ADVENTIST HOME HEALTH SERVICES INC: Form 990, tax year 2011
View the entire original 990 at ProPublica ↗
- Organization
- ADVENTIST HOME HEALTH SERVICES INC (EIN 52-0986808)
- Tax period
- 2011-01-01 to 2011-12-31
- Filed
- 2012-11-15
- IRS object ID
- 201243209349309114
- Schema version
- 2011v1.2
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2012-11-15T19:01:30-06:00 | Timestamp |
| Tax Period End Date | 2011-12-31 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 521532556 | EIN |
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ADVENTIST HEALTHCARE INC | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1801 RESEARCH BLVD SUITE 400 | AddressLine1 |
| City | ROCKVILLE | City |
| State | MD | State |
| ZIP Code | 20850 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2011-01-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 520986808 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ADVENTIST HOME HEALTH SERVICES INC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | ADVE | NameControl |
| Phone | 3013153030 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1801 RESEARCH BOULEVARD NO 400 | AddressLine1 |
| City | ROCKVILLE | City |
| State | MD | State |
| ZIP Code | 208503184 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | JAMES G LEE | Name |
| Title | EXE VICE PRESIDENT & CFO | Title |
| Phone | 3013153030 | Phone |
| Date Signed | 2012-11-15 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | THOMAS CHAN | Name |
| PTIN | P01461717 | PTIN |
| Phone | 3013153030 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2011 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | WILLIAM G ROBERTSON | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1801 RESEARCH BOULEVARD NO 400 | AddressLine1 |
| City | ROCKVILLE | City |
| State | MD | State |
| ZIP Code | 208503184 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 24577157 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | HTTP://WWW.ADVENTISTHEALTHCARE.ORG/AHCS/SERVICES/ | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1973 | YearFormation |
| State Legal Domicile | MD | StateLegalDomicile |
| Activity Or Mission Description | WE DEMONSTRATE GOD'S CARE BY IMPROVING THE HEALTH OF PEOPLE AND COMMUNITIES THROUGH ( SEE SCH O ) A MINISTRY OF PHYSICAL, MENTAL, AND SPIRITUAL HEALING. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 3 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 0 | NbrIndependentVotingMembers |
| Total Nbr Employees | 0 | TotalNbrEmployees |
| Total Nbr Volunteers | 20 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 7944 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 12889 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 14808694 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 15077834 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 124529 | InvestmentIncomePriorYear |
| Investment Income Current Year | 130473 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 40036 | OtherRevenuePriorYear |
| Other Revenue Current Year | 40036 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 14981203 | TotalRevenuePriorYear |
| Total Revenue Current Year | 15261232 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 1500 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 0 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 11176037 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 11961039 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 2982123 | OtherExpensePriorYear |
| Other Expenses Current Year | 3111769 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 14159660 | TotalExpensesPriorYear |
| Total Expenses Current Year | 15072808 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 821543 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 188424 | RevenuesLessExpensesCY |
| Total Assets BOY | 6361197 | TotalAssetsBOY |
| Total Assets EOY | 6438211 | TotalAssetsEOY |
| Total Liabilities BOY | 2137907 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 2034556 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 4223290 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 4403655 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | ESTABLISHED IN 1983, ADVENTIST HOME ASSISTANCE IS LICENSEDBY THE STATE OF MARYLAND AS A PRIVATE DUTY RESIDENTIAL SERVICEAGENCY. OUR PRIVATE DUTY NURSING AGENCY PROVIDESSUPPORTIVE SERVICES, ALLOWING THE PATIENT TO MAINTAIN THEIR OPTIMUM LEVEL OF INDEPENDENCE. THESE SERVICES REDUCE HEALTH CARE SERVICE COSTS AND IMPROVE PATIENTS' ABILITY TO STAY AT A COMFORTABLE HOME ENVIRONMENT. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 11720535 | Expense |
| Revenue | 15077834 | Revenue |
| Description | FOR 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. SINCE 1973, ADVENTIST HOME HEALTH, A MEMBER OF ADVENTIST HEALTHCARE, HAS BROUGHT HEALING HOME WITH COMPREHENSIVE SKILLED SERVICES AND COMPASSIONATE CARE. IN 1983 WE EXPANDED OUR HOME CARE 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.TODAY, ADVENTIST HOME HEALTH'S TEAM OF SKILLED NURSES, THERAPISTS AND SOCIAL WORKERS DELIVER COMPREHENSIVE SERVICES WITH COMPASSIONATE CARE TO HOMES THROUGHOUT MONTGOMERY, PRINCE GEORGE'S, ST. MARY'S, CHARLES, CALVERT, ANNE ARUNDEL AND HOWARD COUNTIES. ADVENTIST HOME HEALTH'S SERVICES INCLUDE SPECIALIZED CARE FOR CARDIAC PATIENTS, NEW MOTHERS, BABIES AND CHILDREN. | Description |
| Total Program Service Expense | 11720535 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 1 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 0 | LobbyingActivities |
| Subject To Proxy Tax | 0 | SubjectToProxyTax |
| Donor Advised Funds | 0 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 0 | CreditCounseling |
| Term Or Permanent Endowments | 0 | TermOrPermanentEndowments |
| Report Land Bldg Equip | 1 | ReportLandBldgEquip |
| Report Invest Oth Securities | 0 | ReportInvestOthSecurities |
| Report Prog Rel Invest | 0 | ReportProgRelInvest |
| Report Other Assets | 0 | ReportOtherAssets |
| Report Other Liabilities | 0 | ReportOtherLiabilities |
| Report Fin48 Footnote | 0 | ReportFin48Footnote |
| Independent Audit Financial Stmt | 0 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 0 | ConsolidatedAuditFinancialStmt |
| School | 0 | School |
| Foreign Office | 0 | ForeignOffice |
| Foreign Activities | 0 | ForeignActivities |
| More Than5000 K To Organizations | 0 | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividuals |
| Professional Fundraising | 0 | ProfessionalFundraising |
| Fundraising Activities | 0 | FundraisingActivities |
| Gaming | 0 | Gaming |
| Hospital | 0 | Hospital |
| Grants To Organizations | 0 | GrantsToOrganizations |
| Grants To Individuals | 0 | GrantsToIndividuals |
| Schedule J Required | 1 | ScheduleJRequired |
| Tax Exempt Bonds | 0 | TaxExemptBonds |
| Excess Benefit Transaction | 0 | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | 0 | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | 0 | LoanToOfficerOrDQP |
| Grant To Related Person | 0 | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | 0 | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | 0 | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | 0 | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | 0 | DeductibleNonCashContributions |
| Deductible Contributions Of Art | 0 | DeductibleContributionsOfArt |
| Terminated | 0 | Terminated |
| Partial Liquidation | 0 | PartialLiquidation |
| Disregarded Entity | 0 | DisregardedEntity |
| Related Entity | 1 | RelatedEntity |
| Related Org Controlled Entity | 0 | RelatedOrgControlledEntity |
| Transaction Related Entity | 0 | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 0 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Number Of Employees | 0 | NumberOfEmployees |
| Unrelated Business Income | 0 | UnrelatedBusinessIncome |
| Foreign Financial Account | 0 | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTrans |
| Taxable Party Notification | 0 | TaxablePartyNotification |
| Non Deductible Contributions | 0 | NonDeductibleContributions |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributions |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOf |
| Indoor Tanning Services | 0 | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 3 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 0 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 0 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 0 | DelegationOfManagementDuties |
| Changes To Organizing Docs | 0 | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuse |
| Members Or Stockholders | 1 | MembersOrStockholders |
| Election Of Board Members | 1 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 1 | DecisionsSubjectToApproval |
| Minutes Of Governing Body | 1 | MinutesOfGoverningBody |
| Minutes Of Committees | 1 | MinutesOfCommittees |
| Officer Mailing Address | 0 | OfficerMailingAddress |
| Local Chapters | 1 | LocalChapters |
| Policies Reference Chapters | 1 | PoliciesReferenceChapters |
| Form990 Provided To Governing Body | 1 | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | 1 | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | 1 | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | 1 | RegularMonitoringEnforcement |
| Whistleblower Policy | 1 | WhistleblowerPolicy |
| Document Retention Policy | 1 | DocumentRetentionPolicy |
| Compensation Process CEO | 1 | CompensationProcessCEO |
| Compensation Process Other | 1 | CompensationProcessOther |
| Investment In Joint Venture | 0 | InvestmentInJointVenture |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | JAMES G LEE | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 3013153030 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1801 RESEARCH BOULEVARD SUITE 400 | AddressLine1 |
| City | ROCKVILLE | City |
| State | MD | State |
| ZIP Code | 208503184 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (11 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | Key EmployeeKeyEmployee | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|---|
| TERRY FORDE | ||||||||
| CHAIR | 1.00 | X | X | 0 | 612878 | 16196 | ||
| SUSAN L GLOVER | ||||||||
| MEMBER | 1.00 | X | X | 0 | 367677 | 39544 | ||
| JAMES LITSINGER | ||||||||
| AHC VP AND CFO - NON- ACUTE | 1.00 | X | X | 0 | 329672 | 28613 | ||
| WILLIAM G ROBERTSON | ||||||||
| PRESIDENT & CEO, ADVENTIST | 1.00 | X | 0 | 1187103 | 46883 | |||
| JAMES G LEE | ||||||||
| EXE. VP & CFO, ADVENTIST HEALT | 1.00 | X | 0 | 604986 | 33175 | |||
| KEITH BALLENGER | ||||||||
| VICE PRESIDENT | 40.00 | X | 0 | 224399 | 30298 | |||
| GREGORY ROOF | ||||||||
| DIRECTOR, FINANCE | 40.00 | 155023 | 0 | 24631 | X | |||
| ACCAME SILVANA DILL | ||||||||
| DIR BUSINESS DEVELOPMENT | 40.00 | 100088 | 0 | 13359 | X | |||
| LYNETTE GODHARD | ||||||||
| CLINICAL DIRECTOR | 40.00 | 131216 | 0 | 33633 | X | |||
| ROJAS AILEEN | ||||||||
| PHYSICAL THERAPIST | 40.00 | 120634 | 0 | 16080 | X | |||
| TAWANDA EDWARDS | ||||||||
| PHYSICAL THERAPIST | 40.00 | 106251 | 0 | 6497 | X | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 613212 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 3326715 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 288909 | TotalOtherCompensation |
| Number Individuals GT100 K | 5 | NumberIndividualsGT100K |
| Formers Listed | 0 | FormersListed |
| Total Comp GT150 K | 1 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation
Name Of Contractor NameOfContractor
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | AMN HEALTHCARE INC | BusinessNameLine1 |
Address Of Contractor AddressOfContractor
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | P O BOX 281939 | AddressLine1 |
| City | ATLANTA | City |
| State | GA | State |
| ZIP Code | 303841939 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description Of Services | MEDICAL SERVICES | DescriptionOfServices |
| Compensation | 298831 | Compensation |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 1 | NumberOfContractorsGT100K |
| All Other Contributions | 12889 | AllOtherContributions |
| Total Contributions | 12889 | TotalContributions |
Program Service Revenue ProgramServiceRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | WOMEN AND CHILDREN | Description |
| Business Code | 900099 | BusinessCode |
| Total Revenue Column | 6165222 | TotalRevenueColumn |
| Related Or Exempt Function Income | 6165222 | RelatedOrExemptFunctionIncome |
Total Oth Program Service Revenue TotalOthProgramServiceRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 8912612 | TotalRevenueColumn |
| Related Or Exempt Function Income | 8912612 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 15077834 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 85004 | TotalRevenueColumn |
| Exclusion | $85,004 | ExclusionAmount |
Gross Rents GrossRents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 40036 | Real |
Less Rental Expenses LessRentalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 0 | Real |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 40036 | Real |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 40036 | TotalRevenueColumn |
| Exclusion | $40,036 | ExclusionAmount |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 9361394 | Securities |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 9315925 | Securities |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 45469 | Securities |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 45469 | TotalRevenueColumn |
| Exclusion | $45,469 | ExclusionAmount |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 15261232 | TotalRevenueColumn |
| Related Or Exempt Function Income | 15077834 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $170,509 | ExclusionAmount |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 179654 | Total |
| Management And General | 179654 | ManagementAndGeneral |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 9891939 | Total |
| Program Services | 8769576 | ProgramServices |
| Management And General | 1122363 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 287663 | Total |
| Program Services | 249124 | ProgramServices |
| Management And General | 38539 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 840494 | Total |
| Program Services | 641430 | ProgramServices |
| Management And General | 199064 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 761289 | Total |
| Program Services | 643128 | ProgramServices |
| Management And General | 118161 | ManagementAndGeneral |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 14166 | Total |
| Management And General | 14166 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 529549 | Total |
| Program Services | 389740 | ProgramServices |
| Management And General | 139809 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 26616 | Total |
| Program Services | 25500 | ProgramServices |
| Management And General | 1116 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 308267 | Total |
| Program Services | 38550 | ProgramServices |
| Management And General | 269717 | ManagementAndGeneral |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 424287 | Total |
| Program Services | 318215 | ProgramServices |
| Management And General | 106072 | ManagementAndGeneral |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 524357 | Total |
| Management And General | 524357 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 303355 | Total |
| Program Services | 278610 | ProgramServices |
| Management And General | 24745 | ManagementAndGeneral |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 27731 | Total |
| Program Services | 2729 | ProgramServices |
| Management And General | 25002 | ManagementAndGeneral |
Payments To Affiliates PaymentsToAffiliates
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 430770 | Total |
| Management And General | 430770 | ManagementAndGeneral |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 131115 | Total |
| Program Services | 131115 | ProgramServices |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 116983 | Total |
| Management And General | 116983 | ManagementAndGeneral |
Other Expenses OtherExpenses (2 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| MEDICAL SUPPLIES | 243331 | 232818 | 10513 |
| RECRUITMENT | 31242 | 0 | 31242 |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 15072808 | Total |
| Program Services | 11720535 | ProgramServices |
| Management And General | 3352273 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1000 | BOY |
| EOY | 998 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3531942 | BOY |
| EOY | 3599790 | EOY |
Pledges And Grants Receivable PledgesAndGrantsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4339 | BOY |
| EOY | 4339 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2124451 | BOY |
| EOY | 2096838 | EOY |
Other Notes Loans Receivable Net OtherNotesLoansReceivableNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 14452 | BOY |
| EOY | 12167 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 21540 | BOY |
| EOY | 21540 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 43490 | BOY |
| EOY | 55591 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 1470631 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 1093690 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 345899 | BOY |
| EOY | 376941 | EOY |
Intangible Assets IntangibleAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 211932 | BOY |
| EOY | 202956 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 62152 | BOY |
| EOY | 67051 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 6361197 | BOY |
| EOY | 6438211 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1378838 | BOY |
| EOY | 1302550 | EOY |
Deferred Revenue DeferredRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 759069 | BOY |
| EOY | 732006 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2137907 | BOY |
| EOY | 2034556 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4223290 | BOY |
| EOY | 4403655 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4223290 | BOY |
| EOY | 4403655 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 6361197 | BOY |
| EOY | 6438211 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | 188424 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | -8059 | ReconcilationOtherChanges |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
| Audit Committee | 1 | AuditCommittee |
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
| Federal Grant Audit Required | 1 | FederalGrantAuditRequired |
| Federal Grant Audit Performed | 1 | FederalGrantAuditPerformed |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | X | PubliclySupportedOrg509a2 |
Gifts Grants Contrib Received509 GiftsGrantsContribReceived509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus2 Years | 3504 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 7944 | CurrentTaxYearMinus1Year |
| Current Tax Year | 12889 | CurrentTaxYear |
| Total | 24337 | Total |
Gross Receipts From Admissions GrossReceiptsFromAdmissions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 13147879 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 13878881 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 14906850 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 14808694 | CurrentTaxYearMinus1Year |
| Current Tax Year | 15077834 | CurrentTaxYear |
| Total | 71820138 | Total |
Total509 Total509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 13147879 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 13878881 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 14910354 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 14816638 | CurrentTaxYearMinus1Year |
| Current Tax Year | 15090723 | CurrentTaxYear |
| Total | 71844475 | Total |
Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Amts From Subst Contributors AmtsFromSubstContributors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Support From DQ Ps Etc SupportFromDQPsEtc
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | 71844475 | PublicSupportTotal509 |
Gross Investment Income509 GrossInvestmentIncome509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 83737 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 103506 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 54602 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 124529 | CurrentTaxYearMinus1Year |
| Current Tax Year | 130473 | CurrentTaxYear |
| Total | 496847 | Total |
Investment Income And UBTI InvestmentIncomeAndUBTI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 83737 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 103506 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 54602 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 124529 | CurrentTaxYearMinus1Year |
| Current Tax Year | 130473 | CurrentTaxYear |
| Total | 496847 | Total |
Other Income509 OtherIncome509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 41865 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus1 Year | 40036 | CurrentTaxYearMinus1Year |
| Current Tax Year | 40036 | CurrentTaxYear |
| Total | 121937 | Total |
Total Support Total TotalSupportTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 13273481 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 13982387 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 14964956 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 14981203 | CurrentTaxYearMinus1Year |
| Current Tax Year | 15261232 | CurrentTaxYear |
| Total | 72463259 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Percentage509 | 0.99150 | PublicSupportPercentage509 |
| Prior Year Support Percentage | 0.99360 | PriorYearSupportPercentage |
| Investment Income Percentage | 0.00690 | InvestmentIncomePercentage |
| Prior Yr Invest Income Percentage | 0.00560 | PriorYrInvestIncomePercentage |
| Thirty Three Percnt Tests CY509 | X | ThirtyThreePercntTestsCY509 |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule D IRS990ScheduleD
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 433459 | OtherCostOrOtherBasis |
| Depreciation | 422283 | Depreciation |
| Book Value | 11176 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 943980 | OtherCostOrOtherBasis |
| Depreciation | 601417 | Depreciation |
| Book Value | 342563 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 93192 | OtherCostOrOtherBasis |
| Depreciation | 69990 | Depreciation |
| Book Value | 23202 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 376941 | TotalOfBookValueLandBuildings |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Records Maintained | 0 | RecordsMaintained |
Form990 Schedule I Part IV Form990ScheduleIPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Explanation | SCHEDULE | Explanation |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | X | CompensationCommittee |
| Independent Consultant | X | IndependentConsultant |
| Compensation Survey | X | CompensationSurvey |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | 0 | SeverancePayment |
| Supplemental Nonqual Retire Plan | 1 | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | 0 | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | 0 | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | 0 | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | 0 | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | 0 | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | 0 | AnyNonFixedPayments |
| Initial Contract Exception | 0 | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (8 entries)
| Base Compensation Filing OrgBaseCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Filing OrgBonusFilingOrg | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Filing OrgOtherCompensationFilingOrg | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Filing OrgDeferredCompFilingOrg | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Filing OrgTotalCompensationFilingOrg | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| TERRY FORDE | |||||||||||||
| 0 | 278424 | 0 | 10000 | 0 | 324454 | 0 | 0 | 0 | 16196 | 0 | 629074 | 0 | 0 |
| SUSAN L GLOVER | |||||||||||||
| 0 | 256594 | 0 | 68853 | 0 | 42230 | 0 | 12250 | 0 | 27294 | 0 | 407221 | 0 | 0 |
| JAMES LITSINGER | |||||||||||||
| 0 | 184125 | 0 | 92000 | 0 | 53547 | 0 | 8838 | 0 | 19775 | 0 | 358285 | 0 | 0 |
| WILLIAM G ROBERTSON | |||||||||||||
| 0 | 728552 | 0 | 256569 | 0 | 201982 | 0 | 12250 | 0 | 34633 | 0 | 1233986 | 0 | 0 |
| JAMES G LEE | |||||||||||||
| 0 | 395746 | 0 | 98105 | 0 | 111135 | 0 | 12250 | 0 | 20925 | 0 | 638161 | 0 | 0 |
| KEITH BALLENGER | |||||||||||||
| 0 | 154777 | 0 | 35985 | 0 | 33637 | 0 | 8111 | 0 | 22187 | 0 | 254697 | 0 | 0 |
| GREGORY ROOF | |||||||||||||
| 130923 | 0 | 19883 | 0 | 4217 | 0 | 6749 | 0 | 17882 | 0 | 179654 | 0 | 0 | 0 |
| LYNETTE GODHARD | |||||||||||||
| 110124 | 0 | 18273 | 0 | 2819 | 0 | 5917 | 0 | 27716 | 0 | 164849 | 0 | 0 | 0 |
Form990 Schedule J Part III Form990ScheduleJPartIII (3 entries)
| Return ReferenceReturnReference | ExplanationExplanation | IdentifierIdentifier |
|---|---|---|
| PART I, LINE 3 | 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, 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 HEALTHCARES CAPITAL ACCUMULATION ACCOUNT (CAA) PLAN ESTABLISHED PURSUANT TO SECTION 457(F) OF THE INTERNAL REVENUE CODE WERE AS FOLLOWS: WILLIAM G. ROBERTSON: $180.793 JAMES G. LEE: $71,448 TERRY FORDE: $85,654 SUSAN L. GLOVER: $38,660 ON NOVEMBER 30, 2010, ADVENTIST HEALTHCARE, INC. SOLD ITS NURSING HOMES OPERATIONS AND ASSETS TO AN UNRELATED ENTITY, GENESIS HEALTHCARE. GEORGE CHILD, THE PRESIDENT OF ADVENTIST SENIOR LIVING SERVICES, INC. WAS TERMINATED AND RECEIVED SEVERANCE PAYMENTS OF $233,560 IN 2011 AND RETENTION BONUS OF $121,500 IN 2011. | |
| PART III | 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, OUT-OF-STATE COMMUTE, AND SEVERANCE, AS APPLICABLE. OTHER REPORTABLE COMPENSATION ALSO INCLUDES THE FOLLOWING, AS APPROVED BY THE BOARD COMPENSATION COMMITTEE: TAXABLE HOUSING ASSISTANCE FOR RELOCATION TO THE AREA FOR ACCEPTANCE OF EMPLOYMENT: TERRY FORDE 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, 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. | SUPPLEMENTAL INFORMATION |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (8 entries)
| Return ReferenceReturnReference | ExplanationExplanation | IdentifierIdentifier |
|---|---|---|
| FORM 990, PART VI, SECTION A, LINE 6 | BY LAWS, ARTICLE II - THE BOARD OF TRUSTEES APPROVES ALL ACTIONS OF MANAGEMENT. | |
| FORM 990, PART VI, SECTION A, LINE 7A | ADVENTIST HEALTHCARE, INC, AS SOLE CORPORATE MEMBER OF AHHS, WITH THE AUTHORITY TO APPROVE ITS BOARD MEMBERSHIP. | |
| FORM 990, PART VI, SECTION A, LINE 7B | THE BOARD OF TRUSTEES APPROVES ALL ACTIONS OF MANAGEMENT. THE ACTIONS OF THE AHHS GOVERNING BOARD IS SUBJECT TO THE REVIEW OF THE BOARD OF THE ADVENTIST HEALTHCARE, INC. | |
| FORM 990, PART VI, SECTION B, LINE 11 | 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 IS 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 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 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, 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. | |
| FORM 990, PART XI, LINE 5: | MARKET ADJUST ON INVESTMENT -8,059. TOTAL TO FORM 990, PART XI, LINE 5: -8,059. | CHANGES IN NET ASSETS OR FUND BALANCES: |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII (18 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Public Charity StatusPublicCharityStatus | Direct Controlling Entity NADirectControllingEntityNA | Controlled OrgControlledOrg |
|---|---|---|---|---|---|---|---|---|---|---|
| ADVENTIST HEALTHCARE INC | ||||||||||
| 1801 RESEARCH BOULEVARD SUITE 400 | ROCKVILLE | MD | 20850 | 521532556 | HEALTHCARE SERVICES | MD | 501 ( C) (3) | LINE 3 | N/A | 0 |
| ADVENTIST PHYSICIAN SERVICES INC | ||||||||||
| 1801 RESEARCH BLVD SUITE 400 | ROCKVILLE | MD | 20850 | 204600646 | PHYSICIAN SERVICES | MD | 501 ( C) (3) | LINE 9 | N/A | 0 |
| ADVENTIST REHABILITATION HOSPITAL OF MARYLAND | ||||||||||
| 1801 RESEARCH BLVD SUITE 400 | ROCKVILLE | MD | 20850 | 201486678 | REHABILITATION HOSPITAL | MD | 501 ( C) (3) | LINE 3 | N/A | 0 |
| ADVENTIST SENIOR LIVING SERVICES | ||||||||||
| 1801 RESEARCH BLVD SUITE 400 | ROCKVILLE | MD | 20850 | 521739959 | LTC MANAGEMENT | MD | 501 ( C) (3) | LINE 9 | N/A | 0 |
| BRADFORD OAKS NURSING AND REHABILITATION CENTER | ||||||||||
| 7520 SURRATTS ROAD | CLINTON | MD | 20735 | 521999975 | NURSING HOME | MD | 501 ( C) (3) | LINE 9 | N/A | 0 |
| FAIRLAND NURSING & REHAB CENTER | ||||||||||
| 1801 RESEARCH BLVD SUITE 400 | ROCKVILLE | MD | 20850 | 521876447 | NURSING HOME | MD | 501 ( C) (3) | LINE 9 | N/A | 0 |
| GLADE VALLEY NURSING AND REHABILITATION CENTER | ||||||||||
| 1801 RESEARCH BLVD SUITE 400 | ROCKVILLE | MD | 20850 | 521924309 | NURSING HOME | MD | 501 ( C) (3) | LINE 9 | N/A | 0 |
| HACKETTSTOWN COMMUNITY HOSPITAL | ||||||||||
| 651 WILLOW GROVE STREET | HACKETTSTOWN | NJ | 07840 | 226106281 | HOSPITAL | NJ | 501 ( C) (3) | LINE 3 | N/A | 0 |
| HACKETTSTOWN COMMUNITY HOSPITAL FOUNDATION | ||||||||||
| 651 WILLOW GROVE STREET | HACKETTSTOWN | NJ | 07840 | 222333410 | FUNDRAISING | NJ | 501 ( C) (3) | LINE 11A, I | N/A | 0 |
| HCH EMERGENCY MEDICAL SERVICES | ||||||||||
| 651 WILLOW GROVE STREET | HACKETTSTOWN | NJ | 07840 | 270820164 | AMBULANCE SERVICE | NJ | 501 ( C) (3) | LINE 11B, II | N/A | 0 |
| MID-ATLANTIC ADVENTIST HEALTHCARE CORPORATION | ||||||||||
| 1801 RESEARCH BLVD SUITE 400 | ROCKVILLE | MD | 20850 | 511884153 | HOLDING COMPANY | MD | 501 ( C) (3) | LINE 9 | N/A | 0 |
| POTOMAC RIDGE BEHAVIORAL HEALTH FOUNDATION | ||||||||||
| 1801 RESEARCH BLVD SUITE 400 | ROCKVILLE | MD | 20850 | 205479860 | FUNDRAISING | MD | 501 ( C) (3) | LINE 11A, I | N/A | 0 |
| REGINALD S LOURIE CENTER FOR INFANTS AND YOUNG CHILDREN | ||||||||||
| 1801 RESEARCH BLVD SUITE 400 | ROCKVILLE | MD | 20850 | 521255870 | BEHAVIORAL CARE | MD | 501 ( C) (3) | LINE 9 | N/A | 0 |
| SHADY GROVE ADVENTIST HOSPITAL FOUNDATION | ||||||||||
| 1801 RESEARCH BLVD SUITE 400 | ROCKVILLE | MD | 20850 | 521216429 | FUNDRAISING | MD | 501 ( C) (3) | LINE 11A, I | N/A | 0 |
| SHADY GROVE NURSING HOME AND REHABILITATION CENTER | ||||||||||
| 9701 MEDICAL CENTER DRIVE | ROCKVILLE | MD | 20850 | 521442495 | NURSING HOME | MD | 501 ( C) (3) | LINE 9 | N/A | 0 |
| SLIGO CREEK NURSING & REHABILITATION CENTER INC | ||||||||||
| 7525 CARROLL AVENUE | TAKOMA PARK | MD | 20912 | 521736368 | NURSING HOME | MD | 501 ( C) (3) | LINE 9 | N/A | 0 |
| SPRINGBROOK ADVENTIST NURSING AND REHABILITATION CENTER INC | ||||||||||
| 1801 RESEARCH BLVD SUITE 400 | ROCKVILLE | MD | 20850 | 521736305 | NURSING HOME | MD | 501( C)(3) | LINE 9 | N/A | 0 |
| WASHINGTON ADVENTIST HOSPITAL FOUNDATION | ||||||||||
| 1801 RESEARCH BLVD SUITE 400 | ROCKVILLE | MD | 20850 | 521692158 | FUNDRAISING | MD | 501 ( C) (3) | LINE 11A, I | N/A | 0 |
Form990 Schedule R Part III Form990ScheduleRPartIII
Name Of Related Org NameOfRelatedOrg
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | GERMANTOWN OUTPATIENT IMAGING | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1801 RESEARCH BOULEVARD | AddressLine1 |
| City | ROCKVILLE | City |
| State | MD | State |
| ZIP Code | 20850 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 204395818 | EIN |
| Primary Activity | OUTPATIENT IMAGING | PrimaryActivity |
| Legal Domicile State | MD | LegalDomicileState |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SHADY GROVE RADIOLOGY CONSULTANTS PC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Predominant Income Type | RELATED | PredominantIncomeType |
| Disproportionate Allocations | 0 | DisproportionateAllocations |
| General Or Managing Partner | 0 | GeneralOrManagingPartner |
Form990 Schedule R Part IV Form990ScheduleRPartIV (3 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivityPrimaryActivity | Legal Domicile StateLegalDomicileState | Direct Controlling Entity NADirectControllingEntityNA | Type Of EntityTypeOfEntity |
|---|---|---|---|---|---|---|---|---|
| ADVENTIST MANAGEMENT SERVICES INC | ||||||||
| 1801 RESEARCH BOULEVARD | ROCKVILLE | MD | 20850 | 521575694 | MANAGEMENT SERVICES | MD | N/A | C |
| LIFEWORKS STRATEGY INC | ||||||||
| 1801 RESEARCH BOULEVARD | ROCKVILLE | MD | 20850 | 521704500 | EMPLOYEE ASSISTANCE | MD | N/A | C |
| PREMIER MEDICAL NETWORK | ||||||||
| 1801 RESEARCH BOULEVARD | ROCKVILLE | MD | 20850 | 521952469 | JOINT PHYSICIAN CONT | MD | N/A | C |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | 0 | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | 0 | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | 0 | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | 0 | LoansOrGuaranteesFromOtherOrg |
| Sale Of Assets To Other Org | 0 | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | 0 | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | 0 | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | 0 | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | 0 | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | 0 | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | 0 | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | 0 | SharingOfFacilities |
| Sharing Of Paid Employees | 0 | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | 0 | OtherTransferToOtherOrg |
| Other Transfer From Other Org | 0 | OtherTransferFromOtherOrg |