2018-11-14T16:32:03-06:00 2017-12-31 990 2017-01-01 520986808 ADVENTIST HOME HEALTH SERVICES INC ADVE 3013153030 820 WEST DIAMOND AVE NO 600 GAITHERSBURG MD 208781419 JAMES G LEE EXEC. VICE PRESIDENT & CFO 3013153030 2018-11-14 63.69.66.2 2018-11-14 17:31:46 ES P C062B308BD402F67A9E2D8B01A21E3DE8729394D C062B308BD402F67A9E2D8B01A21E3DE8729394D 2017 2019-02-21 02:37:17Z TERRY FORDE 820 WEST DIAMOND AVE NO 600 GAITHERSBURG MD 208781419 30489545 0 X HTTP://WWW.ADVENTISTHEALTHCARE.COM X 1973 MD WE EXTEND GOD'S CARE THROUGH THE MINISTRY OF PHYSICAL, MENTAL AND SPIRITUAL HEALING. 7 0 0 0 0 0 16256 19532 25100445 27407332 67884 144557 0 0 25184585 27571421 1231 0 0 0 19951507 21300479 0 0 0 4344367 5082577 24297105 26383056 887480 1188365 11238890 12289807 2637113 2475095 8601777 9814712 X WE EXTEND GOD'S CARE THROUGH THE MINISTRY OF PHYSICAL, MENTAL AND SPIRITUAL HEALING. 0 0 20572649 27407332 FOR ANY NUMBER OF REASONS, RECEIVING CARE AT HOME -- WHETHER FOR ONGOING TREATMENT OR RECOVERING AFTER A HOSPITAL STAY -- CAN LIFT A PATIENT'S SPIRITS AND RECOVERY. FOR OVER 40 YEARS, ADVENTIST HOME HEALTH SERVICES HAS BROUGHT HEALING HOME WITH COMPREHENSIVE SKILLED SERVICES AND COMPASSIONATE CARE. IN 1983, WE EXPANDED OUR HOME HEALTH DIVISION TO INCLUDE ADVENTIST HOME ASSISTANCE, WHICH PROVIDES PRIVATE DUTY NURSING SERVICES AND PERSONAL CARE FOR PATIENTS THAT REQUIRE ASSISTANCE TO STAY INDEPENDENT IN THEIR HOME. ADVENTIST CHOICE NURSING WAS ESTABLISHED IN 1995 TO OFFER A COST-EFFECTIVE OPTION FOR PRIVATE DUTY AND SKILLED NURSING SERVICES.TODAY, ADVENTIST HOME HEALTH SERVICES' TEAM OF SKILLED NURSES, THERAPISTS AND SOCIAL WORKERS DELIVER COMPREHENSIVE SERVICES INCLUDING ADULT AND PEDIATRIC NURSING CARE, CARDIAC CARE, DIABETES CARE, WOUND/OSTOMY CARE, ONCOLOGY CARE, REHABILITATION SERVICES, MEDICAL SOCIAL SERVICES, HOME HEALTH AIDE SERVICES AND NUTRITION COUNSELING SERVICES. WE SERVE PATIENTS IN THEIR HOMES THROUGHOUT MONTGOMERY, PRINCE GEORGE'S, ST. MARY'S, CHARLES, CALVERT, ANNE ARUNDEL AND HOWARD COUNTIES. WE ALSO OFFER A FALLS PREVENTION EDUCATION PROGRAM TO REDUCE THE RISK OF FALLS AND INCREASE IN-HOME SAFETY, AS WELL AS OTHER SPECIALTY PROGRAMS.IN 2017, ADVENTIST HOME HEALTH RECEIVED THE HOMECARE ELITE AWARD FOR THE SEVENTH YEAR IN A ROW. THIS AWARD, WHICH IS PRESENTED BY THE NATIONAL RESEARCH CORPORATION, RECOGNIZES THE TOP-PERFORMING HOME HEALTH AGENCIES IN THE UNITED STATES.HOMECARE ELITE WINNERS ARE RANKED BY AN ANALYSIS OF PUBLICLY AVAILABLE PERFORMANCE MEASURES IN QUALITY CARE OUTCOMES, BEST PRACTICE IMPLEMENTATION, QUALITY IMPROVEMENT AND CONSISTENCY, PATIENT EXPERIENCE (HOME HEALTH CAHPS) AND FINANCIAL PERFORMANCE. OUT OF 9,406 AGENCIES THAT CONSIDERED FOR THE AWARD, 2,268 ARE ELITE.ALSO IN 2017, ADVENTIST HOME HEALTH RECEIVED THE HIGHEST QUALITY RATING, 5-STAR, FROM THE CENTERS FOR MEDICARE & MEDICAID SERVICES (CMS). HOME HEALTH HAS BEEN RECOGNIZED FOR THIS HONOR EVERY QUARTER SINCE JULY 2015, WHEN CMS FIRST BEGAN REPORTING THE DATA. UNDER THE RATING SYSTEM, EACH AGENCY RECEIVES A QUALITY RATING THAT ENCOMPASSES ITS PERFORMANCE ON NINE QUALITY MEASURES THAT INCLUDE: PROVIDING CARE IN A TIMELY MANNER; TEACHING PATIENTS AND FAMILY CAREGIVERS ABOUT PRESCRIBED DRUGS; AND HELPING PATIENTS GET BETTER AT SPECIFIC ACTIVITIES, SUCH AS WALKING, MOVING AROUND, GETTING IN AND OUT OF BED AND BATHING. 20572649 1 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 X 7 0 0 0 0 0 1 1 1 1 1 0 1 1 1 1 1 1 1 1 1 1 0 X JAMES G LEE EXEC VP & CFO 3013153030 820 W DIAMOND AVE SUITE 600 GAITHERSBURG MD 208781419 JOHN SACKETT EVP/COO,AHC;PRESIDENT,SGMC & BH&WS 1.00 54.00 X 0 839706 173628 SUSAN L GLOVER SVP & SYSTEM QUALITY, AHC 10.00 50.00 X 0 461403 96404 KEITH BALLENGER PRESIDENT, HOME HEALTH 40.00 10.00 X X 0 272545 57086 ERIK WANGSNESS PRESIDENT, WAH 2.00 48.00 X 0 626650 125773 KRISTEN PULIO VP, REVENUE MANAGEMENT, AHC 2.00 53.00 X 0 365926 71834 BRENT REITZ PRESIDENT, ARHM 5.00 50.00 X 0 426754 89822 MARTA BRITO PEREZ SVP, POP. HEALTH/POST-ACUTE CARE SERVICES, AHC 2.00 53.00 X 0 636687 49029 KRISTOFER GOCHENOUR DIRECTOR OF FINANCE 40.00 X 0 126079 5722 GHERWANE BECALEY PHYSICAL THERAPIST 40.00 X 0 147083 10069 VENZIL BROWNE DIRECTOR OF OPERATIONS 40.00 X 154802 0 5774 LYNETTE GODHARD AVP & CHIEF CLINICAL OFFICER 40.00 X 162865 0 32044 JEVON HONOR SR. HR BUSINESS PARTNER 40.00 X 126043 0 19218 443710 3902833 736403 16 0 1 0 HOMECARE HOMEBASE PO BOX 678637 DALLAS TX 752670637 SOFTWARE PROVIDER 544770 AMN HEALTHCARE INC 2735 COLLECTION CENTER DR CHICAGO IL 606932735 CONTRACT LABOR 316316 CLOVER CARPET COMPANY 7835 CESSNA AVE GAITHERSBURG MD 20879 PROFESSIONAL SERVICES 178859 3 19532 19532 HOME CARE SERVICES 900099 27407332 27407332 27407332 85218 85218 2977463 2918124 59339 59339 59339 27571421 27407332 0 144557 17868477 15694604 2173873 402580 354982 47598 1615042 1182582 432460 1414380 1199168 215212 50442 50442 8700 8700 760913 402329 358584 47451 43074 4377 631347 42640 588707 801203 600902 200301 678278 678278 442678 400766 41912 46663 10767 35896 251762 251762 75738 75738 COST ALLOC. FROM PARENT 875479 875479 MEDICAL SUPPLIES 405922 387692 18230 RECRUITMENT 4620 4620 BAD DEBT 1381 1381 26383056 20572649 5810407 0 1700 800 5486917 6072633 4138352 4276085 59067 31141 266763 52908 3250699 1583462 1097935 1667237 157328 158175 30828 30828 11238890 12289807 1780149 1613277 856964 861818 2637113 2475095 X 8601777 9814712 8601777 9814712 11238890 12289807 1188365 24570 0 X 0 1 X 1 1 1 X 4343 3509 8360 16256 19532 52000 19859272 20657889 23414283 25100445 27407332 116439221 19863615 20661398 23422643 25116701 27426864 116491221 0 0 0 116491221 116736 118602 115383 50144 155926 556791 116736 118602 115383 50144 155926 556791 19980351 20780000 23538026 25166845 27582790 117048012 0.99520 0.99490 0.00480 0.00470 X 173591 152226 21365 2730574 1350777 1379797 346534 80459 266075 1667237 X PART X, LINE 2: FIN 48 NOTES: THE CORPORATION ACCOUNTS FOR UNCERTAINTY IN INCOME TAXES USING A RECOGNITION THRESHOLD OF MORE-LIKELY-THAN-NOT TO BE SUSTAINED UPON EXAMINATION BY THE APPROPRIATE TAXING AUTHORITY. MEASUREMENT OF THE TAX UNCERTAINTY OCCURS IF THE RECOGNITION THRESHOLD IS MET. MANAGEMENT DETERMINED THERE WERE NO TAX UNCERTAINTIES THAT MET THE RECOGNITION THRESHOLD IN 2017 OR 2016. THE CORPORATION'S POLICY IS TO RECOGNIZE INTEREST RELATED TO UNRECOGNIZED TAX BENEFITS IN INTEREST EXPENSE AND PENALTIES IN OPERATING EXPENSES. X X X X 0 1 0 0 0 0 0 0 0 JOHN SACKETT EVP/COO,AHC;PRESIDENT,SGMC & BH&WS 0 541445 0 180669 0 117592 0 118709 0 54919 0 1013334 0 97424 SUSAN L GLOVER SVP & SYSTEM QUALITY, AHC 0 305794 0 100799 0 54810 0 64169 0 32235 0 557807 0 46812 KEITH BALLENGER PRESIDENT, HOME HEALTH 0 191442 0 49172 0 31931 0 35264 0 21822 0 329631 0 23576 ERIK WANGSNESS PRESIDENT, WAH 0 415290 0 122726 0 88634 0 89883 0 35890 0 752423 0 77326 KRISTEN PULIO VP, REVENUE MANAGEMENT, AHC 0 253259 0 65488 0 47179 0 63701 0 8133 0 437760 0 41563 BRENT REITZ PRESIDENT, ARHM 0 289308 0 90482 0 46964 0 62820 0 27002 0 516576 0 39934 MARTA BRITO PEREZ SVP, POP. HEALTH/POST-ACUTE CARE SER 0 369080 0 116310 0 151297 0 13500 0 35529 0 685716 0 123766 GHERWANE BECALEY PHYSICAL THERAPIST 0 144991 0 0 0 2092 0 1764 0 8305 0 157152 0 0 VENZIL BROWNE DIRECTOR OF OPERATIONS 130824 0 22560 0 1418 0 2634 0 3140 0 160576 0 0 0 LYNETTE GODHARD AVP & CHIEF CLINICAL OFFICER 136593 0 24603 0 1669 0 7181 0 24863 0 194909 0 0 0 PART I, LINE 3 COMPENSATION DEFINED. THE COMPENSATION REPORTED FOR THE EMPLOYEES SET FORTH ON SCHEDULE J IS COMPRISED OF THE FOLLOWING: BASE COMPENSATION INCLUDES NONDISCRETIONARY PAYMENTS, AGREED UPON IN ADVANCE, CONTINGENT ONLY UPON THE PAYEES' PERFORMANCE OF AGREED UPON SERVICES (SUCH AS SALARY OR FEES). INCENTIVE COMPENSATION INCLUDES PAYMENTS BASED ON SATISFACTION OF PRE-DETERMINED PERFORMANCE TARGETS SUCH AS QUALITY/PATIENT SAFETY GOALS, EMPLOYEE AND CUSTOMER ENGAGEMENT GOALS, ORGANIZATIONAL GROWTH, AND FINANCIAL PERFORMANCE, AMONG OTHER THINGS. OTHER REPORTABLE COMPENSATION INCLUDES AN EXECUTIVE RETENTION 457F PLAN, WHICH BECAME EFFECTIVE ON JANUARY 1, 2015. PRE-TAX CONTRIBUTIONS ARE ACCUMULATED ANNUALLY AND ARE DISTRIBUTED ON JANUARY 1ST OF THE 2ND YEAR, IF STILL EMPLOYED OR SOONER BASED ON CERTAIN EXCEPTIONS. THERE IS TYPICALLY A 2-YEAR DEFERRAL PERIOD BEFORE PAYMENTS ARE RELEASED. THE FIRST PAYMENT ON THE EXECUTIVE RETENTION PLAN, RELATED TO CONTRIBUTIONS ACCUMULATED IN 2015, WILL GENERALLY BE DISTRIBUTED ON JANUARY 1, 2017 AND CONTRIBUTIONS ACCUMULATED IN 2016 WILL GENERALLY BE DISTRIBUTED ON JANUARY 1, 2018. IN ADDITION, OTHER REPORTABLE COMPENSATION INCLUDES LONG-TERM DISABILITY COVERAGE, CELL PHONE ALLOWANCES, CASH-OUT OF UNUSED PAID TIME OFF (PTO) HOURS (ONLY FOR EMPLOYEES WHO LEAVE OUR ORGANIZATION), IMPUTED VALUE OF LIFE INSURANCE BENEFITS, TAXABLE PAYABLE PAY, AND SEVERANCE, AS APPLICABLE. CERTAIN EXECUTIVES CAN ALSO RECEIVE REPORTABLE COMPENSATION THROUGH A SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP), ONCE THEY HAVE VESTED IN THE PLAN; HOWEVER, EXECUTIVES LISTED ON THIS TAX RETURN HAVE NOT YET RECEIVED THIS BENEFIT SINCE THEY HAVE MET THE VESTING REQUIREMENTS. NON-TAXABLE BENEFITS INCLUDES PRE-TAX PAYROLL DEDUCTIONS (SUCH AS FLEXIBLE MEDICAL SPENDING, DEPENDENT CARE, AND EMPLOYEE HEALTH BENEFIT PREMIUM), AND THE EMPLOYER PORTION OF CERTAIN EMPLOYEE BENEFITS SUCH AS HEALTH INSURANCE, DENTAL INSURANCE, VISION INSURANCE, LIFE INSURANCE, BASE CONTRIBUTIONS TO RETIREMENT PLANS, MATCHING OF EMPLOYEES' RETIREMENT CONTRIBUTIONS, ETC. PAY PRACTICE: ADVENTIST HEALTHCARE UTILIZES A SINGLE EMPLOYER ID FOR ALL ITS AFFILIATED ENTITIES FOR EMPLOYMENT PURPOSES. AS SUCH, ACTUAL COMPENSATION AND BENEFITS ARE CHARGED TO THE RESPECTIVE ENTITIES AND THE RESULTING COMPENSATION AND BENEFITS ARE REPORTED ON EACH AFFILIATE IRS FORM 990 AS IF PAID DIRECTLY BY SUCH AFFILIATE. AS APPLICABLE, THE SAME AND NON-ADDITIVE COMPENSATION AND EMPLOYMENT BENEFIT PLAN CONTRIBUTION AMOUNTS WERE ALSO DISCLOSED IN THE ADVENTIST HEALTHCARE INC. RELATED ENTITIES RETURNS. INDEPENDENT GUIDELINES: WHEN SETTING COMPENSATION FOR THE OFFICERS, DIRECTORS, TRUSTEES, KEY EMPLOYEES, AND THE HIGHEST COMPENSATED EMPLOYEES, ADVENTIST HEALTHCARE FULLY COMPLIES WITH THE PROCEDURAL SAFE GUARDS EMBODIED IN IRS REGULATIONS. COMPENSATION FOR ADVENTIST HEALTHCARE OFFICERS, DIRECTORS, TRUSTEES, KEY EMPLOYEES, AND THE HIGHEST COMPENSATED EMPLOYEES IS ENTIRELY SET BY A COMMITTEE OF ADVENTIST HEALTHCARE BOARD OF TRUSTEES. IN SETTING COMPENSATION, THE GOVERNING BOARD COMMITTEE RELIES UPON MARKET COMPARABILITY DATA PROVIDED BY AN INDEPENDENT OUTSIDE COMPENSATION CONSULTANT WHO PROVIDES A SUMMARY OF HEALTH CARE SALARIES AND BENEFITS FOR COMPARABLE SIZED ORGANIZATIONS BOTH NATIONALLY AND IN THE BALTIMORE-WASHINGTON REGION. TO FURTHER ENSURE REASONABLENESS, BOTH COMPENSATION AND BENEFITS ARE TARGETED AT THE 50TH PERCENTILE (OR MEDIAN) OF THE MARKET. PART I, LINE 4B CERTAIN EMPLOYEES RECEIVED COMPENSATION FROM AN EXECUTIVE RETENTION 457F PLAN, WHICH BECAME EFFECTIVE ON JANUARY 1, 2015. PRE-TAX CONTRIBUTIONS ARE ACCUMULATED ANNUALLY AND ARE DISTRIBUTED ON JANUARY 1ST OF THE 2ND YEAR, IF STILL EMPLOYED OR SOONER BASED ON CERTAIN EXCEPTIONS. THERE IS TYPICALLY A 2-YEAR DEFERRAL PERIOD BEFORE PAYMENTS ARE RELEASED. THE FIRST PAYMENT ON THE EXECUTIVE RETENTION PLAN, RELATED TO CONTRIBUTIONS ACCUMULATED IN 2015, WILL GENERALLY BE DISTRIBUTED ON JANUARY 1, 2017 AND CONTRIBUTIONS ACCUMULATED IN 2016 WILL GENERALLY BE DISTRIBUTED ON JANUARY 1, 2018. AMOUNTS LISTED UNDER PART II, COLUMN F INCLUDE PAYOUT AMOUNTS WHICH WERE CONSIDERED DEFERRED COMPENSATION FROM THE 457F PLAN IN OUR PRIOR YEAR RETURNS AND THESE AMOUNTS ARE NOW BEING SHOWN UNDER THE OTHER REPORTABLE INCOME, COLUMN B (III). THE FOLLOWING EMPLOYEE LISTED BELOW RECEIVED AN EARLY LUMP-SUM CASH PAYMENT ON THEIR 457F PLAN: MARTA PEREZ: $75,796 FORM 990, PART VI, SECTION A, LINE 6 ADVENTIST HEALTHCARE, INC, IS THE SOLE CORPORATE MEMBER OF ADVENTIST HOME HEALTH SERVICES, INC., WITH THE AUTHORITY TO APPROVE ITS BOARD MEMBERSHIP. FORM 990, PART VI, SECTION A, LINE 7A THE BOARD OF TRUSTEES OF ADVENTIST HEALTHCARE, INC. APPOINTS THE MEMBERS OF ADVENTIST HOME HEALTH SERVICES, INC.'S GOVERNING BODY. FORM 990, PART VI, SECTION A, LINE 7B THE BOARD OF TRUSTEES APPROVES ALL ACTIONS OF MANAGEMENT. THE ACTIONS OF THE ADVENTIST HOME HEALTH SERVICES, INC.'S GOVERNING BOARD IS SUBJECT TO THE REVIEW OF THE BOARD OF ADVENTIST HEALTHCARE, INC. FORM 990, PART VI, SECTION B, LINE 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 IS LINKED TO THE COMPANY'S INTRANET WEBSITE. FORM 990, PART VI, SECTION B, LINE 12C PURSUANT TO THE ORGANIZATION'S CONFLICT OF INTEREST POLICY, EACH FACILITY BOARD MEMBER, OFFICER, DIRECTOR AND ANY EMPLOYEE IN A POSITION THAT REQUIRES COORDINATION AND/OR NEGOTIATION WITH CONTRACTORS OR SUPPLIES, IS REQUIRED ON AN ANNUAL BASIS TO DISCLOSE ANY BUSINESS OR FINANCIAL RELATIONSHIP OUTSIDE OF THE ORGANIZATION. AN ACTUAL OR POTENTIAL CONFLICT OF INTEREST, OR THE PERCEPTION OR APPEARANCE OF A CONFLICT OF INTEREST, OCCURS WHEN A COVERED PERSON IS IN A POSITION TO INFLUENCE A DECISION THAT MAY RESULT IN A PERSONAL GAIN FOR THAT EMPLOYEE, A RELATIVE, OR OTHER PERSON LIVING IN THE SAME HOUSEHOLD, AS A RESULT OF ADVENTIST HEALTHCARE'S BUSINESS ACTIVITIES. A RELATIVE IS DEFINED AS ANY PERSON WHO IS RELATED BY BLOOD OR MARRIAGE, OR WHOSE RELATIONSHIP WITH THE COVERED PERSON IS SIMILAR TO THAT OF PERSONS WHO ARE RELATED BY BLOOD OR MARRIAGE. NO "PRESUMPTION OF GUILT" IS CREATED BY THE MERE EXISTENCE OF A RELATIONSHIP BETWEEN AN ADVENTIST HEALTHCARE EMPLOYEE AND AN OUTSIDE FIRM OR BUSINESS ENDEAVOR, OR OTHER POTENTIAL CONFLICT OF INTEREST. HOWEVER, IF A COVERED PERSON HAS ANY BUSINESS, FINANCIAL, OR OTHER RELATIONSHIP WITH ANY ORGANIZATION WHEREBY THE EXISTENCE OF THAT RELATIONSHIP EITHER CREATES A CONFLICT OF INTEREST OR IS PERCEIVED TO CREATE A CONFLICT OF INTEREST, THE COVERED PERSON MUST DISCLOSE THIS RELATIONSHIP TO THE DESIGNATED SENIOR MANAGER, OR GOVERNING BOARD, AS THE CASE MAY BE, AT THE LOCATION WHERE THE EMPLOYEE IS ASSIGNED. THE SENIOR MANAGER WILL REVIEW THE RELATIONSHIP, MAKE COMMENTS AND RECOMMENDATIONS, AND FORWARD ALL DOCUMENTATION TO THE CORPORATE COMPLIANCE COMMITTEE FOR A FINAL DECISION. COMPLIANCE WITH THE CONFLICT OF INTEREST POLICY IS MONITORED AND ENFORCED BY THE HUMAN RESOURCES DEPARTMENT, CORPORATE INTEGRITY DEPARTMENT AND THE LEGAL DEPARTMENT. FORM 990, PART VI, SECTION B, LINE 15 WHEN SETTING COMPENSATION FOR EXECUTIVES, OFFICERS, KEY EMPLOYEES, AND ALL EMPLOYEES, THE ORGANIZATION FULLY COMPLIES WITH THE PROCEDURAL SAFEGUARDS EMBEDDED IN THE IRS REGULATIONS. COMPENSATION IS ENTIRELY SET BY A COMMITTEE OF THE BOARD OF TRUSTEES. IN SETTING COMPENSATION, THE GOVERNING BOARD COMMITTEE RELIES UPON MARKET COMPARABILITY DATA PROVIDED BY AN INDEPENDENT OUTSIDE COMPENSATION CONSULTANT. TO ENSURE REASONABLENESS, COMPENSATION IS SET AT THE 50TH PERCENTILE OF THE NATURAL MARKET. GENERAL EXPLANATION: EMPLOYEES OF ANY OF THE ADVENTIST HEALTHCARE INC. AND AFFILIATED TAX EXEMPT ENTITIES IN THE STATE OF MARYLAND (INCLUDING ADVENTIST HOME HEALTH SERVICES, INC.) ARE PAID THROUGH A COMMON PAYMASTER, ADVENTIST HEALTHCARE, INC. AND ARE REPORTED ON ITS FORM 941. SALARY AND BENEFIT EXPENSES REPORTED ON THEIR RESPECTIVE RETURNS ARE ACTUAL CHARGES RELATED TO THE EMPLOYEES WORKING ON THE SPECIFIC TAX EXEMPT ENTITY. COMPENSATION INCLUDED REGULAR BASE SALARY, BONUS, PAID TIME OFF CASH OUT (ONLY FOR EMPLOYEES WHO LEAVE OUR ORGANIZATION), TAXABLE RELOCATION ALLOWANCE, HOLIDAY GIFT, RETROACTIVE COMPENSATION ADJUSTMENT, BEREAVEMENT LEAVE, EDUCATION, AND WITHDRAWAL OF DEFERRED COMPENSATION, AS APPLICABLE. THE SAME AND NON-ADDITIVE COMPENSATION AND EMPLOYMENT BENEFIT PLAN CONTRIBUTION AMOUNTS WERE ALSO DISCLOSED IN THE ADVENTIST HEALTHCARE INC.'S RELATED ENTITIES RETURNS. VENDOR PAYMENTS FOR ANY OF THE ADVENTIST HEALTHCARE, INC. AND RELATED ENTITIES IN THE STATE OF MARYLAND ARE MADE THROUGH A COMMON PAYMASTER, ADVENTIST HEALTHCARE, INC. FORM 990, PART VI, SECTION C, LINE 19 THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS, ARE AVAILABLE TO THE PUBLIC UPON REQUEST. ADVENTIST HEALTHCARE INC 820 W DIAMOND AVE SUITE 600 GAITHERSBURG MD 208781419 521532556 HEALTHCARE SERVICES MD 501(C)(3) LINE 3 MID-ATLANTIC ADVENTIST HEALTHCARE CORPORATION 0 ADVENTIST HEALTHCARE URGENT CARE CENTERS INC 820 W DIAMOND AVE SUITE 600 GAITHERSBURG MD 208781419 461577511 CLINIC - EMERGENCY CARE MD 501(C)(3) LINE 10 ADVENTIST HEALTHCARE INC 0 ADVENTIST PHYSICIAN SERVICES INC 820 W DIAMOND AVE SUITE 600 GAITHERSBURG MD 208781419 204600646 PHYSICIAN SERVICES MD 501(C)(3) LINE 10 ADVENTIST HEALTHCARE INC 0 ADVENTIST REHABILITATION HOSPITAL OF MARYLAND INC 820 W DIAMOND AVE SUITE 600 GAITHERSBURG MD 208781419 201486678 REHABILITATION HOSPITAL MD 501(C)(3) LINE 3 ADVENTIST HEALTHCARE INC 0 ADVENTIST REHABILITATION INC 820 W DIAMOND AVE SUITE 600 GAITHERSBURG MD 208781419 300780513 REHABILITATION SERVICES MD 501(C)(3) LINE 10 ADVENTIST REHABILITATION HOSPITAL OF MARYLAND INC 0 MID-ATLANTIC ADVENTIST HEALTHCARE CORPORATION 820 W DIAMOND AVE SUITE 600 GAITHERSBURG MD 208781419 521884153 HOLDING COMPANY MD 501(C)(3) LINE 10 N/A 0 ADVENTIST BEHAVIORAL HEALTH FOUNDATION INC 820 W DIAMOND AVE SUITE 600 GAITHERSBURG MD 208781419 205479860 FUNDRAISING MD 501(C)(3) LINE 12A, I ADVENTIST HEALTHCARE INC 0 REGINALD S LOURIE CENTER FOR INFANTS AND YOUNG CHILDREN 820 W DIAMOND AVE SUITE 600 GAITHERSBURG MD 208781419 521255870 BEHAVIORAL CARE MD 501(C)(3) LINE 10 ADVENTIST HEALTHCARE INC 0 SHADY GROVE ADVENTIST HOSPITAL FOUNDATION INC 820 W DIAMOND AVE SUITE 600 GAITHERSBURG MD 208781419 521216429 FUNDRAISING MD 501(C)(3) LINE 12A, I N/A 0 WASHINGTON ADVENTIST HOSPITAL FOUNDATION INC 820 W DIAMOND AVE SUITE 600 GAITHERSBURG MD 208781419 521692158 FUNDRAISING MD 501(C)(3) LINE 12A, I ADVENTIST HEALTHCARE INC 0 SHADY GROVE MEDICAL BUILDING LLC 1650 TYSONS BOULEVARD STE 820 MCLEAN VA 22102 274599411 MEDICAL OFFICE BUILDING MD N/A RELATED 0 0 MID-ATLANTIC PRIMARY CARE ACO LLC 820 WEST DIAMOND AVE SUITE 600 GAITHERSBURG MD 20878 352477392 ACCOUNTABLE CARE ORGANIZATION MD N/A RELATED 0 0 NEXUS MONTGOMERY REGIONAL PARTNERSHIP LLC 820 WEST DIAMOND AVE SUITE 600 GAITHERSBURG MD 20878 815410250 HEALTHCARE & COMMUNITY SERVICE FOR IMPROVED HEALTH MD N/A RELATED 0 0 PREMIER MEDICAL NETWORK INC 820 WEST DIAMOND AVE SUITE 600 GAITHERSBURG MD 208781419 521952469 JOINT PHYSICIAN CONT MD ADVENTIST HEALTHCARE INC C 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0