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," to Form 990, Part IV, line 21 or 22.
lBullet Attach to Form 990.
lBullet Information about Schedule I (Form 990) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2014
Open to Public
Inspection
Name of the organization
 
 
Employer identification number
52-1532556
Part I
General Information on Grants and Assistance
1
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? ........................
2
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" to 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 (e) Amount of non-cash
assistance
(f) Method of valuation
(book, FMV, appraisal,
other)
(g) Description of
non-cash assistance
(h) Purpose of grant
or assistance
(1)  
4301 N FAIRFAX DR SUITE 530
ARLINGTON,VA22203
13-5613797 501-(C)-(3) 5,000       PROGRAMS THAT PROMOTE HEALTH AND WELLNESS IN THE AREAS OF CANCER, CARDIOVASCULAR SERVICES, AND MATERNAL AND CHILD HEALTH
(2)  
22 BALTIMORE RD 100
ROCKVILLE,MD20850
45-3824067 501-(C)-(3) 125,000       INITIATIVES THAT FOSTER COLLABORATIONS, PROMOTES HEALTHCARE CAREERS AND POLICY ADVOCACY
(3)  
310 TULIP AVENUE
TAKOMA PARK,MD20917
52-1372972 501-(C)-(3) 110,000       PROMISING NEIGHBORHOOD PROJECT FOR LANGLEY PARK - PROJECTS THAT WILL RESULT IN THE EXPANSION OF HEALTH SERVICES PARTICULARLY IN SERVICING THE UNDERSERVED AND UNINSURED AREAS
(4)  
PO BOX 339
ASHTON,MD20861
52-1288655 501-(C)-(3) 10,000       NON-PROFIT BEHAVIORAL HEALTH CENTER EMP/E-CLINICAL WORKS IMPLEMENTATION - PROJECTS THAT WILL RESULT IN THE EXPANSION OF HEALTH SERVICES PARTICULARLY IN SERVICING THE UNDERSERVED AND UNINSURED AREAS
(5)  
31 S SUMMIT AVENUE
GAITHERSBURG,MD20877
52-6000792 CITY OF GAITHERSBURG 7,000       SNOW FLAKE SPONSOR FOR THE CITY OF GAITHERSBURG WINTER LIGHTS ($5,000) & PREMIER SPONSOR FOR THE 6TH ANNUAL ACTIVE AGING EXPO ($2,000)
(6)  
5427 TWIN KNOLLS RD
COLUMBIA,MD21045
52-0664576 501-(C)-(3) 180,000       2013 PLEDGE ($175,000)/ COLUMBIA UNION PASTOR'S CONVENTION AT HUNT VALLEY INN ($5,000) - SEVENTH-DAY ADVENTSIT PARTNERSHIPS
(7)  
11337 CLASSICAL LANE
SILVER SPRING,MD20901
90-6437327 501-(C)-(4) 5,000       2013 ANNUAL LEGISTLATIVE BREAKFAST - INITIATIVES THAT FOSTER COLLABORATIONS, PROMOTES HEALTHCARE CAREERS AND POLICY ADVOCACY
(8)  
1301 CONNECTICUT AVENUE NW
WASHINGTON,DC20036
83-0398572 501-(C)-(3) 50,000       SPONSORSHIP FOR HEALTHY MONTGOMERY FOR THE PERIOD OF PERFORMANCE OF JAN. 1, 2013 - DEC. 31, 2013 - ((PROJECTS THAT WILL IMPROVE CULTURALLY COMPETENT CARE AND LINGUISTIC SERVICES, HEALTH DISPARITIES RESEARCH PROJECTS AND EDUCATIONAL CONFERENCES THAT WILL ADDRESS THE NEEDS OF VULNERABLE POPULATIONS/PROGRAMS THAT PROMOTE HEALTH AND WELLNESS IN THE AREAS OF CANCER, CARDIOVASCULAR SERVICES, AND MATERNAL AND CHILD HEALTH/PROJECTS THAT WILL RESULT IN THE EXPANSION OF HEALTH SERVICES PARTICULARLY IN SERVICING THE UNDERSERVED AND UNINSURED AREAS/INITIATIVES THAT FOSTER COLLABORATIONS, PROMOTES HEALTHCARE CAREERS AND POLICY ADVOCACY)
(9)  
8630 FENTON STREET SUITE 1204
SILVER SPRING,MD20910
52-0988386 501-(C)-(3) 175,000       SUPPORT CCI EXPANSION TO GREENBELT - PROJECTS THAT WILL RESULT IN THE EPANISION OF HEALTH SERVICES PARTICULARLY SERVICING THE UNDERSERVED AND UNINSURED AREAS
(10)  
12901 TOWN COMMONS DRIVE
GERMANTOWN,MD20874
52-2010744 501-(C)-(3) 13,000       2013 BLACKROCK SPRING GALA ($3,000)/ THREE-YEAR PLEDGE THIRD AND LAST INSTALLMENT ($10,000) - INITIATIVES THAT FOSTER COLLABORATIONS, PROMOTES HEALTHCARE CAREERS AND POLICY ADVOCACY
(11)  
8601 GEORGIA AVE 203
SILVER SPRING,MD20910
52-1813227 501-(C)-(6) 8,500       BOARD SPONSORSHIP - CORPORATE PARTNER - INITIATIVES THAT FOSTER COLLABORATIONS, PROMOTES HEALTHCARE CAREERS AND POLICY ADVOCACY
(12)  
8545 PINEY BRANCH ROAD
SILVER SPRING,MD20901
52-2164844 501-(C)-(3) 10,000       IMPACT NOW! EVENT - INITIATIVES THAT FOSTER COLLABORATIONS, PROMOTES HEALTHCARE CAREERS AND POLICY ADVOCACY
(13)  
6123 MONTROSE ROAD
ROCKVILLE,MD20852
53-0196598 501-(C)-(3) 5,000       BRONZE SPONSOR FOR THE JSSA 2013 SPRING GALA - (PROJECTS THAT WILL IMPROVE CULTURALLY COMPETENT CARE AND LINGUISTIC SERVICES, HEALTH DISPARITIES RESEARCH PROJECTS AND EDUCATIONAL CONFERENCES THAT WILL ADDRESS THE NEEDS OF VULNERABLE POPULATIONS/PROGRAMS THAT PROMOTE HEALTH AND WELLNESS IN THE AREAS OF CANCER, CARDIOVASCULAR SERVICES, AND MATERNAL AND CHILD HEALTH/PROJECTS THAT WILL RESULT IN THE EXPANSION OF HEALTH SERVICES PARTICULARLY IN SERVICING THE UNDERSERVED AND UNINSURED AREAS)
(14)  
114 WEST MONTGOMERY AVENUE
ROCKVILLE,MD20850
27-2529951 501-(C)-(3) 10,000       MONTE CARLO NIGHT - PROJECTS THAT WILL RESULT IN THE EXPANSION OF HEALTH SERVICES PARTICULARLY IN SERVICING THE UNDERSERVED AND UNINSURED AREAS
(15)  
6820 DEERPATH ROAD
ELKRIDGE,MD210756234
52-9001664 501-(C)-(3) 150,000       PLEDGE OF $1,500,000; $450,000 REMAINING - INITIATIVES THAT FOSTER COLLABORATIONS, PROMOTES HEALTHCARE CAREERS AND POLICY ADVOCACY
(16)  
9913 KENTSDALE DRIVE
POTOMAC,MD20854
52-2230932 501-(C)-(3) 10,000       GALA ($7,500), 5K RUN/WALK ($1,000), GOLF CLASSIC ($1,500) - PROJECTS THAT WILL RESULT IN THE EXPANSION OF HEALTH SERVICES PARTICULARLY IN SERVICING THE UNDERSERVED AND UNINSURED AREAS
(17)  
9309 OLD GEORGETOWN ROAD
BETHESDA,MD208141620
23-7022588 501-(C)-(3) 345,000       2013 $200,000 PLEDGE (JAN. 2013, APRIL 2013); FIVE-YEAR PLEDGE TO SUPPORT RENT AT UPCOUNTY ($75,000); MEDICAL SERVICES FOR LOW-INCOME, UNINSURED RESIDENTS IN WAH AREA JULY 2013 TO JUNE 2014 ($70,000) - (PROJECTS THAT WILL IMPROVE CULTURALLY COMPETENT CARE AND LINGUISTIC SERVICES, HEALTH DISPARITIES RESERACH PROJECTS AND EDUCATIONAL CONFERENCES THAT WILL ADDRESS THE NEEDS OF VULNERABLE POPULATIONS/PROGRAMS THAT PROMOTE HEALTH AND WELLNESS IN THE AREAS OF CANCER, CARDIVASCULAR SERVICES, AND MATERNAL AND CHILD HEALTH/PROJECTS THAT WILL RESULT IN THE EXPANSION OF HEALTH SERVICES PARTICULARLY IN SERVICING THE UNDERSERVED AND UNINSURED AREAS)
(18)  
10605 CONCORD TREET ST 440
KENSINGTON,MD20895
20-8015355 501-(C)-(3) 5,000       PHILANTHROPIC SUPPORT FOR ADVENTIST HEALTHCARE - (PROJECTS THAT WILL IMPROVE CULTURALY COMPETENT CARE AND LINGUISTIC SERVICES/HEALTH DISPARITIES RESEARCH PROJECTS AND EDUCATIONAL CONFERENCES THAT WILL ADDRESS THE NEEDS OF CULNERABLE POPULATIONS/INITIATIVES THAT FOSTER COLLABORATIONS/PROMOTES HEALTHCARE CAREERS AND POLICY ADVOCACY)
(19)  
451 HUNGERFORD DR 515
ROCKVILLE,MD20850
52-0735621 501-(C)-(6) 25,000       LEADERSHIP CIRCL ($25,000); GOLD TABLE - PUBLIC SAFETY AWARDS LUNCHEON ($5,000); (2) UNDERWRITTEN TABLE PSA - PUBLIC SAFETY AWARDS LUNCHEON ($1,000) - INITIATIVES THAT FOSTER COLLABORATIONS, PROMOTES HEALTHCARE CAREERS AND POLICY ADVOCACY
(20)  
1450 RESEARCH BLVD SUITE 310
ROCKVILLE,MD20850
52-1114719 501-(C)-(3) 5,000       CORPORATE SPONSOR 2013 - (PROJECTS THAT WILL IMPROVE CULTURALLY COMPETENT CARE AND LINGUISTIC SERVICES/HEALTH DISPARITIES RESEARCH PROJECTS AND EDUCATIONAL CONFERENCES THAT WILL ADDRESS THE NEEDS OF CULNERABLE POPULATIONS)
(21)  
515 S FIGUEROA ST SUITE 1300
LOS ANGELES,CA90071
23-7314808 501-(C)-(3) 5,000       BRONZE SPONSOR - CELEBRATION OF LEADERSHIP, VISION, AND COMMITMENT; RUTHITA FIKE'S TRIBUTE DINNER - SEVENTH-DAY ADVENTIST PARTNERSHIPS
(22)  
12501 OLD COLUMBIA PIKE
SILVER SPRING,MD209046600
20-3164300 501-(C)-(3) 5,000       COMMUNITY SERVICES PROJECTS - HELPING PAY FOR T-SHIRTS - SEVENTH-DAY ADVENTIST PARTNERSHIPS
(23)  
7000 ADVENTIST BOULEVARD NW
HUNTSVILLE,AL35896
63-0366652 501-(C)-(3) 10,000       OAKWOOD UNIVERSITY CLASS OF 1963 SCHOLARSHIP ENDORSEMENT FOR FOR STUDENTS IN HEALTHCARE - SEVENTH-DAY ADVENTIST PARTNERSHIPS
(24)  
5910 EXECUTIVE BLVD 200
ROCKVILLE,MD20852
52-1627257 501-(C)-(3) 20,000       CLASS PROGRAM - PROGRAM SPONSOR ($15,000); CELEBRATION ($5,000) - INITIATIVES THAT FOSTER COLLABORATIONS, PROMOTES HEALTHCARE CAREERS AND POLICY ADVOCACY
(25)  
820 WEST DIAMOND AVENUE
GAITHERSBURG,MD20878
52-1216429 501-(C)-(3) 102,967       FACILITY RENT FOR SHADY GROVE ADVENTIST HOSPITAL
(26)  
5301 TUKERMAN LANE
NORTH BETHESDA,MD20852
52-1233092 501-(C)-(3) 10,000       2013 SPRING GALA - INITIATIVES THAT FOSTER COLLABORATIONS, PROMOTES HEALTHCARE CAREERS AND POLICY ADVOCACY
(27)  
820 WEST DIAMOND AVENUE
GAITHERSBURG,MD20878
52-1692158 501-(C)-(3) 84,693       PAID FOR CONSULTING RELATED TO LAUNCHING AN ONLINE FUNDRAISING SERVICE AND MAJOR GIFT FUNDRAISING SERVICES
(28)  
7600 FLOWER AVENUE
TAKOMA PARK,MD20912
52-0643528 501-(C)-(3) 7,500       2013 FAMILY FUN FESTIVAL ($2,500); VISION 2020 - GROWING WITH EXCELLENCE INAUGURAL GALA ($4,000) - INITIATIVES THAT FOSTER COLLABORATIONS, PROMOTES HEALTHCARE CAREERS AND POLICY ADVOCACY/SEVENTH-DAY ADVENTIST PARTNERSHIPS)
(29)  
820 WEST DIAMOND AVENUE
GAITHERSBURG,MD20878
52-1216429 501-(C)-(3) 16,000       DONATIONS MADE TO A GOLF TOURNAMENT, WITH PROCEEDS OF THIS EVENT GOING TOWARDS CRITICAL NEEDS
(30)  
820 WEST DIAMOND AVENUE
GAITHERSBURG,MD20878
52-1692158 501-(C)-(3) 10,000       DONATIONS MADE TO TWO SPECIAL FUNDRAISING EVENTS, A BLACK TIE GALA AND A GOLF TOURNAMENT, WITH ALL THE PROCEEDS OF THESE EVENTS GOING TOWARDS CRITICAL NEEDS
2
Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................. Bullet Image
25
3
Enter total number of other organizations listed in the line 1 table ........................ . Bullet Image
3
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50055P
Schedule I (Form 990) 2014
Page 2

Schedule I (Form 990) 2014
Page 2
Part III
Grants and Other Assistance to Domestic Individuals. Complete if the organization answered "Yes" to 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
non-cash assistance
(e)Method of valuation (book,
FMV, appraisal, other)
(f)Description of non-cash assistance












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: THE ADVENTIST HEALTHCARE COMMUNITY PARTNERSHIP FUND PROGRAM OPERATES IN SUPPORT OF OUR ORGANIZATIONS MISSION. WE DEMONSTRATE GODS CARE BY IMPROVING THE HEALTH OF PEOPLE AND COMMUNITIES THROUGH A MINISTRY OF PHYSICAL, MENTAL AND SPIRITUAL HEALING. THE ADVENTIST HEALTHCARE COMMUNITY PARTNERSHIP FUND SEEKS TO SUPPORT AND PARTNER WITH COMMUNITY-BASED ORGANIZATIONS TO IMPROVE BOTH OVERALL COMMUNITY HEALTH AND THE HEALTH CARE SYSTEM. THE COMMUNITY PARTNERSHIP FUND WILL CHANNEL ITS INVESTMENTS INTO AREAS OF FOCUS THAT WILL IMPROVE COMMUNITY HEALTH. THESE INVESTMENTS INCLUDE, BUT ARE NOT LIMITED TO: WORKING TO INCREASE ACCESS FOR THE UNDERSERVED, DISSEMINATING CARE IMPROVEMENTS, ADDRESSING SOCIAL DETERMINANTS OF HEALTH, AND INFLUENCING PUBLIC POLICY. AREAS OF FOCUS: -PROJECTS THAT WILL IMPROVE CULTURALLY COMPETENT CARE AND LINGUISTIC SERVICES, HEALTH DISPARITIES RESEARCH PROJECTS, AND EDUCATIONAL CONFERENCES THAT WILL ADDRESS THE NEEDS OF VULNERABLE POPULATIONS -PROGRAMS THAT PROMOTE HEALTH AND WELLNESS IN THE AREAS OF CANCER AND CARDIOVASCULAR SERVICES -PROJECTS THAT WILL RESULT IN THE EXPANSION OF HEALTH SERVICES PARTICULARLY IN SERVING THE UNDERSERVED AND UNINSURED IN THE AREA -INITIATIVES THAT FOSTER COLLABORATIONS, PROMOTE HEALTHCARE CAREERS, AND POLICY ADVOCACY ASSESSMENT CRITERIA (RANKED IN ORDER OF IMPORTANCE) 1. FACILITATES ACCOMPLISHMENT OF AHC GOALS (20%) -STRATEGIC FIT BETWEEN PROJECT AND AHC POSITION AS A HEALTH ADVOCATE -DEMONSTRATES CHANGING PERCEPTION OF AHC BRAND -DEMONSTRATES AHC LEADERSHIP IN CARE AND CLINICAL SERVICES -DEMONSTRATES AHC LEADERSHIP IN HEALTH AND MEDICAL MANAGEMENT -DEMONSTRATES AHC LEADERSHIP IN EDUCATION AND RESEARCH -BRAND REPUTATION OF PARTNER -STABILITY OF PARTNER -LEVERAGES EXISTING RELATIONSHIP AND MAKES IT STRONGER -OPENS NEW DOORS FOR RELATIONSHIP (VS. ONE-TIME OPPORTUNITY WITH LIMITED FUTURE) 2. COMMUNITY HEALTH IMPACT (IF COMMUNITY BENEFIT IN NATURE) (15%) -TAKES PLACE IN AHCS AREAS OR REGION OF SERVICE -IDENTIFIES POPULATION-SERVED -ADDRESSES RACIAL AND ETHNIC HEALTH DISPARITIES 3. COST & RESOURCE ISSUES (15%) -COST RELATIVE TO BUDGET -MULTIPLE AHC ENTITIES OR DEPARTMENTS SUPPORT REQUIRED -CLINICAL PERSONNEL REQUIRED -VALUE FOR INVESTMENT (E.G. COST VS. IMPACT) -EASE OF EXECUTION 4. FIT WITH CUSTOMER TARGETS (IF COMMERCIAL IN NATURE) (15%) -DEMOGRAPHIC FIT WITH CUSTOMER SEGMENTATION -HOSPITALITY BENEFITS -VIP ENTERTAINMENT BENEFITS 5. OWNERSHIP/VISIBILITY (10%) -TITLE SPONSOR, ORGANIZATION-NAMED ACTIVITY -OPPORTUNITY TO BUILD EQUITY OVER TIME (LONG-TERM OR SHORT-TERM COMMITMENT) -INDUSTRY CATEGORY EXCLUSIVITY, ABILITY TO PRE-EMPT COMPETITORS -AVOID CLUTTER OF MULTIPLE LAYERS OF SPONSORS -ABILITY TO INFLUENCE CONTENT 6. MEDIA AND PUBLICITY (EXPOSURE) (10%) -QUALITY AND QUANTITY OF OPPORTUNITY FOR MEDIA PLACEMENTS -MEDIA CO-SPONSOR TIE-IN -NEWSWORTHINESS OF ACTIVITY -LATITUDE TO COMMUNICATE AHC MESSAGES OR LOGO-RECOGNITION 7. EMPLOYEE IMPACT (10%) -POTENTIAL TO HAVE POSITIVE IMPACT ON EMPLOYEE MORALE -ABILITY TO REACH EMPLOYEES IN KEY COMMUNITIES -FIT BETWEEN PROJECT AND EMPLOYEES WORK/FAMILY BALANCE ISSUES 8. GENERAL COMMUNITY IMPACT (5%) -BUILDING OF GOODWILL -DEMONSTRATION OF LEADERSHIP
Schedule I (Form 990) 2014



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