AHS MIDWEST MANAGEMENT INC: Form 990, tax year 2015

View the entire original 990 at ProPublica ↗

Organization: AHS MIDWEST MANAGEMENT INC (EIN 36-3354567)
Tax period: 2015-01-01 to 2015-12-31
Filed: 2016-11-14
IRS object ID: 201603199349301630
Schema version: 2015v2.1
Source: Download XML · Original 990 at ProPublica

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

Return header
Form 990
Schedule A
Schedule D
Schedule J
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2016-11-14T15:14:48-06:00	ReturnTs
Tax Period End	2015-12-31	TaxPeriodEndDt
Return Type	990	ReturnTypeCd
Tax Period Begin	2015-01-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	363354567	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	AHS MIDWEST MANAGEMENT INC	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	AHSM	BusinessNameControlTxt
Phone	6303127780	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1000 REMINGTON BLVD NO 200	AddressLine1Txt
City	BOLINGBROOK	CityNm
State Abbreviation	IL	StateAbbreviationCd
ZIP	60440	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	LYNN C ADDISCOTT	PersonNm
Person Title	ASSISTANT SECRETARY	PersonTitleTxt
Phone	6303127780	PhoneNum
Signature	2016-11-14	SignatureDt

Field	Value	IRS element (for citing)
Tax	2015	TaxYr
Build TS	2017-02-10 21:41:12Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	BETH TZE	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1000 REMINGTON BLVD NO 200	AddressLine1Txt
City	BOLINGBROOK	CityNm
State Abbreviation	IL	StateAbbreviationCd
ZIP	60440	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$54,368,255	GrossReceiptsAmt
Group Return For Affiliates	0	GroupReturnForAffiliatesInd
Group Exemption	1071	GroupExemptionNum
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.KEEPINGYOUWELL.COM	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1984	FormationYr
Legal Domicile State	IL	LegalDomicileStateCd
Activity Or Mission	OPERATION OF PHYSICIAN PRACTICE MANAGEMENT SERVICES FOR RELATED TAX-EXEMPT ORGANIZATIONS.	ActivityOrMissionDesc
Voting Members Governing Body	6	VotingMembersGoverningBodyCnt
Voting Members Independent	0	VotingMembersIndependentCnt
Total Employee	739	TotalEmployeeCnt
Total Volunteers	0	TotalVolunteersCnt
Total Gross UBI	$1,488,192	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$0	PYContributionsGrantsAmt
CY Contributions Grants	$0	CYContributionsGrantsAmt
PY Program Service Revenue	$41,218,081	PYProgramServiceRevenueAmt
CY Program Service Revenue	$50,554,970	CYProgramServiceRevenueAmt
PY Investment Income	$15,801	PYInvestmentIncomeAmt
CY Investment Income	-$13,574	CYInvestmentIncomeAmt
PY Other Revenue	$140,000	PYOtherRevenueAmt
CY Other Revenue	$136,822	CYOtherRevenueAmt
PY Total Revenue	$41,373,882	PYTotalRevenueAmt
CY Total Revenue	$50,678,218	CYTotalRevenueAmt
PY Grants And Similar Paid	$0	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$0	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$22,237,887	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$26,183,863	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$19,136,595	PYOtherExpensesAmt
CY Other Expenses	$26,585,744	CYOtherExpensesAmt
PY Total Expenses	$41,374,482	PYTotalExpensesAmt
CY Total Expenses	$52,769,607	CYTotalExpensesAmt
PY Revenues Less Expenses	-$600	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	-$2,091,389	CYRevenuesLessExpensesAmt
Total Assets BOY	$5,721,925	TotalAssetsBOYAmt
Total Assets EOY	$5,705,586	TotalAssetsEOYAmt
Total Liabilities BOY	$4,460,566	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$4,076,462	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$1,261,359	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$1,629,124	NetAssetsOrFundBalancesEOYAmt
Mission	ADVENTIST HEALTH SYSTEM SUNBELT HEALTHCARE CORPORATION AND ALL OF ITS SUBSIDIARY ORGANIZATIONS WERE ESTABLISHED BY THE SEVENTH-DAY ADVENTIST CHURCH TO BRING A MINISTRY OF HEALING AND HEALTH TO THE COMMUNITIES SERVED. OUR MISSION IS TO EXTEND THE HEALING MINISTRY OF CHRIST.	MissionDesc
Significant New Program Srvc	0	SignificantNewProgramSrvcInd
Significant Change	0	SignificantChangeInd
Expense	$48,238,935	ExpenseAmt
Revenue	$49,203,600	RevenueAmt
Desc	PROVISION OF MANAGEMENT SERVICES TO PHYSICIAN PRACTICES OF RELATED TAX-EXEMPT ORGANIZATIONS.	Desc
Total Program Service Expenses	$48,238,935	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (1)	DescribedInSection501c3Ind
Schedule B Required	0	ScheduleBRequiredInd
Political Campaign Acty	0	PoliticalCampaignActyInd
Lobbying Activities	0	LobbyingActivitiesInd
Subject To Proxy Tax	0	SubjectToProxyTaxInd
Donor Advised Fund	0	DonorAdvisedFundInd
Conservation Easements	0	ConservationEasementsInd
Collections Of Art	0	CollectionsOfArtInd
Credit Counseling	0	CreditCounselingInd
Temp Or Permanent Endowments	0	TempOrPermanentEndowmentsInd
Report Land Building Equipment	Yes (1)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	0	ReportInvestmentsOtherSecInd
Report Program Related Invst	0	ReportProgramRelatedInvstInd
Report Other Assets	Yes (1)	ReportOtherAssetsInd
Report Other Liabilities	Yes (1)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (1)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	0	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (1)	ConsolidatedAuditFinclStmtInd
School Operating	0	SchoolOperatingInd
Foreign Office	0	ForeignOfficeInd
Foreign Activities	0	ForeignActivitiesInd
More Than5000 K To Org	0	MoreThan5000KToOrgInd
More Than5000 K To Individuals	0	MoreThan5000KToIndividualsInd
Professional Fundraising	0	ProfessionalFundraisingInd
Fundraising Activities	0	FundraisingActivitiesInd
Gaming Activities	0	GamingActivitiesInd
Operate Hospital	0	OperateHospitalInd
Grants To Organizations	0	GrantsToOrganizationsInd
Grants To Individuals	0	GrantsToIndividualsInd
Schedule J Required	Yes (1)	ScheduleJRequiredInd
Tax Exempt Bonds	0	TaxExemptBondsInd
Engaged In Excess Benefit Trans	0	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	0	PYExcessBenefitTransInd
Loan Outstanding	0	LoanOutstandingInd
Grant To Related Person	0	GrantToRelatedPersonInd
Business Rln With Org Mem	0	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	0	BusinessRlnWithFamMemInd
Business Rln With Officer Ent	0	BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri	0	DeductibleNonCashContriInd
Deductible Art Contribution	0	DeductibleArtContributionInd
Terminate Operations	0	TerminateOperationsInd
Partial Liquidation	0	PartialLiquidationInd
Disregarded Entity	0	DisregardedEntityInd
Related Entity	Yes (1)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (1)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (1)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	0	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	0	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (1)	ScheduleORequiredInd
IRP Document	27	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (1)	BackupWthldComplianceInd
Employee	739	EmployeeCnt
Employment Tax Returns Filed	Yes (1)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (1)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (1)	Form990TFiledInd
Foreign Financial Account	0	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTransInd
Taxable Party Notification	0	TaxablePartyNotificationInd
Nondeductible Contributions	0	NondeductibleContributionsInd
Quid Pro Quo Contributions	0	QuidProQuoContributionsInd
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	0	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	0	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	0	IndoorTanningServicesInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	6	GoverningBodyVotingMembersCnt
Independent Voting Member	0	IndependentVotingMemberCnt
Family Or Business Rln	0	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	0	DelegationOfMgmtDutiesInd
Change To Org Documents	Yes (1)	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	0	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (1)	MembersOrStockholdersInd
Election Of Board Members	Yes (1)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (1)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (1)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (1)	MinutesOfCommitteesInd
Officer Mailing Address	0	OfficerMailingAddressInd
Local Chapters	0	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (1)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (1)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (1)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (1)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (1)	WhistleblowerPolicyInd
Document Retention Policy	Yes (1)	DocumentRetentionPolicyInd
Compensation Process CEO	0	CompensationProcessCEOInd
Compensation Process Other	0	CompensationProcessOtherInd
Investment In Joint Venture	0	InvestmentInJointVentureInd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Field	Value	IRS element (for citing)
Person	REBECCA MATHIS	PersonNm
Phone	6308569000	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1000 REMINGTON BLVD SUITE 200	AddressLine1Txt
City	BOLINGBROOK	CityNm
State Abbreviation	IL	StateAbbreviationCd
ZIP	60440	ZIPCd

Field	Value	IRS element (for citing)
Info In Schedule O Part VII	Yes (X)	InfoInScheduleOPartVIIInd

Form990 Part VII Section A Form990PartVIISectionAGrp (17 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	OfficerOfficerInd	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
BRUCE CHRISTIAN
DIRECTOR	0.10	49.90	Yes (X)	$0	$434,938	$63,972
DAVID CRANE
CHAIRMAN/PRESIDENT	0.25	49.75	Yes (X)	$0	$2,703,120	$180,726	Yes (X)
MICHAEL GOEBEL
DIRECTOR	0.10	49.90	Yes (X)	$0	$638,427	$116,254
RICK MACE
DIRECTOR	0.10	49.90	Yes (X)	$0	$594,767	$85,110
GEORGE MAYZELL MD
DIRECTOR (END 8/15)	0.10	49.90	Yes (X)	$0	$882,948	$84,325
BETH TZE
DIRECTOR/VP/SECRETARY (BEG 5/15)	34.00	16.00	Yes (X)	$0	$0	$0	Yes (X)
RONALD WEHTJE
DIR/V.CHAIR/REGIONAL CFO	3.75	46.25	Yes (X)	$0	$645,353	$97,209	Yes (X)
PAM WILLIAMS
DIRECTOR/VP/SECRETARY (END 5/15)	25.00	25.00	Yes (X)	$0	$579,806	$32,667	Yes (X)
THOMAS WILLIAMS
DIRECTOR (END 6/15)	0.10	49.90	Yes (X)	$0	$646,300	$38,496
ERIK BAIER
CFO	25.00	25.00		$0	$372,185	$74,673	Yes (X)
RICHARD HIBBOTT
COO	25.00	25.00		$205,238	$0	$28,630		Yes (X)
ELLEN MORRISON
MANAGED CARE DIRECTOR	40.00	0.00		$164,335	$0	$37,061			Yes (X)
RONALD BRYSON
HR DIRECTOR	40.00	0.00		$133,938	$0	$15,142			Yes (X)
ELIZABETH CUMMINGS
DIRECTOR OF PRACTICE OPERATIONS	40.00	0.00		$123,847	$0	$6,411			Yes (X)
RUBY MANN
PFS DIRECTOR	40.00	0.00		$122,406	$0	$32,737			Yes (X)
KAREN FRUMKIN
PRACTICE OPERATIONS DIRECTOR	40.00	0.00		$117,023	$0	$29,840			Yes (X)
JANICE HAGENSICKER
FORMER DIRECTOR/CFO	0.00	50.00		$0	$684,107	$80,818				Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$866,787	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$8,181,951	TotReportableCompRltdOrgAmt
Total Other Compensation	$1,004,071	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	13	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (1)	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (1)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	Yes (1)	CompensationFromOtherSrcsInd
Cntrct Rcvd Greater Than100 K	0	CntrctRcvdGreaterThan100KCnt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
MANAGEMENT SERVICES	561000	$41,984,756	$40,497,435	$1,487,321
BILLING FEES	561000	$7,612,540	$7,612,540
INSURANCE INCENTIVE REVENUE	561000	$394,682	$394,682
RENT FROM RELATED	561000	$280,460	$280,460
MANAGED CARE FEES	561000	$98,922	$98,922

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$183,610	TotalRevenueColumnAmt
Related Or Exempt Func Income	$182,739	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$871	UnrelatedBusinessRevenueAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$50,554,970	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$23,054	TotalRevenueColumnAmt
Exclusion	$23,054	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$3,653,409	SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$3,690,037	SecuritiesAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	-$36,628	SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$36,628	TotalRevenueColumnAmt
Exclusion	-$36,628	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp

Field	Value	IRS element (for citing)
Desc	EHR INCENTIVE REVENUE	Desc
Business	622110	BusinessCd
Total Revenue Column	$136,822	TotalRevenueColumnAmt
Related Or Exempt Func Income	$136,822	RelatedOrExemptFuncIncomeAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$136,822	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$50,678,218	TotalRevenueColumnAmt
Related Or Exempt Func Income	$49,203,600	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$1,488,192	UnrelatedBusinessRevenueAmt
Exclusion	-$13,574	ExclusionAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part IX	Yes (X)	InfoInScheduleOPartIXInd

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$716,711	TotalAmt
Management And General	$716,711	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$20,460,954	TotalAmt
Program Services	$20,460,954	ProgramServicesAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$733,549	TotalAmt
Program Services	$721,107	ProgramServicesAmt
Management And General	$12,442	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$2,415,909	TotalAmt
Program Services	$2,310,058	ProgramServicesAmt
Management And General	$105,851	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$1,856,740	TotalAmt
Program Services	$1,825,246	ProgramServicesAmt
Management And General	$31,494	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$6,293	TotalAmt
Management And General	$6,293	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$68,317	TotalAmt
Management And General	$68,317	ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$6,045	TotalAmt
Management And General	$6,045	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$6,872,743	TotalAmt
Program Services	$4,902,044	ProgramServicesAmt
Management And General	$1,970,699	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$328,665	TotalAmt
Management And General	$328,665	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$1,955,610	TotalAmt
Program Services	$1,223,969	ProgramServicesAmt
Management And General	$731,641	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$1,108,223	TotalAmt
Program Services	$863,853	ProgramServicesAmt
Management And General	$244,370	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$642,816	TotalAmt
Program Services	$642,816	ProgramServicesAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$168,204	TotalAmt
Management And General	$168,204	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$418,796	TotalAmt
Program Services	$418,796	ProgramServicesAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Management And GeneralManagementAndGeneralAmt	Program ServicesProgramServicesAmt
UNRELATED BUSINESS INCO	$500	$500
MEDICAL SUPPLIES	$14,455,481		$14,455,481
REPAIRS & MAINTENANCE	$390,838		$390,838
MISCELLANEOUS	$102,549	$102,549

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$60,664	TotalAmt
Program Services	$23,773	ProgramServicesAmt
Management And General	$36,891	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$52,769,607	TotalAmt
Program Services	$48,238,935	ProgramServicesAmt
Management And General	$4,530,672	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$11,223	BOYAmt
EOY	$10,125	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$1,591,090	BOYAmt
EOY	$332,785	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$25,230	BOYAmt
EOY	-$13,341	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$135,761	BOYAmt
EOY	$170,210	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$776,477	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$540,273	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$790,085	BOYAmt
EOY	$236,204	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$3,168,536	BOYAmt
EOY	$4,969,603	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$5,721,925	BOYAmt
EOY	$5,705,586	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$4,005,591	BOYAmt
EOY	$3,790,781	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$454,975	BOYAmt
EOY	$285,681	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$4,460,566	BOYAmt
EOY	$4,076,462	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows SFAS117	Yes (X)	OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$1,261,359	BOYAmt
EOY	$1,629,124	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$1,261,359	BOYAmt
EOY	$1,629,124	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$5,721,925	BOYAmt
EOY	$5,705,586	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	-$2,091,389	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	-$7,154	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	$2,466,308	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	0	AccountantCompileOrReviewInd
FS Audited	Yes (1)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Consolidated Basis Fincl Stmt	Yes (X)	ConsolidatedBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (1)	AuditCommitteeInd
Federal Grant Audit Required	0	FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Supporting Organization509a3	Yes (X)	SupportingOrganization509a3Ind
Supporting Org Type1	Yes (X)	SupportingOrgType1Ind
Supported Organizations	5	SupportedOrganizationsCnt

Supported Org Information SupportedOrgInformationGrp (5 entries)

EINEIN	Organization TypeOrganizationTypeCd	Governing Document ListedGoverningDocumentListedInd	SupportSupportAmt	Other SupportOtherSupportAmt
ADVENTIST MIDWEST HEALTH FKA HINSDALE HOSPITAL
362276984	3	0	$0	$0
ADVENTIST GLENOAKS HOSPITAL INC
363208390	3	0	$0	$0
ADVENTIST HEALTH SYSTEMSUNBELT INC
591479658	3	Yes (1)	$0	$0
ADVENTIST BOLINGBROOK HOSPITAL
651219504	3	0	$0	$0
ADVENTIST HEALTH PARTNERS INC
364138353	3	0	$0	$0

Field	Value	IRS element (for citing)
Supported Organizations Total	5	SupportedOrganizationsTotalCnt
Support Sum	$0	SupportSumAmt
Other Support Sum	$0	OtherSupportSumAmt

Form990 Sch A Supporting Org Form990SchASupportingOrgGrp

Field	Value	IRS element (for citing)
Listed By Name Governing Doc	0	ListedByNameGoverningDocInd
Suprt Org No IRS Determination	0	SuprtOrgNoIRSDeterminationInd
Supported Org Section C456	0	SupportedOrgSectionC456Ind
Supported Org Not Organized US	0	SupportedOrgNotOrganizedUSInd
Organization Change Suprt Org	Yes (1)	OrganizationChangeSuprtOrgInd
Supported Org Class Designated	Yes (1)	SupportedOrgClassDesignatedInd
Support Non Supported Org	0	SupportNonSupportedOrgInd
Payment Substantial Contribtr	0	PaymentSubstantialContribtrInd
Loan Disqualified Person	0	LoanDisqualifiedPersonInd
Controlled Disqualified Prsn	0	ControlledDisqualifiedPrsnInd
Disqualified Prsn Controll Int	0	DisqualifiedPrsnControllIntInd
Disqualified Prsn Ownr Int	0	DisqualifiedPrsnOwnrIntInd
Excess Business Holdings Rules	0	ExcessBusinessHoldingsRulesInd
Contribution Controller	0	ContributionControllerInd
Contribution Family	0	ContributionFamilyInd
Contribution35 Controlled	0	Contribution35ControlledInd

Form990 Sch A Type1 Suprt Org Form990SchAType1SuprtOrgGrp

Field	Value	IRS element (for citing)
Power Appoint Majority Dir Trst	Yes (1)	PowerAppointMajorityDirTrstInd
Operate Benefit Non Suprt Org	Yes (1)	OperateBenefitNonSuprtOrgInd

Form990 Schedule A Part VI Form990ScheduleAPartVIGrp (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART IV, SECTION A, LINE 1:	AHS MIDWEST MANAGEMENT, INC. (AMM), ADVENTIST HEALTH SYSTEM SUNBELT, INC. (AHSSI), ADVENTIST MIDWEST HEALTH F/K/A ADVENTIST HINSDALE HOSPITAL, INC. (AMH), ADVENTIST BOLINGBROOK HOSPITAL (ABH), AND ADVENTIST GLENOAKS HOSPITAL (AGH), AND ADVENTIST HEALTH PARTNERS, INC. (AHP) ARE PART OF A FAITH-BASED HEALTHCARE SYSTEM OF ORGANIZATIONS WHOSE PARENT IS ADVENTIST HEALTH SYSTEM SUNBELT HEALTHCARE CORPORATION (AHSSHC). THE SYSTEM IS KNOWN AS ADVENTIST HEALTH SYSTEM (AHS). AHSSHC IS AN ORGANIZATION EXEMPT FROM FEDERAL INCOME TAX UNDER IRC SECTION 501(C)(3). AHSSHC AND ITS SUBSIDIARY ORGANIZATIONS OPERATE 44 HOSPITALS IN 10 STATES THROUGHOUT THE U.S., PRIMARILY IN THE SOUTHEASTERN PORTION OF THE U.S. AHSSHC AND ITS SUBSIDIARIES ALSO OPERATE 16 NURSING HOME FACILITIES AND OTHER ANCILLARY HEALTH CARE PROVIDER FACILITIES, SUCH AS AMBULATORY SURGERY CENTERS AND DIAGNOSTIC IMAGING CENTERS. AMM'S ARTICLES OF INCORPORATION PROVIDE AS ONE OF ITS PURPOSES THE FOLLOWING: TO ALWAYS OPERATE IN A MANNER CONSISTENT WITH AND IN FURTHERANCE OF THE GOALS, STANDARDS, METHODS AND POLICIES OF THE SEVENTH-DAY ADVENTIST CHURCH, THESE ARTICLES OF INCORPORATION, AND THE NEEDS OF THE PATIENT POPULATION SERVED IN LIGHT OF THIS CORPORATION'S STATUS AS AN AFFILIATED ORGANIZATION OF ADVENTIST HEALTH SYSTEM SUNBELT HEALTHCARE CORPORATION AND AN INTEGRAL PART OF THE SYSTEM OF MEDICAL AND EDUCATIONAL INSTITUTIONS OPERATED THROUGHOUT THE WORLD BY THE SEVENTH-DAY ADVENTIST CHURCH. AHSSI, AMH, ABH, AGH, AND AHP ARE EXEMPT FROM FEDERAL INCOME TAX UNDER IRC SECTION 501(C)(3) AND ARE CLASSIFIED AS PUBLIC CHARITIES UNDER IRC SECTION 509(A)(1) AS A HOSPITAL DEFINED UNDER IRC SECTION 170(B)(1)(A)(III). THE SUPPORTED ORGANIZATIONS OWN AND OPERATE HOSPITAL FACILITIES AND/OR PHYSICIAN CLINICS IN THE CHICAGO METROPOLITAN AREA AND ARE EACH IDENTIFIED AS A SUPPORTED ORGANIZATION OF AMM. AS ENTITIES THAT OPERATE HOSPITALS AND/OR PHYSICIAN CLINICS, AHSSI, AMH, ABH, AGH,AND AHP ARE INCLUDED IN THE CLASS REFERRED TO IN AMM'S ARTICLES THAT PROVIDE HEALTHCARE TO THE PATIENT POPULATIONS SERVED AS AN AFFILIATED ORGANIZATION OF AHSSHC. ADDITIONALLY, AMM HAS BEEN AN INTEGRAL PART OF THE ORGANIZATIONAL STRUCTURE THAT SUPPORTS THE AHSSHC HOSPITALS LOCATED IN THE CHICAGO MARKET SINCE ITS INCEPTION IN 1984.
PART IV, SECTION A, LINE 5A:	ADVENTIST HEALTH PARTNERS, INC., EIN - 36-4138353, HAS BEEN ADDED TO THE FILING ORGANIZATION'S LIST OF SUPPORTED ORGANIZATIONS SHOWN ON PART I, LINE 11G. ADVENTIST HEALTH PARTNERS, INC. (AHP) IS A SUBSIDIARY OF THE FILING ORGANIZATION. AHP IS AN ORGANIZATION EXEMPT FROM FEDERAL INCOME TAX UNDER IRC SECTION 501(C)(3) AND IS NOT A PRIVATE FOUNDATION PURSUANT TO SECTION 170(B)(1)(A)(III). IN PREVIOUS YEARS, AHP WAS INADVERTENTLY OMITTED FROM THE LIST OF SUPPORTED ORGANIZATIONS SHOWN ON SCHEDULE A, PART I, LINE 11G. THIS OMISSION HAS BEEN CORRECTED IN THE FILING ORGANIZATION'S CURRENT YEAR SCHEDULE A. AHP IS WITHIN THE CLASS OF SUPPORTED ORGANIZATIONS DESIGNATED IN THE FILING ORGANIZATION'S GOVERNING DOCUMENTS.
PART IV, SECTION B, LINE 2:	AS NOTED ABOVE, AHSSI, AMH, ABH, AGH, AND AHP EACH OWNED AND OPERATED A HOSPITAL FACILITY AND/OR PHYSICIAN CLINICS IN THE CHICAGO METROPOLITAN AREA AND ARE EACH IDENTIFIED AS A SUPPORTED ORGANIZATION OF AMM DURING ITS CURRENT TAX YEAR. THE FIVE SUPPORTED ORGANIZATIONS WITH THEIR RELATED ENTITIES AND OPERATIONS CONSTITUTE THE MIDWEST REGION OF AHS. AMM, THE FILING ORGANIZATION, SUPPORTS EACH OF THE SUPPORTED ORGANIZATIONS IN THE AHS MIDWEST REGION BY PROVIDING MANAGEMENT SERVICES TO PHYSICIAN PRACTICES AFFILIATED WITH THE HOSPITALS. AMH IS THE SOLE MEMBER OF AMM AND APPOINTS THE BOARD OF AMM. THE RIGHT TO ELECT, APPOINT OR REMOVE ANY MEMBER OF AMM'S BOARD IS NOT SHARED WITH ANY OF THE OTHER SUPPORTED ORGANIZATIONS. HOWEVER, THE SELECTION OF THE BOARD PROVIDES SUBSTANTIAL REPRESENTATION OF EACH OF THE SUPPORTED ORGANIZATIONS AND GIVES EACH OF THE ORGANIZATIONS A SIGNIFICANT VOICE IN OVERSEEING THE OPERATIONS OF AMM. THE CURRENT BOARD OF DIRECTORS OF AMM IS COMPRISED OF THE AHS MIDWEST REGION CEO, AND THE CFO AND CEO OF EACH HOSPITAL OWNED BY AHSSI, AMH, ABH AND AGH THAT IS OPERATED IN THE CHICAGO MARKET AND THE CEO OF THE RELATED TAX-EXEMPT PHYSICIAN GROUP. THE COMPOSITION OF THE BOARD IN THIS MANNER INSURES THAT THE NEEDS OF EACH OF THE SUPPORTED ORGANIZATIONS ARE CONSIDERED IN ESTABLISHING THE DIRECTION AND STRATEGY OF AMM.

Schedule D IRS990ScheduleD

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$776,477	OtherCostOrOtherBasisAmt
Depreciation	$540,273	DepreciationAmt
Book Value	$236,204	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$236,204	TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (2 entries)

DescDesc	Book ValueBookValueAmt
DUE FROM AFFILIATED	$4,702,977
DUE FROM ADVENTIST HEALTH NETWORK	$266,626

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$4,969,603	TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

Field	Value	IRS element (for citing)
Desc	DUE TO RELATED	Desc
Amt	$285,681	Amt

Field	Value	IRS element (for citing)
Total Liability	$285,681	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART X, LINE 2:	FormAndLineReferenceDesc
Explanation	THE FILING ORGANIZATION IS A SUBSIDIARY ORGANIZATION WITHIN 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, 2015 AND 2014. NAHS ALSO HAS TEMPORARY DEDUCTIBLE DIFFERENCES OF APPROXIMATELY $62,700 AND $63,600 AT DECEMBER 31, 2015 AND 2014, RESPECTIVELY, PRIMARILY AS A RESULT OF NET OPERATING LOSS CARRYFORWARDS. AT DECEMBER 31, 2015, NAHS HAD NET OPERATING LOSS CARRYFORWARDS OF APPROXIMATELY $62,500, EXPIRING BEGINNING IN 2022 THROUGH 2026. DEFERRED TAXES HAVE BEEN PROVIDED FOR THESE AMOUNTS, RESULTING IN A NET DEFERRED TAX ASSET OF APPROXIMATELY $23,800 AND $24,200 AT DECEMBER 31, 2015 AND 2014, RESPECTIVELY. A FULL VALUATION ALLOWANCE HAS BEEN PROVIDED AT DECEMBER 31, 2015 AND 2014 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, 2015 AND 2014.	ExplanationTxt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Travel For Companions	Yes (X)	TravelForCompanionsInd
Idemnification Gross Up Pmts	Yes (X)	IdemnificationGrossUpPmtsInd
Discretionary Spending Acct	Yes (X)	DiscretionarySpendingAcctInd
Written Policy Ref T And E Expnss	Yes (1)	WrittenPolicyRefTAndEExpnssInd
Substantiation Required	Yes (1)	SubstantiationRequiredInd
Severance Payment	Yes (1)	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (1)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	0	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	0	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	0	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	0	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	0	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	0	AnyNonFixedPaymentsInd
Initial Contract Exception	0	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (13 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
BRUCE CHRISTIAN
DIRECTOR	$0	$302,933	$0	$64,425	$0	$67,580	$0	$14,388	$0	$49,584	$0	$498,910	$0	$0
DAVID CRANE
CHAIRMAN/PRESIDENT	$0	$756,033	$0	$236,919	$0	$1,710,168	$0	$135,272	$0	$45,454	$0	$2,883,846	$0	$127,976
MICHAEL GOEBEL
DIRECTOR	$0	$439,771	$0	$103,743	$0	$94,913	$0	$73,386	$0	$42,868	$0	$754,681	$0	$51,740
RICK MACE
DIRECTOR	$0	$322,799	$0	$103,132	$0	$168,836	$0	$54,559	$0	$30,551	$0	$679,877	$0	$36,920
GEORGE MAYZELL MD
DIRECTOR (END 8/15)	$0	$339,276	$0	$89,568	$0	$454,104	$0	$45,290	$0	$39,035	$0	$967,273	$0	$37,967
RONALD WEHTJE
DIR/V.CHAIR/REGIONAL CFO	$0	$422,500	$0	$111,329	$0	$111,524	$0	$54,799	$0	$42,410	$0	$742,562	$0	$38,614
PAM WILLIAMS
DIRECTOR/VP/SECRETARY (END 5/15)	$0	$158,903	$0	$77,336	$0	$343,567	$0	$20,190	$0	$12,477	$0	$612,473	$0	$30,962
THOMAS WILLIAMS
DIRECTOR (END 6/15)	$0	$191,389	$0	$65,367	$0	$389,544	$0	$25,018	$0	$13,478	$0	$684,796	$0	$30,536
ERIK BAIER
CFO	$0	$291,573	$0	$39,090	$0	$41,522	$0	$46,288	$0	$28,385	$0	$446,858	$0	$18,517
RICHARD HIBBOTT
COO	$194,616	$0	$9,176	$0	$1,446	$0	$11,041	$0	$17,589	$0	$233,868	$0	$0	$0
ELLEN MORRISON
MANAGED CARE DIRECTOR	$156,770	$0	$7,344	$0	$221	$0	$8,959	$0	$28,102	$0	$201,396	$0	$0	$0
RUBY MANN
PFS DIRECTOR	$113,292	$0	$8,045	$0	$1,069	$0	$6,242	$0	$26,495	$0	$155,143	$0	$0	$0
JANICE HAGENSICKER
FORMER DIRECTOR/CFO	$0	$379,609	$0	$91,575	$0	$212,923	$0	$50,215	$0	$30,603	$0	$764,925	$0	$28,711

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE 1A	THE FILING ORGANIZATION IS A PART OF THE SYSTEM OF HEALTHCARE ORGANIZATIONS KNOWN AS ADVENTIST HEALTH SYSTEM (AHS). CERTAIN MEMBERS OF THE FILING ORGANIZATION'S EXECUTIVE MANAGEMENT TEAM THAT HOLD THE POSITION OF VICE-PRESIDENT OR ABOVE ARE COMPENSATED BY AND ON THE PAYROLL OF ADVENTIST HEALTH SYSTEM SUNBELT HEALTHCARE CORPORATION (AHSSHC), THE PARENT ORGANIZATION OF AHS. AHSSHC IS EXEMPT FROM FEDERAL INCOME TAX UNDER IRC SECTION 501(C)(3). THE FILING ORGANIZATION REIMBURSES AHSSHC FOR THE SALARY AND BENEFIT COST OF THOSE EXECUTIVES ON THE PAYROLL OF AHSSHC THAT PROVIDE SERVICES AND ARE ON THE MANAGEMENT TEAM OF THE FILING ORGANIZATION. TRAVEL FOR COMPANIONS: AHSSHC HAS A CORPORATE EXECUTIVE POLICY THAT PROVIDES A BENEFIT TO ALLOW FOR A TRAVELING AHSSHC EXECUTIVE TO HAVE HIS OR HER SPOUSE ACCOMPANY THE EXECUTIVE ON CERTAIN BUSINESS TRIPS EACH YEAR. TYPICALLY, REIMBURSEMENT IS ONLY PROVIDED TO VICE PRESIDENTS AND ABOVE AND IS USUALLY LIMITED TO ONE BUSINESS TRIP PER YEAR BEYOND THE ANNUAL AHS PRESIDENT'S COUNCIL BUSINESS MEETING AND OTHER MEETINGS WHERE THE SPOUSE IS SPECIFICALLY INVITED. THE AHSSHC CORPORATE EXECUTIVE SPOUSAL TRAVEL POLICY WAS ORIGINALLY APPROVED AND REVIEWED BY THE AHSSHC BOARD COMPENSATION COMMITTEE, AN INDEPENDENT BODY OF THE AHSSHC BOARD OF DIRECTORS. ALL SPOUSAL TRAVEL COSTS REIMBURSED TO THE EXECUTIVE ARE CONSIDERED TAXABLE COMPENSATION TO THE EXECUTIVE. TAX INDEMNIFICATION AND GROSS-UP PAYMENTS: AHS HAS A SYSTEM-WIDE POLICY ADDRESSING GROSS-UP PAYMENTS PROVIDED IN CONNECTION WITH EMPLOYER-PROVIDED BENEFITS/OTHER TAXABLE ITEMS. UNDER THE POLICY, CERTAIN TAXABLE BUSINESS-RELATED REIMBURSEMENTS (I.E. TAXABLE BUSINESS-RELATED MOVING EXPENSES, TAXABLE ITEMS PROVIDED IN CONNECTION WITH EMPLOYMENT) PROVIDED TO ANY EMPLOYEE MAY BE GROSSED-UP AT A 25% RATE UPON APPROVAL OF THE FILING ORGANIZATION'S CEO AND CFO. ADDITIONALLY, EMPLOYEES AT THE DIRECTOR LEVEL AND ABOVE ARE ELIGIBLE FOR GROSS-UP PAYMENTS ON GIFTS RECEIVED FOR BOARD OF DIRECTOR SERVICES. DISCRETIONARY SPENDING ACCOUNT: A NOMINAL DISCRETIONARY SPENDING AMOUNT WAS PROVIDED IN THE CURRENT YEAR TO ALL ELIGIBLE EXECUTIVES WHO ATTEND THE ANNUAL AHS PRESIDENT'S COUNCIL BUSINESS MEETING ($500 PER EXECUTIVE) OR THE ANNUAL AHS CFO CONFERENCE OR CMO/CNO BUSINESS MEETING ($300 PER EXECUTIVE). OTHER DISCRETIONARY SPENDING ACCOUNTS MAY BE PROVIDED IN CONNECTION WITH OTHER AHS SPONSORED CONFERENCES BUT TYPICALLY DO NOT EXCEED $200 PER PARTICIPANT. WITH RESPECT TO THE AHS PRESIDENT'S COUNCIL MEETING, ELIGIBLE EXECUTIVES MAY INCLUDE AHSSHC VICE PRESIDENTS AND ABOVE AND ALL AHSSHC SUBSIDIARY ORGANIZATION CEOS AND REGIONAL CFOS. THE PAYMENT PROVIDED TO EACH EXECUTIVE WAS CONSIDERED TAXABLE COMPENSATION TO THE EXECUTIVE.
PART I, LINE 3	THE INDIVIDUAL WHO SERVES AS THE CEO OF THE FILING ORGANIZATION IS COMPENSATED BY ALEXIAN BROTHERS HEALTH SYSTEM FOR THAT INDIVIDUAL'S ROLE IN SERVING AS THE CEO. PLEASE SEE OUR RESPONSE TO FORM 990, PART VII, SECTION A, LINE 5 BELOW.
PART I, LINES 4A-B	DURING THE YEAR ENDING DECEMBER 31, 2015, GEORGE MAYZELL, PAMELA WILLIAMS, AND THOMAS WILLIAMS RECEIVED SEVERANCE PAYMENTS IN THE AMOUNTS OF $159,931, $217,431, AND $175,926 RESPECTIVELY. GEORGE MAYZELL, PAMELA WILLIAMS, AND THOMAS WILLIAMS WERE COMPENSATED BY AND ON THE PAYROLL OF ADVENTIST HEALTH SYSTEM SUNBELT HEALTHCARE CORPORATION (AHSSHC). PURSUANT TO THE AHSSHC CORPORATE EXECUTIVE POLICY GOVERNING EXECUTIVE SEVERANCE, SEVERANCE AGREEMENTS FOR EXECUTIVES OPERATING AT THE VICE PRESIDENT LEVEL AND ABOVE ARE ENTERED INTO UPON ELIGIBILITY TO FACILITATE THE TRANSITION TO SUBSEQUENT EMPLOYMENT FOLLOWING AN INVOLUNTARY SEPARATION FROM EMPLOYMENT WITH AHS. CERTAIN 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 $230,000. 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 ------------------------------------------------------- BRUCE CHRISTIAN $ 24,955 $ 6,955 $ 0 $0 DAVID CRANE $138,885 $128,053 $1,479,628 $0 MICHAEL GOEBEL $ 64,299 $ 62,515 $ 0 $0 JANICE HAGENSICKER $ 53,827 $ 28,728 $133,723 $0 RICK MACE $ 40,172 $ 37,553 $ 94,772 $0 RONALD WEHTJE $ 58,411 $ 43,544 $ 0 $0 PAMELA WILLIAMS $ 23,803 $ 74,138 $ 0 $0 THOMAS WILLIAMS $ 28,630 $ 76,670 $ 72,680 $0 ERIK BAIER $ 31,901 $ 19,531 $ 0 $0 GEORGE MAYZELL $ 48,903 $128,259 $ 0 $0 * INCLUDING INVESTMENT EARNINGS FORM 990, PART VII, SECTION A, LINE 5: THE FOLLOWING INDIVIDUAL WAS COMPENSATED BY ALEXIAN BROTHERS HEALTH SYSTEM IN 2015 FOR SERVICES PROVIDED TO THE FILING ORGANIZATION. PLEASE SEE OUR RESPONSE TO FORM 990, PART VI, SECTION A, LINE 4 FOR A DISCUSSION CONCERNING THE FILING ORGANIZATION'S AFFILIATION WITH ALEXIAN BROTHERS HEALTH SYSTEM. NAME OF EMPLOYER: ALEXIAN BROTHERS HEALTH SYSTEM NAME OF EMPLOYEE: BETH TZE, CEO TYPE AND AMOUNT OF COMPENSATION PAID/ACCRUED FROM ALEXIAN BROTHERS HEALTH SYSTEM FOR SERVICES RENDERED TO THE FILING ORGANIZATION: BASE COMPENSATION - $221,844 BONUS & INCENTIVE COMPENSATION - $57,043 OTHER REPORTABLE COMPENSATION - $13,521 RETIREMENT & OTHER DEFERRED COMPENSATION - $17,766 NONTAXABLE BENEFITS - $15,084

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (12 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 4	THE ARTICLES OF INCORPORATION AND BYLAWS OF THE FILING ORGANIZATION WERE AMENDED IN 2015 TO REFLECT CERTAIN CHANGES TO THE PURPOSES, MEMBERSHIP, AND GOVERNANCE OF THE FILING ORGANIZATION AS A RESULT OF AN AFFILIATION AGREEMENT ENTERED INTO BETWEEN ADVENTIST HEALTH SYSTEM SUNBELT HEALTHCARE CORPORATION (AHSSHC) AND ASCENSION HEALTH ON FEBRUARY 1, 2015. AHSSHC IS THE 501(C)(3) TOP-TIER PARENT ORGANIZATION OF THE FILING ORGANIZATION AND THE PARENT OF A SYSTEM OF HOSPITAL AND OTHER HEALTHCARE PROVIDER ORGANIZATIONS OPERATING IN TEN STATES. THE SYSTEM IS KNOWN AS ADVENTIST HEALTH SYSTEM (AHS). UNDER THE AFFILIATION AGREEMENT ENTERED INTO BETWEEN AHSSHC AND ASCENSION HEALTH, A JOINT OPERATING COMPANY, ALEXIAN BROTHERS - AHS MIDWEST REGION HEALTH CO., WAS FORMED. THE JOINT OPERATING COMPANY DOES BUSINESS UNDER THE NAME, AMITA HEALTH. ALEXIAN BROTHERS - AHS MIDWEST REGION HEALTH CO. (JOC OR AMITA HEALTH) HAS BEEN RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS A TAX-EXEMPT ORGANIZATION UNDER IRC SECTION 501(C)(3). THE JOC PROVIDES FOR THE HOSPITALS AND OTHER HEALTHCARE PROVIDER ORGANIZATIONS OWNED AND OPERATED IN THE NORTHWEST SUBURBS OF CHICAGO BY ALEXIAN BROTHERS HEALTH SYSTEM AND BY AHS TO INTEGRATE FINANCIALLY AND OPERATIONALLY TO ACHIEVE A MORE EFFECTIVE AND EFFICIENT SYSTEM OF DELIVERING HEALTHCARE AND HOSPITAL SERVICES TO THE RESIDENTS OF THE COMMUNITIES SERVED. THE JOC MANAGES AND OPERATES ITS "COVERED AFFILIATES". THE FILING ORGANIZATION IS ONE OF THE COVERED AFFILIATES OF THE JOC. THE MEMBERSHIP OF THE JOC IS HELD BY ADVENTIST MIDWEST HEALTH AND ALEXIAN BROTHERS HEALTH SYSTEM. ADVENTIST MIDWEST HEALTH (AMH) IS A 501(C)(3) SECOND-TIER SUBSIDIARY OF AHSSHC. ALEXIAN BROTHERS HEALTH SYSTEM IS ALSO EXEMPT FROM FEDERAL INCOME TAX UNDER IRC SECTION 501(C)(3). PRIOR TO THE COMMENCEMENT OF THE AFFILIATION AGREEMENT ON FEBRUARY 1, 2015, THE SOLE MEMBER OF THE FILING ORGANIZATION WAS ADVENTIST HEALTH SYSTEM/SUNBELT, INC. (AHSSI). AHSSI IS A 501(C)(3) FIRST-TIER SUBSIDIARY OF AHSSHC. AHSSI IS THE SOLE MEMBER OF AMH. IN CONJUNCTION WITH THE CLOSING OF THE AFFILIATION AGREEMENT OF FEBRUARY 1, 2015, A RESTRUCTURING OCCURRED WHEREBY THE MEMBERSHIP OF THE FILING ORGANIZATION WAS TRANSFERRED FROM AHSSI TO AMH. THE PURPOSES CLAUSE OF THE FILING ORGANIZATION'S BYLAWS WAS AMENDED IN 2015 TO REFLECT THE FILING ORGANIZATION'S STATUS AS A COVERED AFFILIATE OF THE NEW JOC KNOWN AS AMITA HEALTH. THE GOVERNANCE AND RESERVED POWERS ARTICLES OF THE BYLAWS WERE AMENDED TO SET FORTH THE RIGHTS AND RESERVED POWERS OVER THE FILING ORGANIZATION BY THE SPONSOR, AHSSHC, BY THE MEMBER, AMH, BY BOTH MEMBERS OF THE JOC, NAMELY, AMH AND ALEXIAN BROTHERS HEALTH SYSTEM, AND THE BOARD OF DIRECTORS OF AMITA HEALTH. PLEASE SEE OUR RESPONSE TO QUESTION 7B OF SECTION A OF PART VI OF FORM 990 FOR A LISTING OF THE POWERS RESERVED BY THE SPONSOR; BY AMH (MEMBER), BY BOTH AMH AND ALEXIAN BROTHERS HEALTH SYSTEM (MEMBERS), AND BY THE BOARD OF DIRECTORS OF AMITA HEALTH, THE JOC. PRIOR TO AMENDMENT OF THE FILING ORGANIZATION'S BYLAWS ON 2/1/15, THE PRESIDENT OF THE FILING ORGANIZATION WAS ELECTED BY THE MEMBER. THE BYLAWS, AS AMENDED, PROVIDE THAT THE PRESIDENT'S APPOINTMENT, RETENTION AND REMOVAL SHALL BE AT THE DISCRETION OF THE CEO OF THE JOC, SUBJECT TO THE SPONSOR'S APPROVAL.
FORM 990, PART VI, SECTION A, LINE 6	IN CONNECTION WITH THE AFFILIATION AGREEMENT DESCRIBED ABOVE IN PART VI, SECTION A, LINE 4, THE BOARD OF DIRECTORS OF AHSSI AND OF AHSSHC APPROVED A RESTRUCTURING WHEREBY AMH BECAME THE SOLE MEMBER OF THE FILING ORGANIZATION. PRIOR TO THE RESTRUCTURING, AHSSI WAS THE SOLE MEMBER OF THE FILING ORGANIZATION.
FORM 990, PART VI, SECTION A, LINE 7A	THE MEMBERS OF THE BOARD OF DIRECTORS (GOVERNING BOARD) OF THE FILING ORGANIZATION ARE APPOINTED BY THE CORPORATE MEMBER, AMH. THE CORPORATE MEMBER IS ENTITLED TO ELECT NOT LESS THAN SIX (6) AND NO MORE THAN ELEVEN (11) VOTING MEMBERS TO THE BOARD OF DIRECTORS OF THE FILING ORGANIZATION PURSUANT TO THE PROVISIONS OF THE BYLAWS, SUBJECT TO THE RATIFICATION OF THE AMITA HEALTH BOARD OF DIRECTORS.
FORM 990, PART VI, SECTION A, LINE 7B	AS NOTED IN OUR RESPONSE TO PART VI, SECTION A, LINE 4, THE FILING ORGANIZATION IS A COVERED AFFILIATE OF THE JOC KNOWN AS AMITA HEALTH. THE SOLE MEMBER OF THE FILING ORGANIZATION IS AMH. AMH IS ALSO ONE OF TWO MEMBERS IN AMITA HEALTH. THE OTHER MEMBER OF AMITA HEALTH IS ALEXIAN BROTHERS HEALTH SYSTEM. THE TOP-TIER PARENT OF AMH IS AHSSHC (SPONSOR). THE GOVERNING DOCUMENTS OF THE FILING ORGANIZATION, AS AMENDED, PROVIDE FOR CERTAIN AUTHORITIES AND RESERVED POWERS OVER THE FILING ORGANIZATION BY AHSSHC, AS SPONSOR, BY AMH AS MEMBER, BY BOTH MEMBERS OF THE JOC, NAMELY, AMH AND ALEXIAN BROTHERS HEALTH SYSTEM (MEMBERS), AND BY THE BOARD OF DIRECTORS OF THE JOC AS FOLLOWS. AHSSHC, AS SPONSOR HAS THE FOLLOWING AUTHORITY WITH RESPECT TO THE FILING ORGANIZATION: A. TO DIRECT THE DISPOSITION OF THE FILING ORGANIZATION'S ASSETS WITH A VALUE NOT TO EXCEED THREE MILLION DOLLARS ($3,000,000). B. TO RATIFY, TOGETHER WITH THE OTHER SPONSOR OF THE JOC, THE ANNUAL OPERATING AND CAPITAL BUDGETS OF THE FILING ORGANIZATION. C. TO DIRECT AN INTERNAL ASSET TRANSFER BETWEEN OR AMONG THE SPONSOR'S COVERED AFFILIATES (INCLUDING THE FILING ORGANIZATION) WITH A VALUE NOT IN EXCESS OF THREE MILLION DOLLARS ($3,000,000). D. TO DIRECT A SALE TO A THIRD PARTY OF PART OF THE FILING ORGANIZATION'S ASSETS MANAGED AND OPERATED BY THE JOC, OR A TRANSFER OF PART OF SPONSOR'S MEMBERSHIP INTEREST IN THE FILING ORGANIZATION TO A THIRD PARTY, SUBJECT TO A SUPERMAJORITY VOTE OF THE JOC BOARD OF DIRECTORS. CERTAIN GOVERNANCE POWERS ARE RESERVED TO AMH, AS THE MEMBER OF THE FILING ORGANIZATION. THE RESERVED POWERS OF AMH INCLUDE THE FOLLOWING: A. FAITH-BASED TENETS AND ETHICAL PRINCIPLES OF THE FILING ORGANIZATION. B. THE ALTERATION, RESTATEMENT OR REPEAL OF THE ARTICLES OF INCORPORATION, BYLAWS OR MISSION STATEMENT OF THE FILING ORGANIZATION, PROVIDED THAT SUCH ACTIONS ARE NOT INCONSISTENT WITH THE JOC BYLAWS OR THE AFFILIATION AGREEMENT. C. THE APPOINTMENT OF THE FILING ORGANIZATION'S BOARD OF DIRECTORS, SUBJECT TO THE RATIFICATION OF THE JOC BOARD OF DIRECTORS. D. THE APPROVAL OF ANY JOC BOARD RECOMMENDED WAIVER OR OTHER CLAIM OR ACTION AGAINST OR BROUGHT BY OR ON BEHALF OF THE FILING ORGANIZATION IF THE UNINSURED PORTION OF THE AMOUNT IN CONTROVERSY IS IN EXCESS OF SUCH THRESHOLD AMOUNT DESIGNATED IN SPONSOR POLICY AS REQUIRING MEMBER APPROVAL. POWERS RESERVED TO BOTH MEMBERS OF THE JOC: A. TO SELL, TRANSFER OR OTHERWISE DISPOSE OF ANY REAL ESTATE OR ANY ASSET OWNED BY THE FILING ORGANIZATION WITH A FAIR MARKET VALUE IN EXCESS OF TEN MILLION DOLLARS ($10,000,000). B. TO DIRECT ASSET TRANSFERS FROM THE FILING ORGANIZATION TO ANY OF THE ALEXIAN COVERED AFFILIATES (OR VICE VERSA) IN EXCESS OF TEN MILLION DOLLARS ($10,000,000). C. TO APPROVE ANY OPERATING LEASE UNDER WHICH THE FILING ORGANIZATION IS THE LESSEE, WHICH OPERATING LEASE SHALL BE CONSISTENT WITH THE OPERATING LEASE POLICIES OF ITS SPONSOR. D. OTHER THAN WITH RESPECT TO A COVERED AFFILIATE LEGACY LIABILITY OF THE MEMBER OR ITS SPONSOR, WHICH MATTER WILL BE HANDLED BY THE MEMBER AND ITS SPONSOR, TO APPROVE ENTERING INTO ANY CORPORATE INTEGRITY AGREEMENT OR SIMILAR AGREEMENT WITH A GOVERNMENT ENTITY OR AGENCY IMPOSING COMPLIANCE OBLIGATIONS ON THE JOC OR THE FILING ORGANIZATION. E. TO ACQUIRE ANY REAL ESTATE, PERSONAL PROPERTY, MEMBERSHIP, OWNERSHIP OR INVESTMENT INTEREST FOR THE FILING ORGANIZATION OR MAKE ANY CAPITAL EXPENDITURE WHETHER OR NOT PURSUANT TO AN ANNUAL BUDGET, OR SUBSTITUTIONS FOR CAPITAL EXPENDITURES WITHIN A CAPITAL BUDGET, WHICH EXCEED INDIVIDUALLY, OR IN THE AGGREGATE, TEN MILLION DOLLARS ($10,000,000) IN ANY FISCAL YEAR; PROVIDED, HOWEVER, THAT ANY CONTRIBUTION NECESSARY TO FUND UNBUDGETED EXPENDITURES BY THE JOC IS SUBJECT TO MEMBER APPROVAL. POWERS OF THE BOARD OF DIRECTORS OF THE JOC OVER THE FILING ORGANIZATION: A. TO ADOPT AND MODIFY THE ANNUAL (AND INTERIM IF DEEMED APPROPRIATE) OPERATING AND CAPITAL BUDGETS OF THE FILING ORGANIZATION, WHICH BUDGETS WILL BE SUBJECT TO RATIFICATION BY EACH SPONSOR. B. TO ADOPT AND MODIFY A STRATEGIC PLAN FOR THE FILING ORGANIZATION AND APPROVE ANY UPDATE THEREOF. C. TO SELL, TRANSFER OR OTHERWISE DISPOSE OF ANY REAL ESTATE OR ANY OTHER ASSET OF THE FILING ORGANIZATION WITH A FAIR MARKET VALUE UP TO THE THRESHOLD OF TEN MILLION DOLLARS ($10,000,000). D. TO DIRECT ASSET TRANSFERS FROM THE FILING ORGANIZATION TO ANY OF THE ALEXIAN COVERED AFFILIATES (OR VICE VERSA) UP TO THE THRESHOLD OF TEN MILLION DOLLARS ($10,000,000). E. TO RECOMMEND FOR MEMBER APPROVAL ENTERING INTO ANY OPERATING LEASE IN WHICH THE FILING ORGANIZATION IS THE LESSEE CONSISTENT WITH THE OPERATING POLICIES OF THE SPONSOR. F. TO APPROVE ANY CONTRACT UNDER WHICH EITHER MEMBER OR ANY AFFILIATE OF A MEMBER WILL PROVIDE ITEMS OR SERVICES TO THE JOC OR A COVERED AFFILIATE OF THE OTHER MEMBER. G. TO RECOMMEND TO THE MEMBER ANY WAIVER, SETTLEMENT OR COMPROMISE OF ANY CLAIM AGAINST OR BROUGHT BY OR ON BEHALF OF THE FILING ORGANIZATION IF THE UNINSURED PORTION OF THE AMOUNT IN CONTROVERSY IS UP TO SUCH THRESHOLD AMOUNT AS DESIGNATED IN SPONSOR POLICY AS REQUIRING APPROVAL. H. TO MAKE ANY CAPITAL EXPENDITURE, INCLUDING BUT NOT LIMITED TO REAL ESTATE, PERSONAL PROPERTY, MEMBERSHIP, OWNERSHIP OR INVESTMENT INTEREST FOR THE FILING ORGANIZATION OR GOODWILL OR OTHER INTANGIBLE ASSETS WHICH ARE LESS THAN, INDIVIDUALLY OR IN THE AGGREGATE, TEN MILLION DOLLARS ($10,000,000) IN ANY FISCAL YEAR. I. TO DETERMINE THE SERVICES PROVIDED BY THE FILING ORGANIZATION, INCLUDING THE AUTHORITY TO DIRECT THE EXPANSION, REDUCTION AND CONSOLIDATION OF CLINICAL PROGRAMS, PATIENT CARE SERVICES AND ADMINISTRATIVE CAPABILITIES OR OTHER MAJOR CHANGES IN THE OPERATION OF THE FILING ORGANIZATION. J. TO ENTER INTO, ON BEHALF OF THE FILING ORGANIZATION, ANY RISK-BASED MANAGED CARE CONTRACT UNDER WHICH THE FILING ORGANIZATION WILL PROVIDE SERVICES. K. ANY CORPORATE COMPLIANCE POLICY APPLICABLE TO THE FILING ORGANIZATION AND ANY MODIFICATIONS THEREOF. L. TO MONITOR AND AUDIT THE FILING ORGANIZATION'S COMPLIANCE WITH THE DIRECTIVES OF THE MEMBERS ISSUED IN ACCORDANCE WITH THE AFFILIATION AGREEMENT. M. TO ADOPT CLINICAL INTEGRATION AND PERFORMANCE IMPROVEMENT PROGRAMS TO ENHANCE THE QUALITY AND COST-EFFECTIVENESS OF CLINICAL SERVICES AT THE FILING ORGANIZATION, INCLUDING BUT NOT LIMITED TO THROUGH CLINICAL PROTOCOLS, BEST PRACTICE STANDARDS, OUTCOMES MEASUREMENT MECHANISMS, POPULATION MANAGEMENT PROGRAMS AND COLLABORATION ON INFORMATION TECHNOLOGY INITIATIVES. N. TO APPROVE THE INTEGRATION OR PARTIAL INTEGRATION OF THE MEDICAL STAFFS OF ONE OR MORE FACILITIES OF THE FILING ORGANIZATION AND ANY OTHER COVERED AFFILIATES, AND ANY CREDENTIALING AND PRIVILEGING POLICY AND PROCEDURE RELATED THERETO PURSUANT TO SECTION 3.2 OF THE AFFILIATION AGREEMENT. O. TO RATIFY THE APPOINTMENT OF THE FILING ORGANIZATION'S BOARD OF DIRECTORS.
FORM 990, PART VI, SECTION B, LINE 11	THE FILING ORGANIZATION'S CURRENT YEAR FORM 990 WAS REVIEWED BY THE CEO AND BY THE CFO PRIOR TO ITS FILING WITH THE IRS. THE REVIEW CONDUCTED BY THE CEO AND THE CFO DID NOT INCLUDE THE REVIEW OF ANY SUPPORTING WORKPAPERS THAT WERE USED IN PREPARATION OF THE CURRENT YEAR FORM 990, BUT DID INCLUDE A REVIEW OF THE ENTIRE FORM 990 AND ALL SUPPORTING SCHEDULES.
FORM 990, PART VI, SECTION B, LINE 12C	THE CONFLICT OF INTEREST POLICY OF THE FILING ORGANIZATION APPLIES TO MEMBERS OF ITS BOARD OF DIRECTORS AND ITS PRINCIPAL OFFICERS (TO BE KNOWN AS INTERESTED PERSONS). IN CONNECTION WITH ANY ACTUAL OR POSSIBLE CONFLICT OF INTERESTS, ANY MEMBER OF THE BOARD OF DIRECTORS OF THE FILING ORGANIZATION OR ANY PRINCIPAL OFFICER OF THE FILING ORGANIZATION (I.E. INTERESTED PERSONS) MUST DISCLOSE THE EXISTENCE OF ANY FINANCIAL INTEREST WITH THE FILING ORGANIZATION AND MUST BE GIVEN THE OPPORTUNITY TO DISCLOSE ALL MATERIAL FACTS CONCERNING THE FINANCIAL INTEREST/ARRANGEMENT TO THE BOARD OF DIRECTORS OF THE FILING ORGANIZATION OR TO ANY MEMBERS OF A COMMITTEE WITH BOARD DELEGATED POWERS THAT IS CONSIDERING THE PROPOSED TRANSACTION OR ARRANGEMENT. SUBSEQUENT TO ANY DISCLOSURE OF ANY FINANCIAL INTEREST/ARRANGEMENT AND ALL MATERIAL FACTS, AND AFTER ANY DISCUSSION WITH THE RELEVANT BOARD MEMBER OR PRINCIPAL OFFICER, THE REMAINING MEMBERS OF THE BOARD OF DIRECTORS OR COMMITTEE WITH BOARD DELEGATED POWERS SHALL DISCUSS, ANALYZE, AND VOTE UPON THE POTENTIAL FINANCIAL INTEREST/ARRANGEMENT TO DETERMINE IF A CONFLICT OF INTEREST EXISTS. ACCORDING TO THE FILING ORGANIZATION'S CONFLICT OF INTEREST POLICY, AN INTERESTED PERSON MAY MAKE A PRESENTATION TO THE BOARD OF DIRECTORS (OR COMMITTEE WITH BOARD DELEGATED POWERS), BUT AFTER SUCH PRESENTATION, SHALL LEAVE THE MEETING DURING THE DISCUSSION OF, AND THE VOTE ON, THE TRANSACTION OR ARRANGEMENT THAT RESULTS IN A CONFLICT OF INTEREST. EACH INTERESTED PERSON, AS DEFINED UNDER THE FILING ORGANIZATION'S CONFLICT OF INTEREST POLICY, SHALL ANNUALLY SIGN A STATEMENT WHICH AFFIRMS THAT SUCH PERSON HAS RECEIVED A COPY OF THE CONFLICT OF INTERESTS POLICY, HAS READ AND UNDERSTANDS THE POLICY, HAS AGREED TO COMPLY WITH THE POLICY, AND UNDERSTANDS THAT THE FILING ORGANIZATION IS A CHARITABLE ORGANIZATION THAT MUST PRIMARILY ENGAGE IN ACTIVITIES WHICH ACCOMPLISH ONE OR MORE OF ITS EXEMPT PURPOSES. THE FILING ORGANIZATION'S CONFLICT OF INTEREST POLICY ALSO REQUIRES THAT PERIODIC REVIEWS SHALL BE CONDUCTED TO ENSURE THAT THE FILING ORGANIZATION OPERATES IN A MANNER CONSISTENT WITH ITS CHARITABLE PURPOSES.
FORM 990, PART VI, SECTION B, LINE 15	CERTAIN OF THE FILING ORGANIZATION'S OFFICERS AND KEY EMPLOYEES ARE NOT COMPENSATED BY THE FILING ORGANIZATION. THE CEO AND COO ARE COMPENSATED BY AN UNRELATED ORGANIZATION, ALEXIAN BROTHERS HEALTH SYSTEM. AS MENTIONED IN PART VI, SECTION A, LINE 4 ALEXIAN BROTHERS HEALTH SYSTEM IS A CO-MEMBER IN THE JOINT OPERATING COMPANY IN WHICH THE PARENT OF THE FILING ORGANIZATION BECAME A MEMBER OF EFFECTIVE FEBRUARY 1, 2015. ALL OTHER 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). EACH YEAR, AHS PUBLISHES AN ANNUAL REPORT DOCUMENT THAT INCLUDES A FINANCIAL REPORT FOR THE RELEVANT YEAR AS WELL AS A COMMUNITY BENEFIT REPORT. THE FINANCIAL REPORT AND COMMUNITY BENEFIT REPORT ARE PRESENTED ON A CONSOLIDATED BASIS AND REPRESENT ALL OF THE ACTIVITIES, RESULTS OF OPERATIONS, AND FINANCIAL POSITION AT YEAR-END OF THE ENTIRE AHS SYSTEM. IN ADDITION, THE AUDITED CONSOLIDATED FINANCIAL STATEMENTS OF AHS AND OF THE AHS "OBLIGATED GROUP" ARE FILED ANNUALLY WITH THE MUNICIPAL SECURITIES RULEMAKING BOARD (MSRB). THE "OBLIGATED GROUP" IS A GROUP OF AHSSHC SUBSIDIARIES THAT ARE JOINTLY AND SEVERALLY LIABLE UNDER A MASTER TRUST INDENTURE THAT SECURES DEBT PRIMARILY ISSUED ON A TAX-EXEMPT BASIS. UNAUDITED QUARTERLY FINANCIAL STATEMENTS PREPARED IN ACCORDANCE WITH GENERALLY ACCEPTED ACCOUNTING PRINCIPLES (GAAP) ARE ALSO FILED WITH MSRB FOR AHS ON A CONSOLIDATED BASIS AND FOR THE GROUPING OF AHS SUBSIDIARIES COMPRISING THE "OBLIGATED GROUP". THE FILING ORGANIZATION DOES NOT GENERALLY MAKE ITS GOVERNING DOCUMENTS OR CONFLICT OF INTEREST POLICY AVAILABLE TO THE PUBLIC.
PART VII, SECTION A	FOR THOSE BOARD OF DIRECTOR MEMBERS AND OFFICERS WHO DEVOTE LESS THAN FULL-TIME TO THE FILING ORGANIZATION (BASED UPON THE AVERAGE NUMBER OF HOURS PER WEEK SHOWN IN COLUMN (B) ON PAGE 7 OF THE RETURN) THE COMPENSATION AMOUNTS SHOWN IN COLUMNS (E) AND (F) ON PAGE 7 WERE PROVIDED IN CONJUNCTION WITH THAT PERSON'S RESPONSIBILITIES AND ROLES IN SERVING IN AN EXECUTIVE LEADERSHIP POSITION IN CONJUNCTION WITH THE AFFILIATION AGREEMENT AND JOINT OPERATING COMPANY KNOWN AS AMITA HEALTH. PLEASE SEE OUR RESPONSE TO FORM 990, PART VI, SECTION A, LINE 4.
FORM 990, PART IX, LINE 11G	MANAGEMENT FEES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 1,250,759. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,250,759. COMPLIANCE FEES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 205,573. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 205,573. BILLING & COLLECTIONS SERVICES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 459,638. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 459,638. ENVIRONMENTAL SERVICES: PROGRAM SERVICE EXPENSES 143,553. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 143,553. PURCHASED MEDICAL SERVICES: PROGRAM SERVICE EXPENSES 1,314,408. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,314,408. RECRUITING: PROGRAM SERVICE EXPENSES 39,700. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 39,700. MISCELLANEOUS PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 1,340,363. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,340,363. PHYSICIAN CONSULTING: PROGRAM SERVICE EXPENSES 65,500. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 65,500. EHR MANAGEMENT FEES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 54,729. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 54,729. ELECTRONIC MEDICAL RECORDS FEE: PROGRAM SERVICE EXPENSES 1,998,520. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,998,520.
FORM 990, PART XI, LINE 9:	IMPAIRMENT CHARGE - FIXED ASSETS -176,024. TRANFER FROM TAX EXEMPT AFFILIATE 2,642,334. ROUNDING -2.
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.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (103 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd	Direct Controlling NADirectControllingNACd
ADVENTIST BOLINGBROOK HOSPITAL
500 REMINGTON BLVD	BOLINGBROOK	IL	60440	651219504	OPERATION OF HOSPITAL & RELATED SERVICES	IL	501(C)(3)	LINE 3	ADVENTIST MIDWEST HEALTH	Yes (1)
ADVENTIST CARE CENTERS - COURTLAND INC
730 COURTLAND STREET	ORLANDO	FL	32804	205774723	OPERATION OF HOME FOR THE AGED/HLTHCARE DELIVERY	FL	501(C)(3)	LINE 9	SUNBELT HLTH CARE CENTERS INC	Yes (1)
ADVENTIST GLENOAKS HOSPITAL
701 WINTHROP AVENUE	GLENDALE HEIGHTS	IL	60139	363208390	OPERATION OF HOSPITAL & RELATED SERVICES	IL	501(C)(3)	LINE 3	ADVENTIST MIDWEST HEALTH	Yes (1)
ADVENTIST HLTH MID-AMERICA INC
9100 W 74TH STREET	SHAWNEE MISSION	KS	66204	521347407	SUPPORT OF AFFILIATED HOSPITAL	KS	501(C)(3)	LINE 11C, III-FI	ADVENTIST HLTH SYSTEMSUNBELT INC	Yes (1)
ADVENTIST HLTH PARTNERS INC
1000 REMINGTON BLVD STE 200	BOLINGBROOK	IL	60440	364138353	OPERATE OUT-PATIENT PHYSICIAN CLINICS	IL	501(C)(3)	LINE 3	AHS MIDWEST MANAGEMENT INC	Yes (1)
ADVENTIST HLTH SYSTEM SUNBELT HLTHCARE CORP
900 HOPE WAY	ALTAMONTE SPRINGS	FL	32714	592170012	MANAGEMENT SERVICES	FL	501(C)(3)	LINE 11A, I		0	N/A
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	Yes (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	Yes (1)
ADVENTIST HLTH SYSTEMTEXAS INC
11801 S FREEWAY	BURLESON	TX	36028	742578952	LEASING PERSONNEL TO AFFILIATED HOSPITAL	TX	501(C)(3)	LINE 11C, III-FI	ADVENTIST HLTH SYSTEM SUNBELT HLTHCARE CORP	Yes (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	Yes (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	Yes (1)
AHP SPECIALTY CARE NFP (1230-123115)
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	Yes (1)
AHS MIDWEST MANAGEMENT INC
1000 REMINGTON BLVD STE 200	BOLINGBROOK	IL	60440	363354567	OPERATION OF PHYSICIAN PRACTICE MGMT	IL	501(C)(3)	LINE 11A, I	ADVENTIST MIDWEST HEALTH	Yes (1)
AHSCENTRAL TEXAS INC
1301 WONDER WORLD DRIVE	SAN MARCOS	TX	78666	742621825	PROVIDE OFFICE SPACE - MEDICAL PROFESSIONALS	TX	501(C)(3)	LINE 11C, III-FI	ADVENTIST HLTH SYSTEM SUNBELT HLTHCARE CORP	Yes (1)
ALEXIAN BROTHERS-AHS MIDWEST REGION HLTH CO DBA AMITA HEALTH
3040 W SALT CREEK LANE	ARLINGTON HEIGHTS	IL	60005	472360513	JOINT OPERATING COMPANY	IL	501(C)(3)	LINE 11B, II	ADVENTIST MIDWEST HEALTH	0
APOPKA HLTH CARE PROPERTIES INC
305 E OAK STREET	APOPKA	FL	32703	510605694	LEASE TO RELATED ORGANIZATION	GA	501(C)(3)	LINE 11C, III-FI	SUNBELT HLTH CARE CENTERS INC	Yes (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	Yes (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 9	SUNBELT HLTH CARE CENTERS INC	Yes (1)
BURLESON NURSING & REHAB CENTER INC
301 HUGULEY BLVD	BURLESON	TX	76028	205782243	OPERATION OF HOME FOR THE AGED/HLTHCARE DELIVERY	TX	501(C)(3)	LINE 9	SUNBELT HLTH CARE CENTERS INC	Yes (1)
CALDWELL HLTH CARE PROPERTIES INC
1333 WEST MAIN	PRINCETON	KY	42445	510605680	LEASE TO RELATED ORGANIZATION	GA	501(C)(3)	LINE 11C, III-FI	SUNBELT HLTH CARE CENTERS INC	Yes (1)
CENTRAL TEXAS HLTHCARE COLLABORATIVE
1301 WONDER WORLD DRIVE	SAN MARCOS	TX	78666	453739929	SUPPORT OPERATION OF HOSPITAL	TX	501(C)(3)	LINE 11A, I	ADVENTIST HLTH SYSTEMSUNBELT INC	Yes (1)
CHICKASAW HLTH CARE PROPERTIES INC
250 S CHICKASAW TRAIL	ORLANDO	FL	32825	510605681	LEASE TO RELATED ORGANIZATION	GA	501(C)(3)	LINE 11C, III-FI	SUNBELT HLTH CARE CENTERS INC	Yes (1)
CHIPPEWA VALLEY HOSPITAL & OAKVIEW CARE CENTER INC
1220 THIRD AVENUE WEST	DURAND	WI	54736	391365168	OPERATION OF HOSPITAL & RELATED SERVICES	WI	501(C)(3)	LINE 3	ADVENTIST HLTH SYSTEMSUNBELT INC	Yes (1)
COBB MEDICAL ASSOCIATES LLC (11-122315)
900 HOPE WAY	ALTAMONTE SPRINGS	FL	32714	582617089	INACTIVE	GA	501(C)(3)	LINE 3	EMORY-ADVENTIST INC	Yes (1)
COURTLAND HLTH CARE PROPERTIES INC
730 COURTLAND STREET	ORLANDO	FL	32804	510605682	LEASE TO RELATED ORGANIZATION	GA	501(C)(3)	LINE 11C, III-FI	SUNBELT HLTH CARE CENTERS INC	Yes (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 9	SUNBELT HLTH CARE CENTERS INC	Yes (1)
DAIRY ROAD HLTH CARE PROPERTIES INC
7350 DAIRY ROAD	ZEPHYRHILLS	FL	33540	510605684	LEASE TO RELATED ORGANIZATION	GA	501(C)(3)	LINE 11C, III-FI	SUNBELT HLTH CARE CENTERS INC	Yes (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 9	SUNBELT HLTH CARE CENTERS INC	Yes (1)
EMORY-ADVENTIST INC
900 HOPE WAY	ALTAMONTE SPRINGS	FL	32714	582171011	INACTIVE	GA	501(C)(3)	LINE 3	ADVENTIST HLTH SYSTEMSUNBELT INC	Yes (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	Yes (1)
FLNC INC
3355 E SEMORAN BLVD	APOPKA	FL	32703	205774761	OPERATION OF HOME FOR THE AGED/HLTHCARE DELIVERY	FL	501(C)(3)	LINE 9	SUNBELT HLTH CARE CENTERS INC	Yes (1)
FLORIDA HOSPITAL HEALTHCARE PARTNERS INC
770 WEST GRANADA BLVD 101	ORMOND BEACH	FL	32174	462354804	OPERATION OF PHYSICIAN PRACTICES & MEDICAL SERVICES	FL	501(C)(3)	LINE 3	ADVENTIST HLTH SYSTEMSUNBELT INC	Yes (1)
FLORIDA HOSPITAL MEDICAL GROUP INC
2600 WESTHALL LN	MAITLAND	FL	32751	593214635	OPERATION OF PHYSICIAN PRACTICES & MEDICAL SERVICES	FL	501(C)(3)	LINE 3	ADVENTIST HLTH SYSTEMSUNBELT INC	Yes (1)
FLORIDA HOSPITAL PHYSICIAN GROUP INC
2700 HEALING WAY	WESLEY CHAPEL	FL	33545	462021581	OPERATION OF PHYSICIAN PRACTICES & MEDICAL SERVICES	FL	501(C)(3)	LINE 3	ADVENTIST HLTH SYSTEM SUNBELT HLTHCARE CORP	Yes (1)
FLORIDA HOSPITAL WATERMAN INC
1000 WATERMAN WAY	TAVARES	FL	32778	593140669	OPERATION OF HOSPITAL & RELATED SERVICES	FL	501(C)(3)	LINE 3	ADVENTIST HLTH SYSTEM SUNBELT HLTHCARE CORP	Yes (1)
FLORIDA HOSPITAL ZEPHYRHILLS INC
7050 GALL BLVD	ZEPHYRHILLS	FL	33541	592108057	OPERATION OF HOSPITAL & RELATED SERVICES	FL	501(C)(3)	LINE 3	ADVENTIST HLTH SYSTEMSUNBELT INC	Yes (1)
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 11A, I	SHAWNEE MISSION MEDICAL CENTER INC	Yes (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 9	SUNBELT HLTH CARE CENTERS INC	Yes (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 11C, 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 9	THE COMFORTER HEALTH CARE GROUP INC	Yes (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	Yes (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 11B, II	SUNBELT HLTH CARE CENTERS INC	Yes (1)
JELLICO COMMUNITY HOSPITAL INC (11-43015)
188 HOSPITAL LANE	JELLICO	TN	37762	620924706	OPERATION OF HOSPITAL & RELATED SERVICES	TN	501(C)(3)	LINE 3	ADVENTIST HLTH SYSTEM SUNBELT HLTHCARE CORP	Yes (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
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	Yes (1)
MEMORIAL HOSPITAL - WEST VOLUSIA INC
701 WEST PLYMOUTH AVENUE	DELAND	FL	32720	593256803	OPERATION OF HOSPITAL & RELATED SERVICES	FL	501(C)(3)	LINE 3	MEMORIAL HLTH SYSTEMS INC	Yes (1)
MEMORIAL HOSPITAL FLAGLER INC
60 MEMORIAL MEDICAL PARKWAY	PALM COAST	FL	32164	592951990	OPERATION OF HOSPITAL & RELATED SERVICES	FL	501(C)(3)	LINE 3	MEMORIAL HLTH SYSTEMS INC	Yes (1)
MEMORIAL HOSPITAL INC
210 MARIE LANGDON DRIVE	MANCHESTER	KY	40962	610594620	OPERATION OF HOSPITAL & RELATED SERVICES	KY	501(C)(3)	LINE 3	ADVENTIST HLTH SYSTEM SUNBELT HLTHCARE CORP	Yes (1)
MERRIAM HLTH CARE PROPERTIES INC
9700 WEST 62ND STREET	MERRIAM	KS	66203	364595806	LEASE TO RELATED ORGANIZATION	KS	501(C)(3)	LINE 11C, III-FI	SUNBELT HLTH CARE CENTERS INC	Yes (1)
METROPLEX ADVENTIST HOSPITAL INC
2201 S CLEAR CREEK ROAD	KILLEEN	TX	76549	742225672	OPERATION OF HOSPITAL & RELATED SERVICES	TX	501(C)(3)	LINE 3	ADVENTIST HLTH SYSTEM SUNBELT HLTHCARE CORP	Yes (1)
METROPLEX CLINIC PHYSICIANS INC
2201 S CLEAR CREEK ROAD	KILLEEN	TX	76549	113762050	PHYSICIAN HLTHCARE SERVICES TO THE COMMUNITY	TX	501(C)(3)	LINE 3	METROPLEX ADVENTIST HOSPITAL INC	Yes (1)
METROPLEX HOSPITAL INC (11-6815)
900 HOPE WAY	ALTAMONTE SPRINGS	FL	32714	461256516	INACTIVE	FL	501(C)(3)	LINE 3	ADVENTIST HLTH SYSTEM SUNBELT HLTHCARE CORP	Yes (1)
MIDWEST HLTH FOUNDATION
120 NORTH OAK STREET	HINSDALE	IL	60521	352230515	SUPPORT OF SUBSIDIARY FOUNDATIONS	IL	501(C)(3)	LINE 11B, II		0	N/A
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 9	SUNBELT HLTH CARE CENTERS INC	Yes (1)
MISSION STRATEGIES OF GEORGIA INC
900 HOPE WAY	ALTAMONTE SPRINGS	FL	32714	900866024	PROVISION OF SUPPORT TO THE NURSING HOME DIVISION	GA	501(C)(3)	LINE 11B, II	SUNBELT HLTH CARE CENTERS INC	Yes (1)
MISSOURI ADVENTIST HLTH INC
9100 W 74TH STREET	SHAWNEE MISSION	KS	66204	431224729	SUPPORT HLTH CARE SERVICES	MO	501(C)(3)	LINE 11D, III-O	ADVENTIST HLTH MID-AMERICA INC	Yes (1)
NORTH REGIONAL EMS INC (11-41615)
188 HOSPITAL LANE	JELLICO	TN	37762	262653616	EMS SERVICES	TN	501(C)(3)	LINE 9	JELLICO COMMUNITY HOSPITAL INC	Yes (1)
ORMOND BEACH MEMORIAL HOSPITAL AUXILIARY INC
301 MEMORIAL MEDICAL PARKWAY	DAYTONA BEACH	FL	32117	591721962	VOLUNTEER SUPPORT SERVICES	FL	501(C)(3)	LINE 11C, III-FI		0
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 9	SUNBELT HLTH CARE CENTERS INC	Yes (1)
PARAGON HLTH CARE PROPERTIES INC
950 HIGHPOINT DRIVE	HOPKINSVILLE	KY	42240	510605686	LEASE TO RELATED ORGANIZATION	GA	501(C)(3)	LINE 11C, III-FI	SUNBELT HLTH CARE CENTERS INC	Yes (1)
PASCO-PINELLAS HILLSBOROUGH COMMUNITY HLTH SYSTEM INC
2600 BRUCE B DOWNS BLVD	WESLEY CHAPEL	FL	33544	208488713	OPERATION OF HOSPITAL & RELATED SERVICES	FL	501(C)(3)	LINE 3	ADVENTIST HLTH SYSTEM SUNBELT HLTHCARE CORP	Yes (1)
PORTERCARE ADVENTIST HLTH SYSTEM (630 YEAR END)
2525 S DOWNING STREET	DENVER	CO	80210	840438224	OPERATION OF HOSPITAL & RELATED SERVICES	CO	501(C)(3)	LINE 3	ADVENTIST HLTH SYSTEM SUNBELT HLTHCARE CORP	Yes (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 9	SUNBELT HLTH CARE CENTERS INC	Yes (1)
PRINCETON PROFESSIONAL SERVICES INC
601 E ROLLINS STREET	ORLANDO	FL	32803	591191045	PROVISION OF HLTHCARE SERVICES	FL	501(C)(3)	LINE 9	ADVENTIST HLTH SYSTEM SUNBELT HLTHCARE CORP	Yes (1)
QUALITY CIRCLE FOR HLTHCARE INC
900 HOPE WAY	ALTAMONTE SPRINGS	FL	32714	263789368	HLTHCARE QUALITY SERVICES	FL	501(C)(3)	LINE 11A, I	ADVENTIST HLTH SYSTEM SUNBELT HLTHCARE CORP	Yes (1)
RESOURCE PERSONNEL INC
485 NORTH KELLER ROAD 250	MAITLAND	FL	32751	208040875	PROVIDE ADMINISTRATIVE SUPPORT TO TAX EXEMPT NURSING HOMES	FL	501(C)(3)	LINE 11B, II	SUNBELT HLTH CARE CENTERS INC	Yes (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	INACTIVE	TX	501(C)(3)	LINE 11A, I	ADVENTIST HLTH SYSTEMSUNBELT INC	Yes (1)
RUSSELLVILLE HLTH CARE PROPERTIES INC
683 EAST THIRD STREET	RUSSELLVILLE	KY	42276	510605691	LEASE TO RELATED ORGANIZATION	GA	501(C)(3)	LINE 11C, III-FI	SUNBELT HLTH CARE CENTERS INC	Yes (1)
SAN MARCOS HLTH CARE PROPERTIES INC
1900 MEDICAL PARKWAY	SAN MARCOS	TX	78666	510605693	LEASE TO RELATED ORGANIZATION	GA	501(C)(3)	LINE 11C, III-FI	SUNBELT HLTH CARE CENTERS INC	Yes (1)
SAN MARCOS NURSING & REHAB CENTER INC
1900 MEDICAL PARKWAY	SAN MARCOS	TX	78666	205782224	OPERATION OF HOME FOR THE AGED/HLTHCARE DELIVERY	TX	501(C)(3)	LINE 9	SUNBELT HLTH CARE CENTERS INC	Yes (1)
SHAWNEE MISSION HLTH CARE INC
6501 WEST 75TH STREET	OVERLAND PARK	KS	66204	480952508	LEASE TO RELATED ORGANIZATION	KS	501(C)(3)	LINE 11C, III-FI	SUNBELT HLTH CARE CENTERS INC	Yes (1)
SHAWNEE MISSION MEDICAL CENTER INC
9100 W 74TH STREET	SHAWNEE MISSION	KS	66204	480637331	OPERATION OF HOSPITAL & RELATED SERVICES	KS	501(C)(3)	LINE 3	ADVENTIST HLTH MID-AMERICA INC	Yes (1)
SOUTH CENTRAL INC
900 HOPE WAY	ALTAMONTE SPRINGS	FL	32714	593689740	MANAGEMENT SUPPORT	GA	501(C)(3)	LINE 11C, III-FI		0	N/A
SOUTH PASCO HLTH CARE PROPERTIES INC
38250 A AVENUE	ZEPHYRHILLS	FL	33542	510605679	LEASE TO RELATED ORGANIZATION	GA	501(C)(3)	LINE 11C, III-FI	SUNBELT HLTH CARE CENTERS INC	Yes (1)
SOUTHEAST VOLUSIA HEALTHCARE CORP (421-123115)
900 HOPE WAY	ALTAMONTE SPRINGS	FL	32714	473793197	OPERATION OF HOSPITAL & RELATED SERVICES	FL	501(C)(3)	LINE 3	ADVENTIST HLTH SYSTEM SUNBELT HLTHCARE CORP	Yes (1)
SOUTHWEST VOLUSIA HLTH SERVICES INC
1055 SAXON BLVD	ORANGE CITY	FL	32763	593281591	MEDICAL OFFICE BUILDING FOR HOSPITAL	FL	501(C)(3)	LINE 11A, I	SOUTHWEST VOLUSIA HLTHCARE CORP	Yes (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	Yes (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	Yes (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 9	SUNBELT HLTH CARE CENTERS INC	Yes (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 9	SUNBELT HLTH CARE CENTERS INC	Yes (1)
SUNBELT HLTH CARE CENTERS INC
485 NORTH KELLER ROAD 250	MAITLAND	FL	32751	581473135	MANAGEMENT SERVICES	TN	501(C)(3)	LINE 11B, II	ADVENTIST HLTH SYSTEM SUNBELT HLTHCARE CORP	Yes (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	Yes (1)
TAKOMA REGIONAL HOSPITAL INC (630 YEAR END)
401 TAKOMA AVE	GREENEVILLE	TN	37743	510603966	OPERATION OF HOSPITAL & RELATED SERVICES	TN	501(C)(3)	LINE 3	ADVENTIST HLTH SYSTEMSUNBELT INC	Yes (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	Yes (1)
TARPON SPRINGS HOSPITAL FOUNDATION INC
1395 S PINELLAS AVE	TARPON SPRINGS	FL	34689	590898901	OPERATION OF HOSPITAL & RELATED SERVICES	FL	501(C)(3)	LINE 3	UNIVERSITY COMMUNITY HOSPITAL INC	Yes (1)
TARRANT COUNTY HLTH CARE PROPERTIES INC
301 HUGULEY BLVD	BURLESON	TX	76028	510605677	LEASE TO RELATED ORGANIZATION	GA	501(C)(3)	LINE 11C, III-FI	SUNBELT HLTH CARE CENTERS INC	Yes (1)
TAYLOR CREEK HLTH CARE PROPERTIES INC
718 GOODWIN LANE	LEITCHFIELD	KY	42754	510605678	LEASE TO RELATED ORGANIZATION	GA	501(C)(3)	LINE 11C, III-FI	SUNBELT HLTH CARE CENTERS INC	Yes (1)
THE COMFORTER HEALTH CARE GROUP INC
605 MONTGOMERY ROAD	ALTAMONTE SPRINGS	FL	32714	271857940	LEASE TO RELATED ORGANIZATION	FL	501(C)(3)	LINE 11C, III-FI	ADVENTIST HLTH SYSTEM SUNBELT HLTHCARE CORP	Yes (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 11C, 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 9	SUNBELT HLTH CARE CENTERS INC	Yes (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 9	SUNBELT HLTH CARE CENTERS INC	Yes (1)
UNIVERSITY COMMUNITY HOSPITAL FOUNDATION INC
3100 E FLETCHER AVE	TAMPA	FL	33613	592554889	FUND-RAISING FOR TAX-EXEMPT HOSPITAL	FL	501(C)(3)	LINE 11A, I		0
UNIVERSITY COMMUNITY HOSPITAL SPECIALTY CARE INC
3100 E FLETCHER AVE	TAMPA	FL	33613	593231322	INACTIVE	FL	501(C)(3)	LINE 11A, I	UNIVERSITY COMMUNITY HOSPITAL INC	Yes (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	Yes (1)
WEST KENTUCKY HLTH CARE PROPERTIES INC
500 BECK LANE	MAYFIELD	KY	42066	510605676	LEASE TO RELATED ORGANIZATION	GA	501(C)(3)	LINE 11C, III-FI	SUNBELT HLTH CARE CENTERS INC	Yes (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 9	SUNBELT HLTH CARE CENTERS INC	Yes (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 9	SUNBELT HLTH CARE CENTERS INC	Yes (1)

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (9 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Direct Controlling NADirectControllingNACd
CLEAR CREEK MOB LTD
2201 S CLEAR CREEK RD	KILLEEN	TX	76549	742609195	REAL ESTATE	TX	N/A
ENDOSCOPY CENTER AT PORTER LLC
1001 SOUTH PARK DRIVE	LITTLETON	CO	80120	205855038	MEDICAL SERVICES	CO	N/A
FLORIDA HOSPITAL DMERT LLC
2450 MAITLAND CENTER PKWY STE 200	MAITLAND	FL	32751	202392253	MEDICAL EQUIPMENT	FL	N/A
FLORIDA HOSPITAL HOME INFUSION LLP
2450 MAITLAND CENTER PKWY STE 200	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
188 INVERNESS DR WEST 500	ENGLEWOOD	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
SHAWNEE MISSION OPEN MRI LLC
9100 W 74TH STREET BOX 2923	SHAWNEE MISSION	KS	66201	270011796	IMAGING & TESTING	KS	N/A

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (20 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Direct Controlling NADirectControllingNACd	Entity TypeEntityTypeTxt	Controlled OrganizationControlledOrganizationInd
ALTAMONTE MEDICAL PLAZA CONDOMINIUM ASSOCIATION INC
601 EAST ROLLINS STREET	ORLANDO	FL	32803	592855792	CONDO ASSOCIATION	FL	N/A	C	Yes (1)
APOPKA MEDICAL PLAZA CONDOMINIUM ASSOCIATION INC
601 EAST ROLLINS STREET	ORLANDO	FL	32803	593000857	CONDO ASSOCIATION	FL	N/A	C	Yes (1)
CC MOB INC
2201 S CLEAR CREEK ROAD	KILLEEN	TX	76549	742616875	REAL ESTATE RENTAL	TX	N/A	C	Yes (1)
CENTRAL TEXAS MEDICAL ASSOCIATES
1301 WONDER WORLD DRIVE	SAN MARCOS	TX	78666	742729873	INACTIVE	TX	N/A	C	Yes (1)
CENTRAL TEXAS PROVIDER'S NETWORK
1301 WONDER WORLD DRIVE	SAN MARCOS	TX	78666	742827652	PHYSICIAN HOSPITAL ORG.	TX	N/A	C	Yes (1)
FLORIDA HOSPITAL FLAGLER MEDICAL OFFICES ASSOCIATION INC
60 MEMORIAL MEDICAL PARKWAY	PALM COAST	FL	32164	262158309	CONDO ASSOCIATION	FL	N/A	C	Yes (1)
FLORIDA HOSP HLTH VILLAGE PROPERTY OWNER'S ASSOC INC EIN APPLIED FOR
550 E ROLLINS STREET 7TH FLOOR	ORLANDO	FL	32803		CONDO ASSOCIATION	FL	N/A	C	Yes (1)
FLORIDA HOSPITAL HEALTHCARE SYSTEM INC
602 COURTLAND STREET	ORLANDO	FL	32804	593215680	PHSO	FL	N/A	C	Yes (1)
FLORIDA MEDICAL PLAZA CONDO ASSOCIATION INC
601 EAST ROLLINS STREET	ORLANDO	FL	32803	592855791	CONDO ASSOCIATION	FL	N/A	C	Yes (1)
FLORIDA MEMORIAL HEALTH NETWORK INC
770 W GRANADA BLVD STE 317	ORMOND BEACH	FL	32174	593403558	PHYSICIAN HOSPITAL ORG.	FL	N/A	C	Yes (1)
KISSIMMEE MULTISPECIALTY CLINIC CONDOMINIUM ASSOCIATION INC
201 HILDA STREET SUITE 30	KISSIMMEE	FL	34741	593539564	CONDO ASSOCIATION	FL	N/A	C	Yes (1)
LAKE COUNTY HEALTH CARE PROPERTIES INC (END 123115)
485 NORTH KELLER ROAD STE 250	MAITLAND	FL	32751	472179868	REAL ESTATE RENTAL	FL	N/A	C	Yes (1)
MIDWEST MANAGEMENT SERVICES INC
9100 WEST 74TH STREET	SHAWNEE MISSION	KS	66204	480901551	INACTIVE	KS	N/A	C	Yes (1)
NORTH AMERICAN HEALTH SERVICES INC & SUB
900 HOPE WAY	ALTAMONTE SPRINGS	FL	32714	621041820	LESSOR/HOLDING CO.	TN	N/A	C	Yes (1)
ORMOND PROF ASSOCIATES CONDO ASSOC'N INC (430 YR END)
770 W GRANADA BLVD STE 101	ORMOND BEACH	FL	32174	592694434	CONDO ASSOCIATION	FL	N/A	C	Yes (1)
PARK RIDGE PROPERTY OWNER'S ASSOCIATION INC
1 PARK PLACE NAPLES ROAD	FLETCHER	NC	28732	030380531	CONDO ASSOCIATION	NC	N/A	C	Yes (1)
PORTER AFF HLTH SVCS INC DBA DIVERSIFIED AFF HLTH SVCS
2525 S DOWNING STREET	DENVER	CO	80210	840956175	HEALTHCARE SERVICES	CO	N/A	C	Yes (1)
SAN MARCOS REGIONAL MRI INC
1301 WONDER WORLD DRIVE	SAN MARCOS	TX	78666	770597968	HOLDING COMPANY	TX	N/A	C	Yes (1)
THE GARDEN RETIREMENT COMMUNITY INC
485 NORTH KELLER ROAD STE 250	MAITLAND	FL	32751	593414055	REAL ESTATE RENTAL	FL	N/A	C	Yes (1)
WINTER PARK MEDICAL OFFICE BUILDING I CONDO ASSOC INC
601 EAST ROLLINS STREET	ORLANDO	FL	32803	452228478	CONDO ASSOCIATION	FL	N/A	C	Yes (1)

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	0	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	0	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	Yes (1)	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	0	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	0	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	0	DivRelatedOrganizationInd
Asset Sale To Other Org	0	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	0	AssetPurchaseFromOtherOrgInd
Asset Exchange	0	AssetExchangeInd
Rental Of Facilities To Oth Org	0	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	0	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	Yes (1)	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	Yes (1)	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	0	SharingOfFacilitiesInd
Paid Employees Sharing	0	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	Yes (1)	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	Yes (1)	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	0	TransferToOtherOrgInd
Transfer From Other Org	0	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (21 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
ADVENTIST HEALTH PARTNERS INC
P	$568,249	COST
ADVENTIST HEALTH PARTNERS INC
Q	$37,683,557	COST
ADVENTIST HEALTH PARTNERS INC
M	$77,250	COST PLUS APPROPRIATE MARGIN
ADVENTIST HEALTH PARTNERS INC
L	$8,418,328	COST PLUS APPROPRIATE MARGIN
ADVENTIST MIDWEST HEALTH FKA ADVENTIST HINSDALE HOSPITAL
L	$323,392	COST PLUS APPROPRIATE MARGIN
ADVENTIST MIDWEST HEALTH FKA ADVENTIST HINSDALE HOSPITAL
Q	$1,212,730	COST
ADVENTIST HLTH SYSTEMSUNBELT INC DBA ADVENTIST LAGRANGE MEMORIAL HOSP
L	$232,856	COST PLUS APPROPRIATE MARGIN
ADVENTIST BOLINGBROOK HOSPITAL INC
L	$84,799	COST PLUS APPROPRIATE MARGIN
ADVENTIST GLENOAKS HOSPITAL
L	$57,631	COST PLUS APPROPRIATE MARGIN
ADVENTIST GLENOAKS HOSPITAL
Q	$422,580	COST
ADVENTIST HLTH SYSTEMSUNBELT INC DBA ADVENTIST LAGRANGE MEMORIAL HOSP
Q	$400,275	COST
ADVENTIST BOLINGBROOK HOSPITAL INC
Q	$769,275	COST
NORTH AMERICAN HEALTH SERVICES (ELM CREEK)
M	$96,164	COST PLUS APPROPRIATE MARGIN
NORTH AMERICAN HEALTH SERVICES (ELM CREEK)
L	$66,000	COST PLUS APPROPRIATE MARGIN
ADVENTIST MIDWEST HEALTH FKA ADVENTIST HINSDALE HOSPITAL
P	$3,874,591	COST
ADVENTIST MIDWEST HEALTH FKA ADVENTIST HINSDALE HOSPITAL
C	$1,134,928	AMOUNT GIVEN
ADVENTIST BOLINGBROOK HOSPITAL INC
C	$619,052	AMOUNT GIVEN
ADVENTIST GLENOAKS HOSPITAL
C	$566,141	AMOUNT GIVEN
ADVENTIST MIDWEST HEALTH DBA ADVENTIST LAGRANGE MEMORIAL HOSP
C	$325,399	AMOUNT GIVEN
ADVENTIST HEALTHCARE SYSTEM SUNBELT HEALTHCARE CORPORATION
M	$1,250,021	% OF FACILITY'S OPERATING EXPENSE
ADVENTIST HEALTHCARE SYSTEM SUNBELT HEALTHCARE CORPORATION
P	$1,302,216	COST

AHS MIDWEST MANAGEMENT INC: Form 990, tax year 2015

Return header ReturnHeader

Filer Filer

Business Name BusinessName

US Address USAddress

Business Officer BusinessOfficerGrp

Form 990 IRS990

US Address USAddress

Books In Care Of Detail BooksInCareOfDetail

US Address USAddress

Form990 Part VII Section A Form990PartVIISectionAGrp (17 entries)

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Investment Income InvestmentIncomeGrp

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Gain Or Loss GainOrLossGrp

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Other Revenue Misc OtherRevenueMiscGrp

Total Revenue TotalRevenueGrp

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Other Salaries And Wages OtherSalariesAndWagesGrp

Pension Plan Contributions PensionPlanContributionsGrp

Other Employee Benefits OtherEmployeeBenefitsGrp

Payroll Taxes PayrollTaxesGrp

Fees For Services Legal FeesForServicesLegalGrp

Fees For Services Accounting FeesForServicesAccountingGrp

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Fees For Services Other FeesForServicesOtherGrp

Advertising AdvertisingGrp

Office Expenses OfficeExpensesGrp

Information Technology InformationTechnologyGrp

Occupancy OccupancyGrp

Travel TravelGrp

Depreciation Depletion DepreciationDepletionGrp

Other Expenses OtherExpensesGrp (4 entries)

All Other Expenses AllOtherExpensesGrp

Total Functional Expenses TotalFunctionalExpensesGrp

Cash Non Interest Bearing CashNonInterestBearingGrp

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Accounts Receivable AccountsReceivableGrp

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Other Assets Total OtherAssetsTotalGrp

Total Assets TotalAssetsGrp

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Other Liabilities OtherLiabilitiesGrp

Total Liabilities TotalLiabilitiesGrp

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FS Audited Basis FSAuditedBasisGrp

Schedule A IRS990ScheduleA

Supported Org Information SupportedOrgInformationGrp (5 entries)

Form990 Sch A Supporting Org Form990SchASupportingOrgGrp

Form990 Sch A Type1 Suprt Org Form990SchAType1SuprtOrgGrp

Form990 Schedule A Part VI Form990ScheduleAPartVIGrp (3 entries)

Schedule D IRS990ScheduleD

Equipment EquipmentGrp

Other Assets Org OtherAssetsOrgGrp (2 entries)

Other Liabilities Org OtherLiabilitiesOrgGrp

Supplemental Information Detail SupplementalInformationDetail

Schedule J IRS990ScheduleJ

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (13 entries)

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (12 entries)

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (103 entries)

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (9 entries)

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (20 entries)

Transactions Related Org TransactionsRelatedOrgGrp (21 entries)

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