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ADVENTIST SENIOR LIVING SERVICES INC: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
ADVENTIST SENIOR LIVING SERVICES INC (EIN 52-1739959)
Tax period
2010-01-01 to 2010-12-31
Filed
2011-11-15
IRS object ID
201143199349310954
Schema version
2010v3.2
Source
Download XML · Original 990 at ProPublica

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

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2011-11-15T17:24:01-08:00Timestamp
Tax Period End Date2010-12-31TaxPeriodEndDate
Return Type990ReturnType
Tax Period Begin Date2010-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN521739959EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1Adventist Senior Living Services IncBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlADVENameControl
Phone3013153030Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line11801 Research BlvdAddressLine1
CityRockvilleCity
StateMDState
ZIP Code20850ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameJames G LeeName
TitleExe.VP&CFO-AHCTitle
Date Signed2011-11-15DateSigned
FieldValueIRS element (for citing)
Tax Year2010TaxYear
Build TS2016-03-07 17:11:31ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonWilliam RobertsonNameOfPrincipalOfficerPerson
Gross Receipts15296743GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
All Affiliates IncludedfalseAllAffiliatesIncluded
Organization501c3XOrganization501c3
Web Sitewww.adventisthealthcare.com/ASLSWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1991YearFormation
State Legal DomicileMDStateLegalDomicile
Activity Or Mission DescriptionWE DEMONSTARTE GOD'S CARE BY IMPROVING THE HEALTH OF PEOPLE AND COMMUNITIES THROUGH A MINISTRY OF PHYSICAL, MENTAL, AND SPIRITUAL HEALING.ActivityOrMissionDescription
Termination Or ContractionXTerminationOrContraction
Nbr Voting Members Governing Body6NbrVotingMembersGoverningBody
Nbr Independent Voting Members0NbrIndependentVotingMembers
Total Nbr Employees0TotalNbrEmployees
Total Gross UBI0TotalGrossUBI
Contributions Grants Prior Year4224ContributionsGrantsPriorYear
Contributions Grants Current Year1569ContributionsGrantsCurrentYear
Program Service Revenue Prior Year7009925ProgramServiceRevenuePriorYear
Program Service Revenue CY6535095ProgramServiceRevenueCY
Investment Income Prior Year20721InvestmentIncomePriorYear
Investment Income Current Year46431InvestmentIncomeCurrentYear
Other Revenue Prior Year551828OtherRevenuePriorYear
Other Revenue Current Year8713648OtherRevenueCurrentYear
Total Revenue Prior Year7586698TotalRevenuePriorYear
Total Revenue Current Year15296743TotalRevenueCurrentYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year3397852SalariesEtcPriorYear
Salaries Etc Current Year3043885SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year4147959OtherExpensePriorYear
Other Expenses Current Year3970472OtherExpensesCurrentYear
Total Expenses Prior Year7545811TotalExpensesPriorYear
Total Expenses Current Year7014357TotalExpensesCurrentYear
Revenues Less Expenses Prior Year40887RevenuesLessExpensesPriorYear
Revenues Less Expenses CY8282386RevenuesLessExpensesCY
Total Assets BOY1608154TotalAssetsBOY
Total Assets EOY889245TotalAssetsEOY
Total Liabilities BOY728770TotalLiabilitiesBOY
Total Liabilities EOY889245TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY879384NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY0NetAssetsOrFundBalancesEOY
Mission DescriptionWE DEMONSTARTE GOD'S CARE BY IMPROVING THE HEALTH OF PEOPLE AND COMMUNITIES THROUGH A MINISTRY OF PHYSICAL, MENTAL, AND SPIRITUAL HEALING.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense2464509Expense
Revenue15248743Revenue
DescriptionAs we grow older, our physical and mental abilities change. Though it is natural to want to continue to be as independent as possible, there may come a time when living on one's own is no longer the safest or best choice. To address the unique situations and needs that come with aging, Adventist HealthCare offers a comprehensive range of senior services through its Adventist Senior Living Services nursing and rehabilitation centers.A Nursing and Rehabilitation Center is a place for people who do not need to be in a hospital but can no longer be cared for at home because they need personal or medical care. In 2010, Adventist HealthCare's charity care included almost half a million dollars for residents who needed care at these organization's nursing and rehabilitation centers throughout Montgomery County. These special communities care for family members with personalized treatment plans developed to help each person reach the highest level of health possible. Coordination of care is managed by a dedicated, experienced health care team. Highly skilled nurses and geriatric nursing assistants provide round-the-clock nursing and personal care assistance to each resident. A wide array of rehabilitative activities guide the way to a greater level of independence. Each resident participates in a comprehensive program developed and delivered by experts in the fields of physical therapy, occupational therapy, speech language therapy, and therapeutic recreation. Medical professionals provide care when the patient needs it. For those who are in need of assistance, aid in personal care and hygiene is given by nursing assistants. Support with dressing, grooming and bathing is given and laundry services are available A committed team of volunteers support our residents. We encourage families of our residents to join the volunteer team, get involved in our community and to become active members of our Family Council-a support and advisory group. Volunteers and families help with everything from letter writing to holiday parties. Religious services from a variety of denominations are also offered. We strive to promote such comforts of home as attractive artwork and inviting common areas. Security systems, smoke alarms, sprinkler systems and a 24-hour call system give our residents a sense of security. Adventist HealthCare recognizes and affirms the worth and dignity of every human being. When you or your loved one can no longer function independently and skilled nursing care is necessary, it's tough to know where to turn. Adventist Senior Living Services offers seniors an easy solution with assisted living and comprehensive-care nursing and rehabilitation centers located conveniently in areas throughout Maryland. High-quality healthcare is available in an atmosphere of comfort and security to create supportive, healing, caring, living community.Description
Total Program Service Expense2464509TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredfalseScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiesfalseLobbyingActivities
Subject To Proxy TaxfalseSubjectToProxyTax
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentsfalseTermOrPermanentEndowments
Report Land Bldg EquipfalseReportLandBldgEquip
Report Invest Oth SecuritiestrueReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetsfalseReportOtherAssets
Report Other LiabilitiesfalseReportOtherLiabilities
Report Fin48 FootnotefalseReportFin48Footnote
Independent Audit Financial StmtfalseIndependentAuditFinancialStmt
Consolidated Audit Financial StmttrueConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitalfalseHospital
Grants To OrganizationsfalseGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondsfalseTaxExemptBonds
Invest Tax Exempt BondsfalseInvestTaxExemptBonds
Escrow AccountfalseEscrowAccount
On Behalf Of IssuerfalseOnBehalfOfIssuer
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationtruePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntityfalseRelatedOrgControlledEntity
Transaction Related EntityfalseTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With10960NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingfalseComplianceWithBackupWitholding
Number Of Employees0NumberOfEmployees
Employment Tax Returns FiledfalseEmploymentTaxReturnsFiled
Unrelated Business IncomefalseUnrelatedBusinessIncome
Form990-T FiledfalseForm990-TFiled
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Form8886 T FiledfalseForm8886TFiled
Non Deductible ContributionsfalseNonDeductibleContributions
Non Deductible DisclosurefalseNonDeductibleDisclosure
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Quid Pro Quo DisclosurefalseQuidProQuoDisclosure
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Number Of8282 Filed0NumberOf8282Filed
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Form8899 FiledfalseForm8899Filed
Form1098 C FiledfalseForm1098CFiled
Excess Business HoldingsfalseExcessBusinessHoldings
Taxable DistributionsfalseTaxableDistributions
Distribution To DonorfalseDistributionToDonor
Filed Lieu1041falseFiledLieu1041
Licensed More Than One StatefalseLicensedMoreThanOneState
Indoor Tanning ServicesfalseIndoorTanningServices
Form720 FiledfalseForm720Filed
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members6NbrVotingGoverningBodyMembers
Number Independent Voting Members0NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholderstrueMembersOrStockholders
Election Of Board MemberstrueElectionOfBoardMembers
Decisions Subject To ApprovaltrueDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChapterstrueLocalChapters
Policies Reference ChapterstruePoliciesReferenceChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
Written Policy Or ProcedurefalseWrittenPolicyOrProcedure
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonJames G LeeNamePerson
Telephone Number3013153030TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line11801 Research BlvdAddressLine1
CityRockvilleCity
StateMDState
ZIP Code20850ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (9 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationIndividual Trustee Or DirectorIndividualTrusteeOrDirectorHighest Compensated EmployeeHighestCompensatedEmployeeKey EmployeeKeyEmployee
William G Robertson
Pres.&CEO-AHC10.00X0112273445921
Susan Glover
Director10.00035933538471X
Sandra Bieganski
Dir Nursing40.0021358006785X
Richard Marizan
Dir. Bus Office40.00268244020429X
Patricia Honse
DIr Of HR40.00156425014973X
James S Litsinger
CFO40.00350189026079X
James G Lee
Exe.VP&CFO-AHC10.00X057442927574
George Child
President10.00X046252425799X
Edmund F Hodge
Chairman10.00X069377035530X
FieldValueIRS element (for citing)
Total Reportable Comp From Org988438TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs3212792TotalReportableCompFrmRltdOrgs
Total Other Compensation241561TotalOtherCompensation
Number Individuals GT100 K4NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (2 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
LERCH EARLY & BREWER CHARTERED
3 Bethesda Metro Center Suite 460BEthesdaMD20814LEGAL SERVICES200954
FRESENIUS MEDICAL CARE
PO Box 3936BostonMA02241DIALYSIS MANAGEMENT792223
FieldValueIRS element (for citing)
Number Of Contractors GT100 K2NumberOfContractorsGT100K
All Other Contributions1569AllOtherContributions
Total Contributions1569TotalContributions

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
All Other Program Service90009944766364476636
All O/P Revenue90009920584592058459
FieldValueIRS element (for citing)
Total Program Service Revenue6535095TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column38713TotalRevenueColumn
Exclusion$38,713ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities7718Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities7718Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column7718TotalRevenueColumn
Exclusion$7,718ExclusionAmount

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Other Revenue Misc OtherRevenueMisc (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
Other income from subsidi900099406814406814
Non ops - inc. gain/Loss90009983068348306834
FieldValueIRS element (for citing)
Total Other Revenue8713648TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column15296743TotalRevenueColumn
Related Or Exempt Function Income15248743RelatedOrExemptFunctionIncome
Exclusion$46,431ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total0Total

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total0Total

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total0Total

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total376268Total
Management And General376268ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total2159110Total
Program Services543206ProgramServices
Management And General1615904ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total48130Total
Program Services27700ProgramServices
Management And General20430ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total314932Total
Program Services43944ProgramServices
Management And General270988ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total145445Total
Program Services40870ProgramServices
Management And General104575ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total0Total

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total2261Total
Management And General2261ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total0Total

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total0Total

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total0Total

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total735452Total
Program Services705047ProgramServices
Management And General30405ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total3102Total
Program Services2849ProgramServices
Management And General253ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total704207Total
Program Services543773ProgramServices
Management And General160434ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total93905Total
Program Services70372ProgramServices
Management And General23533ManagementAndGeneral

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total250479Total
Program Services50134ProgramServices
Management And General200345ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total42211Total
Program Services42211ProgramServices

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total5054Total
Program Services4961ProgramServices
Management And General93ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total35486Total
Management And General35486ManagementAndGeneral

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total1684883Total
Management And General1684883ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total54879Total
Program Services54879ProgramServices

Insurance Insurance

FieldValueIRS element (for citing)
Total3037Total
Management And General3037ManagementAndGeneral

Other Expenses OtherExpenses (3 entries)

DescriptionDescriptionTotalTotalManagement And GeneralManagementAndGeneralProgram ServicesProgramServices
Recruitment1984419844
Medical SUpplies2182451109217136
Bad Debts117427117427

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total0Total

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total7014357Total
Program Services2464509ProgramServices
Management And General4549848ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY119827BOY
EOY493794EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
EOY0EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
EOY0EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
EOY0EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

FieldValueIRS element (for citing)
BOY276165BOY
EOY0EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

FieldValueIRS element (for citing)
EOY0EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY80044BOY
EOY69032EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY32954BOY
EOY0EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY5043BOY
EOY0EOY

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY553712BOY
EOY0EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
EOY0EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY11327BOY
EOY326419EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
EOY0EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
EOY0EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY529082BOY
EOY0EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY1608154BOY
EOY889245EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY728770BOY
EOY889245EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY728770BOY
EOY889245EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY879384BOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY879384BOY
EOY0EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY1608154BOY
EOY889245EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses8282386ReconcilationRevenueExpenses
Reconcilation Other Changes-9161770ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteetrueAuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit RequiredtrueFederalGrantAuditRequired
Federal Grant Audit PerformedtrueFederalGrantAuditPerformed

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2XPubliclySupportedOrg509a2

Gifts Grants Contrib Received509 GiftsGrantsContribReceived509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years246CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years20CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years150CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year4224CurrentTaxYearMinus1Year
Current Tax Year1569CurrentTaxYear
Total6209Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years6248386CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years6886237CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years6440456CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year7009925CurrentTaxYearMinus1Year
Current Tax Year6535095CurrentTaxYear
Total33120099Total

Gross Receipts From Non UBI GrossReceiptsFromNonUBI

FieldValueIRS element (for citing)
Total0Total

Tax Rev Levied For Org Benefit509 TaxRevLeviedForOrgBenefit509

FieldValueIRS element (for citing)
Total0Total

Value Of Svcs Fclts Furnishd By Govt ValueOfSvcsFcltsFurnishdByGovt

FieldValueIRS element (for citing)
Total0Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years6248632CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years6886257CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years6440606CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year7014149CurrentTaxYearMinus1Year
Current Tax Year6536664CurrentTaxYear
Total33126308Total

Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Amts From Subst Contributors AmtsFromSubstContributors

FieldValueIRS element (for citing)
Total0Total
FieldValueIRS element (for citing)
Public Support Total50933126308PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years31611CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years29330CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years30334CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year20721CurrentTaxYearMinus1Year
Current Tax Year46431CurrentTaxYear
Total158427Total

Post1975 UBTI Post1975UBTI

FieldValueIRS element (for citing)
Total0Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years31611CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years29330CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years30334CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year20721CurrentTaxYearMinus1Year
Current Tax Year46431CurrentTaxYear
Total158427Total

Net Income From Other UBI NetIncomeFromOtherUBI

FieldValueIRS element (for citing)
Total0Total

Other Income509 OtherIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years2241CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years38319CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years171631CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year551828CurrentTaxYearMinus1Year
Current Tax Year406814CurrentTaxYear
Total1170833Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years6282484CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years6953906CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years6642571CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year7586698CurrentTaxYearMinus1Year
Current Tax Year6989909CurrentTaxYear
Total34455568Total
FieldValueIRS element (for citing)
Public Support Percentage5090.96140PublicSupportPercentage509
Prior Year Support Percentage0.97170PriorYearSupportPercentage
Investment Income Percentage0.00460InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.00400PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509XThirtyThreePercntTestsCY509

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Total Of Book Value Securities326419TotalOfBookValueSecurities

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

FieldValueIRS element (for citing)
IdentifierPart XI, Line 8Identifier
Return ReferencePart XI, Line 8: Other Changes in Net Assets or Fund BalancesReturnReference
ExplanationMarket Adjust on Investments $6974 Re-Establish Cash Position $493796 Net Organization Transfers $ -9662540Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Substantiation RequiredtrueSubstantiationRequired
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance PaymentfalseSeverancePayment
Supplemental Nonqual Retire PlantrueSupplementalNonqualRetirePlan
Equity Based Comp ArrangementfalseEquityBasedCompArrangement
Comp Based On Revenue Of Filing OrgfalseCompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related OrgsfalseCompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing OrgfalseCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgsfalseCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentsfalseAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException
Rebuttable Presumption ProcedurefalseRebuttablePresumptionProcedure

Form990 Schedule J Part II Form990ScheduleJPartII (9 entries)

Comp Based On Related OrgsCompBasedOnRelatedOrgsBonus Related OrgsBonusRelatedOrgsOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Related OrgsTotalCompensationRelatedOrgsBase Compensation Filing OrgBaseCompensationFilingOrgBonus Filing OrgBonusFilingOrgOther Compensation Filing OrgOtherCompensationFilingOrgDeferred Comp Filing OrgDeferredCompFilingOrgNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgTotal Compensation Filing OrgTotalCompensationFilingOrg
William G Robertson
71851019161821260615900300211168655
Susan Glover
25190261756456771263625835397806
Sandra Bieganski
12965081990194026334152220365
Richard Marizan
1242011353158728633314096288673
Patricia Honse
9959655681114852129761171398
James S Litsinger
17670716338910093868117398376268
James G Lee
380873109417841391315014424602003
George Child
233870183644450101174814051488323
Edmund F Hodge
4032451101001804251315022380729300

Schedule N IRS990ScheduleN

Disposition Table DispositionTable

FieldValueIRS element (for citing)
Description Of AssetThe operations and operating AssetsDescriptionOfAsset
Date Of Distribution2010-11-30DateOfDistribution
FMV Of Asset6000000FMVOfAsset
Method Of FMV DeterminationIndep AppraiserMethodOfFMVDetermination

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1101 Development Group LLCBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1101 E State StreetAddressLine1
CityKenneth SquareCity
StatePAState
ZIP Code19348ZIPCode
FieldValueIRS element (for citing)
Director Of Successor2falseDirectorOfSuccessor2
Employee Of Successor2falseEmployeeOfSuccessor2
Owner Of Successor2falseOwnerOfSuccessor2
Receive Compensation2falseReceiveCompensation2

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (7 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Form 990, Part VI, Line 19Form 990, Part VI, Line 19: Other Organization Documents Publicly AvailableThe governing documents, conflict of interest policy and financial statements, are available to the public upon request.General ExplanationEmployees 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.Vendors payment for any of the Adventist HealthCare, Inc. and related entities in the State of Maryland are made through a common paymaster, Adventist HealthCare, Inc.
Form 990, Part VI, Line 15bForm 990, Part VI, Line 15b: Compensation Review and Approval Process for Officers and Key EmployeesWhen 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.
Form 990, Part VI, Line 12cForm 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of ConflictsPursuant to the organizations conflict of interest policy, each facility board member, officer, director and any employee in a position that requires coordination and/or negotiation with contractors or supplies, is required on an annual basis to disclose any business or financial relationship outside of the organization. Compliance with policy is monitored and enforced by the Human Resources Department, Corporate Integrity Department and the Legal Department.
Form 990, Part VI, Line 11Form 990, Part VI, Line 11: Form 990 Review ProcessThe Board of Trustees of Adventist Senior Living Services, Inc. are made up of the executives and officers from Adventist Healthcare Inc. Adventist Healthcare Inc. (AHC) and its controlled entities subscribe to the same policies and procedures of AHC, which are subjected to the approval by its board of trustees.The executive management of AHC reviewed all controlled entities' From 990 prior to filing with IRS.
Form 990, Part VI, Line 7aForm 990, Part VI, Line 7a: How Members or Shareholders Elect Governing BodyThe Board of Trustees of Adventist Healthcare, Inc. appoints the menbers of Adventist Senior Living Services, Inc.'s governing body.
Form 990, Part VI, Line 6Form 990, Part VI, Line 6: Explanation of Classes of Members or ShareholderAdventist HealthCare, Inc. is the sole corporate member of Adventist Senior Living Services, Inc. with the authority to approve its Board membership.
Client Note 1 - Schedule J Additional InformationCOMPENSATION DEFINED. THE COMPENSATION REPORTED FOR THE EMPLOYEES SET FORTH ON SCHEDULE J IS COMPRISED OF THE FOLLOWING:**BASE COMPENSATION - INCLUDES NONDISCRETIONARY PAYMENTS, AGREED UPON IN ADVANCE, CONTINGENT ONLY UPON THE PAYEE'S PERFORMANCE OF AGREED UPON SERVICES (SUCH AS SALARY OR FEES).**INCENTIVE COMPENSATION - INCLUDES PAYMENTS BASED ON SATISFACTION OF PRE-DETERMINED PERFORMANCE TARGETS SUCH AS QUALITY/PATIENT SAFETY GOALS, EMPLOYEE AND CUSTOMER ENGAGEMENT GOALS, ORGANIZATIONAL GROWTH, AND FINANCIAL PERFORMANCE, AMONG OTHER THINGS.**OTHER REPORTABLE COMPENSATION - INCLUDES CERTAIN CUMULATIVE LUMP-SUM TAXABLE PAYMENTS MADE AS A RESULT OF TAX LAW CHANGES THAT AFFECTED THE ADMINISTRATION OF ADVENTIST HEALTHCARE'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 LIFE INSURANCE BENEFITS, AND SEVERANCE, AS APPLICABLE. "OTHER REPORTABLE COMPENSATION" ALSO INCLUDES THE FOLLOWING, AS APPROVED BY ADVENTIST HEALTHCARE INC.'S BOARD COMPENSATION COMMITTEE:*TAXABLE ALLOWANCE FOR SPECIAL CIRCUMSTANCE (OUT-OF-STATE COMMUTE):--EDMUND F. HODGE**NON-TAXABLE BENEFITS - INCLUDES THE EMPLOYER PORTION OF CERTAIN BENEFITS SUCH AS HEALTH INSURANCE, DENTAL INSURANCE, VISION INSURANCE, LIFE INSURANCE, BASE CONTRIBUTIONS TO RETIREMENT PLANS, MATCHING OF EMPLOYEES' RETIREMENT CONTRIBUTIONS, ETC.PAY PRACTICE - ADVENTIST HEALTHCARE UTILIZES A SINGLE EMPLOYER ID FOR ALL OF ITS AFFILIATED ENTITIES FOR EMPLOYMENT PURPOSES. AS SUCH, ACTUAL COMPENSATION AND BENEFITS ARE CHARGED TO THE RESPECTIVE ENTITIES AND THE RESULTING COMPENSATION AND BENEFITS ARE REPORTED ON EACH AFFILIATE'S IRS FORM 990 AS IF PAID DIRECTLY BY SUCH AFFILIATE.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (18 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrgControlledOrg
Washington Adventist Hospital Foundation
1801 Research Blvd Suite 400RockvilleMD20850521692158FundraisingMD501(c)(3)11Adventist HealthCarefalse
Springbrook Nursing & Rehab Center Inc
1801 Research Blvd Suite 400RockvilleMD20850521736305Nursing HomeMD501(c)(3)9Adventist Senior Livingfalse
Sligo Creek Nursing Home&Rehabilitation
1801 Research Blvd Suite 400RockvilleMD20850521736368Nursing HomeMD501(c)(3)9Adventist Senior Livingfalse
Shady Grove Nursing and Rehabilitation
1801 Research Blvd Suite 400RockvilleMD20850521442495Nursing HomeMD501(c)(3)9Adventist Senior Livingfalse
Shady Grove Adventist Hosp Foundation
1801 Research Blvd Suite 400RockvilleMD20850521216429FundraisingMD501(c)(3)11Adventist HealthCarefalse
Reginald S Lourie Center for Infants
1801 Research Blvd Suite 400RockvilleMD20850521255870Behavioral CareMD501(c)(3)3Adventist HealthCarefalse
Adventist Behavioral Health Foundation
1801 Research Blvd Suite 400RockvilleMD20850205479860FundraisingMD501(c)(3)11Adventist HealthCarefalse
Mid-Atlantic Adventist HealthCare Corp
1801 Research Blvd Suite 400RockvilleMD20850511884153Holding CompanyMD501(c)(3)3Gen Con 7th Day Advenfalse
Hackettstown Community Hosp Foundation
651 Willow Grove StreetHackettstownNJ07840222333410FundraisingNJ501(c)(3)11Hackettstown Community Hospitalfalse
Hackettstown Community Hospital - EMS
651 Willow Grove StreetHackettstownNJ07840270820164Emer CenterNJ501(c)(3)3Hackettstown Community Hospitalfalse
Hackettstown Community Hospital
651 Willow Grove StreetHackettstownNJ07840226106281HospitalNJ501(c)(3)3Adventist HealthCarefalse
Glade Valley Nursing and Rehabilitation
1801 Research Blvd Suite 400RockvilleMD20850521924309Nursing HomeMD501(c)(3)9Adventist Senior Livingfalse
Fairland Nursing & Rehab Center
1801 Research Blvd Suite 400RockvilleMD20850521876447Nursing HomeMD501(c)(3)9Adventist Senior Livingfalse
Bradford Oaks Nursing and Rehabilitation
1801 Research Blvd Suite 400RockvilleMD20850521999975Nursing HomeMD501(c)(3)9Adventist Senior Livingfalse
Adventist Physician Services Inc
1801 Research Blvd Suite 400RockvilleMD20850204600646Physician SevicesMD501(c)(3)3Adventist HealthCarefalse
Adventist Home Health Services
1801 Research Blvd Suite 400RockvilleMD20850520986808Rehabilitation Hospital HomeMD501(c)(3)3Adventist HealthCarefalse
Adventist Rehabilitation Hospital of MD
1801 Research Blvd Suite 400RockvilleMD20850201486678Rehabilitation HospitalMD501(c)(3)3Adventist HealthCarefalse
Adventist HealthCare Inc
1801 Research Blvd Suite 400RockvilleMD20850521532556HospitalMD501(c)(3)3NAfalse

Form990 Schedule R Part III Form990ScheduleRPartIII

Name Of Related Org NameOfRelatedOrg

FieldValueIRS element (for citing)
Business Name Line1Germantown Outpatient ImagingBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line11801 Research BLvd SUite 400AddressLine1
CityRockvilleCity
StateMDState
ZIP Code20850ZIPCode
FieldValueIRS element (for citing)
EIN204395818EIN
Primary ActivityImagingPrimaryActivity
Legal Domicile StateMDLegalDomicileState

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1SGRC PCBusinessNameLine1
FieldValueIRS element (for citing)
Disproportionate AllocationsfalseDisproportionateAllocations
General Or Managing PartnerfalseGeneralOrManagingPartner

Form990 Schedule R Part IV Form990ScheduleRPartIV (3 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateDirect Controlling Entity NADirectControllingEntityNAType Of EntityTypeOfEntity
Premier Medical Network Inc
1801 Research BlvdRockvilleMD20850521952469Joint Physician ContMDN/AC Corp
Lifework Strategy Inc
1801 Research BlvdRockvilleMD20850521704500Employee AssistanceMDN/AC COrp
Adventist Management Services Inc
1801 Research BlvdRockvilleMD20850521575694Management ServicesMDN/AC Corp
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiesfalseReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgfalseGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgfalseGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgfalseLoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetsfalseExchangeOfAssets
Rental Of Facilities To Other OrgsfalseRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgsfalseRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgsfalsePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgsfalsePerformOfServicesByOtherOrgs
Sharing Of FacilitiesfalseSharingOfFacilities
Sharing Of Paid EmployeesfalseSharingOfPaidEmployees
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrg
Other Transfer To Other OrgfalseOtherTransferToOtherOrg
Other Transfer From Other OrgfalseOtherTransferFromOtherOrg