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ADVENTIST HEALTH SYSTEM SUNBELT INC: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
ADVENTIST HEALTH SYSTEM SUNBELT INC (EIN 59-1479658)
Tax period
2010-01-01 to 2010-12-31
Filed
2011-11-15
IRS object ID
201133199349306893
Schema version
2010v3.4
Source
Download XML · Original 990 at ProPublica

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

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2011-11-15T14:34:55-06:00Timestamp
Tax Period End Date2010-12-31TaxPeriodEndDate
Return Type990ReturnType
Tax Period Begin Date2010-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN591479658EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1Adventist Health SystemSunbelt IncBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlADVENameControl
Phone4079751455Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1111 North Orlando AvenueAddressLine1
CityWinter ParkCity
StateFLState
ZIP Code32789ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameLynn C AddiscottName
TitleAsst SecretaryTitle
Phone4079751492Phone
Date Signed2011-11-15DateSigned
FieldValueIRS element (for citing)
Tax Year2010TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

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

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1111 North Orlando AvenueAddressLine1
CityWinter ParkCity
StateFLState
ZIP Code32789ZIPCode
FieldValueIRS element (for citing)
Gross Receipts2890019254GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Group Exemption Number1071GroupExemptionNumber
Organization501c3XOrganization501c3
Web Sitewww.adventisthealthsystem.comWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1973YearFormation
State Legal DomicileFLStateLegalDomicile
Activity Or Mission DescriptionOperation of 13 acute-care hospitals & related healthcare services.ActivityOrMissionDescription
Nbr Voting Members Governing Body25NbrVotingMembersGoverningBody
Nbr Independent Voting Members19NbrIndependentVotingMembers
Total Nbr Employees23882TotalNbrEmployees
Total Nbr Volunteers4675TotalNbrVolunteers
Total Gross UBI13399925TotalGrossUBI
Net Unrelated Business Txbl Income1256564NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year4250519ContributionsGrantsPriorYear
Contributions Grants Current Year5775084ContributionsGrantsCurrentYear
Program Service Revenue Prior Year2593392431ProgramServiceRevenuePriorYear
Program Service Revenue CY2826917153ProgramServiceRevenueCY
Investment Income Prior Year55195954InvestmentIncomePriorYear
Investment Income Current Year46693287InvestmentIncomeCurrentYear
Other Revenue Prior Year7632179OtherRevenuePriorYear
Other Revenue Current Year3958813OtherRevenueCurrentYear
Total Revenue Prior Year2660471083TotalRevenuePriorYear
Total Revenue Current Year2883344337TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year13384512GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY18737315GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year1174345416SalariesEtcPriorYear
Salaries Etc Current Year1231652609SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year1334612893OtherExpensePriorYear
Other Expenses Current Year1430100808OtherExpensesCurrentYear
Total Expenses Prior Year2522342821TotalExpensesPriorYear
Total Expenses Current Year2680490732TotalExpensesCurrentYear
Revenues Less Expenses Prior Year138128262RevenuesLessExpensesPriorYear
Revenues Less Expenses CY202853605RevenuesLessExpensesCY
Total Assets BOY5379889514TotalAssetsBOY
Total Assets EOY5892298669TotalAssetsEOY
Total Liabilities BOY3778223944TotalLiabilitiesBOY
Total Liabilities EOY4109543275TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY1601665570NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY1782755394NetAssetsOrFundBalancesEOY
Mission DescriptionAdventist Health System Sunbelt Healthcare Corporation and all of its subsidiary organizations were established by the Seventh-Day Adventist Church to bring a ministry of healing and health to the communities served. Our mission is to extend the healing ministry of Christ.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense2483436203Expense
Grants18737315Grants
Revenue2814951821Revenue
DescriptionOperation of 13 acute care hospitals with 156,772 patient admissions and 730,467 patient days in the current year. In addition to hospital operations, the corporation provides medical care through a number of other activities such as urgent care centers, physician clinics, home health services, hospice services, sleep centers, wound centers, therapy and rehab.Description
Total Program Service Expense2483436203TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities1LobbyingActivities
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements1ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments1TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets1ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote1ReportFin48Footnote
Independent Audit Financial Stmt0IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt1ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities1ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities1FundraisingActivities
Gaming0Gaming
Hospital1Hospital
Financial Stmt Attached0FinancialStmtAttached
Grants To Organizations1GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds1TaxExemptBonds
Invest Tax Exempt Bonds0InvestTaxExemptBonds
Escrow Account1EscrowAccount
On Behalf Of Issuer0OnBehalfOfIssuer
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member1BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity1DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity1RelatedOrgControlledEntity
Transaction Related Entity1TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With10961912NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees23882NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income1UnrelatedBusinessIncome
Form990-T Filed1Form990-TFiled
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members25NbrVotingGoverningBodyMembers
Number Independent Voting Members19NumberIndependentVotingMembers
Family Or Business Relationship1FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders1MembersOrStockholders
Election Of Board Members1ElectionOfBoardMembers
Decisions Subject To Approval1DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture1InvestmentInJointVenture
Written Policy Or Procedure1WrittenPolicyOrProcedure
States Where Copy Of Return Is FiledILStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1Terry ShawBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number4079751405TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1111 N Orlando AvenueAddressLine1
CityWinter ParkCity
StateFLState
ZIP Code327893675ZIPCode
FieldValueIRS element (for citing)
Info In Schedule O Part VIIXInfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (43 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployeeFormerFormer
Blair Mardian J
Director1.00X015840
Carlson Ronald
Director (beg 9/10)1.00X07810
Cauley Michael F
Director1.00X07140
Cazeau Rosemarie
Director (beg 2/10)1.00X07140
Denslow Kenneth A
Director1.00X07140
Green Samuel L
Director1.00X017540
Grove Rodney A
Director1.00X017540
Hagele Elaine
Director1.00X017540
Hayes Alta Sue
Director (beg 2/10)1.00X07140
Holley Leighton R
Director1.00X07140
Houmann Lars D
Director40.00X30912708389213876
Howard Roscoe J III
Vice Chairman (end 12/10)1.00X0195141283
Jernigan PhD Donald L
Director/CEO1.00X01666391287137X
Johnson MD Mark
Director (beg 2/10)1.00X07140
Knutson J Deryl
Director1.00X017540
Lemon Thomas L
Vice Chairman/Director1.00X019530
Livesay Donald
Vice Chairman/Director1.00X019530
Morel Hubert
Director (beg 9/10)1.00X07140
Reiner Richard
Director (beg 9/10)1.00X01173953208519
Retzer Gordon
Vice Chairman/Director1.00X019530
Robinson Randy
Director1.00X017540
Scott Glynn C
Director1.00X017540
Shaw Terry
Director (beg 2/10)1.00X01096656219036X
Smith PhD Ron C
Director1.00X017540
Trevino Max A
Chairman1.00X019530
Werner Thomas L
Director1.00X0837918996
Banks David P
Administrator Florida Hosp50.002003571468118440X
Cummings Jr Desmond
Executive Vice President, FH50.003636795199110382X
Moorhead MD John D
Chief Medical Officer, FH50.00198356864791832X
Owen Terry R
Senior Vice President, FH50.00163365086983536X
Paradis J Brian
COO, Florida Hospital50.001722725263145397X
Soler Eddie
CFO, Florida Division50.002493575499105044X
Dodds Sheryl D
Senior Vice President, FH50.00159837741544052X
Hilliard Douglas W
Senior Finance Officer, FH50.00381637015070068X
Torres Ramon M
Physician40.00836698025603X
Lee Kathy
Physician40.00652653020055X
Wittum Roger L
Physician40.00628919022601X
Czerska Barbara
Physician40.00589976019189X
Ekici Sedat T
Physician40.00558760020451X
Bowls Bonnie L
Former key employee0.0083136492551610X
Grim-Marcarelli Karen
Former key employee0.00043532565152X
Hamilton Connie A
Former key employee0.00324640167553781X
Herrin Arlene
Former key employee0.0010826499552228X
FieldValueIRS element (for citing)
Total Reportable Comp From Org3293166TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs12877577TotalReportableCompFrmRltdOrgs
Total Other Compensation2038268TotalOtherCompensation
Number Individuals GT100 K894NumberIndividualsGT100K
Formers Listed1FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
BRASFIELD & GORRIE LLC
200 COLONIAL CENTER PWY STELAKE MARYFL32746Construction Services54869004
CERNER CORPORATION
PO BOX 412702KANSAS CITYMO64141Healthcare Information Technology System8633778
HUNTON BRADY ARCHITECTS
800 N MAGNOLIA AVE STE 600 ATTNDIORLANDOFL32803Architecture5078492
CROTHALL HEALTHCARE INC
2501 N ORANGE AVE STE 303 FLORIDAORLANDOFL32804Housekeeping/cleaning4343020
Hardee Services of Rehab Inc
1330 Hwy 17 SouthWauchulaFL33873Physical Therapy Services3933779
FieldValueIRS element (for citing)
Number Of Contractors GT100 K416NumberOfContractorsGT100K
Fundraising Events114493FundraisingEvents
Related Organizations3098468RelatedOrganizations
Government Grants1222794GovernmentGrants
All Other Contributions1339329AllOtherContributions
Total Contributions5775084TotalContributions

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeUnrelated Business RevenueUnrelatedBusinessRevenue
Patient Revenue900099278022418927714573698766820
Cafeteria/Vending Rev.900099172244631718218642277
Research54170045705284570528
Fitness Revenue71394042788384133304145534
Gift Shop453220363001336289651048

Total Oth Program Service Revenue TotalOthProgramServiceRevenue

FieldValueIRS element (for citing)
Total Revenue Column16989122TotalRevenueColumn
Related Or Exempt Function Income13533682RelatedOrExemptFunctionIncome
Unrelated Business Revenue3455440UnrelatedBusinessRevenue
FieldValueIRS element (for citing)
Total Program Service Revenue2826917153TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column12163665TotalRevenueColumn
Exclusion$12,163,665ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column1924406TotalRevenueColumn
Exclusion$1,924,406ExclusionAmount

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column850581TotalRevenueColumn
Exclusion$850,581ExclusionAmount

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real5304915Real
Personal586245Personal

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real3138518Real
Personal4763Personal

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real2166397Real
Personal581482Personal

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column2747879TotalRevenueColumn
Unrelated Business Revenue988806UnrelatedBusinessRevenue
Exclusion$1,759,073ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities35544488Securities
Other451591Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Other3390863Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities35544488Securities
Other-2939272Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column32605216TotalRevenueColumn
Exclusion$32,605,216ExclusionAmount
FieldValueIRS element (for citing)
Gross Income Fundraising Events55339GrossIncomeFundraisingEvents
Cntrbtns Rprtd Fundraising Events114493CntrbtnsRprtdFundraisingEvents
Fundraising Direct Expenses140773FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column-85434TotalRevenueColumn
Exclusion-$85,434ExclusionAmount

Other Revenue Misc OtherRevenueMisc (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
Investment in Subs900099357239357239
Equity earnings from r9000998854888548
FieldValueIRS element (for citing)
Total Other Revenue445787TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column2883344337TotalRevenueColumn
Related Or Exempt Function Income2814951821RelatedOrExemptFunctionIncome
Unrelated Business Revenue13399925UnrelatedBusinessRevenue
Exclusion$49,217,507ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total18737315Total
Program Services18737315ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total8347501Total
Management And General8347501ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total908250305Total
Program Services890923299ProgramServices
Management And General17327006ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total33204770Total
Program Services32551767ProgramServices
Management And General653003ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total211449449Total
Program Services193622268ProgramServices
Management And General17827181ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total70400584Total
Program Services68983551ProgramServices
Management And General1417033ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total42112107Total
Program Services41387831ProgramServices
Management And General724276ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total265721Total
Management And General265721ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total620121Total
Management And General620121ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total214471536Total
Program Services175100596ProgramServices
Management And General39370940ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total16848669Total
Management And General16848669ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total555315085Total
Program Services532813949ProgramServices
Management And General22501136ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total23306793Total
Program Services8967024ProgramServices
Management And General14339769ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total52405001Total
Program Services52284738ProgramServices
Management And General120263ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total5663394Total
Program Services2367362ProgramServices
Management And General3296032ManagementAndGeneral

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total1162244Total
Program Services728324ProgramServices
Management And General433920ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total76116104Total
Program Services65786855ProgramServices
Management And General10329249ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total149163983Total
Program Services149163983ProgramServices

Insurance Insurance

FieldValueIRS element (for citing)
Total44449578Total
Program Services40509093ProgramServices
Management And General3940485ManagementAndGeneral

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
Bad Debt111763297111763297
Repairs/Maintenance5960418659604186
Assessments2817131828171318
Legal Reserves67000006700000
UBI Tax17776922996154773

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total41783902Total
Program Services9946451ProgramServices
Management And General31837451ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total2680490732Total
Program Services2483436203ProgramServices
Management And General197054529ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY94342BOY
EOY95639EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY1231805446BOY
EOY1392112401EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY326971487BOY
EOY360121552EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY53963853BOY
EOY58417644EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY15768260BOY
EOY15175721EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis3176637337LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec1497214350LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY1630624284BOY
EOY1679422987EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY276545428BOY
EOY277751895EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
BOY12469554BOY
EOY12031039EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY1831646860BOY
EOY2097169791EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY5379889514BOY
EOY5892298669EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY178382528BOY
EOY190473193EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY3459200000BOY
EOY3703849999EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY140641416BOY
EOY215220083EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY3778223944BOY
EOY4109543275EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY1593816057BOY
EOY1775070404EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY7849513BOY
EOY7684990EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY1601665570BOY
EOY1782755394EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY5379889514BOY
EOY5892298669EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses202853605ReconcilationRevenueExpenses
Reconcilation Other Changes-21763781ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit Required1FederalGrantAuditRequired
Federal Grant Audit Performed1FederalGrantAuditPerformed

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

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

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers1Volunteers
Paid Staff Or Management1PaidStaffOrManagement
Media Advertisements0MediaAdvertisements
Mailings Members1MailingsMembers
Mailings Members$5,049MailingsMembersAmount
Publications Or Broadcast0PublicationsOrBroadcast
Grants Other Organizations0GrantsOtherOrganizations
Direct Contact Legislators0DirectContactLegislators
Rallies Demonstrations1RalliesDemonstrations
Rallies Demonstrations$10,416RalliesDemonstrationsAmount
Other Activities1OtherActivities
Other Activities$487,430OtherActivitiesAmount
Total Lobbying Expenditures IIB502895TotalLobbyingExpendituresIIB
Not Described In501c30NotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV (2 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Explanation of Other Lobbying Activities:Part II-B, Line 1i:The corporation reimbursed traveling expenses and paid fees to retain the services of four consulting firms which performed lobbying activities on behalf of the corporation. The four firms were William Filan, John Andrew Kane, Dick Batchelor, and Johnson & Blanton and were paid a total of $416,684 during the year. Additionaly, dues were paid to the American Hospital Association, Florida Hospital Association, Illinois Hospital Association and the Texas Hospital Association who use a portion of the dues to conduct lobbying activities.
Part IV, Supplemental Information:Part II-B 1(b) During 2010 salary expense of $12,572 was incurred for paid staff engaged in lobbying activities.

Schedule D IRS990ScheduleD

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

Current Year CurrentYear

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

Current Year Minus1 Year CurrentYearMinus1Year

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

Current Year Minus2 Years CurrentYearMinus2Years

FieldValueIRS element (for citing)
Beginning Of Year Balance3027408BeginningOfYearBalance
Contributions79953Contributions
Investment Earnings Or Losses0InvestmentEarningsOrLosses
Other Expenditures233695OtherExpenditures
End Of Year Balance2873666EndOfYearBalance
FieldValueIRS element (for citing)
Board Designated EOY Balance0.00000BoardDesignatedEOYBalance
Permanent Endowment EOY Balance1.00000PermanentEndowmentEOYBalance
Term Endowment EOY Balance0.00000TermEndowmentEOYBalance
Endowments Held By Unrelated Orgs0EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs1EndowmentsHeldByRelatedOrgs
Are Related Orgs Listed Schedule R1AreRelatedOrgsListedScheduleR

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis161749315OtherCostOrOtherBasis
Book Value161749315BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis1163259263OtherCostOrOtherBasis
Depreciation458231238Depreciation
Book Value705028025BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis1667693183OtherCostOrOtherBasis
Depreciation986011742Depreciation
Book Value681681441BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis183935576OtherCostOrOtherBasis
Depreciation52971370Depreciation
Book Value130964206BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings1679422987TotalOfBookValueLandBuildings

Other Assets OtherAssets (8 entries)

DescriptionDescriptionBook ValueBookValue
Funds Held in Trust122886644
Other Current Receivables23227369
Due From Related Parties and Affiliates43655244
Donor Restricted Assets2130578
Deferred Charges and Costs13522139
Long-term Investments28565284
Other Non-Current Assets11926071
Receivable - Interco Alloc of Tax-Exempt Bond Proceeds1851256462
FieldValueIRS element (for citing)
Total Book Value Other Assets2097169791TotalBookValueOtherAssets

Other Liabilities OtherLiabilities (7 entries)

DescriptionDescriptionAmountAmount
Accounts Receivable - Credit Balances$8,897,792
Payable to Third Party$60,821,020
Due to Related-Affiliated Entities$46,518,492
Other Current Liabilities$13,966,629
Other Non-Current Liabilities$68,586,773
Notes and Loans Payable - Current$8,537,372
Leases Payable$7,892,005
FieldValueIRS element (for citing)
Total Of Amounts215220083TotalOfAmounts

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (3 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Description of How Organization Reports Conservation Easements:Part II, Line 9:The filing organization has recorded the land conservation easement on its financial statements as a Property, Plant, and Equipment Asset. The conservation easement generates no revenue and the filing organization did not incur any expense in 2010 related to the maintenance and monitoring of the conservation easement.
Description of Intended Use of Endowment Funds:Part V, Line 4:All endowment funds are held by related 501(c)(3) exempt foundations. These endowment funds have been established for a variety of purposes in support of related tax-exempt hospitals. All of the foundation's permanently restricted endowment funds are required to be retained permanently either by explicit donor stipulation or by the Florida Uniform Management of Institutional Funds Act. Part V, line 1a, column (b) Prior year - Explanation for change in opening balance: During the year 2009, management of the related Foundation that holds the endowments 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 beginning balance for the board-designated endowment funds has been restated on the statement of activities in its 2009 tax year.
Description of Uncertain Tax Positions Under FIN 48:Part X:The filing organization is a subsidiary organization within Adventist Health System (AHS). The consolidated financial statements of AHS contain the following FIN 48 footnote - The Income Taxes Topic of the ASC (ASC 740) prescribes the accounting for uncertainty in income tax positions recognized in financial statements. ASC 740 prescribes a recognition threshold and measurement attribute for the financial statement recognition and measurement of a tax position taken or expected to be taken in a tax return.

Schedule F IRS990ScheduleF

FieldValueIRS element (for citing)
Grant Records Maintained1GrantRecordsMaintained

Accts Actvs Out US Table AcctsActvsOutUSTable (13 entries)

RegionRegionNumber Of OfficesNumberOfOfficesNumber Of EmployeesNumberOfEmployeesType Of Activities ConductedTypeOfActivitiesConductedSpecific Services ProvidedSpecificServicesProvidedTotal ExpendituresTotalExpenditures
Central America and the Caribbean00Program ServicesEducational and Recruiting14160
Central America and the Caribbean00Program ServicesArchitectural Planning for Expansion of Hospital in Jamaica6013
Europe (including Iceland and Greenland)00Program ServicesEducational and Recruiting20572
South America00Program ServicesEducational and Recruiting3429
South America00Program ServicesMission Trip6841
Middle East and North Africa00Program ServicesEducational and Recruiting3174
East Asia and the Pacific00Program ServicesEducational and Recruiting18769
Sub-Saharan Africa00Program ServicesFamily Medicine37672
North America00Program ServicesCleft Lip & Palate/Family Medicine65186
South America00Program ServicesCleft Lip & Palate43172
Central America and the Caribbean00Program ServicesPhysical Therapy10945
Central America and the Caribbean00Program ServicesFamily Medicine14004
Central America and the Caribbean00GrantmakingDonated Medical Equipment574
FieldValueIRS element (for citing)
Subtotal Number Of Employees0SubtotalNumberOfEmployees
Cont Number Of Employees0ContNumberOfEmployees
Total Number Of Employees0TotalNumberOfEmployees
Subtotal Amount Spent110630SubtotalAmountSpent
Cont Amount Spent133881ContAmountSpent
Total Amount Spent244511TotalAmountSpent
Transfer To Foreign Corp0TransferToForeignCorp
Interest In Foreign Trust0InterestInForeignTrust
Own Foreign Corp0OwnForeignCorp
Passive Foreign Invest Co0PassiveForeignInvestCo
Foreign Partnership0ForeignPartnership
Boycott Countries0BoycottCountries

Form990 Schedule F Part V Form990ScheduleFPartV

FieldValueIRS element (for citing)
IdentifierOther InformationIdentifier
Return ReferenceSchedule F, Part VReturnReference
ExplanationSch F, Part I, Line 2: As the filing organization does not generally make grants to foreign organizations and/or individuals, a formal grant monitoring program has not been developed by the filing organization.Explanation

Schedule G IRS990ScheduleG

Events Information EventsInformation

FieldValueIRS element (for citing)
Name Of Event1Crystal Heart GalaNameOfEvent1
Gross Receipts Event1169832GrossReceiptsEvent1
Charitable Contributions Event1114493CharitableContributionsEvent1
Gross Revenue Event155339GrossRevenueEvent1
Cash Prizes Event12000CashPrizesEvent1
Food And Beverage Event142410FoodAndBeverageEvent1
Entertainment Event186840EntertainmentEvent1
Other Direct Expenses Event19523OtherDirectExpensesEvent1
Gross Receipts Total169832GrossReceiptsTotal
Charitable Contributions Total114493CharitableContributionsTotal
Gross Revenue Total Events55339GrossRevenueTotalEvents
Cash Prizes Total Events2000CashPrizesTotalEvents
Food And Beverage Total Events42410FoodAndBeverageTotalEvents
Entertainment Total Events86840EntertainmentTotalEvents
Other Direct Expenses Total Events9523OtherDirectExpensesTotalEvents
Direct Expense Summary Events140773DirectExpenseSummaryEvents
Net Income Summary-85434NetIncomeSummary

Schedule H IRS990ScheduleH

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

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Total Community Benefit Expense153563523TotalCommunityBenefitExpense
Net Community Benefit Expense153563523NetCommunityBenefitExpense
Percent Of Total Expense0.05970PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Total Community Benefit Expense377877080TotalCommunityBenefitExpense
Direct Offsetting Revenue257466026DirectOffsettingRevenue
Net Community Benefit Expense120411054NetCommunityBenefitExpense
Percent Of Total Expense0.04680PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Total Community Benefit Expense531440603TotalCommunityBenefitExpense
Direct Offsetting Revenue257466026DirectOffsettingRevenue
Net Community Benefit Expense273974577NetCommunityBenefitExpense
Percent Of Total Expense0.10650PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense9686865TotalCommunityBenefitExpense
Direct Offsetting Revenue223480DirectOffsettingRevenue
Net Community Benefit Expense9463385NetCommunityBenefitExpense
Percent Of Total Expense0.00370PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

FieldValueIRS element (for citing)
Total Community Benefit Expense36205541TotalCommunityBenefitExpense
Direct Offsetting Revenue10408148DirectOffsettingRevenue
Net Community Benefit Expense25797393NetCommunityBenefitExpense
Percent Of Total Expense0.01000PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense8464126TotalCommunityBenefitExpense
Direct Offsetting Revenue8140450DirectOffsettingRevenue
Net Community Benefit Expense323676NetCommunityBenefitExpense
Percent Of Total Expense0.00010PercentOfTotalExpense

Research Research

FieldValueIRS element (for citing)
Total Community Benefit Expense755042TotalCommunityBenefitExpense
Direct Offsetting Revenue753430DirectOffsettingRevenue
Net Community Benefit Expense1612NetCommunityBenefitExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

FieldValueIRS element (for citing)
Total Community Benefit Expense13701254TotalCommunityBenefitExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Benefit Expense13701254NetCommunityBenefitExpense
Percent Of Total Expense0.00530PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense68812828TotalCommunityBenefitExpense
Direct Offsetting Revenue19525508DirectOffsettingRevenue
Net Community Benefit Expense49287320NetCommunityBenefitExpense
Percent Of Total Expense0.01910PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense600253431TotalCommunityBenefitExpense
Direct Offsetting Revenue276991534DirectOffsettingRevenue
Net Community Benefit Expense323261897NetCommunityBenefitExpense
Percent Of Total Expense0.12560PercentOfTotalExpense

Community Support CommunitySupport

FieldValueIRS element (for citing)
Total Community Building Expense165TotalCommunityBuildingExpense
Net Community Building Expense165NetCommunityBuildingExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Health Improvement Advocacy HealthImprovementAdvocacy

FieldValueIRS element (for citing)
Total Community Building Expense7611791TotalCommunityBuildingExpense
Direct Offsetting Revenue3258881DirectOffsettingRevenue
Net Community Building Expense4352910NetCommunityBuildingExpense
Percent Of Total Expense0.00170PercentOfTotalExpense

Workforce Development WorkforceDevelopment

FieldValueIRS element (for citing)
Total Community Building Expense427236TotalCommunityBuildingExpense
Direct Offsetting Revenue16775DirectOffsettingRevenue
Net Community Building Expense410461NetCommunityBuildingExpense
Percent Of Total Expense0.00020PercentOfTotalExpense

Other Other

FieldValueIRS element (for citing)
Total Community Building Expense248094TotalCommunityBuildingExpense
Net Community Building Expense248094NetCommunityBuildingExpense
Percent Of Total Expense0.00010PercentOfTotalExpense

Total Total

FieldValueIRS element (for citing)
Total Community Building Expense8287286TotalCommunityBuildingExpense
Direct Offsetting Revenue3275656DirectOffsettingRevenue
Net Community Building Expense5011630NetCommunityBuildingExpense
Percent Of Total Expense0.00200PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense Reported1BadDebtExpenseReported
Bad Debt Expense$25,312,449BadDebtExpenseAmount
Amount Attributable To2495029AmountAttributableTo
Amount Reimbursed By Medicare696230045AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare773051713CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall-76821668MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

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

Form990 Schedule H Part IV Form990ScheduleHPartIV (5 entries)

Description Ent Primary ActivityDescriptionEntPrimaryActivityOrganization Profit Or OwnershipOrganizationProfitOrOwnershipOfficers Etc Profit Or OwnershipOfficersEtcProfitOrOwnershipPhysicans Profit Or OwnershipPhysicansProfitOrOwnership
1 Huguley Surgery Center
OP Surgeries0.388600.000000.35230
2 San Marcos MRI LP
Imaging Center0.500000.000000.50000
3 Central Texas Ambulatory Endoscopy
Endoscopy Center0.188000.000000.81200
4 Surgical Center at Sun 'N Lake LLC
Outpatient Surgery0.500000.000000.50000
5 FH Kidney Stone Ctr
Outpatient Clinic0.400000.000000.60000
FieldValueIRS element (for citing)
Number Of Hospital Facilities13NumberOfHospitalFacilities

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

Facility NumberFacilityNumberAddress Line1Address/AddressLine1CityAddress/CityStateAddress/StateZIP CodeAddress/ZIPCodeLicensed HospitalLicensedHospitalGeneral Medical And SurgicalGeneralMedicalAndSurgicalChildrens HospitalChildrensHospitalTeaching HospitalTeachingHospitalResearch FacilityResearchFacilityEr24 HoursEr24HoursOtherOtherCritical Access HospitalCriticalAccessHospital
Florida Hospital Orlando
1601 E Rollins StreetOrlandoFL32803XXXXXX
Florida Hospital Altamonte
2601 E Altamonte DriveAltamonte SpringsFL32701XXXX
Florida Hospital Celebration Health
3400 Celebration PlaceCelebrationFL34747XXXX
Winter Park Memorial Hospital
4200 N Lakemont AvenueWinter ParkFL32822XXXX
Florida Hospital East Orlando
57727 Lake Underhill DriveOrlandoFL32822XXXX
Florida Hospital Heartland Medical Cente
64200 Sun N Lake BoulevardSebringFL33872XXX
Adventist La Grange Memorial Hospital
75101 S Willow Springs RoadLa GrangeIL60525XXXX
Central Texas Medical Center
81301 Wonder World DrSan MarcosTX78666XXX
Florida Hospital Kissimmee
92450 North Orange Blossom TrailKissimmeeFL34741XXXX
Florida Hospital Heartland Medical Cente
101210 US 27 NLake PlacidFL33852XXXInpatient Psych
Florida Hospital Apopka
11201 N Park AvenueApopkaFL32703XXXX
Florida Hospital Wauchula
12533 W Carlton StreetWauchulaFL33873XXXSkilled NursingX
Huguley Memorial Medical Center
1311801 South FreewayFort WorthTX76115XXXHuguley Home Health Agency

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1NA for 2010BusinessNameLine1
FieldValueIRS element (for citing)
Hospital Facility Number1HospitalFacilityNumber

Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC

FieldValueIRS element (for citing)
Number Of Other Facilities118NumberOfOtherFacilities

Other Facilities OtherFacilities (118 entries)

Address Line1Address/AddressLine1CityAddress/CityStateAddress/StateZIP CodeAddress/ZIPCodeFacility TypeFacilityTypeAddress Line2Address/AddressLine2
Florida Hospital Cancer Institute
2501 N Orange Avenue Suites 139 181OrlandoFL32804Cancer Center
Florida Hospital Rehabilitation and Spor
5165 Adanson StreetOrlandoFL32804Therapy Center
Florida Hospital Orlando Pathology Lab
2855 N Orange AvenueOrlandoFL32803Lab Services
Florida Hospital Cancer Care Center
2100 Glenwood DriveWinter ParkFL32792Radiation Oncology
Florida Hospital Kidney Stone Center LL
2501 N Orange Avenue Suite 121OrlandoFL32804Outpatient Services
Florida Hospital Cancer Institute - Kiss
1300 West Oak StreetKissimmeeFL34741Cancer Center
Florida Hospital Altamonte Cancer Center
601 E Altamonte DriveAltamonte SpringsFL32701Cancer Center
Florida Hospital Heartland Medical Cente
2950 Alt US Highway 27 SouthSebringFL33870Imaging Outpatient Ctr
Florida Hospital Medical Plaza
2501 N Orange AvenueOrlandoFL32804Physician Clinics
Florida Hospital Altamonte Imaging Cente
661 E Altamonte Drive Suite 112Altamonte SpringsFL32701MRI/CT
Florida Hospital Altamonte Medical Plaza
661 E Altamonte DriveAltamonte SpringsFL32701Physician Clinics
Florida Hospital Advanced Nuclear Imagin
328 Spruce StreetOrlandoFL32803Radiology Services
Florida Hospital Altamonte Ambulatory Su
661 E Altamonte Drive Suite 110Altamonte SpringsFL32701Outpatient Surgery Center
Florida Hospital Wauchula The Therapy Ce
1330 Highway 17 SouthWauchulaFL33873Physical Therapy Ctr
FRi Princeton
235 E Princeton Street Suite 100OrlandoFL32804Imaging Center
Florida Hospital Center for Behavioral H
501 E King Street 1st FloorOrlandoFL32803Med/Psych
Florida Hospital Altamonte Imaging Cente
894 E Altamonte Drive Suite 1100Altamonte SpringsFL32701Radiology Services
Florida Hospital Transplant Center
2415 N Orange Avenue Suite 700OrlandoFL32804Organ Tissue/Transplant Center
Florida Hospital Rehabilitation & Sports
8701 Maitland Summit BlvdOrlandoFL32810Therapy Center
Florida Hospital Gamma Knife
2501 N Orange Ave Suite 101 SOrlandoFL32804Gamma Knife
Adventist La Grange Family Medical Cente
619 Plainfield RoadWillowbrookIL60521Family Medical Center
FRi Lake Mary
775 Primera Blvd Suite 1031Lake MaryFL32746Imaging Center
Adventist Paulson Rehab - Willowbrook
619 Plainfield RoadWillowbrookIL60521Rehabilitation Center
Florida Hospital Rehabilitation & Sports
400 Celebration Place Suite 200CCelebrationFL34747Therapy Center
La Grange Cancer Treatment Pavillion
1325 Memorial DrLa GrangeIL60525Cancer Center/Wound Care Facility
FHCC - LAKE BUENA VISTA #2
12500 S Apopka Vineland RdOrlandoFL32836Urgent care Clinic
Florida Hospital Heartland Medical Cente
4143 Sun n Lake BlvdSebringFL33872Wound Care & Hyperbaric Medicine
Florida Hospital Altamonte Mammography C
661 E Altamonte Drive Suite 130Altamonte SpringsFL32701Imaging Center
Florida Hospital Heartland Medical Cente
4421 Sun n Lake Blvd Suite BSebringFL33872Outpatient Phys Clinic
Family Health East Orlando Women's Pavil
7975 Lake Underhill Drive Suite 100OrlandoFL32822Women's Health Clinic
Florida Hospital Altamonte Pain Medicine
661 E Altamonte Drive Suite 328Altamonte SpringsFL32701Pain Medicine
CTMC Hospice
1315 IH 35 NorthSan MarcosTX78666Hospice services
Florida Hospital Heartland Medical Cente
2315 US Highway 27 NorthAvon ParkFL33825Outpatient Phys Clinic
Florida Hospital Center for Thrombosis
2501 N Orange Avenue Suite 786OrlandoFL32804Thrombosis Center
FHCC - SANFORD
4451 West 1st StreetSanfordFL32771Urgent care Clinic
FHCC - WATERFORD
250 N Alafaya Trail Suite 135OrlandoFL32825Urgent care Clinic
Surgical Center at Sun 'N Lake LLC
4240 Sun N Lake Blvd Ste 100SebringFL33872Outpatient Surgery
FRi Waterford Lake
12301 Lake Underhill Rd Suite 113OrlandoFL32828Imaging Center
Florida Hospital Heartland Medical Cente
6325 US Highway 27 NSebringFL33870Phys Therapy Center
Florida Hospital Rehabilitation & Sports
8000 Red Bug Lake Road Suite 140OviedoFL32765Therapy Center
Florida Hospital Sleep Disorder Center -
1925 Mizell Avenue Suite 200Winter ParkFL32792Sleep Center
Loch Haven OBGyn Group
235 E Princeton Street Suite 200OrlandoFL32804Physician Clinics
Central Texas Ambulatory Endoscopy
1303 Wonder World DRSan MarcosTX78666Endoscopy Services
FRi Oviedo
8000 Red Bug Lake Road Suite 120OviedoFL32765Imaging Center
Florida Hospital Heartland Medical Cente
2950 Alt US Highway 27 SouthSebringFL33870Outpatient Lab
FHCC - WINTER PARK
3099 Aloma AvenueWinter ParkFL32792Urgent care Clinic
Florida Hospital Surgery Center East Or
258 S Chickasaw Trail Suite 100OrlandoFL32825Outpatient Surgery
FHCC - FORMOSA GARDENS
7848 W Irlo Bronson HighwayKissimmeeFL34747Urgent care Clinic
Medical Plaza - Florida Hospital Kissimm
201 Hilda StreetKissimmeeFL34741Physician Clinics
Florida Hospital Center for Sleep Disord
501 E King Street 2nd FloorOrlandoFL32803Sleep Disorder Center
FHCC - DR PHILLIPS
8014 Conroy-Windermere Rd Suite 104OrlandoFL32835Urgent care Clinic
FHCC - LEE ROAD
2540 Lee RoadWinter ParkFL32789Urgent care Clinic
FHCC - WINTER GARDEN
3005 Daniels RoadWinter GardenFL34787Urgent care Clinic
FHCC - ALTAMONTE
440 W Highway 436Altamonte SpringsFL32714Urgent care Clinic
FHCC - KISSIMMEE
4320 W Vine StreetKissimmeeFL34746Urgent care Clinic
Winter Park Memorial Hospital Women's Ce
1925 Mizell Ave Suites 100 105 107Winter ParkFL32792Women's Health Clinic, Imaging
Florida Hospital Heartland Medical Cente
1210 US 27 NLake PlacidFL33852Phys Therapy Center
FHCC - SAND LAKE
2301 Sand Lake RoadOrlandoFL32809Urgent care Clinic
FHCC - RDV
8701 Maitland Summit BlvdMaitlandFL32810Urgent care Clinic
FHCC - HUNTERS CREEK
3293 Greenwald Way NorthKissimmeeFL34741Urgent care Clinic
FHCC - CLERMONT
15701 State Road 50 Suite 101ClermontFL34711Urgent care Clinic
Florida Hospital Rehabilitation & Sports
711 E Altamonte Drive Suite 200Altamonte SpringsFL32701Therapy Center
FL Hosp Heartland Med Ctr Sleep Studies
4301 Sun n Lake BlvdSebringFL33872Sleep Lab
Florida Hospital Heartland Medical Cente
1352 US 27 NorthLake PlacidFL33852Highlands Surgical Assoc. - Lake Placid
FHCC - OVIEDO
8010 Red Bug RoadOviedoFL32765Urgent care Clinic
Florida Hospital Rehab and Sports Medici
100 Waymont Court Suite 120Lake MaryFL32746Therapy Center
Florida Hospital Rehab and Sport Medicin
2005 Mizell AveWinter ParkFL32792Therapy Center
Family Health Center Winter Park
2950 Aloma Ave Suite 100Winter ParkFL32792Physician Clinics, Medicine Specialists, Surgical Specialists
FHCC - AZALEA PARK
509 S Semoran BlvdOrlandoFL32807Urgent care Clinic
Florida Hospital Heartland Medical Cente
4200 Sun n Lake BlvdSebringFL33872Outpatient Phys Clinic
CTMC Home Health
2007 Medical ParkwaySan MarcosTX78666Home Health services
Florida Hospital Diabetes Institute
2415 N Orange Ave Suite 501OrlandoFL32804Diabetes
FHCC - LONGWOOD
855 S US Highway 17-92LongwoodFL32750Urgent care Clinic
FHCC - CONWAY
5810 S Semoran BlvdOrlandoFL32822Urgent care Clinic
San Marcos MRI LP
1330 Wonder World DrSan MarcosTX78666Imaging Services
Florida Hospital Heartland Medical Cente
1352 US 27 NorthLake PlacidFL33852Women's Wellness Ctr - Lake Placid
CTMC Rehab Services
1340 Wonder World DrSan MarcosTX78666OP Rehab Services
Florida Hospital Rehabilitation and Spor
1603 S Hiawassee RoadOrlandoFL32835Therapy Center
Florida Hospital Heartland Medical Cente
1006 W Pleasant StreetAvon ParkFL33825Outpatient Phys Clinic
Family Health Center East
7975 Lake Underhill Drive Suite 200OrlandoFL32822Physician Clinics
Florida Hospital Heartland Medical Cente
6801 US Hwy 27 N Suite C-1SebringFL33870Outpatient Lab
Florida Hospital Heartland Medical Cente
4409 Sun n Lake Blvd Suite ESebringFL33872Outpatient Phys Clinic
FHCC - COLONIAL TOWN
630 North Bumby AveOrlandoFL32803Urgent care Clinic
Florida Hospital Heartland Medical Cente
4638 Sun n Lake BlvdSebringFL33872Outpatient Phys Clinic
Florida Hospital Heartland Medical Cente
6325 US 27 North Suite 202SebringFL33870Outpatient Phys Clinic
Florida Hospital Heartland Medical Cente
4145 Sun n Lake Blvd Ste BSebringFL33872Pain Medicine
Florida Hospital Rehabilitation & Sports
205 N Park Avenue Suite 110ApopkaFL32703Therapy Center
Florida Hospital Heartland Medical Cente
4023 Sun n Lake BlvdSebringFL33872Psychiatric Services
Florida Hospital Heartland Medical Cente
4409 Sun n Lake BlvdSebringFL33872Outpatient Phys Clinic
Florida Hospital Heartland Medical Cente
4023 Sun n Lake BlvdSebringFL33872Daybreak Counseling Ctr of Sebring
Florida Hospital Heartland Medical Cente
4421 Sun n Lake Blvd Suite BSebringFL33872Gastroenterology Center Sebring
Heritage Program
2004 Medical ParkwaySan MarcosTX78666OP Geri Psych Program
Huguley Surgery Center LLP
15305 Dallas Pkwy Ste 1600 LB 28AddisonTX75001Outpatient Surgery Center
Florida Hospital Heartland Medical Cente
1352 US 27 NorthLake PlacidFL33852Family Medical Center - Lake Placid
Florida Hospital Sleep Disorder Center -
201 N Park Avenue Suite 300AApopkaFL32703Sleep Center
Florida Hospital Heartland Medical Cente
37 Ryant BlvdSebringFL33870Outpatient Phys Clinic
Celebration Hand Therapy
410 Celebration Place Suite 300CelebrationFL34747Therapy Center
Florida Hospital Wauchula Center for Sle
457 W Carlton StreetWauchulaFL33873Sleep Lab
Florida Hospital Hearing Ctr Lake Mary
100 Waymont Court Suite 120Lake MaryFL32746Hearing Center
Total Healthcare Management
1000 Universal Studios Plaza 3OrlandoFL32819Onsite Clinic
Florida Hospital Wauchula Hardee Family
522 W Carlton StreetWauchulaFL33873Outpatient Phys Clinic
Florida Hospital Heartland Medical Cente
1352 US 27 NorthLake PlacidFL33852Gastroenterology Center Lake Placid
Florida Hospital Hearing Center East Or
7975 Lake Underhill Drive Suite 300OrlandoFL32822Hearing Center
Florida Hospital Heartland Medical Cente
4635 Sun N Lake BlvdSebringFL33872Outpatient Rehab
CTMC OP Lab and Radiology
151 Kirkham CircleKyleTX78640OP lab, rehab & med imaging
Florida Hospital Heartland Medical Cente
1346 US Highway 27 SLake PlacidFL33852Outpatient Psych
Florida Hospital Women's CenterLactatio
2520 N Orange Avenue Suite 103OrlandoFL32804Lactation Center, Birthing Classes
Florida Hospital Heartland Medical Cente
4023 Sun n Lake BlvdSebringFL33872Diabetes Center
Florida Hospital Wauchula Pioneer Medica
515 Carlton StreetWauchulaFL33873Outpatient Phys Clinic
Florida Hospital Rehabilitation and Spor
601 E Rollins StreetOrlandoFL32803Therapy Center
Florida Hospital Heartland Medical Cente
4240 Sun n Lake BlvdSebringFL33872Outpatient Phys Clinic
Florida Hospital Heartland Medical Cente
1346 US Highway 27 SLake PlacidFL33852Outpatient Phys Clinic
Florida Hospital Wauchula The Center For
457 W Carlton StreetWauchulaFL33873Wound Care
Florida Hospital Wauchula Women's Wellne
526 W Carlton StreetWauchulaFL33873Outpatient Phys Clinic
Florida Hospital Heartland Medical Cente
1210 US Highway 27 NLake PlacidFL33852Outpatient Phys Clinic
Florida Hospital Rehabilitation & Sports
201 Hilda Street Suite 12KissimmeeFL34741Therapy Center
Florida Hospital Heartland Medical Cente
4301 Sun n Lake Blvd Suite 103SebringFL33872Outpatient Phys Clinic
Florida Hospital Rehabilitation & Sports
7975 Lake Underhill Drive Suite 300OrlandoFL32822Therapy Center34

Form990 Schedule H Part VI Form990ScheduleHPartVI (14 entries)

ExplanationExplanationReturn ReferenceReturnReference
Part I, Line 6a: The filing organization is a wholly owned subsidiary of Adventist Health System Sunbelt Healthcare Corporation (AHSSHC). AHSSHC serves as the parent organization to 21 tax-exempt 501(c)(3) hospital organizations that operate 43 hospitals in ten states within the U.S. The system of organizations under the control and ownership of AHSSHC is known as "Adventist Health System" (AHS).All hospital organizations within AHS collect, calculate, and report the community benefits they provide to the communities they serve. AHS organizations exist solely to improve and enhance the local communities they serve. AHS has a system-wide community benefits accounting policy that provides guidelines for its health care provider organizations to capture and report the costs of services provided to the underprivileged and to the broader community. On an annual basis, the community benefits of all AHS organizations are consolidated and reported in the AHS Annual Report document.
Part I, Line 7: The amounts of costs reported in the table in line 7 of Part I of Schedule H were determined by utilizing a cost-to-charge ratio derived from Worksheet 2, Ratio of Patient Care Cost-to-Charges, contained in the Schedule H instructions.
Part I, L7 Col(f): Bad debt expense of $110,078,890 attributable to hospital operations was included on Form 990, Part IX, line 25, but subtracted for purposes of calculating the percentage of total expenses in column (f) of line 7.
Part II: The costs of community building activities reported on Part II of Schedule H primarily represent the costs associated with commercially sponsored research conducted by three of the organization's hospitals. These three hospitals participate in clinical drug and device research that is performed on patients who have a condition or disease for which the eventual commercial use of a drug or device is intended. This research is related to patient care and serves to expand scientific knowledge with respect to potential treatments and cures for various diseases and conditions.The remainder of the costs incurred stem from the hospitals' involvement in and support of various other community agencies in its service area that work collaboratively to help those in need and to improve the health and safety of the residents of the community. The organization's hospitals participate with a number of other community organizations to address the healthcare needs of the community. Both cash and in-kind donations are made annually to various local charitable organizations.
Part III, Line 4: SCHEDULE H, PART IIISECTION A, LINE 4Costing Methodology:The amounts of bad debt expense, at cost, reported on line 2 and 3 of Section A of Part III were determined utilizing a ratio of patient care cost to charges as shown on Worksheet A contained in the instructions for Schedule H, Part III, line 3. Discounts and payments on patient accounts are recorded as adjustments to revenue, not bad debt expense. Methodology for Determining the Estimated Amount of Bad Debt Expense that May Represent Patients who Could Have Qualified under the Filing Organization's Charity Care Policy:Self-pay patients are required to complete a Patient Financial Assistance Application Short Form (PFAA). If the PFAA is not completed after reasonable attempts to obtain it are exhausted, patient information is processed through a Scorer product. The Scorer product utilizes publicly available data, such as credit reports, to assess an individual patient's financial viability. Patients who earn a certain score on the Scorer product are considered to qualify as non-state charity patients. An amount up to $1,000 of such a patient's bill is written off as bad debt expense, while the remaining portion of the patient's bill is considered to be non-state charity. The amount written off as bad debt expense for those patients who potentially qualify as non-state charity using the Scorer product is the amount shown on line 3 of Section A of Part III. Rationale for Including Certain Bad Debts in Community Benefit:The filing organization is dedicated to the view that medically necessary health care for emergency and non-elective patients should be accessible to all, regardless of age, gender, geographic location, cultural background, physician mobility, or ability to pay. The filing organization treats emergency and non-elective patients regardless of their ability to pay or the availability of third-party coverage. By providing health care to all who require emergency or non-elective care in a non-discriminatory manner, the filing organization is providing health care to the broad community it serves. As a 501(c)(3) hospital organization, the filing organization maintains a 24/7 emergency room providing care to all whom present. When a patient's arrival and/or admission to the facility begins within the Emergency Department, triage and medical screening are always completed prior to registration staff proceeding with the determination of a patient's source of payment. If the patient requires admission and continued non-elective care, the filing organization provides the necessary care regardless of the patient's ability to pay. The filing organization's operation of a 24/7 Emergency Department that accepts all individuals in need of care promotes the health of the community through the provision of care to all whom present. Current Internal Revenue Service guidance that tax-exempt hospitals maintain such emergency rooms was established to ensure that emergency care would be provided to all without discrimination. The treatment of all at the filing organization's Emergency Department is a community benefit. Under the filing organization's Charity Care Policy, every effort is made to obtain a patient's necessary financial information to determine eligibility for charity care. However, not all patients will cooperate with such efforts and a charity care eligibility determination can not be made. In this case, a patient's portion of a bill that remains unpaid for a certain stipulated time period is wholly or partially classified as bad debt. Bad debts associated with patients who have received care through the filing organization's Emergency Department should be considered to be community benefit as charitable hospitals exist to provide such care in pursuit of their purpose of meeting the need for emergency medical care services available to all in the community. Financial Statement Footnote Related to Accounts Receivable and Allowance for Uncollectible Accounts:The financial information of the filing organization is included in a consolidated audited financial statement for the current year. The applicable footnote from the consolidated audited financial statements that addresses accounts receivable, the allowance for uncollectible accounts, and the provision for bad debts is as follows:The System serves certain patients whose medical care costs are not paid at established rates. These patients include those sponsored under government programs such as Medicare and Medicaid, those sponsored under private contractual agreements, charity patients, and other uninsured patients who have limited ability to pay.Patient service revenue is reported at estimated net realizable amounts from patients, third-party payors, and others for services rendered. The System is subject to retroactive revenue adjustments due to future audits, reviews, and investigations. Retroactive adjustments are considered in the recognition of revenue on an estimated basis in the period the related services are rendered, and such amounts are adjusted in future periods as adjustments become known or as years are no longer subject to such audits, reviews, and investigations. Adjustments to revenue related to prior periods increased patient service revenue by approximately $29,500,000 and $23,900,000 for the years ended December 31, 2010 and 2009, respectively.Revenue from the Medicare and Medicaid programs represents approximately 35% of the System's patient service revenue for the years ended December 31, 2010 and 2009, respectively. Laws and regulations governing the Medicare and Medicaid programs are extremely complex and subject to interpretation. As a result, there is at least a reasonable possibility that recorded estimates will change by a material amount in the near term. The System grants credit without collateral to its patients, most of whom are local residents and are insured under third-party payor arrangements. To the extent the System realizes additional losses resulting from higher credit risk for patients who are not identified as meeting or do not meet the charity definition described below, such additional losses are included in the provision for bad debts. Other than the accounts receivable related to the Medicare and Medicaid programs, there are no significant concentrations of accounts receivable due from an individual payor at December 31, 2010 and 2009.The provision for bad debts is based on management's assessment of historical and expected net collections, considering business and economic conditions, trends in healthcare coverage, and other collection indicators. Throughout the year, management assesses the adequacy of the allowance for uncollectible accounts based upon the payor composition and aging of accounts receivable as well as retrospective reviews of subsequent cash collections. The results of these reviews are then used to make any modifications to the provision for bad debts to establish an estimated allowance for uncollectible accounts. Accounts receivable are written off after collection efforts have been followed in accordance with the System's policies.
Part III, Line 8: SCHEDULE H, PART IIISECTION B, LINE 8Costing Methodology: Medicare allowable costs were calculated using a cost-to-charge ratio.Rationale for Including a Medicare Shortfall as Community Benefit: As a 501(c)(3) organization, the filing organization provides emergency and non-elective care to all regardless of ability to pay. All hospital services are provided in a non-discriminatory manner to patients who are covered beneficiaries under the Medicare program. As a public insurance program, Medicare provides a pre-established reimbursement rate/amount to health care providers for the services they provide to patients. In some cases, the reimbursement amount provided to a hospital may exceed its costs of providing a particular service or services to a patient. In other cases, the Medicare reimbursement amount may result in the hospital experiencing a shortfall of reimbursement received over costs incurred. In those cases where an overall shortfall is generated for providing services to all Medicare patients, the shortfall amount should be considered as a benefit to the community. Tax-exempt hospitals are required to accept all Medicare patients regardless of the profitability, or lack thereof, with respect to the services they provide to Medicare patients. The population of individuals covered under the Medicare program is sufficiently large so that the provision of services to the population is a benefit to the community and relieves the burdens of government. In those situations where the provision of services to the total Medicare patient population of a tax-exempt hospital during any year results in a shortfall of reimbursement received over the cost of providing care, the tax-exempt hospital has provided a benefit to a class of persons broad enough to be considered a benefit to the community. Despite a financial shortfall, a tax-exempt hospital must and will continue to accept and care for Medicare patients. Typically, tax-exempt hospitals provide health care services based upon an assessment of the health care needs of their community as opposed to their taxable counterparts where profitability often drives decisions about patient care services that are offered. Patient care provided by tax-exempt hospitals that results in Medicare shortfalls should be considered as providing a benefit to the community and relieving the burdens of government.
Part III, Line 9b: SCHEDULE H, PART IIISECTION C, LINE 9bCollection Policies:At the time of patient registration, non-elective self-pay patients are informed of the minimum discount available under the filing organization's self-pay discount policy. Such patients are also informed of the filing organization's charity care policy and told that they will be required to submit necessary financial data in order to potentially receive any additional discounts. Percentage discounts are applied to a patient's account (from a 100% discount to a 30% discount) based upon the patient's household income as a percentage of the Federal Poverty Guidelines.Under the filing organization's policies, payment plans for partial charity accounts will be individually developed with the patient. Partial charity accounts result when a financial assistance eligibility determination allows for a percentage reduction but leaves the patient with a self-pay balance. If the patient complies with the agreed-upon payment plan, the filing organization does not pursue any collection action with respect to the patient. However, if a patient does not make any payments for three consecutive months, the account may be referred for further collection activity. The filing organization does not pursue collection of amounts from patients determined to qualify for a 100% reduction in charges under its charity care policy.
Reconciliation of Schedule H Reported Medicare Surplus/(Shortfall) to Unreimbursed Medicare Costs Associated with the Provision of ServicesTo All Medicare Beneficiaries:The Medicare revenue and allowable costs of care reported in Section B of Part III of Schedule H are based upon the amounts reported in the filing organization's Medicare cost report in accordance with the IRS instructions for Schedule H. On an annual basis, the filing organization also determines its total unreimbursed costs associated with providing services to all Medicare patients. Unreimbursed costs are reported as a community benefit to the elderly and are included in the consolidated Adventist Health System (AHS or the Company) Community Benefits Report contained in the AHS Annual Report document. The primary reconciling items between the Medicare surplus/(shortfall) shown on line 7 of Section B of Part III of Schedule H and the filing organization's unreimbursed costs of services provided to Medicare patients as reported in the AHS Community Benefit Report are as follows:- Medicare surplus/(shortfall) shown on line 7 of Section B of Schedule H: $ (76,821,668)- Difference in costing methodology: (1,514,051)- Unreimbursed costs incurred for services provided to Medicare patients that are not included in the organization's Medicare cost report: (63,254,945) -------------Total Unreimbursed costs of serving all Medicare patients per the filing organization's community benefit reporting: $(141,590,664)As indicated above, the primary differences between the Medicare surplus/(shortfall) reported on Schedule H, Part III, Section B, line 7 and the filing organization's portion of the Company's annual community benefit statement is due to a difference in the costing methodology and differences in the population of Medicare patients within the calculation. The cost methodology utilized in calculating any Medicare surplus/(shortfall) for purposes of the annual community benefit reporting is based upon the cost-to-charge ratio outlined in Worksheet 2 of the Schedule H instructions. The same cost-to-charge ratio is used to determine the costs associated with services provided to charity care patients and Medicaid patients as reported in Schedule H, Part I, line 7. In addition, the Medicare cost report excludes services provided to Medicare patients for physician services, services provided to patients enrolled in Medicare HMOs, and certain services provided by outpatient departments of the filing organization that are reimbursed on a fee schedule. The Company's own community benefit statement captures the unreimbursed cost of providing services to all Medicare beneficiaries throughout the organization.Supplemental Schedule to Schedule H, Part III, Section B
Part VI, Line 7:The annual community benefit report contained in the annual report prepared by Adventist Health System Sunbelt Healthcare Corporation (AHSSHC) on behalf of the entire AHS System of healthcare organization is not filed with any state agencies. Certain hospitals within the filing organization file annual community benefit reports with the state in which they are located. Specifically, Huguley Memorial Medical Center and Central Texas Medical Center file community benefit reports with the State of Texas and Adventist La Grange Memorial Hospital files a community benefit report with the State of Illinois.
Part VI, Line 2: The filing organization does not currently conduct any formal annual health care needs assessment. However, a variety of practices and processes are in place to ensure that the filing organization is responsive to the health needs of its communities. Such practices and processes involve the following:1. Individual hospital operating/community boards composed of individuals broadly representative of the community, community leaders, and those with specialized medical training and expertise;2. Post-discharge patient follow-up related to the on-going care and treatment of patients who suffer from chronic diseases; 3. Sponsorship and participation in community health and wellness activities that reach a broad spectrum of the filing organization's communities; and 4. Collaboration with other local community groups to address the health care needs of the filing organization's communities.
Part VI, Line 3: The filing organization's hospitals have a process in place whereby patients are informed about the Hospital's Charity Care Policy and other forms of financial assistance, such as self-pay discounts. Signage is posted in the Emergency Rooms indicating that financial assistance is available for those self-pay patients meeting eligibility requirements. After EMTALA medical screening and stabilization requirements are met, registration personnel will secure financial information on as many self-pay patients as possible at the time of service. For those who appear to qualify for Medicaid or under the Hospital's Charity Care Policy, the financial counselors will continue to work with those patients until final account resolution is achieved. All other self-pay patients are covered under this process. At any time during the process that data is provided showing that a patient qualifies for assistance under the Charity Care Policy the discounts extended under that policy will be applied.As part of the billing process, the filing organization's Hospitals include the application for charity care assistance along with the initial patient bill. The Hospitals' charity care applications are also available to patients on the Hospitals' web-sites in both an English and Spanish version. Additionally, the Hospitals' financial counselors are available to work with every patient during the first 120 days of the billing process to assist the patient with completing charity care applications and investigating other potential sources of third-party assistance. The determination of a patient's eligibility for charity care is made on a case-by-case basis. Various factors are considered in that determination. Each individual patient who is identified as potentially being eligible to receive charity care is seen by a financial counselor at the Hospital. The financial counselor will work with the patient to make sure that other sources of assistance (public or otherwise) have been sought to the fullest extent possible. When other forms of assistance are not available or have been exhausted, the Hospitals will gather certain financial information from the patient to determine the patient's ability to pay based upon level of income.
Part VI, Line 4: The filing organization currently operates 5 hospitals that together encompass 13 separate campus locations. The hospitals are located in Florida, Illinois and Texas. A description of each of the 5 hospitals is described below.Adventist Health System/Sunbelt, Inc. dba Central Texas Medical Center:Central Texas Medical Center (CTMC) is a 178-bed acute-care hospital providing a wide range of healthcare services in San Marcos, Texas and the neighboring communities within Hays and Caldwell counties, Texas. Special services offered at CTMC include a 24/7, Level 4 emergency and trauma center, state-of-the-art medical imaging and laboratory services, a new women's center featuring a Level 2 Neonatal Intensive Care Unit, newly renovated and expanded surgery suites, a Rehabilitation Institute, a center for advanced wound healing and hyperbaric medicine, and a cardiac catheterization lab. As a health resource for their community, CTMC's Institute for Healthy Living also annually hosts the oldest and largest health screening and fair event in Hays county as well as a number of ongoing classes and workshops ranging in topics from diabetes prevention and management to heart disease, stroke, arthritis, self-help, nutrition more. In 2010, CTMC began serving patients in its recently completed new 64,000 sq ft Women's Center that included all private rooms, a Level II nursery, and an on-site, high-risk delivery suite and a customized cesarean section suite. A new cardiac inpatient nursing unit with all private rooms was also put into operation in early 2010. In Spring of 2010, CTMC completed the renovation and expansion of its OR suites. CTMC was recognized as the first ever "Green Business of the Year" for 2010 in November by the San Marcos Chamber of Commerce and was named "Best Hospital" for Hays County in the "Best of Hays 2010" publication shortly thereafter.San Marcos, Texas is located in Hays County and is in close proximity to Austin and San Antonio. The Hospital's primary market has a population of approximately 86,000, with an estimated 7,500 over the age of 65. The weighted average household income, based on population, in the primary market is approximately $57,000. High school graduates account for approximately 87% of Hays County, with an estimated 32% having a bachelor's degree or higher. It is estimated that 18% of the individuals residing in Hays County live below the poverty level and the unemployment rate is about 7%. Approximately 42% of the Hospital's patients during 2010 were Medicare patients, about 14% were Medicaid patients, about 13% were self-pay patients and the remaining percentage were patients covered under commercial insurance. In 2010, about 63% of the hospital's in-patients were admitted through the hospital's Emergency Department.Adventist Health System/Sunbelt, Inc. dba Florida Hospital Heartland Medical Center:Florida Hospital Heartland Medical Center (FHHMC) is comprised of 3 separate hospital campuses with a total of 234 beds. Two of the hospital campuses are located in Highlands County, Florida and the third campus is located in Hardee County, Florida. Highlands and Hardee counties are in the south central areas of Florida and are adjacent to each other. *FHHMC Sebring Campus - The main 159-bed hospital facility is located in Sebring, FL in Highlands County. The Sebring facility provides a wide range of healthcare services including a Stroke Center and vascular surgery center, imaging services (CT scanner/MRI), stroke and cardiac rehabilitation, and a Cardiac Catheterization Lab. A community education center and library are also located on the Sebring campus offering free and low-cost community classes, screenings and a resource information library. In 2009, the hospital began performing percutaneous coronary intervention (PCI) in a new cath lab and a second cath lab was opened in 2010. *FHHMC Lake Placid Campus houses 33 medical and surgical beds, Highland County's only 17 bed inpatient mental health unit, an outpatient counseling center, and a wide range of services that are highly sophisticated for a small community hospital. The Lake Placid campus also specializes in inpatient geriatric psychiatric services and outpatient behavioral health counseling centers within Highlands and Hardee counties. The need for behavioral health services is extreme in both counties since there is no other program closer than sixty miles.*FHHMC Wauchula Campus is licensed for 25 beds and specializes in emergency and outpatient care, while offering excellent medical inpatient services. The inpatient unit is mixed with both acutely ill patients and patients who need short-term rehabilitation (transitional care). FHHMC Wauchula campus became the first Critical Access Hospital in the State of Florida in the year 2000.As noted above, Highlands and Hardee counties in Florida are located in the heart of the Florida Peninsula. The Hospital's primary market has a population of approximately 119,000 with an estimated 34,000 over the age of 65. The weighted average household income, based on population, in the primary market is approximately $46,000. High school graduates account for approximately 77% of Highlands County, with an estimated 14% having a bachelor's degree or higher. It is estimated that 16% of the individuals residing in Highlands County live below the poverty level and the unemployment rate is about 12%. Approximately 64% of the Hospital's patients during 2010 were Medicare patients, about 13% were Medicaid patients, about 5% were self-pay patients and the remaining percentage were patients covered under commercial insurance. In 2010, about 67% of the hospital's in-patients were admitted through the hospital's Emergency Department.Adventist Health System/Sunbelt, Inc. dba Florida Hospital (FH):FH is a 2,135 bed medical complex in Central Florida with seven separate hospital campuses. FH serves the residents of Central Florida (primarily serving the residents of Orange, Osceola, Seminole and Lake County) but also draws patients from other parts of the Southeastern United States, the Caribbean and South America. The 7-campus health system is the largest healthcare provider in Central Florida and the national's largest Medicare provider with FH being the second largest employer in the area.The main campus of the FH system is located in Orlando, Florida (Orange County) near the downtown area. The other 6 campuses are located in surrounding communities in the counties of Orange, Osceola, and Seminole. In addition to operating the 7 hospitals, FH also operates 19 full-service urgent care clinics in convenient community settings. A brief description of each of the 7 hospital campuses is described below:*Florida Hospital Orlando (Orange County) - At the core of the FH system, FH Orlando is a 1,067 bed acute-care tertiary hospital caring for more than 1.5 million patients a year. FH Orlando is home to nationally recognized Centers of Excellence for cancer, cardiology, children's health, diabetes, neuroscience, orthopedics, transplant and global robotics. Florida Hospital Orlando houses one of the largest Emergency Departments and cardiac catheterization labs in the country and is one of the busiest hospitals in the nation, providing service excellence to more than 32,000 inpatients and 125,000 outpatients each year. The recent opening of a 15-story patient tower features 200 more beds and 500 new jobs. The campus is also adding a state-of-the-art Cardiac Diagnostic Center featuring 15 Cath and electro physiology (EPS) Labs. The cardiology team currently treats 25,000+ individuals for chest pain and performs over 1,700 open heart surgeries each year making them first in the state for the number of surgeries performed. Also located on the Florida Hospital Orlando Campus is the Walt Disney Pavilion at Florida Hospital for Children. The Walt Disney Pavilion is not a stand-alone facility but rather a 7-story tower located on Florida Hospital Orlando's campus. It is a full-service facility served by more than 80 pediatric specialists and a highly trained pediatric team of more than 600 employees. The Walt Disney Pavilion at Florida Hospital for Children delivers a complete range of pediatric health services for younger patients including advanced surgery, oncology, neurosurgery, cardiology and transplant services; full-service pediatrics; and an innovative health and obesity platform. When the expansion is complete, the Walt Disney Pavilion at Florida Hospital for Children will have a total of more than 200 pediatric beds.Description of Community Information is continued on Schedule O.
Part VI, Line 6: The provision of community benefit is central to the filing organization's mission of service and compassion. Restoring and promoting the health and quality of life of those in the communities served by the filing organization is a function of "extending the healing ministry of Christ" and embodies the fiing organization's commitment to its values and principles. The filing organization commits substantial resources to provide a broad range of services to both the underprivileged as well as the broader community. In addition to the community benefit information provided in Parts I, II and III of this Schedule H, the filing organization captures and reports the benefits provided to its community through faith-based care. Examples of such benefits include the cost associated with chaplaincy care programs and mission peer reviews and mission conferences. During the current year, the filing organization provided $5,135,826 of benefit with respect to the faith-based and spiritual needs of the communities it serves in conjunction with its operation of community hospitals. The filing organization also provides benefits to its communities' infrastructure by investing in capital improvements to ensure that facilities and technology provide the best possible care. During the current year, the filing organization expended $198,198,203 in new capital improvements. As faith-based mission-driven community hospitals, the filing organization is continually involved in monitoring its communities, identifying unmet health care needs and developing solutions and programs to address those needs. In accordance with its conservative approach to fiscal responsibility, surplus funds of the Hospitals are continually being invested in resources that improve the availability and quality of delivery of health care services and programs to its communities.
Part VI, Line 7: The filing organization is a part of a faith-based healthcare system of organizations whose parent is Adventist Health System Sunbelt Healthcare Corporation (AHSSHC). The system is known as Adventist Health System (AHS). AHSSHC is an organization exempt from federal income tax under IRC Sec. 501(c)(3). AHSSHC and its subsidiary organizations operate 43 hospitals in 10 states throughout the U.S., primarily in the Southeastern portion of the U.S. AHSSHC and its subsidiaries also operate 16 nursing home facilities and other ancillary health care provider facilities, such as ambulatory surgery centers and diagnostic imaging centers. As the parent organization of the AHS system, AHSSHC provides executive leadership and other professional support services to its subsidiary organizations. Professional support services include among others corporate compliance, legal, human resources, reimbursement, risk management, and tax as well as treasury functions. The provision of these executive and support services on a centralized basis by AHSSHC provides an appropriate balance between providing each AHS subsidiary hospital organization with mission-driven consistent leadership and support while allowing the hospital organization to focus its resources on meeting the specific health care needs of the communities it serves. The reader of this Form 990 should keep in mind that this reporting entity may differ in certain areas from that of a stand-alone hospital organization due to its inclusion in a larger system of healthcare organizations. As a part of a system of hospital and other health care organizations, the filing organization benefits from reduced costs due to system efficiencies, such as large group purchasing discounts, and the availability of internal resources such as internal legal counsel. Each AHS subsidiary pays a management fee to AHSSHC for the internal services provided by AHSSHC. As a result, management fee expense reported by a AHS subsidiary organization may appear greater in relation to management fee expense that may be reported by a single stand-alone hospital. The single stand-alone hospital would likely report costs associated with management and other professional services on various expense line items in its statement of revenue and expense as opposed to reporting such costs in one overall management fee expense. As the reporting of the Form 990 is done on an entity by entity basis, there is no single Form 990 that captures the programs and operations of AHS as a whole. The reader is directed to visit the web-site of AHS at www.adventisthealthsystem.com to learn more about the mission and operations of AHS and to access AHS's annual report that contains financial data as well as community benefit reporting for the entire system.

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records Maintained1RecordsMaintained

Recipient Table RecipientTable (84 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEIN Of RecipientEINOfRecipientIRC SectionIRCSectionAmount Of Cash GrantAmountOfCashGrantPurpose Of GrantPurposeOfGrant
AFRICAN AMERICAN CHAMBER OF COMMERCE OF CENTRAL FLORIDA INC
315 E ROBINSON ST STE 100ORLANDOFL32801593314330501(c)(6)12500General Support
AMERICAN CANCER SOCIETY
1601 W COLONIAL DRORLANDOFL32804590657320501(c)(3)14250General Support
AMERICAN DIABETES ASSOCIATION
1101 N LAKE DESTINY RD STE 415MAITLANDFL32751131623888501(c)(3)7500General Support
AMERICAN HEART ASSOCIATION
1101 NORTHCHASE PKWY SE STE 1MARIETTAGA30067135613797501(c)(3)75000General Support
AMERICAN LUNG ASSOCIATION OF THE SOUTHEAST INC
851 OUTER RDORLANDOFL32814590662271501(c)(3)20714General Support
ANNIKA FOUNDATION
5 SOUTHSIDE DRCLIFTON PARKNY12065263100887501(c)(3)10000General Support
BURNHAM INSTITUTE FOR MEDICAL RESEARCH
8669 COMMODITY CIRCLE 4TH FLOORORLANDOFL32818510197108501(c)(3)253500General Support
CENTRAL FLORIDA FAMILY HEALTH CENTER INC
2400 ST RD 415SANFORDFL32771591741286501(c)(3)92000General Support
CENTRAL FLORIDA PARTNERSHIP INC
75 S IVANHOE BLVDORLANDOFL32804331202266501(c)(6)200000General Support
THE CHRISTIAN SHARING CENTER INC
600 N HWY 17-92LONGWOODFL32750592744535501(c)(3)25000General Support
COMMUNITY VISION INC
704 GENERATION PT APT 101KISSIMMEEFL34744592896657501(c)(3)8000General Support
DR PHILLIPS CENTER FOR THE PERFORMING ARTS
455 S ORANGE AVE STE 410ORLANDOFL32801200695917501(c)(3)50000General Support
FLORIDA CHAMBER OF COMMERCE INC
PO BOX 11309TALLAHASSEEFL32302590248200501(c)(6)100000General Support
GR8 TO DON8 INC
968 MOSS TREE PLLONGWOODFL32750271946207501(c)(3)10000General Support
HISPANIC CHAMMBER OF COMMERCE OF METRO ORLANDO INC
315 E ROBINSON ST STE 465ORLANDOFL32801593103840501(c)(6)17200General Support
HEALTH CARE CENTER FOR THE HOMELESS
232 N ORANGE BLOSSOM TRLORLANDOFL32805593185020501(c)(3)129000General Support
HEALTHY START COALITION OF OSCEOLA COUNTY
PO BOX 701995ST CLOUDFL34770593212535501(c)(3)15000General Support
HEART OF FLORIDA UNITED WAY
1940 TRAYLOR BLVDORLANDOFL32804590808854501(c)(3)31200General Support
HISPANIC BUSINESS INITIATIVE FUND OF FLORIDA INC
315 E ROBINSON ST STE 190ORLANDOFL32801593341405501(c)(3)17000General Support
HOMEGROWN LOCAL FOOD COOPERATIVE INC
2310 N ORANGE AVEORLANDOFL3280427148557215000General Support
HOSPICE OF THE COMFORTER
480 WEST CENTRAL PARKWAYALTAMONTE SPRINGSFL32714592935928501(c)(3)13500General Support
IVANHOE VILLAGE INC
320 E PRINCETON STORLANDOFL32804261797406501(c)(3)7100General Support
JEWISH FAMILY SERVICES OF GREATER ORLANDO
2100 LEE RDWINTER PARKFL32789591873758501(c)(3)5100General Support
JUNIOR ACHIEVEMENT OF CENTRAL FLORIDA
PO BOX 917197ORLANDOFL32891590972112501(c)(3)25000General Support
JUVENILE DIABETES RESEARCH FOUNDATION INTERNATIONAL INC
370 CENTER POINTE CIR STE 1154ALTAMONTE SPRINGSFL32701231907729501(c)(3)6000General Support
KIDS HOUSE OF SEMINOLE INC
5467 NORTH RONALD REGAN BLVDSANFORDFL32773593415005501(c)(3)5625General Support
(LAKE NONA YMCA) CENTRAL FLORIDA YOUNG MEN'S CHRISTIAN ASSOCIATION
9055 NORTHLAKE PKWYORLANDOFL32827590624430501(c)(3)10000General Support
LAKESIDE BEHAVIORAL HEALTHCARE INC
1800 MERCY DRIVE STE 302ORLANDOFL32808592301233501(c)(3)1269627General Support
MARCH OF DIMES
341 N MAITLAND AVE STE 115MAITLANDFL32751131846366501(c)(3)20000General Support
MPT FOUNDATION INC
PO BOX 332OWING MILLSMD21117521224503501(c)(3)20000General Support
NAWBO ORLANDO FOUNDATION INC
315 E ROBINSON ST STE 100ORLANDOFL32801204191148501(c)(3)8500General Support
NEW IMAGE YOUTH CENTER INC
208 S PARRAMORE AVEORLANDOFL32805562482818501(c)(3)6000General Support
OPERATION WALK (THE DORR INSTITUTE FOR ARTHRITIS RESEARCH AND EDUCATION)
410 CELEBRATION PLACE STE 106CELEBRATIONFL34747954834523501(c)(3)10215General Support
ORANGE COUNTY HEALTHY START COALITION
600 COURTLAND ST STE 565ORLANDOFL32804593125675501(c)(3)20000General Support
ORLANDO BALLET INC
1111 N ORANGE AVE STE 4ORLANDOFL32804237427817501(c)(3)10000General Support
ORLANDO COMMUNITY & YOUTH TRUST INC
595 N PRIMROSE DRIVEORLANDOFL32803650572536501(c)(3)6000General Support
ECONOMIC DEVELOPMENT COMMISSION OF MID-FLORIDA INC
301 E PINE ST STE 900ORLANDOFL32801591767933501(c)(6)150000General Support
ORLANDOORANGE COUNTY CONVENTION & VISITORS BUREAU INC
6700 FORUM DRIVE STE 100ORLANDOFL32821592395248501(c)(6)10000General Support
OSCEOLA COUNTY COUNCIL ON AGING INC
700 GENERATION POINTKISSIMMEEFL34744591595398501(c)(3)72122General Support
OUR WHOLE COMMUNITY INC
526 N PARK AVEWINTER PARKFL32789270283789501(c)(3)5750General Support
RONALD MCDONALD HOUSE CHARITIES OF CENTRAL FLORIDA
1350 N ORANGE AVEWINTER PARKFL32789593211250501(c)(3)12000General Support
(The Foundation for) SEMINOLE STATE COLLEGE
100 WELDON BLVDSANFORDFL32773237033822501(c)(3)88333General Support
SHEPHERD'S HOPE INC
4851 S APOPKA VINELAND RDORLANDOFL32819593420727501(c)(3)12500General Support
SUSAN G KOMEN BREAST CANCER FOUNDATION
1350 ORANGE AVE STE 260WINTER PARKFL32789752854957501(c)(3)10000General Support
TANGELO PARK PILOT PROGRAM INC
9840 INTERNATIONAL DRORLANDOFL32819593224659501(c)(3)10000General Support
ADVENTURE TO FITNESS LLC (TRI RUNNING LLC)
200 WAYMONT CT STE 122LAKE MARYFL32746205317970110000General Support
UCF FOUNDATION INC
12424 RESEARCH PARKWAY STE 140ORLANDOFL32826596211832501(c)(3)1370001General Support
UNIVERSAL ORLANDO FOUNDATION INC
1000 UNIVERSAL STUDIOS PLAZAORLANDOFL32819593510383501(c)(3)15000General Support
UNIVERSITY OF FLORIDA FOUNDATION INC
PO BOX 100197GAINESVILLEFL32610590974739501(c)(3)35000General Support
FLORIDA CONFERENCE OF SEVENTH-DAY ADVENTISTS
PO BOX 2626WINTER PARKFL32790590806975501(c)(3)1040000General Support
FOREST LAKE ACADEMY
500 EDUCATION LOOPAPOPKAFL32703590816443501(c)(3)66000General Support
FOREST LAKE EDUCATION CENTER
1275 LEARNING LOOPLONGWOODFL32779593143238501(c)(3)6500General Support
SOUTHERN ADVENTIST UNIVERSITY
PO BOX 370COLLEGEDALETN37315620536733501(c)(3)3320500General Support
CANINE COMPANIONS FOR INDEPENDENCE INC
PO BOX 680388ORLANDOFL32868942494324501(c)(3)5000General Support
CASA DE MEXICO DE LA FLORIDA CENTRAL INC
400 S ORANGE AVE 9TH FLOORORLANDOFL32801593428138501(c)(3)5000General Support
CENTRAL FLORIDA CHILDRENS HOME INC
12569 NARCOOSSEE RDORLANDOFL32832591553478501(c)(3)5000General Support
CENTRAL FLORIDA PHARMACY COUNCIL INC
PO BOX 622057OVIEDOFL32762593396371501(c)(3)5000General Support
CFPHDCENTRAL FLORIDA PARTNERSHIP ON HEALTH DISPARITIES INC
PO BOX 621554OVIEDOFL32762262339292501(c)(3)5000General Support
CROHN'S & COLITIS FOUNDATION OF AMERICA INC
21301 POWERLINE RD STE 301BOCA RATONFL33433136193105501(c)(3)5000General Support
DOWN SYNDROME FOUNDATION OF FLORIDA INC
PO BOX 533462ORLANDOFL32853272436041501(c)(3)5000General Support
FOUNDATION FOR EARLY CHILDHOOD DEVELOPMENT
PO BOX 540387ORLANDOFL32854861076294501(c)(3)5000General Support
FRIENDS OF THE MENNELLO MUSEUM OF AMERICAN ART INC
900 E PRINCETON STREETORLANDOFL32803593618760501(c)(3)5000General Support
ADVENTIST CARE CENTERS - COURTLAND INC
730 COURTLAND STORLANDOFL32804205774723501(c)(3)218100Medical care
EAST ORLANDO HEALTH & REHAB CENTER INC
250 S CHICKASAW TRAILORLANDOFL32825205774748501(c)(3)1404864Medical care
FLNC INC
3355 E SEMORAN BLVDAPOPKAFL32703205774761501(c)(3)2199240Medical care
SUNBELT HEALTH & REHAB CENTER - APOPKA INC
305 EAST OAK STAPOPKAFL32703205774856501(c)(3)450000Medical care
FRONTLINE OUTREACH
PO BOX 555445ORLANDOFL32855237227148501(c)(3)5000General Support
LIFEWORK LEADERSHIP
450 S ORANGE AVEORLANDOFL32801593055348501(c)(3)5000General Support
TEAMS COMMISSIONED FOR CHRIST INTERNATIONAL INC DBA NATHANIELS HOPE
2300 JETPORT DRIVEORLANDOFL32809593195534501(c)(3)5000General Support
GREATER ORLANDO CHAMBER OF COMMERCE
PO BOX 1234ORLANDOFL32802590272107501(c)(6)5000General Support
SEMINOLE COUNTY LAKE MARY REGIONAL CHAMBER OF COMMERCE INC
1055 AAA DR STE 153LAKE MARYFL32746593646781501(c)(6)5000General Support
WINTER PARK CHAMBER OF COMMERCE
P0 BOX 280WINTER PARKFL32790590514615501(c)(6)5000General Support
Burleson Area Chamber of Commerce
1044 SW Wilshire BlvdBurlesonTX76028751228140501(c)(6)10000General Support
University of North Texas Health Science Center Health Systems-Fort Worth L
3500 Camp Bowie BlvdFort WorthTX761072699756064033Gov't10000General Support
Samaritan Touch Care Center Inc
3015 Herring AvenueSebringFL33870020773338501(c)(3)251500Medical care
Lake Placid Mural Society
PO Box 336Lake PlacidFL33852650393532501(c)(3)7850General Support
SunSystem Development Corporation dba Florida Hospital Heartland Foundation
4200 Sun N Lake BlvdSebringFL33872592219301501(c)(3)42770General Support
Greater Sebring Chamber of Commerce
227 US 27 NorthSebringFL33870590532480501(c)(6)10500General Support
South Florida Community College
600 W College DriveAvon ParkFL33825591218159Gov't15400General Support
SFCC Foundation
13 E Main StreetAvon ParkFL33825593050497501(c)(3)14334Construction
Walker Memorial Academy
1525 W Avon BlvdAvon ParkFL33825421748753501(c)(3)10500Construction
Children's Services Foundation of Highlands County Inc
419 E Center AvenueSebringFL33870650444941501(c)(3)7980General Support
The School Board of Highlands County
426 School StreetSebringFL33870596000654Gov't10000General Support
Highlands County Habitat for Humanity
159 S Commerce AvenueSebringFL33870593023727501(c)(3)15300Construction
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants71TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations13TotalNbrOfOtherOrganizations

Form990 Schedule I Part IV Form990ScheduleIPartIV

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

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Travel For CompanionsXTravelForCompanions
Idemnification Gross Up PaymentsXIdemnificationGrossUpPayments
Discretionary Spending AccountXDiscretionarySpendingAccount
Housing Allowance Or ResidenceXHousingAllowanceOrResidence
Club Dues Or FeesXClubDuesOrFees
Written Policy Re T And E Expenses1WrittenPolicyReTAndEExpenses
Substantiation Required1SubstantiationRequired
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan1SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org1CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (21 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
Houmann Lars D
080501902327973091167057301717900420863091292226500
Jernigan PhD Donald L
09034420261600050134901869050100232019535280186046
Reiner Richard
08050190232471013646301621060464130138247200
Shaw Terry
0805019023310005853701717900472460131569200
Banks David P
04268560100200200344412075643042797200368990800
Cummings Jr Desmond
044272301281563636224320087321023061363690558100
Moorhead MD John D
0397847094560198376240059518032314198366047900
Owen Terry R
03626240846471633203598047345036191163373440500
Paradis J Brian
053993201620001722233310103105042292172287066000
Soler Eddie
04071710117900249350428074955030089249368054300
Dodds Sheryl D
0280773065754159830888033813010239159842146700
Hilliard Douglas W
0279737065351381625062036424033644381644021800
Torres Ramon M
6213090209389060000133430122600862301000
Lee Kathy
2589560301689092008011920081350672708000
Wittum Roger L
623919050004500013343092580651520000
Czerska Barbara
543467016877029632013343058460609165000
Ekici Sedat T
388260017050000013343071080579211000
Bowls Bonnie L
02693760652378313031203099102061983141653500
Grim-Marcarelli Karen
02310430329480171334018089047063050047700
Hamilton Connie A
0288024068458324645193032201021580324645545600
Herrin Arlene
02186090311751081521103151002071810831722300

Form990 Schedule J Part III Form990ScheduleJPartIII (4 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
Part I, Line 1aAs discussed in our response to Section B, Part VI, Question 15a & b, the filing organization is a part of the system of healthcare organizations known as Adventist Health System (AHS). Members of the filing organization's executive management team that hold the position of Vice-President or above are compensated by and on the payroll of Adventist Health System Sunbelt Healthcare Corporation (AHSSHC), the parent organization of AHS. AHSSHC is exempt from federal income tax under IRC Section 501(c)(3). The filing organization reimburses AHSSHC for the salary and benefit cost of those executives on the payroll of AHSSHC that provide services and are on the management team of the filing organization. For administrative ease, executive employees on the payroll of AHSSHC who provide services at AHS subsidiary organizations receive reimbursements of travel and other business-related expenses from the subsidiary organization. Travel for companions: AHSSHC has a Corporate Executive Policy that provides a benefit to allow for a traveling AHSSHC executive to have his or her spouse accompany the executive on two business trips each year. Typically, reimbursement is only provided to Vice Presidents and above and is limited to one business trip per year and the annual AHS President's Council business meeting. The AHSSHC Corporate Executive Spousal Travel Policy was originally approved and reviewed by the AHSSHC Board Strategy & Compensation Committee, an independent body of the AHSSHC Board of Directors. All spousal travel costs reimbursed to the executive are considered taxable compensation to the executive. Tax Indemnification and gross-up payments: AHS has a system-wide policy addressing gross-up payments provided in connection with employer-provided benefits/other taxable items. Under the policy, certain taxable business-related reimbursements (i.e. taxable business-related moving expenses, taxable items provided in connection with employment) provided to any employee may be grossed-up at a 25% rate upon approval of the filing organization's CEO and CFO. Additionally, employees at the Director level and above are eligible for gross-up payments on gifts received for board of director services. Discretionary spending account: A nominal discretionary spending amount was provided in the current year to all eligible executives who attend the annual AHS President's Council business meeting ($500 per executive). Eligible executives include all AHSSHC Vice Presidents and above and all AHSSHC subsidiary organization CEOs and Regional CFOs. The payment provided to each executive was considered taxable compensation to the executive. Housing allowance or residence for personal use: The AHS executive compensation philosophy is designed and administered to compensate executives for duties performed irrespective of geographic market differences. Certain AHS hospitals are located in communities where the cost of housing is significantly greater than in other hospital locations in AHS. Accordingly, AHS provides housing assistance in the form of a shared equity interest in a residence to eligible executives who are expected to live within the immediate proximity of hospital facilities located in high-cost communities. Under the AHS system-wide policy governing the employer-provided housing assistance, one individual was provided with the housing benefit in the current year. As with all AHSSHC Corporate Executive Policies, the housing benefit policy was authorized and approved by the AHSSHC Board Strategy & Compensation Committee, an independent committee of the AHSSHC Board of Directors. The appropriate annual dollar amount of the housing benefit provided to the above-described eligible executive was treated as taxable compensation to the employee. AHS reviews the overall compensation of its executives on an annual basis to ensure that the total compensation package is reasonable. Housing allowance or residence for personal use: AHSSHC has a Corporate Executive Policy that addresses assistance to executives who have been relocated by the company during the year. Relocation assistance provided to executives may include relocation allowances to assist with duplicate housing expenses. Relocation assistance is administered per AHSSHC policy by an external relocation company. Any taxable reimbursements made to executives in connection with relocation assistance are treated as wages to the executive and are subject to all payroll withholding and reporting requirements. Health or social club dues or initiation fees: AHSSHC has a Corporate Executive Policy that addresses business development expenditures. Under this policy, certain AHS eligible executives may be reimbursed for member dues and usage charges for a country club or other social club upon authorization. Club memberships must be recommended by the CEO of the AHS hospital organization and approved by the Chairman of the Board of Directors of the organization. In addition, the proposed membership must be approved annually by the AHSSHC Board Strategy & Compensation Committee, an independent committee of the Board of Directors of AHSSHC. Eligible executives are limited to certain senior level executives (hospital organization CEOs, the CEO of the nursing home division of AHS, senior vice presidents at three large hospital organizations, regional CEOs and CFOs and the president and senior vice presidents of AHSSHC). In the current year, for this filing organization, one executive was eligible to receive reimbursement for club fees. Each AHS executive who is approved for a club membership must submit an annual report to the AHSSHC Board Strategy & Compensation Committee that describes how the membership benefited their organization during the preceding year.
Part I, Line 4bAs discussed in Line 1a above, executives on the filing organization's management team that hold the position of Vice-President or above are compensated by and on the payroll of Adventist Health System Sunbelt Healthcare Corporation (AHSSHC), the parent organization of a healthcare system known as Adventist Health System (AHS). In recognition of the contribution that each executive makes to the success of AHS, AHS provides to eligible executives participation in the AHS Executive FLEX Benefit Program (the Plan). The purpose of the Plan is to offer eligible executives an opportunity to elect from among a variety of supplemental benefits, including deferred compensation benefits taxable under Internal Revenue Code (IRC) Section 457(f), to individually tailor a benefits program appropriate to each executive's needs. The Plan provides eligible participants a pre-determined benefits allowance credit that is equal to a percentage of the executive's base pay from which is deducted the cost of mandatory and elective employee benefits. The pre-determined benefits allowance credit percentage is approved by the AHS Board Strategy & Compensation Committee, an independent committee of the Board of Directors of AHSSHC. Any funds that remain after the cost of mandatory and elective benefits are subtracted from the 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 Lars D. Houmann $158,447 $1,617,645 Donald L. Jernigan $190,062 $ 0 Richard K. Reiner $165,265 $ 61,356 Terry D. Shaw $158,447 $ 0 Thomas L. Werner $ 0 $ 82,877 David P. Banks $ 62,300 $ 0 Desmond Cummings, Jr. $ 74,254 $ 60,955 John D. Moorhead, MD $ 67,575 $ 0 Terry R. Owen $ 50,502 $ 173,730 J. Brian Paradis $ 89,762 $ 0 Eddie Soler $ 61,612 $ 0 Sheryl D. Dodds $ 36,970 $ 0 Douglas W. Hilliard $ 23,081 $ 0 Bonnie L. Bowls $ 34,148 $ 0 Karen Grim-Marcarelli $ 21,246 $ 144,685 Connie A. Hamilton $ 35,358 $ 0 Arlene K. Herrin $ 23,067 $ 0
Part I, Line 6The filing organization's physician compensation formula is designed to result in total compensation that would be reasonable for each physician. Since implementing the productivity-based incentive compensation model, the financial losses from the operations of organization's physician practices have significantly decreased, and established physician practices have generally become profitable. The filing organization utilizes national survey productivity, cost, and compensation data in formulating all aspects of the compensation plan. Physician compensation arrangements include a ceiling or reasonable maximum on the amount a physician may earn. The filing organization's employed physicians enter into a written agreement that requires the physicians to provide medical care to individuals who are referred by the filing organization. Pursuant to the agreement, an individual may not be rejected as a patient by a physician due to race, sex, age, color, creed, national origin or inability to pay. The filing organization's compensation arrangement does not use a method of compensation that is based upon a percentage of the organization's net income. Rather, under the compensation arrangement, physician base salary is set based on Fair Market Value benchmarks, and any additional compensation is based on a percentage of the practice/location net revenue.
Part IIIPart I, Question 3: As noted in our response to question 15 of Part VI of Form 990, the individual who serves as the CEO of the filing organization is compensated by Adventist Health System Sunbelt Healthcare Corporation (AHSSHC) for that individual's role in serving as the CEO of the system of organizations whose parent is AHSSHC. Compensation and benefits provided to this individual are determined pursuant to policies, procedures, and processes of AHSSHC that are designed to ensure compliance with the intermediate sanctions laws as set forth in IRC Section 4958. AHSSHC uses all of the following to establish compensation of the CEO: - Compensation committee; - Independent compensation consultant; - Compensation survey or study; and - Approval by the board or compensation committee.Supplemental Information

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (4 entries)

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

Form990 Schedule K Part II Form990ScheduleKPartII (4 entries)

Amount RetiredAmountRetiredTotal ProceedsTotalProceedsRefunding EscrowRefundingEscrowIssuance Costs From ProceedsIssuanceCostsFromProceedsCapital ExpendituresCapitalExpendituresYear Of Subst CompletionYearOfSubstCompletionCurrent RefundingCurrentRefundingAdvance RefundingAdvanceRefundingFinal Allocation MadeFinalAllocationMadeAdequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind
4876000013611000011436727827222001902052220031011
3855000500000007000004930000020040011
3750000500000007000004930000020040011
14840000649430866401637792670919931011

Form990 Schedule K Part III Form990ScheduleKPartIII (4 entries)

Owning Bond Financed PropertyOwningBondFinancedPropertyAny Lease ArrangementsAnyLeaseArrangementsMngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprtyAny Research AgreementsAnyResearchAgreementsBond Counsel Routinely EngagedBondCounselRoutinelyEngagedPrcntge Prvt Business Use By OthersPrcntgePrvtBusinessUseByOthersPercentage Of Prvt Business Re UBIPercentageOfPrvtBusinessReUBITotal Private Business UseTotalPrivateBusinessUsePost Issuance Compliance ProcdrsPostIssuanceComplianceProcdrs
011110.005000.000000.005001
001110.000000.000000.000001
001110.000000.000000.000001
001110.000000.000000.000001

Form990 Schedule K Part IV Form990ScheduleKPartIV (4 entries)

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

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (4 entries)

Issuer EINIssuerEINCUSIP NumberCUSIPNumberDate IssuedDateIssuedIssue PriceIssuePriceDescription Of PurposeDescriptionOfPurposeDefeasedDefeasedOn Behalf Of IssuerOnBehalfOfIssuerPool FinancingPoolFinancing
Highlands County Health Facilities Authority
521313569431022GN62005-10-181064100632005B, Refund Orange 2000, Tenn 2000, and Tarrant 2000 all issued 8/31/2000000
Highlands County Health Facilities Authority
521313569431022HG02005-10-18634345352005C, Refund Colorado 2001 issued 3/28/2001000
Highlands County Health Facilities Authority
521313569431022HH82005-10-181022200002005D, Expand/refurbish facilities, purchase equipment000
Highlands County Health Facilities Authority
521313569431022HT22006-03-311719100002006A&B, Refund Highlands 2001A issued 8/16/2001000

Form990 Schedule K Part II Form990ScheduleKPartII (4 entries)

Amount RetiredAmountRetiredTotal ProceedsTotalProceedsRefunding EscrowRefundingEscrowIssuance Costs From ProceedsIssuanceCostsFromProceedsYear Of Subst CompletionYearOfSubstCompletionCurrent RefundingCurrentRefundingAdvance RefundingAdvanceRefundingFinal Allocation MadeFinalAllocationMadeAdequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaindCapital ExpendituresCapitalExpenditures
26730000106410063104877613153245020000111
770000634345356250560292893320010111
12255000102220000150000020050011100720000
8625000171910000169762000200101112148000

Form990 Schedule K Part III Form990ScheduleKPartIII (4 entries)

Owning Bond Financed PropertyOwningBondFinancedPropertyAny Lease ArrangementsAnyLeaseArrangementsMngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprtyAny Research AgreementsAnyResearchAgreementsBond Counsel Routinely EngagedBondCounselRoutinelyEngagedPrcntge Prvt Business Use By OthersPrcntgePrvtBusinessUseByOthersPercentage Of Prvt Business Re UBIPercentageOfPrvtBusinessReUBITotal Private Business UseTotalPrivateBusinessUsePost Issuance Compliance ProcdrsPostIssuanceComplianceProcdrs
001110.000000.000000.000001
001110.000000.000000.000001
001110.000000.000000.000001
001110.000000.000000.000001

Form990 Schedule K Part IV Form990ScheduleKPartIV (4 entries)

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

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (4 entries)

Issuer EINIssuerEINCUSIP NumberCUSIPNumberDate IssuedDateIssuedIssue PriceIssuePriceDescription Of PurposeDescriptionOfPurposeDefeasedDefeasedOn Behalf Of IssuerOnBehalfOfIssuerPool FinancingPoolFinancing
Hays Memorial Health Facilities Development Corporation
742509647421119AC22006-04-205650000Expand/refurbish facilities, purchase equipment000
Highlands County Health Facilities Authority
521313569431022HUD2006-06-142051560002006C, Expand/refurbish facilities, purchase equipment000
Colorado Health Facilities Authority
84075293219648AAV72006-11-152495014242006D&E, Refnd Highland, Tarrant 98 iss 12/17/98, Highland iss 03D 10/7/03000
Colorado Health Facilities Authority
84075293219648ACG82006-11-15303714502006F, Refund 1995 Bonds issued 6/8/1995000

Form990 Schedule K Part II Form990ScheduleKPartII (4 entries)

Total ProceedsTotalProceedsIssuance Costs From ProceedsIssuanceCostsFromProceedsCapital ExpendituresCapitalExpendituresYear Of Subst CompletionYearOfSubstCompletionCurrent RefundingCurrentRefundingAdvance RefundingAdvanceRefundingFinal Allocation MadeFinalAllocationMadeAdequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaindAmount RetiredAmountRetiredRefunding EscrowRefundingEscrow
5650000113000553700020080011
2051560002000000203156000200600114900000
2495014242492891200301118880000247008533
30371450306707199510112120500030064743

Form990 Schedule K Part III Form990ScheduleKPartIII (4 entries)

Owning Bond Financed PropertyOwningBondFinancedPropertyAny Lease ArrangementsAnyLeaseArrangementsMngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprtyAny Research AgreementsAnyResearchAgreementsBond Counsel Routinely EngagedBondCounselRoutinelyEngagedPrcntge Prvt Business Use By OthersPrcntgePrvtBusinessUseByOthersPercentage Of Prvt Business Re UBIPercentageOfPrvtBusinessReUBITotal Private Business UseTotalPrivateBusinessUsePost Issuance Compliance ProcdrsPostIssuanceComplianceProcdrs
001010.000000.000000.000001
001110.000000.001000.001001
011110.002000.000000.002001
001110.000000.000000.000001

Form990 Schedule K Part IV Form990ScheduleKPartIV (4 entries)

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

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (4 entries)

Issuer EINIssuerEINCUSIP NumberCUSIPNumberDate IssuedDateIssuedIssue PriceIssuePriceDescription Of PurposeDescriptionOfPurposeDefeasedDefeasedOn Behalf Of IssuerOnBehalfOfIssuerPool FinancingPoolFinancing
Highlands County Health Facilities Authority
521313569431022JZ62006-12-202124644962006G, Refund Highlands 2002 issued 12/19/02 and Orange 2002 issued 7/10/02000
Highlands County Health Facilities Authority
521313569431022KK72007-08-083664450002007A B C D, Expand/refurbish facilities, purchase equipment000
Highlands County Health Facilities Authority
521313569431022KV32008-07-02456750002004A SFC, Refunded Highlands 2004A issued 9/28/04000
Highlands County Health Facilities Authority
521313569431022QU92008-12-11606500002005F SFC, Refunded Highlands 2005F issued 12/22/05000

Form990 Schedule K Part II Form990ScheduleKPartII (4 entries)

Amount RetiredAmountRetiredRefunding EscrowRefundingEscrowIssuance Costs From ProceedsIssuanceCostsFromProceedsYear Of Subst CompletionYearOfSubstCompletionCurrent RefundingCurrentRefundingAdvance RefundingAdvanceRefundingFinal Allocation MadeFinalAllocationMadeAdequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaindTotal ProceedsTotalProceedsCredit EnhancementCreditEnhancementCapital ExpendituresCapitalExpenditures
18465000210608121185637520020111
113100000200700113664450005560382360884618
456750002004101145675000
606500002005101160650000

Form990 Schedule K Part III Form990ScheduleKPartIII (4 entries)

Owning Bond Financed PropertyOwningBondFinancedPropertyAny Lease ArrangementsAnyLeaseArrangementsMngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprtyAny Research AgreementsAnyResearchAgreementsBond Counsel Routinely EngagedBondCounselRoutinelyEngagedPrcntge Prvt Business Use By OthersPrcntgePrvtBusinessUseByOthersPercentage Of Prvt Business Re UBIPercentageOfPrvtBusinessReUBITotal Private Business UseTotalPrivateBusinessUsePost Issuance Compliance ProcdrsPostIssuanceComplianceProcdrs
011110.003000.000000.003001
011110.002000.000000.002001
001110.000000.000000.000001
001110.000000.000000.000001

Form990 Schedule K Part IV Form990ScheduleKPartIV (4 entries)

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

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (4 entries)

Issuer EINIssuerEINCUSIP NumberCUSIPNumberDate IssuedDateIssuedIssue PriceIssuePriceDescription Of PurposeDescriptionOfPurposeDefeasedDefeasedOn Behalf Of IssuerOnBehalfOfIssuerPool FinancingPoolFinancing
Highlands County Health Facilities Authority
521313569431022QV72008-12-12494250002005G SFC, Refunded Highlands 2005G issued 12/22/05000
Highlands County Health Facilities Authority
521313569431022QW52008-12-15494250002005H SFC, Refunded Highlands 2005H issued 12/22/05000
Highlands County Health Facilities Authority
521313569431022QZ82008-12-16680000002008A, Expand/refurbish facilities, purchase equipment000
Highlands County Health Facilities Authority
521313569431022QR62008-12-161422750002005E/2007B SFC, Refund Highlands 05E iss 12/22/05, Highland 07B iss 8/8/07000

Form990 Schedule K Part II Form990ScheduleKPartII (4 entries)

Total ProceedsTotalProceedsRefunding EscrowRefundingEscrowYear Of Subst CompletionYearOfSubstCompletionCurrent RefundingCurrentRefundingAdvance RefundingAdvanceRefundingFinal Allocation MadeFinalAllocationMadeAdequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaindCapital ExpendituresCapitalExpendituresAmount RetiredAmountRetired
494250004942500020051011
494250004942500020051011
680000002008001168000000
142275000142275000200710117975000

Form990 Schedule K Part III Form990ScheduleKPartIII (4 entries)

Owning Bond Financed PropertyOwningBondFinancedPropertyAny Lease ArrangementsAnyLeaseArrangementsMngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprtyAny Research AgreementsAnyResearchAgreementsBond Counsel Routinely EngagedBondCounselRoutinelyEngagedPrcntge Prvt Business Use By OthersPrcntgePrvtBusinessUseByOthersPercentage Of Prvt Business Re UBIPercentageOfPrvtBusinessReUBITotal Private Business UseTotalPrivateBusinessUsePost Issuance Compliance ProcdrsPostIssuanceComplianceProcdrs
001110.000000.000000.000001
001110.000000.000000.000001
001110.000000.000000.000001
011110.002000.000000.002001

Form990 Schedule K Part IV Form990ScheduleKPartIV (4 entries)

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

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (4 entries)

Issuer EINIssuerEINCUSIP NumberCUSIPNumberDate IssuedDateIssuedIssue PriceIssuePriceDescription Of PurposeDescriptionOfPurposeDefeasedDefeasedOn Behalf Of IssuerOnBehalfOfIssuerPool FinancingPoolFinancing
Highlands County Health Facilities Authority
521313569431022QS42008-12-18783500002007D SFC, Refunded Highlands 2007D issued 8/8/07000
Highlands County Health Facilities Authority
521313569431022RBO2008-12-192500000002008B, Expand/refurbish facilities, purchase equipment000
Orange County Health Facilities Authority
5213785952009-04-0850000002009A, Expand/refurbish facilities, purchase equipment000
Kansas Development Finance Authority
4810665892009-04-0850000002009B, Expand/refurbish facilities, purchase equipment000

Form990 Schedule K Part II Form990ScheduleKPartII (4 entries)

Amount RetiredAmountRetiredTotal ProceedsTotalProceedsRefunding EscrowRefundingEscrowYear Of Subst CompletionYearOfSubstCompletionCurrent RefundingCurrentRefundingAdvance RefundingAdvanceRefundingFinal Allocation MadeFinalAllocationMadeAdequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaindCapital ExpendituresCapitalExpenditures
7875000783500007835000020071011
12500000025000000020080011250000000
17000005000000200800115000000
16000005000000200800115000000

Form990 Schedule K Part III Form990ScheduleKPartIII (4 entries)

Owning Bond Financed PropertyOwningBondFinancedPropertyAny Lease ArrangementsAnyLeaseArrangementsMngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprtyAny Research AgreementsAnyResearchAgreementsBond Counsel Routinely EngagedBondCounselRoutinelyEngagedPrcntge Prvt Business Use By OthersPrcntgePrvtBusinessUseByOthersPercentage Of Prvt Business Re UBIPercentageOfPrvtBusinessReUBITotal Private Business UseTotalPrivateBusinessUsePost Issuance Compliance ProcdrsPostIssuanceComplianceProcdrs
011110.002000.000000.002001
001110.000000.000000.000001
001110.000000.000000.000001
001110.000000.000000.000001

Form990 Schedule K Part IV Form990ScheduleKPartIV (4 entries)

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

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (4 entries)

Issuer EINIssuerEINCUSIP NumberCUSIPNumberDate IssuedDateIssuedIssue PriceIssuePriceDescription Of PurposeDescriptionOfPurposeDefeasedDefeasedOn Behalf Of IssuerOnBehalfOfIssuerPool FinancingPoolFinancing
Kansas Development Finance Authority
48106658948542ABX82009-07-083253944172009C, Ref 96/05&97/05 iss 1/13/05, 03A 1/16/03, 08B 12/19/08, exp facility000
Kansas Development Finance Authority
48106658948542ACY52009-10-011022711542009D, Refund Highlands 07C, 8/8/07 & expand/refurbish facilities/purc equip000
Highlands County Health Facilities Authority
521313569431022SC72009-10-073042300002009A-F, AR Program 1996A, 1999, 2000A&B, 2004AR1&2 all reissued 9/4/08000
Highlands County Health Facilities Authority
521313569431022SP82009-11-1619075250209E & 08B Conv, Ref Orange 91/01 10/11/01, 92/03 5/15/03, 08B 12/19/08000

Form990 Schedule K Part II Form990ScheduleKPartII (4 entries)

Amount RetiredAmountRetiredTotal ProceedsTotalProceedsRefunding EscrowRefundingEscrowCapital ExpendituresCapitalExpendituresYear Of Subst CompletionYearOfSubstCompletionCurrent RefundingCurrentRefundingAdvance RefundingAdvanceRefundingFinal Allocation MadeFinalAllocationMadeAdequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind
59550003253944173133894501200496720091011
102271154804264332184472120091011
30423000030423000020041011
437500019075250219075250220081011

Form990 Schedule K Part III Form990ScheduleKPartIII (4 entries)

Owning Bond Financed PropertyOwningBondFinancedPropertyAny Lease ArrangementsAnyLeaseArrangementsMngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprtyAny Research AgreementsAnyResearchAgreementsBond Counsel Routinely EngagedBondCounselRoutinelyEngagedPrcntge Prvt Business Use By OthersPrcntgePrvtBusinessUseByOthersPercentage Of Prvt Business Re UBIPercentageOfPrvtBusinessReUBITotal Private Business UseTotalPrivateBusinessUsePost Issuance Compliance ProcdrsPostIssuanceComplianceProcdrs
011110.001000.000000.001001
001110.000000.000000.000001
001110.000000.000000.000001
011110.001000.000000.001001

Form990 Schedule K Part IV Form990ScheduleKPartIV (4 entries)

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

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (4 entries)

Issuer EINIssuerEINCUSIP NumberCUSIPNumberDate IssuedDateIssuedIssue PriceIssuePriceDescription Of PurposeDescriptionOfPurposeDefeasedDefeasedOn Behalf Of IssuerOnBehalfOfIssuerPool FinancingPoolFinancing
Highlands County Health Facilities Authority
521313569431022SG82009-11-161772400002005I Conv, Refund Highlands 05I 12/22/05 & expand/refurbish facilities000
Highlands County Health Facilities Authority
5213135692010-12-17570000002010A, Expand/refurbish facilities, purchase equipment000
Orange County Health Facilities Authority
5213785952010-12-22250000002010B, Expand/refurbish facilities, purchase equipment000
Kansas Development Finance Authority
4810665892010-12-22250000002010C, Expand/refurbish facilities, purchase equipment000

Form990 Schedule K Part II Form990ScheduleKPartII (4 entries)

Total ProceedsTotalProceedsRefunding EscrowRefundingEscrowCapital ExpendituresCapitalExpendituresYear Of Subst CompletionYearOfSubstCompletionCurrent RefundingCurrentRefundingAdvance RefundingAdvanceRefundingFinal Allocation MadeFinalAllocationMadeAdequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind
178936632178936632169663220051011
570000005700000020100011
250000002500000020100011
250000002500000020100011

Form990 Schedule K Part III Form990ScheduleKPartIII (4 entries)

Owning Bond Financed PropertyOwningBondFinancedPropertyAny Lease ArrangementsAnyLeaseArrangementsMngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprtyAny Research AgreementsAnyResearchAgreementsBond Counsel Routinely EngagedBondCounselRoutinelyEngagedPrcntge Prvt Business Use By OthersPrcntgePrvtBusinessUseByOthersPercentage Of Prvt Business Re UBIPercentageOfPrvtBusinessReUBITotal Private Business UseTotalPrivateBusinessUsePost Issuance Compliance ProcdrsPostIssuanceComplianceProcdrs
011110.009000.000000.009001
001110.000000.000000.000001
001110.000000.000000.000001
001110.000000.000000.000001

Form990 Schedule K Part IV Form990ScheduleKPartIV (4 entries)

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

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (2 entries)

Issuer EINIssuerEINDate IssuedDateIssuedIssue PriceIssuePriceDescription Of PurposeDescriptionOfPurposeDefeasedDefeasedOn Behalf Of IssuerOnBehalfOfIssuerPool FinancingPoolFinancing
Colorado Health Facilities Authority
8407529322010-12-22250000002010D, Expand/refurbish facilities, purchase equipment000
Highlands County Health Facilities Authority
5213135692010-12-302250000002010E, Expand/refurbish facilities, purchase equipment000

Form990 Schedule K Part II Form990ScheduleKPartII (2 entries)

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

Form990 Schedule K Part III Form990ScheduleKPartIII (2 entries)

Owning Bond Financed PropertyOwningBondFinancedPropertyAny Lease ArrangementsAnyLeaseArrangementsMngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprtyAny Research AgreementsAnyResearchAgreementsBond Counsel Routinely EngagedBondCounselRoutinelyEngagedPrcntge Prvt Business Use By OthersPrcntgePrvtBusinessUseByOthersPercentage Of Prvt Business Re UBIPercentageOfPrvtBusinessReUBITotal Private Business UseTotalPrivateBusinessUsePost Issuance Compliance ProcdrsPostIssuanceComplianceProcdrs
001110.000000.000000.000001
001110.000000.000000.000001

Form990 Schedule K Part IV Form990ScheduleKPartIV (2 entries)

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

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV (4 entries)

RelationshipRelationshipAmount Of TransactionAmountOfTransactionDescription Of TransactionDescriptionOfTransactionSharing Of RevenuesSharingOfRevenues
Robyn Edgerton
Family of board member97425Employee Compensation0
Linda Knutson
Family of board member48386Employee Compensation0
Dan Tilstra
Family of board member63585Consulting Services0
Jenola Bradwell
Family of board member57829Employee Compensation0

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (12 entries)

IdentifierIdentifierExplanationExplanationReturn ReferenceReturnReference
Form 990, Part VI, Section A, line 2J. Brian Paradis and Lars Houmann - Business Relationship Donald Livesay and Kenneth Denslow - Business Relationship Donald Livesay and Rodney Grove - Business Relationship Donald Livesay and Glynn Scott - Business Relationship
Form 990, Part VI, Section A, line 6Adventist Health System/Sunbelt, Inc. (the filing organization) has one member. The sole member of the filing organization is Adventist Health System Sunbelt Healthcare Corporation. Adventist Health System Sunbelt Healthcare Corporation (AHSSHC) is a Florida, not-for-profit corporation that is exempt from federal income tax under Internal Revenue Code (IRC) Section 501(c)(3). There are no other classes of membership in the filing organization.
Form 990, Part VI, Section A, line 7aThe sole member of the filing organization is AHSSHC. The Board of Directors of the filing organization are appointed by the sole member, AHSSHC, who has the right to elect, appoint or remove any member of the Board of Directors of the filing organization.
Form 990, Part VI, Section A, line 7bAHSSHC, as the sole member of the filing organization, has certain reserved powers as set forth in the Bylaws of the filing organization. These reserved powers include the following: a) to approve and disapprove the executive and/or administrative leadership of the filing organization, and their salaries; b) to approve and disapprove the operating Bylaws of the filing organization; c) to set limits and terms for the borrowing of funds; d) to approve or disapprove major building programs and/or purchase or sale of personal property or real property equal to or in excess of One Million dollars; e) to approve or disapprove the annual operating and capital budgets of the filing organization; f) to direct the placement of funds and capital of the filing organization; and g) to establish general guiding policies.
Form 990, Part VI, Section B, line 11The filing organization's current year Form 990 was reviewed by the Senior Vice President of Finance prior to its filing with the IRS. The review conducted by the Senior Vice President of Finance did not include the review of any supporting workpapers that were used in preparation of the current year Form 990, but did include a review of the entire Form 990 and all supporting schedules.
The Conflict of Interest Policy of the filing organization applies to members of its Board of Directors and its principal officers (to be known as Interested Persons). In connection with any actual or possible conflict of interests, any member of the Board of Directors of the filing organization or any principal officer of the filing organization (i.e. Interested Persons) must disclose the existence of any financial interest with the filing organization and must be given the opportunity to disclose all material facts concerning the financial interest/arrangement to the Board of Directors of the filing organization or to any members of a committee with board delegated powers that is considering the proposed transaction or arrangement. Subsequent to any disclosure of any financial interest/arrangement and all material facts, and after any discussion with the relevant Board member or principal officer, the remaining members of the Board of Directors or committee with board delegated powers shall discuss, analyze, and vote upon the potential financial interest/arrangement to determine if a conflict of interest exists. According to the filing organization's Conflict of Interest Policy, an Interested Person may make a presentation to the Board of Directors (or committee with board delegated powers), but after such presentation, shall leave the meeting during the discussion of, and the vote on, the transaction or arrangement that results in a conflict of interest. Each Interested Person, as defined under the filing organization's Conflict of Interest Policy, shall annually sign a statement which affirms that such person has received a copy of the Conflict of Interests policy, has read and understands the policy, has agreed to comply with the policy, and understands that the filing organization is a charitable organization that must primarily engage in activities which accomplish one or more of its exempt purposes. The filing organization's Conflict of Interest Policy also requires that periodic reviews shall be conducted to ensure that the filing organization operates in a manner consistent with its charitable purposes.Form 990, Part VI, Section B, line 12c
The top-tier parent of the filing organization is Adventist Health System Sunbelt Healthcare Corporation (AHSSHC). AHSSHC is the parent organization of a healthcare system, known as Adventist Health System, that operates hospitals, nursing home facilities, and other healthcare provider organizations. AHSSHC is exempt from federal income tax under IRC Section 501(c)(3) pursuant to a group ruling issued to the General Conference of Seventh-day Adventists. The individuals who serve as the CEO, CFO or Vice President of the filing organization are compensated by AHSSHC. Compensation and benefits provided to these individuals is determined pursuant to policies, procedures, and processes of AHSSHC that are designed to ensure compliance with the intermediate sanctions laws as set forth in IRC Section 4958. AHSSHC has taken steps to ensure that processes are in place to satisfy the rebuttable presumption of reasonableness standard as set forth in Treasury Regulation 53.4958-6 with respect to its active executive-level positions. The AHSSHC Board Strategy and Compensation Committee (the Committee) serves as the governing body for all executive compensation matters. The Committee is composed of certain members of the Board of Directors (the Board) of AHSSHC. Voting members of the Committee include only individuals who serve on the Board as independent representatives of the community, who hold no employment positions with AHSSHC and who do not have relationships with any of the individuals whose compensation is under their review that impacts their best independent judgment as fiduciaries of AHSSHC. The Committee's role is to review and approve all components of the executive compensation plan of AHSSHC. As an independent governing body with respect to executive compensation, it should be noted that the Committee will often confer in executive sessions on matters of compensation policy and policy changes. In such executive sessions, no members of management of AHSSHC are present. The Committee is advised by an independent third party compensation advisor. This advisor prepares all the benchmark studies for the Committee. Compensation levels are benchmarked with a national peer group of other not-for-profit healthcare systems and hospitals of similar size and complexity to AHS and each of its affiliated entities. The following principles guide the establishment of individual executive compensation: - The salary of the President/CEO of AHS will not exceed the 40th percentile of comparable salaries paid by similarly situated organizations; and - Other executive salaries shall be established using market medians. The compensation philosophy, policies, and practices of AHSSHC are consistent with the organization's faith-based mission and conform to applicable laws, regulations, and business practices. As a faith-based organization sponsored by the Seventh-day Adventist Church (the Church), AHSSHC's philosophy and principles with respect to its executive compensation practices reflect the conservative approach of the Church's mission of service and were developed in counsel with the Church's leadership.Form 990, Part VI, Section B, line 15
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.Form 990, Part VI, Section C, line 19
Columns (E) & (F)For those Board of Director members who devote less than full-time to the filing organization (based upon the average number of hours per week shown in column (B) on page 7 of the return) the compensation amounts shown in columns (E) and (F) on page 7 for Don Jernigan, Richard Reiner, and Terry Shaw, were provided in conjunction with that person's responsibilities and roles in serving in an executive leadership position within Adventist Health System. Each of these individuals devote approximately 50 hours per week in conjunction with serving in their respective executive leadership position within Adventist Health System.Part VII, Section A
Changes in Net Assets or Fund Balances:Net unrealized losses on investments: -26,210,231. Transfer to tax-exempt affiliates -3,215,000. Transfer to tax-exempt parent -16,627,165. Donated Property 586,199. Income on restricted fund balance 75,726. SWAP loss amortization -72,565. Allocations from Tax-exempt Parent with respect to Debt 4,024,140. Transfer for expenses -3,727,508. Gifts 21,626,250. Other 1,776,373. Total to Form 990, Part XI, Line 5: -21,763,781.Form 990, Part XI, line 5:
Description of Community Information - ContinuedOrlando is located in Orange County, Florida. The Hospital's primary market has a population of approximately 1,800,000 with an estimated 201,000 over the age of 65. The weighted average household income, based on population, in the primary market is approximately $70,000. High school graduates account for approximately 87% of Orange County, with an estimated 30% having a bachelor's degree or higher. It is estimated that 13% of the individuals residing in Orange County live below the poverty level and the unemployment rate is about 11%. Approximately 41% of the Hospital's patients during 2010 were Medicare patients, about 16% were Medicaid patients, about 7% were self-pay patients and the remaining percentage were patients covered under commercial insurance. In 2010, about 69% of the hospital's in-patients were admitted through the hospital's Emergency Department. *Florida Hospital Altamonte (Seminole County) - FH Altamonte is a 341-bed facility, which has recently doubled in size with a new patient tower to better serve a busy community. FH Altamonte was the first "satellite" hospital, built in 1973 on what was then pastureland, miles from the nearest business district. Located north of Orlando in fast-growing Seminole County, Florida Hospital Altamonte is the largest satellite campus within the Florida Hospital health care system. In addition to maternity, pediatric, emergency, medical and surgical services, the hospital operates the Martin Andersen Cancer Center (along with the region's only Cancer Resource Library), a heart catheterization lab, and a comprehensive outpatient program which includes surgery, diagnostics, and medical treatment programs. *Florida Hospital Apopka (Orange County) - In 1975, FH Apopka became the second satellite hospital. For nearly three decades, Florida Hospital Apopka has set the standard in hometown health care by providing high-tech, quality care with a personalized touch. They are situated just 12 miles northwest of Orlando, with a small, yet advanced, 50-bed campus that houses a certified Chest Pain Center and a multitude of inpatient and outpatient services. *Florida Hospital Celebration Health (Osceola County) - FH Celebration Health is a cornerstone of Disney's planned community in Celebration, Florida. Today, this 112-bed acute care hospital delivers a state-of-the-art healing environment to residents of Osceola, Orange, Polk and Lake Counties, as well as to visitors from across the United States and the world. From its creation FH Celebration Health has been about promoting health and wellness as well as healing. Inside the resort-style hospital there is a wellness center, complete with workout area, pool, rehabilitation facility. FH Celebration Health also houses the Global Robotics Institute, which provides patients with access to some of the most experienced robotic surgeons in the world. The Nicholson Center for Surgical Advancement also is a location where surgeons from around the world travel to learn the latest robotic surgery techniques. *Florida Hospital East Orlando (Orange County) - FH East Orlando is now an innovative local leader that fills a vital need in a fast-growing area. A recent 200,000 square-foot expansion project upgraded the hospital to 225 beds, with a spacious patient tower and 80 new private rooms designed to enhance the holistic care experience. *Florida Hospital Kissimmee (Osceola County) - FH Kissimmee is an 83-bed community-focused hospital, conveniently located near Walt Disney World. The team located at FH Kissimmee is dedicated to bringing mission-focused, faith-based care to residents and visitors of Osceola and Orange Counties. This facility has recently expanded to include a new medical office building, patient tower, new main entrance and a parking garage. *Florida Hospital Winter Park (Orange County) - FH Winter Park Memorial Hospital is a 297-bed facility that is a model of community health and wellness. The facility boasts spacious patient care areas and a full spectrum of specialties and services, including the Dr. P. Phillips Baby Place (with Level II NICU), Florida Hospital Orthopedic Institute, and state-of-the-art surgery, recovery and rehabilitation at the Florida Hospital Cancer Institute. Adventist Health System/Sunbelt, Inc. dba Huguley Memorial Medical Center: Huguley Memorial Medical Center (HMMC) is a 213-bed acute-care hospital in Burleson, Texas. The hospital houses two intensive care units, a progressive care unit, an open-heart surgery center, a behavioral health center and a 24/7 emergency department. HMMC has a 16-bed intensive care unit for patients with medical care and respiratory needs and a 12-bed intensive care unit concentrating on cardiovascular patients. A 4-bed dialysis center is available for renal patients with critical needs. Additionally, there is a 33-bed Progressive Care Unit designed to bridge the gap between the Intensive Care Unit and the medical-surgical units. Part of HMMC's primary service area includes a number of smaller communities with limited access to healthcare services. To meet the needs of these residents, HMMC recently opened three family medical clinics. In addition, the Mobile Health Services Bus provides complete examinations and other health-care services throughout Tarrant and Johnson counties. Burleson, Texas is located in Johnson County and serves the South Fort Worth area. The Hospital's primary market has a population of approximately 208,000, with an estimated 24,000 over the age of 65. The weighted average household income, based on population, in the primary market is approximately $65,000. High school graduates account for approximately 82% of Johnson County, with an estimated 16% having a bachelor's degree or higher. It is estimated that 11% of the individuals residing in Johnson County live below the poverty level and the unemployment rate is about 8%. Approximately 47% of the Hospital's patients during 2010 were Medicare patients, about 11% were Medicaid patients, about 11% were self-pay patients and the remaining percentage were patients covered under commercial insurance. In 2010, about 70% of the hospital's in-patients were admitted through the hospital's Emergency Department. Adventist Health System/Sunbelt, Inc. dba Adventist La Grange Memorial Hospital: Adventist La Grange Memorial Hospital (ALMH) is a 205-bed facility providing outpatient and inpatient primary care, trauma care and wellness services to residents of Chicago's western suburbs. The hospital is a leader in offering comprehensive oncology services, orthopedic services, advanced cardiac care, women's health and maternity care, emergency, geriatric and many other specialties that cater to the communities it serves. The communities served by ALMH contain a high senior population. As a result, ALMH is designated by the federal government as a Medicare Disproportionate share hospital. To address the unique needs of its service area, ALMH offers a broad spectrum of services designed to meet the diverse needs of aging adults. Such services include the newly opened total joint orthopedic center that provides a comprehensive program for joint replacement surgery and is the first of its kind in the western suburbs of Chicago. La Grange, Illinois is located in Cook County. The Hospital's primary market has a population of approximately 160,000, with an estimated 25,000 over the age of 65. The weighted average household income, based on population, in the primary market is approximately $93,000. High school graduates account for approximately 83% of Cook County, with an estimated 33% having a bachelor's degree or higher. It is estimated that 15% of the individuals residing in Cook County live below the poverty level and the unemployment rate is about 11%. Approximately 55% of the Hospital's patients during 2010 were Medicare patients, about 7% were Medicaid patients, about 3% were self-pay patients and the remaining percentage were patients covered under commercial insurance. In 2010, about 69% of the hospital's in-patients were admitted through the hospital's Emergency Department.Schedule H, Part VI, Line 4
Savings and temporary cash investmentsThe amounts shown on line 2 of Part X of this return include the filing organization's interest in a central investment pool maintained by Adventist Health System Sunbelt Healthcare Corporation, the filing organization's top-tier parent. The investments in the central investment pool are recorded at market value.Part X, Line 2

Schedule R IRS990ScheduleR

Form990 Schedule R Part I Form990ScheduleRPartI

Name Of Disregarded Entity NameOfDisregardedEntity

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

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1875 Concourse Parkway 150AddressLine1
CityMaitlandCity
StateFLState
ZIP Code32751ZIPCode
FieldValueIRS element (for citing)
EIN550789387EIN
Primary ActivitiesImaging & TestingPrimaryActivities
Legal Domicile StateFLLegalDomicileState
Total Income4419460TotalIncome
EOY Assets0EOYAssets

Direct Controlling Entity Name DirectControllingEntityName

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

Form990 Schedule R Part II Form990ScheduleRPartII (102 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrgControlledOrgDirect Controlling Entity NADirectControllingEntityNA
Adventist Bolingbrook Hospital
500 Remington BlvdBolingbrookIL60440651219504Operation of Hospital & Related ServicesIL501(c)(3)170(b)(1)(A)(iii)Adventist Health SystemSunbelt Inc1
Adventist Care Centers - Courtland Inc
730 Courtland StreetOrlandoFL32804205774723Operation of Home for the Aged/Healthcare DeliveryFL501(c)(3)509(a)(2)Sunbelt Health Care Centers Inc0
Adventist GlenOaks Hospital
701 Winthrop AvenueGlendale HeightsIL60139363208390Operation of Hospital & Related ServicesIL501(c)(3)170(b)(1)(A)(iii)Adventist Health SystemSunbelt Inc1
Adventist Health Mid-America Inc
9100 W 74th StreetShawnee MissionKS66204521347407Healthcare Related ServicesKS501(c)(3)509(a)(3) Type IAdventist Health SystemSunbelt Inc1
Adventist Health Partners Inc
1000 Remington Blvd Ste 200BolingbrookIL60440364138353Operate out-patient physician clinicsIL501(c)(3)170(b)(1)(A)(iii)AHS Midwest Management Inc0
Adventist Health System Affiliated Benefit Trust
111 N Orlando AvenueWinter ParkFL32789266422966Promotion of HealthcareFL501(c)(3)509(a)(3) Type IAdventist Health System Sunbelt Healthcare Corporation0
Adventist Health System Sunbelt Healthcare Corporation
111 N Orlando AvenueWinter ParkFL32789592170012Management ServicesFL501(c)(3)509(a)(3) Type I0N/A
Adventist Health SystemGeorgia Inc
1035 Red Bud RoadCalhounGA30701581425000Operation of Hospital & Related ServicesGA501(c)(3)170(b)(1)(A)(iii)Adventist Health System Sunbelt Healthcare Corporation0
Adventist Health SystemSunbelt Inc
111 N Orlando AvenueWinter ParkFL32789591479658Operation of Hospital & Related ServicesFL501(c)(3)170(b)(1)(A)(iii)Adventist Health System Sunbelt Healthcare Corporation0
Adventist Health SystemTexas Inc
602 Courtland StreetOrlandoFL32804742578952InactiveTX501(c)(3)509(a)(2)Adventist Health System Sunbelt Healthcare Corporation0
Adventist Hinsdale Hospital
120 North Oak StreetHinsdaleIL60521362276984Operation of Hospital & Related ServicesIL501(c)(3)170(b)(1)(A)(iii)Adventist Health SystemSunbelt Inc1
AHS Midwest Management Inc
1000 Remington Blvd Ste 200BolingbrookIL60440363354567Operation of Occupational Hlth Clinic & Physician Practice MgmtIL501(c)(3)509(a)(3) Type IAdventist Health SystemSunbelt Inc1
AHSCentral Texas Inc
1301 Wonder World DriveSan MarcosTX78666742621825Provide Office Space - Medical ProfessionalsTX501(c)(3)509(a)(3) Type III-FAdventist Health System Sunbelt Healthcare Corporation0
Apopka Health Care Properties Inc
305 E Oak StreetApopkaFL32703510605694Lease to Related OrganizationGA501(c)(3)509(a)(3) Type III-FSunbelt Health Care Centers Inc0
Battle Creek Adventist Hospital
1000 Remington Blvd Ste 200BolingbrookIL60440381359189Operation of Hospital & Related ServicesMI501(c)(3)170(b)(1)(A)(iii)Adventist Health SystemSunbelt Inc1
Bert Fish Medical Center Inc (10110-63011)
401 Palmetto StreetNew Smyrna BeachFL32168362276984Operation of Hospital & Related ServicesFL501(c)(3)170(b)(1)(A)(iii)Adventist Health System Sunbelt Healthcare Corporation0
Bolingbrook Hospital Foundation
1000 Remington Blvd N Entrance 2ndBolingbrookIL60440900494445Fund-raising for Tax-exempt hospitalIL501(c)(3)170(b)(1)(A)(vi)Midwest Health Foundation0
Bradford Heights Health & Rehab Center Inc
950 Highpoint DriveHopkinsvilleKY42240205782342Operation of Home for the Aged/Healthcare DeliveryKY501(c)(3)509(a)(2)Sunbelt Health Care Centers Inc0
Burleson Nursing & Rehab Center Inc
301 Huguley BlvdBurlesonTX76028205782243Operation of Home for the Aged/Healthcare DeliveryTX501(c)(3)509(a)(2)Sunbelt Health Care Centers Inc0
Caldwell Health Care Properties Inc
1333 West MainPrincetonKY42445510605680Lease to Related OrganizationGA501(c)(3)509(a)(3) Type III-FSunbelt Health Care Centers Inc0
Central Texas Medical Center Foundation
1301 Wonder World DriveSan MarcosTX78666742259907Fund-raising for Tax-exempt hospitalTX501(c)(3)170(b)(1)(A)(vi)Adventist Health SystemSunbelt Inc1
Chickasaw Health Care Properties Inc
250 S Chickasaw TrailOrlandoFL32825510605681Lease to Related OrganizationGA501(c)(3)509(a)(3) Type III-FSunbelt Health Care Centers Inc0
Chippewa Valley Hospital & Oakview Care Center Inc
1220 Third Avenue WestDurandWI54736391365168Operation of Hospital & Related ServicesWI501(c)(3)170(b)(1)(A)(iii)Adventist Health SystemSunbelt Inc1
Cobb Medical Associates LLC
3949 South Cobb Drive SESmyrnaGA300806342582617089Operation of Physician Practices & Medical ServicesGA501(c)(3)170(b)(1)(A)(iii)Emory-Adventist Inc0
Courtland Health Care Properties Inc
730 Courtland StreetOrlandoFL32804510605682Lease to Related OrganizationGA501(c)(3)509(a)(3) Type III-FSunbelt Health Care Centers Inc0
Creekwood Place Nursing & Rehab Center Inc
683 E Third StreetRussellvilleKY42276205782260Operation of Home for the Aged/Healthcare DeliveryKY501(c)(3)509(a)(2)Sunbelt Health Care Centers Inc0
Dairy Road Health Care Properties Inc
7350 Dairy RoadZephyrhillsFL33540510605684Lease to Related OrganizationGA501(c)(3)509(a)(3) Type III-FSunbelt Health Care Centers Inc0
East Orlando Health & Rehab Center Inc
250 S Chickasaw TrailOrlandoFL32825205774748Operation of Home for the Aged/Healthcare DeliveryFL501(c)(3)509(a)(2)Sunbelt Health Care Centers Inc0
Emory-Adventist Inc
3949 South Cobb DriveSmyrnaGA30080582171011Operation of Hospital & Related SvcsGA501(c)(3)170(b)(1)(A)(iii)Adventist Health SystemSunbelt Inc1
Fletcher Hospital Inc
100 Hospital DriveHendersonvilleNC28792560543246Operation of Hospital & Related SvcsNC501(c)(3)170(b)(1)(A)(iii)Adventist Health System Sunbelt Healthcare Corporation0
FLNC Inc
3355 E Semoran BlvdApopkaFL32703205774761Operation of Home for the Aged/Healthcare DeliveryFL501(c)(3)509(a)(2)Sunbelt Health Care Centers Inc0
Florida Hospital College of Health Sciences Inc (630 Year End)
671 Lake Winyah DriveOrlandoFL32803593069793Education/Operation of SchoolFL501(c)(3)170(b)(1)(A)(ii)Adventist Health SystemSunbelt Inc1
Florida Hospital DeLand Auxiliary Inc
701 West Plymouth AvenueDelandFL32720593425543Volunteer support servicesFL501(c)(3)509(a)(3) Type III-FMemorial Hospital West Volusia Inc0
Florida Hospital Waterman Inc
1000 Waterman WayTavaresFL32778593140669Operation of Hospital & Related ServicesFL501(c)(3)170(b)(1)(A)(iii)Adventist Health System Sunbelt Healthcare Corporation0
Florida Hospital Wesley Chapel Inc
2528 Bruce B Downs Blvd CR 581 SWesley ChapelFL33543203965753InactiveFL501(c)(3)509(a)(3) Type III-FAdventist Health System Sunbelt Healthcare Corporation0
Florida Hospital Zephyrhills Inc
7050 Gall BlvdZephyrhillsFL33541592108057Operation of Hospital & Related ServicesFL501(c)(3)170(b)(1)(A)(iii)Adventist Health SystemSunbelt Inc1
Florida Physicians Medical Group Inc
900 Winderley PlaceMaitlandFL32751593214635Operation of Physician Practices & Medical ServicesFL501(c)(3)170(b)(1)(A)(iii)Adventist Health SystemSunbelt Inc1
Foundation for Shawnee Mission Medical Center Inc
9100 W 74th StreetShawnee MissionKS66204480868859Fund-raising for Tax-exempt hospitalKS501(c)(3)509(a)(3) Type IShawnee Mission Medical Center Inc0
GlenOaks Hospital Foundation
701 Winthrop AvenueGlendale HeightsIL60139363926044Fund-raising for Tax-exempt hospitalIL501(c)(3)170(b)(1)(A)(vi)Midwest Health Foundation0
Hays Memorial Hospital Association of Seventh-Day Adventists
1301 Wonder World DriveSan MarcosTX78667741362785Lease of Hospital PersonnelTX501(c)(3)509(a)(3) Type IIAdventist Health System Sunbelt Healthcare Corporation0
Helen Ellis Memorial Hospital Auxiliary Inc (51-123110)
1395 S Pinellas AveTarpon SpringsFL34689592106043Fund-raising for Tax-exempt hospital/foundationFL501(c)(3)509(a)(3) Type ITarpon Springs Hospital Foundation Inc0
Helen Ellis Memorial Hospital Foundation Inc (101-123110)
1395 S Pinellas AveTarpon SpringsFL34689593690149Fund-raising for Tax-exempt hospitalFL501(c)(3)509(a)(3) Type ITarpon Springs Hospital Foundation Inc0
Hinsdale Hospital Foundation
7 Salt Creek Lane Suite 203HinsdaleIL60521521466387Fund-raising for Tax-exempt hospitalIL501(c)(3)170(b)(1)(A)(vi)Midwest Health Foundation0
In-Motion Rehab Inc
602 Courtland Street Ste 200OrlandoFL32804208023411Therapy services to tax exempt nursing homesKS501(c)(3)509(a)(3) Type IISunbelt Health Care Centers Inc0
Jellico Community Hospital Inc
188 Hospital LaneJellicoTN37762620924706Operation of Hospital & Related ServicesTN501(c)(3)170(b)(1)(A)(iii)Adventist Health System Sunbelt Healthcare Corporation0
La Grange Memorial Hospital Foundation
5101 S Willow Springs RdLa GrangeIL60525300247776Fund-raising for Tax-exempt hospitalIL501(c)(3)170(b)(1)(A)(vi)Midwest Health Foundation0
Memorial Health Systems Foundation Inc
770 West Granada BlvdOrmond BeachFL32174311771522Fund-raising for Tax-exempt hospitalFL501(c)(3)170(b)(1)(A)(vi)Memorial Health Systems Inc0
Memorial Health Systems Inc
301 Memorial Medical ParkwayDaytona BeachFL32117590973502Operation of Hospital & Related ServicesFL501(c)(3)170(b)(1)(A)(iii)Adventist Health SystemSunbelt Inc1
Memorial Hospital - Flagler Inc
60 Memorial Medical ParkwayPalm CoastFL32164592951990Operation of Hospital & Related ServicesFL501(c)(3)170(b)(1)(A)(iii)Memorial Health Systems Inc0
Memorial Hospital - West Volusia Inc
701 West Plymouth AvenueDelandFL32720593256803Operation of Hospital & Related ServicesFL501(c)(3)170(b)(1)(A)(iii)Memorial Health Systems Inc0
Memorial Hospital Inc
210 Marie Langdon DriveManchesterKY40962610594620Operation of Hospital & Related ServicesKY501(c)(3)170(b)(1)(A)(iii)Adventist Health System Sunbelt Healthcare Corporation0
Merriam Health Care Properties Inc
9700 West 62nd StreetMerriamKS66203364595806Lease to Related OrganizationKS501(c)(3)509(a)(3) Type III-FSunbelt Health Care Centers Inc0
Metroplex Adventist Hospital Inc
2201 S Clear Creek RoadKilleenTX76549742225672Operation of Hospital & Related ServicesTX501(c)(3)170(b)(1)(A)(iii)Adventist Health System Sunbelt Healthcare Corporation0
Metroplex Clinic Physicians Inc
2201 S Clear Creek RoadKilleenTX76549113762050Physician healthcare services to the communityTX501(c)(3)170(b)(1)(A)(iii)Metroplex Adventist Hospital Inc0
Midwest Health Foundation
120 North Oak StreetHinsdaleIL60521352230515Support of subsidiary FoundationsIL501(c)(3)509(a)(3) Type II0N/A
Mills Health & Rehab Center Inc
500 Beck LaneMayfieldKY42066205782320Operation of Home for the Aged/Healthcare DeliveryKY501(c)(3)509(a)(2)Sunbelt Health Care Centers Inc0
Mission Strategies Inc
602 Courtland Street Ste 200OrlandoFL32804205982365Provision of support to the nursing home divisionKS501(c)(3)509(a)(3) Type IISunbelt Health Care Centers Inc0
Missouri Adventist Health Inc
9100 W 74th StreetShawnee MissionKS66204431224729Support Health Care ServicesMO501(c)(3)509(a)(3) Type III-OAdventist Health Mid-America Inc0
North Regional EMS Inc
188 Hospital LaneJellicoTN37762262653616EMS ServicesTN501(c)(3)509(a)(2)Jellico Community Hospital Inc0
Ormond Beach Memorial Hospital Auxiliary Inc
301 Memorial Medical ParkwayDaytona BeachFL32117591721962Volunteer support servicesFL501(c)(3)509(a)(3) Type III-FMemorial Health Systems Inc0
Overland Park Nursing & Rehab Center Inc
6501 West 75th StreetOverland ParkKS66204205774821Operation of Home for the Aged/Healthcare DeliveryKS501(c)(3)509(a)(2)Sunbelt Health Care Centers Inc0
Paragon Health Care Properties Inc
950 Highpoint DriveHopkinsvilleKY42240510605686Lease to Related OrganizationGA501(c)(3)509(a)(3) Type III-FSunbelt Health Care Centers Inc0
Portercare Adventist Health System (630 Year End)
2525 S Downing StreetDenverCO80210840438224Operation of Hospital & Related ServicesCO501(c)(3)170(b)(1)(A)(iii)Adventist Health System Sunbelt Healthcare Corporation0
Portland Nursing & Rehab Center Inc
215 Highland Circle DrivePortlandTN37148205774842Operation of Home for the Aged/Healthcare DeliveryTN501(c)(3)509(a)(2)Sunbelt Health Care Centers Inc0
Princeton Health & Rehab Center Inc
1333 West MainPrincetonKY42445205782272Operation of Home for the Aged/Healthcare DeliveryKY501(c)(3)509(a)(2)Sunbelt Health Care Centers Inc0
Princeton Professional Services Inc
601 E Rollins StreetOrlandoFL32803591191045Provision of Healthcare ServicesFL501(c)(3)509(a)(2)Adventist Health System Sunbelt Healthcare Corporation0
Quality Circle for Healthcare Inc
111 N Orlando AvenueWinter ParkFL32789263789368Healthcare Quality ServicesFL501(c)(3)509(a)(3) Type III-FAdventist Health System Sunbelt Healthcare Corporation0
Resource Personnel Inc
602 Courtland Street Ste 200OrlandoFL32804208040875Provide administrative support to tax exempt nursing homesFL501(c)(3)509(a)(3) Type IISunbelt Health Care Centers Inc0
Rocky Mountain Adventist Healthcare Foundation (630 Year End)
2525 South Downing StreetDenverCO80210840745018Fund-raising for Tax-exempt hospitalCO501(c)(3)170(b)(1)(A)(vi)PorterCare Adventist Health System0
Rollins Bedford Corporation
602 Courtland Street Ste 200OrlandoFL32804370908840InactiveFL501(c)(3)509(a)(3) Type IISunbelt Health Care Centers Inc0
Russellville Health Care Properties Inc
683 East Third StreetRussellvilleKY42276510605691Lease to Related OrganizationGA501(c)(3)509(a)(3) Type III-FSunbelt Health Care Centers Inc0
San Marcos Health Care Properties Inc
1900 Medical ParkwaySan MarcosTX78666510605693Lease to Related OrganizationGA501(c)(3)509(a)(3) Type III-FSunbelt Health Care Centers Inc0
San Marcos Nursing & Rehab Center Inc
1900 Medical ParkwaySan MarcosTX78666205782224Operation of Home for the Aged/Healthcare DeliveryTX501(c)(3)509(a)(2)Sunbelt Health Care Centers Inc0
Shawnee Mission Health Care Inc
6501 West 75th StreetOverland ParkKS66204480952508Lease to Related OrganizationKS501(c)(3)509(a)(3) Type III-FSunbelt Health Care Centers Inc0
Shawnee Mission Medical Center Inc
9100 W 74th StreetShawnee MissionKS66204480637331Operation of Hospital & Related ServicesKS501(c)(3)170(b)(1)(A)(iii)Adventist Health Mid-America Inc0
South Central Nursing Homes Properties Inc
111 North Orlando AveWinter ParkFL32789593686109Management SupportGA501(c)(3)509(a)(3) Type III-OSouth Central Inc0
South Central Nursing Homes Inc
602 Courtland StreetOrlandoFL32804611242373Management SupportKY501(c)(3)509(a)(3) Type III-OSouth Central Inc0
South Central Properties III Inc
111 North Orlando AveWinter ParkFL32789593692860Real EstateGA501(c)(2)South Central Nursing Homes Properties Inc0
South Central Properties IV Inc
111 North Orlando AveWinter ParkFL32789593692862Real EstateGA501(c)(2)South Central Nursing Homes Properties Inc0
South Central Properties VI Inc
111 North Orlando AveWinter ParkFL32789593692857Real EstateGA501(c)(2)South Central Nursing Homes Properties Inc0
South Central Properties Inc
111 North Orlando AveWinter ParkFL32789593651692Real EstateGA501(c)(2)South Central Nursing Homes Properties Inc0
South Central Inc
602 Courtland StreetOrlandoFL32804593689740Management SupportGA501(c)(3)509(a)(3) Type III-F0N/A
South Pasco Health Care Properties Inc
38250 A AvenueZephyrhillsFL33542510605679Lease to Related OrganizationGA501(c)(3)509(a)(3) Type III-FSunbelt Health Care Centers Inc0
Southwest Volusia Health Services Inc
1055 Saxon BlvdOrange CityFL327638468593281591Medical Office Building for HospitalFL501(c)(3)509(a)(3) Type ISouthwest Volusia Healthcare Corporation0
Southwest Volusia Healthcare Corporation
1055 Saxon BlvdOrange CityFL327638468593149293Operation of Hospital & Related ServicesFL501(c)(3)170(b)(1)(A)(iii)Adventist Health SystemSunbelt Inc1
Specialty Physicians of Central Texas Inc
1301 Wonder World DriveSan MarcosTX78666208814408Physician healthcare services to the communityTX501(c)(3)170(b)(1)(A)(iii)Adventist Health SystemSunbelt Inc1
Spring View Health & Rehab Center Inc
718 Goodwin LaneLeitchfieldKY42754205782288Operation of Home for the Aged/Healthcare DeliveryKY501(c)(3)509(a)(2)Sunbelt Health Care Centers Inc0
Sunbelt Health & Rehab Center - Apopka Inc
305 East Oak StreetApopkaFL32703205774856Operation of Home for the Aged/Healthcare DeliveryFL501(c)(3)509(a)(2)Sunbelt Health Care Centers Inc0
Sunbelt Health Care Centers Inc
602 Courtland Street Ste 200OrlandoFL32804581473135Management ServicesTN501(c)(3)509(a)(3) Type IIAdventist Health System Sunbelt Healthcare Corporation0
SunSystem Development Corporation
111 N Orlando AvenueWinter ParkFL32789592219301Fund Raising for Affiliated Tax-Exempt HospitalsFL501(c)(3)170(b)(1)(A)(vi)Adventist Health System Sunbelt Healthcare Corporation0
Tarpon Springs Hosp Foundation Inc (101-123110)
1395 S Pinellas AveTarpon SpringsFL34689590898901Operation of Hospital & Related ServicesFL501(c)(3)170(b)(1)(A)(iii)University Community Hospital Inc0
Tarrant County Health Care Properties Inc
301 Huguley BlvdBurlesonTX76028510605677Lease to Related OrganizationGA501(c)(3)509(a)(3) Type III-FSunbelt Health Care Centers Inc0
Taylor Creek Health Care Properties Inc
718 Goodwin LaneLeitchfieldKY42754510605678Lease to Related OrganizationGA501(c)(3)509(a)(3) Type III-FSunbelt Health Care Centers Inc0
The Volunteer Auxiliary of Florida Hospital - Flagler Inc
60 Memorial Medical ParkwayPalm CoastFL32164592486582Volunteer support servicesFL501(c)(3)509(a)(3) Type III-FMemorial Hospital Flagler Inc0
Trinity Nursing & Rehab Center Inc
9700 West 62nd StreetMerriamKS66203205774890Operation of Home for the Aged/Healthcare DeliveryKS501(c)(3)509(a)(2)Sunbelt Health Care Centers Inc0
University Community Hospital Auxiliary Inc(101-123110)
3100 E Fletcher AveTampaFL33613237011345Volunteer support servicesFL501(c)(3)509(a)(3) Type III-FUniversity Community Hospital Inc0
University Community Hospital Foundation Inc(101-123110)
3100 E Fletcher AveTampaFL33613592554889Fund-raising for Tax-exempt hospitalFL501(c)(3)509(a)(3) Type IUniversity Community Hospital Inc0
University Community Hospital Specialty Care Inc(101-123110)
3100 E Fletcher AveTampaFL33613593231322InactiveFL501(c)(3)509(a)(3)University Community Hospital Inc0
University Community Hospital Inc(101-123110)
3100 E Fletcher AveTampaFL33613591113901Operation of Hospital & Related ServicesFL501(c)(3)170(b)(1)(A)(iii)Adventist Health System Sunbelt Healthcare Corporation0
West Kentucky Health Care Properties Inc
500 Beck LaneMayfieldKY42066510605676Lease to Related OrganizationGA501(c)(3)509(a)(3) Type III-FSunbelt Health Care Centers Inc0
Zephyr Haven Health & Rehab Center Inc
38250 A AvenueZephyrhillsFL33542205774930Operation of Home for the Aged/Healthcare DeliveryFL501(c)(3)509(a)(2)Sunbelt Health Care Centers Inc0
Zephyrhills Health & Rehab Center Inc
7350 Dairy RoadZephyrhillsFL33540205774967Operation of Home for the Aged/Healthcare DeliveryFL501(c)(3)509(a)(2)Sunbelt Health Care Centers Inc0

Form990 Schedule R Part III Form990ScheduleRPartIII (10 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateDirect Controlling Entity NADirectControllingEntityNABusiness Name Line1DirectControllingEntityName/BusinessNameLine1Predominant Income TypePredominantIncomeTypeShare Of Total IncomeShareOfTotalIncomeShare Of EOY AssetsShareOfEOYAssetsDisproportionate AllocationsDisproportionateAllocationsGeneral Or Managing PartnerGeneralOrManagingPartnerPercentage OwnershipPercentageOwnership
Appalachian Therapy Services LLC
100 Hospital DriveHendersonvilleNC28792202463851Therapy StaffingNCN/A
Clear Creek MOB Ltd
2201 S Clear Creek RdKilleenTX76549742609195Real EstateTXN/A
Florida Hospital DMERT LLC
2450 Maitland Center Pkwy Ste 200MaitlandFL32751202392253Medical EquipmentFLN/A
Florida Hospital Home Infusion
2450 Maitland Center Pkwy Ste 200MaitlandFL32751593142824Home Infusion ServicesFLN/A
KCCCSMMC Cancer Center LLC
9100 W 74th StreetShawnee MissionKS66204270909763Equipment RentalKSN/A
San Marcos MRI LP
1330 Wonder World Drive Ste 202San MarcosTX78666770597972Imaging & TestingTXAdventist Health SystemSunbelt Inc dba Central TX Med CtrRelated673432220934000.50000
Shawnee Mission Open MRI LLC
9100 W 74th Street Box 2923Shawnee MissionKS66201270011796Imaging & TestingKSN/A
Shawnee Mission Prairie Star Surgery Center LLC
23401 Prairie Star ParkwayLenexaKS66227364634843Surgical CenterKSN/A
Shawnee Mission Surgery Center LLC
PO Box 2923Shawnee MissionKS66201481243914Surgical ServicesKSN/A
Skyland MRI LLC
100 Hospital DriveHendersonvilleNC28792043646559Imaging & TestingNCN/A

Form990 Schedule R Part IV Form990ScheduleRPartIV (32 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateDirect Controlling Entity NADirectControllingEntityNAType Of EntityTypeOfEntityBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Percentage OwnershipPercentageOwnershipShare Of Total IncomeShareOfTotalIncomeShare Of EOY AssetsShareOfEOYAssetsAddress Line1AddressForeign/AddressLine1Province Or StateAddressForeign/ProvinceOrStateCountryAddressForeign/CountryLegal Domicile Foreign CountryLegalDomicileForeignCountry
Adventist Health Sys Sunbelt Healthcare Corp Employee Benefit Trust
111 N Orlando AvenueWinter ParkFL32789581318939Administration of Self-Insured Benefit PlansFLN/AT
AHS Services Inc
11801 South FreewayFort WorthTX76028752049583Medical EquipmentTXCAdventist Health SystemSunbelt Inc1.00000
Altamonte Medical Plaza Condominium Association Inc
601 East Rollins StreetOrlandoFL32803592855792Condo AssociationFLCAdventist Health SystemSunbelt Inc0.5800011946145859
Apopka Medical Plaza Condominium Association Inc
601 East Rollins StreetOrlandoFL32803593000857Condo AssociationFLCAdventist Health SystemSunbelt Inc0.890002684810683
Arapahoe Medical Building I Inc (630 Year End)
2525 S Downing StreetDenverCO80210841574506Real Estate LeasingCON/AC
Arapahoe Medical Building II Inc (630 Year End)
2525 S Downing StreetDenverCO80210841574507Real Estate LeasingCON/AC
CC MOB Inc
2201 S Clear Creek RoadKilleenTX76549742616875Real Estate RentalTXN/AC
Central Texas Medical Associates
1301 Wonder World DriveSan MarcosTX78666742729873Physician ClinicsTXCAdventist Health SystemSunbelt Inc1.000001596699388232
Central Texas Provider's Network
1301 Wonder World DriveSan MarcosTX78666742827652Physician Hospital Org.TXCAdventist Health SystemSunbelt Inc1.0000045603275441
Florida Hospital Flagler Medical Office Association Inc
60 Memorial Medical ParkwayPalm CoastFL32164262158309Condo AssociationFLN/AC
Florida Hospital Healthcare System Inc
602 Courtland StreetOrlandoFL32804593215680PHO/TPAFLCAdventist Health SystemSunbelt Inc1.0000010905409841623294
Florida Medical Plaza Condo Association Inc
601 East Rollins StreetOrlandoFL32803592855791Condo AssociationFLCAdventist Health SystemSunbelt Inc0.7800051323427775
Florida Memorial Health Network Inc
770 W Granada Blvd Ste 317Ormond BeachFL32174593403558Physician Hospital Org.FLN/AC
Harvard Park East Inc (630 Year End)
2525 S Downing StreetDenverCO80210841574365Real Estate LeasingCON/AC
Helen Ellis Memorial Hospital Real Estate Corp (101-123110)
1395 S Pinellas AveTarpon SpringsFL34689593375731Real Estate RentalFLN/AC
Huguley Alliance Foundation
11801 South FreewayFort WorthTX76115752642209InactiveTXCAdventist Health SystemSunbelt Inc1.00000136191
Huguley Medical Associates Inc
11801 South FreewayBurlesonTX76028752547668Physician ClinicsTXCAdventist Health SystemSunbelt Inc1.0000010512398956380
Kissimmee Multispecialty Clinic Condominium Association Inc
201 Hilda Street Suite 30KissimmeeFL34741593539564Condo AssociationFLCAdventist Health SystemSunbelt Inc0.544004210218616
Midwest Management Services Inc
9100 West 74th StreetShawnee MissionKS66204480901551Real Estate RentalKSN/AC
Metroplex Adventist Hospital CRNA
2201 S Clear Creek RoadKilleenTX76549260760794Support hospital through the provision of allied health professionalsTXN/AC
North American Health Services Inc & Subs
111 N Orlando AvenueWinter ParkFL32789621041820Lessor/Holding Co.TNN/AC
Ormond Professional Condo Association (430 Year End)
770 W Granada Blvd Ste 101Ormond BeachFL32174592694434Condo AssociationFLN/AC
Park Ridge Property Owner's Association Inc
1 Park Place Naples RoadFletcherNC28732030380531Condo AssociationNCN/AC
Porter Affiliated Hlth Services Inc dba Diversified Affiliated Hlth Svcs
2525 S Downing StreetDenverCO80210840956175Healthcare ServicesCON/AC
Porter Medical Plaza Inc (630 Year End)
2525 S Downing StreetDenverCO80210841574369Real Estate LeasingCON/AC
Reflections Commercial Condominium Association Inc
875 Sterthaus AveOrmond BeachFL32174593519055Condo AssociationFLN/AC
San Marcos Regional MRI Inc
1301 Wonder World DriveSan MarcosTX78666770597968Holding CompanyTXCAdventist Health SystemSunbelt Inc1.0000024234751
Southeast Volusia Medical Services Inc (10110-93011)
401 Palmetto StreetNew Smyrna BeachFL32168593287185InactiveFLN/AC
The Garden Retirement Community Inc
602 Courtland Street Ste 200OrlandoFL32804593414055Real Estate RentalFLN/AC
University Community Health Insurance Company SPC Ltd
Captive InsuranceN/ACC/O AON Insurance Managers PO BoxGrand CaymanCJCJ
UCH Services Inc (101-123110)
3100 East Fletcher AveTampaFL33613593508454Management CompanyFLN/AC
West Coast Medical Group Inc (101-123110)
1395 S Pinellas AveTarpon SpringsFL34689593537305Physician ClinicsFLN/AC
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties1ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org1GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org1GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org1PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs1RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs1RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs1PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs1PerformOfServicesByOtherOrgs
Sharing Of Facilities1SharingOfFacilities
Sharing Of Paid Employees0SharingOfPaidEmployees
Reimbursement Paid To Other Org1ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org1ReimbursementPaidByOtherOrg
Other Transfer To Other Org1OtherTransferToOtherOrg
Other Transfer From Other Org1OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (78 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
Adventist Health System Sunbelt Healthcare Corporation
O107443482Cost
Adventist Health System Sunbelt Healthcare Corporation
L34064823% of facilitys' operating exp
Adventist Health System Sunbelt Healthcare Corporation
B16627165Actual Amount Given
Adventist Bolingbrook Hospital
P224752Cost
Adventist Bolingbrook Hospital
O106777Cost
Adventist Care Centers - Courtland Inc
B218100Actual Amount Given
Adventist GlenOaks Hospital
P219736Cost
Adventist GlenOaks Hospital
O188699Cost
Adventist Health Partners Inc
P27398Cost
Adventist Health Partners Inc
O1036549Cost
Adventist Health System Sunbelt Healthcare Corporation
O3216962Cost
Adventist Health System Sunbelt Healthcare Corporation
P2100000Cost
Adventist Health System Sunbelt Healthcare Corporation
C10000Actual Amount Received
Adventist Health System Sunbelt Healthcare Corporation dba Sunbelt Medic
P497081Cost
Adventist Health System Sunbelt Healthcare Corporation dba Sunbelt Medic
I81626Cost
Adventist Hinsdale Hospital
P10322833Cost
Adventist Hinsdale Hospital
K3440537Cost
Adventist Hinsdale Hospital
O23056718Cost
Adventist Hinsdale Hospital
L11585798Cost
AHS Midwest Management Inc
O254173Cost
Central Texas Medical Associates
B600000Actual Amount Given
Central Texas Medical Associates
P326588Cost
Central Texas Providers Network
P77167Cost
East Orlando Health & Rehab Center Inc
B1404864Actual Amount Given
Emory-Adventist Inc
A719394FMV interest rate
Emory-Adventist Inc
R954400Principal Loan Amount
FLNC Inc
B2199240Actual Amount Given
Florida Hospital College of Health Sciences
P18999326Cost
Florida Hospital College of Health Sciences
L4569219Cost
Florida Hospital College of Health Sciences
I2199732Cost
Florida Hospital College of Health Sciences
O347860Cost
Florida Hospital College of Health Sciences
Q86900Cost
Florida Hospital Healthcare System Inc
L81244172Claims Reimb plus FMV Fee
Florida Hospital Healthcare System Inc
P10413918Cost
Florida Hospital Healthcare System Inc
O237883Cost
Florida Hospital Waterman Inc
K89572Cost
Florida Hospital Zephyrhills Inc
K62963Cost
Florida Hospital Zephyrhills Inc
O54392Cost
Florida Hospital Medical Group Inc
O1876365Cost
Florida Hospital Medical Group Inc
L39451818Cost Plus Appropriate %
Florida Hospital Medical Group Inc
I2878147FMV Rental rate
Florida Hospital Medical Group Inc
P2397115Cost
Florida Hospital Medical Group Inc
Q683396Cost
Florida Hospital Medical Group Inc
K197956Cost
Huguley Medical Associates Inc
A497993FMV rental rate
Huguley Medical Associates Inc
P180562Cost
Huguley Medical Associates Inc
O3410030Cost
La Grange Memorial Hospital Foundation
C1092642Actual Amount Received
La Grange Memorial Hospital Foundation
Q29501Cost
La Grange Memorial Hospital Foundation
B216732Actual Amount Given
Memorial Health Systems Inc
K299531Cost
Memorial Health Systems Inc
P262877Cost
Memorial Hospital - Flagler Inc
I319258Cost
Memorial Hospital - Flagler Inc
K262749Cost
Memorial Hospital - Flagler Inc
P73491Cost
Memorial Hospital - West Volusia Inc
I297121Cost
Memorial Hospital - West Volusia Inc
K145249Cost
Memorial Hospital - West Volusia Inc
P107069Cost
Metroplex Adventist Hospital Inc
B5000Actual Amount Given
Metroplex Adventist Hospital Inc
C5000Actual Amount Received
Metroplex Adventist Hospital Inc
J31430Cost
Metroplex Adventist Hospital Inc
P726062Cost
Princeton Professional Services Inc (PCS)
P1155918Cost
Princeton Professional Services Inc (PCS)
R278523Cost
Shawnee Mission Medical Center Inc
K74904Cost
Southwest Volusia Healthcare Corporation
I452791Cost
Southwest Volusia Healthcare Corporation
P199966Cost
Southwest Volusia Healthcare Corporation
K181862Cost
Southwest Volusia Healthcare Corporation
O60001Cost
Specialty Physicians of Central Texas Inc
B2000000Actual Amount Given
Specialty Physicians of Central Texas Inc
P188957Cost
Sunbelt Health & Rehab Center - Apopka Inc
B450000Actual Amount Given
Sunbelt Health Care Centers Inc
I225089Cost
SunSystem Development Corporation
B4963387Actual Amount Given
SunSystem Development Corporation
C9980617Actual Amount Received
Sunsystem Development Corporation dba FH Foundation
Q4663042Cost
Sunsystem Development Corporation dba FH Foundation
P3137793Cost
University Community Hospital Inc
K81350Cost