGRAMS THAT PROMOTE HEALTH AND WELLNESS IN THE AREAS OF CANCER, CARDIOVASCULAR SERVICES, AND MATERNAL AND CHILD HEALTH</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1>BIOHEALTH INNOVATION INC</BusinessNameLine1>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1>22 BALTIMORE RD 100</AddressLine1>
          <City>ROCKVILLE</City>
          <State>MD</State>
          <ZIPCode>20850</ZIPCode>
        </USAddress>
        <RecipientEIN>453824067</RecipientEIN>
        <IRCSectionDesc>501-(C)-(3)</IRCSectionDesc>
        <CashGrantAmt>125000</CashGrantAmt>
        <PurposeOfGrantTxt>INITIATIVES THAT FOSTER COLLABORATIONS, PROMOTES HEALTHCARE CAREERS AND POLICY ADVOCACY</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1>CASA OF MARYLAND INC CO GUSTAV TORRES</BusinessNameLine1>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1>310 TULIP AVENUE</AddressLine1>
          <City>TAKOMA PARK</City>
          <State>MD</State>
          <ZIPCode>20917</ZIPCode>
        </USAddress>
        <RecipientEIN>521372972</RecipientEIN>
        <IRCSectionDesc>501-(C)-(3)</IRCSectionDesc>
        <CashGrantAmt>110000</CashGrantAmt>
        <PurposeOfGrantTxt>PROMISING NEIGHBORHOOD PROJECT FOR LANGLEY PARK - PROJECTS THAT WILL RESULT IN THE EXPANSION OF HEALTH SERVICES PARTICULARLY IN SERVICING THE UNDERSERVED AND UNINSURED AREAS</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1>CENTRE POINTE COUNCELING</BusinessNameLine1>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1>PO BOX 339</AddressLine1>
          <City>ASHTON</City>
          <State>MD</State>
          <ZIPCode>20861</ZIPCode>
        </USAddress>
        <RecipientEIN>521288655</RecipientEIN>
        <IRCSectionDesc>501-(C)-(3)</IRCSectionDesc>
        <CashGrantAmt>10000</CashGrantAmt>
        <PurposeOfGrantTxt>NON-PROFIT BEHAVIORAL HEALTH CENTER EMP/E-CLINICAL WORKS IMPLEMENTATION - PROJECTS THAT WILL RESULT IN THE EXPANSION OF HEALTH SERVICES PARTICULARLY IN SERVICING THE UNDERSERVED AND UNINSURED AREAS</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1>CITY OF GAITHERSBURG</BusinessNameLine1>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1>31 S SUMMIT AVENUE</AddressLine1>
          <City>GAITHERSBURG</City>
          <State>MD</State>
          <ZIPCode>20877</ZIPCode>
        </USAddress>
        <RecipientEIN>526000792</RecipientEIN>
        <IRCSectionDesc>CITY OF GAITHERSBURG</IRCSectionDesc>
        <CashGrantAmt>7000</CashGrantAmt>
        <PurposeOfGrantTxt>SNOW FLAKE SPONSOR FOR THE CITY OF GAITHERSBURG WINTER LIGHTS ($5,000) &amp; PREMIER SPONSOR FOR THE 6TH ANNUAL ACTIVE AGING EXPO ($2,000)</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1>COLUMBIA UNION CONFERENCE OF SDA</BusinessNameLine1>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1>5427 TWIN KNOLLS RD</AddressLine1>
          <City>COLUMBIA</City>
          <State>MD</State>
          <ZIPCode>21045</ZIPCode>
        </USAddress>
        <RecipientEIN>520664576</RecipientEIN>
        <IRCSectionDesc>501-(C)-(3)</IRCSectionDesc>
        <CashGrantAmt>180000</CashGrantAmt>
        <PurposeOfGrantTxt>2013 PLEDGE ($175,000)/ COLUMBIA UNION PASTOR'S CONVENTION AT HUNT VALLEY INN ($5,000) - SEVENTH-DAY ADVENTSIT PARTNERSHIPS</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1>COMMITTEE FOR MONTGOMERY</BusinessNameLine1>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1>11337 CLASSICAL LANE</AddressLine1>
          <City>SILVER SPRING</City>
          <State>MD</State>
          <ZIPCode>20901</ZIPCode>
        </USAddress>
        <RecipientEIN>906437327</RecipientEIN>
        <IRCSectionDesc>501-(C)-(4)</IRCSectionDesc>
        <CashGrantAmt>5000</CashGrantAmt>
        <PurposeOfGrantTxt>2013 ANNUAL LEGISTLATIVE BREAKFAST - INITIATIVES THAT FOSTER COLLABORATIONS, PROMOTES HEALTHCARE CAREERS AND POLICY ADVOCACY</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1>COMMONHEALTH ACTION</BusinessNameLine1>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1>1301 CONNECTICUT AVENUE NW</AddressLine1>
          <City>WASHINGTON</City>
          <State>DC</State>
          <ZIPCode>20036</ZIPCode>
        </USAddress>
        <RecipientEIN>830398572</RecipientEIN>
        <IRCSectionDesc>501-(C)-(3)</IRCSectionDesc>
        <CashGrantAmt>50000</CashGrantAmt>
        <PurposeOfGrantTxt>SPONSORSHIP FOR HEALTHY MONTGOMERY FOR THE PERIOD OF PERFORMANCE OF JAN. 1, 2013 - DEC. 31, 2013 - ((PROJECTS THAT WILL IMPROVE CULTURALLY COMPETENT CARE AND LINGUISTIC SERVICES, HEALTH DISPARITIES RESEARCH PROJECTS AND EDUCATIONAL CONFERENCES THAT WILL ADDRESS THE NEEDS OF VULNERABLE POPULATIONS/PROGRAMS THAT PROMOTE HEALTH AND WELLNESS IN THE AREAS OF CANCER, CARDIOVASCULAR SERVICES, AND MATERNAL AND CHILD HEALTH/PROJECTS THAT WILL RESULT IN THE EXPANSION OF HEALTH SERVICES PARTICULARLY IN SERVICING THE UNDERSERVED AND UNINSURED AREAS/INITIATIVES THAT FOSTER COLLABORATIONS, PROMOTES HEALTHCARE CAREERS AND POLICY ADVOCACY)</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1>COMMUNITY CLINIC INC</BusinessNameLine1>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1>8630 FENTON STREET SUITE 1204</AddressLine1>
          <City>SILVER SPRING</City>
          <State>MD</State>
          <ZIPCode>20910</ZIPCode>
        </USAddress>
        <RecipientEIN>520988386</RecipientEIN>
        <IRCSectionDesc>501-(C)-(3)</IRCSectionDesc>
        <CashGrantAmt>175000</CashGrantAmt>
        <PurposeOfGrantTxt>SUPPORT CCI EXPANSION TO GREENBELT - PROJECTS THAT WILL RESULT IN THE EPANISION OF HEALTH SERVICES PARTICULARLY SERVICING THE UNDERSERVED AND UNINSURED AREAS</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1>GERMANTOWN CULTURAL ARTS CENTER DBA BLACKROCK</BusinessNameLine1>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1>12901 TOWN COMMONS DRIVE</AddressLine1>
          <City>GERMANTOWN</City>
          <State>MD</State>
          <ZIPCode>20874</ZIPCode>
        </USAddress>
        <RecipientEIN>522010744</RecipientEIN>
        <IRCSectionDesc>501-(C)-(3)</IRCSectionDesc>
        <CashGrantAmt>13000</CashGrantAmt>
        <PurposeOfGrantTxt>2013 BLACKROCK SPRING GALA ($3,000)/ THREE-YEAR PLEDGE THIRD AND LAST INSTALLMENT ($10,000) - INITIATIVES THAT FOSTER COLLABORATIONS, PROMOTES HEALTHCARE CAREERS AND POLICY ADVOCACY</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1>GREATER SILVER SPRING CHAMBER OF COMMERCE</BusinessNameLine1>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1>8601 GEORGIA AVE 203</AddressLine1>
          <City>SILVER SPRING</City>
          <State>MD</State>
          <ZIPCode>20910</ZIPCode>
        </USAddress>
        <RecipientEIN>521813227</RecipientEIN>
        <IRCSectionDesc>501-(C)-(6)</IRCSectionDesc>
        <CashGrantAmt>8500</CashGrantAmt>
        <PurposeOfGrantTxt>BOARD SPONSORSHIP - CORPORATE PARTNER - INITIATIVES THAT FOSTER COLLABORATIONS, PROMOTES HEALTHCARE CAREERS AND POLICY ADVOCACY</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1>IMPACT SILVER SPRING</BusinessNameLine1>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1>8545 PINEY BRANCH ROAD</AddressLine1>
          <City>SILVER SPRING</City>
          <State>MD</State>
          <ZIPCode>20901</ZIPCode>
        </USAddress>
        <RecipientEIN>522164844</RecipientEIN>
        <IRCSectionDesc>501-(C)-(3)</IRCSectionDesc>
        <CashGrantAmt>10000</CashGrantAmt>
        <PurposeOfGrantTxt>IMPACT NOW! EVENT - INITIATIVES THAT FOSTER COLLABORATIONS, PROMOTES HEALTHCARE CAREERS AND POLICY ADVOCACY</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1>JEWISH SOCIAL SERVICE AGENCY</BusinessNameLine1>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1>6123 MONTROSE ROAD</AddressLine1>
          <City>ROCKVILLE</City>
          <State>MD</State>
          <ZIPCode>20852</ZIPCode>
        </USAddress>
        <RecipientEIN>530196598</RecipientEIN>
        <IRCSectionDesc>501-(C)-(3)</IRCSectionDesc>
        <CashGrantAmt>5000</CashGrantAmt>
        <PurposeOfGrantTxt>BRONZE SPONSOR FOR THE JSSA 2013 SPRING GALA - (PROJECTS THAT WILL IMPROVE CULTURALLY COMPETENT CARE AND LINGUISTIC SERVICES, HEALTH DISPARITIES RESEARCH PROJECTS AND EDUCATIONAL CONFERENCES THAT WILL ADDRESS THE NEEDS OF VULNERABLE POPULATIONS/PROGRAMS THAT PROMOTE HEALTH AND WELLNESS IN THE AREAS OF CANCER, CARDIOVASCULAR SERVICES, AND MATERNAL AND CHILD HEALTH/PROJECTS THAT WILL RESULT IN THE EXPANSION OF HEALTH SERVICES PARTICULARLY IN SERVICING THE UNDERSERVED AND UNINSURED AREAS)</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1>MANSFIELD KASEMAN HEALTH CLINIC</BusinessNameLine1>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1>114 WEST MONTGOMERY AVENUE</AddressLine1>
          <City>ROCKVILLE</City>
          <State>MD</State>
          <ZIPCode>20850</ZIPCode>
        </USAddress>
        <RecipientEIN>272529951</RecipientEIN>
        <IRCSectionDesc>501-(C)-(3)</IRCSectionDesc>
        <CashGrantAmt>10000</CashGrantAmt>
        <PurposeOfGrantTxt>MONTE CARLO NIGHT - PROJECTS THAT WILL RESULT IN THE EXPANSION OF HEALTH SERVICES PARTICULARLY IN SERVICING THE UNDERSERVED AND UNINSURED AREAS</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1>MARYLAND HEALTHCARE EDUCATION INSTITUTE</BusinessNameLine1>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1>6820 DEERPATH ROAD</AddressLine1>
          <City>ELKRIDGE</City>
          <State>MD</State>
          <ZIPCode>210756234</ZIPCode>
        </USAddress>
        <RecipientEIN>529001664</RecipientEIN>
        <IRCSectionDesc>501-(C)-(3)</IRCSectionDesc>
        <CashGrantAmt>150000</CashGrantAmt>
        <PurposeOfGrantTxt>PLEDGE OF $1,500,000; $450,000 REMAINING - INITIATIVES THAT FOSTER COLLABORATIONS, PROMOTES HEALTHCARE CAREERS AND POLICY ADVOCACY</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1>MERCY HEALTH CLINIC</BusinessNameLine1>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1>9913 KENTSDALE DRIVE</AddressLine1>
          <City>POTOMAC</City>
          <State>MD</State>
          <ZIPCode>20854</ZIPCode>
        </USAddress>
        <RecipientEIN>522230932</RecipientEIN>
        <IRCSectionDesc>501-(C)-(3)</IRCSectionDesc>
        <CashGrantAmt>10000</CashGrantAmt>
        <PurposeOfGrantTxt>GALA ($7,500), 5K RUN/WALK ($1,000), GOLF CLASSIC ($1,500) - PROJECTS THAT WILL RESULT IN THE EXPANSION OF HEALTH SERVICES PARTICULARLY IN SERVICING THE UNDERSERVED AND UNINSURED AREAS</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1>MOBILE MEDICAL CAREINC</BusinessNameLine1>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1>9309 OLD GEORGETOWN ROAD</AddressLine1>
          <City>BETHESDA</City>
          <State>MD</State>
          <ZIPCode>208141620</ZIPCode>
        </USAddress>
        <RecipientEIN>237022588</RecipientEIN>
        <IRCSectionDesc>501-(C)-(3)</IRCSectionDesc>
        <CashGrantAmt>345000</CashGrantAmt>
        <PurposeOfGrantTxt>2013 $200,000 PLEDGE (JAN. 2013, APRIL 2013); FIVE-YEAR PLEDGE TO SUPPORT RENT AT UPCOUNTY ($75,000); MEDICAL SERVICES FOR LOW-INCOME, UNINSURED RESIDENTS IN WAH AREA JULY 2013 TO JUNE 2014 ($70,000) - (PROJECTS THAT WILL IMPROVE CULTURALLY COMPETENT CARE AND LINGUISTIC SERVICES, HEALTH DISPARITIES RESERACH PROJECTS AND EDUCATIONAL CONFERENCES THAT WILL ADDRESS THE NEEDS OF VULNERABLE POPULATIONS/PROGRAMS THAT PROMOTE HEALTH AND WELLNESS IN THE AREAS OF CANCER, CARDIVASCULAR SERVICES, AND MATERNAL AND CHILD HEALTH/PROJECTS THAT WILL RESULT IN THE EXPANSION OF HEALTH SERVICES PARTICULARLY IN SERVICING THE UNDERSERVED AND UNINSURED AREAS)</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1>MONTGOMERY COALITION FOR ADULT - ENGLISH LITERACY</BusinessNameLine1>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1>10605 CONCORD TREET ST 440</AddressLine1>
          <City>KENSINGTON</City>
          <State>MD</State>
          <ZIPCode>20895</ZIPCode>
        </USAddress>
        <RecipientEIN>208015355</RecipientEIN>
        <IRCSectionDesc>501-(C)-(3)</IRCSectionDesc>
        <CashGrantAmt>5000</CashGrantAmt>
        <PurposeOfGrantTxt>PHILANTHROPIC SUPPORT FOR ADVENTIST HEALTHCARE - (PROJECTS THAT WILL IMPROVE CULTURALY COMPETENT CARE AND LINGUISTIC SERVICES/HEALTH DISPARITIES RESEARCH PROJECTS AND EDUCATIONAL CONFERENCES THAT WILL ADDRESS THE NEEDS OF CULNERABLE POPULATIONS/INITIATIVES THAT FOSTER COLLABORATIONS/PROMOTES HEALTHCARE CAREERS AND POLICY ADVOCACY)</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1>MONTGOMERY COUNTY CHAMBER OF COMMERCE</BusinessNameLine1>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1>451 HUNGERFORD DR 515</AddressLine1>
          <City>ROCKVILLE</City>
          <State>MD</State>
          <ZIPCode>20850</ZIPCode>
        </USAddress>
        <RecipientEIN>520735621</RecipientEIN>
        <IRCSectionDesc>501-(C)-(6)</IRCSectionDesc>
        <CashGrantAmt>25000</CashGrantAmt>
        <PurposeOfGrantTxt>LEADERSHIP CIRCL ($25,000); GOLD TABLE - PUBLIC SAFETY AWARDS LUNCHEON ($5,000); (2) UNDERWRITTEN TABLE PSA - PUBLIC SAFETY AWARDS LUNCHEON ($1,000) - INITIATIVES THAT FOSTER COLLABORATIONS, PROMOTES HEALTHCARE CAREERS AND POLICY ADVOCACY</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1>MONTGOMERY HOSPICE</BusinessNameLine1>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1>1450 RESEARCH BLVD SUITE 310</AddressLine1>
          <City>ROCKVILLE</City>
          <State>MD</State>
          <ZIPCode>20850</ZIPCode>
        </USAddress>
        <RecipientEIN>521114719</RecipientEIN>
        <IRCSectionDesc>501-(C)-(3)</IRCSectionDesc>
        <CashGrantAmt>5000</CashGrantAmt>
        <PurposeOfGrantTxt>CORPORATE SPONSOR 2013 - (PROJECTS THAT WILL IMPROVE CULTURALLY COMPETENT CARE AND LINGUISTIC SERVICES/HEALTH DISPARITIES RESEARCH PROJECTS AND EDUCATIONAL CONFERENCES THAT WILL ADDRESS THE NEEDS OF CULNERABLE POPULATIONS)</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1>NATIONAL HEALTH FOUNDATION</BusinessNameLine1>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1>515 S FIGUEROA ST SUITE 1300</AddressLine1>
          <City>LOS ANGELES</City>
          <State>CA</State>
          <ZIPCode>90071</ZIPCode>
        </USAddress>
        <RecipientEIN>237314808</RecipientEIN>
        <IRCSectionDesc>501-(C)-(3)</IRCSectionDesc>
        <CashGrantAmt>5000</CashGrantAmt>
        <PurposeOfGrantTxt>BRONZE SPONSOR - CELEBRATION OF LEADERSHIP, VISION, AND COMMITMENT; RUTHITA FIKE'S TRIBUTE DINNER - SEVENTH-DAY ADVENTIST PARTNERSHIPS</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1>NORTH AMERICAN DIVISION OF SEVENTH-DAY ADVENTISTS</BusinessNameLine1>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1>12501 OLD COLUMBIA PIKE</AddressLine1>
          <City>SILVER SPRING</City>
          <State>MD</State>
          <ZIPCode>209046600</ZIPCode>
        </USAddress>
        <RecipientEIN>203164300</RecipientEIN>
        <IRCSectionDesc>501-(C)-(3)</IRCSectionDesc>
        <CashGrantAmt>5000</CashGrantAmt>
        <PurposeOfGrantTxt>COMMUNITY SERVICES PROJECTS - HELPING PAY FOR T-SHIRTS - SEVENTH-DAY ADVENTIST PARTNERSHIPS</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1>OAKWOOD UNIVERSITY</BusinessNameLine1>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1>7000 ADVENTIST BOULEVARD NW</AddressLine1>
          <City>HUNTSVILLE</City>
          <State>AL</State>
          <ZIPCode>35896</ZIPCode>
        </USAddress>
        <RecipientEIN>630366652</RecipientEIN>
        <IRCSectionDesc>501-(C)-(3)</IRCSectionDesc>
        <CashGrantAmt>10000</CashGrantAmt>
        <PurposeOfGrantTxt>OAKWOOD UNIVERSITY CLASS OF 1963 SCHOLARSHIP ENDORSEMENT FOR FOR STUDENTS IN HEALTHCARE - SEVENTH-DAY ADVENTIST PARTNERSHIPS</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1>SENIOR LEADERSHIP MONTGOMERY</BusinessNameLine1>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1>5910 EXECUTIVE BLVD 200</AddressLine1>
          <City>ROCKVILLE</City>
          <State>MD</State>
          <ZIPCode>20852</ZIPCode>
        </USAddress>
        <RecipientEIN>521627257</RecipientEIN>
        <IRCSectionDesc>501-(C)-(3)</IRCSectionDesc>
        <CashGrantAmt>20000</CashGrantAmt>
        <PurposeOfGrantTxt>CLASS PROGRAM - PROGRAM SPONSOR ($15,000); CELEBRATION ($5,000) - INITIATIVES THAT FOSTER COLLABORATIONS, PROMOTES HEALTHCARE CAREERS AND POLICY ADVOCACY</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1>SHADY GROVE ADVENTIST HOSPITAL FOUNDATION INC</BusinessNameLine1>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1>820 WEST DIAMOND AVENUE</AddressLine1>
          <City>GAITHERSBURG</City>
          <State>MD</State>
          <ZIPCode>20878</ZIPCode>
        </USAddress>
        <RecipientEIN>521216429</RecipientEIN>
        <IRCSectionDesc>501-(C)-(3)</IRCSectionDesc>
        <CashGrantAmt>102967</CashGrantAmt>
        <PurposeOfGrantTxt>FACILITY RENT FOR SHADY GROVE ADVENTIST HOSPITAL</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1>STRATHMORE HALL FOUNDATION INC - MUSIC CENTER</BusinessNameLine1>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1>5301 TUKERMAN LANE</AddressLine1>
          <City>NORTH BETHESDA</City>
          <State>MD</State>
          <ZIPCode>20852</ZIPCode>
        </USAddress>
        <RecipientEIN>521233092</RecipientEIN>
        <IRCSectionDesc>501-(C)-(3)</IRCSectionDesc>
        <CashGrantAmt>10000</CashGrantAmt>
        <PurposeOfGrantTxt>2013 SPRING GALA - INITIATIVES THAT FOSTER COLLABORATIONS, PROMOTES HEALTHCARE CAREERS AND POLICY ADVOCACY</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1>WASHINGTON ADVENTIST HOSPITAL FOUNDATION INC</BusinessNameLine1>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1>820 WEST DIAMOND AVENUE</AddressLine1>
          <City>GAITHERSBURG</City>
          <State>MD</State>
          <ZIPCode>20878</ZIPCode>
        </USAddress>
        <RecipientEIN>521692158</RecipientEIN>
        <IRCSectionDesc>501-(C)-(3)</IRCSectionDesc>
        <CashGrantAmt>84693</CashGrantAmt>
        <PurposeOfGrantTxt>PAID FOR CONSULTING RELATED TO LAUNCHING AN ONLINE FUNDRAISING SERVICE AND MAJOR GIFT FUNDRAISING SERVICES</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1>WASHINGTON ADVENTIST UNIVERSITY</BusinessNameLine1>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1>7600 FLOWER AVENUE</AddressLine1>
          <City>TAKOMA PARK</City>
          <State>MD</State>
          <ZIPCode>20912</ZIPCode>
        </USAddress>
        <RecipientEIN>520643528</RecipientEIN>
        <IRCSectionDesc>501-(C)-(3)</IRCSectionDesc>
        <CashGrantAmt>7500</CashGrantAmt>
        <PurposeOfGrantTxt>2013 FAMILY FUN FESTIVAL ($2,500); VISION 2020 - GROWING WITH EXCELLENCE INAUGURAL GALA ($4,000) - INITIATIVES THAT FOSTER COLLABORATIONS, PROMOTES HEALTHCARE CAREERS AND POLICY ADVOCACY/SEVENTH-DAY ADVENTIST PARTNERSHIPS)</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1>SHADY GROVE ADVENTIST HOSPITAL FOUNDATION INC</BusinessNameLine1>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1>820 WEST DIAMOND AVENUE</AddressLine1>
          <City>GAITHERSBURG</City>
          <State>MD</State>
          <ZIPCode>20878</ZIPCode>
        </USAddress>
        <RecipientEIN>521216429</RecipientEIN>
        <IRCSectionDesc>501-(C)-(3)</IRCSectionDesc>
        <CashGrantAmt>16000</CashGrantAmt>
        <PurposeOfGrantTxt>DONATIONS MADE TO A GOLF TOURNAMENT, WITH PROCEEDS OF THIS EVENT GOING TOWARDS CRITICAL NEEDS</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1>WASHINGTON ADVENTIST HOSPITAL FOUNDATION INC</BusinessNameLine1>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1>820 WEST DIAMOND AVENUE</AddressLine1>
          <City>GAITHERSBURG</City>
          <State>MD</State>
          <ZIPCode>20878</ZIPCode>
        </USAddress>
        <RecipientEIN>521692158</RecipientEIN>
        <IRCSectionDesc>501-(C)-(3)</IRCSectionDesc>
        <CashGrantAmt>10000</CashGrantAmt>
        <PurposeOfGrantTxt>DONATIONS MADE TO TWO SPECIAL FUNDRAISING EVENTS, A BLACK TIE GALA AND A GOLF TOURNAMENT, WITH ALL THE PROCEEDS OF THESE EVENTS GOING TOWARDS CRITICAL NEEDS</PurposeOfGrantTxt>
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        <FormAndLineReferenceDesc>PART I, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ADVENTIST HEALTHCARE COMMUNITY PARTNERSHIP FUND PROGRAM OPERATES IN SUPPORT OF OUR ORGANIZATIONS MISSION. WE DEMONSTRATE GODS CARE BY IMPROVING THE HEALTH OF PEOPLE AND COMMUNITIES THROUGH A MINISTRY OF PHYSICAL, MENTAL AND SPIRITUAL HEALING. THE ADVENTIST HEALTHCARE COMMUNITY PARTNERSHIP FUND SEEKS TO SUPPORT AND PARTNER WITH COMMUNITY-BASED ORGANIZATIONS TO IMPROVE BOTH OVERALL COMMUNITY HEALTH AND THE HEALTH CARE SYSTEM. THE COMMUNITY PARTNERSHIP FUND WILL CHANNEL ITS INVESTMENTS INTO AREAS OF FOCUS THAT WILL IMPROVE COMMUNITY HEALTH. THESE INVESTMENTS INCLUDE, BUT ARE NOT LIMITED TO: WORKING TO INCREASE ACCESS FOR THE UNDERSERVED, DISSEMINATING CARE IMPROVEMENTS, ADDRESSING SOCIAL DETERMINANTS OF HEALTH, AND INFLUENCING PUBLIC POLICY. AREAS OF FOCUS: -PROJECTS THAT WILL IMPROVE CULTURALLY COMPETENT CARE AND LINGUISTIC SERVICES, HEALTH DISPARITIES RESEARCH PROJECTS, AND EDUCATIONAL CONFERENCES THAT WILL ADDRESS THE NEEDS OF VULNERABLE POPULATIONS -PROGRAMS THAT PROMOTE HEALTH AND WELLNESS IN THE AREAS OF CANCER AND CARDIOVASCULAR SERVICES -PROJECTS THAT WILL RESULT IN THE EXPANSION OF HEALTH SERVICES PARTICULARLY IN SERVING THE UNDERSERVED AND UNINSURED IN THE AREA -INITIATIVES THAT FOSTER COLLABORATIONS, PROMOTE HEALTHCARE CAREERS, AND POLICY ADVOCACY ASSESSMENT CRITERIA (RANKED IN ORDER OF IMPORTANCE) 1. FACILITATES ACCOMPLISHMENT OF AHC GOALS (20%) -STRATEGIC FIT BETWEEN PROJECT AND AHC POSITION AS A HEALTH ADVOCATE -DEMONSTRATES CHANGING PERCEPTION OF AHC BRAND -DEMONSTRATES AHC LEADERSHIP IN CARE AND CLINICAL SERVICES -DEMONSTRATES AHC LEADERSHIP IN HEALTH AND MEDICAL MANAGEMENT -DEMONSTRATES AHC LEADERSHIP IN EDUCATION AND RESEARCH -BRAND REPUTATION OF PARTNER -STABILITY OF PARTNER -LEVERAGES EXISTING RELATIONSHIP AND MAKES IT STRONGER -OPENS NEW DOORS FOR RELATIONSHIP (VS. ONE-TIME OPPORTUNITY WITH LIMITED FUTURE) 2. COMMUNITY HEALTH IMPACT (IF COMMUNITY BENEFIT IN NATURE) (15%) -TAKES PLACE IN AHCS AREAS OR REGION OF SERVICE -IDENTIFIES POPULATION-SERVED -ADDRESSES RACIAL AND ETHNIC HEALTH DISPARITIES 3. COST &amp; RESOURCE ISSUES (15%) -COST RELATIVE TO BUDGET -MULTIPLE AHC ENTITIES OR DEPARTMENTS SUPPORT REQUIRED -CLINICAL PERSONNEL REQUIRED -VALUE FOR INVESTMENT (E.G. COST VS. IMPACT) -EASE OF EXECUTION 4. FIT WITH CUSTOMER TARGETS (IF COMMERCIAL IN NATURE) (15%) -DEMOGRAPHIC FIT WITH CUSTOMER SEGMENTATION -HOSPITALITY BENEFITS -VIP ENTERTAINMENT BENEFITS 5. OWNERSHIP/VISIBILITY (10%) -TITLE SPONSOR, ORGANIZATION-NAMED ACTIVITY -OPPORTUNITY TO BUILD EQUITY OVER TIME (LONG-TERM OR SHORT-TERM COMMITMENT) -INDUSTRY CATEGORY EXCLUSIVITY, ABILITY TO PRE-EMPT COMPETITORS -AVOID CLUTTER OF MULTIPLE LAYERS OF SPONSORS -ABILITY TO INFLUENCE CONTENT 6. MEDIA AND PUBLICITY (EXPOSURE) (10%) -QUALITY AND QUANTITY OF OPPORTUNITY FOR MEDIA PLACEMENTS -MEDIA CO-SPONSOR TIE-IN -NEWSWORTHINESS OF ACTIVITY -LATITUDE TO COMMUNICATE AHC MESSAGES OR LOGO-RECOGNITION 7. EMPLOYEE IMPACT (10%) -POTENTIAL TO HAVE POSITIVE IMPACT ON EMPLOYEE MORALE -ABILITY TO REACH EMPLOYEES IN KEY COMMUNITIES -FIT BETWEEN PROJECT AND EMPLOYEES WORK/FAMILY BALANCE ISSUES 8. GENERAL COMMUNITY IMPACT (5%) -BUILDING OF GOODWILL -DEMONSTRATION OF LEADERSHIP</ExplanationTxt>
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        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>557597</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>KENNETH B DESTEFANO</PersonNm>
        <TitleTxt>VP &amp; GENERAL COUNSEL</TitleTxt>
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        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
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        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>77612</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>12750</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>24039</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>508779</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>RANDALL WAGNER</PersonNm>
        <TitleTxt>CHIEF MEDICAL OFFICER, WAH</TitleTxt>
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        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>76578</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>8400</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
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        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>426826</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>EUNMEE SHIM</PersonNm>
        <TitleTxt>VP, OPERATIONS</TitleTxt>
        <BaseCompensationFilingOrgAmt>202947</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
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        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>185929</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>7351</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>23442</NontaxableBenefitsFilingOrgAmt>
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        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>PAULA WIDERLITE</PersonNm>
        <TitleTxt>VP, CHIEF DEVELOPMENT OFFICER</TitleTxt>
        <BaseCompensationFilingOrgAmt>266743</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
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        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>JERE D STOCKS</PersonNm>
        <TitleTxt>FORMER EMPLOYEE, WAH</TitleTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 1A</FormAndLineReferenceDesc>
        <ExplanationTxt>ADVENTIST HEALTHCARE DOES NOT HAVE A WRITTEN POLICY REGARDING REIMBURSEMENT OR PROVISION OF A COUNTRY CLUB EXPENSE INCURRED BY ONLY 2 EXECUTIVES. HOWEVER, WE DO HAVE A CONSISTENT PRACTICE AS FOLLOWS. AHC OWNS THREE COUNTRY CLUB ACCOUNTS, AND ONE OF THE ACCOUNTS IS USED EXCLUSIVELY FOR BUSINESS MEETING PURPOSES. THE USAGE OF THE COUNTRY CLUB ACCOUNT CAN ONLY BE AUTHORIZED BY EITHER ONE OF THE THREE CORPORATE OFFICERS. THE REMAINING TWO ACCOUNTS ARE USED EXCLUSIVELY BY TWO EXECUTIVES WITH SEPARATE BILLINGS FROM THE COUNTRY CLUB. ONE EXECUTIVE PAYS THE COUNTRY CLUB DIRECTLY OUT OF HIS OWN POCKET WITHOUT REIMBURSEMENT FROM AHC. FOR THE OTHER EXECUTIVE, ALTHOUGH ALL EXPENSES ARE PAID BY ADVENTIST HEALTHCARE, ALL SPENDING INCLUDING BUT NOT LIMITED TO FOOD CONSUMPTIONS, RENTAL OF FACILITY, SPORT ACTIVITY FEES AND ALL INCIDENTALS, ARE INCLUDED AS TAXABLE INCOME SUBJECT TO FEDERAL AND STATE TAXES WITHHOLDING. THE OVERALL EXPENDITURES ARE REVIEWED PERIODICALLY BY THE SENIOR VICE PRESIDENT OF HUMAN RESOURCES AND CORPORATE OFFICERS IN ADDITION TO ANNUAL COMPENSATION REVIEW CONDUCTED BY THE BOARD. ADVENTIST HEALTHCARE DOES NOT CONSIDER IT IS NECESSARY TO ESTABLISH FORMAL POLICY DUE TO SUCH LIMITED USAGE OF COUNTRY CLUB MEMBERSHIP.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 3</FormAndLineReferenceDesc>
        <ExplanationTxt>COMPENSATION DEFINED. THE COMPENSATION REPORTED FOR THE EMPLOYEES SET FORTH ON SCHEDULE J IS COMPRISED OF THE FOLLOWING: BASE COMPENSATION INCLUDES NONDISCRETIONARY PAYMENTS, AGREED UPON IN ADVANCE, CONTINGENT ONLY UPON THE PAYEES PERFORMANCE OF AGREED UPON SERVICES (SUCH AS SALARY OR FEES). INCENTIVE COMPENSATION INCLUDES PAYMENTS BASED ON SATISFACTION OF PRE-DETERMINED PERFORMANCE TARGETS SUCH AS QUALITY/PATIENT SAFETY GOALS, EMPLOYEE AND CUSTOMER ENGAGEMENT GOALS, ORGANIZATIONAL GROWTH, AND FINANCIAL PERFORMANCE, AMONG OTHER THINGS. OTHER REPORTABLE COMPENSATION INCLUDES CERTAIN CUMULATIVE LUMP-SUM TAXABLE PAYMENTS MADE AS A RESULT OF TAX LAW CHANGES THAT AFFECTED THE ADMINISTRATION OF ADVENTIST HEALTHCARE CAPITAL ACCUMULATION ACCOUNT (CAA) PLAN ESTABLISHED PURSUANT TO SECTION 457(F) OF THE INTERNAL REVENUE CODE. IN ADDITION, OTHER REPORTABLE COMPENSATION INCLUDES LONG-TERM DISABILITY COVERAGE, CELL PHONE ALLOWANCES, CASH-OUT OF UNUSED PAID TIME OFF (PTO) HOURS, IMPUTED VALUE OF LIFE INSURANCE BENEFITS, TAXABLE PAYABLE PAY, AND SEVERANCE, AS APPLICABLE. NON-TAXABLE BENEFITS INCLUDES PRE-TAX PAYROLL DEDUCTIONS (SUCH AS FLEXIBLE MEDICAL SPENDING, DEPENDENT CARE, AND EMPLOYEE HEALTH BENEFIT PREMIUM), AND THE EMPLOYER PORTION OF CERTAIN EMPLOYEE BENEFITS SUCH AS HEALTH INSURANCE, DENTAL INSURANCE, VISION INSURANCE, LIFE INSURANCE, BASE CONTRIBUTIONS TO RETIREMENT PLANS, MATCHING OF EMPLOYEES RETIREMENT CONTRIBUTIONS, QUALIFIED NON-TAXABLE EMPLOYEE MOVING REIMBURSEMENTS, ETC. PAY PRACTICE: ADVENTIST HEALTHCARE UTILIZES A SINGLE EMPLOYER ID FOR ALL OF ITS AFFILIATED ENTITIES FOR EMPLOYMENT PURPOSES. AS SUCH, ACTUAL COMPENSATION AND BENEFITS ARE CHARGED TO THE RESPECTIVE ENTITIES AND THE RESULTING COMPENSATION AND BENEFITS ARE REPORTED ON EACH AFFILIATE IRS FORM 990 AS IF PAID DIRECTLY BY SUCH AFFILIATE. AS APPLICABLE, THE SAME AND NON-ADDITIVE COMPENSATION AND EMPLOYMENT BENEFIT PLAN CONTRIBUTION AMOUNTS WERE ALSO DISCLOSED IN THE ADVENTIST HEALTHCARE INC. RELATED ENTITIES RETURNS. INDEPENDENT GUIDELINES: WHEN SETTING COMPENSATION FOR THE OFFICERS, DIRECTORS, TRUSTEES, KEY EMPLOYEES, AND THE HIGHEST COMPENSATED EMPLOYEES, ADVENTIST HEALTHCARE FULLY COMPLIES WITH THE PROCEDURAL SAFE GUARDS EMBODIED IN IRS REGULATIONS. COMPENSATION FOR ADVENTIST HEALTHCARE OFFICERS, DIRECTORS, TRUSTEES, KEY EMPLOYEES, AND THE HIGHEST COMPENSATED EMPLOYEES IS ENTIRELY SET BY A COMMITTEE OF ADVENTIST HEALTHCARE BOARD OF TRUSTEES. IN SETTING COMPENSATION, THE GOVERNING BOARD COMMITTEE RELIES UPON MARKET COMPARABILITY DATA PROVIDED BY AN INDEPENDENT OUTSIDE COMPENSATION CONSULTANT WHO PROVIDES A SUMMARY OF HEALTH CARE SALARIES AND BENEFITS FOR COMPARABLE SIZED ORGANIZATIONS BOTH NATIONALLY AND IN THE BALTIMORE-WASHINGTON REGION. TO FURTHER ENSURE REASONABLENESS, BOTH COMPENSATION AND BENEFITS ARE TARGETED AT THE 50TH PERCENTILE (OR MEDIAN) OF THE MARKET. PAY PHILOSOPHY: FOR ALL ADVENTIST HEALTHCARE EMPLOYEES INCLUDING THOSE LISTED ON SCHEDULE J, THE GOAL OF ADVENTIST HEALTHCARE IS TO OFFER COMPETITIVE SALARIES IN ORDER TO ATTRACT, HIRE AND RETAIN QUALIFIED AND TALENTED INDIVIDUALS. MAINTAINING A QUALITY AND STABLE WORKFORCE HAS A POSITIVE IMPACT ON THE WORKPLACE AND ON THE CARE PROVIDED TO OUR PATIENTS/RESIDENTS AND THEIR FAMILIES. IN GENERAL, NON-EXECUTIVE EMPLOYEES ARE COMPENSATED UTILIZING THE FULL WAGE SCALE FOR THEIR RESPECTIVE POSITIONS, COMPARED TO THE MARKET. HOWEVER, EXECUTIVES ARE GENERALLY LIMITED TO THE MEDIAN OF THE MARKET FOR THEIR RESPECTIVE POSITIONS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINES 4A-B</FormAndLineReferenceDesc>
        <ExplanationTxt>CUMULATIVE LUMP-SUM TAXABLE PAYMENTS MADE AS A RESULT OF TAX LAW CHANGES THAT AFFECTED THE ADMINISTRATION OF THE ADVENTIST HEALTHCARES CAPITAL ACCUMULATION ACCOUNT (CAA) PLAN ESTABLISHED PURSUANT TO SECTION 457(F) OF THE INTERNAL REVENUE CODE WERE AS FOLLOWS: WILLIAM G. ROBERTSON: $203,855 TERRY FORDE: $108,601 JAMES G. LEE: $105,670 JOHN SACKETT: $68,196 SUSAN L. GLOVER: $37,804 JOYCE L. NEWMYER: $71,430 JASON C. COE: $33,836 PATRICK GARRETT: $54,784 KEVIN YOUNG: $53,722 BRENT REITZ: $33,285 KEITH BALLENGER: $19,156 KEVIN SMOTHERS: $81,584 KENNETH B. DESTEFANO: $41,695 RANDALL WAGNER, MD: $72,052 EUNMEE SHIM: $32,972 PAULA WILDERLITE: $48,291 MARTA BRITO PEREZ: $58,265 ALSO, IN 2013, SEVERANCE PAYMENTS WERE MADE TO DENNIS HANSEN: $308,638 JERE STOCKS $422,739</ExplanationTxt>
      </SupplementalInformationDetail>
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        <PurposeDesc>SEE PART VI</PurposeDesc>
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        <FormAndLineReferenceDesc>PART I BOND ISSUES:</FormAndLineReferenceDesc>
        <ExplanationTxt>A. (A) ISSUER NAME: MHHEFA (F) DESCRIPTION OF PURPOSE: SHADY GROVE ADVENTIST HOSPITAL (SGAH) EXPANSION PROJECT - SHADY GROVE TOWER; RENOVATION TO SURGERY DEPARTMENT, MEDICAL/ONCOLOGY NURSING, MEDICAL NURSING, SURGICAL UNITS, EXPANDED EMERGENCY, OBSTETRICS, AND NEONATAL INTENSIVE CARE UNIT; POWER PLANT, ROAD AND ENTRANCEWAY; SIGNAGE AND PARKING; OTHER ROUTINE CAPITAL PROJECTS; B. (A) ISSUER NAME: MHHEFA (F) DESCRIPTION OF PURPOSE: REFUNDING SERIES 2003 B, 2004 AND 2005 ISSUED 2/27/2003, 9/14/04 AND 12/20/05. CONSTRUCTION AND RENOVATIONS AT WASHINGTON ADVENTIST HOSPITAL (WAH), SHADY GROVE (SG), ADVENTIST BEHAVIORAL HEALTH (ABH), AND SG NURSING AND REHABILITATION CENTER EQUIPMENT AT WAH, SG, ABH, AND SG NURSING AND REHABILITATION CENTER, REFINANCE A LOC; FINANCE AND REFINANCE, A PORTION OF THE EXISTING FACILITIES OF ADVENTIST REHABILITATION HOSPITAL OF MD, ACQUISITION OF LIFE SCIENCES LAND, CONSTRUCTION, RENOVATIONS, PARKING LOTS, FENCES, WALKWAYS, AND LANDSCAPING FOR THE INSTITUTION, ADVENTIST REHABILITATION HOSPITAL OF MARYLAND (ARHM), AND SHADY GROVE NURSING, EQUIPMENT FOR ARHM AND SG NURSING, PLANNING AND DESIGN COSTS RELATED TO SG TOWER, COST OF ACQUISITION OF AN INTEREST IN ARHM; C. (A) ISSUE NAME: MHHEFA (F) DESCRIPTION OF PURPOSE: REFUNDING OF 2004 A AND 2005 B. FINANCE AND REFINANCE EXISTING FACILITIES AT ARHM, ACQUISITION OF LIFE SCIENCES LAND, FINANCE OR REFINANCE CONSTRUCTION, RENOVATION, PARKING LOTS, FENCES, WALKWAYS, LANDSCAPING, VARIOUS MAJOR MEDICAL EQUIPMENT, FINANCE OR REFINANCE CERTAIN PLANNING AND DESIGN COSTS RELATED TO THE CONSTRUCTION OF THE SHADY GROVE TOWER, COST OF ACQUISITION OF AN INTEREST IN ARHM; ACQUISITION, CONSTRUCTION, RENOVATION, AND EQUIPPING OF ARHM AND WAH, RENOVATION TO WAH AND SG. D. (A) ISSUE NAME: MHHEFA (F) DESCRIPTION OF PURPOSE: REFUND OF 2003 A BONDS REFUND 1991 A FOR THE "1991 A-1 PROJECT" - PROJECTS FINANCED OR REFINANCED WITH THE PROCEEDS OF THE 1983 BONDS, INCLUDING CONSTRUCTION, RENOVATION AND EQUIPPING OF FACILITIES AT WASHINGTON ADVENTIST HOSPITAL; PART II, COLUMN A: THE 2005 A BOND ISSUE WAS OFFERED AT $78,000,000.00, BUT AS THIS ISSUE WAS FOR A CONSTRUCTION PROJECT, THE PROCEEDS EARNED INTEREST IN A CONSTRUCTION FUND. THE PROCEEDS, THEREFORE, WERE MORE THAN THE ISSUING PRICE. PART II, COLUMN B: 2011 A HAS A RESERVE FUND VALUED AT $5,868,995.00 AS OF 12/31/2013. THIS RESERVE FUND WAS RESIZED WITH RESPECT TO THE REFUND OF THE 2003A BONDS WHICH WAS COMBINED WITH THE 2011 A RESERVE FUND. ROW 3 WILL NOT TIE TO THE SUM OF ROWS 4-12 FOR THIS BOND ISSUE. PART I, COLUMN (A) ISSUER NAME: MHHEFA STANDS FOR THE MARYLAND HEALTH AND HIGHER EDUCATIONAL FACILITIES AUTHORITY;</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART III, LINE 4A, PROGRAM SERVICE ACCOMPLISHMENTS, CONTINUED:</FormAndLineReferenceDesc>
        <ExplanationTxt>3. PROMOTE HEALTH EQUITY AND WELLNESS: COMMUNITIES SERVED BY ADVENTIST HEALTHCARE THRIVE IN A CULTURE OF WELLNESS AND ENJOY ACCESS TO AND THE BENEFITS OF HIGH QUALITY, EQUITABLE HEALTHCARE THAT PROMOTES PHYSICAL, MENTAL AND SPIRITUAL WELLBEING. TO REALIZE OUR VISION, THE CENTER FOR HEALTH EQUITY &amp; WELLNESS ENSURES THE DELIVERY OF POPULATION-BASED CARE AND PROMOTION OF HEALTH CARE EQUITY IN THE COMMUNITIES SERVED BY ADVENTIST HEALTHCARE. WE ACCOMPLISH OUR MISSION BY PARTNERING WITH COMMUNITY MEMBERS AND ORGANIZATIONS TO IMPLEMENT HEALTH EQUITY AND COMMUNITY WELLNESS APPROACHES THAT IMPROVE POPULATION HEALTH. IN 2013, WE PROVIDED MORE THAN 40,000 ENCOUNTERS IN THE PROMOTION OF COMMUNITY HEALTH AND WELLNESS. CENTER FOR HEALTH EQUITY AND WELLNESS AREAS OF EXPERTISE INCLUDE: &gt; CULTURAL COMPETENCE TRAINING FOR HEALTH PROFESSIONALS &gt; COMMUNITY OUTREACH THROUGH HEALTH SCREENINGS AND EDUCATION &gt; INTERPRETER TRAINING FOR QUALIFIED BILINGUAL STAFF &gt; ORGANIZATIONAL HEALTH EQUITY ASSESSMENT AND STRATEGIC PLANNING &gt; DEVELOPMENT AND IMPLEMENTATION OF COMMUNITY HEALTH NEEDS ASSESSMENTS &gt; COMMUNITY BENEFIT REPORTING &gt; PROGRAM DEVELOPMENT AND RESEARCH; ALIGNING THESE AREAS ALLOWS ADVENTIST HEALTHCARE TO ENHANCE ITS POSITION IN THE REGION AND NATIONALLY AS THE LEADER IN PROVIDING POPULATION-BASED AND EQUITABLE CARE THROUGHOUT THE CARE CONTINUUM, FROM BIRTH TO DEATH, FROM INPATIENT TO OUTPATIENT. IN ADDITION, THE CENTER FOR HEALTH EQUITY &amp; WELLNESS IS A CATALYST FOR CONNECTING OUR HOSPITALS, URGENT CARE SERVICES, HOME CARE, MEDICAID HEALTH PLAN, PHYSICIAN PRACTICES AND OTHER SERVICES TO ALL OUR COMMUNITIES. OUR PROGRAMS ARE DESIGNED TO NOT ONLY PROMOTE ADVENTIST HEALTHCARE AS A HIGH-QUALITY, HEALTH CARE PROVIDER TO THOSE WE SERVE, BUT TO HELP ADVENTIST HEALTHCARE BECOME A PROVIDER OF CHOICE FOR RESIDENTS IN THE REGION. THE CENTER FOR HEALTH EQUITY &amp; WELLNESS BRINGS TOGETHER THE ADVENTIST HEALTHCARE CENTER ON HEALTH DISPARITIES AND THE ADVENTIST HEALTHCARE HEALTH AND WELLNESS DEPARTMENT. THE CENTER ON HEALTH DISPARITIES WAS ESTABLISHED IN 2007 TO HELP ACHIEVE HEALTH EQUITY IN THE COMMUNITIES SERVED BY ADVENTIST HEALTHCARE. BY RAISING COMMUNITY AWARENESS, IMPROVING CAPACITY, AND DEVELOPING SOLUTIONS TO ELIMINATE LOCAL DISPARITIES IN HEALTH CARE, THE CENTER ON HEALTH DISPARITIES HAS WORKED TO IMPROVE ACCESS TO QUALITY HEALTH CARE, ESPECIALLY FOR MINORITIES, WOMEN, AND PEOPLE WHO HAVE LANGUAGE BARRIERS OR OTHER COMMUNICATION NEEDS. THE HEALTH AND WELLNESS DEPARTMENT HAS LONG WORKED WITH AHC HEALTH PROGRAMS, SUCH AS CARDIOVASCULAR, DIABETES, CANCER, AND MATERNAL AND CHILD HEALTH, TO RAISE AWARENESS OF HEALTH ISSUES, TO SCREEN FOR VARIOUS CONDITIONS, AND TO OFFER EDUCATIONAL AND SUPPORT PROGRAMS TO COMMUNITY MEMBERS. THE CENTER FOR HEALTH EQUITY &amp; WELLNESS ACHIEVES ITS MISSION THROUGH THREE TEAMS: 1) RESEARCH AND EDUCATION DESIGNS AND CONDUCTS POPULATION-BASED RESEARCH ON COMMUNITY HEALTH DISPARITIES AND OUTCOMES, AND DEVELOPS EFFECTIVE STRATEGIES TO PROMOTE HEALTH EQUITY. DEVELOPS AND DELIVERS CLASSES AND PROGRAMS TO EDUCATE PATIENTS, PROVIDERS AND INSTITUTIONS ON WAYS TO PROMOTE CULTURALLY COMPETENT PRACTICES AND ACHIEVE BETTER HEALTH OUTCOMES. HOLDS HEALTH DISPARITIES CONFERENCES AND PRODUCES REPORTS ON HEALTH CARE EQUITY ANNUALLY TO TARGET QUALITY IMPROVEMENT EFFORTS. &gt; MONITOR HEALTH CARE DISPARITIES AMONG ADVENTIST HEALTHCARE PATIENT POPULATIONS ANNUALLY TO INFORM RESEARCH AND PROGRAMS TO IMPROVE QUALITY, EXPAND ACCESS, AND DELIVER POPULATION-BASED CARE (E.G., PROJECT BEAT IT!) &gt; PLAN AND HOST ANNUAL CONFERENCE ON HEALTH CARE DISPARITIES AND BEST PRACTICES TO PROMOTE HEALTH EQUITY &gt; DEVELOP AND DISSEMINATE ADVENTIST HEALTHCARE'S HEALTH EQUITY REPORT ANNUALLY TO INFORM STRATEGIES THAT MEET OUR MISSION. &gt; CONDUCT CULTURAL COMPETENCY, DATA COLLECTION, AND OTHER TRAINING AND CONTINUING EDUCATION CLASSES FOR HEALTH PROFESSIONALS AT LEAST TWICE A YEAR. &gt; CONDUCT QUALIFIED BILINGUAL STAFF TRAINING CLASSES 24 TIMES A YEAR. &gt; PUBLISH QUARTERLY ARTICLES ON CURRENT NEWS AND RESEARCH ON HEALTH EQUITY FOR EMPLOYEE NEWSLETTERS. &gt; SUBMIT RESEARCH TO PEER-REVIEWED JOURNALS FOR PUBLICATION AS APPLICABLE. &gt; DEVELOP LOGIC MODELS WITH MEASUREABLE OUTCOMES TO EVALUATE HEALTH PROMOTION AND EDUCATION PROGRAMS. &gt; REPORT PROGRAM OUTCOMES MONTHLY AND WHEN APPLICABLE, STRATIFY BY RELEVANT CHARACTERISTICS TO ASSESS NEEDS OF AND OUTREACH TO DIFFERENT POPULATIONS. 2) HEALTH PROGRAMS DELIVERY COLLABORATES WITH ADVENTIST HEALTHCARE'S SERVICE LINES TO SUPPORT EXPANDED HOSPITAL CARE, MARKETING STRATEGIES, LOCAL AND STATE HEALTH DEPARTMENTS, AND PROVIDERS FOR THE UNDERSERVED AS WELL AS HEALTH EDUCATION ACTIVITIES FOR ALL POPULATIONS. AREAS OF EXPERTISE INCLUDE: CANCER, CARDIOVASCULAR AND DIABETES CARE AS WELL AS SMOKING CESSATION AND MATERNAL/CHILD EDUCATION AND SUPPORT. &gt; PROVIDE PRE AND POST NATAL EDUCATION AND SUPPORT TO NEW AND EXPECTANT PARENTS &gt; COORDINATE CANCER OUTREACH BY PROVIDING COLORECTAL SCREENINGS AND BREAST CANCER SCREENINGS TO LOW-INCOME, UNINSURED WOMEN; WHEN APPROPRIATE, CASE MANAGE FROM DIAGNOSIS THROUGH TREATMENT AND BEYOND &gt; PROMOTE CARDIOVASCULAR HEALTH THROUGH SCREENINGS AND EDUCATION ON PREVENTION AND LIFESTYLE CHANGES &gt; DELIVER COMPREHENSIVE AND ACCREDITED DIABETES EDUCATION TO THE COMMUNITY &gt; PROVIDE EDUCATION AND COMPREHENSIVE SUPPORT THROUGH OUR SMOKING CESSATION PROGRAM THAT INCLUDES BEDSIDE COUNSELING, INDIVIDUALIZED NICOTINE REPLACEMENT THERAPY AND FOLLOW-UP CALLS POST-DISCHARGE 3) COMMUNITY HEALTH AND OUTREACH COLLABORATES WITH ADVENTIST HEALTHCARE'S HOSPITAL LEADERSHIP TO PROVIDE COMMUNITY OUTREACH AND HEALTH EDUCATION FOR SENIORS, ADULTS, TEENS AND FAMILIES. DEVELOPS AND IMPLEMENTS RECOMMENDATIONS FROM COMMUNITY HEALTH NEEDS ASSESSMENT TO IMPROVE HEALTH OUTCOMES. PARTNERS WITH ACADEMIC INSTITUTIONS TO PROVIDE MEANINGFUL INTERNSHIP EXPERIENCES TO HELP RECRUIT AND DEVELOP FUTURE HEALTH CARE PROFESSIONALS. COORDINATES LANGUAGE ACCESS POLICIES, PROGRAMS AND SERVICES TO MEET THE COMMUNICATION NEEDS OF DEAF AND HARD-OF-HEARING PATIENTS AND PATIENTS WITH LIMITED ENGLISH PROFICIENCY. COORDINATES COMMUNITY DONATIONS AND SPONSORSHIPS THROUGH THE ADVENTIST HEALTHCARE'S COMMUNITY PARTNERSHIP FUND. &gt; OVERSEE LANGUAGE ACCESS SERVICES FOR ADVENTIST HEALTHCARE (E.G., QUALIFIED BILINGUAL STAFF, INTERPRETATION AND TRANSLATION VENDORS) &gt; DEVELOP HOSPITAL AND ORGANIZATIONAL POLICIES AND PROCEDURES RELATED TO PROVISION OF CULTURALLY AND LINGUISTICALLY COMPETENT CARE, AND TRAIN PROVIDERS/STAFF ACCORDINGLY &gt; RESEARCH, ANALYZE AND WRITE COMMUNITY HEALTH NEEDS ASSESSMENTS (CHNAS) FOR EACH HOSPITAL AND FACILITATE THE DEVELOPMENT, IMPLEMENTATION, AND EVALUATION OF CORRESPONDING STRATEGIC PLANS &gt; PROVIDE HEALTH EDUCATION ON VARIOUS TOPICS INCLUDING NUTRITION, EXERCISE, MATERNAL/CHILD HEALTH, SAFETY, AND COLD/FLU PREVENTION &gt; CONDUCT CPR CLASSES (INFANT AND ADULT), BABYSITTING CLASSES AND SIBLING CLASSES &gt; PROVIDE TOBACCO CESSATION COUNSELING &gt; PROVIDE A VARIETY OF HEALTH SCREENINGS (E.G., BLOOD PRESSURE, BODY COMPOSITION, BONE DENSITY, ETC.) &gt; COORDINATE FLU SHOT CLINICS IN A VARIETY OF COMMUNITY LOCATIONS &gt; ADMINISTER COMMUNITY PARTNERSHIP FUND DONATIONS &gt; BUILD RELATIONSHIPS WITH A WIDE RANGE OF COMMUNITY ORGANIZATIONS (E.G., SENIOR CENTERS, FAITH-BASED ORGANIZATIONS, COMMUNITY CENTERS, LOW-INCOME HOUSING COMPLEXES, ETC.)</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 6</FormAndLineReferenceDesc>
        <ExplanationTxt>SEE BY LAWS, ARTICLE II: THE SOLE MEMBER OF THIS ORGANIZATION IS MID-ATLANTIC ADVENTIST HEALTHCARE, INC.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 7A</FormAndLineReferenceDesc>
        <ExplanationTxt>SEE BY LAWS, ARTICLE II. MEMBERSHIP. THERE SHALL BE A SINGLE CLASS OF CONSTITUENT MEMBERS OF THE CORPORATION (INDIVIDUAL, "MEMBER", COLLECTIVELY, THE MEMBERSHIP") WHICH SHALL CONSIST OF THE DULY ELECTED MEMBERS OF THE BOARD OF DIRECTORS OF MID-ATLANTIC ADVENTIST HEALTHCARE, INC., AS THAT BOARD OF DIRECTORS MAY BE CONSTITUTED.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 7B</FormAndLineReferenceDesc>
        <ExplanationTxt>DECISIONS SUBJECT TO APPROVAL. SEE BY LAWS, ARTICLE II, SECTION 2 - RESERVED AUTHORITY AND RESPONSIBILITY. THE FOLLOWING ACTIONS ARE RESERVED TO THE MEMBERSHIP: A.THE ADOPTION, ALTERING, AMENDING OR REPLACING OF THE CERTIFICATE OF INCORPORATION OR THE BYLAWS OF THE HOSPITAL CORPORATION; B.THE LIQUIDATION, DISSOLUTION, WINDING UP OR ABANDONMENT OF THE HOSPITAL CORPORATION C. APPOINTMENT OF MENBERS O FTHE BOARD OF TRUSTEES FROM NOMINEES SUBMITTED BY THE NAMINATING COMMITTE. D. REMOVAL OF MEMBERS OF THE BOARD OF TRUSTEES E. APPOINTMENT AND REMOVAL OF THE CHIEF EXECUTIBE OFFICER (CEO) OF THE CORPORATION THE IN CONSULTATION WITH THE BOARD OF TRUSTEES. ALL MEMBERS HAVE RIGHTS TO VOTE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11</FormAndLineReferenceDesc>
        <ExplanationTxt>THE FORM 990 WAS REVIEWED IN DETAIL PRIOR TO FILING. VARIOUS SECTIONS WERE REVIEWED BY THE EXECUTIVE MANAGEMENT TEAM AND CERTAIN KEY SECTIONS BY THE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS. AN OVERALL REVIEW WAS CONDUCTED BY THE ORGANIZATION'S FINANCE DEPARTMENT WITH THE ORGANIZATION'S OUTSIDE TAX ADVISORS. PRIOR TO FILING, ALL MEMBERS OF THE BOARD ARE PROVIDED A COPY OF THIS FORM 990 THROUGH EMAIL, WHICH LINKED TO THE COMPANY'S INTRANET WEBSITE.</ExplanationTxt>
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        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>PURSUANT TO THE ORGANIZATIONS 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. COMPLIANCE WITH POLICY IS MONITORED AND ENFORCED BY THE HUMAN RESOURCES DEPARTMENT, CORPORATE INTEGRITY DEPARTMENT AND THE LEGAL DEPARTMENT.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15</FormAndLineReferenceDesc>
        <ExplanationTxt>WHEN SETTING EXECUTIVE COMPENSATION, THE ORGANIZATION FULLY COMPLIES WITH THE PROCEDURAL SAFEGUARDS EMBEDDED IN THE IRS REGULATIONS. EXECUTIVE COMPENSATION IS ENTIRELY SET BY A COMMITTEE OF THE BOARD OF TRUSTEES. IN SETTING COMPENSATION, THE GOVERNING BOARD COMMITTEE RELIES UPON MARKET COMPARABILITY DATA PROVIDED BY AN INDEPENDENT OUTSIDE COMPENSATION CONSULTANT. TO ENSURE REASONABLENESS, COMPENSATION IS SET AT THE 50TH PERCENTILE OF THE NATURAL MARKET.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS, ARE AVAILABLE TO THE PUBLIC UPON REQUEST.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XI, LINE 9:</FormAndLineReferenceDesc>
        <ExplanationTxt>NET ORGANIZATION TRANSFER 1,292,662. CHANGE IN ASSET HELD FOR EQUIP PURCHASE 30,317. OTHER UNRESTRICTED NET ASSETS ACTIVITY -82,045. CHANGE IN VALUE OF REMAINDER TRUST 223,675.</ExplanationTxt>
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        <LegalDomicileStateCd>MD</LegalDomicileStateCd>
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</Return>