AHS MIDWEST MANAGEMENT INC: Form 990, tax year 2013

View the entire original 990 at ProPublica ↗

Organization: AHS MIDWEST MANAGEMENT INC (EIN 36-3354567)
Tax period: 2013-01-01 to 2013-12-31
Filed: 2014-11-11
IRS object ID: 201423159349302587
Schema version: 2013v3.0
Source: Download XML · Original 990 at ProPublica

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

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

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2014-11-11T17:00:09-06:00	ReturnTs
Tax Period End	2013-12-31	TaxPeriodEndDt
Return Type	990	ReturnTypeCd
Tax Period Begin	2013-01-01	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	BusinessNameLine1

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	AddressLine1
City	BOLINGBROOK	City
State	IL	State
ZIP Code	60440	ZIPCode

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	LYNN C ADDISCOTT	PersonNm
Person Title	ASSISTANT SECRETARY	PersonTitleTxt
Phone	6303127780	PhoneNum
Signature	2014-11-11	SignatureDt

Field	Value	IRS element (for citing)
Tax	2013	TaxYr
Build TS	2015-11-30 17:44:51Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	PAM WILLIAMS	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1000 REMINGTON BLVD NO 200	AddressLine1
City	BOLINGBROOK	City
State	IL	State
ZIP Code	60440	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	$30,373,824	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	8	VotingMembersGoverningBodyCnt
Voting Members Independent	0	VotingMembersIndependentCnt
Total Employee	637	TotalEmployeeCnt
Total Volunteers	0	TotalVolunteersCnt
Total Gross UBI	$1,002,255	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$20,813	PYContributionsGrantsAmt
CY Contributions Grants	$0	CYContributionsGrantsAmt
PY Program Service Revenue	$23,959,435	PYProgramServiceRevenueAmt
CY Program Service Revenue	$30,347,507	CYProgramServiceRevenueAmt
PY Investment Income	$31,068	PYInvestmentIncomeAmt
CY Investment Income	$26,317	CYInvestmentIncomeAmt
PY Other Revenue	$0	PYOtherRevenueAmt
CY Other Revenue	$0	CYOtherRevenueAmt
PY Total Revenue	$24,011,316	PYTotalRevenueAmt
CY Total Revenue	$30,373,824	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	$18,271,458	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$18,025,991	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$9,872,317	PYOtherExpensesAmt
CY Other Expenses	$12,397,440	CYOtherExpensesAmt
PY Total Expenses	$28,143,775	PYTotalExpensesAmt
CY Total Expenses	$30,423,431	CYTotalExpensesAmt
PY Revenues Less Expenses	-$4,132,459	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	-$49,607	CYRevenuesLessExpensesAmt
Total Assets BOY	$3,196,242	TotalAssetsBOYAmt
Total Assets EOY	$4,694,762	TotalAssetsEOYAmt
Total Liabilities BOY	$2,636,420	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$3,430,928	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$559,822	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$1,263,834	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	$24,811,763	ExpenseAmt
Revenue	$29,345,252	RevenueAmt
Desc	PROVISION OF MANAGEMENT SERVICES TO PHYSICIAN PRACTICES OF RELATED TAX-EXEMPT ORGANIZATIONS.	Desc
Total Program Service Expenses	$24,811,763	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	Yes (1)	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	53	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (1)	BackupWthldComplianceInd
Employee	637	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	8	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	ERIK BAIER	PersonNm
Phone	6303127835	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1000 REMINGTON BLVD SUITE 200	AddressLine1
City	BOLINGBROOK	City
State	IL	State
ZIP Code	60440	ZIPCode

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	1.00	49.00	Yes (X)	$0	$361,092	$42,562
DAVID CRANE
CHAIRMAN/PRESIDENT	2.00	48.00	Yes (X)	$0	$998,696	$181,290
LARY DAVIS
DIRECTOR	1.00	49.00	Yes (X)	$0	$439,745	$76,733
MICHAEL GOEBEL
DIRECTOR	1.00	49.00	Yes (X)	$0	$469,621	$94,726
RICK MACE
DIRECTOR	1.00	49.00	Yes (X)	$0	$555,370	$75,054
GEORGE MAYZELL
DIRECTOR (BEG 2/13)	1.00	49.00	Yes (X)	$0	$547,983	$113,342
RONALD WEHTJE
DIR/V.CHAIR/REGIONAL CFO	2.00	48.00	Yes (X)	$0	$488,885	$81,837	Yes (X)
PAM WILLIAMS
DIR/SECRETARY/CEO	25.00	25.00	Yes (X)	$0	$425,744	$71,478	Yes (X)
THOMAS WILLIAMS
DIRECTOR/VP/SECRETARY	1.00	49.00	Yes (X)	$0	$519,735	$66,303
ERIK BAIER
CFO	25.00	25.00		$0	$273,625	$61,730	Yes (X)
RICHARD HIBBOTT
COO	25.00	25.00		$189,563	$0	$26,519		Yes (X)
RUBY MANN
PFS DIRECTOR	40.00	0.00		$113,346	$0	$30,953			Yes (X)
NICOLETTA CONFORTI
PHYSICIAN RECRUITER	40.00	0.00		$109,718	$0	$18,563			Yes (X)
DARLENE SCHODTLER
BUSINESS DEVELOPMENT MANAGER	40.00	0.00		$108,205	$0	$13,571			Yes (X)
PATRICIA WALLACE
PRACTICE OPERATIONS DIRECTOR	40.00	0.00		$101,547	$0	$6,086			Yes (X)
TIMOTHY MANNING
PRACTICE OPERATIONS DIRECTOR	40.00	0.00		$102,855	$0	$12,435			Yes (X)
JANICE HAGENSICKER
FORMER DIRECTOR/CFO	0.00	50.00		$679,929	$0	$71,520				Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$1,405,163	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$5,080,496	TotReportableCompRltdOrgAmt
Total Other Compensation	$1,044,702	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	7	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (1)	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (1)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	0	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp

Contractor Name ContractorName

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	LEIDOS HEALTH	BusinessNameLine1

Contractor Address ContractorAddress

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	705 E MAIN STREET	AddressLine1
City	WESTFIELD	City
State	IN	State
ZIP Code	46074	ZIPCode

Field	Value	IRS element (for citing)
Services	BUILDING TEMPLATES	ServicesDesc
Compensation	$129,220	CompensationAmt

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	1	CntrctRcvdGreaterThan100KCnt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
MANAGEMENT SERVICES	561000	$24,595,385	$23,681,652	$913,733
BILLING FEES	561000	$5,108,864	$5,108,864
INSURANCE INCENTIVE REVENUE	900099	$298,561	$298,561
COLLECTION FEES	561000	$88,522		$88,522
RENT FROM RELATED	900099	$48,710	$48,710

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$207,465	TotalRevenueColumnAmt
Related Or Exempt Func Income	$207,465	RelatedOrExemptFuncIncomeAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$30,347,507	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$26,317	TotalRevenueColumnAmt
Exclusion	$26,317	ExclusionAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$30,373,824	TotalRevenueColumnAmt
Related Or Exempt Func Income	$29,345,252	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$1,002,255	UnrelatedBusinessRevenueAmt
Exclusion	$26,317	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	$594,358	TotalAmt
Management And General	$594,358	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$13,190,414	TotalAmt
Program Services	$13,082,946	ProgramServicesAmt
Management And General	$107,468	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$528,087	TotalAmt
Program Services	$504,509	ProgramServicesAmt
Management And General	$23,578	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$2,151,980	TotalAmt
Program Services	$1,975,916	ProgramServicesAmt
Management And General	$176,064	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$1,561,152	TotalAmt
Program Services	$1,491,448	ProgramServicesAmt
Management And General	$69,704	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$7,525	TotalAmt
Management And General	$7,525	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$56,955	TotalAmt
Management And General	$56,955	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$4,476,637	TotalAmt
Program Services	$1,631,820	ProgramServicesAmt
Management And General	$2,844,817	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$329,705	TotalAmt
Management And General	$329,705	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$2,143,839	TotalAmt
Program Services	$1,171,815	ProgramServicesAmt
Management And General	$972,024	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$764,519	TotalAmt
Program Services	$569,648	ProgramServicesAmt
Management And General	$194,871	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$503,163	TotalAmt
Program Services	$503,163	ProgramServicesAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$130,964	TotalAmt
Management And General	$130,964	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$75,025	TotalAmt
Program Services	$75,025	ProgramServicesAmt

Other Expenses OtherExpensesGrp (3 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES	$3,544,331	$3,544,331
REPAIRS & MAINTENANCE	$261,142	$261,142
UNRELATED BUSINESS INCO	$900		$900

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$102,735	TotalAmt
Management And General	$102,735	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$30,423,431	TotalAmt
Program Services	$24,811,763	ProgramServicesAmt
Management And General	$5,611,668	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$7,025	BOYAmt
EOY	$10,377	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$805,117	BOYAmt
EOY	$101,187	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$201,854	BOYAmt
EOY	$70,039	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$47,616	BOYAmt
EOY	$98,884	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$724,227	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$175,978	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$278,225	BOYAmt
EOY	$548,249	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$1,856,405	BOYAmt
EOY	$3,866,026	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$3,196,242	BOYAmt
EOY	$4,694,762	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$2,448,103	BOYAmt
EOY	$2,793,505	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$51,800	BOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$136,517	BOYAmt
EOY	$637,423	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$2,636,420	BOYAmt
EOY	$3,430,928	EOYAmt

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

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$559,822	BOYAmt
EOY	$1,263,834	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$559,822	BOYAmt
EOY	$1,263,834	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$3,196,242	BOYAmt
EOY	$4,694,762	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	-$49,607	ReconcilationRevenueExpnssAmt
Prior Period Adjustments	$3,619	PriorPeriodAdjustmentsAmt
Other Changes In Net Assets	$750,000	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
Certification	Yes (X)	CertificationInd
Contribution Controller	0	ContributionControllerInd
Contribution Family	0	ContributionFamilyInd
Contribution35 Controlled	0	Contribution35ControlledInd

Supported Org Information SupportedOrgInformationGrp (4 entries)

EINEIN	Organization TypeOrganizationTypeDesc	Governing Document ListedGoverningDocumentListedInd	US OrganizedUSOrganizedInd	SupportSupportAmt
ADVENTIST HINSDALE HOSPITAL
362276984	3	0	Yes (1)	$0
ADVENTIST GLENOAKS HOSPITAL INC
363208390	3	0	Yes (1)	$0
ADVENTIST HEALTH SYSTEMSUNBELT INC
591479658	3	Yes (1)	Yes (1)	$0
ADVENTIST BOLINGBROOK HOSPITAL
651219504	3	0	Yes (1)	$0

Field	Value	IRS element (for citing)
Supported Organizations Total	4	SupportedOrganizationsTotalCnt
Support Sum	$0	SupportSumAmt

Schedule D IRS990ScheduleD

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$722,353	OtherCostOrOtherBasisAmt
Depreciation	$175,978	DepreciationAmt
Book Value	$546,375	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$1,874	OtherCostOrOtherBasisAmt
Book Value	$1,874	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$548,249	TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (2 entries)

DescDesc	Book ValueBookValueAmt
DUE FROM AFFILIATED	$3,791,599
DUE FROM ADVENTIST HEALTH NETWORK	$74,427

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$3,866,026	TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

Field	Value	IRS element (for citing)
Desc	DUE TO RELATED	Desc
Amt	$637,423	Amt

Field	Value	IRS element (for citing)
Total Liability	$637,423	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 SUBSIDIARIES (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. FOR THE YEARS ENDED DECEMBER 31, 2013 AND 2012, UNRELATED BUSINESS INCOME ACTIVITIES CONDUCTED BY HEALTHCARE CORPORATION AND ITS TAX-EXEMPT AFFILIATES DID NOT GENERATE A MATERIAL AMOUNT OF COMBINED FEDERAL, STATE AND LOCAL INCOME TAX. NAHS IS A WHOLLY OWNED, FOR-PROFIT SUBSIDIARY OF HEALTHCARE CORPORATION. NAHS AND ITS SUBSIDIARIES ARE SUBJECT TO FEDERAL AND STATE INCOME TAXES. NAHS FILES A CONSOLIDATED FEDERAL INCOME TAX RETURN AND, WHERE APPROPRIATE, CONSOLIDATED STATE INCOME TAX RETURNS. FOR THE YEARS ENDED DECEMBER 31, 2013 AND 2012, NAHS GENERATED TAXABLE INCOME OF APPROXIMATELY $500 AND $2,100, RESPECTIVELY. THIS TAXABLE INCOME WAS FULLY OFFSET BY NET OPERATING LOSS CARRYFORWARDS FOR FEDERAL INCOME TAX PURPOSES. ALTHOUGH ONE STATE IN WHICH NAHS CONDUCTS BUSINESS HAS SUSPENDED THE UTILIZATION OF NET OPERATING LOSS CARRYFORWARDS FOR THE YEAR ENDED DECEMBER 31, 2013, NO MATERIAL STATE INCOME TAX LIABILITY RESULTED. ACCORDINGLY, THERE IS NO PROVISION FOR CURRENT FEDERAL OR STATE INCOME TAX FOR THE YEARS ENDED DECEMBER 31, 2013 AND 2012. NAHS ALSO HAS TEMPORARY DEDUCTIBLE DIFFERENCES OF APPROXIMATELY $65,000 AND $64,800 AT DECEMBER 31, 2013 AND 2012, RESPECTIVELY, PRIMARILY AS A RESULT OF NET OPERATING LOSS CARRYFORWARDS. AT DECEMBER 31, 2013, NAHS HAD NET OPERATING LOSS CARRYFORWARDS OF APPROXIMATELY $64,200 OF WHICH $21,000 WILL EXPIRE IN 2023, WITH THE REMAINING $43,200 EXPIRING BEGINNING IN 2018 THROUGH 2026. SOME OF THESE NET OPERATING LOSSES ARE SUBJECT TO THE SEPARATE RETURN LIMITATION YEAR RULES. DEFERRED TAXES HAVE BEEN PROVIDED FOR THESE AMOUNTS, RESULTING IN A NET DEFERRED TAX ASSET OF APPROXIMATELY $24,700 AND $24,600 AT DECEMBER 31, 2013 AND 2012, RESPECTIVELY. A FULL VALUATION ALLOWANCE HAS BEEN PROVIDED AT DECEMBER 31, 2013 AND 2012, RESPECTIVELY, 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, 2013 AND 2012.	ExplanationTxt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Severance Payment	0	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 (12 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	$263,140	$0	$19,805	$0	$78,147	$0	$13,850	$0	$28,712	$0	$403,654	$0	$0
DAVID CRANE
CHAIRMAN/PRESIDENT	$0	$688,283	$0	$99,558	$0	$210,855	$0	$141,826	$0	$39,464	$0	$1,179,986	$0	$117,929
LARY DAVIS
DIRECTOR	$0	$299,665	$0	$23,398	$0	$116,682	$0	$25,636	$0	$51,097	$0	$516,478	$0	$0
MICHAEL GOEBEL
DIRECTOR	$0	$376,040	$0	$40,080	$0	$53,501	$0	$60,490	$0	$34,236	$0	$564,347	$0	$31,302
RICK MACE
DIRECTOR	$0	$298,780	$0	$54,182	$0	$202,408	$0	$50,770	$0	$24,284	$0	$630,424	$0	$32,574
GEORGE MAYZELL
DIRECTOR (BEG 2/13)	$0	$407,999	$0	$0	$0	$139,984	$0	$46,717	$0	$66,625	$0	$661,325	$0	$0
RONALD WEHTJE
DIR/V.CHAIR/REGIONAL CFO	$0	$364,520	$0	$36,934	$0	$87,431	$0	$47,363	$0	$34,474	$0	$570,722	$0	$23,638
PAM WILLIAMS
DIR/SECRETARY/CEO	$0	$345,975	$0	$34,031	$0	$45,738	$0	$44,811	$0	$26,667	$0	$497,222	$0	$19,252
THOMAS WILLIAMS
DIRECTOR/VP/SECRETARY	$0	$330,238	$0	$26,581	$0	$162,916	$0	$44,385	$0	$21,918	$0	$586,038	$0	$18,649
ERIK BAIER
CFO	$0	$236,778	$0	$27,613	$0	$9,234	$0	$32,366	$0	$29,364	$0	$335,355	$0	$0
RICHARD HIBBOTT
COO	$173,180	$0	$15,576	$0	$807	$0	$10,142	$0	$16,377	$0	$216,082	$0	$0	$0
JANICE HAGENSICKER
FORMER DIRECTOR/CFO	$336,676	$0	$84,387	$0	$258,866	$0	$42,561	$0	$28,959	$0	$751,449	$0	$28,362	$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

PART I, LINE 3

THE INDIVIDUAL WHO SERVES AS THE CEO OF THE FILING ORGANIZATION IS COMPENSATED BY ADVENTIST HEALTH SYSTEM SUNBELT HEALTHCARE CORPORATION (AHSSHC) FOR THAT INDIVIDUAL'S ROLE IN SERVING AS THE CEO. 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 $218,000. 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 $ 28,354 $ 10,854 $ 0 $0 DAVID CRANE $127,976 $117,991 $ 0 $0 LARY DAVIS $ 29,287 $ 0 $ 0 $0 MICHAEL GOEBEL $ 51,740 $ 37,768 $ 0 $0 JANICE HAGENSICKER $ 46,211 $ 28,375 $174,831 $0 RICK MACE $ 36,920 $ 32,591 $141,650 $0 RONALD WEHTJE $ 51,485 $ 28,032 $ 0 $0 PAMELA WILLIAMS $ 48,462 $ 19,261 $ 0 $0 THOMAS WILLIAMS $ 48,036 $ 21,872 $114,371 $0 ERIK BAIER $ 18,517 $ 0 $ 0 $0 GEORGE MAYZELL $ 55,467 $ 0 $ 0 $0 * INCLUDING INVESTMENT EARNINGS

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp

Name Of Interested NameOfInterested

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	ADVENTIST HEALTH NETWORK NFP	BusinessNameLine1

Field	Value	IRS element (for citing)
Relationship Description	6 OFFICERS ARE MEMBERS OF THE BOARD	RelationshipDescriptionTxt
Transaction	$873,958	TransactionAmt
Transaction	MANAGEMENT SERVICES	TransactionDesc
Sharing Of Revenues	0	SharingOfRevenuesInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (12 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 4	DURING THE CURRENT YEAR, THE FOLLOWING AMENDMENTS TO THE CORPORATE BYLAWS WERE ADOPTED. 1) THE MEMBER, ADVENTIST HEALTH SYSTEM/SUNBELT, INC., MAY ACT THROUGH A COMMITTEE IN ADDITION TO ITS BOARD OF DIRECTORS. 2) A MAJORITY OF THE MEMBER'S COMMITTEE MEMBERS MUST BE IN ATTENDANCE TO ACHIEVE A QUORUM FOR A COMMITTEE TO ACT. 3) AN ACTION TAKEN BY THE MEMBER'S COMMITTEE MUST BE APPROVED BY A MAJORITY OF THE COMMITTEE MEMBERS.
FORM 990, PART VI, SECTION A, LINE 6	AHS MIDWEST MANAGEMENT, INC. (THE FILING ORGANIZATION) HAS ONE MEMBER. THE SOLE MEMBER OF THE FILING ORGANIZATION IS ADVENTIST HEALTH SYSTEM/SUNBELT, INC. ADVENTIST HEALTH SYSTEM/SUNBELT, INC. (AHSSI) IS A FLORIDA, NOT-FOR-PROFIT CORPORATION THAT IS EXEMPT FROM FEDERAL INCOME TAX UNDER INTERNAL REVENUE CODE (IRC) SECTION 501(C)(3). THERE ARE NO OTHER CLASSES OF MEMBERSHIP IN THE FILING ORGANIZATION.
FORM 990, PART VI, SECTION A, LINE 7A	THE SOLE MEMBER OF THE FILING ORGANIZATION IS AHSSI. THE BOARD OF DIRECTORS OF THE FILING ORGANIZATION ARE APPOINTED BY THE SOLE MEMBER, AHSSI, WHO HAS THE RIGHT TO ELECT, APPOINT OR REMOVE ANY MEMBER OF THE BOARD OF DIRECTORS OF THE FILING ORGANIZATION.
FORM 990, PART VI, SECTION A, LINE 7B	AHSSI, AS THE SOLE MEMBER OF THE FILING ORGANIZATION, HAS CERTAIN RESERVED POWERS AS SET FORTH IN THE BYLAWS OF THE FILING ORGANIZATION. THESE RESERVED POWERS INCLUDE THE FOLLOWING: A) TO APPROVE AND DISAPPROVE THE EXECUTIVE AND/OR ADMINISTRATIVE LEADERSHIP OF THE FILING ORGANIZATION, AND THEIR SALARIES; B) TO ADOPT, APPROVE, OR DISAPPROVE THE BYLAWS OF THE FILING ORGANIZATION; C) TO SET LIMITS AND TERMS FOR THE BORROWING OF FUNDS; D) TO APPROVE OR DISAPPROVE MAJOR BUILDING PROGRAMS AND/OR PURCHASE OR SALE OF PERSONAL PROPERTY OR REAL PROPERTY EQUAL TO OR IN EXCESS OF ONE MILLION DOLLARS; E) TO APPROVE OR DISAPPROVE THE ANNUAL OPERATING AND CAPITAL BUDGETS OF THE FILING ORGANIZATION; F) TO DIRECT THE PLACEMENT OF FUNDS AND CAPITAL OF THE FILING ORGANIZATION; AND G) TO ESTABLISH GENERAL GUIDING POLICIES.
FORM 990, PART VI, SECTION B, LINE 11	THE FILING ORGANIZATION'S CURRENT YEAR FORM 990 WAS REVIEWED BY THE BOARD CHAIRMAN, CEO AND BY THE CFO PRIOR TO ITS FILING WITH THE IRS. THE REVIEW CONDUCTED BY THE BOARD CHAIRMAN, 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	THE FILING ORGANIZATION'S CEO, OTHER OFFICERS AND KEY EMPLOYEES 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). 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 WITHIN ADVENTIST HEALTH SYSTEM.
FORM 990, PART IX, LINE 11G	MANAGEMENT FEES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 782,156. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 782,156. BILLING & COLLECTIONS SERVICES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 251,942. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 251,942. ENVIRONMENTAL SERVICES: PROGRAM SERVICE EXPENSES 121,018. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 121,018. PURCHASED MEDICAL SERVICES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 427,908. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 427,908. RECRUITING: PROGRAM SERVICE EXPENSES 86,153. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 86,153. MISCELLANEOUS PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 1,156,429. MANAGEMENT AND GENERAL EXPENSES 14,227. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,170,656. PHYSICIAN CONSULTING: PROGRAM SERVICE EXPENSES 268,220. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 268,220. EHR MANAGEMENT FEES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 1,368,584. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,368,584.
FORM 990, PART XI, LINE 9:	TRANSFERS FROM AFFILIATES 750,000.
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 (107 entries)

Address Line1USAddress/AddressLine1	CityUSAddress/City	StateUSAddress/State	ZIP CodeUSAddress/ZIPCode	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Controlled OrganizationControlledOrganizationInd	Direct Controlling NADirectControllingNACd
ADVENTIST BOLINGBROOK HOSPITAL
500 REMINGTON BLVD	BOLINGBROOK	IL	60440	651219504	OPERATION OF HOSPITAL & RELATED SERVICES	IL	501(C)(3)	170(B)(1)(A)(III)	ADVENTIST HLTH SYSTEMSUNBELT INC	0
ADVENTIST CARE CENTERS - COURTLAND INC
730 COURTLAND STREET	ORLANDO	FL	32804	205774723	OPERATION OF HOME FOR THE AGED/HLTHCARE DELIVERY	FL	501(C)(3)	509(A)(2)	SUNBELT HLTH CARE CENTERS INC	0
ADVENTIST GLENOAKS HOSPITAL
701 WINTHROP AVENUE	GLENDALE HEIGHTS	IL	60139	363208390	OPERATION OF HOSPITAL & RELATED SERVICES	IL	501(C)(3)	170(B)(1)(A)(III)	ADVENTIST HLTH SYSTEMSUNBELT INC	0
ADVENTIST HLTH MID-AMERICA INC
9100 W 74TH STREET	SHAWNEE MISSION	KS	66204	521347407	HLTHCARE RELATED SERVICES	KS	501(C)(3)	509(A)(3) TYPE I	ADVENTIST HLTH SYSTEMSUNBELT INC	0
ADVENTIST HLTH PARTNERS INC
1000 REMINGTON BLVD STE 200	BOLINGBROOK	IL	60440	364138353	OPERATE OUT-PATIENT PHYSICIAN CLINICS	IL	501(C)(3)	170(B)(1)(A)(III)	AHS MIDWEST MANAGEMENT INC	Yes (1)
ADVENTIST HLTH SYSTEM AFFILIATED BENEFIT TRUST
900 HOPE WAY	ALTAMONTE SPRINGS	FL	32714	266422966	PROMOTION OF HLTHCARE	FL	501(C)(3)	509(A)(3) TYPE I	ADVENTIST HLTH SYSTEM SUNBELT HLTHCARE CORP	0
ADVENTIST HLTH SYSTEM SUNBELT HLTHCARE CORP
900 HOPE WAY	ALTAMONTE SPRINGS	FL	32714	592170012	MANAGEMENT SERVICES	FL	501(C)(3)	509(A)(3) TYPE I		0	N/A
ADVENTIST HLTH SYSTEMGEORGIA INC
1035 RED BUD ROAD	CALHOUN	GA	30701	581425000	OPERATION OF HOSPITAL & RELATED SERVICES	GA	501(C)(3)	170(B)(1)(A)(III)	ADVENTIST HLTH SYSTEM SUNBELT HLTHCARE CORP	0
ADVENTIST HLTH SYSTEMSUNBELT INC
900 HOPE WAY	ALTAMONTE SPRINGS	FL	32714	591479658	OPERATION OF HOSPITAL & RELATED SERVICES	FL	501(C)(3)	170(B)(1)(A)(III)	ADVENTIST HLTH SYSTEM SUNBELT HLTHCARE CORP	0
ADVENTIST HLTH SYSTEMTEXAS INC
602 COURTLAND STREET	ORLANDO	FL	32804	742578952	LEASING PERSONNEL TO AFFILIATED HOSPITAL	TX	501(C)(3)	509(A)(3) TYPE III	ADVENTIST HLTH SYSTEM SUNBELT HLTHCARE CORP	0
ADVENTIST HINSDALE HOSPITAL
120 NORTH OAK STREET	HINSDALE	IL	60521	362276984	OPERATION OF HOSPITAL & RELATED SERVICES	IL	501(C)(3)	170(B)(1)(A)(III)	ADVENTIST HLTH SYSTEMSUNBELT INC	0
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)	170(B)(1)(A)(II)	ADVENTIST HLTH SYSTEMSUNBELT INC	0
AHS MIDWEST MANAGEMENT INC
1000 REMINGTON BLVD STE 200	BOLINGBROOK	IL	60440	363354567	OPERATION OF PHYSICIAN PRACTICE MGMT	IL	501(C)(3)	509(A)(3) TYPE I	ADVENTIST HLTH SYSTEMSUNBELT INC	0
AHSCENTRAL TEXAS INC
1301 WONDER WORLD DRIVE	SAN MARCOS	TX	78666	742621825	PROVIDE OFFICE SPACE - MEDICAL PROFESSIONALS	TX	501(C)(3)	509(A)(3) TYPE III-F	ADVENTIST HLTH SYSTEM SUNBELT HLTHCARE CORP	0
APOPKA HLTH CARE PROPERTIES INC
305 E OAK STREET	APOPKA	FL	32703	510605694	LEASE TO RELATED ORGANIZATION	GA	501(C)(3)	509(A)(3) TYPE III-F	SUNBELT HLTH CARE CENTERS INC	0
BATTLE CREEK ADVENTIST HOSPITAL
1000 REMINGTON BLVD STE 200	BOLINGBROOK	IL	60440	381359189	INACTIVE	MI	501(C)(3)	170(B)(1)(A)(III)	ADVENTIST HLTH SYSTEMSUNBELT INC	0
BOLINGBROOK HOSPITAL FOUNDATION
1000 REMINGTON BLVD N ENTRANCE 2ND	BOLINGBROOK	IL	60440	900494445	FUND-RAISING FOR TAX-EXEMPT HOSPITAL	IL	501(C)(3)	170(B)(1)(A)(VI)	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)	509(A)(2)	SUNBELT HLTH CARE CENTERS INC	0
BURLESON NURSING & REHAB CENTER INC
301 HUGULEY BLVD	BURLESON	TX	76028	205782243	OPERATION OF HOME FOR THE AGED/HLTHCARE DELIVERY	TX	501(C)(3)	509(A)(2)	SUNBELT HLTH CARE CENTERS INC	0
CALDWELL HLTH CARE PROPERTIES INC
1333 WEST MAIN	PRINCETON	KY	42445	510605680	LEASE TO RELATED ORGANIZATION	GA	501(C)(3)	509(A)(3) TYPE III-F	SUNBELT HLTH CARE CENTERS INC	0
CENTRAL TEXAS HLTHCARE COLLABORATIVE
1301 WONDER WORLD DRIVE	SAN MARCOS	TX	78666	453739929	SUPPORT OPERATION OF HOSPITAL	TX	501(C)(3)	509(A)(3) TYPE I	ADVENTIST HLTH SYSTEMSUNBELT INC	0
CEDAR CRAG TERRACE INC (630 YEAR END)
RT 5 BOX 900	MANCHESTER	KY	40962	611120442	OPERATION OF HOME FOR THE ELDERLY-DISABLED	KY	501(C)(3)	170(B)(1)(A)(VI)	MEMORIAL HOSPITAL INC	0
CENTRAL TEXAS MEDICAL CENTER FOUNDATION
1301 WONDER WORLD DRIVE	SAN MARCOS	TX	78666	742259907	FUND-RAISING FOR TAX-EXEMPT HOSPITAL	TX	501(C)(3)	170(B)(1)(A)(VI)	ADVENTIST HLTH SYSTEMSUNBELT INC	0
CHICKASAW HLTH CARE PROPERTIES INC
250 S CHICKASAW TRAIL	ORLANDO	FL	32825	510605681	LEASE TO RELATED ORGANIZATION	GA	501(C)(3)	509(A)(3) TYPE III-F	SUNBELT HLTH CARE CENTERS INC	0
CHIPPEWA VALLEY HOSPITAL & OAKVIEW CARE CENTER INC
1220 THIRD AVENUE WEST	DURAND	WI	54736	391365168	OPERATION OF HOSPITAL & RELATED SERVICES	WI	501(C)(3)	170(B)(1)(A)(III)	ADVENTIST HLTH SYSTEMSUNBELT INC	0
COBB MEDICAL ASSOCIATES LLC
3949 SOUTH COBB DRIVE SE	SMYRNA	GA	300806342	582617089	OPERATION OF PHYSICIAN PRACTICES & MEDICAL SERVICES	GA	501(C)(3)	170(B)(1)(A)(III)	EMORY-ADVENTIST INC	0
COURTLAND HLTH CARE PROPERTIES INC
730 COURTLAND STREET	ORLANDO	FL	32804	510605682	LEASE TO RELATED ORGANIZATION	GA	501(C)(3)	509(A)(3) TYPE III-F	SUNBELT HLTH CARE CENTERS INC	0
CREEKWOOD PLACE NURSING & REHAB CENTER INC
683 E THIRD STREET	RUSSELLVILLE	KY	42276	205782260	OPERATION OF HOME FOR THE AGED/HLTHCARE DELIVERY	KY	501(C)(3)	509(A)(2)	SUNBELT HLTH CARE CENTERS INC	0
DAIRY ROAD HLTH CARE PROPERTIES INC
7350 DAIRY ROAD	ZEPHYRHILLS	FL	33540	510605684	LEASE TO RELATED ORGANIZATION	GA	501(C)(3)	509(A)(3) TYPE III-F	SUNBELT HLTH CARE CENTERS INC	0
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)	509(A)(2)	SUNBELT HLTH CARE CENTERS INC	0
EMORY-ADVENTIST INC
3949 SOUTH COBB DRIVE	SMYRNA	GA	30080	582171011	OPERATION OF HOSPITAL & RELATED SVCS	GA	501(C)(3)	170(B)(1)(A)(III)	ADVENTIST HLTH SYSTEMSUNBELT INC	0
FLETCHER HOSPITAL INC
100 HOSPITAL DRIVE	HENDERSONVILLE	NC	28792	560543246	OPERATION OF HOSPITAL & RELATED SVCS	NC	501(C)(3)	170(B)(1)(A)(III)	ADVENTIST HLTH SYSTEM SUNBELT HLTHCARE CORP	0
FLNC INC
3355 E SEMORAN BLVD	APOPKA	FL	32703	205774761	OPERATION OF HOME FOR THE AGED/HLTHCARE DELIVERY	FL	501(C)(3)	509(A)(2)	SUNBELT HLTH CARE CENTERS INC	0
FLORIDA HOSPITAL WATERMAN INC
1000 WATERMAN WAY	TAVARES	FL	32778	593140669	OPERATION OF HOSPITAL & RELATED SERVICES	FL	501(C)(3)	170(B)(1)(A)(III)	ADVENTIST HLTH SYSTEM SUNBELT HLTHCARE CORP	0
FLORIDA HOSPITAL ZEPHYRHILLS INC
7050 GALL BLVD	ZEPHYRHILLS	FL	33541	592108057	OPERATION OF HOSPITAL & RELATED SERVICES	FL	501(C)(3)	170(B)(1)(A)(III)	ADVENTIST HLTH SYSTEMSUNBELT INC	0
FLORIDA HOSPITAL MEDICAL GROUP INC
900 WINDERLEY PLACE	MAITLAND	FL	32751	593214635	OPERATION OF PHYSICIAN PRACTICES & MEDICAL SERVICES	FL	501(C)(3)	170(B)(1)(A)(III)	ADVENTIST HLTH SYSTEMSUNBELT INC	0
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)	509(A)(3) TYPE I	SHAWNEE MISSION MEDICAL CENTER INC	0
GLENOAKS HOSPITAL FOUNDATION
701 WINTHROP AVENUE	GLENDALE HEIGHTS	IL	60139	363926044	FUND-RAISING FOR TAX-EXEMPT HOSPITAL	IL	501(C)(3)	170(B)(1)(A)(VI)	MIDWEST HLTH FOUNDATION	0
HAYS MEMORIAL HOSPITAL ASSOCIATION OF SEVENTH-DAY ADVENTISTS
1301 WONDER WORLD DRIVE	SAN MARCOS	TX	78667	741362785	LEASE OF HOSPITAL PERSONNEL	TX	501(C)(3)	509(A)(3) TYPE II	ADVENTIST HLTH SYSTEM SUNBELT HLTHCARE CORP	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)	509(A)(3) TYPE I	TARPON SPRINGS HOSPITAL FOUNDATION INC	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)	509(A)(3) TYPE I	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)	170(B)(1)(A)(VI)	MIDWEST HLTH FOUNDATION	0
HUGULEY COMMUNITY CARE CORP
11801 SOUTH FREEWAY	BURLESON	TX	76028	452793120	SUPPORT OPERATION OF HOSPITAL	TX	501(C)(3)	509(A)(3) TYPE I	ADVENTIST HLTH SYSTEMSUNBELT INC	0
IN-MOTION REHAB INC
602 COURTLAND STREET STE 200	ORLANDO	FL	32804	208023411	THERAPY SERVICES TO TAX EXEMPT NURSING HOMES	KS	501(C)(3)	509(A)(3) TYPE II	SUNBELT HLTH CARE CENTERS INC	0
JELLICO COMMUNITY HOSPITAL INC
188 HOSPITAL LANE	JELLICO	TN	37762	620924706	OPERATION OF HOSPITAL & RELATED SERVICES	TN	501(C)(3)	170(B)(1)(A)(III)	ADVENTIST HLTH SYSTEM SUNBELT HLTHCARE CORP	0
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)	170(B)(1)(A)(VI)	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)	170(B)(1)(A)(VI)	MEMORIAL HLTH SYSTEMS INC	0
MEMORIAL HLTH SYSTEMS INC
301 MEMORIAL MEDICAL PARKWAY	DAYTONA BEACH	FL	32117	590973502	OPERATION OF HOSPITAL & RELATED SERVICES	FL	501(C)(3)	170(B)(1)(A)(III)	ADVENTIST HLTH SYSTEMSUNBELT INC	0
MEMORIAL HOSPITAL FLAGLER INC
60 MEMORIAL MEDICAL PARKWAY	PALM COAST	FL	32164	592951990	OPERATION OF HOSPITAL & RELATED SERVICES	FL	501(C)(3)	170(B)(1)(A)(III)	MEMORIAL HLTH SYSTEMS INC	0
MEMORIAL HOSPITAL - WEST VOLUSIA INC
701 WEST PLYMOUTH AVENUE	DELAND	FL	32720	593256803	OPERATION OF HOSPITAL & RELATED SERVICES	FL	501(C)(3)	170(B)(1)(A)(III)	MEMORIAL HLTH SYSTEMS INC	0
MEMORIAL HOSPITAL INC
210 MARIE LANGDON DRIVE	MANCHESTER	KY	40962	610594620	OPERATION OF HOSPITAL & RELATED SERVICES	KY	501(C)(3)	170(B)(1)(A)(III)	ADVENTIST HLTH SYSTEM SUNBELT HLTHCARE CORP	0
MERRIAM HLTH CARE PROPERTIES INC
9700 WEST 62ND STREET	MERRIAM	KS	66203	364595806	LEASE TO RELATED ORGANIZATION	KS	501(C)(3)	509(A)(3) TYPE III-F	SUNBELT HLTH CARE CENTERS INC	0
METROPLEX ADVENTIST HOSPITAL INC
2201 S CLEAR CREEK ROAD	KILLEEN	TX	76549	742225672	OPERATION OF HOSPITAL & RELATED SERVICES	TX	501(C)(3)	170(B)(1)(A)(III)	ADVENTIST HLTH SYSTEM SUNBELT HLTHCARE CORP	0
METROPLEX CLINIC PHYSICIANS INC
2201 S CLEAR CREEK ROAD	KILLEEN	TX	76549	113762050	PHYSICIAN HLTHCARE SERVICES TO THE COMMUNITY	TX	501(C)(3)	170(B)(1)(A)(III)	METROPLEX ADVENTIST HOSPITAL INC	0
METROPLEX HOSPITAL INC (1023-123112)
900 HOPE WAY	ALTAMONTE SPRINGS	FL	32714	461256516	FUTURE OPERATION OF HOSPITAL & RELATED SVCS	FL	501(C)(3)	170(B)(1)(A)(III)	ADVENTIST HLTH SYSTEM SUNBELT HLTHCARE CORP	0
MIDWEST HLTH FOUNDATION
120 NORTH OAK STREET	HINSDALE	IL	60521	352230515	SUPPORT OF SUBSIDIARY FOUNDATIONS	IL	501(C)(3)	509(A)(3) TYPE 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)	509(A)(2)	SUNBELT HLTH CARE CENTERS INC	0
MISSION STRATEGIES INC
602 COURTLAND STREET STE 200	ORLANDO	FL	32804	205982365	PROVISION OF SUPPORT TO THE NURSING HOME DIVISION	KS	501(C)(3)	509(A)(3) TYPE II	SUNBELT HLTH CARE CENTERS INC	0
MISSION STRATEGIES OF GEORGIA INC
3949 S COBB DRIVE	SMYRNA	GA	30080	900866024	PROVISION OF SUPPORT TO THE NURSING HOME DIVISION	GA	501(C)(3)	509(A)(3) TYPE II	SUNBELT HLTH CARE CENTERS INC	0
MISSOURI ADVENTIST HLTH INC
9100 W 74TH STREET	SHAWNEE MISSION	KS	66204	431224729	SUPPORT HLTH CARE SERVICES	MO	501(C)(3)	509(A)(3) TYPE III-O	ADVENTIST HLTH MID-AMERICA INC	0
NORTH REGIONAL EMS INC
188 HOSPITAL LANE	JELLICO	TN	37762	262653616	EMS SERVICES	TN	501(C)(3)	509(A)(2)	JELLICO COMMUNITY HOSPITAL INC	0
ORMOND BEACH MEMORIAL HOSPITAL AUXILIARY INC
301 MEMORIAL MEDICAL PARKWAY	DAYTONA BEACH	FL	32117	591721962	VOLUNTEER SUPPORT SERVICES	FL	501(C)(3)	509(A)(3) TYPE III-F	MEMORIAL HLTH SYSTEMS INC	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)	509(A)(2)	SUNBELT HLTH CARE CENTERS INC	0
PARAGON HLTH CARE PROPERTIES INC
950 HIGHPOINT DRIVE	HOPKINSVILLE	KY	42240	510605686	LEASE TO RELATED ORGANIZATION	GA	501(C)(3)	509(A)(3) TYPE III-F	SUNBELT HLTH CARE CENTERS INC	0
PASCO-PINELLAS HILLSBOROUGH COMMUNITY HLTH SYSTEM INC
2400 BEDFORD ROAD	ORLANDO	FL	32803	208488713	OPERATION OF HOSPITAL & RELATED SERVICES	FL	501(C)(3)	170(B)(1)(A)(III)		0	N/A
PORTERCARE ADVENTIST HLTH SYSTEM (630 YEAR END)
2525 S DOWNING STREET	DENVER	CO	80210	840438224	OPERATION OF HOSPITAL & RELATED SERVICES	CO	501(C)(3)	170(B)(1)(A)(III)	ADVENTIST HLTH SYSTEM SUNBELT HLTHCARE CORP	0
PORTLAND NURSING & REHAB CENTER INC
215 HIGHLAND CIRCLE DRIVE	PORTLAND	TN	37148	205774842	OPERATION OF HOME FOR THE AGED/HLTHCARE DELIVERY	TN	501(C)(3)	509(A)(2)	SUNBELT HLTH CARE CENTERS INC	0
PRINCETON HLTH & REHAB CENTER INC
1333 WEST MAIN	PRINCETON	KY	42445	205782272	OPERATION OF HOME FOR THE AGED/HLTHCARE DELIVERY	KY	501(C)(3)	509(A)(2)	SUNBELT HLTH CARE CENTERS INC	0
PRINCETON PROFESSIONAL SERVICES INC
601 E ROLLINS STREET	ORLANDO	FL	32803	591191045	PROVISION OF HLTHCARE SERVICES	FL	501(C)(3)	509(A)(2)	ADVENTIST HLTH SYSTEM SUNBELT HLTHCARE CORP	0
QUALITY CIRCLE FOR HLTHCARE INC
900 HOPE WAY	ALTAMONTE SPRINGS	FL	32714	263789368	HLTHCARE QUALITY SERVICES	FL	501(C)(3)	509(A)(3) TYPE III-F	ADVENTIST HLTH SYSTEM SUNBELT HLTHCARE CORP	0
RESOURCE PERSONNEL INC
602 COURTLAND STREET STE 200	ORLANDO	FL	32804	208040875	PROVIDE ADMINISTRATIVE SUPPORT TO TAX EXEMPT NURSING HOMES	FL	501(C)(3)	509(A)(3) TYPE II	SUNBELT HLTH CARE CENTERS INC	0
ROCKY MOUNTAIN ADVENTIST HLTHCARE FOUNDATION (630 YEAR END)
2525 SOUTH DOWNING STREET	DENVER	CO	80210	840745018	FUND-RAISING FOR TAX-EXEMPT HOSPITAL	CO	501(C)(3)	170(B)(1)(A)(VI)	PORTERCARE ADVENTIST HLTH SYSTEM	0
ROLLINS BEDFORD CORP
602 COURTLAND STREET STE 200	ORLANDO	FL	32804	370908840	INACTIVE	FL	501(C)(3)	509(A)(3) TYPE II	SUNBELT HLTH CARE CENTERS INC	0
ROLLINS BROOK COMMUNITY CARE CORP (1120-123112)
2201 S CLEAR CREEK ROAD	KILLEEN	TX	76549	461656773	INACTIVE	TX	501(C)(3)		METROPLEX ADVENTIST HOSPITAL INC	0
RUSSELLVILLE HLTH CARE PROPERTIES INC
683 EAST THIRD STREET	RUSSELLVILLE	KY	42276	510605691	LEASE TO RELATED ORGANIZATION	GA	501(C)(3)	509(A)(3) TYPE III-F	SUNBELT HLTH CARE CENTERS INC	0
SAN MARCOS HLTH CARE PROPERTIES INC
1900 MEDICAL PARKWAY	SAN MARCOS	TX	78666	510605693	LEASE TO RELATED ORGANIZATION	GA	501(C)(3)	509(A)(3) TYPE III-F	SUNBELT HLTH CARE CENTERS INC	0
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)	509(A)(2)	SUNBELT HLTH CARE CENTERS INC	0
SHAWNEE MISSION HLTH CARE INC
6501 WEST 75TH STREET	OVERLAND PARK	KS	66204	480952508	LEASE TO RELATED ORGANIZATION	KS	501(C)(3)	509(A)(3) TYPE III-F	SUNBELT HLTH CARE CENTERS INC	0
SHAWNEE MISSION MEDICAL CENTER INC
9100 W 74TH STREET	SHAWNEE MISSION	KS	66204	480637331	OPERATION OF HOSPITAL & RELATED SERVICES	KS	501(C)(3)	170(B)(1)(A)(III)	ADVENTIST HLTH MID-AMERICA INC	0
SOUTH CENTRAL NURSING HOMES PROPERTIES INC
900 HOPE WAY	ALTAMONTE SPRINGS	FL	32714	593686109	MANAGEMENT SUPPORT	GA	501(C)(3)	509(A)(3) TYPE III-O	SOUTH CENTRAL INC	0
SOUTH CENTRAL NURSING HOMES INC
602 COURTLAND STREET	ORLANDO	FL	32804	611242373	MANAGEMENT SUPPORT	KY	501(C)(3)	509(A)(3) TYPE III-O	SOUTH CENTRAL INC	0
SOUTH CENTRAL PROPERTIES III INC
900 HOPE WAY	ALTAMONTE SPRINGS	FL	32714	593692860	REAL ESTATE	GA	501(C)(2)		SOUTH CENTRAL NURSING HOMES PROPERTIES INC	0
SOUTH CENTRAL PROPERTIES IV INC
900 HOPE WAY	ALTAMONTE SPRINGS	FL	32714	593692862	REAL ESTATE	GA	501(C)(2)		SOUTH CENTRAL NURSING HOMES PROPERTIES INC	0
SOUTH CENTRAL PROPERTIES VI INC
900 HOPE WAY	ALTAMONTE SPRINGS	FL	32714	593692857	REAL ESTATE	GA	501(C)(2)		SOUTH CENTRAL NURSING HOMES PROPERTIES INC	0
SOUTH CENTRAL PROPERTIES INC
900 HOPE WAY	ALTAMONTE SPRINGS	FL	32714	593651692	REAL ESTATE	GA	501(C)(2)		SOUTH CENTRAL NURSING HOMES PROPERTIES INC	0
SOUTH CENTRAL INC
602 COURTLAND STREET	ORLANDO	FL	32804	593689740	MANAGEMENT SUPPORT	GA	501(C)(3)	509(A)(3) TYPE III-F		0	N/A
SOUTH PASCO HLTH CARE PROPERTIES INC
38250 A AVENUE	ZEPHYRHILLS	FL	33542	510605679	LEASE TO RELATED ORGANIZATION	GA	501(C)(3)	509(A)(3) TYPE III-F	SUNBELT HLTH CARE CENTERS INC	0
SOUTHWEST VOLUSIA HLTH SERVICES INC
1055 SAXON BLVD	ORANGE CITY	FL	327638468	593281591	MEDICAL OFFICE BUILDING FOR HOSPITAL	FL	501(C)(3)	509(A)(3) TYPE I	SOUTHWEST VOLUSIA HLTHCARE CORP	0
SOUTHWEST VOLUSIA HLTHCARE CORP
1055 SAXON BLVD	ORANGE CITY	FL	327638468	593149293	OPERATION OF HOSPITAL & RELATED SERVICES	FL	501(C)(3)	170(B)(1)(A)(III)	ADVENTIST HLTH SYSTEMSUNBELT INC	0
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)	170(B)(1)(A)(III)	ADVENTIST HLTH SYSTEMSUNBELT INC	0
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)	509(A)(2)	SUNBELT HLTH CARE CENTERS INC	0
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)	509(A)(2)	SUNBELT HLTH CARE CENTERS INC	0
SUNBELT HLTH CARE CENTERS INC
602 COURTLAND STREET STE 200	ORLANDO	FL	32804	581473135	MANAGEMENT SERVICES	TN	501(C)(3)	509(A)(3) TYPE II	ADVENTIST HLTH SYSTEM SUNBELT HLTHCARE CORP	0
SUNSYSTEM DEVELOPMENT CORP
900 HOPE WAY	ALTAMONTE SPRINGS	FL	32714	592219301	FUND RAISING FOR AFFILIATED TAX-EXEMPT HOSPITALS	FL	501(C)(3)	170(B)(1)(A)(VI)	ADVENTIST HLTH SYSTEM SUNBELT HLTHCARE CORP	0
TARPON SPRINGS HOSPITAL FOUNDATION INC
1395 S PINELLAS AVE	TARPON SPRINGS	FL	34689	590898901	OPERATION OF HOSPITAL & RELATED SERVICES	FL	501(C)(3)	170(B)(1)(A)(III)	UNIVERSITY COMMUNITY HOSPITAL INC	0
TARRANT COUNTY HLTH CARE PROPERTIES INC
301 HUGULEY BLVD	BURLESON	TX	76028	510605677	LEASE TO RELATED ORGANIZATION	GA	501(C)(3)	509(A)(3) TYPE III-F	SUNBELT HLTH CARE CENTERS INC	0
TAYLOR CREEK HLTH CARE PROPERTIES INC
718 GOODWIN LANE	LEITCHFIELD	KY	42754	510605678	LEASE TO RELATED ORGANIZATION	GA	501(C)(3)	509(A)(3) TYPE III-F	SUNBELT HLTH CARE CENTERS INC	0
TEXAS HLTH HUGULEY INC (11-43012)
900 HOPE WAY	ALTAMONTE SPRINGS	FL	32714	452694620	OPERATION OF HOSPITAL & RELATED SERVICES	FL	501(C)(3)	170(B)(1)(A)(III)	ADVENTIST HLTH SYSTEMSUNBELT INC	0
THE VOLUNTEER AUXILIARY OF FLORIDA HOSPITAL - FLAGLER INC
60 MEMORIAL MEDICAL PARKWAY	PALM COAST	FL	32164	592486582	VOLUNTEER SUPPORT SERVICES	FL	501(C)(3)	509(A)(3) TYPE III-F	MEMORIAL HOSPITAL FLAGLER INC	0
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)	509(A)(2)	SUNBELT HLTH CARE CENTERS INC	0
UNIVERSITY COMMUNITY HOSPITAL AUXILIARY INC
3100 E FLETCHER AVE	TAMPA	FL	33613	237011345	VOLUNTEER SUPPORT SERVICES	FL	501(C)(3)	509(A)(3) TYPE III-F	UNIVERSITY COMMUNITY HOSPITAL INC	0
UNIVERSITY COMMUNITY HOSPITAL FOUNDATION INC
3100 E FLETCHER AVE	TAMPA	FL	33613	592554889	FUND-RAISING FOR TAX-EXEMPT HOSPITAL	FL	501(C)(3)	509(A)(3) TYPE I	UNIVERSITY COMMUNITY HOSPITAL INC	0
UNIVERSITY COMMUNITY HOSPITAL SPECIALTY CARE INC
3100 E FLETCHER AVE	TAMPA	FL	33613	593231322	INACTIVE	FL	501(C)(3)	509(A)(3)	UNIVERSITY COMMUNITY HOSPITAL INC	0
UNIVERSITY COMMUNITY HOSPITAL INC
3100 E FLETCHER AVE	TAMPA	FL	33613	591113901	OPERATION OF HOSPITAL & RELATED SERVICES	FL	501(C)(3)	170(B)(1)(A)(III)	ADVENTIST HLTH SYSTEM SUNBELT HLTHCARE CORP	0
WEST KENTUCKY HLTH CARE PROPERTIES INC
500 BECK LANE	MAYFIELD	KY	42066	510605676	LEASE TO RELATED ORGANIZATION	GA	501(C)(3)	509(A)(3) TYPE III-F	SUNBELT HLTH CARE CENTERS INC	0
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)	509(A)(2)	SUNBELT HLTH CARE CENTERS INC	0
ZEPHYRHILLS HLTH & REHAB CENTER INC
7350 DAIRY ROAD	ZEPHYRHILLS	FL	33540	205774967	OPERATION OF HOME FOR THE AGED/HLTHCARE DELIVERY	FL	501(C)(3)	509(A)(2)	SUNBELT HLTH CARE CENTERS INC	0

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (9 entries)

Address Line1USAddress/AddressLine1	CityUSAddress/City	StateUSAddress/State	ZIP CodeUSAddress/ZIPCode	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Direct Controlling NADirectControllingNACd
APPALACHIAN THERAPY SERVICES LLC
100 HOSPITAL DRIVE	HENDERSONVILLE	NC	28792	202463851	THERAPY STAFFING	NC	N/A
CLEAR CREEK MOB LTD
2201 S CLEAR CREEK RD	KILLEEN	TX	76549	742609195	REAL ESTATE	TX	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
2450 MAITLAND CENTER PKWY STE 200	MAITLAND	FL	32751	593142824	HOME INFUSION SERVICES	FL	N/A
HUGULEY SURGERY CTR LLP (11-4112)
15305 DALLAS PKWY STE 1600 LB 28	ADDISON	TX	75001	200910694	OUTPATIENT SURGERY	TX	N/A
KCCCSMMC CANCER CENTER LLC
9100 W 74TH STREET	SHAWNEE MISSION	KS	66204	270909763	EQUIPMENT RENTAL	KS	N/A
PAHSUSP SURGERY CENTERS LLC
15305 DALLAS PKWY STE 1600 LB 28	ADDISON	TX	75010	263057950	MEDICAL SERVICES	CO	N/A
SHAWNEE MISSION OPEN MRI LLC
9100 W 74TH STREET BOX 2923	SHAWNEE MISSION	KS	66201	270011796	IMAGING & TESTING	KS	N/A
SKYLAND MRI LLC (11-12012)
100 HOSPITAL DRIVE	HENDERSONVILLE	NC	28792	043646559	IMAGING & TESTING	KS	N/A

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (30 entries)

Address Line1USAddress/AddressLine1	CityUSAddress/City	StateUSAddress/State	ZIP CodeUSAddress/ZIPCode	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Direct Controlling NADirectControllingNACd	Entity TypeEntityTypeTxt	Controlled OrganizationControlledOrganizationInd	Address Line1ForeignAddress/AddressLine1	Province Or StateForeignAddress/ProvinceOrState	CountryForeignAddress/Country	Legal Domicile Foreign CountryLegalDomicileForeignCountryCd
ALTAMONTE MEDICAL PLAZA CONDOMINIUM ASSOCIATION INC
601 EAST ROLLINS STREET	ORLANDO	FL	32803	592855792	CONDO ASSOCIATION	FL	N/A	C	0
APOPKA MEDICAL PLAZA CONDOMINIUM ASSOCIATION INC
601 EAST ROLLINS STREET	ORLANDO	FL	32803	593000857	CONDO ASSOCIATION	FL	N/A	C	0
ARAPAHOE MEDICAL BUILDING I INC (7111-12512)
2525 S DOWNING STREET	DENVER	CO	80210	841574506	REAL ESTATE LEASING	CO	N/A	C	0
ARAPAHOE MEDICAL BUILDING II INC (7111-12512)
2525 S DOWNING STREET	DENVER	CO	80210	841574507	REAL ESTATE LEASING	CO	N/A	C	0
CC MOB INC
2201 S CLEAR CREEK ROAD	KILLEEN	TX	76549	742616875	REAL ESTATE RENTAL	TX	N/A	C	0
CENTRAL TEXAS MEDICAL ASSOCIATES
1301 WONDER WORLD DRIVE	SAN MARCOS	TX	78666	742729873	PHYSICIAN CLINICS	TX	N/A	C	0
CENTRAL TEXAS PROVIDER'S NETWORK
1301 WONDER WORLD DRIVE	SAN MARCOS	TX	78666	742827652	PHYSICIAN HOSPITAL ORG.	TX	N/A	C	0
FLORIDA HOSPITAL FLAGLER MEDICAL OFFICES ASSOCIATION INC
60 MEMORIAL MEDICAL PARKWAY	PALM COAST	FL	32164	262158309	CONDO ASSOCIATION	FL	N/A	C	0
FLORIDA HOSPITAL HEALTHCARE SYSTEM INC
602 COURTLAND STREET	ORLANDO	FL	32804	593215680	PHO/TPA	FL	N/A	C	0
FLORIDA HOSPITAL WESLEY CHAPEL INC (11-51512)
900 HOPE WAY	ALTAMONTE SPRINGS	FL	32714	203965753	INACTIVE	FL	N/A	C	0
FLORIDA MEDICAL PLAZA CONDO ASSOCIATION INC
601 EAST ROLLINS STREET	ORLANDO	FL	32803	592855791	CONDO ASSOCIATION	FL	N/A	C	0
FLORIDA MEMORIAL HEALTH NETWORK INC
770 W GRANADA BLVD STE 317	ORMOND BEACH	FL	32174	593403558	PHYSICIAN HOSPITAL ORG.	FL	N/A	C	0
HARVARD PARK EAST INC (7111-12512)
2525 S DOWNING STREET	DENVER	CO	80210	841574365	REAL ESTATE LEASING	CO	N/A	C	0
HELEN ELLIS MEMORIAL HOSPITAL REAL ESTATE CORP (11-101912)
1395 S PINELLAS AVE	TARPON SPRINGS	FL	34689	593375731	REAL ESTATE RENTAL	FL	N/A	C	0
HUGULEY ALLIANCE FOUNDATION
11801 SOUTH FREEWAY	FORT WORTH	TX	76115	752642209	INACTIVE	TX	N/A	C	0
HUGULEY MEDICAL ASSOCIATES INC (11-43012)
11801 SOUTH FREEWAY	BURLESON	TX	76028	752547668	PHYSICIAN CLINICS	TX	N/A	C	0
KISSIMMEE MULTISPECIALTY CLINIC CONDOMINIUM ASSOCIATION INC
201 HILDA STREET SUITE 30	KISSIMMEE	FL	34741	593539564	CONDO ASSOCIATION	FL	N/A	C	0
MIDWEST MANAGEMENT SERVICES INC
9100 WEST 74TH STREET	SHAWNEE MISSION	KS	66204	480901551	REAL ESTATE RENTAL	KS	N/A	C	0
METROPLEX ADVENTIST HOSPITAL CRNA
2201 S CLEAR CREEK ROAD	KILLEEN	TX	76549	260760794	SUPPORT HOSPITAL - PROVIDE ALLIED HEALTH PROFESSIONALS	TX	N/A	C	0
NORTH AMERICAN HEALTH SERVICES INC & SUBS
111 N ORLANDO AVENUE	WINTER PARK	FL	32789	621041820	LESSOR/HOLDING CO.	TN	N/A	C	0
ORMOND PROFESSIONAL CONDO ASSOCIATION (430 YEAR END)
770 W GRANADA BLVD STE 101	ORMOND BEACH	FL	32174	592694434	CONDO ASSOCIATION	FL	N/A	C	0
PARK RIDGE PROPERTY OWNER'S ASSOCIATION INC
1 PARK PLACE NAPLES ROAD	FLETCHER	NC	28732	030380531	CONDO ASSOCIATION	NC	N/A	C	0
PORTER AFFILIATED HLTH SERVICES INC DBA DIVERSIFIED AFFILIATED HLTH SVCS
2525 S DOWNING STREET	DENVER	CO	80210	840956175	HEALTHCARE SERVICES	CO	N/A	C	0
PORTER MEDICAL PLAZA INC (7111-12512)
2525 S DOWNING STREET	DENVER	CO	80210	841574369	REAL ESTATE LEASING	CO	N/A	C	0
SAN MARCOS REGIONAL MRI INC
1301 WONDER WORLD DRIVE	SAN MARCOS	TX	78666	770597968	HOLDING COMPANY	TX	N/A	C	0
THE GARDEN RETIREMENT COMMUNITY INC
602 COURTLAND STREET STE 200	ORLANDO	FL	32804	593414055	REAL ESTATE RENTAL	FL	N/A	C	0
UNIVERSITY COMMUNITY HEALTH INSURANCE COMPANY SPC LTD
					CAPTIVE INSURANCE		N/A	C	0	C/O AON INSURANCE MANAGERS PO BOX	GRAND CAYMAN	CJ	CJ
UCH SERVICES INC
3100 EAST FLETCHER AVE	TAMPA	FL	33613	593508454	MANAGEMENT COMPANY	FL	N/A	C	0
WEST COAST MEDICAL GROUP INC (11-101912)
1395 S PINELLAS AVE	TARPON SPRINGS	FL	34689	593537305	PHYSICIAN CLINICS	FL	N/A	C	0
WINTER PARK MEDICAL OFFICE BUILDING I CONDO ASSOC INC
200 LAKEMONT AVE	WINTER PARK	FL	32792	452228478	PHYSICIAN CLINICS	FL	N/A	C	0

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 (17 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
ADVENTIST HEALTH PARTNERS INC
P	$165,630	COST
ADVENTIST HEALTH PARTNERS INC
Q	$21,851,121	COST
ADVENTIST HEALTH PARTNERS INC
M	$262,069	COST PLUS APPROPRIATE MARGIN
ADVENTIST HEALTH PARTNERS INC
L	$5,367,082	COST PLUS APPROPRIATE MARGIN
ADVENTIST HINSDALE HOSPITAL
L	$469,125	COST PLUS APPROPRIATE MARGIN
ADVENTIST HINSDALE HOSPITAL
Q	$1,710,512	COST
ADVENTIST HLTH SYSTEMSUNBELT INC DBA ADVENTIST LAGRANGE MEMORIAL HOSP
L	$231,228	COST PLUS APPROPRIATE MARGIN
ADVENTIST BOLINGBROOK HOSPITAL INC
L	$70,170	COST PLUS APPROPRIATE MARGIN
ADVENTIST GLENOAKS HOSPITAL
L	$61,395	COST PLUS APPROPRIATE MARGIN
ADVENTIST HINSDALE HOSPITAL
C	$750,000	ACTUAL AMOUNT TRANSFERRED
ADVENTIST GLENOAKS HOSPITAL
Q	$671,785	COST
ADVENTIST HLTH SYSTEMSUNBELT INC DBA ADVENTIST LAGRANGE MEMORIAL HOSP
Q	$636,476	COST
ADVENTIST BOLINGBROOK HOSPITAL INC
Q	$1,222,933	COST
NORTH AMERICAN HEALTH SERVICES (ELM CREEK)
L	$132,000	COST PLUS APPROPRIATE MARGIN
NORTH AMERICAN HEALTH SERVICES (ELM CREEK)
M	$153,341	% OF FACILITY'S EHR REVENUE
ADVENTIST HINSDALE HOSPITAL
P	$5,997,453	COST
ADVENTIST HEALTH NETWORK
L	$873,958	COST PLUS APPROPRIATE MARGIN

AHS MIDWEST MANAGEMENT INC: Form 990, tax year 2013

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)

Contractor Compensation ContractorCompensationGrp

Contractor Name ContractorName

Business Name BusinessName

Contractor Address ContractorAddress

US Address USAddress

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Investment Income InvestmentIncomeGrp

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 Services Other FeesForServicesOtherGrp

Advertising AdvertisingGrp

Office Expenses OfficeExpensesGrp

Information Technology InformationTechnologyGrp

Occupancy OccupancyGrp

Travel TravelGrp

Depreciation Depletion DepreciationDepletionGrp

Other Expenses OtherExpensesGrp (3 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

Deferred Revenue DeferredRevenueGrp

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 (4 entries)

Schedule D IRS990ScheduleD

Equipment EquipmentGrp

Other Land Buildings OtherLandBuildingsGrp

Other Assets Org OtherAssetsOrgGrp (2 entries)

Other Liabilities Org OtherLiabilitiesOrgGrp

Supplemental Information Detail SupplementalInformationDetail

Schedule J IRS990ScheduleJ

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (12 entries)

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp

Name Of Interested NameOfInterested

Business Name BusinessName

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (12 entries)

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (107 entries)

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (9 entries)

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (30 entries)

Transactions Related Org TransactionsRelatedOrgGrp (17 entries)

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