2011-11-09T07:48:36-06:00 2010-12-31 990 2010-01-01 300247776 LA GRANGE MEMORIAL HOSPITAL FOUNDATION LAGR 7082456001 5101 S WILLOW SPRINGS RD LA GRANGE IL 60525 BRETT SKEEN 7082456001 2011-11-08 2010 2016-02-24 21:20:13Z BRETT SKEEN 5101 S WILLOW SPRINGS RD LA GRANGE IL 60525 1310138 0 X WWW.KEEPINGYOUWELL.COM X 2004 IL FUNDRAISING FOR TAX-EXEMPT ORGANIZATION. 14 11 0 60 0 0 1429177 1201926 0 0 23698 63657 -53867 -37337 1399008 1228246 1111268 1011345 0 0 0 0 0 0 0 15399 5263 1126667 1016608 272341 211638 1281256 1843985 18765 15753 1262491 1828232 THE PROMOTION OF PHILANTHROPHY AND GOODWILL FOR ADVENTIST LA GRANGE MEMORIAL HOSPITAL. 0 0 1014344 1011345 FUND RAISING TO PROVIDE CAPITAL EQUIPMENT AND SUPPORT FOR ADVENTIST HEALTH SYSTEM/SUNBELT, INC. D/B/A ADVENTIST LA GRANGE MEMORIAL HOSPITAL, A SECTION 501 (C)(3) ORGANIZATION. 1014344 1 1 0 0 0 0 0 0 1 0 0 0 0 1 0 1 0 0 0 0 0 0 0 1 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1 3 0 1 0 0 0 0 0 0 1 1 0 0 0 0 X 14 11 1 0 1 0 1 1 1 1 1 0 0 1 1 1 1 1 1 0 0 0 IL X BRETT SKEEN 7082452902 5101 S WILLOW SPRINGS ROAD LA GRANGE IL 60525 X BONNY CHEN MD 2.00 X 0 0 0 JEROME HINES MD 1.00 X 0 0 0 LUKE SEWALL MD 1.00 X 0 561278 34417 PETER O'CONNOR 1.00 X 0 0 0 DANIEL PANCAKE 1.00 X 0 0 0 JEANNE REILLY 1.00 X 0 0 0 JERRY BURJAN 1.00 X 0 0 0 JOHN DIXON 1.00 X 0 0 0 LINDA JOHNSON 2.00 X 0 0 0 MIKE MARCUCCI 2.00 X 0 0 0 BILL HOLDER 1.00 X 0 0 0 CHRISTOPHER JOYCE 1.00 X 0 0 0 MARTY DUNNE 1.00 X 0 0 0 ELIZABETH LIVELY 1.00 X 0 140751 28752 RICK WRIGHT 1.00 X 0 430199 62313 PAUL ZIEGELE 1.00 X 0 258990 49108 BRETT SKEEN 40.00 X 0 81641 2252 0 1472859 176842 0 0 1 0 0 163841 10000 1028085 1201926 63657 63657 44555 163841 81892 -37337 -37337 1228246 0 0 26320 1006531 1006531 4814 4814 2264 2264 BAD DEBT EXPENSE 2499 2499 OTHER EXPENSE 500 500 1016608 1014344 2264 0 936011 1629172 340750 201785 4495 13028 1281256 1843985 312 18765 15441 18765 15753 X 158904 229812 1017962 1512735 85625 85685 1262491 1828232 1281256 1843985 X 211638 354103 X 0 1 1 X 0 X 586427 604106 1429177 1201926 3821636 586427 604106 1429177 1201926 3821636 2185793 1635843 58677 10844 23698 63657 156876 64127 37450 71472 44555 217604 4196116 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 85625 60 85685 85625 85625 85625 85625 1.00000 0 0 0 OBLIGATION FOR CHARITABLE GIFT ANNUNITIES 15441 15441 1228246 1016608 211638 -438 354541 354103 565741 1318474 230958 230958 1087516 140730 140730 1228246 1247566 230958 230958 1016608 0 1016608 DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS: PART V, LINE 4: REPRESENTS A SCHOLARSHIP FUND ESTABLISHED TO SUPPORT NURSING SCHOLARSHIPS. PART XI, LINE 8 - OTHER ADJUSTMENTS: RESTRICTED CONTRIBUTIONS 344,475. RESTRICTED INTEREST INCOME 10,066. PART XII, LINE 2D - OTHER ADJUSTMENTS: IN-KIND CONTRIBUTIONS 230,958. PART XII, LINE 4B - OTHER ADJUSTMENTS: NET SPECIAL EVENTS REVENUE RECLASSED FROM FUND BALANCE 140,730. PART XIII, LINE 2D - OTHER ADJUSTMENTS: IN-KIND CONTRIBUTIONS 230,958. GOLF CLASSIC 208396 163841 44555 1390 12861 32188 19008 16445 208396 163841 44555 1390 12861 32188 19008 16445 81892 -37337 1 ADVENTIST HEALTH SYSTEMSUNBELT INC DBA ADVENTIST LA GRANGE MEM HOSP 5101 WILLOW SPRINGS RD LA GRANGE IL 60525 591479658 501(C)(3) 1002531 NEW PATIENT CARE CENTER AND GENERAL SUPPORT. 1 0 OTHER INFORMATION: PART IV: GRANTS ARE GENERALLY MADE ONLY TO THE SUPPORTED HOSPITAL ORGANIZATION THAT IS EXEMPT FROM FEDERAL INCOME TAX UNDER 501(C)(3). 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. 0 1 0 0 0 0 0 0 0 LUKE SEWALL MD 0 560941 0 0 0 337 0 13343 0 21074 0 595695 0 0 ELIZABETH LIVELY 0 129343 0 10028 0 1380 0 5224 0 23528 0 169503 0 0 RICK WRIGHT 0 298616 0 65818 0 65765 0 41369 0 20944 0 492512 0 0 PAUL ZIEGELE 0 203068 0 39125 0 16797 0 23496 0 25612 0 308098 0 0 PART I, LINE 4B THE CEO AND CFO OF THE FILING ORGANIZATION'S SUPPORTED HOSPITAL SERVE ON THE BOARD OF DIRECTORS OF THE FILING ORGANIZATION. THESE TWO INDIVIDUALS 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). THE FILING ORGANIZATION'S SUPPORTED HOSPITAL IS A SUBSIDARY OF AHSSHC. 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 $196,000. 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. 457(F) EMPLOYER SERP CONTRIBUTIONS CONTR./PYMT RICK WRIGHT $37,546 $ 0 PAUL ZIEGELE $10,153 $ 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 EXECUTIVE DIRECTOR OF THE FILING ORGANIZATION IS COMPENSATED BY ADVENTIST HEALTH SYSTEM/SUNBELT, INC., D/B/A ADVENTIST LA GRANGE MEMORIAL HOSPITAL (ALMH) FOR THAT INDIVIDUAL'S ROLE IN SERVING AS THE EXECUTIVE DIRECTOR. COMPENSATION AND BENEFITS PROVIDED TO THIS INDIVIDUAL ARE DETERMINED PURSUANT TO POLICIES, PROCEDURES, AND PROCESSES OF ALMH THAT ARE DESIGNED TO ENSURE THAT ALL EMPLOYEES SERVING IN MANAGEMENT ROLES ARE PROVIDED WITH COMPENSATION REFLECTIVE OF FAIR MARKET VALUE GIVEN THEIR ROLES AND RESPONSIBILITES. ALMH USES THE FOLLOWING TO ESTABLISH COMPENSATION OF THE EXECUTIVE DIRECTOR: - COMPENSATION SURVEY OR STUDY. FORM 990, PART VI, SECTION A, LINE 2 MIKE MARCUCCI AND PETER O'CONNOR - BUSINESS RELATIONSHIP FORM 990, PART VI, SECTION A, LINE 4 IN MARCH OF 2010, THE FILING ORGANIZATION AMENDED ITS BYLAWS TO INCREASE THE NUMBER OF PERMITTED ELECTED DIRECTORS FROM 10 TO 15 TO 16 TO 20. IN ADDITION, THE FOLLOWING CHANGES WERE MADE TO THE BYLAWS IN MARCH, 2010: 1) THE CFO OF ADVENTIST LA GRANGE MEMORIAL HOSPITAL WAS ADDED TO SERVE AS AN EX-OFFICIO MEMBER OF THE BOARD OF DIRECTORS; AND 2) A MEMBER OF THE BOARD OF DIRECTORS MAY BE PERMITTED TO SERVE A THIRD CONSECUTIVE TERM (PRIOR TO AMENDMENT, ONLY 2 CONSECUTIVE TERMS WERE ALLOWED) BY UNANIMOUS VOTE OF THE BOARD OF DIRECTORS. FORM 990, PART VI, SECTION A, LINE 6 LA GRANGE MEMORIAL HOSPITAL FOUNDATION (THE FILING ORGANIZATION) HAS ONE MEMBER. THE SOLE MEMBER OF THE FILING ORGANIZATION IS MIDWEST HEALTH FOUNDATION. MIDWEST HEALTH FOUNDATION (MHF) IS A ILLINOIS, NOT-FOR-PROFIT CORPORATION THAT IS EXEMPT FROM FEDERAL INCOME TAX UNDER INTERNAL REVENUE CODE (IRC) SECTION 501(C)(3). THERE ARE NO OTHER CLASSES OF MEMBERSHIP IN THE FILING ORGANIZATION. FORM 990, PART VI, SECTION A, LINE 7A THE SOLE MEMBER OF THE FILING ORGANIZATION IS MHF. THE BOARD OF DIRECTORS OF THE FILING ORGANIZATION ARE APPOINTED BY THE SOLE MEMBER, MHF, WHO HAS THE RIGHT TO ELECT, APPOINT OR REMOVE ANY MEMBER OF THE BOARD OF DIRECTORS OF THE FILING ORGANIZATION. FORM 990, PART VI, SECTION A, LINE 7B MHF, AS THE SOLE MEMBER OF THE FILING ORGANIZATION, HAS THE RESERVED POWER TO APPROVE ANY AMENDMENT, RESTATEMENT, OR REPEALING OF THE ARTICLES OF INCORPORATION OR BYLAWS OF THE FILING ORGANIZATION. FORM 990, PART VI, SECTION B, LINE 11 THE FILING ORGANIZATION'S CURRENT YEAR FORM 990 WAS REVIEWED BY THE EXECUTIVE DIRECTOR PRIOR TO ITS FILING WITH THE IRS. THE REVIEW CONDUCTED BY THE EXECUTIVE DIRECTOR 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 (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 (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, IS REQUIRED TO DISCLOSE IN WRITING THE EXISTENCE OF ANY CONFLICT OF INTEREST WITH THE FILING ORGANIZATION OR ANY OF THE CHARITABLE ORGANIZATIONS SUPPORTED BY THE FILING ORGANIZATION. FORM 990, PART VI, SECTION C, LINE 19 THE FILING ORGANIZATION DOES NOT GENERALLY MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY OR FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC. PART VII, SECTION A FOR THOSE BOARD OF DIRECTOR MEMBERS WHO DEVOTE LESS THAN FULL-TIME TO THE FILING ORGANIZATION (BASED UPON THE AVERAGE NUMBER OF HOURS PER WEEK SHOWN IN COLUMN (B) ON PAGE 7 OF THE RETURN) THE COMPENSATION AMOUNTS SHOWN IN COLUMNS (E) AND (F) ON PAGE 7 WERE PROVIDED IN CONJUNCTION WITH THAT PERSON'S RESPONSIBILITIES AND ROLES IN SERVING IN AN EXECUTIVE LEADERSHIP POSITION WITHIN THE SUPPORTED HOSPITAL AND/OR ITS TAX-EXEMPT BROTHER/SISTER AFFILIATE ORGANIZATION. PART VII, SECTION A, COLUMN (B) THE MEMBERS OF THE BOARD OF DIRECTORS 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 EITHER THEIR RESPECTIVE EXECUTIVE LEADERSHIP POSITION WITHIN ADVENTIST HEALTH SYSTEM OR AS AN EMPLOYED PHYSICIAN OF A TAX-EXEMPT BROTHER/SISTER AFFILIATE ORGANIZATION. CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 5: NET UNREALIZED LOSSES ON INVESTMENTS: -438. RESTRICTED CONTRIBUTIONS 344,475. RESTRICTED INTEREST INCOME 10,066. TOTAL TO FORM 990, PART XI, LINE 5: 354,103. FORM 990, PART VI, SECTION B, LINE 15: THE EXECUTIVE DIRECTOR OF THE FILING ORGANIZATION IS ON THE PAYROLL OF ADVENTIST HEALTH SYSTEM/SUNBELT, INC., D/B/A ADVENTIST LA GRANGE MEMORIAL HOSPITAL (ALMH). THE COMPENSATION OF THE EXECUTIVE DIRECTOR IS DETERMINED BY ALMH. IN DETERMINING THE COMPENSATION OF THE EXECUTIVE DIRECTOR, ALMH UTILIZES PUBLISHED SALARY SURVEY DATA AND OTHER LOCAL MARKET INFORMATION IN ESTABLISHING ANNUAL COMPENSATION. EXECUTIVE MANAGEMENT OF ALMH REVIEW AND APPROVE ANNUAL COMPENSATION. 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 0 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 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 HEALTH SYSTEMSUNBELT INC 0 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 0 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 0 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 0 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 0 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 0 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 0 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 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 HEALTH SYSTEMSUNBELT INC 0 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 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 HEALTH SYSTEM SUNBELT HEALTHCARE CORPORATION 0 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 0 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 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 HEALTH SYSTEM SUNBELT HEALTHCARE CORPORATION 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 HEALTH FOUNDATION 0 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 0 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 0 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 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 HEALTH SYSTEMSUNBELT INC 0 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 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 HEALTH 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 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 0 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 0 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 0 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 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 HEALTH 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 HEALTH SYSTEM SUNBELT HEALTHCARE CORPORATION 0 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 0 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