2024-11-14T16:46:56-06:00 2023-12-31 380859910 BAKER TILLY ADVISORY GROUP LP 1570 FRUITVILLE PIKE STE 400 LANCASTER PA 17601 990 2023-01-01 521532556 ADVENTIST HEALTHCARE INC ADVE 3013153030 820 WEST DIAMOND AVE 600 GAITHERSBURG MD 208781419 MAUREEN L DYMOND INTERIM CFO 3013153030 2024-11-14 1 0 KERRI N BOGDA CPA P00760402 7177404863 2023 2024-10-15 13:58:12Z JOHN SACKETT 820 WEST DIAMOND AVE 600 GAITHERSBURG MD 208781419 1179276960 0 1071 X WWW.ADVENTISTHEALTHCARE.COM X 1983 MD HEALTH-CARE NETWORK: SERVICES INCLUDING ACUTE CARE, AMBULATORY AND POPULATION HEALTH MANAGEMENT. 14 7 8355 698 2325144 0 24006138 12145270 937305881 878298123 -5801811 13305581 -1520625 6427396 953989583 910176370 1523707 1191952 0 0 416966995 442215277 0 0 1822699 532597804 423951004 951088506 867358233 2901077 42818137 1644205703 1641107821 1075619763 1026426489 568585940 614681332 X WE EXTEND GOD'S CARE THROUGH THE MINISTRY OF PHYSICAL, MENTAL AND SPIRITUAL HEALING. 0 0 671466935 1191952 837633050 THE MISSION OF ADVENTIST HEALTHCARE IS TO "EXTEND GOD'S CARE THROUGH THE MINISTRY OF PHYSICAL, MENTAL AND SPIRITUAL HEALING." IN MEETING THIS MISSION, AND IN COMPLIANCE WITH STATE AND FEDERAL LAWS, WE PROVIDE CARE TO ALL PATIENTS REGARDLESS OF THEIR ABILITY TO PAY. COMPASSION IS REFLECTED IN OUR MISSION AND OUR ORGANIZATION'S COMMITMENT TO PROVIDING CONSISTENTLY HIGH LEVELS OF CHARITY AND UNCOMPENSATED CARE. TO MEET THE NEEDS OF OUR COMMUNITIES, ADVENTIST HEALTHCARE CONTINUES TO INNOVATE AND EXPAND OUR RANGE OF SERVICES TO BUILD A HEALTHIER, ENGAGED COMMUNITY. OUR HEALTH SYSTEM ALSO PARTNERS WITH OTHER NONPROFITS IN OUR COMMUNITY THAT ADDRESS SOCIAL DETERMINANTS OF HEALTH. CONTINUES ON SCHEDULE O.ADVENTIST HEALTHCARE RESPONDS PROACTIVELY TO THE HEALTH CARE NEEDS OF OUR COMMUNITY WITH A CONTINUUM OF EXCELLENT PROGRAMS AND SERVICES TO MEET DIVERSE POPULATIONS. WE STRIVE TO:1. MAINTAIN AND GROW QUALITY HEALTH SERVICES2. INCREASE ACCESS TO CARE3. PROMOTE HEALTH EQUITY AND WELL-BEING1. MAINTAIN AND GROW QUALITY HEALTH SERVICES:ADVENTIST HEALTHCARE IS GROWING EXISTING PROGRAMS IN ONCOLOGY, CARDIAC AND VASCULAR CARE, NEUROSURGERY, PHYSICAL REHABILITATION, AND MENTAL HEALTH. OUR HOSPITALS ALSO PROVIDE MATERNITY CARE AND VITAL EMERGENCY SERVICES TO OUR COMMUNITIES. IN ADDITION, OUR SYSTEM DELIVERS HEALTH SERVICES VIA PARTNERSHIPS WITH COMMUNITY-BASED ORGANIZATIONS ALIGNED WITH OUR MISSION. OUR HEALTH SYSTEM CONTINUES TO MANAGE AN EXPANDING PORTFOLIO OF HOSPITAL SERVICES AND PHYSICIAN PRACTICES IN WASHINGTON, D.C. RESIDENTS IN OUR SERVICE AREAS BENEFIT FROM OUR QUALITY PROGRAMS THAT PROMOTE HEALTH AND WELLNESS FOR NEIGHBORS OF ALL AGES, FROM INFANTS TO SENIOR CITIZENS, THAT BUILD HEALTHIER COMMUNITIES IN A HOLISTIC WAY.OUR CANCER CARE OFFERINGS INCLUDE JOINT VENTURES WITH ONCOLOGISTS IN TWO LOCATIONS. OUR WHITE OAK CANCER CENTER HAS EXPANDED ACCESS TO ADVANCED RADIATION ONCOLOGY AND OTHER CANCER TREATMENTS FOR RESIDENTS IN AND AROUND SILVER SPRING, MARYLAND. MEANWHILE, THE SHADY GROVE AQUILINO CANCER CENTER IN ROCKVILLE, MARYLAND, CONTINUES TO HOST CUTTING-EDGE CLINICAL TRIALS AND WELLNESS PROGRAMS TO TREAT THE PSYCHOLOGICAL TOLL THAT CANCER HAS ON PATIENTS. EFFORTS LIKE THESE ARE PART OF ADVENTIST HEALTHCARE'S COMMITMENT TO PROVIDE THE LATEST DIAGNOSTIC AND TREATMENT SERVICES WITH COMPASSION, TO GAIN A DEEP UNDERSTANDING OF THE UNIQUE DEMANDS OF CANCER PATIENTS, AND TO ACCOMMODATE PATIENT NEEDS AND PREFERENCES. OUR WHOLE-PERSON CANCER CARE SERVICES ALSO INCLUDE CANCER REHABILITATION, NUTRITION COUNSELING, STRESS MANAGEMENT, FITNESS PROGRAMS AND SUPPORT GROUPS. FORT WASHINGTON MEDICAL CENTER CARRIES ON ADVENTIST HEALTHCARE'S TRADITION OF HOLISTIC CARE IN PRINCE GEORGE'S COUNTY, MARYLAND. THE HOSPITAL WAS ESSENTIAL IN PROVIDING ACCESS TO CRITICAL CARE TO ITS POPULATION THROUGHOUT THE COVID-19 PANDEMIC AND CONTINUES TO CARE FOR ITS COMMUNITY WITH HIGH QUALITY EMERGENCY SERVICES. ADVENTIST HEALTHCARE HAS ADDED PRIMARY CARE AND SPECIALTY PHYSICIAN OFFICES IN FORT WASHINGTON TO BETTER SERVE RESIDENTS. OFFERINGS INCLUDE GENERAL AND BARIATRIC SURGERY, ORTHOPEDICS, IMAGING SERVICES AND CARDIAC CARE. IN ADDITION, THE HOSPITAL RECENTLY OPENED A MEDICAL PAVILION AT NATIONAL HARBOR IN OXON HILL, MARYLAND, NEAR WASHINGTON, D.C. THE PAVILION PROVIDES D.C., MARYLAND AND VIRGINIA RESIDENTS EASY ACCESS FROM THE CAPITAL BELTWAY TO A SURGERY CENTER, PHYSICIAN OFFICES AND OTHER AMBULATORY SERVICES.ADVENTIST HEALTHCARE CONTINUES TO DEVELOP A RELATIONSHIP WITH RESIDENTS IN WASHINGTON, D.C., THOUGH ITS MANAGEMENT SERVICES AGREEMENT WITH HOWARD UNIVERSITY HOSPITAL. IN APRIL 2023, ADVENTIST HEALTHCARE ALSO BEGAN MANAGING OPERATIONS AT THE HOWARD UNIVERSITY FACULTY PRACTICE PLAN, WHICH IS HOWARD'S EMPLOYED PHYSICIAN PRACTICE. OFFERING MULTIPLE SPECIALTIES, THE PRACTICE IS CLOSELY CONNECTED TO HOWARD'S COLLEGE OF MEDICINE AND HOWARD UNIVERSITY HOSPITAL, AND IT PROVIDES D.C. RESIDENTS WITH ACCESS TO NEEDED MEDICAL SERVICES. THE AGREEMENT BUILDS ON ADVENTIST HEALTHCARE'S WORK PROVIDING SENIOR LEADERSHIP AT HOWARD UNIVERSITY HOSPITAL TO HELP STRENGTHEN THE QUALITY AND SCOPE OF ITS SERVICES.THE HOWARD PARTNERSHIP CREATES A PATH FOR MEDICAL TRAINEES, RESIDENTS, MEDICAL STUDENTS, AND GRADUATES TO TRAIN AND WORK WITHIN ADVENTIST HEALTHCARE'S HOSPITALS. HOWARD UNIVERSITY HOSPITAL IS A PRIVATE, NONPROFIT INSTITUTION THAT HAS SERVED THE COMMUNITY FOR MORE THAN 150 YEARS. IT IS ONE OF THE MOST COMPREHENSIVE HEALTH SYSTEMS IN D.C., WITH A LEVEL 1 TRAUMA CENTER AND AN EMERGENCY DEPARTMENT THAT SEES APPROXIMATELY 50,000 PATIENTS ANNUALLY. IT IS RECOGNIZED AS A NATIONAL LEADER IN TRAINING FUTURE DOCTORS, NURSES, AND OTHER HEALTHCARE PROFESSIONALS, AND ESSENTIAL TO HELPING THE U.S. ADDRESS RACIAL DISPARITIES IN THE PHYSICIAN WORKFORCE. IN THE AREA OF NEUROLOGICAL CARE, BOTH ADVENTIST HEALTHCARE WHITE OAK MEDICAL CENTER AND ADVENTIST HEALTHCARE SHADY GROVE MEDICAL CENTER AGAIN RECEIVED NATIONAL RECOGNITION FROM THE AMERICAN HEART ASSOCIATION IN 2024 FOR THEIR ONGOING COMMITMENT TO STROKE INTERVENTIONS THAT FOLLOW THE LATEST, EVIDENCE-BASED GUIDELINES. BOTH HOSPITALS EARNED THE GOLD PLUS ACHIEVEMENT AWARD IN THE ASSOCIATION'S GET WITH THE GUIDELINES-STROKE PROGRAM. TO RECEIVE THIS AWARD, EACH HOSPITAL ACHIEVED 85 PERCENT OR HIGHER COMPLIANCE WITH THE PROGRAM'S STANDARDS FOR TWO OR MORE CONSECUTIVE 12-MONTH PERIODS. IN ADDITION, BOTH HOSPITALS ACHIEVED 75 PERCENT OR HIGHER COMPLIANCE WITH FIVE OF EIGHT QUALITY MEASURES.ADDITIONALLY, BOTH FACILITIES RECEIVED TARGET: STROKE HONOR ROLL ELITE PLUS STATUS FOR MAINTAINING SHORT INTERVALS BETWEEN A PATIENT'S ARRIVAL AT THE HOSPITALS AND THEIR TREATMENT WITH A CLOT-DISSOLVING MEDICATION. PROVIDING MEDICATION WITHIN THE FIRST 4.5 HOURS AFTER SYMPTOMS HAS BEEN SHOWN TO SIGNIFICANTLY REDUCE THE EFFECTS OF STROKE AND LESSEN THE CHANCE OF PERMANENT DISABILITY.SHADY GROVE MEDICAL CENTER HAS EARNED NATIONAL CERTIFICATION FROM THE JOINT COMMISSION FOR QUALITY IN PERFORMING AND CARING FOR PATIENTS AFTER MECHANICAL THROMBECTOMY, A MINIMALLY INVASIVE NEUROSURGICAL PROCEDURE THAT HAS BEEN SHOWN IN RECENT STUDIES TO IMPROVE OUTCOMES FOR STROKE PATIENTS. SHADY GROVE ACCEPTS TRANSFERS OF STROKE PATIENTS FROM OTHER LOCAL HOSPITALS WHO REQUIRE THE PROCEDURE AND THUS HAS EXPANDED ACCESS TO THE BREAKTHROUGH TREATMENT IN ITS REGION OF MARYLAND. SHADY GROVE IS DESIGNATED A THROMBECTOMY-CAPABLE PRIMARY STROKE CENTER BY THE MARYLAND INSTITUTE FOR EMERGENCY MEDICAL SERVICES SYSTEMS.SOON, PATIENTS AT SHADY GROVE MEDICAL CENTER WILL BE ABLE TO ACCESS UPGRADED FACILITIES FOR EMERGENCY, CRITICAL AND MEDICAL-SURGICAL CARE. THE HOSPITAL IS WELL INTO CONSTRUCTION OF A NEW SIX-STORY PATIENT TOWER ADJACENT TO THE HOSPITAL. THE PROJECT IS CREATING A LARGER, UPDATED EMERGENCY DEPARTMENT WITH ADDITIONAL SPACES FOR MENTAL HEALTH EMERGENCIES; A LARGER INTENSIVE CARE UNIT AND NEW MEDICAL-SURGICAL ROOMS THAT WILL ALLOW THE HOSPITAL TO COMPLETE ITS TRANSITION TO ALL-PRIVATE ROOMS. THE TOWER IS ONE OF THE FIRST HOSPITAL BUILDINGS IN THE COUNTRY DESIGNED IN THE WAKE OF COVID-19, ALLOWING ITS DESIGNERS TO INCORPORATE ELEMENTS INFORMED BY THE PANDEMIC.FOR MORE THAN 60 YEARS, ADVENTIST HEALTHCARE HAS BEEN AT THE FOREFRONT OF CARDIAC CARE SERVICES IN OUR REGION. THE HEALTH SYSTEM PIONEERED MANY CARDIAC FIRSTS IN THE GREATER D.C. AREA, INCLUDING MITRAL VALVULOPLASTY AND SEVERAL SOPHISTICATED TYPES OF ECHOCARDIOGRAPHY. CARRYING ON THAT LEGACY, WHITE OAK MEDICAL CENTER PERFORMS SUBSTANTIAL CARDIAC SURGERY AND PCI PROCEDURES AND BACKS UP MULTIPLE HOSPITALS THAT REQUIRE AN AFFILIATION WITH A CARDIAC SURGERY PROGRAM FOR THEIR PRIMARY AND NONPRIMARY ELECTIVE PCI PROGRAMS. WHITE OAK MEDICAL CENTER AND SHADY GROVE MEDICAL CENTER BOTH HOLD NATIONAL ACCREDITATIONS AS CHEST PAIN CENTERS WITH PRIMARY PCI FROM THE AMERICAN COLLEGE OF CARDIOLOGY (ACC). IN ADDITION, SHADY GROVE MEDICAL CENTER'S CARDIAC CATHETERIZATION LAB ALSO HAS EARNED ACC ACCREDITATION. IN 2024, FOR THE SECOND TIME, THE HOSPITAL'S CARDIAC PROGRAM EARNED THE ACC'S PRESTIGIOUS HEARTCARE CENTER DISTINCTION, RECOGNIZING EXCELLENCE AND SUSTAINED QUALITY IMPROVEMENT EFFORTS.THE FORMER WASHINGTON ADVENTIST HOSPITAL FACILITY IN TAKOMA PARK PLAYED A CRITICAL ROLE IN MARYLAND'S COVID-19 RESPONSE. ADVENTIST HEALTHCARE PARTNERED WITH THE STATE OF MARYLAND TO OPERATE THE FACILITY AS AN ALTERNATE CARE SITE (ACS) FOR THE TREATMENT OF COVID-19 PATIENTS. THE ACS MADE IT POSSIBLE FOR COMMUNITY HOSPITALS IN ITS REGION TO TRANSFER HUNDREDS OF COVID-19 PATIENTS FOR SPECIALIZED CARE, FREEING ACUTE-CARE BEDS FOR RESIDENTS. THE FACILITY ALSO HAS HOUSED A REHABILITATION UNIT SPECIALIZING IN COVID RECOVERY AND AN INFUSION SITE FOR THE ADMINISTRATION OF MONOCLONAL ANTIBODY TREATMENTS FOR COVID-19. ON MAY 5, 2023, OUR PARTNERSHIP WITH MARYLAND TO TREAT COVID-19 PATIENTS ENDED AND WE ARE NO LONGER SEEING PATIENTS AT THE TAKOMA PARK CAMPUS. 33041680 35849990 SHADY GROVE MEDICAL CENTER'S BEHAVIORAL HEALTH SERVICES:ADVENTIST HEALTHCARE SHADY GROVE MEDICAL CENTER'S BEHAVIORAL HEALTH SERVICES EXTEND CARE TO INDIVIDUALS WITH MENTAL ILLNESS AND SUBSTANCE ABUSE CHALLENGES.SHADY GROVE MEDICAL CENTER IS A NONPROFIT, ACCREDITED BY THE JOINT COMMISSION AND PROVIDES PSYCHIATRIC TREATMENT AT FREESTANDING FACILITIES LOCATED ON ADVENTIST HEALTHCARE'S CAMPUS IN ROCKVILLE, MONTGOMERY COUNTY, MARYLAND. CONTINUES ON SCHEDULE OSHADY GROVE MEDICAL CENTER PROVIDES A BROAD RANGE OF BEHAVIORAL HEALTH SERVICES SUCH AS ACUTE CARE, SPECIAL AND GENERAL EDUCATION PROGRAMS, CHEMICAL DEPENDENCY PROGRAMS, OUTPATIENT PROGRAMS, PARTIAL HOSPITALIZATION PROGRAMS, INTENSIVE OUTPATIENT SERVICES AND AN OUTPATIENT WELLNESS CLINIC.SHADY GROVE MEDICAL CENTER'S BEHAVIORAL HEALTH FACILITIES INCLUDE 133 ACUTE-CARE INPATIENT BEDS. THE UNITS PROVIDE CRITICAL STABILIZATION AND SHORT-TERM INPATIENT TREATMENT FOR OLDER ADULTS WHO EXPERIENCE SUDDEN LIFE CHANGES AND STRESSORS THAT TRIGGER DEPRESSION, ANXIETY AND OTHER CHALLENGES THAT IMPACT THEIR DAILY ACTIVITIES. SHADY GROVE MEDICAL CENTER'S BEHAVIORAL HEALTH TEAM MEMBERS CARED FOR APPROXIMATELY 3,058 PATIENTS IN 2023.SERVICES ALSO INCLUDE THE RIDGE SCHOOL, A SPECIAL AND GENERAL EDUCATION DAY SCHOOL FOR STUDENTS IN GRADES 6 THROUGH 12 WITH EMOTIONAL AND LEARNING DISABILITIES OR OTHER BEHAVIORAL HEALTH IMPAIRMENTS THAT IS APPROVED BY THE MARYLAND STATE DEPARTMENT OF EDUCATION.SHADY GROVE MEDICAL CENTER ALSO OFFERS 16 ASSISTED LIVING BEDS AND A FULL CONTINUUM OF OUTPATIENT SERVICES.COMMUNITY-BASED RESIDENTIAL SERVICES:THE MANOR IS AN ASSISTED LIVING FACILITY IN TAKOMA PARK, MARYLAND, FOR INDIVIDUALS WITH CHRONIC AND SEVERE MENTAL ILLNESS WHO ARE UNABLE TO LIVE INDEPENDENTLY. THE FACILITY PROVIDES A SAFE AND SUPPORTIVE RESIDENTIAL ENVIRONMENT AS AN ALTERNATIVE TO LONG-TERM PSYCHIATRIC HOSPITALIZATION.COMMUNITY SERVICE:SHADY GROVE MEDICAL CENTER IS COMMITTED TO SERVING AS A MENTAL HEALTH RESOURCE TO FAMILIES AND BEHAVIORAL HEALTH SPECIALISTS IN THE COMMUNITIES IT SERVES. THE ORGANIZATION HAS DEDICATED SIGNIFICANT RESOURCES TO PROVIDING CONTINUING EDUCATION SYMPOSIUMS FOR CLINICIANS AS WELL AS FREE MENTAL HEALTH SUPPORT GROUPS TO THE COMMUNITY. SHADY GROVE MEDICAL CENTER SPONSORS AND SUPPORTS COMMUNITY ORGANIZATIONS SUCH AS THE NATIONAL ALLIANCE ON MENTAL ILLNESS OF MONTGOMERY COUNTY. 16634915 11326067 ADVENTIST HEALTHCARE, INC. EMPLOYS SEVERAL PHYSICIANS IN PRIMARY CARE AND SPECIALTY CARE WHO SUPPORT THE CONTINUUM OF HEALTH SERVICES OFFERED BY ADVENTIST HEALTHCARE.THERE ARE APPROXIMATELY 20 PRIMARY CARE PROVIDERS WHO SPAN OVER 7 DISTINCT SITES IN THE MONTGOMERY COUNTY AND PRINCE GEORGE'S COUNTY AREA. THESE PRIMARY CARE PHYSICIANS AND NURSE PRACTITIONERS SERVE THE COMMUNITY IN PROVIDING PREVENTIVE CARE, ACUTE CARE, AND CHRONIC CARE.ADVENTIST HEALTHCARE ALSO EMPLOYS PHYSICAL MEDICINE SPECIALISTS, WHO SERVE THE COMMUNITY BY PROVIDING INPATIENT AND OUTPATIENT PHYSIATRY SERVICES TO THOSE IN NEED. CONTINUES ON SCHEDULE O.THESE PHYSICIANS PRIMARILY SERVE PATIENTS IN MONTGOMERY COUNTY AND PRINCE GEORGE'S COUNTY.FOR BOTH GROUPS OF PHYSICIANS, ADVENTIST HEALTHCARE UNDER ITS EMPLOYMENT CONTRACTS, PROVIDES ADMINISTRATIVE, FINANCIAL MANAGEMENT, TECHNICAL AND BUSINESS SUPPORT SERVICES THAT ARE ESSENTIAL FOR PHYSICIANS TO PROVIDE QUALITY CARE AND OPERATE SUCCESSFUL PRACTICES. 721143530 1 1 0 1 0 0 0 0 0 0 1 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 1 1 1 0 1 1 0 0 0 0 0 1 0 1 1 0 1 0 0 0 1 1 1 1 0 0 1 850 0 8355 1 1 1 0 0 0 0 0 0 0 0 0 1 0 X 14 7 0 0 0 0 1 1 1 1 1 0 1 1 1 1 1 1 1 1 1 1 1 1 MD X MAUREEN L DYMOND INTERIM CFO 3013153030 820 WEST DIAMOND AVE SUITE 600 GAITHERSBURG MD 208781419 X TERRY FORDE PRESIDENT & CEO, AHC 45.00 5.00 X X 1448232 0 69578 MARISSA LESLIE MD BOARD(END 4/2023); SYS MED DIR,PSYCH 2.00 38.00 X 0 304123 24512 LAURA KHANDAGLE MD BOARD MEMBER 1.00 X 60000 0 0 BRETT GAMMA MD BOARD MEMBER 1.00 X 40000 0 0 SAFY JOHN MD BOARD MEMBER 1.00 X 28000 0 0 CYNTHIA PLATE MD BOARD MEMBER 1.00 X 25512 0 0 EMMANUEL ASIEDU BOARD TREASURER 1.00 X 12000 0 0 DAVID E WEIGLEY BOARD CHAIR 1.00 X 11683 0 0 CELESTE RYAN BLYDEN BOARD SECRETARY 1.00 X 6236 0 0 PAUL ALPUCHE ESQ BOARD MEMBER 1.00 X 0 0 0 JAMES BOYLE BOARD TERM END 4/2023 1.00 X 0 0 0 ROBERT CLARKE BOARD MEMBER 1.00 X 0 0 0 FRANKLIN DAVID BOARD MEMBER 1.00 X 0 0 0 JANET DEVINNEY BOARD MEMBER 1.00 X 0 0 0 CHERYL KISUNZU BOARD TERM END 4/2023 1.00 X 0 0 0 CHARLES TAPP BOARD MEMBER 1.00 X 0 0 0 HENRY MOSLEY BOARD MEMBER 1.00 X 0 0 0 JOHN SACKETT EVP & COO, AHC 40.00 10.00 X 1014008 0 71597 KRISTEN PULIO SVP & CFO, AHC 44.00 6.00 X 764576 0 177534 ANITA JENKINS PRESIDENT,HOWARD UNIVERSITY HOSPITAL 50.00 X 1321616 0 47800 ANTHONY STAHL PRESIDENT, WOMC 42.00 8.00 X 750174 0 184476 DANIEL L COCHRAN PRESIDENT, SGMC 44.00 6.00 X 742089 0 188032 PATSY MCNEIL SVP, SYSTEM CHIEF MEDICAL OFFICER 44.00 6.00 X 719578 0 157729 BRENT REITZ PRESIDENT, POST-ACUTE CARE SRV, AHC 5.00 45.00 X 660540 0 140814 PAUL MASSIMIANO MD PHYSICIAN 50.00 X 1147767 0 55818 SHERIF SELIM MD PHYSICIAN 50.00 X 1158485 0 44770 JONATHAN RHEE MD PHYSICIAN 50.00 X 1081920 0 48271 STEVEN BOYCE MD PHYSICIAN 50.00 X 847454 0 4099 DENNIS FRIEDMAN MD PHYSICIAN 50.00 X 796815 0 39422 12636685 304123 1254452 1067 0 1 0 QUALIVIS LLC PO BOX 123847 DEPT3847 DALLAS TX 753123847 STAFFING/RECRUITMENT SERVICES 57321247 QUEST DIAGNOSTICS 14225 NEWBROOK DR CHANTILLY VA 191761303 CLINICAL LAB SERVICES 20287271 USACS INTEGRATED ACUTE CARE SERVICES PO BOX 645948 CINCINNATI OH 45264 PHYSICIAN PROVIDERS 9327783 MEDPRO HEALTHCARE STAFFING 9001 MEDICAL CENTER DR ROCKVILLE MD 20850 STAFFING/RECRUITMENT SERVICES 9202636 SODEXO INC PO BOX 536922 ATLANTA GA 303536922 DIETARY AND PLANT OPS 8679388 156 2952356 8596936 595978 33790 12145270 ACUTE CARE 621110 809369357 809369357 BEHAVIORAL HEALTH 621110 35849990 35849990 PHYSICIAN PRACTICE 621110 11326067 11326067 21752709 19427560 2325149 878298123 11122345 -5 11122350 716755 716755 3824334 7282607 -3458273 -3458273 -3458273 263153372 261686891 1466481 1466481 1466481 326944 131092 195852 195852 SHARED SVCS ALLOCATION 621990 8836133 8836133 PARKING REVENUE 621990 778944 778944 VENDING REVENUE 621990 74740 74740 9689817 910176370 884809107 2325144 10896849 X 1191952 1191952 8641803 8641803 363905691 310702299 52047247 1156145 13488788 8795983 4602667 90138 29306419 24061742 5103097 141580 26872576 22033748 4765232 73596 5893602 4850416 1043186 2423454 2423454 565804 565804 110000 110000 811809 811809 135112840 125266167 9589610 257063 1750276 269104 1474043 7129 7719337 4442938 3238290 38109 22332405 16749304 5583101 67731401 45167785 22563616 1474554 942938 504285 27331 1083378 766977 312809 3592 47004286 37787317 9209140 7829 6490322 1114930 5375392 MEDICAL SUPPLIES 113099386 113099386 COLLECTION FEES/LICENSE 5349984 3900544 1429253 20187 RECRUITING 4998166 4998166 867358233 721143530 144392004 1822699 1221914 1310466 116046873 136300639 257844 257844 108532914 117254535 4676507 6289551 49500706 11675982 9399432 10409026 11621165 13300024 1256006837 493737484 744774355 762269353 466254902 435903747 36556137 45118162 8907768 8387359 6513656 5924323 79941530 86706810 1644205703 1641107821 212390320 165508655 2417511 7524054 710411659 694481189 37761377 41141173 112638896 117771418 1075619763 1026426489 X 566174248 614176248 2411692 505084 568585940 614681332 1644205703 1641107821 X 42818137 13883228 -10605973 X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 1 0 0 0 0 1 110000 0 0 110000 0 PART II-B, LINE 1: IN 2023, ADVENTIST HEALTHCARE, INC. ENGAGED IN LOBBYING ACTIVITIES AT THE LOCAL, STATE, AND FEDERAL LEVEL. ACTIVITIES INCLUDED DISCUSSIONS WITH ELECTED OFFICIALS AT ALL LEVELS OF GOVERNMENT ON THE HEALTH CARE WORKFORCE SHORTAGE, AND ON STRATEGIES ON IMPROVING HEALTH CARE ACCESS IN TRADITIONALLY UNDERSERVED COMMUNITIES. AT THE STATE LEVEL, LEGISLATORS WERE CONTACTED REGARDING ACCESS TO CARE, WORKFORCE DEVELOPMENT, COMMUNITY CARE CAPACITY AND BEHAVIORAL HEALTH POLICY. AT THE FEDERAL LEVEL, ADVENTIST HEALTHCARE WORKED WITH LEGISLATORS ON ISSUES RELATED TO THE HEALTH CARE WORKFORCE, PRICE TRANSPARENCY, AND ACCESS TO CARE. 30934592 30934592 726659468 228708321 497951147 54701425 33471730 21229695 316472638 211218098 105254540 127238714 20339335 106899379 762269353 DEFERRED COMPENSATION FUND 2578575 OTHER ASSETS 792502 SECURITY DEPOSIT 222869 CORELIFE NOTES 4220000 FINANCING LEASE RIGHT-OF-USE ASSET 17090384 OPERATING LEASE RIGHT-OF-USE ASSET 61802480 86706810 DEFERRED COMPENSATION 6368269 PROFESSIONAL LIABILITY INS: SE 11825170 OTHER LONG TERM LIABILITIES 737607 SECURITY DEPOSIT LIABILITY 223079 NATL HARBOR GUARANTEE LIABILITY 7484011 TENANT IMPROVEMENT LIABILITY 515933 CONSTRUCTION PAYABLE 8922962 FINANCING LEASE OBLIGATIONS 17501397 OPERATING LEASE OBLIGATIONS 64192990 117771418 X PART X, LINE 2: 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 2023 OR 2022. THE CORPORATION'S POLICY IS TO RECOGNIZE INTEREST RELATED TO UNRECOGNIZED TAX BENEFITS AND PENALTIES IN INTEREST EXPENSE IN OPERATING EXPENSES. 1 1 X 1 X 1 X 600.000000000000 1 1 1 0 1 1 20780556 20780556 0.02400 12620457 10202916 2417541 0.00280 33401013 10202916 23198097 0.02680 11473415 273213 11200202 0.01290 2093758 53928 2039830 0.00240 90217608 49935438 40282170 0.04640 11812 11812 0.00000 934178 934178 0.00110 104730771 50262579 54468192 0.06280 138131784 60465495 77666289 0.08960 9300 9300 0.00000 107508 107508 0.00010 508221 508221 0.00060 369149 369149 0.00040 994178 994178 0.00110 1 31327410 252063525 230205664 21857861 X 1 1 5 1 SHADY GROVE MEDICAL CENTER 9901 MEDICAL CENTER DRIVE ROCKVILLE MD 20850 SEE PART VI FOR WEBSITE 15-023 X X X A 2 WHITE OAK MEDICAL CENTER 11890 HEALING WAY SILVER SPRING MD 20904 SEE PART VI FOR WEBSITE 15-031 X X X A 3 AHC-REHABILITATION - ROCKVILLE 9909 MEDICAL CENTER DRIVE ROCKVILLE MD 20850 SEE PART VI FOR WEBSITE 15-077 ADVENTIST REHAB HOSP OF MARYLAND 201486678 X SAME SEPARATE LEGAL ENTITY AS LICENSE 15-081 B 4 AHC-REHABILITATION - WHITE OAK 11890 HEALING WAY SILVER SPRING MD 20904 SEE PART VI FOR WEBSITE 15-081 ADVENTIST REHAB HOSP OF MARYLAND 201486678 X SAME SEPARATE LEGAL ENTITY AS LICENSE 15-077 B 5 AHC FORT WASHINGTON MEDICAL CENTER INC 11711 LIVINGSTON ROAD FORT WASHINGTON MD 20744 SEE PART VI FOR WEBSITE 16-003 AHC FORT WASHINGTON MEDICAL CENTER 842670875 X X X SEPARATE LEGAL ENTITY MANAGED BY AHC SHADY GROVE MED CTRWHITE OAK MED CTR 0 0 1 X X X X X X X X X 22 1 1 0 1 X SEE URL ON SECTION C X X 1 22 1 ADVENTISTHEALTHCARE.COM/ABOUT/COMMUNITY/HEALTH-NEEDS-ASSESSMENT/ 0 1 X 200.000000000000 600.000000000000 X X 1 1 X X X 1 X SEE URL ON SECTION C X SEE URL ON SECTION C X SEE URL ON SECTION C X X X X X X X 1 X 0 X X X X 1 X 0 0 AHC-REHABILITATION - ROCKVILLEWHITE OAK 0 0 1 X X X X X X X X X 22 1 1 0 1 X SEE URL ON SECTION C X ADVENTISTHEALTHCARE.COM/ABOUT/COMMUNITY/HEALTH-NEEDS-ASSESSMENT/ X X 1 22 1 ADVENTISTHEALTHCARE.COM/ABOUT/COMMUNITY/HEALTH-NEEDS-ASSESSMENT 0 1 X 200.000000000000 600.000000000000 X X 1 1 X X X 1 X SEE URLS ON SECTION C X SEE URLS ON SECTION C X SEE URLS ON SECTION C X X X X X X X 1 X 0 X X X X 1 X 0 0 AHC FORT WASHINGTON MEDICAL CENTER INC 5 0 0 1 X X X X X X X X X 22 1 1 1 1 X SEE URL ON SECTION C X SEE URL ON SECTION C X X 1 23 1 ADVENTISTHEALTHCARE.COM/ABOUT/COMMUNITY/HEALTH-NEEDS-ASSESSMENT 0 1 X 200.000000000000 600.000000000000 X X 1 1 X X X 1 X SEE URL ON SECTION C X SEE URL ON SECTION C X SEE URL ON SECTION C X X X X X X X 1 X 0 X X X X 1 X 0 0 AHC FORT WASHINGTON MEDICAL CENTER INC. PART V, SECTION B, LINE 5: IN CONDUCTING OUR MOST RECENT CHNA, COMPLETED IN 2022, WE CONSIDERED INPUT FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY THROUGH THREE AVENUES: A COMMUNITY RESIDENT SURVEY, COMMUNITY EXPERT SURVEY, AND KEY INFORMANT INTERVIEWS.COMMUNITY RESIDENT SURVEY:PRINCE GEORGE'S COUNTY IS HOME TO OVER 967,000 RESIDENTS AND GROWING, WITH A WIDE RANGE OF HEALTH NEEDS AND DISPARITIES. THE COMMUNITY RESIDENT SURVEY WAS A STRATEGY DEVELOPED TO COMPLEMENT THE OVERALL COMMUNITY HEALTH ASSESSMENT (CHA) GOAL OF IDENTIFYING THE HEALTH NEEDS AND ISSUES FOR THE COUNTY'S DIVERSE POPULATION BY HEARING DIRECTLY FROM OUR RESIDENTS. THE 2022 COMMUNITY RESIDENT SURVEY WAS MODIFIED FROM THE 2019 COMMUNITY RESIDENT SURVEY, WITH ANY ADAPTATIONS BASED ON THE COMMUNITY HEALTH STATUS AND ASSESSMENT RECOMMENDATIONS OF THE MOBILIZING FOR ACTION THROUGH PLANNING AND PARTNERSHIPS (MAPP) FRAMEWORK. EFFORTS WERE MADE TO ENSURE THE SURVEY QUESTIONS CORRESPONDED WITH THE COMMUNITY EXPERT SURVEY, ANOTHER KEY ASSESSMENT OF THE MAPP FRAMEWORK. THE SURVEY QUESTIONS INCLUDED MOSTLY MULTIPLE CHOICE AND RATING SCALES WITH A FEW OPEN-ENDED RESPONSES FOR DEMOGRAPHICS AND AN OPTION FOR WRITING IN A RESPONSE IF THE PARTICIPANT ANSWERED WITH "OTHER." THE SURVEY WAS TRANSLATED INTO SPANISH (THE MOST COMMON LANGUAGE SPOKEN IN THE COUNTY AFTER ENGLISH) AND WAS MADE AVAILABLE ONLINE AND THROUGH PRINTED COPIES. COMMUNITY EXPERT SURVEY:PRINCE GEORGE'S COUNTY IS DIVERSE, AND OUR GROWING POPULATION HAS A WIDE RANGE OF NEEDS, DISPARITIES, AND PERCEPTIONS ABOUT HEALTH. THE COMMUNITY EXPERT SURVEY WAS DEVELOPED AS A STRATEGY THAT COMPLEMENTS THE OVERALL COMMUNITY HEALTH ASSESSMENT (CHA) GOAL OF IDENTIFYING THE HEALTH NEEDS AND ISSUES AMONG THE COUNTY'S DIFFERENT POPULATIONS, THROUGH PROVIDERS, COMMUNITY-BASED ORGANIZATIONS, LOCAL GOVERNMENTS, AND POPULATION REPRESENTATIVES THAT CAN SPEAK FOR THE COMMUNITIES THEY SERVE. THE CORE CHNA TEAM PROVIDED LISTS OF COMMUNITY-BASED PARTNERS AND REPRESENTATIVES TO BE INCLUDED IN THE SURVEY SUCH AS THE MEMBERSHIP OF THE PRINCE GEORGE'S COUNTY HEALTH ACTION COALITION, AS WELL AS COMMUNITY LEADERS, AND REPRESENTATIVES OF SPECIFIC POPULATIONS. THE SURVEY WAS DEVELOPED BASED ON EXISTING COMMUNITY SURVEYS WITH SOME MODIFICATIONS SPECIFIC TO THE COUNTY. EFFORTS WERE MADE TO ENSURE THE SURVEY QUESTIONS CORRESPONDED WITH THE COMMUNITY RESIDENT SURVEY WHICH WAS ALSO PART OF CHNA DATA COLLECTION EFFORTS. AN EMAIL REQUEST WAS SENT TO APPROXIMATELY 100 PARTICIPANTS BY THE PRINCE GEORGE'S COUNTY HEALTH DEPARTMENT IN APRIL 2022, AND HOSPITAL PARTNERS WERE ALSO PROVIDED WITH THE SURVEY LINK TO SHARE WITH THEIR COMMUNITY EXPERTS. KEY INFORMANT INTERVIEWS:KEY INFORMANT INTERVIEWS WERE CONDUCTED BY 16 COUNTY LEADERS DRAWN FROM DIVERSE BACKGROUNDS WITH VARYING PERSPECTIVES ON HEALTH IN THE COUNTY. THE KEY INFORMANT INTERVIEWS WERE UTILIZED AS AN OPPORTUNITY TO INCLUDE PERSPECTIVES FROM POPULATIONS THAT MAY BE UNDER-REPRESENTED THROUGH OTHER COLLECTION METHODS AND HAVE A NEED FOR DIFFERENT OR INCREASED RESOURCES TO ACHIEVE THEIR BEST HEALTH. THE SPECIAL POPULATIONS REPRESENTED INCLUDED VETERANS, SENIORS, THOSE EXPERIENCING HOMELESSNESS OR HOUSING INSECURITY, IMMIGRANTS, REFUGEES, AND THE HISPANIC AND FILIPINO COMMUNITIES. TWENTY-NINE INDIVIDUALS WERE IDENTIFIED BY AREA HOSPITALS AND THE PRINCE GEORGE'S COUNTY HEALTH DEPARTMENT (PHCHD) AS KEY INFORMANTS TO REPRESENT SPECIAL POPULATIONS IN THE COUNTY, INCLUDING VETERANS, SENIORS, THOSE EXPERIENCING HOMELESSNESS OR HOUSING INSECURITY, IMMIGRANTS, REFUGEES, AND THE HISPANIC AND FILIPINO COMMUNITIES, AS WELL AS ORGANIZATIONS SUCH AS EDUCATIONAL INSTITUTIONS THAT MAY SERVE MORE THAN ONE POPULATION. THE INDIVIDUALS IDENTIFIED AS KEY INFORMANTS WERE EITHER MEMBERS OF OR DIRECTLY SERVE THESE SPECIAL POPULATIONS. OF THE 29 POTENTIAL RESPONDENTS, 16 INDIVIDUALS COMPLETED THE INTERVIEWS. DESPITE MULTIPLE ATTEMPTS TO SCHEDULE INTERVIEWS, IT IS RECOGNIZED THAT SOME ORGANIZATIONS/ INDIVIDUALS WERE NOT INCLUDED DUE TO A LACK OF RESPONSE AND/OR TIME LIMITATIONS. HOWEVER, EFFORTS WERE MADE TO INCLUDE REPRESENTATION IN THE COMMUNITY EXPERT SURVEY FOR UNDER-REPRESENTED POPULATIONS TO ENSURE INCLUSION IN THE COMMUNITY HEALTH ASSESSMENT PROCESS. THE COMPREHENSIVE INTERVIEW GUIDE DEVELOPED FOR THE 2016 AND 2019 COMMUNITY HEALTH ASSESSMENTS WAS UTILIZED FOR CONSISTENCY (SEE APPENDIX B OF THE CHA), WHICH CONSISTED OF 17 OPEN-ENDED QUESTIONS WITH RELATED PROBES. THE GUIDE ADDRESSED THE FOLLOWING FOCUS AREAS: ASSETS AND BARRIERS RELATIVE TO HEALTH PROMOTION IN THE COUNTY, OPINIONS ON THE LEADING HEALTH THREATS CURRENTLY FACING THE COUNTY, SPECIFIC PRIORITIES IN THE AREAS OF PHYSICAL, BEHAVIORAL, AND ENVIRONMENTAL HEALTH, AND EMERGING THREATS TO RESIDENTS' HEALTH. INTERVIEWS WERE CONDUCTED BY THE PRINCE GEORGE'S COUNTY HEALTH DEPARTMENT'S OFFICE OF ASSESSMENT AND PLANNING. THE FULL LIST OF INTERVIEWEES CAN BE FOUND IN APPENDIX A OF THE CHA. AHC FORT WASHINGTON MEDICAL CENTER INC. PART V, SECTION B, LINE 6A: LUMINIS HEALTH DOCTORS COMMUNITY HOSPITAL; MEDSTAR SOUTHERN MARYLAND HOSPITAL CENTER; UM CAPITAL REGION HEALTH. AHC FORT WASHINGTON MEDICAL CENTER INC. PART V, SECTION B, LINE 6B: PRINCE GEORGE'S COUNTY HEALTH DEPARTMENT. AHC FORT WASHINGTON MEDICAL CENTER INC. PART V, SECTION B, LINE 7D: A HARD COPY OF THE CHNA IS ALSO AVAILABLE UPON REQUEST FROM THE ADVENTIST HEALTHCARE SUPPORT CENTER (CORPORATE OFFICE) WHICH IS LOCATED AT: 820 WEST DIAMOND AVENUE 4TH FLOOR, GAITHERSBURG, MD 20878;PART V, SECTION B, LINE 7A: THE CHNA REPORT IS FOUND ON THIS URL: HTTPS://WWW.ADVENTISTHEALTHCARE.COM/ABOUT/COMMUNITY/HEALTH-NEEDS-ASSESSMENTPART V, SECTION B, LINE 7B:THE CHNA REPORT CAN ALSO BE FOUND ON THESE LINKS:HTTPS://WWW.LUMINISHEALTH.ORG/EN/COMMUNITY-HEALTH/NEEDS-ASSESSMENTHTTPS://WWW.UMMS.ORG/CAPITAL/COMMUNITY/COMMUNITY-HEALTH-NEEDS-ASSESSMENT AHC FORT WASHINGTON MEDICAL CENTER INC. PART V, SECTION B, LINE 11: THE HOSPITAL ALONE CANNOT ADDRESS ALL COMMUNITY NEEDS DUE TO BUDGET CONSTRAINTS. HOWEVER, TO ENSURE THAT ALL HEALTH NEEDS WERE MET, FWMC, ALONG WITH THE OTHER FOUR HOSPITALS IN PRINCE GEORGE'S COUNTY AND THE PRINCE GEORGE'S COUNTY HEALTH DEPARTMENT, IDENTIFIED AT LEAST ONE AND OFTEN MULTIPLE RESOURCES AVAILABLE TO MEET EACH IDENTIFIED COMMUNITY HEALTH NEED. WHILE THE CORE TEAM LED THE DATA GATHERING PROCESS OF THE CHNA, THERE WAS RECOGNITION THAT THERE MUST BE SHARED OWNERSHIP OF THE COUNTY'S COMMUNITY'S HEALTH. FWMC IS DIRECTLY ADDRESSING NEEDS RELATED TO ACCESS TO CARE, FOOD ACCESS, INFECTIOUS DISEASE (PARTICULARLY HIV AND HEP C), BEHAVIORAL HEALTH, AND OBESITY. OF THE CORE PRIORITY AREAS IDENTIFIED IN THE MOST RECENT CHNA, THE ONLY AREA THAT FWMC IS NOT DIRECTLY ADDRESSING IS CANCER AS THIS IS NOT AN AREA WE HAVE SUFFICIENT EXPERTISE AND RESOURCES. HOWEVER, THE HOSPITAL MAKES APPROPRIATE REFERRALS TO OTHER HOSPITAL AND COMMUNITY RESOURCES FOR OUR PATIENTS AND COMMUNITY MEMBERS. A HIGHLIGHT OF SOME OF THE INITIATIVES BEING UNDERTAKEN:ACCESS TO CARE: INCREASE ACCESS TO DIABETES COMPLICATION PREVENTION SERVICES AND SELF-MANAGEMENT RESOURCES; PROVIDE MEDICATION ASSISTANCE FOR LOW-INCOME PATIENTS WITH CHRONIC ILLNESSES; INCREASE ACCESS TO HEART HEALTH EDUCATION AND SELF-MANAGEMENT RESOURCES.FOOD ACCESS: INCREASE ACCESS TO FRESH MEALS IN THE OXON HILL NEIGHBORHOOD WHILE SUPPORTING LOCALLY OWNED RESTAURANTS.INFECTIOUS DISEASE: IMPROVE CARE OF INDIVIDUALS LIVING WITH HIV AND HEP C BY PROVIDING PRIVATE, SAFE, AND EFFECTIVE MEANS OF TESTING.BEHAVIORAL HEALTH: DECREASE DRUG AND ALCOHOL ABUSE IN THE COMMUNITY BY SCREENING EVERY PATIENT THAT COMES INTO THE EMERGENCY DEPARTMENT FOR DRUG AND ALCOHOL ABUSE AND CONNECT THE PATIENT TO TREATMENT.OBESITY: INCREASE ACCESS TO NEEDED BARIATRIC SERVICES IN THE COMMUNITY; PROMOTE HEALTH THROUGH SCREENINGS, EDUCATION, AND AWARENESS OF LOCAL RESOURCES.A COMPLETE LIST OF INITIATIVES CAN BE VIEWED HERE: HTTPS://WWW.ADVENTISTHEALTHCARE.COM/ABOUT/COMMUNITY/HEALTH-NEEDS-ASSESSMENT AHC FORT WASHINGTON MEDICAL CENTER INC. PART V, SECTION B, LINE 16J: THE POLICY IS ALSO STRATEGICALLY POSTED AT OUR PATIENT FINANCIAL SERVICES OFFICE.PART V, SECTION B, LINE 16A: HTTPS://WWW.ADVENTISTHEALTHCARE.COM/PATIENTS/BILLING/FINANCIAL-ASSISTANCE/PART V, SECTION B, LINE 16B: SAME URL AS LISTED ON LINE 16APART V, SECTION B, LINE 16C: SAME URL AS LISTED ON LINE 16A PART V, SECTION B FACILITY REPORTING GROUP A FACILITY REPORTING GROUP A CONSISTS OF: - FACILITY 1: SHADY GROVE MEDICAL CENTER, - FACILITY 2: WHITE OAK MEDICAL CENTER SHADY GROVE MED CTR/WHITE OAK MED CTR PART V, SECTION B, LINE 5: THE FOLLOWING NARRATIVE IS BASED ON THE LAST CONDUCTED CHNA IN 2022:THE 2022 MONTGOMERY COUNTY HOSPITAL COLLABORATIVE (MCHC) CHNA RELIED ON MULTIPLE TOOLS AND RESOURCES TO UNDERSTAND AND IDENTIFY THE UNMET HEALTH NEEDS OF THE PEOPLE WE SERVE. USING THE COUNTY HEALTH RANKINGS MODEL AS THE GUIDE FOR FACTORS THAT INFLUENCE LENGTH AND QUALITY OF LIFE, OVER 100 INDICATORS WERE IDENTIFIED AND INTEGRATED TO CREATE A HEALTH PROFILE OF MONTGOMERY AND PRINCE GEORGE'S COUNTIES. IN ADDITION TO GATHERING TIMELY, RELIABLE, AND VALID SECONDARY HEALTH DATA AND REPORTS, THE MCHC COLLECTED FIRSTHAND INFORMATION FROM THE COMMUNITY AND EXPERTS IN THE FIELD VIA OUR COMMUNITY HEALTH IMPROVEMENT PROCESS (HEALTHY MONTGOMERY), EXTERNAL ADVISORY BOARD CONVERSATIONS, AND KEY INFORMANT INTERVIEWS.HEALTHY MONTGOMERY:SERVING AS THE LOCAL HEALTH IMPROVEMENT COALITION (LHIC), HEALTHY MONTGOMERY BRINGS TOGETHER MONTGOMERY COUNTY GOVERNMENT AGENCIES, THE FOUR HOSPITAL SYSTEMS, THE MINORITY HEALTH INITIATIVES/HEALTH PROGRAMS, ADVOCACY GROUPS, ACADEMIC INSTITUTIONS, COMMUNITY-BASED SERVICE PROVIDERS, THE HEALTH INSURANCE COMMUNITY, AND OTHER STAKEHOLDERS TO SET A HEALTH PRIORITY AGENDA AND AN ACTION PLAN FOR MONTGOMERY COUNTY'S PRIORITIZED NEEDS. HEALTHY MONTGOMERY AIMS TO: IMPROVE ACCESS TO HEALTH AND SOCIAL SERVICES; ACHIEVE HEALTH EQUITY FOR ALL RESIDENTS; AND ENHANCE THE PHYSICAL AND SOCIAL ENVIRONMENT TO SUPPORT OPTIMAL HEALTH AND WELL-BEING. THE MCHC CONTRIBUTES UP TO $150,000 ANNUALLY TO SUPPORT THE INFRASTRUCTURE OF HEALTHY MONTGOMERY. IN ADDITION TO PROVIDING FINANCIAL SUPPORT, REPRESENTATIVES FROM EACH HEALTH SYSTEM PLAY AN ACTIVE ROLE THROUGH REPRESENTATION ON MULTIPLE HEALTHY MONTGOMERY COMMITTEES AND PLANNING GROUPS, INCLUDING THE HEALTHY MONTGOMERY STEERING COMMITTEE, WHICH IS THE GOVERNING BODY FOR THE GROUP (SEE APPENDIX B OF THE CHNA FOR A FULL LIST OF STEERING COMMITTEE MEMBERS).EXTERNAL ADVISORY GROUPS:THE FOUR HEALTH SYSTEMS HAVE CONVENED A GROUP OF EXTERNAL PARTICIPANTS REPRESENTING THE BROAD INTERESTS OF THE COMMUNITY WE SERVE TO SHARE ADVICE AND FEEDBACK. PARTICIPANTS INCLUDE: THE PUBLIC HEALTH OFFICER, THE DIRECTOR OF THE MONTGOMERY COUNTY DEPARTMENT OF HEALTH AND HUMAN SERVICES, VARIOUS INDIVIDUALS FROM LOCAL AND STATE GOVERNMENTAL AGENCIES, LEADERS FROM COMMUNITY-BASED ORGANIZATIONS, FOUNDATIONS, CHURCHES, COLLEGES, COALITIONS, AND ASSOCIATIONS. THESE PARTICIPANTS ARE EXPERTS IN A RANGE OF AREAS, INCLUDING PUBLIC HEALTH, HEALTH CARE, MINORITY POPULATIONS AND DISPARITIES IN HEALTH CARE, SOCIAL DETERMINANTS OF HEALTH (SDOH), AND SOCIAL SERVICES. THROUGH FEEDBACK AND ADVICE, THEY PROVIDE ONGOING INPUT TO ENSURE THAT WE HAVE IDENTIFIED AND RESPONDED TO THE MOST PRESSING COMMUNITY HEALTH NEEDS. THROUGHOUT THE CHNA, ADVISORY GROUP MEMBERS WERE INVITED TO PARTICIPATE, PARTICULARLY IN THE PRIORITIZATION PROCESS, THOUGHT LEADERS' DISCUSSIONS, AND DATA EXPLORATION PROCESS. A COMPREHENSIVE LIST OF MEMBERS OF THE EXTERNAL ADVISORY GROUP IS AVAILABLE IN APPENDIX C OF THE CHNA.COMMUNITY SURVEYS, CONVERSATIONS, AND KEY INFORMANT INTERVIEWS: IN 2021, THE MCHC WIDELY DISTRIBUTED A 19-QUESTION COMMUNITY HEALTH NEEDS ASSESSMENT SURVEY CENTERED ON HEALTH STATUS, ACCESS TO CARE, AND PERCEIVED COMMUNITY HEALTH NEEDS AND STRENGTHS. THE SURVEY IS AVAILABLE IN BOTH ENGLISH AND IN SPANISH. SURVEY DISSEMINATION INCLUDES COMMUNITY EVENTS, PROGRAMS, VIA EMAIL, LISTSERVS, SOCIAL MEDIA, COMMUNITY PARTNERS AND ORGANIZATIONS. COMMUNITY CONVERSATIONS AND KEY INFORMANT INTERVIEWS WERE CONDUCTED IN PARTNERSHIP WITH HEALTHY MONTGOMERY AND THE MONTGOMERY COUNTY DEPARTMENT OF HEALTH AND HUMAN SERVICES' OVERSIGHT, PARTICIPATION, AND SUPPORT. THE FINDINGS FROM THE KEY INFORMANT INTERVIEWS ARE REFERENCED IN APPENDIX D OF THE CHNA. SHADY GROVE MED CTR/WHITE OAK MED CTR PART V, SECTION B, LINE 6A: THE MOST RECENTLY CONDUCTED CHNA, COMPLETED IN 2022, WAS DONE IN COLLABORATION WITH ALL THE HOSPITALS IN MONTGOMERY COUNTY, MD: ADVENTIST HEALTHCARE SHADY GROVE MEDICAL CENTER, ADVENTIST HEALTHCARE WHITE OAK MEDICAL CENTER, ADVENTIST HEALTHCARE REHABILITATION, HOLY CROSS GERMANTOWN, HOLY CROSS SILVER SPRING, MEDSTAR MONTGOMERY, AND SUBURBAN HOSPITAL. SHADY GROVE MED CTR/WHITE OAK MED CTR PART V, SECTION B, LINE 7D: A HARD COPY OF THE CHNA IS ALSO AVAILABLE UPON REQUEST FROM THE ADVENTIST HEALTHCARE SUPPORT CENTER (CORPORATE OFFICE) WHICH IS LOCATED AT: 820 WEST DIAMOND AVENUE 4TH FLOOR, GAITHERSBURG, MD 20878;PART V, SECTION B, LINE 7A: THE CHNA REPORT IS FOUND ON THIS URL: HTTPS://WWW.ADVENTISTHEALTHCARE.COM/ABOUT/COMMUNITY/HEALTH-NEEDS-ASSESSMENT SHADY GROVE MED CTR/WHITE OAK MED CTR PART V, SECTION B, LINE 11: A FUNDAMENTAL COMPONENT OF A COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA), AS DESCRIBED BY THE CATHOLIC HEALTH ASSOCIATION, IS THE PRIORITIZATION OF THE IDENTIFIED NEEDS. TO EFFECTIVELY ACHIEVE THIS GOAL, THE MONTGOMERY COUNTY HOSPITAL COLLABORATIVE (MCHC) ENGAGED LOCAL PUBLIC HEALTH LEADERS, SERVICE PROVIDERS, AND COMMUNITY ADVOCATES TO PARTICIPATE IN THE PRIORITY-SETTING PROCESS (PLEASE REFER TO APPENDIX I OF THE CHNA REPORT FOR A LIST OF COMMUNITY STAKEHOLDERS INVITED TO PARTAKE IN THIS PROCESS). THE FOLLOWING THREE CRITERIA PRIORITIZED THE NEEDS IDENTIFIED FROM THE PRIMARY AND SECONDARY DATA ANALYSIS: SEVERITY (HIGH LEVEL OF SERIOUSNESS OR URGENCY IN THE COMMUNITY), FEASIBILITY (COULD REALISTICALLY IMPROVE IN THE NEXT THREE YEARS), AND OUTCOME (POTENTIAL IMPACT ON THE GREATEST NUMBER OF PEOPLE IDENTIFIED). USING THESE CRITERIA, ALONG WITH INDIVIDUAL PROFESSIONAL EXPERTISE AND EXPERIENCE, MCHC STAKEHOLDERS INFORMED NINE HEALTH FACTORS AS TOP UNMET NEEDS: ACCESS TO CARE (ACCESS TO MENTAL HEALTH PROVIDERS, ACCESS TO PRIMARY CARE PROVIDERS, LACK OF INSURANCE), HEALTHY BEHAVIORS (FOOD INSECURITY, ADULT OBESITY, PHYSICAL INACTIVITY), AND EDUCATION, INCOME, JOB AND ENVIRONMENT (WORKFORCE/LABOR SHORTAGES, INCOME INEQUALITY, HOUSING COST BURDEN).THESE NINE HEALTH FACTORS ARE RECOGNIZED AS ROOT CAUSES THAT IMPACT A PERSON'S HEALTH, WELLBEING, AND QUALITY OF LIFE. BY CONSIDERING THESE ROOT CAUSES, MEANINGFUL CHANGES CAN BE MADE TO DECREASE RISK FOR THE TOP HEALTH OUTCOMES IN OUR COMMUNITY: HEART DISEASE, DIABETES, MENTAL HEALTH, CANCER, MATERNAL AND CHILD HEALTH, INFECTIONS, AND UNINTENTIONAL INJURIES (SEE FIGURE 5). THROUGH A MULTI-SECTORAL COLLABORATION, THE MCHC WILL TACKLE THE TOP HEALTH FACTORS BY LEVERAGING A COLLABORATIVE IMPLEMENTATION STRATEGY, PAYING PARTICULAR ATTENTION TO THE MOST VULNERABLE POPULATIONS IN OUR COMMUNITIES.THE MCHC ADDRESSES UNMET HEALTH NEEDS WITHIN THE CONTEXT OF OUR OVERALL APPROACH. SPECIFICALLY, TAKING INTO CONSIDERATION EACH HEALTH SYSTEM'S MISSION COMMITMENTS, INDIVIDUAL HOSPITAL KEY CLINICAL STRENGTHS, AS WELL AS THE OVERARCHING GOALS ESTABLISHED BY OUR LOCAL HEALTH IMPROVEMENT COALITION, HEALTHY MONTGOMERY. KEY FINDINGS FROM ALL DATA SOURCES WERE REVIEWED, AND THE MOST PRESSING NEEDS WERE INCORPORATED INTO OUR IMPLEMENTATION STRATEGY. THE CHNA IMPLEMENTATION STRATEGY REFLECTS THE MCHC'S OVERALL APPROACH TO IMPROVING COMMUNITY HEALTH BY TARGETING THE INTERSECTION BETWEEN THE IDENTIFIED NEEDS OF THE COMMUNITY AND THE KEY STRENGTHS AND MISSION COMMITMENTS OF EACH ORGANIZATION TO HELP BUILD A CONTINUUM OF CARE. EACH HEALTH SYSTEM HAS ESTABLISHED LEAD COMMUNITY HEALTH IMPROVEMENT ACCOUNTABILITY LEVERS, WHICH INCLUDE AN ORGANIZATIONAL STRUCTURE TO PROVIDE OVERSIGHT OF ONGOING PLANNING, BUDGETING, STRATEGIC IMPLEMENTATION, AND MULTI-YEAR EVALUATION.THE IMPLEMENTATION STRATEGY OUTLINES THE MAJOR ACTIVITIES THE MCHC ARE IMPLEMENTING TO ADDRESS THE UNMET NEEDS IDENTIFIED IN THE 2022 COMMUNITY HEALTH NEEDS ASSESSMENT. THE ACTIVITIES ARE SUMMARIZED BY PRIORITY AND KEY FOCUS AREA. THE OBJECTIVES LISTED FOR EACH PRIORITY ARE DERIVED FROM HEALTHY PEOPLE 2030. THE IMPLEMENTATION STRATEGY SHOULD BE CONSIDERED A LIVING PLAN THAT IS UPDATED AND EVALUATED, AT A MINIMUM, EACH YEAR OR AS EMERGING NEEDS ARISE.A HIGHLIGHT OF SOME OF THE INITIATIVES BEING UNDERTAKEN:ACCESS TO BEHAVIORAL HEALTH: BEHAVIORAL HEALTH SCREENINGS WITH LINKS TO TREATMENT AND RESOURCES; IN-SERVICES FOR PRIMARY CARE PROVIDERS TO EQUIP THEM WITH SKILLS AND KNOWLEDGE TO ADDRESS MENTAL HEALTH NEEDS IN THE PRIMARY CARE SETTING; FREE MENTAL HEALTH AND WELLNESS WORKSHOPS, EVENTS AND SUPPORT GROUPS IN THE COMMUNITY; BEHAVIORAL HEALTH INTERNSHIPS AND MEDICAL ROTATIONS; AWARDING GRANT FUNDING TO LOCAL ORGANIZATIONS ADDRESSING ACCESS TO MENTAL HEALTH SERVICES.ACCESS TO PRIMARY CARE: GRANTS AND IN-KIND SUPPORT FOR LOCAL CLINICS AND FEDERALLY QUALIFIED HEALTH CENTERS (FQHCS); SCREENINGS, REFERRALS, AND LINKAGES TO COMMUNITY RESOURCES; ADDRESS ACCESS BARRIERS THROUGH TRANSPORTATION AND LANGUAGE ASSISTANCE PROGRAMS; PARTNER WITH THE COUNTY TO PROVIDE PERINATAL SERVICES AT A REDUCED COST FOR LOW INCOME AND UNINSURED WOMEN.HEALTHY BEHAVIORS: LINKAGES TO COMMUNITY AND SOCIAL SERVICES; AWARD GRANT FUNDING TO ORGANIZATIONS; ADDRESS SOCIAL SERVICE NEEDS SUCH AS FOOD ACCESS; PROVIDE DIABETES EDUCATION AND CLASSES FOR THE COMMUNITY; PROVIDE HEALTHY LIFESTYLE CLASSES FOR THE COMMUNITY.EDUCATION, INCOME, JOB & ENVIRONMENT: WORKFORCE DEVELOPMENT PROGRAMS TO ADVANCE HEALTH/ALLIED HEALTH CAREERS; AWARD GRANTS TO ORGANIZATIONS ADDRESSING WORKFORCE DEVELOPMENT AND VOCATIONAL TRAINING; OFFER INTERNSHIPS, FELLOWSHIPS, AND CLINICAL ROTATIONS ACROSS OUR ENTITIES; AWARD GRANTS TO ORGANIZATIONS ADDRESSING HOUSING AND HOMELESSNESS.A COMPLETE LIST OF INITIATIVES CAN BE VIEWED HERE: HTTPS://WWW.ADVENTISTHEALTHCARE.COM/ABOUT/COMMUNITY/HEALTH-NEEDS-ASSESSMENT SHADY GROVE MED CTR/WHITE OAK MED CTR PART V, SECTION B, LINE 16J: THE POLICY IS ALSO STRATEGICALLY POSTED AT OUR PATIENT FINANCIAL SERVICES OFFICE.PART V, SECTION B, LINE 16A: HTTPS://WWW.ADVENTISTHEALTHCARE.COM/PATIENTS/BILLING/FINANCIAL-ASSISTANCE/PART V, SECTION B, LINE 16B: SAME URL AS LISTED ON LINE 16APART V, SECTION B, LINE 16C: SAME URL AS LISTED ON LINE 16A PART V, SECTION B FACILITY REPORTING GROUP B FACILITY REPORTING GROUP B CONSISTS OF: - FACILITY 3: AHC-REHABILITATION - ROCKVILLE, - FACILITY 4: AHC-REHABILITATION - WHITE OAK AHC-REHABILITATION - ROCKVILLE/WHITE OAK PART V, SECTION B, LINE 5: THE FOLLOWING NARRATIVE IS BASED ON THE LAST CONDUCTED CHNA IN 2022:THE 2022 MONTGOMERY COUNTY HOSPITAL COLLABORATIVE (MCHC) CHNA RELIED ON MULTIPLE TOOLS AND RESOURCES TO UNDERSTAND AND IDENTIFY THE UNMET HEALTH NEEDS OF THE PEOPLE WE SERVE. USING THE COUNTY HEALTH RANKINGS MODEL AS THE GUIDE FOR FACTORS THAT INFLUENCE LENGTH AND QUALITY OF LIFE, OVER 100 INDICATORS WERE IDENTIFIED AND INTEGRATED TO CREATE A HEALTH PROFILE OF MONTGOMERY AND PRINCE GEORGE'S COUNTIES. IN ADDITION TO GATHERING TIMELY, RELIABLE, AND VALID SECONDARY HEALTH DATA AND REPORTS, THE MCHC COLLECTED FIRSTHAND INFORMATION FROM THE COMMUNITY AND EXPERTS IN THE FIELD VIA OUR COMMUNITY HEALTH IMPROVEMENT PROCESS (HEALTHY MONTGOMERY), EXTERNAL ADVISORY BOARD CONVERSATIONS, AND KEY INFORMANT INTERVIEWS.HEALTHY MONTGOMERY:SERVING AS THE LOCAL HEALTH IMPROVEMENT COALITION (LHIC), HEALTHY MONTGOMERY BRINGS TOGETHER MONTGOMERY COUNTY GOVERNMENT AGENCIES, THE FOUR HOSPITAL SYSTEMS, THE MINORITY HEALTH INITIATIVES/HEALTH PROGRAMS, ADVOCACY GROUPS, ACADEMIC INSTITUTIONS, COMMUNITY-BASED SERVICE PROVIDERS, THE HEALTH INSURANCE COMMUNITY, AND OTHER STAKEHOLDERS TO SET A HEALTH PRIORITY AGENDA AND AN ACTION PLAN FOR MONTGOMERY COUNTY'S PRIORITIZED NEEDS. HEALTHY MONTGOMERY AIMS TO: IMPROVE ACCESS TO HEALTH AND SOCIAL SERVICES; ACHIEVE HEALTH EQUITY FOR ALL RESIDENTS; AND ENHANCE THE PHYSICAL AND SOCIAL ENVIRONMENT TO SUPPORT OPTIMAL HEALTH AND WELL-BEING. THE MCHC CONTRIBUTES UP TO $150,000 ANNUALLY TO SUPPORT THE INFRASTRUCTURE OF HEALTHY MONTGOMERY. IN ADDITION TO PROVIDING FINANCIAL SUPPORT, REPRESENTATIVES FROM EACH HEALTH SYSTEM PLAY AN ACTIVE ROLE THROUGH REPRESENTATION ON MULTIPLE HEALTHY MONTGOMERY COMMITTEES AND PLANNING GROUPS, INCLUDING THE HEALTHY MONTGOMERY STEERING COMMITTEE, WHICH IS THE GOVERNING BODY FOR THE GROUP (SEE APPENDIX B OF THE CHNA FOR A FULL LIST OF STEERING COMMITTEE MEMBERS).EXTERNAL ADVISORY GROUPS:THE FOUR HEALTH SYSTEMS HAVE CONVENED A GROUP OF EXTERNAL PARTICIPANTS REPRESENTING THE BROAD INTERESTS OF THE COMMUNITY WE SERVE TO SHARE ADVICE AND FEEDBACK. PARTICIPANTS INCLUDE: THE PUBLIC HEALTH OFFICER, THE DIRECTOR OF THE MONTGOMERY COUNTY DEPARTMENT OF HEALTH AND HUMAN SERVICES, VARIOUS INDIVIDUALS FROM LOCAL AND STATE GOVERNMENTAL AGENCIES, LEADERS FROM COMMUNITY-BASED ORGANIZATIONS, FOUNDATIONS, CHURCHES, COLLEGES, COALITIONS, AND ASSOCIATIONS. THESE PARTICIPANTS ARE EXPERTS IN A RANGE OF AREAS, INCLUDING PUBLIC HEALTH, HEALTH CARE, MINORITY POPULATIONS AND DISPARITIES IN HEALTH CARE, SOCIAL DETERMINANTS OF HEALTH (SDOH), AND SOCIAL SERVICES. THROUGH FEEDBACK AND ADVICE, THEY PROVIDE ONGOING INPUT TO ENSURE THAT WE HAVE IDENTIFIED AND RESPONDED TO THE MOST PRESSING COMMUNITY HEALTH NEEDS. THROUGHOUT THE CHNA, ADVISORY GROUP MEMBERS WERE INVITED TO PARTICIPATE, PARTICULARLY IN THE PRIORITIZATION PROCESS, THOUGHT LEADERS' DISCUSSIONS, AND DATA EXPLORATION PROCESS. A COMPREHENSIVE LIST OF MEMBERS OF THE EXTERNAL ADVISORY GROUP IS AVAILABLE IN APPENDIX C OF THE CHNA.COMMUNITY SURVEYS, CONVERSATIONS, AND KEY INFORMANT INTERVIEWS: IN 2021, THE MCHC WIDELY DISTRIBUTED A 19-QUESTION COMMUNITY HEALTH NEEDS ASSESSMENT SURVEY CENTERED ON HEALTH STATUS, ACCESS TO CARE, AND PERCEIVED COMMUNITY HEALTH NEEDS AND STRENGTHS. THE SURVEY IS AVAILABLE IN BOTH ENGLISH AND IN SPANISH. SURVEY DISSEMINATION INCLUDES COMMUNITY EVENTS, PROGRAMS, VIA EMAIL, LISTSERVS, SOCIAL MEDIA, COMMUNITY PARTNERS AND ORGANIZATIONS. COMMUNITY CONVERSATIONS AND KEY INFORMANT INTERVIEWS WERE CONDUCTED IN PARTNERSHIP WITH HEALTHY MONTGOMERY AND THE MONTGOMERY COUNTY DEPARTMENT OF HEALTH AND HUMAN SERVICES' OVERSIGHT, PARTICIPATION, AND SUPPORT. THE FINDINGS FROM THE KEY INFORMANT INTERVIEWS ARE REFERENCED IN APPENDIX D OF THE CHNA. AHC-REHABILITATION - ROCKVILLE/WHITE OAK PART V, SECTION B, LINE 6A: THE MOST RECENTLY CONDUCTED CHNA, COMPLETED IN 2022, WAS DONE IN COLLABORATION WITH ALL THE HOSPITALS IN MONTGOMERY COUNTY, MD: ADVENTIST HEALTHCARE SHADY GROVE MEDICAL CENTER, ADVENTIST HEALTHCARE WHITE OAK MEDICAL CENTER, ADVENTIST HEALTHCARE REHABILITATION, HOLY CROSS GERMANTOWN, HOLY CROSS SILVER SPRING, MEDSTAR MONTGOMERY, AND SUBURBAN HOSPITAL. AHC-REHABILITATION - ROCKVILLE/WHITE OAK PART V, SECTION B, LINE 7D: A HARD COPY OF THE CHNA IS ALSO AVAILABLE UPON REQUEST FROM THE ADVENTIST HEALTHCARE SUPPORT CENTER (CORPORATE OFFICE) WHICH IS LOCATED AT: 820 WEST DIAMOND AVENUE 4TH FLOOR, GAITHERSBURG, MD 20878PART V, SECTION B, LINE 7A: THE CHNA REPORT IS FOUND OF THIS URL: HTTPS://WWW.ADVENTISTHEALTHCARE.COM/ABOUT/COMMUNITY/HEALTH-NEEDS-ASSESSMENT AHC-REHABILITATION - ROCKVILLE/WHITE OAK PART V, SECTION B, LINE 11: A FUNDAMENTAL COMPONENT OF A COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA), AS DESCRIBED BY THE CATHOLIC HEALTH ASSOCIATION, IS THE PRIORITIZATION OF THE IDENTIFIED NEEDS. TO EFFECTIVELY ACHIEVE THIS GOAL, THE MONTGOMERY COUNTY HOSPITAL COLLABORATIVE (MCHC) ENGAGED LOCAL PUBLIC HEALTH LEADERS, SERVICE PROVIDERS, AND COMMUNITY ADVOCATES TO PARTICIPATE IN THE PRIORITY-SETTING PROCESS (PLEASE REFER TO APPENDIX I OF THE CHNA REPORT FOR A LIST OF COMMUNITY STAKEHOLDERS INVITED TO PARTAKE IN THIS PROCESS). THE FOLLOWING THREE CRITERIA PRIORITIZED THE NEEDS IDENTIFIED FROM THE PRIMARY AND SECONDARY DATA ANALYSIS: SEVERITY (HIGH LEVEL OF SERIOUSNESS OR URGENCY IN THE COMMUNITY), FEASIBILITY (COULD REALISTICALLY IMPROVE IN THE NEXT THREE YEARS), AND OUTCOME (POTENTIAL IMPACT ON THE GREATEST NUMBER OF PEOPLE IDENTIFIED). USING THESE CRITERIA, ALONG WITH INDIVIDUAL PROFESSIONAL EXPERTISE AND EXPERIENCE, MCHC STAKEHOLDERS INFORMED NINE HEALTH FACTORS AS TOP UNMET NEEDS: ACCESS TO CARE (ACCESS TO MENTAL HEALTH PROVIDERS, ACCESS TO PRIMARY CARE PROVIDERS, LACK OF INSURANCE), HEALTHY BEHAVIORS (FOOD INSECURITY, ADULT OBESITY, PHYSICAL INACTIVITY), AND EDUCATION, INCOME, JOB AND ENVIRONMENT (WORKFORCE/LABOR SHORTAGES, INCOME INEQUALITY, HOUSING COST BURDEN).THESE NINE HEALTH FACTORS ARE RECOGNIZED AS ROOT CAUSES THAT IMPACT A PERSON'S HEALTH, WELLBEING, AND QUALITY OF LIFE. BY CONSIDERING THESE ROOT CAUSES, MEANINGFUL CHANGES CAN BE MADE TO DECREASE RISK FOR THE TOP HEALTH OUTCOMES IN OUR COMMUNITY: HEART DISEASE, DIABETES, MENTAL HEALTH, CANCER, MATERNAL AND CHILD HEALTH, INFECTIONS, AND UNINTENTIONAL INJURIES (SEE FIGURE 5). THROUGH A MULTI-SECTORAL COLLABORATION, THE MCHC WILL TACKLE THE TOP HEALTH FACTORS BY LEVERAGING A COLLABORATIVE IMPLEMENTATION STRATEGY, PAYING PARTICULAR ATTENTION TO THE MOST VULNERABLE POPULATIONS IN OUR COMMUNITIES.THE MCHC ADDRESSES UNMET HEALTH NEEDS WITHIN THE CONTEXT OF OUR OVERALL APPROACH. SPECIFICALLY, TAKING INTO CONSIDERATION EACH HEALTH SYSTEM'S MISSION COMMITMENTS, INDIVIDUAL HOSPITAL KEY CLINICAL STRENGTHS, AS WELL AS THE OVERARCHING GOALS ESTABLISHED BY OUR LOCAL HEALTH IMPROVEMENT COALITION, HEALTHY MONTGOMERY. KEY FINDINGS FROM ALL DATA SOURCES WERE REVIEWED, AND THE MOST PRESSING NEEDS WERE INCORPORATED INTO OUR IMPLEMENTATION STRATEGY. THE CHNA IMPLEMENTATION STRATEGY REFLECTS THE MCHC'S OVERALL APPROACH TO IMPROVING COMMUNITY HEALTH BY TARGETING THE INTERSECTION BETWEEN THE IDENTIFIED NEEDS OF THE COMMUNITY AND THE KEY STRENGTHS AND MISSION COMMITMENTS OF EACH ORGANIZATION TO HELP BUILD A CONTINUUM OF CARE. EACH HEALTH SYSTEM HAS ESTABLISHED LEAD COMMUNITY HEALTH IMPROVEMENT ACCOUNTABILITY LEVERS, WHICH INCLUDE AN ORGANIZATIONAL STRUCTURE TO PROVIDE OVERSIGHT OF ONGOING PLANNING, BUDGETING, STRATEGIC IMPLEMENTATION, AND MULTI-YEAR EVALUATION.THE IMPLEMENTATION STRATEGY OUTLINES THE MAJOR ACTIVITIES THE MCHC ARE IMPLEMENTING TO ADDRESS THE UNMET NEEDS IDENTIFIED IN THE 2022 COMMUNITY HEALTH NEEDS ASSESSMENT. THE ACTIVITIES ARE SUMMARIZED BY PRIORITY AND KEY FOCUS AREA. THE OBJECTIVES LISTED FOR EACH PRIORITY ARE DERIVED FROM HEALTHY PEOPLE 2030. THE IMPLEMENTATION STRATEGY SHOULD BE CONSIDERED A LIVING PLAN THAT IS UPDATED AND EVALUATED, AT A MINIMUM, EACH YEAR OR AS EMERGING NEEDS ARISE.A HIGHLIGHT OF SOME OF THE INITIATIVES BEING UNDERTAKEN:ACCESS TO BEHAVIORAL HEALTH: BEHAVIORAL HEALTH SCREENINGS WITH LINKS TO TREATMENT AND RESOURCES; IN-SERVICES FOR PRIMARY CARE PROVIDERS TO EQUIP THEM WITH SKILLS AND KNOWLEDGE TO ADDRESS MENTAL HEALTH NEEDS IN THE PRIMARY CARE SETTING; FREE MENTAL HEALTH AND WELLNESS WORKSHOPS, EVENTS AND SUPPORT GROUPS IN THE COMMUNITY; BEHAVIORAL HEALTH INTERNSHIPS AND MEDICAL ROTATIONS; AWARDING GRANT FUNDING TO LOCAL ORGANIZATIONS ADDRESSING ACCESS TO MENTAL HEALTH SERVICES.ACCESS TO PRIMARY CARE: GRANTS AND IN-KIND SUPPORT FOR LOCAL CLINICS AND FEDERALLY QUALIFIED HEALTH CENTERS (FQHCS); SCREENINGS, REFERRALS, AND LINKAGES TO COMMUNITY RESOURCES; ADDRESS ACCESS BARRIERS THROUGH TRANSPORTATION AND LANGUAGE ASSISTANCE PROGRAMS; PARTNER WITH THE COUNTY TO PROVIDE PERINATAL SERVICES AT A REDUCED COST FOR LOW INCOME AND UNINSURED WOMEN.HEALTHY BEHAVIORS: LINKAGES TO COMMUNITY AND SOCIAL SERVICES; AWARD GRANT FUNDING TO ORGANIZATIONS; ADDRESS SOCIAL SERVICE NEEDS SUCH AS FOOD ACCESS; PROVIDE DIABETES EDUCATION AND CLASSES FOR THE COMMUNITY; PROVIDE HEALTHY LIFESTYLE CLASSES FOR THE COMMUNITY.EDUCATION, INCOME, JOB & ENVIRONMENT: WORKFORCE DEVELOPMENT PROGRAMS TO ADVANCE HEALTH/ALLIED HEALTH CAREERS; AWARD GRANTS TO ORGANIZATIONS ADDRESSING WORKFORCE DEVELOPMENT AND VOCATIONAL TRAINING; OFFER INTERNSHIPS, FELLOWSHIPS, AND CLINICAL ROTATIONS ACROSS OUR ENTITIES; AWARD GRANTS TO ORGANIZATIONS ADDRESSING HOUSING AND HOMELESSNESS.A COMPLETE LIST OF INITIATIVES CAN BE VIEWED HERE: HTTPS://WWW.ADVENTISTHEALTHCARE.COM/ABOUT/COMMUNITY/HEALTH-NEEDS-ASSESSMENT AHC-REHABILITATION - ROCKVILLE/WHITE OAK PART V, SECTION B, LINE 16J: THE POLICY IS ALSO STRATEGICALLY POSTED AT OUR PATIENT FINANCIAL SERVICES OFFICE.PART V, SECTION B, LINE 16A: HTTPS://WWW.ADVENTISTHEALTHCARE.COM/PATIENTS/BILLING/FINANCIAL-ASSISTANCE/PART V, SECTION B, LINE 16B: SAME URL AS LISTED ON LINE 16APART V, SECTION B, LINE 16C: SAME URL AS LISTED ON LINE 16A 4 1 - ADVENTIST HOME HEALTH SERVICES INC 12041 BOURNEFIELD WAY SUITE B SILVER SPRING MD 20904 HOME HEALTH SERVICES 2 - REGINALD S LOURIE CENTER FOR INFANTS 12301 ACADEMY WAY ROCKVILLE MD 20852 NAME CONT.: AND YOUNG CHILDREN, INC. INFANT & CHILDREN DEVELOPMENT CARE CTR. 3 - SHADY GROVE ADVENTIST RADIATION 20330 SENECA MEADOWS PARKWAY GERMANTOWN MD 20876 NAME CONTINUED: ONCOLOGY CENTER. OUTPATIENT CANCER TREATMENT CENTER. 4 - ADVENTIST HEALTHCARE URGENT CARE 750 ROCKVILLE PIKE ROCKVILLE MD 20852 NAME CONTINUED: CENTERS, INC. CENTERS ALSO IN GERMANTOWN,LAUREL,TAKOMA PARK PART I, LINE 3C: IN CONSIDERATION FOR FINANCIAL ASSISTANCE TO OUR PATIENTS, ADVENTIST HEALTHCARE ALSO CONSIDERS CIRCUMSTANCES BEYOND INCOME. THE PATIENT'S CIRCUMSTANCES COULD INCLUDE THE NEEDS OF THE PATIENT AND/OR FAMILY AND OTHER FINANCIAL RESOURCES. IT IS OUR MISSION TO PROVIDE NECESSARY MEDICAL CARE TO THOSE WHO ARE UNABLE TO PAY FOR THAT CARE. IN GENERAL, ADVENTIST HEALTHCARE HAS 15 LEVELS OF FINANCIAL ASSISTANCE. THEY ARE AS FOLLOWS:- ANNUAL INCOME <= 1.0X OF FPL, 0% PATIENT RESPONSIBILITY- ANNUAL INCOME > 1.00X AND <= 1.25X OF FPL, 0% PATIENT RESPONSIBILITY- ANNUAL INCOME > 1.25X AND <= 1.50X OF FPL, 0% PATIENT RESPONSIBILITY- ANNUAL INCOME > 1.50X AND <= 1.75X OF FPL, 0% PATIENT RESPONSIBILITY- ANNUAL INCOME > 1.75X AND <= 2.00X OF FPL, 0% PATIENT RESPONSIBILITY- ANNUAL INCOME > 2.00X AND <= 2.25X OF FPL, 10% PATIENT RESPONSIBILITY- ANNUAL INCOME > 2.25X AND <= 2.50X OF FPL, 20% PATIENT RESPONSIBILITY- ANNUAL INCOME > 2.50X AND <= 2.75X OF FPL, 30% PATIENT RESPONSIBILITY- ANNUAL INCOME > 2.75X AND <= 3.00X OF FPL, 40% PATIENT RESPONSIBILITY- ANNUAL INCOME > 3.00X AND <= 3.50X OF FPL, 50% PATIENT RESPONSIBILITY- ANNUAL INCOME > 3.50X AND <= 4.00X OF FPL, 60% PATIENT RESPONSIBILITY- ANNUAL INCOME > 4.00X AND <= 4.50X OF FPL, 70% PATIENT RESPONSIBILITY- ANNUAL INCOME > 4.50X AND <= 5.00X OF FPL, 80% PATIENT RESPONSIBILITY- ANNUAL INCOME > 5.00X AND <= 5.50X OF FPL, 90% PATIENT RESPONSIBILITY- ANNUAL INCOME > 5.50X AND <= 6.00X OF FPL, 95% PATIENT RESPONSIBILITY PART I, LINE 7: MARYLAND'S UNIQUE ALL-PAYER SYSTEM PROVIDES A MECHANISM FOR INCLUDING UNCOMPENSATED CARE FUNDING IN EACH PROVIDER'S RATES. FOR PURPOSES OF COMPLETING ADVENTIST HEALTHCARE'S (AHC) FORM 990, THESE UNCOMPENSATED CARE ADJUSTMENTS TO OUR HOSPITALS' APPROVED RATE ORDERS ARE NOT PRESENTED AS AN OFFSET TO THE LEVEL OF UNCOMPENSATED CARE WE PROVIDED.SINCE THE STATE REGULATORY COMMISSION (HEALTH SERVICES COST REVIEW COMMISSION) ASSESSES HOSPITALS TO SUBSIDIZE THE STATE'S MEDICAID BUDGET DEFICIT, THESE ASSESSMENTS (NET OF AMOUNTS BUILT IN RATES) ARE ALSO COUNTED TOWARD COMMUNITY BENEFITS AND THIS IS IMPUTED ON SCHEDULE H, PART I, LINE 7B.FOR PURPOSES OF PREPARING SCHEDULE H OF FORM 990, AHC CALCULATED A COST TO CHARGE RATIO AS REFLECTED IN ITS 2023 AUDITED FINANCIAL STATEMENTS. THIS RATIO WAS USED TO CONVERT THE ANNUAL CHARITY CARE PROVISION FROM CHARGE TO COST.AHC CONSIDERS THE NET MEDICAID DEFICIT ASSESSMENT AS A COMPONENT OF COMMUNITY BENEFIT. THIS ASSESSMENT IS CHARGED TO ALL MARYLAND HOSPITALS TO FUND THE STATE MEDICAID BUDGET SHORTFALL. PART I, LINE 7G: SUBSIDIZED HEALTH SERVICES INCLUDED PAYMENTS FOR NON-EMPLOYED BUT HOSPITAL-BASED PHYSICIANS, NON-RESIDENT HOSPITAL STAFF, HOSPITALISTS, EMERGENCY ON-CALL, OFF-CAMPUS EMERGENCY CENTER, AND WOMEN'S AND CHILDREN'S SERVICES SUBSIDIES. PART II, COMMUNITY BUILDING ACTIVITIES: ADVENTIST HEALTHCARE, INC. CONTRIBUTED TO NUMEROUS COMMUNITY BUILDING ACTIVITIES AS PART OF FULFILLING ADVENTIST HEALTHCARE'S MISSION. ADVENTIST HEALTHCARE'S MISSION IS "WE EXTEND GOD'S CARE THROUGH THE MINISTRY OF PHYSICAL, MENTAL AND SPIRITUAL HEALING." ADVENTIST HEALTHCARE GOES BEYOND TRADITIONAL HOSPITAL CARE TO OFFER EXPERTISE AND RESOURCES THAT HELP STRENGTHEN THE COMMUNITY'S INFRASTRUCTURE IN A WAY THAT PROMOTES HEALTH AND WELL-BEING. IN 2023, MOST ADVENTIST HEALTHCARE'S COMMUNITY BUILDING ACTIVITIES CONSISTED OF: LOWERING HEALTHCARE COSTS AND PROMOTING HEALTH AND WELLBEING OF THE COMMUNITY; ADVOCATING ON COMMUNITY HEALTH IMPROVEMENTS THROUGH OUR GOVERNMENT RELATIONS AND PUBLIC POLICY DEPARTMENT; AND ESTABLISHING ADDITIONAL COMMUNITY PARTNERSHIPS.GOVERNMENT RELATIONS AND PUBLIC POLICY DEPARTMENT INITIATIVES:IN 2023, ADVENTIST HEALTHCARE WORKED WITH FEDERAL, STATE, AND LOCAL LEADERS TO SUPPORT EQUITABLE ACCESS TO HEALTH CARE SERVICES. WE WORKED WITH STAKEHOLDERS TO SUPPORT HEALTH CARE WORKER SAFETY AND TO SUPPORT THE WORKFORCE PIPELINE IN THE STATE AND COUNTRY. WE WORKED TO SECURE STATE FUNDING TO ENHANCE THE HEALTH CARE INFRASTRUCTURE IN TRADITIONAL MARGINALIZED COMMUNITIES. WE SUPPORTED COMMUNITY DEVELOPMENT PROJECTS ACROSS MONTGOMERY AND PRINCE GEORGE'S COUNTIES. WE CONTINUE TO PROVIDE FINANCIAL SUPPORT TO COMMUNITY PARTNERS ADDRESSING PUBLIC NEEDS INCLUDING HOUSING AND FOOD INSECURITY.HEALTH PARTNERSHIPS WITHIN THE COMMUNITY:ADVENTIST HEALTHCARE AIMS TO IMPROVE THE HEALTH OF COMMUNITIES IT SERVES. IT DOES THIS BY RAISING AWARENESS OF COMMUNITY HEALTH NEEDS AND LOCAL DISPARITIES, IMPROVING ACCESS TO CULTURALLY APPROPRIATE CARE, AND PROVIDING COMMUNITY WELLNESS OUTREACH AND EDUCATION.ADVENTIST HEALTHCARE WORKS TO ADDRESS NOT JUST THE PHYSICAL AND MENTAL HEALTH NEEDS OF OUR PATIENTS AND COMMUNITY MEMBERS, BUT TO ADDRESS WHOLE-PERSON HEALTH. TO DO THIS, WE DEVELOP PARTNERSHIPS AND COLLABORATE WITH KEY STAKEHOLDERS IN THE COMMUNITY. THROUGH COLLABORATION, WE CAN EXPAND OUR EXPERTISE AND RESOURCES AND THEREFORE HAVE A LARGER COLLECTIVE IMPACT ON THE HEALTH AND WELL-BEING OF OUR COMMUNITY. A SAMPLING OF OUR PARTNERSHIPS IS DESCRIBED BELOW:1) HEALTHY MONTGOMERY:HEALTHY MONTGOMERY IS THE LOCAL HEALTH IMPROVEMENT COALITION FOR MONTGOMERY COUNTY, MARYLAND. ADVENTIST HEALTHCARE PARTNERS WITH AND SUPPORTS HEALTHY MONTGOMERY BOTH STRATEGICALLY AND FINANCIALLY. REPRESENTATIVES FROM ADVENTIST HEALTHCARE SIT ON THE HEALTHY MONTGOMERY STEERING COMMITTEE, THE HEALTH IN ALL POLICY WORKGROUP, AND THE HOSPITAL WORKGROUP, AMONG OTHERS. ADVENTIST HEALTHCARE ALSO CONTRIBUTES UP TO $50,000 ANNUALLY TO SUPPORT THE INFRASTRUCTURE OF HEALTHY MONTGOMERY. HEALTHY MONTGOMERY, IN PARTNERSHIP WITH COMMUNITY STAKEHOLDERS SUCH AS LOCAL POLICY MAKERS, HOSPITALS, ADVOCACY GROUPS AND ACADEMIC INSTITUTIONS, AMONG OTHERS, REVIEWS THE NEEDS AND RESOURCES IN THE COUNTY AND WORKS TO SET PRIORITIES FOR IMPROVING HEALTH AND WELL-BEING. THE OVERALL GOALS OF HEALTHY MONTGOMERY ARE TO IMPROVE ACCESS TO HEALTH AND SOCIAL SERVICES, ACHIEVE HEALTH EQUITY FOR ALL RESIDENTS, AND ENHANCE THE PHYSICAL AND SOCIAL ENVIRONMENT TO SUPPORT OPTIMAL HEALTH AND WELL-BEING. AMONG ITS MANY ACCOMPLISHMENTS, HEALTHY MONTGOMERY HAS BEEN ABLE TO PROVIDE LOCAL LEVEL DATA THAT IS STRATIFIED BY SEX, AGE, RACE, AND ETHNICITY. BY MAKING THIS DATA MORE EASILY AVAILABLE, COMMUNITY STAKEHOLDERS, ADVENTIST HEALTHCARE INCLUDED, ARE BETTER ABLE TO IDENTIFY NEEDS IN THE COMMUNITY THAT MAY HAVE OTHERWISE BEEN MASKED BY LESS GRANULAR DATA. THIS ALLOWS FOR MORE STRATEGIC AND TARGETED HEALTH PREVENTION AND PROMOTION PROGRAMMING TO BE DEVELOPED.2) PRINCE GEORGE'S HEALTHCARE ACTION COALITION:PRINCE GEORGE'S HEALTHCARE ACTION COALITION (PGHAC) SERVES AS A COMMUNITY HEALTH NETWORK AND FORUM FOR COLLABORATION TO ADVANCE THE HEALTH OF PRINCE GEORGE'S COUNTY. THIS COMMUNITY-POWERED COALITION REPRESENTS OVER 70 COMMUNITY ORGANIZATIONS, HEALTH CARE PROVIDERS AND STAKEHOLDERS IN COMMUNITY HEALTH.THE COALITION WAS FORMED IN 2012 UNDER THE LEADERSHIP OF PRINCE GEORGE'S COUNTY HEALTH DEPARTMENT (PGCHD), WITH THE HEALTH OFFICER SERVING AS CO-CHAIR. THE PGHAC LEADS THE PROCESS FOR DEVELOPING AND EXECUTING THE COMMUNITY HEALTH IMPROVEMENT PLAN FOR THE COUNTY. THIS INCLUDES ORGANIZING SEVERAL WORK GROUPS AND BRINGING TOGETHER PARTNERS IN AREAS SUCH AS HEALTH EQUITY, BEHAVIORAL HEALTH AND HEALTHY EATING AND ACTIVE LIVING.3) NEXUS MONTGOMERY:NEXUS MONTGOMERY IS A PARTNERSHIP OF FOUR HEALTH SYSTEMS IN MONTGOMERY COUNTY, MARYLAND, INCLUDING ADVENTIST HEALTHCARE, HOLY CROSS HEALTH, MEDSTAR MONTGOMERY AND SUBURBAN HOSPITAL. THE PARTNERSHIP IS FOCUSED ON IMPROVING THE WELL-BEING OF PATIENTS AND COMMUNITY MEMBERS AND REDUCING POTENTIAL AVOIDABLE UTILIZATION (PAU)'S AND TOTAL COST OF CARE. EXAMPLES OF STRATEGIES AND PROGRAMS THAT THE PARTNERSHIP HAS WORKED ON INCLUDE WELLNESS AND INDEPENDENCE FOR SENIORS AT HOME (WISH), HOSPITAL CARE TRANSITIONS, UNINSURED/PROJECT ACCESS, AND SEVERELY MENTALLY ILL/BEHAVIORAL HEALTH. THE GOALS OF THESE PROGRAMS ARE TO STABILIZE HEALTH OF OLDER ADULTS TO REDUCE HOSPITAL ADMISSIONS, IMPROVE TRANSITIONS FROM HOSPITAL-TO-HOME, CONNECT UNINSURED TO SPECIALTY CARE, AND IMPROVE COMMUNITY-BASED RESOURCES FOR THE SEVERELY MENTALLY ILL.4) CASA:CASA IS THE FOREMOST IMMIGRANT ORGANIZATION IN THE MID-ATLANTIC REGION AND A NATIONAL LEADER IN SUPPORTING IMMIGRANT FAMILIES AND ENSURING THAT ALL INDIVIDUALS HAVE THE CORE SUPPORTS NECESSARY FOR FULL PARTICIPATION IN SOCIETY. NOW A NATIONAL IMMIGRANT POWERHOUSE, CASA CREATES CHANGE WITH ITS POWER BUILDING MODEL BLENDING HUMAN SERVICES, COMMUNITY ORGANIZING, AND ADVOCACY TO SERVE THE FULL SPECTRUM OF THE NEEDS, DREAMS, AND ASPIRATIONS OF MEMBERS.IN 2023, THE ADVENTIST HEALTHCARE COMMUNITY PARTNERSHIP FUND PROVIDED CASA DE MARYLAND GRANT FUNDING TO SUPPORT THEIR ESOL PROGRAM. CASA'S ESOL PROGRAM SEEKS TO IMPROVE PARTICIPANTS' LISTENING, SPEAKING, READING, AND WRITING SKILLS IN ENGLISH SO THAT THEY MAY INCREASE THEIR EMPLOYABILITY, INCREASE THEIR ACCESS TO HEALTH AND SOCIAL SERVICES, BETTER INTEGRATE INTO U.S. SOCIETY, AND ACHIEVE THEIR PERSONAL GOALS.5) NEW LIFE SEVENTH DAY ADVENTIST CHURCHNEW LIFE SEVENTH DAY ADVENTIST CHURCH IS A COMMUNITY OF GROWING CHRISTIANS, WHO SERVE THE GAITHERSBURG AND SURROUNDING AREA BY LEADING IN INNOVATION AND CONTEMPORARY MINISTRY, LIVING SPIRIT-FILLED LIVES, AND LOVING OTHERS BY MEETING THEIR MOST IMPORTANT NEEDS.IN 2023, THE ADVENTIST HEALTHCARE COMMUNITY PARTNERSHIP FUND PROVIDED IMPACT SILVER SPRING WITH GRANT FUNDING TO PILOT A FINANCIAL LITERACY INITIATIVE. THE INITIATIVE INCLUDED TWO EVIDENCE-BASED PROGRAMS. THE FIRST PROGRAM, FOCUSED ON FINANCIAL MENTORSHIP, UTILIZES A MASTER CLASS FORMAT FOR LEARNING AND PROMOTES AN EASY-TO-FOLLOW PLAN WHICH EMPHASIZES TOTAL FREEDOM FROM DEBT, EFFECTIVE SAVING, WISE SPENDING, AND SHARING AMONG OTHER HABITS. THE SECOND PROGRAM, NOTHING BUT A JAR OF OIL" IS AN ENTREPRENEURSHIP CLASS THAT EMPHASIZES UTILIZING THE GIFTS, SKILLS, AND RESOURCES THAT PEOPLE ALREADY HAVE IN ORDER TO CREATE INCOME.6) INTERFAITH WORKS:INTERFAITH WORKS PROVIDES EMERGENCY SHELTER, SUPPORTIVE HOUSING, ESSENTIAL NEEDS, AND EMPLOYMENT PROGRAMS TO OVER 35,000 RESIDENTS OF MONTGOMERY COUNTY, MD, EVERY YEAR.IN 2023, ADVENTIST HEALTHCARE PROVIDED INTERFAITH WORKS WITH GRANT FUNDING TO SUPPORT THEIR VOCATIONAL SERVICES PROGRAM. THE GOAL OF THE PROGRAM IS TO PLACE LOW-INCOME MONTGOMERY COUNTY RESIDENTS, AND THOSE EXPERIENCING HOMELESSNESS, IN LONG-TERM JOBS. THE PROGRAM PROVIDES COMPREHENSIVE, INDIVIDUALIZED SUPPORT TO CLIENTS, THEREBY STRENGTHENING THE FINANCIAL STABILITY OF INDIVIDUALS AND FAMILIES THROUGH JOB TRAINING AND READINESS PROGRAMS, EMPLOYMENT ASSISTANCE, AND SUPPORT UPON EMPLOYMENT. THEIR BILINGUAL (ENGLISH/SPANISH/FRENCH) VOCATIONAL COUNSELORS WORK WITH CLIENTS UNTIL THEY SUCCESSFULLY GAIN EMPLOYMENT AND OFFER SUPPORT FOR A MINIMUM OF ONE YEAR FOLLOWING EMPLOYMENT. PART III, LINE 2: TO ESTIMATE THE COST OF BAD DEBT THAT WE HAVE REPORTED ON SCHEDULE H, WE MULTIPLIED THE ORGANIZATION'S COST TO CHARGE RATIO (CCR) TIMES THE BAD DEBT PROVISION THAT HAS BEEN DERIVED FROM THE 2023 AUDITED FINANCIAL STATEMENTS. THE ORGANIZATION'S CCR IS THE QUOTIENT THAT RESULTS WHEN TOTAL OPERATING EXPENSE IS DIVIDED BY TOTAL GROSS PATIENT REVENUE AS REFLECTED IN THE ORGANIZATION'S GENERAL LEDGER.THE BAD DEBT EXPENSE THAT IS RECORDED IN THE GENERAL LEDGER REFLECTS THE AMOUNT OF PROVISION MANAGEMENT DEEMS NECESSARY TO REPORT PATIENT ACCOUNTS RECEIVABLE AT THEIR NET REALIZABLE VALUE. IN EVALUATING THE COLLECTABILITY OF PATIENT ACCOUNTS RECEIVABLE, WE ANALYZE HISTORICAL TRENDS FOR EACH MAJOR PAYOR AND ESTIMATE THE APPROPRIATE ALLOWANCE FOR DOUBTFUL COLLECTIONS. PART II, COMMUNITY BUILDING ACTIVITIES, CONTINUED: 7) GENERATION HOPE:GENERATION HOPE'S GOAL IS TO DISMANTLE GENERATIONAL POVERTY THROUGH EDUCATIONAL ATTAINMENT. THEIR PROGRAMMING ADDRESSES AN URGENT NEED IN THE COMMUNITY BY FOCUSING ON THE BEST LONG-TERM POVERTY SOLUTIONS AND MAKING A LASTING IMPACT ON THE REGION'S LOW-INCOME TEEN PARENTS AND THEIR CHILDREN. OUR GOAL FOR OUR SCHOLAR PROGRAM IS THAT TEEN PARENTS EARN A COLLEGE DEGREE AND SECURE THRIVING FUTURES FOR THEIR FAMILIES. FOR NEXT GENERATION ACADEMY, OUR GOAL IS THAT THE CHILDREN OF TEEN PARENTS ARE PREPARED FOR SUCCESS AND WELLBEING IN KINDERGARTEN AND BEYOND.IN 2023, ADVENTIST HEALTHCARE PROVIDED GENERATION HOPE WITH GRANT FUNDING TO SUPPORT THEIR SCHOLAR PROGRAM AND NEXT GENERATION ACADEMY. WITH THIS FUNDING GENERATION HOPE PROVIDED MENTAL HEALTH SUPPORT TO SCHOLARS AND THEIR CHILDREN, PROVIDED SCHOLARS WITH WORKFORCE DEVELOPMENT SUPPORT, AND SUPPORTED SCHOLARS IN MAINTAINING HIGH GPAS AND GRADUATION RATES TO SET THEM UP FOR LONG TERM SUCCESS.8) REBUILDING TOGETHER MONTGOMERY COUNTY (RTMC):REBUILDING TOGETHER MAKES ESSENTIAL REPAIRS TO COMMUNITY MEMBERS' HOMES SO THAT THEY CAN STAY IN THEIR HOMES LONGER AND AGE SAFELY IN PLACE. AMONG ONE OF RTMC'S CORE ACTIVITIES IS THE SAFE AND HEALTHY HOMES PROGRAM, WHOSE GOAL IS TO LEVERAGE THEIR EXPERTISE IN THE HOME REPAIR FIELD AND FURTHER DEVELOP THEIR CROSS-SECTOR PARTNERSHIPS TO POSITIVELY AFFECT COMMUNITY HOME-HEALTH OUTCOMES. IN 2023, ADVENTIST HEALTHCARE PROVIDED RTMC WITH A SPONSORSHIP FOR THEIR NATIONAL REBUILDING DAY. ADDITIONALLY, A TEAM FROM ADVENTIST HEALTHCARE PARTICIPATED IN NATIONAL REBUILDING DAY PROVIDING CRITICAL HOME REPAIRS AND BEAUTIFICATION FOR A COMMUNITY MEMBER IN NEED. PART III, LINE 4: THE CORPORATION ASSESSES COLLECTABILITY ON PATIENT CONTRACTS PRIOR TO THE RECOGNITION OF NET PATIENT SERVICE REVENUE. PATIENT ACCOUNTS RECEIVABLE ARE REPORTED AT THEIR NET REALIZABLE VALUE. ACCOUNTS ARE WRITTEN OFF THROUGH THE CREDIT LOSS EXPENSE WHEN THE CORPORATION HAS EXHAUSTED ALL COLLECTION EFFORTS AND DETERMINES ACCOUNTS ARE IMPAIRED BASED ON CHANGES IN PATIENT CREDIT WORTHINESS. PATIENT ACCOUNTS RECEIVABLE ALSO INCLUDES MANAGEMENT'S ESTIMATE OF THE IMPACT OF CERTAIN UNDERCHARGES TO BE RECOUPED OR OVERCHARGES TO BE PAID BACK FOR INPATIENT AND OUTPATIENT SERVICES IN SUBSEQUENT YEAR'S RATES AS DISCUSSED EARLIER. PART III, LINE 8: ACUTE CARE HOSPITALS IN MARYLAND ARE EXEMPT FROM THE NATIONAL MEDICARE REIMBURSEMENT METHODOLOGY; INSTEAD, ALL PAYORS (INCLUDING MEDICARE AND MEDICAID) PAY HOSPITALS A CERTAIN PRESCRIBED PERCENTAGE OF CHARGES, WHICH ARE REGULATED BY THE STATE'S HEALTH SERVICES COST REVIEW COMMISSION (HSCRC). SPECIFICALLY, MEDICARE WAS AWARDED A DISCOUNT OF 7.7% OF CHARGES WITHOUT AN ADVANCE FUNDING DEPOSIT WITH PROVIDERS EFFECTIVE JANUARY 1, 2023 - MARCH 31, 2023; FOR THE PERIOD APRIL 1, 2023 - DECEMBER 31, 2023, THAT DISCOUNT WAS INCREASED TO 8.7% OF HOSPITAL CHARGES.IN ADDITION TO MEDICARE'S STANDARD DISCOUNT AS DESCRIBED ABOVE, IT ALSO APPLIES THE FOLLOWING ADJUSTMENTS TO HOSPITAL PAYMENTS: (A) 2% REDUCTION FOR SEQUESTRATION AND (B) A MEDICARE PERFORMANCE ADJUSTMENT -- WHICH CAN EITHER BE POSITIVE OR NEGATIVE, DEPENDING ON HOW WELL EACH INDIVIDUAL HOSPITAL PERFORMS UNDER VARIOUS PROGRAMS THAT ARE DESIGNED TO ENSURE THE GROWTH IN COST PER MEDICARE BENEFICIARY FALLS AT OR BELOW THE NATIONAL GROWTH RATE.A SHORTFALL ON PATIENT SERVICES PROVIDED TO MEDICARE PATIENTS WILL ONLY EXIST WHEN THE MEDICARE COLLECTION EXPERIENCE IS LOWER THAN THE FACILITY'S COST TO CHARGE RATIO (WHICH WOULD BE HIGHLY UNUSUAL GIVEN THE MARYLAND REIMBURSEMENT ENVIRONMENT). IF SUCH A SHORTFALL EXISTS, NONE OF IT SHOULD BE COUNTED TOWARDS A COMMUNITY BENEFIT CALCULATION.ADVENTIST HEALTHCARE USES ITS INCOME STATEMENT TO COMPUTE A COST TO CHARGE RATIO USED TO ESTIMATE THE COST OF PROVIDING CARE TO MEDICARE PATIENTS. PART III, LINE 9B: > THAT ALL PATIENTS RECEIVE A NOTICE ON FINANCIAL ASSISTANCE AND A PHONE CALL, BY ADVENTIST HEALTHCARE'S STAFF AND OUTSOURCED VENDORS, MENTIONING THE OPPORTUNITY TO HAVE THEIR BILL REDUCED IF THE DEBTOR QUALIFIES FOR ADVENTIST HEALTHCARE'S FINANCIAL ASSISTANCE.> WHEN A DEBTOR HAS AFFIRMED A DEBT AND HAS BEEN GIVEN AN OPPORTUNITY TO APPLY FOR ADVENTIST HEALTHCARE'S FINANCIAL ASSISTANCE, AND HAS APPLIED FOR AND BEEN GRANTED ASSISTANCE THAT REDUCED THE OUTSTANDING BALANCE BUT LEAVING AN AMOUNT STILL OWED TO AN ADVENTIST HEALTHCARE FACILITY OR HAS NOT APPLIED FOR ASSISTANCE IN THE ALLOTTED TIME PERIOD:1) FOR EXISTING ACCOUNTS, THE COLLECTION AGENCY WILL RECEIVE "DAILY NOTIFICATION TO REDUCE THE OUTSTANDING BALANCE OF ANY DEBTOR WHO QUALIFIES FOR ADVENTIST HEALTHCARE'S FINANCIAL ASSISTANCE. THE AGENCY WILL SEND A LETTER TO THE DEBTOR, ACKNOWLEDGING THE NEW BALANCE WITHIN 15 DAYS OF THE NOTICE TO ADJUST.2) ONCE THE DEBTOR AFFIRMS THE DEBT, THE AGENCY WILL INFORM THE DEBTOR ABOUT ADVENTIST HEALTHCARE'S FINANCIAL ASSISTANCE POLICY, AND ASK IF THEY HAD RECEIVED INFORMATION ON HOW TO COMPLETE THE APPLICATION, OR THE CRITERIA FOR QUALIFICATION.3) WHEN A DEBTOR EXPRESSES A DESIRE TO COMPLETE THE APPLICATION FOR FINANCIAL ASSISTANCE, THEY WILL BE REFERRED TO THE OFFICE OF ADVENTIST HEALTHCARE'S MANAGER OF COLLECTIONS / CUSTOMER SERVICE (301-315-3660). THE COLLECTION AGENCY WILL PLACE THE ACCOUNT ON "HOLD" FOR 2 WEEKS TO ALLOW THE DEBTOR AMPLE TIME TO COMPLETE A FINANCIAL ASSISTANCE APPLICATION.4) WHEN THE DEBTOR HAS COMPLETED THE APPLICATION FOR FINANCIAL ASSISTANCE AND BEEN APPROVED, THE AGENCY WILL RECEIVE IMMEDIATE NOTIFICATION FROM THE MANAGER OF COLLECTIONS/CUSTOMER SERVICE. NOTIFICATION WILL INCLUDE THE AMOUNT OF DEBT REDUCTION THE DEBTOR QUALIFIED FOR. THE MANAGER OF COLLECTIONS/CUSTOMER SERVICE WILL ADJUST THE DEBTOR'S BALANCE ON ADVENTIST HEALTHCARE'S BOOKS. PART VI, LINE 2: IN ADDITION TO COMPLETING OUR CHNAS EVERY THREE YEARS, ADVENTIST HEALTHCARE ASSESSES THE NEEDS OF THE COMMUNITY WE SERVE THROUGH SEVERAL METHODS:> REPRESENTATIVES FROM ADVENTIST HEALTHCARE SERVE ON THE LOCAL HEALTH IMPROVEMENT COALITIONS IN OUR SERVICE AREA, HEALTHY MONTGOMERY, AND PRINCE GEORGE'S HEALTH ACTION COALITION. BY PARTICIPATING IN THE STEERING COMMITTEES AS WELL AS SEVERAL SUB-COMMITTEES AND WORKGROUPS, WE STAY APPRISED OF EXISTING AND DEVELOPING HEALTH NEEDS IN THE COMMUNITY AND CAN WORK WITH OTHER STAKEHOLDERS TO DEVELOP STRATEGIES FOR ADDRESSING THEM. > WE ARE ALSO ABLE TO GATHER INFORMATION AROUND COMMUNITY NEEDS THROUGH OUR NUMEROUS COMMUNITY PARTNERSHIPS AND OUTREACH EFFORTS. THROUGH OUR OUTREACH EFFORTS, WE GATHER INFORMATION DIRECTLY FROM THE COMMUNITY MEMBERS WE ARE SERVING. THROUGH OUR PARTNERSHIPS WITH COMMUNITY ORGANIZATIONS, WE LEARN ABOUT THE NEEDS OF THE STAKEHOLDERS THOSE ORGANIZATIONS REPRESENT. ONE EXAMPLE OF THIS IS OUR COMMUNITY PARTNERSHIP FUND THROUGH WHICH WE DEVELOP COLLABORATIONS WITH OTHER ORGANIZATIONS AND AWARD GRANT AND SPONSORSHIP FUNDING. ADDITIONALLY, SEVERAL OF OUR STAFF AND LEADERS SERVE ON THE BOARDS OF LOCAL COMMUNITY ORGANIZATIONS AND GATHER ADDITIONAL INSIGHT INTO THE NEEDS OF OUR COMMUNITY.> ADDITIONALLY, ADVENTIST HEALTHCARE LEADS THE PHYSICIAN ALLIANCE, A CLINICALLY INTEGRATED NETWORK MADE UP OF PRIMARY AND SPECIALTY CARE PHYSICIANS INCLUDING CLINICS AND FEDERALLY QUALIFIED HEALTH CENTERS (FQHC) IN OUR COMMUNITY. ADVENTIST HEALTHCARE HAS ALSO FORMED A CARE TRANSFORMATION ORGANIZATION AS PART OF THE MARYLAND PRIMARY CARE PROGRAM. THROUGH BOTH THESE INITIATIVES, WE MONITOR HEALTH NEEDS AND DATA ACROSS OUR COMMUNITY INCLUDING CLINICAL DATA, SOCIAL DETERMINANTS OF HEALTH (SDOH) DATA, AND DIRECT PATIENT FEEDBACK, BOTH ON A POPULATION AND INDIVIDUAL LEVEL. PART VI, LINE 3: PATIENT EDUCATION OF ELIGIBILITY:ADVENTIST HEALTHCARE EDUCATES OUR PATIENTS AND COMMUNITY RESIDENTS ABOUT CHARITY CARE AND FINANCIAL ASSISTANCE IN MANY WAYS. THEY INCLUDE, BUT ARE NOT LIMITED TO, THE FOLLOWING: (1) ADVENTIST HEALTHCARE HAS FINANCIAL ASSISTANCE SIGNAGE IN ALL ITS FACILITIES, ON ALL PATIENT STATEMENTS AND ON OUR HOSPITALS' WEBSITES; (2) DURING PRE-REGISTRATION AND REGISTRATION, PATIENTS WHO ARE REGISTERED AS SELF-PAY, OR EXPRESS A FINANCIAL HARDSHIP, ARE INFORMED ABOUT THE HOSPITAL'S CHARITY CARE POLICY AND MAILED OR GIVEN A CHARITY APPLICATION. ADDITIONALLY, AN ADVENTIST HEALTHCARE PATIENT FINANCIAL ADVISOR WILL VISIT ADMITTED PATIENTS TO REVIEW FINANCIAL OPTIONS, INCLUDING AHC'S FINANCIAL ASSISTANCE PROGRAM; (3) WHEN GOING THROUGH THE MEDICAID ELIGIBILITY SCREENING, SELF-PAY PATIENTS ARE GIVEN A CHARITY APPLICATION DURING THAT PROCESS JUST IN CASE THE PATIENT DOES NOT QUALIFY FOR MEDICAID; (4) WHEN PATIENTS WITH A BALANCE RECEIVE A STATEMENT, THE PATIENT STATEMENT INCLUDES NOTIFICATION OF THE AVAILABILITY OF FINANCIAL ASSISTANCE AND THE CONTACT INFORMATION TO SPEAK WITH A REPRESENTATIVE OR OBTAIN A FINANCIAL ASSISTANCE PACKAGE; (5) WHEN PATIENTS WITH A BALANCE CONTACT THE COLLECTION DEPARTMENT AND EXPRESS FINANCIAL HARDSHIP, CUSTOMER SERVICE REPS AND SELF-PAY COLLECTORS WILL NOTIFY THE PATIENT OF THE AVAILABILITY OF ADVENTIST HEALTHCARE'S FINANCIAL ASSISTANCE AND MAIL A CHARITY APPLICATION TO THE PATIENT AND (6) RESIDENTS WHO PARTICIPATE IN OUR COMMUNITY PROGRAMS, SUCH AS BREAST CANCER, MATERNITY, ETC., ARE INFORMED OF ADVENTIST HEALTHCARE'S CHARITY PROGRAM PRIOR TO RECEIVING SERVICES. PART VI, LINE 4: THE MONTGOMERY COUNTY HOSPITAL COLLABORATIVE (MCHC) SERVES PORTIONS OF MONTGOMERY, PRINCE GEORGE'S, FREDERICK, CAROL, AND HOWARD COUNTIES, AND THE DISTRICT OF COLUMBIA, SPANNING 86 ZIP CODES AND ALMOST 2.3 MILLION PEOPLE. HOWEVER, THE GOAL OF THIS CHNA IS TO IDENTIFY AND PRIORITIZE KEY AREAS AND COMMUNITIES OF FOCUS FOR MEANINGFUL ENGAGEMENT. TO DO THIS, THE MCHC IDENTIFIED ZIP CODES IN EACH HOSPITAL'S PRIMARY SERVICE AREA AS OUR COLLECTIVE COMMUNITY BENEFIT SERVICE AREA (CBSA) AND HIGHLIGHTED COMMUNITIES OF FOCUS WITHIN THE CBSA TO PROVIDE A VALUABLE SNAPSHOT OF THE HOSPITAL'S EXISTING COMMUNITIES SERVED AND NEW AREAS OF INTEREST.DESCRIPTION OF SERVICE AREA: THE MCHC CBSA COMPRISES 38 ZIP CODES THAT SPAN APPROXIMATELY 388 SQUARE MILES OF MONTGOMERY COUNTY AND NORTHERN PRINCE GEORGE'S COUNTY, WITH A TOTAL POPULATION OF 1,250,503 (CENTER FOR APPLIED RESEARCH AND ENGAGEMENT SYSTEMS, 2022). THE POPULATION DENSITY FOR THIS AREA, ESTIMATED AT 3,218 PERSONS PER SQUARE MILE, IS GREATER THAN MONTGOMERY COUNTY (2,116 PERSONS PER SQUARE MILE), PRINCE GEORGE'S COUNTY (1,883 PERSONS PER SQUARE MILE), AND THE STATE (620 PERSONS PER SQUARE MILE). FOR A FULL LISTING OF THE ZIP CODES COMPRISING THE MCHC CBSA SEE APPENDIX E OF THE CHNA.THE MCHC CBSA SERVES PORTIONS OF MONTGOMERY AND PRINCE GEORGE'S COUNTIES, TWO MAJORITY MINORITY COUNTIES RICH IN CULTURAL DIVERSITY. THE LARGEST POPULATIONS BY RACE/ETHNICITY WITHIN THE SERVICE AREA ARE NON-HISPANIC WHITES (37.3%), NON-HISPANIC BLACKS (22.6%), HISPANIC OR LATINO (22.5%) AND NON-HISPANIC ASIAN (13.5%).MORE THAN 33% OF THE MCHC CBSA POPULATION ARE OF FOREIGN BIRTH COMPARED TO 32% IN MONTGOMERY COUNTY, 23% IN PRINCE GEORGE'S COUNTY, AND 15.2% IN MARYLAND. THE LANGUAGES SPOKEN IN THIS REGION ALSO REFLECT ITS DIVERSITY. HOWEVER, APPROXIMATELY 16.5% OF THE CBSA POPULATION, AGED 5 AND OLDER, SPEAK ENGLISH LESS THAN VERY WELL COMPARED TO 7% OF THE MARYLAND POPULATION.LIMITED ENGLISH PROFICIENCY (LEP), OR THE INABILITY TO SPEAK ENGLISH WELL, CREATES BARRIERS TO HEALTH CARE ACCESS, PROVIDER COMMUNICATIONS, AND HEALTH LITERACY/EDUCATION. THE HIGHEST PERCENTAGE OF LIMITED ENGLISH PROFICIENCY BY LANGUAGE SPOKEN IN THE HOME IS SPANISH (UNITED STATES CENSUS BUREAU, 2022). THE CBSA IS NOT ONLY RICH IN DIVERSITY BUT ALSO IN RESOURCES. THE AREA HAS OVER 170 PRIVATE AND COUNTY-RUN FITNESS AND RECREATION FACILITIES, ROUGHLY 75% OF RESIDENTS LIVE WITHIN HALF A MILE OF A PARK, MORE THAN 240 GROCERY STORES SERVE THE AREA, AND THERE ARE MORE THAN 100 SOCIAL AND PROFESSIONAL ORGANIZATIONS PER PERSON. THE AVERAGE HOUSEHOLD INCOME OF $138,054 FOR PERSONS IN THE MCHC CBSA IS HIGHER THAN THE STATE AVERAGE OF $111,417 AND THE PRICE GEORGE'S COUNTY AVERAGE OF $102,593, BUT LOWER THAN THAT FOR MONTGOMERY COUNTY OVERALL ($149,437). HOWEVER, DESPITE THE PLETHORA OF RESOURCES AND ABOVE-AVERAGE INCOMES, DISPARITIES EXIST, PARTICULARLY FOR POPULATIONS EXPERIENCING VULNERABILITIES.VULNERABLE POPULATIONS:POPULATIONS EXPERIENCING VULNERABILITY (ALSO REFERRED TO AS VULNERABLE POPULATIONS) ARE GROUPS AND COMMUNITIES AT A HIGHER RISK FOR POOR HEALTH OUTCOMES BECAUSE OF THE BARRIERS THEY EXPERIENCE DUE TO STRUCTURAL AND SOCIETAL FACTORS THEY FACE, SUCH AS SYSTEMIC RACISM, DISCRIMINATION, STIGMA, AND POVERTY (BACIU, NEGUSSIE, GELLER, & ET AL., 2017). IN 2021, THE EQUITY DATA TEAM OF MONTGOMERY COUNTY'S PLANNING DEPARTMENT DEVELOPED A MAPPING TOOL TO IDENTIFY VULNERABLE POPULATIONS WITHIN MONTGOMERY COUNTY. THE TEAM IDENTIFIED 56 EQUITY FOCUS AREAS (EFAS) BY LOOKING AT DEMOGRAPHIC DATA AT THE CENSUS TRACT LEVEL (SEE APPENDIX F FOR A FULL LIST OF DEMOGRAPHIC DATA). THEY FOCUSED ON IDENTIFYING AREAS THAT HAD HIGH CONCENTRATIONS OF LOWER-INCOME HOUSEHOLDS, PEOPLE OF COLOR, AND INDIVIDUALS WHO MAY SPEAK ENGLISH LESS THAN VERY WELL (ZORICH, MUKHERJEE, & BLYTON, 2021). APPROXIMATELY ONE-QUARTER OF MONTGOMERY COUNTY'S POPULATION RESIDES IN THE EFAS. IN ADDITION TO POPULATIONS RESIDING IN THE EFAS, OTHER POPULATIONS EXPERIENCING VULNERABILITIES INCLUDE LOW-INCOME, RACIAL, AND ETHNIC MINORITIES, UNINSURED, SENIORS, PREGNANT WOMEN AND INFANTS, THE HOMELESS AND THOSE WITH DISABILITIES. FOR ADDITIONAL DETAILS REGARDING EACH OF THESE POPULATIONS, PLEASE SEE THE "DEFINING COMMUNITIES SERVED" SECTION OF THE CHNA. PART VI, LINE 5: IN KEEPING WITH OUR MISSION, ADVENTIST HEALTHCARE CONTINUES TO PROMOTE GOOD HEALTH IN THE COMMUNITY THROUGH A WIDE VARIETY OF HEALTH AND WELLNESS SERVICES OFFERED THROUGHOUT MONTGOMERY AND PRINCE GEORGE'S COUNTIES IN MARYLAND, AS WELL AS SOME AREAS IN WASHINGTON D.C. AND THE SURROUNDING REGION. BELOW IS A SUMMARY OF THE HEALTH PROMOTION ACTIVITIES IN 2023, INCLUDING HEALTH EDUCATION/LECTURES, HEALTH SCREENINGS, SUPPORT GROUPS, AS WELL AS COMMUNITY BOARD AND COMMITTEE PARTICIPATION AND THE SUPPORT OF MONTGOMERY COUNTY'S SAFETY NET CLINICS FOR UNINSURED AND UNDERINSURED RESIDENTS. WE FOCUS ON PREVENTION AND MANAGEMENT OF CHRONIC DISEASES PREVALENT IN THE COMMUNITIES WE SERVE, AS WELL AS OUTREACH AND CULTURALLY COMPETENT SERVICES TO VULNERABLE POPULATIONS.> A VARIETY OF HEALTH EDUCATION LECTURES AND PROGRAMS WERE CONVERTED TO BE VIRTUAL TO CONTINUE TO BE A RESOURCE FOR COMMUNITY MEMBERS DURING COVID. MOST PROGRAMS HAVE REMAINED VIRTUAL OR HYBRID BASED ON THE DEMAND/FEEDBACK FROM OUR PARTICIPANTS.> MATERNAL/CHILD/FAMILY EDUCATORS PROVIDED SUPPORT AND ASSISTANCE TO THOUSANDS OF NEW AND EXPERIENCED PARENTS AND CAREGIVERS THROUGH CLASSES AND SUPPORT GROUPS. THESE PROGRAMS WERE ALSO CONVERTED TO BE OFFERED VIRTUALLY. EXAMPLES OF PROGRAMS INCLUDED BREASTFEEDING SUPPORT GROUPS, DISCOVERING MOTHERHOOD, AND PERINATAL LOSS. WE ALSO OFFER A FREE WARM LINE THAT IS STAFFED BY A CERTIFIED LACTATION CONSULTANT WHO CAN ANSWER BREASTFEEDING QUESTIONS AS WELL AS A MILK BANK DEPOT AT OUR SHADY GROVE MEDICAL CENTER HOSPITAL.> PERSONNEL FROM VARIOUS DEPARTMENTS ARE ACTIVE IN THE COMMUNITY SERVING ON VARIOUS BOARDS, COALITIONS, AND COMMITTEES TO HELP ADDRESS HEALTH IN THE COMMUNITY, PARTICULARLY THE HEALTH OF THE UNDERSERVED AND AT-RISK POPULATIONS.> EACH OF THE HOSPITALS SUPPORTS ACCESS TO CARE BY PROVIDING FINANCIAL AND IN-KIND SUPPORT TO THE SAFETY NET CLINICS IN MONTGOMERY COUNTY. THIS SUPPORT INCLUDES FINANCIAL CONTRIBUTIONS AND PROVISION OF LABORATORY AND RADIOLOGY SERVICES.> TO MEET THE CONTINUING NEEDS OF OUR DIVERSE COMMUNITY, ADVENTIST HEALTHCARE PROVIDES CULTURAL AND LINGUISTIC COMPETENCY TRAINING TO MEDICAL AND SUPPORT STAFF. WE ALSO HAVE A QUALIFIED BILINGUAL STAFF PROGRAM THAT PROVIDES BILINGUAL STAFF WITH TRAINING AND CERTIFICATION TO PROVIDE CARE IN ANOTHER LANGUAGE AS WELL AS TO SERVE AS AN INTERPRETER. THIS PROGRAM COMPENSATES BILINGUAL STAFF FOR THEIR SKILLS AND WHILE INCREASING ACCESS TO INTERPRETER SERVICES FOR OUR PATIENTS AND PROVIDING THEM WITH A HIGHER LEVEL OF CARE AND SATISFACTION.> THROUGH ADVENTIST HEALTHCARE'S COMMUNITY PARTNERSHIP FUND (CPF), GRANT AND SPONSORSHIP FUNDING ARE PROVIDED TO NON-PROFIT ORGANIZATIONS IN THE COMMUNITY ACROSS TWO FUNDING OBJECTIVES: HEALTH AND WELLNESS AND PARTNERSHIPS. FUNDING IS AWARDED TO ORGANIZATIONS ADDRESSING NEEDS IDENTIFIED IN ONE OF AHC'S COMMUNITY HEALTH NEEDS ASSESSMENTS.ADVENTIST HEALTHCARE IS COMMITTED TO ENSURING THAT THE COMMUNITIES IT SERVES THRIVE IN A CULTURE OF WELLNESS AND ENJOY ACCESS TO AND THE BENEFITS OF HIGH QUALITY, EQUITABLE HEALTHCARE THAT PROMOTES PHYSICAL, MENTAL, AND SPIRITUAL WELLBEING. PART VI, LINE 6: ADVENTIST HEALTHCARE, BASED IN GAITHERSBURG, MD., IS A FAITH-BASED, NOT-FOR-PROFIT ORGANIZATION OF DEDICATED PROFESSIONALS WHO WORK TOGETHER EACH DAY TO PROVIDE EXCELLENT WELLNESS, DISEASE MANAGEMENT AND HEALTH-CARE SERVICES TO THE COMMUNITY. WE WERE FOUNDED UPON THE PRINCIPLE OF WELLNESS MORE THAN 100 YEARS AGO AND TODAY PROVIDE INNOVATIVE CARE TO HEART-ATTACK VICTIMS, CANCER PATIENTS, PREMATURE BABIES, AND THE COMMUNITY.OUR UNWAVERING FOCUS HAS ALWAYS BEEN ON THE HEALTH AND WELLNESS OF THE COMMUNITIES WE SERVE. WE ARE ALREADY A STEP AHEAD AS HEALTH CARE REFORM IS CHALLENGING HOSPITAL SYSTEMS NATIONWIDE TO IMPROVE THE HEALTH OF POPULATIONS; OUR INTEGRATED, HEALTH-CARE DELIVERY NETWORK INCLUDES FOUR NATIONALLY ACCREDITED, ACUTE-CARE AND SPECIALTY HOSPITALS, MENTAL HEALTH SERVICES, HOME HEALTH AGENCIES AND URGENT CARE CENTERS, SERVING THE WASHINGTON, D.C. METROPOLITAN AREA.ADVENTIST HEALTHCARE INCLUDES: ADVENTIST HEALTHCARE SHADY GROVE MEDICAL CENTER, ADVENTIST HEALTHCARE WHITE OAK MEDICAL CENTER, ADVENTIST HEALTHCARE FORT WASHINGTON MEDICAL CENTER, ADVENTIST HEALTHCARE REHABILITATION, ADVENTIST HEALTHCARE HOME CARE SERVICES, THE REGINALD S. LOURIE CENTER FOR CHILDREN'S SOCIAL & EMOTIONAL WELLNESS, ADVENTIST MEDICAL GROUP, ADVENTIST HEALTHCARE PHYSICIAN ALLIANCE CLINICALLY INTEGRATED NETWORK, AND OTHER HEALTH SERVICES. WITH MORE THAN 2,000 AFFILIATED PRIMARY AND SPECIALTY CARE PHYSICIANS, ADVENTIST HEALTHCARE ENCOMPASSES MANY OF THE NECESSARY CARE DELIVERY COMPONENTS NEEDED TO DELIVER POPULATION-BASED CARE ACROSS THE CONTINUUM.OUR COMMITMENT TO THE COMMUNITY EXTENDS BEYOND OUR WALLS TO ENCOMPASS THE MOST VULNERABLE AND UNDERSERVED. IN 2023, THERE WERE APPROXIMATELY 702,458 OVERALL ENCOUNTERS ACROSS ALL OUR FACILITIES AND PROGRAMS. WE ALSO PROVIDED SIGNIFICANT CHARITY CARE AND COMMUNITY BENEFIT. AS ONE OF THE LARGEST EMPLOYERS IN THE STATE OF MARYLAND, WE ARE GRATEFUL TO HAVE THE DEDICATED COMMITMENT OF 6,175 EMPLOYEES, 2,000+ AFFILIATED PROVIDERS THROUGH OUR CLINICALLY INTEGRATED NETWORK, AND NUMEROUS VOLUNTEERS PROVIDING OVER 41,823 VOLUNTEER HOURS, THROUGHOUT ADVENTIST HEALTHCARE WHO PROVIDE COMPASSIONATE, HIGH-QUALITY CARE EVERY DAY.IN ADDITION TO PROVIDING CHARITY CARE AT OUR FACILITIES, ADVENTIST HEALTHCARE IS INVOLVED IN NUMEROUS OUTREACH INITIATIVES DESIGNED TO IMPROVE ACCESS TO HEALTH CARE FOR LOW-INCOME AND UNINSURED INDIVIDUALS, AS WELL AS HISTORICALLY UNDER-SERVED COMMUNITIES INCLUDING MINORITIES AND IMMIGRANTS. OUR GOAL IS EFFECTIVE PREVENTION, TREATMENT, AND CARE PROGRAMS FOR ALL INDIVIDUALS, REGARDLESS OF THEIR ECONOMIC, CULTURAL, LINGUISTIC, OR DEMOGRAPHIC CHARACTERISTICS.VISIT WWW.ADVENTISTHEALTHCARE.COM TO LEARN EVEN MORE ABOUT OUR SERVICES AND OUR LONGSTANDING BELIEF THAT A HEALTHY LIFESTYLE IS THE BEST WAY TO PREVENT DISEASE, AND THAT PREVENTION IS MUCH BETTER THAN A CURE. PART VI, LINE 7, REPORTS FILED WITH STATES MD 1 A WIDER CIRCLE 9159 BROOKVILLE ROAD SILVER SPRING MD 20910 522345144 501-(C)-(3) 10000 0 TO SUPPORT THE ESSENTIAL SUPPORT PROGRAM, WHICH ADDRESSES URGENT NEEDS BY PROVIDING BEDS, CRIBS, FURNITURE, AND HOME GOODS TO THOUSANDS OF CHILDREN AND ADULTS LIVING WITH LOW INCOMES. AMERICAN DIVERSITY GROUP 8815 CENTER PARK DRIVE STE 430 COLUMBIA MD 21045 473510206 501-(C)-(3) 20000 0 FREE CLINIC FOR UNDERSERVED AND IMMIGRANT POPULATIONS AMERICAN HEART ASSOCIATION KELLY MCAULEY 4301 N FAIRFAX DR ARLINGTON VA 22203 135613797 501-(C)-(3) 10000 0 TO SUPPORT IN REDUCING DEATHS CAUSED BY HEART DISEASE AND STROKE BIOHEALTH INNOVATION INC 1 CHURCH STREET 801 ROCKVILLE MD 20850 453824067 501-(C)-(3) 25000 0 TO PROVIDE CONTRIBUTION TOWARDS RESEARCH. CARE FOR YOUR HEALTH INC 12850 MIDDLEBROOK RD 400 GERMANTOWN MD 20874 263333964 501-(C)-(3) 25000 0 WITH THIS FUNDING WE EXPECT TO SERVE ADULTS IN PRINCE GEORGE'S COUNTY THAT HAVE NO MEANS TO PAY FOR THEIR MEDICAL CARE. CARINGMATTERS INC 518 S FREDERICK AVE GAITHERSBURG MD 20877 521591455 501-(C)-(3) 8000 0 TO PROVIDE SOCIAL SUPPORTS AND COMMUNITY EDUCATION SO THAT NO ONE DIES OR GRIEVES ALONE. CASA OF MARYLAND INC 8151 15TH AVENUE LANGLEY PARK MD 20783 521322972 501-(C)-(3) 18000 0 TO SUPPORT CASA'S ESOL PROGRAM, WHICH IS DESIGNED TO MEET THE LINGUISTIC AND SOCIOECONOMIC NEEDS OF THE LEP IMMIGRANT COMMUNITY BY PAIRING ENGLISH WITH PRACTICAL LIFE SKILLS AIMED AT INCREASING PARTICIPANT FAMILIARITY WITH LOCAL RESOURCES AND SOCIAL SAFETY NET SERVICES INCLUDING AMBULANCE, MEDICAL, AND PUBLIC SAFETY. ADDITIONAL LIFE SKILLS SUCH AS TRANSPORTATION, HEALTH, AND CIVIC ENGAGEMENT ARE ALSO ADDRESSED. CENTRE POINTE COUNSELING PO BOX 1278 LINCOLTON NC 28093 521288655 501-(C)-(3) 18000 0 TO SUPPORT THE SAMARITAN FUND TO COVER COSTS FOR PATIENTS WHO CAN'T AFFORD COUNSELING SERVICES. COLUMBIA UNION CONFERENCE 5427 TWIN KNOLLS RD COLUMBIA MD 21045 520664576 501-(C)-(3) 225000 0 CONTRIBUTION TOWARDS PURPOSE OF MISSION WORK, YOUTH MINISTRY AND HEALTH AND WELLNESS OUTREACH. COMMUNITY FARMSHARE 14975 SUGARLAND ROAD POOLESVILLE MD 20837 861311884 501-(C)-(3) 9500 0 TO SUPPORT COMMUNITY FARM SHARE IN BUILDING A CONNECTED, THRIVING, LOCAL FOOD SYSTEM BY INCREASING ACCESS TO NUTRITIOUS LOCAL FOODS, BUILDING FARMER CAPACITY, AND IMPROVING THE HEALTH AND NUTRITION OF OUR LOCAL COMMUNITIES. CROSSROADS COMMUNITY FOOD NETWORK INC 6930 CARROLL AVE SUITE 426 TAKOMA PARK MD 20912 364635237 501-(C)-(3) 18000 0 TO HELP IN THE REDUCTION OF FOOD INSECURITY EXACERBATED BY THE COVD-19 PANDEMIC IN THE TAKOMA/LANGLEY CROSSROADS. DANA-FARBER CANCER INSTITUTE INC 450 BROOKLINE PLACE BROOKLINE MA 02215 042263040 501-(C)-(3) 92809 0 TO PROVIDE ADULTS AND CHILDREN WITH CANCER WITH THE BEST TREATMENT AVAILABLE TODAY WHILE DEVELOPING TOMORROW'S CURES THROUGH CUTTING-EDGE RESEARCH. DISABILITY PARTNERSHIPS PROJECT INC 14103 STANWOOD TERRACE ROCKVILLE MD 20850 472647318 501-(C)-(3) 10000 0 SPONSORSHIP TO SUPPORT THE PROGRAM, WHICH INCLUDES ADAPTIVE FITNESS CLASSES FOR ADULTS AND YOUTH WITH DISABILITIES AS WELL AS SENIORS. DOWN SYNDROME NETWORK OF MONTGOMERY COUNTY INC PO BOX 10416 ROCKVILLE MD 20849 453139194 501-(C)-(3) 7000 0 TO EMPOWER AND SUPPORT INDIVIDUALS WITH DOWN SYNDROME, THEIR FAMILIES AND THE COMMUNITY THROUGH EDUCATION, INFORMATION, PUBLIC AWARENESS, AND ADVOCACY. EVERYMIND 1000 TWINBROOK PARKWAY ROCKVILLE MD 20851 520681147 501-(C)-(3) 10000 0 TO SUPPORT IN RAISING AWARENESS OF THE IMPORTANCE OF MENTAL HEALTH AND WELLNESS. ALSO, SUPPORT THE CRISIS PREVENTION AND INTERVENTION SERVICES. FOOD & FRIENDS 219 RIGGS ROAD NE WASHINGTON DC 20011 521648941 501-(C)-(3) 9000 0 TO SUPPORT THE NEEDS AND HEALTH DISPARITIES THAT MANIFEST FROM FOOD INSECURITY AND THE INEQUITABLE ACCESS TO HEALTHY FOODS AND HEALTH CARE IN THE COMMUNITIES SERVED IN THE GREATER WASHINGTON AREA. GAITHERSBURG HELP INC 301 MUDDY BRANCH ROAD GAITHERSBURG MD 20878 237413600 501-(C)-(3) 7500 0 TO PROVIDE BASIC NEED ASSISTANCE TO PEOPLE AND FAMILIES IN THE GAITHERSBURG AREA GENERAL CONFERENCE CORP OF SDA PO BOX 204661 DALLAS TX 75320 636014186 501-(C)-(3) 17400 0 DONATION MADE TOWARDS MEDICAL REFERENCE MATERIALS FOR PHYSICIANS. GENERATION HOPE 415 MICHIGAN AVE NE 250 WASHINGTON DC 20017 273554088 501-(C)-(3) 14500 0 TO SUPPORT GENERATION HOPE'S MISSION TO PROVIDES HOLISTIC, WRAP-AROUND SERVICES IN SUPPORT OF TEEN PARENTS AND THEIR CHILDREN. GREATER DC DIAPER BANK 5614 CONNECTICUT AVE NW 285 WASHINGTON DC 20015 274276547 501-(C)-(3) 7000 0 TO SUPPORT FUNDING FOR SOCIAL SERVICES AND HELP TO RAISE FUNDS TO EMPOWER VULNERABLE FAMILIES AND INDIVIDUALS BY PROVIDING RESOURCES FOR YOUNG BABIES (DIAPERS, FORMULA, SAFE SLEEP PRODUCTS, ETC.) AS WELL AS PERSONAL HYGIENE PRODUCTS. THE ORGANIZATION SERVES THE MONTGOMERY COUNTY AND PRINCE GEORGE'S COUNTY AREAS. HABITAT FOR HUMANITY METRO MARYLAND 8380 COLESVILLE ROAD SILVER SPRING MD 20910 521299516 501-(C)-(3) 10000 0 TO SUPPORT IN THE REPAIR AND ACCESSIBILITY MODIFICATIONS FOR HOMES IN PRINCE GEORGE'S COUNTY. HOUSING UNLIMITED INC 12125 VEIRS MILL ROAD SUITE 201 SILVER SPRING MD 20906 521760774 501-(C)-(3) 10000 0 TO PROVIDE AFFORDABLE, INDEPENDENT HOUSING FOR ADULTS IN MENTAL HEALTH RECOVERY IN MONTGOMERY COUNTY. IDENTITY 414 EAST DIAMOND AVENUE GAITHERSBURG MD 20877 522120012 501-(C)-(3) 25000 0 TO SUPPORT THE COMMUNITY MENTAL HEALTH PROGRAM, WHICH HELPS YOUNG PEOPLE AND FAMILIES MANAGE THE TREMENDOUS MENTAL HEALTH IMPACTS OF TRAUMA (INCLUDING COVID-19 TRAUMAS AND THOSE SPECIFIC TO IMMIGRATION AND SEPARATION/REUNIFICATION). IMPACT SILVER SPRING 8545 PINEY BRANCH ROAD SILVER SPRING MD 20901 522164844 501-(C)-(3) 9500 0 TO SUPPORT IN CONNECTING LOW-INCOME COMMUNITIES OF COLOR TO NECESSARY SERVICES AND RESOURCES. INSTITUTE FOR PUBLIC HEALTH INNOVATION 1250 CONNECTICUT AVE NW SUITE 601 WASHINGTON DC 20036 463039129 501-(C)-(3) 14500 0 TO IMPROVE HEALTH OUTCOMES IN THE DISTRICT OF COLUMBIA, MARYLAND, AND VIRGINIA BY SUPPORTING INNOVATIVE PROGRAMS AND PARTNERING WITH LOCAL ORGANIZATIONS. INTERFAITH WORKS INC 114 W MONTGOMERY AVENUE ROCKVILLE MD 20850 521072684 501-(C)-(3) 12500 0 TO SUPPORT IN THEIR COMMITMENT TO HELPING MONTGOMERY COUNTY RESIDENTS FACING ECONOMIC HARDSHIPS TO GAIN FINANCIAL STABILITY BY HELPING TO PLACE THEM IN LONG-TERM JOBS. MANNA FOOD CENTER 614 LOFSTRAND LANE ROCKVILLE MD 20850 521289203 501-(C)-(3) 18000 0 TO STRIVE TO ELIMINATE HUNGER THROUGH FOOD DISTRIBUTION, EDUCATION, AND ADVOCACY. MANSFIELD KASEMAN HEALTH CLINIC 114 WEST MONTGOMERY AVENUE ROCKVILLE MD 20850 272529951 501-(C)-(3) 20000 0 TO SUPPORT IN RAISING FUNDS TO INCREASE AWARENESS OF AVAILABLE SERVICES FOR UNINSURED AND UNDERINSURED POPULATIONS. MARYLAND FOUNDATION OF DENTISTRY 8901 HERRMANN DRIVE COLUMBIA MD 21045 521962484 501-(C)-(3) 9500 0 TO HELP UNDERSERVED MARYLANDER'S ACCESS DENTAL CARE. MARY'S CENTER FOR MATERNAL & CHILD CARE 2333 ONTARIO ROAD NW WASHINGTON DC 20009 521594116 501-(C)-(3) 20000 0 TO SUPPORT MARYS CENTER, WHICH PROVIDES COMPREHENSIVE CARE TO COMMUNITIES WHO HAVE BEEN DISPROPORTIONATELY EXCLUDED FROM TRADITIONAL HEALTHCARE SYSTEMS. MERCY HEALTH CLINIC 9913 KENTSDALE DRIVE POTOMAC MD 20854 522230932 501-(C)-(3) 20000 0 TO SUPPORT IN THE REDUCTION TO HEALTHCARE DISPARITIES THAT EXIST WITHIN THE COUNTY BY INCREASING ACCESS TO HEALTHCARE. MOBILE MEDICAL CARE INC 9309 OLD GEORGETOWN ROAD BETHESDA MD 20814 237022588 501-(C)-(3) 20000 0 TO SUPPORT MOBILE MED IN SEEKING TO ADDRESS THE NEEDS OF THESE UNINSURED ADULTS, PROVIDING THEM WITH HIGH QUALITY, COMPREHENSIVE HEALTHCARE, DELIVERED IN A CULTURALLY AND LINGUISTICALLY APPROPRIATE MANNER. MONTGOMERY COUNTY COALITION FOR THE HOMELESS 405 EAST GUDE DRIVE ROCKVILLE MD 20850 521735674 501-(C)-(3) 14500 0 TO SUPPORT IN THE CONTINUATION OF THEIR PILOT MENTAL HEALTH AND SUBSTANCE USE PROGRAM. MONTGOMERY COUNTY GOVERNMENT PO BOX 75549 BALTIMORE MD 212755549 526000980 (BLANK) 22625 0 TO SUPPORT THE HEALTHY MONTGOMERY COMMUNITY HEALTH IMPROVEMENT PROCESS, WHICH IS A COMMUNITY-BASED EFFORT TO IMPROVE THE HEALTH AND WELL-BEING OF MONTGOMERY COUNTY RESIDENTS THAT IS SUPPORTED BY THE HEALTHY MONTGOMERY WEBSITE. NAAHHR 1000 THIRD STREET TILLAMOOK OR 97141 930622075 501-(C)-(3) 6000 0 TO HELP ENHANCE ADVENTIST HEALTHCARE EMPLOYEE ENGAGEMENT. NEW LIFE SDA CHURCH 7401 MUNCASTER MILL ROAD GAITHERSBURG MD 20877 521717970 501-(C)-(3) 10000 0 TO SUPPORT A COMMUNITY OF GROWING CHRISTIANS, WHO SERVE THE GAITHERSBURG AND SURROUNDING AREA BY LEADING IN INNOVATION AND CONTEMPORARY MINISTRY, LIVING SPIRIT FILLED LIVES, AND LOVING OTHERS BY MEETING THEIR MOST IMPORTANT NEEDS. NOURISH NOW INC 1111 TAFT STREET ROCKVILLE MD 20850 452404503 501-(C)-(3) 10000 0 TO SUPPORT A NONPROFIT FOOD BANK, SPECIALIZING IN FOOD RECOVERY FROM RESTAURANTS, GROCERY AND BIG BOX STORES, SPORTING VENUES, CATERERS, FARMS, AND MANY MORE. REBUILDING TOGETHER MONTGOMERY COUNTY 3925 PLYERS MIL ROAD SUITE 202 KENSINGTON MD 20895 521667026 501-(C)-(3) 10000 0 TO SUPPORT IN HOME REPAIRS AND MODIFICATIONS FOR LOW-INCOME HOMEOWNERS TO ENABLE THEM TO AGE SAFELY IN PLACE. SLIGO SEVENTH-DAY ADVENTIST CHURCH 7700 CARROLL AVENUE TAKOMA PARK MD 20912 520643036 501-(C)-(3) 10000 0 TO GROW PASSIONATE DISCIPLES OF JESUS THROUGH WORSHIP OF GOD, NURTURE OF ONE ANOTHER, AND OUTREACH TO THE WORLD. SPENCERVILLE ADVENTIST ACADEMY 15930 GOOD HOPE ROAD SILVER SPRING MD 20904 521714576 501-(C)-(3) 20511 0 SPONSORSHIP OF SPENCERVILLE ADVENTIST ACADEMY'S 5TH ANNUAL 5K RUN AND THE MIDDLE SCHOOL BASKETBALL TOURNAMENT, TO SUPPORT ITS MISSION OF PROVIDING "A DISTINCTIVE SEVENTH-DAY ADVENTIST CHRISTIAN EDUCATION PREPARING THE WHOLE PERSON FOR SERVICE TO GOD AND MAN AND FOR ETERNAL LIFE." STROKE COMBACK CENTER 145 PARK STREET SE VIENNA VA 22180 542012975 501-(C)-(3) 10000 0 TO SUPPORT SURVIVORS OF STROKE AND BRAIN TRAUMA AND THEIR FAMILIES ALONG THE ROAD TO RECOVERY. TAKOMA ACADEMY 8120 CARROLL AVENUE TAKOMA PARK MD 20912 520563186 501-(C)-(3) 40000 0 TO HELP ENHANCE THE STEM PROGRAM AT TAKOMA ACADEMY. THE ARNOLD P GOLD FOUNDATION PO BOX 1116 ENGLEWOOD CLIFFS NJ 07632 223052098 501-(C)-(3) 10000 0 TO SUPPORT HUMANISM IN HEALTHCARE THROUGH COMPASSIONATE, COLLABORATIVE, AND SCIENTIFICALLY EXCELLENT CARE. THE SHEPHERD'S TABLE INC 8210 DIXON AVE SILVER SPRING MD 20910 521381738 501-(C)-(3) 9500 0 TO IMPROVE QUALITY OF LIFE, CREATE A PATHWAY TOWARDS SELF-SUFFICIENCY, AND INSPIRE HOPE FOR THE MOST VULNERABLE IN OUR COMMUNITY. U S DREAM ACADEMY INC 8807 COLESVILLE RD 5TH FLR SILVER SPRING MD 20910 593514841 501-(C)-(3) 132457 0 PROJECT TO SUPPORT DREAM KIDS IN A VIRTUAL MENTORING ENVIRONMENT TO BE SUCCESSFUL IN SCHOOL WITH A COLLEGE AND CAREER READINESS FOCUS. DONATION TO THE DREAM ACADEMY TO HELP OUR NATION'S CHILDREN REACH FOR THEIR DREAMS. THROUGH ACADEMIC, SOCIAL, AND VALUES ENRICHMENT, THE DREAM ACADEMY EMPOWERS THOSE CHILDREN MOST AT RISK OF INCARCERATION TO BELIEVE IN THEMSELVES AND TO SUCCEED. UNITY HEALTH CARE INC 1100 NEW JERSEY AVE SE 500 WASHINGTON DC 20003 521572431 501-(C)-(3) 50000 0 TO PROVIDE COMPASSIONATE, COMPREHENSIVE, HIGH-QUALITY HEALTH CARE THAT IS ACCESSIBLE TO ALL AND ADVANCES HEALTH EQUITY IN WASHINGTON, D.C. WASHINGTON ADVENTIST UNIVERSITY 7600 FLOWER AVENUE TAKOMA PARK MD 20912 520643528 501-(C)-(3) 25000 0 WAU MUSIC DEPARTMENT, PARTICIPATION IN 2023 AHC MIM CONFERENCE & WAU ANNUAL VISIONARY GALA WHICH SUPPORTS SCHOLARSHIPS FOR THEIR NURSING PROGRAM 47 0 PART I, LINE 2: ADVENTIST HEALTHCARE (AHC) IS COMMITTED TO IDENTIFYING AND RESPONDING TO PRIORITY HEALTH NEEDS AND OUTCOMES FOR THE PEOPLE AND COMMUNITIES WE SERVE. THE ADVENTIST HEALTHCARE COMMUNITY PARTNERSHIP FUND (CPF) PROVIDES FUNDING FOR ORGANIZATIONS WHOSE ACTIVITIES SUPPORT OUR MISSION TO PROMOTE HEALTH EQUITY AND WELLNESS IN OUR COMMUNITY. CPF AWARDS GRANTS AND EVENT SPONSORSHIPS TO 501(C)(3) ORGANIZATIONS WHOSE ACTIVITIES ALIGN WITH OUR MISSION AND OUR FUNDING PRIORITIES. 2023 FUNDING PRIORITIES: OUR FUNDING PRIORITIES CHANGE OVER TIME TO ALIGN WITH THE FINDINGS OF OUR COMMUNITY HEALTH NEEDS ASSESSMENTS. IN 2023 OUR FUNDING PRIORITIES FOCUSED ON SIGNIFICANT NEEDS IDENTIFIED THROUGH OUR 2022 COMMUNITY HEALTH NEEDS ASSESSMENT. OUR FUNDING PRIORITIES INCLUDED: 1. ACCESS TO CARE: EXPAND ACCESS TO COMPREHENSIVE HEALTHCARE AND WELLNESS SERVICES. - PROGRAMS ADDRESSING ACCESS TO PRIMARY CARE AND SPECIALTY CARE, INCLUDING MENTAL AND BEHAVIORAL HEALTH. - PROGRAMS ADDRESSING LOW-INCOME, UNINSURED, AND UNDERINSURED POPULATIONS. 2. HEALTHY BEHAVIORS: ENCOURAGE INDIVIDUALS TO ENGAGE IN HEALTHY BEHAVIORS - PROGRAMS ENABLING ACCESS TO AND COMPLETION OF PREVENTIVE AND EARLY-DETECTION HEALTH SCREENINGS. - PROGRAMS ADDRESSING FOOD INSECURITY, OBESITY, AND PHYSICAL INACTIVITY. - PROGRAMS ADDRESSING CHRONIC DISEASE PREVENTION AND MANAGEMENT, SPECIFICALLY FOR DIABETES AND HEART DISEASE. 3. EDUCATION, INCOME, & WORKFORCE: BUILD EQUITABLE COMMUNITIES - PROGRAMS ADDRESSING EDUCATIONAL INEQUITIES (E.G., KINDERGARTEN READINESS, HIGH SCHOOL COMPLETION OR COLLEGE PREPARATION). - PROGRAMS SUPPORTING ATTAINMENT OF EMPLOYMENT WITH A LIVABLE WAGE (E.G., PIPELINE PROGRAMS, CAREER COACHING AND MENTORSHIP). - PROGRAMS THAT ADDRESS HOUSING STABILITY, QUALITY, AND SAFETY (E.G., CREATING SAFE LIVING CONDITIONS AND ASSISTING INDIVIDUALS EXITING HOMELESSNESS). ADDITIONALLY, FUNDING REQUESTS HAD TO: 1. BE DESIGNED TO ADDRESS DOCUMENTED HEALTH DISPARITIES OR INEQUITIES. 2. HAVE A MEASURABLE IMPACT ON THE COMMUNITY BEING SERVED. 3. ALIGN WITH ADVENTIST HEALTHCARE'S COMMUNITY-BASED MISSION. 4. INCLUDE MEANINGFUL PARTNERSHIPS (PREFERRED BUT NOT REQUIRED). APPLICATION AND REVIEW PROCESS: ALL PROSPECTIVE APPLICANTS ARE ASKED TO COMPLETE A GRANT APPLICATION OR EVENT SPONSORSHIP APPLICATION (E.G., FUNDRAISING GALAS AND SPORTING EVENTS). APPLICATIONS ARE REVIEWED BY THE COMMUNITY PARTNERSHIP FUND BOARD WHICH IS MADE UP OF REPRESENTATIVES FROM ACROSS THE AHC SYSTEM. GRANT MONITORING: ALL GRANT RECIPIENTS (GRANTS TYPICALLY RANGE FROM $5,000-$30,000) ARE ASKED TO COMPLETE BOTH A MID-YEAR PROGRESS REPORT AS WELL AS A FINAL END-OF-YEAR REPORT. FOR THE MID-YEAR REPORT, GRANTEES ARE ASKED TO DESCRIBE THE FOLLOWING: - NUMBER OF INDIVIDUALS WHO HAVE BEEN SERVED THUS FAR; - OUTCOMES, TO DATE, OF THE MEASURABLE OBJECTIVES SPECIFIED IN THE ORIGINAL APPLICATION; - DESCRIPTION OF THE WORK THAT HAS BEEN COMPLETED TO DATE; - CHANGES MADE TO THE PROGRAM/ACTIVITY AS ORIGINALLY DESCRIBED; - CHALLENGES OR DELAYS THAT HAVE BEEN ENCOUNTERED; - EXPENDITURE OF FUNDS THUS FAR; - ESTIMATED EXPENDITURES FOR THE DURATION OF THE GRANT PERIOD. FOR THE FINAL REPORT, GRANTEES ARE ASKED TO DESCRIBE THE FOLLOWING: - TOTAL NUMBER OF INDIVIDUALS SERVED WITH THE FUNDING THAT WAS PROVIDED; - OUTCOMES FOR THE MEASURABLE OBJECTIVES SPECIFIED IN THE ORIGINAL APPLICATION AS WELL AS ANY OTHER OUTCOMES; - DESCRIPTION OF THE WORK THAT WAS ACCOMPLISHED; - CHANGES MADE TO THE PROGRAM/ACTIVITY AS ORIGINALLY DESCRIBED; - CHALLENGES OR DELAYS THAT WERE ENCOUNTERED; - EXPENDITURE OF GRANT FUNDS. SPONSORSHIP MONITORING: ALL SPONSORSHIP RECIPIENTS (SPONSORSHIPS ARE UP TO $5,000) ARE ASKED TO COMPLETE A FINAL REPORT AFTER THEIR EVENT TAKES PLACE. IN THE FINAL REPORT, SPONSORSHIP RECIPIENTS ARE ASKED TO DESCRIBE THE FOLLOWING: - NUMBER OF PARTICIPANTS - EVENT/PROGRAM OUTCOMES THE INFORMATION PROVIDED IN THESE REPORTS IS UTILIZED TO EVALUATE THE OVERALL IMPACT OF THE GRANTEE AND THE FUNDING PROVIDED. IT IS ALSO USED TO INFORM DECISION MAKING REGARDING FUTURE FUNDING AND PARTNERSHIP ENDEAVORS WITH EACH GRANTEE. X X 1 1 X X X X X 0 1 0 0 0 0 0 1 0 TERRY FORDE PRESIDENT & CEO, AHC 1009512 0 226933 0 211787 0 30000 0 39578 0 1517810 0 0 0 ANITA JENKINS PRESIDENT,HOWARD UNIVERSITY HOSPITAL 513870 0 96493 0 711253 0 30000 0 17800 0 1369416 0 0 0 PAUL MASSIMIANO MD PHYSICIAN 1142666 0 0 0 5101 0 30000 0 25818 0 1203585 0 0 0 SHERIF SELIM MD PHYSICIAN 688377 0 468366 0 1742 0 21053 0 23717 0 1203255 0 0 0 JONATHAN RHEE MD PHYSICIAN 658696 0 420920 0 2304 0 20500 0 27771 0 1130191 0 0 0 JOHN SACKETT EVP & COO, AHC 593349 0 127698 0 292961 0 30000 0 41597 0 1085605 0 0 0 KRISTEN PULIO SVP & CFO, AHC 508210 0 103619 0 152747 0 169280 0 8254 0 942110 0 96847 0 ANTHONY STAHL PRESIDENT, WOMC 465960 0 121581 0 162633 0 159581 0 24895 0 934650 0 116243 0 DANIEL L COCHRAN PRESIDENT, SGMC 456048 0 76244 0 209797 0 170607 0 17425 0 930121 0 139140 0 PATSY MCNEIL SVP, SYSTEM CHIEF MEDICAL OFFICER 478423 0 78794 0 162361 0 146659 0 11070 0 877307 0 107269 0 STEVEN BOYCE MD PHYSICIAN 159206 0 0 0 688248 0 173 0 3926 0 851553 0 0 0 DENNIS FRIEDMAN MD PHYSICIAN 675120 0 98169 0 23526 0 26988 0 12434 0 836237 0 0 0 BRENT REITZ PRESIDENT, POST-ACUTE CARE SRV, AHC 427586 0 78905 0 154049 0 116000 0 24814 0 801354 0 87107 0 MARISSA LESLIE MD BOARD(END 4/2023); SYS MED DIR,PSYCH 0 273118 0 29692 0 1313 0 15284 0 9228 0 328635 0 0 PART I, LINE 1A HOUSING ALLOWANCE OR RESIDENCE FOR PERSONAL USE: AS PART OF A RELOCATION PLAN TO THE WASHINGTON, DC AREA, ADVENTIST HEALTHCARE, INC. AND ANITA JENKINS, THE PRESIDENT OF HOWARD UNIVERSITY HOSPITAL, ENTERED INTO A JOINT OWNERSHIP ARRANGEMENT OF A RESIDENTIAL PROPERTY IN THE DISTRICT OF COLUMBIA TO BE USED AS MS. JENKINS' RESIDENCE. THIS ARRANGEMENT WAS ENTERED ON JUNE 1, 2020. ADVENTIST HEALTHCARE CONTRIBUTED HALF THE PROPERTY'S PURCHASE PRICE THROUGH A SINGLE MEMBER LIMITED LIABILITY COMPANY, AND MS. JENKINS PURCHASED THE OTHER HALF PERSONALLY. FOR THE DURATION OF OCCUPANCY, ADVENTIST HEALTHCARE INCLUDES ON MS. JENKINS' FORM W2, AS IMPUTED INCOME, THE FAIR MARKET RENTAL VALUE OF THE PROPERTY ATTRIBUTABLE TO ADVENTIST HEALTHCARE'S OWNERSHIP. HEALTH OR SOCIAL CLUB DUES OR INITIATION FEES: ADVENTIST HEALTHCARE OWNS A CORPORATE MEMBERSHIP AT A LOCAL GOLF CLUB. THROUGH THE CORPORATE LEVEL MEMBERSHIP, FOUR ADVENTIST HEALTHCARE EXECUTIVES ARE DESIGNATED TO USE THE MEMBERSHIP IN ORDER TO ADVANCE VARIOUS ADVENTIST HEALTHCARE BUSINESS INTERESTS (RECRUITING, NETWORKING, ETC.). ADVENTIST HEALTHCARE PAYS THE EXECUTIVES A MONTHLY ALLOWANCE AS ADDITIONAL COMPENSATION TO COVER THE MONTHLY MEMBERSHIP DUES, WHICH THE EXECUTIVE PAYS THEMSELVES. THE MONTHLY ALLOWANCES ARE REPORTED AS TAXABLE COMPENSATION. PART I, LINE 3 PAY PRACTICE: ADVENTIST HEALTHCARE UTILIZES A SINGLE EMPLOYER ID FOR ALL ITS AFFILIATED ENTITIES FOR EMPLOYMENT PURPOSES. AS SUCH, ACTUAL COMPENSATION AND BENEFITS ARE CHARGED TO THE RESPECTIVE ENTITIES AND THE RESULTING COMPENSATION AND BENEFITS ARE REPORTED ON EACH AFFILIATE'S IRS FORM 990 AS IF PAID DIRECTLY BY SUCH AFFILIATE. AS APPLICABLE, THE SAME AND NON-ADDITIVE COMPENSATION AND EMPLOYMENT BENEFIT PLAN CONTRIBUTION AMOUNTS WERE ALSO DISCLOSED IN THE ADVENTIST HEALTHCARE INC. RELATED ENTITIES' RETURNS. INDEPENDENT GUIDELINES: WHEN SETTING COMPENSATION FOR THE OFFICERS, DIRECTORS, TRUSTEES, KEY EMPLOYEES, AND THE HIGHEST COMPENSATED EMPLOYEES, ADVENTIST HEALTHCARE FULLY COMPLIES WITH THE PROCEDURAL SAFEGUARDS EMBODIED IN IRS REGULATIONS. COMPENSATION FOR ADVENTIST HEALTHCARE OFFICERS, DIRECTORS, TRUSTEES, AND SENIOR EXECUTIVES IS ENTIRELY SET BY A COMMITTEE OF ADVENTIST HEALTHCARE BOARD OF TRUSTEES. IN SETTING COMPENSATION, THIS COMMITTEE RELIES UPON MARKET COMPARABILITY DATA PROVIDED BY AN INDEPENDENT OUTSIDE COMPENSATION CONSULTANT WHO PROVIDES A SUMMARY OF HEALTH CARE SALARIES AND BENEFITS FOR COMPARABLE SIZED ORGANIZATIONS BOTH NATIONALLY AND IN THE ADVENTIST HEALTHCARE REGION. TO FURTHER ENSURE REASONABLENESS, BOTH COMPENSATION AND BENEFITS ARE TARGETED AT THE 50TH PERCENTILE (OR MEDIAN) OF THE MARKET. PART I, LINE 4B CERTAIN EMPLOYEES RECEIVED COMPENSATION FROM A DISTRIBUTION UNDER AN EXECUTIVE RETENTION 457F PLAN, WHICH BECAME EFFECTIVE ON JANUARY 1, 2015. PRE-TAX CONTRIBUTIONS ARE ACCUMULATED ANNUALLY AND ARE DISTRIBUTED ON JANUARY 1ST OF THE 2ND YEAR, IF STILL EMPLOYED, OR SOONER BASED ON CERTAIN EXCEPTIONS. THERE IS TYPICALLY A 2-YEAR DEFERRAL PERIOD BEFORE PAYMENTS ARE RELEASED. CONTRIBUTIONS ACCUMULATED IN 2021 WERE GENERALLY DISTRIBUTED ON JANUARY 1, 2023 IF THE EXECUTIVE IS THEN EMPLOYED AND CONTRIBUTIONS ACCUMULATED IN 2022 WILL GENERALLY BE DISTRIBUTED ON JANUARY 1, 2024 IF THE EXECUTIVE IS THEN EMPLOYED. AMOUNTS LISTED UNDER PART II, COLUMN F INCLUDE PAYOUT AMOUNTS WHICH WERE CONSIDERED DEFERRED COMPENSATION FROM THE 457F PLAN IN OUR PRIOR YEAR RETURNS AND THESE AMOUNTS ARE NOW BEING SHOWN UNDER THE OTHER REPORTABLE INCOME, COLUMN B (III). THE ADVENTIST HEALTHCARE EXECUTIVE RETENTION PLAN PAYS CERTAIN PARTICIPANTS THEIR RETIREMENT PAYMENTS IN DIRECT CASH, RATHER THAN RETENTION BENEFITS OF DEFERRED CASH, AFTER ATTAINING THE PLAN'S RETIREMENT AGE. THE FOLLOWING EXECUTIVES RECEIVED SUPPLEMENTAL RETIREMENT PAYMENTS UNDER THIS PLAN FEATURE: JOHN SACKETT: $168,637 RETIREMENT AGE PAYMENT; ANITA JENKINS: $121,727 RETIREMENT AGE PAYMENT. THE FOLLOWING EMPLOYEE RECEIVED A PAYOUT OF THEIR ENTIRE ACCRUED BENEFIT UNDER THE SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP), DUE TO HAVING COMPLETED THE NECESSARY YEARS OF SERVICE AND ATTAINING THE NECESSARY AGE FOR VESTING AND PAYMENT. ANITA JENKINS: $518,000. PART I, LINE 7 THE ANNUAL INCENTIVE COMPENSATION INCLUDES PAYMENTS BASED ON SATISFACTION OF PRE-DETERMINED PERFORMANCE TARGETS SUCH AS QUALITY/PATIENT SAFETY GOALS, EMPLOYEE AND PATIENT ENGAGEMENT GOALS, ORGANIZATIONAL GROWTH, AND FINANCIAL PERFORMANCE, AMONG OTHER THINGS. THE ANNUAL INCENTIVE COMPENSATION APPLIES TO DIRECTORS AND ABOVE. SUPPLEMENTAL INFORMATION: OTHER REPORTABLE COMPENSATION INCLUDES RETENTION PAYMENTS AND LUMP-SUM ADJUSTMENTS IN LIEU OF THE ACROSS-THE-BOARD INCREASE (FOR EMPLOYEES WHO ARE AT OR REACH THE RANGE MAXIMUM FOR THEIR POSITION). OTHER REPORTABLE COMPENSATION ALSO INCLUDES LONG-TERM DISABILITY COVERAGE, CELL PHONE ALLOWANCES, CASH-OUT OF UNUSED PAID TIME OFF (PTO) HOURS, IMPUTED VALUE OF LIFE INSURANCE COVERAGE, AND SEVERANCE, AS APPLICABLE. CERTAIN EXECUTIVES CAN ALSO RECEIVE REPORTABLE COMPENSATION THROUGH A SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP) ONCE THEY HAVE VESTED IN THE PLAN. NON-TAXABLE BENEFITS INCLUDES PRE-TAX PAYROLL DEDUCTIONS (SUCH AS FLEXIBLE MEDICAL SPENDING, DEPENDENT CARE, AND EMPLOYEE HEALTH BENEFIT PREMIUMS), AND THE EMPLOYER PORTION OF CERTAIN EMPLOYEE BENEFITS SUCH AS HEALTH INSURANCE, DENTAL INSURANCE, VISION INSURANCE, AND LIFE INSURANCE, ETC. A MHHEFA (2013) 520936091 NONEAVAIL 2013-06-12 15623500 SEE PART VI 0 0 0 B MHHEFA (2016A) 520936091 574218T37 2016-12-14 280619392 SEE PART VI 0 0 0 C MHHEFA (2016B) REISSUED IN 2018 520936091 NONEAVAIL 2018-07-03 126395000 SEE PART VI 0 0 0 D MHHEFA (2017) REISSUED IN 2018 520936091 NONEAVAIL 2018-09-25 40000000 SEE PART VI 0 0 0 A 12505038 15623500 15623500 1982 1 0 1 1 B 8615000 281052336 19403382 33127437 3004524 225516993 2019 0 0 1 1 C 10255000 126395000 126395000 2019 1 0 1 1 D 6265000 40000000 40000000 2019 0 0 1 1 B 0 1 1 1 1 1 0.00000 0.00000 0.00000 0 0 1 C 0 1 1 1 1 1 0.00000 0.00000 0.00000 0 0 1 D 0 1 1 1 1 1 0.00000 0.00000 0.00000 0 0 1 A 0 0 0 1 0 0 0 0 1 B 0 0 0 1 0 0 0 0 1 C 0 0 0 1 0 0 0 0 1 D 0 0 0 1 0 0 0 0 1 A 1 B 1 C 1 D 1 DATE REBATE COMPUTATION PERFORMED ISSUER NAME: MHHEFA (2013) DATE THE REBATE COMPUTATION WAS PERFORMED: 07/17/2023 ISSUER NAME: MHHEFA (2016A) DATE THE REBATE COMPUTATION WAS PERFORMED: 07/01/2021 ISSUER NAME: MHHEFA (2016B) REISSUED IN 2018 DATE THE REBATE COMPUTATION WAS PERFORMED: 07/01/2021 ISSUER NAME: MHHEFA (2017) REISSUED IN 2018 DATE THE REBATE COMPUTATION WAS PERFORMED: 07/01/2022 PART I, II, & IV: BONDS A-D (ENTITY 1): PART I BOND ISSUES: BOND A (ENTITY 1): COLUMN (A) ISSUER NAME: MHHEFA 2013 COLUMN (F) DESCRIPTION OF PURPOSE: ALL PROCEEDS WERE EXPENDED TO REFUND 2003A BONDS ISSUED ON FEBRUARY 27, 2003 PROCEEDS OF THE 2003A BONDS REFUNDED 1991A BONDS ISSUED FOR THE "1991 A-1 PROJECT" - PROJECTS FINANCED OR REFINANCED WITH THE PROCEEDS OF THE 1983 BONDS, INCLUDING CONSTRUCTION, RENOVATION AND EQUIPPING OF FACILITIES AT WAH. BOND B (ENTITY 1): COLUMN (A) ISSUER NAME: MHHEFA 2016A COLUMN (F) DESCRIPTION OF PURPOSE: THE 2016A BONDS FINANCED THE CONSTRUCTION OF THE WAH-WHITE OAK REPLACEMENT HOSPITAL. THE HOSPITAL WAS COMPLETED IN 2019 AND OPENED ON 8/25/2019. THE HOSPITAL IS APPROXIMATELY 440,000 SQUARE FEET AND 8 LEVELS. BOND C (ENTITY 1): COLUMN (A) ISSUER NAME: MHHEFA 2016B (REISSUED IN 2018) ON JULY 3, 2018, THE 2016B BOND WAS REISSUED AS THE 2018 BOND. THE 2016A BONDS WERE NOT AMENDED OR REISSUED ON THIS DATE. COLUMN (F) DESCRIPTION OF PURPOSE: THE 2016B BOND REFUNDED THE 2005A BONDS ISSUED ON DECEMBER 20, 2005, AND THE 2011 B BONDS, REISSUED ON SEPTEMBER 25, 2015, AND FUNDED THE TERMINATION FEE ASSOCIATED WITH THE 2005 A SWAP. 2005 A - SHADY GROVE ADVENTIST HOSPITAL (SGAH) EXPANSION PROJECT-SHADY GROVE (SG) TOWER; RENOVATION TO SURGERY DEPARTMENT, MEDICAL/ONCOLOGY NURSING, MEDICAL NURSING, SURGICAL UNITS, EXPANDED EMERGENCY, OBSTETRICS, AND NEONATAL INTENSIVE CARE UNIT; POWER PLANT, ROAD AND ENTRANCEWAY; SIGNAGE AND PARKING; OTHER ROUTINE CAPITAL PROJECTS; 2011 B - REFUNDING OF 2004 A AND 2005 B BONDS. FINANCED AND REFINANCED EXISTING FACILITIES AT ARHM, ACQUISITION OF LIFE SCIENCES LAND, FINANCED OR REFINANCED CONSTRUCTION, RENOVATION, PARKING LOTS, FENCES, WALKWAYS, LANDSCAPING, VARIOUS MAJOR MEDICAL EQUIPMENT, FINANCED OR REFINANCED CERTAIN PLANNING AND DESIGN COSTS RELATED TO THE CONSTRUCTION OF THE SG TOWER, COST OF ACQUISITION OF AN INTEREST IN ARHM; ACQUISITION, CONSTRUCTION, RENOVATION, AND EQUIPPING OF ARHM AND WAH, RENOVATION TO WAH AND SG. ON BEHALF OF AHC, THE BOND ISSUING AUTHORITY DIRECTED A BLOCK TRADE ON THE RESERVE FUNDS IN DECEMBER 2022 THAT SETTLED IN JANUARY 2023. PER THE BLOCK TRADE, A SINGLE TRANSACTION SETTLED INTO BOND ISSUE 2016 AND BOND ISSUE 2021. THE RESULTING IMPACT TO THE RESERVE FUNDS IN 2023 WAS TO INCREASE THE GROSS PROCEEDS OF BOND ISSUE 2016 AND DECREASE THE PROCEEDS OF BOND ISSUE 2021. BOND D (ENTITY 1): COLUMN (A) ISSUER NAME: MHHEFA 2017 (REISSUED IN 2018) COLUMN (F) DESCRIPTION OF PURPOSE: THE 2017 BOND FINANCED THE CONSTRUCTION OF A CENTRAL UTILITY PLANT ON THE SITE OF THE WAH-WHITE OAK REPLACEMENT HOSPITAL. THE CENTRAL UTILITY PLANT PROVIDES CHILLED WATER, HEATED HOT WATER, DOMESTIC HOT WATER, EMERGENCY POWER AND A 1-MEGAWATT COGENERATION UNIT FOR WAH WHITE OAK. ON SEPTEMBER 25, 2018, THE 2017 BOND WAS REISSUED. PART II, PROCEEDS, COLUMNS C AND D: SHOWN IS THE ISSUE PRICE OF THE REISSUED BONDS, WHICH WERE ISSUED IN EXCHANGE FOR THE ORIGINAL BONDS. NO PROCEEDS WERE GENERATED IN CONNECTION WITH THE REISSUANCES. PART IV, ARBITRAGE, COLUMN A: THE ARBITRAGE CALCULATION DATE FOR THE 2013 BONDS WAS JULY 17, 2023. PART IV, ARBITRAGE, COLUMN B & C: THE ARBITRAGE CALCULATION DATE FOR THE 2016 BONDS (INCLUDING SERIES A & B) WAS JULY 1, 2021. PART IV, ARBITRAGE, COLUMN D: THE ARBITRAGE CALCULATION DATE FOR THE 2017 BONDS WAS JULY 1, 2022. BONDS A-B (ENTITY 2): PART I BOND ISSUES: BOND A (ENTITY 2): COLUMN (A) ISSUER NAME: MHHEFA 2020/2021 COLUMN (F) DESCRIPTION OF PURPOSE: THE PROCEEDS OF THE 2020 BONDS REFUNDED THE 2014A BONDS ISSUED ON 02/26/2014, AND THE PROCEEDS OF THE 2021 BONDS WERE PLACED IN AN ESCROW TO REFUND THE 2011A BONDS ISSUED ON 09/01/2011. THE 2014A BONDS WERE REDEEMED ON 01/04/2021, AND THE 2011A BONDS WERE REDEEMED ON 01/01/2022. THE 2014A PROJECT CONSISTED OF THE CONSTRUCTION, RENOVATION AND EQUIPPING OF FACILITIES AT THE WASHINGTON ADVENTIST HOSPITAL ("WAH") AND SHADY GROVE ADVENTIST HOSPITAL, INCLUDING THE ADDITION OF 25 BEDS AND THE ACQUISITION AND EQUIPPING OF CERTAIN RADIOLOGY EQUIPMENT AT WAH. THE 2011A PROCEEDS WERE APPLIED TO REFUND THE 2003B BONDS, THE 2004A BONDS AND 2005B BONDS. THE 2003B BONDS REFINANCED A SHORT-TERM LINE OF CREDIT, THE PROCEEDS OF WHICH WERE USED FOR THE ACQUISITION OF ABH FORMERLY KNOWN AS POTOMAC RIDGE BEHAVIORAL HEALTH; AS WELL AS THE ACQUISITION, CONSTRUCTION, RENOVATION AND EQUIPPING OF, AND OTHER IMPROVEMENTS TO THE FACILITIES OF WAH, SGAH, AND ABH. THE 2004A BONDS FINANCED THE COST OF ACQUISITION OF APPROXIMATELY 45 ACRES OF LAND ON THE CAMPUS OF SHADY GROVE ADVENTIST HOSPITAL, AS WELL AS THE ACQUISITION, CONSTRUCTION, RENOVATION AND EQUIPPING OF, AND OTHER IMPROVEMENTS TO THE FACILITIES OF WAH, SGAH, AND ABH. THE 2005B BONDS REFUNDED THE CITY OF GAITHERSBURG, SERIES 1991B BONDS AND THE CITY OF TAKOMA PARK SERIES 1991B BONDS. BOND B (ENTITY 2): COLUMN (A) ISSUER NAME: MHHEFA 2021B COLUMN (F) DESCRIPTION OF PURPOSE: THE 2021B BONDS ARE FINANCING 1) THE CONSTRUCTION OF A NEW SIX-STORY, APPROXIMATELY 150,000 SQUARE FEET PATIENT TOWER AT SHADY GROVE ADVENTIST HOSPITAL AND 2) RENOVATIONS TO CERTAIN EXISTING FACILITIES OF SHADY GROVE HOSPITAL TO ENHANCE PATIENT SAFETY, PATIENT EXPERIENCE AND CLINICAL EFFICIENCY. PART I, BOND ISSUE, LINE A: THE 2020/2021 MHHEFA BONDS ARE PART OF A SINGLE ISSUE SINCE THEY WERE SOLD AT THE SAME TIME, BUT A SEPARATE ISSUE ALLOCATION WAS MADE. THE 2020 BONDS WERE DELIVERED ON 12/30/2020, AND THE 2021 BONDS WERE DELIVERED ON 10/07/2021. PART II, PROCEEDS, COLUMN A: THE 2011A BONDS HAD A RESERVE FUND THAT TRANSFERRED TO THE 2020/2021 BONDS IN CONNECTION WITH THE REFUNDING. THE RESERVE FUND WAS VALUED AT $6,220,971 AS OF 12/31/23. BECAUSE THE RESERVE FUND WAS NOT FUNDED WITH 2020/2021 BOND SALE PROCEEDS, ROW 3 WILL NOT TIE TO THE SUM OF ROWS 4-12 FOR THIS BOND ISSUE. A MHHEFA (20202021) 520936091 57421CBT0 2020-12-30 75956550 SEE PART VI 0 0 0 B MHHEFA (2021B) 520936091 57421CDC5 2021-10-13 156382377 SEE PART VI 0 0 0 A 11020000 75956550 6220971 914145 75042405 2015 1 0 1 1 B 159198431 9592750 1174751 97552073 0 0 0 1 A 0 1 1 1 1 1 0.01280 0.00000 0.01280 0 0 1 B 0 1 1 1 1 1 0.00000 0.00000 0.00000 0 0 1 A 0 1 0 0 0 0 0 0 1 B 0 1 0 0 0 0 0 0 1 A 1 B 1 TERRY FORDE OFFICER SEE PT.V X 6121644 6289551 0 1 1 6289551 MARIJANE FORDE SEE PART V. WIFE OF TERRY FORDE. 46290 SEE PART V. MARIJANE FORDE WAS EMPLOYED WITH ADVENTIST HEALTHCARE, INC. AS A HR INTERNATIONAL PROGRAMS SPECIALIST DURING 2023 AND RECEIVED A SALARY OF $46,290. MARIJANE'S HUSBAND IS TERRY FORDE, WHO IS THE PRESIDENT & CEO OF ADVENTIST HEALTHCARE, INC. AND SECRETARY OF ADVENTIST HEALTHCARE, INC.'S BOARD. TERRY DID NOT SUPERVISE MARIJANE, TERRY HAD NO CONTROL OVER MARIJANE'S SALARY AND MARIJANE WAS COMPENSATED IN ACCORDANCE WITH NORMAL ADVENTIST HEALTHCARE, INC. SALARY SCALES. 0 DWAYNE LESLIE SEE PART V. HUSBAND OF MARISSA LESLIE, MD. 369175 SEE PART V. DWAYNE LESLIE WAS EMPLOYED WITH ADVENTIST HEALTHCARE, INC. AS VP, CHIEF COMPLIANCE/INTEGRITY OFFICER AND DEPUTY GENERAL COUNSEL DURING 2023 AND RECEIVED A SALARY OF $369,175. DWAYNE'S WIFE IS MARISSA LESLIE, MD, WHO WAS ADVENTIST HEALTHCARE, INC.'S SYSTEM MEDICAL DIRECTOR OF PSYCHIATRY, UNTIL HER DEPARTURE FROM ADVENTIST HEALTHCARE, INC. IN JULY 2023, AND DR. LESLIE WAS A MEMBER OF ADVENTIST HEALTHCARE INC.'S BOARD UNTIL HER TERM ENDED IN APRIL 2023. DR. LESLIE DID NOT SUPERVISE DWAYNE, DR. LESLIE HAD NO CONTROL OVER DWAYNE'S SALARY AND DWAYNE WAS COMPENSATED IN ACCORDANCE WITH NORMAL ADVENTIST HEALTHCARE, INC. SALARY SCALES. 0 BROOKLYNN JANKE SEE PART V. DAUGHTER OF TERRY FORDE. 65586 SEE PART V. BROOKLYNN JANKE WAS EMPLOYED WITH ADVENTIST HEALTHCARE, INC. AS A REGISTERED NURSE DURING 2023 AND RECEIVED A SALARY OF $65,586. BROOKLYNN'S FATHER IS TERRY FORDE, WHO IS THE PRESIDENT & CEO OF ADVENTIST HEALTHCARE, INC. AND SECRETARY OF ADVENTIST HEALTHCARE, INC.'S BOARD. TERRY DID NOT SUPERVISE BROOKLYNN, TERRY HAD NO CONTROL OVER BROOKLYNN'S SALARY AND BROOKLYNN WAS COMPENSATED IN ACCORDANCE WITH NORMAL ADVENTIST HEALTHCARE, INC. RN SALARY SCALES. 0 JEREMY JANKE SEE PART V. SON-IN-LAW OF TERRY FORDE. 123614 SEE PART V. JEREMY JANKE WAS EMPLOYED WITH ADVENTIST HEALTHCARE, INC. AS AN OPERATIONAL EXCELLENCE, SENIOR ADVISOR DURING 2023 AND RECEIVED A SALARY OF $123,614. JEREMY'S FATHER-IN-LAW IS TERRY FORDE, WHO IS THE PRESIDENT & CEO OF ADVENTIST HEALTHCARE, INC. AND SECRETARY OF ADVENTIST HEALTHCARE, INC.'S BOARD. TERRY DID NOT SUPERVISE JEREMY, TERRY HAD NO CONTROL OVER JEREMY'S SALARY AND JEREMY WAS COMPENSATED IN ACCORDANCE WITH NORMAL ADVENTIST HEALTHCARE, INC. SALARY SCALES. 0 KEVIN JENKINS SEE PART V. HUSBAND OF ANITA JENKINS. 60474 SEE PART V. KEVIN JENKINS WAS EMPLOYED WITH ADVENTIST HEALTHCARE, INC. AS A ELECTRONEURODIAGNOSTIC TECH DURING 2023 AND RECEIVED A SALARY OF $60,474. KEVIN'S WIFE IS ANITA JENKINS, WHO IS THE PRESIDENT OF HOWARD UNIVERSITY HOSPITAL. ANITA DID NOT SUPERVISE KEVIN, ANITA HAD NO CONTROL OVER KEVIN'S SALARY AND KEVIN WAS COMPENSATED IN ACCORDANCE WITH NORMAL ADVENTIST HEALTHCARE, INC. SALARY SCALES. 0 ANITA JENKINS PRESIDENT, HUH 36000 SEE PART V. AS PART OF A RELOCATION PLAN TO THE WASHINGTON, DC AREA, ADVENTIST HEALTHCARE, INC. AND ANITA JENKINS, THE PRESIDENT OF HOWARD UNIVERSITY HOSPITAL, ENTERED INTO A JOINT OWNERSHIP ARRANGEMENT OF A RESIDENTIAL PROPERTY IN THE DISTRICT OF COLUMBIA TO BE USED AS MS. JENKINS' RESIDENCE. THIS ARRANGEMENT WAS ENTERED ON JUNE 1, 2020. ADVENTIST HEALTHCARE CONTRIBUTED HALF THE PROPERTY'S PURCHASE PRICE THROUGH A SINGLE MEMBER LIMITED LIABILITY COMPANY, AND MS. JENKINS PURCHASED THE OTHER HALF PERSONALLY.FOR THE DURATION OF OCCUPANCY, ADVENTIST HEALTHCARE INCLUDES ON MS. JENKINS' FORM W2, AS IMPUTED INCOME, THE FAIR MARKET RENTAL VALUE OF THE PROPERTY ATTRIBUTABLE TO ADVENTIST HEALTHCARE, INC.'S OWNERSHIP. 0 PART II LOANS PART II, SUPPLEMENTAL RETIREMENT BENEFIT-COLLATERAL ASSIGNMENT SPLIT DOLLAR (CASD)- TERRY FORDE, THE ORGANIZATION'S CEO, AGREED TO RELINQUISH BENEFITS TO WHICH HE WAS OTHERWISE ENTITLED IN EXCHANGE FOR A SPLIT DOLLAR LIFE INSURANCE RETENTION AND LOAN PLAN (THE PLAN). THIS EXCHANGE WAS DONE AT NO ADDED COST TO THE ORGANIZATION. THE PLAN RECEIVED IN EXCHANGE ENABLES THE ORGANIZATION TO ACHIEVE SUBSTANTIAL EXCISE TAX SAVINGS OTHERWISE APPLICABLE TO COMPENSATION, BECAUSE THE PLAN SATISFIES REGULATIONS FOR TREATING THE ORGANIZATION'S PLAN CONTRIBUTIONS AS LOANS RATHER THAN AS COMPENSATION. THE CEO OR HIS ESTATE WILL FULLY REPAY THE ORGANIZATION'S LOAN, PLUS INTEREST. TO ENSURE REPAYMENT, THE LOAN IS SECURED BY A COLLATERAL ASSIGNMENT ON THE LIFE INSURANCE POLICY'S CASH VALUE AND DEATH PROCEEDS. IN ADDITION TO EXCISE SAVINGS AND A RECOVERY OF THE ORGANIZATION'S CONTRIBUTIONS WITH INTEREST, THE PLAN IS STRUCTURED TO PROVIDE THE ORGANIZATION WITH A SIGNIFICANT RETENTION INCENTIVE. THE ORGANIZATION'S ADVISORS HAVE OPINED THAT THIS PROGRAM SATISFIES ALL APPLICABLE LAWS, COMPENSATION REASONABLENESS AND BEST PRACTICE STANDARDS. X COMPUTER HW 135 33790 COST 0 0 1 0 PART I, COLUMN (B): ADVENTIST HEALTHCARE, INC. RECEIVED 135 CONTRIBUTED ITEMS, WHICH WERE COMPUTER HARDWARE RELATED. FORM 990, PART III, LINE 4A, PROGRAM SERVICE ACCOMPLISHMENTS, CONTINUED: ADVENTIST HEALTHCARE IS THE SECOND LARGEST MENTAL HEALTH CARE PROVIDER IN MARYLAND. IT ESTABLISHED THE FIRST BEHAVIORAL HEALTH UNIT IN MONTGOMERY COUNTY IN 1949. IT PROVIDES A SPECTRUM OF SERVICES AND TREATMENT OPTIONS FOR CHILDREN, ADOLESCENTS, ADULTS, AND SENIORS, INCLUDING HOSPITAL-BASED PROGRAMS, SCHOOL PROGRAMS, OUTPATIENT SERVICES AND COMMUNITY-BASED SERVICES. ITS FACILITIES EMPLOY HIGHLY SKILLED, MULTIDISCIPLINARY TEAMS OF PSYCHIATRISTS, SOCIAL WORKERS, CASE MANAGERS, PSYCHIATRIC NURSES, EXPRESSIVE THERAPISTS, AND CHAPLAINS WHO PROVIDE COMPASSIONATE BEHAVIORAL HEALTHCARE. ADVENTIST HEALTHCARE ALSO OFFERS QUALITY POST-ACUTE CARE. ADVENTIST HEALTHCARE REHABILITATION IS THE FIRST AND ONLY HOSPITAL IN A FIVE-STATE AREA TO OBTAIN ACCREDITATIONS FROM THE COMMISSION ON ACCREDITATION OF REHABILITATION FACILITIES INTERNATIONAL IN FOUR SPECIALTY AREAS - BRAIN INJURY, SPINAL CORD INJURY, STROKE AND AMPUTATION. ADVENTIST HEALTHCARE'S ACCREDITED HOME CARE SERVICES PROVIDES MEDICAL AND PERSONAL CARE PROGRAMS FOR RESIDENTS IN SIX MARYLAND COUNTIES AND WASHINGTON, D.C, WITH 79,472 ENCOUNTERS IN 2023. HERE IS A SNAPSHOT OF ADVENTIST HEALTHCARE IN 2023: 5 HOSPITALS (THREE ACUTE-CARE AND TWO SPECIALTY HOSPITALS); 2,180 PHYSICIANS AND MEDICAL STAFF MEMBERS; 6,175 EMPLOYEES; 5,708 NEWBORNS DELIVERED; 9,824 OUTPATIENT SURGERIES; 147,684 EMERGENCY VISITS. 2. INCREASE ACCESS TO CARE: ADVENTIST HEALTHCARE PARTNERS WITH SEVERAL ORGANIZATIONS TO BRING FREE SERVICES TO COMMUNITIES IN NEED WITH A SPECIAL FOCUS ON WOMEN AND CHILDREN, AND LOW-INCOME, UNINSURED, AND MINORITY POPULATIONS. ADVENTIST HEALTHCARE IS DEDICATED TO PROGRAMS THAT HELP BUILD HEALTHY FAMILIES AND COMMUNITIES. ADVENTIST HEALTHCARE PARTNERS WITH LOCAL SAFETY NET CLINICS THAT OFFER PRIMARY CARE, OR A MEDICAL HOME, TO UNINSURED RESIDENTS OF MONTGOMERY COUNTY. THROUGH THESE PARTNERSHIPS, ADVENTIST HEALTHCARE HELPS ENSURE THAT UNINSURED PATIENTS HAVE COORDINATED CARE BETWEEN THE CLINIC THAT SERVES AS THEIR MEDICAL HOME AND THE HOSPITAL WHERE THEY RECEIVE ACUTE CARE AND EDUCATIONAL PROGRAMS. THE PARTNERSHIPS ALSO HELP TO DECREASE INAPPROPRIATE EMERGENCY DEPARTMENT UTILIZATION BY THIS PORTION OF THE POPULATION. OUR LOCAL SAFETY NET CLINIC PARTNERS INCLUDE MERCY HEALTH CLINIC, COMMUNITY CLINIC INC., MOBILE MEDICAL CARE INC., AND MARY'S CENTER, ALL OF WHICH IMPROVE ACCESS TO PRIMARY CARE SERVICES FOR UNINSURED AND UNDER-INSURED RESIDENTS. ADVENTIST HEALTHCARE'S SUPPORT INCLUDES BUT IS NOT LIMITED TO PROVIDING LAB WORK, X-RAY SERVICES AND FINANCIAL SUPPORT FOR CLINICAL OPERATIONS. THESE CLINICS HAVE SERVED AS A VITAL HEALTH SAFETY NET TO PROVIDE IMPORTANT PRIMARY AND PREVENTATIVE HEALTH SERVICES TO OVER 20,000 MEN, WOMEN, AND CHILDREN IN NEED. MERCY HEALTH CLINIC IN GAITHERSBURG HAS BENEFITED FROM OUR SERVICES INCLUDING LABORATORY SUPPORT, BLOOD TESTS AND OTHER DIAGNOSTIC SERVICES. IN THE LONG BRANCH SECTION OF SILVER SPRING, OUR PARTNERSHIP WITH MARY'S CENTER PROVIDES A FULL RANGE OF SERVICES FROM PRENATAL CARE TO PEDIATRIC/ADOLESCENT HEALTH SERVICES TO WOMEN'S SERVICES TO SOCIAL-SERVICES PROGRAMS. OUR WORK WITH MOBILE MED ENABLES REGULAR MEDICAL CARE, SUCH AS ROUTINE PHYSICALS, FOR UNINSURED AND LOW-INCOME RESIDENTS. IN ADDITION TO PARTNERING WITH CLINICS, ADVENTIST HEALTHCARE ALSO ADDRESSES COMMUNITY NEEDS THROUGH SPECIALIZED SERVICES IN ITS FACILITIES, SUCH AS THE SHADY GROVE MEDICAL CENTER FORENSIC MEDICAL UNIT. THE ONLY UNIT OF ITS KIND IN MONTGOMERY COUNTY, MARYLAND, ITS NURSES PROVIDE FORENSIC EVIDENCE COLLECTION AND SPECIALIZED MEDICAL CARE TO WOMEN, MEN AND CHILDREN WHO ARE VICTIMS OF SEXUAL ASSAULT, ABUSE, NEGLECT, AND HUMAN TRAFFICKING. IN 2023, THE UNIT HAD 1,351 ENCOUNTERS, INCLUDING ASSAULT EXAMS AND PATIENT CONSULTS. SHADY GROVE MEDICAL CENTER AND WHITE OAK MEDICAL CENTER ARE ALSO ACTIVE PARTICIPANTS IN MONTGOMERY COUNTY'S MATERNITY PARTNERSHIP PROGRAM, WHICH PROVIDES PRENATAL CARE AND MATERNITY SERVICES TO LOW-INCOME, UNINSURED PREGNANT WOMEN. SHADY GROVE MEDICAL CENTER SPONSORS MARYLAND'S ONLY HOSPITAL-BASED MILK DEPOT, OFFERING BREASTFEEDING MOTHERS A SAFE, CONVENIENT WAY TO DONATE EXCESS MILK, AND FOR FAMILIES WHOSE MOTHERS MAY NOT BE ABLE TO BUILD THEIR OWN SUPPLY TO SAFELY ACCESS DONOR MILK FOR THEIR INFANT. IN THE AREA OF MENTAL HEALTH, ADVENTIST HEALTHCARE OFFERS COMMUNITY SUPPORT GROUPS FOCUSED ON TOPICS SUCH AS GRIEF AND LOSS, RESILIENCY AND COPING WITH VARIOUS PHYSICAL HEALTH DIAGNOSES THAT TAKE A MENTAL TOLL ON PATIENTS. ADDITIONALLY, ADVENTIST HEALTHCARE PARTNERS ON EDUCATION INITIATIVES WITH EVERYMIND INC. AND THE NATIONAL ALLIANCE ON MENTAL ILLNESS. FOR 18 YEARS, THE ADVENTIST HEALTHCARE GERMANTOWN EMERGENCY CENTER IN GERMANTOWN, MARYLAND, HAS BROUGHT VITAL EMERGENCY SERVICES TO A DIVERSE COMMUNITY. THE EMERGENCY CENTER'S MEDICAL CAMPUS ALSO HAS A PRIMARY CARE CLINIC FOR UNINSURED RESIDENTS, OUTPATIENT RADIOLOGY SERVICES AND PHYSICIAN OFFICES. GERMANTOWN IS ALSO HOME TO THE SHADY GROVE ADVENTIST RADIATION ONCOLOGY CENTER (LEGALLY KNOWN AS ADVENTIST CANCER CARE, LLC), WHICH DELIVERS CONVENIENT AND INTEGRAL CARE TO CANCER PATIENTS IN UPPER MONTGOMERY COUNTY. RADIATION ONCOLOGY IS PART OF THE TREATMENT FOR 60-65% OF PATIENTS WITH CANCER. IN 2024, SHADY GROVE MEDICAL CENTER RELOCATED ITS PRENATAL CLINIC FOR LOW-INCOME WOMEN FROM THE GERMANTOWN EMERGENCY CAMPUS TO THE HOSPITAL'S ROCKVILLE CAMPUS, MAKING THE HOSPITAL'S BREADTH OF MATERNITY SERVICES AND CAREGIVERS MORE ACCESSIBLE TO CLINIC PATIENTS. 3. PROMOTE HEALTH EQUITY AND WELLNESS: ADVENTIST HEALTHCARE IS THE LARGEST PROVIDER OF COMMUNITY BENEFIT IN MONTGOMERY COUNTY, MARYLAND, AND CONTRIBUTES TO SOCIETAL WELL-BEING THROUGH COMMUNITY HEALTH IMPROVEMENT PROGRAMS AND COLLABORATIVE PARTNERSHIPS. OUR ORGANIZATION WORKS WITH MANNA FOOD CENTER, IDENTITY, AND MONTGOMERY COUNTY COALITION FOR THE HOMELESS TO ADDRESS SOCIAL NEEDS SUCH AS HUNGER, HOMELESSNESS, LITERACY, AND ACCESS TO CARE. IN ADDITION, ADVENTIST HEALTHCARE PARTNERS WITH SAFETY-NET CLINICS LIKE CCI HEALTH AND WELLNESS SERVICES, MOBILE MED, MERCY HEALTH CLINIC AND MANSFIELD KASEMAN CLINIC, PROVIDING MATERIAL SUPPORT AND EXPERTISE IN HEALTH EDUCATION, IT AND HEALTH AWARENESS CAMPAIGNS. THE ADVENTIST HEALTHCARE COMMUNITY PARTNERSHIP FUND PROVIDES FINANCIAL SUPPORT TO THESE AND OTHER ORGANIZATIONS ALIGNED WITH OUR COMMUNITY-BASED MISSION TO IMPROVE HEALTH OUTCOMES. ADVENTIST HEALTHCARE FOCUSES SPECIFICALLY ON COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) PRIORITY AREAS, OR POPULATIONS IN OUR SERVICE AREA THAT ARE SOCIALLY AND ECONOMICALLY DISADVANTAGED OR MEDICALLY UNDERSERVED. SEVERAL TEAMS ACROSS OUR SYSTEM CARRY OUT OUR GOAL OF IMPROVING THE HEALTH AND WELL-BEING OF PEOPLE AND COMMUNITIES. THE LIFEWORK STRATEGIES (LWS) TEAM PROVIDES EMPLOYEE HEALTH AND WELLNESS PROGRAMS, EMPLOYEE ASSISTANCE PROGRAMS, OCCUPATIONAL SCREENINGS, AND ONGOING HEALTH ASSESSMENT AND WELLNESS-TRACKING SERVICES. NURSES AND EMPLOYEES ON ADVENTIST HEALTHCARE'S POPULATION HEALTH MANAGEMENT TEAM WORK WITH PATIENTS TO ADDRESS ONGOING NEEDS FOR HEALTH RESOURCES. THE POPULATION HEALTH TEAM CONNECTS PATIENTS WITH PRIMARY CARE PHYSICIANS AND OTHER CAREGIVERS TO ENSURE NUTRITIONAL NEEDS ARE MET, AND THAT PATIENTS HAVE ACCESS TO AND ARE TAKING MEDICATIONS APPROPRIATELY. ADVENTIST HEALTHCARE SPONSORS A CLINICALLY INTEGRATED NETWORK, A GROUP OF PHYSICIANS FOCUSED ON IMPROVING QUALITY OF CARE. ADDITIONALLY, ADVENTIST HEALTHCARE IS A MEMBER OF NEXUS MONTGOMERY, A COLLABORATIVE EFFORT AMONG THE SIX MONTGOMERY COUNTY HOSPITALS AND A NETWORK OF COMMUNITY-BASED ORGANIZATIONS WHOSE INITIATIVES IMPROVE THE HEALTH OF THOSE AT RISK OF AVOIDABLE HOSPITALIZATION. THE TARGET POPULATION INCLUDES MEDICARE SENIORS, THE MEDICALLY FRAIL, THOSE WITH SEVERE BEHAVIORAL HEALTH CONDITIONS AND THOSE WHO ARE NOT ELIGIBLE FOR HEALTH INSURANCE. FINALLY, ADVENTIST HEALTHCARE TEAMS HAVE HAD NOTABLE ACHIEVEMENTS THIS YEAR IN THE AREA OF MATERNAL HEALTH EQUITY. SHADY GROVE MEDICAL CENTER EARNED THE HIGHEST HONOR FROM THE MARYLAND PATIENT SAFETY CENTER (MPSC) FOR ITS EFFORTS TO PROVIDE ALL PARENTS WITH CHILDREN IN THE HOSPITAL ACCESS TO SAFE DONOR BREASTMILK AS A FEEDING OPTION. ALSO, THE HOSPITAL'S EMERGENCY AND MATERNITY TEAMS COLLABORATED TO EARN THE MPSC'S BIRTH EQUITY MARYLAND DESIGNATION, FOR TRAINING NON-MATERNITY PROVIDERS TO BETTER RECOGNIZE SIGNS OF PREGNANCY RELATED PROBLEMS AND RACIAL BIAS IN CARING FOR WOMEN WHO PRESENT WITH THEM. THE DESIGNATION SUPPORTS MARYLAND'S COMMITMENT TO REDUCING THE RATE OF SEVERE MATERNAL MORBIDITY BY 20% BY 2026. THESE ACHIEVEMENTS HIGHLIGHT ADVENTIST HEALTHCARE'S STRONG COMMITMENT TO CARRYING OUT OUR MISSION OF WHOLE-PERSON CARE TO OUR DIVERSE COMMUNITY. FORM 990, PART VI, SECTION A, LINE 1A THE GOVERNING BODY HAS DELEGATED BROAD AUTHORITY TO AN EXECUTIVE COMMITTEE DURING SUCH TIMES WHEREBY IT IS IMPRACTICAL TO CONVENE THE FULL BOARD, AND WHEN IT IS NECESSARY TO CARRY OUT THE GOVERNANCE FUNCTIONS OF THE BOARD. THE EXECUTIVE COMMITTEE SHALL HAVE ALL THE POWERS OF THE BOARD IN THE MANAGEMENT AND DIRECTION OF THE AFFAIRS OF ADVENTIST HEALTHCARE, INC., PROVIDED SUCH ACTIONS ARE NOT IN CONFLICT WITH GENERAL POLICIES ENACTED BY THE BOARD OF TRUSTEES. THE EXECUTIVE COMMITTEE SHALL BE CHAIRED BY THE CHAIR OF THE BOARD OF TRUSTEES, AND SHALL CONSIST OF THE BOARD OFFICERS, A PHYSICIAN BOARD MEMBER, THE CHAIR OF THE FINANCE COMMITTEE, AND ANOTHER BOARD MEMBER DESIGNATED BY THE CHAIR OF THE BOARD OF TRUSTEES. EXCEPT FOR EX-OFFICIO MEMBERS, ALL COMMITTEE MEMBERS SHALL BE APPOINTED BY THE CHAIR OF THE BOARD OF TRUSTEES AND SERVE FOR A TERM OF ONE YEAR AND/OR UNTIL THEIR SUCCESSORS ARE APPOINTED AND QUALIFIED. FORM 990, PART VI, SECTION A, LINE 6 MID-ATLANTIC ADVENTIST HEALTHCARE, INC. IS THE SOLE MEMBER OF ADVENTIST HEALTHCARE, INC. FORM 990, PART VI, SECTION A, LINE 7A MID-ATLANTIC ADVENTIST HEALTHCARE, INC. CAN ELECT MEMBERS OF THE BOARD. FORM 990, PART VI, SECTION A, LINE 7B DECISIONS SUBJECT TO APPROVAL. SEE BYLAWS, ARTICLE II, SECTION 2: RESERVED AUTHORITY AND RESPONSIBILITY. THE FOLLOWING ACTIONS SHALL BE RESERVED TO THE MEMBERSHIP: A. THE ADOPTION, ALTERING, AMENDING OR REPLACING OF THE ARTICLES OF INCORPORATION OR THE BYLAWS OF THE CORPORATION; B. THE LIQUIDATION, DISSOLUTION, WINDING UP, ABANDONMENT OF THE CORPORATION; C. APPOINTMENT OF MEMBERS OF THE BOARD OF TRUSTEES FROM NOMINEES SUBMITTED BY THE BOARD OF TRUSTEES; D. REMOVAL OF MEMBERS OF THE BOARD OF TRUSTEES E. APPOINTMENT AND REMOVAL OF THE CHIEF EXECUTIVE OFFICER ("CEO") OF THE CORPORATION, IN CONSULTATION WITH THE BOARD OF TRUSTEES. ALL MEMBERS HAVE RIGHTS TO VOTE. FORM 990, PART VI, SECTION B, LINE 11B PRIOR TO FILING THE FORM 990 WITH THE IRS, THE RETURN WAS REVIEWED BY THE ORGANIZATION'S FINANCE DEPARTMENT, EXECUTIVE MANAGEMENT TEAM, AND THE ORGANIZATION'S OUTSIDE TAX ADVISORS. ALSO, PRIOR TO FILING THE FORM 990 WITH THE IRS, ALL MEMBERS OF THE BOARD ARE PROVIDED A COPY OF THE FORM 990 FOR THEIR REVIEW. FORM 990, PART VI, SECTION B, LINE 12C PURSUANT TO THE ORGANIZATION'S CONFLICT OF INTEREST POLICY, EACH FACILITY BOARD MEMBER, OFFICER, DIRECTOR AND ANY EMPLOYEE IN A POSITION THAT REQUIRES COORDINATION AND/OR NEGOTIATION WITH CONTRACTORS OR SUPPLIES, IS REQUIRED ON AN ANNUAL BASIS TO DISCLOSE ANY BUSINESS OR FINANCIAL RELATIONSHIP OUTSIDE OF THE ORGANIZATION. AN ACTUAL OR POTENTIAL CONFLICT OF INTEREST, OR THE PERCEPTION OR APPEARANCE OF A CONFLICT OF INTEREST, OCCURS WHEN A COVERED PERSON IS IN A POSITION TO INFLUENCE A DECISION THAT MAY RESULT IN A PERSONAL GAIN FOR THAT EMPLOYEE, A RELATIVE, OR OTHER PERSON LIVING IN THE SAME HOUSEHOLD, AS A RESULT OF ADVENTIST HEALTHCARE'S BUSINESS ACTIVITIES. A RELATIVE IS DEFINED AS ANY PERSON WHO IS RELATED BY BLOOD OR MARRIAGE, OR WHOSE RELATIONSHIP WITH THE COVERED PERSON IS SIMILAR TO THAT OF PERSONS WHO ARE RELATED BY BLOOD OR MARRIAGE. NO "PRESUMPTION OF GUILT" IS CREATED BY THE MERE EXISTENCE OF A RELATIONSHIP BETWEEN AN ADVENTIST HEALTHCARE EMPLOYEE AND AN OUTSIDE FIRM OR BUSINESS ENDEAVOR, OR OTHER POTENTIAL CONFLICT OF INTEREST. HOWEVER, IF A COVERED PERSON HAS ANY BUSINESS, FINANCIAL, OR OTHER RELATIONSHIP WITH ANY ORGANIZATION WHEREBY THE EXISTENCE OF THAT RELATIONSHIP EITHER CREATES A CONFLICT OF INTEREST OR IS PERCEIVED TO CREATE A CONFLICT OF INTEREST, THE COVERED PERSON MUST DISCLOSE THIS RELATIONSHIP TO THE DESIGNATED SENIOR MANAGER, OR GOVERNING BOARD, AS THE CASE MAY BE, AT THE LOCATION WHERE THE EMPLOYEE IS ASSIGNED. THE SENIOR MANAGER WILL REVIEW THE RELATIONSHIP, MAKE COMMENTS AND RECOMMENDATIONS, AND FORWARD ALL DOCUMENTATION TO THE ORGANIZATIONAL INTEGRITY COMMITTEE FOR A FINAL DECISION. COMPLIANCE WITH THE CONFLICT OF INTEREST POLICY IS MONITORED AND ENFORCED BY THE HUMAN RESOURCES DEPARTMENT, ORGANIZATIONAL INTEGRITY DEPARTMENT AND THE LEGAL DEPARTMENT. FORM 990, PART VI, SECTION B, LINE 15 AS A TAX EXEMPT ORGANIZATION, ADVENTIST HEALTHCARE, INC. IS SUBJECT TO IRS RULES AND REGULATIONS THAT ENSURE THAT ANY ORGANIZATION THAT IS EXEMPT FROM TAX IS ORGANIZED AND OPERATED EXCLUSIVELY FOR CHARITABLE PURPOSES, AND THAT NO INDIVIDUAL INAPPROPRIATELY BENEFITS FROM THE NET EARNINGS OF THE ORGANIZATION. THE INTENT OF THIS PROVISION IS GENERALLY CONSTRUED TO GUARD AGAINST INDIVIDUALS BENEFITING AT THE ORGANIZATION'S EXPENSE BY, FOR EXAMPLE, RECEIVING COMPENSATION AND BENEFITS BEYOND AN AMOUNT WHICH IS FAIR AND REASONABLE (AN "EXCESS BENEFIT"). > TO ASSIST TAX-EXEMPT ORGANIZATIONS IN AVOIDING EXCESS BENEFIT TRANSACTIONS, THE IRS HAS ESTABLISHED GUIDELINES WHICH NEED TO BE FOLLOWED WHEN SETTING COMPENSATION FOR ITS OFFICERS AND DIRECTORS. > IRS GUIDELINES SET FORTH THAT A COMPENSATION ARRANGEMENT BETWEEN AN EXEMPT ORGANIZATION AND ITS OFFICER OR DIRECTOR SHALL BE PRESUMED TO BE REASONABLE IF THE FOLLOWING THREE CONDITIONS ARE SATISFIED: 1. THE COMPENSATION ARRANGEMENT IS APPROVED BY THE ORGANIZATION'S GOVERNING BODY OR A COMMITTEE OF THE GOVERNING BODY COMPOSED ENTIRELY OF INDIVIDUALS WHO DO NOT HAVE A CONFLICT OF INTEREST WITH RESPECT TO THE ARRANGEMENT; 2. THE GOVERNING BODY, OR COMMITTEE THEREOF, OBTAINED AND RELIED UPON APPROPRIATE DATA AS TO COMPARABILITY PRIOR TO MAKING ITS DETERMINATION; AND 3. THE GOVERNING BODY OR COMMITTEE THEREOF ADEQUATELY DOCUMENTED THE BASIS FOR ITS DETERMINATION CONCURRENTLY WITH MAKING THAT DETERMINATION. > WHEN SETTING EXECUTIVE COMPENSATION, ADVENTIST HEALTHCARE, INC. FULLY COMPLIES WITH THE PROCEDURAL SAFEGUARDS EMBODIED IN IRS REGULATIONS. > EXECUTIVE COMPENSATION FOR ADVENTIST HEALTHCARE, INC. IS ENTIRELY SET BY A COMMITTEE OF ADVENTIST HEALTHCARE, INC.'S GOVERNING BOARD; > IN SETTING COMPENSATION, THE GOVERNING BOARD COMMITTEE RELIES UPON MARKET COMPARABILITY DATA PROVIDED BY AN INDEPENDENT OUTSIDE COMPENSATION CONSULTANT; AND > TO FURTHER ENSURE REASONABLENESS, COMPENSATION IS TARGETED AT THE 50TH PERCENTILE (OR MEDIAN) OF THE MARKET. FORM 990, PART VI, SECTION C, LINE 19 THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART VII, SECTION A: ADVENTIST HEALTHCARE MAINTAINS A BOARD LEADER WELLNESS POLICY. PURSUANT TO THIS POLICY, ELIGIBLE MEMBERS OF THE ADVENTIST HEALTHCARE BOARD OF TRUSTEES ARE ENTITLED TO RECEIVE REIMBURSEMENT (UP TO $12,000) FOR QUALIFYING HEALTH CARE OR WELLNESS EXPENSES INCURRED BY THEM. REIMBURSEMENTS ARE TAXABLE TO THE BOARD MEMBER. THE AMOUNT SET FORTH IN PART VII, SECTION A, COLUMN (D) FOR DR. DAVID E. WEIGLEY, EMMANUEL ASIEDU, AND CELESTE RYAN BLYDEN REPRESENTS REIMBURSEMENTS RECEIVED UNDER THIS POLICY DURING 2023. ADVENTIST HEALTHCARE ALSO PROVIDES ITEMS THAT COULD BE CATEGORIZED AS DE MINIMIS BENEFITS TO BOARD MEMBERS AND TREATS THIS AS TAXABLE COMPENSATION. AMOUNTS REPORTED AS 1099 INCOME ARE SHOWN. FORM 990, PART IX, LINE 11G CONTRACT LABOR: PROGRAM SERVICE EXPENSES 75,648,929. MANAGEMENT AND GENERAL EXPENSES 3,353,018. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 79,001,947. PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 48,440,345. MANAGEMENT AND GENERAL EXPENSES 2,619,527. FUNDRAISING EXPENSES 257,063. TOTAL EXPENSES 51,316,935. CONSULTING SERVICES: PROGRAM SERVICE EXPENSES 1,176,893. MANAGEMENT AND GENERAL EXPENSES 3,617,065. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 4,793,958. FORM 990, PART XI, LINE 9: DEFERRED COMPENSATION PLAN LIABILITY ADJUSTMENT 555,647. OTHER UNRESTRICTED NET ASSETS ACTIVITY -900,584. DISCONTINUED OPERATIONS -2,178,397. OTHER UNRESTRICTED NET ASSETS ACTIVITY -8,082,639. 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