TY 2015 Form 990

(A) Name and Title	(B) Average hours per week (list any hours for related organizations below dotted line)	(C) Position (do not check more than one box, unless person is both an officer and a director/trustee)	(E) Reportable compensation from related organizations (W- 2/1099-MISC)
(1) DAVID E WEIGLEY...................................................................... CHAIRMAN	1.00 .................	X		0	0
(2) SETH BARDU...................................................................... CHAIR OF AUDIT & FINANCE COMMITTEES	1.00 .................	X		0	0
(3) ROBERT T VANDEMAN...................................................................... VICE CHAIRMAN	1.00 .................	X		0	0
(4) RENEE BATTLE-BROOKS ESQ...................................................................... GOVERNANCE EFFECTIVENESS COMMITTEE CHAIR	1.00 .................	X		0	0
(5) AVIS E BUCHANAN ESQ...................................................................... TRUSTEE	1.00 .................	X		0	0
(6) WALTER F FENNELL...................................................................... TRUSTEE	1.00 .................	X		0	0
(7) NANCY E HARDWICK...................................................................... STRATEGIC PLANNING COMMITTEE CHAIR	1.00 .................	X		0	0
(8) PATRICK J HOGAN...................................................................... TRUSTEE	1.00 .................	X		0	0
(9) ROSEMARIE MELENDEZ...................................................................... TRUSTEE	1.00 .................	X		0	0
(10) DONALD MELNICK MD...................................................................... TRUSTEE	1.00 .................	X		0	0
(11) RICK REMMERS...................................................................... TRUSTEE	1.00 .................	X		0	0
(12) BRUCE C ROBERTSON PHD...................................................................... TRUSTEE	1.00 .................	X		0	0
(13) JAMES ROST MD...................................................................... TRUSTEE	1.00 .................	X		0	0
(14) WEYMOUTH SPENCE EDD...................................................................... TRUSTEE	1.00 .................	X		0	0
(15) DREWRY J WHITE MD...................................................................... QUALITY&PATIENT SAFETY COMMITTEE CHAIR	1.00 .................	X		0	0
(16) THOMAS WERNER...................................................................... TRUSTEE	1.00 .................	X		0	0
(17) TERRY FORDE...................................................................... PRESIDENT & CEO, AHC	42.00 ................. 20.00	X	X	1,225,363	219,138

(A) Name and Title	(B) Average hours per week (list any hours for related organizations below dotted line)	(E) Reportable compensation from related organizations (W- 2/1099-MISC)	(F) Estimated amount of other compensation from the organization and related organizations
(18) JAMES G LEE........................................................................ EVP & CFO, AHC	42.00 .......................20.00	X			662,822	135,961
(19) JOHN SACKETT........................................................................ EVP & COO OF AHC; PRESIDENT OF SGMC	43.00 .......................12.00	X			727,400	151,257
(20) ERIK WANGSNESS........................................................................ PRESIDENT, WAH	44.00 .......................6.00	X			422,561	114,374
(21) JASON C COE........................................................................ PRESIDENT, HRMC	5.00 .......................55.00	X			393,566	82,998
(22) PATRICK GARRETT........................................................................ SVP & PHYSICIAN INTEGRATION, AHC	20.00 .......................40.00		X		533,450	116,149
(23) SUSAN L GLOVER........................................................................ SVP & SYSTEM QUALITY, AHC	50.00 .......................10.00		X		393,640	86,254
(24) MARTA BRITO PEREZ........................................................................ SVP & CHIEF HR OFFICER, AHC	40.00 .......................		X		440,162	102,083
(25) KEVIN YOUNG........................................................................ PRESIDENT, BHWS	38.00 .......................12.00		X		355,784	88,063
(26) BRENT REITZ........................................................................ VP & ADMINISTRATOR, ARHM	15.00 .......................40.00		X		267,531	80,099
(27) KEITH BALLENGER........................................................................ VP, HOME HEALTH	10.00 .......................40.00		X		247,808	54,098
(28) AMY CARRIER........................................................................ VP, BUS. DEV. & STRATEGIC PLANNING, AHC	40.00 .......................5.00		X		283,069	21,807
(29) THOMAS GRANT........................................................................ VP, PUBLIC RELATIONS & MARKETING, AHC	40.00 .......................		X		265,963	59,459
(30) CHRISTOPHER GHION........................................................................ VP, CHIEF INFORMATION OFFICER, AHC	40.00 .......................		X		351,495	66,979
(31) JAMES DAMRON........................................................................ VP & CHIEF DEVELOPMENT OFFICER, AHC	10.00 .......................35.00		X		226,395	28,243
(32) EUNMEE SHIM........................................................................ VP OF BUSINESS DEVELOPMENT & STRATEGIC PLANNING, A	40.00 .......................		X		325,288	78,908
(33) KENNETH B DESTEFANO........................................................................ VP & GENERAL COUNSEL, AHC	40.00 .......................		X		478,322	78,593
(34) DANIEL L COCHRAN........................................................................ VP & CFO, SGMC	59.00 .......................1.00			X	373,506	86,298
(35) JOAN VINCENT........................................................................ CHIEF NURSING OFFICER, SGMC	40.00 .......................			X	313,391	8,172
(36) KEVIN SMOTHERS........................................................................ VP & CHIEF MEDICAL OFFICER, SGMC	40.00 .......................			X	527,724	120,702
(37) RANDALL WAGNER........................................................................ VP & CHIEF MEDICAL OFFICER, WAH	40.00 .......................			X	494,611	21,829
(38) CHERIE PARDUE........................................................................ DEPUTY CHIEF INFORMATION OFFICER, AHC	40.00 .......................			X	296,075	5,471

(A) Name and business address	(B) Description of services	(C) Compensation
QUEST DIAGNOSTICS PO BOX 740709 ATLANTA,GA303740709	CLININCAL LAB SERVICES	15,042,502
CARETECH SOLUTIONS INC PO BOX 674271 DETROIT,MI482674271	IT SERVICES	14,299,789
ATSITE INC 2021 L STREET NW WASHINGTON,DC20036	REAL ESTATE SERVICES	13,693,006
CERNER CORPORATION PO BOX 412702 KANSAS CITY,MO64141	IT/SOFTWARE SERVICES	10,524,380
SODEXO INC PO BOX 536922 ATLANTA,GA303536922	DIETARY & PLANT OPS	6,437,317
2 Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization 177

- TIN:

SCHEDULE A
(Form 990 or 990EZ)

Department of the Treasury
Internal Revenue Service

Public Charity Status and Public Support

Complete if the organization is a section 501(c)(3) organization or a section 4947(a)(1) nonexempt charitable trust.
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Attach to Form 990 or Form 990-EZ.
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Information about Schedule A (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2015

Open to Public
Inspection

Name of the organization

ADVENTIST HEALTHCARE INC

Employer identification number

52-1532556

Part I

Reason for Public Charity Status (All organizations must complete this part.) See instructions.

The organization is not a private foundation because it is: (For lines 1 through 11, check only one box.)

A church, convention of churches, or association of churches described in section 170(b)(1)(A)(i).

A school described in section 170(b)(1)(A)(ii). (Attach Schedule E (Form 990 or 990-EZ))

A hospital or a cooperative hospital service organization described in section 170(b)(1)(A)(iii).

A medical research organization operated in conjunction with a hospital described in section 170(b)(1)(A)(iii). Enter the hospital's name, city, and state:

An organization operated for the benefit of a college or university owned or operated by a governmental unit described in section 170(b)(1)(A)(iv). (Complete Part II.)

A federal, state, or local government or governmental unit described in section 170(b)(1)(A)(v).

An organization that normally receives a substantial part of its support from a governmental unit or from the general public described in section 170(b)(1)(A)(vi). (Complete Part II.)

A community trust described in section 170(b)(1)(A)(vi). (Complete Part II.)

An organization that normally receives: (1) more than 331/3% of its support from contributions, membership fees, and gross receipts from activities related to its exempt functions—subject to certain exceptions, and (2) no more than 331/3% of its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses acquired by the organization after June 30, 1975. See section 509(a)(2). (Complete Part III.)

An organization organized and operated exclusively to test for public safety. See section 509(a)(4).

An organization organized and operated exclusively for the benefit of, to perform the functions of, or to carry out the purposes of one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2). See section 509(a)(3). Check the box in lines 11a through 11d that describes the type of supporting organization and complete lines 11e, 11f, and 11g.

Type I. A supporting organization operated, supervised, or controlled by its supported organization(s), typically by giving the supported organization(s) the power to regularly appoint or elect a majority of the directors or trustees of the supporting organization. You must complete Part IV, Sections A and B.

Type II. A supporting organization supervised or controlled in connection with its supported organization(s), by having control or management of the supporting organization vested in the same persons that control or manage the supported organization(s). You must complete Part IV, Sections A and C.

Type III functionally integrated. A supporting organization operated in connection with, and functionally integrated with, its supported organization(s) (see instructions). You must complete Part IV, Sections A, D, and E.

Type III non-functionally integrated. A supporting organization operated in connection with its supported organization(s) that is not functionally integrated. The organization generally must satisfy a distribution requirement and an attentiveness requirement (see instructions). You must complete Part IV, Sections A and D, and Part V.

Check this box if the organization received a written determination from the IRS that it is a Type I, Type II, Type III functionally integrated, or Type III non-functionally integrated supporting organization.

Enter the number of supported organizations ..............

Provide the following information about the supported organization(s).

(i)Name of supported organization	(ii) EIN	(iv) Is the organization listed in your governing document?		(v) Amount of monetary support (see instructions)	(vi) Amount of other support (see instructions)
(i)Name of supported organization	(ii) EIN	Yes	No	(v) Amount of monetary support (see instructions)	(vi) Amount of other support (see instructions)


Total

For Paperwork Reduction Act Notice, see the Instructions for
Form 990 or 990-EZ.

Cat. No. 11285F

Schedule A (Form 990 or 990-EZ) 2015

Page 2

Part II

Support Schedule for Organizations Described in Sections 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi)
(Complete only if you checked the box on line 5, 7, or 8 of Part I or if the organization failed to qualify under Part III. If the organization fails to qualify under the tests listed below, please complete Part III.)

Section A. Public Support

Calendar year (or fiscal year beginning in)		(a) 2011	(b) 2012	(c) 2013	(d) 2014	(e) 2015	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any unusual grants.) ....
2	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf.......
3	The value of services or facilities furnished by a governmental unit to the organization without charge..
4	Total. Add lines 1 through 3
5	The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f)..
6	Public support. Subtract line 5 from line 4.

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2011	(b) 2012	(c) 2013	(d) 2014	(e) 2015	(f) Total
7	Amounts from line 4..
8	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources...
9	Net income from unrelated business activities, whether or not the business is regularly carried on..
10	Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.)..
11	Total support. Add lines 7 through 10.

Gross receipts from related activities, etc. (see instructions) ..................

First five years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization, check this box and stop here........................................ right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2015 (line 6, column (f) divided by line 11, column (f)) .........

Public support percentage for 2014 Schedule A, Part II, line 14 ...............

16a

33 1/3% support test—2015. If the organization did not check the box on line 13, and line 14 is 33 1/3% or more, check this box
and stop here. The organization qualifies as a publicly supported organization ....................... right arrow

33 1/3% support test—2014. If the organization did not check a box on line 13 or 16a, and line 15 is 33 1/3% or more, check this
box and stop here. The organization qualifies as a publicly supported organization ..................... right arrow

17a

10%-facts-and-circumstances test—2015. If the organization did not check a box on line 13, 16a, or 16b, and line 14
is 10% or more, and if the organization meets the facts-and-circumstances test, check this box and stop here. Explain
in Part VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported
organization ..................................................... right arrow

10%-facts-and-circumstances test—2014. If the organization did not check a box on line 13, 16a, 16b, or 17a, and line
15 is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here.
Explain in Part VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly
supported organization ................................................ right arrow

Private foundation. If the organization did not check a box on line 13, 16a, 16b, 17a, or 17b, check this box and see
instructions ..................................................... right arrow

Schedule A (Form 990 or 990-EZ) 2015

Page 3

Part III

Support Schedule for Organizations Described in Section 509(a)(2)
(Complete only if you checked the box on line 9 of Part I or if the organization failed to qualify under Part II. If the organization fails to qualify under the tests listed below, please complete Part II.)

Section A. Public Support

Calendar year (or fiscal year beginning in)		(a) 2011	(b) 2012	(c) 2013	(d) 2014	(e) 2015	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .
2	Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose......
3	Gross receipts from activities that are not an unrelated trade or business under section 513...
4	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...
5	The value of services or facilities furnished by a governmental unit to the organization without charge..
6	Total. Add lines 1 through 5.
7a	Amounts included on lines 1, 2, and 3 received from disqualified persons...
b	Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year.
c	Add lines 7a and 7b..
8	Public support. (Subtract line 7c from line 6.)

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2011	(b) 2012	(c) 2013	(d) 2014	(e) 2015	(f) Total
9	Amounts from line 6...
10a	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
b	Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.
c	Add lines 10a and 10b.
11	Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on.
12	Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.) ..
13	Total support. (Add lines 9, 10c, 11, and 12.)..

First five years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization,
check this box and stop here............................................. right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2015 (line 8, column (f) divided by line 13, column (f)) .........

Public support percentage from 2014 Schedule A, Part III, line 15 ...............

Section D. Computation of Investment Income Percentage

Investment income percentage for 2015 (line 10c, column (f) divided by line 13, column (f)) ......

Investment income percentage from 2014 Schedule A, Part III, line 17 .............

19a

331/3% support tests—2015. If the organization did not check the box on line 14, and line 15 is more than 33 1/3%, and line 17 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization ....... right arrow

33 1/3% support tests—2014. If the organization did not check a box on line 14 or line 19a, and line 16 is more than 33 1/3% and line 18 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization .... right arrow

Private foundation. If the organization did not check a box on line 14, 19a, or 19b, check this box and see instructions .... right arrow

Schedule A (Form 990 or 990-EZ) 2015

Page 4

Part IV

Supporting Organizations

(Complete only if you checked a box on line 11 of Part I. If you checked 11a of Part I, complete Sections A and B. If you checked 11b of Part I, complete Sections A and C. If you checked 11c of Part I, complete Sections A, D, and E. If you checked 11d of Part I, complete Sections A and D, and complete Part V.)

Section A. All Supporting Organizations

Yes

Are all of the organization’s supported organizations listed by name in the organization’s governing documents?
If "No," describe in Part VI how the supported organizations are designated. If designated by class or purpose,
describe the designation. If historic and continuing relationship, explain.

Did the organization have any supported organization that does not have an IRS determination of status under section 509(a)(1) or (2)? If "Yes," explain in Part VI how the organization determined that the supported organization was described in section 509(a)(1) or (2).

Did the organization have a supported organization described in section 501(c)(4), (5), or (6)? If "Yes," answer (b) and (c) below.

Did the organization confirm that each supported organization qualified under section 501(c)(4), (5), or (6) and satisfied the public support tests under section 509(a)(2)? If "Yes," describe in Part VI when and how the organization made the determination.

Did the organization ensure that all support to such organizations was used exclusively for section 170(c)(2)(B) purposes? If "Yes," explain in Part VI what controls the organization put in place to ensure such use.

Was any supported organization not organized in the United States ("foreign supported organization")? If “Yes” and if you checked 11a or 11b in Part I, answer (b) and (c) below.

Did the organization have ultimate control and discretion in deciding whether to make grants to the foreign supported organization? If “Yes,” describe in Part VI how the organization had such control and discretion despite being controlled or supervised by or in connection with its supported organizations.

Did the organization support any foreign supported organization that does not have an IRS determination under sections 501(c)(3) and 509(a)(1) or (2)? If “Yes,” explain in Part VI what controls the organization used to ensure that all support to the foreign supported organization was used exclusively for section 170(c)(2)(B) purposes.

Did the organization add, substitute, or remove any supported organizations during the tax year? If “Yes,” answer (b) and (c) below (if applicable). Also, provide detail in Part VI, including (i) the names and EIN numbers of the supported organizations added, substituted, or removed; (ii) the reasons for each such action; (iii) the authority under the organization's organizing document authorizing such action; and (iv) how the action was accomplished (such as by amendment to the organizing document).

Type I or Type II only. Was any added or substituted supported organization part of a class already designated in the organization's organizing document?

Substitutions only. Was the substitution the result of an event beyond the organization's control?

Did the organization provide support (whether in the form of grants or the provision of services or facilities) to anyone other than (i) its supported organizations, (ii) individuals that are part of the charitable class benefited by one or more of its supported organizations, or (iii) other supporting organizations that also support or benefit one or more of the filing organization’s supported organizations? If “Yes,” provide detail in Part VI.

Did the organization provide a grant, loan, compensation, or other similar payment to a substantial contributor (defined in section 4958(c)(3)(C)), a family member of a substantial contributor, or a 35% controlled entity with regard to a substantial contributor? If “Yes,” complete Part I of Schedule L (Form 990 or 990-EZ) .

Did the organization make a loan to a disqualified person (as defined in section 4958) not described in line 7? If “Yes,” complete Part I of Schedule L (Form 990 or 990-EZ).

Was the organization controlled directly or indirectly at any time during the tax year by one or more disqualified persons as defined in section 4946 (other than foundation managers and organizations described in section 509(a)(1) or (2))? If “Yes,” provide detail in Part VI.

Did one or more disqualified persons (as defined in line 9a) hold a controlling interest in any entity in which the supporting organization had an interest? If “Yes,” provide detail in Part VI.

Did a disqualified person (as defined in line 9a) have an ownership interest in, or derive any personal benefit from, assets in which the supporting organization also had an interest? If “Yes,” provide detail in Part VI.

10a

Was the organization subject to the excess business holdings rules of section 4943 because of section 4943(f) (regarding certain Type II supporting organizations, and all Type III non-functionally integrated supporting organizations)? If “Yes,” answer line 10b below.

10a

Did the organization have any excess business holdings in the tax year? (Use Schedule C, Form 4720, to determine whether the organization had excess business holdings).

10b

Schedule A (Form 990 or 990-EZ) 2015

Page 5

Part IV

Supporting Organizations (continued)

Yes

Has the organization accepted a gift or contribution from any of the following persons?

A person who directly or indirectly controls, either alone or together with persons described in (b) and (c) below, the governing body of a supported organization?

11a

A family member of a person described in (a) above?

11b

A 35% controlled entity of a person described in (a) or (b) above? If “Yes” to a, b, or c, provide detail in Part VI.

11c

Section B. Type I Supporting Organizations

Yes

Did the directors, trustees, or membership of one or more supported organizations have the power to regularly appoint or elect at least a majority of the organization’s directors or trustees at all times during the tax year? If “No,” describe in Part VI how the supported organization(s) effectively operated, supervised, or controlled the organization’s activities. If the organization had more than one supported organization, describe how the powers to appoint and/or remove directors or trustees were allocated among the supported organizations and what conditions or restrictions, if any, applied to such powers during the tax year.

Did the organization operate for the benefit of any supported organization other than the supported organization(s) that operated, supervised, or controlled the supporting organization? If “Yes,” explain in Part VI how providing such benefit carried out the purposes of the supported organization(s) that operated, supervised or controlled the supporting organization.

Section C. Type II Supporting Organizations

Yes

Were a majority of the organization’s directors or trustees during the tax year also a majority of the directors or trustees of each of the organization’s supported organization(s)? If “No,” describe in Part VI how control or management of the supporting organization was vested in the same persons that controlled or managed the supported organization(s).

Section D. All Type III Supporting Organizations

Yes

Did the organization provide to each of its supported organizations, by the last day of the fifth month of the organization’s tax year, (i) a written notice describing the type and amount of support provided during the prior tax year, (ii) a copy of the Form 990 that was most recently filed as of the date of notification, and (iii) copies of the organization’s governing documents in effect on the date of notification, to the extent not previously provided?

Were any of the organization’s officers, directors, or trustees either (i) appointed or elected by the supported organization(s) or (ii) serving on the governing body of a supported organization? If "No," explain in Part VI how the organization maintained a close and continuous working relationship with the supported organization(s).

By reason of the relationship described in (2), did the organization’s supported organizations have a significant voice in the organization’s investment policies and in directing the use of the organization’s income or assets at all times during the tax year? If "Yes," describe in Part VI the role the organization’s supported organizations played in this regard.

Section E. Type III Functionally-Integrated Supporting Organizations

Check the box next to the method that the organization used to satisfy the Integral Part Test during the year (see instructions):

The organization satisfied the Activities Test. Complete line 2 below.

The organization is the parent of each of its supported organizations. Complete line 3 below.

The organization supported a governmental entity. Describe in Part VI how you supported a government entity (see instructions)

Activities Test. Answer (a) and (b) below.

Yes

Did substantially all of the organization’s activities during the tax year directly further the exempt purposes of the supported organization(s) to which the organization was responsive? If "Yes," then in Part VI identify those supported organizations and explain how these activities directly furthered their exempt purposes, how the organization was responsive to those supported organizations, and how the organization determined that these activities constituted substantially all of its activities.

Did the activities described in (a) constitute activities that, but for the organization’s involvement, one or more of the organization’s supported organization(s) would have been engaged in? If "Yes," explain in Part VI the reasons for the organization’s position that its supported organization(s) would have engaged in these activities but for the organization’s involvement.

Parent of Supported Organizations. Answer (a) and (b) below.

Did the organization have the power to regularly appoint or elect a majority of the officers, directors, or trustees of each of the supported organizations? Provide details in Part VI.

Did the organization exercise a substantial degree of direction over the policies, programs and activities of each of its supported organizations? If "Yes," describe in Part VI. the role played by the organization in this regard.

Schedule A (Form 990 or 990-EZ) 2015

Page 6

Part V

Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations

Check here if the organization satisfied the Integral Part Test as a qualifying trust on Nov. 20, 1970. See instructions. All other Type III non-functionally integrated supporting organizations must complete Sections A through E.

	Section A - Adjusted Net Income		(A) Prior Year	(B) Current Year (optional)
1	Net short-term capital gain	1
2	Recoveries of prior-year distributions	2
3	Other gross income (see instructions)	3
4	Add lines 1 through 3	4
5	Depreciation and depletion	5
6	Portion of operating expenses paid or incurred for production or collection of gross income or for management, conservation, or maintenance of property held for production of income (see instructions)	6
7	Other expenses (see instructions)	7
8	Adjusted Net Income (subtract lines 5, 6 and 7 from line 4)	8

	Section B - Minimum Asset Amount		(A) Prior Year	(B) Current Year (optional)
1	Aggregate fair market value of all non-exempt-use assets (see instructions for short tax year or assets held for part of year):	1
a	Average monthly value of securities	1a
b	Average monthly cash balances	1b
c	Fair market value of other non-exempt-use assets	1c
d	Total (add lines 1a, 1b, and 1c)	1d
e	Discount claimed for blockage or other factors (explain in detail in Part VI):
2	Acquisition indebtedness applicable to non-exempt use assets	2
3	Subtract line 2 from line 1d	3
4	Cash deemed held for exempt use. Enter 1-1/2% of line 3 (for greater amount, see instructions).	4
5	Net value of non-exempt-use assets (subtract line 4 from line 3)	5
6	Multiply line 5 by .035	6
7	Recoveries of prior-year distributions	7
8	Minimum Asset Amount (add line 7 to line 6)	8

	Section C - Distributable Amount		Current Year
1	Adjusted net income for prior year (from Section A, line 8, Column A)	1
2	Enter 85% of line 1	2
3	Minimum asset amount for prior year (from Section B, line 8, Column A)	3
4	Enter greater of line 2 or line 3	4
5	Income tax imposed in prior year	5
6	Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions)	6

Check here if the current year is the organization's first as a non-functionally-integrated Type III supporting organization (see instructions)

Schedule A (Form 990 or 990-EZ) 2015

Page 7

Part V

Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations (continued)

Section D - Distributions		Current Year
1 Amounts paid to supported organizations to accomplish exempt purposes
2 Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in excess of income from activity
3 Administrative expenses paid to accomplish exempt purposes of supported organizations
4 Amounts paid to acquire exempt-use assets
5 Qualified set-aside amounts (prior IRS approval required)
6 Other distributions (describe in Part VI). See instructions
7Total annual distributions. Add lines 1 through 6.
8 Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI). See instructions
9 Distributable amount for 2015 from Section C, line 6
10 Line 8 amount divided by Line 9 amount

Section E - Distribution Allocations (see instructions)		(i) Excess Distributions	(ii) Underdistributions Pre-2015	(iii) Distributable Amount for 2015
1 Distributable amount for 2015 from Section C, line 6
2 Underdistributions, if any, for years prior to 2015 (reasonable cause required--see instructions)
3 Excess distributions carryover, if any, to 2015:
a
b
c
d From 2013.......
e From 2014.......
fTotal of lines 3a through e
g Applied to underdistributions of prior years
h Applied to 2015 distributable amount
i Carryover from 2010 not applied (see instructions)
j Remainder. Subtract lines 3g, 3h, and 3i from 3f.
4Distributions for 2015 from Section D, line 7:
$
a Applied to underdistributions of prior years
b Applied to 2015 distributable amount
c Remainder. Subtract lines 4a and 4b from 4.
5 Remaining underdistributions for years prior to 2015, if any. Subtract lines 3g and 4a from line 2 (if amount greater than zero, see instructions)
6 Remaining underdistributions for 2015. Subtract lines 3h and 4b from line 1 (if amount greater than zero, see instructions)
7 Excess distributions carryover to 2016. Add lines 3j and 4c.
8 Breakdown of line 7:
a
b
c Excess from 2013.......
d From 2014.......
e From 2015.......

Schedule A (Form 990 or 990-EZ) (2015)

Schedule A (Form 990 or 990-EZ) 2015

Page 8

Part VI

Supplemental Information. Provide the explanations required by Part II, line 10; Part II, line 17a or 17b; Part III, line 12; Part IV, Section A, lines 1, 2, 3b, 3c, 4b, 4c, 5a, 6, 9a, 9b, 9c, 11a, 11b, and 11c; Part IV, Section B, lines 1 and 2; Part IV, Section C, line 1; Part IV, Section D, lines 2 and 3; Part IV, Section E, lines 1c, 2a, 2b, 3a and 3b; Part V, line 1; Part V, Section B, line 1e; Part V Section D, lines 5, 6, and 8; and Part V, Section E, lines 2, 5, and 6. Also complete this part for any additional information. (See instructions).

Facts And Circumstances Test

Return Reference	Explanation

Schedule A (Form 990 or 990-EZ) 2015

Additional Data

Software ID:
Software Version:

- TIN:

Schedule B
(Form 990, 990-EZ,
or 990-PF)

Department of the Treasury
Internal Revenue Service

Schedule of Contributors

Attach to Form 990, 990-EZ, or 990-PF.

Information about Schedule B (Form 990, 990-EZ, or 990-PF) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2015

Name of the organization

ADVENTIST HEALTHCARE INC

Employer identification number

52-1532556

Organization type (check one):

Filers of:

Section:

Form 990 or 990-EZ

501(c)( ) (enter number) organization

4947(a)(1) nonexempt charitable trust not treated as a private foundation

527 political organization

Form 990-PF

501(c)(3) exempt private foundation

4947(a)(1) nonexempt charitable trust treated as a private foundation

501(c)(3) taxable private foundation

Check if your organization is covered by the General Rule or a Special Rule.
Note. Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions.

General Rule

For an organization filing Form 990, 990-EZ, or 990-PF that received, during the year, contributions totaling $5,000 or more (in money or other property) from any one contributor. Complete Parts I and II. See instructions for determining a contributor's total contributions.

Special Rules

For an organization described in section 501(c)(3) filing Form 990 or 990-EZ that met the 33¹/3% support test of the regulations
under sections 509(a)(1) and 170(b)(1)(A)(vi), that checked Schedule A (Form 990 or 990-EZ), Part II, line 13, 16a, or 16b, and that received from any one contributor, during the year, total contributions of the greater of (1) $5,000 or (2) 2% of the amount on (i) Form 990, Part VIII, line 1h, or (ii) Form 990-EZ, line 1. Complete Parts I and II.

For an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor,
during the year, total contributions of more than $1,000 exclusively for religious, charitable, scientific, literary, or educational purposes, or for the prevention of cruelty to children or animals. Complete Parts I, II, and III.

For an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor,
during the year, contributions exclusively for religious, charitable, etc., purposes, but no such contributions totaled more than $1,000. If this box is checked, enter here the total contributions that were received during the year for an exclusively religious, charitable, etc., purpose. Do not complete any of the parts unless the General Rule applies to this organization because it received nonexclusively religious, charitable, etc., contributions totaling $5,000 or more during the year ......... Arrow Bullet

Caution. An organization that is not covered by the General Rule and/or the Special Rules does not file Schedule B (Form 990,
990-EZ, or 990-PF), but it must answer “No” on Part IV, line 2, of its Form 990; or check the box on line H of its
Form 990-EZ or on its Form 990PF, Part I, line 2, to certify that it does not meet the filing requirements of Schedule B (Form 990,
990-EZ, or 990-PF).

For Paperwork Reduction Act Notice, see the Instructions
for Form 990, 990-EZ, or 990-PF.

Cat. No. 30613XSchedule B (Form 990, 990-EZ, or 990-PF) (2015)

Schedule B (Form 990, 990-EZ, or 990-PF) (2015) Page 2

Name of organization ADVENTIST HEALTHCARE INC

Part I	Contributors (see instructions). Use duplicate copies of Part I if additional space is needed.
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
RESTRICTED	,	$ RESTRICTED	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
Schedule B (Form 990, 990-EZ, or 990-PF) (2015)

Schedule B (Form 990, 990-EZ, or 990-PF) (2015)

Page 3

Name of organization ADVENTIST HEALTHCARE INC		Employer identification number 52-1532556

Part II	Noncash Property (see instructions). Use duplicate copies of Part II if additional space is needed.
(a) No.from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No.from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No.from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No.from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No.from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No.from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
Schedule B (Form 990, 990-EZ, or 990-PF) (2015)

Schedule B (Form 990, 990-EZ, or 990-PF) (2015)

Page 4


Name of organization ADVENTIST HEALTHCARE INC			Employer identification number 52-1532556
Part III Exclusively religious, charitable, etc., contributions to organizations described in section 501(c)(7), (8), or (10) that total more than $1,000 for the year from any one contributor. Complete columns (a) through (e) and the following line entry. For organizations completing Part III, enter the total of exclusively religious, charitable, etc., contributions of $1,000 or less for the year. (Enter this information once. See instructions.) $ Use duplicate copies of Part III if additional space is needed.

(a)
No.from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a)
No.from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a)
No.from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a)
No.from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

Schedule B (Form 990, 990-EZ, or 990-PF) (2015)

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE C
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Political Campaign and Lobbying Activities

For Organizations Exempt From Income Tax Under section 501(c) and section 527
SchCMd Bullet

Complete if the organization is described below. SchCMd Bullet

Attach to Form 990 or Form 990-EZ.
SchCMd Bullet

Information about Schedule C (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2015

Open to Public
Inspection

If the organization answered "Yes" on Form 990, Part IV, Line 3, or Form 990-EZ, Part V, line 46 (Political Campaign Activities), then
Round Bullet

Section 501(c)(3) organizations: Complete Parts I-A and B. Do not complete Part I-C.
Round Bullet

Section 501(c) (other than section 501(c)(3)) organizations: Complete Parts I-A and C below. Do not complete Part I-B.
Round Bullet

Section 527 organizations: Complete Part I-A only.
If the organization answered "Yes" on Form 990, Part IV, Line 4, or Form 990-EZ, Part VI, line 47 (Lobbying Activities), then
Round Bullet

Section 501(c)(3) organizations that have filed Form 5768 (election under section 501(h)): Complete Part II-A. Do not complete Part II-B.
Round Bullet

Section 501(c)(3) organizations that have NOT filed Form 5768 (election under section 501(h)): Complete Part II-B. Do not complete Part II-A.
If the organization answered "Yes" on Form 990, Part IV, Line 5 (Proxy Tax) (see separate instructions) or Form 990-EZ, Part V, line 35c (Proxy Tax) (see separate instructions), then
Round Bullet

Section 501(c)(4), (5), or (6) organizations: Complete Part III.

Name of the organization

ADVENTIST HEALTHCARE INC

Employer identification number

52-1532556

Part I-A

Complete if the organization is exempt under section 501(c) or is a section 527 organization.

Provide a description of the organization’s direct and indirect political campaign activities in Part IV.

Political expenditures ...................................................................................................................... SchCMd Bullet

Volunteer hours .............................................................................................................................

Part I-B

Complete if the organization is exempt under section 501(c)(3).

Enter the amount of any excise tax incurred by the organization under section 4955 ................................ SchCMd Bullet

Enter the amount of any excise tax incurred by organization managers under section 4955 ....................... SchCMd Bullet

If the organization incurred a section 4955 tax, did it file Form 4720 for this year? .........................................

Yes No

Was a correction made? ......................................................................................................................

Yes No

If "Yes," describe in Part IV.

Part I-C

Complete if the organization is exempt under section 501(c), except section 501(c)(3).

Enter the amount directly expended by the filing organization for section 527 exempt function activities ..... SchCMd Bullet

Enter the amount of the filing organization's funds contributed to other organizations for section 527 exempt function activities ............................................................................................................................ SchCMd Bullet

Total exempt function expenditures. Add lines 1 and 2. Enter here and on Form 1120-POL, line 17b........... SchCMd Bullet

Did the filing organization file Form 1120-POL for this year? ...................................................................

Yes No

Enter the names, addresses and employer identification number (EIN) of all section 527 political organizations to which the filing
organization made payments. For each organization listed, enter the amount paid from the filing organization’s funds. Also enter the amount of political contributions received that were promptly and directly delivered to a separate political organization, such as a separate segregated fund or a political action committee (PAC). If additional space is needed, provide information in Part IV.

(a) Name	(b) Address	(c) EIN	(d) Amount paid from filing organization's funds. If none, enter -0-.	(e) Amount of political contributions received and promptly and directly delivered to a separate political organization. If none, enter -0-.
1
2
3
4
5
6

For Paperwork Reduction Act Notice, see the instructions for Form 990 or 990-EZ.

Cat. No. 50084S

Schedule C (Form 990 or 990-EZ) 2015

Page 2

Part II-A

Complete if the organization is exempt under section 501(c)(3) and filed Form 5768 (election under section 501(h)).

A Check SchCMd Bullet

if the filing organization belongs to an affiliated group (and list in Part IV each affiliated group member's name, address, EIN, expenses, and share of excess lobbying expenditures).
B Check SchCMd Bullet

if the filing organization checked box A and "limited control" provisions apply.

Limits on Lobbying Expenditures (The term "expenditures" means amounts paid or incurred.)		(b) Affiliated group totals
1a	Total lobbying expenditures to influence public opinion (grass roots lobbying) ...............................................
b	Total lobbying expenditures to influence a legislative body (direct lobbying) ...........................................
c	Total lobbying expenditures (add lines 1a and 1b) .......................................................................
d	Other exempt purpose expenditures .........................................................................................
e	Total exempt purpose expenditures (add lines 1c and 1d) ....................................................................
f	Lobbying nontaxable amount. Enter the amount from the following table in both columns.
	If the amount on line 1e, column (a) or (b) is:The lobbying nontaxable amount is:
	Not over $500,00020% of the amount on line 1e.
	Over $500,000 but not over $1,000,000$100,000 plus 15% of the excess over $500,000.
	Over $1,000,000 but not over $1,500,000$175,000 plus 10% of the excess over $1,000,000.
	Over $1,500,000 but not over $17,000,000$225,000 plus 5% of the excess over $1,500,000.
	Over $17,000,000$1,000,000.

g	Grassroots nontaxable amount (enter 25% of line 1f) ..........................................................................
h	Subtract line 1g from line 1a. If zero or less, enter -0-. ..........................................................................
i	Subtract line 1f from line 1c. If zero or less, enter -0-. ...........................................................................
j	If there is an amount other than zero on either line 1h or line 1i, did the organization file Form 4720 reporting section 4911 tax for this year? ..............................................................................................................	Yes No

4-Year Averaging Period Under section 501(h) (Some organizations that made a section 501(h) election do not have to complete all of the five columns below. See the separate instructions for lines 2a through 2f.)
Lobbying Expenditures During 4-Year Averaging Period
	Calendar year (or fiscal year beginning in)	(a) 2012	(b) 2013	(c) 2014	(d) 2015	(e) Total

2a	Lobbying nontaxable amount

b	Lobbying ceiling amount (150% of line 2a, column(e))

c	Total lobbying expenditures

d	Grassroots nontaxable amount

e	Grassroots ceiling amount (150% of line 2d, column (e))

f	Grassroots lobbying expenditures

Schedule C (Form 990 or 990-EZ) 2015

Page 3

Part II-B

Complete if the organization is exempt under section 501(c)(3) and has NOT filed Form 5768 (election under section 501(h)).

For each "Yes" response on lines 1a through 1i below, provide in Part IV a detailed description of the lobbying activity.

(a)

Yes

(b)

Amount

During the year, did the filing organization attempt to influence foreign, national, state or local legislation, including any attempt to influence public opinion on a legislative matter or referendum, through the use of:

Volunteers? ...........................................................................................................

Paid staff or management (include compensation in expenses reported on lines 1c through 1i)? ........

Yes

Media advertisements? ...................................................................................................

Mailings to members, legislators, or the public? .............................................................................

Publications, or published or broadcast statements? ...........................................................

Grants to other organizations for lobbying purposes? ..........................................................

Direct contact with legislators, their staffs, government officials, or a legislative body? .......................

Yes

154,291

Rallies, demonstrations, seminars, conventions, speeches, lectures, or any similar means? ..................

Other activities? ...................................................................................................................

Total. Add lines 1c through 1i ....................................................................................................

154,291

Did the activities in line 1 cause the organization to be not described in section 501(c)(3)? .....

If "Yes," enter the amount of any tax incurred under section 4912 ...........................................

If "Yes," enter the amount of any tax incurred by organization managers under section 4912 ...................

If the filing organization incurred a section 4912 tax, did it file Form 4720 for this year? ........................

Part III-A

Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6).

Yes

Were substantially all (90% or more) dues received nondeductible by members? ...............................................

Did the organization make only in-house lobbying expenditures of $2,000 or less? ............................................

Did the organization agree to carry over lobbying and political expenditures from the prior year? .................................

Part III-B

Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6) and if either (a) BOTH Part III-A, lines 1 and 2, are answered "No" OR (b) Part III-A, line 3, is answered “Yes."

Dues, assessments and similar amounts from members ......................................................................

Section 162(e) nondeductible lobbying and political expenditures (do not include amounts of political expenses for which the section 527(f) tax was paid).

Current year .............................................................................................................................

Carryover from last year ............................................................................................................

Total ...........................................................................................................................................

Aggregate amount reported in section 6033(e)(1)(A) notices of nondeductible section 162(e) dues .

If notices were sent and the amount on line 2c exceeds the amount on line 3, what portion of the excess does the organization agree to carryover to the reasonable estimate of nondeductible lobbying and political expenditure next year? ......................................................................................................................

Taxable amount of lobbying and political expenditures (see instructions) .........................................

Part IV

Supplemental Information

Provide the descriptions required for Part l-A, line 1; Part l-B, line 4; Part l-C, line 5; Part II-A (affiliated group list); Part II-A, lines 1 and 2 (see instructions), and Part ll-B, line 1. Also, complete this part for any additional information.

Return Reference	Explanation
PART II-B, LINE 1:	IN 2015, ADVENTIST HEALTHCARE, INC. WAS ENGAGED IN LOBBYING ACTIVITIES AT THE LOCAL, STATE AND FEDERAL LEVEL. ACTIVITIES INCLUDED DISCUSSIONS WITH MONTGOMERY COUNTY AND PRINCE GEORGE'S COUNTY OFFICIALS ABOUT VARIOUS REGIONAL HEALTH CARE MATTERS, PARTICULARLY INVOLVING THE LOCAL HEALTH CARE SAFETY NET AND ISSUES OF ACCESS TO CARE. CONTACT WITH LEGISLATORS AND LOBBYING ON ISSUES AT THE STATE LEVEL ALSO TOOK PLACE, PARTICULARLY AROUND ISSUES OF PUBLIC HEALTH AND ACCESS TO HEALTH CARE SERVICES. AT THE FEDERAL LEVEL, ADVENTIST HEALTHCARE WAS ENGAGED IN MONITORING LEGISLATIVE AND EXECUTIVE ACTION RELATED TO MEDICARE, MEDICAID, FEDERAL HEALTH REFORM, MENTAL HEALTH POLICY, HEALTHCARE REIMBURSEMENT AND ACCESS TO CARE.

Return Reference

Explanation

PART II-B, LINE 1:

IN 2015, ADVENTIST HEALTHCARE, INC. WAS ENGAGED IN LOBBYING ACTIVITIES AT THE LOCAL, STATE AND FEDERAL LEVEL. ACTIVITIES INCLUDED DISCUSSIONS WITH MONTGOMERY COUNTY AND PRINCE GEORGE'S COUNTY OFFICIALS ABOUT VARIOUS REGIONAL HEALTH CARE MATTERS, PARTICULARLY INVOLVING THE LOCAL HEALTH CARE SAFETY NET AND ISSUES OF ACCESS TO CARE. CONTACT WITH LEGISLATORS AND LOBBYING ON ISSUES AT THE STATE LEVEL ALSO TOOK PLACE, PARTICULARLY AROUND ISSUES OF PUBLIC HEALTH AND ACCESS TO HEALTH CARE SERVICES. AT THE FEDERAL LEVEL, ADVENTIST HEALTHCARE WAS ENGAGED IN MONITORING LEGISLATIVE AND EXECUTIVE ACTION RELATED TO MEDICARE, MEDICAID, FEDERAL HEALTH REFORM, MENTAL HEALTH POLICY, HEALTHCARE REIMBURSEMENT AND ACCESS TO CARE.

Schedule C (Form 990 or 990EZ) 2015

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE D
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Financial Statements

Complete if the organization answered "Yes," on Form 990,
Part IV, line 6, 7, 8, 9, 10, 11a, 11b, 11c, 11d, 11e, 11f, 12a, or 12b.
SchDMd Bullet

Attach to Form 990.
Information about Schedule D (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2015

Open to Public Inspection

Name of the organization

ADVENTIST HEALTHCARE INC

Employer identification number

52-1532556

Part I

Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if the organization answered "Yes" on Form 990, Part IV, line 6.

			(a) Donor advised funds	(b) Funds and other accounts

1	Total number at end of year ....
2	Aggregate value of contributions to (during year)
3	Aggregate value of grants from (during year)
4	Aggregate value at end of year ....

Did the organization inform all donors and donor advisors in writing that the assets held in donor advised
funds are the organization's property, subject to the organization's exclusive legal control? ...........

Yes No

Did the organization inform all grantees, donors, and donor advisors in writing that grant funds can be
used only for charitable purposes and not for the benefit of the donor or donor advisor, or for any other purpose conferring impermissible private benefit? ............................

Yes No

Part II

Conservation Easements. Complete if the organization answered "Yes" on Form 990, Part IV, line 7.

Purpose(s) of conservation easements held by the organization (check all that apply).

Preservation of land for public use (e.g., recreation or education) Preservation of an historically important land area

Protection of natural habitat Preservation of a certified historic structure

Preservation of open space

Complete lines 2a through 2d if the organization held a qualified conservation contribution in the form of a conservation easement on the last day of the tax year.


a	Total number of conservation easements ......................	2a
b	Total acreage restricted by conservation easements ....................	2b
c	Number of conservation easements on a certified historic structure included in (a) .....	2c
d	Number of conservation easements included in (c) acquired after 8/17/06, and not on a historic structure listed in the National Register ...	2d

Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during the
tax year SchDMd Bullet

Number of states where property subject to conservation easement is located SchDMd Bullet

Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and enforcement of the conservation easements it holds? ............

Yes No

Staff and volunteer hours devoted to monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
SchDMd Bullet

Amount of expenses incurred in monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
SchDMd Bullet

Does each conservation easement reported on line 2(d) above satisfy the requirements of section 170(h)(4)(B)(i) and section 170(h)(4)(B)(ii)? .............................

Yes No

In Part XIII, describe how the organization reports conservation easements in its revenue and expense statement, and
balance sheet, and include, if applicable, the text of the footnote to the organization’s financial statements that describes
the organization’s accounting for conservation easements.

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets.
Complete if the organization answered "Yes" on Form 990, Part IV, line 8.

If the organization elected, as permitted under SFAS 116 (ASC 958), not to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide, in Part XIII, the text of the footnote to its financial statements that describes these items.

If the organization elected, as permitted under SFAS 116 (ASC 958), to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide the following amounts relating to these items:

(i)

Revenue included on Form 990, Part VIII, line 1 ......................... SchDMd Bullet

(ii)

Assets included in Form 990, Part X ............................... SchDMd Bullet

If the organization received or held works of art, historical treasures, or other similar assets for financial gain, provide the
following amounts required to be reported under SFAS 116 (ASC 958) relating to these items:

Revenue included on Form 990, Part VIII, line 1 .......................... SchDMd Bullet

Assets included in Form 990, Part X ............................... SchDMd Bullet

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 52283D

Schedule D (Form 990) 2015

Page 2

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)

Using the organization’s acquisition, accession, and other records, check any of the following that are a significant use of its collection items (check all that apply):

Public exhibition

Loan or exchange programs

Scholarly research

Other

Preservation for future generations

Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIII.

During the year, did the organization solicit or receive donations of art, historical treasures or other similar
assets to be sold to raise funds rather than to be maintained as part of the organization’s collection?...

Yes No

Part IV

Escrow and Custodial Arrangements. Complete if the organization answered "Yes" on Form 990, Part IV, line 9, or reported an amount on Form 990, Part X, line 21.

Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................

Yes No


b	If "Yes," explain the arrangement in Part XIII and complete the following table:		Amount
c	Beginning balance .............................	1c
d	Additions during the year ............................	1d
e	Distributions during the year ..........................	1e
f	Ending balance ................................	1f

Did the organization include an amount on Form 990, Part X, line 21, for escrow or custodial account liability?

Yes No

If "Yes," explain the arrangement in Part XIII. Check here if the explanation has been provided in Part XIII ........

Part V

Endowment Funds. Complete if the organization answered "Yes" on Form 990, Part IV, line 10.

		(a)Current year	(b)Prior year	(c)Two years back	(d)Three years back	(e)Four years back

1a	Beginning of year balance ....
b	Contributions ...
c	Net investment earnings, gains, and losses
d	Grants or scholarships ...
e	Other expenditures for facilities and programs ...
f	Administrative expenses ....
g	End of year balance ......

Provide the estimated percentage of the current year end balance (line 1g, column (a)) held as:

Board designated or quasi-endowment SchDMd Bullet

Permanent endowment SchDMd Bullet

Temporarily restricted endowment SchDMd Bullet

The percentages on lines 2a, 2b, and 2c should equal 100%.

Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes

(i) unrelated organizations .................

3a(i)

(ii) related organizations .................

3a(ii)

If "Yes" on 3a(ii), are the related organizations listed as required on Schedule R? .........

Describe in Part XIII the intended uses of the organization's endowment funds.

Part VI

Land, Buildings, and Equipment.
Complete if the organization answered 'Yes' on Form 990, Part IV, line 11a. See Form 990, Part X, line 10.

Description of property		(a) Cost or other basis (investment)	(b)Cost or other basis (other)	(c) Accumulated depreciation	(d) Book value

1a	Land ...	8,162,408		8,162,408
b	Buildings	362,680,002	216,595,798	146,084,204
c	Leasehold improvements	39,719,027	21,962,095	17,756,932
d	Equipment ...	307,736,120	159,863,102	147,873,018
e	Other ...	92,734,015	24,528,910	68,205,105
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).)..				388,081,667

Schedule D (Form 990) 2015

Page 3

Part VII

InvestmentsOther Securities. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11b. See Form 990, Part X, line 12.

(a) Description of security or category (including name of security)	(b)Book value	(c)Method of valuation: Cost or end-of-year market value
(1)Financial derivatives
(2)Closely-held equity interests
(3)Other
(A)
(B)
(C)
(D)
(E)
(F)
(G)
(H)
Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)

Part VIII

InvestmentsProgram Related. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11c. See Form 990, Part X, line 13.

(a) Description of investment	(b) Book value	(c) Method of valuation: Cost or end-of-year market value
(1)LAND HELD FOR HEALTHCARE DEVELOPMENT	61,285,501	C
(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 13.)	61,285,501

Part IX

Other Assets. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11d. See Form 990, Part X, line 15.

(a) Description				(b) Book value

(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........

Part X

Other Liabilities. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11e or 11f. See Form 990, Part X, line 25.

1.(a) Description of liability	(b) Book value
(1) Federal income taxes
INTEREST RATE SWAPS LIABILITY	22,275,775
DEFERRED COMPENSATION	2,165,545
PROFESSIONAL LIABILITY INS: SE	12,291,581
COMPLIANCE LIABILITY RESERVE	2,812,910
OTHER LONG TERM LIABILITIES	5,738,370
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)	45,284,181
2. Liability for uncertain tax positions. In Part XIII, provide the text of the footnote to the organization's financial statements that reports the organization's liability for uncertain tax positions under FIN 48 (ASC 740). Check here if the text of the footnote has been provided in Part XIII

Schedule D (Form 990) 2015

Page 4

Part XI Reconciliation of Revenue per Audited Financial Statements With Revenue per Return Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
1	Total revenue, gains, and other support per audited financial statements .......		1
2	Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a	Net unrealized gains (losses) on investments ....	2a
b	Donated services and use of facilities .........	2b
c	Recoveries of prior year grants ...........	2c
d	Other (Describe in Part XIII.) ............	2d
e	Add lines 2a through 2d .....................		2e
3	Subtract line 2e from line 1..................		3
4	Amounts included on Form 990, Part VIII, line 12, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b .	4a
b	Other (Describe in Part XIII.) ...........	4b
c	Add lines 4a and 4b....................		4c
5	Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) ......		5

Part XII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return. Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
1	Total expenses and losses per audited financial statements ...........		1
2	Amounts included on line 1 but not on Form 990, Part IX, line 25:
a	Donated services and use of facilities .........	2a
b	Prior year adjustments ............	2b
c	Other losses ................	2c
d	Other (Describe in Part XIII.) ............	2d
e	Add lines 2a through 2d....................		2e
3	Subtract line 2e from line 1...................		3
4	Amounts included on Form 990, Part IX, line 25, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b ..	4a
b	Other (Describe in Part XIII.) ............	4b
c	Add lines 4a and 4b.....................		4c
5	Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) ......		5

Part XIII

Supplemental Information

Provide the descriptions required for Part II, lines 3, 5, and 9; Part III, lines 1a and 4; Part lV, lines 1b and 2b;
Part V, line 4; Part X, line 2; Part XI, lines 2d and 4b; and Part XII, lines 2d and 4b. Also complete this part to provide any additional information.

Return Reference

Explanation

PART X, LINE 2:

FIN 48 NOTES: THE CORPORATION ACCOUNTS FOR UNCERTAINTY IN INCOME TAXES USING A RECOGNITION THRESHOLD OF MORE-LIKELY-THAN-NOT TO BE SUSTAINED UPON EXAMINATION BY THE APPROPRIATE TAXING AUTHORITY. MEASUREMENT OF THE TAX UNCERTAINTY OCCURS IF THE RECOGNITION THRESHOLD IS MET. MANAGEMENT DETERMINED THERE WERE NO TAX UNCERTAINTIES THAT MET THE RECOGNITION THRESHOLD IN 2015 OR 2014. THE CORPORATION'S POLICY IS TO RECOGNIZE INTEREST RELATED TO UNRECOGNIZED TAX BENEFITS IN INTEREST EXPENSE AND PENALTIES IN OPERATING EXPENSES. THE CORPORATION'S FEDERAL EXEMPT ORGANIZATION RETURNS OF INCOME TAX AND ITS BUSINESS INCOME TAX RETURNS FOR THE YEARS ENDED PRIOR TO DECEMBER 31, 2012 NO LONGER REMAIN SUBJECT TO EXAMINATION BY THE INTERNAL REVENUE SERVICE.

Schedule D (Form 990) 2015

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE H
(Form 990)

Department of the Treasury
Internal Revenue Service

Hospitals

Complete if the organization answered "Yes" on Form 990, Part IV, question 20.
MediumBullet

Attach to Form 990.
MediumBullet

Information about Schedule H (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2015

Open to Public Inspection

Name of the organization

ADVENTIST HEALTHCARE INC

Employer identification number

52-1532556

Part I

Financial Assistance and Certain Other Community Benefits at Cost

Yes

Did the organization have a financial assistance policy during the tax year? If "No," skip to question 6a . . . .

Yes

If "Yes," was it a written policy? ......................

Yes

If the organization had multiple hospital facilities, indicate which of the following best describes application of the financial assistance policy to its various hospital facilities during the tax year.

Applied uniformly to all hospital facilities Applied uniformly to most hospital facilities Generally tailored to individual hospital facilities

Answer the following based on the financial assistance eligibility criteria that applied to the largest number of the organization's patients during the tax year.

Did the organization use Federal Poverty Guidelines (FPG) as a factor in determining eligibility for providing free care?

If "Yes," indicate which of the following was the FPG family income limit for eligibility for free care:

Yes

100% 150% 200% Other %

Did the organization use FPG as a factor in determining eligibility for providing discounted care? If "Yes," indicate

which of the following was the family income limit for eligibility for discounted care: . . . . . . . .

Yes

200% 250% 300% 350% 400% Other 60000.0000000000 %

If the organization used factors other than FPG in determining eligibility, describe in Part VI the criteria used for determining eligibility for free or discounted care. Include in the description whether the organization used an asset test or other threshold, regardless of income, as a factor in determining eligibility for free or discounted care.

Did the organization's financial assistance policy that applied to the largest number of its patients during the tax year provide for free or discounted care to the "medically indigent"? . . . . . . . . . . . . .

Yes

Did the organization budget amounts for free or discounted care provided under its financial assistance policy during
the tax year? . . . . . . . . . . . . . . . . . . . . . . .

Yes

If "Yes," did the organization's financial assistance expenses exceed the budgeted amount? . . . . . .

If "Yes" to line 5b, as a result of budget considerations, was the organization unable to provide free or discountedcare to a patient who was eligibile for free or discounted care? . . . . . . . . . . . . .

Did the organization prepare a community benefit report during the tax year? . . . . . . . . .

Yes

If "Yes," did the organization make it available to the public? . . . . . . . . . . . . .

Yes

Complete the following table using the worksheets provided in the Schedule H instructions. Do not submit these worksheets with the Schedule H.

Financial Assistance and Certain Other Community Benefits at Cost

Financial Assistance and Means-Tested Government Programs		(c) Total community benefit expense	(d) Direct offsetting revenue	(e) Net community benefit expense	(f) Percent of total expense
a	Financial Assistance at cost (from Worksheet 1) . . .	18,866,483		18,866,483	3.090 %
b	Medicaid (from Worksheet 3, column a) . . . . .	15,561,858	13,307,334	2,254,524	0.370 %
c	Costs of other means-tested government programs (from Worksheet 3, column b) . .
d	Total Financial Assistance and Means-Tested Government Programs . . . . .	34,428,341	13,307,334	21,121,007	3.460 %
Other Benefits
e	Community health improvement services and community benefit operations (from Worksheet 4).	10,975,729	345,474	10,630,255	1.740 %
f	Health professions education (from Worksheet 5) . . .	1,771,073	138,474	1,632,599	0.270 %
g	Subsidized health services (from Worksheet 6) . . . .	35,441,417	744,397	34,697,020	5.680 %
h	Research (from Worksheet 7) .	1,273,191	392,325	880,866	0.140 %
i	Cash and in-kind contributions for community benefit (from Worksheet 8) . . . .	1,063,516		1,063,516	0.170 %
j	Total. Other Benefits . .	50,524,926	1,620,670	48,904,256	8.000 %
k	Total. Add lines 7d and 7j .	84,953,267	14,928,004	70,025,263	11.460 %

For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2015

Schedule H (Form 990) 2015

Page

Part II

Community Building Activities Complete this table if the organization conducted any community building activities during the tax year, and describe in Part VI how its community building activities promoted the health of the communities it serves.

		(c) Total community building expense	(d) Direct offsetting revenue	(e) Net community building expense	(f) Percent of total expense
1	Physical improvements and housing	4,752		4,752	0 %
2	Economic development
3	Community support	304,771	118,437	186,334	0.030 %
4	Environmental improvements
5	Leadership development and training for community members
6	Coalition building	165,409	14,485	150,924	0.020 %
7	Community health improvement advocacy	2,544,087		2,544,087	0.420 %
8	Workforce development
9	Other
10	Total	3,019,019	132,922	2,886,097	0.470 %

Part III

Bad Debt, Medicare, & Collection Practices

Section A. Bad Debt Expense

Yes

Did the organization report bad debt expense in accordance with Heathcare Financial Management Association Statement No. 15? ..........................

Yes

Enter the amount of the organization's bad debt expense. Explain in Part VI the methodology used by the organization to estimate this amount. ......

23,899,429

Enter the estimated amount of the organization's bad debt expense attributable to patients eligible under the organization's financial assistance policy. Explain in Part VI the methodology used by the organization to estimate this amount and the rationale, if any, for including this portion of bad debt as community benefit. ......

Provide in Part VI the text of the footnote to the organization’s financial statements that describes bad debt expense or the page number on which this footnote is contained in the attached financial statements.

Section B. Medicare

Enter total revenue received from Medicare (including DSH and IME).....

208,333,206

Enter Medicare allowable costs of care relating to payments on line 5.....

190,190,441

Subtract line 6 from line 5. This is the surplus (or shortfall)........

18,142,765

Describe in Part VI the extent to which any shortfall reported in line 7 should be treated as community benefit.Also describe in Part VI the costing methodology or source used to determine the amount reported on line 6.Check the box that describes the method used:

Cost accounting system Cost to charge ratio Other

Section C. Collection Practices

Did the organization have a written debt collection policy during the tax year? ..........

Yes

If "Yes," did the organization’s collection policy that applied to the largest number of its patients during the tax year
contain provisions on the collection practices to be followed for patients who are known to qualify for financial assistance? Describe in Part VI .........................

Yes

Part IV

Management Companies and Joint Ventures(owned 10% or more by officers, directors, trustees, key employees, and physicians—see instructions)

(a) Name of entity	(b) Description of primary activity of entity	(c) Organization's profit % or stock ownership %	(e) Physicians' profit % or stock ownership %
11 GERMANTOWN OUTPATIENT IMAGING LLC	OUTPATIENT IMAGING CENTER	50.000 %	50.000 %
22 MID-ATLANTIC PRIMARY CARE ACO LLC	MEDICARE SHARED SAVINGS PLAN ACO	25.000 %	75.000 %
33 PREMIER MEDICAL NETWORK INC	PHYSICAN HOSPITAL ORGANIZATION	50.000 %	50.000 %
4
5
6
7
8
9
10
11
12
13

Schedule H (Form 990) 2015

Page

Part VFacility Information

Section A. Hospital Facilities (list in order of size from largest to smallest—see instructions) How many hospital facilities did the organization operate during the tax year?6 Name, address, primary website address, and state license number (and if a group return, the name and EIN of the subordinate hospital organization that operates the hospital facility)					Other (Describe)
1	SHADY GROVE MEDICAL CENTER 9901 MEDICAL CENTER DRIVE ROCKVILLE,MD20850 SEE PART VI FOR WEBSITE 15-315	X	X	X
2	WASHINGTON ADVENTIST HOSPITAL 7600 CARROLL AVENUE TAKOMA PARK,MD20912 SEE PART VI FOR WEBSITE 15-031	X	X	X
3	HACKETTSTOWN REGIONAL MEDICAL CENTER 651 WILLOW GROVE STREET HACKETTSTOWN,NJ07840 HTTP://WWW.HRMCNJ.ORG/ 12101	X	X	X	SEPARATE LEGAL ENTITY MANAGED BY AHC
4	ADVENTIST REHABILITATION HOSP OF MARYLAND 9909 MEDICAL CENTER DRIVE ROCKVILLE,MD20850 SEE PART VI FOR WEBSITE 15-077	X			SEPARATE LEGAL ENTITY MANAGED BY AHC
5	BEHAVIORAL HEALTH & WELLNESS SVS-ROCK 14901 BROSCHART ROAD ROCKVILLE,MD20850 SEE PART VI FOR WEBSITE 15-039	X			BEHAVIORAL TREATMENT CENTER
6	BEHAVIORAL HEALTH&WELLNESS SVS-E SHORE 821 FIELDCREST ROAD CAMBRIDGE,MD21613 SEE PART VI FOR WEBSITE 09-001	X			BEHAVIORAL TREATMENT CENTER

Schedule H (Form 990) 2015

Page 4

Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)

	SHADY GROVE MEDICAL CENTER
Name of hospital facility or letter of facility reporting group

Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A):

Yes

Community Health Needs Assessment

Was the hospital facility first licensed, registered, or similarly recognized by a state as a hospital facility in the current tax year or the immediately preceding tax year?........................

Was the hospital facility acquired or placed into service as a tax-exempt hospital in the current tax year or the immediately preceding tax year? If “Yes,” provide details of the acquisition in Section C...............

During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 12......................

Yes

If "Yes," indicate what the CHNA report describes (check all that apply):

A definition of the community served by the hospital facility

Demographics of the community

Existing health care facilities and resources within the community that are available to respond to the health needs of the community

How data was obtained

The significant health needs of the community

Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups

The process for identifying and prioritizing community health needs and services to meet the community health needs

The process for consulting with persons representing the community’s interests

Information gaps that limit the hospital facility’s ability to assess the community’s health needs

Other (describe in Section C)

Indicate the tax year the hospital facility last conducted a CHNA: 20 13

In conducting its most recent CHNA, did the hospital facility take into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If "Yes," describe in Section C how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted .................

Yes

6 a

Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C..................................

Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................

Did the hospital facility make its CHNA report widely available to the public?..............

Yes

If "Yes," indicate how the CHNA report was made widely available (check all that apply):

Hospital facility’s website (list url): SEE URL ON SECTION C

Other website (list url):

Made a paper copy available for public inspection without charge at the hospital facility

Other (describe in Section C)

Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. ..............

Yes

Indicate the tax year the hospital facility last adopted an implementation strategy: 20 13

Is the hospital facility's most recently adopted implementation strategy posted on a website?.........

Yes

If "Yes" (list url): SEE URL ON SECTION C

If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ......

10b

Describe in Section C how the hospital facility is addressing the significant needs identified in its most recently conducted CHNA and any such needs that are not being addressed together with the reasons why such needs are not being addressed.

12a

Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)?...............................

12a

If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........

12b

If "Yes" on line 12b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $

Schedule H (Form 990) 2015

Page 5

Part VFacility Information (continued)

Financial Assistance Policy (FAP)

	SHADY GROVE MEDICAL CENTER
Name of hospital facility or letter of facility reporting group

Yes

Did the hospital facility have in place during the tax year a written financial assistance policy that:

Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care?

Yes

If “Yes,” indicate the eligibility criteria explained in the FAP:

Federal poverty guidelines (FPG), with FPG family income limit for eligibility for free care of 200.000000000000% and FPG family income limit for eligibility for discounted care of 600.000000000000%

Income level other than FPG (describe in Section C)

Asset level

Medical indigency

Insurance status

Underinsurance discount

Residency

Other (describe in Section C)

Explained the basis for calculating amounts charged to patients?.................

Yes

Explained the method for applying for financial assistance?...................

Yes

If “Yes,” indicate how the hospital facility’s FAP or FAP application form (including accompanying instructions) explained the method for applying for financial assistance (check all that apply):

Described the information the hospital facility may require an individual to provide as part of his or her application

Described the supporting documentation the hospital facility may require an individual to submit as part of his or
her application

Provided the contact information of hospital facility staff who can provide an individual with information about the
FAP and FAP application process

Provided the contact information of nonprofit organizations or government agencies that may be sources of
assistance with FAP applications

Other (describe in Section C)

Included measures to publicize the policy within the community served by the hospital facility?........

Yes

If "Yes," indicate how the hospital facility publicized the policy (check all that apply):

The FAP was widely available on a website (list url):

SEE URL ON SECTION C

The FAP application form was widely available on a website (list url):

SEE URL ON SECTION C

A plain language summary of the FAP was widely available on a website (list url):
SEE URL ON SECTION C

The FAP was available upon request and without charge (in public locations in the hospital facility and by mail)

The FAP application form was available upon request and without charge (in public locations in the hospital facility
and by mail)

A plain language summary of the FAP was available upon request and without charge (in public locations in the
hospital facility and by mail)

Notice of availability of the FAP was conspicuously displayed throughout the hospital facility

Notified members of the community who are most likely to require financial assistance about availability of the FAP

Other (describe in Section C)

Billing and Collections

Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained all of the actions the hospital facility or other authorized party may take upon non-payment?..................................

Yes

Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

None of these actions or other similar actions were permitted

Schedule H (Form 990) 2015

Page 6

Part VFacility Information (continued)

	SHADY GROVE MEDICAL CENTER
Name of hospital facility or letter of facility reporting group

Yes

Did the hospital facility or other authorized party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?............

If "Yes," check all actions in which the hospital facility or a third party engaged:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 19. (check all that apply):

Notified individuals of the financial assistance policy on admission

Notified individuals of the financial assistance policy prior to discharge

Notified individuals of the financial assistance policy in communications with the individuals regarding the individuals’ bills

Documented its determination of whether individuals were eligible for financial assistance under the hospital facility’s financial assistance policy

Other (describe in Section C)

None of these efforts were made

Policy Relating to Emergency Medical Care

Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that required the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?..................

Yes

If "No," indicate why:

The hospital facility did not provide care for any emergency medical conditions

The hospital facility’s policy was not in writing

The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Section C)

Other (describe in Section C)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)

Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.

The hospital facility used its lowest negotiated commercial insurance rate when calculating the maximum amounts that
can be charged

The hospital facility used the average of its three lowest negotiated commercial insurance rates when calculating the maximum amounts that can be charged

The hospital facility used the Medicare rates when calculating the maximum amounts that can be charged

Other (describe in Section C)

During the tax year, did the hospital facility charge any FAP-eligible individual to whom the hospital facility provided emergency or other medically necessary services more than the amounts generally billed to individuals who had insurance covering such care? ...............................

If "Yes," explain in Section C.

During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ...........................

If "Yes," explain in Section C.

Schedule H (Form 990) 2015

Page 4

Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)

	WASHINGTON ADVENTIST HOSPITAL
Name of hospital facility or letter of facility reporting group

Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A):

Yes

Community Health Needs Assessment

Was the hospital facility first licensed, registered, or similarly recognized by a state as a hospital facility in the current tax year or the immediately preceding tax year?........................

During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 12......................

Yes

If "Yes," indicate what the CHNA report describes (check all that apply):

A definition of the community served by the hospital facility

Demographics of the community

Existing health care facilities and resources within the community that are available to respond to the health needs of the community

How data was obtained

The significant health needs of the community

Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups

The process for identifying and prioritizing community health needs and services to meet the community health needs

The process for consulting with persons representing the community’s interests

Information gaps that limit the hospital facility’s ability to assess the community’s health needs

Other (describe in Section C)

Indicate the tax year the hospital facility last conducted a CHNA: 20 13

Yes

6 a

Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C..................................

Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................

Did the hospital facility make its CHNA report widely available to the public?..............

Yes

If "Yes," indicate how the CHNA report was made widely available (check all that apply):

Hospital facility’s website (list url): SEE URL ON SECTION C

Other website (list url):

Made a paper copy available for public inspection without charge at the hospital facility

Other (describe in Section C)

Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. ..............

Yes

Indicate the tax year the hospital facility last adopted an implementation strategy: 20 13

Is the hospital facility's most recently adopted implementation strategy posted on a website?.........

Yes

If "Yes" (list url): SEE URL ON SECTION C

If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ......

10b

12a

Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)?...............................

12a

If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........

12b

If "Yes" on line 12b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $

Schedule H (Form 990) 2015

Page 5

Part VFacility Information (continued)

Financial Assistance Policy (FAP)

	WASHINGTON ADVENTIST HOSPITAL
Name of hospital facility or letter of facility reporting group

Yes

Did the hospital facility have in place during the tax year a written financial assistance policy that:

Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care?

Yes

If “Yes,” indicate the eligibility criteria explained in the FAP:

Federal poverty guidelines (FPG), with FPG family income limit for eligibility for free care of 200.000000000000% and FPG family income limit for eligibility for discounted care of 600.000000000000%

Income level other than FPG (describe in Section C)

Asset level

Medical indigency

Insurance status

Underinsurance discount

Residency

Other (describe in Section C)

Explained the basis for calculating amounts charged to patients?.................

Yes

Explained the method for applying for financial assistance?...................

Yes

Described the information the hospital facility may require an individual to provide as part of his or her application

Described the supporting documentation the hospital facility may require an individual to submit as part of his or
her application

Provided the contact information of hospital facility staff who can provide an individual with information about the
FAP and FAP application process

Provided the contact information of nonprofit organizations or government agencies that may be sources of
assistance with FAP applications

Other (describe in Section C)

Included measures to publicize the policy within the community served by the hospital facility?........

Yes

If "Yes," indicate how the hospital facility publicized the policy (check all that apply):

The FAP was widely available on a website (list url):

SEE URL ON SECTION C

The FAP application form was widely available on a website (list url):

SEE URL ON SECTION C

A plain language summary of the FAP was widely available on a website (list url):
SEE URL ON SECTION C

The FAP was available upon request and without charge (in public locations in the hospital facility and by mail)

The FAP application form was available upon request and without charge (in public locations in the hospital facility
and by mail)

A plain language summary of the FAP was available upon request and without charge (in public locations in the
hospital facility and by mail)

Notice of availability of the FAP was conspicuously displayed throughout the hospital facility

Notified members of the community who are most likely to require financial assistance about availability of the FAP

Other (describe in Section C)

Billing and Collections

Yes

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

None of these actions or other similar actions were permitted

Schedule H (Form 990) 2015

Page 6

Part VFacility Information (continued)

	WASHINGTON ADVENTIST HOSPITAL
Name of hospital facility or letter of facility reporting group

Yes

If "Yes," check all actions in which the hospital facility or a third party engaged:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 19. (check all that apply):

Notified individuals of the financial assistance policy on admission

Notified individuals of the financial assistance policy prior to discharge

Notified individuals of the financial assistance policy in communications with the individuals regarding the individuals’ bills

Documented its determination of whether individuals were eligible for financial assistance under the hospital facility’s financial assistance policy

Other (describe in Section C)

None of these efforts were made

Policy Relating to Emergency Medical Care

Yes

If "No," indicate why:

The hospital facility did not provide care for any emergency medical conditions

The hospital facility’s policy was not in writing

The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Section C)

Other (describe in Section C)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)

Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.

The hospital facility used its lowest negotiated commercial insurance rate when calculating the maximum amounts that
can be charged

The hospital facility used the average of its three lowest negotiated commercial insurance rates when calculating the maximum amounts that can be charged

The hospital facility used the Medicare rates when calculating the maximum amounts that can be charged

Other (describe in Section C)

If "Yes," explain in Section C.

During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ...........................

If "Yes," explain in Section C.

Schedule H (Form 990) 2015

Page 4

Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)

	HACKETTSTOWN COMMUNITY HOSPITAL
Name of hospital facility or letter of facility reporting group

Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A):

Yes

Community Health Needs Assessment

Was the hospital facility first licensed, registered, or similarly recognized by a state as a hospital facility in the current tax year or the immediately preceding tax year?........................

During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 12......................

Yes

If "Yes," indicate what the CHNA report describes (check all that apply):

A definition of the community served by the hospital facility

Demographics of the community

Existing health care facilities and resources within the community that are available to respond to the health needs of the community

How data was obtained

The significant health needs of the community

Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups

The process for identifying and prioritizing community health needs and services to meet the community health needs

The process for consulting with persons representing the community’s interests

Information gaps that limit the hospital facility’s ability to assess the community’s health needs

Other (describe in Section C)

Indicate the tax year the hospital facility last conducted a CHNA: 20 15

Yes

6 a

Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C..................................

Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................

Did the hospital facility make its CHNA report widely available to the public?..............

Yes

If "Yes," indicate how the CHNA report was made widely available (check all that apply):

Hospital facility’s website (list url): HTTP://WWW.HRMCNJ.ORG

Other website (list url):

Made a paper copy available for public inspection without charge at the hospital facility

Other (describe in Section C)

Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. ..............

Yes

Indicate the tax year the hospital facility last adopted an implementation strategy: 20 16

Is the hospital facility's most recently adopted implementation strategy posted on a website?.........

Yes

If "Yes" (list url): HTTP://WWW.HRMCNJ.ORG

If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ......

10b

12a

Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)?...............................

12a

If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........

12b

If "Yes" on line 12b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $

Schedule H (Form 990) 2015

Page 5

Part VFacility Information (continued)

Financial Assistance Policy (FAP)

	HACKETTSTOWN COMMUNITY HOSPITAL
Name of hospital facility or letter of facility reporting group

Yes

Did the hospital facility have in place during the tax year a written financial assistance policy that:

Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care?

Yes

If “Yes,” indicate the eligibility criteria explained in the FAP:

Federal poverty guidelines (FPG), with FPG family income limit for eligibility for free care of 200.000000000000% and FPG family income limit for eligibility for discounted care of 300.000000000000%

Income level other than FPG (describe in Section C)

Asset level

Medical indigency

Insurance status

Underinsurance discount

Residency

Other (describe in Section C)

Explained the basis for calculating amounts charged to patients?.................

Yes

Explained the method for applying for financial assistance?...................

Yes

Described the information the hospital facility may require an individual to provide as part of his or her application

Described the supporting documentation the hospital facility may require an individual to submit as part of his or
her application

Provided the contact information of hospital facility staff who can provide an individual with information about the
FAP and FAP application process

Provided the contact information of nonprofit organizations or government agencies that may be sources of
assistance with FAP applications

Other (describe in Section C)

Included measures to publicize the policy within the community served by the hospital facility?........

Yes

If "Yes," indicate how the hospital facility publicized the policy (check all that apply):

The FAP was widely available on a website (list url):

HTTP://WWW.HRMCNJ.ORG/FINANCIAL-ASSISTANCE.ASP

The FAP application form was widely available on a website (list url):

SAME AS LINE 16A

A plain language summary of the FAP was widely available on a website (list url):
SAME AS LINE 16A

The FAP was available upon request and without charge (in public locations in the hospital facility and by mail)

The FAP application form was available upon request and without charge (in public locations in the hospital facility
and by mail)

A plain language summary of the FAP was available upon request and without charge (in public locations in the
hospital facility and by mail)

Notice of availability of the FAP was conspicuously displayed throughout the hospital facility

Notified members of the community who are most likely to require financial assistance about availability of the FAP

Other (describe in Section C)

Billing and Collections

Yes

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

None of these actions or other similar actions were permitted

Schedule H (Form 990) 2015

Page 6

Part VFacility Information (continued)

	HACKETTSTOWN COMMUNITY HOSPITAL
Name of hospital facility or letter of facility reporting group

Yes

If "Yes," check all actions in which the hospital facility or a third party engaged:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 19. (check all that apply):

Notified individuals of the financial assistance policy on admission

Notified individuals of the financial assistance policy prior to discharge

Notified individuals of the financial assistance policy in communications with the individuals regarding the individuals’ bills

Documented its determination of whether individuals were eligible for financial assistance under the hospital facility’s financial assistance policy

Other (describe in Section C)

None of these efforts were made

Policy Relating to Emergency Medical Care

Yes

If "No," indicate why:

The hospital facility did not provide care for any emergency medical conditions

The hospital facility’s policy was not in writing

The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Section C)

Other (describe in Section C)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)

Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.

The hospital facility used its lowest negotiated commercial insurance rate when calculating the maximum amounts that
can be charged

The hospital facility used the average of its three lowest negotiated commercial insurance rates when calculating the maximum amounts that can be charged

The hospital facility used the Medicare rates when calculating the maximum amounts that can be charged

Other (describe in Section C)

If "Yes," explain in Section C.

During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ...........................

If "Yes," explain in Section C.

Schedule H (Form 990) 2015

Page 4

Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)

	ADVENTIST REHABILITATION HOSPITAL OF MAR
Name of hospital facility or letter of facility reporting group

Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A):

Yes

Community Health Needs Assessment

Was the hospital facility first licensed, registered, or similarly recognized by a state as a hospital facility in the current tax year or the immediately preceding tax year?........................

During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 12......................

Yes

If "Yes," indicate what the CHNA report describes (check all that apply):

A definition of the community served by the hospital facility

Demographics of the community

Existing health care facilities and resources within the community that are available to respond to the health needs of the community

How data was obtained

The significant health needs of the community

Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups

The process for identifying and prioritizing community health needs and services to meet the community health needs

The process for consulting with persons representing the community’s interests

Information gaps that limit the hospital facility’s ability to assess the community’s health needs

Other (describe in Section C)

Indicate the tax year the hospital facility last conducted a CHNA: 20 13

Yes

6 a

Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C..................................

Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................

Did the hospital facility make its CHNA report widely available to the public?..............

Yes

If "Yes," indicate how the CHNA report was made widely available (check all that apply):

Hospital facility’s website (list url): SEE URL ON SECTION C

Other website (list url):

Made a paper copy available for public inspection without charge at the hospital facility

Other (describe in Section C)

Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. ..............

Yes

Indicate the tax year the hospital facility last adopted an implementation strategy: 20 14

Is the hospital facility's most recently adopted implementation strategy posted on a website?.........

Yes

If "Yes" (list url): SEE URL ON SECTION C

If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ......

10b

12a

Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)?...............................

12a

If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........

12b

If "Yes" on line 12b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $

Schedule H (Form 990) 2015

Page 5

Part VFacility Information (continued)

Financial Assistance Policy (FAP)

	ADVENTIST REHABILITATION HOSPITAL OF MAR
Name of hospital facility or letter of facility reporting group

Yes

Did the hospital facility have in place during the tax year a written financial assistance policy that:

Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care?

Yes

If “Yes,” indicate the eligibility criteria explained in the FAP:

Federal poverty guidelines (FPG), with FPG family income limit for eligibility for free care of 200.000000000000% and FPG family income limit for eligibility for discounted care of 600.000000000000%

Income level other than FPG (describe in Section C)

Asset level

Medical indigency

Insurance status

Underinsurance discount

Residency

Other (describe in Section C)

Explained the basis for calculating amounts charged to patients?.................

Yes

Explained the method for applying for financial assistance?...................

Yes

Described the information the hospital facility may require an individual to provide as part of his or her application

Described the supporting documentation the hospital facility may require an individual to submit as part of his or
her application

Provided the contact information of hospital facility staff who can provide an individual with information about the
FAP and FAP application process

Provided the contact information of nonprofit organizations or government agencies that may be sources of
assistance with FAP applications

Other (describe in Section C)

Included measures to publicize the policy within the community served by the hospital facility?........

Yes

If "Yes," indicate how the hospital facility publicized the policy (check all that apply):

The FAP was widely available on a website (list url):

SEE URLS ON SECTION C

The FAP application form was widely available on a website (list url):

SEE URLS ON SECTION C

A plain language summary of the FAP was widely available on a website (list url):
SEE URLS ON SECTION C

The FAP was available upon request and without charge (in public locations in the hospital facility and by mail)

The FAP application form was available upon request and without charge (in public locations in the hospital facility
and by mail)

A plain language summary of the FAP was available upon request and without charge (in public locations in the
hospital facility and by mail)

Notice of availability of the FAP was conspicuously displayed throughout the hospital facility

Notified members of the community who are most likely to require financial assistance about availability of the FAP

Other (describe in Section C)

Billing and Collections

Yes

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

None of these actions or other similar actions were permitted

Schedule H (Form 990) 2015

Page 6

Part VFacility Information (continued)

	ADVENTIST REHABILITATION HOSPITAL OF MAR
Name of hospital facility or letter of facility reporting group

Yes

If "Yes," check all actions in which the hospital facility or a third party engaged:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 19. (check all that apply):

Notified individuals of the financial assistance policy on admission

Notified individuals of the financial assistance policy prior to discharge

Notified individuals of the financial assistance policy in communications with the individuals regarding the individuals’ bills

Documented its determination of whether individuals were eligible for financial assistance under the hospital facility’s financial assistance policy

Other (describe in Section C)

None of these efforts were made

Policy Relating to Emergency Medical Care

Yes

If "No," indicate why:

The hospital facility did not provide care for any emergency medical conditions

The hospital facility’s policy was not in writing

The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Section C)

Other (describe in Section C)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)

Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.

The hospital facility used its lowest negotiated commercial insurance rate when calculating the maximum amounts that
can be charged

The hospital facility used the average of its three lowest negotiated commercial insurance rates when calculating the maximum amounts that can be charged

The hospital facility used the Medicare rates when calculating the maximum amounts that can be charged

Other (describe in Section C)

If "Yes," explain in Section C.

During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ...........................

If "Yes," explain in Section C.

Schedule H (Form 990) 2015

Page 4

Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)

	BEHAVIORAL HEALTH&WELLNESS SERVICES-ROCK
Name of hospital facility or letter of facility reporting group

Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A):

Yes

Community Health Needs Assessment

Was the hospital facility first licensed, registered, or similarly recognized by a state as a hospital facility in the current tax year or the immediately preceding tax year?........................

During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 12......................

Yes

If "Yes," indicate what the CHNA report describes (check all that apply):

A definition of the community served by the hospital facility

Demographics of the community

Existing health care facilities and resources within the community that are available to respond to the health needs of the community

How data was obtained

The significant health needs of the community

Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups

The process for identifying and prioritizing community health needs and services to meet the community health needs

The process for consulting with persons representing the community’s interests

Information gaps that limit the hospital facility’s ability to assess the community’s health needs

Other (describe in Section C)

Indicate the tax year the hospital facility last conducted a CHNA: 20 13

Yes

6 a

Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C..................................

Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................

Did the hospital facility make its CHNA report widely available to the public?..............

Yes

If "Yes," indicate how the CHNA report was made widely available (check all that apply):

Hospital facility’s website (list url): SEE URL ON SECTION C

Other website (list url):

Made a paper copy available for public inspection without charge at the hospital facility

Other (describe in Section C)

Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. ..............

Yes

Indicate the tax year the hospital facility last adopted an implementation strategy: 20 13

Is the hospital facility's most recently adopted implementation strategy posted on a website?.........

Yes

If "Yes" (list url): SEE URL ON SECTION C

If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ......

10b

12a

Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)?...............................

12a

If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........

12b

If "Yes" on line 12b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $

Schedule H (Form 990) 2015

Page 5

Part VFacility Information (continued)

Financial Assistance Policy (FAP)

	BEHAVIORAL HEALTH&WELLNESS SERVICES-ROCK
Name of hospital facility or letter of facility reporting group

Yes

Did the hospital facility have in place during the tax year a written financial assistance policy that:

Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care?

Yes

If “Yes,” indicate the eligibility criteria explained in the FAP:

Federal poverty guidelines (FPG), with FPG family income limit for eligibility for free care of 200.000000000000% and FPG family income limit for eligibility for discounted care of 600.000000000000%

Income level other than FPG (describe in Section C)

Asset level

Medical indigency

Insurance status

Underinsurance discount

Residency

Other (describe in Section C)

Explained the basis for calculating amounts charged to patients?.................

Yes

Explained the method for applying for financial assistance?...................

Yes

Described the information the hospital facility may require an individual to provide as part of his or her application

Described the supporting documentation the hospital facility may require an individual to submit as part of his or
her application

Provided the contact information of hospital facility staff who can provide an individual with information about the
FAP and FAP application process

Provided the contact information of nonprofit organizations or government agencies that may be sources of
assistance with FAP applications

Other (describe in Section C)

Included measures to publicize the policy within the community served by the hospital facility?........

Yes

If "Yes," indicate how the hospital facility publicized the policy (check all that apply):

The FAP was widely available on a website (list url):

SEE URLS ON SECTION C

The FAP application form was widely available on a website (list url):

SEE URLS ON SECTION C

A plain language summary of the FAP was widely available on a website (list url):
SEE URLS ON SECTION C

The FAP was available upon request and without charge (in public locations in the hospital facility and by mail)

The FAP application form was available upon request and without charge (in public locations in the hospital facility
and by mail)

A plain language summary of the FAP was available upon request and without charge (in public locations in the
hospital facility and by mail)

Notice of availability of the FAP was conspicuously displayed throughout the hospital facility

Notified members of the community who are most likely to require financial assistance about availability of the FAP

Other (describe in Section C)

Billing and Collections

Yes

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

None of these actions or other similar actions were permitted

Schedule H (Form 990) 2015

Page 6

Part VFacility Information (continued)

	BEHAVIORAL HEALTH&WELLNESS SERVICES-ROCK
Name of hospital facility or letter of facility reporting group

Yes

If "Yes," check all actions in which the hospital facility or a third party engaged:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 19. (check all that apply):

Notified individuals of the financial assistance policy on admission

Notified individuals of the financial assistance policy prior to discharge

Notified individuals of the financial assistance policy in communications with the individuals regarding the individuals’ bills

Documented its determination of whether individuals were eligible for financial assistance under the hospital facility’s financial assistance policy

Other (describe in Section C)

None of these efforts were made

Policy Relating to Emergency Medical Care

Yes

If "No," indicate why:

The hospital facility did not provide care for any emergency medical conditions

The hospital facility’s policy was not in writing

The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Section C)

Other (describe in Section C)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)

Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.

The hospital facility used its lowest negotiated commercial insurance rate when calculating the maximum amounts that
can be charged

The hospital facility used the average of its three lowest negotiated commercial insurance rates when calculating the maximum amounts that can be charged

The hospital facility used the Medicare rates when calculating the maximum amounts that can be charged

Other (describe in Section C)

If "Yes," explain in Section C.

During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ...........................

If "Yes," explain in Section C.

Schedule H (Form 990) 2015

Page 4

Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)

	BEHAVIORAL HEALTH&WELLNESS SVS-E SHORE
Name of hospital facility or letter of facility reporting group

Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A):

Yes

Community Health Needs Assessment

Was the hospital facility first licensed, registered, or similarly recognized by a state as a hospital facility in the current tax year or the immediately preceding tax year?........................

During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 12......................

Yes

If "Yes," indicate what the CHNA report describes (check all that apply):

A definition of the community served by the hospital facility

Demographics of the community

Existing health care facilities and resources within the community that are available to respond to the health needs of the community

How data was obtained

The significant health needs of the community

Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups

The process for identifying and prioritizing community health needs and services to meet the community health needs

The process for consulting with persons representing the community’s interests

Information gaps that limit the hospital facility’s ability to assess the community’s health needs

Other (describe in Section C)

Indicate the tax year the hospital facility last conducted a CHNA: 20 13

Yes

6 a

Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C..................................

Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................

Did the hospital facility make its CHNA report widely available to the public?..............

Yes

If "Yes," indicate how the CHNA report was made widely available (check all that apply):

Hospital facility’s website (list url): SEE URL ON SECTION C

Other website (list url):

Made a paper copy available for public inspection without charge at the hospital facility

Other (describe in Section C)

Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. ..............

Yes

Indicate the tax year the hospital facility last adopted an implementation strategy: 20 13

Is the hospital facility's most recently adopted implementation strategy posted on a website?.........

Yes

If "Yes" (list url): SEE URL ON SECTION C

If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ......

10b

12a

Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)?...............................

12a

If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........

12b

If "Yes" on line 12b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $

Schedule H (Form 990) 2015

Page 5

Part VFacility Information (continued)

Financial Assistance Policy (FAP)

	BEHAVIORAL HEALTH&WELLNESS SVS-E SHORE
Name of hospital facility or letter of facility reporting group

Yes

Did the hospital facility have in place during the tax year a written financial assistance policy that:

Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care?

Yes

If “Yes,” indicate the eligibility criteria explained in the FAP:

Federal poverty guidelines (FPG), with FPG family income limit for eligibility for free care of 200.000000000000% and FPG family income limit for eligibility for discounted care of 600.000000000000%

Income level other than FPG (describe in Section C)

Asset level

Medical indigency

Insurance status

Underinsurance discount

Residency

Other (describe in Section C)

Explained the basis for calculating amounts charged to patients?.................

Yes

Explained the method for applying for financial assistance?...................

Yes

Described the information the hospital facility may require an individual to provide as part of his or her application

Described the supporting documentation the hospital facility may require an individual to submit as part of his or
her application

Provided the contact information of hospital facility staff who can provide an individual with information about the
FAP and FAP application process

Provided the contact information of nonprofit organizations or government agencies that may be sources of
assistance with FAP applications

Other (describe in Section C)

Included measures to publicize the policy within the community served by the hospital facility?........

Yes

If "Yes," indicate how the hospital facility publicized the policy (check all that apply):

The FAP was widely available on a website (list url):

SEE URLS ON SECTION C

The FAP application form was widely available on a website (list url):

SEE URLS ON SECTION C

A plain language summary of the FAP was widely available on a website (list url):
SEE URLS ON SECTION C

The FAP was available upon request and without charge (in public locations in the hospital facility and by mail)

The FAP application form was available upon request and without charge (in public locations in the hospital facility
and by mail)

A plain language summary of the FAP was available upon request and without charge (in public locations in the
hospital facility and by mail)

Notice of availability of the FAP was conspicuously displayed throughout the hospital facility

Notified members of the community who are most likely to require financial assistance about availability of the FAP

Other (describe in Section C)

Billing and Collections

Yes

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

None of these actions or other similar actions were permitted

Schedule H (Form 990) 2015

Page 6

Part VFacility Information (continued)

	BEHAVIORAL HEALTH&WELLNESS SVS-E SHORE
Name of hospital facility or letter of facility reporting group

Yes

If "Yes," check all actions in which the hospital facility or a third party engaged:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 19. (check all that apply):

Notified individuals of the financial assistance policy on admission

Notified individuals of the financial assistance policy prior to discharge

Notified individuals of the financial assistance policy in communications with the individuals regarding the individuals’ bills

Documented its determination of whether individuals were eligible for financial assistance under the hospital facility’s financial assistance policy

Other (describe in Section C)

None of these efforts were made

Policy Relating to Emergency Medical Care

Yes

If "No," indicate why:

The hospital facility did not provide care for any emergency medical conditions

The hospital facility’s policy was not in writing

The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Section C)

Other (describe in Section C)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)

Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.

The hospital facility used its lowest negotiated commercial insurance rate when calculating the maximum amounts that
can be charged

The hospital facility used the average of its three lowest negotiated commercial insurance rates when calculating the maximum amounts that can be charged

The hospital facility used the Medicare rates when calculating the maximum amounts that can be charged

Other (describe in Section C)

If "Yes," explain in Section C.

During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ...........................

If "Yes," explain in Section C.

Schedule H (Form 990) 2015

Page 7

Part V

Facility Information (continued)

Section C. Supplemental Information for Part V, Section B. Provide descriptions required for Part V, Section B, lines 2, 3j, 5, 6a, 6b, 7d, 11, 13b, 13h, 15e, 16i, 18d, 19d, 20e, 21c, 21d, 22d, 23, and 24. If applicable, provide separate descriptions for each hospital facility in a facility reporting group, designated by facility reporting group letter and hospital facility line number from Part V, Section A (“A, 1,” “A, 4,” “B, 2,” “B, 3,” etc.) and name of hospital facility.
Form and Line Reference	Explanation
SHADY GROVE MEDICAL CENTER	PART V, SECTION B, LINE 5: THE FOLLOWING NARRATIVE IS BASED ON THE LAST CONDUCTED CHNA IN 2013:ADVENTIST HEALTHCARE SHADY GROVE MEDICAL CENTER (SGMC) HAS ONGOING PARTNERSHIPS WITH SEVERAL COMMUNITY-BASED ORGANIZATIONS AND HEALTH CARE CLINICS THAT PROVIDE VALUABLE INPUT ON THE HEALTH NEEDS OF COMMUNITY MEMBERS. WE PARTNER WITH CLINICS THAT SERVE THE LOW-INCOME RESIDENTS OF MONTGOMERY COUNTY, MANY OF WHOM ARE LIMITED ENGLISH PROFICIENT AND/OR RACIAL AND ETHNIC MINORITIES. WE ALSO PARTNER WITH MERCY HEALTH CLINIC BY PROVIDING FREE DIAGNOSTIC SERVICES/LAB WORK TO THEIR UNINSURED PATIENTS. ANOTHER KEY PARTNER IS MOBILE MEDICAL CARE (MOBILE MED), WHICH OPERATES THREE MOBILE HEALTHCARE VEHICLES AND PROVIDES PRIMARY AND PREVENTATIVE HEALTHCARE TO THE UNINSURED, LOW INCOME, WORKING POOR AND HOMELESS IN MONTGOMERY COUNTY. WE EXPANDED OUR PRENATAL SERVICES IN 2006 BY PARTNERING WITH THE MONTGOMERY COUNTY DEPARTMENT OF HEALTH AND HUMAN SERVICES IN ITS MATERNAL PARTNERSHIPS PROGRAM, A REFERRAL PROGRAM THAT COLLABORATES WITH HOSPITALS TO PROVIDE OBSTETRIC AND GYNECOLOGIC SERVICES FOR UNINSURED WOMEN IN MONTGOMERY COUNTY. WE ALSO PROVIDE HEALTH SERVICES FOR WOMEN IN THE COMMUNITY WITH BREAST CANCER THROUGH A PARTNERSHIP WITH THE KOMEN FOUNDATION. IN ADDITION, ADVENTIST HEALTHCARE AND THE CENTER FOR HEALTH EQUITY AND WELLNESS HAVE ONGOING COLLABORATIONS WITH SINAI HOSPITAL OF BALTIMORE, THE UNIVERSITY OF MARYLAND SCHOOL OF PUBLIC HEALTH, AND THE PRIMARY CARE COALITION OF MONTGOMERY COUNTY. PUBLIC HEALTH EXPERTS FROM THESE VARIOUS PARTNER ORGANIZATIONS PROVIDE SGMC WITH IMPORTANT INPUT ON THE NEEDS AFFECTING THE HEALTH OF THE COMMUNITIES WE SERVE. SGMC'S HEALTH MINISTRY DEPARTMENT PARTNERS WITH FAITH COMMUNITIES OF ALL RELIGIONS, ASSISTING THEM IN ASSESSING THE HEALTH NEEDS OF THEIR CONGREGATIONS AS WELL AS PROVIDING RESOURCES TO HELP IMPLEMENT PROGRAMS THAT ADDRESS THESE NEEDS. SOME OF THE CONGREGATIONS HAVE TRAINED FAITH COMMUNITY NURSES (FCN) THAT NOT ONLY IDENTIFY SPECIFIC NEEDS, BUT PROVIDE EDUCATION, COUNSELING, REFERRAL, AND ADVOCACY SERVICES. THESE FCNS OFTEN FOLLOW UP WITH THEIR CONGREGANTS AFTER A HOSPITALIZATION OR OTHER MEDICAL NEED. IN ADDITION, WE CONVENED AN ADVISORY BOARD TO HELP GUIDE OUR EFFORTS TO REDUCE AND ELIMINATE HEALTH DISPARITIES, TO IDENTIFY COMMUNITY NEEDS, AND TO HELP ASSESS AND DIRECT OUR RESPONSE TO THOSE NEEDS. THE ADVISORY BOARD IS COMPRISED OF BOTH INTERNAL AND EXTERNAL/COMMUNITY LEADERS.ADVENTIST HEALTHCARE COMMUNITY BENEFIT ADVISORY BOARD MEMBERS (DURING THE LAST CONDUCTED CHNA IN 2013): > AISHA BIVENS, JD, BSN; ASSOCIATE VICE PRESIDENT OF CLINICAL EFFECTIVENESS; WASHINGTON ADVENTIST HOSPITAL;> PERRY CHAN; SENIOR PROGRAM COORDINATOR, ASIAN AMERICAN HEALTH INITIATIVE; MONTGOMERY COUNTY DEPARTMENT OF HEALTH AND HUMAN SERVICES; > IRENE DANKWA-MULLAN, MD, MPH; DIRECTOR, OFFICE OF INNOVATION AND PROGRAM COORDINATION; NATIONAL INSTITUTE ON MINORITY HEALTH AND HEALTH DISPARITIES; > STEVE GALEN, MS; PRESIDENT AND CEO; PRIMARY CARE COALITION OF MONTGOMERY COUNTY;> CAROL W. GARVEY, MD, MPH; CHAIR; PRIMARY CARE COALITION; > CARLESSIA HUSSEIN, DRPH, RN; DIRECTOR, OFFICE OF MINORITY HEALTH AND HEALTH DISPARITIES; MARYLAND DEPARTMENT OF HEALTH AND MENTAL HYGIENE; > JUDY LICHTY, MPH; REGIONAL DIRECTOR, HEALTH AND WELLNESS; > SKIP MARGOT, RN, MS; CNE AND VP OF PATIENT CARE SERVICES; SHADY GROVE MEDICAL CENTER; > SONIA MORA, RN; MANAGER, PUBLIC HEALTH SERVICES/LATINO HEALTH INITIATIVE; MONTGOMERY COUNTY DEPARTMENT OF HEALTH AND HUMAN SERVICES; > RICHARD "DICK" PAVLIN, MHCA; EXECUTIVE DIRECTOR; MERCY HEALTH CLINIC; > OLIVIA CARTER-POKRAS, PHD; ASSOCIATE PROFESSOR; UNIVERSITY OF MARYLAND COLLEGE PARK, SCHOOL OF PUBLIC HEALTH; > HOWARD ROSS; CHIEF LEARNING OFFICER; COOK ROSS, INC.; > TERRENCE P. SHEEHAN, MD; CHIEF MEDICAL OFFICER; ADVENTIST REHABILITATION HOSPITAL OF MARYLAND; > TOM SWEENEY, RN, MBA, FACHE; VICE PRESIDENT - CHIEF NURSING OFFICER; WASHINGTON ADVENTIST HOSPITAL; > LOIS A. WESSEL, RN CFNP; ASSOCIATE DIRECTOR FOR PROGRAMS; ASSOCIATION OF CLINICIANS FOR THE UNDERSERVED; IN ADDITION TO THE FORMAL ADVISORY BOARD, THE STAFF OF SGMC PARTICIPATES IN VARIOUS WAYS IN THE COMMUNITY. WE ACTIVELY PARTICIPATE IN NUMEROUS COMMITTEES, COALITIONS, AND PARTNERSHIPS THAT PROVIDE INFORMATION ON THE HEALTH NEEDS IN THE COMMUNITY. THE HEALTH PROFESSIONALS THAT PROVIDE PROGRAMS IN THE COMMUNITY ALSO PROVIDE VALUABLE INFORMATION AND KNOWLEDGE OF COMMUNITY NEEDS. FINALLY, THE COMMUNITY'S PERSPECTIVE WAS OBTAINED THROUGH A COMMUNITY HEALTH NEEDS ASSESSMENT SURVEY OFFERED TO THE PUBLIC THROUGH POSTINGS ON THIS ORGANIZATION'S FACEBOOK PAGES, NEWSLETTERS, EMAIL LIST SERVES, AND MEETINGS WITH COMMUNITY LEADERS. A 25-ITEM SURVEY, AVAILABLE ONLINE THROUGH SURVEYMONKEY.COM, ASKED COMMUNITY MEMBERS AND COMMUNITY LEADERS ALIKE TO IDENTIFY THEIR SOCIODEMOGRAPHIC INFORMATION, HEALTH NEEDS, PROBLEMS AFFECTING THE HEALTH OF THE COMMUNITY, BARRIERS TO ACCESSING CARE, AND STRENGTHS/RESOURCES IN THE COMMUNITY.
WASHINGTON ADVENTIST HOSPITAL	PART V, SECTION B, LINE 5: THE FOLLOWING NARRATIVE IS BASED ON THE LAST CONDUCTED CHNA IN 2013:ADVENTIST HEALTHCARE WASHINGTON ADVENTIST HOSPITAL (WAH) HAS ONGOING PARTNERSHIPS WITH SEVERAL COMMUNITY-BASED ORGANIZATIONS AND HEALTH CARE CLINICS THAT PROVIDE VALUABLE INPUT ON THE HEALTH NEEDS OF COMMUNITY MEMBERS. WE PARTNER WITH CLINICS THAT IMPROVE ACCESS TO CARE BY SERVING THE LOW-INCOME RESIDENTS OF MONTGOMERY COUNTY AND PRINCE GEORGE'S COUNTY, MANY OF WHOM ARE LIMITED ENGLISH PROFICIENT AND/OR RACIAL AND ETHNIC MINORITIES. ONE OF WAH'S SAFETY NET CLINIC PARTNERS IS MARY'S CENTER FOR MATERNAL AND CHILD CARE. ANOTHER PARTNER, MOBILE MEDICAL CARE, INC. (MOBILEMED), OPERATES THREE MOBILE HEALTHCARE VEHICLES AND PROVIDES PRIMARY AND PREVENTATIVE HEALTHCARE TO THE UNINSURED, LOW INCOME, WORKING POOR AND HOMELESS IN MONTGOMERY COUNTY. WE EXPANDED OUR PRENATAL SERVICES IN 2006 BY PARTNERING WITH THE MONTGOMERY COUNTY DEPARTMENT OF HEALTH AND HUMAN SERVICES IN ITS MATERNAL PARTNERSHIPS PROGRAM, A REFERRAL PROGRAM THAT COLLABORATES WITH HOSPITALS TO PROVIDE OBSTETRIC AND GYNECOLOGIC SERVICES FOR UNINSURED WOMEN IN MONTGOMERY COUNTY. WE ALSO PROVIDE HEALTH SERVICES FOR WOMEN IN THE COMMUNITY WITH BREAST CANCER THROUGH A PARTNERSHIP WITH THE KOMEN FOUNDATION. IN ADDITION, ADVENTIST HEALTHCARE AND THE CENTER FOR HEALTH EQUITY AND WELLNESS HAVE ONGOING COLLABORATIONS WITH SINAI HOSPITAL OF BALTIMORE, THE UNIVERSITY OF MARYLAND SCHOOL OF PUBLIC HEALTH, AND THE PRIMARY CARE COALITION OF MONTGOMERY COUNTY. PUBLIC HEALTH EXPERTS FROM THESE VARIOUS PARTNER ORGANIZATIONS PROVIDE WAH WITH IMPORTANT INPUT ON THE NEEDS AFFECTING THE HEALTH OF THE COMMUNITIES WE SERVE.WAH'S HEALTH MINISTRY DEPARTMENT PARTNERS WITH FAITH COMMUNITIES OF ALL RELIGIONS, ASSISTING THEM IN ASSESSING THE HEALTH NEEDS OF THEIR CONGREGATIONS AS WELL AS PROVIDING RESOURCES TO HELP IMPLEMENT PROGRAMS THAT ADDRESS THESE NEEDS. SOME OF THE CONGREGATIONS HAVE TRAINED FAITH COMMUNITY NURSES (FCN) THAT NOT ONLY IDENTIFY SPECIFIC NEEDS, BUT PROVIDE EDUCATION, COUNSELING, REFERRAL, AND ADVOCACY SERVICES. THESE FCNS OFTEN FOLLOW UP WITH THEIR CONGREGANTS AFTER A HOSPITALIZATION OR OTHER MEDICAL NEED.IN ADDITION, WE CONVENED AN ADVISORY BOARD TO HELP GUIDE OUR EFFORTS TO REDUCE AND ELIMINATE HEALTH DISPARITIES, TO IDENTIFY COMMUNITY NEEDS, AND TO HELP ASSESS AND DIRECT OUR RESPONSE TO THOSE NEEDS. THE ADVISORY BOARD IS COMPRISED OF BOTH INTERNAL AND EXTERNAL/COMMUNITY LEADERS.ADVENTIST HEALTHCARE COMMUNITY BENEFIT ADVISORY BOARD MEMBERS (DURING THE LAST CONDUCTED CHNA IN 2013): > AISHA BIVENS, JD, BSN; ASSOCIATE VICE PRESIDENT OF CLINICAL EFFECTIVENESS; WASHINGTON ADVENTIST HOSPITAL; > PERRY CHAN; SENIOR PROGRAM COORDINATOR, ASIAN AMERICAN HEALTH INITIATIVE; MONTGOMERY COUNTY DEPARTMENT OF HEALTH AND HUMAN SERVICES; > IRENE DANKWA-MULLAN, MD, MPH; DIRECTOR, OFFICE OF INNOVATION AND PROGRAM COORDINATION; NATIONAL INSTITUTE ON MINORITY HEALTH AND HEALTH DISPARITIES; > STEVE GALEN, MS; PRESIDENT AND CEO; PRIMARY CARE COALITION OF MONTGOMERY COUNTY; > CAROL W. GARVEY, MD, MPH; CHAIR; PRIMARY CARE COALITION; > CARLESSIA HUSSEIN, DRPH, RN; DIRECTOR, OFFICE OF MINORITY HEALTH AND HEALTH DISPARITIES; MARYLAND DEPARTMENT OF HEALTH AND MENTAL HYGIENE; > JUDY LICHTY, MPH; REGIONAL DIRECTOR, HEALTH AND WELLNESS; ADVENTIST HEALTHCARE; > SKIP MARGOT, RN, MS; CNE AND VP OF PATIENT CARE SERVICES; SHADY GROVE MEDICAL CENTER;> SONIA MORA, RN; MANAGER, PUBLIC HEALTH SERVICES/LATINO HEALTH INITIATIVE; MONTGOMERY COUNTY DEPARTMENT OF HEALTH AND HUMAN SERVICES; > RICHARD "DICK" PAVLIN, MHCA; EXECUTIVE DIRECTOR; MERCY HEALTH CLINIC; > OLIVIA CARTER-POKRAS, PHD; ASSOCIATE PROFESSOR; UNIVERSITY OF MARYLAND COLLEGE PARK, SCHOOL OF PUBLIC HEALTH; > HOWARD ROSS; CHIEF LEARNING OFFICER; COOK ROSS, INC.; > TERRENCE P. SHEEHAN, MD; CHIEF MEDICAL OFFICER; ADVENTIST REHABILITATION HOSPITAL OF MARYLAND; > TOM SWEENEY, RN, MBA, FACHE; VICE PRESIDENT - CHIEF NURSING OFFICER; WASHINGTON ADVENTIST HOSPITAL; > LOIS A. WESSEL, RN CFNP; ASSOCIATE DIRECTOR FOR PROGRAMS; ASSOCIATION OF CLINICIANS FOR THE UNDERSERVED; IN ADDITION TO THE FORMAL ADVISORY BOARD, THE STAFF OF ADVENTIST HEALTHCARE AND WAH PARTICIPATES IN VARIOUS WAYS IN THE COMMUNITY. WE ACTIVELY PARTICIPATE IN NUMEROUS COMMITTEES, COALITIONS, AND PARTNERSHIPS THAT PROVIDE INFORMATION ON THE HEALTH NEEDS IN THE COMMUNITY. THE HEALTH PROFESSIONALS THAT PROVIDE PROGRAMS IN THE COMMUNITY ALSO PROVIDE VALUABLE INFORMATION AND KNOWLEDGE OF COMMUNITY NEEDS.FINALLY, THE COMMUNITY'S PERSPECTIVE WAS OBTAINED THROUGH A COMMUNITY HEALTH NEEDS ASSESSMENT SURVEY OFFERED TO THE PUBLIC THROUGH POSTINGS ON THIS ORGANIZATION'S FACEBOOK PAGES, NEWSLETTERS, EMAIL LIST SERVES, AND MEETINGS WITH COMMUNITY LEADERS. A 25-ITEM SURVEY, AVAILABLE ONLINE THROUGH SURVEYMONKEY.COM, ASKED COMMUNITY MEMBERS AND COMMUNITY LEADERS ALIKE TO IDENTIFY THEIR SOCIODEMOGRAPHIC INFORMATION, HEALTH NEEDS, PROBLEMS AFFECTING THE HEALTH OF THE COMMUNITY, BARRIERS TO ACCESSING CARE, AND STRENGTHS/RESOURCES IN THE COMMUNITY.
HACKETTSTOWN COMMUNITY HOSPITAL	PART V, SECTION B, LINE 5: HACKETTSTOWN COMMUNITY HOSPITAL UNDERTOOK A COMPREHENSIVE COMMUNITY HEALTH NEEDS ASSESSMENT WHICH CONCLUDED IN 2015. THE PURPOSE OF THE STUDY WAS TO GATHER CURRENT STATISTICS AND QUALITATIVE FEEDBACK ON THE KEY HEALTH ISSUES FACING OUR SERVICE MARKET RESIDENTS. SECONDARY DATA WAS RESEARCHED AND UPDATED. FIFTY FIVE COMMUNITY STAKEHOLDERS COMPLETED A "KEY INFORMANT SURVEY TOOL". AFTER COMPLETION OF THE COMMUNITY HEALTH NEEDS ASSESSMENT, APPROXIMATELY 23 LEADERS FROM HACKETTSTOWN COMMUNITY HOSPITAL, COMMUNITY AGENCIES AND AREA HEALTHCARE AND SOCIAL SERVICES ORGANIZATIONS MET TO REVIEW AND PRIORITIZE THE FINDINGS AND TO DEVELOP AN IMPLEMENTATION PLAN. THE FOLLOWING KEY STAKEHOLDERS PARTICIPATED IN THE PROCESS:ADMINISTRATIVE DIRECTOR, HRMC;BACH'S MEDICAL SUPPLIES;BENTLEY COMMONS AT PARAGON VILLAGE;CENTENARY COLLEGE;CHELSEA AT BROOKFIELD;CHIEF NURSING OFFICER, HRMC;CHURCH OF THE ASSUMPTION;COMMUNITY PREVENTION RESOURCES;COORDINATOR, HEALTHLINK, HRMC;EMS, HRMC;EXECUTIVE DIRECTOR, HRMC;FAMILY GUIDANCE OF WARREN COUNTY;HACKETTSTOWN BUSINESS IMPROVEMENT;HACKETTSTOWN POLICE DEPARTMENT;HACKETTSTOWN ROTARY CLUB;HEALTH EDUCATOR, HRMC;HEALTHSTART PRENATAL CLINIC, HRMC;HEALTH VILLAGE;HOME INSTEAD;HOUSE OF THE GOOD SHEPHERD;KAREN ANN QUINLAN HOSPICE;KIWANIS CLUB OF HACKETTSTOWN;LONG VALLEY FIRST AID SQUAD;MANAGER, CENTER FOR HEALTHIER LIVING, HRMC;MANAGER, COUNSELING AND ADDICTION CENTER, HRMC;MANAGER, EDUCATION, HRMC;MANAGER, EMERGENCY DEPARTMENT, HRMC;MANAGER, MARKETING AND PUBLIC RELATIONS, HRMC;MT. OLIVE HEALTH DEPARTMENT;NORTH WARREN REGIONAL SCHOOL DISTRICT;PHYSICIAN, EMERGENCY DEPARTMENT, HRMC;PLANNED PARENTHOOD;PRESIDENT, HACKETTSTOWN REGIONAL MEDICAL CENTER;PROJECT SELF-SUFFICIENCY;UNITED WAY OF NORTHERN NJ;WARREN COUNTY AGENCY ON AGING AND DISABILITY;WARREN COUNTY DEPARTMENT OF HUMAN SERVICES;WARREN COUNTY HEALTH DEPARTMENT;WARREN COUNTY MENTAL HEALTH BOARD;WARREN COUNTY OFFICE OF EMERGENCY MANAGEMENT;WARREN COUNTY SURROGATE;WARREN COUNTY TEMPORARY ASSISTANCE;WARREN COUNTY TRANSPORTATION COORDINATOR;WASHINGTON TOWNSHIP HEALTH DEPARTMENT;ZUFALL, FEDERALLY QUALIFIED HEALTH CENTER.
ADVENTIST REHABILITATION HOSPITAL OF MARYLAND	PART V, SECTION B, LINE 5: THE FOLLOWING NARRATIVE IS BASED ON THE LAST CONDUCTED CHNA IN 2013:ADVENTIST HEALTHCARE AND THE CENTER FOR HEALTH EQUITY AND WELLNESS HAVE ONGOING COLLABORATIONS WITH SINAI HOSPITAL OF BALTIMORE, THE UNIVERSITY OF MARYLAND SCHOOL OF PUBLIC HEALTH, AND THE PRIMARY CARE COALITION OF MONTGOMERY COUNTY. PUBLIC HEALTH EXPERTS FROM THESE VARIOUS PARTNER ORGANIZATIONS PROVIDE ADVENTIST HEALTHCARE PHYSICAL HEALTH AND REHABILITATION (APHR) WITH IMPORTANT INPUT ON THE NEEDS AFFECTING THE HEALTH OF THE COMMUNITIES WE SERVE.APHR'S HEALTH MINISTRY DEPARTMENT PARTNERS WITH FAITH COMMUNITIES OF ALL RELIGIONS, ASSISTING THEM IN ASSESSING THE HEALTH NEEDS OF THEIR CONGREGATIONS AS WELL AS PROVIDING RESOURCES TO HELP IMPLEMENT PROGRAMS THAT ADDRESS THOSE NEEDS. SOME OF THE CONGREGATIONS HAVE TRAINED FAITH COMMUNITY NURSES (FCN) THAT NOT ONLY IDENTIFY SPECIFIC NEEDS, BUT ALSO PROVIDE EDUCATION, COUNSELING, REFERRAL, AND ADVOCACY SERVICES. THESE FCNS OFTEN FOLLOW UP WITH THEIR CONGREGANTS AFTER A HOSPITALIZATION OR OTHER MEDICAL NEED. ADDITIONALLY, ADVENTIST HEALTHCARE CONVENED A COMMUNITY ADVISORY BOARD TO HELP GUIDE OUR EFFORTS TO REDUCE AND ELIMINATE HEALTH DISPARITIES, TO IDENTIFY COMMUNITY NEEDS, AND TO HELP ASSESS AND DIRECT OUR RESPONSE TO THOSE NEEDS. THE ADVISORY BOARD IS COMPRISED OF BOTH INTERNAL AND EXTERNAL/COMMUNITY LEADERS. ADVENTIST HEALTHCARE COMMUNITY BENEFIT ADVISORY BOARD MEMBERS (DURING THE LAST CONDUCTED CHNA IN 2013): > AISHA BIVENS, JD, BSN; ASSOCIATE VICE PRESIDENT OF CLINICAL EFFECTIVENESS; WASHINGTON ADVENTIST HOSPITAL; > PERRY CHAN; SENIOR PROGRAM COORDINATOR, ASIAN AMERICAN HEALTH INITIATIVE; MONTGOMERY COUNTY DEPARTMENT OF HEALTH AND HUMAN SERVICES; > IRENE DANKWA-MULLAN, MD, MPH; DIRECTOR, OFFICE OF INNOVATION AND PROGRAM COORDINATION; NATIONAL INSTITUTE ON MINORITY HEALTH AND HEALTH DISPARITIES; > STEVE GALEN, MS; PRESIDENT AND CEO; PRIMARY CARE COALITION OF MONTGOMERY COUNTY; > CAROL W. GARVEY, MD, MPH; CHAIR; PRIMARY CARE COALITION; > CARLESSIA HUSSEIN, DRPH, RN; DIRECTOR, OFFICE OF MINORITY HEALTH AND HEALTH DISPARITIES; MARYLAND DEPARTMENT OF HEALTH AND MENTAL HYGIENE; > JUDY LICHTY, MPH; REGIONAL DIRECTOR, HEALTH AND WELLNESS; ADVENTIST HEALTHCARE; > SKIP MARGOT, RN, MS; CNE AND VP OF PATIENT CARE SERVICES; SHADY GROVE MEDICAL CENTER;> SONIA MORA, RN; MANAGER, PUBLIC HEALTH SERVICES/LATINO HEALTH INITIATIVE; MONTGOMERY COUNTY DEPARTMENT OF HEALTH AND HUMAN SERVICES; > RICHARD "DICK" PAVLIN, MHCA; EXECUTIVE DIRECTOR; MERCY HEALTH CLINIC; > OLIVIA CARTER-POKRAS, PHD; ASSOCIATE PROFESSOR; UNIVERSITY OF MARYLAND COLLEGE PARK, SCHOOL OF PUBLIC HEALTH; > HOWARD ROSS; CHIEF LEARNING OFFICER; COOK ROSS, INC.; > TERRENCE P. SHEEHAN, MD; CHIEF MEDICAL OFFICER; ADVENTIST REHABILITATION HOSPITAL OF MARYLAND; > TOM SWEENEY, RN, MBA, FACHE; VICE PRESIDENT - CHIEF NURSING OFFICER; WASHINGTON ADVENTIST HOSPITAL; > LOIS A. WESSEL, RN CFNP; ASSOCIATE DIRECTOR FOR PROGRAMS; ASSOCIATION OF CLINICIANS FOR THE UNDERSERVED;IN ADDITION TO THE FORMAL ADVISORY BOARD, THE STAFF OF APHR PARTICIPATES IN VARIOUS WAYS IN THE COMMUNITY. WE ACTIVELY PARTICIPATE IN NUMEROUS COMMITTEES, COALITIONS, AND PARTNERSHIPS THAT PROVIDE INFORMATION ON THE HEALTH NEEDS IN THE COMMUNITY. THE HEALTH PROFESSIONALS THAT PROVIDE PROGRAMS IN THE COMMUNITY ALSO PROVIDE VALUABLE INFORMATION AND KNOWLEDGE OF COMMUNITY NEEDS.FINALLY, THE COMMUNITY'S PERSPECTIVE WAS OBTAINED THROUGH A COMMUNITY HEALTH NEEDS ASSESSMENT SURVEY, CUSTOMER SATISFACTION SURVEYS, AND KEY INFORMANT INTERVIEWS. THE CHNA SURVEY WAS OFFERED TO THE PUBLIC THROUGH POSTINGS ON ADVENTIST HEALTHCARE'S FACEBOOK PAGES, NEWSLETTERS, EMAIL LIST SERVES, AND MEETINGS WITH COMMUNITY LEADERS. A 25-ITEM SURVEY, AVAILABLE ONLINE THROUGH SURVEYMONKEY.COM, ASKED COMMUNITY MEMBERS AND COMMUNITY LEADERS ALIKE TO IDENTIFY THEIR SOCIO-DEMOGRAPHIC INFORMATION, HEALTH NEEDS, PROBLEMS AFFECTING THE HEALTH OF THE COMMUNITY, BARRIERS TO ACCESSING CARE, AND STRENGTHS/RESOURCES IN THE COMMUNITY.
BEHAVIORAL HEALTH&WELLNESS SERVICES-ROCK	PART V, SECTION B, LINE 5: THE FOLLOWING NARRATIVE IS BASED ON THE LAST CONDUCTED CHNA IN 2013:ADVENTIST HEALTHCARE BEHAVIORAL HEALTH AND WELLNESS SERVICES ROCKVILLE (BHWS -R) BELIEVES THAT MENTAL HEALTH CARE IS BEST DELIVERED THROUGH PROGRAMS AND SERVICES THAT ADDRESS THE NEEDS OF THE COMMUNITY IT SERVES. THE COMMUNITY ADVISORY COUNCIL (CAC) WAS FORMED FOR THE PURPOSE OF INCORPORATING FEEDBACK FROM THE COMMUNITY IN THE PLANNING AND DELIVERY OF OUR SERVICES. THROUGH REGULAR AND PRODUCTIVE DIALOGUE WITH OUR CAC, BHWS-R AIMS TO STRENGTHEN ITS EXISTING PROGRAMS AND BETTER ADDRESS GAPS IN MENTAL HEALTH CARE. THE CAC CONSISTS OF 17 MEMBERS WHO HAVE DEMONSTRATED AN INTEREST IN THE MENTAL HEALTH CONCERNS OF THE COMMUNITY THROUGH THEIR PROFESSION OR VOLUNTEER SERVICE. THIS INCLUDES, BUT IS NOT LIMITED TO, FORMER PATIENTS AND/OR THEIR FAMILY MEMBERS, MENTAL HEALTH ADVOCACY GROUPS, COUNTY AND STATE LEADERS, MONTGOMERY COUNTY PUBLIC SCHOOLS, AND MONTGOMERY COUNTY POLICE DEPARTMENT. THE COMMUNITY ADVISORY COUNCIL MEETS BIMONTHLY AT ADVENTIST BEHAVIORAL HEALTH IN ROCKVILLE.MEMBERS OF BHWS - ROCKVILLE'S COMMUNITY ADVISORY COUNCIL INCLUDED (DURING THE LAST CONDUCTED CHNA IN 2013):> CLINICAL DIRECTOR OF MONTGOMERY COUNTY COALITION FOR THE HOMELESS/HOMEBUILDERS CARE ASSESSMENT CENTER;> MONTGOMERY COUNTY POLICE DEPARTMENT CRISIS INTERVENTION TEAM COORDINATOR;> EXECUTIVE DIRECTOR OF THE MONTGOMERY COUNTY FEDERATION OF FAMILIES FOR CHILDREN'S MENTAL HEALTH, INC.;> NAMI MONTGOMERY COUNTY DIRECTOR OF CHILDREN AND ADOLESCENT PROGRAM AND FAMILY-TO-FAMILY COORDINATOR;> FORMER PATIENTS AND/OR FAMILY MEMBERS OF ADVENTIST BEHAVIORAL HEALTH;> ABHW VICE PRESIDENT OF OPERATIONS;> ABHW INTERIM CHIEF NURSING OFFICER AND STAFF EDUCATOR;> ABHW COMMUNICATIONS DIRECTOR;> ABHW ASSOCIATE VICE PRESIDENT, BUSINESS DEVELOPMENT;> ABHW MEDICAL DIRECTOR;> ABHW PSYCHIATRIST;> ABHW DIRECTOR OF COMMUNITY BASED RESIDENTIAL SERVICES;> ABHW DIRECTOR OF ADULT CLINICAL SERVICES;> ABHW CHAPLAIN;> ABHW ASSOCIATE VICE PRESIDENT, QUALITY AND PATIENT SAFETY AND LOCAL INTEGRITY/CHIEF PRIVACY OFFICER;BHWS-R HAS ONGOING PARTNERSHIPS WITH SEVERAL COMMUNITY-BASED ORGANIZATIONS AND HEALTH CARE CLINICS THAT PROVIDE VALUABLE INPUT ON THE HEALTH NEEDS OF COMMUNITY MEMBERS. WE PARTNER WITH CLINICS THAT SERVE THE LOW-INCOME RESIDENTS OF MONTGOMERY COUNTY, MANY OF WHOM ARE LIMITED ENGLISH PROFICIENT AND/OR RACIAL AND ETHNIC MINORITIES. ONE OF ADVENTIST HEALTHCARE'S SAFETY NET CLINIC PARTNERS IS MERCY HEALTH CLINIC, WHICH PROVIDES PRIMARY CARE TO UNINSURED, LOW-INCOME ADULT RESIDENTS OF MONTGOMERY COUNTY. ADVENTIST HEALTHCARE ALSO PARTNERS WITH MERCY HEALTH CLINIC BY PROVIDING FREE DIAGNOSTIC SERVICES/LAB WORK TO THEIR UNINSURED PATIENTS. ANOTHER KEY PARTNER IS MOBILE MEDICAL CARE (MOBILE MED), WHICH OPERATES THREE MOBILE HEALTHCARE VEHICLES AND PROVIDES PRIMARY AND PREVENTATIVE HEALTHCARE TO THE UNINSURED, LOW INCOME, WORKING POOR AND HOMELESS IN MONTGOMERY COUNTY. IN ADDITION, ADVENTIST HEALTHCARE CONVENED A COMMUNITY ADVISORY BOARD TO HELP GUIDE OUR EFFORTS TO REDUCE AND ELIMINATE HEALTH DISPARITIES, TO IDENTIFY COMMUNITY NEEDS, AND TO HELP ASSESS AND DIRECT OUR RESPONSE TO THOSE NEEDS. THE ADVISORY BOARD IS COMPRISED OF BOTH INTERNAL AND EXTERNAL/COMMUNITY LEADERS.ADVENTIST HEALTHCARE COMMUNITY BENEFIT ADVISORY BOARD MEMBERS: > AISHA BIVENS, JD, BSN; ASSOCIATE VICE PRESIDENT OF CLINICAL EFFECTIVENESS; WASHINGTON ADVENTIST HOSPITAL; > PERRY CHAN; SENIOR PROGRAM COORDINATOR, ASIAN AMERICAN HEALTH INITIATIVE; MONTGOMERY COUNTY DEPARTMENT OF HEALTH AND HUMAN SERVICES; > IRENE DANKWA-MULLAN, MD, MPH; DIRECTOR, OFFICE OF INNOVATION AND PROGRAM COORDINATION; NATIONAL INSTITUTE ON MINORITY HEALTH AND HEALTH DISPARITIES; > STEVE GALEN, MS; PRESIDENT AND CEO; PRIMARY CARE COALITION OF MONTGOMERY COUNTY; > CAROL W. GARVEY, MD, MPH; CHAIR; PRIMARY CARE COALITION; > CARLESSIA HUSSEIN, DRPH, RN; DIRECTOR, OFFICE OF MINORITY HEALTH AND HEALTH DISPARITIES; MARYLAND DEPARTMENT OF HEALTH AND MENTAL HYGIENE; > JUDY LICHTY, MPH; REGIONAL DIRECTOR, HEALTH AND WELLNESS; ADVENTIST HEALTHCARE; > SKIP MARGOT, RN, MS; CNE AND VP OF PATIENT CARE SERVICES; SHADY GROVE MEDICAL CENTER; > SONIA MORA, RN; MANAGER, PUBLIC HEALTH SERVICES/LATINO HEALTH INITIATIVE; MONTGOMERY COUNTY DEPARTMENT OF HEALTH AND HUMAN SERVICES; > RICHARD "DICK" PAVLIN, MHCA; EXECUTIVE DIRECTOR; MERCY HEALTH CLINIC; > OLIVIA CARTER-POKRAS, PHD; ASSOCIATE PROFESSOR; UNIVERSITY OF MARYLAND COLLEGE PARK, SCHOOL OF PUBLIC HEALTH; > HOWARD ROSS; CHIEF LEARNING OFFICER; COOK ROSS, INC.; > TERRENCE P. SHEEHAN, MD; CHIEF MEDICAL OFFICER; ADVENTIST REHABILITATION HOSPITAL OF MARYLAND; > TOM SWEENEY, RN, MBA, FACHE; VICE PRESIDENT - CHIEF NURSING OFFICER; WASHINGTON ADVENTIST HOSPITAL; > LOIS A. WESSEL, RN CFNP; ASSOCIATE DIRECTOR FOR PROGRAMS; ASSOCIATION OF CLINICIANS FOR THE UNDERSERVED;FINALLY, THE COMMUNITY'S PERSPECTIVE WAS OBTAINED THROUGH A COMMUNITY HEALTH NEEDS ASSESSMENT SURVEY OFFERED TO THE PUBLIC THROUGH POSTINGS ON ADVENTIST HEALTHCARE ENTITY FACEBOOK PAGES, NEWSLETTERS, E-MAIL LIST SERVES, AND MEETINGS WITH COMMUNITY LEADERS. A 25-ITEM SURVEY, AVAILABLE ONLINE THROUGH SURVEYMONKEY.COM, ASKED COMMUNITY MEMBERS AND COMMUNITY LEADERS ALIKE TO PROVIDE SOCIODEMOGRAPHIC INFORMATION, HEALTH NEEDS, PROBLEMS AFFECTING THE HEALTH OF THE COMMUNITY, BARRIERS TO ACCESSING CARE, AND STRENGTHS/RESOURCES IN THE COMMUNITY.
BEHAVIORAL HEALTH&WELLNESS SVS-E SHORE	PART V, SECTION B, LINE 5: THE FOLLOWING NARRATIVE IS BASED ON THE LAST CONDUCTED CHNA IN 2013:ADVENTIST HEALTHCARE BEHAVIORAL HEALTH AND WELLNESS SERVICES EASTERN SHORE (BHWS-ES) BELIEVES THAT MENTAL HEALTH CARE IS BEST DELIVERED THROUGH PROGRAMS AND SERVICES THAT ADDRESS THE NEEDS OF THE COMMUNITY IT SERVES. THE LOCAL COMMUNITY ADVISORY BOARD (CAB) OF BHWS-ES WAS FORMED FOR THE PURPOSE OF PROVIDING BETTER SERVICES FOR OUR RESIDENTS AND THEIR FAMILIES, THROUGH INTERACTIVE AND PARTICIPATORY INPUT WITHIN THE GROUP AND TO TREAT "SHORE KIDS" ON THE SHORE. THROUGH REGULAR AND PRODUCTIVE DIALOGUE WITH ITS COMMUNITY ADVISORY BOARD, BHWS-ES AIMS TO STRENGTHEN ITS EXISTING PROGRAMS AND ADDRESS GAPS IN MENTAL HEALTH CARE. THE COMMUNITY ADVISORY BOARD CONSISTS OF MEMBERS WHO HAVE DEMONSTRATED AN INTEREST IN THE MENTAL HEALTH CONCERNS OF THE COMMUNITY THROUGH THEIR WORK OR VOLUNTEER SERVICES. THIS INCLUDES, BUT IS NOT LIMITED TO: PARENT/FAMILY NAVIGATORS, MID-SHORE MENTAL HEALTH CORE SERVICE AGENCY REPRESENTATIVE, PARENTS OF PATIENTS, DORCHESTER COUNTY DEPARTMENT OF JUVENILE SERVICES PROGRAM SUPERVISOR, WICOMICO SOMERSET REGIONAL CORE SERVICE AGENCY REPRESENTATIVE, DORCHESTER COUNTY DEPARTMENT OF SOCIAL SERVICES REPRESENTATIVE, EASTERN SHORE MOBILE CRISIS REPRESENTATIVE, AND DORCHESTER COUNTY PUBLIC SCHOOLS SPECIAL EDUCATION NON-PUBLIC COORDINATOR. THE COMMUNITY ADVISORY BOARD WAS BEING LED BY KEVIN DRUMHELLER, EXECUTIVE DIRECTOR OF ADVENTIST BEHAVIORAL HEALTH EASTERN SHORE, AND BARBARA COLEMAN, SCRIBE. THE COMMUNITY ADVISORY BOARD FOR BHWS-ES HELD ITS FIRST MEETING IN NOVEMBER 2012 AND MEETS QUARTERLY.ADVENTIST HEALTHCARE BEHAVIORAL HEALTH AND WELLNESS SERVICES EASTERN SHORE COMMUNITY ADVISORY BOARD MEMBERS (DURING THE LAST CONDUCTED CHNA IN 2013): > AUDRA CHERBONNIER; FAMILY NAVIGATOR, PARENT; MARYLAND COALITION OF FAMILIES; > ADELAIDE (ADDIE) ECKARDT; DELEGATE; HOUSE OF DELEGATES;> REBECCA HUTCHISON; CHILD AND ADOLESCENT COORDINATOR; MID SHORE MENTAL HEALTH SYSTEMS; > DIANE LANE; EXECUTIVE DIRECTOR AND PARENT; CHESAPEAKE VOYAGERS, INC.; > KENNETH MALIK; CHIEF; CAMBRIDGE POLICE DEPARTMENT; > CAROL MASDEN; DIRECTOR AND PARENT; EASTERN SHORE MOBILE CRISIS; > CHRISTOPHER MIELE; PROGRAM SUPERVISOR; DEPARTMENT OF JUVENILE SERVICES; > HEIDI ROCHON; DIRECTOR AND PARENT; MARYLAND COALITION OF FAMILIES; > DARLENE SAMPSON; ASSISTANT DIRECTOR OF SERVICES; DORCHESTER COUNTY DEPARTMENT OF SOCIAL SERVICES;> CHALARRA SESSOMS; CHILD AND ADOLESCENT DIRECTOR; WICOMICO/SOMERSET BEHAVIORAL HEALTH AUTHORITY; > BERNADETT TOWNSEND; FAMILY NAVIGATOR AND PARENT; MARYLAND COALITION OF FAMILIES; > DEBBIE USAB; DIRECTOR; DORCHESTER COUNTY PUBLIC SCHOOLS SPECIAL EDUCATION;IN ADDITION TO THE ADVISORY BOARD, THE STAFF OF ADVENTIST HEALTHCARE AND BHWS-ES PARTICIPATES IN VARIOUS WAYS IN THE COMMUNITY. WE ACTIVELY PARTICIPATE IN NUMEROUS COMMITTEES, COALITIONS, AND PARTNERSHIPS THAT PROVIDE INFORMATION ON THE HEALTH NEEDS IN THE COMMUNITY. THE HEALTH PROFESSIONALS THAT PROVIDE PROGRAMS IN THE COMMUNITY ALSO PROVIDE VALUABLE INFORMATION AND KNOWLEDGE OF COMMUNITY NEEDS.
SHADY GROVE MEDICAL CENTER	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 CAN BE FOUND ON EITHER ONE OF THESE URLS: HTTP://WWW.ADVENTISTHEALTHCARE.COM/APP/FILES/PUBLIC/3166/2013-CHNA-SGAH.PDF,OR,HTTP://WWW.ADVENTISTHEALTHCARE.COM/ABOUT/COMMUNITY/HEALTH-NEEDS-ASSESSMENTPART V, SECTION B, LINE 10A: THE IMPLEMENTATION STRATEGY IS FOUND ON THIS URL: WWW.ADVENTISTHEALTHCARE.COM/APP/FILES/PUBLIC/3339/2013-CHNA-SGAH- IMPLEMENTATIONSTRATEGY.PDF
WASHINGTON ADVENTIST HOSPITAL	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 CAN BE FOUND ON EITHER ONE OF THESE URLS: HTTP://WWW.ADVENTISTHEALTHCARE.COM/APP/FILES/PUBLIC/3167/2013-CHNA-WAH.PDF,OR,HTTP://WWW.ADVENTISTHEALTHCARE.COM/ABOUT/COMMUNITY/HEALTH-NEEDS-ASSESSMENTPART V, SECTION B, LINE 10A: THE IMPLEMENTATION STRATEGY IS FOUND ON THIS URL WWW.ADVENTISTHEALTHCARE.COM/APP/FILES/PUBLIC/3338/2013-CHNA-WAH- IMPLEMENTATIONSTRATEGY.PDF
ADVENTIST REHABILITATION HOSPITAL OF MARYLAND	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 CAN BE FOUND ON EITHER ONE OF THESE URLS: HTTP://WWW.ADVENTISTHEALTHCARE.COM/APP/FILES/PUBLIC/3275/2013-CHNA-ARHM.PDF,OR,HTTP://WWW.ADVENTISTHEALTHCARE.COM/ABOUT/COMMUNITY/HEALTH-NEEDS-ASSESSMENTPART V, SECTION B, LINE 10A: THE IMPLEMENTATION STRATEGY IS FOUND ON THIS URL: WWW.ADVENTISTHEALTHCARE.COM/APP/FILES/PUBLIC/3446/2013-CHNA-ARHM- IMPLEMENTATIONSTRATEGY.PDF
BEHAVIORAL HEALTH&WELLNESS SERVICES-ROCK	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 CAN BE FOUND ON EITHER ONE OF THESE URLS: HTTP://WWW.ADVENTISTHEALTHCARE.COM/APP/FILES/PUBLIC/3274/2013-CHNA-ABH-RV.PDF,OR,HTTP://WWW.ADVENTISTHEALTHCARE.COM/ABOUT/COMMUNITY/HEALTH-NEEDS-ASSESSMENTPART V, SECTION B, LINE 10A: THE IMPLEMENTATION STRATEGY IS FOUND ON THIS URL: WWW.ADVENTISTHEALTHCARE.COM/APP/FILES/PUBLIC/3447/2013-CHNA-ABH-RV- IMPLEMENTATIONSTRATEGY.PDF
BEHAVIORAL HEALTH&WELLNESS SVS-E SHORE	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 CAN BE FOUND ON EITHER ONE OF THESE URLS: HTTP://WWW.ADVENTISTHEALTHCARE.COM/APP/FILES/PUBLIC/3273/2013-CHNA-ABH-ES.PDF,OR,HTTP://WWW.ADVENTISTHEALTHCARE.COM/ABOUT/COMMUNITY/HEALTH-NEEDS-ASSESSMENTPART V, SECTION B, LINE 10A: THE IMPLEMENTATION STRATEGY IS FOUND ON THIS URL: WWW.ADVENTISTHEALTHCARE.COM/APP/FILES/PUBLIC/3448/2013-CHNA-ABH-ES- IMPLEMENTATIONSTRATEGY.PDF
SHADY GROVE MEDICAL CENTER	PART V, SECTION B, LINE 11: BASED ON THE CHNA COMPLETED IN 2013, AN IMPLEMENTATION STRATEGY WAS ADOPTED FOCUSING ON (1) THE EARLY SCREENING AND DETECTION OF LUNG CANCER AMONG THE ASIAN POPULATION, AND (2) DIABETES MANAGEMENT AMONG THE UNINSURED.LUNG CANCER: ADVENTIST HEALTHCARE SHADY GROVE MEDICAL CENTER (SGMC) HAS IMPLEMENTED A PROGRAM TO IMPROVE EARLY SCREENING AND DETECTION OF LUNG CANCER AMONG THE ASIAN POPULATION IT SERVES. THROUGH THIS INITIATIVE, SGMC OFFERS LOW-DOSE CT LUNG CANCER SCREENINGS FOR HIGH-RISK ASIAN PACIFIC ISLANDER COMMUNITIES. STRATEGIES FOR THIS INITIATIVE INCLUDE: > AN EARLY DETECTION LUNG CANCER SCREENING PROGRAM TARGETED TO THE ASIAN POPULATION; SCREENING EVENTS PREVIOUSLY TOOK PLACE ON A QUARTERLY BASIS. IN ORDER TO INCREASE ACCESS, SCREENINGS ARE NOW AVAILABLE ON A REGULAR BASIS BY APPOINTMENT. > ROUTINE FOLLOW-UP PROCESSES FOR IDENTIFIED LUNG NODULES; ALL SUSPICIOUS LUNG NODULES ARE REVIEWED BY A MULTIDISCIPLINARY PHYSICIAN GROUP; PARTICIPANTS ARE PROVIDED WITH A CD OF THEIR SCANS AT THE TIME OF THE SCREENING; SCREENING RESULTS LETTERS ARE SENT TO EACH PARTICIPANT AS WELL AS TO THEIR PRIMARY CARE PHYSICIAN; PARTICIPANTS RECOMMENDED FOR FOLLOW-UP ARE SENT REMINDERS VIA LETTERS AND PHONE CALLS AT APPROPRIATE TIMES. >TOBACCO CESSATION COUNSELING; SCREENING PARTICIPANTS ARE PROVIDED MATERIALS (WHICH ARE AVAILABLE IN THE TOP ASIAN LANGUAGES IN THE AREA) REGARDING ADVENTIST HEALTHCARE SHADY GROVE MEDICAL CENTERS FREE TOBACCO CESSATION PROGRAM. THE PROGRAM INCLUDES 1 YEARS OF FOLLOW-UP COUNSELING AS WELL AS FREE NICOTINE REPLACEMENT THERAPY, AS NEEDED. > COMMUNITY OUTREACH TO THE ASIAN POPULATION; TARGETED OUTREACH TAKES PLACE FOR THE SCREENING PROGRAM INCLUDING REACHING OUT TO LOCAL CHINESE AND KOREAN PHYSICIANS AND PHYSICIANS SERVING THE ASIAN COMMUNITY IN THE HOSPITAL'S SERVICE AREA, DISTRIBUTING TRANSLATED FLYERS AT LOCAL EVENTS, PARTNERING WITH LOCAL COMMUNITY-BASED ORGANIZATIONS SERVING THE ASIAN COMMUNITY TO SPREAD THE WORD ABOUT THE SCREENINGS, AND RELEASING ADVERTISEMENTS IN LOCAL CHINESE AND KOREAN LANGUAGE NEWSPAPERS;MOST RECENTLY, WE HAVE ALSO DISTRIBUTED "SCRIPT PADS" TO LOCAL AREA PHYSICIANS SERVING LARGELY ASIAN POPULATIONS SO THAT THEY ARE EASILY ABLE TO REFER PATIENTS TO THE SCREENING PROGRAM.DIABETES: SGMC HAS IMPLEMENTED SEVERAL PROGRAMS TO INCREASE ACCESS TO EDUCATION AND RESOURCES FOR UNINSURED DIABETIC INDIVIDUALS IN MONTGOMERY COUNTY IN ORDER TO INCREASE CONFIDENCE AND SKILLS IN BETTER MANAGING AND CONTROLLING THEIR DIABETES. STRATEGIES FOR THIS INITIATIVE INCLUDE: > OFFERING PRE-DIABETES CLASSES FREE OF CHARGE. CLASSES FOLLOW AN EVIDENCE-BASED CURRICULUM DEVELOPED BY THE NATIONAL DIABETES EDUCATION PROGRAM AND CONSIST OF TWO 2-HOUR SESSIONS TAKING PLACE EVERY OTHER MONTH AT SGMC. > INFORMAL DIABETES SELF-MANAGEMENT EDUCATION FOR INDIVIDUALS DURING A GROUP MEDICAL APPOINTMENT SETTING AT MOBILE MED IN ROCKVILLE, MARYLAND. SGMC'S OUTPATIENT DIABETES EDUCATOR PROVIDES DIABETES EDUCATION TO THE GROUP AS THEY EACH TAKE THEIR TURN VISITING THEIR HEALTH CARE PROVIDER. > OFFERING A FREE 1-HOUR NUTRITION AND COOKING CLASS ON A MONTHLY BASIS AT SGMC. > OFFERING THE STANFORD UNIVERSITY DIABETES SELF-MANAGEMENT PROGRAM TO THE COMMUNITY. THIS EVIDENCE BASED PROGRAM CONSISTS OF SIX WEEKLY 2.5 HOUR SESSIONS AND WORKS TO IMPROVE SELF-MANAGEMENT SKILLS. WHILE ONLY OFFERED IN ENGLISH IN 2015, ADDITIONAL SGMC STAFF MEMBERS HAVE NOW BEEN TRAINED TO OFFER THE WORKSHOP IN SPANISH AS WELL. ADDITIONAL AREAS OF NEED ADDRESSED BY SGMC: > BREAST CANCER: PROVIDE FREE MAMMOGRAM SCREENINGS, NAVIGATION, BIOPSIES, ULTRASOUNDS, SURGERIES, AND TREATMENT FOR THE UNINSURED. ENCOURAGE PREVENTION AND EARLY DETECTION THROUGH EDUCATION AT COMMUNITY HEALTH FAIRS, AND COMMUNITY LOCATIONS SERVING VULNERABLE POPULATIONS. A BREAST CANCER SUPPORT GROUP AS WELL AS THE AMERICAN CANCER SOCIETY LOOK GOOD FEEL BETTER SUPPORT GROUP ARE OFFERED AS WELL. > COLORECTAL CANCER: PROVIDE COLONOSCOPIES FOR TARGET POPULATION AND REFER PATIENTS WITH ABNORMAL FINDINGS TO MONTGOMERY CANCER CRUSADES FOR FURTHER TREATMENT. ENCOURAGE PREVENTION AND EARLY DETECTION THROUGH EDUCATION AT COMMUNITY HEALTH FAIRS, AND COMMUNITY LOCATIONS SERVING VULNERABLE POPULATIONS. > CANCER (OTHER): PARTNER WITH PHYSICIANS TO PROVIDE FREE ANNUAL CANCER SCREENINGS TO THE COMMUNITY, TARGETING: BREAST, PROSTATE, COLORECTAL, ORAL, SKIN AND THYROID CANCER. ADDITIONALLY, BILINGUAL CANCER OUTREACH COORDINATORS ENCOURAGE PREVENTION AND EARLY DETECTION BY PROVIDING EDUCATIONAL PRESENTATIONS AND MATERIALS TO UNDERSERVED AND AT-RISK POPULATIONS AT COMMUNITY LOCATIONS. A FREE TOBACCO CESSATION PROGRAM WAS ALSO NEWLY IMPLEMENTED IN 2015. THE PROGRAM PROVIDES ONE YEAR OF FOLLOW-UP COUNSELING FROM TRAINED TOBACCO CESSATION COUNSELORS, AS WELL AS NICOTINE REPLACEMENT THERAPY AS NEEDED. > HEART DISEASE AND STROKE: HOLD ANNUAL "LOVE YOUR SWEET HEART" SCREENING EVENTS TO PROVIDE FREE SCREENINGS TO COMMUNITY MEMBERS FOR: BLOOD PRESSURE, CHOLESTEROL, GLUCOSE, WAIST CIRCUMFERENCE, BMI, BODY COMPOSITION, AND SLEEP APNEA, AS WELL AS 1:1 COUNSELING WITH A CLINICIAN. OFFER LIPID PROFILE, VERTICAL AUTO PROFILE, HOMOCYSTEINE, HSCRP, BLOOD PRESSURE, GLUCOSE AND A1C SCREENINGS; AND PROVIDE FREE EDUCATIONAL LECTURES TO THE COMMUNITY. PROVIDE "HEALTHY CHOICES PROGRAM" IN DAMASCUS TO PROVIDE WOMEN OF LOW SOCIO-ECONOMIC STATUS INFORMATION AND SUPPORT TO ASSIST THEM IN MAKING HEALTHIER CHOICES FOR THEMSELVES AND THEIR CHILDREN. > OBESITY: PROVIDE 1:1 HEALTH EDUCATION AND GROUP PRESENTATIONS ABOUT HEALTHY NUTRITION AND THE IMPORTANCE OF EXERCISE AT HEALTH FAIRS, SENIOR AND COMMUNITY CENTERS, AND FAITH-BASED ORGANIZATIONS. PROVIDE AFFORDABLE INDIVIDUAL NUTRITION COUNSELING TO THE COMMUNITY. > INFLUENZA: PROVIDE LOW COST FLU SHOT CLINICS THROUGHOUT MONTGOMERY COUNTY TO CHILDREN, ADULTS AND SENIORS AT COMMUNITY CENTERS, SENIOR CENTERS, FAITH-BASED ORGANIZATIONS, THE HOSPITAL, AND SUBSIDIZED APARTMENT COMPLEXES. PARTNER WITH WTOP RADIO TO PROVIDE HUNDREDS OF FREE FLU SHOTS TO THE COMMUNITY AT LARGE. > MATERNAL & INFANT HEALTH: IN ADDITION TO CHILDBIRTH, BREASTFEEDING, AND PARENTING CLASSES, SGMC OFFERS FREE PROGRAMS TO ITS PATIENTS, SUCH AS BEST (BREASTFEEDING, EDUCATION, SUPPORT AND TOGETHERNESS) TO PROMOTE AND SUPPORT BREASTFEEDING, AND DISCOVERING MOTHERHOOD SUPPORT GROUP FOR NEW MOTHERS. IN PARTNERSHIP WITH MONTGOMERY COUNTY HEALTH DEPARTMENT, ADVENTIST HEALTHCARE SHADY GROVE MEDICAL CENTER ALSO PROVIDES PRENATAL SERVICES TO LOW-INCOME AND UNINSURED RESIDENTS, INCLUDING: PRENATAL CARE, ROUTINE LAB TESTS, CLASSES AND DENTAL SCREENINGS. > SENIOR HEALTH: SGMC OFFERS COMMUNITY HEALTH PROGRAMS FOR SENIORS AT: DAMASCUS SENIOR CENTER, GAITHERSBURG UP-COUNTY SENIOR CENTER, ROCKVILLE SENIOR CENTER, REVITZ HOUSE, AS WELL AS NUMEROUS SUBSIDIZED SENIOR APARTMENT COMPLEXES. PROGRAMS INCLUDE BUT ARE NOT LIMITED TO CLINICAL HEART HEALTH SCREENINGS, MONTHLY BLOOD PRESSURE SCREENINGS, CARDIOVASCULAR SUPPORT AND ACTIVITY GROUPS, AND EDUCATIONAL LECTURES AND HEALTH FAIRS.AREAS OF NEED NOT DIRECTLY ADDRESSED BY SGMC AND THE RATIONALE: > ASTHMA: SGMC DOES NOT CURRENTLY PROVIDE COMMUNITY OUTREACH AND EDUCATIONAL PROGRAMS SPECIFICALLY FOR ASTHMA BECAUSE ASTHMA PREVALENCE AND RATES OF ED VISITS IN MONTGOMERY COUNTY ARE BELOW RATES STATEWIDE, AND BECAUSE THERE ARE OTHER ASTHMA RESOURCES AVAILABLE IN THE COUNTY. SGMC WILL CONTINUE TO MONITOR TRENDS IN ASTHMA TO DETERMINE WHETHER FUTURE REALLOCATION OF RESOURCES IS NEEDED TO PROVIDE ASTHMA-RELATED COMMUNITY PROGRAMS. > HIV/AIDS: SGMC DOES NOT CURRENTLY PROVIDE COMMUNITY OUTREACH AND EDUCATIONAL PROGRAMS FOR HIV/AIDS DUE TO LIMITED FINANCIAL RESOURCES. ADVENTIST HEALTHCARE'S CENTER FOR HEALTH EQUITY AND WELLNESS LED AN INITIATIVE CALLED PROJECT BEAT IT! (BECOMING EMPOWERED AFRICANS THROUGH IMPROVED TREATMENT OF TYPE 2 DIABETES, HIV/AIDS, AND HEPATITIS B), WHICH WAS A GRANT-FUNDED INITIATIVE FROM U.S. DHHS OFFICE OF MINORITY HEALTH THAT PROVIDED CULTURALLY APPROPRIATE HEALTH EDUCATION CLASSES TO HEALTH CARE PROVIDERS AND THE AFRICAN IMMIGRANT COMMUNITY TO IMPROVE HEALTH OUTCOMES RELATED TO THESE CHRONIC AND INFECTIOUS DISEASES. THE 20-MONTH GRANT FUNDED PROJECT ENDED IN SEPTEMBER 2013. > BEHAVIORAL HEALTH: SGMC DOES NOT PROVIDE BEHAVIORAL HEALTH SERVICES BECAUSE THESE SERVICES ARE ALREADY PROVIDED BY THE NEIGHBORING SPECIALTY CARE HOSPITAL WITHIN ITS HOSPITAL SYSTEM, ADVENTIST HEALTHCARE BEHAVIORAL HEALTH AND WELLNESS SERVICES. IN ADDITION TO ADVENTIST HEALTHCARE BEHAVIORAL HEALTH AND WELLNESS SERVICES, THERE ARE MANY ORGANIZATIONS THAT PROVIDE BEHAVIORAL HEALTH SERVICES WITHIN THE SGMC SERVICE AREA. > SOCIAL DETERMINANTS OF HEALTH (FOOD ACCESS; HOUSING QUALITY; EDUCATION; TRANSPORT): SGMC DOES NOT DIRECTLY ADDRESS MANY OF THE SOCIAL DETERMINANTS OF HEALTH BECAUSE THOSE ARE NOT SPECIALTY AREAS OF THE HOSPITAL AND SGMC DOES NOT HAVE THE RESOURCES OR EXPERTISE TO MEET MANY OF THESE NEEDS. INSTEAD, SGMC PARTNERS WITH AND SUPPORTS OTHER ORGANIZATIONS IN THE COMMUNITY THAT SPECIALIZE IN
WASHINGTON ADVENTIST HOSPITAL	PART V, SECTION B, LINE 11: BASED ON THE CHNA COMPLETED IN 2013, AN IMPLEMENTATION STRATEGY WAS ADOPTED FOCUSING ON (1) FLU PREVENTION, AND (2) BEHAVIORAL HEALTH.FLU: ADVENTIST HEALTHCARE WASHINGTON ADVENTIST HOSPITAL (WAH) HAS IMPLEMENTED STRATEGIES TO ADDRESS HIGH INFLUENZA-RELATED EMERGENCY ROOM RATES IN TARGETED AREAS. STRATEGIES FOR THIS INITIATIVE INCLUDE:> PARTNERING WITH COMMUNITY ORGANIZATIONS, PLACES OF WORSHIP, SENIOR CENTERS, COMMUNITY CENTERS, LOW-INCOME HOUSING COMPLEXES, AND COUNTY HEALTH DEPARTMENTS IN MONTGOMERY AND PRINCE GEORGE'S COUNTIES TO PROVIDE FREE OR LOW COST VACCINATIONS TO RESIDENTS WITH THE GREATEST NEED.> PARTNERING WITH A MICRO-PRACTICE LOCATED IN ZIP CODE 20904 CALLED "CARE FOR YOUR HEALTH" TO PROVIDE VACCINE TO UNDERSERVED PATIENTS. THE PATIENT POPULATION SERVED BY THE CARE FOR YOUR HEALTH MICROPRACTICE IS 75% HISPANIC, 12% BLACK, 5% WHITE, 4% ASIAN, AND 4% OTHER. THE MAJORITY OF PATIENTS ARE SPANISH-SPEAKING.> PARTNERING WITH LOCAL SAFETY NET CLINICS, COMMUNITY CLINIC, INC. (FQHC) AND MOBILE MEDICAL CARE, INC., TO PROVIDE FREE FLU VACCINE TO LOW-INCOME, UNINSURED RESIDENTS IN ADVENTIST HEALTHCARE WASHINGTON ADVENTIST HOSPITAL'S PRIMARY SERVICE AREA.BEHAVIORAL HEALTH: ADVENTIST HEALTHCARE WASHINGTON ADVENTIST HOSPITAL HAS IMPLEMENTED STRATEGIES TO ADDRESS BEHAVIORAL HEALTH (MENTAL HEALTH AND SUBSTANCE ABUSE) NEEDS IN THE POPULATION IT SERVES. THE STRATEGIES INCLUDE: > REFERRING ADMITTED PATIENTS WITH IDENTIFIED CONDITIONS OF SUBSTANCE ABUSE AND/OR CHEMICAL DEPENDENCY TO APPROPRIATE RESOURCES FOR INTERVENTION AND FOLLOW-UP AS NEEDED (E.G., OUTPATIENT REHABILITATION PROGRAMS AND SUPPORT GROUPS); > STRENGTHENING A PARTNERSHIP WITH VICTORY TOWER (LOW-INCOME SENIOR HOUSING LOCATED IN ZIP CODE 20912) TO PROVIDE COUNSELING RESOURCES AND MATERIALS TO RESIDENTS REGARDING ALCOHOL AND SUBSTANCE ABUSE. THROUGH THIS PARTNERSHIP, WAH HAS PROVIDED VICTORY TOWER WITH SEVERAL SERVICES ON-SITE INCLUDING: - A WEEKLY WELLNESS CIRCLE ORGANIZED BY A CERTIFIED SUBSTANCE ABUSE COUNSELOR. WEEKLY SESSIONS ARE APPROXIMATELY 1.5 HOURS IN LENGTH. THE PURPOSE IS TO ENHANCE QUALITY OF LIFE AND ASSIST PARTICIPANTS WITH SOBRIETY AND MENTAL HEALTH MAINTENANCE. WEEKLY DISCUSSIONS FOCUS ON THE SUBSTANCE ABUSE AND MENTAL HEALTH SERVICES ADMINISTRATION'S (SAMHSA) 8 DIMENSIONS OF WELLNESS. - MONTHLY BLOOD PRESSURE AND OTHER HEALTH SCREENINGS, HEALTH FAIRS, EDUCATIONAL LECTURES AND DEMONSTRATIONS, AND A BIWEEKLY WELLNESS CIRCLE/SUPPORT GROUP FOR ALCOHOL AND SUBSTANCE ABUSE LED BY A CERTIFIED CHEMICAL DEPENDENCE COUNSELOR.ADDITIONAL AREAS OF NEED ADDRESSED BY WAH: > BREAST CANCER: PROVIDE FREE MAMMOGRAM SCREENINGS, NAVIGATION, BIOPSIES, ULTRASOUNDS, SURGERIES, AND TREATMENT FOR THE UNINSURED. ENCOURAGE PREVENTION & EARLY DETECTION THROUGH EDUCATION AT COMMUNITY HEALTH FAIRS, AND COMMUNITY LOCATIONS SERVING VULNERABLE POPULATIONS. A BREAST CANCER SUPPORT GROUP AS WELL AS THE AMERICAN CANCER SOCIETY LOOK GOOD FEEL BETTER SUPPORT GROUP ARE OFFERED AS WELL. > COLORECTAL CANCER: PROVIDE FREE COLONOSCOPIES FOR TARGET POPULATION AND REFER PATIENTS WITH ABNORMAL FINDINGS TO MONTGOMERY CANCER CRUSADES FOR FURTHER TREATMENT. ENCOURAGE PREVENTION & EARLY DETECTION THROUGH EDUCATION AT COMMUNITY HEALTH FAIRS, AND COMMUNITY LOCATIONS SERVING VULNERABLE POPULATIONS. > CANCER (OTHER): WAH PARTNERS WITH PHYSICIANS TO PROVIDE FREE ANNUAL CANCER SCREENINGS TO THE COMMUNITY, TARGETING: BREAST, PROSTATE, COLORECTAL, ORAL, SKIN AND THYROID CANCER. ADDITIONALLY, BILINGUAL CANCER OUTREACH COORDINATORS ENCOURAGE PREVENTION AND EARLY DETECTION BY PROVIDING EDUCATIONAL PRESENTATIONS AND MATERIALS TO UNDERSERVED AND AT-RISK POPULATIONS AT COMMUNITY LOCATIONS. WAH ALSO PROVIDES TOBACCO CESSATION EDUCATION AND COUNSELING AS WELL AS NICOTINE REPLACEMENT THERAPY (NRT) AT NO COST TO ELIGIBLE PATIENTS AND COMMUNITY MEMBERS. > DIABETES: PROVIDE INPATIENT AND OUTPATIENT SERVICES AND EDUCATION FOR DIABETES, AND ITS CENTER FOR ADVANCED WOUND CARE & HYPERBARIC MEDICINE TREATS WOUNDS DUE TO COMPLICATIONS OF DIABETES. PROVIDE DIABETIC EDUCATION CLASSES INCLUDING FREE PRE-DIABETES CLASSES AND COOKING/NUTRITION CLASSES. ENCOURAGE DIABETES PREVENTION THROUGH EDUCATION AT COMMUNITY HEALTH FAIRS AND COMMUNITY LOCATIONS. OFFER THE STANFORD UNIVERSITY DIABETES SELF MANAGEMENT PROGRAM AT VARIOUS COMMUNITY LOCATIONS. THIS SIX WEEK WORKSHOP TEACHES SELF-MANAGEMENT SKILLS TO IMPROVE CONFIDENCE AND IN TURN CONTROL. WHILE CURRENTLY ONLY OFFERED IN ENGLISH, STAFF HAVE RECENTLY BEEN TRAINED TO OFFER THE PROGRAM IN SPANISH AS WELL. > HEART DISEASE AND STROKE: HOLD ANNUAL "LOVE YOUR SWEAT HEART" SCREENING EVENTS TO PROVIDE FREE SCREENINGS TO COMMUNITY MEMBERS FOR: BLOOD PRESSURE, CHOLESTEROL, GLUCOSE, WAIST CIRCUMFERENCE, BMI, BODY COMPOSITION, AND SLEEP APNEA, AS WELL AS 1:1 COUNSELING WITH A CLINICIAN. OFFER LIPID PROFILE, VERTICAL AUTO PROFILE, HOMOCYSTEINE, HSCRP, BLOOD PRESSURE, GLUCOSE AND A1C SCREENINGS, AS WELL AS FREE EDUCATIONAL LECTURES TO THE COMMUNITY. WAH HAS ALSO OFFERED THE COMPLETE HEALTH IMPROVEMENT PROGRAM (CHIP), WHICH COUNSELS PARTICIPANTS ON HEALTHY CHOICES REGARDING DIET AND WEIGHT MANAGEMENT. > OBESITY: PROVIDE 1:1 HEALTH EDUCATION AND GROUP PRESENTATIONS ABOUT HEALTHY NUTRITION AND THE IMPORTANCE OF EXERCISE AT HEALTH FAIRS, SENIOR AND COMMUNITY CENTERS, AND FAITH-BASED ORGANIZATIONS. PROVIDE AFFORDABLE INDIVIDUAL NUTRITION COUNSELING TO THE COMMUNITY. WAH HAS ALSO OFFERED THE COMPLETE HEALTH IMPROVEMENT PROGRAM (CHIP), WHICH COUNSELS PARTICIPANTS ON HEALTHY CHOICES REGARDING DIET AND WEIGHT MANAGEMENT. > MATERNAL AND INFANT HEALTH: IN ADDITION TO CHILDBIRTH, BREASTFEEDING, AND PARENTING CLASSES, WAH OFFERS FREE PROGRAMS TO ITS PATIENTS, SUCH AS HECHO DE PECHO(BREASTFEEDING EDUCATION AND SUPPORT FOR SPANISH SPEAKING MOTHERS) TO PROMOTE AND SUPPORT BREASTFEEDING. IN PARTNERSHIP WITH THE MONTGOMERY COUNTY MATERNITY PARTNERSHIP PROGRAM, WAH PROVIDES PRENATAL SERVICES TO LOW-INCOME AND UNINSURED RESIDENTS, INCLUDING: PRENATAL CARE, ROUTINE LAB TESTS, EDUCATION/CLASSES AND DENTAL SCREENINGS. WAH ALSO SUPPORTS MARY'S CENTER FOR MATERNAL AND CHILD CARE, WHICH PROVIDES CULTURALLY AND LINGUISTICALLY COMPETENT CARE TO LOW-INCOME, UNINSURED INDIVIDUALS AND FAMILIES. > SENIOR HEALTH: WAH OFFERS COMMUNITY HEALTH PROGRAMS FOR SENIORS AT: LONG BRANCH COMMUNITY CENTER, TAKOMA PARK COMMUNITY CENTER, MID-COUNTY COMMUNITY CENTER, BOWIE SENIOR CENTER, VICTORY TOWERS, GREEN RIDGE HOUSE, SPRINGVALE TERRACE, AS WELL AS NUMEROUS OTHER SUBSIDIZED SENIOR APARTMENT COMPLEXES. PROGRAMS INCLUDE BUT ARE NOT LIMITED TO CLINICAL HEART HEALTH SCREENINGS, MONTHLY BLOOD PRESSURE SCREENINGS, CARDIOVASCULAR SUPPORT AND ACTIVITY GROUPS, AND EDUCATIONAL LECTURES AND HEALTH FAIRS.AREAS OF NEED NOT DIRECTLY ADDRESSED BY ADVENTIST HEALTHCARE WASHINGTON ADVENTIST HOSPITAL AND THE RATIONALE: > ASTHMA: WAH DOES NOT CURRENTLY PROVIDE COMMUNITY OUTREACH AND EDUCATIONAL PROGRAMS SPECIFICALLY FOR ASTHMA BECAUSE ASTHMA PREVALENCE AND RATES OF ER VISITS IN MONTGOMERY COUNTY AND PRINCE GEORGE'S COUNTY ARE BELOW RATES STATEWIDE, AND BECAUSE THERE ARE OTHER ASTHMA RESOURCES AVAILABLE IN THE COUNTY. WAH WILL CONTINUE TO MONITOR TRENDS IN ASTHMA TO DETERMINE WHETHER FUTURE REALLOCATION OF RESOURCES IS NEEDED TO PROVIDE ASTHMA-RELATED COMMUNITY PROGRAMS. > HIV/AIDS: WAH DOES NOT CURRENTLY PROVIDE COMMUNITY OUTREACH AND EDUCATIONAL PROGRAMS FOR HIV/AIDS DUE TO LIMITED FINANCIAL RESOURCES, AND BECAUSE MANY HIV/AIDS SERVICES ARE PROVIDED BY OTHER LOCAL ORGANIZATIONS. ADVENTIST HEALTHCARE'S CENTER ON HEALTH DISPARITIES LED AN INITIATIVE CALLED PROJECT BEAT IT! (BECOMING EMPOWERED AFRICANS THROUGH IMPROVED TREATMENT OF TYPE 2 DIABETES, HIV/AIDS, AND HEPATITIS B), WHICH WAS A GRANT-FUNDED INITIATIVE FROM U.S. DHHS OFFICE OF MINORITY HEALTH THAT PROVIDED CULTURALLY APPROPRIATE HEALTH EDUCATION CLASSES TO HEALTH CARE PROVIDERS AND THE AFRICAN IMMIGRANT COMMUNITY TO IMPROVE HEALTH OUTCOMES RELATED TO THESE CHRONIC AND INFECTIOUS DISEASES. THE 20-MONTH GRANT FUNDED PROJECT ENDED IN SEPTEMBER 2013. > SOCIAL DETERMINANTS OF HEALTH (FOOD ACCESS; HOUSING QUALITY; EDUCATION; TRANSPORTATION: WAH DOES NOT DIRECTLY ADDRESS MANY OF THE SOCIAL DETERMINANTS OF HEALTH BECAUSE THOSE ARE NOT SPECIALTY AREAS OF THE HOSPITAL AND WAH DOES NOT HAVE THE RESOURCES OR EXPERTISE TO MEET MANY OF THESE NEEDS. INSTEAD, WAH PARTNERS WITH AND SUPPORTS OTHER ORGANIZATIONS IN THE COMMUNITY THAT SPECIALIZE IN ADDRESSING NEEDS RELATED TO FOOD ACCESS, HOUSING QUALITY, EDUCATION, TRANSPORTATION, AND OTHER SOCIAL DETERMINANTS OF HEALTH. WAH HAS RECENTLY PARTNERED WITH LOCAL FARMERS MARKETS TO OFFER "PRESCRIPTIONS" FOR HEALTHY FOODS WHICH ALLOW PATIENTS TO RECEIVE FRESH PRODUCE AT A DISCOUNTED RATE. WAH HAS ALSO RECENTLY PARTNERED WITH REBUILDING TOGETHER IN ORDER TO MATCH INDIVIDUALS IN NEED WITH HOME REPAIR/RENOVATION SERVICES THAT WILL ALLOW THEM TO MORE SAFELY MAINTAIN THEIR RESIDENCE AND AGE AT HOME. FOR EXAMPLE, INSTALLING ARM RAILS AND RAMPS. FOR ADDITIONAL DET
HACKETTSTOWN COMMUNITY HOSPITAL	PART V, SECTION B, LINE 11: THE FOLLOWING WERE IDENTIFIED AS THE KEY COMMUNITY PRIORITIES: ACCESS TO CARE,CHRONIC DISEASE MANAGEMENT, COORDINATION OF CARE, AND MENTAL HEALTH.THE PLAN TO ADDRESS THESE ISSUES ARE AS FOLLOWS. ACCESS TO CARE:GOAL - INCREASE ACCESS TO AFFORDABLE QUALITY HEALTH CARE FOR HACKETTSTOWN MEDICAL CENTER'S SERVICE AREA RESIDENTS. OBJECTIVE - IDENTIFY A COMPREHENSIVE LIST OF AVAILABLE COMMUNITY RESOURCES FOR THE LOW INCOME AND UNINSURED POPULATION IN HACKETTSTOWN MEDICAL CENTER'S SERVICE AREA BY MARCH 2017. ACTIONS - > IDENTIFY COMMUNITY PARTNERS TO OBTAIN AND EVALUATE AVAILABLE RESOURCES AND RESOURCE GUIDES. > WORK WITH COMMUNITY PARTNERS TO CONSOLIDATE RESOURCE INFORMATION ON AREA HEALTH CLINICS AND LOCAL RESOURCES. > POST INFORMATION ON THE HOSPITAL'S WEBSITE AND DISTRIBUTE THROUGH: HACKETTSTOWN MEDICAL CENTER'S FINANCIAL COUNSELORS, EMERGENCY DEPARTMENT, WARREN COUNTY HEALTH DEPARTMENT, MT. OLIVE HEALTH DEPARTMENT AND OTHER IDENTIFIED AGENCIES.PLAN TO EVALUATE - HACKETTSTOWN MEDICAL CENTER WILL EVALUATE THE DISTRIBUTION OF THE RESOURCE GUIDE BY CONTACTING THE LOCAL AGENCIES TO EVALUATE THE NUMBER THAT WERE PROVIDED TO COMMUNITY RESIDENTS. POTENTIAL PARTNERS - HACKETTSTOWN MEDICAL CENTER, ZUFALL HEALTH CENTER, WARREN COUNTY HEALTH DEPARTMENT, MT. OLIVE HEALTH DEPARTMENT, WARREN COUNTY DIVISION OF HUMAN SERVICES, UNITED WAY.MENTAL HEALTH/SUBSTANCE ABUSE: GOAL - INCREASE ACCESS TO EXISTING MENTAL HEALTH SERVICES AND INCREASE AWARENESS OF MENTAL HEALTH ISSUES FOR HACKETTSTOWN MEDICAL CENTER'S SERVICE AREA. OBJECTIVE - IDENTIFY A COMPREHENSIVE LIST OF AVAILABLE RESOURCES FOR THOSE IN NEED OF MENTAL HEALTH AND ADDICTION SERVICES IN HACKETTSTOWN MEDICAL CENTER'S SERVICE AREA BY MARCH 2017. ACTIONS - > IDENTIFY AND CONTACT COMMUNITY PARTNERS TO PARTICIPATE IN A MENTAL HEALTH STRATEGY WORKGROUP. > IDENTIFY LOCAL COMMUNITY PARTNERS TO OBTAIN AND EVALUATE AVAILABLE RESOURCES AND RESOURCE GUIDES. > WORK WITH LOCAL COMMUNITY PARTNERS TO CONSOLIDATE RESOURCE INFORMATION. > POST INFORMATION ON THE HOSPITAL'S WEBSITE AND DISTRIBUTE THROUGH: HACKETTSTOWN MEDICAL CENTER'S COUNSELING AND ADDICTION CENTER, SCHOOLS, CHURCHES, EMERGENCY DEPARTMENT, FIRST AID SQUADS, WARREN COUNTY HEALTH DEPARTMENT, MT. OLIVE HEALTH DEPARTMENT, ZUFALL HEALTH CENTER. PLAN TO EVALUATE - HACKETTSTOWN MEDICAL CENTER WILL EVALUATE THE DISTRIBUTION OF THE RESOURCE GUIDE BY CONTACTING LOCAL AGENCIES TO EVALUATE THE NUMBER THAT WERE DISTRIBUTED. POTENTIAL PARTNERS - HACKETTSTOWN MEDICAL CENTER'S COUNSELING AND ADDICTION CENTER, EMERGENCY DEPARTMENT, FIRST AID SQUADS, WARREN COUNTY HEALTH DEPARTMENT, MT. OLIVE HEALTH DEPARTMENT, ZUFALL HEALTH CENTER WARREN COUNTY DIVISION OF HUMAN SERVICES, FAMILY GUIDANCE, LOCAL SCHOOLS AND CHURCHES. OBJECTIVE - DECREASE MENTAL HEALTH STIGMA BY INCREASING AWARENESS AND IDENTIFICATION OF MENTAL HEALTH /SUBSTANCE ABUSE DISORDERS. ACTIONS - > EXPLORE EVIDENCED BASED TRAINING OPPORTUNITIES TO INCREASE AWARENESS OF MENTAL HEALTH ISSUES. > IDENTIFY TARGET GROUPS TO RECEIVE TRAINING SUCH AS STUDENT ASSISTANCE COUNSELORS, CLERGY, AND LOCAL FIRST AID SQUADS. > ENGAGE GROUPS TO BE TRAINED AND COLLECT DATA ON THE NEEDS OF THE GROUP. HOLD TRAINING FOR 25 PARTICIPANTS IN YEAR ONE. PLAN TO EVALUATE - EVALUATE THE SUCCESS OF THE PROGRAM BY FEEDBACK FROM PARTICIPANTS. POTENTIAL PARTNERS - MENTAL HEALTH WORKGROUP, HACKETTSTOWN MEDICAL CENTER'S COUNSELING AND ADDICTION CENTER, CENTER FOR HEALTHIER LIVING, FAMILY GUIDANCE, NAMI. CHRONIC DISEASE MANAGEMENT/COORDINATION OF CARE: GOAL - REDUCE RISK FACTORS FOR CHRONIC DISEASE AND IMPROVE MANAGEMENT OF DISEASE CONDITIONS THROUGH PROMOTION AND EDUCATION OF HEALTHY LIFESTYLES. OBJECTIVE - INCREASE THE NUMBER OF PARTICIPANTS ATTENDING CHRONIC DISEASE EDUCATION PROGRAMS AND SUPPORT GROUPS. ACTIONS - > PROVIDE AT LEAST 4 EDUCATIONAL OPPORTUNITIES FOR THOSE DIAGNOSED WITH CHRONIC DISEASES SUCH AS DIABETES, CARDIOVASCULAR DISEASE AND PULMONARY DISEASE. > WORK WITH LOCAL COMMUNITY RESOURCES AND PHYSICIANS TO REFER PATIENTS TO SUPPORT GROUPS. > INCREASE ATTENDANCE AT THE HEALTHY HEARTS, BETTER BREATHER'S CLUB AND DIABETES SUPPORT GROUPS. PLAN TO EVALUATE - > DOCUMENT THE NUMBER OF EDUCATIONAL PROGRAMS. > EVALUATE THE NUMBER OF PEOPLE ATTENDING THE PROGRAMS VERSUS ATTENDANCE IN THE PAST. > EVALUATE THE NUMBER OF PEOPLE REFERRED TO SUPPORT GROUPS THROUGH COMMUNITY AGENCIES AND PHYSICIANS BY SURVEY. POTENTIAL PARTNERS - HACKETTSTOWN MEDICAL CENTER, LOCAL HEALTH DEPARTMENTS, ZUFALL HEALTH CLINIC, LOCAL PRIMARY CARE PHYSICIAN'S. OBJECTIVE - PARTNER WITH COMMUNITY AGENCIES TO PROVIDE 3 HEALTH SCREENINGS AND 3 EDUCATION EVENTS TO THE LOW INCOME AND UNINSURED POPULATION.ACTIONS - > IDENTIFY LOCAL AGENCIES TO COORDINATE HEALTH EDUCATION PROGRAMS AND SCREENINGS. > PROVIDE AT LEAST 3 SCREENINGS AND 3 COMMUNITY EDUCATION PROGRAMS TO IDENTIFY THOSE AT RISK FOR CHRONIC DISEASES. > TARGET PROGRAMS AND SCREENINGS TO THE LOW INCOME AND UNINSURED POPULATION. PLAN TO EVALUATE - DOCUMENT THE COMPLETION OF 3 COMMUNITY EDUCATION AND SCREENING PROGRAMS. > EVALUATE THE NUMBER OF PEOPLE WHO ATTENDED THE PROGRAM. > EVALUATE THE NUMBER OF PEOPLE REFERRED FROM THE SCREENING PROGRAM. POTENTIAL PARTNERS - HACKETTSTOWN MEDICAL CENTER, ZUFALL HEALTH CLINIC, WARREN COUNTY HEALTH DEPARTMENT, MT. OLIVE HEALTH DEPARTMENT, WARREN COUNTY DIVISION OF HUMAN SERVICES, LOCAL CHURCHES.RATIONALE FOR COMMUNITY HEALTH NEEDS NOT ADDRESSED: HACKETTSTOWN MEDICAL CENTER PLANS TO ADDRESS ALL OF THE HEALTH PRIORITIES AS IDENTIFIED THROUGH THE COMMUNITY HEALTH NEEDS ASSESSMENT AND PRIORITIZATION SESSION. COORDINATION OF CARE WILL FOCUS ON CHRONIC DISEASE MANAGEMENT.
ADVENTIST REHABILITATION HOSPITAL OF MARYLAND	PART V, SECTION B, LINE 11: BASED ON THE CHNA COMPLETED IN 2013, AN IMPLEMENTATION STRATEGY WAS ADOPTED FOCUSING ON CONCUSSION CARE.ADVENTIST HEALTHCARE PHYSICAL HEALTH AND REHABILITATION (PH&R) HAS IMPLEMENTED AN INITIATIVE TO BUILD A COMPREHENSIVE CONCUSSION SCREENING AND TREATMENT PROGRAM SERVING COMMUNITY MEMBERS AND STUDENT ATHLETES. STRATEGIES FOR THIS INITIATIVE INCLUDE:> INCREASING KNOWLEDGE AND AWARENESS OF CONCUSSION RISKS; CONCUSSION IDENTIFICATION, CARE, AND MANAGEMENT IN THE COMMUNITY AND THE MONTGOMERY COUNTY PUBLIC SCHOOL SYSTEM;> IMPLEMENTING IMPACTTM BASELINE TESTING FOR STUDENT ATHLETES IN 13 MONTGOMERY COUNTY HIGH SCHOOLS (WITH EACH STUDENT BASELINE TESTED EVERY 2 YEARS);> MAINTAINING AND MAKING AVAILABLE BASELINE TEST RESULTS TO STUDENTS, PARENTS, AND STUDENTS' HEALTH CARE PROVIDERS AT NO COST;> PROVIDING FOLLOW-UP TESTING AND ANALYSIS FOR STUDENTS AS NEEDED AT A REASONABLE RATE;> PROVIDING RETESTS AND ANALYSES AT A REDUCED RATE OR FREE OF CHARGE FOR STUDENTS WITH ECONOMIC DIFFICULTIES;> SERVING AS A RESOURCE ON CONCUSSION EDUCATION FOR STUDENTS, PARENTS, AND COACHES;> TRAINING AND PLACING FULL-TIME ATHLETIC TRAINERS IN 13 MONTGOMERY COUNTY HIGH SCHOOLS: - TRAINERS ATTEND ALL 'HOME' ATHLETIC EVENTS AS WELL AS 'AWAY' VARSITY FOOTBALL GAMES; - TRAINERS PERFORM FUNCTIONS WITHIN THE SIX DOMAINS OF ATHLETIC TRAINERS AS ESTABLISHED BY THE NATIONAL ATHLETIC TRAINERS ASSOCIATION: PREVENTION; CLINICAL EVALUATION AND DIAGNOSIS; IMMEDIATE CARE; TREATMENT, REHABILITATION, AND RECONDITIONING; ORGANIZATION AND ADMINISTRATION; AND PROFESSIONAL RESPONSIBILITIES. - IN ADDITION, TRAINERS ASSIST IN IMPLEMENTING SCHOOL AND SYSTEM WIDE RESPONSIBILITIES RELATED TO THE HEALTH AND SAFETY OF STUDENT ATHLETES.> PROVIDING AMERICAN HEART ASSOCIATION CPR/AED RECERTIFICATION FOR ATHLETIC STAFF AT 14 MONTGOMERY COUNTY HIGH SCHOOLSAREAS OF NEED NOT DIRECTLY ADDRESSED BY ADVENTIST HEALTHCARE PHYSICAL HEALTH AND REHABILITATION AND THE RATIONALE:> ASTHMA: PH&R DOES NOT CURRENTLY DIRECTLY ADDRESS ASTHMA BECAUSE IT IS NOT A SPECIALTY AREA OF THE HOSPITAL. SUFFICIENT RESOURCES AND EXPERTISE ARE NOT AVAILABLE TO MEET THESE NEEDS. ADDITIONAL RESOURCES ARE AVAILABLE IN THE COMMUNITY.> INFLUENZA: PH&R DOES NOT DIRECTLY PROVIDE INFLUENZA SERVICES AS THEY FALL OUTSIDE THE SCOPE OF THE HOSPITAL AS A REHABILITATION CENTER. INFLUENZA SERVICES ARE ALREADY PROVIDED BY THE ACUTE CARE HOSPITALS IN THE ADVENTIST HEALTHCARE SYSTEM, SGMC AND WAH, AS WELL AS BY SEVERAL OTHER ORGANIZATIONS IN PH&R'S SERVICE AREA.> HIV/AIDS: PH&R DOES NOT PROVIDE HIV/AIDS SERVICES AS THEY FALL OUTSIDE THE SCOPE OF THE HOSPITAL AS A REHABILITATION CENTER. HIV/AIDS SERVICES ARE ALREADY PROVIDED BY OTHER ENTITIES IN THE ADVENTIST HEALTHCARE NETWORK, AS WELL AS BY SEVERAL OTHER ORGANIZATIONS IN PH&R'S SERVICE AREA.> MATERNAL AND INFANT HEALTH: PH&R DOES NOT PROVIDE MATERNAL AND INFANT SERVICES AS THEY FALL OUTSIDE THE SCOPE OF THE HOSPITAL AS A REHABILITATION CENTER. A FULL SPECTRUM OF MATERNAL AND INFANT SERVICES IS ALREADY PROVIDED BY SGMC, AS WELL AS BY SEVERAL OTHER ORGANIZATIONS IN PH&R'S SERVICE AREA.> BEHAVIORAL HEALTH: PH&R DOES NOT PROVIDE BEHAVIORAL HEALTH SERVICES BECAUSE THESE SERVICES ARE ALREADY PROVIDED BY A NEIGHBORING SPECIALTY CARE HOSPITAL WITHIN ITS HOSPITAL SYSTEM, ADVENTIST BEHAVIORAL HEALTH. IN ADDITION TO ADVENTIST BEHAVIORAL HEALTH, THERE ARE MANY ORGANIZATIONS THAT PROVIDE BEHAVIORAL HEALTH SERVICES WITHIN THE PH&R SERVICE AREA.> SENIOR HEALTH: PH&R DOES NOT DIRECTLY PROVIDE SENIOR CARE COMMUNITY OUTREACH SERVICES AS THEY FALL OUTSIDE THE SCOPE OF THE HOSPITAL AS A REHABILITATION CENTER. MANY OLDER ADULTS AND SENIORS ARE SERVED BY VARIOUS PROGRAMS AT PH&R, ALTHOUGH THESE NOT SPECIFICALLY/EXCLUSIVELY OFFERED TO SENIORS. SENIOR HEALTH SERVICES ARE ALREADY PROVIDED BY OTHER ENTITIES IN THE ADVENTIST HEALTHCARE NETWORK, AS WELL AS BY SEVERAL OTHER ORGANIZATIONS IN PH&R'S SERVICE AREA.> SOCIAL DETERMINANTS OF HEALTH (FOOD ACCESS; HOUSING QUALITY; EDUCATION; TRANSPORTATION): PH&R DOES NOT DIRECTLY ADDRESS MANY OF THE SOCIAL DETERMINANTS OF HEALTH AS THEY FALL OUTSIDE THE SPECIALTY AREAS OF THE HOSPITAL AND PH&R DOES NOT HAVE THE RESOURCES OR EXPERTISE TO MEET THOSE NEEDS. INSTEAD PH&R SUPPORTS AND PARTNERS WITH OTHER ORGANIZATIONS IN THE COMMUNITY THAT SPECIALIZE IN ADDRESSING NEEDS RELATED TO FOOD ACCESS, HOUSING QUALITY, EDUCATION, AND TRANSPORTATION.FOR ADDITIONAL DETAILS INCLUDING THE CHNA FINDINGS, GOALS, AND RELEVANT LOCALLY AVAILABLE RESOURCES PLEASE SEE ADVENTIST REHABILITATION HOSPITAL OF MARYLAND'S IMPLEMENTATION STRATEGY WHICH CAN BE FOUND HERE: HTTP://WWW.ADVENTISTHEALTHCARE.COM/APP/FILES/PUBLIC/3446/2013-CHNA-ARHM- IMPLEMENTATIONSTRATEGY.PDF
BEHAVIORAL HEALTH&WELLNESS SERVICES-ROCK	PART V, SECTION B, LINE 11: IN 2015 ADVENTIST HEALTHCARE BEHAVIORAL HEALTH AND WELLNESS SERVICES - ROCKVILLE FOCUSED ON MENTAL HEALTH PROFESSIONAL TRAINING AND CONTINUED EDUCATION. THE PRIMARY OBJECTIVE OF THE INITIATIVE WAS TO INCREASE ACCESS TO MENTAL HEALTH CARE BY PROVIDING TRAINING OPPORTUNITIES FOR YOUNG PROFESSIONALS AS WELL AS CONTINUED LEARNING EXPERIENCES FOR BOTH STUDENTS AND PROFESSIONALS IN THE FIELD. ADVENTIST HEALTHCARE BEHAVIORAL HEALTH & WELLNESS SERVICES ROCKVILLE WORKED TO DO THIS BY PROVIDING OPPORTUNITIES FOR STUDENTS TO GAIN HANDS ON TRAINING IN SPECIALIZED AREAS OF CARE THAT HAVE A HIGH DEMAND IN THE COMMUNITY. IN ADDITION, THE HOSPITAL WORKS TO PROVIDE CONTINUED LEARNING EXPERIENCES FOR BEHAVIORAL HEALTH STUDENTS AND PROFESSIONALS IN THE COMMUNITY. STRATEGIES FOR THIS INITIATIVE INCLUDED: > OFFERING A CHILD AND ADOLESCENT PSYCHIATRY RESIDENCY PROGRAM IN PARTNERSHIP WITH MEDSTAR GEORGETOWN UNIVERSITY HOSPITAL. STUDENTS ARE WITH THE HOSPITAL FOR AN EXTENDED PERIOD OF TIME DURING WHICH THEY HAVE THE OPPORTUNITY TO WORK CLOSELY WITH PHYSICIANS IN MULTIPLE SETTINGS. > OFFERING NURSING STUDENT PSYCHIATRIC ROTATIONS FOR SEVERAL AREA SCHOOLS. ROTATIONS TYPICALLY INCLUDE A MIX OF SHADOWING AND HANDS ON EXPERIENCE DEPENDING ON THE NEEDS OF EACH NURSING PROGRAM. > PARTNERING WITH MEDSTAR GEORGETOWN UNIVERSITY HOSPITAL TO HOST A FREE SYMPOSIUM ON THE THERAPEUTIC NEEDS OF CHILDREN AND ADOLESCENTS AFFECTED BY EMOTIONAL AND PHYSICAL TRAUMA. > HOSTING A SYMPOSIUM ON THE LATEST RESEARCH AND CLINICAL APPLICATIONS AROUND RELIGION, SPIRITUALITY, AND GERIATRIC MENTAL HEALTH.AREAS OF NEED NOT DIRECTLY ADDRESSED BY ADVENTIST HEALTHCARE BEHAVIORAL HEALTH AND WELLNESS SERVICES ROCKVILLE AND THE RATIONALE:> CANCER: ABHW ROCKVILLE DOES NOT PROVIDE DIRECT SERVICES AROUND CANCER AS THEY FALL OUTSIDE THE SCOPE OF THE HOSPITAL AS A BEHAVIORAL HEALTH CENTER. CANCER SERVICES ARE ALREADY PROVIDED BY OTHER ENTITIES IN THE ADVENTIST HEALTHCARE NETWORK, AS WELL AS BY SEVERAL OTHER ORGANIZATIONS IN ABHW ROCKVILLE'S SERVICE AREA.> HEART DISEASE & STROKE: ABHW ROCKVILLE DOES NOT PROVIDE HEART DISEASE AND STROKE SERVICES AS THEY FALL OUTSIDE THE SCOPE OF THE HOSPITAL AS A BEHAVIORAL HEALTH CENTER. HEART DISEASE AND STROKE SERVICES ARE ALREADY PROVIDED BY OTHER ENTITIES IN THE ADVENTIST HEALTHCARE NETWORK, AS WELL AS BY SEVERAL OTHER ORGANIZATIONS IN ABHW ROCKVILLE'S SERVICE AREA.> DIABETES: ABHW ROCKVILLE DOES NOT DIRECTLY PROVIDE DIABETES SERVICES AS THEY FALL OUTSIDE THE SCOPE OF THE HOSPITAL AS A BEHAVIORAL HEALTH CENTER. DIABETES SERVICES ARE ALREADY PROVIDED BY OTHER ENTITIES IN THE ADVENTIST HEALTHCARE NETWORK, AS WELL AS BY SEVERAL OTHER ORGANIZATIONS IN ABHW ROCKVILLE'S SERVICE AREA.> OBESITY: ABHW ROCKVILLE DOES NOT DIRECTLY PROVIDE OBESITY SERVICES AS THEY FALL OUTSIDE THE SCOPE OF THE HOSPITAL AS A BEHAVIORAL HEALTH CENTER. OBESITY SERVICES ARE ALREADY PROVIDED BY OTHER ENTITIES IN THE ADVENTIST HEALTHCARE NETWORK, AS WELL AS BY SEVERAL OTHER ORGANIZATIONS IN ABHW ROCKVILLE'S SERVICE AREA.> ASTHMA: ABHW ROCKVILLE DOES NOT DIRECTLY PROVIDE ASTHMA SERVICES AS THEY FALL OUTSIDE THE SCOPE OF THE HOSPITAL AS A BEHAVIORAL HEALTH CENTER. ASTHMA SERVICES ARE ALREADY PROVIDED BY OTHER ENTITIES IN THE ADVENTIST HEALTHCARE NETWORK, AS WELL AS BY SEVERAL OTHER ORGANIZATIONS IN ABHW ROCKVILLE'S SERVICE AREA.> INFLUENZA: ABHW ROCKVILLE DOES NOT DIRECTLY PROVIDE INFLUENZA SERVICES AS THEY FALL OUTSIDE THE SCOPE OF THE HOSPITAL AS A BEHAVIORAL HEALTH CENTER. INFLUENZA SERVICES ARE ALREADY PROVIDED BY OTHER ENTITIES IN THE ADVENTIST HEALTHCARE NETWORK, AS WELL AS BY SEVERAL OTHER ORGANIZATIONS IN ABHW ROCKVILLE'S SERVICE AREA.> HIV/AIDS: ABHW ROCKVILLE DOES NOT PROVIDE HIV/AIDS SERVICES AS THEY FALL OUTSIDE THE SCOPE OF THE HOSPITAL AS A BEHAVIORAL HEALTH CENTER. HIV/AIDS SERVICES ARE ALREADY PROVIDED BY OTHER ENTITIES IN THE ADVENTIST HEALTHCARE NETWORK, AS WELL AS BY SEVERAL OTHER ORGANIZATIONS IN ABHW ROCKVILLE'S SERVICE AREA.> MATERNAL AND INFANT HEALTH: ABHW ROCKVILLE DOES NOT PROVIDE MATERNAL AND INFANT SERVICES AS THEY FALL OUTSIDE THE SCOPE OF THE HOSPITAL AS A BEHAVIORAL HEALTH CENTER. A FULL SPECTRUM OF MATERNAL AND INFANT SERVICES IS ALREADY PROVIDED BY SGMC, AS WELL AS BY SEVERAL OTHER ORGANIZATIONS IN ABHW ROCKVILLE'S SERVICE AREA.> SENIOR HEALTH: ABHW ROCKVILLE DOES NOT DIRECTLY PROVIDE SENIOR CARE COMMUNITY OUTREACH SERVICES AS THEY FALL OUTSIDE THE SCOPE OF THE HOSPITAL AS A BEHAVIORAL HEALTH CENTER. SENIOR HEALTH SERVICES ARE ALREADY PROVIDED BY OTHER ENTITIES IN THE ADVENTIST HEALTHCARE NETWORK, AS WELL AS BY SEVERAL OTHER ORGANIZATIONS IN ABHW ROCKVILLE'S SERVICE AREA.> SOCIAL DETERMINANTS OF HEALTH (FOOD ACCESS; HOUSING QUALITY; EDUCATION; TRANSPORTATION): ABHW ROCKVILLE DOES NOT DIRECTLY ADDRESS MANY OF THE SOCIAL DETERMINANTS OF HEALTH AS THEY FALL OUTSIDE THE SPECIALTY AREAS OF THE HOSPITAL. ABHW ROCKVILLE DOES NOT HAVE THE RESOURCES OR EXPERTISE TO MEET THOSE NEEDS. INSTEAD ABHW ROCKVILLE SUPPORTS AND PARTNERS WITH OTHER ORGANIZATIONS IN THE COMMUNITY THAT SPECIALIZE IN ADDRESSING NEEDS RELATED TO FOOD ACCESS, HOUSING QUALITY, EDUCATION, AND TRANSPORTATION.
BEHAVIORAL HEALTH&WELLNESS SVS-E SHORE	PART V, SECTION B, LINE 11: ADVENTIST HEALTHCARE BEHAVIORAL HEALTH AND WELLNESS SERVICES - EASTERN SHORE IN 2015 FOCUSED ITS EFFORTS ON POST-TREATMENT SUPPORT FOR ADOLESCENTS AND THEIR FAMILIES. THE PRIMARY OBJECTIVE OF THIS INITIATIVE WAS TO PROVIDE PARENTS AND FAMILIES WITH THE RESOURCES AND INFORMATION THEY NEED TO SUCCESSFULLY SUPPORT AND FOSTER THE WELL-BEING OF ADOLESCENTS WITH BEHAVIORAL AND MENTAL HEALTH NEEDS. STRATEGIES INCLUDED: > PROVIDING PARENTS/GUARDIANS OF DISCHARGED ADOLESCENTS WITH INFORMATION INCLUDING: RESOURCES, INFORMATION, AND TIPS FOR PARENTS ON ASSISTING ADOLESCENTS ON THE TRANSITION FROM CARE; RESOURCES, INFORMATION, AND TIPS ON WHAT TO BE WATCHFUL FOR THAT MAY INDICATE THAT ADDITIONAL CARE OR FOLLOW-UP MAY BE NEEDED; SERVICES AND RESOURCES AVAILABLE IN THE COMMUNITY FOR ADDITIONAL SUPPORT. > IN ADDITION, ADVENTIST HEALTHCARE BEHAVIORAL HEALTH & WELLNESS SERVICES EASTERN SHORE PARTICIPATED IN EASTERN SHORE SCHOOL MENTAL HEALTH COALITION'S 5TH ANNUAL CONFERENCE AS A SPONSOR. A HOSPITAL REPRESENTATIVE ALSO HAD THE OPPORTUNITY TO CONTRIBUTE TO A PLANNING COMMITTEE MEETING. THIS YEAR'S CONFERENCE WAS TITLED "LINKING MENTAL HEALTH TO ACADEMIC SUCCESS: ENHANCING FAMILY PARTNERSHIPS". A LARGE FOCUS OF THE CONFERENCE WAS HIGHLIGHTING THE IMPORTANT ROLE FAMILIES PLAY IN MEETING THE BEHAVIORAL HEALTH NEEDS OF THEIR CHILDREN AND THUS THE IMPORTANCE OF PROVIDING THEM SUPPORT SUCH AS THROUGH PARTNERSHIPS WITH COMMUNITY STAKEHOLDERS. THE CONFERENCE WAS OPEN TO COMMUNITY MEMBERS, FAMILIES, AND PROFESSIONALS. AREAS OF NEED NOT DIRECTLY ADDRESSED BY ADVENTIST HEALTHCARE BEHAVIORAL HEALTH AND WELLNESS SERVICES EASTERN SHORE AND THE RATIONALE:> CANCER: ABHW EASTERN SHORE DOES NOT PROVIDE DIRECT SERVICES AROUND CANCER AS THEY FALL OUTSIDE THE SCOPE OF THE HOSPITAL AS A BEHAVIORAL HEALTH CENTER. CANCER SERVICES ARE ALREADY PROVIDED BY OTHER LOCAL HOSPITAL, GOVERNMENT AND COMMUNITY ENTITIES IN THE ABHW EASTERN SHORE SERVICE AREA.> HEART DISEASE & STROKE: ABHW EASTERN SHORE DOES NOT PROVIDE DIRECT SERVICES AROUND HEART DISEASE AND STROKE AS THEY FALL OUTSIDE THE SCOPE OF THE HOSPITAL AS A BEHAVIORAL HEALTH CENTER. HEART DISEASE AND STROKE SERVICES ARE ALREADY PROVIDED BY OTHER LOCAL HOSPITAL, GOVERNMENT AND COMMUNITY ENTITIES IN THE ABHW EASTERN SHORE SERVICE AREA.> DIABETES: ABHW EASTERN SHORE DOES NOT PROVIDE DIRECT SERVICES AROUND DIABETES AS THEY FALL OUTSIDE THE SCOPE OF THE HOSPITAL AS A BEHAVIORAL HEALTH CENTER. SERVICES FOR THOSE AFFECTED BY DIABETES ARE ALREADY PROVIDED BY OTHER LOCAL HOSPITAL, GOVERNMENT AND COMMUNITY ENTITIES IN THE ABHW EASTERN SHORE SERVICE AREA.> OBESITY: ABHW EASTERN SHORE DOES NOT PROVIDE DIRECT SERVICES AROUND OBESITY AS THEY FALL OUTSIDE THE SCOPE OF THE HOSPITAL AS A BEHAVIORAL HEALTH CENTER. SERVICES FOR THOSE WHO ARE OVERWEIGHT OR OBESE ARE ALREADY PROVIDED BY OTHER LOCAL HOSPITAL, GOVERNMENT AND COMMUNITY ENTITIES IN THE ABHW EASTERN SHORE SERVICE AREA.> ASTHMA: ABHW EASTERN SHORE DOES NOT CURRENTLY DIRECTLY ADDRESS ASTHMA BECAUSE IT IS NOT A SPECIALTY AREA OF THE HOSPITAL. SUFFICIENT RESOURCES AND EXPERTISE ARE NOT AVAILABLE TO MEET THESE NEEDS. ADDITIONAL RESOURCES ARE AVAILABLE IN THE COMMUNITY.> INFLUENZA: ABHW EASTERN SHORE DOES NOT PROVIDE INFLUENZA SERVICES AS THEY FALL OUTSIDE THE SCOPE OF THE HOSPITAL AS A BEHAVIORAL HEALTH CENTER. INFLUENZA SERVICES ARE ALREADY AVAILABLE THROUGH MULTIPLE PROVIDERS IN THE ABHW EASTERN SHORE SERVICE AREA.> HIV/AIDS: ABHW EASTERN SHORE DOES NOT PROVIDE DIRECT SERVICES AROUND HIV/AIDS AS THEY FALL OUTSIDE THE SCOPE OF THE HOSPITAL AS A BEHAVIORAL HEALTH CENTER. SERVICES AROUND HIV/AIDS ARE ALREADY PROVIDED BY OTHER LOCAL HOSPITAL, GOVERNMENT AND COMMUNITY ENTITIES IN THE ABHW EASTERN SHORE SERVICE AREA.> POPULATION HEALTH (MATERNAL AND INFANT HEALTH; SENIOR HEALTH): ABHW EASTERN SHORE DOES NOT DIRECTLY PROVIDE MATERNAL AND INFANT SERVICES OR SENIOR HEALTH SERVICES AS THEY FALL OUTSIDE THE SCOPE OF THE HOSPITAL AS A BEHAVIORAL HEALTH CENTER. SEVERAL RESOURCES FOR MATERNAL, INFANT AND SENIOR HEALTH ARE AVAILABLE THROUGH COMMUNITY AND GOVERNMENT ORGANIZATIONS IN THE ABHW EASTERN SHORE SERVICE AREA.> SOCIAL DETERMINANTS OF HEALTH (FOOD ACCESS; HOUSING QUALITY; EDUCATION; TRANSPORTATION): ABHW EASTERN SHORE DOES NOT DIRECTLY ADDRESS MANY OF THE SOCIAL DETERMINANTS OF HEALTH AS THEY FALL OUTSIDE THE SPECIALTY AREAS OF THE HOSPITAL AND SUFFICIENT RESOURCES AND EXPERTISE ARE NOT AVAILABLE. INSTEAD ABHW EASTERN SHORE SUPPORTS AND PARTNERS WITH OTHER ORGANIZATIONS IN THE COMMUNITY THAT SPECIALIZE IN ADDRESSING NEEDS RELATED TO FOOD ACCESS, HOUSING QUALITY, EDUCATION AND TRANSPORTATION.
SHADY GROVE MEDICAL CENTER	PART V, SECTION B, LINE 16I: THE POLICY IS ALSO STRATEGICALLY POSTED AT OUR PATIENTS FINANCIAL SERVICES OFFICE.PART V, SECTION B, LINE 16A: HTTP://WWW.ADVENTISTHEALTHCARE.COM/LOCATIONS/SHADY-GROVE-MEDICAL- CENTER/INFO/PATIENTS/BILLING/CHARITY-CARE/#.VZ1MJF9VHHWPART V, SECTION B, LINE 16B: SAME URL AS LISTED ON LINE 16APART V, SECTION B, LINE 16C: SAME URL AS LISTED ON LINE 16A ANDHTTP://WWW.ADVENTISTHEALTHCARE.COM/INFO/#BILL-PAY,.VZ1ZYF9VHHW
WASHINGTON ADVENTIST HOSPITAL	PART V, SECTION B, LINE 16I: THE POLICY IS ALSO STRATEGICALLY POSTED AT OUR PATIENTS FINANCIAL SERVICES OFFICE.PART V, SECTION B, LINE 16A: HTTP://WWW.ADVENTISTHEALTHCARE.COM/LOCATIONS/WASHINGTON-ADVENTIST- HOSPITAL/INFO/PATIENTS/BILLING/CHARITY-CARE/#.VZ1L_19VHHWPART V, SECTION B, LINE 16B: SAME URL AS LISTED ON LINE 16APART V, SECTION B, LINE 16C: SAME URL AS LISTED ON LINE 16A ANDHTTP://WWW.ADVENTISTHEALTHCARE.COM/INFO/#BILL-PAY,.VZ1ZYF9VHHW
ADVENTIST REHABILITATION HOSPITAL OF MARYLAND	PART V, SECTION B, LINE 16I: THE POLICY IS ALSO STRATEGICALLY POSTED AT OUR PATIENTS FINANCIAL SERVICES OFFICE.PART V, SECTION B, LINE 16A: HTTP://WWW.ADVENTISTHEALTHCARE.COM/LOCATIONS/WASHINGTON-ADVENTIST- HOSPITAL/INFO/PATIENTS/BILLING/CHARITY-CARE/#.VZ1L_19VHHWHTTP://WWW.ADVENTISTHEALTHCARE.COM/LOCATIONS/SHADY-GROVE-MEDICAL- CENTER/INFO/PATIENTS/BILLING/CHARITY-CARE/#.VZ1MJF9VHHWPART V, SECTION B, LINE 16B: SAME URLS AS LISTED ON LINE 16APART V, SECTION B, LINE 16C: SAME URLS AS LISTED ON LINE 16A ANDHTTP://WWW.ADVENTISTHEALTHCARE.COM/LOCATIONS/PHYSICAL-HEALTH- REHABILITATION/INFO/PATIENTS/BILLING/#.VZ1UHL9VHHWHTTP://WWW.ADVENTISTHEALTHCARE.COM/INFO/#BILL-PAY,.VZ1ZYF9VHHW
BEHAVIORAL HEALTH&WELLNESS SERVICES-ROCK	PART V, SECTION B, LINE 16I: THE POLICY IS ALSO STRATEGICALLY POSTED AT OUR PATIENTS FINANCIAL SERVICES OFFICE.PART V, SECTION B, LINE 16A: HTTP://WWW.ADVENTISTHEALTHCARE.COM/LOCATIONS/WASHINGTON-ADVENTIST- HOSPITAL/INFO/PATIENTS/BILLING/CHARITY-CARE/#.VZ1L_19VHHWHTTP://WWW.ADVENTISTHEALTHCARE.COM/LOCATIONS/SHADY-GROVE-MEDICAL- CENTER/INFO/PATIENTS/BILLING/CHARITY-CARE/#.VZ1MJF9VHHWPART V, SECTION B, LINE 16B: SAME URLS AS LISTED ON LINE 16APART V, SECTION B, LINE 16C: SAME URLS AS LISTED ON LINE 16A ANDHTTP://WWW.ADVENTISTHEALTHCARE.COM/INFO/#BILL-PAY,.VZ1ZYF9VHHW
BEHAVIORAL HEALTH&WELLNESS SVS-E SHORE	PART V, SECTION B, LINE 16I: THE POLICY IS ALSO STRATEGICALLY POSTED AT OUR PATIENTS FINANCIAL SERVICES OFFICE.PART V, SECTION B, LINE 16A: HTTP://WWW.ADVENTISTHEALTHCARE.COM/LOCATIONS/WASHINGTON-ADVENTIST- HOSPITAL/INFO/PATIENTS/BILLING/CHARITY-CARE/#.VZ1L_19VHHWHTTP://WWW.ADVENTISTHEALTHCARE.COM/LOCATIONS/SHADY-GROVE-MEDICAL- CENTER/INFO/PATIENTS/BILLING/CHARITY-CARE/#.VZ1MJF9VHHWPART V, SECTION B, LINE 16B: SAME URLS AS LISTED ON LINE 16APART V, SECTION B, LINE 16C: SAME URLS AS LISTED ON LINE 16A ANDHTTP://WWW.ADVENTISTHEALTHCARE.COM/INFO/#BILL-PAY,.VZ1ZYF9VHHW
SHADY GROVE MEDICAL CENTER	PART V, SECTION B, LINE 22D: BECAUSE MARYLAND IS AN ALL-PAYOR RATE REGULATED STATE, ALL INDIVIDUALS, REGARDLESS OF THEIR PAYER TYPE, ARE CHARGED THE RATES ESTABLISHED BY THE MARYLAND HEALTH SERVICES COST REVIEW COMMISSION (HSCRC). THE HSCRC RATE SYSTEM IS USED TO DETERMINE THE MAXIMUM AMOUNTS THAT CAN BE CHARGED.
WASHINGTON ADVENTIST HOSPITAL	PART V, SECTION B, LINE 22D: BECAUSE MARYLAND IS AN ALL-PAYOR RATE REGULATED STATE, ALL INDIVIDUALS, REGARDLESS OF THEIR PAYER TYPE, ARE CHARGED THE RATES ESTABLISHED BY THE MARYLAND HEALTH SERVICES COST REVIEW COMMISSION (HSCRC). THE HSCRC RATE SYSTEM IS USED TO DETERMINE THE MAXIMUM AMOUNTS THAT CAN BE CHARGED.
ADVENTIST REHABILITATION HOSPITAL OF MARYLAND	PART V, SECTION B, LINE 22D: IN CALENDAR YEAR 2015, ADVENTIST REHABILITATION HOSPITAL OF MARYLAND, INC. OFFERED FINANCIAL ASSISTANCE FOR ANY PATIENT PORTION OF CHARGES REGARDLESS OF INSURANCE STATUS. PATIENTS WHO HAD INSURANCE COVERAGE WERE CHARGED CONSISTENT WITH THE COPAYS AND DEDUCTIBLES AS SET BY THEIR INSURANCE POLICY, HOWEVER FINANCIAL ASSISTANCE WAS AVAILABLE FOR THE SELF-PAY PORTION AND THE CRITERIA AND INCOME GUIDELINES OUTLINED IN THE FINANCIAL ASSISTANCE POLICY APPLY IN THE SAME MANNER TO THAT SELF-PAY PORTION AS IF THE PATIENT WERE UNINSURED. FOR UNINSURED PATIENTS IN CALENDAR YEAR 2015, NO FINANCIAL ASSISTANCE PATIENT WAS CHARGED MORE THAN WHAT MARYLAND MEDICAID WOULD HAVE PAID FOR THE SAME SERVICE.
BEHAVIORAL HEALTH&WELLNESS SERVICES-ROCK	PART V, SECTION B, LINE 22D: BECAUSE MARYLAND IS AN ALL-PAYOR RATE REGULATED STATE, ALL INDIVIDUALS, REGARDLESS OF THEIR PAYER TYPE, ARE CHARGED THE RATES ESTABLISHED BY THE MARYLAND HEALTH SERVICES COST REVIEW COMMISSION (HSCRC). THE HSCRC RATE SYSTEM IS USED TO DETERMINE THE MAXIMUM AMOUNTS THAT CAN BE CHARGED.
BEHAVIORAL HEALTH&WELLNESS SVS-E SHORE	PART V, SECTION B, LINE 22D: BECAUSE MARYLAND IS AN ALL-PAYOR RATE REGULATED STATE, ALL INDIVIDUALS, REGARDLESS OF THEIR PAYER TYPE, ARE CHARGED THE RATES ESTABLISHED BY THE MARYLAND HEALTH SERVICES COST REVIEW COMMISSION (HSCRC). THE HSCRC RATE SYSTEM IS USED TO DETERMINE THE MAXIMUM AMOUNTS THAT CAN BE CHARGED.

Schedule H (Form 990) 2015

Page 8

Part VFacility Information (continued)

Section D. Other Health Care Facilities That Are Not Licensed, Registered, or Similarly Recognized as a Hospital Facility (list in order of size, from largest to smallest) How many non-hospital health care facilities did the organization operate during the tax year?6
Name and address		Type of Facility (describe)
1	1 - REGINALD S LOURIE CENTER FOR INFANTS AN 12301 ACADEMY WAY ROCKVILLE,MD20852	INFANT AND YOUNG CHILDREN DEVELOPMENT CARE CENTER
2	2 - SHADY GROVE ADVENTIST RADIATION ONCOLOGY 20330 SENECA MEADOWS PARKWAY GERMANTOWN,MD20876	OUTPATIENT CANCER TREATMENT CENTER
3	3 - ADVENTIST GERMANTOWN EMERGENCY CENTER 19731 GERMANTOWN ROAD GERMANTOWN,MD20874	FREE STANDING ER CENTER
4	4 - ADVENTIST HOME HEALTH SERVICES 12041 BORNEFIELD WAY SUITE B SILVER SPRING,MD20904	HOME HEALTH SERVICES
5	5 - ADVENTIST REHABILITATION INC 831 E UNIVERSITY BOULEVARD 14 SILVER SPRING,MD20903	REHABILITATION
6	6 - ADVENTIST HEALTHCARE URGENT CARE CENTERS 750 ROCKVILLE PIKE ROCKVILLE,MD20852	URGENT CARE CENTER
7
8
9
10

Schedule H (Form 990) 2015

Page 9

Part VI

Supplemental Information

Provide the following information.

1	Required descriptions. Provide the descriptions required for Part I, lines 3c, 6a, and 7; Part II and Part III, lines 2, 3, 4, 8 and 9b.
2	Needs assessment. Describe how the organization assesses the health care needs of the communities it serves, in addition to any CHNAs reported in Part V, Section B.
3	Patient education of eligibility for assistance. Describe how the organization informs and educates patients and persons who may be billed for patient care about their eligibility for assistance under federal, state, or local government programs or under the organization’s financial assistance policy.
4	Community information. Describe the community the organization serves, taking into account the geographic area and demographic constituents it serves.
5	Promotion of community health. Provide any other information important to describing how the organization’s hospital facilities or other health care facilities further its exempt purpose by promoting the health of the community (e.g., open medical staff, community board, use of surplus funds, etc.).
6	Affiliated health care system. If the organization is part of an affiliated health care system, describe the respective roles of the organization and its affiliates in promoting the health of the communities served.
7	State filing of community benefit report. If applicable, identify all states with which the organization, or a related organization, files a community benefit report.

Form and Line Reference	Explanation
PART I, LINE 3C:	IN CONSIDERATION FOR FINANCIAL ASSISTANCE TO OUR PATIENTS, ADVENTIST HEALTHCARE ALSO CONSIDERS CIRCUMSTANCES BEYOND INCOME. OUR CIRCUMSTANCES COULD INCLUDE THE NEEDS OF THE PATIENT AND/OR FAMILY AND OTHER FINANCIAL RESOURCES. IT IS OUR MISSION TO PROVIDE NECESSARY MEDICAL CARE TO THOSE WHO ARE UNABLE TO PAY FOR THAT CARE. IN GENERAL, ADVENTIST HEALTHCARE HAS 15 LEVELS OF FINANCIAL ASSISTANCE. THEY ARE AS FOLLOW:- ANNUAL INCOME <= 1.0X OF FPL, 0% PATIENT RESPONSIBILITY- ANNUAL INCOME > 1.00X AND <= 1.25X OF FPL, 0% PATIENT RESPONSIBILITY- ANNUAL INCOME > 1.25X AND <= 1.50X OF FPL, 0% PATIENT RESPONSIBILITY- ANNUAL INCOME > 1.50X AND <= 1.75X OF FPL, 0% PATIENT RESPONSIBILITY- ANNUAL INCOME > 1.75X AND <= 2.00X OF FPL, 0% PATIENT RESPONSIBILITY- ANNUAL INCOME > 2.00X AND <= 2.25X OF FPL, 10% PATIENT RESPONSIBILITY- ANNUAL INCOME > 2.25X AND <= 2.50X OF FPL, 20% PATIENT RESPONSIBILITY- ANNUAL INCOME > 2.50X AND <= 2.75X OF FPL, 30% PATIENT RESPONSIBILITY- ANNUAL INCOME > 2.75X AND <= 3.00X OF FPL, 40% PATIENT RESPONSIBILITY- ANNUAL INCOME > 3.00X AND <= 3.50X OF FPL, 50% PATIENT RESPONSIBILITY- ANNUAL INCOME > 3.50X AND <= 4.00X OF FPL, 60% PATIENT RESPONSIBILITY- ANNUAL INCOME > 4.00X AND <= 4.50X OF FPL, 70% PATIENT RESPONSIBILITY- ANNUAL INCOME > 4.50X AND <= 5.00X OF FPL, 80% PATIENT RESPONSIBILITY- ANNUAL INCOME > 5.00X AND <= 5.50X OF FPL, 90% PATIENT RESPONSIBILITY- ANNUAL INCOME > 5.50X AND <= 6.00X OF FPL, 95% PATIENT RESPONSIBILITY
PART I, LINE 7:	MARYLAND'S UNIQUE ALL PAYER SYSTEM INCLUDES A METHOD FOR REFERENCING UNCOMPENSATED CARE IN EACH PROVIDER'S RATES. FOR PURPOSES OF COMPLETING ADVENTIST HEALTHCARE'S FORM 990, ADJUSTMENTS TO OUR APPROVED RATE ORDER ARE NOT PRESENTED AS AN OFFSET TO THE LEVEL OF UNCOMPENSATED CARE WE PROVIDED.FOR PURPOSES OF PREPARING SCHEDULE H OF FORM 990, ADVENTIST HEALTHCARE CALCULATED A COST TO CHARGE RATIO AS REFLECTED IN ITS 2015 AUDITED FINANCIAL STATEMENTS. THE COST TO CHARGE RATIO WAS USED TO REDUCE THE YEARLY CHARITY CARE PROVISION FROM CHARGE TO COST.IN ADDITION, ADVENTIST HEALTHCARE ALSO CONSIDERED GOVERNMENT ASSESSMENTS THROUGH THE STATE'S HEALTH SERVICE COST REGULATORY AGENCY AND OTHER RELATED STATE GOVERNMENT AGENCIES.ADVENTIST HEALTHCARE COMPUTED THE COMMUNITY BENEFITS BY ITS HOSPITAL FACILITIES AND AGGREGATED THE TOTAL.
PART I, LINE 7G:	SUBSIDIZED HEALTH SERVICES INCLUDED PAYMENTS FOR NON-EMPLOYED BUT HOSPITAL-BASED PHYSICIANS, NON-RESIDENT HOSPITAL STAFF, HOSPITALISTS, EMERGENCY ON-CALL, OFF-CAMPUS EMERGENCY CENTER, AND WOMEN'S AND CHILDREN'S SERVICES SUBSIDIES.
PART 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 TO "DEMONSTRATE GOD'S CARE BY IMPROVING THE HEALTH OF PEOPLE AND COMMUNITIES THROUGH A 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 2015, A MAJORITY OF ADVENTIST HEALTHCARE'S COMMUNITY BUILDING ACTIVITIES CONSISTED OF: POPULATION HEALTH INITIATIVES AND ASSISTING PHYSICIANS IN ESTABLISHING ELECTRONIC MEDICAL RECORDS (EMR) SYSTEMS; ADVOCATING ON COMMUNITY HEALTH IMPROVEMENTS THROUGH OUR GOVERNMENT RELATIONS AND PUBLIC POLICY DEPARTMENT; PERFORMING DISASTER PREPAREDNESS ACTIVITIES; CREATING HEALTH PARTNERSHIPS WITHIN THE COMMUNITY THROUGH OUR DIVISION OF THE CENTER FOR HEALTH EQUITY & WELLNESS DEPARTMENT; AND ESTABLISHING ADDITIONAL COMMUNITY PARTNERSHIPS.POPULATION HEALTH INITIATIVES & THE AMBULATORY CARE EMR SUPPORT (ACES) PROGRAM:ACCOUNTABLE CARE ORGANIZATIONS (ACO):ADVENTIST HEALTHCARE HAS A 50% INTEREST IN THE MID-ATLANTIC PRIMARY CARE ACO, LLC PARTNERSHIP. THIS ACO IS A PHYSICIAN-LED MEDICARE SHARED SAVINGS PROGRAM (MSSP) IN MONTGOMERY COUNTY, MARYLAND. THE GOAL OF AN ACO IS TO DELIVER SEAMLESS, HIGH-QUALITY CARE FOR MEDICARE BENEFICIARIES IN A PATIENT-CENTERED ENVIRONMENT, WHERE THE PATIENT AND PROVIDERS ARE TRUE PARTNERS IN CARE DECISIONS. THE GOAL OF THE ACO INCLUDES, BUT IS NOT LIMITED TO, THE PROMOTION OF EVIDENCE-BASED MEDICINE, THE PROMOTION OF PATIENT ENGAGEMENT AND THE DEVELOPMENT OF AN INFRASTRUCTURE FOR NETWORK PROVIDERS AND SUPPLIERS TO INTERNALLY REPORT ON QUALITY AND COST METRICS. THIS INTERNAL REPORTING ENABLES THE ACO TO MONITOR, PROVIDE FEEDBACK AND EVALUATE ITS NETWORK PROVIDERS AND SUPPLIERS' PERFORMANCE AND TO USE THESE RESULTS TO PROVIDE BETTER CARE FOR INDIVIDUALS, IMPROVED HEALTH FOR POPULATIONS AND LOWER PER CAPITA GROWTH IN EXPENDITURES FOR MSSP ENROLLEES.CLINICALLY INTEGRATED NETWORK: ADVENTIST HEALTHCARE MANAGES THE ONE HEALTH QUALITY ALLIANCE, LLC (OHQA) PARTNERSHIP 100%, A CLINICALLY INTEGRATED NETWORK DESIGNED TO HELP PROVIDERS ENHANCE THE QUALITY OF HEALTHCARE AND LOWER TOTAL COSTS FOR THE WASHINGTON, D.C. REGION. OHQA, MANAGED BY ADVENTIST HEALTHCARE, IS AN INNOVATIVE HEALTHCARE DELIVERY NETWORK IN WHICH PARTICIPATING PRACTICES AND THEIR PATIENTS BENEFIT FROM THE VALUE CREATED BY THE ALLIANCE.PRIMARY CARE:ADVENTIST PHYSICIAN SERVICES, INC. D/B/A ADVENTIST HEALTHCARE ADVENTIST MEDICAL GROUP, IS A DIVISION OF ADVENTIST HEALTHCARE AND AN AFFILIATE OF THE GW MEDICAL FACULTY ASSOCIATES. IT INCLUDES A LARGE (18) PRIMARY CARE PHYSICIAN GROUP, COMPRISED OF 9 COMMUNITY PRACTICES IN MONTGOMERY COUNTY. THE GOAL OF THESE PRACTICES IS TO PROVIDE ACCESSIBLE, HIGH-QUALITY CARE TO THE COMMUNITY. TO ACHIEVE THIS GOAL, THE STRATEGIES INCLUDE SUPERB ACCESS TO CARE, PATIENT ENGAGEMENT IN CARE, CLINICAL INFORMATION SYSTEMS INTEGRATION AND PATIENT REGISTRY CARE COORDINATION. FURTHER, ADVENTIST MEDICAL GROUP PROVIDES A CARE MANAGEMENT INFRASTRUCTURE ACCOUNTABLE FOR ENSURING INTEGRATED MANAGEMENT OF HEALTH OUTCOMES, AS WELL AS ACHIEVEMENT OF NATIONAL QUALITY STANDARDS AT OR ABOVE THE 80TH PERCENTILE OF THE NATION.AMBULATORY CARE EMR SUPPORT (ACES) PROGRAM:ADVOCATING FOR COMMUNITY HEALTH IMPROVEMENTS IS A CORE STRATEGY IN ACHIEVING ADVENTIST HEALTHCARE'S MISSION. A PROGRAM THAT ADVENTIST HEALTHCARE OFFERS, WHICH IS AT THE CORE OF ADVOCATING FOR COMMUNITY HEALTH IMPROVEMENTS, IS AMBULATORY CARE EMR SUPPORT (ACES). THE ACES PROGRAM ASSISTS COMMUNITY PHYSICIANS WITH THE ACQUISITION AND IMPLEMENTATION OF ELECTRONIC MEDICAL RECORDS (EMRS). EMRS ENHANCE PATIENTS' CARE AND MAKES PRACTICES MORE EFFICIENT.GOVERNMENT RELATIONS AND PUBLIC POLICY DEPARTMENT INITIATIVES:THROUGHOUT 2015, ADVENTIST HEALTHCARE WAS AN ACTIVE PARTICIPANT WITHIN A NUMBER OF COMMUNITY ORGANIZATIONS AS PART OF OUR EFFORTS TO ADVOCATE FOR IMPROVEMENTS TO COMMUNITY HEALTH AND ECONOMIC DEVELOPMENT. THROUGH OUR PARTNERSHIP WITH LOCAL CHAMBERS OF COMMERCE, INCLUDING THE GAITHERSBURG-GERMANTOWN AND MONTGOMERY COUNTY CHAMBERS, WE HAVE WORKED TO SUPPORT INITIATIVES THAT PROVIDE ECONOMIC IMPROVEMENTS TO THE COMMUNITIES WE SERVE. IN 2015, WE ENGAGED IN A COMMUNITY PARTNERSHIP WITH REBUILDING TOGETHER, A LOCAL NON-PROFIT DEDICATED TO IMPROVING HOMES FOR THE LOW-INCOME POPULATION IN OUR COMMUNITY. WE WORKED WITH THEM TO IDENTIFY HOSPITAL PATIENTS WHO NEEDED HOME IMPROVEMENT MODIFICATIONS AFTER EXPERIENCING TRAUMA OR TO ELIMINATE PATHOGENS THAT WERE CAUSING THE ILLNESS. ADVENTIST HEALTHCARE HAS ALSO BEEN A FIRM ADVOCATE FOR COMMUNITY HEALTH IMPROVEMENTS THROUGH OUR ADVOCACY WORK WITH LOCAL, STATE AND FEDERAL OFFICIALS. WHETHER WORKING DIRECTLY WITH ELECTED OFFICIALS OR COMMUNITY ORGANIZATIONS, WE HAVE WORKED TO SUPPORT LEGISLATION THAT IMPROVES ACCESS TO HEALTH SERVICES, STRENGTHENS INVESTMENT IN EDUCATIONAL INSTITUTIONS, EXPANDS ACCESS TO INSURANCE AND REDUCES OVERALL HEALTHCARE SPENDING. THROUGH OUR PARTNERSHIP WITH THE MARYLAND HOSPITAL ASSOCIATION, WE WORKED EXTENSIVELY ON LEGISLATION RELATED TO BEHAVIORAL HEALTH FUNDING AND SUPPORT FOR A BEHAVIORAL HEALTH TASK FORCE TO ADDRESS ISSUES AND POLICY SOLUTIONS. WE WERE ACTIVELY ENGAGED IN DISCUSSIONS TO PROVIDE GREATER ACCESS TO BEHAVIORAL HEALTH SERVICES FOR THOSE WHO NEED IT BY REDUCING BARRIERS TO ENTRY FOR CARE.DISASTER PREPAREDNESS ACTIVITIES:ADVENTIST HEALTHCARE TOOK MANY MEASURES TO ENSURE OUR COMMUNITY HOSPITALS WERE READY AND PREPARED FOR EMERGENCY SITUATIONS, SUCH AS A MEDICAL SURGE IN PATIENTS, ACTIVE SHOOTER/ARMED INTRUDER SCENARIOS AND UNFORESEEN DISASTERS. THE SAFETY MANAGEMENT AND EMERGENCY PREPAREDNESS TEAM OF EMPLOYEES SPEND OVER HALF THEIR TIME ON EMERGENCY MANAGEMENT. THIS INCLUDES MONTHLY, THREE-HOUR MEETINGS WITH THE HOSPITALS IN THE REGION. AS WELL AS MONTHLY, TWO-HOUR MEETINGS WITH ALL ADVENTIST HEALTHCARE HOSPITALS AND OTHER RELATED AGENCIES IN THE COUNTY, SUCH AS MONTGOMERY COUNTY HEALTH DEPARTMENT AND THE MARYLAND INSTITUTE FOR EMERGENCY MEDICINE SERVICE SYSTEMS. OUR TEAM PREFORMS TWO FULL SCALE EXERCISES EVERY YEAR, TO TEST OUR EMERGENCY MANAGEMENT PROGRAMS, WHICH INVOLVES THE SIMULATION OF AN EMERGENCY OR DISASTER TO WHICH WE AND THE REST OF THE REGION MUST BE READY TO RESPOND TOGETHER. ADVENTIST HEALTHCARE ALSO HAS AN ENVIRONMENT OF CARE COMMITTEE, WHICH MEETS MONTHLY AT EACH OF OUR HOSPITALS. TIME IS ALLOCATED TO DISCUSS EMERGENCY MANAGEMENT MATTERS AT THESE MEETINGS.HEALTH PARTNERSHIPS WITHIN THE COMMUNITY - THE CENTER FOR HEALTH EQUITY & WELLNESS:THE CENTER FOR HEALTH EQUITY & WELLNESS (CHEW), A DIVISION OF ADVENTIST HEALTHCARE, AIMS TO IMPROVE THE HEALTH OF COMMUNITIES SERVED BY ADVENTIST HEALTHCARE. 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. A TEAM OF HEALTH EDUCATORS, CLINICAL CARE COORDINATORS, NURSES, PATIENT NAVIGATORS AND PUBLIC HEALTH RESEARCHERS AND INTERNS WORK TOGETHER TO ENSURE THE DELIVERY OF POPULATION-BASED CARE AND PROMOTE HEALTH EQUITY IN THE COMMUNITIES WE SERVE. CHEW PARTNERED WITH MANY HEALTH ORGANIZATIONS AND THE FOLLOWING IS A SUMMARY:1)FAITH COMMUNITY NURSE NETWORK (FCN):ADVENTIST HEALTHCARE, THROUGH OUR FAITH COMMUNITIES HEALTH NETWORK, SERVES THE LOCAL COMMUNITIES OF FAITH BY "PROVIDING GUIDANCE AND EXPERTISE, EMPOWERING THEM TO BECOME PLACES OF HEALTH AND HEALING, RESULTING IN IMPROVED WHOLE PERSON HEALTH" (MISSION). OUR VISION SPEAKS TO THE PARTNERSHIP WITH COMMUNITIES OF FAITH AND TOGETHER WE CAN HELP ACHIEVE A "THRIVING CULTURE DEMONSTRATING PHYSICAL, MENTAL AND SPIRITUAL HEALING." LASTLY, OUR COMMITMENT IS TO HELP OUR COMMUNITIES OF FAITH TO DEVELOP STRONG HEALTH MINISTRIES TO REACH THE MEMBERS AND SURROUNDING COMMUNITIES. THIS IS ACCOMPLISHED THROUGH THE ON-GOING TRAINING OF THE FAITH COMMUNITY NURSES, HEALTH MINISTERS, HEALTH TEAMS AND ADMINISTRATORS, SUPPLYING EVIDENCE-BASED EDUCATION AND TOOLS NECESSARY TO ASSESS THE NEEDS, OUTLINE LIFESTYLE STRATEGIES, IMPLEMENT HEALTH PROGRAMMING (BASED ON ASSESSMENT RESULTS), IDENTIFICATION AND MANAGEMENT OF DISEASE RISK FACTORS TO LOWER RISKS, ON-GOING MEASUREMENT AND EVALUATION OF HEALTH OUTCOMES, THEREBY INCREASING THE POTENTIAL FOR OPTIMAL HEALTH AND WHOLENESS. LOCAL CHURCHES CAN BRING A HOLISTIC PERSPECTIVE TO AN UNDERSTANDING OF HEALTH AS BEING IN HARMONY WITH ONES' SELF, ONE'S GOD, OTHERS AND THE ENVIRONMENT. THE CHURCH IS A KNOWN AND TRUSTED PLACE WHERE PEOPLE FEEL COMFORTABLE IN THEIR MOST VULNERABLE HOUR. IT IS A NATURAL "REFERENCE POINT." IT IS NOT A NEW IDEA FOR CHURCHES TO DEVELOP AND IMPLEMENT HEALTH PROGRAMS. AT ADVENTIST HEALTHCARE, WE BELIEVE THIS TO BE A NATURAL, SYMBIOTIC PARTNERSHIP.2)INTERAGENCY COMMISSION ON HOMELESSNESS (ICH):THE INTERAGENCY COMMISSION ON HOMELESSNESS (ICH) IS A COLLABORATIVE
PART III, LINE 2:	TO ESTIMATE THE COST OF BAD DEBT THAT WE HAVE REPORTED ON SCHEDULE H, WE MULTIPLIED THE ORGANIZATION'S COST TO CHARGE RATIO (CCR) TIMES THE BAD DEBT PROVISION THAT HAS BEEN REPORTED IN THE GENERAL LEDGER. THE ORGANIZATION'S CCR IS THE QUOTIENT THAT RESULTS WHEN TOTAL COST IS DIVIDED BY TOTAL CHARGES AS REFLECTED ON THE ORGANIZATION'S AUDITED INCOME STATEMENT.THE BAD DEBT EXPENSE THAT IS RECORDED IN THE GENERAL LEDGER REFLECTS THE AMOUNT OF PROVISION MANAGEMENT DEEMS NECESSARY TO REPORT PATIENT ACCOUNTS RECEIVABLE AT THEIR NET REALIZABLE VALUE. IN EVALUATING THE COLLECTABILITY OF PATIENT ACCOUNTS RECEIVABLE, WE ANALYZE PAST HISTORY AND TRENDS FOR EACH MAJOR PAYER AND ESTIMATE THE APPROPRIATE ALLOWANCE FOR DOUBTFUL COLLECTIONS.
PART II, COMMUNITY BUILDING ACTIVITIES - NARRATIVE CONTINUED:	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.ESTABLISHING ADDITIONAL COMMUNITY PARTNERSHIPS:ADVENTIST HEALTHCARE HAS ALSO PARTNERED WITH MARYLAND PATIENT SAFETY CENTER (MPSC) AND WASHINGTON ADVENTIST UNIVERSITY (WAU) TO IMPROVE PATIENT CARE. MPSC'S GOAL, AS A NON-PROFIT ORGANIZATION, IS TO MAKE MARYLAND'S HEALTHCARE THE SAFEST IN THE NATION BY FOCUSING ON THE SYSTEMS OF CARE, REDUCING THE OCCURRENCE OF ADVERSE EVENTS AND IMPROVING THE CULTURE OF PATIENT SAFETY IN MARYLAND'S HOSPITALS. WAU IS A CHRIST-CENTERED INSTITUTION OF HIGHER EDUCATION THAT SUPPORTS A CULTURE OF EXCELLENCE WHERE ALL FEEL VALUED AND WHICH HELPS EDUCATE FUTURE HEALTHCARE WORKERS.ADVENTIST HEALTHCARE HAS PARTNERED WITH OTHER VITAL ORGANIZATIONS, SUCH AS THE COLUMBIA UNION CONFERENCE OF SEVENTH-DAY ADVENTISTS (COLUMBIA UNION). COLUMBIA UNION OVERSEES ADVENTIST ORGANIZATIONS IN MARYLAND, VIRGINIA, NEW JERSEY, DELAWARE, AND WASHINGTON D.C. TOGETHER WITH ADVENTIST HEALTHCARE, IT HELPS PROMOTE THE IMPORTANCE OF HEALTH AND WELLNESS THROUGHOUT ITS REGION.ADVENTIST HEALTHCARE AS A SYSTEM CONTINUES TO PROVIDE COMMUNITY BUILDING ACTIVITIES IN 2016. PROVIDING COMMUNITY BUILDING ACTIVITIES IS ESSENTIAL TO ACHIEVING AND MAINTAINING OUR MISSION.
PART III, LINE 4:	PATIENT ACCOUNTS RECEIVABLE ARE REPORTED AT NET REALIZABLE VALUE. ACCOUNTS ARE WRITTEN OFF WHEN THEY ARE DETERMINED TO BE UNCOLLECTIBLE BASED UPON MANAGEMENT'S ASSESSMENT OF INDIVIDUAL ACCOUNTS. IN EVALUATING THE COLLECTABILITY OF PATIENT ACCOUNTS RECEIVABLE, THE CORPORATION ANALYZES ITS PAST HISTORY AND IDENTIFIES TRENDS FOR EACH OF ITS MAJOR PAYOR SOURCES OF REVENUE TO ESTIMATE THE APPROPRIATE ALLOWANCE FOR DOUBTFUL COLLECTIONS AND PROVISION FOR DOUBTFUL COLLECTIONS. FOR PATIENT ACCOUNTS RECEIVABLE ASSOCIATED WITH SERVICES PROVIDED TO PATIENTS WHO HAVE THIRD-PARTY COVERAGE, THE CORPORATION ANALYZES CONTRACTUALLY DUE AMOUNTS AND PROVIDES AN ALLOWANCE FOR DOUBTFUL COLLECTIONS AND PROVISION FOR DOUBTFUL COLLECTIONS, IF NECESSARY. FOR RECEIVABLES ASSOCIATED WITH SELF-PAY PATIENTS (WHICH INCLUDES BOTH PATIENTS WITHOUT INSURANCE AND PATIENTS WITH DEDUCTIBLE AND COPAYMENT BALANCES DUE FOR WHICH THIRD-PARTY COVERAGE EXISTS FOR PART OF THE BILL), THE CORPORATION RECORDS A PROVISION FOR DOUBTFUL COLLECTIONS IN THE PERIOD OF SERVICE ON THE BASIS OF ITS PAST EXPERIENCE, WHICH INDICATES THAT MANY PATIENTS ARE UNABLE TO PAY THE PORTION OF THEIR BILL FOR WHICH THEY ARE FINANCIALLY RESPONSIBLE. THE DIFFERENCE BETWEEN THE BILLED RATES AND THE AMOUNTS ACTUALLY COLLECTED AFTER ALL REASONABLE COLLECTION EFFORTS HAVE BEEN EXHAUSTED IS CHARGED OFF AGAINST THE ALLOWANCE FOR DOUBTFUL COLLECTIONS.
PART III, LINE 8:	ACUTE CARE HOSPITALS IN MARYLAND ARE EXEMPT FROM MEDICARE REIMBURSEMENT METHODOLOGY AND ALL PAYORS (INCLUDING MEDICARE AND MEDICAID) PAY HOSPITALS' CHARGES, WHICH ARE REGULATED BY THE STATE'S HEALTH SERVICES COST REVIEW COMMISSION (HSCRC). SPECIFICALLY, MEDICARE ENJOYS A DISCOUNT OF 6% OF CHARGES WITHOUT AN ADVANCE FUNDING DEPOSIT WITH PROVIDERS. THERE SHOULD BE NO SHORTFALL AND THEREFORE NOTHING TO COUNT TOWARD COMMUNITY BENEFIT.ADVENTIST HEALTHCARE USES ITS INCOME STATEMENT TO COMPUTE A COST TO CHARGE RATIO USED TO ESTIMATE THE COST OF PROVIDING CARE TO MEDICARE PATIENTS. SINCE THE HSCRC ASSESSES HOSPITALS TO SUBSIDIZE THE STATE'S MEDICAID BUDGET DEFICIT, THESE ASSESSMENTS ARE ALSO COUNTED TOWARD COMMUNITY BENEFITS.
PART III, LINE 9B:	ADVENTIST HEALTHCARE PROVIDES QUALITY MEDICAL SERVICES REGARDLESS OF A PATIENT'S ABILITY TO PAY, RACE, CREED, SEX, AGE, NATIONAL ORIGIN OR FINANCIAL STATUS. OUR FINANCIAL ASSISTANCE POLICY ENCOURAGES PATIENTS AND THEIR REPRESENTATIVE TO COOPERATE WITH (AND AVAIL THEMSELVES OF) ALL AVAILABLE PROGRAMS (INCLUDING MEDICAID, WORKERS COMPENSATION, AND STATE AND LOCAL PROGRAMS) WHICH MIGHT PROVIDE COVERAGE. OUR REGISTRATION, FINANCIAL COUNSELORS, CUSTOMER SERVICE, AND COLLECTION STAFF ARE THOROUGHLY FAMILIAR WITH THE CRITERIA AND PROCESS OF FINANCIAL ASSISTANCE. FINANCIAL ASSISTANCE PROCESS AND COLLECTION PROTOCOL ARE WELL DEFINED WITH MANAGERS AVAILABLE TO GUIDE AND HANDLE EXCEPTION SITUATION. OUTSOURCED AGENCIES AND COLLECTIONS FIRMS ARE EXPECTED TO ADHERE TO ADVENTIST HEALTHCARE'S POLICY WITHOUT EXCEPTION. BAD DEBT, CHARITY AND ADMINISTRATIVE WRITE-OFF ARE CLEARLY DEFINED WITH PRE-DETERMINED AUTHORIZATION LEVELS DEPENDING ON THE MAGNITUDE GRANTED. ADVENTIST HEALTHCARE ALSO REVISES ITS FINANCIAL ASSISTANCE POLICY AS FEDERAL GOVERNMENT AND/OR STATE GOVERNMENT REVISE THEIR POVERTY GUIDELINES.
PART V, SECTION A, PRIMARY WEBSITE ADDRESSES:	FACILITY 1: ADVENTIST HEALTHCARE SHADY GROVE MEDICAL CENTERHTTP://WWW.ADVENTISTHEALTHCARE.COM/LOCATIONS/SHADY-GROVE-MEDICAL-CENTER/FACILITY 2: ADVENTIST HEALTHCARE WASHINGTON ADVENTIST HOSPITALHTTP://WWW.ADVENTISTHEALTHCARE.COM/LOCATIONS/WASHINGTON-ADVENTIST-HOSPITAL/FACILITY 4: ADVENTIST REHABILITATION HOSPITAL OF MARYLANDHTTP://WWW.ADVENTISTHEALTHCARE.COM/LOCATIONS/PHYSICAL-HEALTH-REHABILITATION/FACILITIES 5 & 6: ADVENTIST HEALTHCARE BEHAVIORAL HEALTH & WELLNESS SERVICES ROCKVILLE & EASTERN SHOREHTTP://WWW.ADVENTISTHEALTHCARE.COM/LOCATIONS/ADVENTIST-BEHAVIORAL-HEALTH/
PART VI, LINE 2:	NEEDS ASSESSMENT:ADVENTIST HEALTHCARE, INCLUDING ADVENTIST HEALTHCARE SHADY GROVE MEDICAL CENTER, ADVENTIST HEALTHCARE WASHINGTON ADVENTIST HOSPITAL, ADVENTIST HEALTHCARE PHYSICAL HEALTH AND REHABILITATION, AND ADVENTIST HEALTHCARE BEHAVIORAL HEALTH & WELLNESS SERVICES, FORMED A COMMUNITY BENEFIT COUNCIL (CBC) IN 2011 TO GUIDE AND LEAD ITS COMMUNITY BENEFIT ACTIVITIES, INCLUDING CONDUCTING THE COMMUNITY HEALTH NEEDS ASSESSMENTS. THE COMMUNITY BENEFIT COUNCIL HAS REPRESENTATION FROM EACH OF THE FIVE HOSPITAL ENTITIES AS WELL AS ADDITIONAL KEY SYSTEM-WIDE DEPARTMENTS SUCH AS FINANCE, POPULATION HEALTH AND THE CENTER FOR HEALTH EQUITY AND WELLNESS (THE CENTER). THE COUNCIL IS CHAIRED BY MARILYN LYNK, PHD, EXECUTIVE DIRECTOR OF THE CENTER. AS A STARTING POINT FOR ASSESSING THE HEALTH NEEDS OF THE COMMUNITY, THE COMMUNITY BENEFIT COUNCIL DECIDED TO RESEARCH TOPICS IN ALIGNMENT WITH MONTGOMERY COUNTY'S "HEALTHY MONTGOMERY" FOCUS AREAS OF: CANCER, CARDIOVASCULAR DISEASES, DIABETES, MATERNAL & INFANT HEALTH, BEHAVIORAL HEALTH, AND OBESITY. THE COMMUNITY BENEFIT COUNCIL ALSO DECIDED TO RESEARCH ADDITIONAL TOPICS OF INTEREST TO THE HOSPITALS AND THE COMMUNITIES SERVED INCLUDING: ASTHMA, INFLUENZA, HIV/AIDS, SENIOR HEALTH, INCOME AND POVERTY, ACCESS TO CARE/HEALTH INSURANCE COVERAGE, FOOD ACCESS, HOUSING QUALITY, EDUCATION, AND TRANSPORTATION. THE TOPICS INCLUDED IN THE COMMUNITY HEALTH NEEDS ASSESSMENTS WERE REVIEWED, DISCUSSED AND APPROVED BY THE COMMUNITY BENEFIT ADVISORY BOARD AND BY THE BOARDS OF EACH ENTITY.SINCE 2006, ADVENTIST HEALTHCARE HAS REGULARLY CONVENED AN ADVISORY BOARD TO HELP GUIDE OUR EFFORTS TO REDUCE AND ELIMINATE HEALTH DISPARITIES, TO IDENTIFY COMMUNITY NEEDS, AND TO HELP ASSESS AND DIRECT OUR RESPONSE TO THOSE NEEDS. THE ADVISORY BOARD IS COMPRISED OF BOTH INTERNAL AND EXTERNAL (COMMUNITY) LEADERS. MEMBERS INCLUDE CLINICIANS, RESEARCHERS, ADMINISTRATORS AND OTHERS FROM OUR HOSPITALS, COMMUNITY-BASED ORGANIZATIONS, LOCAL AND STATE HEALTH DEPARTMENTS, UNIVERSITY OF MARYLAND, THE NATIONAL INSTITUTES OF HEALTH (SPECIFICALLY, THE NATIONAL INSTITUTE OF MINORITY HEALTH AND HEALTH DISPARITIES), AND OTHER PUBLIC HEALTH STAKEHOLDER ORGANIZATIONS. THE COMMUNITY HEALTH NEEDS ASSESSMENTS WERE REVIEWED AND APPROVED BY THE BOARD OF TRUSTEES AT EACH ENTITY, AS WELL AS BY THE ADVENTIST HEALTHCARE BOARD OF TRUSTEES. AFTER COMPLETION OF THE COMMUNITY HEALTH NEEDS ASSESSMENTS, THE PRESIDENT'S COUNCIL OR EXECUTIVE COUNCIL AT EACH HOSPITAL MET TO DISCUSS AND VOTE UPON FOCUS AREAS FOR IMPLEMENTATION OF STRATEGIES TO ADDRESS IDENTIFIED HEALTH NEEDS. THE IMPLEMENTATION STRATEGIES DEVELOPED BY EACH ENTITY WERE ALSO REVIEWED AND APPROVED BY THE BOARD OF TRUSTEES AT EACH ENTITY, THE ADVENTIST HEALTHCARE BOARD OF TRUSTEES, AND THE COMMUNITY BENEFIT ADVISORY BOARD.IN ADDITION TO INPUT FROM VARIOUS BOARDS, THE COMMUNITY PERSPECTIVE WAS OBTAINED THROUGH A COMMUNITY HEALTH NEEDS ASSESSMENT SURVEY OFFERED TO THE PUBLIC THROUGH POSTINGS ON ADVENTIST HEALTHCARE ENTITY FACEBOOK PAGES, NEWSLETTERS, EMAIL LISTSERVS, MEETINGS WITH COMMUNITY LEADERS, AND HEALTH FAIRS. ADDITIONALLY, ADVENTIST HEALTHCARE BEHAVIORAL HEALTH &WELLNESS SERVICES HAS A COMMUNITY ADVISORY COUNCIL, WHICH INCORPORATES FEEDBACK FROM THE COMMUNITY IN THE PLANNING AND DELIVERY OF SERVICES.TO OBTAIN SECONDARY DATA FOR THE COMMUNITY HEALTH NEEDS ASSESSMENTS, WE WORKED WITH MONTGOMERY COUNTY'S HEALTH AND HUMAN SERVICES, COMMUNITY HEALTH IMPROVEMENT PROCESS (CHIP), TO REVIEW THE STATE OF MARYLAND'S STATE HEALTH IMPROVEMENT PROCESS' (SHIP) 39 HEALTH INDICATORS. ADVENTIST HEALTHCARE HAS REPRESENTATION ON THE HEALTHY MONTGOMERY STEERING COMMITTEE. THE GROUP'S COLLABORATIVE EFFORTS IN 2011 FOCUSED ON A SELECTION PROCESS FOR MONTGOMERY COUNTY'S HEALTH PRIORITIES. DATA WAS COLLECTED AND A VENDOR (HEALTHY COMMUNITY INSTITUTE) WAS SELECTED TO IMPLEMENT A COMMUNITY TRACKING TOOL THAT IS LINKED TO PUBLIC HEALTH INTERVENTIONS THAT IMPROVE HEALTH OUTCOMES. THIS ONGOING SURVEILLANCE IS POPULATION-BASED DATA THAT SHOWS HEALTH SERVICES UTILIZATION AND SOCIAL AND ENVIRONMENTAL DETERMINANTS OF HEALTH, INCLUDING SOCIO-ECONOMIC STATUS, SOCIAL ISOLATION, HOUSING AND AIR QUALITY. IT IS AVAILABLE TO THE PUBLIC ON THE HEALTHY MONTGOMERY WEBSITE.ADVENTIST HEALTHCARE'S CENTER FOR HEALTH EQUITY AND WELLNESS (FORMERLY CENTER ON HEALTH DISPARITIES) DEVELOPS AND RELEASES ANNUAL PROGRESS REPORTS/HEALTH EQUITY REPORTS, AND THESE REPORTS HELPED TO INFORM THE HOSPITALS' COMMUNITY HEALTH NEEDS ASSESSMENTS. ALL PROGRESS REPORTS/HEALTH EQUITY REPORTS DEVELOPED BY THE CENTER FOR HEALTH EQUITY AND WELLNESS ("THE CENTER") ARE MADE AVAILABLE TO THE PUBLIC ON THE CENTER'S WEBSITE, AS WELL AS IN HARD COPY THROUGH CONFERENCES AND UPON REQUEST. THE CENTER'S 2011 PROGRESS REPORT, ENTITLED HEALTH DISPARITIES IN THE ERA OF REFORM IMPLEMENTATION, DETAILED DEMOGRAPHIC TRENDS AND ASSESSED DISPARITIES ACROSS A RANGE OF ISSUES WITHIN THREE BROAD HEALTH TOPICS AFFECTING OUR COMMUNITY: MATERNAL AND INFANT HEALTH, HEART DISEASE AND STROKE, AND CANCER. THE REPORT INCORPORATED DESCRIPTIVE FINDINGS FROM NATIONAL, STATE AND COUNTY-LEVEL DATABASES ON THE RACIAL AND ETHNIC MAKEUP OF THE POPULATION, THE PREVALENCE OF DISEASE ACROSS THESE GROUPS, AND THE RATES OF RECEIVING APPROPRIATE TREATMENT. TO CREATE THIS REPORT, THE CENTER ANALYZED THE U.S. CENSUS BUREAU'S AMERICAN COMMUNITY SURVEY AND PROFILES OF GENERAL POPULATION AND HOUSING CHARACTERISTICS TO PRODUCE A BROAD DEMOGRAPHIC OVERVIEW BY COUNTY, RACE, AND ETHNICITY. IN MARYLAND, THE CENTER PRODUCED DESCRIPTIVE TABULATIONS BASED ON DATA FROM THE MARYLAND BEHAVIORAL RISK FACTOR SURVEILLANCE SYSTEM, THE MARYLAND CANCER REGISTRY, THE MARYLAND VITAL STATISTICS ADMINISTRATION, THE MARYLAND HEALTH CARE COMMISSION, AND THE MARYLAND DEPARTMENT OF HEALTH AND MENTAL HYGIENE'S (MDHMH) OFFICE ON MINORITY HEALTH & HEALTH DISPARITIES. IN ADDITION TO THESE DATA SOURCES, THE CENTER ALSO SUMMARIZED FINDINGS FROM VARIOUS NATIONAL AND STATE-LEVEL REPORTS ON INSURANCE COVERAGE, DISEASE CONDITION, AND HEALTHY BEHAVIORS RELEASED BY THE AGENCY FOR HEALTHCARE RESEARCH AND QUALITY, THE KAISER FAMILY FOUNDATION, AND THE MDHMH'S FAMILY HEALTH ADMINISTRATION, OFFICE OF CHRONIC DISEASE PREVENTION.THE CENTER'S 2012 PROGRESS REPORT WAS A HEALTH EQUITY REPORT THAT INCLUDED INFORMATION ABOUT PATIENTS TREATED AT ADVENTIST HEALTHCARE SHADY GROVE MEDICAL CENTER AND ADVENTIST HEALTHCARE WASHINGTON ADVENTIST HOSPITAL IN 2011, AND EXAMINED THE INTERSECTION OF QUALITY AND HEALTH EQUITY. THIS REPORT CONVEYED GENERAL INFORMATION ABOUT THE PATIENT POPULATION SERVED AT ADVENTIST HEALTHCARE HOSPITALS, WHERE THEY RECEIVED CARE WITHIN THE HOSPITALS, AND THE QUALITY OF CARE RECEIVED. THE 2012 REPORT INCLUDED HOSPITAL-SPECIFIC DATA ON CANCER, INPATIENT CLINICAL QUALITY INDICATORS, HOSPITAL READMISSION RATES, AND PATIENT EXPERIENCE. THE CENTER'S 2013 HEALTH EQUITY REPORT SHARED DEMOGRAPHIC, CLINICAL, AND QUALITY INFORMATION ABOUT ADVENTIST HEALTHCARE HOSPITALS AND OTHER ENTITIES, AND HIGHLIGHTED EFFORTS TO IMPROVE PATIENT EXPERIENCES AND OUTCOMES IN THE COMMUNITIES WE SERVE. SPECIAL HIGHLIGHTS IN THE 2013 REPORT INCLUDED INFORMATION ABOUT FEDERAL STANDARDS TO INCREASE CULTURALLY COMPETENT CARE AND REDUCE HEALTH DISPARITIES, THE IMPLEMENTATION OF THE AFFORDABLE CARE ACT (ACA) IN THE STATE OF MARYLAND, EFFORTS TO REDUCE READMISSIONS AND IMPROVE PATIENT-CENTERED CARE ACROSS THE ADVENTIST HEALTHCARE SYSTEM, AND ADVENTIST HEALTHCARE HOSPITALS' COMMUNITY HEALTH NEEDS ASSESSMENT RESULTS AND NEXT STEPS. MOST RECENTLY THE CENTER HAS DECIDED TO INCORPORATE THE HEALTH EQUITY REPORT AS A CHAPTER IN EACH ENTITY'S COMMUNITY HEALTH NEEDS ASSESSMENT. THIS CHANGE WILL BE SEEN IN THE 2017-2019 COMMUNITY HEALTH NEEDS ASSESSMENTS THAT WILL BE RELEASED AT THE END OF 2016.
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' WEBSITE; (2) PATIENTS THAT ARE REGISTERED AS SELF PAY OR WITH NO INSURANCE, ARE INFORMED ABOUT THE HOSPITAL'S CHARITY CARE POLICY AND GIVEN A CHARITY APPLICATION; (3) WHEN GOING THROUGH THE MEDICAID ELIGIBILITY SCREENING, SELF PAY PATIENTS ARE GIVEN A CHARITY APPLICATION DURING THAT PROCESS JUST IN CASE THE PATIENT DOES NOT QUALIFY FOR MEDICAID; (4) WHEN PATIENTS WITH A BALANCE RECEIVES 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 THAT 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:	COMMUNITY INFORMATION:ADVENTIST HEALTHCARE SHADY GROVE MEDICAL CENTER PRIMARILY SERVES RESIDENTS OF MONTGOMERY COUNTY (88 PERCENT OF TOTAL DISCHARGES IN 2015), MARYLAND. APPROXIMATELY 85 PERCENT OF DISCHARGES COME FROM ITS TOTAL SERVICE AREA, WHICH IS CONSIDERED SHADY GROVE MEDICAL CENTER'S COMMUNITY BENEFIT SERVICE AREA "CBSA." WITHIN THAT AREA, 60 PERCENT OF DISCHARGES ARE FROM THE PRIMARY SERVICE AREA, WHICH INCLUDED THE FOLLOWING ZIP CODES/CITIES IN 2015:GERMANTOWN (20874, 20876); GAITHERSBURG (20877, 20878, 20879); ROCKVILLE (20850, 20852); MONTGOMERY VILLAGE (20886).SHADY GROVE MEDICAL CENTER DRAWS 25 PERCENT OF DISCHARGES FROM ITS SECONDARY SERVICE AREA INCLUDING THE FOLLOWING ZIP CODES/CITIES:ROCKVILLE (20851, 20853); POTOMAC (20854); CLARKSBURG (20871); DERWOOD (20855); SILVER SPRING (20901, 20902, 20904, 20906); DAMASCUS (20872); BOYDS (20841); GAITHERSBURG (20882); POOLESVILLE (20837); OLNEY (20832); BETHESDA (20814, 20817). ADVENTIST HEALTHCARE WASHINGTON ADVENTIST HOSPITAL PRIMARILY SERVES RESIDENTS OF PRINCE GEORGE'S COUNTY (46.3 PERCENT OF DISCHARGES IN 2015) AND MONTGOMERY COUNTY (40.8 PERCENT OF DISCHARGES IN 2015), MARYLAND. APPROXIMATELY 85 PERCENT OF DISCHARGES COME FROM ITS TOTAL SERVICE AREA, WHICH IS CONSIDERED WASHINGTON ADVENTIST HOSPITAL'S COMMUNITY BENEFIT SERVICE AREA "CBSA". WITHIN THAT AREA, 60 PERCENT OF DISCHARGES ARE FROM THE PRIMARY SERVICE AREA, WHICH INCLUDED THE FOLLOWING ZIP CODES/CITIES IN 2015:COLLEGE PARK (20740); HYATTSVILLE (20783, 20782); RIVERDALE (20737); SILVER SPRING (20903, 20901, 20904, 20910, 20902, 20906); TAKOMA PARK (20912). WASHINGTON ADVENTIST HOSPITAL DRAWS 25 PERCENT OF DISCHARGES FROM ITS SECONDARY SERVICE AREA INCLUDING THE FOLLOWING ZIP CODES/CITIES:BLADENSBURG (20710); BRENTWOOD (20722); CAPITOL HEIGHTS (20743); GERMANTOWN (20874); GREENBELT (20770); HYATTSVILLE (20784, 20781, 20785); LANHAM (20706); LAUREL (20707, 20708); MOUNT RAINIER (20712); ROCKVILLE (20850, 20853); UPPER MARLBORO (20774); WASHINGTON (20011, 20012, 20018); DISTRICT HEIGHTS (20747); BOWIE (20721, 20720); SILVER SPRING (20905); BURTONSVILLE (20866); BELTSVILLE (20705).ADVENTIST HEALTHCARE BEHAVIORAL HEALTH & WELLNESS SERVICES - ROCKVILLE PRIMARILY SERVES RESIDENTS OF MONTGOMERY COUNTY (66.8 PERCENT OF DISCHARGES IN 2015), MARYLAND. APPROXIMATELY 85 PERCENT OF DISCHARGES COME FROM ITS TOTAL SERVICE AREA, WHICH IS CONSIDERED ITS COMMUNITY BENEFIT SERVICE AREA "CBSA." WITHIN THAT AREA, 60 PERCENT OF DISCHARGES ARE FROM THE PRIMARY SERVICE AREA, WHICH INCLUDED THE FOLLOWING ZIP CODES/CITIES IN 2015:ROCKVILLE (20850, 20851, 20852, 20853); GERMANTOWN (20874, 20876); GAITHERSBURG (20877, 20878, 20879); MONTGOMERY VILLAGE (20886); SILVER SPRING (20902, 20904, 20906, 20910); POTOMAC (20854); DERWOOD (20855).ADVENTIST BEHAVIORAL HEALTH AND WELLNESS SERVICES - ROCKVILLE DRAWS 25 PERCENT OF DISCHARGES FROM ITS SECONDARY SERVICE AREA INCLUDING THE FOLLOWING ZIP CODES/CITIES:BELTSVILLE (20705); BETHESDA (20814, 20817); BOWIE (20721, 20715, 20720); BOYDS (20841); CAPITOL HEIGHTS (20743); CHEVY CHASE (20815); CLINTON (20735); COLUMBIA (21044); DAMASCUS (20872); DISTRICT HEIGHTS (20747); FREDERICK (21701, 21703); GREENBELT (20770); HYATTSVILLE (20785, 20783, 20784); KENSINGTON (20895); LANHAM (20706); LAUREL (20708); OLNEY (20832); POOLESVILLE (20837); SILVER SPRING (20905, 20903, 20901); TAKOMA PARK (20912); TEMPLE HILLS (20748); UPPER MARLBORO (20772, 20774); CLARKSBURG (20871); GAITHERSBURG (20882); OXON HILL (20745); FORT WASHINGTON (20744); SUITLAND (20746); BRANDYWINE (20613); TOWSON (21286); WASHINGTON (20032, 20002, 20011, 20020, 20017); DICKERSON (20842); PASADENA (21122); CATONSVILLE (21228); MOUNT AIRY (21771); WALDORF (20601); WHITE PLAINS (20695); MOUNT RAINIER (20712).ADVENTIST HEALTHCARE BEHAVIORAL HEALTH & WELLNESS SERVICES - EASTERN SHORE PRIMARILY SERVES RESIDENTS OF WICOMICO COUNTY (20.5 PERCENT OF DISCHARGES IN 2015) AND DORCHESTER COUNTY (18.2 PERCENT OF DISCHARGES IN 2015), MARYLAND. APPROXIMATELY 85 PERCENT OF DISCHARGES COME FROM ITS TOTAL SERVICE AREA, WHICH IS CONSIDERED ITS COMMUNITY BENEFIT SERVICE AREA "CBSA." WITHIN THAT AREA, 60 PERCENT OF DISCHARGES ARE FROM THE PRIMARY SERVICE AREA, WHICH INCLUDED THE FOLLOWING ZIP CODES/CITIES IN 2015: CAMBRIDGE (21613); SALISBURY (21804, 21801); BERLIN (21811); PRINCESS ANNE (21853); DENTON (21629); EASTON (21601); FRUITLAND (21826); FEDERALSBURG (21632); HURLOCK (21643); CRISFIELD (21877); GREENSBORO (21639); POCOMOKE CITY (21851); LUSBY (20657); CLARKSBURG (20871).BEHAVIORAL HEALTH & WELLNESS SERVICES - EASTERN SHORE DRAWS 25 PERCENT OF DISCHARGES FROM ITS SECONDARY SERVICE AREA INCLUDING THE FOLLOWING ZIP CODES/CITIES: ANNAPOLIS (21401); HEBRON (21830); SNOW HILL (21863); WILLARDS (21874); DELMAR (21875); PRESTON (21655); RIDGELY (21660); SAINT MICHAELS (21663); QUEENSTOWN (21658); RHODESDALE (21659); VIENNA (21869); CENTREVILLE (21617); PASADENA (21122); SEVERN (21144); SEVERNA PARK (21146); ROCKVILLE (20853); MECHANICSVILLE (20659); LEXINGTON PARK (20653); COBB ISLAND (20625); HOLLYWOOD (20636); NANJEMOY (20662); NEWBURG (20664); PORT REPUBLIC (20676); PRINCE FREDERICK (20678); SAINT LEONARD (20685); NORTH BEACH (20714); CHESAPEAKE BEACH (20732); SHADY SIDE (20764).ADVENTIST HEALTHCARE SERVES ONE OF THE MOST ETHNICALLY DIVERSE COMMUNITIES IN THE UNITED STATES; NON-HISPANIC WHITES NOW COMPRISE ONLY 45.2% OF THE POPULATION OF MONTGOMERY COUNTY, MD., A DECREASE OF MORE THAN 20% OVER THE LAST TWO DECADES. FOR THE FIRST TIME, MINORITIES ACCOUNT FOR MORE THAN HALF OF THE COUNTY'S POPULATION, MAKING IT ONE OF ONLY 336 "MAJORITY-MINORITY" COUNTIES IN THE NATION. ACCORDING TO THE U.S. CENSUS BUREAU, THE PERCENTAGE OF HISPANICS OR LATINOS IN MONTGOMERY COUNTY IS DOUBLE THE PERCENTAGE OF HISPANICS OR LATINOS IN THE STATE OF MARYLAND AND WITHIN THE COUNTY. THE U.S. CENSUS BUREAU HAS ALSO FOUND THAT MARYLAND IS ONE OF THE TOP 10 DESTINATIONS FOR FOREIGN-BORN INDIVIDUALS, AND 41% OF THE FOREIGN-BORN IN MARYLAND RESIDE IN MONTGOMERY COUNTY. MONTGOMERY COUNTY'S FOREIGN-BORN POPULATION HAS GROWN FROM 12% IN 1980 TO CURRENTLY MORE THAN 30%. PRINCE GEORGE'S COUNTY IS ONE OF THE STATE'S MOST POPULOUS JURISDICTIONS, WITH A POPULATION INCREASE OF 7.7 PERCENT IN THE LAST DECADE TO A TOTAL OF MORE THAN 909,535 RESIDENTS, MAKING IT THE THIRD MOST POPULATED JURISDICTION IN THE WASHINGTON METROPOLITAN AREA. SINCE 2000, IT HAS EXPERIENCED THE SECOND-LARGEST POPULATION GROWTH IN MARYLAND, DUE LARGELY IN PART TO AN INCREASE IN HISPANIC RESIDENTS. EVERY RACE OR ETHNICITY, INCLUDING BLACK OR AFRICAN AMERICAN, ASIAN AND PACIFIC ISLANDER, HISPANIC OR LATINO, MULTIPLE RACES, AND OTHER RACES, HAS INCREASED ITS PRESENCE IN THE PAST DECADE, EXCEPT THE WHITE POPULATION, WHICH HAS DECREASED BY OVER 23 PERCENT. PRINCE GEORGE'S COUNTY'S FOREIGN-BORN POPULATION HAS ALSO STEADILY INCREASED OVER THE LAST TWO DECADES; FROM 2000 - 2007 IT INCREASED AT THE HIGHEST RATE IN MARYLAND - 199.9 PERCENT COMPARED TO A STATE AVERAGE OF 70.7 PERCENT. CURRENTLY, 20.7 PERCENT OF THE COUNTY'S RESIDENTS ARE FOREIGN-BORN. IMMIGRANTS CONTRIBUTE GREATLY TO OUR COMMUNITY AND OUR HOSPITAL PROVIDERS ARE COMMITTED TO UNDERSTANDING THEIR NEEDS AND WORKING TO TREAT THEM IN A CULTURALLY COMPETENT MANNER.OVER THE PAST DECADE, THE POPULATIONS OF WICOMICO COUNTY AND DORCHESTER COUNTY HAVE ALSO CONTINUED TO RISE. RACIAL AND ETHNIC DIVERSITY IS ALSO INCREASING IN BOTH COUNTIES. THE MINORITY POPULATION IS 33.4 PERCENT IN WICOMICO COUNTY, AND 33.8 PERCENT IN DORCHESTER COUNTY, AN INCREASE OF MORE THAN 5 PERCENT OVER THE LAST DECADE.
PART VI, LINE 5:	COMMUNITY HEALTH PROMOTION: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 BRIEF SUMMARY OF THE HEALTH PROMOTION ACTIVITIES IN 2015, INCLUDING HEALTH EDUCATION/ LECTURES, HEALTH SCREENINGS, SUPPORT GROUPS, AS WELL AS SERVING ON COMMUNITY BOARDS AND COMMITTEES AND SUPPORTING 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 SCREENINGS WERE HELD IN COMMUNITY SETTINGS, SUCH AS SENIOR LIVING COMMUNITIES, LOW-INCOME APARTMENT COMPLEXES, COMMUNITY AND SENIOR CENTERS, SCHOOLS, SHOPPING CENTERS/MALLS, FARMER'S MARKETS, BARBER SHOPS/ BEAUTY SALONS AND OTHER BUSINESSES, AND RELIGIOUS CONGREGATIONS. O MATERNAL/CHILD/FAMILY EDUCATORS PROVIDED APPROXIMATELY 10,600 ENCOUNTERS IN 585 CLASSES, TOURS, AND SUPPORT GROUPS, INCLUDING: CHILDBIRTH CLASSES, BREASTFEEDING CLASSES AND SUPPORT GROUPS, BABY CARE BASICS CLASSES, SIBLING CLASSES, GRANDPARENT CLASSES, NEW MOTHER AND NEW FATHER SUPPORT GROUPS, AND MATERNITY TOURS OF THE HOSPITALS. OUR FREE "WARM LINE", OFFERING LACTATION SUPPORT FROM A CERTIFIED LACTATION CONSULTANT ALSO SERVED 283 INDIVIDUALS.> DIABETES PREVENTION EFFORTS INCLUDED FREE PRE-DIABETES CLASSES AS WELL AS INDIVIDUAL COUNSELING AND DIABETES SELF-MANAGEMENT CLASSES FOR THOSE WITH DIABETES. FREE DIABETES EDUCATION WAS ADDITIONALLY PROVIDED AT PARTNER SAFETY NET CLINICS SERVING UNINSURED RESIDENTS.> OTHER HEALTH EDUCATION CLASSES TO THE COMMUNITY INCLUDED CPR CLASSES (INFANT AND ADULT), FIRST AID/SAFETY CLASSES, BABYSITTING CLASSES, HOME ALONE CLASSES, HEALTHY EATING/NUTRITION CLASSES, COOKING DEMONSTRATIONS, ZUMBA CLASSES, AND A WIDE VARIETY OF HEALTH LECTURES. > INFLUENZA AND PNEUMONIA VACCINATIONS WERE OFFERED FOR FREE OR REDUCED COST IN MANY COMMUNITY SETTINGS. MANY OF THESE VACCINATIONS WERE OFFERED IN PARTNERSHIP WITH SAFETY NET CLINICS SERVING LOW-INCOME AND UNINSURED RESIDENTS IN MONTGOMERY COUNTY.> CARDIOVASCULAR HEALTH PROMOTION HAS INCLUDED PROVIDING THOUSANDS OF FREE HEART HEALTH SCREENINGS AND EDUCATION THROUGH OUR "LOVE YOUR SWEETHEART" EVENTS, COMMUNITY HEALTH FAIRS, LOW-INCOME APARTMENT COMPLEXES AND SENIOR HOUSING FACILITIES, FAITH-BASED CONGREGATIONS, COMMUNITY CENTERS, SENIOR CENTERS, AND AT A VARIETY OF OTHER COMMUNITY LOCATIONS.> CANCER IS ANOTHER FOCUS AREA FOR COMMUNITY HEALTH PROMOTION. ADVENTIST HEALTHCARE PROVIDED MORE THAN 1,500 FREE BREAST CANCER AND COLORECTAL CANCER SCREENINGS THROUGHOUT 2015 TO LOW-INCOME AND UNINSURED PATIENTS. IN ADDITION 50 PEOPLE PARTICIPATED IN THE SHADY GROVE MEDICAL CENTER AND WASHINGTON ADVENTIST HOSPITALS' CANCER SCREENING DAYS, RECEIVING A TOTAL OF 126 SCREENINGS FOR MULTIPLE TYPES OF CANCER (BREAST, COLORECTAL, SKIN, ORAL, PROSTATE, AND THYROID). ADDITIONAL SCREENINGS HAVE BEEN PROVIDED FOR LUNG CANCER. THE CANCER PROGRAM ALSO PROVIDES FREE SUPPORT GROUPS AND NAVIGATION SERVICES FOR THE COMMUNITY.> ADVENTIST HEALTHCARE HAS A HEALTH MINISTRY PROGRAM THAT SPECIFICALLY SUPPORTS FAITH COMMUNITY NURSES AND CONGREGATIONS TO ADDRESS HEALTH ISSUES IN FAITH-BASED COMMUNITIES. MORE THAN 140 CONGREGATIONS OF VARIOUS FAITHS ARE INVOLVED IN OUR PROGRAM, RECEIVING ONGOING SUPPORT AND RESOURCES.> 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, THE ADVENTIST HEALTHCARE CENTER FOR HEALTH EQUITY AND WELLNESS PROVIDES CULTURAL AND LINGUISTIC COMPETENCY TRAINING TO MEDICAL AND SUPPORT STAFF, BOTH INTERNALLY AND FOR OTHER HEALTH CARE ORGANIZATIONS. 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:	AFFILIATED HEALTH CARE: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 AS A WHOLE. OUR UNWAVERING FOCUS HAS ALWAYS BEEN ON THE HEALTH AND WELLNESS OF THE COMMUNITIES WE SERVE. WE ARE ALREADY A STEP AHEAD AS HEALTH CARE REFORM IS CHALLENGING HOSPITAL SYSTEMS NATIONWIDE TO IMPROVE THE HEALTH OF POPULATIONS; OUR INTEGRATED, HEALTH-CARE DELIVERY NETWORK INCLUDES FIVE NATIONALLY ACCREDITED, ACUTE-CARE AND SPECIALTY HOSPITALS, MENTAL HEALTH SERVICES, HOME HEALTH AGENCIES AND URGENT CARE CENTERS, SERVING THE WASHINGTON, D.C. METROPOLITAN AREA.ADVENTIST HEALTHCARE INCLUDES: ADVENTIST HEALTHCARE SHADY GROVE MEDICAL CENTER, ADVENTIST HEALTHCARE WASHINGTON ADVENTIST HOSPITAL, ADVENTIST HEALTHCARE BEHAVIORAL HEALTH & WELLNESS SERVICES, ADVENTIST HEALTHCARE PHYSICAL HEALTH & REHABILITATION, ADVENTIST HEALTHCARE HOME CARE SERVICES, THE REGINALD S. LOURIE CENTER FOR CHILDREN'S SOCIAL & EMOTIONAL WELLNESS, CENTRACARE ADVENTIST HEALTHCARE URGENT CARE, AND OTHER HEALTH SERVICES. TOGETHER, WITH OUR CENTER FOR HEALTH EQUITY AND WELLNESS, AND MORE THAN 2,000 AFFILIATED PHYSICIANS, ADVENTIST HEALTHCARE ENCOMPASSES MANY OF THE NECESSARY CARE DELIVERY COMPONENTS NEEDED TO DELIVER POPULATION-BASED CARE ACROSS THE CONTINUUM.OUR COMMITMENT TO THE COMMUNITY EXTENDS BEYOND OUR WALLS TO ENCOMPASS THE MOST VULNERABLE AND UNDERSERVED. IN 2015, APPROXIMATELY 843,600 RESIDENTS CAME TO ONE OF OR FACILITIES OR ATTENDED A HEALTH CLASS OR PROGRAM. WE ALSO PROVIDED SIGNIFICANT CHARITY CARE AND COMMUNITY BENEFIT OF MORE THAN $77.8 MILLION. AS ONE OF THE LARGEST EMPLOYERS IN THE STATE OF MARYLAND, WE ARE GRATEFUL TO HAVE THE DEDICATED COMMITMENT OF 6,250 EMPLOYEES AND ALMOST 1,158 VOLUNTEERS THROUGHOUT ADVENTIST HEALTHCARE WHO PROVIDE COMPASSIONATE, HIGH-QUALITY CARE EACH AND EVERY DAY.IN ADDITION TO PROVIDING CHARITY CARE AT OUR FACILITIES, ADVENTIST HEALTHCARE IS INVOLVED IN NUMEROUS OUTREACH INITIATIVES DESIGNED TO IMPROVE ACCESS TO HEALTH CARE FOR LOW-INCOME AND UNINSURED INDIVIDUALS, AS WELL AS HISTORICALLY UNDER-SERVED COMMUNITIES INCLUDING MINORITIES AND IMMIGRANTS. OUR GOAL IS EFFECTIVE PREVENTION, TREATMENT AND CARE PROGRAMS FOR ALL INDIVIDUALS, REGARDLESS OF THEIR ECONOMIC, CULTURAL, LINGUISTIC OR DEMOGRAPHIC CHARACTERISTICS.VISIT WWW.ADVENTISTHEALTHCARE.COM TO LEARN EVEN MORE ABOUT OUR SERVICES AND OUR LONGSTANDING BELIEF THAT A HEALTHY LIFESTYLE IS THE BEST WAY TO PREVENT DISEASE, AND THAT PREVENTION IS MUCH BETTER THAN A CURE.
PART VI, LINE 7, REPORTS FILED WITH STATES	MD

Schedule H (Form 990) 2015

Additional Data

Software ID:
Software Version:

- TIN:

Schedule I
(Form 990)

Department of the Treasury
Internal Revenue Service

Grants and Other Assistance to Organizations,
Governments and Individuals in the United States

Complete if the organization answered "Yes," on Form 990, Part IV, line 21 or 22.
lBullet

Attach to Form 990.
lBullet

Information about Schedule I (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2015

Open to Public
Inspection

Name of the organization
ADVENTIST HEALTHCARE INC

Employer identification number
52-1532556

Part I

General Information on Grants and Assistance

Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' eligibility for the grants or assistance, and
the selection criteria used to award the grants or assistance? ........................

Yes No

Describe in Part IV the organization's procedures for monitoring the use of grant funds in the United States.

Part II

Grants and Other Assistance to Domestic Organizations and Domestic Governments. Complete if the organization answered "Yes" on Form 990, Part IV, line 21, for any recipient

that received more than $5,000. Part II can be duplicated if additional space is needed.

(a) Name and address of organization or government	(b) EIN	(c) IRC section if applicable	(d) Amount of cash grant	(e) Amount of non-cash assistance	(f) Method of valuation (book, FMV, appraisal, other)	(g) Description of non-cash assistance	(h) Purpose of grant or assistance

(1) AMERICAN HEART ASSOCIATION 4301 N FAIRFAX DR SUITE 530 ARLINGTON,VA22203	13-5613797	501-(C)-(3)	5,000	SPONSORSHIP TOWARDS THE 2015 GREATER WASHINGTON HEART WALK. FUNDS SUPPORT AHA IN HEART DISEASE RESEARCH AND ELIMINATION.
(2) BIOHEALTH INNOVATION INC 22 BALTIMORE RD 100 ROCKVILLE,MD20850	45-3824067	501-(C)-(3)	75,000	CHARITABLE CONTRIBUTION / INITIATIVES THAT FOSTER COLLABORATIONS, PROMOTES HEALTHCARE CAREERS AND POLICY ADVOCACY
(3) CASA DE MARYLAND INC 310 TULIP AVENUE TAKOMA PARK,MD20917	52-1372972	501-(C)-(3)	115,554	$110,000 WENT TOWARDS THE 2015 CASA/AHC PARTNERSHIP; $2,500 WENT TOWARDS SPONSORING THE JUSTICE AWARDS NIGHT (AN EVENT WHOSE PROCEEDS GO TOWARDS PRIVIDING SERVICES FOR IMMIGRANT FAMILIES); $3,000 WENT TOWARDS THE IMMIGRANT HEALTH RESEARCH INITIATIVE BEING LED BY JOHNS HOPKINS UNIVERSITY; $54 WENT TOWARDS THE FELICES FIESTAS HOLIDAY EVENT DONATION
(4) CENTRE POINTE COUNCELING PO BOX 339 ASHTON,MD20861	52-1288655	501-(C)-(3)	10,000	FUNDS TO SUPPORT THE NON-PROFIT BEHAVIORAL HEALTH CENTER EMR/ E-CLINICAL WORKS IMPLEMENTATION - PROJECTS THAT WILL RESULT IN THE EXPANSION OF HEALTH SERVICES PARTICULARLY IN SERVICING THE UNDERSERVED AND UNINSURED AREAS.
(5) COLUMBIA UNION CONFERENCE 5427 TWIN KNOLLS RD COLUMBIA,MD21045	52-0664576	501-(C)-(3)	235,000	$225,000 WAS DONATED TO SUPPORT MISSION WORK, YOUTH MINISTRY AND HEALTH & WELLNESS OUTREACH; $10,000 WENT TOWARDS THE 2015 SEVENTH-DAY ADVENTIST GENERAL CONFERENCE IN SAN ANTONIO
(6) COLUMBIA UNION CONFERENCE 5427 TWIN KNOLLS RD COLUMBIA,MD21045	52-0664576	501-(C)-(3)	12,784	DONATION MADE TOWARDS MEDICAL SUPPLIES
(7) COMMITTEE FOR MONTGOMERY 622 DENHAM ROAD ROCKVILLE,MD20851	90-6437327	501-(C)-(4)	5,000	DIAMOND SPONSORSHIP OF THE ANNUAL LEGISLATIVE BREAKFAST - INITIATIVES THAT FOSTER COLLABORATIONS, PROMOTES HEALTHCARE CAREERS AND POLICY ADVOCACY
(8) COMMUNITY CLINIC INC 8630 FENTON STREET SUITE 1204 SILVER SPRING,MD20910	52-0988386	501-(C)-(3)	150,000	CONTRIBUTION TO CCI EXPANSION TO GREENBELT - PROJECTS THAT WILL RESULT IN THE EXPANSION OF HEALTH SERVICES PARTICULARLY SERVICING THE UNDERSERVED AND UNINSURED AREAS.
(9) COMMUNITY MINISTRIES OF ROCKVILLE 1010 GRANDIN AVE STE A1 ROCKVILLE,MD20851	52-0910334	501-(C)-(3)	5,000	SILVER BENEFACTOR SPONSORSHIP OF THE A NIGHT OF HOPE SPRING GALA. FUNDS DONATED TO GO TOWARDS MANSFIELD KASEMAN HEALTH CLINIC - SERVING UNINSURED AND UNDERINSURED RESIDENTS OF ROCKVILLE AND MONTGOMERY COUNTY WITH PRIMARY CARE, HEALTH EDUCATION AND SOCIAL SERVICES.
(10) CROHN'S & COLITIS FOUNDATION OF AMERICA 108 N ALFRED STREET LOWER LEVEL ALEXANDRIA,VA22314	13-6193105	501-(C)-(3)	5,000	CONTRIBUTION TOWARDS THE NATIONAL CAPITAL AREA TAKE STEPS SPONSORSHIP IN SUPPORTING A CURE FOR CROHN'S DISEASE.
(11) GEORGE MASON UNIVERSITY FOUNDATION INC 3351 FAIRFAX DR MSN 3B1 ARLINGTON,VA22201	54-1603842	501-(C)-(3)	15,000	PART OF A GROUP OF FUNDERS, FOR A STUDY THAT WAS DONE BY GMU ON THE OVERALL BUSINESS CLIMATE OF THE DC REGION (INCLUDING MD, DC, AND VA)
(12) GERMANTOWN CULTURAL ARTS CENTER 12901 TOWN COMMONS DRIVE GERMANTOWN,MD20874	52-2010744	501-(C)-(3)	12,000	$5,000 DONATED TOWARDS THE BLACKROCK CENTER FOR THE ARTS 15TH ANNIVERSARY EDUCATION FUND; $2,500 GIVEN AS A CONTRIBUTION TO THE BOARD OF TRUSTEES ON BEHALF OF NEW AHC BOARD MEMBER MICHAEL OXENFORD; $4,500 DONATED TOWARDS THE BLACKROCK CENTER FOR THE ARTS 2016 ANNUAL GALA (FUNDS RAISED AT THIS EVENT ALLOW SERVICES TO BE PROVIDED TO COMMUNITY MEMBERS AT REDUCED RATES, SOME EVEN FREE)
(13) GREATER SILVER SPRING CHAMBER OF COMMERCE 8601 GEORGIA AVE 203 SILVER SPRING,MD20910	52-1813227	501-(C)-(6)	8,500	BOARD SPONSORSHIP - CORPORATE PARTNER - INITIATIVES THAT FOSTER COLLABORATIONS, PROMOTES HEALTHCARE CAREERS AND POLICY ADVOCACY
(14) GREATER WASHINGTON BOARD OF TRADE 1129 20TH STREET NW SUITE 200 WASHINGTON,DC20036	53-0162570	501-(C)-(6)	6,000	BOARD TO TRADE MID-SIZE BUSINESS LEADER NEW MEMBERSHIP FEE - IT IS A COALITION OF LEADERS REPRESENTING A BROAD CROSS-SECTION OF MONTGOMERY COUNTY BUSINESS, LABOR, EDUCATION, CIVIC AND COMMUNITY-BASED ORGANIZATIONS. THEIR MISSION IS TO ADVOCATE IN SUPPORT OF ITS PRIORITIES AND AREAS OF FOCUS, WHICH INCLUDE EDUCATION, HEALTH, ECONOMIC, FISCAL RESPONSIBILITY AND TRANSPORTATION
(15) HACKETTSTOWN REGIONAL MED CTR FOUNDATION 651 WILLOW GROVE STREET HACKETTSTOWN,NJ07840	22-2333410	501-(C)-(3)	10,000	AN ANNUAL CONTRIBUTION THROUGH ADVENTIST HEALTHCARE'S ANNUAL PARTNERSHIP TO AID IN THE DEVELOPMENT OF HACKETTSTOWN'S CENTER.
(16) HEART & SOUL INTERNATIONAL 53 HIDDEN VALLEY RD MONROVIA,CA91016	20-0755905	501-(C)-(3)	10,000	CONTRIBUTION TO THE TEN COMMANDMENTS CONCERT HELD IN D.C. - HEART AND SOUL INTERNATIONAL IS A NONPROFIT MINISTRY DEDICATED TO BRINGING HOPE TO FAMILIES BY MINISTERING TO THE HEART AND SOUL. THE FUNDS RAISED FROM THE CONCERT GO TOWARDS SPONSORING LOCAL CHURCHES/GROUPS WHICH HELP THEM ADVANCE OUR MUTUAL GOALS OF MINISTRY
(17) IMPACT SILVER SPRING 8545 PINEY BRANCH ROAD SILVER SPRING,MD20901	52-2164844	501-(C)-(3)	10,000	$5,000 WENT TOWARDS INNOVATOR SPONSORSHIP OF THE 2015 MOMENTUM AWARDS; $5,000 WENT TOWARDS THE INNOVATOR SPONSORSHIP OF THE 2016 IMPACT NOW! GALA - INITIATIVES THAT FOSTER COLLABORATIONS, PROMOTES HEALTHCARE CAREERS AND POLICY ADVOCACY
(18) INSTITUTE FOR PUBLIC HEALTH INNOVATION 1301 CONNECTICUTT AVE NW STE 200 WASHINGTON,DC20036	46-3039129	501-(C)-(3)	50,000	MONTGOMERY COUNTY DEPARTMENT OF HEALTH AND HUMAN SERVICES ENGAGEMENT - IPHI WORKS WITH THE MONTGOMERY COUNTY DEPARTMENT OF HEALTH AND HUMAN SERVICES (DHHS) STAFF TO PROVIDE SUPPORT TO HEALTHY MONTGOMERY IN THE FORM OF PROJECT MANAGEMENT AND TECHNICAL ASSISTANCE AND, MORE SPECIFICALLY, HAS BEEN ACTIVE IN THE PAST YEAR IN ASSISTING WITH THE WORK OF THE EAT WELL BE ACTIVE PARTNERSHIP AND THE BEHAVIORAL HEALTH TASK FORCE
(19) LEADERSHIP MONTGOMERY EDUCATION FOUNDATION INC 5910 EXECUTIVE BLVD 200 ROCKVILLE,MD20852	52-1627257	501-(C)-(3)	23,000	SUPPORTED INITIATIVES THAT FOSTER COLLABORATIONS, PROMOTES HEALTHCARE CAREERS AND POLICY ADVOCACY
(20) MARCH OF DIMES 175 WOSTEND ST SUITE C BALTIMORE,MD21230	13-1846366	501-(C)-(3)	10,000	PRESENTING SPONSORSHIP FOR THE MARCH OF DIMES MARCH FOR BABIES
(21) MARYLAND PATIENT SAFETY CENTER 12TH ANNUAL MD PATI SAFETY CON REGISTRATION ELKRIDGE,MD21075	35-2200200	501-(C)-(3)	10,000	2015 SILVER SPONSORSHIP AND 2015 ANNUAL MARYLAND PATIENT SAFETY CONFERENCE. THE CENTER EXTENDS ACROSS MARYLAND INTO THE DISTRICT OF COLUMBIA, DELAWARE, AND NORTHERN VIRGINIA, AND IS DEDICATED TO CONTINUALLY ENHANCING THE QUALITY AND SAFETY OF PATIENT CARE IN ALL HEALTHCARE SETTINGS.
(22) MERCY HEALTH CLINIC 9913 KENTSDALE DRIVE POTOMAC,MD20854	52-2230932	501-(C)-(3)	10,000	HEART OF MERCY GALA ($7,500) AND GOLF CLASSIC ($2,500) - PROJECTS THAT WILL RESULT IN THE EXPANSION OF HEALTH SERVICES PARTICULARLY IN SERVICING THE UNDERSERVED AND UNINSURED AREAS
(23) MOBILE MEDICAL CAREINC 9309 OLD GEORGETOWN ROAD BETHESDA,MD208141620	23-7022588	501-(C)-(3)	100,100	SUPPORTED PROJECTS THAT WILL IMPROVE CULTURALLY COMPETENT CARE AND LINGUISTIC SERVICES, HEALTH DISPARITIES RESEARCH PROJECTS AND EDUCATIONAL CONFERENCES THAT WILL ADDRESS THE NEEDS OF VULNERABLE POPULATIONS/PROGRAMS THAT PROMOTE HEALTH AND WELLNESS IN THE AREAS OF CANCER, CARDIVASCULAR SERVICES, AND MATERNAL AND CHILD HEALTH/PROJECTS THAT WILL RESULT IN THE EXPANSION OF HEALTH SERVICES PARTICULARLY IN SERVICING THE UNDERSERVED AND UNINSURED AREAS
(24) MONTGOMERY COALITION FOR ADULT ENGLISH LITERACY INC 10605 CONCORD TREET ST 440 KENSINGTON,MD20895	20-8015355	501-(C)-(3)	5,000	HONEY BEE SPONSORSHIP OF 3RD ANNUAL GROWN UP SPELLING BEE TO SUPPORT ADULT LITERACY
(25) MONTGOMERY HOSPICE 1450 RESEARCH BLVD SUITE 310 ROCKVILLE,MD20850	52-1114719	501-(C)-(3)	5,000	SPONSORSHIP OF 23RD ANNUAL GALA, "THE MAGIC OF CARING" - PROJECTS THAT WILL IMPROVE CULTURALLY COMPETENT CARE AND LINGUISTIC SERVICES/HEALTH DISPARITIES RESEARCH PROJECTS AND EDUCATIONAL CONFERENCES THAT WILL ADDRESS THE NEEDS OF VULNERABLE POPULATIONS
(26) NATIONAL CAPITAL POISON CENTER 3201 NEW MEXICO AVE 310 WASHINGTON,DC20016	52-1880478	501-(C)-(3)	10,000	MEMBERSHIP DUES TO HELP THE CAUSE OF POISON CONTROL IN THE COMMUNITY
(27) NORTH AMERICAN DIVISION OF SEVENTH-DAY ADVENTISTS 12501 OLD COLUMBIA PIKE SILVER SPRING,MD209046600	20-3164300	501-(C)-(3)	15,000	$2,000 WENT TOWARDS THE 2015 FEBRUARY PRESIDENTS' RETREAT + MEETING OF PRESIDENTS OF LARGE CONFERENCE; $3,000 AS A CONTRIBUTION TOWARDS THE INSTEP4LIFE 5K; $10,000 TO SUPPORT THE NAD CAMP MINISTRIES FUNDRAISER - JUST CLAIM IT PRAYER CONFERENCE
(28) REGINALD S LOURIE CENTER FOR INFANTS 12301 ACADEMY WAY ROCKVILLE,MD20852	52-1255870	501-(C)-(3)	5,400	$5,000 DONATED AS A CONTRIBUTION TO THE FOUNDATIONS AHC - BENEFIT DINNER; $400 DONATED ON BEHALF OF THE 18TH ANNUAL PAUL BLANK INVITATIONAL FOOTBALL GAME
(29) SHADYGROVE ADVENTIST HOSPITAL FOUNDATION 820 W DIAMOND AVENUE GAITHERSBURG,MD20878	52-1216429	501-(C)-(3)	16,000	DONATIONS MADE TO A GOLF TOURNAMENT, WITH ALL THE PROCEEDS OF THIS EVENT GOING TOWARDS EXPANSION AND RENOVATION OF THE EMERGENCY DEPARTMENT.
(30) SHADYGROVE ADVENTIST HOSPITAL FOUNDATION 820 W DIAMOND AVENUE GAITHERSBURG,MD20878	52-1216429	501-(C)-(3)	161,498	FACILITY RENT FOR SPACE AT THE ADVENTIST HEALTHCARE SHADY GROVE MEDICAL CENTER
(31) STATE OF MARYLAND 4201 PATTERSON AVE BALTIMORE,MD21215	52-6002033	STATE OF MARYLAND	15,000	$15,000 WAS TOWARDS THE FUND, "SHADY GROVE ADVENTIST HOSPITAL OPERATING SCHOLARSHIP FOR THE HEALTH PROFESSIONS; AND THE PURPOSE OF THE FUND IS TO PROVIDE SCHOLARSHIPS FOR STUDENTS ATTENDING THE UNIVERSITIES AT SHADY GROVE AND STUDYING PROGRAMS RELATED TO ALLIED HEALTH PROFESSIONS
(32) STRATHMORE HALL FOUNDATION INC 5301 TUKERMAN LANE NORTH BETHESDA,MD20852	52-1233092	501-(C)-(3)	13,891	10TH ANNIVERSARY SPRING GALA SPONSOR - INITIATIVES THAT FOSTER COLLABORATIONS, PROMOTES HEALTHCARE CAREERS AND POLICY ADVOCACY AND OTHER CONTRIBUTIONS
(33) UNIVERSITY OF MARYLAND BALTIMORE 737 WEST LOMBARD STREET BALTIMORE,MD21201	31-1678679	501-(C)-(3)	5,000	GOLD BENEFACTOR SPONSORSHIP OF THE UNIVERSITY OF MARYLAND BALTIMORE SCHOOL OF NURSING 125TH ANNIVERSARY GALA
(34) WASHINGTON ADVENTIST HOSPITAL FOUNDATION 7600 CARROLL AVENUE TAKOMA PARK,MD20912	52-1692158	501-(C)-(3)	10,000	DONATIONS MADE TO A GOLF TOURNAMENT, WITH ALL THE PROCEEDS OF THESE EVENTS GOING TOWARDS SURGICAL CARE, PATIENT SERVICES ENHANCEMENTS AND CAPITAL CAMPAIGN FOR THE RELOCATION OF THE NEW HOSPITAL
(35) WASHINGTON ADVENTIST HOSPITAL FOUNDATION 7600 CARROLL AVENUE TAKOMA PARK,MD20912	52-1692158	501-(C)-(3)	178,854	CONSULTING SERVICES PROVIDED TO WAH- RELATES TO LAUNCHING AN ONLINE FUNDRAISING SERVICE & MAJOR GIFT FUNDRAISING SERVICES.
(36) WASHINGTON ADVENTIST UNIVERSITY 7600 FLOWER AVENUE TAKOMA PARK,MD20912	52-0643528	501-(C)-(3)	102,000	$100,000 GIVEN IN SUPPORT OF THE WAU SCHOOL OF HEALTH PROFESSIONS, SCIENCE AND WELLNESS; $2,000 GIVEN IN SUPPORT OF WAU FAMILY FUN FESTIVAL - INITIATIVES THAT FOSTER COLLABORATIONS, PROMOTES HEALTHCARE CAREERS AND POLICY ADVOCACY/SEVENTH-DAY ADVENTIST PARTNERSHIPS
(37) WASHINGTON REGIONAL ASSOC OF GRANTMAKERS 1400 16TH ST NW 740 WASHINGTON,DC20036	52-1756853	501-(C)-(3)	5,000	CONTRIBUTIONS FOR NONPROFIT MONTGOMERY WITH THE DESIGNATION FOR MONTGOMERY MOVING FORWARD - INITIATIVES COMMITTED TO STRATEGIC ACTION IN PURSUIT OF INNOVATIVE SOLUTIONS TO COMPLEX COMMUNITY PROBLEMS

Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................. Bullet Image

Enter total number of other organizations listed in the line 1 table ........................ . Bullet Image

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50055P

Schedule I (Form 990) 2015

Page 2

Part III

Grants and Other Assistance to Domestic Individuals. Complete if the organization answered "Yes" on Form 990, Part IV, line 22.
Part III can be duplicated if additional space is needed.

(a) Type of grant or assistance	(b) Number of recipients	(c) Amount of cash grant	(d) Amount of non-cash assistance	(e) Method of valuation (book, FMV, appraisal, other)	(f) Description of non-cash assistance

(1)
(2)
(3)
(4)
(5)
(6)
(7)

Part IV

Supplemental Information. Provide the information required in Part I, line 2, Part III, column (b), and any other additional information.

Return Reference

Explanation

PART I, LINE 2:

ADVENTIST HEALTHCARE 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 PROVIDES FUNDING FOR ORGANIZATIONS WHOSE ACTIVITIES SUPPORT OUR MISSION TO IMPROVE THE HEALTH AND WELLBEING OF OUR COMMUNITY, ESPECIALLY FOR THOSE THAT HAVE POOR ACCESS TO CARE AND POOR HEALTH OUTCOMES. THE COMMUNITY PARTNERSHIP FUND AWARDS GRANTS AND PROVIDES EVENT SPONSORSHIPS TO ORGANIZATIONS WHOSE ACTIVITIES ALIGN WITH OUR MISSION AND OUR FUNDING OBJECTIVES: 1. HEALTH AND WELLNESS: SUPPORT COMMUNITY HEALTH SERVICES, EDUCATION, AND PREVENTION AND WELLNESS PROGRAMS; 2. PARTNERSHIPS: LEVERAGE PARTNERSHIPS TO ADDRESS SOCIOECONOMIC DISADVANTAGES THAT AFFECT HEALTH; 3. CAPACITY BUILDING: IMPROVE COMMUNITY HEALTH THROUGH COLLABORATIVE PARTNERSHIPS, ECONOMIC AND WORKFORCE DEVELOPMENT, AND ADVOCACY. OUR PRIORITIES: 1. ACTIVITIES THAT ADDRESS A PRIORITY AREA OF NEED IDENTIFIED IN OUR HOSPITALS' COMMUNITY HEALTH NEEDS ASSESSMENT; 2. ACTIVITIES THAT TARGET POPULATIONS IN ADVENTIST HEALTHCARE'S SERVICE AREA THAT ARE SOCIALLY AND ECONOMICALLY DISADVANTAGED OR MEDICALLY UNDERSERVED; 3. ACTIVITIES THAT ALIGN WITH ADVENTIST HEALTHCARE'S COMMUNITY-BASED MISSION; 4. ACTIVITIES THAT HAVE A MEASURABLE IMPACT ON THE COMMUNITY BEING SERVED. ADDITIONAL FACTORS WE CONSIDER: 1. 501(C)(3) NON-PROFIT STATUS; 2. PARTNERING ORGANIZATIONS OR FUNDING FROM OTHER SOURCES. ADDITIONAL INFORMATION: ALL PROSPECTIVE APPLICANTS ARE ASKED TO COMPLETE A GRANT APPLICATION OR EVENT SPONSORSHIP APPLICATION (E.G., FUNDRAISING GALAS AND SPORTING EVENTS).

Schedule I (Form 990) 2015

Additional Data

Software ID:
Software Version:

- TIN:

Schedule J
(Form 990)

Department of the Treasury
Internal Revenue Service

Compensation Information

For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
SchJMediumBullet

Complete if the organization answered "Yes" on Form 990, Part IV, line 23.
SchJMediumBullet

Attach to Form 990.
SchJMediumBullet

Information about Schedule J (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2015

Open to Public Inspection

Name of the organization

ADVENTIST HEALTHCARE INC

Employer identification number

52-1532556

Part I

Questions Regarding Compensation

Yes

Check the appropiate box(es) if the organization provided any of the following to or for a person listed on Form
990, Part VII, Section A, line 1a. Complete Part III to provide any relevant information regarding these items.

First-class or charter travel Housing allowance or residence for personal use

Travel for companions Payments for business use of personal residence

Tax idemnification and gross-up payments Health or social club dues or initiation fees

Discretionary spending account Personal services (e.g., maid, chauffeur, chef)

If any of the boxes in line 1a are checked, did the organization follow a written policy regarding payment or reimbursement or provision of all of the expenses described above? If "No," complete Part III to explain .........

Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all
directors, trustees, officers, including the CEO/Executive Director, regarding the items checked in line 1a? ..

Yes

Indicate which, if any, of the following the filing organization used to establish the compensation of the
organization's CEO/Executive Director. Check all that apply. Do not check any boxes for methods
used by a related organization to establish compensation of the CEO/Executive Director, but explain in Part III.

Compensation committee Written employment contract

Independent compensation consultant Compensation survey or study

Form 990 of other organizations Approval by the board or compensation committee

During the year, did any person listed on Form 990, Part VII, Section A, line 1a with respect to the filing organization or a related organization:

Receive a severance payment or change-of-control payment? ................

Yes

Participate in, or receive payment from, a supplemental nonqualified retirement plan? .........

Yes

Participate in, or receive payment from, an equity-based compensation arrangement? .........

If "Yes" to any of lines 4a-c, list the persons and provide the applicable amounts for each item in Part III.

Only 501(c)(3), 501(c)(4), and 501(c)(29) organizations must complete lines 5-9.

For persons listed on Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the revenues of:

The organization? ...........................

Any related organization?

If "Yes," on line 5a or 5b, describe in Part III.

For persons listed on Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the net earnings of:

The organization?

Any related organization? .........................

If "Yes," on line 6a or 6b, describe in Part III.

For persons listed on Form 990, Part VII, Section A, line 1a, did the organization provide any non-fixed
payments not described in lines 5 and 6? If "Yes," describe in Part III ............

Were any amounts reported on Form 990, Part VII, paid or accured pursuant to a contract that was
subject to the initial contract exception described in Regulations section 53.4958-4(a)(3)? If "Yes," describe
in Part III .............................

If "Yes" on line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50053T

Schedule J (Form 990) 2015

Page 2

Part II

Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees. Use duplicate copies if additional space is needed.

For each individual whose compensation must be reported on Schedule J, report compensation from the organization on row (i) and from related organizations, described in the
instructions, on row (ii). Do not list any individuals that are not listed on Form 990, Part VII.
Note. The sum of columns (B)(i)-(iii) for each listed individual must equal the total amount of Form 990, Part VII, Section A, line 1a, applicable column (D) and (E) amounts for that individual.

(A) Name and Title		(B) Breakdown of W-2 and/or 1099-MISC compensation			(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)	(F) Compensation in column(B) reported as deferred on prior Form 990
(A) Name and Title		(i) Base compensation	(ii) Bonus & incentive compensation	(iii) Other reportable compensation	(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)
1TERRY FORDEPRESIDENT & CEO, AHC	(i) (ii)	864,928 ------------- 0	328,406 ------------- 0	32,029 ------------- 0	191,122 ------------- 0	28,016 ------------- 0	1,444,501 ------------- 0	0 ------------- 0
2JAMES G LEEEVP & CFO, AHC	(i) (ii)	498,437 ------------- 0	159,345 ------------- 0	5,040 ------------- 0	110,360 ------------- 0	25,601 ------------- 0	798,783 ------------- 0	0 ------------- 0
3JOHN SACKETTEVP & COO OF AHC; PRESIDENT OF SGMC	(i) (ii)	541,076 ------------- 0	173,052 ------------- 0	13,272 ------------- 0	110,674 ------------- 0	40,583 ------------- 0	878,657 ------------- 0	0 ------------- 0
4ERIK WANGSNESSPRESIDENT, WAH	(i) (ii)	389,952 ------------- 0	30,452 ------------- 0	2,157 ------------- 0	87,469 ------------- 0	26,905 ------------- 0	536,935 ------------- 0	0 ------------- 0
5JASON C COEPRESIDENT, HRMC	(i) (ii)	290,030 ------------- 0	94,356 ------------- 0	9,180 ------------- 0	51,577 ------------- 0	31,421 ------------- 0	476,564 ------------- 0	0 ------------- 0
6PATRICK GARRETTSVP & PHYSICIAN INTEGRATION, AHC	(i) (ii)	384,777 ------------- 0	142,907 ------------- 0	5,766 ------------- 0	102,164 ------------- 0	13,985 ------------- 0	649,599 ------------- 0	0 ------------- 0
7SUSAN L GLOVERSVP & SYSTEM QUALITY, AHC	(i) (ii)	299,655 ------------- 0	89,441 ------------- 0	4,544 ------------- 0	60,062 ------------- 0	26,192 ------------- 0	479,894 ------------- 0	0 ------------- 0
8MARTA BRITO PEREZSVP & CHIEF HR OFFICER, AHC	(i) (ii)	333,571 ------------- 0	101,968 ------------- 0	4,623 ------------- 0	76,945 ------------- 0	25,138 ------------- 0	542,245 ------------- 0	0 ------------- 0
9KEVIN YOUNGPRESIDENT, BHWS	(i) (ii)	306,704 ------------- 0	45,000 ------------- 0	4,080 ------------- 0	62,708 ------------- 0	25,355 ------------- 0	443,847 ------------- 0	0 ------------- 0
10BRENT REITZVP & ADMINISTRATOR, ARHM	(i) (ii)	253,103 ------------- 0	11,250 ------------- 0	3,178 ------------- 0	51,773 ------------- 0	28,326 ------------- 0	347,630 ------------- 0	0 ------------- 0
11KEITH BALLENGERVP, HOME HEALTH	(i) (ii)	187,561 ------------- 0	52,021 ------------- 0	8,226 ------------- 0	33,075 ------------- 0	21,023 ------------- 0	301,906 ------------- 0	0 ------------- 0
12AMY CARRIERVP, BUS. DEV. & STRATEGIC PLANNING,	(i) (ii)	207,348 ------------- 0	73,305 ------------- 0	2,416 ------------- 0	7,218 ------------- 0	14,589 ------------- 0	304,876 ------------- 0	0 ------------- 0
13THOMAS GRANTVP, PUBLIC RELATIONS & MARKETING, AH	(i) (ii)	207,360 ------------- 0	55,388 ------------- 0	3,215 ------------- 0	35,114 ------------- 0	24,345 ------------- 0	325,422 ------------- 0	0 ------------- 0
14CHRISTOPHER GHIONVP, CHIEF INFORMATION OFFICER, AHC	(i) (ii)	277,736 ------------- 0	73,545 ------------- 0	214 ------------- 0	62,940 ------------- 0	4,039 ------------- 0	418,474 ------------- 0	0 ------------- 0
15JAMES DAMRONVP & CHIEF DEVELOPMENT OFFICER, AHC	(i) (ii)	170,621 ------------- 0	0 ------------- 0	55,774 ------------- 0	0 ------------- 0	28,243 ------------- 0	254,638 ------------- 0	0 ------------- 0
16EUNMEE SHIMVP OF BUSINESS DEVELOPMENT & STRATEG	(i) (ii)	261,652 ------------- 0	60,224 ------------- 0	3,412 ------------- 0	51,680 ------------- 0	27,228 ------------- 0	404,196 ------------- 0	0 ------------- 0
17KENNETH B DESTEFANOVP & GENERAL COUNSEL, AHC	(i) (ii)	351,926 ------------- 0	93,122 ------------- 0	33,274 ------------- 0	53,391 ------------- 0	25,202 ------------- 0	556,915 ------------- 0	0 ------------- 0
18DANIEL L COCHRANVP & CFO, SGMC	(i) (ii)	299,700 ------------- 0	69,861 ------------- 0	3,945 ------------- 0	67,531 ------------- 0	18,767 ------------- 0	459,804 ------------- 0	0 ------------- 0
19JOAN VINCENTCHIEF NURSING OFFICER, SGMC	(i) (ii)	247,170 ------------- 0	0 ------------- 0	66,221 ------------- 0	750 ------------- 0	7,422 ------------- 0	321,563 ------------- 0	0 ------------- 0
20KEVIN SMOTHERSVP & CHIEF MEDICAL OFFICER, SGMC	(i) (ii)	417,914 ------------- 0	102,671 ------------- 0	7,139 ------------- 0	89,763 ------------- 0	30,939 ------------- 0	648,426 ------------- 0	0 ------------- 0
21RANDALL WAGNERVP & CHIEF MEDICAL OFFICER, WAH	(i) (ii)	354,467 ------------- 0	59,163 ------------- 0	80,981 ------------- 0	8,845 ------------- 0	12,984 ------------- 0	516,440 ------------- 0	0 ------------- 0
22CHERIE PARDUEDEPUTY CHIEF INFORMATION OFFICER, AH	(i) (ii)	138,581 ------------- 0	66,346 ------------- 0	91,148 ------------- 0	4,143 ------------- 0	1,328 ------------- 0	301,546 ------------- 0	0 ------------- 0

Schedule J (Form 990) 2015

Page 3

Part III

Supplemental Information

Provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 3, 4a, 4b, 4c, 5a, 5b, 6a, 6b, 7, and 8, and for Part II. Also complete this part for any additional information.

Return Reference	Explanation
PART I, LINE 1A	ADVENTIST HEALTHCARE DOES NOT HAVE A WRITTEN POLICY REGARDING REIMBURSEMENT OR PROVISION OF A CLUB EXPENSES. HOWEVER, ADVENTIST HEALTHCARE OWNS A CORPORATE MEMBERSHIP AT A LOCAL GOLF CLUB, IN WHICH THREE ADVENTIST HEALTHCARE EMPLOYEES CAN BE DESIGNATED TO USE THE FACILITIES. CLUB EXPENSES ARE PAID BY ADVENTIST HEALTHCARE, BUT ARE TREATED AS TAXABLE INCOME TO THE RESPECTIVE ADVENTIST HEALTHCARE EMPLOYEES, SUBJECT TO FEDERAL AND STATE TAX WITHHOLDINGS. THE CLUB EXPENDITURES ARE REVIEWED ANNUALLY BY THE EXECUTIVE COMPENSATION COMMITTEE OF THE BOARD OF TRUSTEES, IN ACCORDANCE WITH IRS INTERMEDIATE SANCTION GUIDELINES.
PART I, LINE 3	COMPENSATION DEFINED. THE COMPENSATION REPORTED FOR THE EMPLOYEES SET FORTH ON SCHEDULE J IS COMPRISED OF THE FOLLOWING: BASE COMPENSATION INCLUDES NONDISCRETIONARY PAYMENTS, AGREED UPON IN ADVANCE, CONTINGENT ONLY UPON THE PAYEES PERFORMANCE OF AGREED UPON SERVICES (SUCH AS SALARY OR FEES). INCENTIVE COMPENSATION INCLUDES PAYMENTS BASED ON SATISFACTION OF PRE-DETERMINED PERFORMANCE TARGETS SUCH AS QUALITY/PATIENT SAFETY GOALS, EMPLOYEE AND CUSTOMER ENGAGEMENT GOALS, ORGANIZATIONAL GROWTH, AND FINANCIAL PERFORMANCE, AMONG OTHER THINGS. A NEW EXECUTIVE RETENTION 457F PLAN, EFFECTIVE JANUARY 1, 2015, REPLACED THE ADVENTIST HEALTHCARE CAPITAL ACCUMULATION ACCOUNT PLAN. PRE-TAX CONTRIBUTIONS ACCUMULATED ANNUALLY ARE DISTRIBUTED ON JANUARY 1ST OF THE 2ND YEAR, IF STILL EMPLOYED. THERE IS A 2 YEAR DEFERRAL PERIOD BEFORE PAYMENTS ARE RELEASED. THE FIRST PAYMENT FOR THE NEW EXECUTIVE RETENTION PLAN, RELATED TO CONTRIBUTIONS ACCUMULATED IN 2015, WILL BE DISTRIBUTED ON JANUARY 1, 2017 AND CONTRIBUTIONS ACCUMULATED IN 2016 WILL BE DISTRIBUTED ON JANUARY 1, 2018. IN ADDITION, OTHER REPORTABLE COMPENSATION INCLUDES LONG-TERM DISABILITY COVERAGE, CELL PHONE ALLOWANCES, CASH-OUT OF UNUSED PAID TIME OFF (PTO) HOURS (ONLY FOR EMPLOYEES THAT LEAVE OUR ORGANIZATION), IMPUTED VALUE OF LIFE INSURANCE BENEFITS, TAXABLE PAYABLE PAY, AND SEVERANCE, AS APPLICABLE. NON-TAXABLE BENEFITS INCLUDES PRE-TAX PAYROLL DEDUCTIONS (SUCH AS FLEXIBLE MEDICAL SPENDING, DEPENDENT CARE, AND EMPLOYEE HEALTH BENEFIT PREMIUM), AND THE EMPLOYER PORTION OF CERTAIN EMPLOYEE BENEFITS SUCH AS HEALTH INSURANCE, DENTAL INSURANCE, VISION INSURANCE, LIFE INSURANCE, BASE CONTRIBUTIONS TO RETIREMENT PLANS, MATCHING OF EMPLOYEES RETIREMENT CONTRIBUTIONS, ETC. PAY PRACTICE: ADVENTIST HEALTHCARE UTILIZES A SINGLE EMPLOYER ID FOR ALL OF ITS AFFILIATED ENTITIES FOR EMPLOYMENT PURPOSES. AS SUCH, ACTUAL COMPENSATION AND BENEFITS ARE CHARGED TO THE RESPECTIVE ENTITIES AND THE RESULTING COMPENSATION AND BENEFITS ARE REPORTED ON EACH AFFILIATE IRS FORM 990 AS IF PAID DIRECTLY BY SUCH AFFILIATE. AS APPLICABLE, THE SAME AND NON-ADDITIVE COMPENSATION AND EMPLOYMENT BENEFIT PLAN CONTRIBUTION AMOUNTS WERE ALSO DISCLOSED IN THE ADVENTIST HEALTHCARE INC. RELATED ENTITIES RETURNS. INDEPENDENT GUIDELINES: WHEN SETTING COMPENSATION FOR THE OFFICERS, DIRECTORS, TRUSTEES, KEY EMPLOYEES, AND THE HIGHEST COMPENSATED EMPLOYEES, ADVENTIST HEALTHCARE FULLY COMPLIES WITH THE PROCEDURAL SAFE GUARDS EMBODIED IN IRS REGULATIONS. COMPENSATION FOR ADVENTIST HEALTHCARE OFFICERS, DIRECTORS, TRUSTEES, KEY EMPLOYEES, AND THE HIGHEST COMPENSATED EMPLOYEES IS ENTIRELY SET BY A COMMITTEE OF ADVENTIST HEALTHCARE BOARD OF TRUSTEES. IN SETTING COMPENSATION, THE GOVERNING BOARD COMMITTEE RELIES UPON MARKET COMPARABILITY DATA PROVIDED BY AN INDEPENDENT OUTSIDE COMPENSATION CONSULTANT WHO PROVIDES A SUMMARY OF HEALTH CARE SALARIES AND BENEFITS FOR COMPARABLE SIZED ORGANIZATIONS BOTH NATIONALLY AND IN THE BALTIMORE-WASHINGTON REGION. TO FURTHER ENSURE REASONABLENESS, BOTH COMPENSATION AND BENEFITS ARE TARGETED AT THE 50TH PERCENTILE (OR MEDIAN) OF THE MARKET. PAY PHILOSOPHY: FOR ALL ADVENTIST HEALTHCARE EMPLOYEES INCLUDING THOSE LISTED ON SCHEDULE J, THE GOAL OF ADVENTIST HEALTHCARE IS TO OFFER COMPETITIVE SALARIES IN ORDER TO ATTRACT, HIRE, AND RETAIN QUALIFIED AND TALENTED INDIVIDUALS. MAINTAINING A QUALITY AND STABLE WORKFORCE HAS A POSITIVE IMPACT ON THE WORKPLACE AND ON THE CARE PROVIDED TO OUR PATIENTS/RESIDENTS AND THEIR FAMILIES. IN GENERAL, NON-EXECUTIVE EMPLOYEES ARE COMPENSATED UTILIZING THE FULL WAGE SCALE FOR THEIR RESPECTIVE POSITIONS, COMPARED TO THE MARKET. HOWEVER, EXECUTIVES ARE GENERALLY LIMITED TO THE MEDIAN OF THE MARKET FOR THEIR RESPECTIVE POSITIONS.
PART I, LINES 4A-B	A NEW EXECUTIVE RETENTION 457F PLAN, EFFECTIVE JANUARY 1, 2015, REPLACED THE ADVENTIST HEALTHCARE CAPITAL ACCUMULATION ACCOUNT PLAN. PRE-TAX CONTRIBUTIONS ACCUMULATED ANNUALLY ARE DISTRIBUTED ON JANUARY 1ST OF THE 2ND YEAR, IF STILL EMPLOYED. THERE IS A 2 YEAR DEFERRAL PERIOD BEFORE PAYMENTS ARE RELEASED. THE FIRST PAYMENT FOR THE NEW EXECUTIVE RETENTION PLAN, RELATED TO CONTRIBUTIONS ACCUMULATED IN 2015, WILL BE DISTRIBUTED ON JANUARY 1, 2017 AND CONTRIBUTIONS ACCUMULATED IN 2016 WILL BE DISTRIBUTED ON JANUARY 1, 2018. THE FOLLOWING EMPLOYEES LISTED BELOW FELL OUTSIDE THE AGE BRACKET TO BE INCLUDED IN THE 457F PLAN, AND THEY RECEIVED LUMP-SUM CASH BONUS PAYMENTS: JAMES DAMRON: $44,653; JOAN VINCENT: $64,605; RANDALL WAGNER: $74,026. ALSO, IN 2015, SEVERANCE PAYMENTS WERE MADE TO: CHERIE PARDUE: $90,959.

Schedule J (Form 990) 2015

Additional Data

Software ID:
Software Version:

- TIN:

Schedule K
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Information on Tax Exempt Bonds

Complete if the organization answered "Yes" to Form 990, Part IV, line 24a. Provide descriptions,
explanations, and any additional information in Part VI.
SchKMediumBullet

Attach to Form 990.
SchKMediumBullet

Information about Schedule K (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2015

Open to Public
Inspection

Name of the organization
ADVENTIST HEALTHCARE INC

Employer identification number
52-1532556

Part I

Bond Issues

(a) Issuer name		(b) Issuer EIN	(c) CUSIP #	(d) Date issued	(e) Issue price	(f) Description of purpose	(g) Defeased		(h) On behalf of issuer		(i) Pool financing
(a) Issuer name		(b) Issuer EIN	(c) CUSIP #	(d) Date issued	(e) Issue price	(f) Description of purpose	Yes	No	Yes	No	Yes	No
A	MHHEFA (2005 A)	52-0936091	574217VS1	12-20-2005	78,000,000	SEE PART VI		X		X		X
B	MHHEFA (2011 A)	52-0936091	574218CH4	09-01-2011	57,508,761	SEE PART VI		X		X		X
C	MHHEFA (2011 B)	52-0936091	NONEAVAIL	09-01-2011	59,980,000	SEE PART VI		X		X		X
D	MHHEFA (2013)	52-0936091	NONEAVAIL	06-12-2013	15,623,500	SEE PART VI		X		X		X
	MHHEFA (2014 A)	52-0936091	NONEAVAIL	02-26-2014	25,000,000	SEE PART VI		X		X		X

Part II

Proceeds

	A		B		C		D
	1 Amount of bonds retired ..................
2 Amount of bonds legally defeased ..............
3 Total proceeds of issue ..................	79,853,550		57,508,761		59,980,000		15,623,500
4 Gross proceeds in reserve funds .............			5,835,976
5 Capitalized interest from proceeds .............	4,537,581
6 Proceeds in refunding escrows ...............
7 Issuance costs from proceeds ...............	691,085		909,734		550,992
8 Credit enhancement from proceeds .............	490,630
9 Working capital expenditures from proceeds .............
10 Capital expenditures from proceeds .............	74,134,254
11 Other spent proceeds .............	24,832,000		53,581,715		59,429,008		15,623,500
12 Other unspent proceeds .............
13 Year of substantial completion .............	2007		2005		2005		1982
	Yes	No	Yes	No	Yes	No	Yes	No
14 Were the bonds issued as part of a current refunding issue? ....		X	X		X		X
15 Were the bonds issued as part of an advance refunding issue? .....		X		X		X		X
16 Has the final allocation of proceeds been made? ..........	X		X		X		X
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? ..................	X		X		X		X

Part III

Private Business Use

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
1 Was the organization a partner in a partnership, or a member of an LLC, which owned property financed by tax-exempt bonds? .............		X		X		X		X
2 Are there any lease arrangements that may result in private business use of bond-financed property? ...............	X		X		X			X

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50193E

Schedule K (Form 990) 2015

Page 2

Part III

Private Business Use (Continued)

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
3a Are there any management or service contracts that may result in private business use of bond-financed property? .............	X		X		X			X
b If "Yes" to line 3a, does the organization routinely engage bond counsel or other outside counsel to review any management or service contracts relating to the financed property?	X		X		X
c Are there any research agreements that may result in private business use of bond-financed property? .............	X		X		X			X
d If "Yes" to line 3c, does the organization routinely engage bond counsel or other outside counsel to review any research agreements relating to the financed property?	X		X		X
4 Enter the percentage of financed property used in a private business use by entities other than a section 501(c)(3) organization or a state or local government ....	0 %		0.950 %		3.250 %		1.610 %
5 Enter the percentage of financed property used in a private business use as a result of unrelated trade or business activity carried on by your organization, another section 501(c)(3) organization, or a state or local government .........	0 %		0 %		0 %		0 %
6 Total of lines 4 and 5 .............	0 %		0.950 %		3.250 %		1.610 %
7 Does the bond issue meet the private security or payment test? ...		X		X		X		X
8a Has there been a sale or disposition of any of the bond-financed property to a nongovernmental person other than a 501(c)(3) organization since the bonds were issued?.............		X		X		X		X
b If "Yes" to line 8a, enter the percentage of bond-financed property sold or disposed of. ..
c If "Yes" to line 8a, was any remedial action taken pursuant to Regulations sections 1.141-12 and 1.145-2? .............
9 Has the organization established written procedures to ensure that all nonqualified bonds of the issue are remediated in accordance with the requirements under Regulations sections 1.141-12 and 1.145-2? ........	X		X		X		X

Part IV

Arbitrage

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
1 Has the issuer filed Form 8038-T, Arbitrage Rebate, Yield Reduction and Penalty in Lieu of Arbitrage Rebate? ...		X		X		X		X
2 If "No" to line 1, did the following apply? ....
a Rebate not due yet? .......		X		X		X	X
b Exception to rebate? ........		X	X		X			X
c No rebate due? .........	X		X		X			X
If "Yes" to line 2c, provide in Part VI the date the rebate computation was performed ......
3 Is the bond issue a variable rate issue? .....	X			X	X			X
4a Has the organization or the governmental issuer entered into a qualified hedge with respect to the bond issue?	X			X		X		X
b Name of provider ..........	DEUTSCHE BANK
c Term of hedge .........	3000.0000000000 %
d Was the hedge superintegrated? ......		X
e Was the hedge terminated? ........		X

Schedule K (Form 990) 2015

Page 3

Part IV

Arbitrage (Continued)

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
5a Were gross proceeds invested in a guaranteed investment contract (GIC)?		X		X		X		X
b Name of provider ..........
c Term of GIC .........
d Was the regulatory safe harbor for establishing the fair market value of the GIC satisfied? ........
6 Were any gross proceeds invested beyond an available temporary period?		X		X		X		X
7 Has the organization established written procedures to monitor the requirements of section 148? ...	X		X		X		X

Part V

Procedures To Undertake Corrective Action

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
Has the organization established written procedures to ensure that violations of federal tax requirements are timely identified and corrected through the voluntary closing agreement program if self-remediation is not available under applicable regulations?	X		X		X		X

Part VI

Supplemental Information. Provide additional information for responses to questions on Schedule K (see instructions).

Return Reference

Explanation

ENTITY 1 - PART I BOND ISSUES:

A. (A) ISSUER NAME: MARYLAND HEALTH AND HIGHER EDUCATIONAL FACILITIES AUTHORITY (MHHEFA) (F) DESCRIPTION OF PURPOSE: 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; B. (A) ISSUER NAME: MHHEFA (F) DESCRIPTION OF PURPOSE: REFUNDING SERIES 2003 B, 2004 AND 2005 ISSUED 2/27/2003, 9/14/04 AND 12/20/05. CONSTRUCTION AND RENOVATIONS AT WASHINGTON ADVENTIST HOSPITAL (WAH), SG, ADVENTIST BEHAVIORAL HEALTH (ABH), AND SG NURSING AND REHABILITATION CENTER EQUIPMENT AT WAH, SG, ABH, AND SG NURSING AND REHABILITATION CENTER, REFINANCE A LINE OF CREDIT; FINANCE AND REFINANCE, A PORTION OF THE EXISTING FACILITIES OF ADVENTIST REHABILITATION HOSPITAL OF MARYLAND (ARHM), ACQUISITION OF LIFE SCIENCES LAND, CONSTRUCTION, RENOVATIONS, PARKING LOTS, FENCES, WALKWAYS, AND LANDSCAPING FOR THE INSTITUTION, ARHM, AND SG NURSING, EQUIPMENT FOR ARHM AND SG NURSING, PLANNING AND DESIGN COSTS RELATED TO SG TOWER, COST OF ACQUISITION OF AN INTEREST IN ARHM; C. (A) ISSUE NAME: MHHEFA (F) DESCRIPTION OF PURPOSE: REFUNDING OF 2004 A AND 2005 B. FINANCE AND REFINANCE EXISTING FACILITIES AT ARHM, ACQUISITION OF LIFE SCIENCES LAND, FINANCE OR REFINANCE CONSTRUCTION, RENOVATION, PARKING LOTS, FENCES, WALKWAYS, LANDSCAPING, VARIOUS MAJOR MEDICAL EQUIPMENT, FINANCE OR REFINANCE CERTAIN PLANNING AND DESIGN COSTS RELATED TO THE CONSTRUCTION OF THE SG TOWER, COST OF ACQUISITION OF AN INTEREST IN ARHM; ACQUISITION, CONSTRUCTION, RENOVATION, AND EQUIPPING OF ARHM AND WAH, RENOVATION TO WAH AND SG. D. (A) ISSUE NAME: MHHEFA (F) DESCRIPTION OF PURPOSE: REFUND OF 2003 A BONDS REFUND 1991 A FOR THE "1991 A-1 PROJECT" - PROJECTS FINANCED OR REFINANCED WITH THE PROCEEDS OF THE 1983 BONDS, INCLUDING CONSTRUCTION, RENOVATION AND EQUIPPING OF FACILITIES AT WAH; PART II, COLUMN A: THE 2005 A BOND ISSUE WAS OFFERED AT $78,000,000.00, BUT AS THIS ISSUE WAS FOR A CONSTRUCTION PROJECT, THE PROCEEDS EARNED INTEREST IN A CONSTRUCTION FUND. THE PROCEEDS, THEREFORE, WERE MORE THAN THE ISSUING PRICE. PART II, COLUMN B: 2011 A HAS A RESERVE FUND VALUED AT $5,835,975.81 AS OF 12/31/2015. THIS RESERVE FUND WAS RESIZED WITH RESPECT TO THE REFUND OF THE 2003A BONDS WHICH WAS COMBINED WITH THE 2011 A RESERVE FUND. ROW 3 WILL NOT TIE TO THE SUM OF ROWS 4-12 FOR THIS BOND ISSUE. PART IV, COLUMN A: THE ARBITRAGE CALCULATION DATE FOR THE 2005 A BONDS WAS JANUARY 2015. PART IV, COLUMN B: THE ARBITRAGE CALCULATION DATE FOR THE 2011 A BONDS WILL BE SEPTEMBER 2016. PART IV, COLUMN C: THE ARBITRAGE CALCULATION DATE FOR THE 2011 B BONDS WILL BE SEPTEMBER 2016.

ENTITY 2 - PART I BOND ISSUES:

A. (A) ISSUER NAME: MHHEFA (F) DESCRIPTION OF PURPOSE: ADVENTIST HEALTHCARE SHADY GROVE MEDICAL CENTER (SGMC) F/K/A SHADY GROVE ADVENTIST HOSPITAL - CAF AND KITCHEN SANITARY PIPING CHANGES, PIXUS EXPANSION, INTERIOR WAY/EXTERIOR WAY FINDING, SGMC BASED IT PROJECTS (GE VIEWPOINT, I-HEAL, AEROSCOUT), BUILD OUT OF EXISTING SHELL; RENOVATION IN PLACE OF EXISTING PHARMACY AND IV PREP ROOMS; ADVENTIST HEALTHCARE WASHINGTON ADVENTIST HOSPITAL (AHC-WAH) F/K/A WASHINGTON ADVENTIST HOSPITAL - ULTRASOUND EQUIPMENT, AHC-WAH CERTIFICATE OF NEED EXPENSES

Schedule K (Form 990) 2015

Additional Data

Software ID:
Software Version:

- TIN:

Schedule K
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Information on Tax Exempt Bonds

Complete if the organization answered "Yes" to Form 990, Part IV, line 24a. Provide descriptions,
explanations, and any additional information in Part VI.
SchKMediumBullet

Attach to Form 990.
SchKMediumBullet

Information about Schedule K (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2015

Open to Public
Inspection

Name of the organization
ADVENTIST HEALTHCARE INC

Employer identification number
52-1532556

Part I

Bond Issues

(a) Issuer name		(b) Issuer EIN	(c) CUSIP #	(d) Date issued	(e) Issue price	(f) Description of purpose	(g) Defeased		(h) On behalf of issuer		(i) Pool financing
(a) Issuer name		(b) Issuer EIN	(c) CUSIP #	(d) Date issued	(e) Issue price	(f) Description of purpose	Yes	No	Yes	No	Yes	No
A	MHHEFA (2005 A)	52-0936091	574217VS1	12-20-2005	78,000,000	SEE PART VI		X		X		X
B	MHHEFA (2011 A)	52-0936091	574218CH4	09-01-2011	57,508,761	SEE PART VI		X		X		X
C	MHHEFA (2011 B)	52-0936091	NONEAVAIL	09-01-2011	59,980,000	SEE PART VI		X		X		X
D	MHHEFA (2013)	52-0936091	NONEAVAIL	06-12-2013	15,623,500	SEE PART VI		X		X		X
	MHHEFA (2014 A)	52-0936091	NONEAVAIL	02-26-2014	25,000,000	SEE PART VI		X		X		X

Part II

Proceeds

	A		B		C		D
	1 Amount of bonds retired ..................
2 Amount of bonds legally defeased ..............
3 Total proceeds of issue ..................	79,853,550		57,508,761		59,980,000		15,623,500
4 Gross proceeds in reserve funds .............			5,835,976
5 Capitalized interest from proceeds .............	4,537,581
6 Proceeds in refunding escrows ...............
7 Issuance costs from proceeds ...............	691,085		909,734		550,992
8 Credit enhancement from proceeds .............	490,630
9 Working capital expenditures from proceeds .............
10 Capital expenditures from proceeds .............	74,134,254
11 Other spent proceeds .............	24,832,000		53,581,715		59,429,008		15,623,500
12 Other unspent proceeds .............
13 Year of substantial completion .............	2007		2005		2005		1982
	Yes	No	Yes	No	Yes	No	Yes	No
14 Were the bonds issued as part of a current refunding issue? ....		X	X		X		X
15 Were the bonds issued as part of an advance refunding issue? .....		X		X		X		X
16 Has the final allocation of proceeds been made? ..........	X		X		X		X
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? ..................	X		X		X		X

Part III

Private Business Use

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
1 Was the organization a partner in a partnership, or a member of an LLC, which owned property financed by tax-exempt bonds? .............		X		X		X		X
2 Are there any lease arrangements that may result in private business use of bond-financed property? ...............	X		X		X			X

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50193E

Schedule K (Form 990) 2015

Page 2

Part III

Private Business Use (Continued)

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
3a Are there any management or service contracts that may result in private business use of bond-financed property? .............	X		X		X			X
b If "Yes" to line 3a, does the organization routinely engage bond counsel or other outside counsel to review any management or service contracts relating to the financed property?	X		X		X
c Are there any research agreements that may result in private business use of bond-financed property? .............	X		X		X			X
d If "Yes" to line 3c, does the organization routinely engage bond counsel or other outside counsel to review any research agreements relating to the financed property?	X		X		X
4 Enter the percentage of financed property used in a private business use by entities other than a section 501(c)(3) organization or a state or local government ....	0 %		0.950 %		3.250 %		1.610 %
5 Enter the percentage of financed property used in a private business use as a result of unrelated trade or business activity carried on by your organization, another section 501(c)(3) organization, or a state or local government .........	0 %		0 %		0 %		0 %
6 Total of lines 4 and 5 .............	0 %		0.950 %		3.250 %		1.610 %
7 Does the bond issue meet the private security or payment test? ...		X		X		X		X
8a Has there been a sale or disposition of any of the bond-financed property to a nongovernmental person other than a 501(c)(3) organization since the bonds were issued?.............		X		X		X		X
b If "Yes" to line 8a, enter the percentage of bond-financed property sold or disposed of. ..
c If "Yes" to line 8a, was any remedial action taken pursuant to Regulations sections 1.141-12 and 1.145-2? .............
9 Has the organization established written procedures to ensure that all nonqualified bonds of the issue are remediated in accordance with the requirements under Regulations sections 1.141-12 and 1.145-2? ........	X		X		X		X

Part IV

Arbitrage

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
1 Has the issuer filed Form 8038-T, Arbitrage Rebate, Yield Reduction and Penalty in Lieu of Arbitrage Rebate? ...		X		X		X		X
2 If "No" to line 1, did the following apply? ....
a Rebate not due yet? .......		X		X		X	X
b Exception to rebate? ........		X	X		X			X
c No rebate due? .........	X		X		X			X
If "Yes" to line 2c, provide in Part VI the date the rebate computation was performed ......
3 Is the bond issue a variable rate issue? .....	X			X	X			X
4a Has the organization or the governmental issuer entered into a qualified hedge with respect to the bond issue?	X			X		X		X
b Name of provider ..........	DEUTSCHE BANK
c Term of hedge .........	3000.0000000000 %
d Was the hedge superintegrated? ......		X
e Was the hedge terminated? ........		X

Schedule K (Form 990) 2015

Page 3

Part IV

Arbitrage (Continued)

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
5a Were gross proceeds invested in a guaranteed investment contract (GIC)?		X		X		X		X
b Name of provider ..........
c Term of GIC .........
d Was the regulatory safe harbor for establishing the fair market value of the GIC satisfied? ........
6 Were any gross proceeds invested beyond an available temporary period?		X		X		X		X
7 Has the organization established written procedures to monitor the requirements of section 148? ...	X		X		X		X

Part V

Procedures To Undertake Corrective Action

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
Has the organization established written procedures to ensure that violations of federal tax requirements are timely identified and corrected through the voluntary closing agreement program if self-remediation is not available under applicable regulations?	X		X		X		X

Part VI

Supplemental Information. Provide additional information for responses to questions on Schedule K (see instructions).

Return Reference

Explanation

ENTITY 1 - PART I BOND ISSUES:

ENTITY 2 - PART I BOND ISSUES:

Schedule K (Form 990) 2015

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE O
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or 990-EZ or to provide any additional information.
MediumBullet

Attach to Form 990 or 990-EZ.
MediumBullet

Information about Schedule O (Form 990 or 990-EZ) and its instructions is at
www.irs.gov/form990.

OMB No. 1545-0047

2015

Open to Public
Inspection

Name of the organization

ADVENTIST HEALTHCARE INC

Employer identification number

52-1532556

Return Reference	Explanation
FORM 990, PART III, LINE 4A, PROGRAM SERVICE ACCOMPLISHMENTS, CONTINUED:	2. EXPAND HEALTH SERVICES/INCREASE ACCESS TO CARE: ADVENTIST HEALTHCARE JOINS WITH SEVERAL ORGANIZATIONS IN ORDER TO BRING FREE SERVICES TO COMMUNITIES IN NEED WITH A SPECIAL FOCUS ON WOMEN AND CHILDREN, LOW-INCOME, UNINSURED, AND MINORITY POPULATIONS. ADVENTIST HEALTHCARE IS DEDICATED TO PROGRAMS THAT HELP BUILD HEALTHY FAMILIES AND COMMUNITIES. ADVENTIST HEALTHCARE PARTNERS WITH LOCAL SAFETY NET CLINICS THAT OFFER PRIMARY CARE, OR A MEDICAL HOME, TO UNINSURED RESIDENTS OF MONTGOMERY COUNTY. THROUGH THESE PARTNERSHIPS, ADVENTIST HEALTHCARE HELPS ENSURE THAT UNINSURED PATIENTS HAVE COORDINATED CARE BETWEEN THE CLINIC THAT SERVES AS THEIR MEDICAL HOME AND THE HOSPITAL WHERE THEY RECEIVE CARE AND EDUCATIONAL PROGRAMS. THE PARTNERSHIPS WE HAVE DEVELOPED WITH LOCAL SAFETY NET CLINICS, SUCH AS MERCY HEALTH CLINIC, COMMUNITY CLINIC, INC., MOBILE MEDICAL CARE, INC., AND MARY'S CENTER, IMPROVE ACCESS TO PRIMARY CARE SERVICES FOR UNINSURED AND UNDER-INSURED RESIDENTS. ADVENTIST HEALTHCARE'S SUPPORT INCLUDES BUT IS NOT LIMITED TO PROVIDING LAB WORK, X-RAY SERVICES AND FINANCIAL SUPPORT OF CLINICAL OPERATIONS TO SERVE THE UNINSURED OR UNDER-INSURED POPULATION OF MONTGOMERY COUNTY. THIS ALSO HELPS TO DECREASE INAPPROPRIATE EMERGENCY DEPARTMENT UTILIZATION BY THIS PORTION OF THE POPULATION. THESE CLINICS HAVE SERVED AS A VITAL HEALTH SAFETY NET TO PROVIDE IMPORTANT PRIMARY AND PREVENTIVE HEALTH SERVICES TO OVER 20,000 MEN, WOMEN AND CHILDREN IN NEED. MERCY HEALTH CLINIC IN GAITHERSBURG HAS BENEFITED FROM OUR SERVICES INCLUDING LABORATORY SUPPORT, BLOOD TESTS AND OTHER DIAGNOSTIC SERVICES. IN THE LONG BRANCH SECTION OF SILVER SPRING, OUR PARTNERSHIP WITH MARY'S CENTER PROVIDES A FULL RANGE OF SERVICES FROM PRENATAL CARE TO PEDIATRIC/ADOLESCENT HEALTH SERVICES TO WOMEN'S SERVICES TO SOCIAL-SERVICES PROGRAMS. OUR WORK WITH MOBILE MED ENABLES REGULAR MEDICAL CARE, SUCH AS ROUTINE PHYSICALS, FOR UNINSURED AND LOW-INCOME RESIDENTS. IN 2014, WASHINGTON ADVENTIST HOSPITAL AND COMMUNITY CLINIC, INC. FORGED AN INNOVATIVE PARTNERSHIP AND OPENED A NEW CLINIC ON THE HOSPITAL'S CAMPUS INTENDED TO IMPROVE ACCESS TO PRIMARY AND PREVENTIVE CARE FOR UNINSURED AND UNDER-INSURED PATIENTS. THE PARTNERSHIP MAKES IT POSSIBLE TO SPECIFICALLY HELP, THROUGH DISCHARGE AND TRANSITION PLANNING, UNDERSERVED PATIENTS AT HIGH RISK OF HOSPITAL READMISSION. IN ADDITION TO PROVIDING SERVICES TO THOSE MOST IN NEED, ADVENTIST HEALTHCARE ALSO PROVIDES SPECIALIZED SERVICES SUCH AS THE SHADY GROVE MEDICAL CENTER FORENSIC MEDICAL UNIT. THIS UNIT, WHICH IS THE ONLY ONE IN MONTGOMERY COUNTY, PROVIDES FORENSIC EVIDENCE COLLECTION AND SPECIALIZED MEDICAL CARE TO WOMEN, MEN AND CHILDREN WHO ARE VICTIMS OF SEXUAL ASSAULT AND ABUSE. SHADY GROVE MEDICAL CENTER AND WASHINGTON ADVENTIST HOSPITAL ARE ALSO ACTIVE PARTICIPANTS IN MONTGOMERY COUNTY'S MATERNITY PARTNERSHIP PROGRAM, WHICH PROVIDES PRENATAL CARE AND MATERNITY SERVICES TO LOW-INCOME, UNINSURED PREGNANT WOMEN. FOR THE PAST EIGHT YEARS, THE ADVENTIST HEALTHCARE GERMANTOWN EMERGENCY CENTER IN GERMANTOWN, MARYLAND, HAS BROUGHT VITAL EMERGENCY SERVICES TO A FAST-GROWING COMMUNITY. THE EMERGENCY CENTER'S MEDICAL CAMPUS ALSO HAS A PRIMARY CARE CLINIC FOR UNINSURED RESIDENTS, A PRENATAL CLINIC FOR LOW-INCOME WOMEN, OUTPATIENT RADIOLOGY SERVICES AND PHYSICIAN OFFICES. SINCE IT HAS OPENED, THE CENTER HAS TREATED AN AVERAGE OF 35,000 EMERGENCY PATIENTS EACH YEAR. OUR GERMANTOWN SERVICES ALSO FEATURE THE SHADY GROVE ADVENTIST RADIATION ONCOLOGY CENTER (LEGALLY KNOWN AS ADVENTIST CANCER CARE, LLC) AT GERMANTOWN ON SENECA MEADOWS PARKWAY. RADIATION ONCOLOGY IS AN INTEGRAL CONTRIBUTOR TO THE OVERALL CARE OF 60-65% OF PATIENTS WITH CANCER THROUGHOUT THEIR CONTINUUM OF CARE. EVALUATIONS OF PATIENTS' CONDITION ARE OFFERED AT LEAST WEEKLY, WITH HIGHLY TRAINED STAFF AVAILABLE 24/7. THE AMERICAN COLLEGE OF RADIOLOGY (ACR) HAS AWARDED RADIATION ONCOLOGY ACCREDITATION TO THE CENTER. PATIENTS WON'T FIND THIS LEVEL OF CARE IN RADIATION THERAPY AT MOST FACILITIES; ONLY 15 PERCENT OF CENTERS ARE ACR ACCREDITED. 3. PROMOTE HEALTH EQUITY AND WELLNESS: COMMUNITIES SERVED BY ADVENTIST HEALTHCARE THRIVE IN A CULTURE OF WELLNESS AND ENJOY ACCESS TO AND THE BENEFITS OF HIGH QUALITY, EQUITABLE HEALTHCARE THAT PROMOTES PHYSICAL, MENTAL AND SPIRITUAL WELLBEING. TO REALIZE OUR VISION, THE CENTER FOR HEALTH EQUITY & WELLNESS ENSURES THE DELIVERY OF POPULATION-BASED CARE AND PROMOTION OF HEALTH CARE EQUITY IN THE COMMUNITIES SERVED BY ADVENTIST HEALTHCARE. WE ACCOMPLISH OUR MISSION BY PARTNERING WITH COMMUNITY MEMBERS AND ORGANIZATIONS TO IMPLEMENT HEALTH EQUITY AND COMMUNITY WELLNESS APPROACHES THAT IMPROVE POPULATION HEALTH. IN 2015, WE PROVIDED MORE THAN 100,000 ENCOUNTERS IN THE PROMOTION OF COMMUNITY HEALTH AND WELLNESS. CENTER FOR HEALTH EQUITY AND WELLNESS - AREAS OF EXPERTISE INCLUDE: > CULTURAL COMPETENCE TRAINING FOR HEALTH PROFESSIONALS; > COMMUNITY OUTREACH THROUGH HEALTH SCREENINGS AND EDUCATION; > INTERPRETER TRAINING FOR QUALIFIED BILINGUAL STAFF; > ORGANIZATIONAL HEALTH EQUITY ASSESSMENT AND STRATEGIC PLANNING; > DEVELOPMENT AND IMPLEMENTATION OF COMMUNITY HEALTH NEEDS ASSESSMENTS; > COMMUNITY BENEFIT REPORTING; > PROGRAM DEVELOPMENT AND RESEARCH. ALIGNING THESE AREAS ALLOWS ADVENTIST HEALTHCARE TO ENHANCE ITS POSITION IN THE REGION AND NATIONALLY AS THE LEADER IN PROVIDING POPULATION-BASED AND EQUITABLE CARE THROUGHOUT THE CARE CONTINUUM, FROM BIRTH TO DEATH, FROM INPATIENT TO OUTPATIENT. IN ADDITION, THE CENTER FOR HEALTH EQUITY & WELLNESS IS A CATALYST FOR CONNECTING OUR HOSPITALS, URGENT CARE SERVICES, HOME CARE, MEDICAID HEALTH PLAN, PHYSICIAN PRACTICES AND OTHER SERVICES TO ALL OUR COMMUNITIES. OUR PROGRAMS ARE DESIGNED TO NOT ONLY PROMOTE ADVENTIST HEALTHCARE AS A HIGH-QUALITY, HEALTH CARE PROVIDER TO THOSE WE SERVE, BUT TO HELP ADVENTIST HEALTHCARE BECOME A PROVIDER OF CHOICE FOR RESIDENTS IN THE REGION. THE CENTER FOR HEALTH EQUITY & WELLNESS BRINGS TOGETHER THE ADVENTIST HEALTHCARE CENTER ON HEALTH DISPARITIES AND THE ADVENTIST HEALTHCARE HEALTH AND WELLNESS DEPARTMENT. THE CENTER ON HEALTH DISPARITIES WAS ESTABLISHED IN 2007 TO HELP ACHIEVE HEALTH EQUITY IN THE COMMUNITIES SERVED BY ADVENTIST HEALTHCARE. BY RAISING COMMUNITY AWARENESS, IMPROVING CAPACITY, AND DEVELOPING SOLUTIONS TO ELIMINATE LOCAL DISPARITIES IN HEALTH CARE, THE CENTER ON HEALTH DISPARITIES HAS WORKED TO IMPROVE ACCESS TO QUALITY HEALTH CARE, ESPECIALLY FOR MINORITIES, WOMEN, AND PEOPLE WHO HAVE LANGUAGE BARRIERS OR OTHER COMMUNICATION NEEDS. THE HEALTH AND WELLNESS DEPARTMENT HAS LONG WORKED WITH AHC HEALTH PROGRAMS, SUCH AS CARDIOVASCULAR, DIABETES, CANCER, AND MATERNAL AND CHILD HEALTH, TO RAISE AWARENESS OF HEALTH ISSUES, TO SCREEN FOR VARIOUS CONDITIONS, AND TO OFFER EDUCATIONAL AND SUPPORT PROGRAMS TO COMMUNITY MEMBERS. THE CENTER FOR HEALTH EQUITY & WELLNESS ACHIEVES ITS MISSION THROUGH THREE TEAMS: 1) RESEARCH AND EDUCATION - DESIGNS AND CONDUCTS POPULATION-BASED RESEARCH ON COMMUNITY HEALTH DISPARITIES AND OUTCOMES, AND DEVELOPS EFFECTIVE STRATEGIES TO PROMOTE HEALTH EQUITY. DEVELOPS AND DELIVERS CLASSES AND PROGRAMS TO EDUCATE PATIENTS, PROVIDERS AND INSTITUTIONS ON WAYS TO PROMOTE CULTURALLY COMPETENT PRACTICES AND ACHIEVE BETTER HEALTH OUTCOMES. HOLDS HEALTH DISPARITIES CONFERENCES AND PRODUCES REPORTS ON HEALTH CARE EQUITY ANNUALLY TO TARGET QUALITY IMPROVEMENT EFFORTS. > MONITOR HEALTH CARE DISPARITIES AMONG ADVENTIST HEALTHCARE PATIENT POPULATIONS ANNUALLY TO INFORM RESEARCH AND PROGRAMS TO IMPROVE QUALITY, EXPAND ACCESS, AND DELIVER POPULATION-BASED CARE (E.G., PROJECT BEAT IT!); > PLAN AND HOST ANNUAL CONFERENCE ON HEALTH CARE DISPARITIES AND BEST PRACTICES TO PROMOTE HEALTH EQUITY; > DEVELOP AND DISSEMINATE ADVENTIST HEALTHCARE'S HEALTH EQUITY REPORT ANNUALLY TO INFORM STRATEGIES THAT MEET OUR MISSION; > CONDUCT CULTURAL COMPETENCY, DATA COLLECTION, AND OTHER TRAINING AND CONTINUING EDUCATION CLASSES FOR HEALTH PROFESSIONALS AT LEAST TWICE A YEAR; > CONDUCT QUALIFIED BILINGUAL STAFF TRAINING CLASSES 2-4 TIMES A YEAR; > PUBLISH QUARTERLY ARTICLES ON CURRENT NEWS AND RESEARCH ON HEALTH EQUITY FOR EMPLOYEE NEWSLETTERS; > SUBMIT RESEARCH TO PEER-REVIEWED JOURNALS FOR PUBLICATION AS APPLICABLE; > DEVELOP LOGIC MODELS WITH MEASUREABLE OUTCOMES TO EVALUATE HEALTH PROMOTION AND EDUCATION PROGRAMS; > REPORT PROGRAM OUTCOMES MONTHLY AND WHEN APPLICABLE, STRATIFY BY RELEVANT CHARACTERISTICS TO ASSESS NEEDS OF AND OUTREACH TO DIFFERENT POPULATIONS.
FORM 990, PART III, LINE 4A, PROGRAM SERVICE ACCOMPLISHMENTS, CONTINUED 2:	2) HEALTH PROGRAMS DELIVERY - COLLABORATES WITH ADVENTIST HEALTHCARE'S SERVICE LINES TO SUPPORT EXPANDED HOSPITAL CARE, MARKETING STRATEGIES, LOCAL AND STATE HEALTH DEPARTMENTS, AND PROVIDERS FOR THE UNDERSERVED AS WELL AS HEALTH EDUCATION ACTIVITIES FOR ALL POPULATIONS. AREAS OF EXPERTISE INCLUDE: CANCER, CARDIOVASCULAR AND DIABETES CARE, AS WELL AS SMOKING CESSATION AND MATERNAL/CHILD EDUCATION AND SUPPORT. > PROVIDE PRE- AND POST-NATAL EDUCATION AND SUPPORT TO NEW AND EXPECTANT PARENTS; > COORDINATE CANCER OUTREACH BY PROVIDING COLORECTAL SCREENINGS AND BREAST CANCER SCREENINGS TO LOW-INCOME, UNINSURED WOMEN; WHEN APPROPRIATE, CASE MANAGE FROM DIAGNOSIS THROUGH TREATMENT AND BEYOND; > PROMOTE CARDIOVASCULAR HEALTH THROUGH SCREENINGS AND EDUCATION ON PREVENTION AND LIFESTYLE CHANGES; > DELIVER COMPREHENSIVE AND ACCREDITED DIABETES EDUCATION TO THE COMMUNITY; > PROVIDE EDUCATION AND COMPREHENSIVE SUPPORT THROUGH OUR SMOKING CESSATION PROGRAM THAT INCLUDES BEDSIDE COUNSELING, INDIVIDUALIZED NICOTINE REPLACEMENT THERAPY AND FOLLOW-UP CALLS POST-DISCHARGE. 3) COMMUNITY HEALTH AND OUTREACH - COLLABORATES WITH ADVENTIST HEALTHCARE'S HOSPITAL LEADERSHIP TO PROVIDE COMMUNITY OUTREACH AND HEALTH EDUCATION FOR SENIORS, ADULTS, TEENS AND FAMILIES. DEVELOPS AND IMPLEMENTS RECOMMENDATIONS FROM COMMUNITY HEALTH NEEDS ASSESSMENT TO IMPROVE HEALTH OUTCOMES. PARTNERS WITH ACADEMIC INSTITUTIONS TO PROVIDE MEANINGFUL INTERNSHIP EXPERIENCES TO HELP RECRUIT AND DEVELOP FUTURE HEALTH CARE PROFESSIONALS. COORDINATES LANGUAGE ACCESS POLICIES, PROGRAMS AND SERVICES TO MEET THE COMMUNICATION NEEDS OF DEAF AND HARD-OF-HEARING PATIENTS AND PATIENTS WITH LIMITED ENGLISH PROFICIENCY. COORDINATES COMMUNITY DONATIONS AND SPONSORSHIPS THROUGH THE ADVENTIST HEALTHCARE'S COMMUNITY PARTNERSHIP FUND. > OVERSEE LANGUAGE ACCESS SERVICES FOR ADVENTIST HEALTHCARE (E.G., QUALIFIED BILINGUAL STAFF, INTERPRETATION AND TRANSLATION VENDORS); > DEVELOP HOSPITAL AND ORGANIZATIONAL POLICIES AND PROCEDURES RELATED TO PROVISION OF CULTURALLY AND LINGUISTICALLY COMPETENT CARE, AND TRAIN PROVIDERS/STAFF ACCORDINGLY; > RESEARCH, ANALYZE AND WRITE COMMUNITY HEALTH NEEDS ASSESSMENTS (CHNAS) FOR EACH HOSPITAL AND FACILITATE THE DEVELOPMENT, IMPLEMENTATION, AND EVALUATION OF CORRESPONDING STRATEGIC PLANS; > PROVIDE HEALTH EDUCATION ON VARIOUS TOPICS INCLUDING NUTRITION, EXERCISE, MATERNAL/CHILD HEALTH, SAFETY, AND COLD/FLU PREVENTION; > CONDUCT CPR CLASSES (INFANT AND ADULT), BABYSITTING CLASSES AND SIBLING CLASSES; > PROVIDE TOBACCO CESSATION COUNSELING; > PROVIDE A VARIETY OF HEALTH SCREENINGS (E.G., BLOOD PRESSURE, BODY COMPOSITION, BONE DENSITY, ETC.); > COORDINATE FLU SHOT CLINICS IN A VARIETY OF COMMUNITY LOCATIONS; > ADMINISTER COMMUNITY PARTNERSHIP FUND DONATIONS; > BUILD RELATIONSHIPS WITH A WIDE RANGE OF COMMUNITY ORGANIZATIONS (E.G., SENIOR CENTERS, FAITH-BASED ORGANIZATIONS, COMMUNITY CENTERS, LOW-INCOME HOUSING COMPLEXES, ETC.).
FORM 990, PART VI, SECTION A, LINE 6	SEE BY LAWS, ARTICLE II. MEMBERSHIP. THERE SHALL BE A SINGLE CLASS OF CONSTITUENT MEMBERS OF THE CORPORATION (INDIVIDUAL, "MEMBER", COLLECTIVELY, THE MEMBERSHIP") WHICH SHALL CONSIST OF THE DULY ELECTED MEMBERS OF THE BOARD OF DIRECTORS OF MID-ATLANTIC ADVENTIST HEALTHCARE, INC., AS THAT BOARD OF DIRECTORS MAY BE CONSTITUTED.
FORM 990, PART VI, SECTION A, LINE 7A	DECISIONS SUBJECT TO APPROVAL. SEE BY LAWS, 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 A, LINE 7B	DECISIONS SUBJECT TO APPROVAL. SEE BY LAWS, 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 11	THE FORM 990 WAS REVIEWED IN DETAIL PRIOR TO FILING. VARIOUS SECTIONS WERE REVIEWED BY THE EXECUTIVE MANAGEMENT TEAM AND CERTAIN KEY SECTIONS BY THE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS. AN OVERALL REVIEW WAS CONDUCTED BY THE ORGANIZATION'S FINANCE DEPARTMENT WITH THE ORGANIZATION'S OUTSIDE TAX ADVISORS. PRIOR TO FILING, ALL MEMBERS OF THE BOARD ARE PROVIDED A COPY OF THIS FORM 990 THROUGH EMAIL, WHICH LINKED TO THE COMPANY'S INTRANET WEBSITE.
FORM 990, PART VI, SECTION B, LINE 12C	PURSUANT TO THE ORGANIZATIONS CONFLICT OF INTEREST POLICY, EACH FACILITY BOARD MEMBER, OFFICER, DIRECTOR AND ANY EMPLOYEE IN A POSITION THAT REQUIRES COORDINATION AND/OR NEGOTIATION WITH CONTRACTORS OR SUPPLIES, IS REQUIRED ON AN ANNUAL BASIS TO DISCLOSE ANY BUSINESS OR FINANCIAL RELATIONSHIP OUTSIDE OF THE ORGANIZATION. COMPLIANCE WITH POLICY IS MONITORED AND ENFORCED BY THE HUMAN RESOURCES DEPARTMENT, CORPORATE INTEGRITY DEPARTMENT AND THE LEGAL DEPARTMENT.
FORM 990, PART VI, SECTION B, LINE 15	WHEN SETTING EXECUTIVE COMPENSATION, THE ORGANIZATION FULLY COMPLIES WITH THE PROCEDURAL SAFEGUARDS EMBEDDED IN THE IRS REGULATIONS. EXECUTIVE COMPENSATION IS ENTIRELY SET BY A COMMITTEE OF THE BOARD OF TRUSTEES. IN SETTING COMPENSATION, THE GOVERNING BOARD COMMITTEE RELIES UPON MARKET COMPARABILITY DATA PROVIDED BY AN INDEPENDENT OUTSIDE COMPENSATION CONSULTANT. TO ENSURE REASONABLENESS, COMPENSATION IS SET AT THE 50TH PERCENTILE OF THE NATURAL MARKET.
FORM 990, PART VI, SECTION C, LINE 19	THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS, ARE AVAILABLE TO THE PUBLIC UPON REQUEST.
FORM 990, PART IX, LINE 11G	CONTRACT LABOR: PROGRAM SERVICE EXPENSES 31,049,856. MANAGEMENT AND GENERAL EXPENSES 636,824. FUNDRAISING EXPENSES 11,729. TOTAL EXPENSES 31,698,409. PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 23,947,725. MANAGEMENT AND GENERAL EXPENSES 4,310,923. FUNDRAISING EXPENSES 3,289. TOTAL EXPENSES 28,261,937. CONTRACT LAB SERVICES: PROGRAM SERVICE EXPENSES 17,675,099. MANAGEMENT AND GENERAL EXPENSES 40,212. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 17,715,311. CONSULTING SERVICES: PROGRAM SERVICE EXPENSES 1,341,101. MANAGEMENT AND GENERAL EXPENSES 3,910,880. FUNDRAISING EXPENSES 240,197. TOTAL EXPENSES 5,492,178. PATIENT TRANSPORTATION SERVICES: PROGRAM SERVICE EXPENSES 530,729. MANAGEMENT AND GENERAL EXPENSES 350. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 531,079.
FORM 990, PART XI, LINE 9:	NET ORGANIZATION TRANSFER 1,136,563. OTHER UNRESTRICTED NET ASSETS ACTIVITY -241,122.

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.

Cat. No. 51056K

Schedule O (Form 990 or 990-EZ) 2015

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE R
(Form 990)

Department of the Treasury
Internal Revenue Service

Related Organizations and Unrelated Partnerships

Complete if the organization answered "Yes" on Form 990, Part IV, line 33, 34, 35b, 36, or 37.
MediumBullet

Attach to Form 990.
MediumBullet

Information about Schedule R (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2015

Open to Public Inspection

Name of the organization

ADVENTIST HEALTHCARE INC

Employer identification number

52-1532556

Part I

Identification of Disregarded Entities Complete if the organization answered "Yes" on Form 990, Part IV, line 33.

(a) Name, address, and EIN (if applicable) of disregarded entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Total income	(e) End-of-year assets	(f) Direct controlling entity
(1) ADVENTIST CANCER CARE LLC 820 W DIAMOND AVE SUITE 600 GAITHERSBURG,MD208781419 26-2515407	OUTPATIENT CANCER CARE	MD	1,855,067	3,801,188	ADVENTIST HEALTHCARE INC
(2) AHC HOLDINGS 1 LLC 820 W DIAMOND AVE SUITE 600 GAITHERSBURG,MD208781419 52-1532556	HOLDING COMPANY	MD	0	5,400,000	ADVENTIST HEALTHCARE INC
(3) AHC HOLDINGS 2 LLC 820 W DIAMOND AVE SUITE 600 GAITHERSBURG,MD208781419 52-1532556	HOLDING COMPANY	DE	0	5,570,774	ADVENTIST HEALTHCARE INC
(4) ONE HEALTH QUALITY ALLIANCE LLC 820 W DIAMOND AVE SUITE 600 GAITHERSBURG,MD208781419 52-1532556	INTEGRATED PHYSICIAN GROUP	MD	0	-1,070,280	ADVENTIST HEALTHCARE INC
(5) ONE HEALTH QUALITY ACO LLC 820 W DIAMOND AVE SUITE 600 GAITHERSBURG,MD208781419 47-4070973	MEDICARE SHARED SAVINGS PLAN ACCOUNTABLE CARE ORGANIZATION	MD	0	0	ADVENTIST HEALTHCARE INC
(6) GERMANTOWN OUTPATIENT IMAGING LLC 820 W DIAMOND AVE SUITE 600 GAITHERSBURG,MD208781419 20-4395818	OUTPATIENT IMAGING	MD	0	0	ADVENTIST HEALTHCARE INC

Part II

Identification of Related Tax-Exempt Organizations Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related tax-exempt organizations during the tax year.

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	(g) Section 512(b)(13) controlled entity?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	Yes	No
(1)ADVENTIST HEALTHCARE URGENT CARE CENTERS INC 820 W DIAMOND AVE SUITE 600 GAITHERSBURG,MD208781419 46-1577511	CLINIC - EMERGENCY CARE	MD	501(C)(3)	LINE 9	ADVENTIST HEALTHCARE INC	Yes
(2)ADVENTIST HOME HEALTH SERVICES INC 820 W DIAMOND AVE SUITE 600 GAITHERSBURG,MD208781419 52-0986808	HOME CARE SERVICES	MD	501(C)(3)	LINE 9	ADVENTIST HEALTHCARE INC	Yes
(3)ADVENTIST PHYSICIAN SERVICES INC 820 W DIAMOND AVE SUITE 600 GAITHERSBURG,MD208781419 20-4600646	PHYSICIAN SERVICES	MD	501(C)(3)	LINE 9	ADVENTIST HEALTHCARE INC	Yes
(4)ADVENTIST REHABILITATION HOSPITAL OF MARYLAND INC 820 W DIAMOND AVE SUITE 600 GAITHERSBURG,MD208781419 20-1486678	REHABILITATION HOSPITAL	MD	501(C)(3)	LINE 3	ADVENTIST HEALTHCARE INC	Yes
(5)ADVENTIST REHABILITATION INC 820 W DIAMOND AVE SUITE 600 GAITHERSBURG,MD208781419 30-0780513	REHABILITATION SERVICES	MD	501(C)(3)	LINE 9	ADVENTIST REHABILITATION HOSPITAL OF MARYLAND INC	Yes
(6)HACKETTSTOWN COMMUNITY HOSPITAL INC 651 WILLOW GROVE STREET HACKETTSTOWN,NJ07840 22-6106281	HOSPITAL	NJ	501(C)(3)	LINE 3	ADVENTIST HEALTHCARE INC	Yes
(7)HACKETTSTOWN REGIONAL MEDICAL CENTER EMERGENCY SERVICES INC 651 WILLOW GROVE STREET HACKETTSTOWN,NJ07840 27-0820164	AMBULANCE SERVICE	NJ	501(C)(3)	LINE 11A, I	HACKETTSTOWN COMMUNITY HOSPITAL INC	Yes
(8)HACKETTSTOWN COMMUNITY HOSPITAL FOUNDATION INC 651 WILLOW GROVE STREET HACKETTSTOWN,NJ07840 22-2333410	FUNDRAISING	NJ	501(C)(3)	LINE 11A, I	HACKETTSTOWN COMMUNITY HOSPITAL INC	Yes
(9)MEDICAL CENTER PARTNERS INC 651 WILLOW GROVE STREET HACKETTSTOWN,NJ07840 45-4789273	PHYSICIAN SERVICES	NJ	501(C)(3)	LINE 11A, I	HACKETTSTOWN COMMUNITY HOSPITAL INC	Yes
(10)MID-ATLANTIC ADVENTIST HEALTHCARE CORPORATION 820 W DIAMOND AVE SUITE 600 GAITHERSBURG,MD208781419 52-1884153	HOLDING COMPANY	MD	501(C)(3)	LINE 9	N/A		No
(11)ADVENTIST BEHAVIORAL HEALTH FOUNDATION INC 820 W DIAMOND AVE SUITE 600 GAITHERSBURG,MD208781419 20-5479860	FUNDRAISING	MD	501(C)(3)	LINE 11A, I	ADVENTIST HEALTHCARE INC	Yes
(12)REGINALD S LOURIE CENTER FOR INFANTS AND YOUNG CHILDREN INC 820 W DIAMOND AVE SUITE 600 GAITHERSBURG,MD208781419 52-1255870	BEHAVIORAL CARE	MD	501(C)(3)	LINE 9	ADVENTIST HEALTHCARE INC	Yes
(13)SHADY GROVE ADVENTIST HOSPITAL FOUNDATION INC 820 W DIAMOND AVE SUITE 600 GAITHERSBURG,MD208781419 52-1216429	FUNDRAISING	MD	501(C)(3)	LINE 11A, I	N/A	Yes
(14)WASHINGTON ADVENTIST HOSPITAL FOUNDATION INC 820 W DIAMOND AVE SUITE 600 GAITHERSBURG,MD208781419 52-1692158	FUNDRAISING	MD	501(C)(3)	LINE 11A, I	ADVENTIST HEALTHCARE INC	Yes
(15)WASHINGTON ADVENTIST FITNESS CENTER 820 W DIAMOND AVE SUITE 600 GAITHERSBURG,MD208781419 27-4758462	WELLNESS	MD	501(C)(3)	LINE 9	ADVENTIST HEALTHCARE INC	Yes

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50135Y

Schedule R (Form 990) 2015

Page 2

Part III

Identification of Related Organizations Taxable as a Partnership Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a partnership during the tax year.

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Predominant income(related, unrelated, excluded from tax under sections 512-514)	(f) Share of total income	(g) Share of end-of-year assets	(h) Disproprtionate allocations?		(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?		(k) Percentage ownership
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity		(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No
(1) GERMANTOWN OUTPATIENT IMAGING LLC 20410 OBSERVATION DR STE 104 GERMANTOWN,MD20876 20-4395818	OUTPATIENT IMAGING	MD	N/A	RELATED	250,458			No			No	50.000 %
(2) SHADY GROVE MEDICAL BUILDING LLC 1650 TYSONS BOULEVARD STE 820 MCLEAN,VA22102 27-4599411	MEDICAL OFFICE BUILDING	MD	N/A	RELATED	-3,459	259,381		No			No	50.000 %

Part IV

Identification of Related Organizations Taxable as a Corporation or Trust Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a corporation or trust during the tax year.

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Type of entity (C corp, S corp, or trust)	(f) Share of total income	(g) Share of end-of-year assets	(h) Percentage ownership	(i) Section 512(b)(13) controlled entity?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Type of entity (C corp, S corp, or trust)	(f) Share of total income	(g) Share of end-of-year assets		Yes	No
(1) PREMIER MEDICAL NETWORK INC 820 W DIAMOND AVE SUITE 600 GAITHERSBURG,MD208781419 52-1952469	JOINT PHYSICIAN CONT	MD	ADVENTIST HEALTHCARE INC	C	400	18,895	50.000 %		No
(2) CLARKSBURG COMMUNITY HOSPITAL INC 820 W DIAMOND AVE SUITE 600 GAITHERSBURG,MD208781419 27-2330124	HOLDS PROPERTY FOR FUTURE NON-PROFIT HOSPITAL	MD	ADVENTIST HEALTHCARE INC	C			100.000 %		No
(3) WASHINGTON ADVENTIST HOSPITAL INC 820 W DIAMOND AVE SUITE 600 GAITHERSBURG,MD208781419 27-2330170	HOLDS PROPERTY FOR FUTURE NON-PROFIT HOSPITAL	MD	ADVENTIST HEALTHCARE INC	C			100.000 %		No

Schedule R (Form 990) 2015

Page 3

Part V

Transactions With Related Organizations Complete if the organization answered "Yes" on Form 990, Part IV, line 34, 35b, or 36.

Note. Complete line 1 if any entity is listed in Parts II, III, or IV of this schedule.

Yes

1 During the tax year, did the orgranization engage in any of the following transactions with one or more related organizations listed in Parts II-IV?

a Receipt of (i) interest, (ii) annuities, (iii) royalties, or (iv) rent from a controlled entity .....................

b Gift, grant, or capital contribution to related organization(s) ............................

Yes

c Gift, grant, or capital contribution from related organization(s) ............................

Yes

d Loans or loan guarantees to or for related organization(s) ............................

e Loans or loan guarantees by related organization(s) ............................

f Dividends from related organization(s) ............................

g Sale of assets to related organization(s) ............................

h Purchase of assets from related organization(s) ............................

i Exchange of assets with related organization(s) ............................

j Lease of facilities, equipment, or other assets to related organization(s) .......................

k Lease of facilities, equipment, or other assets from related organization(s) ......................

l Performance of services or membership or fundraising solicitations for related organization(s) .....................

Yes

m Performance of services or membership or fundraising solicitations by related organization(s) .................

n Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) ...................

o Sharing of paid employees with related organization(s) ............................

p Reimbursement paid to related organization(s) for expenses ............................

Yes

q Reimbursement paid by related organization(s) for expenses ............................

Yes

r Other transfer of cash or property to related organization(s) ............................

s Other transfer of cash or property from related organization(s) ............................

If the answer to any of the above is "Yes," see the instructions for information on who must complete this line, including covered relationships and transaction thresholds.

(a) Name of related organization	(b) Transaction type (a-s)	(c) Amount involved	(d) Method of determining amount involved
(1) HACKETTSTOWN COMMUNITY HOSPITAL FOUNDATION INC	B	10,000	COST
(2) REGINALD S LOURIE CENTER FOR INFANTS AND YOUNG CHILDREN INC	B	5,400	COST
(3) SHADY GROVE ADVENTIST HOSPITAL FOUNDATION INC	B	16,000	COST
(4) SHADY GROVE ADVENTIST HOSPITAL FOUNDATION INC	B	161,498	COST
(5) WASHINGTON ADVENTIST HOSPITAL FOUNDATION INC	B	10,000	COST
(6) WASHINGTON ADVENTIST HOSPITAL FOUNDATION INC	B	178,854	COST
(7) ADVENTIST BEHAVIORAL HEALTH FOUNDATION INC	C	5,155	COST
(8) SHADY GROVE ADVENTIST HOSPITAL FOUNDATION INC	C	385,827	COST
(9) WASHINGTON ADVENTIST HOSPITAL FOUNDATION INC	C	576,171	COST
(10) ADVENTIST HOME HEALTH SERVICES INC	L	684,583	COST
(11) ADVENTIST PHYSICIAN SERVICES INC	L	357,027	COST
(12) ADVENTIST REHABILITATION HOSPITAL OF MARYLAND INC	L	1,202,706	COST
(13) HACKETTSTOWN COMMUNITY HOSPITAL INC	L	2,324,773	COST
(14) REGINALD S LOURIE CENTER FOR INFANTS AND YOUNG CHILDREN INC	L	165,493	COST
(15) HACKETTSTOWN COMMUNITY HOSPITAL INC	P	1,527,200	COST
(16) ADVENTIST HOME HEALTH SERVICES INC	Q	624,963	COST
(17) ADVENTIST REHABILITATION HOSPITAL OF MARYLAND INC	Q	2,206,560	COST
(18) HACKETTSTOWN COMMUNITY HOSPITAL INC	Q	5,083,842	COST

Schedule R (Form 990) 2015

Page 4

Part VI

Unrelated Organizations Taxable as a Partnership Complete if the organization answered "Yes" on Form 990, Part IV, line 37.

Provide the following information for each entity taxed as a partnership through which the organization conducted more than five percent of its activities (measured by total assets or gross revenue) that was not a related organization. See instructions regarding exclusion for certain investment partnerships.

(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(e) Are all partners section 501(c)(3) organizations?		(f) Share of total income	(g) Share of end-of-year assets	(h) Disproprtionate allocations?		(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?
(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	Yes	No	(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No

Schedule R (Form 990) 2015

Page 5

Part VII

Supplemental Information

Provide additional information for responses to questions on Schedule R (see instructions).

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Schedule R (Form 990) 2015

Additional Data

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1	Briefly describe the organization’s mission or most significant activities: HEALTH-CARE NETWORK, INCLUDING ACUTE-CARE HOSPITALS, AND BRINGING WELLNESS TO THE COMMUNITY
2	Check this box
3	Number of voting members of the governing body (Part VI, line 1a) ........	3	16
4	Number of independent voting members of the governing body (Part VI, line 1b) .....	4	15
5	Total number of individuals employed in calendar year 2015 (Part V, line 2a) ......	5	6,471
6	Total number of volunteers (estimate if necessary) .............	6	1,028
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ........	7a	2,571,755
b	Net unrelated business taxable income from Form 990-T, line 34 .........	7b	-100,745

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	3,024,743	2,042,972
9	Program service revenue (Part VIII, line 2g) .........	614,223,129	644,148,402
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	4,274,212	2,384,461
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	-442,843	-702,453
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)	621,079,241	647,873,382
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...	1,860,645	1,493,041
14	Benefits paid to or for members (Part IX, column (A), line 4).....	0	0
15	Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10)	287,740,317	305,097,904
16a	Professional fundraising fees (Part IX, column (A), line 11e) .....	0	0
b	Total fundraising expenses (Part IX, column (D), line 25) 1,176,863
17	Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e)....	300,433,013	304,458,191
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	590,033,975	611,049,136
19	Revenue less expenses. Subtract line 18 from line 12.......	31,045,266	36,824,246
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	823,448,643	843,819,661
21	Total liabilities (Part X, line 26).............	478,053,129	464,677,785
22	Net assets or fund balances. Subtract line 21 from line 20.....	345,395,514	379,141,876

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	Signature of officer	Date

	Type or print name and title


4a	(Code: ) (Expenses $ 497,771,047 including grants of $ 1,493,041 ) (Revenue $ 600,836,950 )
	THE MISSION OF ADVENTIST HEALTHCARE IS TO "DEMONSTRATE GOD'S CARE BY IMPROVING THE HEALTH OF PEOPLE AND COMMUNITIES THROUGH A MINISTRY OF PHYSICAL, MENTAL AND SPIRITUAL HEALING." IN MEETING THIS MISSION AND IN COMPLIANCE WITH STATE AND FEDERAL LAWS, WE PROVIDE CARE TO ALL PATIENTS REGARDLESS OF THEIR ABILITY TO PAY. COMPASSION IS REFLECTED IN OUR MISSION AND OUR ORGANIZATION'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 THE RANGE OF OUR SERVICES TO BUILD ON THE STRONG FOUNDATION WE HAVE LAID FOR A HEALTHY, ENGAGED COMMUNITY. WE RESPOND PROACTIVELY TO VARIOUS HEALTH CARE NEEDS WITH A CONTINUUM OF EXCELLENT PROGRAMS AND WIDE-RANGING SERVICES TO MEET DIVERSE POPULATIONS AS WE STRIVE TO:1. MAINTAIN AND GROW CURRENT SERVICES;2. EXPAND HEALTH SERVICES/INCREASE ACCESS TO CARE;3. PROMOTE HEALTH EQUITY AND WELLNESS.1. MAINTAIN AND GROW CURRENT SERVICES: WE CONTINUE TO GROW PROGRAMS AND SERVICES IN THE AREAS OF ONCOLOGY, HEART/CARDIAC, REHABILITATION, BEHAVIORAL HEALTH AND OTHER HEALTH CARE SERVICES SUPPORTING COMMUNITY-BASED ORGANIZATIONS ALIGNED WITH OUR MISSION. THE BENEFIT TO THE COMMUNITY WILL BE IN SUSTAINING AND GROWING QUALITY PROGRAMS THAT PROMOTE HEALTHY CHILDREN, ENCOURAGE HEALTHY LIFESTYLES FOR SENIORS, FOSTER HEALTHY FAMILIES, AND IN A HOLISTIC WAY, BUILD HEALTHIER COMMUNITIES.ENHANCEMENTS TO OUR COMPREHENSIVE INPATIENT AND OUTPATIENT CANCER CARE SERVICES AT ADVENTIST HEALTHCARE WASHINGTON ADVENTIST HOSPITAL AND ADVENTIST HEALTHCARE SHADY GROVE MEDICAL CENTER (FORMERLY KNOWN AS SHADY GROVE ADVENTIST HOSPITAL) ENSURE THAT WE CONTINUE TO PROVIDE THE LATEST DIAGNOSTIC AND TREATMENT SERVICES THAT ARE DELIVERED WITH COMPASSION AND A DEEP UNDERSTANDING OF THE UNIQUE DEMANDS OF CANCER. BOTH INPATIENT AND OUTPATIENT SERVICES ARE AVAILABLE TO ACCOMMODATE A RANGE OF PATIENT NEEDS AND PREFERENCES. WE CARE FOR THE WHOLE PATIENT BY OFFERING EDUCATIONAL PROGRAMS AND SPECIAL SERVICES SUCH AS NUTRITION COUNSELING, STRESS MANAGEMENT, FITNESS PROGRAMS, SUPPORT GROUPS AND SMOKING CESSATION PROGRAMS. IN 2015, FOR THE THIRD CONSECUTIVE YEAR, THE JOINT COMMISSION NAMED BOTH HOSPITALS TOP PERFORMERS ON KEY QUALITY MEASURES. SHADY GROVE MEDICAL CENTER AND WASHINGTON ADVENTIST HOSPITAL WERE TWO OF ONLY 17 MARYLAND HOSPITALS AND TWO OF THREE IN MONTGOMERY COUNTY TO MAKE THIS YEAR'S LIST. SHADY GROVE MEDICAL CENTER WAS RECOGNIZED FOR EXCELLENCE IN PROCESSES TO IMPROVE CARE IN SIX AREAS: HEART ATTACK, HEART FAILURE, PNEUMONIA, SURGICAL CARE, CHILDREN'S ASTHMA CARE AND PERINATAL CARE. WASHINGTON ADVENTIST HOSPITAL WAS ALSO RECOGNIZED FOR EXCELLENCE IN PROCESSES TO IMPROVE CARE IN SIX AREAS: HEART ATTACK, HEART FAILURE, PNEUMONIA, SURGICAL CARE, IMMUNIZATION AND PERINATAL CARE.ALSO IN 2015, BOTH HOSPITALS RECEIVED THE 2015 PLATINUM PERFORMANCE ACHIEVEMENT AWARD FROM THE AMERICAN COLLEGE OF CARDIOLOGY'S NCDR ACTION REGISTRY-GWTG. THIS RECOGNIZES THE HOSPITALS' COMMITMENT AND SUCCESS IN IMPLEMENTING A HIGHER STANDARD OF CARE FOR HEART ATTACK PATIENTS. ADVENTIST HEALTHCARE WASHINGTON ADVENTIST HOSPITAL AND ADVENTIST HEALTHCARE SHADY GROVE MEDICAL CENTER WERE AMONG ONLY 319 HOSPITALS NATIONWIDE TO RECEIVE THE PLATINUM HONOR.IN ADDITION, THE HOSPITALS RECEIVED TWO AWARDS FROM THE AMERICAN HEART ASSOCIATION (AHA) FOR LIFE-SAVING, HIGH-QUALITY STROKE CARE. BOTH HOSPITALS EARNED GOLD PLUS QUALITY ACHIEVEMENT, WHICH RECOGNIZES THEM FOR AGGRESSIVELY TREATING STROKE PATIENTS WITH 85 PERCENT OR HIGHER COMPLIANCE TO THE CORE STANDARD LEVELS OF CARE OUTLINED BY THE AMERICAN HEART ASSOCIATION/AMERICAN STROKE ASSOCIATION FOR 12 CONSECUTIVE MONTHS. IN ADDITION, BOTH HOSPITALS DEMONSTRATED 75 PERCENT COMPLIANCE WITH SEVEN OUT OF 10 STROKE QUALITY MEASURES DURING THE 12-MONTH PERIOD. FAST EVALUATION AND TREATMENT OF STROKE PATIENTS IS CRUCIAL TO PREVENT SERIOUS BRAIN DAMAGE AND ALLOWS FOR OPTIMAL OUTCOMES.THE SHADY GROVE AREA FEATURES THE AQUILINO CANCER CENTER, MONTGOMERY COUNTY, MARYLAND'S FIRST FREE-STANDING, COMPREHENSIVE CANCER CENTER. MULTIDISCIPLINARY CANCER CARE TEAM MEMBERS WORK TOGETHER IN ONE FACILITY, SO PATIENTS RECEIVE SEAMLESS, COORDINATED CARE. OUR PHYSICIANS CAN ALSO COLLABORATE WITH SCIENTISTS AT THE NEARBY SHADY GROVE LIFE SCIENCES CENTER AND GREAT SENECA SCIENCE CORRIDOR, WHICH MEANS PATIENTS GET ACCESS TO CLINICAL TRIALS AND CARE BASED ON THE LATEST MEDICAL RESEARCH. IN 2015, THE AMERICAN COLLEGE OF SURGEONS COMMISSION ON CANCER (COC) RECOGNIZED SHADY GROVE AS A COMMUNITY HOSPITAL COMPREHENSIVE CANCER PROGRAM.IN THE EASTERN PART OF MONTGOMERY COUNTY, ADVENTIST HEALTHCARE OPENED THE WHITE OAK BREAST CENTER IN 2014 TO HELP MEET THE COMMUNITY'S NEEDS. FROM STATE-OF-THE-ART IMAGING SERVICES, SUCH AS 3D MAMMOGRAPHY, TO ONE-ON-ONE CONSULTATIONS WITH A DEDICATED BREAST SURGEON OR BREAST CERTIFIED RADIOLOGIST, TO RESOURCE AND SUPPORT FOLLOWING A BREAST CANCER DIAGNOSIS, HEALTH CARE NEEDS ARE MET INSIDE ONE CONVENIENT AND COMPREHENSIVE CENTER. THIS CENTER WILL BE NEAR THE LOCATION OF THE RELOCATED WASHINGTON ADVENTIST HOSPITAL, WHICH IS CURRENTLY AWAITING STATE APPROVAL.AT ITS CURRENT LOCATION IN TAKOMA PARK, MARYLAND, WASHINGTON ADVENTIST HOSPITAL HAS BEEN PROVIDING FULL-SERVICE MEDICAL AND SURGICAL CARE TO THE RESIDENTS OF EASTERN MONTGOMERY COUNTY, WESTERN PRINCE GEORGE'S COUNTY AND WASHINGTON, D.C. FOR MORE THAN 100 YEARS. WHILE WASHINGTON ADVENTIST'S HISTORY REFLECTS THE SPECIAL CARE IT HAS PROVIDED FOR GENERATIONS OF FAMILIES, OF SPECIAL NOTE IS THE HOSPITAL'S CARDIAC SERVICES. THE HOSPITAL WAS THE FIRST IN THE GREATER D.C. AREA TO PERFORM NUMEROUS CARDIAC PROCEDURES DATING FROM ITS FIRST HEART PROCEDURE IN 1962, INCLUDING MITRAL VALVULOPLASTY AND A NUMBER OF SOPHISTICATED TYPES OF ECHOCARDIOGRAPHY. NOT ONLY DOES WASHINGTON ADVENTIST PROVIDE SUBSTANTIAL CARDIAC SURGERY AND PCI PROCEDURES, BUT IT ALSO IS THE BACKUP FOR MULTIPLE HOSPITALS WITH PRIMARY AND NONPRIMARY, ELECTIVE PCI PROGRAMS THAT REQUIRE AN AFFILIATION WITH A CARDIAC SURGERY PROGRAM. IN 2015, THE SOCIETY OF THORACIC SURGEONS (STS) AWARDED ADVENTIST HEALTHCARE WASHINGTON ADVENTIST HOSPITAL A THREE-STAR RATING - THE HIGHEST POSSIBLE QUALITY RATING - FOR CORONARY ARTERY BYPASS GRAFT SURGERY (CABG) AND AORTIC VALVE REPLACEMENT SURGERY (AVR). THE STS HAS DEVELOPED A COMPREHENSIVE RATING SYSTEM FOR THE QUALITY OF CARDIAC SURGERY AMONG HOSPITALS ACROSS THE COUNTRY. APPROXIMATELY 12-15% OF HOSPITALS NATIONWIDE RECEIVED A THREE-STAR RATING FOR HEART SURGERY. THE RATING INCLUDES NOT ONLY OUTCOME MEASURES, BUT ALSO PROCESS MEASURES AND ADHERENCE TO EVIDENCE-BASED CARE THROUGHOUT A PATIENT'S ADMISSION.THE HOSPITAL WAS ALSO GRANTED A THREE-YEAR APPROVAL WITH COMMENDATION IN FOUR AREAS BY THE AMERICAN COLLEGE OF SURGEONS (ACOS) COMMISSION ON CANCER (COC). THIS PRESTIGIOUS DESIGNATION EXEMPLIFIES THE CONTINUED HIGH-QUALITY CARE PROVIDED THROUGH THE CANCER PROGRAM. THIS IS THE THIRD TIME THAT THE HOSPITAL HAS OBTAINED THIS COMMENDATION.IN ADDITION TO PROVIDING THE COMMUNITY WITH HIGHLY REGARDED ACUTE-CARE SERVICES, ADVENTIST HEALTHCARE ESTABLISHED THE FIRST BEHAVIORAL HEALTH UNIT IN MONTGOMERY COUNTY IN 1949, AND REMAINS ONE OF THE LEADING PROVIDERS OF MENTAL HEALTHCARE IN THE WASHINGTON, DC METROPOLITAN AREA. SINCE ITS INCEPTION, ADVENTIST HEALTHCARE BEHAVIORAL HEALTH & WELLNESS SERVICES (FORMERLY KNOWN AS ADVENTIST BEHAVIORAL HEALTH) HAS EXPANDED TO INCLUDE SEVERAL TREATMENT CENTERS ACROSS MONTGOMERY COUNTY AS WELL AS THE EASTERN SHORE OF MARYLAND. IT PROVIDES A WIDE-RANGING SPECTRUM OF SERVICES AND TREATMENT OPTIONS FOR CHILDREN, ADOLESCENTS, ADULTS AND SENIORS. SERVICES ARE PROVIDED IN A VARIETY OF SETTINGS INCLUDING HOSPITAL-BASED PROGRAMS, RESIDENTIAL TREATMENT CENTERS, SCHOOL PROGRAMS, RESIDENTIAL GROUP HOMES, OUTPATIENT SERVICES AND COMMUNITY-BASED SERVICES. OUR FACILITIES OFFER A HIGHLY-SKILLED, MULTIDISCIPLINARY TEAM OF PSYCHIATRISTS, SOCIAL WORKERS, CASE MANAGERS, PSYCHIATRIC NURSES, EXPRESSIVE THERAPISTS AND CHAPLAINS WHO PROVIDE COMPASSIONATE BEHAVIORAL HEALTH CARE.HERE IS A SNAPSHOT OF OUR ORGANIZATION IN 2015: > 2 ACCOUNTABLE CARE ORGANIZATION, THE MID-ATLANTIC PRIMARY CARE ACO, MANAGED BY ADVENTIST HEALTHCARE;> 5 HOSPITALS, THREE ACUTE CARE AND TWO SPECIALTY;> 2,250 PHYSICIANS/MEDICAL STAFF MEMBERS;> 6,200 EMPLOYEES IN MARYLAND (APPROXIMATE);> 6,059 COVERED LIVES/PATIENT CENTERED MEDICAL HOME;> 6,743 NEWBORNS;> 25,956 SURGERIES;> 43,051 ACUTE AND SPECIALTY ADMISSIONS;> 87,061 HOME HEALTH VISITS;> 100,000 HEALTH AND WELLNESS ENCOUNTERS;> 103,285 VOLUNTEER HOURS;> 159,764 EMERGENCY VISITS;> 414,799 OUTPATIENT VISITS;> 843,600 OVERALL ENCOUNTERS (APPROX.);> $77.8 MILLION COMMUNITY BENEFIT.

4b	(Code: ) (Expenses $ 12,546,383 including grants of $ ) (Revenue $ 43,311,452 )
	ADVENTIST HEALTHCARE BEHAVIORAL HEALTH & WELLNESS SERVICES: ADVENTIST HEALTHCARE BEHAVIORAL HEALTH & WELLNESS SERVICES (BH&WS), FORMERLY KNOWN AS ADVENTIST BEHAVIORAL HEALTH, IS A COMPREHENSIVE NETWORK OF MENTAL HEALTH FACILITIES PROVIDING CARE TO INDIVIDUALS WITH MENTAL ILLNESS AND SUBSTANCE ABUSE CHALLENGES.WITH LOCATIONS IN MARYLAND'S MONTGOMERY, DORCHESTER AND WICOMICO COUNTIES, BH&WS OFFERS A BROAD RANGE OF SERVICES SUCH AS ACUTE CARE, RESIDENTIAL TREATMENT, SPECIAL EDUCATION AND GENERAL EDUCATION PROGRAMS, CHEMICAL DEPENDENCY PROGRAMS, PARTIAL HOSPITALIZATION PROGRAMS, INTENSIVE OUTPATIENT SERVICES, AND COMMUNITY-BASED RESIDENTIAL SERVICES.IN 2015, BH&WS PROVIDED $1,862,510 IN UNCOMPENSATED MENTAL HEALTH CARE ACROSS ITS TWO MAIN CAMPUSES.BH&WS FACILITIES OFFER A TOTAL OF 161 ACUTE CARE BEDS, 81 RESIDENTIAL TREATMENT CENTER BEDS, 32 GROUP HOME BEDS AND A FULL CONTINUUM OF OUTPATIENT SERVICES. BH&WS CARED FOR APPROXIMATELY 6,800 PATIENTS, CLIENTS AND RESIDENTS ACROSS ITS ENTITIES IN 2015.BH&WS ROCKVILLE CAMPUS:THE BH&WS ROCKVILLE CAMPUS IS A NOT-FOR-PROFIT, JOINT COMMISSION ACCREDITED, 107-BED ACUTE PSYCHIATRIC TREATMENT FACILITY LOCATED IN MONTGOMERY COUNTY. COUPLED WITH AN ADDITIONAL 64-BED RESIDENTIAL TREATMENT CENTER (RTC) FOR ADOLESCENTS, BH&WS IS THE LARGEST PROVIDER OF BEHAVIORAL HEALTH SERVICES IN MONTGOMERY COUNTY. THE ROCKVILLE CAMPUS ALSO PROVIDES OUTPATIENT CHEMICAL DEPENDENCY SERVICES FOR ADOLESCENTS AND ADULTS, OPERATES A PARTIAL HOSPITALIZATION PROGRAM FOR ADOLESCENTS, AND AN OUTPATIENT WELLNESS CLINIC.BH&WS' ACUTE SERVICES INCLUDE THE SPECIALIZED MAGNOLIA UNIT, A 10-BED ACUTE INPATIENT UNIT DEDICATED TO SERVING GERIATRIC ADULTS. THE UNIT PROVIDES CRITICAL STABILIZATION AND SHORT-TERM INPATIENT TREATMENT FOR OLDER ADULTS WHO EXPERIENCE SUDDEN LIFE CHANGES AND STRESSORS THAT TRIGGER DEPRESSION, ANXIETY AND OTHER CHALLENGES THAT IMPACT THEIR DAILY ACTIVITIES. THE MAGNOLIA UNIT IS THE ONLY ONE OF ITS KIND IN MONTGOMERY COUNTY. THE RIDGE SCHOOL OF MONTGOMERY COUNTY, A SPECIAL AND GENERAL EDUCATION SCHOOL APPROVED BY THE MARYLAND STATE DEPARTMENT OF EDUCATION, IS LOCATED AT THE BH&WS ROCKVILLE CAMPUS AND SERVES ADOLESCENTS FROM MARYLAND AND WASHINGTON, D.C.BH&WS EASTERN SHORE CAMPUS:THE BH&WS EASTERN SHORE CAMPUS IS THE REGION'S ONLY ACUTE CARE AND RESIDENTIAL MENTAL HEALTH RESOURCE FOR CHILDREN AND ADOLESCENTS. THE FACILITY OFFERS 15 ACUTE CARE BEDS AND 59 RTC BEDS. THE RIDGE SCHOOL OF THE EASTERN SHORE IS A SPECIAL AND GENERAL EDUCATION SCHOOL FOR STUDENTS IN GRADES THREE TO 12. THE SCHOOL SERVES RESIDENTS OF THE EASTERN SHORE RESIDENTIAL TREATMENT CENTER AS WELL AS DAY STUDENTS WHO LIVE IN THE LOCAL COMMUNITY.BH&WS AND PENINSULA REGIONAL MEDICAL CENTER:BH&WS ENTERED INTO A PARTNERSHIP WITH PENINSULA REGIONAL MEDICAL CENTER (PRMC) IN 2015 TO MANAGE PRMC'S BEHAVIORAL HEALTH SERVICES IN THE EASTERN SHORE REGION. PRMC'S BEHAVIORAL HEALTH SERVICES INCLUDE ADULT INPATIENT AND PARTIAL HOSPITALIZATION PROGRAMS AS WELL AS OUTPATIENT SERVICES FOR CHILDREN AND ADOLESCENTS AT THE OUTPATIENT WELLNESS CLINIC IN SALISBURY.THE BEHAVIORAL HEALTH UNIT AT WASHINGTON ADVENTIST HOSPITAL:THE BEHAVIORAL HEALTH UNIT OFFERS 39 ADULT INPATIENT BEDS IN ADDITION TO PARTIAL HOSPITALIZATION, AND INTENSIVE OUTPATIENT PROGRAMS AT ITS TAKOMA PARK, MARYLAND LOCATION.COMMUNITY-BASED RESIDENTIAL SERVICES:BH&WS' COMMUNITY-BASED RESIDENTIAL SERVICES INCLUDES TWO HOMES FOR ADOLESCENTS AND ONE FOR ADULTS. THE ADOLESCENT HOMES, OR COTTAGES, OFFER ADOLESCENTS 13 TO 17 YEARS OF AGE A SAFE AND THERAPEUTIC RESIDENTIAL ENVIRONMENT IN WHICH TO SUPPORT THEIR TRANSITION BACK TO THEIR FAMILIES, THE COMMUNITY, AND, IN SOME CASES, INDEPENDENT LIVING. THE GROUP HOMES ARE LOCATED IN MONTGOMERY COUNTY COMMUNITIES.THE MANOR IS AN ASSISTED LIVING FACILITY IN TAKOMA PARK FOR INDIVIDUALS WITH CHRONIC AND SEVERE MENTAL ILLNESS WHO ARE UNABLE TO LIVE INDEPENDENTLY. THE FACILITY PROVIDES A SAFE AND SUPPORTIVE RESIDENTIAL ENVIRONMENT AS AN ALTERNATIVE TO LONG-TERM PSYCHIATRIC HOSPITALIZATION.COMMUNITY SERVICE:BH&WS IS COMMITTED TO SERVING AS A MENTAL HEALTH RESOURCE TO FAMILIES AND BEHAVIORAL HEALTH SPECIALISTS IN THE COMMUNITIES IT SERVES. THE ORGANIZATION HAS DEDICATED SIGNIFICANT RESOURCES TO PROVIDING CONTINUING EDUCATION SYMPOSIUMS FOR CLINICIANS AS WELL AS FREE EDUCATIONAL WORKSHOPS FOR CONSUMERS.BH&WS AND ITS EMPLOYEES ALSO SPONSOR AND SUPPORT COMMUNITY ORGANIZATIONS SUCH AS THE AMERICAN FOUNDATION FOR SUICIDE PREVENTION AND THE NATIONAL ALLIANCE ON MENTAL ILLNESS.

4c	(Code: ) (Expenses $ including grants of $ ) (Revenue $ )












4d	Other program services (Describe in Schedule O.)
	(Expenses $ including grants of $ ) (Revenue $ )
4e	Total program service expenses510,317,430

1b	Sub-Total................
c	Total from continuation sheets to Part VII, Section A....
d	Total (add lines 1b and 1c)...........	9,605,926	0	1,806,935

1a	Federated campaigns..		1a
b	Membership dues..		1b
c	Fundraising events..		1c
d	Related organizations		1d	967,153
e	Government grants (contributions)		1e	360,145

f	All other contributions, gifts, grants, and similar amounts not included above		1f	715,674

g	Noncash contributions included in lines 1a-1f:$
h Total.Add lines 1a-1f.......		2,042,972

			Business Code
2a	ACUTE CARE	900099	593,657,118	593,657,118
b	BEHAVIORAL HEALTH	900099	43,311,452	43,311,452
c
d
e
f	All other program service revenue.			7,179,832	4,625,879	2,553,953
g Total.Add lines 2a–2f.....			644,148,402

3 Investment income (including dividends, interest, and othersimilar amounts) ..........			6,031,560			6,031,560
4 Income from investment of tax-exempt bond proceeds
5 Royalties...........
		(ii) Personal	(i) Real
6a	Gross rents		6,494,282
b	Less: rental expenses		7,457,311
c	Rental income or (loss)		-963,029
d	Net rental income or (loss)......			-963,029		17,802	-980,831
		(ii) Other	(i) Securities
7a	Gross amount from sales of assets other than inventory		319,838,724
b	Less: cost or other basis and sales expenses		323,485,823
c	Gain or (loss)		-3,647,099
d	Net gain or (loss).....			-3,647,099			-3,647,099
8a	Gross income from fundraising events (not including $ of contributions reported on line 1c). See Part IV, line 18 ....
	a
b	Less: direct expenses ...b
c	Net income or (loss) from fundraising events..
9a	Gross income from gaming activities. See Part IV, line 19 ...
	a
b	Less: direct expenses ...b
c	Net income or (loss) from gaming activities..
10a	Gross sales of inventory, less returns and allowances ..
	a		470,619
b	Less: cost of goods sold ..b		210,043
c	Net income or (loss) from sales of inventory..			260,576			260,576
Business Code			Miscellaneous Revenue
11a
b
c
d	All other revenue ....
e	Total. Add lines 11a–11d ......
12	Total revenue. See Instructions......			647,873,382	641,594,449	2,571,755	1,664,206

1	Grants and other assistance to domestic organizations and domestic governments. See Part IV, line 21	1,493,041	1,493,041
2	Grants and other assistance to individuals in the United States. See Part IV, line 22
3	Grants and other assistance to governments, organizations, and individuals outside the United States. See Part IV, lines 15 and 16
4	Benefits paid to or for members
5	Compensation of current officers, directors, trustees, and key employees ....	9,165,077		9,165,077
6	Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) ....
7	Other salaries and wages	243,321,531	212,271,153	30,419,856	630,522
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....	6,137,527	5,736,179	378,581	22,767
9	Other employee benefits .......	28,102,324	21,084,898	6,950,392	67,034
10	Payroll taxes ...........	18,371,445	14,976,888	3,352,767	41,790
11	Fees for services (non-employees):
a	Management ......	6,777,460	4,852,834	1,924,626
b	Legal .........	1,362,843		1,362,843
c	Accounting ...........	479,847		479,847
d	Lobbying ...........	154,291	154,291
e	Professional fundraising services. See Part IV, line 17
f	Investment management fees ......	547,625		547,625
g	Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O)	83,698,914	74,544,510	8,899,189	255,215
12	Advertising and promotion ....	2,032,586	243,906	1,788,680
13	Office expenses .......	43,344,026	37,807,484	5,504,916	31,626
14	Information technology ......	18,626,309	13,969,732	4,656,577
15	Royalties ..
16	Occupancy ...........	33,690,225	27,267,295	6,319,831	103,099
17	Travel ............	1,672,871	843,899	804,330	24,642
18	Payments of travel or entertainment expenses for any federal, state, or local public officials .
19	Conferences, conventions, and meetings ....	765,060	415,832	349,060	168
20	Interest ...........	9,121,418	1,456	9,119,962
21	Payments to affiliates .......
22	Depreciation, depletion, and amortization ..	33,508,793	33,213,030	295,763
23	Insurance ...	5,003,159		5,003,159
24	Other expenses. Itemize expenses not covered above (List miscellaneous expenses in line 24e. If line 24e amount exceeds 10% of line 25, column (A) amount, list line 24e expenses on Schedule O.)
a	MEDICAL SUPPLIES	61,441,002	61,441,002
b	RECRUITING	2,231,762		2,231,762
c
d
e	All other expenses
25	Total functional expenses. Add lines 1 through 24e	611,049,136	510,317,430	99,554,843	1,176,863
26	Joint costs. Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation. Check here if following SOP 98-2 (ASC 958-720).

1	Cash–non-interest-bearing ........			155,733	1	1,063,528
2	Savings and temporary cash investments .........			76,122,691	2	82,854,531
3	Pledges and grants receivable, net ......			809,086	3	916,244
4	Accounts receivable, net .............			87,987,045	4	80,607,982
5	Loans and other receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of Schedule L
					5
6	Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), persons described in section 4958(c)(3)(B), and contributing employers and sponsoring organizations of section 501(c)(9) voluntary employees' beneficiary organizations (see instructions) Complete Part II of Schedule L
					6
7	Notes and loans receivable, net ....			9,810,869	7	12,843,184
8	Inventories for sale or use ........			9,145,365	8	8,829,816
9	Prepaid expenses and deferred charges ......			6,682,729	9	7,327,206
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	811,031,572
b	Less: accumulated depreciation	10b	422,949,905	373,762,415	10c	388,081,667
11	Investments—publicly traded securities .			137,889,131	11	142,337,123
12	Investments—other securities. See Part IV, line 11 .....			10,553,133	12	8,297,298
13	Investments—program-related. See Part IV, line 11 ..			67,604,975	13	61,285,501
14	Intangible assets ...............			3,196,195	14	8,256,409
15	Other assets. See Part IV, line 11 ...........			39,729,276	15	41,119,172
16	Total assets. Add lines 1 through 15 (must equal line 34)...			823,448,643	16	843,819,661

17	Accounts payable and accrued expenses .....	93,985,161	17	101,340,105
18	Grants payable ...		18
19	Deferred revenue .........	666,728	19	345,211
20	Tax-exempt bond liabilities .........	246,345,919	20	235,469,029
21	Escrow or custodial account liability. Complete Part IV of Schedule D		21
22	Loans and other payables to current and former officers, directors, trustees, key employees, highest compensated employees, and disqualified
	persons. Complete Part II of Schedule L..		22
23	Secured mortgages and notes payable to unrelated third parties ..	94,718,964	23	82,239,259
24	Unsecured notes and loans payable to unrelated third parties ..		24
25	Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17-24). Complete Part X of Schedule D	42,336,357	25	45,284,181
26	Total liabilities. Add lines 17 through 25..	478,053,129	26	464,677,785

	Organizations that follow SFAS 117 (ASC 958), check here and complete lines 27 through 29, and lines 33 and 34.
27	Unrestricted net assets	344,389,003	27	378,268,670
28	Temporarily restricted net assets ...........	1,006,511	28	873,206
29	Permanently restricted net assets		29
	Organizations that do not follow SFAS 117 (ASC 958), check here and complete lines 30 through 34.
30	Capital stock or trust principal, or current funds .....		30
31	Paid-in or capital surplus, or land, building or equipment fund ...		31
32	Retained earnings, endowment, accumulated income, or other funds		32
33	Total net assets or fund balances ...........	345,395,514	33	379,141,876
34	Total liabilities and net assets/fund balances ........	823,448,643	34	843,819,661