2012-11-14T15:02:21-06:00 2011-12-31 990 2011-01-01 742225672 Metroplex Adventist Hospital Inc METR 2545267523 2201 South Clear Creek Road Killeen TX 76549 Lynn C Addiscott 2545267523 2012-11-14 2011 2016-02-24 21:20:13Z Carlyle Walton 2201 South Clear Creek Road Killeen TX 76549 132987509 0 X www.mplex.org X 1980 TX The provision of medical care to the community through the operation of two hospitals. 18 13 1466 105 60402 6996 2667 0 128779854 132714014 582888 244256 920 900 129366329 132959170 224299 266242 0 0 58762907 64487062 0 0 0 59823648 56209063 118810854 120962367 10555475 11996803 104302309 115053227 16749391 15400006 87552918 99653221 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 115052476 266242 132652412 Operation of Metroplex Hospital, a 220-bed acute-care hospital and Rollins Brook Community Hospital, a 25-bed acute-care hospital; 9,825 patient admissions and 35,600 patient days in the current year. 115052476 1 1 0 1 0 0 0 0 0 0 1 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 1 1 1 0 1 0 0 0 0 0 0 1 0 0 0 0 0 0 1 1 0 0 0 1 145 0 1 1466 1 1 1 0 0 0 0 0 0 0 0 0 X 18 13 1 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 1 1 TX X Victor Lawhorn 2545198165 2201 S Clear Creek Road Killeen TX 76549 X Kenneth A Finch 2.00 X 0 903768 106032 Henderson Garrett 1.00 X 0 0 0 Ernie Bovio 1.00 X 0 0 0 Allen Cloud 1.00 X 0 0 0 Phillip Day MD 12.00 X 80561 0 0 Greg Dehmer MD 1.00 X 0 0 0 Dan Enderson 1.00 X 0 325099 52842 Samuel Green 1.00 X 0 0 0 Mike Helm 1.00 X 0 0 0 Penny Johnson 50.00 X X 0 379014 70240 Mary Kliewer 1.00 X 0 0 0 J Deryl Knutson 1.00 X 0 0 0 Les Ledger 1.00 X 0 0 0 James Lindley 1.00 X 0 0 0 Paula Lohse 1.00 X 0 0 0 Richard Procter 1.00 X 0 0 0 Steve Sibbitt MD 1.00 X 0 0 0 Barry Siebenlist MD 1.00 X 0 0 0 Paul West MD 1.00 X 0 0 0 Sundaram Sukumar MD 1.00 X 0 0 0 Carlyle Walton 50.00 X 0 399663 72125 Victor Lawhorn 50.00 X 0 188470 66028 Jeffrey Villanueva 50.00 X 0 219411 34564 Virginia Henderson 50.00 X 0 170021 22749 Ginalyn Roque 51.00 X 145516 0 22030 Scott Wood 44.00 X 138212 0 29369 Hung Tran 40.00 X 131727 0 12509 Michael Guillen 40.00 X 130491 0 15807 Vilma Rivera Freeman 54.00 X 127167 0 9252 Janice Hagensicker 0.00 X 0 606660 96509 753674 3192106 610056 29 1 1 0 Scott & White Hospital 2401 S 31st Street Temple TX 76508 Physician Staffing 3597437 Diversified Clinical Ser PO Box 850001 Orlando FL 32885 Wound Care Staffing & Management 1567127 BE&K Building Group LLC 10 Cadillac Drive Ste 460 Brentwood TN 37027 Construction 1361671 Adventist Health SystemSunbelt Inc PO Box 6452 Ft Worth TX 76134 Patient Finance 927160 Star Emergency Physicians 6300 La Calma Drive Ste 200 Austin TX 78752 Emergency Physician Staffing 726028 31 Net patient revenue 900099 130383336 130383336 Cafeteria revenue 900099 1352223 1352223 Medical office buildin 531120 735882 735882 Lab revenue 621500 60402 60402 Health education 900099 27126 27126 155045 153845 1200 132714014 147627 147627 26940 26940 0 0 97636 392 0 1399 97636 -1007 96629 96629 Misc. revenue-Excluded 900099 900 900 900 132959170 132652412 60402 246356 266242 266242 1362222 1362222 47938419 47915865 22554 1431856 1399431 32425 9855454 9645806 209648 3899111 3810815 88296 24807 24807 25080 25080 15687654 14355148 1332506 392025 392025 4578845 3711258 867587 4889775 4082350 807425 2962551 2962551 387956 387956 9944 9944 8770528 8770528 1623935 1606272 17663 Medical Supplies 16192531 16192531 Repairs & Maintenance 316347 316347 Special Events 252022 252022 Purchased Services 113498 7388 106110 -18435 -18435 120962367 115052476 5909891 0 3011 3734 8215233 17317944 15048497 16582792 3100057 3770488 532258 563247 144356742 75925210 71115994 68431532 0 83137 863355 490897 5423904 7809456 104302309 115053227 9171562 7888412 0 0 7577829 7511594 16749391 15400006 X 87550418 99653221 2500 0 87552918 99653221 104302309 115053227 X 11996803 103500 X 0 1 1 X 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 7313 7313 0 Explanation of Lobbying Activities: Part II-B, Line 1: American Hospital Association Dues and Texas Hospital Association Dues 2246528 2246528 71250876 28445598 42805278 66138678 45149807 20988871 4720660 2329805 2390855 68431532 Due from affiliated 5527919 Other receivables 124625 Investment in subs 102250 Receivable from third parties 2054662 7809456 Credit balances in A/R 363394 Other current liabilities 12698 Other noncurrent liabilities 586465 Due to affiliated 1725120 Payable to third parties 3730637 Other deferred revenue 45220 Negative equity - investment in sub 1048060 7511594 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 1 X 1 X 1 X 1 1 1 0 1 1 12056088 0 12056088 0.09970 15352762 12606663 2746099 0.02270 27408850 12606663 14802187 0.12240 60388 0 60388 0.00050 199990 0 199990 0.00170 260378 260378 0.00220 27669228 12606663 15062565 0.12460 97974 0 97974 0.00080 97974 97974 0.00080 1 5360727 2608993 37684799 37643028 41771 X 1 1 1 Clear Creek MOB Ltd Real Estate Rental 0.60800 0.00000 0.22600 2 1 Metroplex Adventist Hospital

2201 S Clear Creek Road Killeen TX 76549

X X X 2 Rollins Brook Community Hospital

608 N Key Avenue Lampasas TX 76550

X X X Metroplex Adventist Hospital 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 Rollins Brook Community Hospital 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 7 Wound Care & Hyperbaric Medicine Center

2300 S Clear Creek Road Killeen TX 76549

Outpatient Wound Care Clinic Metroplex Behavioral Health Center

2407 S Clear Creek Road Killeen TX 76549

Behavioral Health Metroplex Open MRI

5610 E Central Texas Expwy Killeen TX 76543

Outpatient MRI Clinic Cardiac & Vascular Center

2405 S Clear Creek Road Killeen TX 76549

Outpatient Clinic Metroplex Rehabilitation Center

2300 S Clear Creek Road Killeen TX 76549

Outpatient Rehabilitation Clinic Metroplex Sleep Center

2111 S Clear Creek Road Killeen TX 76549

Sleep Disorders Home Care of Metroplex

806 E Avenue D Ste D Copperas Cove TX 76522

Home Health 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 prepared by Adventist Health System Sunbelt Healthcare Corporation. 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 filing organization is involved with and supportive of various activities 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. Metroplex Wellness offers various health promotion and educational programs including the following: arthritis exercise, LaLeche League (assistance to mothers who breastfeed through mother-to-mother support, encouragement, and education), senior excercise, grief recovery, diabetes education, asthma education, smoking cessation classes, cancer cosmetology class and support groups for those affected by cancer. 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 System's patient acceptance policy is based on its mission statement and its charitable purposes. Accordingly, the System accepts patients in immediate need of care, regardless of their ability to pay. The System 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 System, 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 System 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 System'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 System's self-pay patients will be unable or unwilling to pay for the services provided. Thus, the System records a significant provision for bad debts in the period services are provided related to self-pay patients. The System's allowance for uncollectible accounts for self-pay patients was 97% of self-pay accounts receivable as of December 31, 2011 and 2010. For receivables associated with patients who have third-party coverage, the System 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 System's policies.Patient service revenue is not recognized for those patients that qualify for charity under the System'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 $6,687,698Self-pay patients, net of discounts 235,895 ---------- $6,923,593The System 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 System 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 System 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 consolidated 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. Part III, Line 9b: 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. Part III, Line 4 continuation of footnote: Revenue from the Medicare and Medicaid programs represents approximately 36% and 35% of the System's patient service revenue for the years ended December 31, 2011 and 2010, respectively. 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 and 2010.The System 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 $46,600 and $29,500 for the years ended December 31, 2011 and 2010, respectively. Metroplex Adventist Hospital Part V, Section B, Line 13g: Metroplex Adventist Hospital (the Hospital) 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. Rollins Brook Community Hospital Part V, Section B, Line 13g: Rollins Brook Community Hospital (the Hospital) 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. Metroplex Adventist 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. Rollins Brook Community 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. 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 community. Such practices and processes involve the following:1. A hospital operating/community board 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 community; and 4. Collaboration with other local community groups to address the health care needs of the filing organization's community. Part VI, Line 3: The filing organization has 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 Room 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 Hospital includes the application for charity care assistance along with the initial patient bill. The Hospital's charity care application is also available to patients on the Hospital's web-site in both an English and Spanish version. Additionally, the Hospital's 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 Hospital 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 2 hospital facilities, Metroplex Adventist Hospital and Rollins Brook Community Hospital, in the northern Hill Country of Central Texas. Combined, these facilities are a major healthcare provider in Bell, Coryell, and Lampasas counties.Metroplex Adventist Hospital (MAH), located in Bell County, is licensed for 160 acute-care beds and 60 psychiatric care beds. In addition, MAH also operates physician office buildings, rehabilitations centers, and Home Care, an organization which provides home health services. As the sixth largest employer in Killeen, Texas, MAH employs approximately 1,400 area residents and cares for more than 120,000 patients each year. MAH is located next to Fort Hood, the largest military base in the country which makes the community heavily dependent on the post and the soldiers (and their families) stationed there. Rollins Brook Community Hospital (RBCH), located in Lampasas County, Texas, is licensed for 25 beds and cares for more than 16,000 patients each year. Because of its location and population served, RBCH is a federally designated Critical Access Hospital. RBCH is a crucial community and regional asset. It is the sole hospital facility for the Lampasas community. The county of Lampasas covers approximately 714 square miles. Similar to Bell County, Lampasas County's economy is also heavily dependent on the soldiers (and their families) stationed at Fort Hood, located less than 25 miles away. The main campus of the filing organization primarily serves Coryell and Bell Counties. This primary market has a population of approximately 224,600, with an estimated 13,200 over the age of 65. The weighted average household income, based on population, in the primary market is approximately $45,000. High school graduates account for approximately 88% of Bell County, with an estimated 21.5% having a bachelor's degree or higher. It is estimated that 14% of the individuals residing in Bell County live below the poverty level and the unemployment rate is about 7.9%. Approximately 34% of the filing organization's patients during 2011 were Medicare patients, about 13% were medicaid patients, about 10.5% were self-pay patients, and the remaining percentage were patients covered under commercial insurance. In 2011, about 54% of the hospitals in-patients were admitted through the hospitals Emergency Department. 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 fiing 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 Hospital 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 $341,900 of benefit with respect to the faith-based and spiritual needs of the community in conjunction with its operation of 2 community hospitals. The filing organization also provides benefits to its community's infrastructure by investing in capital improvements to ensure that facilities and technology provide the best possible care to the community. During the current year, the filing organization expended $6,075,855 in new capital improvements. As a faith-based mission-driven community hospital, the filing organization is continually involved in monitoring its community, 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 Hospital are continually being invested in resources that improve the availability and quality of delivery of health care services and programs to its community. 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 community 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. Reports Filed With States Part VI, Line 7 TX 1 Greater Killeen Free Clinic Inc 309 2nd Street Killeen TX 76541 742724725 501(c)(3) 46279 17645 BOOK Pharmaceuticals Medical Care Sunsystem Development Corp dba Metroplex Foundation 900 Hope Way Altamonte Springs FL 32714 592219301 501(c)(3) 82468 Cost General Administrative Support Provision of General Administrative Support Central Texas College Foundation PO Box 1800 Killeen TX 76540 742623554 501(c)(3) 18000 Nursing Scholarship and Equipment Killeen ISD Education Foundation PO Box 967 Killeen TX 76540 743001870 501(c)(3) 5400 General Support United Way of the Greater Fort Hood Area 208 West Ave A Killeen TX 76541 741750544 501(c)(3) 29265 General Support 5 0 In order to monitor the use of grant funds paid to the Greater Killeen Free Clinic, Inc. (GKFC), Metroplex Adventist Hospital, Inc. reviews quarterly reimbursable expense and annual reports furnished by GKFC. All other grants paid during the current year were montiored using the following process: 1) A commitee of 3-4 individuals consisting of employees and directors review the previous years' contribution to the organization requesting the donation; 2) Assesses whether the mission of the organization reflects the mission and values of Adventist Health System; and 3) Ensures that the request will not exceed the budgeted amount 4) Requests above $1,500 are also reviewed and approved by the CEO X X X X X 1 1 0 1 0 0 0 0 0 0 0 Kenneth A Finch 0 407835 0 99166 0 396767 0 77314 0 28718 0 1009800 0 43407 Dan Enderson 0 198962 0 62714 0 63423 0 13343 0 39499 0 377941 0 64595 Penny Johnson 0 237581 0 40366 0 101067 0 28599 0 41641 0 449254 0 0 Carlyle Walton 0 280087 0 66671 0 52905 0 39073 0 33052 0 471788 0 21455 Victor Lawhorn 0 143921 0 19153 0 25396 0 8801 0 57227 0 254498 0 0 Jeffrey Villanueva 0 184759 0 25257 0 9395 0 11747 0 22817 0 253975 0 0 Virginia Henderson 0 156911 0 8249 0 4861 0 8516 0 14233 0 192770 0 0 Ginalyn Roque 145391 0 125 0 0 0 5243 0 16787 0 167546 0 0 0 Scott Wood 119159 0 18813 0 240 0 6610 0 22759 0 167581 0 0 0 Janice Hagensicker 0 330000 0 64852 0 211808 0 41705 0 54804 0 703169 0 25430 Part I, Line 1a As discussed in our response to Form 990, 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, one executive was 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. ------------------------------------------------------- Kenneth A. Finch $63,971 $48,602 $321,975 $0 Dan E. Enderson $14,506 $12,851 $0 $14,427 Penny Johnson $15,256 $0 $0 $0 Carlyle Walton $30,630 $23,272 $0 $0 Janice Hagensicker $44,862 $25,492 $0 $0 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. 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. Dustie Ledger Family Member of Board Member 35641 Employee Compensation 0 Latha Sukumar MD Family Member of Board Member 31680 Professional Services 0 Form 990, Part VI, Section A, line 1 The Board of Directors for Metroplex Adventist Hospital, Inc. is comprised of two classes of members with power to vote on matters that may come before the Governing Body; the Board of Directors of the Corporation and a Community Board. The Community Board is primarily responsible for reporting to the Board of Directors on matters at each hospital location involving medical staff appointment, reappointment, quality assurance and administration of medical staff bylaws, and rules and regulations and policies and matters involving the Joint Commission. The Board of Directors retains final authority regarding all Community Board actions to ensure that its actions are consistent with the best interests of the Corporation. The Community Board is comprised of individuals from the Community who are appointed by the Board. Three of the sixteen members of the Community Board are members of the Governing Board. Form 990, Part VI, Section A, line 2 Jeffrey Villanueva and Barry Siebenlist, MD - Family Relationship Allen Cloud and James Lindley - Business Relationship Allen Cloud and Victor Lawhorn - Business Relationship Penny Johnson and Paula Lohse - Business Relationship Mary Kliewer and Allen Cloud - Business Relationship Mary Kliewer and James Lindley - Business Relationship Mary Kliewer and Mike Helm - Business Relationship Mary Kliewer and Paula Lohse - Business Relationship Paula Lohse and Mike Helm - Business Relationship Don Daniels, MD and Paul West, MD - Business Relationship Don Daniels, MD and Steve Sibbitt, MD - Business Relationship Don Daniels, MD and Greg Dehmer, MD - Business Relationship Steve Sibbitt, MD and Paul West, MD - Business Relationship Steve Sibbitt, MD and Greg Dehmer, MD - Business Relationship Steve Sibbitt, MD and Ernie Bovio - Business Relationship Form 990, Part VI, Section A, line 6 Metroplex Adventist Hospital, Inc. (MAH) has two members as of December 31, 2011. The members of MAH are Adventist Health System Sunbelt Healthcare Corporation (AHSSHC) and Scott & White Memorial Hospital and Scott, Sherwood and Brindley Foundation (Scott & White). Both AHSSHC and Scott & White are not-for-profit corporations that are exempt from federal income tax under Internal Revenue Code (IRC) Section 501(c)(3). There are no other classes of membership in MAH. Form 990, Part VI, Section A, line 7a The Board of Directors (Board) of MAH are appointed by AHSSHC (majority member) and Scott & White (minority member). The majority member is entitled to elect four Directors to the Board of MAH and the minority member is entitiled to elect two Directors to the Board. In addition, the Board may appoint a Community Board that is responsible to report to the Board on matters at each hospital involving medical staff appointment, reappointment, quality assurance and administration of medical staff bylaws, rules and regulations and policies and matters involving the Joint Commission. The Community Board shall consist of a maximum of eighteen voting members which may be appointed or removed by each member in proportion to the member's membership interest in MAH. Form 990, Part VI, Section A, line 7b AHSSHC and Scott & White, as the sole members of MAH, have certain reserved powers as set forth in the Bylaws of MAH. These reserved powers include the following: 1) To add additional members or require additional capital contributions from either member; 2) To amend, restate, and repeal the Articles of Incorporation or Bylaws; 3) To set limits and terms for the borrowing of funds; 4) To direct the placement of funds and capital; 5) To merge, consolidate, reorganize, liquidate, or voluntarily dissolve MAH; 6) To sell, transfer, lease, dispose, or encumber all or substantially all of the assets of MAH. Though not requiring an apporoval by the minority member, Scott & White, the majority member, AHSSHC, shall consult with and obtain input from the minority member prior to taking any action involving: 1) Amendment, restatement, or repeal of the Corporate Compliance Policy; 2) Appointment or removal of the President; 3) Approving or entering into loans to, or guarantees for the benefit of third parties in an aggregate amount not to exceed $100,000 in any year Form 990, Part VI, Section B, line 11 The filing organization's current year Form 990 was reviewed by the Board Chairman, Board Finance Committee Chair, CEO and by the CFO prior to its filing with the IRS. The review conducted by the Board Chairman, Board Finance Committee Chair, CEO and the CFO did not include the review of any supporting workpapers that were used in preparation of the current year Form 990, but did include a review of the entire Form 990 and all supporting schedules. Form 990, Part VI, Section B, line 12c The Conflict of Interest Policy of the filing organization applies to members of its Board of Directors and its principal officers (to be known as Interested Persons). In connection with any actual or possible conflict of interests, any member of the Board of Directors of the filing organization or any principal officer of the filing organization (i.e. Interested Persons) must disclose the existence of any financial interest with the filing organization and must be given the opportunity to disclose all material facts concerning the financial interest/arrangement to the Board of Directors of the filing organization or to any members of a committee with board delegated powers that is considering the proposed transaction or arrangement. Subsequent to any disclosure of any financial interest/arrangement and all material facts, and after any discussion with the relevant Board member or principal officer, the remaining members of the Board of Directors or committee with board delegated powers shall discuss, analyze, and vote upon the potential financial interest/arrangement to determine if a conflict of interest exists. According to the filing organization's Conflict of Interest Policy, an Interested Person may make a presentation to the Board of Directors (or committee with board delegated powers), but after such presentation, shall leave the meeting during the discussion of, and the vote on, the transaction or arrangement that results in a conflict of interest. Each Interested Person, as defined under the filing organization's Conflict of Interest Policy, shall annually sign a statement which affirms that such person has received a copy of the Conflict of Interests policy, has read and understands the policy, has agreed to comply with the policy, and understands that the filing organization is a charitable organization that must primarily engage in activities which accomplish one or more of its exempt purposes. The filing organization's Conflict of Interest Policy also requires that periodic reviews shall be conducted to ensure that the filing organization operates in a manner consistent with its charitable purposes. Form 990, Part VI, Section B, line 15 The top-tier majority member 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. Part VII, Section A, Column (B) The members of the Board of Directors and officers who received compensation from a related organization as shown in column (E) and (F) of Section A each 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: Gifts 126,846. Released from Restricted -23,346. Total to Form 990, Part XI, Line 5: 103,500. 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 were provided in conjunction with that person's responsibilities and roles in serving in an executive leadership position within Adventist Health System. Part X, Line 2 The amounts shown on line 2 of Part X of this return includes the filing organization's interest in a central investment pool maintained by Adventist Health System Sunbelt Healthcare Corporation, the filing organization's top-tier majority member. The investments in the central investment pool are recorded at market value. Adventist Bolingbrook Hospital 500 Remington Blvd Bolingbrook IL 60440 651219504 Operation of Hospital & Related Services IL 501(c)(3) 170(b)(1)(A)(iii) Adventist Hlth SystemSunbelt Inc 0 Adventist Care Centers - Courtland Inc 730 Courtland Street Orlando FL 32804 205774723 Operation of Home for the Aged/Hlthcare Delivery FL 501(c)(3) 509(a)(2) Sunbelt Hlth Care Centers Inc 0 Adventist GlenOaks Hospital 701 Winthrop Avenue Glendale Heights IL 60139 363208390 Operation of Hospital & Related Services IL 501(c)(3) 170(b)(1)(A)(iii) Adventist Hlth SystemSunbelt Inc 0 Adventist Hlth Mid-America Inc 9100 W 74th Street Shawnee Mission KS 66204 521347407 Hlthcare Related Services KS 501(c)(3) 509(a)(3) Type I Adventist Hlth SystemSunbelt Inc 0 Adventist Hlth Partners Inc 1000 Remington Blvd Ste 200 Bolingbrook IL 60440 364138353 Operate out-patient physician clinics IL 501(c)(3) 170(b)(1)(A)(iii) AHS Midwest Management Inc 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 0 AHS Midwest Management Inc 1000 Remington Blvd Ste 200 Bolingbrook IL 60440 363354567 Operation of Physician Practice Mgmt IL 501(c)(3) 509(a)(3) Type I Adventist Hlth SystemSunbelt Inc 0 AHSCentral Texas Inc 1301 Wonder World Drive San Marcos TX 78666 742621825 Provide Office Space - Medical Professionals TX 501(c)(3) 509(a)(3) Type III-F Adventist Hlth System Sunbelt Hlthcare Corp 0 Apopka Hlth Care Properties Inc 305 E Oak Street Apopka FL 32703 510605694 Lease to Related Organization GA 501(c)(3) 509(a)(3) Type III-F Sunbelt Hlth Care Centers Inc 0 Battle Creek Adventist Hospital 1000 Remington Blvd Ste 200 Bolingbrook IL 60440 381359189 Inactive MI 501(c)(3) 170(b)(1)(A)(iii) Adventist Hlth SystemSunbelt Inc 0 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 0 Cedar Crag Terrace Inc (630 Year End) Rt 5 Box 900 Manchester KY 40962 611120442 Operation of Home for the elderly-disabled KY 501(c)(3) 170(b)(1)(A)(vi) Memorial Hospital Inc 0 Central Texas Medical Center Foundation 1301 Wonder World Drive San Marcos TX 78666 742259907 Fund-raising for Tax-exempt hospital TX 501(c)(3) 170(b)(1)(A)(vi) Adventist Hlth SystemSunbelt Inc 0 Chickasaw Hlth Care Properties Inc 250 S Chickasaw Trail Orlando FL 32825 510605681 Lease to Related Organization GA 501(c)(3) 509(a)(3) Type III-F Sunbelt Hlth Care Centers Inc 0 Chippewa Valley Hospital & Oakview Care Center Inc 1220 Third Avenue West Durand WI 54736 391365168 Operation of Hospital & Related Services WI 501(c)(3) 170(b)(1)(A)(iii) Adventist Hlth SystemSunbelt Inc 0 Cobb Medical Associates LLC 3949 South Cobb Drive SE Smyrna GA 300806342 582617089 Operation of Physician Practices & Medical Services GA 501(c)(3) 170(b)(1)(A)(iii) Emory-Adventist Inc 0 Courtland Hlth Care Properties Inc 730 Courtland Street Orlando FL 32804 510605682 Lease to Related Organization GA 501(c)(3) 509(a)(3) Type III-F Sunbelt Hlth Care Centers Inc 0 Creekwood Place Nursing & Rehab Center Inc 683 E Third Street Russellville KY 42276 205782260 Operation of Home for the Aged/Hlthcare Delivery KY 501(c)(3) 509(a)(2) Sunbelt Hlth Care Centers Inc 0 Dairy Road Hlth Care Properties Inc 7350 Dairy Road Zephyrhills FL 33540 510605684 Lease to Related Organization GA 501(c)(3) 509(a)(3) Type III-F Sunbelt Hlth Care Centers Inc 0 East Orlando Hlth & Rehab Center Inc 250 S Chickasaw Trail Orlando FL 32825 205774748 Operation of Home for the Aged/Hlthcare Delivery FL 501(c)(3) 509(a)(2) Sunbelt Hlth Care Centers Inc 0 Emory-Adventist Inc 3949 South Cobb Drive Smyrna GA 30080 582171011 Operation of Hospital & Related Svcs GA 501(c)(3) 170(b)(1)(A)(iii) Adventist Hlth SystemSunbelt Inc 0 Fletcher Hospital Inc 100 Hospital Drive Hendersonville NC 28792 560543246 Operation of Hospital & Related Svcs NC 501(c)(3) 170(b)(1)(A)(iii) Adventist Hlth System Sunbelt Hlthcare Corp 0 FLNC Inc 3355 E Semoran Blvd Apopka FL 32703 205774761 Operation of Home for the Aged/Hlthcare Delivery FL 501(c)(3) 509(a)(2) Sunbelt Hlth Care Centers Inc 0 Florida Hospital 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 0 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 0 Florida Hospital Medical Group Inc 900 Winderley Place Maitland FL 32751 593214635 Operation of Physician Practices & Medical Services FL 501(c)(3) 170(b)(1)(A)(iii) Adventist Hlth SystemSunbelt Inc 0 Foundation for Shawnee Mission Medical Center Inc 9100 W 74th Street Shawnee Mission KS 66204 480868859 Fund-raising for Tax-exempt hospital KS 501(c)(3) 509(a)(3) Type I Shawnee Mission Medical Center Inc 0 GlenOaks Hospital Foundation 701 Winthrop Avenue Glendale Heights IL 60139 363926044 Fund-raising for Tax-exempt hospital IL 501(c)(3) 170(b)(1)(A)(vi) Midwest Hlth Foundation 0 Hays Memorial Hospital Association of Seventh-Day Adventists 1301 Wonder World Drive San Marcos TX 78667 741362785 Lease of Hospital Personnel TX 501(c)(3) 509(a)(3) Type II Adventist Hlth System Sunbelt Hlthcare Corp 0 Helen Ellis Memorial Hospital Auxiliary Inc 1395 S Pinellas Ave Tarpon Springs FL 34689 592106043 Fund-raising for Tax-exempt hospital/foundation FL 501(c)(3) 509(a)(3) Type I Tarpon Springs Hospital Foundation Inc 0 Helen Ellis Memorial Hospital Foundation Inc 1395 S Pinellas Ave Tarpon Springs FL 34689 593690149 Fund-raising for Tax-exempt hospital FL 501(c)(3) 509(a)(3) Type I Tarpon Springs Hospital Foundation Inc 0 Hinsdale Hospital Foundation 7 Salt Creek Lane Suite 203 Hinsdale IL 60521 521466387 Fund-raising for Tax-exempt hospital IL 501(c)(3) 170(b)(1)(A)(vi) Midwest Hlth Foundation 0 Huguley Community Care Corp 11801 South Freeway Burleson TX 76028 452793120 Support Operation of Hospital TX 501(c)(3) 509(a)(3) Type I Adventist Hlth SystemSunbelt Inc 0 In-Motion Rehab Inc 602 Courtland Street Ste 200 Orlando FL 32804 208023411 Therapy services to tax exempt nursing homes KS 501(c)(3) 509(a)(3) Type II Sunbelt Hlth Care Centers Inc 0 Jellico Community Hospital Inc 188 Hospital Lane Jellico TN 37762 620924706 Operation of Hospital & Related Services TN 501(c)(3) 170(b)(1)(A)(iii) Adventist Hlth System Sunbelt Hlthcare Corp 0 La Grange Memorial Hospital Foundation 5101 S Willow Springs Rd La Grange IL 60525 300247776 Fund-raising for Tax-exempt hospital IL 501(c)(3) 170(b)(1)(A)(vi) Midwest Hlth Foundation 0 Memorial Hlth Systems Foundation Inc 770 West Granada Blvd Ormond Beach FL 32174 311771522 Fund-raising for Tax-exempt hospital FL 501(c)(3) 170(b)(1)(A)(vi) Memorial Hlth Systems Inc 0 Memorial Hlth Systems Inc 301 Memorial Medical Parkway Daytona Beach FL 32117 590973502 Operation of Hospital & Related Services FL 501(c)(3) 170(b)(1)(A)(iii) Adventist Hlth SystemSunbelt Inc 0 Memorial Hospital Flagler Inc 60 Memorial Medical Parkway Palm Coast FL 32164 592951990 Operation of Hospital & Related Services FL 501(c)(3) 170(b)(1)(A)(iii) Memorial Hlth Systems Inc 0 Memorial Hospital - West Volusia Inc 701 West Plymouth Avenue Deland FL 32720 593256803 Operation of Hospital & Related Services FL 501(c)(3) 170(b)(1)(A)(iii) Memorial Hlth Systems Inc 0 Memorial Hospital Inc 210 Marie Langdon Drive Manchester KY 40962 610594620 Operation of Hospital & Related Services KY 501(c)(3) 170(b)(1)(A)(iii) Adventist Hlth System Sunbelt Hlthcare Corp 0 Merriam Hlth Care Properties Inc 9700 West 62nd Street Merriam KS 66203 364595806 Lease to Related Organization KS 501(c)(3) 509(a)(3) Type III-F Sunbelt Hlth Care Centers Inc 0 Metroplex Adventist Hospital Inc 2201 S Clear Creek Road Killeen TX 76549 742225672 Operation of Hospital & Related Services TX 501(c)(3) 170(b)(1)(A)(iii) Adventist Hlth System Sunbelt Hlthcare Corp 0 Metroplex Clinic Physicians Inc 2201 S Clear Creek Road Killeen TX 76549 113762050 Physician Hlthcare services to the community TX 501(c)(3) 170(b)(1)(A)(iii) Metroplex Adventist Hospital Inc 0 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 0 Specialty Physicians of Central Texas Inc 1301 Wonder World Drive San Marcos TX 78666 208814408 Physician Hlthcare services to the community TX 501(c)(3) 170(b)(1)(A)(iii) Adventist Hlth SystemSunbelt Inc 0 Spring View Hlth & Rehab Center Inc 718 Goodwin Lane Leitchfield KY 42754 205782288 Operation of Home for the Aged/Hlthcare Delivery KY 501(c)(3) 509(a)(2) Sunbelt Hlth Care Centers Inc 0 Sunbelt Hlth & Rehab Center - Apopka Inc 305 East Oak Street Apopka FL 32703 205774856 Operation of Home for the Aged/Hlthcare Delivery FL 501(c)(3) 509(a)(2) Sunbelt Hlth Care Centers Inc 0 Sunbelt Hlth Care Centers Inc 602 Courtland Street Ste 200 Orlando FL 32804 581473135 Management Services TN 501(c)(3) 509(a)(3) Type II Adventist Hlth System Sunbelt Hlthcare Corp 0 SunSystem Development Corp 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 0 The Volunteer Auxiliary of Florida Hospital - Flagler Inc 60 Memorial Medical Parkway Palm Coast FL 32164 592486582 Volunteer support services FL 501(c)(3) 509(a)(3) Type III-F Memorial Hospital Flagler Inc 0 Trinity Nursing & Rehab Center Inc 9700 West 62nd Street Merriam KS 66203 205774890 Operation of Home for the Aged/Hlthcare Delivery KS 501(c)(3) 509(a)(2) Sunbelt Hlth Care Centers Inc 0 University Community Hospital Auxiliary Inc 3100 E Fletcher Ave Tampa FL 33613 237011345 Volunteer support services FL 501(c)(3) 509(a)(3) Type III-F University Community Hospital Inc 0 University Community Hospital Foundation Inc 3100 E Fletcher Ave Tampa FL 33613 592554889 Fund-raising for Tax-exempt hospital FL 501(c)(3) 509(a)(3) Type I University Community Hospital Inc 0 University Community Hospital Specialty Care Inc 3100 E Fletcher Ave Tampa FL 33613 593231322 Inactive FL 501(c)(3) 509(a)(3) University Community Hospital Inc 0 University Community Hospital Inc 3100 E Fletcher Ave Tampa FL 33613 591113901 Operation of Hospital & Related Services FL 501(c)(3) 170(b)(1)(A)(iii) Adventist Hlth System Sunbelt Hlthcare Corp 0 West Kentucky Hlth Care Properties Inc 500 Beck Lane Mayfield KY 42066 510605676 Lease to Related Organization GA 501(c)(3) 509(a)(3) Type III-F Sunbelt Hlth Care Centers Inc 0 Zephyr Haven Hlth & Rehab Center Inc 38250 A Avenue Zephyrhills FL 33542 205774930 Operation of Home for the Aged/Hlthcare Delivery FL 501(c)(3) 509(a)(2) Sunbelt Hlth Care Centers Inc 0 Zephyrhills Hlth & Rehab Center Inc 7350 Dairy Road Zephyrhills FL 33540 205774967 Operation of Home for the Aged/Hlthcare Delivery FL 501(c)(3) 509(a)(2) Sunbelt Hlth Care Centers Inc 0 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 Clear Creek MOB Inc Related 55866 1851617 0 1 0.60800 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 N/A 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 N/A C Altamonte Medical Plaza Condominium Association Inc 601 East Rollins Street Orlando FL 32803 592855792 Condo Association FL N/A C Apopka Medical Plaza Condominium Association Inc 601 East Rollins Street Orlando FL 32803 593000857 Condo Association FL N/A C 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 Metroplex Adventist Hospital Inc C 87737 63596 1.00000 Central Texas Medical Associates 1301 Wonder World Drive San Marcos TX 78666 742729873 Physician Clinics TX N/A C Central Texas Provider's Network 1301 Wonder World Drive San Marcos TX 78666 742827652 Physician Hospital Org. TX N/A C 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 N/A C Florida Medical Plaza Condo Association Inc 601 East Rollins Street Orlando FL 32803 592855791 Condo Association FL N/A C 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 N/A C Huguley Medical Associates Inc 11801 South Freeway Burleson TX 76028 752547668 Physician Clinics TX N/A C Kissimmee Multispecialty Clinic Condominium Association Inc 201 Hilda Street Suite 30 Kissimmee FL 34741 593539564 Condo Association FL N/A C 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 Metroplex Adventist Hospital Inc C 59964 1.00000 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 N/A C 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 N/A C 0 1 1 1 0 0 0 0 1 0 0 1 0 1 1 0 0 0 Metroplex Clinic Physicians Inc D 521594 Actual Amount Loaned Adventist Health SystemSunbelt Inc dba Huguley Memorial Hospital L 927160 Cost Plus Applicable % SunSystem Development Corp dba Metroplex Foundation C 95579 Actual Amount Received SunSystem Development Corp dba Metroplex Foundation B 82468 Cost Plus Applicable % Adventist Health System Sunbelt Healthcare Corp L 1103010 % of facility's operating expense Adventist Health System Sunbelt Healthcare Corp dba AHS IS L 4370213 % of facility's operating expense Adventist Health System Sunbelt Healthcare Corp O 5385258 Cost