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 Information about Schedule I (Form 990) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2015
Open to Public
Inspection
Name of the organization
ADVENTIST HEALTHCARE INC
 
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" 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 (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) AMERICAN HEART ASSOCIATION
4301 N FAIRFAX DR SUITE 530
ARLINGTON,VA22203 		13-5613797 501-(C)-(3) 5,000       SPONSORSHIP TOWARDS THE 2015 GREATER WASHINGTON HEART WALK. FUNDS SUPPORT AHA IN HEART DISEASE RESEARCH AND ELIMINATION.
(2) BIOHEALTH INNOVATION INC
22 BALTIMORE RD 100
ROCKVILLE,MD20850 		45-3824067 501-(C)-(3) 75,000       CHARITABLE CONTRIBUTION / INITIATIVES THAT FOSTER COLLABORATIONS, PROMOTES HEALTHCARE CAREERS AND POLICY ADVOCACY
(3) CASA DE MARYLAND INC
310 TULIP AVENUE
TAKOMA PARK,MD20917 		52-1372972 501-(C)-(3) 115,554       $110,000 WENT TOWARDS THE 2015 CASA/AHC PARTNERSHIP; $2,500 WENT TOWARDS SPONSORING THE JUSTICE AWARDS NIGHT (AN EVENT WHOSE PROCEEDS GO TOWARDS PRIVIDING SERVICES FOR IMMIGRANT FAMILIES); $3,000 WENT TOWARDS THE IMMIGRANT HEALTH RESEARCH INITIATIVE BEING LED BY JOHNS HOPKINS UNIVERSITY; $54 WENT TOWARDS THE FELICES FIESTAS HOLIDAY EVENT DONATION
(4) CENTRE POINTE COUNCELING
PO BOX 339
ASHTON,MD20861 		52-1288655 501-(C)-(3) 10,000       FUNDS TO SUPPORT THE NON-PROFIT BEHAVIORAL HEALTH CENTER EMR/ E-CLINICAL WORKS IMPLEMENTATION - PROJECTS THAT WILL RESULT IN THE EXPANSION OF HEALTH SERVICES PARTICULARLY IN SERVICING THE UNDERSERVED AND UNINSURED AREAS.
(5) COLUMBIA UNION CONFERENCE
5427 TWIN KNOLLS RD
COLUMBIA,MD21045 		52-0664576 501-(C)-(3) 235,000       $225,000 WAS DONATED TO SUPPORT MISSION WORK, YOUTH MINISTRY AND HEALTH & WELLNESS OUTREACH; $10,000 WENT TOWARDS THE 2015 SEVENTH-DAY ADVENTIST GENERAL CONFERENCE IN SAN ANTONIO
(6) COLUMBIA UNION CONFERENCE
5427 TWIN KNOLLS RD
COLUMBIA,MD21045 		52-0664576 501-(C)-(3) 12,784       DONATION MADE TOWARDS MEDICAL SUPPLIES
(7) COMMITTEE FOR MONTGOMERY
622 DENHAM ROAD
ROCKVILLE,MD20851 		90-6437327 501-(C)-(4) 5,000       DIAMOND SPONSORSHIP OF THE ANNUAL LEGISLATIVE BREAKFAST - INITIATIVES THAT FOSTER COLLABORATIONS, PROMOTES HEALTHCARE CAREERS AND POLICY ADVOCACY
(8) COMMUNITY CLINIC INC
8630 FENTON STREET SUITE 1204
SILVER SPRING,MD20910 		52-0988386 501-(C)-(3) 150,000       CONTRIBUTION TO CCI EXPANSION TO GREENBELT - PROJECTS THAT WILL RESULT IN THE EXPANSION OF HEALTH SERVICES PARTICULARLY SERVICING THE UNDERSERVED AND UNINSURED AREAS.
(9) COMMUNITY MINISTRIES OF ROCKVILLE
1010 GRANDIN AVE STE A1
ROCKVILLE,MD20851 		52-0910334 501-(C)-(3) 5,000       SILVER BENEFACTOR SPONSORSHIP OF THE A NIGHT OF HOPE SPRING GALA. FUNDS DONATED TO GO TOWARDS MANSFIELD KASEMAN HEALTH CLINIC - SERVING UNINSURED AND UNDERINSURED RESIDENTS OF ROCKVILLE AND MONTGOMERY COUNTY WITH PRIMARY CARE, HEALTH EDUCATION AND SOCIAL SERVICES.
(10) CROHN'S & COLITIS FOUNDATION OF AMERICA
108 N ALFRED STREET LOWER LEVEL
ALEXANDRIA,VA22314 		13-6193105 501-(C)-(3) 5,000       CONTRIBUTION TOWARDS THE NATIONAL CAPITAL AREA TAKE STEPS SPONSORSHIP IN SUPPORTING A CURE FOR CROHN'S DISEASE.
(11) GEORGE MASON UNIVERSITY FOUNDATION INC
3351 FAIRFAX DR MSN 3B1
ARLINGTON,VA22201 		54-1603842 501-(C)-(3) 15,000       PART OF A GROUP OF FUNDERS, FOR A STUDY THAT WAS DONE BY GMU ON THE OVERALL BUSINESS CLIMATE OF THE DC REGION (INCLUDING MD, DC, AND VA)
(12) GERMANTOWN CULTURAL ARTS CENTER
12901 TOWN COMMONS DRIVE
GERMANTOWN,MD20874 		52-2010744 501-(C)-(3) 12,000       $5,000 DONATED TOWARDS THE BLACKROCK CENTER FOR THE ARTS 15TH ANNIVERSARY EDUCATION FUND; $2,500 GIVEN AS A CONTRIBUTION TO THE BOARD OF TRUSTEES ON BEHALF OF NEW AHC BOARD MEMBER MICHAEL OXENFORD; $4,500 DONATED TOWARDS THE BLACKROCK CENTER FOR THE ARTS 2016 ANNUAL GALA (FUNDS RAISED AT THIS EVENT ALLOW SERVICES TO BE PROVIDED TO COMMUNITY MEMBERS AT REDUCED RATES, SOME EVEN FREE)
(13) GREATER SILVER SPRING CHAMBER OF COMMERCE
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
(14) GREATER WASHINGTON BOARD OF TRADE
1129 20TH STREET NW SUITE 200
WASHINGTON,DC20036 		53-0162570 501-(C)-(6) 6,000       BOARD TO TRADE MID-SIZE BUSINESS LEADER NEW MEMBERSHIP FEE - IT IS A COALITION OF LEADERS REPRESENTING A BROAD CROSS-SECTION OF MONTGOMERY COUNTY BUSINESS, LABOR, EDUCATION, CIVIC AND COMMUNITY-BASED ORGANIZATIONS. THEIR MISSION IS TO ADVOCATE IN SUPPORT OF ITS PRIORITIES AND AREAS OF FOCUS, WHICH INCLUDE EDUCATION, HEALTH, ECONOMIC, FISCAL RESPONSIBILITY AND TRANSPORTATION
(15) HACKETTSTOWN REGIONAL MED CTR FOUNDATION
651 WILLOW GROVE STREET
HACKETTSTOWN,NJ07840 		22-2333410 501-(C)-(3) 10,000       AN ANNUAL CONTRIBUTION THROUGH ADVENTIST HEALTHCARE'S ANNUAL PARTNERSHIP TO AID IN THE DEVELOPMENT OF HACKETTSTOWN'S CENTER.
(16) HEART & SOUL INTERNATIONAL
53 HIDDEN VALLEY RD
MONROVIA,CA91016 		20-0755905 501-(C)-(3) 10,000       CONTRIBUTION TO THE TEN COMMANDMENTS CONCERT HELD IN D.C. - HEART AND SOUL INTERNATIONAL IS A NONPROFIT MINISTRY DEDICATED TO BRINGING HOPE TO FAMILIES BY MINISTERING TO THE HEART AND SOUL. THE FUNDS RAISED FROM THE CONCERT GO TOWARDS SPONSORING LOCAL CHURCHES/GROUPS WHICH HELP THEM ADVANCE OUR MUTUAL GOALS OF MINISTRY
(17) IMPACT SILVER SPRING
8545 PINEY BRANCH ROAD
SILVER SPRING,MD20901 		52-2164844 501-(C)-(3) 10,000       $5,000 WENT TOWARDS INNOVATOR SPONSORSHIP OF THE 2015 MOMENTUM AWARDS; $5,000 WENT TOWARDS THE INNOVATOR SPONSORSHIP OF THE 2016 IMPACT NOW! GALA - INITIATIVES THAT FOSTER COLLABORATIONS, PROMOTES HEALTHCARE CAREERS AND POLICY ADVOCACY
(18) INSTITUTE FOR PUBLIC HEALTH INNOVATION
1301 CONNECTICUTT AVE NW STE 200
WASHINGTON,DC20036 		46-3039129 501-(C)-(3) 50,000       MONTGOMERY COUNTY DEPARTMENT OF HEALTH AND HUMAN SERVICES ENGAGEMENT - IPHI WORKS WITH THE MONTGOMERY COUNTY DEPARTMENT OF HEALTH AND HUMAN SERVICES (DHHS) STAFF TO PROVIDE SUPPORT TO HEALTHY MONTGOMERY IN THE FORM OF PROJECT MANAGEMENT AND TECHNICAL ASSISTANCE AND, MORE SPECIFICALLY, HAS BEEN ACTIVE IN THE PAST YEAR IN ASSISTING WITH THE WORK OF THE EAT WELL BE ACTIVE PARTNERSHIP AND THE BEHAVIORAL HEALTH TASK FORCE
(19) LEADERSHIP MONTGOMERY EDUCATION FOUNDATION INC
5910 EXECUTIVE BLVD 200
ROCKVILLE,MD20852 		52-1627257 501-(C)-(3) 23,000       SUPPORTED INITIATIVES THAT FOSTER COLLABORATIONS, PROMOTES HEALTHCARE CAREERS AND POLICY ADVOCACY
(20) MARCH OF DIMES
175 WOSTEND ST SUITE C
BALTIMORE,MD21230 		13-1846366 501-(C)-(3) 10,000       PRESENTING SPONSORSHIP FOR THE MARCH OF DIMES MARCH FOR BABIES
(21) MARYLAND PATIENT SAFETY CENTER
12TH ANNUAL MD PATI SAFETY CON
REGISTRATION
ELKRIDGE,MD21075 		35-2200200 501-(C)-(3) 10,000       2015 SILVER SPONSORSHIP AND 2015 ANNUAL MARYLAND PATIENT SAFETY CONFERENCE. THE CENTER EXTENDS ACROSS MARYLAND INTO THE DISTRICT OF COLUMBIA, DELAWARE, AND NORTHERN VIRGINIA, AND IS DEDICATED TO CONTINUALLY ENHANCING THE QUALITY AND SAFETY OF PATIENT CARE IN ALL HEALTHCARE SETTINGS.
(22) MERCY HEALTH CLINIC
9913 KENTSDALE DRIVE
POTOMAC,MD20854 		52-2230932 501-(C)-(3) 10,000       HEART OF MERCY GALA ($7,500) AND GOLF CLASSIC ($2,500) - PROJECTS THAT WILL RESULT IN THE EXPANSION OF HEALTH SERVICES PARTICULARLY IN SERVICING THE UNDERSERVED AND UNINSURED AREAS
(23) MOBILE MEDICAL CAREINC
9309 OLD GEORGETOWN ROAD
BETHESDA,MD208141620 		23-7022588 501-(C)-(3) 100,100       SUPPORTED 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, 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
(24) MONTGOMERY COALITION FOR ADULT ENGLISH LITERACY INC
10605 CONCORD TREET ST 440
KENSINGTON,MD20895 		20-8015355 501-(C)-(3) 5,000       HONEY BEE SPONSORSHIP OF 3RD ANNUAL GROWN UP SPELLING BEE TO SUPPORT ADULT LITERACY
(25) MONTGOMERY HOSPICE
1450 RESEARCH BLVD SUITE 310
ROCKVILLE,MD20850 		52-1114719 501-(C)-(3) 5,000       SPONSORSHIP OF 23RD ANNUAL GALA, "THE MAGIC OF CARING" - 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
(26) NATIONAL CAPITAL POISON CENTER
3201 NEW MEXICO AVE 310
WASHINGTON,DC20016 		52-1880478 501-(C)-(3) 10,000       MEMBERSHIP DUES TO HELP THE CAUSE OF POISON CONTROL IN THE COMMUNITY
(27) NORTH AMERICAN DIVISION OF SEVENTH-DAY ADVENTISTS
12501 OLD COLUMBIA PIKE
SILVER SPRING,MD209046600 		20-3164300 501-(C)-(3) 15,000       $2,000 WENT TOWARDS THE 2015 FEBRUARY PRESIDENTS' RETREAT + MEETING OF PRESIDENTS OF LARGE CONFERENCE; $3,000 AS A CONTRIBUTION TOWARDS THE INSTEP4LIFE 5K; $10,000 TO SUPPORT THE NAD CAMP MINISTRIES FUNDRAISER - JUST CLAIM IT PRAYER CONFERENCE
(28) REGINALD S LOURIE CENTER FOR INFANTS
12301 ACADEMY WAY
ROCKVILLE,MD20852 		52-1255870 501-(C)-(3) 5,400       $5,000 DONATED AS A CONTRIBUTION TO THE FOUNDATIONS AHC - BENEFIT DINNER; $400 DONATED ON BEHALF OF THE 18TH ANNUAL PAUL BLANK INVITATIONAL FOOTBALL GAME
(29) SHADYGROVE ADVENTIST HOSPITAL FOUNDATION
820 W DIAMOND AVENUE
GAITHERSBURG,MD20878 		52-1216429 501-(C)-(3) 16,000       DONATIONS MADE TO A GOLF TOURNAMENT, WITH ALL THE PROCEEDS OF THIS EVENT GOING TOWARDS EXPANSION AND RENOVATION OF THE EMERGENCY DEPARTMENT.
(30) SHADYGROVE ADVENTIST HOSPITAL FOUNDATION
820 W DIAMOND AVENUE
GAITHERSBURG,MD20878 		52-1216429 501-(C)-(3) 161,498       FACILITY RENT FOR SPACE AT THE ADVENTIST HEALTHCARE SHADY GROVE MEDICAL CENTER
(31) STATE OF MARYLAND
4201 PATTERSON AVE
BALTIMORE,MD21215 		52-6002033 STATE OF MARYLAND 15,000       $15,000 WAS TOWARDS THE FUND, "SHADY GROVE ADVENTIST HOSPITAL OPERATING SCHOLARSHIP FOR THE HEALTH PROFESSIONS; AND THE PURPOSE OF THE FUND IS TO PROVIDE SCHOLARSHIPS FOR STUDENTS ATTENDING THE UNIVERSITIES AT SHADY GROVE AND STUDYING PROGRAMS RELATED TO ALLIED HEALTH PROFESSIONS
(32) STRATHMORE HALL FOUNDATION INC
5301 TUKERMAN LANE
NORTH BETHESDA,MD20852 		52-1233092 501-(C)-(3) 13,891       10TH ANNIVERSARY SPRING GALA SPONSOR - INITIATIVES THAT FOSTER COLLABORATIONS, PROMOTES HEALTHCARE CAREERS AND POLICY ADVOCACY AND OTHER CONTRIBUTIONS
(33) UNIVERSITY OF MARYLAND BALTIMORE
737 WEST LOMBARD STREET
BALTIMORE,MD21201 		31-1678679 501-(C)-(3) 5,000       GOLD BENEFACTOR SPONSORSHIP OF THE UNIVERSITY OF MARYLAND BALTIMORE SCHOOL OF NURSING 125TH ANNIVERSARY GALA
(34) WASHINGTON ADVENTIST HOSPITAL FOUNDATION
7600 CARROLL AVENUE
TAKOMA PARK,MD20912 		52-1692158 501-(C)-(3) 10,000       DONATIONS MADE TO A GOLF TOURNAMENT, WITH ALL THE PROCEEDS OF THESE EVENTS GOING TOWARDS SURGICAL CARE, PATIENT SERVICES ENHANCEMENTS AND CAPITAL CAMPAIGN FOR THE RELOCATION OF THE NEW HOSPITAL
(35) WASHINGTON ADVENTIST HOSPITAL FOUNDATION
7600 CARROLL AVENUE
TAKOMA PARK,MD20912 		52-1692158 501-(C)-(3) 178,854       CONSULTING SERVICES PROVIDED TO WAH- RELATES TO LAUNCHING AN ONLINE FUNDRAISING SERVICE & MAJOR GIFT FUNDRAISING SERVICES.
(36) WASHINGTON ADVENTIST UNIVERSITY
7600 FLOWER AVENUE
TAKOMA PARK,MD20912 		52-0643528 501-(C)-(3) 102,000       $100,000 GIVEN IN SUPPORT OF THE WAU SCHOOL OF HEALTH PROFESSIONS, SCIENCE AND WELLNESS; $2,000 GIVEN IN SUPPORT OF WAU FAMILY FUN FESTIVAL - INITIATIVES THAT FOSTER COLLABORATIONS, PROMOTES HEALTHCARE CAREERS AND POLICY ADVOCACY/SEVENTH-DAY ADVENTIST PARTNERSHIPS
(37) WASHINGTON REGIONAL ASSOC OF GRANTMAKERS
1400 16TH ST NW 740
WASHINGTON,DC20036 		52-1756853 501-(C)-(3) 5,000       CONTRIBUTIONS FOR NONPROFIT MONTGOMERY WITH THE DESIGNATION FOR MONTGOMERY MOVING FORWARD - INITIATIVES COMMITTED TO STRATEGIC ACTION IN PURSUIT OF INNOVATIVE SOLUTIONS TO COMPLEX COMMUNITY PROBLEMS
2
Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................. Bullet Image
32
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) 2015
Page 2

Schedule I (Form 990) 2015
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
non-cash assistance		 (e) Method of valuation (book,
FMV, appraisal, other)		 (f) Description of non-cash 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 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 PROVIDES FUNDING FOR ORGANIZATIONS WHOSE ACTIVITIES SUPPORT OUR MISSION TO IMPROVE THE HEALTH AND WELLBEING OF OUR COMMUNITY, ESPECIALLY FOR THOSE THAT HAVE POOR ACCESS TO CARE AND POOR HEALTH OUTCOMES. THE COMMUNITY PARTNERSHIP FUND AWARDS GRANTS AND PROVIDES EVENT SPONSORSHIPS TO ORGANIZATIONS WHOSE ACTIVITIES ALIGN WITH OUR MISSION AND OUR FUNDING OBJECTIVES: 1. HEALTH AND WELLNESS: SUPPORT COMMUNITY HEALTH SERVICES, EDUCATION, AND PREVENTION AND WELLNESS PROGRAMS; 2. PARTNERSHIPS: LEVERAGE PARTNERSHIPS TO ADDRESS SOCIOECONOMIC DISADVANTAGES THAT AFFECT HEALTH; 3. CAPACITY BUILDING: IMPROVE COMMUNITY HEALTH THROUGH COLLABORATIVE PARTNERSHIPS, ECONOMIC AND WORKFORCE DEVELOPMENT, AND ADVOCACY. OUR PRIORITIES: 1. ACTIVITIES THAT ADDRESS A PRIORITY AREA OF NEED IDENTIFIED IN OUR HOSPITALS' COMMUNITY HEALTH NEEDS ASSESSMENT; 2. ACTIVITIES THAT TARGET POPULATIONS IN ADVENTIST HEALTHCARE'S SERVICE AREA THAT ARE SOCIALLY AND ECONOMICALLY DISADVANTAGED OR MEDICALLY UNDERSERVED; 3. ACTIVITIES THAT ALIGN WITH ADVENTIST HEALTHCARE'S COMMUNITY-BASED MISSION; 4. ACTIVITIES THAT HAVE A MEASURABLE IMPACT ON THE COMMUNITY BEING SERVED. ADDITIONAL FACTORS WE CONSIDER: 1. 501(C)(3) NON-PROFIT STATUS; 2. PARTNERING ORGANIZATIONS OR FUNDING FROM OTHER SOURCES. ADDITIONAL INFORMATION: ALL PROSPECTIVE APPLICANTS ARE ASKED TO COMPLETE A GRANT APPLICATION OR EVENT SPONSORSHIP APPLICATION (E.G., FUNDRAISING GALAS AND SPORTING EVENTS).
Schedule I (Form 990) 2015



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