2011-05-13T11:23:58-05:00 2010-06-30 SC&H TAX & ADVISORY SERVICES LLC 910 RIDGEBROOK ROAD SPARKS MD 21152 990 2009-07-01 521169362 ANNE ARUNDEL MEDICAL CENTER INC ANNE 4434816554 2001 MEDICAL PARKWAY ANNAPOLIS MD 21401 ROBERT REILLY 4434816555 2011-05-13 1 Lori S Burghauser 4104031500 2011-05-13 2009 2016-02-24 21:20:13Z ROBERT REILLY 2001 MEDICAL PARKWAY ANNAPOLIS MD 21401 414289351 0 X WWW.AAHS.ORG X 1902 MD To enhance the comprehensive health care we provide to the local and regional community we serve. 19 16 3134 450 8731666 -568857 1188537 902049 373527544 392121382 9658078 6454723 14084677 14464331 398458836 413942485 0 0 197851671 195216314 0 0 177010963 198410238 374862634 393626552 23596202 20315933 772752339 844739672 471681915 513204421 301070424 331535251 Anne Arundel Medical Center's ("AAMC") mission is to enhance the health of the people it serves and AAMC's vision is to be the destination health system in its region. In addition to traditional patient services like diagnosis, treatment and rehabilitation, AAMC also strenghtens community health through comprehensive health maintenance and education outreach. 0 0 349237091 0 394201577 InpatientThe AAMC Women's and Children's Center offers multigenerational programs to support a woman from the time she begins gynecological care through the childbearing years and beyond. We offer the most comprehensive women's services; all-inclusive maternity, newborn and pediatric care; advanced treatments for any health challenges women and their families may encounter; and extensive screening, prevention and wellness programs to help them lead longer, healthier and more fulfilling lives.AAMC is known for excellence in obstetrical services, and we offer moms many options as they make informed choices during labor and delivery. Our goal is for each mother and her family to feel respected and to experience the birthing process and postpartum experience they desire. AAMC delivers approximately 5,300 babies each year, the second highest number of deliveries in the state of Maryland.Anne Arundel Medical Center's Neonatal Intensive Care Unit (NICU) is designated as a Level IIIB NICU, and is able to care for the most critically ill newborns, allowing babies born early or with complications to stay with their mothers at AAMC. Hospitals that do not have this level of NICU care often must transfer babies to other health care facilities, meaning that mothers and babies cannot remain together.The AAMC NICU, also known as "Teddy's Place," is a state-of-the-art 26-bed unit, equipped with life-saving technology and staffed by full- and part-time neonatologists, neonatal nurse practitioners, and nurses with specialized NICU training. On average, 18 babies a day are cared for in our NICU, and approximately 10 percent of all babies delivered at AAMC will spend some time in the NICU.At AAMC, the Center for Maternal-Fetal Medicine offers women the highest level of obstetric care, with three highly trained physicians able to perform and oversee a wide range of complications. Some 85-100 patients per day come to the AAMC Center for Maternal-Fetal Medicine, which offers regional care to women from as far away as Delaware and Calvert County, to as close as Anne Arundel and Baltimore counties. Typical patients include women who are carrying twins or triplets, women requiring diabetes education or amniocentesis, or women who will be 35 or older at the time of delivery. Approximately 60 ultrasounds are performed at the Annapolis office each day.The AAMC Women's Center for Pelvic Health provides comprehensive and innovative pelvic health care for women of all ages suffering from problems and disorders of the pelvic region. Our experienced specialists employ a compassionate and professional approach to diagnose and treat all components of pelvic problems, with the goal of ensuring wellness and maintaining dignity. The AAMC Women's Center for Pelvic Health addresses issues including: urinary incontinence, pelvic support problems, fecal incontinence, childbirth and pregnancy related pelvic floor disorders, incontinence clearly linked to prolapse or pelvic floor dysfunction, and pelvic organ prolapse (cystocele, rectocele, uterine, vaginal vault, perineal).Stroke - Anne Arundel Medical Center has earned certification as a primary stroke center from the Joint Commission, and was the first hospital in the region -- and one of the first eight in the state -- to have earned this highly specialized designation. Because successful treatment of stroke patients is so time-critical, the presence of a certified stroke center in Anne Arundel County is significant for the residents of the region because they no longer have to waste precious time and travel 30 or more miles to get life-saving treatment. The Joint Commission certification means AAMC has demonstrated that its stroke program follows national standards and guidelines that can significantly improve outcomes for stroke patients. In Maryland, someone is hospitalized for a stroke every 30 minutes and someone dies every three hours, according to the Maryland Institute for Emergency Medical Services Systems (MIEMSS).AAMC offers treatment with TPA - tissue Plasminogen Activator, a clot-busting medication approved for use in certain patients having heart attack or stroke. According to the American Heart Association, tPA must be given within a few hours after symptoms begin. The procedure is complex and done through an intravenous (IV) line by specially trained hospital personnel. AAMC treats between 400 and 500 stroke patients a year. Surgical Services - AAMC surgeons perform a variety of inpatient and outpatient surgical procedures from the routine to the technologically advanced. In addition to general surgeries, they specialize in breast, colon and rectal, orthopedic, pediatric, retinal, thoracic and vascular, urology and ear, nose and throat surgery, as well as neurosurgery and plastic surgery. Board-certified anesthesiologists plan and supervise anesthesia care for all patients. In addition, 24-hour physician care through the hospitalist and intensivist programs means a doctor is always nearby to make sure recovery for inpatients is progressing smoothly.At the AAMC Joint Center, our surgeons hold superior credentials and many of our surgeons specialize in knee and hip replacement. Our volume of surgery also contributes to our medical expertise. AAMC performs nearly 1,300 joint replacements per year, which makes us consistently one of the highest volume joint replacement centers in the state. From 2006-2008, AAMC performed more joint replacements than any other hospital in the state.Joint Camp - Another unique part of the AAMC Joint Center is our "Joint Camp." An important part of the program, the Joint Camp gets its name in part from the sense of shared experiences, camaraderie and companionship many patients feel toward one another. The philosophy of Joint Camp is that you and your family are not bystanders, but rather active participants with a common goal. A trained coordinator helps guide and assist you every step of the way.OutpatientThe AAMC Geaton and JoAnn DeCesaris Cancer Institute at Anne Arundel Medical Center encompasses a large array of services ranging from prevention, screening, diagnosis and treatment through survivorship. Many different types of professionals contribute to the care of patients in our programs. It is our goal to provide the best experience possible, no matter where or how a person encounters our cancer center services.The DeCesaris Cancer Institute was awarded the Commission on Cancer (CoC) Outstanding Achievement Award for 2008 following an intensive on-site survey completed in November 2008. It is one of only four cancer programs in Maryland - and one of only 95 programs nationwide - to receive the prestigious award from the CoC, an organization established by the American College of Surgeons. The award was established in 1994 to recognize cancer programs demonstrating excellence in providing quality care to cancer patients. A facility receives the award only if demonstrating a "commendation" level of compliance with seven CoC-established standards of care. AAMC demonstrated commendation-level compliance in six areas; cancer committee leadership, cancer data management, clinical services, research, community outreach, and quality improvement.The AAMC Breast Center is nationally recognized for its outstanding care, research and comprehensive programs. It offers kind, sensitive, and tailored breast disease treatment and care for women. With our highly experienced breast specialists and specialty trained staff plus state-of-the-art facilities, we are a breast center dedicated to giving you new hope and good health.In the summer of 2009, AAMC made a commitment to further serve breast patients in the region by opening a new, expanded breast center under the umbrella of the DeCesaris Cancer Institute, and adding a third fellowship-trained breast surgeon to the care team.The Cancer Institute offers a wide range of support groups to patients as a source of comfort, encouragement and information, and as a way to connect with others who know what the patients are going through as a patient, family member or caregiver. Some of our support groups include: General Cancer Support Group; Monthly Lung Cancer Support Group; Moving Forward, a monthly meeting for women diagnosed with breast cancer within the last two years; Sister to Sister, providing specialized support for African-American women; and Survivors Offering Support, where breast cancer survivors are trained to provide one on one mentoring to newly diagnosed patients through their first year of treatment. Emergency ServicesThe AAMC Emergency Room is one of the busiest in the area, serving more than 77,000 patients each year. AAMC's Emergency Department employs trained physicians, physician assistants, and nurse practitioners who are on duty 24 hours a day, seven days a week, and specialists are on call for consultation. 349237091 1 1 0 0 0 0 0 0 0 1 0 1 0 1 1 0 0 0 1 0 1 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 1 259 0 3134 1 1 1 1 CJ 0 0 0 0 0 0 0 19 16 1 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 MD X SANDRA L HUFFER 4434816554 2001 MEDICAL PARKWAY ANNAPOLIS MD 21401 JAMES L MYERS 1.00 X 0 0 0 GEORGE T MORAN 1.00 X 0 0 0 PATRICIA ROCHE 1.00 X 0 0 0 RICHARD J MORGAN 1.00 X 0 0 0 KENT MCNEW 1.00 X 0 0 0 CHARLES R LARSON 1.00 X 0 0 0 MARTIN L DOORDAN 40.00 X X 782159 0 237340 VICTORIA BAYLESS 40.00 X X 458085 0 30514 BIANA J ARENTZ 1.00 X 0 0 0 DOROTHY ELDER 1.00 X 0 0 0 PAUL ELDER MD 1.00 X 0 0 0 JAMES ELLERSON 1.00 X 0 0 0 ED GOSSELIN 1.00 X 0 0 0 JASON GROVES 1.00 X 0 0 0 BARRY JACKSON 1.00 X 0 0 0 GARY JOBSON 1.00 X 0 0 0 DOUG MITCHELL MD 1.00 X 0 0 0 CHRIS O'MEARA 1.00 X 0 0 0 JAN W WOOD 1.00 X 0 0 0 ROBERT REILLY 40.00 X 297429 0 18711 DOUGLAS A ABEL 40.00 X 296348 0 19363 SHERRY PERKINS 40.00 X 282385 0 10930 PAULA WADLEY 40.00 X 254575 0 26284 JOSEPH D MOSER MD 40.00 X 427912 0 69726 LORRAINE TAFRA MD 40.00 X 357669 0 27445 CAROLYN CORE 40.00 X 363857 0 44268 FRANK LIN MD 40.00 X 275051 0 24587 TIMOTHY G WOODS MD 40.00 X 302968 0 22065 WILLIAM L HUGHES 0.00 X 564573 0 24704 4663011 0 555937 209 1 1 0 GILBANE BUILDING COMPANY PO BOX 6128 PROVIDENCE RI 02940 CONSTRUCTION PROJECT MANAGEMENT 1820354 ACS CONSULTANT CO INC PO BOX 202617 DALLAS TX 75320 CONSULTING 1286681 VENABLE LLP PO BOX 630798 BALTIMORE MD 212630798 LEGAL FEES 1209491 SLEEP SERVICES OF AMERICA INC 890 AIRPORT PARK ROAD SUITE 119 GLEN BURNIE MD 21061 SLEEP STUDIES 1116374 INFORMED LLC 1596 WHITEHALL ROAD ANNAPOLIS MD 21409 MEDICAL PLAN SVCS 1084828 46 902049 902049 ANCILLIARY SERVICES 621500 287954704 281149204 6805500 ADMISSION/ROOM CHARGES 621990 73998024 73998024 EMERGENCY ROOM CHARGES 621990 26772305 26772305 CAFETERIA 722210 2604414 2604414 PATIENT EDUCATION/MISC 624100 791935 791935 392121382 6454723 6454723 177717 155686 155686 177717 0 177717 177717 159644 191180 -31536 -31536 MANAGEMENT SERVICES 812900 13023215 11352197 1671018 PREMIER PURCHASING PAR 525990 891654 38916 852738 ANSWERING/PAGING SERVI 812900 216232 216232 187049 137912 49137 14318150 413942485 394201577 8731666 10107193 2707777 2707777 161298949 146234946 15064003 626192 626192 19291476 17285715 2005761 11291920 10089045 1202875 802269 802269 180151 180151 150999 150999 31000986 20826967 10174019 739736 739736 13276247 10527887 2748360 4597620 1381033 3216587 9034342 6278976 2755366 763076 699313 63763 623967 469471 154496 11846465 11846465 18568818 18568818 6295474 5665927 629547 MEDICAL SUPPLIES 81004177 81004177 BAD DEBT EXPENSE 15769041 15769041 DEBT REFINANCING COSTS 1966667 1966667 TEMPORARY AGENCY 1790203 1223382 566821 393626552 349237091 44389461 0 7184323 17847607 38264513 50238125 6449549 7806490 4467169 3596328 479634036 148950344 264852045 330683692 150800100 173194089 32957354 37414888 267777286 223958453 772752339 844739672 81146601 102496551 336733202 343636986 5974782 4747911 47827330 62322973 471681915 513204421 X 268900158 303097056 20558266 16690195 11612000 11748000 301070424 331535251 772752339 844739672 X 0 1 1 X 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 9077780 9077780 178470503 41497682 136972821 7670646 3188145 4482501 156026101 102802175 53223926 128389006 1462342 126926664 330683692 LIMITED USE ASSETS 129025901 DEFERRED DEBT ISSUE COSTS 7623527 DUE FROM AFFILIATES 48950749 NOTES RECEIVABLE FROM AFFILIATES 7277574 BENEFICIAL INTEREST IN AAMC FOUNDATION 28849036 FAIR VALUE OF INTEREST RATE SWAP DERIVATIVE CONTRACTS 2231666 223958453 THIRD PARTY ADVANCE LIABILITIES 14813387 FAIR VALUE OF INTEREST RATE SWAP DERIVATIVE CONTRACTS 47509586 62322973 413942485 393626552 20315933 18321289 -8172395 10148894 30464827 Part X: Description of Uncertain Tax Positions Under FIN 48: Anne Arundel Medical Center, Inc. is a subsidiary of the consolidated group known as Anne Arundel Health System, Inc. ("Group"). An audit was performed and audited financial statements were issued for Anne Arundel Health System, Inc. and its subsidiaries on a consolidated basis. In the notes to consolidated financial statements for Anne Arundel Health System, Inc., it is noted that the Group adopted ASC 740 on July 1, 2007 and that the Group has determined that it does not have any uncertain tax positions through June 30, 2010. Part XI, Line 8 - Other Adjustments: CHANGE IN BENEFICIAL INTEREST IN AAMC FOUNDATION, INC.: -3671283. ADDITIONAL PAID IN CAPITAL - COTTAGE INSURANCE COMPANY, LTD: -200000. TRANSFER FROM AAMC FOUNDATION, INC. TO AAMC, INC.: 11948794. CHANGE IN ACCRUED PENSION LIABILITY: -10184774. UNREALIZED LOSS FOR CONTRACTS UNDER SFAS 133: -10385287. CHANGE IN INVESTMENT in subsidiaries on the equity method: 4360022. Unrealized loss from investment in Premier Purchasing LP: -112377. CHANGE IN CASH SURRENDER VALUE OF LIFE INSURANCE POLICY: 72510. Central America and the Caribbean 0 1 REINSURANCE EXPENSES 4885000 0 1 4885000 Lights on the Bay 159644 159644 191180 159644 159644 191180 191180 -31536 1 1 X 1 X 1 X 330.000000000000 1 1 1 0 1 1 5258518 0 5258518 0.01390 5258518 5258518 0.01390 2323354 103466 2219888 0.00590 976322 976322 0.00260 1041155 1041155 0.00280 171239 171239 0.00050 4512070 103466 4408604 0.01180 9770588 103466 9667122 0.02570 3782 3782 0.00000 91620 91620 0.00020 88347 88347 0.00020 19922 19922 0.00010 203671 203671 0.00050 1 12674364 1851189 127246169 112944842 14301327 X 1 1 ANNE ARUNDEL MEDICAL CENTER INC

2001 MEDICAL PARKWAY ANNAPOLIS MD 21401

X X X Part I, Line 7: Charity care reported in line 7a was calculated using a cost to charge ratio derived using the ratio of patient care cost to charges and the Hospital's audited financial statements. Other cost amounts included in Line 7 relating to community benefits and community building activities were obtained from the organization's community benefit report filing with the HSCRC in the state of Maryland. These costs were determined using a variety of sources, including payroll information (for direct labor costs) and the organization's general ledger system detail (for other direct costs e.g. supplies). Indirect costs in these areas of benefit were determined by applying an indirect cost ratio to the direct cost amounts obtained. This ratio is calculated using Schedule M of the Hospital's Annual Cost Report filing with the HSCRC in the state of Maryland.Total community benefit expense reported does not include costs incurred by entities related to Anne Arundel Medical Center(wholly-owned subsidiaries of Anne Arundel Health System). Additional community benefit expenses of $3,830,849 incurred by related entities are as follows:Research expense - $1,628,824 incurred by Anne Arundel Health System Research Institute, Inc.Subsidized health services - $2,202,025 incurred by Anne Arundel Health Care Services, Inc.When considering this additional expense in combination with the cost reported at Part I, Line 7, total community benefit expense as a percentage of AAMC expenses would be 3.57%.Part I, Line 7A, Column (d) and Line 7F, Columns (c) and (d): Maryland's regulatory system creates a unique process for hospital payment that differs from the rest of the nation. The Health Services Cost Review Commission, (HSCRC) determines payment through a rate setting process and all payors, including governmental payors, pay the same amount for the same services delivered at the same hospital. Maryland's unique all payor 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.Part I, Line 7B, Column (c) through (f): Maryland's regulatory system creates a unique process for hospital payment that differs from the rest of the nation. The Health Services Cost Review Commission, (HSCRC) determines payment through a rate setting process and all payors, including governmental payors, pay the same amount for the same services delivered at the same hospital. Maryland's unique all payor system includes a method for referencing Uncompensated Care in each payors' rates, which does not enable Maryland hospitals to breakout any directed offsetting revenue related to Uncompensated Care. Community benefit expenses are equal to Medicaid revenues in Maryland, as such, the net effect is zero. The exception to this is the impact on the hospital of its share of the Medicaid assessment. In recent years, the state of Maryland has closed fiscal gaps in the state Medicaid budget by assessing hospitals through the rate setting system. Part I, Line 7g: Annapolis Outreach Clinic - The Anne Arundel Medical Center sponsors a free medical and dental clinic at the Stanton Community Center, which is supported by a network of dedicated physician volunteers, nurses, and other professionals in the community. The Annapolis Outreach Center offers a "safety-net of care" to those who do not have health insurance, have limited health coverage, or do not have access to health services for a variety of others reasons. The Center's health care team consists of a nurse coordinator, case manager, nutrition counselor, and Spanish speaking patient advocate. They support the doctors who volunteer their time and talents to offer weekly health clinics, children's health clinics, and other specialty clinics throughout the month. The Center's care team works with clients to improve lifestyles and prevent illness; there are special programs for people with diabetes and/or hypertension. All services provided by the doctors, nurses and counselors at the Center are free of charge. COST (included in I Line 7g - $359,217)Kent Island Urgent Care Facility - Johns Hopkins Community Physicians, in partnership with AAMC, offers both primary care and extended-hours urgent care in AAMC Health Services - Kent Island. This valuable service currently treats hundreds of urgent care cases each month. The facility features a walk-in, after hours urgent care center, a full-service diagnostic radiology center, lab services, and specialty and primary care physicians. COST (included in I Line 7g - $50,000) Part I, Line 7f: The portion of bad debt expense included on Form 990, Part IX, line 25 and removed from Line 7 column f is $15,769,041. Part III, Line 4: The hospital has adopted Healthcare Financial Management Association Statement #15. THE HOSPITAL'S POLICY IS TO WRITE OFF ALL PATIENT ACCOUNTS THAT HAVE BEEN IDENTIFIED AS UNCOLLECTIBLE. AN ALLOWANCE FOR DOUBTFUL ACCOUNTS IS RECORDED FOR ACCOUNTS NOT YET WRITTEN OFF THAT ARE ANTICIPATED TO BECOME UNCOLLECTIBLE IN FUTURE PERIODS. INSURANCE COVERAGE AND CREDIT INFORMATION ARE OBTAINED FROM PATIENTS WHEN AVAILABLE. NO COLLATERAL IS OBTAINED FOR ACCOUNTS RECEIVABLE. Bad debt expense at cost was determined by using a cost to charge ratio. The bad debt expense attributable to patients eligible under the organization's charity care policy was determined by specific identification reviewing bad debt records and determining who would have become eligible for charity care if all information had been obtained from the patients. Part III, Line 8: COMMUNITY BENEFIT QUESTION IS NOT APPLICABLE IN MARYLAND AS MARYLAND HOSPITALS ARE REIMBURSED UNDER THE HSCRC WAIVER PROGRAM WHEREIN NET REVENUE (REIMBURSEMENT) IS BASED ON A PERCENTAGE OF REGULATED CHARGES. COSTING METHODOLOGY BASED ON TRIAL BALANCE EXPENSES ADJUSTED TO ALLOWABLE EXPENSE IN ACCORDANCE WITH MEDICARE COST REPORTING RULES AND REGULATIONS. Part III, Line 9b: EACH AAMS PATIENT BILL INCLUDES CONTACT INFORMATION FOR FINANCIAL ASSISTANCE AND STATES WHERE TO CALL TO REQUEST A PAYMENT PLAN. SHORT AND LONG TERM INTEREST FREE PAYMENTS PLANS ARE AVAILABLE. THE HOSPITAL TAKES INTO ACCOUNT THE BALANCE OF THE BILL AND THE PATIENT'S FINANCIAL CIRCUMSTANCES IN DETERMINING THE APPROPRIATE AGREEMENT. SHOULD THE PATIENT CONTACT PATIENT FINANCIAL SERVICES CUSTOMER SERVICE UNIT REGARDING INABILITY TO PAY, FINANCIAL ASSISTANCE IS OFFERED, THE AMOUNT OF WHICH IS BASED ON THE FINANCIAL ASSISTANCE SCREENING PROCESS.IF THERE IS NO INDICATION FROM THE PATIENT OR A REPRESENTATIVE THAT THEY CANNOT PAY AND NO ATTEMPT AT PAYMENT OR REASONABLE PAYMENT ARRANGEMENTS ARE MADE, THE ACCOUNT IS REFERRED TO A COLLECTION AGENCY. THE COLLECTION AGENCY IS EDUCATED ON HOW TO MAKE REFERRALS TO AAMC'S FINANCIAL COUNSELING DEPARTMENT FOR INDIVIDUALS INDICATING THEY HAVE AN INABILITY TO PAY.THE HOSPITAL COLLECTION POLICY ALLOWS THE HOSPITAL TO TAKE INTO ACCOUNT PATIENT CIRCUMSTANCES SUCH AS THE AMOUNT OF THE BILL AND AMOUNTS OWED TO OTHER PROVIDERS IN DETERMINATION OF ULTIMATE AMOUNT TO BE PAID. Part VI, Line 2: The hospital's community benefit initiatives reflect the evidence-based needs of our community. Community needs are also determined by county-specific assessments and research. The following are resources utilized in collecting and analyzing data for FY10; Anne Arundel County Health Department's Local Health Plan 2010, Department of Health's 13th annual (2010) Report Card of Community Health Indicators and the 2010 "Poverty Amidst Plenty: A Guide to Action". Determining the health status and needs of community members is done in a variety of ways. One of the best ways to understand community needs is by giving our community members a voice, and then listening to them. For example: The hospital currently sponsors 43 monthly support groups to meet a variety of community needs. The groups offer support to those dealing with acute illness such as cancer, as well as chronic disease such as diabetes and hypertension. The hospital also sponsors a weekly support group to meet the unique needs of Hispanic women in the community.Evidence-based community needs are also elicited by customer satisfaction surveys, customer call center inquiries, evaluations from community classes, and community outreach and educational presentations. The hospital's ongoing work with community groups and participation in advisory committees and councils create a continuous communications process, bringing new ideas from Anne Arundel County residents and organizations into the hospital's community benefits planning process. The hospital website, and email magazine: "Neighbor News", offers our community the opportunity to make inquiries or provide the hospital with feedback via the Internet. Community access is always available through the hospital's Ask-a-Nurse program called askAAMC. The Ask-a-Nurse program provides the community around the clock telephone access to registered nurses. MyChart electronic health record is a secure on-line access to portions of medical records. Patients can request medical appointments, view their health summary from the MyChart electronic health record, view test results, request prescription renewal, access trusted health information resources and communicate electronically and securely with their medical team. Currently there are 3,147 active users. Out of the active users, there have been 31,149 log-ins leading to 307,499 features (test results, reports, appointments, etc.) being accessed. Access has increased from approximately 1000 features being accessed per week in July 2009 to 9000 in June 2010. Part VI, Line 3: Public notice and information regarding the Anne Arundel Medical Center's charity care policy shall include the following: a) Annual notice that charity care is provided and the criteria under which it will be provided will be published in the local newspaper, The Capital. b) The notice provided by the United States Department of Health and Human Services regarding medical care for those who cannot afford to pay is posted at the point of admission, the business office, cashier, and emergency room. c) Individual notice is provided to each person seeking service at the time of admission or pre-admission testing. Part VI, Line 4: The community of Anne Arundel County has a current population of 512,790 residents. It is a diverse community, with a continuously evolving blend of age groups, ethnic groups, occupations, and social and economic conditions. Residents live in settings that range from urban to agricultural. Ethnicity breaks down as follows: white 78.4%; black 15.1%, Asian 3.1%; American Indian 0.2%; and Hispanic 4.5%. The Non-English speaking population in the County is expected to experience significant growth over the next decade. The population expected to experience the greatest growth (38%) over the next decade is among those age 65 and over. Clearly, community health initiatives over the next decade will need to focus on prevention and management of chronic diseases among the aged as well as those that disproportionately affect the growing minority populations.The median household income of the community is $83,285. Data shows that 2.3% of families, and 4.1% of individuals,are living below poverty level. The unemployment rate in January 2010 was 7.6%, and the percentage of uninsured residents (age 18-64) was 8.2%. The number of uninsured residents in Anne Arundel County is growing as the economy continues to struggle through 2010.The geography of Anne Arundel County creates somewhat of a challenge in accessing healthcare. Parts of the county consist of a series of peninsulas making a comprehensive public transportation system too expensive to maintain. According to the report "Poverty Amidst Plenty", only 3 percent of Anne Arundel County residents utilized public transportation to get work. Inadequate transportation is not only a barrier to getting to work, it is also a barrier to other needed services. Lastly, the county is considered a high risk area for bioterrorism as its geography contains the national Security Agency, the US Naval Academy, the Baltimore-Washington Thurgood International Airport, and Fort Meade. Part VI, Line 5: Support Systems Enhancement includes emergency management activities, Alternate Care Site Naval Support Activity, other drills and real time activities. The hospital has a Disaster Preparedness Coordinator that is responsible for staff training, coordinating disaster drills and keeping the hospital's disaster preparedness inventory up to date. In FYE 2010, 5 additional employees completed FEMA Emergency preparation courses to better collaborate with other county service providers to better serve the community. These staff members participated in a number of of collaborative planning meetings and drills with designated County services and first responders.Coalition building includes hospital representation to community coalitions, collaborative partnerships with community groups to improve community health, community meeting costs, visioning sessions and costs for task force specific projects and initiatives. The hospitals ongoing work with community groups and participation in advisory committees and councels create a continuous communications process, bringing new ideas from Anne Arundel County residents and organizations into the hospital's community benefit planning process. MyChart electronic health record is a secure on-line access to portions of medical records. Patients can request medical appointments, view their health summary from the MyChart electronic health record, view test results, request prescription renewal, access trusted health information resources and communicate electronically and securely with their medical team. Currently there are 3,147 active users. Part VI, Line 6: The hospital has activities and initiatives in each of the five areas identified by the County Health Department. Here are several examples.The hospital has run a free medical clinic for our underserved and uninsured community for the past 15 years. The Annapolis Outreach Center, located in the historic Stanton Center in Annapolis' Clay Street Community, sees thousands of individuals each year in its medical and specialty clinics. This year 62 physician volunteers staffed approximately 250 medical or specialty clinics at the Annapolis Outreach Center. Another 175 physicians accepted referrals from the Outreach Center and saw the referred patients at no cost, up to and including laboratory testing, diagnostic testing, and surgical procedures. The Outreach Center holds monthly Pediatric clinics and weekly Mental Health clinics. In addition, the Outreach Center provides a free adult dental clinic. Sixty dentist volunteers have provided free dental care for hundreds of community members in this (10) fiscal year. As noted in the 2010 report "Poverty Amidst Plenty" the Outreach Center was able to inaugurate a bi-lingual program thanks to a grant from the Weinberg Foundation. In addition, a Masters Degree Dietetic Candidate produced a Spanish language cookbook for diabetics at the Center. Private physicians volunteered 6500 hours ($812,000) in FY10 to the Outreach Center.The hospital has doctor on-call rotations in every specialty for which there may be an emergency or inpatient need. On-call coverage is provided to all patients regardless of insurance status. There are no gaps in availability of any specialty for uninsured or underserved patients. In addition, the hospital has Hospitalist programs in Medicine, Pediatrics, General Surgery, Obstetrics and an Intensivist program. These physicians provide 24-hour in-house coverage for each of these areas for all patients regardless of insurance status.The hospital and many of its physicians support the Anne Arundel County Health Department's REACH Program (Residents Access to a Coalition of Health), which offers access to affordable health services for low-income uninsured individuals in Anne Arundel County. The hospital collaborates with the County Health Department on the Health Smart Church program. This grant-funded program provides health education and blood pressure monitoring at minority churches throughout the county. The hospital collaborates with the County Health Department on the Learn to Live program. This grant-funded program provides in-person point-of-purchase nutrition education at health department-targeted grocery stores throughout the county. The hospital has a Disaster Preparedness Coordinator that is responsible to provide staff training, coordinate disaster drills, and keep the hospital's disaster preparedness supply inventory up to date. In FY10, 5 additional hospital employees completed FEMA Emergency preparation courses to better collaborate with other county service providers to better serve the community. These staff members participated in a number of collaborative planning meetings and drills with designated County services and first responders.The hospital will be opening a "patient-centered medical home" in December 2010. The AAMC Community Health Center is designed to be a "patient-centered medical home" where a team of health professionals provides continuous, comprehensive, and coordinated care throughout the patient's lifetime. Our team meets the needs of the uninsured and underinsured by providing access to affordable primary health care services, right here in our own community. The center is conveniently located on local bus routes.Due to the growing latino population we are increasing the availability of interpreters and currently employ a full-time bilingual patient advocate. Part VI, Line 7: The Health System's Community Health and Wellness Department partners with the Annapolis and Anne Arundel County Coalition to End Homelessness to organize the County's Homeless Resource Day. The annual March event, now in its second year, assisted approximately 500 of the areas homeless residents to gain access to needed health and human services this past year. The Community Health and Wellness Department recruits healthcare providers from the public and private sectors - other county hospitals, clinics, universities, and colleges to provide healthcare services at the annual event. MD X X X 1 1 X X X X X 1 1 0 0 0 0 0 0 0 MARTIN L DOORDAN 609043 0 145819 0 27297 0 217858 0 19482 0 1019499 0 0 0 VICTORIA BAYLESS 348312 0 88253 0 21520 0 25517 0 4997 0 488599 0 0 0 ROBERT REILLY 206894 0 69500 0 21035 0 8145 0 10566 0 316140 0 0 0 DOUGLAS A ABEL 231400 0 44999 0 19949 0 5670 0 13693 0 315711 0 0 0 SHERRY PERKINS 224886 0 37841 0 19658 0 9086 0 1844 0 293315 0 0 0 PAULA WADLEY 215671 0 18876 0 20028 0 21831 0 4453 0 280859 0 0 0 JOSEPH D MOSER MD 350262 0 46781 0 30869 0 53769 0 15957 0 497638 0 0 0 LORRAINE TAFRA MD 312669 0 45000 0 0 0 10794 0 16651 0 385114 0 0 0 CAROLYN CORE 261424 0 52200 0 50233 0 35401 0 8867 0 408125 0 25821 0 FRANK LIN MD 261488 0 13563 0 0 0 7177 0 17410 0 299638 0 0 0 TIMOTHY G WOODS MD 287293 0 15675 0 0 0 6850 0 15215 0 325033 0 0 0 WILLIAM L HUGHES 229567 0 0 0 335006 0 13899 0 10805 0 589277 0 108176 0 Part I, Line 1a Martin Doordan and Victoria Bayless's employment contracts provide for the travel/social club benefits noted above. They are included as part of their compensation package as well as reported on their 2009 Form W-2. Eight officers/key employees were provided additional compensation to offset the impact of executive life insurance premiums made on their behalf. This benefit was treated as taxable compensation to these individuals. Part I, Line 4a WILLIAM L. HUGHES RECEIVED $213,069 OF SEVERENCE PAY. PART I, LINE 4B: the following participateD in the organization's 457(f) plan: Martin L. Doordan $181,188 Victoria Bayless $21,451 ROBERT REILLY $2,085 DOUGLAS A. ABEL $100 SHERRY PERKINS $3,826 PAULA WADLEY $1,563 JOSEPH D. MOSER, M.D. $24,431 CAROLYN CORE $8,730 WILLIAM L. HUGHES $3,125 MARYLAND HEALTH AND HIGHER EDUCATION FACILITIES AUTHORITY 520936091 574217NZ4 2004-02-19 25729005 FINANCE ACQUISITION/CONSTRUCTION/EQUIPMENT 0 0 MARYLAND HEALTH AND HIGHER EDUCATION FACILITIES AUTHORITY 520936091 5742173U7 2009-01-29 115182636 FINANCE ACQUISITION/CONSTRUCT./RENOVATION/EQUIP.OF NEW & EXISTING FACILITIES 0 0 MARYLAND HEALTH AND HIGHER EDUCATION FACILITIES AUTHORITY 520936091 5742173V5 2009-02-19 60000000 FINANCE ACQUISITION/CONSTRUCT./RENOVATION/EQUIP.OF NEW & EXISTING FACILITIES 0 0 mARYLAND HEALTH AND HIGHER EDUCATION FACILITIES AUTHORITY 520936091 5742176g5 2010-02-03 83903060 fINANCE ACQUISITION/CONSTRUCT./RENOVATION/EQUIP.OF NEW & EXISTING FACILITIES 0 0 25729005 1061301 24667704 2005 0 0 1 1 115182636 6463135 2246061 90739290 2010 0 0 1 1 60000000 3741749 40104732 1430642 14722877 2011 0 0 0 1 83903060 1870961 73583333 4253590 1448766 2746410 2011 1 0 0 1 0 0 0 0 0 0.00000 0.00000 0.00000 1 0 0 0 0 0 0.00000 0.00000 0.00000 1 0 0 0 0 0 0.00000 0.00000 0.00000 1 0 0 0 0 0 0.00000 0.00000 0.00000 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 Form 990, Part VI, Section A, line 2 DR. PAUL ELDER AND DOROTHY ELDER, WHO ARE HUSBAND AND WIFE, ARE BOTH BOARD MEMBERS OF ANNE ARUNDEL MEDICAL CENTER, INC. Form 990, Part VI, Section A, line 6 THE SOLE STOCKHOLDER OF THE ORGANIZATION IS THE ANNE ARUNDEL HEALTH SYSTEM, INC. ("AAHS"), A SECTION 501(C)(3) ENTITY THAT SERVES AS THE PARENT CORPORATION OF THE INTEGRATED HEALTH SYSTEM. Form 990, Part VI, Section A, line 7a THE SOLE STOCKHOLDER OF THE ORGANIZATION IS THE ANNE ARUNDEL HEALTH SYSTEM, INC. ("AAHS"), A SECTION 501(C)(3) ENTITY THAT SERVES AS THE PARENT CORPORATION OF THE INTEGRATED HEALTH SYSTEM. AAHS HAS THE EXPRESS POWER AND RESPONSIBILITY TO ELECT AND REMOVE THE BOARD OF DIRECTORS AND OFFICERS OF THE CORPORATION. Form 990, Part VI, Section A, line 7b THE SOLE STOCKHOLDER OF THE ORGANIZATION IS THE ANNE ARUNDEL HEALTH SYSTEM, INC. ("AAHS"), A SECTION 501(C)(3) ENTITY THAT SERVES AS THE PARENT CORPORATION OF THE INTEGRATED HEALTH SYSTEM. AAHS HAS THE EXPRESS POWER AND RESPONSIBILITY TO APPROVE DECISIONS OF THE BOARD OF DIRECTORS. Form 990, Part VI, Section B, line 11 The Board has assigned responsibility for the detailed review of the Form 990 to the Finance and Audit Committee of Anne Arundel Health System, Inc. (parent). The Finance and Audit Committee reviews the Form 990 and provides summary information to the full board. The Form 990 is made available to the full board for review prior to its filing. Form 990, Part VI, Section B, line 12c THE ORGANIZATION REQUIRES THAT EACH MEMBER OF THE BOARD REVIEW THE ORGANIZATION'S CONFLICT OF INTEREST POLICY ON AN ANNUAL BASIS AND RETURN AN ACKNOWLEDGEMENT OF RECEIPT AND DISCLOSURE OF ANY POTENTIAL CONFLICTS OF INTEREST. The Board, management and the accounts payable function monitor transactions for potential excess benefit transactions/private inurement. Form 990, Part VI, Section B, line 15 Anne Arundel Medical Center's executive compensation committee determines the President and Chief Executive Officer's compensation following the IRC Section 4958 rebuttable presumption test. All other compensation is determined through consultation with an independent outside compensation consulting firm. Form 990, Part VI, Section C, line 19 The Organization's governing documents, conflict of interest policy and financial statements are retained in the Finance office and are available for public inspection upon request. FORM 990 IS AVAILABLE BY REQUEST TO THE FINANCIAL SERVICES OFFICE OR CAN BE OBTAINED ONLINE AT GUIDESTAR.ORG. FORM 990, PAGE 12, PART XI, LINE 2C: THIS PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. FORM 990, PAGE 9, PART VIII, LINE 11 PAYROLL AND BENEFITS FOR ALL OFFICERS, DIRECTORS AND EMPLOYEES OF THE CONSOLIDATED GROUP KNOWN AS ANNE ARUNDEL HEALTH SYSTEM, INC. IS ADMINISTERED THROUGH ANNE ARUNDEL MEDICAL CENTER, INC. (AAMC) AAMC SUBSEQUENTLY BILLS EACH ENTITY FOR THE AMOUNT OF WAGE AND BENEFIT EXPENSE INCURRED BY THEM. THIS IS REPORTED ON THE FORM 990 AS "MANAGEMENT SERVICES" ON PAGE 9. FORM 990, PAGE 2, PART III, LINE 4A - CONTINUATION AAMC's Emergency Department includes: Emergency trained nurses and medical technicians who provide nursing care and monitor patient conditions throughout the episode of care. All patients are triaged by nursing staff and assigned a priority based on the assessed medical need. Those patients with more serious conditions are treated in the main ED area while patients with less acute conditions are treated in the minor treatment area. Eighteen rooms are designated for acutely ill patients, two for trauma care, one for OB-GYN, and eight for non-urgent care. Ten additional rooms are designated for clinical decision-making. Suturing and casting services available for minor trauma. High-level trauma patients are stabilized and transferred to nearby trauma centers. X-ray services available within the ED to expedite diagnosis and treatment. A full-service radiology department is located on the same floor for more extensive diagnostic testing. New technology allows x-rays be transmitted electronically enabling the ED doctors, specialists, and primary care physicians to view x-rays and other diagnostic tests on a computer within minutes of being taken. Hospitalists and intensivists (doctors specially trained in critical care and inpatient care) admit patients to the Acute Care Pavilion once the determination is made that further medical and nursing are needed. Mental health assessment and placement services are provided by licensed mental health clinicians. Domestic Violence assessment and support services are provided by trained counselors. Patient advocates and volunteers are available to assist families with personal needs and comfort care. Community Health Education and Support Community health education services encourage healthy lifestyles and disease prevention. In most cases, AAMC provided these services at minimal or no cost. The following services were offered in FY10: Individual nutrition counseling with registered dietitians was provided at a nominal cost. In FY10, AAMC dieticians spent more than 593 hours in dietary consultations. Nutrition education was offered in eight grocery stores throughout the county, funded by a grant from the Anne Arundel County Health Department. Approximately 10,150 consumers were greeted and more than 50,750 pieces of educational material were distributed during these sessions. Approximately 291 massage, Healing Touch, and Reiki sessions were given at a moderate cost to the community. AAMC physicians, pharmacists, registered nurses, dietitians and other professionals volunteer their time and expertise to provide up-to-date information on disease prevention and other health-related issues through free seminars and programs. These programs, designed to meet the health needs of the community and coordinated by the departments of Public Relations and Community Health and Wellness, are offered to local clubs, schools, corporations, civic organizations and the general public. Class topics are based on community health assessments, results of customer interest surveys, focus groups, and feedback provided on program evaluations. Topics include prostate cancer, cardiac risk, vascular disease, back care, breast cancer, arthritis, pain management, reflux disease, diabetes and menopause. More than 35,000 people participated in AAMC classes and special education events during FY10. Most classes were offered at a break-even cost or a loss to the Medical Center. A sampling of the more than 60 classes includes the following: Adolescent childbirth/parenting classes with a pregnancy-prevention component. CPR classes with CPR techniques for children and infants. About 400 hours a year are spent on CPR instruction. Special programs and seminars featuring critical issues in women's health , including menopause, osteoporosis prevention, coronary risk, preconception planning and breast cancer treatment and recovery as well as parenting programs for women. Classes in birth education, breastfeeding preparation, infant care and child passenger safety along with programs for dads, grandparents and siblings that prepare families for the arrival of a new baby. More than 2,000 families attended nearly 1,000 perinatal education classes offered by Women's Education in FY10. Classes in complementary practices for mind/body wellness. These classes include massage, yoga, tai chi, Reiki, meditation, and mindfulness, and a nationally recognized weight training program for women know as "Strong Women". Classes to promote healthy lifestyle choices, such as "Becoming Smoke-Free", and "The LEARN Program", which provides a comprehensive approach towards weight loss and weight management. Stroke education outreach and continued education -- a vital component of the AAMC Stroke Center mission. Support groups are organized in conjunction with several health organizations and community groups. They include: Annapolis Homeopathy Study Group, Alzheimers Support, Breast Cancer Support, Cardiac Support, Cancer Support, Celiac Support, Crohns/Colitis/IBD Support, Diabetes Support, Downs Syndrome, Liver Support, Nicotine Dependence Support, Ostomy Support, Prostate Cancer Support, Sickle Cell Support, and Stroke Support. There is also a Better Breathing Club and the Hispanic Women Mental Health Group. Women's Education at AAMC sponsors a Breastfeeding Support Group, Mommy and Me Playgroup, and Postpartum Depression Support Group. Community health education services encourage healthy lifestyles and disease prevention. In most cases, AAMC provides these services at no cost to participants. 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