Adventist Healthcare Inc

“The governing body has delegated broad authority to an executive committee during such times whereby it is impractical to convene the full board, and when it is necessary to carry out the governance functions of the board. The executive committee shall have all the powers of the board in the management and direction of the affairs of adventist healthcare, inc., provided such actions are not in conflict with general policies enacted by the board of trustees. The executive committee shall be chaired by the chair of the board of trustees, and shall consist of the board officers, a physician board member, the chair of the finance committee, and another board member designated by the chair of the board of trustees. Except for ex-officio members, all committee members shall be appointed by the chair of the board of trustees and serve for a term of one year and/or until their successors are appointed and qualified.”

“Mid-atlantic adventist healthcare, inc. Is the sole member of adventist healthcare, inc.”

“Mid-atlantic adventist healthcare, inc. Can elect members of the board.”

“Decisions subject to approval. See bylaws, article ii, section 2: reserved authority and responsibility. The following actions shall be reserved to the membership: a. The adoption, altering, amending or replacing of the articles of incorporation or the bylaws of the corporation; b. The liquidation, dissolution, winding up, abandonment of the corporation; c. Appointment of members of the board of trustees from nominees submitted by the board of trustees; d. Removal of members of the board of trustees e. Appointment and removal of the chief executive officer ("ceo") of the corporation, in consultation with the board of trustees. All members have rights to vote.”

“Prior to filing the form 990 with the irs, the return was reviewed by the organization's finance department, executive management team, and the organization's outside tax advisors. Also, prior to filing the form 990 with the irs, all members of the board are provided a copy of the form 990 for their review.”

“Pursuant to the organization's conflict of interest policy, each facility board member, officer, director and any employee in a position that requires coordination and/or negotiation with contractors or supplies, is required on an annual basis to disclose any business or financial relationship outside of the organization. An actual or potential conflict of interest, or the perception or appearance of a conflict of interest, occurs when a covered person is in a position to influence a decision that may result in a personal gain for that employee, a relative, or other person living in the same household, as a result of adventist healthcare's business activities. A relative is defined as any person who is related by blood or marriage, or whose relationship with the covered person is similar to that of persons who are related by blood or marriage. No "presumption of guilt" is created by the mere existence of a relationship between an adventist healthcare employee and an outside firm or business endeavor, or other potential conflict of interest. However, if a covered person has any business, financial, or other relationship with any organization whereby the existence of that relationship either creates a conflict of interest or is perceived to create a conflict of interest, the covered person must disclose this relationship to the designated senior manager, or governing board, as the case may be, at the location where the employee is assigned. The senior manager will review the relationship, make comments and recommendations, and forward all documentation to the organizational integrity committee for a final decision. Compliance with the conflict of interest policy is monitored and enforced by the human resources department, organizational integrity department and the legal department.”

“As a tax exempt organization, adventist healthcare, inc. Is subject to irs rules and regulations that ensure that any organization that is exempt from tax is organized and operated exclusively for charitable purposes, and that no individual inappropriately benefits from the net earnings of the organization. The intent of this provision is generally construed to guard against individuals benefiting at the organization's expense by, for example, receiving compensation and benefits beyond an amount which is fair and reasonable (an "excess benefit"). > to assist tax-exempt organizations in avoiding excess benefit transactions, the irs has established guidelines which need to be followed when setting compensation for its officers and directors. > irs guidelines set forth that a compensation arrangement between an exempt organization and its officer or director shall be presumed to be reasonable if the following three conditions are satisfied: 1. The compensation arrangement is approved by the organization's governing body or a committee of the governing body composed entirely of individuals who do not have a conflict of interest with respect to the arrangement; 2. The governing body, or committee thereof, obtained and relied upon appropriate data as to comparability prior to making its determination; and 3. The governing body or committee thereof adequately documented the basis for its determination concurrently with making that determination. > when setting executive compensation, adventist healthcare, inc. Fully complies with the procedural safeguards embodied in irs regulations. > executive compensation for adventist healthcare, inc. Is entirely set by a committee of adventist healthcare, inc.'s governing board; > in setting compensation, the governing board committee relies upon market comparability data provided by an independent outside compensation consultant; and > to further ensure reasonableness, compensation is targeted at the 50th percentile (or median) of the market.”

“The governing documents, conflict of interest policy, and financial statements are available to the public upon request.”

“Adventist healthcare maintains a board leader wellness policy. Pursuant to this policy, eligible members of the adventist healthcare board of trustees are entitled to receive reimbursement (up to $12,000) for qualifying health care or wellness expenses incurred by them. Reimbursements are taxable to the board member. The amount set forth in part vii, section a, column (d) for dr. David e. Weigley and celeste ryan blyden represents reimbursements received under this policy during 2024. Adventist healthcare also provides items that could be categorized as de minimis benefits to board members and treats this as taxable compensation. Amounts reported as 1099 income are shown.”

“Adventist healthcare is the largest provider of mental health services in montgomery county, maryland, and the second largest in the state. The health system opened montgomery county's first behavioral health unit in 1949. Today, community members can access comprehensive services and treatment options for children, adolescents, adults, and seniors. Our programs including inpatient hospital care, two special education schools, outpatient clinics and services and an assisted living center. Highly skilled, multidisciplinary teams of psychiatrists, social workers, case managers, psychiatric nurses, expressive therapists, and chaplains provide compassionate behavioral healthcare. Adventist healthcare also offers quality post-acute care. Adventist healthcare rehabilitation is the first and only hospital in a five-state area to obtain accreditations from the commission on accreditation of rehabilitation facilities international in four specialty areas: brain injury, spinal cord injury, stroke and amputation. Adventist healthcare's accredited home care services provides medical and personal care programs for residents in six maryland counties and washington, d.c, with 80,014 encounters in 2024. Here is a snapshot of adventist healthcare in 2024: 5 hospitals (three acute-care and two specialty hospitals); 1,700 physicians and medical staff members; 6,500 employees; 5,872 newborns delivered; 9,260 outpatient surgeries; 152,013 emergency visits. 2. Increase access to care: adventist healthcare partners with several organizations to bring free services to communities in need with a special focus on women and children, and low-income, uninsured, and minority populations. Adventist healthcare is dedicated to programs that help build healthy families and communities. Adventist healthcare partners with local safety net clinics that offer primary care, or a medical home, to uninsured residents of montgomery county. Through these partnerships, adventist healthcare helps ensure that uninsured patients have coordinated care between the clinic that serves as their medical home and the hospital where they receive acute care and educational programs. The partnerships also help to decrease inappropriate emergency department utilization by this portion of the population. Our local safety net clinic partners include mercy health clinic, community clinic inc., mobile medical care inc., and mary's center, all of which improve access to primary care services for uninsured and under-insured residents. Adventist healthcare's support includes but is not limited to providing lab work, x-ray services and financial support for clinical operations. These clinics have served as a vital health safety net to provide important primary and preventative health services to over 20,000 men, women, and children in need. Mercy health clinic in gaithersburg has benefited from our services including laboratory support, blood tests and other diagnostic services. In the long branch section of silver spring, our partnership with mary's center provides a full range of services from prenatal care to pediatric/adolescent health services to women's services to social-services programs. Our work with mobile med enables regular medical care, such as routine physicals, for uninsured and low-income residents. In addition to partnering with clinics, adventist healthcare also addresses community needs through specialized services in its facilities, such as the shady grove medical center forensic medical unit. The only unit of its kind in montgomery county, maryland, its nurses provide forensic evidence collection and specialized medical care to women, men and children who are victims of sexual assault, abuse, neglect, and human trafficking. In 2024, the unit completed 1,061 exams and patient consults. Shady grove medical center and white oak medical center are also active participants in montgomery county's maternity partnership program, which provides prenatal care and maternity servi”

“Contract labor: program service expenses 44,744,976. Management and general expenses 1,347,700. Fundraising expenses 0. Total expenses 46,092,676. Purchased services: program service expenses 46,990,483. Management and general expenses 744,838. Fundraising expenses 103,851. Total expenses 47,839,172. Consulting services: program service expenses 427,898. Management and general expenses 2,030,844. Fundraising expenses 130,250. Total expenses 2,588,992.”

“Deferred compensation plan liability adjustment -20,156. Change in value of beneficial interest in trusts & charitable gift annuity -86,929. Other unrestricted net assets activity -134,598. Transfer of net assets through business combination 13,890,418. Discontinued operations -1,219,015. Loss on loan guarantee -6,309,942. Loss on defined benefit plan to the multiemployer plan -2,956,440.”