ADVENTIST HEALTH SYSTEM SUNBELT INC: Form 990, tax year 2012
View the entire original 990 at ProPublica ↗
- Organization
- ADVENTIST HEALTH SYSTEM SUNBELT INC (EIN 59-1479658)
- Tax period
- 2012-01-01 to 2012-12-31
- Filed
- 2013-11-15
- IRS object ID
- 201343199349306794
- 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
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule F
- Schedule H
- Schedule I
- Schedule J
- Schedule K
- Schedule K
- Schedule K
- Schedule K
- Schedule K
- Schedule K
- Schedule K
- Schedule L
- Schedule M
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2013-11-15T14:45:41-06:00 | Timestamp |
| Tax Period End Date | 2012-12-31 | TaxPeriodEndDate |
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2012-01-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 591479658 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Adventist Health SystemSunbelt Inc | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | ADVE | NameControl |
| Phone | 4073572419 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 900 Hope Way | AddressLine1 |
| City | Altamonte Springs | City |
| State | FL | State |
| ZIP Code | 32714 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | Lynn C Addiscott | Name |
| Title | Asst Secretary | Title |
| Phone | 4079751492 | Phone |
| Date Signed | 2013-11-15 | DateSigned |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2012 | TaxYear |
| Build TS | 2016-02-25 16:41:14Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | Donald Jernigan | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 900 Hope Way | AddressLine1 |
| City | Altamonte Springs | City |
| State | FL | State |
| ZIP Code | 32714 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 3121396258 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Group Exemption Number | 1071 | GroupExemptionNumber |
| Organization501c3 | X | Organization501c3 |
| Web Site | www.adventisthealthsystem.com | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1973 | YearFormation |
| State Legal Domicile | FL | StateLegalDomicile |
| Activity Or Mission Description | Operation of 13 acute-care hospitals & related healthcare services. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 24 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 16 | NbrIndependentVotingMembers |
| Total Nbr Employees | 24812 | TotalNbrEmployees |
| Total Nbr Volunteers | 4404 | TotalNbrVolunteers |
| Total Gross UBI | 11980115 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 49158 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 6313788 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 8143760 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 2899300597 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 3052566284 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 25573839 | InvestmentIncomePriorYear |
| Investment Income Current Year | 32324587 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 5264364 | OtherRevenuePriorYear |
| Other Revenue Current Year | 22908437 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 2936452588 | TotalRevenuePriorYear |
| Total Revenue Current Year | 3115943068 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 14980749 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 23414566 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 1350533428 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 1378955690 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 1348234659 | OtherExpensePriorYear |
| Other Expenses Current Year | 1463590734 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 2713748836 | TotalExpensesPriorYear |
| Total Expenses Current Year | 2865960990 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 222703752 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 249982078 | RevenuesLessExpensesCY |
| Total Assets BOY | 5913996141 | TotalAssetsBOY |
| Total Assets EOY | 6299999146 | TotalAssetsEOY |
| Total Liabilities BOY | 3954358511 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 4064813224 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 1959637630 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 2235185922 | NetAssetsOrFundBalancesEOY |
| Mission Description | 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. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 2691002141 | Expense |
| Grants | 23414566 | Grants |
| Revenue | 3060931959 | Revenue |
| Description | Operation of 13 acute care hospitals with 158,029 patient admissions, 744,132 patient days and 1,215,547 outpatient visits in the current year. In addition to hospital operations, the corporation provides medical care through a number of other activities such as urgent care centers, physician clinics, home health services, hospice services, sleep centers, wound centers, therapy and rehab. | Description |
| Total Program Service Expense | 2691002141 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 1 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 1 | LobbyingActivities |
| Subject To Proxy Tax | 0 | SubjectToProxyTax |
| Donor Advised Funds | 0 | DonorAdvisedFunds |
| Conservation Easements | 1 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 0 | CreditCounseling |
| Term Or Permanent Endowments | 1 | TermOrPermanentEndowments |
| Report Land Bldg Equip | 1 | ReportLandBldgEquip |
| Report Invest Oth Securities | 0 | ReportInvestOthSecurities |
| Report Prog Rel Invest | 0 | ReportProgRelInvest |
| Report Other Assets | 1 | ReportOtherAssets |
| Report Other Liabilities | 1 | ReportOtherLiabilities |
| Report Fin48 Footnote | 1 | ReportFin48Footnote |
| Independent Audit Financial Stmt | 0 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 1 | ConsolidatedAuditFinancialStmt |
| School | 0 | School |
| Foreign Office | 0 | ForeignOffice |
| Foreign Activities | 1 | ForeignActivities |
| More Than5000 K To Organizations | 1 | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividuals |
| Professional Fundraising | 0 | ProfessionalFundraising |
| Fundraising Activities | 0 | FundraisingActivities |
| Gaming | 0 | Gaming |
| Hospital | 1 | Hospital |
| Financial Stmt Attached | 1 | FinancialStmtAttached |
| Grants To Organizations | 1 | GrantsToOrganizations |
| Grants To Individuals | 0 | GrantsToIndividuals |
| Schedule J Required | 1 | ScheduleJRequired |
| Tax Exempt Bonds | 1 | TaxExemptBonds |
| Invest Tax Exempt Bonds | 0 | InvestTaxExemptBonds |
| Escrow Account | 1 | EscrowAccount |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuer |
| Excess Benefit Transaction | 0 | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | 0 | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | 0 | LoanToOfficerOrDQP |
| Grant To Related Person | 0 | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | 0 | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | 1 | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | 0 | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | 1 | DeductibleNonCashContributions |
| Deductible Contributions Of Art | 0 | DeductibleContributionsOfArt |
| Terminated | 0 | Terminated |
| Partial Liquidation | 0 | PartialLiquidation |
| Disregarded Entity | 1 | DisregardedEntity |
| Related Entity | 1 | RelatedEntity |
| Related Org Controlled Entity | 1 | RelatedOrgControlledEntity |
| Transaction Related Entity | 1 | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 2076 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | 1 | ComplianceWithBackupWitholding |
| Number Of Employees | 24812 | NumberOfEmployees |
| Employment Tax Returns Filed | 1 | EmploymentTaxReturnsFiled |
| Unrelated Business Income | 1 | UnrelatedBusinessIncome |
| Form990-T Filed | 1 | Form990-TFiled |
| Foreign Financial Account | 0 | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTrans |
| Taxable Party Notification | 0 | TaxablePartyNotification |
| Non Deductible Contributions | 0 | NonDeductibleContributions |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributions |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | 0 | FundsToPayPremiums |
| Premiums Paid | 0 | PremiumsPaid |
| Indoor Tanning Services | 0 | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 24 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 16 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 1 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 0 | DelegationOfManagementDuties |
| Changes To Organizing Docs | 0 | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuse |
| Members Or Stockholders | 1 | MembersOrStockholders |
| Election Of Board Members | 1 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 1 | DecisionsSubjectToApproval |
| Minutes Of Governing Body | 1 | MinutesOfGoverningBody |
| Minutes Of Committees | 1 | MinutesOfCommittees |
| Officer Mailing Address | 0 | OfficerMailingAddress |
| Local Chapters | 0 | LocalChapters |
| Form990 Provided To Governing Body | 1 | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | 1 | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | 1 | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | 1 | RegularMonitoringEnforcement |
| Whistleblower Policy | 1 | WhistleblowerPolicy |
| Document Retention Policy | 1 | DocumentRetentionPolicy |
| Compensation Process CEO | 1 | CompensationProcessCEO |
| Compensation Process Other | 1 | CompensationProcessOther |
| Investment In Joint Venture | 1 | InvestmentInJointVenture |
| Written Policy Or Procedure | 1 | WrittenPolicyOrProcedure |
| States Where Copy Of Return Is Filed | IL | StatesWhereCopyOfReturnIsFiled |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Terry Shaw | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 4073572463 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 900 Hope Way | AddressLine1 |
| City | Altamonte Springs | City |
| State | FL | State |
| ZIP Code | 32714 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | X | InfoInScheduleOPartVII |
Form990 Part VII Section A Form990PartVIISectionA (45 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Average Hours Per Week RelatedAverageHoursPerWeekRelated | Individual Trustee Or DirectorIndividualTrusteeOrDirector | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | OfficerOfficer | Key EmployeeKeyEmployee | Highest Compensated EmployeeHighestCompensatedEmployee | FormerFormer |
|---|---|---|---|---|---|---|---|---|---|---|
| Carlson Ronald | ||||||||||
| Director | 0.10 | 3.00 | X | 0 | 1071 | 0 | ||||
| Cauley DMin Michael F | ||||||||||
| Director | 0.10 | 3.00 | X | 0 | 1071 | 0 | ||||
| Cazeau Esq RoseMarie | ||||||||||
| Director (end 12/12) | 0.10 | 3.00 | X | 0 | 1071 | 0 | ||||
| Craig Carlos | ||||||||||
| Director | 0.10 | 3.00 | X | 0 | 1071 | 0 | ||||
| Davidson James R | ||||||||||
| Director | 0.10 | 3.00 | X | 0 | 2071 | 0 | ||||
| Griffith Jr Buford | ||||||||||
| Director | 0.10 | 3.00 | X | 0 | 1821 | 0 | ||||
| Grove Rodney A | ||||||||||
| Director | 0.10 | 3.00 | X | 0 | 2071 | 0 | ||||
| Hagele Elaine M | ||||||||||
| Director | 0.10 | 3.00 | X | 0 | 1821 | 0 | ||||
| Hayes Alta Sue | ||||||||||
| Director | 0.10 | 3.00 | X | 0 | 1071 | 0 | ||||
| Houmann Lars D | ||||||||||
| Director | 35.00 | 15.00 | X | 0 | 1371852 | 242069 | ||||
| Jernigan PhD Donald L | ||||||||||
| Director/CEO | 0.10 | 50.00 | X | 0 | 1976362 | 106120 | X | |||
| Johnson MD Mark | ||||||||||
| Director | 0.10 | 3.00 | X | 0 | 1071 | 0 | ||||
| Knutson J Deryl | ||||||||||
| Director | 0.10 | 3.00 | X | 0 | 2071 | 0 | ||||
| Lemon Thomas L | ||||||||||
| Vice Chairman/Director | 0.10 | 4.00 | X | 0 | 2850 | 0 | ||||
| Livesay MDiv Donald E | ||||||||||
| Chairman/Director | 0.10 | 4.00 | X | 0 | 2850 | 0 | ||||
| Moore MDiv Larry R | ||||||||||
| Vice Chairman/Director | 0.10 | 4.00 | X | 0 | 2850 | 0 | ||||
| Morel Hubert J | ||||||||||
| Director | 0.10 | 3.00 | X | 0 | 1071 | 0 | ||||
| Pichette Ray | ||||||||||
| Director | 0.10 | 3.00 | X | 0 | 1071 | 0 | ||||
| Reiner Richard K | ||||||||||
| Director | 0.10 | 50.00 | X | 0 | 1681892 | 62430 | ||||
| Robinson Randy | ||||||||||
| Director | 0.10 | 3.00 | X | 0 | 2071 | 0 | ||||
| Scott Glynn CW | ||||||||||
| Director | 0.10 | 3.00 | X | 0 | 2071 | 0 | ||||
| Shaw Terry D | ||||||||||
| Director | 0.10 | 50.00 | X | 0 | 1343770 | 234647 | X | |||
| Smith DMin PhD Ron C | ||||||||||
| Vice Chair/Sec/Director | 0.10 | 4.00 | X | 0 | 2671 | 0 | ||||
| Valentine MDiv II Maurice | ||||||||||
| Director (end 9/12) | 0.10 | 3.00 | X | 0 | 1321 | 0 | ||||
| Werner Thomas L | ||||||||||
| Director | 0.10 | 3.00 | X | 0 | 1071 | 0 | ||||
| Banks David P | ||||||||||
| Senior VP - FH | 50.00 | 0.00 | 0 | 711547 | 136324 | X | ||||
| Cummings Jr Desmond | ||||||||||
| Exec VP - FH | 50.00 | 0.00 | 0 | 802214 | 30032 | X | ||||
| Dodds Sheryl D | ||||||||||
| Senior VP - FH | 50.00 | 0.00 | 0 | 473562 | 58115 | X | ||||
| Fulbright Robert D | ||||||||||
| Senior VP - FH | 50.00 | 0.00 | 0 | 516148 | 98711 | X | ||||
| Goodman Todd A | ||||||||||
| Senior VP - FH | 50.00 | 0.00 | 0 | 438713 | 82799 | X | ||||
| Hilliard Douglas W | ||||||||||
| Senior VP - FH | 50.00 | 0.00 | 0 | 458195 | 79129 | X | ||||
| Hurst Jeffry D | ||||||||||
| Senior VP - FH | 50.00 | 0.00 | 0 | 451049 | 53349 | X | ||||
| Moorhead MD John David | ||||||||||
| Senior VP - FH | 50.00 | 0.00 | 0 | 719614 | 100925 | X | ||||
| Owen Terry R | ||||||||||
| Senior VP - FH | 50.00 | 0.00 | 0 | 750567 | 80630 | X | ||||
| Paradis J Brian | ||||||||||
| Exec VP - FH | 50.00 | 0.00 | 0 | 926299 | 174546 | X | ||||
| Reed MD Monica P | ||||||||||
| Senior VP - FH | 50.00 | 0.00 | 0 | 648656 | 114429 | X | ||||
| Soler Eddie | ||||||||||
| CFO - FL Divison | 50.00 | 0.00 | 0 | 821215 | 140493 | X | ||||
| Lee MD Kathy | ||||||||||
| Physician | 50.00 | 0.00 | 894576 | 0 | 26308 | X | ||||
| Eubanks Jr MD William Stephen | ||||||||||
| Executive Director of Academic Surgery | 50.00 | 0.00 | 828534 | 0 | 24754 | X | ||||
| Bittner MD Hartmuth | ||||||||||
| Medical Director | 56.00 | 0.00 | 814044 | 0 | 21993 | X | ||||
| Torres MD Ramon M | ||||||||||
| Physician | 50.00 | 0.00 | 696531 | 0 | 33179 | X | ||||
| Jones MD Phillip E | ||||||||||
| Physician | 50.00 | 0.00 | 691828 | 0 | 32040 | X | ||||
| Grim-Marcarelli Karen | ||||||||||
| Former key employee | 50.00 | 0.00 | 0 | 409451 | 43883 | X | ||||
| Hamilton Connie A | ||||||||||
| Former key employee | 50.00 | 0.00 | 0 | 407922 | 31155 | X | ||||
| Herrin Arlene K | ||||||||||
| Former key employee | 50.00 | 0.00 | 0 | 326735 | 53759 | X | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 3925513 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 15271941 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 2061819 | TotalOtherCompensation |
| Number Individuals GT100 K | 1038 | NumberIndividualsGT100K |
| Formers Listed | 1 | FormersListed |
| Total Comp GT150 K | 1 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| Brasfield & Gorrie LLC | |||||
| 200 Colonial Ctr Pwy Ste 200 | Lake Mary | FL | 32746 | Construction Services | 23409134 |
| Cerner Corporation | |||||
| 2800 Rockcreek Parkway | Kansas City | MO | 64117 | Technology Solutions Support | 11284868 |
| Koosharem Corporation | |||||
| 24223 Network Place | Chicago | IL | 60673 | Staffing | 9927646 |
| Crothall Healthcare Inc | |||||
| 13028 Collection Center Dr | Chicago | IL | 60693 | Housekeeping | 5038118 |
| Hardee Services of Rehab Inc | |||||
| 1330 Hwy 17 South | Wauchula | FL | 33873 | Physical Therapy | 3940658 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 388 | NumberOfContractorsGT100K |
| Related Organizations | 6397990 | RelatedOrganizations |
| Government Grants | 1344621 | GovernmentGrants |
| All Other Contributions | 401149 | AllOtherContributions |
| Noncash Contributions | 12368 | NoncashContributions |
| Total Contributions | 8143760 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (5 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome | Unrelated Business RevenueUnrelatedBusinessRevenue |
|---|---|---|---|---|
| Patient Revenue | 900099 | 2972269098 | 2963213008 | 9056090 |
| Management Fee | 900099 | 23610897 | 22861771 | 749126 |
| Cafeteria/Vending Rev. | 900099 | 19646318 | 19210185 | 436133 |
| Medical Office Building | 531120 | 10339133 | 10339133 | |
| Education | 900099 | 6876123 | 6876123 |
Total Oth Program Service Revenue TotalOthProgramServiceRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 19824715 | TotalRevenueColumn |
| Related Or Exempt Function Income | 18875374 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 949341 | UnrelatedBusinessRevenue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 3052566284 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 13567527 | TotalRevenueColumn |
| Exclusion | $13,567,527 | ExclusionAmount |
Income From Invest Bond Proceeds IncomeFromInvestBondProceeds
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 468130 | TotalRevenueColumn |
| Exclusion | $468,130 | ExclusionAmount |
Royalties Revenue RoyaltiesRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 279441 | TotalRevenueColumn |
| Exclusion | $279,441 | ExclusionAmount |
Gross Rents GrossRents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 4451065 | Real |
| Personal | 209742 | Personal |
Less Rental Expenses LessRentalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 1587978 | Real |
| Personal | 198 | Personal |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 2863087 | Real |
| Personal | 209544 | Personal |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 3072631 | TotalRevenueColumn |
| Unrelated Business Revenue | 789425 | UnrelatedBusinessRevenue |
| Exclusion | $2,283,206 | ExclusionAmount |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 17704540 | Securities |
| Other | 4449404 | Other |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 0 | Securities |
| Other | 3865014 | Other |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 17704540 | Securities |
| Other | 584390 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 18288930 | TotalRevenueColumn |
| Exclusion | $18,288,930 | ExclusionAmount |
Other Revenue Misc OtherRevenueMisc (3 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|
| EHR Revenue | 900099 | 13690266 | 13690266 |
| Equity earnings from related enti | 900099 | 5728259 | 5728259 |
| Investment in Subs | 900099 | 137840 | 137840 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 19556365 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 3115943068 | TotalRevenueColumn |
| Related Or Exempt Function Income | 3060931959 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 11980115 | UnrelatedBusinessRevenue |
| Exclusion | $34,887,234 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 23324989 | Total |
| Program Services | 23324989 | ProgramServices |
Foreign Grants ForeignGrants
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 89577 | Total |
| Program Services | 89577 | ProgramServices |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 10481182 | Total |
| Management And General | 10481182 | ManagementAndGeneral |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1014789755 | Total |
| Program Services | 996359720 | ProgramServices |
| Management And General | 18430035 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 35665232 | Total |
| Program Services | 34933961 | ProgramServices |
| Management And General | 731271 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 241586585 | Total |
| Program Services | 224807891 | ProgramServices |
| Management And General | 16778694 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 76432936 | Total |
| Program Services | 74884216 | ProgramServices |
| Management And General | 1548720 | ManagementAndGeneral |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 7109607 | Total |
| Management And General | 7109607 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 619331 | Total |
| Management And General | 619331 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 247139753 | Total |
| Program Services | 219221732 | ProgramServices |
| Management And General | 27918021 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 16718428 | Total |
| Management And General | 16718428 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 103235818 | Total |
| Program Services | 78654716 | ProgramServices |
| Management And General | 24581102 | ManagementAndGeneral |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 18779905 | Total |
| Program Services | 16460410 | ProgramServices |
| Management And General | 2319495 | ManagementAndGeneral |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 60472743 | Total |
| Program Services | 60348793 | ProgramServices |
| Management And General | 123950 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 6087663 | Total |
| Program Services | 3073025 | ProgramServices |
| Management And General | 3014638 | ManagementAndGeneral |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1312476 | Total |
| Program Services | 880046 | ProgramServices |
| Management And General | 432430 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 70189549 | Total |
| Program Services | 58749904 | ProgramServices |
| Management And General | 11439645 | ManagementAndGeneral |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 159039466 | Total |
| Program Services | 159039466 | ProgramServices |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 42169859 | Total |
| Program Services | 40349825 | ProgramServices |
| Management And General | 1820034 | ManagementAndGeneral |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices |
|---|---|---|
| Medical Supplies | 509526071 | 509526071 |
| Extinguishment of Debt | 83770648 | 83770648 |
| Repairs/Maintenance | 66203586 | 66203586 |
| Assessments | 35029340 | 35029340 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 36186491 | Total |
| Program Services | 5294225 | ProgramServices |
| Management And General | 30892266 | ManagementAndGeneral |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2865960990 | Total |
| Program Services | 2691002141 | ProgramServices |
| Management And General | 174958849 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 99490 | BOY |
| EOY | 104616 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1458843277 | BOY |
| EOY | 1559001735 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 370664906 | BOY |
| EOY | 421785860 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 69068975 | BOY |
| EOY | 73594192 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 15053517 | BOY |
| EOY | 29239839 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 3461478497 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 1684128752 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1773627027 | BOY |
| EOY | 1777349745 | EOY |
Investments Other Securities InvestmentsOtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 277876782 | BOY |
| EOY | 278044188 | EOY |
Intangible Assets IntangibleAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 11840997 | BOY |
| EOY | 34901310 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1936921170 | BOY |
| EOY | 2125977661 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 5913996141 | BOY |
| EOY | 6299999146 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 195866090 | BOY |
| EOY | 211662358 | EOY |
Tax Exempt Bond Liabilities TaxExemptBondLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3588586470 | BOY |
| EOY | 3620560952 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 169905951 | BOY |
| EOY | 232589914 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3954358511 | BOY |
| EOY | 4064813224 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1956618834 | BOY |
| EOY | 2233704874 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3018796 | BOY |
| EOY | 1481048 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1959637630 | BOY |
| EOY | 2235185922 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 5913996141 | BOY |
| EOY | 6299999146 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | 249982078 | ReconcilationRevenueExpenses |
| Reconciliation Unrealized Invest | -1473263 | ReconciliationUnrealizedInvest |
| Reconcilation Prior Adjustment | -33917 | ReconcilationPriorAdjustment |
| Reconcilation Other Changes | 27073394 | ReconcilationOtherChanges |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
FS Audited Basis FSAuditedBasis
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | 1 | AuditCommittee |
| Federal Grant Audit Required | 1 | FederalGrantAuditRequired |
| Federal Grant Audit Performed | 1 | FederalGrantAuditPerformed |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital170b1 Aiii | X | Hospital170b1Aiii |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | Volunteers |
| Paid Staff Or Management | 1 | PaidStaffOrManagement |
| Media Advertisements | 0 | MediaAdvertisements |
| Mailings Members | 0 | MailingsMembers |
| Publications Or Broadcast | 0 | PublicationsOrBroadcast |
| Grants Other Organizations | 0 | GrantsOtherOrganizations |
| Direct Contact Legislators | 0 | DirectContactLegislators |
| Rallies Demonstrations | 1 | RalliesDemonstrations |
| Rallies Demonstrations | $3,240 | RalliesDemonstrationsAmount |
| Other Activities | 1 | OtherActivities |
| Other Activities | $443,034 | OtherActivitiesAmount |
| Total Lobbying Expenditures IIB | 446274 | TotalLobbyingExpendituresIIB |
| Not Described In501c3 | 0 | NotDescribedIn501c3 |
Form990 Schedule C Part IV Form990ScheduleCPartIV (2 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| Explanation of Lobbying Activities: | Part II-B, Line 1: | The corporation reimbursed traveling expenses and paid fees to retain the services of four consulting firms which performed lobbying activities on behalf of the corporation. The four firms were William Filan, John Andrew Kane, Dick Batchelor, and Johnson & Blanton and were paid a total of $284,944 during the year. Additionaly, dues were paid to the American Hospital Association, Florida Hospital Association, Illinois Hospital Association, Texas Hospital Association, Association of Organ Procurement and the Metropolitan Chicago Healthcare Council who use a portion of the dues to conduct lobbying activities. |
| Part IV, Supplemental Information: | Part II-B 1(b) During 2012 salary expense of $24,118 was incurred for paid staff engaged in lobbying activities. |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Protection Of Natural Habitat | X | ProtectionOfNaturalHabitat |
| Nmbr Easements Modified | 0 | NmbrEasementsModified |
| Nmbr States In Which Easements Held | 1 | NmbrStatesInWhichEasementsHeld |
| Written Policy Monitoring | 0 | WrittenPolicyMonitoring |
| Staff Hours Spent On Enforcement | 0.00 | StaffHoursSpentOnEnforcement |
| Expenses Incurred For Enforcement | 0 | ExpensesIncurredForEnforcement |
Current Year CurrentYear
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 15730537 | BeginningOfYearBalance |
| Contributions | 79402 | Contributions |
| Investment Earnings Or Losses | 780118 | InvestmentEarningsOrLosses |
| End Of Year Balance | 16590057 | EndOfYearBalance |
Current Year Minus1 Year CurrentYearMinus1Year
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 15221113 | BeginningOfYearBalance |
| Contributions | 121143 | Contributions |
| Investment Earnings Or Losses | 753535 | InvestmentEarningsOrLosses |
| Other Expenditures | 365254 | OtherExpenditures |
| End Of Year Balance | 15730537 | EndOfYearBalance |
Current Year Minus2 Years CurrentYearMinus2Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 14810178 | BeginningOfYearBalance |
| Contributions | 30263 | Contributions |
| Investment Earnings Or Losses | 720592 | InvestmentEarningsOrLosses |
| Grants Or Scholarships | 339920 | GrantsOrScholarships |
| End Of Year Balance | 15221113 | EndOfYearBalance |
Current Year Minus3 Years CurrentYearMinus3Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 14077615 | BeginningOfYearBalance |
| Contributions | 57189 | Contributions |
| Investment Earnings Or Losses | 696088 | InvestmentEarningsOrLosses |
| Grants Or Scholarships | 117114 | GrantsOrScholarships |
| Administrative Expenses | -96400 | AdministrativeExpenses |
| End Of Year Balance | 14810178 | EndOfYearBalance |
Current Year Minus4 Years CurrentYearMinus4Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 3027408 | BeginningOfYearBalance |
| Contributions | 79953 | Contributions |
| Other Expenditures | 233695 | OtherExpenditures |
| End Of Year Balance | 2873666 | EndOfYearBalance |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated EOY Balance | 0.80940 | BoardDesignatedEOYBalance |
| Permanent Endowment EOY Balance | 0.19060 | PermanentEndowmentEOYBalance |
| Term Endowment EOY Balance | 0.00000 | TermEndowmentEOYBalance |
| Endowments Held By Unrelated Orgs | 0 | EndowmentsHeldByUnrelatedOrgs |
| Endowments Held By Related Orgs | 1 | EndowmentsHeldByRelatedOrgs |
| Are Related Orgs Listed Schedule R | 1 | AreRelatedOrgsListedScheduleR |
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 193465472 | OtherCostOrOtherBasis |
| Book Value | 193465472 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 1262084896 | OtherCostOrOtherBasis |
| Depreciation | 520591642 | Depreciation |
| Book Value | 741493254 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 1855192486 | OtherCostOrOtherBasis |
| Depreciation | 1109475993 | Depreciation |
| Book Value | 745716493 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 150735643 | OtherCostOrOtherBasis |
| Depreciation | 54061117 | Depreciation |
| Book Value | 96674526 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 1777349745 | TotalOfBookValueLandBuildings |
Other Assets OtherAssets (9 entries)
| DescriptionDescription | Book ValueBookValue |
|---|---|
| Funds Held in Trust | 9892860 |
| Other Current Receivables | 12544777 |
| Due From Related Parties and Affiliates | 42173540 |
| Donor Restricted Assets | 12874 |
| Deferred Charges and Costs | 21893194 |
| Long-term Investments | 60976783 |
| Other Non-Current Assets | 8213023 |
| Receivable - Interco Alloc of Tax-Exempt Bond Proceeds | 1959372596 |
| Receivable from Third Party | 10898014 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | 2125977661 | TotalBookValueOtherAssets |
Other Liabilities OtherLiabilities (7 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| Accounts Receivable - Credit Balances | $7,926,003 |
| Payable to Third Party | $72,642,513 |
| Due to Related-Affiliated Entities | $33,604,832 |
| Other Current Liabilities | $5,576,869 |
| Other Non-Current Liabilities | $103,834,580 |
| Notes and Loans Payable - Current | $176,725 |
| Leases Payable | $8,828,392 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 232589914 | TotalOfAmounts |
| Footnote In Part XIII | X | FootnoteInPartXIII |
Form990 Schedule D Part XIII Form990ScheduleDPartXIII (3 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| Description of How Organization Reports Conservation Easements: | Part II, Line 9: | The filing organization has recorded the land conservation easement on its financial statements as a Property, Plant, and Equipment Asset. The conservation easement generates no revenue and the filing organization did not incur any expense in 2012 related to the maintenance and monitoring of the conservation easement. |
| Description of Intended Use of Endowment Funds: | Part V, Line 4: | All endowment funds are held by related 501(c)(3) exempt foundations. These endowment funds have been established for a variety of purposes in support of related tax-exempt hospitals. All of the foundation's permanently restricted endowment funds are required to be retained permanently either by explicit donor stipulation or by the Florida Uniform Prudent Management of Institutional Funds Act. Part V, line 1a, column (b) Prior year - Explanation for change in opening balance: During the year 2009, management of a related 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 related 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | 1 | GrantRecordsMaintained |
Accts Actvs Out US Table AcctsActvsOutUSTable (28 entries)
| RegionRegion | Number Of OfficesNumberOfOffices | Number Of EmployeesNumberOfEmployees | Type Of Activities ConductedTypeOfActivitiesConducted | Total ExpendituresTotalExpenditures | Specific Services ProvidedSpecificServicesProvided |
|---|---|---|---|---|---|
| Central America and the Caribbean | 0 | 0 | Grantmaking | 4235 | |
| Central America and the Caribbean | 0 | 0 | Meetings | 6904 | |
| Central America and the Caribbean | 0 | 0 | Program Services | 34262 | Medical Care Mission Trips |
| East Asia and the Pacific | 0 | 0 | Meetings | 830 | |
| Europe (including Iceland and Greenland) | 0 | 0 | Grantmaking | 10000 | |
| Europe (including Iceland and Greenland) | 0 | 0 | Meetings/Conferences | 48742 | |
| Europe (including Iceland and Greenland) | 0 | 0 | Program Services | 210 | Mission Trip Planning |
| Europe (including Iceland and Greenland) | 0 | 0 | Program Services | 3368 | Surgical Care |
| Middle East and North Africa | 0 | 0 | Urological Society Conference | 1541 | |
| North America (which includes Canada and Mexico, but not the U.S.) | 0 | 0 | Meetings/Conferences | 7928 | |
| South America | 0 | 0 | Grantmaking | 9200 | |
| South America | 0 | 0 | Meetings/Conferences | 5690 | |
| South America | 0 | 0 | Program Services | 38567 | Medical/dental clinics |
| South America | 0 | 0 | Program Services | 2062 | Surgical Care |
| South America | 0 | 0 | Program Services | 80423 | Mission trips and Conferences. Medical supplies and other donated supplies. |
| South Asia | 0 | 0 | Meetings/Conferences | 10496 | |
| Sub-Saharan Africa | 0 | 0 | Grant for Mission trip | 500 | |
| Sub-Saharan Africa | 0 | 0 | Program Services | 24922 | Mission trip ultrasound equipment & PT supplies and items puchased locally |
| 0 | 0 | ||||
| 0 | 0 | ||||
| 0 | 0 | ||||
| 0 | 0 | ||||
| 0 | 0 | ||||
| 0 | 0 | ||||
| 0 | 0 | ||||
| 0 | 0 | ||||
| 0 | 0 | ||||
| 0 | 0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Subtotal Number Of Offices | 0 | SubtotalNumberOfOffices |
| Subtotal Number Of Employees | 0 | SubtotalNumberOfEmployees |
| Cont Number Of Offices | 0 | ContNumberOfOffices |
| Cont Number Of Employees | 0 | ContNumberOfEmployees |
| Total Number Of Offices | 0 | TotalNumberOfOffices |
| Total Number Of Employees | 0 | TotalNumberOfEmployees |
| Subtotal Amount Spent | 108551 | SubtotalAmountSpent |
| Cont Amount Spent | 181329 | ContAmountSpent |
| Total Amount Spent | 289880 | TotalAmountSpent |
Grants To Orgs Outside US GrantsToOrgsOutsideUS (5 entries)
| RegionRegion | Purpose Of GrantPurposeOfGrant | Amount Of Cash GrantAmountOfCashGrant | Manner Of Cash DisbursementMannerOfCashDisbursement | Method Of ValuationMethodOfValuation | Amount Of Non Cash AssistanceAmountOfNonCashAssistance | Description Of Non Cash AssistanceDescriptionOfNonCashAssistance |
|---|---|---|---|---|---|---|
| Central America and the Caribbean | Medical Supplies or Equipment | 11900 | Check | Book | ||
| South America | Medical Mission Trip | 13550 | Check | Book | ||
| South America | Medical Supplies or Equipment | Book | 5494 | Medical Supplies | ||
| Sub-Saharan Africa | Medical Supplies or Equipment | Book | 9566 | Medical Supplies | ||
| Europe (including Iceland and Greenland) | Sponsorship of German Hospital | 10000 | Electronic Funds | Book |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Number Of501c3 Orgs | 5 | TotalNumberOf501c3Orgs |
| Total Number Of Other Orgs | 0 | TotalNumberOfOtherOrgs |
| Transfer To Foreign Corp | 0 | TransferToForeignCorp |
| Interest In Foreign Trust | 0 | InterestInForeignTrust |
| Own Foreign Corp | 0 | OwnForeignCorp |
| Passive Foreign Invest Co | 0 | PassiveForeignInvestCo |
| Foreign Partnership | 0 | ForeignPartnership |
| Boycott Countries | 0 | BoycottCountries |
Form990 Schedule F Part V Form990ScheduleFPartV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | Procedure for Monitoring Grants Outside the U.S.: | Identifier |
| Explanation | Schedule F, Part I, Line 2: Foreign grants are generally non-cash donations of medical equipment and supplies to assist foreign health care providers in fulfilling their mission of providing health care services to the populations they serve. The foreign health care providers are often hospitals and/or clinics operated and/or sponsored by or affiliated with the Seventh-Day Adventist Church. The foreign hospitals/clinics may be located in remote and/or underserved villages and townships of developing countries. Grants are typically made to other U.S. charitable organizations or foreign entities recognized as charitable by the foreign country in which they are located. As a result of the nature of the grants as non-cash medical equipment and supplies and the fact that most grants are made indirectly through other U.S. or foreign charitable organizations, the filing organization has not established specific procedures for monitoring the use of grant funds outside the United States. | Explanation |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Charity Care Policy | 1 | CharityCarePolicy |
| Written Policy | 1 | WrittenPolicy |
| Policy Applied To All Hospitals | X | PolicyAppliedToAllHospitals |
| FPG Reference Free Care | 1 | FPGReferenceFreeCare |
| Pcent200 | X | Pcent200 |
| FPG Reference Discounted Care | 1 | FPGReferenceDiscountedCare |
| Pcent400 | X | Pcent400 |
| Free Disc Care Medically Indigent | 1 | FreeDiscCareMedicallyIndigent |
| Amounts Budgeted For Charity Care | 1 | AmountsBudgetedForCharityCare |
| Expenses Exceeded Budget | 1 | ExpensesExceededBudget |
| Unable To Provide Care | 0 | UnableToProvideCare |
| Annual Community Benefit Report | 1 | AnnualCommunityBenefitReport |
| Report Publically Available | 1 | ReportPublicallyAvailable |
Charity Care At Cost CharityCareAtCost
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 155179851 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 155179851 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.05410 | PercentOfTotalExpense |
Unreimbursed Medicaid UnreimbursedMedicaid
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 434070792 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 273481625 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 160589167 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.05600 | PercentOfTotalExpense |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 589250643 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 273481625 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 315769018 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.11010 | PercentOfTotalExpense |
Community Health Services CommunityHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 14949141 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 222934 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 14726207 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00510 | PercentOfTotalExpense |
Health Professions Education HealthProfessionsEducation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 44005649 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 10553059 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 33452590 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.01170 | PercentOfTotalExpense |
Subsidized Health Services SubsidizedHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 352627 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 425 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 352202 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00010 | PercentOfTotalExpense |
Research Research
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 1579642 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 1201099 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 378543 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00010 | PercentOfTotalExpense |
Cash And In Kind Contributions CashAndInKindContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 16300405 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 16300405 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00570 | PercentOfTotalExpense |
Total Other Benefits TotalOtherBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 77187464 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 11977517 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 65209947 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.02270 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 666438107 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 285459142 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 380978965 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.13280 | PercentOfTotalExpense |
Health Improvement Advocacy HealthImprovementAdvocacy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 19933654 | TotalCommunityBuildingExpense |
| Direct Offsetting Revenue | 5163707 | DirectOffsettingRevenue |
| Net Community Building Expense | 14769947 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00520 | PercentOfTotalExpense |
Workforce Development WorkforceDevelopment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 384219 | TotalCommunityBuildingExpense |
| Direct Offsetting Revenue | 40310 | DirectOffsettingRevenue |
| Net Community Building Expense | 343909 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00010 | PercentOfTotalExpense |
Other Other
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 10450 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 10450 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Total Total
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 20328323 | TotalCommunityBuildingExpense |
| Direct Offsetting Revenue | 5204017 | DirectOffsettingRevenue |
| Net Community Building Expense | 15124306 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00530 | PercentOfTotalExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | 1 | BadDebtExpenseReported |
| Bad Debt Expense | $96,817,676 | BadDebtExpenseAmount |
| Amount Attributable To | 7332132 | AmountAttributableTo |
| Amount Reimbursed By Medicare | 685288744 | AmountReimbursedByMedicare |
| Cost Of Care Reimbursed By Medicare | 779908106 | CostOfCareReimbursedByMedicare |
| Medicare Surplus Or Shortfall | -94619362 | MedicareSurplusOrShortfall |
Costing Methodology Used CostingMethodologyUsed
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | X | CostToChargeRatio |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | 1 | WrittenDebtCollectionPolicy |
| Provision For Charity Care | 1 | ProvisionForCharityCare |
Form990 Schedule H Part IV Form990ScheduleHPartIV (5 entries)
| Description Ent Primary ActivityDescriptionEntPrimaryActivity | Organization Profit Or OwnershipOrganizationProfitOrOwnership | Officers Etc Profit Or OwnershipOfficersEtcProfitOrOwnership | Physicans Profit Or OwnershipPhysicansProfitOrOwnership |
|---|---|---|---|
| 1 Surgical Center at Sun'N Lake LLC | |||
| Ambulatory Surgery | 0.50000 | 0.00000 | 0.50000 |
| 2 Huguley Surgery Center LLP (ended 412) | |||
| OP Surgeries | 0.64100 | 0.00000 | 0.35900 |
| 3 San Marcos MRI LP | |||
| Imaging Center | 0.50000 | 0.00000 | 0.50000 |
| 4 Central Texas Ambulatory Endoscopy | |||
| Endoscopy Center | 0.18800 | 0.00000 | 0.81200 |
| 5 Surgery Management Associates of Kissimmee LLC | |||
| Management/Admin | 0.30000 | 0.00000 | 0.70000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Hospital Facilities | 13 | NumberOfHospitalFacilities |
Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA (13 entries)
| Facility NumberFacilityNumber | Address Line1Address/AddressLine1 | CityAddress/City | StateAddress/State | ZIP CodeAddress/ZIPCode | Website AddressWebsiteAddress | Licensed HospitalLicensedHospital | General Medical And SurgicalGeneralMedicalAndSurgical | Childrens HospitalChildrensHospital | Teaching HospitalTeachingHospital | Research FacilityResearchFacility | Er24 HoursEr24Hours | Facility Reporting GroupFacilityReportingGroup | OtherOther | Critical Access HospitalCriticalAccessHospital |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Florida Hospital Orlando | ||||||||||||||
| 1 | 601 E Rollins Street | Orlando | FL | 32803 | www.floridahospital.com/orlando | X | X | X | X | X | X | A | ||
| Florida Hospital Celebration Health | ||||||||||||||
| 2 | 400 Celebration Place | Celebration | FL | 34747 | www.floridahospital.com/celebration-h | X | X | X | X | A | ||||
| Florida Hospital Altamonte | ||||||||||||||
| 3 | 601 E Altamonte Drive | Altamonte Springs | FL | 32701 | www.floridahospitalaltamonte.com | X | X | X | X | A | ||||
| Florida Hospital East Orlando | ||||||||||||||
| 4 | 7727 Lake Underhill Drive | Orlando | FL | 32822 | www.floridahospitaleast.com | X | X | X | X | A | ||||
| Winter Park Memorial Hospital | ||||||||||||||
| 5 | 200 N Lakemont Avenue | Winter Park | FL | 32822 | www.floridahospital.com/winter-park-m | X | X | X | X | A | ||||
| Adventist La Grange Memorial Hospital | ||||||||||||||
| 6 | 5101 S Willow Springs Road | La Grange | IL | 60525 | www.keepingyouwell.com/almh/ | X | X | X | X | X | A | |||
| FH Heartland Medical Center | ||||||||||||||
| 7 | 4200 Sun N Lake Blvd | Sebring | FL | 33872 | fhheartland.org | X | X | X | A | |||||
| Florida Hospital Kissimmee | ||||||||||||||
| 8 | 2450 North Orange Blossom Trail | Kissimmee | FL | 34741 | www.floridahospital.com/kissimmee | X | X | X | X | A | ||||
| Central Texas Medical Center | ||||||||||||||
| 9 | 1301 Wonder World Dr | San Marcos | TX | 78666 | ctmc.org | X | X | X | A | |||||
| Florida Hospital Apopka | ||||||||||||||
| 10 | 201 N Park Avenue | Apopka | FL | 32703 | www.floridahospitalapopka.com | X | X | X | X | A | ||||
| FH Heartland Medical Center Lake Placid | ||||||||||||||
| 11 | 1210 US 27 N | Lake Placid | FL | 33852 | fhheartland.org | X | X | X | A | Senior Behavioral Unit | ||||
| Florida Hospital Wauchula | ||||||||||||||
| 12 | 533 W Carlton Street | Wauchula | FL | 33873 | fhheartland.org | X | X | X | A | Skilled Nursing | X | |||
| Huguley Memorial Medical Center | ||||||||||||||
| 13 | 11801 South Freeway | Fort Worth | TX | 76115 | www.huguley.org | X | X | X | A | Huguley Home Health Agency | ||||
Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | GROUP A | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital Facility Number | 14 | HospitalFacilityNumber |
| Eligibility Criteria Explained | 1 | EligibilityCriteriaExplained |
| Uses FPG Free | 1 | UsesFPGFree |
| FPG Free Percent | 200.000000000000 | FPGFreePercent |
| Uses FPG Discounted | 1 | UsesFPGDiscounted |
| FPG Discount Percent | 400.000000000000 | FPGDiscountPercent |
| Explains Basis | 1 | ExplainsBasis |
| Income Level | X | IncomeLevel |
| Asset Level | X | AssetLevel |
| Medical Indigency | X | MedicalIndigency |
| Insurance Status | X | InsuranceStatus |
| Uninsured Discount | X | UninsuredDiscount |
| Medicaid Medicare | X | MedicaidMedicare |
| State Regulation | X | StateRegulation |
| Explains Application Method | 1 | ExplainsApplicationMethod |
| Includes Publicity Measures | 1 | IncludesPublicityMeasures |
| Available On Request | X | AvailableOnRequest |
| Other Publicity | X | OtherPublicity |
| Actions On Nonpayment | 1 | ActionsOnNonpayment |
| Collection Activities | 0 | CollectionActivities |
| Nondiscrim Emergency Care Policy | 1 | NondiscrimEmergencyCarePolicy |
| Used Other Method | X | UsedOtherMethod |
| Amounts Generally Billed | 0 | AmountsGenerallyBilled |
| Gross Charges | 0 | GrossCharges |
Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Other Facilities | 138 | NumberOfOtherFacilities |
Other Facilities OtherFacilities (138 entries)
| Address Line1Address/AddressLine1 | CityAddress/City | StateAddress/State | ZIP CodeAddress/ZIPCode | Facility TypeFacilityType | Address Line2Address/AddressLine2 |
|---|---|---|---|---|---|
| Florida Hospital Cancer Institute | |||||
| 2501 N Orange Avenue Suites 139 181 | Orlando | FL | 32804 | Cancer Center | |
| Florida Hospital Rehabilitation and Spor | |||||
| 5165 Adanson Street | Orlando | FL | 32804 | Therapy Center | |
| Florida Hospital Orlando Pathology Lab | |||||
| 2855 N Orange Avenue | Orlando | FL | 32803 | Lab Services | |
| Florida Hospital Cancer Institute - Kiss | |||||
| 1300 West Oak Street | Kissimmee | FL | 34741 | Cancer Center | |
| Florida Hospital Cancer Care Center | |||||
| 2100 Glenwood Drive | Winter Park | FL | 32792 | Radiation Oncology | |
| Florida Hospital Altamonte Imaging Cente | |||||
| 661 E Altamonte Drive Suite 112 | Altamonte Springs | FL | 32701 | MRI/CT | |
| Florida Hospital Kidney Stone Center | |||||
| 2501 N Orange Avenue Suite 121 | Orlando | FL | 32804 | Outpatient Services | |
| Florida Hospital Altamonte Cancer Center | |||||
| 601 E Altamonte Drive | Altamonte Springs | FL | 32701 | Cancer Center | |
| Florida Hospital Altamonte Ambulatory Su | |||||
| 661 E Altamonte Drive Suite 110 | Altamonte Springs | FL | 32701 | Outpatient Surgery Center | |
| Florida Hospital Altamonte Medical Plaza | |||||
| 661 E Altamonte Drive | Altamonte Springs | FL | 32701 | Physician Clinics | |
| Florida Hospital Medical Plaza | |||||
| 2501 N Orange Avenue | Orlando | FL | 32804 | Physician Clinics | |
| Florida Hospital Transplant Center | |||||
| 2415 N Orange Avenue Suite 700 | Orlando | FL | 32804 | Organ Tissue/Transplant Center | |
| FRi Princeton | |||||
| 235 E Princeton Street Suite 100 | Orlando | FL | 32804 | Imaging Center | |
| Florida Hospital Center for Behavioral H | |||||
| 501 E King Street 1st Floor | Orlando | FL | 32803 | Med/Psych | |
| Florida Hospital Advanced Nuclear Imagin | |||||
| 328 Spruce Street | Orlando | FL | 32803 | Radiology Services | |
| Florida Hospital Surgery Center East Or | |||||
| 258 S Chickasaw Trail Suite 100 | Orlando | FL | 32825 | Outpatient Surgery | |
| Florida Hospital Altamonte Imaging Cente | |||||
| 894 E Altamonte Drive Suite 1100 | Altamonte Springs | FL | 32701 | Radiology Services | |
| FHCC - LAKE BUENA VISTA #2 | |||||
| 12500 S Apopka Vineland Rd | Orlando | FL | 32836 | Urgent care Clinic | |
| Adventist Paulson Rehab - Willowbrook | |||||
| 619 Plainfield Road | Willowbrook | IL | 60521 | Rehabilitation Center | |
| FRi Lake Mary | |||||
| 775 Primera Blvd Suite 1031 | Lake Mary | FL | 32746 | Imaging Center | |
| Florida Hospital Gamma Knife | |||||
| 2501 N Orange Ave Suite 101 S | Orlando | FL | 32804 | Gamma Knife | |
| Loch Haven OBGyn Group | |||||
| 235 E Princeton Street Suite 200 | Orlando | FL | 32804 | Physician Clinics | |
| Florida Hospital Rehabilitation & Sports | |||||
| 8701 Maitland Summit Blvd | Orlando | FL | 32810 | Therapy Center | |
| Family Health East Orlando Women's Pavil | |||||
| 7975 Lake Underhill Drive Suite 100 | Orlando | FL | 32822 | Women's Health Clinic | |
| Surgical Center at Sun N' Lake LLC | |||||
| 4240 Sun n Lake Blvd | Sebring | FL | 33872 | Outpatient Surgery | |
| Florida Hospital Rehabilitation & Sports | |||||
| 7975 Lake Underhill Drive Suite 300 | Orlando | FL | 32822 | Therapy Center | 34 |
| FHCC - WATERFORD | |||||
| 250 N Alafaya Trail Suite 135 | Orlando | FL | 32825 | Urgent care Clinic | |
| FHHMC Cardiology Associates | |||||
| 4638 Sun n Lake Blvd | Sebring | FL | 33872 | Outpatient Phys Clinic | |
| Central Texas Ambulatory Endoscopy | |||||
| 1303 Wonder World DR | San Marcos | TX | 78666 | Endoscopy Services | |
| Winter Park Memorial Hospital Women's Ce | |||||
| 1925 Mizell Ave Suites 105 107 | Winter Park | FL | 32792 | Women's Health Clinic, Imaging | |
| FHCC - SANFORD | |||||
| 4451 West 1st Street | Sanford | FL | 32771 | Urgent care Clinic | |
| Florida Hospital Rehabilitation & Sports | |||||
| 400 Celebration Place Suite 200C | Celebration | FL | 34747 | Therapy Center | |
| Florida Hospital Center for Thrombosis | |||||
| 2501 N Orange Avenue Suite 786 | Orlando | FL | 32804 | Thrombosis Center | |
| Florida Hospital Altamonte Mammography C | |||||
| 661 E Altamonte Drive Suite 130 | Altamonte Springs | FL | 32701 | Imaging Center | |
| FHCC - WINTER PARK | |||||
| 3099 Aloma Avenue | Winter Park | FL | 32792 | Urgent care Clinic | |
| FRi Oviedo | |||||
| 8000 Red Bug Lake Road Suite 120 | Oviedo | FL | 32765 | Imaging Center | |
| Florida Hospital Altamonte Pain Medicine | |||||
| 711 East Altamonte Drive Suite 100 | Altamonte Springs | FL | 32701 | Pain Medicine | |
| FHCC - WINTER GARDEN | |||||
| 3005 Daniels Road | Winter Garden | FL | 34787 | Urgent care Clinic | |
| FRi Waterford Lake | |||||
| 12301 Lake Underhill Rd Suite 113 | Orlando | FL | 32828 | Imaging Center | |
| Family Health Center Winter Park | |||||
| 2950 Aloma Ave Suite 100 | Winter Park | FL | 32792 | Physician Clinics, Medicine Specialists, Surgical Specialists | |
| Florida Hospital Center for Sleep Disord | |||||
| 501 E King Street 2nd Floor | Orlando | FL | 32803 | Sleep Disorder Center | |
| CTMC Hospice | |||||
| 1315 IH 35 North | San Marcos | TX | 78666 | Hospice services | |
| FHCC - ORANGE LAKE | |||||
| 8201 W Irlo Bronson Highway | Kissimmee | FL | 34747 | Urgent care Clinic | |
| FHHMC SeaScape Imaging OP Center | |||||
| 2950 Alt US 27 S | Sebring | FL | 33870 | Outpatient Imaging Center | |
| FHCC - OnsiteBusiness Health Services | |||||
| 901 N Lake Destiny Road Suite 400 | Maitland | FL | 32750 | Onsite Services | |
| FHCC - LEE ROAD | |||||
| 2540 Lee Road | Winter Park | FL | 32789 | Urgent care Clinic | |
| FHCC - ALTAMONTE | |||||
| 440 W Highway 436 | Altamonte Springs | FL | 32714 | Urgent care Clinic | |
| FH Wauchula Pioneer Medical Center | |||||
| 515 Carlton Street | Wauchula | FL | 33873 | Outpatient Phys Clinic | |
| FHCC - COLONIAL TOWN | |||||
| 630 North Bumby Ave | Orlando | FL | 32803 | Urgent care Clinic | |
| FHCC - DR PHILLIPS | |||||
| 8014 Conroy-Windermere Rd Suite 104 | Orlando | FL | 32835 | Urgent care Clinic | |
| La Grange Cancer Treatment Pavillion | |||||
| 1325 Memorial Dr | La Grange | IL | 60525 | Cancer Center/Wound Care Facility | |
| FHCC - KISSIMMEE | |||||
| 4320 W Vine Street | Kissimmee | FL | 34746 | Urgent care Clinic | |
| Florida Hospital Rehabilitation & Sports | |||||
| 711 E Altamonte Drive Suite 200 | Altamonte Springs | FL | 32701 | Therapy Center | |
| FHCC - RDV | |||||
| 8701 Maitland Summit Blvd | Maitland | FL | 32810 | Urgent care Clinic | |
| FHCC - HUNTERS CREEK | |||||
| 3293 Greenwald Way North | Kissimmee | FL | 34741 | Urgent care Clinic | |
| FHCC - SAND LAKE | |||||
| 2301 Sand Lake Road | Orlando | FL | 32809 | Urgent care Clinic | |
| Florida Hospital Rehabilitation & Sports | |||||
| 8000 Red Bug Lake Road Suite 140 | Oviedo | FL | 32765 | Therapy Center | |
| FHCC - MT DORA | |||||
| 9015 US Highway 441 | Mount Dora | FL | 32757 | Urgent care Clinic | |
| Florida Hospital Sleep Disorder Center - | |||||
| 1925 Mizell Avenue Suite 200 | Winter Park | FL | 32792 | Sleep Center | |
| Adventist La Grange Family Medical Cente | |||||
| 5101 S Willow Springs Road | La Grange | IL | 60525 | Family Medical Center | |
| FHCC - OVIEDO | |||||
| 8010 Red Bug Road | Oviedo | FL | 32765 | Urgent care Clinic | |
| FHCC - AZALEA PARK | |||||
| 509 S Semoran Blvd | Orlando | FL | 32807 | Urgent care Clinic | |
| FHCC - CLERMONT | |||||
| 15701 State Road 50 Suite 101 | Clermont | FL | 34711 | Urgent care Clinic | |
| Florida Hospital Rehabilitation & Sports | |||||
| 615 E Princeton St Suite 104 | Orlando | FL | 32803 | Therapy Center | |
| FHHMC Family Practice Center | |||||
| 1006 W Pleasant Street | Avon Park | FL | 33825 | Outpatient Phys Clinic | |
| FHCC - LONGWOOD | |||||
| 855 S US Highway 17-92 | Longwood | FL | 32750 | Urgent care Clinic | |
| FHHMC Pulmonary and Critical Care Specia | |||||
| 4409 Sun n Lake Blvd Suite E | Sebring | FL | 33872 | Outpatient Phys Clinic | |
| Florida Hospital Rehab and Sport Medicin | |||||
| 2005 Mizell Ave | Winter Park | FL | 32792 | Therapy Center | |
| FHCC - UNIVERSITY | |||||
| 11550 University Blvd | Orlando | FL | 32817 | Urgent care Clinic | |
| FHHMC Therapy Center | |||||
| 6325 US Hwy 27 N | Sebring | FL | 33870 | Outpatient Physical Therapy | |
| Huguley Surgery Center LLP | |||||
| 15305 Dallas Pkwy Ste 1600 LB 28 | Addison | TX | 75001 | Outpatient Surgery Center | |
| Florida Hospital Rehab and Sports Medici | |||||
| 100 Waymont Court Suite 120 | Lake Mary | FL | 32746 | Therapy & Hearing Center | |
| Medical Plaza - Florida Hospital Kissimm | |||||
| 2400 North Orange Blossom Trail | Kissimmee | FL | 34744 | Physician Clinics | |
| FHHMC Heartland Women's Health | |||||
| 37 Ryant Blvd | Sebring | FL | 33870 | Outpatient Phys Clinic | |
| FHHMC Center Priority Health Care | |||||
| 4200 Sun n Lake Blvd | Sebring | FL | 33872 | Outpatient Phys Clinic | |
| Family Health Center East | |||||
| 7975 Lake Underhill Drive Suite 200 | Orlando | FL | 32822 | Physician Clinics | |
| San Marcos MRI LP | |||||
| 1330 Wonder World Dr | San Marcos | TX | 78666 | Imaging Services | |
| FHCC - CONWAY | |||||
| 5810 S Semoran Blvd | Orlando | FL | 32822 | Urgent care Clinic | |
| FHHMC Interventional Cardiology | |||||
| 6325 US 27 North Suite 202 | Sebring | FL | 33872 | Outpatient Phys Clinic | |
| Florida Hospital Rehabilitation & Sports | |||||
| 201 Hilda Street Suite 12 | Kissimmee | FL | 34741 | Therapy Center | |
| Florida Hospital Celebration Health Outp | |||||
| 410 Celebration Place Suite 408 | Celebration | FL | 34747 | Outpatient Surgery Center | |
| Celebration Hand Therapy | |||||
| 410 Celebration Place Suite 300 | Celebration | FL | 34747 | Therapy Center | |
| CTMC Home Health | |||||
| 2007 Medical Parkway | San Marcos | TX | 78666 | Home Health services | |
| FHHMC Wound Care | |||||
| 4143 Sun N Lake | Sebring | FL | 33872 | Wound Care | |
| Florida Hospital Rehabilitation & Sports | |||||
| 2520 N Orange Avenue Suite 100 | Orlando | FL | 32804 | Therapy Center | |
| Florida Hospital Rehabilitation & Sports | |||||
| 205 N Park Avenue Suite 110 | Apopka | FL | 32703 | Therapy Center | |
| Florida Hospital Rehabilitation and Spor | |||||
| 1603 S Hiawassee Road | Orlando | FL | 32835 | Therapy Center | |
| Florida Hospital Laboratory - Orlando | |||||
| 2501 N Orange Avenue Suite 370 | Orlando | FL | 32804 | Lab Services | |
| Florida Hospital Diabetes Institute | |||||
| 2415 N Orange Ave Suite 501 | Orlando | FL | 32804 | Diabetes | |
| CTMC Rehab Services | |||||
| 1340 Wonder World Dr | San Marcos | TX | 78666 | OP Rehab Services | |
| FHHMC Women's Wellness Center Sebring | |||||
| 4240 Sun n Lake Blvd | Sebring | FL | 33872 | Outpatient Phys Clinic | |
| FHHMC Center for Infectious Disease | |||||
| 4409 Sun n Lake Blvd Suite E | Sebring | FL | 33870 | Outpatient Phys Clinic | |
| FHHMC Priority Health Care | |||||
| 1210 US Highway 27 N | Lake Placid | FL | 33852 | Outpatient Phys Clinic | |
| FHHMC Family Medicine Specialist | |||||
| 2315 US Highway 27 North | Avon Park | FL | 33825 | Outpatient Phys Clinic | |
| FHHMC Sleep Lab | |||||
| 4301 Sun N Lake Blvd | Sebring | FL | 33872 | Sleep Lab | |
| Florida Hospital Sleep Disorder Center - | |||||
| 203 N Park Avenue Suite 106 | Apopka | FL | 32703 | Sleep Center | |
| FHHMC Highlands Surgical Associates | |||||
| 4301 Sun n Lake Blvd Suite 103 | Sebring | FL | 33872 | Outpatient Phys Clinic | |
| FHHMC Psychiatric Services | |||||
| 4023 Sun n Lake Blvd | Sebring | FL | 33872 | Outpatient Phys Clinic | |
| FHHMC SeaScape South Laboratory | |||||
| 2950 Alt US 27 S | Sebring | FL | 33870 | Outpatient Laboratory | |
| Eden Spa | |||||
| 2501 N Orange Ave Suite 186 | Orlando | FL | 32804 | Outpatient Therapy & Consumer goods and services | |
| FHHMC CareNow | |||||
| 4421 Sun n Lake Blvd Suite B | Sebring | FL | 33872 | Outpatient Phys Clinic | |
| FH Wauchula The Therapy Center | |||||
| 1330 Hwy 17 S | Wauchula | FL | 33873 | Outpatient Physical Therapy | |
| Darden Onsite | |||||
| 1000 Darden Center Drive | Orlando | FL | 32837 | Employer Onsite Clinic | |
| FHHMC Gastroenterology & Women's Wellnes | |||||
| 1352 US 27 North | Lake Placid | FL | 33852 | Outpatient Phys Clinic | |
| FHHMC Therapy Center Lake Placid | |||||
| 1210 US 27 N | Lake Placid | FL | 33852 | Outpatient Physical Therapy | |
| Florida Hospital Laboratory - Lucerne Te | |||||
| 1723 Lucerne Terrace | Orlando | FL | 32806 | Blood collection stations | |
| FH Wauchula Hardee Family Medicine | |||||
| 522 W Carlton Street | Wauchula | FL | 33873 | Outpatient Phys Clinic | |
| FHHMC Gastroenterology Center Sebring | |||||
| 4421 Sun n Lake Blvd Suite B | Sebring | FL | 33872 | Outpatient Phys Clinic | |
| Florida Hospital Laboratory - Palm Sprin | |||||
| 631 Palm Springs Drive Suite 113 | Altamonte Springs | FL | 32701 | Blood collection stations | |
| FHHMC Internal Medicine Specialist | |||||
| 6801 US Hwy 27 North Suite B-2 | Sebring | FL | 33870 | Outpatient Phys Clinic | |
| Florida Hospital Laboratory - Tavares | |||||
| 1769 David Walker Drive | Tavares | FL | 32778 | Blood collection stations | |
| FHHMC Pain Management | |||||
| 4145 Sun N Lake | Sebring | FL | 33872 | Pain Management | |
| Siemens Onsite | |||||
| 4400 N Alafaya Trail MC Q1-240 | Orlando | FL | 32826 | Employer Onsite Clinic | |
| Wyndham Onsite | |||||
| 6277 Sea Harbor Dr | Orlando | FL | 32821 | Employer Onsite Clinic | |
| FHHMC Outpatient Laboratory | |||||
| 2315 US Hwy 27 N | Avon Park | FL | 33825 | Outpatient Laboratory | |
| Florida Hospital Laboratory - Altamonte | |||||
| 661 East Altamonte Drive Suite 131 | Altamonte Springs | FL | 32701 | Lab Services | |
| FHHMC Psychiatric Services | |||||
| 1346 US Highway 27 S | Lake Placid | FL | 33852 | Outpatient Phys Clinic | |
| FHHMC Cardio-Pulmonary | |||||
| 4635 Sun N Lake Blvd | Sebring | FL | 33872 | Cardio Pulmonary Rehab | |
| CTMC OP Lab and Radiology | |||||
| 151 Kirkham Circle | Kyle | TX | 78640 | OP lab, rehab & medical imaging | |
| Florida Hospital Hearing Center East Or | |||||
| 7975 Lake Underhill Drive Suite 300 | Orlando | FL | 32822 | Hearing Center | |
| Florida Hospital Laboratory - Winter Par | |||||
| 1925 Mizell Ave Suite 100 | Winter Park | FL | 32792 | Lab Services | |
| FHHMC Outpatient Laboratory | |||||
| 6801 US Hwy 27 N Suite C -1 | Sebring | FL | 33872 | Outpatient Laboratory | |
| FHHMC Neurology | |||||
| 4421 Sun n Lake Blvd Suite B | Sebring | FL | 33872 | Outpatient Phys Clinic | |
| Florida Hospital Women's CenterLactatio | |||||
| 2520 N Orange Avenue Suite 103 | Orlando | FL | 32804 | Lactation Center, Birthing Classes | |
| FH Wauchula Sleep Lab & Wound Care | |||||
| 457 W Carlton St | Wauchula | FL | 33873 | Sleep Lab & Wound Care | |
| FHHMC Seascape Internal Medicine Sebring | |||||
| 2950 Alt US 27 South Suite B | Sebring | FL | 33870 | Outpatient Phys Clinic | |
| Florida Hospital Rehabilitation and Spor | |||||
| 601 E Rollins Street | Orlando | FL | 32803 | Therapy Center | |
| Waterman Onsite | |||||
| 1000 Waterman Way | Tavares | FL | 32778 | Employer Onsite Clinic | |
| Florida Hospital Pediatric | |||||
| 615 E Princeton St Suite 540 | Orlando | FL | 32803 | EPS Cath Lab | |
| Total Healthcare Management | |||||
| 1000 Universal Studios Plaza 3 | Orlando | FL | 32819 | Employer Onsite Clinic | |
| ALT EDEN SPA | |||||
| 601 E Altamonte Drive Suite 1721 | Altamonte Springs | FL | 32701 | Outpatient Therapy & Consumer goods and services | |
| FHHMC Highlands Surgical Associates Lake | |||||
| 1352 US 27 North | Lake Placid | FL | 33852 | Outpatient Phys Clinic | |
| OCG Onsite | |||||
| 450 E South Street | Orlando | FL | 32802 | Employer Onsite Clinic | |
| FHHMC Family Medicine Center of Lake Pla | |||||
| 1352 US 27 North | Lake Placid | FL | 33852 | Outpatient Phys Clinic | |
| FHHMC Diabetes Center | |||||
| 4023 Sun N Lake | Sebring | FL | 33872 | Diabetes Center | |
| FHHMC ENT Specialist | |||||
| 4325 Sun n Lake Blvd Suite 102 | Sebring | FL | 33872 | Outpatient Phys Clinic | |
| FH Wauchula Womens Wellness Center | |||||
| 526 W Carlton Street | Wauchula | FL | 33873 | Outpatient Phys Clinic | |
| FHHMC LP Wound Care | |||||
| 1352 US Hwy 27 N | Lake Placid | FL | 33852 | Wound Care | |
Form990 Schedule H Part VI Form990ScheduleHPartVI (43 entries)
| ExplanationExplanation | Return ReferenceReturnReference | IdentifierIdentifier |
|---|---|---|
| Part I, Line 6a: The filing organization is a wholly owned subsidiary of Adventist Health System Sunbelt Healthcare Corporation (AHSSHC). AHSSHC serves as a parent organization to 24 tax-exempt 501(c)(3) hospital organizations that operate 43 hospitals in ten states within the U.S. The system of organizations under the control and ownership of AHSSHC is known as "Adventist Health System" (AHS).All hospital organizations within AHS collect, calculate, and report the community benefits they provide to the communities they serve. AHS organizations exist solely to improve and enhance the local communities they serve. AHS has a system-wide community benefits accounting policy that provides guidelines for its health care provider organizations to capture and report the costs of services provided to the underprivileged and to the broader community. On an annual basis, the community benefits of all AHS organizations are consolidated and reported in the AHS Annual Report document prepared by Adventist Health System Sunbelt Healthcare Corporation (EIN 59-2170012). | ||
| Part I, Line 7: The amounts of costs reported in the table in line 7 of Part I of Schedule H were determined by utilizing a cost-to-charge ratio derived from Worksheet 2, Ratio of Patient Care Cost-to-Charges, contained in the Schedule H instructions. | ||
| Part II: The costs of community building activities reported on Part II of Schedule H primarily represent the costs associated with commercially sponsored research conducted by two of the organization's hospitals. These two hospitals participate in clinical drug and device research that is performed on patients who have a condition or disease for which the eventual commercial use of a drug or device is intended. This research is related to patient care and serves to expand scientific knowledge with respect to potential treatments and cures for various diseases and conditions.The remainder of the costs incurred stem from the hospitals' involvement in and support of various other community agencies in its service area that work collaboratively to help those in need and to improve the health and safety of the residents of the community. The organization's hospitals participate with a number of other community organizations to address the healthcare needs of the community. Both cash and in-kind donations are made annually to various local charitable organizations. | ||
| Part III, Line 8: Costing Methodology: Medicare allowable costs were calculated using a cost-to-charge ratio.Rationale for Including a Medicare Shortfall as Community Benefit:As a 501(c)(3) organization, the filing organization provides emergency and non-elective care to all regardless of ability to pay. All hospital services are provided in a non-discriminatory manner to patients who are covered beneficiaries under the Medicare program. As a public insurance program, Medicare provides a pre-established reimbursement rate/amount to health care providers for the services they provide to patients. In some cases, the reimbursement amount provided to a hospital may exceed its costs of providing a particular service or services to a patient. In other cases, the Medicare reimbursement amount may result in the hospital experiencing a shortfall of reimbursement received over costs incurred. In those cases where an overall shortfall is generated for providing services to all Medicare patients, the shortfall amount should be considered as a benefit to the community. Tax-exempt hospitals are required to accept all Medicare patients regardless of the profitability, or lack thereof, with respect to the services they provide to Medicare patients. The population of individuals covered under the Medicare program is sufficiently large so that the provision of services to the population is a benefit to the community and relieves the burdens of government. In those situations where the provision of services to the total Medicare patient population of a tax-exempt hospital during any year results in a shortfall of reimbursement received over the cost of providing care, the tax-exempt hospital has provided a benefit to a class of persons broad enough to be considered a benefit to the community. Despite a financial shortfall, a tax-exempt hospital must and will continue to accept and care for Medicare patients. Typically, tax-exempt hospitals provide health care services based upon an assessment of the health care needs of their community as opposed to their taxable counterparts where profitability often drives decisions about patient care services that are offered. Patient care provided by tax-exempt hospitals that results in Medicare shortfalls should be considered as providing a benefit to the community and relieving the burdens of government. | ||
| Part III, Line 9b: Collection Policies:At the time of patient registration, non-elective self-pay patients are informed of the minimum discount available under the filing organization's self-pay discount policy. Such patients are also informed of the filing organization's charity care policy and told that they will be required to submit necessary financial data in order to potentially receive any additional discounts. Under the filing organization's financial assistance policy, percentage discounts are applied to a patient's account based upon amounts generally billed to individuals who have insurance covering such care.Under the filing organization's policies, payment plans for partial charity accounts will be individually developed with the patient. Partial charity accounts result when a financial assistance eligibility determination allows for a percentage reduction but leaves the patient with a self-pay balance. If the patient complies with the agreed-upon payment plan, the filing organization does not pursue any collection action with respect to the patient. However, if a patient does not make any payments for three consecutive months, the account may be referred for further collection activity. The filing organization does not pursue collection of amounts from patients determined to qualify for a 100% reduction in charges under its charity care policy. | ||
| The amount of bad debt expense, reported on line 2 of Section A of Part III is recorded in accordance with Healthcare Financial Management Association Statement No. 15. Discounts and payments on patient accounts are recorded as adjustments to revenue, not bad debt expense. | Part III, Line 2: | |
| Methodology for Determining the Estimated Amount of Bad Debt Expense that May Represent Patients who Could Have Qualified under the Filing Organization's Charity Care Policy:Self-pay patients are required to complete a Patient Financial Assistance Application Short Form (PFAA). If the PFAA is not completed after reasonable attempts to obtain it are exhausted, patient information is processed through a Scorer product. The Scorer product utilizes publicly available data, such as credit reports, to assess an individual patient's financial viability. Patients who earn a certain score on the Scorer product are considered to qualify as non-state charity patients. An amount up to $1,000 of such a patient's bill is written off as bad debt expense, while the remaining portion of the patient's bill is considered to be non-state charity. The amount written off as bad debt expense for those patients who potentially qualify as non-state charity using the Scorer product is the amount shown on line 3 of Section A of Part III. Rationale for Including Certain Bad Debts in Community Benefit:The filing organization is dedicated to the view that medically necessary health care for emergency and non-elective patients should be accessible to all, regardless of age, gender, geographic location, cultural background, physician mobility, or ability to pay. The filing organization treats emergency and non-elective patients regardless of their ability to pay or the availability of third-party coverage. By providing health care to all who require emergency or non-elective care in a non-discriminatory manner, the filing organization is providing health care to the broad community it serves. As a 501(c)(3) hospital organization, the filing organization maintains a 24/7 emergency room providing care to all whom present. When a patient's arrival and/or admission to the facility begins within the Emergency Department, triage and medical screening are always completed prior to registration staff proceeding with the determination of a patient's source of payment. If the patient requires admission and continued non-elective care, the filing organization provides the necessary care regardless of the patient's ability to pay. The filing organization's operation of a 24/7 Emergency Department that accepts all individuals in need of care promotes the health of the community through the provision of care to all whom present. Current Internal Revenue Service guidance that tax-exempt hospitals maintain such emergency rooms was established to ensure that emergency care would be provided to all without discrimination. The treatment of all at the filing organization's Emergency Department is a community benefit. Under the filing organization's Charity Care Policy, every effort is made to obtain a patient's necessary financial information to determine eligibility for charity care. However, not all patients will cooperate with such efforts and a charity care eligibility determination can not be made. In this case, a patient's portion of a bill that remains unpaid for a certain stipulated time period is wholly or partially classified as bad debt. Bad debts associated with patients who have received care through the filing organization's Emergency Department should be considered to be community benefit as charitable hospitals exist to provide such care in pursuit of their purpose of meeting the need for emergency medical care services available to all in the community. | Part III, Line 3: | |
| Financial Statement Footnote Related to Accounts Receivable and Allowance for Uncollectible Accounts:The financial information of the filing organization is included in a consolidated audited financial statement for the current year.The applicable footnote from the attached consolidated audited financial statements that addresses accounts receivable, the allowance for uncollectible accounts, and the provision for bad debts can be found on pages 8 and 9. Please note that dollar amounts on the attached consolidated audited financial statements are in thousands. | Part III, Line 4: | |
| Reconciliation of Schedule H Reported Medicare Surplus/(Shortfall) to Unreimbursed Medicare Costs Associated with the Provision of ServicesTo All Medicare Beneficiaries:The Medicare revenue and allowable costs of care reported in Section B of Part III of Schedule H are based upon the amounts reported in the filing organization's Medicare cost report in accordance with the IRS instructions for Schedule H. On an annual basis, the filing organization also determines its total unreimbursed costs associated with providing services to all Medicare patients. Unreimbursed costs are reported as a community benefit to the elderly and are included in the consolidated Adventist Health System (AHS or the Company) Community Benefits Report contained in the AHS Annual Report document. The primary reconciling items between the Medicare surplus/(shortfall) shown on line 7 of Section B of Part III of Schedule H and the filing organization's unreimbursed costs of services provided to Medicare patients as reported in the AHS Community Benefit Report are as follows:- Medicare surplus/(shortfall) shown on line 7 of Section B of Schedule H: $(94,619,362)- Difference in costing methodology: 16,195,295- Unreimbursed costs incurred for services provided to Medicare patients that are not included in the organization's Medicare cost report: (61,483,719) -------------Total Unreimbursed costs of serving all Medicare patients per the filing organization's community benefit reporting: $(139,907,786)As indicated above, the primary differences between the Medicare surplus/(shortfall) reported on Schedule H, Part III, Section B, line 7 and the filing organization's portion of the Company's annual community benefit statement is due to a difference in the costing methodology and differences in the population of Medicare patients within the calculation. The cost methodology utilized in calculating any Medicare surplus/(shortfall) for purposes of the annual community benefit reporting is based upon the cost-to-charge ratio outlined in Worksheet 2 of the Schedule H instructions. The same cost-to-charge ratio is used to determine the costs associated with services provided to charity care patients and Medicaid patients as reported in Schedule H, Part I, line 7. In addition, the Medicare cost report excludes services provided to Medicare patients for physician services, services provided to patients enrolled in Medicare HMOs, and certain services provided by outpatient departments of the filing organization that are reimbursed on a fee schedule. The Company's own community benefit statement captures the unreimbursed cost of providing services to all Medicare beneficiaries throughout the organization. | Supplemental Schedule to Schedule H, Part III, Section B | |
| Part VI, Line 2: In accordance with IRC Section 501(r)(3), the filing organization's hospitals have adopted and implemented a policy that sets forth the general requirements, processes and procedures with respect to conducting a community health needs assessment and associated implementation strategy. During 2012, the filing organization's hospitals were in the process of planning for their initial Community Health Needs Assessments (CHNA) that are to be completed by 12/31/2013. In addition to the CHNAs that are being conducted, a variety of practices and processes are in place to ensure that the filing organization's hospitals are responsive to the health needs of their communities. Such practices and processes involve the following:1. Hospitals' operating/community boards composed of individuals broadly representative of the community, community leaders, and those with specialized medical training and expertise;2. Post-discharge patient follow-up related to the on-going care and treatment of patients who suffer from chronic diseases; 3. Sponsorship and participation in community health and wellness activities that reach a broad spectrum of the filing organization's hospital communities; and 4. Collaboration with other local community groups to address the health care needs of the filing organization's hospital communities. | ||
| Part VI, Line 3: The filing organization's hospitals have a process in place whereby patients are informed about the Hospital's Charity Care Policy and other forms of financial assistance, such as self-pay discounts. Signage is posted in the Emergency Rooms indicating that financial assistance is available for those self-pay patients meeting eligibility requirements. After EMTALA medical screening and stabilization requirements are met, registration personnel will secure financial information on as many self-pay patients as possible at the time of service. For those who appear to qualify for Medicaid or under the Hospital's Charity Care Policy, the financial counselors will continue to work with those patients until final account resolution is achieved. All other self-pay patients are covered under this process. At any time during the process that data is provided showing that a patient qualifies for assistance under the Charity Care Policy the discounts extended under that policy will be applied.As part of the billing process, the filing organization's Hospitals include the application for charity care assistance along with the initial patient bill. The Hospitals' charity care applications are also available to patients on the Hospitals' web-sites in both an English and Spanish version. Additionally, the Hospitals' financial counselors are available to work with every patient during the first 120 days of the billing process to assist the patient with completing charity care applications and investigating other potential sources of third-party assistance. The determination of a patient's eligibility for charity care is made on a case-by-case basis. Various factors are considered in that determination. Each individual patient who is identified as potentially being eligible to receive charity care is seen by a financial counselor at the Hospital. The financial counselor will work with the patient to make sure that other sources of assistance (public or otherwise) have been sought to the fullest extent possible. When other forms of assistance are not available or have been exhausted, the Hospitals will gather certain financial information from the patient to determine the patient's ability to pay based upon level of income. | ||
| Part VI, Line 4: In 2012, the filing organization operated 5 hospitals that together encompassed 13 separate campus locations. The hospitals are located in Florida, Illinois and Texas. A description of each of the 5 hospitals is described below.Adventist Health System/Sunbelt, Inc. dba Central Texas Medical Center:Central Texas Medical Center (CTMC) is a 178-bed acute-care hospital providing a wide range of healthcare services in San Marcos, Texas and the neighboring communities within Hays and Caldwell counties, Texas. Special services offered at CTMC include a 24/7, Level 4 emergency and trauma center, state-of-the-art medical imaging and laboratory services, a new women's center featuring a Level 2 Neonatal Intensive Care Unit, newly renovated and expanded surgery suites, a Rehabilitation Institute, a center for advanced wound healing and hyperbaric medicine, and a cardiac catheterization lab. As a health resource for their community, CTMC's Institute for Healthy Living also annually hosts the oldest and largest health screening and fair event in Hays County as well as a number of ongoing classes and workshops ranging in topics from diabetes prevention and management to heart disease, stroke, arthritis, self-help, nutrition and more. CTMC received accreditation as a certified chest pain center from the Society of Chest Pain Centers in 2011. The accreditation enhances the hospital's ability to receive and treat patients suffering from chest pain and/or a possible heart attack. The result is a focus on reduced time from symptom onset to diagnosis and treatment, getting patients treated more quickly during the critical window of time when the integrity of the heart muscle can be preserved, and monitoring of patients whose diagnosis is uncertain to ensure they are not sent home too quickly or admitted unnecessarily. In 2010, 2011 and 2012, CTMC was named The Best Hospital in Hays County. In 2012, CTMC became the first operating room along the IH-35 corridor between Austin and San Antonio to be equipped with a da Vinci robotic-assisted surgery suite.San Marcos, Texas is located in Hays County and is in close proximity to Austin and San Antonio. The Hospital's primary market has a population of approximately 89,000, with an estimated 8,400 over the age of 65. The weighted average household income, based on population, in the primary market is approximately $39,000. High school graduates account for approximately 87% of Hays County, with an estimated 32% having a bachelor's degree or higher. It is estimated that 18% of the individuals residing in Hays County live below the poverty level and the unemployment rate is about 8%. Approximately 39% of the Hospital's patients during 2012 were Medicare patients, about 13% were Medicaid patients, about 15% were self-pay patients and the remaining percentage were patients covered under commercial insurance. In 2012, about 66% of the hospital's in-patients were admitted through the hospital's Emergency Department.Adventist Health System/Sunbelt, Inc. dba Florida Hospital Heartland Medical Center:Florida Hospital Heartland Medical Center (FHHMC) is comprised of 3 separate hospital campuses with a total of 222 beds. Two of the hospital campuses are located in Highlands County, Florida and the third campus is located in Hardee County, Florida. Highlands and Hardee counties are in the south central areas of Florida and are adjacent to each other. *FHHMC Sebring Campus - The main 147-bed hospital facility is located in Sebring, FL in Highlands County. The Sebring facility provides a wide range of healthcare services including a Stroke Center and vascular surgery center, imaging services (CT scanner/MRI), stroke and cardiac rehabilitation, and a Cardiac Catheterization Lab. A community education center and library are also located on the Sebring campus offering free and low-cost community classes, screenings and a resource information library. In 2009, the hospital began performing percutaneous coronary intervention (PCI) in a new cath lab and a second cath lab was opened in 2010. *FHHMC Lake Placid Campus houses 33 medical and surgical beds, Highland County's only 17 bed inpatient mental health unit, an outpatient counseling center, and a wide range of services that are highly sophisticated for a small community hospital. The Lake Placid campus also specializes in inpatient geriatric psychiatric services and outpatient behavioral health counseling centers within Highlands and Hardee counties. The need for behavioral health services is extreme in both counties since there is no other program closer than sixty miles.*FHHMC Wauchula Campus is licensed for 25 beds and specializes in emergency and outpatient care, while offering excellent medical inpatient services. The inpatient unit is mixed with both acutely ill patients and patients who need short-term rehabilitation (transitional care). FHHMC Wauchula campus became the first Critical Access Hospital in the State of Florida in the year 2000.As noted above, Highlands and Hardee counties in Florida are located in the heart of the Florida Peninsula. The Hospital's primary market has a population of approximately 133,000 with an estimated 35,000 over the age of 65. The weighted average household income, based on population, in the primary market is approximately $34,000. High school graduates account for approximately 77% of Highlands County, with an estimated 14% having a bachelor's degree or higher. It is estimated that 16% of the individuals residing in Highlands County live below the poverty level and the unemployment rate is about 10%. Approximately 65% of the Hospital's patients during 2012 were Medicare patients, about 13% were Medicaid patients, about 6% were self-pay patients and the remaining percentage were patients covered under commercial insurance. In 2012, about 67% of the hospital's in-patients were admitted through the hospital's Emergency Department.Adventist Health System/Sunbelt, Inc. dba Florida Hospital (FH):FH is a 2,377 bed medical complex in Central Florida with seven separate hospital campuses. FH serves the residents of Central Florida (primarily serving the residents of Orange, Osceola, Seminole and Lake County) but also draws patients from other parts of the Southeastern United States, the Caribbean and South America. The 7-campus health system is the largest healthcare provider in Central Florida and the nation's largest Medicare provider with FH being the second largest employer in the area.The main campus of the FH system is located in Orlando, Florida (Orange County) near the downtown area. The other 6 campuses are located in surrounding communities in the counties of Orange, Osceola, and Seminole. In addition to operating the 7 hospitals, FH also operates 21 full-service urgent care clinics in convenient community settings. A brief description of each of the 7 hospital campuses is described below:*Florida Hospital Orlando (Orange County) - At the core of the FH system, FH Orlando is a 1,183 bed acute-care tertiary hospital caring for more than 1.7 million patients a year. FH Orlando is home to nationally recognized Centers of Excellence for cancer, cardiology, children's health, diabetes, neuroscience, orthopedics, transplant and global robotics. Florida Hospital Orlando houses one of the largest Emergency Departments and cardiac catheterization labs in the country and is one of the busiest hospitals in the nation, providing service excellence to more than 53,000 inpatients and 170,000 outpatients each year. The recent opening of a 15-story patient tower features 200 more beds and 500 new jobs. The campus also includes a state-of-the-art Cardiac Diagnostic Center featuring 15 Cath and electro physiology (EPS) Labs. The cardiology team currently treats 25,000+ individuals for chest pain and performs over 1,300 open heart surgeries each year making them first in the state for the number of surgeries performed. Also located on the Florida Hospital Orlando Campus is the Walt Disney Pavilion at Florida Hospital for Children. The Walt Disney Pavilion is not a stand-alone facility but rather a 7-story, 171-bed tower located on Florida Hospital Orlando's campus. It is a full-service facility served by more than 60 pediatric specialists and a highly trained pediatric team of more than 600 employees. The Walt Disney Pavilion at Florida Hospital for Children delivers a complete range of pediatric health services for younger patients including advanced surgery, oncology, neurosurgery, cardiology and transplant services; full-service pediatrics; and an innovative health and obesity platform. *** see continuation of footnote | ||
| Part VI, Line 5: The provision of community benefit is central to the filing organization's mission of service and compassion. Restoring and promoting the health and quality of life of those in the communities served by the filing organization is a function of "extending the healing ministry of Christ" and embodies the filing organization's commitment to its values and principles. The filing organization commits substantial resources to provide a broad range of services to both the underprivileged as well as the broader community. In addition to the community benefit information provided in Parts I, II and III of this Schedule H, the filing organization captures and reports the benefits provided to its community through faith-based care. Examples of such benefits include the cost associated with chaplaincy care programs and mission peer reviews and mission conferences. During the current year, the filing organization provided $7,294,149 of benefit with respect to the faith-based and spiritual needs of the communities it serves in conjunction with its operation of community hospitals. The filing organization also provides benefits to its communities' infrastructure by investing in capital improvements to ensure that facilities and technology provide the best possible care. During the current year, the filing organization expended $194,840,238 in new capital improvements. As faith-based mission-driven community hospitals, the filing organization is continually involved in monitoring its communities, identifying unmet health care needs and developing solutions and programs to address those needs. In accordance with its conservative approach to fiscal responsibility, surplus funds of the Hospitals are continually being invested in resources that improve the availability and quality of delivery of health care services and programs to its communities. | ||
| Part VI, Line 6: The filing organization is a part of a faith-based healthcare system of organizations whose parent is Adventist Health System Sunbelt Healthcare Corporation (AHSSHC). The system is known as Adventist Health System (AHS). AHSSHC is an organization exempt from federal income tax under IRC Sec. 501(c)(3). AHSSHC and its subsidiary organizations operate 43 hospitals in 10 states throughout the U.S., primarily in the Southeastern portion of the U.S. AHSSHC and its subsidiaries also operate 16 nursing home facilities and other ancillary health care provider facilities, such as ambulatory surgery centers and diagnostic imaging centers. As the parent organization of the AHS system, AHSSHC provides executive leadership and other professional support services to its subsidiary organizations. Professional support services include among others corporate compliance, legal, human resources, reimbursement, risk management, and tax as well as treasury functions. The provision of these executive and support services on a centralized basis by AHSSHC provides an appropriate balance between providing each AHS subsidiary hospital organization with mission-driven consistent leadership and support while allowing the hospital organization to focus its resources on meeting the specific health care needs of the communities it serves. The reader of this Form 990 should keep in mind that this reporting entity may differ in certain areas from that of a stand-alone hospital organization due to its inclusion in a larger system of healthcare organizations. As a part of a system of hospital and other health care organizations, the filing organization benefits from reduced costs due to system efficiencies, such as large group purchasing discounts, and the availability of internal resources such as internal legal counsel. Each AHS subsidiary pays a management fee to AHSSHC for the internal services provided by AHSSHC. As a result, management fee expense reported by a AHS subsidiary organization may appear greater in relation to management fee expense that may be reported by a single stand-alone hospital. The single stand-alone hospital would likely report costs associated with management and other professional services on various expense line items in its statement of revenue and expense as opposed to reporting such costs in one overall management fee expense. As the reporting of the Form 990 is done on an entity by entity basis, there is no single Form 990 that captures the programs and operations of AHS as a whole. The reader is directed to visit the web-site of AHS at www.adventisthealthsystem.com to learn more about the mission and operations of AHS and to access AHS's annual report that contains financial data as well as community benefit reporting for the entire system. | ||
| The annual community benefit report contained in the annual report prepared by Adventist Health System Sunbelt Healthcare Corporation (AHSSHC) on behalf of the entire AHS System of healthcare organization is not filed with any state agencies. Certain hospitals within the filing organization file annual community benefit reports with the state in which they are located. Specifically, Huguley Memorial Medical Center and Central Texas Medical Center file community benefit reports with the State of Texas and Adventist La Grange Memorial Hospital files a community benefit report with the State of Illinois. | Part VI, Line 7 | |
| Orlando is located in Orange County, Florida. The Hospital's primary market has a population of approximately 1,822,000 with an estimated 197,000 over the age of 65. The weighted average household income, based on population, in the primary market is approximately $52,000. High school graduates account for approximately 87% of Orange County, with an estimated 30% having a bachelor's degree or higher. It is estimated that 13% of the individuals residing in Orange County live below the poverty level and the unemployment rate is about 8%. Approximately 42% of the Hospital's patients during 2012 were Medicare patients, about 17% were Medicaid patients, about 7% were self-pay patients and the remaining percentage were patients covered under commercial insurance. In 2012, about 71% of the hospital's in-patients were admitted through the hospital's Emergency Department.*Florida Hospital Altamonte (Seminole County) - FH Altamonte is a 340-bed facility, which has recently doubled in size with a new patient tower to better serve a busy community. FH Altamonte was the first "satellite" hospital, built in 1973 on what was then pastureland, miles from the nearest business district. Located north of Orlando in fast-growing Seminole County, Florida Hospital Altamonte is the largest satellite campus within the Florida Hospital health care system. In addition to maternity, pediatric, emergency, medical and surgical services, the hospital operates the Martin Andersen Cancer Center (along with the region's only Cancer Resource Library), a heart catheterization lab, and a comprehensive outpatient program which includes surgery, diagnostics, and medical treatment programs. *Florida Hospital Apopka (Orange County) - In 1975, FH Apopka became the second satellite hospital. For nearly three decades, Florida Hospital Apopka has set the standard in hometown health care by providing high-tech, quality care with a personalized touch. They are situated just 12 miles northwest of Orlando, with a small, yet advanced, 50-bed campus that houses a certified Chest Pain Center and a multitude of inpatient and outpatient services.*Florida Hospital Celebration Health (Osceola County) - FH Celebration Health is a cornerstone of Disney's planned community in Celebration, Florida. Today, this 174-bed acute care hospital delivers a state-of-the-art healing environment to residents of Osceola, Orange, Polk and Lake Counties, as well as to visitors from across the United States and the world. From its creation FH Celebration Health has been about promoting health and wellness as well as healing. Inside the resort-style hospital there is a wellness center, complete with workout area, pool, rehabilitation facility. FH Celebration Health also houses the Global Robotics Institute, which provides patients with access to some of the most experienced robotic surgeons in the world. The Nicholson Center for Surgical Advancement also is a location where surgeons from around the world travel to learn the latest robotic surgery techniques. In 2011, the new 234,000 square-foot patient tower added 62 beds and will house the Interactive Patient Care Unit, the first of its kind in the nation. In connection with the Institute for Interactive Patient Care, everything from new patient safety technology to changing ways to communicate with patients about their care could be studied as part of the unit. *Florida Hospital East Orlando (Orange County) - FH East Orlando is now an innovative local leader that fills a vital need in a fast-growing area. A recent 200,000 square-foot expansion project upgraded the hospital to 225 beds, with a spacious patient tower and 80 new private rooms designed to enhance the holistic care experience.*Florida Hospital Kissimmee (Osceola County) - FH Kissimmee is an 83-bed community-focused hospital, conveniently located near Walt Disney World. The team located at FH Kissimmee is dedicated to bringing mission-focused, faith-based care to residents and visitors of Osceola and Orange Counties. This facility has recently expanded to include a new medical office building, patient tower, new main entrance and a parking garage.*Florida Hospital Winter Park (Orange County) - FH Winter Park Memorial Hospital is a 322-bed facility that is a model of community health and wellness. The facility boasts spacious patient care areas and a full spectrum of specialties and services, including the Dr. P. Phillips Baby Place (with Level II NICU), Florida Hospital Orthopedic Institute, and state-of-the-art surgery, recovery and rehabilitation at the Florida Hospital Cancer Institute. Adventist Health System/Sunbelt, Inc. dba Huguley Memorial Medical Center:Note: On 5/1/2012, the net assets associated with the operation of Huguley Memorial Medical Center (HMMC) were transferred into Texas Health Huguley, Inc., a 501(c)(3) tax-exempt organization which is owned 49% by Adventist Health System/Sunbelt, Inc. and 51% by Texas Health Resources. Accordingly, only the operations for HMMC for the period 1/1/12 4/30/2012 are included in this return. Huguley Memorial Medical Center (HMMC) is a 223-bed acute-care hospital in Burleson, Texas. The hospital houses two intensive care units, a progressive care unit, an open-heart surgery center, a behavioral health center and a 24/7 emergency department. HMMC has a 16-bed intensive care unit for patients with medical care and respiratory needs and a 12-bed intensive care unit concentrating on cardiovascular patients. A 4-bed dialysis center is available for renal patients with critical needs. Additionally, there is a 33-bed Progressive Care Unit designed to bridge the gap between the Intensive Care Unit and the medical-surgical units. Part of HMMC's primary service area includes a number of smaller communities with limited access to healthcare services. To meet the needs of these residents, HMMC has established multiple primary care clinics throughout its primary service area. In addition, the Mobile Health Services Bus provides health screenings and wellness education services throughout Tarrant and Johnson counties. Burleson, Texas is located in Johnson County and serves the South Fort Worth area. The Hospital's primary market has a population of approximately 212,000, with an estimated 25,000 over the age of 65. The weighted average household income, based on population, in the primary market is approximately $53,000. High school graduates account for approximately 82% of Johnson County, with an estimated 16% having a bachelor's degree or higher. It is estimated that 11% of the individuals residing in Johnson County live below the poverty level and the unemployment rate is about 8%. Approximately 51% of the Hospital's patients during 2012 were Medicare patients, about 14% were Medicaid patients, about 8% were self-pay patients and the remaining percentage were patients covered under commercial insurance. In 2012, about 74% of the hospital's in-patients were admitted through the hospital's Emergency Department.Adventist Health System/Sunbelt, Inc. dba Adventist La Grange Memorial Hospital:Adventist La Grange Memorial Hospital (ALMH) is a 205-bed facility providing outpatient and inpatient primary care, trauma care and wellness services to residents of Chicago's western suburbs. The hospital is a leader in offering comprehensive oncology services, orthopedic services, advanced cardiac care, women's health and maternity care, emergency, geriatric and many other specialties that cater to the communities it serves. The communities served by ALMH contain a high senior population. To address the unique needs of its service area, ALMH offers a broad spectrum of services designed to meet the diverse needs of aging adults. La Grange, Illinois is located in Cook County. The Hospital's primary market has a population of approximately 158,000, with an estimated 25,000 over the age of 65. The weighted average household income, based on population, in the primary market is approximately $68,000. High school graduates account for approximately 85% of Cook County, with an estimated 33% having a bachelor's degree or higher. It is estimated that 15% of the individuals residing in Cook County live below the poverty level and the unemployment rate is about 9%. Approximately 54% of the Hospital's patients during 2012 were Medicare patients, about 7% were Medicaid patients, about 3% were self-pay patients and the remaining percentage were patients covered under commercial insurance. In 2012, about 75% of the hospital's in-patients were admitted through the hospital's Emergency Department. | Part VI, Line 4 Continuation of Footnote | Description of Community Information - Continued |
| See below | Part V, Line 8 Facility Reporting Group A | |
| The filing organization has developed a patient-friendly summary version of its financial assistance policy (FAP). The filing organization's FAP provides that its hospital facility will post the patient-friendly summary version of its FAP on the Hospital's website. In addition, the FAP of the Hospital facility states that signage regarding the availability of the Hospital facility's FAP will be visible at points of admission and registration, including the emergency department. | Part V, Section B, line 14g: | Facility 1 -- Florida Hospital Orlando |
| In determining the maximum amount that can be charged to financial assistance policy-eligible individuals for emergency or other medically necessary care, the Hospital uses the following methodology:The Hospital identifies all commercial payors whose volume of activity with the Hospital equals or exceeds $100,000 for the taxable year. For those identified commercial payors, an average of the negotiated commercial insurance rates is determined. The average of all of the negotiated commercial insurance rates for those identified commercial payors determines the maximum amount that can be charged to patients eligible under the Hospital's financial assistance policy. | Part V, Section B, line 20d: | Facility 1 -- Florida Hospital Orlando |
| The filing organization has developed a patient-friendly summary version of its financial assistance policy (FAP). The filing organization's FAP provides that its hospital facility will post the patient-friendly summary version of its FAP on the Hospital's website. In addition, the FAP of the Hospital facility states that signage regarding the availability of the Hospital facility's FAP will be visible at points of admission and registration, including the emergency department. | Part V, Section B, line 14g: | Facility 2 -- Florida Hospital Celebration Health |
| In determining the maximum amount that can be charged to financial assistance policy-eligible individuals for emergency or other medically necessary care, the Hospital uses the following methodology:The Hospital identifies all commercial payors whose volume of activity with the Hospital equals or exceeds $100,000 for the taxable year. For those identified commercial payors, an average of the negotiated commercial insurance rates is determined. The average of all of the negotiated commercial insurance rates for those identified commercial payors determines the maximum amount that can be charged to patients eligible under the Hospital's financial assistance policy. | Part V, Section B, line 20d: | Facility 2 -- Florida Hospital Celebration Health |
| The filing organization has developed a patient-friendly summary version of its financial assistance policy (FAP). The filing organization's FAP provides that its hospital facility will post the patient-friendly summary version of its FAP on the Hospital's website. In addition, the FAP of the Hospital facility states that signage regarding the availability of the Hospital facility's FAP will be visible at points of admission and registration, including the emergency department. | Part V, Section B, line 14g: | Facility 3 -- Florida Hospital Altamonte |
| In determining the maximum amount that can be charged to financial assistance policy-eligible individuals for emergency or other medically necessary care, the Hospital uses the following methodology:The Hospital identifies all commercial payors whose volume of activity with the Hospital equals or exceeds $100,000 for the taxable year. For those identified commercial payors, an average of the negotiated commercial insurance rates is determined. The average of all of the negotiated commercial insurance rates for those identified commercial payors determines the maximum amount that can be charged to patients eligible under the Hospital's financial assistance policy. | Part V, Section B, line 20d: | Facility 3 -- Florida Hospital Altamonte |
| The filing organization has developed a patient-friendly summary version of its financial assistance policy (FAP). The filing organization's FAP provides that its hospital facility will post the patient-friendly summary version of its FAP on the Hospital's website. In addition, the FAP of the Hospital facility states that signage regarding the availability of the Hospital facility's FAP will be visible at points of admission and registration, including the emergency department. | Part V, Section B, line 14g: | Facility 4 -- Florida Hospital East Orlando |
| In determining the maximum amount that can be charged to financial assistance policy-eligible individuals for emergency or other medically necessary care, the Hospital uses the following methodology:The Hospital identifies all commercial payors whose volume of activity with the Hospital equals or exceeds $100,000 for the taxable year. For those identified commercial payors, an average of the negotiated commercial insurance rates is determined. The average of all of the negotiated commercial insurance rates for those identified commercial payors determines the maximum amount that can be charged to patients eligible under the Hospital's financial assistance policy. | Part V, Section B, line 20d: | Facility 4 -- Florida Hospital East Orlando |
| The filing organization has developed a patient-friendly summary version of its financial assistance policy (FAP). The filing organization's FAP provides that its hospital facility will post the patient-friendly summary version of its FAP on the Hospital's website. In addition, the FAP of the Hospital facility states that signage regarding the availability of the Hospital facility's FAP will be visible at points of admission and registration, including the emergency department. | Part V, Section B, line 14g: | Facility 5 -- Winter Park Memorial Hospital |
| In determining the maximum amount that can be charged to financial assistance policy-eligible individuals for emergency or other medically necessary care, the Hospital uses the following methodology:The Hospital identifies all commercial payors whose volume of activity with the Hospital equals or exceeds $100,000 for the taxable year. For those identified commercial payors, an average of the negotiated commercial insurance rates is determined. The average of all of the negotiated commercial insurance rates for those identified commercial payors determines the maximum amount that can be charged to patients eligible under the Hospital's financial assistance policy. | Part V, Section B, line 20d: | Facility 5 -- Winter Park Memorial Hospital |
| The filing organization has developed a patient-friendly summary version of its financial assistance policy (FAP). The filing organization's FAP provides that its hospital facility will post the patient-friendly summary version of its FAP on the Hospital's website. In addition, the FAP of the Hospital facility states that signage regarding the availability of the Hospital facility's FAP will be visible at points of admission and registration, including the emergency department. | Part V, Section B, line 14g: | Facility 6 -- Adventist La Grange Memorial Hospital |
| In determining the maximum amount that can be charged to financial assistance policy-eligible individuals for emergency or other medically necessary care, the Hospital uses the following methodology:The Hospital identifies all commercial payors whose volume of activity with the Hospital equals or exceeds $100,000 for the taxable year. For those identified commercial payors, an average of the negotiated commercial insurance rates is determined. The average of all of the negotiated commercial insurance rates for those identified commercial payors determines the maximum amount that can be charged to patients eligible under the Hospital's financial assistance policy. | Part V, Section B, line 20d: | Facility 6 -- Adventist La Grange Memorial Hospital |
| The filing organization has developed a patient-friendly summary version of its financial assistance policy (FAP). The filing organization's FAP provides that its hospital facility will post the patient-friendly summary version of its FAP on the Hospital's website. In addition, the FAP of the Hospital facility states that signage regarding the availability of the Hospital facility's FAP will be visible at points of admission and registration, including the emergency department. | Part V, Section B, line 14g: | Facility 7 -- FH Heartland Medical Center |
| In determining the maximum amount that can be charged to financial assistance policy-eligible individuals for emergency or other medically necessary care, the Hospital uses the following methodology:The Hospital identifies all commercial payors whose volume of activity with the Hospital equals or exceeds $100,000 for the taxable year. For those identified commercial payors, an average of the negotiated commercial insurance rates is determined. The average of all of the negotiated commercial insurance rates for those identified commercial payors determines the maximum amount that can be charged to patients eligible under the Hospital's financial assistance policy. | Part V, Section B, line 20d: | Facility 7 -- FH Heartland Medical Center |
| The filing organization has developed a patient-friendly summary version of its financial assistance policy (FAP). The filing organization's FAP provides that its hospital facility will post the patient-friendly summary version of its FAP on the Hospital's website. In addition, the FAP of the Hospital facility states that signage regarding the availability of the Hospital facility's FAP will be visible at points of admission and registration, including the emergency department. | Part V, Section B, line 14g: | Facility 8 -- Florida Hospital Kissimmee |
| In determining the maximum amount that can be charged to financial assistance policy-eligible individuals for emergency or other medically necessary care, the Hospital uses the following methodology:The Hospital identifies all commercial payors whose volume of activity with the Hospital equals or exceeds $100,000 for the taxable year. For those identified commercial payors, an average of the negotiated commercial insurance rates is determined. The average of all of the negotiated commercial insurance rates for those identified commercial payors determines the maximum amount that can be charged to patients eligible under the Hospital's financial assistance policy. | Part V, Section B, line 20d: | Facility 8 -- Florida Hospital Kissimmee |
| The filing organization has developed a patient-friendly summary version of its financial assistance policy (FAP). The filing organization's FAP provides that its hospital facility will post the patient-friendly summary version of its FAP on the Hospital's website. In addition, the FAP of the Hospital facility states that signage regarding the availability of the Hospital facility's FAP will be visible at points of admission and registration, including the emergency department. | Part V, Section B, line 14g: | Facility 9 -- Central Texas Medical Center |
| In determining the maximum amount that can be charged to financial assistance policy-eligible individuals for emergency or other medically necessary care, the Hospital uses the following methodology:The Hospital identifies all commercial payors whose volume of activity with the Hospital equals or exceeds $100,000 for the taxable year. For those identified commercial payors, an average of the negotiated commercial insurance rates is determined. The average of all of the negotiated commercial insurance rates for those identified commercial payors determines the maximum amount that can be charged to patients eligible under the Hospital's financial assistance policy. | Part V, Section B, line 20d: | Facility 9 -- Central Texas Medical Center |
| The filing organization has developed a patient-friendly summary version of its financial assistance policy (FAP). The filing organization's FAP provides that its hospital facility will post the patient-friendly summary version of its FAP on the Hospital's website. In addition, the FAP of the Hospital facility states that signage regarding the availability of the Hospital facility's FAP will be visible at points of admission and registration, including the emergency department. | Part V, Section B, line 14g: | Facility 10 -- Florida Hospital Apopka |
| In determining the maximum amount that can be charged to financial assistance policy-eligible individuals for emergency or other medically necessary care, the Hospital uses the following methodology:The Hospital identifies all commercial payors whose volume of activity with the Hospital equals or exceeds $100,000 for the taxable year. For those identified commercial payors, an average of the negotiated commercial insurance rates is determined. The average of all of the negotiated commercial insurance rates for those identified commercial payors determines the maximum amount that can be charged to patients eligible under the Hospital's financial assistance policy. | Part V, Section B, line 20d: | Facility 10 -- Florida Hospital Apopka |
| The filing organization has developed a patient-friendly summary version of its financial assistance policy (FAP). The filing organization's FAP provides that its hospital facility will post the patient-friendly summary version of its FAP on the Hospital's website. In addition, the FAP of the Hospital facility states that signage regarding the availability of the Hospital facility's FAP will be visible at points of admission and registration, including the emergency department. | Part V, Section B, line 14g: | Facility 11 -- FH Heartland Medical Center Lake Placid |
| In determining the maximum amount that can be charged to financial assistance policy-eligible individuals for emergency or other medically necessary care, the Hospital uses the following methodology:The Hospital identifies all commercial payors whose volume of activity with the Hospital equals or exceeds $100,000 for the taxable year. For those identified commercial payors, an average of the negotiated commercial insurance rates is determined. The average of all of the negotiated commercial insurance rates for those identified commercial payors determines the maximum amount that can be charged to patients eligible under the Hospital's financial assistance policy. | Part V, Section B, line 20d: | Facility 11 -- FH Heartland Medical Center Lake Placid |
| The filing organization has developed a patient-friendly summary version of its financial assistance policy (FAP). The filing organization's FAP provides that its hospital facility will post the patient-friendly summary version of its FAP on the Hospital's website. In addition, the FAP of the Hospital facility states that signage regarding the availability of the Hospital facility's FAP will be visible at points of admission and registration, including the emergency department. | Part V, Section B, line 14g: | Facility 12 -- Florida Hospital Wauchula |
| In determining the maximum amount that can be charged to financial assistance policy-eligible individuals for emergency or other medically necessary care, the Hospital uses the following methodology:The Hospital identifies all commercial payors whose volume of activity with the Hospital equals or exceeds $100,000 for the taxable year. For those identified commercial payors, an average of the negotiated commercial insurance rates is determined. The average of all of the negotiated commercial insurance rates for those identified commercial payors determines the maximum amount that can be charged to patients eligible under the Hospital's financial assistance policy. | Part V, Section B, line 20d: | Facility 12 -- Florida Hospital Wauchula |
| The filing organization has developed a patient-friendly summary version of its financial assistance policy (FAP). The filing organization's FAP provides that its hospital facility will post the patient-friendly summary version of its FAP on the Hospital's website. In addition, the FAP of the Hospital facility states that signage regarding the availability of the Hospital facility's FAP will be visible at points of admission and registration, including the emergency department. | Part V, Section B, line 14g: | Facility 13 -- Huguley Memorial Medical Center |
| In determining the maximum amount that can be charged to financial assistance policy-eligible individuals for emergency or other medically necessary care, the Hospital uses the following methodology:The Hospital identifies all commercial payors whose volume of activity with the Hospital equals or exceeds $100,000 for the taxable year. For those identified commercial payors, an average of the negotiated commercial insurance rates is determined. The average of all of the negotiated commercial insurance rates for those identified commercial payors determines the maximum amount that can be charged to patients eligible under the Hospital's financial assistance policy. | Part V, Section B, line 20d: | Facility 13 -- Huguley Memorial Medical Center |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Records Maintained | 1 | RecordsMaintained |
Recipient Table RecipientTable (95 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EIN Of RecipientEINOfRecipient | IRC SectionIRCSection | Amount Of Cash GrantAmountOfCashGrant | Purpose Of GrantPurposeOfGrant | Amount Of Non Cash AssistanceAmountOfNonCashAssistance | Method Of ValuationMethodOfValuation | Description Of Non Cash AssistanceDescriptionOfNonCashAssistance | Address Line2AddressUS/AddressLine2 |
|---|---|---|---|---|---|---|---|---|---|---|---|
| ADVENTIST CARE CENTERS - COURTLAND INC | |||||||||||
| 730 COURTLAND ST | ORLANDO | FL | 32804 | 205774723 | 501(c)(3) | 218100 | General Support | ||||
| AFRICAN AMERICAN CHAMBER OF COMMERCE OF CENTRAL FLORIDA INC | |||||||||||
| 315 E ROBINSON ST STE 100 | ORLANDO | FL | 32801 | 593314330 | 501(c)(6) | 12500 | General Support | ||||
| AMERICAN ASSOCIATION OF PHYSICIANS OF INDIAN ORIGIN | |||||||||||
| 600 ENTERPRISE DR STE 108 | OAK BROOK | IL | 60523 | 382532505 | 501(c)(3) | 12000 | General Support | ||||
| AMERICAN CANCER SOCIETY INC FLORIDA DIVISION INC | |||||||||||
| 3709 W Jetton Avenue | Tampa | FL | 33873 | 590657320 | 501(c)(3) | 31000 | General Support | ||||
| AMERICAN DIABETES ASSOCIATION | |||||||||||
| 1101 N LAKE DESTINY RD STE 415 | MAITLAND | FL | 32751 | 131623888 | 501(c)(3) | 12500 | General Support | ||||
| AMERICAN HEART ASSOCIATION INC | |||||||||||
| 1101 NORTHCHASE PKWY SE STE 1 | MARIETTA | GA | 30067 | 135613797 | 501(c)(3) | 110000 | General Support | ||||
| AMERICAN LUNG ASSOCIATION OF THE SOUTHEAST INC | |||||||||||
| 851 OUTER RD | ORLANDO | FL | 32814 | 590662271 | 501(c)(3) | 35000 | General Support | ||||
| BOY SCOUNTS OF AMERICA INC CENTRAL FLORIDA COUNIL | |||||||||||
| PO BOX 422101 | KISSIMMEE | FL | 34742 | 590624376 | 501(c)(3) | 43500 | General Support | ||||
| CELEBRATION FOUNDATION INC | |||||||||||
| 610 SYCAMORE ST | CELEBRATION | FL | 34747 | 593370753 | 501(c)(3) | 6000 | General Support | ||||
| CENTRAL FLORIDA FAMILY HEALTH CENTER INC | |||||||||||
| 2400 STATE ROAD 415 | SANFORD | FL | 32771 | 591741286 | 501(c)(3) | 110000 | General Support | ||||
| CENTRAL FLORIDA PARTNERSHIP INC | |||||||||||
| 75 S IVANHOE BLVD | ORLANDO | FL | 32804 | 331202266 | 501(c)(6) | 100000 | General Support | ||||
| CENTRAL FLORIDA YOUNG MEN'S CHRISTIAN ASSOCIATION | |||||||||||
| 433 NORTH MILLS AVENUE | ORLANDO | FL | 32803 | 590624430 | 501(c)(3) | 13750 | General Support | ||||
| CENTRAL TEXAS HEALTHCARE COLLABORATIVE | |||||||||||
| 1301 WONDER WORLD DR | SAN MARCOS | TX | 78666 | 453739929 | 501(c)(3) | 1047149 | Provision of Indigent Care | ||||
| CENTRAL TEXAS MEDICAL CENTER FOUNDATION | |||||||||||
| 1301 WONDER WORLD DR | SAN MARCOS | TX | 78666 | 742259907 | 501(c)(3) | General Support | 77441 | Book | Provision of general administrative support | ||
| CHAMBER OF COMMERCE FOR PERSONS WITH DISABILTIES INC | |||||||||||
| 3201 E COLONIAL DR | ORLANDO | FL | 328035174 | 208994529 | 501(c)(6) | 6000 | General Support | ||||
| CHRISTIAN SERVICE CENTER FOR CENTRAL FLORIDA INC | |||||||||||
| 808 W CENTRAL BLVD | ORLANDO | FL | 32805 | 591353031 | 501(c)(3) | 13000 | General Support | ||||
| CITY OF ALTAMONTE SPRINGS | |||||||||||
| 150 CRANES ROOST BLVD STE 2200 | ALTAMONTE SPRINGS | FL | 32701 | 596000263 | Gov't | 30000 | General Support | ||||
| CITY OF ORLANDO | |||||||||||
| 400 South Orange Avenue | ORLANDO | FL | 32801 | 596000396 | Gov't | 4921000 | General Support | ||||
| CITY OF ORLANDO COMMUTER RAIL SYSTEM | |||||||||||
| 400 South Orange Avenue | ORLANDO | FL | 32801 | 596000396 | Gov't | 375812 | General Support | ||||
| CITY OF WINTER PARK | |||||||||||
| 401 S PARK AVE | WINTER PARK | FL | 32789 | 596000454 | Gov't | 10000 | General Support | ||||
| COMMUNITY VISION | |||||||||||
| 704 GENERATION PT APT 101 | KISSIMMEE | FL | 347445918 | 592896657 | 501(c)(3) | 12500 | General Support | ||||
| D12 FOUNDATION INC | |||||||||||
| 711 N MAGNOLIA AVE | ORLANDO | FL | 32803 | 273846066 | 501(c)(3) | 10000 | General Support | ||||
| DOWN SYNDROME FOUNDATION OF FLORIDA | |||||||||||
| PO BOX 533462 | ORLANDO | FL | 328533462 | 272436041 | 501(c)(3) | 5250 | General Support | ||||
| DOWNTOWN COLLEGE PARK PARTNERSHIP INC | |||||||||||
| PO BOX 547744 | ORLANDO | FL | 32854 | 237250533 | 501(c)(3) | 13500 | General Support | ||||
| EAST ORLANDO HEALTH & REHAB CENTER INC | |||||||||||
| 250 S CHICKASAW TRAIL | ORLANDO | FL | 32825 | 205774748 | 501(c)(3) | 1404864 | General Support | ||||
| FLNC INC | |||||||||||
| 3355 E SEMORAN BLVD | APOPKA | FL | 32703 | 205774761 | 501(c)(3) | 2199240 | General Support | ||||
| FLORIDA CHAMBER OF COMMERCE FOUNDATION INC | |||||||||||
| 136 S BRONOUGH ST | TALLAHASSEE | FL | 323017706 | 596209605 | 501(c)(3) | 25000 | General Support | ||||
| FLORIDA CHAMBER OF COMMERCE INC | |||||||||||
| PO BOX 11309 136 SOUTH BRONOUGH | TALLAHASSEE | FL | 32302 | 590248200 | 501(c)(6) | 100000 | General Support | STREET | |||
| Florida Hospital Waterman Inc | |||||||||||
| 1000 Waterman Way | Tavares | FL | 32778 | 593140669 | 501(c)(3) | 239166 | General Support | ||||
| FLORIDA INTERFAITH INSTITUTE | |||||||||||
| PO BOX 3310 | WINTER PARK | FL | 327903310 | 455420165 | 501(c)(3) | 25000 | General Support | ||||
| FOREST LAKE ACADEMY | |||||||||||
| 500 EDUCATION LOOP | APOPKA | FL | 327036176 | 590816443 | 501(c)(3) | 6500 | General Support | ||||
| FOUNDATION FOR EARLY CHILDHOOD DEVELOPMENT | |||||||||||
| PO BOX 540387 | ORLANDO | FL | 328540387 | 861076294 | 501(c)(3) | 20000 | General Support | ||||
| FOUNDATION FOR WOMEN'S CANCER | |||||||||||
| 230 W MONROE ST | CHICAGO | IL | 606064902 | 363797707 | 501(c)(3) | 15000 | General Support | ||||
| GET HEALTHY FLORIDA | |||||||||||
| 142 W LAKEVIEW AVE STE 2040 | LAKE MARY | FL | 327462903 | 200463380 | Other | 35000 | General Support - Flu Shot Event Sponsor | ||||
| GR8 TO DON8 INC | |||||||||||
| 968 MOSS TREE PL | LONGWOOD | FL | 32750 | 271946207 | 501(c)(3) | 10000 | General Support | ||||
| GRACE MEDICAL HOME INC | |||||||||||
| 51 PENNSYLVANIA STREET | ORLANDO | FL | 328062938 | 281817966 | 501(c)(3) | 101500 | General Support | ||||
| HARBOR HOUSE OF CENTRAL FLORIDA INC | |||||||||||
| PO BOX 12434 | ORLANDO | FL | 32801 | 591712936 | 501(c)(3) | 5500 | General Support | ||||
| HEALTH CARE CENTER FOR THE HOMELESS INC | |||||||||||
| 232 N ORANGE BLOSSOM TRL | ORLANDO | FL | 32805 | 593185020 | 501(c)(3) | 130000 | General Support | ||||
| HEALTHY START COALITION OF ORANGE COUNTY INC | |||||||||||
| 600 COURTLAND ST STE 565 | ORLANDO | FL | 32804 | 593125675 | 501(c)(3) | 25000 | General Support | ||||
| HEALTHY START COALITION OF OSCEOLA COUNTY INC | |||||||||||
| PO BOX 701995 | ST CLOUD | FL | 34770 | 593212535 | 501(c)(3) | 7500 | General Support | ||||
| HEART OF FLORIDA UNITED WAY INC | |||||||||||
| 1940 TRAYLOR BLVD | ORLANDO | FL | 32804 | 590808854 | 501(c)(3) | 79025 | General Support | ||||
| Heartland Triathlon of Highlands County Inc | |||||||||||
| 1200 Highlands Drive | Lake Placid | FL | 33852 | 452232127 | 501(c)(3) | 13000 | General Support | ||||
| Highlands County Habitat for Humanity | |||||||||||
| 159 S Commerce Avenue | Sebring | FL | 33870 | 593023727 | 501(c)(3) | 15000 | Construction | ||||
| HISPANIC BUSINESS INITIATIVE FUND OF FLORIDA INC | |||||||||||
| 3201 E COLONIAL DR UNIT A20 | ORLANDO | FL | 32803 | 593341405 | 501(c)(3) | 33000 | General Support | ||||
| HISPANIC CHAMBER OF COMMERCE METRO ORLANDO INC | |||||||||||
| 315 E ROBINSON ST STE 465 | ORLANDO | FL | 32801 | 593103840 | 501(c)(6) | 21000 | General Support | ||||
| HOPE NOW INTERNATIONAL INC | |||||||||||
| PO BOX 181173 | CASSELBERRY | FL | 327181173 | 274498303 | 501(c)(3) | 10000 | General Support | ||||
| HOSPICE OF THE COMFORTER INC | |||||||||||
| 480 WEST CENTRAL PARKWAY | ALTAMONTE SPRINGS | FL | 32714 | 592935928 | 501(c)(3) | 7500 | General Support | ||||
| INSTITUTE FOR DIVERSITY IN HEALTH MANAGEMENT INC | |||||||||||
| 75 REMITTANCE DR | CHICAGO | IL | 606751072 | 582094118 | 501(c)(3) | 15000 | General Support | ||||
| IVANHOE VILLAGE INC | |||||||||||
| 320 E PRINCETON ST | ORLANDO | FL | 32804 | 261797406 | 501(c)(3) | 7000 | General Support | ||||
| JEWISH NATIONAL FUND (KEREN KAYEMETH LEISRAL) INC | |||||||||||
| 1951 NW 19TH ST | BOCA RATON | FL | 334317344 | 131659627 | 501(c)(3) | 20000 | General Support | ||||
| Johnson County Community Care Corporation | |||||||||||
| 11801 South Freeway | Burleson | TX | 76028 | 452793120 | 501(c)(3) | 474032 | Indigent Care | ||||
| JUNIOR ACHIEVEMENT OF CENTRAL FLORIDA INC | |||||||||||
| PO BOX 917197 | ORLANDO | FL | 32891 | 590972112 | 501(c)(3) | 34000 | General Support | ||||
| KIDS HOUSE OF SEMINOLE INC | |||||||||||
| 5467 NORTH RONALD REGAN BLVD | SANFORD | FL | 32773 | 593415005 | 501(c)(3) | 5500 | General Support | ||||
| KISSIMMEEOSCEOLA COUNTY CHAMBER OF COMMERCE | |||||||||||
| 1425 E VINE STREET | KISSIMMEE | FL | 34744 | 590319865 | 501(c)(6) | 12000 | General Support | ||||
| La Grange Memorial Hospital Foundation | |||||||||||
| 5101 South Willow Springs Road | La Grange | IL | 60525 | 300247776 | 501(c)(3) | General Support | 293533 | Book | Provision of general administrative support | ||
| LAKESIDE BEHAVIORAL HEALTHCARE INC | |||||||||||
| 1800 MERCY DRIVE STE 302 | ORLANDO | FL | 32808 | 592301233 | 501(c)(3) | 1199261 | General Support | ||||
| LIFEWORK LEADERSHIP | |||||||||||
| 301 E PINE STREET STE 150 | ORLANDO | FL | 32801 | 371592618 | 501(c)(3) | 10000 | General Support | ||||
| MARCH OF DIMES FOUNDATION | |||||||||||
| 341 N MAITLAND AVE STE 115 | MAITLAND | FL | 32751 | 131846366 | 501(c)(3) | 18000 | General Support | ||||
| METHODIST HEALTHCARE FOUNDATION | |||||||||||
| 1211 UNION AVENUE STE 733 | MEMPHIS | TN | 381046638 | 237320638 | 501(c)(3) | 20000 | General Support | ||||
| MICHELEE PUPPETS INC | |||||||||||
| 4420 PARKWAY COMMERCE BLVD A | ORLANDO | FL | 32808 | 592616456 | 501(c)(3) | 5190 | General Support | ||||
| NATIONAL KIDNEY FOUNDATION OF FLORIDA INC | |||||||||||
| 1040 WOODCOCK RD STE 119 | ORLANDO | FL | 328033510 | 592190073 | 501(c)(3) | 16000 | General Support | ||||
| NEW IMAGE YOUTH CENTER INC | |||||||||||
| 208 S PARRAMORE AVE | ORLANDO | FL | 32805 | 562482818 | 501(c)(3) | 10000 | General Support | ||||
| ORLANDO HEALTH INC | |||||||||||
| 86 W UNDERWOOD STREET | ORLANDO | FL | 328061110 | 591726273 | 501(c)(3) | 7000 | General Support | ||||
| ORLANDO JUNIOR ACADEMY | |||||||||||
| 30 E EVANS STREET | ORLANDO | FL | 32804 | 262325009 | 501(c)(3) | 12600 | General Support | ||||
| ORLANDO SCIENCE CENTER INC | |||||||||||
| 777 E PRINCETON STREET | ORLANDO | FL | 32803 | 590896343 | 501(c)(3) | 7500 | General Support | ||||
| ORLANDO SHAKESPEARE THEATER INC | |||||||||||
| 812 E ROLLINS ST | ORLANDO | FL | 328031202 | 592931698 | 501(c)(3) | 10000 | General Support | ||||
| OSCEOLA COUNTY COUNCIL ON AGING INC | |||||||||||
| 700 GENERATION POINT | KISSIMMEE | FL | 34744 | 591595398 | 501(c)(3) | 93622 | General Support | ||||
| ROLLINS COLLEGE | |||||||||||
| 1000 HOLT AVENUE - 2722 | WINTER PARK | FL | 327894499 | 590624440 | 501(c)(3) | 10000 | General Support | ||||
| RONALD MCDONALD HOUSE CHARITIES OF CENTRAL FLORIDA INC | |||||||||||
| 1350 N ORANGE AVE | WINTER PARK | FL | 32789 | 593211250 | 501(c)(3) | 10000 | General Support | ||||
| RUNWAY TO HOPE INC | |||||||||||
| 189 S ORANGE AVE | ORLANDO | FL | 328013261 | 273272616 | 501(c)(3) | 6250 | General Support | ||||
| Samaritan Touch Care Center Inc | |||||||||||
| 3015 Herring Avenue | Sebring | FL | 33870 | 020773338 | 501(c)(3) | 229167 | Medical care | ||||
| SANFORD HEALTH | |||||||||||
| PO BOX 1667 | SANFORD | FL | 327721667 | 311527032 | 501(c)(3) | 243333 | General Support - Childhood Diabetes Education | ||||
| SECOND HARVEST FOOD BANK OF CENTRAL FLORIDA INC | |||||||||||
| 2008 BRENGLE AVENUE | ORLANDO | FL | 32808 | 592142315 | 501(c)(3) | 25000 | General Support | ||||
| SEMINOLE STATE COLLEGE | |||||||||||
| 100 WELDON BLVD | SANFORD | FL | 327736199 | 591210158 | Gov't | 7000 | General Support | ||||
| SHEPHERD'S HOPE INC | |||||||||||
| 4851 S APOPKA VINELAND RD | ORLANDO | FL | 328193128 | 593420727 | 501(c)(3) | 28000 | General Support | ||||
| SOCIETY FOR THE PREVENTION OF CRUELTY TO ANIMALS OF CENTRAL FLORIDA INC | |||||||||||
| 2727 CONROY RD | ORLANDO | FL | 32839 | 590637883 | 501(c)(3) | 10500 | General Support | ||||
| South Florida State College | |||||||||||
| 600 W College Drive | Avon Park | FL | 33825 | 591218159 | Gov't | 23000 | General Support | ||||
| South Florida State College Foundation Inc | |||||||||||
| 13 E Main Street | Avon Park | FL | 33825 | 593050497 | 501(c)(3) | 7666 | General Support | ||||
| SOUTHERN ADVENTIST UNIVERSITY | |||||||||||
| PO BOX 370 | COLLEGEDALE | TN | 37315 | 620536733 | 501(c)(3) | 118000 | General Support | ||||
| STRENGTHEN ORLANDO INC | |||||||||||
| 400 SOUTH ORANGE AVE 6TH FLOOR | ORLANDO | FL | 328013360 | 271964941 | 501(c)(3) | 7500 | General Support | ||||
| SUNBELT HEALTH & REHAB CENTER - APOPKA INC | |||||||||||
| 305 EAST OAK ST | APOPKA | FL | 32703 | 205774856 | 501(c)(3) | 450000 | General Support | ||||
| SunSystem Development Corporation | |||||||||||
| 900 HOPE WAY | ALTAMONTE SPRINGS | FL | 32714 | 592219301 | 501(c)(3) | 4861894 | General Support | ||||
| SUSAN G KOMEN BREAST CANCER FOUNDATION | |||||||||||
| 1350 ORANGE AVE STE 260 | WINTER PARK | FL | 32789 | 752854957 | 501(c)(3) | 10000 | General Support | ||||
| SYNECHION INC | |||||||||||
| 6757 ARAPAHO STE 711-238 | DALLAS | TX | 75248 | 752640985 | Other | 12000 | General Support | ||||
| The School Board of Highlands County | |||||||||||
| 426 School Street | Sebring | FL | 33870 | 596000654 | Gov't | 10000 | General Support - Senior Education | ||||
| US DREAM ACADEMY INC | |||||||||||
| 10400 LITTLE PATUXENT PKWAY SUITE | COLUMBIA | MD | 21044 | 593514841 | 501(c)(3) | 30000 | General Support | 300 | |||
| UNITED GLOBAL OUTREACH INC | |||||||||||
| 2311 MOUNT VERNON ST | ORLANDO | FL | 32803 | 030511875 | 501(c)(3) | 201126 | General Support | ||||
| UNIVERSAL ORLANDO FOUNDATION INC | |||||||||||
| 1000 UNIVERSAL STUDIOS PLAZA | ORLANDO | FL | 32819 | 593510383 | 501(c)(3) | 15000 | General Support | ||||
| UNIVERSITY OF CENTRAL FLORIDA | |||||||||||
| PO BOX 160046 | ORLANDO | FL | 328160046 | 592924021 | Gov't | 13750 | General Support | ||||
| UNIVERSITY OF CENTRAL FLORIDA FOUNDATION INC | |||||||||||
| 12424 RESEARCH PARKWAY STE 140 | ORLANDO | FL | 32826 | 596211832 | 501(c)(3) | 55000 | General Support | ||||
| VALENCIA COLLEGE FOUNDATION INC | |||||||||||
| 190 S ORANGE AVE | ORLANDO | FL | 328013204 | 237442785 | 501(c)(3) | 214500 | General Support | ||||
| WEST ORANGE CHAMBER OF COMMERCE | |||||||||||
| 12184 W COLONIAL DRIVE | WINTER GARDEN | FL | 347874146 | 590576757 | 501(c)(6) | 8000 | General Support | ||||
| WINTER PARK HEALTH FOUNDATION INC | |||||||||||
| 220 EDINBURGH DR | WINTER PARK | FL | 32792 | 590669460 | 501(c)(3) | 135000 | General Support | ||||
| WINTER PARK HISTORICAL ASSOCIATION INC | |||||||||||
| PO BOX 51 | WINTER PARK | FL | 32790 | 591664195 | 501(c)(3) | 5500 | General Support | ||||
| WINTER PARK YOUTH BASEBALL INC | |||||||||||
| PO BOX 3702 | WINTER PARK | FL | 327903702 | 270647788 | 501(c)(3) | 6000 | General Support | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Nbr Of501 C3 And Govt Grants | 86 | TotalNbrOf501C3AndGovtGrants |
| Total Nbr Of Other Organizations | 9 | TotalNbrOfOtherOrganizations |
Form990 Schedule I Part IV Form990ScheduleIPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | Procedure for Monitoring Grants in the U.S.: | Identifier |
| Return Reference | Part I, Line 2: | ReturnReference |
| Explanation | Schedule I, Part I, Line 2: Grants are generally made to related 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 local or local affiliate of national charitable organizations whose purposes are healthcare-related. 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Travel For Companions | X | TravelForCompanions |
| Idemnification Gross Up Payments | X | IdemnificationGrossUpPayments |
| Discretionary Spending Account | X | DiscretionarySpendingAccount |
| Housing Allowance Or Residence | X | HousingAllowanceOrResidence |
| Club Dues Or Fees | X | ClubDuesOrFees |
| Written Policy Re T And E Expenses | 1 | WrittenPolicyReTAndEExpenses |
| Substantiation Required | 1 | SubstantiationRequired |
| Severance Payment | 1 | SeverancePayment |
| Supplemental Nonqual Retire Plan | 1 | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | 0 | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | 0 | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | 0 | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | 1 | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | 0 | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | 0 | AnyNonFixedPayments |
| Initial Contract Exception | 0 | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (24 entries)
| TitleTitle | Base Compensation Filing OrgBaseCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Filing OrgBonusFilingOrg | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Filing OrgOtherCompensationFilingOrg | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Filing OrgDeferredCompFilingOrg | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Filing OrgTotalCompensationFilingOrg | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Houmann Lars D | ||||||||||||||
| Director | 0 | 869760 | 0 | 266769 | 0 | 235323 | 0 | 189569 | 0 | 52500 | 0 | 1613921 | 0 | 158447 |
| Jernigan PhD Donald L | ||||||||||||||
| Director/CEO | 0 | 947487 | 0 | 288129 | 0 | 740746 | 0 | 13599 | 0 | 92521 | 0 | 2082482 | 0 | 0 |
| Reiner Richard K | ||||||||||||||
| Director | 0 | 871778 | 0 | 266769 | 0 | 543345 | 0 | 13599 | 0 | 48831 | 0 | 1744322 | 0 | 0 |
| Shaw Terry D | ||||||||||||||
| Director | 0 | 869760 | 0 | 266769 | 0 | 207241 | 0 | 189569 | 0 | 45078 | 0 | 1578417 | 0 | 158447 |
| Banks David P | ||||||||||||||
| Senior VP - FH | 0 | 478800 | 0 | 134924 | 0 | 97823 | 0 | 90508 | 0 | 45816 | 0 | 847871 | 0 | 62300 |
| Cummings Jr Desmond | ||||||||||||||
| Exec VP - FH | 0 | 464959 | 0 | 148493 | 0 | 188762 | 0 | 13599 | 0 | 16433 | 0 | 832246 | 0 | 0 |
| Dodds Sheryl D | ||||||||||||||
| Senior VP - FH | 0 | 322722 | 0 | 99112 | 0 | 51728 | 0 | 43688 | 0 | 14427 | 0 | 531677 | 0 | 20470 |
| Fulbright Robert D | ||||||||||||||
| Senior VP - FH | 0 | 370242 | 0 | 99291 | 0 | 46615 | 0 | 59136 | 0 | 39575 | 0 | 614859 | 0 | 28216 |
| Goodman Todd A | ||||||||||||||
| Senior VP - FH | 0 | 305685 | 0 | 95971 | 0 | 37057 | 0 | 46921 | 0 | 35878 | 0 | 521512 | 0 | 22392 |
| Hilliard Douglas W | ||||||||||||||
| Senior VP - FH | 0 | 308988 | 0 | 96819 | 0 | 52388 | 0 | 44297 | 0 | 34832 | 0 | 537324 | 0 | 23081 |
| Hurst Jeffry D | ||||||||||||||
| Senior VP - FH | 0 | 298183 | 0 | 91250 | 0 | 61616 | 0 | 27270 | 0 | 26079 | 0 | 504398 | 0 | 10316 |
| Moorhead MD John David | ||||||||||||||
| Senior VP - FH | 0 | 461871 | 0 | 130317 | 0 | 127426 | 0 | 75617 | 0 | 25308 | 0 | 820539 | 0 | 51075 |
| Owen Terry R | ||||||||||||||
| Senior VP - FH | 0 | 381058 | 0 | 113486 | 0 | 256023 | 0 | 52236 | 0 | 28394 | 0 | 831197 | 0 | 34002 |
| Paradis J Brian | ||||||||||||||
| Exec VP - FH | 0 | 618569 | 0 | 198313 | 0 | 109417 | 0 | 123831 | 0 | 50715 | 0 | 1100845 | 0 | 89762 |
| Reed MD Monica P | ||||||||||||||
| Senior VP - FH | 0 | 429416 | 0 | 123822 | 0 | 95418 | 0 | 77996 | 0 | 36433 | 0 | 763085 | 0 | 55086 |
| Soler Eddie | ||||||||||||||
| CFO - FL Divison | 0 | 528184 | 0 | 170651 | 0 | 122380 | 0 | 106472 | 0 | 34021 | 0 | 961708 | 0 | 61612 |
| Lee MD Kathy | ||||||||||||||
| Physician | 366239 | 0 | 452840 | 0 | 75497 | 0 | 13599 | 0 | 12709 | 0 | 920884 | 0 | 0 | 0 |
| Eubanks Jr MD William Stephen | ||||||||||||||
| Executive Director of Academic Surge | 683365 | 0 | 140076 | 0 | 5093 | 0 | 8599 | 0 | 16155 | 0 | 853288 | 0 | 0 | 0 |
| Bittner MD Hartmuth | ||||||||||||||
| Medical Director | 779709 | 0 | 56 | 0 | 34279 | 0 | 8599 | 0 | 13394 | 0 | 836037 | 0 | 0 | 0 |
| Torres MD Ramon M | ||||||||||||||
| Physician | 599997 | 0 | 89773 | 0 | 6761 | 0 | 13599 | 0 | 19580 | 0 | 729710 | 0 | 0 | 0 |
| Jones MD Phillip E | ||||||||||||||
| Physician | 585728 | 0 | 81250 | 0 | 24850 | 0 | 13599 | 0 | 18441 | 0 | 723868 | 0 | 0 | 0 |
| Grim-Marcarelli Karen | ||||||||||||||
| Former key employee | 0 | 244375 | 0 | 59025 | 0 | 106051 | 0 | 21076 | 0 | 22807 | 0 | 453334 | 0 | 4746 |
| Hamilton Connie A | ||||||||||||||
| Former key employee | 0 | 0 | 0 | 68140 | 0 | 339782 | 0 | 13599 | 0 | 17556 | 0 | 439077 | 0 | 51225 |
| Herrin Arlene K | ||||||||||||||
| Former key employee | 0 | 234922 | 0 | 57678 | 0 | 34135 | 0 | 35571 | 0 | 18188 | 0 | 380494 | 0 | 23067 |
Form990 Schedule J Part III Form990ScheduleJPartIII (4 entries)
| Return ReferenceReturnReference | ExplanationExplanation | IdentifierIdentifier |
|---|---|---|
| Part I, Line 1a | As discussed in our response to Section B, Part VI, Question 15a & b, the filing organization is a part of the system of healthcare organizations known as Adventist Health System (AHS). Members of the filing organization's executive management team that hold the position of Vice-President or above are compensated by and on the payroll of Adventist Health System Sunbelt Healthcare Corporation (AHSSHC), the parent organization of AHS. AHSSHC is exempt from federal income tax under IRC Section 501(c)(3). The filing organization reimburses AHSSHC for the salary and benefit cost of those executives on the payroll of AHSSHC that provide services and are on the management team of the filing organization. Travel for companions: AHSSHC has a Corporate Executive Policy that provides a benefit to allow for a traveling AHSSHC executive to have his or her spouse accompany the executive on certain business trips each year. Typically, reimbursement is only provided to Vice Presidents and above and is usually limited to one business trip per year beyond the annual AHS President's Council business meeting and other meetings where the spouse is specifically invited. The AHSSHC Corporate Executive Spousal Travel Policy was originally approved and reviewed by the AHSSHC Board Strategy & Compensation Committee, an independent body of the AHSSHC Board of Directors. All spousal travel costs reimbursed to the executive are considered taxable compensation to the executive. Tax Indemnification and gross-up payments: AHS has a system-wide policy addressing gross-up payments provided in connection with employer-provided benefits/other taxable items. Under the policy, certain taxable business-related reimbursements (i.e. taxable business-related moving expenses, taxable items provided in connection with employment) provided to any employee may be grossed-up at a 25% rate upon approval of the filing organization's CEO and CFO. Additionally, employees at the Director level and above are eligible for gross-up payments on gifts received for board of director services. Discretionary spending account: A nominal discretionary spending amount was provided in the current year to all eligible executives who attend the annual AHS President's Council business meeting ($500 per executive) or the annual AHS CFO Conference business meeting ($300 per executive). With respect to the AHS President's council meeting, eligible executives may include AHSSHC Vice Presidents and above and all AHSSHC subsidiary organization CEOs and Regional CFOs. The payment provided to each executive was considered taxable compensation to the executive. Housing allowance or residence for personal use: AHSSHC has a Corporate Executive Policy that addresses assistance to executives who have been relocated by the company during the year. Relocation assistance provided to executives may include relocation allowances to assist with duplicate housing expenses. Relocation assistance is administered per AHSSHC policy by an external relocation company. Any taxable reimbursements made to executives in connection with relocation assistance are treated as wages to the executive and are subject to all payroll withholding and reporting requirements. Health or social club dues or initiation fees: AHSSHC has a Corporate Executive Policy that addresses business development expenditures. Under this policy, certain AHS eligible executives may be reimbursed for member dues and usage charges for a country club or other social club upon authorization. Club memberships must be recommended by the CEO of the AHS hospital organization and approved by the Chairman of the Board of Directors of the organization. In addition, the proposed membership must be approved annually by the AHSSHC Board Strategy & Compensation Committee, an independent committee of the Board of Directors of AHSSHC. Eligible executives are limited to certain senior level executives (hospital organization CEOs, the CEO of the nursing home division of AHS, senior vice presidents at three large hospital organizations, regional CEOs and CFOs and the president and senior vice presidents of AHSSHC). In the current year, for this filing organization, four executives were eligible to receive reimbursement for club fees. Each AHS executive who is approved for a club membership must submit an annual report to the AHSSHC Board Strategy & Compensation Committee that describes how the membership benefited their organization during the preceding year. | |
| Part I, Lines 4a-b | During the year ending December 31, 2012, Connie A. Hamilton received severance payments in the amount of $288,425. Pursuant to the AHSSHC Corporate Executive Policy governing executive severance, severance agreements for executives operating at the Vice President level and above are entered into upon eligibility to facilitate the transition to subsequent employment following an involuntary separation from employment with AHS. As discussed in Line 1a above, 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 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 ------------------------------------------------------- Houmann, Lars D. $ 175,971 $ 161,469 $ 25,617 $ 0 Jernigan, Ph.D., Donald L. $ 202,164 $ 185,164 $394,589 $ 0 Reiner, Richard K. $ 182,872 $ 167,651 $255,540 $ 0 Shaw, Terry D. $ 175,971 $ 171,709 $ 0 $ 0 Banks, David P. $ 76,910 $ 62,347 $ 0 $ 0 Cummings, Jr., Desmond $ 80,177 $ 80,177 $ 26,942 $ 0 Dodds, Sheryl D. $ 47,090 $ 20,482 $ 0 $ 0 Fulbright, Robert D$ 45,538 $ 28,237 $ 0 $ 0 Goodman, Todd A. $ 33,323 $ 24,800 $ 0 $ 0 Hilliard, Douglas W$ 30,699 $ 23,099 $ 0 $ 0 Hurst, Jeffry D. $ 35,671 $ 10,533 $ 0 $ 0 Moorhead, MD, John David $ 84,019 $ 51,110 $ 0 $ 0 Owen, Terry R. $ 55,638 $ 37,085 $170,398 $ 0 Paradis, J. Brian $ 115,232 $ 89,831 $ 0 $ 0 Reed, MD, Monica P.$ 64,397 $ 55,128 $ 0 $ 0 Soler, Eddie $ 92,874 $ 67,314 $ 0 $ 0 Grim-Marcarelli, Karen $ 24,478 $ 4,825 $ 72,638 $ 0 Hamilton, Connie A.$ 0 $ 37,050 $ 0 $ 0 Herrin, Arlene K. $ 26,972 $ 23,085 $ 0 $ 0 * Including Investment Earnings | |
| Part I, Line 6 | The filing organization's physician compensation formula is designed to result in total compensation that would be reasonable for each physician. The filing organization utilizes national survey productivity, cost, and compensation data in formulating all aspects of the compensation plan. Physician compensation contractual agreements include a ceiling or reasonable maximum on the amount a physician may earn. The filing organization's employed physicians enter into a written agreement that requires the physicians to provide medical care to individuals who are referred by the filing organization. The filing organization's compensation arrangement does not use a method of compensation that is based upon a percentage of the organization's net income. Rather, under the compensation arrangement, physician base salary is set based on Fair Market Value benchmarks, and any additional compensation is based on a percentage of the practice/location net revenue. | |
| Part III | Part I, Question 3: As noted in our response to question 15 of Part VI of Form 990, 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 system-wide CEO of AHS. 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 CEO: - Compensation committee; - Independent compensation consultant; - Compensation survey or study; and - Approval by the board or compensation committee. | Supplemental Information |
Schedule K IRS990ScheduleK
Form990 Schedule K Part I Form990ScheduleKPartI (4 entries)
| Bond ReferenceBondReferenceCd | Issuer EINIssuerEIN | CUSIP NumberCUSIPNumber | Date IssuedDateIssued | Issue PriceIssuePrice | Description Of PurposeDescriptionOfPurpose | DefeasedDefeased | On Behalf Of IssuerOnBehalfOfIssuer | Pool FinancingPoolFinancing |
|---|---|---|---|---|---|---|---|---|
| Highlands County Health Facilities Authority | ||||||||
| A | 521313569 | 431022FR8 | 2005-10-18 | 64943086 | 2005A, Refund FL 1993A&B, TN 1993 and Tarrant 1993 all issued 10/20/1993 | 0 | 0 | 0 |
| Highlands County Health Facilities Authority | ||||||||
| B | 521313569 | 431022GN6 | 2005-10-18 | 106410063 | 2005B, Refund Orange 2000, Tenn 2000, and Tarrant 2000 all issued 8/31/2000 | 0 | 0 | 0 |
| Highlands County Health Facilities Authority | ||||||||
| C | 521313569 | 431022HG0 | 2005-10-18 | 63434535 | 2005C, Refund Colorado 2001 issued 3/28/2001 | 0 | 0 | 0 |
| Highlands County Health Facilities Authority | ||||||||
| D | 521313569 | 431022HH8 | 2005-10-18 | 102220000 | 2005D, Expand/refurbish facilities, purchase equipment | 0 | 0 | 0 |
Form990 Schedule K Part II Form990ScheduleKPartII (4 entries)
| Bond ReferenceBondReferenceCd | Amount RetiredAmountRetired | Amount Bond DefeasedAmountBondDefeased | Total ProceedsTotalProceeds | Issuance Costs From ProceedsIssuanceCostsFromProceeds | Other Spent ProceedsOtherSpentProceeds | Year Of Subst CompletionYearOfSubstCompletion | Current RefundingCurrentRefunding | Advance RefundingAdvanceRefunding | Final Allocation MadeFinalAllocationMade | Adequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind | Capital ExpendituresCapitalExpenditures |
|---|---|---|---|---|---|---|---|---|---|---|---|
| A | 19185000 | 1510000 | 64943086 | 926709 | 64016377 | 1993 | 1 | 0 | 1 | 1 | |
| B | 15480000 | 16155000 | 106410063 | 1532450 | 104877613 | 2000 | 0 | 1 | 1 | 1 | |
| C | 1195000 | 63434535 | 928933 | 62505602 | 2001 | 0 | 1 | 1 | 1 | ||
| D | 12255000 | 102220000 | 1500000 | 2005 | 0 | 0 | 1 | 1 | 100720000 |
Form990 Schedule K Part III Form990ScheduleKPartIII (4 entries)
| Bond ReferenceBondReferenceCd | Owning Bond Financed PropertyOwningBondFinancedProperty | Any Lease ArrangementsAnyLeaseArrangements | Mngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprty | Engage Bond Counsel ContractsEngageBondCounselContracts | Any Research AgreementsAnyResearchAgreements | Engage Bond Counsel ResearchEngageBondCounselResearch | Bond Iss Meet Prvt Security Pay TestBondIssMeetPrvtSecurityPayTest | Change In Use Bond Financed PropChangeInUseBondFinancedProp | Non Qualified Bond Remed ProcdrsNonQualifiedBondRemedProcdrs |
|---|---|---|---|---|---|---|---|---|---|
| A | 0 | 0 | 1 | 1 | 1 | 1 | 0 | 0 | 1 |
| B | 0 | 0 | 1 | 1 | 1 | 1 | 0 | 0 | 1 |
| C | 0 | 0 | 1 | 1 | 1 | 1 | 0 | 0 | 1 |
| D | 0 | 0 | 1 | 1 | 1 | 1 | 0 | 0 | 1 |
Form990 Schedule K Part IV Form990ScheduleKPartIV (4 entries)
| Bond ReferenceBondReferenceCd | Form8038 T FiledForm8038TFiled | Rebate Not Due YetRebateNotDueYet | Exception To RebateExceptionToRebate | No Rebate DueNoRebateDue | Variable Rate IssueVariableRateIssue | Hedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecds | Gross Proceeds Invested In GICGrossProceedsInvestedInGIC | Gross Proceeds InvestedGrossProceedsInvested | Written Proc To Monitor ReqsWrittenProcToMonitorReqs |
|---|---|---|---|---|---|---|---|---|---|
| A | 0 | 0 | 1 | 0 | 0 | 0 | 0 | 0 | 1 |
| B | 0 | 0 | 1 | 0 | 0 | 0 | 0 | 0 | 1 |
| C | 0 | 0 | 1 | 0 | 0 | 0 | 0 | 0 | 1 |
| D | 0 | 0 | 1 | 0 | 0 | 0 | 0 | 0 | 1 |
Form990 Schedule K Part V Form990ScheduleKPartV (4 entries)
| Bond ReferenceBondReferenceCd | Proc To Undertk Corrective ActionProcToUndertkCorrectiveAction |
|---|---|
| A | 1 |
| B | 1 |
| C | 1 |
| D | 1 |
Form990 Schedule K Part VI Form990ScheduleKPartVI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | Part III, Line 8c | Identifier |
| Return Reference | Entity 6, Rows C & D | ReturnReference |
| Explanation | Highlands County Health Facilities Authority 2012A, AR Program & 2012B, AR Program: A sale of bond-financed assets in 2006 was identified in early 2013. The taxpayer has paid off the bonds related to this asset sale and filed a VCAP request pursuant to Notice 2008-31, 2008-11 IRB 592, on October 25, 2013. | Explanation |
Schedule K IRS990ScheduleK
Form990 Schedule K Part I Form990ScheduleKPartI (4 entries)
| Bond ReferenceBondReferenceCd | Issuer EINIssuerEIN | CUSIP NumberCUSIPNumber | Date IssuedDateIssued | Issue PriceIssuePrice | Description Of PurposeDescriptionOfPurpose | DefeasedDefeased | On Behalf Of IssuerOnBehalfOfIssuer | Pool FinancingPoolFinancing |
|---|---|---|---|---|---|---|---|---|
| Highlands County Health Facilities Authority | ||||||||
| A | 521313569 | 431022HUD | 2006-06-14 | 205156000 | 2006C, Expand/refurbish facilities, purchase equipment | 0 | 0 | 0 |
| Colorado Health Facilities Authority | ||||||||
| B | 840752932 | 19648AAV7 | 2006-11-15 | 249501424 | 2006D&E, Refnd Highland, Tarrant 98 iss 12/17/98, Highland iss 03D 10/7/03 | 0 | 0 | 0 |
| Colorado Health Facilities Authority | ||||||||
| C | 840752932 | 19648ACG8 | 2006-11-15 | 30371450 | 2006F, Refund 1995 Bonds issued 6/8/1995 | 0 | 0 | 0 |
| Highlands County Health Facilities Authority | ||||||||
| D | 521313569 | 431022JZ6 | 2006-12-20 | 212464496 | 2006G, Refund Highlands 2002 issued 12/19/02 and Orange 2002 issued 7/10/02 | 0 | 0 | 0 |
Form990 Schedule K Part II Form990ScheduleKPartII (4 entries)
| Bond ReferenceBondReferenceCd | Amount Bond DefeasedAmountBondDefeased | Total ProceedsTotalProceeds | Issuance Costs From ProceedsIssuanceCostsFromProceeds | Capital ExpendituresCapitalExpenditures | Year Of Subst CompletionYearOfSubstCompletion | Current RefundingCurrentRefunding | Advance RefundingAdvanceRefunding | Final Allocation MadeFinalAllocationMade | Adequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind | Amount RetiredAmountRetired | Other Spent ProceedsOtherSpentProceeds |
|---|---|---|---|---|---|---|---|---|---|---|---|
| A | 4900000 | 205156000 | 2000000 | 203156000 | 2006 | 0 | 0 | 1 | 1 | ||
| B | 8105000 | 249501424 | 2492891 | 2003 | 0 | 1 | 1 | 1 | 9870000 | 247008533 | |
| C | 19265000 | 30371450 | 306707 | 1995 | 1 | 0 | 1 | 1 | 2680000 | 30064743 | |
| D | 7320000 | 212464496 | 1856375 | 2002 | 0 | 1 | 1 | 1 | 16840000 | 210608121 |
Form990 Schedule K Part III Form990ScheduleKPartIII (4 entries)
| Bond ReferenceBondReferenceCd | Owning Bond Financed PropertyOwningBondFinancedProperty | Any Lease ArrangementsAnyLeaseArrangements | Mngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprty | Engage Bond Counsel ContractsEngageBondCounselContracts | Any Research AgreementsAnyResearchAgreements | Engage Bond Counsel ResearchEngageBondCounselResearch | Percentage Of Prvt Business Re UBIPercentageOfPrvtBusinessReUBI | Total Private Business UseTotalPrivateBusinessUse | Bond Iss Meet Prvt Security Pay TestBondIssMeetPrvtSecurityPayTest | Change In Use Bond Financed PropChangeInUseBondFinancedProp | Non Qualified Bond Remed ProcdrsNonQualifiedBondRemedProcdrs | Prcntge Prvt Business Use By OthersPrcntgePrvtBusinessUseByOthers |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| A | 0 | 0 | 1 | 1 | 1 | 1 | 0.00100 | 0.00100 | 0 | 0 | 1 | |
| B | 0 | 1 | 1 | 1 | 1 | 1 | 0.00200 | 0 | 0 | 1 | 0.00200 | |
| C | 0 | 0 | 1 | 1 | 1 | 1 | 0 | 0 | 1 | |||
| D | 0 | 1 | 1 | 1 | 1 | 1 | 0.00300 | 0 | 0 | 1 | 0.00300 |
Form990 Schedule K Part IV Form990ScheduleKPartIV (4 entries)
| Bond ReferenceBondReferenceCd | Form8038 T FiledForm8038TFiled | Rebate Not Due YetRebateNotDueYet | Exception To RebateExceptionToRebate | No Rebate DueNoRebateDue | Variable Rate IssueVariableRateIssue | Hedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecds | Gross Proceeds Invested In GICGrossProceedsInvestedInGIC | Gross Proceeds InvestedGrossProceedsInvested | Written Proc To Monitor ReqsWrittenProcToMonitorReqs |
|---|---|---|---|---|---|---|---|---|---|
| A | 0 | 0 | 1 | 0 | 0 | 0 | 0 | 0 | 1 |
| B | 0 | 0 | 1 | 0 | 0 | 0 | 0 | 0 | 1 |
| C | 0 | 0 | 1 | 0 | 0 | 0 | 0 | 0 | 1 |
| D | 0 | 0 | 1 | 0 | 0 | 0 | 0 | 0 | 1 |
Form990 Schedule K Part V Form990ScheduleKPartV (4 entries)
| Bond ReferenceBondReferenceCd | Proc To Undertk Corrective ActionProcToUndertkCorrectiveAction |
|---|---|
| A | 1 |
| B | 1 |
| C | 1 |
| D | 1 |
Schedule K IRS990ScheduleK
Form990 Schedule K Part I Form990ScheduleKPartI (4 entries)
| Bond ReferenceBondReferenceCd | Issuer EINIssuerEIN | CUSIP NumberCUSIPNumber | Date IssuedDateIssued | Issue PriceIssuePrice | Description Of PurposeDescriptionOfPurpose | DefeasedDefeased | On Behalf Of IssuerOnBehalfOfIssuer | Pool FinancingPoolFinancing |
|---|---|---|---|---|---|---|---|---|
| Highlands County Health Facilities Authority | ||||||||
| A | 521313569 | 431022KK7 | 2007-08-08 | 366445000 | 2007A B C D, Expand/refurbish facilities, purchase equipment | 0 | 0 | 0 |
| Highlands County Health Facilities Authority | ||||||||
| B | 521313569 | 431022QZ8 | 2008-12-16 | 68000000 | 2008A, Expand/refurbish facilities, purchase equipment | 0 | 0 | 0 |
| Orange County Health Facilities Authority | ||||||||
| C | 521378595 | 2009-04-08 | 5000000 | 2009A, Expand/refurbish facilities, purchase equipment | 0 | 0 | 0 | |
| Kansas Development Finance Authority | ||||||||
| D | 481066589 | 2009-04-08 | 5000000 | 2009B, Expand/refurbish facilities, purchase equipment | 0 | 0 | 0 | |
Form990 Schedule K Part II Form990ScheduleKPartII (4 entries)
| Bond ReferenceBondReferenceCd | Amount RetiredAmountRetired | Total ProceedsTotalProceeds | Credit EnhancementCreditEnhancement | Capital ExpendituresCapitalExpenditures | Year Of Subst CompletionYearOfSubstCompletion | Current RefundingCurrentRefunding | Advance RefundingAdvanceRefunding | Final Allocation MadeFinalAllocationMade | Adequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind |
|---|---|---|---|---|---|---|---|---|---|
| A | 259500000 | 366445000 | 5560382 | 360884618 | 2007 | 0 | 0 | 1 | 1 |
| B | 12250000 | 68000000 | 68000000 | 2008 | 0 | 0 | 1 | 1 | |
| C | 3684547 | 5000000 | 5000000 | 2008 | 0 | 0 | 1 | 1 | |
| D | 3627450 | 5000000 | 5000000 | 2008 | 0 | 0 | 1 | 1 |
Form990 Schedule K Part III Form990ScheduleKPartIII (4 entries)
| Bond ReferenceBondReferenceCd | Owning Bond Financed PropertyOwningBondFinancedProperty | Any Lease ArrangementsAnyLeaseArrangements | Mngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprty | Engage Bond Counsel ContractsEngageBondCounselContracts | Any Research AgreementsAnyResearchAgreements | Engage Bond Counsel ResearchEngageBondCounselResearch | Prcntge Prvt Business Use By OthersPrcntgePrvtBusinessUseByOthers | Total Private Business UseTotalPrivateBusinessUse | Bond Iss Meet Prvt Security Pay TestBondIssMeetPrvtSecurityPayTest | Change In Use Bond Financed PropChangeInUseBondFinancedProp | Non Qualified Bond Remed ProcdrsNonQualifiedBondRemedProcdrs |
|---|---|---|---|---|---|---|---|---|---|---|---|
| A | 0 | 1 | 1 | 1 | 1 | 1 | 0.00200 | 0.00200 | 0 | 0 | 1 |
| B | 0 | 0 | 1 | 1 | 1 | 1 | 0 | 0 | 1 | ||
| C | 0 | 0 | 1 | 1 | 1 | 1 | 0 | 0 | 1 | ||
| D | 0 | 0 | 1 | 1 | 1 | 1 | 0 | 0 | 1 |
Form990 Schedule K Part IV Form990ScheduleKPartIV (4 entries)
| Bond ReferenceBondReferenceCd | Form8038 T FiledForm8038TFiled | Rebate Not Due YetRebateNotDueYet | Exception To RebateExceptionToRebate | No Rebate DueNoRebateDue | Variable Rate IssueVariableRateIssue | Hedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecds | Gross Proceeds Invested In GICGrossProceedsInvestedInGIC | Gross Proceeds InvestedGrossProceedsInvested | Written Proc To Monitor ReqsWrittenProcToMonitorReqs |
|---|---|---|---|---|---|---|---|---|---|
| A | 0 | 0 | 1 | 0 | 1 | 0 | 0 | 0 | 1 |
| B | 0 | 1 | 1 | 0 | 0 | 0 | 0 | 0 | 1 |
| C | 0 | 1 | 1 | 0 | 1 | 0 | 0 | 0 | 1 |
| D | 0 | 1 | 1 | 0 | 1 | 0 | 0 | 0 | 1 |
Form990 Schedule K Part V Form990ScheduleKPartV (4 entries)
| Bond ReferenceBondReferenceCd | Proc To Undertk Corrective ActionProcToUndertkCorrectiveAction |
|---|---|
| A | 1 |
| B | 1 |
| C | 1 |
| D | 1 |
Schedule K IRS990ScheduleK
Form990 Schedule K Part I Form990ScheduleKPartI (4 entries)
| Bond ReferenceBondReferenceCd | Issuer EINIssuerEIN | CUSIP NumberCUSIPNumber | Date IssuedDateIssued | Issue PriceIssuePrice | Description Of PurposeDescriptionOfPurpose | DefeasedDefeased | On Behalf Of IssuerOnBehalfOfIssuer | Pool FinancingPoolFinancing |
|---|---|---|---|---|---|---|---|---|
| Kansas Development Finance Authority | ||||||||
| A | 481066589 | 48542ABX8 | 2009-07-08 | 325394417 | 2009C, Ref 96/05&97/05 iss 1/13/05, 03A 1/16/03, 08B 12/19/08, exp facility | 0 | 0 | 0 |
| Kansas Development Finance Authority | ||||||||
| B | 481066589 | 48542ACY5 | 2009-10-01 | 102271154 | 2009D, Refund Highlands 07C, 8/8/07 & expand/refurbish facilities/purc equip | 0 | 0 | 0 |
| Highlands County Health Facilities Authority | ||||||||
| C | 521313569 | 431022SP8 | 2009-11-16 | 190752502 | 09E & 08B Conv, Ref Orange 91/01 10/11/01, 92/03 5/15/03, 08B 12/19/08 | 0 | 0 | 0 |
| Highlands County Health Facilities Authority | ||||||||
| D | 521313569 | 431022SG8 | 2009-11-16 | 177240000 | 2005I Conv, Refund Highlands 05I 12/22/05 & expand/refurbish facilities | 0 | 0 | 0 |
Form990 Schedule K Part II Form990ScheduleKPartII (4 entries)
| Bond ReferenceBondReferenceCd | Amount RetiredAmountRetired | Total ProceedsTotalProceeds | Capital ExpendituresCapitalExpenditures | Other Spent ProceedsOtherSpentProceeds | Year Of Subst CompletionYearOfSubstCompletion | Current RefundingCurrentRefunding | Advance RefundingAdvanceRefunding | Final Allocation MadeFinalAllocationMade | Adequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind |
|---|---|---|---|---|---|---|---|---|---|
| A | 16615000 | 325394417 | 12004967 | 313389450 | 2009 | 1 | 0 | 1 | 1 |
| B | 7375000 | 102271154 | 21844721 | 80426433 | 2009 | 1 | 0 | 1 | 1 |
| C | 10070000 | 190752502 | 190752502 | 2008 | 1 | 0 | 1 | 1 | |
| D | 125000000 | 178936632 | 1696632 | 177240000 | 2005 | 1 | 0 | 1 | 1 |
Form990 Schedule K Part III Form990ScheduleKPartIII (4 entries)
| Bond ReferenceBondReferenceCd | Owning Bond Financed PropertyOwningBondFinancedProperty | Any Lease ArrangementsAnyLeaseArrangements | Mngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprty | Engage Bond Counsel ContractsEngageBondCounselContracts | Any Research AgreementsAnyResearchAgreements | Engage Bond Counsel ResearchEngageBondCounselResearch | Prcntge Prvt Business Use By OthersPrcntgePrvtBusinessUseByOthers | Total Private Business UseTotalPrivateBusinessUse | Bond Iss Meet Prvt Security Pay TestBondIssMeetPrvtSecurityPayTest | Change In Use Bond Financed PropChangeInUseBondFinancedProp | Non Qualified Bond Remed ProcdrsNonQualifiedBondRemedProcdrs |
|---|---|---|---|---|---|---|---|---|---|---|---|
| A | 0 | 1 | 1 | 1 | 1 | 1 | 0.00100 | 0.00100 | 0 | 0 | 1 |
| B | 0 | 0 | 1 | 1 | 1 | 1 | 0 | 0 | 1 | ||
| C | 0 | 1 | 1 | 1 | 1 | 1 | 0.00100 | 0.00100 | 0 | 0 | 1 |
| D | 0 | 1 | 1 | 1 | 1 | 1 | 0.00900 | 0.00900 | 0 | 0 | 1 |
Form990 Schedule K Part IV Form990ScheduleKPartIV (4 entries)
| Bond ReferenceBondReferenceCd | Form8038 T FiledForm8038TFiled | Rebate Not Due YetRebateNotDueYet | Exception To RebateExceptionToRebate | No Rebate DueNoRebateDue | Variable Rate IssueVariableRateIssue | Hedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecds | Gross Proceeds Invested In GICGrossProceedsInvestedInGIC | Gross Proceeds InvestedGrossProceedsInvested | Written Proc To Monitor ReqsWrittenProcToMonitorReqs |
|---|---|---|---|---|---|---|---|---|---|
| A | 0 | 1 | 1 | 0 | 0 | 0 | 0 | 0 | 1 |
| B | 0 | 1 | 1 | 0 | 0 | 0 | 0 | 0 | 1 |
| C | 0 | 1 | 1 | 0 | 0 | 0 | 0 | 0 | 1 |
| D | 0 | 1 | 1 | 0 | 1 | 0 | 0 | 0 | 1 |
Form990 Schedule K Part V Form990ScheduleKPartV (4 entries)
| Bond ReferenceBondReferenceCd | Proc To Undertk Corrective ActionProcToUndertkCorrectiveAction |
|---|---|
| A | 1 |
| B | 1 |
| C | 1 |
| D | 1 |
Schedule K IRS990ScheduleK
Form990 Schedule K Part I Form990ScheduleKPartI (4 entries)
| Bond ReferenceBondReferenceCd | Issuer EINIssuerEIN | Date IssuedDateIssued | Issue PriceIssuePrice | Description Of PurposeDescriptionOfPurpose | DefeasedDefeased | On Behalf Of IssuerOnBehalfOfIssuer | Pool FinancingPoolFinancing |
|---|---|---|---|---|---|---|---|
| Highlands County Health Facilities Authority | |||||||
| A | 521313569 | 2010-12-17 | 57000000 | 2010A, Expand/refurbish facilities, purchase equipment | 0 | 0 | 0 |
| Orange County Health Facilities Authority | |||||||
| B | 521378595 | 2010-12-22 | 25000000 | 2010B, Expand/refurbish facilities, purchase equipment | 0 | 0 | 0 |
| Kansas Development Finance Authority | |||||||
| C | 481066589 | 2010-12-22 | 25000000 | 2010C, Expand/refurbish facilities, purchase equipment | 0 | 0 | 0 |
| Colorado Health Facilities Authority | |||||||
| D | 840752932 | 2010-12-22 | 25000000 | 2010D, Expand/refurbish facilities, purchase equipment | 0 | 0 | 0 |
Form990 Schedule K Part II Form990ScheduleKPartII (4 entries)
| Bond ReferenceBondReferenceCd | Total ProceedsTotalProceeds | Capital ExpendituresCapitalExpenditures | Year Of Subst CompletionYearOfSubstCompletion | Current RefundingCurrentRefunding | Advance RefundingAdvanceRefunding | Final Allocation MadeFinalAllocationMade | Adequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind | Amount RetiredAmountRetired |
|---|---|---|---|---|---|---|---|---|
| A | 57000000 | 57000000 | 2010 | 0 | 0 | 1 | 1 | |
| B | 25000000 | 25000000 | 2010 | 0 | 0 | 1 | 1 | 1000000 |
| C | 25000000 | 25000000 | 2010 | 0 | 0 | 1 | 1 | 1000000 |
| D | 25000000 | 25000000 | 2010 | 0 | 0 | 1 | 1 | 1000000 |
Form990 Schedule K Part III Form990ScheduleKPartIII (4 entries)
| Bond ReferenceBondReferenceCd | Owning Bond Financed PropertyOwningBondFinancedProperty | Any Lease ArrangementsAnyLeaseArrangements | Mngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprty | Engage Bond Counsel ContractsEngageBondCounselContracts | Any Research AgreementsAnyResearchAgreements | Engage Bond Counsel ResearchEngageBondCounselResearch | Bond Iss Meet Prvt Security Pay TestBondIssMeetPrvtSecurityPayTest | Change In Use Bond Financed PropChangeInUseBondFinancedProp | Non Qualified Bond Remed ProcdrsNonQualifiedBondRemedProcdrs |
|---|---|---|---|---|---|---|---|---|---|
| A | 0 | 0 | 1 | 1 | 1 | 1 | 0 | 0 | 1 |
| B | 0 | 0 | 1 | 1 | 1 | 1 | 0 | 0 | 1 |
| C | 0 | 0 | 1 | 1 | 1 | 1 | 0 | 0 | 1 |
| D | 0 | 0 | 1 | 1 | 1 | 1 | 0 | 0 | 1 |
Form990 Schedule K Part IV Form990ScheduleKPartIV (4 entries)
| Bond ReferenceBondReferenceCd | Form8038 T FiledForm8038TFiled | Rebate Not Due YetRebateNotDueYet | Exception To RebateExceptionToRebate | No Rebate DueNoRebateDue | Variable Rate IssueVariableRateIssue | Hedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecds | Gross Proceeds Invested In GICGrossProceedsInvestedInGIC | Gross Proceeds InvestedGrossProceedsInvested | Written Proc To Monitor ReqsWrittenProcToMonitorReqs |
|---|---|---|---|---|---|---|---|---|---|
| A | 0 | 1 | 1 | 0 | 1 | 0 | 0 | 0 | 1 |
| B | 0 | 1 | 1 | 0 | 1 | 0 | 0 | 0 | 1 |
| C | 0 | 1 | 1 | 0 | 1 | 0 | 0 | 0 | 1 |
| D | 0 | 1 | 1 | 0 | 1 | 0 | 0 | 0 | 1 |
Form990 Schedule K Part V Form990ScheduleKPartV (4 entries)
| Bond ReferenceBondReferenceCd | Proc To Undertk Corrective ActionProcToUndertkCorrectiveAction |
|---|---|
| A | 1 |
| B | 1 |
| C | 1 |
| D | 1 |
Schedule K IRS990ScheduleK
Form990 Schedule K Part I Form990ScheduleKPartI (4 entries)
| Bond ReferenceBondReferenceCd | Issuer EINIssuerEIN | Date IssuedDateIssued | Issue PriceIssuePrice | Description Of PurposeDescriptionOfPurpose | DefeasedDefeased | On Behalf Of IssuerOnBehalfOfIssuer | Pool FinancingPoolFinancing |
|---|---|---|---|---|---|---|---|
| Highlands County Health Facilities Authority | |||||||
| A | 521313569 | 2010-12-30 | 225000000 | 2010E, Expand/refurbish facilities, purchase equipment | 0 | 0 | 0 |
| Highlands County Health Facilities Authority | |||||||
| B | 521313569 | 2011-11-16 | 80000000 | 2011A, Expand/refurbish facilities | 0 | 0 | 0 |
| Highlands County Health Facilities Authority | |||||||
| C | 521313569 | 2012-03-21 | 294985000 | 2012A, AR Program - Refund 2009 A-F AR Program | 0 | 0 | 0 |
| Highlands County Health Facilities Authority | |||||||
| D | 521313569 | 2012-07-25 | 115015000 | 2012B, AR Program - Expand/refurbish facilities, purchase equipment | 0 | 0 | 0 |
Form990 Schedule K Part II Form990ScheduleKPartII (4 entries)
| Bond ReferenceBondReferenceCd | Amount RetiredAmountRetired | Total ProceedsTotalProceeds | Capital ExpendituresCapitalExpenditures | Year Of Subst CompletionYearOfSubstCompletion | Current RefundingCurrentRefunding | Advance RefundingAdvanceRefunding | Final Allocation MadeFinalAllocationMade | Adequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind | Other Spent ProceedsOtherSpentProceeds |
|---|---|---|---|---|---|---|---|---|---|
| A | 9000000 | 225000000 | 225000000 | 2010 | 0 | 0 | 1 | 1 | |
| B | 180000 | 80000000 | 80000000 | 2011 | 0 | 0 | 1 | 1 | |
| C | 294985000 | 2004 | 1 | 0 | 1 | 1 | 294985000 | ||
| D | 115015000 | 115015000 | 2012 | 0 | 0 | 1 | 1 |
Form990 Schedule K Part III Form990ScheduleKPartIII (4 entries)
| Bond ReferenceBondReferenceCd | Owning Bond Financed PropertyOwningBondFinancedProperty | Any Lease ArrangementsAnyLeaseArrangements | Mngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprty | Engage Bond Counsel ContractsEngageBondCounselContracts | Any Research AgreementsAnyResearchAgreements | Engage Bond Counsel ResearchEngageBondCounselResearch | Bond Iss Meet Prvt Security Pay TestBondIssMeetPrvtSecurityPayTest | Change In Use Bond Financed PropChangeInUseBondFinancedProp | Non Qualified Bond Remed ProcdrsNonQualifiedBondRemedProcdrs | Prcntge Bond Financed PropPrcntgeBondFinancedProp | Remedial Action TakenRemedialActionTaken |
|---|---|---|---|---|---|---|---|---|---|---|---|
| A | 0 | 0 | 1 | 1 | 1 | 1 | 0 | 0 | 1 | ||
| B | 0 | 0 | 1 | 1 | 1 | 1 | 0 | 0 | 1 | ||
| C | 0 | 0 | 1 | 1 | 1 | 1 | 0 | 1 | 1 | 0.00080 | 0 |
| D | 0 | 0 | 1 | 1 | 1 | 1 | 0 | 1 | 1 | 0.00080 | 0 |
Form990 Schedule K Part IV Form990ScheduleKPartIV (4 entries)
| Bond ReferenceBondReferenceCd | Form8038 T FiledForm8038TFiled | Rebate Not Due YetRebateNotDueYet | Exception To RebateExceptionToRebate | No Rebate DueNoRebateDue | Variable Rate IssueVariableRateIssue | Hedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecds | Gross Proceeds Invested In GICGrossProceedsInvestedInGIC | Gross Proceeds InvestedGrossProceedsInvested | Written Proc To Monitor ReqsWrittenProcToMonitorReqs |
|---|---|---|---|---|---|---|---|---|---|
| A | 0 | 1 | 1 | 0 | 1 | 0 | 0 | 0 | 1 |
| B | 0 | 1 | 1 | 0 | 1 | 0 | 0 | 0 | 1 |
| C | 0 | 1 | 1 | 0 | 1 | 0 | 0 | 0 | 1 |
| D | 0 | 1 | 1 | 0 | 1 | 0 | 0 | 0 | 1 |
Form990 Schedule K Part V Form990ScheduleKPartV (4 entries)
| Bond ReferenceBondReferenceCd | Proc To Undertk Corrective ActionProcToUndertkCorrectiveAction |
|---|---|
| A | 1 |
| B | 1 |
| C | 1 |
| D | 1 |
Schedule K IRS990ScheduleK
Form990 Schedule K Part I Form990ScheduleKPartI (4 entries)
| Bond ReferenceBondReferenceCd | Issuer EINIssuerEIN | CUSIP NumberCUSIPNumber | Date IssuedDateIssued | Issue PriceIssuePrice | Description Of PurposeDescriptionOfPurpose | DefeasedDefeased | On Behalf Of IssuerOnBehalfOfIssuer | Pool FinancingPoolFinancing |
|---|---|---|---|---|---|---|---|---|
| Kansas Development Finance Authority | ||||||||
| A | 481066589 | 48542ADG3 | 2012-08-29 | 310952245 | 2012A - Refund Or-1995; H-02,03C,05H,06B,07B,07D,08A; C-2004B; K-2004C | 0 | 0 | 0 |
| Highlands County Health Facilities Authority | ||||||||
| B | 521313569 | 431022TL6 | 2012-08-29 | 348320000 | 2012B-F - Refund Or-1995; H-02,03C,05H,06B,07B,07D,08A; C-2004B; K-2004C | 0 | 0 | 0 |
| Highlands County Health Facilities Authority | ||||||||
| C | 521313569 | 2012-08-29 | 125000000 | 2012G&H - Refund Highlands 2005I Conversion Bonds | 0 | 0 | 0 | |
| Highlands County Health Facilities Authority | ||||||||
| D | 521313569 | 431022TR3 | 2012-11-08 | 232125000 | 2012I - Refunded Volusia 1994-A; Highlands 2004A, 2005E, 2005F, 2005G | 0 | 0 | 0 |
Form990 Schedule K Part II Form990ScheduleKPartII (4 entries)
| Bond ReferenceBondReferenceCd | Total ProceedsTotalProceeds | Other Spent ProceedsOtherSpentProceeds | Year Of Subst CompletionYearOfSubstCompletion | Current RefundingCurrentRefunding | Advance RefundingAdvanceRefunding | Final Allocation MadeFinalAllocationMade | Adequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind |
|---|---|---|---|---|---|---|---|
| A | 310952245 | 310952245 | 2008 | 1 | 0 | 1 | 1 |
| B | 348320000 | 348320000 | 2008 | 1 | 0 | 1 | 1 |
| C | 125000000 | 125000000 | 2005 | 1 | 0 | 1 | 1 |
| D | 232125000 | 232125000 | 2005 | 1 | 0 | 1 | 1 |
Form990 Schedule K Part III Form990ScheduleKPartIII (4 entries)
| Bond ReferenceBondReferenceCd | Owning Bond Financed PropertyOwningBondFinancedProperty | Any Lease ArrangementsAnyLeaseArrangements | Mngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprty | Engage Bond Counsel ContractsEngageBondCounselContracts | Any Research AgreementsAnyResearchAgreements | Engage Bond Counsel ResearchEngageBondCounselResearch | Prcntge Prvt Business Use By OthersPrcntgePrvtBusinessUseByOthers | Total Private Business UseTotalPrivateBusinessUse | Bond Iss Meet Prvt Security Pay TestBondIssMeetPrvtSecurityPayTest | Change In Use Bond Financed PropChangeInUseBondFinancedProp | Non Qualified Bond Remed ProcdrsNonQualifiedBondRemedProcdrs |
|---|---|---|---|---|---|---|---|---|---|---|---|
| A | 0 | 1 | 1 | 1 | 1 | 1 | 0.00500 | 0.00500 | 0 | 0 | 1 |
| B | 0 | 1 | 1 | 1 | 1 | 1 | 0.00500 | 0.00500 | 0 | 0 | 1 |
| C | 0 | 1 | 1 | 1 | 1 | 1 | 0.00900 | 0.00900 | 0 | 0 | 1 |
| D | 0 | 1 | 1 | 1 | 1 | 1 | 0.00200 | 0.00200 | 0 | 0 | 1 |
Form990 Schedule K Part IV Form990ScheduleKPartIV (4 entries)
| Bond ReferenceBondReferenceCd | Form8038 T FiledForm8038TFiled | Rebate Not Due YetRebateNotDueYet | Exception To RebateExceptionToRebate | No Rebate DueNoRebateDue | Variable Rate IssueVariableRateIssue | Hedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecds | Gross Proceeds Invested In GICGrossProceedsInvestedInGIC | Gross Proceeds InvestedGrossProceedsInvested | Written Proc To Monitor ReqsWrittenProcToMonitorReqs |
|---|---|---|---|---|---|---|---|---|---|
| A | 0 | 1 | 1 | 0 | 1 | 0 | 0 | 0 | 1 |
| B | 0 | 1 | 1 | 0 | 1 | 0 | 0 | 0 | 1 |
| C | 0 | 1 | 1 | 0 | 1 | 0 | 0 | 0 | 1 |
| D | 0 | 1 | 1 | 0 | 1 | 0 | 0 | 0 | 1 |
Form990 Schedule K Part V Form990ScheduleKPartV (4 entries)
| Bond ReferenceBondReferenceCd | Proc To Undertk Corrective ActionProcToUndertkCorrectiveAction |
|---|---|
| A | 1 |
| B | 1 |
| C | 1 |
| D | 1 |
Schedule L IRS990ScheduleL
Form990 Schedule L Part IV Form990ScheduleLPartIV (4 entries)
| RelationshipRelationship | Amount Of TransactionAmountOfTransaction | Description Of TransactionDescriptionOfTransaction | Sharing Of RevenuesSharingOfRevenues |
|---|---|---|---|
| Linda Knutson | |||
| Family of board member | 50059 | Employee Compensation | 0 |
| Jenola Bradwell | |||
| Family of board member | 62434 | Employee Compensation | 0 |
| Karen Tilstra | |||
| Family of key employee | 113530 | Consulting | 0 |
| Clifton Scott | |||
| Family of board member | 58270 | Employee Compensation | 0 |
Schedule M IRS990ScheduleM
Real Estate Commercial RealEstateCommercial
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | X | NonCashCheckbox |
| Number Of Contributions | 1 | NumberOfContributions |
| Noncash Contribs Rptd F990 | 0 | NoncashContribsRptdF990 |
Other Non Cash Contributions Table OtherNonCashContributionsTable
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | X | NonCashCheckbox |
| Description | Medical Equipment | Description |
| Number Of Contributions | 2 | NumberOfContributions |
| Noncash Contribs Rptd F990 | 12368 | NoncashContribsRptdF990 |
| Method Of Determining Revenues | Cost of donated property | MethodOfDeterminingRevenues |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of8283 Received | 0 | NumberOf8283Received |
| Any Property That Must Be Held | 0 | AnyPropertyThatMustBeHeld |
| Review Process Unusual NC Gifts | 0 | ReviewProcessUnusualNCGifts |
| Third Parties Used | 1 | ThirdPartiesUsed |
Form990 Schedule M Part II Form990ScheduleMPartII (2 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| Third Party Use: | Part I, Line 32b: | The filing organization's supporting foundations conduct fund-raising activities on behalf of the filing organization, generally including the soliciting, processing, and selling of non-cash contributions. |
| Non Reporting of Revenue: | Part I, Line 33: | Pursuant to the filing organization's Net Assets Accounting Policy, gifts of significant donated property are recorded by the filing organization to the unrestricted net assets (equity) account. Accordingly, donated property (such as furniture and fixtures) are recorded directly to equity accounts and are not recorded in the income statement. |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (11 entries)
| Return ReferenceReturnReference | ExplanationExplanation | IdentifierIdentifier |
|---|---|---|
| Form 990, Part VI, Section A, line 2 | Lars Houmann and Terry Owen - Family Relationship | |
| Form 990, Part VI, Section A, line 6 | Adventist Health System/Sunbelt, Inc. (the filing organization) has one member. The sole member of the filing organization is Adventist Health System Sunbelt Healthcare Corporation. Adventist Health System Sunbelt Healthcare Corporation (AHSSHC) 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 AHSSHC. The Board of Directors of the filing organization are appointed by the sole member, AHSSHC, 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 | AHSSHC, 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 approve and disapprove the operating 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 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 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 top-tier parent of the filing organization 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 the CEO, CFO or key employees of the filing organization are compensated by AHSSHC. Compensation and benefits provided to these individuals is 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 19 | As 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. | |
| Part VII, Section A | For those Board of Director members 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 for Don Jernigan, Lars Houmann, Richard Reiner, and Terry Shaw, were provided in conjunction with that person's responsibilities and roles in serving in an executive leadership position within Adventist Health System (AHS). Don Jernigan, Richard Reiner,and Terry Shaw devote approximately 50 hours per week in conjunction with serving in their respective executive leadership position within AHS. Lars Houmann devotes approximately 35 hours a week to the filing organization and the remainder of time is devoted to his leadership position within AHS. | Columns (E) & (F) |
| Form 990, Part XI, line 9: | Transfer to tax-exempt affiliates -52,239,627. Transfer to tax-exempt parent -15,672,193. Donated Property 3,150,375. Income on restricted fund balance 14,767. SWAP loss amortization 3,696,663. Allocations from Tax-exempt Parent with respect to Debt 78,693,889. Transfer for expenses -933,752. Gifts 4,766,891. Other -135,536. Interest in Foundation 343,277. Net assets received upon transfer of membership interest in THH (51%) 27,900,000. Investment in Texas Health Huguley (49%) 32,915,860. Transfer of assets to Texas Health Huguley -54,111,672. Transfer of permanently restricted to Texas Health Huguley -1,413,027. Transfer from Restricted 10,160. Partnership income recorded for tax 87,318. Rounding 1. | Changes in Net Assets or Fund Balances: |
| 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. | Savings and temporary cash investments |
Schedule R IRS990ScheduleR
Form990 Schedule R Part I Form990ScheduleRPartI
Name Of Disregarded Entity NameOfDisregardedEntity
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Florida Radiology Imaging at Lake Mary LLC | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 875 Concourse Parkway 150 | AddressLine1 |
| City | Maitland | City |
| State | FL | State |
| ZIP Code | 32751 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 550789387 | EIN |
| Primary Activities | Imaging & Testing | PrimaryActivities |
| Legal Domicile State | FL | LegalDomicileState |
| Total Income | 16835998 | TotalIncome |
| EOY Assets | 7551380 | EOYAssets |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Adventist Health SystemSunbelt Inc | BusinessNameLine1 |
Form990 Schedule R Part II Form990ScheduleRPartII (107 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Public Charity StatusPublicCharityStatus | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Controlled OrgControlledOrg | Direct Controlling Entity NADirectControllingEntityNA |
|---|---|---|---|---|---|---|---|---|---|---|---|
| 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 | 1 | |
| Adventist Care Centers - Courtland Inc | |||||||||||
| 730 Courtland Street | Orlando | FL | 32804 | 205774723 | Operation of Home for the Aged/Hlthcare Delivery | FL | 501(c)(3) | 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 | 1 | |
| 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 | 1 | |
| 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 | 0 | |
| 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 | 1 | |
| Adventist University of Health Sciences Inc (630 Year End) | |||||||||||
| 671 Lake Winyah Drive | Orlando | FL | 32803 | 593069793 | Education/Operation of School | FL | 501(c)(3) | 170(b)(1)(A)(ii) | Adventist Hlth SystemSunbelt Inc | 1 | |
| 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 | 1 | |
| 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 | 1 | |
| 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 | 1 | |
| 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 | 1 | |
| 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 | 1 | |
| 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 | 1 | |
| 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 | 1 | |
| 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 | 1 | |
| Foundation for Shawnee Mission Medical Center Inc | |||||||||||
| 9100 W 74th Street | Shawnee Mission | KS | 66204 | 480868859 | Fund-raising for Tax-exempt hospital | KS | 501(c)(3) | 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 | 1 | |
| 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 | 1 | |
| 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 | 1 | |
| Specialty Physicians of Central Texas Inc | |||||||||||
| 1301 Wonder World Drive | San Marcos | TX | 78666 | 208814408 | Physician Hlthcare services to the community | TX | 501(c)(3) | 170(b)(1)(A)(iii) | Adventist Hlth SystemSunbelt Inc | 1 | |
| Spring View Hlth & Rehab Center Inc | |||||||||||
| 718 Goodwin Lane | Leitchfield | KY | 42754 | 205782288 | Operation of Home for the Aged/Hlthcare Delivery | KY | 501(c)(3) | 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 | 1 | |
| The Volunteer Auxiliary of Florida Hospital - Flagler Inc | |||||||||||
| 60 Memorial Medical Parkway | Palm Coast | FL | 32164 | 592486582 | Volunteer support services | FL | 501(c)(3) | 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 | |
Form990 Schedule R Part III Form990ScheduleRPartIII (9 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivityPrimaryActivity | Legal Domicile StateLegalDomicileState | Direct Controlling Entity NADirectControllingEntityNA | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Predominant Income TypePredominantIncomeType | Share Of Total IncomeShareOfTotalIncome | Disproportionate AllocationsDisproportionateAllocations | General Or Managing PartnerGeneralOrManagingPartner | Percentage OwnershipPercentageOwnership |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 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 | Adventist Hlth SysSunbeltIncdba Huguley Mem Med Ctr | Unrelated | 147276 | 0 | 0 | 0.64100 | |
| 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 | ||||||
Form990 Schedule R Part IV Form990ScheduleRPartIV (30 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivityPrimaryActivity | Legal Domicile StateLegalDomicileState | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Type Of EntityTypeOfEntity | Share Of Total IncomeShareOfTotalIncome | Share Of EOY AssetsShareOfEOYAssets | Percentage OwnershipPercentageOwnership | Controlled OrgControlledOrg | Direct Controlling Entity NADirectControllingEntityNA | Address Line1AddressForeign/AddressLine1 | Province Or StateAddressForeign/ProvinceOrState | CountryAddressForeign/Country | Legal Domicile Foreign CountryLegalDomicileForeignCountry |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Altamonte Medical Plaza Condominium Association Inc | |||||||||||||||||
| 601 East Rollins Street | Orlando | FL | 32803 | 592855792 | Condo Association | FL | Adventist Hlth SystemSunbelt Inc | C | 119895 | 52012 | 0.58000 | 1 | |||||
| Apopka Medical Plaza Condominium Association Inc | |||||||||||||||||
| 601 East Rollins Street | Orlando | FL | 32803 | 593000857 | Condo Association | FL | Adventist Hlth SystemSunbelt Inc | C | 27833 | 10789 | 0.89000 | 1 | |||||
| Arapahoe Medical Building I Inc (7111-12512) | |||||||||||||||||
| 2525 S Downing Street | Denver | CO | 80210 | 841574506 | Real Estate Leasing | CO | C | 0 | N/A | ||||||||
| Arapahoe Medical Building II Inc (7111-12512) | |||||||||||||||||
| 2525 S Downing Street | Denver | CO | 80210 | 841574507 | Real Estate Leasing | CO | C | 0 | N/A | ||||||||
| CC MOB Inc | |||||||||||||||||
| 2201 S Clear Creek Road | Killeen | TX | 76549 | 742616875 | Real Estate Rental | TX | C | 0 | N/A | ||||||||
| Central Texas Medical Associates | |||||||||||||||||
| 1301 Wonder World Drive | San Marcos | TX | 78666 | 742729873 | Physician Clinics | TX | Adventist Hlth SystemSunbelt Inc | C | 1.00000 | 1 | |||||||
| Central Texas Provider's Network | |||||||||||||||||
| 1301 Wonder World Drive | San Marcos | TX | 78666 | 742827652 | Physician Hospital Org. | TX | Adventist Hlth SystemSunbelt Inc | C | 33805 | 124202 | 1.00000 | 1 | |||||
| Florida Hospital Flagler Medical Offices Association Inc | |||||||||||||||||
| 60 Memorial Medical Parkway | Palm Coast | FL | 32164 | 262158309 | Condo Association | FL | C | 0 | N/A | ||||||||
| Florida Hospital Healthcare System Inc | |||||||||||||||||
| 602 Courtland Street | Orlando | FL | 32804 | 593215680 | PHO/TPA | FL | Adventist Hlth SystemSunbelt Inc | C | 133626876 | 50877327 | 1.00000 | 1 | |||||
| Florida Hospital Wesley Chapel Inc (11-51512) | |||||||||||||||||
| 900 Hope Way | Altamonte Springs | FL | 32714 | 203965753 | Inactive | FL | C | 0 | N/A | ||||||||
| Florida Medical Plaza Condo Association Inc | |||||||||||||||||
| 601 East Rollins Street | Orlando | FL | 32803 | 592855791 | Condo Association | FL | Adventist Hlth SystemSunbelt Inc | C | 530818 | 33376 | 0.78000 | 1 | |||||
| Florida Memorial Health Network Inc | |||||||||||||||||
| 770 W Granada Blvd Ste 317 | Ormond Beach | FL | 32174 | 593403558 | Physician Hospital Org. | FL | C | 0 | N/A | ||||||||
| Harvard Park East Inc (7111-12512) | |||||||||||||||||
| 2525 S Downing Street | Denver | CO | 80210 | 841574365 | Real Estate Leasing | CO | C | 0 | N/A | ||||||||
| Helen Ellis Memorial Hospital Real Estate Corp (11-101912) | |||||||||||||||||
| 1395 S Pinellas Ave | Tarpon Springs | FL | 34689 | 593375731 | Real Estate Rental | FL | C | 0 | N/A | ||||||||
| Huguley Alliance Foundation | |||||||||||||||||
| 11801 South Freeway | Fort Worth | TX | 76115 | 752642209 | Inactive | TX | Adventist Hlth SystemSunbelt Inc | C | 136191 | 1.00000 | 1 | ||||||
| Huguley Medical Associates Inc (11-43012) | |||||||||||||||||
| 11801 South Freeway | Burleson | TX | 76028 | 752547668 | Physician Clinics | TX | Adventist Hlth SystemSunbelt Inc | C | 12908443 | 503254 | 1.00000 | 1 | |||||
| Kissimmee Multispecialty Clinic Condominium Association Inc | |||||||||||||||||
| 201 Hilda Street Suite 30 | Kissimmee | FL | 34741 | 593539564 | Condo Association | FL | Adventist Hlth SystemSunbelt Inc | C | 43474 | 29979 | 0.54400 | 1 | |||||
| Midwest Management Services Inc | |||||||||||||||||
| 9100 West 74th Street | Shawnee Mission | KS | 66204 | 480901551 | Real Estate Rental | KS | C | 0 | N/A | ||||||||
| Metroplex Adventist Hospital CRNA | |||||||||||||||||
| 2201 S Clear Creek Road | Killeen | TX | 76549 | 260760794 | Support hospital - provide allied health professionals | TX | C | 0 | N/A | ||||||||
| North American Health Services Inc & Subs | |||||||||||||||||
| 111 N Orlando Avenue | Winter Park | FL | 32789 | 621041820 | Lessor/Holding Co. | TN | C | 0 | N/A | ||||||||
| Ormond Professional Condo Association (430 Year End) | |||||||||||||||||
| 770 W Granada Blvd Ste 101 | Ormond Beach | FL | 32174 | 592694434 | Condo Association | FL | C | 0 | N/A | ||||||||
| Park Ridge Property Owner's Association Inc | |||||||||||||||||
| 1 Park Place Naples Road | Fletcher | NC | 28732 | 030380531 | Condo Association | NC | C | 0 | N/A | ||||||||
| Porter Affiliated Hlth Services Inc dba Diversified Affiliated Hlth Svcs | |||||||||||||||||
| 2525 S Downing Street | Denver | CO | 80210 | 840956175 | Healthcare Services | CO | C | 0 | N/A | ||||||||
| Porter Medical Plaza Inc (7111-12512) | |||||||||||||||||
| 2525 S Downing Street | Denver | CO | 80210 | 841574369 | Real Estate Leasing | CO | C | 0 | N/A | ||||||||
| San Marcos Regional MRI Inc | |||||||||||||||||
| 1301 Wonder World Drive | San Marcos | TX | 78666 | 770597968 | Holding Company | TX | Adventist Hlth SystemSunbelt Inc | C | 3021 | 7348 | 1.00000 | 1 | |||||
| The Garden Retirement Community Inc | |||||||||||||||||
| 602 Courtland Street Ste 200 | Orlando | FL | 32804 | 593414055 | Real Estate Rental | FL | C | 0 | N/A | ||||||||
| University Community Health Insurance Company SPC Ltd | |||||||||||||||||
| Captive Insurance | C | 0 | N/A | 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 | C | 0 | N/A | ||||||||
| West Coast Medical Group Inc (11-101912) | |||||||||||||||||
| 1395 S Pinellas Ave | Tarpon Springs | FL | 34689 | 593537305 | Physician Clinics | FL | C | 0 | N/A | ||||||||
| Winter Park Medical Office Building I Condo Assoc Inc | |||||||||||||||||
| 200 Lakemont Ave | Winter Park | FL | 32792 | 452228478 | Physician Clinics | FL | Adventist Hlth SystemSunbelt Inc | C | 137632 | 3722 | 0.52000 | 1 | |||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | 1 | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | 1 | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | 1 | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | 0 | LoansOrGuaranteesFromOtherOrg |
| Dividends Related Organization | 0 | DividendsRelatedOrganization |
| Sale Of Assets To Other Org | 0 | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | 1 | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | 0 | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | 1 | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | 1 | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | 1 | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | 1 | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | 0 | SharingOfFacilities |
| Sharing Of Paid Employees | 0 | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | 1 | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | 1 | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | 1 | OtherTransferToOtherOrg |
| Other Transfer From Other Org | 1 | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable (86 entries)
| Transaction TypeTransactionType | Amount InvolvedAmountInvolved | Method Of Amt DeterminationMethodOfAmtDetermination |
|---|---|---|
| Adventist Health System Sunbelt Healthcare Corporation | ||
| B | 15672193 | Actual Amount Given |
| Adventist Health System Sunbelt Healthcare Corporation | ||
| M | 21632553 | % of Facility's Operating Exp |
| Adventist Health System Sunbelt Healthcare Corporation dba AHSIS | ||
| M | 19481435 | % of Facility's Operating Exp |
| Adventist Health System Sunbelt Healthcare Corporation | ||
| P | 138787765 | Cost |
| Adventist Health System Sunbelt Healthcare Corporation | ||
| Q | 1500000 | Cost |
| Adventist Health System Sunbelt Healthcare Corp dba Sunbelt Medical Mgmt | ||
| J | 84791 | Cost |
| Adventist Health System Sunbelt Healthcare Corp dba Sunbelt Medical Mgmt | ||
| P | 290947 | Cost |
| Adventist Health System Sunbelt Healthcare Corp dba Sunbelt Medical Mgmt | ||
| Q | 325814 | Cost |
| Adventist Bolingbrook Hospital | ||
| L | 988040 | Cost |
| Adventist Bolingbrook Hospital | ||
| P | 127858 | Cost |
| Adventist Bolingbrook Hospital | ||
| Q | 80095 | Cost |
| Adventist Care Centers Courtland Inc | ||
| B | 218100 | Actual Amount Given |
| Adventist GlenOaks Hospital | ||
| L | 1727393 | Cost |
| Adventist GlenOaks Hospital | ||
| Q | 85877 | Cost |
| Adventist Health Partners Inc | ||
| J | 124244 | FMV Rental Rate |
| Adventist Health Partners Inc | ||
| L | 499753 | Cost |
| Adventist Health Partners Inc | ||
| P | 2088736 | Cost |
| Adventist Health System Georgia Inc | ||
| L | 1085752 | Cost |
| Adventist Hinsdale Hospital | ||
| L | 1509050 | Cost |
| Adventist Hinsdale Hospital | ||
| P | 23544882 | Cost |
| Adventist Hinsdale Hospital | ||
| Q | 5577417 | Cost |
| Adventist University of Health Sciences | ||
| J | 2199732 | Cost |
| Adventist University of Health Sciences | ||
| M | 4670391 | Cost |
| Adventist University of Health Sciences | ||
| P | 557018 | Cost |
| Adventist University of Health Sciences | ||
| Q | 15927668 | Cost |
| AHS Midwest Management Inc | ||
| B | 4215557 | Actual Amount Given |
| AHS Midwest Management Inc | ||
| P | 218108 | Cost |
| AHSCentral Texas Inc | ||
| K | 121497 | Cost |
| AHSTexas Inc | ||
| R | 1967751 | Cost |
| Central Texas Healthcare Collaborative | ||
| B | 1047149 | Actual Amount Given |
| Central Texas Medical Center Foundation | ||
| B | 77441 | Actual Amount Given |
| Central Texas Medical Center Foundation | ||
| C | 787188 | Actual Amount Received |
| Central Texas Providers Network | ||
| Q | 74140 | Cost |
| East Orlando Health & Rehab Center Inc | ||
| B | 1404864 | Actual Amount Given |
| East Orlando Health & Rehab Center Inc | ||
| Q | 104211 | Cost |
| Emory-Adventist Inc | ||
| A | 657618 | FMV Interest Rate |
| Emory-Adventist Inc | ||
| S | 950400 | Principal Loan Amount |
| Fletcher Hospital Inc | ||
| L | 1059179 | Cost |
| FLNC Inc | ||
| B | 2199240 | Actual Amount Given |
| Florida Hospital Healthcare System Inc | ||
| A | 246586 | FMV Rental Rate |
| Florida Hospital Healthcare System Inc | ||
| M | 101686024 | Claims Reimb Plus FMV Fee |
| Florida Hospital Healthcare System Inc | ||
| Q | 8613458 | Cost |
| Florida Hospital Medical Group Inc | ||
| J | 4605221 | FMV Rental Rate |
| Florida Hospital Medical Group Inc | ||
| K | 357887 | Cost |
| Florida Hospital Medical Group Inc | ||
| L | 796341 | Cost |
| Florida Hospital Medical Group Inc | ||
| M | 47977172 | Cost Plus Appropriate % |
| Florida Hospital Medical Group Inc | ||
| P | 5189070 | Cost |
| Florida Hospital Medical Group Inc | ||
| Q | 6759944 | Cost |
| Florida Hospital Waterman Inc | ||
| B | 257365 | Actual Amount Given |
| Florida Hospital Waterman Inc | ||
| L | 2135272 | Cost |
| Florida Hospital Waterman Inc | ||
| Q | 205674 | Cost |
| Florida Hospital Zephyrhills Inc | ||
| L | 1673525 | Cost |
| Florida Hospital Zephyrhills Inc | ||
| P | 84574 | Cost |
| Huguley Medical Associates Inc | ||
| A | 198030 | FMV Rental Rate |
| Huguley Medical Associates Inc | ||
| Q | 72184 | Cost |
| Huguley Medical Associates Inc | ||
| R | 3260529 | Cost |
| Jellico Community Hospital Inc | ||
| L | 1117833 | Cost |
| Johnson County Community Care Corporation | ||
| B | 519514 | Actual Amount Given |
| La Grange Memorial Hospital Foundation | ||
| B | 293533 | Actual Amount Given |
| La Grange Memorial Hospital Foundation | ||
| C | 1103350 | Actual Amount Received |
| Memorial Health Systems Inc | ||
| C | 410000 | Actual Amount Received |
| Memorial Health Systems Inc | ||
| L | 2032416 | Cost |
| Memorial Health Systems Inc | ||
| P | 1455172 | Cost |
| Memorial Health Systems Inc | ||
| Q | 103212 | Cost |
| Memorial Hospital - Flagler Inc | ||
| L | 1618763 | Cost |
| Memorial Hospital - Flagler Inc | ||
| Q | 66777 | Cost |
| Memorial Hospital - West Volusia Inc | ||
| L | 1791904 | Cost |
| Memorial Hospital - West Volusia Inc | ||
| Q | 135371 | Cost |
| Memorial Hospital Inc | ||
| L | 1377211 | Cost |
| Metroplex Adventist Hospital Inc | ||
| Q | 284844 | Cost |
| Princeton Professional Services Inc | ||
| J | 232774 | Cost Plus Appropriate Margin |
| Shawnee Mission Medical Center Inc | ||
| L | 1699427 | Cost |
| South Central Nursing Homes Inc | ||
| C | 2500000 | Actual Amount Received |
| Southwest Volusia Healthcare Corporation | ||
| L | 1746955 | Cost |
| Southwest Volusia Healthcare Corporation | ||
| Q | 170597 | Cost |
| Specialty Physicians of Central Texas Inc | ||
| B | 2000000 | Actual Amount Given |
| Specialty Physicians of Central Texas Inc | ||
| Q | 935853 | Cost |
| Sunbelt Health & Rehab Center Apopka Inc | ||
| B | 450000 | Actual Amount Given |
| Sunbelt Health Care Centers Inc | ||
| J | 293561 | Cost |
| Sunsystem Development Corporation | ||
| B | 4845715 | Actual Amount Given |
| Sunsystem Development Corporation | ||
| C | 6264728 | Actual Amount Received |
| Sunsystem Development Corporation | ||
| Q | 2965843 | Cost |
| Sunsystem Development Corporation | ||
| R | 4969235 | Cost |
| Tarpon Springs Hospital Foundation | ||
| L | 68998 | Cost |
| University Community Hospital Inc | ||
| L | 3778411 | Cost |
| University Community Hospital Inc | ||
| Q | 54946 | Cost |
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