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 | |||||
| (A)
AdventHealth Family Medicine Rural Health Clinics Inc |
271858033 | 3 | No | 0 | 0 | |
| (B)
AdventHealth Polk North Inc |
841793121 | 3 | No | 0 | 0 | |
| (C)
AdventHealth Primary Care Network Inc |
932208118 | 3 | No | 0 | 0 | |
| (D)
AdventHealth Ransom Memorial Inc |
830976641 | 3 | No | 0 | 0 | |
| (E)
AdventHealth Riverview Inc |
870901094 | 3 | No | 0 | 0 | |
| (F)
AdventHealth Senior Care Inc |
841817046 | 3 | No | 0 | 0 | |
| (G)
AdventHealth West Florida Imaging Inc |
843225135 | 3 | No | 0 | 0 | |
| (H)
Adventist Health System Georgia Inc |
581425000 | 3 | No | 0 | 0 | |
| (I)
Adventist Health SystemSunbelt Inc |
591479658 | 3 | No | 0 | 0 | |
| (J)
Chippewa Valley Hospital & Oakview Care Center Inc |
391365168 | 3 | No | 0 | 0 | |
| (K)
Fletcher Hospital Incorporated dba AdventHealth Hendersonville |
560543246 | 3 | No | 0 | 0 | |
| (L)
Florida Hospital Healthcare Partners Inc |
462354804 | 3 | No | 0 | 0 | |
| (M)
Florida Hospital Medical Group Inc |
593214635 | 3 | No | 0 | 0 | |
| (N)
Florida Hospital Ocala Inc |
824372339 | 3 | No | 0 | 0 | |
| (O)
Florida Hospital Physician Group Inc |
462021581 | 3 | No | 0 | 0 | |
| (P)
Florida Hospital Waterman Inc |
593140669 | 3 | No | 0 | 0 | |
| (Q)
Florida Hospital Zephyrhills Inc |
592108057 | 3 | No | 0 | 0 | |
| (R)
Florida Radiology Imaging at Lake Mary LLC |
550789387 | 3 | No | 0 | 0 | |
| (S)
Memorial Health Systems Inc |
590973502 | 3 | No | 0 | 0 | |
| (T)
Memorial Hospital Flagler Inc |
592951990 | 3 | No | 0 | 0 | |
| (U)
Memorial Hospital Inc |
610594620 | 3 | No | 0 | 0 | |
| (V)
Memorial Hospital-West Volusia Inc |
593256803 | 3 | No | 0 | 0 | |
| (W)
Metroplex Adventist Hospital Inc |
742225672 | 3 | No | 0 | 0 | |
| (X)
Metroplex Clinic Physicians Inc |
113762050 | 3 | No | 0 | 0 | |
| (Y)
Pasco-Pinellas Hillsborough Community Health System Inc |
208488713 | 3 | No | 0 | 0 | |
| (Z)
Shawnee Mission Medical Center Inc |
480637331 | 3 | No | 0 | 0 | |
| (AA)
Southeast Volusia Healthcare Corporation |
473793197 | 3 | No | 0 | 0 | |
| (AB)
Southwest Volusia Healthcare Corporation |
593149293 | 3 | No | 0 | 0 | |
| (AC)
Tarpon Springs Hospital Foundation Inc |
590898901 | 3 | No | 0 | 0 | |
| (AD)
Texas Health Hospital Mansfield |
831869297 | 3 | No | 0 | 0 | |
| (AE)
Texas Health Huguley Inc |
452694620 | 3 | No | 0 | 0 | |
| (AF)
University Community Hospital Inc |
591113901 | 3 | No | 0 | 0 | |
|
Total 32
|
0 | 0 | ||||
Calendar year
(or fiscal year beginning in)
![]() |
(a) 2020 | (b) 2021 | (c) 2022 | (d) 2023 | (e) 2024 | (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. | ||||||
Calendar year
(or fiscal year beginning in)
![]() |
(a) 2020 | (b) 2021 | (c) 2022 | (d) 2023 | (e) 2024 | (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 | ||||||
Calendar year (or fiscal
year beginning in) ![]() |
(a) 2020 | (b) 2021 | (c) 2022 | (d) 2023 | (e) 2024 | (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)
![]() |
(a) 2020 | (b) 2021 | (c) 2022 | (d) 2023 | (e) 2024 | (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) |
||||
| 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 | ||||
| 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 2024 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-2024 |
(iii) Distributable Amount for 2024 |
|
|---|---|---|---|---|
| 1 Distributable amount for 2024 from Section C, line 6 | ||||
|
2
Underdistributions, if any, for years prior to 2024 (reasonable cause required-- explain in Part VI).
See instructions. |
||||
| 3 Excess distributions carryover, if any, to 2024: | ||||
| a From 2019....... | ||||
| b From 2020....... | ||||
| c From 2021....... | ||||
| d From 2022....... | ||||
| e From 2023....... | ||||
| fTotal of lines 3a through e | ||||
| g Applied to underdistributions of prior years | ||||
| h Applied to 2024 distributable amount | ||||
|
i
Carryover from 2019 not applied (see instructions) |
||||
| j Remainder. Subtract lines 3g, 3h, and 3i from line 3f. | ||||
| 4Distributions for 2024 from Section D, line 7: | ||||
| $ | ||||
| a Applied to underdistributions of prior years | ||||
| b Applied to 2024 distributable amount | ||||
| c Remainder. Subtract lines 4a and 4b from line 4. | ||||
|
5
Remaining underdistributions for years prior to 2024, 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 2024. 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 2025. Add lines 3j and 4c. |
||||
| 8 Breakdown of line 7: | ||||
| a Excess from 2020..... | ||||
| b Excess from 2021..... | ||||
| c Excess from 2022..... | ||||
| d Excess from 2023..... | ||||
| e Excess from 2024..... | ||||
| Facts And Circumstances Test |
|---|
| Return Reference | Explanation |
|---|---|
| Part IV, Section A, Line 1: | AdventHealth Team Member Services, Inc. is a subsidiary supporting organization whose parent is Adventist Health System Sunbelt Healthcare Corporation (AHSSHC). AHSSHC is also a supporting organization and serves as the parent organization to the system of hospital and other healthcare provider organizations known as AdventHealth. AHSSHC is an organization exempt from federal income tax under IRC Section 501(c)(3). AHSSHC and its subsidiary organizations operate 51 hospitals in 9 states throughout the U.S., primarily in the Southeastern portion of the U.S. As discussed in the Supporting Organization Reference Guide in the IRS 2004 EO CPE Text, the filing organization was formed as a 509(a)(3) organization of another 509(a)(3) healthcare parent organization but will support the 509(a)(1) and 509(a)(2) organizations that are subsidiary organizations of the supporting organization parent. The Articles of Incorporation of AdventHealth Team Member Services, Inc. state that its purposes include providing support for the delivery of efficient and cost-effective healthcare services within the communities served by having an entity dedicated to the performance of employee administrative tasks. Further, the Articles of Incorporation provide that the filing organization shall always operate in a manner consistent with and in furtherance of the goals, standards, methods and policies of the Seventh-day Adventist Church AdventHealth Team Member Services, Inc. was organized and will operate as a captive professional employer organization (PEO) that will provide PEO services to the hospital and other healthcare provider entities owned and controlled by AHSSHC. The filing organization's services will be directly provided to the 509(a)(1) and 509(a)(2) organizations and will benefit those provider entities. Such services will include human resources management, employee benefit management, payroll administration and regulatory compliance support. AdventHealth Team Member Services, Inc. was incorporated in October of 2024 and conducted no business activity in 2024. AdventHealth Team Member Services, Inc. will become active in December of 2025 as a licensed PEO that will provide services to only those entities owned and controlled by AHSSHC. It is intended that the Articles of Incorporation of AdventHealth Team Member Services, Inc. will be amended to specifically name the publicly supported organizations that it will support prior to commencing its operations in December of 2025. |
| Part IV, Section D, Line 1: | AdventHealth Team Member Services, Inc. was incorporated in October of 2024 and conducted no business activity in 2024. Accordingly, no supporting organization notice was provided since there was no prior year on which to report. AdventHealth Team Member Services, Inc. did provide the required supporting organization notice for its year ended December 31, 2025. |
| Part IV, Section D, Line 2: | The board of directors of AdventHealth Team Member Services, Inc. are appointed by its sole member, Adventist Health System Sunbelt Healthcare Corporation (AHSSHC). AHSSHC also appoints the board of directors of all its first-tier 509(a)(1) and 509(a)(2) hospital and healthcare provider organization subsidiaries that AdventHealth Team Member Services, Inc. will support by provide professional employer organization (PEO) services. AdventHealth Team Member Services, Inc. will provide PEO services directly to the hospital and healthcare entities owned and controlled by AHSSHC and will enter into a Client Service Agreement with each hospital and healthcare provider entity. Through the PEO relationship, AdventHealth Team Member Services, Inc. will maintain a close and continuous relationship with its supported organizations. |
| Part IV, Section D, Line 3: | AdventHealth Team Member Services, Inc. will provide PEO services directly to the hospital and healthcare entities owned and controlled by AHSSHC and will enter into a Client Service Agreement with each hospital and healthcare provider entity. Through the PEO relationship, AdventHealth Team Member Services, Inc. will maintain a close and continuous relationship with its supported organizations and will have a significant voice in the filing organization's investment policies and in directing the use of the filing organization's income and assets. |
| Part IV, Section E, Question 2a: | The filing organization will support all the 509(a)(1) hospital organizations that are owned and controlled by Adventist Health System Sunbelt Healthcare Corporation (AHSSHC). The primary activity of the filing organization will be to serve as the captive professional employer organization (PEO) to the hospital and other healthcare provider organizations that are owned and controlled by AHSSHC. The activity of leasing personnel through a PEO arrangement is in "direct furtherance" of the supported organizations' exempt activity as the personnel are assets used in carrying out the exempt purpose of providing hospital and physician clinic services to each community served. |
| Part IV, Section E, Question 2b: | The activity of leasing personnel and providing PEO services to its supported organizations is an activity that, but for the involvement of the filing organization, the supported organizations would be required to engage in. Were it not for the filing organization, the supported organizations would be required to employ their own personnel in order to conduct their business of operating hospital and physician clinic facilities and providing these necessary services to the public. |
| Software ID: | |
| Software Version: |
| Return Reference | Explanation |
|---|---|
| Form 990, Part VI, Section A, line 6 | The filing organization has one member. The sole member of the filing organization is Adventist Health System Sunbelt Healthcare Corporation. Adventist Health System Sunbelt Healthcare Corporation (AHSSHC) is a Florida, not-for-profit corporation that is exempt from federal income tax under Internal Revenue Code (IRC) Section 501(c)(3). There are no other classes of membership in the filing organization. |
| Form 990, Part VI, Section A, line 7a | The sole member of the filing organization is AHSSHC. The Board of Directors of the filing organization are appointed by the sole member, AHSSHC, who has the right to elect, appoint or remove any member of the Board of Directors of the filing organization. |
| Form 990, Part VI, Section A, line 7b | AHSSHC, as the sole member 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 or disapprove the appointment, removal and compensation of the senior management of the Corporation, including without limitation, the Chief Executive Officer, Chief Financial Officer and any other executive level officers deemed appropriate by the Member; b) To approve or disapprove any amendments to the Articles; approve or disapprove the Bylaws and and any amendments c) To approve or disapprove material changes in the benefits and coverage offered by the Corporation; d) To approve or disapprove capital expenditures in excess of one million dollars ($1,000,000) in each instance, which action can be approved by specific authorization or as generally authorized in the affiliated organization's annual operating and/or capital budgets approved by the Board; e) To approve or disapprove the sale, donation, or other transfer of real property in excess of one million dollars ($1,000,000) in each instance, which action can be approved by specific authorization or as generally authorized in the affiliated organization's annual operating and/or capital budgets approved by the Board. f) The authority to require the affiliated organization's adherence to policies adopted by the Corporation; g) The authority to set limits and terms for any and all types of financial transactions exceeding one hundred thousand dollars ($100,000) for any single or related projects including, without limitation, borrowing of funds, any type of financing, any banking activities, accounts receivable securitization, sale of accounts receivable, letters of credit, credit lines, tax exempt and taxable debt programs and structures of the Corporation and any of its affiliated organizations, and any other financing transactions not identified herein; h) The authority to approve or disapprove the annual operating and capital budgets and strategic plans for the Corporation; i) The authority to secure naming rights and to direct the placement of funds and capital and the making of gifts, sponsorships, donations, loans and transfers of funds or other assets in excess of one million dollars ($1,000,000), which action can be approved by specific authorization or generally authorized in the Corporation's annual operating and/or capital budgets approved by the Board; j) To approve or disapprove the sale, purchase, donation, or other conveyance of personal property with a value in excess of one million dollars ($1,000,000) which action can be approved by specific authorization or generally authorized in the Corporation's annual operating and/or capital budgets approved by the Board; k) To approve or disapprove the implementation of non traditional, non-healthcare related activities; l) To approve or disapprove performance/quality improvement, revenue cycle and case management programs; m) To approve or disapprove the selection of the auditing firm retained to audit the books of the affiliated organizations; n) To approve or disapprove the election of the fiscal year of the Corporation; o) To approve or disapprove any joint venture or partnership in which the Corporation would be a member or partner; p) To approve or disapprove the IT systems and other shared services used by the Corporation; r) The authority to require the Corporation's adherence to the system-wide naming nomenclature and service standards adopted by the Corporation; s) To set and enforce policies for physician compensation including commercial reasonableness and fair market value; t) To exercise such other powers as are necessary in connection with the foregoing. |
| Form 990, Part VI, Section B, line 11b | The filing organization's current year Form 990 was reviewed by a member of the board of directors prior to its filing with the IRS. The review conducted by the member of the board of directors 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 | The filing organization's Board of Director Members are not compensated by the filing organization. Such individuals are 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, Columns (E) & (F) | 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 XII, Lines 3a and 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, 2024, AdventHealth will file a consolidated Single Audit which will include all entities that are part of the controlled group. |
| Software ID: | |
| Software Version: |