2011-10-14T09:43:13-05:00 2010-12-31 990 2010-01-01 592219301 SunSystem Development Corporation SUNS 4079753633 111 North Orlando Avenue Winter Park FL 32789 Lynn C Addiscott 4079751400 2011-10-14 2010 2016-03-07 17:11:31Z Donald L Jernigan 111 North Orlando Avenue Winter Park FL 32789 33093845 0 X N/A X 1982 FL Fund Raising for Affiliated Tax-Exempt Hospitals 25 19 0 623 0 0 9884786 11490029 17062613 16934118 3644949 3577877 -449001 -428926 30143347 31573098 11532219 27954986 0 0 0 0 214852 251756 4381888 5425249 5730986 17172320 33937728 12971027 -2364630 128083606 126637672 8167954 12960595 119915652 113677077 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. 0 0 27954986 27954986 16934118 SunSystem Development Corporation (SDC) is involved in philanthropic activities for the benefit of its affiliated tax-exempt hospital organizations. During 2010, SDC supported the activities of eleven charitable related tax-exempt hospital organizations. 27954986 1 1 0 0 1 0 0 0 1 0 0 0 1 1 1 0 1 0 0 0 0 0 1 1 0 0 1 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 0 1 57 0 1 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 X 25 19 1 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 FL NC TX TN GA KY X Kelli Chalker-Johnson 4079751578 111 N Orlando Avenue Winter Park FL 327893675 X Max A Trevino 1.00 X 0 1953 0 Mardian J Blair 0.50 X 0 1584 0 Ronald Carlson 0.50 X 0 781 0 Michael Cauley 0.50 X 0 714 0 Rosemarie Cazeau 0.50 X 0 714 0 Kenneth A Denslow 0.50 X 0 714 0 Samuel L Green 0.50 X 0 1754 0 Rodney A Grove 0.50 X 0 1754 0 Elaine Hagele 0.50 X 0 1754 0 Alta Sue Hayes 0.50 X 0 714 0 Leighton R Holley 0.50 X 0 714 0 Lars Houmann 0.50 X 0 2711480 213876 Roscoe Howard III 0.50 X 0 19512 1283 Donald L Jernigan 0.50 X X 0 1666391 287137 Mark Johnson MD 0.50 X 0 714 0 Deryl J Knutson 0.50 X 0 1754 0 Thomas Lemon 0.50 X 0 1953 0 Donald Livesay 0.50 X 0 1953 0 Hubert Morel 0.50 X 0 714 0 Richard Reiner 0.50 X 0 1173953 208519 Gordon Retzer 0.50 X 0 1953 0 Randy Robinson 0.50 X 0 1754 0 Glynn Scott 0.50 X 0 1754 0 Terry Shaw 0.50 X 0 1096656 219036 Ron C Smith 0.50 X 0 1754 0 Thomas Werner 0.50 X 0 83791 8996 Des Cummings 20.00 X 0 798834 110382 David CollisCDO 40.00 X 0 256078 37134 0 7834148 1086363 0 0 1 0 Blackbaud Inc PO Box 930256 Atlanta GA 31193 Maintenance Fees/Training 101956 1 2685749 6264235 126550 2413495 11490029 Satisfaction of Progra 900099 16927145 16927145 Advised Fund Fees 900099 6973 6973 16934118 906313 906313 2688657 17093 2671564 2671564 2671564 1074728 2685749 1503654 -428926 -428926 31573098 16934118 0 3148951 27906855 27906855 48131 48131 3202 3202 251756 251756 205023 195241 9782 69601 11719 57882 232418 147396 85022 158137 158119 18 82867 17536 65331 9405 9405 Reimbursed Salaries/Wag 4492409 943929 3548480 Gifts 150124 2998 147126 Purchased Services 132234 34943 97291 Food Costs 53032 52030 1002 142534 36943 105591 33937728 27954986 1600854 4381888 X 1050 1050 88878689 86918091 16297983 16316732 1008080 977554 450 404413 422407 21493391 22001388 128083606 126637672 2293188 845932 5874766 12114663 8167954 12960595 X 37440603 32870477 79536512 77832515 2938537 2974085 119915652 113677077 128083606 126637672 X -2364630 -3873945 X 0 1 1 X 0 X 12476856 23332023 17222048 26829679 28515221 108375827 12476856 23332023 17222048 26829679 28515221 108375827 26210007 82165820 3340763 3751932 18035850 2371213 1198190 28697948 137073775 0.59940 0.54150 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 10 614283 701208 1215998 1 1 14724553 30203 720592 339920 15135428 13991990 57189 696088 117114 -96400 14724553 2941783 79953 233695 2788041 0.81000 0.19000 0 0 0 Other Receivables 6939078 Investments Held Under Split-Interest Agreements 12690054 Donated Property 221090 Cash Surrender Value of Life Insurance 998345 Other Assets 897044 Donated Stock 196910 Due from Affiliated Organizations 58867 22001388 Due to Affiliated Organizations 9263344 Other Liabilities 27169 Liabilities Under Split-Interest Agreements 2824150 12114663 Description of Intended Use of Endowment Funds: Part V, Line 4: SunSystem Development Corp. (SDC) has certain endowments established for a variety of purposes in support of a related tax-exempt hospital organization that is also exempt under IRC Section 501(c)(3). All of SDC's permanently restricted endowment funds are required to be retained permanently either by explicit donor stipulation or by the Florida Uniform Management of Institutional Funds Act. Part V, line 1a, column (b) Prior year - Explanation for change in opening balance: During the year 2009, management of the Foundation determined that there were temporarily restricted net assets that should have been classified as unrestricted board-designated endowment funds as of December 31, 2008. This included $11,203,949 of board-designated endowments that should have been released from restriction in fiscal year 2008 or an earlier period. As a result, the Foundation restated beginning board-designated endowment funds on the statement of activities in its 2009 tax year. Description of Uncertain Tax Positions Under FIN 48: Part X: The filing organization is a subsidiary organization within Adventist Health System (AHS). The consolidated financial statements of AHS contain the following FIN 48 footnote - The Income Taxes Topic of the ASC (ASC 740) prescribes the accounting for uncertainty in income tax positions recognized in financial statements. ASC 740 prescribes a recognition threshold and measurement attribute for the financial statement recognition and measurement of a tax position taken or expected to be taken in a tax return. X X X X X X X 1 American Fundraising 953 N Lake Adair Drive Suite 600 Orlando FL 32804 Provides live auction services 0 0 51516 0 Don Wildman Consulting 659 Airmont Avenue Altamonte Springs FL 32714 Consulting Services 0 0 32693 0 Thompson & Associates 229 Ward Circle Suite A-23 Brentwood TN 37027 Consulting Services 0 0 127547 0 Kaizer Institute PO Box 339 Brighton CO 80601 Consulting Services 0 0 40000 0 251756 FL GA KY NC TN TX GALA 2012469 1514566 497903 0 58249 4550 256299 385500 33894 CELEBRITY STROLL 201387 133744 67643 0 0 0 18767 0 46707 38 1546621 1037439 509182 10084 82641 64743 147535 186723 207962 3760477 2685749 1074728 10084 140890 69293 422601 572223 288563 1503654 -428926 1 Metroplex Adventist Hospital Inc 2201 South Clear Creek Road Killeen TX 76549 742225672 501(c)(3) 411604 Construction Memorial Hospital - West Volusia Inc dba Florida Hospital Deland 701 W Plymouth Avenue Deland FL 32720 593256803 501(c)(3) 62666 General Hospital Support Adventist Health SystemSunbelt Inc 111 N Orlando Avenue Winter Park FL 32789 591479658 501(c)(3) 22121689 General Hospital Support Live Well Christian Foundation 475 North Hwy 25W Williamsburg KY 40769 320256429 501(c)(3) 125000 Support of Diabetes & Wellness Programs Jellico Community Hospital Inc 106 South 3rd Street Williamsburg KY 40769 620924706 501(c)(3) 507293 General Hospital Support Adventist Health System Georgia Inc dba Gordon Hospital 1035 Red Bud Road Calhoun GA 30701 581425000 501(c)(3) 315491 General Hospital Support Adventist Health System Georgia Inc dba Gordon Hospital 1035 Red Bud Road Calhoun GA 30701 581425000 501(c)(3) 271 Cost Radiology Robes General Hospital Support St Mark AME African Methodist Episcopal Church 1960 Bruton Blvd Orlando FL 32805 591973395 501(c)(3) 16677 Payment for Nursing Services International Medical-Aid Asociation PO Box 5 Loma Linda CA 92354 330631793 501(c)(3) 35170 Construction Foundation for Orange County Public Schools Inc 445 W Amelia Street Ste 901 Orlando FL 32801 592788435 501(c)(3) 53254 Support for Suicide Awareness Program Bread of Life Fellowship Inc 532 Bluford Avenue Ocoee FL 34761 593166797 501(c)(3) 25000 Construction City of Ocoee 150 N Lakeshore Drive Ocoee FL 34761 596019764 City of Ocoee 10000 General Support Florida Resurrection House Inc 800 11th Street N St Petersburg FL 33705 592837168 501(c)(3) 20000 General Support Community Foundation of Greater Winter Haven Inc PO Box 9445 Winter Haven FL 33883 593649871 501(c)(3) 160000 General Support University of Central Florida Foundation Inc 12424 Research Pkwy Suite 250 Orlando FL 32826 596211832 501(c)(3) 133333 Medical School General Support Florida Hospital College of Health Sciences Inc 671 Winyah Drive Orlando FL 32803 593069793 501(c)(3) 133379 General Support Memorial Hospital Inc 210 Marie Langdon Drive Manchester KY 40962 610594620 501(c)(3) 508050 Purchase of Medical Equipment Manchester Seventh-Day Adventist Community Church 168 SDA School Road Manchester KY 40962 611086259 501(c)(3) 7508 General Support Fletcher Hospital Inc dba Park Ridge Health 100 Hospital Drive Hendersonville NC 28792 560543246 501(c)(3) 982308 General Hospital Support Memorial Hospital - Flagler Inc 60 Memorial Medical Pkwy Palm Coast FL 32164 592951990 501(c)(3) 14180 General Hospital Support The Vagabond School of the Drama Inc PO Box 310 Flat Rock NC 28731 560571518 501(c)(3) 6000 General Support Orlando Health Foundation Inc 3160 Southgate Commerce Blvd Orlando FL 32806 592244943 501(c)(3) 266667 Provision of Medical Care Ocoee Lions Foundation Inc 108A Taylor Street Ocoee FL 34761 331051301 501(c)(3) 25000 General Support Adventist Development & Relief Agency International 12501 Old Columbia Pike Silver Spring MD 20904 521314847 501(c)(3) 18604 General Support Florida Hospital Zephyrhills Inc 7050 Gall Blvd Zephyrhills FL 33541 592108057 501(c)(3) 583731 General Hospital Support 24 1 Nursing and other scholarships 12 12000 Food, clothing, shelter, and other assistance to individuals in need 114 61381 Medical screening and other services for patients in need 135 16119 Disaster Assistance 1 5000 Procedure for Monitoring Grants in the U.S.: Part I, Line 2: Schedule I, Part I, Line 2: Grants are generally made only to related supported hospital organizations that are exempt from Federal Income Tax under 501(c)(3), other 501(c)(3) organizations that are a part of the group exemption ruling issued to the General Conference of Seventh-Day Adventists, or to other 501(c)(3) community organizations involved in health-related causes. Accordingly, the filing organization has not established specific procedures for monitoring the use of grant funds in the United States as the filing organization does not have a grant making program that would necessitate such procedures. 0 1 0 0 0 0 0 0 0 Lars Houmann 0 805019 0 232797 0 1673664 0 171790 0 42086 0 2925356 0 0 Donald L Jernigan 0 903442 0 261600 0 501349 0 186905 0 100232 0 1953528 0 186046 Richard Reiner 0 805019 0 232471 0 136463 0 162106 0 46413 0 1382472 0 0 Terry Shaw 0 805019 0 233100 0 58537 0 171790 0 47246 0 1315692 0 0 Des Cummings 0 442723 0 128156 0 227955 0 87321 0 23061 0 909216 0 0 David CollisCDO 0 233002 0 0 0 23076 0 8186 0 28948 0 293212 0 0 Part I, Line 4b Executives on the filing organization's management team that hold the position of Vice-President or above are compensated by and on the payroll of Adventist Health System Sunbelt Healthcare Corporation (AHSSHC), the parent organization of a healthcare system known as Adventist Health System (AHS). In recognition of the contribution that each executive makes to the success of AHS, AHS provides to eligible executives participation in the AHS Executive FLEX Benefit Program (the Plan). The purpose of the Plan is to offer eligible executives an opportunity to elect from among a variety of supplemental benefits, including deferred compensation benefits taxable under Internal Revenue Code (IRC) Section 457(f), to individually tailor a benefits program appropriate to each executive's needs. The Plan provides eligible participants a pre-determined benefits allowance credit that is equal to a percentage of the executive's base pay from which is deducted the cost of mandatory and elective employee benefits. The pre-determined benefits allowance credit percentage is approved by the AHS Board Strategy & Compensation Committee, an independent committee of the Board of Directors of AHSSHC. Any funds that remain after the cost of mandatory and elective benefits are subtracted from the pre-determined benefits annual amount 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. 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 $196,000. 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. 457(f) Employer SERP Contributions Contr./Pymt --------------- ----------- Donald L. Jernigan $190,062 $0 Lars Houmann $158,447 $1,617,645 Thomas Werner $0 $ 82,877 Des Cummings $ 74,254 $ 60,955 David Collis $ 14,916 $0 Richard Reiner $165,263 $ 61,356 Terry Shaw $158,447 $0 Supplemental Information Part III Part I, Question 3: The individual who serves as the CDO/Vice President of Florida Hospital Foundation (FHF), the primary Foundation division within the filing organization is compensated by Adventist Health System Sunbelt Healthcare Corporation (AHSSHC) for that individual's role in serving as the CDO/Vice President of FHF. Compensation and benefits provided to this individual are determined pursuant to policies, procedures, and processes of AHSSHC that are designed to ensure compliance with the intermediate sanctions laws as set forth in IRC Section 4958. AHSSHC uses all of the following to establish compensation of the CDO/Vice President: - Compensation committee; - Independent compensation consultant; - Compensation survey or study; and - Approval by the board or compensation committee. X 2 X 7 X 1 X 1 X 3 X Meals & Entertainment 40 X Vacation 3 X Goods 50 X Beneficial interest in irrevocable living trust 1 0 0 1 1 Method for Determining Number of Contributors: Part I, Column (b): The number of contributions reported in column (b) of Schedule M, Part I represents the number of items received by the filing organization during the current year with the exception of publicly traded securities which is reported by the number of contributions. Third Party Use: Part I, Line 32b: Sunsystem Development Corporation (SDC) is a charitable foundation organization that supports ten related tax-exempt hospital organizations. In carrying out its philanthropic activities, SDC will occasionally engage third-parties to provide various consulting services. Such consulting services generally include donor/grant prospecting, assistance with grant-writing, fund-raising planning and organization, and planned giving services. Fees paid to any engaged consultants are at fair market value rates and the terms are always negotiated at arm's length. Non Reporting of Revenue: Part I, Line 33: Pursuant to the filing organization's Net Assets Accounting Policy, gifts of donated property are recorded by the filing organization to the unrestricted net assets (equity) account. Accordingly, donated property is recorded directly to equity accounts and are not recorded in the income statement. Form 990, Part VI, Section A, line 2 Donald Livesay and Rosemarie Cazeau - Business Relationship Donald Livesay and Kenneth A. Denslow - Business Relationship Donald Livesay and Rodney A. Grove - Business Relationship Donald Livesay and Glynn Scott - Business Relationship Form 990, Part VI, Section A, line 6 SunSystem Development Corporation (SDC) is a wholly owned subsidiary of Adventist Health System Sunbelt Healthcare Corporation (AHSSHC). AHSSHC is a Florida, not-for-profit corporation that is exempt from federal income tax under Internal Revenue Code (IRC) Section 501(c)(3). AHSSHC is the sole corporate member of SDC. There are no other separate classes of membership in SDC. Form 990, Part VI, Section A, line 7a The affairs of SDC are managed by a Board of Managers. The Board of Managers of SDC are elected by the Member of SDC. Form 990, Part VI, Section A, line 7b The member of SDC has certain reserved powers as set forth in the Articles of Incorporation and Bylaws of SDC. These reserved powers include the following: a) to appoint and remove the members of the Board of Managers of SDC; and b) to adopt, amend, restate, and repeal the Articles of Incorporation or Bylaws of SDC. Form 990, Part VI, Section B, line 11 SDC's current year Form 990 was reviewed by the organization's Senior Vice President of Finance prior to its filing with the IRS. The review conducted by the Senior Vice President of Finance did not include the review of any supporting workpapers that were used in preparation of the current year's Form 990, but did include a review of the entire Form 990 and all supporting schedules. Form 990, Part VI, Section B, line 12c The Conflict of Interest Policy of SDC applies to members of its Board of Managers and its principal officers (to be known as Interested Persons). In connection with any actual or possible conflict of interests, any member of the Board of Managers of SDC or any principal officer of SDC (i.e. Interested Persons) must disclose the existence of any financial interest with SDC and must be given the opportunity to disclose all material facts concerning the financial interest/arrangement to the Board of Managers of SDC or to any members of a committee with board delegated powers that is considering the proposed transaction or arrangement. Subsequent to any disclosure of any financial interest/arrangement and all material facts, and after any discussion with the relevant Board member or principal officer, the remaining members of the Board of Managers or committee with board delegated powers shall discuss, analyze, and vote upon the potential financial interest/arrangement to determine if a conflict of interest exists. According to SDC's Conflict of Interest Policy, an Interested Person may make a presentation to the Board of Managers (or committee with board delegated powers), but after such presentation, shall leave the meeting during the discussion of, and the vote on, the transaction or arrangement that results in a conflict of interest. Each Interested Person, as defined under SDC's Conflict of Interest Policy, shall annually sign a statement which affirms that such person has received a copy of the Conflict of Interests policy, has read and understands the policy, has agreed to comply with the policy, and understands that SDC is a charitable organization that must primarily engage in activities which accomplish one or more of its exempt purposes. SDC's Conflict of Interest Policy also requires that periodic reviews shall be conducted to ensure that SDC operates in a manner consistent with its charitable purposes. Form 990, Part VI, Section B, line 15 The top-tier parent of SunSystem Development Corporation (SDC) is Adventist Health System Sunbelt Healthcare Corporation (AHSSHC). AHSSHC is the parent organization of a healthcare system, known as Adventist Health System, that operates hospitals, nursing home facilities, and other healthcare provider organizations. AHSSHC is exempt from federal income tax under IRC Section 501(c)(3) pursuant to a group ruling issued to the General Conference of Seventh-day Adventists. The individuals who serve as President and Vice President of the filing organization were compensated by AHSSHC. Compensation and benefits provided to these individuals was determined pursuant to policies, procedures, and processes of AHSSHC that are designed to ensure compliance with the intermediate sanctions laws as set forth in IRC Section 4958. AHSSHC has taken steps to ensure that processes are in place to satisfy the rebuttable presumption of reasonableness standard as set forth in Treasury Regulation 53.4958-6 with respect to its active executive-level positions. The AHSSHC Board Strategy and Compensation Committee (the Committee) serves as the governing body for all executive compensation matters. The Committee is composed of certain members of the Board of Directors (the Board) of AHSSHC. Voting members of the Committee include only individuals who serve on the Board as independent representatives of the community, who hold no employment positions with AHSSHC and who do not have relationships with any of the individuals whose compensation is under their review that impacts their best independent judgment as fiduciaries of AHSSHC. The Committee's role is to review and approve all components of the executive compensation plan of AHSSHC. As an independent governing body with respect to executive compensation, it should be noted that the Committee will often confer in executive sessions on matters of compensation policy and policy changes. In such executive sessions, no members of management of AHSSHC are present. The Committee is advised by an independent third party compensation advisor. This advisor prepares all the benchmark studies for the Committee. Compensation levels are benchmarked with a national peer group of other not-for-profit healthcare systems and hospitals of similar size and complexity to AHS and each of its affiliated entities. The following principles guide the establishment of individual executive compensation: - The salary of the President/CEO of AHS will not exceed the 40th percentile of comparable salaries paid by similarly situated organizations; and - Other executive salaries shall be established using market medians. The compensation philosophy, policies, and practices of AHSSHC are consistent with the organization's faith-based mission and conform to applicable laws, regulations, and business practices. As a faith-based organization sponsored by the Seventh-day Adventist Church (the Church), AHSSHC's philosophy and principles with respect to its executive compensation practices reflect the conservative approach of the Church's mission of service and were developed in counsel with the Church's leadership. Form 990, Part VI, Section C, line 19 As discussed in our response to Question 15a & b in Section B of this Part VI, the filing organization is a part of the system of healthcare organizations known as Adventist Health System (AHS). Each year, AHS publishes an annual report document that includes a financial report for the relevant year as well as a community benefit report. The financial report and community benefit report are presented on a consolidated basis and represent all of the activities, results of operations, and financial position at year-end of the entire AHS system. In addition, the audited consolidated financial statements of AHS and of the AHS "Obligated Group" are filed annually with the Municipal Securities Rulemaking Board (MSRB). The "Obligated Group" is a group of AHSSHC subsidiaries that are jointly and severally liable under a Master Trust Indenture that secures debt primarily issued on a tax-exempt basis. Unaudited quarterly financial statements prepared in accordance with Generally Accepted Accounting Principles (GAAP) are also filed with MSRB for AHS on a consolidated basis and for the grouping of AHS subsidiaries comprising the "Obligated Group". The filing organization does not generally make its governing documents or conflict of interest policy available to the public. Part VII, Section A, Column (B) The members of the Board of Directors and officers who received compensation from a related organization as shown in column (E) and (F) of Section A each devote approximately 50 hours per week in conjunction with serving in their respective executive leadership position within Adventist Health System. Changes in Net Assets or Fund Balances: Form 990, Part XI, line 5: Net unrealized gains on investments: 51,647. Temporarily Restricted Gifts 11,698,623. Permanently Restricted Gifts 30,203. Special Event Revenue and Expense Reclassed -270,535. Change in Value of Split-Interest Agreements 627,905. Temporarily Restricted Fund Balance Investment Income 1,179,498. Permanently Restricted Fund Balance Investment Income 5,345. Net Asset Transfers -269,956. Transfer of Net Assets from Restricted Fund Balance -16,927,145. Loss on Sale Reclassed 654. Other Adjustments -184. Total to Form 990, Part XI, Line 5: -3,873,945. Columns (E) & (F) Part VII, Section A For those Board of Director members and key employees who devote less than full-time to the filing organization (based upon the average number of hours per week shown in column (B) on page 7 of the return) the compensation amounts shown in columns (E) and (F) on page 7 were provided in conjunction with that person's responsibilities and roles in serving in an executive leadership position within Adventist Health System. Savings and temporary cash investments Part X, Line 2 The amounts shown on line 2 of Part X of this return includes the filing organization's interest in a central investment pool maintained by Adventist Health System Sunbelt Healthcare Corporation, the filing organization's top-tier parent. The investments in the central investment pool are recorded at market value. 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 Health SystemSunbelt Inc 0 Adventist Care Centers - Courtland Inc 730 Courtland Street Orlando FL 32804 205774723 Operation of Home for the Aged/Healthcare Delivery FL 501(c)(3) 509(a)(2) Sunbelt Health 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 Health SystemSunbelt Inc 0 Adventist Health Mid-America Inc 9100 W 74th Street Shawnee Mission KS 66204 521347407 Healthcare Related Services KS 501(c)(3) 509(a)(3) Type I Adventist Health SystemSunbelt Inc 0 Adventist Health 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 Health System Affiliated Benefit Trust 111 N Orlando Avenue Winter Park FL 32789 266422966 Promotion of Healthcare FL 501(c)(3) 509(a)(3) Type I Adventist Health System Sunbelt Healthcare Corporation 0 Adventist Health System Sunbelt Healthcare Corporation 111 N Orlando Avenue Winter Park FL 32789 592170012 Management Services FL 501(c)(3) 509(a)(3) Type I N/A 0 Adventist Health 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 Health System Sunbelt Healthcare Corporation 0 Adventist Health 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 Health System Sunbelt Healthcare Corporation 0 Adventist Health SystemTexas Inc 602 Courtland Street Orlando FL 32804 742578952 Inactive TX 501(c)(3) 509(a)(2) Adventist Health System Sunbelt Healthcare Corporation 0 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 Health SystemSunbelt Inc 0 AHS Midwest Management Inc 1000 Remington Blvd Ste 200 Bolingbrook IL 60440 363354567 Operation of Occupational Hlth Clinic & Physician Practice Mgmt IL 501(c)(3) 509(a)(3) Type I Adventist Health 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 Health System Sunbelt Healthcare Corporation 0 Apopka Health 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 Health Care Centers Inc 0 Battle Creek Adventist Hospital 1000 Remington Blvd Ste 200 Bolingbrook IL 60440 381359189 Operation of Hospital & Related Services MI 501(c)(3) 170(b)(1)(A)(iii) Adventist Health 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 Health System Sunbelt Healthcare Corporation 0 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 Health Foundation 0 Bradford Heights Health & Rehab Center Inc 950 Highpoint Drive Hopkinsville KY 42240 205782342 Operation of Home for the Aged/Healthcare Delivery KY 501(c)(3) 509(a)(2) Sunbelt Health Care Centers Inc 0 Burleson Nursing & Rehab Center Inc 301 Huguley Blvd Burleson TX 76028 205782243 Operation of Home for the Aged/Healthcare Delivery TX 501(c)(3) 509(a)(2) Sunbelt Health Care Centers Inc 0 Caldwell Health 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 Health Care Centers 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 Health SystemSunbelt Inc 0 Chickasaw Health 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 Health 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 Health 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 Health 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 Health Care Centers Inc 0 Creekwood Place Nursing & Rehab Center Inc 683 E Third Street Russellville KY 42276 205782260 Operation of Home for the Aged/Healthcare Delivery KY 501(c)(3) 509(a)(2) Sunbelt Health Care Centers Inc 0 Dairy Road Health 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 Health Care Centers Inc 0 East Orlando Health & Rehab Center Inc 250 S Chickasaw Trail Orlando FL 32825 205774748 Operation of Home for the Aged/Healthcare Delivery FL 501(c)(3) 509(a)(2) Sunbelt Health 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 Health 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 Health System Sunbelt Healthcare Corporation 0 FLNC Inc 3355 E Semoran Blvd Apopka FL 32703 205774761 Operation of Home for the Aged/Healthcare Delivery FL 501(c)(3) 509(a)(2) Sunbelt Health Care Centers Inc 0 Florida Hospital College of Health 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 Health SystemSunbelt Inc 0 Florida Hospital DeLand Auxiliary Inc 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 Health System Sunbelt Healthcare Corporation 0 Florida Hospital Wesley Chapel Inc 2528 Bruce B Downs Blvd CR 581 S Wesley Chapel FL 33543 203965753 Inactive FL 501(c)(3) 509(a)(3) Type III-F Adventist Health System Sunbelt Healthcare Corporation 0 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 Health SystemSunbelt Inc 0 Florida Physicians 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 Health 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 Health 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 Health System Sunbelt Healthcare Corporation 0 Helen Ellis Memorial Hospital Auxiliary Inc (51-123110) 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 (101-123110) 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 Health Foundation 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 Health 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 Health System Sunbelt Healthcare Corporation 0 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 Health Foundation 0 Memorial Health 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 Health Systems Inc 0 Memorial Health 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 Health 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 Health 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 Health 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 Health System Sunbelt Healthcare Corporation 0 Merriam Health 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 Health 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 Health System Sunbelt Healthcare Corporation 0 Metroplex Clinic Physicians Inc 2201 S Clear Creek Road Killeen TX 76549 113762050 Physician healthcare services to the community TX 501(c)(3) 170(b)(1)(A)(iii) Metroplex Adventist Hospital Inc 0 Midwest Health Foundation 120 North Oak Street Hinsdale IL 60521 352230515 Support of subsidiary Foundations IL 501(c)(3) 509(a)(3) Type II N/A 0 Mills Health & Rehab Center Inc 500 Beck Lane Mayfield KY 42066 205782320 Operation of Home for the Aged/Healthcare Delivery KY 501(c)(3) 509(a)(2) Sunbelt Health 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 Health Care Centers Inc 0 Missouri Adventist Health Inc 9100 W 74th Street Shawnee Mission KS 66204 431224729 Support Health Care Services MO 501(c)(3) 509(a)(3) Type III-O Adventist Health 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 Health Systems Inc 0 Overland Park Nursing & Rehab Center Inc 6501 West 75th Street Overland Park KS 66204 205774821 Operation of Home for the Aged/Healthcare Delivery KS 501(c)(3) 509(a)(2) Sunbelt Health Care Centers Inc 0 Paragon Health 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 Health Care Centers Inc 0 Portercare Adventist Health 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 Health System Sunbelt Healthcare Corporation 0 Portland Nursing & Rehab Center Inc 215 Highland Circle Drive Portland TN 37148 205774842 Operation of Home for the Aged/Healthcare Delivery TN 501(c)(3) 509(a)(2) Sunbelt Health Care Centers Inc 0 Princeton Health & Rehab Center Inc 1333 West Main Princeton KY 42445 205782272 Operation of Home for the Aged/Healthcare Delivery KY 501(c)(3) 509(a)(2) Sunbelt Health Care Centers Inc 0 Princeton Professional Services Inc 601 E Rollins Street Orlando FL 32803 591191045 Provision of Healthcare Services FL 501(c)(3) 509(a)(2) Adventist Health System Sunbelt Healthcare Corporation 0 Quality Circle for Healthcare Inc 111 N Orlando Avenue Winter Park FL 32789 263789368 Healthcare Quality Services FL 501(c)(3) 509(a)(3) Type III-F Adventist Health System Sunbelt Healthcare Corporation 0 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 Health Care Centers Inc 0 Rocky Mountain Adventist Healthcare 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 Health System 0 Rollins Bedford Corporation 602 Courtland Street Ste 200 Orlando FL 32804 370908840 Inactive FL 501(c)(3) 509(a)(3) Type II Sunbelt Health Care Centers Inc 0 Russellville Health 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 Health Care Centers Inc 0 San Marcos Health 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 Health Care Centers Inc 0 San Marcos Nursing & Rehab Center Inc 1900 Medical Parkway San Marcos TX 78666 205782224 Operation of Home for the Aged/Healthcare Delivery TX 501(c)(3) 509(a)(2) Sunbelt Health Care Centers Inc 0 Shawnee Mission Health 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 Health 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 Health 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 N/A 0 South Pasco Health 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 Health Care Centers Inc 0 Southwest Volusia Health 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 Healthcare Corporation 0 Southwest Volusia Healthcare Corporation 1055 Saxon Blvd Orange City FL 327638468 593149293 Operation of Hospital & Related Services FL 501(c)(3) 170(b)(1)(A)(iii) Adventist Health SystemSunbelt Inc 0 Specialty Physicians of Central Texas Inc 1301 Wonder World Drive San Marcos TX 78666 208814408 Physician healthcare services to the community TX 501(c)(3) 170(b)(1)(A)(iii) Adventist Health SystemSunbelt Inc 0 Spring View Health & Rehab Center Inc 718 Goodwin Lane Leitchfield KY 42754 205782288 Operation of Home for the Aged/Healthcare Delivery KY 501(c)(3) 509(a)(2) Sunbelt Health Care Centers Inc 0 Sunbelt Health & Rehab Center - Apopka Inc 305 East Oak Street Apopka FL 32703 205774856 Operation of Home for the Aged/Healthcare Delivery FL 501(c)(3) 509(a)(2) Sunbelt Health Care Centers Inc 0 Sunbelt Health Care Centers Inc 602 Courtland Street Ste 200 Orlando FL 32804 581473135 Management Services TN 501(c)(3) 509(a)(3) Type II Adventist Health System Sunbelt Healthcare Corporation 0 SunSystem Development Corporation 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 Health System Sunbelt Healthcare Corporation 0 Tarpon Springs Hosp Foundation Inc (101-123110) 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 Health 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 Health Care Centers Inc 0 Taylor Creek Health 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 Health Care Centers 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/Healthcare Delivery KS 501(c)(3) 509(a)(2) Sunbelt Health Care Centers Inc 0 University Community Hospital Auxiliary Inc(101-123110) 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(101-123110) 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(101-123110) 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(101-123110) 3100 E Fletcher Ave Tampa FL 33613 591113901 Operation of Hospital & Related Services FL 501(c)(3) 170(b)(1)(A)(iii) Adventist Health System Sunbelt Healthcare Corporation 0 West Kentucky Health 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 Health Care Centers Inc 0 Zephyr Haven Health & Rehab Center Inc 38250 A Avenue Zephyrhills FL 33542 205774930 Operation of Home for the Aged/Healthcare Delivery FL 501(c)(3) 509(a)(2) Sunbelt Health Care Centers Inc 0 Zephyrhills Health & Rehab Center Inc 7350 Dairy Road Zephyrhills FL 33540 205774967 Operation of Home for the Aged/Healthcare Delivery FL 501(c)(3) 509(a)(2) Sunbelt Health Care Centers Inc 0 Appalachian Therapy Services LLC 100 Hospital Drive Hendersonville NC 28792 202463851 Therapy Staffing NC 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 Prairie Star Surgery Center LLC 23401 Prairie Star Parkway Lenexa KS 66227 364634843 Surgical Center 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 Adventist Health Sys Sunbelt Healthcare Corp Employee Benefit Trust 111 N Orlando Avenue Winter Park FL 32789 581318939 Administration of Self-Insured Benefit Plans FL N/A T AHS Services Inc 11801 South Freeway Fort Worth TX 76028 752049583 Medical Equipment TX N/A C Altamonte Medical Plaza Condominium Association Inc 601 East Rollins Street Orlando FL 32803 592855792 Condo Association FL N/A C Apopka Medical Plaza Condominium Association Inc 601 East Rollins Street Orlando FL 32803 593000857 Condo Association FL N/A C Arapahoe Medical Building I Inc (630 Year End) 2525 S Downing Street Denver CO 80210 841574506 Real Estate Leasing CO N/A C Arapahoe Medical Building II Inc (630 Year End) 2525 S Downing Street Denver CO 80210 841574507 Real Estate Leasing CO N/A C CC MOB Inc 2201 S Clear Creek Road Killeen TX 76549 742616875 Real Estate Rental TX N/A C Central Texas Medical Associates 1301 Wonder World Drive San Marcos TX 78666 742729873 Physician Clinics TX N/A C Central Texas Provider's Network 1301 Wonder World Drive San Marcos TX 78666 742827652 Physician Hospital Org. TX N/A C Florida Hospital Flagler Medical Office Association Inc 60 Memorial Medical Parkway Palm Coast FL 32164 262158309 Condo Association FL N/A C Florida Hospital Healthcare System Inc 602 Courtland Street Orlando FL 32804 593215680 PHO/TPA FL N/A C Florida Medical Plaza Condo Association Inc 601 East Rollins Street Orlando FL 32803 592855791 Condo Association FL N/A C Florida Memorial Health Network Inc 770 W Granada Blvd Ste 317 Ormond Beach FL 32174 593403558 Physician Hospital Org. FL N/A C Harvard Park East Inc (630 Year End) 2525 S Downing Street Denver CO 80210 841574365 Real Estate Leasing CO N/A C Helen Ellis Memorial Hospital Real Estate Corp (101-123110) 1395 S Pinellas Ave Tarpon Springs FL 34689 593375731 Real Estate Rental FL N/A C Huguley Alliance Foundation 11801 South Freeway Fort Worth TX 76115 752642209 Inactive TX N/A C Huguley Medical Associates Inc 11801 South Freeway Burleson TX 76028 752547668 Physician Clinics TX N/A C Kissimmee Multispecialty Clinic Condominium Association Inc 201 Hilda Street Suite 30 Kissimmee FL 34741 593539564 Condo Association FL N/A C Midwest Management Services Inc 9100 West 74th Street Shawnee Mission KS 66204 480901551 Real Estate Rental KS N/A C Metroplex Adventist Hospital CRNA 2201 S Clear Creek Road Killeen TX 76549 260760794 Support hospital through the provision of allied health professionals TX N/A C North American Health Services Inc & Subs 111 N Orlando Avenue Winter Park FL 32789 621041820 Lessor/Holding Co. TN N/A C Ormond Professional Condo Association (430 Year End) 770 W Granada Blvd Ste 101 Ormond Beach FL 32174 592694434 Condo Association FL N/A C Park Ridge Property Owner's Association Inc 1 Park Place Naples Road Fletcher NC 28732 030380531 Condo Association NC N/A C Porter Affiliated Hlth Services Inc dba Diversified Affiliated Hlth Svcs 2525 S Downing Street Denver CO 80210 840956175 Healthcare Services CO N/A C Porter Medical Plaza Inc (630 Year End) 2525 S Downing Street Denver CO 80210 841574369 Real Estate Leasing CO N/A C Reflections Commercial Condominium Association Inc 875 Sterthaus Ave Ormond Beach FL 32174 593519055 Condo Association FL N/A C San Marcos Regional MRI Inc 1301 Wonder World Drive San Marcos TX 78666 770597968 Holding Company TX N/A C Southeast Volusia Medical Services Inc (10110-93011) 401 Palmetto Street New Smyrna Beach FL 32168 593287185 Inactive FL N/A C The Garden Retirement Community Inc 602 Courtland Street Ste 200 Orlando FL 32804 593414055 Real Estate Rental FL N/A C University Community Health Insurance Company SPC Ltd C/O AON Insurance Managers PO Box Grand Cayman CJ Captive Insurance CJ N/A C UCH Services Inc (101-123110) 3100 East Fletcher Ave Tampa FL 33613 593508454 Management Company FL N/A C West Coast Medical Group Inc (101-123110) 1395 S Pinellas Ave Tarpon Springs FL 34689 593537305 Physician Clinics FL N/A C 0 1 1 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 Adventist Health SystemSunbelt Inc C 4844954 Actual Amount Received Fletcher Hospital Inc C 320796 Actual Amount Received Florida Hospital Zephyrhills Inc C 266300 Actual Amount Received Adventist Health System Georgia Inc C 82617 Actual Amount Received Jellico Community Hospital C 83814 Actual Amount Received Memorial Hospital - West Volusia Inc C 155002 Actual Amount Received Southwest Volusia Healthcare Corp C 152705 Actual Amount Received Memorial Hospital Inc C 87708 Actual Amount Received Metroplex Adventist Hospital Inc C 99913 Actual Amount Received Adventist Health System Sunbelt Healthcare Corp C 131250 Actual Amount Received Florida Physicians Medical Group Inc C 83750 Actual Amount Received Metroplex Adventist Hospital Inc B 411604 Actual Amount Donated Memorial Hospital - West Volusia Inc B 267416 Actual Amount Donated Adventist Health SystemSunbelt Inc B 22121689 Actual Amount Donated Jellico Community Hospital B 507293 Actual Amount Donated Adventist Health System Georgia Inc B 315762 Actual Amount Donated Florida Hospital College of Health Sciences Inc B 133379 Actual Amount Donated Memorial Hospital Inc B 508050 Actual Amount Donated Fletcher Hospital Inc B 982308 Actual Amount Donated Florida Hospital Zephyrhills Inc B 583731 Actual Amount Donated Adventist Health SystemSunbelt Inc M 100833 Cost Allocation