2020-11-10T10:17:28-06:00 2019-12-31 990 2019-01-01 592219301 SunSystem Development Corporation SUNS 4073571000 900 Hope Way Altamonte Springs FL 32714 Lynn C Addiscott Assistant Secretary 4079751400 2020-10-16 204.139.85.142 2020-10-16 13:33:04 ED P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 1CF6776BA0A2965D553CEF3953E0B36AE7F0CCCB 2019 2021-01-29 14:40:06Z David Collis 900 Hope Way Altamonte Springs FL 32714 27491585 0 X N/A X 1982 FL Fund Raising for Affiliated Tax-Exempt Hospitals and Hospice Organization 8 0 0 475 0 0 10341764 8991877 18277204 14621960 6733524 2456455 -777826 -580829 34574666 25489463 32895212 36371051 0 0 0 0 91367 81510 4857118 5148115 6140894 38134694 42593455 -3560028 -17103992 152569287 143027749 5842672 5473119 146726615 137554630 X 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 filing organization 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. 0 0 36371051 36371051 14621960 SunSystem Development Corporation (SDC) is involved in philanthropic activities for the benefit of its affiliated tax-exempt hospital organizations. During the current tax year, SDC supported the activities of fourteen charitable related tax-exempt hospital organizations and one charitable hospice organization. 36371051 1 1 0 0 0 1 0 0 0 1 0 0 0 1 1 1 0 1 0 0 1 1 0 1 1 0 0 1 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 1 1 1 0 0 1 76 0 1 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 X 8 0 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 0 0 0 FL NC TX GA KY X Heather Haddix 4073571000 900 Hope Way Altamonte Springs FL 32714 X Shaw Terry President/CEO 0.10 50.00 X 0 4276521 435698 Houmann Lars D Chairman/Director (end 12/31/19) 0.10 50.00 X 0 2609062 296909 Rathbun Paul C Director 0.10 50.00 X 0 1594684 249273 Goodman Todd A Director 0.10 50.00 X 0 1290806 154429 Hamilton MD Thomas Ted E Director 0.10 50.00 X 0 880959 43563 Johnson Penny Director 0.10 50.00 X 0 753914 136473 Addiscott Lynn C Director 0.10 50.00 X 0 565836 27402 Brady Amanda Director 0.10 50.00 X 0 457381 84709 Collis David Dir/Pres-AdventHealth Fdn Central FL 50.00 0.00 X X 0 426849 68095 Jernigan PhD Donald L Former CEO 0.00 4.00 X 0 180408 22322 0 13036420 1518873 0 1 1 0 Blackbaud Inc PO Box 930256 Atlanta GA 31193 Maintenance Fees/Training 134893 1 X 3096473 5532928 362476 8991877 Satisfaction of Program Restricti 900099 14614563 14614563 Advised Fund Fees 900099 7397 7397 14621960 1639543 1639543 816912 0 816912 816912 816912 1421293 3096473 2002122 -580829 -580829 25489463 14621960 0 1875626 X 34395737 34395737 1201191 1201191 774123 774123 81510 81510 263062 263062 400171 398446 1725 95304 53743 41561 310654 127118 183536 6141 1228 4913 84746 42161 42585 48668 10465 38203 22779 411 22368 Reimbursed Salaries/Wag 4048594 249816 3798778 Event Gifts/Prizes 231849 0 231849 Purchased Services 151046 113758 37288 Food Costs 102303 47472 54831 375577 57606 317971 42593455 36371051 1365286 4857118 X X 642537 1372278 122419789 114911821 11084326 8855271 223571 242013 720903 729211 17478161 16917155 152569287 143027749 19322 19832 5823350 5453287 5842672 5473119 X 62633034 52324633 84093581 85229997 146726615 137554630 152569287 143027749 X -17103992 5183536 -5300 2753771 X 0 1 X 1 0 X 17035932 31105174 43264332 28626553 23606440 143638431 17035932 31105174 43264332 28626553 23606440 143638431 26723256 116915175 5658919 5217873 2455427 7385483 2616260 23333962 166972393 0.70020 0.68040 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 5 182815 287700 595915 1 1 20471913 50000 1196289 526694 21191508 19274406 100000 1099218 1711 20471913 19390999 166685 1051467 9029 20600122 19118543 568450 277615 573609 19390999 18008913 530000 911157 331527 19118543 0.92460 0.07540 0.00000 0 0 0 Other Receivables 8224339 Investments Held Under Split-Interest Agreements 3453141 Cash Surrender Value of Life Insurance 1326203 Other Assets 2555243 Donated Assets 57075 Due from Related 1271003 Interest Receivable 30151 16917155 Due to Related 2005095 Liabilities Under Split-Interest Agreements 3371462 Charitable Gift Annuity 76730 5453287 X Part V, Line 4: SunSystem Development Corp. (SDC) has certain endowments established for a variety of purposes in support of related tax-exempt hospital organizations that are also exempt under IRC Section 501(c)(3). All of SDC's permanently restricted endowment funds are required to be retained permanently either by explicit donor stipulation or by the Florida Uniform Prudent Management of Institutional Funds Act. Part V, line 1a, column (b) Prior year - Explanation for change in opening balance: During 2018, it was determined that an Endowment in the amount of $1,325,716 received prior to 2018 should be reclassified from permanent endowment to a temporarily restricted asset. Part V, line 1c, column (e) Four years back - During 2016, the Foundation agreed to a modification of a donor's endowment agreement, which resulted in an impairment of $722,928. This amount was netted with the Foundation's 2016 investment return. Part X, Line 2: 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, 2019 and 2018. NAHS also has temporary deductible differences of approximately $46,500 and $53,000 at December 31, 2019 and 2018, respectively, primarily as a result of net operating loss carryforwards. At December 31, 2019, NAHS had net operating loss carryforwards of approximately $47,500, expiring beginning in 2022 through 2026. Deferred taxes have been provided for these amounts, resulting in a net deferred tax asset of approximately $11,400 and $13,400 at December 31, 2019 and 2018, 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, 2019 and 2018 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 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, 2019 and 2018. On December 22, 2017, the United States enacted tax reform legislation commonly known as the Tax Cuts and Jobs Act (Act), resulting in significant modifications to existing law. Certain provisions impact tax-exempt organizations, including revisions to taxes on unrelated business activities, excise taxes on compensation of certain employees, and various other provisions. 1 Sub-Saharan Africa - Angola, Benin, Botswana, Burkina Faso, 0 0 Grantmaking 116602 Central America and the Caribbean - Antigua & Barbuda, Aruba, Bahamas, 0 0 Grantmaking 396352 South America - Argentina, Bolivia, Brazil, Chile, Columbia, Ecuador, 0 0 Grantmaking 141883 East Asia and the Pacific - Australia, Brunei, Burma, Cambodia, 0 0 Grantmaking 79674 North America - Canada and Mexico, but not the United States 0 0 Grantmaking 39612 0 0 0 0 0 0 774123 0 774123 Central America and the Caribbean - Antigua & Barbuda, Aruba, Bahamas, General Support 173905 Check Book Central America and the Caribbean - Antigua & Barbuda, Aruba, Bahamas, Hospital Renovation 69500 Check Book Central America and the Caribbean - Antigua & Barbuda, Aruba, Bahamas, Medical Equipment 64202 Check Book Central America and the Caribbean - Antigua & Barbuda, Aruba, Bahamas, Cath Labs 52342 Check Book Central America and the Caribbean - Antigua & Barbuda, Aruba, Bahamas, Cleft Lip and Palate Program 36403 Check Book Sub-Saharan Africa - Angola, Benin, Botswana, Burkina Faso, General Support 59102 Check Book Sub-Saharan Africa - Angola, Benin, Botswana, Burkina Faso, School Projects 57500 Check Book South America - Argentina, Bolivia, Brazil, Chile, Columbia, Ecuador, General Support 117813 Check Book South America - Argentina, Bolivia, Brazil, Chile, Columbia, Ecuador, Cleft Lip and Palate Program 24070 Check Book East Asia and the Pacific - Australia, Brunei, Burma, Cambodia, General Support 79674 Check Book North America - Canada and Mexico, but not the United States General Support 6720 Check Book North America - Canada and Mexico, but not the United States Cleft Lip and Palate Program 32892 Check Book 1 0 0 0 0 0 0 0 Part I, Line 2: Foreign Grants are typically made only to supported hospital organizations that are exempt from Federal Income Tax under 501(c)(3), other U.S. charitable organizations, or to foreign entities recognized as charitable by the foreign country in which they are located. Given that most grants are made indirectly through other U.S. or foreign charitable organizations, the filing organization has not established specific procedures for monitoring the use of grant funds outside the United States. Part III Accounting Method: X X X X X X 1 Communication Mark Inc 233 Tampa Circle Arden NC 28704 Grant Writing Assistance 0 0 59010 0 Kim Lauth Consulting LLC 117 Londonderry Road Knoxville TN 37923 Campaign Fundraising Consulting 0 0 1500 0 HunterKemper Consulting 20 Maplewood Rd Asheville NC 28804 Campaign Fundraising Consultanting 0 0 21000 0 Alpert Enterprises 1115 Queen Palm Ct Hollywood FL 33019 Live Auction Services 0 0 7365 0 88875 FL GA KY NC TX GALA - AdventHealth Fdn Central FL 2654773 1637667 1017106 0 53079 31920 287131 478523 459383 Gala - AdventHealth Fdn West FL 293947 205763 88184 30580 43350 57371 21 1569046 1253043 316003 2950 60183 139575 95542 87787 174748 4517766 3096473 1421293 2950 113262 171495 413253 609660 691502 2002122 -580829 1 Adventist Health System Georgia Inc 1035 Red Bud Road Calhoun GA 30701 581425000 501(c)(3) 150000 Radiation Therapy Construction Adventist Health System Georgia Inc 1035 Red Bud Road Calhoun GA 30701 581425000 501(c)(3) 1395266 Edna Owens Breast Center Construction Adventist Health System Georgia Inc 1035 Red Bud Road Calhoun GA 30701 581425000 501(c)(3) 385228 3D Mammography System Adventist Health System Georgia Inc 1035 Red Bud Road Calhoun GA 30701 581425000 501(c)(3) 1241 Cancer Indigent Care Needs Adventist Health SystemSunbelt Inc dba AdventHealth Orlando 601 E Rollins Street Orlando FL 32803 590724459 501(c)(3) 31512169 General Support Adventist Health SystemSunbelt Inc dba AdventHealth Sebring 4200 Sun N Lake Blvd Sebring FL 33870 590725553 501(c)(3) 100000 General Support Adventist Health SystemSunbelt Inc dba AdventHealth Sebring 4200 Sun N Lake Blvd Sebring FL 33870 590725553 501(c)(3) 98000 Wauchula Wellness Center Renovation Adventist Health SystemSunbelt Inc dba AdventHealth Sebring 4200 Sun N Lake Blvd Sebring FL 33870 590725553 501(c)(3) 36620 Wauchula Hospital New Building Construction Adventist Health SystemSunbelt Inc dba AdventHealth Sebring 4200 Sun N Lake Blvd Sebring FL 33870 590725553 501(c)(3) 24399 General Support AdventHealth University Inc 671 Winyah Drive Orlando FL 32803 593069793 501(c)(3) 841151 General Support American Osteopathic Foundation 142 E Ontario Street Suite 1450 Chicago IL 60611 362170786 501(c)(3) 66500 General Support Blue Ridge Honor Flight 401 N Main Street Suite 400 Hendersonville NC 28792 384000964 501(c)(3) 48975 General Support Creation Development Foundation Inc 52 Riley Road Suite 404 Celebration FL 34747 453411581 501(c)(3) 500000 General Support Flagler County Free Clinic Inc 703 E Moody Blvd Bunnell FL 32110 205036975 501(c)(3) 21599 General Support Fletcher Hospital Inc 50 Hospital Dr Hendersonville NC 28792 560543246 501(c)(3) 224280 General Support Florida Hospital Medical Group Inc dba Radiology Specialists of Florida 235 E Princeton St Ste 100 Orlando FL 32804 262157500 501(c)(3) 6703 General Support Florida Hospital Medical Group Inc 2600 Westhall Lane 4th Floor Maitland FL 32751 593214635 501(c)(3) 67985 General Support Florida Resurrection Home 800-11th St North St Petersberg FL 33705 592837168 501(c)(3) 20000 General Support Givewell Community Foundation Inc 1501 S Florida Ave Lakeland FL 33803 593649871 501(c)(3) 240000 General Support Helen Ellis Memorial Hospital Foundation dba AdventHealth North Pinellas Fo 1395 S Pinellas Ave Tarpon Springs FL 34689 593690149 501(c)(3) 66508 General Support Henderson County Education Foundation PO Box 1267 Hendersonville NC 28793 581734733 501(c)(3) 7560 General Support Henderson County Free Medical Clinic Inc 841 Case Street Hendersonville NC 28792 562212024 501(c)(3) 317000 General Support Hospice of the Comforter Inc 480 W Central Pkwy Altamonte Springs FL 32714 592935928 501(c)(3) 1344 General Support Hospice of the Comforter Inc 480 W Central Parkway Altamonte Springs FL 32704 592935928 501(c)(3) 93925 General Support Memorial Health Systems Inc 301 Memorial Medical Pkwy Daytona Beach FL 32117 590973502 501(c)(3) 1810 General Support Memorial Hospital Flagler Inc 60 Memorial Medical Pkwy Palm Coast FL 32164 592951990 501(c)(3) 15000 General Support Memorial Hospital Flagler Inc 60 Memorial Medical Pkwy Palm Coast FL 32164 592951990 501(c)(3) 114373 Purchase of Medical Equipment Memorial Hospital Flagler Inc 60 Memorial Medical Pkwy Palm Coast FL 32164 592951990 501(c)(3) 15000 Breast Cancer Charity Care Memorial Hospital Flagler Inc 60 Memorial Medical Pkwy Palm Coast FL 32164 592951990 501(c)(3) 147113 Charity Care Memorial Hospital Flagler Inc 60 Memorial Medical Pkwy Palm Coast FL 32164 592951990 501(c)(3) 71215 Stewart F. Meyers Hospice House Refurbishment Memorial Hospital West Volusia Inc 151 Victoria Commons Blvd Deland FL 32724 593256803 501(c)(3) 6886 14724 FMV Medical Supplies General Support Metroplex Adventist Hospital Inc dba AdventHealth Central Texas 2201 S Clear Creek Road Killeen TX 76549 742225672 501(c)(3) 289500 Purchase of 3D Mammography Equipment Pasco-Pinellas Hillsborough Community Health System Inc 2600 Bruce B Downs Blvd Wesley Chapel FL 33544 208488713 501(c)(3) 9757 General Support Safelight Inc 133 5th Ave Hendersonville NC 28792 561469847 501(c)(3) 17500 General Support Southeast Volusia Healthcare Corp 401 Palmetto Street New Smyrna Beach FL 32168 473793197 501(c)(3) 39168 General Support Southwest Volusia Healthcare Corp 1055 Saxon Blvd Orange City FL 32763 593149293 501(c)(3) 8000 General Support for Cardiovascular & Cardiopulmonary Departments Southwest Volusia Healthcare Corp 1055 Saxon Blvd Orange City FL 32763 593149293 501(c)(3) 26965 General Support for Wound Care Center Southwest Volusia Healthcare Corp 1055 Saxon Blvd Orange City FL 32763 593149293 501(c)(3) 10000 General Support for Community Care Southwest Volusia Healthcare Corp 1055 Saxon Blvd Orange City FL 32763 593149293 501(c)(3) 25376 Outpatient Imaging Medical Equipment University Community Hospital Inc 3100 E Fletcher Avenue Tampa FL 33613 591113901 501(c)(3) 288536 General Support 24 0 Books and Supplies 5 1608 Food, Clothing & Shelter 108 84815 Nursing Scholarships 6 10500 Employee Assistance 41 1700 Hardship Assistance 20 13089 Other Assistance 4 5322 Patient Assistance 4313 1051415 Payments for Mammography 59 6613 Other Scholarships 9 26129 Part I, Line 2: Grants are generally made only to related supported hospital organizations that are exempt from Federal Income Tax under 501(c)(3), other 501(c)(3) organizations that are a part of the group exemption ruling issued to the General Conference of Seventh-Day Adventists, or to other 501(c)(3) community organizations involved in health-related causes. Accordingly, the filing organization has not established specific procedures for monitoring the use of grant funds in the United States as the filing organization does not have a grant making program that would necessitate such procedures. 0 1 0 0 0 0 0 0 0 Shaw Terry President/CEO 0 1745693 0 712420 0 1818408 0 380390 0 55308 0 4712219 0 312231 Houmann Lars D Chairman/Director (end 12/31/19) 0 1209479 0 552173 0 847410 0 251578 0 45331 0 2905971 0 246703 Rathbun Paul C Director 0 993376 0 380674 0 220634 0 208495 0 40778 0 1843957 0 171802 Goodman Todd A Director 0 676730 0 183480 0 430596 0 109503 0 44926 0 1445235 0 70311 Hamilton MD Thomas Ted E Director 0 492025 0 141981 0 246953 0 15087 0 28476 0 924522 0 0 Johnson Penny Director 0 544039 0 123317 0 86558 0 95111 0 41362 0 890387 0 57546 Addiscott Lynn C Director 0 347083 0 84243 0 134510 0 15087 0 12315 0 593238 0 0 Brady Amanda Director 0 354421 0 67904 0 35056 0 47647 0 37062 0 542090 0 25271 Collis David Dir/Pres-AdventHealth Fdn Central FL 0 342354 0 49062 0 35433 0 25627 0 42468 0 494944 0 6579 Jernigan PhD Donald L Former CEO 0 180001 0 0 0 407 0 0 0 22322 0 202730 0 0 Part I, Line 3 The individual who serves as the President/CEO of the filing organization, is compensated by Adventist Health System Sunbelt Healthcare Corp (AHSSHC) for that individual's role in serving as the President/CEO of the filing organization and as the CEO of AdventHealth. Compensation and benefits provided to this individual are determined pursuant to policies, procedures, and processes of AHSSHC that are designed to ensure compliance with the intermediate sanctions laws as set forth in IRC Section 4958. AHSSHC has taken steps to ensure that processes are in place to satisfy the rebuttable presumption of reasonableness standard as set forth in Treasury Regulation 53.4958-6 with respect to its active executive-level positions. The AHSSHC Board Compensation Committee (the Committee) serves as the governing body for all executive compensation matters. The Committee is composed of certain members of the Board of Directors (the Board) of AHSSHC. Voting members of the Committee include only individuals who serve on the Board as independent representatives of the community, who hold no employment positions with AHSSHC and who do not have relationships with any of the individuals whose compensation is under their review that impacts their best independent judgment as fiduciaries of AHSSHC. The Committee's role is to review and approve all components of the executive compensation plan of AHSSHC. As an independent governing body with respect to executive compensation, it should be noted that the Committee will often confer in executive sessions on matters of compensation policy and policy changes. In such executive sessions, no members of management of AHSSHC are present. The Committee is advised by an independent third-party compensation advisor. This advisor prepares all the benchmark studies for the Committee. Compensation levels are benchmarked with a national peer group of other not-for-profit healthcare systems and hospitals of similar size and complexity to AdventHealth and each of its affiliated entities. The following principles guide the establishment of individual executive compensation: - The salary of the President/CEO of AdventHealth will not exceed the 50th percentile of comparable salaries paid by similarly situated organizations; and - Other executive salaries shall be established using market medians. The compensation philosophy, policies, and practices of AHSSHC are consistent with the organization's faith-based mission and conform to applicable laws, regulations, and business practices. As a faith-based organization sponsored by the Seventh-day Adventist Church (the Church), AHSSHC's philosophy and principles with respect to its executive compensation practices reflect the conservative approach of the Church's mission of service and were developed in counsel with the Church's leadership. Part I, Line 4b Executives serving on the filing organization's Board of Directors are compensated by and on the payroll of Adventist Health System Sunbelt Healthcare Corporation (AHSSHC), 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 to eligible executives participation in the AdventHealth Executive FLEX Benefit Program (the Plan). The purpose of the Plan is to offer eligible executives an opportunity to elect from among a variety of supplemental benefits, including a split dollar life insurance policy and long-term care insurance, to individually tailor a benefits program appropriate to each executive's needs. The Plan provides eligible participants a pre-determined benefits allowance credit that is equal to a percentage of the executive's base pay from which is deducted the cost of mandatory and elective employee benefits. The pre-determined benefits allowance credit percentage is approved by the AHSSHC Board Compensation Committee, an independent committee of the Board of Directors of AHSSHC. Any funds that remain after the cost of mandatory and elective benefits are subtracted from the annual pre-determined benefits allowance are contributed, at the employee's option, to either an IRC 457(f) deferred compensation account or to an IRC 457(b) eligible deferred compensation plan. Upon attainment of age 65, all previous 457(f) deferred amounts are paid immediately to the participant and any future employer contributions are made quarterly from the Plan directly to the participant. The Plan documents define an employee who is eligible to participate in the Plan to generally include the Chief Executive Officers of AdventHealth entities and Vice Presidents of all AdventHealth entities whose base salary is at least $260,000. The Plan provides for a class year vesting schedule (2 years for each class year) with respect to amounts accumulated in the executive's 457(f) deferred compensation account. Distributions could also be made from the executive's 457(f) deferred compensation account upon attainment of age 65 or upon an involuntary separation. The account is forfeited by the executive upon a voluntary separation. In addition to the Plan, AdventHealth has instituted 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. Participation in the plan is offered to AdventHealth executives 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. This supplemental executive retirement plan (SERP) was designed to provide eligible executives with the economic equivalent of an annual income beginning at normal retirement age equal to 60% of the average of the participant's three, 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 the SERP and by the individual's year of entry to the AdventHealth Executive FLEX Benefit Program. Additionally, AdventHealth has adopted a Senior Executive Death Benefit (SEDB) Plan in recognition of the considerable age and service requirements in the SERP. The SEDB Plan provides a benefit in an amount equal to the amount the executive's benefit would have been under the SERP Plan assuming that, on the date of the executive's death (and not before), the executive satisfied the last of the eligibility requirements of the SERP Plan with present value recognizing an early benefit commencement. An eligible executive becomes a participant in the SEDB Plan if the executive dies prior to termination of employment, provided the executive has not satisfied all of the eligibility requirements of SERP as of the executive's date of death but would have satisfied all of those requirements within five (5) years following death had the executive lived and continued employment. The SEDB Plan was reviewed and approved by the AHSSHC Board Compensation Committee, an independent body of the AHSSHC Board of Directors. Flex Plan Flex Plan/ SERP 457(b) CY CY Employer CY Contrib./ Distributions* Contrib. Distributions* Payment ------------------------------------------------------- Addiscott, Lynn C. $ 52,793 $ 52,793 $ 32,286 $ 0 Brady, Amanda $ 32,561 $ 26,290 $ 0 $ 0 Collis, David S. $ 29,540 $ 6,717 $ 0 $ 0 Goodman, Todd A. $113,417 $ 72,930 $320,312 $ 0 Hamilton, MD, Thomas E. (Ted) $ 77,826 $ 77,826 $ 97,765 $ 0 Houmann, Lars D. $255,491 $255,039 $487,733 $ 0 Johnson, Penny L. $ 80,024 $ 60,238 $ 0 $ 0 Rathbun, Paul C. $193,409 $178,953 $ 0 $ 0 Shaw, Terry $384,304 $315,408 $1,407,121 $ 0 * Including Investment Earnings X 0 X 8 0 X Gift Annuities 5 0 X Various Items 213 0 0 1 1 Part I, Line 32b: Sunsystem Development Corporation (SDC) is a charitable foundation organization that supports fourteen related tax-exempt hospital organizations and one charitable hospice organization. In carrying out its philanthropic activities, SDC will occasionally engage third-parties to provide various consulting services. Such consulting services generally include donor/grant prospecting, assistance with grant-writing, fund-raising planning and organization, and planned giving services. Fees paid to any engaged consultants are at fair market value rates and the terms are always negotiated at arm's length. Part I, Line 33: Pursuant to the filing organization's Net Assets Accounting Policy, gifts of donated property are recorded by the filing organization to the unrestricted net assets (equity) account. Accordingly, donated property reported on lines 5, 9, 25, and 26 are recorded directly to equity accounts and are not recorded in the income statement. Form 990, Part VI, Section A, line 6 SunSystem Development Corporation (SDC) is a wholly owned subsidiary of Adventist Health System Sunbelt Healthcare Corporation (AHSSHC). AHSSHC is a Florida, not-for-profit corporation that is exempt from federal income tax under Internal Revenue Code (IRC) Section 501(c)(3). AHSSHC is the sole corporate member of SDC. There are no other separate classes of membership in SDC. Form 990, Part VI, Section A, line 7a The affairs of SDC are managed by a Board of Managers. The Board of Managers of SDC are elected by the Member of SDC. Form 990, Part VI, Section A, line 7b The member of SDC has certain reserved powers as set forth in the Articles of Incorporation and Bylaws of SDC. These reserved powers include the following: a) to appoint and remove the members of the Board of Managers of SDC; and b) to adopt, amend, restate, and repeal the Articles of Incorporation or Bylaws of SDC. Form 990, Part VI, Section B, line 11b SDC's current year Form 990 was reviewed by the President of AdventHealth Foundation Central Florida and a Director on the organization's Board prior to its filing with the IRS. The review conducted by the President of AdventHealth Foundation Central Florida and a Director on the organization's Board did not include the review of any supporting workpapers that were used in preparation of the current year's Form 990, but did include a review of the entire Form 990 and all supporting schedules. Form 990, Part VI, Section B, line 12c The Conflict of Interest Policy of SDC applies to members of its Board of Managers and its principal officers (to be known as Interested Persons). In connection with any actual or possible conflicts of interests, any member of the Board of Managers of SDC or any principal officer of SDC (i.e. Interested Persons) must disclose the existence of any financial interest with SDC and must be given the opportunity to disclose all material facts concerning the financial interest/arrangement to the Board of Managers of SDC or to any members of a committee with board delegated powers that is considering the proposed transaction or arrangement. Subsequent to any disclosure of any financial interest/arrangement and all material facts, and after any discussion with the relevant Board member or principal officer, the remaining members of the Board of Managers or committee with board delegated powers shall discuss, analyze, and vote upon the potential financial interest/arrangement to determine if a conflict of interest exists. According to SDC's Conflict of Interest Policy, an Interested Person may make a presentation to the Board of Managers (or committee with board delegated powers), but after such presentation, shall leave the meeting during the discussion of, and the vote on, the transaction or arrangement that results in a conflict of interest. Each Interested Person, as defined under SDC's Conflict of Interest Policy, shall annually sign a statement which affirms that such person has received a copy of the Conflict of Interest policy, has read and understands the policy, has agreed to comply with the policy, and understands that SDC is a charitable organization that must primarily engage in activities which accomplish one or more of its exempt purposes. SDC's Conflict of Interest Policy also requires that periodic reviews shall be conducted to ensure that SDC operates in a manner consistent with its charitable purposes. Form 990, Part VI, Section B, line 15 The individual that serves as the President of the filing organization is not compensated by the filing organization. Such individual is compensated by the related top-tier parent organization of the filing organization. Please see the discussion concerning the process followed by the related top-tier parent organization in determining 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 (E) and (F) on page 7 were provided in conjunction with that person's responsibilities and roles in serving in an executive leadership position as an employee of Adventist Health System Sunbelt Healthcare Corporation. Part VIII, Lines 7c: The amounts shown in Part VIII, Lines 7a(i) and 7c(i) of the Form 990 represents an allocated share of capital gain/(loss) from a system wide, corporate administered, investment program. Form 990, Part IX, line 11g Other Fees for Services: Program service expenses 0. Management and general expenses 398,446. Fundraising expenses 1,725. Total expenses 400,171. Part X, Line 2: The amounts shown on line 2 of Part X of this return include the filing organization's interest in a central investment pool maintained by Adventist Health System Sunbelt Healthcare Corporation, the filing organization's top-tier parent. The investments in the central investment pool are recorded at market value. Form 990, Part XI, line 9: Temporarily Restricted Gifts 14,935,483. Temporarily Restricted Investment Income 976,717. Transfer of Net Assets Released from Restrictions -14,614,563. Permanently Restricted Gifts 185,869. Permanently Restricted Investment Income -3,496. Transfer of Net Assets from University Community Hospital Foundation, Inc. (EIN: 59-2554889), an affiliate that conducts fund-raising & philanthropic activities 1,145,157. Gain on Investments 98,160. Other Adjustments 15,061. Allocation of Special Event Net Revenue from University Community Hospital Foundation, Inc. 15,383. AdventHealth Family Medicine Rural Health Clinics Inc fka Hospice of the C 187 PR 4060 Lampasas TX 76550 271858033 Operation of Rural Health Clinics & Medical Services FL 501(c)(3) Line 3 Metroplex Adventist Hospital Inc 1 AdventHealth Foundation Shawnee Mission 9100 W 74th Street Shawnee Mission KS 66204 480868859 Fund-raising for Tax-exempt hospital KS 501(c)(3) Line 7 Shawnee Mission Medical Center Inc 1 AdventHealth Home Care East Florida LLC (218-123119) 770 West Granada Blvd 319 Ormond Beach FL 32174 833768458 Inactive FL 501(c)(3) Line 12a, I Memorial Hlth Systems Inc 1 AdventHealth Hospice Care East Florida Inc (218-123119) 770 West Granada Blvd 304 Ormond Beach FL 32174 833748461 Inactive FL 501(c)(3) Line 12a, I Memorial Hlth Systems Inc 1 AdventHealth North Polk Inc fka University Community Hospital Specialty Ca 3100 E Fletcher Ave Tampa FL 33613 593231322 Inactive FL 501(c)(3) Line 12a, I University Community Hospital Inc 1 AdventHealth Osceola South Inc (416-123119) 900 Hope Way Altamonte Springs FL 32714 841817046 Inactive FL 501(c)(3) Line 3 Adventist Hlth System Sunbelt Hlthcare Corp 1 AdventHealth Polk North Inc (418-123119) 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 1 AdventHealth Polk South Inc (415-123119) 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 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 1 AdventHealth University Inc 671 Lake Winyah Drive Orlando FL 32803 593069793 Education/Operation of School FL 501(c)(3) Line 2 Adventist Hlth SystemSunbelt Inc 1 AdventHealth West FL Ambulatory Svcs Inc fka West FL Hlth Inc 14055 Riveredge Drive Tampa FL 33637 471881744 Inactive FL 501(c)(3) Line 10 Adventist Hlth System Sunbelt Hlthcare Corp 1 AdventHealth West Florida Imaging Inc (924-123119) 14055 Riveredge Drive Ste 250 Tampa FL 33637 843225135 Imaging & Testing FL 501(c)(3) Line 12a, I AdventHealth West Florida Ambulatory Services Inc 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 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 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 1 Adventist Hlth 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 1 Adventist Hlth Partners Inc 2601 Navistar Dr Bldg 4 Finance Lisle IL 60532 364138353 Operation of Physician Practices & Medical Services IL 501(c)(3) Line 3 AHS Midwest Management Inc 1 Adventist Hlth System Sunbelt Hlthcare Corp 900 Hope Way Altamonte Springs FL 32714 592170012 Management Services FL 501(c)(3) Line 12a, I N/A 0 Adventist Hlth System Georgia Inc 1035 Red Bud Road Calhoun GA 30701 581425000 Operation of Hospital & Related Services GA 501(c)(3) Line 3 Adventist Hlth System Sunbelt Hlthcare Corp 1 Adventist Hlth SystemSunbelt Inc 900 Hope Way Altamonte Springs FL 32714 591479658 Operation of Hospital & Related Services FL 501(c)(3) Line 3 Adventist Hlth System Sunbelt Hlthcare Corp 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 1 Adventist Midwest Health 120 North Oak Street Hinsdale IL 60521 362276984 Operation of Hospital & Related Services IL 501(c)(3) Line 3 Adventist Hlth SystemSunbelt Inc 1 AHP Specialty Care NFP 2601 Navistar Dr Bldg 4 Finance Lisle IL 60532 811105774 Operation of Physician Practices & Medical Services IL 501(c)(3) Line 3 AHS Midwest Management Inc 1 AHS Midwest Management Inc 2601 Navistar Dr Bldg 4 Finance Lisle IL 60532 363354567 Operation of Physician Practice Mgmt IL 501(c)(3) Line 12a, I Adventist Midwest Health 1 AHSCentral Texas Inc 1301 Wonder World Drive San Marcos TX 78666 742621825 Provide Office Space - Medical Professionals TX 501(c)(3) Line 12c, III-FI Adventist Hlth System Sunbelt Hlthcare Corp 1 Apopka Hlth Care Properties Inc 305 E Oak Street Apopka FL 32703 510605694 Lease to Related Organization GA 501(c)(3) Line 12c, III-FI Sunbelt Hlth Care Centers Inc 1 Battle Creek Adventist Hospital 900 Hope Way Altamonte Springs FL 32714 381359189 Inactive MI 501(c)(3) Line 3 Adventist Hlth SystemSunbelt Inc 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 N/A 0 Bolingbrook Hospital Foundation (1119-62119) 500 Remington Blvd Bolingbrook IL 60440 900494445 Fund-raising for Tax-exempt hospital IL 501(c)(3) Line 7 Midwest Hlth Foundation 0 Bradford Heights Hlth & Rehab Center Inc 950 Highpoint Drive Hopkinsville KY 42240 205782342 Operation of Home for the Aged/Hlthcare Delivery KY 501(c)(3) Line 10 Sunbelt Hlth Care Centers Inc 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 1 Caldwell Hlth Care Properties Inc 1333 West Main Princeton KY 42445 510605680 Lease to Related Organization GA 501(c)(3) Line 12c, III-FI Sunbelt Hlth Care Centers Inc 1 Central Texas Hlthcare Collaborative 1301 Wonder World Drive San Marcos TX 78666 453739929 Support Operation of Hospital TX 501(c)(3) Line 12a, I Adventist Hlth SystemSunbelt Inc 1 Chickasaw Hlth 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 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 1 Courtland Hlth 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 1 Creekwood Place Nursing & Rehab Center Inc 107 Boyles Drive Russellville KY 42276 205782260 Operation of Home for the Aged/Hlthcare Delivery KY 501(c)(3) Line 10 Sunbelt Hlth Care Centers Inc 1 Dairy Road Hlth 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 1 East Orlando Hlth & Rehab Center Inc 250 S Chickasaw Trail Orlando FL 32825 205774748 Operation of Home for the Aged/Hlthcare Delivery FL 501(c)(3) Line 10 Sunbelt Hlth Care Centers Inc 1 Emory-Adventist Inc 900 Hope Way Altamonte Springs FL 32714 582171011 Inactive GA 501(c)(3) Line 3 Adventist Hlth SystemSunbelt Inc 1 Fletcher Hospital Inc 100 Hospital Drive Hendersonville NC 28792 560543246 Operation of Hospital & Related Svcs NC 501(c)(3) Line 3 Adventist Hlth System Sunbelt Hlthcare Corp 1 FLNC Inc 3355 E Semoran Blvd Apopka FL 32703 205774761 Operation of Home for the Aged/Hlthcare Delivery FL 501(c)(3) Line 10 Sunbelt Hlth Care Centers Inc 1 Florida Hospital Dade City Inc 13100 Fort King Road Dade City FL 33525 822567308 Operation of Hospital & Related Svcs FL 501(c)(3) Line 3 Adventist Hlth System Sunbelt Hlthcare Corp 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 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 1 Florida Hospital Ocala Inc 1500 SW 1st Avenue Ocala FL 34471 824372339 Operation of Hospital & Related Svcs FL 501(c)(3) Line 3 Adventist Hlth System Sunbelt Hlthcare Corp 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 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 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 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 1 Fountain Inn Nursing & Rehab Center Inc 485 North Keller Road 250 Maitland FL 32751 472180518 Operation of Home for the Aged/Hlthcare Delivery FL 501(c)(3) Line 10 Sunbelt Hlth Care Centers Inc 1 GlenOaks Hospital Foundation (11-62119) 701 Winthrop Avenue Glendale Heights IL 60139 363926044 Fund-raising for Tax-exempt hospital IL 501(c)(3) Line 7 Midwest Hlth Foundation 0 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 N/A 0 Helen Ellis Memorial Hospital Foundation Inc 1395 S Pinellas Ave Tarpon Springs FL 34689 593690149 Fund-raising for Tax-exempt hospital FL 501(c)(3) Line 7 N/A 0 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 1 In-Motion Rehab Inc 485 North Keller Road 250 Maitland FL 32751 208023411 Therapy services to tax exempt nursing homes KS 501(c)(3) Line 12b, II Sunbelt Hlth Care Centers Inc 1 La Grange Memorial Hospital Foundation (11-62119) 5101 S Willow Springs Rd La Grange IL 60525 300247776 Fund-raising for Tax-exempt hospital IL 501(c)(3) Line 7 Midwest Hlth Foundation 0 Lake County Health Care Properties Inc 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 1 Memorial Hlth 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 N/A 0 Memorial Hlth 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 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 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 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 1 Merriam Hlth Care Properties Inc 9700 West 62nd Street Merriam KS 66203 364595806 Lease to Related Organization KS 501(c)(3) Line 12c, III-FI Sunbelt Hlth Care Centers Inc 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 1 Metroplex Clinic Physicians Inc 2201 S Clear Creek Road Killeen TX 76549 113762050 Physician Hlthcare services to the community TX 501(c)(3) Line 3 Metroplex Adventist Hospital Inc 1 Midwest Hlth Foundation 120 North Oak Street Hinsdale IL 60521 352230515 Support of subsidiary foundations IL 501(c)(3) Line 12b, II N/A 0 Mills Hlth & Rehab Center Inc 500 Beck Lane Mayfield KY 42066 205782320 Operation of Home for the Aged/Hlthcare Delivery KY 501(c)(3) Line 10 Sunbelt Hlth Care Centers Inc 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 1 Missouri Adventist Hlth Inc 9100 W 74th Street Shawnee Mission KS 66204 431224729 Support Hlth Care Services MO 501(c)(3) Line 12d, III-O Adventist Hlth Mid-America Inc 1 Ormond Beach Memorial Hospital Auxiliary Inc 301 Memorial Medical Parkway Daytona Beach FL 32117 591721962 Volunteer support services FL 501(c)(3) Line 12c, III-FI N/A 0 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 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 1 Paragon Hlth Care Properties Inc 950 Highpoint Drive Hopkinsville KY 42240 510605686 Lease to Related Organization GA 501(c)(3) Line 12c, III-FI Sunbelt Hlth Care Centers Inc 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 1 Portercare Adventist Hlth System (630 Year End) 9100 E Mineral Circle Centennial CO 80112 840438224 Operation of Hospital & Related Services CO 501(c)(3) Line 3 Adventist Hlth System Sunbelt Hlthcare Corp 1 Princeton Hlth & Rehab Center Inc 1333 West Main Princeton KY 42445 205782272 Operation of Home for the Aged/Hlthcare Delivery KY 501(c)(3) Line 10 Sunbelt Hlth Care Centers Inc 1 Princeton Professional Services Inc 601 E Rollins Street Orlando FL 32803 591191045 Provision of Hlthcare Services FL 501(c)(3) Line 10 Adventist Hlth System Sunbelt Hlthcare Corp 1 Quality Circle for Hlthcare Inc 900 Hope Way Altamonte Springs FL 32714 263789368 Hlthcare Quality Services FL 501(c)(3) Line 12a, I Adventist Hlth System Sunbelt Hlthcare Corp 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 1 Rocky Mountain Adventist Hlthcare Foundation (630 Year End) 7995 E Prentice Ave 204 Greenwood Village CO 80111 840745018 Fund-raising for Tax-exempt hospital CO 501(c)(3) Line 7 N/A 0 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 1 Russellville Hlth Care Properties Inc 683 East Third Street Russellville KY 42276 510605691 Lease to Related Organization GA 501(c)(3) Line 12c, III-FI Sunbelt Hlth Care Centers Inc 1 San Marcos Hlth Care Properties Inc 1900 Medical Parkway San Marcos TX 78666 510605693 Lease to Related Organization GA 501(c)(3) Line 12c, III-FI Sunbelt Hlth Care Centers Inc 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 1 Shawnee Mission Hlth 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 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 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 1 South Pasco Hlth 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 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 1 Southwest Volusia Hlth 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 1 Southwest Volusia Hlthcare Corp 1055 Saxon Blvd Orange City FL 32763 593149293 Operation of Hospital & Related Services FL 501(c)(3) Line 3 Adventist Hlth SystemSunbelt Inc 1 Specialty Physicians of Central Texas Inc 1301 Wonder World Drive San Marcos TX 78666 208814408 Physician Hlthcare services to the community TX 501(c)(3) Line 3 Adventist Hlth SystemSunbelt Inc 1 Spring View Hlth & Rehab Center Inc 718 Goodwin Lane Leitchfield KY 42754 205782288 Operation of Home for the Aged/Hlthcare Delivery KY 501(c)(3) Line 10 Sunbelt Hlth Care Centers Inc 1 Sunbelt Hlth & Rehab Center - Apopka Inc 305 East Oak Street Apopka FL 32703 205774856 Operation of Home for the Aged/Hlthcare Delivery FL 501(c)(3) Line 10 Sunbelt Hlth Care Centers Inc 1 Sunbelt Hlth 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 1 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 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 1 Tarrant County Hlth 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 1 Taylor Creek Hlth Care Properties Inc 718 Goodwin Lane Leitchfield KY 42754 510605678 Lease to Related Organization GA 501(c)(3) Line 12c, III-FI Sunbelt Hlth Care Centers Inc 1 The Comforter Health Care Group Inc 605 Montgomery Road Altamonte Springs FL 32714 271857940 Lease to Related Organization FL 501(c)(3) Line 12c, III-FI Adventist Hlth System Sunbelt Hlthcare Corp 1 The Volunteer Auxiliary of Florida Hospital - Flagler Inc 60 Memorial Medical Parkway Palm Coast FL 32164 592486582 Volunteer support services FL 501(c)(3) Line 12c, III-FI N/A 0 Tri-County Nursing and Rehab Center Inc 485 North Keller Road 250 Maitland FL 32751 472219363 Operation of Home for the Aged/Hlthcare Delivery FL 501(c)(3) Line 10 Sunbelt Hlth Care Centers Inc 1 Trinity Nursing & Rehab Center Inc 9700 West 62nd Street Merriam KS 66203 205774890 Operation of Home for the Aged/Hlthcare Delivery KS 501(c)(3) Line 10 Sunbelt Hlth Care Centers Inc 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 12a, I N/A 0 University Community Hospital Inc 3100 E Fletcher Ave Tampa FL 33613 591113901 Operation of Hospital & Related Services FL 501(c)(3) Line 3 Adventist Hlth System Sunbelt Hlthcare Corp 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 West Florida Health Inc 1 West Kentucky Hlth Care Properties Inc 500 Beck Lane Mayfield KY 42066 510605676 Lease to Related Organization GA 501(c)(3) Line 12c, III-FI Sunbelt Hlth Care Centers Inc 1 Zephyr Haven Hlth & Rehab Center Inc 38250 A Avenue Zephyrhills FL 33542 205774930 Operation of Home for the Aged/Hlthcare Delivery FL 501(c)(3) Line 10 Sunbelt Hlth Care Centers Inc 1 Zephyrhills Hlth & 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 1 Clear Creek MOB Ltd (1119-3519) 2201 S Clear Creek Rd Killeen TX 76549 742609195 Real Estate TX N/A Florida Hospital DMERT LLC 500 Winderley Place Ste 324 Maitland FL 32751 202392253 Medical Equipment FL N/A Florida Hospital Home Infusion LLP 500 Winderley Place Ste 226 Maitland FL 32751 593142824 Home Infusion Services FL N/A Heart of Florida Surgery Center LLC 410 Lionel Way 100 Davenport FL 33837 812235296 Surgery Center DE N/A Functional Neurosurgical Ambulatory Surgery Ctr LLC 11 W Dry Creek Circle 120 Littleton CO 80120 464426708 Surgery Center CO N/A PAHS OnPoint Urgent Care LLC (382019 - 12312019) 9100 E Mineral Circle Centennial CO 80112 832465331 Urgent Care Center CO N/A Princeton Homecare Services LLC 1050 Forrer Blvd Kettering OH 45420 814196648 Operation of Home Health Agency FL N/A San Marcos MRI LP 1330 Wonder World Dr Ste 202 San Marcos TX 78666 770597972 Imaging & Testing TX N/A The Bariatric Center of Kansas City LLC 9100 W 74th Street Merriam KS 66204 823025378 Surgery Center KS N/A Altamonte Medical Plaza Condominium Association Inc 601 East Rollins Street Orlando FL 32803 592855792 Condo Association FL N/A C 1 Apopka Medical Plaza Condominium Association Inc 601 East Rollins Street Orlando FL 32803 593000857 Condo Association FL N/A C 1 CC MOB Inc 2201 S Clear Creek Road Killeen TX 76549 742616875 Real Estate Rental TX N/A C 1 Central Texas Medical Associates 1301 Wonder World Drive San Marcos TX 78666 742729873 Inactive TX N/A C 1 Central Texas Providers Network 1301 Wonder World Drive San Marcos TX 78666 742827652 Physician Hospital Org. TX N/A C 1 Florida Hospital Flagler Medical Offices Association Inc 60 Memorial Medical Parkway Palm Coast FL 32164 262158309 Condo Association FL N/A C 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 1 Florida Hospital Healthcare System Inc 101 Southhall Lane Ste 150 Maitland FL 32751 593215680 PHSO FL N/A C 1 Florida Medical Plaza Condominium Association Inc 601 East Rollins Street Orlando FL 32803 592855791 Condo Association FL N/A C 1 Florida Memorial Health Network Inc (11 - 102419) 770 W Granada Blvd Ste 317 Ormond Beach FL 32174 593403558 Physician Hospital Org. FL N/A C 1 Kissimmee Multispecialty Clinic Condominium Association Inc 201 Hilda Street Suite 30 Kissimmee FL 34741 593539564 Condo Association FL N/A C 1 LN Health Partners Inc 550 E Rollins Street 6th Floor Orlando FL 32803 813556903 Inactive FL N/A C 1 Midwest Management Services Inc 9100 West 74th Street Shawnee Mission KS 66204 480901551 Inactive KS N/A C 1 North American Health Services Inc & Sub 900 Hope Way Altamonte Springs FL 32714 621041820 Lessor/Holding Co. TN N/A C 1 Ormond Prof Associates Condo Assoc'n Inc (430 year end) 770 W Granada Blvd Ste 101 Ormond Beach FL 32174 592694434 Condo Association FL N/A C 1 Park Ridge Property Owner's Association Inc 1 Park Place Naples Road Fletcher NC 28732 030380531 Condo Association NC N/A C 1 Porter Affiliated Health Services Inc 2525 S Downing Street Denver CO 80210 840956175 Healthcare Services CO N/A C 1 San Marcos Regional MRI Inc 1301 Wonder World Drive San Marcos TX 78666 770597968 Holding Company TX N/A C 1 The Garden Retirement Community Inc 485 North Keller Road Ste 250 Maitland FL 32751 593414055 Real Estate Rental FL N/A C 1 Winter Park Medical Office Building I Condo Assoc Inc 601 East Rollins Street Orlando FL 32803 452228478 Condo Association FL N/A C 1 0 1 1 0 0 0 0 0 0 0 0 0 1 1 0 1 0 0 0 AdventHealth University Inc B 841151 Actual Amount Donated Adventist Health System Georgia Inc B 1931735 Actual Amount Donated Adventist Health SystemSunbelt Inc dba AdventHealth Orlando B 31512169 Actual Amount Donated Adventist Health SystemSunbelt Inc dba AdventHealth Sebring B 259019 Actual Amount Donated Fletcher Hospital Inc B 224280 Actual Amount Donated Florida Hospital Medical Group Inc B 74688 Actual Amount Donated Helen Ellis Memorial Hospital Foundation dba AdventHealth North Pinellas Fo B 66508 Actual Amount Donated Hospice of the Comforter Inc B 95269 Actual Amount Donated Memorial Hospital - Flagler Inc B 362701 Actual Amount Donated Metroplex Adventist Hospital Inc B 289500 Actual Amount Donated Southwest Volusia Healthcare Corp B 70340 Actual Amount Donated University Community Hospital Inc B 288536 Actual Amount Donated Adventist Health System Sunbelt Healthcare Corp C 231900 Actual Amount Received Adventist Health SystemSunbelt Inc dba AdventHealth Orlando C 4667865 Actual Amount Received Adventist Health SystemSunbelt Inc dba AdventHealth Sebring C 203715 Actual Amount Received Bert Fish Memorial Center Auxiliary Inc C 66200 Actual Amount Received Fletcher Hospital Inc C 218162 Actual Amount Received Florida Hospital Zephyrhills Inc C 88506 Actual Amount Received Memorial Hospital - Flagler Inc C 74876 Actual Amount Received Memorial Hospital - West Volusia Inc dba AdventHealth DeLand C 87291 Actual Amount Received Southwest Volusia Healthcare Corp C 59959 Actual Amount Received Adventist Health System Georgia Inc M 53213 Cost Adventist Health SystemSunbelt Inc dba AdventHealth Orlando M 316159 Cost Fletcher Hospital Inc M 295419 Cost Florida Hospital Zephyrhills Inc M 277842 Cost Memorial Hospital - Flagler Inc M 251286 Cost Memorial Hospital - West Volusia Inc dba AdventHealth DeLand M 103045 Cost Metroplex Adventist Hospital Inc M 70192 Cost Southeast Volusia Healthcare Corp M 127140 Cost Southwest Volusia Hlthcare Corp M 125089 Cost Adventist Health SystemSunbelt Inc dba AdventHealth Orlando N 272015 Cost Allocation Pasco-Pinellas Hillsborough Community Health System Inc P 317967 Cost