2011-08-15T14:01:57-05:00 2010-09-30 990 2009-10-01 591113901 University Community Hospital Inc UNIV 8139716000 3100 East Fletcher Avenue Tampa FL 336134688 John Harding 8139716000 2011-08-16 2009 2016-02-24 21:20:13Z John Harding 3100 East Fletcher Avenue Tampa FL 336134688 459689250 0 X www.uch.org X 1966 FL The provision of medical care to the community through the operation of two general acute care hospitals with a total of 477 beds, a 101-bed heart hospital and a 50-bed long-term acute care facility. 25 18 3221 350 0 0 963368 253595 431647626 444606099 4785710 7087870 4007701 7695686 441404405 459643250 47200 0 162110945 170943442 0 0 268942011 314385943 431052956 485376585 10351449 -25733335 444939368 748899072 323860230 363950090 121079138 384948982 University Community Hospital is a not-for-profit community hospital, strategically represented throughout the Tampa Bay Metropolitan Area, that provides high quality, personalized and compassionate care to its patients and community. Through its dedication to performance improvement, safety, rigorous self-assessment, corporate integrity and service management, the hospital network is committed to being the preeminent provider of inpatient and outpatient health care services for the residents of Hillsborough, Pasco, Pinellas and surrounding areas. 0 0 418985403 47200 444606099 Operation of University Community Hospital - Medical Center, a 357-bed general acute care hospital, University Community Hospital - Carrollwood, a 120-bed general acute care hospital, Pepin Heart Hospital, a 101-bed facility, and a 50-bed Long-Term Acute Care Hospital. Combined these facilities generated 27,022 patient admissions and 142,821 patient days during the current tax year. 418985403 1 1 0 1 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 1 1 0 1 0 0 0 0 0 0 1 1 0 0 0 0 0 1 1 0 0 1 333 0 1 3221 1 1 1 1 CJ 0 0 0 0 0 0 0 25 18 1 0 1 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 X Tim Widdison 8139716000 3100 East Fletcher Avenue Tampa FL 336134688 Robert Anderson 1.00 X 0 0 0 Michael Schultz 1.00 X 0 918476 129487 Scott Bronleewe MD 1.00 X 0 0 0 Alma Bryant 1.00 X 0 0 0 Jack Butcher 1.00 X 0 0 0 Jon Courson 1.00 X 0 0 0 Henry Ennis Jr 1.00 X 0 0 0 John Harding 50.00 X X 0 1149962 90540 Jack Hendricks 1.00 X 0 0 0 Lars Houmann 1.00 X 0 1533911 213265 Arthenia L Joyner 1.00 X 0 0 0 Donald K Lau 1.00 X 0 0 0 Ken Lightfoot 1.00 X 0 0 0 Mary E Mahon 1.00 X 0 0 0 Fred Meyer 1.00 X 0 0 0 Eric Newman 1.00 X 0 0 0 Brendan O'Malley MD 1.00 X 270266 0 21173 Thaddeus C Parker IV 1.00 X 0 0 0 Shared Patel MD 1.00 X 85982 0 0 Tom Pepin 1.00 X 0 0 0 Charlie Robbins 1.00 X 0 0 0 Robert Rosequist MD 1.00 X 0 0 0 Basil Scaglione 1.00 X 0 0 0 Kurt Stonesifer MD 1.00 X 0 0 0 Jose Vivero 1.00 X 0 0 0 Norman Stein 50.00 X 608279 0 135532 Janice Hagensicker 50.00 X 0 444485 56125 Marvin Kurtz 50.00 X 286356 0 23451 Larry Archbell 50.00 X 438843 0 119657 Larry Hanan 50.00 X 250201 0 16567 Brigitte Shaw 50.00 X 280927 0 62647 Mary Whillock 50.00 X 140615 0 19025 Kathleen Miller 50.00 X 155980 0 11914 Brad Bjornstad 50.00 X 275322 0 9951 Joline Miceli 50.00 X 407274 0 26514 James Orlowski 50.00 X 361848 0 26245 Stephen Gerrish MD 50.00 X 332873 0 9316 Usama Hanhan MD 50.00 X 272339 0 29587 Mariano Fiallow MD 50.00 X 247829 0 30935 4274319 4046834 1012906 101 0 1 0 Crothall Healthcare Inc 13028 Collections Center Drive Chicago IL 60693 Housekeeping 3867577 Amer Transcription Solutions PO Box 533176 Charlotte NC 28290 Transcription Services 1323915 BMATampa Acutes PO Box 62760 New Orleans LA 70162 Physician Services 1068820 Advanced Cardiac Management 3450 East Fletcher Avenue Ste 110 Tampa FL 33613 Physician Services 847775 Select Medical Group 4714 Old Gettysburg Road Mechanicsburg PA 17055 Management Group 776662 55 253595 253595 Net Patient Revenue 900099 437934960 437934960 Cafeteria 900099 2077366 2077366 Managment Fees 561000 1450868 1450868 Medical Office Buildin 531120 723089 723089 Health Education/Scree 900099 691477 691477 1728339 1728339 444606099 5574472 5574472 1514313 45085 46000 1514313 -915 1513398 1513398 GAAP Business Combinat 900099 7695686 7695686 7695686 459643250 444606099 0 14783556 47200 47200 3190681 3190681 137396693 110262082 27134611 5414023 4252370 1161653 14285744 11380885 2904859 10656301 8369846 2286455 993935 993935 630419 630419 27328702 23289936 4038766 955254 955254 104901700 102321275 2580425 6962009 6962009 8409847 8409847 366351 366351 13198015 13198015 21089170 21089170 11243061 11243061 Bad Debt Expense 51650039 51650039 Loss on Defeasance of B 41877208 41877208 Repairs & Maintenance 10664705 10664705 Purchased Services 9251824 9251824 State Tax Indigent Asse 5254608 5254608 -390904 -410143 19239 485376585 418985403 66391182 0 50171715 1511994 1720955 62388778 51572860 45727464 8319092 7301820 6869777 5047771 505172509 2244253 193355804 502928256 57377977 25000 19665226 75551188 104302763 444939368 748899072 99707729 50875306 21300 201415636 7388603 225000000 15326962 88074784 323860230 363950090 X 113961507 365325886 6787255 19289382 330376 333714 121079138 384948982 444939368 748899072 X 0 0 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 18753 18753 0 Part II-B, Line 1i: Explanation of Other Lobbying Activities: Dues were paid to the Florida Hospital Association. 7117631 2259714 -144735 3990492 5242118 9242470 782983 14366 2922188 7117631 0.00000 0.06870 0.93130 0 1 1 24450000 24450000 393894265 1384986 392509279 75813380 711146 75102234 11014864 148121 10866743 502928256 Due from Affiliates 1879581 Other Receivables 3987460 Board Designated Funds 61290056 Bond Issuance Cost, Net 1164 Interest in VHA, Inc. 200000 Interest in UCH Foundation 19623096 Interest in PHCHS 15055660 Interest in SERP Fund 972500 Interest in Captive 1287402 Other Assets 5844 104302763 Capital Lease Obligations 7146697 Payable to Third Parties 6108319 Credit Balances in A/R 838441 Other Noncurrent Liabilities 71123202 Other Current Liabilities 2858125 88074784 Part V, Line 4: Description of Intended Use of Endowment Funds: University Community Hospital Foundation, Inc. (UCHF), a related organization formed and maintained exclusively to further the exempt purpose of University Community Hospital, Inc. (the Hospital), held assets in temporary endowment and permanent endowment funds during the current tax year. UCHF's endowment consists of individual donor restricted endowment funds and pledges receivable where the assets have been designated for endowment established to support various purposes benefiting the Hospital and its patients. Part X: Description of Uncertain Tax Positions Under FIN 48: There is no applicable FIN 48 footnote as there are no audited financial statements that cover the filing organization's tax year from October 1, 2009 to September 30, 2010. 1 1 X 1 X 1 X 600.000000000000 1 1 0 0 14339980 0 14339980 0.03310 47079026 36324948 10754078 0.02480 61419006 36324948 25094058 0.05790 0 0 0 0 0 0 0 0 0 0 61419006 36324948 25094058 0.05790 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 10490320 2013092 97743264 102934889 -5191625 X 1 1 University Community Hospital

3100 E Fletcher Avenue Tampa FL 33613

X X X UCH - Carrollwood

7171 N Dale Mabry Hwy Tampa FL 33614

X X X UCH - Long Term Acute Care Hospital

9441 Health Center Drive Land OLakes FL 34637

X X UCH Home Health Care

13601 Bruce B Downs Blvd Ste 110 Tampa FL 33613

Home Health UCH Home Health of Pasco

2416 Land O Lakes Blvd Land OLakes FL 34639

Home Health Part I, Line 3c: Under the filing organization's Financial Assistance Policy, charity care eligibility is limited to those households whose income is no greater than 200% of the Federal Poverty Guidelines (FPG) unless the Hospital charges exceed 25% of the patient's yearly income up to a maximum income level of four times the household FPG income level for a family of four. In 2009, household income levels above $88,200 would have been ineligible for charity care classification. 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 I, Line 7f: Bad debt expense of $51,650,039 was included on Form 990, Part IX, line 25, but subtracted for purposes of calculating the percentage of total expenses in column (f) of line 7. Part III, Line 4: Costing Methodology:The amounts of bad debt expense, at cost, reported on line 2 and 3 of Section A of Part III were determined utilizing a ratio of patient care cost to charges as shown on Worksheet A contained in the instructions for Schedule H, Part III, line 3. Discounts and payments on patient accounts are recorded as adjustments to revenue, not bad debt expense. The estimated amount of bad debt expense (at cost) attributable to patients eligible for financial assistance under the filing organization's financial assistance policy was estimated for its tax year ended September 30, 2010. The estimate was determined by applying a derived percentage to total bad debt expense at cost for the year ended September 30, 2010. The derived percentage was based upon a methodology implemented in calendar year 2011 subsequent to the filing organization's joining Adventist Health System (AHS). As noted in other parts of this Form 990, the membership of the filing organization was transferred to Adventist Health System Sunbelt Healthcare Corporation (AHSSHC) effective September 1, 2010 pursuant to a merger and affiliation agreement. The methodology utilized by AHS to determine an estimated amount of bad debt attributable to charity care is based upon the use of a Scorer product. The Scorer product is used in those instances when self-pay patients do not comply with all reasonable attempts to have such patients complete financial assistance applications. 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. The amount classified as charity care using the Scorer product for a selected time period was divided by total bad debt expense for the same time period to arrive at the percentage referenced above. 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:There is no applicable footnote that describes bad debt expense as there are no audited financial statements that cover the filing organization's tax year from October 1, 2009 to September 30, 2010. 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, SECTION B, LINES 5-7The IRS instructions for Schedule H, Part III, Section B, lines 5-7 specifically indicate to include only those allowable costs and Medicare reimbursements that are reported in the organization's Medicare cost report for the year. This reporting does not take into account those costs and revenues associated with hospital employed physicians who are treating Medicare patients at hospital-owned clinic and physician practice sites. Accordingly, the net result of treating Medicare patients from a financial perspective may differ as reported for financial reporting purposes and community benefit reporting purposes from the surplus or shortfall shown on line 7 of Section B of Part III of Schedule H. 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. Percentage discounts are applied to a patient's account (from a 100% discount to a 30% discount) based upon the patient's household income as a percentage of the Federal Poverty Guidelines.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's balance remains unpaid after collection efforts by the Hospital, an 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 Financial Assistance Policy. The patient access representative/financial counselor or medical assistance coordinator will determine the patient payment obligation in accordance with household size and income level as outlined in the filing organization's Financial Assistance Policy. All qualified uninsured patients will receive a discount (from a 100% discount to a 30% discount) based upon the patient's household size & income level. Part V: The filing organization had no other facilities that were not required to be licensed, registered, or similarly recognized as a health care facility under state law in the current tax year. Part VI, Line 8:The filing organization does not file a community benefit report with any state. 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: University Community Hospital, Inc. (the Hospital) has a process in place whereby patients are informed about the Hospital's Financial Assistance Policy and other forms of patient account discounts, such as prompt 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 Financial Assistance 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 Financial Assistance Policy the discounts extended under that policy will be applied.As part of the billing process, the Hospital advises patients on the initial patient bill that they can contact the Medical Assistance Department of the Hospital to apply for charity care assistance. The Hospital's charity care application is available in both an English and Spanish version. Additionally, the Hospital's financial counselors are available to work with every patient during 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 household size and level of income. Part VI, Line 4: The filing organization currently operates 2 hospital facilities, University Community Hospital - Medical Center and University Community Hospital - Carrollwood, a Heart Hospital, and a Long Term Acute Care Hospital on three campuses in and around the Tampa Bay Area. Combined, these facilities are a major healthcare provider caring for close to 200,000 patients each year residing in Hillsborough, Pasco and surrounding Counties. University Community Hospital - Medical Center (UCHMC), located in Hillsborough County in close proximity to the University of South Florida, is licensed for 357 acute-care beds. UCHMC is home to five Centers of Excellence that focus resources on major disease areas including cancer treatment, women's health, pediatrics, diabetes management and orthopaedics. University Community Hospital - Carrollwood (UCHCW), also located in Hillsborough County, is licensed for 120 beds and offers comprehensive medical and surgical care, many specialized services, as well as a wide range of radiological procedures available for diagnosis and treatment of injuries and illnesses. Diagnostic imaging services offered include x-rays, ultrasound, mammography, nuclear medicine, CT Scan and special procedures. UCHCW's five-story medical tower also houses a six-suite surgery unit that offers advanced technologies in gynecologic, vascular surgery and joint replacement procedures.Pepin Heart Hospital & Dr. Kiran C. Patel Research Institute (PHH), located adjacent to UCHMC, is licensed for 101 beds. Officially opening its doors on April 3, 2006, PHH became the Southeast's first all-digital cardiovascular specialty facility. This free-standing heart hospital is filled with the advancements in technology, techniques, and revolutionary patient-centered care and is raising expectations when it comes to the diagnosis, treatment, and study of cardiovascular disease. Most importantly, PHH is filled with a team of physicians, nurses, technicians, and staff who have worked together for more than 20 years to create one of the most successful heart programs in the Tampa Bay Area. PHH's physicians and clinical specialists have built a comprehensive cardiovascular program with the experience of providing over 76,000 angioplasty procedures and over 11,000 open heart surgeries.Long Term Acute Care Hospital at Connnerton (LTAC), located in Pasco County is licensed for 50 beds. This brand new facility is designed to serve individuals who have medically complex illnesses, requiring additional weeks of specialized hospital care. The filing organization (UCH) is a crucial community and regional asset. UCH provides necessary medical services to the already large and rapidly expanding Tampa Area. With the exception of the LTAC, each facility is located in Tampa, Florida (population of approximately 324,000) and primarily serves patients residing in Hillsborough County (population of approximately 1.15 million). Hillsborough County is located on the west coast of central Florida. The median household income in Hillsborough County is approximately $49,594. Approximately 13.5% of the individuals residing in Hillsborough County live below the poverty level. Approximately 46% of UCH's patients during the current tax year were Medicare patients, about 12% were Medicaid patients, and the remaining percentage were patients covered under commercial insurance and self-pay patients. Part VI, Line 6: University Community Hospital, Inc. (UCH) values the community it serves, and pledges to provide that community with needed educational, preventative, diagnostic, treatment and rehabilitative services. UCH is continually improving and updating its range of services as necessary to meet community needs. UCH's community outreach efforts are focused on health education, wellness information, physician referral, and screening services. Each month, UCH offers a variety of health and wellness classes taught by members of its medical staff and other health care professionals. UCH also maintains a speakers' bureau whereby qualified speakers are provided to community groups to deliver the latest information on health, wellness, and prevention. Because prevention and early detection are key components of maintaining good health for individuals of all ages, UCH regularly conducts a variety of free and low-cost health screening events. Such screenings include cholesterol, lipid profiles, blood pressure checks, body fat and osteoporosis screenings. Effective September 1, 2010, UCH became a part of the system of healthcare organizations known as Adventist Health System, a faith-based non-profit tax-exempt system of hospitals and other healthcare organizations. The parent of the AHS system of healthcare organizations is Adventist Health System Sunbelt Healthcare Corporation (AHSSHC). The provision of community benefit is central to AHS's mission of service and compassion. Restoring and promoting the health and quality of life of those in the communities served by AHS is a function of the System's mission of "extending the healing ministry of Christ". As a member of the AHS system, UCH will continue to commit substantial resources to provide a broad range of services to its community. Part VI, Line 7: Effective September 1, 2010, University Community Hospital, Inc. became 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 Section 501(c)(3). AHSSHC and its subsidiary organizations operate 43 hospital facilities in 10 states throughout the U.S., primarily in the Southeastern portion of the U.S. AHSSHC and its subsidiaries also operate 17 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. 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. 1 Gujarati Samaj of Tampa Bay Inc 4003 W Henry Avenue Tampa FL 33614 593585942 10000 General Support Junior Achievement of Central Florida Foundation Inc 13805 58th Street N Clearwater FL 33760 591098499 501(c)(3) 19000 General Support Helen Ellis Memorial Hospital Foundation Inc 1395 South Pinellas Avenue Tarpon Springs FL 34689 593690149 501(c)(3) 14200 General Support 2 1 Procedure for Monitoring Grants in the U.S.: Part I, Line 2: Schedule I, Part I, Line 2: Grants are generally made only to related organizations that are exempt from Federal Income Tax under 501(c)(3), or to other non-profit community organizations. 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 1 1 X X 0 1 0 0 0 1 0 0 0 Michael Schultz 0 502081 0 151725 0 264670 0 95831 0 33656 0 1047963 0 184036 John Harding 0 361198 0 90788 0 697976 0 69381 0 21159 0 1240502 0 124318 Lars Houmann 0 772700 0 232089 0 529122 0 166934 0 46331 0 1747176 0 447341 Brendan O'Malley MD 270096 0 0 0 170 0 6708 0 14465 0 291439 0 0 0 Norman Stein 598456 0 0 0 9823 0 118316 0 17216 0 743811 0 0 0 Janice Hagensicker 0 304963 0 0 0 139522 0 38773 0 17352 0 500610 0 53691 Marvin Kurtz 286356 0 0 0 0 0 13444 0 10007 0 309807 0 0 0 Larry Archbell 304467 0 0 0 134376 0 101522 0 18135 0 558500 0 0 0 Larry Hanan 245000 0 0 0 5201 0 3880 0 12687 0 266768 0 0 0 Brigitte Shaw 225438 0 0 0 55489 0 42777 0 19870 0 343574 0 0 0 Kathleen Miller 149986 0 0 0 5994 0 3915 0 7999 0 167894 0 0 0 Brad Bjornstad 275057 0 0 0 265 0 6832 0 3119 0 285273 0 0 0 Joline Miceli 186724 0 0 0 220550 0 4636 0 21878 0 433788 0 0 0 James Orlowski 361848 0 0 0 0 0 9008 0 17237 0 388093 0 0 0 Stephen Gerrish MD 332873 0 0 0 0 0 0 0 9316 0 342189 0 0 0 Usama Hanhan MD 272339 0 0 0 0 0 6649 0 22938 0 301926 0 0 0 Mariano Fiallow MD 247829 0 0 0 0 0 6334 0 24601 0 278764 0 0 0 Part I, Line 1a As of September 1, 2010, the filing organization became a part of the system of healthcare organizations known as Adventist Health System (AHS). The individuals who served as the CEO and CFO of the filing organization subsequent to September 1, 2010 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. 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. During the year ended September 30, 2010, the filing organization provided relocation assistance to one executive who was appointed as the CFO subsequent to September 1, 2010. Discretionary spending account: A nominal discretionary spending amount of $550 was provided by the filing organization in the current year to one of its 5 Highest Paid Employees, Dr. Stephen Gerrish, for cell phone services. The payment provided to Dr. Gerrish was considered taxable compensation. Part I, Line 4b: In 1995, the filing organization implemented a Supplemental Employee Retirement Plan (the UCH SERP) for certain key executives. This plan was frozen as of December 31, 2009. During its tax year ended September 30, 2010, 4 UCH executives received payments from the UCH SERP plan. As noted above, University Community Hospital, Inc. (UCH) became a part of Adventist Health System on September 1, 2010. Certain Board of Director members and the CEO and CFO of UCH that were appointed subsequent to September 1, 2010 participated in a supplemental nonqualified retirement plan (the AHS plan) maintained by Adventist Health System Sunbelt Healthcare Corporation, the parent organization of AHS. The description below outlines the significant features of the AHS plan. 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 pre-determined benefits annual amount 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. 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 $189,000. 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 (the AHS 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. 457(f) Employer 457(f) SERP Contributions Payments Payment Janice Hagensicker $ 41,930 $ 53,691 $0 (AHS Plan) John Harding $ 56,038 $124,318 $538,668 (AHS Plan & SERP) Norman Stein $0 $0 $ 91,527 (UCH SERP) Larry Archbell $0 $0 $120,451 (UCH SERP) Joline Miceli $0 $0 $225,721 (UCH SERP) Brigitte Shaw $0 $0 $ 51,185 (UCH SERP) Lars Houmann $153,591 $447,341 $0 (AHS Plan) Michael Schultz $ 82,488 $184,036 $0 (AHS Plan) Part I, Line 6 The filing organization's physician compensation formula is designed to result in total compensation that would be reasonable for each physician. The filing organization utilizes national survey productivity, cost, and compensation data in formulating all aspects of the compensation plan. Physician compensation arrangements include a ceiling or reasonable maximum on the amount a physician may earn. 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 compensation and benefits of the filing organiztion's CEO were determined pursuant to policies, procedures and processes that were designed to be in compliance with the intermediate sanctions laws as set forth in IRC Section 4958. The filing organization uses all of the following to establish compensation of the CEO: - Compensation committee; - Compensation survey and studies; and - Approval by the board and compensation committee. Jon L Courson III Family member of Board Member 29831 Employee Compensation 0 Cardiac Surgery Associates of Tampa >5% owned by Board Member 275029 Surgical Services 0 Form 990, Part VI, Section A, line 2 Jon Courson and Eric Newman - Family Relationship Ken Lightfoot and Norman Stein - Business Relationship Ken Lightfoot and Thaddeus C. Parker, IV - Business Relationship Mary E. Mahon and Jose Vivero - Business Relationship Form 990, Part VI, Section A, line 4 The Board of Trustees and membership of University Community Hospital, Inc. (the filing organization or UCH) adopted and approved a plan of merger on July 8, 2010 whereby Adventist Health System Sunbelt Healthcare Corporation (AHSSHC) became the sole member of UCH. AHSSHC is the parent organization of a healthcare system that operates hospitals, nursing home facilities and other healthcare provider organizations. AHSSHC is exempt from federal income tax under Internal Revenue Code (IRC) Section 501(c)(3). Under the plan of merger, a subsidiary of AHSSHC merged into UCH, with UCH being the surviving entity. The merger was effective on September 1, 2010. In connection with the merger, the members of UCH adopted Articles of Restatement to the Articles of Incorporation of UCH and also adopted restated Bylaws. The significant changes to the Articles of Incorporation of UCH include the following: 1) Prior to amendment, the membership of UCH consisted of the voting members of the Board of Trustees of UCH. The Articles were amended to reflect AHSSHC as the sole member of UCH. 2) Previously, the management and affairs of the filing organization were under the control of the Board of Trustees. The Board of Trustees was renamed as the Board of Directors. 3) The dissolution clause of the Articles of Incorporation was revised to state that UCH may only be dissolved in a manner as provided in the Florida statutes for not-for-profit corporations. Additionally, it provides that all assets subject to a lease agreement between Hillsborough County, Florida and UCH shall be returned to Hillsborough County upon any dissolution. Any remaining assets (after satisfaction of all liabilities and obligations) shall be distributed to the member so long as the member is recognized as exempt under IRC Section 501(c)(3). Significant changes to the restated Bylaws are as follows: 1) Prior to September 1, 2010, the Board of Trustees of UCH consisted of not less than 15 and not more than 35 members. At least two voting members were to be members of the Hospital's medical staff and at least one member was to be an individual who served on the Board of Trustees of the University Community Hospital Foundation, Inc. Upon restatement, the Board of Trustees was renamed the Board of Directors and was to consist of not less than 3 and not more than 25 members. There are to be three classes of directors. Appointed and regular directors shall have voting privileges while honorary directors will be non-voting. Three appointed directors will be appointed by AHSSHC as the sole member of the filing organization. Regular directors are initially named in the Bylaws and will subsequently be nominated by the Board of Directors and appointed by the member. Honorary directors will be appointed by the Board of Directors. 2) An additional qualification was added to the qualifications required to serve on the filing organization's Board of Directors. This qualification is a requirement to support the specific goals and objectives of the health ministry of the Seventh-day Adventist Church. 3) The previous Bylaws provided that the filing organization shall have executive officers and operating officers. The restated Bylaws indicate that there shall be Board officers and Corporate officers who are elected by the member. There may also be administrative officers that the member shall appoint in consultation with the Board of Directors. Form 990, Part VI, Section A, line 6 Prior to September 1, 2010, the membership of UCH consisted of the voting members of the Board of Trustees of UCH. Subsequent to the merger as discussed above in line 4, Adventist Health System Sunbelt Healthcare Corporation became the sole member of UCH. AHSSHC is a Florida, not-for-profit corporation that is exempt from federal income tax under IRC Section 501(c)(3). Form 990, Part VI, Section A, line 7a As noted above, prior to September 1, 2010, the membership of UCH consisted of the voting members of the Board of Trustees of UCH. Effective September 1, 2010, Adventist Health System Sunbelt Healthcare Corporation (AHSSHC) became the sole member of UCH. Under the restated Bylaws, AHSSHC appoints all voting members to the Board of Directors of UCH. Regular directors are nominated by the Board of Directors of UCH but must be appointed by the member. Form 990, Part VI, Section A, line 7b Subsequent to September 1, 2010, AHSSHC, as the sole member of the filing organization, has certain reserved powers as set forth in the restated Bylaws of UCH. These reserved powers include the following: 1) The approval or disapproval of the Bylaws of the filing organization; 2) To set limits and terms for the borrowing of funds in excess of $100,000; 3) The approval or disapproval of single expenditures and/or the purchase or sale of real property in excess of one million dollars; 4) To direct the placement of funds and capital of the filing organization; 5) To establish general guiding policies; and 6) To approve the identity of an auditing firm and election of the fiscal year for the filing organization. Form 990, Part VI, Section B, line 11 The filing organization's current tax year Form 990 was reviewed by the President/CEO and CFO of AHSSHC's Florida region and by the CEO and CFO of the filing organization prior to its filing with the IRS. The review conducted by these individuals 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 Trustees/Directors, its officers, executive employees, physician employees, and officers of the medical staff (to be known as Interested Persons). In connection with any actual or possible conflict of interests, any member of the Board of Trustees/Directors of the filing organization or any other Interested Person of the filing organization 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 Trustees/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 Interested Person, the remaining members of the Board of Trustees/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 Trustees/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 During the current tax year, there was established an executive compensation committee of the Board of Trustees of University Community Hospital, Inc. (UCH). The executive compensation committee was responsible to determine the compensation package, including the salary, benefits (as defined below), bonus, incentive, and any perquisites and deferred compensation of all employees of UCH who held executive positions (with title Vice President or above) at any hospital, entity or organization within the University Community Health System ("executives"). Members and Voting The executive compensation committee was comprised of the Board Officers of UCH. Each served as a voting member of the committee, provided that he/she was independent. Independence means that the individual does not have any duties, commitments or outside interests that would deter from his/her ability to faithfully carry out the duties and responsibilities of the executive compensation committee. This includes but is not limited to financial or fiduciary relationships with competing organizations or organizations that have significant business relationships with any University Community Health facility. Any such duties, commitments or outside interests must be fully disclosed and acted upon in accordance with the conflict of interest policy of the Board of Trustees of University Community Hospital. In the event any named committee member is unable to serve on the executive compensation committee, in any year, or with respect to addressing the compensation of any individual, the next officer in line, the immediate past Chairman, shall serve for that year or to address the specific individual compensation. A quorum is comprised of all of the committee members. The vote of a majority of the committee members shall constitute action of the committee. Advisors The President of UCH served as an advisor to the committee. He/she was responsible to present the qualifications and performance evaluation of each candidate for compensation and compensation adjustment. The committee held the authority to engage and consult with such other advisors or consultants from within or outside the organization as it deemed appropriate. Meetings The executive compensation committee meets as needed, but not less than annually. Periodic executive session meetings without the presence of advisors or others shall be held at the discretion of the committee or upon request of any committee member. The President of UCH shall not be present at any time during deliberation, discussion or decision relating to any part of his/her evaluation of performance, salary, benefits, or compensation package (other than to answer questions of the committee). Chair The Chairman of the committee shall be the Chairman of the Board of UCH. Compensation Philosophy It is the philosophy of UCH that the compensation of executives of University Community Hospital fairly and reasonably reflect the scope and magnitude of individual job duties, education, training, experience, and tenure with University Community Hospital. As a not-for-profit entity, the assets of University Community Hospital shall be dedicated first to assuring the delivery of healthcare services within the communities served. To achieve this, qualified, competent executives are essential. Therefore, compensation must be competitive and the overall value of the compensation package must be consistent with fair market value. Bonus and/or incentive compensation may be paid to achieve clearly defined corporate goals; reasonable recruitment incentives may be paid to attract qualified competent individuals; and perquisites should be limited to those generally available to all employees and those that are reasonable and necessary to fulfill specific job duties. The target salary and wages component of executive compensation packages was 5% to 10% above the national mean of the compensation packages of like positions (as determined through the fair market value comparison data) unless special circumstances warranted an amount in excess. Such special circumstances must support the additional compensation, and be noted and recorded by the committee in its records. Authority and Responsibility 1. The executive compensation committee had full delegated authority of the Board of Trustees of UCH to carry out the following duties in accordance with the compensation philosophy and guidelines in this policy: a. Determine the initial compensation package of all executives. b. Determine periodic adjustments to such compensation packages, including, without limitation, salary increases, bonus or incentive compensation, deferred compensation, perquisites, and benefits. For purposes of this policy, benefits include only those employment benefits and perquisites provided to any executive which are outside the scope of the standard benefits and perquisites offered to employees generally at the director level of University Community Hospital. c. Approve all contracts entered into with any executive. Executive Compensation Committee Guidelines 1. Each compensation package for each executive must be consistent with fair market value determined on the basis of: a. The specific job duties and scope of the position. b. The education, training, experience and any special talent or expertise of the individual filling the position. c. The performance of the individual within the position. d. The compensation philosophy in this policy. 2. Fair market value and mean range shall be determined by evaluating salary and compensation data from at least two external, objective nationally recognized sources, comparing similar positions at like organizations including, specifically, not-for-profit organizations, within the United States. If such data is not available, data on the closest comparable position should be obtained. To the extent available, Tampa Bay Region or Florida data should be considered. 3. The executive compensation committee shall maintain minutes of all meetings. Compensation data and other supporting information shall be appended to the minutes at which such information was considered. The minutes should reflect the members present at each meeting, the recusal of any committee member who is not independent or who bears a conflict of interest with respect to any particular compensation package considered, the presence of any substitute member, determinations by the committee that each specific compensation package reviewed is consistent with fair market value and this policy, actions taken by the committee, and the basis for the actions taken. 4. The executive compensation committee must report at least once annually to the full Board of Trustees advising whether approved executive compensation packages are consistent with this policy. Form 990, Part VI, Section C, line 19 A copy of the filing organization's Governing documents, Conflict of Interest policy, and/or financial statements are available to the public upon request. Page 1, Line 22 The difference of $263,869,844 between the fund balance at 9/30/09 of $121,079,138 and $384,948,982 at 9/30/10 is comprised of the following reconciling items: Revenue less expenses per line 19 of page 1 $(25,733,335) Increase to property, plant & equipment to fair value in connection with business combination 309,782,804 Transfer to tax-exempt sub (4,078,992) Pension related changes other than periodic pension costs (27,002,000) Unrealized investment losses (2,846,223) Transfer from taxable sub 335,983 Net Assets released from restricted 535,494 Increase in temporarily restricted assets 12,926,090 Other (49,977) ----------- $263,869,844 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 Health SystemSunbelt Inc Adventist Care Centers - Courtland Inc 730 Courtland Street Orlando FL 32804 205774723 Operation of Home for the Aged/Healthcare Delivery FL 501(c)(3) 509(a)(2) Sunbelt Health Care Centers Inc 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 Health SystemSunbelt Inc Adventist Health Mid-America Inc 9100 W 74th Street Shawnee Mission KS 66204 521347407 Healthcare Related Services KS 501(c)(3) 509(a)(3) Type I Adventist Health SystemSunbelt Inc Adventist Health 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 Adventist Health System Affiliated Benefit Trust 111 N Orlando Avenue Winter Park FL 32789 266422966 Promotion of Healthcare FL 501(c)(3) 509(a)(3) Type I Adventist Health System Sunbelt Healthcare Corporation Adventist Health System Sunbelt Healthcare Corporation 111 N Orlando Avenue Winter Park FL 32789 592170012 Management Services FL 501(c)(3) 509(a)(3) Type I N/A Adventist Health 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 Health System Sunbelt Healthcare Corporation Adventist Health 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 Health System Sunbelt Healthcare Corporation Adventist Health SystemTexas Inc 602 Courtland Street Orlando FL 32804 742578952 Inactive TX 501(c)(3) 509(a)(2) Adventist Health System Sunbelt Healthcare Corporation 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 Health SystemSunbelt Inc AHS Midwest Management Inc 1000 Remington Blvd Ste 200 Bolingbrook IL 60440 363354567 Operation of Occupational Hlth Clinic & Physician Practice Mgmt IL 501(c)(3) 509(a)(3) Type I Adventist Health SystemSunbelt Inc 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 Health System Sunbelt Healthcare Corporation Apopka Health 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 Health Care Centers Inc Battle Creek Adventist Hospital 1000 Remington Blvd Ste 200 Bolingbrook IL 60440 381359189 Operation of Hospital & Related Services MI 501(c)(3) 170(b)(1)(A)(iii) Adventist Health SystemSunbelt Inc Bert Fish Medical Center Inc (7110-93010) 401 Palmetto Street New Smyrna Beach FL 32168 362276984 Operation of Hospital & Related Services FL 501(c)(3) 170(b)(1)(A)(iii) Adventist Health System Sunbelt Healthcare Corporation Bert Fish Medical Center Auxiliary Inc (11109-103010) 401 Palmetto Street New Smyrna Beach FL 32168 591054892 Fund-raising for Tax-exempt hospital/foundation FL 501(c)(3) 509(a)(3) Type I Bert Fish Medical Center Inc Bert Fish Medical Center Foundation Inc (10109-93010) 401 Palmetto Street New Smyrna Beach FL 32168 593219250 Fund-raising for Tax-exempt hospital FL 501(c)(3) 509(a)(3) Type I Bert Fish Medical Center Inc 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 Health Foundation Bradford Heights Health & Rehab Center Inc 950 Highpoint Drive Hopkinsville KY 42240 205782342 Operation of Home for the Aged/Healthcare Delivery KY 501(c)(3) 509(a)(2) Sunbelt Health Care Centers Inc Burleson Nursing & Rehab Center Inc 301 Huguley Blvd Burleson TX 76028 205782243 Operation of Home for the Aged/Healthcare Delivery TX 501(c)(3) 509(a)(2) Sunbelt Health Care Centers Inc Caldwell Health 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 Health Care Centers Inc 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 Health SystemSunbelt Inc Chickasaw Health 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 Health Care Centers Inc 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 Health SystemSunbelt Inc 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 Courtland Health 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 Health Care Centers Inc Creekwood Place Nursing & Rehab Center Inc 683 E Third Street Russellville KY 42276 205782260 Operation of Home for the Aged/Healthcare Delivery KY 501(c)(3) 509(a)(2) Sunbelt Health Care Centers Inc Dairy Road Health 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 Health Care Centers Inc East Orlando Health & Rehab Center Inc 250 S Chickasaw Trail Orlando FL 32825 205774748 Operation of Home for the Aged/Healthcare Delivery FL 501(c)(3) 509(a)(2) Sunbelt Health Care Centers Inc 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 Health SystemSunbelt Inc 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 Health System Sunbelt Healthcare Corporation FLNC Inc 3355 E Semoran Blvd Apopka FL 32703 205774761 Operation of Home for the Aged/Healthcare Delivery FL 501(c)(3) 509(a)(2) Sunbelt Health Care Centers Inc Florida Hospital College of Health Sciences Inc (630 Year End) 671 Lake Winyah Drive Orlando FL 32803 593069793 Education/Operation of School FL 501(c)(3) 170(b)(1)(A)(ii) Adventist Health SystemSunbelt Inc Florida Hospital DeLand Auxiliary Inc 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 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 Health System Sunbelt Healthcare Corporation Florida Hospital Wesley Chapel Inc 2528 Bruce B Downs Blvd CR 581 S Wesley Chapel FL 33543 203965753 Inactive FL 501(c)(3) 509(a)(3) Type III-F Adventist Health System Sunbelt Healthcare Corporation 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 Health SystemSunbelt Inc Florida Physicians 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 Health SystemSunbelt Inc 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 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 Health Foundation 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 Health System Sunbelt Healthcare Corporation Helen Ellis Memorial Hospital Auxiliary Inc (5109-43010) 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 Helen Ellis Memorial Hospital Foundation Inc (10109-93010) 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 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 Health Foundation 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 Health Care Centers Inc 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 Health System Sunbelt Healthcare Corporation 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 Health Foundation Memorial Health 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 Health Systems Inc Memorial Health 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 Health SystemSunbelt Inc 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 Health Systems Inc 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 Health Systems Inc 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 Health System Sunbelt Healthcare Corporation Merriam Health 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 Health Care Centers Inc 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 Health System Sunbelt Healthcare Corporation Metroplex Clinic Physicians Inc 2201 S Clear Creek Road Killeen TX 76549 113762050 Physician healthcare services to the community TX 501(c)(3) 170(b)(1)(A)(iii) Metroplex Adventist Hospital Inc Midwest Health Foundation 120 North Oak Street Hinsdale IL 60521 352230515 Support of subsidiary Foundations IL 501(c)(3) 509(a)(3) Type II N/A Mills Health & Rehab Center Inc 500 Beck Lane Mayfield KY 42066 205782320 Operation of Home for the Aged/Healthcare Delivery KY 501(c)(3) 509(a)(2) Sunbelt Health Care Centers Inc 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 Health Care Centers Inc Missouri Adventist Health Inc 9100 W 74th Street Shawnee Mission KS 66204 431224729 Support Health Care Services MO 501(c)(3) 509(a)(3) Type III-O Adventist Health Mid-America Inc North Regional EMS Inc 188 Hospital Lane Jellico TN 37762 262653616 EMS Services TN 501(c)(3) 509(a)(2) Jellico Community Hospital Inc 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 Health Systems Inc Overland Park Nursing & Rehab Center Inc 6501 West 75th Street Overland Park KS 66204 205774821 Operation of Home for the Aged/Healthcare Delivery KS 501(c)(3) 509(a)(2) Sunbelt Health Care Centers Inc Paragon Health 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 Health Care Centers Inc Portercare Adventist Health 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 Health System Sunbelt Healthcare Corporation Portland Nursing & Rehab Center Inc 215 Highland Circle Drive Portland TN 37148 205774842 Operation of Home for the Aged/Healthcare Delivery TN 501(c)(3) 509(a)(2) Sunbelt Health Care Centers Inc Princeton Health & Rehab Center Inc 1333 West Main Princeton KY 42445 205782272 Operation of Home for the Aged/Healthcare Delivery KY 501(c)(3) 509(a)(2) Sunbelt Health Care Centers Inc Princeton Professional Services Inc 601 E Rollins Street Orlando FL 32803 591191045 Provision of Healthcare Services FL 501(c)(3) 509(a)(2) Adventist Health System Sunbelt Healthcare Corporation Quality Circle for Healthcare Inc 111 N Orlando Avenue Winter Park FL 32789 263789368 Healthcare Quality Services FL 501(c)(3) 509(a)(3) Type III-F Adventist Health System Sunbelt Healthcare Corporation 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 Health Care Centers Inc Rocky Mountain Adventist Healthcare 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 Health System Rollins Bedford Corporation 602 Courtland Street Ste 200 Orlando FL 32804 370908840 Inactive FL 501(c)(3) 509(a)(3) Type II Sunbelt Health Care Centers Inc Russellville Health 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 Health Care Centers Inc San Marcos Health 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 Health Care Centers Inc San Marcos Nursing & Rehab Center Inc 1900 Medical Parkway San Marcos TX 78666 205782224 Operation of Home for the Aged/Healthcare Delivery TX 501(c)(3) 509(a)(2) Sunbelt Health Care Centers Inc Shawnee Mission Health 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 Health Care Centers Inc 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 Health Mid-America Inc 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 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 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 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 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 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 South Central Inc 602 Courtland Street Orlando FL 32804 593689740 Management Support GA 501(c)(3) 509(a)(3) Type III-F N/A South Pasco Health 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 Health Care Centers Inc Southwest Volusia Health 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 Healthcare Corporation Southwest Volusia Healthcare Corporation 1055 Saxon Blvd Orange City FL 327638468 593149293 Operation of Hospital & Related Services FL 501(c)(3) 170(b)(1)(A)(iii) Adventist Health SystemSunbelt Inc Specialty Physicians of Central Texas Inc 1301 Wonder World Drive San Marcos TX 78666 208814408 Physician healthcare services to the community TX 501(c)(3) 170(b)(1)(A)(iii) Adventist Health SystemSunbelt Inc Spring View Health & Rehab Center Inc 718 Goodwin Lane Leitchfield KY 42754 205782288 Operation of Home for the Aged/Healthcare Delivery KY 501(c)(3) 509(a)(2) Sunbelt Health Care Centers Inc Sunbelt Health & Rehab Center - Apopka Inc 305 East Oak Street Apopka FL 32703 205774856 Operation of Home for the Aged/Healthcare Delivery FL 501(c)(3) 509(a)(2) Sunbelt Health Care Centers Inc Sunbelt Health Care Centers Inc 602 Courtland Street Ste 200 Orlando FL 32804 581473135 Management Services TN 501(c)(3) 509(a)(3) Type II Adventist Health System Sunbelt Healthcare Corporation SunSystem Development Corporation 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 Health System Sunbelt Healthcare Corporation Tarpon Springs Hosp Foundation Inc (10109-93010) 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 Tarrant County Health 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 Health Care Centers Inc Taylor Creek Health 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 Health Care Centers Inc 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 Trinity Nursing & Rehab Center Inc 9700 West 62nd Street Merriam KS 66203 205774890 Operation of Home for the Aged/Healthcare Delivery KS 501(c)(3) 509(a)(2) Sunbelt Health Care Centers Inc University Community Hospital Auxiliary Inc(10109-93010) 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 University Community Hospital Foundation Inc(10109-93010) 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 University Community Hospital Specialty Care Inc(10109-93010) 3100 E Fletcher Ave Tampa FL 33613 593231322 Inactive FL 501(c)(3) 509(a)(3) University Community Hospital Inc University Community Hospital Inc(10109-93010) 3100 E Fletcher Ave Tampa FL 33613 591113901 Operation of Hospital & Related Services FL 501(c)(3) 170(b)(1)(A)(iii) Adventist Health System Sunbelt Healthcare Corporation West Kentucky Health 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 Health Care Centers Inc Zephyr Haven Health & Rehab Center Inc 38250 A Avenue Zephyrhills FL 33542 205774930 Operation of Home for the Aged/Healthcare Delivery FL 501(c)(3) 509(a)(2) Sunbelt Health Care Centers Inc Zephyrhills Health & Rehab Center Inc 7350 Dairy Road Zephyrhills FL 33540 205774967 Operation of Home for the Aged/Healthcare Delivery FL 501(c)(3) 509(a)(2) Sunbelt Health Care Centers Inc Appalachian Therapy Services LLC 100 Hospital Drive Hendersonville NC 28792 202463851 Therapy Staffing NC N/A Clear Creek MOB Ltd 2201 S Clear Creek Rd Killeen TX 76549 742609195 Real Estate TX N/A Florida Hospital DMERT LLC 2450 Maitland Center Pkwy Ste 200 Maitland FL 32751 202392253 Medical Equipment FL N/A Florida Hospital Home Infusion 2450 Maitland Center Pkwy Ste 200 Maitland FL 32751 593142824 Home Infusion Services FL N/A 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 Prairie Star Surgery Center LLC 23401 Prairie Star Parkway Lenexa KS 66227 364634843 Surgical Center 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 Carrollwood Diagnostic Imaging Associates LLC 3100 E Fletcher Avenue Tampa FL 33613 134244917 Radiology Services FL N/A Adventist Health Sys Sunbelt Healthcare Corp Employee 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 N/A C 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 Office 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 (10109-93010) 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 through the provision of 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 Reflections Commercial Condominium Association Inc 875 Sterthaus Ave Ormond Beach FL 32174 593519055 Condo Association FL 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 (10109-93010) 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 University Community Hospital Inc C 1.00000 UCH Services Inc (10109-93010) 3100 East Fletcher Ave Tampa FL 33613 593508454 Management Company FL University Community Hospital Inc C 555542 1.00000 West Coast Medical Group Inc (10109-93010) 1395 S Pinellas Ave Tarpon Springs FL 34689 593537305 Physician Clinics FL N/A C 0 1 1 1 0 0 0 0 0 0 1 1 0 1 1 1 0 1 Tarpon Springs Hospital Foundation Inc D 2800000 Tarpon Springs Hospital Foundation Inc N 1450868 Tarpon Springs Hospital Foundation Inc B 4078992 UCH Services Inc R 335893 University Community Foundation Inc P 1240636 University Community Foundation Inc C 3990492 University Community Health Insurance Company SPC Ltd R 2500000 University Community Health Insurance Company SPC Ltd O 437499 University Community Health Insurance Company SPC Ltd L 4439114 University Community Health Insurance Company SPC Ltd P 152256 Adventist Health System Sunbelt Healthcare Corp L 352543 Tarpon Springs Hospital Foundation Inc K 1200964