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        <NamePerson>Hawkins Esq Judith W</NamePerson>
        <Title>Director</Title>
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        <NamePerson>Hayes Alta Sue</NamePerson>
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      <Form990PartVIISectionA>
        <NamePerson>Henderschedt Robert R</NamePerson>
        <Title>Director/Exec VP</Title>
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        <NamePerson>Houmann Lars D</NamePerson>
        <Title>Director/Exec VP</Title>
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      <Form990PartVIISectionA>
        <NamePerson>Hurst Van G</NamePerson>
        <Title>Director</Title>
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        <NamePerson>Japas MD Carlos</NamePerson>
        <Title>Director</Title>
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      <Form990PartVIISectionA>
        <NamePerson>Jernigan PhD Donald L</NamePerson>
        <Title>Director/CEO/President</Title>
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        <NamePerson>Johnson MD Mark</NamePerson>
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        <NamePerson>Johnson Sandra K</NamePerson>
        <Title>Director/Sr VP</Title>
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        <NamePerson>Just PhD Lois C</NamePerson>
        <Title>Director</Title>
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        <NamePerson>Knutson J Deryl</NamePerson>
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        <NamePerson>Lemon Thomas L</NamePerson>
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        <NamePerson>Livesay MDiv Donald E</NamePerson>
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        <NamePerson>Louis Leslie D</NamePerson>
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        <NamePerson>Mitchell MD Charles W</NamePerson>
        <Title>Director</Title>
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      <Form990PartVIISectionA>
        <NamePerson>Moore MDiv Larry R</NamePerson>
        <Title>Vice Chairman/Director</Title>
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        <NamePerson>Morel Hubert J</NamePerson>
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        <NamePerson>Moyer John</NamePerson>
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        <NamePerson>Orian Stephen</NamePerson>
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      </Form990PartVIISectionA>
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        <NamePerson>Pichette Ray</NamePerson>
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      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Pollard DMin PhD Leslie N</NamePerson>
        <Title>Director</Title>
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        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
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      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Pursley MD Timothy J</NamePerson>
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      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Reed MD Monica P</NamePerson>
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      </Form990PartVIISectionA>
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        <NamePerson>Reiner Richard K</NamePerson>
        <Title>Director/Exec VP</Title>
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      </Form990PartVIISectionA>
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        <NamePerson>Robinson Randy</NamePerson>
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      </Form990PartVIISectionA>
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        <NamePerson>Scott Glynn CW</NamePerson>
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      </Form990PartVIISectionA>
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        <NamePerson>Shaw Terry D</NamePerson>
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        <NamePerson>Smith DMin PhD Ron C</NamePerson>
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        <NamePerson>Snyder Esq Brent G</NamePerson>
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        <NamePerson>Stevens DMin James L</NamePerson>
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      </Form990PartVIISectionA>
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        <NamePerson>Storfjell PhD Judith</NamePerson>
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      </Form990PartVIISectionA>
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        <NamePerson>Thurber Gary F</NamePerson>
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      </Form990PartVIISectionA>
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        <NamePerson>Valentine II MDiv Maurice R</NamePerson>
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      </Form990PartVIISectionA>
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        <NamePerson>Wagner John H</NamePerson>
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        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
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      </Form990PartVIISectionA>
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        <NamePerson>Werner Thomas L</NamePerson>
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      </Form990PartVIISectionA>
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        <NamePerson>Winston William</NamePerson>
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      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Wright DMin Edward E</NamePerson>
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      </Form990PartVIISectionA>
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        <NamePerson>Schultz Michael</NamePerson>
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        <NamePerson>Crane David</NamePerson>
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        <NamePerson>Harding John R</NamePerson>
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      </Form990PartVIISectionA>
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        <NamePerson>Hagensicker Janice K</NamePerson>
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        </NameOfContractor>
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            <AddressLine1>PO Box 412702</AddressLine1>
            <City>Kansas City</City>
            <State>MO</State>
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          <NameBusiness>
            <BusinessNameLine1>Executive Health Resources</BusinessNameLine1>
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            <AddressLine1>PO BOX 822688</AddressLine1>
            <City>Philadelphia</City>
            <State>PA</State>
            <ZIPCode>19182</ZIPCode>
          </AddressUS>
        </AddressOfContractor>
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          <NameBusiness>
            <BusinessNameLine1>Oracle America</BusinessNameLine1>
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            <AddressLine1>500 Oracle Parkway</AddressLine1>
            <City>Redwood Shores</City>
            <State>CA</State>
            <ZIPCode>94065</ZIPCode>
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          <NameBusiness>
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            <AddressLine1>PO Box 780062</AddressLine1>
            <City>Orlando</City>
            <State>FL</State>
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            <BusinessNameLine1>Vitalize Consulting</BusinessNameLine1>
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        <BookValue>86249320</BookValue>
      </OtherAssets>
      <TotalBookValueOtherAssets>614034365</TotalBookValueOtherAssets>
      <OtherLiabilities>
        <Description>Due to Related/Affiliated Entities</Description>
        <Amount>3837560383</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>Inter Company Allocation TE Bonds</Description>
        <Amount>8012771</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>Other Current Liabilities</Description>
        <Amount>100656288</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>Other Deferred Revenues</Description>
        <Amount>78200336</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>Other Liabilities</Description>
        <Amount>371505089</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>Securities Lending Payable</Description>
        <Amount>3060000</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>Notes and Loans Payable</Description>
        <Amount>30000000</Amount>
      </OtherLiabilities>
      <TotalOfAmounts>4428994867</TotalOfAmounts>
      <FootnoteInPartXIII>X</FootnoteInPartXIII>
      <TotRevenueEtcAuditedFinclStmt>7339084525</TotRevenueEtcAuditedFinclStmt>
      <NetUnrealizedGainsInvestments>-3029271</NetUnrealizedGainsInvestments>
      <OtherRevenues>6989455946</OtherRevenues>
      <RevenueNotRptdF990>6986426675</RevenueNotRptdF990>
      <RevenueSubtotal>352657850</RevenueSubtotal>
      <OtherRevenuesNotIncluded>89741827</OtherRevenuesNotIncluded>
      <RevenueNotRptdOnFinStmt>89741827</RevenueNotRptdOnFinStmt>
      <TotalRevenuePerForm990>442399677</TotalRevenuePerForm990>
      <TotExpensesEtcAuditedFinclStmt>6834126858</TotExpensesEtcAuditedFinclStmt>
      <OtherExpensesIncluded>6491327437</OtherExpensesIncluded>
      <ExpensesNotRptdF990>6491327437</ExpensesNotRptdF990>
      <ExpensesSubtotal>342799421</ExpensesSubtotal>
      <OtherExpensesNotIncluded>89741826</OtherExpensesNotIncluded>
      <ExpensesNotRptdOnFinStmt>89741826</ExpensesNotRptdOnFinStmt>
      <TotalExpensesPerForm990>432541247</TotalExpensesPerForm990>
      <Form990ScheduleDPartXIII>
        <ReturnReference>Part IV, Line 2b:</ReturnReference>
        <Explanation>A division of the filing organization conducts third-party administration type claims processing services on behalf of certain organizations. One of the programs for which claims processing is conducted is the Orange County Indigent Plan Program. Funding to assist in payment of claims under this program is partially funded by an unrelated 501(c)(3) hospital system located in the Greater Orlando area. The filing organization has established an escrow account to hold funds collected from the unrelated hospital system that will be used to pay for medical care for indigent patients under this program.</Explanation>
      </Form990ScheduleDPartXIII>
      <Form990ScheduleDPartXIII>
        <Identifier>Description of Uncertain Tax Positions Under FIN 48:</Identifier>
        <ReturnReference>Part X, Line 2:</ReturnReference>
        <Explanation>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 subsidiaries (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. For the years ended December 31, 2012 and 2011, unrelated business income activities conducted by Healthcare Corporation and its tax-exempt affiliates did not generate a material amount of combined federal, state and local income tax. NAHS is a wholly owned, for-profit subsidiary of Healthcare Corporation. NAHS and its subsidiaries are subject to federal and state income taxes. NAHS files a consolidated federal income tax return and, where appropriate, consolidated state income tax returns. For the years ended December 31, 2012 and 2011, NAHS generated taxable income of approximately $2,400 and $1,000, respectively. This taxable income was fully offset by net operating loss carryforwards for federal income tax purposes. Although one state in which NAHS conducts business has suspended the utilization of net operating loss carryforwards for the year ended December 31, 2012, no material state income tax liability resulted. Accordingly, there is no provision for current federal or state income tax for the years ended December 31, 2012 and 2011. NAHS also has temporary deductible differences of approximately $64,800 and $67,500 at December 31, 2012 and 2011, respectively, primarily as a result of net operating loss carryforwards. At December 31, 2012, NAHS had net operating loss carryforwards of approximately $64,300 of which $21,000 will expire in 2023, with the remaining $43,300 expiring beginning in 2018 through 2026. Some of these net operating losses are subject to the separate return limitation year rules. Deferred taxes have been provided for these amounts, resulting in a net deferred tax asset of approximately $24,600 and $25,600 at December 31, 2012 and 2011, respectively. A full valuation allowance has been provided at December 31, 2012 and 2011, respectively, 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.</Explanation>
      </Form990ScheduleDPartXIII>
      <Form990ScheduleDPartXIII>
        <Identifier>Part XI, Line 2d - Other Adjustments:</Identifier>
        <Explanation>Revenue of Affiliated Organizations Included in Audited Financial Statements 6,989,455,946.</Explanation>
      </Form990ScheduleDPartXIII>
      <Form990ScheduleDPartXIII>
        <Identifier>Part XI, Line 4b - Other Adjustments:</Identifier>
        <Explanation>Reclass Expense 81,075,437. Premier Distribution Allocated to Subs 8,666,389. Rounding 1.</Explanation>
      </Form990ScheduleDPartXIII>
      <Form990ScheduleDPartXIII>
        <Identifier>Part XII, Line 2d - Other Adjustments:</Identifier>
        <Explanation>Expense of Affiliated Organizations Included in Audited Financial Statements 6,491,327,437.</Explanation>
      </Form990ScheduleDPartXIII>
      <Form990ScheduleDPartXIII>
        <Identifier>Part XII, Line 4b - Other Adjustments:</Identifier>
        <Explanation>Reclass Expenses 81,075,437. Premier Distribution Allocated to Subs 8,666,389.</Explanation>
      </Form990ScheduleDPartXIII>
    </IRS990ScheduleD>
    <IRS990ScheduleF documentId="RetDoc1040500001">
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      <AcctsActvsOutUSTable>
        <Region>Europe</Region>
        <TypeOfActivitiesConducted>Meetings</TypeOfActivitiesConducted>
        <TotalExpenditures>36631</TotalExpenditures>
      </AcctsActvsOutUSTable>
      <AcctsActvsOutUSTable>
        <Region>East Asia</Region>
        <TypeOfActivitiesConducted>Meetings</TypeOfActivitiesConducted>
        <TotalExpenditures>42860</TotalExpenditures>
      </AcctsActvsOutUSTable>
      <AcctsActvsOutUSTable>
        <Region>East Asia</Region>
        <TypeOfActivitiesConducted>Meetings</TypeOfActivitiesConducted>
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      <AcctsActvsOutUSTable>
        <Region>East Asia</Region>
        <TypeOfActivitiesConducted>Program Services</TypeOfActivitiesConducted>
        <SpecificServicesProvided>SHARE Training</SpecificServicesProvided>
        <TotalExpenditures>25855</TotalExpenditures>
      </AcctsActvsOutUSTable>
      <AcctsActvsOutUSTable>
        <Region>South America</Region>
        <TypeOfActivitiesConducted>Meetings</TypeOfActivitiesConducted>
        <TotalExpenditures>845</TotalExpenditures>
      </AcctsActvsOutUSTable>
      <AcctsActvsOutUSTable>
        <Region>North America</Region>
        <TypeOfActivitiesConducted>Meetings</TypeOfActivitiesConducted>
        <TotalExpenditures>5444</TotalExpenditures>
      </AcctsActvsOutUSTable>
      <AcctsActvsOutUSTable>
        <Region>Central America &amp; Caribbean</Region>
        <TypeOfActivitiesConducted>Meetings</TypeOfActivitiesConducted>
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      </AcctsActvsOutUSTable>
      <AcctsActvsOutUSTable>
        <Region>Europe</Region>
        <TypeOfActivitiesConducted>Passive Investments</TypeOfActivitiesConducted>
        <TotalExpenditures>763302</TotalExpenditures>
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      <AcctsActvsOutUSTable>
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        <TypeOfActivitiesConducted>Passive Investments</TypeOfActivitiesConducted>
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      <AcctsActvsOutUSTable>
        <Region>Central America and the Caribbean -</Region>
        <TypeOfActivitiesConducted>Passive Investments</TypeOfActivitiesConducted>
        <TotalExpenditures>759273665</TotalExpenditures>
      </AcctsActvsOutUSTable>
      <AcctsActvsOutUSTable>
        <Region>Sub-Saharan Africa - Angola,</Region>
        <TypeOfActivitiesConducted>Grantmaking</TypeOfActivitiesConducted>
        <TotalExpenditures>78000</TotalExpenditures>
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      <AcctsActvsOutUSTable>
        <Region>Central America &amp; Caribbean</Region>
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      <ContNumberOfEmployees>0</ContNumberOfEmployees>
      <TotalNumberOfOffices>0</TotalNumberOfOffices>
      <TotalNumberOfEmployees>0</TotalNumberOfEmployees>
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        <Region>Sub-Saharan Africa - Angola,</Region>
        <PurposeOfGrant>Ethiopia Mission Trip</PurposeOfGrant>
        <AmountOfCashGrant>39000</AmountOfCashGrant>
        <MannerOfCashDisbursement>check</MannerOfCashDisbursement>
      </GrantsToOrgsOutsideUS>
      <GrantsToOrgsOutsideUS>
        <Region>Central America and the Caribbean -</Region>
        <PurposeOfGrant>Guatemala Mission Trip</PurposeOfGrant>
        <AmountOfCashGrant>39000</AmountOfCashGrant>
        <MannerOfCashDisbursement>check</MannerOfCashDisbursement>
      </GrantsToOrgsOutsideUS>
      <GrantsToOrgsOutsideUS>
        <Region>Sub-Saharan Africa - Angola,</Region>
        <PurposeOfGrant>Hospital in Chad</PurposeOfGrant>
        <AmountOfCashGrant>39000</AmountOfCashGrant>
        <MannerOfCashDisbursement>check</MannerOfCashDisbursement>
      </GrantsToOrgsOutsideUS>
      <TotalNumberOf501c3Orgs>3</TotalNumberOf501c3Orgs>
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      <TransferToForeignCorp>1</TransferToForeignCorp>
      <InterestInForeignTrust>0</InterestInForeignTrust>
      <OwnForeignCorp>1</OwnForeignCorp>
      <PassiveForeignInvestCo>1</PassiveForeignInvestCo>
      <ForeignPartnership>1</ForeignPartnership>
      <BoycottCountries>0</BoycottCountries>
      <Form990ScheduleFPartV>
        <Identifier>Procedure for Monitoring Grants Outside the U.S.:</Identifier>
        <Explanation>Schedule F, Part I, Line 2: Foreign grants are generally made to organizations within the U.S. to assist with funding for mission related trips whose purpose is to provide health care services in foreign locations and/or construct and build health care facilities in foreign locations. The U.S. organizations sponsoring the health-related mission trips are often related organizations that are exempt from Federal Income Tax under 501(c)(3) or 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 outside the United States as the filing organization does not have a grant making program that would necessitate such procedures and is generally making an indirect foreign grant through another U.S. charitable organization.</Explanation>
      </Form990ScheduleFPartV>
      <Form990ScheduleFPartV>
        <Identifier>Method Used to Acccount for Expenditures:</Identifier>
        <Explanation>Schedule F, Part I, Line 3: All expenses relate to travel costs or cash grants to U.S. charities for foreign mission trips.</Explanation>
      </Form990ScheduleFPartV>
    </IRS990ScheduleF>
    <IRS990ScheduleI documentId="RetDoc1041900001">
      <RecordsMaintained>1</RecordsMaintained>
      <RecipientTable>
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          <BusinessNameLine1>Adventist Health System Georgia Inc</BusinessNameLine1>
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          <AddressLine1>1035 Red Bud Road</AddressLine1>
          <City>Calhoun</City>
          <State>GA</State>
          <ZIPCode>30701</ZIPCode>
        </AddressUS>
        <EINOfRecipient>581425000</EINOfRecipient>
        <IRCSection>501(c)(3)</IRCSection>
        <AmountOfCashGrant>75000</AmountOfCashGrant>
        <PurposeOfGrant>Creation Health-Patient Care</PurposeOfGrant>
      </RecipientTable>
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          <BusinessNameLine1>Adventist Health System Sunbelt Inc</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>900 Hope Way</AddressLine1>
          <City>Altamonte Springs</City>
          <State>FL</State>
          <ZIPCode>32714</ZIPCode>
        </AddressUS>
        <EINOfRecipient>591479658</EINOfRecipient>
        <IRCSection>501(c)(3)</IRCSection>
        <AmountOfCashGrant>87449</AmountOfCashGrant>
        <PurposeOfGrant>Creation Health-Wellness and Second Harvest Food Bank</PurposeOfGrant>
      </RecipientTable>
      <RecipientTable>
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          <BusinessNameLine1>Adventist Hinsdale Hospital</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>120 N Oak St</AddressLine1>
          <City>Hinsdale</City>
          <State>IL</State>
          <ZIPCode>60521</ZIPCode>
        </AddressUS>
        <EINOfRecipient>362276984</EINOfRecipient>
        <IRCSection>501(c)(3)</IRCSection>
        <AmountOfCashGrant>22500</AmountOfCashGrant>
        <PurposeOfGrant>Creation Health-Education</PurposeOfGrant>
      </RecipientTable>
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          <BusinessNameLine1>Bolingbrook Hospital Foundation</BusinessNameLine1>
        </RecipientNameBusiness>
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          <AddressLine1>500 Remington Blvd</AddressLine1>
          <City>Bolingbrook</City>
          <State>IL</State>
          <ZIPCode>60440</ZIPCode>
        </AddressUS>
        <EINOfRecipient>900494445</EINOfRecipient>
        <IRCSection>501(c)(3)</IRCSection>
        <AmountOfCashGrant>10000</AmountOfCashGrant>
        <PurposeOfGrant>General Support</PurposeOfGrant>
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          <BusinessNameLine1>Central Texas Medical Center Foundation</BusinessNameLine1>
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          <City>San Marcos</City>
          <State>TX</State>
          <ZIPCode>78667</ZIPCode>
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        <EINOfRecipient>742259907</EINOfRecipient>
        <IRCSection>501(c)(3)</IRCSection>
        <AmountOfCashGrant>10000</AmountOfCashGrant>
        <PurposeOfGrant>General Support</PurposeOfGrant>
      </RecipientTable>
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          <BusinessNameLine1>City of Altamonte Springs</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>225 Newburyport Ave</AddressLine1>
          <City>Altamonte Springs</City>
          <State>FL</State>
          <ZIPCode>32701</ZIPCode>
        </AddressUS>
        <EINOfRecipient>596000263</EINOfRecipient>
        <IRCSection>City of Altamonte Sp</IRCSection>
        <AmountOfCashGrant>25000</AmountOfCashGrant>
        <PurposeOfGrant>Science Incubator</PurposeOfGrant>
      </RecipientTable>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>Coalition to Protect America's Health Care</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>PO Box 30211</AddressLine1>
          <City>Bethesda</City>
          <State>MA</State>
          <ZIPCode>20824</ZIPCode>
        </AddressUS>
        <EINOfRecipient>522253225</EINOfRecipient>
        <IRCSection>501(c)(4)</IRCSection>
        <AmountOfCashGrant>152000</AmountOfCashGrant>
        <PurposeOfGrant>AHA Advocacy and Public Awareness Compaign</PurposeOfGrant>
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      <RecipientTable>
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          <BusinessNameLine1>Emory-Adventist Inc</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>3949 S Cobb Drive</AddressLine1>
          <City>Smyrna</City>
          <State>GA</State>
          <ZIPCode>30080</ZIPCode>
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        <EINOfRecipient>582171011</EINOfRecipient>
        <IRCSection>501(c)(3)</IRCSection>
        <AmountOfCashGrant>10000</AmountOfCashGrant>
        <PurposeOfGrant>General Support</PurposeOfGrant>
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          <BusinessNameLine1>ETV Endowment of South Carolina Inc</BusinessNameLine1>
        </RecipientNameBusiness>
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          <AddressLine1>401 E Kennedy St B-1</AddressLine1>
          <City>Spartanburg</City>
          <State>SC</State>
          <ZIPCode>28792</ZIPCode>
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        <EINOfRecipient>570657549</EINOfRecipient>
        <IRCSection>501(c)(3)</IRCSection>
        <AmountOfCashGrant>20000</AmountOfCashGrant>
        <PurposeOfGrant>General Support</PurposeOfGrant>
      </RecipientTable>
      <RecipientTable>
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          <BusinessNameLine1>Fletcher Hospital Inc</BusinessNameLine1>
        </RecipientNameBusiness>
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          <AddressLine1>100 Hospital Drive</AddressLine1>
          <City>Hendersonville</City>
          <State>NC</State>
          <ZIPCode>28792</ZIPCode>
        </AddressUS>
        <EINOfRecipient>560543246</EINOfRecipient>
        <IRCSection>501(c)(3)</IRCSection>
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        <PurposeOfGrant>Creation Health-Community Service</PurposeOfGrant>
      </RecipientTable>
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          <BusinessNameLine1>Florida Hospital Waterman Foundation Inc</BusinessNameLine1>
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          <AddressLine1>1500 Waterman Way</AddressLine1>
          <City>Tavares</City>
          <State>FL</State>
          <ZIPCode>32778</ZIPCode>
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        <IRCSection>501(c)(3)</IRCSection>
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        <PurposeOfGrant>General Support</PurposeOfGrant>
      </RecipientTable>
      <RecipientTable>
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          <BusinessNameLine1>Florida Hospital Waterman Inc</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>1000 Waterman Way</AddressLine1>
          <City>Tavares</City>
          <State>FL</State>
          <ZIPCode>32778</ZIPCode>
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        <EINOfRecipient>593140669</EINOfRecipient>
        <IRCSection>501(c)(3)</IRCSection>
        <AmountOfCashGrant>100000</AmountOfCashGrant>
        <PurposeOfGrant>Creation Health-Wellness</PurposeOfGrant>
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          <BusinessNameLine1>Florida Hospital Zephyrhills Inc</BusinessNameLine1>
        </RecipientNameBusiness>
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          <AddressLine1>7050 Gall Blvd</AddressLine1>
          <City>Zephyrhills</City>
          <State>FL</State>
          <ZIPCode>33541</ZIPCode>
        </AddressUS>
        <EINOfRecipient>592108057</EINOfRecipient>
        <IRCSection>501(c)(3)</IRCSection>
        <AmountOfCashGrant>100000</AmountOfCashGrant>
        <PurposeOfGrant>Creation Health-Wellness</PurposeOfGrant>
      </RecipientTable>
      <RecipientTable>
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          <BusinessNameLine1>Forest Lake Academy</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>500 Education Loop</AddressLine1>
          <City>Apopka</City>
          <State>FL</State>
          <ZIPCode>32703</ZIPCode>
        </AddressUS>
        <EINOfRecipient>590816443</EINOfRecipient>
        <IRCSection>501(c)(3)</IRCSection>
        <AmountOfCashGrant>121000</AmountOfCashGrant>
        <PurposeOfGrant>General Support</PurposeOfGrant>
      </RecipientTable>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>Foundation for Shawnee Mission Medical Center</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>9100 W 74th Street</AddressLine1>
          <City>Shawnee Mission</City>
          <State>KS</State>
          <ZIPCode>66204</ZIPCode>
        </AddressUS>
        <EINOfRecipient>480868859</EINOfRecipient>
        <IRCSection>501(c)(3)</IRCSection>
        <AmountOfCashGrant>10000</AmountOfCashGrant>
        <PurposeOfGrant>General Support</PurposeOfGrant>
      </RecipientTable>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>GlenOaks Hospital Foundation</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>701 Winthrop Ave</AddressLine1>
          <City>Glendale Heights</City>
          <State>IL</State>
          <ZIPCode>60139</ZIPCode>
        </AddressUS>
        <EINOfRecipient>363926044</EINOfRecipient>
        <IRCSection>501(c)(3)</IRCSection>
        <AmountOfCashGrant>10000</AmountOfCashGrant>
        <PurposeOfGrant>General Support</PurposeOfGrant>
      </RecipientTable>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>Helen Ellis Memorial Hospital Foundation Inc</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>1395 S Pinellas Ave</AddressLine1>
          <City>Tarpon Springs</City>
          <State>FL</State>
          <ZIPCode>34689</ZIPCode>
        </AddressUS>
        <EINOfRecipient>593690149</EINOfRecipient>
        <IRCSection>501(c)(3)</IRCSection>
        <AmountOfCashGrant>10000</AmountOfCashGrant>
        <PurposeOfGrant>General Support</PurposeOfGrant>
      </RecipientTable>
      <RecipientTable>
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          <BusinessNameLine1>Hinsdale Hospital Foundation</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>120 N Oak St</AddressLine1>
          <City>Hinsdale</City>
          <State>IL</State>
          <ZIPCode>60521</ZIPCode>
        </AddressUS>
        <EINOfRecipient>521466387</EINOfRecipient>
        <IRCSection>501(c)(3)</IRCSection>
        <AmountOfCashGrant>10000</AmountOfCashGrant>
        <PurposeOfGrant>General Support</PurposeOfGrant>
      </RecipientTable>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>Junior Achievement of Central Florida</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>2121 Camden Rd</AddressLine1>
          <City>Orlando</City>
          <State>FL</State>
          <ZIPCode>32803</ZIPCode>
        </AddressUS>
        <EINOfRecipient>590972112</EINOfRecipient>
        <IRCSection>501(c)(3)</IRCSection>
        <AmountOfCashGrant>13524</AmountOfCashGrant>
        <PurposeOfGrant>General Support</PurposeOfGrant>
      </RecipientTable>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>LaGrange Memorial Hospital Foundation</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>5101 S Willow Springs Rd</AddressLine1>
          <City>La Grange</City>
          <State>IL</State>
          <ZIPCode>60525</ZIPCode>
        </AddressUS>
        <EINOfRecipient>300247776</EINOfRecipient>
        <IRCSection>501(c)(3)</IRCSection>
        <AmountOfCashGrant>10000</AmountOfCashGrant>
        <PurposeOfGrant>General Support</PurposeOfGrant>
      </RecipientTable>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>Lake Union Conference of Seventh-Day Adventists</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>PO Box C</AddressLine1>
          <City>Berrien Springs</City>
          <State>MI</State>
          <ZIPCode>49103</ZIPCode>
        </AddressUS>
        <EINOfRecipient>381474933</EINOfRecipient>
        <IRCSection>501(c)(3)</IRCSection>
        <AmountOfCashGrant>200000</AmountOfCashGrant>
        <PurposeOfGrant>Annual General Support</PurposeOfGrant>
      </RecipientTable>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>Medicare Rights Center Inc</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>520 Eighth Ave North Wing 3rd Floor</AddressLine1>
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        <TotalCompensationFilingOrg>1074757</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>27496</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>Paradis John Brain</NamePerson>
        <Title>5 highest paid</Title>
        <BaseCompensationFilingOrg>618569</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>198313</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>109417</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>123831</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>50715</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>1100845</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>89762</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartIII>
        <ReturnReference>Part I, Line 1a</ReturnReference>
        <Explanation>The filing organization is the top-tier parent of a 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 (including those who provide services at the filing organization and those who perform executive management services at AHS subsidiary organizations) are compensated by and on the payroll of the filing organization. First-class or charter travel: Pursuant to the AHS system-wide general policy regarding business travel, no reimbursement will be provided for any additional cost incurred with respect to first-class or charter air travel beyond the cost of a regular coach airfare. As a means of providing additional business travel reimbursement for those members of the AHSSHC senior executive management team that travel frequently on behalf of AHS, a special annual travel allowance is provided for those executives. As AHS operates 43 hospitals and a number of other health care facilities in 10 states, the senior leadership of AHSSHC travel extensively and often visit multiple hospital locations in different states as a part of a single business trip. The special travel allowance can provide reimbursements to the executive for such items as the purchase of air travel upgrade coupons, to cover the cost differential between coach and first-class travel, or to cover the cost of a charter flight. The special travel allowance benefit was originally authorized by and codified into a policy by the AHSSHC Board Strategy &amp; Compensation Committee (the Committee), an independent body of the AHSSHC Board of Directors, who also approves the annual cap on the amount of the allowance. The special travel allowance has an annual cap of $24,000 for members of the AHS Corporate Management Committee (6 individual executives) and $15,000 for AHS Corporate Office Senior Vice Presidents (10 individual executives). The CEO of AHS has been approved by the Committee to travel by charter for AHS business trips in an amount which may exceed the established annual cap. Those executives who receive the special travel allowance are responsible for tracking the expenses reimbursable under the special travel allowance and must submit such expenses on their accountable plan expense report. Any taxable reimbursements made to executives under the special travel allowance arrangement are treated as taxable compensation to the executive. 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 Strategy &amp; 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). 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. Health or social club dues or initiation fees: AHSSHC has a Corporate Executive Policy that addresses business development expenditures. Under this policy, certain AHS eligible executives may be reimbursed for member dues and usage charges for a country club or other social club upon authorization. Club memberships must be recommended by the CEO of the AHS hospital organization and approved by the Chairman of the Board of Directors of the organization. In addition, the proposed membership must be approved annually by the AHSSHC Board Strategy &amp; Compensation Committee, an independent committee of the Board of Directors of AHSSHC. Eligible executives are limited to certain senior level executives (hospital organization CEOs, the CEO of the nursing home division of AHS, senior vice presidents at three large hospital organizations, regional CEOs and CFOs and the president and senior vice presidents of AHSSHC). In the current year, for this filing organization, one executive was eligible to receive reimbursement for club fees. Each AHS executive who is approved for a club membership must submit an annual report to the AHSSHC Board Strategy &amp; Compensation Committee that describes how the membership benefited their organization during the preceding year.</Explanation>
      </Form990ScheduleJPartIII>
      <Form990ScheduleJPartIII>
        <ReturnReference>Part I, Line 4b</ReturnReference>
        <Explanation>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 AHS Board Strategy &amp; 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 $210,000. 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 ------------------------------------------------------- Robert Henderschedt $115,094 $ 98,208 $ 113,969 $ 0 Lars Houmann $175,971 $161,469 $ 25,617 $ 0 Donald Jernigan $202,164 $185,164 $ 394,589 $ 0 Sandra Johnson $ 51,102 $ 32,385 $ 0 $ 0 Monica Reed, MD $ 64,397 $ 55,128 $ 0 $ 0 Richard K. Reiner $182,872 $167,651 $ 255,540 $ 0 Terry D. Shaw $175,971 $171,709 $ 0 $ 0 Brent G. Snyder $111,184 $ 72,235 $ 45,489 $ 0 Michael Schultz $114,908 $ 97,967 $ 300,548 $ 0 David Crane $125,137 $106,499 $ 0 $ 0 John Harding $ 87,003 $ 74,888 $ 275,725 $ 0 Janice Hagensicker $ 47,501 $ 27,513 $ 489,559 $ 0 J. Brian Paradis $115,232 $ 89,831 $ 0 $ 0 * Including Investment Earnings</Explanation>
      </Form990ScheduleJPartIII>
      <Form990ScheduleJPartIII>
        <Identifier>Supplemental Information</Identifier>
        <ReturnReference>Part III</ReturnReference>
        <Explanation>Part I, Question 3: As noted in our response to question 15 of Part VI of Form 990, the 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 system-wide CEO of AHS. 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 uses all of the following to establish compensation of the CEO: - Compensation committee; - Independent compensation consultant; - Compensation survey or study; and - Approval by the board or compensation committee.</Explanation>
      </Form990ScheduleJPartIII>
    </IRS990ScheduleJ>
    <IRS990ScheduleL documentId="RetDoc1042800001">
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NamePerson>Kevin Edgerton</NamePerson>
        </NameOfInterestedPerson>
        <Relationship>Family of Board Member</Relationship>
        <AmountOfTransaction>211411</AmountOfTransaction>
        <DescriptionOfTransaction>Employee compensation</DescriptionOfTransaction>
        <SharingOfRevenues>0</SharingOfRevenues>
      </Form990ScheduleLPartIV>
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NamePerson>Suzanne Keller</NamePerson>
        </NameOfInterestedPerson>
        <Relationship>Family of Board Member</Relationship>
        <AmountOfTransaction>25461</AmountOfTransaction>
        <DescriptionOfTransaction>Employee compensation</DescriptionOfTransaction>
        <SharingOfRevenues>0</SharingOfRevenues>
      </Form990ScheduleLPartIV>
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NamePerson>Tim Reiner</NamePerson>
        </NameOfInterestedPerson>
        <Relationship>Family of Board Member</Relationship>
        <AmountOfTransaction>356629</AmountOfTransaction>
        <DescriptionOfTransaction>Employee compensation</DescriptionOfTransaction>
        <SharingOfRevenues>0</SharingOfRevenues>
      </Form990ScheduleLPartIV>
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NamePerson>Heidi Reiner</NamePerson>
        </NameOfInterestedPerson>
        <Relationship>Family of Board Member</Relationship>
        <AmountOfTransaction>55004</AmountOfTransaction>
        <DescriptionOfTransaction>Employee compensation</DescriptionOfTransaction>
        <SharingOfRevenues>0</SharingOfRevenues>
      </Form990ScheduleLPartIV>
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NamePerson>Terry Owen</NamePerson>
        </NameOfInterestedPerson>
        <Relationship>Family of Board Member</Relationship>
        <AmountOfTransaction>750568</AmountOfTransaction>
        <DescriptionOfTransaction>Employee compensation</DescriptionOfTransaction>
        <SharingOfRevenues>0</SharingOfRevenues>
      </Form990ScheduleLPartIV>
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NamePerson>Cynthia Rodgers</NamePerson>
        </NameOfInterestedPerson>
        <Relationship>Family of Board Member</Relationship>
        <AmountOfTransaction>26586</AmountOfTransaction>
        <DescriptionOfTransaction>Employee Compensation</DescriptionOfTransaction>
        <SharingOfRevenues>0</SharingOfRevenues>
      </Form990ScheduleLPartIV>
    </IRS990ScheduleL>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <GeneralExplanation>
        <ReturnReference>Form 990, Part VI, Section A, line 6</ReturnReference>
        <Explanation>The governing documents of the filing organization provide that the membership of the organization consists of those individuals who as of October 1, 2009 are duly elected members of at least one of the following: Executive Committee of the Southern Union Conference of Seventh-day Adventists, Executive Committee of the Southwestern Union Conference of Seventh-day Adventists, Executive Committee of the Lake Union Conference of Seventh-day Adventists, Executive Committee of the Mid-America Union Conference of Seventh-day Adventists and the Board of Directors of the filing organization.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>Form 990, Part VI, Section A, line 7a</ReturnReference>
        <Explanation>The Board of Directors of the filing organization are elected by the membership of the organization or are appointed by virtue of their employment with the organization itself or by virtue of their position within one of the Seventh-Day Adventist Conferences listed above.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>Form 990, Part VI, Section A, line 7b</ReturnReference>
        <Explanation>The membership 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 any amendment, restatement, or repealing of the Articles of Incorporation or Bylaws of the filing organization; and b) to appoint individuals to fill any vacancies on the Board of Directors of the Corporation.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>Form 990, Part VI, Section B, line 11</ReturnReference>
        <Explanation>The filing organization's current year Form 990 was reviewed by the Senior Vice President of Finance and Senior Vice President, Administration prior to its filing with the IRS. The review conducted by the Senior Vice President of Finance 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.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>Form 990, Part VI, Section B, line 12c</ReturnReference>
        <Explanation>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.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>Form 990, Part VI, Section B, line 15</ReturnReference>
        <Explanation>Compensation and benefits provided to Adventist Health System Sunbelt Healthcare Corporation's (AHSSHC) CEO, CFO, Vice Presidents or key employees are determined pursuant to policies, procedures, and processes 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 Strategy and 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.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>Form 990, Part VI, Section C, line 19</ReturnReference>
        <Explanation>The filing organization is the parent organization of a system of healthcare organizations known as Adventist Health System (AHS). Each year, AHS publishes an annual report document that includes a financial report for the relevant year as well as a community benefit report. The financial report and community benefit report are presented on a consolidated basis and represent all of the activities, results of operations, and financial position at year-end of the entire AHS system. In addition, 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.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>Part VII, Section A</ReturnReference>
        <Explanation>Two members of the Board of Directors: Lars Houmann and Monica Reed, MD, and the highest paid employees: John Harding, Michael Schultz, Janice Hagensicker, J. Brian Paradis, and David Crane, 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 (D) and (F) on page 7 were provided in conjunction with that person's responsibilities and roles in serving in an executive leadership position for a subsidiary organization of the filing organization. Lars Houmann, Monica Reed, MD, John Harding, Michael Schultz, Janice Hagensicker, J. Brian Paradis, and David Crane devote approximately 50 hours per week in conjunction with serving in their respective executive leadership position for subsidiary hospital organizations. Mardian Blair, a member of the Board, received compensation from a grandfathered paid time off plan.,</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Changes in Net Assets or Fund Balances:</Identifier>
        <ReturnReference>Form 990, Part XI, line 9:</ReturnReference>
        <Explanation>Transfer from tax-exempt subs 34,400,000. Allocation of debt costs to tax-exempt subs 24,304. Transfer to tax-exempt affiliates -25,124.</Explanation>
      </GeneralExplanation>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="RetDoc1043400001">
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>Adventist Bolingbrook Hospital</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>500 Remington Blvd</AddressLine1>
          <City>Bolingbrook</City>
          <State>IL</State>
          <ZIPCode>60440</ZIPCode>
        </AddressUS>
        <EIN>651219504</EIN>
        <PrimaryActivities>Operation of Hospital &amp; Related Services</PrimaryActivities>
        <LegalDomicileState>IL</LegalDomicileState>
        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
        <PublicCharityStatus>170(b)(1)(A)(iii)</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>Adventist Hlth SystemSunbelt Inc</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>0</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>Adventist Care Centers - Courtland Inc</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>730 Courtland Street</AddressLine1>
          <City>Orlando</City>
          <State>FL</State>
          <ZIPCode>32804</ZIPCode>
        </AddressUS>
        <EIN>205774723</EIN>
        <PrimaryActivities>Operation of Home for the Aged/Hlthcare Delivery</PrimaryActivities>
        <LegalDomicileState>FL</LegalDomicileState>
        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
        <PublicCharityStatus>509(a)(2)</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>Sunbelt Hlth Care Centers Inc</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>0</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>Adventist GlenOaks Hospital</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>701 Winthrop Avenue</AddressLine1>
          <City>Glendale Heights</City>
          <State>IL</State>
          <ZIPCode>60139</ZIPCode>
        </AddressUS>
        <EIN>363208390</EIN>
        <PrimaryActivities>Operation of Hospital &amp; Related Services</PrimaryActivities>
        <LegalDomicileState>IL</LegalDomicileState>
        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
        <PublicCharityStatus>170(b)(1)(A)(iii)</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>Adventist Hlth SystemSunbelt Inc</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>0</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>Adventist Hlth Mid-America Inc</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>9100 W 74th Street</AddressLine1>
          <City>Shawnee Mission</City>
          <State>KS</State>
          <ZIPCode>66204</ZIPCode>
        </AddressUS>
        <EIN>521347407</EIN>
        <PrimaryActivities>Hlthcare Related Services</PrimaryActivities>
        <LegalDomicileState>KS</LegalDomicileState>
        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
        <PublicCharityStatus>509(a)(3) Type I</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>Adventist Hlth SystemSunbelt Inc</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>0</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>Adventist Hlth Partners Inc</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>1000 Remington Blvd Ste 200</AddressLine1>
          <City>Bolingbrook</City>
          <State>IL</State>
          <ZIPCode>60440</ZIPCode>
        </AddressUS>
        <EIN>364138353</EIN>
        <PrimaryActivities>Operate out-patient physician clinics</PrimaryActivities>
        <LegalDomicileState>IL</LegalDomicileState>
        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
        <PublicCharityStatus>170(b)(1)(A)(iii)</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>AHS Midwest Management Inc</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>0</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>Adventist Hlth System Affiliated Benefit Trust</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>900 Hope Way</AddressLine1>
          <City>Altamonte Springs</City>
          <State>FL</State>
          <ZIPCode>32714</ZIPCode>
        </AddressUS>
        <EIN>266422966</EIN>
        <PrimaryActivities>Promotion of Hlthcare</PrimaryActivities>
        <LegalDomicileState>FL</LegalDomicileState>
        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
        <PublicCharityStatus>509(a)(3) Type I</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>Adventist Hlth System Sunbelt Hlthcare Corp</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>1</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>Adventist Hlth System Sunbelt Hlthcare Corp</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>900 Hope Way</AddressLine1>
          <City>Altamonte Springs</City>
          <State>FL</State>
          <ZIPCode>32714</ZIPCode>
        </AddressUS>
        <EIN>592170012</EIN>
        <PrimaryActivities>Management Services</PrimaryActivities>
        <LegalDomicileState>FL</LegalDomicileState>
        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
        <PublicCharityStatus>509(a)(3) Type I</PublicCharityStatus>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <ControlledOrg>0</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>Adventist Hlth SystemGeorgia Inc</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>1035 Red Bud Road</AddressLine1>
          <City>Calhoun</City>
          <State>GA</State>
          <ZIPCode>30701</ZIPCode>
        </AddressUS>
        <EIN>581425000</EIN>
        <PrimaryActivities>Operation of Hospital &amp; Related Services</PrimaryActivities>
        <LegalDomicileState>GA</LegalDomicileState>
        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
        <PublicCharityStatus>170(b)(1)(A)(iii)</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>Adventist Hlth System Sunbelt Hlthcare Corp</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>1</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>Adventist Hlth SystemSunbelt Inc</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>900 Hope Way</AddressLine1>
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          <BusinessNameLine1>SunSystem Development Corp</BusinessNameLine1>
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        <AddressUS>
          <AddressLine1>900 Hope Way</AddressLine1>
          <City>Altamonte Springs</City>
          <State>FL</State>
          <ZIPCode>32714</ZIPCode>
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        <EIN>592219301</EIN>
        <PrimaryActivities>Fund Raising for Affiliated Tax-Exempt Hospitals</PrimaryActivities>
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          <BusinessNameLine1>Adventist Hlth System Sunbelt Hlthcare Corp</BusinessNameLine1>
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          <BusinessNameLine1>Tarpon Springs Hospital Foundation Inc</BusinessNameLine1>
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          <AddressLine1>1395 S Pinellas Ave</AddressLine1>
          <City>Tarpon Springs</City>
          <State>FL</State>
          <ZIPCode>34689</ZIPCode>
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          <BusinessNameLine1>University Community Hospital Inc</BusinessNameLine1>
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          <BusinessNameLine1>Tarrant County Hlth Care Properties Inc</BusinessNameLine1>
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          <AddressLine1>301 Huguley Blvd</AddressLine1>
          <City>Burleson</City>
          <State>TX</State>
          <ZIPCode>76028</ZIPCode>
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          <City>Leitchfield</City>
          <State>KY</State>
          <ZIPCode>42754</ZIPCode>
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          <BusinessNameLine1>Texas Hlth Huguley Inc (11-43012)</BusinessNameLine1>
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          <AddressLine1>900 Hope Way</AddressLine1>
          <City>Altamonte Springs</City>
          <State>FL</State>
          <ZIPCode>32714</ZIPCode>
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          <BusinessNameLine1>Adventist Hlth SystemSunbelt Inc</BusinessNameLine1>
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          <BusinessNameLine1>The Volunteer Auxiliary of Florida Hospital - Flagler Inc</BusinessNameLine1>
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          <AddressLine1>60 Memorial Medical Parkway</AddressLine1>
          <City>Palm Coast</City>
          <State>FL</State>
          <ZIPCode>32164</ZIPCode>
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          <BusinessNameLine1>Memorial Hospital Flagler Inc</BusinessNameLine1>
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          <AddressLine1>9700 West 62nd Street</AddressLine1>
          <City>Merriam</City>
          <State>KS</State>
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          <State>FL</State>
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          <City>Tampa</City>
          <State>FL</State>
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          <AddressLine1>3100 E Fletcher Ave</AddressLine1>
          <City>Tampa</City>
          <State>FL</State>
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          <AddressLine1>3100 E Fletcher Ave</AddressLine1>
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          <BusinessNameLine1>Adventist Hlth System Sunbelt Hlthcare Corp</BusinessNameLine1>
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          <BusinessNameLine1>West Kentucky Hlth Care Properties Inc</BusinessNameLine1>
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          <AddressLine1>500 Beck Lane</AddressLine1>
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          <BusinessNameLine1>Zephyr Haven Hlth &amp; Rehab Center Inc</BusinessNameLine1>
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          <AddressLine1>38250 A Avenue</AddressLine1>
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          <State>NC</State>
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          <BusinessNameLine1>Florida Hospital Home Infusion</BusinessNameLine1>
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          <City>Maitland</City>
          <State>FL</State>
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          <City>Addison</City>
          <State>TX</State>
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          <State>KS</State>
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          <AddressLine1>9100 W 74th Street Box 2923</AddressLine1>
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          <State>KS</State>
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          <AddressLine1>100 Hospital Drive</AddressLine1>
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          <State>NC</State>
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          <State>FL</State>
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          <State>CO</State>
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          <State>TX</State>
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          <State>TX</State>
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          <State>TX</State>
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          <State>FL</State>
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          <State>FL</State>
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          <State>FL</State>
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          <AddressLine1>2525 S Downing Street</AddressLine1>
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          <State>CO</State>
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          <AddressLine1>2525 S Downing Street</AddressLine1>
          <City>Denver</City>
          <State>CO</State>
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        <MethodOfAmtDetermination>Cost</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>Adventist Hinsdale Hospital</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>Q</TransactionType>
        <AmountInvolved>14910553</AmountInvolved>
        <MethodOfAmtDetermination>Cost</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>Adventist Health Partners Inc</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>Q</TransactionType>
        <AmountInvolved>3885302</AmountInvolved>
        <MethodOfAmtDetermination>Cost</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>AHS Midwest Management Inc</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>Q</TransactionType>
        <AmountInvolved>1993614</AmountInvolved>
        <MethodOfAmtDetermination>Cost</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>Adventist Health SystemTexas Inc</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>Q</TransactionType>
        <AmountInvolved>1488863</AmountInvolved>
        <MethodOfAmtDetermination>Cost</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>Adventist Bolingbrook Hospital</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>Q</TransactionType>
        <AmountInvolved>3449426</AmountInvolved>
        <MethodOfAmtDetermination>Cost</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>Chippewa Valley Hospital &amp; Oakview Care Center Inc</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>Q</TransactionType>
        <AmountInvolved>582235</AmountInvolved>
        <MethodOfAmtDetermination>Cost</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>Adventist GlenOaks Hospital</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>Q</TransactionType>
        <AmountInvolved>3378583</AmountInvolved>
        <MethodOfAmtDetermination>Cost</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>Adventist Health SystemSunbelt Inc</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>Q</TransactionType>
        <AmountInvolved>136207664</AmountInvolved>
        <MethodOfAmtDetermination>Cost</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>Huguley Medical Associates Inc</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>Q</TransactionType>
        <AmountInvolved>489209</AmountInvolved>
        <MethodOfAmtDetermination>Cost</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>Speciality Physicians of Central Texas Inc</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>Q</TransactionType>
        <AmountInvolved>255953</AmountInvolved>
        <MethodOfAmtDetermination>Cost</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>Metroplex Adventist Hospital Inc</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>Q</TransactionType>
        <AmountInvolved>5489110</AmountInvolved>
        <MethodOfAmtDetermination>Cost</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>Emory-Adventist Inc</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>Q</TransactionType>
        <AmountInvolved>2441613</AmountInvolved>
        <MethodOfAmtDetermination>Cost</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>Cobb Medical Associates LLC</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>Q</TransactionType>
        <AmountInvolved>410118</AmountInvolved>
        <MethodOfAmtDetermination>Cost</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>Adventist Health System Georgia Inc</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>Q</TransactionType>
        <AmountInvolved>4514444</AmountInvolved>
        <MethodOfAmtDetermination>Cost</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>PorterCare Adventist Health System</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>Q</TransactionType>
        <AmountInvolved>3117588</AmountInvolved>
        <MethodOfAmtDetermination>Cost</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>Shawnee Mission Medical Center Inc</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>Q</TransactionType>
        <AmountInvolved>11037480</AmountInvolved>
        <MethodOfAmtDetermination>Cost</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>Florida Hospital Medical Group</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>Q</TransactionType>
        <AmountInvolved>13489051</AmountInvolved>
        <MethodOfAmtDetermination>Cost</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>Memorial Hospital - West Volusia Inc</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>Q</TransactionType>
        <AmountInvolved>5266739</AmountInvolved>
        <MethodOfAmtDetermination>Cost</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>Southwest Volusia Healthcare Corporation</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>Q</TransactionType>
        <AmountInvolved>5061464</AmountInvolved>
        <MethodOfAmtDetermination>Cost</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>Memorial Hospital - Flagler Inc</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>Q</TransactionType>
        <AmountInvolved>6275319</AmountInvolved>
        <MethodOfAmtDetermination>Cost</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>Memorial Health Systems Inc</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>Q</TransactionType>
        <AmountInvolved>9932668</AmountInvolved>
        <MethodOfAmtDetermination>Cost</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>Florida Hospital Waterman Inc</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>Q</TransactionType>
        <AmountInvolved>6744547</AmountInvolved>
        <MethodOfAmtDetermination>Cost</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>Florida Hospital Zephyrhills Inc</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>Q</TransactionType>
        <AmountInvolved>6129360</AmountInvolved>
        <MethodOfAmtDetermination>Cost</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>Sunbelt Health Care Centers Inc</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>Q</TransactionType>
        <AmountInvolved>6466575</AmountInvolved>
        <MethodOfAmtDetermination>Cost</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>University Community Hospital Inc</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>Q</TransactionType>
        <AmountInvolved>18205386</AmountInvolved>
        <MethodOfAmtDetermination>Cost</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>Tarpon Springs Hospital Foundation Inc dba Florida Hosp North Pinellas</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>Q</TransactionType>
        <AmountInvolved>3256454</AmountInvolved>
        <MethodOfAmtDetermination>Cost</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>Pasco-Pinellas Hillsborough Community Health System Inc</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>Q</TransactionType>
        <AmountInvolved>1008382</AmountInvolved>
        <MethodOfAmtDetermination>Cost</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>Florida Hospital Healthcare System Inc</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>Q</TransactionType>
        <AmountInvolved>603936</AmountInvolved>
        <MethodOfAmtDetermination>Cost</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>Adventist Health SystemSunbelt Inc</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>P</TransactionType>
        <AmountInvolved>1027545</AmountInvolved>
        <MethodOfAmtDetermination>Cost</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>Emory-Adventist Inc</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>A</TransactionType>
        <AmountInvolved>37818</AmountInvolved>
        <MethodOfAmtDetermination>FMV Interest Rate</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>Emory-Adventist Inc</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>S</TransactionType>
        <AmountInvolved>269532</AmountInvolved>
        <MethodOfAmtDetermination>Principal Payment</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>Tarpon Springs Hospital Foundation Inc dba Florida Hosp North Pinellas</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>A</TransactionType>
        <AmountInvolved>1310476</AmountInvolved>
        <MethodOfAmtDetermination>FMV Interest Rate</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>Tarpon Springs Hospital Foundation Inc dba Florida Hosp North Pinellas</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>D</TransactionType>
        <AmountInvolved>4000000</AmountInvolved>
        <MethodOfAmtDetermination>Increase of loan</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>Pasco-Pinellas Hillsborough Community Health System Inc</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>A</TransactionType>
        <AmountInvolved>3887709</AmountInvolved>
        <MethodOfAmtDetermination>FMV Interest Rate</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>Pasco-Pinellas Hillsborough Community Health System Inc</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>S</TransactionType>
        <AmountInvolved>122000000</AmountInvolved>
        <MethodOfAmtDetermination>Principal Payment</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>Pasco-Pinellas Hillsborough Community Health System Inc</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>D</TransactionType>
        <AmountInvolved>76000000</AmountInvolved>
        <MethodOfAmtDetermination>Increase of loan</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>University Community Hospital Inc</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>C</TransactionType>
        <AmountInvolved>1854465</AmountInvolved>
        <MethodOfAmtDetermination>Actual Amount Received</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>Fletcher Hospital Inc</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>C</TransactionType>
        <AmountInvolved>481658</AmountInvolved>
        <MethodOfAmtDetermination>Actual Amount Received</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>Memorial Hospital Inc</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>C</TransactionType>
        <AmountInvolved>263271</AmountInvolved>
        <MethodOfAmtDetermination>Actual Amount Received</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>Adventist Hinsdale Hospital</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>C</TransactionType>
        <AmountInvolved>1581574</AmountInvolved>
        <MethodOfAmtDetermination>Actual Amount Received</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>Adventist Bolingbrook Hospital</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>C</TransactionType>
        <AmountInvolved>210484</AmountInvolved>
        <MethodOfAmtDetermination>Actual Amount Received</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>Chippewa Valley Hospital &amp; Oakview Care Center Inc</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>C</TransactionType>
        <AmountInvolved>58308</AmountInvolved>
        <MethodOfAmtDetermination>Actual Amount Received</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>Adventist GlenOaks Hospital</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>C</TransactionType>
        <AmountInvolved>248871</AmountInvolved>
        <MethodOfAmtDetermination>Actual Amount Received</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>Adventist Health System Georgia Inc</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>C</TransactionType>
        <AmountInvolved>738038</AmountInvolved>
        <MethodOfAmtDetermination>Actual Amount Received</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>PorterCare Adventist Health System</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>C</TransactionType>
        <AmountInvolved>5218067</AmountInvolved>
        <MethodOfAmtDetermination>Actual Amount Received</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>Shawnee Mission Medical Center Inc</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>C</TransactionType>
        <AmountInvolved>2304069</AmountInvolved>
        <MethodOfAmtDetermination>Actual Amount Received</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>Florida Hospital Zephyrhills Inc</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>C</TransactionType>
        <AmountInvolved>909103</AmountInvolved>
        <MethodOfAmtDetermination>Actual Amount Received</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>Memorial Hospital - West Volusia Inc</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>C</TransactionType>
        <AmountInvolved>584987</AmountInvolved>
        <MethodOfAmtDetermination>Actual Amount Received</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>Southwest Volusia Healthcare Corporation</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>C</TransactionType>
        <AmountInvolved>744302</AmountInvolved>
        <MethodOfAmtDetermination>Actual Amount Received</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>Memorial Hospital - Flagler Inc</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>C</TransactionType>
        <AmountInvolved>1279872</AmountInvolved>
        <MethodOfAmtDetermination>Actual Amount Received</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>Memorial Health Systems Inc</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>C</TransactionType>
        <AmountInvolved>1220464</AmountInvolved>
        <MethodOfAmtDetermination>Actual Amount Received</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>Florida Hospital Waterman Inc</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>C</TransactionType>
        <AmountInvolved>1630272</AmountInvolved>
        <MethodOfAmtDetermination>Actual Amount Received</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>Adventist Health SystemSunbelt Inc</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>C</TransactionType>
        <AmountInvolved>15672195</AmountInvolved>
        <MethodOfAmtDetermination>Actual Amount Received</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>Jellico Community Hospital Inc</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>B</TransactionType>
        <AmountInvolved>600000</AmountInvolved>
        <MethodOfAmtDetermination>Actual Amount Given</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>Adventist Health SystemSunbelt Inc</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>B</TransactionType>
        <AmountInvolved>87449</AmountInvolved>
        <MethodOfAmtDetermination>Actual Amount Given</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>Sunsystem Development Corporation</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>B</TransactionType>
        <AmountInvolved>139100</AmountInvolved>
        <MethodOfAmtDetermination>Actual Amount Given</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>Memorial Hospital - West Volusia Inc</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>B</TransactionType>
        <AmountInvolved>99828</AmountInvolved>
        <MethodOfAmtDetermination>Actual Amount Given</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>Florida Hospital Waterman Inc</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>B</TransactionType>
        <AmountInvolved>100000</AmountInvolved>
        <MethodOfAmtDetermination>Actual Amount Given</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>Florida Hospital Zephyrhills Inc</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>B</TransactionType>
        <AmountInvolved>100000</AmountInvolved>
        <MethodOfAmtDetermination>Actual Amount Given</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>Adventist Health System Georgia Inc</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>B</TransactionType>
        <AmountInvolved>75000</AmountInvolved>
        <MethodOfAmtDetermination>Actual Amount Given</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>Memorial Hospital Inc</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>B</TransactionType>
        <AmountInvolved>190255</AmountInvolved>
        <MethodOfAmtDetermination>Actual Amount Given</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>Fletcher Hospital Inc</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>B</TransactionType>
        <AmountInvolved>100000</AmountInvolved>
        <MethodOfAmtDetermination>Actual Amount Given</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>Tarpon Springs Hospital Foundation Inc dba Florida Hosp North Pinellas</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>L</TransactionType>
        <AmountInvolved>1398499</AmountInvolved>
        <MethodOfAmtDetermination>% of facility's EHR revenue</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
    </IRS990ScheduleR>
  </ReturnData>
</Return>