2018-01-29T15:22:07-06:00 2016-12-31 990 2016-01-01 592219301 SunSystem Development Corporation SUNS 4073571000 900 Hope Way Altamonte Springs FL 32714 Lynn C Addiscott Assistant Secretary 4079751400 2018-01-08 204.139.85.141 2018-01-08 09:06:27 ES P 6A6761F01A72A4CC16FFFF0EAE0CDF0FFAD8864C F7F973113C6C6A5F5987F0EC85E73F6D0608CD2F 2016 2021-01-29 14:40:06Z Paul Rathbun 900 Hope Way Altamonte Springs FL 32714 36660152 0 X N/A X 1982 FL Fund Raising for Affiliated Tax-Exempt Hospitals 8 0 0 885 0 0 10838906 14023907 6202836 17087278 4509790 1588977 -648521 -782665 20903011 31917497 11537311 20691230 0 0 0 0 41536 19842 4316782 5046346 6176854 16625193 26887926 4277818 5029571 142345061 145984517 3555553 4679953 138789508 141304564 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 Adventist Health System (AHS). AHS 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, AHS cares for and nurtures people: our employees, our communities, our healthcare professionals, and those who trust us for care and healing. 0 0 20691230 20691230 17087278 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 eleven charitable related tax-exempt hospital organizations and one charitable hospice organization. 20691230 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 1 116 0 1 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 X 8 0 1 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 0 0 0 FL NC TN GA KY X Heather Haddix 4073571000 900 Hope Way Altamonte Springs FL 32714 X Rathbun Paul C Chairman/Director (Began 09/2016) 0.10 50.00 X 0 1084008 190018 Addiscott Lynn C Director (Began 09/2016) 0.10 50.00 X 0 571224 51893 Brady Amanda Director (Began 09/2016) 0.10 50.00 X 0 387723 77455 Brown-Fraser PhD Sherine Director (Ended 09/2016) 0.10 3.00 X 0 950 0 Carlson Ronald Director (Ended 09/2016) 0.10 3.00 X 0 1058 0 Cauley DMin Michael F Director (Ended 09/2016) 0.10 3.00 X 0 1343 0 Craig Carlos Director (Ended 09/2016) 0.10 3.00 X 0 950 0 Cummings Jr Desmond President/Director (Began 09/2016) 15.00 0.20 X X 0 295053 56097 Davidson James R Director (Ended 09/2016) 0.10 3.00 X 0 1451 0 Goodman Todd A Director (Began 09/2016) 0.10 50.00 X 0 617892 107859 Griffith Jr Buford Director (Ended 09/2016) 0.10 3.00 X 0 1058 0 Haffner PhD Randall L Director (Ended 09/2016) 0.10 50.00 X 0 1707541 265682 Hamilton MD Thomas E Ted Director (Began 09/2016) 0.10 50.00 X 0 743790 66204 Houmann Lars D Director (Ended 09/2016) 0.10 50.00 X 0 1915009 273719 Jernigan PhD Donald L Director/CEO (Ended 09/2016) 0.10 50.00 X X 0 2240423 108696 Johnson MD Mark Director (Ended 09/2016) 0.10 3.00 X 0 1058 0 Johnson Penny L Director (Began 09/2016) 0.10 50.00 X 0 555140 127503 Knutson J Deryl Director (Ended 05/2016) 0.10 3.00 X 0 308 0 Livesay MDiv Donald E Vice Chairman/Dir. (Ended 09/2016) 0.10 4.00 X 0 1058 0 Moore MDiv Larry R Chairman/Director (Ended 09/2016) 0.10 4.00 X 0 950 0 Morel Hubert J Director (Ended 06/2016) 0.10 3.00 X 0 200 0 Page John Director (Beg 06/2016, End 09/2016) 0.10 1.00 X 0 750 0 Peoples Troy K Director (Ended 09/2016) 0.10 3.00 X 0 1058 0 Pichette Raymond Director (Ended 09/2016) 0.10 3.00 X 0 1058 0 Robinson Randy Director (Ended 09/2016) 0.10 3.00 X 0 1451 0 Rucker Jr Womack H Director (Began 09/2016) 0.10 50.00 X 0 497796 55724 Scott Glynn CW Director (Ended 09/2016) 0.10 3.00 X 0 1058 0 Shaw EdD Kenneth Director (Ended 09/2016) 0.10 3.00 X 0 1058 0 Shaw Terry D Director (Ended 09/2016) 0.10 50.00 X 0 1836153 277585 Smith DMin PhD Ron C Vice Chair/Sec/Dir (End 09/2016) 0.10 4.00 X 0 1443 0 Thurber Gary F Director (Ended 09/2016) 0.10 3.00 X 0 1058 0 Valentine II MDiv Maurice R Director (Ended 09/2016) 0.10 3.00 X 0 1333 0 Webb Gil Director (Ended 09/2016) 0.10 3.00 X 0 1058 0 Werner Thomas L Director (Ended 09/2016) 0.10 3.00 X 0 47388 0 Collis David Vice President/CDO 40.00 0.00 X 0 369576 59936 0 12890425 1718371 0 0 1 0 Blackbaud Inc PO Box 930256 Atlanta GA 31193 Maintenance Fees/Training 115945 1 3272612 4991399 95691 5664205 14023907 Satisfaction of Program Restricti 900099 17081267 17081267 Advised Fund Fees 900099 6011 6011 17087278 4501428 4501428 22618 2895451 39618 -2895451 -17000 -2912451 -2912451 1024921 3272612 1807586 -782665 -782665 31917497 17087278 0 806312 19285424 19285424 766069 766069 639737 639737 42279 1500 40779 19842 19842 1158096 1158096 237885 228949 8936 84788 1373 83415 255113 110458 144655 8575 2785 5790 142910 122153 20757 62423 12606 49817 41312 14371 26941 Reimbursed Salaries/Wag 3448186 3448186 Purchased Services 274135 163779 110356 Event Gifts/Prizes 188122 2262 185860 Food Costs 56773 38882 17891 176257 22700 153557 26887926 20691230 1879914 4316782 X 472933 1311501 100531992 106912915 13272821 9420804 221059 239798 674805 700631 27171451 27398868 142345061 145984517 211531 206875 3344022 4473078 3555553 4679953 X 35699644 44803634 99705411 93692195 3384453 2808735 138789508 141304564 142345061 145984517 X 5029571 4815422 -4749 -25000 -7300188 X 0 1 X 1 0 X 18193112 32062791 24192753 17035932 31105174 122589762 18193112 32062791 24192753 17035932 31105174 122589762 30104371 92485391 2107143 3019529 5028603 5658919 5217873 21032067 143621829 0.64400 0.65430 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 6 138444 200169 489791 1 1 19118543 568450 277615 573609 19390999 18008913 530000 911157 331527 19118543 17037065 976037 344211 17668891 16504372 79461 808853 355621 17037065 15644852 79402 780118 16504372 0.86110 0.13890 0.00000 0 0 0 Other Receivables 8792778 Investments Held Under Split-Interest Agreements 15250507 Cash Surrender Value of Life Insurance 1335543 Other Assets 564625 Donated Assets 57075 Due from Related Organizations 1313827 Interest Receivable 84513 27398868 Due to Related Organizations 848670 Other Liabilities 65194 Liabilities Under Split-Interest Agreements 3476298 Charitable Gift Annuity 82916 4473078 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 year 2015, it came to the attention of the Foundation's management that an Endowment in the amount of $340,022 was mistakenly misclassified as of December 31, 2014. As a result, the Foundation restated beginning board-designated endowment funds in its 2015 tax year. Part V, line 1c, column (a) Current year - During 2016, the Foundation agreed to a modification of a donor's endowment agreement, which resulted in an impairment of $722,928. This amount has been netted with the Foundation's current year investment return. Part X, Line 2: The filing organization is a subsidiary organization within Adventist Health System (AHS). The consolidated financial statements of AHS contain the following FIN 48 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, 2016 and 2015. NAHS also has temporary deductible differences of approximately $59,100 and $62,700 at December 31, 2016 and 2015, respectively, primarily as a result of net operating loss carryforwards. At December 31, 2016, NAHS had net operating loss carryforwards of approximately $59,600, expiring beginning in 2022 through 2026. Deferred taxes have been provided for these amounts, resulting in a net deferred tax asset of approximately $22,500 and $23,800 at December 31, 2016 and 2015, respectively. A full valuation allowance has been provided at December 31, 2016 and 2015 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, 2016 and 2015. 1 South America - Argentina, Bolivia, Brazil, Chile, Columbia, Ecuador, 0 0 Grantmaking 99549 Central America and the Caribbean - Antigua & Barbuda, Aruba, Bahamas, 0 0 Grantmaking 200089 Sub-Saharan Africa - Angola, Benin, Botswana, Burkina Faso, 0 0 Grantmaking 247104 North America - Canada and Mexico, but not the United States 0 0 Grantmaking 64982 East Asia and the Pacific 0 0 Grantmaking 28013 0 0 0 0 0 0 639737 0 639737 South America - Argentina, Bolivia, Brazil, Chile, Columbia, Ecuador, General Support 99549 Check Book Central America and the Caribbean - Antigua & Barbuda, Aruba, Bahamas, General Support 179015 Check Book Central America and the Caribbean - Antigua & Barbuda, Aruba, Bahamas, Cleft Lip and Palate Program 21074 Check Book Sub-Saharan Africa - Angola, Benin, Botswana, Burkina Faso, School Construction Projects 197400 Check Book Sub-Saharan Africa - Angola, Benin, Botswana, Burkina Faso, Clinic Projects 46500 Check Book Sub-Saharan Africa - Angola, Benin, Botswana, Burkina Faso, General Support 3204 Check Book North America - Canada and Mexico, but not the United States General Support 64982 Check Book East Asia and the Pacific General Support 28013 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. X X X X X X X 1 Communication Mark Inc 233 Tampa Circle Arden NC 28704 Fundraising Consulting & Grant Writing Assistance 0 0 16342 0 Alpert Enterprises 1115 Queen Palm Court Hollywood FL 33019 Provides Live Auction Services 0 0 10230 0 26572 FL GA KY NC TX GALA 2366175 1729970 636205 0 36265 0 202767 656441 229688 GOURMET DINNER 349724 255779 93945 0 0 17158 27282 36401 52022 22 1581634 1286863 294771 3900 96121 69208 92779 141452 146102 4297533 3272612 1024921 3900 132386 86366 322828 834294 427812 1807586 -782665 1 Adventist Health SystemSunbelt Inc dba Florida Hospital 601 E Rollins Street Orlando FL 32803 591479658 501(c)(3) 12741110 General Hospital Support Adventist University of Health Sciences Inc 671 Winyah Drive Orlando FL 32803 593069793 501(c)(3) 684933 General Support American Osteopathic Foundation 142 E Ontario Street Ste 1450 Chicago IL 60611 362170786 501(c)(3) 10000 General Support Creation Development Foundation Inc 52 Riley Road Ste 404 Celebration FL 34747 453411581 501(c)(3) 186000 Construction Florida Hospital Medical Group Inc dba Radiology Specialists of Florida 235 E Princeton Street Ste 100 Orlando FL 32804 593214635 501(c)(3) 94321 General Support Florida Resurrection House Inc 800 11th Street North St Petersburg FL 33705 592837168 501(c)(3) 30000 General Support GiveWell Community Foundation Inc 1501 S Florida Avenue Lakeland FL 33803 593649871 501(c)(3) 120000 General Support Adventist Health SystemSunbelt Inc dba Florida Hospital Heartland 4200 Sun N Lake Blvd Sebring FL 33870 591479658 501(c)(3) 374686 General Support Flagler County Free Clinic Inc 703 E Moody Blvd Bunnell FL 32110 205036975 501(c)(3) 23801 Medical Care Memorial Hospital - Flagler Inc 60 Memorial Medical Parkway Palm Coast FL 32164 592951990 501(c)(3) 17950 General Hospital Support Adventist Health System Georgia Inc 1035 Red Bud Road Calhoun GA 30701 581425000 501(c)(3) 153209 Construction Adventist Health System Georgia Inc 1035 Red Bud Road Calhoun GA 30701 581425000 501(c)(3) 11822 General Support Memorial Hospital Inc 210 Marie Langdon Drive Manchester KY 40962 610594620 501(c)(3) 105075 General Hospital Support Metroplex Adventist Hospital Inc 2201 S Clear Creek Road Killeen TX 76549 742225672 501(c)(3) 314053 General Hospital Support Fletcher Hospital Inc 50 Hospital Drive Hendersonville NC 28792 560543426 501(c)(3) 705429 General Hospital Support Henderson County United Way PO Box 487 Hendersonville NC 28793 560890133 501(c)(3) 37058 General Support Henderson County Free Medical Clinic Inc 841 Case Street Hendersonville NC 28792 562212024 501(c)(3) 420000 General Support Memorial Hospital - Flagler Inc 60 Memorial Medical Parkway Palm Coast FL 32164 592951990 501(c)(3) 112000 Construction Memorial Hospital - Flagler Inc 60 Memorial Medical Parkway Palm Coast FL 32164 592951990 501(c)(3) 10587 Medical Care Florida Hospital Zephyrhills Inc 7050 Gall Blvd Zephyrhills FL 33541 592105087 501(c)(3) 1380561 Construction Florida Osteopathic Medical Association 2544 Blairstone Pines Drive Tallahassee FL 32301 590730737 501(c)(3) 42000 General Support Memorial Health Systems Inc 301 Memorial Medical Parkway Daytona Beach FL 32117 590973502 501(c)(3) 21773 General Support Memorial Hospital - West Volusia Inc dba Florida Hospital DeLand 701 Plymouth Avenue DeLand FL 32720 593256803 501(c)(3) 26362 General Support Southwest Volusia Healthcare Corp dba Florida Hospital Fish Memorial 1055 Saxon Blvd Orange City FL 32763 593149293 501(c)(3) 150874 Construction Southwest Volusia Healthcare Corp dba Florida Hospital Fish Memorial 1055 Saxon Blvd Orange City FL 32763 593149293 501(c)(3) 7054 General Support 20 Nursing Scholarships 8 8110 Other Scholarships 2 2000 Hardship Assistance 108 36083 Medical Expenses for Patients in Need 957 635366 Good Samaritan Program 2 268 Mother's Touch Program 3 404 Women's Care Health Screenings 13 3929 Food, Clothing, & Shelter 122 71566 Payments for Mammograms and Other Health Diagnostics 1 2426 Funeral Expenses, Car Payments, and Other Employee Needs 18 5917 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 Rathbun Paul C Chairman/Director (Began 09/2016) 0 695929 0 235720 0 152359 0 136215 0 53803 0 1274026 0 103029 Addiscott Lynn C Director (Began 09/2016) 0 316061 0 80063 0 175100 0 14388 0 37505 0 623117 0 87690 Brady Amanda Director (Began 09/2016) 0 293341 0 58000 0 36382 0 35792 0 41663 0 465178 0 14524 Cummings Jr Desmond President/Director (Began 09/2016) 0 205428 0 35868 0 53757 0 13765 0 42332 0 351150 0 0 Goodman Todd A Director (Began 09/2016) 0 468741 0 90752 0 58399 0 61435 0 46424 0 725751 0 23809 Haffner PhD Randall L Director (Ended 09/2016) 0 1013441 0 257210 0 436890 0 216000 0 49682 0 1973223 0 0 Hamilton MD Thomas E Ted Director (Began 09/2016) 0 422542 0 104995 0 216253 0 14388 0 51816 0 809994 0 0 Houmann Lars D Director (Ended 09/2016) 0 1016342 0 360215 0 538452 0 216729 0 56990 0 2188728 0 190258 Jernigan PhD Donald L Director/CEO (Ended 09/2016) 0 1384853 0 428796 0 426774 0 14388 0 94308 0 2349119 0 0 Johnson Penny L Director (Began 09/2016) 0 343044 0 83640 0 128456 0 48133 0 79370 0 682643 0 27545 Rucker Jr Womack H Director (Began 09/2016) 0 336141 0 84677 0 76978 0 14388 0 41336 0 553520 0 0 Shaw Terry D Director (Ended 09/2016) 0 1033253 0 356613 0 446287 0 220978 0 56607 0 2113738 0 190258 Collis David Vice President/CDO 0 289466 0 40029 0 40081 0 16830 0 43106 0 429512 0 11237 Part I, Line 3 The individual who serves as the CDO/Vice President of Florida Hospital Foundation (FHF), the primary Foundation division within the filing organization is compensated by Adventist Health System Sunbelt Healthcare Corp (AHSSHC) for that individual's role in serving as the CDO/Vice President of FHF. Compensation and benefits provided to this individual are determined pursuant to policies, procedures, and processes of AHSSHC that are designed to ensure compliance with the intermediate sanctions laws as set forth in IRC Section 4958. AHSSHC 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 AHS and each of its affiliated entities. The following principles guide the establishment of individual executive compensation: - The salary of the President/CEO of AHS will not exceed the 40th percentile of comparable salaries paid by similarly situated organizations; and - Other executive salaries shall be established using market medians. The compensation philosophy, policies, and practices of AHSSHC are consistent with the organization's faith-based mission and conform to applicable laws, regulations, and business practices. As a faith-based organization sponsored by the Seventh-day Adventist Church (the Church), AHSSHC's philosophy and principles with respect to its executive compensation practices reflect the conservative approach of the Church's mission of service and were developed in counsel with the Church's leadership. Part I, Line 4b Executives on the filing organization's management team that hold the position of Vice-President or above are compensated by and on the payroll of Adventist Health System Sunbelt Healthcare Corporation (AHSSHC), the parent organization of a healthcare system known as Adventist Health System (AHS). In recognition of the contribution that each executive makes to the success of AHS, AHS provides to eligible executives participation in the AHS Executive FLEX Benefit Program (the Plan). The purpose of the Plan is to offer eligible executives an opportunity to elect from among a variety of supplemental benefits, including deferred compensation benefits taxable under Internal Revenue Code (IRC) Section 457(f), to individually tailor a benefits program appropriate to each executive's needs. The Plan provides eligible participants a pre-determined benefits allowance credit that is equal to a percentage of the executive's base pay from which is deducted the cost of mandatory and elective employee benefits. The pre-determined benefits allowance credit percentage is approved by the 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 AHS entities and Vice Presidents of all AHS entities whose base salary is at least $236,000. The Plan provides for a class year vesting schedule (2 years for each class year) with respect to amounts accumulated in the executive's 457(f) deferred compensation account. Distributions could also be made from the executive's 457(f) deferred compensation account upon attainment of age 65 or upon an involuntary separation. The account is forfeited by the executive upon a voluntary separation. In addition to the Plan, AHS has instituted a defined benefit, non-tax-qualified deferred compensation plan for certain executives who have provided lengthy service to AHS and/or to other Seventh-day Adventist Church hospitals or health care institutions. Participation in the plan is offered to AHS executives on a prorata schedule beginning with 20 years of service as an employee of AHS and/or another hospital or health care institution controlled by the Seventh-day Adventist Church and who satisfy certain other qualifying criteria. This supplemental executive retirement plan (SERP) was designed to provide eligible executives with the economic equivalent of an annual income beginning at normal retirement age equal to 60% of the average of the participant's three, five or seven highest years of base salary from AHS active employment inclusive of income from all other Seventh-day Adventist Church healthcare employer-financed retirement income sources and investment income earned on those contributions through social security normal retirement age as defined in the plan. 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 AHS Executive FLEX Benefit Program. Flex Plan Flex Plan/ SERP 457(b) CY CY Employer CY Contrib./ Distributions* Contrib. Distributions* Payment ------------------------------------------------------- Rathbun, Paul C. $121,828 $102,555 $ 0 $ 0 Addiscott, Lynn C. $ 47,625 $133,415 $ 0 $ 0 Brady, Amanda $ 21,405 $ 14,600 $ 0 $ 0 Cummings, Jr., Desmond $ 12,481 $ 12,481 $ 0 $ 0 Goodman, Todd A. $ 65,048 $ 23,133 $ 0 $ 0 Haffner, Randall L. $201,612 $ 0 $409,583 $ 0 Hamilton, MD, Thomas E. (Ted) $ 63,522 $ 63,522 $ 96,118 $ 0 Houmann, Lars D. $202,341 $192,775 $297,528 $ 0 Jernigan, Ph.D., Donald L. $305,020 $287,020 $ 0 $ 0 Johnson, Penny L. $ 33,746 $ 27,470 $ 0 $ 0 Rucker, Jr., Womack H. $ 42,024 $ 24,024 $ 0 $ 0 Shaw, Terry D. $206,591 $196,625 $211,140 $ 0 Collis, David S. $ 20,443 $ 11,243 $ 0 $ 0 * Including Investment Earnings X 8 0 X 1 0 X Gift Annuities 5 0 X Various Items 41 0 1 0 1 1 Part I, Column (b): The number of contributions reported in column (b) of Schedule M, Part I, represents the number of items received by the filing organizaion during the current year with the exception of securities which are reported by number of contributions. Part I, Line 32b: Sunsystem Development Corporation (SDC) is a charitable foundation organization that supports eleven 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 9, 15, 25, and 26 are recorded directly to equity accounts and are not recorded in the income statement. Form 990, Part VI, Section A, line 2 Maurice Valentine II and Donald Livesay - Family Relationship Form 990, Part VI, Section A, line 6 SunSystem Development Corporation (SDC) is a wholly owned subsidiary of Adventist Health System Sunbelt Healthcare Corporation (AHSSHC). AHSSHC is a Florida, not-for-profit corporation that is exempt from federal income tax under Internal Revenue Code (IRC) Section 501(c)(3). AHSSHC is the sole corporate member of SDC. There are no other separate classes of membership in SDC. Form 990, Part VI, Section A, line 7a The affairs of SDC are managed by a Board of Managers. The Board of Managers of SDC are elected by the Member of SDC. Form 990, Part VI, Section A, line 7b The member of SDC has certain reserved powers as set forth in the Articles of Incorporation and Bylaws of SDC. These reserved powers include the following: a) to appoint and remove the members of the Board of Managers of SDC; and b) to adopt, amend, restate, and repeal the Articles of Incorporation or Bylaws of SDC. Form 990, Part VI, Section B, line 11b SDC's current year Form 990 was reviewed by the organization's Board Chairman/Senior Executive Vice President prior to its filing with the IRS. The review conducted by the Board Chairman/Senior Executive Vice President did not include the review of any supporting workpapers that were used in preparation of the current year's Form 990, but did include a review of the entire Form 990 and all supporting schedules. Form 990, Part VI, Section B, line 12c The Conflict of Interest Policy of SDC applies to members of its Board of Managers and its principal officers (to be known as Interested Persons). In connection with any actual or possible conflict of interests, any member of the Board of Managers of SDC or any principal officer of SDC (i.e. Interested Persons) must disclose the existence of any financial interest with SDC and must be given the opportunity to disclose all material facts concerning the financial interest/arrangement to the Board of Managers of SDC or to any members of a committee with board delegated powers that is considering the proposed transaction or arrangement. Subsequent to any disclosure of any financial interest/arrangement and all material facts, and after any discussion with the relevant Board member or principal officer, the remaining members of the Board of Managers or committee with board delegated powers shall discuss, analyze, and vote upon the potential financial interest/arrangement to determine if a conflict of interest exists. According to SDC's Conflict of Interest Policy, an Interested Person may make a presentation to the Board of Managers (or committee with board delegated powers), but after such presentation, shall leave the meeting during the discussion of, and the vote on, the transaction or arrangement that results in a conflict of interest. Each Interested Person, as defined under SDC's Conflict of Interest Policy, shall annually sign a statement which affirms that such person has received a copy of the Conflict of Interests policy, has read and understands the policy, has agreed to comply with the policy, and understands that SDC is a charitable organization that must primarily engage in activities which accomplish one or more of its exempt purposes. SDC's Conflict of Interest Policy also requires that periodic reviews shall be conducted to ensure that SDC operates in a manner consistent with its charitable purposes. Form 990, Part VI, Section B, line 15 The filing organization's President and Vice President are not compensated by the filing organization. Such individuals are 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 Adventist Health System (AHS). The audited consolidated financial statements of AHS and of the AHS "Obligated Group" are filed annually with the Municipal Securities Rulemaking Board (MSRB). The "Obligated Group" is a group of AHSSHC subsidiaries that are jointly and severally liable under a Master Trust Indenture that secures debt primarily issued on a tax-exempt basis. Unaudited quarterly financial statements prepared in accordance with Generally Accepted Accounting Principles (GAAP) are also filed with MSRB for AHS on a consolidated basis and for the grouping of AHS subsidiaries comprising the "Obligated Group". The filing organization does not generally make its governing documents or conflict of interest policy available to the public. Part VII, Section A For those Board of Director members and key employees who devote less than full-time to the filing organization (based upon the average number of hours per week shown in column (B) on page 7 of the return) the compensation amounts shown in columns (E) and (F) on page 7 were provided in conjunction with that person's responsibilities and roles in serving in an executive leadership position within Adventist Health System. Form 990, Part XI, line 9: Temporarily Restricted Gifts 8,974,729. Temporarily Restricted Change in Value of Split-Interest Agreements 485,228. Temporarily Restricted Investment Income 716,446. Transfer of Net Assets to Restricted Fund Balance -17,081,267. Permanently Restricted Gifts 7,008. Change in Value of Permanently Restricted Endowments -722,928. Capital Contribution 253,601. Other Adjustments 4,045. Permanently Restricted Other Adjustments 63,450. Losses on Uncollectible Pledges -500. 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. 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 3040 Salt Creek Lane Arlington Heights IL 60005 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 Adventist University of Health Sciences Inc (630 Year End) 671 Lake Winyah Drive Orlando FL 32803 593069793 Education/Operation of School FL 501(c)(3) Line 2 Adventist Hlth SystemSunbelt Inc 1 AHP Specialty Care NFP 3040 Salt Creek Lane Arlington Heights IL 60005 811105774 Operation of Physician Practices & Medical Services IL 501(c)(3) Line 3 AHS Midwest Management Inc 1 AHS Midwest Management Inc 1000 Remington Blvd Ste 200 Bolingbrook IL 60440 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 1000 Remington Blvd Ste 200 Bolingbrook IL 60440 381359189 Inactive MI 501(c)(3) Line 3 Adventist Hlth SystemSunbelt Inc 1 Bolingbrook Hospital Foundation 1000 Remington Blvd N Entrance 2nd 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 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 Ln 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 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 Foundation for Shawnee Mission Medical Center Inc 9100 W 74th Street Shawnee Mission KS 66204 480868859 Fund-raising for Tax-exempt hospital KS 501(c)(3) Line 7 Shawnee Mission Medical Center 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 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 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 Tarpon Springs Hospital Foundation Inc 0 Hinsdale Hospital Foundation 7 Salt Creek Lane Suite 203 Hinsdale IL 60521 521466387 Fund-raising for Tax-exempt hospital IL 501(c)(3) 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 Hospice of the Comforter Foundation Inc 480 W Central Parkway Altamonte Springs FL 32714 271858033 Fund Raising for Affiliated Tax-Exempt Hospice FL 501(c)(3) Line 7 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 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 770 West Granada Blvd Ormond Beach FL 32174 311771522 Fund-raising for Tax-exempt hospital FL 501(c)(3) Line 7 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 0 Osceola Health Care Properties Inc (620-123116) 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 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(98-123116) 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 Central Inc 900 Hope Way Altamonte Springs FL 32714 593689740 Management Support GA 501(c)(3) Line 12c, III-FI N/A 0 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 Takoma Regional Hospital Inc (630 Year End)(7115-123116) 401 Takoma Ave Greeneville TN 37743 510603966 Operation of Hospital & Related Services TN 501(c)(3) Line 3 Adventist Hlth SystemSunbelt Inc 1 Takoma Regional Hospital Foundation Inc 401 Takoma Ave Greeneville TN 37743 471334302 Fund Raising for Affiliated Tax-Exempt Hospital TN 501(c)(3) Line 7 Takoma Regional Hospital Inc 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 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 0 University Community Hospital Specialty Care Inc 3100 E Fletcher Ave Tampa FL 33613 593231322 Inactive FL 501(c)(3) Line 12a, I University Community Hospital Inc 1 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 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 2201 S Clear Creek Rd Killeen TX 76549 742609195 Real Estate TX N/A Endoscopy Center at Porter LLC (11-32916) 1001 South Park Drive Littleton CO 80120 205855038 Medical Services CO 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 324 Maitland FL 32751 593142824 Home Infusion Services FL N/A Functional Neurosurgical Ambulatory Surgery Center LLC 777 S Williams St Denver CO 80209 464426708 Surgery Center CO N/A PAHSLarkin Ventures LLC 9100 E Mineral Cir Centennial CO 80112 474211060 Medical Services CO N/A PAHSUSP Surgery Centers LLC 15305 Dallas Pkwy Ste 1600 LB 28 Addison TX 75010 263057950 Medical Services CO N/A San Marcos MRI LP 1330 Wonder World Dr Ste 202 San Marcos TX 78666 770597972 Imaging & Testing TX 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 Condo Association Inc 601 East Rollins Street Orlando FL 32803 592855791 Condo Association FL N/A C 1 Florida Memorial Health Network Inc 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 (815-123116) 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 Aff Hlth Svcs Inc dba Diversified Aff Hlth Svcs 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 0 0 0 0 Adventist Health System Georgia Inc M 69878 Cost Adventist Health SystemSunbelt Inc dba Florida Hospital M 307721 Cost Fletcher Hospital Inc M 186019 Cost Florida Hospital Zephyrhills Inc M 66064 Cost Memorial Hospital Inc M 68319 Cost Memorial Hospital - Flagler Inc M 264105 Cost Memorial Hospital - West Volusia Inc dba Florida Hospital DeLand M 67192 Cost Metroplex Adventist Hospital Inc M 66461 Cost Pasco-Pinellas Hillsborough Community Health System Inc M 124890 Cost Southwest Volusia Healthcare Corp dba Florida Hospital Fish Memorial M 114376 Cost Adventist Health System Sunbelt Healthcare Corp C 123238 Actual Amount Received Adventist Health SystemSunbelt Inc C 4431514 Actual Amount Received Fletcher Hospital Inc C 88793 Actual Amount Received Memorial Hospital - Flagler Inc C 70612 Actual Amount Received Memorial Hospital Inc C 60615 Actual Amount Received Pasco-Pinellas Hillsborough Community Health System Inc C 153785 Actual Amount Received University Community Hospital Foundation Inc C 279720 Actual Amount Received Adventist Health System Georgia Inc B 165031 Actual Amount Donated Adventist University of Health Sciences Inc B 684933 Actual Amount Donated Adventist Health SystemSunbelt Inc dba Florida Hospital B 13380847 Actual Amount Donated Adventist Health SystemSunbelt Inc dba Florida Hospital Heartland B 374686 Actual Amount Donated Fletcher Hospital Inc B 705429 Actual Amount Donated Florida Hospital Zephyrhills Inc B 1380561 Actual Amount Donated Florida Hospital Medical Group Inc B 94321 Actual Amount Donated Memorial Hospital Inc B 105075 Actual Amount Donated Memorial Hospital - Flagler Inc B 140537 Actual Amount Donated Metroplex Adventist Hospital Inc B 314053 Actual Amount Donated Southwest Volusia Healthcare Corp dba Florida Hospital Fish Memorial B 157928 Actual Amount Donated Adventist Health SystemSunbelt Inc dba Florida Hospital N 136158 Cost Allocation