2014-11-14T12:05:00-06:00 2013-12-31 990 2013-01-01 201486678 ADVENTIST REHABILITATION HOSPITAL OF MARYLAND ADVE 3013153030 820 WEST DIAMOND AVE NO 600 GAITHERSBURG MD 208781419 JAMES G LEE EXE VICE PRESIDENT & CFO 3013153025 2014-11-14 2013 2015-11-30 17:44:51Z WILLIAM G ROBERTSON 820 WEST DIAMOND AVE NO 600 GAITHERSBURG MD 208781419 41331390 0 X WWW.ADVENTISTHEALTHCARE.COM/AHRM X 2004 MD WE DEMONSTRATE GOD'S CARE BY IMPROVING THE HEALTH OF PEOPLE AND COMMUNITY THROUGH ( SEE SCH. O) A MINISTRY OF PHYSICAL, MENTAL, AND SPIRITUAL HEALING. 6 3 0 34 0 0 132394 147689 34137487 33062848 124592 96173 50000 0 34444473 33306710 769 4250 0 0 21168937 22502804 0 0 0 10141662 10069963 31311368 32577017 3133105 729693 29903369 30602437 7549490 7938383 22353879 22664054 X TO OPERATE A REHABILITATION HOSPITAL AND OUTPATIENT SERVICES TO SERVE THE COMMUNITY IN MARYLAND. 0 0 25254444 4250 33062848 ADVENTIST REHABILIATTION HOSPITAL OF MARYLAND, A SEPARATE LEGAL ENTITY MANAGED BY ADVENTIST HEALTHCARE EXECUTIVE TEAM, IS THE FIRST AND ONLY ACUTE REHABILIATTION HOSPITAL IN MONTGOMERY COUNTY, MD., THAT OFFERS COMPREHENSIVE REHABILITATION PROGRAMS FOR TRAUMATIC BRAIN INJURIES, SPINAL CORD INJURIES, STROKES, AMPUTATION, ORTHOPEDIC INJURIES AND SUGERIES, SPORTS-RELATED INJURIES, WORK-RELATED INJURIES, CARDIOPULMONARY CONDITIONS, AND NEUROLOGICAL DISORDERS.WE BELIEVE THAT REHABILITATION IS ALL ABOUT HELPING OUR PATIENTS SET THEIR GOALS AND REACH THEM. EXPERT CARE TEAMS WORKING SIDE-BY-SIDE WITH PATIENTS, USING INNOVATIVE THERAPIES, STATE-OF-THE-ART EQUIPMENT AND GROUND-BREAKING TECHNOLOGY COMBINE TO OFFER NEW WAYS TO HEAL. ADVENTIST REHABILITATION HOSPITAL IS BUILT AROUND OUR PATIENTS AND LEADS THE WAY BACK TO LIFE FROM STROKE, BRAIN INJURY, SPINAL CORD INJURY, AMPUTATION AND TRAUMA. EVERY DAY, WE CELEBRATE PATIENT ADVANCES, BIG AND SMALL.WE HAVE RECENTLY UPGRADED OUR SERVICES THROUGH THE ADDITION OF AN ACCESSIBLE VAN, REHABILITATION EQUIPMENT (SUCH AS POWER WHEEL CHAIRS OR LIGHT/SPORT WHEEL CHAIRS) A CAR SIMULATOR FOR PRACTICE CAR TRANSFERS AND SLEEPER CHAIRS. ADVENTIST REHAB HAS LOCATIONS IN ROCKVILLE AND TAKOMA PARK WITH OUTPATIENT SERVICES IN ROCKVILLE AND SILVER SPRING.ADVENTIST REHAB OFFERS SPECIALIZED INPATIENT AND OUTPATIENT TREATMENT FOR PERSONS WITH FUNCTIONAL LIMITATIONS, CARING FOR PATIENTS 18 AND OLDER AND, UNDER SPECIAL CIRCUMSTANCES, EMANCIPATED MINORS. OUR MANY REHABILITATION PROGRAMS AND SERVICES INCLUDE:ACUTE INPATIENT REHABILITATION,SPINAL CORD INJURY,AMPUTEE PROGRAM STROKE, BRAIN INJURY, ORTHOPEDIC PROGRAMS,ORTHOPEDIC REHABILITATION, PROSTHETICS & ORTHOTICS, OUTPATIENT SERVICES,DRIVER REHABILITATION PROGRAM, LYMPHEDEMA THERAPY, JOINT REPLACEMENT PROGRAM, SEATING & MOBILITY CLINIC, LEE SILVERMAN VOICE TREATMENT (LSVT) SPEECH LANGUAGE & SWALLOWING THERAPY, ADVENTIST REHABILITATION HOSPITAL OF MARYLAND IS THE ONLY HOSPITAL IN THE D.C. METROPOLITAN AREA AND THE THIRD IN THE NATION TO EARN A SPECIALTY ACCREDITATION IN AMPUTEE REHABILITATION FROM THE COMMISSION ON ACCREDITATION OF REHABILITATION FACILITIES (CARF) INTERNATIONAL. CARF INTRODUCED ITS AMPUTEE SPECIALTY STANDARDS IN JULY 2007 WITH INPUT FROM THE AMPUTEE COALITION OF AMERICA (ACA), VETERANS HEALTH ADMINISTRATION, DEPARTMENT OF DEFENSE, AMERICAN ACADEMY OF ORTHOTISTS & PROSTHETISTS, AND PERSONS WITH LIMB LOSS. THE STANDARDS, WHICH BECAME EFFECTIVE IN JANUARY 2008, REQUIRE ACCREDITED AMPUTEE PROGRAMS TO PROVIDE A HOLISTIC, INTERDISCIPLINARY TEAM APPROACH TO CARE AND TO OFFER POST-CARE ASSISTANCE IN TRANSITIONING BACK TO THE COMMUNITY.OUR ACUTE INPATIENT REHABILITATION PROGRAM IS RUN BY A TEAM OF REHABILITATION EXPERTS WHO WILL GUIDE YOU ALONG A PRACTICAL AND PERSONAL TREATMENT PROGRAM FOCUSED ON INCREASING SELF-RELIANCE AND GAINING INDEPENDENCE. THE TEAM IS LED BY A PHYSIATRIST, A MEDICAL DOCTOR WHO SPECIALIZES IN PHYSICAL REHABILITATION. WE PROVIDE SPECIALIZED REHABILITATION NURSING 24 HOURS A DAY, SEVEN DAYS A WEEK. THERAPY SERVICES INCLUDE PHYSICAL THERAPY, OCCUPATIONAL THERAPY, SPEECH LANGUAGE PATHOLOGY, AND RECREATIONAL THERAPY.THE SPINAL CORD INJURY PROGRAM ADDRESSES BOTH TRAUMATIC SPINAL CORD INJURIES RESULT FROM A FALL OR SOME KIND OF ACCIDENT, AND NON-TRAUMATIC SPINAL CORD INJURIES THAT RESULT FROM A STROKE AND DISRUPTION TO THE SPINAL CORD, TUMOR ON SPINAL CORD, OR INFECTION. AGAIN, A TEAM APPROACH TO PUT TOGETHER AN INTERDISCIPLINARY PLAN OF CARE HELPS THE PATIENT ON THE ROAD TO RECOVERY.ADVENTIST REHABILITATION'S AMPUTEE PROGRAM UTILIZES AN INTERDISCIPLINARY TEAM APPROACH TO HELP POST-AMPUTEE PATIENTS TO ADJUST PHYSICALLY AND PSYCHOLOGICALLY AFTER THE LOSS OF A LIMB AND RESUME ACTIVE AND PRODUCTIVE LIVES. INDIVIDUALS MAY BE TREATED AS INPATIENTS OR OUTPATIENTS, DEPENDING ON THEIR PERSONAL NEEDS. PATIENTS WORK TO IMPROVE STRENGTH, COORDINATION AND ENDURANCE AND ALSO LEARN PROPER WOUND CARE. WHEN READY, OUR PATIENTS ARE PRESCRIBED PROSTHETIC DEVICES THAT ARE BOTH FUNCTIONAL AND COMFORTABLE TO WEAR. ONCE TINED WITH A NEW LIMB, THE PATIENT LEARNS TO USE THE PROSTHESIS WITH CONFIDENCE AND TO INCORPORATE IT INTO DAILY LIFE.THE INTERDISCIPLINARY TEAM APPROACH OF THE BRAIN INJURY PROGRAM AT ADVENTIST REHAB ADDRESSES TRAUMATIC BRAIN INJURIES CAUSED BY AN EXTERNAL PHYSICAL FORCE, SUCH AS A CAR ACCIDENT, FALL, SPORTS OR WORKPLACE INJURIES, ETC.; AS WELL AS ACQUIRED BRAIN INJURIES CAUSED BY INTERNAL TRAUMA TO THE BRAIN, SUCH AS TUMORS, BLOOD CLOTS, SEIZURES, INFECTIONS, ETC. EACH OF THESE TYPES OF BRAIN INJURIES MAY RESULT IN IMPAIRMENT OF PHYSICAL, COGNITIVE, BEHAVIORAL, AND/OR EMOTIONAL CAPABILITIES. REHABILITATION FOLLOWING A BRAIN INJURY IS VERY COMPLEX BECAUSE OF THE NEED TO ADDRESS MULTIPLE AREAS OF DEFICIT, INCLUDING PHYSICAL IMPAIRMENTS, FUNCTIONAL DEFICIENCIES (SUCH AS DIFFICULTY WALKING OR DRESSING), BEHAVIORAL DIFFICULTIES, EMOTIONAL CONSEQUENCES AND SOCIAL OR INTERPERSONAL LIMITATIONS. OFTEN, SIGNIFICANT COGNITIVE DEFICITS, SUCH AS LIMITED ATTENTION SPAN OR POOR MEMORY, UNDERLIE AND EXACERBATE THESE PROBLEMS. PATIENTS IN OUR BRAIN INJURY PROGRAM RECEIVE INTENSIVE, INTEGRATED REHABILITATION DESIGNED TO MAXIMIZE THEIR RECOVERY. TEAM MEMBERS, INCLUDING A NEUROPSYCHOLOGIST, MEET AT LEAST ONCE A WEEK TO DISCUSS GOALS, PROGRESS AND TREATMENT STRATEGIES.OTHER PROGRAMS OFFERED INCLUDE A STROKE PROGRAM FOR RECOVERING STROKE PATIENTS TO TAKE PART IN AN INTENSIVE COURSE OF INTEGRATED THERAPY AND MEDICAL MANAGEMENT. THE OBJECTIVE IS TO RESTORE MOVEMENT, IMPROVE SPEECH, TEACH SELF CARE AND HOME CARE SKILLS AND IMPROVE COGNITIVE AND MEMORY FUNCTIONS. STROKE PATIENTS AND THEIR FAMILIES WILL BE GUIDED THROUGH A PATIENT-FOCUSED, COMPREHENSIVE, AND OUTCOME-ORIENTED STROKE PROGRAM BY A CARING, COMPETENT TEAM OF HEALTHCARE PROFESSIONALS. THE ORTHOPEDIC REHABILITATION PROGRAM IS DESIGNED FOR THOSE WHO HAVE UNDERGONE A TOTAL HIP OR KNEE REPLACEMENT OR HAVE SUSTAINED TRAUMA TO BONES OR JOINTS. THE PROGRAM FOCUSES ON HELPING PATIENTS REGAIN THEIR STRENGTH, MOBILITY, ENDURANCE AND RANGE OF MOTION.THE DRIVER REHABILITATION PROGRAM DETERMINES WHETHER IT IS SAFE FOR THE CLIENT TO CONTINUE DRIVING FOLLOWING AN INJURY/ILLNESS OR AGE RELATED CHANGES. A DRIVING PROGRAM MAY INCLUDE A CLINICAL EVALUATION WHICH INCLUDES AN ASSESSMENT OF VISION, VISUAL PERCEPTION, COGNITION, REACTION TIME, AND MOTOR SKILLS RELATED TO DRIVING. IT MAY ALSO INCLUDE A BEHIND-THE-WHEEL EVALUATION, IN ADDITION TO TRAINING CONDUCTED BY AN OCCUPATIONAL THERAPIST WHO SPECIALIZES IN DRIVING REHABILITATION.OUR CERTIFIED LYMPHEDEMA THERAPISTS PROVIDE A COMPLETE DECONGESTIVE TREATMENT APPROACH FOR PEOPLE SUFFERING FROM LYMPHEDEMA. THIS INVOLVES A SPECIALIZED MASSAGE TECHNIQUE CALLED MANUAL LYMPH DRAINAGE (MLD), SKIN AND NAIL CARE, COMPRESSION BANDAGING AND GARMENTS, REMEDIAL EXERCISE AND SELF-CARE TRAINING. THE GOAL OF OUR PROGRAM IS TO HELP INDIVIDUALS REDUCE INCREASE VOLUME RESULTING FROM LYMPHEDEMA, RESTORE MOBILITY, IMPROVE COSMESIS, PREVENT INFECTION, AND IMPROVE THEIR QUALITY OF LIFE.A JOINT REPLACEMENT PROGRAM AT ADVENTIST REHABILITATION CENTER HELPS PATIENTS TO ACHIEVE GOALS FOR OPTIMAL RESULTS. ONE OF THE IMPORTANT CRITICAL FACTORS FOR SUCCESSFUL OUTCOMES FOLLOWING KNEE OR HIP REPLACEMENT FOR PATIENTS IS FOR PATIENTS TO DILIGENTLY FOLLOW THE PHYSICAL REHABILITATION PROCESS. ADVENTIST REHAB PROVIDES BOTH THE SUPPORT AND RESOURCES FOR A POSITIVE OUTCOME.LEE SILVERMAN VOICE TREATMENT (LSVT)-CERTIFIED SPEECH LANGUAGE PATHOLOGISTS AT ADVENTIST REHABILITATION CENTER CAN COMPLETE A COMPREHENSIVE ASSESSMENT TO DETERMINE CANDIDACY FOR LSVT. LSVT IS A HIGHLY EFFECTIVE INTENSIVE SPEECH THERAPY PROGRAM DESIGNED FOR PARKINSON'S PATIENTS. LSVT IS DESIGNED TO IMPROVE SPEECH AND VOICE FUNCTION. THE THERAPY TARGETS VOCAL LOUDNESS IN ORDER TO TRIGGER IMPROVED FUNCTION AND COORDINATION ACROSS THE VARIOUS SUBSYSTEMS OF SPEECH. LSVT COMBINES MOTOR RETRAINING WITH SENSORY RE-TRAINING TO ELICIT MAXIMUM OUTCOMES. THE TREATMENT REGIMEN INCLUDES EMPHASIS ON PATIENT EDUCATION AND CARRYOVER OF GAINS TO DAILY COMMUNICATION ENVIRONMENTS. THE LSVT PROTOCOL INVOLVES FOUR 1-HOUR THERAPY SESSIONS PER WEEK FOR 4 WEEKS.ADVENTIST REHABILITATION HOSPITAL IS BUILT AROUND OUR PATIENTS AND LEADS THE WAY BACK TO LIFE FROM STROKE, BRAIN INJURY, SPINAL CORD INJURY, AMPUTATION AND TRAUMA. EXPERT CARE TEAMS WORKING SIDE-BY-SIDE WITH PATIENTS, USING INNOVATIVE THERAPIES, STATE-OF-THE-ART EQUIPMENT AND GROUND-BREAKING TECHNOLOGY COMBINE TO OFFER NEW WAYS TO HEAL. AS A NONPROFIT ORGANIZATION, ADVENTIST REHABILITATION HOSPITAL DEPENDS ON THIS SUPPORT AND DOLLAR FOR DOLLAR, EVERY DONATION MAKES A DIFFERENCE BY HELPING US MAINTAIN OUTSTANDING PROGRAMS AND SERVICES AND KEEP PACE WITH THE LATEST ADVANCES IN TECHNOLOGY AND EQUIPMENT FOR REHABILITATIVE CARE. 25254444 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 1 0 1 0 0 0 0 0 0 0 0 1 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 X 6 3 0 0 0 0 1 1 1 1 1 0 1 1 1 1 1 1 1 1 1 1 0 X JAMES G LEE 3013153030 820 W DIAMOND AVE SUITE 600 GAITHERSBURG MD 208781419 TERRY FORDE CHAIR, EVP & COO, AHC 5.00 57.00 X X 0 730520 35753 JAMES G LEE EVP & CFO, AHC 3.00 59.00 X X 0 671139 30612 GENE MILTON MEMBER 1.00 X 0 0 0 VINU GANTI MD MEMBER 1.00 X 0 0 0 TONY TOUMA MEMBER 1.00 X 0 0 0 BRENT REITZ VP & ADMINISTRATOR, ARHM 39.00 21.00 X X 0 277692 31876 JAMES LITSINGER VP & CFO, NON-ACUTE SERVICES 20.00 30.00 X 0 296206 33006 WILLIAM G ROBERTSON PRESIDENT & CEO, AHC 4.00 58.00 X 0 1159920 46377 VAL DANIELS SENIOR FINANCIAL OFFICER 50.00 X 161718 0 16919 BARBARA BLANDFORD BUSINESS DEVELOPMENT MGR 40.00 X 113118 0 18916 VALERIE SUMMERLIN CNO 40.00 X 139914 0 1534 GEORGE R GRANGE AVP, REHAB SVCS 40.00 X 125331 0 19617 TONI CLARK CLINICAL LIAISON 40.00 X 116220 0 19360 656301 3135477 253970 10 0 1 0 SODEXO INC PO BOX 536922 ATLANTA GA 303536922 DIETARY AND PLANT OPS 230336 ASSOCIATES PROFESSIONAL REHABILITATION S PO BOX 500 BROOKEVILLE MD 208330500 PHYSICAL THERAPY 188474 SOLIANT HEALTH PO BOX 1024640 ATLANTA GA 303684640 CONTRACT NURSING/TECH 171630 AD ASTRA INC 912 THAYER AVE SUITE 103 SILVER SPRING MD 20910 LANGUAGE INTREPRETATION 162099 4 48781 98908 147689 OCCUPATIONAL/SPEECH/PH 900099 33062848 33062848 33062848 166579 166579 65210 65210 0 0 7889064 7959470 -70406 -70406 -70406 33306710 33062848 0 96173 4250 4250 732647 732647 17942018 15647606 2294412 416055 379275 36780 2064958 1312224 752734 1347126 1153723 193403 10711 10711 23722 23722 15164 15164 2427266 2040422 386844 36859 1919 34940 2020767 1773239 247528 1944005 1469862 474143 1192424 616859 575565 127239 104928 22311 73965 53165 20800 205223 205223 673579 673579 635194 599176 36018 159629 159629 MEDICAL SUPPLIES 463577 97796 365781 RECRUITING 60639 60639 32577017 25254444 7322573 0 3800 46615 8176839 7975556 20328 67945 11409793 12212147 20502 857 104013 104013 111353 138567 16819664 8242542 8629438 8577122 388580 446044 1006543 974334 32180 59237 29903369 30602437 2665401 3390529 336235 0 4547854 4547854 7549490 7938383 X 22136963 22596037 216916 68017 22353879 22664054 29903369 30602437 X 729693 -104671 -314847 X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 11727610 4741374 6986236 181282 126906 54376 3484677 2335511 1149166 1426095 1038751 387344 8577122 DUE TO AFFILIATES 4347854 COMPLIANCE LIABILITY RESERVE 200000 4547854 X PART X, LINE 2: FIN 48 NOTES THE CORPORATION ACCOUNTS FOR UNCERTAINTY IN INCOME TAXES USING A RECOGNITION THRESHOLD OF MORE-LIKELY-THAN-NOT TO BE SUSTAINED UPON EXAMINATION BY THE APPROPRIATE TAXING AUTHORITY. MEASUREMENT OF THE TAX UNCERTAINTY OCCURS IF THE RECOGNITION THRESHOLD IS MET. MANAGEMENT DETERMINED THERE WERE NO TAX UNCERTAINTIES THAT MET THE RECOGNITION THRESHOLD IN 2013 OR 2012. 1 1 X 1 X 1 X 600.000000000000 1 1 0 1 1 410491 410491 0.01260 410491 410491 0.01260 217165 13313 203852 0.00630 13035 2080 10955 0.00030 677662 677662 0.02080 48 48 0.00000 4250 4250 0.00010 912160 15393 896767 0.02750 1322651 15393 1307258 0.04010 46 46 0.00000 7603 7603 0.00020 26 26 0.00000 22 22 0.00000 4975 4975 0.00020 45708 45708 0.00140 127 127 0.00000 58507 58507 0.00180 1 533326 19050375 17582207 1468168 X 1 1 1 1 ADVENTIST REHABILITATION HOSPITAL OF MD 9909 MEDICAL CENTER DRIVE ROCKVILLE MD 20850 X REHAB HOSPITAL ADVENTIST REHABILITATION HOSPITAL OF MAR 1 1 X X X X X X X X X 13 1 0 1 X SEE URL ON SECTION C X X X X X X X X 0 0 1 1 200.000000000000 1 600.000000000000 1 X 1 1 X X X X X X X 1 0 X X X X 1 X 0 0 ADVENTIST REHABILITATION HOSPITAL OF MARYLAND 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: > AISHA BIVENS, JD, BSN; ASSOCIATE VICE PRESIDENT OF CLINICAL EFFECTIVENESS; WASHINGTON ADVENTIST HOSPITAL; > PERRY CHAN; SENIOR PROGRAM COORDINATOR, ASIAN AMERICAN HEALTH INITIATIVE; MONTGOMERY COUNTY DEPARTMENT OF HEALTH AND HUMAN SERVICES; > IRENE DANKWA-MULLAN, MD, MPH; DIRECTOR, OFFICE OF INNOVATION AND PROGRAM COORDINATION; NATIONAL INSTITUTE ON MINORITY HEALTH AND HEALTH DISPARITIES; > STEVE GALEN, MS; PRESIDENT AND CEO; PRIMARY CARE COALITION OF MONTGOMERY COUNTY; > CAROL W. GARVEY, MD, MPH; CHAIR; PRIMARY CARE COALITION; > CARLESSIA HUSSEIN, DRPH, RN; DIRECTOR, OFFICE OF MINORITY HEALTH AND HEALTH DISPARITIES; MARYLAND DEPARTMENT OF HEALTH AND MENTAL HYGIENE; > JUDY LICHTY, MPH; REGIONAL DIRECTOR, HEALTH AND WELLNESS; ADVENTIST HEALTHCARE; > SKIP MARGOT, RN, MS; CNE AND VP OF PATIENT CARE SERVICES; SHADY GROVE ADVENTIST HOSPITAL; > SONIA MORA, RN; MANAGER, PUBLIC HEALTH SERVICES/LATINO HEALTH INITIATIVE; MONTGOMERY COUNTY DEPARTMENT OF HEALTH AND HUMAN SERVICES; > RICHARD "DICK" PAVLIN, MHCA; EXECUTIVE DIRECTOR; MERCY HEALTH CLINIC; > OLIVIA CARTER-POKRAS, PHD; ASSOCIATE PROFESSOR; UNIVERSITY OF MARYLAND COLLEGE PARK, SCHOOL OF PUBLIC HEALTH; > HOWARD ROSS; CHIEF LEARNING OFFICER; COOK ROSS, INC.; > TERRENCE P. SHEEHAN, MD; CHIEF MEDICAL OFFICER; ADVENTIST REHABILITATION HOSPITAL OF MARYLAND; > TOM SWEENEY, RN, MBA, FACHE; VICE PRESIDENT CHIEF NURSING OFFICER; WASHINGTON ADVENTIST HOSPITAL; > 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. ADVENTIST REHABILITATION HOSPITAL OF MARYLAND 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 ADVENTIST REHABILITATION HOSPITAL OF MARYLAND 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 > 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.> 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.> 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.> 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.> 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.> 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.> 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. ADVENTIST REHABILITATION HOSPITAL OF MARYLAND PART V, SECTION B, LINE 14G: THE POLICY IS ALSO STRATEGICALLY POSTED AT OUR PATIENT FINICAL SERVICE OFFICE. ADVENTIST REHABILITATION HOSPITAL OF MARYLAND 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. PART I, LINE 3C: 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 <= 1.0X OF FPL, 0% PATIENT RESPONSIBILITY- ANNUAL INCOME > 1.00X AND <= 1.25X OF FPL, 0% PATIENT RESPONSIBILITY- ANNUAL INCOME > 1.25X AND <= 1.50X OF FPL, 0% PATIENT RESPONSIBILITY- ANNUAL INCOME > 1.50X AND <= 1.75X OF FPL, 0% PATIENT RESPONSIBILITY- ANNUAL INCOME > 1.75X AND <= 2.00X OF FPL, 0% PATIENT RESPONSIBILITY- ANNUAL INCOME > 2.00X AND <= 2.25X OF FPL, 10% PATIENT RESPONSIBILITY- ANNUAL INCOME > 2.25X AND <= 2.50X OF FPL, 20% PATIENT RESPONSIBILITY- ANNUAL INCOME > 2.50X AND <= 2.75X OF FPL, 30% PATIENT RESPONSIBILITY- ANNUAL INCOME > 2.75X AND <= 3.00X OF FPL, 40% PATIENT RESPONSIBILITY- ANNUAL INCOME > 3.00X AND <= 3.50X OF FPL, 50% PATIENT RESPONSIBILITY- ANNUAL INCOME > 3.50X AND <= 4.00X OF FPL, 60% PATIENT RESPONSIBILITY- ANNUAL INCOME > 4.00X AND <= 4.50X OF FPL, 70% PATIENT RESPONSIBILITY- ANNUAL INCOME > 4.50X AND <= 5.00X OF FPL, 80% PATIENT RESPONSIBILITY- ANNUAL INCOME > 5.00X AND <= 5.50X OF FPL, 90% PATIENT RESPONSIBILITY- ANNUAL INCOME > 5.50X AND <= 6.00X OF FPL, 95% PATIENT RESPONSIBILITY PART I, LINE 7: MARYLAND'S UNIQUE ALL PAYER SYSTEM 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. PART I, LINE 7G: SUBSIDIZED HEALTH SERVICES INCLUDED PAYMENTS FOR NON-EMPLOYED BUT HOSPITAL-BASED PHYSICIANS, NON-RESIDENT HOSPITAL STAFF, HOSPITALISTS, EMERGENCY ON-CALL, OFF-CAMPUS EMERGENCY CENTER, AND WOMEN'S AND CHILDREN'S SERVICES SUBSIDIES. PART III, LINE 2: TO ESTIMATE THE COST OF BAD DEBT THAT WE HAVE REPORTED ON SCHEDULE H, WE MULTIPLIED THE ORGANIZATION'S COST TO CHARGE RATIO (CCR) TIMES THE BAD DEBT PROVISION THAT HAS BEEN REPORTED IN THE 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. PART III, LINE 4: 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. PART III, LINE 8: MEDICARE:IN ORDER TO DETERMINE THE COST OF PROVIDING MEDICARE SERVICES, WE MULTIPLIED TOTAL MEDICARE CHARGES PER THE HOSPITAL'S GENERAL LEDGER TIMES THE COST TO CHARGE RATIO REFLECTED IN SCHEDULE C OF THE HOSPITAL'S MEDICARE COST REPORT.WE ESTIMATED TOTAL PAYMENTS RECEIVED BY MULTIPLYING THE COLLECTION PERCENTAGE OF MEDICARE ACCOUNTS TIMES TOTAL MEDICARE CHARGES AS REPORTED IN THE HOSPITAL'S GENERAL LEDGER.THE SURPLUS REPORTED REPRESENTS THE DIFFERENCE BETWEEN TOTAL ESTIMATED MEDICARE RECEIPTS AND TOTAL ALLOWABLE ESTIMATED COSTS INCURRED TO TREAT THE HOSPITALS MEDICARE PATIENTS. PART III, LINE 9B: ARHM 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. PART VI, LINE 2: ADVENTIST REHABILITATION HOSPITAL OF MARYLAND IS A MEMBER OF ADVENTIST HEALTHCARE, WHICH FORMED A COMMUNITY BENEFIT COUNCIL (CBC) TO GUIDE AND LEAD ITS COMMUNITY BENEFIT ACTIVITIES, INCLUDING CONDUCTING THE COMMUNITY HEALTH NEEDS ASSESSMENT. AS A STARTING POINT, THE CBC RESEARCHED TOPICS IN ALIGNMENT WITH MONTGOMERY COUNTY'S HEALTHY MONTGOMERY FOCUS AREAS OF CANCER, CARDIOVASCULAR DISEASE, DIABETES, MATERNAL AND INFANT HEALTH, BEHAVIORAL HEALTH, AND OBESITY. THE CBC ALSO DECIDED TO RESEARCH ADDITIONAL TOPICS OF INTEREST TO THE HOSPITAL INCLUDING GENERAL REHABILITATION, BRAIN INJURY, SPINAL CORD INJURY, ASTHMA, INFLUENZA, HIV/AIDS, SENIOR HEALTH, INCOME AND POVERTY, ACCESS TO CARE/HEALTH INSURANCE COVERAGE, FOOD ACCESS, HOUSING QUALITY, EDUCATION, AND TRANSPORTATION. ALL OF THE TOPICS INCLUDED IN THIS COMMUNITY HEALTH NEEDS ASSESSMENT WERE REVIEWED, DISCUSSED AND APPROVED BY THE COMMUNITY BENEFIT ADVISORY BOARD. THE ADVISORY BOARD WAS ESTABLISHED IN 2006 TO HELP GUIDE OUR EFFORTS TO REDUCE AND ELIMINATE HEALTH DISPARITIES, TO IDENTIFY COMMUNITY NEEDS, AND TO HELP ASSESS AND DIRECT OUR RESPONSES TO THOSE NEEDS. THE ADVISORY BOARD IS COMPRISED OF BOTH INTERNAL AND EXTERNAL (COMMUNITY) LEADERS WHICH INCLUDE CLINICIANS, RESEARCHERS, ADMINISTRATORS AND OTHER HOSPITAL STAFF, COMMUNITY-BASED ORGANIZATIONS, LOCAL AND STATE HEALTH DEPARTMENTS, THE UNIVERSITY OF MARYLAND, THE NATIONAL INSTITUTES OF HEALTH (SPECIFICALLY, THE NATIONAL INSTITUTE OF MINORITY HEALTH AND HEALTH DISPARITIES), AND OTHER PUBLIC HEALTH STAKEHOLDER ORGANIZATIONS. AFTER COMPLETION OF THE COMMUNITY HEALTH NEEDS ASSESSMENT, FINDINGS WERE REVIEWED BY THE EXECUTIVE COUNCIL AT ADVENTIST REHAB. AFTER DISCUSSION AND CONSIDERATION OF COMMUNITY INPUT AND AVAILABLE RESOURCES, BOTH INTERNAL AND THROUGH PARTNERSHIPS, IT WAS DETERMINED THAT THE MOST STRATEGICALLY IMPACTFUL AREA OF FOCUS FOR THE IMPLEMENTATION STRATEGY WOULD BE COMPREHENSIVE CONCUSSION CARE. ADVENTIST REHABILITATION HOSPITAL OF MARYLAND IDENTIFIES UNMET HEALTH CARE NEEDS IN OUR COMMUNITY IN A VARIETY OF WAYS. IN 2011, ADVENTIST HEALTHCARE'S CENTER ON HEALTH DISPARITIES, WHICH SUPPORTS ADVENTIST REHABILITATION HOSPITAL OF MARYLAND, DEVELOPED AND RELEASED ITS ANNUAL PROGRESS REPORT, PARTNERING TOWARD A HEALTHIER FUTURE: HEALTH DISPARITIES IN THE ERA OF REFORM IMPLEMENTATION. THIS PROGRESS REPORT OFFERED AN UPDATE ON HEALTH DISPARITIES AFFECTING COMMUNITIES IN ADVENTIST REHAB'S SERVICE AREAS, INCLUDING MONTGOMERY COUNTY. MUCH OF THE INFORMATION IN THE FIRST CHAPTER OF THE REPORT FED INTO THIS COMMUNITY HEALTH NEEDS ASSESSMENT AS IT 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. INFORMATION FROM ADVENTIST HEALTHCARE'S CENTER ON HEALTH DISPARITIES' 2010 ANNUAL PROGRESS REPORT, SOCIAL DETERMINANTS OF HEALTH: PROMOTING HEALTH EQUITY THROUGH SOCIAL INITIATIVES, ALSO HELPED TO INFORM RELATED SECTIONS IN THE COMMUNITY HEALTH NEEDS ASSESSMENT. THIS REPORT SUMMARIZED THE RELATIONSHIP BETWEEN SOCIAL FACTORS AND HEALTH DISPARITIES AMONG MINORITY GROUPS, AND HIGHLIGHTED LOCAL EFFORTS TAKEN TO ELIMINATE THEM.IN ADDITION TO THE RESEARCH CONDUCTED FOR THESE ANNUAL REPORTS, WE ALSO 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. FOR MARYLAND STATE LEVEL DATA, WE 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, THE MARYLAND DEPARTMENT OF HEALTH AND MENTAL HYGIENE'S (DHMH) OFFICE ON MINORITY HEALTH & HEALTH DISPARITIES, AND FROM DHMH'S STATE HEALTH IMPROVEMENT PROCESS (SHIP). IN ADDITION TO THESE DATA SOURCES, WE HAVE ALSO SUMMARIZED FINDINGS FROM VARIOUS NATIONAL AND STATE-LEVEL REPORTS ON INSURANCE COVERAGE, DISEASE CONDITIONS, AND HEALTHY BEHAVIORS RELEASED BY THE AGENCY FOR HEALTHCARE RESEARCH AND QUALITY, THE KAISER FAMILY FOUNDATION, AND THE DHMH'S FAMILY HEALTH ADMINISTRATION, OFFICE OF CHRONIC DISEASE PREVENTION.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.AT ADVENTIST REHABILITATION HOSPITAL OF MARYLAND, WE STRIVE TO PROVIDE THE BEST CUSTOMER SERVICE EXPERIENCE POSSIBLE FOR OUR PATIENTS AND THEIR LOVED ONES. WE FOCUS ON EACH PATIENT INDIVIDUALLY AND CARE FOR THE WHOLE PERSON THROUGH THE REHABILITATIVE PROCESS. PRESSGANEY ADMINISTERS OUR CUSTOMER SATISFACTION SURVEYS AND WE CONTINUOUSLY ANALYZE OUR SCORES TO IMPROVE OUR OUTCOMES. INTERVIEWS WERE ALSO CONDUCTED WITH KEY INDIVIDUALS FROM THE ADVENTIST REHABILITATION HOSPITAL OF MARYLAND COMMUNITY. BASED ON OUR INTERVIEW RESPONSES, THERE ARE FOUR IMPORTANT SERVICES NEEDED BY ADVENTIST REHAB'S DOWN COUNTY POPULATION. THE FIRST SERVICE THAT IS NEEDED IS TRANSPORTATION WHILE WAITING FOR METRO ACCESS IN THE PRINCE GEORGE'S COUNTY AND SOUTHERN MARYLAND AREA. THE SECOND SERVICE THAT IS NEEDED IS PHYSICIAN FOLLOW-UP FOR THE UNINSURED THAT NEED HOME CARE AND MEDICATIONS. IT WAS PROPOSED THAT A CLINIC FOR ADVENTIST REHAB'S INDIGENT/UNINSURED BE DEVELOPED. MOBILE MED ALSO NEEDS TO BE MORE WIDELY ADVERTISED BECAUSE MANY STAKEHOLDERS ARE NOT AWARE OF WHERE MOBILE MED IS LOCATED AND ON WHAT DATES IT IS AVAILABLE. THE THIRD SERVICE THAT IS NEEDED IS MONEY TO PAY FOR EQUIPMENT AND MEDICATION THAT IS NOT COVERED BY INSURANCE. A PROPOSED SOLUTION WAS FOR THE COMMUNITY TO DONATE COMMODES, CANES, WALKERS, AND WHEELCHAIRS. THE FOURTH SERVICE THAT IS NEEDED IS A PERSON TO HANDLE POST DISCHARGE PATIENT CALLS TO DEAL WITH MEDICAL RECORDS FOR INSURANCE ISSUES AND TRANSPORTATION. ACUTE REHABILITATION HOSPITALS THROUGHOUT THE COUNTRY ENTER DATA INTO A NATIONAL DATABASE AS A MEANS TO REPORT OUTCOMES AND AS A WAY TO EVALUATE AND IMPROVE OVERALL RESULTS. WE STRIVE TO GET EACH PATIENT BACK TO THE COMMUNITY AS QUICKLY AND SAFELY AS POSSIBLE. OUR OUTCOMES FOR PATIENTS DISCHARGED DURING A SPECIFIED PERIOD WERE REPORTED IN OUR 2013 CHNA.THE CENTERS FOR MEDICARE AND MEDICAID SERVICES (CMS) BREAKS DOWN THE DIAGNOSTIC CATEGORIES FOR PATIENTS THAT UTILIZE ACUTE REHABILITATION SERVICES INTO 21 REHAB IMPAIRMENT CATEGORIES CALLED RIC'S. THE 21 RIC'S ARE PAIRED DOWN INTO RIC GROUPS. ALL ACUTE REHAB HOSPITALS SUBMIT THEIR DATA TO CMS; THUS, WE CAN COMPARE OURSELVES TO OTHERS NATIONWIDE AS WELL AS TO OUR REGIONAL AREA, WHICH INCLUDES DE, MD, VA, DC, NC, SC, WV, GA AND FL. OUR VOLUMES ARE COMPARABLE TO THE NATION AND REGION. WE ARE PROUD TO HAVE A MUCH HIGHER PERCENTAGE OF BRAIN INJURY THAN BOTH THE NATION AND REGION THIS SPEAKS TO A STRONG AWARENESS OF THE SUCCESS WITH OUR BRAIN INJURY PROGRAM. OUR SPINAL CORD INJURY VOLUMES AND OUR STROKE VOLUMES ARE ALSO HIGHER THAN THE NATION AND REGION.LOCALLY, 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. THIS GROUP DEVELOPED THE HEALTHY MONTGOMERY WEBSITE: HTTP://WWW.HEALTHYMONTGOMERY.ORG. THIS WEBSITE IS A ONE-STOP SOURCE OF POPULATION-BASED DATA AND INFORMATION ABOUT COMMUNITY HEALTH AND OUTLINES THIRTY-THREE COMMUNITY INDICATORS. THE PURPOSE OF THE MONTGOMERY COUNTY HEALTHY MONTGOMERY COMMUNITY HEALTH IMPROVEMENT PROCESS IS TO ADDRESS THE NEED OF ORGANIZATIONS TO HAVE VALID, RELIABLE, AND USER-FRIENDLY DATA RELATED TO HEALTH AND THE SOCIAL DETERMINANTS OF HEALTH, AND TO COORDINATE EFFORTS OF PUBLIC AND PRIVATE ORGANIZATIONS TO IDENTIFY AND ADDRESS HEALTH ISSUES IN MONTGOMERY COUNTY. PART VI, LINE 3: PATIENT EDUCATION OF ELIGIBILITYAHC 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. PART VI, LINE 4: ADVENTIST REHABILITATION HOSPITAL OF MARYLAND PRIMARILY SERVES RESIDENTS OF MONTGOMERY COUNTY, MARYLAND. THEREFORE, FOR THE PURPOSE OF THIS COMMUNITY HEALTH NEEDS ASSESSMENT, WE WILL FOCUS ON LOCAL DATA FROM MONTGOMERY COUNTY. THE PERCENTAGES OF DISCHARGES BY COUNTY FOR ADVENTIST REHAB IN 2011 WERE AS FOLLOWS: 77.6% MONTGOMERY COUNTY, 18.3% PRINCE GEORGE'S COUNTY, 3.1% FREDERICK COUNTY, AND 1.0% OTHER.APPROXIMATELY 80 PERCENT OF DISCHARGES COME FROM OUR TOTAL SERVICE AREA, WHICH IS KNOWN AS ADVENTIST REHABILITATION HOSPITAL OF MARYLAND'S COMMUNITY BENEFIT SERVICE AREA "CBSA" (SEE FIGURE 2). THE CBSA IS DIVIDED INTO PRIMARY AND SECONDARY SERVICE AREAS. SIXTY PERCENT OF DISCHARGES FALL INTO THE PRIMARY SERVICE AREA, WHICH INCLUDES THE FOLLOWING ZIP CODES AND CITIES: 20743 CAPITOL HEIGHTS, 20782 HYATTSVILLE, 20783 HYATTSVILLE, 20814 BETHESDA, 20815 CHEVY CHASE, 20817 BETHESDA, 20850 ROCKVILLE, 20852 ROCKVILLE, 20853 ROCKVILLE, 20854 POTOMAC, 20855 DERWOOD, 20874 GERMANTOWN, 20876 GERMANTOWN, 20877 GAITHERSBURG, 20878 GAITHERSBURG, 20879 GAITHERSBURG, 20886 MONTGOMERY VILLAGE, 20895 KENSINGTON, 20902 SILVER SPRING, 20903 SILVER SPRING, 20904 SILVER SPRING, 20906 SILVER SPRING, 20910 SILVER SPRING, AND 20912 TAKOMA PARK.THE SECONDARY SERVICE AREA ACCOUNTS FOR 20 PERCENT OF DISCHARGES AND INCLUDES THE FOLLOWING ZIP CODES AND CITIES: 20011 WASHINGTON, 20706 LANHAM, 20708 LAUREL, 20722 BRENTWOOD, 20740 COLLEGE PARK, 20744 FORT WASHINGTON, 20745 OXON HILL, 20747 DISTRICT HEIGHTS, 20772 UPPER MARLBORO, 20774 UPPER MARLBORO, 20781 HYATTSVILLE, 20784 HYATTSVILLE, 20785 HYATTSVILLE, 20816 BETHESDA, 20832 OLNEY, 20837 POOLESVILLE, 20851 ROCKVILLE, 20871 CLARKSBURG, 20882 GAITHERSBURG, 20901 SILVER SPRING, 20905 SILVER SPRING, 21701 FREDERICK, 21702 FREDERICK, AND 21703 FREDERICK.OUR COMMUNITY BENEFIT SERVICE AREA (CBSA), ENCOMPASSING 80 PERCENT OF ALL DISCHARGES, INCLUDES 1,700,889 PEOPLE FROM THE FOLLOWING RACIAL/ETHNIC CATEGORIES, OF WHICH APPROXIMATELY 57 PERCENT ARE RACIAL AND ETHNIC MINORITIES: 43.0% WHITE, 32.0% BLACK, 15.5% HISPANIC/LATINO, 9.1% ASIAN, 0.3% NATIVE AMERICAN, AND 0.1% NATIVE HAWAIIAN/PACIFIC ISLANDER (POPULATION ESTIMATES BASED ON DISCHARGES IN 2011). PART VI, LINE 5: PROMOTION OF COMMUNITY HEALTH.ADVENTIST REHABILITATION HOSPITAL PARTNERS WITH COMMUNITY ORGANIZATIONS AND AGENCIES TO PROVIDE EDUCATION ON PREVENTION AND REHABILITATION FOR MANY HEALTH AND DISEASE-RELATED ISSUES FOR VALUABLE INPUT ON THE HEALTH NEEDS OF COMMUNITY MEMBERS. THIS INCLUDES SENIOR CENTERS, CHURCHES, SCHOOLS, SUPPORT GROUPS AND PROFESSIONAL ORGANIZATIONS. THE ADVENTIST REHAB-ROCKVILLE SITE IS ALSO THE HOST FACILITY FOR A VARIETY OF SUPPORT GROUPS AND SPECIALTY THERAPEUTIC GROUPS FOR PATIENTS PAST AND PRESENT ALONG WITH THEIR FAMILIES AND CAREGIVER NETWORKS. WE PARTNER WITH CLINICS THAT SERVE THE LOW-INCOME RESIDENTS OF MONTGOMERY COUNTY, MANY OF WHOMARE LIMITED ENGLISH PROFICIENT AND/OR RACIAL AND ETHNIC MINORITIES. ONE OF ADVENTIST REHAB'S SAFETY NET CLINIC PARTNERS IS MERCY HEALTH CLINIC, WHICH PROVIDES PRIMARY CARE TO UNINSURED, LOW-INCOME ADULT RESIDENTS OF MONTGOMERY COUNTY. WE ALSO PARTNER WITH MERCY HEALTH CLINIC BY PROVIDING FREE DIAGNOSTIC SERVICES/LAB WORK TO THEIR UNINSURED PATIENTS. ANOTHER KEY PARTNER IS MOBILE MEDICAL CARE (MOBILE MED), WHICH OPERATES THREE MOBILE HEALTHCARE VEHICLES AND PROVIDES PRIMARY AND PREVENTATIVE HEALTHCARE TO THE UNINSURED, LOW INCOME, WORKING POOR, AND HOMELESS IN MONTGOMERY COUNTY. WE ALSO PARTNER WITH MOBILE MED BY PROVIDING FREE DIAGNOSTIC SERVICES/LAB WORK TO THEIR UNINSURED PATIENTS. IN FISCAL YEAR 2013, THESE CLINICS WERE SUPPORTED WITH CASH DONATIONS FROM ADVENTIST HEALTHCARE.AS PART OF A PARTNERSHIP WITH THE MONTGOMERY CARES/PRIMARY CARE COALITION INITIATIVE, ADVENTIST REHAB PROVIDES 500 PHYSICAL THERAPY VISITS ANNUALLY FOR UNINSURED, LOW-INCOME MONTGOMERY COUNTY RESIDENTS. IN ADDITION TO THE FORMAL ADVISORY BOARD THAT HELPS ADDRESS COMMUNITY NEEDS, 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. PART VI, LINE 6: 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 & 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. PART VI, LINE 7, REPORTS FILED WITH STATES MD X X X X 0 1 0 0 0 0 0 0 0 TERRY FORDE CHAIR, EVP & COO, AHC 0 519697 0 75518 0 135305 0 12750 0 23003 0 766273 0 0 JAMES G LEE EVP & CFO, AHC 0 477313 0 81595 0 112231 0 12750 0 17862 0 701751 0 0 BRENT REITZ VP & ADMINISTRATOR, ARHM 0 213504 0 28511 0 35677 0 10161 0 21715 0 309568 0 0 JAMES LITSINGER VP & CFO, NON-ACUTE SERVICES 0 208145 0 37793 0 50268 0 10760 0 22246 0 329212 0 0 WILLIAM G ROBERTSON PRESIDENT & CEO, AHC 0 833101 0 104704 0 222115 0 12750 0 33627 0 1206297 0 0 VAL DANIELS SENIOR FINANCIAL OFFICER 123541 0 15763 0 22414 0 2587 0 14332 0 178637 0 0 0 PART I, LINE 3 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 RELOCATION 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, 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. PART I, LINE 4B CUMULATIVE LUMP-SUM TAXABLE PAYMENTS MADE AS A RESULT OF TAX LAW CHANGES THAT AFFECTED THE ADMINISTRATION OF THE ADVENTIST HEALTHCARE'S 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 BRENT REITZ: $32,285 JAMES LITSINGER: $32,130 FORM 990, PART III, LINE 4A, PROGRAM SERVICE ACCOMPLISHMENTS, CONTINUED: ADVENTIST REHABILITATION HOSPITAL HAS SOME "INNOVATIVE INITIATIVES FOR SUPPORTING FOCUS AREAS FOR ACCOUNTABLE CARE ORGANIZATIONS (ACO) AND PATIENT CENTERED MEDICAL HOME (PCMH) PROGRAMS" SUCH AS: > TRANSITIONAL CARE DURING ACUTE ILLNESS REQUIRING SPECIALISTS, HOSPITALIZATIONS OR PALLIATIVE CARE > ADVENTIST REHABILITATION HOSPITAL SUPPORTIVE PROGRAMS AND INITIATIVES FOR CHRONIC DISEASE MANAGEMENT (BP CONTROL, DIABETES MANAGEMENT, PAIN, CHF, SLEEP DISORDERS) > ADVENTIST REHABILITATION HOSPITAL SUPPORTING PROGRAMS AND INITIATIVES FOR DISEASE PREVENTION (LIFESTYLE MODIFICATION & SAFETY EDUCATION) FORM 990, PART VI, SECTION A, LINE 6 ADVENTIST HEALTHCARE, INC. IS THE SOLE CORPORATE MEMBER OF ADVENTIST REHABILITATION HOSPITAL OF MARYLAND, INC. WITH THE AUTHORITY TO APPROVE ITS BOARD MEMBERSHIP. FORM 990, PART VI, SECTION A, LINE 7A THE BOARD OF TRUSTEES OF ADVENTIST HEALTHCARE, INC. APPOINTS THE MEMBERS OF ADVENTIST REHABILITATION HOSPITAL OF MARYLAND GOVERNING BODY. FORM 990, PART VI, SECTION A, LINE 7B THE BOARD OF TRUSTEES APPROVES ALL ACTIONS OF MANAGEMENT. FORM 990, PART VI, SECTION B, LINE 11 DURING THE PREPARATION PROCESS, EXECUTIVE MANAGEMENT TEAM REVIEWED VARIOUS SECTIONS OF THE DRAFT FORM 990 BASED ON A PLANNED COMPLETION TIME TABLE. IN ADDITION, THE EXECUTIVE COMMITTEE OF THE BOARD REVIEWED CERTAIN KEY SECTIONS OF THE FORM. PRIOR TO FILING, ALL MEMBERS OF THE BOARD ARE PROVIDED A COPY OF THIS FORM 990 THROUGH EMAIL, WHICH IS LINKED TO THE COMPANY'S INTRANET WEBSITE. FORM 990, PART VI, SECTION B, LINE 12C 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. FORM 990, PART VI, SECTION B, LINE 15 WHEN SETTING EXECUTIVE COMPENSATION, OFFICERS OR KEY EMPLOYEES, 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 INDEPENDED OUTSIDE COMPENSATION CONSULTANT. TO ENSURE REASONABLENESS, COMPENSATION IS SET AT THE 50TH PERCENTILE OF THE NATURAL MARKET. FORM 990, PART VI, SECTION C, LINE 19 THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS, ARE AVAILABLE TO THE PUBLIC UPON REQUEST. GENERAL EXPLANATION: EMPLOYEES OF ANY OF THE ADVENTIST HEALTHCARE INC. AND AFFILIATED TAX EXEMPT ENTITIES IN THE STATE OF MARYLAND ARE PAID THROUGH A COMMON PAYMASTER, ADVENTIST HEALTHCARE, INC. AND ARE REPORTED ON ITS FORM 941. SALARY AND BENEFIT EXPENSES REPORTED ON THEIR RESPECTIVE RETURNS ARE ACTUAL CHARGES RELATED TO THE EMPLOYEES WORKING ON THE SPECIFIC TAX EXEMPT ENTITY. COMPENSATION INCLUDED REGULAR BASE SALARY, BONUS, PAID TIME OFF CASH OUT, TAXABLE RELOCATION ALLOWANCE, HOLIDAY GIFT, RETROACTIVE COMPENSATION ADJUSTMENT, BEREAVEMENT LEAVE, EDUCATION, AND WITHDRAWAL OF DEFERRED COMPENSATION, AS APPLICABLE. THE SAME AND NON-ADDITIVE COMPENSATION AND EMPLOYMENT BENEFIT PLAN CONTRIBUTIOON AMOUNTS WERE ALSO DISCLOSED IN THE ADVENTIST HEALTHCARE INC.'S RELATED ENTITIES RETURNS. VENDORS PAYMENT FOR ANY OF THE ADVENTIST HEALTHCARE, INC. AND RELATED ENTITIES IN THE STATE OF MARYLAND ARE MADE THROUGH A COMMON PAYMASTER, ADVENTIST HEALTHCARE, INC. FORM 990, PART XI, LINE 9: NET ORGANIZATION TRANSFER -314,847. 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