SCHEDULE H
(Form 990)
Department of the Treasury
Internal Revenue Service
Hospitals
MediumBullet Complete if the organization answered "Yes" to Form 990, Part IV, question 20.
MediumBullet Attach to Form 990. MediumBullet See separate instructions.
MediumBullet Information about Schedule H (Form 990) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2013
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
No
1a
Did the organization have a financial assistance policy during the tax year? If "No," skip to question 6a . . . .
1a
Yes
 
b
If "Yes," was it a written policy? .......................
1b
Yes
 
2
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.
3
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.
a
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:
3a
Yes
 
%
b
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: . . . . . . . .
3b
Yes
 
c
If the organization used factors other than FPG in determining eligibility, describe in Part VI the income based criteria 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.
4
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"? . . . . . . . . . . . . .

4

Yes

 
5a
Did the organization budget amounts for free or discounted care provided under its financial assistance policy during
the tax year? . . . . . . . . . . . . . . . . . . . . . . .

5a

Yes

 
b
If "Yes," did the organization's financial assistance expenses exceed the budgeted amount? . . . . . .
5b
Yes
 
c
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? . . . . . . . . . . . . .
5c
 
No
6a
Did the organization prepare a community benefit report during the tax year? . . . . . . . . .
6a
Yes
 
b
If "Yes," did the organization make it available to the public? . . . . . . . . . . . . .
6b
Yes
 
Complete the following table using the worksheets provided in the Schedule H instructions. Do not submit these worksheets with the Schedule H.
7
Financial Assistance and Certain Other Community Benefits at Cost
Financial Assistance and
Means-Tested
Government Programs
 (a) Number of activities or programs (optional) (b) Persons served (optional) (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) . . . 		    19,611,707   19,611,707 3.380 %
b Medicaid (from Worksheet 3, column a) . . . . .     15,667,741 13,397,872 2,269,869 0.390 %
c Costs of other means-tested government programs (from Worksheet 3, column b) . .            
d Total Financial Assistance and Means-Tested Government Programs . . . . .     35,279,448 13,397,872 21,881,576 3.770 %
Other Benefits
e Community health improvement services and community benefit operations (from Worksheet 4).     8,608,516 267,392 8,341,124 1.440 %
f Health professions education (from Worksheet 5) . . .     2,019,755 160,010 1,859,745 0.320 %
g Subsidized health services (from Worksheet 6) . . . .     29,288,388 350 29,288,038 5.050 %
h Research (from Worksheet 7) .     856,435 343,734 512,701 0.090 %
i Cash and in-kind contributions for community benefit (from Worksheet 8) . . . .     1,608,962   1,608,962 0.280 %
j Total. Other Benefits . .     42,382,056 771,486 41,610,570 7.180 %
k Total. Add lines 7d and 7j .     77,661,504 14,169,358 63,492,146 10.950 %
For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2013
Schedule H (Form 990) 2013
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.
(a) Number of activities or programs (optional) (b) Persons served (optional) (c) Total community building expense (d) Direct offsetting
revenue 		(e) Net community building expense (f) Percent of total expense
1 Physical improvements and housing     8,626 4,905 3,721 0 %
2 Economic development     1,239   1,239 0 %
3 Community support     419,025   419,025 0.070 %
4 Environmental improvements     2,094   2,094 0 %
5 Leadership development and
training for community members		     446   446 0 %
6 Coalition building     115,134   115,134 0.020 %
7 Community health improvement advocacy     1,003,367 6,356 997,011 0.170 %
8 Workforce development     2,549   2,549 0 %
9 Other            
10 Total     1,552,480 11,261 1,541,219 0.260 %
Part III
Bad Debt, Medicare, & Collection Practices
Section A. Bad Debt Expense
Yes
No
1
Did the organization report bad debt expense in accordance with Heathcare Financial Management Association Statement No. 15? ..........................
1
Yes
 
2
Enter the amount of the organization's bad debt expense. Explain in Part VI the methodology used by the organization to estimate this amount. ......
2
29,737,685
3
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. ......
3
 
4
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
5
Enter total revenue received from Medicare (including DSH and IME).....
5
202,285,037
6
Enter Medicare allowable costs of care relating to payments on line 5.....
6
163,444,987
7
Subtract line 6 from line 5. This is the surplus (or shortfall)........
7
38,840,050
8
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:
Section C. Collection Practices
9a
Did the organization have a written debt collection policy during the tax year? ..........
9a
Yes
 
b
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 .........................

9b

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 % 		(d) Officers, directors,
trustees, or key
employees' profit %
or stock ownership % 		(e) Physicians'
profit % or stock
ownership %
19 GERMANTOWN OUTPATIENT IMAGING
  		OUTPATIENT IMAGING CENTER 50.000 %   50.000 %
210 MID-ATLANTIC PRIMARY CARE ACO LLC
  		MEDICARE SHARED SAVINGS PLAN ACO 25.000 %   75.000 %
311 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) 2013
Schedule H (Form 990) 2013
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 		Licensed Hospital General-Medical-Surgical Children's Hospital Teaching Hospital Critical Hospital ResearchGrp Facility ER-24Hours ER-Other Other (Describe) Facility reporting group
1 SHADY GROVE ADVENTIST HOSPITAL
9901 MEDICAL CENTER DRIVE
ROCKVILLE,MD20850 		X X         X      
2 WASHINGTON ADVENTIST HOSPITAL
7600 CARROLL AVENUE
TAKOMA PARK,MD20912 		X X         X      
3 HACKETTSTOWN REGIONAL MEDICAL CENTER
651 WILLOW GROVE STREET
HACKETTSTOWN,NJ07840 		X X         X   SEPARATE LEGAL ENTITY MANAGED BY AHC  
4 ADVENTIST REHABILITATION HOSP OF MARYLAN
9909 MEDICAL CENTER DRIVE
ROCKVILLE,MD20850 		X               SEPARATE LEGAL ENTITY MANAGED BY AHC  
5 ADVENTIST BEHAVIORAL HEALTH
14901 BROSCHART ROAD
ROCKVILLE,MD20850 		X               BEHAVIORAL TREATMENT CENTER  
6 ADVENTIST BEHAVIORAL HEALTH AT E SHORE
821 FIELDCREST ROAD
CAMBRIDGE,MD21613 		X               BEHAVIORAL TREATMENT CENTER  
Schedule H (Form 990) 2013
Schedule H (Form 990) 2013
Page
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 ADVENTIST HOSPITAL
Name of hospital facility or facility reporting group  
If reporting on Part V, Section B for a single hospital facility only: line number of
hospital facility (from Schedule H, Part V, Section A) 		1
Yes No
Community Health Needs Assessment (Lines 1 through 8c are optional for tax years begining on or before March 23, 2012)
1 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 9....................... 1 Yes  
If "Yes," indicate what the CHNA report describes (check all that apply):
a
b
c
d
e
f
g
h
i
j
2 Indicate the tax year the hospital facility last conducted a CHNA: 20 13
3 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 Part VI how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted................. 3 Yes  
4 Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities
in Part VI.................................. 		4   No
5 Did the hospital facility make its CHNA report widely available to the public?.............. 5 Yes  
If "Yes," indicate how the CHNA report was made widely available (check all that apply):
a
b
c
d
6 If the hospital facility addressed needs identified in its most recently conducted CHNA, indicate how (check all that apply
as of the end of the tax year):
a
b
c
d
e
f
g
h
i
7 Did the hospital facility address all of the needs identified in its most recently conducted CHNA? If "No," explain in Part VI which needs it has not addressed and the reasons why it has not addressed such needs........... 7   No
8a 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)? ................................ 8a   No
b If "Yes" to line 8a, did the organization file Form 4720 to report the section 4959 excise tax? .......... 8b    
c If "Yes" to line 8b, 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) 2013
Schedule H (Form 990) 2013
Page
Part VFacility Information (continued)

Financial Assistance Policy Yes No
9 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 includes free or discounted care? 9 Yes  
10 Used federal poverty guidelines (FPG) to determine eligibility for providing free care?........... 10 Yes  
If "Yes," indicate the FPG family income limit for eligibility for free care: 200.000000000000%
If "No," explain in Part VI the criteria the hospital facility used.
11 Used FPG to determine eligibility for providing discounted care?................. 11 Yes  
If "Yes," indicate the FPG family income limit for eligibility for discounted care: 600.000000000000%
If "No," explain in Part VI the criteria the hospital facility used.
12 Explained the basis for calculating amounts charged to patients?................. 12 Yes  
If "Yes," indicate the factors used in determining such amounts (check all that apply):
a
b
c
d
e
f
g
h
i
13 Explained the method for applying for financial assistance?................... 13 Yes  
14 Included measures to publicize the policy within the community served by the hospital facility?........ 14 Yes  
If "Yes," indicate how the hospital facility publicized the policy (check all that apply):
a
b
c
d
e
f
g
Billing and Collections
15 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 actions the hospital facility may take upon non-payment?........ 15 Yes  
16 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:
a
b
c
d
e
17 Did the hospital facility or an authorized third 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?............ 17   No
If "Yes," check all actions in which the hospital facility or a third party engaged:
a
b
c
d
e
Schedule H (Form 990) 2013
Schedule H (Form 990) 2013
Page
Part VFacility Information (continued)

18 Indicate which efforts the hospital facility made before initiating any of the actions listed in line 17 (check all that apply):
a
b
c
d
e
Policy Relating to Emergency Medical Care
Yes No
19 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that requires 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?.......... 19 Yes  
If "No," indicate why:
a
b
c
d
Charges to Individuals Eligible for Assistance under the FAP (FAP-Eligible Individuals)
20 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.
a
b
c
d
21 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? ............................... 21   No
If "Yes," explain in Part VI.
22 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?.......................... 22   No
If "Yes," explain in Section C.
Schedule H (Form 990) 2013
Schedule H (Form 990) 2013
Page
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 facility reporting group  
If reporting on Part V, Section B for a single hospital facility only: line number of
hospital facility (from Schedule H, Part V, Section A) 		2
Yes No
Community Health Needs Assessment (Lines 1 through 8c are optional for tax years begining on or before March 23, 2012)
1 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 9....................... 1 Yes  
If "Yes," indicate what the CHNA report describes (check all that apply):
a
b
c
d
e
f
g
h
i
j
2 Indicate the tax year the hospital facility last conducted a CHNA: 20 13
3 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 Part VI how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted................. 3 Yes  
4 Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities
in Part VI.................................. 		4   No
5 Did the hospital facility make its CHNA report widely available to the public?.............. 5 Yes  
If "Yes," indicate how the CHNA report was made widely available (check all that apply):
a
b
c
d
6 If the hospital facility addressed needs identified in its most recently conducted CHNA, indicate how (check all that apply
as of the end of the tax year):
a
b
c
d
e
f
g
h
i
7 Did the hospital facility address all of the needs identified in its most recently conducted CHNA? If "No," explain in Part VI which needs it has not addressed and the reasons why it has not addressed such needs........... 7   No
8a 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)? ................................ 8a   No
b If "Yes" to line 8a, did the organization file Form 4720 to report the section 4959 excise tax? .......... 8b    
c If "Yes" to line 8b, 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) 2013
Schedule H (Form 990) 2013
Page
Part VFacility Information (continued)

Financial Assistance Policy Yes No
9 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 includes free or discounted care? 9 Yes  
10 Used federal poverty guidelines (FPG) to determine eligibility for providing free care?........... 10 Yes  
If "Yes," indicate the FPG family income limit for eligibility for free care: 200.000000000000%
If "No," explain in Part VI the criteria the hospital facility used.
11 Used FPG to determine eligibility for providing discounted care?................. 11 Yes  
If "Yes," indicate the FPG family income limit for eligibility for discounted care: 600.000000000000%
If "No," explain in Part VI the criteria the hospital facility used.
12 Explained the basis for calculating amounts charged to patients?................. 12 Yes  
If "Yes," indicate the factors used in determining such amounts (check all that apply):
a
b
c
d
e
f
g
h
i
13 Explained the method for applying for financial assistance?................... 13 Yes  
14 Included measures to publicize the policy within the community served by the hospital facility?........ 14 Yes  
If "Yes," indicate how the hospital facility publicized the policy (check all that apply):
a
b
c
d
e
f
g
Billing and Collections
15 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 actions the hospital facility may take upon non-payment?........ 15 Yes  
16 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:
a
b
c
d
e
17 Did the hospital facility or an authorized third 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?............ 17   No
If "Yes," check all actions in which the hospital facility or a third party engaged:
a
b
c
d
e
Schedule H (Form 990) 2013
Schedule H (Form 990) 2013
Page
Part VFacility Information (continued)

18 Indicate which efforts the hospital facility made before initiating any of the actions listed in line 17 (check all that apply):
a
b
c
d
e
Policy Relating to Emergency Medical Care
Yes No
19 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that requires 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?.......... 19 Yes  
If "No," indicate why:
a
b
c
d
Charges to Individuals Eligible for Assistance under the FAP (FAP-Eligible Individuals)
20 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.
a
b
c
d
21 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? ............................... 21   No
If "Yes," explain in Part VI.
22 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?.......................... 22   No
If "Yes," explain in Section C.
Schedule H (Form 990) 2013
Schedule H (Form 990) 2013
Page
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 facility reporting group  
If reporting on Part V, Section B for a single hospital facility only: line number of
hospital facility (from Schedule H, Part V, Section A) 		3
Yes No
Community Health Needs Assessment (Lines 1 through 8c are optional for tax years begining on or before March 23, 2012)
1 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 9....................... 1 Yes  
If "Yes," indicate what the CHNA report describes (check all that apply):
a
b
c
d
e
f
g
h
i
j
2 Indicate the tax year the hospital facility last conducted a CHNA: 20 12
3 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 Part VI how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted................. 3 Yes  
4 Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities
in Part VI.................................. 		4   No
5 Did the hospital facility make its CHNA report widely available to the public?.............. 5 Yes  
If "Yes," indicate how the CHNA report was made widely available (check all that apply):
a
b
c
d
6 If the hospital facility addressed needs identified in its most recently conducted CHNA, indicate how (check all that apply
as of the end of the tax year):
a
b
c
d
e
f
g
h
i
7 Did the hospital facility address all of the needs identified in its most recently conducted CHNA? If "No," explain in Part VI which needs it has not addressed and the reasons why it has not addressed such needs........... 7   No
8a 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)? ................................ 8a   No
b If "Yes" to line 8a, did the organization file Form 4720 to report the section 4959 excise tax? .......... 8b    
c If "Yes" to line 8b, 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) 2013
Schedule H (Form 990) 2013
Page
Part VFacility Information (continued)

Financial Assistance Policy Yes No
9 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 includes free or discounted care? 9 Yes  
10 Used federal poverty guidelines (FPG) to determine eligibility for providing free care?........... 10 Yes  
If "Yes," indicate the FPG family income limit for eligibility for free care: 200.000000000000%
If "No," explain in Part VI the criteria the hospital facility used.
11 Used FPG to determine eligibility for providing discounted care?................. 11 Yes  
If "Yes," indicate the FPG family income limit for eligibility for discounted care: 300.000000000000%
If "No," explain in Part VI the criteria the hospital facility used.
12 Explained the basis for calculating amounts charged to patients?................. 12 Yes  
If "Yes," indicate the factors used in determining such amounts (check all that apply):
a
b
c
d
e
f
g
h
i
13 Explained the method for applying for financial assistance?................... 13 Yes  
14 Included measures to publicize the policy within the community served by the hospital facility?........ 14 Yes  
If "Yes," indicate how the hospital facility publicized the policy (check all that apply):
a
b
c
d
e
f
g
Billing and Collections
15 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 actions the hospital facility may take upon non-payment?........ 15 Yes  
16 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:
a
b
c
d
e
17 Did the hospital facility or an authorized third 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?............ 17   No
If "Yes," check all actions in which the hospital facility or a third party engaged:
a
b
c
d
e
Schedule H (Form 990) 2013
Schedule H (Form 990) 2013
Page
Part VFacility Information (continued)

18 Indicate which efforts the hospital facility made before initiating any of the actions listed in line 17 (check all that apply):
a
b
c
d
e
Policy Relating to Emergency Medical Care
Yes No
19 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that requires 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?.......... 19 Yes  
If "No," indicate why:
a
b
c
d
Charges to Individuals Eligible for Assistance under the FAP (FAP-Eligible Individuals)
20 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.
a
b
c
d
21 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? ............................... 21   No
If "Yes," explain in Part VI.
22 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?.......................... 22   No
If "Yes," explain in Section C.
Schedule H (Form 990) 2013
Schedule H (Form 990) 2013
Page
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 facility reporting group  
If reporting on Part V, Section B for a single hospital facility only: line number of
hospital facility (from Schedule H, Part V, Section A) 		4
Yes No
Community Health Needs Assessment (Lines 1 through 8c are optional for tax years begining on or before March 23, 2012)
1 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 9....................... 1 Yes  
If "Yes," indicate what the CHNA report describes (check all that apply):
a
b
c
d
e
f
g
h
i
j
2 Indicate the tax year the hospital facility last conducted a CHNA: 20 13
3 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 Part VI how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted................. 3 Yes  
4 Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities
in Part VI.................................. 		4   No
5 Did the hospital facility make its CHNA report widely available to the public?.............. 5 Yes  
If "Yes," indicate how the CHNA report was made widely available (check all that apply):
a
b
c
d
6 If the hospital facility addressed needs identified in its most recently conducted CHNA, indicate how (check all that apply
as of the end of the tax year):
a
b
c
d
e
f
g
h
i
7 Did the hospital facility address all of the needs identified in its most recently conducted CHNA? If "No," explain in Part VI which needs it has not addressed and the reasons why it has not addressed such needs........... 7   No
8a 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)? ................................ 8a   No
b If "Yes" to line 8a, did the organization file Form 4720 to report the section 4959 excise tax? .......... 8b    
c If "Yes" to line 8b, 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) 2013
Schedule H (Form 990) 2013
Page
Part VFacility Information (continued)

Financial Assistance Policy Yes No
9 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 includes free or discounted care? 9 Yes  
10 Used federal poverty guidelines (FPG) to determine eligibility for providing free care?........... 10 Yes  
If "Yes," indicate the FPG family income limit for eligibility for free care: 200.000000000000%
If "No," explain in Part VI the criteria the hospital facility used.
11 Used FPG to determine eligibility for providing discounted care?................. 11 Yes  
If "Yes," indicate the FPG family income limit for eligibility for discounted care: 600.000000000000%
If "No," explain in Part VI the criteria the hospital facility used.
12 Explained the basis for calculating amounts charged to patients?................. 12 Yes  
If "Yes," indicate the factors used in determining such amounts (check all that apply):
a
b
c
d
e
f
g
h
i
13 Explained the method for applying for financial assistance?................... 13 Yes  
14 Included measures to publicize the policy within the community served by the hospital facility?........ 14 Yes  
If "Yes," indicate how the hospital facility publicized the policy (check all that apply):
a
b
c
d
e
f
g
Billing and Collections
15 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 actions the hospital facility may take upon non-payment?........ 15 Yes  
16 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:
a
b
c
d
e
17 Did the hospital facility or an authorized third 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?............ 17   No
If "Yes," check all actions in which the hospital facility or a third party engaged:
a
b
c
d
e
Schedule H (Form 990) 2013
Schedule H (Form 990) 2013
Page
Part VFacility Information (continued)

18 Indicate which efforts the hospital facility made before initiating any of the actions listed in line 17 (check all that apply):
a
b
c
d
e
Policy Relating to Emergency Medical Care
Yes No
19 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that requires 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?.......... 19 Yes  
If "No," indicate why:
a
b
c
d
Charges to Individuals Eligible for Assistance under the FAP (FAP-Eligible Individuals)
20 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.
a
b
c
d
21 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? ............................... 21   No
If "Yes," explain in Part VI.
22 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?.......................... 22   No
If "Yes," explain in Section C.
Schedule H (Form 990) 2013
Schedule H (Form 990) 2013
Page
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 BEHAVIORAL HEALTH - ROCKVILLE
Name of hospital facility or facility reporting group  
If reporting on Part V, Section B for a single hospital facility only: line number of
hospital facility (from Schedule H, Part V, Section A) 		5
Yes No
Community Health Needs Assessment (Lines 1 through 8c are optional for tax years begining on or before March 23, 2012)
1 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 9....................... 1 Yes  
If "Yes," indicate what the CHNA report describes (check all that apply):
a
b
c
d
e
f
g
h
i
j
2 Indicate the tax year the hospital facility last conducted a CHNA: 20 13
3 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 Part VI how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted................. 3 Yes  
4 Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities
in Part VI.................................. 		4   No
5 Did the hospital facility make its CHNA report widely available to the public?.............. 5 Yes  
If "Yes," indicate how the CHNA report was made widely available (check all that apply):
a
b
c
d
6 If the hospital facility addressed needs identified in its most recently conducted CHNA, indicate how (check all that apply
as of the end of the tax year):
a
b
c
d
e
f
g
h
i
7 Did the hospital facility address all of the needs identified in its most recently conducted CHNA? If "No," explain in Part VI which needs it has not addressed and the reasons why it has not addressed such needs........... 7   No
8a 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)? ................................ 8a   No
b If "Yes" to line 8a, did the organization file Form 4720 to report the section 4959 excise tax? .......... 8b    
c If "Yes" to line 8b, 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) 2013
Schedule H (Form 990) 2013
Page
Part VFacility Information (continued)

Financial Assistance Policy Yes No
9 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 includes free or discounted care? 9 Yes  
10 Used federal poverty guidelines (FPG) to determine eligibility for providing free care?........... 10 Yes  
If "Yes," indicate the FPG family income limit for eligibility for free care: 200.000000000000%
If "No," explain in Part VI the criteria the hospital facility used.
11 Used FPG to determine eligibility for providing discounted care?................. 11 Yes  
If "Yes," indicate the FPG family income limit for eligibility for discounted care: 600.000000000000%
If "No," explain in Part VI the criteria the hospital facility used.
12 Explained the basis for calculating amounts charged to patients?................. 12 Yes  
If "Yes," indicate the factors used in determining such amounts (check all that apply):
a
b
c
d
e
f
g
h
i
13 Explained the method for applying for financial assistance?................... 13 Yes  
14 Included measures to publicize the policy within the community served by the hospital facility?........ 14 Yes  
If "Yes," indicate how the hospital facility publicized the policy (check all that apply):
a
b
c
d
e
f
g
Billing and Collections
15 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 actions the hospital facility may take upon non-payment?........ 15 Yes  
16 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:
a
b
c
d
e
17 Did the hospital facility or an authorized third 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?............ 17   No
If "Yes," check all actions in which the hospital facility or a third party engaged:
a
b
c
d
e
Schedule H (Form 990) 2013
Schedule H (Form 990) 2013
Page
Part VFacility Information (continued)

18 Indicate which efforts the hospital facility made before initiating any of the actions listed in line 17 (check all that apply):
a
b
c
d
e
Policy Relating to Emergency Medical Care
Yes No
19 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that requires 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?.......... 19 Yes  
If "No," indicate why:
a
b
c
d
Charges to Individuals Eligible for Assistance under the FAP (FAP-Eligible Individuals)
20 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.
a
b
c
d
21 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? ............................... 21   No
If "Yes," explain in Part VI.
22 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?.......................... 22   No
If "Yes," explain in Section C.
Schedule H (Form 990) 2013
Schedule H (Form 990) 2013
Page
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 BEHAVIORAL HEALTH - EASTERN SH
Name of hospital facility or facility reporting group  
If reporting on Part V, Section B for a single hospital facility only: line number of
hospital facility (from Schedule H, Part V, Section A) 		6
Yes No
Community Health Needs Assessment (Lines 1 through 8c are optional for tax years begining on or before March 23, 2012)
1 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 9....................... 1 Yes  
If "Yes," indicate what the CHNA report describes (check all that apply):
a
b
c
d
e
f
g
h
i
j
2 Indicate the tax year the hospital facility last conducted a CHNA: 20 13
3 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 Part VI how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted................. 3 Yes  
4 Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities
in Part VI.................................. 		4   No
5 Did the hospital facility make its CHNA report widely available to the public?.............. 5 Yes  
If "Yes," indicate how the CHNA report was made widely available (check all that apply):
a
b
c
d
6 If the hospital facility addressed needs identified in its most recently conducted CHNA, indicate how (check all that apply
as of the end of the tax year):
a
b
c
d
e
f
g
h
i
7 Did the hospital facility address all of the needs identified in its most recently conducted CHNA? If "No," explain in Part VI which needs it has not addressed and the reasons why it has not addressed such needs........... 7   No
8a 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)? ................................ 8a   No
b If "Yes" to line 8a, did the organization file Form 4720 to report the section 4959 excise tax? .......... 8b    
c If "Yes" to line 8b, 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) 2013
Schedule H (Form 990) 2013
Page
Part VFacility Information (continued)

Financial Assistance Policy Yes No
9 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 includes free or discounted care? 9 Yes  
10 Used federal poverty guidelines (FPG) to determine eligibility for providing free care?........... 10 Yes  
If "Yes," indicate the FPG family income limit for eligibility for free care: 200.000000000000%
If "No," explain in Part VI the criteria the hospital facility used.
11 Used FPG to determine eligibility for providing discounted care?................. 11 Yes  
If "Yes," indicate the FPG family income limit for eligibility for discounted care: 600.000000000000%
If "No," explain in Part VI the criteria the hospital facility used.
12 Explained the basis for calculating amounts charged to patients?................. 12 Yes  
If "Yes," indicate the factors used in determining such amounts (check all that apply):
a
b
c
d
e
f
g
h
i
13 Explained the method for applying for financial assistance?................... 13 Yes  
14 Included measures to publicize the policy within the community served by the hospital facility?........ 14 Yes  
If "Yes," indicate how the hospital facility publicized the policy (check all that apply):
a
b
c
d
e
f
g
Billing and Collections
15 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 actions the hospital facility may take upon non-payment?........ 15 Yes  
16 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:
a
b
c
d
e
17 Did the hospital facility or an authorized third 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?............ 17   No
If "Yes," check all actions in which the hospital facility or a third party engaged:
a
b
c
d
e
Schedule H (Form 990) 2013
Schedule H (Form 990) 2013
Page
Part VFacility Information (continued)

18 Indicate which efforts the hospital facility made before initiating any of the actions listed in line 17 (check all that apply):
a
b
c
d
e
Policy Relating to Emergency Medical Care
Yes No
19 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that requires 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?.......... 19 Yes  
If "No," indicate why:
a
b
c
d
Charges to Individuals Eligible for Assistance under the FAP (FAP-Eligible Individuals)
20 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.
a
b
c
d
21 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? ............................... 21   No
If "Yes," explain in Part VI.
22 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?.......................... 22   No
If "Yes," explain in Section C.
Schedule H (Form 990) 2013
Schedule H (Form 990) 2013
Page
Part V
Facility Information (continued)
Section C. Supplemental Information for Part V, Section B.Provide descriptions required for Part V, Section B, lines 1j, 3, 4, 5d, 6i, 7, 10, 11, 12i, 14g, 16e, 17e, 18e, 19c, 19d, 20d, 21, and 22. If applicable, provide separate descriptions for each facility in a facility reporting group, designated by "Facility A," "Facility B," etc.
Form and Line Reference Explanation
SHADY GROVE ADVENTIST HOSPITAL PART V, SECTION B, LINE 3: SHADY GROVE ADVENTIST HOSPITAL, A MEMBER OF ADVENTIST HEALTHCARE, HAS ONGOING PARTNERSHIPS WITH SEVERAL COMMUNITY-BASED ORGANIZATIONS AND HEALTH CARE CLINICS THAT PROVIDE VALUABLE INPUT ON THE HEALTH NEEDS OF COMMUNITY MEMBERS. WE PARTNER WITH CLINICS THAT SERVE THE LOW-INCOME RESIDENTS OF MONTGOMERY COUNTY, MANY OF WHOM ARE LIMITED ENGLISH PROFICIENT AND/OR RACIAL AND ETHNIC MINORITIES. WE ALSO PARTNER WITH MERCY HEALTH CLINIC BY PROVIDING FREE DIAGNOSTIC SERVICES/LAB WORK TO THEIR UNINSURED PATIENTS. ANOTHER KEY PARTNER IS MOBILE MEDICAL CARE (MOBILE MED), WHICH OPERATES THREE MOBILE HEALTHCARE VEHICLES AND PROVIDES PRIMARY AND PREVENTATIVE HEALTHCARE TO THE UNINSURED, LOW INCOME, WORKING POOR AND HOMELESS IN MONTGOMERY COUNTY. WE EXPANDED OUR PRENATAL SERVICES IN 2006 BY PARTNERING WITH THE MONTGOMERY COUNTY DEPARTMENT OF HEALTH AND HUMAN SERVICES IN ITS MATERNAL PARTNERSHIPS PROGRAM, A REFERRAL PROGRAM THAT COLLABORATES WITH HOSPITALS TO PROVIDE OBSTETRIC AND GYNECOLOGIC SERVICES FOR UNINSURED WOMEN IN MONTGOMERY COUNTY. WE ALSO PROVIDE HEALTH SERVICES FOR WOMEN IN THE COMMUNITY WITH BREAST CANCER THROUGH A PARTNERSHIP WITH THE KOMEN FOUNDATION. IN ADDITION, ADVENTIST HEALTHCARE AND THE CENTER ON HEALTH DISPARITIES HAVE ONGOING COLLABORATIONS WITH SINAI HOSPITAL OF BALTIMORE, THE UNIVERSITY OF MARYLAND SCHOOL OF PUBLIC HEALTH, AND THE PRIMARY CARE COALITION OF MONTGOMERY COUNTY. PUBLIC HEALTH EXPERTS FROM THESE VARIOUS PARTNER ORGANIZATIONS PROVIDE SHADY GROVE ADVENTIST HOSPITAL WITH IMPORTANT INPUT ON THE NEEDS AFFECTING THE HEALTH OF THE COMMUNITIES WE SERVE. SHADY GROVE ADVENTIST HOSPITAL'S HEALTH MINISTRY DEPARTMENT PARTNERS WITH FAITH COMMUNITIES OF ALL RELIGIONS, ASSISTING THEM IN ASSESSING THE HEALTH NEEDS OF THEIR CONGREGATIONS AS WELL AS PROVIDING RESOURCES TO HELP IMPLEMENT PROGRAMS THAT ADDRESS THESE NEEDS. SOME OF THE CONGREGATIONS HAVE TRAINED FAITH COMMUNITY NURSES (FCN) THAT NOT ONLY IDENTIFY SPECIFIC NEEDS, BUT PROVIDE EDUCATION, COUNSELING, REFERRAL, AND ADVOCACY SERVICES. THESE FCNS OFTEN FOLLOW UP WITH THEIR CONGREGANTS AFTER A HOSPITALIZATION OR OTHER MEDICAL NEED. IN ADDITION, WE CONVENED AN ADVISORY BOARD TO HELP GUIDE OUR EFFORTS TO REDUCE AND ELIMINATE HEALTH DISPARITIES, TO IDENTIFY COMMUNITY NEEDS, AND TO HELP ASSESS AND DIRECT OUR RESPONSE TO THOSE NEEDS. THE ADVISORY BOARD IS COMPRISED OF BOTH INTERNAL AND EXTERNAL/COMMUNITY LEADERS.ADVENTIST HEALTHCARE COMMUNITY BENEFIT ADVISORY BOARD MEMBERS: > AISHA BIVENS, JD, BSN; ASSOCIATE VICE PRESIDENT OF CLINICAL EFFECTIVENESS; WASHINGTON ADVENTIST HOSPITAL; > PERRY CHAN; SENIOR PROGRAM COORDINATOR, ASIAN AMERICAN HEALTH INITIATIVE; MONTGOMERY COUNTY DEPARTMENT OF HEALTH AND HUMAN SERVICES; > IRENE DANKWA-MULLAN, MD, MPH; DIRECTOR, OFFICE OF INNOVATION AND PROGRAM COORDINATION; NATIONAL INSTITUTE ON MINORITY HEALTH AND HEALTH DISPARITIES; > STEVE GALEN, MS; PRESIDENT AND CEO; PRIMARY CARE COALITION OF MONTGOMERY COUNTY;> CAROL W. GARVEY, MD, MPH; CHAIR; PRIMARY CARE COALITION; > CARLESSIA HUSSEIN, DRPH, RN; DIRECTOR, OFFICE OF MINORITY HEALTH AND HEALTH DISPARITIES; MARYLAND DEPARTMENT OF HEALTH AND MENTAL HYGIENE; > JUDY LICHTY, MPH; REGIONAL DIRECTOR, HEALTH AND WELLNESS; ADVENTIST HEALTHCARE; > SKIP MARGOT, RN, MS; CNE AND VP OF PATIENT CARE SERVICES; SHADY GROVE ADVENTIST HOSPITAL; > SONIA MORA, RN; MANAGER, PUBLIC HEALTH SERVICES/LATINO HEALTH INITIATIVE; MONTGOMERY COUNTY DEPARTMENT OF HEALTH AND HUMAN SERVICES; > RICHARD "DICK" PAVLIN, MHCA; EXECUTIVE DIRECTOR; MERCY HEALTH CLINIC; > OLIVIA CARTER-POKRAS, PHD; ASSOCIATE PROFESSOR; UNIVERSITY OF MARYLAND COLLEGE PARK, SCHOOL OF PUBLIC HEALTH; > HOWARD ROSS; CHIEF LEARNING OFFICER; COOK ROSS, INC.; > TERRENCE P. SHEEHAN, MD; CHIEF MEDICAL OFFICER; ADVENTIST REHABILITATION HOSPITAL OF MARYLAND; > TOM SWEENEY, RN, MBA, FACHE; VICE PRESIDENT CHIEF NURSING OFFICER; WASHINGTON ADVENTIST HOSPITAL; > LOIS A. WESSEL, RN CFNP; ASSOCIATE DIRECTOR FOR PROGRAMS; ASSOCIATION OF CLINICIANS FOR THE UNDERSERVED; IN ADDITION TO THE FORMAL ADVISORY BOARD, THE STAFF OF ADVENTIST HEALTHCARE AND SHADY GROVE ADVENTIST HOSPITAL PARTICIPATES IN VARIOUS WAYS IN THE COMMUNITY. WE ACTIVELY PARTICIPATE IN NUMEROUS COMMITTEES, COALITIONS, AND PARTNERSHIPS THAT PROVIDE INFORMATION ON THE HEALTH NEEDS IN THE COMMUNITY. THE HEALTH PROFESSIONALS THAT PROVIDE PROGRAMS IN THE COMMUNITY ALSO PROVIDE VALUABLE INFORMATION AND KNOWLEDGE OF COMMUNITY NEEDS. FINALLY, THE COMMUNITY'S PERSPECTIVE WAS OBTAINED THROUGH A COMMUNITY HEALTH NEEDS ASSESSMENT SURVEY OFFERED TO THE PUBLIC THROUGH POSTINGS ON THIS ORGANIZATION'S FACEBOOK PAGES, NEWSLETTERS, EMAIL LIST SERVES, AND MEETINGS WITH COMMUNITY LEADERS. A 25-ITEM SURVEY, AVAILABLE ONLINE THROUGH SURVEYMONKEY.COM, ASKED COMMUNITY MEMBERS AND COMMUNITY LEADERS ALIKE TO IDENTIFY THEIR SOCIODEMOGRAPHIC INFORMATION, HEALTH NEEDS, PROBLEMS AFFECTING THE HEALTH OF THE COMMUNITY, BARRIERS TO ACCESSING CARE, AND STRENGTHS/RESOURCES IN THE COMMUNITY.
WASHINGTON ADVENTIST HOSPITAL PART V, SECTION B, LINE 3: WASHINGTON ADVENTIST HOSPITAL, A MEMBER OF ADVENTIST HEALTHCARE, HAS ONGOING PARTNERSHIPS WITH SEVERAL COMMUNITY-BASED ORGANIZATIONS AND HEALTH CARE CLINICS THAT PROVIDE VALUABLE INPUT ON THE HEALTH NEEDS OF COMMUNITY MEMBERS. WE PARTNER WITH CLINICS THAT IMPROVE ACCESS TO CARE BY SERVING THE LOW-INCOME RESIDENTS OF MONTGOMERY COUNTY AND PRINCE GEORGE'S COUNTY, MANY OF WHOM ARE LIMITED ENGLISH PROFICIENT AND/OR RACIAL AND ETHNIC MINORITIES. ONE OF WASHINGTON ADVENTIST HOSPITAL'S SAFETY NET CLINIC PARTNERS IS MARY'S CENTER FOR MATERNAL AND CHILD CARE. ANOTHER PARTNER, MOBILE MEDICAL CARE, INC. (MOBILEMED), OPERATES THREE MOBILE HEALTHCARE VEHICLES AND PROVIDES PRIMARY AND PREVENTATIVE HEALTHCARE TO THE UNINSURED, LOW INCOME, WORKING POOR AND HOMELESS IN MONTGOMERY COUNTY. WE EXPANDED OUR PRENATAL SERVICES IN 2006 BY PARTNERING WITH THE MONTGOMERY COUNTY DEPARTMENT OF HEALTH AND HUMAN SERVICES IN ITS MATERNAL PARTNERSHIPS PROGRAM, A REFERRAL PROGRAM THAT COLLABORATES WITH HOSPITALS TO PROVIDE OBSTETRIC AND GYNECOLOGIC SERVICES FOR UNINSURED WOMEN IN MONTGOMERY COUNTY. WE ALSO PROVIDE HEALTH SERVICES FOR WOMEN IN THE COMMUNITY WITH BREAST CANCER THROUGH A PARTNERSHIP WITH THE KOMEN FOUNDATION. IN ADDITION, ADVENTIST HEALTHCARE AND THE CENTER ON HEALTH DISPARITIES HAVE ONGOING COLLABORATIONS WITH SINAI HOSPITAL OF BALTIMORE, THE UNIVERSITY OF MARYLAND SCHOOL OF PUBLIC HEALTH, AND THE PRIMARY CARE COALITION OF MONTGOMERY COUNTY. PUBLIC HEALTH EXPERTS FROM THESE VARIOUS PARTNER ORGANIZATIONS PROVIDE WASHINGTON ADVENTIST HOSPITAL WITH IMPORTANT INPUT ON THE NEEDS AFFECTING THE HEALTH OF THE COMMUNITIES WE SERVE.WASHINGTON ADVENTIST HOSPITAL'S HEALTH MINISTRY DEPARTMENT PARTNERS WITH FAITH COMMUNITIES OF ALL RELIGIONS, ASSISTING THEM IN ASSESSING THE HEALTH NEEDS OF THEIR CONGREGATIONS AS WELL AS PROVIDING RESOURCES TO HELP IMPLEMENT PROGRAMS THAT ADDRESS THESE NEEDS. SOME OF THE CONGREGATIONS HAVE TRAINED FAITH COMMUNITY NURSES (FCN) THAT NOT ONLY IDENTIFY SPECIFIC NEEDS, BUT PROVIDE EDUCATION, COUNSELING, REFERRAL, AND ADVOCACY SERVICES. THESE FCNS OFTEN FOLLOW UP WITH THEIR CONGREGANTS AFTER A HOSPITALIZATION OR OTHER MEDICAL NEED.IN ADDITION, WE CONVENED AN ADVISORY BOARD TO HELP GUIDE OUR EFFORTS TO REDUCE AND ELIMINATE HEALTH DISPARITIES, TO IDENTIFY COMMUNITY NEEDS, AND TO HELP ASSESS AND DIRECT OUR RESPONSE TO THOSE NEEDS. THE ADVISORY BOARD IS COMPRISED OF BOTH INTERNAL AND EXTERNAL/COMMUNITY LEADERS.ADVENTIST HEALTHCARE COMMUNITY BENEFIT ADVISORY BOARD MEMBERS: > AISHA BIVENS, JD, BSN; ASSOCIATE VICE PRESIDENT OF CLINICAL EFFECTIVENESS; WASHINGTON ADVENTIST HOSPITAL; > PERRY CHAN; SENIOR PROGRAM COORDINATOR, ASIAN AMERICAN HEALTH INITIATIVE; MONTGOMERY COUNTY DEPARTMENT OF HEALTH AND HUMAN SERVICES; > IRENE DANKWA-MULLAN, MD, MPH; DIRECTOR, OFFICE OF INNOVATION AND PROGRAM COORDINATION; NATIONAL INSTITUTE ON MINORITY HEALTH AND HEALTH DISPARITIES; > STEVE GALEN, MS; PRESIDENT AND CEO; PRIMARY CARE COALITION OF MONTGOMERY COUNTY; > CAROL W. GARVEY, MD, MPH; CHAIR; PRIMARY CARE COALITION; > CARLESSIA HUSSEIN, DRPH, RN; DIRECTOR, OFFICE OF MINORITY HEALTH AND HEALTH DISPARITIES; MARYLAND DEPARTMENT OF HEALTH AND MENTAL HYGIENE; > JUDY LICHTY, MPH; REGIONAL DIRECTOR, HEALTH AND WELLNESS; ADVENTIST HEALTHCARE; > SKIP MARGOT, RN, MS; CNE AND VP OF PATIENT CARE SERVICES; SHADY GROVE ADVENTIST HOSPITAL; > SONIA MORA, RN; MANAGER, PUBLIC HEALTH SERVICES/LATINO HEALTH INITIATIVE; MONTGOMERY COUNTY DEPARTMENT OF HEALTH AND HUMAN SERVICES; > RICHARD "DICK" PAVLIN, MHCA; EXECUTIVE DIRECTOR; MERCY HEALTH CLINIC; > OLIVIA CARTER-POKRAS, PHD; ASSOCIATE PROFESSOR; UNIVERSITY OF MARYLAND COLLEGE PARK, SCHOOL OF PUBLIC HEALTH; > HOWARD ROSS; CHIEF LEARNING OFFICER; COOK ROSS, INC.; > TERRENCE P. SHEEHAN, MD; CHIEF MEDICAL OFFICER; ADVENTIST REHABILITATION HOSPITAL OF MARYLAND; > TOM SWEENEY, RN, MBA, FACHE; VICE PRESIDENT CHIEF NURSING OFFICER; WASHINGTON ADVENTIST HOSPITAL; > LOIS A. WESSEL, RN CFNP; ASSOCIATE DIRECTOR FOR PROGRAMS; ASSOCIATION OF CLINICIANS FOR THE UNDERSERVED; IN ADDITION TO THE FORMAL ADVISORY BOARD, THE STAFF OF ADVENTIST HEALTHCARE AND WASHINGTON ADVENTIST HOSPITAL PARTICIPATES IN VARIOUS WAYS IN THE COMMUNITY. WE ACTIVELY PARTICIPATE IN NUMEROUS COMMITTEES, COALITIONS, AND PARTNERSHIPS THAT PROVIDE INFORMATION ON THE HEALTH NEEDS IN THE COMMUNITY. THE HEALTH PROFESSIONALS THAT PROVIDE PROGRAMS IN THE COMMUNITY ALSO PROVIDE VALUABLE INFORMATION AND KNOWLEDGE OF COMMUNITY NEEDS.FINALLY, THE COMMUNITY'S PERSPECTIVE WAS OBTAINED THROUGH A COMMUNITY HEALTH NEEDS ASSESSMENT SURVEY OFFERED TO THE PUBLIC THROUGH POSTINGS ON THIS ORGANIZATION'S FACEBOOK PAGES, NEWSLETTERS, EMAIL LIST SERVES, AND MEETINGS WITH COMMUNITY LEADERS. A 25-ITEM SURVEY, AVAILABLE ONLINE THROUGH SURVEYMONKEY.COM, ASKED COMMUNITY MEMBERS AND COMMUNITY LEADERS ALIKE TO IDENTIFY THEIR SOCIODEMOGRAPHIC INFORMATION, HEALTH NEEDS, PROBLEMS AFFECTING THE HEALTH OF THE COMMUNITY, BARRIERS TO ACCESSING CARE, AND STRENGTHS/RESOURCES IN THE COMMUNITY.
HACKETTSTOWN COMMUNITY HOSPITAL PART V, SECTION B, LINE 3: HACKETTSTOWN COMMUNITY HOSPITAL UNDERTOOK A COMPREHENSIVE COMMUNITY HEALTH NEEDS ASSESSMENT WHICH CONCLUDED IN 2012. THE PURPOSE OF THE STUDY WAS TO GATHER CURRENT STATISTICS AND QUALITATIVE FEEDBACK ON THE KEY HEALTH ISSUES FACING OUR SERVICE MARKET RESIDENTS. LOCAL RESIDENTS WERE ASKED TO PARTICIPATE IN A SURVEY AS WELL AS FOCUS GROUPS ADDRESSING THE ISSUES OF MEN, WOMEN AND DIABETICS. AFTER COMPLETION OF THE COMMUNITY HEALTH NEEDS ASSESSMENT, APPROXIMATELY 25 LEADERS FROM HACKETTSTOWN COMMUNITY HOSPITAL, COMMUNITY AGENCIES AND AREA HEALTHCARE AND SOCIAL SERVICES ORGANIZATIONS MET TO REVIEW AND PRIORITIZE THE FINDINGS AND TO DEVELOP AN IMPLEMENTATION PLAN. THE FOLLOWING KEY STAKEHOLDERS PARTICIPATED IN THE PROCESS:PRESIDENT, HACKETTSTOWN REGIONAL MEDICAL CENTER;CHIEF MEDICAL OFFICER, HRMC;EXECUTIVE DIRECTOR, HRMC;CHIEF NURSING OFFICER;ADMINISTRATIVE DIRECTOR, HRMC;MANAGER, MARKETING AND PUBLIC RELATIONS, HRMC;MANAGER, EDUCATION, HRMC;MANAGER, CARE MANAGEMENT, HRMC;MANAGER, CENTER FOR HEALTHIER LIVING, HRMC;COORDINATOR, HEALTHLINK, HRMC;FINANCIAL COUNSELOR, HRMC;WARREN COUNTY HEALTH DEPARTMENT;WARREN COUNTY AGENCY ON AGING AND DISABILITY;WARREN COUNTY DEPARTMENT OF HUMAN SERVICES;KAREN ANN QUINLAN HOME CARE;KAREN ANN QUINLAN HOSPICE;HACKETTSTOWN POLICE DEPARTMENT;SUPERINTENDENT, HACKETTSTOWN PUBLIC SCHOOLS;COLONIAL MANOR, SENIOR LIVING;DOMESTIC ABUSE AND SEXUAL ASSAULT;FAMILY GUIDANCE CENTER;UNITED WAY OF NORTHERN NJ;WRNJ RADIO;ZUFALL, FEDERALLY QUALIFIED HEALTH CENTER
ADVENTIST REHABILITATION HOSPITAL OF MARYLAND PART V, SECTION B, LINE 3: ADVENTIST HEALTHCARE AND THE CENTER ON HEALTH DISPARITIES HAVE ONGOING COLLABORATIONS WITH SINAI HOSPITAL OF BALTIMORE, THE UNIVERSITY OF MARYLAND SCHOOL OF PUBLIC HEALTH, AND THE PRIMARY CARE COALITION OF MONTGOMERY COUNTY. PUBLIC HEALTH EXPERTS FROM THESE VARIOUS PARTNER ORGANIZATIONS PROVIDE ADVENTIST REHABILITATION HOSPITAL OF MARYLAND WITH IMPORTANT INPUT ON THE NEEDS AFFECTING THE HEALTH OF THE COMMUNITIES WE SERVE.ADVENTIST REHABILITATION HOSPITAL OF MARYLAND'S HEALTH MINISTRY DEPARTMENT PARTNERS WITH FAITH COMMUNITIES OF ALL RELIGIONS, ASSISTING THEM IN ASSESSING THE HEALTH NEEDS OF THEIR CONGREGATIONS AS WELL AS PROVIDING RESOURCES TO HELP IMPLEMENT PROGRAMS THAT ADDRESS THOSE NEEDS. SOME OF THE CONGREGATIONS HAVE TRAINED FAITH COMMUNITY NURSES (FCN) THAT NOT ONLY IDENTIFY SPECIFIC NEEDS, BUT ALSO PROVIDE EDUCATION, COUNSELING, REFERRAL, AND ADVOCACY SERVICES. THESE FCNS OFTEN FOLLOW UP WITH THEIR CONGREGANTS AFTER A HOSPITALIZATION OR OTHER MEDICAL NEED. ADDITIONALLY, ADVENTIST HEALTHCARE CONVENED A COMMUNITY ADVISORY BOARD TO HELP GUIDE OUR EFFORTS TO REDUCE AND ELIMINATE HEALTH DISPARITIES, TO IDENTIFY COMMUNITY NEEDS, AND TO HELP ASSESS AND DIRECT OUR RESPONSE TO THOSE NEEDS. THE ADVISORY BOARD IS COMPRISED OF BOTH INTERNAL AND EXTERNAL/COMMUNITY LEADERS. ADVENTIST HEALTHCARE COMMUNITY BENEFIT ADVISORY BOARD MEMBERS: > AISHA BIVENS, JD, BSN; ASSOCIATE VICE PRESIDENT OF CLINICAL EFFECTIVENESS; WASHINGTON ADVENTIST HOSPITAL; > PERRY CHAN; SENIOR PROGRAM COORDINATOR, ASIAN AMERICAN HEALTH INITIATIVE; MONTGOMERY COUNTY DEPARTMENT OF HEALTH AND HUMAN SERVICES; > IRENE DANKWA-MULLAN, MD, MPH; DIRECTOR, OFFICE OF INNOVATION AND PROGRAM COORDINATION; NATIONAL INSTITUTE ON MINORITY HEALTH AND HEALTH DISPARITIES; > STEVE GALEN, MS; PRESIDENT AND CEO; PRIMARY CARE COALITION OF MONTGOMERY COUNTY; > CAROL W. GARVEY, MD, MPH; CHAIR; PRIMARY CARE COALITION; > CARLESSIA HUSSEIN, DRPH, RN; DIRECTOR, OFFICE OF MINORITY HEALTH AND HEALTH DISPARITIES; MARYLAND DEPARTMENT OF HEALTH AND MENTAL HYGIENE; > JUDY LICHTY, MPH; REGIONAL DIRECTOR, HEALTH AND WELLNESS; ADVENTIST HEALTHCARE; > SKIP MARGOT, RN, MS; CNE AND VP OF PATIENT CARE SERVICES; SHADY GROVE ADVENTIST HOSPITAL; > SONIA MORA, RN; MANAGER, PUBLIC HEALTH SERVICES/LATINO HEALTH INITIATIVE; MONTGOMERY COUNTY DEPARTMENT OF HEALTH AND HUMAN SERVICES; > RICHARD "DICK" PAVLIN, MHCA; EXECUTIVE DIRECTOR; MERCY HEALTH CLINIC; > OLIVIA CARTER-POKRAS, PHD; ASSOCIATE PROFESSOR; UNIVERSITY OF MARYLAND COLLEGE PARK, SCHOOL OF PUBLIC HEALTH; > HOWARD ROSS; CHIEF LEARNING OFFICER; COOK ROSS, INC.; > TERRENCE P. SHEEHAN, MD; CHIEF MEDICAL OFFICER; ADVENTIST REHABILITATION HOSPITAL OF MARYLAND; > TOM SWEENEY, RN, MBA, FACHE; VICE PRESIDENT CHIEF NURSING OFFICER; WASHINGTON ADVENTIST HOSPITAL; > LOIS A. WESSEL, RN CFNP; ASSOCIATE DIRECTOR FOR PROGRAMS; ASSOCIATION OF CLINICIANS FOR THE UNDERSERVED;IN ADDITION TO THE FORMAL ADVISORY BOARD, THE STAFF OF ADVENTIST HEALTHCARE AND ADVENTIST REHABILITATION HOSPITAL OF MARYLAND PARTICIPATES IN VARIOUS WAYS IN THE COMMUNITY. WE ACTIVELY PARTICIPATE IN NUMEROUS COMMITTEES, COALITIONS, AND PARTNERSHIPS THAT PROVIDE INFORMATION ON THE HEALTH NEEDS IN THE COMMUNITY. THE HEALTH PROFESSIONALS THAT PROVIDE PROGRAMS IN THE COMMUNITY ALSO PROVIDE VALUABLE INFORMATION AND KNOWLEDGE OF COMMUNITY NEEDS.FINALLY, THE COMMUNITY'S PERSPECTIVE WAS OBTAINED THROUGH A COMMUNITY HEALTH NEEDS ASSESSMENT SURVEY, CUSTOMER SATISFACTION SURVEYS, AND KEY INFORMANT INTERVIEWS. THE CHNA SURVEY WAS OFFERED TO THE PUBLIC THROUGH POSTINGS ON ADVENTIST HEALTHCARE'S FACEBOOK PAGES, NEWSLETTERS, EMAIL LIST SERVES, AND MEETINGS WITH COMMUNITY LEADERS. A 25-ITEM SURVEY, AVAILABLE ONLINE THROUGH SURVEYMONKEY.COM, ASKED COMMUNITY MEMBERS AND COMMUNITY LEADERS ALIKE TO IDENTIFY THEIR SOCIO-DEMOGRAPHIC INFORMATION, HEALTH NEEDS, PROBLEMS AFFECTING THE HEALTH OF THE COMMUNITY, BARRIERS TO ACCESSING CARE, AND STRENGTHS/RESOURCES IN THE COMMUNITY.
ADVENTIST BEHAVIORAL HEALTH - ROCKVILLE PART V, SECTION B, LINE 3: ADVENTIST BEHAVIORAL HEALTH BELIEVES THAT MENTAL HEALTH CARE IS BEST DELIVERED THROUGH PROGRAMS AND SERVICES THAT ADDRESS THE NEEDS OF THE COMMUNITY IT SERVES. THE COMMUNITY ADVISORY COUNCIL (CAC) WAS FORMED FOR THE PURPOSE OF INCORPORATING FEEDBACK FROM THE COMMUNITY IN THE PLANNING AND DELIVERY OF OUR SERVICES. THROUGH REGULAR AND PRODUCTIVE DIALOGUE WITH OUR CAC, ADVENTIST BEHAVIORAL HEALTH AIMS TO STRENGTHEN ITS EXISTING PROGRAMS AND BETTER ADDRESS GAPS IN MENTAL HEALTH CARE. THE CAC CONSISTS OF 17 MEMBERS WHO HAVE DEMONSTRATED AN INTEREST IN THE MENTAL HEALTH CONCERNS OF THE COMMUNITY THROUGH THEIR PROFESSION OR VOLUNTEER SERVICE. THIS INCLUDES, BUT IS NOT LIMITED TO, FORMER PATIENTS AND/OR THEIR FAMILY MEMBERS, MENTAL HEALTH ADVOCACY GROUPS, COUNTY AND STATE LEADERS, MONTGOMERY COUNTY PUBLIC SCHOOLS, AND MONTGOMERY COUNTY POLICE DEPARTMENT. THE COMMUNITY ADVISORY COUNCIL MEETS BIMONTHLY AT ADVENTIST BEHAVIORAL HEALTH IN ROCKVILLE.THE CURRENT MEMBERS OF ABH ROCKVILLE'S COMMUNITY ADVISORY COUNCIL INCLUDE:> 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;> ABH VICE PRESIDENT OF OPERATIONS;> ABH INTERIM CHIEF NURSING OFFICER AND STAFF EDUCATOR;> ABH COMMUNICATIONS DIRECTOR;> ABH ASSOCIATE VICE PRESIDENT, BUSINESS DEVELOPMENT;> ABH MEDICAL DIRECTOR;> ABH PSYCHIATRIST;> ABH DIRECTOR OF COMMUNITY BASED RESIDENTIAL SERVICES;> ABH DIRECTOR OF ADULT CLINICAL SERVICES;> ABH CHAPLAIN;> ABH ASSOCIATE VICE PRESIDENT, QUALITY AND PATIENT SAFETY AND LOCAL; INTEGRITY/CHIEF PRIVACY OFFICER;ADVENTIST BEHAVIORAL HEALTH, A MEMBER OF ADVENTIST HEALTHCARE, HAS ONGOING PARTNERSHIPS WITH SEVERAL COMMUNITY-BASED ORGANIZATIONS AND HEALTH CARE CLINICS THAT PROVIDE VALUABLE INPUT ON THE HEALTH NEEDS OF COMMUNITY MEMBERS. WE PARTNER WITH CLINICS THAT SERVE THE LOW-INCOME RESIDENTS OF MONTGOMERY COUNTY, MANY OF WHOM ARE LIMITED ENGLISH PROFICIENT AND/OR RACIAL AND ETHNIC MINORITIES. ONE OF ADVENTIST HEALTHCARE'S SAFETY NET CLINIC PARTNERS IS MERCY HEALTH CLINIC, WHICH PROVIDES PRIMARY CARE TO UNINSURED, LOW-INCOME ADULT RESIDENTS OF MONTGOMERY COUNTY. ADVENTIST HEALTHCARE ALSO PARTNERS WITH MERCY HEALTH CLINIC BY PROVIDING FREE DIAGNOSTIC SERVICES/LAB WORK TO THEIR UNINSURED PATIENTS. ANOTHER KEY PARTNER IS MOBILE MEDICAL CARE (MOBILE MED), WHICH OPERATES THREE MOBILE HEALTHCARE VEHICLES AND PROVIDES PRIMARY AND PREVENTATIVE HEALTHCARE TO THE UNINSURED, LOW INCOME, WORKING POOR AND HOMELESS IN MONTGOMERY COUNTY. ADVENTIST HEALTHCARE ALSO PROVIDES HEALTH SERVICES FOR WOMEN IN THE COMMUNITY WITH BREAST CANCER THROUGH A PARTNERSHIP WITH THE KOMEN FOUNDATION. IN ADDITION, ADVENTIST HEALTHCARE AND THE CENTER ON HEALTH DISPARITIES HAVE ONGOING COLLABORATIONS WITH SINAI HOSPITAL OF BALTIMORE, THE UNIVERSITY OF MARYLAND'S SCHOOL OF PUBLIC HEALTH, AND THE PRIMARY CARE COALITION OF MONTGOMERY COUNTY. PUBLIC HEALTH EXPERTS FROM THESE VARIOUS PARTNER ORGANIZATIONS PROVIDE ADVENTIST HEALTHCARE AND ADVENTIST BEHAVIORAL HEALTH WITH IMPORTANT INPUT ON THE NEEDS AFFECTING THE HEALTH OF THE COMMUNITIES WE SERVE.ADVENTIST HEALTHCARE'S HEALTH MINISTRY DEPARTMENT PARTNERS WITH FAITH COMMUNITIES OF ALL RELIGIONS, ASSISTING THEM IN ASSESSING THE HEALTH NEEDS OF THEIR CONGREGATIONS AS WELL AS PROVIDING RESOURCES TO HELP IMPLEMENT PROGRAMS THAT ADDRESS THESE NEEDS. SOME OF THE CONGREGATIONS HAVE TRAINED FAITH COMMUNITY NURSES (FCN) THAT NOT ONLY IDENTIFY SPECIFIC NEEDS, BUT PROVIDE EDUCATION, COUNSELING, REFERRAL, AND ADVOCACY SERVICES. THESE FCNS OFTEN FOLLOW UP WITH THEIR CONGREGANTS AFTER A HOSPITALIZATION OR OTHER MEDICAL NEED. IN ADDITION, ADVENTIST HEALTHCARE CONVENED A COMMUNITY ADVISORY BOARD TO HELP GUIDE OUR EFFORTS TO REDUCE AND ELIMINATE HEALTH DISPARITIES, TO IDENTIFY COMMUNITY NEEDS, AND TO HELP ASSESS AND DIRECT OUR RESPONSE TO THOSE NEEDS. THE ADVISORY BOARD IS COMPRISED OF BOTH INTERNAL AND EXTERNAL/COMMUNITY LEADERS.ADVENTIST HEALTHCARE COMMUNITY BENEFIT ADVISORY BOARD MEMBERS: > AISHA BIVENS, JD, BSN; ASSOCIATE VICE PRESIDENT OF CLINICAL EFFECTIVENESS; WASHINGTON ADVENTIST HOSPITAL; > PERRY CHAN; SENIOR PROGRAM COORDINATOR, ASIAN AMERICAN HEALTH INITIATIVE; MONTGOMERY COUNTY DEPARTMENT OF HEALTH AND HUMAN SERVICES; > IRENE DANKWA-MULLAN, MD, MPH; DIRECTOR, OFFICE OF INNOVATION AND PROGRAM COORDINATION; NATIONAL INSTITUTE ON MINORITY HEALTH AND HEALTH DISPARITIES; > STEVE GALEN, MS; PRESIDENT AND CEO; PRIMARY CARE COALITION OF MONTGOMERY COUNTY; > CAROL W. GARVEY, MD, MPH; CHAIR; PRIMARY CARE COALITION; > CARLESSIA HUSSEIN, DRPH, RN; DIRECTOR, OFFICE OF MINORITY HEALTH AND HEALTH DISPARITIES; MARYLAND DEPARTMENT OF HEALTH AND MENTAL HYGIENE; > JUDY LICHTY, MPH; REGIONAL DIRECTOR, HEALTH AND WELLNESS; ADVENTIST HEALTHCARE; > SKIP MARGOT, RN, MS; CNE AND VP OF PATIENT CARE SERVICES; SHADY GROVE ADVENTIST HOSPITAL; > SONIA MORA, RN; MANAGER, PUBLIC HEALTH SERVICES/LATINO HEALTH INITIATIVE; MONTGOMERY COUNTY DEPARTMENT OF HEALTH AND HUMAN SERVICES; > RICHARD "DICK" PAVLIN, MHCA; EXECUTIVE DIRECTOR; MERCY HEALTH CLINIC; > OLIVIA CARTER-POKRAS, PHD; ASSOCIATE PROFESSOR; UNIVERSITY OF MARYLAND COLLEGE PARK, SCHOOL OF PUBLIC HEALTH; > HOWARD ROSS; CHIEF LEARNING OFFICER; COOK ROSS, INC.; > TERRENCE P. SHEEHAN, MD; CHIEF MEDICAL OFFICER; ADVENTIST REHABILITATION HOSPITAL OF MARYLAND; > TOM SWEENEY, RN, MBA, FACHE; VICE PRESIDENT CHIEF NURSING OFFICER; WASHINGTON ADVENTIST HOSPITAL; > LOIS A. WESSEL, RN CFNP; ASSOCIATE DIRECTOR FOR PROGRAMS; ASSOCIATION OF CLINICIANS FOR THE UNDERSERVED;IN ADDITION TO THE FORMAL ADVISORY BOARD, THE STAFF OF ADVENTIST HEALTHCARE AND ADVENTIST BEHAVIORAL HEALTH PARTICIPATES IN VARIOUS WAYS IN THE COMMUNITY. WE ACTIVELY PARTICIPATE IN NUMEROUS COMMITTEES, COALITIONS, AND PARTNERSHIPS THAT PROVIDE INFORMATION ON THE HEALTH NEEDS IN THE COMMUNITY. THE HEALTH PROFESSIONALS THAT PROVIDE PROGRAMS IN THE COMMUNITY ALSO PROVIDE VALUABLE INFORMATION AND KNOWLEDGE OF COMMUNITY NEEDS. FINALLY, THE COMMUNITY'S PERSPECTIVE WAS OBTAINED THROUGH A COMMUNITY HEALTH NEEDS ASSESSMENT SURVEY OFFERED TO THE PUBLIC THROUGH POSTINGS ON ADVENTIST HEALTHCARE ENTITY FACEBOOK PAGES, NEWSLETTERS, E-MAIL LIST SERVES, AND MEETINGS WITH COMMUNITY LEADERS. A 25-ITEM SURVEY, AVAILABLE ONLINE THROUGH SURVEYMONKEY.COM, ASKED COMMUNITY MEMBERS AND COMMUNITY LEADERS ALIKE TO PROVIDE SOCIODEMOGRAPHIC INFORMATION, HEALTH NEEDS, PROBLEMS AFFECTING THE HEALTH OF THE COMMUNITY, BARRIERS TO ACCESSING CARE, AND STRENGTHS/RESOURCES IN THE COMMUNITY.
ADVENTIST BEHAVIORAL HEALTH - EASTERN SHORE PART V, SECTION B, LINE 3: ADVENTIST BEHAVIORAL HEALTH EASTERN SHORE BELIEVES THAT MENTAL HEALTH CARE IS BEST DELIVERED THROUGH PROGRAMS AND SERVICES THAT ADDRESS THE NEEDS OF THE COMMUNITY IT SERVES. THE LOCAL COMMUNITY ADVISORY BOARD (CAB) OF ADVENTIST BEHAVIORAL HEALTH EASTERN SHORE WAS FORMED FOR THE PURPOSE OF PROVIDING BETTER SERVICES FOR OUR RESIDENTS AND THEIR FAMILIES, THROUGH INTERACTIVE AND PARTICIPATORY INPUT WITHIN THE GROUP AND TO TREAT "SHORE KIDS" ON THE SHORE. THROUGH REGULAR AND PRODUCTIVE DIALOGUE WITH ITS COMMUNITY ADVISORY BOARD, ADVENTIST BEHAVIORAL HEALTH EASTERN SHORE AIMS TO STRENGTHEN ITS EXISTING PROGRAMS AND ADDRESS GAPS IN MENTAL HEALTH CARE. THE COMMUNITY ADVISORY BOARD CONSISTS OF MEMBERS WHO HAVE DEMONSTRATED AN INTEREST IN THE MENTAL HEALTH CONCERNS OF THE COMMUNITY THROUGH THEIR WORK OR VOLUNTEER SERVICES. THIS INCLUDES, BUT IS NOT LIMITED TO: PARENT/FAMILY NAVIGATORS, MID-SHORE MENTAL HEALTH CORE SERVICE AGENCY REPRESENTATIVE, PARENTS OF PATIENTS, DORCHESTER COUNTY DEPARTMENT OF JUVENILE SERVICES PROGRAM SUPERVISOR, WICOMICO SOMERSET REGIONAL CORE SERVICE AGENCY REPRESENTATIVE, DORCHESTER COUNTY DEPARTMENT OF SOCIAL SERVICES REPRESENTATIVE, EASTERN SHORE MOBILE CRISIS REPRESENTATIVE, AND DORCHESTER COUNTY PUBLIC SCHOOLS SPECIAL EDUCATION NON-PUBLIC COORDINATOR. THE COMMUNITY ADVISORY BOARD IS BEING LED BY KEVIN DRUMHELLER, EXECUTIVE DIRECTOR OF ADVENTIST BEHAVIORAL HEALTH EASTERN SHORE, AND BARBARA COLEMAN, SCRIBE. THE COMMUNITY ADVISORY BOARD FOR ADVENTIST BEHAVIORAL HEALTH EASTERN SHORE HELD ITS FIRST MEETING IN NOVEMBER 2012 AND MEETS QUARTERLY.ADDITIONALLY, ADVENTIST BEHAVIORAL HEALTH HAS CONVENED A COMMUNITY ADVISORY BOARD TO HELP GUIDE OUR EFFORTS TO PROVIDE NEEDED SERVICES TO THE EASTERN SHORE. THE COMMUNITY ADVISORY BOARD IS COMPRISED OF EXTERNAL COMMUNITY LEADERS AND FAMILY MEMBERS OF CHILDREN PLACED IN OUR FACILITY.ADVENTIST BEHAVIORAL HEALTH EASTERN SHORE COMMUNITY ADVISORY BOARD MEMBERS: > 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 ADVENTIST BEHAVIORAL HEALTH PARTICIPATES IN VARIOUS WAYS IN THE COMMUNITY. WE ACTIVELY PARTICIPATE IN NUMEROUS COMMITTEES, COALITIONS, AND PARTNERSHIPS THAT PROVIDE INFORMATION ON THE HEALTH NEEDS IN THE COMMUNITY. THE HEALTH PROFESSIONALS THAT PROVIDE PROGRAMS IN THE COMMUNITY ALSO PROVIDE VALUABLE INFORMATION AND KNOWLEDGE OF COMMUNITY NEEDS.
SHADY GROVE ADVENTIST HOSPITAL PART V, SECTION B, LINE 5D: A HARD COPY OF THE CHNA IS ALSO AVAILABLE UPON REQUEST FROM THE ADVENTIST HEALTHCARE SUPPORT CENTER WHICH IS LOCATED AT: 820 WEST DIAMOND AVENUE,4TH FLOOR,GAITHERSBURG, MD 20878;PART V, SECTION B, LINE 5A: THE CHNA REPORT CAN BE FOUND ON EITHER ONE OF THESE URLS: HTTP://WWW.ADVENTISTHEALTHCARE.COM/APP/FILES/PUBLIC/3166/2013-CHNA-SGAH.PDF,OR,HTTP://WWW.ADVENTISTHEALTHCARE.COM/ABOUT/COMMUNITY/HEALTH-NEEDS-ASSESSMENT
WASHINGTON ADVENTIST HOSPITAL PART V, SECTION B, LINE 5D: A HARD COPY OF THE CHNA IS ALSO AVAILABLE UPON REQUEST FROM THE ADVENTIST HEALTHCARE SUPPORT CENTER WHICH IS LOCATED AT: 820 WEST DIAMOND AVENUE4TH FLOORGAITHERSBURG, MD 20878PART V, SECTION B, LINE 5A: THE CHNA REPORT CAN BE FOUND ON EITHER ONE OF THESE URLS: HTTP://WWW.ADVENTISTHEALTHCARE.COM/APP/FILES/PUBLIC/3167/2013-CHNA-WAH.PDF,OR,HTTP://WWW.ADVENTISTHEALTHCARE.COM/ABOUT/COMMUNITY/HEALTH-NEEDS-ASSESSMENT
ADVENTIST REHABILITATION HOSPITAL OF MARYLAND PART V, SECTION B, LINE 5D: A HARD COPY OF THE CHNA IS ALSO AVAILABLE UPON REQUEST FROM THE ADVENTIST HEALTHCARE SUPPORT CENTER WHICH IS LOCATED AT: 820 WEST DIAMOND AVENUE4TH FLOORGAITHERSBURG, MD 20878PART V, SECTION B, LINE 5A: THE CHNA REPORT CAN BE FOUND ON EITHER ONE OF THESE URLS: HTTP://WWW.ADVENTISTHEALTHCARE.COM/APP/FILES/PUBLIC/3275/2013-CHNA-ARHM.PDF,OR,HTTP://WWW.ADVENTISTHEALTHCARE.COM/ABOUT/COMMUNITY/HEALTH-NEEDS-ASSESSMENT
ADVENTIST BEHAVIORAL HEALTH - ROCKVILLE PART V, SECTION B, LINE 5D: A HARD COPY OF THE CHNA IS ALSO AVAILABLE UPON REQUEST FROM THE ADVENTIST HEALTHCARE SUPPORT CENTER WHICH IS LOCATED AT: 820 WEST DIAMOND AVENUE4TH FLOORGAITHERSBURG, MD 20878PART V, SECTION B, LINE 5A: THE CHNA REPORT CAN BE FOUND ON EITHER ONE OF THESE URLS: HTTP://WWW.ADVENTISTHEALTHCARE.COM/APP/FILES/PUBLIC/3274/2013-CHNA-ABH-RV.PDF,OR,HTTP://WWW.ADVENTISTHEALTHCARE.COM/ABOUT/COMMUNITY/HEALTH-NEEDS-ASSESSMENT
ADVENTIST BEHAVIORAL HEALTH - EASTERN SHORE PART V, SECTION B, LINE 5D: A HARD COPY OF THE CHNA IS ALSO AVAILABLE UPON REQUEST FROM THE ADVENTIST HEALTHCARE SUPPORT CENTER WHICH IS LOCATED AT: 820 WEST DIAMOND AVENUE4TH FLOORGAITHERSBURG, MD 20878PART V, SECTION B, LINE 5A: THE CHNA REPORT CAN BE FOUND ON EITHER ONE OF THESE URLS: HTTP://WWW.ADVENTISTHEALTHCARE.COM/APP/FILES/PUBLIC/3273/2013-CHNA-ABH-ES.PDF,OR,HTTP://WWW.ADVENTISTHEALTHCARE.COM/ABOUT/COMMUNITY/HEALTH-NEEDS-ASSESSMENT
SHADY GROVE ADVENTIST HOSPITAL PART V, SECTION B, LINE 7: AREAS OF NEED NOT DIRECTLY ADDRESSED BY SHADY GROVE ADVENTIST HOSPITAL AND THE RATIONALE ARE LISTED BELOW. FOR ADDITIONAL DETAILS INCLUDING THE CHNA FINDINGS, GOALS, AND RELEVANT LOCALLY AVAILABLE RESOURCES PLEASE SEE SHADY GROVE ADVENTIST HOSPITAL'S IMPLEMENTATION STRATEGY WHICH CAN BE FOUND HERE: HTTP://WWW.ADVENTISTHEALTHCARE.COM/APP/FILES/PUBLIC/3339/2013-CHNA-SGAH-IMPLEMENTATIONSTRATEGY.PDF -ASTHMA: SGAH DOES NOT CURRENTLY PROVIDE COMMUNITY OUTREACH AND EDUCATIONAL PROGRAMS SPECIFICALLY FOR ASTHMA BECAUSE ASTHMA PREVALENCE AND RATES OF ED VISITS IN MONTGOMERY COUNTY ARE BELOW RATES STATEWIDE, AND BECAUSE THERE ARE OTHER ASTHMA RESOURCES AVAILABLE IN THE COUNTY. SGAH WILL CONTINUE TO MONITOR TRENDS IN ASTHMA TO DETERMINE WHETHER FUTURE REALLOCATION OF RESOURCES IS NEEDED TO PROVIDE ASTHMA-RELATED COMMUNITY PROGRAMS.-HIV/AIDS: SGAH DOES NOT CURRENTLY PROVIDE COMMUNITY OUTREACH AND EDUCATIONAL PROGRAMS FOR HIV/AIDS DUE TO LIMITED FINANCIAL RESOURCES. ADVENTIST HEALTHCARE'S CENTER ON HEALTH DISPARITIES LED AN INITIATIVE CALLED PROJECT BEAT IT! (BECOMING EMPOWERED AFRICANS THROUGH IMPROVED TREATMENT OF TYPE 2 DIABETES, HIV/AIDS, AND HEPATITIS B), WHICH WAS A GRANT-FUNDED INITIATIVE FROM U.S. DHHS OFFICE OF MINORITY HEALTH THAT PROVIDED CULTURALLY APPROPRIATE HEALTH EDUCATION CLASSES TO HEALTH CARE PROVIDERS AND THE AFRICAN IMMIGRANT COMMUNITY TO IMPROVE HEALTH OUTCOMES RELATED TO THESE CHRONIC AND INFECTIOUS DISEASES. THE 20-MONTH GRANT FUNDED PROJECT ENDED IN SEPTEMBER 2013.-BEHAVIORAL HEALTH: SGAH DOES NOT PROVIDE BEHAVIORAL HEALTH SERVICES BECAUSE THESE SERVICES ARE ALREADY PROVIDED BY THE NEIGHBORING SPECIALTY CARE HOSPITAL WITHIN ITS HOSPITAL SYSTEM, ADVENTIST BEHAVIORAL HEALTH. IN ADDITION TO ADVENTIST BEHAVIORAL HEALTH, THERE ARE MANY ORGANIZATIONS THAT PROVIDE BEHAVIORAL HEALTH SERVICES WITHIN THE SGAH SERVICE AREA.-SOCIAL DETERMINANTS OF HEALTH (FOOD ACCESS; HOUSING QUALITY; EDUCATION; TRANSPORT): SGAH DOES NOT DIRECTLY ADDRESS MANY OF THE SOCIAL DETERMINANTS OF HEALTH BECAUSE THOSE ARE NOT SPECIALTY AREAS OF THE HOSPITAL AND SGAH DOES NOT HAVE THE RESOURCES OR EXPERTISE TO MEET MANY OF THESE NEEDS. INSTEAD, SGAH PARTNERS WITH AND SUPPORT OTHER ORGANIZATIONS IN THE COMMUNITY THAT SPECIALIZE IN ADDRESSING NEEDS RELATED TO FOOD ACCESS, HOUSING QUALITY, EDUCATION, TRANSPORTATION, AND OTHER SOCIAL DETERMINANTS OF HEALTH.
WASHINGTON ADVENTIST HOSPITAL PART V, SECTION B, LINE 7: AREAS OF NEED NOT DIRECTLY ADDRESSED BY WASHINGTON ADVENTIST HOSPITAL AND THE RATIONALE ARE LISTED BELOW. FOR ADDITIONAL DETAILS INCLUDING THE CHNA FINDINGS, GOALS, AND RELEVANT LOCALLY AVAILABLE RESOURCES PLEASE SEE WASHINGTON ADVENTIST HOSPITAL'S IMPLEMENTATION STRATEGY WHICH CAN BE FOUND HERE: HTTP://WWW.ADVENTISTHEALTHCARE.COM/APP/FILES/PUBLIC/3338/2013-CHNA-WAH- IMPLEMENTATIONSTRATEGY.PDF > 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.
HACKETTSTOWN COMMUNITY HOSPITAL PART V, SECTION B, LINE 7: HEALTH NEEDS IDENTIFIED AS LOW PRIORITY TO BE CONSIDERED FOR THE FUTURE DUE TO LACK OF RESOURCES AND/OR EXPERTISE AT THIS TIME:TRANSPORTATION BARRIERS;ELDER ABUSE;LIMITED SUBSTANCE ABUSE TREATMENT AND RESOURCES (ALSO NOTING CO-MORBIDITY WITH MENTAL HEALTH ISSUES);PROMINENT MENTAL HEALTH ISSUES (NOTING CONNECTION BETWEEN PHYSICAL AND MENTAL WELL-BEING);UNCOORDINATED CARE ACROSS PROVIDERS (FOR NON-CHRONIC CONDITIONS)
ADVENTIST REHABILITATION HOSPITAL OF MARYLAND PART V, SECTION B, LINE 7: AREAS OF NEED NOT DIRECTLY ADDRESSED BY ADVENTIST REHABILITATION HOSPITAL OF MARYLAND AND THE RATIONALE ARE LISTED BELOW. FOR ADDITIONAL DETAILS INCLUDING THE CHNA FINDINGS, GOALS, AND RELEVANT LOCALLY AVAILABLE RESOURCES PLEASE SEE ADVENTIST REHABILITATION HOSPITAL OF MARYLAND'S IMPLEMENTATION STRATEGY WHICH CAN BE FOUND HERE: HTTP://WWW.ADVENTISTHEALTHCARE.COM/APP/FILES/PUBLIC/3446/2013-CHNA-ARHM-IMPLEMENTATIONSTRATEGY.PDF > ASTHMA: ARHM DOES NOT CURRENTLY DIRECTLY ADDRESS ASTHMA BECAUSE IT IS NOT A SPECIALTY AREA OF THE HOSPITAL. SUFFICIENT RESOURCES AND EXPERTISE ARE NOT AVAILABLE TO MEET THESE NEEDS. ADDITIONAL RESOURCES ARE AVAILABLE IN THE COMMUNITY.> INFLUENZA: ARHM DOES NOT DIRECTLY PROVIDE INFLUENZA SERVICES AS THEY FALL OUTSIDE THE SCOPE OF THE HOSPITAL AS A REHABILITATION CENTER. INFLUENZA SERVICES ARE ALREADY PROVIDED BY THE ACUTE CARE HOSPITALS IN THE ADVENTIST HEALTHCARE SYSTEM, SHADY GROVE ADVENTIST HOSPITAL AND WASHINGTON ADVENTIST HOSPITAL, AS WELL AS BY SEVERAL OTHER ORGANIZATIONS IN ARHM'S SERVICE AREA.> HIV/AIDS: ARHM DOES NOT PROVIDE HIV/AIDS SERVICES AS THEY FALL OUTSIDE THE SCOPE OF THE HOSPITAL AS A REHABILITATION CENTER. HIV/AIDS SERVICES ARE ALREADY PROVIDED BY OTHER ENTITIES IN THE ADVENTIST HEALTHCARE NETWORK, AS WELL AS BY SEVERAL OTHER ORGANIZATIONS IN ARHM'S SERVICE AREA.> MATERNAL AND INFANT HEALTH: ARHM DOES NOT PROVIDE MATERNAL AND INFANT SERVICES AS THEY FALL OUTSIDE THE SCOPE OF THE HOSPITAL AS A REHABILITATION CENTER. A FULL SPECTRUM OF MATERNAL AND INFANT SERVICES IS ALREADY PROVIDED BY SHADY GROVE ADVENTIST HOSPITAL, AS WELL AS BY SEVERAL OTHER ORGANIZATIONS IN ARHM'S SERVICE AREA.> BEHAVIORAL HEALTH: ARHM DOES NOT PROVIDE BEHAVIORAL HEALTH SERVICES BECAUSE THESE SERVICES ARE ALREADY PROVIDED BY A NEIGHBORING SPECIALTY CARE HOSPITAL WITHIN ITS HOSPITAL SYSTEM, ADVENTIST BEHAVIORAL HEALTH. IN ADDITION TO ADVENTIST BEHAVIORAL HEALTH, THERE ARE MANY ORGANIZATIONS THAT PROVIDE BEHAVIORAL HEALTH SERVICES WITHIN THE ARHM SERVICE AREA.> SENIOR HEALTH: ARHM DOES NOT DIRECTLY PROVIDE SENIOR CARE COMMUNITY OUTREACH SERVICES AS THEY FALL OUTSIDE THE SCOPE OF THE HOSPITAL AS A REHABILITATION CENTER. MANY OLDER ADULTS AND SENIORS ARE SERVED BY VARIOUS PROGRAMS AT ARHM, ALTHOUGH THESE NOT SPECIFICALLY/EXCLUSIVELY OFFERED TO SENIORS. SENIOR HEALTH SERVICES ARE ALREADY PROVIDED BY OTHER ENTITIES IN THE ADVENTIST HEALTHCARE NETWORK, AS WELL AS BY SEVERAL OTHER ORGANIZATIONS IN ARHM'S SERVICE AREA.> SOCIAL DETERMINANTS OF HEALTH (FOOD ACCESS; HOUSING QUALITY; EDUCATION; TRANSPORTATION): ARHM DOES NOT DIRECTLY ADDRESS MANY OF THE SOCIAL DETERMINANTS OF HEALTH AS THEY FALL OUTSIDE THE SPECIALTY AREAS OF THE HOSPITAL AND ARHM DOES NOT HAVE THE RESOURCES OR EXPERTISE TO MEET THOSE NEEDS. INSTEAD ARHM SUPPORTS AND PARTNERS WITH OTHER ORGANIZATIONS IN THE COMMUNITY THAT SPECIALIZE IN ADDRESSING NEEDS RELATED TO FOOD ACCESS, HOUSING QUALITY, EDUCATION, AND TRANSPORTATION.
ADVENTIST BEHAVIORAL HEALTH - ROCKVILLE PART V, SECTION B, LINE 7: AREAS OF NEED NOT DIRECTLY ADDRESSED BY ADVENTIST BEHAVIORAL HEALTH ROCKVILLE AND THE RATIONALE ARE LISTED BELOW. FOR ADDITIONAL DETAILS INCLUDING THE CHNA FINDINGS, GOALS, AND RELEVANT LOCALLY AVAILABLE RESOURCES PLEASE SEE ADVENTIST BEHAVIORAL HEALTH ROCKVILLE'S IMPLEMENTATION STRATEGY WHICH CAN BE FOUND HERE: HTTP://WWW.ADVENTISTHEALTHCARE.COM/APP/FILES/PUBLIC/3447/2013-CHNA-ABH-RV-IMPLEMENTATIONSTRATEGY.PDF > CANCER: ABH ROCKVILLE DOES NOT PROVIDE DIRECT SERVICES AROUND CANCER AS THEY FALL OUTSIDE THE SCOPE OF THE HOSPITAL AS A BEHAVIORAL HEALTH CENTER. CANCER SERVICES ARE ALREADY PROVIDED BY OTHER ENTITIES IN THE ADVENTIST HEALTHCARE NETWORK, AS WELL AS BY SEVERAL OTHER ORGANIZATIONS IN ABH ROCKVILLE'S SERVICE AREA.> HEART DISEASE & STROKE: ABH ROCKVILLE DOES NOT PROVIDE HEART DISEASE AND STROKE SERVICES AS THEY FALL OUTSIDE THE SCOPE OF THE HOSPITAL AS A BEHAVIORAL HEALTH CENTER. HEART DISEASE AND STROKE SERVICES ARE ALREADY PROVIDED BY OTHER ENTITIES IN THE ADVENTIST HEALTHCARE NETWORK, AS WELL AS BY SEVERAL OTHER ORGANIZATIONS IN ABH ROCKVILLE'S SERVICE AREA.> DIABETES: ABH ROCKVILLE DOES NOT DIRECTLY PROVIDE DIABETES SERVICES AS THEY FALL OUTSIDE THE SCOPE OF THE HOSPITAL AS A BEHAVIORAL HEALTH CENTER. DIABETES SERVICES ARE ALREADY PROVIDED BY OTHER ENTITIES IN THE ADVENTIST HEALTHCARE NETWORK, AS WELL AS BY SEVERAL OTHER ORGANIZATIONS IN ABH ROCKVILLE'S SERVICE AREA.> OBESITY: ABH ROCKVILLE DOES NOT DIRECTLY PROVIDE OBESITY SERVICES AS THEY FALL OUTSIDE THE SCOPE OF THE HOSPITAL AS A BEHAVIORAL HEALTH CENTER. OBESITY SERVICES ARE ALREADY PROVIDED BY OTHER ENTITIES IN THE ADVENTIST HEALTHCARE NETWORK, AS WELL AS BY SEVERAL OTHER ORGANIZATIONS IN ABH ROCKVILLE'S SERVICE AREA.> ASTHMA: ABH ROCKVILLE DOES NOT DIRECTLY PROVIDE ASTHMA SERVICES AS THEY FALL OUTSIDE THE SCOPE OF THE HOSPITAL AS A BEHAVIORAL HEALTH CENTER. ASTHMA SERVICES ARE ALREADY PROVIDED BY OTHER ENTITIES IN THE ADVENTIST HEALTHCARE NETWORK, AS WELL AS BY SEVERAL OTHER ORGANIZATIONS IN ABH ROCKVILLE'S SERVICE AREA.> INFLUENZA: ABH ROCKVILLE DOES NOT DIRECTLY PROVIDE INFLUENZA SERVICES AS THEY FALL OUTSIDE THE SCOPE OF THE HOSPITAL AS A BEHAVIORAL HEALTH CENTER. INFLUENZA SERVICES ARE ALREADY PROVIDED BY OTHER ENTITIES IN THE ADVENTIST HEALTHCARE NETWORK, AS WELL AS BY SEVERAL OTHER ORGANIZATIONS IN ABH ROCKVILLE'S SERVICE AREA.> HIV/AIDS: ABH ROCKVILLE DOES NOT PROVIDE HIV/AIDS SERVICES AS THEY FALL OUTSIDE THE SCOPE OF THE HOSPITAL AS A BEHAVIORAL HEALTH CENTER. HIV/AIDS SERVICES ARE ALREADY PROVIDED BY OTHER ENTITIES IN THE ADVENTIST HEALTHCARE NETWORK, AS WELL AS BY SEVERAL OTHER ORGANIZATIONS IN ABH ROCKVILLE'S SERVICE AREA.> MATERNAL AND INFANT HEALTH: ABH ROCKVILLE DOES NOT PROVIDE MATERNAL AND INFANT SERVICES AS THEY FALL OUTSIDE THE SCOPE OF THE HOSPITAL AS A BEHAVIORAL HEALTH CENTER. A FULL SPECTRUM OF MATERNAL AND INFANT SERVICES IS ALREADY PROVIDED BY SHADY GROVE ADVENTIST HOSPITAL, AS WELL AS BY SEVERAL OTHER ORGANIZATIONS IN ABH ROCKVILLE'S SERVICE AREA.> SENIOR HEALTH: ABH ROCKVILLE DOES NOT DIRECTLY PROVIDE SENIOR CARE COMMUNITY OUTREACH SERVICES AS THEY FALL OUTSIDE THE SCOPE OF THE HOSPITAL AS A BEHAVIORAL HEALTH CENTER. SENIOR HEALTH SERVICES ARE ALREADY PROVIDED BY OTHER ENTITIES IN THE ADVENTIST HEALTHCARE NETWORK, AS WELL AS BY SEVERAL OTHER ORGANIZATIONS IN ABH ROCKVILLE'S SERVICE AREA.> SOCIAL DETERMINANTS OF HEALTH (FOOD ACCESS; HOUSING QUALITY; EDUCATION; TRANSPORTATION): ABH ROCKVILLE DOES NOT DIRECTLY ADDRESS MANY OF THE SOCIAL DETERMINANTS OF HEALTH AS THEY FALL OUTSIDE THE SPECIALTY AREAS OF THE HOSPITAL. ABH ROCKVILLE DOES NOT HAVE THE RESOURCES OR EXPERTISE TO MEET THOSE NEEDS. INSTEAD ABH ROCKVILLE SUPPORTS AND PARTNERS WITH OTHER ORGANIZATIONS IN THE COMMUNITY THAT SPECIALIZE IN ADDRESSING NEEDS RELATED TO FOOD ACCESS, HOUSING QUALITY, EDUCATION, AND TRANSPORTATION.
ADVENTIST BEHAVIORAL HEALTH - EASTERN SHORE PART V, SECTION B, LINE 7: AREAS OF NEED NOT DIRECTLY ADDRESSED BY ADVENTIST BEHAVIORAL HEALTH EASTERN SHORE AND THE RATIONALE ARE LISTED BELOW. FOR ADDITIONAL DETAILS INCLUDING THE CHNA FINDINGS, GOALS, AND RELEVANT LOCALLY AVAILABLE RESOURCES PLEASE SEE ADVENTIST BEHAVIORAL HEALTH EASTERN SHORE'S IMPLEMENTATION STRATEGY WHICH CAN BE FOUND HERE: HTTP://WWW.ADVENTISTHEALTHCARE.COM/APP/FILES/PUBLIC/3448/2013-CHNA-ABH-ES-IMPLEMENTATIONSTRATEGY.PDF > CANCER: ABH EASTERN SHORE DOES NOT PROVIDE DIRECT SERVICES AROUND CANCER AS THEY FALL OUTSIDE THE SCOPE OF THE HOSPITAL AS A BEHAVIORAL HEALTH CENTER. CANCER SERVICES ARE ALREADY PROVIDED BY OTHER LOCAL HOSPITAL, GOVERNMENT AND COMMUNITY ENTITIES IN THE ABH EASTERN SHORE SERVICE AREA.> HEART DISEASE & STROKE: ABH EASTERN SHORE DOES NOT PROVIDE DIRECT SERVICES AROUND HEART DISEASE AND STROKE AS THEY FALL OUTSIDE THE SCOPE OF THE HOSPITAL AS A BEHAVIORAL HEALTH CENTER. HEART DISEASE AND STROKE SERVICES ARE ALREADY PROVIDED BY OTHER LOCAL HOSPITAL, GOVERNMENT AND COMMUNITY ENTITIES IN THE ABH EASTERN SHORE SERVICE AREA.> DIABETES: ABH EASTERN SHORE DOES NOT PROVIDE DIRECT SERVICES AROUND DIABETES AS THEY FALL OUTSIDE THE SCOPE OF THE HOSPITAL AS A BEHAVIORAL HEALTH CENTER. SERVICES FOR THOSE AFFECTED BY DIABETES ARE ALREADY PROVIDED BY OTHER LOCAL HOSPITAL, GOVERNMENT AND COMMUNITY ENTITIES IN THE ABH EASTERN SHORE SERVICE AREA.> OBESITY: ABH EASTERN SHORE DOES NOT PROVIDE DIRECT SERVICES AROUND OBESITY AS THEY FALL OUTSIDE THE SCOPE OF THE HOSPITAL AS A BEHAVIORAL HEALTH CENTER. SERVICES FOR THOSE WHO ARE OVERWEIGHT OR OBESE ARE ALREADY PROVIDED BY OTHER LOCAL HOSPITAL, GOVERNMENT AND COMMUNITY ENTITIES IN THE ABH EASTERN SHORE SERVICE AREA.> ASTHMA: ABH EASTERN SHORE DOES NOT CURRENTLY DIRECTLY ADDRESS ASTHMA BECAUSE IT IS NOT A SPECIALTY AREA OF THE HOSPITAL. SUFFICIENT RESOURCES AND EXPERTISE ARE NOT AVAILABLE TO MEET THESE NEEDS. ADDITIONAL RESOURCES ARE AVAILABLE IN THE COMMUNITY.> INFLUENZA: ABH EASTERN SHORE DOES NOT PROVIDE INFLUENZA SERVICES AS THEY FALL OUTSIDE THE SCOPE OF THE HOSPITAL AS A BEHAVIORAL HEALTH CENTER. INFLUENZA SERVICES ARE ALREADY AVAILABLE THROUGH MULTIPLE PROVIDERS IN THE ABH EASTERN SHORE SERVICE AREA.> HIV/AIDS: ABH EASTERN SHORE DOES NOT PROVIDE DIRECT SERVICES AROUND HIV/AIDS AS THEY FALL OUTSIDE THE SCOPE OF THE HOSPITAL AS A BEHAVIORAL HEALTH CENTER. SERVICES AROUND HIV/AIDS ARE ALREADY PROVIDED BY OTHER LOCAL HOSPITAL, GOVERNMENT AND COMMUNITY ENTITIES IN THE ABH EASTERN SHORE SERVICE AREA.> POPULATION HEALTH (MATERNAL AND INFANT HEALTH; SENIOR HEALTH): ABH EASTERN SHORE DOES NOT DIRECTLY PROVIDE MATERNAL AND INFANT SERVICES OR SENIOR HEALTH SERVICES AS THEY FALL OUTSIDE THE SCOPE OF THE HOSPITAL AS A BEHAVIORAL HEALTH CENTER. SEVERAL RESOURCES FOR MATERNAL, INFANT AND SENIOR HEALTH ARE AVAILABLE THROUGH COMMUNITY AND GOVERNMENT ORGANIZATIONS IN THE ABH EASTERN SHORE SERVICE AREA.> SOCIAL DETERMINANTS OF HEALTH (FOOD ACCESS; HOUSING QUALITY; EDUCATION; TRANSPORTATION): ABH EASTERN SHORE DOES NOT DIRECTLY ADDRESS MANY OF THE SOCIAL DETERMINANTS OF HEALTH AS THEY FALL OUTSIDE THE SPECIALTY AREAS OF THE HOSPITAL AND SUFFICIENT RESOURCES AND EXPERTISE ARE NOT AVAILABLE. INSTEAD ABH EASTERN SHORE SUPPORTS AND PARTNERS WITH OTHER ORGANIZATIONS IN THE COMMUNITY THAT SPECIALIZE IN ADDRESSING NEEDS RELATED TO FOOD ACCESS, HOUSING QUALITY, EDUCATION AND TRANSPORTATION.
SHADY GROVE ADVENTIST HOSPITAL PART V, SECTION B, LINE 14G: THE POLICY IS ALSO STRATEGICALLY POSTED AT OUR PATIENTS FINANCIAL SERVICES OFFICE.
WASHINGTON ADVENTIST HOSPITAL PART V, SECTION B, LINE 14G: THE POLICY IS ALSO STRATEGICALLY POSTED AT OUR PATIENTS FINANCIAL SERVICES OFFICE.
ADVENTIST REHABILITATION HOSPITAL OF MARYLAND PART V, SECTION B, LINE 14G: THE POLICY IS ALSO STRATEGICALLY POSTED AT OUR PATIENTS FINANCIAL SERVICES OFFICE.
ADVENTIST BEHAVIORAL HEALTH - ROCKVILLE PART V, SECTION B, LINE 14G: THE POLICY IS ALSO STRATEGICALLY POSTED AT OUR PATIENTS FINANCIAL SERVICES OFFICE.
ADVENTIST BEHAVIORAL HEALTH - EASTERN SHORE PART V, SECTION B, LINE 14G: THE POLICY IS ALSO STRATEGICALLY POSTED AT OUR PATIENTS FINANCIAL SERVICES OFFICE.
SHADY GROVE ADVENTIST HOSPITAL PART V, SECTION B, LINE 20D: BECAUSE MARYLAND IS AN ALL-PAYOR RATE REGULATED STATE, ALL INDIVIDUALS, REGARDLESS OF THEIR PAYER TYPE, ARE CHARGED THE RATES ESTABLISHED BY THE MARYLAND HEALTH SERVICES COST REVIEW COMMISSION (HSCRC). THE HSCRC RATE SYSTEM IS USED TO DETERMINE THE MAXIMUM AMOUNTS THAT CAN BE CHARGED.
WASHINGTON ADVENTIST HOSPITAL PART V, SECTION B, LINE 20D: BECAUSE MARYLAND IS AN ALL-PAYOR RATE REGULATED STATE, ALL INDIVIDUALS, REGARDLESS OF THEIR PAYER TYPE, ARE CHARGED THE RATES ESTABLISHED BY THE MARYLAND HEALTH SERVICES COST REVIEW COMMISSION (HSCRC). THE HSCRC RATE SYSTEM IS USED TO DETERMINE THE MAXIMUM AMOUNTS THAT CAN BE CHARGED.
ADVENTIST REHABILITATION HOSPITAL OF MARYLAND PART V, SECTION B, LINE 20D: BECAUSE MARYLAND IS AN ALL-PAYOR RATE REGULATED STATE, ALL INDIVIDUALS, REGARDLESS OF THEIR PAYER TYPE, ARE CHARGED THE RATES ESTABLISHED BY THE MARYLAND HEALTH SERVICES COST REVIEW COMMISSION (HSCRC). THE HSCRC RATE SYSTEM IS USED TO DETERMINE THE MAXIMUM AMOUNTS THAT CAN BE CHARGED.
ADVENTIST BEHAVIORAL HEALTH - ROCKVILLE PART V, SECTION B, LINE 20D: BECAUSE MARYLAND IS AN ALL-PAYOR RATE REGULATED STATE, ALL INDIVIDUALS, REGARDLESS OF THEIR PAYER TYPE, ARE CHARGED THE RATES ESTABLISHED BY THE MARYLAND HEALTH SERVICES COST REVIEW COMMISSION (HSCRC). THE HSCRC RATE SYSTEM IS USED TO DETERMINE THE MAXIMUM AMOUNTS THAT CAN BE CHARGED.
ADVENTIST BEHAVIORAL HEALTH - EASTERN SHORE PART V, SECTION B, LINE 20D: BECAUSE MARYLAND IS AN ALL-PAYOR RATE REGULATED STATE, ALL INDIVIDUALS, REGARDLESS OF THEIR PAYER TYPE, ARE CHARGED THE RATES ESTABLISHED BY THE MARYLAND HEALTH SERVICES COST REVIEW COMMISSION (HSCRC). THE HSCRC RATE SYSTEM IS USED TO DETERMINE THE MAXIMUM AMOUNTS THAT CAN BE CHARGED.
Schedule H (Form 990) 2013
Schedule H (Form 990) 2013
Page
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 ADVENTIST BEHAVIORAL HEALTH AT ANNE ARUN
14 ROMIG DRIVE
CROWNSVILLE,MD21032 		BEHAVIORAL TREATMENT FACILITY
2 REGINALD S LOURIE CENTER FOR INFANTS AN
12301 ACADEMY WAY
ROCKVILLE,MD20852 		INFANT AND YOUNG CHILDREN DEVELOPMENT CARE CENTER.
3 SHADY GROVE ADVENTIST RADIATION ONCOLOGY
40 WEST GUDE DR
ROCKVILLE,MD20850 		OUTPATIENT CANCER TREATMET CENTER
4 SHADY GROVE ADVENTIST EMERGENCY CTR
19731 GERMANTOWN ROAD
GERMANTOWN,MD20874 		FREE STANDING ER CENTER
5 ADVENTIST HOME HEALTH SERVICES
12041 BORNEFIELD WAY SUITE B
SILVER SPRING,MD20904 		HOME HEALTH SERVICES
6 ADVENTIST REHABILITATION INC
831 E UNIVERSITY BOULEVARD 14
SILVER SPRING,MD20903 		REHABILITATION
7
8
9
10
Schedule H (Form 990) 2013
Schedule H (Form 990) 2013
Page
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, AHC ALSO CONSIDERS CIRCUMSTANCES BEYOND INCOME. OUR CIRCUMSTANCES COULD INCLUDE THE NEEDS OF THE PATIENT AND/OR FAMILY AND OTHER FINANCIAL RESOURCES. IT IS OUR MISSION TO PROVIDE NECESSARY MEDICAL CARE TO THOSE WHO ARE UNABLE TO PAY FOR THAT CARE. IN GENERAL, AHC HAS 15 LEVELS OF FINANCIAL ASSISTANCE. THEY ARE AS FOLLOW:- ANNUAL INCOME <= 1.0X OF FPL, 0% PATIENT RESPONSIBILITY- ANNUAL INCOME > 1.00X AND <= 1.25X OF FPL, 0% PATIENT RESPONSIBILITY- ANNUAL INCOME > 1.25X AND <= 1.50X OF FPL, 0% PATIENT RESPONSIBILITY- ANNUAL INCOME > 1.50X AND <= 1.75X OF FPL, 0% PATIENT RESPONSIBILITY- ANNUAL INCOME > 1.75X AND <= 2.00X OF FPL, 0% PATIENT RESPONSIBILITY- ANNUAL INCOME > 2.00X AND <= 2.25X OF FPL, 10% PATIENT RESPONSIBILITY- ANNUAL INCOME > 2.25X AND <= 2.50X OF FPL, 20% PATIENT RESPONSIBILITY- ANNUAL INCOME > 2.50X AND <= 2.75X OF FPL, 30% PATIENT RESPONSIBILITY- ANNUAL INCOME > 2.75X AND <= 3.00X OF FPL, 40% PATIENT RESPONSIBILITY- ANNUAL INCOME > 3.00X AND <= 3.50X OF FPL, 50% PATIENT RESPONSIBILITY- ANNUAL INCOME > 3.50X AND <= 4.00X OF FPL, 60% PATIENT RESPONSIBILITY- ANNUAL INCOME > 4.00X AND <= 4.50X OF FPL, 70% PATIENT RESPONSIBILITY- ANNUAL INCOME > 4.50X AND <= 5.00X OF FPL, 80% PATIENT RESPONSIBILITY- ANNUAL INCOME > 5.00X AND <= 5.50X OF FPL, 90% PATIENT RESPONSIBILITY- ANNUAL INCOME > 5.50X AND <= 6.00X OF FPL, 95% PATIENT RESPONSIBILITY
PART I, LINE 7: MARYLAND'S UNIQUE ALL PAYER SYSTEM INCLUDES A METHOD FOR REFERENCING UNCOMPENSATED CARE IN EACH PAYORS' RATES, WHICH DOES NOT ENABLE MARYLAND HOSPITALS TO BREAKOUT ANY OFFSETTING REVENUE RELATED TO UNCOMPENSATED CARE.FOR THE REPORTING OF COMMUNITY BENEFIT, AHC USED MEDICARE'S COST REPORT METHODOLOGY OF COST TO CHARGE RATIO. THE COST TO CHARGE RATIO WAS USED TO REDUCE THE YEARLY CHARITY CARE PROVISION FROM CHARGE TO COST.AHC ALSO APPLIED THE COST TO CHARGE RATIO TO BAD DEBT EXPENSES AND ADMINISTRATIVE DEDUCTION TO COST.IN ADDITION, AHC ALSO CONSIDERED GOVERNMENT ASSESSMENTS THROUGH THE STATE'S HEALTH SERVICE COST REGULATORY AGENCY AND OTHER RELATED STATE GOVERNMENT AGENCIES.AHC COMPUTED THE COMMUNITY BENEFITS BY ITS HOSPITAL FACILITIES AND AGGREGATED THE TOTAL.
PART I, LINE 7G: SUBSIDIZED HEALTH SERVICES INCLUDED PAYMENTS FOR NON-EMPLOYED BUT HOSPITAL-BASED PHYSICIANS, NON-RESIDENT HOSPITAL STAFF, HOSPITALISTS, EMERGENCY ON-CALL, OFF-CAMPUS EMERGENCY CENTER, AND WOMEN'S AND CHILDREN'S SERVICES SUBSIDIES.
PART III, LINE 2: TO ESTIMATE THE COST OF BAD DEBT THAT WE HAVE REPORTED ON SCHEDULE H, WE MULTIPLIED THE ORGANIZATION'S COST TO CHARGE RATIO (CCR) TIMES THE BAD DEBT PROVISION THAT HAS BEEN REPORTED IN THE GENERAL LEDGER. THE ORGANIZATION'S CCR IS THE QUOTIENT THAT RESULTS WHEN TOTAL COST IS DIVIDED BY TOTAL CHARGES AS REFLECTED ON WORKSHEET C PART I OF THE 2013 MEDICARE COST REPORT.THE BAD DEBT EXPENSE THAT IS RECORDED IN THE GENERAL LEDGER REFLECTS THE AMOUNT OF PROVISION MANAGEMENT DEEMS NECESSARY TO REPORT PATIENT ACCOUNTS RECEIVABLE AT THEIR NET REALIZABLE VALUE. IN EVALUATING THE COLLECTABILITY OF PATIENT ACCOUNTS RECEIVABLE, WE ANALYZE PAST HISTORY AND TRENDS FOR EACH MAJOR PAYER AND ESTIMATE THE APPROPRIATE ALLOWANCE FOR DOUBTFUL COLLECTIONS.
PART III, LINE 4: PATIENT ACCOUNTS RECEIVABLE ARE REPORTED AT NET REALIZABLE VALUE. ACCOUNTS ARE WRITTEN OFF WHEN THEY ARE DETERMINED TO BE UNCOLLECTIBLE BASED UPON MANAGEMENT'S ASSESSMENT OF INDIVIDUAL ACCOUNTS. IN EVALUATING THE COLLECTABILITY OF PATIENT ACCOUNTS RECEIVABLE, THE CORPORATION ANALYZES ITS PAST HISTORY AND IDENTIFIES TRENDS FOR EACH OF ITS MAJOR PAYOR SOURCES OF REVENUE TO ESTIMATE THE APPROPRIATE ALLOWANCE FOR DOUBTFUL COLLECTIONS AND PROVISION FOR DOUBTFUL COLLECTIONS. FOR PATIENT ACCOUNTS RECEIVABLE ASSOCIATED WITH SERVICES PROVIDED TO PATIENTS WHO HAVE THIRD-PARTY COVERAGE, THE CORPORATION ANALYZES CONTRACTUALLY DUE AMOUNTS AND PROVIDES AN ALLOWANCE FOR DOUBTFUL COLLECTIONS AND PROVISION FOR DOUBTFUL COLLECTIONS, IF NECESSARY. FOR RECEIVABLES ASSOCIATED WITH SELF-PAY PATIENTS (WHICH INCLUDES BOTH PATIENTS WITHOUT INSURANCE AND PATIENTS WITH DEDUCTIBLE AND COPAYMENT BALANCES DUE FOR WHICH THIRD-PARTY COVERAGE EXISTS FOR PART OF THE BILL), THE CORPORATION RECORDS A PROVISION FOR DOUBTFUL COLLECTIONS IN THE PERIOD OF SERVICE ON THE BASIS OF ITS PAST EXPERIENCE, WHICH INDICATES THAT MANY PATIENTS ARE UNABLE TO PAY THE PORTION OF THEIR BILL FOR WHICH THEY ARE FINANCIALLY RESPONSIBLE. THE DIFFERENCE BETWEEN THE BILLED RATES AND THE AMOUNTS ACTUALLY COLLECTED AFTER ALL REASONABLE COLLECTION EFFORTS HAVE BEEN EXHAUSTED IS CHARGED OFF AGAINST THE ALLOWANCE FOR DOUBTFUL COLLECTIONS.
PART III, LINE 8: ACUTE CARE HOSPITALS IN MARYLAND ARE EXEMPT FROM MEDICARE REIMBURSEMENT METHODOLOGY AND ALL PAYORS (INCLUDING MEDICARE AND MEDICAID)PAY HOSPITALS' CHARGES, WHICH ARE REGULATED BY THE STATE'S HEALTH SERVICES COST REVIEW COMMISSION (HSCRC). SPECIFICALLY, MEDICARE ENJOYS A DISCOUNT OF 6% OF CHARGES WITHOUT AN ADVANCE FUNDING DEPOSIT WITH PROVIDERS. THERE SHOULD BE NO SHORTFALL AND THEREFORE COUNT TOWARD COMMUNITY BENEFIT.AHC USED SCHEDULE C OF THE MEDICARE COST REPORT TO COMPUTE A COST TO CHARGE RATIO USED TO ESTIMATE THE COST OF COMMUNITY BENEFITS IN PROVIDING BAD DEBT AND CHARITY DEDUCTIONS. SINCE THE HSCRC ASSESSES HOSPITALS TO SUBSIDIZE MEDICAID DEFICITS BUDGET, THESE ASSESSMENTS ARE ALSO COUNTED TOWARD COMMUNITY BENEFITS.
PART III, LINE 9B: AHC PROVIDES QUALITY MEDICAL SERVICES REGARDLESS OF A PATIENT'S ABILITY TO PAY, RACE, CREED, SEX, AGE, NATIONAL ORIGIN OR FINANCIAL STATUS. OUR FINANICAL ASSISTANCE POLICY ENCOURAGES THE PATIENT AND THEIR REPRESENTATIVE TO COOPERATE WITH AND AVAIL THEMSELVES OF ALL AVAILABLE PROGRAMS (INCLUDING MEDICAID, WORKERS COMPENSATION, AND STATE AND LOCAL PROGRAMS) WHICH MIGHT PROVIDE COVERAGE. OUR REGISTRATION, FINANCIAL COUNSELORS, CUSTOMER SERVICE, AND COLLECTION STAFF ARE THOROUGHLY FAMILIAR WITH THE CRITERIA AND PROCESS OF FINANCIAL ASSISTANCE. FINANCIAL ASSISTANCE PROCESS AND COLLECTION PROTOCOL ARE WELL DEFINED WITH MANAGERS AVAILABLE TO GUIDE AND HANDLE EXCEPTION SITUATIONS. OUTSOURCED AGENCIES AND COLLECTIONS FIRMS ARE EXPECTED TO ADHERE TO AHC'S POLICY WITHOUT EXCEPTIONS. BAD DEBT, CHARITY AND ADMINISRATIVE WRITEOFF ARE CLEARLY DEFINED WITH PRE-DETEMRINED AUTHORIZATION LEVELS DEPENDING ON THE MAGNITUDE GRANTED. AHC ALSO REVISES ITS FINANCIAL ASSISTANCE POLICY AS FEDERAL GOVERNMENT AND/OR STATE GOVERNMENT REVISE THEIR POVERTY GUIDELINES. OVERALL, AHC EXPECTS ITS STAFF TO TREAT ITS PATIENTS WITH DIGNITY AND RESPECT, AS THEY WOULD LIKE TO BE TREATED.
PART VI, LINE 2: NEEDS ASSESSMENT:ADVENTIST HEALTHCARE, INCLUDING SHADY GROVE ADVENTIST HOSPITAL, WASHINGTON ADVENTIST HOSPITAL, AND ADVENTIST BEHAVIORAL HEALTH, FORMED A COMMUNITY BENEFIT COUNCIL (CBC) IN 2011 TO GUIDE AND LEAD ITS COMMUNITY BENEFIT ACTIVITIES, INCLUDING CONDUCTING THE COMMUNITY HEALTH NEEDS ASSESSMENT. THE COMMUNITY BENEFIT COUNCIL HAS REPRESENTATION FROM VARIOUS DEPARTMENTS WITHIN ADVENTIST HEALTHCARE AND IS LED BY ISMAEL GAMA, ASSOCIATE VICE PRESIDENT OF MISSION INTEGRATION & PASTORAL CARE SERVICES. AS A STARTING POINT FOR ASSESSING THE HEALTH NEEDS OF THE COMMUNITY, THE COMMUNITY BENEFIT COUNCIL DECIDED TO RESEARCH TOPICS IN ALIGNMENT WITH MONTGOMERY COUNTY'S HEALTHY MONTGOMERY FOCUS AREAS OF: CANCER, CARDIOVASCULAR DISEASES, DIABETES, MATERNAL & INFANT HEALTH, BEHAVIORAL HEALTH, AND OBESITY. THE COMMUNITY BENEFIT COUNCIL ALSO DECIDED TO RESEARCH ADDITIONAL TOPICS OF INTEREST TO THE HOSPITALS AND THE COMMUNITIES SERVED INCLUDING: ASTHMA, INFLUENZA, HIV/AIDS, SENIOR HEALTH, INCOME AND POVERTY, ACCESS TO CARE/HEALTH INSURANCE COVERAGE, FOOD ACCESS, HOUSING QUALITY, EDUCATION, AND TRANSPORTATION. THE TOPICS INCLUDED IN THE COMMUNITY HEALTH NEEDS ASSESSMENTS WERE REVIEWED, DISCUSSED AND APPROVED BY THE COMMUNITY BENEFIT ADVISORY BOARD AND BY THE BOARDS OF EACH ENTITY.SINCE 2006, ADVENTIST HEALTHCARE HAS REGULARLY CONVENED AN ADVISORY BOARD TO HELP GUIDE OUR EFFORTS TO REDUCE AND ELIMINATE HEALTH DISPARITIES, TO IDENTIFY COMMUNITY NEEDS, AND TO HELP ASSESS AND DIRECT OUR RESPONSE TO THOSE NEEDS. THE ADVISORY BOARD IS COMPRISED OF BOTH INTERNAL AND EXTERNAL (COMMUNITY) LEADERS. MEMBERS INCLUDE CLINICIANS, RESEARCHERS, ADMINISTRATORS AND OTHERS FROM OUR HOSPITALS, COMMUNITY-BASED ORGANIZATIONS, LOCAL AND STATE HEALTH DEPARTMENTS, UNIVERSITY OF MARYLAND, THE NATIONAL INSTITUTES OF HEALTH (SPECIFICALLY, THE NATIONAL INSTITUTE OF MINORITY HEALTH AND HEALTH DISPARITIES), AND OTHER PUBLIC HEALTH STAKEHOLDER ORGANIZATIONS. THE COMMUNITY HEALTH NEEDS ASSESSMENTS WERE REVIEWED AND APPROVED BY THE BOARD OF TRUSTEES AT EACH ENTITY, AS WELL AS BY THE ADVENTIST HEALTHCARE BOARD OF TRUSTEES. AFTER COMPLETION OF THE COMMUNITY HEALTH NEEDS ASSESSMENTS, THE PRESIDENT'S COUNCIL OR EXECUTIVE COUNCIL AT EACH HOSPITAL MET TO DISCUSS AND VOTE UPON FOCUS AREAS FOR IMPLEMENTATION OF STRATEGIES TO ADDRESS IDENTIFIED HEALTH NEEDS. THE IMPLEMENTATION STRATEGIES DEVELOPED BY EACH ENTITY WERE ALSO REVIEWED AND APPROVED BY THE BOARD OF TRUSTEES AT EACH ENTITY, THE ADVENTIST HEALTHCARE BOARD OF TRUSTEES, AND THE COMMUNITY BENEFIT ADVISORY BOARD.IN ADDITION TO INPUT FROM VARIOUS BOARDS, THE COMMUNITY PERSPECTIVE WAS OBTAINED THROUGH A COMMUNITY HEALTH NEEDS ASSESSMENT SURVEY OFFERED TO THE PUBLIC THROUGH POSTINGS ON ADVENTIST HEALTHCARE ENTITY FACEBOOK PAGES, NEWSLETTERS, EMAIL LISTSERVS, MEETINGS WITH COMMUNITY LEADERS, AND HEALTH FAIRS. ADDITIONALLY, ADVENTIST BEHAVIORAL HEALTH HAS A COMMUNITY ADVISORY COUNCIL, WHICH INCORPORATES FEEDBACK FROM THE COMMUNITY IN THE PLANNING AND DELIVERY OF SERVICES.TO OBTAIN SECONDARY DATA FOR THE COMMUNITY HEALTH NEEDS ASSESSMENTS, WE WORKED WITH MONTGOMERY COUNTY'S HEALTH AND HUMAN SERVICES, COMMUNITY HEALTH IMPROVEMENT PROCESS (CHIP), TO REVIEW THE STATE OF MARYLAND'S STATE HEALTH IMPROVEMENT PROCESS' (SHIP) 39 HEALTH INDICATORS. ADVENTIST HEALTHCARE HAS REPRESENTATION ON THE HEALTHY MONTGOMERY STEERING COMMITTEE. THE GROUP'S COLLABORATIVE EFFORTS IN 2011 FOCUSED ON A SELECTION PROCESS FOR MONTGOMERY COUNTY'S HEALTH PRIORITIES. DATA WAS COLLECTED AND A VENDOR (HEALTHY COMMUNITY INSTITUTE) WAS SELECTED TO IMPLEMENT A COMMUNITY TRACKING TOOL THAT IS LINKED TO PUBLIC HEALTH INTERVENTIONS THAT IMPROVE HEALTH OUTCOMES. THIS ONGOING SURVEILLANCE IS POPULATION-BASED DATA THAT SHOWS HEALTH SERVICES UTILIZATION AND SOCIAL AND ENVIRONMENTAL DETERMINANTS OF HEALTH, INCLUDING SOCIO-ECONOMIC STATUS, SOCIAL ISOLATION, HOUSING AND AIR QUALITY. IT IS AVAILABLE TO THE PUBLIC ON THE HEALTHY MONTGOMERY WEBSITE.ADVENTIST HEALTHCARE'S CENTER FOR HEALTH EQUITY AND WELLNESS (FORMERLY CENTER ON HEALTH DISPARITIES) DEVELOPS AND RELEASES ANNUAL PROGRESS REPORTS, AND THESE REPORTS HELPED TO INFORM THE HOSPITALS' COMMUNITY HEALTH NEEDS ASSESSMENTS. ALL PROGRESS REPORTS DEVELOPED BY THE CENTER FOR HEALTH EQUITY AND WELLNESS ("THE CENTER") ARE MADE AVAILABLE TO THE PUBLIC ON THE CENTER'S WEBSITE, AS WELL AS IN HARD COPY THROUGH CONFERENCES AND UPON REQUEST. THE CENTER'S 2011 PROGRESS REPORT, ENTITLED HEALTH DISPARITIES IN THE ERA OF REFORM IMPLEMENTATION, DETAILED DEMOGRAPHIC TRENDS AND ASSESSED DISPARITIES ACROSS A RANGE OF ISSUES WITHIN THREE BROAD HEALTH TOPICS AFFECTING OUR COMMUNITY: MATERNAL AND INFANT HEALTH, HEART DISEASE AND STROKE, AND CANCER. THE REPORT INCORPORATED DESCRIPTIVE FINDINGS FROM NATIONAL, STATE AND COUNTY-LEVEL DATABASES ON THE RACIAL AND ETHNIC MAKEUP OF THE POPULATION, THE PREVALENCE OF DISEASE ACROSS THESE GROUPS, AND THE RATES OF RECEIVING APPROPRIATE TREATMENT. TO CREATE THIS REPORT, THE CENTER ANALYZED THE U.S. CENSUS BUREAU'S AMERICAN COMMUNITY SURVEY AND PROFILES OF GENERAL POPULATION AND HOUSING CHARACTERISTICS TO PRODUCE A BROAD DEMOGRAPHIC OVERVIEW BY COUNTY, RACE, AND ETHNICITY. IN MARYLAND, THE CENTER PRODUCED DESCRIPTIVE TABULATIONS BASED ON DATA FROM THE MARYLAND BEHAVIORAL RISK FACTOR SURVEILLANCE SYSTEM, THE MARYLAND CANCER REGISTRY, THE MARYLAND VITAL STATISTICS ADMINISTRATION, THE MARYLAND HEALTH CARE COMMISSION, AND THE MARYLAND DEPARTMENT OF HEALTH AND MENTAL HYGIENE'S (MDHMH) OFFICE ON MINORITY HEALTH & HEALTH DISPARITIES. IN ADDITION TO THESE DATA SOURCES, THE CENTER ALSO SUMMARIZED FINDINGS FROM VARIOUS NATIONAL AND STATE-LEVEL REPORTS ON INSURANCE COVERAGE, DISEASE CONDITION, AND HEALTHY BEHAVIORS RELEASED BY THE AGENCY FOR HEALTHCARE RESEARCH AND QUALITY, THE KAISER FAMILY FOUNDATION, AND THE MDHMH'S FAMILY HEALTH ADMINISTRATION, OFFICE OF CHRONIC DISEASE PREVENTION.THE CENTER'S 2012 PROGRESS REPORT WAS A HEALTH EQUITY REPORT THAT INCLUDED INFORMATION ABOUT PATIENTS TREATED AT SHADY GROVE ADVENTIST HOSPITAL AND WASHINGTON ADVENTIST HOSPITAL IN 2011 AND EXAMINED THE INTERSECTION OF QUALITY AND HEALTH EQUITY. THIS REPORT CONVEYED GENERAL INFORMATION ABOUT THE PATIENT POPULATION SERVED AT ADVENTIST HEALTHCARE HOSPITALS, WHERE THEY RECEIVED CARE WITHIN THE HOSPITALS, AND THE QUALITY OF CARE RECEIVED. THE 2012 REPORT INCLUDED HOSPITAL-SPECIFIC DATA ON CANCER, INPATIENT CLINICAL QUALITY INDICATORS, HOSPITAL READMISSION RATES, AND PATIENT EXPERIENCE. THE CENTER'S 2013 HEALTH EQUITY REPORT SHARED DEMOGRAPHIC, CLINICAL, AND QUALITY INFORMATION ABOUT ADVENTIST HEALTHCARE HOSPITALS AND OTHER ENTITIES, AND HIGHLIGHTED EFFORTS TO IMPROVE PATIENT EXPERIENCES AND OUTCOMES IN THE COMMUNITIES WE SERVE. SPECIAL HIGHLIGHTS IN THE 2013 REPORT INCLUDED INFORMATION ABOUT FEDERAL STANDARDS TO INCREASE CULTURALLY COMPETENT CARE AND REDUCE HEALTH DISPARITIES, THE IMPLEMENTATION OF THE AFFORDABLE CARE ACT (ACA) IN THE STATE OF MARYLAND, EFFORTS TO REDUCE READMISSIONS AND IMPROVE PATIENT-CENTERED CARE ACROSS THE ADVENTIST HEALTHCARE SYSTEM, AND ADVENTIST HEALTHCARE HOSPITALS' COMMUNITY HEALTH NEEDS ASSESSMENT RESULTS AND NEXT STEPS.
PART VI, LINE 3: PATIENT EDUCATION OF ELIGIBILITY:AHC EDUCATES OUR PATIENTS AND COMMUNITY RESIDENTS ABOUT CHARITY CARE AND FINANCIAL ASSISTANCE IN MANY WAYS. THEY INCLUDE, BUT ARE NOT LIMITED TO THE FOLLOWING: (1) AHC HAS FINANCIAL ASSISTANCE SIGNAGE IN ALL ITS FACILITIES, ON ALL PATIENT STATEMENTS AND ON OUR HOSPITALS' WEBSITE; (2) PATIENTS THAT ARE REGISTERED AS SELF PAY OR WITH NO INSURANCE, ARE INFORMED ABOUT THE HOSPITAL'S CHARITY CARE POLICY AND GIVEN A CHARITY APPLICATION; (3) WHEN GOING THROUGH THE MEDICAID ELIGIBILITY SCREENING, SELF PAY PATIENTS ARE GIVEN A CHARITY APPLICATION DURING THAT PROCESS JUST IN CASE THE PATIENT DOES NOT QUALIFY FOR MEDICAID; (4) WHEN PATIENTS WITH A BALANCE CONTACT THE COLLECTION DEPARTMENT AND EXPRESS FINANCIAL HARDSHIP, CUSTOMER SERVICE REPS AND SELF PAY COLLECTORS WILL MAIL A CHARITY APPLICATION TO THE PATIENT; AND (5) RESIDENTS THAT PARTICIPATE IN OUR COMMUNITY PROGRAMS, SUCH AS BREAST CANCER, MATERNITY, ETC., ARE INFORMED OF AHC'S CHARITY PROGRAM PRIOR TO RECEIVING SERVICES.
PART VI, LINE 4: COMMUNITY INFORMATION:AHC'S SERVICE AREAS ARE SITUATED IN THE WASHINGTON/BALTIMORE METROPOLITANAREA. SPECIFICALLY, SHADY GROVE ADVENTIST HOSPITAL PRIMARILY SERVES RESIDENTS OF MONTGOMERY COUNTY,MARYLAND. APPROXIMATELY 80 PERCENT OF DISCHARGES COME FROM OUR TOTAL SERVICE AREA, WHICH IS CONSIDERED SHADY GROVE ADVENTIST HOSPITAL'S COMMUNITY BENEFIT SERVICE AREA "CBSA". WITHIN THAT AREA, 60 PERCENT OF DISCHARGES ARE FROM THE PRIMARY SERVICE AREA INCLUDING THE FOLLOWING ZIP CODES/CITIES:20874 GERMANTOWN, 20878 GAITHERSBURG, 20850 ROCKVILLE, 20877 GAITHERSBURG,20886 MONTGOMERY VILLAGE, 20879 GAITHERSBURG, AND 20876 GERMANTOWN.WE DRAW 20 PERCENT OF DISCHARGES FROM OUR SECONDARY SERVICE AREA INCLUDING THE FOLLOWING ZIP CODES/CITIES: 20852 ROCKVILLE, 20854 POTOMAC, 20906 SILVER SPRING, 20871 CLARKSBURG, 20872 DAMASCUS, 20855 DERWOOD, 20851 ROCKVILLE, 20853 ROCKVILLE, 20882 GAITHERSBURG, AND 20841 BOYDS.WASHINGTON ADVENTIST HOSPITAL PRIMARILY SERVES RESIDENTS OF PRINCE GEORGE'S COUNTY AND MONTGOMERY COUNTY, MARYLAND. APPROXIMATELY 80 PERCENT OF DISCHARGES COME FROM OUR TOTAL SERVICE AREA, WHICH IS CONSIDERED WASHINGTON ADVENTIST HOSPITAL'S COMMUNITY BENEFIT SERVICE AREA "CBSA".WITHIN THAT AREA, 60 PERCENT OF DISCHARGES ARE FROM THE PRIMARY SERVICE AREA INCLUDING THE FOLLOWING ZIP CODES/CITIES: 20783 HYATTSVILLE, 20912 TAKOMA PARK, 20782 HYATTSVILLE, 20903 SILVER SPRING,20904 SILVER SPRING, 20901 SILVER SPRING, 20910 SILVER SPRING, 20740 COLLEGE PARK, 20902 SILVER SPRING, 20906 SILVER SPRING, 20737 RIVERDALE, 20011 WASHINGTON, AND 20705 BELTSVILLE.WE DRAW 20PERCENT OF DISCHARGES FROM OUR SECONDARY SERVICE AREA INCLUDING THE FOLLOWING ZIP CODES/CITIES: 20706 LANHAM, 20707 LAUREL, 20708 LAUREL, 20712 MOUNT RAINIER, 20722 BRENTWOOD, 20743 CAPITOL HEIGHTS, 20744 FORT WASHINGTON, 20747 DISTRICT HEIGHTS, 20770 GREENBELT, 20774 UPPER MARLBORO, 20781 HYATTSVILLE, 20784 HYATTSVILLE, 20785 HYATTSVILLE, 20850 ROCKVILLE, 20853 ROCKVILLE, 20866 BURTONSVILLE, 20874 GERMANTOWN, 20877 GAITHERSBURG, 20878 GAITHERSBURG, 20886 MONTGOMERY VILLAGE, 20905 SILVER SPRING, 20012 WASHINGTON D.C., 20019 WASHINGTON D.C.WE SERVE ONE OF THE MOST ETHNICALLY DIVERSE COMMUNITIES IN THE UNITED STATES; NON-HISPANIC WHITES NOW COMPRISE ONLY 49% OF THE POPULATION OF MONTGOMERY COUNTY, MD., A DECREASE OF MORE THAN 20% OVER THE LAST TWO DECADES. FOR THE FIRST TIME, MINORITIES ACCOUNT FOR MORE THAN HALF OF THE COUNTY'S POPULATION, MAKING IT ONE OF ONLY 336 "MAJORITY-MINORITY" COUNTIES IN THE NATION. ACCORDING TO THE U.S. BUREAU CENSUS BUREAU, THE PERCENTAGE OF HISPANICS OR LATINOS IN MONTGOMERY COUNTY IS MORE THAN DOUBLE THE PERCENTAGE OF HISPANICS OR LATINOS IN THE STATE OF MARYLAND AND WITHIN THE COUNTY, IT OUTNUMBERS ALL POPULATIONS OTHER THAN NON-HISPANIC WHITES. THE U.S. CENSUS BUREAU HAS ALSO FOUND THAT MARYLAND IS ONE OF THE TOP TEN DESTINATIONS FOR FOREIGN-BORN INDIVIDUALS, AND 41% OF THE FOREIGN-BORN IN MARYLAND RESIDE IN MONTGOMERY COUNTY. THE COUNTY'S FOREIGN-BORN POPULATION HAS GROWN FROM 12% IN 1980 TO CURRENTLY MORE THAN 30%. IMMIGRANTS CONTRIBUTE GREATLY TO OUR COMMUNITY AND OUR HOSPITAL PROVIDERS ARE COMMITTED TO UNDERSTANDING THEIR NEEDS AND WORKING TO TREAT THEM IN A CULTURALLY COMPETENT MANNER.
PART VI, LINE 5: COMMUNITY HEALTH PROMOTION:IN KEEPING WITH OUR MISSION, ADVENTIST HEALTHCARE CONTINUES TO PROMOTE GOOD HEALTH IN THE COMMUNITY THROUGH A ROBUST VARIETY OF METHODS OFFERING HEALTH AND WELLNESS SERVICES THROUGHOUT MONTGOMERY, PRINCE GEORGES, AND FREDERICK COUNTIES IN MARYLAND AS WELL AS SOME AREAS IN WASHINGTON D.C.IN 2012 WE PROVIDED MORE THAN 64,000 ENCOUNTERS IN JUST THE HEALTH AND WELLNESS AREAS. BELOW IS A BRIEF SUMMARY OF THE HEALTH PROMOTION ACTIVITIES WHICH INCLUDES EDUCATION, SCREENINGS, LECTURES, SUPPORT GROUPS, AS WELL AS SUPPORTING THE COMMUNITY SERVING ON COMMUNITY BOARDS AND COMMITTEES AND SUPPORTING THE SAFETY NET CLINICS. WE FOCUS ON CHRONIC DISEASES PREVALENT WITH THE COMMUNITIES WE SERVE AS WELL AS THOSE GROUPS THAT ARE MOST VULNERABLE.> A VARIETY OF HEALTH SCREENINGS WERE HELD IN COMMUNITY SETTINGS SUCH AS SENIOR LIVING COMMUNITIES, SCHOOLS, SHOPPING CENTERS, BUSINESSES, AND OTHER PRIVATE AND RELIGIOUS INSTITUTIONS. > MATERNAL AND CHILD EDUCATION PROVIDED MORE THAN 500 CLASSES, TOURS, AND SUPPORT GROUPS> EDUCATIONAL CLASSES TO THE COMMUNITY INCLUDED BABYSITTING, CPR, HEALTHY EATING, AND GENERAL HEALTH LECTURES> INFLUENZA AND PNEUMONIA VACCINATIONS WERE OFFERED FOR FREE OR REDUCED COST IN MANY COMMUNITY SETTINGS. SOME OF THESE VACCINATIONS WERE OFFERED IN PARTNERSHIP WITH MONTGOMERY COUNTY HEALTH DEPARTMENT AND THROUGH PARTNERSHIPS AND GRANTS.> DIABETES PREVENTION INCLUDED FREE PRE-DIABETIC CLASSES AS WELL AS INDIVIDUAL COUNSELING AND CLASSES FOR THOSE WITH DIABETES.> IN THE AREA OF CARDIAC AND VASCULAR HEALTH WE PROVIDED OVER 52 SCREENING EVENTS INCLUDING 2 LARGE HEART EVENTS AND ONE LARGE STROKE EVENT OFFERING FREE SCREENINGS WITH OVER 2500 ENCOUNTERS.> CANCER IS ANOTHER AREA OF CONCENTRATION TO REACH OUT TO THE COMMUNITY. THE HOSPITAL PARTICIPANTS IN BREAST CANCER AND COLORECTAL SCREENINGS FOR LOW-INCOME AND UNINSURED CLIENTS. IN ADDITION 189 PEOPLE PARTICIPATED IN THE CANCER SCREENING DAYS RECEIVING SCREENING FOR MULTIPLE TYPES OF CANCER (BREAST, COLORECTAL, SKIN, BLADDER, PROSTATE, AND THYROID. ADDITIONAL SCREENINGS HAVE BEEN CONDUCTED FOR LUNG CANCER. THE CANCER PROGRAM ALSO PROVIDES FREE SUPPORT GROUPS AND NAVIGATION SERVICES FOR THE COMMUNITY.> ADVENTIST HEALTHCARE HAS A SPECIFIC PROGRAM THAT SUPPORTS FAITH COMMUNITY NURSES AND HEALTH MINISTERS TO ADDRESS HEALTH ISSUES IN THE FAITH COMMUNITIES. OVER 140 FAITH COMMUNITIES ARE INVOLVED IN OUR PROGRAM THAT RECEIVES SUPPORT AND RESOURCES.> 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. THIS SUPPORT INCLUDES FINANCIAL CONTRIBUTIONS AND PROVISION OF LABORATORY AND RADIOLOGY SERVICES.> TO MEET THE CONTINUING NEEDS OF OUR DIVERSE COMMUNITY, THE HOSPITALS PROVIDE CULTURAL COMPETENCY TRAINING TO MEDICAL AND SUPPORT STAFF. WE ARE COMMITTED TO CONTINUE TO PROMOTE THE HEALTH OF THE COMMUNITY THROUGH NEW AND INNOVATIVE MEASURES UTILIZING THE ENTIRE HEALTH SYSTEM FROM ACUTE CARE, REHABILITATION HOSPITAL AND BEHAVIORAL HEALTH.
PART VI, LINE 6: AFFILIATED HEALTH CARE:ADVENTIST HEALTHCARE, BASED IN ROCKVILLE, MD., IS A FAITH-BASED, NOT-FOR-PROFIT ORGANIZATION OF DEDICATED PROFESSIONALS WHO WORK TOGETHER EACH DAY TO PROVIDE EXCELLENT WELLNESS, DISEASE MANAGEMENT AND HEALTH-CARE SERVICES TO THE COMMUNITY. WE WERE FOUNDED UPON THE PRINCIPLE OF WELLNESS MORE THAN 100 YEARS AGO AND TODAY PROVIDE INNOVATIVE CARE TO HEART-ATTACK VICTIMS, CANCER PATIENTS AND PREMATURE BABIES AND THE COMMUNITY. OUR UNWAVERING FOCUS HAS ALWAYS BEEN ON THE HEALTH AND WELLNESS OF THE COMMUNITIES WE SERVE. WE ARE ALREADY A STEP AHEAD AS HEALTH CARE REFORM IS CHALLENGING HOSPITAL SYSTEMS NATIONWIDE TO IMPROVE THE HEALTH OF POPULATIONS; OUR INTEGRATED, HEALTH-CARE DELIVERY NETWORK INCLUDES FIVE NATIONALLY ACCREDITED, ACUTE-CARE AND SPECIALTY HOSPITALS, MENTAL HEALTH SERVICES AND HOME HEALTH AGENCIES, SERVING THE WASHINGTON, D.C. METROPOLITAN AREA AND NORTHWESTERN NEW JERSEY.ADVENTIST HEALTHCARE IS SHADY GROVE ADVENTIST HOSPITAL, WASHINGTON ADVENTIST HOSPITAL, HACKETTSTOWN REGIONAL MEDICAL CENTER IN NEW JERSEY, ADVENTIST BEHAVIORAL HEALTH, ADVENTIST REHABILITATION HOSPITAL OF MARYLAND, ADVENTIST HOME HEALTH SERVICES, THE REGINALD S. LOURIE CENTER FOR INFANTS AND YOUNG CHILDREN AND OTHER HEALTH SERVICES. TOGETHER, WITH OUR HEALTH & WELLNESS PROGRAMS, OUR CENTER ON HEALTH DISPARITIES AND MORE THAN 2,000 AFFILIATED PHYSICIANS, ADVENTIST HEALTHCARE ENCOMPASSES MANY OF THE NECESSARY CARE DELIVERY COMPONENTS NEEDED TO DELIVER POPULATION-BASED CARE ACROSS THE CONTINUUM.OUR COMMITMENT TO THE COMMUNITY EXTENDS BEYOND OUR WALLS TO ENCOMPASS THE MOST VULNERABLE AND UNDERSERVED. IN 2011, WE CARED FOR NEARLY 400,000 RESIDENTS, AND PROVIDED SIGNIFICANT CHARITY CARE AND COMMUNITY BENEFIT MORE THAN $62 MILLION. AS ONE OF THE LARGEST EMPLOYERS IN THE STATE OF MARYLAND, WE ARE GRATEFUL TO HAVE THE DEDICATED COMMITMENT OF NEARLY 6,500 EMPLOYEES AND ALMOST 1,600 VOLUNTEERS THROUGHOUT ADVENTIST HEALTHCARE WHO PROVIDE COMPASSIONATE, HIGH-QUALITY CARE EACH AND EVERY DAY. IN ADDITION TO PROVIDING CHARITY CARE AT OUR FACILITIES, ADVENTIST HEALTHCARE IS INVOLVED IN NUMEROUS OUTREACH INITIATIVES DESIGNED TO IMPROVE ACCESS TO HEALTH CARE FOR LOW INCOME AND UNINSURED INDIVIDUALS, AS WELL AS HISTORICALLY UNDER-SERVED COMMUNITIES INCLUDING MINORITIES AND IMMIGRANTS. OUR GOAL IS EFFECTIVE PREVENTION, TREATMENT AND CARE PROGRAMS FOR ALL INDIVIDUALS, REGARDLESS OF THEIR ECONOMIC, CULTURAL, LINGUISTIC OR DEMOGRAPHIC CHARACTERISTICS.VISIT WWW.ADVENTISTHEALTHCARE.COM TO LEARN EVEN MORE ABOUT OUR SERVICES AND OUR LONGSTANDING BELIEF THAT A HEALTHY LIFESTYLE IS THE BEST WAY TO PREVENT DISEASE, AND THAT PREVENTION IS MUCH BETTER THAN A CURE. AHC EXPECTS OUR OPERATING DIVISION TO BE EFFICIENT IN HEALTH SERVICESDELIVERY AND INVOLVED IN THE LOCAL COMMUNITY WHILE THE OVERALL PLANNING AND INVOLVEMENT IN THE COMMUNITY ARE COORDINATED THROUGH THE CORPORATE OFFICE. THE PURPOSE IS NOT TO CREATE REDUNDANCY AND INEFFECTIVE USES OF RESOURCES.
PART VI, LINE 7, REPORTS FILED WITH STATES MD
Schedule H (Form 990) 2013
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