ADVENTIST PHYSICIAN SERVICES INC: Form 990, tax year 2015
View the entire original 990 at ProPublica ↗
- Organization
- ADVENTIST PHYSICIAN SERVICES INC (EIN 20-4600646)
- Tax period
- 2015-01-01 to 2015-12-31
- Filed
- 2016-11-15
- IRS object ID
- 201643209349301279
- Schema version
- 2015v2.1
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2016-11-15T08:06:13-06:00 | ReturnTs |
| Tax Period End | 2015-12-31 | TaxPeriodEndDt |
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2015-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 204600646 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ADVENTIST PHYSICIAN SERVICES INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | ADVE | BusinessNameControlTxt |
| Phone | 3013513030 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 820 WEST DIAMOND AVE NO 600 | AddressLine1Txt |
| City | GAITHERSBURG | CityNm |
| State Abbreviation | MD | StateAbbreviationCd |
| ZIP | 208781419 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | JAMES G LEE | PersonNm |
| Person Title | EXE. VICE PRESIDENT AND CFO | PersonTitleTxt |
| Phone | 3013153030 | PhoneNum |
| Signature | 2016-11-15 | SignatureDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2015 | TaxYr |
| Build TS | 2017-02-10 21:41:12Z | BuildTS |
Form 990 IRS990
Doing Business As Name DoingBusinessAsName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ADVENTIST HEALTHCARE ADVENTIST MEDICAL GROUP | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | TERRY FORDE | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 820 WEST DIAMOND AVE NO 600 | AddressLine1Txt |
| City | GAITHERSBURG | CityNm |
| State Abbreviation | MD | StateAbbreviationCd |
| ZIP | 208781419 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $27,770,054 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Group Exemption | 1071 | GroupExemptionNum |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.ADVENTISTHEALTHCARE.COM | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 2006 | FormationYr |
| Legal Domicile State | MD | LegalDomicileStateCd |
| Activity Or Mission | WE DEMONSTARTE GOD'S CARE BY IMPROVING THE HEALTH OF PEOPLE AND COMMUNITIES THROUGH ( SEE SCH O) A MINISTRY OF PHYSICAL, MENTAL, AND SPIRITUAL HEALING. | ActivityOrMissionDesc |
| Voting Members Governing Body | 3 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 0 | VotingMembersIndependentCnt |
| Total Employee | 0 | TotalEmployeeCnt |
| Total Volunteers | 0 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $0 | PYContributionsGrantsAmt |
| CY Contributions Grants | $0 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $20,588,836 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $27,760,914 | CYProgramServiceRevenueAmt |
| PY Investment Income | $0 | PYInvestmentIncomeAmt |
| CY Investment Income | $0 | CYInvestmentIncomeAmt |
| PY Other Revenue | $0 | PYOtherRevenueAmt |
| CY Other Revenue | $2,901 | CYOtherRevenueAmt |
| PY Total Revenue | $20,588,836 | PYTotalRevenueAmt |
| CY Total Revenue | $27,763,815 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $21,767,069 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $27,394,337 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $10,388,355 | PYOtherExpensesAmt |
| CY Other Expenses | $15,512,637 | CYOtherExpensesAmt |
| PY Total Expenses | $32,155,424 | PYTotalExpensesAmt |
| CY Total Expenses | $42,906,974 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$11,566,588 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$15,143,159 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $4,461,082 | TotalAssetsBOYAmt |
| Total Assets EOY | $5,984,063 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $54,452,689 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $71,119,629 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | -$49,991,607 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | -$65,135,566 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | WE DEMONSTARTE GOD'S CARE BY IMPROVING THE HEALTH OF PEOPLE AND COMMUNITIES THROUGH A MINISTRY OF PHYSICAL, MENTAL, AND SPIRITUAL HEALING. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $36,067,632 | ExpenseAmt |
| Revenue | $27,760,914 | RevenueAmt |
| Desc | ADVENTIST PHYSICIAN SERVICES, INC (APS) IS A PREMIER, MULTI-SPECIALTY PHYSICIAN ORGANIZATION COMMITTED TO PROVIDING HIGH QUALITY CARE TO PATIENTS. FOUNDED IN 2006, WE ARE AN INDEPENDENT NOT-FOR-PROFIT ORGANIZATION.TODAY APS OPERATES UNDER THE NAME ADVENTIST MEDICAL GROUP. IT EMPLOYS ABOUT 60 COMMUNITY PHYSICIANS IN A VARIETY OF MEDICAL AND SURGICAL SPECIALTIES TO SERVE ADVENTIST HEALTHCARE'S COMMUNITIES IN MONTGOMERY, FREDERICK, AND PRINCE GEORGE'S COUNTIES IN MARYLAND. AMG PROVIDES ADMINISTRATIVE, FINANCIAL MANAGEMENT, TECHNICAL AND BUSINESS SUPPORT SERVICES THAT ARE ESSENTIAL FOR PHYSICIANS TO PROVIDE QUALITY CARE AND OPERATE SUCCESSFUL PRACTICES. OUR SIZE AND GROUP PRACTICE STRUCTURE ALLOW US TO PROVIDE COMPREHENSIVE CARE FOR MANY DISEASES AND ILLNESSES. FOR ADULT PATIENTS WHO REQUIRE MULTI-DISCIPLINARY CARE, SPECIALISTS FROM DIFFERENT AREAS WORK TO SHARE THEIR EXPERTISE, AND TO DEVELOP INDIVIDUALIZED PLANS OF CARE. WE ARE INTEGRATING WITH OUR OTHER HEALTH SERVICES WITHIN ADVENTIST HEALTHCARE TO DELIVER THE MOST VALUE TO OUR COMMUNITY.ADVENTIST MEDICAL GROUP PARTNERED WITH THE MEDICAL FACULTY ASSOCIATES (MFA) AT GEORGE WASHINGTON UNIVERSITY HOSPITAL IN 2012. IT IS THROUGH THIS PARTNERSHIP THAT WE EMPLOY THE MAJORITY OF AMG'S PHYSICIANS. THE MFA IS THE LARGEST MULTI-SPECIALTY PHYSICIAN PRACTICE IN THE WASHINGTON, DC AREA. THE MFA IS A NON-PROFIT ORGANIZATION INDEPENDENT OF THE GEORGE WASHINGTON UNIVERSITY AND GW HOSPITAL. IT HAS MORE THAN 800 DOCTORS IN 51 MEDICAL SPECIALTIES.IN 2015, OUR AMG/MFA PHYSICIANS HAD MORE THAN 85,000 PATIENT ENCOUNTERS, INCLUDING NEW PATIENTS, EXISTING PATIENTS AND NURSE ENCOUNTERS. ADVENTIST MEDICAL GROUP/APS CONTINUES TO EMPLOY SEVERAL DOZEN PHYSICIANS IN THE BEHAVIORAL HEALTH SPECIALTIES OUTSIDE OF THIS RELATIONSHIP WITH THE MFA. | Desc |
| Total Program Service Expenses | $36,067,632 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | 0 | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Temp Or Permanent Endowments | 0 | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | 0 | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (1) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (1) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 0 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 0 | EmployeeCnt |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 3 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 0 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (1) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (1) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | Yes (1) | LocalChaptersInd |
| Policies Reference Chapters | Yes (1) | PoliciesReferenceChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | JAMES G LEE | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 3013153030 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 820 WEST DIAMOND AVE SUITE 600 | AddressLine1Txt |
| City | GAITHERSBURG | CityNm |
| State Abbreviation | MD | StateAbbreviationCd |
| ZIP | 208781419 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (9 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|---|
| TERRY FORDE | |||||||||
| PRESIDENT & CEO, AHC | 3.00 | 59.00 | Yes (X) | Yes (X) | $0 | $1,225,363 | $219,138 | ||
| JAMES G LEE | |||||||||
| EVP & CFO, AHC | 3.00 | 59.00 | Yes (X) | Yes (X) | $0 | $662,822 | $135,961 | ||
| JOHN SACKETT | |||||||||
| EVP&COO,AHC;PRES,SGMC | 4.00 | 56.00 | Yes (X) | Yes (X) | $0 | $727,400 | $151,257 | ||
| PATRICK GARRETT | |||||||||
| SVP&PHYSICIAN INTEGRATION,AHC | 40.00 | 20.00 | $0 | $533,450 | $116,149 | Yes (X) | |||
| WILLIAM CERRATO | |||||||||
| PHYSICIAN | 40.00 | $287,625 | $0 | $23,831 | Yes (X) | ||||
| ASANTE DICKSON | |||||||||
| PHYSICIAN | 40.00 | $307,304 | $0 | $754 | Yes (X) | ||||
| ERIC SAX | |||||||||
| PHYSICIAN | 40.00 | $341,084 | $0 | $5,576 | Yes (X) | ||||
| ADAM YOUNOSZAI | |||||||||
| PHYSICIAN | 40.00 | $290,718 | $0 | $27,296 | Yes (X) | ||||
| PAVAN SEGAL | |||||||||
| PHYSICIAN | 40.00 | $275,714 | $0 | $22,023 | Yes (X) | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $1,502,445 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $3,149,035 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $701,985 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 40 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| MEDICAL FACULTY ASSOCIATION INC | |||||
| 2021 K STREET NW 600 | WASHINGTON | DC | 20006 | PHYSICIANS SERVICES | $3,046,641 |
| ATSITE INC | |||||
| 2021 L STREET NW | WASHINGTON | DC | 20036 | REAL ESTATE SERVICES | $1,360,374 |
| LOCUMTENENS COM LLC | |||||
| PO BOX 405547 | ATLANTA | GA | 303845547 | HEALTHCARE RECRUITING AGENCY | $908,158 |
| D & B MEDICAL MANAGEMENT SOLUTIONS INC | |||||
| 10630 LITTLE PATUXENT PARKWAY STE | COLUMBIA | MD | 21044 | BILLING & AR MGMT SERVICES | $282,050 |
| FCS INC | |||||
| 1711 ASHLEY CIRCLE STE 6 | BOWLING GREEN | KY | 421045801 | PSYCHIATRIC RECRUITMENT | $204,340 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 9 | CntrctRcvdGreaterThan100KCnt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | PHYSICIAN SERVICES | Desc |
| Business | 900099 | BusinessCd |
| Total Revenue Column | $27,760,914 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $27,760,914 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $27,760,914 | TotalProgramServiceRevenueAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $9,140 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $6,239 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $2,901 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $2,901 | TotalRevenueColumnAmt |
| Exclusion | $2,901 | ExclusionAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $27,763,815 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $27,760,914 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $2,901 | ExclusionAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $26,513,965 | TotalAmt |
| Program Services | $25,635,745 | ProgramServicesAmt |
| Management And General | $878,220 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $95,005 | TotalAmt |
| Program Services | $67,843 | ProgramServicesAmt |
| Management And General | $27,162 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $393,440 | TotalAmt |
| Program Services | $340,671 | ProgramServicesAmt |
| Management And General | $52,769 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $391,927 | TotalAmt |
| Program Services | $308,128 | ProgramServicesAmt |
| Management And General | $83,799 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,004,432 | TotalAmt |
| Management And General | $3,004,432 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,760,370 | TotalAmt |
| Program Services | $2,697,960 | ProgramServicesAmt |
| Management And General | $1,062,410 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $195,137 | TotalAmt |
| Management And General | $195,137 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,645,006 | TotalAmt |
| Program Services | $4,470,640 | ProgramServicesAmt |
| Management And General | $174,366 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $440,633 | TotalAmt |
| Program Services | $440,633 | ProgramServicesAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $48,352 | TotalAmt |
| Program Services | $12,330 | ProgramServicesAmt |
| Management And General | $36,022 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $36,015 | TotalAmt |
| Program Services | $21,558 | ProgramServicesAmt |
| Management And General | $14,457 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $348,588 | TotalAmt |
| Program Services | $348,588 | ProgramServicesAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $830,888 | TotalAmt |
| Management And General | $830,888 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (3 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| MEDICAL SUPPLIES | $1,663,127 | $1,662,599 | $528 |
| COST ALLOC. FROM PARENT | $357,027 | $357,027 | |
| RECRUITMENT | $183,062 | $60,937 | $122,125 |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $42,906,974 | TotalAmt |
| Program Services | $36,067,632 | ProgramServicesAmt |
| Management And General | $6,839,342 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $390 | BOYAmt |
| EOY | $390 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,897,317 | BOYAmt |
| EOY | $4,072,875 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $27,230 | BOYAmt |
| EOY | $30 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $138,401 | BOYAmt |
| EOY | $66,818 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $2,049,345 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $212,282 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $390,857 | BOYAmt |
| EOY | $1,837,063 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,887 | BOYAmt |
| EOY | $6,887 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,461,082 | BOYAmt |
| EOY | $5,984,063 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,079,029 | BOYAmt |
| EOY | $3,026,254 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $52,373,660 | BOYAmt |
| EOY | $68,093,375 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $54,452,689 | BOYAmt |
| EOY | $71,119,629 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -$49,991,607 | BOYAmt |
| EOY | -$65,135,566 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -$49,991,607 | BOYAmt |
| EOY | -$65,135,566 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,461,082 | BOYAmt |
| EOY | $5,984,063 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | -$15,143,159 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | -$800 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | Yes (1) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (1) | FederalGrantAuditPerformedInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | Yes (X) | PubliclySupportedOrg509a2Ind |
Gross Receipts Admissions GrossReceiptsAdmissionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $6,621,762 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $10,731,864 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $15,946,896 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $20,588,836 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $27,760,914 | CurrentTaxYearAmt |
| Total | $81,650,272 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $6,621,762 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $10,731,864 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $15,946,896 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $20,588,836 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $27,760,914 | CurrentTaxYearAmt |
| Total | $81,650,272 | TotalAmt |
Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Substantial Contributors Amt SubstantialContributorsAmtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | $81,650,272 | PublicSupportTotal509Amt |
Gross Investment Income509 GrossInvestmentIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $103 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $47 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year | $2,901 | CurrentTaxYearAmt |
| Total | $3,051 | TotalAmt |
Investment Income And UBTI InvestmentIncomeAndUBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $103 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $47 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year | $2,901 | CurrentTaxYearAmt |
| Total | $3,051 | TotalAmt |
Other Income509 OtherIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $2,000 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $20 | CurrentTaxYearMinus3YearsAmt |
| Total | $2,020 | TotalAmt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $6,623,865 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $10,731,931 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $15,946,896 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $20,588,836 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $27,763,815 | CurrentTaxYearAmt |
| Total | $81,655,343 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY509 | 0.99990 | PublicSupportCY509Pct |
| Public Support PY509 | 0.99990 | PublicSupportPY509Pct |
| Investment Income CY | 0.00000 | InvestmentIncomeCYPct |
| Thirty Thr Pct Suprt Tests CY509 | Yes (X) | ThirtyThrPctSuprtTestsCY509Ind |
Schedule D IRS990ScheduleD
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $21,810 | OtherCostOrOtherBasisAmt |
| Depreciation | $15,143 | DepreciationAmt |
| Book Value | $6,667 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $251,165 | OtherCostOrOtherBasisAmt |
| Depreciation | $177,179 | DepreciationAmt |
| Book Value | $73,986 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,776,370 | OtherCostOrOtherBasisAmt |
| Depreciation | $19,960 | DepreciationAmt |
| Book Value | $1,756,410 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $1,837,063 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | INTERCOMPANY PAYABLE | Desc |
| Amt | $68,093,375 | Amt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $68,093,375 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART X, LINE 2: | FormAndLineReferenceDesc |
| Explanation | 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 2015 OR 2014. 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 RETURNS OF INCOME TAX AND ITS BUSINESS INCOME TAX RETURNS FOR THE YEARS ENDED PRIOR TO DECEMBER 31, 2012 NO LONGER REMAIN SUBJECT TO EXAMINATION BY THE INTERNAL REVENUE SERVICE. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (1) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (9 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| TERRY FORDE | ||||||||||||||
| PRESIDENT & CEO, AHC | $0 | $864,928 | $0 | $328,406 | $0 | $32,029 | $0 | $191,122 | $0 | $28,016 | $0 | $1,444,501 | $0 | $0 |
| JAMES G LEE | ||||||||||||||
| EVP & CFO, AHC | $0 | $498,437 | $0 | $159,345 | $0 | $5,040 | $0 | $110,360 | $0 | $25,601 | $0 | $798,783 | $0 | $0 |
| JOHN SACKETT | ||||||||||||||
| EVP&COO,AHC;PRES,SGMC | $0 | $541,076 | $0 | $173,052 | $0 | $13,272 | $0 | $110,674 | $0 | $40,583 | $0 | $878,657 | $0 | $0 |
| PATRICK GARRETT | ||||||||||||||
| SVP&PHYSICIAN INTEGRATION,AHC | $0 | $384,777 | $0 | $142,907 | $0 | $5,766 | $0 | $102,164 | $0 | $13,985 | $0 | $649,599 | $0 | $0 |
| WILLIAM CERRATO | ||||||||||||||
| PHYSICIAN | $252,996 | $0 | $33,000 | $0 | $1,629 | $0 | $976 | $0 | $22,855 | $0 | $311,456 | $0 | $0 | $0 |
| ASANTE DICKSON | ||||||||||||||
| PHYSICIAN | $307,013 | $0 | $0 | $0 | $291 | $0 | $0 | $0 | $754 | $0 | $308,058 | $0 | $0 | $0 |
| ERIC SAX | ||||||||||||||
| PHYSICIAN | $340,454 | $0 | $0 | $0 | $630 | $0 | $0 | $0 | $5,576 | $0 | $346,660 | $0 | $0 | $0 |
| ADAM YOUNOSZAI | ||||||||||||||
| PHYSICIAN | $288,076 | $0 | $1,300 | $0 | $1,342 | $0 | $7,351 | $0 | $19,945 | $0 | $318,014 | $0 | $0 | $0 |
| PAVAN SEGAL | ||||||||||||||
| PHYSICIAN | $245,349 | $0 | $10,000 | $0 | $20,365 | $0 | $281 | $0 | $21,742 | $0 | $297,737 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| 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. A NEW EXECUTIVE RETENTION 457F PLAN, EFFECTIVE JANUARY 1, 2015, REPLACED THE ADVENTIST HEALTHCARE CAPITAL ACCUMULATION ACCOUNT PLAN. PRE-TAX CONTRIBUTIONS ACCUMULATED ANNUALLY ARE DISTRIBUTED ON JANUARY 1ST OF THE 2ND YEAR, IF STILL EMPLOYED. THERE IS A 2 YEAR DEFERRAL PERIOD BEFORE PAYMENTS ARE RELEASED. THE FIRST PAYMENT FOR THE NEW EXECUTIVE RETENTION PLAN, RELATED TO CONTRIBUTIONS ACCUMULATED IN 2015, WILL BE DISTRIBUTED ON JANUARY 1, 2017 AND CONTRIBUTIONS ACCUMULATED IN 2016 WILL 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 THAT LEAVE OUR ORGANIZATION), IMPUTED VALUE OF LIFE INSURANCE BENEFITS, TAXABLE PAYABLE PAY, AND SEVERANCE, AS APPLICABLE. NON-TAXABLE BENEFITS INCLUDES PRE-TAX PAYROLL DEDUCTIONS (SUCH AS FLEXIBLE MEDICAL SPENDING, DEPENDENT CARE, AND EMPLOYEE HEALTH BENEFIT PREMIUM), AND THE EMPLOYER PORTION OF CERTAIN EMPLOYEE BENEFITS SUCH AS HEALTH INSURANCE, DENTAL INSURANCE, VISION INSURANCE, LIFE INSURANCE, BASE CONTRIBUTIONS TO RETIREMENT PLANS, MATCHING OF EMPLOYEES RETIREMENT CONTRIBUTIONS, ETC. PAY PRACTICE: ADVENTIST HEALTHCARE UTILIZES A SINGLE EMPLOYER ID FOR ALL OF ITS AFFILIATED ENTITIES FOR EMPLOYMENT PURPOSES. AS SUCH, ACTUAL COMPENSATION AND BENEFITS ARE CHARGED TO THE RESPECTIVE ENTITIES AND THE RESULTING COMPENSATION AND BENEFITS ARE REPORTED ON EACH AFFILIATE IRS FORM 990 AS IF PAID DIRECTLY BY SUCH AFFILIATE. AS APPLICABLE, THE SAME AND NON-ADDITIVE COMPENSATION AND EMPLOYMENT BENEFIT PLAN CONTRIBUTION AMOUNTS WERE ALSO DISCLOSED IN THE ADVENTIST HEALTHCARE INC. RELATED ENTITIES RETURNS. INDEPENDENT GUIDELINES: WHEN SETTING COMPENSATION FOR THE OFFICERS, DIRECTORS, TRUSTEES, KEY EMPLOYEES, AND THE HIGHEST COMPENSATED EMPLOYEES, ADVENTIST HEALTHCARE FULLY COMPLIES WITH THE PROCEDURAL SAFE GUARDS EMBODIED IN IRS REGULATIONS. COMPENSATION FOR ADVENTIST HEALTHCARE OFFICERS, DIRECTORS, TRUSTEES, KEY EMPLOYEES, AND THE HIGHEST COMPENSATED EMPLOYEES IS ENTIRELY SET BY A COMMITTEE OF ADVENTIST HEALTHCARE BOARD OF TRUSTEES. IN SETTING COMPENSATION, THE GOVERNING BOARD COMMITTEE RELIES UPON MARKET COMPARABILITY DATA PROVIDED BY AN INDEPENDENT OUTSIDE COMPENSATION CONSULTANT WHO PROVIDES A SUMMARY OF HEALTH CARE SALARIES AND BENEFITS FOR COMPARABLE SIZED ORGANIZATIONS BOTH NATIONALLY AND IN THE BALTIMORE-WASHINGTON REGION. TO FURTHER ENSURE REASONABLENESS, BOTH COMPENSATION AND BENEFITS ARE TARGETED AT THE 50TH PERCENTILE (OR MEDIAN) OF THE MARKET. PAY PHILOSOPHY: FOR ALL ADVENTIST HEALTHCARE EMPLOYEES INCLUDING THOSE LISTED ON SCHEDULE J, THE GOAL OF ADVENTIST HEALTHCARE IS TO OFFER COMPETITIVE SALARIES IN ORDER TO ATTRACT, HIRE, AND RETAIN QUALIFIED AND TALENTED INDIVIDUALS. MAINTAINING A QUALITY AND STABLE WORKFORCE HAS A POSITIVE IMPACT ON THE WORKPLACE AND ON THE CARE PROVIDED TO OUR PATIENTS/RESIDENTS AND THEIR FAMILIES. IN GENERAL, NON-EXECUTIVE EMPLOYEES ARE COMPENSATED UTILIZING THE FULL WAGE SCALE FOR THEIR RESPECTIVE POSITIONS, COMPARED TO THE MARKET. HOWEVER, EXECUTIVES ARE GENERALLY LIMITED TO THE MEDIAN OF THE MARKET FOR THEIR RESPECTIVE POSITIONS. |
| PART I, LINE 4B | A NEW EXECUTIVE RETENTION 457F PLAN, EFFECTIVE JANUARY 1, 2015, REPLACED THE ADVENTIST HEALTHCARE CAPITAL ACCUMULATION ACCOUNT PLAN. PRE-TAX CONTRIBUTIONS ACCUMULATED ANNUALLY ARE DISTRIBUTED ON JANUARY 1ST OF THE 2ND YEAR, IF STILL EMPLOYED. THERE IS A 2 YEAR DEFERRAL PERIOD BEFORE PAYMENTS ARE RELEASED. THE FIRST PAYMENT FOR THE NEW EXECUTIVE RETENTION PLAN, RELATED TO CONTRIBUTIONS ACCUMULATED IN 2015, WILL BE DISTRIBUTED ON JANUARY 1, 2017 AND CONTRIBUTIONS ACCUMULATED IN 2016 WILL BE DISTRIBUTED ON JANUARY 1, 2018. |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (8 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 6 | ADVENTIST HEALTHCARE, INC. IS THE SOLE CORPORATE MEMBER OF ADVENTIST PHYSICIAN SERVICES, INC. WITH THE AUTHORITY TO APPROVE ITS BOARD MEMBERSHIP. |
| FORM 990, PART VI, SECTION A, LINE 7A | THE BOARD OF TRUSTEES OF ADVENTIST HEALTHCARE, INC. APPOINTS THE MEMBERS OF ADVENTIST PHYSICIAN SERVICES, INC.'S GOVERNING BODY. |
| FORM 990, PART VI, SECTION A, LINE 7B | THE BOARD OF TRUSTEES APPROVES ALL ACTIONS OF MANAGEMENT. THE ACTIONS OF THE ADVENTIST PHYSICIAN SERVICES, INC.'S GOVERNING BOARD IS SUBJECT TO THE REVIEW OF THE BOARD OF ADVENTIST HEALTHCARE, INC. |
| FORM 990, PART VI, SECTION B, LINE 11 | THE BOARD OF TRUSTEES OF ADVENTIST PHYSICIAN SERVICES, INC. (AKA ADVENTIST MEDICAL GROUP) IS MADE UP OF THE EXECUTIVES AND OFFICERS FROM ADVENTIST HEALTHCARE INC. ADVENTIST HEALTHCARE INC. (AHC) AND ITS CONTROLLED ENTITIES SUBSCRIBE TO THE SAME POLICIES AND PROCEDURES OF AHC. DURING THE PREPARATION PROCESS, EXECUTIVE MANAGEMENT TEAM REVIEWED VARIOUS SECTIONS OF THE DRAFT FORM 990 BASED ON A PLANNED COMPLETION TIME TABLE. IN ADDITION, THE EXECUTIVE COMMITTEE OF THE BOARD REVIEWED CERTAIN KEY SECTIONS OF THE FORM. PRIOR TO FILING, ALL MEMBERS OF THE BOARD ARE PROVIDED A COPY OF THIS FORM 990 THROUGH EMAIL, WHICH LINKED TO THE COMPANY'S INTRANET WEBSITE. |
| FORM 990, PART VI, SECTION B, LINE 12C | PURSUANT TO THE ORGANIZATIONS CONFLICT OF INTEREST POLICY, EACH FACILITY BOARD MEMBER, OFFICER, DIRECTOR AND ANY EMPLOYEE IN A POSITION THAT REQUIRES COORDINATION AND/OR NEGOTIATION WITH CONTRACTORS OR SUPPLIES, IS REQUIRED ON AN ANNUAL BASIS TO DISCLOSE ANY BUSINESS OR FINANCIAL RELATIONSHIP OUTSIDE OF THE ORGANIZATION. COMPLIANCE WITH POLICY IS MONITORED AND ENFORCED BY THE HUMAN RESOURCES DEPARTMENT, CORPORATE INTEGRITY DEPARTMENT AND THE LEGAL DEPARTMENT. |
| FORM 990, PART VI, SECTION B, LINE 15 | WHEN SETTING EXECUTIVE 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, SECTION C, LINE 19 | THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS, ARE AVAILABLE TO THE PUBLIC UPON REQUEST. GENERAL EXPLANATION: EMPLOYEES OF ANY OF THE ADVENTIST HEALTHCARE INC. AND AFFILIATED TAX EXEMPT ENTITIES IN THE STATE OF MARYLAND (INCLUDING ADVENTIST PHYSICIAN SERVICES, INC.) ARE PAID THROUGH A COMMON PAYMASTER, ADVENTIST HEALTHCARE, INC. AND ARE REPORTED ON ITS FORM 941. SALARY AND BENEFIT EXPENSES REPORTED ON THEIR RESPECTIVE RETURNS ARE ACTUAL CHARGES RELATED TO THE EMPLOYEES WORKING ON THE SPECIFIC TAX EXEMPT ENTITY. COMPENSATION INCLUDED REGULAR BASE SALARY, BONUS, PAID TIME OFF CASH OUT (ONLY FOR EMPLOYEES THAT 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 XI, LINE 9: | MARKET ADJUSTMENT ON INVESTMENT OTHER UNRESTRICTED NET ASSETS ACTIVITY -800. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (15 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Controlled OrganizationControlledOrganizationInd | Direct Controlling NADirectControllingNACd |
|---|---|---|---|---|---|---|---|---|---|---|---|
| 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 9 | ADVENTIST HEALTHCARE INC | 0 | |
| ADVENTIST HOME HEALTH SERVICES INC | |||||||||||
| 820 W DIAMOND AVE SUITE 600 | GAITHERSBURG | MD | 208781419 | 520986808 | HOME CARE SERVICES | MD | 501(C)(3) | LINE 9 | 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 9 | ADVENTIST REHABILITATION HOSPITAL OF MARYLAND INC | 0 | |
| HACKETTSTOWN COMMUNITY HOSPITAL INC | |||||||||||
| 651 WILLOW GROVE STREET | HACKETTSTOWN | NJ | 07840 | 226106281 | HOSPITAL | NJ | 501(C)(3) | LINE 3 | ADVENTIST HEALTHCARE INC | 0 | |
| HACKETTSTOWN REGIONAL MEDICAL CENTER EMERGENCY SERVICES INC | |||||||||||
| 651 WILLOW GROVE STREET | HACKETTSTOWN | NJ | 07840 | 270820164 | AMBULANCE SERVICE | NJ | 501(C)(3) | LINE 11A, I | HACKETTSTOWN COMMUNITY HOSPITAL INC | 0 | |
| HACKETTSTOWN COMMUNITY HOSPITAL FOUNDATION INC | |||||||||||
| 651 WILLOW GROVE STREET | HACKETTSTOWN | NJ | 07840 | 222333410 | FUNDRAISING | NJ | 501(C)(3) | LINE 11A, I | HACKETTSTOWN COMMUNITY HOSPITAL INC | 0 | |
| MEDICAL CENTER PARTNERS INC | |||||||||||
| 651 WILLOW GROVE STREET | HACKETTSTOWN | NJ | 07840 | 454789273 | PHYSICIAN SERVICES | NJ | 501(C)(3) | LINE 11A, I | HACKETTSTOWN COMMUNITY HOSPITAL INC | 0 | |
| MID-ATLANTIC ADVENTIST HEALTHCARE CORPORATION | |||||||||||
| 820 W DIAMOND AVE SUITE 600 | GAITHERSBURG | MD | 208781419 | 521884153 | HOLDING COMPANY | MD | 501(C)(3) | LINE 9 | 0 | N/A | |
| ADVENTIST BEHAVIORAL HEALTH FOUNDATION INC | |||||||||||
| 820 W DIAMOND AVE SUITE 600 | GAITHERSBURG | MD | 208781419 | 205479860 | FUNDRAISING | MD | 501(C)(3) | LINE 11A, 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 9 | 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 11A, I | 0 | N/A | |
| WASHINGTON ADVENTIST HOSPITAL FOUNDATION INC | |||||||||||
| 820 W DIAMOND AVE SUITE 600 | GAITHERSBURG | MD | 208781419 | 521692158 | FUNDRAISING | MD | 501(C)(3) | LINE 11A, I | ADVENTIST HEALTHCARE INC | 0 | |
| WASHINGTON ADVENTIST FITNESS CENTER | |||||||||||
| 820 W DIAMOND AVE SUITE 600 | GAITHERSBURG | MD | 208781419 | 274758462 | WELLNESS | MD | 501(C)(3) | LINE 9 | ADVENTIST HEALTHCARE INC | 0 | |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (2 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Direct Controlling NADirectControllingNACd | Predominant Income TypePredominantIncomeTypeTxt | Disproportionate AllocationsDisproportionateAllocationsInd | General Or Managing PartnerGeneralOrManagingPartnerInd |
|---|---|---|---|---|---|---|---|---|---|---|
| GERMANTOWN OUTPATIENT IMAGING | ||||||||||
| 820 WEST DIAMOND AVE SUITE 600 | GAITHERSBURG | MD | 208781419 | 204395818 | OUTPATIENT IMAGING | MD | N/A | RELATED | 0 | 0 |
| SHADY GROVE MEDICAL BUILDING LLC | ||||||||||
| 1650 TYSONS BOULEVARD STE 820 | MCLEAN | VA | 22102 | 274599411 | MEDICAL OFFICE BUILDING | MD | N/A | RELATED | 0 | 0 |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (3 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Entity TypeEntityTypeTxt | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|
| PREMIER MEDICAL NETWORK INC | |||||||||
| 820 WEST DIAMOND AVE SUITE 600 | GAITHERSBURG | MD | 208781419 | 521952469 | JOINT PHYSICIAN CONT | MD | ADVENTIST HEALTHCARE INC | C | 0 |
| CLARKSBURG COMMUNITY HOSPITAL INC | |||||||||
| 820 WEST DIAMOND AVE SUITE 600 | GAITHERSBURG | MD | 208781419 | 272330124 | HOLDS PROPERTY FOR FUTURE NON-PROFIT HOSPITAL | MD | ADVENTIST HEALTHCARE INC | C | 0 |
| WASHINGTON ADVENTIST HOSPITAL INC | |||||||||
| 820 WEST DIAMOND AVE SUITE 600 | GAITHERSBURG | MD | 208781419 | 272330170 | HOLDS PROPERTY FOR FUTURE NON-PROFIT HOSPITAL | MD | ADVENTIST HEALTHCARE INC | C | 0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | 0 | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (1) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | 0 | SharingOfFacilitiesInd |
| Paid Employees Sharing | 0 | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp
Other Organization Name OtherOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ADVENTIST HEALTHCARE INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Transaction Type | M | TransactionTypeTxt |
| Involved | $357,027 | InvolvedAmt |
| Method Of Amount Determination | COST | MethodOfAmountDeterminationTxt |
Comments