Adventist HealthCare's 2010 Report to the Community

Continuing Our

Mission

Our 2010 Report to the Community

Table of Contents

A Letter from the Chairman of the Board

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A Letter from the President & Chief Executive Officer

................................................................................... 3

Our Roots Are 100 Years Deep

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Our Vision Is All About New Possibilities

................................................................................... 5

Washington Adventist Hospital

................................................................................... 6

Shady Grove Adventist Hospital

................................................................................... 8

Hackettstown Regional Medical Center

................................................................................... 10

Adventist Behavioral Health

................................................................................... 12

The Reginald S. Lourie Center for Infants and Young Children

................................................................................... 13

Adventist Rehabilitation Hospital of Maryland

................................................................................... 14

Adventist Home Care Services

................................................................................... 15

Adventist HealthCare Center on Health Disparities

................................................................................... 16

Physician Collaboration

................................................................................... 17

Adventist HealthCare Community Benefit

................................................................................... 18

Educating Future Health Care Professionals

................................................................................... 19

Adventist HealthCare Health & Wellness

................................................................................... 20

Mission Driven Health Care Services

................................................................................... 21

Community-Building Activities and Partnerships

................................................................................... 22

Adventist HealthCare 2010 Community Partnership Awards

................................................................................... 23

A Special Thank You to Our Adventist HealthCare Donors

................................................................................... 24

Adventist HealthCare Executive Team and Board of Trustees

................................................................................... 25

Adventist HealthCare Facilities and Services

................................................................................... 26

A Heartfelt Thank You to the Community

................................................................................... 27

Washington Adventist Hospital Shady Grove Adventist Hospital Hackettstown Regional Medical Center Adventist Rehabilitation Hospital of Maryland Adventist Behavioral Health Adventist Home Care Services The Reginald S. Lourie Center for Infants and Young Children Adventist Medical Group

www.AdventistHealthCare.com

LifeWork Strategies Cytology Services of Maryland

Our Mission:

We demonstrate God’s care by improving the health of people and communities through a ministry of physical, mental and spiritual healing.

As the president of the Columbia Union Conference of Seventh-day Adventists, I can tell you how closely the mission of Adventist HealthCare aligns with the work of our entire organization and with the hopes we have for the communities here in the mid-Atlantic region.

No task is too small to be used by God to demonstrate His love. And no challenge is too great to be transformed by His grace and power.

We hear the word “mission” so frequently these days in the business world and with organizations that I sometimes worry if society truly understands what it means to follow, or be true to one’s mission.

Healthier communities, healthier families and healthier congregations envisioned by Ellen G. White are common goals of both Adventist HealthCare and the Seventh-day Adventist Church. Every one of our employees wants these things. Every health care professional I know wants these for their patients. And I believe that this “ministry of healing” is blessed and nurtured by God’s own hand.

David E. Weigley, M.B.A. President, Columbia Union Conference of Seventh-day Adventists

The biblical prophet Jeremiah brings faith and health together when he tells how the word of the Lord came to him with the assurance, “Call to me and I will answer you,” even in the tumultuous times in which Jeremiah was living. And then—as if to answer the question that had not yet been asked—the Lord continues, “I will bring health and healing” (Jeremiah 33:6). It is His promise of the power of faith-based health care.

Chair, Adventist HealthCare Board of Trustees

This creates a great responsibility for Adventist HealthCare to fulfill its mission. It means responding to real human needs with compassion and tenderness. It means excellence in all we do, providing high quality care with stellar professionalism and competence. It means striving to heal the whole person—mind, body and spirit—and encouraging wellness and prevention through education and community involvement. And it means offering support in times of crisis— a gentle touch, a sympathetic ear, a heartfelt prayer for healing and strength.

The Columbia Union Conference is the regional headquarters that coordinates the mission and work of the Seventh-day Adventist Church conferences located in the eight states of the nation’s mid-Atlantic region. This includes nearly 700 churches and almost 120,000 members in the Columbia Union, which provides administrative support to its conferences and includes two health care systems, 109 elementary and secondary schools and two colleges.

1

A Letter from the Chairman of the Board

Each day, through the work of Adventist HealthCare, we are able to observe His work and the results of a sacred ministry of healing. I want to thank the employees, physicians and volunteers across the organization for staying true to this mission.

Adventist HealthCare

Our Vision:

Adventist HealthCare will be a high performance integrator of wellness, disease management and health care services, delivering superior health outcomes, extraordinary patient experience and exceptional value to those we serve.

For more than 100 years, our mission has been to restore people to health by providing the best care medicine can deliver and to do so with extraordinary compassion.

Today, the whole of Adventist HealthCare remains rooted in and driven by this purpose, from offering the latest heart procedures at Washington Adventist Hospital, to the most complex treatment for a premature baby at Shady Grove Adventist Hospital, to state-of-the-art cancer care at Hackettstown Regional Medical Center in New Jersey.

We also believe it is important to build upon our vision of expanding access to care, which started in 1907 when we opened Montgomery County’s first hospital in Takoma Park.

This vision continued throughout the 1900s (see timeline on pages 4-5) and into the early 2000s, as we brought expanded services, a rehabilitation hospital, mental health services and a stand-alone emergency center to the rapidly growing areas of Rockville, Gaithersburg and Germantown.

In 2010, through our hospitals and various services, Adventist HealthCare cared for nearly 400,000 residents, employed some 7,000 people, and provided significant charity care and community benefit – more than $67 million.

We provide the highest level of charity care in Montgomery County and one of the highest in Maryland.

In Montgomery and Prince George’s counties, we worked to ensure a solid future for Washington Adventist Hospital. In upper Montgomery County and lower Frederick County, thousands of residents and community leaders joined us to support our decade-long plan to provide services to the fastest growing part of the region.

In addition, our Center on Health Disparities continued to raise awareness about local health disparities and how to improve our capacity to deliver population-based care.

We are an active part of our community and collaborate with many organizations including the U.S. Food and Drug Administration, state and local governments, universities and colleges, and other non-profit groups.

Throughout 2010, we built upon our mission and vision with the help of our physicians.

We collaborated with them to better manage the health of residents, especially in the area of chronic disease management.

We also took the first steps in our journey to bring electronic medical records to our facilities and to help our community physicians implement electronic patient records in their offices.

I want to thank you in advance for taking the time to read this report and for supporting Adventist HealthCare as we seek to demonstrate God’s care by improving the health of people and communities through a ministry of physical, mental and spiritual healing.

During the year, we also continued to collaborate with communities and government agencies to ensure that health services were developed throughout the region in the right way at the right time.

Bill Robertson stands on the 48-acre campus of the proposed relocated Washington Adventist Hospital in White Oak.

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William G. “Bill” Robertson President & Chief Executive Officer

A Letter from the President & Chief Executive Officer

It is my pleasure to present to you Adventist HealthCare’s 2010 Report to the Community.

In these pages, you will read about the extraordinary work provided by our dedicated employees, volunteers and physicians throughout the year. I also hope that you will come away with a greater understanding of our long tradition of service to our communities and the integral role we have in the regions we serve.

Taking Root The First of Many Firsts

Our Roots Are 100 Years Deep

The history of Adventist HealthCare began more than 100 years ago with the founding of the Washington Sanitarium by the Seventhday Adventist Church. The doors to the Sanitarium, or “The San,” first opened on June 13, 1907, in Takoma Park, Maryland.

More than 100 years after The San opened its doors, Adventist HealthCare continues its innovative care for the community, building upon its legacy as a pioneer of many firsts:

At ‘The San,’ which became Washington Adventist Hospital,

The San had 40 beds and a dozen dedicated staff that promoted the innovation of healthy habits and the danger of tobacco use.

The San’s 14-acre property along Sligo Creek was isolated from busy city life, offering fresh air and pure water. This novel approach to health was as quaint as we today find references to the “good old days,” when a gallon of milk costs 31 cents and a letter could be mailed across the country with a two-cent stamp.

After World War I, The San transitioned from a long-term to acute care facility. Its name changed to the Washington Sanitarium and Hospital, with the addition of an acute care hospital building for surgical, obstetric and emergency cases. In 1973, the name was officially changed to Washington Adventist Hospital.

1971 1916

• First maternity services in Montgomery County

1907

• First behavioral health unit in Montgomery County

1949

First heart surgery in the Washington, D.C., region performed in 1962.

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Other cardiac care ‘firsts’ in the region including first heart bypass, first heart catheterization and first mini-maze to correct atrial fibrillation.

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First hospital-based radiation oncology program in Montgomery and Prince George’s counties.

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First facility accredited by American College of Radiation Oncology in Washington metropolitan area.

At Shady Grove Adventist Hospital,

Today, The San’s century-long tradition of compassionate care lives on through its amazing transformation into Adventist HealthCare -- the first, largest and only health system headquartered in Montgomery County, Maryland.

• The Washington Sanitarium (now Washington Adventist Hospital) in Takoma Park

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First in Montgomery County designated as a Cycle II Chest Pain Center.

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First comprehensive Pediatric Emergency Department in area.

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First and only Pediatric Intensive Care Unit in Montgomery County.

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First area hospital to offer Birth Advisor.

• Hackettstown Community Hospital (now Hackettstown Regional Medical Center)

1996 • Adventist Senior Living Services

• Shady Grove Adventist Hospital

• First open heart surgery in Montgomery County • Adventist Home Health Services

1979

1973

4

1992

• Neonatal Intensive Care Unit (NICU) at Shady Grove Adventist Hospital

• Potomac Ridge Behavioral Health (now Adventist Behavioral Health)

2000

Branching Out for the Future “Adventist HealthCare has worked to serve the community faithfully for more than 100 years.

As we look to our next 100 years of service, we want to ensure that our programs, services and facilities assertively meet the growing needs of all residents in our community,” says Bill Robertson, President & CEO of Adventist HealthCare.

Keeping these important services in Takoma Park is part of our commitment to the community. It is part of our vision to ensure the availability of medical care and social services to low-income and uninsured residents. We opened similar primary care and maternal care services in Germantown and now work to expand access to health care in the underserved area of upper Montgomery and lower Frederick counties. Health care is for everyone and our goal is to make it affordable, accessible and convenient for all.

Values (R.I.S.E.S.)

Adventist HealthCare is now actively seeking state approval to relocate the hospital near the U.S. Food and Drug Administration (FDA) in White Oak, about six miles from our current location – in the middle of the hospital’s primary service area. The 48-acre campus, which already has all county land use approvals, will provide better access to all of our patients and communities in Montgomery and Prince George’s counties.

Respect: We recognize the infinite worth of the individual and care for each one as a whole person.

Integrity: We are above reproach in everything we do.

Service: We provide compassionate and attentive care in a manner that inspires confidence.

Excellence: We provide world class clinical outcomes in an

A Washington Adventist Hospital and FDA partnership will lay the groundwork for collaboration in health research and medical innovation. Once the hospital relocates, Washington Adventist and Adventist HealthCare will create a Village of Education, Health and Well-being in Takoma Park. This will include urgent and primary care, and expanded educational and other social service opportunities.

environment that is safe for both our patients and caregivers.

Stewardship: We take personal responsibility for the efficient and effective accomplishment of our mission.

• Germantown Emergency Center (Shady Grove Adventist Emergency Center)

• Kessler-Adventist Rehabilitation Hospital (now Adventist Rehabilitation Hospital of Maryland)

2002

• Acquires 200 acres for Clarksburg Hospital and Medical Campus

2001

• Advocate EAP (now LifeWork Strategies)

2003

2005

• Announces Vision for Expanded Access, launching Center on Health Disparities

• The Regional S. Lourie Center for Infants and Young Children

2007

• Announces plan to relocate Washington Adventist Hospital and create Village of Health and Well-being on Takoma Park campus • Prenatal center for uninsured women and primary care clinic for uninsured both open in Germantown

• Adventist Physician Services (Adventist Medical Group)

• New patient tower at Shady Grove Adventist Hospital

2006

• CSM - Cytology Services of MD

2009

• Washington Adventist Hospital announces partnership with U.S. Food and Drug Administration

2008

5

• ACES (Ambulatory Care Electronic Medical Record Support) Program • Senior Living Services joins Genesis HealthCare

2010

Our Vision Is All About New Possibilities

We have been blessed with more than a century of serving our community and we have a clear vision for the next 100 years.

And that vision will guide us as we make decisions about the health care needs of our community.

In 2005, the Board of Trustees for Adventist HealthCare approved an expanded, strategic vision for Washington Adventist Hospital. The goal was to improve access to care for all residents in the hospital’s service area.

From there, the focus was to help underserved populations and create improved health care facilities and services for the community.

Washington Adventist Hospital provides a range of health services to the community such as cardiac and vascular care, maternity services, cancer care, surgical services and orthopedics and emergency services. The hospital offers a broad range of community health education classes, programs, screenings and clinics to promote health and wellness.

Washington Adventist Hospital

A closer look at Washington Adventist Hospital • Fully accredited by The Joint Commission and licensed by the state of Maryland.

• Cardiac Interventional Center, Maryland Institute of Emergency Services and Systems.

• Highest level Chest Pain Center accreditation, Level III with PCI, Society of Chest Pain Centers.

• American Heart Association’s Mission: Lifeline Bronze Performance Achievement Award for high quality heart attack care.

• Primary Stroke Center, Maryland Institute of Emergency Medical Services Systems.

Washington Adventist Hospital originated from The Washington Sanitarium, which opened in Takoma Park in 1907.

• Accredited Cancer Program with Commendation, The Commission on Cancer of the American College of Surgeons.

• Accredited Radiation Oncology Program, American College of Radiation Oncology.

• First hospital in mid-Atlantic region to implant new MRI-safe pacemaker.

• In 2010, Washington Adventist cardiac specialists performed nearly 400 open-heart surgeries and 4,500 catheterizations, in addition to more than 1,000 electrophysiology and other cardiac and vascular procedures.

• The hospital’s Center for Cardiac & Vascular Research is engaged in world-class cardiology clinical research trials and takes an active role in the testing of many cardiac and vascular devices and drugs.

Rendering of the proposed relocated Washington Adventist Hospital in White Oak.

• Our orthopedic program provides a skilled surgical team experienced in the latest in joint replacement and state-of-the-art technology.

Learn more about Washington Adventist Hospital at www.WashingtonAdventistHospital.com Support the relocation of Washington Adventist Hospital at www.ExpandedHealthAccess.com 6

Mike has always led a busy, active lifestyle. One afternoon, he started feeling discomfort in his upper chest, then dizziness and nausea. He thought it could be a heart attack, but at 48 years old, with no family history, he found it hard to believe.

“I knew something weird was happening and I thought, ‘I need to call my wife,’” he remembers.

Washington Adventist Hospital

An ambulance took Mike from his Silver Spring home to Washington Adventist Hospital’s accredited Chest Pain Center, where teams of emergency and cardiac care doctors and nurses rapidly diagnosed and treated his heart attack. A blood clot had completely blocked one of Mike’s arteries.

Mike’s wife, Vicky, was amazed by her husband’s care. “It was almost like he was the only one being treated,” she says. “There were so many doctors and nurses helping us.

The nurses were comforting and kept me informed.”

Mike is now eating smarter and exercising more.

On October 9, 2010, he crossed the finish line in Salisbury State University’s 100-mile Sea Gull Century Bicycle Tour – less than one year after his heart attack.

“I think my heart attack scared some of my friends more than it scared me,” says Mike, with wife, Vicky.“They thought if this could happen to me, it could happen to them, too.”

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Shady Grove Adventist Hospital provides a broad range of acute care and is recognized for its specialized care for children, high-risk obstetric care, comprehensive cancer care, cardiac and vascular interventions and surgical specialties.

A closer look at Shady Grove Adventist Hospital

Shady Grove Adventist Hospital

• Fully accredited by The Joint Commission and licensed by the state of Maryland.

• Primary Stroke Center, Maryland Institute for Emergency Medical Services and Systems.

• Cycle II Chest Pain Center with PCI, Society of Chest Pain Centers.

• Cardiac Interventional Center, Maryland Institute of Emergency Services and Systems.

• Gold Performance Achievement Award, American College of Cardiology Foundations NCDR ACTION Registry-GWTG for Cardiac and Vascular Services.

• Approval with Commendation for Cancer Program, American College of Surgeons.

Shady Grove Adventist Hospital opened more than 30 years ago in what was then a rural but rapidly growing area of northern Montgomery County.

• American College of Radiology accreditations for Nuclear Medicine, Radiation Oncology and digital imaging services.

• Only hospital-based enhanced external counterpulsa tion (EECP) program in Montgomery County, non- surgical option for some cardiac patients with angina.

• Level IIIB Neonatal Intensive Care Unit (NICU).

• Bariatric Surgery Center of Excellence, American Society for Metabolic and Bariatric Surgery.

• Only Maryland hospital to receive International Board Certified Lactation Consultants Care Award.

Adventist HealthCare’s Commitment to Upper Montgomery County Residents

The Emergency Center has received national attention as a model freestanding emergency department.

In 2005, Adventist HealthCare joined with Maryland’s upcounty community, state legislators and county officials to build the Shady Grove Adventist Emergency Center off Route 118 at Germantown. The Emergency Center is an integral part of Adventist HealthCare’s longstanding commitment to expand access to health care for residents in upper Montgomery County, which began in the 1970s and will continue with future services in Clarksburg.

The Germantown Emergency Center provides emergency medical care to more than 36,000 patients each year and is equipped to handle the full range of emergency medicine needs. The Emergency Center’s medical campus also has a primary care clinic for uninsured residents, a prenatal clinic for low-income women, outpatient radiology services and physician offices.

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The Shady Grove Adventist Emergency Center in Germantown has saved lives and improved access to emergency medical care for upper Montgomery County residents.

Diane from Germantown knew that she would join the 200,000 women diagnosed with breast cancer each year when she found a lump in her breast during a routine self-exam.

“I knew it was cancer immediately,” she says.

The good news was that she caught the lump in an early stage.

Shady Grove Adventist Hospital

Diane underwent surgery at Shady Grove Adventist Hospital where she recalls the compassion and understanding of the surgical nurses, some of whom were breast cancer survivors themselves.

“The nurses at the hospital, in my doctors’ offices and who came to my home cared for me physically as well as psychologically and spiritually,” Diane says. “I could not have made it through my journey without that care.”

She offers a simple yet deeply meaningful answer when asked how breast cancer has changed her life.

“As much as I have hated to have gone through my battle with breast cancer, it has humbled me and taught me to celebrate each day of my life,” she says. “I now have peace, I now have joy.

I have won the battle. I have won the war!”

After her breast cancer diagnosis and treatment at Shady Grove Adventist Hospital, Diane quickly joined the hospital’s breast cancer support group, connected with other survivors and built a network of support.

Learn more about Shady Grove Adventist Hospital at www.ShadyGroveAdventistHospital.com 9

A closer look at Hackettstown Regional Medical Center

The Joan Knechel Cancer Center at Hackettstown Regional Medical Center

• Fully accredited by The Joint Commission and licensed by the state of New Jersey.

The Joan Knechel Cancer Center at Hackettstown Regional Medical Center offers the most advanced technologies for treating cancer, along with expert doctors, nurses, therapists and highly trained technicians to utilize those technologies and treatments to the greatest advantage for our patients.

The Center’s capabilities include radiation oncology, medical oncology, hematology and PET/CT.

Hackettstown Regional Medical Center

• Designated as a Primary Stroke Center by the Joint Commission, having earned the Gold Seal of Approval in 2009.

• Primary Stroke Center has earned the Get With The Guidelines® Silver Performance Award from the American Heart Association American Stroke Association.

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For more than 20 years, Joan Knechel was a highly-valued nurse at what was then called Hackettstown Community Hospital. She was the kind of person who cared deeply for her patients as well as her colleagues. When Joan was diagnosed with cancer, there were no radiation treatment options available locally. Joan had to drive 45 minutes each way, five times a week, for her own treatments. She also volunteered to drive other cancer patients the same distance, including on days when she did not need to make the trip herself.

Performed in top 10% of hospitals in the state for three key “Recommended Care/Process of Care Measures” - Heart Attack Treatment, Pneumonia Treatment and Surgical Care Improvement Process, according to the 2010 New Jersey State Hospital Performance report, based on data from 2009.

In the years since Joan’s diagnosis, cancer treatment has changed.

New and better technology and treatments than were ever before possible are now available at the Center, which proudly honors her name.

Gene Milton Retires After 25 Years as President After 25 years as President and Chief Executive Officer, Gene Milton retired at the end of 2010, after serving almost 30 years at Hackettstown Regional Medical Center. He was succeeded by Jason Coe, previously the hospital’s Chief Operating Officer.

“Gene’s legacy of servant leadership will be a part of the Hackettstown Regional Medical Center story forever,” says Bill Robertson, President & CEO of Adventist HealthCare and Governing Board Chair of the hospital.

Today, Hackettstown Regional Medical Center is recognized as one of the most accomplished hospitals in New Jersey and the nation, with nearly 950 employees, 250 physicians and 200 volunteers, providing excellent care with a spirit of compassion to more than 50,000 people each year.

“I have loved every minute spent working here at Hackettstown Regional Medical Center and have greatly enjoyed being a member of the community,” says Gene Milton.

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In an effort to further enhance patient safety and quality of care, Adventist HealthCare is working toward Electronic Medical Records (EMRs) for our patients. Hackettstown Regional Medical Center, our hospital in New Jersey, successfully went live with EMRs on January 10, 2010.

The medical software program, Cerner Millennium, captures all aspects of the patient’s experience from scheduling an appointment, through procedures for care and treatment, to recording charges for services.

“Hospital staff are appreciative of the benefits to having an electronic medical record with easy and convenient access to the information needed to deliver great care to our patients,” said Dottie VanDerWiele, Director of Clinical Informatics at the hospital.

Nurses and other staff clinicians enter patient information at the bedside or in any setting where care is delivered. Medications are administered using the electronic chart and barcode scanners for verification that the right medications are given to the right patients at the right times. Using electronic tools such as work lists or task lists, clinical orders are processed and resulted in the system. Our physicians are currently using the system, both onsite and from remote locations, to review test results and electronically sign reports.

Cerner is the technological cornerstone of Adventist HealthCare’s multi-year Care Excellence Initiative.

Care Excellence is standardizing and redesigning our clinical care process, transforming the way patient care is provided. Our goal is to ensure that the care we provide for our patients is directed by evidence-based best practices and represents the very highest levels of quality and consistency.

Acute care hospitals of Adventist HealthCare will soon follow in the successful path of Hackettstown Regional Medical Center as we continue to enhance quality and patient safety throughout the organization.

Hackettstown Regional Medical Center opened in 1973 and is now a full service acute care hospital that has won top awards for quality and service in New Jersey and nationally.

Cerner workstations now available at Hackettstown Regional Medical Center enable staff to easily enter patient care information as part of the hospital’s electronic medical record capabilities.

Learn more about Hackettstown Regional Medical Center at www.hrmcnj.org 11

Hackettstown Regional Medical Center

At Hacketstown Regional Medical Center, Cerner allows EMRs to be used for patients throughout the hospital – from Ancillary Care Departments to the Emergency Department, to Surgery, to Outpatient care areas and Inpatient units. The patient’s medical record, known as PowerChart, is designed to help meet quality and safety standards for the patient as caregivers record required information within everyday clinical workflows.

Adventist Behavioral Health

When Helen, now 71, lost her parents, her aunt and her beloved pet within months of each other, her grief seemed almost unbearable. At one point she came close to contemplating suicide.

A closer look at Adventist Behavioral Health

Last year, Helen was admitted to Adventist Behavioral Health Rockville’s Magnolia Unit, which opened in March 2010. This is the first inpatient psychiatric unit in Montgomery County dedicated to serving the unique needs of independent senior adults age 60 years and older. The clinical team on the Magnolia Unit provided the medication management, intensive individual and group therapy, and activities such as art, movement and journal exercises that helped Helen overcome her depression and regain control of her life.

Adventist Behavioral Health is one of the largest providers of behavioral health services in Maryland, with facilities in Montgomery, Anne Arundel and Dorchester counties. Adventist Behavioral Health provides a broad spectrum of services and treatment options for children, adolescents, adults and seniors, in a variety of settings - hospital-based programs, residential treatment centers, school programs, residential group homes, outpatient services and community-based services.

“My struggle with depression was very humbling, and I greatly appreciated the compassionate nature of the staff members on the Magnolia Unit,” Helen says.

• Magnolia Unit – Montgomery County’s only acute inpatient psychiatry unit dedicated to serving the unique needs of senior adults 60 years and older.

The Magnolia Unit is designed to feel like a home away from home, offering 10 private patient rooms, a kitchenette, spacious living areas and a private courtyard.

• Montgomery Unit – opened in 2004 as first mood disorders unit of its kind in the U.S.

“The unit was bright and open. I immediately felt a sense of calm when I began my treatment,” says Helen. “I now feel blessed to be able to enjoy my life and time with my family.”

• Adventist Behavioral Health Eastern Shore – region’s only acute care and residential mental health facility for children and adolescents.

• One of only two behavioral health organizations in Maryland offering program to help rehabilitate adolescent boys who display sexually deviant behavior.

• Proud academic partner of the Georgetown University Hospital Department of Psychiatry through the Child & Adolescent Psychiatry Residency Training Program.

• Residential Treatment Center at Anne Arundel is often the last resort for adolescents suffering from severe behavioral and emotional problems.

One of two bright and welcoming patient living areas on the Magnolia Unit.

Learn more about Adventist Behavioral Health at www.AdventistBehavioralHealth.com 12

At just two years old, Mark and Wendy’s son, Charlie, had been kicked out of two day care centers because his aggression led to fights with other children and staff.

“We were always worried that Charlie might be destructive or hurt someone,” Mark says.

Feeling helpless, his parents turned to the Therapeutic Nursery Program (TNP) at the Reginald S. Lourie Center for Infants and Young Children.

“Unlike other day care programs, the Lourie Center’s TNP staff assured us that they were trained to manage Charlie’s destructive behavior and would not give up on our son,” Mark says.

This private, non-profit agency aims to understand and strengthen emotionally healthy parent-child relationships within our community through early prevention, intervention, education, research and training.

After seven months in the TNP, Charlie learned how to better communicate his emotions in a more positive and productive way.

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“He is now encouraged to be the best he can be, and that sense of hope and well being has made such a difference in his life and ours,” says Wendy. “We are so grateful for the TNP – the only program of its kind in this area that could help my son.”

Founded in 1983 by Dr. Reginald S. Lourie and his colleagues, including Dr. T. Berry Brazelton and Dr. Stanley Greenspan, as an outgrowth of their six-year clinical research project funded by the National Institute of Mental Health.

• Serves more than 4,000 children and families in the Washington metropolitan area, regardless of ability to pay.

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Only organization in the National Capital Region that focuses on the social and emotional development of infants, young children and their families by integrating early intervention, education, clinical evaluation and treatment, research and training.

• Therapeutic Nursery Program accredited by National Association for the Education of Young Children.

“Charlie is a bright and articulate child who never ceases to amaze me,” says Mark, left, with Wendy, right. Their son, Charlie, center, benefited from the specialized care provided by the Therapeutic Nursery Program at The Lourie Center.

Learn more about The Reginald S. Lourie Center for Infants and Young Children at www.louriecenter.org 13

The Reginald S. Lourie Center for Infants and Young Children

A closer look at The Reginald S. Lourie Center for Infants and Young Children

“Charlie’s teachers were also visibly frustrated by his inability to control his behavior and the other children at times were afraid of him.”

Adventist Rehabilitation Hospital of Maryland

It’s an icy, wintry morning as Seraphim drives from his Gaithersburg home to volunteer at his daughter’s high school in Derwood. He would never arrive.

His neck would be broken in a horrific car accident, nearly severing his spinal cord. Seraphim came to Adventist Rehabilitation Hospital of Maryland last February for therapy after weeks of hospitalization and treatment. He could walk, but only with the strict use of a walker at all times for short distances. He was mentally exhausted and emotionally drained.

A closer look at Adventist Rehabilitation Hospital of Maryland

For six months Seraphim’s “rehab angels” -- as he called physical therapist Magda Pietz and occupational therapist Shilpa Deshmukh -- worked with him. His coordination vastly improved, transforming him from a patient who couldn’t hold a fork to a man who could walk unaided.

Adventist Rehabilitation Hospital of Maryland is the first hospital in a five-state area to obtain accreditations from the Commission on Accreditation of Rehabilitation Facilities International for care of hospitalized patients in four specialty areas - brain injury, spinal cord injury, stroke and amputation. Adventist Rehab also offers comprehensive rehabilitation in other areas such as orthopedic injuries and surgeries, sports-related injuries, work-related injuries, cardiopulmonary conditions and neurological disorders.

Seraphim’s amazing progress with rehabilitation and reputation as a patient who enjoyed a challenge prompted staff to ask if he wanted to volunteer at Adventist Rehab.

He says, “I didn’t hesitate. Not for a second. Of course I wanted to give back to them. They gave me so much, it was the least I could do, you know?”

Today, Seraphim makes the trip to Adventist Rehab twice a week on foot from his home for therapy and to volunteer. It’s a staggering feat for a man who many said would never walk again, let alone survive.

• Accredited by The Joint Commission and licensed by the state of Maryland and Montgomery County for operation as a rehabilitation hospital.

• First and only acute rehabilitation hospital in Montgomery County, opening in January 2001.

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Two hospital locations: a freestanding 53-bed hospital next to Shady Grove Adventist Hospital and a 24-bed hospital located on the 5th floor of Washington Adventist Hospital.

• Certified Brain Injury Specialists and Certified Registered Rehabilitation Nurses on staff.

“[God] gives everyone talents but sometimes those talents are not what you would normally think of,” says Seraphim, left, with physical therapist Magda Pietz.

“I know now that He gave me the talent to survive. It is up to me to make Him proud of this talent that He gave me. I hope that I do not let Him down.”

• Maryland Patient Safety Center first place award for Patient Safety Team work to reduce falls.

Learn more about Adventist Rehabilitation Hospital of Maryland at www.AdventistRehab.com 14

June had a total hip replacement last year and was referred to Adventist Home Health as part of her recovery process. Her experience with physical therapist Lisa Paul exemplifies the extraordinary patient experience Adventist HealthCare strives to offer all our patients.

A closer look at Adventist Home Care Services

“At the first visit, Lisa evaluated me and provided instructions on how to get around my house,” June says. “She ordered me the equipment I needed to make things easier and arranged for me to get Meals on Wheels and even a nurse’s aide to help me shower and to make my bed.”

“By showing a sincere interest and asking her questions, June became someone I truly admired,” Lisa says. “She is a very involved and active senior who takes joy in life.”

“I’m a very active person and after my physical therapy with Lisa, I was able to resume my busy lifestyle.

Lisa truly cared about me and I am very grateful for her help and support,” June says. “Adventist Home Health was wonderful and allowed me to continue my rehab at home.”

About Adventist Home Health Accredited by the Community Health Accreditation Program; state-licensed home health agency; certified by Medicare. Serving Montgomery County, Prince George’s County, Charles County, Calvert County, St. Mary’s County, Howard County and Anne Arundel County.

About Adventist Home Assistance Licensed by the state of Maryland as a Private Duty Residential Service Agency. Serving Montgomery County, Prince George’s County, Howard County, Southern Maryland and the District of Columbia.

About Adventist Choice Nursing Licensed by the state of Maryland as a Nursing Referral Service Agency. Serving Montgomery County, Prince George’s County, Howard County and the District of Columbia.

“Each patient that I work with becomes more than a patient because I get to know them on a very personal level,” says physical therapist Lisa Paul, left, whose compassion and care fostered a close relationship with June throughout months of therapy after a hip replacement.

Learn more about Adventist Home Care Services at www.AdventistHomeCare.com 15

Adventist Home Care Services

With shorter hospitalizations today, patients often need instruction and encouragement when they get home to help them through the difficult journey of rehabilitation. Since 1973, Adventist Home Health has brought healing home with comprehensive skilled services and compassionate care. In 1983, we expanded our home care division to include Adventist Home Assistance.

Adventist Choice Nursing was established in 1995 to offer a cost effective option for private duty and skilled nursing services.

Lisa’s caring nature and natural empathy helped lessen June’s anxiety.

Throughout the following weeks of therapy and home health aide services, Lisa saw June’s true personality emerge.

Adventist HealthCare Center on Health Disparities

The Center on Health Disparities at Adventist HealthCare is a regionally recognized leader and resource for education and training programs to equip our community and providers with the necessary information and tools to provide patient and family-centered care for our diverse community in a culturally sensitive way.

The Center’s unique work converges during an unprecedented era, with the 2010 U.S. Census finding that Montgomery County, Maryland, is now a majority minority county for the first time in history. In Prince George’s County, the Hispanic community has doubled to 15 percent of all county residents since 2000.

The Center provides cultural and linguistic competence education and training, and conducts research on health disparities in partnership with community and health care organizations throughout Maryland including Johns Hopkins Medicine and Sinai Hospital of Baltimore. Our goal is effective prevention, treatment and care programs for all individuals, regardless of their economic, cultural, linguistic or demographic characteristics. We deliver cultural awareness and sensitivity training for health professionals, provide interpreter training for qualified bilingual staff and partner with community organizations to conduct research and provide services to minority and underserved populations.

Our partnership with immigrant advocacy organizations enables the provision of primary medical care for uninsured residents, helps immigrants to pursue health care careers and enhances community services including language assistance and job training to assist them in becoming part of the community.

A closer look at the Center on Health Disparities • Marcos Pesquera, Executive Director of Adventist HealthCare’s Center on Health Disparities, 2010 Health Care Hero for Community Outreach by The Daily Record newspaper in Baltimore.

• Delivered culturally competent care training for 6,000 health professionals in the greater Washington region in 2010.

•

Research partners include the University of Maryland, the Latino Health Initiative, the Primary Care Coalition and CHEER (Community Health and Empowerment through Education and Research) of the Montgomery County Community Foundation.

• Community groups that have participated in the Center’s Culturally Competent Care training and Qualified Bilingual Staff Program:

Johns Hopkins Priority Partners, Kaiser Permanente,

Korean Community Service Center, Mary’s Center,

Maryland Department of Health and Human Services,

Maryland Hospital Association, Mercy Health Clinic,

Mobile Med, Montgomery County Correctional Facilities,

Muslim Clinic, Peoples Community Clinic, Proyecto Salud,

Sinai Hospital of Baltimore, Spanish Catholic Center.

•

Trained 370 Adventist HealthCare staff in 14 languages including Amharic, Arabic, Armenian, Cantonese, Farsi, French, Khmer, Korean, Mandarin, Portuguese, Russian, Spanish, Tagalog and Vietnamese through our Qualified Bilingual Staff program.

Spanish-speaking patient Felipe, center, with his wife, Maria, right, says that the compassion and specialized interpreter training of Qualified Bilingual Staff member, Bertha Castrillon, was vital for the success of his heart attack treatment and recovery at Washington Adventist Hospital.

Learn more about the Center on Health Disparities at www.AdventistHealthCare.com/Disparities 16

Last May, more than 300 health care providers attended Adventist HealthCare’s ACES (Ambulatory Care Electronic Medical Record Solution) kick off event. ACES is an innovative program that Adventist HealthCare offers to our more than 1,700 community-based physicians to help them implement Electronic Medical Records (EMRs) in their practices.

“We recognize that for physicians and other health care providers, EMRs are the stethoscope of the future,” says Dr. Gaurov Dayal, Senior Vice President and Chief Medical Officer of Adventist HealthCare.

A closer look at Adventist HealthCare Physicians

“Adventist HealthCare is committed to improving the health of people and communities,” Dr. Dayal explains. “Electronic medical records are an important part of bringing health care into the digital age. As we implement new digital technologies in our facilities, we are pleased to help our community physicians implement this important tool in their practices.”

Adventist HealthCare is now also a Maryland Health Care Commission-designated Management Service Organization, which shows that our organization has the strong roots, local resources and information technology expertise to assist providers in accelerating EMR rollout in order to enhance care for our community.

More than 1,700 physicians are on the medical staff at the entities of Adventist HealthCare. These dedicated physicians may be based at one of our many facilities or have a private practice in the community. Their areas of expertise represent more than 100 medical specialties and sub-specialties. They are our partners in providing a continuum of care for our community.

•

Hundreds of Adventist HealthCare physicians are recognized as Top Doctors on lists compiled by Washingtonian Magazine and Consumers’ Checkbook. Thank you to all of our physicians for the high quality and compassionate care they provide to our patients and the communities we serve.

Adventist Physician Services (Adventist Medical Group) Adventist HealthCare’s Adventist Physician Services (Adventist Medical Group) supports physicians of various specialties who are employed by our organization.

This support includes providing administrative, financial management and other non-clinical services that are essential for the physicians to provide quality care and operate successful medical practices. This program has grown to meet the physician service needs of the patients of our facilities and their medical staffs as well as the communities those facilities serve.

Outpatient physician Thao Nguyen, M.D., Urogynecology, says that the transition to ACES, Adventist HealthCare’s electronic medical records program, has enabled her to enhance the continuum of care she provides for her patients.

Learn more about Adventist HealthCare’s ACES Program at www.AdventistHealthCare.com/ACES 17

Physician Collaboration

No matter where a physician provides care – in the hospital environment or within an office setting – it is important to maintain a continuum of care for patients and the community. EMR technology provides a framework for coordinating that care.

•

As the first, largest and only not-for-profit health system headquartered in Montgomery County, Maryland, Adventist HealthCare has more than a century-long tradition of serving the community.

Our mission and vision reflect the very definition of community benefit in Maryland as “an activity that is intended to address community needs and priorities primarily through disease prevention and improvement of health status.�

Adventist HealthCare Community Benefit

In fiscal year 2010, Adventist HealthCare, through Shady Grove Adventist Hospital and Washington Adventist Hospital alone, provided more than $63 million in community benefits to those we serve.

We have deep roots working for and within the community, which gives us special insight to identify and meet community health needs with important services and resources. This collaboration helps us to improve the

health status and quality of life for our residents, especially for underserved groups such as the uninsured and minorities.

Below is a chart that lists the numbers behind our commitment to the community. The pages that follow illustrate the myriad ways that we bring these numbers to life as essential partners with those we serve.

COMMUNITY BENEFIT FOR ADVENTIST HEALTHCARE HOSPITALS:

$67,198,331

Net Community Benefit Reporting period: July 1, 2009 - June 30, 2010

January 1 - December 31, 2010

Shady Grove Adventist Hospital

Washington Adventist Hospital

Hackettstown Regional Medical Center

Number of Licensed Beds in 2010

336

281

101

Community Health Services

$5,190,302

$5,842,853

$829,156

Health Professions Education

$1,570,461

$1,313,980

$439,745

Mission Driven Health Care Services

$9,610,923

$16,502,627

not applicable

Research

$517,761

$603,047

not applicable

Financial Contributions

$1,062,209

$1,798,525

$107,416

Community-Building Activities

$576,514

$1,029,876

$26,837

Community Benefit Operations

$669,206

$675,792

$3,373

Charity Care

$7,910,344

$8,567,128

$2,038,338

Unreimbursed Costs of Medicaid Program (New Jersey only) not applicable

not applicable

$311,917

HOSPITAL TOTALS

$36,333,827

$3,756,782

Category

$27,107,722

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Washington Adventist Hospital consistently provides the most community benefit as a percentage of its operating expense out of all Montgomery County hospitals. And Washington Adventist ranks in the top ten of Maryland hospitals in providing the most charity care.

These are just two examples of the deep commitment that Adventist HealthCare has to the health of our community members who may not have the financial means to receive the medical treatment and health services they need. It is especially during these times of economic uncertainty that we can truly prove our dedication to strengthening the health safety net of the regions that we are privileged to serve.

Each year, Adventist HealthCare enhances our contributions and collaborative partnerships to address community needs and priorities.

Educating Future Health Care Professionals •

The Adventist HealthCare Clinical Pastoral Education (CPE) Center offers an interfaith professional education for theological students and ministers into supervised encounters with persons in crisis. Since 2005, 66 students have graduated from the program. CPE graduates are clinically trained chaplains who work in diverse health care settings including general and acute care, children’s hospitals, psychiatric, military, geriatric centers, hospices, parishes, mental health facilities and correctional institutions.

•

Adventist HealthCare has partnered with many of Montgomery County’s quality education institutions – the Universities at Shady Grove, Washington Adventist University and Montgomery College– to provide scholarships for those students interested in a rewarding health-care career.

•

We provide the largest clinical partnership for Montgomery College’s nurse training program and also provide clinical training for nursing students at Carroll Community College, Frederick Community College, Georgetown University, Howard Community College, Prince George’s Community College, the University of Maryland and Washington Adventist University.

•

The Adventist HealthCare Health Ministry Department promotes healthy lifestyles through congregational health ministries. We work with more than 19 community organizations and more than 65 congregations of all faiths, helping them with classes and health events to train and support Faith Community Nurses who will directly provide support and care at the local community level.

•

We support additional nursing programs, as with our $1.5 million commitment to the Maryland Hospital Association’s “Who Will Care?” campaign for nursing education, which supports the care of local residents.

•

Our Shady Grove Life Sciences Center events and programs give local students the opportunity to experience careers in health care and science as a future profession.

Washington Adventist University Nursing Students joined Health & Wellness staff to help provide free cancer screenings to the community.

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Educating Future Health Care Professionals

In fiscal year 2010, Washington Adventist Hospital contributed more than $36 million – or 14.5% of its operating expense – to the community through public health programs and services and other forms of uncompensated care. Shady Grove Adventist Hospital contributed more than $27 million in community benefits, which was approximately 9.3% of its operating expense.

The growth of Adventist HealthCare into a comprehensive health system has allowed us to expand the reach of our community services to provide effective prevention, treatment and care programs for all individuals, regardless of their economic, cultural, linguistic or demographic characteristics.

We are especially dedicated to programs that help build healthy families and communities with a special focus on women and children.

About Adventist HealthCare Health & Wellness

Community Health Services Here are some snapshots of Adventist HealthCare’s work in the community in 2010, which resulted in more than 208,000 encounters.

•

3,683 encounters in Health & Wellness Community Outreach were provided through 47 health fairs held throughout Montgomery and Prince George’s counties, including the Holiday Food and Fitness Expo in Prince George’s County and the Montgomery County Agricultural Fair in Gaithersburg.

•

2,019 encounters in Community Health Education were provided through 83 screening and lecture events at locations including Bowie Senior Center, Takoma Park Senior Center, Long Branch Community Center, Rockville Senior Center, Damascus Senior Center and Gaithersburg Senior Center.

• 1,408 low-cost influenza vaccines were given at 46 flu clinics held at local community and senior centers through Adventist HealthCare’s Help Stop the Flu campaign.

Additional free outreach programs, lectures and screenings were held to help people in the community learn their risks for cardiovascular disease, heart disease and overall health. For these events, we partnered with groups including the African American Health Program of Montgomery County, Montgomery County Community and Senior Centers, Coronary Health Improvement Program, Plus 15 Lifestyle Change Program and the Central County Coalition of Prince George’s County.

•

More than 11,000 members of our community took part in almost 500 maternal/child health education programs at Shady Grove Adventist and Washington Adventist Hospitals including drop-in, weekly support groups for breastfeeding and parenting advice and classes to prepare family members for when a new baby arrives. Shady Grove Adventist Hospital’s Germantown Prenatal Center provides obstetrical care to uninsured women through the Montgomery County Maternity Partnership Program, including pre-and postnatal care, general gynecological care as well as family planning services to patients.

•

Washington Adventist Hospital continues to provide cancer screenings and services to uninsured/underinsured individuals reached through our Breast Cancer Screening Program, annual Cancer Screening Days and work with the Montgomery County Cancer Crusade.

Shady Grove Adventist Hospital also holds annual Cancer Screening Days and partners with the Montgomery County Women’s Cancer Control Program and Maryland’s Breast and Cervical Diagnosis Treatment Program to offer screenings, patient education and access to treatment for low-income women ages 40 and older.

Adventist HealthCare provides free flu vaccines to the community through our Help Stop the Flu campaign..

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Mission Driven Health Care Services Our Health & Wellness team hosted a health fair for the NAACP on the Montgomery College Takoma Park campus.

Adventist HealthCare’s Health & Wellness Department participated in the Prince George’s County Holiday Food and Fitness Expo.

The 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 in its Germantown location and its mobile medical van enables regular medical care, such as routine physicals, for uninsured and low-income residents.

We also provide specialized services and care that are unique and vital to the community. Last January, Shady Grove Adventist Hospital’s Forensic Medical Unit, formerly the Sexual Abuse and Assault Center, marked its move to new and expanded space. The unit, which is the only one in Montgomery County, provides forensic evidence collection and specialized medical care to women, men and children who are victims of sexual assault and abuse.

Shady Grove Adventist Hospital’s Forensic Medical Unit treats about 200 patients each year.

Learn more about the many opportunities Adventist HealthCare offers to improve health in the community through community events, classes and more by visiting www.AdventistHealthCare.com/calendar The ribbon cutting for the new expanded, Forensic Medical Unit at Shady Grove Adventist Hospital was held on January 6, 2010.

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Mission Driven Health Care Services

From left, Pat Wolcott, RN, Dr. Michael Chen, interventional cardiologist, and Lorena de Leon, Adventist HealthCare’s Manager, Vascular Services, at the Navigating Vascular Health event at Shady Grove Adventist Hospital on September 12, 2010.

To meet the needs of our communities, Adventist HealthCare continues to innovate and expand the range of our services to build on the strong foundation we have laid for a healthy, engaged community. The important partnerships and relationships we have developed with Mercy Clinic, Mary’s Center and MobileMed help us to augment health care in lower Montgomery and Prince George’s counties as well as upper Montgomery and lower Frederick counties. These are areas where numerous residents may be underserved, either by being uninsured, or in an area where health services may be located far away.

Community-Building Activities and Partnerships

Community-Building Activities Adventist HealthCare supports the community with more than just health care services. We also contribute our expertise and resources to programs that address community issues such as workforce development, housing, disaster readiness and health advocacy.

The following list is of community groups with which we are coalition members or leaders, or ones that our employees support with their time.

Adventist Chaplaincy Ministries-North American Division Adventist Development Relief Agency (ADRA) Adventist Health System Adventist World Radio Board of Directors Atlantic Union College BlackRock Center for the Arts Corridor Cities Transitway Coalition Crime Solvers of Montgomery County Gaithersburg-Germantown Chamber of Commerce Governor’s P-20 Leadership Council of Maryland Governor’s Workforce Investment Board Greater Silver Spring Chamber of Commerce Healthcare Financial Management Association IMPACT Silver Spring Council of Advisors Leadership Montgomery Manna Food Center Maryland Hospital Association Maryland Patient Safety Center Maryland Workforce Corporation Board Mental Health Association of Montgomery County Metropolitan Washington Council of Governments Task Workforce Montgomery Business Development Corporation Montgomery County Biosciences Task Force Montgomery County Chamber of Commerce Montgomery County Chamber of Commerce Foundation Board Montgomery County Commission on Health Montgomery County Economic Advisory Council Montgomery County Emergency Preparedness Collaboration (MOCEP) Montgomery County Housing Partnership Montgomery Hospice National Governors Association Rebuilding Together Montgomery County Region V Health and Medical Task Force of Emergency Preparedness Shady Grove Life Science Bio Tech Association Sligo Seventh-day Adventist Church Strathmore Hall Foundation Board, Inc. The Universities at Shady Grove Washington Adventist University

Community Partnerships

The Adventist HealthCare Community Partnership Fund seeks to support and partner with community-based organizations to improve both overall community health and the health care system in support of our mission. The Community Partnership Fund channels its investments into areas of focus that will improve community health. These investments include, but are not limited to: working to increase access for the underserved, disseminating care improvements, addressing social determinants of health and influencing public policy.

Here is a representative list of some of the organizations that received grants in 2010 through our Community Partnership Fund: ADRA International Adventist Behavioral Health Foundation African American Chamber of Commerce American Heart Association American Red Cross BlackRock Center for the Arts Brain Injury Association of Maryland Casa of Maryland Center for Adoption and Education City of Gaithersburg City of Takoma Park Clarksburg High School Columbia Union Conference Committee for Montgomery Community Foundation for the National Capital Region (CHEER) Community Ministries of Rockville Gaithersburg-Germantown Chamber of Commerce General Conference EBSCO Library Germantown Athletic Club Germantown Oktoberfest Greater Baden Medical Services Hackettstown Regional Medical Center Foundation Hispanic Business Foundation of Maryland IMPACT Silver Spring Interfaith Works Johns Hopkins University Jubilee Association of Maryland Kettering Adventist HealthCare Laurel Regional Hospital Foundation

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Leadership Montgomery Liz Lerman Dance Exchange Maryland Business Roundtable for Education Maryland Hospital Association Maryland Soccer Foundation Mary’s Center for Maternal and Child Care Mental Health Association Mobile Medical Care Montgomery Coalition for Adult English Literacy Montgomery County Business Roundtable Montgomery County Chamber of Commerce Montgomery County Collaboration Council Montgomery County Community Foundation Montgomery County Stroke Association Montgomery Hospice Montgomery Housing Partnership NAMI Montgomery County ORT America, Inc. PSI (Philanthropic Service for Institutions) Rebuilding Together Montgomery County Salisbury University Foundation Shady Grove Adventist Hospital Foundation Spencerville Adventist Church State Legislative Leaders Foundation Strathmore Hall Foundation Temple Beth Ami The Urban Institute University of Maryland Foundation Washington Adventist Hospital Foundation

Adventist HealthCare 2010 Community Partnership Awards The Jewish Community Center of Greater Washington

“These groups represent the richness of diversity and faith that exists in our community and how we all work together to strengthen Montgomery County’s health-care safety net,” says Bill Robertson, President & CEO of Adventist HealthCare. “In many ways, these groups represent the unsung heroes of our communities.”

The Center and Adventist HealthCare have a long partnership in offering health and wellness programs to its many members. The Center has shown its commitment to health by helping Adventist HealthCare provide health screenings, babysitting classes, CPR classes and seasonal flu shot clinics.

The awards honor the organizations’ work in helping to expand access to health care services throughout the community and their commitment to improving the lives of individuals and communities through health education and screenings.

Mercy Health Clinic More than a decade ago, Dr. James Ronan, then a cardiologist at Washington Adventist Hospital, along with members of his Catholic church in Potomac, saw a need to help the uninsured in Montgomery County. That group’s vision became the Mercy Health Clinic, a community based, primary health-care provider in Gaithersburg that offers quality health care to uninsured, low-income residents. More than 150 clinic volunteers provide services free of charge to the underserved.

Identity This non-profit organization serves Montgomery County’s Latino youth with programs and services that focus on helping them achieve a sense of confidence, connection and control over their lives. Identity’s participation in the Upcounty Health Care Alliance and its endorsement for the continued operation of the Shady Grove Adventist Emergency Center at Germantown has helped build tremendous support in upper Montgomery County.

The Montgomery County Stroke Association Representatives from the four groups presented with Adventist HealthCare’s 4th Annual Community Partnership Awards were honored by Adventist HealthCare and community leaders at the organization’s annual spring conference on May 24, 2010.

This group has a long-standing partnership with Adventist Rehabilitation Hospital of Maryland to improve the lives of stroke victims. Adventist Rehab provides meeting space for the group and coordinates health professionals to speak at meetings. Other support within the partnership includes financial assistance, volunteers for events and stroke education programs.

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2010 Community Partnership Awards

Adventist HealthCare’s 4th Annual Community Partnership Awards were presented to four important community partners in Maryland at our annual spring conference on May 24, 2010.

A Special Thank You to Our Adventist HealthCare Donors

Thank You to Our Community Business Partners As a not-for-profit organization, Adventist HealthCare applies every dollar to caring for patients and delivering critical services throughout the community. Many of our advances are made possible only by the donations from the community and we are grateful for their generosity.

We created the Healthy Community Impact Fund to assist our business partners by giving them the opportunity to streamline their giving efforts whereby one gift will support all the entities across Adventist HealthCare. The annual giving program is dedicated to helping us fulfill our commitment to serving the health care needs of our community.

Quest Diagnostics Shady Grove Orthopaedic Associates, PA Turner Healthcare

We recognize the special partnership between the business community and Adventist HealthCare by thanking our many Community Business Partners who have contributed to our mission:

Coakley & Williams Construction Component Assembly Systems, Inc. Deerfield Construction Gaithersburg Critical Care Partners Daniel Goldberg, M.D. Hackettstown Regional Medical Center Medical/Dental Staff Horizon Vascular Specialists Imaging Associates Medical Account Management Inc. (MAMI) MetroStar Systems Minkoff Development Corporation Ober-Kaler ParenteBeard Pediatric Inpatient Associates Skylands Community Bank

Chairman’s Circle: $50,000+

MEP (Medical Emergency Professionals) WRNJ Radio in New Jersey

President’s Circle: $25,000-$49,999 Anthelio Healthcare Solutions Cardiac Associates, P.C. Cohen Rutherford + Knight, P.C. EagleBank Hackettstown Emergency Associates, P.A. Inpatient Specialists Lerch, Early & Brewer, Chtd.

Lockheed Martin M&T Bank Ruppert Landscape Simmonds & Simmonds Sodexo Health Care Services Truland Service

Trustees’ Circle: $15,000-$24,999

DECO Recovery Management FCAA (First Colonies Anesthesia Associates LLC) Hackettstown Regional Medical Center Auxiliary Hackettstown Rotary Foundation, Inc.

A Special Thank You to Our Dedicated Volunteers

Governance Circle: $10,000-$14,999

• 827 volunteers in 42 departments at Shady Grove Adventist Hospital gave 53,669 hours of service, which is equivalent to a pro bono contribution of $1,086,797.

Adventist HealthCare is blessed with more than 1,500 generous volunteers who selflessly offer their gifts of time and talent. Our volunteers assist with various duties in various departments and also position Adventist HealthCare in the community by working as ambassadors for our entities. We extend our heartfelt appreciation to our wonderful volunteers and recognize the amazing contributions they made in 2010.

Congratulations to Frieda Price, a Shady Grove Adventist Hospital volunteer, who was inducted into the Maryland Senior Citizens Hall of Fame on October 21, 2010.

Frieda has been a volunteer at the hospital for more than 20 years.

• 85 volunteers in 10 departments at the Adventist Rehabilitation Hospital of Maryland gave 4,246 hours of service, which is equivalent to a pro bono contribution of $94,770.

• 219 volunteers in 18 departments at Hackettstown Regional Medical Center gave 21,418 hours of service, which is equivalent to a pro bono contribution of $457,483.14.

Total number of volunteers throughout Adventist HealthCare in 2010:

• 532 volunteers in 57 departments at Washington Adventist Hospital gave 34,590.25 hours of service, which is equivalent to a pro bono contribution of $721,207.

113,923.25

1,663 Total number of hours volunteers contributed in 2010: Value of our dedicated volunteers: Priceless

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Adventist HealthCare Executive Team in 2010

The following members comprised the Board of Trustees for Adventist HealthCare last year:

The Executive Council for Adventist HealthCare last year was comprised of the following leaders who are listed with the titles they held in the organization at that time:

Officers Chair

Jeffrey J. Pargament, Esq.

William G. “Bill” Robertson

Robert Jepson

Attorney, Pargament & Hallowell, PLLC

President & Chief Executive Officer

Adventist HealthCare Vice President, Government Relations and Public Policy

President, Columbia Union Conference of Seventh-day Adventists

Frank G. Perez

(listed alphabetically) Keith D. Ballenger

David E. Weigley, M.B.A.

Vice Chair

J. Neville Harcombe* Secretary, Columbia Union Conference of Seventh-day Adventists

Secretary

William G. “Bill” Robertson Adventist HealthCare President & Chief Executive Officer

Members

(listed alphabetically) Elaine L. Arthur Community Vice Chair and Vice President, Executive Talent, Planning and Acquisition, Sodexo, USA

President & Chief Executive Officer, Kettering Adventist HealthCare

Peter H. Plamondon, Jr.

George L. Child

Co-President and Founder, The Plamondon Companies

Adventist Senior Living Services President

Weymouth Spence, Ed.D. President, Washington Adventist University

David C. Stump, M.D. Executive Vice President for Drug Development, Human Genome Sciences, Inc

Robin Thomashauer Executive Director, Council for Affordable Quality Healthcare

Steven L. Tuck, M.D. Seth T. Bardu Treasurer, Columbia Union Conference of Seventh-day Adventists

Marta Brito Pèrez Vice President, Human Resources, AstraZeneca Pharmaceuticals, UK Limited

Ruth E. Bulger, A.M., Ph.D. Emerita Professor, Uniformed Services, University Health Sciences

Charles L. Cheatham

Adventist Home Health Vice President

Physician, Shady Grove Orthopaedic Associates

Elyse A. Kaplan Adventist HealthCare Vice President, Human Resources

James G. Lee

Gaurov Dayal, M.D.

Adventist HealthCare Senior Vice President and Chief Financial Officer

Adventist HealthCare Vice President and Chief Medical Officer

Sako Maki

Kenneth B. DeStefano, Esq. Adventist HealthCare Vice President and General Counsel

Kathleen Dyer Adventist Health Care Vice President and Chief Information Officer

Ismael Gama Adventist HealthCare Associate Vice President, Mission Integration and Spiritual Care

Susan L. Glover

Adventist Behavioral Health President

Gene C. Milton Hackettstown Regional Medical Center President

Joyce Portela Washington Adventist Hospital, Senior Executive Officer

Doris Reinhart Adventist Rehabilitation Hospital of Maryland, Vice President and Administrator

Emeritus/Emerita Members

Adventist HealthCare Senior Vice President and Chief Quality/Integrity Officer

Jere D. Stocks

Retired Executive, Nations Bank

Dennis D. Hansen

Paula S. Widerlite

Charles P. Barger

The Honorable Ida G. Ruben Former State Senator, Maryland State Senate

*Mr. Harcombe passed away May 11, 2011.

Shady Grove Adventist Hospital President

Washington Adventist Hospital President

Adventist HealthCare Vice President, System Strategy and Chief Development Officer

Edmund F. Hodge Adventist HealthCare Executive Vice President and Chief Administrative Officer

President, Allegheny East Conference of Seventh-day Adventists

Norton A. Elson, M.D. Chair, Washington Adventist Hospital Department of Medicine and Adventist HealthCare Care Excellence Officer

Adventist HealthCare’s 2010 Senior Corporate Officers, back row, from left, Joyce Portela, Gaurov Dayal, M.D., Dennis Hansen and Susan Glover, front row, from left, James Lee, Bill Robertson and Ed Hodge.

Mark E. Griffin Vice President, Marriott International

Scott D. McClure, Esq. Partner, Hogan Lovells

Fred M. Manchur President and Chief Operating Officer, Columbia Union Conference of Seventh-day Adventists

William K. Miller President, Potomac Conference of Seventh-day Adventists

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Adventist HealthCare Executive Team and Board of Trustees

Adventist HealthCare Board of Trustees in 2010

Washington Adventist Hospital NJ

301-891-7600

MD

7600 Carroll Avenue, Takoma Park

Mid-Atlantic States

Shady Grove Adventist Hospital

Adventist HealthCare Facilities & Services

240-826-6000

9901 Medical Center Drive, Rockville

Frederick

Hackettstown Regional Medical Center

Baltimore

908-852-5100

651 Willow Grove Street, Hackettstown, New Jersey

Adventist Rehabilitation Hospital of Maryland

Germantown

240-864-6000

9909 Medical Center Drive, Rockville

Burtonsville Gaithersburg Rockville

Adventist Behavioral Health

301-251-4500

14901 Broschart Road, Rockville (main campus) Anne Arundel

N W

Adventist Home Care Services

301-592-4400 (main office)

E S

Serving seven Maryland counties and parts of D.C.

Washington, D.C.

Eastern Shore

Shady Grove Adventist Emergency Center

301-444-8000

19731 Germantown Road, Germantown

Adventist HealthCare in YOUR Community

The Reginald S. Lourie Center for Infants and Young Children

301-984-4444 Learn more about Adventist HealthCare at www.AdventistHealthCare.com

12301 Academy Way, Rockville

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Proposed Locations

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www.twitter.com/AdventistHC www.youtube.com/AdventistHealthCare www.facebook.com/AdventistHealthCare 26

Washington Adventist Hospital (relocated) Clarksburg Hospital & Medical Campus

A Heartfelt Thank

You

We thank you for entrusting your health and the health of your loved ones to our caring employees and dedicated physicians.

We are especially grateful to those of you who provided financial help to one of our many causes and campaigns.

Because of your support, we are able to provide medical care and health services to more than 400,000 people each year.

Adventist HealthCare is truly blessed to be part of such a wonderful and caring community.

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Thank You to the Community

The inspirational stories and work highlighted in this report could not have occurred without the support Adventist HealthCare receives from you and other members of our community.

Washington Adventist Hospital Shady Grove Adventist Hospital Hackettstown Regional Medical Center Adventist Rehabilitation Hospital of Maryland Adventist Behavioral Health Adventist Home Care Services The Reginald S. Lourie Center for Infants and Young Children Adventist Medical Group LifeWork Strategies Cytology Services of Maryland

www.AdventistHealthCare.com