ADVENTIST HEALTH SYSTEM SUNBELT HEALTHCARE CORPORATION: Form 990, tax year 2011
View the entire original 990 at ProPublica ↗
- Organization
- ADVENTIST HEALTH SYSTEM SUNBELT HEALTHCARE CORPORATION (EIN 59-2170012)
- Tax period
- 2011-01-01 to 2011-12-31
- Filed
- 2012-11-14
- IRS object ID
- 201213199349304406
- 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
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule F
- Schedule I
- Schedule J
- Schedule L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2012-11-14T13:46:31-06:00 | Timestamp |
| Tax Period End Date | 2011-12-31 | TaxPeriodEndDate |
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2011-01-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 592170012 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Adventist Health System Sunbelt | BusinessNameLine1 |
| Business Name Line2 | Healthcare Corporation | BusinessNameLine2 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | ADVE | NameControl |
| Phone | 4073571000 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 900 Hope Way | AddressLine1 |
| City | Altamonte Springs | City |
| State | FL | State |
| ZIP Code | 32714 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | Lynn C Addiscott | Name |
| Title | Officer/Asst Secretary | Title |
| Phone | 4073572317 | Phone |
| Date Signed | 2012-11-14 | DateSigned |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2011 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Change | X | AddressChange |
| Name Of Principal Officer Person | Don Jernigan | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 900 Hope Way | AddressLine1 |
| City | Altamonte Springs | City |
| State | FL | State |
| ZIP Code | 32714 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 416694076 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Group Exemption Number | 1071 | GroupExemptionNumber |
| Organization501c3 | X | Organization501c3 |
| Web Site | www.adventisthealthsystem.com | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1981 | YearFormation |
| State Legal Domicile | FL | StateLegalDomicile |
| Activity Or Mission Description | Provision of executive leadership and other professional support services to subsidiaries. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 60 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 49 | NbrIndependentVotingMembers |
| Total Nbr Employees | 1431 | TotalNbrEmployees |
| Total Nbr Volunteers | 49 | TotalNbrVolunteers |
| Total Gross UBI | 416867 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 48225 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 15600 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 18000 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 271759270 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 325519493 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 130958092 | InvestmentIncomePriorYear |
| Investment Income Current Year | 90729329 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 20982 | OtherRevenuePriorYear |
| Other Revenue Current Year | 228698 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 402753944 | TotalRevenuePriorYear |
| Total Revenue Current Year | 416495520 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 12174111 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 2160724 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 163818310 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 195920658 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 233610267 | OtherExpensePriorYear |
| Other Expenses Current Year | 192823048 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 409602688 | TotalExpensesPriorYear |
| Total Expenses Current Year | 390904430 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | -6848744 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 25591090 | RevenuesLessExpensesCY |
| Total Assets BOY | 4206807275 | TotalAssetsBOY |
| Total Assets EOY | 4629301077 | TotalAssetsEOY |
| Total Liabilities BOY | 4055262556 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 4416519301 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 151544719 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 212781776 | NetAssetsOrFundBalancesEOY |
| Mission Description | Adventist 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 Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 358492177 | Expense |
| Grants | 2160724 | Grants |
| Revenue | 325102626 | Revenue |
| Description | During 2011, the Corporation provided hospital management services to 23 wholly or partially owned tax-exempt hospital and nursing home corporations. These 23 corporations operate 42 acute-care hospitals, and provide management services to 16 nursing home facilities. | Description |
| Total Program Service Expense | 358492177 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 1 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 1 | LobbyingActivities |
| Subject To Proxy Tax | 0 | SubjectToProxyTax |
| Donor Advised Funds | 0 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 1 | CreditCounseling |
| Term Or Permanent Endowments | 0 | TermOrPermanentEndowments |
| Report Land Bldg Equip | 1 | ReportLandBldgEquip |
| Report Invest Oth Securities | 1 | ReportInvestOthSecurities |
| Report Prog Rel Invest | 0 | ReportProgRelInvest |
| Report Other Assets | 1 | ReportOtherAssets |
| Report Other Liabilities | 1 | ReportOtherLiabilities |
| Report Fin48 Footnote | 1 | ReportFin48Footnote |
| Independent Audit Financial Stmt | 0 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 1 | ConsolidatedAuditFinancialStmt |
| School | 0 | School |
| Foreign Office | 0 | ForeignOffice |
| Foreign Activities | 1 | ForeignActivities |
| More Than5000 K To Organizations | 1 | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividuals |
| Professional Fundraising | 0 | ProfessionalFundraising |
| Fundraising Activities | 0 | FundraisingActivities |
| Gaming | 0 | Gaming |
| Hospital | 0 | Hospital |
| Grants To Organizations | 1 | GrantsToOrganizations |
| Grants To Individuals | 1 | GrantsToIndividuals |
| Schedule J Required | 1 | ScheduleJRequired |
| Tax Exempt Bonds | 0 | TaxExemptBonds |
| Excess Benefit Transaction | 0 | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | 0 | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | 0 | LoanToOfficerOrDQP |
| Grant To Related Person | 0 | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | 0 | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | 1 | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | 0 | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | 0 | DeductibleNonCashContributions |
| Deductible Contributions Of Art | 0 | DeductibleContributionsOfArt |
| Terminated | 0 | Terminated |
| Partial Liquidation | 0 | PartialLiquidation |
| Disregarded Entity | 0 | DisregardedEntity |
| Related Entity | 1 | RelatedEntity |
| Related Org Controlled Entity | 1 | RelatedOrgControlledEntity |
| Transaction Related Entity | 1 | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 1592 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | 1 | ComplianceWithBackupWitholding |
| Number Of Employees | 1431 | NumberOfEmployees |
| Employment Tax Returns Filed | 1 | EmploymentTaxReturnsFiled |
| Unrelated Business Income | 1 | UnrelatedBusinessIncome |
| Form990-T Filed | 1 | Form990-TFiled |
| Foreign Financial Account | 1 | ForeignFinancialAccount |
| Name Of Foreign Country | BD | NameOfForeignCountry |
| Name Of Foreign Country | UK | NameOfForeignCountry |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTrans |
| Taxable Party Notification | 0 | TaxablePartyNotification |
| Non Deductible Contributions | 0 | NonDeductibleContributions |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributions |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | 0 | FundsToPayPremiums |
| Premiums Paid | 0 | PremiumsPaid |
| Indoor Tanning Services | 0 | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 60 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 49 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 0 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 0 | DelegationOfManagementDuties |
| Changes To Organizing Docs | 0 | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuse |
| Members Or Stockholders | 1 | MembersOrStockholders |
| Election Of Board Members | 1 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 1 | DecisionsSubjectToApproval |
| Minutes Of Governing Body | 1 | MinutesOfGoverningBody |
| Minutes Of Committees | 1 | MinutesOfCommittees |
| Officer Mailing Address | 0 | OfficerMailingAddress |
| Local Chapters | 0 | LocalChapters |
| Form990 Provided To Governing Body | 1 | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | 1 | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | 1 | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | 1 | RegularMonitoringEnforcement |
| Whistleblower Policy | 1 | WhistleblowerPolicy |
| Document Retention Policy | 1 | DocumentRetentionPolicy |
| Compensation Process CEO | 1 | CompensationProcessCEO |
| Compensation Process Other | 1 | CompensationProcessOther |
| Investment In Joint Venture | 1 | InvestmentInJointVenture |
| Written Policy Or Procedure | 1 | WrittenPolicyOrProcedure |
| States Where Copy Of Return Is Filed | IL | StatesWhereCopyOfReturnIsFiled |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Terry D Shaw | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 4073572463 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 900 Hope Way | AddressLine1 |
| City | Altamonte Springs | City |
| State | FL | State |
| ZIP Code | 32714 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | X | InfoInScheduleOPartVII |
Form990 Part VII Section A Form990PartVIISectionA (72 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | OfficerOfficer | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|
| Allen Karen | |||||||
| Director | 1.00 | X | 1602 | 0 | 0 | ||
| Anderson PhD Eric | |||||||
| Director | 1.00 | X | 1802 | 0 | 0 | ||
| Andreasen PhD Niels-Erik | |||||||
| Director | 1.00 | X | 1802 | 0 | 0 | ||
| Barnett D Edward | |||||||
| Director | 1.00 | X | 1802 | 0 | 0 | ||
| Bietz DMIN Gordon | |||||||
| Director | 1.00 | X | 1802 | 0 | 0 | ||
| Biloff Niel L | |||||||
| Director | 1.00 | X | 1802 | 0 | 0 | ||
| Blair Mardian J | |||||||
| Director | 1.00 | X | 70787 | 0 | 0 | ||
| Carlson Ronald | |||||||
| Director | 1.00 | X | 1802 | 0 | 0 | ||
| Cauley Michael F | |||||||
| Director | 1.00 | X | 1802 | 0 | 0 | ||
| Cazeau Rosemarie | |||||||
| Director | 1.00 | X | 1802 | 0 | 0 | ||
| Coridan Dean | |||||||
| Director | 1.00 | X | 1802 | 0 | 0 | ||
| Cotton Sabrina | |||||||
| Director | 1.00 | X | 1602 | 0 | 0 | ||
| Craig Carlos | |||||||
| Director (beg 9/11) | 1.00 | X | 650 | 0 | 0 | ||
| Davidson James R | |||||||
| Director | 1.00 | X | 2552 | 0 | 0 | ||
| Davis Jerome | |||||||
| Director | 1.00 | X | 1802 | 0 | 0 | ||
| Denslow Kenneth A | |||||||
| Director (end 3/11) | 1.00 | X | 1152 | 0 | 0 | ||
| Drake III PhDCharles W | |||||||
| Director | 1.00 | X | 2675 | 0 | 0 | ||
| Edge Mike | |||||||
| Director | 1.00 | X | 1602 | 0 | 0 | ||
| Edmond Dana C | |||||||
| Director | 1.00 | X | 1802 | 0 | 0 | ||
| Eisele Melvin K | |||||||
| Director | 1.00 | X | 1802 | 0 | 0 | ||
| Gallimore Jay | |||||||
| Director | 1.00 | X | 1802 | 0 | 0 | ||
| Green Samuel L | |||||||
| Director | 1.00 | X | 2915 | 0 | 0 | ||
| Griffith Jr Buford | |||||||
| Director (beg 9/11) | 1.00 | X | 750 | 0 | 0 | ||
| Grove Rodney A | |||||||
| Director | 1.00 | X | 3865 | 0 | 0 | ||
| Hagele Elaine | |||||||
| Director | 1.00 | X | 3865 | 0 | 0 | ||
| Haley Steve | |||||||
| Director | 1.00 | X | 1802 | 0 | 0 | ||
| Hawkins Esq Judith W | |||||||
| Director | 1.00 | X | 1802 | 0 | 0 | ||
| Hayes Alta Sue | |||||||
| Director | 1.00 | X | 1802 | 0 | 0 | ||
| Henderschedt Robert R | |||||||
| Director/Exec VP | 50.00 | X | 1050296 | 0 | 138146 | ||
| Holley Leighton R | |||||||
| Director (end 4/11) | 1.00 | X | 1152 | 0 | 0 | ||
| Houmann Lars | |||||||
| Director/Exec VP | 15.00 | X | 1610483 | 0 | 225465 | ||
| Hurst Van G | |||||||
| Director | 1.00 | X | 1602 | 0 | 0 | ||
| Japas Carlos | |||||||
| Director | 1.00 | X | 1602 | 0 | 0 | ||
| Jernigan PhD Donald L | |||||||
| Director/CEO/President | 50.00 | X | 1868283 | 0 | 115854 | X | |
| Johnson MD Mark | |||||||
| Director | 1.00 | X | 1802 | 0 | 0 | ||
| Johnson Sandra K | |||||||
| Director/Sr VP | 50.00 | X | 693207 | 0 | 91501 | ||
| Just PhD Lois C | |||||||
| Director | 1.00 | X | 1802 | 0 | 0 | ||
| Knutson J Deryl | |||||||
| Director | 1.00 | X | 3865 | 0 | 0 | ||
| Lemon Thomas L | |||||||
| Vice Chairman/Director | 2.00 | X | 3865 | 0 | 0 | ||
| Livesay Donald | |||||||
| Chairman/Director | 2.00 | X | 3865 | 0 | 0 | ||
| Mendinghall Vanard J | |||||||
| Director (end 9/11) | 1.00 | X | 1152 | 0 | 0 | ||
| Mitchell Charles | |||||||
| Director | 1.00 | X | 1602 | 0 | 0 | ||
| Moore Larry | |||||||
| Vice Chairman/Director (beg 6/11) | 2.00 | X | 1600 | 0 | 0 | ||
| Morel Hubert | |||||||
| Director | 1.00 | X | 1802 | 0 | 0 | ||
| Moyer John | |||||||
| Director | 1.00 | X | 1802 | 0 | 0 | ||
| Orian Stephen | |||||||
| Director | 1.00 | X | 1802 | 0 | 0 | ||
| Pichette Ray | |||||||
| Director (beg 5/11) | 1.00 | X | 650 | 0 | 0 | ||
| Pollard Leslie | |||||||
| Director | 1.00 | X | 1602 | 0 | 0 | ||
| PursleyMD Timothy | |||||||
| Director | 1.00 | X | 1602 | 0 | 0 | ||
| Reed MD Monica P | |||||||
| Director | 1.00 | X | 597958 | 2145 | 111104 | ||
| Reiner Richard | |||||||
| Director/Exec VP | 50.00 | X | 1693089 | 0 | 58944 | ||
| Retzer Gordon | |||||||
| Vice Chairman/Sec/Dir (end 9/11) | 2.00 | X | 3115 | 0 | 0 | ||
| Robinson Randy | |||||||
| Director | 1.00 | X | 3865 | 0 | 0 | ||
| Scott Glynn C | |||||||
| Director | 1.00 | X | 3865 | 0 | 0 | ||
| Shaw Terry | |||||||
| Director/Exec VP/CFO/COO | 50.00 | X | 2966896 | 0 | 224228 | X | |
| Smith PhD David C | |||||||
| Director (end 6/11) | 1.00 | X | 2258 | 0 | 0 | ||
| Smith PhD Ron C | |||||||
| Vice Chairman/Sec/Dir | 2.00 | X | 3865 | 0 | 0 | ||
| Snyder Brent G | |||||||
| Director/Exec VP/CIO | 50.00 | X | 1014417 | 0 | 122083 | ||
| Stevens James L | |||||||
| Director | 1.00 | X | 1802 | 0 | 0 | ||
| Storfjell PhD Judith | |||||||
| Director (beg 2/11) | 1.00 | X | 650 | 0 | 0 | ||
| Thurber Gary F | |||||||
| Director | 1.00 | X | 1802 | 0 | 0 | ||
| Trevino Max A | |||||||
| Chairman/Director (end 5/11) | 2.00 | X | 6115 | 0 | 0 | ||
| Valentine II MDiv Maurice | |||||||
| Director (beg 5/11) | 1.00 | X | 1600 | 0 | 0 | ||
| Werner Thomas L | |||||||
| Director | 1.00 | X | 6129 | 0 | 11249 | ||
| Winston William | |||||||
| Director (beg 9/11) | 1.00 | X | 650 | 0 | 0 | ||
| Wright Bill E | |||||||
| Director (end 5/11) | 1.00 | X | 1152 | 0 | 0 | ||
| Wright Edward E | |||||||
| Director | 1.00 | X | 1802 | 0 | 0 | ||
| Schultz Michael | |||||||
| 5 highest paid | 50.00 | 1295015 | 0 | 154608 | X | ||
| Jones Donald G | |||||||
| 5 highest paid | 50.00 | 1082369 | 0 | 68066 | X | ||
| Crane David | |||||||
| 5 highest paid | 1.00 | 993882 | 1678 | 161249 | X | ||
| Harding John R | |||||||
| 5 highest paid | 1.00 | 936244 | 0 | 125766 | X | ||
| Finch Kenneth A | |||||||
| 5 highest paid | 1.00 | 903768 | 0 | 106032 | X | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 16900595 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 3823 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 1714295 | TotalOtherCompensation |
| Number Individuals GT100 K | 381 | NumberIndividualsGT100K |
| Formers Listed | 0 | FormersListed |
| Total Comp GT150 K | 1 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| Cerner Corporation | |||||
| PO Box 412702 | Kansas City | MO | 64141 | IT Serv/Support Fees | 15634301 |
| Executive Health Resources | |||||
| PO BOX 822688 | Philadelphia | PA | 19182 | Medical Compliance Consulting | 7362351 |
| Maxit Healthcare LLC | |||||
| PO Box 2589 | Fort Wayne | IN | 46801 | IT Staffing/Programming | 5345284 |
| Tapestry Asset Management | |||||
| 125 Village Blvd 270 | Princeton | NJ | 08540 | Investment Consulting | 2845656 |
| Cain Brothers Asset Management LLC | |||||
| 360 Madison Ave 5th Floor | New York | NY | 10017 | Asset Mgmt/Investment Consulting | 2345863 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 129 | NumberOfContractorsGT100K |
| All Other Contributions | 18000 | AllOtherContributions |
| Total Contributions | 18000 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (5 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome | Unrelated Business RevenueUnrelatedBusinessRevenue |
|---|---|---|---|---|
| Management Fees | 541610 | 129216409 | 128822099 | 394310 |
| Reimbursed Salaries & | 561000 | 128736104 | 128736104 | |
| Reimbursed Pharmaceuti | 446110 | 31640706 | 31640706 | |
| Centralized Services P | 900099 | 22391588 | 22391588 | |
| Partnership Income Rel | 900099 | 10577651 | 10555094 | 22557 |
Total Oth Program Service Revenue TotalOthProgramServiceRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 2957035 | TotalRevenueColumn |
| Related Or Exempt Function Income | 2957035 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 325519493 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 90898860 | TotalRevenueColumn |
| Exclusion | $90,898,860 | ExclusionAmount |
Royalties Revenue RoyaltiesRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 228698 | TotalRevenueColumn |
| Exclusion | $228,698 | ExclusionAmount |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | 29025 | Other |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | 198556 | Other |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | -169531 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -169531 | TotalRevenueColumn |
| Exclusion | -$169,531 | ExclusionAmount |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 416495520 | TotalRevenueColumn |
| Related Or Exempt Function Income | 325102626 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 416867 | UnrelatedBusinessRevenue |
| Exclusion | $90,958,027 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2019269 | Total |
| Program Services | 2019269 | ProgramServices |
Grants To Domestic Individuals GrantsToDomesticIndividuals
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 24455 | Total |
| Program Services | 24455 | ProgramServices |
Foreign Grants ForeignGrants
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 117000 | Total |
| Program Services | 117000 | ProgramServices |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 12061451 | Total |
| Management And General | 12061451 | ManagementAndGeneral |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 126596468 | Total |
| Program Services | 124585889 | ProgramServices |
| Management And General | 2010579 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 11445988 | Total |
| Program Services | 10203923 | ProgramServices |
| Management And General | 1242065 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 37334357 | Total |
| Program Services | 28460077 | ProgramServices |
| Management And General | 8874280 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 8482394 | Total |
| Program Services | 7728575 | ProgramServices |
| Management And General | 753819 | ManagementAndGeneral |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1281341 | Total |
| Management And General | 1281341 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1521996 | Total |
| Management And General | 1521996 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 25429450 | Total |
| Program Services | 25417582 | ProgramServices |
| Management And General | 11868 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 30240816 | Total |
| Program Services | 28945579 | ProgramServices |
| Management And General | 1295237 | ManagementAndGeneral |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 19201308 | Total |
| Program Services | 19201308 | ProgramServices |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3043116 | Total |
| Program Services | 3043116 | ProgramServices |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 5929010 | Total |
| Program Services | 5653804 | ProgramServices |
| Management And General | 275206 | ManagementAndGeneral |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 490865 | Total |
| Program Services | 40886 | ProgramServices |
| Management And General | 449979 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 67969290 | Total |
| Program Services | 67969290 | ProgramServices |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 19511344 | Total |
| Program Services | 19511344 | ProgramServices |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 248476 | Total |
| Management And General | 248476 | ManagementAndGeneral |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| Maintenance/Repairs | 8053972 | 8053972 | |
| Premier Rebate to facil | 7473224 | 7473224 | |
| Special Events | 1128616 | 1128616 | |
| Taxes - UBI | 140583 | 140583 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1159641 | Total |
| Program Services | 42884 | ProgramServices |
| Management And General | 1116757 | ManagementAndGeneral |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 390904430 | Total |
| Program Services | 358492177 | ProgramServices |
| Management And General | 32412253 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2450 | BOY |
| EOY | 2452 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2408091 | BOY |
| EOY | 3108135 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 216568 | BOY |
| EOY | 299462 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 15612076 | BOY |
| EOY | 19362092 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 294589828 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 161041501 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 89232130 | BOY |
| EOY | 133548327 | EOY |
Investments Other Securities InvestmentsOtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3607694417 | BOY |
| EOY | 3796731519 | EOY |
Investments Program Related InvestmentsProgramRelated
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 798619 | EOY |
Intangible Assets IntangibleAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 21978000 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 491641543 | BOY |
| EOY | 653472471 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4206807275 | BOY |
| EOY | 4629301077 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 95774943 | BOY |
| EOY | 130666619 | EOY |
Escrow Account Liability EscrowAccountLiability
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 419778 | BOY |
| EOY | 477276 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 10543495 | BOY |
| EOY | 9299480 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3948524340 | BOY |
| EOY | 4276075926 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4055262556 | BOY |
| EOY | 4416519301 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 151544719 | BOY |
| EOY | 212781776 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 151544719 | BOY |
| EOY | 212781776 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4206807275 | BOY |
| EOY | 4629301077 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | 25591090 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | 35645967 | ReconcilationOtherChanges |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
| Audit Committee | 1 | AuditCommittee |
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Supporting Organization509a3 | X | SupportingOrganization509a3 |
| Supporting Org509a3 Type1 | X | SupportingOrg509a3Type1 |
| Certification Checkbox | X | CertificationCheckbox |
| Contrib By Controlling Individual | 0 | ContribByControllingIndividual |
| Contribution By Related Party | 0 | ContributionByRelatedParty |
| Contrib By35 Controlled Entity | 0 | ContribBy35ControlledEntity |
Supported Org Information SupportedOrgInformation (22 entries)
| EINEIN | Type Of OrganizationTypeOfOrganization | Listed In Governing DocListedInGoverningDoc | AmountAmount |
|---|---|---|---|
| Adventist Health SystemSunbelt Inc | |||
| 591479658 | 3 | 1 | $0 |
| Adventist Health SystemGeorgia Inc | |||
| 581425000 | 3 | 1 | $0 |
| Jellico Community HospitalInc | |||
| 620924706 | 3 | 1 | $0 |
| Memorial Hospital Inc | |||
| 610594620 | 3 | 1 | $0 |
| Sunsystem Development Corporation | |||
| 592219301 | 7 | 1 | $0 |
| Florida Hospital Waterman Inc | |||
| 593140669 | 3 | 1 | $0 |
| Princeton Professional Services Inc | |||
| 591191045 | 9 | 1 | $0 |
| Florida Hospital Zephyrhills Inc | |||
| 592108057 | 3 | 1 | $0 |
| Fletcher HospitalInc | |||
| 560543246 | 3 | 1 | $0 |
| Memorial Health Systems Inc | |||
| 590973502 | 3 | 0 | $0 |
| Memorial Hospital - Flagler Inc | |||
| 592951990 | 3 | 0 | $0 |
| Memorial Hospital - West Volusia Inc | |||
| 593256803 | 3 | 0 | $0 |
| PorterCare Adventist Health System | |||
| 840438224 | 3 | 0 | $0 |
| Adventist Hinsdale Hospital | |||
| 362276984 | 3 | 0 | $0 |
| Adventist GlenOaks Hospital | |||
| 363208390 | 3 | 0 | $0 |
| Chippewa Valley Hospital & Oakview Care Centers Inc | |||
| 391365168 | 3 | 0 | $0 |
| Southwest Volusia Healthcare Corporation | |||
| 593149293 | 3 | 0 | $0 |
| Shawnee Mission Medical Center Inc | |||
| 480637331 | 3 | 0 | $0 |
| Adventist Bolingbrook Hospital | |||
| 651219504 | 3 | 0 | $0 |
| University Community Hospital Inc | |||
| 591113901 | 3 | 0 | $0 |
| Tarpon Springs Hospital Foundation Inc | |||
| 590898901 | 3 | 0 | $0 |
| Bert Fish Medical Center Inc | |||
| 593306983 | 3 | 0 | $0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Number Of Supported Orgs | 22 | TotalNumberOfSupportedOrgs |
| Sum Of Amounts | 0 | SumOfAmounts |
| General Explanation | Schedule A, Part IV, Supplemental Information: Part I, Line 11h column (iv): The filing organization meets the requirements of Reg. Section 1.509(a)-4(d)(1) by virtue of satisfying the requirements set forth in 1.509(a)-4(d)(2) as discussed below: (1) The governing documents of Adventist Health System Sunbelt Healthcare Corporation (AHSSHC) demonstrate that it is operated, supervised, or controlled by the General Conference of Seventh-day Adventists in accordance with IRC Section 509(a)(3)(B)(i). (2) The Articles of Incorporation of AHSSHC require that it operate to further the health ministry of the Seventh-day Adventist Church and to provide management, consulting, and related services to educational institutions and health care facilities. All but one of the supported organizations listed in Part I, line 11(h) of Schedule A operate hospitals and/or other health care facilities and are wholly owned by AHSSHC. The remaining organization, also wholly owned by AHSSHC, serves as a fund-raising foundation organization in support of many of the hospital organizations listed in Part I, line 11(h). AHSSHC is operating to support the Seventh-day Adventist Church by carrying out its health ministry mission. Its Articles of Incorporation state that it will support the nonprofit corporations for which it is the sole member and provides a listing of some but not all of its wholly owned subsidiaries. Although not all of the supported organizations are designated by name, AHSSHC meets the requirements set forth in Reg. Section 1.509(a)-4(d)(2)(i)(b)(2) since it is operating to support one of the purposes of the Seventh-day Adventist Church. | GeneralExplanation |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | Volunteers |
| Paid Staff Or Management | 0 | PaidStaffOrManagement |
| Media Advertisements | 0 | MediaAdvertisements |
| Mailings Members | 0 | MailingsMembers |
| Publications Or Broadcast | 0 | PublicationsOrBroadcast |
| Grants Other Organizations | 0 | GrantsOtherOrganizations |
| Direct Contact Legislators | 0 | DirectContactLegislators |
| Rallies Demonstrations | 0 | RalliesDemonstrations |
| Other Activities | 1 | OtherActivities |
| Other Activities | $1,072,384 | OtherActivitiesAmount |
| Total Lobbying Expenditures IIB | 1072384 | TotalLobbyingExpendituresIIB |
| Not Described In501c3 | 0 | NotDescribedIn501c3 |
Form990 Schedule C Part IV Form990ScheduleCPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | Explanation of Lobbying Activities: | Identifier |
| Return Reference | Part II-B, Line 1: | ReturnReference |
| Explanation | The corporation paid fees to retain the services of one consulting and one law firm and a public affairs company which performed lobbying activities on behalf of the corporation. The legislative consulting firm Forscey & Stinson was paid $937,234 and the law firm, Trauger & Tuke were paid a total of $60,000 (plus a $150 State of Tennessee fee associated with lobbying) during the year and the remaining $75,000 was paid to the Academy Advisor. | Explanation |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Agent Trustee Etc | 0 | AgentTrusteeEtc |
| Included On FS | 1 | IncludedOnFS |
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 19294584 | OtherCostOrOtherBasis |
| Book Value | 19294584 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 54050944 | OtherCostOrOtherBasis |
| Depreciation | 6971888 | Depreciation |
| Book Value | 47079056 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 215715817 | OtherCostOrOtherBasis |
| Depreciation | 153792730 | Depreciation |
| Book Value | 61923087 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 5528483 | OtherCostOrOtherBasis |
| Depreciation | 276883 | Depreciation |
| Book Value | 5251600 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 133548327 | TotalOfBookValueLandBuildings |
Other Securities OtherSecurities (5 entries)
| DescriptionDescription | Book ValueBookValue | Method Of ValuationMethodOfValuation |
|---|---|---|
| Long-Term Investments | 22084376 | C |
| Money Market Funds | 159747284 | F |
| Bonds | 2705003444 | F |
| Hedge Funds | 898404165 | F |
| Securities Lending Collateral | 11492250 | F |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Securities | 3796731519 | TotalOfBookValueSecurities |
Other Assets OtherAssets (5 entries)
| DescriptionDescription | Book ValueBookValue |
|---|---|
| Funds Held in Trust | 424192178 |
| Due From Related Parties and Affiliates | 113303028 |
| Other Non-current Assets | 32106945 |
| Other Current Receivable | 3072179 |
| Board Designated Funds-Current | 80798141 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | 653472471 | TotalBookValueOtherAssets |
Other Liabilities OtherLiabilities (7 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| Due to Related/Affiliated Entities | $3,727,589,379 |
| Inter Company Allocation TE Bonds | $7,478,599 |
| Other Current Liabilities | $93,375,995 |
| Other Deferred Revenues | $79,877,003 |
| Other Liabilities | $342,044,017 |
| Securities Lending Payable | $11,492,250 |
| Notes and Loans Payable | $14,218,683 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 4276075926 | TotalOfAmounts |
| Total Revenue | 416495520 | TotalRevenue |
| Total Expenses | 390904430 | TotalExpenses |
| Excess Or Deficit For Year | 25591090 | ExcessOrDeficitForYear |
| Net Unrealized GL On Investments | -7172783 | NetUnrealizedGLOnInvestments |
| Other | $42,818,750 | OtherAmount |
| Total Adjustments | 35645967 | TotalAdjustments |
| Excess Or Deficit Per FS | 61237057 | ExcessOrDeficitPerFS |
| Tot Revenue Etc Audited Fincl Stmt | 7033518894 | TotRevenueEtcAuditedFinclStmt |
| Net Unrealized Gains Investments | -255086 | NetUnrealizedGainsInvestments |
| Other Revenues | 6691715195 | OtherRevenues |
| Revenue Not Rptd F990 | 6691460109 | RevenueNotRptdF990 |
| Revenue Subtotal | 342058785 | RevenueSubtotal |
| Other Revenues Not Included | 74436735 | OtherRevenuesNotIncluded |
| Revenue Not Rptd On Fin Stmt | 74436735 | RevenueNotRptdOnFinStmt |
| Total Revenue Per Form990 | 416495520 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 6559346759 | TotExpensesEtcAuditedFinclStmt |
| Other Expenses Included | 6242879062 | OtherExpensesIncluded |
| Expenses Not Rptd F990 | 6242879062 | ExpensesNotRptdF990 |
| Expenses Subtotal | 316467697 | ExpensesSubtotal |
| Other Expenses Not Included | 74436733 | OtherExpensesNotIncluded |
| Expenses Not Rptd On Fin Stmt | 74436733 | ExpensesNotRptdOnFinStmt |
| Total Expenses Per Form990 | 390904430 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV (7 entries)
| Return ReferenceReturnReference | ExplanationExplanation | IdentifierIdentifier |
|---|---|---|
| Part IV, Line 2b: | A division of the filing organization conducts third-party administration type claims processing services on behalf of certain organizations. One of the programs for which claims processing is conducted is the Orange County Indigent Plan Program. Funding to assist in payment of claims under this program is partially funded by an unrelated 501(c)(3) hospital system located in the Greater Orlando area. The filing organization has established an escrow account to hold funds collected from the unrelated hospital system that will be used to pay for medical care for indigent patients under this program. | |
| Part X: | 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. | Description of Uncertain Tax Positions Under FIN 48: |
| Transfer from tax-exempt subs 35,000,000. Allocation of debt costs to tax-exempt subs 20,057. Transfer of Insurance Captive Liability from tax-exempt subs -59,189. Deconsolidation of tax-exempt hospital subsidiary -1,350,000. Transfer to tax-exempt affiliates -1,529,433. Reclassification of Minority Interest Liability 21,970,915. Funding of pension liability for tax-exempt sub -11,233,600. Total to Schedule D, Part XI, Line 8: 42,818,750. | Part XI, Line 8 - Other Adjustments: | |
| Revenue of Affiliated Organizations Included in Audited Financial Statements 6,691,715,195. | Part XII, Line 2d - Other Adjustments: | |
| Reclass Expense 66,963,509. Premier Distribution Allocated to Subs 7,473,224. Rounding 2. | Part XII, Line 4b - Other Adjustments: | |
| Expense of Affiliated Organizations Included in Audited Financial Statements 6,242,879,062. | Part XIII, Line 2d - Other Adjustments: | |
| Reclass Expenses 66,963,509. Premier Distribution Allocated to Subs 7,473,224. | Part XIII, Line 4b - Other Adjustments: |
Schedule F IRS990ScheduleF
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | 1 | GrantRecordsMaintained |
Accts Actvs Out US Table AcctsActvsOutUSTable (10 entries)
| RegionRegion | Number Of OfficesNumberOfOffices | Number Of EmployeesNumberOfEmployees | Type Of Activities ConductedTypeOfActivitiesConducted | Specific Services ProvidedSpecificServicesProvided | Total ExpendituresTotalExpenditures |
|---|---|---|---|---|---|
| Europe | 0 | 0 | Business Investment site visits | Travel expense for investment company site visits | 43527 |
| East Asia | 0 | 0 | Speakers | 41229 | |
| South Asia | 0 | 0 | Speakers | 1810 | |
| Sub-Saharan Africa | 0 | 0 | Speakers | 1354 | |
| Central America & Caribbean | 0 | 0 | Business Meetings | 3119 | |
| Europe | 0 | 0 | Passive Investments | 19883354 | |
| North America | 0 | 0 | Passive Investments | 11264422 | |
| Central America and the Caribbean | 0 | 0 | Passive Investments | 850721652 | |
| Sub-Saharan Africa | 0 | 0 | Grants for Mission Trips | 78000 | |
| Central America & Caribbean | 0 | 0 | Grants for Mission Trips | 39000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Subtotal Number Of Offices | 0 | SubtotalNumberOfOffices |
| Subtotal Number Of Employees | 0 | SubtotalNumberOfEmployees |
| Cont Number Of Offices | 0 | ContNumberOfOffices |
| Cont Number Of Employees | 0 | ContNumberOfEmployees |
| Total Number Of Offices | 0 | TotalNumberOfOffices |
| Total Number Of Employees | 0 | TotalNumberOfEmployees |
| Subtotal Amount Spent | 881960467 | SubtotalAmountSpent |
| Cont Amount Spent | 117000 | ContAmountSpent |
| Total Amount Spent | 882077467 | TotalAmountSpent |
Grants To Orgs Outside US GrantsToOrgsOutsideUS (3 entries)
| RegionRegion | Purpose Of GrantPurposeOfGrant | Amount Of Cash GrantAmountOfCashGrant | Manner Of Cash DisbursementMannerOfCashDisbursement | Method Of ValuationMethodOfValuation |
|---|---|---|---|---|
| Sub-Saharan Africa | Ethiopia Mission Trip | 39000 | check | cash |
| Central America and the Caribbean | Guatemala Mission Trip | 39000 | check | cash |
| Sub-Saharan Africa | Hospital in Chad | 39000 | check | cash |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Number Of501c3 Orgs | 3 | TotalNumberOf501c3Orgs |
| Total Number Of Other Orgs | 0 | TotalNumberOfOtherOrgs |
| Transfer To Foreign Corp | 1 | TransferToForeignCorp |
| Interest In Foreign Trust | 0 | InterestInForeignTrust |
| Own Foreign Corp | 1 | OwnForeignCorp |
| Passive Foreign Invest Co | 1 | PassiveForeignInvestCo |
| Foreign Partnership | 1 | ForeignPartnership |
| Boycott Countries | 0 | BoycottCountries |
Form990 Schedule F Part V Form990ScheduleFPartV (2 entries)
| IdentifierIdentifier | ExplanationExplanation |
|---|---|
| Procedure for Monitoring Grants Outside the U.S.: | Schedule F, Part I, Line 2: Foreign grants are generally made to organizations within the U.S. to assist with funding for mission related trips whose purpose is to provide health care services in foreign locations and/or construct and build health care facilities in foreign locations. The U.S. organizations sponsoring the health-related mission trips are often related organizations that are exempt from Federal Income Tax under 501(c)(3) or other 501(c)(3) organizations that are a part of the group exemption ruling issued to the General Conference of Seventh-Day Adventists. Accordingly, the filing organization has not established specific procedures for monitoring the use of grant funds outside the United States as the filing organization does not have a grant making program that would necessitate such procedures and is generally making an indirect foreign grant through another U.S. charitable organization. |
| Method Used to Acccount for Expenditures: | Schedule F, Part I, Line 3: All expenses relate to travel costs or cash grants to U.S. charities for foreign mission trips. |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Records Maintained | 1 | RecordsMaintained |
Recipient Table RecipientTable (31 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EIN Of RecipientEINOfRecipient | IRC SectionIRCSection | Amount Of Cash GrantAmountOfCashGrant | Purpose Of GrantPurposeOfGrant | Address Line2AddressUS/AddressLine2 |
|---|---|---|---|---|---|---|---|---|
| Bolingbrook Hospital Foundation | ||||||||
| 500 Remington Blvd | Bolingbrook | IL | 60440 | 900494445 | 501(c)(3) | 10000 | General Support | |
| Emory-Adventist Inc | ||||||||
| 3949 S Cobb Drive | Smyrna | GA | 30080 | 582171011 | 501(c)(3) | 10000 | General Support | |
| Florida Hospital College of Health Sciences | ||||||||
| 671 Winyah Dr | Orlando | FL | 32803 | 593069793 | 501(c)(3) | 21878 | General Support | |
| Florida Hospital Waterman Foundation | ||||||||
| 1500 Waterman Way | Tavares | FL | 32778 | 592330166 | 501(c)(3) | 11500 | General Support | |
| Forest Lake Academy | ||||||||
| 500 Education Loop | Apopka | FL | 32703 | 590816443 | 501(c)(3) | 120500 | General Support | |
| Foundation for Shawnee Mission Medical Center | ||||||||
| 7315 Frontage Rd Ste221 | Shawnee Mission | KS | 66204 | 480868859 | 501(c)(3) | 10000 | General Support | |
| GlenOaks Hospital Foundation | ||||||||
| 701 Winthrop Ave | Glendale Heights | IL | 60139 | 363926044 | 501(c)(3) | 10000 | General Support | |
| Gulf States Conference Assoc of Seventh-Day Adventists | ||||||||
| PO BOX 240249 | Montgomery | AL | 36124 | 646001060 | 501(c)(3) | 31500 | General Support/Healthcare Grant | |
| Helen Ellis Memorial Hospital Foundation Inc | ||||||||
| 1395 S Pinellas Ave | Tarpon Springs | FL | 34689 | 593690149 | 501(c)(3) | 11000 | General Support | |
| Hinsdale Hospital Foundation | ||||||||
| 120 N Oak St | Hinsdale | IL | 60521 | 521466387 | 501(c)(3) | 10000 | General Support | |
| Indiana Conference of Seventh-day Adventists | ||||||||
| 15250 N Meridian Street PO Box 1950 | Carmel | IN | 46082 | 350976759 | 501(c)(3) | 50000 | Healthcare Grant | 1950 |
| Junior Achievement of Central Florida | ||||||||
| 2121 Camden Rd | Orlando | FL | 32803 | 590972112 | 501(c)(3) | 12644 | General Support | |
| LaGrange Memorial Hospital Foundation | ||||||||
| 5101 S Willow Springs Rd | La Grange | IL | 60525 | 300247776 | 501(c)(3) | 10000 | General Support | |
| Lake Union Conference of Seventh-Day Adventists | ||||||||
| PO Box C | Berrien Springs | MI | 49103 | 381474933 | 501(c)(3) | 200000 | Annual General Support | |
| Michigan Conference of Seventh-Day Adventists dba Lifestyle Matters | ||||||||
| 320 W St Joseph | Lansing | MI | 48933 | 381467642 | 501(c)(3) | 60000 | Healthcare Grant | |
| Memorial Health Systems Foundation Inc | ||||||||
| 770 West Granada Blvd | Ormond Beach | FL | 32174 | 311771522 | 501(c)(3) | 10000 | General Support | |
| Mid-America Union Conference of Seventh-Day Adventists | ||||||||
| PO Box 6128 | Lincoln | NE | 68506 | 476006806 | 501(c)(3) | 200000 | Annual General Support | |
| North American Division of Seventh-Day Adventists | ||||||||
| 12501 Old Columbia Pike | Silver Spring | MD | 20902 | 203164300 | 501(c)(3) | 25000 | General Support | |
| Oakwood College | ||||||||
| 7000 Adventist Blvd NW | Huntsville | AL | 35896 | 630366652 | 501(c)(3) | 86500 | Annual General Support | |
| Rocky Mountain Adventist Healthcare Foundation | ||||||||
| 7995 E Prentice Ave 204 | Greenwood Village | CO | 80111 | 840745018 | 501(c)(3) | 40000 | General Support | |
| South Central Nursing Homes Inc | ||||||||
| 602 Courtland 200 | Orlando | FL | 32804 | 611242373 | 501(c)(3) | 200000 | Documentary "Adventists: Called to Heal" | |
| Southern Adventist University | ||||||||
| PO BOX 370 | Collegedale | TN | 37315 | 620536733 | 501(c)(3) | 20000 | General Support | |
| Southern Union Conference of Seventh-Day Adventists | ||||||||
| PO Box 849 3978 Memorial Dr | Decatur | GA | 30031 | 586002274 | 501(c)(3) | 213250 | Annual General Support/Healthcare Grant | |
| Southwest Region Conference of Seventh-Day Adventists | ||||||||
| 2215 Lanark Ave | Dallas | TX | 75203 | 756002433 | 501(c)(3) | 31500 | General Support | |
| Southwestern Union Conference of Seventh-Day Adventists | ||||||||
| PO Box 4000 777 Burleson Blvd | Burleson | TX | 76097 | 750904016 | 501(c)(3) | 208000 | Annual General Support | |
| SunSystem Development Corporation | ||||||||
| 900 Hope Way | Altamonte Springs | FL | 32714 | 592219301 | 501(c)(3) | 123721 | General Support | |
| Takoma Regional Hospital Inc | ||||||||
| 401 Takoma Ave | Greeneville | TN | 37743 | 510603966 | 501(c)(3) | 10000 | General Support | |
| US Dream Academy | ||||||||
| 10400 Little Patuxent Pkwy 300 | Columbia | MD | 21044 | 593514841 | 501(c)(3) | 10000 | General Support | |
| Union College | ||||||||
| 3800 South 48th Street | Lincoln | NE | 68506 | 470405319 | 501(c)(3) | 15000 | General Support | |
| University Community Hospital Foundation Inc | ||||||||
| 3100 E Fletcher Ave | Tampa | FL | 33613 | 592554889 | 501(c)(3) | 10000 | General Support | |
| Adventist Health System Sunbelt Inc dba Huguley Memorial Medical Center | ||||||||
| 900 Hope Way | Altamonte Springs | FL | 32714 | 591479658 | 501(c)(3) | 1870890 | General Support | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Nbr Of501 C3 And Govt Grants | 31 | TotalNbrOf501C3AndGovtGrants |
| Total Nbr Of Other Organizations | 0 | TotalNbrOfOtherOrganizations |
Form990 Schedule I Part III Form990ScheduleIPartIII (2 entries)
| Type Of GrantTypeOfGrant | Number Of RecipientsNumberOfRecipients | Amount Of Cash GrantAmountOfCashGrant |
|---|---|---|
| Medical School Scholarships | 10 | 10000 |
| SHARE Families | 6 | 14455 |
Form990 Schedule I Part IV Form990ScheduleIPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | Procedure for Monitoring Grants in the U.S.: | Identifier |
| Return Reference | Part I, Line 2: | ReturnReference |
| Explanation | Schedule I, Part I, Line 2: Grants are generally made only to related organizations that are exempt from Federal Income Tax under 501(c)(3) or to other 501(c)(3) organizations that are a part of the group exemption ruling issued to the General Conference of Seventh-Day Adventists. Accordingly, the filing organization has not established specific procedures for monitoring the use of grant funds in the United States as the filing organization does not have a grant making program that would necessitate such procedures. | Explanation |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| First Class Or Charter Travel | X | FirstClassOrCharterTravel |
| Travel For Companions | X | TravelForCompanions |
| Idemnification Gross Up Payments | X | IdemnificationGrossUpPayments |
| Discretionary Spending Account | X | DiscretionarySpendingAccount |
| Housing Allowance Or Residence | X | HousingAllowanceOrResidence |
| Club Dues Or Fees | X | ClubDuesOrFees |
| Written Policy Re T And E Expenses | 1 | WrittenPolicyReTAndEExpenses |
| Substantiation Required | 1 | SubstantiationRequired |
| Compensation Committee | X | CompensationCommittee |
| Independent Consultant | X | IndependentConsultant |
| Compensation Survey | X | CompensationSurvey |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | 0 | SeverancePayment |
| Supplemental Nonqual Retire Plan | 1 | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | 0 | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | 0 | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | 0 | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | 0 | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | 0 | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | 0 | AnyNonFixedPayments |
| Initial Contract Exception | 0 | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (13 entries)
| Base Compensation Filing OrgBaseCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Filing OrgBonusFilingOrg | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Filing OrgOtherCompensationFilingOrg | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Filing OrgDeferredCompFilingOrg | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Filing OrgTotalCompensationFilingOrg | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Henderschedt Robert R | |||||||||||||
| 583876 | 0 | 172147 | 0 | 294273 | 0 | 105897 | 0 | 32249 | 0 | 1188442 | 0 | 87688 | 0 |
| Houmann Lars | |||||||||||||
| 848313 | 0 | 241337 | 0 | 520833 | 0 | 179768 | 0 | 45697 | 0 | 1835948 | 0 | 153591 | 0 |
| Jernigan PhD Donald L | |||||||||||||
| 923258 | 0 | 271033 | 0 | 673992 | 0 | 13343 | 0 | 102511 | 0 | 1984137 | 0 | 0 | 0 |
| Johnson Sandra K | |||||||||||||
| 383779 | 0 | 92546 | 0 | 216882 | 0 | 44522 | 0 | 46979 | 0 | 784708 | 0 | 28751 | 0 |
| Reed MD Monica P | |||||||||||||
| 418295 | 0 | 98685 | 0 | 80978 | 2145 | 72999 | 0 | 38105 | 0 | 709062 | 2145 | 56486 | 0 |
| Reiner Richard | |||||||||||||
| 848313 | 0 | 240974 | 0 | 603802 | 0 | 13343 | 0 | 45601 | 0 | 1752033 | 0 | 292670 | 0 |
| Shaw Terry | |||||||||||||
| 848313 | 0 | 241506 | 0 | 1877077 | 0 | 179768 | 0 | 44460 | 0 | 3191124 | 0 | 153591 | 0 |
| Snyder Brent G | |||||||||||||
| 572439 | 0 | 152301 | 0 | 289677 | 0 | 101683 | 0 | 20400 | 0 | 1136500 | 0 | 71170 | 0 |
| Schultz Michael | |||||||||||||
| 626408 | 0 | 157581 | 0 | 511026 | 0 | 121215 | 0 | 33393 | 0 | 1449623 | 0 | 82488 | 0 |
| Jones Donald G | |||||||||||||
| 357153 | 0 | 62101 | 0 | 663115 | 0 | 48357 | 0 | 19709 | 0 | 1150435 | 0 | 23970 | 0 |
| Crane David | |||||||||||||
| 652992 | 0 | 164838 | 0 | 176052 | 1678 | 131272 | 0 | 29977 | 0 | 1155131 | 1678 | 102999 | 0 |
| Harding John R | |||||||||||||
| 481967 | 0 | 53945 | 0 | 400332 | 0 | 95720 | 0 | 30046 | 0 | 1062010 | 0 | 56038 | 0 |
| Finch Kenneth A | |||||||||||||
| 407835 | 0 | 99166 | 0 | 396767 | 0 | 77314 | 0 | 28718 | 0 | 1009800 | 0 | 43407 | 0 |
Form990 Schedule J Part III Form990ScheduleJPartIII (3 entries)
| Return ReferenceReturnReference | ExplanationExplanation | IdentifierIdentifier |
|---|---|---|
| Part I, Line 1a | The filing organization is the top-tier parent of a system of healthcare organizations known as Adventist Health System (AHS). Members of the filing organization's executive management team that hold the position of Vice-President or above (including those who provide services at the filing organization and those who perform executive management services at AHS subsidiary organizations) are compensated by and on the payroll of the filing organization. First-class or charter travel: Pursuant to the AHS system-wide general policy regarding business travel, no reimbursement will be provided for any additional cost incurred with respect to first-class or charter air travel beyond the cost of a regular coach airfare. As a means of providing additional business travel reimbursement for those members of the AHSSHC senior executive management team that travel frequently on behalf of AHS, a special annual travel allowance is provided for those executives. As AHS operates 42 hospitals and a number of other health care facilities in 10 states, the senior leadership of AHSSHC travel extensively and often visit multiple hospital locations in different states as a part of a single business trip. The special travel allowance can provide reimbursements to the executive for such items as the purchase of air travel upgrade coupons, to cover the cost differential between coach and first-class travel, or to cover the cost of a charter flight. The special travel allowance benefit was originally authorized by and codified into a policy by the AHSSHC Board Strategy & Compensation Committee (the Committee), an independent body of the AHSSHC Board of Directors, who also approves the annual cap on the amount of the allowance. The special travel allowance has an annual cap of $24,000 for members of the AHS Corporate Management Committee (6 individual executives) and $15,000 for AHS Corporate Office Senior Vice Presidents (11 individual executives). In appropriate circumstances, the CEO of AHS has been approved by the Committee to travel by charter for AHS business trips in an amount which may exceed the established annual cap. Those executives who receive the special travel allowance are responsible for tracking the expenses reimbursable under the special travel allowance and must submit such expenses on their accountable plan expense report. Any taxable reimbursements made to executives under the special travel allowance arrangement are treated as taxable compensation to the executive. Travel for companions: AHSSHC has a Corporate Executive Policy that provides a benefit to allow for a traveling AHSSHC executive to have his or her spouse accompany the executive on 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: The AHS executive compensation philosophy is designed and administered to compensate executives for duties performed irrespective of geographic market differences. Certain AHS hospitals are located in communities where the cost of housing is significantly greater than in other hospital locations in AHS. Accordingly, AHS provides housing assistance in the form of a shared equity interest in a residence to eligible executives who are expected to live within the immediate proximity of hospital facilities located in high-cost communities. Under the AHS system-wide policy governing the employer-provided housing assistance, only four individuals are eligible to receive the housing benefit (an AHS regional CEO and CFO and two hospital CEOs). As with all AHSSHC Corporate Executive Policies, the housing benefit policy was authorized and approved by the AHSSHC Board Strategy & Compensation Committee, an independent committee of the AHSSHC Board of Directors. The appropriate annual dollar amount of the housing benefit provided to the above-described eligible executives is treated as taxable compensation to the employee. AHS reviews the overall compensation of its executives on an annual basis to ensure that the total compensation package is reasonable. 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 4b | 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. ------------------------------------------------------- Robert Henderschedt $109,054 $100,738 $ 104,326 $ 0 Lars Houmann $166,425 $171,118 $ 300,887 $ 0 Donald Jernigan $191,945 $175,445 $ 348,321 $ 0 Sandra Johnson $ 47,679 $ 32,423 $ 146,927 $ 0 Monica Reed $ 59,656 $ 56,671 $ 0 $ 0 Richard K. Reiner $173,337 $476,453 $ 54,621 $ 0 Terry D. Shaw $166,425 $161,759 $1,652,483 $ 0 Brent G. Snyder $104,840 $ 71,369 $ 148,788 $ 0 Michael Schultz $107,872 $102,555 $ 342,979 $ 0 Donald Jones $ 51,514 $ 30,155 $ 562,493 $ 0 David Crane $117,929 $103,345 $ 0 $ 0 John Harding $ 82,377 $ 68,319 $ 302,870 $ 0 Kenneth Finch $ 63,971 $ 48,602 $ 321,975 $ 0 | |
| Part III | Part I, Question 3: As noted in our response to question 15 of Part VI of Form 990, the individual who serves as the CEO of the filing organization is compensated by Adventist Health System Sunbelt Healthcare Corporation (AHSSHC) for that individual's role in serving as the system-wide CEO of AHS. Compensation and benefits provided to this individual are determined pursuant to policies, procedures, and processes of AHSSHC that are designed to ensure compliance with the intermediate sanctions laws as set forth in IRC Section 4958. AHSSHC uses all of the following to establish compensation of the CEO: - Compensation committee; - Independent compensation consultant; - Compensation survey or study; and - Approval by the board or compensation committee. | Supplemental Information |
Schedule L IRS990ScheduleL
Form990 Schedule L Part IV Form990ScheduleLPartIV (6 entries)
| RelationshipRelationship | Amount Of TransactionAmountOfTransaction | Description Of TransactionDescriptionOfTransaction | Sharing Of RevenuesSharingOfRevenues |
|---|---|---|---|
| Kevin Edgerton | |||
| Family of Board Member | 206933 | Employee compensation | 0 |
| Suzanne Keller | |||
| Family of Board Member | 26990 | Employee compensation | 0 |
| Tim Reiner | |||
| Family of Board Member | 303852 | Employee compensation | 0 |
| Heidi Reiner | |||
| Family of Board Member | 61195 | Employee compensation | 0 |
| Terry Owen | |||
| Family of Board Member | 713079 | Employee compensation | 0 |
| Cynthia Rodgers | |||
| Family of Board Member | 17814 | Employee Compensation | 0 |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (9 entries)
| Return ReferenceReturnReference | ExplanationExplanation | IdentifierIdentifier |
|---|---|---|
| Form 990, Part VI, Section A, line 6 | The governing documents of the filing organization provide that the membership of the organization consists of those individuals who as of October 1, 2009 are duly elected members of at least one of the following: Executive Committee of the Southern Union Conference of Seventh-day Adventists, Executive Committee of the Southwestern Union Conference of Seventh-day Adventists, Executive Committee of the Lake Union Conference of Seventh-day Adventists, Executive Committee of the Mid-America Union Conference of Seventh-day Adventists and the Board of Directors of the filing organization. | |
| Form 990, Part VI, Section A, line 7a | The Board of Directors of the filing organization are elected by the membership of the organization or are appointed by virtue of their employment with the organization itself or by virtue of their position within one of the Seventh-Day Adventist Conferences listed above. | |
| Form 990, Part VI, Section A, line 7b | The membership of the filing organization has certain reserved powers as set forth in the Bylaws of the filing organization. These reserved powers include the following: a) to approve any amendment, restatement, or repealing of the Articles of Incorporation or Bylaws of the filing organization; and b) to appoint individuals to fill any vacancies on the Board of Directors of the Corporation. | |
| Form 990, Part VI, Section B, line 11 | The filing organization's current year Form 990 was reviewed by the Senior Vice President of Finance prior to its filing with the IRS. The review conducted by the Senior Vice President of Finance did not include the review of any supporting workpapers that were used in preparation of the current year Form 990, but did include a review of the entire Form 990 and all supporting schedules. | |
| Form 990, Part VI, Section B, line 12c | The Conflict of Interest Policy of the filing organization applies to members of its Board of Directors and its principal officers (to be known as Interested Persons). In connection with any actual or possible conflict of interests, any member of the Board of Directors of the filing organization or any principal officer of the filing organization (i.e. Interested Persons) must disclose the existence of any financial interest with the filing organization and must be given the opportunity to disclose all material facts concerning the financial interest/arrangement to the Board of Directors of the filing organization or to any members of a committee with board delegated powers that is considering the proposed transaction or arrangement. Subsequent to any disclosure of any financial interest/arrangement and all material facts, and after any discussion with the relevant Board member or principal officer, the remaining members of the Board of Directors or committee with board delegated powers shall discuss, analyze, and vote upon the potential financial interest/arrangement to determine if a conflict of interest exists. According to the filing organization's Conflict of Interest Policy, an Interested Person may make a presentation to the Board of Directors (or committee with board delegated powers), but after such presentation, shall leave the meeting during the discussion of, and the vote on, the transaction or arrangement that results in a conflict of interest. Each Interested Person, as defined under the filing organization's Conflict of Interest Policy, shall annually sign a statement which affirms that such person has received a copy of the Conflict of Interests policy, has read and understands the policy, has agreed to comply with the policy, and understands that the filing organization is a charitable organization that must primarily engage in activities which accomplish one or more of its exempt purposes. The filing organization's Conflict of Interest Policy also requires that periodic reviews shall be conducted to ensure that the filing organization operates in a manner consistent with its charitable purposes. | |
| Form 990, Part VI, Section B, line 15 | Compensation and benefits provided to Adventist Health System Sunbelt Healthcare Corporation's (AHSSHC) CEO, CFO, Vice Presidents or key employees are determined pursuant to policies, procedures, and processes that are designed to ensure compliance with the intermediate sanctions laws as set forth in IRC Section 4958. AHSSHC has taken steps to ensure that processes are in place to satisfy the rebuttable presumption of reasonableness standard as set forth in Treasury Regulation 53.4958-6 with respect to its active executive-level positions. The AHSSHC Board Strategy and Compensation Committee (the Committee) serves as the governing body for all executive compensation matters. The Committee is composed of certain members of the Board of Directors (the Board) of AHSSHC. Voting members of the Committee include only individuals who serve on the Board as independent representatives of the community, who hold no employment positions with AHSSHC and who do not have relationships with any of the individuals whose compensation is under their review that impacts their best independent judgment as fiduciaries of AHSSHC. The Committee's role is to review and approve all components of the executive compensation plan of AHSSHC. As an independent governing body with respect to executive compensation, it should be noted that the Committee will often confer in executive sessions on matters of compensation policy and policy changes. In such executive sessions, no members of management of AHSSHC are present. The Committee is advised by an independent third party compensation advisor. This advisor prepares all the benchmark studies for the Committee. Compensation levels are benchmarked with a national peer group of other not-for-profit healthcare systems and hospitals of similar size and complexity to AHS and each of its affiliated entities. The following principles guide the establishment of individual executive compensation: - The salary of the President/CEO of AHS will not exceed the 40th percentile of comparable salaries paid by similarly situated organizations; and - Other executive salaries shall be established using market medians. The compensation philosophy, policies, and practices of AHSSHC are consistent with the organization's faith-based mission and conform to applicable laws, regulations, and business practices. As a faith-based organization sponsored by the Seventh-day Adventist Church (the Church), AHSSHC's philosophy and principles with respect to its executive compensation practices reflect the conservative approach of the Church's mission of service and were developed in counsel with the Church's leadership. | |
| Form 990, Part VI, Section C, line 19 | The filing organization is the parent organization of a system of healthcare organizations known as Adventist Health System (AHS). Each year, AHS publishes an annual report document that includes a financial report for the relevant year as well as a community benefit report. The financial report and community benefit report are presented on a consolidated basis and represent all of the activities, results of operations, and financial position at year-end of the entire AHS system. In addition, the audited consolidated financial statements of AHS and of the AHS "Obligated Group" are filed annually with the Municipal Securities Rulemaking Board (MSRB). The "Obligated Group" is a group of AHSSHC subsidiaries that are jointly and severally liable under a Master Trust Indenture that secures debt primarily issued on a tax-exempt basis. Unaudited quarterly financial statements prepared in accordance with Generally Accepted Accounting Principles (GAAP) are also filed with MSRB for AHS on a consolidated basis and for the grouping of AHS subsidiaries comprising the "Obligated Group". The filing organization does not generally make its governing documents or conflict of interest policy available to the public. | |
| Part VII, Section A | Two members of the Board of Directors: Lars Houmann and Monica Reed, MD, and three of the highest paid employees: John Harding, Kenneth Finch, and David Crane, who devote less than full-time to the filing organization (based upon the average number of hours per week shown in column (B) on page 7 of the return) the compensation amounts shown in columns (D) and (F) on page 7 were provided in conjunction with that person's responsibilities and roles in serving in an executive leadership position for a subsidiary organization of the filing organization. Lars Houmann, Monica Reed, MD, John Harding, Kenneth Finch and David Crane devote approximately 50 hours per week in conjunction with serving in their respective executive leadership position for subsidiary hospital organizations. Mardian Blair, a member of the Board, received compensation from a grandfathered paid time off plan. | |
| Form 990, Part XI, line 5: | Net unrealized losses on investments: -7,172,783. Transfer from tax-exempt subs 35,000,000. Allocation of debt costs to tax-exempt subs 20,057. Transfer of Insurance Captive Liability from tax-exempt subs -59,189. Deconsolidation of tax-exempt hospital subsidiary -1,350,000. Transfer to tax-exempt affiliates -1,529,433. Reclassification of Minority Interest Liability 21,970,915. Funding of pension liability for tax-exempt sub -11,233,600. Total to Form 990, Part XI, Line 5: 35,645,967. | Changes in Net Assets or Fund Balances: |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII (107 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Public Charity StatusPublicCharityStatus | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Controlled OrgControlledOrg | Direct Controlling Entity NADirectControllingEntityNA |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Adventist Bolingbrook Hospital | |||||||||||
| 500 Remington Blvd | Bolingbrook | IL | 60440 | 651219504 | Operation of Hospital & Related Services | IL | 501(c)(3) | 170(b)(1)(A)(iii) | Adventist Hlth SystemSunbelt Inc | 0 | |
| Adventist Care Centers - Courtland Inc | |||||||||||
| 730 Courtland Street | Orlando | FL | 32804 | 205774723 | Operation of Home for the Aged/Hlthcare Delivery | FL | 501(c)(3) | 509(a)(2) | Sunbelt Hlth Care Centers Inc | 0 | |
| Adventist GlenOaks Hospital | |||||||||||
| 701 Winthrop Avenue | Glendale Heights | IL | 60139 | 363208390 | Operation of Hospital & Related Services | IL | 501(c)(3) | 170(b)(1)(A)(iii) | Adventist Hlth SystemSunbelt Inc | 0 | |
| Adventist Hlth Mid-America Inc | |||||||||||
| 9100 W 74th Street | Shawnee Mission | KS | 66204 | 521347407 | Hlthcare Related Services | KS | 501(c)(3) | 509(a)(3) Type I | Adventist Hlth SystemSunbelt Inc | 0 | |
| Adventist Hlth Partners Inc | |||||||||||
| 1000 Remington Blvd Ste 200 | Bolingbrook | IL | 60440 | 364138353 | Operate out-patient physician clinics | IL | 501(c)(3) | 170(b)(1)(A)(iii) | AHS Midwest Management Inc | 0 | |
| Adventist Hlth System Affiliated Benefit Trust | |||||||||||
| 111 N Orlando Avenue | Winter Park | FL | 32789 | 266422966 | Promotion of Hlthcare | FL | 501(c)(3) | 509(a)(3) Type I | Adventist Hlth System Sunbelt Hlthcare Corp | 1 | |
| Adventist Hlth System Sunbelt Hlthcare Corp | |||||||||||
| 111 N Orlando Avenue | Winter Park | FL | 32789 | 592170012 | Management Services | FL | 501(c)(3) | 509(a)(3) Type I | 0 | N/A | |
| Adventist Hlth SystemGeorgia Inc | |||||||||||
| 1035 Red Bud Road | Calhoun | GA | 30701 | 581425000 | Operation of Hospital & Related Services | GA | 501(c)(3) | 170(b)(1)(A)(iii) | Adventist Hlth System Sunbelt Hlthcare Corp | 1 | |
| Adventist Hlth SystemSunbelt Inc | |||||||||||
| 111 N Orlando Avenue | Winter Park | FL | 32789 | 591479658 | Operation of Hospital & Related Services | FL | 501(c)(3) | 170(b)(1)(A)(iii) | Adventist Hlth System Sunbelt Hlthcare Corp | 1 | |
| Adventist Hlth SystemTexas Inc | |||||||||||
| 602 Courtland Street | Orlando | FL | 32804 | 742578952 | Inactive | TX | 501(c)(3) | 509(a)(2) | Adventist Hlth System Sunbelt Hlthcare Corp | 1 | |
| Adventist Hinsdale Hospital | |||||||||||
| 120 North Oak Street | Hinsdale | IL | 60521 | 362276984 | Operation of Hospital & Related Services | IL | 501(c)(3) | 170(b)(1)(A)(iii) | Adventist Hlth SystemSunbelt Inc | 0 | |
| AHS Midwest Management Inc | |||||||||||
| 1000 Remington Blvd Ste 200 | Bolingbrook | IL | 60440 | 363354567 | Operation of Physician Practice Mgmt | IL | 501(c)(3) | 509(a)(3) Type I | Adventist Hlth SystemSunbelt Inc | 0 | |
| AHSCentral Texas Inc | |||||||||||
| 1301 Wonder World Drive | San Marcos | TX | 78666 | 742621825 | Provide Office Space - Medical Professionals | TX | 501(c)(3) | 509(a)(3) Type III-F | Adventist Hlth System Sunbelt Hlthcare Corp | 1 | |
| Apopka Hlth Care Properties Inc | |||||||||||
| 305 E Oak Street | Apopka | FL | 32703 | 510605694 | Lease to Related Organization | GA | 501(c)(3) | 509(a)(3) Type III-F | Sunbelt Hlth Care Centers Inc | 0 | |
| Battle Creek Adventist Hospital | |||||||||||
| 1000 Remington Blvd Ste 200 | Bolingbrook | IL | 60440 | 381359189 | Inactive | MI | 501(c)(3) | 170(b)(1)(A)(iii) | Adventist Hlth SystemSunbelt Inc | 0 | |
| Bert Fish Medical Center Inc (10110-63011) | |||||||||||
| 401 Palmetto Street | New Smyrna Beach | FL | 32168 | 362276984 | Operation of Hospital & Related Services | FL | 501(c)(3) | 170(b)(1)(A)(iii) | Adventist Hlth System Sunbelt Hlthcare Corp | 1 | |
| Bolingbrook Hospital Foundation | |||||||||||
| 1000 Remington Blvd N Entrance 2nd | Bolingbrook | IL | 60440 | 900494445 | Fund-raising for Tax-exempt hospital | IL | 501(c)(3) | 170(b)(1)(A)(vi) | Midwest Hlth Foundation | 0 | |
| Bradford Heights Hlth & Rehab Center Inc | |||||||||||
| 950 Highpoint Drive | Hopkinsville | KY | 42240 | 205782342 | Operation of Home for the Aged/Hlthcare Delivery | KY | 501(c)(3) | 509(a)(2) | Sunbelt Hlth Care Centers Inc | 0 | |
| Burleson Nursing & Rehab Center Inc | |||||||||||
| 301 Huguley Blvd | Burleson | TX | 76028 | 205782243 | Operation of Home for the Aged/Hlthcare Delivery | TX | 501(c)(3) | 509(a)(2) | Sunbelt Hlth Care Centers Inc | 0 | |
| Caldwell Hlth Care Properties Inc | |||||||||||
| 1333 West Main | Princeton | KY | 42445 | 510605680 | Lease to Related Organization | GA | 501(c)(3) | 509(a)(3) Type III-F | Sunbelt Hlth Care Centers Inc | 0 | |
| Central Texas Hlthcare Collaborative (112-123111) | |||||||||||
| 1301 Wonder World Drive | San Marcos | TX | 78666 | 453739929 | Support Operation of Hospital | TX | 501(c)(3) | 509(a)(3) Type I | Adventist Hlth SystemSunbelt Inc | 0 | |
| Cedar Crag Terrace Inc (630 Year End) | |||||||||||
| Rt 5 Box 900 | Manchester | KY | 40962 | 611120442 | Operation of Home for the elderly-disabled | KY | 501(c)(3) | 170(b)(1)(A)(vi) | Memorial Hospital Inc | 0 | |
| Central Texas Medical Center Foundation | |||||||||||
| 1301 Wonder World Drive | San Marcos | TX | 78666 | 742259907 | Fund-raising for Tax-exempt hospital | TX | 501(c)(3) | 170(b)(1)(A)(vi) | Adventist Hlth SystemSunbelt Inc | 0 | |
| Chickasaw Hlth Care Properties Inc | |||||||||||
| 250 S Chickasaw Trail | Orlando | FL | 32825 | 510605681 | Lease to Related Organization | GA | 501(c)(3) | 509(a)(3) Type III-F | Sunbelt Hlth Care Centers Inc | 0 | |
| Chippewa Valley Hospital & Oakview Care Center Inc | |||||||||||
| 1220 Third Avenue West | Durand | WI | 54736 | 391365168 | Operation of Hospital & Related Services | WI | 501(c)(3) | 170(b)(1)(A)(iii) | Adventist Hlth SystemSunbelt Inc | 0 | |
| Cobb Medical Associates LLC | |||||||||||
| 3949 South Cobb Drive SE | Smyrna | GA | 300806342 | 582617089 | Operation of Physician Practices & Medical Services | GA | 501(c)(3) | 170(b)(1)(A)(iii) | Emory-Adventist Inc | 0 | |
| Courtland Hlth Care Properties Inc | |||||||||||
| 730 Courtland Street | Orlando | FL | 32804 | 510605682 | Lease to Related Organization | GA | 501(c)(3) | 509(a)(3) Type III-F | Sunbelt Hlth Care Centers Inc | 0 | |
| Creekwood Place Nursing & Rehab Center Inc | |||||||||||
| 683 E Third Street | Russellville | KY | 42276 | 205782260 | Operation of Home for the Aged/Hlthcare Delivery | KY | 501(c)(3) | 509(a)(2) | Sunbelt Hlth Care Centers Inc | 0 | |
| Dairy Road Hlth Care Properties Inc | |||||||||||
| 7350 Dairy Road | Zephyrhills | FL | 33540 | 510605684 | Lease to Related Organization | GA | 501(c)(3) | 509(a)(3) Type III-F | Sunbelt Hlth Care Centers Inc | 0 | |
| East Orlando Hlth & Rehab Center Inc | |||||||||||
| 250 S Chickasaw Trail | Orlando | FL | 32825 | 205774748 | Operation of Home for the Aged/Hlthcare Delivery | FL | 501(c)(3) | 509(a)(2) | Sunbelt Hlth Care Centers Inc | 0 | |
| Emory-Adventist Inc | |||||||||||
| 3949 South Cobb Drive | Smyrna | GA | 30080 | 582171011 | Operation of Hospital & Related Svcs | GA | 501(c)(3) | 170(b)(1)(A)(iii) | Adventist Hlth SystemSunbelt Inc | 0 | |
| Fletcher Hospital Inc | |||||||||||
| 100 Hospital Drive | Hendersonville | NC | 28792 | 560543246 | Operation of Hospital & Related Svcs | NC | 501(c)(3) | 170(b)(1)(A)(iii) | Adventist Hlth System Sunbelt Hlthcare Corp | 1 | |
| FLNC Inc | |||||||||||
| 3355 E Semoran Blvd | Apopka | FL | 32703 | 205774761 | Operation of Home for the Aged/Hlthcare Delivery | FL | 501(c)(3) | 509(a)(2) | Sunbelt Hlth Care Centers Inc | 0 | |
| Florida Hospital College of Hlth Sciences Inc (630 Year End) | |||||||||||
| 671 Lake Winyah Drive | Orlando | FL | 32803 | 593069793 | Education/Operation of School | FL | 501(c)(3) | 170(b)(1)(A)(ii) | Adventist Hlth SystemSunbelt Inc | 0 | |
| Florida Hospital DeLand Auxiliary Inc (11-82411) | |||||||||||
| 701 West Plymouth Avenue | Deland | FL | 32720 | 593425543 | Volunteer support services | FL | 501(c)(3) | 509(a)(3) Type III-F | Memorial Hospital West Volusia Inc | 0 | |
| Florida Hospital Waterman Inc | |||||||||||
| 1000 Waterman Way | Tavares | FL | 32778 | 593140669 | Operation of Hospital & Related Services | FL | 501(c)(3) | 170(b)(1)(A)(iii) | Adventist Hlth System Sunbelt Hlthcare Corp | 1 | |
| Florida Hospital Zephyrhills Inc | |||||||||||
| 7050 Gall Blvd | Zephyrhills | FL | 33541 | 592108057 | Operation of Hospital & Related Services | FL | 501(c)(3) | 170(b)(1)(A)(iii) | Adventist Hlth SystemSunbelt Inc | 0 | |
| Florida Hospital Medical Group Inc | |||||||||||
| 900 Winderley Place | Maitland | FL | 32751 | 593214635 | Operation of Physician Practices & Medical Services | FL | 501(c)(3) | 170(b)(1)(A)(iii) | Adventist Hlth SystemSunbelt Inc | 0 | |
| Foundation for Shawnee Mission Medical Center Inc | |||||||||||
| 9100 W 74th Street | Shawnee Mission | KS | 66204 | 480868859 | Fund-raising for Tax-exempt hospital | KS | 501(c)(3) | 509(a)(3) Type I | Shawnee Mission Medical Center Inc | 0 | |
| GlenOaks Hospital Foundation | |||||||||||
| 701 Winthrop Avenue | Glendale Heights | IL | 60139 | 363926044 | Fund-raising for Tax-exempt hospital | IL | 501(c)(3) | 170(b)(1)(A)(vi) | Midwest Hlth Foundation | 0 | |
| Hays Memorial Hospital Association of Seventh-Day Adventists | |||||||||||
| 1301 Wonder World Drive | San Marcos | TX | 78667 | 741362785 | Lease of Hospital Personnel | TX | 501(c)(3) | 509(a)(3) Type II | Adventist Hlth System Sunbelt Hlthcare Corp | 1 | |
| Helen Ellis Memorial Hospital Auxiliary Inc | |||||||||||
| 1395 S Pinellas Ave | Tarpon Springs | FL | 34689 | 592106043 | Fund-raising for Tax-exempt hospital/foundation | FL | 501(c)(3) | 509(a)(3) Type I | Tarpon Springs Hospital Foundation Inc | 0 | |
| Helen Ellis Memorial Hospital Foundation Inc | |||||||||||
| 1395 S Pinellas Ave | Tarpon Springs | FL | 34689 | 593690149 | Fund-raising for Tax-exempt hospital | FL | 501(c)(3) | 509(a)(3) Type I | Tarpon Springs Hospital Foundation Inc | 0 | |
| Hinsdale Hospital Foundation | |||||||||||
| 7 Salt Creek Lane Suite 203 | Hinsdale | IL | 60521 | 521466387 | Fund-raising for Tax-exempt hospital | IL | 501(c)(3) | 170(b)(1)(A)(vi) | Midwest Hlth Foundation | 0 | |
| Huguley Community Care Corp | |||||||||||
| 11801 South Freeway | Burleson | TX | 76028 | 452793120 | Support Operation of Hospital | TX | 501(c)(3) | 509(a)(3) Type I | Adventist Hlth SystemSunbelt Inc | 0 | |
| In-Motion Rehab Inc | |||||||||||
| 602 Courtland Street Ste 200 | Orlando | FL | 32804 | 208023411 | Therapy services to tax exempt nursing homes | KS | 501(c)(3) | 509(a)(3) Type II | Sunbelt Hlth Care Centers Inc | 0 | |
| Jellico Community Hospital Inc | |||||||||||
| 188 Hospital Lane | Jellico | TN | 37762 | 620924706 | Operation of Hospital & Related Services | TN | 501(c)(3) | 170(b)(1)(A)(iii) | Adventist Hlth System Sunbelt Hlthcare Corp | 1 | |
| La Grange Memorial Hospital Foundation | |||||||||||
| 5101 S Willow Springs Rd | La Grange | IL | 60525 | 300247776 | Fund-raising for Tax-exempt hospital | IL | 501(c)(3) | 170(b)(1)(A)(vi) | Midwest Hlth Foundation | 0 | |
| Memorial Hlth Systems Foundation Inc | |||||||||||
| 770 West Granada Blvd | Ormond Beach | FL | 32174 | 311771522 | Fund-raising for Tax-exempt hospital | FL | 501(c)(3) | 170(b)(1)(A)(vi) | Memorial Hlth Systems Inc | 0 | |
| Memorial Hlth Systems Inc | |||||||||||
| 301 Memorial Medical Parkway | Daytona Beach | FL | 32117 | 590973502 | Operation of Hospital & Related Services | FL | 501(c)(3) | 170(b)(1)(A)(iii) | Adventist Hlth SystemSunbelt Inc | 0 | |
| Memorial Hospital Flagler Inc | |||||||||||
| 60 Memorial Medical Parkway | Palm Coast | FL | 32164 | 592951990 | Operation of Hospital & Related Services | FL | 501(c)(3) | 170(b)(1)(A)(iii) | Memorial Hlth Systems Inc | 0 | |
| Memorial Hospital - West Volusia Inc | |||||||||||
| 701 West Plymouth Avenue | Deland | FL | 32720 | 593256803 | Operation of Hospital & Related Services | FL | 501(c)(3) | 170(b)(1)(A)(iii) | Memorial Hlth Systems Inc | 0 | |
| Memorial Hospital Inc | |||||||||||
| 210 Marie Langdon Drive | Manchester | KY | 40962 | 610594620 | Operation of Hospital & Related Services | KY | 501(c)(3) | 170(b)(1)(A)(iii) | Adventist Hlth System Sunbelt Hlthcare Corp | 1 | |
| Merriam Hlth Care Properties Inc | |||||||||||
| 9700 West 62nd Street | Merriam | KS | 66203 | 364595806 | Lease to Related Organization | KS | 501(c)(3) | 509(a)(3) Type III-F | Sunbelt Hlth Care Centers Inc | 0 | |
| Metroplex Adventist Hospital Inc | |||||||||||
| 2201 S Clear Creek Road | Killeen | TX | 76549 | 742225672 | Operation of Hospital & Related Services | TX | 501(c)(3) | 170(b)(1)(A)(iii) | Adventist Hlth System Sunbelt Hlthcare Corp | 1 | |
| Metroplex Clinic Physicians Inc | |||||||||||
| 2201 S Clear Creek Road | Killeen | TX | 76549 | 113762050 | Physician Hlthcare services to the community | TX | 501(c)(3) | 170(b)(1)(A)(iii) | Metroplex Adventist Hospital Inc | 0 | |
| Midwest Hlth Foundation | |||||||||||
| 120 North Oak Street | Hinsdale | IL | 60521 | 352230515 | Support of subsidiary Foundations | IL | 501(c)(3) | 509(a)(3) Type II | 0 | N/A | |
| Mills Hlth & Rehab Center Inc | |||||||||||
| 500 Beck Lane | Mayfield | KY | 42066 | 205782320 | Operation of Home for the Aged/Hlthcare Delivery | KY | 501(c)(3) | 509(a)(2) | Sunbelt Hlth Care Centers Inc | 0 | |
| Mission Strategies Inc | |||||||||||
| 602 Courtland Street Ste 200 | Orlando | FL | 32804 | 205982365 | Provision of support to the nursing home division | KS | 501(c)(3) | 509(a)(3) Type II | Sunbelt Hlth Care Centers Inc | 0 | |
| Mission Strategies of Georgia Inc (1114-123111) | |||||||||||
| 3949 S Cobb Drive | Smyrna | GA | 30080 | 900866024 | Provision of support to the nursing home division | GA | 501(c)(3) | 509(a)(3) Type II | Sunbelt Hlth Care Centers Inc | 0 | |
| Missouri Adventist Hlth Inc | |||||||||||
| 9100 W 74th Street | Shawnee Mission | KS | 66204 | 431224729 | Support Hlth Care Services | MO | 501(c)(3) | 509(a)(3) Type III-O | Adventist Hlth Mid-America Inc | 0 | |
| North Regional EMS Inc | |||||||||||
| 188 Hospital Lane | Jellico | TN | 37762 | 262653616 | EMS Services | TN | 501(c)(3) | 509(a)(2) | Jellico Community Hospital Inc | 0 | |
| Ormond Beach Memorial Hospital Auxiliary Inc | |||||||||||
| 301 Memorial Medical Parkway | Daytona Beach | FL | 32117 | 591721962 | Volunteer support services | FL | 501(c)(3) | 509(a)(3) Type III-F | Memorial Hlth Systems Inc | 0 | |
| Overland Park Nursing & Rehab Center Inc | |||||||||||
| 6501 West 75th Street | Overland Park | KS | 66204 | 205774821 | Operation of Home for the Aged/Hlthcare Delivery | KS | 501(c)(3) | 509(a)(2) | Sunbelt Hlth Care Centers Inc | 0 | |
| Paragon Hlth Care Properties Inc | |||||||||||
| 950 Highpoint Drive | Hopkinsville | KY | 42240 | 510605686 | Lease to Related Organization | GA | 501(c)(3) | 509(a)(3) Type III-F | Sunbelt Hlth Care Centers Inc | 0 | |
| Pasco-Pinellas Hillsborough Community Hlth System Inc | |||||||||||
| 2400 Bedford Road | Orlando | FL | 32803 | 208488713 | Operation of Hospital & Related Services | FL | 501(c)(3) | 170(b)(1)(A)(iii) | 0 | N/A | |
| Portercare Adventist Hlth System (630 Year End) | |||||||||||
| 2525 S Downing Street | Denver | CO | 80210 | 840438224 | Operation of Hospital & Related Services | CO | 501(c)(3) | 170(b)(1)(A)(iii) | Adventist Hlth System Sunbelt Hlthcare Corp | 1 | |
| Portland Nursing & Rehab Center Inc | |||||||||||
| 215 Highland Circle Drive | Portland | TN | 37148 | 205774842 | Operation of Home for the Aged/Hlthcare Delivery | TN | 501(c)(3) | 509(a)(2) | Sunbelt Hlth Care Centers Inc | 0 | |
| Princeton Hlth & Rehab Center Inc | |||||||||||
| 1333 West Main | Princeton | KY | 42445 | 205782272 | Operation of Home for the Aged/Hlthcare Delivery | KY | 501(c)(3) | 509(a)(2) | Sunbelt Hlth Care Centers Inc | 0 | |
| Princeton Professional Services Inc | |||||||||||
| 601 E Rollins Street | Orlando | FL | 32803 | 591191045 | Provision of Hlthcare Services | FL | 501(c)(3) | 509(a)(2) | Adventist Hlth System Sunbelt Hlthcare Corp | 1 | |
| Quality Circle for Hlthcare Inc | |||||||||||
| 111 N Orlando Avenue | Winter Park | FL | 32789 | 263789368 | Hlthcare Quality Services | FL | 501(c)(3) | 509(a)(3) Type III-F | Adventist Hlth System Sunbelt Hlthcare Corp | 1 | |
| Resource Personnel Inc | |||||||||||
| 602 Courtland Street Ste 200 | Orlando | FL | 32804 | 208040875 | Provide administrative support to tax exempt nursing homes | FL | 501(c)(3) | 509(a)(3) Type II | Sunbelt Hlth Care Centers Inc | 0 | |
| Rocky Mountain Adventist Hlthcare Foundation (630 Year End) | |||||||||||
| 2525 South Downing Street | Denver | CO | 80210 | 840745018 | Fund-raising for Tax-exempt hospital | CO | 501(c)(3) | 170(b)(1)(A)(vi) | PorterCare Adventist Hlth System | 0 | |
| Rollins Bedford Corp | |||||||||||
| 602 Courtland Street Ste 200 | Orlando | FL | 32804 | 370908840 | Inactive | FL | 501(c)(3) | 509(a)(3) Type II | Sunbelt Hlth Care Centers Inc | 0 | |
| Russellville Hlth Care Properties Inc | |||||||||||
| 683 East Third Street | Russellville | KY | 42276 | 510605691 | Lease to Related Organization | GA | 501(c)(3) | 509(a)(3) Type III-F | Sunbelt Hlth Care Centers Inc | 0 | |
| San Marcos Hlth Care Properties Inc | |||||||||||
| 1900 Medical Parkway | San Marcos | TX | 78666 | 510605693 | Lease to Related Organization | GA | 501(c)(3) | 509(a)(3) Type III-F | Sunbelt Hlth Care Centers Inc | 0 | |
| San Marcos Nursing & Rehab Center Inc | |||||||||||
| 1900 Medical Parkway | San Marcos | TX | 78666 | 205782224 | Operation of Home for the Aged/Hlthcare Delivery | TX | 501(c)(3) | 509(a)(2) | Sunbelt Hlth Care Centers Inc | 0 | |
| Shawnee Mission Hlth Care Inc | |||||||||||
| 6501 West 75th Street | Overland Park | KS | 66204 | 480952508 | Lease to Related Organization | KS | 501(c)(3) | 509(a)(3) Type III-F | Sunbelt Hlth Care Centers Inc | 0 | |
| Shawnee Mission Medical Center Inc | |||||||||||
| 9100 W 74th Street | Shawnee Mission | KS | 66204 | 480637331 | Operation of Hospital & Related Services | KS | 501(c)(3) | 170(b)(1)(A)(iii) | Adventist Hlth Mid-America Inc | 0 | |
| South Central Nursing Homes Properties Inc | |||||||||||
| 111 North Orlando Ave | Winter Park | FL | 32789 | 593686109 | Management Support | GA | 501(c)(3) | 509(a)(3) Type III-O | South Central Inc | 0 | |
| South Central Nursing Homes Inc | |||||||||||
| 602 Courtland Street | Orlando | FL | 32804 | 611242373 | Management Support | KY | 501(c)(3) | 509(a)(3) Type III-O | South Central Inc | 0 | |
| South Central Properties III Inc | |||||||||||
| 111 North Orlando Ave | Winter Park | FL | 32789 | 593692860 | Real Estate | GA | 501(c)(2) | South Central Nursing Homes Properties Inc | 0 | ||
| South Central Properties IV Inc | |||||||||||
| 111 North Orlando Ave | Winter Park | FL | 32789 | 593692862 | Real Estate | GA | 501(c)(2) | South Central Nursing Homes Properties Inc | 0 | ||
| South Central Properties VI Inc | |||||||||||
| 111 North Orlando Ave | Winter Park | FL | 32789 | 593692857 | Real Estate | GA | 501(c)(2) | South Central Nursing Homes Properties Inc | 0 | ||
| South Central Properties Inc | |||||||||||
| 111 North Orlando Ave | Winter Park | FL | 32789 | 593651692 | Real Estate | GA | 501(c)(2) | South Central Nursing Homes Properties Inc | 0 | ||
| South Central Inc | |||||||||||
| 602 Courtland Street | Orlando | FL | 32804 | 593689740 | Management Support | GA | 501(c)(3) | 509(a)(3) Type III-F | 0 | N/A | |
| South Pasco Hlth Care Properties Inc | |||||||||||
| 38250 A Avenue | Zephyrhills | FL | 33542 | 510605679 | Lease to Related Organization | GA | 501(c)(3) | 509(a)(3) Type III-F | Sunbelt Hlth Care Centers Inc | 0 | |
| Southwest Volusia Hlth Services Inc | |||||||||||
| 1055 Saxon Blvd | Orange City | FL | 327638468 | 593281591 | Medical Office Building for Hospital | FL | 501(c)(3) | 509(a)(3) Type I | Southwest Volusia Hlthcare Corp | 0 | |
| Southwest Volusia Hlthcare Corp | |||||||||||
| 1055 Saxon Blvd | Orange City | FL | 327638468 | 593149293 | Operation of Hospital & Related Services | FL | 501(c)(3) | 170(b)(1)(A)(iii) | Adventist Hlth SystemSunbelt Inc | 0 | |
| Specialty Physicians of Central Texas Inc | |||||||||||
| 1301 Wonder World Drive | San Marcos | TX | 78666 | 208814408 | Physician Hlthcare services to the community | TX | 501(c)(3) | 170(b)(1)(A)(iii) | Adventist Hlth SystemSunbelt Inc | 0 | |
| Spring View Hlth & Rehab Center Inc | |||||||||||
| 718 Goodwin Lane | Leitchfield | KY | 42754 | 205782288 | Operation of Home for the Aged/Hlthcare Delivery | KY | 501(c)(3) | 509(a)(2) | Sunbelt Hlth Care Centers Inc | 0 | |
| Sunbelt Hlth & Rehab Center - Apopka Inc | |||||||||||
| 305 East Oak Street | Apopka | FL | 32703 | 205774856 | Operation of Home for the Aged/Hlthcare Delivery | FL | 501(c)(3) | 509(a)(2) | Sunbelt Hlth Care Centers Inc | 0 | |
| Sunbelt Hlth Care Centers Inc | |||||||||||
| 602 Courtland Street Ste 200 | Orlando | FL | 32804 | 581473135 | Management Services | TN | 501(c)(3) | 509(a)(3) Type II | Adventist Hlth System Sunbelt Hlthcare Corp | 1 | |
| SunSystem Development Corp | |||||||||||
| 111 N Orlando Avenue | Winter Park | FL | 32789 | 592219301 | Fund Raising for Affiliated Tax-Exempt Hospitals | FL | 501(c)(3) | 170(b)(1)(A)(vi) | Adventist Hlth System Sunbelt Hlthcare Corp | 1 | |
| Tarpon Springs Hospital Foundation Inc | |||||||||||
| 1395 S Pinellas Ave | Tarpon Springs | FL | 34689 | 590898901 | Operation of Hospital & Related Services | FL | 501(c)(3) | 170(b)(1)(A)(iii) | University Community Hospital Inc | 0 | |
| Tarrant County Hlth Care Properties Inc | |||||||||||
| 301 Huguley Blvd | Burleson | TX | 76028 | 510605677 | Lease to Related Organization | GA | 501(c)(3) | 509(a)(3) Type III-F | Sunbelt Hlth Care Centers Inc | 0 | |
| Taylor Creek Hlth Care Properties Inc | |||||||||||
| 718 Goodwin Lane | Leitchfield | KY | 42754 | 510605678 | Lease to Related Organization | GA | 501(c)(3) | 509(a)(3) Type III-F | Sunbelt Hlth Care Centers Inc | 0 | |
| Texas Hlth Huguley Inc (76-123111) | |||||||||||
| 900 Hope Way | Altamonte Springs | FL | 32714 | 452694620 | Operation of Hospital & Related Services | FL | 501(c)(3) | 170(b)(1)(A)(iii) | Adventist Hlth SystemSunbelt Inc | 0 | |
| The Volunteer Auxiliary of Florida Hospital - Flagler Inc | |||||||||||
| 60 Memorial Medical Parkway | Palm Coast | FL | 32164 | 592486582 | Volunteer support services | FL | 501(c)(3) | 509(a)(3) Type III-F | Memorial Hospital Flagler Inc | 0 | |
| Trinity Nursing & Rehab Center Inc | |||||||||||
| 9700 West 62nd Street | Merriam | KS | 66203 | 205774890 | Operation of Home for the Aged/Hlthcare Delivery | KS | 501(c)(3) | 509(a)(2) | Sunbelt Hlth Care Centers Inc | 0 | |
| University Community Hospital Auxiliary Inc | |||||||||||
| 3100 E Fletcher Ave | Tampa | FL | 33613 | 237011345 | Volunteer support services | FL | 501(c)(3) | 509(a)(3) Type III-F | University Community Hospital Inc | 0 | |
| University Community Hospital Foundation Inc | |||||||||||
| 3100 E Fletcher Ave | Tampa | FL | 33613 | 592554889 | Fund-raising for Tax-exempt hospital | FL | 501(c)(3) | 509(a)(3) Type I | University Community Hospital Inc | 0 | |
| University Community Hospital Specialty Care Inc | |||||||||||
| 3100 E Fletcher Ave | Tampa | FL | 33613 | 593231322 | Inactive | FL | 501(c)(3) | 509(a)(3) | University Community Hospital Inc | 0 | |
| University Community Hospital Inc | |||||||||||
| 3100 E Fletcher Ave | Tampa | FL | 33613 | 591113901 | Operation of Hospital & Related Services | FL | 501(c)(3) | 170(b)(1)(A)(iii) | Adventist Hlth System Sunbelt Hlthcare Corp | 1 | |
| West Kentucky Hlth Care Properties Inc | |||||||||||
| 500 Beck Lane | Mayfield | KY | 42066 | 510605676 | Lease to Related Organization | GA | 501(c)(3) | 509(a)(3) Type III-F | Sunbelt Hlth Care Centers Inc | 0 | |
| Zephyr Haven Hlth & Rehab Center Inc | |||||||||||
| 38250 A Avenue | Zephyrhills | FL | 33542 | 205774930 | Operation of Home for the Aged/Hlthcare Delivery | FL | 501(c)(3) | 509(a)(2) | Sunbelt Hlth Care Centers Inc | 0 | |
| Zephyrhills Hlth & Rehab Center Inc | |||||||||||
| 7350 Dairy Road | Zephyrhills | FL | 33540 | 205774967 | Operation of Home for the Aged/Hlthcare Delivery | FL | 501(c)(3) | 509(a)(2) | Sunbelt Hlth Care Centers Inc | 0 | |
Form990 Schedule R Part III Form990ScheduleRPartIII (10 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivityPrimaryActivity | Legal Domicile StateLegalDomicileState | Direct Controlling Entity NADirectControllingEntityNA |
|---|---|---|---|---|---|---|---|
| Appalachian Therapy Services LLC | |||||||
| 100 Hospital Drive | Hendersonville | NC | 28792 | 202463851 | Therapy Staffing | NC | N/A |
| Central Texas Medical Center Bond LLC (11-111411) | |||||||
| 1301 Wonder World Drive | San Marcos | TX | 78666 | 204314236 | Investment | TX | N/A |
| Clear Creek MOB Ltd | |||||||
| 2201 S Clear Creek Rd | Killeen | TX | 76549 | 742609195 | Real Estate | TX | N/A |
| Florida Hospital DMERT LLC | |||||||
| 2450 Maitland Center Pkwy Ste 200 | Maitland | FL | 32751 | 202392253 | Medical Equipment | FL | N/A |
| Florida Hospital Home Infusion | |||||||
| 2450 Maitland Center Pkwy Ste 200 | Maitland | FL | 32751 | 593142824 | Home Infusion Services | FL | N/A |
| KCCCSMMC Cancer Center LLC | |||||||
| 9100 W 74th Street | Shawnee Mission | KS | 66204 | 270909763 | Equipment Rental | KS | N/A |
| San Marcos MRI LP | |||||||
| 1330 Wonder World Drive Ste 202 | San Marcos | TX | 78666 | 770597972 | Imaging & Testing | TX | N/A |
| Shawnee Mission Open MRI LLC | |||||||
| 9100 W 74th Street Box 2923 | Shawnee Mission | KS | 66201 | 270011796 | Imaging & Testing | KS | N/A |
| Shawnee Mission Surgery Center LLC | |||||||
| PO Box 2923 | Shawnee Mission | KS | 66201 | 481243914 | Surgical Services | KS | N/A |
| Skyland MRI LLC | |||||||
| 100 Hospital Drive | Hendersonville | NC | 28792 | 043646559 | Imaging & Testing | NC | N/A |
Form990 Schedule R Part IV Form990ScheduleRPartIV (32 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivityPrimaryActivity | Legal Domicile StateLegalDomicileState | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Type Of EntityTypeOfEntity | Percentage OwnershipPercentageOwnership | Direct Controlling Entity NADirectControllingEntityNA | Share Of Total IncomeShareOfTotalIncome | Share Of EOY AssetsShareOfEOYAssets | Address Line1AddressForeign/AddressLine1 | Province Or StateAddressForeign/ProvinceOrState | CountryAddressForeign/Country | Legal Domicile Foreign CountryLegalDomicileForeignCountry |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Adventist Hlth Sys Sunbelt Hlthcare Corp Empl Benefit Trust | ||||||||||||||||
| 111 N Orlando Avenue | Winter Park | FL | 32789 | 581318939 | Administration of Self-Insured Benefit Plans | FL | Adventist Hlth System Sunbelt Hlthcare Corp | T | 1.00000 | |||||||
| AHS Services Inc | ||||||||||||||||
| 11801 South Freeway | Fort Worth | TX | 76028 | 752049583 | Medical Equipment | TX | C | N/A | ||||||||
| Altamonte Medical Plaza Condominium Association Inc | ||||||||||||||||
| 601 East Rollins Street | Orlando | FL | 32803 | 592855792 | Condo Association | FL | C | N/A | ||||||||
| Apopka Medical Plaza Condominium Association Inc | ||||||||||||||||
| 601 East Rollins Street | Orlando | FL | 32803 | 593000857 | Condo Association | FL | C | N/A | ||||||||
| Arapahoe Medical Building I Inc (630 Year End) | ||||||||||||||||
| 2525 S Downing Street | Denver | CO | 80210 | 841574506 | Real Estate Leasing | CO | C | N/A | ||||||||
| Arapahoe Medical Building II Inc (630 Year End) | ||||||||||||||||
| 2525 S Downing Street | Denver | CO | 80210 | 841574507 | Real Estate Leasing | CO | C | N/A | ||||||||
| CC MOB Inc | ||||||||||||||||
| 2201 S Clear Creek Road | Killeen | TX | 76549 | 742616875 | Real Estate Rental | TX | C | N/A | ||||||||
| Central Texas Medical Associates | ||||||||||||||||
| 1301 Wonder World Drive | San Marcos | TX | 78666 | 742729873 | Physician Clinics | TX | C | N/A | ||||||||
| Central Texas Provider's Network | ||||||||||||||||
| 1301 Wonder World Drive | San Marcos | TX | 78666 | 742827652 | Physician Hospital Org. | TX | C | N/A | ||||||||
| Florida Hospital Flagler Medical Offices Association Inc | ||||||||||||||||
| 60 Memorial Medical Parkway | Palm Coast | FL | 32164 | 262158309 | Condo Association | FL | C | N/A | ||||||||
| Florida Hospital Healthcare System Inc | ||||||||||||||||
| 602 Courtland Street | Orlando | FL | 32804 | 593215680 | PHO/TPA | FL | C | N/A | ||||||||
| Florida Medical Plaza Condo Association Inc | ||||||||||||||||
| 601 East Rollins Street | Orlando | FL | 32803 | 592855791 | Condo Association | FL | C | N/A | ||||||||
| Florida Memorial Health Network Inc | ||||||||||||||||
| 770 W Granada Blvd Ste 317 | Ormond Beach | FL | 32174 | 593403558 | Physician Hospital Org. | FL | C | N/A | ||||||||
| Harvard Park East Inc (630 Year End) | ||||||||||||||||
| 2525 S Downing Street | Denver | CO | 80210 | 841574365 | Real Estate Leasing | CO | C | N/A | ||||||||
| Helen Ellis Memorial Hospital Real Estate Corp | ||||||||||||||||
| 1395 S Pinellas Ave | Tarpon Springs | FL | 34689 | 593375731 | Real Estate Rental | FL | C | N/A | ||||||||
| Huguley Alliance Foundation | ||||||||||||||||
| 11801 South Freeway | Fort Worth | TX | 76115 | 752642209 | Inactive | TX | C | N/A | ||||||||
| Huguley Medical Associates Inc | ||||||||||||||||
| 11801 South Freeway | Burleson | TX | 76028 | 752547668 | Physician Clinics | TX | C | N/A | ||||||||
| Kissimmee Multispecialty Clinic Condominium Association Inc | ||||||||||||||||
| 201 Hilda Street Suite 30 | Kissimmee | FL | 34741 | 593539564 | Condo Association | FL | C | N/A | ||||||||
| Midwest Management Services Inc | ||||||||||||||||
| 9100 West 74th Street | Shawnee Mission | KS | 66204 | 480901551 | Real Estate Rental | KS | C | N/A | ||||||||
| Metroplex Adventist Hospital CRNA | ||||||||||||||||
| 2201 S Clear Creek Road | Killeen | TX | 76549 | 260760794 | Support hospital - provide allied health professionals | TX | C | N/A | ||||||||
| North American Health Services Inc & Subs | ||||||||||||||||
| 111 N Orlando Avenue | Winter Park | FL | 32789 | 621041820 | Lessor/Holding Co. | TN | Adventist Hlth System Sunbelt Hlthcare Corp | C | 1.00000 | 2816654 | 24411478 | |||||
| Ormond Professional Condo Association (430 Year End) | ||||||||||||||||
| 770 W Granada Blvd Ste 101 | Ormond Beach | FL | 32174 | 592694434 | Condo Association | FL | C | N/A | ||||||||
| Park Ridge Property Owner's Association Inc | ||||||||||||||||
| 1 Park Place Naples Road | Fletcher | NC | 28732 | 030380531 | Condo Association | NC | C | N/A | ||||||||
| Porter Affiliated Hlth Services Inc dba Diversified Affiliated Hlth Svcs | ||||||||||||||||
| 2525 S Downing Street | Denver | CO | 80210 | 840956175 | Healthcare Services | CO | C | N/A | ||||||||
| Porter Medical Plaza Inc (630 Year End) | ||||||||||||||||
| 2525 S Downing Street | Denver | CO | 80210 | 841574369 | Real Estate Leasing | CO | C | N/A | ||||||||
| San Marcos Regional MRI Inc | ||||||||||||||||
| 1301 Wonder World Drive | San Marcos | TX | 78666 | 770597968 | Holding Company | TX | C | N/A | ||||||||
| Southeast Volusia Medical Services Inc (10110-63011) | ||||||||||||||||
| 401 Palmetto Street | New Smyrna Beach | FL | 32168 | 593287185 | Inactive | FL | C | N/A | ||||||||
| The Garden Retirement Community Inc | ||||||||||||||||
| 602 Courtland Street Ste 200 | Orlando | FL | 32804 | 593414055 | Real Estate Rental | FL | C | N/A | ||||||||
| University Community Health Insurance Company SPC Ltd | ||||||||||||||||
| Captive Insurance | C | N/A | C/O AON Insurance Managers PO Box | Grand Cayman | CJ | CJ | ||||||||||
| UCH Services Inc | ||||||||||||||||
| 3100 East Fletcher Ave | Tampa | FL | 33613 | 593508454 | Management Company | FL | C | N/A | ||||||||
| West Coast Medical Group Inc | ||||||||||||||||
| 1395 S Pinellas Ave | Tarpon Springs | FL | 34689 | 593537305 | Physician Clinics | FL | C | N/A | ||||||||
| Winter Park Medical Office Building I Condo Assoc Inc (330-123111) | ||||||||||||||||
| 200 Lakemont Ave | Winter Park | FL | 32792 | 452228478 | Physician Clinics | FL | C | N/A | ||||||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | 1 | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | 1 | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | 1 | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | 1 | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | 0 | LoansOrGuaranteesFromOtherOrg |
| Sale Of Assets To Other Org | 0 | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | 0 | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | 0 | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | 1 | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | 0 | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | 1 | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | 0 | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | 0 | SharingOfFacilities |
| Sharing Of Paid Employees | 0 | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | 1 | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | 1 | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | 1 | OtherTransferToOtherOrg |
| Other Transfer From Other Org | 1 | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable (88 entries)
| Transaction TypeTransactionType | Amount InvolvedAmountInvolved | Method Of Amt DeterminationMethodOfAmtDetermination |
|---|---|---|
| Fletcher Hospital Inc | ||
| K | 4285322 | % of subsidaries' operating exp. |
| Jellico Community Hospital Inc | ||
| K | 1303996 | % of subsidaries' operating exp. |
| Memorial Hospital Inc | ||
| K | 2277026 | % of subsidaries' operating exp. |
| Adventist Hinsdale Hospital | ||
| K | 12096394 | % of subsidaries' operating exp. |
| Chippewa Valley Hospital & Oakview Care Center Inc | ||
| K | 596475 | % of subsidaries' operating exp. |
| Adventist Bolingbrook Hospital | ||
| K | 4232916 | % of subsidaries' operating exp. |
| Adventist Health SystemSunbelt Inc | ||
| K | 63544170 | % of subsidaries' operating exp. |
| Adventist GlenOaks Hospital | ||
| K | 3577907 | % of subsidaries' operating exp. |
| Metroplex Adventist Hospital Inc | ||
| K | 5473223 | % of subsidaries' operating exp. |
| Emory-Adventist Inc | ||
| K | 2467196 | % of subsidaries' operating exp. |
| Adventist Health System Georgia Inc | ||
| K | 2956994 | % of subsidaries' operating exp. |
| Shawnee Mission Medical Center Inc | ||
| K | 13145933 | % of subsidaries' operating exp. |
| Florida Hospital Zephyrhills Inc | ||
| K | 6184627 | % of subsidaries' operating exp. |
| University Community Hospital Inc | ||
| K | 18414656 | % of subsidaries' operating exp. |
| Southwest Volusia Healthcare Corporation | ||
| K | 5570372 | % of subsidaries' operating exp. |
| Bert Fish Medical Center | ||
| K | 736138 | % of subsidaries' operating exp. |
| Memorial Hospital - West Volusia Inc | ||
| K | 5035695 | % of subsidaries' operating exp. |
| Florida Hospital Waterman Inc | ||
| K | 8189655 | % of subsidaries' operating exp. |
| Tarpon Springs Hospital Foundation Inc dba Florida Hosp North Pinellas | ||
| K | 3391580 | % of subsidaries' operating exp. |
| Memorial Health Systems Inc | ||
| K | 7990743 | % of subsidaries' operating exp. |
| Memorial Hospital - Flagler Inc | ||
| K | 4557201 | % of subsidaries' operating exp. |
| Sunbelt Health Care Centers Inc | ||
| K | 496146 | % of subsidaries' operating exp. |
| PorterCare Adventist Health System | ||
| K | 5700376 | % of subsidaries' operating exp. |
| Fletcher Hospital Inc | ||
| P | 6046518 | Cost |
| Jellico Community Hospital Inc | ||
| P | 1277798 | Cost |
| Memorial Hospital Inc | ||
| P | 3357879 | Cost |
| Adventist Hinsdale Hospital | ||
| P | 13047900 | Cost |
| AHS Midwest Management Inc | ||
| P | 1719101 | Cost |
| Adventist Health Partners Inc | ||
| P | 3487279 | Cost |
| Adventist Bolingbrook Hospital | ||
| P | 3402242 | Cost |
| Chippewa Valley Hospital & Oakview Care Center Inc | ||
| P | 501731 | Cost |
| Adventist GlenOaks Hospital | ||
| P | 3136238 | Cost |
| Adventist Health SystemSunbelt Inc | ||
| P | 122482325 | Cost |
| Huguley Medical Associates Inc | ||
| P | 214038 | Cost |
| Speciality Physicians of Central Texas Inc | ||
| P | 146373 | Cost |
| Metroplex Adventist Hospital Inc | ||
| P | 5385258 | Cost |
| Emory-Adventist Inc | ||
| P | 2531732 | Cost |
| Cobb Medical Associates LLC | ||
| P | 341526 | Cost |
| Adventist Health System Georgia Inc | ||
| P | 3751145 | Cost |
| PorterCare Adventist Health System | ||
| P | 2809363 | Cost |
| Shawnee Mission Medical Center Inc | ||
| P | 11359943 | Cost |
| Florida Hospital Medical Group | ||
| P | 11059288 | Cost |
| Memorial Hospital - West Volusia Inc | ||
| P | 5490159 | Cost |
| Southwest Volusia Healthcare Corporation | ||
| P | 4648301 | Cost |
| Memorial Hospital - Flagler Inc | ||
| P | 5750861 | Cost |
| Memorial Health Systems Inc | ||
| P | 10558708 | Cost |
| Florida Hospital Waterman Inc | ||
| P | 6245336 | Cost |
| Florida Hospital Zephyrhills Inc | ||
| P | 6322189 | Cost |
| Sunbelt Health Care Centers Inc | ||
| P | 6274221 | Cost |
| University Community Hospital Inc | ||
| P | 15316616 | Cost |
| Tarpon Springs Hospital Foundation Inc dba Florida Hosp North Pinellas | ||
| P | 2906566 | Cost |
| Pasco-Pinellas Hillsborough Community Health System Inc | ||
| P | 348431 | Cost |
| Bert Fish Medical Center | ||
| P | 1486970 | Cost |
| Adventist Health SystemSunbelt Inc | ||
| O | 1002400 | cost |
| Emory-Adventist Inc | ||
| A | 45345 | FMV Interest Rate |
| Emory-Adventist Inc | ||
| R | 384598 | Principal Payment |
| Tarpon Springs Hospital Foundation Inc dba Florida Hosp North Pinellas | ||
| A | 664704 | FMV Interest Rate |
| Tarpon Springs Hospital Foundation Inc dba Florida Hosp North Pinellas | ||
| D | 26000000 | amount of loan |
| Pasco-Pinellas Hillsborough Community Health System Inc | ||
| A | 446258 | FMV Interest Rate |
| Pasco-Pinellas Hillsborough Community Health System Inc | ||
| D | 46000000 | amount of loan |
| Memorial Hospital - Flagler Inc | ||
| I | 55959 | FMV Rental Rate |
| Adventist Hinsdale Hospital | ||
| I | 91977 | FMV Rental Rate |
| Memorial Hospital Inc | ||
| I | 73761 | FMV Rental Rate |
| Shawnee Mission Medical Center Inc | ||
| I | 59064 | FMV Rental Rate |
| University Community Hospital Inc | ||
| C | 1835185 | Actual Amount Received |
| Fletcher Hospital Inc | ||
| C | 483614 | Actual Amount Received |
| Memorial Hospital Inc | ||
| C | 281248 | Actual Amount Received |
| Adventist Hinsdale Hospital | ||
| C | 1803081 | Actual Amount Received |
| Adventist Bolingbrook Hospital | ||
| C | 212739 | Actual Amount Received |
| Chippewa Valley Hospital & Oakview Care Center Inc | ||
| C | 54760 | Actual Amount Received |
| Adventist GlenOaks Hospital | ||
| C | 299501 | Actual Amount Received |
| Adventist Health System Georgia Inc | ||
| C | 688672 | Actual Amount Received |
| PorterCare Adventist Health System | ||
| C | 5223046 | Actual Amount Received |
| Shawnee Mission Medical Center Inc | ||
| C | 2312798 | Actual Amount Received |
| Florida Hospital Zephyrhills Inc | ||
| C | 846449 | Actual Amount Received |
| Memorial Hospital - West Volusia Inc | ||
| C | 513990 | Actual Amount Received |
| Southwest Volusia Healthcare Corporation | ||
| C | 751125 | Actual Amount Received |
| Memorial Hospital - Flagler Inc | ||
| C | 1165552 | Actual Amount Received |
| Memorial Health Systems Inc | ||
| C | 1145545 | Actual Amount Received |
| Florida Hospital Waterman Inc | ||
| C | 1532991 | Actual Amount Received |
| Adventist Health SystemSunbelt Inc | ||
| C | 15849706 | Actual Amount Received |
| University Community Hospital Inc | ||
| C | 1835185 | Actual Amount Received |
| South Central Nursing Home Properties Inc | ||
| D | 19913159 | Actual Amount Loan |
| South Central Nursing Home Properties Inc | ||
| R | 33377329 | Actual Amount Transferred |
| Jellico Community Hospital Inc | ||
| B | 2000000 | Actual Amount Given |
| Bert Fish Medical Center | ||
| Q | 1350000 | Actual Amount Given |
| Adventist Health SystemSunbelt Inc | ||
| B | 1870890 | Actual Amount Given |
| Sunsystem Development Corporation | ||
| B | 123721 | Actual Amount Given |