2025-11-14T16:35:05-06:00 2024-12-31 990 2024-01-01 521216429 SHADY GROVE ADVENTIST HOSPITAL FOUNDATION INC SHAD 3013153030 820 WEST DIAMOND AVE 600 GAITHERSBURG MD 208781419 KEVIN CARGILL SVP & CFO 3013153030 2025-11-14 0 2024 2025-03-06 01:10:19Z X ADVENTIST HEALTHCARE SHADY GROVE MEDICAL CENTER FOUNDATION JOHN SACKETT 820 WEST DIAMOND AVE 600 GAITHERSBURG MD 208781419 0 0 X WWW.ADVENTISTHEALTHCARE.COM X 1981 MD THE FOUNDATION WAS ORGANIZED TO PROVIDE FUND DEVELOPMENT....CONTINUES ON SCHEDULE O.THE FOUNDATION WAS ORGANIZED TO PROVIDE FUND DEVELOPMENT AND OTHER ASSISTANCE TO SHADY GROVE MEDICAL CENTER FOR THE MEDICAL AND HEALTHCARE NEEDS OF UPPER MONTGOMERY COUNTY, MARYLAND. X 0 0 0 0 0 0 3686185 0 0 0 85626 0 0 0 3771811 0 2364879 0 0 0 0 0 0 0 0 2912 0 2367791 0 1404020 0 10986746 0 55966 0 10930780 0 WE EXTEND GOD'S CARE THROUGH THE MINISTRY OF PHYSICAL, MENTAL AND SPIRITUAL HEALING. 0 0 THE PURPOSE OF THE SHADY GROVE ADVENTIST HOSPITAL FOUNDATION, D/B/A ADVENTIST HEALTHCARE SHADY GROVE MEDICAL CENTER FOUNDATION, IS TO PROVIDE PHILANTHROPIC SUPPORT TO THE WORK AND MISSION OF ADVENTIST HEALTHCARE, INC., D/B/A/ ADVENTIST HEALTHCARE SHADY GROVE MEDICAL CENTER BY ENCOURAGING THE COMMUNITY TO SUPPORT THE MANY SERVICES AND PROGRAMS NECESSARY FOR THE HOSPITAL TO MEET THE HEALTHCARE NEEDS OF OUR COMMUNITY. DONATIONS ARE GENERATED THROUGH THE CULTIVATION OF MAJOR GIFTS, CAPITAL CAMPAIGNS, AN ANNUAL GIVING PROGRAM THAT INCLUDES EMPLOYEE GIVING. FROM THE VERY SMALLEST TO THE LARGEST, EVERY SINGLE GIFT MEANS THE BEST OF CARE IS ACCESSIBLE AND AVAILABLE TO OUR COMMUNITY. 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 1 0 0 1 1 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 X 0 0 0 0 1 0 0 1 0 1 1 0 0 1 1 1 1 1 1 1 1 0 X KEVIN CARGILL SVP & CFO 3013153030 820 WEST DIAMOND AVE SUITE 600 GAITHERSBURG MD 208781419 X PATSY MCNEIL MD FMR. BD MBR.; EVP, AHC, START 8/2024 2.00 48.00 X 0 849786 171158 DANIEL L COCHRAN FMR. BD MBR; PRESIDENT, SGMC 1.00 49.00 X 0 811057 187785 JOAN VINCENT FMR. BD MBR.; VP, NURSING, SGMC 40.00 X 0 441425 44823 0 2102268 403766 0 1 1 0 0 0 0 0 0 0 0 0 0 7280011 0 0 1785474 0 0 0 0 0 0 0 0 890468 0 0 0 0 1030793 0 10986746 0 12911 43055 0 55966 0 X 3370530 0 7560250 0 10930780 0 10986746 0 X 0 -10930780 X 0 1 X 1 1 1 X X X 1 ADVENTIST HEALTHCARE INC DBA SHADY GROVE MEDICAL 521532556 3 1 0 0 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 X 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 2024 OR 2023. THE CORPORATION'S POLICY IS TO RECOGNIZE INTEREST RELATED TO UNRECOGNIZED TAX BENEFITS AND PENALTIES IN INTEREST EXPENSE IN OPERATING EXPENSES. X X X X X 0 1 0 0 0 0 0 1 0 PATSY MCNEIL MD FMR. BD MBR.; EVP, AHC, START 8/2024 0 550773 0 152096 0 146917 0 162838 0 8320 0 1020944 0 119414 DANIEL L COCHRAN FMR. BD MBR; PRESIDENT, SGMC 0 454426 0 129295 0 227336 0 169661 0 18124 0 998842 0 142055 JOAN VINCENT FMR. BD MBR.; VP, NURSING, SGMC 0 310339 0 64498 0 66588 0 26000 0 18823 0 486248 0 0 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'S 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, AND SENIOR EXECUTIVES IS ENTIRELY SET BY A COMMITTEE OF THE ADVENTIST HEALTHCARE BOARD OF TRUSTEES. IN SETTING COMPENSATION, THIS 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 ADVENTIST HEALTHCARE 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 2022 WERE GENERALLY DISTRIBUTED ON JANUARY 1, 2024 IF THE EXECUTIVE IS THEN EMPLOYED AND CONTRIBUTIONS ACCUMULATED IN 2023 WILL GENERALLY BE DISTRIBUTED ON JANUARY 1, 2025 IF THE EXECUTIVE IS THEN EMPLOYED. 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). 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 2024, 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. CASH 2024-01-01 7280011 BOOK VALUE 521532556 ADVENTIST HEALTHCARE INC 820 WEST DIAMOND AVE 600 GAITHERSBURG MD 208781419 501(C)(3) PLEDGES AND GRANTS RECEIVABLES 2024-01-01 1785474 BOOK VALUE 521532556 ADVENTIST HEALTHCARE INC 820 WEST DIAMOND AVE 600 GAITHERSBURG MD 208781419 501(C)(3) INVESTMENTS PUBLICLY TRADED SECURITIES 2024-01-01 890468 BOOK VALUE 521532556 ADVENTIST HEALTHCARE INC 820 WEST DIAMOND AVE 600 GAITHERSBURG MD 208781419 501(C)(3) BENEFICIAL INTEREST IN TRUSTS 2024-01-01 135501 BOOK VALUE 521532556 ADVENTIST HEALTHCARE INC 820 WEST DIAMOND AVE 600 GAITHERSBURG MD 208781419 501(C)(3) LONG LIVED ASSET CONTRIBUTED FOR FOUNDATIONS 2024-01-01 895292 BOOK VALUE 521532556 ADVENTIST HEALTHCARE INC 820 WEST DIAMOND AVE 600 GAITHERSBURG MD 208781419 501(C)(3) 0 1 0 0 1 1 1 1 0 PART I, LINE 2E: PERSON(S) INVOLVED: DANIEL COCHRAN, PATSY MCNEIL AND JOAN VINCENT PART I, LINE 2E: EXPLANATION OF INVOLVEMENT: EMPLOYEES DANIEL COCHRAN, PATSY MCNEIL AND JOAN VINCENT ARE EMPLOYEES OF ADVENTIST HEALTHCARE, INC. WHOSE SALARIES WERE ALLOCATED TO SHADY GROVE ADVENTIST HOSPITAL FOUNDATION, INC. DUE TO THEIR WORK RESPONSIBILITIES RELATING TO THE FOUNDATION'S MISSION. THEY HAVE CONTINUED TO PERFORM THEIR FOUNDATION WORK UPON TRANSFER OF THE FOUNDATION'S ASSETS TO ADVENTIST HEALTHCARE, INC. AND REMAIN EMPLOYEES. FORM 990, PART VI, SECTION A, LINE 1A SHADY GROVE ADVENTIST HOSPITAL FOUNDATION, INC. (SGAHF) FILED AN ARTICLES OF DISSOLUTION IN NOVEMBER 2023 AND THERE ARE NO LONGER ANY BOARD MEMBERS AS OF 12/31/2023. A FINAL FORM 990 IS BEING FILED FOR THE CY2024, SINCE SGAHF'S BANK ACCOUNT REMAINED OPENED IN 2024. FORM 990, PART VI, SECTION A, LINE 4 SHADY GROVE ADVENTIST HOSPITAL FOUNDATION, INC. (SGAHF) FILED AN ARTICLES OF DISSOLUTION IN NOVEMBER 2023 AND THERE ARE NO LONGER ANY BOARD MEMBERS AS OF 12/31/2023. A FINAL FORM 990 IS BEING FILED FOR THE CY2024, SINCE SGAHF'S BANK ACCOUNT REMAINED OPENED IN 2024. FORM 990, PART VI, SECTION A, LINE 7A BY LAWS, ARTICLE II - THE BOARD OF TRUSTEES APPROVES ALL ACTIONS OF MANAGEMENT. 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 AND EXECUTIVE MANAGEMENT TEAM. 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 WHEN SETTING COMPENSATION FOR EXECUTIVES, OFFICERS, KEY EMPLOYEES, AND ALL EMPLOYEES, THE ORGANIZATION FULLY COMPLIES WITH THE PROCEDURAL SAFEGUARDS EMBEDDED IN THE IRS REGULATIONS. COMPENSATION IS ENTIRELY SET BY A COMMITTEE OF THE BOARD OF TRUSTEES. IN SETTING COMPENSATION, THE GOVERNING BOARD COMMITTEE RELIES UPON MARKET COMPARABILITY DATA PROVIDED BY AN INDEPENDENT OUTSIDE COMPENSATION CONSULTANT. TO ENSURE REASONABLENESS, COMPENSATION IS TARGETED AT THE 50TH PERCENTILE OF THE NATURAL MARKET. GENERAL EXPLANATION: EMPLOYEES OF ANY OF THE ADVENTIST HEALTHCARE INC. AND AFFILIATED TAX EXEMPT ENTITIES IN THE STATE OF MARYLAND (INCLUDING SHADY GROVE ADVENTIST HOSPITAL FOUNDATION) ARE PAID THROUGH A COMMON PAYMASTER, ADVENTIST HEALTHCARE, INC., AND ARE REPORTED ON ITS FORM 941. SALARY AND BENEFIT EXPENSES REPORTED ON THEIR RESPECTIVE RETURNS ARE ACTUAL CHARGES RELATED TO THE EMPLOYEES WORKING ON THE SPECIFIC TAX EXEMPT ENTITY. HOWEVER, ALL FOUNDATION'S STAFF IS REPORTED AT THE ADVENTIST HEALTHCARE SHADY GROVE MEDICAL CENTER, A DIVISION OF ADVENTIST HEALTHCARE, INC. COMPENSATION INCLUDED REGULAR BASE SALARY, BONUS, PAID TIME OFF CASH OUT (ONLY FOR EMPLOYEES WHO LEAVE OUR ORGANIZATION), TAXABLE RELOCATION ALLOWANCE, HOLIDAY GIFT, RETROACTIVE COMPENSATION ADJUSTMENT, BEREAVEMENT LEAVE, EDUCATION, AND WITHDRAWAL OF DEFERRED COMPENSATION, AS APPLICABLE. THE SAME AND NON-ADDITIVE COMPENSATION AND EMPLOYMENT BENEFIT PLAN CONTRIBUTION AMOUNTS WERE ALSO DISCLOSED IN THE ADVENTIST HEALTHCARE INC.'S RELATED ENTITIES RETURNS. VENDOR PAYMENTS FOR ANY OF THE ADVENTIST HEALTHCARE, INC. AND RELATED ENTITIES IN THE STATE OF MARYLAND ARE MADE THROUGH A COMMON PAYMASTER, ADVENTIST HEALTHCARE, INC. FORM 990, PART VI, SECTION C, LINE 19 THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS, ARE AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART XI, LINE 9: TRANSFER OF NET ASSETS THROUGH BUSINESS COMBINATION -10,930,780. 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