ADVENTIST HEALTHCARE INC: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization: ADVENTIST HEALTHCARE INC (EIN 52-1532556)
Tax period: 2010-01-01 to 2010-12-31
Filed: 2011-11-15
IRS object ID: 201113199349308386
Schema version: 2010v3.4
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
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule H
Schedule I
Schedule J
Schedule K
Schedule L
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2011-11-15T15:29:34-06:00	Timestamp
Tax Period End Date	2010-12-31	TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Grant Thornton LLP	BusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

Field	Value	IRS element (for citing)
Address Line1	201 S COLLEGE ST STE 2500	AddressLine1
City	CHARLOTTE	City
State	NC	State
ZIP Code	28244	ZIPCode

Field	Value	IRS element (for citing)
Return Type	990	ReturnType
Tax Period Begin Date	2010-01-01	TaxPeriodBeginDate

Filer Filer

Field	Value	IRS element (for citing)
EIN	521532556	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	Adventist Healthcare Inc	BusinessNameLine1

Field	Value	IRS element (for citing)
Name Control	ADVE	NameControl
Phone	3013153338	Phone

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1801 Research Boulevard	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	CFO & EXE. VP	Title
Phone	3013153338	Phone
Date Signed	2011-11-15	DateSigned
Authorize Third Party	true	AuthorizeThirdParty

Preparer Preparer

Field	Value	IRS element (for citing)
Name	MICHELE N MELCHIOR	Name
Phone	7046323500	Phone

Field	Value	IRS element (for citing)
Tax Year	2010	TaxYear
Build TS	2016-03-07 17:11:31Z	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	AddressLine1
City	Rockville	City
State	MD	State
ZIP Code	208503184	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	642413668	GrossReceipts
Group Return For Affiliates	false	GroupReturnForAffiliates
Organization501c3	X	Organization501c3
Web Site	www.adventisthealthcare.com	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	1983	YearFormation
State Legal Domicile	MD	StateLegalDomicile
Activity Or Mission Description	We demonstrate God's care by improving the health of people and communities through a ministry of physical, mental, and spriritual healing.	ActivityOrMissionDescription
Nbr Voting Members Governing Body	18	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	14	NbrIndependentVotingMembers
Total Nbr Employees	7910	TotalNbrEmployees
Total Nbr Volunteers	1575	TotalNbrVolunteers
Total Gross UBI	722146	TotalGrossUBI
Contributions Grants Prior Year	3705193	ContributionsGrantsPriorYear
Contributions Grants Current Year	3382441	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	636868481	ProgramServiceRevenuePriorYear
Program Service Revenue CY	628049282	ProgramServiceRevenueCY
Investment Income Prior Year	2499855	InvestmentIncomePriorYear
Investment Income Current Year	5645861	InvestmentIncomeCurrentYear
Other Revenue Prior Year	1687902	OtherRevenuePriorYear
Other Revenue Current Year	-5486174	OtherRevenueCurrentYear
Total Revenue Prior Year	644761431	TotalRevenuePriorYear
Total Revenue Current Year	631591410	TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year	1671850	GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY	2170872	GrantsAndSimilarAmntsCY
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	295535311	SalariesEtcPriorYear
Salaries Etc Current Year	302423974	SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	3220248	TotalFundrsngExpCurrentYear
Other Expense Prior Year	331530858	OtherExpensePriorYear
Other Expenses Current Year	295692505	OtherExpensesCurrentYear
Total Expenses Prior Year	628738019	TotalExpensesPriorYear
Total Expenses Current Year	600287351	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	16023412	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	31304059	RevenuesLessExpensesCY
Total Assets BOY	633852730	TotalAssetsBOY
Total Assets EOY	742822801	TotalAssetsEOY
Total Liabilities BOY	452269574	TotalLiabilitiesBOY
Total Liabilities EOY	483117111	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	181583156	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	259705690	NetAssetsOrFundBalancesEOY
Info In Schedule O Part III	X	InfoInScheduleOPartIII
Mission Description	WE DEMONSTRATE GOD'S CARE BY IMPROVING THE HEALTH OF PEOPLE AND COMMUNITIES THROUGH A MINISTRY OF PHYSICAL, MENTAL, AND SPRIRITUAL HEALING.	MissionDescription
Significant New Program Services	false	SignificantNewProgramServices
Significant Change	false	SignificantChange
Expense	494610951	Expense
Grants	2170872	Grants
Revenue	582914306	Revenue
Description	The mission of Adventist HealthCare is to "Demonstrate God's care by improving the health of people and communities through a ministry of physical, mental and spiritual healing." In meeting this mission and in compliance with state and federal laws, we provide care to all patients regardless of their ability to pay. Compassion is reflected in our mission and our organization consistently provides high levels of charity and uncompensated care. To meet the needs of our communities, Adventist HealthCare continues to innovate and expand the range of our services to build on the strong foundation we have laid for a healthy, engaged community. We respond proactively to various health care needs with a continuum of excellent programs and wide-ranging services to meet diverse populations as we strive to: 1. Maintain and Grow Current Services 2. Expand Health Services/Increase Access to Care 3. Promote Health and Wellness 4. Eliminate Health Disparities 1. Maintain and Grow Current Services: We continue to grow programs and services in the areas of oncology, heart/cardiac, rehabilitation, behavioral health and other health care services supporting community-based organizations aligned with our mission. The benefit to the community will be in sustaining and growing quality programs that promote healthy children, encourage healthy lifestyles for seniors, foster healthy families, and in a holistic way, build healthier communities. Enhancements to our comprehensive inpatient and outpatient Cancer Care Services at Washington Adventist and Shady Grove Adventist Hospitals ensure that we continue to provide the latest diagnostic and treatment services that are delivered with compassion and a deep understanding of the unique demands of cancer. Both inpatient and outpatient services are available to accommodate a range of patient needs and preferences. We care for the whole patient by offering educational programs and special services such as nutrition counseling, stress management, fitness programs, support groups and smoking cessation programs, as well as the American Cancer Society program, "Look Good, Feel Better." Washington Adventist Hospital has been providing full-service medical and surgical care to the residents of eastern Montgomery County, western Prince George's County and Washington, D.C. for more than 100 years. While Washington Adventist's history reflects the special care it has provided for generations of families, of special note is the Cardiovascular Institute at Washington Adventist Hospital. The hospital was the first in the greater D.C. area to perform numerous cardiac procedures dating from its first heart procedure in 1962, including mitral valvuloplasty and a number of sophisticated types of echocardiography. Not only does Washington Adventist Hospital provide substantial cardiac surgery and PCI procedures, including serving as a site for cardiac research, but it also is the backup for multiple hospitals with primary and nonprimary, elective PCI programs that require an affiliation with a cardiac surgery program. In addition, the CardioVascular Institute houses the Center for Cardiac & Vascular Research, which is dedicated to the pursuit of advances that improve the quality of life for patients coping with cardiovascular disease. 2. Expand Health Services/Increase Access to Care: Adventist HealthCare has partnered with several organizations in order to bring free services to communities in need with a special focus on women and children. Adventist HealthCare is dedicated to programs that help build healthy families and communities. The important partnerships and relationships we have developed with Mercy Clinic, Mary's Center and MobileMed help us to augment health care in lower Montgomery and Prince George's counties as well as upper Montgomery and lower Frederick counties. These are areas where numerous residents may be underserved, either by being uninsured, or in an area where health services may be located far away. The Mercy Health Clinic in Gaithersburg has benefited from our services including laboratory support, blood tests and other diagnostic services. In the Long Branch section of Silver Spring, our partnership with Mary's Center provides a full range of services from prenatal care to pediatric/adolescent health services to women's services to social-services programs. Our work with Mobile Med in its Germantown location and its mobile medical van enables regular medical care, such as routine physicals, for uninsured and low-income residents. January 2010, Shady Grove Adventist Hospital's Forensic Medical Unit, formerly the Sexual Abuse and Assault Center, marked its move to new and expanded space. The unit, which is the only one in Montgomery County, provides forensic evidence collection and specialized medical care to women, men and children who are victims of sexual assault and abuse. Shady Grove Adventist Hospital's Forensic Medical Unit treats about 200 patients each year. Shady Grove Adventist Hospital and Washington Adventist Hospital are active participants in Montgomery County's Maternity Partnership Program, which provides prenatal care and maternity services to low-income, uninsured pregnant women. In 2008, access to health care services for upcounty residents expanded further with the opening of Shady Grove's Prenatal Center in Germantown. This clinic provides free prenatal care to about 200 county residents each year who are uninsured or under insured. Our partnerships with MobileMed, Mary's Center in Silver Spring, the Mercy Health Clinic in Gaithersburg and others have helped to establish clinics for low-income, uninsured individuals. These clinics have served as a vital health safety net to provide important primary and preventive health services to over 20,000 men, women and children in need. For the past five years, the Shady Grove Adventist Emergency Center in Germantown has brought vital emergency services to a fast-growing community that had to battle traffic and a 30-mile span along I-270 from Rockville to Frederick without a hospital. The Emergency Center's medical campus also has a primary care clinic for uninsured residents, a prenatal clinic for low-income women, outpatient radiology services and physician offices. We also recently welcomed the addition of the nearby Shady Grove Adventist Radiation Oncology Center at Germantown, on Seneca Meadows Parkway. In the five years since it has opened, the GEC has treated an average of 36,000 emergency patients each year. The freestanding facility has also reduced out-of-service ambulance times in upper Montgomery County by 40 percent, according to the county's Fire and Rescue Service. 3. Promote Health and Wellness: The growth of Adventist HealthCare into a comprehensive health system has allowed us to expand the reach of our community services to provide effective prevention, treatment and care programs for all individuals, regardless of their economic, cultural, linguistic or demographic characteristics. We are especially dedicated to programs that help build healthy families and communities with a special focus on women and children. Here are some snapshots of Adventist HealthCare's work in the community in 2010, which resulted in more than 208,000 encounters. Maternal Child Health Education and Outpatient Lactation Services at Shady Grove Adventist Hospital - Research shows that providing breast milk to a baby is one of the most important things that can be done for a child during the first six months of life. We strive to help moms who are breastfeeding have a successful breastfeeding experience. We host a free weekly drop-in breastfeeding support group for moms and their babies called B.E.S.T. "Breastfeeding Education, Support and Togetherness" and offer information and counseling as we answer questions on the many telephone calls to our hospital as a means of continuing the support and guidance they received while in the hospital, and assure they would not feel alone as they and their baby learned the art of breastfeeding. We provide breast pumps and supplies at a reduced cost to make it as affordable as possible and ensure they understand how to properly use the pump and understand breast milk storage guidelines. A new venture that we began in the third quarter is renting baby scales so moms may monitor their babies' weight gain as they work on breastfeeding. In 2010 the number of Maternal Child Health Education programs offered for participants at Shady Grove Adventist and Washington Adventist Hospitals remained steady as they helped prepare expectant parents for their labor and birth experience and the challenges of caring for a new baby when they arrive home. We strive to reach as many interested participants as possible. Taking into consideration individual learning styles and life schedules, we offer our comprehensive childbirth and infant care classes in a variety of formats. For those who do not have the time to attend one of ou	Description

Activity2 Activity2

Field	Value	IRS element (for citing)
Expense	10999967	Expense
Revenue	45134976	Revenue
Description	Adventist Behavioral Health: Adventist Behavioral Health is a comprehensive network of mental health facilities providing care to mentally ill individuals across their life span. With locations in Montgomery and Anne Arundel Counties in Maryland and on the Eastern Shore of Maryland, Adventist Behavioral Health offers a broad range of services such as acute care, residential treatment, special education and general education programs, chemical dependency programs, partial hospitalization programs, intensive outpatient services, and community-based residential services. In 2010, Adventist Behavioral Health provided $265,461 in uncompensated mental health care across its three main campuses. Adventist Behavioral Health's facilities offer a total of 161 acute care beds, 141 residential treatment center beds, 32 group home beds and a full continuum of outpatient services. Adventist Behavioral Health cared for approximately 4,000 patients and residents across its entities in 2010. Adventist Behavioral Health Rockville: The Adventist Behavioral Health Rockville campus is a not-for-profit, Joint Commission accredited, 106-bed acute psychiatric treatment facility located in Montgomery County. Coupled with an additional 52-bed residential treatment center (RTC) for adolescents, Adventist Behavioral Health is the largest provider of mental health services in Montgomery County. The Rockville campus also provides outpatient chemical dependency services for adolescents and adults and operates a partial hospitalization program for adolescents. The Ridge School of Montgomery County, a special and general education school approved by the Maryland State Department of Education, is located at the Adventist Behavioral Health Rockville campus and serves adolescents from Maryland and Washington, D.C. Adventist Behavioral Health recently launched the Military Addiction Recovery Center (MARC) at its Rockville campus. The MARC is a 28-day inpatient substance abuse treatment program designed to meet the unique needs of active duty military men and women. The Behavioral Health Unit at Washington Adventist Hospital: The Behavioral Health Unit offers four adolescent and 36 adult acute care beds in addition to partial hospitalization and intensive outpatient programs at its Takoma Park, Maryland location. The Reginald S. Lourie Center for Infants and Young Children (Lourie Center): The Lourie Center's mission is to understand and strengthen the emotional health of parent-child relationships within our community through early prevention, intervention, education, research and training. The Lourie Center provides four core services to benefit infants, children and their families: The Parent-Child Clinical Services Program; Lourie Center School; Therapeutic Nursery Program; and Early Head Start. Adventist Behavioral Health Anne Arundel: Adventist Behavioral Health at Anne Arundel has provided mental health services for adolescents since 2002. Located in Crownsville, Maryland, Adventist Behavioral Health Anne Arundel offers 30 adolescent residential treatment beds, a group home for 18 adolescent males, and a special and general education school for adolescents with emotional and behavioral disabilities. The 30-bed resident treatment center (RTC) is one of the most clinically unique programs in Maryland. It is considered a high-security, high level of intensity RTC. By utilizing research-based best practices for this cognitively impaired population, the Anne Arundel staff delivers tremendous outcomes for the residents. The 18-bed group home for adolescent males provides treatment in a small, age-appropriate family style setting. The group home serves adolescents who do not require the acute services of inpatient hospitalization or residential treatment center. The Ridge School of Anne Arundel County offers programs for students in grades 8 through 12 in a highly-structured environment that enables and encourages multi-sensory learning. The school is designed to provide education for even the most challenging youth utilizing a positive behavioral approach and philosophy. Adventist Behavioral Health Eastern Shore: Adventist Behavioral Health Eastern Shore is the region's only acute care and residential mental health resource for children and adolescents. The facility offers 15 acute care beds and 59 RTC beds. Adventist Behavioral Health Eastern Shore has a one-of-a-kind program in the state of Maryland for low-functioning adolescents with IQs between 50 and 70. This is the only program in the state to address the special clinical and therapeutic needs of this population. The Ridge School of the Eastern Shore is a special and general education school for students in grades three to 12. The school serves residents of the Eastern Shore RTC as well as day students who live in the local community. Community Service: Adventist Behavioral Health is committed to serving as a mental health resource to families and behavioral health specialists in the communities it serves. The organization has dedicated significant resources to providing free educational workshops for consumers as well as continuing education symposiums for clinicians. Adventist Behavioral Health and its employees also sponsor and support community organizations such as the Mental Health Association of Montgomery County and the National Alliance on Mental Illness.	Description

Field	Value	IRS element (for citing)
Total Program Service Expense	505610918	TotalProgramServiceExpense
Described In501 C3	true	DescribedIn501C3
Schedule B Required	true	ScheduleBRequired
Political Activities	false	PoliticalActivities
Lobbying Activities	true	LobbyingActivities
Donor Advised Funds	false	DonorAdvisedFunds
Conservation Easements	false	ConservationEasements
Collections Of Art	false	CollectionsOfArt
Credit Counseling	false	CreditCounseling
Term Or Permanent Endowments	false	TermOrPermanentEndowments
Report Land Bldg Equip	true	ReportLandBldgEquip
Report Invest Oth Securities	false	ReportInvestOthSecurities
Report Prog Rel Invest	true	ReportProgRelInvest
Report Other Assets	true	ReportOtherAssets
Report Other Liabilities	true	ReportOtherLiabilities
Report Fin48 Footnote	true	ReportFin48Footnote
Independent Audit Financial Stmt	false	IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt	true	ConsolidatedAuditFinancialStmt
School	false	School
Foreign Office	false	ForeignOffice
Foreign Activities	false	ForeignActivities
More Than5000 K To Organizations	false	MoreThan5000KToOrganizations
More Than5000 K To Individuals	false	MoreThan5000KToIndividuals
Professional Fundraising	false	ProfessionalFundraising
Fundraising Activities	false	FundraisingActivities
Gaming	false	Gaming
Hospital	true	Hospital
Financial Stmt Attached	false	FinancialStmtAttached
Grants To Organizations	true	GrantsToOrganizations
Grants To Individuals	false	GrantsToIndividuals
Schedule J Required	true	ScheduleJRequired
Tax Exempt Bonds	true	TaxExemptBonds
Invest Tax Exempt Bonds	false	InvestTaxExemptBonds
Escrow Account	false	EscrowAccount
On Behalf Of Issuer	false	OnBehalfOfIssuer
Excess Benefit Transaction	false	ExcessBenefitTransaction
Prior Excess Benefit Transaction	false	PriorExcessBenefitTransaction
Loan To Officer Or DQP	false	LoanToOfficerOrDQP
Grant To Related Person	false	GrantToRelatedPerson
Bsnss Rltnshp With Organization	true	BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member	false	BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp	true	OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions	false	DeductibleNonCashContributions
Deductible Contributions Of Art	false	DeductibleContributionsOfArt
Terminated	false	Terminated
Partial Liquidation	false	PartialLiquidation
Disregarded Entity	true	DisregardedEntity
Related Entity	true	RelatedEntity
Related Org Controlled Entity	true	RelatedOrgControlledEntity
Transaction Related Entity	true	TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org	false	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	false	ActivitiesConductedPartnership
Schedule O Required	true	ScheduleORequired
Number Forms Transmitted With1096	817	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Compliance With Backup Witholding	true	ComplianceWithBackupWitholding
Number Of Employees	7910	NumberOfEmployees
Employment Tax Returns Filed	true	EmploymentTaxReturnsFiled
Unrelated Business Income	true	UnrelatedBusinessIncome
Form990-T Filed	true	Form990-TFiled
Foreign Financial Account	false	ForeignFinancialAccount
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTrans
Taxable Party Notification	false	TaxablePartyNotification
Non Deductible Contributions	false	NonDeductibleContributions
Quid Pro Quo Contributions	false	QuidProQuoContributions
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOf
Funds To Pay Premiums	false	FundsToPayPremiums
Premiums Paid	false	PremiumsPaid
Indoor Tanning Services	false	IndoorTanningServices
Info In Schedule O Part VI	X	InfoInScheduleOPartVI
Nbr Voting Governing Body Members	18	NbrVotingGoverningBodyMembers
Number Independent Voting Members	14	NumberIndependentVotingMembers
Family Or Business Relationship	false	FamilyOrBusinessRelationship
Delegation Of Management Duties	false	DelegationOfManagementDuties
Changes To Organizing Docs	false	ChangesToOrganizingDocs
Material Diversion Or Misuse	false	MaterialDiversionOrMisuse
Members Or Stockholders	true	MembersOrStockholders
Election Of Board Members	true	ElectionOfBoardMembers
Decisions Subject To Approval	true	DecisionsSubjectToApproval
Minutes Of Governing Body	true	MinutesOfGoverningBody
Minutes Of Committees	true	MinutesOfCommittees
Officer Mailing Address	false	OfficerMailingAddress
Local Chapters	true	LocalChapters
Policies Reference Chapters	true	PoliciesReferenceChapters
Form990 Provided To Governing Body	true	Form990ProvidedToGoverningBody
Conflict Of Interest Policy	true	ConflictOfInterestPolicy
Annual Disclosure Covered Persons	true	AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement	true	RegularMonitoringEnforcement
Whistleblower Policy	true	WhistleblowerPolicy
Document Retention Policy	true	DocumentRetentionPolicy
Compensation Process CEO	true	CompensationProcessCEO
Compensation Process Other	true	CompensationProcessOther
Investment In Joint Venture	true	InvestmentInJointVenture
Written Policy Or Procedure	true	WrittenPolicyOrProcedure
Upon Request	X	UponRequest

The Books Are In Care Of TheBooksAreInCareOf

Field	Value	IRS element (for citing)
Name Person	JAMES G LEE	NamePerson
Telephone Number	3013153020	TelephoneNumber

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

Form990 Part VII Section A Form990PartVIISectionA (33 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
William G Robertson
President & CEO	40.0	X	X	1122734	0	45921
David E Weigley
Chairman	1.0	X	X	0	0	0
J Neville Harcombe
Vice Chair	1.0	X	X	0	0	0
Elaine L Arthur
Vice Chair	1.0	X	X	0	0	0
Seth T Bardu
Member	1.0	X		0	0	0
Fred M Manchur
Member	1.0	X		0	0	0
Ruth Ellen Bulger AM
Member	1.0	X		0	0	0
Norton A Elson MD
Member	1.0	X		0	0	0
Mark E Griffin
Member	1.0	X		0	0	0
Scott McClure ESQ
Vice Chair	1.0	X	X	0	0	0
William K Miller
Member	1.0	X		0	0	0
Marta Brito Perez
Member	1.0	X		0	0	0
Peter H Plamondon Jr
Member	1.0	X		0	0	0
David C Stump MD
Member	1.0	X		0	0	0
Robin Thomashauer
Member	1.0	X		0	0	0
Stephen L Tuck MD
Member	1.0	X		0	0	0
Weymouth Spence EDD
Member	1.0	X		0	0	0
Edmund F Hodge
Exe. VP & CAO	40.0		X	693770	0	35530
James G Lee
CFO & Exe. VP	40.0		X	574429	0	27574
Gaurov Dayal
Chief Med. Officer	40.0		X	540824	0	31133
Susan L Glover
Sr. VP / CQIO	40.0		X	359335	0	38471
Dennis Hansen
President SGAH	40.0		X	622147	0	41654
Jere Stocks
President WAH	40.0		X	530295	0	28670
Hisako Thompson
President ABH	40.0			293453	0	20589	X
George Child
VP - ASLS	40.0			462524	0	25799	X
Gene Milton
Pres/Sec - HRMC	40.0			449227	0	85271	X
Doris Reinhart
VP Admin - ARHM	40.0			245738	0	55409	X
Keith Ballenger
VP - AHHS	40.0			217827	0	22287	X
Joyce Portela
EOO - WAH	40.0			697355	0	28495		X
Kenneth Destefano
VP & Gen. Counsel	40.0			431082	0	31478		X
Elyse Kaplan
VP HR - AHC	40.0			363308	0	29913		X
Paula Widerlite
VP	40.0			360654	0	32823		X
Kathleen Dyer
CII	40.0			352799	0	36537		X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	8317501	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	0	TotalReportableCompFrmRltdOrgs
Total Other Compensation	617554	TotalOtherCompensation
Number Individuals GT100 K	251	NumberIndividualsGT100K
Formers Listed	false	FormersListed
Total Comp GT150 K	true	TotalCompGT150K
Compensation From Other Sources	false	CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1	CityAddressOfContractor/AddressUS/City	StateAddressOfContractor/AddressUS/State	ZIP CodeAddressOfContractor/AddressUS/ZIPCode	Description Of ServicesDescriptionOfServices	CompensationCompensation
PHNS Inc
PO Box 671001	DALLAS	TX	75267	IT Services	33958959
Quest Diagnostics
14225 Network Drive	CHANTILLY	VA	20151	Clinical Lab Svcs	19947970
First Colonial Anesthesia Assoc
1901 Research Blvd	ROCKVILLE	MD	20850	Medical Services	2984810
Hospital Housekeeping System LTD
216 E Fourth Street	AUSTIN	TX	78701	Housekeeping Svcs	2516413
Sodexho Marriott Services
PO Box 536922	ATLANTA	GA	303526922	Dietry & Plan OP	2401050

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	92	NumberOfContractorsGT100K
Related Organizations	1788354	RelatedOrganizations
Government Grants	991853	GovernmentGrants
All Other Contributions	602234	AllOtherContributions
Total Contributions	3382441	TotalContributions

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome
WOMEN AND CHILDREN	900099	219545470	219545470
CARDIAC	900099	110679020	110679020
BEHAVIORAL HEALTH	900099	45134976	45134976
ONCOLOGY	900099	28646855	28646855
OCCUPATIONAL/SPEECH/PHYSI	900099	15457841	15457841

Total Oth Program Service Revenue TotalOthProgramServiceRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	208585120	TotalRevenueColumn
Related Or Exempt Function Income	207862974	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	722146	UnrelatedBusinessRevenue

Field	Value	IRS element (for citing)
Total Program Service Revenue	628049282	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	5170856	TotalRevenueColumn
Exclusion	$5,170,856	ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Gross Rents GrossRents

Field	Value	IRS element (for citing)
Real	4920322	Real

Less Rental Expenses LessRentalExpenses

Field	Value	IRS element (for citing)
Real	10514071	Real

Rental Income Or Loss RentalIncomeOrLoss

Field	Value	IRS element (for citing)
Real	-5593749	Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	-5593749	TotalRevenueColumn
Exclusion	-$5,593,749	ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

Field	Value	IRS element (for citing)
Securities	475005	Securities

Gain Or Loss GainOrLoss

Field	Value	IRS element (for citing)
Securities	475005	Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

Field	Value	IRS element (for citing)
Total Revenue Column	475005	TotalRevenueColumn
Exclusion	$475,005	ExclusionAmount

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Net Income From Gaming NetIncomeFromGaming

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	415762	GrossSalesOfInventory
Cost Of Goods Sold	308187	CostOfGoodsSold

Net Income Or Loss NetIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	107575	TotalRevenueColumn
Exclusion	$107,575	ExclusionAmount

Field	Value	IRS element (for citing)
Total Other Revenue	0	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	631591410	TotalRevenueColumn
Related Or Exempt Function Income	627327136	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	722146	UnrelatedBusinessRevenue
Exclusion	$159,687	ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

Field	Value	IRS element (for citing)
Total	2170872	Total
Program Services	2170872	ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

Field	Value	IRS element (for citing)
Total	0	Total

Foreign Grants ForeignGrants

Field	Value	IRS element (for citing)
Total	0	Total

Benefits To Members BenefitsToMembers

Field	Value	IRS element (for citing)
Total	0	Total

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	6547014	Total
Management And General	6547014	ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

Field	Value	IRS element (for citing)
Total	0	Total

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	246090068	Total
Program Services	213501143	ProgramServices
Management And General	30969953	ManagementAndGeneral
Fundraising	1618972	Fundraising

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	7214375	Total
Program Services	6263797	ProgramServices
Management And General	901167	ManagementAndGeneral
Fundraising	49411	Fundraising

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	23821029	Total
Program Services	18917200	ProgramServices
Management And General	4769370	ManagementAndGeneral
Fundraising	134459	Fundraising

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	18751488	Total
Program Services	15496995	ProgramServices
Management And General	3147235	ManagementAndGeneral
Fundraising	107258	Fundraising

Fees For Services Management FeesForServicesManagement

Field	Value	IRS element (for citing)
Total	7298650	Total
Program Services	7031060	ProgramServices
Management And General	267590	ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	1383806	Total
Management And General	1381889	ManagementAndGeneral
Fundraising	1917	Fundraising

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	460842	Total
Management And General	439242	ManagementAndGeneral
Fundraising	21600	Fundraising

Fees For Services Lobbying FeesForServicesLobbying

Field	Value	IRS element (for citing)
Total	346693	Total
Management And General	346693	ManagementAndGeneral

Fees For Services Prof Fundraising FeesForServicesProfFundraising

Field	Value	IRS element (for citing)
Total	0	Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

Field	Value	IRS element (for citing)
Total	4409933	Total
Management And General	4409933	ManagementAndGeneral

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	48264352	Total
Program Services	38406300	ProgramServices
Management And General	8966258	ManagementAndGeneral
Fundraising	891794	Fundraising

Advertising Advertising

Field	Value	IRS element (for citing)
Total	1089360	Total
Program Services	31591	ProgramServices
Management And General	1056160	ManagementAndGeneral
Fundraising	1609	Fundraising

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	59638696	Total
Program Services	53974964	ProgramServices
Management And General	5429955	ManagementAndGeneral
Fundraising	233777	Fundraising

Information Technology InformationTechnology

Field	Value	IRS element (for citing)
Total	21497642	Total
Program Services	16110333	ProgramServices
Management And General	5387309	ManagementAndGeneral

Royalties Royalties

Field	Value	IRS element (for citing)
Total	0	Total

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	24012748	Total
Program Services	17279176	ProgramServices
Management And General	6633672	ManagementAndGeneral
Fundraising	99900	Fundraising

Travel Travel

Field	Value	IRS element (for citing)
Total	1525532	Total
Program Services	799130	ProgramServices
Management And General	691187	ManagementAndGeneral
Fundraising	35215	Fundraising

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

Field	Value	IRS element (for citing)
Total	0	Total

Conferences Meetings ConferencesMeetings

Field	Value	IRS element (for citing)
Total	534510	Total
Program Services	329299	ProgramServices
Management And General	180951	ManagementAndGeneral
Fundraising	24260	Fundraising

Interest Interest

Field	Value	IRS element (for citing)
Total	4387734	Total
Program Services	19902	ProgramServices
Management And General	4367832	ManagementAndGeneral

Payments To Affiliates PaymentsToAffiliates

Field	Value	IRS element (for citing)
Total	0	Total

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	26921529	Total
Program Services	26434996	ProgramServices
Management And General	486533	ManagementAndGeneral

Insurance Insurance

Field	Value	IRS element (for citing)
Total	4348879	Total
Management And General	4348879	ManagementAndGeneral

Other Expenses OtherExpenses (3 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral	FundraisingFundraising
MEDICAL SUPPLIES	62641920	62540490	101430
BAD DEBTS	26303670	26303670
RECRUITMENT	626009		625933	76

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	600287351	Total
Program Services	505610918	ProgramServices
Management And General	91456185	ManagementAndGeneral
Fundraising	3220248	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	57251	BOY
EOY	57301	EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	21466999	BOY
EOY	13581054	EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

Field	Value	IRS element (for citing)
BOY	401062	BOY
EOY	1124993	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	78515466	BOY
EOY	96673141	EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

Field	Value	IRS element (for citing)
BOY	8153935	BOY
EOY	6301893	EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

Field	Value	IRS element (for citing)
BOY	8566095	BOY
EOY	9232121	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	6364937	BOY
EOY	7118185	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	642147042	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	310918321	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	320171363	BOY
EOY	331228721	EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

Field	Value	IRS element (for citing)
BOY	108119972	BOY
EOY	175844638	EOY

Investments Other Securities InvestmentsOtherSecurities

Field	Value	IRS element (for citing)
BOY	1239849	BOY
EOY	6335406	EOY

Investments Program Related InvestmentsProgramRelated

Field	Value	IRS element (for citing)
BOY	9685395	BOY
EOY	50981408	EOY

Intangible Assets IntangibleAssets

Field	Value	IRS element (for citing)
BOY	6196899	BOY
EOY	5519669	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	64913507	BOY
EOY	38824271	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	633852730	BOY
EOY	742822801	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	93498829	BOY
EOY	93420228	EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

Field	Value	IRS element (for citing)
BOY	220417465	BOY
EOY	248377297	EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

Field	Value	IRS element (for citing)
BOY	42462208	BOY
EOY	84203835	EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

Field	Value	IRS element (for citing)
BOY	71900000	BOY
EOY	16000000	EOY

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
BOY	23991072	BOY
EOY	41115751	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	452269574	BOY
EOY	483117111	EOY

Field	Value	IRS element (for citing)
Follow SFAS117	X	FollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	177553329	BOY
EOY	257609555	EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	4029827	BOY
EOY	2096135	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	181583156	BOY
EOY	259705690	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	633852730	BOY
EOY	742822801	EOY

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	X	InfoInScheduleOPartXI
Reconcilation Revenue Expenses	31304059	ReconcilationRevenueExpenses
Reconcilation Other Changes	46818475	ReconcilationOtherChanges
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Accountant Compile Or Review	false	AccountantCompileOrReview
FS Audited	true	FSAudited
Audit Committee	true	AuditCommittee
Financial Statement Consolidated	X	FinancialStatementConsolidated
Federal Grant Audit Required	true	FederalGrantAuditRequired
Federal Grant Audit Performed	true	FederalGrantAuditPerformed

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital170b1 Aiii	X	Hospital170b1Aiii

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 C IRS990ScheduleC

Field	Value	IRS element (for citing)
Total Grassroots Lobbying		TotalGrassrootsLobbying
Total Direct Lobbying		TotalDirectLobbying
Total Lobbying Expenditures		TotalLobbyingExpenditures
Other Exempt Purpose Expenditures		OtherExemptPurposeExpenditures
Total Exempt Purpose Expenditures		TotalExemptPurposeExpenditures
Lobbying Nontaxable		LobbyingNontaxableAmount
Grassroots Nontaxable		GrassrootsNontaxableAmount
Tot Lobbying Grassroot Minus Non Tx		TotLobbyingGrassrootMinusNonTx
Tot Lobby Expend Mns Lobbying Nontx		TotLobbyExpendMnsLobbyingNontx
Volunteers	true	Volunteers
Paid Staff Or Management	true	PaidStaffOrManagement
Media Advertisements	false	MediaAdvertisements
Mailings Members	true	MailingsMembers
Mailings Members	$39,205	MailingsMembersAmount
Publications Or Broadcast	false	PublicationsOrBroadcast
Grants Other Organizations	false	GrantsOtherOrganizations
Direct Contact Legislators	true	DirectContactLegislators
Direct Contact Legislators	$307,488	DirectContactLegislatorsAmount
Rallies Demonstrations	false	RalliesDemonstrations
Other Activities	false	OtherActivities
Total Lobbying Expenditures IIB	346693	TotalLobbyingExpendituresIIB
Not Described In501c3	false	NotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

Field	Value	IRS element (for citing)
Identifier	Other Activities	Identifier
Return Reference	Schedule C, Part II-B, Line 1	ReturnReference
Explanation	During 2010, Adventist Healthcare, Inc. continued its lobbying activities from prior years. Adventist Healthcare was invoved in direct contact and lobbying activities at the local, state, and federal level. Activities included discussions with Montgomery County and Prince George's County officials about various county health care matters, particularly revolving around the local health care safety net and issues of access to care. Contact with legislators and lobbying on issues at the state level also took place, particularly around issues of public health and access to health care services. At the federal level, Adventist healthcare was engaged in monitoring legislative and executive actions related to federal health reform, healthcare reimbursement, and access to healthcare services.	Explanation

Schedule D IRS990ScheduleD

Field	Value	IRS element (for citing)
Art Public Exhibition Amts		ArtPublicExhibitionAmts
Held Works Of Art Amts		HeldWorksOfArtAmts

Land Land

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	9712065	OtherCostOrOtherBasis
Book Value	9712065	BookValue

Buildings Buildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	341307576	OtherCostOrOtherBasis
Depreciation	167423645	Depreciation
Book Value	173883931	BookValue

Leasehold Improvements LeaseholdImprovements

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	18654154	OtherCostOrOtherBasis
Depreciation	13606358	Depreciation
Book Value	5047796	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	168400360	OtherCostOrOtherBasis
Depreciation	116595486	Depreciation
Book Value	51804874	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	104072887	OtherCostOrOtherBasis
Depreciation	13292832	Depreciation
Book Value	90780055	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	331228721	TotalOfBookValueLandBuildings

Investments Program Related InvestmentsProgramRelated

Field	Value	IRS element (for citing)
Description	LAND INVESTMENTS	Description
Book Value	50981408	BookValue
Method Of Valuation	C	MethodOfValuation

Field	Value	IRS element (for citing)
Total Of Book Value Program Related	50981408	TotalOfBookValueProgramRelated

Other Assets OtherAssets (4 entries)

DescriptionDescription	Book ValueBookValue
CIP-NET (LWS LLC)	337
DEFERRED COMPENSATION FUND	1769688
DEPOSIT: SECURITY	242682
DUE FROM RELATED ORGANIZATION	36811564

Field	Value	IRS element (for citing)
Total Book Value Other Assets	38824271	TotalBookValueOtherAssets
Federal Income Tax Liability	0	FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (6 entries)

DescriptionDescription	AmountAmount
2005A OPTION LIABILITY	$3,802,552
COMPLIANCE LIABILITY RESERVE	$7,713,096
DEFERRED COMPENSATION	$1,769,688
INTEREST RATE SWAPS LIABILITY	$14,752,444
OTHER LONG TERM LIABILITIES	$2,856,347
PROFESSIONAL LIABILITY INS: SE	$10,221,624

Field	Value	IRS element (for citing)
Total Of Amounts	41115751	TotalOfAmounts

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

Field	Value	IRS element (for citing)
Identifier	Part X, Line 2	Identifier
Return Reference	FIN 48 Footnote	ReturnReference
Explanation	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 2010 or 2009. The Corporation's policy is to recognize interest related to unrecognized tax benefits in interest expense and penalties in operating expenses. The Corporation's federal Exempt Organization Business Income Tax Returns for 2007, 2008 and 2009 remain subject to examination by the Internal Revenue Service.	Explanation

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Charity Care Policy	true	CharityCarePolicy
Written Policy	true	WrittenPolicy
Policy Applied To All Hospitals	X	PolicyAppliedToAllHospitals
FPG Reference Free Care	true	FPGReferenceFreeCare
Pcent200	X	Pcent200
FPG Reference Discounted Care	true	FPGReferenceDiscountedCare
Pcent300	X	Pcent300
Free Disc Care Medically Indigent	true	FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care	true	AmountsBudgetedForCharityCare
Expenses Exceeded Budget	false	ExpensesExceededBudget
Annual Community Benefit Report	true	AnnualCommunityBenefitReport
Report Publically Available	true	ReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

Field	Value	IRS element (for citing)
Total Community Benefit Expense	14364904	TotalCommunityBenefitExpense
Net Community Benefit Expense	14364904	NetCommunityBenefitExpense
Percent Of Total Expense	0.02500	PercentOfTotalExpense

Total Charity Care TotalCharityCare

Field	Value	IRS element (for citing)
Total Community Benefit Expense	14364904	TotalCommunityBenefitExpense
Net Community Benefit Expense	14364904	NetCommunityBenefitExpense
Percent Of Total Expense	0.02500	PercentOfTotalExpense

Community Health Services CommunityHealthServices

Field	Value	IRS element (for citing)
Total Community Benefit Expense	15758767	TotalCommunityBenefitExpense
Direct Offsetting Revenue	3380614	DirectOffsettingRevenue
Net Community Benefit Expense	12378153	NetCommunityBenefitExpense
Percent Of Total Expense	0.02160	PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

Field	Value	IRS element (for citing)
Total Community Benefit Expense	2952023	TotalCommunityBenefitExpense
Direct Offsetting Revenue	67582	DirectOffsettingRevenue
Net Community Benefit Expense	2884441	NetCommunityBenefitExpense
Percent Of Total Expense	0.00500	PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

Field	Value	IRS element (for citing)
Total Community Benefit Expense	39166081	TotalCommunityBenefitExpense
Direct Offsetting Revenue	13052531	DirectOffsettingRevenue
Net Community Benefit Expense	26113550	NetCommunityBenefitExpense
Percent Of Total Expense	0.04550	PercentOfTotalExpense

Research Research

Field	Value	IRS element (for citing)
Total Community Benefit Expense	2064766	TotalCommunityBenefitExpense
Direct Offsetting Revenue	943958	DirectOffsettingRevenue
Net Community Benefit Expense	1120808	NetCommunityBenefitExpense
Percent Of Total Expense	0.00200	PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

Field	Value	IRS element (for citing)
Total Community Benefit Expense	2170872	TotalCommunityBenefitExpense
Net Community Benefit Expense	2170872	NetCommunityBenefitExpense
Percent Of Total Expense	0.00380	PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

Field	Value	IRS element (for citing)
Total Community Benefit Expense	62112509	TotalCommunityBenefitExpense
Direct Offsetting Revenue	17444685	DirectOffsettingRevenue
Net Community Benefit Expense	44667824	NetCommunityBenefitExpense
Percent Of Total Expense	0.07790	PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

Field	Value	IRS element (for citing)
Total Community Benefit Expense	76477413	TotalCommunityBenefitExpense
Direct Offsetting Revenue	17444685	DirectOffsettingRevenue
Net Community Benefit Expense	59032728	NetCommunityBenefitExpense
Percent Of Total Expense	0.10290	PercentOfTotalExpense

Physical Improvements And Housing PhysicalImprovementsAndHousing

Field	Value	IRS element (for citing)
Total Community Building Expense	50756	TotalCommunityBuildingExpense
Net Community Building Expense	50756	NetCommunityBuildingExpense
Percent Of Total Expense	0.00010	PercentOfTotalExpense

Economic Development EconomicDevelopment

Field	Value	IRS element (for citing)
Total Community Building Expense	48022	TotalCommunityBuildingExpense
Net Community Building Expense	48022	NetCommunityBuildingExpense
Percent Of Total Expense	0.00010	PercentOfTotalExpense

Community Support CommunitySupport

Field	Value	IRS element (for citing)
Total Community Building Expense	269525	TotalCommunityBuildingExpense
Net Community Building Expense	269525	NetCommunityBuildingExpense
Percent Of Total Expense	0.00050	PercentOfTotalExpense

Environmental Improvements EnvironmentalImprovements

Field	Value	IRS element (for citing)
Total Community Building Expense	2209	TotalCommunityBuildingExpense
Net Community Building Expense	2209	NetCommunityBuildingExpense

Leadership Development LeadershipDevelopment

Field	Value	IRS element (for citing)
Total Community Building Expense	3816	TotalCommunityBuildingExpense
Net Community Building Expense	3816	NetCommunityBuildingExpense

Coalition Building CoalitionBuilding

Field	Value	IRS element (for citing)
Total Community Building Expense	56935	TotalCommunityBuildingExpense
Net Community Building Expense	56935	NetCommunityBuildingExpense
Percent Of Total Expense	0.00010	PercentOfTotalExpense

Health Improvement Advocacy HealthImprovementAdvocacy

Field	Value	IRS element (for citing)
Total Community Building Expense	568291	TotalCommunityBuildingExpense
Net Community Building Expense	568291	NetCommunityBuildingExpense
Percent Of Total Expense	0.00100	PercentOfTotalExpense

Workforce Development WorkforceDevelopment

Field	Value	IRS element (for citing)
Total Community Building Expense	32508	TotalCommunityBuildingExpense
Net Community Building Expense	32508	NetCommunityBuildingExpense
Percent Of Total Expense	0.00010	PercentOfTotalExpense

Other Other

Field	Value	IRS element (for citing)
Total Community Building Expense	574328	TotalCommunityBuildingExpense
Net Community Building Expense	574328	NetCommunityBuildingExpense
Percent Of Total Expense	0.00100	PercentOfTotalExpense

Total Total

Field	Value	IRS element (for citing)
Total Community Building Expense	1606390	TotalCommunityBuildingExpense
Net Community Building Expense	1606390	NetCommunityBuildingExpense
Percent Of Total Expense	0.00290	PercentOfTotalExpense

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	true	BadDebtExpenseReported
Bad Debt Expense	$25,575,032	BadDebtExpenseAmount
Amount Attributable To	8671434	AmountAttributableTo
Amount Reimbursed By Medicare	199462787	AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare	161758496	CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall	37704291	MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

Field	Value	IRS element (for citing)
Cost To Charge Ratio	X	CostToChargeRatio

Field	Value	IRS element (for citing)
Written Debt Collection Policy	true	WrittenDebtCollectionPolicy
Provision For Charity Care	true	ProvisionForCharityCare

Form990 Schedule H Part IV Form990ScheduleHPartIV

Name Of Entity NameOfEntity

Field	Value	IRS element (for citing)
Business Name Line1	Germantown OP Imagi	BusinessNameLine1

Field	Value	IRS element (for citing)
Description Ent Primary Activity	Outpatient Imaging	DescriptionEntPrimaryActivity
Organization Profit Or Ownership	0.50000	OrganizationProfitOrOwnership
Physicans Profit Or Ownership	0.50000	PhysicansProfitOrOwnership

Field	Value	IRS element (for citing)
Number Of Hospital Facilities	5	NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA (5 entries)

Facility NumberFacilityNumber	Address Line1Address/AddressLine1	CityAddress/City	StateAddress/State	ZIP CodeAddress/ZIPCode	Licensed HospitalLicensedHospital	General Medical And SurgicalGeneralMedicalAndSurgical	Er24 HoursEr24Hours	OtherOther
Shady Grove Adventist Hospital
1	9901 Medical Center Dr	Rockville	MD	20850	X	X	X
Washington Adventist Hospital
2	7600 Carroll Avenue	Takoma Park	MD	20912	X	X	X
Hackettstown Regional Hospital
3	651 Willow Grove Street	Hacketsstown	NJ	07840	X	X	X	Separate legal entity managed by AHC
Adventist Rehab Hospital of MD
4	9909 Medical Center Dr	Rockville	MD	20850	X			Separate legal entity managed by AHC
Adventist Behavioral Health
5	14901 Broschart Road	Rockville	MD	20850	X			Behavioral treatment center

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB (5 entries)

Hospital Facility NumberHospitalFacilityNumber
Shady Grove Adventist Hospital
1
Washington Adventist Hospital
2
Hackettstown Regional Hospital
3
Adventist Rehab Hospital of MD
4
Adventist Behavioral Health
5

Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC

Field	Value	IRS element (for citing)
Number Of Other Facilities	12	NumberOfOtherFacilities

Other Facilities OtherFacilities (12 entries)

Address Line1Address/AddressLine1	CityAddress/City	StateAddress/State	ZIP CodeAddress/ZIPCode	Facility TypeFacilityType
Shady Grove Nursing Home & Rehab
9701 Medical Center Drive	Rockville	MD	20850	Skilled nursing home
Bradford Oaks Nursing and Rehab
7520 Surratts Road	Clinton	MD	20735	Skilled nursing home
Glade Valley Nursing and Rehab
56 West Patrick Street	Walkersville	MD	21793	Skilled nursing home
Adventist Behavioral Health at E Shore
821 Fieldcrest Road	Cambridge	MD	21613	specialty hospital with beds
Fairland Nursing & Rehab Center
2101 Fairland Road	Silver Spring	MD	20904	Skilled nursing home
Sligo Creek Nursing & Rehabilitation
7525 Carroll Avene	Takoma Park	MD	20912	Skilled nursing home
Adventist Behavioral Health-A Arundel
14 Romig Drive	Crownsville	MD	21032	Behavioral Treatment Facility
Springbrook Adventist Nursing Rehab
1235 New Hampshire Ave	Silver Spring	MD	20904	Skilled nursing home
Reginald S Lourie Center for Infants
12301 Academy Way	Rockville	MD	20852	Infant & young children dev.
Shady Grove Adventist Radiation Oncology
40 West Gude Dr	Rockville	MD	20850	Outpatient cancer treatment
ADVENTIST HOME HEALTH
12041 Bornegield Way Suite B	Silver Spring	MD	20904	Home Healthcare Services
Shady Grove Adventist Emergency Center
19731 Germantown Road	Germantown	MD	20874	Outpatient Cancer Treatmnt Ctr

Form990 Schedule H Part VI Form990ScheduleHPartVI (13 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
Criteria for Free or Discounted Care	Schedule H, Part I, Line 3c	In consideration for financial assistance to our patients, AHC also considers circumstances beyond income. Our circumstances could include the needs of the patient and/or family and other financial resources. It is our mission to provide necessary medical care to those who are unable to pay for that care. In general, AHC has 5 levels of financial assistance. They are as follows: - annual income <= 2.0X of FPL, 0% patient paid - annual income > 2.0X and <= 2.25X of FPL, 50% patient paid - annual income > 2.25X and <= 2.5X of FPL, 60% patient paid - annual income > 2.5X and <= 2.75X of FPL, 70% patient paid - annual income >2.75X and <= 3.0X of FPL, 80% patient paid
Bad Debt Excluded	Schedule H, Part I, Line 7, column f	The amount of bad debt removed from total expenses in order to compute the percentages in column f was $26,303,670.
Subsidized Health Services	Schedule H, Part I, Line 7g	Subsidized health services included payments for non-employed but hospital-based physicians, non-resident hospital staff, hospitalists, emergency on-call, off-campus emergency center, and women's and children's services subsidies.
Costing Methodology	Schedule H, Part I, Line 7	Maryland's unique all payer system includes a method for referencing uncompensated care in each payor's rates, which does not enable Maryland hospitals to breakout any offsetting revenue related to uncompensated care. For the reporting of community benefit, AHC used Medicare's Cost Report methodology of cost to charge ratio. The cost to charge ratio was used to reduce the yearly charity care provision from charge to cost. AHC also applied the cost to charge ratio to bad debt expenses and administrative deduction to cost. In addition, AHC also considered government assessments through the State's health service cost regulatory agency and other related state government agencies. AHC computed the community benefits by its hospital facilities and aggregated the total.
Bad Debt Expense	Schedule H, Part III, Line 4	Patient accounts are written off when they are determined to be uncollectible based upon management's assessment of individual accounts. The allowance for uncollectible accounts is estimated based upon a periodic review of the accounts receivable aging, payor classifications and application of historical write-off percentages. As prescribed by HFMA Statement 15, there are instances in which our collection efforts provide information that helps us determine if an account actually qualifies for charity care. When this occurs, we record this change in our billing and collection system using a unique service code. We prepared an analysis that provided us with a ratio of bad debt accounts that were subsequently reclassified as charity care. We then multiplied that ratio times our bad debt provisions to determine the amount of bad debt that we believe will ultimately meet our criteria for charity care.
Medicare Cost Report	Schedule H, Part III, Line 8	It is important to recognize that Maryland is exempt from Medicare reimbursement methodology and all payors (including Medicare and Medicaid) pay the hospitals' charges, which in turn is regulated by the State of Maryland's Commission on a case mix adjusted charge per case basis. Specifically, Medicare and Medicaid enjoy a discount of 4 to 4.25% of charges without an advance funding deposit with providers. There should be no shortfall, and therefore no count toward community benefit. AHC used Medicare's cost report step down and indirect cost allocation to compute cost to charge ratio to assess the level of community benefits in providing bad debt, charity and administrative deductions. Since Maryland's cost regulation commission and related agencies also assess hospital providers to subsidize Medicaid and disproportionate share hospital providers, these assessments are also counted toward community benefits.
Collection Practices	Schedule H, Part III, Line 9b	AHC provides quality medical services regardless of a patient's ability to pay, race, creed, sex, age, national origin or financial status. Our financial assistance policy encourages the patient and their representative to cooperate with and avail themselves of all available programs (including Medicaid, workers compensation, and state and local programs) which might provide coverage. Our registration, financial counselor, customer service, and collection staff would be thoroughly familiar with the criteria and process of financial assistance. Financial assistance process and collection protocol are well defined with managers available to guide and handle exception situations. Outsourced agencies and collections firms are expected to adhere to AHC's policy without exceptions. Bad debt, charity and administrative write-offs are clearly defined with pre-determined authorization levels depending on the magnitude granted. AHC also revises its financial assistance policy as federal government and/or state government revise their poverty guidelines. Overall, AHC expects its staff to treat its patients with dignity and respect, as if they would like to be treated.
Community Health Care Needs Assessment	Schedule H, Part VI, Line 2	Adventist HealthCare ("AHC") collaborates with all five county hospitals an area insurer, a local not-for-profit organization, the County's DHHS, and the Office of a Council member to address the health care needs of the community. AHC's executives are active participants of the Healthy Montgomery Steering Committee. The improvement process includes data collection, identification of areas for improvement, priority-setting, collaborative efforts and monitoring the success of the improvement. We are developing a data depository through intradepartmental collaboration in the DHHS. Population-based data, health services utilization, social and environmental determinants of health including socio-economic status, social isolation, housing and air quality are stored in the Healthy Montgomery website that enable estimates for standardized metrics to be derived for small sub-groups within the county, including combination of gender, age, race, and ethnicity-specific category results. We are also making connections with nearby counties to share our information and make it available for assessment purposes.
Eligibility Education	Schedule H, Part VI, Line 3	AHC educates our patients and community residents about charity care and financial assistance in many ways. They include, but are not limited to the following: (1) AHC has Financial Assistance signage in all its facilities, on all patient statements and on our hospitals' website; (2) Patients that are registered as self pay or with no insurance, are informed about the hospital's charity care policy and given a charity application; (3) when going through the Medicaid eligibility screening, self pay patients are given a charity application during that process just in case the patient does not qualify for Medicaid; (4) when patients with a balance contact the collection department and express financial hardship, customer service reps and self pay collectors will mail a charity application to the patient; and (5) residents that participate in our community programs, such as breast cancer, maternity, etc., are informed of AHC's charity program prior to receiving services.
Description of Community Served	Schedule H, Part VI, Line 4	AHC service areas are situated in the Washington/Baltimore metropolitan area. Specifically, Washington Adventist Hospital (WAH) draws patients from areas such as Silver Spring, Takoma Park, Gaithersburg, Potomac, Rockville, District of Columbia and their surrounding areas. Shady Grove Adventist Hospital (SGAH) draws its patients from Rockville, Gaithersburg, Silver Spring, Germantown, Frederick, and North and East of the District of Columbia. These communities are rich and diverse with growing proportions of ethnic residents, many of whom are foreign-born. In fact, nearly 30% of Montgomery County residents were born outside of the United States. The County has a strong and growing representation of Asian Americans, Continental Africans, Latin Americans, and African Americans. The diversity within these groups is tremendous.
Promoting the Health of the Community	Schedule H, Part VI, Line 5	As the first, largest and only not-for-profit health system headquartered in Montgomery County, Maryland, Adventist HealthCare has more than a century-long tradition of serving the community. We have deep roots working for and within the community, which gives us special insight to identify and meet community health needs with important services and resources. This collaboration helps us to improve the health status and quality of life for our residents, especially for underserved groups such as the uninsured and minorities. Each year, Adventist HealthCare enhances our contributions and collaborative partnerships to address community needs and priorities. Here are some snapshots of Adventist HealthCare's work in the community in 2010, which resulted in more than 208,000 encounters. 3,683 encounters in Health & Wellness Community Outreach were provided through 47 health fairs held throughout Montgomery and Prince George's counties, including the Holiday Food and Fitness Expo in Prince George's County and the Montgomery County Agricultural Fair in Gaithersburg. 2,019 encounters in Community Health Education were provided through 83 screening and lecture events at locations including Bowie Senior Center, Takoma Park Senior Center, Long Branch Community Center, Rockville Senior Center, Damascus Senior Center and Gaithersburg Senior Center. 1,408 free or low-cost influenza vaccines were given at 46 flu clinics held at local community and senior centers through Adventist HealthCare's Help Stop the Flu campaign. Through our community health services, additional free outreach programs, lectures and screenings were held to help people in the community learn their risks for cardiovascular disease, heart disease and overall health. For these events, we partnered with groups including the African American Health Program of Montgomery County, Montgomery County Community and Senior Centers, Coronary Health Improvement Program, Plus 15 Lifestyle Change Program and the Central County Coalition of Prince George's County. In 2010, more than 11,000 members of our community took part in almost 500 maternal/child health education programs at Shady Grove Adventist and Washington Adventist Hospitals including drop-in, weekly support groups for breastfeeding and parenting advice and classes to prepare family members for when a new baby arrives. Shady Grove Adventist Hospital's Germantown Prenatal Center provides obstetrical care to uninsured women through the Montgomery County Maternity Partnership Program, including pre-and post-natal care, general gynecological care as well as family planning services to patients. Washington Adventist Hospital continues to provide cancer screenings and services to uninsured/underinsured individuals reached through our Breast Cancer Screening Program, annual Cancer Screening Days and work with the Montgomery County Cancer Crusade. Shady Grove Adventist Hospital also holds annual Cancer Screening Days and partners with the Montgomery County Women's Cancer Control Program and Maryland's Breast and Cervical Diagnosis Treatment Program to offer screenings, patient education and access to treatment for low-income women ages 40 and older. In addition to the services and programs for offer to promote community health, we have also partnered with many community groups to ensure the education of future health care professionals who may then fill a growing need in our region. Adventist HealthCare has partnered with many of Montgomery County's quality education institutions - the Universities at Shady Grove, Washington Adventist University and Montgomery College- to provide scholarships for those students interested in a rewarding health-care career. We provide the largest clinical partnership for Montgomery College's nurse training program and also provide clinical training for nursing students at Carroll Community College, Frederick Community College, Georgetown University, Howard Community College, Prince George's Community College, the University of Maryland and Washington Adventist University. We support additional nursing programs, as with our $1.5 million commitment to the Maryland Hospital Association's "Who Will Care?" campaign for nursing education, which supports the care of local residents. Our Shady Grove Life Sciences Center events and programs give local students the opportunity to experience careers in health care and science as a future profession. The Adventist HealthCare Clinical Pastoral Education (CPE) Center offers an interfaith professional education for theological students and ministers into supervised encounters with persons in crisis. Since 2005, 66 students have graduated from the program. CPE graduates are clinically trained chaplains who work in diverse health care settings including general and acute care, children's hospitals, psychiatric, military, geriatric centers, hospices, parishes, mental health facilities and correctional institutions. Adventist HealthCare continues to innovate and expand the range of our services to build on the strong foundation we have laid for a healthy, engaged community. The important partnerships and relationships we have developed with Mercy Clinic, Mary's Center and MobileMed help us to augment health care in lower Montgomery and Prince George's counties as well as upper Montgomery and lower Frederick counties. These are areas where numerous residents may be underserved, either by being uninsured, or in an area where health services may be located far away. The Mercy Health Clinic in Gaithersburg has benefited from our services including laboratory support, blood tests and other diagnostic services. In the Long Branch section of Silver Spring, our partnership with Mary's Center provides a full range of services from prenatal care to pediatric/adolescent health services to women's services to social-services programs. Our work with Mobile Med in its Germantown location and its mobile medical van enables regular medical care, such as routine physicals, for uninsured and low-income residents. We also provide specialized services and care that are unique and vital to the community. In January 2010, Shady Grove Adventist Hospital's Forensic Medical Unit, formerly the Sexual Abuse and Assault Center, marked its move to new and expanded space. The unit, which is the only one in Montgomery County, provides forensic evidence collection and specialized medical care to women, men and children who are victims of sexual assault and abuse. Shady Grove Adventist Hospital's Forensic Medical Unit treats about 200 patients each year. Adventist HealthCare supports the community with more than just health care services. We also contribute our expertise and resources to programs that address community issues such as workforce development, housing, disaster readiness and health advocacy. The following list is of community groups with which we are coalition members or leaders, or ones that our employees support with their time. Adventist Chaplaincy Ministries-North ,American Division, Adventist Development Relief Agency (ADRA), Adventist Health System, Adventist World Radio Board of Directors, Atlantic Union College, BlackRock Center for the Arts, Corridor Cities Transitway Coalition, Crime Solvers of Montgomery County, Gaithersburg-Germantown Chamber of Commerce, Governor's P-20 Leadership Council of Maryland, Governor's Workforce Investment Board, Greater Silver Spring Chamber of Commerce, Healthcare Financial Management Association, IMPACT Silver Spring Council of Advisors, Leadership Montgomery, Manna Food Center, Maryland Hospital Association, Maryland Patient Safety Center, Maryland Workforce Corporation Board, Mental Health Association of Montgomery County, Metropolitan Washington Council of Governments, Task Workforce, Montgomery Business Development Corporation, Montgomery County Biosciences Task Force, Montgomery County Chamber of Commerce, Montgomery County Chamber of Commerce Foundation Board, Montgomery County Commission on Health, Montgomery County Economic Advisory Council, Montgomery County Emergency Preparedness Collaboration (MOCEP), Montgomery County Housing Partnership, Montgomery Hospice, National Governors Association, Rebuilding Together Montgomery County, Region V Health and Medical Task Force of Emergency Preparedness, Shady Grove Life Science Bio Tech Association, Sligo Seventh-day Adventist Church, Strathmore Hall Foundation Board, Inc., The Universities at Shady Grove, Washington Adventist University.
Affiliated Health Care System Roles	Schedule H, Part VI, Line 6	AHC is an integrated health delivery system with acute hospitals, rehab and behavioral health hospitals, nursing homes, home health agencies, group home, physician practices, and for profit health related entities. AHC expects our operating division to be efficient in health services delivery and involved in the local community while the overall planning and involvement in the community are coordinated through the corporate office. The purpose is not to create redundancy and ineffective uses of resources.
Community Benefit Report State Filings	Schedule H, Part VI, Line 7	Maryland

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Records Maintained	true	RecordsMaintained

Recipient Table RecipientTable (21 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EIN Of RecipientEINOfRecipient	IRC SectionIRCSection	Amount Of Cash GrantAmountOfCashGrant	Purpose Of GrantPurposeOfGrant
ADRA INTERNATIONAL
12501 OLD COLUMBIA PIKE SILVER SPR	SILVER SPRING	MD	20904	521314847	501 (C)(3)	12500	HAITI RELIEF FUND
AMERICAN RED CROSS
PO BOX 37243	WASHINGTON	DC	20013	530196605	501 (C)(3)	12500	HAITI RELIEF FUND
CASA OF MARLAND INC
310 TULIP AVE	TAKOMA PARK	MD	20917	521322972	501 (C)(3)	500000	COMMUNITY SERVICES
CITY OF TAKOMA PARK
7500 MAPLE AVE	TAKOMA PARK	MD	20912	526000808	501 (C)(3)	150000	TAKOMA PARK COMM CTR AUDITORIUM
COLUMBIA UNION CONF
5427 TWIN KNOLLS RD	COLUMBIA	MD	21045	520664576	501 (C)(6)	87500	2000 YRS OF CHRISTIANITY IN AFRICA
GREATER SILVER SPRING
8601 GEORGIA AVE 203 SILVER SPRIN	SILVER SPRING	MD	20910	521813227	501 (C)(3)	18250	PROMOTE HEALTH SERVICES
HRMCF
651 WILLOW GROVE ST	HACKETTSTOWN	NJ	07840	222333410	501 (C)(3)	10000	GOLF TOURNAMENT/COTILLION
IMPACT SILVER SPRING
825 WAYNE AVE	SILVER SPRING	MD	20910	522164844	501 (C)(3)	15000	LEADERSHIP DEVELOPMENT
LEADERSHIP MONTGOMERY
5705 ARUNDEL AVE STE 200 ROCKVILLE	ROCKVILLE	MD	20852	521627257	501 (C)(3)	17500	CLASS PROGRAM SPONSOR
MARYLAND HEALTHCARE ED
6820 DEERPATH RD	ELKRIDGE	MD	21075	529001664	501 (C)(3)	300000	EDU SUPPORT THRU MHA
MARY'S CENTER
2333 ONTARIO RD NW	WASHINGTON	MD	20009	521594116	501 (C)(3)	255000	HEALTHCARE FOR UNI NS
MOBILE MEDICAL CARE
9309 OLD GEORGETOWN RD	BETHESDA	MD	20814	237022588	501 (C)(3)	425000	FREE/LOW COST HEALTHCARE
MONTGOMERY CO CHAMBER
451 HUNGERFORD DR 515	ROCKVILLE	MD	20850	520735621	501 (C)(3)	31000	LEADERSHIP PUBLIC SAGETY AWARD
MONTGOMERY COUNTY BUSINESS ROUNDABLE FOR EDUCATION
451 HUNGERFORD DR	ROCKVILLE	MD	20850	412047342	501(C)(3)	12000	2010 CONTRIBUTION
MONTGOMERY HOSPICE
1355 PICCARD DR	ROCKVILLE	MD	20850	521114719	501(C)(3)	7500	2010 CONTRIBUTION
PSI-PHILANTHROPIC SERV
12501 OLD COLUMBIA PIKE	SILVER SPRING	MD	20904	520643036		7736	PROGRAM SERVICES
SALISBURY UNIVERSITY FDTN
PO BOX 2655	SALISBURY	MD	21802	521127396	501(C)(3)	20000	EDUCATION SUPPORT
SGAHF
1801 RESEARCH BLVD SUITE 400	ROCKVILLE	MD	20850	521216429	501(C)(3)	10000	HEALTHY COMMUNITY FUND
STATE LEGISLATIVE LEADERS FOUNDATION INC
1645 FALMOUTH RD BLDG D	CENTERVILLE	MA	02632	237148478	501(C)(3)	12500	NAT SPEAKERS CONFERENCE
STRATHMORE HALL FDTN
5301 TUCKERMAN LANE	N BETHESDA	MD	20852	521233092	501(C)(3)	10000	PROMOTE PERFORMING ARTS
WAH Foundation
1801 RESEARCH BLVD STE 400	ROCKVILLE	MD	20850	521692158	501(C)(3)	10000	HEALTHY COMMUNITY FUND

Field	Value	IRS element (for citing)
Total Nbr Of501 C3 And Govt Grants	20	TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations	1	TotalNbrOfOtherOrganizations

Form990 Schedule I Part IV Form990ScheduleIPartIV

Field	Value	IRS element (for citing)
Identifier	Procedure for Monitoring Use of Grant Funds Inside U.S.	Identifier
Return Reference	Schedule I, Part I, Line 2	ReturnReference
Explanation	The Adventist HealthCare Community Partnership Fund seeks to support and partner with community-based organizations to improve both overall community health and the health care system. The Community Partnership Fund will channel its investments into areas of focus that will improve community health. These investments include, but are not limited to: working to increase access for the underserved, disseminating care improvements, addressing social determinants of health, and influencing public policy. Areas of Focus: Projects that will improve culturally competent care and linguistic services, health disparities research projects, and educational conferences that will address the needs of vulnerable populations Programs that promote health and wellness in the areas of cancer and cardiovascular services Projects that will result in the expansion of health services particularly in serving the underserved and uninsured in the area Initiatives that foster collaborations, promote healthcare careers, and policy advocacy ASSESSMENT CRITERIA (ranked in order of importance) 1. Facilitates accomplishment of AHC Goals (20%) Strategic fit between project and AHC position as a health advocate Demonstrates changing perception of AHC brand Demonstrates AHC leadership in Care and Clinical Services Demonstrates AHC leadership in Health and Medical Management Demonstrates AHC leadership in Education and Research Brand reputation of partner Stability of partner Leverages existing relationship and makes it stronger Opens new doors for relationship (vs. one-time opportunity with limited future) 2. Community Health Impact (if community benefit in nature) (15%) Takes place in AHC's areas or region of service Identifies population-served Addresses racial and ethnic health disparities 3. Cost & Resource Issues (15%) Cost relative to budget Multiple AHC Entities or departments' support required Clinical personnel required Value for investment (e.g. cost vs. impact) Ease of execution 4. Fit with Customer Targets (if commercial in nature) (15%) Demographic fit with customer segmentation Hospitality benefits VIP entertainment benefits 5. Ownership/Visibility (10%) Title sponsor, Organization-named activity Opportunity to build equity over time (long-term or short-term commitment?) Industry category exclusivity, ability to pre-empt competitors Avoid clutter of multiple layers of sponsors Ability to influence content 6. Media and Publicity (Exposure) (10%) Quality and quantity of opportunity for media placements Media co-sponsor tie-in Newsworthiness of activity Latitude to communicate AHC messages or logo-recognition? 7. Employee Impact (10%) Potential to have positive impact on employee morale Ability to reach employees in key communities Fit between project and employees' work/family balance issues 8. General Community Impact (5%) Building of goodwill Demonstration of leadership	Explanation

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Club Dues Or Fees	X	ClubDuesOrFees
Written Policy Re T And E Expenses	false	WrittenPolicyReTAndEExpenses
Substantiation Required	true	SubstantiationRequired
Compensation Committee	X	CompensationCommittee
Independent Consultant	X	IndependentConsultant
Compensation Survey	X	CompensationSurvey
Board Or Committee Approval	X	BoardOrCommitteeApproval
Severance Payment	false	SeverancePayment
Supplemental Nonqual Retire Plan	true	SupplementalNonqualRetirePlan
Equity Based Comp Arrangement	false	EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org	false	CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs	false	CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org	false	CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs	false	CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments	false	AnyNonFixedPayments
Initial Contract Exception	false	InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (17 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
William G Robertson
718510	0	191618	0	212606	0	15900	0	30021	0	1168655	0	0	0
Edmund F Hodge
403245	0	110100	0	180425	0	13150	0	22380	0	729300	0	0	0
James G Lee
380873	0	109417	0	84139	0	13150	0	14424	0	602003	0	0	0
Gaurov Dayal
343826	0	93240	0	103758	0	13150	0	17983	0	571957	0	0	0
Susan L Glover
251902	0	61756	0	45677	0	12636	0	25835	0	397806	0	0	0
Dennis Hansen
408863	0	120502	0	92782	0	12615	0	29039	0	663801	0	0	0
Jere Stocks
411146	0	18184	0	100965	0	4900	0	23770	0	558965	0	0	0
Hisako Thompson
232984	0	15589	0	44880	0	4809	0	15780	0	314042	0	0	0
George Child
233870	0	183644	0	45010	0	11748	0	14051	0	488323	0	0	0
Gene Milton
309445	0	92525	0	47257	0	14333	0	47341	23597	510901	23597	0	0
Doris Reinhart
212818	0	3397	0	29523	0	10821	0	44588	0	301147	0	0	0
Keith Ballenger
153061	0	33848	0	30918	0	8025	0	14262	0	240114	0	0	0
Joyce Portela
303180	0	30001	0	364174	0	11136	0	17359	0	725850	0	0	0
Kenneth Destefano
275559	0	75049	0	80474	0	11860	0	19618	0	462560	0	0	0
Elyse Kaplan
253292	0	66772	0	43244	0	12499	0	17414	0	393221	0	0	0
Paula Widerlite
249429	0	53495	0	57730	0	12606	0	20217	0	393477	0	0	0
Kathleen Dyer
244517	0	67328	0	40954	0	12031	0	24506	0	389336	0	0	0

Form990 Schedule J Part III Form990ScheduleJPartIII (5 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
CLUB DUES AND POLICY	Schedule J, Part I, Line 1a and 1b	Adventist Healthcare owns two country club memberships with a local country club in Rockville, Maryland. One is used exclusively for business group meetings by the company. No executive is allowed to use it for personal enjoyment. Another account is used exclusively by Mr. Kenneth B. Destefano, Vice President and General Counsel. Each monthly club usage statement is reviewed and approved by Kenneth B. Destefano prior to disbursement by the company. All expenditures are reported as taxable income to Mr. Destefano and subject to W-2 reporting without gross-up payments. Adventist healthcare has no intention to extend this benefit to other executives, and therefore no written policy is established for this usage exception.
SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN	Schedule J, Part I, Line 4b	CUMULATIVE LUMP-SUM TAXABLE PAYMENTS MADE AS A RESULT OF TAX LAW CHANGES THAT AFFECTED THE ADMINISTRATION OF ADVENTIST HEALTHCARE'S CAPITAL ACCUMULATION ACCOUNT ("CAA") PLAN ESTABLISHED PURSUANT TO SECTION 457(F) OF THE INTERNAL REVENUE CODE WERE AS FOLLOWS: WILLIAM G. ROBERTSON - $179,185; EDMUND F. HODGE - $89,670; JAMES G. LEE - $79,115; GAUROV DAYAL - $72,031; SUSAN L. GLOVER - $42,171; DENNIS D. HANSEN - $87,738; JERE D. STOCKS - $90,054; GENE C MILTON - $35,106; HISAKO MAKI THOMPSON - $41,842; DORIS REINHART - $25,530; GEORGE CHILD - $35,651; KEITH BALLENGER - $22,327; PAULA WIDERLITE - $42,361; KEN DESTEFANO - $50,420; ELEYSE KAPLAN - $38,733; KATHLEEN DYER - $36,625; JOYCE PORTELLA - $60,336
ADDITIONAL COMPENSATION INFORMATION	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.
PAY PRACTICE		Adventist Healthcare utilizes a single employer ID for all of its affiliated Maryland 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's IRS form 990 as if paid directly by such affiliate. All controlled affiliates follows this pay practice for its executive employees, including those reported on schedule J, except for Gene Milton, President for Hackettstown Community Hospital, Doris Reinhart, Vice President and Administrator for Adventist Rehabilitation Hospital Of Maryland, Inc., George Child, President for Adventist Senior Living Services, Inc., and Keith Ballenger, Vice President for Adventist Home Health Services, Inc. These executives' compensation and benefits are paid by Adventist Healthcare and not charged back to the respective controlled affiliates, except Gene Milton's medical and dental insurance coverage, which are entirely paid for by the Hackettstown Community Hospital.
COMPENSATION REPORTED - ADDITIONAL INFORMATION:		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 payee's performance of agreed upon services (such as salary or fees). Bonus and incentive compensation - include 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's 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 executive life insurance benefits, country club usage (one executive only), and relocation allowance, as applicable. Retirement and other deferred compensation - includes 401(a) base employer and matching contributions to retirement and portion of the CAA that has not been paid to the individual executives. **Non-taxable benefits - includes the employer portion of certain benefits such as health insurance, dental insurance, vision insurance, life insurance, and pre-tax flexible.spending accounts such as dependent care and medical spending as established by employees in accordance to federal guidelines.

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (4 entries)

Issuer EINIssuerEIN	CUSIP NumberCUSIPNumber	Date IssuedDateIssued	Issue PriceIssuePrice	Description Of PurposeDescriptionOfPurpose	DefeasedDefeased	On Behalf Of IssuerOnBehalfOfIssuer	Pool FinancingPoolFinancing
MHHEFA
520936091	574217JG1	2003-02-27	22631301	Refunding of Series 1991A-Subs	false	false	false
MHHEFA
520936091	574217JH9	2003-02-27	39560000	Renovations at Maryland Hospital	false	false	false
MHHEFA
520936091	574217TES	2004-09-14	9142004	Acquire SGAH Lan, Renovation	false	false	false
MHHEFA
520936091	574217VS1	2005-12-20	78000000	SAGH Tower Project, Other Construc	false	false	false

Form990 Schedule K Part II Form990ScheduleKPartII (4 entries)

Amount RetiredAmountRetired	Total ProceedsTotalProceeds	Amount In Reserve FundAmountInReserveFund	Refunding EscrowRefundingEscrow	Issuance Costs From ProceedsIssuanceCostsFromProceeds	Year Of Subst CompletionYearOfSubstCompletion	Current RefundingCurrentRefunding	Advance RefundingAdvanceRefunding	Final Allocation MadeFinalAllocationMade	Adequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind	Credit EnhancementCreditEnhancement	Capital ExpendituresCapitalExpenditures	Amount Bond DefeasedAmountBondDefeased	Capitalized InterestCapitalizedInterest
3145000	22631301	2347900	19922639	519600	1982	true	false	true	true
7205000	39583516	2050806	4935000	785470	2003	true	false	true	true	386179	31426061
25275000	50039636		8756308	575047	2005	true	false	true	true	444045	41022763
2	79853550			691085	2007	true	false	true	true	490630	74134254	2	4538581

Form990 Schedule K Part III Form990ScheduleKPartIII (4 entries)

Owning Bond Financed PropertyOwningBondFinancedProperty	Any Lease ArrangementsAnyLeaseArrangements	Mngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprty	Any Research AgreementsAnyResearchAgreements	Bond Counsel Routinely EngagedBondCounselRoutinelyEngaged	Prcntge Prvt Business Use By OthersPrcntgePrvtBusinessUseByOthers	Total Private Business UseTotalPrivateBusinessUse	Post Issuance Compliance ProcdrsPostIssuanceComplianceProcdrs
false	true	true	true	true	0.00000	0.00000	true
false	true	true	true	true	0.00000	0.00000	true
false	true	true	true	true	0.01610	0.01610	true
false	true	true	true	true	0.01770	0.01770	true

Form990 Schedule K Part IV Form990ScheduleKPartIV (4 entries)

Form8038 T FiledForm8038TFiled	Variable Rate IssueVariableRateIssue	Hedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecds	Gross Proceeds Invested In GICGrossProceedsInvestedInGIC	Gross Proceeds InvestedGrossProceedsInvested	Exception To RebateExceptionToRebate	Term Of HedgeTermOfHedge	Superintegrated HedgeSuperintegratedHedge	Hedge TerminatedHedgeTerminated
(no name)
false	false	false	false	false	false
(no name)
false	true	false	false	false	false
(no name)
false	true	false	false	false	false
Deutsche Bank
false	true	true	false	false	false	30.	false	false

Form990 Schedule K Part V Form990ScheduleKPartV (2 entries)

IdentifierIdentifier	ExplanationExplanation
NOTE FOF BOND ISSUE 2/27/2003 (A)	MHHEFA IS THE MARYLAND HEALTH AND HIGHER EDUCATIONAL FACILITIES AUTHORITY. PART III, COLUMN A: THIS ISSUE EXCLUSIVELY REFUNDED A PRE-2002 ISSUES.
NOTE FOR BOND ISSUE 12/20/2005 (A&B)	MHHEFA IS THE MARYLAND HEALTH AND HIGHER EDUCATIONAL FACILITIES AUTHORITY. PART III, COLUMNS A & B: THESE ISSUES EXCLUSIVELY REFUNDED A PRE-2002 ISSUES.

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV (3 entries)

RelationshipRelationship	Amount Of TransactionAmountOfTransaction	Description Of TransactionDescriptionOfTransaction	Sharing Of RevenuesSharingOfRevenues
Jeffrey J Paragament ESQ
Board Member	186660	Attorney fees	false
Norton A Elson MD
Board Member	94385	Professional fees	false
Elaine L Arthur
Board Member	2401050	See part V	false

Form990 Schedule L Part V Form990ScheduleLPartV

Field	Value	IRS element (for citing)
Identifier	Part IV, Line 3	Identifier
Explanation	Elaine L. Arthur is a Key Employee of Sodexho. The organization conducted business, as noted above, with Sodexho-Dietary Management.	Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (10 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
Members or Stockholders	Form 990, Part VI, Line 6	See By Laws, Article II: The elected members of the board of Mid-Atlantic Adventist HealthCare Inc make up the member of this organization.
Members or Stockholders Who May Elect	Form 990, Part VI, Line 7a	See By Laws, Articles II and III (various parts): Trustees of this Organization are elected by the Member.
Decisions Subject to Approval	Form 990, Part VI, Line 7b	See By Laws, Article II- Reserved Authority. Notwithstanding any provision of the Certificate of Incorporation or these Bylaws to the contrary, the following actions are reserved to the Membership: 1. The purchase, sale or disposition of real property of the Hospital Corporation; 2. The adoption, altering, amending or replacing of the Certificate of Incorporation or the Bylaws of the Hospital Corporation; 3. The liquidation, dissolution, winding up or abandonment of the Hospital Corporation; and 4. The retention and exercise or delegation of voting rights associated with the ownership of any shares of stock or interest owned or held by the Hospital Corporation or any entity subsidiary to or controlled by the Hospital Corporation ("Subsidiary Organization") in connection with the following actions: (a)the amendment of the organizational documents of a Subsidiary Organization; (b)the consolidation of a Subsidiary Organization with one or more entities to form a new consolidated corporation; (c)the merger of a Subsidiary Organization into another entity or the merger of one or more other entities into a Subsidiary Organization; (d)the sale, lease, exchange or other transfer of all, or substantially all, of the property and assets of a Subsidiary Organization, including its goodwill and franchises; (e)the participation by a Subsidiary Organization in a share exchange as the entity the stock/interest of which is to be acquired; (f) the voluntary or involuntary liquidation, dissolution or winding-up of a Subsidiary Organization. 5. Appointment of members of the Board of the Hospital Corporation from nominees submitted by the Board of the Hospital Corporation; 6. Removal of members of the Board of the Hospital Corporation. 7. Authorize and approve the issuance of debt and the use of proceeds of such debt for and on behalf of the Hospital Corporation; 8. Develop capital investment, capital allocation and borrowing policies for the Hospital Corporation; 9. Cease providing health care services necessary for operation as a licensed general acute care facility at any site; 10. Change the stated purposes, mission or philosophy of the Hospital Corporation, or any Controlled Entity as found in the Articles of Incorporation, Bylaws, Or other governing documents of the Hospital Corporation; 11. Adopting the Hospital Corporation's annual and long-term capital and Operation budgets; 12. Making any major changes in any of the Hospital Corporation's insurance program; and 13. Recommending any unbudgeted capital expenditure of the Hospital Corporation's capital budget in excess of $500,000.
Form 990 Review Process	Form 990, Part VI, Line 11b	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.
Conflict of Interest Policy Monitoring & Enforcement	Form 990, Part VI, 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.
Process for Determining Compensation	Form 990, Part VI, Line 15a	When setting CEOs and executives 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 independent outside compensation consultant. To ensure reasonableness, compensation is set at the 50th percentile of the natural market.
Process for Determining Compensation	Form 990, Part VI, Line 15b	When setting officers and 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 independent outside compensation consultant. To ensure reasonableness, compensation is set at the 50th percentile of the natural market.
How Documents are Made Available to the Public	Form 990, Part VI, Line 19	The governing documents, conflict of interest policy and financial statements, are available to the public upon request.
Other Changes in Net Assets	Form 990, Part XI, Line 5	Change in value of remainder trust - 66,170; Effective change in value of interest rate Swap - (4,187,491); General fund capital - (345,756); Net organization transfers - 50,877,881; Transfer from LWS, LLC - 6,231; Transfer net assets beg yr - LWS,LLC - (459,156); Unrealized gains on other than trading securities - 860,596 Total = 46,818,475
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 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.

Schedule R IRS990ScheduleR

Form990 Schedule R Part I Form990ScheduleRPartI (4 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivitiesPrimaryActivities	Legal Domicile StateLegalDomicileState	Total IncomeTotalIncome	EOY AssetsEOYAssets	Business Name Line1DirectControllingEntityName/BusinessNameLine1
Adventist Cancer Care LLC
1801 RESEARCH BLVD ST 400	ROCKVILLE	MD	20850	262515407	CANCER CARE	MD	4653401	10841410	na
AHC Holdings I LLC
1801 RESEARCH BLVD ST 400	ROCKVILLE	MD	20850	521532556	HOLDING CO	MD		5400000	na
AHC Holdings II LLC
1801 RESEARCH BLVD ST 400	ROCKVILLE	MD	20850	521532556	HOLDING CO	MD		5570774	na
LIFEWORK STRATEGY LLC
1801 RESEARCH BLVD STE 400	ROCKVILLE	MD	20850	900493445	HLTH/WELLNESS	MD	6092	79844	NA

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	Controlled OrgControlledOrg
ADVENTIST HOME HEALTH SERVICES INC
1801 RESEARCH BLVD ST 400	ROCKVILLE	MD	20850	520986808	Rehabilitatio	MD	501(c)(3)	09	true
ADVENTIST PHYSICIAN SERVICES INC
1801 RESEARCH BLVD ST 400	ROCKVILLE	MD	20850	204600646	Physician Sev	MD	501(c)(3)	09	true
ADVENTIST REHABILITATION HOSPITAL OF MD
1801 RESEARCH BLVD ST 400	ROCKVILLE	MD	20850	201486678	Rehabilitatio	MD	501(c)(3)	03	true
ADVENTIST SENIOR LIVING SERVICES
1801 RESEARCH BLVD ST 400	ROCKVILLE	MD	20850	521739959	Management Se	MD	501(c)(3)	09	true
BRADFORD OAKS NURSING AND REHAB CENTER
1801 RESEARCH BLVD ST 400	ROCKVILLE	MD	20850	521999975	Nursing Home	MD	501(c)(3)	09	false
FAIRLAND NURSING & REHAB CENTER
1801 RESEARCH BLVD ST 400	ROCKVILLE	MD	20850	521876447	Nursing Home	MD	501(c)(3)	09	false
GLADE VALLEY NURSING AND REHAB CENTER
1801 RESEARCH BLVD ST 400	ROCKVILLE	MD	20850	521924309	Nursing Home	MD	501(c)(3)	09	false
HACKETTSTOWN COMMUNITY HOSPITAL
651 WILLOW GROVE STREET	Hackettstown	NJ	07840	226106281	Hospital	NJ	501(c)(3)	03	true
HACKETTSTOWN COMMUNITY HOSPITAL - EMS
651 WILLOW GROVE STREET	Hackettstown	NJ	07840	270820164	Ambulance Svc	NJ	501(c)(3)	03	false
HACKETTSTOWN COMMUNITY HOSP FOUNDATION
651 WILLOW GROVE STREET	Hackettstown	NJ	07840	222333410	Fundraising	NJ	501(c)(3)	11a-I	false
MID-ATLANTIC ADVENTIST HEALTHCARE CORP
1801 RESEARCH BLVD ST 400	ROCKVILLE	MD	20850	511884153	Holding Compa	MD	501(c)(3)	09	false
ADVENTIST BEHAVIORAL HEALTH FOUNDATION
1801 RESEARCH BLVD ST 400	ROCKVILLE	MD	20850	205479860	Fundraising	MD	501(c)(3)	11a-I	true
REGINALD S LOURIE CENTER FOR INFANTS
1801 RESEARCH BLVD ST 400	ROCKVILLE	MD	20850	521255870	Behavioral Ca	MD	501(c)(3)	09	true
SHADY GROVE ADVENTIST HOSP FNDTN
1801 RESEARCH BLVD ST 400	ROCKVILLE	MD	20850	521216429	Fundraising	MD	501(c)(3)	11a-I	true
SHADY GROVE NURSING AND REHABILITATION C
1801 RESEARCH BLVD ST 400	ROCKVILLE	MD	20850	521442495	Nursing Home	MD	501(c)(3)	09	false
SLIGO CREEK NURSING HOME&REHABILITATION
1801 RESEARCH BLVD ST 400	ROCKVILLE	MD	20850	521736368	Nursing Home	MD	501(c)(3)	09	false
SPRINGBROOK NURSING & REHAB CENTER INC
1801 RESEARCH BLVD ST 400	ROCKVILLE	MD	20850	521736305	Nursing Home	MD	501(c)(3)	09	false
WASHINGTON ADVENTIST HOSPITAL FOUNDATION
1801 RESEARCH BLVD STE 400	ROCKVILLE	MD	20850	521692158	FUNDRAISING	MD	501(C)(3)	09	true

Form990 Schedule R Part III Form990ScheduleRPartIII

Name Of Related Org NameOfRelatedOrg

Field	Value	IRS element (for citing)
Business Name Line1	GERMANTOWN OP IMAGING	BusinessNameLine1

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	1801 RESEARCH BLVD STE 400	AddressLine1
City	ROCKVILLE	City
State	MD	State
ZIP Code	20850	ZIPCode

Field	Value	IRS element (for citing)
EIN	204395818	EIN
Primary Activity	O/P IMAGING	PrimaryActivity
Legal Domicile State	MD	LegalDomicileState

Direct Controlling Entity Name DirectControllingEntityName

Field	Value	IRS element (for citing)
Business Name Line1	SGRC PC	BusinessNameLine1

Field	Value	IRS element (for citing)
Disproportionate Allocations	false	DisproportionateAllocations
General Or Managing Partner	false	GeneralOrManagingPartner
Percentage Ownership	0.50000	PercentageOwnership

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	Share Of Total IncomeShareOfTotalIncome	Share Of EOY AssetsShareOfEOYAssets	Percentage OwnershipPercentageOwnership
Adventist Management Services Inc
1801 RESEARCH BLVD STE 400	ROCKVILLE	MD	20850	521575694	Management Servic	MD	N/A	C Corp	205922	1189631	1.00000
Lifework Strategy Inc
1801 RESEARCH BLVD STE 400	ROCKVILLE	MD	20850	521704500	Employee Assistan	MD	N/A	C Corp	-107911	490781	1.00000
PREMIER MEDICAL NETWORK INC
1801 RESEARCH BLVD STE 400	ROCKVILLE	MD	20850	521952469	JT. PHYSIC. CONT	MD	N/A	C CORP	2162	16571	0.50000

Field	Value	IRS element (for citing)
Receipt Of Int Ann Rents Royalties	false	ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org	false	GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org	true	GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org	true	LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org	false	LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org	false	SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org	false	PurchaseOfAssetsFromOtherOrg
Exchange Of Assets	false	ExchangeOfAssets
Rental Of Facilities To Other Orgs	false	RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs	false	RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs	true	PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs	false	PerformOfServicesByOtherOrgs
Sharing Of Facilities	false	SharingOfFacilities
Sharing Of Paid Employees	false	SharingOfPaidEmployees
Reimbursement Paid To Other Org	false	ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org	true	ReimbursementPaidByOtherOrg
Other Transfer To Other Org	false	OtherTransferToOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (28 entries)

Transaction TypeTransactionType	Amount InvolvedAmountInvolved
ADVENTIST HOME HEALTH SERVICES INC
K	446893
ADVENTIST HOME HEALTH SERVICES INC
P	431532
ADVENTIST PHYSICIAN SERVICES INC
K	194903
ADVENTIST REHABILITATION HOSPITAL OF MD
K	1917026
ADVENTIST REHABILITATION HOSPITAL OF MD
P	1396452
ADVENTIST SENIOR LIVING SERVICES
K	1684883
ADVENTIST SENIOR LIVING SERVICES
P	93905
BRADFORD OAKS NURSING AND REHAB CENTER
K	38111
BRADFORD OAKS NURSING AND REHAB CENTER
P	85631
FAIRLAND NURSING & REHAB CENTER
K	55837
FAIRLAND NURSING & REHAB CENTER
P	79925
GLADE VALLEY NURSING AND REHAB CENTER
P	142125
HACKETTSTOWN COMMUNITY HOSPITAL
D	34864342
HACKETTSTOWN COMMUNITY HOSPITAL
K	2851887
HACKETTSTOWN COMMUNITY HOSPITAL
P	3991631
ADVENTIST BEHAVIORAL HEALTH FOUNDATION
C	69103
REGINALD S LOURIE CENTER FOR INFANTS
K	178523
SHADY GROVE ADVENTIST HOSPITAL FOUNDATION
C	1122523
SHADY GROVE NURSING AND REHABILITATION CENTER
K	106058
SHADY GROVE NURSING AND REHABILITATION CENTER
P	158041
SLIGO CREEK NURSING HOME AND REHABILITATION
K	23422
SLIGO CREEK NURSING HOME AND REHABILITATION
P	73007
SPRINGBROOK NURSING AND REHAB CENTER INC
K	19162
SPRINGBROOK NURSING AND REHAB CENTER INC
P	74092
WASHINGTON ADVENTIST HOSPITAL FOUNDATION
C	596726
ADVENTIST MANAGEMENT SERVICES INC
K	187566
ADVENTIST MANAGEMENT SERVICES INC
P	128504
LIFEWORK STRATEGY INC
P	9404