Attach to Form 990 or Form 990-EZ.
Go to
www.irs.gov/Form990 for instructions and the latest information.
| (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 | |||||
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Total |
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Calendar year
(or fiscal year beginning in)
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(a) 2019 | (b) 2020 | (c) 2021 | (d) 2022 | (e) 2023 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 1 | Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grant.") .. | 23,606,440 | 13,438,511 | 23,075,133 | 22,812,411 | 28,366,080 | 111,298,575 |
| 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 | 23,606,440 | 13,438,511 | 23,075,133 | 22,812,411 | 28,366,080 | 111,298,575 |
| 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) .. | 16,847,527 | |||||
| 6 | Public support. Subtract line 5 from line 4. | 94,451,048 | |||||
Calendar year
(or fiscal year beginning in)
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(a) 2019 | (b) 2020 | (c) 2021 | (d) 2022 | (e) 2023 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 7 | Amounts from line 4.. | 23,606,440 | 13,438,511 | 23,075,133 | 22,812,411 | 28,366,080 | 111,298,575 |
| 8 | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources... | 2,616,260 | 4,486,285 | 5,007,786 | 7,601,982 | 5,715,858 | 25,428,171 |
| 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 | 136,726,746 | |||||
Calendar year (or fiscal
year beginning in) ![]() |
(a) 2019 | (b) 2020 | (c) 2021 | (d) 2022 | (e) 2023 | (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.) | ||||||
Calendar year
(or fiscal year beginning in)
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(a) 2019 | (b) 2020 | (c) 2021 | (d) 2022 | (e) 2023 | (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.).. | ||||||
| Section A - Adjusted Net Income | (A) Prior Year |
(B) Current Year (optional) |
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| 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) |
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| 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): |
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| 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 | ||||
| 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 2023 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-2023 |
(iii) Distributable Amount for 2023 |
|
|---|---|---|---|---|
| 1 Distributable amount for 2023 from Section C, line 6 | ||||
|
2
Underdistributions, if any, for years prior to 2023 (reasonable cause required-- explain in Part VI).
See instructions. |
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| 3 Excess distributions carryover, if any, to 2023: | ||||
| a From 2018....... | ||||
| b From 2019....... | ||||
| c From 2020....... | ||||
| d From 2021....... | ||||
| e From 2022....... | ||||
| fTotal of lines 3a through e | ||||
| g Applied to underdistributions of prior years | ||||
| h Applied to 2023 distributable amount | ||||
|
i
Carryover from 2018 not applied (see instructions) |
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| j Remainder. Subtract lines 3g, 3h, and 3i from line 3f. | ||||
| 4Distributions for 2023 from Section D, line 7: | ||||
| $ | ||||
| a Applied to underdistributions of prior years | ||||
| b Applied to 2023 distributable amount | ||||
| c Remainder. Subtract lines 4a and 4b from line 4. | ||||
|
5
Remaining underdistributions for years prior to 2023, if any. Subtract lines 3g and 4a from line 2. If the amount is greater than zero, explain in Part VI. See instructions. |
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6
Remaining underdistributions for 2023. Subtract lines 3h and 4b from line 1. If the amount is greater than zero, explain in Part VI. See instructions. |
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7 Excess distributions carryover to 2024. Add lines 3j and 4c. |
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| 8 Breakdown of line 7: | ||||
| a Excess from 2019..... | ||||
| b Excess from 2020..... | ||||
| c Excess from 2021..... | ||||
| d Excess from 2022..... | ||||
| e Excess from 2023..... | ||||
| Facts And Circumstances Test |
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| Return Reference | Explanation |
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| Return Reference | Explanation |
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| Form 990, Part VI, Section A, line 4 | The Purposes clause of the filing organization's Articles of Incorporation and Bylaws was updated in 2023 to more fully describe the purpose as to serve as a public foundation supporting the charitable activities of other tax-exempt organizations affiliated with Adventist Health System Sunbelt Healthcare Corporation, dba AdventHealth, and their communities. Prior to the 2023 amendment, the Bylaws provided that the Board of Managers of the filing organization should consist of no more than 25 members. The 2023 amended Bylaws allow Adventist Health System Sunbelt Healthcare Corporation as the Member to establish the specific number of members of the Board of Managers. Qualifications for the members of the Board of Managers was added to the 2023 Bylaws to provide that a member must be more than eighteen years of age and demonstrate an interest in the promotion of philanthropy within the communities served by the filing organization and support the advancement of the filing organization's community engagement. A listing of the responsibilities of the Board of Managers was added to the 2023 Bylaws to provide that the Board of Managers shall exercise responsibility for the strategy and general operations of the filing organization and provide oversight to the foundation arms of the filing organization. The revised Bylaws also provide that any committee of the Board of Managers may include individuals who are not members of the Board of Managers but must contain a majority of Board of Manager members. The Articles of Incorporation and the Bylaws of the filing organization were amended in 2023 to streamline the controls originally set in place for each division (local foundation) of AdventHealth Foundation. The filing organization's governing documents are in place to maintain governance over the local operations of each local foundation, while simultaneously allowing the local foundations additional control if desired. Prior to the 2023 amendments to the Bylaws, the Bylaws provided that each separate foundation arm of the filing organization be governed by a Board of Trustees whose members must be approved by the Board of Managers. The 2023 amended Bylaws provide that each foundation arm can decide whom to appoint to the governing body without the approval of the Board of Managers of the filing organization. However, the Board of Managers does reserve the right to remove an individual appointed to a foundation arm governing body. Prior to amendment, each foundation arm was required to submit to the Board of Managers an Annual Operation Report and Annual Fiscal Report after the close of each year, and to report at least quarterly to the Board of Managers the status of funds which were administered by the foundation arm. These requirements were removed in the 2023 Bylaws amendments. The 2023 amendments to the Bylaws also delete the prior right of the Board of Managers to amend or repeal the operating Bylaws of each foundation arm. The revised Bylaws require each foundation arm to operate pursuant to a governance instrument, provided such is not inconsistent with the governing documents of the filing organization. A provision was added in the 2023 Bylaws to explicitly permit each foundation arm to provide financial support and/or engage in joint fundraising activities or other cooperative initiatives with independent foundations as well as other foundation arms operating as divisions of the filing organization. The 2023 amendments to the Bylaws limit the authority of the Secretary of the filing organization to execute affidavits and other reports to those where the value is less than $250,000. A new article was added to the 2023 Bylaws to specifically state the reserved powers held by Adventist Health System Sunbelt Healthcare Corporation as the Member of the filing organization. These reserved powers include the following: To approve or disapprove any amendments to the Articles of Incorporation or Bylaws; The authority to require the filing organization's adherence to policies adopted by the Member; The authority to set limits and terms for any types of credit or debt transactions exceeding $100,000; The authority to approve or disapprove the annual operating and capital budgets and strategic plans of the filing organization; To approve or disapprove the selection of the auditing firm that audits the books and records of the filing organization's affiliated supported organizations; To approve or disapprove the election of the fiscal year of the filing organization; To approve or disapprove any joint venture or partnership in which the filing organization would be a member or partner; To approve or disapprove the IT systems and other shared services used by the filing organization; and The authority to require the filing organization's adherence to the system-wide naming nomenclature and service standards adopted by the Member. The prior Bylaws contained a section addressing duality of interests. The 2023 amended Bylaws removed this section and now contain a provision requiring all governance members and officers to abide by the Conflicts of Interest policy adopted by the Member and by all applicable laws regarding conflicts of interest. |
| Form 990, Part VI, Section A, line 6 | AdventHealth Foundation, Inc. (AHF) is a wholly owned subsidiary of Adventist Health System Sunbelt Healthcare Corporation (AHSSHC). AHSSHC is a Florida, not-for-profit corporation that is exempt from federal income tax under Internal Revenue Code (IRC) Section 501(c)(3). AHSSHC is the sole corporate member of AHF. There are no other separate classes of membership in AHF. |
| Form 990, Part VI, Section A, line 7a | The affairs of AHF are managed by a Board of Managers. The Board of Managers of AHF are elected by the Member of AHF. |
| Form 990, Part VI, Section A, line 7b | The member of AHF has certain reserved powers as set forth in the Articles of Incorporation and Bylaws of AHF. These reserved powers include the following: a) to appoint and remove the members of the Board of Managers and Officers of AHF; b) to adopt, amend, restate, and repeal the Articles of Incorporation or Bylaws of AHF; c) to require the filing organization's adherence to policies adopted by the Member; d) to set limits and terms for any types of credit or debt transactions exceeding $100,000; e) to approve or disapprove the annual operating and capital budgets and strategic plans of the filing organization; f) to approve or disapprove the selection of the auditing firm that audits the books and records of the filing organization's affiliated supported organizations; g) to approve or disapprove the election of the fiscal year of the filing organization; h) to approve or disapprove any joint venture or partnership in which the filing organization would be a member or partner; i) to approve or disapprove the IT systems and other shared services used by the filing organization; and j) to require the filing organization's adherence to the system-wide naming nomenclature and service standards adopted by the Member. |
| Form 990, Part VI, Section B, line 11b | AHF's current year Form 990 was reviewed by the President of AdventHealth Foundation Central Florida and a Director on the organization's Board prior to its filing with the IRS. The review conducted by the President of AdventHealth Foundation Central Florida and a Director on the organization's Board did not include the review of any supporting workpapers that were used in preparation of the current year's 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 AHF applies to all of its Governance members, including members of the Board of Managers, Committee members, Foundation Arm board members and officers (to be known as Interested Persons). In connection with any actual or possible conflicts of interests, any member of Governance (i.e. Interested Persons) must disclose the existence of any financial interest with AHF and must be given the opportunity to disclose all material facts concerning the financial interest/arrangement to the Board of Managers of AHF 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 Managers 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 AHF's Conflict of Interest Policy, an Interested Person may make a presentation to the Board of Managers (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 AHF'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 AHF is a charitable organization that must primarily engage in activities which accomplish one or more of its exempt purposes. AHF's Conflict of Interest Policy also requires that periodic reviews shall be conducted to ensure that AHF operates in a manner consistent with its charitable purposes. |
| Form 990, Part VI, Section B, line 15 | The individual that serves as the President of the filing organization is not compensated by the filing organization. Such individual is compensated by the related top-tier parent organization of the filing organization. Please see the discussion concerning the process followed by the related top-tier parent organization in determining executive compensation in our response to Schedule J, Line 3. |
| 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. |
| Part VII, Section A: | For those Board of Director members and officers who devote less than full-time to the filing organization (based upon the average number of hours per week shown in column (B) on page 7 of the return) the compensation amounts shown in columns (E) and (F) on page 7 were provided in conjunction with that person's responsibilities and roles in serving in an executive leadership position as an employee of Adventist Health System Sunbelt Healthcare Corporation. |
| Part VIII, Lines 7a, b and c: | The amount shown in Part VIII, Line 7c(i) of the Form 990 includes an allocated share of capital gain/(loss) from a system wide, corporate administered, investment program. |
| Part X, Line 2: | The amounts shown on line 2 of Part X of this return include the filing organization's interest in a central investment pool maintained by Adventist Health System Sunbelt Healthcare Corporation, the filing organization's top-tier parent. The investments in the central investment pool are recorded at market value. |
| Form 990, Part XI, line 9: | Temporarily Restricted Gifts 16,234,940. Transfer of Net Assets Released from Restrictions -14,658,833. Permanently Restricted Investment Income 1,124. Temporarily Restricted Investment Income 1,492,875. Transfer of Funds from Restricted -235,441. Uncollectible Pledges -3,989,858. Rounding 5. |
| 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 part of a controlled group of organizations that comprise a consolidated financial statement audit. The controlled group's parent is Adventist Health System Sunbelt Healthcare Corporation (AHSSHC), a 501(c)(3) organization. The system of healthcare entities owned and controlled by AHSSHC is known as AdventHealth. For the year ended December 31, 2023, AdventHealth will file a consolidated Single Audit which will include all entities that are part of the controlled group. |
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