2015-11-16T09:51:44-06:00 2014-12-31 990 2014-01-01 204600646 ADVENTIST PHYSICIAN SERVICES INC ADVE 3013513030 820 WEST DIAMOND AVE NO 600 GAITHERSBURG MD 208781419 JAMES G LEE EXE VICE PRESIDENT AND CFO 3013153030 2015-11-16 2014 2016-04-25 22:37:26Z ADVENTIST HEALTHCARE ADVENTIST MEDICAL GROUP TERRY FORDE 820 WEST DIAMOND AVE NO 600 GAITHERSBURG MD 208781419 20588836 0 1071 X WWW.ADVENTISTHEALTHCARE.COM X 2006 MD WE DEMONSTARTE GOD'S CARE BY IMPROVING THE HEALTH OF PEOPLE AND COMMUNITIES THROUGH ( SEE SCH O) A MINISTRY OF PHYSICAL, MENTAL, AND SPIRITUAL HEALING. 3 0 0 0 0 0 0 0 15946896 20588836 0 0 0 0 15946896 20588836 0 0 0 0 4310422 21767069 0 0 0 21319621 10388355 25630043 32155424 -9683147 -11566588 3771566 4461082 42196585 54452689 -38425019 -49991607 X WE DEMONSTARTE GOD'S CARE BY IMPROVING THE HEALTH OF PEOPLE AND COMMUNITIES THROUGH A MINISTRY OF PHYSICAL, MENTAL, AND SPIRITUAL HEALING. 0 0 27026751 20588836 ADVENTIST PHYSICIAN SERVICES, INC (APS) IS A PREMIER, MULTI-SPECIALTY PHYSICIAN ORGANIZATION COMMITTED TO PROVIDING HIGH QUALITY CARE TO PATIENTS. FOUNDED IN 2006, WE ARE AN INDEPENDENT NOT-FOR-PROFIT ORGANIZATION. TODAY APS OPERATES UNDER THE NAME ADVENTIST MEDICAL GROUP. IT EMPLOYS ABOUT 60 COMMUNITY PHYSICIANS IN A VARIETY OF MEDICAL AND SURGICAL SPECIALTIES TO SERVE ADVENTIST HEALTHCARE'S COMMUNITIES IN MONTGOMERY, FREDERICK, AND PRINCE GEORGE'S COUNTIES IN MARYLAND. AMG PROVIDES ADMINISTRATIVE, FINANCIAL MANAGEMENT, TECHNICAL AND BUSINESS SUPPORT SERVICES THAT ARE ESSENTIAL FOR PHYSICIANS TO PROVIDE QUALITY CARE AND OPERATE SUCCESSFUL PRACTICES. OUR SIZE AND GROUP PRACTICE STRUCTURE ALLOW US TO PROVIDE COMPREHENSIVE CARE FOR MANY DISEASES AND ILLNESSES. FOR ADULT PATIENTS WHO REQUIRE MULTI-DISCIPLINARY CARE, SPECIALISTS FROM DIFFERENT AREAS WORK TO SHARE THEIR EXPERTISE, AND TO DEVELOP INDIVIDUALIZED PLANS OF CARE. WE ARE INTEGRATING WITH OUR OTHER HEALTH SERVICES WITHIN ADVENTIST HEALTHCARE TO DELIVER THE MOST VALUE TO OUR COMMUNITY.ADVENTIST MEDICAL GROUP PARTNERED WITH THE MEDICAL FACULTY ASSOCIATES (MFA) AT GEORGE WASHINGTON UNIVERSITY HOSPITAL IN 2012. IT IS THROUGH THIS PARTNERSHIP THAT WE EMPLOY THE MAJORITY OF AMG'S PHYSICIANS. THE MFA IS THE LARGEST MULTI-SPECIALTY PHYSICIAN PRACTICE IN THE WASHINGTON, DC AREA. THE MFA IS A NON-PROFIT ORGANIZATION INDEPENDENT OF THE GEORGE WASHINGTON UNIVERSITY AND GW HOSPITAL. IT HAS MORE THAN 800 DOCTORS IN 51 MEDICAL SPECIALTIES. IN 2014, OUR AMG/MFA PHYSICIANS HAD 71,949 PATIENT ENCOUNTERS, INCLUDING NEW PATIENTS, EXISTING PATIENTS AND NURSE ENCOUNTERS. ADVENTIST MEDICAL GROUP/APS CONTINUES TO EMPLOY PHYSICIANS IN THE BEHAVIORAL HEALTH SPECIALTIES OUTSIDE OF THIS RELATIONSHIP WITH THE MFA. 27026751 1 0 0 0 0 0 0 0 0 0 1 0 0 0 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 X 3 0 0 0 0 0 1 1 1 1 1 0 1 1 1 1 1 1 1 1 1 1 0 X JAMES G LEE 3013153030 820 WEST DIAMOND AVE SUITE 600 GAITHERSBURG MD 208781419 WILLIAM G ROBERTSON SEPARATED PRESIDENT & CEO, AHC 4.00 58.00 X X 0 458017 16213 TERRY FORDE PRESIDENT & CEO, AHC 3.00 59.00 X X 0 986602 32620 JAMES G LEE EVP & CFO, AHC 3.00 59.00 X X 0 660252 19661 JOHN SACKETT EVP & COO OF AHC & PRESIDENT OF SGMC 4.00 56.00 X X 0 680245 38192 PATRICK GARRETT SVP & PHYSICIAN INTEGRATION, AHC 40.00 20.00 X 0 483755 29001 JOHN CARR PHYSICIAN 40.00 X 255452 0 20757 MANJULA P BORGE PHYSICIAN 40.00 X 230391 0 11074 AARTI GROVER PHYSICIAN 40.00 X 269788 0 8700 ADAM YOUNOSZAI PHYSICIAN 40.00 X 236940 0 25220 RAVJYOT CHAWLA PHYSICIAN 40.00 X 231370 0 10096 1223941 3268871 211534 20 0 1 0 MEDICAL FACULTY ASSOCIATION INC 2021 K STREET NW 600 WASHINGTON DC 20006 PHYSICIANS SERVICES 2684337 ECLINICALWORKS LLC PO BOX 847950 BOSTON MA 022847950 EHR IMPLEMENATION SERVICES 534352 CARDIAC VASCULAR & THORACIC SURGERY ASSO 2921 TELESTAR CT 140 FALLS CHURCH VA 22042 PHYSICIANS SERVICES 448750 D & B MEDICAL MANAGEMENT SOLUTIONS INC 10630 LITTLE PATUXENT PARKWAY STE COLUMBIA MD 21044 BILLING & AR MGMT SERVICES 194120 EFFECTUS HEALTHCARE SOLUTIONS LLC 82 CINNAMON TREE COURT ST CHARLES MO 63304 DATA ANALYTICS&CONSULTING SERVICES 143031 7 PHYSICIAN SERVICES 900099 20588836 20588836 20588836 20588836 20588836 0 0 21153105 20490679 662426 79647 75715 3932 285488 177023 108465 248829 216708 32121 2357875 2357875 1245000 642748 602252 233462 233462 3813474 3595144 218330 44751 44751 20907 9083 11824 23115 21546 1569 322200 322200 713280 713280 MEDICAL SUPPLIES 1184860 1184486 374 COST ALLOC. FROM PARENT 265857 212826 53031 RECRUITMENT 163574 33842 129732 32155424 27026751 5128673 0 390 390 2936754 3897317 256282 27230 159350 138401 584631 193774 411903 390857 6887 6887 3771566 4461082 1465444 2079029 40731141 52373660 42196585 54452689 X -38425019 -49991607 -38425019 -49991607 3771566 4461082 -11566588 0 X 0 1 X 1 1 1 X 6234615 6621762 10731864 15946896 20588836 60123973 6234615 6621762 10731864 15946896 20588836 60123973 0 0 0 60123973 279 103 47 429 279 103 47 429 1427 2000 20 3447 6236321 6623865 10731931 15946896 20588836 60127849 0.99990 0.99990 0.00000 X 21810 13143 8667 223621 162687 60934 339200 17944 321256 390857 INTERCOMPANY PAYABLE 52373660 52373660 X PART X, LINE 2: FIN 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 2014 OR 2013. X X X X 0 1 0 0 0 0 0 0 0 WILLIAM G ROBERTSON SEPARATED PRESIDENT & CEO, AHC 0 314088 0 120960 0 22969 0 9523 0 6690 0 474230 0 0 TERRY FORDE PRESIDENT & CEO, AHC 0 723723 0 67320 0 195559 0 12850 0 19770 0 1019222 0 0 JAMES G LEE EVP & CFO, AHC 0 479315 0 61073 0 119864 0 13000 0 6661 0 679913 0 0 JOHN SACKETT EVP & COO OF AHC & PRESIDENT OF SGMC 0 483015 0 92219 0 105011 0 13000 0 25192 0 718437 0 0 PATRICK GARRETT SVP & PHYSICIAN INTEGRATION, AHC 0 365490 0 29855 0 88410 0 8677 0 20324 0 512756 0 0 JOHN CARR PHYSICIAN 252232 0 2700 0 520 0 12687 0 8070 0 276209 0 0 0 MANJULA P BORGE PHYSICIAN 180524 0 31000 0 18867 0 3615 0 7459 0 241465 0 0 0 AARTI GROVER PHYSICIAN 259561 0 10000 0 227 0 1618 0 7082 0 278488 0 0 0 ADAM YOUNOSZAI PHYSICIAN 236605 0 0 0 335 0 3928 0 21292 0 262160 0 0 0 RAVJYOT CHAWLA PHYSICIAN 213422 0 0 0 17948 0 3990 0 6106 0 241466 0 0 0 PART I, LINE 3 COMPENSATION DEFINED. THE COMPENSATION REPORTED FOR THE EMPLOYEES SET FORTH ON SCHEDULE J IS COMPRISED OF THE FOLLOWING: BASE COMPENSATION INCLUDES NONDISCRETIONARY PAYMENTS, AGREED UPON IN ADVANCE, CONTINGENT ONLY UPON THE PAYEES PERFORMANCE OF AGREED UPON SERVICES (SUCH AS SALARY OR FEES). INCENTIVE COMPENSATION INCLUDES PAYMENTS BASED ON SATISFACTION OF PRE-DETERMINED PERFORMANCE TARGETS SUCH AS QUALITY/PATIENT SAFETY GOALS, EMPLOYEE AND CUSTOMER ENGAGEMENT GOALS, ORGANIZATIONAL GROWTH, AND FINANCIAL PERFORMANCE, AMONG OTHER THINGS. OTHER REPORTABLE COMPENSATION INCLUDES CERTAIN CUMULATIVE LUMP-SUM TAXABLE PAYMENTS MADE AS A RESULT OF TAX LAW CHANGES THAT AFFECTED THE ADMINISTRATION OF ADVENTIST HEALTHCARE CAPITAL ACCUMULATION ACCOUNT (CAA) PLAN ESTABLISHED PURSUANT TO SECTION 457(F) OF THE INTERNAL REVENUE CODE. IN ADDITION, OTHER REPORTABLE COMPENSATION INCLUDES LONG-TERM DISABILITY COVERAGE, CELL PHONE ALLOWANCES, CASH-OUT OF UNUSED PAID TIME OFF (PTO) HOURS, IMPUTED VALUE OF LIFE INSURANCE BENEFITS, TAXABLE RELOCATION PAY, AND SEVERANCE, AS APPLICABLE. NON-TAXABLE BENEFITS INCLUDES PRE-TAX PAYROLL DEDUCTIONS (SUCH AS FLEXIBLE MEDICAL SPENDING, DEPENDENT CARE, AND EMPLOYEE HEALTH BENEFIT PREMIUM), AND THE EMPLOYER PORTION OF CERTAIN EMPLOYEE BENEFITS SUCH AS HEALTH INSURANCE, DENTAL INSURANCE, VISION INSURANCE, LIFE INSURANCE, BASE CONTRIBUTIONS TO RETIREMENT PLANS, MATCHING OF EMPLOYEES RETIREMENT CONTRIBUTIONS, QUALIFIED NON-TAXABLE EMPLOYEE MOVING REIMBURSEMENTS, ETC. PAY PRACTICE: ADVENTIST HEALTHCARE UTILIZES A SINGLE EMPLOYER ID FOR ALL OF 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 SAFE GUARDS 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. PAY PHILOSOPHY: FOR ALL ADVENTIST HEALTHCARE EMPLOYEES INCLUDING THOSE LISTED ON SCHEDULE J, THE GOAL OF ADVENTIST HEALTHCARE IS TO OFFER COMPETITIVE SALARIES IN ORDER TO ATTRACT, HIRE AND RETAIN QUALIFIED AND TALENTED INDIVIDUALS. MAINTAINING A QUALITY AND STABLE WORKFORCE HAS A POSITIVE IMPACT ON THE WORKPLACE AND ON THE CARE PROVIDED TO OUR PATIENTS/RESIDENTS AND THEIR FAMILIES. IN GENERAL, NON-EXECUTIVE EMPLOYEES ARE COMPENSATED UTILIZING THE FULL WAGE SCALE FOR THEIR RESPECTIVE POSITIONS, COMPARED TO THE MARKET. HOWEVER, EXECUTIVES ARE GENERALLY LIMITED TO THE MEDIAN OF THE MARKET FOR THEIR RESPECTIVE POSITIONS. PART I, LINE 4B CUMULATIVE LUMP-SUM TAXABLE PAYMENTS MADE AS A RESULT OF TAX LAW CHANGES THAT AFFECTED THE ADMINISTRATION OF THE ADVENTIST HEALTHCARE'S CAPITAL ACCUMULATION ACCOUNT (CAA) PLAN ESTABLISHED PURSUANT TO SECTION 457(F) OF THE INTERNAL REVENUE CODE WERE AS FOLLOWS: TERRY FORDE: $170,890 JAMES G. LEE: $114,984 JOHN SACKETT: $99,987 PATRICK GARRETT: $82,821 FORM 990, PART VI, SECTION A, LINE 6 ADVENTIST HEALTHCARE, INC. IS THE SOLE CORPORATE MEMBER OF ADVENTIST PHYSICIAN SERVICES, INC. WITH THE AUTHORITY TO APPROVE ITS BOARD MEMBERSHIP. FORM 990, PART VI, SECTION A, LINE 7A THE BOARD OF TRUSTEES OF ADVENTIST HEALTHCARE, INC. APPOINTS THE MEMBERS OF ADVENTIST PHYSICIAN SERVICES, INC.'S GOVERNING BODY. FORM 990, PART VI, SECTION A, LINE 7B THE BOARD OF TRUSTEES APPROVES ALL ACTIONS OF MANAGEMENT. THE ACTIONS OF THE ADVENTIST PHYSICIAN SERVICES, INC.'S GOVERNING BOARD IS SUBJECT TO THE REVIEW OF THE BOARD OF ADVENTIST HEALTHCARE, INC. FORM 990, PART VI, SECTION B, LINE 11 THE BOARD OF TRUSTEES OF ADVENTIST PHYSICIAN SERVICES, INC. (AKA ADVENTIST MEDICAL GROUP) IS MADE UP OF THE EXECUTIVES AND OFFICERS FROM ADVENTIST HEALTHCARE INC. ADVENTIST HEALTHCARE INC. (AHC) AND ITS CONTROLLED ENTITIES SUBSCRIBE TO THE SAME POLICIES AND PROCEDURES OF AHC. DURING 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 LINKED TO THE COMPANY'S INTRANET WEBSITE. FORM 990, PART VI, SECTION B, LINE 12C PURSUANT TO THE ORGANIZATIONS 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. COMPLIANCE WITH POLICY IS MONITORED AND ENFORCED BY THE HUMAN RESOURCES DEPARTMENT, CORPORATE INTEGRITY DEPARTMENT AND THE LEGAL DEPARTMENT. FORM 990, PART VI, SECTION B, LINE 15 WHEN SETTING EXECUTIVE, OFFICERS, OR KEY EMPLOYEES COMPENSATION, THE ORGANIZATION FULLY COMPLIES WITH THE PROCEDURAL SAFEGUARDS EMBEDDED IN THE IRS REGULATIONS. EXECUTIVE COMPENSATION IS ENTIRELY SET BY A COMMITTEE OF THE BOARD OF TRUSTEES OF ADVENTIST HEALTHCARE, INC. IN SETTING COMPENSATION, THE GOVERNING BOARD COMMITTEE RELIES UPON MARKET COMPARABILITY DATA PROVIDED BY AN INDEPENDED OUTSIDE COMPENSATION CONSULTANT. TO ENSURE REASONABLENESS, COMPENSATION IS SET AT THE 50TH PERCENTILE OF THE NATURAL MARKET. FORM 990, PART VI, SECTION C, LINE 19 THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS, ARE AVAILABLE TO THE PUBLIC UPON REQUEST. GENERAL EXPLANATION: EMPLOYEES OF ANY OF THE ADVENTIST HEALTHCARE INC. AND AFFILIATED TAX EXEMPT ENTITIES IN THE STATE OF MARYLAND (INCLUDING ADVENTIST PHYSICIAN 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, 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 CONTRIBUTIOON AMOUNTS WERE ALSO DISCLOSED IN THE ADVENTIST HEALTHCARE INC.'S RELATED ENTITIES RETURNS. VENDORS PAYMENT FOR ANY OF THE ADVENTIST HEALTHCARE, INC. AND RELATED ENTITIES IN THE STATE OF MARYLAND ARE MADE THROUGH A COMMON PAYMASTER, ADVENTIST HEALTHCARE, INC. 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