FURP.ORG / PUBLIC DATA EXPLORER

ADVENTHEALTH FOUNDATION INC: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
ADVENTHEALTH FOUNDATION INC (EIN 59-2219301)
Tax period
2012-01-01 to 2012-12-31
Filed
2013-10-04
IRS object ID
201312779349300016
Schema version
2012v2.1
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 ReturnHeader

FieldValueIRS element (for citing)
Timestamp2013-10-04T11:11:06-05:00Timestamp
Tax Period End Date2012-12-31TaxPeriodEndDate
Return Type990ReturnType
Tax Period Begin Date2012-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN592219301EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1SunSystem Development CorporationBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlSUNSNameControl
Phone4073571000Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1900 Hope WayAddressLine1
CityAltamonte SpringsCity
StateFLState
ZIP Code32714ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameLynn C AddiscottName
TitleAssistant SecretaryTitle
Phone4079751400Phone
Date Signed2013-10-02DateSigned
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonDonald L JerniganNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1900 Hope WayAddressLine1
CityAltamonte SpringsCity
StateFLState
ZIP Code32714ZIPCode
FieldValueIRS element (for citing)
Gross Receipts23392233GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteN/AWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1982YearFormation
State Legal DomicileFLStateLegalDomicile
Activity Or Mission DescriptionFund Raising for Affiliated Tax-Exempt HospitalsActivityOrMissionDescription
Nbr Voting Members Governing Body24NbrVotingMembersGoverningBody
Nbr Independent Voting Members19NbrIndependentVotingMembers
Total Nbr Employees0TotalNbrEmployees
Total Nbr Volunteers697TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year11760181ContributionsGrantsPriorYear
Contributions Grants Current Year11229146ContributionsGrantsCurrentYear
Program Service Revenue Prior Year15490489ProgramServiceRevenuePriorYear
Program Service Revenue CY6972986ProgramServiceRevenueCY
Investment Income Prior Year3996239InvestmentIncomePriorYear
Investment Income Current Year4185463InvestmentIncomeCurrentYear
Other Revenue Prior Year-563415OtherRevenuePriorYear
Other Revenue Current Year-816034OtherRevenueCurrentYear
Total Revenue Prior Year30683494TotalRevenuePriorYear
Total Revenue Current Year21571561TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year19169995GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY10051305GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year0SalariesEtcPriorYear
Salaries Etc Current Year0SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year246029TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY403555TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year4261003TotalFundrsngExpCurrentYear
Other Expense Prior Year6176932OtherExpensePriorYear
Other Expenses Current Year6326557OtherExpensesCurrentYear
Total Expenses Prior Year25592956TotalExpensesPriorYear
Total Expenses Current Year16781417TotalExpensesCurrentYear
Revenues Less Expenses Prior Year5090538RevenuesLessExpensesPriorYear
Revenues Less Expenses CY4790144RevenuesLessExpensesCY
Total Assets BOY130550346TotalAssetsBOY
Total Assets EOY132771191TotalAssetsEOY
Total Liabilities BOY15714646TotalLiabilitiesBOY
Total Liabilities EOY5432804TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY114835700NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY127338387NetAssetsOrFundBalancesEOY
Mission DescriptionAdventist 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.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense10051305Expense
Grants10051305Grants
Revenue6972986Revenue
DescriptionSunSystem Development Corporation (SDC) is involved in philanthropic activities for the benefit of its affiliated tax-exempt hospital organizations. During 2012, SDC supported the activities of eleven charitable related tax-exempt hospital organizations.Description
Total Program Service Expense10051305TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds1DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments1TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets1ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote1ReportFin48Footnote
Independent Audit Financial Stmt0IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt1ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities1ForeignActivities
More Than5000 K To Organizations1MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising1ProfessionalFundraising
Fundraising Activities1FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations1GrantsToOrganizations
Grants To Individuals1GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions1DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With109659NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees0NumberOfEmployees
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions1QuidProQuoContributions
Quid Pro Quo Disclosure1QuidProQuoDisclosure
Form8282 Property Disposed Of1Form8282PropertyDisposedOf
Number Of8282 Filed2NumberOf8282Filed
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Excess Business Holdings0ExcessBusinessHoldings
Taxable Distributions0TaxableDistributions
Distribution To Donor0DistributionToDonor
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members24NbrVotingGoverningBodyMembers
Number Independent Voting Members19NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders1MembersOrStockholders
Election Of Board Members1ElectionOfBoardMembers
Decisions Subject To Approval1DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
States Where Copy Of Return Is FiledFLStatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is FiledNCStatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is FiledTXStatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is FiledTNStatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is FiledGAStatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is FiledKYStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1Heather HaddixBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number4073571000TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1900 Hope WayAddressLine1
CityAltamonte SpringsCity
StateFLState
ZIP Code32714ZIPCode
FieldValueIRS element (for citing)
Info In Schedule O Part VIIXInfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (27 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekAverage Hours Per Week RelatedAverageHoursPerWeekRelatedIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerKey EmployeeKeyEmployee
Carlson Ronald
Director0.103.00X010710
Cauley DMin Michael F
Director0.103.00X010710
Cazeau Esq RoseMarie
Director (end 12/12)0.103.00X010710
Craig Carlos
Director0.103.00X010710
Davidson James R
Director0.103.00X020710
Griffith Jr Buford
Director0.103.00X018210
Grove Rodney A
Director0.103.00X020710
Hagele Elaine M
Director0.103.00X018210
Hayes Alta Sue
Director0.103.00X010710
Houmann Lars D
Director0.1050.00X01371852242069
Jernigan PhD Donald L
Director/CEO0.1050.00X01976362106120X
Johnson MD Mark
Director0.103.00X010710
Knutson J Deryl
Director0.103.00X020710
Lemon Thomas L
Vice Chairman/Director0.103.00X028500
Livesay MDiv Donald E
Vice Chairman/Director0.103.00X028500
Moore MDiv Larry R
Chairman/Director0.103.00X028500
Morel Hubert J
Director0.103.00X010710
Pichette Ray
Director0.103.00X010710
Reiner Richard K
Director0.1050.00X0168189262430
Robinson Randy
Director0.103.00X020710
Scott Glynn CW
Director0.103.00X020710
Shaw Terry D
Director0.1050.00X01343770234647
Smith DMin PhD Ron C
Vice Chair/Sec/Director0.103.00X026710
Valentine MDiv II Maurice
Director (end 9/12)0.103.00X013210
Werner Thomas L
Director0.103.00X010710
Des Cummings
President20.0030.00080221430032X
David Collis
Vice President/CDO40.000.00035266450819X
FieldValueIRS element (for citing)
Total Reportable Comp From Org0TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs7564932TotalReportableCompFrmRltdOrgs
Total Other Compensation726117TotalOtherCompensation
Number Individuals GT100 K0NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (3 entries)

Address Line1AddressOfContractor/AddressForeign/AddressLine1CityAddressOfContractor/AddressForeign/CityProvince Or StateAddressOfContractor/AddressForeign/ProvinceOrStateCountryAddressOfContractor/AddressForeign/CountryDescription Of ServicesDescriptionOfServicesCompensationCompensationAddress Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCode
Legacy Leaders Corporation
425 University AvenueSuite 700TorontoCAFundraising Consulting228000
Blackbaud Inc
Maintenance Fees/Training150342PO Box 930256AtlantaGA31193
Corporate Development LLC
Capital Campaign Consulting1367374000 Faber Place Drive Ste 130CharlestonSC29405
FieldValueIRS element (for citing)
Number Of Contractors GT100 K3NumberOfContractorsGT100K
Fundraising Events3031675FundraisingEvents
Related Organizations5063959RelatedOrganizations
Government Grants235991GovernmentGrants
All Other Contributions2897521AllOtherContributions
Total Contributions11229146TotalContributions

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
Satisfaction of Progra90009969639666963966
Advised Fund Fees90009990209020
FieldValueIRS element (for citing)
Total Program Service Revenue6972986TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column1727157TotalRevenueColumn
Exclusion$1,727,157ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities2574231Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities115925Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities2458306Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column2458306TotalRevenueColumn
Exclusion$2,458,306ExclusionAmount
FieldValueIRS element (for citing)
Gross Income Fundraising Events888713GrossIncomeFundraisingEvents
Cntrbtns Rprtd Fundraising Events3031675CntrbtnsRprtdFundraisingEvents
Fundraising Direct Expenses1704747FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column-816034TotalRevenueColumn
Exclusion-$816,034ExclusionAmount

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column21571561TotalRevenueColumn
Related Or Exempt Function Income6972986RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$3,369,429ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total9551505Total
Program Services9551505ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total499800Total
Program Services499800ProgramServices

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total17763Total
Fundraising17763Fundraising

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total403555Total
Fundraising403555Fundraising

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total5355Total
Management And General5355ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total323622Total
Management And General313485ManagementAndGeneral
Fundraising10137Fundraising

Advertising Advertising

FieldValueIRS element (for citing)
Total66858Total
Management And General26861ManagementAndGeneral
Fundraising39997Fundraising

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total365652Total
Management And General287024ManagementAndGeneral
Fundraising78628Fundraising

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total506Total
Management And General506ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total76322Total
Management And General76322ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total88662Total
Management And General21066ManagementAndGeneral
Fundraising67596Fundraising

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total21176Total
Management And General6306ManagementAndGeneral
Fundraising14870Fundraising

Interest Interest

FieldValueIRS element (for citing)
Total2984Total
Management And General2984ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total-1111Total
Management And General-1111ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total850Total
Fundraising850Fundraising

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalManagement And GeneralManagementAndGeneralFundraisingFundraising
Reimbursed Salaries/Wag467274914714943201255
Purchased Services24284192790150051
Gifts1521805904146276
Food Costs819916526516726

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total208157Total
Management And General94858ManagementAndGeneral
Fundraising113299Fundraising

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total16781417Total
Program Services10051305ProgramServices
Management And General2469109ManagementAndGeneral
Fundraising4261003Fundraising
FieldValueIRS element (for citing)
Joint CostsXJointCosts

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY1050BOY
EOY725653EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY90288867BOY
EOY92031367EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY15077032BOY
EOY14567416EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY157554BOY
EOY183294EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
EOY6125EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis404635LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec0LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY0BOY
EOY404635EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY783726BOY
EOY846545EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY24242117BOY
EOY24006156EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY130550346BOY
EOY132771191EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY758030BOY
EOY794496EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY14956616BOY
EOY4638308EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY15714646BOY
EOY5432804EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY35557151BOY
EOY37916433EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY76175280BOY
EOY86240372EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY3103269BOY
EOY3181582EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY114835700BOY
EOY127338387EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY130550346BOY
EOY132771191EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses4790144ReconcilationRevenueExpenses
Reconciliation Unrealized Invest55533ReconciliationUnrealizedInvest
Reconcilation Prior Adjustment30000ReconcilationPriorAdjustment
Reconcilation Other Changes7627010ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement ConsolidatedXFinancialStatementConsolidated
FieldValueIRS element (for citing)
Audit Committee1AuditCommittee
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org170b1 AviXPubliclySupportedOrg170b1Avi

Gifts Grants Contrib Received170 GiftsGrantsContribReceived170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years17222048CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years26829679CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years28515221CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year27250670CurrentTaxYearMinus1Year
Current Tax Year18193112CurrentTaxYear
Total118010730Total

Total170 Total170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years17222048CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years26829679CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years28515221CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year27250670CurrentTaxYearMinus1Year
Current Tax Year18193112CurrentTaxYear
Total118010730Total
FieldValueIRS element (for citing)
Amounts Subst Contributors Total27163546AmountsSubstContributorsTotal
Public Support Total17090847184PublicSupportTotal170

Gross Investment Income170 GrossInvestmentIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years18035850CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years2371213CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years1198190CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year2815077CurrentTaxYearMinus1Year
Current Tax Year2107143CurrentTaxYear
Total26527473Total
FieldValueIRS element (for citing)
Total Support144538203TotalSupport
Public Support Pertcentage1700.62850PublicSupportPertcentage170
Public Support Pertcent Prior Year0.64480PublicSupportPertcentPriorYear
Thirty Three Percnt Tests CY170XThirtyThreePercntTestsCY170

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Number DA Fs Held8NumberDAFsHeld
Donor Advised Contributions239684DonorAdvisedContributions
Grants Paid From Donor Funds433993GrantsPaidFromDonorFunds
Aggregate DAF Value406952AggregateDAFValue
Disclosed Orgs Legal Control1DisclosedOrgsLegalControl
Disclosed For Charitable Purposes1DisclosedForCharitablePurposes

Current Year CurrentYear

FieldValueIRS element (for citing)
Beginning Of Year Balance15644852BeginningOfYearBalance
Contributions79402Contributions
Investment Earnings Or Losses780118InvestmentEarningsOrLosses
End Of Year Balance16504372EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance15135428BeginningOfYearBalance
Contributions121143Contributions
Investment Earnings Or Losses753535InvestmentEarningsOrLosses
Other Expenditures365254OtherExpenditures
End Of Year Balance15644852EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

FieldValueIRS element (for citing)
Beginning Of Year Balance14724553BeginningOfYearBalance
Contributions30203Contributions
Investment Earnings Or Losses720592InvestmentEarningsOrLosses
Grants Or Scholarships339920GrantsOrScholarships
End Of Year Balance15135428EndOfYearBalance

Current Year Minus3 Years CurrentYearMinus3Years

FieldValueIRS element (for citing)
Beginning Of Year Balance13991990BeginningOfYearBalance
Contributions57189Contributions
Investment Earnings Or Losses696088InvestmentEarningsOrLosses
Grants Or Scholarships117114GrantsOrScholarships
Administrative Expenses-96400AdministrativeExpenses
End Of Year Balance14724553EndOfYearBalance

Current Year Minus4 Years CurrentYearMinus4Years

FieldValueIRS element (for citing)
Beginning Of Year Balance2941783BeginningOfYearBalance
Contributions79953Contributions
Other Expenditures233695OtherExpenditures
End Of Year Balance2788041EndOfYearBalance
FieldValueIRS element (for citing)
Board Designated EOY Balance0.81360BoardDesignatedEOYBalance
Permanent Endowment EOY Balance0.18640PermanentEndowmentEOYBalance
Term Endowment EOY Balance0.00000TermEndowmentEOYBalance
Endowments Held By Unrelated Orgs0EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs0EndowmentsHeldByRelatedOrgs

Buildings Buildings

FieldValueIRS element (for citing)
Investment Cost Or Other Basis374635InvestmentCostOrOtherBasis
Book Value374635BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Investment Cost Or Other Basis13500InvestmentCostOrOtherBasis
Book Value13500BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Investment Cost Or Other Basis16500InvestmentCostOrOtherBasis
Book Value16500BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings404635TotalOfBookValueLandBuildings

Other Assets OtherAssets (6 entries)

DescriptionDescriptionBook ValueBookValue
Other Receivables8719901
Investments Held Under Split-Interest Agreements13260861
Cash Surrender Value of Life Insurance1175632
Other Assets460701
Donated Assets221090
Due from Affiliated Organizations167971
FieldValueIRS element (for citing)
Total Book Value Other Assets24006156TotalBookValueOtherAssets

Other Liabilities OtherLiabilities (4 entries)

DescriptionDescriptionAmountAmount
Due to Affiliated Organizations$1,197,008
Other Liabilities$51,327
Liabilities Under Split-Interest Agreements$3,289,497
Charitable Gift Annuity$100,476
FieldValueIRS element (for citing)
Total Of Amounts4638308TotalOfAmounts
Footnote In Part XIIIXFootnoteInPartXIII

Form990 Schedule D Part XIII Form990ScheduleDPartXIII (2 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Description of Intended Use of Endowment Funds:Part V, Line 4:SunSystem Development Corp. (SDC) has certain endowments established for a variety of purposes in support of related tax-exempt hospital organizations that are also exempt under IRC Section 501(c)(3). All of SDC's permanently restricted endowment funds are required to be retained permanently either by explicit donor stipulation or by the Florida Uniform Prudent Management of Institutional Funds Act. Part V, line 1a, column (d) Three years back - Explanation for change in opening balance: During the year 2009, management of the Foundation determined that there were temporarily restricted net assets that should have been classified as unrestricted board-designated endowment funds as of December 31, 2008. This included $11,203,949 of board-designated endowments that should have been released from restriction in fiscal year 2008 or an earlier period. As a result, the Foundation restated beginning board-designated endowment funds on the statement of activities in its 2009 tax year.
Description of Uncertain Tax Positions Under FIN 48:Part X, Line 2:The filing organization is a subsidiary organization within Adventist Health System (AHS). The consolidated financial statements of AHS contain the following FIN 48 footnote: Please note that dollar amounts are in thousands. Healthcare Corporation and its affiliated organizations, other than North American Health Services, Inc. and its 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, 2012 and 2011, 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, 2012 and 2011, NAHS generated taxable income of approximately $2,400 and $1,000, 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, 2012, 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, 2012 and 2011. NAHS also has temporary deductible differences of approximately $64,800 and $67,500 at December 31, 2012 and 2011, respectively, primarily as a result of net operating loss carryforwards. At December 31, 2012, NAHS had net operating loss carryforwards of approximately $64,300 of which $21,000 will expire in 2023, with the remaining $43,300 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 $24,600 and $25,600 at December 31, 2012 and 2011, respectively. A full valuation allowance has been provided at December 31, 2012 and 2011, 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.

Schedule F IRS990ScheduleF

FieldValueIRS element (for citing)
Grant Records Maintained1GrantRecordsMaintained

Accts Actvs Out US Table AcctsActvsOutUSTable

FieldValueIRS element (for citing)
RegionMiddle East and North AfricaRegion
Number Of Offices0NumberOfOffices
Number Of Employees0NumberOfEmployees
Type Of Activities ConductedGrantmakingTypeOfActivitiesConducted
Specific Services ProvidedGeneral SupportSpecificServicesProvided
Total Expenditures10312TotalExpenditures
FieldValueIRS element (for citing)
Subtotal Number Of Offices0SubtotalNumberOfOffices
Subtotal Number Of Employees0SubtotalNumberOfEmployees
Cont Number Of Offices0ContNumberOfOffices
Cont Number Of Employees0ContNumberOfEmployees
Total Number Of Offices0TotalNumberOfOffices
Total Number Of Employees0TotalNumberOfEmployees
Subtotal Amount Spent10312SubtotalAmountSpent
Cont Amount Spent0ContAmountSpent
Total Amount Spent10312TotalAmountSpent

Grants To Orgs Outside US GrantsToOrgsOutsideUS

FieldValueIRS element (for citing)
RegionMiddle East and North AfricaRegion
Purpose Of GrantGeneral SupportPurposeOfGrant
Amount Of Cash Grant10312AmountOfCashGrant
Manner Of Cash DisbursementCheckMannerOfCashDisbursement
FieldValueIRS element (for citing)
Total Number Of501c3 Orgs0TotalNumberOf501c3Orgs
Total Number Of Other Orgs1TotalNumberOfOtherOrgs
Transfer To Foreign Corp0TransferToForeignCorp
Interest In Foreign Trust0InterestInForeignTrust
Own Foreign Corp0OwnForeignCorp
Passive Foreign Invest Co0PassiveForeignInvestCo
Foreign Partnership0ForeignPartnership
Boycott Countries0BoycottCountries

Form990 Schedule F Part V Form990ScheduleFPartV

FieldValueIRS element (for citing)
IdentifierProcedure for Monitoring Grants Outside the U.S.:Identifier
ExplanationSchedule F, Part I, Line 2: As the filing organization does not generally make grants to foreign organizations and/or individuals, a formal grant monitoring program has not been developed by the filing organization.Explanation

Schedule G IRS990ScheduleG

FieldValueIRS element (for citing)
Mail SolicitationsXMailSolicitations
Email SolicitationsXEmailSolicitations
Phone SolicitationsXPhoneSolicitations
In Person SolicitationsXInPersonSolicitations
Solicitation Of Non Govt GrantsXSolicitationOfNonGovtGrants
Solicitation Of Govt GrantsXSolicitationOfGovtGrants
Special Fundraising EventsXSpecialFundraisingEvents
Agreement Ref Fundraising1AgreementRefFundraising

Fundraiser Activity Information FundraiserActivityInformation (8 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeActivityActivityFundraiser Control Of FundsFundraiserControlOfFundsGross ReceiptsGrossReceiptsAmount Retained By ContractorAmountRetainedByContractorNet To OrganizationNetToOrganizationName Of IndividualNameOfIndividualAddress Line1AddressForeign/AddressLine1CityAddressForeign/CityProvince Or StateAddressForeign/ProvinceOrStateCountryAddressForeign/Country
Corporate Development LLC
4000 Faber Place Drive Suite 130CharlestonSC29405Consulting Services016327951367371496058
Communication Mark Inc
233 Tampa CircleArdenNC28704Consulting & Grantwriting Services0117902436511790
American Fundraising Foundation
953 N Lake Adair Drive Suite 600OrlandoFL32804Provides live auction services00815140
(no name)
659 Airmont AvenueAltamonte SpringsFL32714Consulting Services00180000Don Wildman
Legacy Leaders
Consulting Services002280000425 University Avenue Ste 700TorontoTorontoCA
(no name)
9310 Isleworth Gardens DriveWindermereFL34786Consulting Services00750000Brea Barnes
Thompson & Associates
112 Westwood Place Ste 250BrentwoodTN37027Consulting Services0050290
(no name)
1105 Woodland StreetOrlandoFL32806Consulting00480000Brooke Gans
FieldValueIRS element (for citing)
Total Gross Receipts1644585TotalGrossReceipts
Total Retained By Contractors616645TotalRetainedByContractors
Total Net To Organization1507848TotalNetToOrganization
Licensed StatesFLLicensedStates
Licensed StatesGALicensedStates
Licensed StatesKYLicensedStates
Licensed StatesNCLicensedStates
Licensed StatesTNLicensedStates
Licensed StatesTXLicensedStates

Events Information EventsInformation

FieldValueIRS element (for citing)
Name Of Event1GALANameOfEvent1
Gross Receipts Event12275247GrossReceiptsEvent1
Charitable Contributions Event11801253CharitableContributionsEvent1
Gross Revenue Event1473994GrossRevenueEvent1
Cash Prizes Event10CashPrizesEvent1
Non Cash Prizes Event132371NonCashPrizesEvent1
Rent Facility Costs Event14200RentFacilityCostsEvent1
Food And Beverage Event1246076FoodAndBeverageEvent1
Entertainment Event1262221EntertainmentEvent1
Other Direct Expenses Event1339843OtherDirectExpensesEvent1
Name Of Event2GALANameOfEvent2
Gross Receipts Event2224830GrossReceiptsEvent2
Charitable Contributions Event2183350CharitableContributionsEvent2
Gross Revenue Event241480GrossRevenueEvent2
Cash Prizes Event20CashPrizesEvent2
Non Cash Prizes Event27301NonCashPrizesEvent2
Rent Facility Costs Event25711RentFacilityCostsEvent2
Food And Beverage Event226960FoodAndBeverageEvent2
Entertainment Event257203EntertainmentEvent2
Other Direct Expenses Event217558OtherDirectExpensesEvent2
Total Number Of Other Events37TotalNumberOfOtherEvents
Gross Receipts Other Events1420311GrossReceiptsOtherEvents
Charitable Contrib Other Events1047072CharitableContribOtherEvents
Gross Revenue Other Events373239GrossRevenueOtherEvents
Cash Prizes Other Events4075CashPrizesOtherEvents
Non Cash Prizes Other Events103852NonCashPrizesOtherEvents
Rent Facility Costs Other Events93860RentFacilityCostsOtherEvents
Food And Beverage Other Events135381FoodAndBeverageOtherEvents
Entertainment Other Events95434EntertainmentOtherEvents
Other Direct Expenses Other Events272701OtherDirectExpensesOtherEvents
Gross Receipts Total3920388GrossReceiptsTotal
Charitable Contributions Total3031675CharitableContributionsTotal
Gross Revenue Total Events888713GrossRevenueTotalEvents
Cash Prizes Total Events4075CashPrizesTotalEvents
Non Cash Prizes Total Events143524NonCashPrizesTotalEvents
Rent Facility Costs Total Events103771RentFacilityCostsTotalEvents
Food And Beverage Total Events408417FoodAndBeverageTotalEvents
Entertainment Total Events414858EntertainmentTotalEvents
Other Direct Expenses Total Events630102OtherDirectExpensesTotalEvents
Direct Expense Summary Events1704747DirectExpenseSummaryEvents
Net Income Summary-816034NetIncomeSummary

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records Maintained1RecordsMaintained

Recipient Table RecipientTable (30 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEIN Of RecipientEINOfRecipientIRC SectionIRCSectionAmount Of Cash GrantAmountOfCashGrantPurpose Of GrantPurposeOfGrant
Adventist Health SystemSunbelt Inc dba Florida Hospital
601 E Rollins StreetOrlandoFL32803591479658501(c)(3)5389895General Hospital Support
Adventist University of Health Sciences Inc
671 Winyah DriveOrlandoFL32803593069793501(c)(3)389891General Support
City of Ocoee
150 N Lakeshore DrOcoeeFL34761596019764City of Ocoee15000General Support
Community Foundation of Greater Winter Haven
PO Box 9445Winter HavenFL33883593649871501(c)(3)160000General Support
Creation Development Foundation
52 Riley Road Ste 404CelebrationFL34747453411581501(c)(3)555000Construction
First Congregational
225 S Interlachen AvenueWinter ParkFL32780590637840501(c)(3)32050Parish Nursing
First Presbyterian Church
341 N Orlando AvenueMaitlandFL32751591083121501(c)(3)27031Parish Nursing
Florida Hospital Medical Group Inc
235 E Princeton Street Ste 100OrlandoFL32804262157500501(c)(3)115387General Support
Florida Osteopathic Medical Association
2007 Apalachee ParkwayTallahasseeFL32301590730737501(c)(6)40000Educational
Florida Resurrection House
800-11th St NorthSt PetersburgFL33705592837168501(c)(3)20000General Support
Habitat for Humanity of Greater Orlando Area Inc
4116 Silver Star RoadOrlandoFL32808592789167501(c)(3)92000Sponsor Home for Supported Hospital Employee
Macedonia Missionary Baptist
412 E Kennedy BlvdEatonvilleFL32751591715085501(c)(3)25073Parish Nursing
Ocoee Lions Foundation Inc
108A Taylor StOcoeeFL34761331051301501(c)(3)5000General Support
Orange County Public Schools Foundation
445 W Amelia StOrlandoFL32801592788435501(c)(3)18815Suicide Awareness Program
Redeemer Lutheran Church
3377 Aloma AvenueWinter ParkFL32792591401618501(c)(3)27215Parish Nursing
Runway to Hope Inc
189 S Orange AveOrlandoFL32801273272616501(c)(3)50000General Support
University of Central Florida
12424 Research Parkway Ste 300OrlandoFL32826592924021Univ of Central FL23763Scholarship/Research Project
Winter Park Presbyterian
400 S Lakemont AvenueWinter ParkFL32792590830757501(c)(3)28423Parish Nursing
Memorial Hospital - West Volusia Inc
701 W Plymouth AveDelandFL32720593256803501(c)(3)99810General Hospital Support
Adventist Health SystemSunbelt Inc dba Florida Hospital Heartland
4200 Sun N Lake BlvdSebringFL33870591479658501(c)(3)299547General Hospital Support
Adventist Health SystemSunbelt Inc dba Florida Hospital Heartland
4200 Sun N Lake BlvdSebringFL33870591479658501(c)(3)90700Construction
United Way of Central Florida
PO Box 1357Highland CityFL33846592116280501(c)(3)8930General Support
Memorial Hospital - Flagler Inc
60 Memorial Medical ParkPalm CoastFL32164592951990501(c)(3)13118General Hospital Support
Adventist Health System Georgia Inc
1035 Red Bud RoadCalhounGA30701581425000501(c)(3)1000000Construction
Adventist Health System Georgia Inc
1035 Red Bud RoadCalhounGA30701581425000501(c)(3)2212General Hospital Support
Jellico Community Hospital
188 Hospital LaneJellicoTN37762620924706501(c)(3)10000Bio-terrorism Preparedness Program
Jellico Community Hospital
188 Hospital LaneJellicoTN37762620924706501(c)(3)5656Drug testing in public schools
Memorial Hospital Inc
210 Marie Langdon DriveManchesterKY40962610594620501(c)(3)103205Medical Equipment
Metroplex Adventist Hospital Inc
2201 S Clear Creek RdKilleenTX76549742225672501(c)(3)66139Equipment purchase
Fletcher Hospital Inc
50 Hospital DrHendersonvilleNC28792560543426501(c)(3)39544General Hospital Support
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants24TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations2TotalNbrOfOtherOrganizations

Form990 Schedule I Part III Form990ScheduleIPartIII (10 entries)

Type Of GrantTypeOfGrantNumber Of RecipientsNumberOfRecipientsAmount Of Cash GrantAmountOfCashGrantAmount Of Non Cash AssistanceAmountOfNonCashAssistanceMethod Of ValuationMethodOfValuationDescription Of Non Cash AssistanceDescriptionOfNonCashAssistance
Scholarships1529000
Medical Expenses for Patients in Need594326906
Mammogram Screenings7539357
Employee Assistance - food, clothing & shelter5729371
Education Expenses305075
Assistance to Individuals17851884BookGift cards/baskets, Airway Vest
Memmogram Screenings2011981
Cancer Care594308
Employee Assistance - food, clothing & shelter3815695
Various items distributed to Needy Families During the Christmas Season121512FMVVarious Goods

Form990 Schedule I Part IV Form990ScheduleIPartIV

FieldValueIRS element (for citing)
IdentifierProcedure for Monitoring Grants in the U.S.:Identifier
Return ReferencePart I, Line 2:ReturnReference
ExplanationSchedule I, Part I, Line 2: Grants are generally made only to related supported hospital organizations that are exempt from Federal Income Tax under 501(c)(3), other 501(c)(3) organizations that are a part of the group exemption ruling issued to the General Conference of Seventh-Day Adventists, or to other 501(c)(3) community organizations involved in health-related causes. Accordingly, the filing organization has not established specific procedures for monitoring the use of grant funds in the United States as the filing organization does not have a grant making program that would necessitate such procedures.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan1SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (6 entries)

TitleTitleBase Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
Houmann Lars D
Director0869760026676902353230189569052500016139210158447
Jernigan PhD Donald L
Director/CEO0947487028812907407460135990925210208248200
Reiner Richard K
Director0871778026676905433450135990488310174432200
Shaw Terry D
Director0869760026676902072410189569045078015784170158447
Des Cummings
President046495901484930188762013599016433083224600
David Collis
Vice President/CDO0255231060713036720017234033585040348300

Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
Part I, Line 4bExecutives 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 AHS Board Strategy & 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 $210,000. 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 ------------------------------------------------------- Donald L. Jernigan $202,164 $185,164 $ 394,589 $0 Lars Houmann $175,971 $161,469 $ 25,617 $0 Des Cummings $ 80,177 $ 80,177 $ 26,942 $0 David Collis $ 25,635 $ 0 $ 0 $0 Richard Reiner $182,872 $167,651 $ 255,540 $0 Terry Shaw $175,971 $171,709 $ 0 $0 * Including Investment Earnings
Part IIIPart I, Question 3: The individual who serves as the CDO/Vice President of Florida Hospital Foundation (FHF), the primary Foundation division within the filing organization is compensated by Adventist Health System Sunbelt Healthcare Corporation (AHSSHC) for that individual's role in serving as the CDO/Vice President of FHF. Compensation and benefits provided to this individual are determined pursuant to policies, procedures, and processes of AHSSHC that are designed to ensure compliance with the intermediate sanctions laws as set forth in IRC Section 4958. AHSSHC uses all of the following to establish compensation of the CDO/Vice President: - Compensation committee; - Independent compensation consultant; - Compensation survey or study; and - Approval by the board or compensation committee.Supplemental Information

Schedule M IRS990ScheduleM

Cars And Other Vehicles CarsAndOtherVehicles

FieldValueIRS element (for citing)
Non Cash CheckboxXNonCashCheckbox
Number Of Contributions1NumberOfContributions

Intellectual Property IntellectualProperty

FieldValueIRS element (for citing)
Non Cash CheckboxXNonCashCheckbox
Number Of Contributions1NumberOfContributions

Securities Publicly Traded SecuritiesPubliclyTraded

FieldValueIRS element (for citing)
Non Cash CheckboxXNonCashCheckbox
Number Of Contributions8NumberOfContributions

Other Non Cash Contributions Table OtherNonCashContributionsTable (5 entries)

Non Cash CheckboxNonCashCheckboxDescriptionDescriptionNumber Of ContributionsNumberOfContributions
XCharitable Gift Annuity1
XVarious items for Auction234
XMiscellaneous Equipment1
XDealer Donated Vehicles2
XUnitrust Planned Gift2
FieldValueIRS element (for citing)
Number Of8283 Received2NumberOf8283Received
Any Property That Must Be Held0AnyPropertyThatMustBeHeld
Review Process Unusual NC Gifts1ReviewProcessUnusualNCGifts
Third Parties Used1ThirdPartiesUsed

Form990 Schedule M Part II Form990ScheduleMPartII (3 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Method for Determining Number of Contributors:Part I, Column (b):The number of contributions reported in column (b) of Schedule M, Part I represents the number of items received by the filing organization during the current year with the exception of securities which are reported by the number of contributions.
Third Party Use:Part I, Line 32b:Sunsystem Development Corporation (SDC) is a charitable foundation organization that supports eleven related tax-exempt hospital organizations. In carrying out its philanthropic activities, SDC will occasionally engage third-parties to provide various consulting services. Such consulting services generally include donor/grant prospecting, assistance with grant-writing, fund-raising planning and organization, and planned giving services. Fees paid to any engaged consultants are at fair market value rates and the terms are always negotiated at arm's length.
Non Reporting of Revenue:Part I, Line 33:Pursuant to the filing organization's Net Assets Accounting Policy, gifts of donated property are recorded by the filing organization to the unrestricted net assets (equity) account. Accordingly, donated property is recorded directly to equity accounts and are not recorded in the income statement.

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (10 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
Form 990, Part VI, Section A, line 6SunSystem Development Corporation (SDC) is a wholly owned subsidiary of Adventist Health System Sunbelt Healthcare Corporation (AHSSHC). AHSSHC is a Florida, not-for-profit corporation that is exempt from federal income tax under Internal Revenue Code (IRC) Section 501(c)(3). AHSSHC is the sole corporate member of SDC. There are no other separate classes of membership in SDC.
Form 990, Part VI, Section A, line 7aThe affairs of SDC are managed by a Board of Managers. The Board of Managers of SDC are elected by the Member of SDC.
Form 990, Part VI, Section A, line 7bThe member of SDC has certain reserved powers as set forth in the Articles of Incorporation and Bylaws of SDC. These reserved powers include the following: a) to appoint and remove the members of the Board of Managers of SDC; and b) to adopt, amend, restate, and repeal the Articles of Incorporation or Bylaws of SDC.
Form 990, Part VI, Section B, line 11SDC's current year Form 990 was reviewed by the organization's Senior Vice President of Finance prior to its filing with the IRS. The review conducted by the Senior Vice President of Finance did not include the review of any supporting workpapers that were used in preparation of the current year's Form 990, but did include a review of the entire Form 990 and all supporting schedules.
Form 990, Part VI, Section B, line 12cThe Conflict of Interest Policy of SDC applies to members of its Board of Managers and its principal officers (to be known as Interested Persons). In connection with any actual or possible conflict of interests, any member of the Board of Managers of SDC or any principal officer of SDC (i.e. Interested Persons) must disclose the existence of any financial interest with SDC and must be given the opportunity to disclose all material facts concerning the financial interest/arrangement to the Board of Managers of SDC or to any members of a committee with board delegated powers that is considering the proposed transaction or arrangement. Subsequent to any disclosure of any financial interest/arrangement and all material facts, and after any discussion with the relevant Board member or principal officer, the remaining members of the Board of Managers or committee with board delegated powers shall discuss, analyze, and vote upon the potential financial interest/arrangement to determine if a conflict of interest exists. According to SDC's Conflict of Interest Policy, an Interested Person may make a presentation to the Board of Managers (or committee with board delegated powers), but after such presentation, shall leave the meeting during the discussion of, and the vote on, the transaction or arrangement that results in a conflict of interest. Each Interested Person, as defined under SDC's Conflict of Interest Policy, shall annually sign a statement which affirms that such person has received a copy of the Conflict of Interests policy, has read and understands the policy, has agreed to comply with the policy, and understands that SDC is a charitable organization that must primarily engage in activities which accomplish one or more of its exempt purposes. SDC's Conflict of Interest Policy also requires that periodic reviews shall be conducted to ensure that SDC operates in a manner consistent with its charitable purposes.
Form 990, Part VI, Section B, line 15The top-tier parent of SunSystem Development Corporation (SDC) is Adventist Health System Sunbelt Healthcare Corporation (AHSSHC). AHSSHC is the parent organization of a healthcare system, known as Adventist Health System, that operates hospitals, nursing home facilities, and other healthcare provider organizations. AHSSHC is exempt from federal income tax under IRC Section 501(c)(3) pursuant to a group ruling issued to the General Conference of Seventh-day Adventists. The individuals who serve as President and Vice President of the filing organization were compensated by AHSSHC. Compensation and benefits provided to these individuals was 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 Strategy and 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.
Form 990, Part VI, Section C, line 19As discussed in our response to Question 15a & b in Section B of this Part VI, 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.
Form 990, Part XI, line 9:Temporarily Restricted Gifts 13,682,775. Permanently Restricted Gifts 79,402. Special Event Revenue and Expense Reclassed -74,435. Change in Value of Split-Interest Agreements 157,430. Temporarily Restricted Investment Income 936,709. Permanently Restricted Investment Income -1,089. Transfer of Net Assets from Restricted Fund Balance -7,035,440. Other Adjustments -158,665. Uncollectible Pledges -810. Other Transfer from Affiliated 41,133.Changes in Net Assets or Fund Balances:
Part VII, Section AFor those Board of Director members and key employees who devote less than full-time to the filing organization (based upon the average number of hours per week shown in column (B) on page 7 of the return) the compensation amounts shown in columns (E) and (F) on page 7 were provided in conjunction with that person's responsibilities and roles in serving in an executive leadership position within Adventist Health System.Columns (E) & (F)
Part X, Line 2The amounts shown on line 2 of Part X of this return includes 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.Savings and temporary cash investments

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (107 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrgControlledOrgDirect Controlling Entity NADirectControllingEntityNA
Adventist Bolingbrook Hospital
500 Remington BlvdBolingbrookIL60440651219504Operation of Hospital & Related ServicesIL501(c)(3)170(b)(1)(A)(iii)Adventist Hlth SystemSunbelt Inc0
Adventist Care Centers - Courtland Inc
730 Courtland StreetOrlandoFL32804205774723Operation of Home for the Aged/Hlthcare DeliveryFL501(c)(3)509(a)(2)Sunbelt Hlth Care Centers Inc0
Adventist GlenOaks Hospital
701 Winthrop AvenueGlendale HeightsIL60139363208390Operation of Hospital & Related ServicesIL501(c)(3)170(b)(1)(A)(iii)Adventist Hlth SystemSunbelt Inc0
Adventist Hlth Mid-America Inc
9100 W 74th StreetShawnee MissionKS66204521347407Hlthcare Related ServicesKS501(c)(3)509(a)(3) Type IAdventist Hlth SystemSunbelt Inc0
Adventist Hlth Partners Inc
1000 Remington Blvd Ste 200BolingbrookIL60440364138353Operate out-patient physician clinicsIL501(c)(3)170(b)(1)(A)(iii)AHS Midwest Management Inc0
Adventist Hlth System Affiliated Benefit Trust
900 Hope WayAltamonte SpringsFL32714266422966Promotion of HlthcareFL501(c)(3)509(a)(3) Type IAdventist Hlth System Sunbelt Hlthcare Corp0
Adventist Hlth System Sunbelt Hlthcare Corp
900 Hope WayAltamonte SpringsFL32714592170012Management ServicesFL501(c)(3)509(a)(3) Type I0N/A
Adventist Hlth SystemGeorgia Inc
1035 Red Bud RoadCalhounGA30701581425000Operation of Hospital & Related ServicesGA501(c)(3)170(b)(1)(A)(iii)Adventist Hlth System Sunbelt Hlthcare Corp0
Adventist Hlth SystemSunbelt Inc
900 Hope WayAltamonte SpringsFL32714591479658Operation of Hospital & Related ServicesFL501(c)(3)170(b)(1)(A)(iii)Adventist Hlth System Sunbelt Hlthcare Corp0
Adventist Hlth SystemTexas Inc
602 Courtland StreetOrlandoFL32804742578952Leasing Personnel to Affiliated HospitalTX501(c)(3)509(a)(3) Type IIIAdventist Hlth System Sunbelt Hlthcare Corp0
Adventist Hinsdale Hospital
120 North Oak StreetHinsdaleIL60521362276984Operation of Hospital & Related ServicesIL501(c)(3)170(b)(1)(A)(iii)Adventist Hlth SystemSunbelt Inc0
Adventist University of Health Sciences Inc (630 Year End)
671 Lake Winyah DriveOrlandoFL32803593069793Education/Operation of SchoolFL501(c)(3)170(b)(1)(A)(ii)Adventist Hlth SystemSunbelt Inc0
AHS Midwest Management Inc
1000 Remington Blvd Ste 200BolingbrookIL60440363354567Operation of Physician Practice MgmtIL501(c)(3)509(a)(3) Type IAdventist Hlth SystemSunbelt Inc0
AHSCentral Texas Inc
1301 Wonder World DriveSan MarcosTX78666742621825Provide Office Space - Medical ProfessionalsTX501(c)(3)509(a)(3) Type III-FAdventist Hlth System Sunbelt Hlthcare Corp0
Apopka Hlth Care Properties Inc
305 E Oak StreetApopkaFL32703510605694Lease to Related OrganizationGA501(c)(3)509(a)(3) Type III-FSunbelt Hlth Care Centers Inc0
Battle Creek Adventist Hospital
1000 Remington Blvd Ste 200BolingbrookIL60440381359189InactiveMI501(c)(3)170(b)(1)(A)(iii)Adventist Hlth SystemSunbelt Inc0
Bolingbrook Hospital Foundation
1000 Remington Blvd N Entrance 2ndBolingbrookIL60440900494445Fund-raising for Tax-exempt hospitalIL501(c)(3)170(b)(1)(A)(vi)Midwest Hlth Foundation0
Bradford Heights Hlth & Rehab Center Inc
950 Highpoint DriveHopkinsvilleKY42240205782342Operation of Home for the Aged/Hlthcare DeliveryKY501(c)(3)509(a)(2)Sunbelt Hlth Care Centers Inc0
Burleson Nursing & Rehab Center Inc
301 Huguley BlvdBurlesonTX76028205782243Operation of Home for the Aged/Hlthcare DeliveryTX501(c)(3)509(a)(2)Sunbelt Hlth Care Centers Inc0
Caldwell Hlth Care Properties Inc
1333 West MainPrincetonKY42445510605680Lease to Related OrganizationGA501(c)(3)509(a)(3) Type III-FSunbelt Hlth Care Centers Inc0
Central Texas Hlthcare Collaborative
1301 Wonder World DriveSan MarcosTX78666453739929Support Operation of HospitalTX501(c)(3)509(a)(3) Type IAdventist Hlth SystemSunbelt Inc0
Cedar Crag Terrace Inc (630 Year End)
Rt 5 Box 900ManchesterKY40962611120442Operation of Home for the elderly-disabledKY501(c)(3)170(b)(1)(A)(vi)Memorial Hospital Inc0
Central Texas Medical Center Foundation
1301 Wonder World DriveSan MarcosTX78666742259907Fund-raising for Tax-exempt hospitalTX501(c)(3)170(b)(1)(A)(vi)Adventist Hlth SystemSunbelt Inc0
Chickasaw Hlth Care Properties Inc
250 S Chickasaw TrailOrlandoFL32825510605681Lease to Related OrganizationGA501(c)(3)509(a)(3) Type III-FSunbelt Hlth Care Centers Inc0
Chippewa Valley Hospital & Oakview Care Center Inc
1220 Third Avenue WestDurandWI54736391365168Operation of Hospital & Related ServicesWI501(c)(3)170(b)(1)(A)(iii)Adventist Hlth SystemSunbelt Inc0
Cobb Medical Associates LLC
3949 South Cobb Drive SESmyrnaGA300806342582617089Operation of Physician Practices & Medical ServicesGA501(c)(3)170(b)(1)(A)(iii)Emory-Adventist Inc0
Courtland Hlth Care Properties Inc
730 Courtland StreetOrlandoFL32804510605682Lease to Related OrganizationGA501(c)(3)509(a)(3) Type III-FSunbelt Hlth Care Centers Inc0
Creekwood Place Nursing & Rehab Center Inc
683 E Third StreetRussellvilleKY42276205782260Operation of Home for the Aged/Hlthcare DeliveryKY501(c)(3)509(a)(2)Sunbelt Hlth Care Centers Inc0
Dairy Road Hlth Care Properties Inc
7350 Dairy RoadZephyrhillsFL33540510605684Lease to Related OrganizationGA501(c)(3)509(a)(3) Type III-FSunbelt Hlth Care Centers Inc0
East Orlando Hlth & Rehab Center Inc
250 S Chickasaw TrailOrlandoFL32825205774748Operation of Home for the Aged/Hlthcare DeliveryFL501(c)(3)509(a)(2)Sunbelt Hlth Care Centers Inc0
Emory-Adventist Inc
3949 South Cobb DriveSmyrnaGA30080582171011Operation of Hospital & Related SvcsGA501(c)(3)170(b)(1)(A)(iii)Adventist Hlth SystemSunbelt Inc0
Fletcher Hospital Inc
100 Hospital DriveHendersonvilleNC28792560543246Operation of Hospital & Related SvcsNC501(c)(3)170(b)(1)(A)(iii)Adventist Hlth System Sunbelt Hlthcare Corp0
FLNC Inc
3355 E Semoran BlvdApopkaFL32703205774761Operation of Home for the Aged/Hlthcare DeliveryFL501(c)(3)509(a)(2)Sunbelt Hlth Care Centers Inc0
Florida Hospital Waterman Inc
1000 Waterman WayTavaresFL32778593140669Operation of Hospital & Related ServicesFL501(c)(3)170(b)(1)(A)(iii)Adventist Hlth System Sunbelt Hlthcare Corp0
Florida Hospital Zephyrhills Inc
7050 Gall BlvdZephyrhillsFL33541592108057Operation of Hospital & Related ServicesFL501(c)(3)170(b)(1)(A)(iii)Adventist Hlth SystemSunbelt Inc0
Florida Hospital Medical Group Inc
900 Winderley PlaceMaitlandFL32751593214635Operation of Physician Practices & Medical ServicesFL501(c)(3)170(b)(1)(A)(iii)Adventist Hlth SystemSunbelt Inc0
Foundation for Shawnee Mission Medical Center Inc
9100 W 74th StreetShawnee MissionKS66204480868859Fund-raising for Tax-exempt hospitalKS501(c)(3)509(a)(3) Type IShawnee Mission Medical Center Inc0
GlenOaks Hospital Foundation
701 Winthrop AvenueGlendale HeightsIL60139363926044Fund-raising for Tax-exempt hospitalIL501(c)(3)170(b)(1)(A)(vi)Midwest Hlth Foundation0
Hays Memorial Hospital Association of Seventh-Day Adventists
1301 Wonder World DriveSan MarcosTX78667741362785Lease of Hospital PersonnelTX501(c)(3)509(a)(3) Type IIAdventist Hlth System Sunbelt Hlthcare Corp0
Helen Ellis Memorial Hospital Auxiliary Inc
1395 S Pinellas AveTarpon SpringsFL34689592106043Fund-raising for Tax-exempt hospital/foundationFL501(c)(3)509(a)(3) Type ITarpon Springs Hospital Foundation Inc0
Helen Ellis Memorial Hospital Foundation Inc
1395 S Pinellas AveTarpon SpringsFL34689593690149Fund-raising for Tax-exempt hospitalFL501(c)(3)509(a)(3) Type ITarpon Springs Hospital Foundation Inc0
Hinsdale Hospital Foundation
7 Salt Creek Lane Suite 203HinsdaleIL60521521466387Fund-raising for Tax-exempt hospitalIL501(c)(3)170(b)(1)(A)(vi)Midwest Hlth Foundation0
Huguley Community Care Corp
11801 South FreewayBurlesonTX76028452793120Support Operation of HospitalTX501(c)(3)509(a)(3) Type IAdventist Hlth SystemSunbelt Inc0
In-Motion Rehab Inc
602 Courtland Street Ste 200OrlandoFL32804208023411Therapy services to tax exempt nursing homesKS501(c)(3)509(a)(3) Type IISunbelt Hlth Care Centers Inc0
Jellico Community Hospital Inc
188 Hospital LaneJellicoTN37762620924706Operation of Hospital & Related ServicesTN501(c)(3)170(b)(1)(A)(iii)Adventist Hlth System Sunbelt Hlthcare Corp0
La Grange Memorial Hospital Foundation
5101 S Willow Springs RdLa GrangeIL60525300247776Fund-raising for Tax-exempt hospitalIL501(c)(3)170(b)(1)(A)(vi)Midwest Hlth Foundation0
Memorial Hlth Systems Foundation Inc
770 West Granada BlvdOrmond BeachFL32174311771522Fund-raising for Tax-exempt hospitalFL501(c)(3)170(b)(1)(A)(vi)Memorial Hlth Systems Inc0
Memorial Hlth Systems Inc
301 Memorial Medical ParkwayDaytona BeachFL32117590973502Operation of Hospital & Related ServicesFL501(c)(3)170(b)(1)(A)(iii)Adventist Hlth SystemSunbelt Inc0
Memorial Hospital Flagler Inc
60 Memorial Medical ParkwayPalm CoastFL32164592951990Operation of Hospital & Related ServicesFL501(c)(3)170(b)(1)(A)(iii)Memorial Hlth Systems Inc0
Memorial Hospital - West Volusia Inc
701 West Plymouth AvenueDelandFL32720593256803Operation of Hospital & Related ServicesFL501(c)(3)170(b)(1)(A)(iii)Memorial Hlth Systems Inc0
Memorial Hospital Inc
210 Marie Langdon DriveManchesterKY40962610594620Operation of Hospital & Related ServicesKY501(c)(3)170(b)(1)(A)(iii)Adventist Hlth System Sunbelt Hlthcare Corp0
Merriam Hlth Care Properties Inc
9700 West 62nd StreetMerriamKS66203364595806Lease to Related OrganizationKS501(c)(3)509(a)(3) Type III-FSunbelt Hlth Care Centers Inc0
Metroplex Adventist Hospital Inc
2201 S Clear Creek RoadKilleenTX76549742225672Operation of Hospital & Related ServicesTX501(c)(3)170(b)(1)(A)(iii)Adventist Hlth System Sunbelt Hlthcare Corp0
Metroplex Clinic Physicians Inc
2201 S Clear Creek RoadKilleenTX76549113762050Physician Hlthcare services to the communityTX501(c)(3)170(b)(1)(A)(iii)Metroplex Adventist Hospital Inc0
Metroplex Hospital Inc (1023-123112)
900 Hope WayAltamonte SpringsFL32714461256516Future Operation of Hospital & Related SvcsFL501(c)(3)170(b)(1)(A)(iii)Adventist Hlth System Sunbelt Hlthcare Corp0
Midwest Hlth Foundation
120 North Oak StreetHinsdaleIL60521352230515Support of subsidiary FoundationsIL501(c)(3)509(a)(3) Type II0N/A
Mills Hlth & Rehab Center Inc
500 Beck LaneMayfieldKY42066205782320Operation of Home for the Aged/Hlthcare DeliveryKY501(c)(3)509(a)(2)Sunbelt Hlth Care Centers Inc0
Mission Strategies Inc
602 Courtland Street Ste 200OrlandoFL32804205982365Provision of support to the nursing home divisionKS501(c)(3)509(a)(3) Type IISunbelt Hlth Care Centers Inc0
Mission Strategies of Georgia Inc
3949 S Cobb DriveSmyrnaGA30080900866024Provision of support to the nursing home divisionGA501(c)(3)509(a)(3) Type IISunbelt Hlth Care Centers Inc0
Missouri Adventist Hlth Inc
9100 W 74th StreetShawnee MissionKS66204431224729Support Hlth Care ServicesMO501(c)(3)509(a)(3) Type III-OAdventist Hlth Mid-America Inc0
North Regional EMS Inc
188 Hospital LaneJellicoTN37762262653616EMS ServicesTN501(c)(3)509(a)(2)Jellico Community Hospital Inc0
Ormond Beach Memorial Hospital Auxiliary Inc
301 Memorial Medical ParkwayDaytona BeachFL32117591721962Volunteer support servicesFL501(c)(3)509(a)(3) Type III-FMemorial Hlth Systems Inc0
Overland Park Nursing & Rehab Center Inc
6501 West 75th StreetOverland ParkKS66204205774821Operation of Home for the Aged/Hlthcare DeliveryKS501(c)(3)509(a)(2)Sunbelt Hlth Care Centers Inc0
Paragon Hlth Care Properties Inc
950 Highpoint DriveHopkinsvilleKY42240510605686Lease to Related OrganizationGA501(c)(3)509(a)(3) Type III-FSunbelt Hlth Care Centers Inc0
Pasco-Pinellas Hillsborough Community Hlth System Inc
2400 Bedford RoadOrlandoFL32803208488713Operation of Hospital & Related ServicesFL501(c)(3)170(b)(1)(A)(iii)0N/A
Portercare Adventist Hlth System (630 Year End)
2525 S Downing StreetDenverCO80210840438224Operation of Hospital & Related ServicesCO501(c)(3)170(b)(1)(A)(iii)Adventist Hlth System Sunbelt Hlthcare Corp0
Portland Nursing & Rehab Center Inc
215 Highland Circle DrivePortlandTN37148205774842Operation of Home for the Aged/Hlthcare DeliveryTN501(c)(3)509(a)(2)Sunbelt Hlth Care Centers Inc0
Princeton Hlth & Rehab Center Inc
1333 West MainPrincetonKY42445205782272Operation of Home for the Aged/Hlthcare DeliveryKY501(c)(3)509(a)(2)Sunbelt Hlth Care Centers Inc0
Princeton Professional Services Inc
601 E Rollins StreetOrlandoFL32803591191045Provision of Hlthcare ServicesFL501(c)(3)509(a)(2)Adventist Hlth System Sunbelt Hlthcare Corp0
Quality Circle for Hlthcare Inc
900 Hope WayAltamonte SpringsFL32714263789368Hlthcare Quality ServicesFL501(c)(3)509(a)(3) Type III-FAdventist Hlth System Sunbelt Hlthcare Corp0
Resource Personnel Inc
602 Courtland Street Ste 200OrlandoFL32804208040875Provide administrative support to tax exempt nursing homesFL501(c)(3)509(a)(3) Type IISunbelt Hlth Care Centers Inc0
Rocky Mountain Adventist Hlthcare Foundation (630 Year End)
2525 South Downing StreetDenverCO80210840745018Fund-raising for Tax-exempt hospitalCO501(c)(3)170(b)(1)(A)(vi)PorterCare Adventist Hlth System0
Rollins Bedford Corp
602 Courtland Street Ste 200OrlandoFL32804370908840InactiveFL501(c)(3)509(a)(3) Type IISunbelt Hlth Care Centers Inc0
Rollins Brook Community Care Corp (1120-123112)
2201 S Clear Creek RoadKilleenTX76549461656773InactiveTX501(c)(3)Metroplex Adventist Hospital Inc0
Russellville Hlth Care Properties Inc
683 East Third StreetRussellvilleKY42276510605691Lease to Related OrganizationGA501(c)(3)509(a)(3) Type III-FSunbelt Hlth Care Centers Inc0
San Marcos Hlth Care Properties Inc
1900 Medical ParkwaySan MarcosTX78666510605693Lease to Related OrganizationGA501(c)(3)509(a)(3) Type III-FSunbelt Hlth Care Centers Inc0
San Marcos Nursing & Rehab Center Inc
1900 Medical ParkwaySan MarcosTX78666205782224Operation of Home for the Aged/Hlthcare DeliveryTX501(c)(3)509(a)(2)Sunbelt Hlth Care Centers Inc0
Shawnee Mission Hlth Care Inc
6501 West 75th StreetOverland ParkKS66204480952508Lease to Related OrganizationKS501(c)(3)509(a)(3) Type III-FSunbelt Hlth Care Centers Inc0
Shawnee Mission Medical Center Inc
9100 W 74th StreetShawnee MissionKS66204480637331Operation of Hospital & Related ServicesKS501(c)(3)170(b)(1)(A)(iii)Adventist Hlth Mid-America Inc0
South Central Nursing Homes Properties Inc
900 Hope WayAltamonte SpringsFL32714593686109Management SupportGA501(c)(3)509(a)(3) Type III-OSouth Central Inc0
South Central Nursing Homes Inc
602 Courtland StreetOrlandoFL32804611242373Management SupportKY501(c)(3)509(a)(3) Type III-OSouth Central Inc0
South Central Properties III Inc
900 Hope WayAltamonte SpringsFL32714593692860Real EstateGA501(c)(2)South Central Nursing Homes Properties Inc0
South Central Properties IV Inc
900 Hope WayAltamonte SpringsFL32714593692862Real EstateGA501(c)(2)South Central Nursing Homes Properties Inc0
South Central Properties VI Inc
900 Hope WayAltamonte SpringsFL32714593692857Real EstateGA501(c)(2)South Central Nursing Homes Properties Inc0
South Central Properties Inc
900 Hope WayAltamonte SpringsFL32714593651692Real EstateGA501(c)(2)South Central Nursing Homes Properties Inc0
South Central Inc
602 Courtland StreetOrlandoFL32804593689740Management SupportGA501(c)(3)509(a)(3) Type III-F0N/A
South Pasco Hlth Care Properties Inc
38250 A AvenueZephyrhillsFL33542510605679Lease to Related OrganizationGA501(c)(3)509(a)(3) Type III-FSunbelt Hlth Care Centers Inc0
Southwest Volusia Hlth Services Inc
1055 Saxon BlvdOrange CityFL327638468593281591Medical Office Building for HospitalFL501(c)(3)509(a)(3) Type ISouthwest Volusia Hlthcare Corp0
Southwest Volusia Hlthcare Corp
1055 Saxon BlvdOrange CityFL327638468593149293Operation of Hospital & Related ServicesFL501(c)(3)170(b)(1)(A)(iii)Adventist Hlth SystemSunbelt Inc0
Specialty Physicians of Central Texas Inc
1301 Wonder World DriveSan MarcosTX78666208814408Physician Hlthcare services to the communityTX501(c)(3)170(b)(1)(A)(iii)Adventist Hlth SystemSunbelt Inc0
Spring View Hlth & Rehab Center Inc
718 Goodwin LaneLeitchfieldKY42754205782288Operation of Home for the Aged/Hlthcare DeliveryKY501(c)(3)509(a)(2)Sunbelt Hlth Care Centers Inc0
Sunbelt Hlth & Rehab Center - Apopka Inc
305 East Oak StreetApopkaFL32703205774856Operation of Home for the Aged/Hlthcare DeliveryFL501(c)(3)509(a)(2)Sunbelt Hlth Care Centers Inc0
Sunbelt Hlth Care Centers Inc
602 Courtland Street Ste 200OrlandoFL32804581473135Management ServicesTN501(c)(3)509(a)(3) Type IIAdventist Hlth System Sunbelt Hlthcare Corp0
SunSystem Development Corp
900 Hope WayAltamonte SpringsFL32714592219301Fund Raising for Affiliated Tax-Exempt HospitalsFL501(c)(3)170(b)(1)(A)(vi)Adventist Hlth System Sunbelt Hlthcare Corp0
Tarpon Springs Hospital Foundation Inc
1395 S Pinellas AveTarpon SpringsFL34689590898901Operation of Hospital & Related ServicesFL501(c)(3)170(b)(1)(A)(iii)University Community Hospital Inc0
Tarrant County Hlth Care Properties Inc
301 Huguley BlvdBurlesonTX76028510605677Lease to Related OrganizationGA501(c)(3)509(a)(3) Type III-FSunbelt Hlth Care Centers Inc0
Taylor Creek Hlth Care Properties Inc
718 Goodwin LaneLeitchfieldKY42754510605678Lease to Related OrganizationGA501(c)(3)509(a)(3) Type III-FSunbelt Hlth Care Centers Inc0
Texas Hlth Huguley Inc (11-43012)
900 Hope WayAltamonte SpringsFL32714452694620Operation of Hospital & Related ServicesFL501(c)(3)170(b)(1)(A)(iii)Adventist Hlth SystemSunbelt Inc0
The Volunteer Auxiliary of Florida Hospital - Flagler Inc
60 Memorial Medical ParkwayPalm CoastFL32164592486582Volunteer support servicesFL501(c)(3)509(a)(3) Type III-FMemorial Hospital Flagler Inc0
Trinity Nursing & Rehab Center Inc
9700 West 62nd StreetMerriamKS66203205774890Operation of Home for the Aged/Hlthcare DeliveryKS501(c)(3)509(a)(2)Sunbelt Hlth Care Centers Inc0
University Community Hospital Auxiliary Inc
3100 E Fletcher AveTampaFL33613237011345Volunteer support servicesFL501(c)(3)509(a)(3) Type III-FUniversity Community Hospital Inc0
University Community Hospital Foundation Inc
3100 E Fletcher AveTampaFL33613592554889Fund-raising for Tax-exempt hospitalFL501(c)(3)509(a)(3) Type IUniversity Community Hospital Inc0
University Community Hospital Specialty Care Inc
3100 E Fletcher AveTampaFL33613593231322InactiveFL501(c)(3)509(a)(3)University Community Hospital Inc0
University Community Hospital Inc
3100 E Fletcher AveTampaFL33613591113901Operation of Hospital & Related ServicesFL501(c)(3)170(b)(1)(A)(iii)Adventist Hlth System Sunbelt Hlthcare Corp0
West Kentucky Hlth Care Properties Inc
500 Beck LaneMayfieldKY42066510605676Lease to Related OrganizationGA501(c)(3)509(a)(3) Type III-FSunbelt Hlth Care Centers Inc0
Zephyr Haven Hlth & Rehab Center Inc
38250 A AvenueZephyrhillsFL33542205774930Operation of Home for the Aged/Hlthcare DeliveryFL501(c)(3)509(a)(2)Sunbelt Hlth Care Centers Inc0
Zephyrhills Hlth & Rehab Center Inc
7350 Dairy RoadZephyrhillsFL33540205774967Operation of Home for the Aged/Hlthcare DeliveryFL501(c)(3)509(a)(2)Sunbelt Hlth Care Centers Inc0

Form990 Schedule R Part III Form990ScheduleRPartIII (9 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateDirect Controlling Entity NADirectControllingEntityNA
Appalachian Therapy Services LLC
100 Hospital DriveHendersonvilleNC28792202463851Therapy StaffingNCN/A
Clear Creek MOB Ltd
2201 S Clear Creek RdKilleenTX76549742609195Real EstateTXN/A
Florida Hospital DMERT LLC
2450 Maitland Center Pkwy Ste 200MaitlandFL32751202392253Medical EquipmentFLN/A
Florida Hospital Home Infusion
2450 Maitland Center Pkwy Ste 200MaitlandFL32751593142824Home Infusion ServicesFLN/A
Huguley Surgery Ctr LLP (11-4112)
15305 Dallas Pkwy Ste 1600 LB 28AddisonTX75001200910694Outpatient SurgeryTXN/A
KCCCSMMC Cancer Center LLC
9100 W 74th StreetShawnee MissionKS66204270909763Equipment RentalKSN/A
PAHSUSP Surgery Centers LLC
15305 Dallas Pkwy Ste 1600 LB 28AddisonTX75010263057950Medical ServicesCON/A
Shawnee Mission Open MRI LLC
9100 W 74th Street Box 2923Shawnee MissionKS66201270011796Imaging & TestingKSN/A
Skyland MRI LLC (11-12012)
100 Hospital DriveHendersonvilleNC28792043646559Imaging & TestingKSN/A

Form990 Schedule R Part IV Form990ScheduleRPartIV (30 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateDirect Controlling Entity NADirectControllingEntityNAType Of EntityTypeOfEntityControlled OrgControlledOrgAddress Line1AddressForeign/AddressLine1Province Or StateAddressForeign/ProvinceOrStateCountryAddressForeign/CountryLegal Domicile Foreign CountryLegalDomicileForeignCountry
Altamonte Medical Plaza Condominium Association Inc
601 East Rollins StreetOrlandoFL32803592855792Condo AssociationFLN/AC0
Apopka Medical Plaza Condominium Association Inc
601 East Rollins StreetOrlandoFL32803593000857Condo AssociationFLN/AC0
Arapahoe Medical Building I Inc (7111-12512)
2525 S Downing StreetDenverCO80210841574506Real Estate LeasingCON/AC0
Arapahoe Medical Building II Inc (7111-12512)
2525 S Downing StreetDenverCO80210841574507Real Estate LeasingCON/AC0
CC MOB Inc
2201 S Clear Creek RoadKilleenTX76549742616875Real Estate RentalTXN/AC0
Central Texas Medical Associates
1301 Wonder World DriveSan MarcosTX78666742729873Physician ClinicsTXN/AC0
Central Texas Provider's Network
1301 Wonder World DriveSan MarcosTX78666742827652Physician Hospital Org.TXN/AC0
Florida Hospital Flagler Medical Offices Association Inc
60 Memorial Medical ParkwayPalm CoastFL32164262158309Condo AssociationFLN/AC0
Florida Hospital Healthcare System Inc
602 Courtland StreetOrlandoFL32804593215680PHO/TPAFLN/AC0
Florida Hospital Wesley Chapel Inc (11-51512)
900 Hope WayAltamonte SpringsFL32714203965753InactiveFLN/AC0
Florida Medical Plaza Condo Association Inc
601 East Rollins StreetOrlandoFL32803592855791Condo AssociationFLN/AC0
Florida Memorial Health Network Inc
770 W Granada Blvd Ste 317Ormond BeachFL32174593403558Physician Hospital Org.FLN/AC0
Harvard Park East Inc (7111-12512)
2525 S Downing StreetDenverCO80210841574365Real Estate LeasingCON/AC0
Helen Ellis Memorial Hospital Real Estate Corp (11-101912)
1395 S Pinellas AveTarpon SpringsFL34689593375731Real Estate RentalFLN/AC0
Huguley Alliance Foundation
11801 South FreewayFort WorthTX76115752642209InactiveTXN/AC0
Huguley Medical Associates Inc (11-43012)
11801 South FreewayBurlesonTX76028752547668Physician ClinicsTXN/AC0
Kissimmee Multispecialty Clinic Condominium Association Inc
201 Hilda Street Suite 30KissimmeeFL34741593539564Condo AssociationFLN/AC0
Midwest Management Services Inc
9100 West 74th StreetShawnee MissionKS66204480901551Real Estate RentalKSN/AC0
Metroplex Adventist Hospital CRNA
2201 S Clear Creek RoadKilleenTX76549260760794Support hospital - provide allied health professionalsTXN/AC0
North American Health Services Inc & Subs
111 N Orlando AvenueWinter ParkFL32789621041820Lessor/Holding Co.TNN/AC0
Ormond Professional Condo Association (430 Year End)
770 W Granada Blvd Ste 101Ormond BeachFL32174592694434Condo AssociationFLN/AC0
Park Ridge Property Owner's Association Inc
1 Park Place Naples RoadFletcherNC28732030380531Condo AssociationNCN/AC0
Porter Affiliated Hlth Services Inc dba Diversified Affiliated Hlth Svcs
2525 S Downing StreetDenverCO80210840956175Healthcare ServicesCON/AC0
Porter Medical Plaza Inc (7111-12512)
2525 S Downing StreetDenverCO80210841574369Real Estate LeasingCON/AC0
San Marcos Regional MRI Inc
1301 Wonder World DriveSan MarcosTX78666770597968Holding CompanyTXN/AC0
The Garden Retirement Community Inc
602 Courtland Street Ste 200OrlandoFL32804593414055Real Estate RentalFLN/AC0
University Community Health Insurance Company SPC Ltd
Captive InsuranceN/AC0C/O AON Insurance Managers PO BoxGrand CaymanCJCJ
UCH Services Inc
3100 East Fletcher AveTampaFL33613593508454Management CompanyFLN/AC0
West Coast Medical Group Inc (11-101912)
1395 S Pinellas AveTarpon SpringsFL34689593537305Physician ClinicsFLN/AC0
Winter Park Medical Office Building I Condo Assoc Inc
200 Lakemont AveWinter ParkFL32792452228478Physician ClinicsFLN/AC0
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org1GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org1GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
Dividends Related Organization0DividendsRelatedOrganization
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs0RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs0RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs0PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs1PerformOfServicesByOtherOrgs
Sharing Of Facilities1SharingOfFacilities
Sharing Of Paid Employees0SharingOfPaidEmployees
Reimbursement Paid To Other Org1ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (22 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
Adventist Health System Georgia Inc
C151728Actual Amount Received
Adventist Health System Georgia Inc
M88701Cost
Fletcher Hospital Inc
M203338Cost
Florida Hospital Zephyrhills Inc
M131690Cost
Southwest Volusia Healthcare Corp
C74439Actual Amount Received
Southwest Volusia Healthcare Corp
M112842Cost
Metroplex Adventist Hospital Inc
M64777Cost
Adventist Health SystemSunbelt Inc
C3809510Actual Amount Received
Adventist Health System Sunbelt Healthcare Corp
C136500Actual Amount Received
Florida Hospital Zephyrhills Inc
C60330Actual Amount Received
Fletcher Hospital Inc
C93533Actual Amount Received
Metroplex Adventist Hospital Inc
C115714Actual Amount Received
Adventist Health SystemSunbelt Inc dba Florida Hospital
B5389895Actual Amount Donated
Adventist University of Health Sciences Inc
B389891Actual Amount Donated
Florida Hospital Medical Group Inc
B115387Actual Amount Donated
Memorial Hospital - West Volusia Inc
B99810Actual Amount Donated
Adventist Health SystemSunbelt Inc dba Florida Hospital Heartland
B390247Actual Amount Donated
Adventist Health System Georgia Inc
B1002212Actual Amount Donated
Memorial Hospital Inc
B103205Actual Amount Donated
Metroplex Adventist Hospital Inc
B66139Actual Amount Donated
Adventist Health SystemSunbelt Inc
N193668Cost Allocation
Adventist Health SystemSunbelt Inc
M870038Cost