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ADVENTIST HOME HEALTH SERVICES INC: Form 990, tax year 2019

View the entire original 990 at ProPublica ↗

Organization
ADVENTIST HOME HEALTH SERVICES INC (EIN 52-0986808)
Tax period
2019-01-01 to 2019-12-31
Filed
2020-11-12
IRS object ID
202043179349307274
Schema version
2019v5.1
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2020-11-12T15:40:35-06:00ReturnTs
Tax Period End2019-12-31TaxPeriodEndDt
Return Type990ReturnTypeCd
Tax Period Begin2019-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN520986808EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1ADVENTIST HOME HEALTH SERVICES INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlADVEBusinessNameControlTxt
Phone3013153030PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1820 WEST DIAMOND AVE NO 600AddressLine1Txt
CityGAITHERSBURGCityNm
State AbbreviationMDStateAbbreviationCd
ZIP208781419ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonJAMES G LEEPersonNm
Person TitleEXEC. VICE PRESIDENT & CFOPersonTitleTxt
Phone3013153030PhoneNum
Signature2020-11-12SignatureDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address96.231.190.138IPv4AddressTxt
FieldValueIRS element (for citing)
IP2020-11-12IPDt
IP Tm16:39:28IPTm
IP TimezoneESIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device IdC062B308BD402F67A9E2D8B01A21E3DE8729394DAtSubmissionCreationDeviceId
At Submission Filing Device IdC062B308BD402F67A9E2D8B01A21E3DE8729394DAtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2019TaxYr
Build TS2021-01-29 14:40:06ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerTERRY FORDEPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1820 WEST DIAMOND AVE NO 600AddressLine1Txt
CityGAITHERSBURGCityNm
State AbbreviationMDStateAbbreviationCd
ZIP208781419ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$32,254,043GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressHTTP://WWW.ADVENTISTHEALTHCARE.COMWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1973FormationYr
Legal Domicile StateMDLegalDomicileStateCd
Activity Or MissionWE EXTEND GOD'S CARE THROUGH THE MINISTRY OF PHYSICAL, MENTAL AND SPIRITUAL HEALING.ActivityOrMissionDesc
Voting Members Governing Body5VotingMembersGoverningBodyCnt
Voting Members Independent0VotingMembersIndependentCnt
Total Employee0TotalEmployeeCnt
Total Volunteers0TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$12,644PYContributionsGrantsAmt
CY Contributions Grants$9,275CYContributionsGrantsAmt
PY Program Service Revenue$28,982,482PYProgramServiceRevenueAmt
CY Program Service Revenue$29,991,031CYProgramServiceRevenueAmt
PY Investment Income$45,303PYInvestmentIncomeAmt
CY Investment Income$233,228CYInvestmentIncomeAmt
PY Other Revenue$0PYOtherRevenueAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$29,040,429PYTotalRevenueAmt
CY Total Revenue$30,233,534CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$22,284,572PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$23,226,166CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$5,165,612PYOtherExpensesAmt
CY Other Expenses$5,219,836CYOtherExpensesAmt
PY Total Expenses$27,450,184PYTotalExpensesAmt
CY Total Expenses$28,446,002CYTotalExpensesAmt
PY Revenues Less Expenses$1,590,245PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$1,787,532CYRevenuesLessExpensesAmt
Total Assets BOY$13,020,598TotalAssetsBOYAmt
Total Assets EOY$17,784,184TotalAssetsEOYAmt
Total Liabilities BOY$2,713,986TotalLiabilitiesBOYAmt
Total Liabilities EOY$5,616,157TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$10,306,612NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$12,168,027NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionWE EXTEND GOD'S CARE THROUGH THE MINISTRY OF PHYSICAL, MENTAL AND SPIRITUAL HEALING.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$21,225,910ExpenseAmt
Revenue$29,991,031RevenueAmt
DescFOR ANY NUMBER OF REASONS, RECEIVING CARE AT HOME -- WHETHER FOR ONGOING TREATMENT OR RECOVERING AFTER A HOSPITAL STAY -- CAN LIFT A PATIENT'S SPIRITS AND RECOVERY. FOR MORE THAN 40 YEARS, ADVENTIST HEALTHCARE HOME HEALTH SERVICES HAS BROUGHT HEALING HOME WITH COMPREHENSIVE, SKILLED SERVICES AND COMPASSIONATE CARE. IN 1983, WE EXPANDED OUR HOME HEALTH DIVISION TO INCLUDE ADVENTIST HOME ASSISTANCE, WHICH PROVIDES PRIVATE-DUTY NURSING SERVICES AND PERSONAL CARE FOR PATIENTS THAT REQUIRE ASSISTANCE TO STAY INDEPENDENT IN THEIR HOME. ADVENTIST CHOICE NURSING WAS ESTABLISHED IN 1995 TO OFFER A COST-EFFECTIVE OPTION FOR PRIVATE-DUTY AND SKILLED-NURSING SERVICES.CONTINUES ON SCHEDULE O.TODAY, ADVENTIST HOME HEALTH SERVICES' TEAM OF SKILLED NURSES, THERAPISTS AND SOCIAL WORKERS DELIVER COMPREHENSIVE SERVICES INCLUDING ADULT AND PEDIATRIC NURSING CARE, CARDIAC CARE, DIABETES CARE, WOUND/OSTOMY CARE, ONCOLOGY CARE, REHABILITATION SERVICES, MEDICAL SOCIAL SERVICES, HOME HEALTH AIDE SERVICES AND NUTRITION COUNSELING SERVICES. WE SERVE PATIENTS IN THEIR HOMES THROUGHOUT MONTGOMERY, PRINCE GEORGE'S, ST. MARY'S, CHARLES, CALVERT, ANNE ARUNDEL, FREDERICK AND HOWARD COUNTIES IN MARYLAND. WE ALSO OFFER A FALLS PREVENTION EDUCATION PROGRAM TO REDUCE THE RISK OF FALLS AND INCREASE IN-HOME SAFETY, AS WELL AS OTHER SPECIALTY PROGRAMS.IN 2019, ADVENTIST HOME HEALTH RECEIVED THE HOMECARE ELITE AWARD FOR THE NINTH YEAR IN A ROW. THIS AWARD, WHICH RECOGNIZES THE TOP-PERFORMING HOME HEALTH AGENCIES IN THE UNITED STATES, IS DEVELOPED BY ABILITY NETWORK, AND SPONSORED BY DECISIONHEALTH, PART OF THE H3.GROUP.HOMECARE ELITE WINNERS ARE RANKED BY AN ANALYSIS OF PUBLICLY AVAILABLE PERFORMANCE MEASURES IN QUALITY CARE OUTCOMES, BEST PRACTICE IMPLEMENTATION, QUALITY IMPROVEMENT AND CONSISTENCY, PATIENT EXPERIENCE (HOME HEALTH CAHPS) AND FINANCIAL PERFORMANCE. OUT OF 8,818 AGENCIES CONSIDERED, 2,207 ARE RECOGNIZED ON THE WINNERS LIST.Desc
Total Program Service Expenses$21,225,910TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B Required0ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Donor Rstr Or Quasi Endowments0DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other AssetsYes (1)ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent0BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document0IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee0EmployeeCnt
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members5GoverningBodyVotingMembersCnt
Independent Voting Member0IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (1)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local ChaptersYes (1)LocalChaptersInd
Policies Reference ChaptersYes (1)PoliciesReferenceChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1JAMES G LEE EXEC VP & CFOBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone3013153030PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1820 W DIAMOND AVE SUITE 600AddressLine1Txt
CityGAITHERSBURGCityNm
State AbbreviationMDStateAbbreviationCd
ZIP208781419ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (12 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
MARTA BRITO PEREZ
SVP,POP. HEALTH/POST-ACUTE CARE SVCS2.0053.00Yes (X)$0$1,069,088$42,578
JOHN SACKETT
EVP/COO,AHC;PRESIDENT,SGMC2.0060.00Yes (X)$0$984,331$69,288
ERIK WANGSNESS
PRESIDENT, WOMC, PARTIAL YEAR2.0048.00Yes (X)$0$586,156$34,256
BRENT REITZ
PRESIDENT, POST-ACUTE CARE SVCS, AHC5.0050.00Yes (X)$0$471,620$99,249
SUSAN L GLOVER
SVP,CHIEF QUALITY&INTEGRITY OFFR,AHC10.0050.00Yes (X)$0$471,215$94,636
KRISTEN PULIO
VP, REV. MGMT/CH ANALYTICS OFFR, AHC2.0053.00Yes (X)$0$412,703$86,091
KEITH BALLENGER
PRESIDENT, HOME HEALTH, PARTIAL YEAR40.0010.00Yes (X)$0$344,613$43,478Yes (X)
KRISTOFER GOCHENOUR
DIRECTOR, FINANCE40.00$147,112$0$32,303Yes (X)
JEVON HONOR
SR. HR BUSINESS PARTNER40.00$138,288$0$29,841Yes (X)
JEAN COSTA
DIRECTOR, REHABILITATION SERVICES40.00$137,199$0$29,133Yes (X)
NICK MORELLA
DIRECTOR, OPERATIONS40.00$136,739$0$14,955Yes (X)
LEONOR BAINO
DIRECTOR, CARE TRANSITION40.00$127,514$0$16,968Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$686,852TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$4,339,726TotReportableCompRltdOrgAmt
Total Other Compensation$592,776TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K14IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (3 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
CORE MEDICAL GROUP
655 SOUTH WILLOW ST SUITE 128MANCHESTERNH03103STAFFING/RECRUITMENT SERVICES$206,525
AMN HEALTHCARE INC
12400 HIGH BLUFF DRIVESAN DIEGOCA92130STAFFING/RECRUITMENT SERVICES$195,057
DAYMARCK LLC
1800 E BROADWAY AVE STE 300BISMARCKND58501CONSULTING SERVICES$100,995
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K3CntrctRcvdGreaterThan100KCnt
All Other Contributions$9,275AllOtherContributionsAmt
Total Contributions$9,275TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescHOME CARE SERVICESDesc
Business900099BusinessCd
Total Revenue Column$29,991,031TotalRevenueColumnAmt
Related Or Exempt Func Income$29,991,031RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$29,991,031TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$110,789TotalRevenueColumnAmt
Exclusion$110,789ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$2,142,948SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$2,020,509SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$122,439SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$122,439TotalRevenueColumnAmt
Exclusion$122,439ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$30,233,534TotalRevenueColumnAmt
Related Or Exempt Func Income$29,991,031RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$233,228ExclusionAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$19,811,693TotalAmt
Program Services$16,607,856ProgramServicesAmt
Management And General$3,203,837ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$522,550TotalAmt
Program Services$435,553ProgramServicesAmt
Management And General$86,997ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$1,404,824TotalAmt
Program Services$1,047,753ProgramServicesAmt
Management And General$357,071ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$1,487,099TotalAmt
Program Services$1,219,421ProgramServicesAmt
Management And General$267,678ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$43,901TotalAmt
Management And General$43,901ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$10,143TotalAmt
Management And General$10,143ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$876,636TotalAmt
Program Services$419,560ProgramServicesAmt
Management And General$457,076ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$19,556TotalAmt
Program Services$10,604ProgramServicesAmt
Management And General$8,952ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$600,931TotalAmt
Program Services$56,159ProgramServicesAmt
Management And General$544,772ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$769,272TotalAmt
Program Services$576,954ProgramServicesAmt
Management And General$192,318ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$644,459TotalAmt
Program Services$430ProgramServicesAmt
Management And General$644,029ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$479,860TotalAmt
Program Services$426,042ProgramServicesAmt
Management And General$53,818ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$26,043TotalAmt
Program Services$8,994ProgramServicesAmt
Management And General$17,049ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$321,948TotalAmt
Program Services$16,691ProgramServicesAmt
Management And General$305,257ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$117,608TotalAmt
Management And General$117,608ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtManagement And GeneralManagementAndGeneralAmtProgram ServicesProgramServicesAmt
COST ALLOC. FROM PARENT$875,479$875,479
MEDICAL SUPPLIES$406,879$8,717$398,162
COLLECTION FEES/LICENSE$25,859$24,128$1,731
RECRUITMENT$1,262$1,262

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$28,446,002TotalAmt
Program Services$21,225,910ProgramServicesAmt
Management And General$7,220,092ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$7,191,925BOYAmt
EOY$9,311,478EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$4,193,209BOYAmt
EOY$4,965,568EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$18,652BOYAmt
EOY$19,405EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
EOY$152EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$67,425BOYAmt
EOY$49,710EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$3,259,278LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$2,195,093LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$1,366,009BOYAmt
EOY$1,064,185EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$152,550BOYAmt
EOY$143,676EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$30,828BOYAmt
EOY$2,230,010EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$13,020,598BOYAmt
EOY$17,784,184EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$1,812,129BOYAmt
EOY$2,255,672EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$901,857BOYAmt
EOY$1,125,280EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$2,235,205EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$2,713,986BOYAmt
EOY$5,616,157EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$10,306,612BOYAmt
EOY$12,168,027EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$10,306,612BOYAmt
EOY$12,168,027EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$13,020,598BOYAmt
EOY$17,784,184EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$1,787,532ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$109,906NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets-$36,023OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit RequiredYes (1)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (1)FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2Yes (X)PubliclySupportedOrg509a2Ind

Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$8,360CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$16,256CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$19,532CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$12,644CurrentTaxYearMinus1YearAmt
Current Tax Year$9,275CurrentTaxYearAmt
Total$66,067TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$23,414,283CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$25,100,445CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$27,407,332CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$28,982,482CurrentTaxYearMinus1YearAmt
Current Tax Year$29,991,031CurrentTaxYearAmt
Total$134,895,573TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$23,422,643CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$25,116,701CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$27,426,864CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$28,995,126CurrentTaxYearMinus1YearAmt
Current Tax Year$30,000,306CurrentTaxYearAmt
Total$134,961,640TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Substantial Contributors Amt SubstantialContributorsAmtGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$134,961,640PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$115,383CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$50,144CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$155,926CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$100,610CurrentTaxYearMinus1YearAmt
Current Tax Year$110,789CurrentTaxYearAmt
Total$532,852TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$115,383CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$50,144CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$155,926CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$100,610CurrentTaxYearMinus1YearAmt
Current Tax Year$110,789CurrentTaxYearAmt
Total$532,852TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$23,538,026CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$25,166,845CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$27,582,790CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$29,095,736CurrentTaxYearMinus1YearAmt
Current Tax Year$30,111,095CurrentTaxYearAmt
Total$135,494,492TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.99610PublicSupportCY509Pct
Public Support PY5090.99570PublicSupportPY509Pct
Investment Income CY0.00390InvestmentIncomeCYPct
Investment Income PY0.00430InvestmentIncomePYPct
Thirty Thr Pct Suprt Tests CY509Yes (X)ThirtyThrPctSuprtTestsCY509Ind

Schedule D IRS990ScheduleD

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$170,480OtherCostOrOtherBasisAmt
Depreciation$152,930DepreciationAmt
Book Value$17,550BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$2,970,669OtherCostOrOtherBasisAmt
Depreciation$1,953,213DepreciationAmt
Book Value$1,017,456BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$118,129OtherCostOrOtherBasisAmt
Depreciation$88,950DepreciationAmt
Book Value$29,179BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$1,064,185TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (2 entries)

DescDescBook ValueBookValueAmt
SECURITY DEPOSIT$30,828
OPERATING LEASE RIGHT-OF-USE ASSET$2,199,182
FieldValueIRS element (for citing)
Total Book Value Other Assets$2,230,010TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDescAmtAmt
CURRENT PORTION OF LEASE OBLIGATIONS$417,595
LONG-TERM PORTION OF LEASE OBLIGATIONS$1,817,610
FieldValueIRS element (for citing)
Total Liability$2,235,205TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART X, LINE 2:FormAndLineReferenceDesc
ExplanationFIN 48 NOTES: THE CORPORATION ACCOUNTS FOR UNCERTAINTY IN INCOME TAXES USING A RECOGNITION THRESHOLD OF MORE-LIKELY-THAN-NOT TO BE SUSTAINED UPON EXAMINATION BY THE APPROPRIATE TAXING AUTHORITY. MEASUREMENT OF THE TAX UNCERTAINTY OCCURS IF THE RECOGNITION THRESHOLD IS MET. MANAGEMENT DETERMINED THERE WERE NO TAX UNCERTAINTIES THAT MET THE RECOGNITION THRESHOLD IN 2019 OR 2018. THE CORPORATION'S POLICY IS TO RECOGNIZE INTEREST RELATED TO UNRECOGNIZED TAX BENEFITS IN INTEREST EXPENSE AND PENALTIES IN OPERATING EXPENSES.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeYes (X)CompensationCommitteeInd
Independent ConsultantYes (X)IndependentConsultantInd
Form990 Of Other OrganizationsYes (X)Form990OfOtherOrganizationsInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (1)SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsYes (1)AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (11 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
MARTA BRITO PEREZ
SVP,POP. HEALTH/POST-ACUTE CARE SVCS$0$415,240$0$130,787$0$523,061$0$25,000$0$17,578$0$1,111,666$0$0
JOHN SACKETT
EVP/COO,AHC;PRESIDENT,SGMC$0$580,510$0$171,882$0$231,939$0$25,000$0$44,288$0$1,053,619$0$105,209
ERIK WANGSNESS
PRESIDENT, WOMC, PARTIAL YEAR$0$294,028$0$146,809$0$145,319$0$17,308$0$16,948$0$620,412$0$76,383
BRENT REITZ
PRESIDENT, POST-ACUTE CARE SVCS, AHC$0$321,262$0$98,658$0$51,700$0$77,297$0$21,952$0$570,869$0$50,648
SUSAN L GLOVER
SVP,CHIEF QUALITY&INTEGRITY OFFR,AHC$0$316,554$0$99,395$0$55,266$0$70,039$0$24,597$0$565,851$0$50,669
KRISTEN PULIO
VP, REV. MGMT/CH ANALYTICS OFFR, AHC$0$287,227$0$72,768$0$52,708$0$77,904$0$8,187$0$498,794$0$50,919
KEITH BALLENGER
PRESIDENT, HOME HEALTH, PARTIAL YEAR$0$191,091$0$69,731$0$83,791$0$21,659$0$21,819$0$388,091$0$25,408
KRISTOFER GOCHENOUR
DIRECTOR, FINANCE$122,953$0$23,245$0$914$0$19,000$0$13,303$0$179,415$0$0$0
JEVON HONOR
SR. HR BUSINESS PARTNER$115,099$0$21,706$0$1,483$0$17,378$0$12,463$0$168,129$0$0$0
JEAN COSTA
DIRECTOR, REHABILITATION SERVICES$122,356$0$13,947$0$896$0$7,411$0$21,722$0$166,332$0$0$0
NICK MORELLA
DIRECTOR, OPERATIONS$130,889$0$5,041$0$809$0$7,944$0$7,011$0$151,694$0$0$0

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 3PAY PRACTICE: ADVENTIST HEALTHCARE UTILIZES A SINGLE EMPLOYER ID FOR ALL ITS AFFILIATED ENTITIES FOR EMPLOYMENT PURPOSES. AS SUCH, ACTUAL COMPENSATION AND BENEFITS ARE CHARGED TO THE RESPECTIVE ENTITIES AND THE RESULTING COMPENSATION AND BENEFITS ARE REPORTED ON EACH AFFILIATE IRS FORM 990 AS IF PAID DIRECTLY BY SUCH AFFILIATE. AS APPLICABLE, THE SAME AND NON-ADDITIVE COMPENSATION AND EMPLOYMENT BENEFIT PLAN CONTRIBUTION AMOUNTS WERE ALSO DISCLOSED IN THE ADVENTIST HEALTHCARE INC. RELATED ENTITIES RETURNS. INDEPENDENT GUIDELINES: WHEN SETTING COMPENSATION FOR THE OFFICERS, DIRECTORS, TRUSTEES, KEY EMPLOYEES, AND THE HIGHEST COMPENSATED EMPLOYEES, ADVENTIST HEALTHCARE FULLY COMPLIES WITH THE PROCEDURAL SAFEGUARDS EMBODIED IN IRS REGULATIONS. COMPENSATION FOR ADVENTIST HEALTHCARE OFFICERS, DIRECTORS, TRUSTEES, KEY EMPLOYEES, AND THE HIGHEST COMPENSATED EMPLOYEES IS ENTIRELY SET BY A COMMITTEE OF ADVENTIST HEALTHCARE BOARD OF TRUSTEES. IN SETTING COMPENSATION, THE GOVERNING BOARD COMMITTEE RELIES UPON MARKET COMPARABILITY DATA PROVIDED BY AN INDEPENDENT OUTSIDE COMPENSATION CONSULTANT WHO PROVIDES A SUMMARY OF HEALTH CARE SALARIES AND BENEFITS FOR COMPARABLE SIZED ORGANIZATIONS BOTH NATIONALLY AND IN THE BALTIMORE-WASHINGTON REGION. TO FURTHER ENSURE REASONABLENESS, BOTH COMPENSATION AND BENEFITS ARE TARGETED AT THE 50TH PERCENTILE (OR MEDIAN) OF THE MARKET.
PART I, LINE 4BCERTAIN EMPLOYEES RECEIVED COMPENSATION FROM A DISTRIBUTION UNDER AN EXECUTIVE RETENTION 457F PLAN, WHICH BECAME EFFECTIVE ON JANUARY 1, 2015. PRE-TAX CONTRIBUTIONS ARE ACCUMULATED ANNUALLY AND ARE DISTRIBUTED ON JANUARY 1ST OF THE 2ND YEAR, IF STILL EMPLOYED OR SOONER BASED ON CERTAIN EXCEPTIONS. THERE IS TYPICALLY A 2-YEAR DEFERRAL PERIOD BEFORE PAYMENTS ARE RELEASED. CONTRIBUTIONS ACCUMULATED IN 2017 WERE GENERALLY DISTRIBUTED ON JANUARY 1, 2019 AND CONTRIBUTIONS ACCUMULATED IN 2018 WILL GENERALLY BE DISTRIBUTED ON JANUARY 1, 2020. AMOUNTS LISTED UNDER PART II, COLUMN F INCLUDE PAYOUT AMOUNTS WHICH WERE CONSIDERED DEFERRED COMPENSATION FROM THE 457F PLAN IN OUR PRIOR YEAR RETURNS AND THESE AMOUNTS ARE NOW BEING SHOWN UNDER THE OTHER REPORTABLE INCOME, COLUMN B (III). THE FOLLOWING EMPLOYEES RECEIVED AN EARLY LUMP-SUM CASH PAYMENT ON THEIR 457F PLANS DUE TO HAVING REACHED NORMAL RETIREMENT AGE. MARTA BRITO PEREZ: $90,665 - EARLY LUMP-SUM; JOHN SACKETT: $103,703 - EARLY LUMP-SUM. THE FOLLOWING EMPLOYEE RECEIVED A PAYOUT FROM THE SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP), DUE TO HAVING COMPLETED THE NECESSARY YEARS OF SERVICE AND ATTAINING THE NECESSARY AGE FOR VESTING. THIS AMOUNT WAS INCLUDED IN PRIOR YEAR 990 DISCLOSURES WHEN THE AMOUNT ACCRUED. MARTA BRITO PEREZ: $418,018.
PART I, LINE 7THE ANNUAL INCENTIVE COMPENSATION INCLUDES PAYMENTS BASED ON SATISFACTION OF PRE-DETERMINED PERFORMANCE TARGETS SUCH AS QUALITY/PATIENT SAFETY GOALS, EMPLOYEE AND PATIENT ENGAGEMENT GOALS, ORGANIZATIONAL GROWTH, AND FINANCIAL PERFORMANCE, AMONG OTHER THINGS. THE ANNUAL INCENTIVE COMPENSATION APPLIES TO DIRECTORS AND ABOVE.
SUPPLEMENTAL INFORMATION:OTHER REPORTABLE COMPENSATION INCLUDES DISTRIBUTION UNDER AN EXECUTIVE RETENTION 457F PLAN, WHICH BECAME EFFECTIVE ON JANUARY 1, 2015. PRE-TAX CONTRIBUTIONS ARE ACCUMULATED ANNUALLY AND ARE DISTRIBUTED ON JANUARY 1ST OF THE 2ND YEAR, IF STILL EMPLOYED OR SOONER BASED ON CERTAIN EXCEPTIONS. THERE IS TYPICALLY A 2-YEAR DEFERRAL PERIOD BEFORE PAYMENTS ARE RELEASED. CONTRIBUTIONS ACCUMULATED IN 2017 WERE GENERALLY DISTRIBUTED ON JANUARY 1, 2019 AND CONTRIBUTIONS ACCUMULATED IN 2018 WILL GENERALLY BE DISTRIBUTED ON JANUARY 1, 2020. IN ADDITION, OTHER REPORTABLE COMPENSATION INCLUDES RETENTION PAYMENTS AND LUMP-SUM ADJUSTMENTS IN LIEU OF THE ACROSS-THE-BOARD INCREASE (FOR EMPLOYEES WHO ARE AT OR REACH THE RANGE MAXIMUM FOR THEIR POSITION). OTHER REPORTABLE COMPENSATION ALSO INCLUDES LONG-TERM DISABILITY COVERAGE, CELL PHONE ALLOWANCES, CASH-OUT OF UNUSED PAID TIME OFF (PTO) HOURS (ONLY FOR EMPLOYEES WHO LEAVE OUR ORGANIZATION), IMPUTED VALUE OF LIFE INSURANCE BENEFITS, AND SEVERANCE, AS APPLICABLE. CERTAIN EXECUTIVES CAN ALSO RECEIVE REPORTABLE COMPENSATION THROUGH A SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP), ONCE THEY HAVE VESTED IN THE PLAN. NON-TAXABLE BENEFITS INCLUDES PRE-TAX PAYROLL DEDUCTIONS (SUCH AS FLEXIBLE MEDICAL SPENDING, DEPENDENT CARE, AND EMPLOYEE HEALTH BENEFIT PREMIUMS), AND THE EMPLOYER PORTION OF CERTAIN EMPLOYEE BENEFITS SUCH AS HEALTH INSURANCE, DENTAL INSURANCE, VISION INSURANCE, AND LIFE INSURANCE, ETC.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (8 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 6ADVENTIST HEALTHCARE, INC, IS THE SOLE CORPORATE MEMBER OF ADVENTIST HOME HEALTH SERVICES, INC., WITH THE AUTHORITY TO APPROVE ITS BOARD MEMBERSHIP.
FORM 990, PART VI, SECTION A, LINE 7ATHE BOARD OF TRUSTEES OF ADVENTIST HEALTHCARE, INC. APPOINTS THE MEMBERS OF ADVENTIST HOME HEALTH SERVICES, INC.'S GOVERNING BODY.
FORM 990, PART VI, SECTION A, LINE 7BTHE BOARD OF TRUSTEES APPROVES ALL ACTIONS OF MANAGEMENT. THE ACTIONS OF THE ADVENTIST HOME HEALTH SERVICES, INC.'S GOVERNING BOARD IS SUBJECT TO THE REVIEW OF THE BOARD OF ADVENTIST HEALTHCARE, INC.
FORM 990, PART VI, SECTION B, LINE 11BDURING THE PREPARATION PROCESS, EXECUTIVE MANAGEMENT TEAM REVIEWED VARIOUS SECTIONS OF THE DRAFT FORM 990 BASED ON A PLANNED COMPLETION TIME TABLE. IN ADDITION, THE EXECUTIVE COMMITTEE OF THE BOARD REVIEWED CERTAIN KEY SECTIONS OF THE FORM. PRIOR TO FILING, ALL MEMBERS OF THE BOARD ARE PROVIDED A COPY OF THIS FORM 990 THROUGH EMAIL, WHICH IS LINKED TO THE COMPANY'S INTRANET WEBSITE.
FORM 990, PART VI, SECTION B, LINE 12CPURSUANT 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, CORPORATE INTEGRITY DEPARTMENT AND THE LEGAL DEPARTMENT.
FORM 990, PART VI, SECTION B, LINE 15WHEN SETTING COMPENSATION FOR EXECUTIVES, OFFICERS, KEY EMPLOYEES, AND ALL EMPLOYEES, THE ORGANIZATION FULLY COMPLIES WITH THE PROCEDURAL SAFEGUARDS EMBEDDED IN THE IRS REGULATIONS. COMPENSATION IS ENTIRELY SET BY A COMMITTEE OF THE BOARD OF TRUSTEES. IN SETTING COMPENSATION, THE GOVERNING BOARD COMMITTEE RELIES UPON MARKET COMPARABILITY DATA PROVIDED BY AN INDEPENDENT OUTSIDE COMPENSATION CONSULTANT. TO ENSURE REASONABLENESS, COMPENSATION IS SET AT THE 50TH PERCENTILE OF THE NATURAL MARKET. GENERAL EXPLANATION: EMPLOYEES OF ANY OF THE ADVENTIST HEALTHCARE INC. AND AFFILIATED TAX EXEMPT ENTITIES IN THE STATE OF MARYLAND (INCLUDING ADVENTIST HOME HEALTH SERVICES, INC.) ARE PAID THROUGH A COMMON PAYMASTER, ADVENTIST HEALTHCARE, INC. AND ARE REPORTED ON ITS FORM 941. SALARY AND BENEFIT EXPENSES REPORTED ON THEIR RESPECTIVE RETURNS ARE ACTUAL CHARGES RELATED TO THE EMPLOYEES WORKING ON THE SPECIFIC TAX EXEMPT ENTITY. COMPENSATION INCLUDED REGULAR BASE SALARY, BONUS, PAID TIME OFF CASH OUT (ONLY FOR EMPLOYEES WHO LEAVE OUR ORGANIZATION), TAXABLE RELOCATION ALLOWANCE, HOLIDAY GIFT, RETROACTIVE COMPENSATION ADJUSTMENT, BEREAVEMENT LEAVE, EDUCATION, AND WITHDRAWAL OF DEFERRED COMPENSATION, AS APPLICABLE. THE SAME AND NON-ADDITIVE COMPENSATION AND EMPLOYMENT BENEFIT PLAN CONTRIBUTION AMOUNTS WERE ALSO DISCLOSED IN THE ADVENTIST HEALTHCARE INC.'S RELATED ENTITIES RETURNS. VENDOR PAYMENTS FOR ANY OF THE ADVENTIST HEALTHCARE, INC. AND RELATED ENTITIES IN THE STATE OF MARYLAND ARE MADE THROUGH A COMMON PAYMASTER, ADVENTIST HEALTHCARE, INC.
FORM 990, PART VI, SECTION C, LINE 19THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS, ARE AVAILABLE TO THE PUBLIC UPON REQUEST.
FORM 990, PART XI, LINE 9:CUMULATIVE EFFECT OF CHANGE IN ACCOUNTING PRINCIPLE -36,022. TRANSFER OF NET ASSETS -1.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (10 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationIndDirect Controlling NADirectControllingNACd
ADVENTIST HEALTHCARE INC
820 W DIAMOND AVE SUITE 600GAITHERSBURGMD208781419521532556HEALTHCARE SERVICESMD501(C)(3)LINE 3MID-ATLANTIC ADVENTIST HEALTHCARE CORPORATION0
ADVENTIST HEALTHCARE URGENT CARE CENTERS INC
820 W DIAMOND AVE SUITE 600GAITHERSBURGMD208781419461577511CLINIC - EMERGENCY CAREMD501(C)(3)LINE 10ADVENTIST HEALTHCARE INC0
ADVENTIST PHYSICIAN SERVICES INC
820 W DIAMOND AVE SUITE 600GAITHERSBURGMD208781419204600646PHYSICIAN SERVICESMD501(C)(3)LINE 10ADVENTIST HEALTHCARE INC0
ADVENTIST REHABILITATION HOSPITAL OF MARYLAND INC
820 W DIAMOND AVE SUITE 600GAITHERSBURGMD208781419201486678REHABILITATION HOSPITALMD501(C)(3)LINE 3ADVENTIST HEALTHCARE INC0
ADVENTIST REHABILITATION INC
820 W DIAMOND AVE SUITE 600GAITHERSBURGMD208781419300780513REHABILITATION SERVICESMD501(C)(3)LINE 10ADVENTIST REHABILITATION HOSPITAL OF MARYLAND INC0
MID-ATLANTIC ADVENTIST HEALTHCARE CORPORATION
820 W DIAMOND AVE SUITE 600GAITHERSBURGMD208781419521884153HOLDING COMPANYMD501(C)(3)LINE 100N/A
REGINALD S LOURIE CENTER FOR INFANTS AND YOUNG CHILDREN
820 W DIAMOND AVE SUITE 600GAITHERSBURGMD208781419521255870BEHAVIORAL CAREMD501(C)(3)LINE 10ADVENTIST HEALTHCARE INC0
SHADY GROVE ADVENTIST HOSPITAL FOUNDATION INC
820 W DIAMOND AVE SUITE 600GAITHERSBURGMD208781419521216429FUNDRAISINGMD501(C)(3)LINE 12A, I0N/A
WASHINGTON ADVENTIST HOSPITAL FOUNDATION INC
820 W DIAMOND AVE SUITE 600GAITHERSBURGMD208781419521692158FUNDRAISINGMD501(C)(3)LINE 12A, IADVENTIST HEALTHCARE INC0
ADVENTIST HEALTHCARE FORT WASHINGTON MEDICAL CENTER INC
820 W DIAMOND AVE SUITE 600GAITHERSBURGMD208781419842670875ACUTE CARE HOSPITALMD501(C)(3)LINE 3ADVENTIST HEALTHCARE INC0

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (3 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdDirect Controlling NADirectControllingNACdPredominant Income TypePredominantIncomeTypeTxtDisproportionate AllocationsDisproportionateAllocationsIndGeneral Or Managing PartnerGeneralOrManagingPartnerInd
SHADY GROVE MEDICAL BUILDING LLC
1650 TYSONS BOULEVARD STE 820MCLEANVA22102274599411MEDICAL OFFICE BUILDINGMDN/ARELATED00
NEXUS MONTGOMERY REGIONAL PARTNERSHIP LLC
820 WEST DIAMOND AVE SUITE 600GAITHERSBURGMD20878815410250HEALTHCARE & COMMUNITY SERVICE FOR IMPROVED HEALTHMDN/ARELATED00
CORELIFE ADVENTIST LLC
821 WEST BENFIELD ROAD SUITE 5SEVERNA PARKMD21146841813204PROVIDES WELLNESS AND WEIGHT MANAGEMENTMDN/ARELATED00

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp

Related Organization Name RelatedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1PREMIER MEDICAL NETWORK INCBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1820 WEST DIAMOND AVE SUITE 600AddressLine1Txt
CityGAITHERSBURGCityNm
State AbbreviationMDStateAbbreviationCd
ZIP208781419ZIPCd
FieldValueIRS element (for citing)
EIN521952469EIN
Primary ActivitiesJOINT PHYSICIAN CONTPrimaryActivitiesTxt
Legal Domicile StateMDLegalDomicileStateCd

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1ADVENTIST HEALTHCARE INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Entity TypeCEntityTypeTxt
Controlled Organization0ControlledOrganizationInd
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org0GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org0PerformOfServicesForOthOrgInd
Perform Of Services By Other Org0PerformOfServicesByOtherOrgInd
Sharing Of Facilities0SharingOfFacilitiesInd
Paid Employees Sharing0PaidEmployeesSharingInd
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd