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ADVENTIST HEALTH SYSTEM SUNBELT INC: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
ADVENTIST HEALTH SYSTEM SUNBELT INC (EIN 59-1479658)
Tax period
2011-01-01 to 2011-12-31
Filed
2012-11-15
IRS object ID
201203209349308175
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)
Timestamp2012-11-15T16:40:15-06:00Timestamp
Tax Period End Date2011-12-31TaxPeriodEndDate
Return Type990ReturnType
Tax Period Begin Date2011-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN591479658EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1Adventist Health SystemSunbelt IncBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlADVENameControl
Phone4073572419Phone

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
TitleAsst SecretaryTitle
Phone4079751492Phone
Date Signed2012-11-15DateSigned
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 JerniganNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1900 Hope WayAddressLine1
CityAltamonte SpringsCity
StateFLState
ZIP Code32714ZIPCode
FieldValueIRS element (for citing)
Gross Receipts2940736739GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Group Exemption Number1071GroupExemptionNumber
Organization501c3XOrganization501c3
Web Sitewww.adventisthealthsystem.comWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1973YearFormation
State Legal DomicileFLStateLegalDomicile
Activity Or Mission DescriptionOperation of 13 acute-care hospitals & related healthcare services.ActivityOrMissionDescription
Nbr Voting Members Governing Body25NbrVotingMembersGoverningBody
Nbr Independent Voting Members16NbrIndependentVotingMembers
Total Nbr Employees25567TotalNbrEmployees
Total Nbr Volunteers4172TotalNbrVolunteers
Total Gross UBI12059731TotalGrossUBI
Net Unrelated Business Txbl Income591112NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year5775084ContributionsGrantsPriorYear
Contributions Grants Current Year6313788ContributionsGrantsCurrentYear
Program Service Revenue Prior Year2826917153ProgramServiceRevenuePriorYear
Program Service Revenue CY2899300597ProgramServiceRevenueCY
Investment Income Prior Year46693287InvestmentIncomePriorYear
Investment Income Current Year25573839InvestmentIncomeCurrentYear
Other Revenue Prior Year3958813OtherRevenuePriorYear
Other Revenue Current Year5264364OtherRevenueCurrentYear
Total Revenue Prior Year2883344337TotalRevenuePriorYear
Total Revenue Current Year2936452588TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year18737315GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY14980749GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year1231652609SalariesEtcPriorYear
Salaries Etc Current Year1350533428SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year1430100808OtherExpensePriorYear
Other Expenses Current Year1348234659OtherExpensesCurrentYear
Total Expenses Prior Year2680490732TotalExpensesPriorYear
Total Expenses Current Year2713748836TotalExpensesCurrentYear
Revenues Less Expenses Prior Year202853605RevenuesLessExpensesPriorYear
Revenues Less Expenses CY222703752RevenuesLessExpensesCY
Total Assets BOY5892298669TotalAssetsBOY
Total Assets EOY5913996141TotalAssetsEOY
Total Liabilities BOY4109543275TotalLiabilitiesBOY
Total Liabilities EOY3954358511TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY1782755394NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY1959637630NetAssetsOrFundBalancesEOY
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
Expense2517507776Expense
Grants14980749Grants
Revenue2889311006Revenue
DescriptionOperation of 13 acute care hospitals with 157,810 patient admissions and 742,527 patient days in the current year. In addition to hospital operations, the corporation provides medical care through a number of other activities such as urgent care centers, physician clinics, home health services, hospice services, sleep centers, wound centers, therapy and rehab.Description
Total Program Service Expense2517507776TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities1LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements1ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments1TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
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 Fundraising0ProfessionalFundraising
Fundraising Activities1FundraisingActivities
Gaming0Gaming
Hospital1Hospital
Financial Stmt Attached1FinancialStmtAttached
Grants To Organizations1GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds1TaxExemptBonds
Invest Tax Exempt Bonds0InvestTaxExemptBonds
Escrow Account1EscrowAccount
On Behalf Of Issuer0OnBehalfOfIssuer
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member1BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions1DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity1DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity1RelatedOrgControlledEntity
Transaction Related Entity1TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With10962131NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees25567NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income1UnrelatedBusinessIncome
Form990-T Filed1Form990-TFiled
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members25NbrVotingGoverningBodyMembers
Number Independent Voting Members16NumberIndependentVotingMembers
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 Venture1InvestmentInJointVenture
Written Policy Or Procedure1WrittenPolicyOrProcedure
States Where Copy Of Return Is FiledILStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1Terry ShawBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number4073572463TelephoneNumber

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 (51 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployeeFormerFormer
Carlson Ronald
Director1.00X018020
Cauley Michael F
Director1.00X018020
Cazeau Rosemarie
Director1.00X018020
Craig Carlos
Director (beg 9/11)1.00X06500
Davidson James
Director (beg 9/11)1.00X025520
Denslow Kenneth A
Director (end 3/11)1.00X011520
Green Samuel L
Director (end 5/11)1.00X029150
Griffith Jr Buford
Director (beg 9/11)1.00X07500
Grove Rodney A
Director1.00X038650
Hagele Elaine
Director1.00X038650
Hayes Alta Sue
Director1.00X018020
Holley Leighton R
Director (end 4/11)1.00X011520
Houmann Lars D
Director40.00X01610483225465
Jernigan PhD Donald L
Director/CEO1.00X01868283115854X
Johnson MD Mark
Director1.00X018020
Knutson J Deryl
Director1.00X038650
Lemon Thomas L
Vice Chairman/Director1.00X038650
Livesay Donald
Chairman/Director1.00X038650
Moore Larry R
Vice Chairman/Director1.00X016000
Morel Hubert
Director1.00X018020
Pichette Ray
Director (beg 9/11)1.00X06500
Reiner Richard
Director1.00X0169308958944
Retzer Gordon
Vice Chairman/Director (end 9/11)1.00X031150
Robinson Randy
Director1.00X038650
Scott Glynn C
Director1.00X038650
Shaw Terry
Director1.00X02966896224228X
Smith PhD Ron C
Vice Chair/Sec/Director1.00X038650
Trevino Max A
Chairman (end 5/11)1.00X061150
Valentine III Maurice
Director (beg 5/11)1.00X016000
Werner Thomas L
Director1.00X0612911249
Banks David P
Senior Vice President, FH50.002036671695130368X
Cummings Jr Desmond
Executive VP, FH50.00075382135832X
Dodds Sheryl D
Senior Vice President, FH50.0082245314153663X
Fulbright Robert D
Senior Vice President, FH50.00187244392074996X
Goodman Todd
Senior Vice President, FH50.00042552990678X
Hilliard Douglas W
Senior Vice President, FH50.00042129777341X
Hurst Jeffery D
Senior Vice President, FH50.00039709149103X
Moorhead MD John D
Chief Medical Officer, FH50.000676510111090X
Owen Terry R
Senior Vice President, FH50.00181371307883676X
Paradis J Brian
COO, Exec VP FH50.002033882330169847X
Reed Monica
Senior Vice President, FH50.002145597958111104X
Soler Eddie
CFO, Florida Division50.000765097135198X
Lee MD Kathy
Physician50.00983021028584X
Torres MD Ramon M
Physician50.00732146027892X
Czerska MD Barbara
Medical Director of Cardiac Transplant and Advance50.00680480020623X
Eubanks Jr MD William Stephen
Executive Director of Academic Surgery50.00672642028742X
HuddlestonHeather Adrian
Clinical Quality Coordinator50.0081249401435X
Bowls Bonnie L
Former key employee40.00035515648219X
Grim-Marcarelli Karen
Former key employee50.00042056343549X
Hamilton Connie A
Former key employee50.0045442641476136X
Herrin Arlene
Former key employee50.00030490251742X
FieldValueIRS element (for citing)
Total Reportable Comp From Org3891958TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs16917365TotalReportableCompFrmRltdOrgs
Total Other Compensation2085558TotalOtherCompensation
Number Individuals GT100 K1035NumberIndividualsGT100K
Formers Listed1FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
BRASFIELD & GORRIE LLC
200 COLONIAL CENTER PWY STELAKE MARYFL32746Construction Services60279069
CERNER CORP
PO BOX 410451KANSAS CITYMO64141Technology solutions support10736568
BARTON MALOW COMPANY
5337 MILLENIA LAKES BLVDORLANDOFL32839Construction Services8224105
CROTHALL HEALTHCARE
13028 COLLECTION CTRCHICAGOIL60693Housekeeping Services4422586
Hardee Services of Rehab Inc
1330 Hwy 17 SouthWauchulaFL33873Physical Therapy3852147
FieldValueIRS element (for citing)
Number Of Contractors GT100 K487NumberOfContractorsGT100K
Fundraising Events112951FundraisingEvents
Related Organizations3678131RelatedOrganizations
Government Grants1634325GovernmentGrants
All Other Contributions888381AllOtherContributions
Noncash Contributions272741NoncashContributions
Total Contributions6313788TotalContributions

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeUnrelated Business RevenueUnrelatedBusinessRevenue
Patient Revenue900099282747385128178565109617341
Management Fee9000992393367823933678
Cafeteria/Vending Rev.9000991865919318232385426808
Research54170049661254966125
Fitness Revenue71394047586534201310557343

Total Oth Program Service Revenue TotalOthProgramServiceRevenue

FieldValueIRS element (for citing)
Total Revenue Column19509097TotalRevenueColumn
Related Or Exempt Function Income18778086RelatedOrExemptFunctionIncome
Unrelated Business Revenue731011UnrelatedBusinessRevenue
FieldValueIRS element (for citing)
Total Program Service Revenue2899300597TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column13360818TotalRevenueColumn
Exclusion$13,360,818ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column2335372TotalRevenueColumn
Exclusion$2,335,372ExclusionAmount

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column553965TotalRevenueColumn
Exclusion$553,965ExclusionAmount

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real4564083Real
Personal229817Personal

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real1389020Real
Personal697Personal

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real3175063Real
Personal229120Personal

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column3404183TotalRevenueColumn
Unrelated Business Revenue727228UnrelatedBusinessRevenue
Exclusion$2,676,955ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities9333207Securities
Other3331542Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities0Securities
Other2787100Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities9333207Securities
Other544442Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column9877649TotalRevenueColumn
Exclusion$9,877,649ExclusionAmount
FieldValueIRS element (for citing)
Gross Income Fundraising Events70638GrossIncomeFundraisingEvents
Cntrbtns Rprtd Fundraising Events112951CntrbtnsRprtdFundraisingEvents
Fundraising Direct Expenses107334FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column-36696TotalRevenueColumn
Exclusion-$36,696ExclusionAmount

Other Revenue Misc OtherRevenueMisc (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
Equity earnings from r90009915332641533264
Investment in Subs900099-190352-190352
FieldValueIRS element (for citing)
Total Other Revenue1342912TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column2936452588TotalRevenueColumn
Related Or Exempt Function Income2889311006RelatedOrExemptFunctionIncome
Unrelated Business Revenue12059731UnrelatedBusinessRevenue
Exclusion$28,768,063ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total14915837Total
Program Services14915837ProgramServices

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total64912Total
Program Services64912ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total10171032Total
Management And General10171032ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total989086993Total
Program Services967173574ProgramServices
Management And General21913419ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total36169776Total
Program Services35320664ProgramServices
Management And General849112ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total238661891Total
Program Services224580921ProgramServices
Management And General14080970ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total76443736Total
Program Services74611057ProgramServices
Management And General1832679ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total4257833Total
Management And General4257833ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total576019Total
Management And General576019ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total250856941Total
Program Services193521941ProgramServices
Management And General57335000ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total19190552Total
Management And General19190552ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total93665996Total
Program Services70456275ProgramServices
Management And General23209721ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total22968583Total
Program Services19124662ProgramServices
Management And General3843921ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total55214182Total
Program Services55044902ProgramServices
Management And General169280ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total6035318Total
Program Services2890552ProgramServices
Management And General3144766ManagementAndGeneral

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total1296645Total
Program Services745485ProgramServices
Management And General551160ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total78464095Total
Program Services62920509ProgramServices
Management And General15543586ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total156534559Total
Program Services156534559ProgramServices

Insurance Insurance

FieldValueIRS element (for citing)
Total34973665Total
Program Services36385987ProgramServices
Management And General-1412322ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServices
Medical Supplies478868326478868326
Repairs/Maintenance6805243768052437
Assessments3162746031627460
UBI Tax409951409951

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total45242097Total
Program Services24257765ProgramServices
Management And General20984332ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total2713748836Total
Program Services2517507776ProgramServices
Management And General196241060ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY95639BOY
EOY99490EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY1392112401BOY
EOY1458843277EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY360121552BOY
EOY370664906EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY58417644BOY
EOY69068975EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY15175721BOY
EOY15053517EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis3375544200LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec1601917173LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY1679422987BOY
EOY1773627027EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY277751895BOY
EOY277876782EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
BOY12031039BOY
EOY11840997EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY2097169791BOY
EOY1936921170EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY5892298669BOY
EOY5913996141EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY190473193BOY
EOY195866090EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY3703849999BOY
EOY3588586470EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY215220083BOY
EOY169905951EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY4109543275BOY
EOY3954358511EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY1775070404BOY
EOY1956618834EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY7684990BOY
EOY3018796EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY1782755394BOY
EOY1959637630EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY5892298669BOY
EOY5913996141EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses222703752ReconcilationRevenueExpenses
Reconcilation Other Changes-45821516ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit Required1FederalGrantAuditRequired
Federal Grant Audit Performed1FederalGrantAuditPerformed

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii

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 C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0Volunteers
Paid Staff Or Management1PaidStaffOrManagement
Media Advertisements0MediaAdvertisements
Mailings Members1MailingsMembers
Mailings Members$11,565MailingsMembersAmount
Publications Or Broadcast0PublicationsOrBroadcast
Grants Other Organizations0GrantsOtherOrganizations
Direct Contact Legislators0DirectContactLegislators
Rallies Demonstrations1RalliesDemonstrations
Rallies Demonstrations$12,570RalliesDemonstrationsAmount
Other Activities1OtherActivities
Other Activities$505,680OtherActivitiesAmount
Total Lobbying Expenditures IIB529815TotalLobbyingExpendituresIIB
Not Described In501c30NotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV (2 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Explanation of Lobbying Activities:Part II-B, Line 1:The corporation reimbursed traveling expenses and paid fees to retain the services of four consulting firms which performed lobbying activities on behalf of the corporation. The four firms were William Filan, John Andrew Kane, Dick Batchelor, and Johnson & Blanton and were paid a total of $338,549 during the year. Additionaly, dues were paid to the American Hospital Association, Florida Hospital Association, Illinois Hospital Association and the Texas Hospital Association who use a portion of the dues to conduct lobbying activities.
Part IV, Supplemental Information:Part II-B 1(b) During 2011 salary expense of $15,666 was incurred for paid staff engaged in lobbying activities.

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Protection Of Natural HabitatXProtectionOfNaturalHabitat
Nmbr Easements Modified0NmbrEasementsModified
Nmbr States In Which Easements Held1NmbrStatesInWhichEasementsHeld
Written Policy Monitoring0WrittenPolicyMonitoring
Staff Hours Spent On Enforcement0.00StaffHoursSpentOnEnforcement
Expenses Incurred For Enforcement0ExpensesIncurredForEnforcement

Current Year CurrentYear

FieldValueIRS element (for citing)
Beginning Of Year Balance15221113BeginningOfYearBalance
Contributions121143Contributions
Investment Earnings Or Losses753535InvestmentEarningsOrLosses
Other Expenditures365254OtherExpenditures
End Of Year Balance15730537EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance14810178BeginningOfYearBalance
Contributions30263Contributions
Investment Earnings Or Losses720592InvestmentEarningsOrLosses
Grants Or Scholarships339920GrantsOrScholarships
End Of Year Balance15221113EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

FieldValueIRS element (for citing)
Beginning Of Year Balance14077615BeginningOfYearBalance
Contributions57189Contributions
Investment Earnings Or Losses696088InvestmentEarningsOrLosses
Grants Or Scholarships117114GrantsOrScholarships
Administrative Expenses-96400AdministrativeExpenses
End Of Year Balance14810178EndOfYearBalance

Current Year Minus3 Years CurrentYearMinus3Years

FieldValueIRS element (for citing)
Beginning Of Year Balance3027408BeginningOfYearBalance
Contributions79953Contributions
Other Expenditures233695OtherExpenditures
End Of Year Balance2873666EndOfYearBalance
FieldValueIRS element (for citing)
Board Designated EOY Balance0.80410BoardDesignatedEOYBalance
Permanent Endowment EOY Balance0.19590PermanentEndowmentEOYBalance
Term Endowment EOY Balance0.00000TermEndowmentEOYBalance
Endowments Held By Unrelated Orgs0EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs1EndowmentsHeldByRelatedOrgs
Are Related Orgs Listed Schedule R1AreRelatedOrgsListedScheduleR

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis176328522OtherCostOrOtherBasis
Book Value176328522BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis1261691167OtherCostOrOtherBasis
Depreciation500775212Depreciation
Book Value760915955BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis1791051735OtherCostOrOtherBasis
Depreciation1044928071Depreciation
Book Value746123664BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis146472776OtherCostOrOtherBasis
Depreciation56213890Depreciation
Book Value90258886BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings1773627027TotalOfBookValueLandBuildings

Other Assets OtherAssets (8 entries)

DescriptionDescriptionBook ValueBookValue
Funds Held in Trust23506277
Other Current Receivables9560022
Due From Related Parties and Affiliates45425506
Donor Restricted Assets1496690
Deferred Charges and Costs23829484
Long-term Investments31846833
Other Non-Current Assets11767528
Receivable - Interco Alloc of Tax-Exempt Bond Proceeds1789488830
FieldValueIRS element (for citing)
Total Book Value Other Assets1936921170TotalBookValueOtherAssets

Other Liabilities OtherLiabilities (7 entries)

DescriptionDescriptionAmountAmount
Accounts Receivable - Credit Balances$8,444,039
Payable to Third Party$43,817,541
Due to Related-Affiliated Entities$15,753,369
Other Current Liabilities$6,945,379
Other Non-Current Liabilities$80,123,103
Notes and Loans Payable - Current$5,741,829
Leases Payable$9,080,691
FieldValueIRS element (for citing)
Total Of Amounts169905951TotalOfAmounts

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (3 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Description of How Organization Reports Conservation Easements:Part II, Line 9:The filing organization has recorded the land conservation easement on its financial statements as a Property, Plant, and Equipment Asset. The conservation easement generates no revenue and the filing organization did not incur any expense in 2011 related to the maintenance and monitoring of the conservation easement.
Description of Intended Use of Endowment Funds:Part V, Line 4:All endowment funds are held by related 501(c)(3) exempt foundations. These endowment funds have been established for a variety of purposes in support of related tax-exempt hospitals. All of the foundation'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 (b) Prior year - Explanation for change in opening balance: During the year 2009, management of a related 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 related 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 (26 entries)

RegionRegionNumber Of OfficesNumberOfOfficesNumber Of EmployeesNumberOfEmployeesType Of Activities ConductedTypeOfActivitiesConductedSpecific Services ProvidedSpecificServicesProvidedTotal ExpendituresTotalExpenditures
Central America and the Caribbean00Program ServicesDonation of equipment and supplies to God's Helping Hands Ministry in Guatemala (value for customs purposes)6036
Central America and the Caribbean00Program ServicesEnvironmental Services trip to Haiti and donation of shoes for EVS staff8667
Central America and the Caribbean00Program ServicesFacilities evaluation in Jamaica and FH representation.2932
Central America and the Caribbean00Program ServicesDonation of equipment and supplies to Andrews Memorial Hospital, Kingston, Jamaica (value for customs purposes)13218
Central America and the Caribbean00Program ServicesTravel expense for mission trips5244
Central America and the Caribbean00Program ServicesMission Trips Environmental SVC/Infection Control6662
Central America and the Caribbean00Program ServicesFootPrint- Meetings with sister hospital8572
Central America and the Caribbean00Program ServicesEducational and Recruiting - Conferences1795
Central America and the Caribbean00Program ServicesEducational and Recruiting - Reaching communites and broaden relationships1991
Central America and the Caribbean00Program ServicesPhysical Therapy10041
Central America and the Caribbean00Program ServicesEnvironmental svcs/Infection Control9966
East Asia and the Pacific00Program ServicesEducational and Recruiting - Conferences15988
Europe (including Iceland and Greenland)00Program ServicesEducational and Recruiting - Conferences22143
Middle East and North Africa00Program ServicesDonation of eye care equipment (autorefractor and other equipment) and portable ultrasound to Summit Clinic and Learning Village, Addis Ababa, Ethiopia28658
Middle East and North Africa00Program ServicesTravel expense for mission trips7915
Middle East and North Africa00Program ServicesEducational and Recruiting - Conferences9658
Middle East and North Africa00Program ServicesMission Trip: Ethiopia7012
North America (includes Canada and Mexico, not U.S.)00Program ServicesEducational and Recruiting - Conferences13722
North America (which includes Canada and Mexico, but not the U.S.)00Grantmaking7000
North America (which includes Canada and Mexico, but not the U.S.)00Program ServicesCleft Lip & Palate/Colposcopy45165
South America00Program ServicesDonation of generator, hospital beds and other equipment to Good Hope Clinic, Lima, Peru (value for customs purposes)10000
South America00Program ServicesDonation of chairs, beds and other materials to Adventist Clinic, Venezuela (value for customs purposes)2692
South America00Program ServicesEducational and Recruiting - Conferences8574
South America00Program ServicesSurgical mission trip to Juliaca and Lima, Peru55886
South America00Program ServicesCleft Lip & Palate61422
South America00Program ServicesGYN Surgical and eye care33062
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 Spent53126SubtotalAmountSpent
Cont Amount Spent350895ContAmountSpent
Total Amount Spent404021TotalAmountSpent

Grants To Orgs Outside US GrantsToOrgsOutsideUS (5 entries)

RegionRegionPurpose Of GrantPurposeOfGrantAmount Of Cash GrantAmountOfCashGrantManner Of Cash DisbursementMannerOfCashDisbursementMethod Of ValuationMethodOfValuationAmount Of Non Cash AssistanceAmountOfNonCashAssistanceDescription Of Non Cash AssistanceDescriptionOfNonCashAssistance
North America (which includes Canada and Mexico, but not the U.S.)Medical Supplies or Equipment7000Cash PaymentBook
Central America and the CaribbeanMedical Supplies or EquipmentBook13218Medical Supplies
Central America and the CaribbeanMedical Supplies or EquipmentBook6036Medical Supplies
Middle East and North AfricaMedical Supplies or EquipmentBook28658Medical Supplies
South AmericaMedical Supplies or EquipmentBook10000Medical Equipment
FieldValueIRS element (for citing)
Total Number Of501c3 Orgs4TotalNumberOf501c3Orgs
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: Foreign grants are generally non-cash donations of medical equipment and supplies to assist foreign health care providers in fulfilling their mission of providing health care services to the populations they serve. The foreign health care providers are often hospitals and/or clinics operated and/or sponsored by or affiliated with the Seventh-Day Adventist Church. The foreign hospitals/clinics may be located in remote and/or underserved villages and townships of developing countries. Grants are typically made to other U.S. charitable organizations or foreign entities recognized as charitable by the foreign country in which they are located. As a result of the nature of the grants as non-cash medical equipment and supplies and the fact that most grants are made indirectly through other U.S. or foreign charitable organizations, the filing organization has not established specific procedures for monitoring the use of grant funds outside the United States.Explanation

Schedule G IRS990ScheduleG

Events Information EventsInformation

FieldValueIRS element (for citing)
Name Of Event1Crystal Heart GalaNameOfEvent1
Gross Receipts Event1183589GrossReceiptsEvent1
Charitable Contributions Event1112951CharitableContributionsEvent1
Gross Revenue Event170638GrossRevenueEvent1
Cash Prizes Event12000CashPrizesEvent1
Food And Beverage Event143299FoodAndBeverageEvent1
Entertainment Event111580EntertainmentEvent1
Other Direct Expenses Event150455OtherDirectExpensesEvent1
Gross Receipts Total183589GrossReceiptsTotal
Charitable Contributions Total112951CharitableContributionsTotal
Gross Revenue Total Events70638GrossRevenueTotalEvents
Cash Prizes Total Events2000CashPrizesTotalEvents
Food And Beverage Total Events43299FoodAndBeverageTotalEvents
Entertainment Total Events11580EntertainmentTotalEvents
Other Direct Expenses Total Events50455OtherDirectExpensesTotalEvents
Direct Expense Summary Events107334DirectExpenseSummaryEvents
Net Income Summary-36696NetIncomeSummary

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Charity Care Policy1CharityCarePolicy
Written Policy1WrittenPolicy
Policy Applied To All HospitalsXPolicyAppliedToAllHospitals
FPG Reference Free Care1FPGReferenceFreeCare
Pcent200XPcent200
FPG Reference Discounted Care1FPGReferenceDiscountedCare
Pcent400XPcent400
Free Disc Care Medically Indigent1FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care1AmountsBudgetedForCharityCare
Expenses Exceeded Budget0ExpensesExceededBudget
Annual Community Benefit Report1AnnualCommunityBenefitReport
Report Publically Available1ReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Total Community Benefit Expense154952519TotalCommunityBenefitExpense
Net Community Benefit Expense154952519NetCommunityBenefitExpense
Percent Of Total Expense0.05710PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Total Community Benefit Expense418305917TotalCommunityBenefitExpense
Direct Offsetting Revenue292411495DirectOffsettingRevenue
Net Community Benefit Expense125894422NetCommunityBenefitExpense
Percent Of Total Expense0.04640PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Total Community Benefit Expense573258436TotalCommunityBenefitExpense
Direct Offsetting Revenue292411495DirectOffsettingRevenue
Net Community Benefit Expense280846941NetCommunityBenefitExpense
Percent Of Total Expense0.10350PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense12645413TotalCommunityBenefitExpense
Direct Offsetting Revenue239091DirectOffsettingRevenue
Net Community Benefit Expense12406322NetCommunityBenefitExpense
Percent Of Total Expense0.00460PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

FieldValueIRS element (for citing)
Total Community Benefit Expense40098714TotalCommunityBenefitExpense
Direct Offsetting Revenue11251421DirectOffsettingRevenue
Net Community Benefit Expense28847293NetCommunityBenefitExpense
Percent Of Total Expense0.01060PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense9058336TotalCommunityBenefitExpense
Direct Offsetting Revenue9041113DirectOffsettingRevenue
Net Community Benefit Expense17223NetCommunityBenefitExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Research Research

FieldValueIRS element (for citing)
Total Community Benefit Expense1313841TotalCommunityBenefitExpense
Direct Offsetting Revenue1234568DirectOffsettingRevenue
Net Community Benefit Expense79273NetCommunityBenefitExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

FieldValueIRS element (for citing)
Total Community Benefit Expense9203257TotalCommunityBenefitExpense
Net Community Benefit Expense9203257NetCommunityBenefitExpense
Percent Of Total Expense0.00340PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense72319561TotalCommunityBenefitExpense
Direct Offsetting Revenue21766193DirectOffsettingRevenue
Net Community Benefit Expense50553368NetCommunityBenefitExpense
Percent Of Total Expense0.01860PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense645577997TotalCommunityBenefitExpense
Direct Offsetting Revenue314177688DirectOffsettingRevenue
Net Community Benefit Expense331400309NetCommunityBenefitExpense
Percent Of Total Expense0.12210PercentOfTotalExpense

Health Improvement Advocacy HealthImprovementAdvocacy

FieldValueIRS element (for citing)
Total Community Building Expense10531573TotalCommunityBuildingExpense
Direct Offsetting Revenue4115221DirectOffsettingRevenue
Net Community Building Expense6416352NetCommunityBuildingExpense
Percent Of Total Expense0.00240PercentOfTotalExpense

Workforce Development WorkforceDevelopment

FieldValueIRS element (for citing)
Total Community Building Expense484217TotalCommunityBuildingExpense
Direct Offsetting Revenue12956DirectOffsettingRevenue
Net Community Building Expense471261NetCommunityBuildingExpense
Percent Of Total Expense0.00020PercentOfTotalExpense

Other Other

FieldValueIRS element (for citing)
Total Community Building Expense12908TotalCommunityBuildingExpense
Net Community Building Expense12908NetCommunityBuildingExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Total Total

FieldValueIRS element (for citing)
Total Community Building Expense11028698TotalCommunityBuildingExpense
Direct Offsetting Revenue4128177DirectOffsettingRevenue
Net Community Building Expense6900521NetCommunityBuildingExpense
Percent Of Total Expense0.00260PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense Reported1BadDebtExpenseReported
Bad Debt Expense$93,843,831BadDebtExpenseAmount
Amount Attributable To9352763AmountAttributableTo
Amount Reimbursed By Medicare694894341AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare795619184CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall-100724843MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

FieldValueIRS element (for citing)
Cost To Charge RatioXCostToChargeRatio
FieldValueIRS element (for citing)
Written Debt Collection Policy1WrittenDebtCollectionPolicy
Provision For Charity Care1ProvisionForCharityCare

Form990 Schedule H Part IV Form990ScheduleHPartIV (6 entries)

Description Ent Primary ActivityDescriptionEntPrimaryActivityOrganization Profit Or OwnershipOrganizationProfitOrOwnershipOfficers Etc Profit Or OwnershipOfficersEtcProfitOrOwnershipPhysicans Profit Or OwnershipPhysicansProfitOrOwnership
1 Surgical Center at Sun'N Lake LLC
Ambulatory Surgery0.500000.000000.50000
2 San Marcos MRI LP
Imaging Center0.500000.000000.50000
3 Central Texas Ambulatory Endoscopy
Endoscopy Center0.188000.000000.81200
4 Huguley Surgery Center LLP
OP Surgeries0.641000.000000.35900
5 Surgery Management Associates of Kissimmee LLC
Management/Admin0.300000.000000.70000
6 Florida Hospital Kidney Stone Center LLC
Lessor of Medical Equipment0.400000.60000
FieldValueIRS element (for citing)
Number Of Hospital Facilities13NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA (13 entries)

Facility NumberFacilityNumberAddress Line1Address/AddressLine1CityAddress/CityStateAddress/StateZIP CodeAddress/ZIPCodeLicensed HospitalLicensedHospitalGeneral Medical And SurgicalGeneralMedicalAndSurgicalChildrens HospitalChildrensHospitalTeaching HospitalTeachingHospitalResearch FacilityResearchFacilityEr24 HoursEr24HoursOtherOtherCritical Access HospitalCriticalAccessHospital
Florida Hospital Orlando
1601 E Rollins StreetOrlandoFL32803XXXXXX
Florida Hospital Altamonte
2601 E Altamonte DriveAltamonte SpringsFL32701XXXX
Florida Hospital Celebration Health
3400 Celebration PlaceCelebrationFL34747XXXX
Florida Hospital East Orlando
47727 Lake Underhill DriveOrlandoFL32822XXXX
Winter Park Memorial Hospital
5200 N Lakemont AvenueWinter ParkFL32822XXXX
Adventist La Grange Memorial Hospital
65101 S Willow Springs RoadLa GrangeIL60525XXXX
Huguley Memorial Medical Center
711801 South FreewayFort WorthTX76115XXXHome Health Agency
FH Heartland Medical Center
84200 Sun N Lake BlvdSebringFL33872XXX
Florida Hospital Kissimmee
92450 North Orange Blossom TrailKissimmeeFL34741XXXX
Central Texas Medical Center
101301 Wonder World DrSan MarcosTX78666XXX
Florida Hospital Apopka
11201 N Park AvenueApopkaFL32703XXXX
FH Heartland Medical Center Lake Placid
121210 US 27 NLake PlacidFL33852XXXInpatient Psych
Florida Hospital Wauchula
13533 W Carlton StreetWauchulaFL33873XXXSkilled NursingX

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB (13 entries)

Hospital Facility NumberHospitalFacilityNumberEligibility Criteria ExplainedEligibilityCriteriaExplainedUses FPG FreeUsesFPGFreeFPG Free PercentFPGFreePercentUses FPG DiscountedUsesFPGDiscountedFPG Discount PercentFPGDiscountPercentExplains BasisExplainsBasisIncome LevelIncomeLevelAsset LevelAssetLevelMedical IndigencyMedicalIndigencyInsurance StatusInsuranceStatusUninsured DiscountUninsuredDiscountMedicaid MedicareMedicaidMedicareState RegulationStateRegulationExplains Application MethodExplainsApplicationMethodIncludes Publicity MeasuresIncludesPublicityMeasuresAvailable On RequestAvailableOnRequestOther PublicityOtherPublicityActions On NonpaymentActionsOnNonpaymentCollection ActivitiesCollectionActivitiesNondiscrim Emergency Care PolicyNondiscrimEmergencyCarePolicyUsed Other MethodUsedOtherMethodAmounts Generally BilledAmountsGenerallyBilledGross ChargesGrossCharges
Florida Hospital Orlando
111200.0000000000001400.0000000000001XXXXXXX11XX101X00
Florida Hospital Altamonte
211200.0000000000001400.0000000000001XXXXXXX11XX101X00
Florida Hospital Celebration Health
311200.0000000000001400.0000000000001XXXXXXX11XX101X00
Florida Hospital East Orlando
411200.0000000000001400.0000000000001XXXXXXX11XX101X00
Winter Park Memorial Hospital
511200.0000000000001400.0000000000001XXXXXXX11XX101X00
Adventist La Grange Memorial Hospital
611200.0000000000001400.0000000000001XXXXXXX11XX101X00
Huguley Memorial Medical Center
711200.0000000000001400.0000000000001XXXXXXX11XX101X00
FH Heartland Medical Center
811200.0000000000001400.0000000000001XXXXXXX11XX101X00
Florida Hospital Kissimmee
911200.0000000000001400.0000000000001XXXXXXX11XX101X00
Central Texas Medical Center
1011200.0000000000001400.0000000000001XXXXXXX11XX101X00
Florida Hospital Apopka
1111200.0000000000001400.0000000000001XXXXXXX11XX101X00
FH Heartland Medical Center Lake Placid
1211200.0000000000001400.0000000000001XXXXXXX11XX101X00
Florida Hospital Wauchula
1311200.0000000000001400.0000000000001XXXXXXX11XX101X00

Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC

FieldValueIRS element (for citing)
Number Of Other Facilities126NumberOfOtherFacilities

Other Facilities OtherFacilities (126 entries)

Address Line1Address/AddressLine1CityAddress/CityStateAddress/StateZIP CodeAddress/ZIPCodeFacility TypeFacilityTypeAddress Line2Address/AddressLine2
Florida Hospital Altamonte Ambulatory Su
661 E Altamonte Drive Suite 110Altamonte SpringsFL32701Outpatient Surgery Center
Florida Hospital Altamonte Medical Plaza
661 E Altamonte DriveAltamonte SpringsFL32701Physician Clinics
Florida Hospital Altamonte Imaging Cente
661 E Altamonte Drive Suite 112Altamonte SpringsFL32701MRI/CT
Florida Hospital Altamonte Imaging Cente
894 E Altamonte Drive Suite 1100Altamonte SpringsFL32701Radiology Services
Florida Hospital Altamonte Pain Medicine
661 E Altamonte Drive Suite 328Altamonte SpringsFL32701Pain Medicine
Florida Hospital Altamonte Mammography C
661 E Altamonte Drive Suite 130Altamonte SpringsFL32701Imaging Center
Florida Hospital Rehabilitation & Sports
711 E Altamonte Drive Suite 200Altamonte SpringsFL32701Therapy Center
Florida Hospital Cancer Institute
2501 N Orange Avenue Suites 139 181OrlandoFL32804Cancer Center
Florida Hospital Rehabilitation and Spor
5165 Adanson StreetOrlandoFL32804Therapy Center
Florida Hospital Orlando Pathology Lab
2855 N Orange AvenueOrlandoFL32803Lab Services
Florida Hospital Cancer Care Center
2100 Glenwood DriveWinter ParkFL32792Radiation Oncology
Florida Hospital Altamonte Cancer Center
601 E Altamonte DriveAltamonte SpringsFL32701Cancer Center
Florida Hospital Cancer Institute - Kiss
1300 West Oak StreetKissimmeeFL34741Cancer Center
Florida Hospital Medical Plaza
2501 N Orange AvenueOrlandoFL32804Physician Clinics
La Grange Cancer Treatment Pavillion
1325 Memorial DrLa GrangeIL60525Cancer Center/Wound Care Facility
FRi Princeton
235 E Princeton Street Suite 100OrlandoFL32804Imaging Center
Florida Hospital Kidney Stone Center
2501 N Orange Avenue Suite 121OrlandoFL32804Outpatient Services
Florida Hospital Transplant Center
2415 N Orange Avenue Suite 700OrlandoFL32804Organ Tissue/Transplant Center
Florida Hospital Advanced Nuclear Imagin
328 Spruce StreetOrlandoFL32803Radiology Services
Florida Hospital Center for Behavioral H
501 E King Street 1st FloorOrlandoFL32803Med/Psych
Adventist Paulson Rehab - Willowbrook
619 Plainfield RoadWillowbrookIL60521Rehabilitation Center
FHCC - LAKE BUENA VISTA #2
12500 S Apopka Vineland RdOrlandoFL32836Urgent care Clinic
Adventist La Grange Family Medical Cente
619 Plainfield RoadWillowbrookIL60521Family Medical Center
FRi Lake Mary
775 Primera Blvd Suite 1031Lake MaryFL32746Imaging Center
Loch Haven OBGyn Group
235 E Princeton Street Suite 200OrlandoFL32804Physician Clinics
Florida Hospital Gamma Knife
2501 N Orange Ave Suite 101 SOrlandoFL32804Gamma Knife
Florida Hospital Surgery Center East Or
258 S Chickasaw Trail Suite 100OrlandoFL32825Outpatient Surgery
FHCC - WATERFORD
250 N Alafaya Trail Suite 135OrlandoFL32825Urgent care Clinic
Winter Park Memorial Hospital Women's Ce
1925 Mizell Ave Suites 100 105 107Winter ParkFL32792Women's Health Clinic, Imaging
FHCC - SANFORD
4451 West 1st StreetSanfordFL32771Urgent care Clinic
Florida Hospital Rehabilitation & Sports
8701 Maitland Summit BlvdOrlandoFL32810Therapy Center
Florida Hospital Rehabilitation & Sports
7975 Lake Underhill Drive Suite 300OrlandoFL32822Therapy Center34
Central Texas Ambulatory Endoscopy
1303 Wonder World DRSan MarcosTX78666Endoscopy Services
Florida Hospital Heartland Medical Cente
4638 Sun n Lake BlvdSebringFL33872Outpatient Phys Clinic
FRi Oviedo
8000 Red Bug Lake Road Suite 120OviedoFL32765Imaging Center
FHCC - WINTER PARK
3099 Aloma AvenueWinter ParkFL32792Urgent care Clinic
FRi Waterford Lake
12301 Lake Underhill Rd Suite 113OrlandoFL32828Imaging Center
Florida Hospital Heartland Medical Cente
1006 W Pleasant StreetAvon ParkFL33825Outpatient Phys Clinic
Florida Hospital Heartland Medical Cente
2950 Alt US Highway 27 SouthSebringFL33870Imaging Outpatient Ctr
CTMC Hospice
1315 IH 35 NorthSan MarcosTX78666Hospice services
FHCC - WINTER GARDEN
3005 Daniels RoadWinter GardenFL34787Urgent care Clinic
FHCC - LEE ROAD
2540 Lee RoadWinter ParkFL32789Urgent care Clinic
Florida Hospital Rehabilitation & Sports
400 Celebration Place Suite 200CCelebrationFL34747Therapy Center
FHCC - DR PHILLIPS
8014 Conroy-Windermere Rd Suite 104OrlandoFL32835Urgent care Clinic
FHCC - RDV
8701 Maitland Summit BlvdMaitlandFL32810Urgent care Clinic
Florida Hospital Center for Thrombosis
2501 N Orange Avenue Suite 786OrlandoFL32804Thrombosis Center
Family Health East Orlando Women's Pavil
7975 Lake Underhill Drive Suite 100OrlandoFL32822Women's Health Clinic
Family Health Center Winter Park
2950 Aloma Ave Suite 100Winter ParkFL32792Physician Clinics, Medicine Specialists, Surgical Specialists
FHCC - ALTAMONTE
440 W Highway 436Altamonte SpringsFL32714Urgent care Clinic
FHCC - SAND LAKE
2301 Sand Lake RoadOrlandoFL32809Urgent care Clinic
Surgical Center at Sun 'N Lake LLC
4240 Sun N Lake Blvd Ste 100SebringFL33872Outpatient Surgery
FHCC - KISSIMMEE
4320 W Vine StreetKissimmeeFL34746Urgent care Clinic
Florida Hospital Center for Sleep Disord
501 E King Street 2nd FloorOrlandoFL32803Sleep Disorder Center
FHCC - HUNTERS CREEK
3293 Greenwald Way NorthKissimmeeFL34741Urgent care Clinic
FHCC - FORMOSA GARDENS
7848 W Irlo Bronson HighwayKissimmeeFL34747Urgent care Clinic
FHCC - COLONIAL TOWN
630 North Bumby AveOrlandoFL32803Urgent care Clinic
FHCC - OVIEDO
8010 Red Bug RoadOviedoFL32765Urgent care Clinic
FHCC - CLERMONT
15701 State Road 50 Suite 101ClermontFL34711Urgent care Clinic
Medical Plaza - Florida Hospital Kissimm
201 Hilda StreetKissimmeeFL34741Physician Clinics
FHCC - AZALEA PARK
509 S Semoran BlvdOrlandoFL32807Urgent care Clinic
Florida Hospital Heartland Medical Cente
4409 Sun n Lake Blvd Suite ESebringFL33872Outpatient Phys Clinic
FHCC - MT DORA
9015 US Highway 441Mount DoraFL32757Urgent care Clinic
Florida Hospital Heartland Medical Cente
6325 US Highway 27 NSebringFL33870Phys Therapy Center
FHCC - CONWAY
5810 S Semoran BlvdOrlandoFL32822Urgent care Clinic
FHCC - LONGWOOD
855 S US Highway 17-92LongwoodFL32750Urgent care Clinic
Florida Hospital Rehabilitation & Sports
8000 Red Bug Lake Road Suite 140OviedoFL32765Therapy Center
Florida Hospital Sleep Disorder Center -
1925 Mizell Avenue Suite 200Winter ParkFL32792Sleep Center
CTMC Home Health
2007 Medical ParkwaySan MarcosTX78666Home Health services
Florida Hospital Wauchula Pioneer Medica
515 Carlton StreetWauchulaFL33873Outpatient Phys Clinic
Florida Hospital Heartland Medical Cente
4200 Sun n Lake BlvdSebringFL33872Outpatient Phys Clinic
San Marcos MRI LP
1330 Wonder World DrSan MarcosTX78666Imaging Services
Florida Hospital Heartland Medical Cente
6325 US 27 North Suite 202SebringFL33872Outpatient Phys Clinic
Florida Hospital Heartland Medical Cente
37 Ryant BlvdSebringFL33870Outpatient Phys Clinic
Family Health Center East
7975 Lake Underhill Drive Suite 200OrlandoFL32822Physician Clinics
Florida Hospital Rehad and Sport Medicin
2005 Mizell AveWinter ParkFL32792Therapy Center
Florida Hospital Rehab and Sports Medici
100 Waymont Court Suite 120Lake MaryFL32746Therapy Center
Florida Hospital Heartland Medical Cente
4240 Sun n Lake BlvdSebringFL33872Outpatient Phys Clinic
Florida Hospital Heartland Medical Cente
4143 Sun n Lake BlvdSebringFL33872Wound Care & Hyperbaric Medicine
Florida Hospital Diabetes Institute
2415 N Orange Ave Suite 501OrlandoFL32804Diabetes
Celebration Hand Therapy
410 Celebration Place Suite 300CelebrationFL34747Therapy Center
Florida Hospital Heartland Medical Cente
4301 Sun n Lake Blvd Suite103SebringFL33872Outpatient Phys Clinic
CTMC Rehab Services
1340 Wonder World DrSan MarcosTX78666OP Rehab Services
Florida Hospital Heartland Medical Cente
4421 Sun n Lake Blvd Suite BSebringFL33872Outpatient Phys Clinic
Florida Hospital Heartland Medical Cente
1210 US Highway 27 NLake PlacidFL33852Outpatient Phys Clinic
Florida Hospital Rehabilitation & Sports
205 N Park Avenue Suite 110ApopkaFL32703Therapy Center
Florida Hospital Heartland Medical Cente
4409 Sun n Lake BlvdSebringFL33870Outpatient Phys Clinic
FHCC - BHS
901 N Lake Destiny Road Suite 400MaitlandFL32750Onsite Services for Exposures, Occ Health, Integrated Disability
FHCC - Onsite
901 N Lake Destiny Road Suite 400MaitlandFL32750Onsite Services
Florida Hospital Rehabilitation and Spor
1603 S Hiawassee RoadOrlandoFL32835Therapy Center
Florida Hospital Heartland Medical Cente
4301 Sun n Lake BlvdSebringFL33872Sleep Lab
Florida Hospital Heartland Medical Cente
2315 US Highway 27 NorthAvon ParkFL33825Outpatient Phys Clinic
Florida Hospital Wauchula The Therapy Ce
1330 Highway 17 SouthWauchulaFL33873Physical Therapy Ctr
Florida Hospital Heartland Medical Cente
4023 Sun n Lake BlvdSebringFL33872Outpatient Phys Clinic
Huguley Surgery Center LLP
15305 Dallas Pkwy Ste 1600 LB 28AddisonTX75001Outpatient Surgery Center
Florida Hospital Sleep Disorder Center -
201 N Park Avenue Suite 300AApopkaFL32703Sleep Center
Florida Hospital Heartland Medical Cente
4421 Sun n Lake BlvdSebringFL33872Outpatient Phys Clinic
Florida Hospital Heartland Medical Cente
2950 Alt US Highway 27 SSebringFL33870Outpatient Lab
FHCC - ORANGE LAKE
8201 W Irlo Bronson HighwayKissimmeeFL34747Urgent care Clinic
Total Healthcare Management
1000 Universal Studios Plaza 3OrlandoFL32819Managed Employee Clinic
Florida Hospital Heartland Medical Cente
4145 Sun n Lake Blvd Ste BSebringFL33872Pain Medicine
Florida Hospital Wauchula Hardee Family
522 W Carlton StreetWauchulaFL33873Outpatient Phys Clinic
Florida Hospital Heartland Medical Cente
1210 US 27 NLake PlacidFL33852Phys Therapy Center
Heritage Program
2004 Medical ParkwaySan MarcosTX78666OP Geri Psych Program
Florida Hospital Heartland Medical Cente
4023 Sun n Lake BlvdSebringFL33872Outpatient Psych
Florida Hospital Hearing Center East Or
7975 Lake Underhill Drive Suite 300OrlandoFL32822Hearing Center
Florida Hospital Hearing Ctr Lake Mary
100 Waymont Court Suite 120Lake MaryFL32746Hearing Center
CTMC OP Lab and Radiology
151 Kirkham CircleKyleTX78640OP lab, rehab & med imaging
Florida Hospital Heartland Medical Cente
6801 US Hwy 27 N Suite C-1SebringFL33870Outpatient Lab
FHCC - MRO
7848 W Irlo Bronson HighwayKissimmeeFL34747Drug Screens
Florida Hospital Heartland Medical Cente
1346 US Highway 27 SLake PlacidFL33852Outpatient Phys Clinic
Florida Hospital Heartland Medical Cente
1352 US 27 NorthLake PlacidFL33852Outpatient Phys Clinic
Florida Hospital Heartland Medical Cente
4635 Sun N Lake BlvdSebringFL33872Outpatient Rehab
Florida Hospital Women's CenterLactatio
2520 N Orange Avenue Suite 103OrlandoFL32804Lactation Center, Birthing Classes
Florida Hospital Wauchula Center for Sle
457 W Carlton StreetWauchulaFL33873Sleep Lab
Florida Hospital Heartland Medical Cente
2315 US Hwy 27 NorthAvon ParkFL33825Outpatient Lab
Florida Hospital Heartland Medical Cente
4023 Sun n Lake BlvdSebringFL33872Diabetes Center
Florida Hospital Rehabilitation and Spor
601 E Rollins StreetOrlandoFL32803Therapy Center
Florida Hospital Heartland Medical Cente
4409 Sun n Lake Blvd Suite ESebringFL33872Outpatient Phys Clinic
Florida Hospital Heartland Medical Cente
1352 US 27 NorthLake PlacidFL33852Outpatient Phys Clinic
Florida Hospital Heartland Medical Cente
1346 US Highway 27 SLake PlacidFL33852Outpatient Psych
Florida Hospital Heartland Medical Cente
1352 US 27 NorthLake PlacidFL33852Outpatient Phys Clinic
Florida Hospital Wauchula Women's Wellne
526 W Carlton StreetWauchulaFL33873Outpatient Phys Clinic
Florida Hospital Heartland Medical Cente
1352 US 27 NorthLake PlacidFL33852Outpatient Phys Clinic
Florida Hospital Heartland Medical Cente
4421 Sun n Lake Blvd Suite BSebringFL33872Outpatient Phys Clinic
Florida Hospital Rehabilitation & Sports
201 Hilda Street Suite 12KissimmeeFL34741Therapy Center
Florida Hospital Wauchula The Center For
457 W Carlton StreetWauchulaFL33873Wound Care

Form990 Schedule H Part VI Form990ScheduleHPartVI (41 entries)

ExplanationExplanationReturn ReferenceReturnReferenceIdentifierIdentifier
Part I, Line 6a: The filing organization is a wholly owned subsidiary of Adventist Health System Sunbelt Healthcare Corporation (AHSSHC). AHSSHC serves as a parent organization to 22 tax-exempt 501(c)(3) hospital organizations that operate 42 hospitals in ten states within the U.S. The system of organizations under the control and ownership of AHSSHC is known as "Adventist Health System" (AHS).All hospital organizations within AHS collect, calculate, and report the community benefits they provide to the communities they serve. AHS organizations exist solely to improve and enhance the local communities they serve. AHS has a system-wide community benefits accounting policy that provides guidelines for its health care provider organizations to capture and report the costs of services provided to the underprivileged and to the broader community. On an annual basis, the community benefits of all AHS organizations are consolidated and reported in the AHS Annual Report document.
Part I, Line 7: The amounts of costs reported in the table in line 7 of Part I of Schedule H were determined by utilizing a cost-to-charge ratio derived from Worksheet 2, Ratio of Patient Care Cost-to-Charges, contained in the Schedule H instructions.
Part II: The costs of community building activities reported on Part II of Schedule H primarily represent the costs associated with commercially sponsored research conducted by three of the organization's hospitals. These three hospitals participate in clinical drug and device research that is performed on patients who have a condition or disease for which the eventual commercial use of a drug or device is intended. This research is related to patient care and serves to expand scientific knowledge with respect to potential treatments and cures for various diseases and conditions.The remainder of the costs incurred stem from the hospitals' involvement in and support of various other community agencies in its service area that work collaboratively to help those in need and to improve the health and safety of the residents of the community. The organization's hospitals participate with a number of other community organizations to address the healthcare needs of the community. Both cash and in-kind donations are made annually to various local charitable organizations.
Part III, Line 4: Bad Debt Expense:The amount of bad debt expense, reported on line 2 of Section A of Part III is recorded in accordance with Healthcare Financial Management Association Statement No. 15. Discounts and payments on patient accounts are recorded as adjustments to revenue, not bad debt expense. Methodology for Determining the Estimated Amount of Bad Debt Expense that May Represent Patients who Could Have Qualified under the Filing Organization's Charity Care Policy:Self-pay patients are required to complete a Patient Financial Assistance Application Short Form (PFAA). If the PFAA is not completed after reasonable attempts to obtain it are exhausted, patient information is processed through a Scorer product. The Scorer product utilizes publicly available data, such as credit reports, to assess an individual patient's financial viability. Patients who earn a certain score on the Scorer product are considered to qualify as non-state charity patients. An amount up to $1,000 of such a patient's bill is written off as bad debt expense, while the remaining portion of the patient's bill is considered to be non-state charity. The amount written off as bad debt expense for those patients who potentially qualify as non-state charity using the Scorer product is the amount shown on line 3 of Section A of Part III. Rationale for Including Certain Bad Debts in Community Benefit:The filing organization is dedicated to the view that medically necessary health care for emergency and non-elective patients should be accessible to all, regardless of age, gender, geographic location, cultural background, physician mobility, or ability to pay. The filing organization treats emergency and non-elective patients regardless of their ability to pay or the availability of third-party coverage. By providing health care to all who require emergency or non-elective care in a non-discriminatory manner, the filing organization is providing health care to the broad community it serves. As a 501(c)(3) hospital organization, the filing organization maintains a 24/7 emergency room providing care to all whom present. When a patient's arrival and/or admission to the facility begins within the Emergency Department, triage and medical screening are always completed prior to registration staff proceeding with the determination of a patient's source of payment. If the patient requires admission and continued non-elective care, the filing organization provides the necessary care regardless of the patient's ability to pay. The filing organization's operation of a 24/7 Emergency Department that accepts all individuals in need of care promotes the health of the community through the provision of care to all whom present. Current Internal Revenue Service guidance that tax-exempt hospitals maintain such emergency rooms was established to ensure that emergency care would be provided to all without discrimination. The treatment of all at the filing organization's Emergency Department is a community benefit. Under the filing organization's Charity Care Policy, every effort is made to obtain a patient's necessary financial information to determine eligibility for charity care. However, not all patients will cooperate with such efforts and a charity care eligibility determination can not be made. In this case, a patient's portion of a bill that remains unpaid for a certain stipulated time period is wholly or partially classified as bad debt. Bad debts associated with patients who have received care through the filing organization's Emergency Department should be considered to be community benefit as charitable hospitals exist to provide such care in pursuit of their purpose of meeting the need for emergency medical care services available to all in the community. Financial Statement Footnote Related to Accounts Receivable and Allowance for Uncollectible Accounts:The financial information of the filing organization is included in a consolidated audited financial statement for the current year. The applicable footnote from the consolidated audited financial statements that addresses accounts receivable, the allowance for uncollectible accounts, and the provision for bad debts is as follows: Please note that dollar amounts are in thousands.The Division's patient acceptance policy is based on its mission to improve and enhance local communities that it serves in harmony with Christ's healing ministry and its charitable purposes. Accordingly, the Division accepts patients in immediate need of care, regardless of their ability to pay. The Division serves certain patients whose medical care costs are not paid at established rates. These patients include those sponsored under government programs such as Medicare and Medicaid, those sponsored under private contractual agreements, charity patients and other uninsured patients who have limited ability to pay. A patient is classified as a charity patient based on the established policies of the Division, which require that the patient provide certain information to qualify for charity. Patients that qualify for charity are provided services for which no payment is due for all or a portion of the patient's bill from either the patient or other third parties. For financial reporting purposes, charity care is excluded from patient service revenue.For all other patients, patient service revenue is reported at estimated net realizable amounts for services rendered. The Division recognizes patient service revenue associated with patients who have third-party payor coverage on the basis of contractual rates for the services rendered. For uninsured patients that do not qualify for charity care, revenue is recognized on the basis of discounted rates in accordance with the Division's policy.Patient service revenue is reduced by the provision for bad debts and accounts receivable are reduced by an allowance for uncollectible accounts. These amounts are based on management's assessment of historical and expected net collections for each major payor source, considering business and economic conditions, trends in healthcare coverage and other collection indicators. Management regularly reviews collections data by major payor sources in evaluating the sufficiency of the allowance for uncollectible accounts. On the basis of historical experience, a significant portion of the Division's self-pay patients will be unable or unwilling to pay for the services provided. Thus, the Division records a significant provision for bad debts in the period services are provided related to self-pay patients. The Division's allowance for uncollectible accounts for self-pay patients was 97% of self-pay accounts receivable as of December 31, 2011. For receivables associated with patients who have third-party coverage, the Division analyzes contractually due amounts and provides an allowance for uncollectible accounts and a provision for bad debts, if necessary. Accounts receivable are written off after collection efforts have been followed in accordance with the Division's policies.Patient service revenue is not recognized for those patients that qualify for charity under the Division's policies. For all other patients, patient service revenue, net of contractual allowances and self-pay discounts and before the provision for bad debts, recognized from major payor sources for the year ended December 31, 2011, is as follows:Third-party payors, net of contractual allowances $3,724,724Self-pay patients, net of discounts 94,729 --------- $3,819,453The Division changed its uninsured discount policy, effective January 1, 2011, as required by the Patient Protection and Affordable Care Act (Act). The Act has resulted in an increase in self-pay discounts, which are a reduction of patient service revenue, and a corresponding decrease in self-pay write-offs that are included in the provision for bad debts. Overall, the total of self-pay discounts and write-offs has not changed significantly for the year ended December 31, 2011. The Division has not experienced significant changes in write-off trends and has not changed its charity care policy for the year ended December 31, 2011.The Division has determined, based on an assessment at the reporting-entity level, that patient service revenue is primarily recorded prior to assessing the patient's ability to pay and as such, the entire provision for bad debts is recorded as a deduction from patient service revenue in the accompanying combined statements of operations and changes in net assets.*** see continuation of footnote
Part III, Line 8: Costing Methodology:Medicare allowable costs were calculated using a cost-to-charge ratio.Rationale for Including a Medicare Shortfall as Community Benefit:As a 501(c)(3) organization, the filing organization provides emergency and non-elective care to all regardless of ability to pay. All hospital services are provided in a non-discriminatory manner to patients who are covered beneficiaries under the Medicare program. As a public insurance program, Medicare provides a pre-established reimbursement rate/amount to health care providers for the services they provide to patients. In some cases, the reimbursement amount provided to a hospital may exceed its costs of providing a particular service or services to a patient. In other cases, the Medicare reimbursement amount may result in the hospital experiencing a shortfall of reimbursement received over costs incurred. In those cases where an overall shortfall is generated for providing services to all Medicare patients, the shortfall amount should be considered as a benefit to the community. Tax-exempt hospitals are required to accept all Medicare patients regardless of the profitability, or lack thereof, with respect to the services they provide to Medicare patients. The population of individuals covered under the Medicare program is sufficiently large so that the provision of services to the population is a benefit to the community and relieves the burdens of government. In those situations where the provision of services to the total Medicare patient population of a tax-exempt hospital during any year results in a shortfall of reimbursement received over the cost of providing care, the tax-exempt hospital has provided a benefit to a class of persons broad enough to be considered a benefit to the community. Despite a financial shortfall, a tax-exempt hospital must and will continue to accept and care for Medicare patients. Typically, tax-exempt hospitals provide health care services based upon an assessment of the health care needs of their community as opposed to their taxable counterparts where profitability often drives decisions about patient care services that are offered. Patient care provided by tax-exempt hospitals that results in Medicare shortfalls should be considered as providing a benefit to the community and relieving the burdens of government.
Part III, Line 9b: SCHEDULE H, PART IIISECTION C, LINE 9bCollection Policies:At the time of patient registration, non-elective self-pay patients are informed of the minimum discount available under the filing organization's self-pay discount policy. Such patients are also informed of the filing organization's charity care policy and told that they will be required to submit necessary financial data in order to potentially receive any additional discounts. Under the filing organization's financial assistance policy, percentage discounts are applied to a patient's account based upon amounts generally billed to individuals who have insurance covering such care.Under the filing organization's policies, payment plans for partial charity accounts will be individually developed with the patient. Partial charity accounts result when a financial assistance eligibility determination allows for a percentage reduction but leaves the patient with a self-pay balance. If the patient complies with the agreed-upon payment plan, the filing organization does not pursue any collection action with respect to the patient. However, if a patient does not make any payments for three consecutive months, the account may be referred for further collection activity. The filing organization does not pursue collection of amounts from patients determined to qualify for a 100% reduction in charges under its charity care policy.
Reconciliation of Schedule H Reported Medicare Surplus/(Shortfall) to Unreimbursed Medicare Costs Associated with the Provision of ServicesTo All Medicare Beneficiaries:The Medicare revenue and allowable costs of care reported in Section B of Part III of Schedule H are based upon the amounts reported in the filing organization's Medicare cost report in accordance with the IRS instructions for Schedule H. On an annual basis, the filing organization also determines its total unreimbursed costs associated with providing services to all Medicare patients. Unreimbursed costs are reported as a community benefit to the elderly and are included in the consolidated Adventist Health System (AHS or the Company) Community Benefits Report contained in the AHS Annual Report document. The primary reconciling items between the Medicare surplus/(shortfall) shown on line 7 of Section B of Part III of Schedule H and the filing organization's unreimbursed costs of services provided to Medicare patients as reported in the AHS Community Benefit Report are as follows:- Medicare surplus/(shortfall) shown on line 7 of Section B of Schedule H: $(100,724,843)- Difference in costing methodology: 1,892,659- Unreimbursed costs incurred for services provided to Medicare patients that are not included in the organization's Medicare cost report: (55,508,952) -------------Total Unreimbursed costs of serving all Medicare patients per the filing organization's community benefit reporting: $(154,341,136)As indicated above, the primary differences between the Medicare surplus/(shortfall) reported on Schedule H, Part III, Section B, line 7 and the filing organization's portion of the Company's annual community benefit statement is due to a difference in the costing methodology and differences in the population of Medicare patients within the calculation. The cost methodology utilized in calculating any Medicare surplus/(shortfall) for purposes of the annual community benefit reporting is based upon the cost-to-charge ratio outlined in Worksheet 2 of the Schedule H instructions. The same cost-to-charge ratio is used to determine the costs associated with services provided to charity care patients and Medicaid patients as reported in Schedule H, Part I, line 7. In addition, the Medicare cost report excludes services provided to Medicare patients for physician services, services provided to patients enrolled in Medicare HMOs, and certain services provided by outpatient departments of the filing organization that are reimbursed on a fee schedule. The Company's own community benefit statement captures the unreimbursed cost of providing services to all Medicare beneficiaries throughout the organization.Supplemental Schedule to Schedule H, Part III, Section B
Revenue from the Medicare and Medicaid programs represents approximately 36% of the Division's patient service revenue for the year ended December 31, 2011. Laws and regulations governing the Medicare and Medicaid programs are extremely complex and subject to interpretation. As a result, there is at least a reasonable possibility that recorded estimates will change by a material amount in the near term. Other than the accounts receivable related to the Medicare and Medicaid programs, there are no significant concentrations of accounts receivable due from an individual payor at December 31, 2011.The Division is subject to retroactive revenue adjustments due to future audits, reviews and investigations. Retroactive adjustments are considered in the recognition of revenue on an estimated basis in the period the related services are rendered, and such amounts are adjusted in future periods as adjustments become known or as years are no longer subject to such audits, reviews and investigations. Adjustments to revenue related to prior periods increased patient service revenue by approximately $30,500 for the year ended December 31, 2011.Part III, Line 4 Continuation of Footnote
Part V, Section B, Line 13g: The filing organization has developed a patient-friendly summary version of its financial assistance policy (FAP). The filing organization's FAP provides that its hospital facility will post the patient-friendly summary version of its FAP on the Hospital's website. In addition, the FAP of the Hospital facility states that signage regarding the availability of the Hospital facility's FAP will be visible at points of admission and registration, including the emergency department.Florida Hospital Orlando
Part V, Section B, Line 13g: The filing organization has developed a patient-friendly summary version of its financial assistance policy (FAP). The filing organization's FAP provides that its hospital facility will post the patient-friendly summary version of its FAP on the Hospital's website. In addition, the FAP of the Hospital facility states that signage regarding the availability of the Hospital facility's FAP will be visible at points of admission and registration, including the emergency department.Florida Hospital Altamonte
Part V, Section B, Line 13g: The filing organization has developed a patient-friendly summary version of its financial assistance policy (FAP). The filing organization's FAP provides that its hospital facility will post the patient-friendly summary version of its FAP on the Hospital's website. In addition, the FAP of the Hospital facility states that signage regarding the availability of the Hospital facility's FAP will be visible at points of admission and registration, including the emergency department.Florida Hospital Celebration Health
Part V, Section B, Line 13g: The filing organization has developed a patient-friendly summary version of its financial assistance policy (FAP). The filing organization's FAP provides that its hospital facility will post the patient-friendly summary version of its FAP on the Hospital's website. In addition, the FAP of the Hospital facility states that signage regarding the availability of the Hospital facility's FAP will be visible at points of admission and registration, including the emergency department.Florida Hospital East Orlando
Part V, Section B, Line 13g: The filing organization has developed a patient-friendly summary version of its financial assistance policy (FAP). The filing organization's FAP provides that its hospital facility will post the patient-friendly summary version of its FAP on the Hospital's website. In addition, the FAP of the Hospital facility states that signage regarding the availability of the Hospital facility's FAP will be visible at points of admission and registration, including the emergency department.Winter Park Memorial Hospital
Part V, Section B, Line 13g: The filing organization has developed a patient-friendly summary version of its financial assistance policy (FAP). The filing organization's FAP provides that its hospital facility will post the patient-friendly summary version of its FAP on the Hospital's website. In addition, the FAP of the Hospital facility states that signage regarding the availability of the Hospital facility's FAP will be visible at points of admission and registration, including the emergency department.Adventist La Grange Memorial Hospital
Part V, Section B, Line 13g: The filing organization has developed a patient-friendly summary version of its financial assistance policy (FAP). The filing organization's FAP provides that its hospital facility will post the patient-friendly summary version of its FAP on the Hospital's website. In addition, the FAP of the Hospital facility states that signage regarding the availability of the Hospital facility's FAP will be visible at points of admission and registration, including the emergency department.Huguley Memorial Medical Center
Part V, Section B, Line 13g: The filing organization has developed a patient-friendly summary version of its financial assistance policy (FAP). The filing organization's FAP provides that its hospital facility will post the patient-friendly summary version of its FAP on the Hospital's website. In addition, the FAP of the Hospital facility states that signage regarding the availability of the Hospital facility's FAP will be visible at points of admission and registration, including the emergency department.FH Heartland Medical Center
Part V, Section B, Line 13g: The filing organization has developed a patient-friendly summary version of its financial assistance policy (FAP). The filing organization's FAP provides that its hospital facility will post the patient-friendly summary version of its FAP on the Hospital's website. In addition, the FAP of the Hospital facility states that signage regarding the availability of the Hospital facility's FAP will be visible at points of admission and registration, including the emergency department.Florida Hospital Kissimmee
Part V, Section B, Line 13g: The filing organization has developed a patient-friendly summary version of its financial assistance policy (FAP). The filing organization's FAP provides that its hospital facility will post the patient-friendly summary version of its FAP on the Hospital's website. In addition, the FAP of the Hospital facility states that signage regarding the availability of the Hospital facility's FAP will be visible at points of admission and registration, including the emergency department.Central Texas Medical Center
Part V, Section B, Line 13g: The filing organization has developed a patient-friendly summary version of its financial assistance policy (FAP). The filing organization's FAP provides that its hospital facility will post the patient-friendly summary version of its FAP on the Hospital's website. In addition, the FAP of the Hospital facility states that signage regarding the availability of the Hospital facility's FAP will be visible at points of admission and registration, including the emergency department.Florida Hospital Apopka
Part V, Section B, Line 13g: The filing organization has developed a patient-friendly summary version of its financial assistance policy (FAP). The filing organization's FAP provides that its hospital facility will post the patient-friendly summary version of its FAP on the Hospital's website. In addition, the FAP of the Hospital facility states that signage regarding the availability of the Hospital facility's FAP will be visible at points of admission and registration, including the emergency department.FH Heartland Medical Center Lake Placid
Part V, Section B, Line 13g: The filing organization has developed a patient-friendly summary version of its financial assistance policy (FAP). The filing organization's FAP provides that its hospital facility will post the patient-friendly summary version of its FAP on the Hospital's website. In addition, the FAP of the Hospital facility states that signage regarding the availability of the Hospital facility's FAP will be visible at points of admission and registration, including the emergency department.Florida Hospital Wauchula
Part V, Section B, Line 19d: In determining the maximum amount that can be charged to financial assistance policy-eligible individuals for emergency or other medically necessary care, the Hospital uses the following methodology:The Hospital identifies all commercial payors whose volume of activity with the Hospital equals or exceeds $100,000 for the taxable year. For those identified commercial payors, an average of the negotiated commercial insurance rates is determined. The average of all of the negotiated commercial insurance rates for those identified commercial payors determines the maximum amount that can be charged to patients eligible under the Hospital's financial assistance policy.Florida Hospital Orlando
Part V, Section B, Line 19d: In determining the maximum amount that can be charged to financial assistance policy-eligible individuals for emergency or other medically necessary care, the Hospital uses the following methodology:The Hospital identifies all commercial payors whose volume of activity with the Hospital equals or exceeds $100,000 for the taxable year. For those identified commercial payors, an average of the negotiated commercial insurance rates is determined. The average of all of the negotiated commercial insurance rates for those identified commercial payors determines the maximum amount that can be charged to patients eligible under the Hospital's financial assistance policy.Florida Hospital Altamonte
Part V, Section B, Line 19d: In determining the maximum amount that can be charged to financial assistance policy-eligible individuals for emergency or other medically necessary care, the Hospital uses the following methodology:The Hospital identifies all commercial payors whose volume of activity with the Hospital equals or exceeds $100,000 for the taxable year. For those identified commercial payors, an average of the negotiated commercial insurance rates is determined. The average of all of the negotiated commercial insurance rates for those identified commercial payors determines the maximum amount that can be charged to patients eligible under the Hospital's financial assistance policy.Florida Hospital Celebration Health
Part V, Section B, Line 19d: In determining the maximum amount that can be charged to financial assistance policy-eligible individuals for emergency or other medically necessary care, the Hospital uses the following methodology:The Hospital identifies all commercial payors whose volume of activity with the Hospital equals or exceeds $100,000 for the taxable year. For those identified commercial payors, an average of the negotiated commercial insurance rates is determined. The average of all of the negotiated commercial insurance rates for those identified commercial payors determines the maximum amount that can be charged to patients eligible under the Hospital's financial assistance policy.Florida Hospital East Orlando
Part V, Section B, Line 19d: In determining the maximum amount that can be charged to financial assistance policy-eligible individuals for emergency or other medically necessary care, the Hospital uses the following methodology:The Hospital identifies all commercial payors whose volume of activity with the Hospital equals or exceeds $100,000 for the taxable year. For those identified commercial payors, an average of the negotiated commercial insurance rates is determined. The average of all of the negotiated commercial insurance rates for those identified commercial payors determines the maximum amount that can be charged to patients eligible under the Hospital's financial assistance policy.Winter Park Memorial Hospital
Part V, Section B, Line 19d: In determining the maximum amount that can be charged to financial assistance policy-eligible individuals for emergency or other medically necessary care, the Hospital uses the following methodology:The Hospital identifies all commercial payors whose volume of activity with the Hospital equals or exceeds $100,000 for the taxable year. For those identified commercial payors, an average of the negotiated commercial insurance rates is determined. The average of all of the negotiated commercial insurance rates for those identified commercial payors determines the maximum amount that can be charged to patients eligible under the Hospital's financial assistance policy.Adventist La Grange Memorial Hospital
Part V, Section B, Line 19d: In determining the maximum amount that can be charged to financial assistance policy-eligible individuals for emergency or other medically necessary care, the Hospital uses the following methodology:The Hospital identifies all commercial payors whose volume of activity with the Hospital equals or exceeds $100,000 for the taxable year. For those identified commercial payors, an average of the negotiated commercial insurance rates is determined. The average of all of the negotiated commercial insurance rates for those identified commercial payors determines the maximum amount that can be charged to patients eligible under the Hospital's financial assistance policy.Huguley Memorial Medical Center
Part V, Section B, Line 19d: In determining the maximum amount that can be charged to financial assistance policy-eligible individuals for emergency or other medically necessary care, the Hospital uses the following methodology:The Hospital identifies all commercial payors whose volume of activity with the Hospital equals or exceeds $100,000 for the taxable year. For those identified commercial payors, an average of the negotiated commercial insurance rates is determined. The average of all of the negotiated commercial insurance rates for those identified commercial payors determines the maximum amount that can be charged to patients eligible under the Hospital's financial assistance policy.FH Heartland Medical Center
Part V, Section B, Line 19d: In determining the maximum amount that can be charged to financial assistance policy-eligible individuals for emergency or other medically necessary care, the Hospital uses the following methodology:The Hospital identifies all commercial payors whose volume of activity with the Hospital equals or exceeds $100,000 for the taxable year. For those identified commercial payors, an average of the negotiated commercial insurance rates is determined. The average of all of the negotiated commercial insurance rates for those identified commercial payors determines the maximum amount that can be charged to patients eligible under the Hospital's financial assistance policy.Florida Hospital Kissimmee
Part V, Section B, Line 19d: In determining the maximum amount that can be charged to financial assistance policy-eligible individuals for emergency or other medically necessary care, the Hospital uses the following methodology:The Hospital identifies all commercial payors whose volume of activity with the Hospital equals or exceeds $100,000 for the taxable year. For those identified commercial payors, an average of the negotiated commercial insurance rates is determined. The average of all of the negotiated commercial insurance rates for those identified commercial payors determines the maximum amount that can be charged to patients eligible under the Hospital's financial assistance policy.Central Texas Medical Center
Part V, Section B, Line 19d: In determining the maximum amount that can be charged to financial assistance policy-eligible individuals for emergency or other medically necessary care, the Hospital uses the following methodology:The Hospital identifies all commercial payors whose volume of activity with the Hospital equals or exceeds $100,000 for the taxable year. For those identified commercial payors, an average of the negotiated commercial insurance rates is determined. The average of all of the negotiated commercial insurance rates for those identified commercial payors determines the maximum amount that can be charged to patients eligible under the Hospital's financial assistance policy.Florida Hospital Apopka
Part V, Section B, Line 19d: In determining the maximum amount that can be charged to financial assistance policy-eligible individuals for emergency or other medically necessary care, the Hospital uses the following methodology:The Hospital identifies all commercial payors whose volume of activity with the Hospital equals or exceeds $100,000 for the taxable year. For those identified commercial payors, an average of the negotiated commercial insurance rates is determined. The average of all of the negotiated commercial insurance rates for those identified commercial payors determines the maximum amount that can be charged to patients eligible under the Hospital's financial assistance policy.FH Heartland Medical Center Lake Placid
Part V, Section B, Line 19d: In determining the maximum amount that can be charged to financial assistance policy-eligible individuals for emergency or other medically necessary care, the Hospital uses the following methodology:The Hospital identifies all commercial payors whose volume of activity with the Hospital equals or exceeds $100,000 for the taxable year. For those identified commercial payors, an average of the negotiated commercial insurance rates is determined. The average of all of the negotiated commercial insurance rates for those identified commercial payors determines the maximum amount that can be charged to patients eligible under the Hospital's financial assistance policy.Florida Hospital Wauchula
Part VI, Line 2: The filing organization does not currently conduct any formal annual health care needs assessment. However, a variety of practices and processes are in place to ensure that the filing organization is responsive to the health needs of its communities. Such practices and processes involve the following:1. Individual hospital operating/community boards composed of individuals broadly representative of the community, community leaders, and those with specialized medical training and expertise;2. Post-discharge patient follow-up related to the on-going care and treatment of patients who suffer from chronic diseases; 3. Sponsorship and participation in community health and wellness activities that reach a broad spectrum of the filing organization's communities; and 4. Collaboration with other local community groups to address the health care needs of the filing organization's communities.
Part VI, Line 3: The filing organization's hospitals have a process in place whereby patients are informed about the Hospital's Charity Care Policy and other forms of financial assistance, such as self-pay discounts. Signage is posted in the Emergency Rooms indicating that financial assistance is available for those self-pay patients meeting eligibility requirements. After EMTALA medical screening and stabilization requirements are met, registration personnel will secure financial information on as many self-pay patients as possible at the time of service. For those who appear to qualify for Medicaid or under the Hospital's Charity Care Policy, the financial counselors will continue to work with those patients until final account resolution is achieved. All other self-pay patients are covered under this process. At any time during the process that data is provided showing that a patient qualifies for assistance under the Charity Care Policy the discounts extended under that policy will be applied.As part of the billing process, the filing organization's Hospitals include the application for charity care assistance along with the initial patient bill. The Hospitals' charity care applications are also available to patients on the Hospitals' web-sites in both an English and Spanish version. Additionally, the Hospitals' financial counselors are available to work with every patient during the first 120 days of the billing process to assist the patient with completing charity care applications and investigating other potential sources of third-party assistance. The determination of a patient's eligibility for charity care is made on a case-by-case basis. Various factors are considered in that determination. Each individual patient who is identified as potentially being eligible to receive charity care is seen by a financial counselor at the Hospital. The financial counselor will work with the patient to make sure that other sources of assistance (public or otherwise) have been sought to the fullest extent possible. When other forms of assistance are not available or have been exhausted, the Hospitals will gather certain financial information from the patient to determine the patient's ability to pay based upon level of income.
Part VI, Line 4: The filing organization currently operates 5 hospitals that together encompass 13 separate campus locations. The hospitals are located in Florida, Illinois and Texas. A description of each of the 5 hospitals is described below.Adventist Health System/Sunbelt, Inc. dba Central Texas Medical Center:Central Texas Medical Center (CTMC) is a 178-bed acute-care hospital providing a wide range of healthcare services in San Marcos, Texas and the neighboring communities within Hays and Caldwell counties, Texas. Special services offered at CTMC include a 24/7, Level 4 emergency and trauma center, state-of-the-art medical imaging and laboratory services, a new women's center featuring a Level 2 Neonatal Intensive Care Unit, newly renovated and expanded surgery suites, a Rehabilitation Institute, a center for advanced wound healing and hyperbaric medicine, and a cardiac catheterization lab. As a health resource for their community, CTMC's Institute for Healthy Living also annually hosts the oldest and largest health screening and fair event in Hays county as well as a number of ongoing classes and workshops ranging in topics from diabetes prevention and management to heart disease, stroke, arthritis, self-help, nutrition more. In 2011, CTMC received accreditation as a certified chest pain center from the Society of Chest Pain Centers. The accreditation enhances the hospital's ability to receive and treat patients suffering from chest pain and/or a possible heart attack. The result is a focus on reduced time from symptom onset to diagnosis and treatment, getting patients treated more quickly during the critical window of time when the integrity of the heart muscle can be preserved, and monitoring of patients whose diagnosis is uncertain to ensure they are not sent home too quickly or admitted unnecessarily. Additionally, CTMC was named The Best Hospital in Hays County in 2010 and 2011. San Marcos, Texas is located in Hays County and is in close proximity to Austin and San Antonio. The Hospital's primary market has a population of approximately 89,000, with an estimated 8,400 over the age of 65. The weighted average household income, based on population, in the primary market is approximately $39,000. High school graduates account for approximately 87% of Hays County, with an estimated 32% having a bachelor's degree or higher. It is estimated that 18% of the individuals residing in Hays County live below the poverty level and the unemployment rate is about 8%. Approximately 40% of the Hospital's patients during 2011 were Medicare patients, about 14% were Medicaid patients, about 14% were self-pay patients and the remaining percentage were patients covered under commercial insurance. In 2011, about 65% of the hospital's in-patients were admitted through the hospital's Emergency Department.Adventist Health System/Sunbelt, Inc. dba Florida Hospital Heartland Medical Center:Florida Hospital Heartland Medical Center (FHHMC) is comprised of 3 separate hospital campuses with a total of 234 beds. Two of the hospital campuses are located in Highlands County, Florida and the third campus is located in Hardee County, Florida. Highlands and Hardee counties are in the south central areas of Florida and are adjacent to each other. *FHHMC Sebring Campus - The main 159-bed hospital facility is located in Sebring, FL in Highlands County. The Sebring facility provides a wide range of healthcare services including a Stroke Center and vascular surgery center, imaging services (CT scanner/MRI), stroke and cardiac rehabilitation, and a Cardiac Catheterization Lab. A community education center and library are also located on the Sebring campus offering free and low-cost community classes, screenings and a resource information library. In 2009, the hospital began performing percutaneous coronary intervention (PCI) in a new cath lab and a second cath lab was opened in 2010. *FHHMC Lake Placid Campus houses 33 medical and surgical beds, Highland County's only 17 bed inpatient mental health unit, an outpatient counseling center, and a wide range of services that are highly sophisticated for a small community hospital. The Lake Placid campus also specializes in inpatient geriatric psychiatric services and outpatient behavioral health counseling centers within Highlands and Hardee counties. The need for behavioral health services is extreme in both counties since there is no other program closer than sixty miles.*FHHMC Wauchula Campus is licensed for 25 beds and specializes in emergency and outpatient care, while offering excellent medical inpatient services. The inpatient unit is mixed with both acutely ill patients and patients who need short-term rehabilitation (transitional care). FHHMC Wauchula campus became the first Critical Access Hospital in the State of Florida in the year 2000.As noted above, Highlands and Hardee counties in Florida are located in the heart of the Florida Peninsula. The Hospital's primary market has a population of approximately 133,000 with an estimated 35,000 over the age of 65. The weighted average household income, based on population, in the primary market is approximately $34,000. High school graduates account for approximately 77% of Highlands County, with an estimated 14% having a bachelor's degree or higher. It is estimated that 16% of the individuals residing in Highlands County live below the poverty level and the unemployment rate is about 10%. Approximately 64% of the Hospital's patients during 2011 were Medicare patients, about 14% were Medicaid patients, about 6% were self-pay patients and the remaining percentage were patients covered under commercial insurance. In 2011, about 64% of the hospital's in-patients were admitted through the hospital's Emergency Department.Adventist Health System/Sunbelt, Inc. dba Florida Hospital (FH):FH is a 2,247 bed medical complex in Central Florida with seven separate hospital campuses. FH serves the residents of Central Florida (primarily serving the residents of Orange, Osceola, Seminole and Lake County) but also draws patients from other parts of the Southeastern United States, the Caribbean and South America. The 7-campus health system is the largest healthcare provider in Central Florida and the nation's largest Medicare provider with FH being the second largest employer in the area.The main campus of the FH system is located in Orlando, Florida (Orange County) near the downtown area. The other 6 campuses are located in surrounding communities in the counties of Orange, Osceola, and Seminole. In addition to operating the 7 hospitals, FH also operates 19 full-service urgent care clinics in convenient community settings. A brief description of each of the 7 hospital campuses is described below:*Florida Hospital Orlando (Orange County) - At the core of the FH system, FH Orlando is a 1,067 bed acute-care tertiary hospital caring for more than 1.5 million patients a year. FH Orlando is home to nationally recognized Centers of Excellence for cancer, cardiology, children's health, diabetes, neuroscience, orthopedics, transplant and global robotics. Florida Hospital Orlando houses one of the largest Emergency Departments and cardiac catheterization labs in the country and is one of the busiest hospitals in the nation, providing service excellence to more than 32,000 inpatients and 125,000 outpatients each year. The recent opening of a 15-story patient tower features 200 more beds and 500 new jobs. The campus is also adding a state-of-the-art Cardiac Diagnostic Center featuring 15 Cath and electro physiology (EPS) Labs. The cardiology team currently treats 25,000+ individuals for chest pain and performs over 1,700 open heart surgeries each year making them first in the state for the number of surgeries performed. Also located on the Florida Hospital Orlando Campus is the Walt Disney Pavilion at Florida Hospital for Children. The Walt Disney Pavilion is not a stand-alone facility but rather a 7-story tower located on Florida Hospital Orlando's campus. It is a full-service facility served by more than 80 pediatric specialists and a highly trained pediatric team of more than 600 employees. The Walt Disney Pavilion at Florida Hospital for Children delivers a complete range of pediatric health services for younger patients including advanced surgery, oncology, neurosurgery, cardiology and transplant services; full-service pediatrics; and an innovative health and obesity platform. When the expansion is complete, the Walt Disney Pavilion at Florida Hospital for Children will have a total of more than 195 pediatric beds.*** see continuation of footnote
Part VI, Line 5: The provision of community benefit is central to the filing organization's mission of service and compassion. Restoring and promoting the health and quality of life of those in the communities served by the filing organization is a function of "extending the healing ministry of Christ" and embodies the filing organization's commitment to its values and principles. The filing organization commits substantial resources to provide a broad range of services to both the underprivileged as well as the broader community. In addition to the community benefit information provided in Parts I, II and III of this Schedule H, the filing organization captures and reports the benefits provided to its community through faith-based care. Examples of such benefits include the cost associated with chaplaincy care programs and mission peer reviews and mission conferences. During the current year, the filing organization provided $6,473,099 of benefit with respect to the faith-based and spiritual needs of the communities it serves in conjunction with its operation of community hospitals. The filing organization also provides benefits to its communities' infrastructure by investing in capital improvements to ensure that facilities and technology provide the best possible care. During the current year, the filing organization expended $251,564,007 in new capital improvements. As faith-based mission-driven community hospitals, the filing organization is continually involved in monitoring its communities, identifying unmet health care needs and developing solutions and programs to address those needs. In accordance with its conservative approach to fiscal responsibility, surplus funds of the Hospitals are continually being invested in resources that improve the availability and quality of delivery of health care services and programs to its communities.
Part VI, Line 6: The filing organization is a part of a faith-based healthcare system of organizations whose parent is Adventist Health System Sunbelt Healthcare Corporation (AHSSHC). The system is known as Adventist Health System (AHS). AHSSHC is an organization exempt from federal income tax under IRC Sec. 501(c)(3). AHSSHC and its subsidiary organizations operate 42 hospitals in 10 states throughout the U.S., primarily in the Southeastern portion of the U.S. AHSSHC and its subsidiaries also operate 16 nursing home facilities and other ancillary health care provider facilities, such as ambulatory surgery centers and diagnostic imaging centers. As the parent organization of the AHS system, AHSSHC provides executive leadership and other professional support services to its subsidiary organizations. Professional support services include among others corporate compliance, legal, human resources, reimbursement, risk management, and tax as well as treasury functions. The provision of these executive and support services on a centralized basis by AHSSHC provides an appropriate balance between providing each AHS subsidiary hospital organization with mission-driven consistent leadership and support while allowing the hospital organization to focus its resources on meeting the specific health care needs of the communities it serves. The reader of this Form 990 should keep in mind that this reporting entity may differ in certain areas from that of a stand-alone hospital organization due to its inclusion in a larger system of healthcare organizations. As a part of a system of hospital and other health care organizations, the filing organization benefits from reduced costs due to system efficiencies, such as large group purchasing discounts, and the availability of internal resources such as internal legal counsel. Each AHS subsidiary pays a management fee to AHSSHC for the internal services provided by AHSSHC. As a result, management fee expense reported by a AHS subsidiary organization may appear greater in relation to management fee expense that may be reported by a single stand-alone hospital. The single stand-alone hospital would likely report costs associated with management and other professional services on various expense line items in its statement of revenue and expense as opposed to reporting such costs in one overall management fee expense. As the reporting of the Form 990 is done on an entity by entity basis, there is no single Form 990 that captures the programs and operations of AHS as a whole. The reader is directed to visit the web-site of AHS at www.adventisthealthsystem.com to learn more about the mission and operations of AHS and to access AHS's annual report that contains financial data as well as community benefit reporting for the entire system.
The annual community benefit report contained in the annual report prepared by Adventist Health System Sunbelt Healthcare Corporation (AHSSHC) on behalf of the entire AHS System of healthcare organization is not filed with any state agencies. Certain hospitals within the filing organization file annual community benefit reports with the state in which they are located. Specifically, Huguley Memorial Medical Center and Central Texas Medical Center file community benefit reports with the State of Texas and Adventist La Grange Memorial Hospital files a community benefit report with the State of Illinois.Part VI, Line 7
Orlando is located in Orange County, Florida. The Hospital's primary market has a population of approximately 1,822,000 with an estimated 197,000 over the age of 65. The weighted average household income, based on population, in the primary market is approximately $52,000. High school graduates account for approximately 87% of Orange County, with an estimated 30% having a bachelor's degree or higher. It is estimated that 13% of the individuals residing in Orange County live below the poverty level and the unemployment rate is about 8%. Approximately 42% of the Hospital's patients during 2011 were Medicare patients, about 17% were Medicaid patients, about 7% were self-pay patients and the remaining percentage were patients covered under commercial insurance. In 2011, about 70% of the hospital's in-patients were admitted through the hospital's Emergency Department.*Florida Hospital Altamonte (Seminole County) - FH Altamonte is a 341-bed facility, which has recently doubled in size with a new patient tower to better serve a busy community. FH Altamonte was the first "satellite" hospital, built in 1973 on what was then pastureland, miles from the nearest business district. Located north of Orlando in fast-growing Seminole County, Florida Hospital Altamonte is the largest satellite campus within the Florida Hospital health care system. In addition to maternity, pediatric, emergency, medical and surgical services, the hospital operates the Martin Andersen Cancer Center (along with the region's only Cancer Resource Library), a heart catheterization lab, and a comprehensive outpatient program which includes surgery, diagnostics, and medical treatment programs. *Florida Hospital Apopka (Orange County) - In 1975, FH Apopka became the second satellite hospital. For nearly three decades, Florida Hospital Apopka has set the standard in hometown health care by providing high-tech, quality care with a personalized touch. They are situated just 12 miles northwest of Orlando, with a small, yet advanced, 50-bed campus that houses a certified Chest Pain Center and a multitude of inpatient and outpatient services.*Florida Hospital Celebration Health (Osceola County) - FH Celebration Health is a cornerstone of Disney's planned community in Celebration, Florida. Today, this 174-bed acute care hospital delivers a state-of-the-art healing environment to residents of Osceola, Orange, Polk and Lake Counties, as well as to visitors from across the United States and the world. From its creation FH Celebration Health has been about promoting health and wellness as well as healing. Inside the resort-style hospital there is a wellness center, complete with workout area, pool, rehabilitation facility. FH Celebration Health also houses the Global Robotics Institute, which provides patients with access to some of the most experienced robotic surgeons in the world. The Nicholson Center for Surgical Advancement also is a location where surgeons from around the world travel to learn the latest robotic surgery techniques. In 2011, the new 234,000 square-foot patient tower added 62 beds and will house the Interactive Patient Care Unit, the first of its kind in the nation. In connection with the Institute for Interactive Patient Care, everything from new patient safety technology to changing ways to communicate with patients about their care could be studied as part of the unit. *Florida Hospital East Orlando (Orange County) - FH East Orlando is now an innovative local leader that fills a vital need in a fast-growing area. A recent 200,000 square-foot expansion project upgraded the hospital to 225 beds, with a spacious patient tower and 80 new private rooms designed to enhance the holistic care experience.*Florida Hospital Kissimmee (Osceola County) - FH Kissimmee is an 83-bed community-focused hospital, conveniently located near Walt Disney World. The team located at FH Kissimmee is dedicated to bringing mission-focused, faith-based care to residents and visitors of Osceola and Orange Counties. This facility has recently expanded to include a new medical office building, patient tower, new main entrance and a parking garage.*Florida Hospital Winter Park (Orange County) - FH Winter Park Memorial Hospital is a 307-bed facility that is a model of community health and wellness. The facility boasts spacious patient care areas and a full spectrum of specialties and services, including the Dr. P. Phillips Baby Place (with Level II NICU), Florida Hospital Orthopedic Institute, and state-of-the-art surgery, recovery and rehabilitation at the Florida Hospital Cancer Institute. Adventist Health System/Sunbelt, Inc. dba Huguley Memorial Medical Center:Huguley Memorial Medical Center (HMMC) is a 213-bed acute-care hospital in Burleson, Texas. The hospital houses two intensive care units, a progressive care unit, an open-heart surgery center, a behavioral health center and a 24/7 emergency department. HMMC has a 16-bed intensive care unit for patients with medical care and respiratory needs and a 12-bed intensive care unit concentrating on cardiovascular patients. A 4-bed dialysis center is available for renal patients with critical needs. Additionally, there is a 33-bed Progressive Care Unit designed to bridge the gap between the Intensive Care Unit and the medical-surgical units. Part of HMMC's primary service area includes a number of smaller communities with limited access to healthcare services. To meet the needs of these residents, HMMC has established multiple primary care clinics throughout its primary service area. In addition, the Mobile Health Services Bus provides health screenings and wellness education services throughout Tarrant and Johnson counties. Burleson, Texas is located in Johnson County and serves the South Fort Worth area. The Hospital's primary market has a population of approximately 212,000, with an estimated 25,000 over the age of 65. The weighted average household income, based on population, in the primary market is approximately $53,000. High school graduates account for approximately 82% of Johnson County, with an estimated 16% having a bachelor's degree or higher. It is estimated that 11% of the individuals residing in Johnson County live below the poverty level and the unemployment rate is about 8%. Approximately 48% of the Hospital's patients during 2011 were Medicare patients, about 12% were Medicaid patients, about 11% were self-pay patients and the remaining percentage were patients covered under commercial insurance. In 2011, about 73% of the hospital's in-patients were admitted through the hospital's Emergency Department.Adventist Health System/Sunbelt, Inc. dba Adventist La Grange Memorial Hospital:Adventist La Grange Memorial Hospital (ALMH) is a 205-bed facility providing outpatient and inpatient primary care, trauma care and wellness services to residents of Chicago's western suburbs. The hospital is a leader in offering comprehensive oncology services, orthopedic services, advanced cardiac care, women's health and maternity care, emergency, geriatric and many other specialties that cater to the communities it serves. The communities served by ALMH contain a high senior population. To address the unique needs of its service area, ALMH offers a broad spectrum of services designed to meet the diverse needs of aging adults. La Grange, Illinois is located in Cook County. The Hospital's primary market has a population of approximately 158,000, with an estimated 25,000 over the age of 65. The weighted average household income, based on population, in the primary market is approximately $68,000. High school graduates account for approximately 85% of Cook County, with an estimated 33% having a bachelor's degree or higher. It is estimated that 15% of the individuals residing in Cook County live below the poverty level and the unemployment rate is about 9%. Approximately 54% of the Hospital's patients during 2011 were Medicare patients, about 7% were Medicaid patients, about 2% were self-pay patients and the remaining percentage were patients covered under commercial insurance. In 2011, about 72% of the hospital's in-patients were admitted through the hospital's Emergency Department.Part VI, Line 4 Continuation of FootnoteDescription of Community Information - Continued

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records Maintained1RecordsMaintained

Recipient Table RecipientTable (86 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 AssistanceDescriptionOfNonCashAssistanceAddress Line2AddressUS/AddressLine2
Samaritan Touch Care Center Inc
3015 Herring AvenueSebringFL33870020773338501(c)(3)251500Medical care
Greater Sebring Chamber of Commerce
227 US 27 NorthSebringFL33870590532480501(c)(6)10000General Support
Avon Park SDA Church
1410 W Avon BoulevardAvon ParkFL33825593057686501(c)(3)10000Construction
Champion for Children Foundation of Highlands
419 E Center AvenueSebringFL33870650444941501(c)(3)7500General Support
American Cancer Society Florida Division Inc
3709 W Jetton AvenueTampaFL33873590657320501(c)(3)6000General Support
The School Board of Highlands County
426 School StreetSebringFL33870596000654Gov't10000General Support - Senior Education
SFCC Foundation
13 E Main StreetAvon ParkFL33825593050497501(c)(3)21100General Support
SunSystem Development Corporation dba Florida Hospital Heartland Foundation
4200 Sun N Lake BlvdSebringFL33872592219301501(c)(3)12500General Support
FL Conference of Seventh-Day Adventists
655 N Wymore RoadWinter ParkFL32789590806975501(c)(3)0General Support29941BookLand
La Grange Memorial Hospital Foundation
5101 South Willow Springs RoadLa GrangeIL60525300247776501(c)(3)General Support242914BookProvision of general administrative support
Central Texas Medical Center Foundation
1301 Wonder World DriveSan MarcosTX78666742259907501(c)(3)General Support82402BookProvision of general administrative support
American Cancer Society Inc High Plans Division Inc
2433 A Ridgepoint DriveAustinTX78754741185665501(c)(3)10000General Support - Relay for Life Sponsorship
Burleson Area Chamber of Commerce
1044 SW Wilshire BlvdBurlesonTX76028751228140501(c)(6)9350General Support - Sponsorship
Southwestern Union Conference
PO Box 4000BurlesonTX76028750904016501(c)(3)10000General Support - Purchase of Bibles
Huguley Community Care Corporation
11801 South FreewayBurlesonTX76029452793120501(c)(3)526850General Support
(The Foundation for) SEMINOLE STATE COLLEGE
100 WELDON BLVDSANFORDFL32773237033822501(c)(3)88334General Support
AFRICAN AMERICAN CHAMBER OF COMMERCE OF CENTRAL FLORIDA INC
315 E ROBINSON ST STE 100ORLANDOFL32801593314330501(c)(6)14900General Support
AMERICAN ASSOCIATION OF PHYSICIANS OF INDIA
600 ENTERPRISE DR STE 108OAK BROOKIL60523382532505501(c)(3)7000General Support
AMERICAN CANCER SOCIETY
1601 W COLONIAL DRORLANDOFL32804590657320501(c)(3)24500General Support
AMERICAN DIABETES ASSOCIATION
1101 N LAKE DESTINY RD STE 415MAITLANDFL32751131623888501(c)(3)15000General Support
AMERICAN HEART ASSOCIATION
1101 NORTHCHASE PKWY SE STE 1MARIETTAGA30067135613797501(c)(3)90150General Support
AMERICAN LUNG ASSOCIATION OF THE SOUTHEAST INC
851 OUTER RDORLANDOFL32814590662271501(c)(3)7500General Support
AMERICAN RED CROSS
PO BOX 536726ORLANDOFL32853590624357501(c)(3)20000General Support
ANNIKA FOUNDATION
5 SOUTHSIDE DRCLIFTON PARKNY12065263100887501(c)(3)10000General Support
BOY SCOUTS OF AMERICA
PO BOX 422101KISSIMMEEFL34742590624376501(c)(3)7500General Support
CENTRAL FLORIDA FAMILY HEALTH CENTER INC
2400 ST RD 415SANFORDFL32771591741286501(c)(3)30000General Support
CENTRAL FLORIDA PARTNERSHIP INC
75 S IVANHOE BLVDORLANDOFL32804331202266501(c)(6)113990General Support
CENTRAL FLORIDA REGIONAL HEALTH CENT
PO BOX 560908ORLANDOFL32856208145032501(c)(3)271000General Support
CENTRAL FLORIDA YMCA
433 N MILLS AVENUEORLANDOFL32803590624430501(c)(3)14590General Support
CHRISTIAN SERVICE CENTER
808 W CENTRAL BLVDORLANDOFL32805591353031501(c)(3)5500General Support
CITY OF ALTAMONTE SPRINGS
150 CRANES ROOST BLVD STE 2200ALTAMONTE SPRINGSFL32701596000263Gov't25000General Support
CITY OF WINTER PARK
401 S PARK AVEWINTER PARKFL32789596000454Gov't8000General Support
COALITION FOR THE HOMELESS OF CENTRAL FLORIDA
639 W CENTRAL BLVDORLANDOFL32801592814255501(c)(3)15000General Support
COMMUNITY VISION INC
704 GENERATION PT APT 101KISSIMMEEFL34744592896657501(c)(3)12200General Support
D12 FOUNDATION
711 N MAGNOLIA AVEORLANDOFL32803273846066501(c)(3)7500General Support
DOWNTOWN COLLEGE PARK PARTNERSHIP
PO BOX 547744ORLANDOFL32854237250533501(c)(3)6000General Support
ECONOMIC DEVELOPMENT COMMISSION OF MID FLORIDA
301 EAST PINE STREET SUITE 900ORLANDOFL32801591767933501(c)(6)50000General Support
FIRST CONGREGATIONAL CHURCH OF WINTER PARK
225 S INTERLACHEN AVEWINTER PARKFL32789590637840501(c)(3)25000General Support
FLORIDA CHAMBER OF COMMERCE INC
PO BOX 11309TALLAHASSEEFL32302590248200501(c)(6)100000General Support
FLORIDA STERLING COUNCIL
PO BOX 13907TALLAHASSEEFL32317593140977501(c)(3)10000General Support
FOREST LAKE ACADEMY
500 EDUCATION LOOPAPOPKAFL32703590816443501(c)(3)10800General Support
FOREST LAKE EDUCATION CENTER
1275 LEARNING LOOPLONGWOODFL32779593143238501(c)(3)7500General Support
GRACE MEDICAL HOME INC
51 PENNSYLVANIA STREETORLANDOFL32806281817966501(c)(3)100450General Support
HEALTH CARE CENTER FOR THE HOMELESS
232 N ORANGE BLOSSOM TRLORLANDOFL32805593185020501(c)(3)101000General Support
HEALTHY START COALITION OF OSCEOLA COUNTY
PO BOX 701995ST CLOUDFL34770593212535501(c)(3)15000General Support
HEART OF FLORIDA UNITED WAY
1940 TRAYLOR BLVDORLANDOFL32804590808854501(c)(3)97903General Support
HISPANIC BUSINESS INITIATIVE FUND
3201 E COLONIAL DR UNIT A20ORLANDOFL32803593341405501(c)(3)20600General Support
HISPANIC CHAMMBER OF COMMERCE OF METRO ORLANDO INC
315 E ROBINSON ST STE 465ORLANDOFL32801593103840501(c)(6)19950General Support
HOMEGROWN LOCAL FOOD COOPERATIVE
2310 N ORANGE AVEORLANDOFL32804271485572Other11000General Support
IVANHOE VILLAGE INC
320 E PRINCETON STORLANDOFL32804261797406501(c)(3)7000General Support
JUNIOR ACHIEVEMENT OF CENTRAL FLORIDA
PO BOX 917197ORLANDOFL32891590972112501(c)(3)37250General Support
JUVENILE DIABETES RESEARCH FOUNDATION INTERNATIONAL INC
370 CENTER POINTE CIR STE 1154ALTAMONTE SPRINGSFL32701231907729501(c)(3)6000General Support
KIDS BEATING CANCER INC
615 E PRINCETON ST STE 400ORLANDOFL32803593136203501(c)(3)10000General Support
KIDS HOUSE OF SEMINOLE INC
5467 NORTH RONALD REGAN BLVDSANFORDFL32773593415005501(c)(3)16250General Support
KISSIMMEEOSCEOLA COUNTY CHAMBER OF
1425 E VINE STREETKISSIMMEEFL34744590319865501(c)(6)22500General Support
LAKESIDE BEHAVIORAL HEALTHCARE INC
1800 MERCY DRIVE STE 302ORLANDOFL32808592301233501(c)(3)1305759General Support
MAITLAND ART & HISTORY ASSOCIATION INC
231 W PACKWOOD AVE DBA ART HISTORYMAITLANDFL32751591710129501(c)(3)10000General SupportMUSEUMS MAITLAND
MARANATHA VOLUNTEERS INTERNATIONAL
990 RESERVE DR STE 100ROSEVILLECA95678381945104501(c)(3)10000General Support
MARCH OF DIMES
341 N MAITLAND AVE STE 115MAITLANDFL32751131846366501(c)(3)17500General Support
MENTAL HEALTH ASSOCIATION OF CENTRAL
1525 E ROBINSON STORLANDOFL32801590816432501(c)(3)11358General Support
MICHELEE PUPPETS INC
4420 PARKWAY COMMERCE BLVD AORLANDOFL32808592616456501(c)(3)7190General Support
ORANGE COUNTY HEALTHY START COALITION
600 COURTLAND ST STE 565ORLANDOFL32804593125675501(c)(3)20000General Support
ORLANDO SCIENCE CENTER
777 E PRINCETON STREETORLANDOFL32803590896343501(c)(3)15000General Support
ORLANDO VOLLEYBALL ACADEMY
6700 KINGSPOINTE PKWYORLANDOFL32819593344274501(c)(3)15000General Support
ORLANDOORANGE COUNTY CONVENTION & VISITORS BUREAU INC
6700 FORUM DRIVE STE 100ORLANDOFL32821592395248501(c)(6)17500General Support
OSCEOLA COUNTY COUNCIL ON AGING INC
700 GENERATION POINTKISSIMMEEFL34744591595398501(c)(3)62622General Support
OUR WHOLE COMMUNITY INC
526 N PARK AVEWINTER PARKFL32789270283789501(c)(3)5750General Support
RONALD MCDONALD HOUSE CHARITIES OF CENTRAL FLORIDA
1350 N ORANGE AVEWINTER PARKFL32789593211250501(c)(3)10000General Support
SEMINOLE COUNTY LAKE MARY REGIONAL CHAMBER
1055 AAA DR STE 153LAKE MARYFL32746593646781501(c)(6)11095General Support
SHEPHERD'S HOPE INC
4851 S APOPKA VINELAND RDORLANDOFL32819593420727501(c)(3)13600General Support
SOUTHERN ADVENTIST UNIVERSITY
PO BOX 370COLLEGEDALETN37315620536733501(c)(3)400000General Support
ADVENTIST CARE CENTERS - COURTLAND INC
730 COURTLAND STORLANDOFL32804205774723501(c)(3)218100General Support
EAST ORLANDO HEALTH & REHAB CENTER INC
250 S CHICKASAW TRAILORLANDOFL32825205774748501(c)(3)1404864General Support
FLNC INC
3355 E SEMORAN BLVDAPOPKAFL32703205774761501(c)(3)2199240General Support
SUNBELT HEALTH & REHAB CENTER - APOPKA INC
305 EAST OAK STAPOPKAFL32703205774856501(c)(3)450000General Support
SUSAN G KOMEN BREAST CANCER FOUNDATION
1350 ORANGE AVE STE 260WINTER PARKFL32789752854957501(c)(3)11000General Support
TAMPA BAY PARTNERSHIP FOR REGIONAL RESEARCH & EDUCATION FOUNDATION
4300 W CYPRESS ST STE 250TAMPAFL33607593414776501(c)(3)10000General Support
UCF FOUNDATION INC
12424 RESEARCH PARKWAY STE 140ORLANDOFL32826596211832501(c)(3)190000General Support
UNITED GLOBAL OUTREACH
2311 MOUNT VERNON STORLANDOFL32803030511875501(c)(3)35000General Support
UNIVERSAL ORLANDO FOUNDATION INC
1000 UNIVERSAL STUDIOS PLAZAORLANDOFL32819593510383501(c)(3)15000General Support
UNIVERSITY OF FLORIDA
PO BOX 113201 33 TIGERT HALLGAINESVILLEFL32611596002052Gov't22279General Support
US DREAM ACADEMY
10400 LITTLE PATUXENT PKWAY SUITECOLUMBIAMD21044593514841501(c)(3)10000General Support300
VALENCIA COMMUNITY COLLEGE
PO BOX 4913ORLANDOFL32802591216316Gov't215500General Support
WEST ORANGE HEALTHCARE DISTRICHLT CENTRAL
10000 W COLONIAL DRIVEOCOEEFL34761592091206501(c)(3)7500General Support
WINTER PARK CHAMBER OF COMMERCE
PO BOX 280WINTER PARKFL32790590514615501(c)(6)7500General Support
WINTER PARK HEALTH FOUNDATION INC
220 EDINBURGH DRWINTER PARKFL32792590669460501(c)(3)67500General Support
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants74TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations12TotalNbrOfOtherOrganizations

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 to related 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 local or local affiliate of national charitable organizations whose purposes are healthcare-related. 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)
Travel For CompanionsXTravelForCompanions
Idemnification Gross Up PaymentsXIdemnificationGrossUpPayments
Discretionary Spending AccountXDiscretionarySpendingAccount
Housing Allowance Or ResidenceXHousingAllowanceOrResidence
Club Dues Or FeesXClubDuesOrFees
Written Policy Re T And E Expenses1WrittenPolicyReTAndEExpenses
Substantiation Required1SubstantiationRequired
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 Org1CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (25 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
Houmann Lars D
0848313024133705208330179768045697018359480153591
Jernigan PhD Donald L
09232580271033067399201334301025110198413700
Reiner Richard
084831302409740603802013343045601017520330292670
Shaw Terry
08483130241506018770770179768044460031911240153591
Banks David P
046528801067142036996930846670457012036802063063632
Cummings Jr Desmond
045455201328170166452013067022765078965300
Dodds Sheryl D
031370007019382269248041161012502822506804041528
Fulbright Robert D
03144580751151872543470440250309711872518916027117
Goodman Todd
03004070666710584510440330466450516207021532
Hilliard Douglas W
03039960699340473670414580358830498638027790
Hurst Jeffery D
0280422063459053210025277023826044619408136
Moorhead MD John D
044578509946201312630702370408530787600064907
Owen Terry R
037454409065618132478780491700345061813796754032304
Paradis J Brian
061133401619792033109017011397205587520331052177087067
Reed Monica
04182950986852145809780729990381052145709062056486
Soler Eddie
05137600122151012918601001580350400900295060279
Lee MD Kathy
257919063156709353501334301524101011605000
Torres MD Ramon M
59847201216740120000133430145490760038000
Czerska MD Barbara
626103011248043129013343072800701103000
Eubanks Jr MD William Stephen
66551407607052084430202990701384000
HuddlestonHeather Adrian
20049031079241400014350813929000
Bowls Bonnie L
02355450673440522670214120268070403375015380
Grim-Marcarelli Karen
02400330346560145874019705023844046411204976
Hamilton Connie A
028842507200645465983031523044613454502550018596
Herrin Arlene
02305360327910415750338860178560356644025215

Form990 Schedule J Part III Form990ScheduleJPartIII (4 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
Part I, Line 1aAs discussed in our response to Section B, Part VI, Question 15a & b, the filing organization is a part of the system of healthcare organizations known as Adventist Health System (AHS). Members of the filing organization's executive management team that hold the position of Vice-President or above are compensated by and on the payroll of Adventist Health System Sunbelt Healthcare Corporation (AHSSHC), the parent organization of AHS. AHSSHC is exempt from federal income tax under IRC Section 501(c)(3). The filing organization reimburses AHSSHC for the salary and benefit cost of those executives on the payroll of AHSSHC that provide services and are on the management team of the filing organization. Travel for companions: AHSSHC has a Corporate Executive Policy that provides a benefit to allow for a traveling AHSSHC executive to have his or her spouse accompany the executive on two business trips each year. Typically, reimbursement is only provided to Vice Presidents and above and is limited to one business trip per year and the annual AHS President's Council business meeting. The AHSSHC Corporate Executive Spousal Travel Policy was originally approved and reviewed by the AHSSHC Board Strategy & 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). Eligible executives include all 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 & 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, two executives were 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 & Compensation Committee that describes how the membership benefited their organization during the preceding year.
Part I, Line 4bAs discussed in Line 1a above, executives on the filing organization's management team that hold the position of Vice-President or above are compensated by and on the payroll of Adventist Health System Sunbelt Healthcare Corporation (AHSSHC), the parent organization of a healthcare system known as Adventist Health System (AHS). In recognition of the contribution that each executive makes to the success of AHS, AHS provides to eligible executives participation in the AHS Executive FLEX Benefit Program (the Plan). The purpose of the Plan is to offer eligible executives an opportunity to elect from among a variety of supplemental benefits, including deferred compensation benefits taxable under Internal Revenue Code (IRC) Section 457(f), to individually tailor a benefits program appropriate to each executive's needs. The Plan provides eligible participants a pre-determined benefits allowance credit that is equal to a percentage of the executive's base pay from which is deducted the cost of mandatory and elective employee benefits. The pre-determined benefits allowance credit percentage is approved by the 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. ------------------------------------------------------- Lars Houmann $166,425 $171,118 $ 300,887 $ 0 Donald Jernigan $191,945 $175,445 $ 348,321 $ 0 Richard Reiner $173,337 $476,453 $ 54,621 $ 0 Terry Shaw $166,425 $161,759 $1,652,483 $ 0 David Banks $ 71,324 $ 63,841 $ 0 $ 0 Desmond Cummings $ 75,846 $ 75,846 $ 0 $ 0 Sheryl D. Dodds $ 44,318 $ 41,633 $ 0 $ 0 Robert D. Fulbright $ 30,682 $ 27,206 $ 0 $ 0 Todd A. Goddman $ 30,690 $ 28,205 $ 0 $ 0 Douglas W. Hilliard $ 28,115 $ 27,881 $ 0 $ 0 Jeffery D. Hurst $ 29,209 $ 9,709 $ 0 $ 0 John D.Moorhead,MD $ 78,294 $ 65,080 $ 0 $ 0 Terry R. Owen $ 52,327 $ 41,638 $ 166,815 $ 0 J. Brian Paradis $104,404 $ 87,359 $ 0 $ 0 Monica P Reed, MD $ 59,656 $ 56,671 $ 0 $ 0 Eddie Soler $ 86,815 $ 86,301 $ 0 $ 0 Bonnie L. Bowls $ 24,569 $ 19,125 $ 0 $ 0 Karen Grim-Marcarelli$ 22,862 $ 5,678 $ 114,818 $ 0 Connie A. Hamilton $ 34,680 $ 18,660 $ 0 $ 0 Arlene K. Herrin $ 25,443 $ 25,298 $ 0 $ 0
Part I, Line 6The filing organization's physician compensation formula is designed to result in total compensation that would be reasonable for each physician. Since implementing the productivity-based incentive compensation model, the financial losses from the operations of organization's physician practices have significantly decreased and established physician practices have generally become profitable. The filing organization utilizes national survey productivity, cost and compensation data in formulating all aspects of the compensation plan. Physician compensation arrangements include a ceiling or reasonable maximum on the amount a physician may earn. The filing organization's employed physicians enter into a written agreement that requires the physicians to provide medical care to individuals who are referred by the filing organization. Pursuant to the agreement, an individual may not be rejected as a patient by a physician due to race, sex, age, color, creed, national origin or inability to pay. The filing organization's compensation arrangement does not use a method of compensation that is based upon a percentage of the organization's net income. Rather, under the compensation arrangement, physician base salary is set based on Fair Market Value benchmarks, and any additional compensation is based on a percentage of the practice/location net revenue.
Part IIIPart 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 CEO of the system of organizations whose parent is AHSSHC. 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.Supplemental Information

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (4 entries)

Issuer EINIssuerEINCUSIP NumberCUSIPNumberDate IssuedDateIssuedIssue PriceIssuePriceDescription Of PurposeDescriptionOfPurposeDefeasedDefeasedOn Behalf Of IssuerOnBehalfOfIssuerPool FinancingPoolFinancing
Highlands County Health Facilities Authority
521313569431022ER92003-08-281361100002003B&C, Refund Series 1993 Bonds issued 6/23/1993000
Colorado Health Facilities Authority
8407529321964738R62004-09-28500000002004B, Expand/refurbish facilities, purchase equipment000
Kansas Development Finance Authority
48106658948542ABD22004-09-28500000002004C, Expand/refurbish facilities, purchase equipment000
Highlands County Health Facilities Authority
521313569431022FR82005-10-18649430862005A, Refund FL 1993A&B, TN 1993 and Tarrant 1993 all issued 10/20/1993000

Form990 Schedule K Part II Form990ScheduleKPartII (4 entries)

Amount RetiredAmountRetiredTotal ProceedsTotalProceedsRefunding EscrowRefundingEscrowIssuance Costs From ProceedsIssuanceCostsFromProceedsCapital ExpendituresCapitalExpendituresYear Of Subst CompletionYearOfSubstCompletionCurrent RefundingCurrentRefundingAdvance RefundingAdvanceRefundingFinal Allocation MadeFinalAllocationMadeAdequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind
5795000013611000011436727827222001902052220031011
5755000500000007000004930000020040011
5465500500000007000004930000020040011
17840000649430866401637792670919931011

Form990 Schedule K Part III Form990ScheduleKPartIII (4 entries)

Owning Bond Financed PropertyOwningBondFinancedPropertyAny Lease ArrangementsAnyLeaseArrangementsMngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprtyEngage Bond Counsel ContractsEngageBondCounselContractsAny Research AgreementsAnyResearchAgreementsEngage Bond Counsel ResearchEngageBondCounselResearchPrcntge Prvt Business Use By OthersPrcntgePrvtBusinessUseByOthersTotal Private Business UseTotalPrivateBusinessUsePost Issuance Compliance ProcdrsPostIssuanceComplianceProcdrs
0111110.005000.005001
0011111
0011111
0011111

Form990 Schedule K Part IV Form990ScheduleKPartIV (4 entries)

Form8038 T FiledForm8038TFiledVariable Rate IssueVariableRateIssueHedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecdsGross Proceeds Invested In GICGrossProceedsInvestedInGICGross Proceeds InvestedGrossProceedsInvestedException To RebateExceptionToRebateTerm Of GICTermOfGICRegulatory Safe Harbor SatisfiedRegulatorySafeHarborSatisfied
(no name)
010001
Pallas Capital
0101011.5000000000001
Pallas Capital
0101011.5000000000001
(no name)
000001

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (4 entries)

Issuer EINIssuerEINCUSIP NumberCUSIPNumberDate IssuedDateIssuedIssue PriceIssuePriceDescription Of PurposeDescriptionOfPurposeDefeasedDefeasedOn Behalf Of IssuerOnBehalfOfIssuerPool FinancingPoolFinancing
Highlands County Health Facilities Authority
521313569431022GN62005-10-181064100632005B, Refund Orange 2000, Tenn 2000, and Tarrant 2000 all issued 8/31/2000000
Highlands County Health Facilities Authority
521313569431022HG02005-10-18634345352005C, Refund Colorado 2001 issued 3/28/2001000
Highlands County Health Facilities Authority
521313569431022HH82005-10-181022200002005D, Expand/refurbish facilities, purchase equipment000
Highlands County Health Facilities Authority
521313569431022HUD2006-06-142051560002006C, Expand/refurbish facilities, purchase equipment000

Form990 Schedule K Part II Form990ScheduleKPartII (4 entries)

Amount RetiredAmountRetiredTotal ProceedsTotalProceedsRefunding EscrowRefundingEscrowIssuance Costs From ProceedsIssuanceCostsFromProceedsYear Of Subst CompletionYearOfSubstCompletionCurrent RefundingCurrentRefundingAdvance RefundingAdvanceRefundingFinal Allocation MadeFinalAllocationMadeAdequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaindCapital ExpendituresCapitalExpenditures
29125000106410063104877613153245020000111
980000634345356250560292893320010111
12255000102220000150000020050011100720000
4900000205156000200000020060011203156000

Form990 Schedule K Part III Form990ScheduleKPartIII (4 entries)

Owning Bond Financed PropertyOwningBondFinancedPropertyAny Lease ArrangementsAnyLeaseArrangementsMngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprtyEngage Bond Counsel ContractsEngageBondCounselContractsAny Research AgreementsAnyResearchAgreementsEngage Bond Counsel ResearchEngageBondCounselResearchPost Issuance Compliance ProcdrsPostIssuanceComplianceProcdrsPercentage Of Prvt Business Re UBIPercentageOfPrvtBusinessReUBITotal Private Business UseTotalPrivateBusinessUse
0011111
0011111
0011111
00111110.001000.00100

Form990 Schedule K Part IV Form990ScheduleKPartIV (4 entries)

Form8038 T FiledForm8038TFiledVariable Rate IssueVariableRateIssueHedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecdsGross Proceeds Invested In GICGrossProceedsInvestedInGICGross Proceeds InvestedGrossProceedsInvestedException To RebateExceptionToRebate
000001
000001
000001
000001

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (4 entries)

Issuer EINIssuerEINCUSIP NumberCUSIPNumberDate IssuedDateIssuedIssue PriceIssuePriceDescription Of PurposeDescriptionOfPurposeDefeasedDefeasedOn Behalf Of IssuerOnBehalfOfIssuerPool FinancingPoolFinancing
Colorado Health Facilities Authority
84075293219648AAV72006-11-152495014242006D&E, Refnd Highland, Tarrant 98 iss 12/17/98, Highland iss 03D 10/7/03000
Colorado Health Facilities Authority
84075293219648ACG82006-11-15303714502006F, Refund 1995 Bonds issued 6/8/1995000
Highlands County Health Facilities Authority
521313569431022JZ62006-12-202124644962006G, Refund Highlands 2002 issued 12/19/02 and Orange 2002 issued 7/10/02000
Highlands County Health Facilities Authority
521313569431022KK72007-08-083664450002007A B C D, Expand/refurbish facilities, purchase equipment000

Form990 Schedule K Part II Form990ScheduleKPartII (4 entries)

Amount RetiredAmountRetiredTotal ProceedsTotalProceedsRefunding EscrowRefundingEscrowIssuance Costs From ProceedsIssuanceCostsFromProceedsYear Of Subst CompletionYearOfSubstCompletionCurrent RefundingCurrentRefundingAdvance RefundingAdvanceRefundingFinal Allocation MadeFinalAllocationMadeAdequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaindCredit EnhancementCreditEnhancementCapital ExpendituresCapitalExpenditures
13330000249501424247008533249289120030111
21565000303714503006474330670719951011
21245000212464496210608121185637520020111
258000000366445000200700115560382360884618

Form990 Schedule K Part III Form990ScheduleKPartIII (4 entries)

Owning Bond Financed PropertyOwningBondFinancedPropertyAny Lease ArrangementsAnyLeaseArrangementsMngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprtyEngage Bond Counsel ContractsEngageBondCounselContractsAny Research AgreementsAnyResearchAgreementsEngage Bond Counsel ResearchEngageBondCounselResearchPrcntge Prvt Business Use By OthersPrcntgePrvtBusinessUseByOthersTotal Private Business UseTotalPrivateBusinessUsePost Issuance Compliance ProcdrsPostIssuanceComplianceProcdrs
0111110.002000.002001
0011111
0111110.003000.003001
0111110.002000.002001

Form990 Schedule K Part IV Form990ScheduleKPartIV (4 entries)

Form8038 T FiledForm8038TFiledVariable Rate IssueVariableRateIssueHedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecdsGross Proceeds Invested In GICGrossProceedsInvestedInGICGross Proceeds InvestedGrossProceedsInvestedException To RebateExceptionToRebate
000001
000001
000001
010001

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (4 entries)

Issuer EINIssuerEINCUSIP NumberCUSIPNumberDate IssuedDateIssuedIssue PriceIssuePriceDescription Of PurposeDescriptionOfPurposeDefeasedDefeasedOn Behalf Of IssuerOnBehalfOfIssuerPool FinancingPoolFinancing
Highlands County Health Facilities Authority
521313569431022KV32008-07-02456750002004A SFC, Refunded Highlands 2004A issued 9/28/04000
Highlands County Health Facilities Authority
521313569431022QU92008-12-11606500002005F SFC, Refunded Highlands 2005F issued 12/22/05000
Highlands County Health Facilities Authority
521313569431022QV72008-12-12494250002005G SFC, Refunded Highlands 2005G issued 12/22/05000
Highlands County Health Facilities Authority
521313569431022QW52008-12-15494250002005H SFC, Refunded Highlands 2005H issued 12/22/05000

Form990 Schedule K Part II Form990ScheduleKPartII (4 entries)

Amount RetiredAmountRetiredTotal ProceedsTotalProceedsRefunding EscrowRefundingEscrowYear Of Subst CompletionYearOfSubstCompletionCurrent RefundingCurrentRefundingAdvance RefundingAdvanceRefundingFinal Allocation MadeFinalAllocationMadeAdequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind
2075000456750004567500020041011
606500006065000020051011
494250004942500020051011
494250004942500020051011

Form990 Schedule K Part III Form990ScheduleKPartIII (4 entries)

Owning Bond Financed PropertyOwningBondFinancedPropertyAny Lease ArrangementsAnyLeaseArrangementsMngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprtyEngage Bond Counsel ContractsEngageBondCounselContractsAny Research AgreementsAnyResearchAgreementsEngage Bond Counsel ResearchEngageBondCounselResearchPost Issuance Compliance ProcdrsPostIssuanceComplianceProcdrs
0011111
0011111
0011111
0011111

Form990 Schedule K Part IV Form990ScheduleKPartIV (4 entries)

Form8038 T FiledForm8038TFiledVariable Rate IssueVariableRateIssueHedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecdsGross Proceeds Invested In GICGrossProceedsInvestedInGICGross Proceeds InvestedGrossProceedsInvestedException To RebateExceptionToRebate
010001
010001
010001
010001

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (4 entries)

Issuer EINIssuerEINCUSIP NumberCUSIPNumberDate IssuedDateIssuedIssue PriceIssuePriceDescription Of PurposeDescriptionOfPurposeDefeasedDefeasedOn Behalf Of IssuerOnBehalfOfIssuerPool FinancingPoolFinancing
Highlands County Health Facilities Authority
521313569431022QZ82008-12-16680000002008A, Expand/refurbish facilities, purchase equipment000
Highlands County Health Facilities Authority
521313569431022QR62008-12-161422750002005E/2007B SFC, Refund Highlands 05E iss 12/22/05, Highland 07B iss 8/8/07000
Highlands County Health Facilities Authority
521313569431022QS42008-12-18783500002007D SFC, Refunded Highlands 2007D issued 8/8/07000
Orange County Health Facilities Authority
5213785952009-04-0850000002009A, Expand/refurbish facilities, purchase equipment000

Form990 Schedule K Part II Form990ScheduleKPartII (4 entries)

Total ProceedsTotalProceedsCapital ExpendituresCapitalExpendituresYear Of Subst CompletionYearOfSubstCompletionCurrent RefundingCurrentRefundingAdvance RefundingAdvanceRefundingFinal Allocation MadeFinalAllocationMadeAdequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaindAmount RetiredAmountRetiredRefunding EscrowRefundingEscrow
680000006800000020080011
1422750002007101111825000142275000
78350000200710111172500078350000
50000005000000200800112737855

Form990 Schedule K Part III Form990ScheduleKPartIII (4 entries)

Owning Bond Financed PropertyOwningBondFinancedPropertyAny Lease ArrangementsAnyLeaseArrangementsMngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprtyEngage Bond Counsel ContractsEngageBondCounselContractsAny Research AgreementsAnyResearchAgreementsEngage Bond Counsel ResearchEngageBondCounselResearchPost Issuance Compliance ProcdrsPostIssuanceComplianceProcdrsPrcntge Prvt Business Use By OthersPrcntgePrvtBusinessUseByOthersTotal Private Business UseTotalPrivateBusinessUse
0011111
01111110.002000.00200
01111110.002000.00200
0011111

Form990 Schedule K Part IV Form990ScheduleKPartIV (4 entries)

Form8038 T FiledForm8038TFiledVariable Rate IssueVariableRateIssueHedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecdsGross Proceeds Invested In GICGrossProceedsInvestedInGICGross Proceeds InvestedGrossProceedsInvestedException To RebateExceptionToRebate
000001
010001
010001
010001

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (4 entries)

Issuer EINIssuerEINDate IssuedDateIssuedIssue PriceIssuePriceDescription Of PurposeDescriptionOfPurposeDefeasedDefeasedOn Behalf Of IssuerOnBehalfOfIssuerPool FinancingPoolFinancingCUSIP NumberCUSIPNumber
Kansas Development Finance Authority
4810665892009-04-0850000002009B, Expand/refurbish facilities, purchase equipment000
Kansas Development Finance Authority
4810665892009-07-083253944172009C, Ref 96/05&97/05 iss 1/13/05, 03A 1/16/03, 08B 12/19/08, exp facility00048542ABX8
Kansas Development Finance Authority
4810665892009-10-011022711542009D, Refund Highlands 07C, 8/8/07 & expand/refurbish facilities/purc equip00048542ACY5
Highlands County Health Facilities Authority
5213135692009-10-073042300002009A-F, AR Program 1996A, 1999, 2000A&B, 2004AR1&2 all reissued 9/4/08000431022SC7

Form990 Schedule K Part II Form990ScheduleKPartII (4 entries)

Amount RetiredAmountRetiredTotal ProceedsTotalProceedsCapital ExpendituresCapitalExpendituresYear Of Subst CompletionYearOfSubstCompletionCurrent RefundingCurrentRefundingAdvance RefundingAdvanceRefundingFinal Allocation MadeFinalAllocationMadeAdequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaindRefunding EscrowRefundingEscrow
26295905000000500000020080011
114550003253944171200496720091011313389450
6000000102271154218447212009101180426433
30423000020041011304230000

Form990 Schedule K Part III Form990ScheduleKPartIII (4 entries)

Owning Bond Financed PropertyOwningBondFinancedPropertyAny Lease ArrangementsAnyLeaseArrangementsMngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprtyEngage Bond Counsel ContractsEngageBondCounselContractsAny Research AgreementsAnyResearchAgreementsEngage Bond Counsel ResearchEngageBondCounselResearchPost Issuance Compliance ProcdrsPostIssuanceComplianceProcdrsPrcntge Prvt Business Use By OthersPrcntgePrvtBusinessUseByOthersTotal Private Business UseTotalPrivateBusinessUse
0011111
01111110.001000.00100
0011111
0011111

Form990 Schedule K Part IV Form990ScheduleKPartIV (4 entries)

Form8038 T FiledForm8038TFiledVariable Rate IssueVariableRateIssueHedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecdsGross Proceeds Invested In GICGrossProceedsInvestedInGICGross Proceeds InvestedGrossProceedsInvestedException To RebateExceptionToRebate
010001
000001
000001
010001

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (4 entries)

Issuer EINIssuerEINCUSIP NumberCUSIPNumberDate IssuedDateIssuedIssue PriceIssuePriceDescription Of PurposeDescriptionOfPurposeDefeasedDefeasedOn Behalf Of IssuerOnBehalfOfIssuerPool FinancingPoolFinancing
Highlands County Health Facilities Authority
521313569431022SP82009-11-1619075250209E & 08B Conv, Ref Orange 91/01 10/11/01, 92/03 5/15/03, 08B 12/19/08000
Highlands County Health Facilities Authority
521313569431022SG82009-11-161772400002005I Conv, Refund Highlands 05I 12/22/05 & expand/refurbish facilities000
Highlands County Health Facilities Authority
5213135692010-12-17570000002010A, Expand/refurbish facilities, purchase equipment000
Orange County Health Facilities Authority
5213785952010-12-22250000002010B, Expand/refurbish facilities, purchase equipment000

Form990 Schedule K Part II Form990ScheduleKPartII (4 entries)

Amount RetiredAmountRetiredTotal ProceedsTotalProceedsRefunding EscrowRefundingEscrowYear Of Subst CompletionYearOfSubstCompletionCurrent RefundingCurrentRefundingAdvance RefundingAdvanceRefundingFinal Allocation MadeFinalAllocationMadeAdequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaindCapital ExpendituresCapitalExpenditures
718000019075250219075250220081011
178936632178936632200510111696632
570000002010001157000000
250000002010001125000000

Form990 Schedule K Part III Form990ScheduleKPartIII (4 entries)

Owning Bond Financed PropertyOwningBondFinancedPropertyAny Lease ArrangementsAnyLeaseArrangementsMngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprtyEngage Bond Counsel ContractsEngageBondCounselContractsAny Research AgreementsAnyResearchAgreementsEngage Bond Counsel ResearchEngageBondCounselResearchPrcntge Prvt Business Use By OthersPrcntgePrvtBusinessUseByOthersTotal Private Business UseTotalPrivateBusinessUsePost Issuance Compliance ProcdrsPostIssuanceComplianceProcdrs
0111110.001000.001001
0111110.009000.009001
0011111
0011111

Form990 Schedule K Part IV Form990ScheduleKPartIV (4 entries)

Form8038 T FiledForm8038TFiledVariable Rate IssueVariableRateIssueHedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecdsGross Proceeds Invested In GICGrossProceedsInvestedInGICGross Proceeds InvestedGrossProceedsInvestedException To RebateExceptionToRebate
000001
010001
010001
010001

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (4 entries)

Issuer EINIssuerEINDate IssuedDateIssuedIssue PriceIssuePriceDescription Of PurposeDescriptionOfPurposeDefeasedDefeasedOn Behalf Of IssuerOnBehalfOfIssuerPool FinancingPoolFinancing
Kansas Development Finance Authority
4810665892010-12-22250000002010C, Expand/refurbish facilities, purchase equipment000
Colorado Health Facilities Authority
8407529322010-12-22250000002010D, Expand/refurbish facilities, purchase equipment000
Highlands County Health Facilities Authority
5213135692010-12-302250000002010E, Expand/refurbish facilities, purchase equipment000
Highlands County Health Facilities Authority
5213135692011-11-16800000002011A, Expand/refurbish facilities000

Form990 Schedule K Part II Form990ScheduleKPartII (4 entries)

Total ProceedsTotalProceedsCapital ExpendituresCapitalExpendituresYear Of Subst CompletionYearOfSubstCompletionCurrent RefundingCurrentRefundingAdvance RefundingAdvanceRefundingFinal Allocation MadeFinalAllocationMadeAdequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind
250000002500000020100011
250000002500000020100011
22500000022500000020100011
800000008000000020110011

Form990 Schedule K Part III Form990ScheduleKPartIII (4 entries)

Owning Bond Financed PropertyOwningBondFinancedPropertyAny Lease ArrangementsAnyLeaseArrangementsMngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprtyEngage Bond Counsel ContractsEngageBondCounselContractsAny Research AgreementsAnyResearchAgreementsEngage Bond Counsel ResearchEngageBondCounselResearchPost Issuance Compliance ProcdrsPostIssuanceComplianceProcdrs
0011111
0011111
0011111
0011111

Form990 Schedule K Part IV Form990ScheduleKPartIV (4 entries)

Form8038 T FiledForm8038TFiledVariable Rate IssueVariableRateIssueHedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecdsGross Proceeds Invested In GICGrossProceedsInvestedInGICGross Proceeds InvestedGrossProceedsInvestedException To RebateExceptionToRebate
010001
010001
010001
010001

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV (5 entries)

RelationshipRelationshipAmount Of TransactionAmountOfTransactionDescription Of TransactionDescriptionOfTransactionSharing Of RevenuesSharingOfRevenues
Linda Knutson
Family of board member48587Employee Compensation0
Dan Tilstra
Family of key employee29262Consulting Services/Employee Compensation0
Jenola Bradwell
Family of board member59564Employee Compensation0
Karen Tilstra
Family of key employee90190Consulting0
Clifton Scott
Family of board member55694Employee Compensation0

Schedule M IRS990ScheduleM

Other Non Cash Contributions Table OtherNonCashContributionsTable

FieldValueIRS element (for citing)
Non Cash CheckboxXNonCashCheckbox
DescriptionMedical EquipmentDescription
Number Of Contributions22NumberOfContributions
Noncash Contribs Rptd F990119778NoncashContribsRptdF990
Method Of Determining RevenuesSelling price of donated propertyMethodOfDeterminingRevenues
FieldValueIRS element (for citing)
Number Of8283 Received0NumberOf8283Received
Any Property That Must Be Held0AnyPropertyThatMustBeHeld
Review Process Unusual NC Gifts0ReviewProcessUnusualNCGifts
Third Parties Used0ThirdPartiesUsed

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (11 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
Form 990, Part VI, Section A, line 2Lars Houmann and Terry Owen - Family Relationship
Form 990, Part VI, Section A, line 6Adventist Health System/Sunbelt, Inc. (the filing organization) has one member. The sole member of the filing organization is Adventist Health System Sunbelt Healthcare Corporation. Adventist Health System Sunbelt Healthcare Corporation (AHSSHC) is a Florida, not-for-profit corporation that is exempt from federal income tax under Internal Revenue Code (IRC) Section 501(c)(3). There are no other classes of membership in the filing organization.
Form 990, Part VI, Section A, line 7aThe sole member of the filing organization is AHSSHC. The Board of Directors of the filing organization are appointed by the sole member, AHSSHC, who has the right to elect, appoint or remove any member of the Board of Directors of the filing organization.
Form 990, Part VI, Section A, line 7bAHSSHC, as the sole member of the filing organization, has certain reserved powers as set forth in the Bylaws of the filing organization. These reserved powers include the following: a) to approve and disapprove the executive and/or administrative leadership of the filing organization, and their salaries; b) to approve and disapprove the operating Bylaws of the filing organization; c) to set limits and terms for the borrowing of funds; d) to approve or disapprove major building programs and/or purchase or sale of personal property or real property equal to or in excess of One Million dollars; e) to approve or disapprove the annual operating and capital budgets of the filing organization; f) to direct the placement of funds and capital of the filing organization; and g) to establish general guiding policies.
Form 990, Part VI, Section B, line 11The filing organization's current year Form 990 will be reviewed by the Senior Vice President of Finance subsequent to its filing with the IRS. The review conducted by the Senior Vice President of Finance will not include the review of any supporting workpapers that were used in preparation of the current year Form 990, but will include a review of the entire Form 990 and all supporting schedules.
Form 990, Part VI, Section B, line 12cThe Conflict of Interest Policy of the filing organization applies to members of its Board of Directors and its principal officers (to be known as Interested Persons). In connection with any actual or possible conflict of interests, any member of the Board of Directors of the filing organization or any principal officer of the filing organization (i.e. Interested Persons) must disclose the existence of any financial interest with the filing organization and must be given the opportunity to disclose all material facts concerning the financial interest/arrangement to the Board of Directors of the filing organization or to any members of a committee with board delegated powers that is considering the proposed transaction or arrangement. Subsequent to any disclosure of any financial interest/arrangement and all material facts, and after any discussion with the relevant Board member or principal officer, the remaining members of the Board of Directors or committee with board delegated powers shall discuss, analyze, and vote upon the potential financial interest/arrangement to determine if a conflict of interest exists. According to the filing organization's Conflict of Interest Policy, an Interested Person may make a presentation to the Board of Directors (or committee with board delegated powers), but after such presentation, shall leave the meeting during the discussion of, and the vote on, the transaction or arrangement that results in a conflict of interest. Each Interested Person, as defined under the filing organization's Conflict of Interest Policy, shall annually sign a statement which affirms that such person has received a copy of the Conflict of Interests policy, has read and understands the policy, has agreed to comply with the policy, and understands that the filing organization is a charitable organization that must primarily engage in activities which accomplish one or more of its exempt purposes. The filing organization's Conflict of Interest Policy also requires that periodic reviews shall be conducted to ensure that the filing organization operates in a manner consistent with its charitable purposes.
Form 990, Part VI, Section B, line 15The top-tier parent of the filing organization 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 the CEO, CFO or Vice President of the filing organization are compensated by AHSSHC. Compensation and benefits provided to these individuals is 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 AFor those Board of Director members 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 for Don Jernigan, Richard Reiner, and Terry Shaw, were provided in conjunction with that person's responsibilities and roles in serving in an executive leadership position within Adventist Health System. Each of these individuals devote approximately 50 hours per week in conjunction with serving in their respective executive leadership position within Adventist Health System.Columns (E) & (F)
Form 990, Part XI, line 5:Net unrealized losses on investments: -16,879,183. Transfer to tax-exempt affiliates -34,053,850. Transfer to tax-exempt parent -17,001,201. Donated Property 1,891,881. Income on restricted fund balance -54,184. SWAP loss amortization 878,553. Allocations from Tax-exempt Parent with respect to Debt 6,952,503. Transfer for expenses -4,051,588. Gifts 17,779,974. Other -341,052. Interest in Foundation -943,369. Total to Form 990, Part XI, Line 5: -45,821,516.Changes in Net Assets or Fund Balances:
Part X, Line 2The amounts shown on line 2 of Part X of this return include the filing organization's interest in a central investment pool maintained by Adventist Health System Sunbelt Healthcare Corporation, the filing organization's top-tier parent. The investments in the central investment pool are recorded at market value.Savings and temporary cash investments

Schedule R IRS990ScheduleR

Form990 Schedule R Part I Form990ScheduleRPartI

Name Of Disregarded Entity NameOfDisregardedEntity

FieldValueIRS element (for citing)
Business Name Line1Florida Radiology Imaging at Lake Mary LLCBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1875 Concourse Parkway 150AddressLine1
CityMaitlandCity
StateFLState
ZIP Code32751ZIPCode
FieldValueIRS element (for citing)
EIN550789387EIN
Primary ActivitiesImaging & TestingPrimaryActivities
Legal Domicile StateFLLegalDomicileState
Total Income16348383TotalIncome
EOY Assets9589672EOYAssets

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1Adventist Health SystemSunbelt IncBusinessNameLine1

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 Inc1
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 Inc1
Adventist Hlth Mid-America Inc
9100 W 74th StreetShawnee MissionKS66204521347407Hlthcare Related ServicesKS501(c)(3)509(a)(3) Type IAdventist Hlth SystemSunbelt Inc1
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 Inc1
AHS Midwest Management Inc
1000 Remington Blvd Ste 200BolingbrookIL60440363354567Operation of Physician Practice MgmtIL501(c)(3)509(a)(3) Type IAdventist Hlth SystemSunbelt Inc1
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 Inc1
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 Inc1
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 Inc1
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 Inc1
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 Inc1
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 Inc1
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 Inc1
Florida Hospital Medical Group Inc
900 Winderley PlaceMaitlandFL32751593214635Operation of Physician Practices & Medical ServicesFL501(c)(3)170(b)(1)(A)(iii)Adventist Hlth SystemSunbelt Inc1
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 Inc1
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 Inc1
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 Inc1
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 Inc1
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 Inc1
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 NADirectControllingEntityNABusiness Name Line1DirectControllingEntityName/BusinessNameLine1Predominant Income TypePredominantIncomeTypeShare Of Total IncomeShareOfTotalIncomeShare Of EOY AssetsShareOfEOYAssetsDisproportionate AllocationsDisproportionateAllocationsGeneral Or Managing PartnerGeneralOrManagingPartnerPercentage OwnershipPercentageOwnership
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 & TestingTXAdventist Health SystemSunbelt Inc dba Central TX Med CtrRelated25796603000.50000
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 EntityTypeOfEntityBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Percentage OwnershipPercentageOwnershipShare Of Total IncomeShareOfTotalIncomeShare Of EOY AssetsShareOfEOYAssetsAddress 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 EquipmentTXCAdventist Hlth SystemSunbelt Inc1.00000
Altamonte Medical Plaza Condominium Association Inc
601 East Rollins StreetOrlandoFL32803592855792Condo AssociationFLCAdventist Hlth SystemSunbelt Inc0.5800012927458065
Apopka Medical Plaza Condominium Association Inc
601 East Rollins StreetOrlandoFL32803593000857Condo AssociationFLCAdventist Hlth SystemSunbelt Inc0.89000268499927
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 ClinicsTXCAdventist Hlth SystemSunbelt Inc1.000001542172242711
Central Texas Provider's Network
1301 Wonder World DriveSan MarcosTX78666742827652Physician Hospital Org.TXCAdventist Hlth SystemSunbelt Inc1.000004526188928
Florida Hospital Flagler Medical Offices Association Inc
60 Memorial Medical ParkwayPalm CoastFL32164262158309Condo AssociationFLN/AC
Florida Hospital Healthcare System Inc
602 Courtland StreetOrlandoFL32804593215680PHO/TPAFLCAdventist Hlth SystemSunbelt Inc1.0000012396315348245999
Florida Medical Plaza Condo Association Inc
601 East Rollins StreetOrlandoFL32803592855791Condo AssociationFLCAdventist Hlth SystemSunbelt Inc0.780005250613663
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 WorthTX76115752642209InactiveTXCAdventist Hlth SystemSunbelt Inc1.00000136191
Huguley Medical Associates Inc
11801 South FreewayBurlesonTX76028752547668Physician ClinicsTXCAdventist Hlth SystemSunbelt Inc1.00000119123852131617
Kissimmee Multispecialty Clinic Condominium Association Inc
201 Hilda Street Suite 30KissimmeeFL34741593539564Condo AssociationFLCAdventist Hlth SystemSunbelt Inc0.544003961019169
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 CompanyTXCAdventist Hlth SystemSunbelt Inc1.0000025756590
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 ClinicsFLCAdventist Hlth SystemSunbelt Inc0.5200011077822541
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties1ReceiptOfIntAnnRentsRoyalties
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 Org1PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs1RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs1RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs1PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs1PerformOfServicesByOtherOrgs
Sharing Of Facilities1SharingOfFacilities
Sharing Of Paid Employees0SharingOfPaidEmployees
Reimbursement Paid To Other Org1ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org1ReimbursementPaidByOtherOrg
Other Transfer To Other Org1OtherTransferToOtherOrg
Other Transfer From Other Org1OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (79 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
Adventist Health System Sunbelt Healthcare Corporation
B15849706Actual Amount Given
Adventist Health System Sunbelt Healthcare Corporation
C1870890Actual Amount Received
Adventist Health System Sunbelt Healthcare Corporation
L44683567% of Facility's Operating Exp
Adventist Health System Sunbelt Healthcare Corporation
O127233507Cost
Adventist Health System Sunbelt Healthcare Corporation
P2806338Cost
Adventist Health System Sunbelt Healthcare Corporation dba AHSIS
K265235Cost
Adventist Health System Sunbelt Healthcare Corporation dba AHSIS
L18860603% of Facility's Operating Exp
Adventist Health System Sunbelt Healthcare Corporation dba AHSIS
O566255Cost
Adventist Health System Sunbelt Healthcare Corp dba Sunbelt Medical Mgmt
I76309Cost
Adventist Health System Sunbelt Healthcare Corp dba Sunbelt Medical Mgmt
O271629Cost
Adventist Health System Sunbelt Healthcare Corp dba Sunbelt Medical Mgmt
P522125Cost
Adventist Bolingbrook Hospital
O72226Cost
Adventist Bolingbrook Hospital
P143930Cost
Adventist Care Centers - Courtland Inc
B218100Actual Amount Given
Adventist GlenOaks Hospital
O84326Cost
Adventist GlenOaks Hospital
P125993Cost
Adventist Health Partners
O1014668Cost
Adventist Hinsdale Hospital
K10579846Cost
Adventist Hinsdale Hospital
O15698460Cost
Adventist Hinsdale Hospital
P6411221Cost
AHS Midwest Management Inc
O1984848Cost
AHSCentral Texas Inc
J116904Cost
Bert Fish Medical Center Inc
K63972Cost
Central Texas Medical Associates
B800000Actual Amount Given
Central Texas Medical Associates
P533761Cost
Central Texas Medical Center Foundation
B82402Actual Amount Given
Central Texas Providers Network
P81376Cost
East Orlando Health & Rehab Center Inc
B1404864Actual Amount Given
Emory-Adventist Inc
A688506FMV Interest Rate
Emory-Adventist Inc
R950400Principal Loan Amount
FLNC Inc
B2199240Actual Amount Given
Florida Hospital College of Health Sciences Inc
I2199732Cost
Florida Hospital College of Health Sciences Inc
L3893669Cost
Florida Hospital College of Health Sciences Inc
O702766Cost
Florida Hospital College of Health Sciences Inc
P19097504Cost
Florida Hospital College of Health Sciences Inc
Q110090Cost
Florida Hospital Healthcare System Inc
L91347029Claims Reimb Plus FMV Fee
Florida Hospital Healthcare System Inc
P9052660Cost
Florida Hospital Medical Group Inc
I3358808FMV Rental Rate
Florida Hospital Medical Group Inc
J81662Cost
Florida Hospital Medical Group Inc
K1118293Cost
Florida Hospital Medical Group Inc
L38862934Cost Plus Appropriate %
Florida Hospital Medical Group Inc
O5043785Cost
Florida Hospital Medical Group Inc
P5357145Cost
Florida Hospital Medical Group Inc
Q432865Cost
Florida Hospital Waterman Inc
C89065Actual Amount Received
Florida Hospital Waterman Inc
K107840Cost
Florida Hospital Waterman Inc
P152923Cost
Florida Hospital Zephyrhills Inc
K74593Cost
Huguley Community Care Corporation
B526850Actual Amount Given
Huguley Medical Associates Inc
A568578FMV Rental Rate
Huguley Medical Associates Inc
O2222594Cost
Huguley Medical Associates Inc
P134777Cost
La Grange Memorial Hospital Foundation
B242914Actual Amount Given
La Grange Memorial Hospital Foundation
C2477958Actual Amount Received
La Grange Memorial Hospital Foundation
Q66535Cost
Memorial Health Systems Inc
K332224Cost
Memorial Health Systems Inc
P52879Cost
Memorial Hospital - Flagler Inc
K265790Cost
Memorial Hospital - West Volusia Inc
K152552Cost
Memorial Hospital - West Volusia Inc
P99453Cost
Metroplex Adventist Hospital Inc
P725364Cost
Princeton Professional Services Inc
I243213Cost Plus Appropriate Margin
Princeton Professional Services Inc
K89662Cost Plus Appropriate Margin
Princeton Professional Services Inc
P10103575Cost
Shawnee Mission Medical Center Inc
K74655Cost
South Central Nursing Homes Inc
C52948Actual Amount Received
Southwest Volusia Healthcare Corporation
K219823Cost
Southwest Volusia Healthcare Corporation
P209661Cost
Specialty Physicians of Central Texas Inc
B2500000Actual Amount Given
Specialty Physicians of Central Texas Inc
P904503Cost
Sunbelt Health & Rehab Center - Apopka Inc
B450000Actual Amount Given
Sunbelt Health Care Centers Inc
I231882Cost
SunSystem Development Corporation
B4674912Actual Amount Given
SunSystem Development Corporation
C15948365Actual Amount Received
SunSystem Development Corporation
M242032Cost
SunSystem Development Corporation
P759807Cost Plus
SunSystem Development Corporation
Q4825804Cost
University Community Hospital Inc
K205117Cost