STRATEGY STUDIO / NONPROFIT PEOPLE SEARCH

FLORIDA HOSPITAL MEDICAL GROUP INC: Form 990, tax year 2016

View the entire original 990 at ProPublica ↗

Organization
FLORIDA HOSPITAL MEDICAL GROUP INC (EIN 59-3214635)
Tax period
2016-01-01 to 2016-12-31
Filed
2018-01-29
IRS object ID
201810299349300436
Schema version
2016v3.0
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2018-01-29T15:29:17-06:00ReturnTs
Tax Period End2016-12-31TaxPeriodEndDt
Return Type990ReturnTypeCd
Tax Period Begin2016-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN593214635EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Florida Hospital Medical Group IncBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlFLORBusinessNameControlTxt
Phone4072002700PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line12600 Westhall LaneAddressLine1Txt
CityMaitlandCityNm
State AbbreviationFLStateAbbreviationCd
ZIP32751ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonLynn C AddiscottPersonNm
Person TitleAssistant SecretaryPersonTitleTxt
Phone4079751492PhoneNum
Signature2018-01-24SignatureDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address204.139.85.142IPv4AddressTxt
FieldValueIRS element (for citing)
IP2018-01-24IPDt
IP Tm15:50:53IPTm
IP TimezoneESIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device IdC18440E83583A01A3D3F74DEBC89B245B68C7147AtSubmissionCreationDeviceId
At Submission Filing Device IdF7F973113C6C6A5F5987F0EC85E73F6D0608CD2FAtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2016TaxYr
Build TS2021-01-29 14:40:06ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerJim MoffettPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line12600 Westhall LaneAddressLine1Txt
CityMaitlandCityNm
State AbbreviationFLStateAbbreviationCd
ZIP32751ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$454,758,057GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Group Exemption1071GroupExemptionNum
Organization501c3Yes (X)Organization501c3Ind
Website Addresswww.fhmedicalgroup.comWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1994FormationYr
Legal Domicile StateFLLegalDomicileStateCd
Activity Or MissionOPERATION OF PHYSICIAN PRACTICES AND PROVISION OF RELATED MEDICAL SERVICES.ActivityOrMissionDesc
Voting Members Governing Body11VotingMembersGoverningBodyCnt
Voting Members Independent0VotingMembersIndependentCnt
Total Employee2665TotalEmployeeCnt
Total Volunteers5TotalVolunteersCnt
Total Gross UBI-$79,343TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm-$79,343NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$460,996PYContributionsGrantsAmt
CY Contributions Grants$396,070CYContributionsGrantsAmt
PY Program Service Revenue$420,627,760PYProgramServiceRevenueAmt
CY Program Service Revenue$452,429,212CYProgramServiceRevenueAmt
PY Investment Income-$130,660PYInvestmentIncomeAmt
CY Investment Income$283,499CYInvestmentIncomeAmt
PY Other Revenue$893,762PYOtherRevenueAmt
CY Other Revenue$348,030CYOtherRevenueAmt
PY Total Revenue$421,851,858PYTotalRevenueAmt
CY Total Revenue$453,456,811CYTotalRevenueAmt
PY Grants And Similar Paid$25,000PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$40,000CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$326,307,701PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$359,221,989CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$94,587,257PYOtherExpensesAmt
CY Other Expenses$94,988,182CYOtherExpensesAmt
PY Total Expenses$420,919,958PYTotalExpensesAmt
CY Total Expenses$454,250,171CYTotalExpensesAmt
PY Revenues Less Expenses$931,900PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$793,360CYRevenuesLessExpensesAmt
Total Assets BOY$115,049,759TotalAssetsBOYAmt
Total Assets EOY$134,919,004TotalAssetsEOYAmt
Total Liabilities BOY$37,480,529TotalLiabilitiesBOYAmt
Total Liabilities EOY$50,149,458TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$77,569,230NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$84,769,546NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionAdventist 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 Adventist Health System (AHS). AHS 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, AHS cares for and nurtures people: our employees, our communities, our healthcare professionals, and those who trust us for care and healing.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$444,334,155ExpenseAmt
Grant$40,000GrantAmt
Revenue$452,429,212RevenueAmt
DescThe primary mission of FHMG is to serve the health care needs of the local community by providing broad access to services through various programs, including physician participation in Medicare, Medicaid, and by providing indigent care. There were 1,395,493 patient visits during the current year.Desc
Total Program Service Expenses$444,334,155TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Temp Or Permanent Endowments0TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other AssetsYes (1)ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To OrganizationsYes (1)GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With Officer Ent0BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl EntYes (1)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (1)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document232IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee2665EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (1)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (1)Form990TFiledInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members11GoverningBodyVotingMembersCnt
Independent Voting Member0IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (1)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEO0CompensationProcessCEOInd
Compensation Process Other0CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Phil PorterBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone4072001601PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line12600 Westhall LaneAddressLine1Txt
CityMaitlandCityNm
State AbbreviationFLStateAbbreviationCd
ZIP32751ZIPCd
FieldValueIRS element (for citing)
Info In Schedule O Part VIIYes (X)InfoInScheduleOPartVIIInd

Form990 Part VII Section A Form990PartVIISectionAGrp (23 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerIndKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeIndFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
Tol Daryl L
Director/Chairman0.5050.00Yes (X)$0$1,252,135$161,738
Banks David
Director (end 12/2016)0.2050.00Yes (X)$0$1,759,438$149,146
Drenth Howard
Director/President (Beg 07/2016)50.000.00Yes (X)$0$393,431$59,905Yes (X)
Finkler MD Neil
Director (End 12/2016)0.2050.00Yes (X)$0$674,643$132,072
Goodman Todd A
Director0.5050.00Yes (X)$0$617,891$107,859
Oh MD Cheryl
Director (end 12/2016)40.007.00Yes (X)$192,603$0$16,401
Owen Terry R
Vice Chair/Director (End 12/2016)0.2050.00Yes (X)$0$741,009$101,509
Rodgers MD Robert
Director/CMO (end 12/2016)40.008.00Yes (X)$335,339$0$35,107
Shay MD Samuel
Director (end 12/2016)40.008.00Yes (X)$233,832$0$18,318
Stiltz Bryan
Director (end 12/2016)0.2050.00Yes (X)$0$873,662$106,819
Wadhawan MD Rajan
Director (end 12/2016)15.0035.00Yes (X)$649,648$0$33,291
Mazeres Michael
CFO (end 12/2016)50.000.00$0$318,088$63,677Yes (X)
Bancroft III MD Josiah
Physician (end 12/2016)50.0010.00$1,446,939$0$34,865Yes (X)
Patel MD Rakesh
Physician/CMSO (end 12/2016)50.000.00$483,300$0$22,830Yes (X)
Shill MD Ronald
Physician (end 12/2016)50.0010.00$1,432,130$0$37,174Yes (X)
Weagraff Elizabeth
COO (end 06/2016)50.000.00$0$419,898$75,660Yes (X)
PATEL MD VIPUL
Physician50.0024.00$3,650,383$0$34,624Yes (X)
HOLLOWAY MD ROBERT W
Physician50.004.00$1,727,806$0$35,654Yes (X)
Perez-Izquierdo MD Manuel R
Physician50.0010.00$1,268,463$0$34,624Yes (X)
Wladis MD Alan Robert
Physician50.0010.00$1,260,139$0$34,665Yes (X)
Ranson MD Mark E
Physician50.0010.00$1,258,218$0$29,165Yes (X)
Gamble MD Bryan
Former V.Chair/Dir/CEO0.0050.00$0$701,341$21,856Yes (X)
Martin Mark
Former COO0.0050.00$0$529,002$99,965Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$13,938,800TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$8,280,538TotReportableCompRltdOrgAmt
Total Other Compensation$1,446,924TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K580IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (1)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
Zotec Partners LLC
PO Box 2288IndianapolisIN46206Billing Services$4,401,574
Locumtenenscom LLc
PO Box 405547AtlantaGA30384Staffing$3,760,448
Weatherby Locums Inc
PO Box 972633DallasTX75397Staffing$3,417,757
Central Florida Pulmonary Group
326 N Mills AveOrlandoFL32803Staffing$1,360,390
Allscripts
PO Box 29048GlendaleCA91209System Maintenance$1,142,421
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K20CntrctRcvdGreaterThan100KCnt
Info In Schedule O Part VIIIYes (X)InfoInScheduleOPartVIIIInd
Related Organizations$396,070RelatedOrganizationsAmt
Total Contributions$396,070TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (4 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
Net Patient Revenue622110$334,485,901$334,485,901
Support Pmts From Exempt Affiliat622110$101,951,102$101,951,102
Medical Director Revenue622110$7,972,341$7,972,341
Call Coverage622110$6,268,698$6,268,698

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,751,170TotalRevenueColumnAmt
Related Or Exempt Func Income$1,751,170RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$452,429,212TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,000,748TotalRevenueColumnAmt
Exclusion$1,000,748ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$427,373RealAmt
Personal$471,392PersonalAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$0RealAmt
Personal$550,735PersonalAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$427,373RealAmt
Personal-$79,343PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$348,030TotalRevenueColumnAmt
Unrelated Business Revenue-$79,343UnrelatedBusinessRevenueAmt
Exclusion$427,373ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Other$33,262OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$643,741SecuritiesAmt
Other$106,770OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities-$643,741SecuritiesAmt
Other-$73,508OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column-$717,249TotalRevenueColumnAmt
Exclusion-$717,249ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$453,456,811TotalRevenueColumnAmt
Related Or Exempt Func Income$452,429,212RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue-$79,343UnrelatedBusinessRevenueAmt
Exclusion$710,872ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$40,000TotalAmt
Program Services$40,000ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$6,302,436TotalAmt
Program Services$4,095,201ProgramServicesAmt
Management And General$2,207,235ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$300,293,936TotalAmt
Program Services$297,516,428ProgramServicesAmt
Management And General$2,777,508ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$7,968,278TotalAmt
Program Services$7,846,824ProgramServicesAmt
Management And General$121,454ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$31,754,792TotalAmt
Program Services$30,943,436ProgramServicesAmt
Management And General$811,356ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$12,902,547TotalAmt
Program Services$12,612,294ProgramServicesAmt
Management And General$290,253ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$2,403,172TotalAmt
Program Services$2,401,405ProgramServicesAmt
Management And General$1,767ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$257,473TotalAmt
Management And General$257,473ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$30,628,128TotalAmt
Program Services$28,793,593ProgramServicesAmt
Management And General$1,834,535ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$982,658TotalAmt
Program Services$921,984ProgramServicesAmt
Management And General$60,674ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$7,917,018TotalAmt
Program Services$7,229,428ProgramServicesAmt
Management And General$687,590ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$8,135TotalAmt
Program Services$6,181ProgramServicesAmt
Management And General$1,954ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$16,818,604TotalAmt
Program Services$16,512,257ProgramServicesAmt
Management And General$306,347ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$13,442TotalAmt
Program Services$11,359ProgramServicesAmt
Management And General$2,083ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$288,743TotalAmt
Program Services$288,743ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$5,928,651TotalAmt
Program Services$5,916,572ProgramServicesAmt
Management And General$12,079ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$9,794,431TotalAmt
Program Services$9,792,618ProgramServicesAmt
Management And General$1,813ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (3 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
Medical Supplies$12,448,450$12,448,450
Repairs & Maintenance$6,394,474$5,966,982$427,492
Unrelated Business Inco$16,251$16,251

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$1,088,552TotalAmt
Program Services$990,400ProgramServicesAmt
Management And General$98,152ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$454,250,171TotalAmt
Program Services$444,334,155ProgramServicesAmt
Management And General$9,916,016ManagementAndGeneralAmt
Fundraising$0FundraisingAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XYes (X)InfoInScheduleOPartXInd

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$35,726BOYAmt
EOY$34,324EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$1,284,603BOYAmt
EOY$29,396,582EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$33,874,754BOYAmt
EOY$32,844,543EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$1,003,819BOYAmt
EOY$1,218,049EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$50,016,309LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$36,439,486LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$12,972,594BOYAmt
EOY$13,576,823EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$23,106,710BOYAmt
EOY$23,013,735EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$42,771,553BOYAmt
EOY$34,834,948EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$115,049,759BOYAmt
EOY$134,919,004EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$36,373,839BOYAmt
EOY$43,426,256EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$1,106,690BOYAmt
EOY$6,723,202EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$37,480,529BOYAmt
EOY$50,149,458EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$77,569,230BOYAmt
EOY$84,769,546EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$77,569,230BOYAmt
EOY$84,769,546EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$115,049,759BOYAmt
EOY$134,919,004EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss-$793,360ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$1,075,604NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$6,918,072OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule D IRS990ScheduleD

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$17,163,592OtherCostOrOtherBasisAmt
Depreciation$12,824,462DepreciationAmt
Book Value$4,339,130BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$32,852,717OtherCostOrOtherBasisAmt
Depreciation$23,615,024DepreciationAmt
Book Value$9,237,693BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$13,576,823TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (2 entries)

DescDescBook ValueBookValueAmt
Due from Affiliated Entities$34,718,652
Other Receivables$116,296
FieldValueIRS element (for citing)
Total Book Value Other Assets$34,834,948TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)

DescDescAmtAmt
Due to Affiliated Entities$5,605,136
Deferred Lease$326,737
F R I - Other Current Liabilities$781,329
Other Noncurrent Liabilities$10,000
FieldValueIRS element (for citing)
Total Liability$6,723,202TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart X, Line 2:FormAndLineReferenceDesc
ExplanationThe filing organization is a subsidiary organization within Adventist Health System (AHS). The consolidated financial statements of AHS contain the following FIN 48 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, 2016 and 2015. NAHS also has temporary deductible differences of approximately $59,100 and $62,700 at December 31, 2016 and 2015, respectively, primarily as a result of net operating loss carryforwards. At December 31, 2016, NAHS had net operating loss carryforwards of approximately $59,600, expiring beginning in 2022 through 2026. Deferred taxes have been provided for these amounts, resulting in a net deferred tax asset of approximately $22,500 and $23,800 at December 31, 2016 and 2015, respectively. A full valuation allowance has been provided at December 31, 2016 and 2015 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 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, 2016 and 2015.ExplanationTxt

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (1)GrantRecordsMaintainedInd

Recipient Table RecipientTable (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtPurpose Of GrantPurposeOfGrantTxt
SUNSYSTEM DEVELOPMENT CORPoration DBA FLORIDA HOSPITAL FOUNDATION
900 Hope WayAltamonte SpringsFL32714592219301501(C)(3)$20,000GENERAL SUPPORT
Kids Beating Cancer Inc
228 E Winter Park StOrlandoFL32804593136203501(C)(3)$15,000General Support
FieldValueIRS element (for citing)
Total501c3 Org2Total501c3OrgCnt
Total Other Org0TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart I, Line 2:FormAndLineReferenceDesc
ExplanationGrants are generally made only to related organizations that are exempt from federal income tax under IRC Section 501(c)(3), or to other local charitable community organizations, or to other 501(c)(3) organizations that are a part of the group exemption ruling issued to the General Conference of Seventh-Day Adventists. 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.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Travel For CompanionsYes (X)TravelForCompanionsInd
Idemnification Gross Up PmtsYes (X)IdemnificationGrossUpPmtsInd
Discretionary Spending AcctYes (X)DiscretionarySpendingAcctInd
Housing Allowance Or ResidenceYes (X)HousingAllowanceOrResidenceInd
Written Policy Ref T And E ExpnssYes (1)WrittenPolicyRefTAndEExpnssInd
Substantiation RequiredYes (1)SubstantiationRequiredInd
Severance PaymentYes (1)SeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (1)SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgYes (1)CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgYes (1)CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (23 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
Tol Daryl L
Director/Chairman$0$683,740$0$177,428$0$390,967$0$115,153$0$46,585$0$1,413,873$0$75,218
Banks David
Director (end 12/2016)$0$557,297$0$179,282$0$1,022,859$0$101,470$0$47,676$0$1,908,584$0$86,312
Drenth Howard
Director/President (Beg 07/2016)$0$174,849$0$0$0$218,582$0$4,845$0$55,060$0$453,336$0$0
Finkler MD Neil
Director (End 12/2016)$0$431,577$0$111,175$0$131,891$0$83,865$0$48,207$0$806,715$0$54,548
Goodman Todd A
Director$0$468,741$0$90,751$0$58,399$0$61,435$0$46,424$0$725,750$0$23,809
Oh MD Cheryl
Director (end 12/2016)$189,983$0$0$0$2,620$0$9,839$0$6,562$0$209,004$0$0$0
Owen Terry R
Vice Chair/Director (End 12/2016)$0$445,909$0$121,712$0$173,388$0$65,724$0$35,785$0$842,518$0$45,499
Rodgers MD Robert
Director/CMO (end 12/2016)$299,901$0$34,800$0$638$0$14,388$0$20,719$0$370,446$0$0$0
Shay MD Samuel
Director (end 12/2016)$191,006$0$40,895$0$1,931$0$12,369$0$5,949$0$252,150$0$0$0
Stiltz Bryan
Director (end 12/2016)$0$465,003$0$139,579$0$269,080$0$60,505$0$46,314$0$980,481$0$43,015
Wadhawan MD Rajan
Director (end 12/2016)$425,006$0$88,044$0$136,598$0$14,387$0$18,904$0$682,939$0$0$0
Mazeres Michael
CFO (end 12/2016)$0$254,675$0$34,671$0$28,742$0$44,455$0$19,222$0$381,765$0$22,325
Bancroft III MD Josiah
Physician (end 12/2016)$924,997$0$520,050$0$1,892$0$14,388$0$20,477$0$1,481,804$0$0$0
Patel MD Rakesh
Physician/CMSO (end 12/2016)$444,206$0$35,400$0$3,694$0$14,388$0$8,442$0$506,130$0$0$0
Shill MD Ronald
Physician (end 12/2016)$914,830$0$507,550$0$9,750$0$14,387$0$22,787$0$1,469,304$0$0$0
Weagraff Elizabeth
COO (end 06/2016)$0$301,187$0$69,407$0$49,304$0$37,797$0$37,863$0$495,558$0$27,396
PATEL MD VIPUL
Physician$1,500,013$0$956,621$0$1,193,749$0$14,387$0$20,237$0$3,685,007$0$0$0
HOLLOWAY MD ROBERT W
Physician$1,300,000$0$353,016$0$74,790$0$14,387$0$21,267$0$1,763,460$0$0$0
Perez-Izquierdo MD Manuel R
Physician$499,990$0$601,423$0$167,050$0$14,387$0$20,237$0$1,303,087$0$0$0
Wladis MD Alan Robert
Physician$500,011$0$601,423$0$158,705$0$14,388$0$20,277$0$1,294,804$0$0$0
Ranson MD Mark E
Physician$500,011$0$601,423$0$156,784$0$9,088$0$20,077$0$1,287,383$0$0$0
Gamble MD Bryan
Former V.Chair/Dir/CEO$0$6,670$0$107,701$0$586,970$0$14,387$0$7,469$0$723,197$0$129,963
Martin Mark
Former COO$0$387,935$0$89,679$0$51,388$0$59,444$0$40,521$0$628,967$0$30,267

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part I, Line 1aThe filing organization is a part of the system of healthcare organizations known as Adventist Health System (AHS). Members of the filing organization's executive management team that hold the position of Vice-President or above are compensated by and on the payroll of Adventist Health System Sunbelt Healthcare Corporation (AHSSHC), the parent organization of AHS. AHSSHC is exempt from federal income tax under IRC Section 501(c)(3). The filing organization reimburses AHSSHC for the salary and benefit cost of those executives on the payroll of AHSSHC that provide services and are on the management team of the filing organization. Travel for companions: AHSSHC has a Corporate Executive Policy that provides a benefit to allow for a traveling AHSSHC executive to have his or her spouse accompany the executive on certain business trips each year. Typically, reimbursement is only provided to Vice Presidents and above and is usually limited to one business trip per year beyond the annual AHS President's Council business meeting and other meetings where the spouse is specifically invited. The AHSSHC Corporate Executive Spousal Travel Policy was originally approved and reviewed by the AHSSHC Board Compensation Committee, an independent body of the AHSSHC Board of Directors. All spousal travel costs reimbursed to the executive are considered taxable compensation to the executive. Tax Indemnification and gross-up payments: AHS has a system-wide policy addressing gross-up payments provided in connection with employer-provided benefits/other taxable items. Under the policy, certain taxable business-related reimbursements (i.e. taxable business-related moving expenses, taxable items provided in connection with employment) provided to any employee may be grossed-up at a 25% rate upon approval of the filing organization's CEO and CFO. Additionally, employees at the Director level and above are eligible for gross-up payments on gifts received for board of director services. Discretionary spending account: A nominal discretionary spending amount was provided in the current year to all eligible executives who attend the annual AHS President's Council business meeting ($500 per executive) or the annual AHS CFO Conference business meeting ($300 per executive). Other discretionary spending accounts may be provided in connection with other AHS sponsored conferences but typically do not exceed $200 per participant. With respect to the AHS President's council meeting, eligible executives may include AHSSHC Vice Presidents and above and all AHSSHC subsidiary organization CEOs and Regional CFOs. The payment provided to each executive was considered taxable compensation to the executive. Housing allowance or residence for personal use: AHSSHC has a Corporate Executive Policy that addresses assistance to executives who have been relocated by the company during the year. Relocation assistance provided to executives may include relocation allowances to assist with duplicate housing expenses. Relocation assistance is administered per AHSSHC policy by an external relocation company. Any taxable reimbursements made to executives in connection with relocation assistance are treated as wages to the executive and are subject to all payroll withholding and reporting requirements.
Part I, Line 3The individual who serves as the CEO of the filing organization is compensated by Adventist Health System Sunbelt Healthcare Corporation (AHSSHC) for that individual's role in serving as the CEO. 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. 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 AHS and each of its affiliated entities. The following principles guide the establishment of individual executive compensation: - The salary of the President/CEO of AHS will not exceed the 40th 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-bPart I, Line 4A: During the year ending December 31, 2016, Bryan Gamble received severance payments in the amount of $456,370. 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 AHS. Part I, Line 4B: Executive Plan As discussed in Line 1a above, executives on the filing organization's management team that hold the position of Vice-President or above are compensated by and on the payroll of Adventist Health System Sunbelt Healthcare Corporation (AHSSHC), the parent organization of a healthcare system known as Adventist Health System (AHS). In recognition of the contribution that each executive makes to the success of AHS, AHS provides to eligible executives participation in the AHS Executive FLEX Benefit Program (the Plan). The purpose of the Plan is to offer eligible executives an opportunity to elect from among a variety of supplemental benefits, including deferred compensation benefits taxable under Internal Revenue Code (IRC) Section 457(f), to individually tailor a benefits program appropriate to each executive's needs. The Plan provides eligible participants a pre-determined benefits allowance credit that is equal to a percentage of the executive's base pay from which is deducted the cost of mandatory and elective employee benefits. The pre-determined benefits allowance credit percentage is approved by the AHSSHC Board Compensation Committee, an independent committee of the Board of Directors of AHSSHC. Any funds that remain after the cost of mandatory and elective benefits are subtracted from the annual pre-determined benefits allowance are contributed, at the employee's option, 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 documents define an employee who is eligible to participate in the Plan to generally include the Chief Executive Officers of AHS entities and Vice Presidents of all AHS entities whose base salary is at least $236,000. 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 is forfeited by the executive upon a voluntary separation. In addition to the Plan, AHS has instituted a defined benefit, non-tax-qualified deferred compensation plan for certain executives who have provided lengthy service to AHS and/or to other Seventh-Day Adventist Church hospitals or health care institutions. Participation in the plan is offered to AHS executives on a prorata schedule beginning with 20 years of service as an employee of AHS 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) 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 AHS 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 the SERP and by the individual's year of entry to the AHS Executive FLEX Benefit Program. Flex Plan Flex Plan/ SERP 457(b) CY CY Employer CY Contrib./ Distributions* Contrib. Distributions* Payment ------------------------------------------------------- Terry Owen $ 69,337 $ 44,519 $ 89,139 $0 David Banks $ 87,082 $ 86,362 $915,470 $0 Bryan Gamble, MD $ 1,031 $119,975 $ 0 $0 Bryan Stiltz $ 64,118 $ 41,053 $194,936 $0 Elizabeth Weagraff $ 23,410 $ 27,396 $ 0 $0 Michael Mazeres $ 30,068 $ 22,394 $ 0 $0 Neil Finkler, MD $ 69,477 $ 54,383 $ 0 $0 Daryl Tol $118,765 $ 73,604 $ 0 $0 Todd Goodman $ 65,048 $ 23,133 $ 0 $0 Howard Drenth $ 22,845 $ 0 $ 0 $0 Mark Martin $ 45,506 $ 30,267 $ 0 $0 * Including Investment Earnings Physician Plan In recognition of the contribution certain physician employees make to the success of AHS, AHS has provided an Adventist Health System Physician Retention Plan (the Physician Plan). The plan was established for the purposes of providing deferred bonuses to certain eligible physicians of AHSSHC and its affiliates to aid in such physicians' attraction and retention. This Physician Plan was adopted by Adventist Health System Sunbelt Healthcare Corporation ("AHS or, together with any other participating employer, the "Employer") for certain physician employees of the Employer. The purpose of the Plan is to offer those eligible physician employees an opportunity to receive deferred bonus payment amounts from the Employer taxable pursuant to section 457(f) of the Internal Revenue Code of 1986, as amended (the "Code"). The Plan is intended to be a "church plan" within the meaning of section 414(e) of the Code and section 3(33) of the Employee Retirement Income Security Act of 1974, as amended, ("ERISA"), and as a result, is exempt from ERISA. It is intended that Benefits payable under the Plan shall not constitute deferred compensation within the meaning of section 409A of the Code (together with the Treasury regulations or any other authoritative guidance issued thereunder, "Section 409A") under the "short-term deferral" exception outlined, as of the Effective Date, in Treasury Regulation 1.409A-1(b)(4)-i.e., because all Benefit payments under the Plan shall be made no later than two and one-half (2 1/2) months following the last day of the calendar year in which the Benefit payments are no longer subject to a substantial risk of forfeiture. Notwithstanding the preceding, if and to the extent future guidance indicates that Benefits payable under the Plan do constitute deferred compensation within the meaning of Section 409A, it is intended that the Plan satisfies the requirements of Section 409A. CY Employer CY Contrib. Distributions ------------------------------------------------------- Vipul Patel, MD $500,000 $ 552,863* * Including Investment Earnings
Part I, Line 5The filing organization's physician compensation formula is designed to result in total compensation that would be reasonable for each physician. The filing organization utilizes national survey productivity, cost, and compensation data in formulating all aspects of the compensation plan. Physician compensation contractual agreements include a ceiling or reasonable maximum on the amount a physician may earn. The filing organization's employed physicians enter into a written agreement that requires the physicians to provide medical care to individuals who are referred by the filing organization. The filing organization's compensation arrangement does not use a method of compensation that is based upon a percentage of the organization's net income. Under the compensation arrangement, physician base salary, including any additional compensation based on a percentage of the practice/location net collections, is documented as being within a range of Fair Market Value.
Part I, Line 6The filing organization's physician compensation formula is designed to result in total compensation that would be reasonable for each physician. The filing organization utilizes national survey productivity, cost, and compensation data in formulating all aspects of the compensation plan. Physician compensation contractual agreements include a ceiling or reasonable maximum on the amount a physician may earn. The filing organization's employed physicians enter into a written agreement that requires the physicians to provide medical care to individuals who are referred by the filing organization. The filing organization's compensation arrangement does not use a method of compensation that is based upon a percentage of the organization's net income. Under the compensation arrangement, physician base salary, including any additional compensation based on a percentage of the practice/location net revenue, is documented as being within a range of Fair Market Value.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (12 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part VI, Section A, line 6Florida Hospital Medical Group, Inc. (the filing organization) has one member. The sole member of the filing organization is Adventist Health System Sunbelt Healthcare Corporation. Adventist Health System Sunbelt Healthcare Corporation (AHSSHC) is a Florida, not-for-profit corporation that is exempt from federal income tax under Internal Revenue Code (IRC) Section 501(c)(3). There are no other classes of membership in the filing organization.
Form 990, Part VI, Section A, line 7aThe sole member of the filing organization is AHSSHC. The Board of Directors of the filing organization are appointed by the sole member, AHSSHC, who has the right to elect, appoint or remove any member of the Board of Directors of the filing organization.
Form 990, Part VI, Section A, line 7bAHSSHC, as the sole member of the filing organization, has certain reserved powers as set forth in the Bylaws of the filing organization. These reserved powers include the following: a) to approve and disapprove the executive and/or administrative leadership of the filing organization, and their salaries; b) to adopt, amend, restate, and repeal the Articles of Incorporation or Bylaws of the filing organization; c) to set limits and terms for the borrowing of funds; d) to approve or disapprove major building programs and/or purchase or sale of personal property or real property equal to or in excess of $250,000; e) to approve or disapprove the annual operating and capital budgets of the filing organization; f) to direct the placement of funds and capital of the filing organization; and g) to establish general guiding policies.
Form 990, Part VI, Section B, line 11bThe filing organization's current year Form 990 was reviewed by the CEO and by the CFO prior to its filing with the IRS. The review conducted by the CEO and CFO did not include the review of any supporting workpapers that were used in preparation of the current year Form 990, but did include a review of the entire Form 990 and all supporting schedules.
Form 990, Part VI, Section B, line 12cThe Conflict of Interest Policy of the filing organization applies to members of its Board of Directors and its principal officers (to be known as Interested Persons). In connection with any actual or possible conflict of interests, any member of the Board of Directors of the filing organization or any principal officer of the filing organization (i.e. Interested Persons) must disclose the existence of any financial interest with the filing organization and must be given the opportunity to disclose all material facts concerning the financial interest/arrangement to the Board of Directors of the filing organization 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 Directors 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 the filing organization's Conflict of Interest Policy, an Interested Person may make a presentation to the Board of Directors (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 the filing organization's Conflict of Interest Policy, shall annually sign a statement which affirms that such person has received a copy of the Conflict of Interests policy, has read and understands the policy, has agreed to comply with the policy, and understands that the filing organization is a charitable organization that must primarily engage in activities which accomplish one or more of its exempt purposes. The filing organization's Conflict of Interest Policy also requires that periodic reviews shall be conducted to ensure that the filing organization operates in a manner consistent with its charitable purposes.
Form 990, Part VI, Section B, line 15The filing organization's CEO, COO, and CFO are not compensated by the filing organization. Such individuals are 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 19The filing organization is a part of the system of healthcare organizations known as Adventist Health System (AHS). The audited consolidated financial statements of AHS and of the AHS "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 AHS on a consolidated basis and for the grouping of AHS 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 AFor those Board of Director members and key employees 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 within Adventist Health System.
Part VIII, Lines 7b and 7c:The amounts shown in Part VIII Lines 7b and 7c of the Form 990 represent an allocated share of capital gain/(loss) from a system wide, corporate administered, investment program.
Form 990, Part IX, line 11gEnvironmental Services: Program service expenses 420,901. Management and general expenses 0. Fundraising expenses 0. Total expenses 420,901. Recruiting: Program service expenses 373,661. Management and general expenses 0. Fundraising expenses 0. Total expenses 373,661. Billing, Collection, and EHR Fees: Program service expenses 7,492,658. Management and general expenses 60. Fundraising expenses 0. Total expenses 7,492,718. EHR Management Fees: Program service expenses 17,662. Management and general expenses 0. Fundraising expenses 0. Total expenses 17,662. Purchased Medical Services: Program service expenses 492,667. Management and general expenses 0. Fundraising expenses 0. Total expenses 492,667. Payments to Healthcare Professionals: Program service expenses 8,206,340. Management and general expenses 411,452. Fundraising expenses 0. Total expenses 8,617,792. Miscellaneous Purchased Services: Program service expenses 8,297,425. Management and general expenses 726,981. Fundraising expenses 0. Total expenses 9,024,406. Professional Fees: Program service expenses 3,159,562. Management and general expenses 696,042. Fundraising expenses 0. Total expenses 3,855,604. Transcription Services: Program service expenses 332,717. Management and general expenses 0. Fundraising expenses 0. Total expenses 332,717.
Part X, Line 2The 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:Transfers from Tax-Exempt Affiliates 6,906,332. Other 11,740.

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp

Disregarded Entity Name DisregardedEntityName

FieldValueIRS element (for citing)
Business Name Line1Florida Radiology Imaging at Lake Mary LLCBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1875 Concourse Parkway 150AddressLine1Txt
CityMaitlandCityNm
State AbbreviationFLStateAbbreviationCd
ZIP32751ZIPCd
FieldValueIRS element (for citing)
EIN550789387EIN
Primary ActivitiesImaging & TestingPrimaryActivitiesTxt
Legal Domicile StateFLLegalDomicileStateCd
Total Income$18,952,588TotalIncomeAmt
End Of Year Assets$16,556,710EndOfYearAssetsAmt

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1Florida Hospital Medical Group IncBusinessNameLine1Txt

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (101 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationIndDirect Controlling NADirectControllingNACd
Adventist Bolingbrook Hospital
500 Remington BlvdBolingbrookIL60440651219504Operation of Hospital & Related ServicesIL501(c)(3)Line 3Adventist Midwest HealthYes (1)
Adventist Care Centers - Courtland Inc
730 Courtland StreetOrlandoFL32804205774723Operation of Home for the Aged/Hlthcare DeliveryFL501(c)(3)Line 10Sunbelt Hlth Care Centers IncYes (1)
Adventist GlenOaks Hospital
701 Winthrop AvenueGlendale HeightsIL60139363208390Operation of Hospital & Related ServicesIL501(c)(3)Line 3Adventist Midwest HealthYes (1)
Adventist Hlth Mid-America Inc
9100 W 74th StreetShawnee MissionKS66204521347407Support of Affiliated HospitalKS501(c)(3)Line 12c, III-FIAdventist Hlth SystemSunbelt IncYes (1)
Adventist Hlth Partners Inc
3040 Salt Creek LaneArlington HeightsIL60005364138353Operation of Physician Practices & Medical ServicesIL501(c)(3)Line 3AHS Midwest Management IncYes (1)
Adventist Hlth System Sunbelt Hlthcare Corp
900 Hope WayAltamonte SpringsFL32714592170012Management ServicesFL501(c)(3)Line 12a, I0N/A
Adventist Hlth System Georgia Inc
1035 Red Bud RoadCalhounGA30701581425000Operation of Hospital & Related ServicesGA501(c)(3)Line 3Adventist Hlth System Sunbelt Hlthcare CorpYes (1)
Adventist Hlth SystemSunbelt Inc
900 Hope WayAltamonte SpringsFL32714591479658Operation of Hospital & Related ServicesFL501(c)(3)Line 3Adventist Hlth System Sunbelt Hlthcare CorpYes (1)
Adventist Hlth SystemTexas Inc
11801 S FreewayBurlesonTX76028742578952Leasing Personnel to Affiliated HospitalTX501(c)(3)Line 12c, III-FIAdventist Hlth System Sunbelt Hlthcare CorpYes (1)
Adventist Midwest Health
120 North Oak StreetHinsdaleIL60521362276984Operation of Hospital & Related ServicesIL501(c)(3)Line 3Adventist Hlth SystemSunbelt IncYes (1)
Adventist University of Health Sciences Inc (630 Year End)
671 Lake Winyah DriveOrlandoFL32803593069793Education/Operation of SchoolFL501(c)(3)Line 2Adventist Hlth SystemSunbelt IncYes (1)
AHP Specialty Care NFP
3040 Salt Creek LaneArlington HeightsIL60005811105774Operation of Physician Practices & Medical ServicesIL501(c)(3)Line 3AHS Midwest Management IncYes (1)
AHS Midwest Management Inc
1000 Remington Blvd Ste 200BolingbrookIL60440363354567Operation of Physician Practice MgmtIL501(c)(3)Line 12a, IAdventist Midwest HealthYes (1)
AHSCentral Texas Inc
1301 Wonder World DriveSan MarcosTX78666742621825Provide Office Space - Medical ProfessionalsTX501(c)(3)Line 12c, III-FIAdventist Hlth System Sunbelt Hlthcare CorpYes (1)
Apopka Hlth Care Properties Inc
305 E Oak StreetApopkaFL32703510605694Lease to Related OrganizationGA501(c)(3)Line 12c, III-FISunbelt Hlth Care Centers IncYes (1)
Battle Creek Adventist Hospital
1000 Remington Blvd Ste 200BolingbrookIL60440381359189InactiveMI501(c)(3)Line 3Adventist Hlth SystemSunbelt IncYes (1)
Bolingbrook Hospital Foundation
1000 Remington Blvd N Entrance 2ndBolingbrookIL60440900494445Fund-raising for Tax-exempt hospitalIL501(c)(3)Line 7Midwest Hlth Foundation0
Bradford Heights Hlth & Rehab Center Inc
950 Highpoint DriveHopkinsvilleKY42240205782342Operation of Home for the Aged/Hlthcare DeliveryKY501(c)(3)Line 10Sunbelt Hlth Care Centers IncYes (1)
Burleson Nursing & Rehab Center Inc
301 Huguley BlvdBurlesonTX76028205782243Operation of Home for the Aged/Hlthcare DeliveryTX501(c)(3)Line 10Sunbelt Hlth Care Centers IncYes (1)
Caldwell Hlth Care Properties Inc
1333 West MainPrincetonKY42445510605680Lease to Related OrganizationGA501(c)(3)Line 12c, III-FISunbelt Hlth Care Centers IncYes (1)
Central Texas Hlthcare Collaborative
1301 Wonder World DriveSan MarcosTX78666453739929Support Operation of HospitalTX501(c)(3)Line 12a, IAdventist Hlth SystemSunbelt IncYes (1)
Chickasaw Hlth Care Properties Inc
250 S Chickasaw TrailOrlandoFL32825510605681Lease to Related OrganizationGA501(c)(3)Line 12c, III-FISunbelt Hlth Care Centers IncYes (1)
Chippewa Valley Hospital & Oakview Care Center Inc
1220 Third Avenue WestDurandWI54736391365168Operation of Hospital & Related ServicesWI501(c)(3)Line 3Adventist Hlth SystemSunbelt IncYes (1)
Courtland Hlth Care Properties Inc
730 Courtland StreetOrlandoFL32804510605682Lease to Related OrganizationGA501(c)(3)Line 12c, III-FISunbelt Hlth Care Centers IncYes (1)
Creekwood Place Nursing & Rehab Center Inc
107 Boyles DriveRussellvilleKY42276205782260Operation of Home for the Aged/Hlthcare DeliveryKY501(c)(3)Line 10Sunbelt Hlth Care Centers IncYes (1)
Dairy Road Hlth Care Properties Inc
7350 Dairy RoadZephyrhillsFL33540510605684Lease to Related OrganizationGA501(c)(3)Line 12c, III-FISunbelt Hlth Care Centers IncYes (1)
East Orlando Hlth & Rehab Center Inc
250 S Chickasaw TrailOrlandoFL32825205774748Operation of Home for the Aged/Hlthcare DeliveryFL501(c)(3)Line 10Sunbelt Hlth Care Centers IncYes (1)
Emory-Adventist Inc
900 Hope WayAltamonte SpringsFL32714582171011InactiveGA501(c)(3)Line 3Adventist Hlth SystemSunbelt IncYes (1)
Fletcher Hospital Inc
100 Hospital DriveHendersonvilleNC28792560543246Operation of Hospital & Related SvcsNC501(c)(3)Line 3Adventist Hlth System Sunbelt Hlthcare CorpYes (1)
FLNC Inc
3355 E Semoran BlvdApopkaFL32703205774761Operation of Home for the Aged/Hlthcare DeliveryFL501(c)(3)Line 10Sunbelt Hlth Care Centers IncYes (1)
Florida Hospital Healthcare Partners Inc
770 West Granada Blvd 101Ormond BeachFL32174462354804Operation of Physician Practices & Medical ServicesFL501(c)(3)Line 3Adventist Hlth SystemSunbelt IncYes (1)
Florida Hospital Medical Group Inc
2600 Westhall Ln 4th FloorMaitlandFL32751593214635Operation of Physician Practices & Medical ServicesFL501(c)(3)Line 3Adventist Hlth SystemSunbelt IncYes (1)
Florida Hospital Physician Group Inc
12470 Telecom Dr 100TampaFL33637462021581Operation of Physician Practices & Medical ServicesFL501(c)(3)Line 3Adventist Hlth System Sunbelt Hlthcare CorpYes (1)
Florida Hospital Waterman Inc
1000 Waterman WayTavaresFL32778593140669Operation of Hospital & Related ServicesFL501(c)(3)Line 3Adventist Hlth System Sunbelt Hlthcare CorpYes (1)
Florida Hospital Zephyrhills Inc
7050 Gall BlvdZephyrhillsFL33541592108057Operation of Hospital & Related ServicesFL501(c)(3)Line 3Adventist Hlth SystemSunbelt IncYes (1)
Foundation for Shawnee Mission Medical Center Inc
9100 W 74th StreetShawnee MissionKS66204480868859Fund-raising for Tax-exempt hospitalKS501(c)(3)Line 7Shawnee Mission Medical Center IncYes (1)
Fountain Inn Nursing & Rehab Center Inc
485 North Keller Road 250MaitlandFL32751472180518Operation of Home for the Aged/Hlthcare DeliveryFL501(c)(3)Line 10Sunbelt Hlth Care Centers IncYes (1)
GlenOaks Hospital Foundation
701 Winthrop AvenueGlendale HeightsIL60139363926044Fund-raising for Tax-exempt hospitalIL501(c)(3)Line 7Midwest Hlth Foundation0
Helen Ellis Memorial Hospital Auxiliary Inc
1395 S Pinellas AveTarpon SpringsFL34689592106043Fund-raising for Tax-exempt hospital/foundationFL501(c)(3)Line 12c, III-FI0
Helen Ellis Memorial Hospital Foundation Inc
1395 S Pinellas AveTarpon SpringsFL34689593690149Fund-raising for Tax-exempt hospitalFL501(c)(3)Line 7Tarpon Springs Hospital Foundation Inc0
Hinsdale Hospital Foundation
7 Salt Creek Lane Suite 203HinsdaleIL60521521466387Fund-raising for Tax-exempt hospitalIL501(c)(3)Line 7Midwest Hlth Foundation0
Hospice of the Comforter Inc
480 W Central ParkwayAltamonte SpringsFL32714592935928Operation of HospiceFL501(c)(3)Line 10The Comforter Health Care Group IncYes (1)
Hospice of the Comforter Foundation Inc
480 W Central ParkwayAltamonte SpringsFL32714271858033Fund Raising for Affiliated Tax-Exempt HospiceFL501(c)(3)Line 7The Comforter Health Care Group IncYes (1)
In-Motion Rehab Inc
485 North Keller Road 250MaitlandFL32751208023411Therapy services to tax exempt nursing homesKS501(c)(3)Line 12b, IISunbelt Hlth Care Centers IncYes (1)
La Grange Memorial Hospital Foundation
5101 S Willow Springs RdLa GrangeIL60525300247776Fund-raising for Tax-exempt hospitalIL501(c)(3)Line 7Midwest Hlth Foundation0
Lake County Health Care Properties Inc
485 North Keller Road 250MaitlandFL32751813923985Lease to Related OrganizationGA501(c)(3)Line 12c, III-FISunbelt Hlth Care Centers IncYes (1)
Memorial Hlth Systems Foundation Inc
770 West Granada BlvdOrmond BeachFL32174311771522Fund-raising for Tax-exempt hospitalFL501(c)(3)Line 70
Memorial Hlth Systems Inc
301 Memorial Medical ParkwayDaytona BeachFL32117590973502Operation of Hospital & Related ServicesFL501(c)(3)Line 3Adventist Hlth SystemSunbelt IncYes (1)
Memorial Hospital - West Volusia Inc
701 West Plymouth AvenueDelandFL32720593256803Operation of Hospital & Related ServicesFL501(c)(3)Line 3Memorial Hlth Systems IncYes (1)
Memorial Hospital Flagler Inc
60 Memorial Medical ParkwayPalm CoastFL32164592951990Operation of Hospital & Related ServicesFL501(c)(3)Line 3Memorial Hlth Systems IncYes (1)
Memorial Hospital Inc
210 Marie Langdon DriveManchesterKY40962610594620Operation of Hospital & Related ServicesKY501(c)(3)Line 3Adventist Hlth System Sunbelt Hlthcare CorpYes (1)
Merriam Hlth Care Properties Inc
9700 West 62nd StreetMerriamKS66203364595806Lease to Related OrganizationKS501(c)(3)Line 12c, III-FISunbelt Hlth Care Centers IncYes (1)
Metroplex Adventist Hospital Inc
2201 S Clear Creek RoadKilleenTX76549742225672Operation of Hospital & Related ServicesTX501(c)(3)Line 3Adventist Hlth System Sunbelt Hlthcare CorpYes (1)
Metroplex Clinic Physicians Inc
2201 S Clear Creek RoadKilleenTX76549113762050Physician Hlthcare services to the communityTX501(c)(3)Line 3Metroplex Adventist Hospital IncYes (1)
Midwest Hlth Foundation
120 North Oak StreetHinsdaleIL60521352230515Support of subsidiary FoundationsIL501(c)(3)Line 12b, II0N/A
Mills Hlth & Rehab Center Inc
500 Beck LaneMayfieldKY42066205782320Operation of Home for the Aged/Hlthcare DeliveryKY501(c)(3)Line 10Sunbelt Hlth Care Centers IncYes (1)
Mission Strategies of Georgia Inc
485 North Keller Road 250MaitlandFL32751900866024Provision of support to the nursing home divisionGA501(c)(3)Line 12b, IISunbelt Hlth Care Centers IncYes (1)
Missouri Adventist Hlth Inc
9100 W 74th StreetShawnee MissionKS66204431224729Support Hlth Care ServicesMO501(c)(3)Line 12d, III-OAdventist Hlth Mid-America IncYes (1)
Ormond Beach Memorial Hospital Auxiliary Inc
301 Memorial Medical ParkwayDaytona BeachFL32117591721962Volunteer support servicesFL501(c)(3)Line 12c, III-FISunbelt Hlth Care Centers Inc0
Osceola Health Care Properties Inc (620-123116)
485 North Keller Road 250MaitlandFL32751813165729Lease to Related OrganizationGA501(c)(3)Line 12c, III-FISunbelt Hlth Care Centers IncYes (1)
Overland Park Nursing & Rehab Center Inc
6501 West 75th StreetOverland ParkKS66204205774821Operation of Home for the Aged/Hlthcare DeliveryKS501(c)(3)Line 10Sunbelt Hlth Care Centers IncYes (1)
Paragon Hlth Care Properties Inc
950 Highpoint DriveHopkinsvilleKY42240510605686Lease to Related OrganizationGA501(c)(3)Line 12c, III-FISunbelt Hlth Care Centers IncYes (1)
Pasco-Pinellas Hillsborough Community Hlth System Inc
2600 Bruce B Downs BlvdWesley ChapelFL33544208488713Operation of Hospital & Related ServicesFL501(c)(3)Line 3Adventist Hlth System Sunbelt Hlthcare CorpYes (1)
Portercare Adventist Hlth System (630 Year End)
9100 E Mineral CircleCentennialCO80112840438224Operation of Hospital & Related ServicesCO501(c)(3)Line 3Adventist Hlth System Sunbelt Hlthcare CorpYes (1)
Princeton Hlth & Rehab Center Inc
1333 West MainPrincetonKY42445205782272Operation of Home for the Aged/Hlthcare DeliveryKY501(c)(3)Line 10Sunbelt Hlth Care Centers IncYes (1)
Princeton Professional Services Inc
601 E Rollins StreetOrlandoFL32803591191045Provision of Hlthcare ServicesFL501(c)(3)Line 10Adventist Hlth System Sunbelt Hlthcare CorpYes (1)
Quality Circle for Hlthcare Inc
900 Hope WayAltamonte SpringsFL32714263789368Hlthcare Quality ServicesFL501(c)(3)Line 12a, IAdventist Hlth System Sunbelt Hlthcare CorpYes (1)
Resource Personnel Inc
485 North Keller Road 250MaitlandFL32751208040875Provide administrative support to tax exempt nursing homesFL501(c)(3)Line 12b, IISunbelt Hlth Care Centers IncYes (1)
Rocky Mountain Adventist Hlthcare Foundation (630 Year End)
7995 E Prentice Ave 204Greenwood VillageCO80111840745018Fund-raising for Tax-exempt hospitalCO501(c)(3)Line 70
Rollins Brook Community Care Corp
2201 S Clear Creek RoadKilleenTX76549461656773Support Operation of HospitalTX501(c)(3)Line 12a, IAdventist Hlth SystemSunbelt IncYes (1)
Russellville Hlth Care Properties Inc
683 East Third StreetRussellvilleKY42276510605691Lease to Related OrganizationGA501(c)(3)Line 12c, III-FISunbelt Hlth Care Centers IncYes (1)
San Marcos Hlth Care Properties Inc
1900 Medical ParkwaySan MarcosTX78666510605693Lease to Related OrganizationGA501(c)(3)Line 12c, III-FISunbelt Hlth Care Centers IncYes (1)
San Marcos Nursing & Rehab Center Inc
1900 Medical ParkwaySan MarcosTX78666205782224Operation of Home for the Aged/Hlthcare DeliveryTX501(c)(3)Line 10Sunbelt Hlth Care Centers IncYes (1)
Shawnee Mission Hlth Care Inc
6501 West 75th StreetOverland ParkKS66204480952508Lease to Related OrganizationKS501(c)(3)Line 12c, III-FISunbelt Hlth Care Centers IncYes (1)
Shawnee Mission Hlth Care Properties Inc(98-123116)
485 North Keller Road 250MaitlandFL32751813914908Lease to Related OrganizationGA501(c)(3)Line 12c, III-FISunbelt Hlth Care Centers IncYes (1)
Shawnee Mission Medical Center Inc
9100 W 74th StreetShawnee MissionKS66204480637331Operation of Hospital & Related ServicesKS501(c)(3)Line 3Adventist Hlth Mid-America IncYes (1)
South Central Inc
900 Hope WayAltamonte SpringsFL32714593689740Management SupportGA501(c)(3)Line 12c, III-FI0N/A
South Pasco Hlth Care Properties Inc
38250 A AvenueZephyrhillsFL33542510605679Lease to Related OrganizationGA501(c)(3)Line 12c, III-FISunbelt Hlth Care Centers IncYes (1)
Southeast Volusia Healthcare Corp
401 Palmetto StreetNew Smyrna BeachFL32168473793197Operation of Hospital & Related ServicesFL501(c)(3)Line 3Adventist Hlth System Sunbelt Hlthcare CorpYes (1)
Southwest Volusia Hlth Services Inc
1055 Saxon BlvdOrange CityFL32763593281591Medical Office Building for HospitalFL501(c)(3)Line 12a, ISouthwest Volusia Hlthcare CorpYes (1)
Southwest Volusia Hlthcare Corp
1055 Saxon BlvdOrange CityFL32763593149293Operation of Hospital & Related ServicesFL501(c)(3)Line 3Adventist Hlth SystemSunbelt IncYes (1)
Specialty Physicians of Central Texas Inc
1301 Wonder World DriveSan MarcosTX78666208814408Physician Hlthcare services to the communityTX501(c)(3)Line 3Adventist Hlth SystemSunbelt IncYes (1)
Spring View Hlth & Rehab Center Inc
718 Goodwin LaneLeitchfieldKY42754205782288Operation of Home for the Aged/Hlthcare DeliveryKY501(c)(3)Line 10Sunbelt Hlth Care Centers IncYes (1)
Sunbelt Hlth & Rehab Center - Apopka Inc
305 East Oak StreetApopkaFL32703205774856Operation of Home for the Aged/Hlthcare DeliveryFL501(c)(3)Line 10Sunbelt Hlth Care Centers IncYes (1)
Sunbelt Hlth Care Centers Inc
485 North Keller Road 250MaitlandFL32751581473135Management ServicesTN501(c)(3)Line 12b, IIAdventist Hlth System Sunbelt Hlthcare CorpYes (1)
SunSystem Development Corp
900 Hope WayAltamonte SpringsFL32714592219301Fund Raising for Affiliated Tax-Exempt HospitalsFL501(c)(3)Line 7Adventist Hlth System Sunbelt Hlthcare CorpYes (1)
Takoma Regional Hospital Inc (630 Year End)(7115-123116)
401 Takoma AveGreenevilleTN37743510603966Operation of Hospital & Related ServicesTN501(c)(3)Line 3Adventist Hlth SystemSunbelt IncYes (1)
Takoma Regional Hospital Foundation Inc
401 Takoma AveGreenevilleTN37743471334302Fund Raising for Affiliated Tax-Exempt HospitalTN501(c)(3)Line 7Takoma Regional Hospital IncYes (1)
Tarpon Springs Hospital Foundation Inc
1395 S Pinellas AveTarpon SpringsFL34689590898901Operation of Hospital & Related ServicesFL501(c)(3)Line 3University Community Hospital IncYes (1)
Tarrant County Hlth Care Properties Inc
301 Huguley BlvdBurlesonTX76028510605677Lease to Related OrganizationGA501(c)(3)Line 12c, III-FISunbelt Hlth Care Centers IncYes (1)
Taylor Creek Hlth Care Properties Inc
718 Goodwin LaneLeitchfieldKY42754510605678Lease to Related OrganizationGA501(c)(3)Line 12c, III-FISunbelt Hlth Care Centers IncYes (1)
The Comforter Health Care Group Inc
605 Montgomery RoadAltamonte SpringsFL32714271857940Lease to Related OrganizationFL501(c)(3)Line 12c, III-FIAdventist Hlth System Sunbelt Hlthcare CorpYes (1)
The Volunteer Auxiliary of Florida Hospital - Flagler Inc
60 Memorial Medical ParkwayPalm CoastFL32164592486582Volunteer support servicesFL501(c)(3)Line 12c, III-FI0
Tri-County Nursing and Rehab Center Inc
485 North Keller Road 250MaitlandFL32751472219363Operation of Home for the Aged/Hlthcare DeliveryFL501(c)(3)Line 10Sunbelt Hlth Care Centers IncYes (1)
Trinity Nursing & Rehab Center Inc
9700 West 62nd StreetMerriamKS66203205774890Operation of Home for the Aged/Hlthcare DeliveryKS501(c)(3)Line 10Sunbelt Hlth Care Centers IncYes (1)
University Community Hospital Foundation Inc
3100 E Fletcher AveTampaFL33613592554889Fund-raising for Tax-exempt hospitalFL501(c)(3)Line 12a, I0
University Community Hospital Specialty Care Inc
3100 E Fletcher AveTampaFL33613593231322InactiveFL501(c)(3)Line 12a, IUniversity Community Hospital IncYes (1)
University Community Hospital Inc
3100 E Fletcher AveTampaFL33613591113901Operation of Hospital & Related ServicesFL501(c)(3)Line 3Adventist Hlth System Sunbelt Hlthcare CorpYes (1)
West Kentucky Hlth Care Properties Inc
500 Beck LaneMayfieldKY42066510605676Lease to Related OrganizationGA501(c)(3)Line 12c, III-FISunbelt Hlth Care Centers IncYes (1)
Zephyr Haven Hlth & Rehab Center Inc
38250 A AvenueZephyrhillsFL33542205774930Operation of Home for the Aged/Hlthcare DeliveryFL501(c)(3)Line 10Sunbelt Hlth Care Centers IncYes (1)
Zephyrhills Hlth & Rehab Center Inc
7350 Dairy RoadZephyrhillsFL33540205774967Operation of Home for the Aged/Hlthcare DeliveryFL501(c)(3)Line 10Sunbelt Hlth Care Centers IncYes (1)

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (8 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdDirect Controlling NADirectControllingNACd
Clear Creek MOB Ltd
2201 S Clear Creek RdKilleenTX76549742609195Real EstateTXN/A
Endoscopy Center at Porter LLC (11-32916)
1001 South Park DriveLittletonCO80120205855038Medical ServicesCON/A
Florida Hospital DMERT LLC
500 Winderley Place Ste 324MaitlandFL32751202392253Medical EquipmentFLN/A
Florida Hospital Home Infusion LLP
500 Winderley Place Ste 324MaitlandFL32751593142824Home Infusion ServicesFLN/A
Functional Neurosurgical Ambulatory Surgery Center LLC
777 S Williams StDenverCO80209464426708Surgery CenterCON/A
PAHSLarkin Ventures LLC
9100 E Mineral CirCentennialCO80112474211060Medical ServicesCON/A
PAHSUSP Surgery Centers LLC
15305 Dallas Pkwy Ste 1600 LB 28AddisonTX75010263057950Medical ServicesCON/A
San Marcos MRI LP
1330 Wonder World Dr Ste 202San MarcosTX78666770597972Imaging & TestingTXN/A

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (20 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdDirect Controlling NADirectControllingNACdEntity TypeEntityTypeTxtControlled OrganizationControlledOrganizationInd
Altamonte Medical Plaza Condominium Association Inc
601 East Rollins StreetOrlandoFL32803592855792Condo AssociationFLN/ACYes (1)
Apopka Medical Plaza Condominium Association Inc
601 East Rollins StreetOrlandoFL32803593000857Condo AssociationFLN/ACYes (1)
CC MOB Inc
2201 S Clear Creek RoadKilleenTX76549742616875Real Estate RentalTXN/ACYes (1)
Central Texas Medical Associates
1301 Wonder World DriveSan MarcosTX78666742729873InactiveTXN/ACYes (1)
Central Texas Providers Network
1301 Wonder World DriveSan MarcosTX78666742827652Physician Hospital Org.TXN/ACYes (1)
Florida Hospital Flagler Medical Offices Association Inc
60 Memorial Medical ParkwayPalm CoastFL32164262158309Condo AssociationFLN/ACYes (1)
Florida Hosp Hlth Village Property Owner's Assoc Inc
550 E Rollins Street 7th FloorOrlandoFL32803821748255Condo AssociationFLN/ACYes (1)
Florida Hospital Healthcare System Inc
101 Southhall Lane Ste 150MaitlandFL32751593215680PHSOFLN/ACYes (1)
Florida Medical Plaza Condo Association Inc
601 East Rollins StreetOrlandoFL32803592855791Condo AssociationFLN/ACYes (1)
Florida Memorial Health Network Inc
770 W Granada Blvd Ste 317Ormond BeachFL32174593403558Physician Hospital Org.FLN/ACYes (1)
Kissimmee Multispecialty Clinic Condominium Association Inc
201 Hilda Street Suite 30KissimmeeFL34741593539564Condo AssociationFLN/ACYes (1)
LN Health Partners Inc (815-123116)
550 E Rollins Street 6th FloorOrlandoFL32803813556903InactiveFLN/ACYes (1)
Midwest Management Services Inc
9100 West 74th StreetShawnee MissionKS66204480901551InactiveKSN/ACYes (1)
North American Health Services Inc & Sub
900 Hope WayAltamonte SpringsFL32714621041820Lessor/Holding Co.TNN/ACYes (1)
Ormond Prof Associates Condo Assoc'n Inc (430 year end)
770 W Granada Blvd Ste 101Ormond BeachFL32174592694434Condo AssociationFLN/ACYes (1)
Park Ridge Property Owner's Association Inc
1 Park Place Naples RoadFletcherNC28732030380531Condo AssociationNCN/ACYes (1)
Porter Aff Hlth Svcs Inc dba Diversified Aff Hlth Svcs
2525 S Downing StreetDenverCO80210840956175Healthcare ServicesCON/ACYes (1)
San Marcos Regional MRI Inc
1301 Wonder World DriveSan MarcosTX78666770597968Holding CompanyTXN/ACYes (1)
The Garden Retirement Community Inc
485 North Keller Road Ste 250MaitlandFL32751593414055Real Estate RentalFLN/ACYes (1)
Winter Park Medical Office Building I Condo Assoc Inc
601 East Rollins StreetOrlandoFL32803452228478Condo AssociationFLN/ACYes (1)
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgYes (1)GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (1)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth OrgYes (1)RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgYes (1)RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgYes (1)PerformOfServicesForOthOrgInd
Perform Of Services By Other Org0PerformOfServicesByOtherOrgInd
Sharing Of Facilities0SharingOfFacilitiesInd
Paid Employees Sharing0PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (1)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (14 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
memorial hospITAL - FLAGLER INC
L$1,015,113cost pLUS APPLICAbLE %
FLORIDA HOSPITAL WATERMAN INC
L$6,154,452Cost PLUS APPLICAbLE %
ADVENTIST HEALTH SYSTEMSUNBELT INC DBA FLORIDA HOSPITAL
L$107,049,624Cost pLUS APPLICAbLE %
ADVENTIST HEALTH SYSTEMSUNBELT INC DBA FLORIDA HOSPITAL
P$110,112,886Cost
ADVENTIST HEALTH SYSTEMSUNBELT INC DBA FLORIDA HOSPITAL
K$8,183,142fair market value
sunsystem development corp dba Florida Hospital Foundation
C$250,000actual amount received
ADVENTIST HEALTH SYSTEMSUNBELT INC DBA FLORIDA HOSPITAL
C$146,070Actual amount received
Memorial hospital - West Volusia Inc
L$1,149,514Cost PLUS APPLICAbLE %
Memorial health Systems Inc
L$679,939Cost pLUS APPLICAbLE %
Florida Hospital Physician Group Inc
L$202,392Cost pLUS APPLICAbLE %
Adventist Health System Sunbelt Healthcare Corp
P$2,366,494Cost
Southwest Volusia Healthcare Corp
L$818,003Cost pLUS APPLICAbLE %
Adventist Health SystemSUNBELT INC DBA FLORIDA HOSPITAL
C$6,906,332Actual amount received
Adventist Health SystemSUNBELT INC DBA FLORIDA HOSPITAL
J$292,119FMV Rental Rate