Form990
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Department of the TreasuryInternal Revenue Service
Return of Organization Exempt From Income Tax
Under section 501(c), 527, or 4947(a)(1) of the Internal Revenue Code (except private foundations)
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OMB No. 1545-0047
2021
Open to Public Inspection
A For the 2021 calendar year, or tax year beginning 01-01-2021 , and ending 12-31-2021
BCheck if applicable:
CName of organization
Adventist Health System Sunbelt
Healthcare Corporation
 
Doing business as
 
 
Number and street (or P.O. box if mail is not delivered to street address)
900 Hope Way
 
Room/suite
City or town, state or province, country, and ZIP or foreign postal code
Altamonte Springs, FL32714
D Employer identification number

59-2170012
E Telephone number

G Gross receipts $ 1,749,897,821
F Name and address of principal officer:
Terry Shaw
900 Hope Way
Altamonte Springs,FL32714
I
Tax-exempt status: (   ) LeftBullet (insert no.) or
J
Website:MediumBullet
www.adventhealth.com
H(a)
Is this a group return for
subordinates?
H(b)
Are all subordinates
included?
If "No," attach a list. See instructions.
H(c)
Group exemption number MediumBullet1071
K Form of organization:  
L Year of formation: 1981
M State of legal domicile: FL
Part I
Summary
Activities & Governance 1 Briefly describe the organization’s mission or most significant activities: Provision of executive leadership and other professional support services to subsidiaries.
2 Check this box MediumBullet
3 Number of voting members of the governing body (Part VI, line 1a) ........ 3 22
4 Number of independent voting members of the governing body (Part VI, line 1b) ..... 4 15
5 Total number of individuals employed in calendar year 2021 (Part V, line 2a) ...... 5 6,074
6 Total number of volunteers (estimate if necessary) ............. 6 15
7a Total unrelated business revenue from Part VIII, column (C), line 12 ........ 7a 17,285,479
b Net unrelated business taxable income from Form 990-T, Part I, line 11 ......... 7b 535,770
Revenues Prior Year Current Year
8 Contributions and grants (Part VIII, line 1h) ......... 10,200 5,000
9 Program service revenue (Part VIII, line 2g) ......... 1,179,096,558 1,297,860,791
10 Investment income (Part VIII, column (A), lines 3, 4, and 7d ) .... 147,989,517 451,074,507
11 Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e) 1,132,671 957,523
12 Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12) 1,328,228,946 1,749,897,821
Expenses; 13 Grants and similar amounts paid (Part IX, column (A), lines 1–3 )... 9,541,818 8,263,358
14 Benefits paid to or for members (Part IX, column (A), line 4)..... 0 0
15 Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10) 613,446,608 693,880,073
16a Professional fundraising fees (Part IX, column (A), line 11e) ..... 0 0
b Total fundraising expenses (Part IX, column (D), line 25) MediumBullet0    
17 Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e).... 653,133,700 1,023,988,714
18 Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25) 1,276,122,126 1,726,132,145
19 Revenue less expenses. Subtract line 18 from line 12....... 52,106,820 23,765,676
Net Assets or Fund Balances; Beginning of Current Year End of Year
20 Total assets (Part X, line 16)............. 9,669,943,608 10,063,109,355
21 Total liabilities (Part X, line 26)............. 8,904,645,904 9,659,267,828
22 Net assets or fund balances. Subtract line 21 from line 20..... 765,297,704 403,841,527
Part II
Signature Block
Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct, and complete. Declaration of preparer (other than officer) is based on all information of which preparer has any knowledge.
Sign Here
JumboBullet
Signature of officer Date
JumboBullet
Type or print name and title
Paid Preparer Use Only
Print/Type preparer's name
Preparer's signature
Date
PTIN
Firm's name MediumBullet

Firm's EIN MediumBullet
Firm's address MediumBullet



Phone no.
May the IRS discuss this return with the preparer shown above? (see instructions) ..........
For Paperwork Reduction Act Notice, see the separate instructions.
Cat. No. 11282Y Form 990 (2021)
Form 990 (2021)
Page 2
Part III
Statement of Program Service Accomplishments
Check if Schedule O contains a response or note to any line in this Part III..............
1
Briefly describe the organization’s mission: Adventist Health System Sunbelt Healthcare Corporation and all its subsidiary organizations were established by the Seventh-Day Adventist Church to bring a ministry of healing and health to the communities served. Our mission is to extend the healing ministry of Christ.The hospital and healthcare system whose parent is Adventist Health System Sunbelt Healthcare Corporation is known as AdventHealth. AdventHealth seeks to be widely respected as a consumer-focused organization that engages individuals in their health by delivering wholistic, best practice care across a connected, comprehensive continuum of services. With Christ as our example, AdventHealth cares for and nurtures people: our employees, our communities, our healthcare professionals, and those who trust us for care and healing.
2
Did the organization undertake any significant program services during the year which were not listed on
the prior Form 990 or 990-EZ? .....................
If "Yes," describe these new services on Schedule O.
3
Did the organization cease conducting, or make significant changes in how it conducts, any program
services? ...........................
If "Yes," describe these changes on Schedule O.
4
Describe the organization’s program service accomplishments for each of its three largest program services, as measured by expenses. Section 501(c)(3) and 501(c)(4) organizations are required to report the amount of grants and allocations to others, the total expenses, and revenue, if any, for each program service reported.
4a (Code:   ) (Expenses $ 1,398,889,569 including grants of $ 8,263,358 ) (Revenue $ 1,280,575,312 )
During 2021, the Corporation provided hospital management services to 30 wholly or partially owned tax-exempt hospital and nursing home corporations. These 30 corporations operate 48 acute-care hospitals, and provide management services to 10 nursing home facilities.
4b (Code:   ) (Expenses $   including grants of $   ) (Revenue $   )
4c (Code:   ) (Expenses $   including grants of $   ) (Revenue $   )
4d Other program services (Describe in Schedule O.)
(Expenses $   including grants of $   ) (Revenue $   )
4e Total program service expensesMediumBullet1,398,889,569
Form 990 (2021)
Form 990 (2021)
Page 3
Part IV
Checklist of Required Schedules
Yes
No
1
Is the organization described in section 501(c)(3) or 4947(a)(1) (other than a private foundation)? If "Yes," complete Schedule AClick to see attachment.....................
1
Yes
 
2
Is the organization required to complete Schedule B, Schedule of Contributors? See instructions. Click to see attachment...
2
Yes
 
3
Did the organization engage in direct or indirect political campaign activities on behalf of or in opposition to candidates for public office? If "Yes," complete Schedule C, Part IClick to see attachment.............
3
 
No
4
Section 501(c)(3) organizations. Did the organization engage in lobbying activities, or have a section 501(h) election in effect during the tax year? If "Yes," complete Schedule C, Part IIClick to see attachment.........
4
Yes
 
5
Is the organization a section 501(c)(4), 501(c)(5), or 501(c)(6) organization that receives membership dues, assessments, or similar amounts as defined in Rev. Proc. 98-19? If "Yes," complete Schedule C, Part IIIClick to see attachment..
5
 
No
6
Did the organization maintain any donor advised funds or any similar funds or accounts for which donors have the right to provide advice on the distribution or investment of amounts in such funds or accounts? If "Yes," complete Schedule D, Part IClick to see attachment.........................
6
 
No
7
Did the organization receive or hold a conservation easement, including easements to preserve open space,
the environment, historic land areas, or historic structures? If "Yes," complete Schedule D, Part IIClick to see attachment....
7
 
No
8
Did the organization maintain collections of works of art, historical treasures, or other similar assets? If "Yes,"
complete Schedule D, Part IIIClick to see attachment..............
8
 
No
9
Did the organization report an amount in Part X, line 21 for escrow or custodial account liability; serve as a custodian for amounts not listed in Part X; or provide credit counseling, debt management, credit repair, or debt negotiation services? If "Yes," complete Schedule D, Part IVClick to see attachment..............
9
 
No
10
Did the organization, directly or through a related organization, hold assets in temporarily restricted endowments, permanent endowments, or quasi endowments? If "Yes," complete Schedule D, Part V......
10
 
No
11
If the organization’s answer to any of the following questions is "Yes," then complete Schedule D, Parts VI, VII, VIII, IX, or X, as applicable.
a
Did the organization report an amount for land, buildings, and equipment in Part X, line 10? If "Yes," complete
Schedule D, Part VI. Click to see attachment...................
11a
Yes
 
b
Did the organization report an amount for investments—other securities in Part X, line 12 that is 5% or more of its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part VIIClick to see attachment.......
11b
Yes
 
c
Did the organization report an amount for investments—program related in Part X, line 13 that is 5% or more of its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part VIIIClick to see attachment.......
11c
 
No
d
Did the organization report an amount for other assets in Part X, line 15 that is 5% or more of its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part IXClick to see attachment............
11d
Yes
 
e
Did the organization report an amount for other liabilities in Part X, line 25? If "Yes," complete Schedule D, Part XClick to see attachment
11e
Yes
 
f
Did the organization’s separate or consolidated financial statements for the tax year include a footnote that addresses the organization’s liability for uncertain tax positions under FIN 48 (ASC 740)? If "Yes," complete Schedule D, Part XClick to see attachment
11f
Yes
 
12a
Did the organization obtain separate, independent audited financial statements for the tax year? If "Yes," complete
Schedule D, Parts XI and XIIClick to see attachment......................
12a
 
No
b
Was the organization included in consolidated, independent audited financial statements for the tax year? If "Yes," and if the organization answered "No" to line 12a, then completing Schedule D, Parts XI and XII is optional Click to see attachment
12b
Yes
 
13
Is the organization a school described in section 170(b)(1)(A)(ii)? If "Yes," complete Schedule E
13
 
No
14a
Did the organization maintain an office, employees, or agents outside of the United States? .....
14a
 
No
b
Did the organization have aggregate revenues or expenses of more than $10,000 from grantmaking, fundraising, business, investment, and program service activities outside the United States, or aggregate foreign investments valued at $100,000 or more? If "Yes," complete Schedule F, Parts I and IV.........Click to see attachment
14b
Yes
 
15
Did the organization report on Part IX, column (A), line 3, more than $5,000 of grants or other assistance to or for any foreign organization? If “Yes,” complete Schedule F, Parts II and IV.....Click to see attachment
15
 
No
16
Did the organization report on Part IX, column (A), line 3, more than $5,000 of aggregate grants or other assistance to or for foreign individuals? If “Yes,” complete Schedule F, Parts III and IV...Click to see attachment
16
 
No
17
Did the organization report a total of more than $15,000 of expenses for professional fundraising services on Part IX, column (A), lines 6 and 11e? If "Yes," complete Schedule G, Part I. See instructions. ....
17
 
No
18
Did the organization report more than $15,000 total of fundraising event gross income and contributions on Part VIII, lines 1c and 8a? If "Yes," complete Schedule G, Part II............
18
 
No
19
Did the organization report more than $15,000 of gross income from gaming activities on Part VIII, line 9a? If "Yes," complete Schedule G, Part III...................
19
 
No
20a
Did the organization operate one or more hospital facilities? If "Yes," complete Schedule H....
20a
 
No
b
If "Yes" to line 20a, did the organization attach a copy of its audited financial statements to this return?
20b
 
 
21
Did the organization report more than $5,000 of grants or other assistance to any domestic organization or domestic government on Part IX, column (A), line 1? If “Yes,” complete Schedule I, Parts I and II.....Click to see attachment
21
Yes
 
Form 990 (2021)
Form 990 (2021)
Page 4
Part IV
Checklist of Required Schedules (continued)
Yes
No
22
Did the organization report more than $5,000 of grants or other assistance to or for domestic individuals on Part IX, column (A), line 2? If “Yes,” complete Schedule I, Parts I and III........Click to see attachment
22
Yes
 
23
Did the organization answer "Yes" to Part VII, Section A, line 3, 4, or 5, about compensation of the organization’s current and former officers, directors, trustees, key employees, and highest compensated employees? If "Yes," complete Schedule J....................... Click to see attachment
23
Yes
 
24a
Did the organization have a tax-exempt bond issue with an outstanding principal amount of more than $100,000 as of the last day of the year, that was issued after December 31, 2002? If “Yes,” answer lines 24b through 24d and complete Schedule K. If “No,” go to line 25a...............
24a
 
No
b
Did the organization invest any proceeds of tax-exempt bonds beyond a temporary period exception?...
24b
 
 
c
Did the organization maintain an escrow account other than a refunding escrow at any time during the year
to defease any tax-exempt bonds? ...............
24c
 
 
d
Did the organization act as an "on behalf of" issuer for bonds outstanding at any time during the year?...
24d
 
 
25a
Section 501(c)(3), 501(c)(4), and 501(c)(29) organizations. Did the organization engage in an excess benefit transaction with a disqualified person during the year? If "Yes," complete Schedule L, Part I .... Click to see attachment
25a
 
No
b
Is the organization aware that it engaged in an excess benefit transaction with a disqualified person in a prior year, and that the transaction has not been reported on any of the organization’s prior Forms 990 or 990-EZ? If "Yes," complete Schedule L, Part I.......................Click to see attachment
25b
 
No
26
Did the organization report any amount on Part X, line 5 or 22 for receivables from or payables to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons? If "Yes," complete Schedule L, Part IIClick to see attachment...........
26
 
No
27
Did the organization provide a grant or other assistance to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or employee thereof, a grant selection committee member, or to a 35% controlled entity (including an employee thereof) or family member of any of these persons?
If "Yes," complete
Schedule L, Part IIIClick to see attachment.........................
27
 
No
28
Was the organization a party to a business transaction with one of the following parties (see the Schedule L, Part IV instructions for applicable filing thresholds, conditions, and exceptions):
a
A current or former officer, director, trustee, key employee, creator or founder, or substantial contributor? If "Yes," complete Schedule L, Part IV......................Click to see attachment
28a
 
No
b
A family member of any individual described in line 28a? If "Yes," complete Schedule L, Part IV.....Click to see attachment
28b
Yes
 
c
A 35% controlled entity of one or more individuals and/or organizations described in line 28a or 28b? If "Yes," complete Schedule L, Part IV.....................
28c
 
No
29
Did the organization receive more than $25,000 in non-cash contributions? If "Yes," complete Schedule M..
29
 
No
30
Did the organization receive contributions of art, historical treasures, or other similar assets, or qualified conservation contributions? If "Yes," complete Schedule M .................
30
 
No
31
Did the organization liquidate, terminate, or dissolve and cease operations? If "Yes," complete Schedule N, Part I
31
 
No
32
Did the organization sell, exchange, dispose of, or transfer more than 25% of its net assets? If "Yes," complete Schedule N, Part II........................
32
 
No
33
Did the organization own 100% of an entity disregarded as separate from the organization under Regulations sections 301.7701-2 and 301.7701-3? If "Yes," complete Schedule R, Part I............Click to see attachment
33
 
No
34
Was the organization related to any tax-exempt or taxable entity? If "Yes," complete Schedule R, Part II, III, or IV, and Part V, line 1.........................Click to see attachment
34
Yes
 
35a
Did the organization have a controlled entity within the meaning of section 512(b)(13)?
35a
Yes
 
b
If ‘Yes’ to line 35a, did the organization receive any payment from or engage in any transaction with a controlled entity within the meaning of section 512(b)(13)? If "Yes," complete Schedule R, Part V, line 2 ...Click to see attachment
35b
Yes
 
36
Section 501(c)(3) organizations. Did the organization make any transfers to an exempt non-charitable related organization? If "Yes," complete Schedule R, Part V, line 2............. Click to see attachment
36
 
No
37
Did the organization conduct more than 5% of its activities through an entity that is not a related organization and that is treated as a partnership for federal income tax purposes? If "Yes," complete Schedule R, Part VIClick to see attachment
37
 
No
38
Did the organization complete Schedule O and provide explanations on Schedule O for Part VI, lines 11b and 19? Note. All Form 990 filers are required to complete Schedule O. ............
38
Yes
 
Part V
Statements Regarding Other IRS Filings and Tax Compliance
Check if Schedule O contains a response or note to any line in this Part V...........
Yes
No
1a
Enter the number reported in box 3 of Form 1096. Enter -0- if not applicable ..
1a
5,822
b
Enter the number of Forms W-2G included on line 1a. Enter -0- if not applicable .
1b
0
c
Did the organization comply with backup withholding rules for reportable payments to vendors and reportable gaming (gambling) winnings to prize winners? ..................
1c
Yes
 
Form 990 (2021)
Form 990 (2021)
Page 5
Part V
Statements Regarding Other IRS Filings and Tax Compliance (continued)
2a
Enter the number of employees reported on Form W-3, Transmittal of Wage and
Tax Statements, filed for the calendar year ending with or within the year covered by this return ..................
2a
6,074
b
If at least one is reported on line 2a, did the organization file all required federal employment tax returns?
Note. If the sum of lines 1a and 2a is greater than 250, you may be required to e-file. See instructions.
2b
Yes
 
3a
Did the organization have unrelated business gross income of $1,000 or more during the year?...
3a
Yes
 
b
If “Yes,” has it filed a Form 990-T for this year? If “No” to line 3b, provide an explanation in Schedule O...
3b
Yes
 
4a
At any time during the calendar year, did the organization have an interest in, or a signature or other authority over, a financial account in a foreign country (such as a bank account, securities account, or other financial account)? ..
4a
Yes
 
b
If "Yes," enter the name of the foreign country: MediumBulletBD
See instructions for filing requirements for FinCEN Form 114, Report of Foreign Bank and Financial Accounts (FBAR).
5a
Was the organization a party to a prohibited tax shelter transaction at any time during the tax year? ..
5a
 
No
b
Did any taxable party notify the organization that it was or is a party to a prohibited tax shelter transaction?
5b
 
No
c
If "Yes," to line 5a or 5b, did the organization file Form 8886-T? ............
5c
 
 
6a
Does the organization have annual gross receipts that are normally greater than $100,000, and did the organization solicit any contributions that were not tax deductible as charitable contributions? ...
6a
 
No
b
If "Yes," did the organization include with every solicitation an express statement that such contributions or gifts were not tax deductible? ......................
6b
 
 
7
Organizations that may receive deductible contributions under section 170(c).
a
Did the organization receive a payment in excess of $75 made partly as a contribution and partly for goods and services provided to the payor? ....................
7a
 
No
b
If "Yes," did the organization notify the donor of the value of the goods or services provided? .....
7b
 
 
c
Did the organization sell, exchange, or otherwise dispose of tangible personal property for which it was required to file Form 8282? .........................
7c
 
No
d
If "Yes," indicate the number of Forms 8282 filed during the year ....
7d
 
e
Did the organization receive any funds, directly or indirectly, to pay premiums on a personal benefit contract?
7e
 
No
f
Did the organization, during the year, pay premiums, directly or indirectly, on a personal benefit contract? ..
7f
 
No
g
If the organization received a contribution of qualified intellectual property, did the organization file Form 8899 as required? ......................
7g
 
 
h
If the organization received a contribution of cars, boats, airplanes, or other vehicles, did the organization file a Form 1098-C? ..........................
7h
 
 
8
Sponsoring organizations maintaining donor advised funds. Did a donor advised fund maintained by the sponsoring organization have excess business holdings at any time during the year? ........
8
 
 
9
Sponsoring organizations maintaining donor advised funds.
a
Did the sponsoring organization make any taxable distributions under section 4966?........
9a
 
 
b
Did the sponsoring organization make a distribution to a donor, donor advisor, or related person?...
9b
 
 
10
Section 501(c)(7) organizations. Enter:
a
Initiation fees and capital contributions included on Part VIII, line 12 ...
10a
 
b
Gross receipts, included on Form 990, Part VIII, line 12, for public use of club facilities
10b
 
11
Section 501(c)(12) organizations. Enter:
a
Gross income from members or shareholders .........
11a
 
b
Gross income from other sources. (Do not net amounts due or paid to other sources against amounts due or received from them.) ..........
11b
 
12a
Section 4947(a)(1) non-exempt charitable trusts. Is the organization filing Form 990 in lieu of Form 1041?
12a
 
 
b
If "Yes," enter the amount of tax-exempt interest received or accrued during the year.
12b
 
13
Section 501(c)(29) qualified nonprofit health insurance issuers.
a
Is the organization licensed to issue qualified health plans in more than one state? .........
Note. See the instructions for additional information the organization must report on Schedule O.
13a
 
 
b
Enter the amount of reserves the organization is required to maintain by the states in which the organization is licensed to issue qualified health plans ....
13b
 
c
Enter the amount of reserves on hand ............
13c
 
14a
Did the organization receive any payments for indoor tanning services during the tax year?.....
14a
 
No
b
If "Yes," has it filed a Form 720 to report these payments? If "No," provide an explanation in Schedule O..
14b
 
 
15
Is the organization subject to the section 4960 tax on payment(s) of more than $1,000,000 in remuneration or excess parachute payment(s) during the year? ....................
If "Yes," see the instructions and file Form 4720, Schedule N.
15
Yes
 
16
Is the organization an educational institution subject to the section 4968 excise tax on net investment income? ..
If "Yes," complete Form 4720, Schedule O.
16
 
No
17
Section 501(c)(21) organizations. Did the trust, any disqualified person, or mine operator engage in any activities that would result in the imposition of an excise tax under section 4951, 4952, or 4953? ..
If "Yes," complete Form 6069.
17
 
 
Form 990 (2021)
Form 990 (2021)
Page 6
Part VI
Governance, Management, and Disclosure. For each "Yes" response to lines 2 through 7b below, and for a "No" response to lines 8a, 8b, or 10b below, describe the circumstances, processes, or changes in Schedule O. See instructions.
Check if Schedule O contains a response or note to any line in this Part VI..............
Section A. Governing Body and Management
Yes
No
1a
Enter the number of voting members of the governing body at the end of the tax year
1a
22
If there are material differences in voting rights among members of the governing body, or if the governing body delegated broad authority to an executive committee or similar committee, explain in Schedule O.
b
Enter the number of voting members included in line 1a, above, who are independent
1b
15
2
Did any officer, director, trustee, or key employee have a family relationship or a business relationship with any other officer, director, trustee, or key employee? .................
2
Yes
 
3
Did the organization delegate control over management duties customarily performed by or under the direct supervision of officers, directors or trustees, or key employees to a management company or other person? .
3
 
No
4
Did the organization make any significant changes to its governing documents since the prior Form 990 was filed? .
4
 
No
5
Did the organization become aware during the year of a significant diversion of the organization’s assets? .
5
 
No
6
Did the organization have members or stockholders? ................
6
Yes
 
7a
Did the organization have members, stockholders, or other persons who had the power to elect or appoint one or more members of the governing body? ....................
7a
Yes
 
b
Are any governance decisions of the organization reserved to (or subject to approval by) members, stockholders, or persons other than the governing body? ...................
7b
Yes
 
8
Did the organization contemporaneously document the meetings held or written actions undertaken during the year by the following:
a
The governing body? .......................
8a
Yes
 
b
Each committee with authority to act on behalf of the governing body? ............
8b
Yes
 
9
Is there any officer, director, trustee, or key employee listed in Part VII, Section A, who cannot be reached at the organization’s mailing address? If "Yes," provide the names and addresses in Schedule O.......
9
 
No
Section B. Policies (This Section B requests information about policies not required by the Internal Revenue Code.)
Yes
No
10a
Did the organization have local chapters, branches, or affiliates? ............
10a
 
No
b
If "Yes," did the organization have written policies and procedures governing the activities of such chapters, affiliates, and branches to ensure their operations are consistent with the organization's exempt purposes?
10b
 
 
11a
Has the organization provided a complete copy of this Form 990 to all members of its governing body before filing the form? ............................
11a
Yes
 
b
Describe on Schedule O the process, if any, used by the organization to review this Form 990. .....
12a
Did the organization have a written conflict of interest policy? If "No," go to line 13.......
12a
Yes
 
b
Were officers, directors, or trustees, and key employees required to disclose annually interests that could give rise to conflicts? ..........................
12b
Yes
 
c
Did the organization regularly and consistently monitor and enforce compliance with the policy? If "Yes," describe on Schedule O how this was done...................
12c
Yes
 
13
Did the organization have a written whistleblower policy? ...............
13
Yes
 
14
Did the organization have a written document retention and destruction policy? .........
14
Yes
 
15
Did the process for determining compensation of the following persons include a review and approval by independent persons, comparability data, and contemporaneous substantiation of the deliberation and decision?
a
The organization’s CEO, Executive Director, or top management official ...........
15a
Yes
 
b
Other officers or key employees of the organization ................
15b
Yes
 
If "Yes" to line 15a or 15b, describe the process on Schedule O. See instructions.
16a
Did the organization invest in, contribute assets to, or participate in a joint venture or similar arrangement with a taxable entity during the year? ......................
16a
Yes
 
b
If "Yes," did the organization follow a written policy or procedure requiring the organization to evaluate its participation in joint venture arrangements under applicable federal tax law, and take steps to safeguard the organization’s exempt status with respect to such arrangements? ............
16b
Yes
 
Section C. Disclosure
17
List the states with which a copy of this Form 990 is required to be filedMediumBullet
IL , NC , OR
18
Section 6104 requires an organization to make its Form 1023 (1024 or 1024-A, if applicable), 990, and 990-T (section 501(c)(3)s only) available for public inspection. Indicate how you made these available. Check all that apply.
19
Describe in Schedule O whether (and if so, how) the organization made its governing documents, conflict of interest policy, and financial statements available to the public during the tax year.
20
State the name, address, and telephone number of the person who possesses the organization's books and records:
MediumBulletPaul Rathbun900 Hope Way   Altamonte Springs,FL32714 (407) 357-2463
Form 990 (2021)
Form 990 (2021)
Page 7
Part VII
Compensation of Officers, Directors,Trustees, Key Employees, Highest Compensated Employees, and Independent Contractors
Check if Schedule O contains a response or note to any line in this Part VII..............
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees
1a Complete this table for all persons required to be listed. Report compensation for the calendar year ending with or within the organization’s tax year.
RoundBullet List all of the organization’s current officers, directors, trustees (whether individuals or organizations), regardless of amount
of compensation. Enter -0- in columns (D), (E), and (F) if no compensation was paid.

RoundBullet List all of the organization’s current key employees, if any. See the instructions for definition of "key employee."
RoundBullet List the organization’s five current highest compensated employees (other than an officer, director, trustee or key employee)
who received reportable compensation (box 5 of Form W-2, Form 1099-MISC, and/or box 1 of Form 1099-NEC) of more than $100,000 from the
organization and any related organizations.

RoundBullet List all of the organization’s former officers, key employees, or highest compensated employees who received more than $100,000
of reportable compensation from the organization and any related organizations.

RoundBullet List all of the organization’s former directors or trustees that received, in the capacity as a former director or trustee of the
organization, more than $10,000 of reportable compensation from the organization and any related organizations.

See the instructions for the order in which to list the persons above.
Check this box if neither the organization nor any related organization compensated any current officer, director, or trustee.
(A)
Name and title 		(B)
Average hours per week (list any hours for related organizations below dotted line) 		(C)
Position (do not check more than one box, unless person is both an officer and a director/trustee) 		(D)
Reportable compensation from the organization (W-2/1099-MISC/1099-NEC) 		(E)
Reportable compensation from related organizations (W-2/1099-MISC/1099-NEC) 		(F)
Estimated amount of other compensation from the organization and related organizations
Individual Trustee or Director; Institutional Trustee; OfficerInd; Key Employee; Highest compensated employee; FormerOfcrDirectorTrusteeInd;
(1) Aguilera Ronald......................................................................
Director (Beg 9/21)
 1.00
.................
2.00 		X           4,602 0 0
(2) Barnett D Edward......................................................................
Director (End 8/21)
 1.00
.................
1.00 		X           1,200 0 0
(3) Bernard Roger A......................................................................
Director
 1.00
.................
2.00 		X           5,129 0 0
(4) Bigalke John T......................................................................
Director
 1.00
.................
1.00 		X           29,400 0 0
(5) Brooks Stephen......................................................................
Director (Beg 4/21 - End 9/21)
 1.00
.................
1.00 		X           4,402 0 0
(6) Cherry MD Robert A......................................................................
Director
 1.00
.................
1.00 		X           29,400 0 0
(7) Craig Carlos J......................................................................
Dir./Vice Chair/Sec (Beg 4/21)
 2.00
.................
1.00 		X           4,602 0 0
(8) Davidson James R......................................................................
Director (Beg 9/21)
 1.00
.................
1.00 		X           5,422 0 0
(9) Denslow Kenneth......................................................................
Dir./Vice Chairman (Beg 6/21)
 2.00
.................
2.00 		X           4,402 0 0
(10) Devore Susan D......................................................................
Director
 1.00
.................
1.00 		X           17,402 0 0
(11) Freedman David......................................................................
Director (End 9/21)
 1.00
.................
1.00 		X           5,222 0 0
(12) Griffith Jr Buford......................................................................
Director (End 4/21)
 1.00
.................
1.00 		X           1,200 0 0
(13) Johnson Tidjani Michelle......................................................................
Director
 1.00
.................
1.00 		X           25,402 0 0
(14) Lyons Justin C......................................................................
Director (End 9/21)
 1.00
.................
1.00 		X           4,602 0 0
(15) Machado Allan......................................................................
Director
 1.00
.................
2.00 		X           5,422 0 0
(16) Moore M Div Larry R......................................................................
Dir./Vice Chairman /Sec (End 4/21)
 2.00
.................
1.00 		X           4,200 0 0
(17) Morel Jr D Min Hubert J......................................................................
Director (Beg 1/21 - End 9/21)
 1.00
.................
1.00 		X           4,402 0 0
Form 990 (2021)
Form 990 (2021)
Page 8
Part VII
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees (continued)
(A)
Name and title 		(B)
Average hours per week (list any hours for related organizations below dotted line) 		(C)
Position (do not check more than one box, unless person is both an officer and a director/trustee) 		(D)
Reportable compensation from the organization (W-2/1099-MISC/1099-NEC) 		(E)
Reportable compensation from related organizations (W-2/1099-MISC/1099-NEC) 		(F)
Estimated amount of other compensation from the organization and related organizations
Individual Trustee or Director; Institutional Trustee; OfficerInd; Key Employee; Highest compensated employee; FormerOfcrDirectorTrusteeInd;
(18) Morgan William H........................................................................
Director
 1.00
.......................1.00 		X           0 0 0
(19) Page John M........................................................................
Director (Beg 9/21)
 1.00
.......................3.00 		X           4,602 0 0
(20) Ramirez Elden........................................................................
Director (Beg 9/21)
 1.00
.......................3.00 		X           4,402 0 0
(21) Sauder PhD Vinita........................................................................
Director (Beg 9/21)
 1.00
.......................1.00 		X           4,602 0 0
(22) Scott Glynn CW........................................................................
Director (End 9/21)
 1.00
.......................3.00 		X           4,602 0 0
(23) Shaw EdD Kenneth........................................................................
Director
 1.00
.......................1.00 		X           5,222 0 0
(24) Shaw Terry D........................................................................
Dir/President/CEO
 50.00
.......................1.00 		X   X       4,519,033 0 209,656
(25) Smith DMin PhD Ron C........................................................................
Director/Chairman
 2.00
.......................2.00 		X           8,222 0 0
(26) Thurber Gary F........................................................................
Director/Vice Chairman
 2.00
.......................2.00 		X           8,129 0 0
(27) Thurber John Mic........................................................................
Director (Beg 9/21)
 1.00
.......................2.00 		X           4,402 0 0
(28) Tikker Blair........................................................................
Director
 1.00
.......................1.00 		X           26,554 0 0
(29) Valentine II M Div Maurice........................................................................
Director/Vice Chair (End 5/21)
 2.00
.......................2.00 		X           4,200 0 0
(30) Van Schaik Vic........................................................................
Director (End 9/21)
 1.00
.......................1.00 		X           4,602 0 0
(31) VandeVere David........................................................................
Director (Beg 10/21)
 1.00
.......................1.00 		X           4,929 0 0
(32) Werner Thomas L........................................................................
Director
 1.00
.......................3.00 		X           6,309 0 0
(33) Rathbun Paul C........................................................................
SEVP/CFO
 50.00
.......................1.00 		    X       2,592,586 0 212,850
(34) Azevedo Olesea........................................................................
SVP/Chief Human Resource Officer
 50.00
.......................1.00 		      X     1,029,662 0 154,271
(35) Bacon Kenneth........................................................................
SEVP/CEO Multi-State Div(Beg 3/21)
 50.00
.......................1.00 		      X     1,078,033 0 201,962
(36) Banks David........................................................................
SEVP/Chief Strategy Officer
 50.00
.......................1.00 		      X     2,026,822 0 203,879
(37) Bromme Jeffrey........................................................................
EVP/Chief Legal Officer
 50.00
.......................1.00 		      X     1,378,687 0 177,572
(38) Celano Patricia........................................................................
SVP/Associate Chief Clinical Officer
 50.00
.......................1.00 		      X     647,089 0 128,755
(39) Haffner PhD Randall L........................................................................
SEVP/CEO Central FL Division
 50.00
.......................1.00 		      X     3,620,109 0 209,173
(40) Johnson Sandra K........................................................................
Exec VP/CAO (End 12/21)
 50.00
.......................1.00 		      X     1,384,638 0 183,937
(41) Moorhead MD David........................................................................
EVP/Chief Clinical Officer
 50.00
.......................1.00 		      X     1,816,172 0 28,514
(42) Schultz Michael........................................................................
SEVP/CEO West FL Div(End 12/21)
 50.00
.......................1.00 		      X     2,027,516 0 53,792
(43) Snyder Esq Brent G........................................................................
EVP/Chief Information Officer
 50.00
.......................1.00 		      X     1,786,890 0 41,385
(44) Stiltz Bryan........................................................................
EVP Business Units/Physician Enterprise
 50.00
.......................1.00 		      X     1,089,480 0 152,776
(45) Tol Daryl........................................................................
SEVP/CEO Central FL (End 1/21)
 50.00
.......................1.00 		      X     2,712,537 0 8,693
(46) Bassler Jayne........................................................................
SVP Epic Transformation
 50.00
.......................1.00 		        X   2,098,533 0 111,768
(47) Hilliard Douglas........................................................................
SVP/Sr. Finance Officer AH Orlando
 50.00
.......................1.00 		        X   2,181,052 0 146,186
(48) Johnson Penny........................................................................
President/CEO SW Region
 50.00
.......................1.00 		        X   2,601,818 0 182,819
(49) Surber Randall........................................................................
President/CEO AH Sebring
 50.00
.......................1.00 		        X   1,802,488 0 90,169
(50) Thompson Michael........................................................................
CEO IHS Central FL Division
 50.00
.......................1.00 		        X   1,854,601 0 134,626
(51) Clem MD Kathleen........................................................................
Former SVP/Chief Clinical Officer
 0.00
.......................0.10 		          X 439,703 0 24,896
(52) Soler Eddie........................................................................
Former SEO/CFO Multi-State Div
 50.00
.......................1.00 		          X 1,400,286 0 191,642
1b Sub-Total................MediumBullet
c Total from continuation sheets to Part VII, Section A....MediumBullet
d Total (add lines 1b and 1c)...........MediumBullet 40,334,923 0 2,849,321
2
Total number of individuals (including but not limited to those listed above) who received more than $100,000 of reportable compensation from the organization MediumBullet1,740
Yes
No
3
Did the organization list any former officer, director or trustee, key employee, or highest compensated employee on line 1a? If "Yes," complete Schedule J for such individual ..............
3
Yes
 
4
For any individual listed on line 1a, is the sum of reportable compensation and other compensation from the organization and related organizations greater than $150,000? If "Yes," complete Schedule J for such
individual...........................
4
Yes
 
5
Did any person listed on line 1a receive or accrue compensation from any unrelated organization or individual for services rendered to the organization? If "Yes," complete Schedule J for such person ........
5
 
No
Section B. Independent Contractors
1
Complete this table for your five highest compensated independent contractors that received more than $100,000 of compensation from the organization. Report compensation for the calendar year ending with or within the organization’s tax year.
(A)
Name and business address 		(B)
Description of services 		(C)
Compensation
The CSI Companies Inc

PO Box 890841
Charlotte,NC28289 		Staffing Services 65,688,276
Cerner Corporation

PO Box 959156
St Louis,MO63195 		IT Services/Support Fees 40,371,838
Athenahealth Inc

PO Box 415615
Boston,MA02241 		Medical Records & Billing Services 37,418,371
22Squared Inc

PO Box 102688
Atlanta,GA30368 		Advertising Services 33,744,461
EPIC Systems Corp

PO Box 88314
Milwaukee,WI53288 		Implementation/IT Services/Support Fees 26,346,590
2
Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization MediumBullet225
Form 990 (2021)
Form 990 (2021)
Page 9
Part VIII
Statement of Revenue
Check if Schedule O contains a response or note to any line in this Part VIII.............
(A)
Total revenue 		(B)
Related or
exempt
function
revenue 		(C)
Unrelated
business
revenue 		(D)
Revenue
excluded from
tax under sections
512 - 514
Contributions, Gifts, Grants, and OtherAmt Similar Amounts 1a Federated campaigns..1a  
b Membership dues..1b  
c Fundraising events..1c  
d Related organizations1d  
e Government grants (contributions)1e  
f All other contributions, gifts, grants, and similar amounts not included above1f 5,000
g Noncash contributions included in lines 1a - 1f:$ 1g  
h Total. Add lines 1a-1f.......MediumBullet 5,000
Program Service RevenueAmt Business Code
2a Management Fees 541610 382,283,306 382,266,406 16,900  
b Reimbursed Salaries & Wages from 561000 364,296,507 357,099,368 7,197,139  
c Centralized Serv Purch by TE Affi 900099 197,464,095 197,464,095    
d Reimbursed Pharmaceutical Costs f 446110 142,442,587 132,971,751 9,470,836  
e Reimbursement for Expenses 900099 82,495,500 82,495,500    
f All other program service revenue. 128,878,796 128,278,192 600,604  
g Total. Add lines 2a–2f .....MediumBullet 1,297,860,791
OtherAmtRevenueAmt 3 Investment income (including dividends, interest, and othersimilar amounts) ......MediumBullet 230,994,989     230,994,989
4 Income from investment of tax-exempt bond proceedsMediumBullet        
5 Royalties...........MediumBullet        
(ii) Personal (i) Real
6a Gross rents   957,523 6a
b Less: rental expenses   0 6b
c Rental income or (loss)   957,523 6c
d Net rental income or (loss).......MediumBullet 957,523     957,523
(ii) Other (i) Securities
7a Gross amount from sales of assets other than inventory   220,079,518 7a
b Less: cost or other basis and sales expenses   0 7b
c Gain or (loss)   220,079,518 7c
d Net gain or (loss).........MediumBullet 220,079,518     220,079,518
8a Gross income from fundraising events (not including $   of contributions reported on line 1c). See Part IV, line 18 ....
8a  
b Less: direct expenses ... 8b  
c Net income or (loss) from fundraising events..MediumBullet      
9a Gross income from gaming activities.
See Part IV, line 19 ...
9a  
b Less: direct expenses ... 9b  
c Net income or (loss) from gaming activities..MediumBullet        
10a Gross sales of inventory, less
returns and allowances ..
10a  
b Less: cost of goods sold .. 10b  
c Net income or (loss) from sales of inventory..MediumBullet        
Business Code Miscellaneous Revenue
11a            
b            
c            
d All other revenue ....        
e Total. Add lines 11a–11d ...... MediumBullet  
12 Total revenue. See instructions.....MediumBullet 1,749,897,821 1,280,575,312 17,285,479 452,032,030
Form 990 (2021)
Form 990 (2021)
Page 10
Part IX
Statement of Functional Expenses
Section 501(c)(3) and 501(c)(4) organizations must complete all columns. All other organizations must complete column (A).Check if Schedule O contains a response or note to any line in this Part IX..............
Do not include amounts reported on lines 6b,
7b, 8b, 9b, and 10b of Part VIII. 		(A)
Total expenses 		(B)
Program service expenses 		(C)
Management and general expenses 		(D)
Fundraising
expenses
1 Grants and other assistance to domestic organizations and domestic governments. See Part IV, line 21 .... 8,190,032 8,190,032
2 Grants and other assistance to domestic individuals. See Part IV, line 22 ........... 73,326 73,326
3 Grants and other assistance to foreign organizations, foreign governments, and foreign individuals. See Part IV, lines 15 and 16. .............    
4 Benefits paid to or for members .......    
5 Compensation of current officers, directors, trustees, and key employees ........... 21,291,837   21,291,837  
6 Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) .........        
7 Other salaries and wages........ 465,295,771 346,975,644 118,320,127  
8 Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) .... 40,694,129 28,653,648 12,040,481  
9 Other employee benefits ....... 129,261,836 92,711,711 36,550,125  
10 Payroll taxes ........... 37,336,500 26,289,466 11,047,034  
11 Fees for services (non-employees):        
a Management ......        
b Legal ......... 2,985,634   2,985,634  
c Accounting ........... 2,546,802 0 2,546,802  
d Lobbying ...........        
e Professional fundraising services. See Part IV, line 17    
f Investment management fees ...... 17,235,873   17,235,873  
g Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O) 191,376,530 168,199,837 23,176,693  
12 Advertising and promotion .... 34,214,883   34,214,883  
13 Office expenses ....... 17,390,677 6,781,241 10,609,436  
14 Information technology ...... 119,044,839 119,044,839    
15 Royalties ..        
16 Occupancy ........... 4,563,916 4,563,916    
17 Travel ............ 2,727,622 2,543,226 184,396  
18 Payments of travel or entertainment expenses for any federal, state, or local public officials .        
19 Conferences, conventions, and meetings .... 2,723,115   2,723,115  
20 Interest ........... 187,982,133 187,982,133    
21 Payments to affiliates .......        
22 Depreciation, depletion, and amortization .. 67,182,683 67,182,683    
23 Insurance ... 30,940,788 30,063,645 877,143  
24 Other expenses. Itemize expenses not covered above (List miscellaneous expenses in line 24e. If line 24e amount exceeds 10% of line 25, column (A) amount, list line 24e expenses on Schedule O.)
a Alloc of Investment Gai 205,392,334 205,392,334    
b Pharmaceutical Costs 127,226,479 127,226,479    
c Federal Income Tax 295,095   295,095  
d Alloc of Invest Mgmt Fe -16,085,623 -16,085,623    
e All other expenses 26,244,934 -6,898,968 33,143,902  
25 Total functional expenses. Add lines 1 through 24e 1,726,132,145 1,398,889,569 327,242,576 0
26 Joint costs. Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation. Check here MediumBullet if following SOP 98-2 (ASC 958-720).        
Form 990 (2021)
Form 990 (2021)
Page 11
Part X
Balance Sheet
Check if Schedule O contains a response or note to any line in this Part IX..............
(A)
Beginning of year 		(B)
End of year
Assets 1 Cash–non-interest-bearing ........ 1,500 1 1,500
2 Savings and temporary cash investments .........   2  
3 Pledges and grants receivable, net ......   3  
4 Accounts receivable, net ............. 15,734,571 4 15,764,242
5 Loans and other receivables from any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons .......
  5  
6 Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), and persons described in section 4958(c)(3)(B) ...
  6  
7 Notes and loans receivable, net ...........   7  
8 Inventories for sale or use ............ 3,632,502 8 3,231,325
9 Prepaid expenses and deferred charges ...... 44,987,322 9 51,173,732
10a Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D 10a 1,065,887,670
b Less: accumulated depreciation 10b 390,984,760 532,175,960 10c 674,902,910
11 Investments—publicly traded securities .   11  
12 Investments—other securities. See Part IV, line 11 ..... 8,261,738,987 12 8,501,437,882
13 Investments—program-related. See Part IV, line 11 .. 10,229,607 13 11,368,890
14 Intangible assets ............... 13,990,000 14 12,658,000
15 Other assets. See Part IV, line 11 ........... 787,453,159 15 792,570,874
16 Total assets. Add lines 1 through 15 (must equal line 33)... 9,669,943,608 16 10,063,109,355
Liabilities 17 Accounts payable and accrued expenses ..... 517,855,172 17 643,646,080
18 Grants payable ...   18  
19 Deferred revenue .........   19  
20 Tax-exempt bond liabilities .........   20  
21 Escrow or custodial account liability. Complete Part IV of Schedule D   21  
22 Loans and other payables to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons .........
  22  
23 Secured mortgages and notes payable to unrelated third parties ..   23  
24 Unsecured notes and loans payable to unrelated third parties ..   24  
25 Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17 - 24). Complete Part X of Schedule D 8,386,790,732 25 9,015,621,748
26 Total liabilities. Add lines 17 through 25.. 8,904,645,904 26 9,659,267,828
Net Assets or Fund Balance Organizations that follow FASB ASC 958, check here MediumBullet and complete lines 27, 28, 32, and 33.
27 Net assets without donor restrictions .......... 765,297,704 27 403,841,527
28 Net assets with donor restrictions ...........   28  
Organizations that do not follow FASB ASC 958, check here MediumBullet and complete lines 29 through 33.
29 Capital stock or trust principal, or current funds .....   29  
30 Paid-in or capital surplus, or land, building or equipment fund ...   30  
31 Retained earnings, endowment, accumulated income, or other funds   31  
32 Total net assets or fund balances ........... 765,297,704 32 403,841,527
33 Total liabilities and net assets/fund balances ........ 9,669,943,608 33 10,063,109,355
Form 990 (2021)
Form 990 (2021)
Page 12
Part XI
Reconcilliation of Net Assets
Check if Schedule O contains a response or note to any line in this Part XI..............
1
Total revenue (must equal Part VIII, column (A), line 12) ............
1
1,749,897,821
2
Total expenses (must equal Part IX, column (A), line 25) ............
2
1,726,132,145
3
Revenue less expenses. Subtract line 2 from line 1 ..............
3
23,765,676
4
Net assets or fund balances at beginning of year (must equal Part X, line 32, column (A)) ..
4
765,297,704
5
Net unrealized gains (losses) on investments ...............
5
9,648,487
6
Donated services and use of facilities .................
6
 
7
Investment expenses .....................
7
 
8
Prior period adjustments .....................
8
 
9
Other changes in net assets or fund balances (explain in Schedule O) ........
9
-394,870,340
10
Net assets or fund balances at end of year. Combine lines 3 through 9 (must equal Part X, line 32, column (B))
10
403,841,527
Part XII
Financial Statements and Reporting
Check if Schedule O contains a response or note to any line in this Part XII.............
Yes
No
1
Accounting method used to prepare the Form 990:  
If the organization changed its method of accounting from a prior year or checked "Other," explain on
Schedule O.
2a
Were the organization’s financial statements compiled or reviewed by an independent accountant?
2a
 
No
If ‘Yes,’ check a box below to indicate whether the financial statements for the year were compiled or reviewed on a separate basis, consolidated basis, or both:
b
Were the organization’s financial statements audited by an independent accountant?
2b
Yes
 
If ‘Yes,’ check a box below to indicate whether the financial statements for the year were audited on a separate basis, consolidated basis, or both:
c
If "Yes," to line 2a or 2b, does the organization have a committee that assumes responsibility for oversight of the audit, review, or compilation of its financial statements and selection of an independent accountant?
2c
Yes
 
If the organization changed either its oversight process or selection process during the tax year, explain in Schedule O.
3a
As a result of a federal award, was the organization required to undergo an audit or audits as set forth in the Single Audit Act and OMB Circular A-133?
3a
Yes
 
b
If "Yes," did the organization undergo the required audit or audits? If the organization did not undergo the required audit or audits, explain why in Schedule O and describe any steps taken to undergo such audits.
3b
Yes
 
Form 990 (2021)
Form 990 (2021)
Additional Data


Software ID:  
Software Version:  
Form 990, Special Condition Description:
Special Condition Description
SCHEDULE A
(Form 990)

Department of the Treasury
Internal Revenue Service
Public Charity Status and Public Support
Complete if the organization is a section 501(c)(3) organization or a section 4947(a)(1) nonexempt charitable trust.
right arrow Attach to Form 990 or Form 990-EZ.
right arrow Go to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
2021
Open to Public
Inspection
Name of the organization
Adventist Health System Sunbelt
Healthcare Corporation
Employer identification number

59-2170012
Part I
Reason for Public Charity Status (All organizations must complete this part.) See instructions.
The organization is not a private foundation because it is: (For lines 1 through 12, check only one box.)
1
2
3
4
5
6
7
8
9
10
11
12
a
b
c
d
e
f
Enter the number of supported organizations ...............................30
g
Provide the following information about the supported organization(s).
(i) Name of supported organization (ii) EIN (iii) Type of organization (described on lines 1- 10 above (see instructions)) (iv) Is the organization listed in your governing document? (v) Amount of monetary support (see instructions) (vi) Amount of other support (see instructions)
Yes No
(A) AdventHealth Polk North Inc
  		841793121 3 Yes   0 0
(B) AdventHealth Polk South Inc
  		834672945 3 Yes   0 0
(C) AdventHealth Ransom Memorial Inc
  		830976641 3   No 0 0
(D) AdventHealth Senior Care Inc fka AdventHealth Osceola South Inc
  		841817046 3 Yes   0 0
(E) Adventist Bolingbrook Hospital
  		651219504 3   No 0 0
(F) Adventist GlenOaks Hospital
  		363208390 3   No 0 0
(G) Adventist Health SystemGeorgia Inc
  		581425000 3 Yes   0 0
(H) Adventist Health SystemSunbelt Inc
  		591479658 3 Yes   0 0
(I) Adventist Midwest Health
  		362276984 3   No 0 0
(J) Chippewa Valley Hospital & Oakview Care Centers Inc
  		391365168 3   No 0 0
(K) Fletcher HospitalInc
  		560543246 3 Yes   0 0
(L) Florida Hospital Dade City Inc
  		822567308 3 Yes   0 0
(M) Florida Hospital Ocala Inc
  		824372339 3 Yes   0 0
(N) Florida Hospital Waterman Inc
  		593140669 3 Yes   0 0
(O) Florida Hospital Zephyrhills Inc
  		592108057 3   No 0 0
(P) General Conference of Seventh Day Adventist
  		520643036 1 Yes   0 0
(Q) Memorial Health Systems Inc
  		590973502 3   No 0 0
(R) Memorial Hospital - Flagler Inc
  		592951990 3   No 0 0
(S) Memorial Hospital - West Volusia Inc
  		593256803 3   No 0 0
(T) Memorial Hospital Inc
  		610594620 3 Yes   0 0
(U) Pasco-Pinellas Hillsborough Community Health System Inc
  		208488713 3 Yes   0 0
(V) PorterCare Adventist Health System
  		840438224 3 Yes   0 0
(W) Princeton Professional Services Inc
  		591191045 10 Yes   0 0
(X) Redmond Park Hospital LLC
  		581123037 3   No 0 0
(Y) Shawnee Mission Medical Center Inc
  		480637331 3   No 0 0
(Z) Southeast Volusia Healthcare Corporation
  		473793197 3 Yes   0 0
(AA) Southwest Volusia Healthcare Corporation
  		593149293 3   No 0 0
(AB) Sunsystem Development Corporation
  		592219301 7 Yes   0 0
(AC) Tarpon Springs Hospital Foundation Inc
  		590898901 3   No 0 0
(AD) University Community Hospital Inc
  		591113901 3 Yes   0 0
Total
30
 0 0
For Paperwork Reduction Act Notice, see the Instructions for
Form 990 or 990-EZ.
Cat. No. 11285F
Schedule A (Form 990) 2021

Schedule A (Form 990) 2021
Page 2
Part II
Support Schedule for Organizations Described in Sections 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi)
(Complete only if you checked the box on line 5, 7, or 8 of Part I or if the organization failed to qualify under Part III. If the organization failed to qualify under the tests listed below, please complete Part III.)
Section A. Public Support
Calendar year (or fiscal year beginning in) right arrow (a) 2017 (b) 2018 (c) 2019 (d) 2020 (e) 2021 (f) Total
1 Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grant.") ..            
2 Tax revenues levied for the organization's benefit and either paid to or expended on its behalf....            
3 The value of services or facilities furnished by a governmental unit to the organization without charge..            
4 Total. Add lines 1 through 3            
5 The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f) ..  
6 Public support. Subtract line 5 from line 4.  
Section B. Total Support
Calendar year (or fiscal year beginning in) right arrow (a) 2017 (b) 2018 (c) 2019 (d) 2020 (e) 2021 (f) Total
7 Amounts from line 4..            
8 Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources...            
9 Net income from unrelated business activities, whether or not the business is regularly carried on..            
10 Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.)..            
11 Total support. Add lines 7 through 10  
12
12
 
13
First 5 years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization, check this box and stop here ........................................right arrow
Section C. Computation of Public Support Percentage
14
14
 
15
15
 
16a
b
17a
b
18
Private foundation. If the organization did not check a box on line 13, 16a, 16b, 17a, or 17b, check this box and see
instructions ..................................................... right arrow
Schedule A (Form 990) 2021

Schedule A (Form 990) 2021
Page 3
Part III
Support Schedule for Organizations Described in Section 509(a)(2)
(Complete only if you checked the box on line 10 of Part I or if the organization failed to qualify under Part II. If the organization fails to qualify under the tests listed below, please complete Part II.)
Section A. Public Support
Calendar year (or fiscal year beginning in) right arrow (a) 2017 (b) 2018 (c) 2019 (d) 2020 (e) 2021 (f) Total
1 Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .            
2 Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose            
3 Gross receipts from activities that are not an unrelated trade or business under section 513 .....            
4 Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...            
5 The value of services or facilities furnished by a governmental unit to the organization without charge            
6 Total. Add lines 1 through 5            
7a Amounts included on lines 1, 2, and 3 received from disqualified persons            
b Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year.            
c Add lines 7a and 7b..            
8 Public support. (Subtract line 7c from line 6.)  
Section B. Total Support
Calendar year (or fiscal year beginning in) right arrow (a) 2017 (b) 2018 (c) 2019 (d) 2020 (e) 2021 (f) Total
9 Amounts from line 6...            
10a Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..            
b Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.            
c Add lines 10a and 10b.            
11 Net income from unrelated business activities not included on line 10b, whether or not the business is regularly carried on.            
12 Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.) ..            
13 Total support. (Add lines 9, 10c, 11, and 12.)..            
14
Section C. Computation of Public Support Percentage
15
15
 
16
16
 
Section D. Computation of Investment Income Percentage
17
17
 
18
18
 
19a
b
20
Schedule A (Form 990) 2021

Schedule A (Form 990) 2021
Page 4
Part IV
Supporting Organizations
(Complete only if you checked a box on line 12 of Part I. If you checked box 12a, of Part I, complete Sections A and B. If you checked box 12b, of Part I, complete Sections A and C. If you checked box 12c, of Part I, complete Sections A, D, and E. If you checked box12d, of Part I, complete Sections A and D, and complete Part V.)
Section A. All Supporting Organizations
Yes
No
1
Are all of the organization’s supported organizations listed by name in the organization’s governing documents?
If "No," describe in Part VI how the supported organizations are designated. If designated by class or purpose,
describe the designation. If historic and continuing relationship, explain.
1
 
No
2
Did the organization have any supported organization that does not have an IRS determination of status under section 509(a)(1) or (2)? If "Yes," explain in Part VI how the organization determined that the supported organization was described in section 509(a)(1) or (2).
2
 
No
3a
Did the organization have a supported organization described in section 501(c)(4), (5), or (6)? If "Yes," answer lines 3b and 3c below.
3a
 
No
b
Did the organization confirm that each supported organization qualified under section 501(c)(4), (5), or (6) and satisfied the public support tests under section 509(a)(2)? If "Yes," describe in Part VI when and how the organization made the determination.
3b
 
 
c
Did the organization ensure that all support to such organizations was used exclusively for section 170(c)(2)(B) purposes? If "Yes," explain in Part VI what controls the organization put in place to ensure such use.
3c
 
 
4a
Was any supported organization not organized in the United States ("foreign supported organization")? If “Yes” and if you checked box 12a or 12b in Part I, answer lines 4b and 4c below.
4a
 
No
b
Did the organization have ultimate control and discretion in deciding whether to make grants to the foreign supported organization? If “Yes,” describe in Part VI how the organization had such control and discretion despite being controlled or supervised by or in connection with its supported organizations.
4b
 
 
c
Did the organization support any foreign supported organization that does not have an IRS determination under sections 501(c)(3) and 509(a)(1) or (2)? If “Yes,” explain in Part VI what controls the organization used to ensure that all support to the foreign supported organization was used exclusively for section 170(c)(2)(B) purposes.
4c
 
 
5a
Did the organization add, substitute, or remove any supported organizations during the tax year? If “Yes,” answer lines 5b and 5c below (if applicable). Also, provide detail in Part VI, including (i) the names and EIN numbers of the supported organizations added, substituted, or removed; (ii) the reasons for each such action; (iii) the authority under the organization's organizing document authorizing such action; and (iv) how the action was accomplished (such as by amendment to the organizing document).
5a
Yes
 
b
Type I or Type II only. Was any added or substituted supported organization part of a class already designated in the organization's organizing document?
5b
Yes
 
c
Substitutions only. Was the substitution the result of an event beyond the organization's control?
5c
 
 
6
Did the organization provide support (whether in the form of grants or the provision of services or facilities) to anyone other than (i) its supported organizations, (ii) individuals that are part of the charitable class benefited by one or more of its supported organizations, or (iii) other supporting organizations that also support or benefit one or more of the filing organization’s supported organizations? If “Yes,” provide detail in Part VI.
6
 
No
7
Did the organization provide a grant, loan, compensation, or other similar payment to a substantial contributor (defined in section 4958(c)(3)(C)), a family member of a substantial contributor, or a 35% controlled entity with regard to a substantial contributor? If “Yes,” complete Part I of Schedule L (Form 990) .
7
 
No
8
Did the organization make a loan to a disqualified person (as defined in section 4958) not described on line 7? If “Yes,” complete Part I of Schedule L (Form 990).
8
 
No
9a
Was the organization controlled directly or indirectly at any time during the tax year by one or more disqualified persons, as defined in section 4946 (other than foundation managers and organizations described in section 509(a)(1) or (2))? If “Yes,” provide detail in Part VI.
9a
 
No
b
Did one or more disqualified persons (as defined on line 9a) hold a controlling interest in any entity in which the supporting organization had an interest? If “Yes,” provide detail in Part VI.
9b
 
No
c
Did a disqualified person (as defined on line 9a) have an ownership interest in, or derive any personal benefit from, assets in which the supporting organization also had an interest? If “Yes,” provide detail in Part VI.
9c
 
No
10a
Was the organization subject to the excess business holdings rules of section 4943 because of section 4943(f) (regarding certain Type II supporting organizations, and all Type III non-functionally integrated supporting organizations)? If “Yes,” answer line 10b below.
10a
 
No
b
Did the organization have any excess business holdings in the tax year? (Use Schedule C, Form 4720, to determine whether the organization had excess business holdings).
10b
 
 
Schedule A (Form 990) 2021

Schedule A (Form 990) 2021
Page 5
Part IV
Supporting Organizations (continued)
Yes
No
11
Has the organization accepted a gift or contribution from any of the following persons?
a
A person who directly or indirectly controls, either alone or together with persons described on lines 11b and 11c below, the governing body of a supported organization?
11a
 
No
b
A family member of a person described on 11a above?
11b
 
No
c
A 35% controlled entity of a person described on line 11a or 11b above? If “Yes” to 11a, 11b, or 11c, provide detail in Part VI.
11c
 
No
Section B. Type I Supporting Organizations
Yes
No
1
Did the officers, directors, trustees, or membership of one or more supported organizations have the power to regularly appoint or elect at least a majority of the organization’s directors or trustees at all times during the tax year? If “No,” describe in Part VI how the supported organization(s) effectively operated, supervised, or controlled the organization’s activities. If the organization had more than one supported organization, describe how the powers to appoint and/or remove directors or trustees were allocated among the supported organizations and what conditions or restrictions, if any, applied to such powers during the tax year.
1
Yes
 
2
Did the organization operate for the benefit of any supported organization other than the supported organization(s) that operated, supervised, or controlled the supporting organization? If “Yes,” explain in Part VI how providing such benefit carried out the purposes of the supported organization(s) that operated, supervised or controlled the supporting organization.
2
Yes
 
Section C. Type II Supporting Organizations
Yes
No
1
Were a majority of the organization’s directors or trustees during the tax year also a majority of the directors or trustees of each of the organization’s supported organization(s)? If “No,” describe in Part VI how control or management of the supporting organization was vested in the same persons that controlled or managed the supported organization(s).
1
 
 
Section D. All Type III Supporting Organizations
Yes
No
1
Did the organization provide to each of its supported organizations, by the last day of the fifth month of the organization’s tax year, (i) a written notice describing the type and amount of support provided during the prior tax year, (ii) a copy of the Form 990 that was most recently filed as of the date of notification, and (iii) copies of the organization’s governing documents in effect on the date of notification, to the extent not previously provided?
1
 
 
2
Were any of the organization’s officers, directors, or trustees either (i) appointed or elected by the supported organization(s) or (ii) serving on the governing body of a supported organization? If "No," explain in Part VI how the organization maintained a close and continuous working relationship with the supported organization(s).
2
 
 
3
By reason of the relationship described in line 2 above, did the organization’s supported organizations have a significant voice in the organization’s investment policies and in directing the use of the organization’s income or assets at all times during the tax year? If "Yes," describe in Part VI the role the organization’s supported organizations played in this regard.
3
 
 
Section E. Type III Functionally-Integrated Supporting Organizations
1
Check the box next to the method that the organization used to satisfy the Integral Part Test during the year (see instructions):
a
b
c
2
Activities Test. Answer lines 2a and 2b below.
Yes
No
a
Did substantially all of the organization’s activities during the tax year directly further the exempt purposes of the supported organization(s) to which the organization was responsive? If "Yes," then in Part VI identify those supported organizations and explain how these activities directly furthered their exempt purposes, how the organization was responsive to those supported organizations, and how the organization determined that these activities constituted substantially all of its activities.
2a
 
 
b
Did the activities described on line 2a, above constitute activities that, but for the organization’s involvement, one or more of the organization’s supported organization(s) would have been engaged in? If "Yes," explain in Part VI the reasons for the organization’s position that its supported organization(s) would have engaged in these activities but for the organization’s involvement.
2b
 
 
3
Parent of Supported Organizations. Answer lines 3a and 3b below.
a
Did the organization have the power to regularly appoint or elect a majority of the officers, directors, or trustees of each of the supported organizations?If "Yes" or "No", provide details in Part VI.
3a
 
 
b
Did the organization exercise a substantial degree of direction over the policies, programs and activities of each of its supported organizations? If "Yes," describe in Part VI. the role played by the organization in this regard.
3b
 
 
Schedule A (Form 990) 2021

Schedule A (Form 990) 2021
Page 6
Part V
Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations
1
Section A - Adjusted Net Income (A) Prior Year (B) Current Year
(optional)
1 Net short-term capital gain 1    
2 Recoveries of prior-year distributions 2    
3 Other gross income (see instructions) 3    
4 Add lines 1 through 3 4    
5 Depreciation and depletion 5    
6 Portion of operating expenses paid or incurred for production or collection of gross income or for management, conservation, or maintenance of property held for production of income (see instructions) 6    
7 Other expenses (see instructions) 7    
8 Adjusted Net Income (subtract lines 5, 6 and 7 from line 4) 8    
Section B - Minimum Asset Amount (A) Prior Year (B) Current Year
(optional)
1 Aggregate fair market value of all non-exempt-use assets (see instructions for short tax year or assets held for part of year): 1
a Average monthly value of securities 1a    
b Average monthly cash balances 1b    
c Fair market value of other non-exempt-use assets 1c    
d Total (add lines 1a, 1b, and 1c) 1d    
e Discount claimed for blockage or other factors
(explain in detail in Part VI):  
2 Acquisition indebtedness applicable to non-exempt use assets 2    
3 Subtract line 2 from line 1d 3    
4 Cash deemed held for exempt use. Enter 0.015 of line 3 (for greater amount, see instructions). 4    
5 Net value of non-exempt-use assets (subtract line 4 from line 3) 5    
6 Multiply line 5 by 0.035 6    
7 Recoveries of prior-year distributions 7    
8 Minimum Asset Amount (add line 7 to line 6) 8    
Section C - Distributable Amount Current Year
1 Adjusted net income for prior year (from Section A, line 8, Column A) 1  
2 Enter 85% of line 1 2  
3 Minimum asset amount for prior year (from Section B, line 8, Column A) 3  
4 Enter greater of line 2 or line 3 4  
5 Income tax imposed in prior year 5  
6 Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions) 6  
7
Schedule A (Form 990) 2021

Schedule A (Form 990) 2021
Page 7
Part V
Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations(continued)
Section D - Distributions Current Year
1 Amounts paid to supported organizations to accomplish exempt purposes 1  
2 Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in
excess of income from activity 		2  
3 Administrative expenses paid to accomplish exempt purposes of supported organizations 3  
4 Amounts paid to acquire exempt-use assets 4  
5 Qualified set-aside amounts (prior IRS approval required - provide details in Part VI) 5  
6 Other distributions (describe in Part VI). See instructions 6  
7Total annual distributions. Add lines 1 through 6. 7  
8 Distributions to attentive supported organizations to which the organization is responsive (provide
details in Part VI). See instructions 		8  
9 Distributable amount for 2021 from Section C, line 6 9  
10 Line 8 amount divided by Line 9 amount 10  
Section E - Distribution Allocations (see instructions) (i)
Excess Distributions 		(ii)
Underdistributions
Pre-2021 		(iii)
Distributable
Amount for 2021
1 Distributable amount for 2021 from Section C, line 6  
2 Underdistributions, if any, for years prior to 2021 (reasonable cause required-- explain in Part VI).
See instructions.		  
3 Excess distributions carryover, if any, to 2021:
a From 2016.......  
b From 2017.......  
c From 2018.......  
d From 2019.......  
e From 2020.......  
fTotal of lines 3a through e  
g Applied to underdistributions of prior years  
h Applied to 2021 distributable amount  
i Carryover from 2016 not applied (see
instructions) 		 
j Remainder. Subtract lines 3g, 3h, and 3i from line 3f.  
4Distributions for 2021 from Section D, line 7:
$  
a Applied to underdistributions of prior years  
b Applied to 2021 distributable amount  
c Remainder. Subtract lines 4a and 4b from line 4.  
5 Remaining underdistributions for years prior to
2021, if any. Subtract lines 3g and 4a from line 2.
If the amount is greater than zero, explain in Part VI.
See instructions. 		 
6 Remaining underdistributions for 2021. Subtract
lines 3h and 4b from line 1. If the amount is greater
than zero, explain in Part VI. See instructions. 		 
7 Excess distributions carryover to 2022. Add lines
3j and 4c. 		 
8 Breakdown of line 7:
a Excess from 2017.....  
b Excess from 2018.....  
c Excess from 2019.....  
d Excess from 2020.....  
e Excess from 2021.....  
Schedule A (Form 990) (2021)

Schedule A (Form 990) 2021
Page 8
Part VI
Supplemental Information. Provide the explanations required by Part II, line 10; Part II, line 17a or 17b; Part III, line 12; Part IV, Section A, lines 1, 2, 3b, 3c, 4b, 4c, 5a, 6, 9a, 9b, 9c, 11a, 11b, and 11c; Part IV, Section B, lines 1 and 2; Part IV, Section C, line 1; Part IV, Section D, lines 2 and 3; Part IV, Section E, lines 1c, 2a, 2b, 3a and 3b; Part V, line 1; Part V, Section B, line 1e; Part V Section D, lines 5, 6, and 8; and Part V, Section E, lines 2, 5, and 6. Also complete this part for any additional information. (See instructions).
Facts And Circumstances Test
 
Return Reference Explanation
Schedule A, Part IV, Section A, Line 1: The Articles of Incorporation of the filing organization state in the Purposes Clause that the filing organization shall support the nonprofit corporations for which the filing organization is the sole member, including but not limited to 21 named subsidiary tax-exempt organizations. The filing organization serves as the parent organization to a number of tax-exempt hospital, nursing home, and other healthcare provider entities. The filing organization provides leadership and various professional support services to all of its subsidiaries.
Schedule A, Part IV, Section A, Line 5a: Redmond Park Hospital, LLC (EIN: 58-1123037) (RPH) has been added as a supported organization in 2021. RPH was acquired by the filing organization as of 10/1/2021, and the filing organization is the sole member of RPH. RPH is recognized as a Section 501(c)(3) organization which owns and/or operates a hospital facility at which health care services are offered. Article III, Section 3 of the filing organization's Bylaws provides that the filing organization's Board of Directors has the exclusive power to approve all acquisitions and mergers above a certain dollar threshold.
Schedule A, Part IV, Section B, Line 2: AHSSHC was organized in 1981 to serve as the parent of a healthcare system that would own, operate, and manage hospitals previously operated by the Southern Union Conference of the North American Division of the General Conference of Seventh-day Adventists. Thereafter, AHSSHC acquired hospitals operated by the Southwestern, Lake Union and Mid-America Union Conferences of the General Conference of Seventh-day Adventists. AHSSHC is the parent organization to a number of subsidiaries. These subsidiaries operate hospitals, nursing homes, and provide various other healthcare services. All of the hospital and nursing home subsidiaries of AHSSHC are IRC Section 501(c)(3) organizations. AHSSHC provides executive leadership and professional support services to its subsidiary organizations. Professional support services include among others IT, corporate compliance, legal, reimbursement, risk management, and tax as well as treasury functions. Certain support services, such as human resources, payroll, A/P, and supply chain management are provided pursuant to a shared services model by AHSSHC to its subsidiary organizations. Article II of the Restated Articles of Incorporation of AHSSHC set forth the purposes of the organization. Specifically, paragraph 1 of the Article states the following: "In furtherance of its charitable purposes, the corporation shall operate to further the health ministry of the Seventh-day Adventist Church and its activities will be conducted in support of the health mission of the Seventh-day Adventist Church in such ways as the Board of Directors shall determine in its discretion. The corporation will provide management, consulting and related services to health care facilities (e.g., hospitals, skilled nursing, home health, hospice, physician clinics, etc.), educational institutions and other healthcare related businesses that are owned and/or operated by organizations affiliated with the corporation and that are located within the geographic areas of the United States served by the Southern Union Conference of Seventh-day Adventists, Southwestern Union Conference of Seventh-day Adventists, Lake Union Conference of Seventh-day Adventists, Mid-America Union Conference of Seventh-day Adventists (the Unions") and such other locations as may be approved by the Board of Directors of the corporation." These stated purposes demonstrate that AHSSHC was established to carry out the health ministry of the Seventh-day Adventist Church and that its policies, programs, and activities will be conducted in accordance with the health mission of the Seventh-day Adventist Church. Section 3, Article III of the Bylaws of AHSSHC states that its business and affairs will be controlled by its Board of Directors. Section 4, Article III of the Bylaws provides that the membership of AHSSHC shall elect its Board of Directors. A majority of the members of the Board of Directors serve as Directors by virtue of their position as President of one of the various Unions, Conferences, or Colleges/Universities (Article III, Section 5 of the Bylaws). The necessary qualifications of Directors are set forth in Article III, Section 6 of the Bylaws. The Unions and Conferences of the General Conference of Seventh-day Adventists are unincorporated associations that serve as regional/state/multi-state ecclesiastical leaders who provide theological and administrative support to organizations controlled and/or affiliated with the Seventh-day Adventist Church. The membership of AHSSHC is described in Article II, Section 1 of the Bylaws. The membership of the Corporation shall consist of: (a) those individuals who are duly elected members of the Board of Directors of the Corporation; and (b) those individuals who are duly elected members of an executive committee of any of the Unions, including those persons who serve on the executive committee by virtue of their position (ex officio) (collectively the "Membership and individually, "Member"). An individual holding membership privileges by virtue of his election as a member of one of the above-named Union Conferences or as a member of the Board of Directors of AHSSHC retains his membership privileges only so long as he remains a member of his respective Union Conference Executive Committee or as a member of the Board of Directors of AHSSHC. Each member has one vote and the questions put before the members are determined by majority vote (see Section 5, Article II of the Bylaws). As noted above, the Board of Directors of AHSSHC is elected by the members of AHSSHC. The majority of the board members of AHSSHC are elected officials of the Unions, Conferences, or specifically-stated Seventh-day Adventist colleges/universities. Accordingly, the majority of the Directors of AHSSHC will be elected by members who serve as members by virtue of their elected position of one of the Seventh-day Adventist Church Unions, Conferences, or Colleges/Universities. Therefore, a majority of the Board of Directors of AHSSHC is composed of individuals serving in their official capacity as representatives of the General Conference of Seventh-day Adventists. As noted above, AHSSHC performs support functions and provides executive leadership for the benefit of its various publicly supported organizations within the meaning of IRC 509(a)(3)(A). The formation of the predecessor of AHSSHC was authorized by the General Conference of Seventh-day Adventists to perform these support functions in pursuit of the health ministry of the Seventh-day Adventist Church. Accordingly, the purposes of the General Conference are carried out by AHSSHC through its support to its subsidiary organizations that own and operate hospitals and nursing homes.
Schedule A (Form 990) 2021


Additional Data


Software ID:  
Software Version:  
Schedule B
(Form 990)
Department of the Treasury
Internal Revenue Service
Schedule of Contributors

Arrow Bullet Attach to Form 990, 990-EZ, or 990-PF.
Arrow Bullet Go to www.irs.gov/Form990 for the latest information.
OMB No. 1545-0047
2021
Name of the organization
Adventist Health System Sunbelt
Healthcare Corporation
Employer identification number

59-2170012
Organization type (check one):
Filers of:
Section:
Form 990 or 990-EZ






Form 990-PF




Check if your organization is covered by the General Rule or a Special Rule.  
Note: Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions.
General Rule
Special Rules
......... Arrow Bullet $  
Caution: An organization that isn't covered by the General Rule and/or the Special Rules doesn't file Schedule B (Form 990,
990-EZ, or 990-PF), but it must answer “No” on Part IV, line 2, of its Form 990; or check the box on line H of its Form 990-EZ
or on its Form 990PF, Part I, line 2, to certify that it doesn't meet the filing requirements of Schedule B (Form 990,
990-EZ, or 990-PF).
For Paperwork Reduction Act Notice, see the Instructions
for Form 990, 990-EZ, or 990-PF.
Cat. No. 30613XSchedule B (Form 990) (2021)
Schedule B (Form 990) (2021) Page 2
Name of organization
Adventist Health System Sunbelt
Healthcare Corporation 		Employer identification number
59-2170012
Part I
Contributors
Contributors (see instructions). Use duplicate copies of Part I if additional space is needed.
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Total contributions		 (d)
Type of contribution
RESTRICTED
 
 
 
 
  ,    

$ RESTRICTED


(Complete Part II for noncash contributions.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Total contributions		 (d)
Type of contribution
 
 
 
 

$  


(Complete Part II for noncash contributions.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Total contributions		 (d)
Type of contribution
 
 
 
 

$  


(Complete Part II for noncash contributions.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Total contributions		 (d)
Type of contribution
 
 
 
 

$  


(Complete Part II for noncash contributions.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Total contributions		 (d)
Type of contribution
 
 
 
 

$  


(Complete Part II for noncash contributions.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Total contributions		 (d)
Type of contribution
 
 
 
 

$  


(Complete Part II for noncash contributions.)
Schedule B (Form 990) (2021)
Schedule B (Form 990) (2021)
Page 3
Name of organization
Adventist Health System Sunbelt
Healthcare Corporation 		Employer identification number

59-2170012
Part II
Noncash Property (see instructions). Use duplicate copies of Part II if additional space is needed.
(a)
No. from Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(See instructions) 		(d)
Date received
 
$    
(a)
No. from Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(See instructions) 		(d)
Date received
 
$    
(a)
No. from Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(See instructions) 		(d)
Date received
 
$    
(a)
No. from Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(See instructions) 		(d)
Date received
 
$    
(a)
No. from Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(See instructions) 		(d)
Date received
 
$    
(a)
No. from Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(See instructions) 		(d)
Date received
 
$    
Schedule B (Form 990) (2021)
Schedule B (Form 990) (2021)
Page 4
Name of organization
Adventist Health System Sunbelt
Healthcare Corporation 		Employer identification number

59-2170012
Part III
Exclusively religious, charitable, etc., contributions to organizations described in section 501(c)(7), (8), or (10) that total more than $1,000 for the year from any one contributor. Complete columns (a) through (e) and the following line entry. For organizations completing Part III, enter the total of exclusively religious, charitable, etc., contributions of $1,000 or less for the year. (Enter this information once. See instructions.) Arrow Bullet$  
Use duplicate copies of Part III if additional space is needed.
(a)
No. from Part I		 (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
 
(e) Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
     
 
(a)
No. from Part I		 (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
 
(e) Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
     
 
(a)
No. from Part I		 (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
 
(e) Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
     
 
(a)
No. from Part I		 (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
 
(e) Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
     
 
Schedule B (Form 990) (2021)
Additional Data


Software ID:  
Software Version:  
SCHEDULE C
(Form 990)

Department of the Treasury
Internal Revenue Service
Political Campaign and Lobbying Activities

For Organizations Exempt From Income Tax Under section 501(c) and section 527

SchCMd Bullet Complete if the organization is described below. SchCMd Bullet Attach to Form 990 or Form 990-EZ.
SchCMd BulletGo to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
2021
Open to Public
Inspection
If the organization answered "Yes" on Form 990, Part IV, Line 3, or Form 990-EZ, Part V, line 46 (Political Campaign Activities), then
Round Bullet Section 501(c)(3) organizations: Complete Parts I-A and B. Do not complete Part I-C.
Round Bullet Section 501(c) (other than section 501(c)(3)) organizations: Complete Parts I-A and C below. Do not complete Part I-B.
Round Bullet Section 527 organizations: Complete Part I-A only.
If the organization answered "Yes" on Form 990, Part IV, Line 4, or Form 990-EZ, Part VI, line 47 (Lobbying Activities), then
Round Bullet Section 501(c)(3) organizations that have filed Form 5768 (election under section 501(h)): Complete Part II-A. Do not complete Part II-B.
Round Bullet Section 501(c)(3) organizations that have NOT filed Form 5768 (election under section 501(h)): Complete Part II-B. Do not complete Part II-A.
If the organization answered "Yes" on Form 990, Part IV, Line 5 (Proxy Tax) (see separate instructions) or Form 990-EZ, Part V, line 35c (Proxy Tax) (see separate instructions), then
Round Bullet Section 501(c)(4), (5), or (6) organizations: Complete Part III.
Name of the organization
Adventist Health System Sunbelt
Healthcare Corporation
Employer identification number

59-2170012
Part I-A
Complete if the organization is exempt under section 501(c) or is a section 527 organization.

1
Provide a description of the organization’s direct and indirect political campaign activities in Part IV. See instructions for definition of “political campaign activities."

2
Political campaign activity expenditures. See instructions ....................................................................SchCMd Bullet
$  
3
Volunteer hours for political campaign activities. See instructions ..................................................................
 

Part I-B
Complete if the organization is exempt under section 501(c)(3).
1
Enter the amount of any excise tax incurred by the organization under section 4955 ................................SchCMd Bullet
$  
2
Enter the amount of any excise tax incurred by organization managers under section 4955 .......................SchCMd Bullet
$  
3
If the organization incurred a section 4955 tax, did it file Form 4720 for this year? .........................................
4a
Was a correction made? ......................................................................................................................
b
If "Yes," describe in Part IV.
Part I-C
Complete if the organization is exempt under section 501(c), except section 501(c)(3).
1
Enter the amount directly expended by the filing organization for section 527 exempt function activities ..... SchCMd Bullet
$  
2
Enter the amount of the filing organization's funds contributed to other organizations for section 527 exempt function activities ............................................................................................................................SchCMd Bullet

$  
3
Total exempt function expenditures. Add lines 1 and 2. Enter here and on Form 1120-POL, line 17b...........SchCMd Bullet

$  
4
Did the filing organization file Form 1120-POL for this year? ...................................................................
5
Enter the names, addresses and employer identification number (EIN) of all section 527 political organizations to which the filing
organization made payments. For each organization listed, enter the amount paid from the filing organization’s funds. Also enter the amount of political contributions received that were promptly and directly delivered to a separate political organization, such as a separate segregated fund or a political action committee (PAC). If additional space is needed, provide information in Part IV.
(a) Name (b) Address (c) EIN (d) Amount paid from filing organization's funds. If none, enter -0-. (e) Amount of political contributions received and promptly and directly delivered to a separate political organization. If none, enter -0-.
1
2
3
4
5
6
For Paperwork Reduction Act Notice, see the instructions for Form 990.
Cat. No. 50084S
Schedule C (Form 990) 2021

Schedule C (Form 990) 2021
Page 2
Part II-A
Complete if the organization is exempt under section 501(c)(3) and filed Form 5768 (election under section 501(h)).
A Check SchCMd Bulletexpenses, and share of excess lobbying expenditures).
B Check SchCMd Bullet
Limits on Lobbying Expenditures
(The term "expenditures" means amounts paid or incurred.) 		(a) Filing
organization's
totals 		(b) Affiliated group totals
1a Total lobbying expenditures to influence public opinion (grass roots lobbying) ......................    
b Total lobbying expenditures to influence a legislative body (direct lobbying) ........................    
c Total lobbying expenditures (add lines 1a and 1b) ............................................................    
d Other exempt purpose expenditures ...............................................................................    
e Total exempt purpose expenditures (add lines 1c and 1d) ..................................................    
f Lobbying nontaxable amount. Enter the amount from the following table in both
columns.		    
If the amount on line 1e, column (a) or (b) is:The lobbying nontaxable amount is:
Not over $500,00020% of the amount on line 1e.
Over $500,000 but not over $1,000,000$100,000 plus 15% of the excess over $500,000.
Over $1,000,000 but not over $1,500,000$175,000 plus 10% of the excess over $1,000,000.
Over $1,500,000 but not over $17,000,000$225,000 plus 5% of the excess over $1,500,000.
Over $17,000,000$1,000,000.
g Grassroots nontaxable amount (enter 25% of line 1f) .................................................    
h Subtract line 1g from line 1a. If zero or less, enter -0-. ................................................    
i Subtract line 1f from line 1c. If zero or less, enter -0-. ................................................    
j If there is an amount other than zero on either line 1h or line 1i, did the organization file Form 4720 reporting
section 4911 tax for this year? ...................................................................................................................

4-Year Averaging Period Under Section 501(h)
(Some organizations that made a section 501(h) election do not have to complete all of the five
columns below. See the separate instructions for lines 2a through 2f.)
Lobbying Expenditures During 4-Year Averaging Period
Calendar year (or fiscal year
beginning in) 		(a) 2018 (b) 2019 (c) 2020 (d) 2021 (e) Total
2a Lobbying nontaxable amount          
b Lobbying ceiling amount
(150% of line 2a, column(e)) 		 
c Total lobbying expenditures          
d Grassroots nontaxable amount          
e Grassroots ceiling amount
(150% of line 2d, column (e))		  
f Grassroots lobbying expenditures          
Schedule C (Form 990) 2021


Schedule C (Form 990) 2021
Page 3
Part II-B
Complete if the organization is exempt under section 501(c)(3) and has NOT filed Form 5768 (election under section 501(h)).
For each "Yes" response on lines 1a through 1i below, provide in Part IV a detailed description of the lobbying activity.
(a)
Yes|No
(b)
Amount
1
During the year, did the filing organization attempt to influence foreign, national, state or local legislation, including any attempt to influence public opinion on a legislative matter or referendum, through the use of:
a
Volunteers? ...........................................................................................................
 
No
b
Paid staff or management (include compensation in expenses reported on lines 1c through 1i)? ........
 
No
c
Media advertisements? ...................................................................................................
 
No
 
d
Mailings to members, legislators, or the public? .............................................................................
 
No
 
e
Publications, or published or broadcast statements? ...........................................................
 
No
 
f
Grants to other organizations for lobbying purposes? ..........................................................
 
No
 
g
Direct contact with legislators, their staffs, government officials, or a legislative body? .......................
 
No
 
h
Rallies, demonstrations, seminars, conventions, speeches, lectures, or any similar means? ..................
 
No
 
i
Other activities? ...................................................................................................................
Yes
 
466,860
j
Total. Add lines 1c through 1i ....................................................................................................
466,860
2a
Did the activities in line 1 cause the organization to be not described in section 501(c)(3)? .....
 
No
b
If "Yes," enter the amount of any tax incurred under section 4912 ...........................................
 
c
If "Yes," enter the amount of any tax incurred by organization managers under section 4912 ...................
 
d
If the filing organization incurred a section 4912 tax, did it file Form 4720 for this year? ........................
 
 
Part III-A
Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6).
Yes
No
1
Were substantially all (90% or more) dues received nondeductible by members? ...............................................
1
 
 
2
Did the organization make only in-house lobbying expenditures of $2,000 or less? ............................................
2
 
 
3
Did the organization agree to carry over lobbying and political expenditures from the prior year? .................................
3
 
 
Part III-B
Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6) and if either (a) BOTH Part III-A, lines 1 and 2, are answered "No" OR (b) Part III-A, line 3, is answered “Yes."
1
Dues, assessments and similar amounts from members ......................................................................
1
 
2
Section 162(e) nondeductible lobbying and political expenditures (do not include amounts of political expenses for which the section 527(f) tax was paid).
a
Current year .............................................................................................................................
2a
 
b
Carryover from last year ............................................................................................................
2b
 
c
Total ...........................................................................................................................................
2c
 
3
Aggregate amount reported in section 6033(e)(1)(A) notices of nondeductible section 162(e) dues .
3
 
4
If notices were sent and the amount on line 2c exceeds the amount on line 3, what portion of the excess does the organization agree to carryover to the reasonable estimate of nondeductible lobbying and political expenditure next year? ......................................................................................................................
4
 
5
Taxable amount of lobbying and political expenditures. See Instructions .........................................
5
 
Part IV
Supplemental Information
Provide the descriptions required for Part l-A, line 1; Part l-B, line 4; Part l-C, line 5; Part II-A (affiliated group list); Part II-A, lines 1 and 2 (see instructions), and Part ll-B, line 1. Also, complete this part for any additional information.
Return Reference Explanation
Part II-B, Line 1: The corporation paid fees to retain the services of three consulting firms and one law firm which performed lobbying activities on behalf of the corporation. The legislative consulting firm Johnson & Blanton was paid $211,000, RSA Consulting Group, LLC was paid $30,000, and the Dick Batchelor Management Group was paid $23,360. The law firm Oldaker & Willison was paid $180,000. Additionally, dues were paid to the Healthcare Leadership Council to help educate and inform the public and policy makers about healthcare issues that affect hospitals and their patients. The Healthcare Leadership Council uses a portion of these dues to conduct lobbying activities.
Schedule C (Form 990) 2021


Additional Data


Software ID:  
Software Version:  

SCHEDULE D
(Form 990)
Department of the Treasury
Internal Revenue Service
Supplemental Financial Statements
SchDMd Bullet Complete if the organization answered "Yes," on Form 990,
Part IV, line 6, 7, 8, 9, 10, 11a, 11b, 11c, 11d, 11e, 11f, 12a, or 12b.
SchDMd Bullet Attach to Form 990.
SchDMd Bullet Go to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
2021
Open to Public Inspection
Name of the organization
Adventist Health System Sunbelt
Healthcare Corporation
Employer identification number

59-2170012
Part I
Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if the organization answered "Yes" on Form 990, Part IV, line 6.
(a) Donor advised funds (b) Funds and other accounts
1 Total number at end of year .........    
2 Aggregate value of contributions to (during year)    
3 Aggregate value of grants from (during year)    
4 Aggregate value at end of year ........    
5
Did the organization inform all donors and donor advisors in writing that the assets held in donor advised funds are the organization’s property, subject to the organization’s exclusive legal control? ............
6
Did the organization inform all grantees, donors, and donor advisors in writing that grant funds can be used only for charitable purposes and not for the benefit of the donor or donor advisor, or for any other purpose conferring impermissible private benefit? ...................................
Part II
Conservation Easements.
Complete if the organization answered "Yes" on Form 990, Part IV, line 7.
1
Purpose(s) of conservation easements held by the organization (check all that apply).
2
Complete lines 2a through 2d if the organization held a qualified conservation contribution in the form of a conservation easement on the last day of the tax year.
Held at the End of the Year
a Total number of conservation easements ...................... 2a  
b Total acreage restricted by conservation easements .................... 2b  
c Number of conservation easements on a certified historic structure included in (a) ..... 2c  
d Number of conservation easements included in (c) acquired after 7/25/06, and not on a historic structure listed in the National Register ... 2d  
3
Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during the
tax year SchDMd Bullet  
4
Number of states where property subject to conservation easement is located SchDMd Bullet  
5
Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and enforcement of the conservation easements it holds? ............
6
Staff and volunteer hours devoted to monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
SchDMd Bullet  
7
Amount of expenses incurred in monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
SchDMd Bullet $  
8
Does each conservation easement reported on line 2(d) above satisfy the requirements of section 170(h)(4)(B)(i) and section 170(h)(4)(B)(ii)? .............................
9
In Part XIII, describe how the organization reports conservation easements in its revenue and expense statement, and
balance sheet, and include, if applicable, the text of the footnote to the organization’s financial statements that describes
the organization’s accounting for conservation easements.
Part III
Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets.
Complete if the organization answered "Yes" on Form 990, Part IV, line 8.
1a
If the organization elected, as permitted under FASB ASC 958, not to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide, in Part XIII, the text of the footnote to its financial statements that describes these items.
b
If the organization elected, as permitted under FASB ASC 958, to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide the following amounts relating to these items:
(i)
Revenue included on Form 990, Part VIII, line 1 .........................SchDMd Bullet $  
(ii)
Assets included in Form 990, Part X ...............................SchDMd Bullet $  
2
If the organization received or held works of art, historical treasures, or other similar assets for financial gain, provide the
following amounts required to be reported under FASB ASC 958 relating to these items:
a
Revenue included on Form 990, Part VIII, line 1 ..........................SchDMd Bullet $  
b
Assets included in Form 990, Part X ...............................SchDMd Bullet $  
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 52283D
Schedule D (Form 990) 2021

Schedule D (Form 990) 2021
Page 2
Part III
Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)
3
Using the organization’s acquisition, accession, and other records, check any of the following that are a significant use of its collection items (check all that apply):
a
d
b
e
 
c
4
Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIII.
5
During the year, did the organization solicit or receive donations of art, historical treasures or other similar
assets to be sold to raise funds rather than to be maintained as part of the organization’s collection?...
Part IV
Escrow and Custodial Arrangements. Complete if the organization answered "Yes" on Form 990, Part IV, line 9, or reported an amount on Form 990, Part X, line 21.
1a
Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................
b If "Yes," explain the arrangement in Part XIII and complete the following table: Amount
c Beginning balance ............................. 1c  
d Additions during the year ............................ 1d  
e Distributions during the year .......................... 1e  
f Ending balance ................................ 1f  
2a
Did the organization include an amount on Form 990, Part X, line 21, for escrow or custodial account liability? ...
b
If "Yes," explain the arrangement in Part XIII. Check here if the explanation has been provided in Part XIII ....
Part V
Endowment Funds.
Complete if the organization answered "Yes" on Form 990, Part IV, line 10.
(a) Current year (b) Prior year (c) Two years back (d) Three years back (e) Four years back
1a Beginning of year balance ....          
b Contributions ...          
c Net investment earnings, gains, and losses          
d Grants or scholarships ...          
e Other expenditures for facilities
and programs ... 		         
f Administrative expenses ....          
g End of year balance ......          
2
Provide the estimated percentage of the current year end balance (line 1g, column (a)) held as:
a
Board designated or quasi-endowment SchDMd Bullet  
b
Permanent endowment SchDMd Bullet  
c
Term endowment SchDMd Bullet  
The percentages on lines 2a, 2b, and 2c should equal 100%.
3a
Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes
No
(i) Unrelated organizations .................
3a(i)
 
 
(ii) Related organizations .................
3a(ii)
 
 
b
If "Yes" on 3a(ii), are the related organizations listed as required on Schedule R? .........
3b
 
 
4
Describe in Part XIII the intended uses of the organization's endowment funds.
Part VI
Land, Buildings, and Equipment.
Complete if the organization answered "Yes" on Form 990, Part IV, line 11a. See Form 990, Part X, line 10.
Description of property (a) Cost or other basis
(investment) 		(b) Cost or other basis (other) (c) Accumulated depreciation (d) Book value
1a Land .....   31,386,250 31,386,250
b Buildings ....   198,172,975 43,812,000 154,360,975
c Leasehold improvements        
d Equipment ....   498,258,939 345,122,465 153,136,474
e Other .....   338,069,506 2,050,295 336,019,211
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).)..SchDMdBullet 674,902,910
Schedule D (Form 990) 2021

Schedule D (Form 990) 2021
Page 3
Part VII
Investments - Other Securities.
Complete if the organization answered "Yes" on Form 990, Part IV, line 11b. See Form 990, Part X, line 12.
(a) Description of security or category
(including name of security)		 (b) Book value (c) Method of valuation:
Cost or end-of-year market value
(1) Financial derivatives.........    
(2) Closely-held equity interests........    
(3) Other
(A) Money Market Funds		 206,238,860 F

(B) Bonds		 633,251,796 F

(C) Marketable Securities		 866,572,311 F

(D) Risk Balanced Allocation		 6,251,157,287 F

(E) Hedge Funds		 126,646,613 F

(F) Long-Term Investments		 417,571,015 C
(F)
(G)
(H)
Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)Small Bullet 8,501,437,882
Part VIII
Investments - Program Related. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11c. See Form 990, Part X, line 13.
(a) Description of investment (b) Book value (c) Method of valuation:
Cost or end-of-year market value
(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 13.)Small Bullet  
Part IX
Other Assets.
Complete if the organization answered 'Yes' on Form 990, Part IV, line 11d. See Form 990, Part X, line 15.
(a) Description (b) Book value
(1)Due from Related/Affiliated Entities 9,320,337
(2)Other Non-Current Assets 36,081,702
(3)Other Current Receivables 15,536,450
(4)Board Designated Funds-Current 178,978,095
(5)Funds Held in Trust 552,654,290
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........Small Bullet 792,570,874
Part X
Other Liabilities.
Complete if the organization answered 'Yes' on Form 990, Part IV, line 11e or 11f. See Form 990, Part X, line 25.
1.(a) Description of liability (b) Book value
(1) Federal income taxes  
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)Small Bullet 9,015,621,748
2. Liability for uncertain tax positions. In Part XIII, provide the text of the footnote to the organization's financial statements that reports the organization's liability for uncertain tax positions under FIN 48 (ASC 740). Check here if the text of the footnote has been provided in Part XIII
Schedule D (Form 990) 2021

Schedule D (Form 990) 2021
Page 4
Part XI Reconciliation of Revenue per Audited Financial Statements With Revenue per Return. Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
1 Total revenue, gains, and other support per audited financial statements ....... 1 15,393,567,140
2 Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a Net unrealized gains (losses) on investments .... 2a 10,480,737
b Donated services and use of facilities ......... 2b  
c Recoveries of prior year grants ........... 2c  
d Other (Describe in Part XIII.) ............ 2d 14,044,884,907
e Add lines 2a through 2d ..................... 2e 14,055,365,644
3 Subtract line 2e from line 1.................. 3 1,338,201,496
4 Amounts included on Form 990, Part VIII, line 12, but not on line 1:
a Investment expenses not included on Form 990, Part VIII, line 7b . 4a  
b Other (Describe in Part XIII.) ........... 4b 411,696,325
c Add lines 4a and 4b.................... 4c 411,696,325
5 Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) ...... 5 1,749,897,821
Part XII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return. Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
1 Total expenses and losses per audited financial statements ........... 1 13,888,095,916
2 Amounts included on line 1 but not on Form 990, Part IX, line 25:
a Donated services and use of facilities ......... 2a  
b Prior year adjustments ............ 2b  
c Other losses ................ 2c  
d Other (Describe in Part XIII.) ............ 2d 12,577,578,638
e Add lines 2a through 2d.................... 2e 12,577,578,638
3 Subtract line 2e from line 1................... 3 1,310,517,278
4 Amounts included on Form 990, Part IX, line 25, but not on line 1:
a Investment expenses not included on Form 990, Part VIII, line 7b .. 4a  
b Other (Describe in Part XIII.) ............ 4b 415,614,867
c Add lines 4a and 4b..................... 4c 415,614,867
5 Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) ...... 5 1,726,132,145
Part XIII
Supplemental Information
Provide the descriptions required for Part II, lines 3, 5, and 9; Part III, lines 1a and 4; Part lV, lines 1b and 2b; Part V, line 4; Part X, line 2; Part XI, lines 2d and 4b; and Part XII, lines 2d and 4b. Also complete this part to provide any additional information.
Return Reference Explanation
Part X, Line 2: The filing organization is a subsidiary organization within AdventHealth. The consolidated financial statements of AdventHealth contain the following FIN 48 (ASC 740) footnote: Please note that dollar amounts are in thousands. Healthcare Corporation and its affiliated organizations, other than North American Health Services, Inc. and its subsidiary (NAHS), are exempt from state and federal income taxes. Accordingly, Healthcare Corporation and its tax-exempt affiliates are not subject to federal, state or local income taxes except for any net unrelated business taxable income. NAHS is a wholly owned, for-profit subsidiary of Healthcare Corporation. NAHS and its subsidiary are subject to federal and state income taxes. NAHS files a consolidated federal income tax return and, where appropriate, consolidated state income tax returns. All taxable income was fully offset by net operating loss carryforwards for federal income tax purposes; as such, there is no provision for current federal or state income tax for the years ended December 31, 2021 and 2020. NAHS also has temporary deductible differences of approximately $33,000 and $41,800 at December 31, 2021 and 2020, respectively, primarily as a result of net operating loss carryforwards. At December 31, 2021, NAHS had net operating loss carryforwards of approximately $34,000, expiring beginning in 2022 through 2026. Deferred taxes have been provided for these amounts, resulting in a net deferred tax asset of approximately $8,100 and $10,200 at December 31, 2021 and 2020, respectively. NAHS remeasured its deferred tax assets and liabilities based on the rates at which they are expected to reverse in the future, which is generally 21%. A full valuation allowance has been provided at December 31, 2021 and 2020 to offset the deferred tax asset since Healthcare Corporation has determined that it is more likely than not that the benefit of the net operating loss carryforwards will not be realized in future years. The Income Taxes Topic of the Accounting Standards Codification (ASC) (ASC 740) prescribes the accounting for uncertainty in income tax positions recognized in financial statements. ASC 740 prescribes a recognition threshold and measurement attribute for the financial statement recognition and measurement of a tax position taken, or expected to be taken, in a tax return. There were no material uncertain tax positions as of December 31, 2021 and 2020.
Part XI, Line 2d - Other Adjustments: Revenue of Affiliated Organizations Included in Audited Financial Statements 14044884907.
Part XI, Line 4b - Other Adjustments: Divisional Eliminations -65,435,089. Gross-up of Investment Earnings Allocated to Subs 394,630,914. Other 5,000. Reclass Negative Expense 82,495,500.
Part XII, Line 2d - Other Adjustments: Expense of Affiliated Organizations Included in Audited Financial Statements 12577578638.
Part XII, Line 4b - Other Adjustments: Divisional Eliminations -65,435,089. Gross-up of Investment Earnings Allocated to Subs 394,630,914. Mobile Healthcare Fees Allocated to Exempt Sub 3,918,542. Other 5,000. Reclass Negative Expense 82,495,500.
Schedule D (Form 990) 2021


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SCHEDULE F(Form 990)
Department of the Treasury
Internal Revenue Service
Statement of Activities Outside the United States
Right pointing arrow large image Complete if the organization answered "Yes" to Form 990, Part IV, line 14b, 15, or 16.Right pointing arrow large image Attach to Form 990.Right pointing arrow large image Go to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
2021
Open to Public Inspection
Name of the organization
Adventist Health System Sunbelt
Healthcare Corporation
Employer identification number

59-2170012
Part I
General Information on Activities Outside the United States. Complete if the organization answered "Yes" on Form 990, Part IV, line 14b.
1
For grantmakers. Does the organization maintain records to substantiate the amount of its grants and
other assistance, the grantees’ eligibility for the grants or assistance, and the selection criteria used
to award the grants or assistance? . . . . . . . . . . . . . . . . . . . . . . . . .
2
For grantmakers. Describe in Part V the organization’s procedures for monitoring the use of its grants and other assistance outside the United States.
3
Activites per Region. (The following Part I, line 3 table can be duplicated if additional space is needed.)
(a) Region (b) Number of offices in the region (c) Number of employees, agents, and independent contractors in the region (d) Activities conducted in region (by type) (such as, fundraising, program services, investments, grants to recipients located in the region) (e) If activity listed in (d) is a program service, describe specific type of
service(s) in the region		 (f) Total expenditures
for and investments
in the region
Central America & Caribbean 0 0 Passive Investments   909,242,333
Europe 0 0 Program Services Insurance Premiums 8,691,210
Europe 0 0 Passive Investments   181,098
Europe 0 0 Meetings   6,763
           
           
           
           
           
           
           
           
           
           
           
           
           
3a Sub-total .... 0 0 918,121,404
b Total from continuation sheets to Part I ... 0 0 0
c Totals (add lines 3a and 3b) 0 0 918,121,404
For Paperwork Reduction Act Notice, see the Instructions for Form 990.Cat. No. 50082W Schedule F (Form 990) 2021
Schedule F (Form 990) 2021
Page 2
Part II
Grants and Other Assistance to Organizations or Entities Outside the United States. Complete if the organization answered "Yes" on Form 990, Part IV, line 15, for any recipient who received more than $5,000. Part II can be duplicated if additional space is needed.
1 (a) Name of organization (b) IRS code section
and EIN (if applicable)		 (c) Region (d) Purpose of
grant 		(e) Amount of
cash grant 		(f) Manner of
cash
disbursement 		(g) Amount
of noncash
assistance 		(h) Description
of noncash
assistance 		(i) Method of
valuation
(book, FMV,
appraisal, other)
             
             
             
             
             
             
             
             
             
             
             
             
             
             
             
             
2 Enter total number of recipient organizations listed above that are recognized as charities by the foreign country, recognized as tax-exempt by the IRS, or for which the grantee or counsel has provided a section 501(c)(3) equivalency letter .......MediumBullet
 
3 Enter total number of other organizations or entities .......................MediumBullet
 
Schedule F (Form 990) 2021
Schedule F (Form 990) 2021Page 3
Part III
Grants and Other Assistance to Individuals Outside the United States. Complete if the organization answered "Yes" on Form 990, Part IV, line 16.
Part III can be duplicated if additional space is needed.
(a) Type of grant or assistance (b) Region (c) Number of recipients (d) Amount of
cash grant 		(e) Manner of cash
disbursement 		(f) Amount of
noncash
assistance 		(g) Description
of noncash
assistance 		(h) Method of
valuation
(book, FMV,
appraisal, other)
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
Schedule F (Form 990) 2021
Schedule F (Form 990) 2021
Page 4
Part IV
Foreign Forms
1 Was the organization a U.S. transferor of property to a foreign corporation during the tax year? If "Yes," the organization may be required to file Form 926, Return by a U.S. Transferor of Property to a Foreign Corporation (see Instructions for Form 926). . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
2 Did the organization have an interest in a foreign trust during the tax year? If "Yes," the organization may be required to separately file Form 3520, Annual Return to Report Transactions with Foreign Trusts and Receipt of Certain Foreign Gifts, and/or Form 3520-A, Annual Information Return of Foreign Trust With a U.S. Owner (see Instructions for Forms 3520 and 3520-A; don't file with Form 990). . . . . . . . . . . . . . . . . . . . . . . .
3 Did the organization have an ownership interest in a foreign corporation during the tax year? If "Yes," the organization may be required to file Form 5471, Information Return of U.S. Persons with Respect to Certain Foreign Corporations. (see Instructions for Form 5471). . . . . . . . . . . . . . . . . . . . . . . . . . . .
4 Was the organization a direct or indirect shareholder of a passive foreign investment company or a qualified electing fund during the tax year? If “Yes,” the organization may be required to file Form 8621, Information Return by a Shareholder of a Passive Foreign Investment Company or Qualified Electing Fund. (see Instructions for Form 8621) .
5 Did the organization have an ownership interest in a foreign partnership during the tax year? If "Yes," the organization may be required to file Form 8865, Return of U.S. Persons with Respect to Certain Foreign Partnerships (see Instructions for Form 8865). . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
6 Did the organization have any operations in or related to any boycotting countries during the tax year? If "Yes," the organization may be required to separately file Form 5713, International Boycott Report (see Instructions for Form 5713; don't file with Form 990).. . . . . . . . . . . . . . . . . . . . . . . . . . . .
Schedule F (Form 990) 2021
Schedule F (Form 990) 2021
Page 5
Part V
Supplemental Information
Provide the information required by Part I, line 2 (monitoring of funds); Part I, line 3, column (f) (accounting method; amounts of investments vs. expenditures per region); Part II, line 1 (accounting method); Part III (accounting method); and Part III, column (c) (estimated number of recipients), as applicable. Also complete this part to provide any additional information. See instructions.
ReturnReference Explanation
Part I, Line 2: Foreign grants are generally made to organizations within the U.S. to assist with funding for mission related trips whose purpose is to provide health care services in foreign locations and/or construct and build health care facilities in foreign locations. The U.S. organizations sponsoring the health-related mission trips are often related organizations that are exempt from Federal Income Tax under 501(c)(3) or other 501(c)(3) organizations that are a part of the group exemption ruling issued to the General Conference of Seventh-Day Adventists. Accordingly, the filing organization has not established specific procedures for monitoring the use of grant funds outside the United States as the filing organization does not have a grant making program that would necessitate such procedures and is generally making an indirect foreign grant through another U.S. charitable organization.
Part I, line 3: All expenses relate to travel costs, funding of general liability risk program, or cash grants to U.S. charities for foreign mission trips.
Part III Accounting Method:  
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
Schedule F (Form 990) 2021
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Schedule I
(Form 990)
Department of the Treasury
Internal Revenue Service
Grants and Other Assistance to Organizations,
Governments and Individuals in the United States
Complete if the organization answered "Yes," on Form 990, Part IV, line 21 or 22.
lBullet Attach to Form 990.
lBullet Go to www.irs.gov/Form990 for the latest information.
OMB No. 1545-0047
2021
Open to Public
Inspection
Name of the organization
Adventist Health System Sunbelt
Healthcare Corporation
Employer identification number
59-2170012
Part I
General Information on Grants and Assistance
1
Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' eligibility for the grants or assistance, and
the selection criteria used to award the grants or assistance? ........................
2
Describe in Part IV the organization's procedures for monitoring the use of grant funds in the United States.
Part II
Grants and Other Assistance to Domestic Organizations and Domestic Governments. Complete if the organization answered "Yes" on Form 990, Part IV, line 21, for any recipient
that received more than $5,000. Part II can be duplicated if additional space is needed.
(a) Name and address of organization
or government		 (b) EIN (c) IRC section
(if applicable)		 (d) Amount of cash grant (e) Amount of non-cash
assistance		 (f) Method of valuation
(book, FMV, appraisal,
other)		 (g) Description of
noncash assistance		 (h) Purpose of grant
or assistance
(1) Andrews University
4150 Administration Drive
Berrien Springs,MI49104 		38-1627600 501(c)(3) 1,000,000 0     General Support
(2) Chisholm Trail Academy
401 S Old Betsy Road
Keene,TX76059 		75-1327520 501(c)(3) 50,000 0     General Support
(3) City of Altamonte Springs
225 Newburyport Ave
Altamonte Springs,FL32701 		59-6000263 Gov't 25,000 0     General Support
(4) Fletcher Academy Inc
PO Box 5440
Fletcher,NC28732 		56-1432644 501(c)(3) 125,000 0     General Support
(5) Florida Chamber of Commerce Foundation Inc
136 S Bronough Street
Tallahassee,FL32301 		59-6209605 501(c)(3) 25,000 0     General Support
(6) Florida Hospital Waterman Foundation Inc
1500 Waterman Way
Tavares,FL32788 		59-2330166 501(c)(3) 10,000 0     General Support
(7) Forest Lake Academy
500 Education Loop
Apopka,FL32703 		59-0816443 501(c)(3) 250,000 0     General Support
(8) Grace Medical Home Inc
51 Pennsylvania Street
Orlando,FL32806 		26-1817966 501(c)(3) 32,000 0     General Support
(9) Hispanic Business Initiative Fund of Florida Inc
3201 East Colonial Drive Suite A20
Orlando,FL32803 		59-3341405 501(c)(3) 32,500 0     General Support
(10) Killeen Adventist Junior Academy
3412 Lake Road
Killeen,TX76543 		01-0921237 501(c)(3) 30,000 0     General Support
(11) Lake Union Conference of Seventh-Day Adventists
PO Box C
Berrien Springs,MI49103 		38-1474933 501(c)(3) 200,000 0     General Support
(12) McDermott Will & Emery Charitable Foundation
444 West Lake Street Ste 4000
Chicago,IL60606 		36-3172396 501(c)(3) 20,000 0     General Support
(13) Medicare Rights Center Inc
266 West 37th Street 3rd Floor
New York,NY10018 		13-3505372 501(c)(3) 10,000 0     General Support
(14) Mid-America Union Conference of Seventh-Day Adventists
PO Box 6128
Lincoln,NE68506 		47-6008606 501(c)(3) 200,000 0     General Support
(15) No Barriers USA
317 Stover Street
Fort Collins,CO85024 		06-1693441 501(c)(3) 25,000 0     General Support
(16) Oakwood University
7000 Adventist Blvd NW
Huntsville,AL35896 		63-0366652 501(c)(3) 1,580,000 0     General Support
(17) Ransom Memorial Hospital Charitable Association Inc
1301 S Main
Ottawa,KS66067 		48-1097527 501(c)(3) 10,000 0     General Support
(18) San Marcos Adventist Junior Academy
1523 Old Ranch Road 12
San Marcos,TX78666 		26-4136229 501(c)(3) 225,000 0     General Support
(19) Southern Adventist University
PO Box 370
Collegedale,TN37315 		62-0536733 501(c)(3) 1,566,000 0     General Support
(20) Southern Union Conference of Seventh-Day Adventists
PO Box 849 3978 Memorial Drive
Decatur,GA30031 		58-6002274 501(c)(3) 200,000 0     General Support
(21) Southwestern Adventist University
PO Box 567
Keene,TX76059 		75-0891465 501(c)(3) 1,500,000 0     General Support
(22) Southwestern Union Conference of Seventh-Day Adventists
PO Box 4000 777 Burleson Boulevard
Burleson,TX76097 		75-0904016 501(c)(3) 200,000 0     General Support
(23) Sunsystem Development Corporation
900 Hope Way
Altamonte Springs,FL32714 		59-2219301 501(c)(3) 15,000 0     General Support
(24) The Mustard Seed of Central Florida Inc
12 Mustard Seed Lane
Orlando,FL32810 		59-2906383 501(c)(3) 5,867 0     General Support
(25) Union College
3800 South 48th Street
Lincoln,NE68506 		47-0405319 501(c)(3) 1,500,000 0     General Support
(26) Whole Life Seventh-Day Adventist Church
2800 N Orange Ave
Orlando,FL32810 		59-3039667 501(c)(3) 7,500 0     General Support
2
Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................. Bullet Image
26
3
Enter total number of other organizations listed in the line 1 table ........................ . Bullet Image
0
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50055P
Schedule I (Form 990) 2021

Schedule I (Form 990) 2021
Page 2
Part III
Grants and Other Assistance to Domestic Individuals. Complete if the organization answered "Yes" on Form 990, Part IV, line 22.
Part III can be duplicated if additional space is needed.
(a) Type of grant or assistance (b) Number of
recipients		 (c) Amount of
cash grant		 (d) Amount of
noncash assistance		 (e) Method of valuation (book,
FMV, appraisal, other)		 (f) Description of noncash assistance
(1) Assistance to community families in need 18 73,326      
(1)
(2)
(3)
(4)
(5)
(6)
(7)
Part IV
Supplemental Information. Provide the information required in Part I, line 2; Part III, column (b); and any other additional information.
Return Reference Explanation
Part I, Line 2: Grants are generally made only to related organizations that are exempt from federal income tax under IRC Section 501(c)(3), or to other local charitable community organizations, or to other 501(c)(3) organizations that are a part of the group exemption ruling issued to the General Conference of Seventh-Day Adventists. 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.
Schedule I (Form 990) 2021



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Schedule J
(Form 990)
Department of the Treasury
Internal Revenue Service
Compensation Information
For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
SchJMediumBullet Complete if the organization answered "Yes" on Form 990, Part IV, line 23.
SchJMediumBullet Attach to Form 990.
SchJMediumBullet Go to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
2021
Open to Public Inspection
Name of the organization
Adventist Health System Sunbelt
Healthcare Corporation
Employer identification number

59-2170012
Part I
Questions Regarding Compensation
Yes
No
1a
Check the appropiate box(es) if the organization provided any of the following to or for a person listed on Form
990, Part VII, Section A, line 1a. Complete Part III to provide any relevant information regarding these items.
b
If any of the boxes on Line 1a are checked, did the organization follow a written policy regarding payment or reimbursement or provision of all of the expenses described above? If "No," complete Part III to explain .....
1b
Yes
 
2
Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all
directors, trustees, officers, including the CEO/Executive Director, regarding the items checked on Line 1a? ....
2
Yes
 
3
Indicate which, if any, of the following the filing organization used to establish the compensation of the
organization's CEO/Executive Director. Check all that apply. Do not check any boxes for methods
used by a related organization to establish compensation of the CEO/Executive Director, but explain in Part III.
4
During the year, did any person listed on Form 990, Part VII, Section A, line 1a, with respect to the filing organization or a related organization:
a
Receive a severance payment or change-of-control payment? .............
4a
Yes
 
b
Participate in, or receive payment from, a supplemental nonqualified retirement plan? .........
4b
Yes
 
c
Participate in, or receive payment from, an equity-based compensation arrangement? .........
4c
 
No
If "Yes" to any of lines 4a-c, list the persons and provide the applicable amounts for each item in Part III.
Only 501(c)(3), 501(c)(4), and 501(c)(29) organizations must complete lines 5-9.
5
For persons listed on Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the revenues of:
a
The organization? ....................
5a
 
No
b
Any related organization? .......................
5b
 
No
If "Yes," on line 5a or 5b, describe in Part III.
6
For persons listed on Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the net earnings of:
a
The organization? ..................
6a
 
No
b
Any related organization? ......................
6b
 
No
If "Yes," on line 6a or 6b, describe in Part III.
7
For persons listed on Form 990, Part VII, Section A, line 1a, did the organization provide any nonfixed
payments not described in lines 5 and 6? If "Yes," describe in Part III ............
7
 
No
8
Were any amounts reported on Form 990, Part VII, paid or accured pursuant to a contract that was
subject to the initial contract exception described in Regulations section 53.4958-4(a)(3)? If "Yes," describe
in Part III ..........................
8
 
No
9
If "Yes" on line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................
9
 
 
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50053T
Schedule J (Form 990) 2021

Schedule J (Form 990) 2021
Page 2
Part II
Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees. Use duplicate copies if additional space is needed.
For each individual whose compensation must be reported on Schedule J, report compensation from the organization on row (i) and from related organizations, described in the
instructions, on row (ii). Do not list any individuals that are not listed on Form 990, Part VII.
Note. The sum of columns (B)(i)-(iii) for each listed individual must equal the total amount of Form 990, Part VII, Section A, line 1a, applicable column (D) and (E) amounts for that individual.
(A) Name and Title (B) Breakdown of W-2, 1099-MISC compensation, and/or 1099-NEC (C) Retirement and other deferred compensation (D) Nontaxable
benefits		 (E) Total of columns
(B)(i)-(D) 		(F) Compensation in column (B) reported as deferred on prior Form 990
(i) Base
compensation 		(ii) Bonus & incentive
compensation 		(iii) Other reportable compensation
1Shaw Terry D
Dir/President/CEO 		(i)

(ii)		 1,947,829
-------------
0 		1,666,593
-------------
0 		904,611
-------------
0 		146,048
-------------
0 		63,608
-------------
0 		4,728,689
-------------
0 		365,304
-------------
0
2Haffner PhD Randall L
SEVP/CEO Central FL Division 		(i)

(ii)		 1,446,809
-------------
0 		989,082
-------------
0 		1,184,218
-------------
0 		165,548
-------------
0 		43,625
-------------
0 		3,829,282
-------------
0 		243,228
-------------
0
3Rathbun Paul C
SEVP/CFO 		(i)

(ii)		 1,045,475
-------------
0 		776,096
-------------
0 		771,015
-------------
0 		165,548
-------------
0 		47,302
-------------
0 		2,805,436
-------------
0 		193,409
-------------
0
4Johnson Penny
President/CEO SW Region 		(i)

(ii)		 656,961
-------------
0 		275,634
-------------
0 		1,669,223
-------------
0 		128,712
-------------
0 		54,107
-------------
0 		2,784,637
-------------
0 		80,024
-------------
0
5Tol Daryl
SEVP/CEO Central FL (End 1/21) 		(i)

(ii)		 128,869
-------------
0 		922,947
-------------
0 		1,660,721
-------------
0 		0
-------------
0 		8,693
-------------
0 		2,721,230
-------------
0 		354,679
-------------
0
6Hilliard Douglas
SVP/Sr. Finance Officer AH Orlando 		(i)

(ii)		 537,050
-------------
0 		212,568
-------------
0 		1,431,434
-------------
0 		100,461
-------------
0 		45,725
-------------
0 		2,327,238
-------------
0 		69,194
-------------
0
7Banks David
SEVP/Chief Strategy Officer 		(i)

(ii)		 977,926
-------------
0 		530,032
-------------
0 		518,864
-------------
0 		165,548
-------------
0 		38,331
-------------
0 		2,230,701
-------------
0 		120,374
-------------
0
8Bassler Jayne
SVP Epic Transformation 		(i)

(ii)		 460,260
-------------
0 		167,245
-------------
0 		1,471,028
-------------
0 		62,865
-------------
0 		48,903
-------------
0 		2,210,301
-------------
0 		55,241
-------------
0
9Schultz Michael
SEVP/CEO West FL Div(End 12/21) 		(i)

(ii)		 1,014,788
-------------
0 		702,374
-------------
0 		310,354
-------------
0 		15,548
-------------
0 		38,244
-------------
0 		2,081,308
-------------
0 		0
-------------
0
10Thompson Michael
CEO IHS Central FL Division 		(i)

(ii)		 561,485
-------------
0 		222,436
-------------
0 		1,070,680
-------------
0 		86,959
-------------
0 		47,667
-------------
0 		1,989,227
-------------
0 		71,799
-------------
0
11Surber Randall
President/CEO AH Sebring 		(i)

(ii)		 451,786
-------------
0 		155,340
-------------
0 		1,195,362
-------------
0 		63,628
-------------
0 		26,541
-------------
0 		1,892,657
-------------
0 		56,525
-------------
0
12Moorhead MD David
EVP/Chief Clinical Officer 		(i)

(ii)		 843,769
-------------
0 		404,821
-------------
0 		567,582
-------------
0 		15,548
-------------
0 		12,966
-------------
0 		1,844,686
-------------
0 		0
-------------
0
13Snyder Esq Brent G
EVP/Chief Information Officer 		(i)

(ii)		 823,942
-------------
0 		460,754
-------------
0 		502,194
-------------
0 		15,548
-------------
0 		25,837
-------------
0 		1,828,275
-------------
0 		277,454
-------------
0
14Soler Eddie
Former SEO/CFO Multi-State Div 		(i)

(ii)		 782,550
-------------
0 		452,501
-------------
0 		165,235
-------------
0 		165,548
-------------
0 		26,094
-------------
0 		1,591,928
-------------
0 		143,711
-------------
0
15Johnson Sandra K
Exec VP/CAO (End 12/21) 		(i)

(ii)		 767,686
-------------
0 		435,759
-------------
0 		181,193
-------------
0 		139,262
-------------
0 		44,675
-------------
0 		1,568,575
-------------
0 		103,938
-------------
0
16Bromme Jeffrey
EVP/Chief Legal Officer 		(i)

(ii)		 758,713
-------------
0 		434,579
-------------
0 		185,395
-------------
0 		139,262
-------------
0 		38,310
-------------
0 		1,556,259
-------------
0 		101,374
-------------
0
17Bacon Kenneth
SEVP/CEO Multi-State Div(Beg 3/21) 		(i)

(ii)		 840,732
-------------
0 		8,687
-------------
0 		228,614
-------------
0 		169,010
-------------
0 		32,952
-------------
0 		1,279,995
-------------
0 		0
-------------
0
18Stiltz Bryan
EVP Business Units/Physician Enterpr 		(i)

(ii)		 660,862
-------------
0 		289,210
-------------
0 		139,408
-------------
0 		120,259
-------------
0 		32,517
-------------
0 		1,242,256
-------------
0 		73,957
-------------
0
19Azevedo Olesea
SVP/Chief Human Resource Officer 		(i)

(ii)		 619,840
-------------
0 		277,151
-------------
0 		132,671
-------------
0 		109,256
-------------
0 		45,015
-------------
0 		1,183,933
-------------
0 		85,508
-------------
0
20Celano Patricia
SVP/Associate Chief Clinical Officer 		(i)

(ii)		 472,725
-------------
0 		98,101
-------------
0 		76,263
-------------
0 		84,121
-------------
0 		44,634
-------------
0 		775,844
-------------
0 		40,348
-------------
0
21Clem MD Kathleen
Former SVP/Chief Clinical Officer 		(i)

(ii)		 0
-------------
0 		0
-------------
0 		439,703
-------------
0 		0
-------------
0 		24,896
-------------
0 		464,599
-------------
0 		0
-------------
0
Schedule J (Form 990) 2021

Schedule J (Form 990) 2021
Page 3
Part III
Supplemental Information
Provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 3, 4a, 4b, 4c, 5a, 5b, 6a, 6b, 7, and 8, and for Part II. Also complete this part for any additional information.
Return Reference Explanation
Part I, Line 1a The filing organization is the top-tier parent of a system of healthcare organizations known as AdventHealth. Members of the filing organization's executive management team that hold the position of Vice-President or above (including those who provide services at the filing organization and those who perform executive management services at AdventHealth subsidiary organizations) are compensated by and on the payroll of the filing organization. First-class or charter travel: Pursuant to the AdventHealth system-wide general policy regarding business travel, no reimbursement will be provided for any additional cost incurred with respect to first-class or charter air travel beyond the cost of a regular coach airfare. As a means of providing additional business travel reimbursement for those members of the AHSSHC senior executive management team that travel frequently on behalf of AdventHealth, a special annual travel allowance is provided for those executives. As AdventHealth operates 48 hospitals in 9 states, the senior leadership of AHSSHC travel extensively and often visit multiple hospital locations in different states as a part of a single business trip. The special travel allowance can provide reimbursements to the executive for such items as the purchase of air travel upgrade coupons, to cover the cost differential between coach and first-class travel, or to cover the cost of a charter flight. The special travel allowance benefit was originally authorized by and codified into a policy by the AHSSHC Board Compensation Committee (the Committee), an independent body of the AHSSHC Board of Directors, who also approves the annual cap on the amount of the allowance. The special travel allowance has an annual cap of $24,000 for members of the Leadership Executive Team (AdventHealth Cabinet - 13 members) and $15,000 for AdventHealth Corporate Office Senior Vice Presidents, Regional CEO's, and Division Chief Officers (generally 20-35 individual executives). A report on charter travel is provided to the AHSSHC Board Compensation Committee at each meeting. Those executives who receive the special travel allowance are responsible for tracking the expenses reimbursable under the special travel allowance and must submit such expenses on their accountable plan expense report. Any taxable reimbursements made to executives under the special travel allowance arrangement are treated as taxable compensation to the executive. Travel for companions: AHSSHC has a Corporate Executive Policy that provides a benefit to allow for a traveling AHSSHC executive to have his or her spouse accompany the executive on certain business trips each year. Typically, reimbursement is only provided to certain executive leaders and is usually limited to one business trip per year beyond the annual AdventHealth President's Council business meeting and other meetings where the spouse is specifically invited. The AHSSHC Corporate Executive Spousal Travel Policy was originally approved and reviewed by the AHSSHC Board Compensation Committee, an independent body of the AHSSHC Board of Directors. All spousal travel costs reimbursed to the executive are considered taxable compensation to the executive. Tax Indemnification and gross-up payments: AdventHealth has a system-wide policy addressing gross-up payments provided in connection with employer-provided benefits/other taxable items. Under the policy, certain taxable business-related reimbursements (i.e. taxable business-related moving expenses, taxable items provided in connection with employment) provided to any employee may be grossed-up at a 25% rate upon approval by the filing organization's CEO and CFO. Additionally, employees at the Director level and above are eligible for gross-up payments on gifts received for board of director services. Discretionary spending account: Occasional discretionary spending amounts are periodically provided to eligible executives who attend annual business meetings such as the AdventHealth President's Council, CFO Conference or the CMO/CNO business meeting. Payments provided to each executive are considered taxable compensation to the executive. Health or social club dues or initiation fees: AHSSHC has a Corporate Executive Policy that addresses business development expenditures. Under this policy, to encourage executives to establish and cultivate strong working relationships with the medical community and other leaders in the community and industry, certain AdventHealth executives may be reimbursed for member dues and usage charges for a country club or other social club upon authorization. Club memberships must be approved by the AdventHealth President/CEO initially as well as on an annual basis. Each AdventHealth executive who is approved for a club membership must submit an annual report describing how they used the membership to benefit their organization during the preceding year so that the AdventHealth President/CEO can make a determination if continuance of the club membership furthers the business interests of AdventHealth. In the current year, for this filing organization, four (4) executives listed in Part VII received reimbursement for club fees.
Part I, Line 3 Please see the discussion concerning the process followed by the filing organization in determining executive compensation in our response to Part VI, Section B, Line 15a and b.
Part I, Lines 4a-b During the year ending December 31, 2021, Daryl Tol and Kathleen Clem received severance payments in the amount of $1,169,453 and $431,023, respectively. Pursuant to the AHSSHC Corporate Executive Policy governing executive severance, severance agreements for executives operating at the Vice President level and above are entered into upon eligibility to facilitate the transition to subsequent employment following an involuntary separation from employment with AdventHealth. Schedule J, Part I, Line 4b: In recognition of the contribution that each executive makes to the success of AdventHealth, AdventHealth provides supplemental executive benefit plans to eligible executives. In 2020, AdventHealth restructured its executive supplemental retirement and benefit plans to reduce complexity, to increase predictability of benefits and to consolidate multiple supplemental executive benefit plans into one plan. Effective 1/1/2020, a new supplemental executive retirement plan (SERP III) was adopted and the three existing plans, described below, were amended and restated. The newly adopted SERP III plan, as well as the amended and restated plans, were reviewed and approved by the AHSSHC Board Compensation Committee, an independent body of the AHSSHC Board of Directors. SERP III Plan (Effective 1/1/2020): To recognize the contribution each executive makes to the success of AdventHealth and to recognize the limitations available to executives in qualified retirement plans due to compensation limits set on such plans, AdventHealth adopted a new supplemental executive retirement plan (SERP III) in 2020. The SERP III plan effectively replaces the prior SERP II plan, the Executive Flex Benefit Program Plan, and the Senior Executive Death Benefit Plan for qualified executives except for certain grandfathered executive employees. The SERP III plan provides eligible executives a percentage of their base pay, which is credited to a deferred compensation account. The plan also provides for compensation deferral and selection of life insurance coverage and long-term care insurance. To be eligible to participate in the SERP III plan, executives must be on the AHSSHC corporate payroll and be either a CEO of an AdventHealth entity, an AHSSHC Vice President (VP) or VP of an AdventHealth entity with a base salary of at least $290,000 in 2021 (adjusted annually by the same percentage as IRC Section 401(a)(17) limit increases), or other leader specifically approved by the AdventHealth President. Eligible executives do not include grandfathered executives, meaning those executives who would satisfy all the eligibility requirements of the SERP II plan prior to Dec 31, 2027, had the plan not been amended and restated as of Jan. 1, 2020. Contribution credits will be established and maintained by class year accounts for each participant using tiered contribution credit percentages of annual base compensation. Contribution credit percentages range between 15% and 19% of base compensation. Contribution credits will be made each quarter in 25% increments with reductions in contributions if the executive is also a grandfathered FLEX participant (see below). SERP III provides for a class year vesting and payment schedule (7 years for each class year) with respect to amounts accumulated in the executive's deferred compensation account. Upon attainment of a normal retirement age (age 62), or upon certain other circumstances as defined in the SERP III plan document, all deferred amounts are paid immediately to the participant. For any executives working beyond the normal retirement age, future employer contributions will be made quarterly from SERP III directly to the participant as a taxable cash bonus. SERP II Plan (Amended and Restated in 2020): In 2020, the SERP II plan was amended and restated to provide that eligible employees are restricted to those executives who, as of January 1, 2020, satisfied, or if employment continues, will satisfy the eligibility requirements of SERP II prior to December 31, 2027. The SERP II plan is a defined benefit, non-tax-qualified deferred compensation plan for certain executives who have provided lengthy service to AdventHealth and/or to other Seventh-day Adventist Church hospitals or health care institutions. Under the provisions of the SERP II plan, benefits are provided to qualifying executive participants on a pro-rata schedule beginning with 20 years of service as an employee of AdventHealth 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 II) was designed to provide eligible executives with the economic equivalent of an annual income beginning at normal retirement age equal to 60% of the average of the participant's three, five or seven highest years of base salary from AdventHealth active employment inclusive of income from all other Seventh-day Adventist Church healthcare employer-financed retirement income sources and investment income earned on those contributions through social security normal retirement age as defined in the plan. The number of years included in highest average compensation is determined by the individual's year of entry to SERP II and by the individual's year of entry to the AdventHealth Executive FLEX Benefit Program. FLEX Plan (Amended and Restated in 2020): In 2020, the Flex Plan was amended and restated to exclude employed executives who are hired or promoted after a certain date from being eligible to participate in the Flex Plan except for certain insurance coverage features of the plan. Additionally, a provision was added to place a maximum limit on the amount of a participant's annual Flex allowance to not be greater than a maximum dollar amount or percentage of compensation as established by the AdventHealth Benefits Administration Committee. The Flex Plan was originally designed to provide eligible executives an opportunity to select from among a variety of supplemental benefits, including a split dollar life insurance policy and long-term care insurance, to individually tailor a benefits program appropriate to each executive's needs. The Flex Plan provides eligible participants a pre-determined benefits allowance credit that is equal to a percentage of the executive's base pay from which the cost of mandatory and elective employee benefits is deducted. The benefits allowance credit percentage is determined by the AdventHealth Benefits Administration Committee. For grandfathered eligible employees, the annual pre-determined Flex allowance is contributed and any funds that remain after the cost of mandatory and elective benefits are subtracted are, at the employee's option, contributed to either an IRC 457(f) deferred compensation account or to an IRC 457(b) eligible deferred compensation plan. Upon attainment of age 65, all previous 457(f) deferred amounts are paid immediately to the participant and any future employer contributions are made quarterly from the Plan directly to the participant. The Plan 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 will be forfeited by the executive upon a voluntary separation. With respect to grandfathered participants, the Flex Plan documents define eligible employees to include the Chief Executive Officers of AdventHealth entities and Vice Presidents of all AdventHealth entities whose base salary was at least equal to the Internal Revenue Code Section 401(a)(17) compensation limit each year.
Schedule J, Part I, Line 4 b Continued: Senior Executive Death Benefit Plan (SEDB) (Amended and Restated in 2020): The SEDB plan was originally designed to provide a benefit in an amount equal to the amount the executive's benefit would have been under the SERP II Plan assuming that, on the date of the executive's death (and not before), the executive satisfied the last of the eligibility requirements of the SERP II Plan with present value recognizing an early benefit commencement. In conjunction with the amendment and restatement of the SERP II Plan, the SEDB was similarly amended in 2020 to limit eligible employees to only those who either satisfy the eligibility requirements of SERP II as of January 1, 2020, or remain in active employment and will satisfy those requirements prior to December 31, 2027. An eligible executive becomes a participant in the SEDB Plan if the executive dies prior to termination of employment, provided the executive has not satisfied all the eligibility requirements of SERP II as of the executive's date of death but would have satisfied all those requirements within five (5) years following death had the executive lived and continued employment. The SEDB Plan will terminate automatically after December 31, 2027. FLEX PLAN FLEX PLAN SERP II SERP III CONTR. DISTR. * CONTR./DISTR. CONTR. Shaw, Terry D. $ 150,000 $ 396,866 $ 412,336 $ 0 Haffner, Randall L. $ 150,000 $ 304,926 $ 829,185 $ 0 Rathbun, Paul C. $ 150,000 $ 233,742 $ 480,517 $ 0 Johnson, Penny $ 113,164 $ 96,451 $ 1,549,952 $ 0 Tol, Daryl $ 10,167 $ 477,704 $ 0 $ 0 Hilliard, Douglas $ 84,913 $ 86,442 $ 1,320,275 $ 0 Banks, David $ 150,000 $ 121,901 $ 351,772 $ 0 Bassler, Jayne $ 66,817 $ 73,306 $ 1,343,525 $ 0 Schultz, Michael $ 150,000 $ 130,500 $ 0 $ 0 Thompson, Michael $ 90,911 $ 72,680 $ 941,679 $ 0 Surber, Randall $ 67,580 $ 66,423 $ 1,074,622 $ 0 Moorhead, MD, David $ 150,000 $ 130,500 $ 330,002 $ 0 Snyder, Brent G. $ 150,000 $ 444,551 $ 0 $ 0 Soler, Eddie $ 150,000 $ 135,763 $ 0 $ 0 Johnson, Sandra K. $ 143,214 $ 121,111 $ 0 $ 0 FLEX PLAN FLEX PLAN SERP II SERP III CONTR. DISTR. * CONTR./DISTR. CONTR. Bromme, Jeffrey $ 143,214 $ 121,997 $ 0 $ 0 Bacon, Kenneth $ 0 $ 0 $ 0 $ 153,462 Stiltz, Bryan $ 124,211 $ 93,311 $ 0 $ 0 Azevedo, Olesea $ 105,665 $ 96,735 $ 0 $ 7,544 Celano, Patricia $ 68,573 $ 46,777 $ 0 $ 0 * Including Investment Earnings
Schedule J (Form 990) 2021

Additional Data


Software ID:  
Software Version:  
Schedule L
(Form 990)
Department of the Treasury
Internal Revenue Service
Transactions with Interested Persons
MediumBullet Complete if the organization answered "Yes" on Form 990, Part IV, lines 25a, 25b, 26, 27, 28a, 28b, or 28c, or Form 990-EZ, Part V, line 38a or 40b.
MediumBullet Attach to Form 990 or Form 990-EZ.
MediumBulletGo to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
2021
Open to Public Inspection
Name of the organization
Adventist Health System Sunbelt
Healthcare Corporation
Employer identification number

59-2170012
Part I
Excess Benefit Transactions (section 501(c)(3), section 501(c)(4), and section 501(c)(29) organizations only).
Complete if the organization answered "Yes" on Form 990, Part IV, line 25a or 25b, or Form 990-EZ, Part V, line 40b.
1(a) Name of disqualified person (b) Relationship between disqualified person and organization (c) Description of transaction (d) Corrected?
Yes No
2
Enter the amount of tax incurred by the organization managers or disqualified persons during the year under section 4958. ........................... Bullet Image$
 
3
Enter the amount of tax, if any, on line 2, above, reimbursed by the organization ........ Bullet Image$
 

Part II
Loans to and/or From Interested Persons.
Complete if the organization answered "Yes" on Form 990-EZ, Part V, line 38a, or Form 990, Part IV, line 26; or if the organization reported an amount on Form 990, Part X, line 5, 6, or 22
(a) Name of interested person (b) Relationship with organization (c) Purpose of loan (d) Loan to or from the organization? (e) Original principal amount (f) Balance due (g) In default? (h) Approved by board or committee? (i) Written agreement?
To From Yes No Yes No Yes No
Total ...............Small Bullet $  
Part III
Grants or Assistance Benefiting Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 27.
(a) Name of interested person (b) Relationship between interested person and the organization (c) Amount of assistance (d) Type of assistance (e) Purpose of assistance
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 50056A
Schedule L (Form 990) 2021
Schedule L (Form 990) 2021
Page 2
Part IV
Business Transactions Involving Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 28a, 28b, or 28c.
(a) Name of interested person (b) Relationship between interested person and the organization (c) Amount of transaction (d) Description of transaction (e) Sharing of organization's revenues?
Yes No
(1) Alexis Schultz Family of Key Employee 52,625 Employee Compensation   No
(2) Bailey Ringering Family of Key Employee 82,226 Employee Compensation   No
(3) Cindy Rodgers Family of Board Member/Officer 40,065 Employee Compensation   No
(4) Clifton Scott Family of Board Member 200,909 Employee Compensation   No
(5) Gregory Ringering Family of Key Employee 127,751 Employee Compensation   No
(6) Jocelyn Shaw Family of Board Member 101,158 Employee Compensation   No
(7) Kay Barnett Family of Board Member 260,401 Employee Compensation   No
(8) Mark Rathbun Family of Officer 360,246 Employee Compensation   No
(9) Michael Howard Schultz Family of Key Employee 75,127 Employee Compensation   No
(10) Noah Johnson Family of Key Employee 69,853 Employee compensation   No
(11) Robert Rodgers Family of Board Member/Officer 528,715 Employee Compensation   No
(12) Sean Lemon Family of Former Key Employee 288,244 Employee Compensation   No
(13) Sheryl Moorhead Family of Key Employee 707,962 Employee Compensation   No
Part V
Supplemental Information
Provide additional information for responses to questions on Schedule L (see instructions).
Return Reference Explanation
Schedule L (Form 990) 2021


Additional Data


Software ID:  
Software Version:  




SCHEDULE O
(Form 990)

Department of the Treasury
Internal Revenue Service
Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or 990-EZ or to provide any additional information.
MediumBullet Attach to Form 990 or 990-EZ.
MediumBullet Go to www.irs.gov/Form990 for the latest information.
OMB No. 1545-0047
2021
Open to Public
Inspection
Name of the organization
Adventist Health System Sunbelt
Healthcare Corporation
Employer identification number

59-2170012
Return Reference Explanation
Form 990, Part VI, Section A, line 2 Family Relationship - Gary F. Thurber and John (Mic) Thurber
Form 990, Part VI, Section A, line 6 The governing documents of the filing organization provide that the membership of the Corporation shall consist of: (a) those individuals who are duly elected members of the Board of Directors of the Corporation; and (b) those individuals who are duly elected members of an executive committee of any of the Unions, including those persons who serve on the executive committee by virtue of their position.
Form 990, Part VI, Section A, line 7a The Membership of the filing organization shall elect the Board of Directors. However, Director seats that are not filled by the Membership or that otherwise become open between meetings of the Membership shall be considered vacant and shall be filled by a majority vote of the Directors then in office, even though less than a quorum, or by the sole remaining Director.
Form 990, Part VI, Section A, line 7b The membership of the filing organization has certain reserved powers as set forth in the Bylaws of the filing organization. These reserved powers include the following: a) to approve an amendment, restatement, or repealing of the Articles of Incorporation or Bylaws of the filing organization.
Form 990, Part VI, Section B, line 11b The filing organization's current year Form 990 was reviewed by the Senior Vice President of Finance prior to its filing with the IRS. The review conducted did not include the review of any supporting workpapers that were used in preparation of the current year Form 990, but did include a review of the entire Form 990 and all supporting schedules.
Form 990, Part VI, Section B, line 12c The Conflict of Interest Policy of the filing organization applies to members of its Board of Directors and its principal officers (to be known as Interested Persons). In connection with any actual or possible conflicts of interest, any member of the Board of Directors of the filing organization or any principal officer of the filing organization (i.e. Interested Persons) must disclose the existence of any financial interest with the filing organization and must be given the opportunity to disclose all material facts concerning the financial interest/arrangement to the Board of Directors of the filing organization or to any members of a committee with board delegated powers that is considering the proposed transaction or arrangement. Subsequent to any disclosure of any financial interest/arrangement and all material facts, and after any discussion with the relevant Board member or principal officer, the remaining members of the Board of Directors or committee with board delegated powers shall discuss, analyze, and vote upon the potential financial interest/arrangement to determine if a conflict of interest exists. According to the filing organization's Conflict of Interest Policy, an Interested Person may make a presentation to the Board of Directors (or committee with board delegated powers), but after such presentation, shall leave the meeting during the discussion of, and the vote on, the transaction or arrangement that results in a conflict of interest. Each Interested Person, as defined under the filing organization's Conflict of Interest Policy, shall annually sign a statement which affirms that such person has received a copy of the Conflict of Interest 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 Compensation and benefits provided to Adventist Health System Sunbelt Healthcare Corporation's (AHSSHC) CEO, CFO, other executive management and key employees are determined pursuant to policies, procedures, and processes that are designed to ensure compliance with the intermediate sanctions laws as set forth in IRC Section 4958. AHSSHC has taken steps to ensure that processes are in place to satisfy the rebuttable presumption of reasonableness standard as set forth in Treasury Regulation 53.4958-6 with respect to its active executive-level positions. The AHSSHC Board Compensation Committee (the Committee) serves as the governing body for all executive compensation matters. The Committee is composed of certain members of the Board of Directors (the Board) of AHSSHC. Voting members of the Committee include only individuals who serve on the Board as independent representatives, who hold no employment positions with AHSSHC and who do not have relationships with any of the individuals whose compensation is under their review that impacts their best independent judgment as fiduciaries of AHSSHC. The Committee's role is to review and approve all components of the executive compensation plan of AHSSHC. As an independent governing body with respect to executive compensation, it should be noted that the Committee will often confer in executive sessions on matters of compensation policy and policy changes. In such executive sessions, no members of management of AHSSHC are present, other than the Chief People Officer, who remains at the request of the Chairman/committee to provide assistance/information as needed. The Committee is advised by an independent third-party compensation advisor. This advisor prepares all the benchmark studies for the Committee. Compensation levels are benchmarked with a national peer group of other not-for-profit healthcare systems and hospitals of similar size and complexity to AdventHealth and each of its affiliated entities. The following principles guide the establishment of individual executive compensation: - The salary of the President/CEO of AdventHealth will not exceed the 50th percentile of comparable salaries paid by similarly situated organizations; and - Other executive salaries shall be established using market medians. The compensation philosophy, policies, and practices of AHSSHC are consistent with the organization's faith-based mission and conform to applicable laws, regulations, and business practices. As a faith-based organization sponsored by the Seventh-day Adventist Church (the Church), AHSSHC's philosophy and principles with respect to its executive compensation practices reflect the conservative approach of the Church's mission of service and were developed in counsel with the Church's leadership.
Form 990, Part VI, Section C, line 19 The filing organization is a part of the system of healthcare organizations known as AdventHealth. The audited consolidated financial statements of AdventHealth and of the AdventHealth "Obligated Group" are filed annually with the Municipal Securities Rulemaking Board (MSRB). The "Obligated Group" is a group of AHSSHC subsidiaries that are jointly and severally liable under a Master Trust Indenture that secures debt primarily issued on a tax-exempt basis. Unaudited quarterly financial statements prepared in accordance with Generally Accepted Accounting Principles (GAAP) are also filed with MSRB for AdventHealth on a consolidated basis and for the grouping of AdventHealth subsidiaries comprising the "Obligated Group". The filing organization does not generally make its governing documents or conflict of interest policy available to the public.
Form 990, Part IX, line 11g Agency: Program service expenses 141,435. Management and general expenses 0. Fundraising expenses 0. Total expenses 141,435. Professional and Other Fees: Program service expenses 156,415,066. Management and general expenses 21,474,915. Fundraising expenses 0. Total expenses 177,889,981. Environmental Services: Program service expenses 1,594,035. Management and general expenses 0. Fundraising expenses 0. Total expenses 1,594,035. Other Purchased Services: Program service expenses 7,060,514. Management and general expenses 0. Fundraising expenses 0. Total expenses 7,060,514. Outsourced Food Services: Program service expenses 150. Management and general expenses 0. Fundraising expenses 0. Total expenses 150. Professional and Other Fees: Program service expenses 0. Management and general expenses 1,701,778. Fundraising expenses 0. Total expenses 1,701,778. Recruiting: Program service expenses 2,988,637. Management and general expenses 0. Fundraising expenses 0. Total expenses 2,988,637.
Form 990, Part XI, line 9: Transfer from Exempt Subs 325,000,000. Transfer to Exempt Subs -76,968,910. Mobile Healthcare Fees Allocated to Exempt Sub 3,918,542. Purchase of Hospital Assets -646,819,972.
Form 990, Part XII, Line 3b: Although the taxpayer is not required to undergo an audit as set forth in the Single Audit Act and OMB Circular A-133, the taxpayer is the parent of a controlled group of organizations that comprise a consolidated financial statement audit. The system of healthcare entities owned and controlled by the taxpayer is known as AdventHealth. For the year ended December 31, 2021, AdventHealth will file a consolidated Single Audit which will include all entities that are part of the controlled group. Accordingly, the taxpayer has checked yes to the questions on Part XII, line 3a and 3b.
Form 5471, Schedule G, Line 1: The foreign corporation does own an interest in a foreign partnership, AHL TargetRisk Master Limited. We do not know the percentage ownership of the filing organization in this foreign partnership.
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 51056K
Schedule O (Form 990) 2021


Additional Data


Software ID:  
Software Version:  
SCHEDULE R
(Form 990)
Department of the Treasury
Internal Revenue Service
Related Organizations and Unrelated Partnerships
MediumBulletComplete if the organization answered "Yes" on Form 990, Part IV, line 33, 34, 35b, 36, or 37.
MediumBulletAttach to Form 990.
MediumBullet Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047
2021
Open to Public Inspection
Name of the organization
Adventist Health System Sunbelt
Healthcare Corporation
Employer identification number

59-2170012
Part I
Identification of Disregarded Entities. Complete if the organization answered "Yes" on Form 990, Part IV, line 33.
(a)
Name, address, and EIN (if applicable) of disregarded entity


(b)
Primary activity


 		(c)
Legal domicile (state
or foreign country)

 		(d)
Total income


 		(e)
End-of-year assets


 		(f)
Direct controlling
entity










Part II
Identification of Related Tax-Exempt Organizations. Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related tax-exempt organizations during the tax year.
(a)
Name, address, and EIN of related organization


(b)
Primary activity


 		(c)
Legal domicile (state
or foreign country)

 		(d)
Exempt Code section


 		(e)
Public charity status
(if section 501(c)(3))

 		(f)
Direct controlling
entity

 		(g)
Section 512(b)(13) controlled entity?
Yes No
(1)AdventHealth East Florida Inc (3521 - 123121)
900 Hope Way

Altamonte Springs,FL32714
88-2288563 		Future Operation of Hospital & Related Services FL 501(c)(3) Line 3 Adventist Hlth System Sunbelt Hlthcare Corp
 
Yes
 
(2)AdventHealth Family Medicine Rural Health Clinics Inc
187 PR 4060

Lampasas,TX76550
27-1858033 		Operation of Rural Health Clinics & Medical Services FL 501(c)(3) Line 3 Metroplex Adventist Hospital Inc
 
Yes
 
(3)AdventHealth Kansas City Foundation fka AH Fdn Shawnee Mission
7315 E Frontage Road

Merriam,KS66204
48-0868859 		Fund-raising for Tax-exempt hospitals KS 501(c)(3) Line 7 Shawnee Mission Medical Center Inc
 
Yes
 
(4)AdventHealth Home Care East Florida LLC
770 West Granada Blvd 319

Ormond Beach,FL32174
83-3768458 		Inactive FL 501(c)(3) Line 10 Memorial Hlth Systems Inc
 
Yes
 
(5)AdventHealth Hospice Care East Florida Inc
770 West Granada Blvd 304

Ormond Beach,FL32174
83-3748461 		Inactive FL 501(c)(3) Line 10 Memorial Hlth Systems Inc
 
Yes
 
(6)AdventHealth North Polk Inc
3100 E Fletcher Ave

Tampa,FL33613
59-3231322 		Inactive FL 501(c)(3) Line 12a, I University Community Hospital Inc
 
Yes
 
(7)AdventHealth Polk North Inc
40100 US Highway 27 N

Davenport,FL33837
84-1793121 		Operation of Hospital & Related Services FL 501(c)(3) Line 3 Adventist Hlth System Sunbelt Hlthcare Corp
 
Yes
 
(8)AdventHealth Polk South Inc
410 South 11th Street

Lake Wales,FL33853
83-4672945 		Operation of Hospital & Related Services FL 501(c)(3) Line 3 Adventist Hlth System Sunbelt Hlthcare Corp
 
Yes
 
(9)AdventHealth Ransom Memorial Inc
1301 S Main Street

Ottawa,KS66067
83-0976641 		Operation of Hospital & Related Services KS 501(c)(3) Line 3 Adventist Hlth Mid-America Inc
 
Yes
 
(10)AdventHealth Riverview Inc (5321 - 123121)
14055 Riveredge Drive Ste 150

Tampa,FL33637
87-0901094 		Future Operation of Hospital & Related Services FL 501(c)(3) Line 3 Adventist Hlth System Sunbelt Hlthcare Corp
 
Yes
 
(11)AdventHealth Senior Care Inc
900 Hope Way

Altamonte Springs,FL32714
84-1817046 		Operation of Physician Practices & Medical Services FL 501(c)(3) Line 3 Adventist Hlth System Sunbelt Hlthcare Corp
 
Yes
 
(12)AdventHealth South Overland ParkInc
7820 W 165th Street

Overland Park,KS66223
36-4595806 		Operation of Hospital & Related Services KS 501(c)(3) Line 3 Adventist Hlth Mid-America Inc
 
Yes
 
(13)AdventHealth University Inc
671 Winyah Drive

Orlando,FL32803
59-3069793 		Education/Operation of School FL 501(c)(3) Line 2 Adventist Hlth SystemSunbelt Inc
 
Yes
 
(14)AdventHealth West Florida Ambulatory Services Inc
14055 Riveredge Drive Ste 250

Tampa,FL33637
47-1881744 		Support of Imaging Center & Home Health Subsidiaries FL 501(c)(3) Line 12b, II Adventist Hlth System Sunbelt Hlthcare Corp
 
Yes
 
(15)AdventHealth West Florida Imaging Inc
14055 Riveredge Drive Ste 250

Tampa,FL33637
84-3225135 		Imaging & Testing FL 501(c)(3) Line 3 AdventHealth West Florida Ambulatory Services Inc
 
Yes
 
(16)Adventist Bolingbrook Hospital
500 Remington Blvd

Bolingbrook,IL60440
65-1219504 		Operation of Hospital & Related Services IL 501(c)(3) Line 3 Adventist Midwest Health
 
Yes
 
(17)Adventist Care Centers - Courtland Inc
730 Courtland Street

Orlando,FL32804
20-5774723 		Operation of Home for the Aged/Hlthcare Delivery FL 501(c)(3) Line 10 Sunbelt Hlth Care Centers Inc
 
Yes
 
(18)Adventist GlenOaks Hospital
701 Winthrop Avenue

Glendale Heights,IL60139
36-3208390 		Operation of Hospital & Related Services IL 501(c)(3) Line 3 Adventist Midwest Health
 
Yes
 
(19)Adventist Health Mid-America Inc
9100 W 74th Street

Shawnee Mission,KS66204
52-1347407 		Support of Affiliated Hospital KS 501(c)(3) Line 12c, III-FI Adventist Hlth SystemSunbelt Inc
 
Yes
 
(20)Adventist Health Partners Inc
5101 S Willow Springs Rd Suite B101

La Grange,IL60525
36-4138353 		Operation of Physician Practices & Medical Services IL 501(c)(3) Line 3 AHS Midwest Management Inc
 
Yes
 
(21)Adventist Health System Georgia Inc
1035 Red Bud Road NE

Calhoun,GA30701
58-1425000 		Operation of Hospital & Related Services GA 501(c)(3) Line 3 Adventist Hlth System Sunbelt Hlthcare Corp
 
Yes
 
(22)Adventist Hlth System Sunbelt Hlthcare Corp
900 Hope Way

Altamonte Springs,FL32714
59-2170012 		Management Services FL 501(c)(3) Line 12a, I N/A
 
No
(23)Adventist Hlth SystemSunbelt Inc
900 Hope Way

Altamonte Springs,FL32714
59-1479658 		Operation of Hospitals & Related Services FL 501(c)(3) Line 3 Adventist Hlth System Sunbelt Hlthcare Corp
 
Yes
 
(24)Adventist Hlth SystemTexas Inc
11801 S Freeway

Burleson,TX76028
74-2578952 		Leasing Personnel to Affiliated Hospital TX 501(c)(3) Line 12c, III-FI Adventist Hlth System Sunbelt Hlthcare Corp
 
Yes
 
(25)Adventist Midwest Health
120 North Oak Street

Hinsdale,IL60521
36-2276984 		Operation of Hospitals & Related Services IL 501(c)(3) Line 3 Adventist Hlth SystemSunbelt Inc
 
Yes
 
(26)AHP Specialty Care NFP
5101 S Willow Springs Rd Suite B101

La Grange,IL60525
81-1105774 		Operation of Physician Practices & Medical Services IL 501(c)(3) Line 3 AHS Midwest Management Inc
 
Yes
 
(27)AHS Midwest Management Inc
5101 S Willow Springs Rd Suite B101

La Grange,IL60525
36-3354567 		Operation of Physician Practice Management IL 501(c)(3) Line 12a, I Adventist Midwest Health
 
Yes
 
(28)Apopka Health Care Properties Inc
305 E Oak Street

Apopka,FL32703
51-0605694 		Lease to Related Organization GA 501(c)(3) Line 12c, III-FI Sunbelt Hlth Care Centers Inc
 
Yes
 
(29)Bert Fish Medical Center Auxiliary Inc
401 Palmetto Street

New Smyrna Beach,FL32168
59-1054892 		Volunteer support services FL 501(c)(3) Line 10 N/A
 
No
(30)Bradford Heights Health & Rehab Center Inc
485 North Keller Road 250

Maitland,FL32751
20-5782342 		Inactive - Wind-Down KY 501(c)(3) Line 10 Sunbelt Hlth Care Centers Inc
 
Yes
 
(31)Burleson Nursing & Rehab Center Inc
301 Huguley Blvd

Burleson,TX76028
20-5782243 		Operation of Home for the Aged/Hlthcare Delivery TX 501(c)(3) Line 10 Sunbelt Hlth Care Centers Inc
 
Yes
 
(32)Chickasaw Health Care Properties Inc
250 S Chickasaw Trail

Orlando,FL32825
51-0605681 		Lease to Related Organization GA 501(c)(3) Line 12c, III-FI Sunbelt Hlth Care Centers Inc
 
Yes
 
(33)Chippewa Valley Hospital & Oakview Care Center Inc
1220 Third Avenue West

Durand,WI54736
39-1365168 		Operation of Hospital & Related Services WI 501(c)(3) Line 3 Adventist Hlth SystemSunbelt Inc
 
Yes
 
(34)Coalition For Physician Well-Being Inc
900 Hope Way

Altamonte Springs,FL32714
46-3477012 		Provide support for Physician well-being FL 501(c)(3) Line 10 Adventist Hlth System Sunbelt Hlthcare Corp
 
Yes
 
(35)Courtland Health Care Properties Inc
730 Courtland Street

Orlando,FL32804
51-0605682 		Lease to Related Organization GA 501(c)(3) Line 12c, III-FI Sunbelt Hlth Care Centers Inc
 
Yes
 
(36)Creekwood Place Nursing & Rehab Center Inc
485 North Keller Road 250

Maitland,FL32751
20-5782260 		Inactive - Wind-Down KY 501(c)(3) Line 10 Sunbelt Hlth Care Centers Inc
 
Yes
 
(37)Dairy Road Health Care Properties Inc
7350 Dairy Road

Zephyrhills,FL33540
51-0605684 		Lease to Related Organization GA 501(c)(3) Line 12c, III-FI Sunbelt Hlth Care Centers Inc
 
Yes
 
(38)East Orlando Health & Rehab Center Inc
250 S Chickasaw Trail

Orlando,FL32825
20-5774748 		Operation of Home for the Aged/Hlthcare Delivery FL 501(c)(3) Line 10 Sunbelt Hlth Care Centers Inc
 
Yes
 
(39)Emory-Adventist Inc (1121 - 123121)
900 Hope Way

Altamonte Springs,FL32714
58-2171011 		Inactive GA 501(c)(3) Line 3 Adventist Hlth SystemSunbelt Inc
 
Yes
 
(40)Fletcher Hospital Inc
100 Hospital Drive

Hendersonville,NC28792
56-0543246 		Operation of Hospital & Related Services NC 501(c)(3) Line 3 Adventist Hlth System Sunbelt Hlthcare Corp
 
Yes
 
(41)FLNC Inc
3355 E Semoran Blvd

Apopka,FL32703
20-5774761 		Operation of Home for the Aged/Hlthcare Delivery FL 501(c)(3) Line 10 Sunbelt Hlth Care Centers Inc
 
Yes
 
(42)Florida Hospital Dade City Inc
13100 Fort King Road

Dade City,FL33525
82-2567308 		Operation of Hospital & Related Services FL 501(c)(3) Line 3 Adventist Hlth System Sunbelt Hlthcare Corp
 
Yes
 
(43)Florida Hospital Healthcare Partners Inc
770 West Granada Blvd 101

Ormond Beach,FL32174
46-2354804 		Operation of Physician Practices & Medical Services FL 501(c)(3) Line 3 Adventist Hlth SystemSunbelt Inc
 
Yes
 
(44)Florida Hospital Medical Group Inc
2600 Westhall Lane 4th Floor

Maitland,FL32751
59-3214635 		Operation of Physician Practices & Medical Services FL 501(c)(3) Line 3 Adventist Hlth SystemSunbelt Inc
 
Yes
 
(45)Florida Hospital Ocala Inc
1500 SW 1st Avenue

Ocala,FL34471
82-4372339 		Operation of Hospital & Related Services FL 501(c)(3) Line 3 Adventist Hlth System Sunbelt Hlthcare Corp
 
Yes
 
(46)Florida Hospital Physician Group Inc
12470 Telecom Dr 100

Tampa,FL33637
46-2021581 		Operation of Physician Practices & Medical Services FL 501(c)(3) Line 3 Adventist Hlth System Sunbelt Hlthcare Corp
 
Yes
 
(47)Florida Hospital Waterman Inc
1000 Waterman Way

Tavares,FL32778
59-3140669 		Operation of Hospital & Related Services FL 501(c)(3) Line 3 Adventist Hlth System Sunbelt Hlthcare Corp
 
Yes
 
(48)Florida Hospital Zephyrhills Inc
7050 Gall Blvd

Zephyrhills,FL33541
59-2108057 		Operation of Hospital & Related Services FL 501(c)(3) Line 3 Adventist Hlth SystemSunbelt Inc
 
Yes
 
(49)Florida Radiology Imaging at Lake Mary LLC
2600 Westhall Lane 4th Floor

Maitland,FL32751
55-0789387 		Imaging & Testing FL 501(c)(3) Line 3 Florida Hospital Medical Group Inc
 
Yes
 
(50)Fountain Inn Nursing & Rehab Center Inc
4501 Waterman Way

Tavares,FL32778
47-2180518 		Operation of Home for the Aged/Hlthcare Delivery FL 501(c)(3) Line 10 Sunbelt Hlth Care Centers Inc
 
Yes
 
(51)Helen Ellis Memorial Hospital Auxiliary Inc
1395 S Pinellas Ave

Tarpon Springs,FL34689
59-2106043 		Fund-raising for Tax-exempt hospital/foundation FL 501(c)(3) Line 12c, III-FI N/A
 
No
(52)Helen Ellis Memorial Hospital Foundation Inc
1395 S Pinellas Ave

Tarpon Springs,FL34689
59-3690149 		Fund-raising for Tax-exempt hospital FL 501(c)(3) Line 7 N/A
 
No
(53)Hinsdale Hospital Foundation
120 North Oak Street

Hinsdale,IL60521
52-1466387 		Fund-raising for Tax-exempt hospital IL 501(c)(3) Line 7 Midwest Hlth Foundation
 
 
No
(54)Hospice of the Comforter Inc
480 W Central Parkway

Altamonte Springs,FL32714
59-2935928 		Operation of Hospice FL 501(c)(3) Line 10 The Comforter Health Care Group Inc
 
Yes
 
(55)In-Motion Rehab Inc
485 North Keller Road 250

Maitland,FL32751
20-8023411 		Inactive KS 501(c)(3) Line 12b, II Sunbelt Hlth Care Centers Inc
 
Yes
 
(56)Lake County Health Care Properties Inc
485 North Keller Road 250

Maitland,FL32751
81-3923985 		Lease to Related Organization GA 501(c)(3) Line 12c, III-FI Sunbelt Hlth Care Centers Inc
 
Yes
 
(57)Memorial Health Systems Foundation Inc
305 Memorial Medical Pkwy 212

Daytona Beach,FL32117
31-1771522 		Fund-raising for Tax-exempt hospital FL 501(c)(3) Line 7 N/A
 
No
(58)Memorial Health Systems Inc
301 Memorial Medical Parkway

Daytona Beach,FL32117
59-0973502 		Operation of Hospital & Related Services FL 501(c)(3) Line 3 Adventist Hlth SystemSunbelt Inc
 
Yes
 
(59)Memorial Hospital - West Volusia Inc
701 West Plymouth Avenue

Deland,FL32720
59-3256803 		Operation of Hospital & Related Services FL 501(c)(3) Line 3 Memorial Hlth Systems Inc
 
Yes
 
(60)Memorial Hospital Flagler Inc
60 Memorial Medical Parkway

Palm Coast,FL32164
59-2951990 		Operation of Hospital & Related Services FL 501(c)(3) Line 3 Memorial Hlth Systems Inc
 
Yes
 
(61)Memorial Hospital Inc
210 Marie Langdon Drive

Manchester,KY40962
61-0594620 		Operation of Hospital & Related Services KY 501(c)(3) Line 3 Adventist Hlth System Sunbelt Hlthcare Corp
 
Yes
 
(62)Metroplex Adventist Hospital Inc
2201 S Clear Creek Road

Killeen,TX76549
74-2225672 		Operation of Hospital & Related Services TX 501(c)(3) Line 3 Adventist Hlth System Sunbelt Hlthcare Corp
 
Yes
 
(63)Metroplex Clinic Physicians Inc
2201 S Clear Creek Road

Killeen,TX76549
11-3762050 		Physician Healthcare services to the community TX 501(c)(3) Line 3 Metroplex Adventist Hospital Inc
 
Yes
 
(64)Midwest Health Foundation
120 North Oak Street

Hinsdale,IL60521
35-2230515 		Fund-Raising for Supported Exempt Hospitals IL 501(c)(3) Line 7 N/A
 
No
(65)Mills Health & Rehab Center Inc
485 North Keller Road 250

Maitland,FL32751
20-5782320 		Inactive - Wind-Down KY 501(c)(3) Line 10 Sunbelt Hlth Care Centers Inc
 
Yes
 
(66)Mission Strategies of Georgia Inc
485 North Keller Road 250

Maitland,FL32751
90-0866024 		Provision of support to the nursing home division GA 501(c)(3) Line 12b, II Sunbelt Hlth Care Centers Inc
 
Yes
 
(67)Missouri Adventist Health Inc
9100 W 74th Street

Shawnee Mission,KS66204
43-1224729 		Support Health Care Services MO 501(c)(3) Line 12d, III-O Adventist Hlth Mid-America Inc
 
Yes
 
(68)Ormond Beach Memorial Hospital Auxiliary Inc(11-123121)
301 Memorial Medical Pkwy

Daytona Beach,FL32117
59-1721962 		Volunteer support services FL 501(c)(3) Line 12c, III-FI N/A
 
No
(69)Osceola Health Care Properties Inc
485 North Keller Road 250

Maitland,FL32751
81-3165729 		Lease to Related Organization GA 501(c)(3) Line 12c, III-FI Sunbelt Hlth Care Centers Inc
 
Yes
 
(70)Overland Park Nursing & Rehab Center Inc
6501 West 75th Street

Overland Park,KS66204
20-5774821 		Operation of Home for the Aged/Hlthcare Delivery KS 501(c)(3) Line 10 Sunbelt Hlth Care Centers Inc
 
Yes
 
(71)Pasco-Pinellas Hillsborough Community Hlth System Inc
2600 Bruce B Downs Blvd

Wesley Chapel,FL33544
20-8488713 		Operation of Hospital & Related Services FL 501(c)(3) Line 3 Adventist Hlth System Sunbelt Hlthcare Corp
 
Yes
 
(72)Portercare Adventist Health System (630 YE)
9100 E Mineral Circle

Centennial,CO80112
84-0438224 		Operation of Hospitals & Related Services CO 501(c)(3) Line 3 Adventist Hlth System Sunbelt Hlthcare Corp
 
Yes
 
(73)Princeton Health & Rehab Center Inc
485 North Keller Road 250

Maitland,FL32751
20-5782272 		Inactive - Wind-Down KY 501(c)(3) Line 10 Sunbelt Hlth Care Centers Inc
 
Yes
 
(74)Princeton Professional Services Inc
601 E Rollins Street

Orlando,FL32803
59-1191045 		Provision of Healthcare Services FL 501(c)(3) Line 10 Adventist Hlth System Sunbelt Hlthcare Corp
 
Yes
 
(75)Quality Circle for Healthcare Inc
900 Hope Way

Altamonte Springs,FL32714
26-3789368 		Healthcare Quality Services FL 501(c)(3) Line 12a, I Adventist Hlth System Sunbelt Hlthcare Corp
 
Yes
 
(76)Redmond Park Hospital LLC (10121 - 123121)
501 Redmond Road NW

Rome,GA30165
58-1123037 		Operation of Hospital & Related Services GA 501(c)(3) Line 3 Adventist Hlth System Sunbelt Hlthcare Corp
 
Yes
 
(77)Resource Personnel Inc
485 North Keller Road 250

Maitland,FL32751
20-8040875 		Provide administrative support to tax exempt nursing homes FL 501(c)(3) Line 12b, II Sunbelt Hlth Care Centers Inc
 
Yes
 
(78)Rocky Mountain Adventist Hlthcare Foundation (630 YE)
960 E Harvard Avenue Ste 230

Denver,CO80210
84-0745018 		Fund-raising for Tax-exempt hospital CO 501(c)(3) Line 7 N/A
 
No
(79)Rollins Brook Community Care Corp
2201 S Clear Creek Road

Killeen,TX76549
46-1656773 		Support Operation of Hospital TX 501(c)(3) Line 12a, I Adventist Hlth SystemSunbelt Inc
 
Yes
 
(80)San Marcos Health Care Properties Inc (11 - 123021)
1900 Medical Parkway

San Marcos,TX78666
51-0605693 		Lease to Related Organization GA 501(c)(3) Line 12c, III-FI Sunbelt Hlth Care Centers Inc
 
Yes
 
(81)San Marcos Nursing & Rehab Center Inc
1900 Medical Parkway

San Marcos,TX78666
20-5782224 		Operation of Home for the Aged/Hlthcare Delivery TX 501(c)(3) Line 10 Sunbelt Hlth Care Centers Inc
 
Yes
 
(82)Shawnee Mission Hlth Care Properties Inc
485 North Keller Road 250

Maitland,FL32751
81-3914908 		Lease to Related Organization GA 501(c)(3) Line 12c, III-FI Sunbelt Hlth Care Centers Inc
 
Yes
 
(83)Shawnee Mission Health Care Inc
6501 West 75th Street

Overland Park,KS66204
48-0952508 		Lease to Related Organization KS 501(c)(3) Line 12c, III-FI Sunbelt Hlth Care Centers Inc
 
Yes
 
(84)Shawnee Mission Medical Center Inc
9100 W 74th Street

Shawnee Mission,KS66204
48-0637331 		Operation of Hospital & Related Services KS 501(c)(3) Line 3 Adventist Hlth Mid-America Inc
 
Yes
 
(85)South Pasco Health Care Properties Inc
38250 A Avenue

Zephyrhills,FL33542
51-0605679 		Lease to Related Organization GA 501(c)(3) Line 12c, III-FI Sunbelt Hlth Care Centers Inc
 
Yes
 
(86)Southeast Volusia Healthcare Corp
401 Palmetto Street

New Smyrna Beach,FL32168
47-3793197 		Operation of Hospital & Related Services FL 501(c)(3) Line 3 Adventist Hlth System Sunbelt Hlthcare Corp
 
Yes
 
(87)Southwest Volusia Health Services Inc
1055 Saxon Blvd

Orange City,FL32763
59-3281591 		Medical Office Building for Hospital FL 501(c)(3) Line 12a, I Southwest Volusia Hlthcare Corp
 
Yes
 
(88)Southwest Volusia Healthcare Corp
1055 Saxon Blvd

Orange City,FL32763
59-3149293 		Operation of Hospital & Related Services FL 501(c)(3) Line 3 Adventist Hlth SystemSunbelt Inc
 
Yes
 
(89)Spring View Health & Rehab Center Inc
485 North Keller Road 250

Maitland,FL32751
20-5782288 		Inactive - Wind-Down KY 501(c)(3) Line 10 Sunbelt Hlth Care Centers Inc
 
Yes
 
(90)Sunbelt Health & Rehab Center - Apopka Inc
305 East Oak Street

Apopka,FL32703
20-5774856 		Operation of Home for the Aged/Hlthcare Delivery FL 501(c)(3) Line 10 Sunbelt Hlth Care Centers Inc
 
Yes
 
(91)Sunbelt Health Care Centers Inc
485 North Keller Road 250

Maitland,FL32751
58-1473135 		Management Services TN 501(c)(3) Line 12b, II Adventist Hlth System Sunbelt Hlthcare Corp
 
Yes
 
(92)SunSystem Development Corp
900 Hope Way

Altamonte Springs,FL32714
59-2219301 		Fund-Raising for Affiliated Tax-Exempt Hospitals FL 501(c)(3) Line 7 Adventist Hlth System Sunbelt Hlthcare Corp
 
Yes
 
(93)Tarpon Springs Hospital Foundation Inc
1395 S Pinellas Ave

Tarpon Springs,FL34689
59-0898901 		Operation of Hospital & Related Services FL 501(c)(3) Line 3 University Community Hospital Inc
 
Yes
 
(94)Tarrant County Health Care Properties Inc
301 Huguley Blvd

Burleson,TX76028
51-0605677 		Lease to Related Organization GA 501(c)(3) Line 12c, III-FI Sunbelt Hlth Care Centers Inc
 
Yes
 
(95)The Comforter Health Care Group Inc
605 Montgomery Road

Altamonte Springs,FL32714
27-1857940 		Support Services to Related Hospice FL 501(c)(3) Line 12c, III-FI Adventist Hlth System Sunbelt Hlthcare Corp
 
Yes
 
(96)The Volunteer Auxiliary of Florida Hosp Flagler Inc(11-8321)
60 Memorial Medical Pkwy

Palm Coast,FL32164
59-2486582 		Volunteer support services FL 501(c)(3) Line 12c, III-FI N/A
 
No
(97)Tri-County Nursing and Rehab Center Inc
1290 Celebration Blvd

Kissimmee,FL34747
47-2219363 		Operation of Home for the Aged/Hlthcare Delivery FL 501(c)(3) Line 10 Sunbelt Hlth Care Centers Inc
 
Yes
 
(98)University Community Hospital Foundation Inc
3100 E Fletcher Ave

Tampa,FL33613
59-2554889 		Fund-raising for Tax-exempt hospital FL 501(c)(3) Line 7 N/A
 
No
(99)University Community Hospital Inc
3100 E Fletcher Ave

Tampa,FL33613
59-1113901 		Operation of Hospitals & Related Services FL 501(c)(3) Line 3 Adventist Hlth System Sunbelt Hlthcare Corp
 
Yes
 
(100)West Florida Health Home Care Inc
13601 Bruce B Downs Blvd Ste 110

Tampa,FL33613
59-3686109 		Home Health Services GA 501(c)(3) Line 10 AdventHealth West Florida Ambulatory Svcs Inc
 
Yes
 
(101)Zephyr Haven Health & Rehab Center Inc
38250 A Avenue

Zephyrhills,FL33542
20-5774930 		Operation of Home for the Aged/Hlthcare Delivery FL 501(c)(3) Line 10 Sunbelt Hlth Care Centers Inc
 
Yes
 
(102)Zephyrhills Health & Rehab Center Inc
7350 Dairy Road

Zephyrhills,FL33540
20-5774967 		Operation of Home for the Aged/Hlthcare Delivery FL 501(c)(3) Line 10 Sunbelt Hlth Care Centers Inc
 
Yes
 
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50135Y
Schedule R (Form 990) 2021
Schedule R (Form 990) 2021
Page 2
Part III
Identification of Related Organizations Taxable as a Partnership. Complete if the organization answered "Yes" on Form 990, Part IV, line 34, because it had one or more related organizations treated as a partnership during the tax year.
(a)
Name, address, and EIN of
related organization



 		(b)
Primary activity




 		(c)
Legal
domicile
(state or foreign
country)


 		(d)
Direct controlling
entity



 		(e)
Predominant income(related, unrelated, excluded from tax under sections 512-514)

(f)
Share of total income




 		(g)
Share of end-of-year
assets



 		(h)
Disproprtionate allocations?




 		(i)
Code V-UBI
amount in box 20 of
Schedule K-1
(Form 1065)
 		(j)
General or
managing
partner?



 		(k)
Percentage
ownership
Yes No Yes No
(1) Fletcher Hospital Surgical Ventures LLC

9131 Anson Way Ste 304
Raleigh,NC27615
86-1482646 		Indirect Interest in Surgery Center NC N/A
         No     No  
(2) Florida Hospital DMERT LLC

500 Winderley Place Ste 324
Maitland,FL32751
20-2392253 		Medical Equipment FL N/A
         No   Yes    
(3) Florida Hospital Home Infusion LLP

500 Winderley Place Ste 226
Maitland,FL32751
59-3142824 		Home Infusion Services FL N/A
         No   Yes    
(4) Functional Neurosurgical Ambulatory Surgery Ctr LLC

11 W Dry Creek Circle 120
Littleton,CO80120
46-4426708 		Surgery Center CO N/A
         No     No  
(5) PAHS OnPoint Urgent Care LLC

9100 E Mineral Circle
Centennial,CO80112
83-2465331 		Urgent Care Center CO N/A
         No     No  
(6) Princeton Homecare Services LLC

1050 Forrer Blvd
Kettering,OH45420
81-4196648 		Operation of Home Health Agency FL N/A
         No     No  
(7) San Marcos MRI LP (1121-8121)

1330 Wonder World Dr Ste 202
San Marcos,TX78666
77-0597972 		Imaging & Testing TX N/A
         No     No  
(8) Surgery Center of Rome LP

900 Hope Way
Altamonte Springs,FL32714
20-0390305 		Surgery Center FL N/A
         No     No  
(9) The Bariatric Center of Kansas City LLC

9100 W 74th Street
Merriam,KS66204
82-3025378 		Surgery Center KS N/A
         No     No  
(10) Urgent Care Centers of Brevard County LLC

2600 Westhall Lane
Maitland,FL32751
84-4261523 		Urgent Care Centers FL N/A
         No   Yes    
Part IV
Identification of Related Organizations Taxable as a Corporation or Trust. Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a corporation or trust during the tax year.
(a)
Name, address, and EIN of
related organization
 		(b)
Primary activity
 		(c)
Legal
domicile
(state or foreign
country)
 		(d)
Direct controlling
entity
 		(e)
Type of entity
(C corp, S corp,
or trust) 		(f)
Share of total income
 		(g)
Share of end-of-year
assets
 		(h)
Percentage
ownership
 		(i)
Section 512(b)(13) controlled entity?
Yes No
(1) AdventHealth Orlando Network Inc (35 - 123121)

900 Hope Way
Altamonte Springs,FL32714
86-2639185 		Inactive FL Adventist Hlth System Sunbelt Hlthcare Corp
  		C     100.000 % Yes  
(2) AdventHealth Professional Staffing Inc (35 - 123121)

900 Hope Way
Altamonte Springs,FL32714
88-0742779 		INACTIVE FL Adventist Hlth System Sunbelt Hlthcare Corp
  		C     100.000 % Yes  
(3) AdventHealth Tampa Network Inc (35 - 123121)

900 Hope Way
Altamonte Springs,FL32714
86-2666178 		Inactive FL Adventist Hlth System Sunbelt Hlthcare Corp
  		C     100.000 % Yes  
(4) AdventHealth Team Members Inc (35 - 123121)

900 Hope Way
Altamonte Springs,FL32714
88-0763664 		INACTIVE FL Adventist Hlth System Sunbelt Hlthcare Corp
  		C     100.000 % Yes  
(5) Altamonte Medical Plaza Condominium Association Inc

601 East Rollins Street
Orlando,FL32803
59-2855792 		Condo Association FL N/A
 C       Yes  
(6) Apopka Medical Plaza Condominium Association Inc

601 East Rollins Street
Orlando,FL32803
59-3000857 		Condo Association FL N/A
 C       Yes  
(7) Battle Creek Adventist Hospital

900 Hope Way
Altamonte Springs,FL32714
38-1359189 		Inactive MI N/A
 C       Yes  
(8) Central Texas Medical Associates (11-12252021)

1301 Wonder World Drive
San Marcos,TX78666
74-2729873 		Inactive TX N/A
 C       Yes  
(9) Florida Hosp Hlth Village Property Owner's Assoc Inc

550 E Rollins Street 7th Floor
Orlando,FL32803
82-1748255 		Condo Association FL N/A
 C       Yes  
(10) Florida Hospital Flagler Medical Offices Association Inc

60 Memorial Medical Parkway
Palm Coast,FL32164
26-2158309 		Condo Association FL N/A
 C       Yes  
(11) Florida Hospital Healthcare System Inc

101 Southhall Lane Ste 150
Maitland,FL32751
59-3215680 		PHSO / CIN FL N/A
 C       Yes  
(12) Florida Medical Plaza Condominium Association Inc

601 East Rollins Street
Orlando,FL32803
59-2855791 		Condo Association FL N/A
 C       Yes  
(13) Kissimmee Multispecialty Clinic Condominium Association Inc

201 Hilda Street Suite 30
Kissimmee,FL34741
59-3539564 		Condo Association FL N/A
 C       Yes  
(14) Midwest Management Services Inc

9100 West 74th Street
Shawnee Mission,KS66204
48-0901551 		Inactive KS N/A
 C       Yes  
(15) North American Health Services Inc & Sub

900 Hope Way
Altamonte Springs,FL32714
62-1041820 		Holding Co. TN Adventist Hlth System Sunbelt Hlthcare Corp
  		C 10,539,471 63,448,308 100.000 % Yes  
(16) Ormond Prof Associates Condo Assoc Inc (430 year end)

770 W Granada Blvd Ste 101
Ormond Beach,FL32174
59-2694434 		Condo Association FL N/A
 C       Yes  
(17) Park Ridge Property Owner's Association Inc

1 Park Place Naples Road
Fletcher,NC28732
03-0380531 		Condo Association NC N/A
 C       Yes  
(18) Porter Affiliated Health Services Inc (11-63021)

2525 S Downing Street
Denver,CO80210
84-0956175 		INACTIVE CO N/A
 C       Yes  
(19) Redmond Park Health Services Inc (10121 - 123121)

900 Hope Way
Altamonte Springs,FL32714
62-1330078 		Holding Company GA N/A
 C       Yes  
(20) Redmond Physician Practice Company (10121 - 10121)

900 Hope Way
Altamonte Springs,FL32714
62-1662134 		Medical Clinics GA Adventist Hlth System Sunbelt Hlthcare Corp
  		C     100.000 % Yes  
(21) Surgicare of Rome Inc (10121 - 123121)

900 Hope Way
Altamonte Springs,FL32714
20-0376307 		Holding Company GA N/A
 C       Yes  
(22) The Garden Retirement Community Inc

485 North Keller Road Ste 250
Maitland,FL32751
59-3414055 		Real Estate Rental FL N/A
 C       Yes  
(23) Winter Park Medical Office Building I Condo Assoc Inc

601 East Rollins Street
Orlando,FL32803
45-2228478 		Condo Association FL N/A
 C       Yes  
Schedule R (Form 990) 2021
Schedule R (Form 990) 2021
Page 3
Part V
Transactions With Related Organizations. Complete if the organization answered "Yes" on Form 990, Part IV, line 34, 35b, or 36.
Note. Complete line 1 if any entity is listed in Parts II, III, or IV of this schedule.
Yes
No
1 During the tax year, did the orgranization engage in any of the following transactions with one or more related organizations listed in Parts II-IV?
a Receipt of (i) interest, (ii) annuities, (iii) royalties, or (iv) rent from a controlled entity .....................
1a
Yes
 
b Gift, grant, or capital contribution to related organization(s) ............................
1b
Yes
 
c Gift, grant, or capital contribution from related organization(s) ............................
1c
Yes
 
d Loans or loan guarantees to or for related organization(s) ............................
1d
 
No
e Loans or loan guarantees by related organization(s) ............................
1e
 
No
f Dividends from related organization(s) ............................
1f
 
No
g Sale of assets to related organization(s) ............................
1g
 
No
h Purchase of assets from related organization(s) ............................
1h
 
No
i Exchange of assets with related organization(s) ............................
1i
 
No
j Lease of facilities, equipment, or other assets to related organization(s) .......................
1j
 
No
k Lease of facilities, equipment, or other assets from related organization(s) ......................
1k
 
No
l Performance of services or membership or fundraising solicitations for related organization(s) .....................
1l
Yes
 
m Performance of services or membership or fundraising solicitations by related organization(s) .................
1m
Yes
 
n Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) ...................
1n
 
No
o Sharing of paid employees with related organization(s) ............................
1o
 
No
p Reimbursement paid to related organization(s) for expenses ............................
1p
 
No
q Reimbursement paid by related organization(s) for expenses ............................
1q
Yes
 
r Other transfer of cash or property to related organization(s) ............................
1r
Yes
 
s Other transfer of cash or property from related organization(s) ............................
1s
Yes
 
2
If the answer to any of the above is "Yes," see the instructions for information on who must complete this line, including covered relationships and transaction thresholds.
(a)
Name of related organization 		(b)
Transaction
type (a-s) 		(c)
Amount involved 		(d)
Method of determining amount involved
(1) Florida Hospital Healthcare System Inc

 A 826,751 FMV
(2) AdventHealth Senior Care Inc

 B 13,000,000 Actual Amount Given
(3) AdventHealth Polk North Inc

 C 2,124,003 Actual Amount Received
(4) Adventist Bolingbrook Hospital

 C 3,274,222 Actual Amount Received
(5) Adventist GlenOaks Hospital

 C 1,462,346 Actual Amount Received
(6) Adventist Health System Georgia Inc

 C 5,589,529 Actual Amount Received
(7) Adventist Health SystemSunbelt Inc

 C 151,129,549 Actual Amount Received
(8) Adventist Midwest Health

 C 10,765,445 Actual Amount Received
(9) Chippewa Valley Hospital & Oakview Care Center Inc

 C 433,280 Actual Amount Received
(10) Fletcher Hospital Inc

 C 7,296,391 Actual Amount Received
(11) Florida Hospital Dade City Inc

 C 1,062,527 Actual Amount Received
(12) Florida Hospital Medical Group Inc

 C 9,170,509 Actual Amount Received
(13) Florida Hospital Ocala Inc

 C 5,661,840 Actual Amount Received
(14) Florida Hospital Waterman Inc

 C 13,491,896 Actual Amount Received
(15) Florida Hospital Zephyrhills Inc

 C 5,391,656 Actual Amount Received
(16) Memorial Health Systems Inc

 C 11,800,475 Actual Amount Received
(17) Memorial Hospital - Flagler Inc

 C 13,214,390 Actual Amount Received
(18) Memorial Hospital - West Volusia Inc

 C 5,863,108 Actual Amount Received
(19) Memorial Hospital Inc

 C 1,259,897 Actual Amount Received
(20) Pasco-Pinellas Hillsborough Community Health System Inc

 C 9,413,477 Actual Amount Received
(21) PorterCare Adventist Health System

 C 36,846,039 Actual Amount Received
(22) Shawnee Mission Medical Center Inc

 C 18,434,340 Actual Amount Received
(23) Southeast Volusia Healthcare Corporation

 C 1,699,385 Actual Amount Received
(24) Southwest Volusia Healthcare Corporation

 C 5,868,746 Actual Amount Received
(25) SunSystem Development Corporation dba AdventHealth Foundation Central Flori

 C 165,000 Actual Amount Received
(26) Tarpon Springs Hospital Foundation Inc dba AdventHealth North Pinellas

 C 1,897,575 Actual Amount Received
(27) University Community Hospital Inc

 C 14,849,376 Actual Amount Received
(28) AdventHealth Polk North Inc

 L 11,184,645 % of subsidaries' operating exp.
(29) AdventHealth Polk South Inc

 L 4,438,936 % of subsidaries' operating exp.
(30) AdventHealth Ransom Memorial Inc

 L 2,513,261 % of subsidaries' operating exp.
(31) AdventHealth South Overland Park Inc

 L 1,900,123 % of subsidaries' operating exp.
(32) AdventHealth West Florida Ambulatory Services Inc

 L 140,492 % of subsidaries' operating exp.
(33) AdventHealth West Florida Imaging Inc

 L 80,764 % of subsidaries' operating exp.
(34) Adventist Bolingbrook Hospital

 L 7,793,311 % of subsidaries' operating exp.
(35) Adventist GlenOaks Hospital

 L 4,184,815 % of subsidaries' operating exp.
(36) Adventist Health System Georgia Inc

 L 9,452,790 % of subsidaries' operating exp.
(37) Adventist Health SystemSunbelt Inc

 L 259,915,527 % of subsidaries' operating exp.
(38) Adventist Midwest Health

 L 18,065,163 % of subsidaries' operating exp.
(39) AHS Midwest Management Inc

 L 1,282,463 % of subsidaries' operating exp.
(40) Chippewa Valley Hospital & Oakview Care Center Inc

 L 851,751 % of subsidaries' operating exp.
(41) Fletcher Hospital Inc

 L 10,682,623 % of subsidaries' operating exp.
(42) Florida Hospital Dade City Inc

 L 3,714,748 % of subsidaries' operating exp.
(43) Florida Hospital Healthcare System Inc

 L 6,301,273 % of subsidaries' operating exp.
(44) Florida Hospital Medical Group Inc

 L 9,132,569 % of subsidaries' operating exp.
(45) Florida Hospital Ocala Inc

 L 19,452,251 % of subsidaries' operating exp.
(46) Florida Hospital Physician Group Inc

 L 3,208,332 % of subsidaries' operating exp.
(47) Florida Hospital Waterman Inc

 L 16,331,925 % of subsidaries' operating exp.
(48) Florida Hospital Zephyrhills Inc

 L 10,043,749 % of subsidaries' operating exp.
(49) Florida Radiology Imaging at Lake Mary LLC

 L 393,370 % of subsidaries' operating exp.
(50) Hospice of the Comforter Inc

 L 367,546 % of subsidaries' operating exp.
(51) Memorial Health Systems Inc

 L 23,115,241 % of subsidaries' operating exp.
(52) Memorial Hospital - Flagler Inc

 L 11,554,371 % of subsidaries' operating exp.
(53) Memorial Hospital - West Volusia Inc

 L 9,462,414 % of subsidaries' operating exp.
(54) Memorial Hospital Inc

 L 3,689,489 % of subsidaries' operating exp.
(55) Metroplex Adventist Hospital Inc

 L 9,246,576 % of subsidaries' operating exp.
(56) Pasco-Pinellas Hillsborough Community Health System Inc

 L 13,296,991 % of subsidaries' operating exp.
(57) PorterCare Adventist Health System

 L 11,097,704 % of subsidaries' operating exp.
(58) Redmond Park Hospital LLC

 L 1,528,918 % of subsidaries' operating exp.
(59) Shawnee Mission Medical Center Inc

 L 25,562,079 % of subsidaries' operating exp.
(60) Southeast Volusia Healthcare Corporation

 L 7,839,197 % of subsidaries' operating exp.
(61) Southwest Volusia Healthcare Corporation

 L 11,209,185 % of subsidaries' operating exp.
(62) Sunbelt Health Care Centers Inc

 L 3,685,827 % of subsidaries' operating exp.
(63) Tarpon Springs Hospital Foundation Inc dba AdventHealth North Pinellas

 L 7,443,645 % of subsidaries' operating exp.
(64) University Community Hospital Inc

 L 43,407,810 % of subsidaries' operating exp.
(65) West Florida Health Home Care Inc

 L 310,069 % of subsidaries' operating exp.
(66) AdventHealth Ransom Memorial Inc

 M 103,085 Cost
(67) Adventist Bolingbrook Hospital

 M 369,308 Cost
(68) Adventist Health System Georgia Inc

 M 127,333 Cost
(69) Adventist Health SystemSunbelt Inc

 M 178,379 Cost
(70) Adventist Midwest Health

 M 286,940 Cost
(71) Shawnee Mission Medical Center Inc

 M 335,107 Cost
(72) AdventHealth Family Medicine Rural Health Clinics Inc

 Q 346,602 Cost
(73) AdventHealth Polk North Inc

 Q 10,520,350 Cost
(74) AdventHealth Polk South Inc

 Q 2,805,869 Cost
(75) AdventHealth Ransom Memorial Inc

 Q 2,947,958 Cost
(76) AdventHealth Senior Care Inc

 Q 264,380 Cost
(77) AdventHealth South Overland Park Inc

 Q 940,388 Cost
(78) AdventHealth West Florida Ambulatory Services Inc

 Q 82,907 Cost
(79) AdventHealth West Florida Imaging Inc

 Q 105,016 Cost
(80) Adventist Bolingbrook Hospital

 Q 3,576,505 Cost
(81) Adventist GlenOaks Hospital

 Q 2,302,144 Cost
(82) Adventist Health Partners Inc

 Q 5,221,435 Cost
(83) Adventist Health System Georgia Inc

 Q 13,908,305 Cost
(84) Adventist Health SystemSunbelt Inc

 Q 243,292,619 Cost
(85) Adventist Midwest Health

 Q 7,510,505 Cost
(86) Chippewa Valley Hospital & Oakview Care Center Inc

 Q 1,076,547 Cost
(87) Fletcher Hospital Inc

 Q 12,392,470 Cost
(88) Florida Hospital Dade City Inc

 Q 1,749,199 Cost
(89) Florida Hospital Healthcare Partners Inc

 Q 12,172,085 Cost
(90) Florida Hospital Healthcare System Inc

 Q 1,395,621 Cost
(91) Florida Hospital Medical Group Inc

 Q 45,412,798 Cost
(92) Florida Hospital Ocala Inc

 Q 16,290,339 Cost
(93) Florida Hospital Physician Group Inc

 Q 10,720,347 Cost
(94) Florida Hospital Waterman Inc

 Q 13,918,734 Cost
(95) Florida Hospital Zephyrhills Inc

 Q 11,868,377 Cost
(96) Florida Radiology Imaging at Lake Mary LLC

 Q 1,648,055 Cost
(97) Hospice of the Comforter Inc

 Q 1,105,273 Cost
(98) Memorial Health Systems Inc

 Q 22,512,051 Cost
(99) Memorial Hospital - Flagler Inc

 Q 10,967,055 Cost
(100) Memorial Hospital - West Volusia Inc

 Q 8,599,214 Cost
(101) Memorial Hospital Inc

 Q 5,031,505 Cost
(102) Metroplex Adventist Hospital Inc

 Q 7,293,229 Cost
(103) Metroplex Clinic Physicians Inc

 Q 361,170 Cost
(104) Pasco-Pinellas Hillsborough Community Health System Inc

 Q 12,972,304 Cost
(105) PorterCare Adventist Health System

 Q 4,737,533 Cost
(106) Princeton Professional Services Inc

 Q 174,141 Cost
(107) Redmond Park Hospital LLC

 Q 636,715 Cost
(108) Shawnee Mission Medical Center Inc

 Q 28,832,767 Cost
(109) Southeast Volusia Healthcare Corporation

 Q 6,601,342 Cost
(110) Southwest Volusia Healthcare Corporation

 Q 8,771,475 Cost
(111) Sunbelt Health Care Centers Inc

 Q 5,449,177 Cost
(112) Tarpon Springs Hospital Foundation Inc dba AdventHealth North Pinellas

 Q 8,004,654 Cost
(113) University Community Hospital Inc

 Q 53,791,715 Cost
(114) West Florida Health Home Care Inc

 Q 743,038 Cost
(115) Adventist Health SystemSunbelt Inc

 R 82,495,500 Actual Amount Given
(116) Metroplex Adventist Hospital Inc

 S 5,526,590 Actual Amount Received
Schedule R (Form 990) 2021
Schedule R (Form 990) 2021
Page 4
Part VI
Unrelated Organizations Taxable as a Partnership. Complete if the organization answered "Yes" on Form 990, Part IV, line 37.
Provide the following information for each entity taxed as a partnership through which the organization conducted more than five percent of its activities (measured by total assets or gross revenue) that was not a related organization. See instructions regarding exclusion for certain investment partnerships.
(a)
Name, address, and EIN of entity 		(b)
Primary activity 		(c)
Legal domicile
(state or foreign
country) 		(d)
Predominant income (related, unrelated, excluded from tax under sections 512-514)

(e)
Are all partners
section
501(c)(3)
organizations? 		(f)
Share of total income




 		(g)
Share of
end-of-year
assets 		(h)
Disproprtionate allocations? 		(i)
Code V-UBI
amount in box 20
of Schedule K-1
(Form 1065) 		(j)
General or
managing
partner? 		(k)
Percentage
ownership
Yes No Yes No Yes No






























Schedule R (Form 990) 2021
Schedule R (Form 990) 2021
Page 5
Part VII
Supplemental Information
Provide additional information for responses to questions on Schedule R. See instructions.
Return Reference Explanation
Schedule R (Form 990) 2021

Additional Data


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