2017-11-13T17:18:13-06:00 2016-12-31 990 2016-01-01 363354567 AHS Midwest Management Inc AHSM 6303127780 1000 Remington Blvd No 200 Bolingbrook IL 60440 Lynn C Addiscott ASSISTANT SECRETARY 6303127780 2017-11-07 204.139.85.141 2017-11-07 08:03:30 ES P C18440E83583A01A3D3F74DEBC89B245B68C7147 C0A8A028271F7AA011ACB9EE8F2F7C99EC3F0CF9 2016 2017-02-10 21:41:12Z Beth Tze 1000 Remington Blvd No 200 Bolingbrook IL 60440 37606120 0 1071 X www.amitahealth.org X 1984 IL OPERATION OF PHYSICIAN PRACTICE MANAGEMENT SERVICES FOR RELATED TAX-EXEMPT ORGANIZATIONS. 5 0 699 0 1442441 0 0 0 50554970 37543105 -13574 14186 136822 23250 50678218 37580541 0 0 0 0 26183863 26116625 0 0 0 26585744 18741047 52769607 44857672 -2091389 -7277131 5705586 7678243 4076462 4628454 1629124 3049789 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 hospital 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. 0 0 41367348 36123914 Provision of management services to physician practices of related tax-exempt organizations. 41367348 1 0 0 0 0 0 0 0 0 0 1 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 1 28 0 1 699 1 1 1 0 0 0 0 0 0 0 0 0 X 5 0 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 0 0 0 IL X Justin Johnson 6308569000 1000 Remington Blvd Suite 200 Bolingbrook IL 60440 X Crane David ChAIRMAN/PRESIDENT (End 1/16) 0.50 49.50 X X 0 1120682 56644 Christian Bruce Director 1.00 50.00 X 0 461388 72710 Goebel Michael Director 1.00 50.00 X 0 692374 114312 Mace Rick Director 1.00 50.00 X 0 568234 84339 Thordarson Thor ChaIRMAN/PRESIDENT (Beg 12/16) 2.50 47.50 X X 0 203924 50097 Tze Beth Director/VP/Secretary 2.50 47.50 X X 26697 250955 27219 Wehtje Ronald DIR/V.CHAIR/Regional CFO (End 2/16) 4.00 46.00 X X 0 191666 14324 Baier Erik CFO (End 4/16) 7.50 42.50 X 0 414205 46331 Johnson Justin CFO (Beg 10/16) 7.50 42.50 X 8440 25320 4541 Zimmerman Kim COO 2.50 47.50 X 17316 173158 19565 Morrison Ellen Managed Care Director 40.00 0.00 X 210883 0 34721 Brown Antoinette Controller 40.00 0.00 X 177638 0 27205 Harvey-Slawkin Cathy Elm Creek Property Director 40.00 0.00 X 157855 0 22199 Bryson Ronald HR Director 40.00 0.00 X 157408 0 11390 Mann Ruby PFS Director 40.00 0.00 X 150987 0 34672 Williams Pam Former Director/VP/Secretary 0.00 0.00 X 0 276636 17876 907224 4378542 638145 12 1 1 1 Athena Health 311 Arsenal St Watertown MA 02472 EMR System 1649851 Robert Half 5720 Stoneridge Dr Pleasanton CA 94588 Staffing 368600 Ellkay Inc 259 Cedar Lane Teaneck NJ 07666 EMR Conversion 287196 BG Staffing LLC 14900 Landmark Blvd Suite 300 Dallas TX 75254 Staffing 257042 Automatic Data Processing 2575 Westside Pkwy Suite 500 Alpharetta GA 30004 Payroll Processing 237391 12 X MANAGEMENT SERVICES 561000 30003738 28561297 1442441 BILLINg Fees 561000 6643105 6643105 Insurance Incentive Revenue 561000 430361 430361 Credentialing Verfication Fees 561000 135615 135615 Reimbursement from Related 561000 124440 124440 205846 205846 37543105 39765 39765 25579 -25579 -25579 -25579 EHR Incentive Revenue 622110 23250 23250 23250 37580541 36123914 1442441 14186 X 168017 168017 21248025 21248025 653927 651496 2431 2269394 2249657 19737 1777262 1770656 6606 63547 63547 10231 10231 9542952 7594869 1948083 245505 245505 1638821 1004217 634604 829029 567408 261621 621489 621489 111719 111719 181887 181887 Unrelated Business Inco 600 600 MEDICAL SUPPLIES 5035029 5035029 REPAIRS & MAINTENANCE 335314 335314 Miscellaneous 83531 83531 41393 23770 17623 44857672 41367348 3490324 0 10125 9475 332785 1269176 -13341 42188 170210 152014 793651 566184 236204 227467 4969603 5977923 5705586 7678243 3790781 4045898 285681 582556 4076462 4628454 X 1629124 3049789 1629124 3049789 5705586 7678243 X -7277131 42739 8655057 X 0 1 X 1 0 X X 4 Adventist Midwest Health fka Hinsdale Hospital 362276984 3 0 0 0 Adventist GlenOaks Hospital 363208390 3 0 0 0 ADVENTIST BOLINGBROOK HOSPITAL 651219504 3 0 0 0 Adventist Health Partners Inc 364138353 3 0 0 0 4 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 1 1 Part IV, Section A, Line 1: AHS Midwest Management, Inc. (AMM), Adventist Midwest Health f/k/a Adventist Hinsdale Hospital, Inc. (AMH), Adventist Bolingbrook Hospital (ABH), Adventist GlenOaks Hospital (AGH), and Adventist Health Partners, Inc. (AHP) are part of a faith-based healthcare system of organizations whose parent is Adventist Health System Sunbelt Healthcare Corporation (AHSSHC). The system is known as Adventist Health System (AHS). AHSSHC is an organization exempt from federal income tax under IRC Section 501(c)(3). AHSSHC and its subsidiary organizations operate 44 hospitals in 10 states throughout the U.S., primarily in the Southeastern portion of the U.S. AHSSHC and its subsidiaries also operate 16 nursing home facilities and other ancillary health care provider facilities, such as ambulatory surgery centers and diagnostic imaging centers. AMM's Articles of Incorporation provide as one of its purposes the following: To always operate in a manner consistent with and in furtherance of the goals, standards, methods and policies of the Seventh-day Adventist Church, these Articles of Incorporation, and the needs of the patient population served in light of this Corporation's status as an affiliated organization of Adventist Health System Sunbelt Healthcare Corporation and an integral part of the system of medical and educational institutions operated throughout the world by the Seventh-day Adventist Church. AMH, ABH, AGH, and AHP are exempt from federal income tax under IRC section 501(c)(3) and are classified as public charities under IRC section 509(a)(1) as a hospital defined under IRC section 170(b)(1)(A)(iii). The supported organizations own and operate hospital facilities and/or physician clinics in the Chicago Metropolitan area and are each identified as a supported organization of AMM. As entities that operate hospitals and/or physician clinics, AMH, ABH, AGH,and AHP are included in the class referred to in AMM's Articles that provide healthcare to the patient populations served as an affiliated organization of AHSSHC. Additionally, AMM has been an integral part of the organizational structure that supports the AHSSHC hospitals located in the Chicago market since its inception in 1984. Part IV, Section A, Line 5a: Adventist Health System/Sunbelt, Inc. (AHSSI) (EIN: 59-1479658) was removed as a supported organization during 2016. AHSSI is a 501(c)(3) subsidiary of Adventist Health System Sunbelt Healthcare Corporation (AHSSHC). AHSSHC is the 501(c)(3) parent organization of a system of hospital and other healthcare organizations. The reason for the removal of AHSSI as a supported organization is as follows. Prior to February 1, 2015, the net assets and operations of Adventist La Grange Memorial Hospital were owned and operated by AHSSI. An Affiliation Agreement was entered by AHSSHC and Ascension Healthcare on February 1, 2015. Under the Affiliation Agreement, a joint operating company, Alexian Brothers-AHS Midwest Region Health Co., was formed. The joint operating company does business under the name, AMITA Health. Alexian Brothers-AHS Midwest Region Health Co. (JOC or AMITA Health) has been recognized by the Internal Revenue Service as a tax-exempt organization under IRC Section 501(c)(3). In connection with the Affiliation Agreement, a restructuring occurred in 2015 whereby the net assets and operations of Adventist La Grange Memorial Hospital, located in the greater Chicago area, were transferred from AHSSI to Adventist Midwest Health (AMH). Prior to the transfer, AMH operated one hospital facility also in the greater Chicago area. Upon the transfer, AMH now owns and operates two hospitals that are both covered affiliates of the JOC. Accordingly, the filing organization continues to support Adventist La Grange Memorial Hospital, currently dba AMITA Health Adventist Medical Center La Grange, as a division of AMH. Part IV, Section B, Line 2: As noted above, AMH, ABH, AGH, and AHP each owned and operated a hospital facility and/or physician clinics in the Chicago Metropolitan area and are each identified as a supported organization of AMM during its current tax year. The four supported organizations with their related entities and operations constitute the Midwest Region of AHS. AMM, the filing organization, supports each of the supported organizations in the AHS Midwest Region by providing management services to physician practices affiliated with the hospitals. AMH is the sole member of AMM and appoints the Board of AMM. The right to elect, appoint or remove any member of AMM's Board is not shared with any of the other supported organizations. However, the selection of the Board provides substantial representation of each of the supported organizations and gives each of the organizations a significant voice in overseeing the operations of AMM. The current Board of Directors of AMM includes the CEO of each hospital owned by AMH, ABH and AGH that is operated in the Chicago market and the CEO of the related tax-exempt physician group. The composition of the Board in this manner insures that the needs of each of the supported organizations are considered in establishing the direction and strategy of AMM. 620501 566184 54317 173150 173150 227467 Due from affiliated 5497023 DUE FROM ADVENTIST HEALTH NETWORK 480900 5977923 DUE TO Related 582556 582556 X Part X, Line 2: The 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. 1 1 0 0 0 0 0 0 0 Crane David ChAIRMAN/PRESIDENT (End 1/16) 0 64096 0 0 0 1056586 0 14387 0 42257 0 1177326 0 253421 Christian Bruce Director 0 292769 0 101418 0 67201 0 14388 0 58322 0 534098 0 0 Goebel Michael Director 0 425941 0 181459 0 84974 0 68785 0 45527 0 806686 0 56994 Mace Rick Director 0 314313 0 104105 0 149816 0 50980 0 33359 0 652573 0 37912 Thordarson Thor ChaIRMAN/PRESIDENT (Beg 12/16) 0 78991 0 0 0 124933 0 7591 0 42506 0 254021 0 0 Tze Beth Director/VP/Secretary 17600 165436 7674 72142 1423 13377 1401 13174 1216 11428 29314 275557 0 0 Wehtje Ronald DIR/V.CHAIR/Regional CFO (End 2/16) 0 99322 0 0 0 92344 0 5359 0 8965 0 205990 0 36561 Baier Erik CFO (End 4/16) 0 84362 0 0 0 329843 0 20017 0 26314 0 460536 0 62871 Zimmerman Kim COO 13396 133962 3863 38626 57 570 1231 12313 547 5474 19094 190945 0 0 Morrison Ellen Managed Care Director 120621 0 34387 0 55875 0 11086 0 23635 0 245604 0 0 0 Brown Antoinette Controller 135988 0 27160 0 14490 0 9059 0 18146 0 204843 0 0 0 Harvey-Slawkin Cathy Elm Creek Property Director 113147 0 22353 0 22355 0 7295 0 14904 0 180054 0 0 0 Bryson Ronald HR Director 118668 0 27751 0 10989 0 7037 0 4353 0 168798 0 0 0 Mann Ruby PFS Director 113129 0 27356 0 10502 0 7432 0 27240 0 185659 0 0 0 Williams Pam Former Director/VP/Secretary 0 0 0 0 0 276636 0 7107 0 10769 0 294512 0 0 Part I, Line 3 The filing organization is a covered affiliate of the joint operating company, Alexian Brothers-AHS Midwest Region Health Company, d/b/a AMITA Health (AMITA). AMITA utilizes various comparability data in establishing compensation for those executives that perform services for AMITA and for one or more covered affiliates. Comparability data utilized includes compensation surveys and studies and the Forms 990 of other unrelated comparable organizations. AMITA also has a Compensation Committee that approves all relevant executive compensation. The compensation of the filing organization's CEO was determined and approved by AMITA's Executive Compensation Committee. Part I, Lines 4a-b During the year ending December 31, 2016, Pamela Williams, Erik Baier, and David Crane received severance payments in the amounts of $276,500, $193,670, and $665,684 respectively. Pamela Williams, Erik Baier and David Crane were compensated by and on the payroll of Adventist Health System Sunbelt Healthcare Corporation (AHSSHC). 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. Certain individuals listed on Form 990, Part VII, Section A, Line 1a 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 ------------------------------------------------------- Bruce Christian $ 21,377 $ 3,377 $ 0 $0 David Crane $ 8,870 $253,591 $ 24,325 $0 Michael Goebel $ 59,698 $ 55,054 $ 0 $0 Thor Thordarson $ 7,591 $ 0 $ 0 $0 Rick Mace $ 36,593 $ 36,555 $ 77,511 $0 Ronald Wehtje $ 7,707 $ 35,071 $ 0 $0 Erik Baier $ 5,630 $ 62,974 $ 0 $0 * Including Investment Earnings Form 990, Part VII, Section A, Line 5: Beth Tze, CEO, Justin Johnson, CFO, and Kim Zimmerman, COO, were compensated by Alexian Brothers Health System in 2016 for services provided to the filing organization. Please see our response to Form 990, Part VI, Section A, Line 7b for a discussion concerning the filing organization's affiliation with Alexian Brothers Health System. Compensation for Beth Tze and Kim Zimmerman is disclosed in Schedule J Part II. Justin Johnson's compensation related to services provided to the filing organization and its related affiliates was less than $150,000 and is disclosed by category below. Name of Employer: Alexian Brothers Health System Name of Employee: Justin Johnson, CFO Type and Amount of Compensation Paid/Accrued from Alexian Brothers Health System for services rendered to the filing organization: Base Compensation - $6,190 Other Reportable Compensation - $2,250 Nontaxable Benefits - $1,135 Name of Employer: Alexian Brothers Health System Name of Employee: Justin Johnson, CFO Type and Amount of Compensation Paid/Accrued from Alexian Brothers Health System for services rendered to related affiliates of the filing organization: Base Compensation - $18,570 Other Reportable Compensation - $6,750 Nontaxable Benefits - $3,406 Form 990, Part VI, Section A, line 6 AHS Midwest Management, Inc. (the filing organization) has one member. The sole member of the filing organization is Adventist Midwest Health. Adventist Midwest Health (AMH) is an Illinois, 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 7a The members of the Board of Directors (Governing Board) of the filing organization are appointed by the Corporate Member, AMH. The Corporate Member is entitled to elect not less than six (6) and no more than eleven (11) voting members to the Board of Directors of the filing organization pursuant to the provisions of the Bylaws, subject to the ratification of the AMITA Health Board of Directors. Form 990, Part VI, Section A, line 7b The filing organization is a Covered Affiliate of the JOC known as AMITA Health. The sole member of the filing organization is AMH. AMH is also one of two members in AMITA Health. The other member of AMITA Health is Alexian Brothers Health System. The top-tier parent of AMH is AHSSHC (Sponsor). The governing documents of the filing organization provide for certain reserved powers to exercise financial, managerial, and operational authorities over the filing organization by AHSSHC, as Sponsor, by AMH as Member, by both members of the JOC, namely, AMH and Alexian Brothers Health System (Members), and by the Board of Directors of the JOC. Certain governance powers are reserved to AMH as the Member of the filing organization. These reserved powers include the alteration, restatement or repeal of the Articles of Incorporation, bylaws or mission statement of the filing organization, provided that such actions are not inconsistent with the JOC Bylaws or the Affiliation Agreement and the appointment of the filing organization's Board of Directors, subject to the ratification of the JOC Board of Directors. Financial authorities reserved to the Sponsor, the Board of Directors of the JOC, and by both members of the JOC include the approval of any disposition of the filing organization's assets and any internal transfer of the filing organization's assets. The Sponsor, the Board of Directors of the JOC, and both members of the JOC may approve such dispositions or transfers up to established asset dollar values as set forth in the Bylaws of the filing organization. Annual operating and capital budgets of the filing organization must be ratified by both Sponsors of the JOC. The Board of Directors of the JOC must approve any capital expenditure to be made by the filing organization in excess of $10 million. Operational authorities reserved to the Board of Directors of the JOC include the determination of the services to be provided by the filing organization, including the authority to direct the expansion, reduction and consolidation of clinical programs, patient care services and administrative capabilities or other major changes in the operation of the filing organization. Form 990, Part VI, Section B, line 11b The 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 the 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 12c The 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 15 Certain of the filing organization's officers and key employees are not compensated by the filing organization. The CEO, CFO, and COO are compensated by an unrelated organization, Alexian Brothers Health System. Alexian Brothers Health System is a co-member in the Joint Operating Company in which the parent of the filing organization became a member of effective February 1, 2015. The joint operating company, known as AMITA Health, establishes and approves the annual compenation of the officers and key employees listed on Form 990, Part VII, Section A, Line 1a. Please see the discussion concerning the process followed by AMITA Health 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 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 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 in conjunction with the Affiliation Agreement and joint operating company known as AMITA Health. Please see our response to Form 990, Part VI, Section A, Line 7b. The CEO, COO, and CFO were compensated by an unrelated entity to the filing organization. The hours and compensation disclosed in Part VII reflect the time and compensation for the filing organization and its related entities. This disclosure does not include time and compensation associated with providing services to entities not related to the filing organization. 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 11g Management Fees: Program service expenses 0. Management and general expenses 1,073,960. Fundraising expenses 0. Total expenses 1,073,960. Compliance Fees: Program service expenses 0. Management and general expenses 249,561. Fundraising expenses 0. Total expenses 249,561. Billing & Collections Services: Program service expenses 0. Management and general expenses 615,262. Fundraising expenses 0. Total expenses 615,262. ENVIRONMENTAL SERVICES: Program service expenses 130,284. Management and general expenses 0. Fundraising expenses 0. Total expenses 130,284. purchased medical services: Program service expenses 1,145,766. Management and general expenses 0. Fundraising expenses 0. Total expenses 1,145,766. Recruiting: Program service expenses 56,995. Management and general expenses 0. Fundraising expenses 0. Total expenses 56,995. miscellaneous purchased services: Program service expenses 3,563,126. Management and general expenses 0. Fundraising expenses 0. Total expenses 3,563,126. physician consulting: Program service expenses 39,708. Management and general expenses 0. Fundraising expenses 0. Total expenses 39,708. EHR management fees: Program service expenses 0. Management and general expenses 9,300. Fundraising expenses 0. Total expenses 9,300. Electronic Medical Records Fee: Program service expenses 2,658,990. Management and general expenses 0. Fundraising expenses 0. Total expenses 2,658,990. Form 990, Part XI, line 9: Other -2,812. Tranfer from tax exempt affiliate 8,657,868. Rounding 1. 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. 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 Hlth 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 Hlth Partners Inc 3040 Salt Creek Lane Arlington Heights IL 60005 364138353 Operation of Physician Practices & Medical Services IL 501(c)(3) Line 3 AHS Midwest Management Inc 1 Adventist Hlth System Georgia Inc 1035 Red Bud Road 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 Hospital & 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 Hospital & Related Services IL 501(c)(3) Line 3 Adventist Hlth SystemSunbelt Inc 1 Adventist University of Health Sciences Inc (630 Year End) 671 Lake Winyah Drive Orlando FL 32803 593069793 Education/Operation of School FL 501(c)(3) Line 2 Adventist Hlth SystemSunbelt Inc 1 AHP Specialty Care NFP 3040 Salt Creek Lane Arlington Heights IL 60005 811105774 Operation of Physician Practices & Medical Services IL 501(c)(3) Line 3 AHS Midwest Management Inc 1 AHS Midwest Management Inc 1000 Remington Blvd Ste 200 Bolingbrook IL 60440 363354567 Operation of Physician Practice Mgmt IL 501(c)(3) Line 12a, I Adventist Midwest Health 1 AHSCentral Texas Inc 1301 Wonder World Drive San Marcos TX 78666 742621825 Provide Office Space - Medical Professionals TX 501(c)(3) Line 12c, III-FI Adventist Hlth System Sunbelt Hlthcare Corp 1 Alexian Brothers - AHS Midwest Region Hlth Co dba AMITA Health 3040 W Salt Creek Lane Arlington Heights IL 60005 472360513 Joint Operating Company IL 501(c)(3) Line 12b, II 0 Apopka Hlth 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 Battle Creek Adventist Hospital 1000 Remington Blvd Ste 200 Bolingbrook IL 60440 381359189 Inactive MI 501(c)(3) Line 3 Adventist Hlth SystemSunbelt Inc 1 Bolingbrook Hospital Foundation 1000 Remington Blvd N Entrance 2nd Bolingbrook IL 60440 900494445 Fund-raising for Tax-exempt hospital IL 501(c)(3) Line 7 Midwest Hlth Foundation 0 Bradford Heights Hlth & Rehab Center Inc 950 Highpoint Drive Hopkinsville KY 42240 205782342 Operation of Home for the Aged/Hlthcare Delivery 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 Caldwell Hlth Care Properties Inc 1333 West Main Princeton KY 42445 510605680 Lease to Related Organization GA 501(c)(3) Line 12c, III-FI Sunbelt Hlth Care Centers Inc 1 Central Texas Hlthcare Collaborative 1301 Wonder World Drive San Marcos TX 78666 453739929 Support Operation of Hospital TX 501(c)(3) Line 12a, I Adventist Hlth SystemSunbelt Inc 1 Chickasaw Hlth 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 Courtland Hlth 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 107 Boyles Drive Russellville KY 42276 205782260 Operation of Home for the Aged/Hlthcare Delivery KY 501(c)(3) Line 10 Sunbelt Hlth Care Centers Inc 1 Dairy Road Hlth 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 Hlth & 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 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 Svcs 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 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 Ln 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 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 Foundation for Shawnee Mission Medical Center Inc 9100 W 74th Street Shawnee Mission KS 66204 480868859 Fund-raising for Tax-exempt hospital KS 501(c)(3) Line 7 Shawnee Mission Medical Center Inc 1 Fountain Inn Nursing & Rehab Center Inc 485 North Keller Road 250 Maitland FL 32751 472180518 Operation of Home for the Aged/Hlthcare Delivery FL 501(c)(3) Line 10 Sunbelt Hlth Care Centers Inc 1 GlenOaks Hospital Foundation 701 Winthrop Avenue Glendale Heights IL 60139 363926044 Fund-raising for Tax-exempt hospital IL 501(c)(3) Line 7 Midwest Hlth Foundation 0 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 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 Tarpon Springs Hospital Foundation Inc 0 Hinsdale Hospital Foundation 7 Salt Creek Lane Suite 203 Hinsdale IL 60521 521466387 Fund-raising for Tax-exempt hospital IL 501(c)(3) Line 7 Midwest Hlth Foundation 0 Hospice of the Comforter Foundation Inc 480 W Central Parkway Altamonte Springs FL 32714 271858033 Fund Raising for Affiliated Tax-Exempt Hospice FL 501(c)(3) Line 7 The Comforter Health Care Group Inc 1 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 Therapy services to tax exempt nursing homes KS 501(c)(3) Line 12b, II Sunbelt Hlth Care Centers Inc 1 La Grange Memorial Hospital Foundation 5101 S Willow Springs Rd La Grange IL 60525 300247776 Fund-raising for Tax-exempt hospital IL 501(c)(3) Line 7 Midwest Hlth Foundation 0 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 Hlth Systems Foundation Inc 770 West Granada Blvd Ormond Beach FL 32174 311771522 Fund-raising for Tax-exempt hospital FL 501(c)(3) Line 7 0 Memorial Hlth 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 Merriam Hlth Care Properties Inc 9700 West 62nd Street Merriam KS 66203 364595806 Lease to Related Organization KS 501(c)(3) Line 12c, III-FI Sunbelt Hlth Care Centers Inc 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 Hlthcare services to the community TX 501(c)(3) Line 3 Metroplex Adventist Hospital Inc 1 Midwest Hlth Foundation 120 North Oak Street Hinsdale IL 60521 352230515 Support of subsidiary Foundations IL 501(c)(3) Line 12b, II N/A 0 Mills Hlth & Rehab Center Inc 500 Beck Lane Mayfield KY 42066 205782320 Operation of Home for the Aged/Hlthcare Delivery 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 Hlth Inc 9100 W 74th Street Shawnee Mission KS 66204 431224729 Support Hlth Care Services MO 501(c)(3) Line 12d, III-O Adventist Hlth Mid-America Inc 1 Ormond Beach Memorial Hospital Auxiliary Inc 301 Memorial Medical Parkway Daytona Beach FL 32117 591721962 Volunteer support services FL 501(c)(3) Line 12c, III-FI 0 Osceola Health Care Properties Inc (620-123116) 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 Paragon Hlth Care Properties Inc 950 Highpoint Drive Hopkinsville KY 42240 510605686 Lease to Related Organization GA 501(c)(3) Line 12c, III-FI 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 Hlth System (630 Year End) 9100 E Mineral Circle Centennial CO 80112 840438224 Operation of Hospital & Related Services CO 501(c)(3) Line 3 Adventist Hlth System Sunbelt Hlthcare Corp 1 Princeton Hlth & Rehab Center Inc 1333 West Main Princeton KY 42445 205782272 Operation of Home for the Aged/Hlthcare Delivery 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 Hlthcare Services FL 501(c)(3) Line 10 Adventist Hlth System Sunbelt Hlthcare Corp 1 Quality Circle for Hlthcare Inc 900 Hope Way Altamonte Springs FL 32714 263789368 Hlthcare Quality Services FL 501(c)(3) Line 12a, I 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 Year End) 7995 E Prentice Ave 204 Greenwood Village CO 80111 840745018 Fund-raising for Tax-exempt hospital CO 501(c)(3) Line 7 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 Russellville Hlth Care Properties Inc 683 East Third Street Russellville KY 42276 510605691 Lease to Related Organization GA 501(c)(3) Line 12c, III-FI Sunbelt Hlth Care Centers Inc 1 San Marcos Hlth Care Properties Inc 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(98-123116) 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 Hlth 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 Central Inc 900 Hope Way Altamonte Springs FL 32714 593689740 Management Support GA 501(c)(3) Line 12c, III-FI N/A 0 South Pasco Hlth 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 Hlth 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 Hlthcare 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 Specialty Physicians of Central Texas Inc 1301 Wonder World Drive San Marcos TX 78666 208814408 Physician Hlthcare services to the community TX 501(c)(3) Line 3 Adventist Hlth SystemSunbelt Inc 1 Spring View Hlth & Rehab Center Inc 718 Goodwin Lane Leitchfield KY 42754 205782288 Operation of Home for the Aged/Hlthcare Delivery KY 501(c)(3) Line 10 Sunbelt Hlth Care Centers Inc 1 Sunbelt Hlth & 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 Hlth 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 Takoma Regional Hospital Foundation Inc 401 Takoma Ave Greeneville TN 37743 471334302 Fund Raising for Affiliated Tax-Exempt Hospital TN 501(c)(3) Line 7 Takoma Regional Hospital Inc 1 Takoma Regional Hospital Inc (630 Year End)(7115-123116) 401 Takoma Ave Greeneville TN 37743 510603966 Operation of Hospital & Related Services TN 501(c)(3) Line 3 Adventist Hlth SystemSunbelt Inc 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 Hlth 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 Taylor Creek Hlth Care Properties Inc 718 Goodwin Lane Leitchfield KY 42754 510605678 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 Lease to Related Organization FL 501(c)(3) Line 12c, III-FI Adventist Hlth System Sunbelt Hlthcare Corp 1 The Volunteer Auxiliary of Florida Hospital - Flagler Inc 60 Memorial Medical Parkway Palm Coast FL 32164 592486582 Volunteer support services FL 501(c)(3) Line 12c, III-FI 0 Tri-County Nursing and Rehab Center Inc 485 North Keller Road 250 Maitland FL 32751 472219363 Operation of Home for the Aged/Hlthcare Delivery FL 501(c)(3) Line 10 Sunbelt Hlth Care Centers Inc 1 Trinity Nursing & Rehab Center Inc 9700 West 62nd Street Merriam KS 66203 205774890 Operation of Home for the Aged/Hlthcare Delivery KS 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 12a, I 0 University Community Hospital Specialty Care Inc 3100 E Fletcher Ave Tampa FL 33613 593231322 Inactive FL 501(c)(3) Line 12a, I University Community Hospital Inc 1 University Community Hospital Inc 3100 E Fletcher Ave Tampa FL 33613 591113901 Operation of Hospital & Related Services FL 501(c)(3) Line 3 Adventist Hlth System Sunbelt Hlthcare Corp 1 West Kentucky Hlth Care Properties Inc 500 Beck Lane Mayfield KY 42066 510605676 Lease to Related Organization GA 501(c)(3) Line 12c, III-FI Sunbelt Hlth Care Centers Inc 1 Zephyr Haven Hlth & 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 Hlth & 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 Clear Creek MOB Ltd 2201 S Clear Creek Rd Killeen TX 76549 742609195 Real Estate TX N/A Endoscopy Center at Porter LLC (11-32916) 1001 South Park Drive Littleton CO 80120 205855038 Medical Services CO N/A Florida Hospital DMERT LLC 500 Winderley Place Ste 324 Maitland FL 32751 202392253 Medical Equipment FL N/A Florida Hospital Home Infusion LLP 500 Winderley Place Ste 324 Maitland FL 32751 593142824 Home Infusion Services FL N/A Functional Neurosurgical Ambulatory Surgery Center LLC 777 S Williams St Denver CO 80209 464426708 Surgery Center CO N/A PAHSLarkin Ventures LLC 9100 E Mineral Cir Centennial CO 80112 474211060 Medical Services CO N/A PAHSUSP Surgery Centers LLC 15305 Dallas Pkwy Ste 1600 LB 28 Addison TX 75010 263057950 Medical Services CO N/A San Marcos MRI LP 1330 Wonder World Dr Ste 202 San Marcos TX 78666 770597972 Imaging & Testing TX N/A 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 CC MOB Inc 2201 S Clear Creek Road Killeen TX 76549 742616875 Real Estate Rental TX N/A C 1 Central Texas Medical Associates 1301 Wonder World Drive San Marcos TX 78666 742729873 Inactive TX N/A C 1 Central Texas Providers Network 1301 Wonder World Drive San Marcos TX 78666 742827652 Physician Hospital Org. 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 FL N/A C 1 Florida Medical Plaza Condo Association Inc 601 East Rollins Street Orlando FL 32803 592855791 Condo Association FL N/A C 1 Florida Memorial Health Network Inc 770 W Granada Blvd Ste 317 Ormond Beach FL 32174 593403558 Physician Hospital Org. 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 LN Health Partners Inc (815-123116) 550 E Rollins Street 6th Floor Orlando FL 32803 813556903 Inactive 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 Lessor/Holding Co. TN N/A C 1 Ormond Prof Associates Condo Assoc'n 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 Aff Hlth Svcs Inc dba Diversified Aff Hlth Svcs 2525 S Downing Street Denver CO 80210 840956175 Healthcare Services CO N/A C 1 San Marcos Regional MRI Inc 1301 Wonder World Drive San Marcos TX 78666 770597968 Holding Company TX 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 0 1 0 0 0 0 0 0 0 0 1 1 0 0 1 1 0 0 ADVENTIST HEALTH PARTNERS INC P 711371 Cost ADVENTIST HEALTH PARTNERS INC Q 25841169 Cost ADVENTIST HEALTH PARTNERS INC M 57625 Cost Plus Appropriate Margin ADVENTIST HEALTH PARTNERS INC L 8292789 Cost plus appropriate Margin Adventist Midwest Health fka Adventist Hinsdale Hospital L 288215 COST PLUS appropriate Margin Adventist Midwest Health fka Adventist Hinsdale Hospital Q 443509 cost Adventist Midwest Health L 232408 cost plus appropriate Margin ADVENTIST BOLINGBROOK HOSPITAL INC L 91976 COST PLUS appropriate Margin ADVENTIST GLENOAKS HOSPITAL L 78218 COST PLUS appropriate Margin North American Health Services (Elm Creek) M 75314 Cost Plus Appropriate Margin North American Health Services (Elm Creek) L 99000 Cost plus Appropriate Margin Adventist Midwest Health fka Adventist Hinsdale Hospital P 3093575 Cost Adventist Midwest Health fka Adventist Hinsdale Hospital C 3149203 Amount Received Adventist BOLINGBROOK HOSPITAL INC C 2556225 Amount Received Adventist GlenOAKS HOSPITAL C 2128256 Amount Received Adventist Midwest Health DBA ADVENTIST LAGRANGE MEMORIAL HOSP C 824184 Amount Received Adventist Healthcare System Sunbelt Healthcare Corporation M 1119914 % of facility's operating expense Adventist healthcare System Sunbelt Healthcare Corporation P 673665 cost