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ADVENTHEALTH FOUNDATION INC: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
ADVENTHEALTH FOUNDATION INC (EIN 59-2219301)
Tax period
2011-01-01 to 2011-12-31
Filed
2012-10-15
IRS object ID
201202899349300710
Schema version
2011v1.2
Source
Download XML · Original 990 at ProPublica

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

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2012-10-15T08:49:55-05:00Timestamp
Tax Period End Date2011-12-31TaxPeriodEndDate
Return Type990ReturnType
Tax Period Begin Date2011-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN592219301EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1SunSystem Development CorporationBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlSUNSNameControl
Phone4073571000Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1900 Hope WayAddressLine1
CityAltamonte SpringsCity
StateFLState
ZIP Code32714ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameLynn C AddiscottName
TitleAssistant SecretaryTitle
Phone4079751400Phone
Date Signed2012-10-15DateSigned
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Address ChangeXAddressChange
Name Of Principal Officer PersonDonald L JerniganNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1900 Hope WayAddressLine1
CityAltamonte SpringsCity
StateFLState
ZIP Code32714ZIPCode
FieldValueIRS element (for citing)
Gross Receipts32420240GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteN/AWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1982YearFormation
State Legal DomicileFLStateLegalDomicile
Activity Or Mission DescriptionFund Raising for Affiliated Tax-Exempt HospitalsActivityOrMissionDescription
Nbr Voting Members Governing Body25NbrVotingMembersGoverningBody
Nbr Independent Voting Members19NbrIndependentVotingMembers
Total Nbr Employees0TotalNbrEmployees
Total Nbr Volunteers590TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year11490029ContributionsGrantsPriorYear
Contributions Grants Current Year11760181ContributionsGrantsCurrentYear
Program Service Revenue Prior Year16934118ProgramServiceRevenuePriorYear
Program Service Revenue CY15490489ProgramServiceRevenueCY
Investment Income Prior Year3577877InvestmentIncomePriorYear
Investment Income Current Year3996239InvestmentIncomeCurrentYear
Other Revenue Prior Year-428926OtherRevenuePriorYear
Other Revenue Current Year-563415OtherRevenueCurrentYear
Total Revenue Prior Year31573098TotalRevenuePriorYear
Total Revenue Current Year30683494TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year27954986GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY19169995GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year0SalariesEtcPriorYear
Salaries Etc Current Year0SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year251756TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY246029TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year4340878TotalFundrsngExpCurrentYear
Other Expense Prior Year5730986OtherExpensePriorYear
Other Expenses Current Year6176932OtherExpensesCurrentYear
Total Expenses Prior Year33937728TotalExpensesPriorYear
Total Expenses Current Year25592956TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-2364630RevenuesLessExpensesPriorYear
Revenues Less Expenses CY5090538RevenuesLessExpensesCY
Total Assets BOY126637672TotalAssetsBOY
Total Assets EOY130550346TotalAssetsEOY
Total Liabilities BOY12960595TotalLiabilitiesBOY
Total Liabilities EOY15714646TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY113677077NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY114835700NetAssetsOrFundBalancesEOY
Mission DescriptionAdventist Health System Sunbelt Healthcare Corporation and all of its subsidiary organizations were established by the Seventh-Day Adventist Church to bring a ministry of healing and health to the communities served. Our mission is to extend the healing ministry of Christ.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense19169995Expense
Grants19169995Grants
Revenue15490489Revenue
DescriptionSunSystem Development Corporation (SDC) is involved in philanthropic activities for the benefit of its affiliated tax-exempt hospital organizations. During 2011, SDC supported the activities of eleven charitable related tax-exempt hospital organizations.Description
Total Program Service Expense19169995TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds1DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments1TermOrPermanentEndowments
Report Land Bldg Equip0ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets1ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote1ReportFin48Footnote
Independent Audit Financial Stmt0IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt1ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities1ForeignActivities
More Than5000 K To Organizations1MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising1ProfessionalFundraising
Fundraising Activities1FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations1GrantsToOrganizations
Grants To Individuals1GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions1DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transaction Related Entity0TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With109655NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees0NumberOfEmployees
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions1QuidProQuoContributions
Quid Pro Quo Disclosure1QuidProQuoDisclosure
Form8282 Property Disposed Of1Form8282PropertyDisposedOf
Number Of8282 Filed1NumberOf8282Filed
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Excess Business Holdings0ExcessBusinessHoldings
Taxable Distributions0TaxableDistributions
Distribution To Donor0DistributionToDonor
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members25NbrVotingGoverningBodyMembers
Number Independent Voting Members19NumberIndependentVotingMembers
Family Or Business Relationship1FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders1MembersOrStockholders
Election Of Board Members1ElectionOfBoardMembers
Decisions Subject To Approval1DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
States Where Copy Of Return Is FiledFLStatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is FiledNCStatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is FiledTXStatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is FiledTNStatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is FiledGAStatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is FiledKYStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1Kelli Chalker-JohnsonBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number4073571000TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1900 Hope WayAddressLine1
CityAltamonte SpringsCity
StateFLState
ZIP Code32714ZIPCode
FieldValueIRS element (for citing)
Info In Schedule O Part VIIXInfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (32 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerKey EmployeeKeyEmployee
Larry R Moore
Board Chairman (Beg 06/11)1.00X016000
Max A Trevino
Board Chairman (End 05/11)1.00X061150
Ronald Carlson
Board Member0.50X018020
Michael Cauley
Board Member0.50X018020
Rosemarie Cazeau
Board Member0.50X018020
Carlos Craig
Board Member (Beg 09/11)0.50X06500
James R Davidson
Board Member (Beg 09/11)0.50X025520
Kenneth A Denslow
Board Member (End 03/11)0.50X011520
Samuel L Green
Board Member (End 05/11)0.50X029150
Buford Griffith Jr
Board Member (Beg 09/11)0.50X07500
Rodney A Grove
Board Member0.50X038650
Elaine Hagele
Board Member0.50X038650
Alta Sue Hayes
Board Member0.50X018020
Leighton R Holley
Board Member (End 04/11)0.50X011520
Lars Houmann
Vice Pres/Board Member0.50X01610483225465
Donald L Jernigan
President/Board Member0.50X01868283115854X
Mark Johnson MD
Board Member0.50X018020
Deryl J Knutson
Board Member0.50X038650
Thomas Lemon
Board Vice Chairman0.50X038650
Donald Livesay
Board Vice Chairman0.50X038650
Hubert Morel
Board Member0.50X018020
Ray Pichette
Board Member (Beg 09/11)0.50X06500
Richard Reiner
Board Member0.50X0169308958944
Gordon Retzer
Board Vice Chairman (End 09/11)0.50X031150
Randy Robinson
Board Member0.50X038650
Glynn Scott
Board Member0.50X038650
Terry Shaw
Board Member0.50X02966896224228
Ron C Smith
Board Vice Chairman/Sec0.50X038650
Maurice Valentine III
Board Member (Beg 05/11)0.50X016000
Thomas Werner
Board Member0.50X0612911249
Des Cummings
Vice President20.00075382135832X
David CollisCDO
Vice President40.00031436845741X
FieldValueIRS element (for citing)
Total Reportable Comp From Org0TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs9277052TotalReportableCompFrmRltdOrgs
Total Other Compensation717313TotalOtherCompensation
Number Individuals GT100 K0NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation

Name Of Contractor NameOfContractor

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1Blackbaud IncBusinessNameLine1

Address Of Contractor AddressOfContractor

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1PO Box 930256AddressLine1
CityAtlantaCity
StateGAState
ZIP Code31193ZIPCode
FieldValueIRS element (for citing)
Description Of ServicesMaintenance Fees/TrainingDescriptionOfServices
Compensation130837Compensation
FieldValueIRS element (for citing)
Number Of Contractors GT100 K1NumberOfContractorsGT100K
Fundraising Events2835112FundraisingEvents
Related Organizations6250445RelatedOrganizations
Government Grants360000GovernmentGrants
All Other Contributions2314624AllOtherContributions
Noncash Contributions148889NoncashContributions
Total Contributions11760181TotalContributions

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
Satisfaction of Progra9000991548488015484880
Advised Fund Fees90009956095609
FieldValueIRS element (for citing)
Total Program Service Revenue15490489TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column2288882TotalRevenueColumn
Exclusion$2,288,882ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities1732131Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities24774Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities1707357Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column1707357TotalRevenueColumn
Exclusion$1,707,357ExclusionAmount
FieldValueIRS element (for citing)
Gross Income Fundraising Events1148557GrossIncomeFundraisingEvents
Cntrbtns Rprtd Fundraising Events2835112CntrbtnsRprtdFundraisingEvents
Fundraising Direct Expenses1711972FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column-563415TotalRevenueColumn
Exclusion-$563,415ExclusionAmount

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column30683494TotalRevenueColumn
Related Or Exempt Function Income15490489RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$3,432,824ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total18778554Total
Program Services18778554ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total391441Total
Program Services391441ProgramServices

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total2831Total
Fundraising2831Fundraising

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total32Total
Management And General32ManagementAndGeneral

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total246029Total
Fundraising246029Fundraising

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total236880Total
Management And General202417ManagementAndGeneral
Fundraising34463Fundraising

Advertising Advertising

FieldValueIRS element (for citing)
Total70915Total
Management And General24898ManagementAndGeneral
Fundraising46017Fundraising

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total241949Total
Management And General162442ManagementAndGeneral
Fundraising79507Fundraising

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total15800Total
Management And General15800ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total118117Total
Management And General115971ManagementAndGeneral
Fundraising2146Fundraising

Travel Travel

FieldValueIRS element (for citing)
Total94421Total
Management And General21376ManagementAndGeneral
Fundraising73045Fundraising

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total9168Total
Management And General2055ManagementAndGeneral
Fundraising7113Fundraising

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total1111Total
Management And General1111ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalManagement And GeneralManagementAndGeneralFundraisingFundraising
Reimbursed Salaries/Wag472262813543963368232
Purchased Services26282519652243173
Gifts1404443729136715
Food Costs56832535643268

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total202979Total
Management And General104640ManagementAndGeneral
Fundraising98339Fundraising

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total25592956Total
Program Services19169995ProgramServices
Management And General2082083ManagementAndGeneral
Fundraising4340878Fundraising
FieldValueIRS element (for citing)
Joint CostsXJointCosts

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY1050BOY
EOY1050EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY86918091BOY
EOY90288867EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY16316732BOY
EOY15077032EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY977554BOY
EOY157554EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY450BOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY422407BOY
EOY783726EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY22001388BOY
EOY24242117EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY126637672BOY
EOY130550346EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY845932BOY
EOY758030EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY12114663BOY
EOY14956616EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY12960595BOY
EOY15714646EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY32870477BOY
EOY35557151EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY77832515BOY
EOY76175280EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY2974085BOY
EOY3103269EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY113677077BOY
EOY114835700EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY126637672BOY
EOY130550346EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses5090538ReconcilationRevenueExpenses
Reconcilation Other Changes-3931915ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org170b1 AviXPubliclySupportedOrg170b1Avi

Gifts Grants Contrib Received170 GiftsGrantsContribReceived170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years23332023CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years17222048CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years26829679CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year28515221CurrentTaxYearMinus1Year
Current Tax Year27250670CurrentTaxYear
Total123149641Total

Total170 Total170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years23332023CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years17222048CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years26829679CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year28515221CurrentTaxYearMinus1Year
Current Tax Year27250670CurrentTaxYear
Total123149641Total
FieldValueIRS element (for citing)
Amounts Subst Contributors Total25571575AmountsSubstContributorsTotal
Public Support Total17097578066PublicSupportTotal170

Gross Investment Income170 GrossInvestmentIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years3751932CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years18035850CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years2371213CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year1198190CurrentTaxYearMinus1Year
Current Tax Year2815077CurrentTaxYear
Total28172262Total
FieldValueIRS element (for citing)
Total Support151321903TotalSupport
Public Support Pertcentage1700.64480PublicSupportPertcentage170
Public Support Pertcent Prior Year0.59940PublicSupportPertcentPriorYear
Thirty Three Percnt Tests CY170XThirtyThreePercntTestsCY170

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Number DA Fs Held10NumberDAFsHeld
Donor Advised Contributions183507DonorAdvisedContributions
Grants Paid From Donor Funds704684GrantsPaidFromDonorFunds
Aggregate DAF Value583478AggregateDAFValue
Disclosed Orgs Legal Control1DisclosedOrgsLegalControl
Disclosed For Charitable Purposes1DisclosedForCharitablePurposes

Current Year CurrentYear

FieldValueIRS element (for citing)
Beginning Of Year Balance15135428BeginningOfYearBalance
Contributions121143Contributions
Investment Earnings Or Losses753535InvestmentEarningsOrLosses
Other Expenditures365254OtherExpenditures
End Of Year Balance15644852EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance14724553BeginningOfYearBalance
Contributions30203Contributions
Investment Earnings Or Losses720592InvestmentEarningsOrLosses
Grants Or Scholarships339920GrantsOrScholarships
End Of Year Balance15135428EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

FieldValueIRS element (for citing)
Beginning Of Year Balance13991990BeginningOfYearBalance
Contributions57189Contributions
Investment Earnings Or Losses696088InvestmentEarningsOrLosses
Grants Or Scholarships117114GrantsOrScholarships
Administrative Expenses-96400AdministrativeExpenses
End Of Year Balance14724553EndOfYearBalance

Current Year Minus3 Years CurrentYearMinus3Years

FieldValueIRS element (for citing)
Beginning Of Year Balance2941783BeginningOfYearBalance
Contributions79953Contributions
Other Expenditures233695OtherExpenditures
End Of Year Balance2788041EndOfYearBalance
FieldValueIRS element (for citing)
Board Designated EOY Balance0.80850BoardDesignatedEOYBalance
Permanent Endowment EOY Balance0.19150PermanentEndowmentEOYBalance
Term Endowment EOY Balance0.00000TermEndowmentEOYBalance
Endowments Held By Unrelated Orgs0EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs0EndowmentsHeldByRelatedOrgs
Total Of Book Value Land Buildings0TotalOfBookValueLandBuildings

Other Assets OtherAssets (6 entries)

DescriptionDescriptionBook ValueBookValue
Other Receivables9541308
Investments Held Under Split-Interest Agreements12228731
Cash Surrender Value of Life Insurance1130571
Other Assets933862
Donated Assets369979
Due from Affiliated Organizations37666
FieldValueIRS element (for citing)
Total Book Value Other Assets24242117TotalBookValueOtherAssets

Other Liabilities OtherLiabilities (4 entries)

DescriptionDescriptionAmountAmount
Due to Affiliated Organizations$11,972,094
Other Liabilities$33,078
Liabilities Under Split-Interest Agreements$2,844,782
Charitable Gift Annuity$106,662
FieldValueIRS element (for citing)
Total Of Amounts14956616TotalOfAmounts

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (2 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Description of Intended Use of Endowment Funds:Part V, Line 4:SunSystem Development Corp. (SDC) has certain endowments established for a variety of purposes in support of related tax-exempt hospital organizations that are also exempt under IRC Section 501(c)(3). All of SDC's permanently restricted endowment funds are required to be retained permanently either by explicit donor stipulation or by the Florida Uniform Management of Institutional Funds Act. Part V, line 1a, column (c) Two years back - Explanation for change in opening balance: During the year 2009, management of the Foundation determined that there were temporarily restricted net assets that should have been classified as unrestricted board-designated endowment funds as of December 31, 2008. This included $11,203,949 of board-designated endowments that should have been released from restriction in fiscal year 2008 or an earlier period. As a result, the Foundation restated beginning board-designated endowment funds on the statement of activities in its 2009 tax year.
Description of Uncertain Tax Positions Under FIN 48:Part X:The filing organization is a subsidiary organization within Adventist Health System (AHS). The consolidated financial statements of AHS contain the following FIN 48 footnote - 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.

Schedule F IRS990ScheduleF

FieldValueIRS element (for citing)
Grant Records Maintained1GrantRecordsMaintained

Accts Actvs Out US Table AcctsActvsOutUSTable (2 entries)

RegionRegionNumber Of OfficesNumberOfOfficesNumber Of EmployeesNumberOfEmployeesType Of Activities ConductedTypeOfActivitiesConductedSpecific Services ProvidedSpecificServicesProvidedTotal ExpendituresTotalExpenditures
Sub-Saharan Africa00GrantmakingConstruction24100
Sub-Saharan Africa00GrantmakingMedical Equipment28471
FieldValueIRS element (for citing)
Subtotal Number Of Offices0SubtotalNumberOfOffices
Subtotal Number Of Employees0SubtotalNumberOfEmployees
Cont Number Of Offices0ContNumberOfOffices
Cont Number Of Employees0ContNumberOfEmployees
Total Number Of Offices0TotalNumberOfOffices
Total Number Of Employees0TotalNumberOfEmployees
Subtotal Amount Spent52571SubtotalAmountSpent
Cont Amount Spent0ContAmountSpent
Total Amount Spent52571TotalAmountSpent

Grants To Orgs Outside US GrantsToOrgsOutsideUS (3 entries)

RegionRegionPurpose Of GrantPurposeOfGrantAmount Of Cash GrantAmountOfCashGrant
Sub-Saharan AfricaConstruction24100
Sub-Saharan AfricaPurchase of Medical Equipment11422
Sub-Saharan AfricaPurchase of Medical Equipment17049
FieldValueIRS element (for citing)
Total Number Of501c3 Orgs2TotalNumberOf501c3Orgs
Total Number Of Other Orgs1TotalNumberOfOtherOrgs
Transfer To Foreign Corp0TransferToForeignCorp
Interest In Foreign Trust0InterestInForeignTrust
Own Foreign Corp0OwnForeignCorp
Passive Foreign Invest Co0PassiveForeignInvestCo
Foreign Partnership0ForeignPartnership
Boycott Countries0BoycottCountries

Form990 Schedule F Part V Form990ScheduleFPartV

FieldValueIRS element (for citing)
IdentifierProcedure for Monitoring Grants Outside the U.S.:Identifier
ExplanationSchedule F, Part I, Line 2: As the filing organization does not generally make grants to foreign organizations and/or individuals, a formal grant monitoring program has not been developed by the filing organization.Explanation

Schedule G IRS990ScheduleG

FieldValueIRS element (for citing)
Mail SolicitationsXMailSolicitations
Email SolicitationsXEmailSolicitations
Phone SolicitationsXPhoneSolicitations
In Person SolicitationsXInPersonSolicitations
Solicitation Of Non Govt GrantsXSolicitationOfNonGovtGrants
Solicitation Of Govt GrantsXSolicitationOfGovtGrants
Special Fundraising EventsXSpecialFundraisingEvents
Agreement Ref Fundraising1AgreementRefFundraising

Fundraiser Activity Information FundraiserActivityInformation (7 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeActivityActivityFundraiser Control Of FundsFundraiserControlOfFundsGross ReceiptsGrossReceiptsAmount Retained By ContractorAmountRetainedByContractorNet To OrganizationNetToOrganizationName Of IndividualNameOfIndividual
Corporate Development LLC
4000 Faber Place Drive Suite 130CharlestonSC29405Consulting Services03318515290
American Fundraising Foundation
953 N Lake Adair Drive Suite 600OrlandoFL32804Provides live auction services00513440
(no name)
659 Airmont AvenueAltamonte SpringsFL32714Consulting Services00341890Don Wildman Consulting
Thompson & Associates
112 Westwood PlaceBrentwoodTN37027Consulting Services00706730
(no name)
1036 Bluejack Oak DriveOviedoFL32765Consulting Services00471130Brooke Zapata
(no name)
1211 Stonecutter Drive 305CelebrationFL34747Consulting Services00237740Brea Barnes
Wealth Strategies Collaborative Inc
900 Fox Valley DriveLongwoodFL32779Consulting Services00150000
FieldValueIRS element (for citing)
Total Gross Receipts3318TotalGrossReceipts
Total Retained By Contractors293622TotalRetainedByContractors
Licensed StatesFLLicensedStates
Licensed StatesGALicensedStates
Licensed StatesKYLicensedStates
Licensed StatesNCLicensedStates
Licensed StatesTNLicensedStates
Licensed StatesTXLicensedStates

Events Information EventsInformation

FieldValueIRS element (for citing)
Name Of Event1GALANameOfEvent1
Gross Receipts Event12327506GrossReceiptsEvent1
Charitable Contributions Event11604212CharitableContributionsEvent1
Gross Revenue Event1723294GrossRevenueEvent1
Cash Prizes Event10CashPrizesEvent1
Non Cash Prizes Event161539NonCashPrizesEvent1
Rent Facility Costs Event113920RentFacilityCostsEvent1
Food And Beverage Event1292565FoodAndBeverageEvent1
Entertainment Event1379168EntertainmentEvent1
Other Direct Expenses Event1103419OtherDirectExpensesEvent1
Name Of Event2GALANameOfEvent2
Gross Receipts Event2202521GrossReceiptsEvent2
Charitable Contributions Event2148521CharitableContributionsEvent2
Gross Revenue Event254000GrossRevenueEvent2
Cash Prizes Event20CashPrizesEvent2
Non Cash Prizes Event22120NonCashPrizesEvent2
Rent Facility Costs Event21535RentFacilityCostsEvent2
Food And Beverage Event226588FoodAndBeverageEvent2
Entertainment Event278925EntertainmentEvent2
Other Direct Expenses Event232774OtherDirectExpensesEvent2
Total Number Of Other Events35TotalNumberOfOtherEvents
Gross Receipts Other Events1453642GrossReceiptsOtherEvents
Charitable Contrib Other Events1082379CharitableContribOtherEvents
Gross Revenue Other Events371263GrossRevenueOtherEvents
Cash Prizes Other Events5190CashPrizesOtherEvents
Non Cash Prizes Other Events127526NonCashPrizesOtherEvents
Rent Facility Costs Other Events161343RentFacilityCostsOtherEvents
Food And Beverage Other Events128559FoodAndBeverageOtherEvents
Entertainment Other Events97086EntertainmentOtherEvents
Other Direct Expenses Other Events199715OtherDirectExpensesOtherEvents
Gross Receipts Total3983669GrossReceiptsTotal
Charitable Contributions Total2835112CharitableContributionsTotal
Gross Revenue Total Events1148557GrossRevenueTotalEvents
Cash Prizes Total Events5190CashPrizesTotalEvents
Non Cash Prizes Total Events191185NonCashPrizesTotalEvents
Rent Facility Costs Total Events176798RentFacilityCostsTotalEvents
Food And Beverage Total Events447712FoodAndBeverageTotalEvents
Entertainment Total Events555179EntertainmentTotalEvents
Other Direct Expenses Total Events335908OtherDirectExpensesTotalEvents
Direct Expense Summary Events1711972DirectExpenseSummaryEvents
Net Income Summary-563415NetIncomeSummary

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records Maintained1RecordsMaintained

Recipient Table RecipientTable (33 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEIN Of RecipientEINOfRecipientIRC SectionIRCSectionAmount Of Cash GrantAmountOfCashGrantPurpose Of GrantPurposeOfGrantAmount Of Non Cash AssistanceAmountOfNonCashAssistanceMethod Of ValuationMethodOfValuationDescription Of Non Cash AssistanceDescriptionOfNonCashAssistance
Foundation for Orange County Public Schools Inc
445 W Amelia Street Ste 901OrlandoFL32801592788435501(c)(3)46185Support of Suicide Awareness Program
Florida Resurrection House Inc
800 11th Street NSt PetersburgFL33705592837168501(c)(3)20000General Support
Community Foundation of Greater Winter Haven Inc
PO Box 9445Winter HavenFL33883593649871501(c)(3)120000General Support
Orlando Health Foundation Inc
3160 Southgate Commerce BlvdOrlandoFL32806592244943501(c)(3)266667Provision of Medical Care
City of Ocoee
150 N Lakeshore DriveOcoeeFL34761596019764City of Ocoee21000General Support
Ocoee Lions Foundation Inc
108A Taylor StreetOcoeeFL34761331051301501(c)(3)8000General Support
First Congregational Church of Winter Park Florida
225 S Interlachen AvenueWinter ParkFL32789590637840501(c)(3)40000Parish Nursing
Redeemer Evangelical Lutheran Church of Orange County Florida Inc
3377 Aloma AvenueWinter ParkFL32792591401618501(c)(3)47500Parish Nursing
First Presbyterion Church of Maitland
341 N Orlando AvenueMaitlandFL32751591083121501(c)(3)33204Parish Nursing
Winter Park Presbyterion Church
400 S Lakemont AvenueWinter ParkFL32792590830757501(c)(3)13428Parish Nursing
Macedonia Missionary Baptist Church of Eatonville Florida Inc
412 E Kennedy BlvdEatonvilleFL32751591715085501(c)(3)23317Parish Nursing
First United Methodist Church of Winter Park Florida Foundation Inc
125 N Interlachen AvenueWinter ParkFL32789593133763501(c)(3)7468Parish Nursing
St Mary Magdalen Catholic Church
861 Maitland AvenueAltamonte SpringsFL32701590877829501(c)(3)7345Parish Nursing
Warner Chapel Outreach Ministries Inc
753 West Comstock AvenueWinter ParkFL32789680537137501(c)(3)7500Parish Nursing
Memorial Hospital - Flagler Inc
60 Memorial Medical PkwyPalm CoastFL32164592951990501(c)(3)51775General Hospital Support
Adventist Health SystemSunbelt Inc dba Florida Hospital Heartland
900 Hope WayAltamonte SpringsFL32714591479658501(c)(3)45646Provision of Medical Care
Adventist Health SystemSunbelt Inc dba Florida Hospital Heartland
900 Hope WayAltamonte SpringsFL32714591479658501(c)(3)50000Construction
Adventist Health SystemSunbelt Inc dba Florida Hospital Heartland
900 Hope WayAltamonte SpringsFL32714591479658501(c)(3)39957General Hospital Support
Adventist Health SystemSunbelt Inc dba Florida Hospital Heartland
900 Hope WayAltamonte SpringsFL32714591479658501(c)(3)General Hospital Support17696CostSoftware
Adventist Health SystemSunbelt Inc dba Florida Hospital
900 Hope WayAltamonte SpringsFL32714591479658501(c)(3)15742023General Hospital Support
Florida Hospital College of Health Sciences Inc
671 Winyah DriveOrlandoFL32803593069793501(c)(3)128441General Support
Memorial Hospital Inc
210 Marie Langdon DriveManchesterKY40962610594620501(c)(3)365396Purchase of Medical Equipment
Richmond Church of Christ
1500 Lancaster RoadRichmondKY40475610981415501(c)(3)28000Disaster Assistance
Metroplex Adventist Hospital Inc
2201 South Clear Creek RoadKilleenTX76549742225672501(c)(3)95579Purchase of Medical Equipment
Fletcher Hospital Inc dba Park Ridge Health
100 Hospital DriveHendersonvilleNC28792560543246501(c)(3)70909General Hospital Support
Live Well
475 North Hwy 25WWilliamsburgKY40769611288398501(c)(3)233161Support of Diabetes & Wellness Programs
Jellico Community Hospital Inc
188 Hospital LaneJellicoTN37762620924706501(c)(3)108691General Hospital Support
Memorial Hospital - West Volusia Inc dba Florida Hospital Deland
701 W Plymouth AvenueDelandFL32720593256803501(c)(3)382789General Hospital Support
Florida Hospital Zephyrhills Inc
7050 Gall BlvdZephyrhillsFL33541592108057501(c)(3)269825General Hospital Support
Florida Osteopathic Medical Association
2007 Apalachee ParkwayTallahasseeFL32301590730737501(c)(6)45500Educational
Florida Hospital Medical Group Inc
900 Winderley Place No 1400MaitlandFL32751593214635501(c)(3)126654General Support
Sanford-Burnham Medical Research Institute
10901 N Torrey Pines RoadLa JollaCA92037510197108501(c)(3)25000General Support
Southwest Volusia Healthcare Corporation
1055 Saxon BlvdOrange CityFL32763593149293501(c)(3)6187General Hospital Support
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants31TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations2TotalNbrOfOtherOrganizations

Form990 Schedule I Part III Form990ScheduleIPartIII (8 entries)

Type Of GrantTypeOfGrantNumber Of RecipientsNumberOfRecipientsAmount Of Cash GrantAmountOfCashGrant
Scholarships318000
Assistance to individuals in need410324595
Food, clothing & shelter94162
Mammogram screening29333715
Wound care course/conference21935
Nursing scholarships88000
Prescription drugs for patients in need11807
Echo Readings1112791

Form990 Schedule I Part IV Form990ScheduleIPartIV

FieldValueIRS element (for citing)
IdentifierProcedure for Monitoring Grants in the U.S.:Identifier
Return ReferencePart I, Line 2:ReturnReference
ExplanationSchedule I, Part I, Line 2: Grants are generally made only to related supported hospital organizations that are exempt from Federal Income Tax under 501(c)(3), other 501(c)(3) organizations that are a part of the group exemption ruling issued to the General Conference of Seventh-Day Adventists, or to other 501(c)(3) community organizations involved in health-related causes. Accordingly, the filing organization has not established specific procedures for monitoring the use of grant funds in the United States as the filing organization does not have a grant making program that would necessitate such procedures.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan1SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (6 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
Lars Houmann
0848313024133705208330179768045697018359480153591
Donald L Jernigan
09232580271033067399201334301025110198413700
Richard Reiner
084831302409740603802013343045601017520330292670
Terry Shaw
08483130241506018770770179768044460031911240153591
Des Cummings
045455201328170166452013067022765078965300
David CollisCDO
0251944034950027474015957029784036010900

Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
Part I, Line 4bExecutives on the filing organization's management team that hold the position of Vice-President or above are compensated by and on the payroll of Adventist Health System Sunbelt Healthcare Corporation (AHSSHC), the parent organization of a healthcare system known as Adventist Health System (AHS). In recognition of the contribution that each executive makes to the success of AHS, AHS provides to eligible executives participation in the AHS Executive FLEX Benefit Program (the Plan). The purpose of the Plan is to offer eligible executives an opportunity to elect from among a variety of supplemental benefits, including deferred compensation benefits taxable under Internal Revenue Code (IRC) Section 457(f), to individually tailor a benefits program appropriate to each executive's needs. The Plan provides eligible participants a pre-determined benefits allowance credit that is equal to a percentage of the executive's base pay from which is deducted the cost of mandatory and elective employee benefits. The pre-determined benefits allowance credit percentage is approved by the AHS Board Strategy & 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 $204,000. 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 hospital 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 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. Flex Plan/ Flex Plan/ SERP 457(b) CY 457(f) CY 457(f) CY Contrib./ Distributions Employer Distributions Payment Contrib. ------------------------------------------------------- Donald L. Jernigan $191,945 $175,445 $ 348,321 $0 Lars Houmann $166,425 $171,118 $ 300,887 $0 Des Cummings $ 75,846 $ 75,846 $ 0 $0 David Collis $ 24,014 $ 0 $ 0 $0 Richard Reiner $173,337 $476,453 $ 54,621 $0 Terry Shaw $166,425 $161,759 $1,652,483 $0
Part IIIPart I, Question 3: The individual who serves as the CDO/Vice President of Florida Hospital Foundation (FHF), the primary Foundation division within the filing organization is compensated by Adventist Health System Sunbelt Healthcare Corporation (AHSSHC) for that individual's role in serving as the CDO/Vice President of FHF. 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 CDO/Vice President: - Compensation committee; - Independent compensation consultant; - Compensation survey or study; and - Approval by the board or compensation committee.Supplemental Information

Schedule M IRS990ScheduleM

Works Of Art WorksOfArt

FieldValueIRS element (for citing)
Non Cash CheckboxXNonCashCheckbox
Number Of Contributions9NumberOfContributions

Securities Publicly Traded SecuritiesPubliclyTraded

FieldValueIRS element (for citing)
Non Cash CheckboxXNonCashCheckbox
Number Of Contributions8NumberOfContributions

Securities Closely Held Stock SecuritiesCloselyHeldStock

FieldValueIRS element (for citing)
Non Cash CheckboxXNonCashCheckbox
Number Of Contributions1NumberOfContributions

Real Estate Residential RealEstateResidential

FieldValueIRS element (for citing)
Non Cash CheckboxXNonCashCheckbox
Number Of Contributions1NumberOfContributions
Noncash Contribs Rptd F990148889NoncashContribsRptdF990
Method Of Determining RevenuesFair Market ValueMethodOfDeterminingRevenues

Other Non Cash Contributions Table OtherNonCashContributionsTable (6 entries)

Non Cash CheckboxNonCashCheckboxDescriptionDescriptionNumber Of ContributionsNumberOfContributions
XDVD Collection1
XMeals & Entertainment8
XGoods32
XBeneficial interest in irrevocable planned gift1
XMedical Equipment1
XDonor Advised Fund1
FieldValueIRS element (for citing)
Number Of8283 Received0NumberOf8283Received
Any Property That Must Be Held0AnyPropertyThatMustBeHeld
Review Process Unusual NC Gifts1ReviewProcessUnusualNCGifts
Third Parties Used1ThirdPartiesUsed

Form990 Schedule M Part II Form990ScheduleMPartII (3 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Method for Determining Number of Contributors:Part I, Column (b):The number of contributions reported in column (b) of Schedule M, Part I represents the number of items received by the filing organization during the current year with the exception of securities which are reported by the number of contributions.
Third Party Use:Part I, Line 32b:Sunsystem Development Corporation (SDC) is a charitable foundation organization that supports eleven related tax-exempt hospital organizations. In carrying out its philanthropic activities, SDC will occasionally engage third-parties to provide various consulting services. Such consulting services generally include donor/grant prospecting, assistance with grant-writing, fund-raising planning and organization, and planned giving services. Fees paid to any engaged consultants are at fair market value rates and the terms are always negotiated at arm's length.
Non Reporting of Revenue:Part I, Line 33:Pursuant to the filing organization's Net Assets Accounting Policy, gifts of donated property are recorded by the filing organization to the unrestricted net assets (equity) account. Accordingly, donated property is recorded directly to equity accounts and are not recorded in the income statement.

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (12 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
Form 990, Part VI, Section A, line 2Donald Livesay and Ronald Carlson - Business Relationship
Form 990, Part VI, Section A, line 6SunSystem Development Corporation (SDC) is a wholly owned subsidiary of Adventist Health System Sunbelt Healthcare Corporation (AHSSHC). AHSSHC is a Florida, not-for-profit corporation that is exempt from federal income tax under Internal Revenue Code (IRC) Section 501(c)(3). AHSSHC is the sole corporate member of SDC. There are no other separate classes of membership in SDC.
Form 990, Part VI, Section A, line 7aThe affairs of SDC are managed by a Board of Managers. The Board of Managers of SDC are elected by the Member of SDC.
Form 990, Part VI, Section A, line 7bThe member of SDC has certain reserved powers as set forth in the Articles of Incorporation and Bylaws of SDC. These reserved powers include the following: a) to appoint and remove the members of the Board of Managers of SDC; and b) to adopt, amend, restate, and repeal the Articles of Incorporation or Bylaws of SDC.
Form 990, Part VI, Section B, line 11SDC's current year Form 990 was reviewed by the organization's Senior Vice President of Finance 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's Form 990, but did include a review of the entire Form 990 and all supporting schedules.
Form 990, Part VI, Section B, line 12cThe Conflict of Interest Policy of SDC applies to members of its Board of Managers and its principal officers (to be known as Interested Persons). In connection with any actual or possible conflict of interests, any member of the Board of Managers of SDC or any principal officer of SDC (i.e. Interested Persons) must disclose the existence of any financial interest with SDC and must be given the opportunity to disclose all material facts concerning the financial interest/arrangement to the Board of Managers of SDC or to any members of a committee with board delegated powers that is considering the proposed transaction or arrangement. Subsequent to any disclosure of any financial interest/arrangement and all material facts, and after any discussion with the relevant Board member or principal officer, the remaining members of the Board of Managers or committee with board delegated powers shall discuss, analyze, and vote upon the potential financial interest/arrangement to determine if a conflict of interest exists. According to SDC's Conflict of Interest Policy, an Interested Person may make a presentation to the Board of Managers (or committee with board delegated powers), but after such presentation, shall leave the meeting during the discussion of, and the vote on, the transaction or arrangement that results in a conflict of interest. Each Interested Person, as defined under SDC's Conflict of Interest Policy, shall annually sign a statement which affirms that such person has received a copy of the Conflict of Interests policy, has read and understands the policy, has agreed to comply with the policy, and understands that SDC is a charitable organization that must primarily engage in activities which accomplish one or more of its exempt purposes. SDC's Conflict of Interest Policy also requires that periodic reviews shall be conducted to ensure that SDC operates in a manner consistent with its charitable purposes.
Form 990, Part VI, Section B, line 15The top-tier parent of SunSystem Development Corporation (SDC) is Adventist Health System Sunbelt Healthcare Corporation (AHSSHC). AHSSHC is the parent organization of a healthcare system, known as Adventist Health System, that operates hospitals, nursing home facilities, and other healthcare provider organizations. AHSSHC is exempt from federal income tax under IRC Section 501(c)(3) pursuant to a group ruling issued to the General Conference of Seventh-day Adventists. The individuals who serve as President and Vice President of the filing organization were compensated by AHSSHC. Compensation and benefits provided to these individuals was determined pursuant to policies, procedures, and processes of AHSSHC that are designed to ensure compliance with the intermediate sanctions laws as set forth in IRC Section 4958. AHSSHC has taken steps to ensure that processes are in place to satisfy the rebuttable presumption of reasonableness standard as set forth in Treasury Regulation 53.4958-6 with respect to its active executive-level positions. The AHSSHC Board 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.
Form 990, Part VI, Section C, line 19As discussed in our response to Question 15a & b in Section B of this Part VI, the filing organization is a part of the 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.
Part VII, Section A, Column (B)The members of the Board of Directors and officer who received compensation from a related organization as shown in column (E) and (F) of Section A each devote approximately 50 hours per week in conjunction with serving in their respective executive leadership position within Adventist Health System.
Form 990, Part XI, line 5:Net unrealized gains on investments: 30,076. Temporarily Restricted Gifts 11,167,306. Permanently Restricted Gifts 121,144. Special Event Revenue and Expense Reclassed -216,499. Change in Value of Split-Interest Agreements -396,565. Temporarily Restricted Investment Income 905,830. Permanently Restricted Investment Income 8,040. Transfer of Net Assets from Restricted Fund Balance -15,549,067. Other Adjustments -2,180. Total to Form 990, Part XI, Line 5: -3,931,915.Changes in Net Assets or Fund Balances:
Part VII, Section AFor those Board of Director members and key employees who devote less than full-time to the filing organization (based upon the average number of hours per week shown in column (B) on page 7 of the return) the compensation amounts shown in columns (E) and (F) on page 7 were provided in conjunction with that person's responsibilities and roles in serving in an executive leadership position within Adventist Health System.Columns (E) & (F)
Part X, Line 2The amounts shown on line 2 of Part X of this return includes the filing organization's interest in a central investment pool maintained by Adventist Health System Sunbelt Healthcare Corporation, the filing organization's top-tier parent. The investments in the central investment pool are recorded at market value.Savings and temporary cash investments

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (107 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrgControlledOrgDirect Controlling Entity NADirectControllingEntityNA
Adventist Bolingbrook Hospital
500 Remington BlvdBolingbrookIL60440651219504Operation of Hospital & Related ServicesIL501(c)(3)170(b)(1)(A)(iii)Adventist Hlth SystemSunbelt Inc0
Adventist Care Centers - Courtland Inc
730 Courtland StreetOrlandoFL32804205774723Operation of Home for the Aged/Hlthcare DeliveryFL501(c)(3)509(a)(2)Sunbelt Hlth Care Centers Inc0
Adventist GlenOaks Hospital
701 Winthrop AvenueGlendale HeightsIL60139363208390Operation of Hospital & Related ServicesIL501(c)(3)170(b)(1)(A)(iii)Adventist Hlth SystemSunbelt Inc0
Adventist Hlth Mid-America Inc
9100 W 74th StreetShawnee MissionKS66204521347407Hlthcare Related ServicesKS501(c)(3)509(a)(3) Type IAdventist Hlth SystemSunbelt Inc0
Adventist Hlth Partners Inc
1000 Remington Blvd Ste 200BolingbrookIL60440364138353Operate out-patient physician clinicsIL501(c)(3)170(b)(1)(A)(iii)AHS Midwest Management Inc0
Adventist Hlth System Affiliated Benefit Trust
111 N Orlando AvenueWinter ParkFL32789266422966Promotion of HlthcareFL501(c)(3)509(a)(3) Type IAdventist Hlth System Sunbelt Hlthcare Corp0
Adventist Hlth System Sunbelt Hlthcare Corp
111 N Orlando AvenueWinter ParkFL32789592170012Management ServicesFL501(c)(3)509(a)(3) Type I0N/A
Adventist Hlth SystemGeorgia Inc
1035 Red Bud RoadCalhounGA30701581425000Operation of Hospital & Related ServicesGA501(c)(3)170(b)(1)(A)(iii)Adventist Hlth System Sunbelt Hlthcare Corp0
Adventist Hlth SystemSunbelt Inc
111 N Orlando AvenueWinter ParkFL32789591479658Operation of Hospital & Related ServicesFL501(c)(3)170(b)(1)(A)(iii)Adventist Hlth System Sunbelt Hlthcare Corp0
Adventist Hlth SystemTexas Inc
602 Courtland StreetOrlandoFL32804742578952InactiveTX501(c)(3)509(a)(2)Adventist Hlth System Sunbelt Hlthcare Corp0
Adventist Hinsdale Hospital
120 North Oak StreetHinsdaleIL60521362276984Operation of Hospital & Related ServicesIL501(c)(3)170(b)(1)(A)(iii)Adventist Hlth SystemSunbelt Inc0
AHS Midwest Management Inc
1000 Remington Blvd Ste 200BolingbrookIL60440363354567Operation of Physician Practice MgmtIL501(c)(3)509(a)(3) Type IAdventist Hlth SystemSunbelt Inc0
AHSCentral Texas Inc
1301 Wonder World DriveSan MarcosTX78666742621825Provide Office Space - Medical ProfessionalsTX501(c)(3)509(a)(3) Type III-FAdventist Hlth System Sunbelt Hlthcare Corp0
Apopka Hlth Care Properties Inc
305 E Oak StreetApopkaFL32703510605694Lease to Related OrganizationGA501(c)(3)509(a)(3) Type III-FSunbelt Hlth Care Centers Inc0
Battle Creek Adventist Hospital
1000 Remington Blvd Ste 200BolingbrookIL60440381359189InactiveMI501(c)(3)170(b)(1)(A)(iii)Adventist Hlth SystemSunbelt Inc0
Bert Fish Medical Center Inc (10110-63011)
401 Palmetto StreetNew Smyrna BeachFL32168362276984Operation of Hospital & Related ServicesFL501(c)(3)170(b)(1)(A)(iii)Adventist Hlth System Sunbelt Hlthcare Corp0
Bolingbrook Hospital Foundation
1000 Remington Blvd N Entrance 2ndBolingbrookIL60440900494445Fund-raising for Tax-exempt hospitalIL501(c)(3)170(b)(1)(A)(vi)Midwest Hlth Foundation0
Bradford Heights Hlth & Rehab Center Inc
950 Highpoint DriveHopkinsvilleKY42240205782342Operation of Home for the Aged/Hlthcare DeliveryKY501(c)(3)509(a)(2)Sunbelt Hlth Care Centers Inc0
Burleson Nursing & Rehab Center Inc
301 Huguley BlvdBurlesonTX76028205782243Operation of Home for the Aged/Hlthcare DeliveryTX501(c)(3)509(a)(2)Sunbelt Hlth Care Centers Inc0
Caldwell Hlth Care Properties Inc
1333 West MainPrincetonKY42445510605680Lease to Related OrganizationGA501(c)(3)509(a)(3) Type III-FSunbelt Hlth Care Centers Inc0
Central Texas Hlthcare Collaborative (112-123111)
1301 Wonder World DriveSan MarcosTX78666453739929Support Operation of HospitalTX501(c)(3)509(a)(3) Type IAdventist Hlth SystemSunbelt Inc0
Cedar Crag Terrace Inc (630 Year End)
Rt 5 Box 900ManchesterKY40962611120442Operation of Home for the elderly-disabledKY501(c)(3)170(b)(1)(A)(vi)Memorial Hospital Inc0
Central Texas Medical Center Foundation
1301 Wonder World DriveSan MarcosTX78666742259907Fund-raising for Tax-exempt hospitalTX501(c)(3)170(b)(1)(A)(vi)Adventist Hlth SystemSunbelt Inc0
Chickasaw Hlth Care Properties Inc
250 S Chickasaw TrailOrlandoFL32825510605681Lease to Related OrganizationGA501(c)(3)509(a)(3) Type III-FSunbelt Hlth Care Centers Inc0
Chippewa Valley Hospital & Oakview Care Center Inc
1220 Third Avenue WestDurandWI54736391365168Operation of Hospital & Related ServicesWI501(c)(3)170(b)(1)(A)(iii)Adventist Hlth SystemSunbelt Inc0
Cobb Medical Associates LLC
3949 South Cobb Drive SESmyrnaGA300806342582617089Operation of Physician Practices & Medical ServicesGA501(c)(3)170(b)(1)(A)(iii)Emory-Adventist Inc0
Courtland Hlth Care Properties Inc
730 Courtland StreetOrlandoFL32804510605682Lease to Related OrganizationGA501(c)(3)509(a)(3) Type III-FSunbelt Hlth Care Centers Inc0
Creekwood Place Nursing & Rehab Center Inc
683 E Third StreetRussellvilleKY42276205782260Operation of Home for the Aged/Hlthcare DeliveryKY501(c)(3)509(a)(2)Sunbelt Hlth Care Centers Inc0
Dairy Road Hlth Care Properties Inc
7350 Dairy RoadZephyrhillsFL33540510605684Lease to Related OrganizationGA501(c)(3)509(a)(3) Type III-FSunbelt Hlth Care Centers Inc0
East Orlando Hlth & Rehab Center Inc
250 S Chickasaw TrailOrlandoFL32825205774748Operation of Home for the Aged/Hlthcare DeliveryFL501(c)(3)509(a)(2)Sunbelt Hlth Care Centers Inc0
Emory-Adventist Inc
3949 South Cobb DriveSmyrnaGA30080582171011Operation of Hospital & Related SvcsGA501(c)(3)170(b)(1)(A)(iii)Adventist Hlth SystemSunbelt Inc0
Fletcher Hospital Inc
100 Hospital DriveHendersonvilleNC28792560543246Operation of Hospital & Related SvcsNC501(c)(3)170(b)(1)(A)(iii)Adventist Hlth System Sunbelt Hlthcare Corp0
FLNC Inc
3355 E Semoran BlvdApopkaFL32703205774761Operation of Home for the Aged/Hlthcare DeliveryFL501(c)(3)509(a)(2)Sunbelt Hlth Care Centers Inc0
Florida Hospital College of Hlth Sciences Inc (630 Year End)
671 Lake Winyah DriveOrlandoFL32803593069793Education/Operation of SchoolFL501(c)(3)170(b)(1)(A)(ii)Adventist Hlth SystemSunbelt Inc0
Florida Hospital DeLand Auxiliary Inc (11-82411)
701 West Plymouth AvenueDelandFL32720593425543Volunteer support servicesFL501(c)(3)509(a)(3) Type III-FMemorial Hospital West Volusia Inc0
Florida Hospital Waterman Inc
1000 Waterman WayTavaresFL32778593140669Operation of Hospital & Related ServicesFL501(c)(3)170(b)(1)(A)(iii)Adventist Hlth System Sunbelt Hlthcare Corp0
Florida Hospital Zephyrhills Inc
7050 Gall BlvdZephyrhillsFL33541592108057Operation of Hospital & Related ServicesFL501(c)(3)170(b)(1)(A)(iii)Adventist Hlth SystemSunbelt Inc0
Florida Hospital Medical Group Inc
900 Winderley PlaceMaitlandFL32751593214635Operation of Physician Practices & Medical ServicesFL501(c)(3)170(b)(1)(A)(iii)Adventist Hlth SystemSunbelt Inc0
Foundation for Shawnee Mission Medical Center Inc
9100 W 74th StreetShawnee MissionKS66204480868859Fund-raising for Tax-exempt hospitalKS501(c)(3)509(a)(3) Type IShawnee Mission Medical Center Inc0
GlenOaks Hospital Foundation
701 Winthrop AvenueGlendale HeightsIL60139363926044Fund-raising for Tax-exempt hospitalIL501(c)(3)170(b)(1)(A)(vi)Midwest Hlth Foundation0
Hays Memorial Hospital Association of Seventh-Day Adventists
1301 Wonder World DriveSan MarcosTX78667741362785Lease of Hospital PersonnelTX501(c)(3)509(a)(3) Type IIAdventist Hlth System Sunbelt Hlthcare Corp0
Helen Ellis Memorial Hospital Auxiliary Inc
1395 S Pinellas AveTarpon SpringsFL34689592106043Fund-raising for Tax-exempt hospital/foundationFL501(c)(3)509(a)(3) Type ITarpon Springs Hospital Foundation Inc0
Helen Ellis Memorial Hospital Foundation Inc
1395 S Pinellas AveTarpon SpringsFL34689593690149Fund-raising for Tax-exempt hospitalFL501(c)(3)509(a)(3) Type ITarpon Springs Hospital Foundation Inc0
Hinsdale Hospital Foundation
7 Salt Creek Lane Suite 203HinsdaleIL60521521466387Fund-raising for Tax-exempt hospitalIL501(c)(3)170(b)(1)(A)(vi)Midwest Hlth Foundation0
Huguley Community Care Corp
11801 South FreewayBurlesonTX76028452793120Support Operation of HospitalTX501(c)(3)509(a)(3) Type IAdventist Hlth SystemSunbelt Inc0
In-Motion Rehab Inc
602 Courtland Street Ste 200OrlandoFL32804208023411Therapy services to tax exempt nursing homesKS501(c)(3)509(a)(3) Type IISunbelt Hlth Care Centers Inc0
Jellico Community Hospital Inc
188 Hospital LaneJellicoTN37762620924706Operation of Hospital & Related ServicesTN501(c)(3)170(b)(1)(A)(iii)Adventist Hlth System Sunbelt Hlthcare Corp0
La Grange Memorial Hospital Foundation
5101 S Willow Springs RdLa GrangeIL60525300247776Fund-raising for Tax-exempt hospitalIL501(c)(3)170(b)(1)(A)(vi)Midwest Hlth Foundation0
Memorial Hlth Systems Foundation Inc
770 West Granada BlvdOrmond BeachFL32174311771522Fund-raising for Tax-exempt hospitalFL501(c)(3)170(b)(1)(A)(vi)Memorial Hlth Systems Inc0
Memorial Hlth Systems Inc
301 Memorial Medical ParkwayDaytona BeachFL32117590973502Operation of Hospital & Related ServicesFL501(c)(3)170(b)(1)(A)(iii)Adventist Hlth SystemSunbelt Inc0
Memorial Hospital Flagler Inc
60 Memorial Medical ParkwayPalm CoastFL32164592951990Operation of Hospital & Related ServicesFL501(c)(3)170(b)(1)(A)(iii)Memorial Hlth Systems Inc0
Memorial Hospital - West Volusia Inc
701 West Plymouth AvenueDelandFL32720593256803Operation of Hospital & Related ServicesFL501(c)(3)170(b)(1)(A)(iii)Memorial Hlth Systems Inc0
Memorial Hospital Inc
210 Marie Langdon DriveManchesterKY40962610594620Operation of Hospital & Related ServicesKY501(c)(3)170(b)(1)(A)(iii)Adventist Hlth System Sunbelt Hlthcare Corp0
Merriam Hlth Care Properties Inc
9700 West 62nd StreetMerriamKS66203364595806Lease to Related OrganizationKS501(c)(3)509(a)(3) Type III-FSunbelt Hlth Care Centers Inc0
Metroplex Adventist Hospital Inc
2201 S Clear Creek RoadKilleenTX76549742225672Operation of Hospital & Related ServicesTX501(c)(3)170(b)(1)(A)(iii)Adventist Hlth System Sunbelt Hlthcare Corp0
Metroplex Clinic Physicians Inc
2201 S Clear Creek RoadKilleenTX76549113762050Physician Hlthcare services to the communityTX501(c)(3)170(b)(1)(A)(iii)Metroplex Adventist Hospital Inc0
Midwest Hlth Foundation
120 North Oak StreetHinsdaleIL60521352230515Support of subsidiary FoundationsIL501(c)(3)509(a)(3) Type II0N/A
Mills Hlth & Rehab Center Inc
500 Beck LaneMayfieldKY42066205782320Operation of Home for the Aged/Hlthcare DeliveryKY501(c)(3)509(a)(2)Sunbelt Hlth Care Centers Inc0
Mission Strategies Inc
602 Courtland Street Ste 200OrlandoFL32804205982365Provision of support to the nursing home divisionKS501(c)(3)509(a)(3) Type IISunbelt Hlth Care Centers Inc0
Mission Strategies of Georgia Inc (1114-123111)
3949 S Cobb DriveSmyrnaGA30080900866024Provision of support to the nursing home divisionGA501(c)(3)509(a)(3) Type IISunbelt Hlth Care Centers Inc0
Missouri Adventist Hlth Inc
9100 W 74th StreetShawnee MissionKS66204431224729Support Hlth Care ServicesMO501(c)(3)509(a)(3) Type III-OAdventist Hlth Mid-America Inc0
North Regional EMS Inc
188 Hospital LaneJellicoTN37762262653616EMS ServicesTN501(c)(3)509(a)(2)Jellico Community Hospital Inc0
Ormond Beach Memorial Hospital Auxiliary Inc
301 Memorial Medical ParkwayDaytona BeachFL32117591721962Volunteer support servicesFL501(c)(3)509(a)(3) Type III-FMemorial Hlth Systems Inc0
Overland Park Nursing & Rehab Center Inc
6501 West 75th StreetOverland ParkKS66204205774821Operation of Home for the Aged/Hlthcare DeliveryKS501(c)(3)509(a)(2)Sunbelt Hlth Care Centers Inc0
Paragon Hlth Care Properties Inc
950 Highpoint DriveHopkinsvilleKY42240510605686Lease to Related OrganizationGA501(c)(3)509(a)(3) Type III-FSunbelt Hlth Care Centers Inc0
Pasco-Pinellas Hillsborough Community Hlth System Inc
2400 Bedford RoadOrlandoFL32803208488713Operation of Hospital & Related ServicesFL501(c)(3)170(b)(1)(A)(iii)0N/A
Portercare Adventist Hlth System (630 Year End)
2525 S Downing StreetDenverCO80210840438224Operation of Hospital & Related ServicesCO501(c)(3)170(b)(1)(A)(iii)Adventist Hlth System Sunbelt Hlthcare Corp0
Portland Nursing & Rehab Center Inc
215 Highland Circle DrivePortlandTN37148205774842Operation of Home for the Aged/Hlthcare DeliveryTN501(c)(3)509(a)(2)Sunbelt Hlth Care Centers Inc0
Princeton Hlth & Rehab Center Inc
1333 West MainPrincetonKY42445205782272Operation of Home for the Aged/Hlthcare DeliveryKY501(c)(3)509(a)(2)Sunbelt Hlth Care Centers Inc0
Princeton Professional Services Inc
601 E Rollins StreetOrlandoFL32803591191045Provision of Hlthcare ServicesFL501(c)(3)509(a)(2)Adventist Hlth System Sunbelt Hlthcare Corp0
Quality Circle for Hlthcare Inc
111 N Orlando AvenueWinter ParkFL32789263789368Hlthcare Quality ServicesFL501(c)(3)509(a)(3) Type III-FAdventist Hlth System Sunbelt Hlthcare Corp0
Resource Personnel Inc
602 Courtland Street Ste 200OrlandoFL32804208040875Provide administrative support to tax exempt nursing homesFL501(c)(3)509(a)(3) Type IISunbelt Hlth Care Centers Inc0
Rocky Mountain Adventist Hlthcare Foundation (630 Year End)
2525 South Downing StreetDenverCO80210840745018Fund-raising for Tax-exempt hospitalCO501(c)(3)170(b)(1)(A)(vi)PorterCare Adventist Hlth System0
Rollins Bedford Corp
602 Courtland Street Ste 200OrlandoFL32804370908840InactiveFL501(c)(3)509(a)(3) Type IISunbelt Hlth Care Centers Inc0
Russellville Hlth Care Properties Inc
683 East Third StreetRussellvilleKY42276510605691Lease to Related OrganizationGA501(c)(3)509(a)(3) Type III-FSunbelt Hlth Care Centers Inc0
San Marcos Hlth Care Properties Inc
1900 Medical ParkwaySan MarcosTX78666510605693Lease to Related OrganizationGA501(c)(3)509(a)(3) Type III-FSunbelt Hlth Care Centers Inc0
San Marcos Nursing & Rehab Center Inc
1900 Medical ParkwaySan MarcosTX78666205782224Operation of Home for the Aged/Hlthcare DeliveryTX501(c)(3)509(a)(2)Sunbelt Hlth Care Centers Inc0
Shawnee Mission Hlth Care Inc
6501 West 75th StreetOverland ParkKS66204480952508Lease to Related OrganizationKS501(c)(3)509(a)(3) Type III-FSunbelt Hlth Care Centers Inc0
Shawnee Mission Medical Center Inc
9100 W 74th StreetShawnee MissionKS66204480637331Operation of Hospital & Related ServicesKS501(c)(3)170(b)(1)(A)(iii)Adventist Hlth Mid-America Inc0
South Central Nursing Homes Properties Inc
111 North Orlando AveWinter ParkFL32789593686109Management SupportGA501(c)(3)509(a)(3) Type III-OSouth Central Inc0
South Central Nursing Homes Inc
602 Courtland StreetOrlandoFL32804611242373Management SupportKY501(c)(3)509(a)(3) Type III-OSouth Central Inc0
South Central Properties III Inc
111 North Orlando AveWinter ParkFL32789593692860Real EstateGA501(c)(2)South Central Nursing Homes Properties Inc0
South Central Properties IV Inc
111 North Orlando AveWinter ParkFL32789593692862Real EstateGA501(c)(2)South Central Nursing Homes Properties Inc0
South Central Properties VI Inc
111 North Orlando AveWinter ParkFL32789593692857Real EstateGA501(c)(2)South Central Nursing Homes Properties Inc0
South Central Properties Inc
111 North Orlando AveWinter ParkFL32789593651692Real EstateGA501(c)(2)South Central Nursing Homes Properties Inc0
South Central Inc
602 Courtland StreetOrlandoFL32804593689740Management SupportGA501(c)(3)509(a)(3) Type III-F0N/A
South Pasco Hlth Care Properties Inc
38250 A AvenueZephyrhillsFL33542510605679Lease to Related OrganizationGA501(c)(3)509(a)(3) Type III-FSunbelt Hlth Care Centers Inc0
Southwest Volusia Hlth Services Inc
1055 Saxon BlvdOrange CityFL327638468593281591Medical Office Building for HospitalFL501(c)(3)509(a)(3) Type ISouthwest Volusia Hlthcare Corp0
Southwest Volusia Hlthcare Corp
1055 Saxon BlvdOrange CityFL327638468593149293Operation of Hospital & Related ServicesFL501(c)(3)170(b)(1)(A)(iii)Adventist Hlth SystemSunbelt Inc0
Specialty Physicians of Central Texas Inc
1301 Wonder World DriveSan MarcosTX78666208814408Physician Hlthcare services to the communityTX501(c)(3)170(b)(1)(A)(iii)Adventist Hlth SystemSunbelt Inc0
Spring View Hlth & Rehab Center Inc
718 Goodwin LaneLeitchfieldKY42754205782288Operation of Home for the Aged/Hlthcare DeliveryKY501(c)(3)509(a)(2)Sunbelt Hlth Care Centers Inc0
Sunbelt Hlth & Rehab Center - Apopka Inc
305 East Oak StreetApopkaFL32703205774856Operation of Home for the Aged/Hlthcare DeliveryFL501(c)(3)509(a)(2)Sunbelt Hlth Care Centers Inc0
Sunbelt Hlth Care Centers Inc
602 Courtland Street Ste 200OrlandoFL32804581473135Management ServicesTN501(c)(3)509(a)(3) Type IIAdventist Hlth System Sunbelt Hlthcare Corp0
SunSystem Development Corp
111 N Orlando AvenueWinter ParkFL32789592219301Fund Raising for Affiliated Tax-Exempt HospitalsFL501(c)(3)170(b)(1)(A)(vi)Adventist Hlth System Sunbelt Hlthcare Corp0
Tarpon Springs Hospital Foundation Inc
1395 S Pinellas AveTarpon SpringsFL34689590898901Operation of Hospital & Related ServicesFL501(c)(3)170(b)(1)(A)(iii)University Community Hospital Inc0
Tarrant County Hlth Care Properties Inc
301 Huguley BlvdBurlesonTX76028510605677Lease to Related OrganizationGA501(c)(3)509(a)(3) Type III-FSunbelt Hlth Care Centers Inc0
Taylor Creek Hlth Care Properties Inc
718 Goodwin LaneLeitchfieldKY42754510605678Lease to Related OrganizationGA501(c)(3)509(a)(3) Type III-FSunbelt Hlth Care Centers Inc0
Texas Hlth Huguley Inc (76-123111)
900 Hope WayAltamonte SpringsFL32714452694620Operation of Hospital & Related ServicesFL501(c)(3)170(b)(1)(A)(iii)Adventist Hlth SystemSunbelt Inc0
The Volunteer Auxiliary of Florida Hospital - Flagler Inc
60 Memorial Medical ParkwayPalm CoastFL32164592486582Volunteer support servicesFL501(c)(3)509(a)(3) Type III-FMemorial Hospital Flagler Inc0
Trinity Nursing & Rehab Center Inc
9700 West 62nd StreetMerriamKS66203205774890Operation of Home for the Aged/Hlthcare DeliveryKS501(c)(3)509(a)(2)Sunbelt Hlth Care Centers Inc0
University Community Hospital Auxiliary Inc
3100 E Fletcher AveTampaFL33613237011345Volunteer support servicesFL501(c)(3)509(a)(3) Type III-FUniversity Community Hospital Inc0
University Community Hospital Foundation Inc
3100 E Fletcher AveTampaFL33613592554889Fund-raising for Tax-exempt hospitalFL501(c)(3)509(a)(3) Type IUniversity Community Hospital Inc0
University Community Hospital Specialty Care Inc
3100 E Fletcher AveTampaFL33613593231322InactiveFL501(c)(3)509(a)(3)University Community Hospital Inc0
University Community Hospital Inc
3100 E Fletcher AveTampaFL33613591113901Operation of Hospital & Related ServicesFL501(c)(3)170(b)(1)(A)(iii)Adventist Hlth System Sunbelt Hlthcare Corp0
West Kentucky Hlth Care Properties Inc
500 Beck LaneMayfieldKY42066510605676Lease to Related OrganizationGA501(c)(3)509(a)(3) Type III-FSunbelt Hlth Care Centers Inc0
Zephyr Haven Hlth & Rehab Center Inc
38250 A AvenueZephyrhillsFL33542205774930Operation of Home for the Aged/Hlthcare DeliveryFL501(c)(3)509(a)(2)Sunbelt Hlth Care Centers Inc0
Zephyrhills Hlth & Rehab Center Inc
7350 Dairy RoadZephyrhillsFL33540205774967Operation of Home for the Aged/Hlthcare DeliveryFL501(c)(3)509(a)(2)Sunbelt Hlth Care Centers Inc0

Form990 Schedule R Part III Form990ScheduleRPartIII (10 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateDirect Controlling Entity NADirectControllingEntityNA
Appalachian Therapy Services LLC
100 Hospital DriveHendersonvilleNC28792202463851Therapy StaffingNCN/A
Central Texas Medical Center Bond LLC (11-111411)
1301 Wonder World DriveSan MarcosTX78666204314236InvestmentTXN/A
Clear Creek MOB Ltd
2201 S Clear Creek RdKilleenTX76549742609195Real EstateTXN/A
Florida Hospital DMERT LLC
2450 Maitland Center Pkwy Ste 200MaitlandFL32751202392253Medical EquipmentFLN/A
Florida Hospital Home Infusion
2450 Maitland Center Pkwy Ste 200MaitlandFL32751593142824Home Infusion ServicesFLN/A
KCCCSMMC Cancer Center LLC
9100 W 74th StreetShawnee MissionKS66204270909763Equipment RentalKSN/A
San Marcos MRI LP
1330 Wonder World Drive Ste 202San MarcosTX78666770597972Imaging & TestingTXN/A
Shawnee Mission Open MRI LLC
9100 W 74th Street Box 2923Shawnee MissionKS66201270011796Imaging & TestingKSN/A
Shawnee Mission Surgery Center LLC
PO Box 2923Shawnee MissionKS66201481243914Surgical ServicesKSN/A
Skyland MRI LLC
100 Hospital DriveHendersonvilleNC28792043646559Imaging & TestingNCN/A

Form990 Schedule R Part IV Form990ScheduleRPartIV (32 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateDirect Controlling Entity NADirectControllingEntityNAType Of EntityTypeOfEntityAddress Line1AddressForeign/AddressLine1Province Or StateAddressForeign/ProvinceOrStateCountryAddressForeign/CountryLegal Domicile Foreign CountryLegalDomicileForeignCountry
Adventist Hlth Sys Sunbelt Hlthcare Corp Empl Benefit Trust
111 N Orlando AvenueWinter ParkFL32789581318939Administration of Self-Insured Benefit PlansFLN/AT
AHS Services Inc
11801 South FreewayFort WorthTX76028752049583Medical EquipmentTXN/AC
Altamonte Medical Plaza Condominium Association Inc
601 East Rollins StreetOrlandoFL32803592855792Condo AssociationFLN/AC
Apopka Medical Plaza Condominium Association Inc
601 East Rollins StreetOrlandoFL32803593000857Condo AssociationFLN/AC
Arapahoe Medical Building I Inc (630 Year End)
2525 S Downing StreetDenverCO80210841574506Real Estate LeasingCON/AC
Arapahoe Medical Building II Inc (630 Year End)
2525 S Downing StreetDenverCO80210841574507Real Estate LeasingCON/AC
CC MOB Inc
2201 S Clear Creek RoadKilleenTX76549742616875Real Estate RentalTXN/AC
Central Texas Medical Associates
1301 Wonder World DriveSan MarcosTX78666742729873Physician ClinicsTXN/AC
Central Texas Provider's Network
1301 Wonder World DriveSan MarcosTX78666742827652Physician Hospital Org.TXN/AC
Florida Hospital Flagler Medical Offices Association Inc
60 Memorial Medical ParkwayPalm CoastFL32164262158309Condo AssociationFLN/AC
Florida Hospital Healthcare System Inc
602 Courtland StreetOrlandoFL32804593215680PHO/TPAFLN/AC
Florida Medical Plaza Condo Association Inc
601 East Rollins StreetOrlandoFL32803592855791Condo AssociationFLN/AC
Florida Memorial Health Network Inc
770 W Granada Blvd Ste 317Ormond BeachFL32174593403558Physician Hospital Org.FLN/AC
Harvard Park East Inc (630 Year End)
2525 S Downing StreetDenverCO80210841574365Real Estate LeasingCON/AC
Helen Ellis Memorial Hospital Real Estate Corp
1395 S Pinellas AveTarpon SpringsFL34689593375731Real Estate RentalFLN/AC
Huguley Alliance Foundation
11801 South FreewayFort WorthTX76115752642209InactiveTXN/AC
Huguley Medical Associates Inc
11801 South FreewayBurlesonTX76028752547668Physician ClinicsTXN/AC
Kissimmee Multispecialty Clinic Condominium Association Inc
201 Hilda Street Suite 30KissimmeeFL34741593539564Condo AssociationFLN/AC
Midwest Management Services Inc
9100 West 74th StreetShawnee MissionKS66204480901551Real Estate RentalKSN/AC
Metroplex Adventist Hospital CRNA
2201 S Clear Creek RoadKilleenTX76549260760794Support hospital - provide allied health professionalsTXN/AC
North American Health Services Inc & Subs
111 N Orlando AvenueWinter ParkFL32789621041820Lessor/Holding Co.TNN/AC
Ormond Professional Condo Association (430 Year End)
770 W Granada Blvd Ste 101Ormond BeachFL32174592694434Condo AssociationFLN/AC
Park Ridge Property Owner's Association Inc
1 Park Place Naples RoadFletcherNC28732030380531Condo AssociationNCN/AC
Porter Affiliated Hlth Services Inc dba Diversified Affiliated Hlth Svcs
2525 S Downing StreetDenverCO80210840956175Healthcare ServicesCON/AC
Porter Medical Plaza Inc (630 Year End)
2525 S Downing StreetDenverCO80210841574369Real Estate LeasingCON/AC
San Marcos Regional MRI Inc
1301 Wonder World DriveSan MarcosTX78666770597968Holding CompanyTXN/AC
Southeast Volusia Medical Services Inc (10110-63011)
401 Palmetto StreetNew Smyrna BeachFL32168593287185InactiveFLN/AC
The Garden Retirement Community Inc
602 Courtland Street Ste 200OrlandoFL32804593414055Real Estate RentalFLN/AC
University Community Health Insurance Company SPC Ltd
Captive InsuranceN/ACC/O AON Insurance Managers PO BoxGrand CaymanCJCJ
UCH Services Inc
3100 East Fletcher AveTampaFL33613593508454Management CompanyFLN/AC
West Coast Medical Group Inc
1395 S Pinellas AveTarpon SpringsFL34689593537305Physician ClinicsFLN/AC
Winter Park Medical Office Building I Condo Assoc Inc (330-123111)
200 Lakemont AveWinter ParkFL32792452228478Physician ClinicsFLN/AC
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org1GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org1GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs0RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs0RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs0PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs0PerformOfServicesByOtherOrgs
Sharing Of Facilities1SharingOfFacilities
Sharing Of Paid Employees0SharingOfPaidEmployees
Reimbursement Paid To Other Org1ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (23 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
Adventist Health SystemSunbelt Inc
C4672412Actual Amount Received
Memorial Hospital - West Volusia Inc
C87126Actual Amount Received
Florida Hospital Zephyrhills Inc
C334142Actual Amount Received
Adventist Health System Georgia Inc
C161336Actual Amount Received
Jellico Community Hospital
C80769Actual Amount Received
Southwest Volusia Healthcare Corp
C158283Actual Amount Received
Memorial Hospital Inc
C87469Actual Amount Received
Fletcher Hospital Inc
C343107Actual Amount Received
Metroplex Adventist Hospital Inc
C106468Actual Amount Received
Adventist Health System Sunbelt Healthcare Corp
C136500Actual Amount Received
Memorial Hospital - Flagler Inc
B51775Actual Amount Donated
Adventist Health SystemSunbelt Inc dba Florida Hospital Heartland
B153299Actual Amount Donated
Memorial Hospital Inc
B365396Actual Amount Donated
Metroplex Adventist Hospital Inc
B95579Actual Amount Donated
Fletcher Hospital Inc
B70909Actual Amount Donated
Jellico Community Hospital
B108691Actual Amount Donated
Memorial Hospital - West Volusia Inc
B382789Actual Amount Donated
Florida Hospital Zephyrhills Inc
B269825Actual Amount Donated
Florida Hospital College of Health Sciences Inc
B128441Actual Amount Donated
Adventist Health SystemSunbelt Inc dba Florida Hospital
B15742023Actual Amount Donated
Adventist Health SystemSunbelt Inc
M242032Cost Allocation
Adventist Health SystemSunbelt Inc dba Florida Hospital
O759807Cost Plus
Florida Hospital Medical Group Inc
B126654Actual Amount Donated