2023-02-09T14:19:04-06:00 2021-12-31 990 2021-01-01 592219301 SunSystem Development Corporation SUNS 4073571000 900 Hope Way Altamonte Springs FL 32714 Lynn C Addiscott Assistant Secretary 4079751400 2023-02-02 Lynn Addiscott 999009999 3 AAL1 IAL1 2021 2023-03-07 01:45:13Z David Collis 900 Hope Way Altamonte Springs FL 32714 30477105 0 X www.adventhealth.com/adventhealth-foundation X 1982 FL Fund Raising for Affiliated Tax-Exempt Hospitals and Hospice Organization 13 0 0 496 0 0 4611598 9915469 8833132 13168151 3579160 5916655 -450900 -911836 16572990 28088439 14887891 24116538 0 0 0 0 99246 130625 1677967 1927659 3010949 16914796 27258112 -341806 830327 149070175 162692831 5598298 6788110 143471877 155904721 X Adventist Health System Sunbelt Healthcare Corporation and all its subsidiary organizations were established by the Seventh-Day Adventist Church to bring a ministry of healing and health to the communities served. Our mission is to extend the healing ministry of Christ.The filing organization and healthcare system whose parent is Adventist Health System Sunbelt Healthcare Corporation is known as AdventHealth. AdventHealth seeks to be widely respected as a consumer-focused organization that engages individuals in their health by delivering wholistic, best practice care across a connected, comprehensive continuum of services. With Christ as our example, AdventHealth cares for and nurtures people: our employees, our communities, our healthcare professionals, and those who trust us for care and healing. 0 0 24484379 24116538 13168151 SunSystem Development Corporation (SDC) is involved in philanthropic activities for the benefit of its affiliated tax-exempt hospital organizations. During the current tax year, SDC supported the activities of fourteen charitable related tax-exempt hospital organizations and one charitable hospice organization. 24484379 1 1 0 0 0 1 0 0 0 1 0 0 0 1 1 1 0 1 0 0 1 1 0 1 1 0 0 1 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 1 1 1 0 0 1 34 0 1 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 X 13 0 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 0 0 0 FL NC TX GA KY X Heather Haddix 4073571000 900 Hope Way Altamonte Springs FL 32714 X Rathbun Paul Director/Chairman 0.10 50.00 X 0 2592586 212850 Johnson Penny Director 0.10 50.00 X 0 2601818 182819 Goodman Todd Director 0.10 50.00 X 0 1698001 183060 Bergherm Bruce Director 0.10 50.00 X 0 1596766 58504 Houmann Lars Director 0.10 0.00 X 0 1617344 29601 Bromme Jeffrey Director 0.10 50.00 X 0 1378687 177572 Huenergardt Sam Director 0.10 50.00 X 0 1109364 186701 Hamilton MD Thomas Ted Director 0.10 50.00 X 0 901754 40943 Johnson Joel Joe Director 0.10 50.00 X 0 812542 118700 Smith-Edris Tricia Director 0.10 50.00 X 0 657618 129038 Brady Amanda Director 0.10 50.00 X 0 616352 129010 Addiscott Lynn Director 0.10 50.00 X 0 590021 28065 Collis David Dir/Pres-AH Fdn Central FL 50.00 0.00 X X 0 474006 100452 Shaw Terry President/CEO 0.10 50.00 X 0 4519033 209656 0 21165892 1786971 0 0 1 0 Blackbaud Inc PO Box 930256 Atlanta GA 31193 Maintenance Fees/Training 252205 1 X 2098155 2393742 5423572 9915469 Satisfaction of Program Restricti 900099 13159664 13159664 Advised Fund Fees 900099 8487 8487 13168151 4028385 4028385 1890527 2257 1888270 1888270 1888270 1474573 2098155 2386409 -911836 -911836 28088439 13168151 0 5004819 X 23234443 23234443 516273 516273 365822 365822 2781 2781 4372 4372 130625 130625 149019 149019 915878 367841 475995 72042 54909 3468 51441 373058 228451 144607 21119 14146 6973 65839 40732 25107 30958 7909 23049 4274 3099 1175 3677 3677 4610 4610 Purchased Services 861697 77081 784616 Entertainment 69715 32053 37662 Food Costs 48702 35176 13526 Gifts 42853 174 42679 357488 20414 337074 27258112 24484379 1095766 1677967 X X 1822839 831907 122035782 133964917 6967132 8949889 242013 242013 766255 855493 17236154 17848612 149070175 162692831 99191 1562570 5499107 5225540 5598298 6788110 X 56141178 57541763 87330699 98362958 143471877 155904721 149070175 162692831 X 830327 1832483 32421 9737613 X X 0 1 X 1 1 1 X 43264332 28626553 23606440 13438511 23075133 132010969 43264332 28626553 23606440 13438511 23075133 132010969 19754073 112256896 2455427 7385483 2616260 4486285 5007786 21951241 153962210 0.72910 0.72530 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 6 246556 196468 850119 1 1 21835332 1243055 73573 23004814 21191508 50000 1226267 632443 21835332 20471913 50000 1196289 526694 21191508 19274406 100000 1099218 1711 20471913 19390999 166685 1051467 9029 20600122 0.92820 0.07180 0 0 0 Other Receivables 7865330 Investments Held Under Split-Interest Agreements 3808849 Cash Surrender Value of Life Insurance 1370415 Other Assets 2824803 Donated Assets 57075 Due from Related 1700942 Interest Receivable 221198 17848612 Due to Related 2053114 Liabilities Under Split-Interest Agreements 3172426 5225540 X Part V, Line 4: SunSystem Development Corp. (SDC) has certain endowments established for a variety of purposes in support of related tax-exempt hospital organizations that are also exempt under IRC Section 501(c)(3). All of SDC's permanently restricted endowment funds are required to be retained permanently either by explicit donor stipulation or by the Florida Uniform Prudent Management of Institutional Funds Act. Part V, line 1a, column (d) Three years back - Explanation for change in opening balance: During 2018, it was determined that an Endowment in the amount of $1,325,716 received prior to 2018 should be reclassified from permanent endowment to a temporarily restricted asset. Part X, Line 2: The filing organization is a subsidiary organization within AdventHealth. The consolidated financial statements of AdventHealth contain the following FIN 48 (ASC 740) footnote: Please note that dollar amounts are in thousands. Healthcare Corporation and its affiliated organizations, other than North American Health Services, Inc. and its subsidiary (NAHS), are exempt from state and federal income taxes. Accordingly, Healthcare Corporation and its tax-exempt affiliates are not subject to federal, state or local income taxes except for any net unrelated business taxable income. NAHS is a wholly owned, for-profit subsidiary of Healthcare Corporation. NAHS and its subsidiary are subject to federal and state income taxes. NAHS files a consolidated federal income tax return and, where appropriate, consolidated state income tax returns. All taxable income was fully offset by net operating loss carryforwards for federal income tax purposes; as such, there is no provision for current federal or state income tax for the years ended December 31, 2021 and 2020. NAHS also has temporary deductible differences of approximately $33,000 and $41,800 at December 31, 2021 and 2020, respectively, primarily as a result of net operating loss carryforwards. At December 31, 2021, NAHS had net operating loss carryforwards of approximately $34,000, expiring beginning in 2022 through 2026. Deferred taxes have been provided for these amounts, resulting in a net deferred tax asset of approximately $8,100 and $10,200 at December 31, 2021 and 2020, respectively. NAHS remeasured its deferred tax assets and liabilities based on the rates at which they are expected to reverse in the future, which is generally 21%. A full valuation allowance has been provided at December 31, 2021 and 2020 to offset the deferred tax asset since Healthcare Corporation has determined that it is more likely than not that the benefit of the net operating loss carryforwards will not be realized in future years. The Income Taxes Topic of the Accounting Standards Codification (ASC) (ASC 740) prescribes the accounting for uncertainty in income tax positions recognized in financial statements. ASC 740 prescribes a recognition threshold and measurement attribute for the financial statement recognition and measurement of a tax position taken, or expected to be taken, in a tax return. There were no material uncertain tax positions as of December 31, 2021 and 2020. 1 Sub-Saharan Africa - Angola, Benin, Botswana, Burkina Faso, 0 0 Grantmaking 147595 South America - Argentina, Bolivia, Brazil, Chile, Columbia, Ecuador, 0 0 Grantmaking 112281 Central America and the Caribbean - Antigua & Barbuda, Aruba, Bahamas, 0 0 Grantmaking 105946 0 0 0 0 0 0 365822 0 365822 Sub-Saharan Africa - Angola, Benin, Botswana, Burkina Faso, General Support 147595 Check 0 Book South America - Argentina, Bolivia, Brazil, Chile, Columbia, Ecuador, General Support 112281 Check 0 Book Central America and the Caribbean - Antigua & Barbuda, Aruba, Bahamas, General Support 105946 Check 0 Book 1 0 0 0 0 0 0 0 Part I, Line 2: Foreign Grants are typically made only to supported hospital organizations that are exempt from Federal Income Tax under 501(c)(3), other U.S. charitable organizations, or to foreign entities recognized as charitable by the foreign country in which they are located. Given that most grants are made indirectly through other U.S. or foreign charitable organizations, the filing organization has not established specific procedures for monitoring the use of grant funds outside the United States. Part III Accounting Method: X X X X X X 1 Communication Mark Inc 233 Tampa Circle Arden NC 28704 Grant Writing Assistance 0 0 86625 0 HunterKemper Consulting 20 Maplewood Rd Asheville NC 28804 Campaign Fundraising Consultant 0 0 44000 0 130625 FL GA KY NC TX GALA - AH Fdn Central FL 2717851 1390057 1327794 0 48027 1147896 198408 22594 669621 Golf Tournament - AH Sebring Fdn 145972 106472 39500 0 8308 1220 4600 36130 14194 13 708905 601626 107279 5750 15257 39623 27384 9622 137775 3572728 2098155 1474573 5750 71592 1188739 230392 68346 821590 2386409 -911836 1 Adventist Health System Georgia Inc 1035 Red Bud Road NE Calhoun GA 30701 581425000 501(c)(3) 31217 0 Edna Owens Breast Center Construction Adventist Health System Georgia Inc 1035 Red Bud Road NE Calhoun GA 30701 581425000 501(c)(3) 656 0 Cancer Charity Care Adventist Health SystemSunbelt Inc dba AdventHealth Sebring 4200 Sun N Lake Blvd Sebring FL 33870 590725553 501(c)(3) 36091 0 Wauchula Hospital New Building Construction Adventist Health SystemSunbelt Inc dba AdventHealth Orlando 601 E Rollins Street Orlando FL 32803 590724459 501(c)(3) 19391753 0 General Support AdventHealth University Inc 671 Winyah Drive Orlando FL 32803 593069793 501(c)(3) 49103 0 General Support Creation Development Foundation Inc 52 Riley Road ste 404 Celebration FL 34747 453411581 501(c)(3) 390000 0 General Support Flagler Cares Inc 160 Cypress Point Pkwy B302 Palm Coast FL 32164 474145174 501(c)(3) 50000 0 General Support Flagler County Free Clinic 703 E Moody Blvd Bunnell FL 32110 205036975 501(c)(3) 15000 0 General Support Florida Department of Health in Flagler County Health Dept 120 Airport Road Second Floor Palm Coast FL 32164 593502843 FL Dept of Health 10000 0 Diabetes Program Assistance Flagler Habitat for Humanity 2 West Moody Blvd PO Box 187 Bunnell FL 32110 593172803 501(c)(3) 15000 0 Medical Care Fletcher Hospital Inc 50 Hospital Dr Hendersonville NC 28792 560543246 501(c)(3) 294778 0 General Support Florida Hospital Medical Group Inc 2600 Westhall Lane 4th Floor Maitland FL 32751 593214635 501(c)(3) 351513 0 General Support Florida Hospital Ocala Inc 1500 SW 1st Ave Ocala FL 34471 824372339 501(c)(3) 2885 0 General Support Florida Hospital Zephyrhills Inc 7080 Gall Blvd Zephyrhills FL 33541 592108057 501(c)(3) 230547 0 Purchase of Equipment Florida Hospital Zephyrhills Inc 7080 Gall Blvd Zephyrhills FL 33541 592108057 501(c)(3) 287776 0 Renovations Florida Hospital Zephyrhills Inc 7080 Gall Blvd Zephyrhills FL 33541 592108057 501(c)(3) 31536 0 General Support Givewell Community Foundation Inc 1501 S Florida Ave Lakeland FL 33803 593649871 501(c)(3) 120000 0 General Support Henderson County United Way Inc PO Box 487 Hendersonville NC 28739 560890133 501(c)(3) 47534 0 General Support Hospice of the Comforter Inc 480 W Central Parkway Altamonte Springs FL 32704 592935928 501(c)(3) 54438 0 General Support Impact Outdoor Adventures Inc 5935 Crane Creek Rd Manchester KY 40962 475019385 501(c)(3) 8869 0 Construction Memorial Hospital Inc 210 Marie Langdon Drive Manchester KY 40962 610594620 501(c)(3) 86552 0 General Support Memorial Hospital Inc 210 Marie Langdon Drive Manchester KY 40962 610594620 501(c)(3) 165712 0 Construction Memorial Hospital Flager Inc 60 Memorial Medical Pkwy Palm Coast FL 32164 592951990 501(c)(3) 67906 0 General Support Memorial Hospital Flager Inc 60 Memorial Medical Pkwy Palm Coast FL 32164 592951990 501(c)(3) 56024 0 Hospital Renovation Memorial Hospital Flager Inc 60 Memorial Medical Pkwy Palm Coast FL 32164 592951990 501(c)(3) 91938 0 Purchase of Medical Equipment Memorial Hospital Flager Inc 60 Memorial Medical Pkwy Palm Coast FL 32164 592951990 501(c)(3) 17398 0 Purchase of Furniture and Supplies for Hospice House Metroplex Adventist Hospital Inc 2201 S Clear Creek Road Killeen TX 76549 742225672 501(c)(3) 15000 0 Purchase of Angel of Hope Statue Pasco-Pinellas Hillsborough Community Health System Inc 2600 Bruce B Downs Blvd Wesley Chapel FL 33544 208488713 501(c)(3) 97302 0 General Support Pasco-Pinellas Hillsborough Community Health System Inc 2600 Bruce B Downs Blvd Wesley Chapel FL 33544 208488713 501(c)(3) 28147 0 Purchase of Aeroclave machine Southeast Volusia Healthcare Corp 401 Palmetto St New Smyrna Beach FL 32168 473793197 501(c)(3) 575000 0 Medical Care Southwest Volusia Healthcare Corp 1055 Saxon Blvd Orange City FL 32763 593149293 501(c)(3) 12194 0 General Support Southwest Volusia Healthcare Corp 1055 Saxon Blvd Orange City FL 32763 593149293 501(c)(3) 59173 0 Community Garden Southwest Volusia Healthcare Corp 1056 Saxon Blvd Orange City FL 32763 593149293 501(c)(3) 1900 0 Purchase of Equipment University Community Hospital Inc 3100 E Fletcher Ave Tampa FL 33613 591113901 501(c)(3) 137193 0 General Support 23 0 Food, Clothing & Shelter 170 218879 Hardship Assistance 533 138702 Nursing Scholarships 12 14000 Payments for Mammography 12 690 Employee Assistance - Funeral Expense 2 2000 Patient Assistance - AC Units 2 596 Patient Assistance - Medical Bills 37 136000 Part I, Line 2: Grants are generally made only to related supported hospital organizations that are exempt from Federal Income Tax under 501(c)(3), other 501(c)(3) organizations that are a part of the group exemption ruling issued to the General Conference of Seventh-Day Adventists, or to other 501(c)(3) community organizations involved in health-related causes. Accordingly, the filing organization has not established specific procedures for monitoring the use of grant funds in the United States as the filing organization does not have a grant making program that would necessitate such procedures. 1 1 0 0 0 0 0 0 0 Shaw Terry President/CEO 0 1947829 0 1666593 0 904611 0 146048 0 63608 0 4728689 0 365304 Rathbun Paul Director/Chairman 0 1045475 0 776096 0 771015 0 165548 0 47302 0 2805436 0 193409 Johnson Penny Director 0 656961 0 275634 0 1669223 0 128712 0 54107 0 2784637 0 80024 Goodman Todd Director 0 719496 0 353016 0 625489 0 128293 0 54767 0 1881061 0 94417 Bergherm Bruce Director 0 609309 0 234235 0 753222 0 24097 0 34407 0 1655270 0 168888 Houmann Lars Director 0 0 0 374184 0 1243160 0 0 0 29601 0 1646945 0 0 Bromme Jeffrey Director 0 758713 0 434579 0 185395 0 139262 0 38310 0 1556259 0 101374 Huenergardt Sam Director 0 697332 0 254708 0 157324 0 140893 0 45808 0 1296065 0 103146 Hamilton MD Thomas Ted Director 0 515805 0 207267 0 178682 0 15548 0 25395 0 942697 0 0 Johnson Joel Joe Director 0 446751 0 177943 0 187848 0 77584 0 41116 0 931242 0 29976 Smith-Edris Tricia Director 0 500790 0 100524 0 56304 0 80684 0 48354 0 786656 0 19028 Brady Amanda Director 0 469487 0 94415 0 52450 0 85320 0 43690 0 745362 0 32561 Addiscott Lynn Director 0 367364 0 78202 0 144455 0 15548 0 12517 0 618086 0 0 Collis David Dir/Pres-AH Fdn Central FL 0 361292 0 62325 0 50389 0 51606 0 48846 0 574458 0 10540 Part I, Line 3 The individual who serves as the President/CEO of the filing organization, is compensated by Adventist Health System Sunbelt Healthcare Corp (AHSSHC) for that individual's role in serving as the President/CEO of the filing organization and as the CEO of AdventHealth. Compensation and benefits provided to this individual are determined pursuant to policies, procedures, and processes of AHSSHC that are designed to ensure compliance with the intermediate sanctions laws as set forth in IRC Section 4958. AHSSHC has taken steps to ensure that processes are in place to satisfy the rebuttable presumption of reasonableness standard as set forth in Treasury Regulation 53.4958-6 with respect to its active executive-level positions. The AHSSHC Board Compensation Committee (the Committee) serves as the governing body for all executive compensation matters. The Committee is composed of certain members of the Board of Directors (the Board) of AHSSHC. Voting members of the Committee include only individuals who serve on the Board as independent representatives of the community, who hold no employment positions with AHSSHC and who do not have relationships with any of the individuals whose compensation is under their review that impacts their best independent judgment as fiduciaries of AHSSHC. The Committee's role is to review and approve all components of the executive compensation plan of AHSSHC. As an independent governing body with respect to executive compensation, it should be noted that the Committee will often confer in executive sessions on matters of compensation policy and policy changes. In such executive sessions, no members of management of AHSSHC are present, other than the Chief People Officer, who remains at the request of the Chairman/committee to provide assistance/information as needed. The Committee is advised by an independent third-party compensation advisor. This advisor prepares all the benchmark studies for the Committee. Compensation levels are benchmarked with a national peer group of other not-for-profit healthcare systems and hospitals of similar size and complexity to AdventHealth and each of its affiliated entities. The following principles guide the establishment of individual executive compensation: - The salary of the President/CEO of AdventHealth will not exceed the 50th percentile of comparable salaries paid by similarly situated organizations; and - Other executive salaries shall be established using market medians. The compensation philosophy, policies, and practices of AHSSHC are consistent with the organization's faith-based mission and conform to applicable laws, regulations, and business practices. As a faith-based organization sponsored by the Seventh-day Adventist Church (the Church), AHSSHC's philosophy and principles with respect to its executive compensation practices reflect the conservative approach of the Church's mission of service and were developed in counsel with the Church's leadership. Part I, Lines 4a-b Schedule J, Part I, Line 4a: During the year ending December 31, 2021, Lars Houmann received severance payments in the amount of $1,238,062. Pursuant to the AHSSHC Corporate Executive Policy governing executive severance, severance agreements for executives operating at the Vice President level and above are entered into upon eligibility to facilitate the transition to subsequent employment following an involuntary separation from employment with AdventHealth. Schedule J, Part I, Line 4b: Executives serving on the filing organization's Board of Directors are compensated by and on the payroll of Adventist Health System Sunbelt Healthcare Corporation (AHSSHC), the parent organization of a healthcare system known as AdventHealth. In recognition of the contribution that each executive makes to the success of AdventHealth, AdventHealth provides supplemental executive benefit plans to eligible executives. In 2020, AdventHealth restructured its executive supplemental retirement and benefit plans to reduce complexity, to increase predictability of benefits and to consolidate multiple supplemental executive benefit plans into one plan. Effective 1/1/2020, a new supplemental executive retirement plan (SERP III) was adopted and the three existing plans, described below, were amended and restated. The newly adopted SERP III plan, as well as the amended and restated plans, were reviewed and approved by the AHSSHC Board Compensation Committee, an independent body of the AHSSHC Board of Directors. SERP III Plan (Effective 1/1/2020): To recognize the contribution each executive makes to the success of AdventHealth and to recognize the limitations available to executives in qualified retirement plans due to compensation limits set on such plans, AdventHealth adopted a new supplemental executive retirement plan (SERP III) in 2020. The SERP III plan effectively replaces the prior SERP II plan, the Executive Flex Benefit Program Plan, and the Senior Executive Death Benefit Plan for qualified executives except for certain grandfathered executive employees. The SERP III plan provides eligible executives a percentage of their base pay, which is credited to a deferred compensation account. The plan also provides for compensation deferral and selection of life insurance coverage and long-term care insurance. To be eligible to participate in the SERP III plan, executives must be on the AHSSHC corporate payroll and be either a CEO of an AdventHealth entity, an AHSSHC Vice President (VP) or VP of an AdventHealth entity with a base salary of at least $290,000 in 2021 (adjusted annually by the same percentage as IRC Section 401(a)(17) limit increases), or other leader specifically approved by the AdventHealth President. Eligible executives do not include grandfathered executives, meaning those executives who would satisfy all the eligibility requirements of the SERP II plan prior to Dec 31, 2027, had the plan not been amended and restated as of Jan. 1, 2020. Contribution credits will be established and maintained by class year accounts for each participant using tiered contribution credit percentages of annual base compensation. Contribution credit percentages range between 15% and 19% of base compensation. Contribution credits will be made each quarter in 25% increments with reductions in contributions if the executive is also a grandfathered FLEX participant (see below). SERP III provides for a class year vesting and payment schedule (7 years for each class year) with respect to amounts accumulated in the executive's deferred compensation account. Upon attainment of a normal retirement age (age 62), or upon certain other circumstances as defined in the SERP III plan document, all deferred amounts are paid immediately to the participant. For any executives working beyond the normal retirement age, future employer contributions will be made quarterly from SERP III directly to the participant as a taxable cash bonus. SERP II Plan (Amended and Restated in 2020): In 2020, the SERP II plan was amended and restated to provide that eligible employees are restricted to those executives who, as of January 1, 2020, satisfied, or if employment continues, will satisfy the eligibility requirements of SERP II prior to December. 31, 2027. The SERP II plan is a defined benefit, non-tax-qualified deferred compensation plan for certain executives who have provided lengthy service to AdventHealth and/or to other Seventh-day Adventist Church hospitals or health care institutions. Under the provisions of the SERP II plan, benefits are provided to qualifying executive participants on a pro-rata schedule beginning with 20 years of service as an employee of AdventHealth and/or another hospital or health care institution controlled by the Seventh-day Adventist Church and who satisfy certain other qualifying criteria. This supplemental executive retirement plan (SERP II) was designed to provide eligible executives with the economic equivalent of an annual income beginning at normal retirement age equal to 60% of the average of the participant's three, five or seven highest years of base salary from AdventHealth active employment inclusive of income from all other Seventh-day Adventist Church healthcare employer-financed retirement income sources and investment income earned on those contributions through social security normal retirement age as defined in the plan. The number of years included in highest average compensation is determined by the individual's year of entry to SERP II and by the individual's year of entry to the AdventHealth Executive FLEX Benefit Program. FLEX Plan (Amended and Restated in 2020): In 2020, the Flex Plan was amended and restated to exclude employed executives who are hired or promoted after a certain date from being eligible to participate in the Flex Plan except for certain insurance coverage features of the plan. Additionally, a provision was added to place a maximum limit on the amount of a participant's annual Flex allowance to not be greater than a maximum dollar amount or percentage of compensation as established by the AdventHealth Benefits Administration Committee. The Flex Plan was originally designed to provide eligible executives an opportunity to select from among a variety of supplemental benefits, including a split dollar life insurance policy and long-term care insurance, to individually tailor a benefits program appropriate to each executive's needs. The Flex Plan provides eligible participants a pre-determined benefits allowance credit that is equal to a percentage of the executive's base pay from which the cost of mandatory and elective employee benefits is deducted. The benefits allowance credit percentage is determined by the AdventHealth Benefits Administration Committee. For grandfathered eligible employees, the annual pre-determined Flex allowance is contributed and any funds that remain after the cost of mandatory and elective benefits are subtracted are, at the employee's option, contributed to either an IRC 457(f) deferred compensation account or to an IRC 457(b) eligible deferred compensation plan. Upon attainment of age 65, all previous 457(f) deferred amounts are paid immediately to the participant and any future employer contributions are made quarterly from the Plan directly to the participant. The Plan provides for a class year vesting schedule (2 years for each class year) with respect to amounts accumulated in the executive's 457(f) deferred compensation account. Distributions could also be made from the executive's 457(f) deferred compensation account upon attainment of age 65 or upon an involuntary separation. The account will be forfeited by the executive upon a voluntary separation. With respect to grandfathered participants, the Flex Plan documents define eligible employees to include the Chief Executive Officers of AdventHealth entities and Vice Presidents of all AdventHealth entities whose base salary was at least equal to the Internal Revenue Code Section 401(a)(17) compensation limit each year. Senior Executive Death Benefit Plan (SEDB) (Amended and Restated in 2020): The SEDB plan was originally designed to provide a benefit in an amount equal to the amount the executive's benefit would have been under the SERP II Plan assuming that, on the date of the executive's death (and not before), the executive satisfied the last of the eligibility requirements of the SERP II Plan with present value recognizing an early benefit commencement. In conjunction with the amendment and restatement of the SERP II Plan, the SEDB was similarly amended in 2020 to limit eligible employees to only those who either satisfy the eligibility requirements of SERP II as of January 1 2020, or remain in active employment and will satisfy those requirements prior to December 31, 2027. An eligible executive becomes a participant in the SEDB Plan if the executive dies prior to termination of employment, provided the executive has not satisfied all the eligibility requirements of SERP II as of the executive's date of death but would have satisfied all those requirements within five (5) years following death had the executive lived and continued employment. The SEDB Plan will terminate automatically after December 31, 2027. FLEX Plan FLEX Plan SERP II SERP III Contr. Distr.* Contr/Dis Contr. SHAW, TERRY $ 150,000 $ 396,866 $ 412,336 $ 0 RATHBUN, PAUL $ 150,000 $ 233,742 $ 480,517 $ 0 JOHNSON, PENNY $ 113,164 $ 96,451 $ 1549952 $ 0 GOODMAN, TODD $ 132,245 $ 116,878 $ 456,377 $ 0 BERGHERM,BRUCE $ 108,892 $ 282,894 $ 392,707 $ 0 BROMME,JEFFREY $ 143,214 $ 121,997 $ 0 $ 0 HUENERGARDT,SAM $ 125,345 $ 138,644 $ 0 $ 0 HAMILTON MD,TED $ 87,550 $ 68,050 $ 0 $ 0 JOHNSON, JOEL $ 62,036 $ 31,936 $ 118,218 $ 0 EDRIS, TRICIA $ 75,636 $ 22,066 $ 0 $ 0 BRADY, AMANDA $ 64,376 $ 36,535 $ 0 $ 5,396 ADDISCOTT,LYNN $ 58,875 $ 58,875 $ 30,457 $ 0 COLLIS, DAVID $ 40,528 $ 10,601 $ 0 $ 15,030 * Including Investment Earnings X 18 0 X 13 0 X Gift Annuities 3 0 X Various Items 56 0 0 1 1 Part I, Line 32b: Sunsystem Development Corporation (SDC) is a charitable foundation organization that supports fourteen related tax-exempt hospital organizations and one charitable hospice organization. In carrying out its philanthropic activities, SDC will occasionally engage third-parties to provide various consulting services. Such consulting services generally include donor/grant prospecting, assistance with grant-writing, fund-raising planning and organization, and planned giving services. Fees paid to any engaged consultants are at fair market value rates and the terms are always negotiated at arm's length. Part I, Line 33: Gifts of donated property are generally recorded by the filing organization to the unrestricted net assets (equity) account. Accordingly, donated property reported on lines 9, 19, 25, and 26 are recorded directly to equity accounts and are not recorded in the income statement. Form 990, Part VI, Section A, line 6 SunSystem Development Corporation (SDC) is a wholly owned subsidiary of Adventist Health System Sunbelt Healthcare Corporation (AHSSHC). AHSSHC is a Florida, not-for-profit corporation that is exempt from federal income tax under Internal Revenue Code (IRC) Section 501(c)(3). AHSSHC is the sole corporate member of SDC. There are no other separate classes of membership in SDC. Form 990, Part VI, Section A, line 7a The affairs of SDC are managed by a Board of Managers. The Board of Managers of SDC are elected by the Member of SDC. Form 990, Part VI, Section A, line 7b The member of SDC has certain reserved powers as set forth in the Articles of Incorporation and Bylaws of SDC. These reserved powers include the following: a) to appoint and remove the members of the Board of Managers of SDC; and b) to adopt, amend, restate, and repeal the Articles of Incorporation or Bylaws of SDC. Form 990, Part VI, Section B, line 11b SDC's current year Form 990 was reviewed by the President of AdventHealth Foundation Central Florida and a Director on the organization's Board prior to its filing with the IRS. The review conducted by the President of AdventHealth Foundation Central Florida and a Director on the organization's Board did not include the review of any supporting workpapers that were used in preparation of the current year's Form 990, but did include a review of the entire Form 990 and all supporting schedules. Form 990, Part VI, Section B, line 12c The Conflict of Interest Policy of SDC applies to members of its Board of Managers and its principal officers (to be known as Interested Persons). In connection with any actual or possible conflicts of interests, any member of the Board of Managers of SDC or any principal officer of SDC (i.e. Interested Persons) must disclose the existence of any financial interest with SDC and must be given the opportunity to disclose all material facts concerning the financial interest/arrangement to the Board of Managers of SDC or to any members of a committee with board delegated powers that is considering the proposed transaction or arrangement. Subsequent to any disclosure of any financial interest/arrangement and all material facts, and after any discussion with the relevant Board member or principal officer, the remaining members of the Board of Managers or committee with board delegated powers shall discuss, analyze, and vote upon the potential financial interest/arrangement to determine if a conflict of interest exists. According to SDC's Conflict of Interest Policy, an Interested Person may make a presentation to the Board of Managers (or committee with board delegated powers), but after such presentation, shall leave the meeting during the discussion of, and the vote on, the transaction or arrangement that results in a conflict of interest. Each Interested Person, as defined under SDC's Conflict of Interest Policy, shall annually sign a statement which affirms that such person has received a copy of the Conflict of Interest policy, has read and understands the policy, has agreed to comply with the policy, and understands that SDC is a charitable organization that must primarily engage in activities which accomplish one or more of its exempt purposes. SDC's Conflict of Interest Policy also requires that periodic reviews shall be conducted to ensure that SDC operates in a manner consistent with its charitable purposes. Form 990, Part VI, Section B, line 15 The individual that serves as the President of the filing organization is not compensated by the filing organization. Such individual is compensated by the related top-tier parent organization of the filing organization. Please see the discussion concerning the process followed by the related top-tier parent organization in determining executive compensation in our response to Schedule J, Line 3. Form 990, Part VI, Section C, line 19 The filing organization is a part of the system of healthcare organizations known as AdventHealth. The audited consolidated financial statements of AdventHealth and of the AdventHealth "Obligated Group" are filed annually with the Municipal Securities Rulemaking Board (MSRB). The "Obligated Group" is a group of AHSSHC subsidiaries that are jointly and severally liable under a Master Trust Indenture that secures debt primarily issued on a tax-exempt basis. Unaudited quarterly financial statements prepared in accordance with Generally Accepted Accounting Principles (GAAP) are also filed with MSRB for AdventHealth on a consolidated basis and for the grouping of AdventHealth subsidiaries comprising the "Obligated Group". The filing organization does not generally make its governing documents or conflict of interest policy available to the public. Part VII, Section A: For those Board of Director members and officers who devote less than full-time to the filing organization (based upon the average number of hours per week shown in column (B) on page 7 of the return) the compensation amounts shown in columns (E) and (F) on page 7 were provided in conjunction with that person's responsibilities and roles in serving in an executive leadership position as an employee of Adventist Health System Sunbelt Healthcare Corporation. Part VIII, Lines 7c: The amounts shown in Part VIII, Lines 7a(i) and 7c(i) of the Form 990 include an allocated share of capital gain/(loss) from a system wide, corporate administered, investment program. Form 990, Part IX, line 11g Other Fees for Services: Program service expenses 0. Management and general expenses 236. Fundraising expenses 54,071. Total expenses 54,307. Contract Services: Program service expenses 367,841. Management and general expenses 475,759. Fundraising expenses 17,971. Total expenses 861,571. Part X, Line 2: The amounts shown on line 2 of Part X of this return include the filing organization's interest in a central investment pool maintained by Adventist Health System Sunbelt Healthcare Corporation, the filing organization's top-tier parent. The investments in the central investment pool are recorded at market value. Form 990, Part XI, line 9: Losses on Uncollectible Pledges -40,500. Temporarily Restricted Gifts 21,940,100. Temporarily Restricted Investment Income 962,558. Transfer of Net Assets Released from Restrictions -13,159,664. Permanently Restricted Investment Income 16,843. Gain on Investments 36,726. Other Adjustments 30. Change in Endowment Valuation -18,480. Form 990, Part XII, Line 3b: Although the taxpayer is not required to undergo an audit as set forth in the Single Audit Act and OMB Circular A-133, the taxpayer is part of a controlled group of organizations that comprise a consolidated financial statement audit. The controlled group's parent is Adventist Health System Sunbelt Healthcare Corporation (AHSSHC), a 501(c)(3) organization. The system of healthcare entities owned and controlled by AHSSHC is known as AdventHealth. For the year ended December 31, 2021, AdventHealth will file a consolidated Single Audit which will include all entities that are part of the controlled group. Accordingly, the taxpayer has checked yes to the questions on Part XII, line 3a and 3b. AdventHealth East Florida Inc (3521 - 123121) 900 Hope Way Altamonte Springs FL 32714 882288563 Future Operation of Hospital & Related Services FL 501(c)(3) Line 3 Adventist Hlth System Sunbelt Hlthcare Corp 1 AdventHealth Family Medicine Rural Health Clinics Inc 187 PR 4060 Lampasas TX 76550 271858033 Operation of Rural Health Clinics & Medical Services FL 501(c)(3) Line 3 Metroplex Adventist Hospital Inc 1 AdventHealth Kansas City Foundation fka AH Fdn Shawnee Mission 7315 E Frontage Road Merriam KS 66204 480868859 Fund-raising for Tax-exempt hospitals KS 501(c)(3) Line 7 Shawnee Mission Medical Center Inc 1 AdventHealth Home Care East Florida LLC 770 West Granada Blvd 319 Ormond Beach FL 32174 833768458 Inactive FL 501(c)(3) Line 10 Memorial Hlth Systems Inc 1 AdventHealth Hospice Care East Florida Inc 770 West Granada Blvd 304 Ormond Beach FL 32174 833748461 Inactive FL 501(c)(3) Line 10 Memorial Hlth Systems Inc 1 AdventHealth North Polk Inc 3100 E Fletcher Ave Tampa FL 33613 593231322 Inactive FL 501(c)(3) Line 12a, I University Community Hospital Inc 1 AdventHealth Polk North Inc 40100 US Highway 27 N Davenport FL 33837 841793121 Operation of Hospital & Related Services FL 501(c)(3) Line 3 Adventist Hlth System Sunbelt Hlthcare Corp 1 AdventHealth Polk South Inc 410 South 11th Street Lake Wales FL 33853 834672945 Operation of Hospital & Related Services FL 501(c)(3) Line 3 Adventist Hlth System Sunbelt Hlthcare Corp 1 AdventHealth Ransom Memorial Inc 1301 S Main Street Ottawa KS 66067 830976641 Operation of Hospital & Related Services KS 501(c)(3) Line 3 Adventist Hlth Mid-America Inc 1 AdventHealth Riverview Inc (5321 - 123121) 14055 Riveredge Drive Ste 150 Tampa FL 33637 870901094 Future Operation of Hospital & Related Services FL 501(c)(3) Line 3 Adventist Hlth System Sunbelt Hlthcare Corp 1 AdventHealth Senior Care Inc 900 Hope Way Altamonte Springs FL 32714 841817046 Operation of Physician Practices & Medical Services FL 501(c)(3) Line 3 Adventist Hlth System Sunbelt Hlthcare Corp 1 AdventHealth South Overland ParkInc 7820 W 165th Street Overland Park KS 66223 364595806 Operation of Hospital & Related Services KS 501(c)(3) Line 3 Adventist Hlth Mid-America Inc 1 AdventHealth University Inc 671 Winyah Drive Orlando FL 32803 593069793 Education/Operation of School FL 501(c)(3) Line 2 Adventist Hlth SystemSunbelt Inc 1 AdventHealth West Florida Ambulatory Services Inc 14055 Riveredge Drive Ste 250 Tampa FL 33637 471881744 Support of Imaging Center & Home Health Subsidiaries FL 501(c)(3) Line 12b, II Adventist Hlth System Sunbelt Hlthcare Corp 1 AdventHealth West Florida Imaging Inc 14055 Riveredge Drive Ste 250 Tampa FL 33637 843225135 Imaging & Testing FL 501(c)(3) Line 3 AdventHealth West Florida Ambulatory Services Inc 1 Adventist Bolingbrook Hospital 500 Remington Blvd Bolingbrook IL 60440 651219504 Operation of Hospital & Related Services IL 501(c)(3) Line 3 Adventist Midwest Health 1 Adventist Care Centers - Courtland Inc 730 Courtland Street Orlando FL 32804 205774723 Operation of Home for the Aged/Hlthcare Delivery FL 501(c)(3) Line 10 Sunbelt Hlth Care Centers Inc 1 Adventist GlenOaks Hospital 701 Winthrop Avenue Glendale Heights IL 60139 363208390 Operation of Hospital & Related Services IL 501(c)(3) Line 3 Adventist Midwest Health 1 Adventist Health Mid-America Inc 9100 W 74th Street Shawnee Mission KS 66204 521347407 Support of Affiliated Hospital KS 501(c)(3) Line 12c, III-FI Adventist Hlth SystemSunbelt Inc 1 Adventist Health Partners Inc 5101 S Willow Springs Rd Suite B101 La Grange IL 60525 364138353 Operation of Physician Practices & Medical Services IL 501(c)(3) Line 3 AHS Midwest Management Inc 1 Adventist Health System Georgia Inc 1035 Red Bud Road NE Calhoun GA 30701 581425000 Operation of Hospital & Related Services GA 501(c)(3) Line 3 Adventist Hlth System Sunbelt Hlthcare Corp 1 Adventist Hlth System Sunbelt Hlthcare Corp 900 Hope Way Altamonte Springs FL 32714 592170012 Management Services FL 501(c)(3) Line 12a, I N/A 0 Adventist Hlth SystemSunbelt Inc 900 Hope Way Altamonte Springs FL 32714 591479658 Operation of Hospitals & Related Services FL 501(c)(3) Line 3 Adventist Hlth System Sunbelt Hlthcare Corp 1 Adventist Hlth SystemTexas Inc 11801 S Freeway Burleson TX 76028 742578952 Leasing Personnel to Affiliated Hospital TX 501(c)(3) Line 12c, III-FI Adventist Hlth System Sunbelt Hlthcare Corp 1 Adventist Midwest Health 120 North Oak Street Hinsdale IL 60521 362276984 Operation of Hospitals & Related Services IL 501(c)(3) Line 3 Adventist Hlth SystemSunbelt Inc 1 AHP Specialty Care NFP 5101 S Willow Springs Rd Suite B101 La Grange IL 60525 811105774 Operation of Physician Practices & Medical Services IL 501(c)(3) Line 3 AHS Midwest Management Inc 1 AHS Midwest Management Inc 5101 S Willow Springs Rd Suite B101 La Grange IL 60525 363354567 Operation of Physician Practice Management IL 501(c)(3) Line 12a, I Adventist Midwest Health 1 Apopka Health Care Properties Inc 305 E Oak Street Apopka FL 32703 510605694 Lease to Related Organization GA 501(c)(3) Line 12c, III-FI Sunbelt Hlth Care Centers Inc 1 Bert Fish Medical Center Auxiliary Inc 401 Palmetto Street New Smyrna Beach FL 32168 591054892 Volunteer support services FL 501(c)(3) Line 10 N/A 0 Bradford Heights Health & Rehab Center Inc 485 North Keller Road 250 Maitland FL 32751 205782342 Inactive - Wind-Down KY 501(c)(3) Line 10 Sunbelt Hlth Care Centers Inc 1 Burleson Nursing & Rehab Center Inc 301 Huguley Blvd Burleson TX 76028 205782243 Operation of Home for the Aged/Hlthcare Delivery TX 501(c)(3) Line 10 Sunbelt Hlth Care Centers Inc 1 Chickasaw Health Care Properties Inc 250 S Chickasaw Trail Orlando FL 32825 510605681 Lease to Related Organization GA 501(c)(3) Line 12c, III-FI Sunbelt Hlth Care Centers Inc 1 Chippewa Valley Hospital & Oakview Care Center Inc 1220 Third Avenue West Durand WI 54736 391365168 Operation of Hospital & Related Services WI 501(c)(3) Line 3 Adventist Hlth SystemSunbelt Inc 1 Coalition For Physician Well-Being Inc 900 Hope Way Altamonte Springs FL 32714 463477012 Provide support for Physician well-being FL 501(c)(3) Line 10 Adventist Hlth System Sunbelt Hlthcare Corp 1 Courtland Health Care Properties Inc 730 Courtland Street Orlando FL 32804 510605682 Lease to Related Organization GA 501(c)(3) Line 12c, III-FI Sunbelt Hlth Care Centers Inc 1 Creekwood Place Nursing & Rehab Center Inc 485 North Keller Road 250 Maitland FL 32751 205782260 Inactive - Wind-Down KY 501(c)(3) Line 10 Sunbelt Hlth Care Centers Inc 1 Dairy Road Health Care Properties Inc 7350 Dairy Road Zephyrhills FL 33540 510605684 Lease to Related Organization GA 501(c)(3) Line 12c, III-FI Sunbelt Hlth Care Centers Inc 1 East Orlando Health & Rehab Center Inc 250 S Chickasaw Trail Orlando FL 32825 205774748 Operation of Home for the Aged/Hlthcare Delivery FL 501(c)(3) Line 10 Sunbelt Hlth Care Centers Inc 1 Emory-Adventist Inc (1121 - 123121) 900 Hope Way Altamonte Springs FL 32714 582171011 Inactive GA 501(c)(3) Line 3 Adventist Hlth SystemSunbelt Inc 1 Fletcher Hospital Inc 100 Hospital Drive Hendersonville NC 28792 560543246 Operation of Hospital & Related Services NC 501(c)(3) Line 3 Adventist Hlth System Sunbelt Hlthcare Corp 1 FLNC Inc 3355 E Semoran Blvd Apopka FL 32703 205774761 Operation of Home for the Aged/Hlthcare Delivery FL 501(c)(3) Line 10 Sunbelt Hlth Care Centers Inc 1 Florida Hospital Dade City Inc 13100 Fort King Road Dade City FL 33525 822567308 Operation of Hospital & Related Services FL 501(c)(3) Line 3 Adventist Hlth System Sunbelt Hlthcare Corp 1 Florida Hospital Healthcare Partners Inc 770 West Granada Blvd 101 Ormond Beach FL 32174 462354804 Operation of Physician Practices & Medical Services FL 501(c)(3) Line 3 Adventist Hlth SystemSunbelt Inc 1 Florida Hospital Medical Group Inc 2600 Westhall Lane 4th Floor Maitland FL 32751 593214635 Operation of Physician Practices & Medical Services FL 501(c)(3) Line 3 Adventist Hlth SystemSunbelt Inc 1 Florida Hospital Ocala Inc 1500 SW 1st Avenue Ocala FL 34471 824372339 Operation of Hospital & Related Services FL 501(c)(3) Line 3 Adventist Hlth System Sunbelt Hlthcare Corp 1 Florida Hospital Physician Group Inc 12470 Telecom Dr 100 Tampa FL 33637 462021581 Operation of Physician Practices & Medical Services FL 501(c)(3) Line 3 Adventist Hlth System Sunbelt Hlthcare Corp 1 Florida Hospital Waterman Inc 1000 Waterman Way Tavares FL 32778 593140669 Operation of Hospital & Related Services FL 501(c)(3) Line 3 Adventist Hlth System Sunbelt Hlthcare Corp 1 Florida Hospital Zephyrhills Inc 7050 Gall Blvd Zephyrhills FL 33541 592108057 Operation of Hospital & Related Services FL 501(c)(3) Line 3 Adventist Hlth SystemSunbelt Inc 1 Florida Radiology Imaging at Lake Mary LLC 2600 Westhall Lane 4th Floor Maitland FL 32751 550789387 Imaging & Testing FL 501(c)(3) Line 3 Florida Hospital Medical Group Inc 1 Fountain Inn Nursing & Rehab Center Inc 4501 Waterman Way Tavares FL 32778 472180518 Operation of Home for the Aged/Hlthcare Delivery FL 501(c)(3) Line 10 Sunbelt Hlth Care Centers Inc 1 Helen Ellis Memorial Hospital Auxiliary Inc 1395 S Pinellas Ave Tarpon Springs FL 34689 592106043 Fund-raising for Tax-exempt hospital/foundation FL 501(c)(3) Line 12c, III-FI N/A 0 Helen Ellis Memorial Hospital Foundation Inc 1395 S Pinellas Ave Tarpon Springs FL 34689 593690149 Fund-raising for Tax-exempt hospital FL 501(c)(3) Line 7 N/A 0 Hinsdale Hospital Foundation 120 North Oak Street Hinsdale IL 60521 521466387 Fund-raising for Tax-exempt hospital IL 501(c)(3) Line 7 Midwest Hlth Foundation 0 Hospice of the Comforter Inc 480 W Central Parkway Altamonte Springs FL 32714 592935928 Operation of Hospice FL 501(c)(3) Line 10 The Comforter Health Care Group Inc 1 In-Motion Rehab Inc 485 North Keller Road 250 Maitland FL 32751 208023411 Inactive KS 501(c)(3) Line 12b, II Sunbelt Hlth Care Centers Inc 1 Lake County Health Care Properties Inc 485 North Keller Road 250 Maitland FL 32751 813923985 Lease to Related Organization GA 501(c)(3) Line 12c, III-FI Sunbelt Hlth Care Centers Inc 1 Memorial Health Systems Foundation Inc 305 Memorial Medical Pkwy 212 Daytona Beach FL 32117 311771522 Fund-raising for Tax-exempt hospital FL 501(c)(3) Line 7 N/A 0 Memorial Health Systems Inc 301 Memorial Medical Parkway Daytona Beach FL 32117 590973502 Operation of Hospital & Related Services FL 501(c)(3) Line 3 Adventist Hlth SystemSunbelt Inc 1 Memorial Hospital - West Volusia Inc 701 West Plymouth Avenue Deland FL 32720 593256803 Operation of Hospital & Related Services FL 501(c)(3) Line 3 Memorial Hlth Systems Inc 1 Memorial Hospital Flagler Inc 60 Memorial Medical Parkway Palm Coast FL 32164 592951990 Operation of Hospital & Related Services FL 501(c)(3) Line 3 Memorial Hlth Systems Inc 1 Memorial Hospital Inc 210 Marie Langdon Drive Manchester KY 40962 610594620 Operation of Hospital & Related Services KY 501(c)(3) Line 3 Adventist Hlth System Sunbelt Hlthcare Corp 1 Metroplex Adventist Hospital Inc 2201 S Clear Creek Road Killeen TX 76549 742225672 Operation of Hospital & Related Services TX 501(c)(3) Line 3 Adventist Hlth System Sunbelt Hlthcare Corp 1 Metroplex Clinic Physicians Inc 2201 S Clear Creek Road Killeen TX 76549 113762050 Physician Healthcare services to the community TX 501(c)(3) Line 3 Metroplex Adventist Hospital Inc 1 Midwest Health Foundation 120 North Oak Street Hinsdale IL 60521 352230515 Fund-Raising for Supported Exempt Hospitals IL 501(c)(3) Line 7 N/A 0 Mills Health & Rehab Center Inc 485 North Keller Road 250 Maitland FL 32751 205782320 Inactive - Wind-Down KY 501(c)(3) Line 10 Sunbelt Hlth Care Centers Inc 1 Mission Strategies of Georgia Inc 485 North Keller Road 250 Maitland FL 32751 900866024 Provision of support to the nursing home division GA 501(c)(3) Line 12b, II Sunbelt Hlth Care Centers Inc 1 Missouri Adventist Health Inc 9100 W 74th Street Shawnee Mission KS 66204 431224729 Support Health Care Services MO 501(c)(3) Line 12d, III-O Adventist Hlth Mid-America Inc 1 Ormond Beach Memorial Hospital Auxiliary Inc(11-123121) 301 Memorial Medical Pkwy Daytona Beach FL 32117 591721962 Volunteer support services FL 501(c)(3) Line 12c, III-FI N/A 0 Osceola Health Care Properties Inc 485 North Keller Road 250 Maitland FL 32751 813165729 Lease to Related Organization GA 501(c)(3) Line 12c, III-FI Sunbelt Hlth Care Centers Inc 1 Overland Park Nursing & Rehab Center Inc 6501 West 75th Street Overland Park KS 66204 205774821 Operation of Home for the Aged/Hlthcare Delivery KS 501(c)(3) Line 10 Sunbelt Hlth Care Centers Inc 1 Pasco-Pinellas Hillsborough Community Hlth System Inc 2600 Bruce B Downs Blvd Wesley Chapel FL 33544 208488713 Operation of Hospital & Related Services FL 501(c)(3) Line 3 Adventist Hlth System Sunbelt Hlthcare Corp 1 Portercare Adventist Health System (630 YE) 9100 E Mineral Circle Centennial CO 80112 840438224 Operation of Hospitals & Related Services CO 501(c)(3) Line 3 Adventist Hlth System Sunbelt Hlthcare Corp 1 Princeton Health & Rehab Center Inc 485 North Keller Road 250 Maitland FL 32751 205782272 Inactive - Wind-Down KY 501(c)(3) Line 10 Sunbelt Hlth Care Centers Inc 1 Princeton Professional Services Inc 601 E Rollins Street Orlando FL 32803 591191045 Provision of Healthcare Services FL 501(c)(3) Line 10 Adventist Hlth System Sunbelt Hlthcare Corp 1 Quality Circle for Healthcare Inc 900 Hope Way Altamonte Springs FL 32714 263789368 Healthcare Quality Services FL 501(c)(3) Line 12a, I Adventist Hlth System Sunbelt Hlthcare Corp 1 Redmond Park Hospital LLC (10121 - 123121) 501 Redmond Road NW Rome GA 30165 581123037 Operation of Hospital & Related Services GA 501(c)(3) Line 3 Adventist Hlth System Sunbelt Hlthcare Corp 1 Resource Personnel Inc 485 North Keller Road 250 Maitland FL 32751 208040875 Provide administrative support to tax exempt nursing homes FL 501(c)(3) Line 12b, II Sunbelt Hlth Care Centers Inc 1 Rocky Mountain Adventist Hlthcare Foundation (630 YE) 960 E Harvard Avenue Ste 230 Denver CO 80210 840745018 Fund-raising for Tax-exempt hospital CO 501(c)(3) Line 7 N/A 0 Rollins Brook Community Care Corp 2201 S Clear Creek Road Killeen TX 76549 461656773 Support Operation of Hospital TX 501(c)(3) Line 12a, I Adventist Hlth SystemSunbelt Inc 1 San Marcos Health Care Properties Inc (11 - 123021) 1900 Medical Parkway San Marcos TX 78666 510605693 Lease to Related Organization GA 501(c)(3) Line 12c, III-FI Sunbelt Hlth Care Centers Inc 1 San Marcos Nursing & Rehab Center Inc 1900 Medical Parkway San Marcos TX 78666 205782224 Operation of Home for the Aged/Hlthcare Delivery TX 501(c)(3) Line 10 Sunbelt Hlth Care Centers Inc 1 Shawnee Mission Hlth Care Properties Inc 485 North Keller Road 250 Maitland FL 32751 813914908 Lease to Related Organization GA 501(c)(3) Line 12c, III-FI Sunbelt Hlth Care Centers Inc 1 Shawnee Mission Health Care Inc 6501 West 75th Street Overland Park KS 66204 480952508 Lease to Related Organization KS 501(c)(3) Line 12c, III-FI Sunbelt Hlth Care Centers Inc 1 Shawnee Mission Medical Center Inc 9100 W 74th Street Shawnee Mission KS 66204 480637331 Operation of Hospital & Related Services KS 501(c)(3) Line 3 Adventist Hlth Mid-America Inc 1 South Pasco Health Care Properties Inc 38250 A Avenue Zephyrhills FL 33542 510605679 Lease to Related Organization GA 501(c)(3) Line 12c, III-FI Sunbelt Hlth Care Centers Inc 1 Southeast Volusia Healthcare Corp 401 Palmetto Street New Smyrna Beach FL 32168 473793197 Operation of Hospital & Related Services FL 501(c)(3) Line 3 Adventist Hlth System Sunbelt Hlthcare Corp 1 Southwest Volusia Health Services Inc 1055 Saxon Blvd Orange City FL 32763 593281591 Medical Office Building for Hospital FL 501(c)(3) Line 12a, I Southwest Volusia Hlthcare Corp 1 Southwest Volusia Healthcare Corp 1055 Saxon Blvd Orange City FL 32763 593149293 Operation of Hospital & Related Services FL 501(c)(3) Line 3 Adventist Hlth SystemSunbelt Inc 1 Spring View Health & Rehab Center Inc 485 North Keller Road 250 Maitland FL 32751 205782288 Inactive - Wind-Down KY 501(c)(3) Line 10 Sunbelt Hlth Care Centers Inc 1 Sunbelt Health & Rehab Center - Apopka Inc 305 East Oak Street Apopka FL 32703 205774856 Operation of Home for the Aged/Hlthcare Delivery FL 501(c)(3) Line 10 Sunbelt Hlth Care Centers Inc 1 Sunbelt Health Care Centers Inc 485 North Keller Road 250 Maitland FL 32751 581473135 Management Services TN 501(c)(3) Line 12b, II Adventist Hlth System Sunbelt Hlthcare Corp 1 SunSystem Development Corp 900 Hope Way Altamonte Springs FL 32714 592219301 Fund-Raising for Affiliated Tax-Exempt Hospitals FL 501(c)(3) Line 7 Adventist Hlth System Sunbelt Hlthcare Corp 1 Tarpon Springs Hospital Foundation Inc 1395 S Pinellas Ave Tarpon Springs FL 34689 590898901 Operation of Hospital & Related Services FL 501(c)(3) Line 3 University Community Hospital Inc 1 Tarrant County Health Care Properties Inc 301 Huguley Blvd Burleson TX 76028 510605677 Lease to Related Organization GA 501(c)(3) Line 12c, III-FI Sunbelt Hlth Care Centers Inc 1 The Comforter Health Care Group Inc 605 Montgomery Road Altamonte Springs FL 32714 271857940 Support Services to Related Hospice FL 501(c)(3) Line 12c, III-FI Adventist Hlth System Sunbelt Hlthcare Corp 1 The Volunteer Auxiliary of Florida Hosp Flagler Inc(11-8321) 60 Memorial Medical Pkwy Palm Coast FL 32164 592486582 Volunteer support services FL 501(c)(3) Line 12c, III-FI N/A 0 Tri-County Nursing and Rehab Center Inc 1290 Celebration Blvd Kissimmee FL 34747 472219363 Operation of Home for the Aged/Hlthcare Delivery FL 501(c)(3) Line 10 Sunbelt Hlth Care Centers Inc 1 University Community Hospital Foundation Inc 3100 E Fletcher Ave Tampa FL 33613 592554889 Fund-raising for Tax-exempt hospital FL 501(c)(3) Line 7 N/A 0 University Community Hospital Inc 3100 E Fletcher Ave Tampa FL 33613 591113901 Operation of Hospitals & Related Services FL 501(c)(3) Line 3 Adventist Hlth System Sunbelt Hlthcare Corp 1 West Florida Health Home Care Inc 13601 Bruce B Downs Blvd Ste 110 Tampa FL 33613 593686109 Home Health Services GA 501(c)(3) Line 10 AdventHealth West Florida Ambulatory Svcs Inc 1 Zephyr Haven Health & Rehab Center Inc 38250 A Avenue Zephyrhills FL 33542 205774930 Operation of Home for the Aged/Hlthcare Delivery FL 501(c)(3) Line 10 Sunbelt Hlth Care Centers Inc 1 Zephyrhills Health & Rehab Center Inc 7350 Dairy Road Zephyrhills FL 33540 205774967 Operation of Home for the Aged/Hlthcare Delivery FL 501(c)(3) Line 10 Sunbelt Hlth Care Centers Inc 1 Fletcher Hospital Surgical Ventures LLC 9131 Anson Way Ste 304 Raleigh NC 27615 861482646 Indirect Interest in Surgery Center NC N/A 0 0 Florida Hospital DMERT LLC 500 Winderley Place Ste 324 Maitland FL 32751 202392253 Medical Equipment FL N/A 0 1 Florida Hospital Home Infusion LLP 500 Winderley Place Ste 226 Maitland FL 32751 593142824 Home Infusion Services FL N/A 0 1 Functional Neurosurgical Ambulatory Surgery Ctr LLC 11 W Dry Creek Circle 120 Littleton CO 80120 464426708 Surgery Center CO N/A 0 0 PAHS OnPoint Urgent Care LLC 9100 E Mineral Circle Centennial CO 80112 832465331 Urgent Care Center CO N/A 0 0 Princeton Homecare Services LLC 1050 Forrer Blvd Kettering OH 45420 814196648 Operation of Home Health Agency FL N/A 0 0 San Marcos MRI LP (1121-8121) 1330 Wonder World Dr Ste 202 San Marcos TX 78666 770597972 Imaging & Testing TX N/A 0 0 Surgery Center of Rome LP 900 Hope Way Altamonte Springs FL 32714 200390305 Surgery Center FL N/A 0 0 The Bariatric Center of Kansas City LLC 9100 W 74th Street Merriam KS 66204 823025378 Surgery Center KS N/A 0 0 Urgent Care Centers of Brevard County LLC 2600 Westhall Lane Maitland FL 32751 844261523 Urgent Care Centers FL N/A 0 1 AdventHealth Orlando Network Inc (35 - 123121) 900 Hope Way Altamonte Springs FL 32714 862639185 Inactive FL N/A C 1 AdventHealth Professional Staffing Inc (35 - 123121) 900 Hope Way Altamonte Springs FL 32714 880742779 INACTIVE FL N/A C 1 AdventHealth Tampa Network Inc (35 - 123121) 900 Hope Way Altamonte Springs FL 32714 862666178 Inactive FL N/A C 1 AdventHealth Team Members Inc (35 - 123121) 900 Hope Way Altamonte Springs FL 32714 880763664 INACTIVE FL N/A C 1 Altamonte Medical Plaza Condominium Association Inc 601 East Rollins Street Orlando FL 32803 592855792 Condo Association FL N/A C 1 Apopka Medical Plaza Condominium Association Inc 601 East Rollins Street Orlando FL 32803 593000857 Condo Association FL N/A C 1 Battle Creek Adventist Hospital 900 Hope Way Altamonte Springs FL 32714 381359189 Inactive MI N/A C 1 Central Texas Medical Associates (11-12252021) 1301 Wonder World Drive San Marcos TX 78666 742729873 Inactive TX N/A C 1 Florida Hospital Flagler Medical Offices Association Inc 60 Memorial Medical Parkway Palm Coast FL 32164 262158309 Condo Association FL N/A C 1 Florida Hosp Hlth Village Property Owner's Assoc Inc 550 E Rollins Street 7th Floor Orlando FL 32803 821748255 Condo Association FL N/A C 1 Florida Hospital Healthcare System Inc 101 Southhall Lane Ste 150 Maitland FL 32751 593215680 PHSO / CIN FL N/A C 1 Florida Medical Plaza Condominium Association Inc 601 East Rollins Street Orlando FL 32803 592855791 Condo Association FL N/A C 1 Kissimmee Multispecialty Clinic Condominium Association Inc 201 Hilda Street Suite 30 Kissimmee FL 34741 593539564 Condo Association FL N/A C 1 Midwest Management Services Inc 9100 West 74th Street Shawnee Mission KS 66204 480901551 Inactive KS N/A C 1 North American Health Services Inc & Sub 900 Hope Way Altamonte Springs FL 32714 621041820 Holding Co. TN N/A C 1 Ormond Prof Associates Condo Assoc Inc (430 year end) 770 W Granada Blvd Ste 101 Ormond Beach FL 32174 592694434 Condo Association FL N/A C 1 Park Ridge Property Owner's Association Inc 1 Park Place Naples Road Fletcher NC 28732 030380531 Condo Association NC N/A C 1 Porter Affiliated Health Services Inc (11-63021) 2525 S Downing Street Denver CO 80210 840956175 INACTIVE CO N/A C 1 Surgicare of Rome Inc (10121 - 123121) 900 Hope Way Altamonte Springs FL 32714 200376307 Holding Company GA N/A C 1 Redmond Park Health Services Inc (10121 - 123121) 900 Hope Way Altamonte Springs FL 32714 621330078 Holding Company GA N/A C 1 Redmond Physician Practice Company (10121 - 10121) 900 Hope Way Altamonte Springs FL 32714 621662134 Medical Clinics GA N/A C 1 The Garden Retirement Community Inc 485 North Keller Road Ste 250 Maitland FL 32751 593414055 Real Estate Rental FL N/A C 1 Winter Park Medical Office Building I Condo Assoc Inc 601 East Rollins Street Orlando FL 32803 452228478 Condo Association FL N/A C 1 0 1 1 0 0 0 0 0 0 0 0 0 1 1 0 1 0 0 0 Adventist Health SystemSunbelt Inc dba AdventHealth Orlando B 19391753 Actual Amount Donated Adventist Health SystemSunbelt Inc dba AdventHealth Sebring B 36091 Actual Amount Donated Fletcher Hospital Inc B 294778 Actual Amount Donated Florida Hospital Medical Group Inc B 351513 Actual Amount Donated Florida Hospital Zephyrhills Inc B 549859 Actual Amount Donated Hospice of the Comforter Inc B 54438 Actual Amount Donated Memorial Hospital Inc B 252264 Actual Amount Donated Memorial Hospital Flagler Inc B 233265 Actual Amount Donated Pasco-Pinellas Hillsborough Community Health System Inc B 125449 Actual Amount Donated Southeast Volusia Healthcare Corp B 575000 Actual Amount Donated Southwest Volusia Healthcare Corp B 73267 Actual Amount Donated University Community Hospital Inc B 137193 Actual Amount Donated Adventist Health SystemSunbelt Inc dba AdventHealth Orlando C 1476099 Actual Amount Received Adventist Health SystemSunbelt Inc dba AdventHealth Sebring C 29397 Actual Amount Received Fletcher Hospital Inc C 161131 Actual Amount Received Florida Hospital Ocala Inc C 111117 Actual Amount Received Florida Hospital Zephyrhills Inc C 124838 Actual Amount Received Memorial Hospital Flagler Inc C 82402 Actual Amount Received Memorial Hospital - West Volusia Inc C 57192 Actual Amount Received Pasco-Pinellas Hillsborough Community Health System Inc C 108029 Actual Amount Received The Volunteer Auxiliary of Florida Hospital-Flagler Inc C 94200 Actual Amount Received Adventist Health System Georgia Inc M 50283 Cost Adventist Health SystemSunbelt Inc dba AdventHealth Orlando M 4377517 Cost Adventist Health SystemSunbelt Inc dba AdventHealth Sebring M 223202 Cost Fletcher Hospital Inc M 331180 Cost Florida Hospital Ocala Inc M 278507 Cost Florida Hospital Zephyrhills Inc M 278507 Cost Memorial Hospital Inc M 64709 Cost Memorial Hospital Flagler Inc M 278822 Cost Memorial Hospital - West Volusia Inc M 116045 Cost Metroplex Adventist Hospital Inc M 94234 Cost Pasco-Pinellas Hillsborough Community Health System Inc M 278507 Cost Southeast Volusia Healthcare Corp M 74333 Cost Adventist Health SystemSunbelt Inc dba AdventHealth Orlando N 332310 Cost Allocation