TY 2022 Form 990

(A) Name and title	(B) Average hours per week (list any hours for related organizations below dotted line)	(C) Position (do not check more than one box, unless person is both an officer and a director/trustee)	(E) Reportable compensation from related organizations (W-2/1099-MISC/1099-NEC)
(1) TERRY FORDE...................................................................... PRESIDENT & CEO, AHC	45.00 ................. 5.00	X	X	1,513,716	0	63,683
(2) MARISSA LESLIE MD...................................................................... BOARD; SYSTEM MED DIR OF PSYCHIATRY	2.00 ................. 38.00	X		0	371,959	30,641
(3) BRETT GAMMA MD...................................................................... BOARD MEMBER	1.00 .................	X		79,250	0	0
(4) SAFY JOHN MD...................................................................... BOARD MEMBER	1.00 .................	X		16,000	0	0
(5) EMMANUEL ASIEDU...................................................................... BOARD TREASURER	1.00 .................	X		12,750	0	0
(6) DAVID E WEIGLEY...................................................................... BOARD CHAIR	1.00 .................	X		12,130	0	0
(7) NICOLAS CACCIABEVE MD...................................................................... BOARD MEMBER	1.00 .................	X		3,000	0	0
(8) CELESTE RYAN BLYDEN...................................................................... BOARD SECRETARY	1.00 .................	X		750	0	0
(9) PAUL ALPUCHE ESQ...................................................................... BOARD MEMBER	1.00 .................	X		0	0	0
(10) JAMES BOYLE...................................................................... BOARD MEMBER	1.00 .................	X		0	0	0
(11) ROBERT CLARKE...................................................................... BOARD MEMBER	1.00 .................	X		0	0	0
(12) FRANKLIN DAVID...................................................................... BOARD MEMBER	1.00 .................	X		0	0	0
(13) JANET DEVINNEY...................................................................... BOARD MEMBER	1.00 .................	X		0	0	0
(14) CHERYL KISUNZU...................................................................... BOARD MEMBER	1.00 .................	X		0	0	0
(15) CHARLES TAPP...................................................................... BOARD MEMBER	1.00 .................	X		0	0	0
(16) HENRY MOSLEY...................................................................... BOARD MEMBER	1.00 .................	X		0	0	0
(17) JOHN SACKETT...................................................................... EVP & COO, AHC	40.00 ................. 10.00		X	1,034,422	0	70,167

(A) Name and title	(B) Average hours per week (list any hours for related organizations below dotted line)	(E) Reportable compensation from related organizations (W-2/1099-MISC/1099-NEC)	(F) Estimated amount of other compensation from the organization and related organizations
(18) KRISTEN PULIO........................................................................ SVP & CFO, AHC	44.00 .......................6.00	X			751,379	179,851
(19) JAMES G LEE........................................................................ EVP & CSO-GWTH, AHC-UNTIL MAY 2022	38.00 .......................12.00	X			628,944	22,795
(20) DANIEL L COCHRAN........................................................................ PRESIDENT, SGMC	44.00 .......................6.00		X		785,143	184,334
(21) ANITA JENKINS........................................................................ PRESIDENT,HOWARD UNIVERSITY HOSPITAL	50.00 .......................		X		825,082	43,372
(22) ANTHONY STAHL........................................................................ PRESIDENT, WOMC	42.00 .......................8.00		X		691,035	170,625
(23) EUNMEE SHIM........................................................................ PRESIDENT, FWMC	8.00 .......................42.00		X		691,885	150,467
(24) PATSY MCNEIL........................................................................ SVP, SYSTEM CHIEF MEDICAL OFFICER	38.00 .......................2.00		X		690,339	147,815
(25) MARTA BRITO PEREZ........................................................................ SVP,POP. HEALTH/POST-ACUTE CARE SVCS	10.00 .......................40.00		X		769,858	42,454
(26) STEVEN BOYCE MD........................................................................ PHYSICIAN	50.00 .......................			X	1,428,521	34,581
(27) NIV AD MD........................................................................ PHYSICIAN	50.00 .......................			X	1,206,795	27,605
(28) JONATHAN RHEE MD........................................................................ PHYSICIAN	50.00 .......................			X	1,001,699	45,490
(29) SHERIF SELIM MD........................................................................ PHYSICIAN	50.00 .......................			X	911,366	41,780
(30) DENNIS FRIEDMAN MD........................................................................ PHYSICIAN	50.00 .......................			X	720,215	36,314

(A) Name and business address	(B) Description of services	(C) Compensation
QUALIVIS LLC PO BOX 123847 DEPT3847 DALLAS,TX753123847	STAFFING/RECRUITMENT SERVICES	104,653,199
USACS INTEGRATED ACUTE CARE SERVICES PO BOX 645948 CINCINNATI,OH45264	PHYSICIAN PROVIDERS	28,400,535
QUEST DIAGNOSTICS 14225 NEWBROOK DR CHANTILLY,VA191761303	CLINICAL LAB SERVICES	24,331,847
AYA HEALTHCARE INC PO BOX 123519 DEPT3519 DALLAS,TX753123519	STAFFING/RECRUITMENT SERVICES	18,928,432
MEDPRO HEALTHCARE STAFFING 9001 MEDICAL CENTER DR ROCKVILLE,MD20850	STAFFING/RECRUITMENT SERVICES	9,524,965
2 Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization 198

- TIN:

SCHEDULE A
(Form 990)

Department of the Treasury
Internal Revenue Service

Public Charity Status and Public Support

Complete if the organization is a section 501(c)(3) organization or a section 4947(a)(1) nonexempt charitable trust.
right arrow

Attach to Form 990 or Form 990-EZ.
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Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2022

Open to Public
Inspection

Name of the organization

ADVENTIST HEALTHCARE INC

Employer identification number

52-1532556

Part I

Reason for Public Charity Status (All organizations must complete this part.) See instructions.

The organization is not a private foundation because it is: (For lines 1 through 12, check only one box.)

A church, convention of churches, or association of churches described in section 170(b)(1)(A)(i).

A school described in section 170(b)(1)(A)(ii). (Attach Schedule E (Form 990).)

A hospital or a cooperative hospital service organization described in section 170(b)(1)(A)(iii).

A medical research organization operated in conjunction with a hospital described in section 170(b)(1)(A)(iii). Enter the hospital's name, city, and state:

An organization operated for the benefit of a college or university owned or operated by a governmental unit described in section 170(b)(1)(A)(iv). (Complete Part II.)

A federal, state, or local government or governmental unit described in section 170(b)(1)(A)(v).

An organization that normally receives a substantial part of its support from a governmental unit or from the general public described in section 170(b)(1)(A)(vi). (Complete Part II.)

A community trust described in section 170(b)(1)(A)(vi). (Complete Part II.)

An agricultural research organization described in 170(b)(1)(A)(ix) operated in conjunction with a land-grant college or university or a non-land grant college of agriculture. See instructions. Enter the name, city, and state of the college or university:

An organization that normally receives: (1) more than 33 1/3% of its support from contributions, membership fees, and gross receipts from activities related to its exempt functions—subject to certain exceptions, and (2) no more than 33 1/3% of its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses acquired by the organization after June 30, 1975. See section 509(a)(2). (Complete Part III.)

An organization organized and operated exclusively to test for public safety. See section 509(a)(4).

An organization organized and operated exclusively for the benefit of, to perform the functions of, or to carry out the purposes of one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2). See section 509(a)(3). Check the box on lines 12a through 12d that describes the type of supporting organization and complete lines 12e, 12f, and 12g.

Type I. A supporting organization operated, supervised, or controlled by its supported organization(s), typically by giving the supported organization(s) the power to regularly appoint or elect a majority of the directors or trustees of the supporting organization. You must complete Part IV, Sections A and B.

Type II. A supporting organization supervised or controlled in connection with its supported organization(s), by having control or management of the supporting organization vested in the same persons that control or manage the supported organization(s). You must complete Part IV, Sections A and C.

Type III functionally integrated. A supporting organization operated in connection with, and functionally integrated with, its supported organization(s) (see instructions). You must complete Part IV, Sections A, D, and E.

Type III non-functionally integrated. A supporting organization operated in connection with its supported organization(s) that is not functionally integrated. The organization generally must satisfy a distribution requirement and an attentiveness requirement (see instructions). You must complete Part IV, Sections A and D, and Part V.

Check this box if the organization received a written determination from the IRS that it is a Type I, Type II, Type III functionally integrated, or Type III non-functionally integrated supporting organization.

Enter the number of supported organizations ...............................

Provide the following information about the supported organization(s).

(i) Name of supported organization	(ii) EIN	(iv) Is the organization listed in your governing document?		(v) Amount of monetary support (see instructions)	(vi) Amount of other support (see instructions)
(i) Name of supported organization	(ii) EIN	Yes	No	(v) Amount of monetary support (see instructions)	(vi) Amount of other support (see instructions)


Total

For Paperwork Reduction Act Notice, see the Instructions for
Form 990 or 990-EZ.

Cat. No. 11285F

Schedule A (Form 990) 2022

Page 2

Part II

Support Schedule for Organizations Described in Sections 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi)
(Complete only if you checked the box on line 5, 7, or 8 of Part I or if the organization failed to qualify under Part III. If the organization failed to qualify under the tests listed below, please complete Part III.)

Section A. Public Support

Calendar year (or fiscal year beginning in)		(a) 2018	(b) 2019	(c) 2020	(d) 2021	(e) 2022	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grant.") ..
2	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf....
3	The value of services or facilities furnished by a governmental unit to the organization without charge..
4	Total. Add lines 1 through 3
5	The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f) ..
6	Public support. Subtract line 5 from line 4.

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2018	(b) 2019	(c) 2020	(d) 2021	(e) 2022	(f) Total
7	Amounts from line 4..
8	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources...
9	Net income from unrelated business activities, whether or not the business is regularly carried on..
10	Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.)..
11	Total support. Add lines 7 through 10

Gross receipts from related activities, etc. (see instructions) ..................

First 5 years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization, check this box and stop here ........................................ right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2022 (line 6, column (f) divided by line 11, column (f)) .........

Public support percentage for 2020 Schedule A, Part II, line 14 ...............

16a

33 1/3% support test—2022. If the organization did not check the box on line 13, and line 14 is 33 1/3% or more, check this box
and stop here. The organization qualifies as a publicly supported organization ....................... right arrow

33 1/3% support test—2021. If the organization did not check a box on line 13 or 16a, and line 15 is 33 1/3% or more, check this
box and stop here. The organization qualifies as a publicly supported organization ..................... right arrow

17a

10%-facts-and-circumstances test—2022. If the organization did not check a box on line 13, 16a, or 16b, and line 14 is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here. Explain in Part VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported organization ............ right arrow

10%-facts-and-circumstances test—2021. If the organization did not check a box on line 13, 16a, 16b, or 17a, and line 15 is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here. Explain in Part VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported organization ............ right arrow

Private foundation. If the organization did not check a box on line 13, 16a, 16b, 17a, or 17b, check this box and see
instructions ..................................................... right arrow

Schedule A (Form 990) 2022

Page 3

Part III

Support Schedule for Organizations Described in Section 509(a)(2)
(Complete only if you checked the box on line 10 of Part I or if the organization failed to qualify under Part II. If the organization fails to qualify under the tests listed below, please complete Part II.)

Section A. Public Support

Calendar year (or fiscal year beginning in)		(a) 2018	(b) 2019	(c) 2020	(d) 2021	(e) 2022	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .
2	Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose
3	Gross receipts from activities that are not an unrelated trade or business under section 513 .....
4	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...
5	The value of services or facilities furnished by a governmental unit to the organization without charge
6	Total. Add lines 1 through 5
7a	Amounts included on lines 1, 2, and 3 received from disqualified persons
b	Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year.
c	Add lines 7a and 7b..
8	Public support. (Subtract line 7c from line 6.)

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2018	(b) 2019	(c) 2020	(d) 2021	(e) 2022	(f) Total
9	Amounts from line 6...
10a	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
b	Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.
c	Add lines 10a and 10b.
11	Net income from unrelated business activities not included on line 10b, whether or not the business is regularly carried on.
12	Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.) ..
13	Total support. (Add lines 9, 10c, 11, and 12.)..

First 5 years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization, check this box and stop here................................................. right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2022 (line 8, column (f) divided by line 13, column (f)) .........

Public support percentage from 2021 Schedule A, Part III, line 15 ...............

Section D. Computation of Investment Income Percentage

Investment income percentage for 2022 (line 10c, column (f) divided by line 13, column (f)) ......

Investment income percentage from 2021 Schedule A, Part III, line 17 .............

19a

33 1/3% support tests-2022. If the organization did not check the box on line 14, and line 15 is more than 33 1/3%, and line 17 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization ....... right arrow

33 1/3% support tests—2021. If the organization did not check a box on line 14 or line 19a, and line 16 is more than 33 1/3% and line 18 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization ..... right arrow

Private foundation. If the organization did not check a box on line 14, 19a, or 19b, check this box and see instructions .... right arrow

Schedule A (Form 990) 2022

Page 4

Part IV

Supporting Organizations

(Complete only if you checked a box on line 12 of Part I. If you checked box 12a, of Part I, complete Sections A and B. If you checked box 12b, of Part I, complete Sections A and C. If you checked box 12c, of Part I, complete Sections A, D, and E. If you checked box12d, of Part I, complete Sections A and D, and complete Part V.)

Section A. All Supporting Organizations

Yes

Are all of the organization’s supported organizations listed by name in the organization’s governing documents?
If "No," describe in Part VI how the supported organizations are designated. If designated by class or purpose,
describe the designation. If historic and continuing relationship, explain.

Did the organization have any supported organization that does not have an IRS determination of status under section 509(a)(1) or (2)? If "Yes," explain in Part VI how the organization determined that the supported organization was described in section 509(a)(1) or (2).

Did the organization have a supported organization described in section 501(c)(4), (5), or (6)? If "Yes," answer lines 3b and 3c below.

Did the organization confirm that each supported organization qualified under section 501(c)(4), (5), or (6) and satisfied the public support tests under section 509(a)(2)? If "Yes," describe in Part VI when and how the organization made the determination.

Did the organization ensure that all support to such organizations was used exclusively for section 170(c)(2)(B) purposes? If "Yes," explain in Part VI what controls the organization put in place to ensure such use.

Was any supported organization not organized in the United States ("foreign supported organization")? If “Yes” and if you checked box 12a or 12b in Part I, answer lines 4b and 4c below.

Did the organization have ultimate control and discretion in deciding whether to make grants to the foreign supported organization? If “Yes,” describe in Part VI how the organization had such control and discretion despite being controlled or supervised by or in connection with its supported organizations.

Did the organization support any foreign supported organization that does not have an IRS determination under sections 501(c)(3) and 509(a)(1) or (2)? If “Yes,” explain in Part VI what controls the organization used to ensure that all support to the foreign supported organization was used exclusively for section 170(c)(2)(B) purposes.

Did the organization add, substitute, or remove any supported organizations during the tax year? If “Yes,” answer lines 5b and 5c below (if applicable). Also, provide detail in Part VI, including (i) the names and EIN numbers of the supported organizations added, substituted, or removed; (ii) the reasons for each such action; (iii) the authority under the organization's organizing document authorizing such action; and (iv) how the action was accomplished (such as by amendment to the organizing document).

Type I or Type II only. Was any added or substituted supported organization part of a class already designated in the organization's organizing document?

Substitutions only. Was the substitution the result of an event beyond the organization's control?

Did the organization provide support (whether in the form of grants or the provision of services or facilities) to anyone other than (i) its supported organizations, (ii) individuals that are part of the charitable class benefited by one or more of its supported organizations, or (iii) other supporting organizations that also support or benefit one or more of the filing organization’s supported organizations? If “Yes,” provide detail in Part VI.

Did the organization provide a grant, loan, compensation, or other similar payment to a substantial contributor (defined in section 4958(c)(3)(C)), a family member of a substantial contributor, or a 35% controlled entity with regard to a substantial contributor? If “Yes,” complete Part I of Schedule L (Form 990) .

Did the organization make a loan to a disqualified person (as defined in section 4958) not described on line 7? If “Yes,” complete Part I of Schedule L (Form 990).

Was the organization controlled directly or indirectly at any time during the tax year by one or more disqualified persons, as defined in section 4946 (other than foundation managers and organizations described in section 509(a)(1) or (2))? If “Yes,” provide detail in Part VI.

Did one or more disqualified persons (as defined on line 9a) hold a controlling interest in any entity in which the supporting organization had an interest? If “Yes,” provide detail in Part VI.

Did a disqualified person (as defined on line 9a) have an ownership interest in, or derive any personal benefit from, assets in which the supporting organization also had an interest? If “Yes,” provide detail in Part VI.

10a

Was the organization subject to the excess business holdings rules of section 4943 because of section 4943(f) (regarding certain Type II supporting organizations, and all Type III non-functionally integrated supporting organizations)? If “Yes,” answer line 10b below.

10a

Did the organization have any excess business holdings in the tax year? (Use Schedule C, Form 4720, to determine whether the organization had excess business holdings).

10b

Schedule A (Form 990) 2022

Page 5

Part IV

Supporting Organizations (continued)

Yes

Has the organization accepted a gift or contribution from any of the following persons?

A person who directly or indirectly controls, either alone or together with persons described on lines 11b and 11c below, the governing body of a supported organization?

11a

A family member of a person described on 11a above?

11b

A 35% controlled entity of a person described on line 11a or 11b above? If “Yes” to 11a, 11b, or 11c, provide detail in Part VI.

11c

Section B. Type I Supporting Organizations

Yes

Did the officers, directors, trustees, or membership of one or more supported organizations have the power to regularly appoint or elect at least a majority of the organization’s directors or trustees at all times during the tax year? If “No,” describe in Part VI how the supported organization(s) effectively operated, supervised, or controlled the organization’s activities. If the organization had more than one supported organization, describe how the powers to appoint and/or remove directors or trustees were allocated among the supported organizations and what conditions or restrictions, if any, applied to such powers during the tax year.

Did the organization operate for the benefit of any supported organization other than the supported organization(s) that operated, supervised, or controlled the supporting organization? If “Yes,” explain in Part VI how providing such benefit carried out the purposes of the supported organization(s) that operated, supervised or controlled the supporting organization.

Section C. Type II Supporting Organizations

Yes

Were a majority of the organization’s directors or trustees during the tax year also a majority of the directors or trustees of each of the organization’s supported organization(s)? If “No,” describe in Part VI how control or management of the supporting organization was vested in the same persons that controlled or managed the supported organization(s).

Section D. All Type III Supporting Organizations

Yes

Did the organization provide to each of its supported organizations, by the last day of the fifth month of the organization’s tax year, (i) a written notice describing the type and amount of support provided during the prior tax year, (ii) a copy of the Form 990 that was most recently filed as of the date of notification, and (iii) copies of the organization’s governing documents in effect on the date of notification, to the extent not previously provided?

Were any of the organization’s officers, directors, or trustees either (i) appointed or elected by the supported organization(s) or (ii) serving on the governing body of a supported organization? If "No," explain in Part VI how the organization maintained a close and continuous working relationship with the supported organization(s).

By reason of the relationship described in line 2 above, did the organization’s supported organizations have a significant voice in the organization’s investment policies and in directing the use of the organization’s income or assets at all times during the tax year? If "Yes," describe in Part VI the role the organization’s supported organizations played in this regard.

Section E. Type III Functionally-Integrated Supporting Organizations

Check the box next to the method that the organization used to satisfy the Integral Part Test during the year (see instructions):

The organization satisfied the Activities Test. Complete line 2 below.

The organization is the parent of each of its supported organizations. Complete line 3 below.

The organization supported a governmental entity. Describe in Part VI how you supported a government entity (see instructions)

Activities Test. Answer lines 2a and 2b below.

Yes

Did substantially all of the organization’s activities during the tax year directly further the exempt purposes of the supported organization(s) to which the organization was responsive? If "Yes," then in Part VI identify those supported organizations and explain how these activities directly furthered their exempt purposes, how the organization was responsive to those supported organizations, and how the organization determined that these activities constituted substantially all of its activities.

Did the activities described on line 2a, above constitute activities that, but for the organization’s involvement, one or more of the organization’s supported organization(s) would have been engaged in? If "Yes," explain in Part VI the reasons for the organization’s position that its supported organization(s) would have engaged in these activities but for the organization’s involvement.

Parent of Supported Organizations. Answer lines 3a and 3b below.

Did the organization have the power to regularly appoint or elect a majority of the officers, directors, or trustees of each of the supported organizations?If "Yes" or "No", provide details in Part VI.

Did the organization exercise a substantial degree of direction over the policies, programs and activities of each of its supported organizations? If "Yes," describe in Part VI. the role played by the organization in this regard.

Schedule A (Form 990) 2022

Page 6

Part V

Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations

Check here if the organization satisfied the Integral Part Test as a qualifying trust on Nov. 20, 1970 (explain in Part VI). See instructions. All other Type III non-functionally integrated supporting organizations must complete Sections A through E.

	Section A - Adjusted Net Income		(A) Prior Year	(B) Current Year (optional)
1	Net short-term capital gain	1
2	Recoveries of prior-year distributions	2
3	Other gross income (see instructions)	3
4	Add lines 1 through 3	4
5	Depreciation and depletion	5
6	Portion of operating expenses paid or incurred for production or collection of gross income or for management, conservation, or maintenance of property held for production of income (see instructions)	6
7	Other expenses (see instructions)	7
8	Adjusted Net Income (subtract lines 5, 6 and 7 from line 4)	8

	Section B - Minimum Asset Amount		(A) Prior Year	(B) Current Year (optional)
1	Aggregate fair market value of all non-exempt-use assets (see instructions for short tax year or assets held for part of year):	1
a	Average monthly value of securities	1a
b	Average monthly cash balances	1b
c	Fair market value of other non-exempt-use assets	1c
d	Total (add lines 1a, 1b, and 1c)	1d
e	Discount claimed for blockage or other factors (explain in detail in Part VI):
2	Acquisition indebtedness applicable to non-exempt use assets	2
3	Subtract line 2 from line 1d	3
4	Cash deemed held for exempt use. Enter 0.015 of line 3 (for greater amount, see instructions).	4
5	Net value of non-exempt-use assets (subtract line 4 from line 3)	5
6	Multiply line 5 by 0.035	6
7	Recoveries of prior-year distributions	7
8	Minimum Asset Amount (add line 7 to line 6)	8

	Section C - Distributable Amount		Current Year
1	Adjusted net income for prior year (from Section A, line 8, Column A)	1
2	Enter 85% of line 1	2
3	Minimum asset amount for prior year (from Section B, line 8, Column A)	3
4	Enter greater of line 2 or line 3	4
5	Income tax imposed in prior year	5
6	Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions)	6

Check here if the current year is the organization's first as a non-functionally-integrated Type III supporting organization (see instructions)

Schedule A (Form 990) 2022

Page 7

Part V

Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations(continued)

Section D - Distributions		Current Year
1 Amounts paid to supported organizations to accomplish exempt purposes	1
2 Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in excess of income from activity	2
3 Administrative expenses paid to accomplish exempt purposes of supported organizations	3
4 Amounts paid to acquire exempt-use assets	4
5 Qualified set-aside amounts (prior IRS approval required - provide details in Part VI)	5
6 Other distributions (describe in Part VI). See instructions	6
7Total annual distributions. Add lines 1 through 6.	7
8 Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI). See instructions	8
9 Distributable amount for 2022 from Section C, line 6	9
10 Line 8 amount divided by Line 9 amount	10

Section E - Distribution Allocations (see instructions)		(i) Excess Distributions	(ii) Underdistributions Pre-2022	(iii) Distributable Amount for 2022
1 Distributable amount for 2022 from Section C, line 6
2 Underdistributions, if any, for years prior to 2022 (reasonable cause required-- explain in Part VI). See instructions.
3 Excess distributions carryover, if any, to 2022:
a From 2017.......
b From 2018.......
c From 2019.......
d From 2020.......
e From 2021.......
fTotal of lines 3a through e
g Applied to underdistributions of prior years
h Applied to 2022 distributable amount
i Carryover from 2017 not applied (see instructions)
j Remainder. Subtract lines 3g, 3h, and 3i from line 3f.
4Distributions for 2022 from Section D, line 7:
$
a Applied to underdistributions of prior years
b Applied to 2022 distributable amount
c Remainder. Subtract lines 4a and 4b from line 4.
5 Remaining underdistributions for years prior to 2022, if any. Subtract lines 3g and 4a from line 2. If the amount is greater than zero, explain in Part VI. See instructions.
6 Remaining underdistributions for 2022. Subtract lines 3h and 4b from line 1. If the amount is greater than zero, explain in Part VI. See instructions.
7 Excess distributions carryover to 2023. Add lines 3j and 4c.
8 Breakdown of line 7:
a Excess from 2018.....
b Excess from 2019.....
c Excess from 2020.....
d Excess from 2021.....
e Excess from 2022.....

Schedule A (Form 990) (2022)

Schedule A (Form 990) 2022

Page 8

Part VI

Supplemental Information. Provide the explanations required by Part II, line 10; Part II, line 17a or 17b; Part III, line 12; Part IV, Section A, lines 1, 2, 3b, 3c, 4b, 4c, 5a, 6, 9a, 9b, 9c, 11a, 11b, and 11c; Part IV, Section B, lines 1 and 2; Part IV, Section C, line 1; Part IV, Section D, lines 2 and 3; Part IV, Section E, lines 1c, 2a, 2b, 3a and 3b; Part V, line 1; Part V, Section B, line 1e; Part V Section D, lines 5, 6, and 8; and Part V, Section E, lines 2, 5, and 6. Also complete this part for any additional information. (See instructions).

Facts And Circumstances Test

Return Reference	Explanation

Schedule A (Form 990) 2022

Additional Data

Software ID:
Software Version:

- TIN:

Schedule B
(Form 990)

Department of the Treasury
Internal Revenue Service

Schedule of Contributors

Attach to Form 990, 990-EZ, or 990-PF.

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2022

Name of the organization

ADVENTIST HEALTHCARE INC

Employer identification number

52-1532556

Organization type (check one):

Filers of:

Section:

Form 990 or 990-EZ

501(c)( ) (enter number) organization

4947(a)(1) nonexempt charitable trust not treated as a private foundation

527 political organization

Form 990-PF

501(c)(3) exempt private foundation

4947(a)(1) nonexempt charitable trust treated as a private foundation

501(c)(3) taxable private foundation

Check if your organization is covered by the General Rule or a Special Rule.
Note: Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions.

General Rule

For an organization filing Form 990, 990-EZ, or 990-PF that received, during the year, contributions totaling $5,000 or more (in money or other property) from any one contributor. Complete Parts I and II. See instructions for determining a contributor's total contributions.

Special Rules

For an organization described in section 501(c)(3) filing Form 990 or 990-EZ that met the 33¹/3% support test of the regulations
under sections 509(a)(1) and 170(b)(1)(A)(vi), that checked Schedule A (Form 990 or 990-EZ), Part II, line 13, 16a, or 16b, and that received from any one contributor, during the year, total contributions of the greater of (1) $5,000 or (2) 2% of the amount on (i) Form 990, Part VIII, line 1h, or (ii) Form 990-EZ, line 1. Complete Parts I and II.

For an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor,
during the year, total contributions of more than $1,000 exclusively for religious, charitable, scientific, literary, or educational purposes, or for the prevention of cruelty to children or animals. Complete Parts I, II, and III.

For an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor,
during the year, contributions exclusively for religious, charitable, etc., purposes, but no such contributions totaled more than $1,000. If this box is checked, enter here the total contributions that were received during the year for an exclusively religious, charitable, etc., purpose. Don't complete any of the parts unless the General Rule applies to this organization because it received nonexclusively religious, charitable, etc., contributions totaling $5,000 or more during the year ......... Arrow Bullet

Caution: An organization that isn't covered by the General Rule and/or the Special Rules doesn't file Schedule B (Form 990,
990-EZ, or 990-PF), but it must answer “No” on Part IV, line 2, of its Form 990; or check the box on line H of its Form 990-EZ
or on its Form 990PF, Part I, line 2, to certify that it doesn't meet the filing requirements of Schedule B (Form 990,
990-EZ, or 990-PF).

For Paperwork Reduction Act Notice, see the Instructions
for Form 990, 990-EZ, or 990-PF.

Cat. No. 30613XSchedule B (Form 990) (2022)

Schedule B (Form 990) (2022) Page 2

Name of organization ADVENTIST HEALTHCARE INC

Part I Contributors	Contributors (see instructions). Use duplicate copies of Part I if additional space is needed.
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
RESTRICTED	,	$ RESTRICTED	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
Schedule B (Form 990) (2022)

Schedule B (Form 990) (2022)

Page 3

Name of organization ADVENTIST HEALTHCARE INC		Employer identification number 52-1532556

Part II	Noncash Property (see instructions). Use duplicate copies of Part II if additional space is needed.
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
Schedule B (Form 990) (2022)

Schedule B (Form 990) (2022)

Page 4


Name of organization ADVENTIST HEALTHCARE INC			Employer identification number 52-1532556
Part III Exclusively religious, charitable, etc., contributions to organizations described in section 501(c)(7), (8), or (10) that total more than $1,000 for the year from any one contributor. Complete columns (a) through (e) and the following line entry. For organizations completing Part III, enter the total of exclusively religious, charitable, etc., contributions of $1,000 or less for the year. (Enter this information once. See instructions.) $ Use duplicate copies of Part III if additional space is needed.

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

Schedule B (Form 990) (2022)

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE C
(Form 990)

Department of the Treasury
Internal Revenue Service

Political Campaign and Lobbying Activities

For Organizations Exempt From Income Tax Under section 501(c) and section 527

SchCMd Bullet

Complete if the organization is described below. SchCMd Bullet

Attach to Form 990 or Form 990-EZ.
SchCMd Bullet

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2021

Open to Public
Inspection

If the organization answered "Yes" on Form 990, Part IV, Line 3, or Form 990-EZ, Part V, line 46 (Political Campaign Activities), then
Round Bullet

Section 501(c)(3) organizations: Complete Parts I-A and B. Do not complete Part I-C.
Round Bullet

Section 501(c) (other than section 501(c)(3)) organizations: Complete Parts I-A and C below. Do not complete Part I-B.
Round Bullet

Section 527 organizations: Complete Part I-A only.
If the organization answered "Yes" on Form 990, Part IV, Line 4, or Form 990-EZ, Part VI, line 47 (Lobbying Activities), then
Round Bullet

Section 501(c)(3) organizations that have filed Form 5768 (election under section 501(h)): Complete Part II-A. Do not complete Part II-B.
Round Bullet

Section 501(c)(3) organizations that have NOT filed Form 5768 (election under section 501(h)): Complete Part II-B. Do not complete Part II-A.
If the organization answered "Yes" on Form 990, Part IV, Line 5 (Proxy Tax) (see separate instructions) or Form 990-EZ, Part V, line 35c (Proxy Tax) (see separate instructions), then
Round Bullet

Section 501(c)(4), (5), or (6) organizations: Complete Part III.

Name of the organization

ADVENTIST HEALTHCARE INC

Employer identification number

52-1532556

Part I-A

Complete if the organization is exempt under section 501(c) or is a section 527 organization.

Provide a description of the organization’s direct and indirect political campaign activities in Part IV. See instructions for definition of “political campaign activities."

Political campaign activity expenditures. See instructions .................................................................... SchCMd Bullet

Volunteer hours for political campaign activities. See instructions ..................................................................

Part I-B

Complete if the organization is exempt under section 501(c)(3).

Enter the amount of any excise tax incurred by the organization under section 4955 ................................ SchCMd Bullet

Enter the amount of any excise tax incurred by organization managers under section 4955 ....................... SchCMd Bullet

If the organization incurred a section 4955 tax, did it file Form 4720 for this year? .........................................

Yes No

Was a correction made? ......................................................................................................................

Yes No

If "Yes," describe in Part IV.

Part I-C

Complete if the organization is exempt under section 501(c), except section 501(c)(3).

Enter the amount directly expended by the filing organization for section 527 exempt function activities ..... SchCMd Bullet

Enter the amount of the filing organization's funds contributed to other organizations for section 527 exempt function activities ............................................................................................................................ SchCMd Bullet

Total exempt function expenditures. Add lines 1 and 2. Enter here and on Form 1120-POL, line 17b........... SchCMd Bullet

Did the filing organization file Form 1120-POL for this year? ...................................................................

Yes No

Enter the names, addresses and employer identification number (EIN) of all section 527 political organizations to which the filing
organization made payments. For each organization listed, enter the amount paid from the filing organization’s funds. Also enter the amount of political contributions received that were promptly and directly delivered to a separate political organization, such as a separate segregated fund or a political action committee (PAC). If additional space is needed, provide information in Part IV.

(a) Name	(b) Address	(c) EIN	(d) Amount paid from filing organization's funds. If none, enter -0-.	(e) Amount of political contributions received and promptly and directly delivered to a separate political organization. If none, enter -0-.
1
2
3
4
5
6

For Paperwork Reduction Act Notice, see the instructions for Form 990.

Cat. No. 50084S

Schedule C (Form 990) 2021

Page 2

Part II-A

Complete if the organization is exempt under section 501(c)(3) and filed Form 5768 (election under section 501(h)).

A Check SchCMd Bullet

if the filing organization belongs to an affiliated group (and list in Part IV each affiliated group member's name, address, EIN, expenses, and share of excess lobbying expenditures).
B Check SchCMd Bullet

if the filing organization checked box A and "limited control" provisions apply.

Limits on Lobbying Expenditures (The term "expenditures" means amounts paid or incurred.)		(b) Affiliated group totals
1a	Total lobbying expenditures to influence public opinion (grass roots lobbying) ......................
b	Total lobbying expenditures to influence a legislative body (direct lobbying) ........................
c	Total lobbying expenditures (add lines 1a and 1b) ............................................................
d	Other exempt purpose expenditures ...............................................................................
e	Total exempt purpose expenditures (add lines 1c and 1d) ..................................................
f	Lobbying nontaxable amount. Enter the amount from the following table in both columns.
	If the amount on line 1e, column (a) or (b) is:The lobbying nontaxable amount is:
	Not over $500,00020% of the amount on line 1e.
	Over $500,000 but not over $1,000,000$100,000 plus 15% of the excess over $500,000.
	Over $1,000,000 but not over $1,500,000$175,000 plus 10% of the excess over $1,000,000.
	Over $1,500,000 but not over $17,000,000$225,000 plus 5% of the excess over $1,500,000.
	Over $17,000,000$1,000,000.

g	Grassroots nontaxable amount (enter 25% of line 1f) .................................................
h	Subtract line 1g from line 1a. If zero or less, enter -0-. ................................................
i	Subtract line 1f from line 1c. If zero or less, enter -0-. ................................................
j	If there is an amount other than zero on either line 1h or line 1i, did the organization file Form 4720 reporting section 4911 tax for this year? ...................................................................................................................	Yes No

4-Year Averaging Period Under Section 501(h) (Some organizations that made a section 501(h) election do not have to complete all of the five columns below. See the separate instructions for lines 2a through 2f.)
Lobbying Expenditures During 4-Year Averaging Period
	Calendar year (or fiscal year beginning in)	(a) 2018	(b) 2019	(c) 2020	(d) 2021	(e) Total

2a	Lobbying nontaxable amount

b	Lobbying ceiling amount (150% of line 2a, column(e))

c	Total lobbying expenditures

d	Grassroots nontaxable amount

e	Grassroots ceiling amount (150% of line 2d, column (e))

f	Grassroots lobbying expenditures

Schedule C (Form 990) 2021

Page 3

Part II-B

Complete if the organization is exempt under section 501(c)(3) and has NOT filed Form 5768 (election under section 501(h)).

For each "Yes" response on lines 1a through 1i below, provide in Part IV a detailed description of the lobbying activity.

(a)

Yes|No

(b)

Amount

During the year, did the filing organization attempt to influence foreign, national, state or local legislation, including any attempt to influence public opinion on a legislative matter or referendum, through the use of:

Volunteers? ...........................................................................................................

Paid staff or management (include compensation in expenses reported on lines 1c through 1i)? ........

Yes

Media advertisements? ...................................................................................................

Mailings to members, legislators, or the public? .............................................................................

Publications, or published or broadcast statements? ...........................................................

Grants to other organizations for lobbying purposes? ..........................................................

Direct contact with legislators, their staffs, government officials, or a legislative body? .......................

Yes

110,000

Rallies, demonstrations, seminars, conventions, speeches, lectures, or any similar means? ..................

Other activities? ...................................................................................................................

Total. Add lines 1c through 1i ....................................................................................................

110,000

Did the activities in line 1 cause the organization to be not described in section 501(c)(3)? .....

If "Yes," enter the amount of any tax incurred under section 4912 ...........................................

If "Yes," enter the amount of any tax incurred by organization managers under section 4912 ...................

If the filing organization incurred a section 4912 tax, did it file Form 4720 for this year? ........................

Part III-A

Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6).

Yes

Were substantially all (90% or more) dues received nondeductible by members? ...............................................

Did the organization make only in-house lobbying expenditures of $2,000 or less? ............................................

Did the organization agree to carry over lobbying and political expenditures from the prior year? .................................

Part III-B

Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6) and if either (a) BOTH Part III-A, lines 1 and 2, are answered "No" OR (b) Part III-A, line 3, is answered “Yes."

Dues, assessments and similar amounts from members ......................................................................

Section 162(e) nondeductible lobbying and political expenditures (do not include amounts of political expenses for which the section 527(f) tax was paid).

Current year .............................................................................................................................

Carryover from last year ............................................................................................................

Total ...........................................................................................................................................

Aggregate amount reported in section 6033(e)(1)(A) notices of nondeductible section 162(e) dues .

If notices were sent and the amount on line 2c exceeds the amount on line 3, what portion of the excess does the organization agree to carryover to the reasonable estimate of nondeductible lobbying and political expenditure next year? ......................................................................................................................

Taxable amount of lobbying and political expenditures. See Instructions .........................................

Part IV

Supplemental Information

Provide the descriptions required for Part l-A, line 1; Part l-B, line 4; Part l-C, line 5; Part II-A (affiliated group list); Part II-A, lines 1 and 2 (see instructions), and Part ll-B, line 1. Also, complete this part for any additional information.

Return Reference	Explanation
PART II-B, LINE 1:	IN 2022, ADVENTIST HEALTHCARE, INC. ENGAGED IN LOBBYING ACTIVITIES AT THE LOCAL, STATE, AND FEDERAL LEVEL. ACTIVITIES INCLUDED DISCUSSIONS WITH ELECTED OFFICIALS AT ALL LEVELS OF GOVERNMENT ON THE HEALTH CARE WORKFORCE SHORTAGE, AND ON STRATEGIES ON IMPROVING HEALTH CARE ACCESS IN TRADITIONALLY UNDERSERVED COMMUNITIES. AT THE STATE LEVEL, LEGISLATORS WERE CONTACTED REGARDING ACCESS TO CARE, WORKFORCE DEVELOPMENT, COMMUNITY CARE CAPACITY AND BEHAVIORAL HEALTH POLICY. AT THE FEDERAL LEVEL, ADVENTIST HEALTHCARE WORKED WITH LEGISLATORS ON ISSUES RELATED TO THE HEALTH CARE WORKFORCE, PRICE TRANSPARENCY, AND ACCESS TO CARE.

Return Reference

Explanation

PART II-B, LINE 1:

IN 2022, ADVENTIST HEALTHCARE, INC. ENGAGED IN LOBBYING ACTIVITIES AT THE LOCAL, STATE, AND FEDERAL LEVEL. ACTIVITIES INCLUDED DISCUSSIONS WITH ELECTED OFFICIALS AT ALL LEVELS OF GOVERNMENT ON THE HEALTH CARE WORKFORCE SHORTAGE, AND ON STRATEGIES ON IMPROVING HEALTH CARE ACCESS IN TRADITIONALLY UNDERSERVED COMMUNITIES. AT THE STATE LEVEL, LEGISLATORS WERE CONTACTED REGARDING ACCESS TO CARE, WORKFORCE DEVELOPMENT, COMMUNITY CARE CAPACITY AND BEHAVIORAL HEALTH POLICY. AT THE FEDERAL LEVEL, ADVENTIST HEALTHCARE WORKED WITH LEGISLATORS ON ISSUES RELATED TO THE HEALTH CARE WORKFORCE, PRICE TRANSPARENCY, AND ACCESS TO CARE.

Schedule C (Form 990) 2021

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE D
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Financial Statements

Complete if the organization answered "Yes," on Form 990,
Part IV, line 6, 7, 8, 9, 10, 11a, 11b, 11c, 11d, 11e, 11f, 12a, or 12b.
SchDMd Bullet

Attach to Form 990.
SchDMd Bullet

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2021

Open to Public Inspection

Name of the organization

ADVENTIST HEALTHCARE INC

Employer identification number

52-1532556

Part I

Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if the organization answered "Yes" on Form 990, Part IV, line 6.

		(a) Donor advised funds	(b) Funds and other accounts
1	Total number at end of year .........
2	Aggregate value of contributions to (during year)
3	Aggregate value of grants from (during year)
4	Aggregate value at end of year ........

Did the organization inform all donors and donor advisors in writing that the assets held in donor advised funds are the organization’s property, subject to the organization’s exclusive legal control? ............

Yes No

Did the organization inform all grantees, donors, and donor advisors in writing that grant funds can be used only for charitable purposes and not for the benefit of the donor or donor advisor, or for any other purpose conferring impermissible private benefit? ...................................

Yes No

Part II

Conservation Easements.
Complete if the organization answered "Yes" on Form 990, Part IV, line 7.

Purpose(s) of conservation easements held by the organization (check all that apply).

Preservation of land for public use (e.g., recreation or education) Preservation of an historically important land area

Protection of natural habitat Preservation of a certified historic structure

Preservation of open space

Complete lines 2a through 2d if the organization held a qualified conservation contribution in the form of a conservation easement on the last day of the tax year.


a	Total number of conservation easements ......................	2a
b	Total acreage restricted by conservation easements ....................	2b
c	Number of conservation easements on a certified historic structure included in (a) .....	2c
d	Number of conservation easements included in (c) acquired after 7/25/06, and not on a historic structure listed in the National Register ...	2d

Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during the
tax year SchDMd Bullet

Number of states where property subject to conservation easement is located SchDMd Bullet

Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and enforcement of the conservation easements it holds? ............

Yes No

Staff and volunteer hours devoted to monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
SchDMd Bullet

Amount of expenses incurred in monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
SchDMd Bullet

Does each conservation easement reported on line 2(d) above satisfy the requirements of section 170(h)(4)(B)(i) and section 170(h)(4)(B)(ii)? .............................

Yes No

In Part XIII, describe how the organization reports conservation easements in its revenue and expense statement, and
balance sheet, and include, if applicable, the text of the footnote to the organization’s financial statements that describes
the organization’s accounting for conservation easements.

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets.
Complete if the organization answered "Yes" on Form 990, Part IV, line 8.

If the organization elected, as permitted under FASB ASC 958, not to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide, in Part XIII, the text of the footnote to its financial statements that describes these items.

If the organization elected, as permitted under FASB ASC 958, to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide the following amounts relating to these items:

(i)

Revenue included on Form 990, Part VIII, line 1 ......................... SchDMd Bullet

(ii)

Assets included in Form 990, Part X ............................... SchDMd Bullet

If the organization received or held works of art, historical treasures, or other similar assets for financial gain, provide the
following amounts required to be reported under FASB ASC 958 relating to these items:

Revenue included on Form 990, Part VIII, line 1 .......................... SchDMd Bullet

Assets included in Form 990, Part X ............................... SchDMd Bullet

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 52283D

Schedule D (Form 990) 2021

Page 2

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)

Using the organization’s acquisition, accession, and other records, check any of the following that are a significant use of its collection items (check all that apply):

Public exhibition

Loan or exchange programs

Scholarly research

Other

Preservation for future generations

Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIII.

During the year, did the organization solicit or receive donations of art, historical treasures or other similar
assets to be sold to raise funds rather than to be maintained as part of the organization’s collection?...

Yes No

Part IV

Escrow and Custodial Arrangements. Complete if the organization answered "Yes" on Form 990, Part IV, line 9, or reported an amount on Form 990, Part X, line 21.

Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................

Yes No


b	If "Yes," explain the arrangement in Part XIII and complete the following table:		Amount
c	Beginning balance .............................	1c
d	Additions during the year ............................	1d
e	Distributions during the year ..........................	1e
f	Ending balance ................................	1f

Did the organization include an amount on Form 990, Part X, line 21, for escrow or custodial account liability? ...

Yes No

If "Yes," explain the arrangement in Part XIII. Check here if the explanation has been provided in Part XIII ....

Part V

Endowment Funds.
Complete if the organization answered "Yes" on Form 990, Part IV, line 10.

		(a) Current year	(b) Prior year	(c) Two years back	(d) Three years back	(e) Four years back

1a	Beginning of year balance ....
b	Contributions ...
c	Net investment earnings, gains, and losses
d	Grants or scholarships ...
e	Other expenditures for facilities and programs ...
f	Administrative expenses ....
g	End of year balance ......

Provide the estimated percentage of the current year end balance (line 1g, column (a)) held as:

Board designated or quasi-endowment SchDMd Bullet

Permanent endowment SchDMd Bullet

Term endowment SchDMd Bullet

The percentages on lines 2a, 2b, and 2c should equal 100%.

Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes

(i) Unrelated organizations .................

3a(i)

(ii) Related organizations .................

3a(ii)

If "Yes" on 3a(ii), are the related organizations listed as required on Schedule R? .........

Describe in Part XIII the intended uses of the organization's endowment funds.

Part VI

Land, Buildings, and Equipment.
Complete if the organization answered "Yes" on Form 990, Part IV, line 11a. See Form 990, Part X, line 10.

Description of property		(a) Cost or other basis (investment)	(b) Cost or other basis (other)	(c) Accumulated depreciation	(d) Book value

1a	Land .....	30,934,592		30,934,592
b	Buildings ....	695,360,038	210,942,336	484,417,702
c	Leasehold improvements	53,502,243	31,201,974	22,300,269
d	Equipment ....	307,121,041	185,167,719	121,953,322
e	Other .....	103,643,813	18,475,343	85,168,470
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).)..				744,774,355

Schedule D (Form 990) 2021

Page 3

Part VII

Investments - Other Securities.
Complete if the organization answered "Yes" on Form 990, Part IV, line 11b. See Form 990, Part X, line 12.

(a) Description of security or category (including name of security)	(b) Book value	(c) Method of valuation: Cost or end-of-year market value
(1) Financial derivatives.........
(2) Closely-held equity interests........
(3)Other
(A)
(B)
(C)
(D)
(E)
(F)
(G)
(H)
Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)

Part VIII

Investments - Program Related. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11c. See Form 990, Part X, line 13.

(a) Description of investment	(b) Book value	(c) Method of valuation: Cost or end-of-year market value

(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 13.)

Part IX

Other Assets.
Complete if the organization answered 'Yes' on Form 990, Part IV, line 11d. See Form 990, Part X, line 15.

(a) Description				(b) Book value

(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........

Part X

Other Liabilities.
Complete if the organization answered 'Yes' on Form 990, Part IV, line 11e or 11f. See Form 990, Part X, line 25.

1.(a) Description of liability	(b) Book value
(1) Federal income taxes
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)	112,638,896
2. Liability for uncertain tax positions. In Part XIII, provide the text of the footnote to the organization's financial statements that reports the organization's liability for uncertain tax positions under FIN 48 (ASC 740). Check here if the text of the footnote has been provided in Part XIII

Schedule D (Form 990) 2021

Page 4

Part XI Reconciliation of Revenue per Audited Financial Statements With Revenue per Return. Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
1	Total revenue, gains, and other support per audited financial statements .......		1
2	Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a	Net unrealized gains (losses) on investments ....	2a
b	Donated services and use of facilities .........	2b
c	Recoveries of prior year grants ...........	2c
d	Other (Describe in Part XIII.) ............	2d
e	Add lines 2a through 2d .....................		2e
3	Subtract line 2e from line 1..................		3
4	Amounts included on Form 990, Part VIII, line 12, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b .	4a
b	Other (Describe in Part XIII.) ...........	4b
c	Add lines 4a and 4b....................		4c
5	Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) ......		5

Part XII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return. Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
1	Total expenses and losses per audited financial statements ...........		1
2	Amounts included on line 1 but not on Form 990, Part IX, line 25:
a	Donated services and use of facilities .........	2a
b	Prior year adjustments ............	2b
c	Other losses ................	2c
d	Other (Describe in Part XIII.) ............	2d
e	Add lines 2a through 2d....................		2e
3	Subtract line 2e from line 1...................		3
4	Amounts included on Form 990, Part IX, line 25, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b ..	4a
b	Other (Describe in Part XIII.) ............	4b
c	Add lines 4a and 4b.....................		4c
5	Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) ......		5

Part XIII

Supplemental Information

Provide the descriptions required for Part II, lines 3, 5, and 9; Part III, lines 1a and 4; Part lV, lines 1b and 2b; Part V, line 4; Part X, line 2; Part XI, lines 2d and 4b; and Part XII, lines 2d and 4b. Also complete this part to provide any additional information.

Return Reference

Explanation

PART X, LINE 2:

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 2022 OR 2021. THE CORPORATION'S POLICY IS TO RECOGNIZE INTEREST RELATED TO UNRECOGNIZED TAX BENEFITS AND PENALTIES IN INTEREST EXPENSE IN OPERATING EXPENSES.

Schedule D (Form 990) 2021

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE F(Form 990)

Department of the Treasury
Internal Revenue Service

Statement of Activities Outside the United States

Complete if the organization answered "Yes" to Form 990, Part IV, line 14b, 15, or 16. Right pointing arrow large image

Attach to Form 990. Right pointing arrow large image

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2022

Open to Public Inspection

Name of the organization
ADVENTIST HEALTHCARE INC

Employer identification number

52-1532556

Part I

General Information on Activities Outside the United States. Complete if the organization answered "Yes" on Form 990, Part IV, line 14b.

For grantmakers. Does the organization maintain records to substantiate the amount of its grants and

other assistance, the grantees’ eligibility for the grants or assistance, and the selection criteria used

to award the grants or assistance? . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

For grantmakers. Describe in Part V the organization’s procedures for monitoring the use of its grants and other assistance outside the United States.

Activites per Region. (The following Part I, line 3 table can be duplicated if additional space is needed.)

(a) Region		(b) Number of offices in the region	(c) Number of employees, agents, and independent contractors in the region	(d) Activities conducted in region (by type) (such as, fundraising, program services, investments, grants to recipients located in the region)	(f) Total expenditures for and investments in the region
	RUSSIA AND NEIGHBORING STATES	0	0	GRANT MAKING	75,000
















3a	Sub-total ....	0	0		75,000
b	Total from continuation sheets to Part I ...	0	0		0
c	Totals (add lines 3a and 3b)	0	0		75,000

For Paperwork Reduction Act Notice, see the Instructions for Form 990.Cat. No. 50082W Schedule F (Form 990) 2022

Schedule F (Form 990) 2022

Page 2

Part II

Grants and Other Assistance to Organizations or Entities Outside the United States. Complete if the organization answered "Yes" on Form 990, Part IV, line 15, for any recipient who received more than $5,000. Part II can be duplicated if additional space is needed.

(c) Region	(d) Purpose of grant	(e) Amount of cash grant	(f) Manner of cash disbursement	(g) Amount of noncash assistance
RUSSIA AND NEIGHBORING STATES	TO SUPPORT THE UKRAINE OPERATING FUND, WHICH WILL FURTHER THEIR GOAL OF GLOBAL HEALTHCARE SERVICES.	75,000	CHECK	0

2	Enter total number of recipient organizations listed above that are recognized as charities by the foreign country, recognized as tax-exempt by the IRS, or for which the grantee or counsel has provided a section 501(c)(3) equivalency letter .......	1
3	Enter total number of other organizations or entities .......................

Schedule F (Form 990) 2022

Schedule F (Form 990) 2022Page 3

Part III

Grants and Other Assistance to Individuals Outside the United States. Complete if the organization answered "Yes" on Form 990, Part IV, line 16.

Part III can be duplicated if additional space is needed.

(a) Type of grant or assistance		(b) Region	(c) Number of recipients	(d) Amount of cash grant	(e) Manner of cash disbursement	(f) Amount of noncash assistance	(g) Description of noncash assistance	(h) Method of valuation (book, FMV, appraisal, other)

Schedule F (Form 990) 2022

Page 4

Part IV

Foreign Forms

Schedule F (Form 990) 2022

Page 5

Part V

Supplemental Information
Provide the information required by Part I, line 2 (monitoring of funds); Part I, line 3, column (f) (accounting method; amounts of investments vs. expenditures per region); Part II, line 1 (accounting method); Part III (accounting method); and Part III, column (c) (estimated number of recipients), as applicable. Also complete this part to provide any additional information. See instructions.

ReturnReference	Explanation
PART I, LINE 2:	ADVENTIST HEALTHCARE (AHC) IS COMMITTED TO IDENTIFYING AND RESPONDING TO PRIORITY HEALTH NEEDS AND OUTCOMES FOR THE PEOPLE AND COMMUNITIES WE SERVE. THE ADVENTIST HEALTHCARE COMMUNITY PARTNERSHIP FUND (CPF) PROVIDES FUNDING FOR ORGANIZATIONS WHOSE ACTIVITIES SUPPORT OUR MISSION TO PROMOTE HEALTH EQUITY AND WELLNESS IN OUR COMMUNITY. CPF AWARDS GRANTS AND EVENT SPONSORSHIPS TO 501(C)(3) ORGANIZATIONS WHOSE ACTIVITIES ALIGN WITH OUR MISSION AND OUR FUNDING OBJECTIVES: 1. HEALTH & WELLNESS: SUPPORT COMMUNITY HEALTH SERVICES, EDUCATION, AND PREVENTION AND WELLNESS PROGRAMS 2. PARTNERSHIPS: LEVERAGE PARTNERSHIPS TO ADDRESS SOCIOECONOMIC DISADVANTAGES THAT AFFECT HEALTH 2022 FUNDING PRIORITIES: OUR FUNDING PRIORITIES CHANGE OVER TIME TO ALIGN WITH THE FINDINGS OF OUR COMMUNITY HEALTH NEEDS ASSESSMENTS. IN 2022 WE CONTINUED TO FOCUS ON PRIORITIZED NEEDS IDENTIFIED THROUGH OUR COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS AS WELL AS NEEDS EXACERBATED BY COVID-19. OUR FUNDING PRIORITIES INCLUDED: 1. ACCESS TO CARE 2. MENTAL HEALTH FOR ADULTS AND YOUTH 3. WORKFORCE DEVELOPMENT 4. SOCIAL SERVICES 5. EDUCATIONAL EQUITY FOR YOUTH 6. RACIAL EQUITY AND JUSTICE 7. REHABILITATION AND DISABILITY SERVICES 8. HIV & HEPATITIS C ADDITIONALLY, FUNDING REQUESTS HAD TO: 1. BE DESIGNED TO ADDRESS DOCUMENTED HEALTH DISPARITIES OR INEQUITIES 2. HAVE A MEASURABLE IMPACT ON THE COMMUNITY BEING SERVED 3. ALIGN WITH ADVENTIST HEALTHCARE'S COMMUNITY-BASED MISSION 4. INCLUDE MEANINGFUL PARTNERSHIPS (PREFERRED BUT NOT REQUIRED) APPLICATION AND REVIEW PROCESS: ALL PROSPECTIVE APPLICANTS ARE ASKED TO COMPLETE A GRANT APPLICATION OR EVENT SPONSORSHIP APPLICATION (E.G., FUNDRAISING GALAS AND SPORTING EVENTS). APPLICATIONS ARE REVIEWED BY THE COMMUNITY PARTNERSHIP FUND BOARD WHICH IS MADE UP OF REPRESENTATIVES FROM ACROSS THE AHC SYSTEM. GRANT MONITORING: ALL GRANT RECIPIENTS (GRANTS TYPICALLY RANGE FROM $5,000-$30,000) ARE ASKED TO COMPLETE BOTH A MID-YEAR PROGRESS REPORT AS WELL AS A FINAL END-OF-YEAR REPORT. FOR THE MID-YEAR REPORT, GRANTEES ARE ASKED TO DESCRIBE THE FOLLOWING: - NUMBER OF INDIVIDUALS WHO HAVE BEEN SERVED THUS FAR; - OUTCOMES, TO DATE, OF THE MEASURABLE OBJECTIVES SPECIFIED IN THE ORIGINAL APPLICATION; - DESCRIPTION OF THE WORK THAT HAS BEEN COMPLETED TO DATE; - CHANGES MADE TO THE PROGRAM/ACTIVITY AS ORIGINALLY DESCRIBED; - CHALLENGES OR DELAYS THAT HAVE BEEN ENCOUNTERED; - EXPENDITURE OF FUNDS THUS FAR; - ESTIMATED EXPENDITURES FOR THE DURATION OF THE GRANT PERIOD. FOR THE FINAL REPORT, GRANTEES ARE ASKED TO DESCRIBE THE FOLLOWING: - TOTAL NUMBER OF INDIVIDUALS SERVED WITH THE FUNDING THAT WAS PROVIDED; - OUTCOMES FOR THE MEASURABLE OBJECTIVES SPECIFIED IN THE ORIGINAL APPLICATION AS WELL AS ANY OTHER OUTCOMES; - DESCRIPTION OF THE WORK THAT WAS ACCOMPLISHED; - CHANGES MADE TO THE PROGRAM/ACTIVITY AS ORIGINALLY DESCRIBED; - CHALLENGES OR DELAYS THAT WERE ENCOUNTERED; - EXPENDITURE OF GRANT FUNDS. SPONSORSHIP MONITORING: ALL SPONSORSHIP RECIPIENTS (SPONSORSHIPS ARE UP TO $5,000) ARE ASKED TO COMPLETE A FINAL REPORT AFTER THEIR EVENT TAKES PLACE. IN THE FINAL REPORT, SPONSORSHIP RECIPIENTS ARE ASKED TO DESCRIBE THE FOLLOWING: - NUMBER OF PARTICIPANTS - EVENT/PROGRAM OUTCOMES THE INFORMATION PROVIDED IN THESE REPORTS IS UTILIZED TO EVALUATE THE OVERALL IMPACT OF THE GRANTEE AND THE FUNDING PROVIDED. IT IS ALSO USED TO INFORM DECISION MAKING REGARDING FUTURE FUNDING AND PARTNERSHIP ENDEAVORS WITH EACH GRANTEE.
PART III ACCOUNTING METHOD:
PART IV, LINE 3	ADVENTIST HEALTHCARE, INC. HAS AN INVESTMENT IN A FOREIGN ORGANIZATION DOMICILED IN SWITZERLAND. ADVENTIST HEALTHCARE, INC. WHOLLY OWNS THE SUBSIDIARY BASED IN SWITZERLAND AND IN 2021 WE TRANSFERRED FUNDS TO SWITZERLAND BUT REPATRIATED IN 2022. ADVENTIST HEALTHCARE, INC. IS FILING A FORM 5471 RELATED TO THIS INVESTMENT.

Schedule F (Form 990) 2022

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE H
(Form 990)

Department of the Treasury
Internal Revenue Service

Hospitals

Complete if the organization answered "Yes" on Form 990, Part IV, question 20a.
MediumBullet

Attach to Form 990.
MediumBullet

Go to www.irs.gov/Form990EZ for instructions and the latest information.

OMB No. 1545-0047

2022

Open to Public Inspection

Name of the organization

ADVENTIST HEALTHCARE INC

Employer identification number

52-1532556

Part I

Financial Assistance and Certain Other Community Benefits at Cost

Yes

Did the organization have a financial assistance policy during the tax year? If "No," skip to question 6a . . . .

Yes

If "Yes," was it a written policy? ......................

Yes

If the organization had multiple hospital facilities, indicate which of the following best describes application of the financial assistance policy to its various hospital facilities during the tax year.

Applied uniformly to all hospital facilities Applied uniformly to most hospital facilities Generally tailored to individual hospital facilities

Answer the following based on the financial assistance eligibility criteria that applied to the largest number of the organization's patients during the tax year.

Did the organization use Federal Poverty Guidelines (FPG) as a factor in determining eligibility for providing free care?

If "Yes," indicate which of the following was the FPG family income limit for eligibility for free care:

Yes

100% 150% 200% Other %

Did the organization use FPG as a factor in determining eligibility for providing discounted care? If "Yes," indicate

which of the following was the family income limit for eligibility for discounted care: . . . . . . . .

Yes

200% 250% 300% 350% 400% Other 60000.0000000000 %

If the organization used factors other than FPG in determining eligibility, describe in Part VI the criteria used for determining eligibility for free or discounted care. Include in the description whether the organization used an asset test or other threshold, regardless of income, as a factor in determining eligibility for free or discounted care.

Did the organization's financial assistance policy that applied to the largest number of its patients during the tax year provide for free or discounted care to the "medically indigent"? . . . . . . . . . . . . .

Yes

Did the organization budget amounts for free or discounted care provided under its financial assistance policy during
the tax year? . . . . . . . . . . . . . . . . . . . . . . .

Yes

If "Yes," did the organization's financial assistance expenses exceed the budgeted amount? . . . . . .

Yes

If "Yes" to line 5b, as a result of budget considerations, was the organization unable to provide free or discountedcare to a patient who was eligibile for free or discounted care? . . . . . . . . . . . . .

Did the organization prepare a community benefit report during the tax year? . . . . . . . . .

Yes

If "Yes," did the organization make it available to the public? . . . . . . . . . . . . .

Yes

Complete the following table using the worksheets provided in the Schedule H instructions. Do not submit these worksheets with the Schedule H.

Financial Assistance and Certain Other Community Benefits at Cost

Financial Assistance and Means-Tested Government Programs		(c) Total community benefit expense	(d) Direct offsetting revenue	(e) Net community benefit expense	(f) Percent of total expense
a	Financial Assistance at cost (from Worksheet 1) . . .	23,083,412		23,083,412	2.430 %
b	Medicaid (from Worksheet 3, column a) . . . . .	13,530,641	11,085,880	2,444,761	0.260 %
c	Costs of other means-tested government programs (from Worksheet 3, column b) . .
d	Total Financial Assistance and Means-Tested Government Programs . . . . .	36,614,053	11,085,880	25,528,173	2.690 %
Other Benefits
e	Community health improvement services and community benefit operations (from Worksheet 4).	6,480,424	516,972	5,963,452	0.630 %
f	Health professions education (from Worksheet 5) . . .	2,534,348		2,534,348	0.270 %
g	Subsidized health services (from Worksheet 6) . . . .	205,217,632	172,494,879	32,722,753	3.440 %
h	Research (from Worksheet 7) .	414		414	0 %
i	Cash and in-kind contributions for community benefit (from Worksheet 8) . . . .	847,610		847,610	0.090 %
j	Total. Other Benefits . .	215,080,428	173,011,851	42,068,577	4.430 %
k	Total. Add lines 7d and 7j .	251,694,481	184,097,731	67,596,750	7.120 %

For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2022

Schedule H (Form 990) 2022

Page

Part II

Community Building Activities Complete this table if the organization conducted any community building activities during the tax year, and describe in Part VI how its community building activities promoted the health of the communities it serves.

		(c) Total community building expense	(e) Net community building expense	(f) Percent of total expense
1	Physical improvements and housing
2	Economic development
3	Community support	6,036	6,036	0 %
4	Environmental improvements
5	Leadership development and training for community members
6	Coalition building	222,230	222,230	0.020 %
7	Community health improvement advocacy	210,573	210,573	0.020 %
8	Workforce development	751	751	0 %
9	Other
10	Total	439,590	439,590	0.040 %

Part III

Bad Debt, Medicare, & Collection Practices

Section A. Bad Debt Expense

Yes

Did the organization report bad debt expense in accordance with Healthcare Financial Management Association Statement No. 15? ..........................

Yes

Enter the amount of the organization's bad debt expense. Explain in Part VI the methodology used by the organization to estimate this amount. ......

33,951,241

Enter the estimated amount of the organization's bad debt expense attributable to patients eligible under the organization's financial assistance policy. Explain in Part VI the methodology used by the organization to estimate this amount and the rationale, if any, for including this portion of bad debt as community benefit. ......

Provide in Part VI the text of the footnote to the organization’s financial statements that describes bad debt expense or the page number on which this footnote is contained in the attached financial statements.

Section B. Medicare

Enter total revenue received from Medicare (including DSH and IME).....

255,219,150

Enter Medicare allowable costs of care relating to payments on line 5.....

240,504,417

Subtract line 6 from line 5. This is the surplus (or shortfall)........

14,714,733

Describe in Part VI the extent to which any shortfall reported in line 7 should be treated as community benefit.Also describe in Part VI the costing methodology or source used to determine the amount reported on line 6.Check the box that describes the method used:

Cost accounting system Cost to charge ratio Other

Section C. Collection Practices

Did the organization have a written debt collection policy during the tax year? ..........

Yes

If "Yes," did the organization’s collection policy that applied to the largest number of its patients during the tax year
contain provisions on the collection practices to be followed for patients who are known to qualify for financial assistance? Describe in Part VI .........................

Yes

Part IV

Management Companies and Joint Ventures(owned 10% or more by officers, directors, trustees, key employees, and physicians—see instructions)

(a) Name of entity	(b) Description of primary activity of entity	(c) Organization's profit % or stock ownership %	(d) Officers, directors, trustees, or key employees' profit % or stock ownership %	(e) Physicians' profit % or stock ownership %
1
2
3
4
5
6
7
8
9
10
11
12
13

Schedule H (Form 990) 2022

Page

Part VFacility Information

Section A. Hospital Facilities (list in order of size from largest to smallest—see instructions)How many hospital facilities did the organization operate during the tax year?5Name, address, primary website address, and state license number (and if a group return, the name and EIN of the subordinate hospital organization that operates the hospital facility)					Other (describe)
1	SHADY GROVE MEDICAL CENTER 9901 MEDICAL CENTER DRIVE ROCKVILLE,MD20850 SEE PART VI FOR WEBSITE 15-023	X	X	X
2	WHITE OAK MEDICAL CENTER 11890 HEALING WAY SILVER SPRING,MD20904 SEE PART VI FOR WEBSITE 15-031	X	X	X
3	AHC-REHABILITATION - ROCKVILLE 9909 MEDICAL CENTER DRIVE ROCKVILLE,MD20850 SEE PART VI FOR WEBSITE 15-077 ADVENTIST REHAB HOSP OF MARYLAND 201486678	X			SAME SEPARATE LEGAL ENTITY AS LICENSE 15-081
4	AHC-REHABILITATION - TAKOMA PARK 7600 CARROLL AVENUE TAKOMA PARK,MD20912 SEE PART VI FOR WEBSITE 15-081 ADVENTIST REHAB HOSP OF MARYLAND 201486678	X			SAME SEPARATE LEGAL ENTITY AS LICENSE 15-077
5	AHC FORT WASHINGTON MEDICAL CENTER INC 11711 LIVINGSTON ROAD FORT WASHINGTON,MD20744 SEE PART VI FOR WEBSITE 16-003 AHC FORT WASHINGTON MEDICAL CENTER 842670875	X	X	X	SEPARATE LEGAL ENTITY MANAGED BY AHC

Schedule H (Form 990) 2022

Page 4

Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)

	SHADY GROVE MEDICAL CENTER
Name of hospital facility or letter of facility reporting group

Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A):

Yes

Community Health Needs Assessment

Was the hospital facility first licensed, registered, or similarly recognized by a state as a hospital facility in the current tax year or the immediately preceding tax year?........................

Was the hospital facility acquired or placed into service as a tax-exempt hospital in the current tax year or the immediately preceding tax year? If “Yes,” provide details of the acquisition in Section C...............

During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 12......................

Yes

If "Yes," indicate what the CHNA report describes (check all that apply):

A definition of the community served by the hospital facility

Demographics of the community

Existing health care facilities and resources within the community that are available to respond to the health needs of the community

How data was obtained

The significant health needs of the community

Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups

The process for identifying and prioritizing community health needs and services to meet the community health needs

The process for consulting with persons representing the community’s interests

The impact of any actions taken to address the significant health needs identified in the hospital facility's prior CHNA(s)

Other (describe in Section C)

Indicate the tax year the hospital facility last conducted a CHNA: 20 22

In conducting its most recent CHNA, did the hospital facility take into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If "Yes," describe in Section C how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted .................

Yes

6 a

Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C..................................

Yes

Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................

Did the hospital facility make its CHNA report widely available to the public?..............

Yes

If "Yes," indicate how the CHNA report was made widely available (check all that apply):

Hospital facility’s website (list url): SEE URL ON SECTION C

Other website (list url):

Made a paper copy available for public inspection without charge at the hospital facility

Other (describe in Section C)

Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. ..............

Yes

Indicate the tax year the hospital facility last adopted an implementation strategy: 20 22

Is the hospital facility's most recently adopted implementation strategy posted on a website?.........

Yes

If "Yes" (list url): ADVENTISTHEALTHCARE.COM/ABOUT/COMMUNITY/HEALTH-NEEDS-ASSESSMENT/

If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ......

10b

Describe in Section C how the hospital facility is addressing the significant needs identified in its most recently conducted CHNA and any such needs that are not being addressed together with the reasons why such needs are not being addressed.

12a

Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)?...............................

12a

If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........

12b

If "Yes" on line 12b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $

Schedule H (Form 990) 2022

Page 5

Part VFacility Information (continued)

Financial Assistance Policy (FAP)

	SHADY GROVE MEDICAL CENTER
Name of hospital facility or letter of facility reporting group

Yes

Did the hospital facility have in place during the tax year a written financial assistance policy that:

Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care?

Yes

If “Yes,” indicate the eligibility criteria explained in the FAP:

Federal poverty guidelines (FPG), with FPG family income limit for eligibility for free care of 200.000000000000%
and FPG family income limit for eligibility for discounted care of 600.000000000000%

Income level other than FPG (describe in Section C)

Asset level

Medical indigency

Insurance status

Underinsurance discount

Residency

Other (describe in Section C)

Explained the basis for calculating amounts charged to patients?.................

Yes

Explained the method for applying for financial assistance?...................

Yes

If “Yes,” indicate how the hospital facility’s FAP or FAP application form (including accompanying instructions) explained the method for applying for financial assistance (check all that apply):

Described the information the hospital facility may require an individual to provide as part of his or her application

Described the supporting documentation the hospital facility may require an individual to submit as part of his or
her application

Provided the contact information of hospital facility staff who can provide an individual with information about the
FAP and FAP application process

Provided the contact information of nonprofit organizations or government agencies that may be sources of
assistance with FAP applications

Other (describe in Section C)

Was widely publicized within the community served by the hospital facility?........

Yes

If "Yes," indicate how the hospital facility publicized the policy (check all that apply):

The FAP was widely available on a website (list url):

SEE URL ON SECTION C

The FAP application form was widely available on a website (list url):

SEE URL ON SECTION C

A plain language summary of the FAP was widely available on a website (list url):
SEE URL ON SECTION C

The FAP was available upon request and without charge (in public locations in the hospital facility and by mail)

The FAP application form was available upon request and without charge (in public locations in the hospital facility
and by mail)

A plain language summary of the FAP was available upon request and without charge (in public locations in the
hospital facility and by mail)

Individuals were notified about the FAP by being offered a paper copy of the plain language summary of the FAP, by
receiving a conspicuous written notice about the FAP on their billing statements, and via conspicuous public displays or
other measures reasonably calculated to attract patients' attention

Notified members of the community who are most likely to require financial assistance about availability of the FAP

The FAP, FAP application form, and plain language summary of the FAP were translated into the primary language(s)
spoken by LEP populations

Other (describe in Section C)

Schedule H (Form 990) 2022

Page 6

Part VFacility Information (continued)

Billing and Collections

	SHADY GROVE MEDICAL CENTER
Name of hospital facility or letter of facility reporting group

Yes

Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained all of the actions the hospital facility or other authorized party may take upon nonpayment?..................................

Yes

Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Deferring, denying, or requiring a payment before providing medically necessary care due to nonpayment of a previous
bill for care covered under the hospital facility's FAP

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

None of these actions or other similar actions were permitted

Did the hospital facility or other authorized party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?............

If "Yes," check all actions in which the hospital facility or a third party engaged:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Deferring , denying, or requiring a payment before providing medically necessary care due to nonpayment of a previous
bill for care covered under the hospital facility's FAP

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 19. (check all that apply):

Provided a written notice about upcoming ECAs (Extraordinary Collection Action) and a plain language summary of the
FAP at least 30 days before initiating those ECAs (if not, describe in Section C)

Made a reasonable effort to orally notify individuals about the FAP and FAP application process (if not, describe in
Section C)

Processed incomplete and complete FAP applications (if not, describe in Section C)

Made presumptive eligibility determinations (if not, describe in Section C)

Other (describe in Section C)

None of these efforts were made

Policy Relating to Emergency Medical Care

Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that required the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?..................

Yes

If "No," indicate why:

The hospital facility did not provide care for any emergency medical conditions

The hospital facility’s policy was not in writing

The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Section C)

Other (describe in Section C)

Schedule H (Form 990) 2022

Page 7

Part VFacility Information (continued)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)

	SHADY GROVE MEDICAL CENTER
Name of hospital facility or letter of facility reporting group

Yes

Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.

The hospital facility used a look-back method based on claims allowed by Medicare fee-for-service during a prior 12-month period

The hospital facility used a look-back method based on claims allowed by Medicare fee-for-service and all private health insurers that pay claims to the hospital facility during a prior 12-month period

The hospital facility used a look-back method based on claims allowed by Medicaid, either alone or in combination with
Medicare fee-for-service and all private health insurers that pay claims to the hospital facility during a prior 12-month
period

The hospital facility used a prospective Medicare or Medicaid method

During the tax year, did the hospital facility charge any FAP-eligible individual to whom the hospital facility provided emergency or other medically necessary services more than the amounts generally billed to individuals who had insurance covering such care? ...............................

If "Yes," explain in Section C.

During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ...........................

If "Yes," explain in Section C.

Schedule H (Form 990) 2022

Page 4

Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)

	WHITE OAK MEDICAL CENTER
Name of hospital facility or letter of facility reporting group

Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A):

Yes

Community Health Needs Assessment

Was the hospital facility first licensed, registered, or similarly recognized by a state as a hospital facility in the current tax year or the immediately preceding tax year?........................

During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 12......................

Yes

If "Yes," indicate what the CHNA report describes (check all that apply):

A definition of the community served by the hospital facility

Demographics of the community

Existing health care facilities and resources within the community that are available to respond to the health needs of the community

How data was obtained

The significant health needs of the community

Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups

The process for identifying and prioritizing community health needs and services to meet the community health needs

The process for consulting with persons representing the community’s interests

The impact of any actions taken to address the significant health needs identified in the hospital facility's prior CHNA(s)

Other (describe in Section C)

Indicate the tax year the hospital facility last conducted a CHNA: 20 22

Yes

6 a

Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C..................................

Yes

Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................

Did the hospital facility make its CHNA report widely available to the public?..............

Yes

If "Yes," indicate how the CHNA report was made widely available (check all that apply):

Hospital facility’s website (list url): SEE URL ON SECTION C

Other website (list url):

Made a paper copy available for public inspection without charge at the hospital facility

Other (describe in Section C)

Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. ..............

Yes

Indicate the tax year the hospital facility last adopted an implementation strategy: 20 22

Is the hospital facility's most recently adopted implementation strategy posted on a website?.........

Yes

If "Yes" (list url): ADVENTISTHEALTHCARE.COM/ABOUT/COMMUNITY/HEALTH-NEEDS-ASSESSMENT/

If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ......

10b

12a

Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)?...............................

12a

If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........

12b

If "Yes" on line 12b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $

Schedule H (Form 990) 2022

Page 5

Part VFacility Information (continued)

Financial Assistance Policy (FAP)

	WHITE OAK MEDICAL CENTER
Name of hospital facility or letter of facility reporting group

Yes

Did the hospital facility have in place during the tax year a written financial assistance policy that:

Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care?

Yes

If “Yes,” indicate the eligibility criteria explained in the FAP:

Federal poverty guidelines (FPG), with FPG family income limit for eligibility for free care of 200.000000000000%
and FPG family income limit for eligibility for discounted care of 600.000000000000%

Income level other than FPG (describe in Section C)

Asset level

Medical indigency

Insurance status

Underinsurance discount

Residency

Other (describe in Section C)

Explained the basis for calculating amounts charged to patients?.................

Yes

Explained the method for applying for financial assistance?...................

Yes

Described the information the hospital facility may require an individual to provide as part of his or her application

Described the supporting documentation the hospital facility may require an individual to submit as part of his or
her application

Provided the contact information of hospital facility staff who can provide an individual with information about the
FAP and FAP application process

Provided the contact information of nonprofit organizations or government agencies that may be sources of
assistance with FAP applications

Other (describe in Section C)

Was widely publicized within the community served by the hospital facility?........

Yes

If "Yes," indicate how the hospital facility publicized the policy (check all that apply):

The FAP was widely available on a website (list url):

SEE URL ON SECTION C

The FAP application form was widely available on a website (list url):

SEE URL ON SECTION C

A plain language summary of the FAP was widely available on a website (list url):
SEE URL ON SECTION C

The FAP was available upon request and without charge (in public locations in the hospital facility and by mail)

The FAP application form was available upon request and without charge (in public locations in the hospital facility
and by mail)

A plain language summary of the FAP was available upon request and without charge (in public locations in the
hospital facility and by mail)

Notified members of the community who are most likely to require financial assistance about availability of the FAP

The FAP, FAP application form, and plain language summary of the FAP were translated into the primary language(s)
spoken by LEP populations

Other (describe in Section C)

Schedule H (Form 990) 2022

Page 6

Part VFacility Information (continued)

Billing and Collections

	WHITE OAK MEDICAL CENTER
Name of hospital facility or letter of facility reporting group

Yes

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Deferring, denying, or requiring a payment before providing medically necessary care due to nonpayment of a previous
bill for care covered under the hospital facility's FAP

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

None of these actions or other similar actions were permitted

If "Yes," check all actions in which the hospital facility or a third party engaged:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Deferring , denying, or requiring a payment before providing medically necessary care due to nonpayment of a previous
bill for care covered under the hospital facility's FAP

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 19. (check all that apply):

Provided a written notice about upcoming ECAs (Extraordinary Collection Action) and a plain language summary of the
FAP at least 30 days before initiating those ECAs (if not, describe in Section C)

Made a reasonable effort to orally notify individuals about the FAP and FAP application process (if not, describe in
Section C)

Processed incomplete and complete FAP applications (if not, describe in Section C)

Made presumptive eligibility determinations (if not, describe in Section C)

Other (describe in Section C)

None of these efforts were made

Policy Relating to Emergency Medical Care

Yes

If "No," indicate why:

The hospital facility did not provide care for any emergency medical conditions

The hospital facility’s policy was not in writing

The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Section C)

Other (describe in Section C)

Schedule H (Form 990) 2022

Page 7

Part VFacility Information (continued)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)

	WHITE OAK MEDICAL CENTER
Name of hospital facility or letter of facility reporting group

Yes

Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.

The hospital facility used a look-back method based on claims allowed by Medicare fee-for-service during a prior 12-month period

The hospital facility used a prospective Medicare or Medicaid method

If "Yes," explain in Section C.

During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ...........................

If "Yes," explain in Section C.

Schedule H (Form 990) 2022

Page 4

Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)

	AHC-REHABILITATION - ROCKVILLE
Name of hospital facility or letter of facility reporting group

Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A):

Yes

Community Health Needs Assessment

Was the hospital facility first licensed, registered, or similarly recognized by a state as a hospital facility in the current tax year or the immediately preceding tax year?........................

During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 12......................

Yes

If "Yes," indicate what the CHNA report describes (check all that apply):

A definition of the community served by the hospital facility

Demographics of the community

Existing health care facilities and resources within the community that are available to respond to the health needs of the community

How data was obtained

The significant health needs of the community

Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups

The process for identifying and prioritizing community health needs and services to meet the community health needs

The process for consulting with persons representing the community’s interests

The impact of any actions taken to address the significant health needs identified in the hospital facility's prior CHNA(s)

Other (describe in Section C)

Indicate the tax year the hospital facility last conducted a CHNA: 20 22

Yes

6 a

Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C..................................

Yes

Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................

Did the hospital facility make its CHNA report widely available to the public?..............

Yes

If "Yes," indicate how the CHNA report was made widely available (check all that apply):

Hospital facility’s website (list url): SEE URL ON SECTION C

Other website (list url): ADVENTISTHEALTHCARE.COM/ABOUT/COMMUNITY/HEALTH-NEEDS-ASSESSMENT/

Made a paper copy available for public inspection without charge at the hospital facility

Other (describe in Section C)

Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. ..............

Yes

Indicate the tax year the hospital facility last adopted an implementation strategy: 20 22

Is the hospital facility's most recently adopted implementation strategy posted on a website?.........

Yes

If "Yes" (list url): ADVENTISTHEALTHCARE.COM/ABOUT/COMMUNITY/HEALTH-NEEDS-ASSESSMENT/

If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ......

10b

12a

Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)?...............................

12a

If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........

12b

If "Yes" on line 12b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $

Schedule H (Form 990) 2022

Page 5

Part VFacility Information (continued)

Financial Assistance Policy (FAP)

	AHC-REHABILITATION - ROCKVILLE
Name of hospital facility or letter of facility reporting group

Yes

Did the hospital facility have in place during the tax year a written financial assistance policy that:

Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care?

Yes

If “Yes,” indicate the eligibility criteria explained in the FAP:

Federal poverty guidelines (FPG), with FPG family income limit for eligibility for free care of 200.000000000000%
and FPG family income limit for eligibility for discounted care of 600.000000000000%

Income level other than FPG (describe in Section C)

Asset level

Medical indigency

Insurance status

Underinsurance discount

Residency

Other (describe in Section C)

Explained the basis for calculating amounts charged to patients?.................

Yes

Explained the method for applying for financial assistance?...................

Yes

Described the information the hospital facility may require an individual to provide as part of his or her application

Described the supporting documentation the hospital facility may require an individual to submit as part of his or
her application

Provided the contact information of hospital facility staff who can provide an individual with information about the
FAP and FAP application process

Provided the contact information of nonprofit organizations or government agencies that may be sources of
assistance with FAP applications

Other (describe in Section C)

Was widely publicized within the community served by the hospital facility?........

Yes

If "Yes," indicate how the hospital facility publicized the policy (check all that apply):

The FAP was widely available on a website (list url):

SEE URLS ON SECTION C

The FAP application form was widely available on a website (list url):

SEE URLS ON SECTION C

A plain language summary of the FAP was widely available on a website (list url):
SEE URLS ON SECTION C

The FAP was available upon request and without charge (in public locations in the hospital facility and by mail)

The FAP application form was available upon request and without charge (in public locations in the hospital facility
and by mail)

A plain language summary of the FAP was available upon request and without charge (in public locations in the
hospital facility and by mail)

Notified members of the community who are most likely to require financial assistance about availability of the FAP

The FAP, FAP application form, and plain language summary of the FAP were translated into the primary language(s)
spoken by LEP populations

Other (describe in Section C)

Schedule H (Form 990) 2022

Page 6

Part VFacility Information (continued)

Billing and Collections

	AHC-REHABILITATION - ROCKVILLE
Name of hospital facility or letter of facility reporting group

Yes

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Deferring, denying, or requiring a payment before providing medically necessary care due to nonpayment of a previous
bill for care covered under the hospital facility's FAP

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

None of these actions or other similar actions were permitted

If "Yes," check all actions in which the hospital facility or a third party engaged:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Deferring , denying, or requiring a payment before providing medically necessary care due to nonpayment of a previous
bill for care covered under the hospital facility's FAP

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 19. (check all that apply):

Provided a written notice about upcoming ECAs (Extraordinary Collection Action) and a plain language summary of the
FAP at least 30 days before initiating those ECAs (if not, describe in Section C)

Made a reasonable effort to orally notify individuals about the FAP and FAP application process (if not, describe in
Section C)

Processed incomplete and complete FAP applications (if not, describe in Section C)

Made presumptive eligibility determinations (if not, describe in Section C)

Other (describe in Section C)

None of these efforts were made

Policy Relating to Emergency Medical Care

Yes

If "No," indicate why:

The hospital facility did not provide care for any emergency medical conditions

The hospital facility’s policy was not in writing

The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Section C)

Other (describe in Section C)

Schedule H (Form 990) 2022

Page 7

Part VFacility Information (continued)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)

	AHC-REHABILITATION - ROCKVILLE
Name of hospital facility or letter of facility reporting group

Yes

Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.

The hospital facility used a look-back method based on claims allowed by Medicare fee-for-service during a prior 12-month period

The hospital facility used a prospective Medicare or Medicaid method

If "Yes," explain in Section C.

During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ...........................

If "Yes," explain in Section C.

Schedule H (Form 990) 2022

Page 4

Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)

	AHC-REHABILITATION - TAKOMA PARK
Name of hospital facility or letter of facility reporting group

Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A):

Yes

Community Health Needs Assessment

Was the hospital facility first licensed, registered, or similarly recognized by a state as a hospital facility in the current tax year or the immediately preceding tax year?........................

During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 12......................

Yes

If "Yes," indicate what the CHNA report describes (check all that apply):

A definition of the community served by the hospital facility

Demographics of the community

Existing health care facilities and resources within the community that are available to respond to the health needs of the community

How data was obtained

The significant health needs of the community

Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups

The process for identifying and prioritizing community health needs and services to meet the community health needs

The process for consulting with persons representing the community’s interests

The impact of any actions taken to address the significant health needs identified in the hospital facility's prior CHNA(s)

Other (describe in Section C)

Indicate the tax year the hospital facility last conducted a CHNA: 20 22

Yes

6 a

Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C..................................

Yes

Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................

Did the hospital facility make its CHNA report widely available to the public?..............

Yes

If "Yes," indicate how the CHNA report was made widely available (check all that apply):

Hospital facility’s website (list url): SEE URL ON SECTION C

Other website (list url): ADVENTISTHEALTHCARE.COM/ABOUT/COMMUNITY/HEALTH-NEEDS-ASSESSMENT/

Made a paper copy available for public inspection without charge at the hospital facility

Other (describe in Section C)

Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. ..............

Yes

Indicate the tax year the hospital facility last adopted an implementation strategy: 20 22

Is the hospital facility's most recently adopted implementation strategy posted on a website?.........

Yes

If "Yes" (list url): ADVENTISTHEALTHCARE.COM/ABOUT/COMMUNITY/HEALTH-NEEDS-ASSESSMENT/

If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ......

10b

12a

Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)?...............................

12a

If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........

12b

If "Yes" on line 12b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $

Schedule H (Form 990) 2022

Page 5

Part VFacility Information (continued)

Financial Assistance Policy (FAP)

	AHC-REHABILITATION - TAKOMA PARK
Name of hospital facility or letter of facility reporting group

Yes

Did the hospital facility have in place during the tax year a written financial assistance policy that:

Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care?

Yes

If “Yes,” indicate the eligibility criteria explained in the FAP:

Federal poverty guidelines (FPG), with FPG family income limit for eligibility for free care of 200.000000000000%
and FPG family income limit for eligibility for discounted care of 600.000000000000%

Income level other than FPG (describe in Section C)

Asset level

Medical indigency

Insurance status

Underinsurance discount

Residency

Other (describe in Section C)

Explained the basis for calculating amounts charged to patients?.................

Yes

Explained the method for applying for financial assistance?...................

Yes

Described the information the hospital facility may require an individual to provide as part of his or her application

Described the supporting documentation the hospital facility may require an individual to submit as part of his or
her application

Provided the contact information of hospital facility staff who can provide an individual with information about the
FAP and FAP application process

Provided the contact information of nonprofit organizations or government agencies that may be sources of
assistance with FAP applications

Other (describe in Section C)

Was widely publicized within the community served by the hospital facility?........

Yes

If "Yes," indicate how the hospital facility publicized the policy (check all that apply):

The FAP was widely available on a website (list url):

SEE URLS ON SECTION C

The FAP application form was widely available on a website (list url):

SEE URLS ON SECTION C

A plain language summary of the FAP was widely available on a website (list url):
SEE URLS ON SECTION C

The FAP was available upon request and without charge (in public locations in the hospital facility and by mail)

The FAP application form was available upon request and without charge (in public locations in the hospital facility
and by mail)

A plain language summary of the FAP was available upon request and without charge (in public locations in the
hospital facility and by mail)

Notified members of the community who are most likely to require financial assistance about availability of the FAP

The FAP, FAP application form, and plain language summary of the FAP were translated into the primary language(s)
spoken by LEP populations

Other (describe in Section C)

Schedule H (Form 990) 2022

Page 6

Part VFacility Information (continued)

Billing and Collections

	AHC-REHABILITATION - TAKOMA PARK
Name of hospital facility or letter of facility reporting group

Yes

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Deferring, denying, or requiring a payment before providing medically necessary care due to nonpayment of a previous
bill for care covered under the hospital facility's FAP

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

None of these actions or other similar actions were permitted

If "Yes," check all actions in which the hospital facility or a third party engaged:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Deferring , denying, or requiring a payment before providing medically necessary care due to nonpayment of a previous
bill for care covered under the hospital facility's FAP

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 19. (check all that apply):

Provided a written notice about upcoming ECAs (Extraordinary Collection Action) and a plain language summary of the
FAP at least 30 days before initiating those ECAs (if not, describe in Section C)

Made a reasonable effort to orally notify individuals about the FAP and FAP application process (if not, describe in
Section C)

Processed incomplete and complete FAP applications (if not, describe in Section C)

Made presumptive eligibility determinations (if not, describe in Section C)

Other (describe in Section C)

None of these efforts were made

Policy Relating to Emergency Medical Care

Yes

If "No," indicate why:

The hospital facility did not provide care for any emergency medical conditions

The hospital facility’s policy was not in writing

The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Section C)

Other (describe in Section C)

Schedule H (Form 990) 2022

Page 7

Part VFacility Information (continued)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)

	AHC-REHABILITATION - TAKOMA PARK
Name of hospital facility or letter of facility reporting group

Yes

Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.

The hospital facility used a look-back method based on claims allowed by Medicare fee-for-service during a prior 12-month period

The hospital facility used a prospective Medicare or Medicaid method

If "Yes," explain in Section C.

During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ...........................

If "Yes," explain in Section C.

Schedule H (Form 990) 2022

Page 4

Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)

	AHC FORT WASHINGTON MEDICAL CENTER INC
Name of hospital facility or letter of facility reporting group

Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A):

Yes

Community Health Needs Assessment

Was the hospital facility first licensed, registered, or similarly recognized by a state as a hospital facility in the current tax year or the immediately preceding tax year?........................

During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 12......................

Yes

If "Yes," indicate what the CHNA report describes (check all that apply):

A definition of the community served by the hospital facility

Demographics of the community

Existing health care facilities and resources within the community that are available to respond to the health needs of the community

How data was obtained

The significant health needs of the community

Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups

The process for identifying and prioritizing community health needs and services to meet the community health needs

The process for consulting with persons representing the community’s interests

The impact of any actions taken to address the significant health needs identified in the hospital facility's prior CHNA(s)

Other (describe in Section C)

Indicate the tax year the hospital facility last conducted a CHNA: 20 22

Yes

6 a

Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C..................................

Yes

Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................

Yes

Did the hospital facility make its CHNA report widely available to the public?..............

Yes

If "Yes," indicate how the CHNA report was made widely available (check all that apply):

Hospital facility’s website (list url): SEE URL ON SECTION C

Other website (list url): SEE URL ON SECTION C

Made a paper copy available for public inspection without charge at the hospital facility

Other (describe in Section C)

Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. ..............

Yes

Indicate the tax year the hospital facility last adopted an implementation strategy: 20 23

Is the hospital facility's most recently adopted implementation strategy posted on a website?.........

Yes

If "Yes" (list url): ADVENTISTHEALTHCARE.COM/ABOUT/COMMUNITY/HEALTH-NEEDS-ASSESSMENT

If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ......

10b

12a

Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)?...............................

12a

If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........

12b

If "Yes" on line 12b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $

Schedule H (Form 990) 2022

Page 5

Part VFacility Information (continued)

Financial Assistance Policy (FAP)

	AHC FORT WASHINGTON MEDICAL CENTER INC
Name of hospital facility or letter of facility reporting group

Yes

Did the hospital facility have in place during the tax year a written financial assistance policy that:

Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care?

Yes

If “Yes,” indicate the eligibility criteria explained in the FAP:

Federal poverty guidelines (FPG), with FPG family income limit for eligibility for free care of 200.000000000000%
and FPG family income limit for eligibility for discounted care of 600.000000000000%

Income level other than FPG (describe in Section C)

Asset level

Medical indigency

Insurance status

Underinsurance discount

Residency

Other (describe in Section C)

Explained the basis for calculating amounts charged to patients?.................

Yes

Explained the method for applying for financial assistance?...................

Yes

Described the information the hospital facility may require an individual to provide as part of his or her application

Described the supporting documentation the hospital facility may require an individual to submit as part of his or
her application

Provided the contact information of hospital facility staff who can provide an individual with information about the
FAP and FAP application process

Provided the contact information of nonprofit organizations or government agencies that may be sources of
assistance with FAP applications

Other (describe in Section C)

Was widely publicized within the community served by the hospital facility?........

Yes

If "Yes," indicate how the hospital facility publicized the policy (check all that apply):

The FAP was widely available on a website (list url):

SEE URL ON SECTION C

The FAP application form was widely available on a website (list url):

SEE URL ON SECTION C

A plain language summary of the FAP was widely available on a website (list url):
SEE URL ON SECTION C

The FAP was available upon request and without charge (in public locations in the hospital facility and by mail)

The FAP application form was available upon request and without charge (in public locations in the hospital facility
and by mail)

A plain language summary of the FAP was available upon request and without charge (in public locations in the
hospital facility and by mail)

Notified members of the community who are most likely to require financial assistance about availability of the FAP

The FAP, FAP application form, and plain language summary of the FAP were translated into the primary language(s)
spoken by LEP populations

Other (describe in Section C)

Schedule H (Form 990) 2022

Page 6

Part VFacility Information (continued)

Billing and Collections

	AHC FORT WASHINGTON MEDICAL CENTER INC
Name of hospital facility or letter of facility reporting group

Yes

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Deferring, denying, or requiring a payment before providing medically necessary care due to nonpayment of a previous
bill for care covered under the hospital facility's FAP

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

None of these actions or other similar actions were permitted

If "Yes," check all actions in which the hospital facility or a third party engaged:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Deferring , denying, or requiring a payment before providing medically necessary care due to nonpayment of a previous
bill for care covered under the hospital facility's FAP

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 19. (check all that apply):

Provided a written notice about upcoming ECAs (Extraordinary Collection Action) and a plain language summary of the
FAP at least 30 days before initiating those ECAs (if not, describe in Section C)

Made a reasonable effort to orally notify individuals about the FAP and FAP application process (if not, describe in
Section C)

Processed incomplete and complete FAP applications (if not, describe in Section C)

Made presumptive eligibility determinations (if not, describe in Section C)

Other (describe in Section C)

None of these efforts were made

Policy Relating to Emergency Medical Care

Yes

If "No," indicate why:

The hospital facility did not provide care for any emergency medical conditions

The hospital facility’s policy was not in writing

The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Section C)

Other (describe in Section C)

Schedule H (Form 990) 2022

Page 7

Part VFacility Information (continued)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)

	AHC FORT WASHINGTON MEDICAL CENTER INC
Name of hospital facility or letter of facility reporting group

Yes

Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.

The hospital facility used a look-back method based on claims allowed by Medicare fee-for-service during a prior 12-month period

The hospital facility used a prospective Medicare or Medicaid method

If "Yes," explain in Section C.

During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ...........................

If "Yes," explain in Section C.

Schedule H (Form 990) 2022

Page 8

Part V

Facility Information (continued)

Section C. Supplemental Information for Part V, Section B. Provide descriptions required for Part V, Section B, lines 2, 3j, 5, 6a, 6b, 7d, 11, 13b, 13h, 15e, 16j, 18e, 19e, 20a, 20b, 20c, 20d, 20e, 21c, 21d, 23, and 24. If applicable, provide separate descriptions for each hospital facility in a facility reporting group, designated by facility reporting group letter and hospital facility line number from Part V, Section A (“A, 1,” “A, 4,” “B, 2,” “B, 3,” etc.) and name of hospital facility.
Form and Line Reference	Explanation
SHADY GROVE MEDICAL CENTER	PART V, SECTION B, LINE 5: THE FOLLOWING NARRATIVE IS BASED ON THE LAST CONDUCTED CHNA IN 2022:THE 2022 MONTGOMERY COUNTY HOSPITAL COLLABORATIVE (MCHC) CHNA RELIED ON MULTIPLE TOOLS AND RESOURCES TO UNDERSTAND AND IDENTIFY THE UNMET HEALTH NEEDS OF THE PEOPLE WE SERVE. USING THE COUNTY HEALTH RANKINGS MODEL AS THE GUIDE FOR FACTORS THAT INFLUENCE LENGTH AND QUALITY OF LIFE, OVER 100 INDICATORS WERE IDENTIFIED AND INTEGRATED TO CREATE A HEALTH PROFILE OF MONTGOMERY AND PRINCE GEORGE'S COUNTIES. IN ADDITION TO GATHERING TIMELY, RELIABLE, AND VALID SECONDARY HEALTH DATA AND REPORTS, THE MCHC COLLECTED FIRSTHAND INFORMATION FROM THE COMMUNITY AND EXPERTS IN THE FIELD VIA OUR COMMUNITY HEALTH IMPROVEMENT PROCESS (HEALTHY MONTGOMERY), EXTERNAL ADVISORY BOARD CONVERSATIONS, AND KEY INFORMANT INTERVIEWS.HEALTHY MONTGOMERY:SERVING AS THE LOCAL HEALTH IMPROVEMENT COALITION (LHIC), HEALTHY MONTGOMERY BRINGS TOGETHER MONTGOMERY COUNTY GOVERNMENT AGENCIES, THE FOUR HOSPITAL SYSTEMS, THE MINORITY HEALTH INITIATIVES/HEALTH PROGRAMS, ADVOCACY GROUPS, ACADEMIC INSTITUTIONS, COMMUNITY-BASED SERVICE PROVIDERS, THE HEALTH INSURANCE COMMUNITY, AND OTHER STAKEHOLDERS TO SET A HEALTH PRIORITY AGENDA AND AN ACTION PLAN FOR MONTGOMERY COUNTY'S PRIORITIZED NEEDS. HEALTHY MONTGOMERY AIMS TO: IMPROVE ACCESS TO HEALTH AND SOCIAL SERVICES; ACHIEVE HEALTH EQUITY FOR ALL RESIDENTS; AND ENHANCE THE PHYSICAL AND SOCIAL ENVIRONMENT TO SUPPORT OPTIMAL HEALTH AND WELL-BEING. THE MCHC CONTRIBUTES UP TO $150,000 ANNUALLY TO SUPPORT THE INFRASTRUCTURE OF HEALTHY MONTGOMERY. IN ADDITION TO PROVIDING FINANCIAL SUPPORT, REPRESENTATIVES FROM EACH HEALTH SYSTEM PLAY AN ACTIVE ROLE THROUGH REPRESENTATION ON MULTIPLE HEALTHY MONTGOMERY COMMITTEES AND PLANNING GROUPS, INCLUDING THE HEALTHY MONTGOMERY STEERING COMMITTEE, WHICH IS THE GOVERNING BODY FOR THE GROUP (SEE APPENDIX B OF THE CHNA FOR A FULL LIST OF STEERING COMMITTEE MEMBERS).EXTERNAL ADVISORY GROUPS:THE FOUR HEALTH SYSTEMS HAVE CONVENED A GROUP OF EXTERNAL PARTICIPANTS REPRESENTING THE BROAD INTEREST OF THE COMMUNITY WE SERVE TO SHARE ADVICE AND FEEDBACK. PARTICIPANTS INCLUDE: THE PUBLIC HEALTH OFFICER, THE DIRECTOR OF THE MONTGOMERY COUNTY DEPARTMENT OF HEALTH AND HUMAN SERVICES, VARIOUS INDIVIDUALS FROM LOCAL AND STATE GOVERNMENTAL AGENCIES, LEADERS FROM COMMUNITY-BASED ORGANIZATIONS, FOUNDATIONS, CHURCHES, COLLEGES, COALITIONS, AND ASSOCIATIONS. THESE PARTICIPANTS ARE EXPERTS IN A RANGE OF AREAS, INCLUDING PUBLIC HEALTH, HEALTH CARE, MINORITY POPULATIONS AND DISPARITIES IN HEALTH CARE, SOCIAL DETERMINANTS OF HEALTH (SDOH), AND SOCIAL SERVICES. THROUGH FEEDBACK AND ADVICE, THEY PROVIDE ONGOING INPUT TO ENSURE THAT WE HAVE IDENTIFIED AND RESPONDED TO THE MOST PRESSING COMMUNITY HEALTH NEEDS. THROUGHOUT THE CHNA, ADVISORY GROUP MEMBERS WERE INVITED TO PARTICIPATE, PARTICULARLY IN THE PRIORITIZATION PROCESS, THOUGHT LEADERS' DISCUSSIONS, AND DATA EXPLORATION PROCESS. A COMPREHENSIVE LIST OF MEMBERS OF THE EXTERNAL ADVISORY GROUP IS AVAILABLE IN APPENDIX C OF THE CHNA.COMMUNITY SURVEYS, CONVERSATIONS, AND KEY INFORMANT INTERVIEWS:IN 2021, THE MCHC WIDELY DISTRIBUTED A 19-QUESTION COMMUNITY HEALTH NEEDS ASSESSMENT SURVEY CENTERED ON HEALTH STATUS, ACCESS TO CARE, AND PERCEIVED COMMUNITY HEALTH NEEDS AND STRENGTHS. THE SURVEY IS AVAILABLE IN BOTH ENGLISH AND IN SPANISH. SURVEY DISSEMINATION INCLUDES COMMUNITY EVENTS, PROGRAMS, VIA EMAIL, LISTSERVS, SOCIAL MEDIA, COMMUNITY PARTNERS AND ORGANIZATIONS. COMMUNITY CONVERSATIONS AND KEY INFORMANT INTERVIEWS WERE CONDUCTED IN PARTNERSHIP WITH HEALTHY MONTGOMERY AND THE MONTGOMERY COUNTY DEPARTMENT OF HEALTH AND HUMAN SERVICES' OVERSIGHT, PARTICIPATION, AND SUPPORT. THE FINDINGS FROM THE KEY INFORMANT INTERVIEWS ARE REFERENCED IN APPENDIX D OF THE CHNA.
WHITE OAK MEDICAL CENTER	PART V, SECTION B, LINE 5: THE FOLLOWING NARRATIVE IS BASED ON THE LAST CONDUCTED CHNA IN 2022:THE 2022 MONTGOMERY COUNTY HOSPITAL COLLABORATIVE (MCHC) CHNA RELIED ON MULTIPLE TOOLS AND RESOURCES TO UNDERSTAND AND IDENTIFY THE UNMET HEALTH NEEDS OF THE PEOPLE WE SERVE. USING THE COUNTY HEALTH RANKINGS MODEL AS THE GUIDE FOR FACTORS THAT INFLUENCE LENGTH AND QUALITY OF LIFE, OVER 100 INDICATORS WERE IDENTIFIED AND INTEGRATED TO CREATE A HEALTH PROFILE OF MONTGOMERY AND PRINCE GEORGE'S COUNTIES. IN ADDITION TO GATHERING TIMELY, RELIABLE, AND VALID SECONDARY HEALTH DATA AND REPORTS, THE MCHC COLLECTED FIRSTHAND INFORMATION FROM THE COMMUNITY AND EXPERTS IN THE FIELD VIA OUR COMMUNITY HEALTH IMPROVEMENT PROCESS (HEALTHY MONTGOMERY), EXTERNAL ADVISORY BOARD CONVERSATIONS, AND KEY INFORMANT INTERVIEWS.HEALTHY MONTGOMERY:SERVING AS THE LOCAL HEALTH IMPROVEMENT COALITION (LHIC), HEALTHY MONTGOMERY BRINGS TOGETHER MONTGOMERY COUNTY GOVERNMENT AGENCIES, THE FOUR HOSPITAL SYSTEMS, THE MINORITY HEALTH INITIATIVES/HEALTH PROGRAMS, ADVOCACY GROUPS, ACADEMIC INSTITUTIONS, COMMUNITY-BASED SERVICE PROVIDERS, THE HEALTH INSURANCE COMMUNITY, AND OTHER STAKEHOLDERS TO SET A HEALTH PRIORITY AGENDA AND AN ACTION PLAN FOR MONTGOMERY COUNTY'S PRIORITIZED NEEDS. HEALTHY MONTGOMERY AIMS TO: IMPROVE ACCESS TO HEALTH AND SOCIAL SERVICES; ACHIEVE HEALTH EQUITY FOR ALL RESIDENTS; AND ENHANCE THE PHYSICAL AND SOCIAL ENVIRONMENT TO SUPPORT OPTIMAL HEALTH AND WELL-BEING. THE MCHC CONTRIBUTES UP TO $150,000 ANNUALLY TO SUPPORT THE INFRASTRUCTURE OF HEALTHY MONTGOMERY. IN ADDITION TO PROVIDING FINANCIAL SUPPORT, REPRESENTATIVES FROM EACH HEALTH SYSTEM PLAY AN ACTIVE ROLE THROUGH REPRESENTATION ON MULTIPLE HEALTHY MONTGOMERY COMMITTEES AND PLANNING GROUPS, INCLUDING THE HEALTHY MONTGOMERY STEERING COMMITTEE, WHICH IS THE GOVERNING BODY FOR THE GROUP (SEE APPENDIX B OF THE CHNA FOR A FULL LIST OF STEERING COMMITTEE MEMBERS).EXTERNAL ADVISORY GROUPS:THE FOUR HEALTH SYSTEMS HAVE CONVENED A GROUP OF EXTERNAL PARTICIPANTS REPRESENTING THE BROAD INTEREST OF THE COMMUNITY WE SERVE TO SHARE ADVICE AND FEEDBACK. PARTICIPANTS INCLUDE: THE PUBLIC HEALTH OFFICER, THE DIRECTOR OF THE MONTGOMERY COUNTY DEPARTMENT OF HEALTH AND HUMAN SERVICES, VARIOUS INDIVIDUALS FROM LOCAL AND STATE GOVERNMENTAL AGENCIES, LEADERS FROM COMMUNITY-BASED ORGANIZATIONS, FOUNDATIONS, CHURCHES, COLLEGES, COALITIONS, AND ASSOCIATIONS. THESE PARTICIPANTS ARE EXPERTS IN A RANGE OF AREAS, INCLUDING PUBLIC HEALTH, HEALTH CARE, MINORITY POPULATIONS AND DISPARITIES IN HEALTH CARE, SOCIAL DETERMINANTS OF HEALTH (SDOH), AND SOCIAL SERVICES. THROUGH FEEDBACK AND ADVICE, THEY PROVIDE ONGOING INPUT TO ENSURE THAT WE HAVE IDENTIFIED AND RESPONDED TO THE MOST PRESSING COMMUNITY HEALTH NEEDS. THROUGHOUT THE CHNA, ADVISORY GROUP MEMBERS WERE INVITED TO PARTICIPATE, PARTICULARLY IN THE PRIORITIZATION PROCESS, THOUGHT LEADERS' DISCUSSIONS, AND DATA EXPLORATION PROCESS. A COMPREHENSIVE LIST OF MEMBERS OF THE EXTERNAL ADVISORY GROUP IS AVAILABLE IN APPENDIX C OF THE CHNA.COMMUNITY SURVEYS, CONVERSATIONS, AND KEY INFORMANT INTERVIEWS:IN 2021, THE MCHC WIDELY DISTRIBUTED A 19-QUESTION COMMUNITY HEALTH NEEDS ASSESSMENT SURVEY CENTERED ON HEALTH STATUS, ACCESS TO CARE, AND PERCEIVED COMMUNITY HEALTH NEEDS AND STRENGTHS. THE SURVEY IS AVAILABLE IN BOTH ENGLISH AND IN SPANISH. SURVEY DISSEMINATION INCLUDES COMMUNITY EVENTS, PROGRAMS, VIA EMAIL, LISTSERVS, SOCIAL MEDIA, COMMUNITY PARTNERS AND ORGANIZATIONS. COMMUNITY CONVERSATIONS AND KEY INFORMANT INTERVIEWS WERE CONDUCTED IN PARTNERSHIP WITH HEALTHY MONTGOMERY AND THE MONTGOMERY COUNTY DEPARTMENT OF HEALTH AND HUMAN SERVICES' OVERSIGHT, PARTICIPATION, AND SUPPORT. THE FINDINGS FROM THE KEY INFORMANT INTERVIEWS ARE REFERENCED IN APPENDIX D OF THE CHNA.
AHC-REHABILITATION - ROCKVILLE	PART V, SECTION B, LINE 5: THE FOLLOWING NARRATIVE IS BASED ON THE LAST CONDUCTED CHNA IN 2022:THE 2022 MONTGOMERY COUNTY HOSPITAL COLLABORATIVE (MCHC) CHNA RELIED ON MULTIPLE TOOLS AND RESOURCES TO UNDERSTAND AND IDENTIFY THE UNMET HEALTH NEEDS OF THE PEOPLE WE SERVE. USING THE COUNTY HEALTH RANKINGS MODEL AS THE GUIDE FOR FACTORS THAT INFLUENCE LENGTH AND QUALITY OF LIFE, OVER 100 INDICATORS WERE IDENTIFIED AND INTEGRATED TO CREATE A HEALTH PROFILE OF MONTGOMERY AND PRINCE GEORGE'S COUNTIES. IN ADDITION TO GATHERING TIMELY, RELIABLE, AND VALID SECONDARY HEALTH DATA AND REPORTS, THE MCHC COLLECTED FIRSTHAND INFORMATION FROM THE COMMUNITY AND EXPERTS IN THE FIELD VIA OUR COMMUNITY HEALTH IMPROVEMENT PROCESS (HEALTHY MONTGOMERY), EXTERNAL ADVISORY BOARD CONVERSATIONS, AND KEY INFORMANT INTERVIEWS.HEALTHY MONTGOMERY:SERVING AS THE LOCAL HEALTH IMPROVEMENT COALITION (LHIC), HEALTHY MONTGOMERY BRINGS TOGETHER MONTGOMERY COUNTY GOVERNMENT AGENCIES, THE FOUR HOSPITAL SYSTEMS, THE MINORITY HEALTH INITIATIVES/HEALTH PROGRAMS, ADVOCACY GROUPS, ACADEMIC INSTITUTIONS, COMMUNITY-BASED SERVICE PROVIDERS, THE HEALTH INSURANCE COMMUNITY, AND OTHER STAKEHOLDERS TO SET A HEALTH PRIORITY AGENDA AND AN ACTION PLAN FOR MONTGOMERY COUNTY'S PRIORITIZED NEEDS. HEALTHY MONTGOMERY AIMS TO: IMPROVE ACCESS TO HEALTH AND SOCIAL SERVICES; ACHIEVE HEALTH EQUITY FOR ALL RESIDENTS; AND ENHANCE THE PHYSICAL AND SOCIAL ENVIRONMENT TO SUPPORT OPTIMAL HEALTH AND WELL-BEING. THE MCHC CONTRIBUTES UP TO $150,000 ANNUALLY TO SUPPORT THE INFRASTRUCTURE OF HEALTHY MONTGOMERY. IN ADDITION TO PROVIDING FINANCIAL SUPPORT, REPRESENTATIVES FROM EACH HEALTH SYSTEM PLAY AN ACTIVE ROLE THROUGH REPRESENTATION ON MULTIPLE HEALTHY MONTGOMERY COMMITTEES AND PLANNING GROUPS, INCLUDING THE HEALTHY MONTGOMERY STEERING COMMITTEE, WHICH IS THE GOVERNING BODY FOR THE GROUP (SEE APPENDIX B OF THE CHNA FOR A FULL LIST OF STEERING COMMITTEE MEMBERS).EXTERNAL ADVISORY GROUPS:THE FOUR HEALTH SYSTEMS HAVE CONVENED A GROUP OF EXTERNAL PARTICIPANTS REPRESENTING THE BROAD INTEREST OF THE COMMUNITY WE SERVE TO SHARE ADVICE AND FEEDBACK. PARTICIPANTS INCLUDE: THE PUBLIC HEALTH OFFICER, THE DIRECTOR OF THE MONTGOMERY COUNTY DEPARTMENT OF HEALTH AND HUMAN SERVICES, VARIOUS INDIVIDUALS FROM LOCAL AND STATE GOVERNMENTAL AGENCIES, LEADERS FROM COMMUNITY-BASED ORGANIZATIONS, FOUNDATIONS, CHURCHES, COLLEGES, COALITIONS, AND ASSOCIATIONS. THESE PARTICIPANTS ARE EXPERTS IN A RANGE OF AREAS, INCLUDING PUBLIC HEALTH, HEALTH CARE, MINORITY POPULATIONS AND DISPARITIES IN HEALTH CARE, SOCIAL DETERMINANTS OF HEALTH (SDOH), AND SOCIAL SERVICES. THROUGH FEEDBACK AND ADVICE, THEY PROVIDE ONGOING INPUT TO ENSURE THAT WE HAVE IDENTIFIED AND RESPONDED TO THE MOST PRESSING COMMUNITY HEALTH NEEDS. THROUGHOUT THE CHNA, ADVISORY GROUP MEMBERS WERE INVITED TO PARTICIPATE, PARTICULARLY IN THE PRIORITIZATION PROCESS, THOUGHT LEADERS' DISCUSSIONS, AND DATA EXPLORATION PROCESS. A COMPREHENSIVE LIST OF MEMBERS OF THE EXTERNAL ADVISORY GROUP IS AVAILABLE IN APPENDIX C OF THE CHNA.COMMUNITY SURVEYS, CONVERSATIONS, AND KEY INFORMANT INTERVIEWS:IN 2021, THE MCHC WIDELY DISTRIBUTED A 19-QUESTION COMMUNITY HEALTH NEEDS ASSESSMENT SURVEY CENTERED ON HEALTH STATUS, ACCESS TO CARE, AND PERCEIVED COMMUNITY HEALTH NEEDS AND STRENGTHS. THE SURVEY IS AVAILABLE IN BOTH ENGLISH AND IN SPANISH. SURVEY DISSEMINATION INCLUDES COMMUNITY EVENTS, PROGRAMS, VIA EMAIL, LISTSERVS, SOCIAL MEDIA, COMMUNITY PARTNERS AND ORGANIZATIONS. COMMUNITY CONVERSATIONS AND KEY INFORMANT INTERVIEWS WERE CONDUCTED IN PARTNERSHIP WITH HEALTHY MONTGOMERY AND THE MONTGOMERY COUNTY DEPARTMENT OF HEALTH AND HUMAN SERVICES' OVERSIGHT, PARTICIPATION, AND SUPPORT. THE FINDINGS FROM THE KEY INFORMANT INTERVIEWS ARE REFERENCED IN APPENDIX D OF THE CHNA.
AHC-REHABILITATION - TAKOMA PARK	PART V, SECTION B, LINE 5: THE FOLLOWING NARRATIVE IS BASED ON THE LAST CONDUCTED CHNA IN 2022:THE 2022 MONTGOMERY COUNTY HOSPITAL COLLABORATIVE (MCHC) CHNA RELIED ON MULTIPLE TOOLS AND RESOURCES TO UNDERSTAND AND IDENTIFY THE UNMET HEALTH NEEDS OF THE PEOPLE WE SERVE. USING THE COUNTY HEALTH RANKINGS MODEL AS THE GUIDE FOR FACTORS THAT INFLUENCE LENGTH AND QUALITY OF LIFE, OVER 100 INDICATORS WERE IDENTIFIED AND INTEGRATED TO CREATE A HEALTH PROFILE OF MONTGOMERY AND PRINCE GEORGE'S COUNTIES. IN ADDITION TO GATHERING TIMELY, RELIABLE, AND VALID SECONDARY HEALTH DATA AND REPORTS, THE MCHC COLLECTED FIRSTHAND INFORMATION FROM THE COMMUNITY AND EXPERTS IN THE FIELD VIA OUR COMMUNITY HEALTH IMPROVEMENT PROCESS (HEALTHY MONTGOMERY), EXTERNAL ADVISORY BOARD CONVERSATIONS, AND KEY INFORMANT INTERVIEWS.HEALTHY MONTGOMERY:SERVING AS THE LOCAL HEALTH IMPROVEMENT COALITION (LHIC), HEALTHY MONTGOMERY BRINGS TOGETHER MONTGOMERY COUNTY GOVERNMENT AGENCIES, THE FOUR HOSPITAL SYSTEMS, THE MINORITY HEALTH INITIATIVES/HEALTH PROGRAMS, ADVOCACY GROUPS, ACADEMIC INSTITUTIONS, COMMUNITY-BASED SERVICE PROVIDERS, THE HEALTH INSURANCE COMMUNITY, AND OTHER STAKEHOLDERS TO SET A HEALTH PRIORITY AGENDA AND AN ACTION PLAN FOR MONTGOMERY COUNTY'S PRIORITIZED NEEDS. HEALTHY MONTGOMERY AIMS TO: IMPROVE ACCESS TO HEALTH AND SOCIAL SERVICES; ACHIEVE HEALTH EQUITY FOR ALL RESIDENTS; AND ENHANCE THE PHYSICAL AND SOCIAL ENVIRONMENT TO SUPPORT OPTIMAL HEALTH AND WELL-BEING. THE MCHC CONTRIBUTES UP TO $150,000 ANNUALLY TO SUPPORT THE INFRASTRUCTURE OF HEALTHY MONTGOMERY. IN ADDITION TO PROVIDING FINANCIAL SUPPORT, REPRESENTATIVES FROM EACH HEALTH SYSTEM PLAY AN ACTIVE ROLE THROUGH REPRESENTATION ON MULTIPLE HEALTHY MONTGOMERY COMMITTEES AND PLANNING GROUPS, INCLUDING THE HEALTHY MONTGOMERY STEERING COMMITTEE, WHICH IS THE GOVERNING BODY FOR THE GROUP (SEE APPENDIX B OF THE CHNA FOR A FULL LIST OF STEERING COMMITTEE MEMBERS).EXTERNAL ADVISORY GROUPS:THE FOUR HEALTH SYSTEMS HAVE CONVENED A GROUP OF EXTERNAL PARTICIPANTS REPRESENTING THE BROAD INTEREST OF THE COMMUNITY WE SERVE TO SHARE ADVICE AND FEEDBACK. PARTICIPANTS INCLUDE: THE PUBLIC HEALTH OFFICER, THE DIRECTOR OF THE MONTGOMERY COUNTY DEPARTMENT OF HEALTH AND HUMAN SERVICES, VARIOUS INDIVIDUALS FROM LOCAL AND STATE GOVERNMENTAL AGENCIES, LEADERS FROM COMMUNITY-BASED ORGANIZATIONS, FOUNDATIONS, CHURCHES, COLLEGES, COALITIONS, AND ASSOCIATIONS. THESE PARTICIPANTS ARE EXPERTS IN A RANGE OF AREAS, INCLUDING PUBLIC HEALTH, HEALTH CARE, MINORITY POPULATIONS AND DISPARITIES IN HEALTH CARE, SOCIAL DETERMINANTS OF HEALTH (SDOH), AND SOCIAL SERVICES. THROUGH FEEDBACK AND ADVICE, THEY PROVIDE ONGOING INPUT TO ENSURE THAT WE HAVE IDENTIFIED AND RESPONDED TO THE MOST PRESSING COMMUNITY HEALTH NEEDS. THROUGHOUT THE CHNA, ADVISORY GROUP MEMBERS WERE INVITED TO PARTICIPATE, PARTICULARLY IN THE PRIORITIZATION PROCESS, THOUGHT LEADERS' DISCUSSIONS, AND DATA EXPLORATION PROCESS. A COMPREHENSIVE LIST OF MEMBERS OF THE EXTERNAL ADVISORY GROUP IS AVAILABLE IN APPENDIX C OF THE CHNA.COMMUNITY SURVEYS, CONVERSATIONS, AND KEY INFORMANT INTERVIEWS:IN 2021, THE MCHC WIDELY DISTRIBUTED A 19-QUESTION COMMUNITY HEALTH NEEDS ASSESSMENT SURVEY CENTERED ON HEALTH STATUS, ACCESS TO CARE, AND PERCEIVED COMMUNITY HEALTH NEEDS AND STRENGTHS. THE SURVEY IS AVAILABLE IN BOTH ENGLISH AND IN SPANISH. SURVEY DISSEMINATION INCLUDES COMMUNITY EVENTS, PROGRAMS, VIA EMAIL, LISTSERVS, SOCIAL MEDIA, COMMUNITY PARTNERS AND ORGANIZATIONS. COMMUNITY CONVERSATIONS AND KEY INFORMANT INTERVIEWS WERE CONDUCTED IN PARTNERSHIP WITH HEALTHY MONTGOMERY AND THE MONTGOMERY COUNTY DEPARTMENT OF HEALTH AND HUMAN SERVICES' OVERSIGHT, PARTICIPATION, AND SUPPORT. THE FINDINGS FROM THE KEY INFORMANT INTERVIEWS ARE REFERENCED IN APPENDIX D OF THE CHNA.
AHC FORT WASHINGTON MEDICAL CENTER INC.	PART V, SECTION B, LINE 5: IN CONDUCTING OUR MOST RECENT CHNA, COMPLETED IN 2022, WE CONSIDERED INPUT FROM PERSONS WHO REPRESENT THE BROAD INTEREST OF THE COMMUNITY THROUGH THREE AVENUES: A COMMUNITY RESIDENT SURVEY, COMMUNITY EXPERT SURVEY, AND KEY INFORMANT INTERVIEWS.COMMUNITY RESIDENT SURVEY:PRINCE GEORGE'S COUNTY IS HOME TO OVER 967,000 RESIDENTS AND GROWING, WITH A WIDE RANGE OF HEALTH NEEDS AND DISPARITIES. THE COMMUNITY RESIDENT SURVEY WAS A STRATEGY DEVELOPED TO COMPLEMENT THE OVERALL COMMUNITY HEALTH ASSESSMENT (CHA) GOAL OF IDENTIFYING THE HEALTH NEEDS AND ISSUES FOR THE COUNTY'S DIVERSE POPULATION BY HEARING DIRECTLY FROM OUR RESIDENTS. THE 2022 COMMUNITY RESIDENT SURVEY WAS MODIFIED FROM THE 2019 COMMUNITY RESIDENT SURVEY, WITH ANY ADAPTATIONS BASED ON THE COMMUNITY HEALTH STATUS AND ASSESSMENT RECOMMENDATIONS OF THE MOBILIZING FOR ACTION THROUGH PLANNING AND PARTNERSHIPS (MAPP) FRAMEWORK. EFFORTS WERE MADE TO ENSURE THE SURVEY QUESTIONS CORRESPONDED WITH THE COMMUNITY EXPERT SURVEY, ANOTHER KEY ASSESSMENT OF THE MAPP FRAMEWORK. THE SURVEY QUESTIONS INCLUDED MOSTLY MULTIPLE CHOICE AND RATING SCALES WITH A FEW OPEN-ENDED RESPONSES FOR DEMOGRAPHICS AND AN OPTION FOR WRITING IN A RESPONSE IF THE PARTICIPANT ANSWERED WITH "OTHER." THE SURVEY WAS TRANSLATED INTO SPANISH (THE MOST COMMON LANGUAGE SPOKEN IN THE COUNTY AFTER ENGLISH) AND WAS MADE AVAILABLE ONLINE AND THROUGH PRINTED COPIES. COMMUNITY EXPERT SURVEY:PRINCE GEORGE'S COUNTY IS DIVERSE, AND OUR GROWING POPULATION HAS A WIDE RANGE OF NEEDS, DISPARITIES, AND PERCEPTIONS ABOUT HEALTH. THE COMMUNITY EXPERT SURVEY WAS DEVELOPED AS A STRATEGY THAT COMPLEMENTS THE OVERALL COMMUNITY HEALTH ASSESSMENT (CHA) GOAL OF IDENTIFYING THE HEALTH NEEDS AND ISSUES AMONG THE COUNTY'S DIFFERENT POPULATIONS, THROUGH PROVIDERS, COMMUNITY-BASED ORGANIZATIONS, LOCAL GOVERNMENTS, AND POPULATION REPRESENTATIVES THAT CAN SPEAK FOR THE COMMUNITIES THEY SERVE. THE CORE CHNA TEAM PROVIDED LISTS OF COMMUNITY-BASED PARTNERS AND REPRESENTATIVES TO BE INCLUDED IN THE SURVEY SUCH AS THE MEMBERSHIP OF THE PRINCE GEORGE'S COUNTY HEALTH ACTION COALITION, AS WELL AS COMMUNITY LEADERS, AND REPRESENTATIVES OF SPECIFIC POPULATIONS. THE SURVEY WAS DEVELOPED BASED ON EXISTING COMMUNITY SURVEYS WITH SOME MODIFICATIONS SPECIFIC TO THE COUNTY. EFFORTS WERE MADE TO ENSURE THE SURVEY QUESTIONS CORRESPONDED WITH THE COMMUNITY RESIDENT SURVEY WHICH WAS ALSO PART OF CHNA DATA COLLECTION EFFORTS. AN EMAIL REQUEST WAS SENT TO APPROXIMATELY 100 PARTICIPANTS BY THE PRINCE GEORGE'S COUNTY HEALTH DEPARTMENT IN APRIL 2022, AND HOSPITAL PARTNERS WERE ALSO PROVIDED WITH THE SURVEY LINK TO SHARE WITH THEIR COMMUNITY EXPERTS. KEY INFORMANT INTERVIEWS:KEY INFORMANT INTERVIEWS WERE CONDUCTED BY 16 COUNTY LEADERS DRAWN FROM DIVERSE BACKGROUNDS WITH VARYING PERSPECTIVES ON HEALTH IN THE COUNTY. THE KEY INFORMANT INTERVIEWS WERE UTILIZED AS AN OPPORTUNITY TO INCLUDE PERSPECTIVES FROM POPULATIONS THAT MAY BE UNDER-REPRESENTED THROUGH OTHER COLLECTION METHODS AND HAVE A NEED FOR DIFFERENT OR INCREASED RESOURCES TO ACHIEVE THEIR BEST HEALTH. THE SPECIAL POPULATIONS REPRESENTED INCLUDED VETERANS, SENIORS, THOSE EXPERIENCING HOMELESSNESS OR HOUSING INSECURITY, IMMIGRANTS, REFUGEES, AND THE HISPANIC AND FILIPINO COMMUNITIES. TWENTY-NINE INDIVIDUALS WERE IDENTIFIED BY AREA HOSPITALS AND THE PRINCE GEORGE'S COUNTY HEALTH DEPARTMENT (PHCHD) AS KEY INFORMANTS TO REPRESENT SPECIAL POPULATIONS IN THE COUNTY, INCLUDING VETERANS, SENIORS, THOSE EXPERIENCING HOMELESSNESS OR HOUSING INSECURITY, IMMIGRANTS, REFUGEES, AND THE HISPANIC AND FILIPINO COMMUNITIES, AS WELL AS ORGANIZATIONS SUCH AS EDUCATIONAL INSTITUTIONS THAT MAY SERVE MORE THAN ONE POPULATION. THE INDIVIDUALS IDENTIFIED AS KEY INFORMANTS WERE EITHER MEMBERS OF OR DIRECTLY SERVE THESE SPECIAL POPULATIONS. OF THE 29 POTENTIAL RESPONDENTS, 16 INDIVIDUALS COMPLETED THE INTERVIEWS. DESPITE MULTIPLE ATTEMPTS TO SCHEDULE INTERVIEWS, IT IS RECOGNIZED THAT SOME ORGANIZATIONS/ INDIVIDUALS WERE NOT INCLUDED DUE TO A LACK OF RESPONSE AND/OR TIME LIMITATIONS. HOWEVER, EFFORTS WERE MADE TO INCLUDE REPRESENTATION IN THE COMMUNITY EXPERT SURVEY FOR UNDER-REPRESENTED POPULATIONS TO ENSURE INCLUSION IN THE COMMUNITY HEALTH ASSESSMENT PROCESS. THE COMPREHENSIVE INTERVIEW GUIDE DEVELOPED FOR THE 2016 AND 2019 COMMUNITY HEALTH ASSESSMENTS WAS UTILIZED FOR CONSISTENCY (SEE APPENDIX B OF THE CHA), WHICH CONSISTED OF 17 OPEN-ENDED QUESTIONS WITH RELATED PROBES. THE GUIDE ADDRESSED THE FOLLOWING FOCUS AREAS: ASSETS AND BARRIERS RELATIVE TO HEALTH PROMOTION IN THE COUNTY, OPINIONS ON THE LEADING HEALTH THREATS CURRENTLY FACING THE COUNTY, SPECIFIC PRIORITIES IN THE AREAS OF PHYSICAL, BEHAVIORAL, AND ENVIRONMENTAL HEALTH, AND EMERGING THREATS TO RESIDENTS' HEALTH. INTERVIEWS WERE CONDUCTED BY THE PRINCE GEORGE'S COUNTY HEALTH DEPARTMENT'S OFFICE OF ASSESSMENT AND PLANNING. THE FULL LIST OF INTERVIEWEES CAN BE FOUND IN APPENDIX A OF THE CHA.
SHADY GROVE MEDICAL CENTER	PART V, SECTION B, LINE 6A: THE MOST RECENTLY CONDUCTED CHNA, COMPLETED IN 2022, WAS DONE IN COLLABORATION WITH ALL THE HOSPITALS IN MONTGOMERY COUNTY, MD: ADVENTIST HEALTHCARE SHADY GROVE MEDICAL CENTER, ADVENTIST HEALTHCARE WHITE OAK MEDICAL CENTER, ADVENTIST HEALTHCARE REHABILITATION, HOLY CROSS GERMANTOWN, HOLY CROSS SILVER SPRING, MEDSTAR MONTGOMERY, AND SUBURBAN HOSPITAL.
WHITE OAK MEDICAL CENTER	PART V, SECTION B, LINE 6A: THE MOST RECENTLY CONDUCTED CHNA, COMPLETED IN 2022, WAS DONE IN COLLABORATION WITH ALL THE HOSPITALS IN MONTGOMERY COUNTY, MD: ADVENTIST HEALTHCARE SHADY GROVE MEDICAL CENTER, ADVENTIST HEALTHCARE WHITE OAK MEDICAL CENTER, ADVENTIST HEALTHCARE REHABILITATION, HOLY CROSS GERMANTOWN, HOLY CROSS SILVER SPRING, MEDSTAR MONTGOMERY, AND SUBURBAN HOSPITAL.
AHC-REHABILITATION - ROCKVILLE	PART V, SECTION B, LINE 6A: THE MOST RECENTLY CONDUCTED CHNA, COMPLETED IN 2022, WAS DONE IN COLLABORATION WITH ALL THE HOSPITALS IN MONTGOMERY COUNTY, MD: ADVENTIST HEALTHCARE SHADY GROVE MEDICAL CENTER, ADVENTIST HEALTHCARE WHITE OAK MEDICAL CENTER, ADVENTIST HEALTHCARE REHABILITATION, HOLY CROSS GERMANTOWN, HOLY CROSS SILVER SPRING, MEDSTAR MONTGOMERY, AND SUBURBAN HOSPITAL.
AHC-REHABILITATION - TAKOMA PARK	PART V, SECTION B, LINE 6A: THE MOST RECENTLY CONDUCTED CHNA, COMPLETED IN 2022, WAS DONE IN COLLABORATION WITH ALL THE HOSPITALS IN MONTGOMERY COUNTY, MD: ADVENTIST HEALTHCARE SHADY GROVE MEDICAL CENTER, ADVENTIST HEALTHCARE WHITE OAK MEDICAL CENTER, ADVENTIST HEALTHCARE REHABILITATION, HOLY CROSS GERMANTOWN, HOLY CROSS SILVER SPRING, MEDSTAR MONTGOMERY, AND SUBURBAN HOSPITAL.
AHC FORT WASHINGTON MEDICAL CENTER INC.	PART V, SECTION B, LINE 6A: LUMINIS HEALTH DOCTORS COMMUNITY HOSPITAL; MEDSTAR SOUTHERN MARYLAND HOSPITAL CENTER; UM CAPITAL REGION HEALTH.
AHC FORT WASHINGTON MEDICAL CENTER INC.	PART V, SECTION B, LINE 6B: PRINCE GEORGE'S COUNTY HEALTH DEPARTMENT.
SHADY GROVE MEDICAL CENTER	PART V, SECTION B, LINE 7D: A HARD COPY OF THE CHNA IS ALSO AVAILABLE UPON REQUEST FROM THE ADVENTIST HEALTHCARE SUPPORT CENTER (CORPORATE OFFICE) WHICH IS LOCATED AT: 820 WEST DIAMOND AVENUE 4TH FLOOR, GAITHERSBURG, MD 20878;PART V, SECTION B, LINE 7A: THE CHNA REPORT IS FOUND ON THIS URL: HTTPS://WWW.ADVENTISTHEALTHCARE.COM/ABOUT/COMMUNITY/HEALTH-NEEDS-ASSESSMENT
WHITE OAK MEDICAL CENTER	PART V, SECTION B, LINE 7D: A HARD COPY OF THE CHNA IS ALSO AVAILABLE UPON REQUEST FROM THE ADVENTIST HEALTHCARE SUPPORT CENTER (CORPORATE OFFICE) WHICH IS LOCATED AT: 820 WEST DIAMOND AVENUE 4TH FLOOR, GAITHERSBURG, MD 20878PART V, SECTION B, LINE 7A: THE CHNA REPORT IS FOUND ON THIS URL: HTTPS://WWW.ADVENTISTHEALTHCARE.COM/ABOUT/COMMUNITY/HEALTH-NEEDS-ASSESSMENT
AHC-REHABILITATION - ROCKVILLE	PART V, SECTION B, LINE 7D: A HARD COPY OF THE CHNA IS ALSO AVAILABLE UPON REQUEST FROM THE ADVENTIST HEALTHCARE SUPPORT CENTER (CORPORATE OFFICE) WHICH IS LOCATED AT: 820 WEST DIAMOND AVENUE 4TH FLOOR, GAITHERSBURG, MD 20878PART V, SECTION B, LINE 7A: THE CHNA REPORT IS FOUND OF THIS URL: HTTPS://WWW.ADVENTISTHEALTHCARE.COM/ABOUT/COMMUNITY/HEALTH-NEEDS-ASSESSMENT
AHC-REHABILITATION - TAKOMA PARK	PART V, SECTION B, LINE 7D: A HARD COPY OF THE CHNA IS ALSO AVAILABLE UPON REQUEST FROM THE ADVENTIST HEALTHCARE SUPPORT CENTER (CORPORATE OFFICE) WHICH IS LOCATED AT: 820 WEST DIAMOND AVENUE 4TH FLOOR, GAITHERSBURG, MD 20878PART V, SECTION B, LINE 7A: THE CHNA REPORT IS FOUND ON THIS URL: HTTPS://WWW.ADVENTISTHEALTHCARE.COM/ABOUT/COMMUNITY/HEALTH-NEEDS-ASSESSMENT
AHC FORT WASHINGTON MEDICAL CENTER INC.	PART V, SECTION B, LINE 7D: A HARD COPY OF THE CHNA IS ALSO AVAILABLE UPON REQUEST FROM THE ADVENTIST HEALTHCARE SUPPORT CENTER (CORPORATE OFFICE) WHICH IS LOCATED AT: 820 WEST DIAMOND AVENUE 4TH FLOOR, GAITHERSBURG, MD 20878;PART V, SECTION B, LINE 7A: THE CHNA REPORT IS FOUND ON THIS URL: HTTPS://WWW.ADVENTISTHEALTHCARE.COM/ABOUT/COMMUNITY/HEALTH-NEEDS-ASSESSMENTPART V, SECTION B, LINE 7B:THE CHNA REPORT CAN ALSO BE FOUND ON THESE LINKS:HTTPS://WWW.LUMINISHEALTH.ORG/EN/COMMUNITY-HEALTH/NEEDS-ASSESSMENTHTTPS://WWW.UMMS.ORG/CAPITAL/COMMUNITY/COMMUNITY-HEALTH-NEEDS-ASSESSMENT
SHADY GROVE MEDICAL CENTER	PART V, SECTION B, LINE 11: A FUNDAMENTAL COMPONENT OF A COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA), AS DESCRIBED BY THE CATHOLIC HEALTH ASSOCIATION, IS THE PRIORITIZATION OF THE IDENTIFIED NEEDS. TO EFFECTIVELY ACHIEVE THIS GOAL, THE MONTGOMERY COUNTY HOSPITAL COLLABORATIVE (MCHC) ENGAGED LOCAL PUBLIC HEALTH LEADERS, SERVICE PROVIDERS, AND COMMUNITY ADVOCATES TO PARTICIPATE IN THE PRIORITY-SETTING PROCESS (PLEASE REFER TO APPENDIX I OF THE CHNA REPORT FOR A LIST OF COMMUNITY STAKEHOLDERS INVITED TO PARTAKE IN THIS PROCESS). THE FOLLOWING THREE CRITERIA PRIORITIZED THE NEEDS IDENTIFIED FROM THE PRIMARY AND SECONDARY DATA ANALYSIS: SEVERITY (HIGH LEVEL OF SERIOUSNESS OR URGENCY IN THE COMMUNITY), FEASIBILITY (COULD REALISTICALLY IMPROVE IN THE NEXT THREE YEARS), AND OUTCOME (POTENTIAL IMPACT ON THE GREATEST NUMBER OF PEOPLE IDENTIFIED). USING THESE CRITERIA, ALONG WITH INDIVIDUAL PROFESSIONAL EXPERTISE AND EXPERIENCE, MCHC STAKEHOLDERS INFORMED NINE HEALTH FACTORS AS TOP UNMET NEEDS: ACCESS TO CARE (ACCESS TO MENTAL HEALTH PROVIDERS, ACCESS TO PRIMARY CARE PROVIDERS, LACK OF INSURANCE), HEALTHY BEHAVIORS (FOOD INSECURITY, ADULT OBESITY, PHYSICAL INACTIVITY), AND EDUCATION, INCOME, JOB AND ENVIRONMENT (WORKFORCE/LABOR SHORTAGES, INCOME INEQUALITY, HOUSING COST BURDEN).THESE NINE HEALTH FACTORS ARE RECOGNIZED AS ROOT CAUSES THAT IMPACT A PERSON'S HEALTH, WELLBEING, AND QUALITY OF LIFE. BY CONSIDERING THESE ROOT CAUSES, MEANINGFUL CHANGES CAN BE MADE TO DECREASE RISK FOR THE TOP HEALTH OUTCOMES IN OUR COMMUNITY: HEART DISEASE, DIABETES, MENTAL HEALTH, CANCER, MATERNAL AND CHILD HEALTH, INFECTIONS, AND UNINTENTIONAL INJURIES (SEE FIGURE 5). THROUGH A MULTI-SECTORAL COLLABORATION, THE MCHC WILL TACKLE THE TOP HEALTH FACTORS BY LEVERAGING A COLLABORATIVE IMPLEMENTATION STRATEGY, PAYING PARTICULAR ATTENTION TO THE MOST VULNERABLE POPULATIONS IN OUR COMMUNITIES.THE MCHC ADDRESSES UNMET HEALTH NEEDS WITHIN THE CONTEXT OF OUR OVERALL APPROACH. SPECIFICALLY, TAKING INTO CONSIDERATION EACH HEALTH SYSTEM'S MISSION COMMITMENTS, INDIVIDUAL HOSPITAL KEY CLINICAL STRENGTHS, AS WELL AS THE OVERARCHING GOALS ESTABLISHED BY OUR LOCAL HEALTH IMPROVEMENT COALITION, HEALTHY MONTGOMERY. KEY FINDINGS FROM ALL DATA SOURCES WERE REVIEWED, AND THE MOST PRESSING NEEDS WERE INCORPORATED INTO OUR IMPLEMENTATION STRATEGY. THE CHNA IMPLEMENTATION STRATEGY REFLECTS THE MCHC'S OVERALL APPROACH TO IMPROVING COMMUNITY HEALTH BY TARGETING THE INTERSECTION BETWEEN THE IDENTIFIED NEEDS OF THE COMMUNITY AND THE KEY STRENGTHS AND MISSION COMMITMENTS OF EACH ORGANIZATION TO HELP BUILD A CONTINUUM OF CARE. EACH HEALTH SYSTEM HAS ESTABLISHED LEAD COMMUNITY HEALTH IMPROVEMENT ACCOUNTABILITY LEVERS, WHICH INCLUDES AN ORGANIZATIONAL STRUCTURE TO PROVIDE OVERSIGHT OF ONGOING PLANNING, BUDGETING, STRATEGIC IMPLEMENTATION, AND MULTI-YEAR EVALUATION.THE IMPLEMENTATION STRATEGY OUTLINES THE MAJOR ACTIVITIES THE MCHC ARE IMPLEMENTING TO ADDRESS THE UNMET NEEDS IDENTIFIED IN THE 2022 COMMUNITY HEALTH NEEDS ASSESSMENT. THE ACTIVITIES ARE SUMMARIZED BY PRIORITY AND KEY FOCUS AREA. THE OBJECTIVES LISTED FOR EACH PRIORITY ARE DERIVED FROM HEALTHY PEOPLE 2030. THE IMPLEMENTATION STRATEGY SHOULD BE CONSIDERED A LIVING PLAN THAT IS UPDATED AND EVALUATED, AT A MINIMUM, EACH YEAR OR AS EMERGING NEEDS ARISE.A HIGHLIGHT OF SOME OF THE INITIATIVES BEING UNDERTAKEN:ACCESS TO BEHAVIORAL HEALTH: BEHAVIORAL HEALTH SCREENINGS WITH LINKS TO TREATMENT AND RESOURCES; INSERVICES FOR PRIMARY CARE PROVIDERS TO EQUIP THEM WITH SKILLS AND KNOWLEDGE TO ADDRESS MENTAL HEALTH NEEDS IN THE PRIMARY CARE SETTING; FREE MENTAL HEALTH AND WELLNESS WORKSHOPS, EVENTS, AND SUPPORT GROUPS IN THE COMMUNITY; BEHAVIORAL HEALTH INTERNSHIPS AND MEDICAL ROTATIONS; AWARDING GRANT FUNDING TO LOCAL ORGANIZATIONS ADDRESSING ACCESS TO MENTAL HEALTH SERVICES.ACCESS TO PRIMARY CARE: GRANT AND IN-KIND SUPPORT FOR LOCAL CLINICS AND FEDERALLY QUALIFIED HEALTH CENTERS (FQHCS); SCREENINGS, REFERRALS, AND LINKAGES TO COMMUNITY RESOURCES; ADDRESS ACCESS BARRIERS THROUGH TRANSPORTATION AND LANGUAGE ASSISTANCE PROGRAMS; PARTNER WITH THE COUNTY TO PROVIDE PERINATAL SERVICES AT A REDUCED COST FOR LOW INCOME AND UNINSURED WOMEN.HEALTHY BEHAVIORS: LINKAGES TO COMMUNITY AND SOCIAL SERVICES; AWARD GRANT FUNDING TO ORGANIZATIONS ADDRESS SOCIAL SERVICE NEEDS SUCH AS FOOD ACCESS; PROVIDE DIABETES EDUCATION AND CLASSES FOR THE COMMUNITY; PROVIDE HEALTHY LIFESTYLE CLASSES FOR THE COMMUNITY.EDUCATION, INCOME, JOB & ENVIRONMENT: WORKFORCE DEVELOPMENT PROGRAMS TO ADVANCE IN HEALTH/ALLIED HEALTH CAREERS; AWARD GRANTS TO ORGANIZATIONS ADDRESSING WORKFORCE DEVELOPMENT AND VOCATIONAL TRAINING; OFFER INTERNSHIPS, FELLOWSHIPS, AND CLINICAL ROTATIONS ACROSS OUR ENTITIES; AWARD GRANTS TO ORGANIZATIONS ADDRESSING HOUSING AND HOMELESSNESS.A COMPLETE LIST OF INITIATIVES CAN BE VIEWED HERE: HTTPS://WWW.ADVENTISTHEALTHCARE.COM/ABOUT/COMMUNITY/HEALTH-NEEDS-ASSESSMENT
WHITE OAK MEDICAL CENTER	PART V, SECTION B, LINE 11: A FUNDAMENTAL COMPONENT OF A COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA), AS DESCRIBED BY THE CATHOLIC HEALTH ASSOCIATION, IS THE PRIORITIZATION OF THE IDENTIFIED NEEDS. TO EFFECTIVELY ACHIEVE THIS GOAL, THE MONTGOMERY COUNTY HOSPITAL COLLABORATIVE (MCHC) ENGAGED LOCAL PUBLIC HEALTH LEADERS, SERVICE PROVIDERS, AND COMMUNITY ADVOCATES TO PARTICIPATE IN THE PRIORITY-SETTING PROCESS (PLEASE REFER TO APPENDIX I OF THE CHNA REPORT FOR A LIST OF COMMUNITY STAKEHOLDERS INVITED TO PARTAKE IN THIS PROCESS). THE FOLLOWING THREE CRITERIA PRIORITIZED THE NEEDS IDENTIFIED FROM THE PRIMARY AND SECONDARY DATA ANALYSIS: SEVERITY (HIGH LEVEL OF SERIOUSNESS OR URGENCY IN THE COMMUNITY), FEASIBILITY (COULD REALISTICALLY IMPROVE IN THE NEXT THREE YEARS), AND OUTCOME (POTENTIAL IMPACT ON THE GREATEST NUMBER OF PEOPLE IDENTIFIED). USING THESE CRITERIA, ALONG WITH INDIVIDUAL PROFESSIONAL EXPERTISE AND EXPERIENCE, MCHC STAKEHOLDERS INFORMED NINE HEALTH FACTORS AS TOP UNMET NEEDS: ACCESS TO CARE (ACCESS TO MENTAL HEALTH PROVIDERS, ACCESS TO PRIMARY CARE PROVIDERS, LACK OF INSURANCE), HEALTHY BEHAVIORS (FOOD INSECURITY, ADULT OBESITY, PHYSICAL INACTIVITY), AND EDUCATION, INCOME, JOB AND ENVIRONMENT (WORKFORCE/LABOR SHORTAGES, INCOME INEQUALITY, HOUSING COST BURDEN).THESE NINE HEALTH FACTORS ARE RECOGNIZED AS ROOT CAUSES THAT IMPACT A PERSON'S HEALTH, WELLBEING, AND QUALITY OF LIFE. BY CONSIDERING THESE ROOT CAUSES, MEANINGFUL CHANGES CAN BE MADE TO DECREASE RISK FOR THE TOP HEALTH OUTCOMES IN OUR COMMUNITY: HEART DISEASE, DIABETES, MENTAL HEALTH, CANCER, MATERNAL AND CHILD HEALTH, INFECTIONS, AND UNINTENTIONAL INJURIES (SEE FIGURE 5). THROUGH A MULTI-SECTORAL COLLABORATION, THE MCHC WILL TACKLE THE TOP HEALTH FACTORS BY LEVERAGING A COLLABORATIVE IMPLEMENTATION STRATEGY, PAYING PARTICULAR ATTENTION TO THE MOST VULNERABLE POPULATIONS IN OUR COMMUNITIES.THE MCHC ADDRESSES UNMET HEALTH NEEDS WITHIN THE CONTEXT OF OUR OVERALL APPROACH. SPECIFICALLY, TAKING INTO CONSIDERATION EACH HEALTH SYSTEM'S MISSION COMMITMENTS, INDIVIDUAL HOSPITAL KEY CLINICAL STRENGTHS, AS WELL AS THE OVERARCHING GOALS ESTABLISHED BY OUR LOCAL HEALTH IMPROVEMENT COALITION, HEALTHY MONTGOMERY. KEY FINDINGS FROM ALL DATA SOURCES WERE REVIEWED, AND THE MOST PRESSING NEEDS WERE INCORPORATED INTO OUR IMPLEMENTATION STRATEGY. THE CHNA IMPLEMENTATION STRATEGY REFLECTS THE MCHC'S OVERALL APPROACH TO IMPROVING COMMUNITY HEALTH BY TARGETING THE INTERSECTION BETWEEN THE IDENTIFIED NEEDS OF THE COMMUNITY AND THE KEY STRENGTHS AND MISSION COMMITMENTS OF EACH ORGANIZATION TO HELP BUILD A CONTINUUM OF CARE. EACH HEALTH SYSTEM HAS ESTABLISHED LEAD COMMUNITY HEALTH IMPROVEMENT ACCOUNTABILITY LEVERS, WHICH INCLUDES AN ORGANIZATIONAL STRUCTURE TO PROVIDE OVERSIGHT OF ONGOING PLANNING, BUDGETING, STRATEGIC IMPLEMENTATION, AND MULTI-YEAR EVALUATION.THE IMPLEMENTATION STRATEGY OUTLINES THE MAJOR ACTIVITIES THE MCHC ARE IMPLEMENTING TO ADDRESS THE UNMET NEEDS IDENTIFIED IN THE 2022 COMMUNITY HEALTH NEEDS ASSESSMENT. THE ACTIVITIES ARE SUMMARIZED BY PRIORITY AND KEY FOCUS AREA. THE OBJECTIVES LISTED FOR EACH PRIORITY ARE DERIVED FROM HEALTHY PEOPLE 2030. THE IMPLEMENTATION STRATEGY SHOULD BE CONSIDERED A LIVING PLAN THAT IS UPDATED AND EVALUATED, AT A MINIMUM, EACH YEAR OR AS EMERGING NEEDS ARISE.A HIGHLIGHT OF SOME OF THE INITIATIVES BEING UNDERTAKEN:ACCESS TO BEHAVIORAL HEALTH: BEHAVIORAL HEALTH SCREENINGS WITH LINKS TO TREATMENT AND RESOURCES; INSERVICES FOR PRIMARY CARE PROVIDERS TO EQUIP THEM WITH SKILLS AND KNOWLEDGE TO ADDRESS MENTAL HEALTH NEEDS IN THE PRIMARY CARE SETTING; FREE MENTAL HEALTH AND WELLNESS WORKSHOPS, EVENTS, AND SUPPORT GROUPS IN THE COMMUNITY; BEHAVIORAL HEALTH INTERNSHIPS AND MEDICAL ROTATIONS; AWARDING GRANT FUNDING TO LOCAL ORGANIZATIONS ADDRESSING ACCESS TO MENTAL HEALTH SERVICES.ACCESS TO PRIMARY CARE: GRANT AND IN-KIND SUPPORT FOR LOCAL CLINICS AND FEDERALLY QUALIFIED HEALTH CENTERS (FQHCS); SCREENINGS, REFERRALS, AND LINKAGES TO COMMUNITY RESOURCES; ADDRESS ACCESS BARRIERS THROUGH TRANSPORTATION AND LANGUAGE ASSISTANCE PROGRAMS; PARTNER WITH THE COUNTY TO PROVIDE PERINATAL SERVICES AT A REDUCED COST FOR LOW INCOME AND UNINSURED WOMEN.HEALTHY BEHAVIORS: LINKAGES TO COMMUNITY AND SOCIAL SERVICES; AWARD GRANT FUNDING TO ORGANIZATIONS ADDRESS SOCIAL SERVICE NEEDS SUCH AS FOOD ACCESS; PROVIDE DIABETES EDUCATION AND CLASSES FOR THE COMMUNITY; PROVIDE HEALTHY LIFESTYLE CLASSES FOR THE COMMUNITY.EDUCATION, INCOME, JOB & ENVIRONMENT: WORKFORCE DEVELOPMENT PROGRAMS TO ADVANCE IN HEALTH/ALLIED HEALTH CAREERS; AWARD GRANTS TO ORGANIZATIONS ADDRESSING WORKFORCE DEVELOPMENT AND VOCATIONAL TRAINING; OFFER INTERNSHIPS, FELLOWSHIPS, AND CLINICAL ROTATIONS ACROSS OUR ENTITIES; AWARD GRANTS TO ORGANIZATIONS ADDRESSING HOUSING AND HOMELESSNESS.A COMPLETE LIST OF INITIATIVES CAN BE VIEWED HERE: HTTPS://WWW.ADVENTISTHEALTHCARE.COM/ABOUT/COMMUNITY/HEALTH-NEEDS-ASSESSMENT
AHC-REHABILITATION - ROCKVILLE	PART V, SECTION B, LINE 11: A FUNDAMENTAL COMPONENT OF A COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA), AS DESCRIBED BY THE CATHOLIC HEALTH ASSOCIATION, IS THE PRIORITIZATION OF THE IDENTIFIED NEEDS. TO EFFECTIVELY ACHIEVE THIS GOAL, THE MONTGOMERY COUNTY HOSPITAL COLLABORATIVE (MCHC) ENGAGED LOCAL PUBLIC HEALTH LEADERS, SERVICE PROVIDERS, AND COMMUNITY ADVOCATES TO PARTICIPATE IN THE PRIORITY-SETTING PROCESS (PLEASE REFER TO APPENDIX I OF THE CHNA REPORT FOR A LIST OF COMMUNITY STAKEHOLDERS INVITED TO PARTAKE IN THIS PROCESS). THE FOLLOWING THREE CRITERIA PRIORITIZED THE NEEDS IDENTIFIED FROM THE PRIMARY AND SECONDARY DATA ANALYSIS: SEVERITY (HIGH LEVEL OF SERIOUSNESS OR URGENCY IN THE COMMUNITY), FEASIBILITY (COULD REALISTICALLY IMPROVE IN THE NEXT THREE YEARS), AND OUTCOME (POTENTIAL IMPACT ON THE GREATEST NUMBER OF PEOPLE IDENTIFIED). USING THESE CRITERIA, ALONG WITH INDIVIDUAL PROFESSIONAL EXPERTISE AND EXPERIENCE, MCHC STAKEHOLDERS INFORMED NINE HEALTH FACTORS AS TOP UNMET NEEDS: ACCESS TO CARE (ACCESS TO MENTAL HEALTH PROVIDERS, ACCESS TO PRIMARY CARE PROVIDERS, LACK OF INSURANCE), HEALTHY BEHAVIORS (FOOD INSECURITY, ADULT OBESITY, PHYSICAL INACTIVITY), AND EDUCATION, INCOME, JOB AND ENVIRONMENT (WORKFORCE/LABOR SHORTAGES, INCOME INEQUALITY, HOUSING COST BURDEN).THESE NINE HEALTH FACTORS ARE RECOGNIZED AS ROOT CAUSES THAT IMPACT A PERSON'S HEALTH, WELLBEING, AND QUALITY OF LIFE. BY CONSIDERING THESE ROOT CAUSES, MEANINGFUL CHANGES CAN BE MADE TO DECREASE RISK FOR THE TOP HEALTH OUTCOMES IN OUR COMMUNITY: HEART DISEASE, DIABETES, MENTAL HEALTH, CANCER, MATERNAL AND CHILD HEALTH, INFECTIONS, AND UNINTENTIONAL INJURIES (SEE FIGURE 5). THROUGH A MULTI-SECTORAL COLLABORATION, THE MCHC WILL TACKLE THE TOP HEALTH FACTORS BY LEVERAGING A COLLABORATIVE IMPLEMENTATION STRATEGY, PAYING PARTICULAR ATTENTION TO THE MOST VULNERABLE POPULATIONS IN OUR COMMUNITIES.THE MCHC ADDRESSES UNMET HEALTH NEEDS WITHIN THE CONTEXT OF OUR OVERALL APPROACH. SPECIFICALLY, TAKING INTO CONSIDERATION EACH HEALTH SYSTEM'S MISSION COMMITMENTS, INDIVIDUAL HOSPITAL KEY CLINICAL STRENGTHS, AS WELL AS THE OVERARCHING GOALS ESTABLISHED BY OUR LOCAL HEALTH IMPROVEMENT COALITION, HEALTHY MONTGOMERY. KEY FINDINGS FROM ALL DATA SOURCES WERE REVIEWED, AND THE MOST PRESSING NEEDS WERE INCORPORATED INTO OUR IMPLEMENTATION STRATEGY. THE CHNA IMPLEMENTATION STRATEGY REFLECTS THE MCHC'S OVERALL APPROACH TO IMPROVING COMMUNITY HEALTH BY TARGETING THE INTERSECTION BETWEEN THE IDENTIFIED NEEDS OF THE COMMUNITY AND THE KEY STRENGTHS AND MISSION COMMITMENTS OF EACH ORGANIZATION TO HELP BUILD A CONTINUUM OF CARE. EACH HEALTH SYSTEM HAS ESTABLISHED LEAD COMMUNITY HEALTH IMPROVEMENT ACCOUNTABILITY LEVERS, WHICH INCLUDES AN ORGANIZATIONAL STRUCTURE TO PROVIDE OVERSIGHT OF ONGOING PLANNING, BUDGETING, STRATEGIC IMPLEMENTATION, AND MULTI-YEAR EVALUATION.THE IMPLEMENTATION STRATEGY OUTLINES THE MAJOR ACTIVITIES THE MCHC ARE IMPLEMENTING TO ADDRESS THE UNMET NEEDS IDENTIFIED IN THE 2022 COMMUNITY HEALTH NEEDS ASSESSMENT. THE ACTIVITIES ARE SUMMARIZED BY PRIORITY AND KEY FOCUS AREA. THE OBJECTIVES LISTED FOR EACH PRIORITY ARE DERIVED FROM HEALTHY PEOPLE 2030. THE IMPLEMENTATION STRATEGY SHOULD BE CONSIDERED A LIVING PLAN THAT IS UPDATED AND EVALUATED, AT A MINIMUM, EACH YEAR OR AS EMERGING NEEDS ARISE.A HIGHLIGHT OF SOME OF THE INITIATIVES BEING UNDERTAKEN:ACCESS TO BEHAVIORAL HEALTH: BEHAVIORAL HEALTH SCREENINGS WITH LINKS TO TREATMENT AND RESOURCES; INSERVICES FOR PRIMARY CARE PROVIDERS TO EQUIP THEM WITH SKILLS AND KNOWLEDGE TO ADDRESS MENTAL HEALTH NEEDS IN THE PRIMARY CARE SETTING; FREE MENTAL HEALTH AND WELLNESS WORKSHOPS, EVENTS, AND SUPPORT GROUPS IN THE COMMUNITY; BEHAVIORAL HEALTH INTERNSHIPS AND MEDICAL ROTATIONS; AWARDING GRANT FUNDING TO LOCAL ORGANIZATIONS ADDRESSING ACCESS TO MENTAL HEALTH SERVICES.ACCESS TO PRIMARY CARE: GRANT AND IN-KIND SUPPORT FOR LOCAL CLINICS AND FEDERALLY QUALIFIED HEALTH CENTERS (FQHCS); SCREENINGS, REFERRALS, AND LINKAGES TO COMMUNITY RESOURCES; ADDRESS ACCESS BARRIERS THROUGH TRANSPORTATION AND LANGUAGE ASSISTANCE PROGRAMS; PARTNER WITH THE COUNTY TO PROVIDE PERINATAL SERVICES AT A REDUCED COST FOR LOW INCOME AND UNINSURED WOMEN.HEALTHY BEHAVIORS: LINKAGES TO COMMUNITY AND SOCIAL SERVICES; AWARD GRANT FUNDING TO ORGANIZATIONS ADDRESS SOCIAL SERVICE NEEDS SUCH AS FOOD ACCESS; PROVIDE DIABETES EDUCATION AND CLASSES FOR THE COMMUNITY; PROVIDE HEALTHY LIFESTYLE CLASSES FOR THE COMMUNITY.EDUCATION, INCOME, JOB & ENVIRONMENT: WORKFORCE DEVELOPMENT PROGRAMS TO ADVANCE IN HEALTH/ALLIED HEALTH CAREERS; AWARD GRANTS TO ORGANIZATIONS ADDRESSING WORKFORCE DEVELOPMENT AND VOCATIONAL TRAINING; OFFER INTERNSHIPS, FELLOWSHIPS, AND CLINICAL ROTATIONS ACROSS OUR ENTITIES; AWARD GRANTS TO ORGANIZATIONS ADDRESSING HOUSING AND HOMELESSNESS.A COMPLETE LIST OF INITIATIVES CAN BE VIEWED HERE: HTTPS://WWW.ADVENTISTHEALTHCARE.COM/ABOUT/COMMUNITY/HEALTH-NEEDS-ASSESSMENT
AHC-REHABILITATION - TAKOMA PARK	PART V, SECTION B, LINE 11: A FUNDAMENTAL COMPONENT OF A COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA), AS DESCRIBED BY THE CATHOLIC HEALTH ASSOCIATION, IS THE PRIORITIZATION OF THE IDENTIFIED NEEDS. TO EFFECTIVELY ACHIEVE THIS GOAL, THE MONTGOMERY COUNTY HOSPITAL COLLABORATIVE (MCHC) ENGAGED LOCAL PUBLIC HEALTH LEADERS, SERVICE PROVIDERS, AND COMMUNITY ADVOCATES TO PARTICIPATE IN THE PRIORITY-SETTING PROCESS (PLEASE REFER TO APPENDIX I OF THE CHNA REPORT FOR A LIST OF COMMUNITY STAKEHOLDERS INVITED TO PARTAKE IN THIS PROCESS). THE FOLLOWING THREE CRITERIA PRIORITIZED THE NEEDS IDENTIFIED FROM THE PRIMARY AND SECONDARY DATA ANALYSIS: SEVERITY (HIGH LEVEL OF SERIOUSNESS OR URGENCY IN THE COMMUNITY), FEASIBILITY (COULD REALISTICALLY IMPROVE IN THE NEXT THREE YEARS), AND OUTCOME (POTENTIAL IMPACT ON THE GREATEST NUMBER OF PEOPLE IDENTIFIED). USING THESE CRITERIA, ALONG WITH INDIVIDUAL PROFESSIONAL EXPERTISE AND EXPERIENCE, MCHC STAKEHOLDERS INFORMED NINE HEALTH FACTORS AS TOP UNMET NEEDS: ACCESS TO CARE (ACCESS TO MENTAL HEALTH PROVIDERS, ACCESS TO PRIMARY CARE PROVIDERS, LACK OF INSURANCE), HEALTHY BEHAVIORS (FOOD INSECURITY, ADULT OBESITY, PHYSICAL INACTIVITY), AND EDUCATION, INCOME, JOB AND ENVIRONMENT (WORKFORCE/LABOR SHORTAGES, INCOME INEQUALITY, HOUSING COST BURDEN).THESE NINE HEALTH FACTORS ARE RECOGNIZED AS ROOT CAUSES THAT IMPACT A PERSON'S HEALTH, WELLBEING, AND QUALITY OF LIFE. BY CONSIDERING THESE ROOT CAUSES, MEANINGFUL CHANGES CAN BE MADE TO DECREASE RISK FOR THE TOP HEALTH OUTCOMES IN OUR COMMUNITY: HEART DISEASE, DIABETES, MENTAL HEALTH, CANCER, MATERNAL AND CHILD HEALTH, INFECTIONS, AND UNINTENTIONAL INJURIES (SEE FIGURE 5). THROUGH A MULTI-SECTORAL COLLABORATION, THE MCHC WILL TACKLE THE TOP HEALTH FACTORS BY LEVERAGING A COLLABORATIVE IMPLEMENTATION STRATEGY, PAYING PARTICULAR ATTENTION TO THE MOST VULNERABLE POPULATIONS IN OUR COMMUNITIES.THE MCHC ADDRESSES UNMET HEALTH NEEDS WITHIN THE CONTEXT OF OUR OVERALL APPROACH. SPECIFICALLY, TAKING INTO CONSIDERATION EACH HEALTH SYSTEM'S MISSION COMMITMENTS, INDIVIDUAL HOSPITAL KEY CLINICAL STRENGTHS, AS WELL AS THE OVERARCHING GOALS ESTABLISHED BY OUR LOCAL HEALTH IMPROVEMENT COALITION, HEALTHY MONTGOMERY. KEY FINDINGS FROM ALL DATA SOURCES WERE REVIEWED, AND THE MOST PRESSING NEEDS WERE INCORPORATED INTO OUR IMPLEMENTATION STRATEGY. THE CHNA IMPLEMENTATION STRATEGY REFLECTS THE MCHC'S OVERALL APPROACH TO IMPROVING COMMUNITY HEALTH BY TARGETING THE INTERSECTION BETWEEN THE IDENTIFIED NEEDS OF THE COMMUNITY AND THE KEY STRENGTHS AND MISSION COMMITMENTS OF EACH ORGANIZATION TO HELP BUILD A CONTINUUM OF CARE. EACH HEALTH SYSTEM HAS ESTABLISHED LEAD COMMUNITY HEALTH IMPROVEMENT ACCOUNTABILITY LEVERS, WHICH INCLUDES AN ORGANIZATIONAL STRUCTURE TO PROVIDE OVERSIGHT OF ONGOING PLANNING, BUDGETING, STRATEGIC IMPLEMENTATION, AND MULTI-YEAR EVALUATION.THE IMPLEMENTATION STRATEGY OUTLINES THE MAJOR ACTIVITIES THE MCHC ARE IMPLEMENTING TO ADDRESS THE UNMET NEEDS IDENTIFIED IN THE 2022 COMMUNITY HEALTH NEEDS ASSESSMENT. THE ACTIVITIES ARE SUMMARIZED BY PRIORITY AND KEY FOCUS AREA. THE OBJECTIVES LISTED FOR EACH PRIORITY ARE DERIVED FROM HEALTHY PEOPLE 2030. THE IMPLEMENTATION STRATEGY SHOULD BE CONSIDERED A LIVING PLAN THAT IS UPDATED AND EVALUATED, AT A MINIMUM, EACH YEAR OR AS EMERGING NEEDS ARISE.A HIGHLIGHT OF SOME OF THE INITIATIVES BEING UNDERTAKEN:ACCESS TO BEHAVIORAL HEALTH: BEHAVIORAL HEALTH SCREENINGS WITH LINKS TO TREATMENT AND RESOURCES; INSERVICES FOR PRIMARY CARE PROVIDERS TO EQUIP THEM WITH SKILLS AND KNOWLEDGE TO ADDRESS MENTAL HEALTH NEEDS IN THE PRIMARY CARE SETTING; FREE MENTAL HEALTH AND WELLNESS WORKSHOPS, EVENTS, AND SUPPORT GROUPS IN THE COMMUNITY; BEHAVIORAL HEALTH INTERNSHIPS AND MEDICAL ROTATIONS; AWARDING GRANT FUNDING TO LOCAL ORGANIZATIONS ADDRESSING ACCESS TO MENTAL HEALTH SERVICES.ACCESS TO PRIMARY CARE: GRANT AND IN-KIND SUPPORT FOR LOCAL CLINICS AND FEDERALLY QUALIFIED HEALTH CENTERS (FQHCS); SCREENINGS, REFERRALS, AND LINKAGES TO COMMUNITY RESOURCES; ADDRESS ACCESS BARRIERS THROUGH TRANSPORTATION AND LANGUAGE ASSISTANCE PROGRAMS; PARTNER WITH THE COUNTY TO PROVIDE PERINATAL SERVICES AT A REDUCED COST FOR LOW INCOME AND UNINSURED WOMEN.HEALTHY BEHAVIORS: LINKAGES TO COMMUNITY AND SOCIAL SERVICES; AWARD GRANT FUNDING TO ORGANIZATIONS ADDRESS SOCIAL SERVICE NEEDS SUCH AS FOOD ACCESS; PROVIDE DIABETES EDUCATION AND CLASSES FOR THE COMMUNITY; PROVIDE HEALTHY LIFESTYLE CLASSES FOR THE COMMUNITY.EDUCATION, INCOME, JOB & ENVIRONMENT: WORKFORCE DEVELOPMENT PROGRAMS TO ADVANCE IN HEALTH/ALLIED HEALTH CAREERS; AWARD GRANTS TO ORGANIZATIONS ADDRESSING WORKFORCE DEVELOPMENT AND VOCATIONAL TRAINING; OFFER INTERNSHIPS, FELLOWSHIPS, AND CLINICAL ROTATIONS ACROSS OUR ENTITIES; AWARD GRANTS TO ORGANIZATIONS ADDRESSING HOUSING AND HOMELESSNESS.A COMPLETE LIST OF INITIATIVES CAN BE VIEWED HERE: HTTPS://WWW.ADVENTISTHEALTHCARE.COM/ABOUT/COMMUNITY/HEALTH-NEEDS-ASSESSMENT
AHC FORT WASHINGTON MEDICAL CENTER INC.	PART V, SECTION B, LINE 11: THE HOSPITAL ALONE CANNOT ADDRESS ALL COMMUNITY NEEDS DUE TO BUDGET CONSTRAINTS. HOWEVER, TO ENSURE THAT ALL HEALTH NEEDS WERE MET, FWMC, ALONG WITH THE OTHER FOUR HOSPITALS IN PRINCE GEORGE'S COUNTY AND THE PRINCE GEORGE'S COUNTY HEALTH DEPARTMENT, IDENTIFIED AT LEAST ONE AND OFTEN MULTIPLE RESOURCES AVAILABLE TO MEET EACH IDENTIFIED COMMUNITY HEALTH NEED. WHILE THE CORE TEAM LED THE DATA GATHERING PROCESS OF THE CHNA, THERE WAS RECOGNITION THAT THERE MUST BE SHARED OWNERSHIP OF THE COUNTY'S COMMUNITY'S HEALTH. FWMC IS DIRECTLY ADDRESSING NEEDS RELATED TO ACCESS TO CARE, FOOD ACCESS, INFECTIOUS DISEASE (PARTICULARLY HIV AND HEP C), BEHAVIORAL HEALTH, AND OBESITY. OF THE CORE PRIORITY AREAS IDENTIFIED IN THE MOST RECENT CHNA, THE ONLY AREA THAT FWMC IS NOT DIRECTLY ADDRESSING IS CANCER AS THIS IS NOT AN AREA WE HAVE SUFFICIENT EXPERTISE AND RESOURCES. HOWEVER, THE HOSPITAL MAKES APPROPRIATE REFERRALS TO OTHER HOSPITAL AND COMMUNITY RESOURCES FOR OUR PATIENTS AND COMMUNITY MEMBERS. A HIGHLIGHT OF SOME OF THE INITIATIVES BEING UNDERTAKEN:ACCESS TO CARE: INCREASE ACCESS TO DIABETES COMPLICATION PREVENTION SERVICES AND SELF-MANAGEMENT RESOURCES; PROVIDE MEDICATION ASSISTANCE FOR LOW-INCOME PATIENTS WITH CHRONIC ILLNESSES; INCREASE ACCESS TO HEART HEALTH EDUCATION AND SELF-MANAGEMENT RESOURCES.FOOD ACCESS: INCREASE ACCESS TO FRESH MEALS IN THE OXON HILL NEIGHBORHOOD WHILE SUPPORTING LOCALLY OWNED RESTAURANTS.INFECTIOUS DISEASE: IMPROVE CARE OF INDIVIDUALS LIVING WITH HIV AND HEP C BY PROVIDING PRIVATE, SAFE, AND EFFECTIVE MEANS OF TESTING.BEHAVIORAL HEALTH: DECREASE THE NUMBER OF DRUG AND ALCOHOL ABUSE IN THE COMMUNITY BY SCREENING EVERYONE PATIENT THAT COMES INTO THE EMERGENCY DEPARTMENT FOR DRUG AND ALCOHOL ABUSE AND CONNECT THE PATIENT TO TREATMENT.OBESITY: INCREASE ACCESS TO NEEDED BARIATRIC SERVICES IN THE COMMUNITY; PROMOTE HEALTH THROUGH SCREENINGS, EDUCATION, AND AWARENESS OF LOCAL RESOURCES.A COMPLETE LIST OF INITIATIVES CAN BE VIEWED HERE: HTTPS://WWW.ADVENTISTHEALTHCARE.COM/ABOUT/COMMUNITY/HEALTH-NEEDS-ASSESSMENT/
SHADY GROVE MEDICAL CENTER	PART V, SECTION B, LINE 16J: THE POLICY IS ALSO STRATEGICALLY POSTED AT OUR PATIENT FINANCIAL SERVICES OFFICE.PART V, SECTION B, LINE 16A: HTTPS://WWW.ADVENTISTHEALTHCARE.COM/PATIENTS/BILLING/FINANCIAL-ASSISTANCE/PART V, SECTION B, LINE 16B: SAME URL AS LISTED ON LINE 16APART V, SECTION B, LINE 16C: SAME URL AS LISTED ON LINE 16A
WHITE OAK MEDICAL CENTER	PART V, SECTION B, LINE 16J: THE POLICY IS ALSO STRATEGICALLY POSTED AT OUR PATIENT FINANCIAL SERVICES OFFICE.PART V, SECTION B, LINE 16A: HTTPS://WWW.ADVENTISTHEALTHCARE.COM/PATIENTS/BILLING/FINANCIAL-ASSISTANCE/PART V, SECTION B, LINE 16B: SAME URL AS LISTED ON LINE 16APART V, SECTION B, LINE 16C: SAME URL AS LISTED ON LINE 16A
AHC-REHABILITATION - ROCKVILLE	PART V, SECTION B, LINE 16J: THE POLICY IS ALSO STRATEGICALLY POSTED AT OUR PATIENT FINANCIAL SERVICES OFFICE.PART V, SECTION B, LINE 16A: HTTPS://WWW.ADVENTISTHEALTHCARE.COM/PATIENTS/BILLING/FINANCIAL-ASSISTANCE/PART V, SECTION B, LINE 16B: SAME URL AS LISTED ON LINE 16APART V, SECTION B, LINE 16C: SAME URL AS LISTED ON LINE 16A
AHC-REHABILITATION - TAKOMA PARK	PART V, SECTION B, LINE 16J: THE POLICY IS ALSO STRATEGICALLY POSTED AT OUR PATIENT FINANCIAL SERVICES OFFICE.PART V, SECTION B, LINE 16A: HTTPS://WWW.ADVENTISTHEALTHCARE.COM/PATIENTS/BILLING/FINANCIAL-ASSISTANCE/PART V, SECTION B, LINE 16B: SAME URL AS LISTED ON LINE 16APART V, SECTION B, LINE 16C: SAME URL AS LISTED ON LINE 16A
AHC FORT WASHINGTON MEDICAL CENTER INC.	PART V, SECTION B, LINE 16J: THE POLICY IS ALSO STRATEGICALLY POSTED AT OUR PATIENT FINANCIAL SERVICES OFFICE.PART V, SECTION B, LINE 16A: HTTPS://WWW.ADVENTISTHEALTHCARE.COM/PATIENTS/BILLING/FINANCIAL-ASSISTANCE/PART V, SECTION B, LINE 16B: SAME URL AS LISTED ON LINE 16APART V, SECTION B, LINE 16C: SAME URL AS LISTED ON LINE 16A

Schedule H (Form 990) 2022

Page 9

Part VFacility Information (continued)

Section D. Other Health Care Facilities That Are Not Licensed, Registered, or Similarly Recognized as a Hospital Facility (list in order of size, from largest to smallest) How many non-hospital health care facilities did the organization operate during the tax year?4
Name and address		Type of Facility (describe)
1	1 - ADVENTIST HOME HEALTH SERVICES INC 12041 BOURNEFIELD WAY SUITE B SILVER SPRING,MD20904	HOME HEALTH SERVICES
2	2 - REGINALD S LOURIE CENTER FOR INFANTS 12301 ACADEMY WAY ROCKVILLE,MD20852	NAME CONT.: AND YOUNG CHILDREN, INC. INFANT & CHILDREN DEVELOPMENT CARE CTR.
3	3 - SHADY GROVE ADVENTIST RADIATION 20330 SENECA MEADOWS PARKWAY GERMANTOWN,MD20876	NAME CONTINUED: ONCOLOGY CENTER. OUTPATIENT CANCER TREATMENT CENTER.
4	4 - ADVENTIST HEALTHCARE URGENT CARE 750 ROCKVILLE PIKE ROCKVILLE,MD20852	NAME CONTINUED: CENTERS, INC. CENTERS ALSO IN GERMANTOWN,LAUREL,TAKOMA PARK
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Schedule H (Form 990) 2022

Page 10

Part VI

Supplemental Information

Provide the following information.

1	Required descriptions. Provide the descriptions required for Part I, lines 3c, 6a, and 7; Part II and Part III, lines 2, 3, 4, 8 and 9b.
2	Needs assessment. Describe how the organization assesses the health care needs of the communities it serves, in addition to any CHNAs reported in Part V, Section B.
3	Patient education of eligibility for assistance. Describe how the organization informs and educates patients and persons who may be billed for patient care about their eligibility for assistance under federal, state, or local government programs or under the organization’s financial assistance policy.
4	Community information. Describe the community the organization serves, taking into account the geographic area and demographic constituents it serves.
5	Promotion of community health. Provide any other information important to describing how the organization’s hospital facilities or other health care facilities further its exempt purpose by promoting the health of the community (e.g., open medical staff, community board, use of surplus funds, etc.).
6	Affiliated health care system. If the organization is part of an affiliated health care system, describe the respective roles of the organization and its affiliates in promoting the health of the communities served.
7	State filing of community benefit report. If applicable, identify all states with which the organization, or a related organization, files a community benefit report.

Form and Line Reference	Explanation
PART I, LINE 3C:	IN CONSIDERATION FOR FINANCIAL ASSISTANCE TO OUR PATIENTS, ADVENTIST HEALTHCARE ALSO CONSIDERS CIRCUMSTANCES BEYOND INCOME. THE PATIENT'S CIRCUMSTANCES COULD INCLUDE THE NEEDS OF THE PATIENT AND/OR FAMILY AND OTHER FINANCIAL RESOURCES. IT IS OUR MISSION TO PROVIDE NECESSARY MEDICAL CARE TO THOSE WHO ARE UNABLE TO PAY FOR THAT CARE. IN GENERAL, ADVENTIST HEALTHCARE HAS 15 LEVELS OF FINANCIAL ASSISTANCE. THEY ARE AS FOLLOWS:- ANNUAL INCOME <= 1.0X OF FPL, 0% PATIENT RESPONSIBILITY- ANNUAL INCOME > 1.00X AND <= 1.25X OF FPL, 0% PATIENT RESPONSIBILITY- ANNUAL INCOME > 1.25X AND <= 1.50X OF FPL, 0% PATIENT RESPONSIBILITY- ANNUAL INCOME > 1.50X AND <= 1.75X OF FPL, 0% PATIENT RESPONSIBILITY- ANNUAL INCOME > 1.75X AND <= 2.00X OF FPL, 0% PATIENT RESPONSIBILITY- ANNUAL INCOME > 2.00X AND <= 2.25X OF FPL, 10% PATIENT RESPONSIBILITY- ANNUAL INCOME > 2.25X AND <= 2.50X OF FPL, 20% PATIENT RESPONSIBILITY- ANNUAL INCOME > 2.50X AND <= 2.75X OF FPL, 30% PATIENT RESPONSIBILITY- ANNUAL INCOME > 2.75X AND <= 3.00X OF FPL, 40% PATIENT RESPONSIBILITY- ANNUAL INCOME > 3.00X AND <= 3.50X OF FPL, 50% PATIENT RESPONSIBILITY- ANNUAL INCOME > 3.50X AND <= 4.00X OF FPL, 60% PATIENT RESPONSIBILITY- ANNUAL INCOME > 4.00X AND <= 4.50X OF FPL, 70% PATIENT RESPONSIBILITY- ANNUAL INCOME > 4.50X AND <= 5.00X OF FPL, 80% PATIENT RESPONSIBILITY- ANNUAL INCOME > 5.00X AND <= 5.50X OF FPL, 90% PATIENT RESPONSIBILITY- ANNUAL INCOME > 5.50X AND <= 6.00X OF FPL, 95% PATIENT RESPONSIBILITY
PART I, LINE 7:	MARYLAND'S UNIQUE ALL-PAYER SYSTEM PROVIDES A MECHANISM FOR INCLUDING UNCOMPENSATED CARE FUNDING IN EACH PROVIDER'S RATES. FOR PURPOSES OF COMPLETING ADVENTIST HEALTHCARE'S (AHC) FORM 990, THESE UNCOMPENSATED CARE ADJUSTMENTS TO OUR HOSPITALS' APPROVED RATE ORDERS ARE NOT PRESENTED AS AN OFFSET TO THE LEVEL OF UNCOMPENSATED CARE WE PROVIDED.SINCE THE HSCRC ASSESSES HOSPITALS TO SUBSIDIZE THE STATE'S MEDICAID BUDGET DEFICIT, THESE ASSESSMENTS (NET OF AMOUNTS BUILT IN RATES) ARE ALSO COUNTED TOWARD COMMUNITY BENEFITS AND THIS IS IMPUTED ON SCHEDULE H, PART I, LINE 7B.FOR PURPOSES OF PREPARING SCHEDULE H OF FORM 990, AHC CALCULATED A COST TO CHARGE RATIO AS REFLECTED IN ITS 2022 AUDITED FINANCIAL STATEMENTS. THIS RATIO WAS USED TO CONVERT THE ANNUAL CHARITY CARE PROVISION FROM CHARGE TO COST.AHC CONSIDERS THE NET MEDICAID DEFICIT ASSESSMENT AS A COMPONENT OF COMMUNITY BENEFIT. THIS ASSESSMENT IS CHARGED TO ALL MARYLAND HOSPITALS TO FUND THE STATE MEDICAID BUDGET SHORTFALL.
PART I, LINE 7G:	SUBSIDIZED HEALTH SERVICES INCLUDED PAYMENTS FOR NON-EMPLOYED BUT HOSPITAL-BASED PHYSICIANS, NON-RESIDENT HOSPITAL STAFF, HOSPITALISTS, EMERGENCY ON-CALL, OFF-CAMPUS EMERGENCY CENTER, AND WOMEN'S AND CHILDREN'S SERVICES SUBSIDIES.
PART II, COMMUNITY BUILDING ACTIVITIES:	ADVENTIST HEALTHCARE, INC. CONTRIBUTED TO NUMEROUS COMMUNITY BUILDING ACTIVITIES AS PART OF FULFILLING ADVENTIST HEALTHCARE'S MISSION. ADVENTIST HEALTHCARE'S MISSION IS "WE EXTEND GOD'S CARE THROUGH THE MINISTRY OF PHYSICAL, MENTAL AND SPIRITUAL HEALING." ADVENTIST HEALTHCARE GOES BEYOND TRADITIONAL HOSPITAL CARE TO OFFER EXPERTISE AND RESOURCES THAT HELP STRENGTHEN THE COMMUNITY'S INFRASTRUCTURE IN A WAY THAT PROMOTES HEALTH AND WELL-BEING. IN 2022, MOST ADVENTIST HEALTHCARE'S COMMUNITY BUILDING ACTIVITIES CONSISTED OF: LOWERING HEALTHCARE COSTS AND PROMOTING HEALTH AND WELLBEING OF THE COMMUNITY; ADVOCATING ON COMMUNITY HEALTH IMPROVEMENTS THROUGH OUR GOVERNMENT RELATIONS AND PUBLIC POLICY DEPARTMENT; AND ESTABLISHING ADDITIONAL COMMUNITY PARTNERSHIPS.GOVERNMENT RELATIONS AND PUBLIC POLICY DEPARTMENT INITIATIVES:IN 2022, ADVENTIST HEALTHCARE WORKED WITH FEDERAL, STATE, AND LOCAL LEADERS TO SUPPORT THE HEALTH CARE WORKFORCE PIPELINE AND SECURE STATE SUPPORT TO BRING HEALTHCARE RESOURCES TO UNDERSERVED COMMUNITIES. WE WORKED TO ENSURE CHILDREN ON MEDICAID HAD ADEQUATE ACCESS TO DENTAL SURGERY. WE WORKED CLOSELY WITH LOCAL STAKEHOLDER PARTNERS TO SUPPORT IMPROVEMENTS TO THE TRANSPORTATION INFRASTRUCTURE IN OUR COMMUNITY AND OTHER COMMUNITY DEVELOPMENT PROJECTS ACROSS MONTGOMERY AND PRINCE GEORGE'S COUNTIES. WE CONTINUE TO PROVIDE FINANCIAL SUPPORT TO COMMUNITY PARTNERS ADDRESSING PUBLIC NEEDS INCLUDING HOUSING AND FOOD INSECURITY.HEALTH PARTNERSHIPS WITHIN THE COMMUNITY:ADVENTIST HEALTHCARE AIMS TO IMPROVE THE HEALTH OF COMMUNITIES IT SERVES. IT DOES THIS BY RAISING AWARENESS OF COMMUNITY HEALTH NEEDS AND LOCAL DISPARITIES, IMPROVING ACCESS TO CULTURALLY APPROPRIATE CARE AND PROVIDING COMMUNITY WELLNESS OUTREACH AND EDUCATION.ADVENTIST HEALTHCARE WORKS TO ADDRESS NOT JUST THE PHYSICAL AND MENTAL HEALTH NEEDS OF OUR PATIENTS AND COMMUNITY MEMBERS, BUT TO ADDRESS WHOLE-PERSON HEALTH. TO DO THIS, WE DEVELOP PARTNERSHIPS AND COLLABORATE WITH KEY STAKEHOLDERS IN THE COMMUNITY. THROUGH COLLABORATION, WE CAN EXPAND OUR EXPERTISE AND RESOURCES AND THEREFORE HAVE A LARGER COLLECTIVE IMPACT ON THE HEALTH AND WELL-BEING OF OUR COMMUNITY. A SAMPLING OF OUR PARTNERSHIPS IS DESCRIBED BELOW:1) HEALTHY MONTGOMERY:HEALTHY MONTGOMERY IS THE LOCAL HEALTH IMPROVEMENT COALITION FOR MONTGOMERY COUNTY, MARYLAND. ADVENTIST HEALTHCARE PARTNERS WITH AND SUPPORTS HEALTHY MONTGOMERY BOTH STRATEGICALLY AND FINANCIALLY. REPRESENTATIVES FROM ADVENTIST HEALTHCARE SIT ON THE HEALTHY MONTGOMERY STEERING COMMITTEE, THE HEALTH IN ALL POLICY WORKGROUP, AND THE HOSPITAL WORKGROUP, AMONG OTHERS. ADVENTIST HEALTHCARE ALSO CONTRIBUTES UP TO $50,000 ANNUALLY TO SUPPORT THE INFRASTRUCTURE OF HEALTHY MONTGOMERY. HEALTHY MONTGOMERY, IN PARTNERSHIP WITH COMMUNITY STAKEHOLDERS SUCH AS LOCAL POLICY MAKERS, HOSPITALS, ADVOCACY GROUPS AND ACADEMIC INSTITUTIONS, AMONG OTHERS, REVIEWS THE NEEDS AND RESOURCES IN THE COUNTY AND WORKS TO SET PRIORITIES FOR IMPROVING HEALTH AND WELL-BEING. THE OVERALL GOALS OF HEALTHY MONTGOMERY ARE TO IMPROVE ACCESS TO HEALTH AND SOCIAL SERVICES, ACHIEVE HEALTH EQUITY FOR ALL RESIDENTS, AND ENHANCE THE PHYSICAL AND SOCIAL ENVIRONMENT TO SUPPORT OPTIMAL HEALTH AND WELL-BEING. AMONG ITS MANY ACCOMPLISHMENTS, HEALTHY MONTGOMERY HAS BEEN ABLE TO PROVIDE LOCAL LEVEL DATA THAT IS STRATIFIED BY SEX, AGE, RACE, AND ETHNICITY. BY MAKING THIS DATA MORE EASILY AVAILABLE, COMMUNITY STAKEHOLDERS, ADVENTIST HEALTHCARE INCLUDED, ARE BETTER ABLE TO IDENTIFY NEEDS IN THE COMMUNITY THAT MAY HAVE OTHERWISE BEEN MASKED BY LESS GRANULAR DATA. THIS ALLOWS FOR MORE STRATEGIC AND TARGETED HEALTH PREVENTION AND PROMOTION PROGRAMMING TO BE DEVELOPED.2) PRINCE GEORGE'S HEALTHCARE ACTION COALITION:PRINCE GEORGE'S HEALTHCARE ACTION COALITION (PGHAC) SERVES AS A COMMUNITY HEALTH NETWORK AND FORUM FOR COLLABORATION TO ADVANCE THE HEALTH OF PRINCE GEORGE'S COUNTY. THIS COMMUNITY-POWERED COALITION REPRESENTS OVER 70 COMMUNITY ORGANIZATIONS, HEALTH CARE PROVIDERS AND STAKEHOLDERS IN COMMUNITY HEALTH.THE COALITION WAS FORMED IN 2012 UNDER THE LEADERSHIP OF PRINCE GEORGE'S COUNTY HEALTH DEPARTMENT (PGCHD), WITH HEALTH OFFICER SERVING AS CO-CHAIR. THE PGHAC LEADS THE PROCESS FOR DEVELOPING AND EXECUTING THE COMMUNITY HEALTH IMPROVEMENT PLAN FOR THE COUNTY. THIS INCLUDES ORGANIZING SEVERAL WORK GROUPS AND BRINGING TOGETHER PARTNERS IN AREAS SUCH AS HEALTH EQUITY, BEHAVIORAL HEALTH AND HEALTHY EATING AND ACTIVE LIVING.3) NEXUS MONTGOMERY:NEXUS MONTGOMERY IS A PARTNERSHIP OF FOUR HEALTH SYSTEMS IN MONTGOMERY COUNTY, MARYLAND, INCLUDING ADVENTIST HEALTHCARE, HOLY CROSS HEALTH, MEDSTAR MONTGOMERY AND SUBURBAN HOSPITAL. THE PARTNERSHIP IS FOCUSED ON IMPROVING THE WELL-BEING OF PATIENTS AND COMMUNITY MEMBERS AND REDUCING POTENTIAL AVOIDABLE UTILIZATION (PAU)'S AND TOTAL COST OF CARE. EXAMPLES OF STRATEGIES AND PROGRAMS THAT THE PARTNERSHIP HAS WORKED ON INCLUDE: WELLNESS AND INDEPENDENCE FOR SENIORS AT HOME (WISH), HOSPITAL CARE TRANSITIONS, UNINSURED/PROJECT ACCESS AND SEVERELY MENTALLY ILL/BEHAVIORAL HEALTH. THE GOALS OF THESE PROGRAMS ARE TO: STABILIZE HEALTH OF OLDER ADULTS TO REDUCE HOSPITAL ADMISSIONS; IMPROVE TRANSITIONS FROM HOSPITAL-TO-HOME; CONNECT UNINSURED TO SPECIALTY CARE; AND IMPROVE COMMUNITY-BASED RESOURCES FOR THE SEVERELY MENTALLY ILL.4) CASA:CASA IS THE FOREMOST IMMIGRANT ORGANIZATION IN THE MID-ATLANTIC REGION AND A NATIONAL LEADER IN SUPPORTING IMMIGRANT FAMILIES AND ENSURING THAT ALL INDIVIDUALS HAVE THE CORE SUPPORTS NECESSARY FOR FULL PARTICIPATION IN SOCIETY. NOW A NATIONAL IMMIGRANT POWERHOUSE, CASA CREATES CHANGE WITH ITS POWER BUILDING MODEL BLENDING HUMAN SERVICES, COMMUNITY ORGANIZING, AND ADVOCACY TO SERVE THE FULL SPECTRUM OF THE NEEDS, DREAMS, AND ASPIRATIONS OF MEMBERS.IN 2022, THE ADVENTIST HEALTHCARE COMMUNITY PARTNERSHIP FUND (CPF) PROVIDED CASA DE MARYLAND GRANT FUNDING TO SUPPORT THEIR ESOL PROGRAM. CASA'S ESOL PROGRAM SEEKS TO IMPROVE PARTICIPANTS' LISTENING, SPEAKING, READING, AND WRITING SKILLS IN ENGLISH SO THAT THEY MAY INCREASE THEIR EMPLOYABILITY, INCREASE THEIR ACCESS TO HEALTH AND SOCIAL SERVICES, BETTER INTEGRATE INTO U.S. SOCIETY, AND ACHIEVE THEIR PERSONAL GOALS.5) IMPACT SILVER SPRING:IMPACT SILVER SPRING'S MISSION IS TO ADVANCE RACIAL EQUITY, JUSTICE, AND LIBERATION BY WORKING FOR CHANGE IN INDIVIDUALS, COMMUNITIES, ORGANIZATIONS, AND SYSTEMS.IN 2022, THE ADVENTIST HEALTHCARE COMMUNITY PARTNERSHIP FUND (CPF) PROVIDED IMPACT SILVER SPRING WITH GRANT FUNDING TO CREATE INCREASED CONNECTIONS BETWEEN LOW-INCOME COMMUNITIES OF COLOR AND THE RESOURCES AVAILABLE IN THEIR COMMUNITIES, TO PROVIDE ACCESSIBLE OPPORTUNITIES FOR HEALTH AND WELLNESS ACTIVITIES AIMED AT INCREASING PHYSICAL AND MENTAL HEALTH, AND TO ADVOCATE FOR HOUSING POLICIES THAT WILL PROVIDE RELIEF TO COMMUNITIES DISPROPORTIONATELY IMPACTED BY THE ONGOING EFFECTS OF COVID.6) INTERFAITH WORKS:INTERFAITH WORKS PROVIDES EMERGENCY SHELTER, SUPPORTIVE HOUSING, ESSENTIAL NEEDS, AND EMPLOYMENT PROGRAMS TO OVER 35,000 RESIDENTS OF MONTGOMERY COUNTY, MD, EVERY YEAR.IN 2022, ADVENTIST HEALTHCARE PROVIDED INTERFAITH WORKS WITH GRANT FUNDING TO SUPPORT THEIR VOCATIONAL SERVICES PROGRAM. THE GOAL OF THE PROGRAM IS TO PLACE LOW-INCOME MONTGOMERY COUNTY RESIDENTS, AND THOSE EXPERIENCING HOMELESSNESS, IN LONG-TERM JOBS. THE PROGRAM PROVIDES COMPREHENSIVE, INDIVIDUALIZED SUPPORT TO CLIENTS, THEREBY STRENGTHENING THE FINANCIAL STABILITY OF INDIVIDUALS AND FAMILIES THROUGH JOB TRAINING AND READINESS PROGRAMS, EMPLOYMENT ASSISTANCE, AND SUPPORT UPON EMPLOYMENT. THEIR BILINGUAL (ENGLISH/SPANISH/FRENCH) VOCATIONAL COUNSELORS WORK WITH CLIENTS UNTIL THEY SUCCESSFULLY GAIN EMPLOYMENT AND OFFER SUPPORT FOR A MINIMUM OF ONE YEAR FOLLOWING EMPLOYMENT.7) GENERATION HOPE:GENERATION HOPE'S GOAL IS TO DISMANTLE GENERATIONAL POVERTY THROUGH EDUCATIONAL ATTAINMENT. THEIR PROGRAMMING ADDRESSES AN URGENT NEED IN THE COMMUNITY BY FOCUSING ON THE BEST LONG-TERM POVERTY SOLUTIONS AND MAKING A LASTING IMPACT ON THE REGION'S LOW-INCOME TEEN PARENTS AND THEIR CHILDREN. OUR GOAL FOR OUR SCHOLAR PROGRAM IS THAT TEEN PARENTS EARN A COLLEGE DEGREE AND SECURE THRIVING FUTURES FOR THEIR FAMILIES. FOR NEXT GENERATION ACADEMY, OUR GOAL IS THAT THE CHILDREN OF TEEN PARENTS ARE PREPARED FOR SUCCESS AND WELLBEING IN KINDERGARTEN AND BEYOND.IN 2022, ADVENTIST HEALTHCARE PROVIDED GENERATION HOPE WITH GRANT FUNDING TO SUPPORT THEIR SCHOLAR PROGRAM AND NEXT GENERATION ACADEMY. WITH THIS FUNDING GENERATION HOPE PROVIDED MENTAL HEALTH SUPPORT TO SCHOLARS AND THEIR CHILDREN, PROVIDED SCHOLARS WITH WORKFORCE DEVELOPMENT SUPPORT, AND SUPPORTED SCHOLARS IN MAINTAINING HIGH GPAS AND GRADUATION RATES TO SET THEM UP FOR LONG TERM SUCCESS.
PART III, LINE 2:	TO ESTIMATE THE COST OF BAD DEBT THAT WE HAVE REPORTED ON SCHEDULE H, WE MULTIPLIED THE ORGANIZATION'S COST TO CHARGE RATIO (CCR) TIMES THE BAD DEBT PROVISION THAT HAS BEEN DERIVED FROM THE 2022 AUDITED FINANCIAL STATEMENTS. THE ORGANIZATION'S CCR IS THE QUOTIENT THAT RESULTS WHEN TOTAL OPERATING EXPENSE IS DIVIDED BY TOTAL GROSS PATIENT REVENUE AS REFLECTED IN THE ORGANIZATION'S GENERAL LEDGER.THE BAD DEBT EXPENSE THAT IS RECORDED IN THE GENERAL LEDGER REFLECTS THE AMOUNT OF PROVISION MANAGEMENT DEEMS NECESSARY TO REPORT PATIENT ACCOUNTS RECEIVABLE AT THEIR NET REALIZABLE VALUE. IN EVALUATING THE COLLECTABILITY OF PATIENT ACCOUNTS RECEIVABLE, WE ANALYZE HISTORICAL TRENDS FOR EACH MAJOR PAYOR AND ESTIMATE THE APPROPRIATE ALLOWANCE FOR DOUBTFUL COLLECTIONS.
PART II, COMMUNITY BUILDING ACTIVITIES, CONTINUED:	8) REBUILDING TOGETHER MONTGOMERY COUNTY (RTMC):REBUILDING TOGETHER MAKES ESSENTIAL REPAIRS TO COMMUNITY MEMBERS' HOMES SO THAT THEY CAN STAY IN THEIR HOMES LONGER AND AGE SAFELY IN PLACE. AMONG ONE OF RTMC'S CORE ACTIVITIES IS THE SAFE AND HEALTHY HOMES PROGRAM, WHOSE GOAL IS TO LEVERAGE THEIR EXPERTISE IN THE HOME REPAIR FIELD AND FURTHER DEVELOP THEIR CROSS-SECTOR PARTNERSHIPS TO POSITIVELY AFFECT COMMUNITY HOME-HEALTH OUTCOMES.IN 2022, ADVENTIST HEALTHCARE PROVIDED RTMC WITH A SPONSORSHIP FOR THEIR NATIONAL REBUILDING DAY. ADDITIONALLY, A TEAM FROM ADVENTIST HEALTHCARE PARTICIPATED IN NATIONAL REBUILDING DAY PROVIDING CRITICAL HOME REPAIRS AND BEAUTIFICATION FOR A COMMUNITY MEMBER IN NEED.ADVENTIST HEALTHCARE AS A SYSTEM CONTINUES TO PROVIDE COMMUNITY BUILDING ACTIVITIES IN 2023. PROVIDING COMMUNITY BUILDING ACTIVITIES IS ESSENTIAL TO ACHIEVING AND MAINTAINING OUR MISSION.
PART III, LINE 4:	THE CORPORATION ASSESSES COLLECTABILITY ON PATIENT CONTRACTS PRIOR TO THE RECOGNITION OF NET PATIENT SERVICE REVENUE. PATIENT ACCOUNTS RECEIVABLE ARE REPORTED AT THEIR NET REALIZABLE VALUE. ACCOUNTS ARE WRITTEN OFF THROUGH BAD DEBT EXPENSE WHEN THE CORPORATION HAS EXHAUSTED ALL COLLECTION EFFORTS AND DETERMINES ACCOUNTS ARE IMPAIRED BASED ON CHANGES IN PATIENT CREDIT WORTHINESS. PATIENT ACCOUNTS RECEIVABLE ALSO INCLUDES MANAGEMENT'S ESTIMATE OF THE IMPACT OF CERTAIN UNDERCHARGES TO BE RECOUPED OR OVERCHARGES TO BE PAID BACK FOR INPATIENT AND OUTPATIENT SERVICES IN SUBSEQUENT YEARS' RATES AS DISCUSSED EARLIER.
PART III, LINE 8:	ACUTE CARE HOSPITALS IN MARYLAND ARE EXEMPT FROM MEDICARE REIMBURSEMENT METHODOLOGY AND ALL PAYORS (INCLUDING MEDICARE AND MEDICAID) PAY HOSPITALS A CERTAIN PRESCRIBED PERCENTAGE OF CHARGES, WHICH ARE REGULATED BY THE STATE'S HEALTH SERVICES COST REVIEW COMMISSION (HSCRC). SPECIFICALLY, MEDICARE IS AWARDED A DISCOUNT OF 7.7% OF CHARGES WITHOUT AN ADVANCE FUNDING DEPOSIT WITH PROVIDERS, AS WELL AS A 2% REDUCTION FOR SEQUESTRATION. ON TOP OF THESE "STANDARD DEDUCTIONS", A MEDICARE PERFORMANCE ADJUSTMENT IS ALSO APPLIED TO HOSPITAL CLAIMS. THIS ADJUSTMENT CAN EITHER BE POSITIVE OR NEGATIVE, DEPENDING ON HOW WELL EACH INDIVIDUAL HOSPITAL PERFORMS UNDER VARIOUS PROGRAMS THAT ARE DESIGNED TO ENSURE THE GROWTH IN COST PER MEDICARE BENEFICIARY FALLS AT OR BELOW THE NATIONAL GROWTH RATE. A SHORTFALL WILL ONLY EXIST WHEN THE MEDICARE COLLECTION EXPERIENCE IS LOWER THAN THE FACILITY'S COST TO CHARGE RATIO (WHICH WOULD BE HIGHLY UNUSUAL GIVEN THE MARYLAND REIMBURSEMENT ENVIRONMENT). IF SUCH A SHORTFALL EXISTS, NONE OF IT SHOULD BE COUNTED TOWARDS A COMMUNITY BENEFIT CALCULATION.ADVENTIST HEALTHCARE USES ITS INCOME STATEMENT TO COMPUTE A COST TO CHARGE RATIO USED TO ESTIMATE THE COST OF PROVIDING CARE TO MEDICARE PATIENTS.
PART III, LINE 9B:	> THAT ALL PATIENTS RECEIVE A NOTICE ON FINANCIAL ASSISTANCE AND A PHONE CALL, BY ADVENTIST HEALTHCARE'S STAFF AND OUTSOURCED VENDORS, MENTIONING THE OPPORTUNITY TO HAVE THEIR BILL REDUCED IF THE DEBTOR QUALIFIES FOR ADVENTIST HEALTHCARE'S FINANCIAL ASSISTANCE.> WHEN A DEBTOR HAS AFFIRMED A DEBT AND HAS BEEN GIVEN AN OPPORTUNITY TO APPLY FOR ADVENTIST HEALTHCARE'S FINANCIAL ASSISTANCE, AND HAS APPLIED FOR AND BEEN GRANTED ASSISTANCE THAT REDUCED THE OUTSTANDING BALANCE BUT LEAVING AN AMOUNT STILL OWED TO AN ADVENTIST HEALTHCARE FACILITY OR HAS NOT APPLIED FOR ASSISTANCE IN THE ALLOTTED TIME PERIOD:1) FOR EXISTING ACCOUNTS, THE COLLECTION AGENCY WILL RECEIVE "DAILY NOTIFICATION TO REDUCE THE OUTSTANDING BALANCE OF ANY DEBTOR WHO QUALIFIES FOR ADVENTIST HEALTHCARE'S FINANCIAL ASSISTANCE. THE AGENCY WILL SEND A LETTER TO THE DEBTOR, ACKNOWLEDGING THE NEW BALANCE WITHIN 15 DAYS OF THE NOTICE TO ADJUST.2) ONCE THE DEBTOR AFFIRMS THE DEBT, THE AGENCY WILL INFORM THE DEBTOR ABOUT ADVENTIST HEALTHCARE'S FINANCIAL ASSISTANCE POLICY, AND ASK IF THEY HAD RECEIVED INFORMATION ON HOW TO COMPLETE THE APPLICATION, OR THE CRITERIA FOR QUALIFICATION.3) WHEN A DEBTOR EXPRESSES A DESIRE TO COMPLETE THE APPLICATION FOR FINANCIAL ASSISTANCE, THEY WILL BE REFERRED TO THE OFFICE OF ADVENTIST HEALTHCARE'S MANAGER OF COLLECTIONS / CUSTOMER SERVICE (301-315-3660). THE COLLECTION AGENCY WILL PLACE THE ACCOUNT ON "HOLD" FOR 2 WEEKS TO ALLOW THE DEBTOR AMPLE TIME TO COMPLETE A FINANCIAL ASSISTANCE APPLICATION.4) WHEN THE DEBTOR HAS COMPLETED THE APPLICATION FOR FINANCIAL ASSISTANCE AND BEEN APPROVED, THE AGENCY WILL RECEIVE IMMEDIATE NOTIFICATION FROM THE MANAGER OF COLLECTIONS/CUSTOMER SERVICE. NOTIFICATION WILL INCLUDE THE AMOUNT OF DEBT REDUCTION THE DEBTOR QUALIFIED FOR. THE MANAGER OF COLLECTIONS/CUSTOMER SERVICE WILL ADJUST THE DEBTOR'S BALANCE ON ADVENTIST HEALTHCARE'S BOOKS.
PART VI, LINE 2:	IN ADDITION TO COMPLETING OUR CHNAS EVERY THREE YEARS, ADVENTIST HEALTHCARE ASSESSES THE NEEDS OF THE COMMUNITY WE SERVE THROUGH SEVERAL METHODS:> REPRESENTATIVES FROM ADVENTIST HEALTHCARE SERVE ON THE LOCAL HEALTH IMPROVEMENT COALITIONS IN OUR SERVICE AREA, HEALTHY MONTGOMERY, AND PRINCE GEORGE'S HEALTH ACTION COALITION. BY PARTICIPATING IN THE STEERING COMMITTEES AS WELL AS SEVERAL SUB-COMMITTEES AND WORKGROUPS, WE STAY APPRISED OF EXISTING AND DEVELOPING HEALTH NEEDS IN THE COMMUNITY AND CAN WORK WITH OTHER STAKEHOLDERS TO DEVELOP STRATEGIES FOR ADDRESSING THEM. > WE ARE ALSO ABLE TO GATHER INFORMATION AROUND COMMUNITY NEEDS THROUGH OUR NUMEROUS COMMUNITY PARTNERSHIPS AND OUTREACH EFFORTS. THROUGH OUR OUTREACH EFFORTS, WE GATHER INFORMATION DIRECTLY FROM THE COMMUNITY MEMBERS WE ARE SERVING. THROUGH OUR PARTNERSHIPS WITH COMMUNITY ORGANIZATIONS, WE LEARN ABOUT THE NEEDS OF THE STAKEHOLDERS THOSE ORGANIZATIONS REPRESENT. ONE EXAMPLE OF THIS IS OUR COMMUNITY PARTNERSHIP FUND THROUGH WHICH WE DEVELOP COLLABORATIONS WITH OTHER ORGANIZATIONS AND AWARD GRANT AND SPONSORSHIP FUNDING. ADDITIONALLY, SEVERAL OF OUR STAFF AND LEADERS SERVE ON THE BOARDS OF LOCAL COMMUNITY ORGANIZATIONS AND GATHER ADDITIONAL INSIGHT INTO THE NEEDS OF OUR COMMUNITY.> ADDITIONALLY, ADVENTIST HEALTHCARE LEADS THE PHYSICIAN ALLIANCE, A CLINICALLY INTEGRATED NETWORK MADE UP OF PRIMARY AND SPECIALTY CARE PHYSICIANS INCLUDING CLINICS AND FEDERALLY QUALIFIED HEALTH CENTERS (FQHC) IN OUR COMMUNITY. ADVENTIST HEALTHCARE HAS ALSO FORMED A CARE TRANSFORMATION ORGANIZATION AS PART OF THE MARYLAND PRIMARY CARE PROGRAM. THROUGH BOTH THESE INITIATIVES, WE MONITOR HEALTH NEEDS AND DATA ACROSS OUR COMMUNITY INCLUDING CLINICAL DATA, SOCIAL DETERMINANTS OF HEALTH (SDOH) DATA, AND DIRECT PATIENT FEEDBACK, BOTH ON A POPULATION AND INDIVIDUAL LEVEL.
PART VI, LINE 3:	PATIENT EDUCATION OF ELIGIBILITY:ADVENTIST HEALTHCARE EDUCATES OUR PATIENTS AND COMMUNITY RESIDENTS ABOUT CHARITY CARE AND FINANCIAL ASSISTANCE IN MANY WAYS. THEY INCLUDE, BUT ARE NOT LIMITED TO, THE FOLLOWING: (1) ADVENTIST HEALTHCARE HAS FINANCIAL ASSISTANCE SIGNAGE IN ALL ITS FACILITIES, ON ALL PATIENT STATEMENTS AND ON OUR HOSPITALS' WEBSITES; (2) DURING PRE-REGISTRATION AND REGISTRATION, PATIENTS WHO ARE REGISTERED AS SELF-PAY, OR EXPRESS A FINANCIAL HARDSHIP, ARE INFORMED ABOUT THE HOSPITAL'S CHARITY CARE POLICY AND MAILED OR GIVEN A CHARITY APPLICATION. ADDITIONALLY, AN ADVENTIST HEALTHCARE PATIENT FINANCIAL ADVISOR WILL VISIT ADMITTED PATIENTS TO REVIEW FINANCIAL OPTIONS, INCLUDING AHC'S FINANCIAL ASSISTANCE PROGRAM; (3) WHEN GOING THROUGH THE MEDICAID ELIGIBILITY SCREENING, SELF-PAY PATIENTS ARE GIVEN A CHARITY APPLICATION DURING THAT PROCESS JUST IN CASE THE PATIENT DOES NOT QUALIFY FOR MEDICAID; (4) WHEN PATIENTS WITH A BALANCE RECEIVES A STATEMENT, THE PATIENT STATEMENT INCLUDES NOTIFICATION OF THE AVAILABILITY OF FINANCIAL ASSISTANCE AND THE CONTACT INFORMATION TO SPEAK WITH A REPRESENTATIVE OR OBTAIN A FINANCIAL ASSISTANCE PACKAGE; (5) WHEN PATIENTS WITH A BALANCE CONTACT THE COLLECTION DEPARTMENT AND EXPRESS FINANCIAL HARDSHIP, CUSTOMER SERVICE REPS AND SELF-PAY COLLECTORS WILL NOTIFY THE PATIENT OF THE AVAILABILITY OF ADVENTIST HEALTHCARE'S FINANCIAL ASSISTANCE AND MAIL A CHARITY APPLICATION TO THE PATIENT AND (6) RESIDENTS WHO PARTICIPATE IN OUR COMMUNITY PROGRAMS, SUCH AS BREAST CANCER, MATERNITY, ETC., ARE INFORMED OF ADVENTIST HEALTHCARE'S CHARITY PROGRAM PRIOR TO RECEIVING SERVICES.
PART VI, LINE 4:	THE MONTGOMERY COUNTY HOSPITAL COLLABORATIVE (MCHC) SERVES PORTIONS OF MONTGOMERY, PRINCE GEORGE'S, FREDERICK, CAROL, AND HOWARD COUNTIES, AND THE DISTRICT OF COLUMBIA, SPANNING 86 ZIP CODES AND ALMOST 2.3 MILLION PEOPLE. HOWEVER, THE GOAL OF THIS CHNA IS TO IDENTIFY AND PRIORITIZE KEY AREAS AND COMMUNITIES OF FOCUS FOR MEANINGFUL ENGAGEMENT. IN ORDER TO DO THIS, THE MCHC IDENTIFIED ZIP CODES IN EACH HOSPITAL'S PRIMARY SERVICE AREA AS OUR COLLECTIVE COMMUNITY BENEFIT SERVICE AREA (CBSA) AND HIGHLIGHTED COMMUNITIES OF FOCUS WITHIN THE CBSA TO PROVIDE A VALUABLE SNAPSHOT OF THE HOSPITAL'S EXISTING COMMUNITIES SERVED AND NEW AREAS OF INTEREST.DESCRIPTION OF SERVICE AREA:THE MCHC CBSA COMPRISES 38 ZIP CODES THAT SPAN APPROXIMATELY 388 SQUARE MILES OF MONTGOMERY COUNTY AND NORTHERN PRINCE GEORGE'S COUNTY, WITH A TOTAL POPULATION OF 1,250,503 (CENTER FOR APPLIED RESEARCH AND ENGAGEMENT SYSTEMS, 2022). THE POPULATION DENSITY FOR THIS AREA, ESTIMATED AT 3,218 PERSONS PER SQUARE MILE, IS GREATER THAN MONTGOMERY COUNTY (2,116 PERSONS PER SQUARE MILE), PRINCE GEORGE'S COUNTY (1,883 PERSONS PER SQUARE MILE), AND THE STATE (620 PERSONS PER SQUARE MILE). FOR A FULL LISTING OF THE ZIP CODES COMPRISING THE MCHC CBSA SEE APPENDIX E OF THE CHNA.THE MCHC CBSA SERVES PORTIONS OF MONTGOMERY AND PRINCE GEORGE'S COUNTIES, TWO MAJORITY MINORITY COUNTIES RICH IN CULTURAL DIVERSITY. THE LARGEST POPULATIONS BY RACE/ETHNICITY WITHIN THE SERVICE AREA ARE NON-HISPANIC WHITES (37.3%), NON-HISPANIC BLACKS (22.6%), HISPANIC OR LATINO (22.5%) AND NON-HISPANIC ASIAN (13.5%). MORE THAN 33% OF THE MCHC CBSA POPULATION ARE OF FOREIGN BIRTH COMPARED TO 32% IN MONTGOMERY COUNTY, 23% IN PRINCE GEORGE'S COUNTY, AND 15.2% IN MARYLAND. THE LANGUAGES SPOKEN IN THIS REGION ALSO REFLECT ITS DIVERSITY. HOWEVER, APPROXIMATELY 16.5% OF THE CBSA POPULATION, AGED 5 AND OLDER, SPEAK ENGLISH LESS THAN VERY WELL COMPARED TO 7% OF THE MARYLAND POPULATION.LIMITED ENGLISH PROFICIENCY (LEP), OR THE INABILITY TO SPEAK ENGLISH WELL, CREATES BARRIERS TO HEALTH CARE ACCESS, PROVIDER COMMUNICATIONS, AND HEALTH LITERACY/EDUCATION. THE HIGHEST PERCENTAGE OF LIMITED ENGLISH PROFICIENCY BY LANGUAGE SPOKEN IN THE HOME IS SPANISH (UNITED STATES CENSUS BUREAU, 2022). THE CBSA IS NOT ONLY RICH IN DIVERSITY BUT ALSO IN RESOURCES. THE AREA HAS OVER 170 PRIVATE AND COUNTY-RUN FITNESS AND RECREATION FACILITIES, ROUGHLY 75% OF RESIDENTS LIVE WITHIN HALF A MILE OF A PARK, MORE THAN 240 GROCERY STORES SERVE THE AREA, AND THERE ARE MORE THAN 100 SOCIAL AND PROFESSIONAL ORGANIZATIONS PER PERSON. THE AVERAGE HOUSEHOLD INCOME OF $138,054 FOR PERSONS IN THE MCHC CBSA IS HIGHER THAN THE STATE AVERAGE OF $111,417 AND THE PRICE GEORGE'S COUNTY AVERAGE OF $102,593, BUT LOWER THAN THAT FOR MONTGOMERY COUNTY OVERALL ($149,437). HOWEVER, DESPITE THE PLETHORA OF RESOURCES AND ABOVE-AVERAGE INCOMES, DISPARITIES EXIST, PARTICULARLY FOR POPULATIONS EXPERIENCING VULNERABILITIES.VULNERABLE POPULATIONS:POPULATIONS EXPERIENCING VULNERABILITY (ALSO REFERRED TO AS VULNERABLE POPULATIONS) ARE GROUPS AND COMMUNITIES AT A HIGHER RISK FOR POOR HEALTH OUTCOMES BECAUSE OF THE BARRIERS THEY EXPERIENCE DUE TO STRUCTURAL AND SOCIETAL FACTORS THEY FACE, SUCH AS SYSTEMIC RACISM, DISCRIMINATION, STIGMA, AND POVERTY (BACIU, NEGUSSIE, GELLER, & ET AL., 2017). IN 2021, THE EQUITY DATA TEAM OF MONTGOMERY COUNTY'S PLANNING DEPARTMENT DEVELOPED A MAPPING TOOL TO IDENTIFY VULNERABLE POPULATIONS WITHIN MONTGOMERY COUNTY. THE TEAM IDENTIFIED 56 EQUITY FOCUS AREAS (EFAS) BY LOOKING AT DEMOGRAPHIC DATA AT THE CENSUS TRACT LEVEL (SEE APPENDIX F FOR A FULL LIST OF DEMOGRAPHIC DATA). THEY FOCUSED ON IDENTIFYING AREAS THAT HAD HIGH CONCENTRATIONS OF LOWER-INCOME HOUSEHOLDS, PEOPLE OF COLOR, AND INDIVIDUALS WHO MAY SPEAK ENGLISH LESS THAN VERY WELL (ZORICH, MUKHERJEE, & BLYTON, 2021). APPROXIMATELY ONE-QUARTER OF MONTGOMERY COUNTY'S POPULATION RESIDES IN THE EFAS. IN ADDITION TO POPULATIONS RESIDING IN THE EFAS, OTHER POPULATIONS EXPERIENCING VULNERABILITIES INCLUDE LOW-INCOME, RACIAL, AND ETHNIC MINORITIES, UNINSURED, SENIORS, PREGNANT WOMEN AND INFANTS, THE HOMELESS AND THOSE WITH DISABILITIES. FOR ADDITIONAL DETAILS REGARDING EACH OF THESE POPULATIONS, PLEASE SEE THE "DEFINING COMMUNITIES SERVED" SECTION OF THE CHNA.
PART VI, LINE 5:	IN KEEPING WITH OUR MISSION, ADVENTIST HEALTHCARE CONTINUES TO PROMOTE GOOD HEALTH IN THE COMMUNITY THROUGH A WIDE VARIETY OF HEALTH AND WELLNESS SERVICES OFFERED THROUGHOUT MONTGOMERY AND PRINCE GEORGE'S COUNTIES IN MARYLAND, AS WELL AS SOME AREAS IN WASHINGTON D.C. AND THE SURROUNDING REGION. BELOW IS A SUMMARY OF THE HEALTH PROMOTION ACTIVITIES IN 2022, INCLUDING HEALTH EDUCATION/LECTURES, HEALTH SCREENINGS, SUPPORT GROUPS, AS WELL AS SERVING ON COMMUNITY BOARDS AND COMMITTEES AND SUPPORTING MONTGOMERY COUNTY'S SAFETY NET CLINICS FOR UNINSURED AND UNDERINSURED RESIDENTS. WE FOCUS ON PREVENTION AND MANAGEMENT OF CHRONIC DISEASES PREVALENT IN THE COMMUNITIES WE SERVE, AS WELL AS OUTREACH AND CULTURALLY COMPETENT SERVICES TO VULNERABLE POPULATIONS.> A VARIETY OF HEALTH EDUCATION LECTURES AND PROGRAMS WERE CONVERTED TO BE VIRTUAL TO CONTINUE TO BE A RESOURCE FOR COMMUNITY MEMBERS DURING COVID. MOST PROGRAMS HAVE REMAINED VIRTUAL, OR HYBRID BASED ON THE DEMAND/FEEDBACK FROM OUR PARTICIPANTS.> MATERNAL/CHILD/FAMILY EDUCATORS PROVIDED SUPPORT AND ASSISTANCE TO THOUSANDS OF NEW AND EXPERIENCED PARENTS AND CAREGIVERS THROUGH CLASSES AND SUPPORT GROUPS. THESE PROGRAMS WERE ALSO CONVERTED TO BE OFFERED VIRTUALLY. EXAMPLES OF PROGRAMS INCLUDED BREASTFEEDING SUPPORT GROUPS, DISCOVERING MOTHERHOOD, NAVIGATING FATHERHOOD, AND PERINATAL LOSS. WE ALSO OFFER A FREE WARM LINE THAT IS STAFFED BY A CERTIFIED LACTATION CONSULTANT WHO CAN ANSWER BREASTFEEDING QUESTIONS.> PERSONNEL FROM VARIOUS DEPARTMENTS ARE ACTIVE IN THE COMMUNITY SERVING ON VARIOUS BOARDS, COALITIONS, AND COMMITTEES TO HELP ADDRESS HEALTH IN THE COMMUNITY, PARTICULARLY THE HEALTH OF THE UNDERSERVED AND AT-RISK POPULATIONS.> EACH OF THE HOSPITALS SUPPORTS ACCESS TO CARE BY PROVIDING FINANCIAL AND IN-KIND SUPPORT TO THE SAFETY NET CLINICS IN MONTGOMERY COUNTY. THIS SUPPORT INCLUDES FINANCIAL CONTRIBUTIONS AND PROVISION OF LABORATORY AND RADIOLOGY SERVICES.> TO MEET THE CONTINUING NEEDS OF OUR DIVERSE COMMUNITY, ADVENTIST HEALTHCARE PROVIDES CULTURAL AND LINGUISTIC COMPETENCY TRAINING TO MEDICAL AND SUPPORT STAFF. WE ALSO HAVE A QUALIFIED BILINGUAL STAFF PROGRAM THAT PROVIDES BILINGUAL STAFF WITH TRAINING AND CERTIFICATION TO PROVIDE CARE IN ANOTHER LANGUAGE AS WELL AS TO SERVE AS AN INTERPRETER. THIS PROGRAM COMPENSATES BILINGUAL STAFF FOR THEIR SKILLS AND WHILE INCREASING ACCESS TO INTERPRETER SERVICES FOR OUR PATIENTS, AND PROVIDING THEM WITH A HIGHER LEVEL OF CARE AND SATISFACTION.> THROUGH ADVENTIST HEALTHCARE'S COMMUNITY PARTNERSHIP FUND (CPF), GRANT AND SPONSORSHIP FUNDING IS PROVIDED TO NON-PROFIT ORGANIZATIONS IN THE COMMUNITY ACROSS TWO FUNDING OBJECTIVES: HEALTH AND WELLNESS AND PARTNERSHIPS. FUNDING IS AWARDED TO ORGANIZATIONS ADDRESSING NEEDS IDENTIFIED IN ONE OF AHC'S COMMUNITY HEALTH NEEDS ASSESSMENTS. IN 2020, CPF PRIORITIES AND PROCESSES PIVOTED TO ADDRESS COVID 19. WE PROVIDED FUNDING TO ORGANIZATIONS TO ENABLE THEM TO EXPAND AND ADAPT THEIR SERVICES AND TO IMPLEMENT PROGRAMS ADDRESSING NEEDS EXACERBATED BY COVID. WE ALSO CHANGED OUR PROCESSES TO REDUCE APPLICANT BURDEN AND TURNAROUND TIME FOR FUNDING DECISIONS. IN 2021 WE RESUMED OUR REGULAR PROCESSES WITH A FOCUS ON BOTH THOSE NEEDS PRIORITIZED IN OUR COMMUNITY HEALTH NEEDS ASSESSMENT AS WELL AS NEEDS EXACERBATED BY THE PANDEMIC.> IN 2020, 2021 AND 2022, ADVENTIST HEALTHCARE ALSO PARTNERED WITH THE STATE TO OPEN AN ALTERNATIVE CARE SITE AT OUR WASHINGTON ADVENTIST HOSPITAL SITE IN TAKOMA PARK TO PROVIDE DEDICATED, HIGH-QUALITY CARE FOR COVID PATIENTS. THE ALTERNATIVE CARE SITE IS ONE OF SEVERAL INFUSION CENTERS IN MARYLAND THAT ADMINISTERS MONOCLONAL ANTIBODY TREATMENTS.ADVENTIST HEALTHCARE IS COMMITTED TO ENSURING THAT THE COMMUNITIES IT SERVES THRIVE IN A CULTURE OF WELLNESS AND ENJOY ACCESS TO AND THE BENEFITS OF HIGH QUALITY, EQUITABLE HEALTHCARE THAT PROMOTES PHYSICAL, MENTAL, AND SPIRITUAL WELLBEING.
PART VI, LINE 6:	ADVENTIST HEALTHCARE, BASED IN GAITHERSBURG, MD., IS A FAITH-BASED, NOT-FOR-PROFIT ORGANIZATION OF DEDICATED PROFESSIONALS WHO WORK TOGETHER EACH DAY TO PROVIDE EXCELLENT WELLNESS, DISEASE MANAGEMENT AND HEALTH-CARE SERVICES TO THE COMMUNITY. WE WERE FOUNDED UPON THE PRINCIPLE OF WELLNESS MORE THAN 100 YEARS AGO AND TODAY PROVIDE INNOVATIVE CARE TO HEART-ATTACK VICTIMS, CANCER PATIENTS, PREMATURE BABIES, AND THE COMMUNITY. OUR UNWAVERING FOCUS HAS ALWAYS BEEN ON THE HEALTH AND WELLNESS OF THE COMMUNITIES WE SERVE. WE ARE ALREADY A STEP AHEAD AS HEALTH CARE REFORM IS CHALLENGING HOSPITAL SYSTEMS NATIONWIDE TO IMPROVE THE HEALTH OF POPULATIONS; OUR INTEGRATED, HEALTH-CARE DELIVERY NETWORK INCLUDES FOUR NATIONALLY ACCREDITED, ACUTE-CARE AND SPECIALTY HOSPITALS, MENTAL HEALTH SERVICES, HOME HEALTH AGENCIES AND URGENT CARE CENTERS, SERVING THE WASHINGTON, D.C. METROPOLITAN AREA.ADVENTIST HEALTHCARE INCLUDES: ADVENTIST HEALTHCARE SHADY GROVE MEDICAL CENTER, ADVENTIST HEALTHCARE WHITE OAK MEDICAL CENTER, ADVENTIST HEALTHCARE FORT WASHINGTON MEDICAL CENTER, ADVENTIST HEALTHCARE REHABILITATION, ADVENTIST HEALTHCARE HOME CARE SERVICES, THE REGINALD S. LOURIE CENTER FOR CHILDREN'S SOCIAL & EMOTIONAL WELLNESS, ADVENTIST MEDICAL GROUP, ADVENTIST HEALTHCARE PHYSICIAN ALLIANCE CLINICALLY INTEGRATED NETWORK, ADVENTIST HEALTHCARE URGENT CARE CENTERS, AND OTHER HEALTH SERVICES. WITH MORE THAN 2,000 AFFILIATED PRIMARY AND SPECIALTY CARE PHYSICIANS, ADVENTIST HEALTHCARE ENCOMPASSES MANY OF THE NECESSARY CARE DELIVERY COMPONENTS NEEDED TO DELIVER POPULATION-BASED CARE ACROSS THE CONTINUUM.OUR COMMITMENT TO THE COMMUNITY EXTENDS BEYOND OUR WALLS TO ENCOMPASS THE MOST VULNERABLE AND UNDERSERVED. IN 2022, THERE WERE APPROXIMATELY 89,125 OVERALL ENCOUNTERS ACROSS ALL OUR FACILITIES AND PROGRAMS. WE ALSO PROVIDED SIGNIFICANT CHARITY CARE AND COMMUNITY BENEFIT. AS ONE OF THE LARGEST EMPLOYERS IN THE STATE OF MARYLAND, WE ARE GRATEFUL TO HAVE THE DEDICATED COMMITMENT OF 6,101 EMPLOYEES, 1,950 AFFILIATED PROVIDERS THROUGH OUR CLINICALLY INTEGRATED NETWORK, AND NUMEROUS VOLUNTEERS PROVIDING OVER 50,350 VOLUNTEER HOURS, THROUGHOUT ADVENTIST HEALTHCARE WHO PROVIDE COMPASSIONATE, HIGH-QUALITY CARE EVERY DAY.IN ADDITION TO PROVIDING CHARITY CARE AT OUR FACILITIES, ADVENTIST HEALTHCARE IS INVOLVED IN NUMEROUS OUTREACH INITIATIVES DESIGNED TO IMPROVE ACCESS TO HEALTH CARE FOR LOW-INCOME AND UNINSURED INDIVIDUALS, AS WELL AS HISTORICALLY UNDER-SERVED COMMUNITIES INCLUDING MINORITIES AND IMMIGRANTS. OUR GOAL IS EFFECTIVE PREVENTION, TREATMENT, AND CARE PROGRAMS FOR ALL INDIVIDUALS, REGARDLESS OF THEIR ECONOMIC, CULTURAL, LINGUISTIC OR DEMOGRAPHIC CHARACTERISTICS.VISIT WWW.ADVENTISTHEALTHCARE.COM TO LEARN EVEN MORE ABOUT OUR SERVICES AND OUR LONGSTANDING BELIEF THAT A HEALTHY LIFESTYLE IS THE BEST WAY TO PREVENT DISEASE, AND THAT PREVENTION IS MUCH BETTER THAN A CURE.
PART VI, LINE 7, REPORTS FILED WITH STATES	MD

Schedule H (Form 990) 2022

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Schedule I
(Form 990)

Department of the Treasury
Internal Revenue Service

Grants and Other Assistance to Organizations,
Governments and Individuals in the United States

Complete if the organization answered "Yes," on Form 990, Part IV, line 21 or 22.
lBullet

Attach to Form 990.
lBullet

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2022

Open to Public
Inspection

Name of the organization
ADVENTIST HEALTHCARE INC

Employer identification number
52-1532556

Part I

General Information on Grants and Assistance

Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' eligibility for the grants or assistance, and
the selection criteria used to award the grants or assistance? ........................

Yes No

Describe in Part IV the organization's procedures for monitoring the use of grant funds in the United States.

Part II

Grants and Other Assistance to Domestic Organizations and Domestic Governments. Complete if the organization answered "Yes" on Form 990, Part IV, line 21, for any recipient

that received more than $5,000. Part II can be duplicated if additional space is needed.

(a) Name and address of organization or government	(b) EIN	(c) IRC section (if applicable)	(d) Amount of cash grant	(h) Purpose of grant or assistance
(1) A WIDER CIRCLE 9159 BROOKVILLE ROAD SILVER SPRING,MD20910	52-2345144	501-(C)-(3)	10,000	TO SUPPORT THE ESSENTIAL SUPPORT PROGRAM, WHICH ADDRESSES URGENT NEEDS BY PROVIDING BEDS, CRIBS, FURNITURE, AND HOME GOODS TO THOUSANDS OF CHILDREN AND ADULTS LIVING WITH LOW INCOMES.
(2) ADVENTIST YOUNG PROFESSIONALS 8010 GRAMERCY BOULEVARD ROCKVILLE,MD20855	86-3899763	501-(C)-(3)	12,000	TO SUPPORT IN THEIR MISSION TO FOSTER CHRIST-CENTERED COMMUNITY THROUGH FAITH DEVELOPMENT, AUTHENTIC CONNECTIONS, AND MINISTRY ENGAGEMENT.
(3) AMERICAN DIVERSITY GROUP 8815 CENTER PARK DRIVE STE 430 COLUMBIA,MD21045	47-3510206	501-(C)-(3)	15,000	TO SUPPORT THIS PROJECT (ADG) IN ORDER TO FOCUS ON SERVING INDIVIDUALS AND AMERICAN FAMILIES TO IMPROVE THE HEALTH AND WELL-BEING OF UNDERSERVED, MULTICULTURAL, ETHNIC, AND MINORITY POPULATIONS BY CONDUCTING FREE HEALTH FAIRS, COMMUNITY OUTREACH, AND HEALTH PROMOTION PROGRAMS.
(4) BIOHEALTH INNOVATION INC 1 CHURCH STREET 801 ROCKVILLE,MD20850	45-3824067	501-(C)-(3)	25,000	TO PROVIDE CONTRIBUTION TOWARDS RESEARCH.
(5) CARE FOR YOUR HEALTH INC 12140 FLOWING WATER TRAIL CLARKSVILLE,MD21029	26-3333964	501-(C)-(3)	23,795	TO SUPPORT THE DESIGN OF A PROGRAM THAT REMOVES BARRIERS AND ENHANCES ACCESS TO PRIMARY HEALTH CARE PROVIDERS TO THE MOST DISENFRANCHISED POPULATION OF MONTGOMERY AND PRINCE GEORGE'S COUNTIES.
(6) CASA OF MARYLAND INC 8151 15TH AVENUE LANGLEY PARK,MD20783	52-1322972	501-(C)-(3)	30,000	TO SUPPORT CASA'S ESOL PROGRAM, WHICH IS DESIGNED TO MEET THE LINGUISTIC AND SOCIOECONOMIC NEEDS OF THE LEP IMMIGRANT COMMUNITY BY PAIRING ENGLISH WITH PRACTICAL LIFE SKILLS AIMED AT INCREASING PARTICIPANT FAMILIARITY WITH LOCAL RESOURCES AND SOCIAL SAFETY NET SERVICES INCLUDING AMBULANCE, MEDICAL, AND PUBLIC SAFETY. ADDITIONAL LIFE SKILLS SUCH AS TRANSPORTATION, HEALTH, AND CIVIC ENGAGEMENT ARE ALSO ADDRESSED.
(7) CHAMPIONS FOR EDUCATION INC 3700 GLENEAGLES ROAD CHARLOTTE,NC28210	02-0615986	501-(C)-(3)	105,000	TO HELP IN THEIR MISSION OF RAISING FUNDS TO PROVIDE GRANTS TO OTHER CHARITIES WHICH STRIVE TO IMPROVE THE QUALITY OF EDUCATION AROUND THE NATION.
(8) COLUMBIA UNION CONFERENCE 5427 TWIN KNOLLS RD COLUMBIA,MD21045	52-0664576	501-(C)-(3)	225,000	CONTRIBUTION TOWARDS PURPOSE OF MISSION WORK, YOUTH MINISTRY AND HEALTH AND WELLNESS OUTREACH.
(9) COMMUNITY CLINIC INC 8630 FENTON STREET SUITE 1204 SILVER SPRING,MD20910	52-0988386	501-(C)-(3)	30,000	TO SUPPORT THEIR MISSION TO BRING HIGH-QUALITY, AFFORDABLE HEALTHCARE TO EVERY PATIENT DURING ALL STAGES OF LIFE. ALSO, PROVIDED ONSITE PREVENTATIVE DENTAL PROGRAM AT FIVE WIC (WOMEN, INFANTS, AND CHILDREN) LOCATIONS IN MONTGOMERY COUNTY AND PRINCE GEORGE'S COUNTY.
(10) COMMUNITY HEALTH AND EMPOWERMENT INC 8545 PINEY BRANCH RD STE H SILVER SPRING,MD20910	27-3662468	501-(C)-(3)	25,000	TO SUPPORT THE LONG BRANCH HEALTHY FOOD ACCESS PROGRAM (LBHFAP), WHICH USES A FOOD IS MEDICINE APPROACH TO IMPROVE HEALTH AND WELL BEING AMONG THOSE WHO HAVE LOW ACCESS TO FOOD AND MEDICAL CARE AND WHO HAVE THE GREATEST HEALTH VULNERABILITIES.
(11) CROSSROADS COMMUNITY FOOD NETWORK INC 6930 CARROLL AVE SUITE 426 TAKOMA PARK,MD20912	36-4635237	501-(C)-(3)	25,000	TO HELP IN THE REDUCTION OF FOOD INSECURITY EXACERBATED BY THE COVID-19 PANDEMIC IN THE TAKOMA/LANGLEY CROSSROADS.
(12) GENERAL CONFERENCE CORP OF SDA PO BOX 204661 DALLAS,TX753204661	52-6037545	501-(C)-(3)	55,100	DONATION MADE TOWARDS MEDICAL REFERENCE MATERIALS FOR PHYSICIANS.
(13) FEED THE FRIDGE 6901 RADNOR ROAD BETHESDA,MD20817	36-4967718	501-(C)-(3)	35,000	TO SUPPORT THE DELIVERY OF 7,500 MEALS OVER 52 WEEKS TO THE OXON HILL FRIDGE.
(14) FOOD & FRIENDS 219 RIGGS ROAD NE WASHINGTON,DC20011	52-1648941	501-(C)-(3)	10,000	TO SUPPORT THE NEEDS AND HEALTH DISPARITIES THAT MANIFEST FROM FOOD INSECURITY AND THE INEQUITABLE ACCESS TO HEALTHY FOODS AND HEALTH CARE IN THE COMMUNITIES SERVED IN THE GREATER WASHINGTON AREA.
(15) GENERATION HOPE 415 MICHIGAN AVE NE 250 WASHINGTON,DC20017	27-3554088	501-(C)-(3)	20,000	TO SUPPORT GENERATION HOPE'S MISSION TO PROVIDES HOLISTIC, WRAP-AROUND SERVICES IN SUPPORT OF TEEN PARENTS AND THEIR CHILDREN.
(16) HABITAT FOR HUMANITY METRO MARYLAND 8380 COLESVILLE ROAD SILVER SPRING,MD20910	52-1299516	501-(C)-(3)	25,000	TO SUPPORT IN THE REPAIR AND ACCESSIBILITY MODIFICATIONS FOR HOMES IN PRINCE GEORGE'S COUNTY.
(17) HOWARD UNIVERSITY DIVISION OF ALLIED HEALTH SCIENCES ANNEX 1 ROOM 106 WASHINGTON,DC20059	53-0204707	501-(C)-(3)	30,000	TO SUPPORT IN THEIR MISSION TO EDUCATE STUDENTS, DEVELOP PROFESSIONALS, CONDUCT RESEARCH, AND SERVE PATIENTS THROUGH 13 SCHOOLS OF HIGHER EDUCATION AND AN ACADEMIC MEDICAL CENTER.
(18) IDENTITY 414 EAST DIAMOND AVENUE GAITHERSBURG,MD20877	52-2120012	501-(C)-(3)	30,000	TO SUPPORT THE COMMUNITY MENTAL HEALTH PROGRAM, WHICH HELPS YOUNG PEOPLE AND FAMILIES MANAGE THE TREMENDOUS MENTAL HEALTH IMPACTS OF TRAUMA (INCLUDING COVID-19 TRAUMAS AND THOSE SPECIFIC TO IMMIGRATION AND SEPARATION/REUNIFICATION).
(19) INTERFAITH WORKS INC 114 W MONTGOMERY AVENUE ROCKVILLE,MD20850	52-1072684	501-(C)-(3)	25,000	TO SUPPORT IN THEIR COMMITTMENT TO HELPING MONTGOMERY COUNTY RESIDENTS FACING ECONOMIC HARDSHIPS TO GAIN FINANCIAL STABILITY BY HELPING TO PLACE THEM IN LONG-TERM JOBS.
(20) MARY'S CENTER FOR MATERNAL & CHILD CARE 2333 ONTARIO ROAD NW WASHINGTON,DC20009	52-1594116	501-(C)-(3)	30,000	TO SUPPORT MARYS CENTER, WHERE THEY PROVIDE COMPREHENSIVE CARE TO COMMUNITIES WHO HAVE BEEN DISPROPORTIONATELY EXCLUDED FROM TRADITIONAL HEALTHCARE SYSTEMS.
(21) MERCY HEALTH CLINIC 9913 KENTSDALE DRIVE POTOMAC,MD20854	52-2230932	501-(C)-(3)	25,000	TO SUPPORT IN THE REDUCTION TO HEALTHCARE DISPARITIES THAT EXIST WITHIN THE COUNTY BY INCREASING ACCESS TO HEALTHCARE.
(22) MOBILE MEDICAL CARE INC 9309 OLD GEORGETOWN ROAD BETHESDA,MD20814	23-7022588	501-(C)-(3)	75,000	TO SUPPORT MOBILEMED IN SEEKING TO ADDRESS THE NEEDS OF THESE UNINSURED ADULTS, PROVIDING THEM WITH HIGH QUALITY, COMPREHENSIVE HEALTHCARE, DELIVERED IN A CULTURALLY AND LINGUISTICALLY APPROPRIATE MANNER.
(23) MONTGOMERY COUNTY COALITION 405 EAST GUDE DRIVE 209 ROCKVILLE,MD20850	52-1735674	501-(C)-(3)	20,000	TO SUPPORT IN THE CONTINUATION OF THEIR PILOT MENTAL HEALTH AND SUBSTANCE USE PROGRAM.
(24) MONTGOMERY COUNTY GOVERNMENT PO BOX 75549 BALTIMORE,MD212755549	52-6000980		8,800	TO SUPPORT THE HEALTHY MONTGOMERY COMMUNITY HEALTH IMPROVEMENT PROCESS, WHICH IS A COMMUNITY-BASED EFFORT TO IMPROVE THE HEALTH AND WELL-BEING OF MONTGOMERY COUNTY RESIDENTS WHO ARE SUPPORTED BY THE HEALTHY MONTGOMERY WEBSITE.
(25) NAAHHR 1000 THIRD STREET TILLAMOOK,OR97141	93-0622075	501-(C)-(3)	6,000	TO HELP ENHANCE ADVENTIST HEALTHCARE EMPLOYEE ENGAGEMENT.
(26) REBUILDING TOGETHER MONTGOMERY COUNTY 3925 PLYERS MIL ROAD SUITE 202 KENSINGTON,MD20895	52-1667026	501-(C)-(3)	25,000	TO SUPPORT IN HOME REPAIRS AND MODIFICATIONS FOR LOW-INCOME HOME OWNERS TO ENABLE THEM TO AGE SAFELY IN PLACE.
(27) SCOTLAND AFRICIAN METHODIST EPISCOPAL ZION CHURCH 10902 SEVEN LOCKS ROAD POTOMAC,MD20854	52-1759384	501-(C)-(3)	100,000	TO SUPPORT THE REBUILIDNG AND RESTORATION PROJECT OF ITS HISTORIC SCOTLAND AME ZION CHURCH.
(28) SPENCERVILLE ADVENTIST ACADEMY 15930 GOOD HOPE ROAD SILVER SPRING,MD20904	52-1714576	501-(C)-(3)	8,500	SPONSORSHIP OF SPENCERVILLE ADVENTIST ACADEMY'S 5TH ANNUAL 5K RUN AND THE MIDDLE SCHOOL BASKETBALL TOURNAMENT, TO SUPPORT ITS MISSION OF PROVIDING "A DISTINCTIVE SEVENTH-DAY ADVENTIST CHRISTIAN EDUCATION PREPARING THE WHOLE PERSON FOR SERVICE TO GOD AND MAN AND FOR ETERNAL LIFE."
(29) STARTING WITH TODAY INC 1523 PACIFIC AVE CAPITOL HEIGHTS,MD20743	46-3385162	501-(C)-(3)	6,000	TO SUPPORT THE MENTAL HEALTH PROGRAMS AND RESOURCES ACCESSIBLE TO MAKE THE PROGRAMS FREE AND IN LOCATIONS WHERE PEOPLE ALREADY MEET BOTH IN-PERSON AND VIRTUALLY BY HOSTING 1-2 MONTHLY PROGRAMS ONLINE.
(30) STORY TAPESTRIES INC 19301 HEMPSTONE AVENUE POOLESVILLE,MD20837	27-3352560	501-(C)-(3)	7,000	TO SUPPORT IN THE SOCIAL, EMOTIONAL, AND LEARNING SUPPORT PROGRAMS FOR MIDDLE SCHOOLERS THROUGH ART.
(31) STROKE COMBACK CENTER 145 PARK STREET SE VIENNA,VA22180	54-2012975	501-(C)-(3)	20,000	TO SUPPORT SURVIVORS OF STROKE AND BRAIN TRAUMA AND THEIR FAMILIES ALONG THE ROAD TO RECOVERY.
(32) TAKOMA ACADEMY 8120 CARROLL AVENUE TAKOMA PARK,MD20912	52-0563186	501-(C)-(3)	75,000	TO HELP ENHANCE THE STEM PROGRAM AT TAKOMA ACADEMY.
(33) THE HEALTHCARE COUNCIL 4061 POWDER MILL RD SUITE 100 CALVERTON,MD20705	52-1425268	501-(C)-(3)	10,000	TO SUPPORT A SPONSORHIP TO CELEBRATE THE 75TH YEAR OF THE HEALTHCARE COUNCIL SERVING HOSPITALS AND ALLIED HEALTH GROUPS IN THE REGION.
(34) U S DREAM ACADEMY INC 8807 COLESVILLE RD 5TH FLR SILVER SPRING,MD20910	59-3514841	501-(C)-(3)	152,462	PROJECT TO SUPPORT DREAM KIDS IN A VIRUTAL MENTORING ENVIRONMENT TO BE SUCCESSFUL IN SCHOOL WITH A COLLEGE AND CAREER READINESS FOCUS. DONATION TO THE DREAM ACADEMY TO HELP OUR NATION'S CHILDREN REACH FOR THEIR DREAMS. THROUGH ACADEMIC, SOCIAL, AND VALUES ENRICHMENT, THE DREAM ACADEMY EMPOWERS THOSE CHILDREN MOST AT RISK OF INCARCERATION TO BELIEVE IN THEMSELVES AND TO SUCCEED.
(35) CENTRE POINTE COUNSELING PO BOX 1278 LINCOLNTON,NC28093	52-1288655	501-(C)-(3)	30,000	TO SUPPORT THE SAMARITAN FUND TO COVER COSTS FOR PATIENTS WHO CAN'T AFFORD COUNSELING SERVICES.

Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................. Bullet Image

Enter total number of other organizations listed in the line 1 table ........................ . Bullet Image

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50055P

Schedule I (Form 990) 2022

Page 2

Part III

Grants and Other Assistance to Domestic Individuals. Complete if the organization answered "Yes" on Form 990, Part IV, line 22.
Part III can be duplicated if additional space is needed.

(a) Type of grant or assistance	(b) Number of recipients	(c) Amount of cash grant	(d) Amount of noncash assistance	(e) Method of valuation (book, FMV, appraisal, other)	(f) Description of noncash assistance

(1)
(2)
(3)
(4)
(5)
(6)
(7)

Part IV

Supplemental Information. Provide the information required in Part I, line 2; Part III, column (b); and any other additional information.

Return Reference

Explanation

PART I, LINE 2:

ADVENTIST HEALTHCARE (AHC) IS COMMITTED TO IDENTIFYING AND RESPONDING TO PRIORITY HEALTH NEEDS AND OUTCOMES FOR THE PEOPLE AND COMMUNITIES WE SERVE. THE ADVENTIST HEALTHCARE COMMUNITY PARTNERSHIP FUND (CPF) PROVIDES FUNDING FOR ORGANIZATIONS WHOSE ACTIVITIES SUPPORT OUR MISSION TO PROMOTE HEALTH EQUITY AND WELLNESS IN OUR COMMUNITY. CPF AWARDS GRANTS AND EVENT SPONSORSHIPS TO 501(C)(3) ORGANIZATIONS WHOSE ACTIVITIES ALIGN WITH OUR MISSION AND OUR FUNDING OBJECTIVES: 1. HEALTH & WELLNESS: SUPPORT COMMUNITY HEALTH SERVICES, EDUCATION, AND PREVENTION AND WELLNESS PROGRAMS 2. PARTNERSHIPS: LEVERAGE PARTNERSHIPS TO ADDRESS SOCIOECONOMIC DISADVANTAGES THAT AFFECT HEALTH 2022 FUNDING PRIORITIES: OUR FUNDING PRIORITIES CHANGE OVER TIME TO ALIGN WITH THE FINDINGS OF OUR COMMUNITY HEALTH NEEDS ASSESSMENTS. IN 2022 WE CONTINUED TO FOCUS ON PRIORITIZED NEEDS IDENTIFIED THROUGH OUR COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS AS WELL AS NEEDS EXACERBATED BY COVID-19. OUR FUNDING PRIORITIES INCLUDED: 1. ACCESS TO CARE 2. MENTAL HEALTH FOR ADULTS AND YOUTH 3. WORKFORCE DEVELOPMENT 4. SOCIAL SERVICES 5. EDUCATIONAL EQUITY FOR YOUTH 6. RACIAL EQUITY AND JUSTICE 7. REHABILITATION AND DISABILITY SERVICES 8. HIV & HEPATITIS C ADDITIONALLY, FUNDING REQUESTS HAD TO: 1. BE DESIGNED TO ADDRESS DOCUMENTED HEALTH DISPARITIES OR INEQUITIES 2. HAVE A MEASURABLE IMPACT ON THE COMMUNITY BEING SERVED 3. ALIGN WITH ADVENTIST HEALTHCARE'S COMMUNITY-BASED MISSION 4. INCLUDE MEANINGFUL PARTNERSHIPS (PREFERRED BUT NOT REQUIRED) APPLICATION AND REVIEW PROCESS: ALL PROSPECTIVE APPLICANTS ARE ASKED TO COMPLETE A GRANT APPLICATION OR EVENT SPONSORSHIP APPLICATION (E.G., FUNDRAISING GALAS AND SPORTING EVENTS). APPLICATIONS ARE REVIEWED BY THE COMMUNITY PARTNERSHIP FUND BOARD WHICH IS MADE UP OF REPRESENTATIVES FROM ACROSS THE AHC SYSTEM. GRANT MONITORING: ALL GRANT RECIPIENTS (GRANTS TYPICALLY RANGE FROM $5,000-$30,000) ARE ASKED TO COMPLETE BOTH A MID-YEAR PROGRESS REPORT AS WELL AS A FINAL END-OF-YEAR REPORT. FOR THE MID-YEAR REPORT, GRANTEES ARE ASKED TO DESCRIBE THE FOLLOWING: - NUMBER OF INDIVIDUALS WHO HAVE BEEN SERVED THUS FAR; - OUTCOMES, TO DATE, OF THE MEASURABLE OBJECTIVES SPECIFIED IN THE ORIGINAL APPLICATION; - DESCRIPTION OF THE WORK THAT HAS BEEN COMPLETED TO DATE; - CHANGES MADE TO THE PROGRAM/ACTIVITY AS ORIGINALLY DESCRIBED; - CHALLENGES OR DELAYS THAT HAVE BEEN ENCOUNTERED; - EXPENDITURE OF FUNDS THUS FAR; - ESTIMATED EXPENDITURES FOR THE DURATION OF THE GRANT PERIOD. FOR THE FINAL REPORT, GRANTEES ARE ASKED TO DESCRIBE THE FOLLOWING: - TOTAL NUMBER OF INDIVIDUALS SERVED WITH THE FUNDING THAT WAS PROVIDED; - OUTCOMES FOR THE MEASURABLE OBJECTIVES SPECIFIED IN THE ORIGINAL APPLICATION AS WELL AS ANY OTHER OUTCOMES; - DESCRIPTION OF THE WORK THAT WAS ACCOMPLISHED; - CHANGES MADE TO THE PROGRAM/ACTIVITY AS ORIGINALLY DESCRIBED; - CHALLENGES OR DELAYS THAT WERE ENCOUNTERED; - EXPENDITURE OF GRANT FUNDS. SPONSORSHIP MONITORING: ALL SPONSORSHIP RECIPIENTS (SPONSORSHIPS ARE UP TO $5,000) ARE ASKED TO COMPLETE A FINAL REPORT AFTER THEIR EVENT TAKES PLACE. IN THE FINAL REPORT, SPONSORSHIP RECIPIENTS ARE ASKED TO DESCRIBE THE FOLLOWING: - NUMBER OF PARTICIPANTS - EVENT/PROGRAM OUTCOMES THE INFORMATION PROVIDED IN THESE REPORTS IS UTILIZED TO EVALUATE THE OVERALL IMPACT OF THE GRANTEE AND THE FUNDING PROVIDED. IT IS ALSO USED TO INFORM DECISION MAKING REGARDING FUTURE FUNDING AND PARTNERSHIP ENDEAVORS WITH EACH GRANTEE.

Schedule I (Form 990) 2022

Additional Data

Software ID:
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- TIN:

Schedule J
(Form 990)

Department of the Treasury
Internal Revenue Service

Compensation Information

For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
SchJMediumBullet

Complete if the organization answered "Yes" on Form 990, Part IV, line 23.
SchJMediumBullet

Attach to Form 990.
SchJMediumBullet

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2022

Open to Public Inspection

Name of the organization

ADVENTIST HEALTHCARE INC

Employer identification number

52-1532556

Part I

Questions Regarding Compensation

Yes

Check the appropiate box(es) if the organization provided any of the following to or for a person listed on Form
990, Part VII, Section A, line 1a. Complete Part III to provide any relevant information regarding these items.

First-class or charter travel Housing allowance or residence for personal use

Travel for companions Payments for business use of personal residence

Tax idemnification and gross-up payments Health or social club dues or initiation fees

Discretionary spending account Personal services (e.g., maid, chauffeur, chef)

If any of the boxes on Line 1a are checked, did the organization follow a written policy regarding payment or reimbursement or provision of all of the expenses described above? If "No," complete Part III to explain .....

Yes

Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all
directors, trustees, officers, including the CEO/Executive Director, regarding the items checked on Line 1a? ....

Yes

Indicate which, if any, of the following the filing organization used to establish the compensation of the
organization's CEO/Executive Director. Check all that apply. Do not check any boxes for methods
used by a related organization to establish compensation of the CEO/Executive Director, but explain in Part III.

Compensation committee Written employment contract

Independent compensation consultant Compensation survey or study

Form 990 of other organizations Approval by the board or compensation committee

During the year, did any person listed on Form 990, Part VII, Section A, line 1a, with respect to the filing organization or a related organization:

Receive a severance payment or change-of-control payment? .............

Participate in, or receive payment from, a supplemental nonqualified retirement plan? .........

Yes

Participate in, or receive payment from, an equity-based compensation arrangement? .........

If "Yes" to any of lines 4a-c, list the persons and provide the applicable amounts for each item in Part III.

Only 501(c)(3), 501(c)(4), and 501(c)(29) organizations must complete lines 5-9.

For persons listed on Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the revenues of:

The organization? ....................

Any related organization? .......................

If "Yes," on line 5a or 5b, describe in Part III.

For persons listed on Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the net earnings of:

The organization? ..................

Any related organization? ......................

If "Yes," on line 6a or 6b, describe in Part III.

For persons listed on Form 990, Part VII, Section A, line 1a, did the organization provide any nonfixed
payments not described in lines 5 and 6? If "Yes," describe in Part III ............

Yes

Were any amounts reported on Form 990, Part VII, paid or accured pursuant to a contract that was
subject to the initial contract exception described in Regulations section 53.4958-4(a)(3)? If "Yes," describe
in Part III ..........................

If "Yes" on line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50053T

Schedule J (Form 990) 2022

Page 2

Part II

Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees. Use duplicate copies if additional space is needed.

For each individual whose compensation must be reported on Schedule J, report compensation from the organization on row (i) and from related organizations, described in the
instructions, on row (ii). Do not list any individuals that are not listed on Form 990, Part VII.
Note. The sum of columns (B)(i)-(iii) for each listed individual must equal the total amount of Form 990, Part VII, Section A, line 1a, applicable column (D) and (E) amounts for that individual.

(A) Name and Title		(B) Breakdown of W-2, 1099-MISC compensation, and/or 1099-NEC			(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)	(F) Compensation in column (B) reported as deferred on prior Form 990
(A) Name and Title		(i) Base compensation	(ii) Bonus & incentive compensation	(iii) Other reportable compensation	(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)
1TERRY FORDE PRESIDENT & CEO, AHC	(i) (ii)	983,798 ------------- 0	342,201 ------------- 0	187,717 ------------- 0	27,000 ------------- 0	36,683 ------------- 0	1,577,399 ------------- 0	0 ------------- 0
2STEVEN BOYCE MD PHYSICIAN	(i) (ii)	1,250,286 ------------- 0	171,597 ------------- 0	6,638 ------------- 0	27,000 ------------- 0	7,581 ------------- 0	1,463,102 ------------- 0	0 ------------- 0
3NIV AD MD PHYSICIAN	(i) (ii)	849,095 ------------- 0	0 ------------- 0	357,700 ------------- 0	27,000 ------------- 0	605 ------------- 0	1,234,400 ------------- 0	0 ------------- 0
4JOHN SACKETT EVP & COO, AHC	(i) (ii)	596,569 ------------- 0	170,553 ------------- 0	267,300 ------------- 0	27,000 ------------- 0	43,167 ------------- 0	1,104,589 ------------- 0	0 ------------- 0
5JONATHAN RHEE MD PHYSICIAN	(i) (ii)	664,840 ------------- 0	333,208 ------------- 0	3,651 ------------- 0	20,500 ------------- 0	24,990 ------------- 0	1,047,189 ------------- 0	0 ------------- 0
6DANIEL L COCHRAN PRESIDENT, SGMC	(i) (ii)	453,362 ------------- 0	110,730 ------------- 0	221,051 ------------- 0	167,162 ------------- 0	17,172 ------------- 0	969,477 ------------- 0	132,453 ------------- 0
7SHERIF SELIM MD PHYSICIAN	(i) (ii)	555,437 ------------- 0	354,187 ------------- 0	1,742 ------------- 0	20,500 ------------- 0	21,280 ------------- 0	953,146 ------------- 0	0 ------------- 0
8KRISTEN PULIO SVP & CFO, AHC	(i) (ii)	524,682 ------------- 0	93,631 ------------- 0	133,066 ------------- 0	172,176 ------------- 0	7,675 ------------- 0	931,230 ------------- 0	78,950 ------------- 0
9ANITA JENKINS PRESIDENT,HOWARD UNIVERSITY HOSPITAL	(i) (ii)	504,363 ------------- 0	128,876 ------------- 0	191,843 ------------- 0	27,000 ------------- 0	16,372 ------------- 0	868,454 ------------- 0	0 ------------- 0
10ANTHONY STAHL PRESIDENT, WOMC	(i) (ii)	405,527 ------------- 0	110,639 ------------- 0	174,869 ------------- 0	148,167 ------------- 0	22,458 ------------- 0	861,660 ------------- 0	85,274 ------------- 0
11EUNMEE SHIM PRESIDENT, FWMC	(i) (ii)	379,781 ------------- 0	72,466 ------------- 0	239,638 ------------- 0	119,862 ------------- 0	30,605 ------------- 0	842,352 ------------- 0	98,494 ------------- 0
12PATSY MCNEIL SVP, SYSTEM CHIEF MEDICAL OFFICER	(i) (ii)	510,401 ------------- 0	77,812 ------------- 0	102,126 ------------- 0	146,414 ------------- 0	1,401 ------------- 0	838,154 ------------- 0	86,642 ------------- 0
13MARTA BRITO PEREZ SVP,POP. HEALTH/POST-ACUTE CARE SVCS	(i) (ii)	471,287 ------------- 0	126,323 ------------- 0	172,248 ------------- 0	27,000 ------------- 0	15,454 ------------- 0	812,312 ------------- 0	0 ------------- 0
14DENNIS FRIEDMAN MD PHYSICIAN	(i) (ii)	574,835 ------------- 0	122,492 ------------- 0	22,888 ------------- 0	23,874 ------------- 0	12,440 ------------- 0	756,529 ------------- 0	0 ------------- 0
15JAMES G LEE EVP & CSO-GWTH, AHC-UNTIL MAY 2022	(i) (ii)	330,703 ------------- 0	154,714 ------------- 0	143,527 ------------- 0	12,198 ------------- 0	10,597 ------------- 0	651,739 ------------- 0	121,781 ------------- 0
16MARISSA LESLIE MD BOARD; SYSTEM MED DIR OF PSYCHIATRY	(i) (ii)	0 ------------- 332,625	0 ------------- 37,613	0 ------------- 1,721	0 ------------- 20,500	0 ------------- 10,141	0 ------------- 402,600	0 ------------- 0

Schedule J (Form 990) 2022

Page 3

Part III

Supplemental Information

Provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 3, 4a, 4b, 4c, 5a, 5b, 6a, 6b, 7, and 8, and for Part II. Also complete this part for any additional information.

Return Reference	Explanation
PART I, LINE 1A	HOUSING ALLOWANCE OR RESIDENCE FOR PERSONAL USE: AS PART OF A RELOCATION PLAN TO THE WASHINGTON, DC AREA, ADVENTIST HEALTHCARE, INC. AND ANITA JENKINS, THE PRESIDENT OF HOWARD UNIVERSITY HOSPITAL, ENTERED INTO A JOINT OWNERSHIP ARRANGEMENT OF A RESIDENTIAL PROPERTY IN THE DISTRICT OF COLUMBIA TO BE USED AS MS. JENKINS'S RESIDENCE. THIS ARRANGEMENT WAS ENTERED ON JUNE 1, 2020. ADVENTIST HEALTHCARE CONTRIBUTED HALF THE PROPERTY'S PURCHASE PRICE THROUGH A SINGLE MEMBER LIMITED LIABILITY COMPANY, AND MS. JENKINS PURCHASED THE OTHER HALF PERSONALLY. FOR THE DURATION OF OCCUPANCY, ADVENTIST HEALTHCARE INCLUDES ON MS. JENKINS'S FORM W2, AS IMPUTED INCOME, THE FAIR MARKET RENTAL VALUE OF THE PROPERTY ATTRIBUTABLE TO ADVENTIST HEALTHCARE'S OWNERSHIP. HEALTH OR SOCIAL CLUB DUES OR INITIATION FEES: ADVENTIST HEALTHCARE OWNS A CORPORATE MEMBERSHIP AT A LOCAL GOLF CLUB. THROUGH THE CORPORATE LEVEL MEMBERSHIP, FOUR ADVENTIST HEALTHCARE EXECUTIVES ARE DESIGNATED TO USE THE MEMBERSHIP IN ORDER TO ADVANCE VARIOUS ADVENTIST HEALTHCARE BUSINESS INTERESTS (RECRUITING, NETWORKING, ETC.). ADVENTIST HEALTHCARE PAYS THE EXECUTIVES A MONTHLY ALLOWANCE AS ADDITIONAL COMPENSATION TO COVER THE MONTHLY MEMBERSHIP DUES, WHICH THE EXECUTIVE PAYS THEMSELVES. THE MONTHLY ALLOWANCES ARE REPORTED AS TAXABLE COMPENSATION.
PART I, LINE 3	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 SAFEGUARDS 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 A DISTRIBUTION UNDER 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. CONTRIBUTIONS ACCUMULATED IN 2020 WERE GENERALLY DISTRIBUTED ON JANUARY 1, 2022 AND CONTRIBUTIONS ACCUMULATED IN 2021 WILL GENERALLY BE DISTRIBUTED ON JANUARY 1, 2023. 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 ADVENTIST HEALTHCARE EXECUTIVE RETENTION PLAN PAYS CERTAIN PARTICIPANTS THEIR RETIREMENT PAYMENTS IN DIRECT CASH, RATHER THAN RETENTION BENEFITS OF DEFERRED CASH, AFTER ATTAINING THE PLAN'S RETIREMENT AGE. THE FOLLOWING THREE EXECUTIVES RECEIVED SUPPLEMENTAL RETIREMENT PAYMENTS UNDER THIS PLAN FEATURE: JOHN SACKETT: $156,680 RETIREMENT AGE PAYMENT; MARTA BRITO PEREZ: $129,542 RETIREMENT AGE PAYMENT; ANITA JENKINS: $122,374 RETIREMENT AGE PAYMENT.
PART I, LINE 7	THE ANNUAL INCENTIVE COMPENSATION INCLUDES PAYMENTS BASED ON SATISFACTION OF PRE-DETERMINED PERFORMANCE TARGETS SUCH AS QUALITY/PATIENT SAFETY GOALS, EMPLOYEE AND PATIENT ENGAGEMENT GOALS, ORGANIZATIONAL GROWTH, AND FINANCIAL PERFORMANCE, AMONG OTHER THINGS. THE ANNUAL INCENTIVE COMPENSATION APPLIES TO DIRECTORS AND ABOVE.
SUPPLEMENTAL INFORMATION:	OTHER REPORTABLE COMPENSATION INCLUDES RETENTION PAYMENTS AND LUMP-SUM ADJUSTMENTS IN LIEU OF THE ACROSS-THE-BOARD INCREASE (FOR EMPLOYEES WHO ARE AT OR REACH THE RANGE MAXIMUM FOR THEIR POSITION). OTHER REPORTABLE COMPENSATION ALSO INCLUDES LONG-TERM DISABILITY COVERAGE, CELL PHONE ALLOWANCES, CASH-OUT OF UNUSED PAID TIME OFF (PTO) HOURS, IMPUTED VALUE OF LIFE INSURANCE COVERAGE, 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. IN 2022, THERE WERE NO SERP PAYOUTS MADE. NON-TAXABLE BENEFITS INCLUDES PRE-TAX PAYROLL DEDUCTIONS (SUCH AS FLEXIBLE MEDICAL SPENDING, DEPENDENT CARE, AND EMPLOYEE HEALTH BENEFIT PREMIUMS), AND THE EMPLOYER PORTION OF CERTAIN EMPLOYEE BENEFITS SUCH AS HEALTH INSURANCE, DENTAL INSURANCE, VISION INSURANCE, AND LIFE INSURANCE, ETC.

Schedule J (Form 990) 2022

Additional Data

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Note: To capture the full content of this document, please select landscape mode (11" x 8.5") when printing.

Schedule K
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Information on Tax-Exempt Bonds

Complete if the organization answered "Yes" to Form 990, Part Ⅵ, line 24a. Provide descriptions,
explanations, and any additional information in Part Ⅵ.
SchKMediumBullet

Attach to Form 990.
SchKMediumBullet

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2021

Open to Public
Inspection

Name of the organization
ADVENTIST HEALTHCARE INC

Employer identification number
52-1532556

Part Ⅰ

Bond Issues

(a) Issuer name		(b) Issuer EIN	(c) CUSIP #	(d) Date issued	(e) Issue price	(f) Description of purpose	(g) Defeased		(h) On behalf of issuer		(i) Pool financing
(a) Issuer name		(b) Issuer EIN	(c) CUSIP #	(d) Date issued	(e) Issue price	(f) Description of purpose	Yes	No	Yes	No	Yes	No
A	MHHEFA (2013)	52-0936091	NONEAVAIL	06-12-2013	15,623,500	SEE PART VI		X		X		X
B	MHHEFA (2016A)	52-0936091	574218T37	12-14-2016	280,619,392	SEE PART VI		X		X		X
C	MHHEFA (2016B) REISSUED IN 2018	52-0936091	NONEAVAIL	07-03-2018	126,395,000	SEE PART VI		X		X		X
D	MHHEFA (2017) REISSUED IN 2018	52-0936091	NONEAVAIL	09-25-2018	40,000,000	SEE PART VI		X		X		X
	MHHEFA (20202021)	52-0936091	57421CBT0	12-30-2020	75,956,550	SEE PART VI		X		X		X
	MHHEFA (2021B)	52-0936091	57421CDC5	10-13-2021	156,382,377	SEE PART VI		X		X		X

Part Ⅱ

Proceeds

	A		B		C		D
	1 Amount of bonds retired ..................	11,025,877		8,205,000		8,185,000		4,940,000
2 Amount of bonds legally defeased ..............
3 Total proceeds of issue ..................	15,623,500		276,936,325		126,395,000		40,000,000
4 Gross proceeds in reserve funds .............	9,363,998		15,287,371
5 Capitalized interest from proceeds .............			33,127,437
6 Proceeds in refunding escrows ...............
7 Issuance costs from proceeds ...............	914,145		3,004,524
8 Credit enhancement from proceeds .............
9 Working capital expenditures from proceeds .............
10 Capital expenditures from proceeds .............			225,516,993
11 Other spent proceeds .............	15,623,500				126,395,000		40,000,000
12 Other unspent proceeds .............			133,602,398
13 Year of substantial completion .............	1982		2019		2019		2019
	Yes	No	Yes	No	Yes	No	Yes	No
14 Were the bonds issued as part of a current refunding issue of tax-exempt bonds (or, if issued prior to 2020, a current refunding issue)? ........	X		X		X			X
15 Were the bonds issued as part of an advance refunding issue of taxable bonds (or, if issued prior to 2020, an advance refunding issue)? ........		X		X		X		X
16 Has the final allocation of proceeds been made? ..........	X		X		X		X
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? ..................	X		X		X		X

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50193E

Schedule K (Form 990) 2021

Page 2

Part Ⅲ

Private Business Use

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
1 Was the organization a partner in a partnership, or a member of an LLC, which owned property financed by tax-exempt bonds? .............		X		X		X
2 Are there any lease arrangements that may result in private business use of bond-financed property? ...............	X		X		X
3a Are there any management or service contracts that may result in private business use of bond-financed property? .............	X		X		X
b If "Yes" to line 3a, does the organization routinely engage bond counsel or other outside counsel to review any management or service contracts relating to the financed property?	X		X		X
c Are there any research agreements that may result in private business use of bond-financed property? .............	X		X		X
d If "Yes" to line 3c, does the organization routinely engage bond counsel or other outside counsel to review any research agreements relating to the financed property?	X		X		X
4 Enter the percentage of financed property used in a private business use by entities other than a section 501(c)(3) organization or a state or local government ....	0 %		0 %		0 %
5 Enter the percentage of financed property used in a private business use as a result of unrelated trade or business activity carried on by your organization, another section 501(c)(3) organization, or a state or local government .........	0 %		0 %		0 %
6 Total of lines 4 and 5 .............	0 %		0 %		0 %
7 Does the bond issue meet the private security or payment test? ...		X		X		X
8a Has there been a sale or disposition of any of the bond-financed property to a nongovernmental person other than a 501(c)(3) organization since the bonds were issued?.............		X		X		X
b If "Yes" to line 8a, enter the percentage of bond-financed property sold or disposed of. ..
c If "Yes" to line 8a, was any remedial action taken pursuant to Regulations sections 1.141-12 and 1.145-2? .............
9 Has the organization established written procedures to ensure that all nonqualified bonds of the issue are remediated in accordance with the requirements under Regulations sections 1.141-12 and 1.145-2? ........	X		X		X

Part Ⅳ

Arbitrage

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
1 Has the issuer filed Form 8038-T, Arbitrage Rebate, Yield Reduction and Penalty in Lieu of Arbitrage Rebate? ...		X		X		X		X
2 If "No" to line 1, did the following apply? ....
a Rebate not due yet? .......		X		X		X		X
b Exception to rebate? ........		X		X		X		X
c No rebate due? .........	X		X		X		X
If "Yes" to line 2c, provide in Part Ⅵ the date the rebate computation was performed ......
3 Is the bond issue a variable rate issue? .....		X		X		X		X

Schedule K (Form 990) 2021

Page 3

Part Ⅳ

Arbitrage (Continued)

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
4a Has the organization or the governmental issuer entered into a qualified hedge with respect to the bond issue?		X		X		X		X
b Name of provider ..........
c Term of hedge .........
d Was the hedge superintegrated? ......
e Was the hedge terminated? ........
5a Were gross proceeds invested in a guaranteed investment contract (GIC)?		X		X		X		X
b Name of provider ..........
c Term of GIC .........
d Was the regulatory safe harbor for establishing the fair market value of the GIC satisfied? ........
6 Were any gross proceeds invested beyond an available temporary period?		X		X		X		X
7 Has the organization established written procedures to monitor the requirements of section 148? ...	X		X		X		X

Part Ⅴ

Procedures To Undertake Corrective Action

---------------------------------------------------------------------------------------------------------------	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
Has the organization established written procedures to ensure that violations of federal tax requirements are timely identified and corrected through the voluntary closing agreement program if self-remediation is not available under applicable regulations?	X		X		X		X

Part Ⅵ

Supplemental Information. Provide additional information for responses to questions on Schedule K. (See instructions).

Return Reference

Explanation

DATE REBATE COMPUTATION PERFORMED

ISSUER NAME: MHHEFA (2013) DATE THE REBATE COMPUTATION WAS PERFORMED: 07/17/2023 ISSUER NAME: MHHEFA (2016A) DATE THE REBATE COMPUTATION WAS PERFORMED: 07/01/2021 ISSUER NAME: MHHEFA (2016B) REISSUED IN 2018 DATE THE REBATE COMPUTATION WAS PERFORMED: 07/01/2021 ISSUER NAME: MHHEFA (2017) REISSUED IN 2018 DATE THE REBATE COMPUTATION WAS PERFORMED: 07/01/2022

PART I, II, & IV:

BONDS A-D (ENTITY 1): PART I BOND ISSUES: BOND A (ENTITY 1): COLUMN (A) ISSUER NAME: MHHEFA 2013 COLUMN (F) DESCRIPTION OF PURPOSE: ALL PROCEEDS WERE EXPENDED TO REFUND 2003A BONDS ISSUED ON FEBRUARY 27, 2003 PROCEEDS OF THE 2003A BONDS REFUNDED 1991A BONDS ISSUED FOR THE "1991 A-1 PROJECT" - PROJECTS FINANCED OR REFINANCED WITH THE PROCEEDS OF THE 1983 BONDS, INCLUDING CONSTRUCTION, RENOVATION AND EQUIPPING OF FACILITIES AT WAH. BOND B (ENTITY 1): COLUMN (A) ISSUER NAME: MHHEFA 2016A COLUMN (F) DESCRIPTION OF PURPOSE: THE 2016A BONDS FINANCED THE CONSTRUCTION OF THE WAH-WHITE OAK REPLACEMENT HOSPITAL. THE HOSPITAL WAS COMPLETED IN 2019 AND OPENED ON 8/25/2019. THE HOSPITAL IS APPROXIMATELY 440,000 SQUARE FEET AND 8 LEVELS. BOND C (ENTITY 1): COLUMN (A) ISSUER NAME: MHHEFA 2016B (REISSUED IN 2018) ON JULY 3, 2018, THE 2016B BOND WAS REISSUED AS THE 2018 BOND. THE 2016A BONDS WERE NOT AMENDED OR REISSUED ON THIS DATE. COLUMN (F) DESCRIPTION OF PURPOSE: THE 2016B BOND REFUNDED THE 2005A BONDS ISSUED ON DECEMBER 20, 2005, AND THE 2011 B BONDS, REISSUED ON SEPTEMBER 25, 2015, AND FUNDED THE TERMINATION FEE ASSOCIATED WITH THE 2005 A SWAP. 2005 A - SHADY GROVE ADVENTIST HOSPITAL (SGAH) EXPANSION PROJECT-SHADY GROVE (SG) TOWER; RENOVATION TO SURGERY DEPARTMENT, MEDICAL/ONCOLOGY NURSING, MEDICAL NURSING, SURGICAL UNITS, EXPANDED EMERGENCY, OBSTETRICS, AND NEONATAL INTENSIVE CARE UNIT; POWER PLANT, ROAD AND ENTRANCEWAY; SIGNAGE AND PARKING; OTHER ROUTINE CAPITAL PROJECTS; 2011 B - REFUNDING OF 2004 A AND 2005 B BONDS. FINANCED AND REFINANCED EXISTING FACILITIES AT ARHM, ACQUISITION OF LIFE SCIENCES LAND, FINANCED OR REFINANCED CONSTRUCTION, RENOVATION, PARKING LOTS, FENCES, WALKWAYS, LANDSCAPING, VARIOUS MAJOR MEDICAL EQUIPMENT, FINANCED OR REFINANCED CERTAIN PLANNING AND DESIGN COSTS RELATED TO THE CONSTRUCTION OF THE SG TOWER, COST OF ACQUISITION OF AN INTEREST IN ARHM; ACQUISITION, CONSTRUCTION, RENOVATION, AND EQUIPPING OF ARHM AND WAH, RENOVATION TO WAH AND SG. THE BOND ISSUING AUTHORITY DIRECTED A BLOCK TRADE ON THE RESERVE FUNDS, ON BEHALF OF AHC, IN WHICH A SINGLE TRANSACTION SETTLED INTO BOND ISSUE 2016 AND BOND ISSUE 2021. THE RESULT OF THE TRANSACTION WAS TO DECREASE THE GROSS PROCEEDS OF BOND ISSUE 2016 AND INCREASE THE PROCEEDS OF BOND ISSUE 2021. BOND D (ENTITY 1): COLUMN (A) ISSUER NAME: MHHEFA 2017 (REISSUED IN 2018) COLUMN (F) DESCRIPTION OF PURPOSE: THE 2017 BOND FINANCED THE CONSTRUCTION OF A CENTRAL UTILITY PLANT ON THE SITE OF THE WAH-WHITE OAK REPLACEMENT HOSPITAL. THE CENTRAL UTILITY PLANT PROVIDES CHILLED WATER, HEAT HOT WATER, DOMESTIC HOT WATER, EMERGENCY POWER AND A 1-MEGAWATT COGENERATION UNIT FOR WAH WHITE OAK. ON SEPTEMBER 25, 2018, THE 2017 BOND WAS REISSUED. PART II, PROCEEDS, COLUMNS C AND D: SHOWN IS THE ISSUE PRICE OF THE REISSUED BONDS, WHICH WERE ISSUED IN EXCHANGE FOR THE ORIGINAL BONDS. NO PROCEEDS WERE GENERATED IN CONNECTION WITH THE REISSUANCES. PART IV, ARBITRAGE, COLUMN A: THE ARBITRAGE CALCULATION DATE FOR THE 2013 BONDS WAS JULY 17, 2023. PART IV, ARBITRAGE, COLUMN B & C: THE ARBITRAGE CALCULATION DATE FOR THE 2016 BONDS (INCLUDING SERIES A & B) WAS JULY 1, 2021. PART IV, ARBITRAGE, COLUMN D: THE ARBITRAGE CALCULATION DATE FOR THE 2017 BONDS WAS JULY 1, 2022. BONDS A-B (ENTITY 2): PART I BOND ISSUES: BOND A (ENTITY 2): COLUMN (A) ISSUER NAME: MHHEFA 2020/2021 COLUMN (F) DESCRIPTION OF PURPOSE: THE PROCEEDS OF THE 2020 BONDS REFUNDED THE 2014A BONDS ISSUED ON 02/26/2014, AND THE PROCEEDS OF THE 2021 BONDS WERE PLACED IN AN ESCROW TO REFUND THE 2011A BONDS ISSUED ON 09/01/2011. THE 2014A BONDS WERE REDEEMED ON 01/04/2021, AND THE 2011A BONDS WERE REDEEMED ON 01/01/2022. THE 2014A PROJECT CONSISTED OF THE CONSTRUCTION, RENOVATION AND EQUIPPING OF FACILITIES AT THE WASHINGTON ADVENTIST HOSPITAL ("WAH") AND SHADY GROVE ADVENTIST HOSPITAL, INCLUDING THE ADDITION OF 25 BEDS AND THE ACQUISITION AND EQUIPPING OF CERTAIN RADIOLOGY EQUIPMENT AT WAH. THE 2011A PROCEEDS WERE APPLIED TO REFUND THE 2003B BONDS, THE 2004A BONDS AND 2005B BONDS. THE 2003B BONDS REFINANCED A SHORT-TERM LINE OF CREDIT, THE PROCEEDS OF WHICH WERE USED FOR THE ACQUISITION OF ABH FORMERLY KNOWN AS POTOMAC RIDGE BEHAVIORAL HEALTH; AS WELL AS THE ACQUISITION, CONSTRUCTION, RENOVATION AND EQUIPPING OF, AND OTHER IMPROVEMENTS TO THE FACILITIES OF WAH, SGAH, AND ABH. THE 2004A BONDS FINANCED THE COST OF ACQUISITION OF APPROXIMATELY 45 ACRES OF LAND ON THE CAMPUS OF SHADY GROVE ADVENTIST HOSPITAL, AS WELL AS THE ACQUISITION, CONSTRUCTION, RENOVATION AND EQUIPPING OF, AND OTHER IMPROVEMENTS TO THE FACILITIES OF WAH, SGAH, AND ABH. THE 2005B BONDS REFUNDED THE CITY OF GAITHERSBURG, SERIES 1991B BONDS AND THE CITY OF TAKOMA PARK SERIES 1991B BONDS. BOND B (ENTITY 2): COLUMN (A) ISSUER NAME: MHHEFA 2021B COLUMN (F) DESCRIPTION OF PURPOSE: THE 2021B BONDS ARE FINANCING 1) THE CONSTRUCTION OF A NEW SIX-STORY, APPROXIMATELY 150,000 SQUARE FEET PATIENT TOWER AT SHADY GROVE ADVENTIST HOSPITAL AND 2) RENOVATIONS TO CERTAIN EXISTING FACILITIES OF SHADY GROVE HOSPITAL TO ENHANCE PATIENT SAFETY, PATIENT EXPERIENCE AND CLINICAL EFFICIENCY. PART I, BOND ISSUE, LINE A: THE 2020/2021 MHHEFA BONDS ARE PART OF A SINGLE ISSUE SINCE THEY WERE SOLD AT THE SAME TIME, BUT A SEPARATE ISSUE ALLOCATION WAS MADE. THE 2020 BONDS WERE DELIVERED ON 12/30/2020, AND THE 2021 BONDS WERE DELIVERED ON 10/07/2021. PART II, PROCEEDS, COLUMN A: THE 2011A BONDS HAD A RESERVE FUND THAT TRANSFERRED TO THE 2020/2021 BONDS IN CONNECTION WITH THE REFUNDING. THE RESERVE FUND WAS VALUED AT $9,363,998 AS OF 12/31/22. BECAUSE THE RESERVE FUND WAS NOT FUNDED WITH 2020/2021 BOND SALE PROCEEDS, ROW 3 WILL NOT TIE TO THE SUM OF ROWS 4-12 FOR THIS BOND ISSUE.

Schedule K (Form 990) 2021

Additional Data

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Software Version:

- TIN:

Note: To capture the full content of this document, please select landscape mode (11" x 8.5") when printing.

Schedule K
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Information on Tax-Exempt Bonds

Complete if the organization answered "Yes" to Form 990, Part Ⅵ, line 24a. Provide descriptions,
explanations, and any additional information in Part Ⅵ.
SchKMediumBullet

Attach to Form 990.
SchKMediumBullet

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2021

Open to Public
Inspection

Name of the organization
ADVENTIST HEALTHCARE INC

Employer identification number
52-1532556

Part Ⅰ

Bond Issues

(a) Issuer name		(b) Issuer EIN	(c) CUSIP #	(d) Date issued	(e) Issue price	(f) Description of purpose	(g) Defeased		(h) On behalf of issuer		(i) Pool financing
(a) Issuer name		(b) Issuer EIN	(c) CUSIP #	(d) Date issued	(e) Issue price	(f) Description of purpose	Yes	No	Yes	No	Yes	No
A	MHHEFA (2013)	52-0936091	NONEAVAIL	06-12-2013	15,623,500	SEE PART VI		X		X		X
B	MHHEFA (2016A)	52-0936091	574218T37	12-14-2016	280,619,392	SEE PART VI		X		X		X
C	MHHEFA (2016B) REISSUED IN 2018	52-0936091	NONEAVAIL	07-03-2018	126,395,000	SEE PART VI		X		X		X
D	MHHEFA (2017) REISSUED IN 2018	52-0936091	NONEAVAIL	09-25-2018	40,000,000	SEE PART VI		X		X		X
	MHHEFA (20202021)	52-0936091	57421CBT0	12-30-2020	75,956,550	SEE PART VI		X		X		X
	MHHEFA (2021B)	52-0936091	57421CDC5	10-13-2021	156,382,377	SEE PART VI		X		X		X

Part Ⅱ

Proceeds

	A		B		C		D
	1 Amount of bonds retired ..................	11,025,877		8,205,000		8,185,000		4,940,000
2 Amount of bonds legally defeased ..............
3 Total proceeds of issue ..................	15,623,500		276,936,325		126,395,000		40,000,000
4 Gross proceeds in reserve funds .............	9,363,998		15,287,371
5 Capitalized interest from proceeds .............			33,127,437
6 Proceeds in refunding escrows ...............
7 Issuance costs from proceeds ...............	914,145		3,004,524
8 Credit enhancement from proceeds .............
9 Working capital expenditures from proceeds .............
10 Capital expenditures from proceeds .............			225,516,993
11 Other spent proceeds .............	15,623,500				126,395,000		40,000,000
12 Other unspent proceeds .............			133,602,398
13 Year of substantial completion .............	1982		2019		2019		2019
	Yes	No	Yes	No	Yes	No	Yes	No
14 Were the bonds issued as part of a current refunding issue of tax-exempt bonds (or, if issued prior to 2020, a current refunding issue)? ........	X		X		X			X
15 Were the bonds issued as part of an advance refunding issue of taxable bonds (or, if issued prior to 2020, an advance refunding issue)? ........		X		X		X		X
16 Has the final allocation of proceeds been made? ..........	X		X		X		X
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? ..................	X		X		X		X

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50193E

Schedule K (Form 990) 2021

Page 2

Part Ⅲ

Private Business Use

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
1 Was the organization a partner in a partnership, or a member of an LLC, which owned property financed by tax-exempt bonds? .............		X		X		X
2 Are there any lease arrangements that may result in private business use of bond-financed property? ...............	X		X		X
3a Are there any management or service contracts that may result in private business use of bond-financed property? .............	X		X		X
b If "Yes" to line 3a, does the organization routinely engage bond counsel or other outside counsel to review any management or service contracts relating to the financed property?	X		X		X
c Are there any research agreements that may result in private business use of bond-financed property? .............	X		X		X
d If "Yes" to line 3c, does the organization routinely engage bond counsel or other outside counsel to review any research agreements relating to the financed property?	X		X		X
4 Enter the percentage of financed property used in a private business use by entities other than a section 501(c)(3) organization or a state or local government ....	0 %		0 %		0 %
5 Enter the percentage of financed property used in a private business use as a result of unrelated trade or business activity carried on by your organization, another section 501(c)(3) organization, or a state or local government .........	0 %		0 %		0 %
6 Total of lines 4 and 5 .............	0 %		0 %		0 %
7 Does the bond issue meet the private security or payment test? ...		X		X		X
8a Has there been a sale or disposition of any of the bond-financed property to a nongovernmental person other than a 501(c)(3) organization since the bonds were issued?.............		X		X		X
b If "Yes" to line 8a, enter the percentage of bond-financed property sold or disposed of. ..
c If "Yes" to line 8a, was any remedial action taken pursuant to Regulations sections 1.141-12 and 1.145-2? .............
9 Has the organization established written procedures to ensure that all nonqualified bonds of the issue are remediated in accordance with the requirements under Regulations sections 1.141-12 and 1.145-2? ........	X		X		X

Part Ⅳ

Arbitrage

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
1 Has the issuer filed Form 8038-T, Arbitrage Rebate, Yield Reduction and Penalty in Lieu of Arbitrage Rebate? ...		X		X		X		X
2 If "No" to line 1, did the following apply? ....
a Rebate not due yet? .......		X		X		X		X
b Exception to rebate? ........		X		X		X		X
c No rebate due? .........	X		X		X		X
If "Yes" to line 2c, provide in Part Ⅵ the date the rebate computation was performed ......
3 Is the bond issue a variable rate issue? .....		X		X		X		X

Schedule K (Form 990) 2021

Page 3

Part Ⅳ

Arbitrage (Continued)

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
4a Has the organization or the governmental issuer entered into a qualified hedge with respect to the bond issue?		X		X		X		X
b Name of provider ..........
c Term of hedge .........
d Was the hedge superintegrated? ......
e Was the hedge terminated? ........
5a Were gross proceeds invested in a guaranteed investment contract (GIC)?		X		X		X		X
b Name of provider ..........
c Term of GIC .........
d Was the regulatory safe harbor for establishing the fair market value of the GIC satisfied? ........
6 Were any gross proceeds invested beyond an available temporary period?		X		X		X		X
7 Has the organization established written procedures to monitor the requirements of section 148? ...	X		X		X		X

Part Ⅴ

Procedures To Undertake Corrective Action

---------------------------------------------------------------------------------------------------------------	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
Has the organization established written procedures to ensure that violations of federal tax requirements are timely identified and corrected through the voluntary closing agreement program if self-remediation is not available under applicable regulations?	X		X		X		X

Part Ⅵ

Supplemental Information. Provide additional information for responses to questions on Schedule K. (See instructions).

Return Reference

Explanation

DATE REBATE COMPUTATION PERFORMED

PART I, II, & IV:

Schedule K (Form 990) 2021

Additional Data

Software ID:
Software Version:

- TIN:

Schedule L
(Form 990)

Department of the Treasury
Internal Revenue Service

Transactions with Interested Persons

Complete if the organization answered "Yes" on Form 990, Part IV, lines 25a, 25b, 26, 27, 28a, 28b, or 28c, or Form 990-EZ, Part V, line 38a or 40b.
MediumBullet

Attach to Form 990 or Form 990-EZ.
MediumBullet

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2021

Open to Public Inspection

Name of the organization

ADVENTIST HEALTHCARE INC

Employer identification number

52-1532556

Part I

Excess Benefit Transactions (section 501(c)(3), section 501(c)(4), and section 501(c)(29) organizations only).
Complete if the organization answered "Yes" on Form 990, Part IV, line 25a or 25b, or Form 990-EZ, Part V, line 40b.

1(a) Name of disqualified person	(c) Description of transaction	(d) Corrected?
1(a) Name of disqualified person	(c) Description of transaction	Yes	No

Enter the amount of tax incurred by the organization managers or disqualified persons during the year under section 4958. ........................... Bullet Image

Enter the amount of tax, if any, on line 2, above, reimbursed by the organization ........ Bullet Image

Part II

Loans to and/or From Interested Persons.
Complete if the organization answered "Yes" on Form 990-EZ, Part V, line 38a, or Form 990, Part IV, line 26; or if the organization reported an amount on Form 990, Part X, line 5, 6, or 22

(a) Name of interested person	(b) Relationship with organization	(c) Purpose of loan	(d) Loan to or from the organization?		(e) Original principal amount	(f) Balance due	(g) In default?		(h) Approved by board or committee?		(i) Written agreement?
(a) Name of interested person	(b) Relationship with organization	(c) Purpose of loan	To	From	(e) Original principal amount	(f) Balance due	Yes	No	Yes	No	Yes	No
(1) TERRY FORDE	OFFICER	SEE PT.V		X	4,591,233	4,676,507		No	Yes		Yes





Total ............... $						4,676,507

Part III

Grants or Assistance Benefiting Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 27.

(a) Name of interested person	(b) Relationship between interested person and the organization	(c) Amount of assistance	(d) Type of assistance	(e) Purpose of assistance

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.

Cat. No. 50056A

Schedule L (Form 990) 2021

Page 2

Part IV

Business Transactions Involving Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 28a, 28b, or 28c.

(a) Name of interested person	(b) Relationship between interested person and the organization	(c) Amount of transaction	(d) Description of transaction	(e) Sharing of organization's revenues?
(a) Name of interested person		(c) Amount of transaction	(d) Description of transaction	Yes	No
(1) MARIJANE FORDE	SEE PART V. WIFE OF TERRY FORDE.	56,507	SEE PART V. MARIJANE FORDE WAS EMPLOYED WITH ADVENTIST HEALTHCARE, INC. AS A HR INTERNATIONAL PROGRAMS SPECIALIST DURING 2022 AND RECEIVED A SALARY OF $56,507. MARIJANE'S HUSBAND IS TERRY FORDE, WHO IS THE PRESIDENT & CEO OF ADVENTIST HEALTHCARE, INC. AND SECRETARY OF ADVENTIST HEALTHCARE, INC.'S BOARD. TERRY DOES NOT SUPERVISE MARIJANE, TERRY HAS NO CONTROL OVER MARIJANE'S SALARY AND MARIJANE WAS COMPENSATED IN ACCORDANCE WITH NORMAL ADVENTIST HEALTHCARE, INC. SALARY SCALES.		No
(2) DWAYNE LESLIE	SEE PART V. HUSBAND OF MARISSA LESLIE, MD.	385,225	SEE PART V. DWAYNE LESLIE WAS EMPLOYED WITH ADVENTIST HEALTHCARE, INC. AS VP, CHIEF COMPLIANCE/INTEGRITY OFFICER AND DEPUTY GENERAL COUNSEL DURING 2022 AND RECEIVED A SALARY OF $385,225. DWAYNE'S WIFE IS MARISSA LESLIE, MD, WHO IS ADVENTIST HEALTHCARE, INC.'S SYSTEM MEDICAL DIRECTOR OF PSYCHIATRY AND A MEMBER OF ADVENTIST HEALTHCARE INC.'S BOARD. DR. LESLIE DOES NOT SUPERVISE DWAYNE, DR. LESLIE HAS NO CONTROL OVER DWAYNE'S SALARY AND DWAYNE WAS COMPENSATED IN ACCORDANCE WITH NORMAL ADVENTIST HEALTHCARE, INC. SALARY SCALES.		No
(3) BROOKLYNN JANKE	SEE PART V. DAUGHTER OF TERRY FORDE.	63,915	SEE PART V. BROOKLYNN JANKE WAS EMPLOYED WITH ADVENTIST HEALTHCARE, INC. AS A REGISTERED NURSE DURING 2022 AND RECEIVED A SALARY OF $63,915. BROOKLYNN'S FATHER IS TERRY FORDE, WHO IS THE PRESIDENT & CEO OF ADVENTIST HEALTHCARE, INC. AND SECRETARY OF ADVENTIST HEALTHCARE, INC.'S BOARD. TERRY DOES NOT SUPERVISE BROOKLYNN, TERRY HAS NO CONTROL OVER BROOKLYNN'S SALARY AND BROOKLYNN WAS COMPENSATED IN ACCORDANCE WITH NORMAL ADVENTIST HEALTHCARE, INC. RN SALARY SCALES.		No
(4) JEREMY JANKE	SEE PART V. SON-IN-LAW OF TERRY FORDE.	129,606	SEE PART V. JEREMY JANKE WAS EMPLOYED WITH ADVENTIST HEALTHCARE, INC. AS AN OPERATIONAL EXCELLENCE, SENIOR ADVISOR DURING 2022 AND RECEIVED A SALARY OF $129,606. JEREMY'S FATHER-IN-LAW IS TERRY FORDE, WHO IS THE PRESIDENT & CEO OF ADVENTIST HEALTHCARE, INC. AND SECRETARY OF ADVENTIST HEALTHCARE, INC.'S BOARD. TERRY DOES NOT SUPERVISE JEREMY, TERRY HAS NO CONTROL OVER JEREMY'S SALARY AND JEREMY WAS COMPENSATED IN ACCORDANCE WITH NORMAL ADVENTIST HEALTHCARE, INC. SALARY SCALES.		No
(5) KEVIN JENKINS	SEE PART V. HUSBAND OF ANITA JENKINS.	55,092	SEE PART V. KEVIN JENKINS WAS EMPLOYED WITH ADVENTIST HEALTHCARE, INC. AS A ELECTRONEURODIAGNOSTIC TECH DURING 2022 AND RECEIVED A SALARY OF $55,092. KEVIN'S WIFE IS ANITA JENKINS, WHO IS THE PRESIDENT OF HOWARD UNIVERSITY HOSPITAL. ANITA DOES NOT SUPERVISE KEVIN, ANITA HAS NO CONTROL OVER KEVIN'S SALARY AND KEVIN IS COMPENSATED IN ACCORDANCE WITH NORMAL ADVENTIST HEALTHCARE, INC. SALARY SCALES.		No
(6) ANITA JENKINS	PRESIDENT, HUH	36,000	SEE PART V. AS PART OF A RELOCATION PLAN TO THE WASHINGTON, DC AREA, ADVENTIST HEALTHCARE, INC. AND ANITA JENKINS, THE PRESIDENT OF HOWARD UNIVERSITY HOSPITAL, ENTERED INTO A JOINT OWNERSHIP ARRANGEMENT OF A RESIDENTIAL PROPERTY IN THE DISTRICT OF COLUMBIA TO BE USED AS MS. JENKINS'S RESIDENCE. THIS ARRANGEMENT WAS ENTERED ON JUNE 1, 2020. ADVENTIST HEALTHCARE CONTRIBUTED HALF THE PROPERTY'S PURCHASE PRICE THROUGH A SINGLE MEMBER LIMITED LIABILITY COMPANY, AND MS. JENKINS PURCHASED THE OTHER HALF PERSONALLY.FOR THE DURATION OF OCCUPANCY, ADVENTIST HEALTHCARE INCLUDES ON MS. JENKINS'S FORM W2, AS IMPUTED INCOME, THE FAIR MARKET RENTAL VALUE OF THE PROPERTY ATTRIBUTABLE TO ADVENTIST HEALTHCARE, INC.'S OWNERSHIP.		No

Part V

Supplemental Information
Provide additional information for responses to questions on Schedule L (see instructions).

Return Reference

Explanation

PART II LOANS

PART II, SUPPLEMENTAL RETIREMENT BENEFIT-COLLATERAL ASSIGNMENT SPLIT DOLLAR (CASD)- TERRY FORDE, THE ORGANIZATION'S CEO, AGREED TO RELINQUISH BENEFITS TO WHICH HE WAS OTHERWISE ENTITLED IN EXCHANGE FOR A SPLIT DOLLAR LIFE INSURANCE RETENTION AND LOAN PLAN (THE PLAN). THIS EXCHANGE WAS DONE AT NO ADDED COST TO THE ORGANIZATION. THE PLAN RECEIVED IN EXCHANGE ENABLES THE ORGANIZATION TO ACHIEVE SUBSTANTIAL EXCISE TAX SAVINGS OTHERWISE APPLICABLE TO COMPENSATION, BECAUSE THE PLAN SATISFIES REGULATIONS FOR TREATING THE ORGANIZATION'S PLAN CONTRIBUTIONS AS LOANS RATHER THAN AS COMPENSATION. THE CEO OR HIS ESTATE WILL FULLY REPAY THE ORGANIZATION'S LOAN, PLUS INTEREST. TO ENSURE REPAYMENT, THE LOAN IS SECURED BY A COLLATERAL ASSIGNMENT ON THE LIFE INSURANCE POLICY'S CASH VALUE AND DEATH PROCEEDS. IN ADDITION TO EXCISE SAVINGS AND A RECOVERY OF THE ORGANIZATION'S CONTRIBUTIONS WITH INTEREST, THE PLAN IS STRUCTURED TO PROVIDE THE ORGANIZATION WITH A SIGNIFICANT RETENTION INCENTIVE. THE ORGANIZATION'S ADVISORS HAVE OPINED THAT THIS PROGRAM SATISFIES ALL APPLICABLE LAWS, COMPENSATION REASONABLENESS AND BEST PRACTICE STANDARDS.

Schedule L (Form 990) 2021

Additional Data

Software ID:
Software Version:

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SCHEDULE O
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or 990-EZ or to provide any additional information.
MediumBullet

Attach to Form 990 or 990-EZ.
MediumBullet

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2021

Open to Public
Inspection

Name of the organization

ADVENTIST HEALTHCARE INC

Employer identification number

52-1532556

Return Reference	Explanation
FORM 990, PART III, LINE 4A, PROGRAM SERVICE ACCOMPLISHMENTS, CONTINUED:	ADVENTIST HEALTHCARE REMAINS THE SECOND LARGEST MENTAL HEALTH CARE PROVIDER IN MARYLAND. IT ESTABLISHED THE FIRST BEHAVIORAL HEALTH UNIT IN MONTGOMERY COUNTY IN 1949. IT PROVIDES A SPECTRUM OF SERVICES AND TREATMENT OPTIONS FOR CHILDREN, ADOLESCENTS, ADULTS, AND SENIORS: HOSPITAL-BASED PROGRAMS, SCHOOL PROGRAMS, OUTPATIENT SERVICES AND COMMUNITY-BASED SERVICES. ITS FACILITIES EMPLOY HIGHLY SKILLED, MULTIDISCIPLINARY TEAMS OF PSYCHIATRISTS, SOCIAL WORKERS, CASE MANAGERS, PSYCHIATRIC NURSES, EXPRESSIVE THERAPISTS, AND CHAPLAINS WHO PROVIDE COMPASSIONATE BEHAVIORAL HEALTHCARE. ADVENTIST HEALTHCARE ALSO OFFERS QUALITY POST-ACUTE CARE. ADVENTIST HEALTHCARE REHABILITATION IS THE FIRST AND ONLY HOSPITAL IN A FIVE-STATE AREA TO OBTAIN ACCREDITATIONS FROM THE COMMISSION ON ACCREDITATION OF REHABILITATION FACILITIES INTERNATIONAL FOR CARE OF HOSPITALIZED PATIENTS IN FOUR SPECIALTY AREAS - BRAIN INJURY, SPINAL CORD INJURY, STROKE AND AMPUTATION. IN THE FALL OF 2022, REHAB RANKED AMONG THE BEST INPATIENT REHABILITATION FACILITIES IN THE NATION AND NO. 1 IN ITS REGION OF THE U.S. IN RATINGS BY NEWSWEEK AND STATISTA INC. ADDITIONALLY, ADVENTIST HEALTHCARE'S HOME HEALTH CONTINUED TO SERVE RESIDENTS IN EIGHT MARYLAND COUNTIES, WITH 79,189 ENCOUNTERS IN 2022. HERE IS A SNAPSHOT OF ADVENTIST HEALTHCARE IN 2022: 5 HOSPITALS (THREE ACUTE CARE AND TWO SPECIALTIES); 2,207 PHYSICIANS AND MEDICAL STAFF MEMBERS; 6,101 EMPLOYEES; 6,144 NEWBORNS DELIVERED; 13,494 OUTPATIENT SURGERIES; 132,111 EMERGENCY VISITS. 2. INCREASE ACCESS TO CARE: ADVENTIST HEALTHCARE PARTNERS WITH SEVERAL ORGANIZATIONS TO BRING FREE SERVICES TO COMMUNITIES IN NEED WITH A SPECIAL FOCUS ON WOMEN AND CHILDREN, AND LOW-INCOME, UNINSURED, AND MINORITY POPULATIONS. ADVENTIST HEALTHCARE IS DEDICATED TO PROGRAMS THAT HELP BUILD HEALTHY FAMILIES AND COMMUNITIES. ADVENTIST HEALTHCARE PARTNERS WITH LOCAL SAFETY NET CLINICS THAT OFFER PRIMARY CARE, OR A MEDICAL HOME, TO UNINSURED RESIDENTS OF MONTGOMERY COUNTY. THROUGH THESE PARTNERSHIPS, ADVENTIST HEALTHCARE HELPS ENSURE THAT UNINSURED PATIENTS HAVE COORDINATED CARE BETWEEN THE CLINIC THAT SERVES AS THEIR MEDICAL HOME AND THE HOSPITAL WHERE THEY RECEIVE ACUTE CARE AND EDUCATIONAL PROGRAMS. THE PARTNERSHIPS ALSO HELP TO DECREASE INAPPROPRIATE EMERGENCY DEPARTMENT UTILIZATION BY THIS PORTION OF THE POPULATION. OUR LOCAL SAFETY NET CLINIC PARTNERS INCLUDE MERCY HEALTH CLINIC, COMMUNITY CLINIC INC., MOBILE MEDICAL CARE INC., AND MARY'S CENTER, ALL OF WHICH IMPROVE ACCESS TO PRIMARY CARE SERVICES FOR UNINSURED AND UNDER-INSURED RESIDENTS. ADVENTIST HEALTHCARE'S SUPPORT INCLUDES BUT IS NOT LIMITED TO PROVIDING LAB WORK, X-RAY SERVICES AND FINANCIAL SUPPORT FOR CLINICAL OPERATIONS. THESE CLINICS HAVE SERVED AS A VITAL HEALTH SAFETY NET TO PROVIDE IMPORTANT PRIMARY AND PREVENTATIVE HEALTH SERVICES TO OVER 20,000 MEN, WOMEN, AND CHILDREN IN NEED. MERCY HEALTH CLINIC IN GAITHERSBURG HAS BENEFITED FROM OUR SERVICES INCLUDING LABORATORY SUPPORT, BLOOD TESTS AND OTHER DIAGNOSTIC SERVICES. IN THE LONG BRANCH SECTION OF SILVER SPRING, OUR PARTNERSHIP WITH MARY'S CENTER PROVIDES A FULL RANGE OF SERVICES FROM PRENATAL CARE TO PEDIATRIC/ADOLESCENT HEALTH SERVICES TO WOMEN'S SERVICES TO SOCIAL-SERVICES PROGRAMS. OUR WORK WITH MOBILE MED ENABLES REGULAR MEDICAL CARE, SUCH AS ROUTINE PHYSICALS, FOR UNINSURED AND LOW-INCOME RESIDENTS. IN ADDITION TO PARTNERING WITH CLINICS, ADVENTIST HEALTHCARE ALSO ADDRESSES COMMUNITY NEEDS THROUGH SPECIALIZED SERVICES IN ITS FACILITIES, SUCH AS THE SHADY GROVE MEDICAL CENTER FORENSIC MEDICAL UNIT. THE ONLY UNIT OF ITS KIND IN MONTGOMERY COUNTY, MARYLAND, ITS NURSES PROVIDE FORENSIC EVIDENCE COLLECTION AND SPECIALIZED MEDICAL CARE TO WOMEN, MEN AND CHILDREN WHO ARE VICTIMS OF SEXUAL ASSAULT, ABUSE, NEGLECT, AND HUMAN TRAFFICKING. IN 2022, THE UNIT HAD 1,420 ENCOUNTERS, INCLUDING ASSAULT EXAMS AND PATIENT CONSULTS. SHADY GROVE MEDICAL CENTER AND WHITE OAK MEDICAL CENTER ARE ALSO ACTIVE PARTICIPANTS IN MONTGOMERY COUNTY'S MATERNITY PARTNERSHIP PROGRAM, WHICH PROVIDES PRENATAL CARE AND MATERNITY SERVICES TO LOW-INCOME, UNINSURED PREGNANT WOMEN. SHADY GROVE MEDICAL CENTER SPONSORS MARYLAND'S ONLY HOSPITAL-BASED MILK DEPOT, OFFERING BREASTFEEDING MOTHERS A SAFE, CONVENIENT WAY TO DONATE EXCESS MILK, AND FOR FAMILIES WHOSE MOTHERS MAY NOT BE ABLE TO BUILD THEIR OWN SUPPLY TO SAFELY ACCESS DONOR MILK FOR THEIR INFANT. IN THE AREA OF MENTAL HEALTH, ADVENTIST HEALTHCARE OFFERS COMMUNITY SUPPORT GROUPS FOCUSED ON TOPICS SUCH AS GRIEF AND LOSS, RESILIENCY AND COPING WITH VARIOUS PHYSICAL HEALTH DIAGNOSES THAT TAKE A MENTAL TOLL ON PATIENTS. ADDITIONALLY, ADVENTIST HEALTHCARE PARTNERS ON EDUCATION INITIATIVES WITH EVERYMIND INC. FOR 14 YEARS, THE ADVENTIST HEALTHCARE GERMANTOWN EMERGENCY CENTER IN GERMANTOWN, MARYLAND, HAS BROUGHT VITAL EMERGENCY SERVICES TO A DIVERSE COMMUNITY. THE EMERGENCY CENTER'S MEDICAL CAMPUS ALSO HAS A PRIMARY CARE CLINIC FOR UNINSURED RESIDENTS, A PRENATAL CLINIC FOR LOW-INCOME WOMEN, OUTPATIENT RADIOLOGY SERVICES AND PHYSICIAN OFFICES. GERMANTOWN IS ALSO HOME TO THE SHADY GROVE ADVENTIST RADIATION ONCOLOGY CENTER (LEGALLY KNOWN AS ADVENTIST CANCER CARE, LLC), WHICH DELIVERS CONVENIENT AND INTEGRAL CARE TO CANCER PATIENTS IN UPPER MONTGOMERY COUNTY. RADIATION ONCOLOGY IS PART OF THE TREATMENT FOR 60-65% OF PATIENTS WITH CANCER. 3. PROMOTE HEALTH EQUITY AND WELLNESS: ADVENTIST HEALTHCARE IS THE LARGEST PROVIDER OF COMMUNITY BENEFIT IN MONTGOMERY COUNTY, MARYLAND, AND CONTRIBUTES TO SOCIETAL WELL-BEING THROUGH COMMUNITY HEALTH IMPROVEMENT PROGRAMS AND COLLABORATIVE PARTNERSHIPS. OUR ORGANIZATION WORKS WITH MANNA FOOD CENTER, IDENTITY, AND MONTGOMERY COUNTY COALITION FOR THE HOMELESS TO ADDRESS SOCIAL NEEDS SUCH AS HUNGER, HOMELESSNESS, LITERACY, AND ACCESS TO CARE. IN ADDITION, ADVENTIST HEALTHCARE PARTNERS WITH SAFETY-NET CLINICS LIKE CCI HEALTH AND WELLNESS SERVICES, MOBILE MED, MERCY HEALTH CLINIC AND MANSFIELD KASEMAN CLINIC, PROVIDING MATERIAL SUPPORT AND EXPERTISE IN HEALTH EDUCATION, IT, AND HEALTH AWARENESS CAMPAIGNS. THE ADVENTIST HEALTHCARE COMMUNITY PARTNERSHIP FUND PROVIDES FINANCIAL SUPPORT TO THESE AND OTHER ORGANIZATIONS ALIGNED WITH OUR COMMUNITY-BASED MISSION TO IMPROVE HEALTH OUTCOMES. ADVENTIST HEALTHCARE FOCUSES SPECIFICALLY ON COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) PRIORITY AREAS, OR POPULATIONS IN OUR SERVICE AREA THAT ARE SOCIALLY AND ECONOMICALLY DISADVANTAGED OR MEDICALLY UNDERSERVED. SEVERAL TEAMS ACROSS OUR SYSTEM CARRY OUT OUR GOAL OF IMPROVING THE HEALTH AND WELL-BEING OF PEOPLE AND COMMUNITIES. THE LIFEWORK STRATEGIES (LWS) TEAM PROVIDES EMPLOYEE HEALTH AND WELLNESS PROGRAMS, EMPLOYEE ASSISTANCE PROGRAMS, OCCUPATIONAL SCREENINGS, AND ONGOING HEALTH ASSESSMENT AND WELLNESS-TRACKING SERVICES. NURSES AND EMPLOYEES ON ADVENTIST HEALTHCARE'S POPULATION HEALTH MANAGEMENT TEAMWORK WITH PATIENTS TO ADDRESS ONGOING NEEDS FOR HEALTH RESOURCES. THE POPULATION HEALTH TEAM CONNECTS PATIENTS WITH PRIMARY CARE PHYSICIANS AND OTHER CAREGIVERS TO ENSURE NUTRITIONAL NEEDS ARE MET, AND THAT PATIENTS HAVE ACCESS TO AND ARE TAKING MEDICATIONS APPROPRIATELY. DURING THE COVID-19 PANDEMIC, THE CARE TRANSITIONS TEAM HAS CONNECTED PATIENTS WITH TESTING, EDUCATION, AND DISEASE MANAGEMENT. ADVENTIST HEALTHCARE SPONSORS A CLINICALLY INTEGRATED NETWORK, A GROUP OF PHYSICIANS FOCUSED ON IMPROVING QUALITY OF CARE. ADDITIONALLY, ADVENTIST HEALTHCARE IS A MEMBER OF NEXUS MONTGOMERY, A COLLABORATIVE EFFORT AMONG THE SIX MONTGOMERY COUNTY HOSPITALS AND A NETWORK OF COMMUNITY-BASED ORGANIZATIONS WHOSE INITIATIVES IMPROVE THE HEALTH OF THOSE AT RISK OF AVOIDABLE HOSPITALIZATION. THE TARGET POPULATION INCLUDES MEDICARE SENIORS, THE MEDICALLY FRAIL, THOSE WITH SEVERE BEHAVIORAL HEALTH CONDITIONS AND THOSE WHO ARE NOT ELIGIBLE FOR HEALTH INSURANCE. FINALLY, AS ALREADY NOTED, ADVENTIST HEALTHCARE PLAYED A VITAL ROLE IN CARING FOR OUR COMMUNITIES DURING THE COVID-19 PANDEMIC. IN ADDITION TO COVID CRITICAL CARE, EMERGENCY CARE, VACCINATIONS, TREATMENTS AND POST-DISEASE SERVICES, THE HEALTH SYSTEM ALSO HAS USED DIGITAL AND PRINT COMMUNICATIONS TO EDUCATE COMMUNITY MEMBERS ABOUT PUBLIC HEALTH MEASURES AND EMPHASIZE THE SAFETY OF VACCINATION AND BOOSTERS. WHILE TACKLING THE CHALLENGES OF COVID-19, ADVENTIST HEALTHCARE FACILITIES CONTINUED TO DELIVER OTHER VITAL EMERGENCY AND MEDICAL SERVICES SAFELY AND SEAMLESSLY FOR THOSE WHO NEEDED THEM. THE HEALTH SYSTEM REMAINS PREPARED TO SERVE ALL THOSE WHO NEED CARE.
FORM 990, PART VI, SECTION A, LINE 1A	THE GOVERNING BODY HAS DELEGATED BROAD AUTHORITY TO AN EXECUTIVE COMMITTEE DURING SUCH TIMES WHEREBY IT IS IMPRACTICAL TO CONVENE THE FULL BOARD, AND WHEN IT IS NECESSARY TO CARRY OUT THE GOVERNANCE FUNCTIONS OF THE BOARD. THE EXECUTIVE COMMITTEE SHALL HAVE ALL THE POWERS OF THE BOARD IN THE MANAGEMENT AND DIRECTION OF THE AFFAIRS OF ADVENTIST HEALTHCARE, INC., PROVIDED SUCH ACTIONS ARE NOT IN CONFLICT WITH GENERAL POLICIES ENACTED BY THE BOARD OF TRUSTEES. THE EXECUTIVE COMMITTEE SHALL BE CHAIRED BY THE CHAIR OF THE BOARD OF TRUSTEES, AND SHALL CONSIST OF THE BOARD OFFICERS, A PHYSICIAN BOARD MEMBER, THE CHAIR OF THE FINANCE COMMITTEE, AND ANOTHER BOARD MEMBER DESIGNATED BY THE CHAIR OF THE BOARD OF TRUSTEES. EXCEPT FOR EX-OFFICIO MEMBERS, ALL COMMITTEE MEMBERS SHALL BE APPOINTED BY THE CHAIR OF THE BOARD OF TRUSTEES AND SERVE FOR A TERM OF ONE YEAR AND/OR UNTIL THEIR SUCCESSORS ARE APPOINTED AND QUALIFIED.
FORM 990, PART VI, SECTION A, LINE 6	MID-ATLANTIC ADVENTIST HEALTHCARE, INC. IS THE SOLE MEMBER OF ADVENTIST HEALTHCARE, INC.
FORM 990, PART VI, SECTION A, LINE 7A	MID-ATLANTIC ADVENTIST HEALTHCARE, INC. CAN ELECT MEMBERS OF THE BOARD.
FORM 990, PART VI, SECTION A, LINE 7B	DECISIONS SUBJECT TO APPROVAL. SEE BYLAWS, ARTICLE II, SECTION 2: RESERVED AUTHORITY AND RESPONSIBILITY. THE FOLLOWING ACTIONS SHALL BE RESERVED TO THE MEMBERSHIP: A. THE ADOPTION, ALTERING, AMENDING OR REPLACING OF THE ARTICLES OF INCORPORATION OR THE BYLAWS OF THE CORPORATION; B. THE LIQUIDATION, DISSOLUTION, WINDING UP, ABANDONMENT OF THE CORPORATION; C. APPOINTMENT OF MEMBERS OF THE BOARD OF TRUSTEES FROM NOMINEES SUBMITTED BY THE BOARD OF TRUSTEES; D. REMOVAL OF MEMBERS OF THE BOARD OF TRUSTEES E. APPOINTMENT AND REMOVAL OF THE CHIEF EXECUTIVE OFFICER ("CEO") OF THE CORPORATION, IN CONSULTATION WITH THE BOARD OF TRUSTEES. ALL MEMBERS HAVE RIGHTS TO VOTE.
FORM 990, PART VI, SECTION B, LINE 11B	PRIOR TO FILING THE FORM 990 WITH THE IRS, THE RETURN WAS REVIEWED BY THE ORGANIZATION'S FINANCE DEPARTMENT, EXECUTIVE MANAGEMENT TEAM, AND THE ORGANIZATION'S OUTSIDE TAX ADVISORS. ALSO, PRIOR TO FILING THE FORM 990 WITH THE IRS, ALL MEMBERS OF THE BOARD ARE PROVIDED A COPY OF THE FORM 990 FOR THEIR REVIEW.
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 ORGANIZATIONAL INTEGRITY COMMITTEE FOR A FINAL DECISION. COMPLIANCE WITH THE CONFLICT OF INTEREST POLICY IS MONITORED AND ENFORCED BY THE HUMAN RESOURCES DEPARTMENT, ORGANIZATIONAL INTEGRITY DEPARTMENT AND THE LEGAL DEPARTMENT.
FORM 990, PART VI, SECTION B, LINE 15	AS A TAX EXEMPT ORGANIZATION, ADVENTIST HEALTHCARE, INC. IS SUBJECT TO IRS RULES AND REGULATIONS THAT ENSURE THAT ANY ORGANIZATION THAT IS EXEMPT FROM TAX IS ORGANIZED AND OPERATED EXCLUSIVELY FOR CHARITABLE PURPOSES, AND THAT NO INDIVIDUAL INAPPROPRIATELY BENEFITS FROM THE NET EARNINGS OF THE ORGANIZATION. THE INTENT OF THIS PROVISION IS GENERALLY CONSTRUED TO GUARD AGAINST INDIVIDUALS BENEFITING AT THE ORGANIZATION'S EXPENSE BY, FOR EXAMPLE, RECEIVING COMPENSATION AND BENEFITS BEYOND AN AMOUNT WHICH IS FAIR AND REASONABLE (AN "EXCESS BENEFIT"). > TO ASSIST TAX-EXEMPT ORGANIZATIONS IN AVOIDING EXCESS BENEFIT TRANSACTIONS, THE IRS HAS ESTABLISHED GUIDELINES WHICH NEED TO BE FOLLOWED WHEN SETTING COMPENSATION FOR ITS OFFICERS AND DIRECTORS. > IRS GUIDELINES SET FORTH THAT A COMPENSATION ARRANGEMENT BETWEEN AN EXEMPT ORGANIZATION AND ITS OFFICER OR DIRECTOR SHALL BE PRESUMED TO BE REASONABLE IF THE FOLLOWING THREE CONDITIONS ARE SATISFIED: 1. THE COMPENSATION ARRANGEMENT IS APPROVED BY THE ORGANIZATION'S GOVERNING BODY OR A COMMITTEE OF THE GOVERNING BODY COMPOSED ENTIRELY OF INDIVIDUALS WHO DO NOT HAVE A CONFLICT OF INTEREST WITH RESPECT TO THE ARRANGEMENT; 2. THE GOVERNING BODY, OR COMMITTEE THEREOF, OBTAINED AND RELIED UPON APPROPRIATE DATA AS TO COMPARABILITY PRIOR TO MAKING ITS DETERMINATION; AND 3. THE GOVERNING BODY OR COMMITTEE THEREOF ADEQUATELY DOCUMENTED THE BASIS FOR ITS DETERMINATION CONCURRENTLY WITH MAKING THAT DETERMINATION. > WHEN SETTING EXECUTIVE COMPENSATION, ADVENTIST HEALTHCARE, INC. FULLY COMPLIES WITH THE PROCEDURAL SAFEGUARDS EMBODIED IN IRS REGULATIONS. > EXECUTIVE COMPENSATION FOR ADVENTIST HEALTHCARE, INC. IS ENTIRELY SET BY A COMMITTEE OF ADVENTIST HEALTHCARE, INC.'S GOVERNING BOARD; > IN SETTING COMPENSATION, THE GOVERNING BOARD COMMITTEE RELIES UPON MARKET COMPARABILITY DATA PROVIDED BY AN INDEPENDENT OUTSIDE COMPENSATION CONSULTANT; AND > TO FURTHER ENSURE REASONABLENESS, COMPENSATION IS SET AT THE 50TH PERCENTILE (OR MEDIAN) OF THE 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.
FORM 990, PART VII, SECTION A:	ADVENTIST HEALTHCARE MAINTAINS A BOARD LEADER WELLNESS POLICY. PURSUANT TO THIS POLICY, ELIGIBLE MEMBERS OF THE ADVENTIST HEALTHCARE BOARD OF TRUSTEES ARE ENTITLED TO RECEIVE REIMBURSEMENT (UP TO $12,000) FOR QUALIFYING HEALTH CARE OR WELLNESS EXPENSES INCURRED BY THEM. REIMBURSEMENTS ARE TAXABLE TO THE BOARD MEMBER. THE AMOUNT SET FORTH IN PART VII, SECTION A, COLUMN (D) FOR DR. DAVID E. WEIGLEY AND EMMANUEL ASIEDU REPRESENTS REIMBURSEMENTS RECEIVED UNDER THIS POLICY DURING 2022. ADVENTIST HEALTHCARE ALSO PROVIDES ITEMS THAT COULD BE CATEGORIZED AS DE MINIMIS BENEFITS TO BOARD MEMBERS AND TREATS THIS AS TAXABLE COMPENSATION. AMOUNTS REPORTED AS 1099 INCOME ARE SHOWN.
FORM 990, PART IX, LINE 11G	CONTRACT LABOR: PROGRAM SERVICE EXPENSES 173,843,049. MANAGEMENT AND GENERAL EXPENSES 2,829,401. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 176,672,450. PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 49,581,298. MANAGEMENT AND GENERAL EXPENSES 2,720,796. FUNDRAISING EXPENSES 279,076. TOTAL EXPENSES 52,581,170. CONSULTING SERVICES: PROGRAM SERVICE EXPENSES 590,752. MANAGEMENT AND GENERAL EXPENSES 2,452,655. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,043,407.
FORM 990, PART XI, LINE 9:	OTHER RESTRICTED NET ASSETS ACTIVITY 13,221,109. NET ORGANIZATION TRANSFER -30,135. DISCONTINUED OPERATIONS -980,678. DEFERRED COMPENSATION PLAN LIABILITY ADJUSTMENT -71,594. OTHER UNRESTRICTED NET ASSETS ACTIVITY -13,375,987. CHANGE IN VALUE OF BENEFICIAL INTEREST IN TRUSTS & CHARITABLE GIFT ANNUITY -336,829. DONATIONS USED FOR PURCHASE OF EQUIPMENT 250,000.

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.

Cat. No. 51056K

Schedule O (Form 990) 2021

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE R
(Form 990)

Department of the Treasury
Internal Revenue Service

Related Organizations and Unrelated Partnerships

Complete if the organization answered "Yes" on Form 990, Part IV, line 33, 34, 35b, 36, or 37.
MediumBullet

Attach to Form 990.
MediumBullet

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2021

Open to Public Inspection

Name of the organization

ADVENTIST HEALTHCARE INC

Employer identification number

52-1532556

Part I

Identification of Disregarded Entities. Complete if the organization answered "Yes" on Form 990, Part IV, line 33.

(a) Name, address, and EIN (if applicable) of disregarded entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Total income	(e) End-of-year assets	(f) Direct controlling entity
(1) ADVENTIST CANCER CARE LLC 820 W DIAMOND AVE SUITE 600 GAITHERSBURG,MD208781419 26-2515407	OUTPATIENT CANCER CARE	MD	1,518,498	1,357,555	ADVENTIST HEALTHCARE INC
(2) ONE HEALTH QUALITY ALLIANCE LLC 820 W DIAMOND AVE SUITE 600 GAITHERSBURG,MD208781419 52-1532556	INTEGRATED PHYSICIAN GROUP	MD	1,355,648	42,446	ADVENTIST HEALTHCARE INC
(3) ONE HEALTH QUALITY ACO LLC 820 W DIAMOND AVE SUITE 600 GAITHERSBURG,MD208781419 47-4070973	MEDICARE SHARED SAVINGS PLAN ACCOUNTABLE CARE ORGANIZATION	MD	0	0	ADVENTIST HEALTHCARE INC
(4) ONE HEALTH QUALITY CTO LLC 820 W DIAMOND AVE SUITE 600 GAITHERSBURG,MD208781419 52-1532556	MEDICARE CARE MANAGEMENT TEAM	MD	0	0	ADVENTIST HEALTHCARE INC
(5) BLACKWELL PHYSICIANS LLC 820 W DIAMOND AVE SUITE 600 GAITHERSBURG,MD208781419 52-1532556	AMBULATORY SERVICES	MD	0	0	ADVENTIST HEALTHCARE INC
(6) BLACKWELL PARTNER LLC 820 W DIAMOND AVE SUITE 600 GAITHERSBURG,MD208781419 52-1532556	AMBULATORY SERVICES	MD	0	0	ADVENTIST HEALTHCARE INC
(7) BLACKWELL AMBULATORY SURGERY CENTER LLC 820 W DIAMOND AVE SUITE 600 GAITHERSBURG,MD208781419 52-1532556	AMBULATORY SERVICES	MD	0	0	ADVENTIST HEALTHCARE INC
(8) WHITE OAK TENANT LLC 820 W DIAMOND AVE SUITE 600 GAITHERSBURG,MD208781419 52-1532556	MANAGE REAL PROPERTY AT THE MEDICAL PAVILION OF WHITE OAK MEDICAL CENTER	MD	0	0	ADVENTIST HEALTHCARE INC
(9) AHC WHITE OAK MEMBER LLC 820 W DIAMOND AVE SUITE 600 GAITHERSBURG,MD208781419 52-1532556	MANAGE PARTICIPATION OF MEDICAL OFFICE BUILDING PARTNERSHIP	MD	0	0	ADVENTIST HEALTHCARE INC
(10) AHC HOLDINGS LLC 820 W DIAMOND AVE SUITE 600 GAITHERSBURG,MD208781419 52-1532556	REAL ESTATE HOLDING	DC	0	0	ADVENTIST HEALTHCARE INC

Part II

Identification of Related Tax-Exempt Organizations. Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related tax-exempt organizations during the tax year.

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	(g) Section 512(b)(13) controlled entity?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	Yes	No
(1)ADVENTIST HEALTHCARE URGENT CARE CENTERS INC 820 W DIAMOND AVE SUITE 600 GAITHERSBURG,MD208781419 46-1577511	CLINIC - EMERGENCY CARE	MD	501(C)(3)	LINE 10	ADVENTIST HEALTHCARE INC	Yes
(2)ADVENTIST HOME HEALTH SERVICES INC 820 W DIAMOND AVE SUITE 600 GAITHERSBURG,MD208781419 52-0986808	HOME CARE SERVICES	MD	501(C)(3)	LINE 10	ADVENTIST HEALTHCARE INC	Yes
(3)ADVENTIST PHYSICIAN SERVICES INC 820 W DIAMOND AVE SUITE 600 GAITHERSBURG,MD208781419 20-4600646	PHYSICIAN SERVICES	MD	501(C)(3)	LINE 10	ADVENTIST HEALTHCARE INC	Yes
(4)ADVENTIST REHABILITATION HOSPITAL OF MARYLAND INC 820 W DIAMOND AVE SUITE 600 GAITHERSBURG,MD208781419 20-1486678	REHABILITATION HOSPITAL	MD	501(C)(3)	LINE 3	ADVENTIST HEALTHCARE INC	Yes
(5)ADVENTIST REHABILITATION INC 820 W DIAMOND AVE SUITE 600 GAITHERSBURG,MD208781419 30-0780513	REHABILITATION SERVICES	MD	501(C)(3)	LINE 10	ADVENTIST REHABILITATION HOSPITAL OF MARYLAND INC	Yes
(6)MID-ATLANTIC ADVENTIST HEALTHCARE CORPORATION 820 W DIAMOND AVE SUITE 600 GAITHERSBURG,MD208781419 52-1884153	HOLDING COMPANY	MD	501(C)(3)	LINE 10	N/A		No
(7)ADVENTIST HEALTHCARE FORT WASHINGTON MEDICAL CENTER INC 820 W DIAMOND AVE SUITE 600 GAITHERSBURG,MD208781419 84-2670875	ACUTE CARE HOSPITAL	MD	501(C)(3)	LINE 3	ADVENTIST HEALTHCARE INC	Yes
(8)REGINALD S LOURIE CENTER FOR INFANTS AND YOUNG CHILDREN INC 820 W DIAMOND AVE SUITE 600 GAITHERSBURG,MD208781419 52-1255870	BEHAVIORAL CARE	MD	501(C)(3)	LINE 10	ADVENTIST HEALTHCARE INC	Yes
(9)SHADY GROVE ADVENTIST HOSPITAL FOUNDATION INC 820 W DIAMOND AVE SUITE 600 GAITHERSBURG,MD208781419 52-1216429	FUNDRAISING	MD	501(C)(3)	LINE 12A, I	N/A	Yes
(10)WASHINGTON ADVENTIST HOSPITAL FOUNDATION INC 820 W DIAMOND AVE SUITE 600 GAITHERSBURG,MD208781419 52-1692158	FUNDRAISING	MD	501(C)(3)	LINE 12A, I	ADVENTIST HEALTHCARE INC	Yes

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50135Y

Schedule R (Form 990) 2021

Page 2

Part III

Identification of Related Organizations Taxable as a Partnership. Complete if the organization answered "Yes" on Form 990, Part IV, line 34, because it had one or more related organizations treated as a partnership during the tax year.

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Predominant income(related, unrelated, excluded from tax under sections 512-514)	(f) Share of total income	(g) Share of end-of-year assets	(h) Disproprtionate allocations?		(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?		(k) Percentage ownership
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity		(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No	(k) Percentage ownership
(1) SHADY GROVE MEDICAL BUILDING LLC 1650 TYSONS BOULEVARD STE 820 MCLEAN,VA22102 27-4599411	MEDICAL OFFICE BUILDING	MD	N/A	RELATED	462,369	-3,633,673		No			No	50.000 %
(2) NEXUS MONTGOMERY REGIONAL PARTNERSHIP LLC 820 WEST DIAMOND AVE SUITE 600 GAITHERSBURG,MD20878 81-5410250	HEALTHCARE & COMMUNITY SERVICE FOR IMPROVED HEALTH	MD	N/A	RELATED				No		Yes		25.000 %
(3) CORELIFE ADVENTIST LLC 821 WEST BENFIELD ROAD SUITE 5 SEVERNA PARK,MD21146 84-1813204	PROVIDES WELLNESS AND WEIGHT MANAGEMENT	MD	N/A	RELATED	-1,536,087	-2,366,632		No			No	50.000 %
(4) ADVENTIST HEALTHCARE SURGERY CENTER AT NATIONAL HARBOR LLC 251 NATIONAL HARBOR BOULEVARD SUITE OXEN HILL,MD20745 85-2814304	AMBULATORY SURGICAL SERVICES	MD	N/A	RELATED				No			No	35.000 %
(5) MID-ATLANTIC RADIATION ONCOLOGY LLC 10101 WOODLOCH FOREST DR THE WOODLANDS,TX77380 84-4560643	RADIATION ONCOLOGY SERVICES	MD	N/A	RELATED	199,199	3,046,940		No			No	50.000 %

Part IV

Identification of Related Organizations Taxable as a Corporation or Trust. Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a corporation or trust during the tax year.

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Type of entity (C corp, S corp, or trust)	(f) Share of total income	(g) Share of end-of-year assets	(h) Percentage ownership	(i) Section 512(b)(13) controlled entity?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Type of entity (C corp, S corp, or trust)	(f) Share of total income	(g) Share of end-of-year assets	(h) Percentage ownership	Yes	No

Schedule R (Form 990) 2021

Page 3

Part V

Transactions With Related Organizations. Complete if the organization answered "Yes" on Form 990, Part IV, line 34, 35b, or 36.

Note. Complete line 1 if any entity is listed in Parts II, III, or IV of this schedule.

Yes

1 During the tax year, did the orgranization engage in any of the following transactions with one or more related organizations listed in Parts II-IV?

a Receipt of (i) interest, (ii) annuities, (iii) royalties, or (iv) rent from a controlled entity .....................

b Gift, grant, or capital contribution to related organization(s) ............................

c Gift, grant, or capital contribution from related organization(s) ............................

Yes

d Loans or loan guarantees to or for related organization(s) ............................

e Loans or loan guarantees by related organization(s) ............................

f Dividends from related organization(s) ............................

g Sale of assets to related organization(s) ............................

h Purchase of assets from related organization(s) ............................

i Exchange of assets with related organization(s) ............................

j Lease of facilities, equipment, or other assets to related organization(s) .......................

k Lease of facilities, equipment, or other assets from related organization(s) ......................

l Performance of services or membership or fundraising solicitations for related organization(s) .....................

Yes

m Performance of services or membership or fundraising solicitations by related organization(s) .................

n Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) ...................

o Sharing of paid employees with related organization(s) ............................

p Reimbursement paid to related organization(s) for expenses ............................

q Reimbursement paid by related organization(s) for expenses ............................

Yes

r Other transfer of cash or property to related organization(s) ............................

s Other transfer of cash or property from related organization(s) ............................

If the answer to any of the above is "Yes," see the instructions for information on who must complete this line, including covered relationships and transaction thresholds.

(a) Name of related organization	(b) Transaction type (a-s)	(c) Amount involved	(d) Method of determining amount involved
(1) SHADY GROVE ADVENTIST HOSPITAL FOUNDATION INC	C	1,595,407	COST
(2) WASHINGTON ADVENTIST HOSPITAL FOUNDATION INC	C	259,393	COST
(3) ADVENTIST HEALTHCARE URGENT CARE CENTERS INC	L	24,327	COST
(4) ADVENTIST HOME HEALTH SERVICES INC	L	875,479	COST
(5) ADVENTIST PHYSICIAN SERVICES INC	L	151,067	COST
(6) REGINALD S LOURIE CENTER FOR INFANTS AND YOUNG CHILDREN INC	L	338,708	COST
(7) ADVENTIST REHABILITATION HOSPITAL OF MARYLAND INC	L	1,417,193	COST
(8) ADVENTIST HEALTHCARE FORT WASHINGTON MEDICAL CENTER INC	Q	955,262	COST
(9) ADVENTIST HOME HEALTH SERVICES INC	Q	760,991	COST
(10) ADVENTIST PHYSICIAN SERVICES INC	Q	119,394	COST
(11) ADVENTIST REHABILITATION HOSPITAL OF MARYLAND INC	Q	2,519,426	COST

Schedule R (Form 990) 2021

Page 4

Part VI

Unrelated Organizations Taxable as a Partnership. Complete if the organization answered "Yes" on Form 990, Part IV, line 37.

Provide the following information for each entity taxed as a partnership through which the organization conducted more than five percent of its activities (measured by total assets or gross revenue) that was not a related organization. See instructions regarding exclusion for certain investment partnerships.

(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(e) Are all partners section 501(c)(3) organizations?		(f) Share of total income	(g) Share of end-of-year assets	(h) Disproprtionate allocations?		(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?		(k) Percentage ownership
(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	Yes	No	(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No	(k) Percentage ownership

Schedule R (Form 990) 2021

Page 5

Part VII

Supplemental Information

Provide additional information for responses to questions on Schedule R. See instructions.

Return Reference	Explanation

Schedule R (Form 990) 2021

Additional Data

Software ID:
Software Version:

1	Briefly describe the organization’s mission or most significant activities: HEALTH-CARE NETWORK: SERVICES INCLUDING ACUTE CARE, AMBULATORY AND POPULATION HEALTH MANAGEMENT.
2	Check this box
3	Number of voting members of the governing body (Part VI, line 1a) ........	3	16
4	Number of independent voting members of the governing body (Part VI, line 1b) .....	4	10
5	Total number of individuals employed in calendar year 2021 (Part V, line 2a) ......	5	7,827
6	Total number of volunteers (estimate if necessary) .............	6	893
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ........	7a	2,015,243
b	Net unrelated business taxable income from Form 990-T, Part I, line 11 .........	7b	0

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	5,418,429	24,006,138
9	Program service revenue (Part VIII, line 2g) .........	979,431,683	937,305,881
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	-15,004,221	-5,801,811
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	-2,076,640	-1,520,625
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)	967,769,251	953,989,583
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...	2,276,585	1,523,707
14	Benefits paid to or for members (Part IX, column (A), line 4).....	0	0
15	Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10)	388,383,877	416,966,995
16a	Professional fundraising fees (Part IX, column (A), line 11e) .....	0	0
b	Total fundraising expenses (Part IX, column (D), line 25) 2,134,097
17	Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e)....	535,982,783	532,597,804
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	926,643,245	951,088,506
19	Revenue less expenses. Subtract line 18 from line 12.......	41,126,006	2,901,077
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	1,771,568,949	1,644,205,703
21	Total liabilities (Part X, line 26).............	1,184,411,834	1,075,619,763
22	Net assets or fund balances. Subtract line 21 from line 20.....	587,157,115	568,585,940

Sign Here

	Signature of officer	Date

	Type or print name and title


4a	(Code: ) (Expenses $ 764,533,511 including grants of $ 1,523,707 ) (Revenue $ 890,067,327 )
	THE MISSION OF ADVENTIST HEALTHCARE IS TO "EXTEND GOD'S CARE THROUGH THE MINISTRY OF PHYSICAL, MENTAL AND SPIRITUAL HEALING." IN MEETING THIS MISSION, AND IN COMPLIANCE WITH STATE AND FEDERAL LAWS, WE PROVIDE CARE TO ALL PATIENTS REGARDLESS OF THEIR ABILITY TO PAY. COMPASSION IS REFLECTED IN OUR MISSION AND OUR ORGANIZATION'S COMMITMENT TO PROVIDING CONSISTENTLY HIGH LEVELS OF CHARITY AND UNCOMPENSATED CARE. TO MEET THE NEEDS OF OUR COMMUNITIES, ADVENTIST HEALTHCARE CONTINUES TO INNOVATE AND EXPAND OUR RANGE OF SERVICES TO BUILD A HEALTHIER, ENGAGED COMMUNITY.CONTINUES ON SCHEDULE O.WE RESPOND PROACTIVELY TO VARIOUS HEALTH CARE NEEDS WITH A CONTINUUM OF EXCELLENT PROGRAMS AND WIDE-RANGING SERVICES TO MEET DIVERSE POPULATIONS AS WE STRIVE TO:1. MAINTAIN AND GROW QUALITY HEALTH SERVICES2. INCREASE ACCESS TO CARE3. PROMOTE HEALTH EQUITY AND WELLNESS1. MAINTAIN AND GROW QUALITY HEALTH SERVICES:ADVENTIST HEALTHCARE IS GROWING EXISTING PROGRAMS IN ONCOLOGY, CARDIAC AND VASCULAR CARE, NEUROSURGERY, PHYSICAL REHABILITATION, AND MENTAL HEALTH. OUR HOSPITALS ALSO PROVIDE MATERNITY CARE AND VITAL EMERGENCY SERVICES TO OUR COMMUNITIES. IN ADDITION, OUR SYSTEM ALSO IS DELIVERING HEALTH SERVICES VIA PARTNERSHIPS WITH COMMUNITY-BASED ORGANIZATIONS ALIGNED WITH OUR MISSION. OUR HEALTH SYSTEM CONTINUES TO EXPAND INTO WASHINGTON, D.C. RESIDENTS IN OUR SERVICE AREAS BENEFIT FROM QUALITY PROGRAMS THAT PROMOTE HEALTH AND WELLNESS FOR NEIGHBORS OF ALL AGES, FROM INFANTS TO SENIOR CITIZENS, AND BUILD HEALTHIER COMMUNITIES IN A HOLISTIC WAY.OUR CANCER CARE OFFERINGS INCLUDE A JOINT VENTURE WITH ONCOLOGISTS AT THE MEDICAL PAVILION AT ADVENTIST HEALTHCARE WHITE OAK MEDICAL CENTER. THE PARTNERSHIP HAS EXPANDED ACCESS TO ADVANCED RADIATION ONCOLOGY AND OTHER CANCER TREATMENTS FOR RESIDENTS IN AND AROUND SILVER SPRING, MARYLAND. MEANWHILE, THE AQUILINO CANCER CENTER AT ADVENTIST HEALTHCARE SHADY GROVE MEDICAL CENTER IN ROCKVILLE, MARYLAND, CONTINUES TO HOST CUTTING-EDGE CLINICAL TRIALS AND WELLNESS PROGRAMS THAT AIM TO TREAT THE PSYCHOLOGICAL TOLL THAT CANCER HAS ON PATIENTS. EFFORTS LIKE THESE ARE PART OF ADVENTIST HEALTHCARE'S COMMITMENT TO PROVIDE THE LATEST DIAGNOSTIC AND TREATMENT SERVICES WITH COMPASSION, TO GAIN A DEEP UNDERSTANDING OF THE UNIQUE DEMANDS OF CANCER PATIENTS, AND TO ACCOMMODATE PATIENT NEEDS AND PREFERENCES. OUR WHOLE-PERSON CANCER CARE SERVICES ALSO INCLUDE NUTRITION COUNSELING, STRESS MANAGEMENT, FITNESS PROGRAMS AND SUPPORT GROUPS. ADVENTIST HEALTHCARE'S TRADITION OF HOLISTIC CARE EXPANDED TO PRINCE GEORGE'S COUNTY, MARYLAND, IN 2019 WITH THE ACQUISITION OF FORT WASHINGTON MEDICAL CENTER. THE HOSPITAL, WHICH PROVIDED CRITICAL CARE TO RESIDENTS HARD-HIT BY COVID-19 THROUGHOUT THE PANDEMIC, CONTINUES TO PROVIDE ITS COMMUNITY WITH ACCESS TO HIGH QUALITY EMERGENCY SERVICES. ADVENTIST HEALTHCARE HAS ADDED PRIMARY CARE AND SPECIALTY PHYSICIAN OFFICES IN FORT WASHINGTON TO BETTER SERVE RESIDENTS. OFFERINGS NOW INCLUDE GENERAL AND BARIATRIC SURGERY, ORTHOPEDICS, IMAGING SERVICES AND CARDIAC CARE. CONSTRUCTION ON A MEDICAL PAVILION AT NATIONAL HARBOR IN OXON HILL, MARYLAND, NEAR WASHINGTON, D.C., IS NEARING COMPLETION. THE NEW FACILITY, ANTICIPATED TO OPEN IN SUMMER 2023, WILL HOUSE A SURGERY CENTER, PHYSICIAN OFFICES AND OTHER AMBULATORY SERVICES. THE CENTER WILL BE EASILY ACCESSIBLE FROM WASHINGTON, MARYLAND, AND VIRGINIA, JUST OFF AN EXIT FROM THE CAPITAL BELTWAY.ADVENTIST HEALTHCARE CONTINUES TO DEVELOP A RELATIONSHIP WITH RESIDENTS IN WASHINGTON, D.C., THOUGH ITS MANAGEMENT SERVICES AGREEMENT WITH HOWARD UNIVERSITY HOSPITAL. IN APRIL 2023, ADVENTIST HEALTHCARE ALSO BEGAN SUPPORTING AND MANAGING ALL PRACTICE OPERATIONS AT THE HOWARD UNIVERSITY FACULTY PRACTICE PLAN, WHICH IS HOWARD'S EMPLOYED PHYSICIAN PRACTICE. OFFERING MULTIPLE SPECIALTIES, THE PRACTICE IS CLOSELY CONNECTED TO HOWARD'S COLLEGE OF MEDICINE AND HOWARD UNIVERSITY HOSPITAL, AND IT PROVIDES D.C. RESIDENTS WITH ACCESS TO NEEDED MEDICAL SERVICES. THE AGREEMENT BUILDS ON ADVENTIST HEALTHCARE'S WORK PROVIDING SENIOR LEADERSHIP AT HOWARD UNIVERSITY HOSPITAL TO HELP STRENGTHEN THE QUALITY OF ITS SERVICES.THE HOWARD PARTNERSHIP IS BEGINNING TO PROVIDE ACCESS FOR MEDICAL TRAINEES, RESIDENTS, MEDICAL STUDENTS, AND GRADUATES TO TRAIN AND WORK WITHIN ADVENTIST HEALTHCARE'S NETWORK OF HOSPITALS. HOWARD UNIVERSITY HOSPITAL IS A PRIVATE, NONPROFIT INSTITUTION THAT HAS SERVED THE COMMUNITY FOR MORE THAN 150 YEARS. IT IS ONE OF THE MOST COMPREHENSIVE HEALTH SYSTEMS IN D.C., WITH A LEVEL 1 TRAUMA CENTER AND AN EMERGENCY DEPARTMENT THAT SEES APPROXIMATELY 50,000 PATIENTS ANNUALLY. IT IS RECOGNIZED AS A NATIONAL LEADER IN TRAINING FUTURE DOCTORS, NURSES, AND OTHER HEALTHCARE PROFESSIONALS, AND ESSENTIAL TO HELPING THE U.S. ADDRESS RACIAL DISPARITIES IN THE PHYSICIAN WORKFORCE.IN THE AREA OF NEUROLOGICAL CARE, BOTH ADVENTIST HEALTHCARE WHITE OAK MEDICAL CENTER AND ADVENTIST HEALTHCARE SHADY GROVE MEDICAL CENTER AGAIN RECEIVED NATIONAL RECOGNITION FROM THE AMERICAN STROKE ASSOCIATION IN 2022 FOR THEIR ONGOING COMMITMENT TO STROKE INTERVENTIONS THAT FOLLOW THE LATEST, EVIDENCE-BASED GUIDELINES. BOTH HOSPITALS EARNED THE GOLD PLUS ACHIEVEMENT AWARD IN THE ASSOCIATION'S GET WITH THE GUIDELINES-STROKE PROGRAM. TO RECEIVE THIS AWARD, EACH HOSPITAL ACHIEVED 85 PERCENT OR HIGHER COMPLIANCE WITH THE PROGRAM'S STANDARDS FOR TWO OR MORE CONSECUTIVE 12-MONTH PERIODS. IN ADDITION, BOTH HOSPITALS ACHIEVED 75 PERCENT OR HIGHER COMPLIANCE WITH FIVE OF EIGHT QUALITY MEASURES.ADDITIONALLY, SHADY GROVE MEDICAL CENTER RECEIVED TARGET: STROKE HONOR ROLL ELITE PLUS STATUS AND WHITE OAK MEDICAL CENTER RECEIVED TARGET: STROKE HONOR ROLL STATUS FOR MAINTAINING SHORT INTERVALS BETWEEN A PATIENT'S ARRIVAL AT THE HOSPITALS AND THEIR TREATMENT WITH A CLOT-DISSOLVING MEDICATION. PROVIDING MEDICATION WITHIN THE FIRST 4.5 HOURS AFTER SYMPTOMS HAS BEEN SHOWN TO SIGNIFICANTLY REDUCE THE EFFECTS OF STROKE AND LESSEN THE CHANCE OF PERMANENT DISABILITY.IN 2022, SHADY GROVE MEDICAL CENTER ALSO EARNED NATIONAL CERTIFICATION FROM THE JOINT COMMISSION FOR QUALITY IN PERFORMING AND CARING FOR PATIENTS AFTER MECHANICAL THROMBECTOMY, A MINIMALLY INVASIVE NEUROSURGICAL PROCEDURE THAT HAS BEEN SHOWN IN RECENT STUDIES TO IMPROVE OUTCOMES FOR STROKE PATIENTS. SHADY GROVE ACCEPTS TRANSFERS OF STROKE PATIENTS FROM OTHER LOCAL HOSPITALS WHO REQUIRE THE PROCEDURE AND THUS HAS EXPANDED ACCESS TO THE BREAKTHROUGH TREATMENT IN ITS REGION OF MARYLAND. SHADY GROVE IS DESIGNATED A THROMBECTOMY-CAPABLE PRIMARY STROKE CENTER BY THE MARYLAND INSTITUTE FOR EMERGENCY MEDICAL SERVICES SYSTEMS.ALSO IN 2022, SHADY GROVE MEDICAL CENTER BEGAN INFRASTRUCTURE WORK NEEDED TO START CONSTRUCTION ON ITS NEW SIX-STORY PATIENT TOWER ADJACENT TO THE HOSPITAL. THE PROJECT, WHICH WON APPROVAL FROM THE STATE OF MARYLAND IN 2021, WILL CREATE A LARGER, UPDATED EMERGENCY DEPARTMENT WITH ADDITIONAL SPACES DEDICATED TO MENTAL HEALTH EMERGENCIES; A LARGER INTENSIVE CARE UNIT AND NEW MEDICAL-SURGICAL ROOMS THAT WILL ALLOW THE HOSPITAL TO COMPLETE ITS TRANSITION TO ALL-PRIVATE ROOMS. THE TOWER IS ONE OF THE FIRST HOSPITAL BUILDINGS IN THE COUNTRY DESIGNED IN THE WAKE OF COVID-19, ALLOWING ITS DESIGNERS TO INCORPORATE ELEMENTS INFORMED BY THE PANDEMIC.ADVENTIST HEALTHCARE MARKED 60 YEARS OF OUTSTANDING CARDIAC CARE SERVICES IN 2022. THE HEALTH SYSTEM PIONEERED MANY CARDIAC FIRSTS IN THE GREATER D.C. AREA, INCLUDING MITRAL VALVULOPLASTY AND SEVERAL SOPHISTICATED TYPES OF ECHOCARDIOGRAPHY. CARRYING ON THAT LEGACY, WHITE OAK MEDICAL CENTER PERFORMS SUBSTANTIAL CARDIAC SURGERY AND PCI PROCEDURES, AND BACKS UP MULTIPLE HOSPITALS THAT REQUIRE AN AFFILIATION WITH A CARDIAC SURGERY PROGRAM FOR THEIR PRIMARY AND NONPRIMARY ELECTIVE PCI PROGRAMS. WHITE OAK MEDICAL CENTER AND SHADY GROVE MEDICAL CENTER RECEIVED NATIONAL RECOGNITION IN 2022 FROM THE AMERICAN HEART ASSOCIATION FOR PROVIDING RAPID, RESEARCH-BASED, AND HIGH-QUALITY CARE TO HEART ATTACK PATIENTS. SHADY GROVE MEDICAL CENTER RECEIVED AMERICAN HEART ASSOCIATION'S MISSION: LIFELINE STEMI RECEIVING CENTER GOLD PLUS AWARD AND WHITE OAK MEDICAL CENTER RECEIVED THE MISSION: LIFELINE STEMI & NSTEMI GOLD AWARDS. THE FORMER WASHINGTON ADVENTIST HOSPITAL FACILITY IN TAKOMA PARK CONTINUED TO PLAY A CRITICAL ROLE IN MARYLAND'S COVID-19 RESPONSE. ADVENTIST HEALTHCARE PARTNERED WITH THE STATE OF MARYLAND TO OPERATE THE FACILITY AS AN ALTERNATE CARE SITE (ACS) FOR THE TREATMENT OF COVID-19 PATIENTS. THE ACS IN 2022 MADE IT POSSIBLE FOR COMMUNITY HOSPITALS IN ITS REGION TO TRANSFER HUNDREDS OF COVID-19 PATIENTS FOR SPECIALIZED CARE, FREEING ACUTE-CARE BEDS FOR RESIDENTS. THE FACILITY ALSO HAS HOUSED A REHABILITATION UNIT SPECIALIZING IN COVID RECOVERY AND AN INFUSION SITE FOR THE ADMINISTRATION OF MONOCLONAL ANTIBODY TREATMENTS FOR COVID-19.

4b	(Code: ) (Expenses $ 31,859,059 including grants of $ ) (Revenue $ 33,394,635 )
	SHADY GROVE MEDICAL CENTER'S BEHAVIORAL HEALTH SERVICES:ADVENTIST HEALTHCARE SHADY GROVE MEDICAL CENTER'S BEHAVIORAL HEALTH SERVICES EXTEND CARE TO INDIVIDUALS WITH MENTAL ILLNESS AND SUBSTANCE ABUSE CHALLENGES.SHADY GROVE MEDICAL CENTER IS A NONPROFIT, ACCREDITED BY THE JOINT COMMISSION. IT PROVIDES PSYCHIATRIC TREATMENT AT FREESTANDING FACILITIES LOCATED ON ADVENTIST HEALTHCARE'S CAMPUS IN ROCKVILLE, MONTGOMERY COUNTY, MARYLAND.CONTINUES ON SCHEDULE OSHADY GROVE MEDICAL CENTER PROVIDES A BROAD RANGE OF BEHAVIORAL HEALTH SERVICES SUCH AS ACUTE CARE, SPECIAL AND GENERAL EDUCATION PROGRAMS, CHEMICAL DEPENDENCY PROGRAMS, OUTPATIENT PROGRAMS, PARTIAL HOSPITALIZATION PROGRAMS, INTENSIVE OUTPATIENT SERVICES AND AN OUTPATIENT WELLNESS CLINIC.SHADY GROVE MEDICAL CENTER'S BEHAVIORAL HEALTH FACILITIES INCLUDE 117 ACUTE-CARE INPATIENT BEDS. AMONG THEM ARE THE SPECIALIZED MAGNOLIA UNIT, A 10-BED UNIT DEDICATED TO SERVING GERIATRIC ADULTS. THE UNIT PROVIDES CRITICAL STABILIZATION AND SHORT-TERM INPATIENT TREATMENT FOR OLDER ADULTS WHO EXPERIENCE SUDDEN LIFE CHANGES AND STRESSORS THAT TRIGGER DEPRESSION, ANXIETY AND OTHER CHALLENGES THAT IMPACT THEIR DAILY ACTIVITIES. SHADY GROVE MEDICAL CENTER'S BEHAVIORAL HEALTH TEAM MEMBERS CARED FOR APPROXIMATELY 2,442 PATIENTS IN 2022.SERVICES ALSO INCLUDE THE RIDGE SCHOOL, A SPECIAL AND GENERAL EDUCATION DAY SCHOOL FOR STUDENTS IN GRADES 6 THROUGH 12 WITH EMOTIONAL AND LEARNING DISABILITIES OR OTHER BEHAVIORAL HEALTH IMPAIRMENTS THAT IS APPROVED BY THE MARYLAND STATE DEPARTMENT OF EDUCATION.SHADY GROVE MEDICAL CENTER ALSO OFFERS 16 ASSISTED LIVING BEDS AND A FULL CONTINUUM OF OUTPATIENT SERVICES. THE BEHAVIORAL HEALTH UNIT AT ADVENTIST HEALTHCARE WHITE OAK MEDICAL CENTER:THE BEHAVIORAL HEALTH UNIT AT WHITE OAK MEDICAL CENTER OFFERS 26 ADULT INPATIENT BEDS IN ADDITION TO PARTIAL HOSPITALIZATION AND INTENSIVE OUTPATIENT PROGRAMS IN SILVER SPRING, MARYLAND. THE BEHAVIORAL HEALTH UNIT WAS OPEN FROM APRIL TO OCTOBER OF 2022 AND SERVED 232 PATIENTS.COMMUNITY-BASED RESIDENTIAL SERVICES:THE MANOR IS AN ASSISTED LIVING FACILITY IN TAKOMA PARK, MARYLAND, FOR INDIVIDUALS WITH CHRONIC AND SEVERE MENTAL ILLNESS WHO ARE UNABLE TO LIVE INDEPENDENTLY. THE FACILITY PROVIDES A SAFE AND SUPPORTIVE RESIDENTIAL ENVIRONMENT AS AN ALTERNATIVE TO LONG-TERM PSYCHIATRIC HOSPITALIZATION.COMMUNITY SERVICE:SHADY GROVE MEDICAL CENTER IS COMMITTED TO SERVING AS A MENTAL HEALTH RESOURCE TO FAMILIES AND BEHAVIORAL HEALTH SPECIALISTS IN THE COMMUNITIES IT SERVES. THE ORGANIZATION HAS DEDICATED SIGNIFICANT RESOURCES TO PROVIDING CONTINUING EDUCATION SYMPOSIUMS FOR CLINICIANS AS WELL AS FREE MENTAL HEALTH SUPPORT GROUPS TO THE COMMUNITY.SHADY GROVE MEDICAL CENTER SPONSORS AND SUPPORTS COMMUNITY ORGANIZATIONS SUCH AS THE AMERICAN FOUNDATION FOR SUICIDE PREVENTION AND THE NATIONAL ALLIANCE ON MENTAL ILLNESS OF MONTGOMERY COUNTY.

4c	(Code: ) (Expenses $ 14,828,882 including grants of $ ) (Revenue $ 11,828,676 )
	ADVENTIST HEALTHCARE, INC. EMPLOYS SEVERAL PHYSICIANS IN PRIMARY CARE AND SPECIALTY CARE WHO SUPPORT THE CONTINUUM OF HEALTH SERVICES OFFERED BY ADVENTIST HEALTHCARE.THERE ARE APPROXIMATELY 20 PRIMARY CARE PROVIDERS WHO SPAN OVER 7 DISTINCT SITES IN THE MONTGOMERY COUNTY AND PRINCE GEORGE'S COUNTY AREA. THESE PRIMARY CARE PHYSICIANS AND NURSE PRACTITIONERS SERVE THE COMMUNITY IN PROVIDING PREVENTIVE CARE, ACUTE CARE, AND CHRONIC CARE.ADVENTIST HEALTHCARE ALSO EMPLOYS PHYSICAL MEDICINE SPECIALISTS, WHO SERVE THE COMMUNITY BY PROVIDING INPATIENT AND OUTPATIENT PHYSIATRY SERVICES TO THOSE IN NEED. CONTINUES ON SCHEDULE O.THESE PHYSICIANS PRIMARILY SERVE PATIENTS IN MONTGOMERY COUNTY AND PRINCE GEORGE'S COUNTY. FOR BOTH GROUPS OF PHYSICIANS, ADVENTIST HEALTHCARE UNDER ITS EMPLOYMENT CONTRACTS, PROVIDES ADMINISTRATIVE, FINANCIAL MANAGEMENT, TECHNICAL AND BUSINESS SUPPORT SERVICES THAT ARE ESSENTIAL FOR PHYSICIANS TO PROVIDE QUALITY CARE AND OPERATE SUCCESSFUL PRACTICES.

4d	Other program services (Describe in Schedule O.)
	(Expenses $ including grants of $ ) (Revenue $ )
4e	Total program service expenses811,221,452

1b	Sub-Total................
c	Total from continuation sheets to Part VII, Section A....
d	Total (add lines 1b and 1c)...........	13,774,279	371,959	1,291,974

1a	Federated campaigns..		1a
b	Membership dues..		1b
c	Fundraising events..		1c
d	Related organizations		1d	1,854,800
e	Government grants (contributions)		1e	21,992,844

f	All other contributions, gifts, grants, and similar amounts not included above		1f	158,494

g	Noncash contributions included in lines 1a - 1f:$		1g

h Total. Add lines 1a-1f.......		24,006,138

		Business Code
2a	ACUTE CARE	621110	874,593,408	874,593,408
b	BEHAVIORAL HEALTH	621110	33,394,635	33,394,635
c	PHYSICIAN PRACTICE	621110	11,828,676	11,828,676
d
e
f	All other program service revenue.		17,489,162	15,473,919	2,015,243
g	Total. Add lines 2a–2f .....		937,305,881

3 Investment income (including dividends, interest, and othersimilar amounts) ......			2,651,226			2,651,226
4 Income from investment of tax-exempt bond proceeds			305,922			305,922
5 Royalties...........
		(ii) Personal	(i) Real
6a	Gross rents		5,001,851	6a
b	Less: rental expenses		7,232,950	6b
c	Rental income or (loss)		-2,231,099	6c
d	Net rental income or (loss).......			-2,231,099			-2,231,099
		(ii) Other	(i) Securities
7a	Gross amount from sales of assets other than inventory		261,229,297	7a
b	Less: cost or other basis and sales expenses		269,988,256	7b
c	Gain or (loss)		-8,758,959	7c
d	Net gain or (loss).........			-8,758,959			-8,758,959
8a	Gross income from fundraising events (not including $ of contributions reported on line 1c). See Part IV, line 18 ....
			8a
b	Less: direct expenses ...		8b
c	Net income or (loss) from fundraising events..
9a	Gross income from gaming activities. See Part IV, line 19 ...
			9a
b	Less: direct expenses ...		9b
c	Net income or (loss) from gaming activities..
10a	Gross sales of inventory, less returns and allowances ..
			10a	321,517
b	Less: cost of goods sold ..		10b	134,035
c	Net income or (loss) from sales of inventory..			187,482			187,482
Business Code			Miscellaneous Revenue
11a	PARKING REVENUE		621990	466,234			466,234
b	VENDING REVENUE		621990	56,758			56,758
c
d	All other revenue ....
e	Total. Add lines 11a–11d ......			522,992
12	Total revenue. See instructions.....			953,989,583	935,290,638	2,015,243	-7,322,436

1	Grants and other assistance to domestic organizations and domestic governments. See Part IV, line 21 ....	1,448,707	1,448,707
2	Grants and other assistance to domestic individuals. See Part IV, line 22 ...........
3	Grants and other assistance to foreign organizations, foreign governments, and foreign individuals. See Part IV, lines 15 and 16. .............	75,000	75,000
4	Benefits paid to or for members .......
5	Compensation of current officers, directors, trustees, and key employees ...........	9,581,245		9,581,245
6	Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) .........
7	Other salaries and wages........	350,306,693	301,706,637	47,354,275	1,245,781
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....	5,040,957	3,169,039	1,829,812	42,106
9	Other employee benefits .......	25,782,920	21,168,808	4,475,321	138,791
10	Payroll taxes ...........	26,255,180	21,368,101	4,802,974	84,105
11	Fees for services (non-employees):
a	Management ......	6,383,455	4,707,007	1,676,448
b	Legal .........	2,178,369		2,178,369
c	Accounting ...........	565,804		565,804
d	Lobbying ...........	110,000		110,000
e	Professional fundraising services. See Part IV, line 17
f	Investment management fees ......	993,605		993,605
g	Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O)	232,297,027	224,015,099	8,002,852	279,076
12	Advertising and promotion ....	1,453,825	162,837	1,277,779	13,209
13	Office expenses .......	6,133,178	3,539,611	2,425,333	168,234
14	Information technology ......	25,626,660	19,219,995	6,343,535	63,130
15	Royalties ..
16	Occupancy ...........	70,722,534	46,748,366	23,932,822	41,346
17	Travel ............	1,676,066	889,272	768,513	18,281
18	Payments of travel or entertainment expenses for any federal, state, or local public officials .
19	Conferences, conventions, and meetings ....	1,175,192	595,806	565,723	13,663
20	Interest ...........
21	Payments to affiliates .......
22	Depreciation, depletion, and amortization ..	55,806,154	40,492,930	15,305,382	7,842
23	Insurance ...	3,585,553	470,403	3,115,150
24	Other expenses. Itemize expenses not covered above (List miscellaneous expenses in line 24e. If line 24e amount exceeds 10% of line 25, column (A) amount, list line 24e expenses on Schedule O.)
a	MEDICAL SUPPLIES	120,857,576	120,857,576
b	RECRUITING	2,428,015		2,428,015
c	COLLECTION FEES/LICENSE	604,791	586,258		18,533
d
e	All other expenses
25	Total functional expenses. Add lines 1 through 24e	951,088,506	811,221,452	137,732,957	2,134,097
26	Joint costs. Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation. Check here if following SOP 98-2 (ASC 958-720).

1	Cash–non-interest-bearing ........			1,473,508	1	1,221,914
2	Savings and temporary cash investments .........			126,285,471	2	116,046,873
3	Pledges and grants receivable, net ......			594,674	3	257,844
4	Accounts receivable, net .............			112,800,167	4	108,532,914
5	Loans and other receivables from any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons .......
				3,093,424	5	4,676,507
6	Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), and persons described in section 4958(c)(3)(B) ...
					6
7	Notes and loans receivable, net ...........			82,141,928	7	49,500,706
8	Inventories for sale or use ............			9,429,233	8	9,399,432
9	Prepaid expenses and deferred charges ......			17,360,310	9	11,621,165
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	1,190,561,727
b	Less: accumulated depreciation	10b	445,787,372	746,264,233	10c	744,774,355
11	Investments—publicly traded securities .			533,967,844	11	466,254,902
12	Investments—other securities. See Part IV, line 11 .....			46,335,191	12	36,556,137
13	Investments—program-related. See Part IV, line 11 ..			5,177,341	13	8,907,768
14	Intangible assets ...............			6,670,022	14	6,513,656
15	Other assets. See Part IV, line 11 ...........			79,975,603	15	79,941,530
16	Total assets. Add lines 1 through 15 (must equal line 33)...			1,771,568,949	16	1,644,205,703

17	Accounts payable and accrued expenses .....	217,240,032	17	212,390,320
18	Grants payable ...		18
19	Deferred revenue .........	8,284,769	19	2,417,511
20	Tax-exempt bond liabilities .........	730,060,117	20	710,411,659
21	Escrow or custodial account liability. Complete Part IV of Schedule D		21
22	Loans and other payables to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons .........
			22
23	Secured mortgages and notes payable to unrelated third parties ..	99,954,686	23	37,761,377
24	Unsecured notes and loans payable to unrelated third parties ..		24
25	Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17 - 24). Complete Part X of Schedule D	128,872,230	25	112,638,896
26	Total liabilities. Add lines 17 through 25..	1,184,411,834	26	1,075,619,763

	Organizations that follow FASB ASC 958, check here and complete lines 27, 28, 32, and 33.
27	Net assets without donor restrictions ..........	583,513,364	27	566,174,248
28	Net assets with donor restrictions ...........	3,643,751	28	2,411,692
	Organizations that do not follow FASB ASC 958, check here and complete lines 29 through 33.
29	Capital stock or trust principal, or current funds .....		29
30	Paid-in or capital surplus, or land, building or equipment fund ...		30
31	Retained earnings, endowment, accumulated income, or other funds		31
32	Total net assets or fund balances ...........	587,157,115	32	568,585,940
33	Total liabilities and net assets/fund balances ........	1,771,568,949	33	1,644,205,703

1	Was the organization a U.S. transferor of property to a foreign corporation during the tax year? If "Yes," the organization may be required to file Form 926, Return by a U.S. Transferor of Property to a Foreign Corporation (see Instructions for Form 926). . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	Yes	No
2	Did the organization have an interest in a foreign trust during the tax year? If "Yes," the organization may be required to separately file Form 3520, Annual Return to Report Transactions with Foreign Trusts and Receipt of Certain Foreign Gifts, and/or Form 3520-A, Annual Information Return of Foreign Trust With a U.S. Owner (see Instructions for Forms 3520 and 3520-A; don't file with Form 990). . . . . . . . . . . . . . . . . . . . . . . .	Yes	No
3	Did the organization have an ownership interest in a foreign corporation during the tax year? If "Yes," the organization may be required to file Form 5471, Information Return of U.S. Persons with Respect to Certain Foreign Corporations. (see Instructions for Form 5471). . . . . . . . . . . . . . . . . . . . . . . . . . . .	Yes	No
4	Was the organization a direct or indirect shareholder of a passive foreign investment company or a qualified electing fund during the tax year? If “Yes,” the organization may be required to file Form 8621, Information Return by a Shareholder of a Passive Foreign Investment Company or Qualified Electing Fund. (see Instructions for Form 8621) .	Yes	No
5	Did the organization have an ownership interest in a foreign partnership during the tax year? If "Yes," the organization may be required to file Form 8865, Return of U.S. Persons with Respect to Certain Foreign Partnerships (see Instructions for Form 8865). . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	Yes	No
6	Did the organization have any operations in or related to any boycotting countries during the tax year? If "Yes," the organization may be required to separately file Form 5713, International Boycott Report (see Instructions for Form 5713; don't file with Form 990).. . . . . . . . . . . . . . . . . . . . . . . . . . . .	Yes	No