2012-11-15T16:40:15-06:00 2011-12-31 990 2011-01-01 591479658 Adventist Health SystemSunbelt Inc ADVE 4073572419 900 Hope Way Altamonte Springs FL 32714 Lynn C Addiscott 4079751492 2012-11-15 2011 2016-02-24 21:20:13Z X Donald Jernigan 900 Hope Way Altamonte Springs FL 32714 2940736739 0 1071 X www.adventisthealthsystem.com X 1973 FL Operation of 13 acute-care hospitals & related healthcare services. 25 16 25567 4172 12059731 591112 5775084 6313788 2826917153 2899300597 46693287 25573839 3958813 5264364 2883344337 2936452588 18737315 14980749 0 0 1231652609 1350533428 0 0 0 1430100808 1348234659 2680490732 2713748836 202853605 222703752 5892298669 5913996141 4109543275 3954358511 1782755394 1959637630 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. 0 0 2517507776 14980749 2889311006 Operation of 13 acute care hospitals with 157,810 patient admissions and 742,527 patient days 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. 2517507776 1 1 0 1 0 0 1 0 0 1 1 0 0 1 1 1 0 1 0 0 1 1 0 0 1 0 1 1 1 0 1 1 0 1 0 0 0 0 0 0 1 0 1 0 0 0 1 1 1 1 0 0 1 2131 0 1 25567 1 1 1 0 0 0 0 0 0 0 0 0 X 25 16 1 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 1 1 IL X Terry Shaw 4073572463 900 Hope Way Altamonte Springs FL 32714 X Carlson Ronald 1.00 X 0 1802 0 Cauley Michael F 1.00 X 0 1802 0 Cazeau Rosemarie 1.00 X 0 1802 0 Craig Carlos 1.00 X 0 650 0 Davidson James 1.00 X 0 2552 0 Denslow Kenneth A 1.00 X 0 1152 0 Green Samuel L 1.00 X 0 2915 0 Griffith Jr Buford 1.00 X 0 750 0 Grove Rodney A 1.00 X 0 3865 0 Hagele Elaine 1.00 X 0 3865 0 Hayes Alta Sue 1.00 X 0 1802 0 Holley Leighton R 1.00 X 0 1152 0 Houmann Lars D 40.00 X 0 1610483 225465 Jernigan PhD Donald L 1.00 X X 0 1868283 115854 Johnson MD Mark 1.00 X 0 1802 0 Knutson J Deryl 1.00 X 0 3865 0 Lemon Thomas L 1.00 X 0 3865 0 Livesay Donald 1.00 X 0 3865 0 Moore Larry R 1.00 X 0 1600 0 Morel Hubert 1.00 X 0 1802 0 Pichette Ray 1.00 X 0 650 0 Reiner Richard 1.00 X 0 1693089 58944 Retzer Gordon 1.00 X 0 3115 0 Robinson Randy 1.00 X 0 3865 0 Scott Glynn C 1.00 X 0 3865 0 Shaw Terry 1.00 X X 0 2966896 224228 Smith PhD Ron C 1.00 X 0 3865 0 Trevino Max A 1.00 X 0 6115 0 Valentine III Maurice 1.00 X 0 1600 0 Werner Thomas L 1.00 X 0 6129 11249 Banks David P 50.00 X 2036 671695 130368 Cummings Jr Desmond 50.00 X 0 753821 35832 Dodds Sheryl D 50.00 X 822 453141 53663 Fulbright Robert D 50.00 X 1872 443920 74996 Goodman Todd 50.00 X 0 425529 90678 Hilliard Douglas W 50.00 X 0 421297 77341 Hurst Jeffery D 50.00 X 0 397091 49103 Moorhead MD John D 50.00 X 0 676510 111090 Owen Terry R 50.00 X 1813 713078 83676 Paradis J Brian 50.00 X 2033 882330 169847 Reed Monica 50.00 X 2145 597958 111104 Soler Eddie 50.00 X 0 765097 135198 Lee MD Kathy 50.00 X 983021 0 28584 Torres MD Ramon M 50.00 X 732146 0 27892 Czerska MD Barbara 50.00 X 680480 0 20623 Eubanks Jr MD William Stephen 50.00 X 672642 0 28742 HuddlestonHeather Adrian 50.00 X 812494 0 1435 Bowls Bonnie L 40.00 X 0 355156 48219 Grim-Marcarelli Karen 50.00 X 0 420563 43549 Hamilton Connie A 50.00 X 454 426414 76136 Herrin Arlene 50.00 X 0 304902 51742 3891958 16917365 2085558 1035 1 1 0 BRASFIELD & GORRIE LLC 200 COLONIAL CENTER PWY STE LAKE MARY FL 32746 Construction Services 60279069 CERNER CORP PO BOX 410451 KANSAS CITY MO 64141 Technology solutions support 10736568 BARTON MALOW COMPANY 5337 MILLENIA LAKES BLVD ORLANDO FL 32839 Construction Services 8224105 CROTHALL HEALTHCARE 13028 COLLECTION CTR CHICAGO IL 60693 Housekeeping Services 4422586 Hardee Services of Rehab Inc 1330 Hwy 17 South Wauchula FL 33873 Physical Therapy 3852147 487 112951 3678131 1634325 888381 272741 6313788 Patient Revenue 900099 2827473851 2817856510 9617341 Management Fee 900099 23933678 23933678 Cafeteria/Vending Rev. 900099 18659193 18232385 426808 Research 541700 4966125 4966125 Fitness Revenue 713940 4758653 4201310 557343 19509097 18778086 731011 2899300597 13360818 13360818 2335372 2335372 553965 553965 4564083 229817 1389020 697 3175063 229120 3404183 727228 2676955 9333207 3331542 0 2787100 9333207 544442 9877649 9877649 70638 112951 107334 -36696 -36696 Equity earnings from r 900099 1533264 1533264 Investment in Subs 900099 -190352 -190352 1342912 2936452588 2889311006 12059731 28768063 14915837 14915837 64912 64912 10171032 10171032 989086993 967173574 21913419 36169776 35320664 849112 238661891 224580921 14080970 76443736 74611057 1832679 4257833 4257833 576019 576019 250856941 193521941 57335000 19190552 19190552 93665996 70456275 23209721 22968583 19124662 3843921 55214182 55044902 169280 6035318 2890552 3144766 1296645 745485 551160 78464095 62920509 15543586 156534559 156534559 34973665 36385987 -1412322 Medical Supplies 478868326 478868326 Repairs/Maintenance 68052437 68052437 Assessments 31627460 31627460 UBI Tax 409951 409951 45242097 24257765 20984332 2713748836 2517507776 196241060 0 95639 99490 1392112401 1458843277 360121552 370664906 58417644 69068975 15175721 15053517 3375544200 1601917173 1679422987 1773627027 277751895 277876782 12031039 11840997 2097169791 1936921170 5892298669 5913996141 190473193 195866090 3703849999 3588586470 215220083 169905951 4109543275 3954358511 X 1775070404 1956618834 7684990 3018796 1782755394 1959637630 5892298669 5913996141 X 222703752 -45821516 X 0 1 1 X 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 1 0 1 11565 0 0 0 1 12570 1 505680 529815 0 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 $338,549 during the year. Additionaly, dues were paid to the American Hospital Association, Florida Hospital Association, Illinois Hospital Association and the Texas Hospital Association who use a portion of the dues to conduct lobbying activities. Part IV, Supplemental Information: Part II-B 1(b) During 2011 salary expense of $15,666 was incurred for paid staff engaged in lobbying activities. X 0 1 0 0.00 0 15221113 121143 753535 365254 15730537 14810178 30263 720592 339920 15221113 14077615 57189 696088 117114 -96400 14810178 3027408 79953 233695 2873666 0.80410 0.19590 0.00000 0 1 1 176328522 176328522 1261691167 500775212 760915955 1791051735 1044928071 746123664 146472776 56213890 90258886 1773627027 Funds Held in Trust 23506277 Other Current Receivables 9560022 Due From Related Parties and Affiliates 45425506 Donor Restricted Assets 1496690 Deferred Charges and Costs 23829484 Long-term Investments 31846833 Other Non-Current Assets 11767528 Receivable - Interco Alloc of Tax-Exempt Bond Proceeds 1789488830 1936921170 Accounts Receivable - Credit Balances 8444039 Payable to Third Party 43817541 Due to Related-Affiliated Entities 15753369 Other Current Liabilities 6945379 Other Non-Current Liabilities 80123103 Notes and Loans Payable - Current 5741829 Leases Payable 9080691 169905951 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 2011 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 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: The filing organization is a subsidiary organization within Adventist Health System (AHS). The consolidated financial statements of AHS contain the following FIN 48 footnote - 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. 1 Central America and the Caribbean 0 0 Program Services Donation of equipment and supplies to God's Helping Hands Ministry in Guatemala (value for customs purposes) 6036 Central America and the Caribbean 0 0 Program Services Environmental Services trip to Haiti and donation of shoes for EVS staff 8667 Central America and the Caribbean 0 0 Program Services Facilities evaluation in Jamaica and FH representation. 2932 Central America and the Caribbean 0 0 Program Services Donation of equipment and supplies to Andrews Memorial Hospital, Kingston, Jamaica (value for customs purposes) 13218 Central America and the Caribbean 0 0 Program Services Travel expense for mission trips 5244 Central America and the Caribbean 0 0 Program Services Mission Trips Environmental SVC/Infection Control 6662 Central America and the Caribbean 0 0 Program Services FootPrint- Meetings with sister hospital 8572 Central America and the Caribbean 0 0 Program Services Educational and Recruiting - Conferences 1795 Central America and the Caribbean 0 0 Program Services Educational and Recruiting - Reaching communites and broaden relationships 1991 Central America and the Caribbean 0 0 Program Services Physical Therapy 10041 Central America and the Caribbean 0 0 Program Services Environmental svcs/Infection Control 9966 East Asia and the Pacific 0 0 Program Services Educational and Recruiting - Conferences 15988 Europe (including Iceland and Greenland) 0 0 Program Services Educational and Recruiting - Conferences 22143 Middle East and North Africa 0 0 Program Services Donation of eye care equipment (autorefractor and other equipment) and portable ultrasound to Summit Clinic and Learning Village, Addis Ababa, Ethiopia 28658 Middle East and North Africa 0 0 Program Services Travel expense for mission trips 7915 Middle East and North Africa 0 0 Program Services Educational and Recruiting - Conferences 9658 Middle East and North Africa 0 0 Program Services Mission Trip: Ethiopia 7012 North America (includes Canada and Mexico, not U.S.) 0 0 Program Services Educational and Recruiting - Conferences 13722 North America (which includes Canada and Mexico, but not the U.S.) 0 0 Grantmaking 7000 North America (which includes Canada and Mexico, but not the U.S.) 0 0 Program Services Cleft Lip & Palate/Colposcopy 45165 South America 0 0 Program Services Donation of generator, hospital beds and other equipment to Good Hope Clinic, Lima, Peru (value for customs purposes) 10000 South America 0 0 Program Services Donation of chairs, beds and other materials to Adventist Clinic, Venezuela (value for customs purposes) 2692 South America 0 0 Program Services Educational and Recruiting - Conferences 8574 South America 0 0 Program Services Surgical mission trip to Juliaca and Lima, Peru 55886 South America 0 0 Program Services Cleft Lip & Palate 61422 South America 0 0 Program Services GYN Surgical and eye care 33062 0 0 0 0 0 0 53126 350895 404021 North America (which includes Canada and Mexico, but not the U.S.) Medical Supplies or Equipment 7000 Cash Payment Book Central America and the Caribbean Medical Supplies or Equipment 13218 Medical Supplies Book Central America and the Caribbean Medical Supplies or Equipment 6036 Medical Supplies Book Middle East and North Africa Medical Supplies or Equipment 28658 Medical Supplies Book South America Medical Supplies or Equipment 10000 Medical Equipment Book 4 1 0 0 0 0 0 0 Procedure for Monitoring Grants Outside the U.S.: 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. Crystal Heart Gala 183589 112951 70638 2000 43299 11580 50455 183589 112951 70638 2000 43299 11580 50455 107334 -36696 1 1 X 1 X 1 X 1 1 0 1 1 154952519 154952519 0.05710 418305917 292411495 125894422 0.04640 573258436 292411495 280846941 0.10350 12645413 239091 12406322 0.00460 40098714 11251421 28847293 0.01060 9058336 9041113 17223 0.00000 1313841 1234568 79273 0.00000 9203257 9203257 0.00340 72319561 21766193 50553368 0.01860 645577997 314177688 331400309 0.12210 10531573 4115221 6416352 0.00240 484217 12956 471261 0.00020 12908 12908 0.00000 11028698 4128177 6900521 0.00260 1 93843831 9352763 694894341 795619184 -100724843 X 1 1 1 Surgical Center at Sun'N Lake LLC Ambulatory Surgery 0.50000 0.00000 0.50000 2 San Marcos MRI LP Imaging Center 0.50000 0.00000 0.50000 3 Central Texas Ambulatory Endoscopy Endoscopy Center 0.18800 0.00000 0.81200 4 Huguley Surgery Center LLP OP Surgeries 0.64100 0.00000 0.35900 5 Surgery Management Associates of Kissimmee LLC Management/Admin 0.30000 0.00000 0.70000 6 Florida Hospital Kidney Stone Center LLC Lessor of Medical Equipment 0.40000 0.60000 13 1 Florida Hospital Orlando

601 E Rollins Street Orlando FL 32803

X X X X X X 2 Florida Hospital Altamonte

601 E Altamonte Drive Altamonte Springs FL 32701

X X X X 3 Florida Hospital Celebration Health

400 Celebration Place Celebration FL 34747

X X X X 4 Florida Hospital East Orlando

7727 Lake Underhill Drive Orlando FL 32822

X X X X 5 Winter Park Memorial Hospital

200 N Lakemont Avenue Winter Park FL 32822

X X X X 6 Adventist La Grange Memorial Hospital

5101 S Willow Springs Road La Grange IL 60525

X X X X 7 Huguley Memorial Medical Center

11801 South Freeway Fort Worth TX 76115

X X X Home Health Agency 8 FH Heartland Medical Center

4200 Sun N Lake Blvd Sebring FL 33872

X X X 9 Florida Hospital Kissimmee

2450 North Orange Blossom Trail Kissimmee FL 34741

X X X X 10 Central Texas Medical Center

1301 Wonder World Dr San Marcos TX 78666

X X X 11 Florida Hospital Apopka

201 N Park Avenue Apopka FL 32703

X X X X 12 FH Heartland Medical Center Lake Placid

1210 US 27 N Lake Placid FL 33852

X X X Inpatient Psych 13 Florida Hospital Wauchula

533 W Carlton Street Wauchula FL 33873

X X X X Skilled Nursing Florida Hospital Orlando 1 1 1 200.000000000000 1 400.000000000000 1 X X X X X X X 1 1 X X 1 0 1 X 0 0 Florida Hospital Altamonte 2 1 1 200.000000000000 1 400.000000000000 1 X X X X X X X 1 1 X X 1 0 1 X 0 0 Florida Hospital Celebration Health 3 1 1 200.000000000000 1 400.000000000000 1 X X X X X X X 1 1 X X 1 0 1 X 0 0 Florida Hospital East Orlando 4 1 1 200.000000000000 1 400.000000000000 1 X X X X X X X 1 1 X X 1 0 1 X 0 0 Winter Park Memorial Hospital 5 1 1 200.000000000000 1 400.000000000000 1 X X X X X X X 1 1 X X 1 0 1 X 0 0 Adventist La Grange Memorial Hospital 6 1 1 200.000000000000 1 400.000000000000 1 X X X X X X X 1 1 X X 1 0 1 X 0 0 Huguley Memorial Medical Center 7 1 1 200.000000000000 1 400.000000000000 1 X X X X X X X 1 1 X X 1 0 1 X 0 0 FH Heartland Medical Center 8 1 1 200.000000000000 1 400.000000000000 1 X X X X X X X 1 1 X X 1 0 1 X 0 0 Florida Hospital Kissimmee 9 1 1 200.000000000000 1 400.000000000000 1 X X X X X X X 1 1 X X 1 0 1 X 0 0 Central Texas Medical Center 10 1 1 200.000000000000 1 400.000000000000 1 X X X X X X X 1 1 X X 1 0 1 X 0 0 Florida Hospital Apopka 11 1 1 200.000000000000 1 400.000000000000 1 X X X X X X X 1 1 X X 1 0 1 X 0 0 FH Heartland Medical Center Lake Placid 12 1 1 200.000000000000 1 400.000000000000 1 X X X X X X X 1 1 X X 1 0 1 X 0 0 Florida Hospital Wauchula 13 1 1 200.000000000000 1 400.000000000000 1 X X X X X X X 1 1 X X 1 0 1 X 0 0 126 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 Altamonte Imaging Cente

661 E Altamonte Drive Suite 112 Altamonte Springs FL 32701

MRI/CT Florida Hospital Altamonte Imaging Cente

894 E Altamonte Drive Suite 1100 Altamonte Springs FL 32701

Radiology Services Florida Hospital Altamonte Pain Medicine

661 E Altamonte Drive Suite 328 Altamonte Springs FL 32701

Pain Medicine Florida Hospital Altamonte Mammography C

661 E Altamonte Drive Suite 130 Altamonte Springs FL 32701

Imaging Center Florida Hospital Rehabilitation & Sports

711 E Altamonte Drive Suite 200 Altamonte Springs FL 32701

Therapy Center 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 Care Center

2100 Glenwood Drive Winter Park FL 32792

Radiation Oncology Florida Hospital Altamonte Cancer Center

601 E Altamonte Drive Altamonte Springs FL 32701

Cancer Center Florida Hospital Cancer Institute - Kiss

1300 West Oak Street Kissimmee FL 34741

Cancer Center Florida Hospital Medical Plaza

2501 N Orange Avenue Orlando FL 32804

Physician Clinics La Grange Cancer Treatment Pavillion

1325 Memorial Dr La Grange IL 60525

Cancer Center/Wound Care Facility FRi Princeton

235 E Princeton Street Suite 100 Orlando FL 32804

Imaging Center Florida Hospital Kidney Stone Center

2501 N Orange Avenue Suite 121 Orlando FL 32804

Outpatient Services Florida Hospital Transplant Center

2415 N Orange Avenue Suite 700 Orlando FL 32804

Organ Tissue/Transplant Center Florida Hospital Advanced Nuclear Imagin

328 Spruce Street Orlando FL 32803

Radiology Services Florida Hospital Center for Behavioral H

501 E King Street 1st Floor Orlando FL 32803

Med/Psych Adventist Paulson Rehab - Willowbrook

619 Plainfield Road Willowbrook IL 60521

Rehabilitation Center FHCC - LAKE BUENA VISTA #2

12500 S Apopka Vineland Rd Orlando FL 32836

Urgent care Clinic Adventist La Grange Family Medical Cente

619 Plainfield Road Willowbrook IL 60521

Family Medical Center FRi Lake Mary

775 Primera Blvd Suite 1031 Lake Mary FL 32746

Imaging Center Loch Haven OBGyn Group

235 E Princeton Street Suite 200 Orlando FL 32804

Physician Clinics Florida Hospital Gamma Knife

2501 N Orange Ave Suite 101 S Orlando FL 32804

Gamma Knife Florida Hospital Surgery Center East Or

258 S Chickasaw Trail Suite 100 Orlando FL 32825

Outpatient Surgery FHCC - WATERFORD

250 N Alafaya Trail Suite 135 Orlando FL 32825

Urgent care Clinic Winter Park Memorial Hospital Women's Ce

1925 Mizell Ave Suites 100 105 107 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

8701 Maitland Summit Blvd Orlando FL 32810

Therapy Center Florida Hospital Rehabilitation & Sports

7975 Lake Underhill Drive Suite 300 34 Orlando FL 32822

Therapy Center Central Texas Ambulatory Endoscopy

1303 Wonder World DR San Marcos TX 78666

Endoscopy Services Florida Hospital Heartland Medical Cente

4638 Sun n Lake Blvd Sebring FL 33872

Outpatient Phys Clinic FRi Oviedo

8000 Red Bug Lake Road Suite 120 Oviedo FL 32765

Imaging Center FHCC - WINTER PARK

3099 Aloma Avenue Winter Park FL 32792

Urgent care Clinic FRi Waterford Lake

12301 Lake Underhill Rd Suite 113 Orlando FL 32828

Imaging Center Florida Hospital Heartland Medical Cente

1006 W Pleasant Street Avon Park FL 33825

Outpatient Phys Clinic Florida Hospital Heartland Medical Cente

2950 Alt US Highway 27 South Sebring FL 33870

Imaging Outpatient Ctr CTMC Hospice

1315 IH 35 North San Marcos TX 78666

Hospice services FHCC - WINTER GARDEN

3005 Daniels Road Winter Garden FL 34787

Urgent care Clinic FHCC - LEE ROAD

2540 Lee Road Winter Park FL 32789

Urgent care Clinic Florida Hospital Rehabilitation & Sports

400 Celebration Place Suite 200C Celebration FL 34747

Therapy Center FHCC - DR PHILLIPS

8014 Conroy-Windermere Rd Suite 104 Orlando FL 32835

Urgent care Clinic FHCC - RDV

8701 Maitland Summit Blvd Maitland FL 32810

Urgent care Clinic Florida Hospital Center for Thrombosis

2501 N Orange Avenue Suite 786 Orlando FL 32804

Thrombosis Center Family Health East Orlando Women's Pavil

7975 Lake Underhill Drive Suite 100 Orlando FL 32822

Women's Health Clinic Family Health Center Winter Park

2950 Aloma Ave Suite 100 Winter Park FL 32792

Physician Clinics, Medicine Specialists, Surgical Specialists FHCC - ALTAMONTE

440 W Highway 436 Altamonte Springs FL 32714

Urgent care Clinic FHCC - SAND LAKE

2301 Sand Lake Road Orlando FL 32809

Urgent care Clinic Surgical Center at Sun 'N Lake LLC

4240 Sun N Lake Blvd Ste 100 Sebring FL 33872

Outpatient Surgery FHCC - KISSIMMEE

4320 W Vine Street Kissimmee FL 34746

Urgent care Clinic Florida Hospital Center for Sleep Disord

501 E King Street 2nd Floor Orlando FL 32803

Sleep Disorder Center FHCC - HUNTERS CREEK

3293 Greenwald Way North Kissimmee FL 34741

Urgent care Clinic FHCC - FORMOSA GARDENS

7848 W Irlo Bronson Highway Kissimmee FL 34747

Urgent care Clinic FHCC - COLONIAL TOWN

630 North Bumby Ave Orlando FL 32803

Urgent care Clinic FHCC - OVIEDO

8010 Red Bug Road Oviedo FL 32765

Urgent care Clinic FHCC - CLERMONT

15701 State Road 50 Suite 101 Clermont FL 34711

Urgent care Clinic Medical Plaza - Florida Hospital Kissimm

201 Hilda Street Kissimmee FL 34741

Physician Clinics FHCC - AZALEA PARK

509 S Semoran Blvd Orlando FL 32807

Urgent care Clinic Florida Hospital Heartland Medical Cente

4409 Sun n Lake Blvd Suite E Sebring FL 33872

Outpatient Phys Clinic FHCC - MT DORA

9015 US Highway 441 Mount Dora FL 32757

Urgent care Clinic Florida Hospital Heartland Medical Cente

6325 US Highway 27 N Sebring FL 33870

Phys Therapy Center FHCC - CONWAY

5810 S Semoran Blvd Orlando FL 32822

Urgent care Clinic FHCC - LONGWOOD

855 S US Highway 17-92 Longwood FL 32750

Urgent care Clinic Florida Hospital Rehabilitation & Sports

8000 Red Bug Lake Road Suite 140 Oviedo FL 32765

Therapy Center Florida Hospital Sleep Disorder Center -

1925 Mizell Avenue Suite 200 Winter Park FL 32792

Sleep Center CTMC Home Health

2007 Medical Parkway San Marcos TX 78666

Home Health services Florida Hospital Wauchula Pioneer Medica

515 Carlton Street Wauchula FL 33873

Outpatient Phys Clinic Florida Hospital Heartland Medical Cente

4200 Sun n Lake Blvd Sebring FL 33872

Outpatient Phys Clinic San Marcos MRI LP

1330 Wonder World Dr San Marcos TX 78666

Imaging Services Florida Hospital Heartland Medical Cente

6325 US 27 North Suite 202 Sebring FL 33872

Outpatient Phys Clinic Florida Hospital Heartland Medical Cente

37 Ryant Blvd Sebring FL 33870

Outpatient Phys Clinic Family Health Center East

7975 Lake Underhill Drive Suite 200 Orlando FL 32822

Physician Clinics Florida Hospital Rehad and Sport Medicin

2005 Mizell Ave Winter Park FL 32792

Therapy Center Florida Hospital Rehab and Sports Medici

100 Waymont Court Suite 120 Lake Mary FL 32746

Therapy Center Florida Hospital Heartland Medical Cente

4240 Sun n Lake Blvd Sebring FL 33872

Outpatient Phys Clinic Florida Hospital Heartland Medical Cente

4143 Sun n Lake Blvd Sebring FL 33872

Wound Care & Hyperbaric Medicine Florida Hospital Diabetes Institute

2415 N Orange Ave Suite 501 Orlando FL 32804

Diabetes Celebration Hand Therapy

410 Celebration Place Suite 300 Celebration FL 34747

Therapy Center Florida Hospital Heartland Medical Cente

4301 Sun n Lake Blvd Suite103 Sebring FL 33872

Outpatient Phys Clinic CTMC Rehab Services

1340 Wonder World Dr San Marcos TX 78666

OP Rehab Services Florida Hospital Heartland Medical Cente

4421 Sun n Lake Blvd Suite B Sebring FL 33872

Outpatient Phys Clinic Florida Hospital Heartland Medical Cente

1210 US Highway 27 N Lake Placid FL 33852

Outpatient Phys Clinic Florida Hospital Rehabilitation & Sports

205 N Park Avenue Suite 110 Apopka FL 32703

Therapy Center Florida Hospital Heartland Medical Cente

4409 Sun n Lake Blvd Sebring FL 33870

Outpatient Phys Clinic FHCC - BHS

901 N Lake Destiny Road Suite 400 Maitland FL 32750

Onsite Services for Exposures, Occ Health, Integrated Disability FHCC - Onsite

901 N Lake Destiny Road Suite 400 Maitland FL 32750

Onsite Services Florida Hospital Rehabilitation and Spor

1603 S Hiawassee Road Orlando FL 32835

Therapy Center Florida Hospital Heartland Medical Cente

4301 Sun n Lake Blvd Sebring FL 33872

Sleep Lab Florida Hospital Heartland Medical Cente

2315 US Highway 27 North Avon Park FL 33825

Outpatient Phys Clinic Florida Hospital Wauchula The Therapy Ce

1330 Highway 17 South Wauchula FL 33873

Physical Therapy Ctr Florida Hospital Heartland Medical Cente

4023 Sun n Lake Blvd Sebring FL 33872

Outpatient Phys Clinic Huguley Surgery Center LLP

15305 Dallas Pkwy Ste 1600 LB 28 Addison TX 75001

Outpatient Surgery Center Florida Hospital Sleep Disorder Center -

201 N Park Avenue Suite 300A Apopka FL 32703

Sleep Center Florida Hospital Heartland Medical Cente

4421 Sun n Lake Blvd Sebring FL 33872

Outpatient Phys Clinic Florida Hospital Heartland Medical Cente

2950 Alt US Highway 27 S Sebring FL 33870

Outpatient Lab FHCC - ORANGE LAKE

8201 W Irlo Bronson Highway Kissimmee FL 34747

Urgent care Clinic Total Healthcare Management

1000 Universal Studios Plaza 3 Orlando FL 32819

Managed Employee Clinic Florida Hospital Heartland Medical Cente

4145 Sun n Lake Blvd Ste B Sebring FL 33872

Pain Medicine Florida Hospital Wauchula Hardee Family

522 W Carlton Street Wauchula FL 33873

Outpatient Phys Clinic Florida Hospital Heartland Medical Cente

1210 US 27 N Lake Placid FL 33852

Phys Therapy Center Heritage Program

2004 Medical Parkway San Marcos TX 78666

OP Geri Psych Program Florida Hospital Heartland Medical Cente

4023 Sun n Lake Blvd Sebring FL 33872

Outpatient Psych Florida Hospital Hearing Center East Or

7975 Lake Underhill Drive Suite 300 Orlando FL 32822

Hearing Center Florida Hospital Hearing Ctr Lake Mary

100 Waymont Court Suite 120 Lake Mary FL 32746

Hearing Center CTMC OP Lab and Radiology

151 Kirkham Circle Kyle TX 78640

OP lab, rehab & med imaging Florida Hospital Heartland Medical Cente

6801 US Hwy 27 N Suite C-1 Sebring FL 33870

Outpatient Lab FHCC - MRO

7848 W Irlo Bronson Highway Kissimmee FL 34747

Drug Screens Florida Hospital Heartland Medical Cente

1346 US Highway 27 S Lake Placid FL 33852

Outpatient Phys Clinic Florida Hospital Heartland Medical Cente

1352 US 27 North Lake Placid FL 33852

Outpatient Phys Clinic Florida Hospital Heartland Medical Cente

4635 Sun N Lake Blvd Sebring FL 33872

Outpatient Rehab Florida Hospital Women's CenterLactatio

2520 N Orange Avenue Suite 103 Orlando FL 32804

Lactation Center, Birthing Classes Florida Hospital Wauchula Center for Sle

457 W Carlton Street Wauchula FL 33873

Sleep Lab Florida Hospital Heartland Medical Cente

2315 US Hwy 27 North Avon Park FL 33825

Outpatient Lab Florida Hospital Heartland Medical Cente

4023 Sun n Lake Blvd Sebring FL 33872

Diabetes Center Florida Hospital Rehabilitation and Spor

601 E Rollins Street Orlando FL 32803

Therapy Center Florida Hospital Heartland Medical Cente

4409 Sun n Lake Blvd Suite E Sebring FL 33872

Outpatient Phys Clinic Florida Hospital Heartland Medical Cente

1352 US 27 North Lake Placid FL 33852

Outpatient Phys Clinic Florida Hospital Heartland Medical Cente

1346 US Highway 27 S Lake Placid FL 33852

Outpatient Psych Florida Hospital Heartland Medical Cente

1352 US 27 North Lake Placid FL 33852

Outpatient Phys Clinic Florida Hospital Wauchula Women's Wellne

526 W Carlton Street Wauchula FL 33873

Outpatient Phys Clinic Florida Hospital Heartland Medical Cente

1352 US 27 North Lake Placid FL 33852

Outpatient Phys Clinic Florida Hospital Heartland Medical Cente

4421 Sun n Lake Blvd Suite B Sebring FL 33872

Outpatient Phys Clinic Florida Hospital Rehabilitation & Sports

201 Hilda Street Suite 12 Kissimmee FL 34741

Therapy Center Florida Hospital Wauchula The Center For

457 W Carlton Street Wauchula FL 33873

Wound Care 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 22 tax-exempt 501(c)(3) hospital organizations that operate 42 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. 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 three of the organization's hospitals. These three 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 4: Bad Debt Expense: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. 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. 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 consolidated audited financial statements that addresses accounts receivable, the allowance for uncollectible accounts, and the provision for bad debts is as follows: Please note that dollar amounts are in thousands.The Division's patient acceptance policy is based on its mission to improve and enhance local communities that it serves in harmony with Christ's healing ministry and its charitable purposes. Accordingly, the Division accepts patients in immediate need of care, regardless of their ability to pay. The Division serves certain patients whose medical care costs are not paid at established rates. These patients include those sponsored under government programs such as Medicare and Medicaid, those sponsored under private contractual agreements, charity patients and other uninsured patients who have limited ability to pay. A patient is classified as a charity patient based on the established policies of the Division, which require that the patient provide certain information to qualify for charity. Patients that qualify for charity are provided services for which no payment is due for all or a portion of the patient's bill from either the patient or other third parties. For financial reporting purposes, charity care is excluded from patient service revenue.For all other patients, patient service revenue is reported at estimated net realizable amounts for services rendered. The Division recognizes patient service revenue associated with patients who have third-party payor coverage on the basis of contractual rates for the services rendered. For uninsured patients that do not qualify for charity care, revenue is recognized on the basis of discounted rates in accordance with the Division's policy.Patient service revenue is reduced by the provision for bad debts and accounts receivable are reduced by an allowance for uncollectible accounts. These amounts are based on management's assessment of historical and expected net collections for each major payor source, considering business and economic conditions, trends in healthcare coverage and other collection indicators. Management regularly reviews collections data by major payor sources in evaluating the sufficiency of the allowance for uncollectible accounts. On the basis of historical experience, a significant portion of the Division's self-pay patients will be unable or unwilling to pay for the services provided. Thus, the Division records a significant provision for bad debts in the period services are provided related to self-pay patients. The Division's allowance for uncollectible accounts for self-pay patients was 97% of self-pay accounts receivable as of December 31, 2011. For receivables associated with patients who have third-party coverage, the Division analyzes contractually due amounts and provides an allowance for uncollectible accounts and a provision for bad debts, if necessary. Accounts receivable are written off after collection efforts have been followed in accordance with the Division's policies.Patient service revenue is not recognized for those patients that qualify for charity under the Division's policies. For all other patients, patient service revenue, net of contractual allowances and self-pay discounts and before the provision for bad debts, recognized from major payor sources for the year ended December 31, 2011, is as follows:Third-party payors, net of contractual allowances $3,724,724Self-pay patients, net of discounts 94,729 --------- $3,819,453The Division changed its uninsured discount policy, effective January 1, 2011, as required by the Patient Protection and Affordable Care Act (Act). The Act has resulted in an increase in self-pay discounts, which are a reduction of patient service revenue, and a corresponding decrease in self-pay write-offs that are included in the provision for bad debts. Overall, the total of self-pay discounts and write-offs has not changed significantly for the year ended December 31, 2011. The Division has not experienced significant changes in write-off trends and has not changed its charity care policy for the year ended December 31, 2011.The Division has determined, based on an assessment at the reporting-entity level, that patient service revenue is primarily recorded prior to assessing the patient's ability to pay and as such, the entire provision for bad debts is recorded as a deduction from patient service revenue in the accompanying combined statements of operations and changes in net assets.*** see continuation of footnote 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: SCHEDULE H, PART IIISECTION C, LINE 9bCollection 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. Supplemental Schedule to Schedule H, Part III, Section B 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: $(100,724,843)- Difference in costing methodology: 1,892,659- Unreimbursed costs incurred for services provided to Medicare patients that are not included in the organization's Medicare cost report: (55,508,952) -------------Total Unreimbursed costs of serving all Medicare patients per the filing organization's community benefit reporting: $(154,341,136)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. Part III, Line 4 Continuation of Footnote Revenue from the Medicare and Medicaid programs represents approximately 36% of the Division's patient service revenue for the year ended December 31, 2011. Laws and regulations governing the Medicare and Medicaid programs are extremely complex and subject to interpretation. As a result, there is at least a reasonable possibility that recorded estimates will change by a material amount in the near term. Other than the accounts receivable related to the Medicare and Medicaid programs, there are no significant concentrations of accounts receivable due from an individual payor at December 31, 2011.The Division is subject to retroactive revenue adjustments due to future audits, reviews and investigations. Retroactive adjustments are considered in the recognition of revenue on an estimated basis in the period the related services are rendered, and such amounts are adjusted in future periods as adjustments become known or as years are no longer subject to such audits, reviews and investigations. Adjustments to revenue related to prior periods increased patient service revenue by approximately $30,500 for the year ended December 31, 2011. Florida Hospital Orlando Part V, Section B, Line 13g: 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. Florida Hospital Altamonte Part V, Section B, Line 13g: 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. Florida Hospital Celebration Health Part V, Section B, Line 13g: 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. Florida Hospital East Orlando Part V, Section B, Line 13g: 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. Winter Park Memorial Hospital Part V, Section B, Line 13g: 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. Adventist La Grange Memorial Hospital Part V, Section B, Line 13g: 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. Huguley Memorial Medical Center Part V, Section B, Line 13g: 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. FH Heartland Medical Center Part V, Section B, Line 13g: 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. Florida Hospital Kissimmee Part V, Section B, Line 13g: 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. Central Texas Medical Center Part V, Section B, Line 13g: 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. Florida Hospital Apopka Part V, Section B, Line 13g: 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. FH Heartland Medical Center Lake Placid Part V, Section B, Line 13g: 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. Florida Hospital Wauchula Part V, Section B, Line 13g: 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. Florida Hospital Orlando Part V, Section B, Line 19d: 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. Florida Hospital Altamonte Part V, Section B, Line 19d: 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. Florida Hospital Celebration Health Part V, Section B, Line 19d: 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. Florida Hospital East Orlando Part V, Section B, Line 19d: 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. Winter Park Memorial Hospital Part V, Section B, Line 19d: 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. Adventist La Grange Memorial Hospital Part V, Section B, Line 19d: 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. Huguley Memorial Medical Center Part V, Section B, Line 19d: 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. FH Heartland Medical Center Part V, Section B, Line 19d: 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. Florida Hospital Kissimmee Part V, Section B, Line 19d: 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. Central Texas Medical Center Part V, Section B, Line 19d: 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. Florida Hospital Apopka Part V, Section B, Line 19d: 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. FH Heartland Medical Center Lake Placid Part V, Section B, Line 19d: 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. Florida Hospital Wauchula Part V, Section B, Line 19d: 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 VI, Line 2: The filing organization does not currently conduct any formal annual health care needs assessment. However, a variety of practices and processes are in place to ensure that the filing organization is responsive to the health needs of its communities. Such practices and processes involve the following:1. Individual hospital 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 communities; and 4. Collaboration with other local community groups to address the health care needs of the filing organization's 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: The filing organization currently operates 5 hospitals that together encompass 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 more. In 2011, CTMC received accreditation as a certified chest pain center from the Society of Chest Pain Centers. 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. Additionally, CTMC was named The Best Hospital in Hays County in 2010 and 2011. 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 40% of the Hospital's patients during 2011 were Medicare patients, about 14% were Medicaid patients, about 14% were self-pay patients and the remaining percentage were patients covered under commercial insurance. In 2011, about 65% 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 234 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 159-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 64% of the Hospital's patients during 2011 were Medicare patients, about 14% were Medicaid patients, about 6% were self-pay patients and the remaining percentage were patients covered under commercial insurance. In 2011, about 64% 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 2,247 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 19 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 1,067 bed acute-care tertiary hospital caring for more than 1.5 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 32,000 inpatients and 125,000 outpatients each year. The recent opening of a 15-story patient tower features 200 more beds and 500 new jobs. The campus is also adding 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 1,700 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 tower located on Florida Hospital Orlando's campus. It is a full-service facility served by more than 80 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. When the expansion is complete, the Walt Disney Pavilion at Florida Hospital for Children will have a total of more than 195 pediatric beds.*** 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 $6,473,099 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 $251,564,007 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 42 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. Part VI, Line 7 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. Description of Community Information - Continued Part VI, Line 4 Continuation of Footnote 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 2011 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 2011, about 70% of the hospital's in-patients were admitted through the hospital's Emergency Department.*Florida Hospital Altamonte (Seminole County) - FH Altamonte is a 341-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 307-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:Huguley Memorial Medical Center (HMMC) is a 213-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 48% of the Hospital's patients during 2011 were Medicare patients, about 12% were Medicaid patients, about 11% were self-pay patients and the remaining percentage were patients covered under commercial insurance. In 2011, about 73% 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 2011 were Medicare patients, about 7% were Medicaid patients, about 2% were self-pay patients and the remaining percentage were patients covered under commercial insurance. In 2011, about 72% of the hospital's in-patients were admitted through the hospital's Emergency Department. 1 Samaritan Touch Care Center Inc 3015 Herring Avenue Sebring FL 33870 020773338 501(c)(3) 251500 Medical care Greater Sebring Chamber of Commerce 227 US 27 North Sebring FL 33870 590532480 501(c)(6) 10000 General Support Avon Park SDA Church 1410 W Avon Boulevard Avon Park FL 33825 593057686 501(c)(3) 10000 Construction Champion for Children Foundation of Highlands 419 E Center Avenue Sebring FL 33870 650444941 501(c)(3) 7500 General Support American Cancer Society Florida Division Inc 3709 W Jetton Avenue Tampa FL 33873 590657320 501(c)(3) 6000 General Support The School Board of Highlands County 426 School Street Sebring FL 33870 596000654 Gov't 10000 General Support - Senior Education SFCC Foundation 13 E Main Street Avon Park FL 33825 593050497 501(c)(3) 21100 General Support SunSystem Development Corporation dba Florida Hospital Heartland Foundation 4200 Sun N Lake Blvd Sebring FL 33872 592219301 501(c)(3) 12500 General Support FL Conference of Seventh-Day Adventists 655 N Wymore Road Winter Park FL 32789 590806975 501(c)(3) 0 29941 Book Land General Support La Grange Memorial Hospital Foundation 5101 South Willow Springs Road La Grange IL 60525 300247776 501(c)(3) 242914 Book Provision of general administrative support General Support Central Texas Medical Center Foundation 1301 Wonder World Drive San Marcos TX 78666 742259907 501(c)(3) 82402 Book Provision of general administrative support General Support American Cancer Society Inc High Plans Division Inc 2433 A Ridgepoint Drive Austin TX 78754 741185665 501(c)(3) 10000 General Support - Relay for Life Sponsorship Burleson Area Chamber of Commerce 1044 SW Wilshire Blvd Burleson TX 76028 751228140 501(c)(6) 9350 General Support - Sponsorship Southwestern Union Conference PO Box 4000 Burleson TX 76028 750904016 501(c)(3) 10000 General Support - Purchase of Bibles Huguley Community Care Corporation 11801 South Freeway Burleson TX 76029 452793120 501(c)(3) 526850 General Support (The Foundation for) SEMINOLE STATE COLLEGE 100 WELDON BLVD SANFORD FL 32773 237033822 501(c)(3) 88334 General Support AFRICAN AMERICAN CHAMBER OF COMMERCE OF CENTRAL FLORIDA INC 315 E ROBINSON ST STE 100 ORLANDO FL 32801 593314330 501(c)(6) 14900 General Support AMERICAN ASSOCIATION OF PHYSICIANS OF INDIA 600 ENTERPRISE DR STE 108 OAK BROOK IL 60523 382532505 501(c)(3) 7000 General Support AMERICAN CANCER SOCIETY 1601 W COLONIAL DR ORLANDO FL 32804 590657320 501(c)(3) 24500 General Support AMERICAN DIABETES ASSOCIATION 1101 N LAKE DESTINY RD STE 415 MAITLAND FL 32751 131623888 501(c)(3) 15000 General Support AMERICAN HEART ASSOCIATION 1101 NORTHCHASE PKWY SE STE 1 MARIETTA GA 30067 135613797 501(c)(3) 90150 General Support AMERICAN LUNG ASSOCIATION OF THE SOUTHEAST INC 851 OUTER RD ORLANDO FL 32814 590662271 501(c)(3) 7500 General Support AMERICAN RED CROSS PO BOX 536726 ORLANDO FL 32853 590624357 501(c)(3) 20000 General Support ANNIKA FOUNDATION 5 SOUTHSIDE DR CLIFTON PARK NY 12065 263100887 501(c)(3) 10000 General Support BOY SCOUTS OF AMERICA PO BOX 422101 KISSIMMEE FL 34742 590624376 501(c)(3) 7500 General Support CENTRAL FLORIDA FAMILY HEALTH CENTER INC 2400 ST RD 415 SANFORD FL 32771 591741286 501(c)(3) 30000 General Support CENTRAL FLORIDA PARTNERSHIP INC 75 S IVANHOE BLVD ORLANDO FL 32804 331202266 501(c)(6) 113990 General Support CENTRAL FLORIDA REGIONAL HEALTH CENT PO BOX 560908 ORLANDO FL 32856 208145032 501(c)(3) 271000 General Support CENTRAL FLORIDA YMCA 433 N MILLS AVENUE ORLANDO FL 32803 590624430 501(c)(3) 14590 General Support CHRISTIAN SERVICE CENTER 808 W CENTRAL BLVD ORLANDO FL 32805 591353031 501(c)(3) 5500 General Support CITY OF ALTAMONTE SPRINGS 150 CRANES ROOST BLVD STE 2200 ALTAMONTE SPRINGS FL 32701 596000263 Gov't 25000 General Support CITY OF WINTER PARK 401 S PARK AVE WINTER PARK FL 32789 596000454 Gov't 8000 General Support COALITION FOR THE HOMELESS OF CENTRAL FLORIDA 639 W CENTRAL BLVD ORLANDO FL 32801 592814255 501(c)(3) 15000 General Support COMMUNITY VISION INC 704 GENERATION PT APT 101 KISSIMMEE FL 34744 592896657 501(c)(3) 12200 General Support D12 FOUNDATION 711 N MAGNOLIA AVE ORLANDO FL 32803 273846066 501(c)(3) 7500 General Support DOWNTOWN COLLEGE PARK PARTNERSHIP PO BOX 547744 ORLANDO FL 32854 237250533 501(c)(3) 6000 General Support ECONOMIC DEVELOPMENT COMMISSION OF MID FLORIDA 301 EAST PINE STREET SUITE 900 ORLANDO FL 32801 591767933 501(c)(6) 50000 General Support FIRST CONGREGATIONAL CHURCH OF WINTER PARK 225 S INTERLACHEN AVE WINTER PARK FL 32789 590637840 501(c)(3) 25000 General Support FLORIDA CHAMBER OF COMMERCE INC PO BOX 11309 TALLAHASSEE FL 32302 590248200 501(c)(6) 100000 General Support FLORIDA STERLING COUNCIL PO BOX 13907 TALLAHASSEE FL 32317 593140977 501(c)(3) 10000 General Support FOREST LAKE ACADEMY 500 EDUCATION LOOP APOPKA FL 32703 590816443 501(c)(3) 10800 General Support FOREST LAKE EDUCATION CENTER 1275 LEARNING LOOP LONGWOOD FL 32779 593143238 501(c)(3) 7500 General Support GRACE MEDICAL HOME INC 51 PENNSYLVANIA STREET ORLANDO FL 32806 281817966 501(c)(3) 100450 General Support HEALTH CARE CENTER FOR THE HOMELESS 232 N ORANGE BLOSSOM TRL ORLANDO FL 32805 593185020 501(c)(3) 101000 General Support HEALTHY START COALITION OF OSCEOLA COUNTY PO BOX 701995 ST CLOUD FL 34770 593212535 501(c)(3) 15000 General Support HEART OF FLORIDA UNITED WAY 1940 TRAYLOR BLVD ORLANDO FL 32804 590808854 501(c)(3) 97903 General Support HISPANIC BUSINESS INITIATIVE FUND 3201 E COLONIAL DR UNIT A20 ORLANDO FL 32803 593341405 501(c)(3) 20600 General Support HISPANIC CHAMMBER OF COMMERCE OF METRO ORLANDO INC 315 E ROBINSON ST STE 465 ORLANDO FL 32801 593103840 501(c)(6) 19950 General Support HOMEGROWN LOCAL FOOD COOPERATIVE 2310 N ORANGE AVE ORLANDO FL 32804 271485572 Other 11000 General Support IVANHOE VILLAGE INC 320 E PRINCETON ST ORLANDO FL 32804 261797406 501(c)(3) 7000 General 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Support MARCH OF DIMES 341 N MAITLAND AVE STE 115 MAITLAND FL 32751 131846366 501(c)(3) 17500 General Support MENTAL HEALTH ASSOCIATION OF CENTRAL 1525 E ROBINSON ST ORLANDO FL 32801 590816432 501(c)(3) 11358 General Support MICHELEE PUPPETS INC 4420 PARKWAY COMMERCE BLVD A ORLANDO FL 32808 592616456 501(c)(3) 7190 General Support ORANGE COUNTY HEALTHY START COALITION 600 COURTLAND ST STE 565 ORLANDO FL 32804 593125675 501(c)(3) 20000 General Support ORLANDO SCIENCE CENTER 777 E PRINCETON STREET ORLANDO FL 32803 590896343 501(c)(3) 15000 General Support ORLANDO VOLLEYBALL ACADEMY 6700 KINGSPOINTE PKWY ORLANDO FL 32819 593344274 501(c)(3) 15000 General Support ORLANDOORANGE COUNTY CONVENTION & VISITORS BUREAU INC 6700 FORUM DRIVE STE 100 ORLANDO FL 32821 592395248 501(c)(6) 17500 General Support OSCEOLA COUNTY COUNCIL ON AGING INC 700 GENERATION POINT KISSIMMEE FL 34744 591595398 501(c)(3) 62622 General Support OUR WHOLE COMMUNITY INC 526 N PARK AVE WINTER PARK FL 32789 270283789 501(c)(3) 5750 General Support RONALD MCDONALD HOUSE CHARITIES OF CENTRAL FLORIDA 1350 N ORANGE AVE WINTER PARK FL 32789 593211250 501(c)(3) 10000 General Support SEMINOLE COUNTY LAKE MARY REGIONAL CHAMBER 1055 AAA DR STE 153 LAKE MARY FL 32746 593646781 501(c)(6) 11095 General Support SHEPHERD'S HOPE INC 4851 S APOPKA VINELAND RD ORLANDO FL 32819 593420727 501(c)(3) 13600 General Support SOUTHERN ADVENTIST UNIVERSITY PO BOX 370 COLLEGEDALE TN 37315 620536733 501(c)(3) 400000 General Support ADVENTIST CARE CENTERS - COURTLAND INC 730 COURTLAND ST ORLANDO FL 32804 205774723 501(c)(3) 218100 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 SUNBELT HEALTH & REHAB CENTER - APOPKA INC 305 EAST OAK ST APOPKA FL 32703 205774856 501(c)(3) 450000 General Support SUSAN G KOMEN BREAST CANCER FOUNDATION 1350 ORANGE AVE STE 260 WINTER PARK FL 32789 752854957 501(c)(3) 11000 General Support TAMPA BAY PARTNERSHIP FOR REGIONAL RESEARCH & EDUCATION FOUNDATION 4300 W CYPRESS ST STE 250 TAMPA FL 33607 593414776 501(c)(3) 10000 General Support UCF FOUNDATION INC 12424 RESEARCH PARKWAY STE 140 ORLANDO FL 32826 596211832 501(c)(3) 190000 General Support UNITED GLOBAL OUTREACH 2311 MOUNT VERNON ST ORLANDO FL 32803 030511875 501(c)(3) 35000 General Support UNIVERSAL ORLANDO FOUNDATION INC 1000 UNIVERSAL STUDIOS PLAZA ORLANDO FL 32819 593510383 501(c)(3) 15000 General Support UNIVERSITY OF FLORIDA PO BOX 113201 33 TIGERT HALL GAINESVILLE FL 32611 596002052 Gov't 22279 General Support US DREAM ACADEMY 10400 LITTLE PATUXENT PKWAY SUITE 300 COLUMBIA MD 21044 593514841 501(c)(3) 10000 General Support VALENCIA COMMUNITY COLLEGE PO BOX 4913 ORLANDO FL 32802 591216316 Gov't 215500 General Support WEST ORANGE HEALTHCARE DISTRICHLT CENTRAL 10000 W COLONIAL DRIVE OCOEE FL 34761 592091206 501(c)(3) 7500 General Support WINTER PARK CHAMBER OF COMMERCE PO BOX 280 WINTER PARK FL 32790 590514615 501(c)(6) 7500 General Support WINTER PARK HEALTH FOUNDATION INC 220 EDINBURGH DR WINTER PARK FL 32792 590669460 501(c)(3) 67500 General Support 74 12 Procedure for Monitoring Grants in the U.S.: Part I, Line 2: 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. X X X X X 1 1 0 1 0 0 0 1 0 0 0 Houmann Lars D 0 848313 0 241337 0 520833 0 179768 0 45697 0 1835948 0 153591 Jernigan PhD Donald L 0 923258 0 271033 0 673992 0 13343 0 102511 0 1984137 0 0 Reiner Richard 0 848313 0 240974 0 603802 0 13343 0 45601 0 1752033 0 292670 Shaw Terry 0 848313 0 241506 0 1877077 0 179768 0 44460 0 3191124 0 153591 Banks David P 0 465288 0 106714 2036 99693 0 84667 0 45701 2036 802063 0 63632 Cummings Jr Desmond 0 454552 0 132817 0 166452 0 13067 0 22765 0 789653 0 0 Dodds Sheryl D 0 313700 0 70193 822 69248 0 41161 0 12502 822 506804 0 41528 Fulbright Robert D 0 314458 0 75115 1872 54347 0 44025 0 30971 1872 518916 0 27117 Goodman Todd 0 300407 0 66671 0 58451 0 44033 0 46645 0 516207 0 21532 Hilliard Douglas W 0 303996 0 69934 0 47367 0 41458 0 35883 0 498638 0 27790 Hurst Jeffery D 0 280422 0 63459 0 53210 0 25277 0 23826 0 446194 0 8136 Moorhead MD John D 0 445785 0 99462 0 131263 0 70237 0 40853 0 787600 0 64907 Owen Terry R 0 374544 0 90656 1813 247878 0 49170 0 34506 1813 796754 0 32304 Paradis J Brian 0 611334 0 161979 2033 109017 0 113972 0 55875 2033 1052177 0 87067 Reed Monica 0 418295 0 98685 2145 80978 0 72999 0 38105 2145 709062 0 56486 Soler Eddie 0 513760 0 122151 0 129186 0 100158 0 35040 0 900295 0 60279 Lee MD Kathy 257919 0 631567 0 93535 0 13343 0 15241 0 1011605 0 0 0 Torres MD Ramon M 598472 0 121674 0 12000 0 13343 0 14549 0 760038 0 0 0 Czerska MD Barbara 626103 0 11248 0 43129 0 13343 0 7280 0 701103 0 0 0 Eubanks Jr MD William Stephen 665514 0 76 0 7052 0 8443 0 20299 0 701384 0 0 0 HuddlestonHeather Adrian 20049 0 31 0 792414 0 0 0 1435 0 813929 0 0 0 Bowls Bonnie L 0 235545 0 67344 0 52267 0 21412 0 26807 0 403375 0 15380 Grim-Marcarelli Karen 0 240033 0 34656 0 145874 0 19705 0 23844 0 464112 0 4976 Hamilton Connie A 0 288425 0 72006 454 65983 0 31523 0 44613 454 502550 0 18596 Herrin Arlene 0 230536 0 32791 0 41575 0 33886 0 17856 0 356644 0 25215 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 two business trips each year. Typically, reimbursement is only provided to Vice Presidents and above and is limited to one business trip per year and the annual AHS President's Council business meeting. 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). Eligible executives include all 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, two 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, Line 4b 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 $204,000. 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 hospital 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 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. Flex Plan/ Flex Plan/ SERP 457(b) CY 457(f) CY 457(f) CY Contrib./ Distributions Employer Distributions Payment Contrib. ------------------------------------------------------- Lars Houmann $166,425 $171,118 $ 300,887 $ 0 Donald Jernigan $191,945 $175,445 $ 348,321 $ 0 Richard Reiner $173,337 $476,453 $ 54,621 $ 0 Terry Shaw $166,425 $161,759 $1,652,483 $ 0 David Banks $ 71,324 $ 63,841 $ 0 $ 0 Desmond Cummings $ 75,846 $ 75,846 $ 0 $ 0 Sheryl D. Dodds $ 44,318 $ 41,633 $ 0 $ 0 Robert D. Fulbright $ 30,682 $ 27,206 $ 0 $ 0 Todd A. Goddman $ 30,690 $ 28,205 $ 0 $ 0 Douglas W. Hilliard $ 28,115 $ 27,881 $ 0 $ 0 Jeffery D. Hurst $ 29,209 $ 9,709 $ 0 $ 0 John D.Moorhead,MD $ 78,294 $ 65,080 $ 0 $ 0 Terry R. Owen $ 52,327 $ 41,638 $ 166,815 $ 0 J. Brian Paradis $104,404 $ 87,359 $ 0 $ 0 Monica P Reed, MD $ 59,656 $ 56,671 $ 0 $ 0 Eddie Soler $ 86,815 $ 86,301 $ 0 $ 0 Bonnie L. Bowls $ 24,569 $ 19,125 $ 0 $ 0 Karen Grim-Marcarelli$ 22,862 $ 5,678 $ 114,818 $ 0 Connie A. Hamilton $ 34,680 $ 18,660 $ 0 $ 0 Arlene K. Herrin $ 25,443 $ 25,298 $ 0 $ 0 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. Since implementing the productivity-based incentive compensation model, the financial losses from the operations of organization's physician practices have significantly decreased and established physician practices have generally become profitable. The filing organization utilizes national survey productivity, cost and compensation data in formulating all aspects of the compensation plan. Physician compensation arrangements 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. Pursuant to the agreement, an individual may not be rejected as a patient by a physician due to race, sex, age, color, creed, national origin or inability to pay. 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. Supplemental Information 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 CEO of the system of organizations whose parent is AHSSHC. 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. Highlands County Health Facilities Authority 521313569 431022ER9 2003-08-28 136110000 2003B&C, Refund Series 1993 Bonds issued 6/23/1993 0 0 0 Colorado Health Facilities Authority 840752932 1964738R6 2004-09-28 50000000 2004B, Expand/refurbish facilities, purchase equipment 0 0 0 Kansas Development Finance Authority 481066589 48542ABD2 2004-09-28 50000000 2004C, Expand/refurbish facilities, purchase equipment 0 0 0 Highlands County Health Facilities Authority 521313569 431022FR8 2005-10-18 64943086 2005A, Refund FL 1993A&B, TN 1993 and Tarrant 1993 all issued 10/20/1993 0 0 0 57950000 136110000 114367278 2722200 19020522 2003 1 0 1 1 5755000 50000000 700000 49300000 2004 0 0 1 1 5465500 50000000 700000 49300000 2004 0 0 1 1 17840000 64943086 64016377 926709 1993 1 0 1 1 0 1 1 1 1 1 0.00500 0.00500 1 0 0 1 1 1 1 1 0 0 1 1 1 1 1 0 0 1 1 1 1 1 0 1 0 0 0 1 0 1 0 1 Pallas Capital 1.500000000000 1 0 1 0 1 0 1 Pallas Capital 1.500000000000 1 0 1 0 0 0 0 0 1 Highlands County Health Facilities Authority 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 521313569 431022HG0 2005-10-18 63434535 2005C, Refund Colorado 2001 issued 3/28/2001 0 0 0 Highlands County Health Facilities Authority 521313569 431022HH8 2005-10-18 102220000 2005D, Expand/refurbish facilities, purchase equipment 0 0 0 Highlands County Health Facilities Authority 521313569 431022HUD 2006-06-14 205156000 2006C, Expand/refurbish facilities, purchase equipment 0 0 0 29125000 106410063 104877613 1532450 2000 0 1 1 1 980000 63434535 62505602 928933 2001 0 1 1 1 12255000 102220000 1500000 100720000 2005 0 0 1 1 4900000 205156000 2000000 203156000 2006 0 0 1 1 0 0 1 1 1 1 1 0 0 1 1 1 1 1 0 0 1 1 1 1 1 0 0 1 1 1 1 0.00100 0.00100 1 0 0 0 0 0 1 0 0 0 0 0 1 0 0 0 0 0 1 0 0 0 0 0 1 Colorado Health Facilities Authority 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 840752932 19648ACG8 2006-11-15 30371450 2006F, Refund 1995 Bonds issued 6/8/1995 0 0 0 Highlands County Health Facilities Authority 521313569 431022JZ6 2006-12-20 212464496 2006G, Refund Highlands 2002 issued 12/19/02 and Orange 2002 issued 7/10/02 0 0 0 Highlands County Health Facilities Authority 521313569 431022KK7 2007-08-08 366445000 2007A B C D, Expand/refurbish facilities, purchase equipment 0 0 0 13330000 249501424 247008533 2492891 2003 0 1 1 1 21565000 30371450 30064743 306707 1995 1 0 1 1 21245000 212464496 210608121 1856375 2002 0 1 1 1 258000000 366445000 5560382 360884618 2007 0 0 1 1 0 1 1 1 1 1 0.00200 0.00200 1 0 0 1 1 1 1 1 0 1 1 1 1 1 0.00300 0.00300 1 0 1 1 1 1 1 0.00200 0.00200 1 0 0 0 0 0 1 0 0 0 0 0 1 0 0 0 0 0 1 0 1 0 0 0 1 Highlands County Health Facilities Authority 521313569 431022KV3 2008-07-02 45675000 2004A SFC, Refunded Highlands 2004A issued 9/28/04 0 0 0 Highlands County Health Facilities Authority 521313569 431022QU9 2008-12-11 60650000 2005F SFC, Refunded Highlands 2005F issued 12/22/05 0 0 0 Highlands County Health Facilities Authority 521313569 431022QV7 2008-12-12 49425000 2005G SFC, Refunded Highlands 2005G issued 12/22/05 0 0 0 Highlands County Health Facilities Authority 521313569 431022QW5 2008-12-15 49425000 2005H SFC, Refunded Highlands 2005H issued 12/22/05 0 0 0 2075000 45675000 45675000 2004 1 0 1 1 60650000 60650000 2005 1 0 1 1 49425000 49425000 2005 1 0 1 1 49425000 49425000 2005 1 0 1 1 0 0 1 1 1 1 1 0 0 1 1 1 1 1 0 0 1 1 1 1 1 0 0 1 1 1 1 1 0 1 0 0 0 1 0 1 0 0 0 1 0 1 0 0 0 1 0 1 0 0 0 1 Highlands County Health Facilities Authority 521313569 431022QZ8 2008-12-16 68000000 2008A, Expand/refurbish facilities, purchase equipment 0 0 0 Highlands County Health Facilities Authority 521313569 431022QR6 2008-12-16 142275000 2005E/2007B SFC, Refund Highlands 05E iss 12/22/05, Highland 07B iss 8/8/07 0 0 0 Highlands County Health Facilities Authority 521313569 431022QS4 2008-12-18 78350000 2007D SFC, Refunded Highlands 2007D issued 8/8/07 0 0 0 Orange County Health Facilities Authority 521378595 2009-04-08 5000000 2009A, Expand/refurbish facilities, purchase equipment 0 0 0 68000000 68000000 2008 0 0 1 1 11825000 142275000 142275000 2007 1 0 1 1 11725000 78350000 78350000 2007 1 0 1 1 2737855 5000000 5000000 2008 0 0 1 1 0 0 1 1 1 1 1 0 1 1 1 1 1 0.00200 0.00200 1 0 1 1 1 1 1 0.00200 0.00200 1 0 0 1 1 1 1 1 0 0 0 0 0 1 0 1 0 0 0 1 0 1 0 0 0 1 0 1 0 0 0 1 Kansas Development Finance Authority 481066589 2009-04-08 5000000 2009B, Expand/refurbish facilities, purchase equipment 0 0 0 Kansas Development Finance Authority 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 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 521313569 431022SC7 2009-10-07 304230000 2009A-F, AR Program 1996A, 1999, 2000A&B, 2004AR1&2 all reissued 9/4/08 0 0 0 2629590 5000000 5000000 2008 0 0 1 1 11455000 325394417 313389450 12004967 2009 1 0 1 1 6000000 102271154 80426433 21844721 2009 1 0 1 1 304230000 304230000 2004 1 0 1 1 0 0 1 1 1 1 1 0 1 1 1 1 1 0.00100 0.00100 1 0 0 1 1 1 1 1 0 0 1 1 1 1 1 0 1 0 0 0 1 0 0 0 0 0 1 0 0 0 0 0 1 0 1 0 0 0 1 Highlands County Health Facilities Authority 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 521313569 431022SG8 2009-11-16 177240000 2005I Conv, Refund Highlands 05I 12/22/05 & expand/refurbish facilities 0 0 0 Highlands County Health Facilities Authority 521313569 2010-12-17 57000000 2010A, Expand/refurbish facilities, purchase equipment 0 0 0 Orange County Health Facilities Authority 521378595 2010-12-22 25000000 2010B, Expand/refurbish facilities, purchase equipment 0 0 0 7180000 190752502 190752502 2008 1 0 1 1 178936632 178936632 1696632 2005 1 0 1 1 57000000 57000000 2010 0 0 1 1 25000000 25000000 2010 0 0 1 1 0 1 1 1 1 1 0.00100 0.00100 1 0 1 1 1 1 1 0.00900 0.00900 1 0 0 1 1 1 1 1 0 0 1 1 1 1 1 0 0 0 0 0 1 0 1 0 0 0 1 0 1 0 0 0 1 0 1 0 0 0 1 Kansas Development Finance Authority 481066589 2010-12-22 25000000 2010C, Expand/refurbish facilities, purchase equipment 0 0 0 Colorado Health Facilities Authority 840752932 2010-12-22 25000000 2010D, Expand/refurbish facilities, purchase equipment 0 0 0 Highlands County Health Facilities Authority 521313569 2010-12-30 225000000 2010E, Expand/refurbish facilities, purchase equipment 0 0 0 Highlands County Health Facilities Authority 521313569 2011-11-16 80000000 2011A, Expand/refurbish facilities 0 0 0 25000000 25000000 2010 0 0 1 1 25000000 25000000 2010 0 0 1 1 225000000 225000000 2010 0 0 1 1 80000000 80000000 2011 0 0 1 1 0 0 1 1 1 1 1 0 0 1 1 1 1 1 0 0 1 1 1 1 1 0 0 1 1 1 1 1 0 1 0 0 0 1 0 1 0 0 0 1 0 1 0 0 0 1 0 1 0 0 0 1 Linda Knutson Family of board member 48587 Employee Compensation 0 Dan Tilstra Family of key employee 29262 Consulting Services/Employee Compensation 0 Jenola Bradwell Family of board member 59564 Employee Compensation 0 Karen Tilstra Family of key employee 90190 Consulting 0 Clifton Scott Family of board member 55694 Employee Compensation 0 X Medical Equipment 22 119778 Selling price of donated property 0 0 0 0 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 will be reviewed by the Senior Vice President of Finance subsequent to its filing with the IRS. The review conducted by the Senior Vice President of Finance will not include the review of any supporting workpapers that were used in preparation of the current year Form 990, but will 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 Vice President 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. Columns (E) & (F) 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, 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. Each of these individuals devote approximately 50 hours per week in conjunction with serving in their respective executive leadership position within Adventist Health System. Changes in Net Assets or Fund Balances: Form 990, Part XI, line 5: Net unrealized losses on investments: -16,879,183. Transfer to tax-exempt affiliates -34,053,850. Transfer to tax-exempt parent -17,001,201. Donated Property 1,891,881. Income on restricted fund balance -54,184. SWAP loss amortization 878,553. Allocations from Tax-exempt Parent with respect to Debt 6,952,503. Transfer for expenses -4,051,588. Gifts 17,779,974. Other -341,052. Interest in Foundation -943,369. Total to Form 990, Part XI, Line 5: -45,821,516. Savings and temporary cash investments 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. Florida Radiology Imaging at Lake Mary LLC 875 Concourse Parkway 150 Maitland FL 32751 550789387 Imaging & Testing FL 16348383 9589672 Adventist Health SystemSunbelt Inc 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 111 N Orlando Avenue Winter Park FL 32789 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 111 N Orlando Avenue Winter Park FL 32789 592170012 Management Services FL 501(c)(3) 509(a)(3) Type I N/A 0 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 111 N Orlando Avenue Winter Park FL 32789 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 Inactive TX 501(c)(3) 509(a)(2) 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 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 Bert Fish Medical Center Inc (10110-63011) 401 Palmetto Street New Smyrna Beach FL 32168 362276984 Operation of Hospital & Related Services FL 501(c)(3) 170(b)(1)(A)(iii) Adventist Hlth System Sunbelt Hlthcare Corp 0 Bolingbrook Hospital Foundation 1000 Remington Blvd N Entrance 2nd Bolingbrook IL 60440 900494445 Fund-raising for Tax-exempt hospital IL 501(c)(3) 170(b)(1)(A)(vi) Midwest Hlth Foundation 0 Bradford Heights Hlth & Rehab Center Inc 950 Highpoint Drive Hopkinsville KY 42240 205782342 Operation of Home for the Aged/Hlthcare Delivery KY 501(c)(3) 509(a)(2) Sunbelt Hlth Care Centers Inc 0 Burleson Nursing & Rehab Center Inc 301 Huguley Blvd Burleson TX 76028 205782243 Operation of Home for the Aged/Hlthcare Delivery TX 501(c)(3) 509(a)(2) Sunbelt Hlth Care Centers Inc 0 Caldwell Hlth Care Properties Inc 1333 West Main Princeton KY 42445 510605680 Lease to Related Organization GA 501(c)(3) 509(a)(3) Type III-F Sunbelt Hlth Care Centers Inc 0 Central Texas Hlthcare Collaborative (112-123111) 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 College of Hlth 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 Florida Hospital DeLand Auxiliary Inc (11-82411) 701 West Plymouth Avenue Deland FL 32720 593425543 Volunteer support services FL 501(c)(3) 509(a)(3) Type III-F Memorial Hospital West Volusia 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 Midwest Hlth Foundation 120 North Oak Street Hinsdale IL 60521 352230515 Support of subsidiary Foundations IL 501(c)(3) 509(a)(3) Type II N/A 0 Mills Hlth & Rehab Center Inc 500 Beck Lane Mayfield KY 42066 205782320 Operation of Home for the Aged/Hlthcare Delivery KY 501(c)(3) 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 (1114-123111) 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) N/A 0 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 111 N Orlando Avenue Winter Park FL 32789 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 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 111 North Orlando Ave Winter Park FL 32789 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 111 North Orlando Ave Winter Park FL 32789 593692860 Real Estate GA 501(c)(2) South Central Nursing Homes Properties Inc 0 South Central Properties IV Inc 111 North Orlando Ave Winter Park FL 32789 593692862 Real Estate GA 501(c)(2) South Central Nursing Homes Properties Inc 0 South Central Properties VI Inc 111 North Orlando Ave Winter Park FL 32789 593692857 Real Estate GA 501(c)(2) South Central Nursing Homes Properties Inc 0 South Central Properties Inc 111 North Orlando Ave Winter Park FL 32789 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 N/A 0 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 111 N Orlando Avenue Winter Park FL 32789 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 (76-123111) 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 Appalachian Therapy Services LLC 100 Hospital Drive Hendersonville NC 28792 202463851 Therapy Staffing NC N/A Central Texas Medical Center Bond LLC (11-111411) 1301 Wonder World Drive San Marcos TX 78666 204314236 Investment TX 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 KCCCSMMC Cancer Center LLC 9100 W 74th Street Shawnee Mission KS 66204 270909763 Equipment Rental KS N/A San Marcos MRI LP 1330 Wonder World Drive Ste 202 San Marcos TX 78666 770597972 Imaging & Testing TX Adventist Health SystemSunbelt Inc dba Central TX Med Ctr Related 2579 6603 0 0 0.50000 Shawnee Mission Open MRI LLC 9100 W 74th Street Box 2923 Shawnee Mission KS 66201 270011796 Imaging & Testing KS N/A Shawnee Mission Surgery Center LLC PO Box 2923 Shawnee Mission KS 66201 481243914 Surgical Services KS N/A Skyland MRI LLC 100 Hospital Drive Hendersonville NC 28792 043646559 Imaging & Testing NC N/A Adventist Hlth Sys Sunbelt Hlthcare Corp Empl Benefit Trust 111 N Orlando Avenue Winter Park FL 32789 581318939 Administration of Self-Insured Benefit Plans FL N/A T AHS Services Inc 11801 South Freeway Fort Worth TX 76028 752049583 Medical Equipment TX Adventist Hlth SystemSunbelt Inc C 1.00000 Altamonte Medical Plaza Condominium Association Inc 601 East Rollins Street Orlando FL 32803 592855792 Condo Association FL Adventist Hlth SystemSunbelt Inc C 129274 58065 0.58000 Apopka Medical Plaza Condominium Association Inc 601 East Rollins Street Orlando FL 32803 593000857 Condo Association FL Adventist Hlth SystemSunbelt Inc C 26849 9927 0.89000 Arapahoe Medical Building I Inc (630 Year End) 2525 S Downing Street Denver CO 80210 841574506 Real Estate Leasing CO N/A C Arapahoe Medical Building II Inc (630 Year End) 2525 S Downing Street Denver CO 80210 841574507 Real Estate Leasing CO N/A C CC MOB Inc 2201 S Clear Creek Road Killeen TX 76549 742616875 Real Estate Rental TX N/A C Central Texas Medical Associates 1301 Wonder World Drive San Marcos TX 78666 742729873 Physician Clinics TX Adventist Hlth SystemSunbelt Inc C 1542172 242711 1.00000 Central Texas Provider's Network 1301 Wonder World Drive San Marcos TX 78666 742827652 Physician Hospital Org. TX Adventist Hlth SystemSunbelt Inc C 4526 188928 1.00000 Florida Hospital Flagler Medical Offices Association Inc 60 Memorial Medical Parkway Palm Coast FL 32164 262158309 Condo Association FL N/A C Florida Hospital Healthcare System Inc 602 Courtland Street Orlando FL 32804 593215680 PHO/TPA FL Adventist Hlth SystemSunbelt Inc C 123963153 48245999 1.00000 Florida Medical Plaza Condo Association Inc 601 East Rollins Street Orlando FL 32803 592855791 Condo Association FL Adventist Hlth SystemSunbelt Inc C 525061 3663 0.78000 Florida Memorial Health Network Inc 770 W Granada Blvd Ste 317 Ormond Beach FL 32174 593403558 Physician Hospital Org. FL N/A C Harvard Park East Inc (630 Year End) 2525 S Downing Street Denver CO 80210 841574365 Real Estate Leasing CO N/A C Helen Ellis Memorial Hospital Real Estate Corp 1395 S Pinellas Ave Tarpon Springs FL 34689 593375731 Real Estate Rental FL N/A C Huguley Alliance Foundation 11801 South Freeway Fort Worth TX 76115 752642209 Inactive TX Adventist Hlth SystemSunbelt Inc C 136191 1.00000 Huguley Medical Associates Inc 11801 South Freeway Burleson TX 76028 752547668 Physician Clinics TX Adventist Hlth SystemSunbelt Inc C 11912385 2131617 1.00000 Kissimmee Multispecialty Clinic Condominium Association Inc 201 Hilda Street Suite 30 Kissimmee FL 34741 593539564 Condo Association FL Adventist Hlth SystemSunbelt Inc C 39610 19169 0.54400 Midwest Management Services Inc 9100 West 74th Street Shawnee Mission KS 66204 480901551 Real Estate Rental KS N/A C Metroplex Adventist Hospital CRNA 2201 S Clear Creek Road Killeen TX 76549 260760794 Support hospital - provide allied health professionals TX N/A C North American Health Services Inc & Subs 111 N Orlando Avenue Winter Park FL 32789 621041820 Lessor/Holding Co. TN N/A C Ormond Professional Condo Association (430 Year End) 770 W Granada Blvd Ste 101 Ormond Beach FL 32174 592694434 Condo Association FL N/A C Park Ridge Property Owner's Association Inc 1 Park Place Naples Road Fletcher NC 28732 030380531 Condo Association NC N/A C Porter Affiliated Hlth Services Inc dba Diversified Affiliated Hlth Svcs 2525 S Downing Street Denver CO 80210 840956175 Healthcare Services CO N/A C Porter Medical Plaza Inc (630 Year End) 2525 S Downing Street Denver CO 80210 841574369 Real Estate Leasing CO N/A C San Marcos Regional MRI Inc 1301 Wonder World Drive San Marcos TX 78666 770597968 Holding Company TX Adventist Hlth SystemSunbelt Inc C 2575 6590 1.00000 Southeast Volusia Medical Services Inc (10110-63011) 401 Palmetto Street New Smyrna Beach FL 32168 593287185 Inactive FL N/A C The Garden Retirement Community Inc 602 Courtland Street Ste 200 Orlando FL 32804 593414055 Real Estate Rental FL N/A C University Community Health Insurance Company SPC Ltd C/O AON Insurance Managers PO Box Grand Cayman CJ Captive Insurance CJ N/A C UCH Services Inc 3100 East Fletcher Ave Tampa FL 33613 593508454 Management Company FL N/A C West Coast Medical Group Inc 1395 S Pinellas Ave Tarpon Springs FL 34689 593537305 Physician Clinics FL N/A C Winter Park Medical Office Building I Condo Assoc Inc (330-123111) 200 Lakemont Ave Winter Park FL 32792 452228478 Physician Clinics FL Adventist Hlth SystemSunbelt Inc C 110778 22541 0.52000 1 1 1 0 0 0 1 0 1 1 1 1 1 0 1 1 1 1 Adventist Health System Sunbelt Healthcare Corporation B 15849706 Actual Amount Given Adventist Health System Sunbelt Healthcare Corporation C 1870890 Actual Amount Received Adventist Health System Sunbelt Healthcare Corporation L 44683567 % of Facility's Operating Exp Adventist Health System Sunbelt Healthcare Corporation O 127233507 Cost Adventist Health System Sunbelt Healthcare Corporation P 2806338 Cost Adventist Health System Sunbelt Healthcare Corporation dba AHSIS K 265235 Cost Adventist Health System Sunbelt Healthcare Corporation dba AHSIS L 18860603 % of Facility's Operating Exp Adventist Health System Sunbelt Healthcare Corporation dba AHSIS O 566255 Cost Adventist Health System Sunbelt Healthcare Corp dba Sunbelt Medical Mgmt I 76309 Cost Adventist Health System Sunbelt Healthcare Corp dba Sunbelt Medical Mgmt O 271629 Cost Adventist Health System Sunbelt Healthcare Corp dba Sunbelt Medical Mgmt P 522125 Cost Adventist Bolingbrook Hospital O 72226 Cost Adventist Bolingbrook Hospital P 143930 Cost Adventist Care Centers - Courtland Inc B 218100 Actual Amount Given Adventist GlenOaks Hospital O 84326 Cost Adventist GlenOaks Hospital P 125993 Cost Adventist Health Partners O 1014668 Cost Adventist Hinsdale Hospital K 10579846 Cost Adventist Hinsdale Hospital O 15698460 Cost Adventist Hinsdale Hospital P 6411221 Cost AHS Midwest Management Inc O 1984848 Cost AHSCentral Texas Inc J 116904 Cost Bert Fish Medical Center Inc K 63972 Cost Central Texas Medical Associates B 800000 Actual Amount Given Central Texas Medical Associates P 533761 Cost Central Texas Medical Center Foundation B 82402 Actual Amount Given Central Texas Providers Network P 81376 Cost East Orlando Health & Rehab Center Inc B 1404864 Actual Amount Given Emory-Adventist Inc A 688506 FMV Interest Rate Emory-Adventist Inc R 950400 Principal Loan Amount FLNC Inc B 2199240 Actual Amount Given Florida Hospital College of Health Sciences Inc I 2199732 Cost Florida Hospital College of Health Sciences Inc L 3893669 Cost Florida Hospital College of Health Sciences Inc O 702766 Cost Florida Hospital College of Health Sciences Inc P 19097504 Cost Florida Hospital College of Health Sciences Inc Q 110090 Cost Florida Hospital Healthcare System Inc L 91347029 Claims Reimb Plus FMV Fee Florida Hospital Healthcare System Inc P 9052660 Cost Florida Hospital Medical Group Inc I 3358808 FMV Rental Rate Florida Hospital Medical Group Inc J 81662 Cost Florida Hospital Medical Group Inc K 1118293 Cost Florida Hospital Medical Group Inc L 38862934 Cost Plus Appropriate % Florida Hospital Medical Group Inc O 5043785 Cost Florida Hospital Medical Group Inc P 5357145 Cost Florida Hospital Medical Group Inc Q 432865 Cost Florida Hospital Waterman Inc C 89065 Actual Amount Received Florida Hospital Waterman Inc K 107840 Cost Florida Hospital Waterman Inc P 152923 Cost Florida Hospital Zephyrhills Inc K 74593 Cost Huguley Community Care Corporation B 526850 Actual Amount Given Huguley Medical Associates Inc A 568578 FMV Rental Rate Huguley Medical Associates Inc O 2222594 Cost Huguley Medical Associates Inc P 134777 Cost La Grange Memorial Hospital Foundation B 242914 Actual Amount Given La Grange Memorial Hospital Foundation C 2477958 Actual Amount Received La Grange Memorial Hospital Foundation Q 66535 Cost Memorial Health Systems Inc K 332224 Cost Memorial Health Systems Inc P 52879 Cost Memorial Hospital - Flagler Inc K 265790 Cost Memorial Hospital - West Volusia Inc K 152552 Cost Memorial Hospital - West Volusia Inc P 99453 Cost Metroplex Adventist Hospital Inc P 725364 Cost Princeton Professional Services Inc I 243213 Cost Plus Appropriate Margin Princeton Professional Services Inc K 89662 Cost Plus Appropriate Margin Princeton Professional Services Inc P 10103575 Cost Shawnee Mission Medical Center Inc K 74655 Cost South Central Nursing Homes Inc C 52948 Actual Amount Received Southwest Volusia Healthcare Corporation K 219823 Cost Southwest Volusia Healthcare Corporation P 209661 Cost Specialty Physicians of Central Texas Inc B 2500000 Actual Amount Given Specialty Physicians of Central Texas Inc P 904503 Cost Sunbelt Health & Rehab Center - Apopka Inc B 450000 Actual Amount Given Sunbelt Health Care Centers Inc I 231882 Cost SunSystem Development Corporation B 4674912 Actual Amount Given SunSystem Development Corporation C 15948365 Actual Amount Received SunSystem Development Corporation M 242032 Cost SunSystem Development Corporation P 759807 Cost Plus SunSystem Development Corporation Q 4825804 Cost University Community Hospital Inc K 205117 Cost