AHS MIDWEST MANAGEMENT INC: Form 990, tax year 2022
View the entire original 990 at ProPublica ↗
- Organization
- AHS MIDWEST MANAGEMENT INC (EIN 36-3354567)
- Tax period
- 2022-01-01 to 2022-12-31
- Filed
- 2023-11-07
- IRS object ID
- 202343119349303984
- Schema version
- 2022v5.0
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2023-11-07T16:39:15-06:00 | ReturnTs |
| Tax Period End | 2022-12-31 | TaxPeriodEndDt |
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2022-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 363354567 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | AHS MIDWEST MANAGEMENT INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | AHSM | BusinessNameControlTxt |
| Phone | 6308566056 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 500 REMINGTON BLVD | AddressLine1Txt |
| City | BOLINGBROOK | CityNm |
| State Abbreviation | IL | StateAbbreviationCd |
| ZIP | 60440 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | LYNN C ADDISCOTT | PersonNm |
| Person Title | ASSISTANT SECRETARY | PersonTitleTxt |
| Phone | 6308566056 | PhoneNum |
| Signature | 2023-11-07 | SignatureDt |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | LYNN | PersonFirstNm |
| Person Last | ADDISCOTT | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 999009999 | SSN |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IRS Responsible Prty Info Curr | 0 | IRSResponsiblePrtyInfoCurrInd |
Additional Filer Information AdditionalFilerInformation
Trusted Customer TrustedCustomerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trusted Customer | 2 | TrustedCustomerCd |
| Authentication Assurance Level | AAL1 | AuthenticationAssuranceLevelCd |
| Identity Assurance Level | IAL1 | IdentityAssuranceLevelCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2022 | TaxYr |
| Build TS | 2023-04-26 12:10:37Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | THOR THORDARSON | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 500 REMINGTON BLVD | AddressLine1Txt |
| City | BOLINGBROOK | CityNm |
| State Abbreviation | IL | StateAbbreviationCd |
| ZIP | 60440 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $0 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Group Exemption | 1071 | GroupExemptionNum |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.ADVENTHEALTH.COM | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1984 | FormationYr |
| Legal Domicile State | IL | LegalDomicileStateCd |
| Activity Or Mission | PREVIOUS OPERATION OF PHYSICIAN PRACTICE MANAGEMENT SERVICES FOR RELATED TAX-EXEMPT ORGANIZATIONS. | ActivityOrMissionDesc |
| Voting Members Governing Body | 3 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 0 | VotingMembersIndependentCnt |
| Total Employee | 0 | TotalEmployeeCnt |
| Total Volunteers | 0 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $0 | PYContributionsGrantsAmt |
| CY Contributions Grants | $0 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $4,831,661 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $0 | CYProgramServiceRevenueAmt |
| PY Investment Income | $0 | PYInvestmentIncomeAmt |
| CY Investment Income | $0 | CYInvestmentIncomeAmt |
| PY Other Revenue | $0 | PYOtherRevenueAmt |
| CY Other Revenue | $0 | CYOtherRevenueAmt |
| PY Total Revenue | $4,831,661 | PYTotalRevenueAmt |
| CY Total Revenue | $0 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $271,144 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $0 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $23,220,827 | PYOtherExpensesAmt |
| CY Other Expenses | $0 | CYOtherExpensesAmt |
| PY Total Expenses | $23,491,971 | PYTotalExpensesAmt |
| CY Total Expenses | $0 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$18,660,310 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $0 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $1,065,226 | TotalAssetsBOYAmt |
| Total Assets EOY | $13,647,309 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $62,011,062 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $13,647,309 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | -$60,945,836 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $0 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | ADVENTIST HEALTH SYSTEM SUNBELT HEALTHCARE CORPORATION AND ALL 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.THE HOSPITAL AND HEALTHCARE SYSTEM WHOSE PARENT IS ADVENTIST HEALTH SYSTEM SUNBELT HEALTHCARE CORPORATION IS KNOWN AS ADVENTHEALTH. ADVENTHEALTH SEEKS TO BE WIDELY RESPECTED AS A CONSUMER-FOCUSED ORGANIZATION THAT ENGAGES INDIVIDUALS IN THEIR HEALTH BY DELIVERING WHOLISTIC, BEST PRACTICE CARE ACROSS A CONNECTED, COMPREHENSIVE CONTINUUM OF SERVICES. WITH CHRIST AS OUR EXAMPLE, ADVENTHEALTH CARES FOR AND NURTURES PEOPLE: OUR EMPLOYEES, OUR COMMUNITIES, OUR HEALTHCARE PROFESSIONALS, AND THOSE WHO TRUST US FOR CARE AND HEALING. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | Yes (1) | SignificantChangeInd |
| Desc | INACTIVE DURING 2022 | Desc |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | 0 | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | 0 | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | 0 | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (1) | ReportOtherAssetsInd |
| Report Other Liabilities | 0 | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | 0 | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (1) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | 0 | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| Info In Schedule O Part V | Yes (X) | InfoInScheduleOPartVInd |
| IRP Document | 0 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 0 | EmployeeCnt |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 3 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 0 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | Yes (1) | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (1) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (1) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | 0 | CompensationProcessCEOInd |
| Compensation Process Other | 0 | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | IL | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | REBECCA MATHIS | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 6308566056 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 5101 S WILLOW SPRINGS RD SUITE | AddressLine1Txt |
| City | LA GRANGE | CityNm |
| State Abbreviation | IL | StateAbbreviationCd |
| ZIP | 60525 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | Yes (X) | InfoInScheduleOPartVIIInd |
Form990 Part VII Section A Form990PartVIISectionAGrp (14 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd |
|---|---|---|---|---|---|---|---|
| ADDISCOTT LYNN | |||||||
| DIRECTOR (BEG 11/22) | 0.10 | 50.00 | Yes (X) | $0 | $605,074 | $29,408 | |
| BUCHANAN HERBERT | |||||||
| DIR/VICE CHAIR/TREAS (ENDED 10/22) | 0.63 | 49.37 | Yes (X) | $7,259 | $788,724 | $32,818 | |
| CHEN YUESHA | |||||||
| DIRECTOR (BEG 03/22, ENDED 04/22) | 0.10 | 50.00 | Yes (X) | $0 | $607,538 | $73,691 | |
| CHRISTIAN BRUCE | |||||||
| DIRECTOR (ENDED 10/22) | 0.10 | 50.00 | Yes (X) | $0 | $1,591,871 | $39,312 | |
| JOHNSON SANDRA | |||||||
| DIRECTOR/PRESIDENT (BEG 11/22) | 0.10 | 28.00 | Yes (X) | $0 | $1,055,911 | $57,040 | |
| LLERENA MD REINHOLD | |||||||
| VICE PRES/SEC/DIR/CMO (ENDED 03/22) | 1.50 | 11.00 | Yes (X) | $3,861 | $28,311 | $7,136 | |
| MATHIS REBECCA | |||||||
| DIRECTOR (BEG 04/22, ENDED 10/22) | 0.10 | 50.00 | Yes (X) | $0 | $407,099 | $112,217 | |
| MAYCOCK ADAM | |||||||
| DIRECTOR (ENDED 10/22) | 0.10 | 50.00 | Yes (X) | $0 | $598,002 | $98,625 | |
| PALUMBO ANDREW | |||||||
| CEO/DIRECTOR (ENDED 03/22) | 1.50 | 11.00 | Yes (X) | $3,042 | $22,306 | $6,327 | Yes (X) |
| RAGUSA KATHLEEN | |||||||
| DIR/VP/SEC (BEG 03/22, ENDED 10/22) | 0.10 | 50.00 | Yes (X) | $0 | $324,108 | $22,349 | |
| THORDARSON THOR | |||||||
| DIR/CHAIRMAN/PRES (ENDED 10/22) | 0.10 | 50.00 | Yes (X) | $0 | $1,297,253 | $147,708 | |
| TRIMBLE TAMARA | |||||||
| DIR/SEC (BEG 11/22) | 0.10 | 50.00 | Yes (X) | $0 | $995,063 | $29,554 | |
| JOHNSON JUSTIN | |||||||
| VP-FINANCE (ENDED 03/22) | 1.50 | 11.00 | $2,402 | $17,617 | $6,268 | Yes (X) | |
| NELSON MD KENNETH | |||||||
| PRESIDENT (BEG 04/22, ENDED 10/22) | 0.10 | 50.00 | $0 | $392,900 | $45,806 | Yes (X) | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $16,564 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $8,731,777 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $708,259 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 0 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | Yes (1) | CompensationFromOtherSrcsInd |
| Cntrct Rcvd Greater Than100 K | 0 | CntrctRcvdGreaterThan100KCnt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,065,226 | BOYAmt |
| EOY | $13,647,309 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,065,226 | BOYAmt |
| EOY | $13,647,309 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,962 | BOYAmt |
| EOY | $13,647,309 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $62,007,100 | BOYAmt |
| EOY | $0 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $62,011,062 | BOYAmt |
| EOY | $13,647,309 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -$60,945,836 | BOYAmt |
| EOY | $0 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -$60,945,836 | BOYAmt |
| EOY | $0 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,065,226 | BOYAmt |
| EOY | $13,647,309 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $0 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | $60,945,836 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | Yes (1) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (1) | FederalGrantAuditPerformedInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Supporting Organization509a3 | Yes (X) | SupportingOrganization509a3Ind |
| Supporting Org Type1 | Yes (X) | SupportingOrgType1Ind |
| Supported Organizations | 5 | SupportedOrganizationsCnt |
Supported Org Information SupportedOrgInformationGrp (5 entries)
| EINEIN | Organization TypeOrganizationTypeCd | Governing Document ListedGoverningDocumentListedInd | SupportSupportAmt | Other SupportOtherSupportAmt |
|---|---|---|---|---|
| ADVENTIST MIDWEST HEALTH | ||||
| 362276984 | 3 | 0 | $0 | $0 |
| ADVENTIST GLENOAKS HOSPITAL | ||||
| 363208390 | 3 | 0 | $0 | $0 |
| ADVENTIST BOLINGBROOK HOSPITAL | ||||
| 651219504 | 3 | 0 | $0 | $0 |
| ADVENTIST HEALTH PARTNERS INC | ||||
| 364138353 | 3 | 0 | $0 | $0 |
| AHP SPECIALTY CARE NFP | ||||
| 811105774 | 3 | 0 | $0 | $0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Supported Organizations Total | 5 | SupportedOrganizationsTotalCnt |
| Support Sum | $0 | SupportSumAmt |
| Other Support Sum | $0 | OtherSupportSumAmt |
Form990 Sch A Supporting Org Form990SchASupportingOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Listed By Name Governing Doc | 0 | ListedByNameGoverningDocInd |
| Suprt Org No IRS Determination | 0 | SuprtOrgNoIRSDeterminationInd |
| Supported Org Section C456 | 0 | SupportedOrgSectionC456Ind |
| Supported Org Not Organized US | 0 | SupportedOrgNotOrganizedUSInd |
| Organization Change Suprt Org | 0 | OrganizationChangeSuprtOrgInd |
| Support Non Supported Org | 0 | SupportNonSupportedOrgInd |
| Payment Substantial Contribtr | 0 | PaymentSubstantialContribtrInd |
| Loan Disqualified Person | 0 | LoanDisqualifiedPersonInd |
| Controlled Disqualified Prsn | 0 | ControlledDisqualifiedPrsnInd |
| Disqualified Prsn Controll Int | 0 | DisqualifiedPrsnControllIntInd |
| Disqualified Prsn Ownr Int | 0 | DisqualifiedPrsnOwnrIntInd |
| Excess Business Holdings Rules | 0 | ExcessBusinessHoldingsRulesInd |
| Contribution Controller | 0 | ContributionControllerInd |
| Contribution Family | 0 | ContributionFamilyInd |
| Contribution35 Controlled | 0 | Contribution35ControlledInd |
Form990 Sch A Type1 Suprt Org Form990SchAType1SuprtOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Power Appoint Majority Dir Trst | Yes (1) | PowerAppointMajorityDirTrstInd |
| Operate Benefit Non Suprt Org | Yes (1) | OperateBenefitNonSuprtOrgInd |
Form990 Schedule A Part VI Form990ScheduleAPartVIGrp (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART IV, SECTION A, LINE 1: | AHS MIDWEST MANAGEMENT, INC. (AMM), ADVENTIST MIDWEST HEALTH (AMH), ADVENTIST BOLINGBROOK HOSPITAL (ABH), ADVENTIST GLENOAKS HOSPITAL (AGH), ADVENTIST HEALTH PARTNERS, INC. (AHP), AND AHP SPECIALTY CARE, NFP (AHPSC) ARE PART OF A FAITH-BASED HEALTHCARE SYSTEM OF ORGANIZATIONS WHOSE PARENT IS ADVENTIST HEALTH SYSTEM SUNBELT HEALTHCARE CORPORATION (AHSSHC). THE SYSTEM IS KNOWN AS ADVENTHEALTH. AHSSHC IS AN ORGANIZATION EXEMPT FROM FEDERAL INCOME TAX UNDER IRC SECTION 501(C)(3). AHSSHC AND ITS SUBSIDIARY ORGANIZATIONS OPERATE 49 HOSPITALS IN 10 STATES THROUGHOUT THE U.S., PRIMARILY IN THE SOUTHEASTERN PORTION OF THE U.S. AHSSHC AND ITS SUBSIDIARIES ALSO OPERATE 10 NURSING HOME FACILITIES AND OTHER ANCILLARY HEALTH CARE PROVIDER FACILITIES, SUCH AS AMBULATORY SURGERY CENTERS AND DIAGNOSTIC IMAGING CENTERS. AMM'S ARTICLES OF INCORPORATION PROVIDE AS ONE OF ITS PURPOSES THE FOLLOWING: TO ALWAYS OPERATE IN A MANNER CONSISTENT WITH AND IN FURTHERANCE OF THE GOALS, STANDARDS, METHODS AND POLICIES OF THE SEVENTH-DAY ADVENTIST CHURCH, THESE ARTICLES OF INCORPORATION, AND THE NEEDS OF THE PATIENT POPULATION SERVED IN LIGHT OF THIS CORPORATION'S STATUS AS AN AFFILIATED ORGANIZATION OF ADVENTIST HEALTH SYSTEM SUNBELT HEALTHCARE CORPORATION AND AN INTEGRAL PART OF THE SYSTEM OF MEDICAL AND EDUCATIONAL INSTITUTIONS OPERATED THROUGHOUT THE WORLD BY THE SEVENTH-DAY ADVENTIST CHURCH. AMH, ABH, AGH, AHP, AND AHPSC ARE EXEMPT FROM FEDERAL INCOME TAX UNDER IRC SECTION 501(C)(3) AND ARE CLASSIFIED AS PUBLIC CHARITIES UNDER IRC SECTION 509(A)(1) AS A HOSPITAL DEFINED UNDER IRC SECTION 170(B)(1)(A)(III). THE SUPPORTED ORGANIZATIONS OWN AND OPERATE HOSPITAL FACILITIES AND/OR PHYSICIAN CLINICS IN THE CHICAGO METROPOLITAN AREA AND ARE EACH IDENTIFIED AS A SUPPORTED ORGANIZATION OF AMM. AS ENTITIES THAT OPERATE HOSPITALS AND/OR PHYSICIAN CLINICS, AMH, ABH, AGH, AHP, AND AHPSC ARE INCLUDED IN THE CLASS REFERRED TO IN AMM'S ARTICLES THAT PROVIDE HEALTHCARE TO THE PATIENT POPULATIONS SERVED AS AN AFFILIATED ORGANIZATION OF AHSSHC. ADDITIONALLY, AMM HAS BEEN AN INTEGRAL PART OF THE ORGANIZATIONAL STRUCTURE THAT SUPPORTS THE AHSSHC HOSPITALS LOCATED IN THE CHICAGO MARKET SINCE ITS INCEPTION IN 1984. |
| PART IV, SECTION B, LINE 2: | AS NOTED ABOVE, AMH, ABH, AGH, AHP, AND AHPSC EACH OWNED AND OPERATED A HOSPITAL FACILITY AND/OR PHYSICIAN CLINICS IN THE CHICAGO METROPOLITAN AREA AND ARE EACH IDENTIFIED AS A SUPPORTED ORGANIZATION OF AMM DURING ITS CURRENT TAX YEAR. THE FIVE SUPPORTED ORGANIZATIONS WITH THEIR RELATED ENTITIES AND OPERATIONS CONSTITUTE THE MIDWEST REGION OF ADVENTHEALTH. AMM, THE FILING ORGANIZATION, SUPPORTED EACH OF THE SUPPORTED ORGANIZATIONS IN THE ADVENTHEALTH MIDWEST REGION BY PROVIDING MANAGEMENT SERVICES TO PHYSICIAN PRACTICES AFFILIATED WITH THE HOSPITALS PRIOR TO NOVEMBER 1, 2022. AMH WAS THE SOLE MEMBER OF AMM AND APPOINTED THE BOARD OF AMM. THE RIGHT TO ELECT, APPOINT OR REMOVE ANY MEMBER OF AMM'S BOARD IS NOT SHARED WITH ANY OF THE OTHER SUPPORTED ORGANIZATIONS. HOWEVER, THE SELECTION OF THE BOARD PROVIDES SUBSTANTIAL REPRESENTATION OF EACH OF THE SUPPORTED ORGANIZATIONS AND GIVES EACH OF THE ORGANIZATIONS A SIGNIFICANT VOICE IN OVERSEEING THE OPERATIONS OF AMM. THE 2022 BOARD OF DIRECTORS OF AMM INCLUDED THE CEO OF EACH HOSPITAL OWNED BY AMH, ABH AND AGH THAT IS OPERATED IN THE CHICAGO MARKET AND THE CEO OF THE RELATED TAX-EXEMPT PHYSICIAN GROUPS. THE COMPOSITION OF THE BOARD IN THIS MANNER INSURED THAT THE NEEDS OF EACH OF THE SUPPORTED ORGANIZATIONS WERE CONSIDERED IN ESTABLISHING THE DIRECTION AND STRATEGY OF AMM. |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $0 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | DUE FROM RELATED | Desc |
| Book Value | $13,647,309 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $13,647,309 | TotalBookValueOtherAssetsAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART X, LINE 2: | FormAndLineReferenceDesc |
| Explanation | THE FILING ORGANIZATION IS A SUBSIDIARY ORGANIZATION WITHIN ADVENTHEALTH. THE CONSOLIDATED FINANCIAL STATEMENTS OF ADVENTHEALTH CONTAIN THE FOLLOWING FIN 48 (ASC 740) FOOTNOTE: PLEASE NOTE THAT DOLLAR AMOUNTS ARE IN THOUSANDS. HEALTHCARE CORPORATION AND ITS AFFILIATED ORGANIZATIONS, OTHER THAN NORTH AMERICAN HEALTH SERVICES, INC. AND ITS SUBSIDIARY (NAHS), ARE EXEMPT FROM STATE AND FEDERAL INCOME TAXES. ACCORDINGLY, HEALTHCARE CORPORATION AND ITS TAX-EXEMPT AFFILIATES ARE NOT SUBJECT TO FEDERAL, STATE OR LOCAL INCOME TAXES EXCEPT FOR ANY NET UNRELATED BUSINESS TAXABLE INCOME. NAHS IS A WHOLLY OWNED, FOR-PROFIT SUBSIDIARY OF HEALTHCARE CORPORATION. NAHS AND ITS SUBSIDIARY ARE SUBJECT TO FEDERAL AND STATE INCOME TAXES. NAHS FILES A CONSOLIDATED FEDERAL INCOME TAX RETURN AND, WHERE APPROPRIATE, CONSOLIDATED STATE INCOME TAX RETURNS. ALL TAXABLE INCOME WAS FULLY OFFSET BY NET OPERATING LOSS CARRYFORWARDS FOR FEDERAL INCOME TAX PURPOSES; AS SUCH, THERE IS NO PROVISION FOR CURRENT FEDERAL OR STATE INCOME TAX FOR THE YEARS ENDED DECEMBER 31, 2022 AND 2021. NAHS ALSO HAS TEMPORARY DEDUCTIBLE DIFFERENCES OF APPROXIMATELY $18,200 AND $33,000 AT DECEMBER 31, 2022 AND 2021, RESPECTIVELY, PRIMARILY AS A RESULT OF NET OPERATING LOSS CARRYFORWARDS. AT DECEMBER 31, 2022, NAHS HAD NET OPERATING LOSS CARRYFORWARDS OF APPROXIMATELY $10,000, EXPIRING IN 2023 THROUGH 2026. DEFERRED TAXES HAVE BEEN PROVIDED FOR THESE AMOUNTS, RESULTING IN A NET DEFERRED TAX ASSET OF APPROXIMATELY $4,500 AND $8,100 AT DECEMBER 31, 2022 AND 2021, RESPECTIVELY. NAHS REMEASURED ITS DEFERRED TAX ASSETS AND LIABILITIES BASED ON THE RATES AT WHICH THEY ARE EXPECTED TO REVERSE IN THE FUTURE, WHICH IS GENERALLY 21%. A FULL VALUATION ALLOWANCE HAS BEEN PROVIDED AT DECEMBER 31, 2022 AND 2021 TO OFFSET THE DEFERRED TAX ASSET SINCE HEALTHCARE CORPORATION HAS DETERMINED THAT IT IS MORE LIKELY THAN NOT THAT THE BENEFIT OF THE NET OPERATING LOSS CARRYFORWARDS WILL NOT BE REALIZED IN FUTURE YEARS. THE INCOME TAXES TOPIC OF THE ACCOUNTING STANDARDS CODIFICATION (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. THERE WERE NO MATERIAL UNCERTAIN TAX POSITIONS AS OF DECEMBER 31, 2022 AND 2021. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | Yes (1) | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (1) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (11 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| CHRISTIAN BRUCE | ||||||||||||||
| DIRECTOR (ENDED 10/22) | $0 | $352,000 | $0 | $0 | $0 | $1,239,871 | $0 | $16,000 | $0 | $23,312 | $0 | $1,631,183 | $0 | $0 |
| THORDARSON THOR | ||||||||||||||
| DIR/CHAIRMAN/PRES (ENDED 10/22) | $0 | $744,389 | $0 | $0 | $0 | $552,864 | $0 | $118,312 | $0 | $29,396 | $0 | $1,444,961 | $0 | $0 |
| JOHNSON SANDRA | ||||||||||||||
| DIRECTOR/PRESIDENT (BEG 11/22) | $0 | $608,691 | $0 | $271,601 | $0 | $175,619 | $0 | $17,895 | $0 | $39,145 | $0 | $1,112,951 | $0 | $109,762 |
| TRIMBLE TAMARA | ||||||||||||||
| DIR/SEC (BEG 11/22) | $0 | $634,011 | $0 | $169,365 | $0 | $191,687 | $0 | $16,400 | $0 | $13,154 | $0 | $1,024,617 | $0 | $0 |
| BUCHANAN HERBERT | ||||||||||||||
| DIR/VICE CHAIR/TREAS (ENDED 10/22) | $6,049 | $470,117 | $0 | $0 | $1,210 | $318,607 | $122 | $17,133 | $234 | $15,329 | $7,615 | $821,186 | $0 | $0 |
| MAYCOCK ADAM | ||||||||||||||
| DIRECTOR (ENDED 10/22) | $0 | $382,427 | $0 | $0 | $0 | $215,575 | $0 | $59,011 | $0 | $39,614 | $0 | $696,627 | $0 | $0 |
| CHEN YUESHA | ||||||||||||||
| DIRECTOR (BEG 03/22, ENDED 04/22) | $0 | $375,459 | $0 | $0 | $0 | $232,079 | $0 | $48,577 | $0 | $25,114 | $0 | $681,229 | $0 | $0 |
| ADDISCOTT LYNN | ||||||||||||||
| DIRECTOR (BEG 11/22) | $0 | $374,865 | $0 | $92,393 | $0 | $137,816 | $0 | $16,400 | $0 | $13,008 | $0 | $634,482 | $0 | $0 |
| MATHIS REBECCA | ||||||||||||||
| DIRECTOR (BEG 04/22, ENDED 10/22) | $0 | $370,485 | $0 | $0 | $0 | $36,614 | $0 | $71,093 | $0 | $41,124 | $0 | $519,316 | $0 | $0 |
| NELSON MD KENNETH | ||||||||||||||
| PRESIDENT (BEG 04/22, ENDED 10/22) | $0 | $270,755 | $0 | $34,857 | $0 | $87,288 | $0 | $28,302 | $0 | $17,504 | $0 | $438,706 | $0 | $0 |
| RAGUSA KATHLEEN | ||||||||||||||
| DIR/VP/SEC (BEG 03/22, ENDED 10/22) | $0 | $244,720 | $0 | $0 | $0 | $79,388 | $0 | $10,964 | $0 | $11,385 | $0 | $346,457 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 3 | THE FILING ORGANIZATION WAS A COVERED AFFILIATE OF THE JOINT OPERATING COMPANY, ALEXIAN BROTHERS-AHS MIDWEST REGION HEALTH CO. D/B/A AMITA HEALTH (AMITA OR JOC) FOR THE PERIOD FROM JANUARY 1 TO MARCH 31 OF 2022. AS A RESULT OF THE DISAFFILIATION AGREEMENT BETWEEN ALEXIAN BROTHERS HEALTH SYSTEM AND ADVENTIST MIDWEST HEALTH, THE FILING ORGANIZATION'S SOLE MEMBER PRIOR TO NOVEMBER 1, 2022, THE FILING ORGANIZATION CEASED TO BE A COVERED AFFILIATE OF THE JOC EFFECTIVE APRIL 1, 2022. PLEASE SEE OUR RESPONSE TO FORM 990, PART VI, SECTION A, LINE 4 FOR ADDITIONAL INFORMATION CONCERNING THE DISAFFILIATION AGREEMENT. THE 2022 COMPENSATION OF THE EXECUTIVES LISTED IN PART VII, INCLUDING THE CEO, WAS DETERMINED BY AMITA. UPON THE DISAFFILIATION ON APRIL 1, 2022, THE COMPENSATION OF THE EXECUTIVES LISTED IN PART VII WAS REVIEWED BY ADVENTIST HEALTH SYSTEM SUNBELT HEALTHCARE CORPORATION, THE FILING ORGANIZATION'S TOP-TIER 501(C)(3) PARENT ORGANIZATION, FOR REASONABLENESS AND APPROPRIATENESS AND LEFT UNCHANGED FOR 2022. AMITA UTILIZED VARIOUS COMPARABILITY DATA IN ESTABLISHING THE 2022 COMPENSATION FOR THOSE EXECUTIVES LISTED IN PART VII THAT PERFORMED SERVICES FOR AMITA DURING THE FIRST QUARTER OF 2022 AND FOR THE FILING ORGANIZATION AND FOR ITS RELATED 501(C)(3) HOSPITAL AND PHYSICIAN PRACTICE ENTITIES FOR CALENDAR YEAR 2022. COMPARABILITY DATA UTILIZED BY AMITA INCLUDED COMPENSATION SURVEYS AND STUDIES AND THE FORMS 990 OF OTHER UNRELATED COMPARABLE ORGANIZATIONS. AMITA ALSO HAD A COMPENSATION COMMITTEE THAT APPROVED ALL RELEVANT EXECUTIVE COMPENSATION, INCLUDING THE COMPENSATION OF THE FILING ORGANIZATION'S CEO FOR 2022. |
| PART I, LINES 4A-B | LINE 4A: DURING THE YEAR ENDING DECEMBER 31, 2022, BRUCE CHRISTIAN AND YUESHA CHEN RECEIVED A SEVERANCE PAYMENT IN THE AMOUNT OF $78,225 AND $86,539 RESPECTIVELY. PURSUANT TO THE AHSSHC CORPORATE EXECUTIVE POLICY GOVERNING EXECUTIVE SEVERANCE, SEVERANCE AGREEMENTS FOR EXECUTIVES OPERATING AT THE VICE PRESIDENT LEVEL AND ABOVE ARE ENTERED INTO UPON ELIGIBILITY TO FACILITATE THE TRANSITION TO SUBSEQUENT EMPLOYMENT FOLLOWING AN INVOLUNTARY SEPARATION FROM EMPLOYMENT WITH ADVENTHEALTH. OTHER SEVERANCE PAYMENTS MAY BE MADE TO NON-EXECUTIVE PERSONNEL IN CERTAIN CIRCUMSTANCES. LINE 4B: LYNN ADDISCOTT, HERBERT BUCHANAN, YUESHA CHEN, BRUCE CHRISTIAN, SANDRA JOHNSON, REBECCA MATHIS, ADAM MAYCOCK, KATHLEEN RAGUSA, THOR THORDARSON, AND TAMARA TRIMBLE RECEIVED COMPENSATION IN 2022 FROM ADVENTIST HEALTH SYSTEM SUNBELT HEALTHCARE CORPORATION (AHSSHC), THE TOP-TIER PARENT OF THE FILING ORGANIZATION AND THE PARENT ORGANIZATION OF A HEALTHCARE SYSTEM KNOWN AS ADVENTHEALTH. IN RECOGNITION OF THE CONTRIBUTION THAT EACH EXECUTIVE MAKES TO THE SUCCESS OF ADVENTHEALTH, ADVENTHEALTH PROVIDES SUPPLEMENTAL EXECUTIVE BENEFIT PLANS TO ELIGIBLE EXECUTIVES. AS THE SUPPLEMENTAL EXECUTIVE RETIREMENT BENEFIT PLANS WERE UPDATED IN 2020 AND CERTAIN INDIVIDUALS STILL PARTICIPATE AS GRAND-FATHERED PARTICIPANTS IN CERTAIN PLANS, THE NARRATIVE BELOW DISCUSSES ALL PLANS IN WHICH THERE WERE ANY PARTICIPANTS IN 2022. THE SERP III PLAN EFFECTIVELY REPLACES THE PRIOR SERP II PLAN, THE EXECUTIVE FLEX BENEFIT PROGRAM PLAN, AND THE SENIOR EXECUTIVE DEATH BENEFIT PLAN FOR QUALIFIED EXECUTIVES EXCEPT FOR CERTAIN GRANDFATHERED EXECUTIVE EMPLOYEES. SERP III PLAN: THE SERP III PLAN PROVIDES ELIGIBLE EXECUTIVES A PERCENTAGE OF THEIR BASE PAY, WHICH IS CREDITED TO A DEFERRED COMPENSATION ACCOUNT. THE PLAN ALSO PROVIDES FOR COMPENSATION DEFERRAL AND SELECTION OF LIFE INSURANCE COVERAGE AND LONG-TERM CARE INSURANCE. TO BE ELIGIBLE TO PARTICIPATE IN THE SERP III PLAN, EXECUTIVES MUST BE ON THE AHSSHC CORPORATE PAYROLL AND BE EITHER A CEO OF AN ADVENTHEALTH ENTITY, AN AHSSHC VICE PRESIDENT (VP) OR VP OF AN ADVENTHEALTH ENTITY WITH A BASE SALARY OF AT LEAST $305,000 IN 2022 (ADJUSTED ANNUALLY BY THE SAME PERCENTAGE AS IRC SECTION 401(A)(17) LIMIT INCREASES), OR OTHER LEADER SPECIFICALLY APPROVED BY THE ADVENTHEALTH PRESIDENT. ELIGIBLE EXECUTIVES DO NOT INCLUDE GRANDFATHERED EXECUTIVES, MEANING THOSE EXECUTIVES WHO WOULD SATISFY ALL THE ELIGIBILITY REQUIREMENTS OF THE SERP II PLAN PRIOR TO DEC 31, 2027, HAD THE PLAN NOT BEEN AMENDED AND RESTATED AS OF JAN. 1, 2020. CONTRIBUTION CREDITS WILL BE ESTABLISHED AND MAINTAINED BY CLASS YEAR ACCOUNTS FOR EACH PARTICIPANT USING TIERED CONTRIBUTION CREDIT PERCENTAGES OF ANNUAL BASE COMPENSATION. CONTRIBUTION CREDIT PERCENTAGES RANGE BETWEEN 15% AND 19% OF BASE COMPENSATION. CONTRIBUTION CREDITS WILL BE MADE EACH QUARTER IN 25% INCREMENTS WITH REDUCTIONS IN CONTRIBUTIONS IF THE EXECUTIVE IS ALSO A GRANDFATHERED FLEX PARTICIPANT (SEE BELOW). SERP III PROVIDES FOR A CLASS YEAR VESTING AND PAYMENT SCHEDULE (7 YEARS FOR EACH CLASS YEAR) WITH RESPECT TO AMOUNTS ACCUMULATED IN THE EXECUTIVE'S DEFERRED COMPENSATION ACCOUNT. UPON ATTAINMENT OF A NORMAL RETIREMENT AGE (AGE 62), OR UPON CERTAIN OTHER CIRCUMSTANCES AS DEFINED IN THE SERP III PLAN DOCUMENT, ALL DEFERRED AMOUNTS ARE PAID IMMEDIATELY TO THE PARTICIPANT. FOR ANY EXECUTIVES WORKING BEYOND THE NORMAL RETIREMENT AGE, FUTURE EMPLOYER CONTRIBUTIONS WILL BE MADE QUARTERLY FROM SERP III DIRECTLY TO THE PARTICIPANT AS A TAXABLE CASH BONUS. SERP II PLAN: THE SERP II PLAN IS A DEFINED BENEFIT, NON-TAX-QUALIFIED DEFERRED COMPENSATION PLAN FOR CERTAIN EXECUTIVES WHO HAVE PROVIDED LENGTHY SERVICE TO ADVENTHEALTH AND/OR TO OTHER SEVENTH-DAY ADVENTIST CHURCH HOSPITALS OR HEALTH CARE INSTITUTIONS. UNDER THE PROVISIONS OF THE SERP II PLAN, BENEFITS ARE PROVIDED TO QUALIFYING EXECUTIVE PARTICIPANTS ON A PRO-RATA SCHEDULE BEGINNING WITH 20 YEARS OF SERVICE AS AN EMPLOYEE OF ADVENTHEALTH AND/OR ANOTHER HOSPITAL OR HEALTH CARE INSTITUTION CONTROLLED BY THE SEVENTH-DAY ADVENTIST CHURCH AND WHO SATISFY CERTAIN OTHER QUALIFYING CRITERIA. ELIGIBLE EMPLOYEES ARE RESTRICTED TO THOSE EXECUTIVES WHO, AS OF JANUARY 1, 2020, SATISFIED, OR IF EMPLOYMENT CONTINUES, WILL SATISFY THE ELIGIBILITY REQUIREMENTS OF SERP II PRIOR TO DECEMBER 31, 2027. THIS SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP II) 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, FIVE OR SEVEN HIGHEST YEARS OF BASE SALARY FROM ADVENTHEALTH 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. THE NUMBER OF YEARS INCLUDED IN HIGHEST AVERAGE COMPENSATION IS DETERMINED BY THE INDIVIDUAL'S YEAR OF ENTRY TO SERP II AND BY THE INDIVIDUAL'S YEAR OF ENTRY TO THE ADVENTHEALTH EXECUTIVE FLEX BENEFIT PROGRAM. FLEX PLAN: THE FLEX PLAN WAS ORIGINALLY DESIGNED TO PROVIDE ELIGIBLE EXECUTIVES AN OPPORTUNITY TO SELECT FROM AMONG A VARIETY OF SUPPLEMENTAL BENEFITS, INCLUDING A SPLIT DOLLAR LIFE INSURANCE POLICY AND LONG-TERM CARE INSURANCE, TO INDIVIDUALLY TAILOR A BENEFITS PROGRAM APPROPRIATE TO EACH EXECUTIVE'S NEEDS. IN 2020, THE FLEX PLAN WAS AMENDED TO EXCLUDE EMPLOYED EXECUTIVES WHO ARE HIRED OR PROMOTED AFTER A CERTAIN DATE FROM BEING ELIGIBLE TO PARTICIPATE IN THE FLEX PLAN EXCEPT FOR CERTAIN INSURANCE COVERAGE FEATURES OF THE PLAN. THE FLEX PLAN PROVIDES ELIGIBLE PARTICIPANTS A PRE-DETERMINED BENEFITS ALLOWANCE CREDIT THAT IS EQUAL TO A PERCENTAGE OF THE EXECUTIVE'S BASE PAY FROM WHICH THE COST OF MANDATORY AND ELECTIVE EMPLOYEE BENEFITS IS DEDUCTED. THE BENEFITS ALLOWANCE CREDIT PERCENTAGE FOR ANY PLAN YEAR SHALL NOT BE GREATER THAN THE MAXIMUM DOLLAR AMOUNT OR THE PERCENTAGE OF COMPENSATION AS DETERMINED BY THE ADVENTHEALTH BENEFITS ADMINISTRATION COMMITTEE. FOR GRANDFATHERED ELIGIBLE EMPLOYEES, THE ANNUAL PRE-DETERMINED FLEX ALLOWANCE IS CONTRIBUTED AND ANY FUNDS THAT REMAIN AFTER THE COST OF MANDATORY AND ELECTIVE BENEFITS ARE SUBTRACTED ARE, AT THE EMPLOYEE'S OPTION, CONTRIBUTED TO EITHER AN IRC 457(F) DEFERRED COMPENSATION ACCOUNT OR TO AN IRC 457(B) ELIGIBLE DEFERRED COMPENSATION PLAN. UPON ATTAINMENT OF AGE 65, ALL PREVIOUS 457(F) DEFERRED AMOUNTS ARE PAID IMMEDIATELY TO THE PARTICIPANT AND ANY FUTURE EMPLOYER CONTRIBUTIONS ARE MADE QUARTERLY FROM THE PLAN DIRECTLY TO THE PARTICIPANT. THE PLAN 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 WILL BE FORFEITED BY THE EXECUTIVE UPON A VOLUNTARY SEPARATION. WITH RESPECT TO GRANDFATHERED PARTICIPANTS, THE FLEX PLAN DOCUMENTS DEFINE ELIGIBLE EMPLOYEES TO INCLUDE THE CHIEF EXECUTIVE OFFICERS OF ADVENTHEALTH ENTITIES AND VICE PRESIDENTS OF ALL ADVENTHEALTH ENTITIES WHOSE BASE SALARY WAS AT LEAST EQUAL TO THE INTERNAL REVENUE CODE SECTION 401(A)(17) COMPENSATION LIMIT EACH YEAR. |
| PART I, LINE 4B - CONTINUATION | FLEX PLAN FLEX PLAN SERP II SERP III CONTR. DISTR.* CONTR./DISTR. CONTR. ADDISCOTT, LYNN $ 58,256 $ 58,256 $ 20,179 $ 0 BUCHANAN, HERBERT $ 0 $ 0 $ 0 $ 50,754 CHEN, YUESHA $ 0 $ 0 $ 0 $ 31,154 CHRISTIAN, BRUCE $ 13,125 $ 0 $931,613 $ 0 JOHNSON, SANDRA $ 1,495 $ 154,319 $ 0 $ 0 MATHIS, REBECCCA $ 0 $ 0 $ 0 $ 54,693 MAYCOCK, ADAM $ 0 $ 0 $ 0 $ 41,539 THORDARSON, THOR $ 0 $ 0 $ 0 $ 98,072 TRIMBLE, TAMARA $ 122,953 $102,453 $ 0 $ 0 SERP III DISTR.* BUCHANAN, HERBERT $ 50,754 * INCLUDING INVESTMENT EARNINGS HERBERT BUCHANAN, REINHOLD LLERENA, M.D., ANDREW PALUMBO, AND JUSTIN JOHNSON WERE COMPENSATED BY ALEXIAN BROTHERS HEALTH SYSTEM IN JANUARY-MARCH OF 2022 FOR SERVICES PROVIDED TO THE FILING ORGANIZATION. ALEXIAN BROTHERS HEALTH SYSTEM WAS AFFILIATED WITH THE FILING ORGANIZATION FOR THE PERIOD OF JANUARY 1 - MARCH 31, 2022. PLEASE SEE OUR RESPONSE TO FORM 990, PART VI, SECTION A, LINE 4 FOR A DISCUSSION CONCERNING THE FILING ORGANIZATION'S AFFILIATION WITH ALEXIAN BROTHERS HEALTH SYSTEM THROUGH THE JOINT OPERATING COMPANY KNOWN AS AMITA HEALTH FOR THE PERIOD FROM JANUARY 1 - MARCH 31, 2022. COMPENSATION FOR THESE INDIVIDUALS' SERVICES PROVIDED TO THE FILING ORGANIZATION IS DISCLOSED IN PART II. |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (13 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART III, LINE 3 | PLEASE SEE THE NARRATIVE BELOW FOR FORM 990, PART VI, SECTION A, LINE 4 REGARDING THE CHANGES IN PROGRAM SERVICES CONDUCTED BY THE FILING ORGANIZATION. |
| PART V, LINE 1A: | THE PARENT CORPORATION OF AHS MIDWEST MANAGEMENT (THE FILING ORGANIZATION) IS ADVENTIST HEALTH SYSTEM SUNBELT HEALTHCARE CORPORATION (AHSSHC). AHSSHC IS A FLORIDA, NOT-FOR-PROFIT CORPORATION THAT IS EXEMPT FROM FEDERAL INCOME TAX UNDER INTERNAL REVENUE CODE (IRC) SECTION 501(C)(3). AHSSHC HAS ESTABLISHED A SHARED SERVICE CENTER TO CENTRALIZE THE ACCOUNTS PAYABLE (A/P) FUNCTION FOR ALL AHSSHC SUBSIDIARY ORGANIZATIONS. THE FILING ORGANIZATION HAS ENTERED "0" IN PART V, LINE 1A BECAUSE THE FILING ORGANIZATION NO LONGER ISSUES FORM 1099 RETURNS, RATHER, ALL SUCH RETURNS ARE FILED BY AND UNDER THE NAME AND EIN OF AHSSHC AS THE PAYOR SUBJECT TO THE INFORMATION REPORTING REQUIREMENTS OF SECTION 6041. THE FACTS AND CIRCUMSTANCES SUPPORT A POSITION THAT AHSSHC, AS A PAYOR ON BEHALF OF ITS SUBSIDIARY ORGANIZATIONS IN A SHARED SERVICE ENVIRONMENT, WILL HAVE SUFFICIENT MANAGEMENT AND OVERSIGHT IN CONNECTION WITH THE SUBSIDIARY ORGANIZATIONS' PAYMENTS TO MEET THE STANDARD SET FORTH IN TREAS. REG. SECTION 1.6041-1(E). AHSSHC WILL NOT MERELY BE MAKING PAYMENTS AT THE DIRECTION OF ITS SUBSIDIARY ORGANIZATIONS. ACCORDINGLY, AHSSHC IS CONSIDERED THE PAYOR SUBJECT TO THE INFORMATION REPORTING REQUIREMENTS OF SECTION 6041. |
| FORM 990, PART VI, SECTION A, LINE 4 | PRIOR TO APRIL 1, 2022, AHS MIDWEST MANAGEMENT, INC. (AHSMWM) WAS A COVERED AFFILIATE OF AN AFFILIATION COMPRISING A REGIONAL HEALTH CARE DELIVERY NETWORK OPERATED AND MANAGED BY ALEXIAN BROTHERS-AHS MIDWEST REGION HEALTH CO., A JOINT OPERATING COMPANY BETWEEN ALEXIAN BROTHERS HEALTH SYSTEM AND ADVENTIST MIDWEST HEALTH (THE JOINT OPERATING COMPANY). THE JOINT OPERATING COMPANY WAS KNOWN AS AMITA HEALTH. IN 2022, THE MEMBERSHIP OF THE FILING ORGANIZATION WAS HELD BY ADVENTIST MIDWEST HEALTH THROUGH OCTOBER 31, 2022, AND THEN BY ADVENTIST HEALTH SYSTEM SUNBELT HEALTHCARE CORPORATION DIRECTLY BEGINNING NOVEMBER 1, 2022. THE MEMBERSHIP OF ADVENTIST MIDWEST HEALTH IS HELD DIRECTLY BY ADVENTIST HEALTH SYSTEM/SUNBELT, INC. AND INDIRECTLY BY ADVENTIST HEALTH SYSTEM SUNBELT HEALTHCARE CORPORATION, BOTH 501(C)(3) ORGANIZATIONS. THE HEALTHCARE SYSTEM WHOSE PARENT IS ADVENTIST HEALTH SYSTEM SUNBELT HEALTHCARE CORPORATION IS KNOWN AS ADVENTHEALTH. EFFECTIVE APRIL 1, 2022, ALEXIAN BROTHERS HEALTH SYSTEM AND ADVENTIST MIDWEST HEALTH EXECUTED A DISAFFILIATION AGREEMENT (THE DISAFFILIATION) WHEREBY IT WAS AGREED THAT THE JOINT OPERATING COMPANY, ALEXIAN BROTHERS-AHS MIDWEST REGION HEALTH CO., WOULD WIND UP ITS AFFAIRS AND DISSOLVE AND THAT THE PARTIES TO THE ORIGINAL AFFILIATION AGREEMENT WOULD NO LONGER BE UNDER THE MANAGEMENT CONTROL OF THE JOINT OPERATING COMPANY. ACCORDINGLY, THE BYLAWS OF THE FILING ORGANIZATION WERE AMENDED EFFECTIVE APRIL 1, 2022, TO REFLECT THE CHANGES RESULTING FROM THE DISAFFILIATION. FOR THE PERIOD FROM JANUARY 1 TO MARCH 31 OF 2022, CERTAIN GOVERNANCE POWERS WERE RESERVED TO ADVENTIST MIDWEST HEALTH AS THE MEMBER OF THE FILING ORGANIZATION AND A MEMBER OF THE JOINT OPERATING COMPANY. THE RESERVED POWERS OF ADVENTIST MIDWEST HEALTH INCLUDED THE ALTERATION, RESTATEMENT, OR REPEAL OF THE ARTICLES OF INCORPORATION, BYLAWS, OR MISSION STATEMENT OF THE FILING ORGANIZATION, PROVIDED THAT SUCH ACTIONS WERE NOT INCONSISTENT WITH THE JOINT OPERATING COMPANY BYLAWS OR THE AFFILIATION AGREEMENT. RESERVED POWERS ALSO INCLUDED THE APPOINTMENT OF THE FILING ORGANIZATION'S BOARD OF DIRECTORS, SUBJECT TO THE RATIFICATION OF THE JOINT OPERATING COMPANY BOARD OF DIRECTORS. FOR THE SAME TIME PERIOD, CERTAIN FINANCIAL AUTHORITIES WERE RESERVED TO ADVENTIST HEALTH SYSTEM SUNBELT HEALTHCARE CORPORATION, AS SPONSOR, THE BOARD OF DIRECTORS OF THE JOINT OPERATING COMPANY, AND BY BOTH MEMBERS OF THE JOINT OPERATING COMPANY. CERTAIN OPERATIONAL AUTHORITIES WERE ALSO RESERVED TO THE BOARD OF DIRECTORS OF THE JOINT OPERATING COMPANY INCLUDING THE DETERMINATION OF THE SERVICES TO BE PROVIDED BY THE FILING ORGANIZATION. PRIOR TO THE APRIL 1, 2022 AMENDMENT, THE BYLAWS PROVIDED THAT THE APPOINTMENT, RETENTION, AND REMOVAL OF THE PRESIDENT OF AHSMWM WAS AT THE DISCRETION OF THE CHIEF EXECUTIVE OFFICER OF THE JOINT OPERATING COMPANY SUBJECT TO APPROVAL BY ADVENTIST HEALTH SYSTEM SUNBELT HEALTHCARE CORPORATION. THE REVISIONS TO THE BYLAWS PROVIDE THAT THE APPOINTMENT, RETENTION, AND REMOVAL OF THE PRESIDENT OF AHSMWM SHALL BE AT THE DISCRETION OF THE MEMBER. THE BYLAWS WERE ALSO REVISED EFFECTIVE APRIL 1, 2022 TO UPDATE THE POWERS RESERVED TO THE MEMBER. THE FOLLOWING POWERS RESERVED TO THE MEMBER WERE ADDED TO THE APRIL 1, 2022 BYLAW REVISIONS: 1) THE AUTHORITY TO SET LIMITS AND TERMS FOR ALL TYPES OF FINANCIAL TRANSACTIONS EXCEEDING $100,000; 2) THE AUTHORITY TO SECURE NAMING RIGHTS AND DIRECT THE PLACEMENT OF FUNDS AND CAPITAL OF THE FILING ORGANIZATION IN EXCESS OF $1,000,000; 3) THE AUTHORITY TO APPROVE OR DISAPPROVE THE IMPLEMENTATION OF NON-TRADITIONAL, NON-HEALTHCARE RELATED ACTIVITIES; 4) THE AUTHORITY TO APPROVE OR DISAPPROVE PERFORMANCE/QUALITY IMPROVEMENT, REVENUE CYCLE AND CASE MANAGEMENT PROGRAMS; 5) THE AUTHORITY TO APPROVE OR DISAPPROVE THE SELECTION OF THE AUDITING FIRM AND ELECTION OF THE FISCAL YEAR; 6) THE AUTHORITY TO APPROVE OR DISAPPROVE THE SELECTION OF THE FILING ORGANIZATION'S GROUP PURCHASING ORGANIZATION; 7) THE AUTHORITY TO APPROVE OR DISAPPROVE ANY JOINT VENTURE OR PARTNERSHIP IN WHICH AHSMWM WOULD BE A MEMBER OR PARTNER; 8) THE AUTHORITY TO APPROVE OR DISAPPROVE THE IT SYSTEMS AND OTHER SHARED SERVICES USED; 9) THE AUTHORITY TO REQUIRE ADHERENCE TO THE SYSTEM-WIDE NAMING NOMENCLATURE AND SERVICE STANDARDS ADOPTED BY THE MEMBER; 10) THE AUTHORITY TO SET AND ENFORCE POLICES FOR PHYSICIAN COMPENSATION INCLUDING COMMERCIAL REASONABLENESS AND FAIR MARKET VALUE; AND 11) THE AUTHORITY TO EXERCISE SUCH OTHER POWERS AS ARE NECESSARY IN CONNECTION WITH ALL OTHER LISTED POWERS. NOVEMBER 1, 2022 CHANGES TO THE ARTICLES OF INCORPORATION: EFFECTIVE NOVEMBER 1, 2022, THE ARTICLES OF INCORPORATION FOR AHSMWM WERE AMENDED TO CHANGE THE SOLE MEMBER FROM ADVENTIST MIDWEST HEALTH TO ADVENTIST HEALTH SYSTEM SUNBELT HEALTHCARE CORPORATION. NOVEMBER 1, 2022 CHANGES TO THE BYLAWS: ADVENTIST HEALTH SYSTEM SUNBELT HEALTHCARE CORPORATION, ADVENTIST HEALTH SYSTEM/SUNBELT, INC., AND ADVENTIST MIDWEST HEALTH ENTERED INTO AN AFFILIATION AGREEMENT WITH THE UNIVERSITY OF CHICAGO MEDICAL CENTER (UCMC), EFFECTIVE DECEMBER 31, 2022. UCMC IS A 501(C)(3) ACADEMIC HEALTH ORGANIZATION THAT OPERATES HOSPITALS, OUTPATIENT CLINICS AND PHYSICIAN PRACTICES IN THE GREATER CHICAGO AREA AND NORTHWEST INDIANA. UNDER THE AFFILIATION AGREEMENT, UCMC ACQUIRED A 51% MEMBERSHIP INTEREST IN ADVENTIST MIDWEST HEALTH. IN CONNECTION WITH THE UCMC AFFILIATION, AHSMWM'S PURPOSES WERE EXPANDED TO INCLUDE SERVING AS THE EMPLOYEE LEASING COMPANY THAT WOULD EMPLOY ALL WORKERS WHO PROVIDE SERVICES AT ADVENTIST MIDWEST HEALTH AND ITS SUBSIDIARY 501(C)(3) ORGANIZATIONS BEGINNING IN 2023. ADVENTIST HEALTH SYSTEM SUNBELT HEALTHCARE CORPORATION WILL CONTINUE TO MANAGE THE HOSPITAL. A SUMMARY OF THE SIGNIFICANT CHANGES IN THE NOVEMBER 1, 2002 BYLAWS OF AHSMWM FOLLOWS. ARTICLE II OF THE NOVEMBER 1, 2022 BYLAWS STATES THAT THE SOLE MEMBER OF THE FILING ORGANIZATION IS ADVENTIST HEALTH SYSTEM SUNBELT HEALTHCARE CORPORATION. ARTICLE III OF THE NOVEMBER 1, 2022 BYLAWS REVISES THE MINIMUM NUMBER OF THE MEMBERS OF THE BOARD OF DIRECTORS FROM 6 TO 3. THE DETAILED LISTING OF RESPONSIBILITIES AND DUTIES OF THE MEMBERS OF THE BOARD OF DIRECTORS WAS DELETED AND REPLACED WITH THE STATEMENT THAT THE BOARD OF DIRECTORS SHALL POSSESS THOSE RESPONSIBILITIES AND DUTIES AS SET FORTH IN THE BYLAWS AND BY OPERATION OF LAW. UNDER THE NOVEMBER 1, 2022 BYLAWS, ALL CORPORATE OFFICERS, INCLUDING THE PRESIDENT, ARE ELECTED BY THE MEMBER. THE CHIEF EXECUTIVE OFFICER AND CHIEF FINANCIAL OFFICER MAY ALSO BE REMOVED BY THE MEMBER. |
| FORM 990, PART VI, SECTION A, LINE 6 | PRIOR TO NOVEMBER 1, 2022, THE SOLE MEMBER OF THE FILING ORGANIZATION WAS ADVENTIST MIDWEST HEALTH. BEGINNING NOVEMBER 1, 2022, THE SOLE MEMBER OF THE FILING ORGANIZATION IS ADVENTIST HEALTH SYSTEM SUNBELT HEALTHCARE CORPORATION (AHSSHC). AHSSHC IS THE 501(C)(3) TOP-TIER PARENT ORGANIZATION OF ADVENTIST MIDWEST HEALTH. THERE ARE NO OTHER CLASSES OF MEMBERSHIP IN THE FILING ORGANIZATION. |
| FORM 990, PART VI, SECTION A, LINE 7A | THE MEMBERS OF THE BOARD OF DIRECTORS OF THE FILING ORGANIZATION ARE APPOINTED BY THE MEMBER. UNDER THE BYLAWS IN EFFECT AT DECEMBER 31, 2022, THE MEMBER IS ENTITLED TO ELECT NOT LESS THAN THREE AND NOT MORE THAN 11 MEMBERS TO THE BOARD OF DIRECTORS. |
| FORM 990, PART VI, SECTION A, LINE 7B | PRIOR TO APRIL 1, 2022, AHS MIDWEST MANAGEMENT, INC. (AHSMWM) WAS A COVERED AFFILIATE OF AN AFFILIATION COMPRISING A REGIONAL HEALTH CARE DELIVERY NETWORK OPERATED AND MANAGED BY ALEXIAN BROTHERS-AHS MIDWEST REGION HEALTH CO., A JOINT OPERATING COMPANY BETWEEN ALEXIAN BROTHERS HEALTH SYSTEM AND ADVENTIST MIDWEST HEALTH (THE JOINT OPERATING COMPANY). THE JOINT OPERATING COMPANY WAS KNOWN AS AMITA HEALTH. IN 2022, THE MEMBERSHIP OF THE FILING ORGANIZATION WAS HELD BY ADVENTIST MIDWEST HEALTH THROUGH OCTOBER 31, 2022, AND THEN BY ADVENTIST HEALTH SYSTEM SUNBELT HEALTHCARE CORPORATION DIRECTLY BEGINNING NOVEMBER 1, 2022. THE MEMBERSHIP OF ADVENTIST MIDWEST HEALTH IS HELD DIRECTLY BY ADVENTIST HEALTH SYSTEM/SUNBELT, INC. AND INDIRECTLY BY ADVENTIST HEALTH SYSTEM SUNBELT HEALTHCARE CORPORATION, BOTH 501(C)(3) ORGANIZATIONS. THE HEALTHCARE SYSTEM WHOSE PARENT IS ADVENTIST HEALTH SYSTEM SUNBELT HEALTHCARE CORPORATION IS KNOWN AS ADVENTHEALTH. EFFECTIVE APRIL 1, 2022, ALEXIAN BROTHERS HEALTH SYSTEM AND ADVENTIST MIDWEST HEALTH EXECUTED A DISAFFILIATION AGREEMENT (THE DISAFFILIATION) WHEREBY IT WAS AGREED THAT THE JOINT OPERATING COMPANY, ALEXIAN BROTHERS-AHS MIDWEST REGION HEALTH CO., WOULD WIND UP ITS AFFAIRS AND DISSOLVE AND THAT THE PARTIES TO THE ORIGINAL AFFILIATION AGREEMENT WOULD NO LONGER BE UNDER THE MANAGEMENT CONTROL OF THE JOINT OPERATING COMPANY. ACCORDINGLY, THE BYLAWS OF THE FILING ORGANIZATION WERE AMENDED EFFECTIVE APRIL 1, 2022, TO REFLECT THE CHANGES RESULTING FROM THE DISAFFILIATION. FOR THE PERIOD FROM JANUARY 1 TO MARCH 31 OF 2022, CERTAIN GOVERNANCE POWERS WERE RESERVED TO ADVENTIST MIDWEST HEALTH AS THE MEMBER OF THE FILING ORGANIZATION AND A MEMBER OF THE JOINT OPERATING COMPANY. THE RESERVED POWERS OF ADVENTIST MIDWEST HEALTH INCLUDED THE ALTERATION, RESTATEMENT, OR REPEAL OF THE ARTICLES OF INCORPORATION, BYLAWS, OR MISSION STATEMENT OF THE FILING ORGANIZATION, PROVIDED THAT SUCH ACTIONS WERE NOT INCONSISTENT WITH THE JOINT OPERATING COMPANY BYLAWS OR THE AFFILIATION AGREEMENT. RESERVED POWERS ALSO INCLUDED THE APPOINTMENT OF THE FILING ORGANIZATION'S BOARD OF DIRECTORS, SUBJECT TO THE RATIFICATION OF THE JOINT OPERATING COMPANY BOARD OF DIRECTORS. FOR THE SAME TIME PERIOD, CERTAIN FINANCIAL AUTHORITIES WERE RESERVED TO ADVENTIST HEALTH SYSTEM SUNBELT HEALTHCARE CORPORATION, AS SPONSOR, THE BOARD OF DIRECTORS OF THE JOINT OPERATING COMPANY, AND BY BOTH MEMBERS OF THE JOINT OPERATING COMPANY. CERTAIN OPERATIONAL AUTHORITIES WERE ALSO RESERVED TO THE BOARD OF DIRECTORS OF THE JOINT OPERATING COMPANY INCLUDING THE DETERMINATION OF THE SERVICES TO BE PROVIDED BY THE FILING ORGANIZATION. BEGINNING APRIL 1, 2022, THE BYLAWS OF THE FILING ORGANIZATION WERE AMENDED. UPON AMENDMENT, THE FOLLOWING RESERVED POWERS WERE HELD BY ADVENTIST MIDWEST HEALTH: TO APPROVE OR DISAPPROVE SENIOR MANAGEMENT OF THE FILING ORGANIZATION AND SUCH INDIVIDUALS' COMPENSATION; TO APPROVE OR DISAPPROVE ANY AMENDMENTS TO THE FILING ORGANIZATION'S ARTICLES OF INCORPORATION OR BYLAWS; TO APPROVE OR DISAPPROVE MATERIAL CHANGES IN THE SERVICES OFFERED BY THE FILING ORGANIZATION; THE AUTHORITY TO SET LIMITS AND TERMS FOR ALL TYPES OF FINANCIAL TRANSACTIONS EXCEEDING $100,000 FOR ANY SINGLE OR RELATED PROJECTS; TO APPROVE OR DISAPPROVE CAPITAL EXPENDITURES AND THE SALE, DONATION, OR OTHER TRANSFER OF REAL OR PERSONAL PROPERTY IN EXCESS OF $1,000,000; TO APPROVE OR DISAPPROVE OPERATING AND CAPITAL BUDGETS AND STRATEGIC PLANS; THE AUTHORITY TO REQUIRE ADHERENCE TO POLICIES ADOPTED BY THE MEMBER AND ADVENTIST HEALTH SYSTEM SUNBELT HEALTHCARE CORPORATION; THE AUTHORITY TO SECURE NAMING RIGHTS AND TO DIRECT THE PLACEMENT OF FUNDS AND CAPITAL OF THE FILING ORGANIZATION IN EXCESS OF $1,000,000; THE AUTHORITY TO APPROVE OR DISAPPROVE THE IMPLEMENTATION OF NON-TRADITIONAL, NON-HEALTHCARE RELATED ACTIVITIES; THE AUTHORITY TO APPROVE OR DISAPPROVE PERFORMANCE/QUALITY IMPROVEMENT, REVENUE CYCLE AND CASE MANAGEMENT PROGRAMS; THE AUTHORITY TO APPROVE OR DISAPPROVE THE SELECTION OF THE AUDITING FIRM AND ELECTION OF THE FISCAL YEAR; THE AUTHORITY TO APPROVE OR DISAPPROVE THE SELECTION OF THE FILING ORGANIZATION'S GROUP PURCHASING ORGANIZATION; THE AUTHORITY TO APPROVE OR DISAPPROVE ANY JOINT VENTURE OR PARTNERSHIP IN WHICH AHSMWM WOULD BE A MEMBER OR PARTNER; THE AUTHORITY TO APPROVE OR DISAPPROVE THE IT SYSTEMS AND OTHER SHARED SERVICES USED; THE AUTHORITY TO REQUIRE ADHERENCE TO THE SYSTEM-WIDE NAMING NOMENCLATURE AND SERVICE STANDARDS ADOPTED BY THE MEMBER; THE AUTHORITY TO SET AND ENFORCE POLICES FOR PHYSICIAN COMPENSATION INCLUDING COMMERCIAL REASONABLENESS AND FAIR MARKET VALUE; AND THE AUTHORITY TO EXERCISE SUCH OTHER POWERS AS ARE NECESSARY IN CONNECTION WITH ALL OTHER LISTED POWERS. |
| FORM 990, PART VI, SECTION B, LINE 11B | THE FILING ORGANIZATION'S CURRENT YEAR FORM 990 WAS REVIEWED BY A MEMBER OF THE BOARD OF DIRECTORS PRIOR TO ITS FILING WITH THE IRS. THE REVIEW CONDUCTED BY THE MEMBER OF THE BOARD OF DIRECTORS DID NOT INCLUDE THE REVIEW OF ANY SUPPORTING WORKPAPERS THAT WERE USED IN PREPARATION OF THE CURRENT YEAR FORM 990, BUT DID INCLUDE A REVIEW OF THE ENTIRE FORM 990 AND ALL SUPPORTING SCHEDULES. |
| FORM 990, PART VI, SECTION B, LINE 12C | THE CONFLICT OF INTEREST POLICY OF THE FILING ORGANIZATION APPLIES TO MEMBERS OF ITS BOARD OF DIRECTORS AND ITS PRINCIPAL OFFICERS (TO BE KNOWN AS INTERESTED PERSONS). IN CONNECTION WITH ANY ACTUAL OR POSSIBLE CONFLICTS OF INTEREST, 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 INTEREST POLICY, HAS READ AND UNDERSTANDS THE POLICY, HAS AGREED TO COMPLY WITH THE POLICY, AND UNDERSTANDS THAT THE FILING ORGANIZATION IS A CHARITABLE ORGANIZATION THAT MUST PRIMARILY ENGAGE IN ACTIVITIES WHICH ACCOMPLISH ONE OR MORE OF ITS EXEMPT PURPOSES. THE FILING ORGANIZATION'S CONFLICT OF INTEREST POLICY ALSO REQUIRES THAT PERIODIC REVIEWS SHALL BE CONDUCTED TO ENSURE THAT THE FILING ORGANIZATION OPERATES IN A MANNER CONSISTENT WITH ITS CHARITABLE PURPOSES. |
| FORM 990, PART VI, SECTION B, LINE 15 | THE FILING ORGANIZATION'S CEO AND OTHER OFFICERS ARE NOT COMPENSATED BY THE FILING ORGANIZATION. FOR 2022, THE COMPENSATION PACKAGE FOR THESE INDIVIDUALS WAS INITIALLY DETERMINED BY THE JOINT OPERATING COMPANY, ALEXIAN BROTHERS-AHS MIDWEST REGION HEALTH CO., DBA AMITA HEALTH (AMITA HEALTH OR JOC). AS DISCUSSED IN OUR RESPONSE TO FORM 990, PART VI, SECTION A, LINE 4, THE FILING ORGANIZATION CEASED TO BE A COVERED AFFILIATE OF THE JOC EFFECTIVE APRIL 1, 2022, DUE TO THE DISAFFILIATION AGREEMENT BETWEEN ALEXIAN BROTHERS HEALTH SYSTEM AND ADVENTIST MIDWEST HEALTH, THE FILING ORGANIZATION'S 501(C)(3) SOLE MEMBER FOR JANUARY 1 - OCTOBER 31, 2022. PLEASE SEE THE DISCUSSION CONCERNING THE PROCESS FOLLOWED BY AMITA HEALTH IN DETERMINING 2022 EXECUTIVE COMPENSATION IN OUR RESPONSE TO SCHEDULE J, LINE 3. |
| FORM 990, PART VI, SECTION C, LINE 19 | THE FILING ORGANIZATION IS A PART OF THE SYSTEM OF HEALTHCARE ORGANIZATIONS KNOWN AS ADVENTHEALTH. THE AUDITED CONSOLIDATED FINANCIAL STATEMENTS OF ADVENTHEALTH AND OF THE ADVENTHEALTH "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 ADVENTHEALTH ON A CONSOLIDATED BASIS AND FOR THE GROUPING OF ADVENTHEALTH SUBSIDIARIES COMPRISING THE "OBLIGATED GROUP". THE FILING ORGANIZATION DOES NOT GENERALLY MAKE ITS GOVERNING DOCUMENTS OR CONFLICT OF INTEREST POLICY AVAILABLE TO THE PUBLIC. |
| PART VII, SECTION A | FOR THOSE BOARD OF DIRECTOR MEMBERS AND OFFICERS WHO DEVOTE LESS THAN FULL-TIME TO THE FILING ORGANIZATION (BASED UPON THE AVERAGE NUMBER OF HOURS PER WEEK SHOWN IN COLUMN (B) ON PAGE 7 OF THE RETURN) THE COMPENSATION AMOUNTS SHOWN IN COLUMNS (D), (E) AND (F) ON PAGE 7 WERE PROVIDED IN CONJUNCTION WITH THAT PERSON'S RESPONSIBILITIES AND ROLES IN SERVING IN AN EXECUTIVE LEADERSHIP POSITION WITHIN ADVENTHEALTH OR AMITA HEALTH. FOR THE PERIOD FROM JANUARY 1 - MARCH 31, 2022, THE CEO, VP OF FINANCE, DIRECTOR/VICE CHAIRMAN, AND CMO WERE COMPENSATED BY AN UNRELATED ENTITY FOR SERVICES PROVIDED TO THE FILING ORGANIZATION. THE HOURS AND COMPENSATION DISCLOSED IN PART VII FOR THESE INDIVIDUALS REFLECT THE TIME AND COMPENSATION FOR THE FILING ORGANIZATION AND ITS RELATED ENTITIES. THIS DISCLOSURE DOES NOT INCLUDE TIME AND COMPENSATION ASSOCIATED WITH PROVIDING SERVICES TO ENTITIES NOT RELATED TO THE FILING ORGANIZATION. |
| FORM 990, PART XI, LINE 9: | DISCHARGE OF LIABILITIES OWED TO RELATED TAX EXEMPT ORGANIZATION 61,434,827. REVERSAL OF PRIOR YEARS' PURCHASE ACCOUNTING ADJUSTMENTS -488,991. |
| PART XII, LINES 3A AND 3B: | ALTHOUGH THE TAXPAYER IS NOT REQUIRED TO UNDERGO AN AUDIT AS SET FORTH IN THE SINGLE AUDIT ACT AND OMB CIRCULAR A-133, THE TAXPAYER IS PART OF A CONTROLLED GROUP OF ORGANIZATIONS THAT COMPRISE A CONSOLIDATED FINANCIAL STATEMENT AUDIT. THE CONTROLLED GROUP'S PARENT IS ADVENTIST HEALTH SYSTEM SUNBELT HEALTHCARE CORPORATION (AHSSHC), A 501(C)(3) ORGANIZATION. THE SYSTEM OF HEALTHCARE ENTITIES OWNED AND CONTROLLED BY AHSSHC IS KNOWN AS ADVENTHEALTH. FOR THE YEAR ENDED DECEMBER 31, 2022, ADVENTHEALTH WILL FILE A CONSOLIDATED SINGLE AUDIT WHICH WILL INCLUDE ALL ENTITIES THAT ARE PART OF THE CONTROLLED GROUP. ACCORDINGLY, THE TAXPAYER HAS CHECKED YES TO THE QUESTIONS ON PART XII, LINE 3A AND 3B. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (101 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Controlled OrganizationControlledOrganizationInd | Direct Controlling NADirectControllingNACd |
|---|---|---|---|---|---|---|---|---|---|---|---|
| ADVENTHEALTH ASHVILLE INC (5922 - 123122) | |||||||||||
| 900 HOPE WAY | ALTAMONTE SPRINGS | FL | 32714 | 921144574 | FUTURE OPERATION OF HOSPITAL & RELATED SERVICES | NC | 501(C)(3) | LINE 3 | ADVENTIST HLTH SYSTEM SUNBELT HLTHCARE CORP | Yes (1) | |
| ADVENTHEALTH FAMILY MEDICINE RURAL HEALTH CLINICS INC | |||||||||||
| 187 PR 4060 | LAMPASAS | TX | 76550 | 271858033 | OPERATION OF RURAL HEALTH CLINICS & MEDICAL SERVICES | FL | 501(C)(3) | LINE 3 | METROPLEX ADVENTIST HOSPITAL INC | Yes (1) | |
| ADVENTHEALTH FOUNDATION FKA SUNSYSTEM DEVELOPMENT CORP | |||||||||||
| 900 HOPE WAY | ALTAMONTE SPRINGS | FL | 32714 | 592219301 | FUND-RAISING FOR AFFILIATED TAX-EXEMPT HOSPITALS | FL | 501(C)(3) | LINE 7 | ADVENTIST HLTH SYSTEM SUNBELT HLTHCARE CORP | Yes (1) | |
| ADVENTHEALTH HOME CARE EAST FLORIDA LLC | |||||||||||
| 770 WEST GRANADA BLVD 319 | ORMOND BEACH | FL | 32174 | 833768458 | INACTIVE | FL | 501(C)(3) | LINE 10 | MEMORIAL HLTH SYSTEMS INC | Yes (1) | |
| ADVENTHEALTH HOSPICE CARE EAST FLORIDA INC | |||||||||||
| 770 WEST GRANADA BLVD 304 | ORMOND BEACH | FL | 32174 | 833748461 | INACTIVE | FL | 501(C)(3) | LINE 10 | MEMORIAL HLTH SYSTEMS INC | Yes (1) | |
| ADVENTHEALTH KANSAS CITY FOUNDATION | |||||||||||
| 7315 E FRONTAGE ROAD | MERRIAM | KS | 66204 | 480868859 | FUND-RAISING FOR TAX-EXEMPT HOSPITALS | KS | 501(C)(3) | LINE 7 | SHAWNEE MISSION MEDICAL CENTER INC | Yes (1) | |
| ADVENTHEALTH NORTH POLK INC | |||||||||||
| 3100 E FLETCHER AVE | TAMPA | FL | 33613 | 593231322 | INACTIVE | FL | 501(C)(3) | LINE 12A, I | UNIVERSITY COMMUNITY HOSPITAL INC | Yes (1) | |
| ADVENTHEALTH PALM COAST PARKWAY INC FKA AH EAST FLORIDA INC | |||||||||||
| 900 HOPE WAY | ALTAMONTE SPRINGS | FL | 32714 | 882288563 | FUTURE OPERATION OF HOSPITAL & RELATED SERVICES | FL | 501(C)(3) | LINE 3 | ADVENTIST HLTH SYSTEM SUNBELT HLTHCARE CORP | Yes (1) | |
| ADVENTHEALTH POLK NORTH INC | |||||||||||
| 40100 US HIGHWAY 27 N | DAVENPORT | FL | 33837 | 841793121 | OPERATION OF HOSPITAL & RELATED SERVICES | FL | 501(C)(3) | LINE 3 | ADVENTIST HLTH SYSTEM SUNBELT HLTHCARE CORP | Yes (1) | |
| ADVENTHEALTH POLK SOUTH INC | |||||||||||
| 410 SOUTH 11TH STREET | LAKE WALES | FL | 33853 | 834672945 | OPERATION OF HOSPITAL & RELATED SERVICES | FL | 501(C)(3) | LINE 3 | ADVENTIST HLTH SYSTEM SUNBELT HLTHCARE CORP | Yes (1) | |
| ADVENTHEALTH RANSOM MEMORIAL INC | |||||||||||
| 1301 S MAIN STREET | OTTAWA | KS | 66067 | 830976641 | OPERATION OF HOSPITAL & RELATED SERVICES | KS | 501(C)(3) | LINE 3 | ADVENTIST HLTH MID-AMERICA INC | Yes (1) | |
| ADVENTHEALTH RIVERVIEW INC | |||||||||||
| 14055 RIVEREDGE DRIVE STE 150 | TAMPA | FL | 33637 | 870901094 | FUTURE OPERATION OF HOSPITAL & RELATED SERVICES | FL | 501(C)(3) | LINE 3 | ADVENTIST HLTH SYSTEM SUNBELT HLTHCARE CORP | Yes (1) | |
| ADVENTHEALTH SENIOR CARE INC | |||||||||||
| 900 HOPE WAY | ALTAMONTE SPRINGS | FL | 32714 | 841817046 | OPERATION OF PHYSICIAN PRACTICES & MEDICAL SERVICES | FL | 501(C)(3) | LINE 3 | ADVENTIST HLTH SYSTEM SUNBELT HLTHCARE CORP | Yes (1) | |
| ADVENTHEALTH SOUTH OVERLAND PARK INC | |||||||||||
| 7820 W 165TH STREET | OVERLAND PARK | KS | 66223 | 364595806 | OPERATION OF HOSPITAL & RELATED SERVICES | KS | 501(C)(3) | LINE 3 | ADVENTIST HLTH MID-AMERICA INC | Yes (1) | |
| ADVENTHEALTH UNIVERSITY INC | |||||||||||
| 671 WINYAH DRIVE | ORLANDO | FL | 32803 | 593069793 | EDUCATION/OPERATION OF SCHOOL | FL | 501(C)(3) | LINE 2 | ADVENTIST HLTH SYSTEMSUNBELT INC | Yes (1) | |
| ADVENTHEALTH WEST FLORIDA AMBULATORY SERVICES INC | |||||||||||
| 14055 RIVEREDGE DRIVE STE 250 | TAMPA | FL | 33637 | 471881744 | SUPPORT OF IMAGING CENTER & HOME HEALTH SUBSIDIARIES | FL | 501(C)(3) | LINE 12B, II | ADVENTIST HLTH SYSTEM SUNBELT HLTHCARE CORP | Yes (1) | |
| ADVENTHEALTH WEST FLORIDA IMAGING INC | |||||||||||
| 14055 RIVEREDGE DRIVE STE 250 | TAMPA | FL | 33637 | 843225135 | IMAGING & TESTING | FL | 501(C)(3) | LINE 3 | ADVENTHEALTH WEST FLORIDA AMBULATORY SERVICES INC | Yes (1) | |
| ADVENTIST BOLINGBROOK HOSPITAL | |||||||||||
| 500 REMINGTON BLVD | BOLINGBROOK | IL | 60440 | 651219504 | OPERATION OF HOSPITAL & RELATED SERVICES | IL | 501(C)(3) | LINE 3 | ADVENTIST MIDWEST HEALTH | Yes (1) | |
| ADVENTIST CARE CENTERS - COURTLAND INC | |||||||||||
| 730 COURTLAND STREET | ORLANDO | FL | 32804 | 205774723 | OPERATION OF HOME FOR THE AGED/HLTHCARE DELIVERY | FL | 501(C)(3) | LINE 10 | SUNBELT HLTH CARE CENTERS INC | Yes (1) | |
| ADVENTIST GLENOAKS HOSPITAL | |||||||||||
| 701 WINTHROP AVENUE | GLENDALE HEIGHTS | IL | 60139 | 363208390 | OPERATION OF HOSPITAL & RELATED SERVICES | IL | 501(C)(3) | LINE 3 | ADVENTIST MIDWEST HEALTH | Yes (1) | |
| ADVENTIST HEALTH MID-AMERICA INC | |||||||||||
| 9100 W 74TH STREET | SHAWNEE MISSION | KS | 66204 | 521347407 | SUPPORT OF AFFILIATED HOSPITAL | KS | 501(C)(3) | LINE 12C, III-FI | ADVENTIST HLTH SYSTEMSUNBELT INC | Yes (1) | |
| ADVENTIST HEALTH PARTNERS INC | |||||||||||
| 5101 S WILLOW SPRINGS RD SUITE B101 | LA GRANGE | IL | 60525 | 364138353 | OPERATION OF PHYSICIAN PRACTICES & MEDICAL SERVICES | IL | 501(C)(3) | LINE 3 | ADVENTIST MIDWEST HEALTH | Yes (1) | |
| ADVENTIST HEALTH SYSTEM GEORGIA INC | |||||||||||
| 1035 RED BUD ROAD NE | CALHOUN | GA | 30701 | 581425000 | OPERATION OF HOSPITAL & RELATED SERVICES | GA | 501(C)(3) | LINE 3 | ADVENTIST HLTH SYSTEM SUNBELT HLTHCARE CORP | Yes (1) | |
| ADVENTIST HLTH SYSTEM SUNBELT HLTHCARE CORP | |||||||||||
| 900 HOPE WAY | ALTAMONTE SPRINGS | FL | 32714 | 592170012 | MANAGEMENT SERVICES | FL | 501(C)(3) | LINE 12A, I | 0 | N/A | |
| ADVENTIST HLTH SYSTEMSUNBELT INC | |||||||||||
| 900 HOPE WAY | ALTAMONTE SPRINGS | FL | 32714 | 591479658 | OPERATION OF HOSPITALS & RELATED SERVICES | FL | 501(C)(3) | LINE 3 | ADVENTIST HLTH SYSTEM SUNBELT HLTHCARE CORP | Yes (1) | |
| ADVENTIST HLTH SYSTEMTEXAS INC | |||||||||||
| 11801 S FREEWAY | BURLESON | TX | 76028 | 742578952 | LEASING PERSONNEL TO AFFILIATED HOSPITAL | TX | 501(C)(3) | LINE 12C, III-FI | ADVENTIST HLTH SYSTEM SUNBELT HLTHCARE CORP | Yes (1) | |
| ADVENTIST MIDWEST HEALTH | |||||||||||
| 120 NORTH OAK STREET | HINSDALE | IL | 60521 | 362276984 | OPERATION OF HOSPITALS & RELATED SERVICES | IL | 501(C)(3) | LINE 3 | ADVENTIST HLTH SYSTEMSUNBELT INC | Yes (1) | |
| AHP SPECIALTY CARE NFP | |||||||||||
| 5101 S WILLOW SPRINGS RD SUITE B101 | LA GRANGE | IL | 60525 | 811105774 | OPERATION OF PHYSICIAN PRACTICES & MEDICAL SERVICES | IL | 501(C)(3) | LINE 3 | ADVENTIST MIDWEST HEALTH | Yes (1) | |
| AHS MIDWEST MANAGEMENT INC | |||||||||||
| 500 REMINGTON BLVD | BOLINGBROOK | IL | 60440 | 363354567 | OPERATION OF PHYSICIAN PRACTICE MANAGEMENT | IL | 501(C)(3) | LINE 12A, I | ADVENTIST HLTH SYSTEM SUNBELT HLTHCARE CORP | Yes (1) | |
| ALEXIAN BROTHERS-AHS MIDWEST REGION HEALTH CO (11-81722) | |||||||||||
| 2601 NAVISTAR DR BLDG 4 FINANCE | LISLE | IL | 60532 | 472360513 | JOINT OPERATING COMPANY | IL | 501(C)(3) | LINE 12B, II | 0 | N/A | |
| APOPKA HEALTH CARE PROPERTIES INC | |||||||||||
| 305 E OAK STREET | APOPKA | FL | 32703 | 510605694 | LEASE TO RELATED ORGANIZATION | GA | 501(C)(3) | LINE 12C, III-FI | SUNBELT HLTH CARE CENTERS INC | Yes (1) | |
| BERT FISH MEDICAL CENTER AUXILIARY INC | |||||||||||
| 401 PALMETTO STREET | NEW SMYRNA BEACH | FL | 32168 | 591054892 | VOLUNTEER SUPPORT SERVICES | FL | 501(C)(3) | LINE 10 | SOUTHEAST VOLUSIA HEALTHCARE CORP | 0 | |
| BRADFORD HEIGHTS HEALTH & REHAB CENTER INC (11-122222) | |||||||||||
| 485 NORTH KELLER ROAD 250 | MAITLAND | FL | 32751 | 205782342 | INACTIVE - WIND-DOWN | KY | 501(C)(3) | LINE 10 | SUNBELT HLTH CARE CENTERS INC | Yes (1) | |
| BURLESON NURSING & REHAB CENTER INC | |||||||||||
| 301 HUGULEY BLVD | BURLESON | TX | 76028 | 205782243 | OPERATION OF HOME FOR THE AGED/HLTHCARE DELIVERY | TX | 501(C)(3) | LINE 10 | SUNBELT HLTH CARE CENTERS INC | Yes (1) | |
| CHICKASAW HEALTH CARE PROPERTIES INC | |||||||||||
| 250 S CHICKASAW TRAIL | ORLANDO | FL | 32825 | 510605681 | LEASE TO RELATED ORGANIZATION | GA | 501(C)(3) | LINE 12C, III-FI | SUNBELT HLTH CARE CENTERS INC | Yes (1) | |
| CHIPPEWA VALLEY HOSPITAL & OAKVIEW CARE CENTER INC | |||||||||||
| 1220 THIRD AVENUE WEST | DURAND | WI | 54736 | 391365168 | OPERATION OF HOSPITAL & RELATED SERVICES | WI | 501(C)(3) | LINE 3 | ADVENTIST HLTH SYSTEMSUNBELT INC | Yes (1) | |
| COALITION FOR PHYSICIAN WELL-BEING INC | |||||||||||
| 900 HOPE WAY | ALTAMONTE SPRINGS | FL | 32714 | 463477012 | PROVIDE SUPPORT FOR PHYSICIAN WELL-BEING | FL | 501(C)(3) | LINE 10 | ADVENTIST HLTH SYSTEM SUNBELT HLTHCARE CORP | Yes (1) | |
| COURTLAND HEALTH CARE PROPERTIES INC | |||||||||||
| 730 COURTLAND STREET | ORLANDO | FL | 32804 | 510605682 | LEASE TO RELATED ORGANIZATION | GA | 501(C)(3) | LINE 12C, III-FI | SUNBELT HLTH CARE CENTERS INC | Yes (1) | |
| CREEKWOOD PLACE NURSING & REHAB CENTER INC (11-12622) | |||||||||||
| 485 NORTH KELLER ROAD 250 | MAITLAND | FL | 32751 | 205782260 | INACTIVE - WIND-DOWN | KY | 501(C)(3) | LINE 10 | SUNBELT HLTH CARE CENTERS INC | Yes (1) | |
| DAIRY ROAD HEALTH CARE PROPERTIES INC | |||||||||||
| 7350 DAIRY ROAD | ZEPHYRHILLS | FL | 33540 | 510605684 | LEASE TO RELATED ORGANIZATION | GA | 501(C)(3) | LINE 12C, III-FI | SUNBELT HLTH CARE CENTERS INC | Yes (1) | |
| EAST ORLANDO HEALTH & REHAB CENTER INC | |||||||||||
| 250 S CHICKASAW TRAIL | ORLANDO | FL | 32825 | 205774748 | OPERATION OF HOME FOR THE AGED/HLTHCARE DELIVERY | FL | 501(C)(3) | LINE 10 | SUNBELT HLTH CARE CENTERS INC | Yes (1) | |
| FLETCHER HOSPITAL INC | |||||||||||
| 100 HOSPITAL DRIVE | HENDERSONVILLE | NC | 28792 | 560543246 | OPERATION OF HOSPITAL & RELATED SERVICES | NC | 501(C)(3) | LINE 3 | ADVENTIST HLTH SYSTEM SUNBELT HLTHCARE CORP | Yes (1) | |
| FLNC INC | |||||||||||
| 3355 E SEMORAN BLVD | APOPKA | FL | 32703 | 205774761 | OPERATION OF HOME FOR THE AGED/HLTHCARE DELIVERY | FL | 501(C)(3) | LINE 10 | SUNBELT HLTH CARE CENTERS INC | Yes (1) | |
| FLORIDA HOSPITAL DADE CITY INC | |||||||||||
| 13100 FORT KING ROAD | DADE CITY | FL | 33525 | 822567308 | OPERATION OF HOSPITAL & RELATED SERVICES | FL | 501(C)(3) | LINE 3 | ADVENTIST HLTH SYSTEM SUNBELT HLTHCARE CORP | Yes (1) | |
| FLORIDA HOSPITAL HEALTHCARE PARTNERS INC | |||||||||||
| 770 WEST GRANADA BLVD 101 | ORMOND BEACH | FL | 32174 | 462354804 | OPERATION OF PHYSICIAN PRACTICES & MEDICAL SERVICES | FL | 501(C)(3) | LINE 3 | ADVENTIST HLTH SYSTEMSUNBELT INC | Yes (1) | |
| FLORIDA HOSPITAL MEDICAL GROUP INC | |||||||||||
| 2600 WESTHALL LANE 4TH FLOOR | MAITLAND | FL | 32751 | 593214635 | OPERATION OF PHYSICIAN PRACTICES & MEDICAL SERVICES | FL | 501(C)(3) | LINE 3 | ADVENTIST HLTH SYSTEMSUNBELT INC | Yes (1) | |
| FLORIDA HOSPITAL OCALA INC | |||||||||||
| 1500 SW 1ST AVENUE | OCALA | FL | 34471 | 824372339 | OPERATION OF HOSPITAL & RELATED SERVICES | FL | 501(C)(3) | LINE 3 | ADVENTIST HLTH SYSTEM SUNBELT HLTHCARE CORP | Yes (1) | |
| FLORIDA HOSPITAL PHYSICIAN GROUP INC | |||||||||||
| 12470 TELECOM DR 100 | TAMPA | FL | 33637 | 462021581 | OPERATION OF PHYSICIAN PRACTICES & MEDICAL SERVICES | FL | 501(C)(3) | LINE 3 | ADVENTIST HLTH SYSTEM SUNBELT HLTHCARE CORP | Yes (1) | |
| FLORIDA HOSPITAL WATERMAN INC | |||||||||||
| 1000 WATERMAN WAY | TAVARES | FL | 32778 | 593140669 | OPERATION OF HOSPITAL & RELATED SERVICES | FL | 501(C)(3) | LINE 3 | ADVENTIST HLTH SYSTEM SUNBELT HLTHCARE CORP | Yes (1) | |
| FLORIDA HOSPITAL ZEPHYRHILLS INC | |||||||||||
| 7050 GALL BLVD | ZEPHYRHILLS | FL | 33541 | 592108057 | OPERATION OF HOSPITAL & RELATED SERVICES | FL | 501(C)(3) | LINE 3 | ADVENTIST HLTH SYSTEMSUNBELT INC | Yes (1) | |
| FLORIDA RADIOLOGY IMAGING AT LAKE MARY LLC | |||||||||||
| 2600 WESTHALL LANE 4TH FLOOR | MAITLAND | FL | 32751 | 550789387 | IMAGING & TESTING | FL | 501(C)(3) | LINE 3 | FLORIDA HOSPITAL MEDICAL GROUP INC | Yes (1) | |
| FOUNTAIN INN NURSING & REHAB CENTER INC | |||||||||||
| 4501 WATERMAN WAY | TAVARES | FL | 32778 | 472180518 | OPERATION OF HOME FOR THE AGED/HLTHCARE DELIVERY | FL | 501(C)(3) | LINE 10 | SUNBELT HLTH CARE CENTERS INC | Yes (1) | |
| HELEN ELLIS MEMORIAL HOSPITAL AUXILIARY INC | |||||||||||
| 1395 S PINELLAS AVE | TARPON SPRINGS | FL | 34689 | 592106043 | FUND-RAISING FOR TAX-EXEMPT HOSPITAL/FOUNDATION | FL | 501(C)(3) | LINE 12C, III-FI | 0 | N/A | |
| HELEN ELLIS MEMORIAL HOSPITAL FOUNDATION INC | |||||||||||
| 1395 S PINELLAS AVE | TARPON SPRINGS | FL | 34689 | 593690149 | FUND-RAISING FOR TAX-EXEMPT HOSPITAL | FL | 501(C)(3) | LINE 7 | 0 | N/A | |
| HINSDALE HOSPITAL FOUNDATION | |||||||||||
| 120 NORTH OAK STREET | HINSDALE | IL | 60521 | 521466387 | FUND-RAISING FOR TAX-EXEMPT HOSPITAL | IL | 501(C)(3) | LINE 7 | MIDWEST HLTH FOUNDATION | 0 | |
| HOSPICE OF THE COMFORTER INC | |||||||||||
| 480 W CENTRAL PARKWAY | ALTAMONTE SPRINGS | FL | 32714 | 592935928 | OPERATION OF HOSPICE | FL | 501(C)(3) | LINE 10 | THE COMFORTER HEALTH CARE GROUP INC | Yes (1) | |
| IN-MOTION REHAB INC (11-122722) | |||||||||||
| 485 NORTH KELLER ROAD 250 | MAITLAND | FL | 32751 | 208023411 | INACTIVE | KS | 501(C)(3) | LINE 12B, II | SUNBELT HLTH CARE CENTERS INC | Yes (1) | |
| LAKE COUNTY HEALTH CARE PROPERTIES INC (11-122822) | |||||||||||
| 485 NORTH KELLER ROAD 250 | MAITLAND | FL | 32751 | 813923985 | LEASE TO RELATED ORGANIZATION | GA | 501(C)(3) | LINE 12C, III-FI | SUNBELT HLTH CARE CENTERS INC | Yes (1) | |
| MEMORIAL HEALTH SYSTEMS FOUNDATION INC | |||||||||||
| 305 MEMORIAL MEDICAL PKWY 212 | DAYTONA BEACH | FL | 32117 | 311771522 | FUND-RAISING FOR TAX-EXEMPT HOSPITAL | FL | 501(C)(3) | LINE 7 | 0 | N/A | |
| MEMORIAL HEALTH SYSTEMS INC | |||||||||||
| 301 MEMORIAL MEDICAL PARKWAY | DAYTONA BEACH | FL | 32117 | 590973502 | OPERATION OF HOSPITAL & RELATED SERVICES | FL | 501(C)(3) | LINE 3 | ADVENTIST HLTH SYSTEMSUNBELT INC | Yes (1) | |
| MEMORIAL HOSPITAL - WEST VOLUSIA INC | |||||||||||
| 701 WEST PLYMOUTH AVENUE | DELAND | FL | 32720 | 593256803 | OPERATION OF HOSPITAL & RELATED SERVICES | FL | 501(C)(3) | LINE 3 | MEMORIAL HLTH SYSTEMS INC | Yes (1) | |
| MEMORIAL HOSPITAL FLAGLER INC | |||||||||||
| 60 MEMORIAL MEDICAL PARKWAY | PALM COAST | FL | 32164 | 592951990 | OPERATION OF HOSPITAL & RELATED SERVICES | FL | 501(C)(3) | LINE 3 | MEMORIAL HLTH SYSTEMS INC | Yes (1) | |
| MEMORIAL HOSPITAL INC | |||||||||||
| 210 MARIE LANGDON DRIVE | MANCHESTER | KY | 40962 | 610594620 | OPERATION OF HOSPITAL & RELATED SERVICES | KY | 501(C)(3) | LINE 3 | ADVENTIST HLTH SYSTEM SUNBELT HLTHCARE CORP | Yes (1) | |
| METROPLEX ADVENTIST HOSPITAL INC | |||||||||||
| 2201 S CLEAR CREEK ROAD | KILLEEN | TX | 76549 | 742225672 | OPERATION OF HOSPITAL & RELATED SERVICES | TX | 501(C)(3) | LINE 3 | ADVENTIST HLTH SYSTEM SUNBELT HLTHCARE CORP | Yes (1) | |
| METROPLEX CLINIC PHYSICIANS INC | |||||||||||
| 2201 S CLEAR CREEK ROAD | KILLEEN | TX | 76549 | 113762050 | PHYSICIAN HEALTHCARE SERVICES TO THE COMMUNITY | TX | 501(C)(3) | LINE 3 | METROPLEX ADVENTIST HOSPITAL INC | Yes (1) | |
| MIDWEST HEALTH FOUNDATION | |||||||||||
| 120 NORTH OAK STREET | HINSDALE | IL | 60521 | 352230515 | FUND-RAISING FOR SUPPORTED EXEMPT HOSPITALS | IL | 501(C)(3) | LINE 7 | 0 | N/A | |
| MILLS HEALTH & REHAB CENTER INC(11-12622) | |||||||||||
| 485 NORTH KELLER ROAD 250 | MAITLAND | FL | 32751 | 205782320 | INACTIVE - WIND-DOWN | KY | 501(C)(3) | LINE 10 | SUNBELT HLTH CARE CENTERS INC | Yes (1) | |
| MISSION STRATEGIES OF GEORGIA INC | |||||||||||
| 485 NORTH KELLER ROAD 250 | MAITLAND | FL | 32751 | 900866024 | PROVISION OF SUPPORT TO THE NURSING HOME DIVISION | GA | 501(C)(3) | LINE 12B, II | SUNBELT HLTH CARE CENTERS INC | Yes (1) | |
| MISSOURI ADVENTIST HEALTH INC | |||||||||||
| 9100 W 74TH STREET | SHAWNEE MISSION | KS | 66204 | 431224729 | SUPPORT HEALTH CARE SERVICES | MO | 501(C)(3) | LINE 12D, III-O | ADVENTIST HLTH MID-AMERICA INC | Yes (1) | |
| OSCEOLA HEALTH CARE PROPERTIES INC | |||||||||||
| 485 NORTH KELLER ROAD 250 | MAITLAND | FL | 32751 | 813165729 | LEASE TO RELATED ORGANIZATION | GA | 501(C)(3) | LINE 12C, III-FI | SUNBELT HLTH CARE CENTERS INC | Yes (1) | |
| OVERLAND PARK NURSING & REHAB CENTER INC | |||||||||||
| 6501 WEST 75TH STREET | OVERLAND PARK | KS | 66204 | 205774821 | OPERATION OF HOME FOR THE AGED/HLTHCARE DELIVERY | KS | 501(C)(3) | LINE 10 | SUNBELT HLTH CARE CENTERS INC | Yes (1) | |
| PASCO-PINELLAS HILLSBOROUGH COMMUNITY HLTH SYSTEM INC | |||||||||||
| 2600 BRUCE B DOWNS BLVD | WESLEY CHAPEL | FL | 33544 | 208488713 | OPERATION OF HOSPITAL & RELATED SERVICES | FL | 501(C)(3) | LINE 3 | ADVENTIST HLTH SYSTEM SUNBELT HLTHCARE CORP | Yes (1) | |
| PORTERCARE ADVENTIST HEALTH SYSTEM (630 YE) | |||||||||||
| 9100 E MINERAL CIRCLE | CENTENNIAL | CO | 80112 | 840438224 | OPERATION OF HOSPITALS & RELATED SERVICES | CO | 501(C)(3) | LINE 3 | ADVENTIST HLTH SYSTEM SUNBELT HLTHCARE CORP | Yes (1) | |
| PRINCETON HEALTH & REHAB CENTER INC (11-12622) | |||||||||||
| 485 NORTH KELLER ROAD 250 | MAITLAND | FL | 32751 | 205782272 | INACTIVE - WIND-DOWN | KY | 501(C)(3) | LINE 10 | SUNBELT HLTH CARE CENTERS INC | Yes (1) | |
| PRINCETON HOMECARE SERVICES LLC (81 - 123122) | |||||||||||
| 602 COURTLAND STREET 310 | ORLANDO | FL | 32804 | 814196648 | HOME HEALTH CARE SERVCIES | FL | 501(C)(3) | LINE 10 | PRINCETON PROF SERVICES INC | Yes (1) | |
| PRINCETON PROFESSIONAL SERVICES INC | |||||||||||
| 601 E ROLLINS STREET | ORLANDO | FL | 32803 | 591191045 | PROVISION OF HEALTHCARE SERVICES | FL | 501(C)(3) | LINE 10 | ADVENTIST HLTH SYSTEM SUNBELT HLTHCARE CORP | Yes (1) | |
| QUALITY CIRCLE FOR HEALTHCARE INC | |||||||||||
| 900 HOPE WAY | ALTAMONTE SPRINGS | FL | 32714 | 263789368 | HEALTHCARE QUALITY SERVICES | FL | 501(C)(3) | LINE 12A, I | ADVENTIST HLTH SYSTEM SUNBELT HLTHCARE CORP | Yes (1) | |
| REDMOND PARK HOSPITAL LLC | |||||||||||
| 501 REDMOND ROAD NW | ROME | GA | 30165 | 581123037 | OPERATION OF HOSPITAL & RELATED SERVICES | GA | 501(C)(3) | LINE 3 | ADVENTIST HLTH SYSTEM SUNBELT HLTHCARE CORP | Yes (1) | |
| RESOURCE PERSONNEL INC | |||||||||||
| 485 NORTH KELLER ROAD 250 | MAITLAND | FL | 32751 | 208040875 | PROVIDE ADMINISTRATIVE SUPPORT TO TAX EXEMPT NURSING HOMES | FL | 501(C)(3) | LINE 12B, II | SUNBELT HLTH CARE CENTERS INC | Yes (1) | |
| ROCKY MOUNTAIN ADVENTIST HLTHCARE FOUNDATION (630 YE) | |||||||||||
| 960 E HARVARD AVENUE STE 230 | DENVER | CO | 80210 | 840745018 | FUND-RAISING FOR TAX-EXEMPT HOSPITAL | CO | 501(C)(3) | LINE 7 | 0 | N/A | |
| ROLLINS BROOK COMMUNITY CARE CORP | |||||||||||
| 2201 S CLEAR CREEK ROAD | KILLEEN | TX | 76549 | 461656773 | SUPPORT OPERATION OF HOSPITAL | TX | 501(C)(3) | LINE 12A, I | ADVENTIST HLTH SYSTEMSUNBELT INC | Yes (1) | |
| SAN MARCOS NURSING & REHAB CENTER INC | |||||||||||
| 1900 MEDICAL PARKWAY | SAN MARCOS | TX | 78666 | 205782224 | OPERATION OF HOME FOR THE AGED/HLTHCARE DELIVERY | TX | 501(C)(3) | LINE 10 | SUNBELT HLTH CARE CENTERS INC | Yes (1) | |
| SHAWNEE MISSION HLTH CARE PROPERTIES INC | |||||||||||
| 485 NORTH KELLER ROAD 250 | MAITLAND | FL | 32751 | 813914908 | LEASE TO RELATED ORGANIZATION | GA | 501(C)(3) | LINE 12C, III-FI | SUNBELT HLTH CARE CENTERS INC | Yes (1) | |
| SHAWNEE MISSION HEALTH CARE INC | |||||||||||
| 6501 WEST 75TH STREET | OVERLAND PARK | KS | 66204 | 480952508 | LEASE TO RELATED ORGANIZATION | KS | 501(C)(3) | LINE 12C, III-FI | SUNBELT HLTH CARE CENTERS INC | Yes (1) | |
| SHAWNEE MISSION MEDICAL CENTER INC | |||||||||||
| 9100 W 74TH STREET | SHAWNEE MISSION | KS | 66204 | 480637331 | OPERATION OF HOSPITAL & RELATED SERVICES | KS | 501(C)(3) | LINE 3 | ADVENTIST HLTH MID-AMERICA INC | Yes (1) | |
| SOUTH PASCO HEALTH CARE PROPERTIES INC | |||||||||||
| 38250 A AVENUE | ZEPHYRHILLS | FL | 33542 | 510605679 | LEASE TO RELATED ORGANIZATION | GA | 501(C)(3) | LINE 12C, III-FI | SUNBELT HLTH CARE CENTERS INC | Yes (1) | |
| SOUTHEAST VOLUSIA HEALTHCARE CORP | |||||||||||
| 401 PALMETTO STREET | NEW SMYRNA BEACH | FL | 32168 | 473793197 | OPERATION OF HOSPITAL & RELATED SERVICES | FL | 501(C)(3) | LINE 3 | ADVENTIST HLTH SYSTEM SUNBELT HLTHCARE CORP | Yes (1) | |
| SOUTHWEST VOLUSIA HEALTH SERVICES INC | |||||||||||
| 1055 SAXON BLVD | ORANGE CITY | FL | 32763 | 593281591 | MEDICAL OFFICE BUILDING FOR HOSPITAL | FL | 501(C)(3) | LINE 12A, I | SOUTHWEST VOLUSIA HLTHCARE CORP | Yes (1) | |
| SOUTHWEST VOLUSIA HEALTHCARE CORP | |||||||||||
| 1055 SAXON BLVD | ORANGE CITY | FL | 32763 | 593149293 | OPERATION OF HOSPITAL & RELATED SERVICES | FL | 501(C)(3) | LINE 3 | ADVENTIST HLTH SYSTEMSUNBELT INC | Yes (1) | |
| SPRING VIEW HEALTH & REHAB CENTER INC (11-122222) | |||||||||||
| 485 NORTH KELLER ROAD 250 | MAITLAND | FL | 32751 | 205782288 | INACTIVE - WIND-DOWN | KY | 501(C)(3) | LINE 10 | SUNBELT HLTH CARE CENTERS INC | Yes (1) | |
| SUNBELT HEALTH & REHAB CENTER - APOPKA INC | |||||||||||
| 305 EAST OAK STREET | APOPKA | FL | 32703 | 205774856 | OPERATION OF HOME FOR THE AGED/HLTHCARE DELIVERY | FL | 501(C)(3) | LINE 10 | SUNBELT HLTH CARE CENTERS INC | Yes (1) | |
| SUNBELT HEALTH CARE CENTERS INC | |||||||||||
| 485 NORTH KELLER ROAD 250 | MAITLAND | FL | 32751 | 581473135 | MANAGEMENT SERVICES | TN | 501(C)(3) | LINE 12B, II | ADVENTIST HLTH SYSTEM SUNBELT HLTHCARE CORP | Yes (1) | |
| TARPON SPRINGS HOSPITAL FOUNDATION INC | |||||||||||
| 1395 S PINELLAS AVE | TARPON SPRINGS | FL | 34689 | 590898901 | OPERATION OF HOSPITAL & RELATED SERVICES | FL | 501(C)(3) | LINE 3 | UNIVERSITY COMMUNITY HOSPITAL INC | Yes (1) | |
| TARRANT COUNTY HEALTH CARE PROPERTIES INC | |||||||||||
| 301 HUGULEY BLVD | BURLESON | TX | 76028 | 510605677 | LEASE TO RELATED ORGANIZATION | GA | 501(C)(3) | LINE 12C, III-FI | SUNBELT HLTH CARE CENTERS INC | Yes (1) | |
| THE COMFORTER HEALTH CARE GROUP INC | |||||||||||
| 605 MONTGOMERY ROAD | ALTAMONTE SPRINGS | FL | 32714 | 271857940 | SUPPORT SERVICES TO RELATED HOSPICE | FL | 501(C)(3) | LINE 12C, III-FI | ADVENTIST HLTH SYSTEM SUNBELT HLTHCARE CORP | Yes (1) | |
| TRI-COUNTY NURSING AND REHAB CENTER INC | |||||||||||
| 1290 CELEBRATION BLVD | KISSIMMEE | FL | 34747 | 472219363 | OPERATION OF HOME FOR THE AGED/HLTHCARE DELIVERY | FL | 501(C)(3) | LINE 10 | SUNBELT HLTH CARE CENTERS INC | Yes (1) | |
| UNIVERSITY COMMUNITY HOSPITAL FOUNDATION INC | |||||||||||
| 3100 E FLETCHER AVE | TAMPA | FL | 33613 | 592554889 | FUND-RAISING FOR TAX-EXEMPT HOSPITAL | FL | 501(C)(3) | LINE 7 | 0 | N/A | |
| UNIVERSITY COMMUNITY HOSPITAL INC | |||||||||||
| 3100 E FLETCHER AVE | TAMPA | FL | 33613 | 591113901 | OPERATION OF HOSPITALS & RELATED SERVICES | FL | 501(C)(3) | LINE 3 | ADVENTIST HLTH SYSTEM SUNBELT HLTHCARE CORP | Yes (1) | |
| WEST FLORIDA HEALTH HOME CARE INC | |||||||||||
| 13601 BRUCE B DOWNS BLVD STE 110 | TAMPA | FL | 33613 | 593686109 | HOME HEALTH SERVICES | GA | 501(C)(3) | LINE 10 | ADVENTHEALTH WEST FLORIDA AMBULATORY SVCS INC | Yes (1) | |
| ZEPHYR HAVEN HEALTH & REHAB CENTER INC | |||||||||||
| 38250 A AVENUE | ZEPHYRHILLS | FL | 33542 | 205774930 | OPERATION OF HOME FOR THE AGED/HLTHCARE DELIVERY | FL | 501(C)(3) | LINE 10 | SUNBELT HLTH CARE CENTERS INC | Yes (1) | |
| ZEPHYRHILLS HEALTH & REHAB CENTER INC | |||||||||||
| 7350 DAIRY ROAD | ZEPHYRHILLS | FL | 33540 | 205774967 | OPERATION OF HOME FOR THE AGED/HLTHCARE DELIVERY | FL | 501(C)(3) | LINE 10 | SUNBELT HLTH CARE CENTERS INC | Yes (1) | |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (12 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Direct Controlling NADirectControllingNACd | Disproportionate AllocationsDisproportionateAllocationsInd | General Or Managing PartnerGeneralOrManagingPartnerInd |
|---|---|---|---|---|---|---|---|---|---|
| FLETCHER HOSPITAL SURGICAL VENTURES LLC | |||||||||
| 9131 ANSON WAY STE 304 | RALEIGH | NC | 27615 | 861482646 | INDIRECT INTEREST IN SURGERY CENTER | NC | N/A | 0 | 0 |
| FLORIDA HOSPITAL DMERT LLC | |||||||||
| 500 WINDERLEY PLACE STE 324 | MAITLAND | FL | 32751 | 202392253 | MEDICAL EQUIPMENT | FL | N/A | 0 | Yes (1) |
| FLORIDA HOSPITAL HOME INFUSION LLP | |||||||||
| 500 WINDERLEY PLACE STE 226 | MAITLAND | FL | 32751 | 593142824 | HOME INFUSION SERVICES | FL | N/A | 0 | Yes (1) |
| FUNCTIONAL NEUROSURGICAL AMBULATORY SURGERY CTR LLC | |||||||||
| 11 W DRY CREEK CIRCLE 120 | LITTLETON | CO | 80120 | 464426708 | SURGERY CENTER | CO | N/A | 0 | 0 |
| M&O ORLANDO MOB I LLC | |||||||||
| 1919 N ORANGE AVE STE E | ORLANDO | FL | 32804 | 844259138 | OPERATION OF MEDICAL OFFICE BUILDING | DE | N/A | 0 | 0 |
| ONPOINT OBGYN LLC (21-123122) | |||||||||
| 7780 S BROADWAY 280 | LITTLETON | CO | 80122 | 873522453 | HEALTHCARE SERVICES | CO | N/A | 0 | 0 |
| PAHS ONPOINT IMAGING LLC | |||||||||
| 9205 S BROADWAY | HIGHLANDS RANCH | CO | 80129 | 833275105 | IMAGING CENTER | CO | N/A | 0 | 0 |
| PAHS ONPOINT URGENT CARE LLC | |||||||||
| 9100 E MINERAL CIRCLE | CENTENNIAL | CO | 80112 | 832465331 | URGENT CARE CENTER | CO | N/A | 0 | 0 |
| PRINCETON HOMECARE SERVICES LLC (11-8122) | |||||||||
| 602 COURTLAND STREET 310 | ORLANDO | FL | 32804 | 814196648 | OPERATION OF HOME HEALTH AGENCY | FL | N/A | 0 | 0 |
| SURGERY CENTER OF ROME LP | |||||||||
| 501 REDMOND ROAD NW | ROME | GA | 30165 | 200390305 | SURGERY CENTER | GA | N/A | 0 | 0 |
| THE BARIATRIC CENTER OF KANSAS CITY LLC | |||||||||
| 9100 W 74TH STREET | MERRIAM | KS | 66204 | 823025378 | SURGERY CENTER | KS | N/A | 0 | 0 |
| URGENT CARE CENTERS OF BREVARD COUNTY LLC | |||||||||
| 2600 WESTHALL LANE | MAITLAND | FL | 32751 | 844261523 | URGENT CARE CENTERS | FL | N/A | 0 | Yes (1) |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (22 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Direct Controlling NADirectControllingNACd | Entity TypeEntityTypeTxt | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|
| ADVENTHEALTH ORLANDO NETWORK INC (11 - 41922) | |||||||||
| 900 HOPE WAY | ALTAMONTE SPRINGS | FL | 32714 | 862639185 | INACTIVE | FL | N/A | C | Yes (1) |
| ADVENTHEALTH PROFESSIONAL STAFFING INC (11 - 12822) | |||||||||
| 900 HOPE WAY | ALTAMONTE SPRINGS | FL | 32714 | 880742779 | INACTIVE | FL | N/A | C | Yes (1) |
| ADVENTHEALTH TAMPA NETWORK INC (11 - 41922) | |||||||||
| 900 HOPE WAY | ALTAMONTE SPRINGS | FL | 32714 | 862666178 | INACTIVE | FL | N/A | C | Yes (1) |
| ADVENTHEALTH TEAM MEMBERS INC (11 - 12822) | |||||||||
| 900 HOPE WAY | ALTAMONTE SPRINGS | FL | 32714 | 880763664 | INACTIVE | FL | N/A | C | Yes (1) |
| ADVENTHEALTH VALUE BASED BUNDLE MANAGEMENT LLC (61-123122) | |||||||||
| 101 SOUTHHALL LANE STE 150 | MAITLAND | FL | 32751 | 873487910 | MEDICAL CONTRACTING AND BILLING | FL | N/A | C | Yes (1) |
| ALTAMONTE MEDICAL PLAZA CONDOMINIUM ASSOCIATION INC | |||||||||
| 601 EAST ROLLINS STREET | ORLANDO | FL | 32803 | 592855792 | CONDO ASSOCIATION | FL | N/A | C | Yes (1) |
| APOPKA MEDICAL PLAZA CONDOMINIUM ASSOCIATION INC | |||||||||
| 601 EAST ROLLINS STREET | ORLANDO | FL | 32803 | 593000857 | CONDO ASSOCIATION | FL | N/A | C | Yes (1) |
| BATTLE CREEK ADVENTIST HOSPITAL | |||||||||
| 900 HOPE WAY | ALTAMONTE SPRINGS | FL | 32714 | 381359189 | INACTIVE | MI | N/A | C | Yes (1) |
| FLORIDA HOSPITAL FLAGLER MEDICAL OFFICES ASSOCIATION INC | |||||||||
| 60 MEMORIAL MEDICAL PARKWAY | PALM COAST | FL | 32164 | 262158309 | CONDO ASSOCIATION | FL | N/A | C | Yes (1) |
| FLORIDA HOSP HLTH VILLAGE PROPERTY OWNER'S ASSOC INC | |||||||||
| 550 E ROLLINS STREET 7TH FLOOR | ORLANDO | FL | 32803 | 821748255 | CONDO ASSOCIATION | FL | N/A | C | Yes (1) |
| FLORIDA HOSPITAL HEALTHCARE SYSTEM INC | |||||||||
| 101 SOUTHHALL LANE STE 150 | MAITLAND | FL | 32751 | 593215680 | PHSO / CIN | FL | N/A | C | Yes (1) |
| FLORIDA MEDICAL PLAZA CONDOMINIUM ASSOCIATION INC | |||||||||
| 601 EAST ROLLINS STREET | ORLANDO | FL | 32803 | 592855791 | CONDO ASSOCIATION | FL | N/A | C | Yes (1) |
| KISSIMMEE MULTISPECIALTY CLINIC CONDOMINIUM ASSOCIATION INC | |||||||||
| 201 HILDA STREET SUITE 30 | KISSIMMEE | FL | 34741 | 593539564 | CONDO ASSOCIATION | FL | N/A | C | Yes (1) |
| MIDWEST MANAGEMENT SERVICES INC | |||||||||
| 9100 WEST 74TH STREET | SHAWNEE MISSION | KS | 66204 | 480901551 | INACTIVE | KS | N/A | C | Yes (1) |
| NORTH AMERICAN HEALTH SERVICES INC & SUB | |||||||||
| 900 HOPE WAY | ALTAMONTE SPRINGS | FL | 32714 | 621041820 | HOLDING CO. | TN | N/A | C | Yes (1) |
| ORMOND PROF ASSOCIATES CONDO ASSOC INC (430 YEAR END) | |||||||||
| 770 W GRANADA BLVD STE 101 | ORMOND BEACH | FL | 32174 | 592694434 | CONDO ASSOCIATION | FL | N/A | C | Yes (1) |
| PARK RIDGE PROPERTY OWNER'S ASSOCIATION INC | |||||||||
| 1 PARK PLACE NAPLES ROAD | FLETCHER | NC | 28732 | 030380531 | CONDO ASSOCIATION | NC | N/A | C | Yes (1) |
| PARK RIDGE CONDOMINIUM #1 UNIT OWNERS ASSOCIATION INC | |||||||||
| 1 PARK PLACE NAPLES ROAD | FLETCHER | NC | 28732 | 010584623 | CONDO ASSOCIATION | NC | N/A | C | Yes (1) |
| SURGICARE OF ROME INC | |||||||||
| 501 REDMOND RD | ROME | GA | 30165 | 200376307 | HOLDING COMPANY | GA | N/A | C | Yes (1) |
| REDMOND PARK HEALTH SERVICES INC | |||||||||
| 501 REDMOND RD | ROME | GA | 30165 | 621330078 | HOLDING COMPANY | GA | N/A | C | Yes (1) |
| THE GARDEN RETIREMENT COMMUNITY INC | |||||||||
| 485 NORTH KELLER ROAD STE 250 | MAITLAND | FL | 32751 | 593414055 | REAL ESTATE RENTAL | FL | N/A | C | Yes (1) |
| WINTER PARK MEDICAL OFFICE BUILDING I CONDO ASSOC INC | |||||||||
| 601 EAST ROLLINS STREET | ORLANDO | FL | 32803 | 452228478 | CONDO ASSOCIATION | FL | N/A | C | Yes (1) |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | 0 | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | 0 | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | 0 | SharingOfFacilitiesInd |
| Paid Employees Sharing | 0 | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |
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