2011-11-14T15:40:06-06:00 2010-12-31 990 2010-01-01 208488713 Pasco-Pinellas Hillsborough Community Health System Inc PASC 4073037658 2400 Bedford Road Orlando FL 32803 John Harding 8136157203 2011-11-14 2010 2016-02-24 21:20:13Z John Harding 3100 E Fletcher Ave Tampa FL 33613 1909770 0 X N/A X 2007 FL Provide and support the provision of hospital/medical servies in it's service area. 11 4 0 0 0 0 0 0 1613715 1131094 530847 778676 0 0 2144562 1909770 0 0 0 0 0 0 0 0 0 1100102 693158 1100102 693158 1044460 1216612 31593730 30460055 2465808 104521 29127922 30355534 Provide and support the provision of hospital or medical care and services in the Pasco, Pinellas, and Hillsborough Counties of Florida. 0 0 633992 1131094 Pasco-Pinellas Hillsborough Community Health System, Inc. (PPHCHS) was formed to provide healthcare services in Pasco, Pinellas, and Hillsborough Counties of Florida; including the construction, development and operation of a new hospital facility. PPHCHS was in the organizational and development stage during 2010. 633992 1 1 0 0 0 0 0 0 0 1 0 0 0 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1 11 0 1 0 0 0 0 0 0 0 0 0 0 0 X 11 4 1 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 0 0 0 X Donald Welch 8137880411 7050 Gall Blvd Zephyrhills FL 33541 X Norman Stein 1.00 X 0 777482 27621 Robert Anderson 1.00 X 0 0 0 Richard Morrison 1.00 X 0 397585 54628 Robert Rosequist MD 1.00 X 0 0 0 Lewis Seifert 1.00 X 0 463479 86033 Donald Welch 10.00 X X 0 242421 44786 Michael Schultz 1.00 X 0 1753215 138723 Alma Bryant PHD 1.00 X 0 0 0 Ken Lightfoot 1.00 X 0 0 0 Lars Houmann 1.00 X 0 2711480 213876 John Harding 1.00 X X 0 778791 101663 0 7124453 667330 0 0 1 0 Hunton Brady Architects 800 N Magnolia Ave 600 Orlando FL 32803 Architect Services 1927319 Parsons Commercial PO Box 88964 Chicago IL 60695 Site Design Development 710471 Gray Robinson 301 E Pine St 1400 Orlando FL 32802 Legal Services 104415 3 Network Participation 900099 666667 666667 Management Fees 900099 464427 464427 1131094 178073 178073 600603 600603 600603 600603 1909770 1131094 0 778676 618715 618715 28800 28800 10655 10655 11081 11081 3203 3203 16082 16082 4622 4622 693158 633992 59166 0 24068777 22105205 243744 160265 8194585 7281209 8194585 31593730 30460055 2260913 99053 204895 5468 2465808 104521 X 29127922 30344534 11000 29127922 30355534 31593730 30460055 X 1216612 11000 X 0 1 1 X 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 8194585 8194585 8194585 Due to member organization 5468 5468 1909770 693158 1216612 11000 11000 1227612 1909770 0 1909770 0 1909770 693158 0 693158 0 693158 Description of Uncertain Tax Positions Under FIN 48: Part X: Pasco-Pinellas Hillsborough Community Health System, Inc. follows the Income Taxes Topic of the ASC (ASC 740), which 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. Part XI, Line 8 - Other Adjustments: Gifts 11,000. 0 1 0 0 0 0 0 0 0 Norman Stein 0 504172 0 0 0 273310 0 11481 0 16140 0 805103 0 0 Richard Morrison 0 241059 0 50000 0 106526 0 21609 0 33019 0 452213 0 0 Lewis Seifert 0 342444 0 79592 0 41443 0 55365 0 30668 0 549512 0 0 Donald Welch 0 189847 0 33043 0 19531 0 12467 0 32319 0 287207 0 0 Michael Schultz 0 540455 0 151199 0 1061561 0 104598 0 34125 0 1891938 0 0 Lars Houmann 0 805019 0 232797 0 1673664 0 171790 0 42086 0 2925356 0 0 John Harding 0 422806 0 86905 0 269080 0 81870 0 19793 0 880454 0 0 Part I, Line 4b All of the Board members and officers shown in Part VII, Section A, with the exception of Norman Stein, received compensation from Adventist Health System Sunbelt Healthcare Corporation (AHSSHC). The compensation received by these individuals from AHSSHC was for services provided to AHSSHC in connection with various executive leadership positions. 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 John Harding $ 68,527 $ 228,747 (AHS Plan & SERP) Lars Houmann $158,447 $1,617,645 (AHS Plan & SERP) Richard Morrison $ 24,766 $ 52,390 (AHS Plan & SERP) Michael Schultz $ 91,255 $ 995,981 (AHS Plan & SERP) Lewis Seifert $ 42,022 $ 0 (AHS Plan) Donald Welch $ 404 $ 0 (AHS Plan) Norm Stein received a distribution in the amount of $2,045,306, during calendar year 2010 from the University Community Hospital (UCH), Supplemental Retirement Plan (SERP). The UCH SERP Plan was frozen as of 12/31/09. The amount of the distribution was fully taxed to Mr. Stein in previous years. Supplemental Information Part III Part I, Line 3 The filing organization provided no compensation to any of the members of its Board of Directors, or officers, in the current year. At such time when the filing organization does provide compensation to any of these individuals, a process will be established for the determination of the compensation paid. The process will include a reliance upon independent compensation data in the determination of each individual's compensation. Independent data will include some or all of the following: 1) compensation paid by similarly situated tax-exempt organizations for similar services; 2) compensation surveys compiled by independent firms; or 3) actual written offers from similarly situated organizations. All compensation determinations will be approved in advance of paying compensation and the approval and review process will be documented to include a description of the independent compensation data utilized in the determination of compensation. Form 990, Part VI, Section A, line 2 Ken Lightfoot and Norm Stein - Business Relationship Ken Lightfoot and Robert Rosequist, MD - Business Relationship Donald Welch and Robert Rosequist, MD - Business Relationship Form 990, Part VI, Section A, line 6 Pasco-Pinellas Hillsborough Community Health System, Inc. (the filing organization) has two 50% members. The members of the filing organization are Adventist Health System Sunbelt Healthcare Corporation (AHSSHC) and University Community Hospital, Inc.(UCH). Both members are Florida, not-for-profit corporations that are exempt from federal income tax under Internal Revenue Code (IRC) Section 501(c)(3). There are no other classes of membership in the filing organization. On September 1, 2010, AHSSHC became the sole member of UCH. Form 990, Part VI, Section A, line 7a The two 50% members of the filing organization are AHSSHC and UCH. Each of the two members has the power to appoint 50% of the members of the board of directors of the filing organization. Form 990, Part VI, Section A, line 7b AHSSHC and UCH, as the equal members of the filing organization, have certain reserved powers as set forth in the Bylaws of the filing organization. These reserved powers include the following: a) to appoint and remove the Directors of the filing organization; b) to adopt, amend, restate, and repeal the Articles of Incorporation or Bylaws of the filing organization; c) to amend, restate, or repeal the Mission Statement of the filing organization; d) to approve or disapprove the sale, transfer, or disposal of all or substantially all of the assets of the filing organization; and e) to direct the use and application of net revenue of the filing organization. Form 990, Part VI, Section B, line 11 The filing organization's current year Form 990 was reviewed by the President and by the CFO prior to its filing with the IRS. The review conducted by the President and the CFO 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 C, line 19 Effective 9/1/2010, 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 For those Board of Director members and officers 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 or University Community Hospital, Inc. 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 devoted approximately 50 hours per week in conjunction with serving in their respective executive leadership position within either Adventist Health System or University Community Hospital, Inc. in 2010. Changes in Net Assets or Fund Balances: Form 990, Part XI, line 5: Gifts 11,000. Total to Form 990, Part XI, Line 5: 11,000. Form 990, Part VI, Line 15: The filing organization provided no compensation to any of the members of its Board of Directors, or officers, in the current year. At such time when the filing organization does provide compensation to any of these individuals, a process will be established for the determination of the compensation paid. The process will include a reliance upon independent compensation data in the determination of each individual's compensation. Independent data will include some or all of the following: 1) compensation paid by similarly situated tax-exempt organizations for similar services; 2) compensation surveys compiled by independent firms; or 3) actual written offers from similarly situated organizations. All compensation determinations will be approved in advance of paying compensation and the approval and review process will be documented to include a description of the independent compensation data utilized in the determination of compensation. Part X, Line 2: The amounts shown on line 2 of Part X of this return include the filing organization's interest in a central investment pool maintained by Adventist Health System Sunbelt Healthcare Corporation, one of the filing organization's 50% parent organizations. 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 0 0 0 0 0 0 0 0 0 1 1 0 0 1 0 0 0 Florida Hospital Zephyrhills Inc K 464430 % of facility's operating exp Florida Hospital Zephyrhills Inc K 333333 % of positive cash flow Florida Hospital Zephyrhills Inc L 140000 Cost Florida Hospital Zephyrhills Inc O 296587 Cost Adventist Health System Sunbelt Healthcare Corporation L 464430 % of facility's operating exp University Community Hospital Inc K 333333 % of positive cash flow