The Washington County Health System, Inc. ("Parent"), is the parent corporation of the Washington County Hospital Association ("Hospital"), Antietam Health Services, Inc. ("Antietam"), the Washington County Hospital Endowment Fund, Inc. ("Fund"), the Antietam Healthcare Foundation, Inc. ("Foundation"), and the Antietam Insurance Company, Ltd. ("AIC"). These entities are collectively referred to as the "System".

The Hospital is a not-for-profit acute care hospital located in Hagerstown, Maryland and serves the residents of western Maryland, southern Pennsylvania, and the panhandle of West Virginia. The Hospital currently offers acute general hospital inpatient services including adult medical and surgical care, obstetrics and newborn care, including a family birthing center, cardiac catheterizations, comprehensive inpatient rehabilitation, radiology and diagnostic services, inpatient and outpatient mental health services, a regional Level III Trauma Center, an intensive care unit, a progressive care unit, a coronary care unit, and a pediatric unit.

Antietam Health Services is a for-profit corporation located in Hagerstown, Maryland and serves the residents of western Maryland, southern Pennsylvania, and the panhandle of West Virginia. Antietam provides ambulatory surgery, laboratory, pharmacy, and other health services. Antietam is wholly owned by the Parent.

The Fund is a nonprofit corporation which manages gifts, donations or bequests given for the benefit of the System. It also acquires and develops real estate properties for rental to medical provider entities. The Fund has a wholly-owned subsidiary, The Washington County Endowment Development Company, Inc. ("Development Company") which was formed to develop and lease real estate properties for rental to medical provider entities.

The Fund's by laws and articles of incorporation provide that the Fund is to be operated exclusively for the support and benefit of the Hospital and the Parent or activities or programs which benefit the Hospital or the System. Distributions are made to the Hospital or the Parent in amounts and in periods determined by the Fund's Board of Directors, who may also restrict the use of funds. In the event the Fund is dissolved, all remaining assets would be returned to the Hospital or the Parent.

The Foundation's purpose is to raise philanthropic support for the capital and endowment campaigns of the Hospital and the Fund. The foundation also raises money for the Hospital's medical programs, healthcare objectives, scientific research, educational programs, and related community activities. Resources for the Foundation's activities are primarily provided by donors.

AIC is a wholly owned insurance captive that provides primary limits of insurance to the System for professional liability, employed physicians' professional liability, and comprehensive general liability risks.