{"success":true,"data":{"_id":742621825,"filings":[{"Organization":{"Hours":[0],"Total Compensation":[0],"Direct compensation":[0],"Other compensation":[0]},"Basic":{"mission":"Provide office space for medical professionals on staff of supported hospital organization.","primary_activities":"Expenses incurred in association with the rental of office space to medical professionals on the medical staff of Adventist Health System/Sunbelt, Inc. dba Central Texas Medical Center, an affiliated tax-exempt hospital corporation.","year":2014,"name":"AHSCentral Texas Inc","phone":"5123538979","website":"www.ctmc.org","type":"990","principal_officer":"Anthony Stahl","year_formation":1991,"state_legal_domicile":"TX","total_volunteers":8,"tax_period_begin":"2014-01-01T00:00:00","tax_period_end":"2014-12-31T00:00:00","address":"1301 Wonder World Drive, San Marcos, TX, 78666, USA","city":"San Marcos","state":"TX","country":"USA","zip_code":"78666"},"Governance":{"501c3 determination":true,"Number of 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Inc"}]},"supporting_organization_tests":{"contribution_35_controlled":false,"contribution_controller":false,"contribution_family":false,"controlled_by_disqualified_person":false,"disqualified_person_controlling_interest":false,"disqualified_person_ownership_interest":false,"excess_business_holdings_rules":false,"listed_by_name_governing_doc":true,"loan_disqualified_person":false,"organization_change_supported_org":false,"payment_substantial_contributor":false,"support_non_supported_org":false,"supported_org_not_organized_us":false,"supported_org_section_c456":false,"supporting_org_no_irs_determination":false,"type3_all_officers_close_relationship":true,"type3_all_supported_org_voice_investment":true,"type3_all_timely_provided_documents":true,"type3_functionally_integrated_activities_engaged":true,"type3_functionally_integrated_activities_further_purposes":true,"type3_functionally_integrated_activities_test":true},"supplemental_information":{"part_vi":[{"form_and_line_reference":"Schedule A, Part IV, Section D, Line 3","explanation":"The filing organization supports Adventist Health System/Sunbelt, Inc. dba Central Texas Medical Center (CTMC, the Supported Organization) which owns and operates an acute care hospital. The primary activity of the filing organization is to provide office space for medical professionals on the hospital's (the supported organization) medical staff. Both the filing organization and the Supported Organization are owned and controlled by Adventist Health System Sunbelt Healthcare Corporation (AHSSHC), the 501(c)(3) parent organization of Adventist Health System. Adventist Health System is a faith-based healthcare system of organizations established by the Seventh-day Adventist Church to ensure that the health mission of the Seventh-day Adventist Church is carried out. CTMC has a significant voice in the filing organization's investment policies and in directing the use of the filing organization's income or assets throughout the year. The Chairman of the Board of Directors, the President/CEO/Board Member, and the CFO of the filing organization also serve as Chairman of the Board of Directors, President/CEO/Board Member, and CFO of CTMC. Per the filing organization's governing documents, the Board of Directors of the filing organization has the power to control and manage the property, business, and affairs of the filing organization, subject to certain reserved powers held by the Member. The Articles of Incorporation mandate that at least one member of the Board of Directors be selected from the membership of the Board of Directors of the supported organization as well as the criteria that at least 2/3 be members of the Seventh-Day Adventist Church. Through this overlap of Board members and officers and the fact that both the filing organization and the Supported Organization have the same sole top-tier member (AHSSHC), the Supported Organization is continually involved in directing the use of the filing organization's assets and resources."},{"form_and_line_reference":"Schedule A, Part IV, Section E, Line 2a","explanation":"As outlined in Section D, Question 3 above, the filing organization supports Adventist Health System/Sunbelt, Inc. dba Central Texas Medical Center (CTMC or the Hospital, the Supported Organization) which owns and operates an acute care hospital. The sole activity of the filing organization is to provide office space for medical professionals on the Hospital's (the supported organization) medical staff. The activity of holding title to and leasing the medical offices on the campus of the Hospital to members of its supported Hospital's medical staff (the supported organization) is a \"direct furtherance\" activity. The leasing of office space adjacent to the Hospital to members of the medical staff under the circumstances described contributes importantly to the Hospital functions by increasing the Hospital's efficiency, encouraging fuller utilization of its facilities, and improving the overall quality of its patient care. Please see our discussion for Schedule A, Part VI, Section D, Question 3 concerning how the filing organization is responsive to the needs and demands of the Supported Organization."},{"form_and_line_reference":"Schedule A, Part IV, Section E, Line 2b","explanation":"The activity of owning title to and leasing real property adjacent to the supported Hospital's campus in order to provide medical office space to physicians on the Hospital's medical staff furthers the Hospital's exempt purpose. This is an activity that, but for the involvement of the filing organization, the Hospital (Supported Organization) would conduct. The Hospital benefits from having staff physicians maintain their private practices in the office space adjacent to the Hospital's campus by having such physicians ready and available for emergencies as well as increasing the physicians' participation in the Hospitals' quality and efficiency initiatives."}]}},"ScheduleB":{"attached":false,"required":false},"ScheduleD":{"land_buildings_equipment":{"land":{"other_cost_or_other_basis":14487,"book_value":14487},"buildings":{"other_cost_or_other_basis":2094275,"book_value":1124447,"depreciation":969828},"other_land_buildings":{"other_cost_or_other_basis":378934,"book_value":43576,"depreciation":335358},"total_book_value":1182510},"other_liabilities":{"liabilities":[{"description":"Interco. Alloc. of TE Bond Proceeds","amount":1878463},{"description":"Due to related","amount":2940}],"total_liability":1881403,"footnote_text":true},"supplemental_information":[{"form_and_line_reference":"Part X, Line 2:","explanation":"The filing organization is a subsidiary organization within Adventist Health System (AHS). The consolidated financial statements of AHS contain the following FIN 48 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, 2014 and 2013. NAHS also has temporary deductible differences of approximately $63,600 and $65,000 at December 31, 2014 and 2013, respectively, primarily as a result of net operating loss carryforwards. At December 31, 2014, NAHS had net operating loss carryforwards of approximately $63,400, expiring beginning in 2020 through 2026. Deferred taxes have been provided for these amounts, resulting in a net deferred tax asset of approximately $24,200 and $24,700 at December 31, 2014 and 2013, respectively. A full valuation allowance has been provided at December 31, 2014 and 2013 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 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, 2014 and 2013."}]},"ScheduleJ":{"compensation_arrangements":{"compensation_based_on_revenue_filing_org":false,"compensation_based_on_revenue_related_orgs":false,"compensation_based_on_net_earnings_filing_org":false,"compensation_based_on_net_earnings_related_orgs":false,"nonfixed_payments":false,"initial_contract_exception":false,"severance_payment":false,"supplemental_nonqualified_retirement_plan":true,"equity_based_compensation_arrangement":false},"compensation":[{"person_name":"Finch Kenneth A","title":"Chairman","base_compensation_filing_org":0,"bonus_filing_org":0,"bonus_related_orgs":141585,"compensation_based_on_related_orgs":468607,"comp_report_prior_990_filing_org":0,"comp_report_prior_990_related_orgs":70767,"deferred_compensation_filing_org":0,"deferred_compensation_related_orgs":93052,"nontaxable_benefits_filing_org":0,"nontaxable_benefits_related_orgs":27006,"other_compensation_filing_org":0,"other_compensation_related_orgs":152937,"total_compensation_filing_org":0,"total_compensation_related_orgs":883187,"name":"Finch Kenneth A"},{"person_name":"Johnson Penny L","title":"Director","base_compensation_filing_org":0,"bonus_filing_org":0,"bonus_related_orgs":62023,"compensation_based_on_related_orgs":287581,"comp_report_prior_990_filing_org":0,"comp_report_prior_990_related_orgs":22738,"deferred_compensation_filing_org":0,"deferred_compensation_related_orgs":41650,"nontaxable_benefits_filing_org":0,"nontaxable_benefits_related_orgs":37665,"other_compensation_filing_org":0,"other_compensation_related_orgs":40081,"total_compensation_filing_org":0,"total_compensation_related_orgs":469000,"name":"Johnson Penny L"},{"person_name":"Walton Carlyle L E","title":"Director","base_compensation_filing_org":0,"bonus_filing_org":0,"bonus_related_orgs":37328,"compensation_based_on_related_orgs":312469,"comp_report_prior_990_filing_org":0,"comp_report_prior_990_related_orgs":34102,"deferred_compensation_filing_org":0,"deferred_compensation_related_orgs":47917,"nontaxable_benefits_filing_org":0,"nontaxable_benefits_related_orgs":46175,"other_compensation_filing_org":0,"other_compensation_related_orgs":91831,"total_compensation_filing_org":0,"total_compensation_related_orgs":535720,"name":"Walton Carlyle L E"},{"person_name":"Huenergardt Samuel D","title":"Director/President","base_compensation_filing_org":0,"bonus_filing_org":0,"bonus_related_orgs":57462,"compensation_based_on_related_orgs":257319,"comp_report_prior_990_filing_org":0,"comp_report_prior_990_related_orgs":14577,"deferred_compensation_filing_org":0,"deferred_compensation_related_orgs":16732,"nontaxable_benefits_filing_org":0,"nontaxable_benefits_related_orgs":35310,"other_compensation_filing_org":0,"other_compensation_related_orgs":51430,"total_compensation_filing_org":0,"total_compensation_related_orgs":418253,"name":"Huenergardt Samuel D"},{"person_name":"Sutton Jesse L","title":"CFO","base_compensation_filing_org":0,"bonus_filing_org":0,"bonus_related_orgs":29188,"compensation_based_on_related_orgs":161859,"comp_report_prior_990_filing_org":0,"comp_report_prior_990_related_orgs":0,"deferred_compensation_filing_org":0,"deferred_compensation_related_orgs":10641,"nontaxable_benefits_filing_org":0,"nontaxable_benefits_related_orgs":30554,"other_compensation_filing_org":0,"other_compensation_related_orgs":11940,"total_compensation_filing_org":0,"total_compensation_related_orgs":244182,"name":"Sutton Jesse L"},{"person_name":"Weber Peter M","title":"Former Dir/Off - Chairman","base_compensation_filing_org":0,"bonus_filing_org":0,"bonus_related_orgs":120789,"compensation_based_on_related_orgs":418131,"comp_report_prior_990_filing_org":0,"comp_report_prior_990_related_orgs":47035,"deferred_compensation_filing_org":0,"deferred_compensation_related_orgs":73894,"nontaxable_benefits_filing_org":0,"nontaxable_benefits_related_orgs":57871,"other_compensation_filing_org":0,"other_compensation_related_orgs":89720,"total_compensation_filing_org":0,"total_compensation_related_orgs":760405,"name":"Weber Peter M"}],"supplemental_information":[{"form_and_line_reference":"Part I, Line 3","explanation":"The individual who serves as the President of the filing organization is compensated by Adventist Health System Sunbelt Healthcare Corporation (AHSSHC) for that individual's role in serving as the CEO of the supported hospital, Central Texas Medical Center, a division of Adventist Health System/Sunbelt, Inc. (AHSSI). AHSSI is a 501(c)(3)subsidiary of AHSSHC. Compensation and benefits provided to this individual are determined pursuant to policies, procedures, and processes of AHSSHC 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 of the community, 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. 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 AHS and each of its affiliated entities. The following principles guide the establishment of individual executive compensation: - The salary of the President/CEO of AHS will not exceed the 40th 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_and_line_reference":"Part I, Line 4b","explanation":"Executives on the filing organization's management team that hold the position of Vice-President or above at the supported hospital are compensated by and on the payroll of Adventist Health System Sunbelt Healthcare Corporation (AHSSHC), the parent organization of a healthcare system known as Adventist Health System (AHS). In recognition of the contribution that each executive makes to the success of AHS, AHS provides to eligible executives participation in the AHS Executive FLEX Benefit Program (the Plan). The purpose of the Plan is to offer eligible executives an opportunity to elect from among a variety of supplemental benefits, including deferred compensation benefits taxable under Internal Revenue Code (IRC) Section 457(f), to individually tailor a benefits program appropriate to each executive's needs. The Plan provides eligible participants a pre-determined benefits allowance credit that is equal to a percentage of the executive's base pay from which is deducted the cost of mandatory and elective employee benefits. The pre-determined benefits allowance credit percentage is approved by the AHSSHC Board Compensation Committee, an independent committee of the Board of Directors of AHSSHC. Any funds that remain after the cost of mandatory and elective benefits are subtracted from the annual pre-determined benefits allowance are contributed, at the employee's option, to either an IRC 457(f) deferred compensation account or to an IRC 457(b) eligible deferred compensation plan. 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 documents define an employee who is eligible to participate in the Plan to generally include the Chief Executive Officers of AHS entities and Vice Presidents of all AHS entities whose base salary is at least $224,000. The Plan provides for a class year vesting schedule (2 years for each class year) with respect to amounts accumulated in the executive's 457(f) deferred compensation account. Distributions could also be made from the executive's 457(f) deferred compensation account upon attainment of age 65 or upon an involuntary separation. The account is forfeited by the executive upon a voluntary separation. In addition to the Plan, AHS has instituted a defined benefit, non-tax-qualified deferred compensation plan for certain executives who have provided lengthy service to AHS and/or to other Seventh-Day Adventist Church hospitals or health care institutions. Participation in the plan is offered to AHS executives on a prorata schedule beginning with 20 years of service as an employee of AHS and/or another hospital or health care institution controlled by the Seventh-Day Adventist Church and who satisfy certain other qualifying criteria. This supplemental executive retirement plan (SERP) was designed to provide eligible executives with the economic equivalent of an annual income beginning at normal retirement age equal to 60% of the average of the participant's three, five or seven highest years of base salary from AHS active employment inclusive of income from all other Seventh-Day Adventist Church healthcare employer-financed retirement income sources and investment income earned on those contributions through social security normal retirement age as defined in the plan. The number of years included in highest average compensation is determined by the individual's year of entry to the SERP and by the individual's year of entry to the AHS Executive FLEX Benefit Program. Flex Plan Flex Plan/ SERP 457(b) CY CY Employer CY Contrib./ Distributions Contrib. Distributions* Payment ------------------------------------------------------- Finch, Kenneth A. $ 78,947 $ 98,438 $ 22,965 $ 0 Johnson, Penny L. $ 27,545 $ 26,735 $ 0 $ 0 Walton, Carlyle L.E.$ 39,012 $ 34,006 $ 43,935 $ 0 Huenergardt, Samuel $ 20,127 $ 17,955 $ 0 $ 0 Weber, Peter M. $ 59,789 $ 63,480 $ 5,908 $ 0 * Including Investment Earnings"}]},"ScheduleR":{"tax_exempt_organizations":[{"ein":651219504,"business_name_line1":"Adventist Bolingbrook Hospital","primary_activities_text":"Operation of Hospital & Related Services","exempt_code_section_text":"501(c)(3)","public_charity_status_text":"Line 3","controlled_organization_indicator":true,"legal_domicile_state":"IL","direct_controlling_business_name_line1":"Adventist Hlth SystemSunbelt Inc","address_line1":"500 Remington Blvd","city":"Bolingbrook","state":"IL","zip":"60440","name":"Adventist Bolingbrook Hospital","address":"500 Remington Blvd, Bolingbrook, IL, 60440"},{"ein":205774723,"business_name_line1":"Adventist Care Centers - 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For the years ended December 31, 2013 and 2012, unrelated business income activities conducted by Healthcare Corporation and its tax-exempt affiliates did not generate a material amount of combined federal, state and local income tax. NAHS is a wholly owned, for-profit subsidiary of Healthcare Corporation. NAHS and its subsidiaries are subject to federal and state income taxes. NAHS files a consolidated federal income tax return and, where appropriate, consolidated state income tax returns. For the years ended December 31, 2013 and 2012, NAHS generated taxable income of approximately $500 and $2,100, respectively. This taxable income was fully offset by net operating loss carryforwards for federal income tax purposes. Although one state in which NAHS conducts business has suspended the utilization of net operating loss carryforwards for the year ended December 31, 2013, no material state income tax liability resulted. Accordingly, there is no provision for current federal or state income tax for the years ended December 31, 2013 and 2012. NAHS also has temporary deductible differences of approximately $65,000 and $64,800 at December 31, 2013 and 2012, respectively, primarily as a result of net operating loss carryforwards. At December 31, 2013, NAHS had net operating loss carryforwards of approximately $64,200 of which $21,000 will expire in 2023, with the remaining $43,200 expiring beginning in 2018 through 2026. Some of these net operating losses are subject to the separate return limitation year rules. Deferred taxes have been provided for these amounts, resulting in a net deferred tax asset of approximately $24,700 and $24,600 at December 31, 2013 and 2012, respectively. A full valuation allowance has been provided at December 31, 2013 and 2012, respectively, 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 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, 2013 and 2012."}]},"ScheduleJ":{"compensation_arrangements":{"compensation_based_on_revenue_filing_org":false,"compensation_based_on_revenue_related_orgs":false,"compensation_based_on_net_earnings_filing_org":false,"compensation_based_on_net_earnings_related_orgs":false,"nonfixed_payments":false,"initial_contract_exception":false,"severance_payment":false,"supplemental_nonqualified_retirement_plan":true,"equity_based_compensation_arrangement":false},"compensation":[{"person_name":"Finch Kenneth A","title":"Chairman","base_compensation_filing_org":0,"bonus_filing_org":0,"bonus_related_orgs":142259,"compensation_based_on_related_orgs":455739,"comp_report_prior_990_filing_org":0,"comp_report_prior_990_related_orgs":63971,"deferred_compensation_filing_org":0,"deferred_compensation_related_orgs":89838,"nontaxable_benefits_filing_org":0,"nontaxable_benefits_related_orgs":28603,"other_compensation_filing_org":0,"other_compensation_related_orgs":241064,"total_compensation_filing_org":0,"total_compensation_related_orgs":957503,"name":"Finch Kenneth A"},{"person_name":"Johnson Penny L","title":"Director","base_compensation_filing_org":0,"bonus_filing_org":0,"bonus_related_orgs":63033,"compensation_based_on_related_orgs":276715,"comp_report_prior_990_filing_org":0,"comp_report_prior_990_related_orgs":15256,"deferred_compensation_filing_org":0,"deferred_compensation_related_orgs":38528,"nontaxable_benefits_filing_org":0,"nontaxable_benefits_related_orgs":33207,"other_compensation_filing_org":0,"other_compensation_related_orgs":32269,"total_compensation_filing_org":0,"total_compensation_related_orgs":443752,"name":"Johnson Penny L"},{"person_name":"Walton Carlyle L E","title":"Director","base_compensation_filing_org":0,"bonus_filing_org":0,"bonus_related_orgs":47419,"compensation_based_on_related_orgs":305215,"comp_report_prior_990_filing_org":0,"comp_report_prior_990_related_orgs":30630,"deferred_compensation_filing_org":0,"deferred_compensation_related_orgs":45591,"nontaxable_benefits_filing_org":0,"nontaxable_benefits_related_orgs":36397,"other_compensation_filing_org":0,"other_compensation_related_orgs":193695,"total_compensation_filing_org":0,"total_compensation_related_orgs":628317,"name":"Walton Carlyle L E"},{"person_name":"Huenergardt Samuel D","title":"Director/President","base_compensation_filing_org":0,"bonus_filing_org":0,"bonus_related_orgs":52565,"compensation_based_on_related_orgs":239760,"comp_report_prior_990_filing_org":0,"comp_report_prior_990_related_orgs":13818,"deferred_compensation_filing_org":0,"deferred_compensation_related_orgs":29381,"nontaxable_benefits_filing_org":0,"nontaxable_benefits_related_orgs":32392,"other_compensation_filing_org":0,"other_compensation_related_orgs":28720,"total_compensation_filing_org":0,"total_compensation_related_orgs":382818,"name":"Huenergardt Samuel D"},{"person_name":"Sutton Jesse L","title":"CFO","base_compensation_filing_org":0,"bonus_filing_org":0,"bonus_related_orgs":22730,"compensation_based_on_related_orgs":150391,"comp_report_prior_990_filing_org":0,"comp_report_prior_990_related_orgs":0,"deferred_compensation_filing_org":0,"deferred_compensation_related_orgs":9167,"nontaxable_benefits_filing_org":0,"nontaxable_benefits_related_orgs":26620,"other_compensation_filing_org":0,"other_compensation_related_orgs":5968,"total_compensation_filing_org":0,"total_compensation_related_orgs":214876,"name":"Sutton Jesse L"},{"person_name":"Weber Peter M","title":"Former Dir/Off - Chairman","base_compensation_filing_org":0,"bonus_filing_org":0,"bonus_related_orgs":108264,"compensation_based_on_related_orgs":370323,"comp_report_prior_990_filing_org":0,"comp_report_prior_990_related_orgs":48697,"deferred_compensation_filing_org":0,"deferred_compensation_related_orgs":61778,"nontaxable_benefits_filing_org":0,"nontaxable_benefits_related_orgs":35952,"other_compensation_filing_org":0,"other_compensation_related_orgs":142475,"total_compensation_filing_org":0,"total_compensation_related_orgs":718792,"name":"Weber Peter M"}],"supplemental_information":[{"form_and_line_reference":"Part I, Line 3","explanation":"The individual who serves as the President of the filing organization is compensated by Adventist Health System Sunbelt Healthcare Corporation (AHSSHC) for that individual's role in serving as the CEO of the supported hospital, Central Texas Medical Center, a division of Adventist Health System/Sunbelt, Inc. (AHSSI). AHSSI is a 501(c)(3)subsidiary of AHSSHC. Compensation and benefits provided to this individual are determined pursuant to policies, procedures, and processes of AHSSHC 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 of the community, 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. 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 AHS and each of its affiliated entities. The following principles guide the establishment of individual executive compensation: - The salary of the President/CEO of AHS will not exceed the 40th 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_and_line_reference":"Part I, Line 4b","explanation":"Executives on the filing organization's management team that hold the position of Vice-President or above at the supported hospital are compensated by and on the payroll of Adventist Health System Sunbelt Healthcare Corporation (AHSSHC), the parent organization of a healthcare system known as Adventist Health System (AHS). In recognition of the contribution that each executive makes to the success of AHS, AHS provides to eligible executives participation in the AHS Executive FLEX Benefit Program (the Plan). The purpose of the Plan is to offer eligible executives an opportunity to elect from among a variety of supplemental benefits, including deferred compensation benefits taxable under Internal Revenue Code (IRC) Section 457(f), to individually tailor a benefits program appropriate to each executive's needs. The Plan provides eligible participants a pre-determined benefits allowance credit that is equal to a percentage of the executive's base pay from which is deducted the cost of mandatory and elective employee benefits. The pre-determined benefits allowance credit percentage is approved by the AHSSHC Board Compensation Committee, an independent committee of the Board of Directors of AHSSHC. Any funds that remain after the cost of mandatory and elective benefits are subtracted from the annual pre-determined benefits allowance are contributed, at the employee's option, to either an IRC 457(f) deferred compensation account or to an IRC 457(b) eligible deferred compensation plan. 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 documents define an employee who is eligible to participate in the Plan to generally include the Chief Executive Officers of AHS entities and Vice Presidents of all AHS entities whose base salary is at least $218,000. The Plan provides for a class year vesting schedule (2 years for each class year) with respect to amounts accumulated in the executive's 457(f) deferred compensation account. Distributions could also be made from the executive's 457(f) deferred compensation account upon attainment of age 65 or upon an involuntary separation. The account is forfeited by the executive upon a voluntary separation. In addition to the Plan, AHS has instituted a defined benefit, non-tax-qualified deferred compensation plan for certain executives who have provided lengthy service to AHS and/or to other Seventh-Day Adventist Church hospitals or health care institutions. Participation in the plan is offered to AHS executives on a prorata schedule beginning with 20 years of service as an employee of AHS and/or another hospital or health care institution controlled by the Seventh-Day Adventist Church and who satisfy certain other qualifying criteria. This supplemental executive retirement plan (SERP) was designed to provide eligible executives with the economic equivalent of an annual income beginning at normal retirement age equal to 60% of the average of the participant's three, five or seven highest years of base salary from AHS active employment inclusive of income from all other Seventh-Day Adventist Church healthcare employer-financed retirement income sources and investment income earned on those contributions through social security normal retirement age as defined in the plan. The number of years included in highest average compensation is determined by the individual's year of entry to the SERP and by the individual's year of entry to the AHS Executive FLEX Benefit Program. Flex Plan Flex Plan/ SERP 457(b) CY CY Employer CY Contrib./ Distributions Contrib. Distributions* Payment ------------------------------------------------------- Finch, Kenneth A. $ 75,988 $ 76,654 $144,222 $ 0 Johnson, Penny L. $ 24,678 $ 17,230 $ 0 $ 0 Walton, Carlyle L.E.$ 36,842 $ 32,784 $147,151 $ 0 Huenergardt, Samuel $ 15,532 $ 16,024 $ 0 $ 0 Weber, Peter M. $ 47,928 $ 57,169 $ 66,849 $ 0 * Including Investment Earnings"}]},"ScheduleR":{"tax_exempt_organizations":[{"ein":651219504,"business_name_line1":"Adventist Bolingbrook Hospital","primary_activities_text":"Operation of Hospital & Related Services","exempt_code_section_text":"501(c)(3)","public_charity_status_text":"Line 3","controlled_organization_indicator":false,"legal_domicile_state":"IL","direct_controlling_business_name_line1":"Adventist Hlth SystemSunbelt Inc","address_line1":"500 Remington Blvd","city":"Bolingbrook","state":"IL","zip":"60440","name":"Adventist Bolingbrook Hospital","address":"500 Remington Blvd, Bolingbrook, IL, 60440"},{"ein":205774723,"business_name_line1":"Adventist Care Centers 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A full valuation allowance has been provided at December 31, 2012 and 2011, respectively, 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 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."}]},"ScheduleJ":{"compensation_arrangements":{"compensation_based_on_revenue_filing_org":false,"compensation_based_on_revenue_related_orgs":false,"compensation_based_on_net_earnings_filing_org":false,"compensation_based_on_net_earnings_related_orgs":false,"nonfixed_payments":false,"initial_contract_exception":false,"severance_payment":true,"supplemental_nonqualified_retirement_plan":true,"equity_based_compensation_arrangement":false},"compensation":[{"person_name":"Finch Kenneth A","title":"Chairman","base_compensation_filing_org":0,"bonus_filing_org":0,"bonus_related_orgs":139875,"compensation_based_on_related_orgs":429336,"comp_report_prior_990_filing_org":0,"comp_report_prior_990_related_orgs":51610,"deferred_compensation_filing_org":0,"deferred_compensation_related_orgs":84366,"nontaxable_benefits_filing_org":0,"nontaxable_benefits_related_orgs":33054,"other_compensation_filing_org":0,"other_compensation_related_orgs":159361,"total_compensation_filing_org":0,"total_compensation_related_orgs":845992,"name":"Finch Kenneth A"},{"person_name":"Johnson Penny L","title":"Director","base_compensation_filing_org":0,"bonus_filing_org":0,"bonus_related_orgs":73305,"compensation_based_on_related_orgs":263268,"comp_report_prior_990_filing_org":0,"comp_report_prior_990_related_orgs":0,"deferred_compensation_filing_org":0,"deferred_compensation_related_orgs":36337,"nontaxable_benefits_filing_org":0,"nontaxable_benefits_related_orgs":31811,"other_compensation_filing_org":0,"other_compensation_related_orgs":50318,"total_compensation_filing_org":0,"total_compensation_related_orgs":455039,"name":"Johnson Penny L"},{"person_name":"Walton Carlyle L E","title":"Director","base_compensation_filing_org":0,"bonus_filing_org":0,"bonus_related_orgs":88811,"compensation_based_on_related_orgs":289204,"comp_report_prior_990_filing_org":0,"comp_report_prior_990_related_orgs":27960,"deferred_compensation_filing_org":0,"deferred_compensation_related_orgs":42701,"nontaxable_benefits_filing_org":0,"nontaxable_benefits_related_orgs":29858,"other_compensation_filing_org":0,"other_compensation_related_orgs":251348,"total_compensation_filing_org":0,"total_compensation_related_orgs":701922,"name":"Walton Carlyle L E"},{"person_name":"Huenergardt Samuel D","title":"Director/President","base_compensation_filing_org":0,"bonus_filing_org":0,"bonus_related_orgs":25000,"compensation_based_on_related_orgs":227317,"comp_report_prior_990_filing_org":0,"comp_report_prior_990_related_orgs":0,"deferred_compensation_filing_org":0,"deferred_compensation_related_orgs":28175,"nontaxable_benefits_filing_org":0,"nontaxable_benefits_related_orgs":30216,"other_compensation_filing_org":0,"other_compensation_related_orgs":30667,"total_compensation_filing_org":0,"total_compensation_related_orgs":341375,"name":"Huenergardt Samuel D"},{"person_name":"Sutton Jesse L","title":"CFO (Began 2/12)","base_compensation_filing_org":0,"bonus_filing_org":0,"bonus_related_orgs":11030,"compensation_based_on_related_orgs":135038,"comp_report_prior_990_filing_org":0,"comp_report_prior_990_related_orgs":0,"deferred_compensation_filing_org":0,"deferred_compensation_related_orgs":7584,"nontaxable_benefits_filing_org":0,"nontaxable_benefits_related_orgs":23762,"other_compensation_filing_org":0,"other_compensation_related_orgs":59296,"total_compensation_filing_org":0,"total_compensation_related_orgs":236710,"name":"Sutton Jesse L"},{"person_name":"Weber Peter M","title":"Former Dir/Off - 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Jepson and Richard D. Boggess received severance payments in the amount of $137,736 and $166,731, 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 AHS. Part I, Line 4b, Executives on the filing organization's management team that hold the position of Vice-President or above are compensated by and on the payroll of Adventist Health System Sunbelt Healthcare Corporation (AHSSHC), the parent organization of a healthcare system known as Adventist Health System (AHS). In recognition of the contribution that each executive makes to the success of AHS, AHS provides to eligible executives participation in the AHS Executive FLEX Benefit Program (the Plan). The purpose of the Plan is to offer eligible executives an opportunity to elect from among a variety of supplemental benefits, including deferred compensation benefits taxable under Internal Revenue Code (IRC) Section 457(f), to individually tailor a benefits program appropriate to each executive's needs. The Plan provides eligible participants a pre-determined benefits allowance credit that is equal to a percentage of the executive's base pay from which is deducted the cost of mandatory and elective employee benefits. The pre-determined benefits allowance credit percentage is approved by the AHS Board Strategy & Compensation Committee, an independent committee of the Board of Directors of AHSSHC. Any funds that remain after the cost of mandatory and elective benefits are subtracted from the annual pre-determined benefits allowance are contributed, at the employee's option, to either an IRC 457(f) deferred compensation account or to an IRC 457(b) eligible deferred compensation plan. 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 documents define an employee who is eligible to participate in the Plan to generally include the Chief Executive Officers of AHS entities and Vice Presidents of all AHS entities whose base salary is at least $210,000. The Plan provides for a class year vesting schedule (2 years for each class year) with respect to amounts accumulated in the executive's 457(f) deferred compensation account. Distributions could also be made from the executive's 457(f) deferred compensation account upon attainment of age 65 or upon an involuntary separation. The account is forfeited by the executive upon a voluntary separation. In addition to the Plan, AHS has instituted a defined benefit, non-tax-qualified deferred compensation plan for certain executives who have provided lengthy service to AHS and/or to other Seventh-Day Adventist Church hospitals or health care institutions. Participation in the plan is offered to AHS executives on a prorata schedule beginning with 20 years of service as an employee of AHS and/or another hospital or health care institution controlled by the Seventh-Day Adventist Church and who satisfy certain other qualifying criteria. This supplemental executive retirement plan (SERP) was designed to provide eligible executives with the economic equivalent of an annual income beginning at normal retirement age equal to 60% of the average of the participant's three, five or seven highest years of base salary from AHS active employment inclusive of income from all other Seventh-Day Adventist Church healthcare employer-financed retirement income sources and investment income earned on those contributions through social security normal retirement age as defined in the plan. The number of years included in highest average compensation is determined by the individual's year of entry to the SERP and by the individual's year of entry to the AHS Executive FLEX Benefit Program. Flex Plan Flex Plan/ SERP 457(b) CY CY Employer CY Contrib./ Distributions Contrib. Distributions* Payment ------------------------------------------------------- Finch, Kenneth A. $ 70,767 $ 57,487 $ 62,820 $ 0 Johnson, Penny L. $ 22,738 $ 0 $ 0 $ 0 Walton, Carlyle L.E.$ 34,102 $ 30,624 $187,754 $ 0 Huenergardt, Samuel $ 14,577 $ 0 $ 0 $ 0 Crunk, Frances $ 21,890 $ 18,871 $ 0 $ 0 Weber, Peter M. $ 47,035 $ 49,188 $343,581 $ 0 * Including Investment Earnings"},{"form_and_line_reference":"Part III","explanation":"Part I, Question 3: As noted in our response to question 15 of Part VI of Form 990, the individual who serves as the President/CEO of the filing organization is compensated by Adventist Health System Sunbelt Healthcare Corporation (AHSSHC) for that individual's role in serving as the CEO of the supported hospital. Compensation and benefits provided to this individual are determined pursuant to policies, procedures, and processes of AHSSHC that are designed to ensure compliance with the intermediate sanctions laws as set forth in IRC Section 4958. AHSSHC uses all of the following to establish compensation of the CEO: - Compensation committee; - Independent compensation consultant; - Compensation survey or study; and - Approval by the board or compensation committee."}]},"ScheduleR":{"tax_exempt_organizations":[{"ein":651219504,"business_name_line1":"Adventist Bolingbrook Hospital","primary_activities":"Operation of Hospital & Related Services","exempt_code_section":"501(c)(3)","public_charity_status":"170(b)(1)(A)(iii)","controlled_organization":false,"legal_domicile_state":"IL","direct_controlling_business_name_line1":"Adventist Hlth SystemSunbelt Inc","address_line1":"500 Remington Blvd","city":"Bolingbrook","state":"IL","zip":"60440","name":"Adventist Bolingbrook Hospital","address":"500 Remington Blvd, Bolingbrook, IL, 60440"},{"ein":205774723,"business_name_line1":"Adventist Care Centers - Courtland Inc","primary_activities":"Operation of Home for the Aged/Hlthcare 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The purpose of the Plan is to offer eligible executives an opportunity to elect from among a variety of supplemental benefits, including deferred compensation benefits taxable under Internal Revenue Code (IRC) Section 457(f), to individually tailor a benefits program appropriate to each executive's needs. The Plan provides eligible participants a pre-determined benefits allowance credit that is equal to a percentage of the executive's base pay from which is deducted the cost of mandatory and elective employee benefits. The pre-determined benefits allowance credit percentage is approved by the AHS Board Strategy & Compensation Committee, an independent committee of the Board of Directors of AHSSHC. Any funds that remain after the cost of mandatory and elective benefits are subtracted from the pre-determined benefits annual amount are contributed, at the employee's option, to either an IRC 457(f) deferred compensation account or to an IRC 457(b) eligible deferred compensation plan. The Plan documents define an employee who is eligible to participate in the Plan to generally include the Chief Executive Officers of AHS entities and Vice Presidents of all AHS entities whose base salary is at least $196,000. The Plan provides for a class year vesting schedule (2 years for each class year) with respect to amounts accumulated in the executive's 457(f) deferred compensation account. Distributions could also be made from the executive's 457(f) deferred compensation account upon attainment of age 65 or upon an involuntary separation. The account is forfeited by the executive upon a voluntary separation. In addition to the Plan, AHS has instituted a defined benefit, non-tax-qualified deferred compensation plan for certain executives who have provided lengthy service to AHS and/or to other Seventh-Day Adventist Church hospital or health care institutions. Participation in the plan is offered to AHS executives on a prorata schedule beginning with 20 years of service as an employee of AHS and/or another hospital or health care institution controlled by the Seventh-Day Adventist Church and who satisfy certain other qualifying criteria. This supplemental executive retirement plan (SERP) was designed to provide eligible executives with the economic equivalent of an annual income beginning at normal retirement age equal to 60% of the average of the participant's three highest years of base salary from AHS active employment inclusive of income from all other Seventh-Day Adventist Church healthcare employer-financed retirement income sources and investment income earned on those contributions through social security normal retirement age as defined in the plan. 457(f) Employer SERP Contributions Contr./Pymt Daniel E. Enderson $27,422 $ 0 Kenneth A. Finch $57,345 $229,151 Gary L. Jepson $22,083 $ 0 Carlyle L. E. Walton $27,960 $ 0 Frances Crunk $17,157 $ 0 Peter M. Weber $44,269 $ 0"},{"form_and_line_reference":"Part III","explanation":"Part I, Question 3: As noted in our response to question 15 of Part VI of Form 990, the individual who serves as the President/CEO of the filing organization is compensated by Adventist Health System Sunbelt Healthcare Corporation (AHSSHC) for that individual's role in serving as the CEO of the supported hospital. Compensation and benefits provided to this individual are determined pursuant to policies, procedures, and processes of AHSSHC that are designed to ensure compliance with the intermediate sanctions laws as set forth in IRC Section 4958. AHSSHC uses all of the following to establish compensation of the CEO: - Compensation committee; - Independent compensation consultant; - Compensation survey or study; and - Approval by the board or compensation committee."}]},"ScheduleR":{"tax_exempt_organizations":[{"ein":651219504,"business_name_line1":"Adventist Bolingbrook Hospital","primary_activities":"Operation of Hospital & Related Services","exempt_code_section":"501(c)(3)","public_charity_status":"170(b)(1)(A)(iii)","controlled_organization":false,"legal_domicile_state":"IL","direct_controlling_business_name_line1":"Adventist Health SystemSunbelt Inc","address_line1":"500 Remington Blvd","city":"Bolingbrook","state":"IL","zip":"60440","name":"Adventist Bolingbrook Hospital","address":"500 Remington Blvd, Bolingbrook, IL, 60440"},{"ein":205774723,"business_name_line1":"Adventist Care Centers - Courtland Inc","primary_activities":"Operation of Home for the Aged/Healthcare 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Inc"}]},"supporting_organization_tests":{"contribution_35_controlled":false,"contribution_controller":false,"contribution_family":false,"controlled_by_disqualified_person":false,"disqualified_person_controlling_interest":false,"disqualified_person_ownership_interest":false,"excess_business_holdings_rules":false,"listed_by_name_governing_doc":true,"loan_disqualified_person":false,"organization_change_supported_org":false,"payment_substantial_contributor":false,"support_non_supported_org":false,"supported_org_not_organized_us":false,"supported_org_section_c456":false,"supporting_org_no_irs_determination":false,"type3_all_officers_close_relationship":true,"type3_all_supported_org_voice_investment":true,"type3_all_timely_provided_documents":true,"type3_functionally_integrated_activities_engaged":true,"type3_functionally_integrated_activities_further_purposes":true,"type3_functionally_integrated_activities_test":true},"supplemental_information":{"part_vi":[{"form_and_line_reference":"Schedule A, Part IV, Section D, Line 3","explanation":"The filing organization supports Adventist Health System/Sunbelt, Inc. dba Central Texas Medical Center (CTMC, the Supported Organization) which owns and operates an acute care hospital. The primary activity of the filing organization is to provide office space for medical professionals on the hospital's (the supported organization) medical staff. Both the filing organization and the Supported Organization are owned and controlled by Adventist Health System Sunbelt Healthcare Corporation (AHSSHC), the 501(c)(3) parent organization of Adventist Health System. Adventist Health System is a faith-based healthcare system of organizations established by the Seventh-day Adventist Church to ensure that the health mission of the Seventh-day Adventist Church is carried out. CTMC has a significant voice in the filing organization's investment policies and in directing the use of the filing organization's income or assets throughout the year. The Chairman of the Board of Directors, the President/CEO/Board Member, and the CFO of the filing organization also serve as Chairman of the Board of Directors, President/CEO/Board Member, and CFO of CTMC. Per the filing organization's governing documents, the Board of Directors of the filing organization has the power to control and manage the property, business, and affairs of the filing organization, subject to certain reserved powers held by the Member. The Articles of Incorporation mandate that at least one member of the Board of Directors be selected from the membership of the Board of Directors of the supported organization as well as the criteria that at least 2/3 be members of the Seventh-Day Adventist Church. Through this overlap of Board members and officers and the fact that both the filing organization and the Supported Organization have the same sole top-tier member (AHSSHC), the Supported Organization is continually involved in directing the use of the filing organization's assets and resources."},{"form_and_line_reference":"Schedule A, Part IV, Section E, Line 2a","explanation":"As outlined in Section D, Question 3 above, the filing organization supports Adventist Health System/Sunbelt, Inc. dba Central Texas Medical Center (CTMC or the Hospital, the Supported Organization) which owns and operates an acute care hospital. The sole activity of the filing organization is to provide office space for medical professionals on the Hospital's (the supported organization) medical staff. The activity of holding title to and leasing the medical offices on the campus of the Hospital to members of its supported Hospital's medical staff (the supported organization) is a \"direct furtherance\" activity. The leasing of office space adjacent to the Hospital to members of the medical staff under the circumstances described contributes importantly to the Hospital functions by increasing the Hospital's efficiency, encouraging fuller utilization of its facilities, and improving the overall quality of its patient care. Please see our discussion for Schedule A, Part VI, Section D, Question 3 concerning how the filing organization is responsive to the needs and demands of the Supported Organization."},{"form_and_line_reference":"Schedule A, Part IV, Section E, Line 2b","explanation":"The activity of owning title to and leasing real property adjacent to the supported Hospital's campus in order to provide medical office space to physicians on the Hospital's medical staff furthers the Hospital's exempt purpose. This is an activity that, but for the involvement of the filing organization, the Hospital (Supported Organization) would conduct. The Hospital benefits from having staff physicians maintain their private practices in the office space adjacent to the Hospital's campus by having such physicians ready and available for emergencies as well as increasing the physicians' participation in the Hospitals' quality and efficiency initiatives."}]}},"ScheduleB":{"attached":false,"required":false},"ScheduleD":{"land_buildings_equipment":{"land":{"other_cost_or_other_basis":14487,"book_value":14487},"buildings":{"other_cost_or_other_basis":2094275,"book_value":1060222,"depreciation":1034053},"other_land_buildings":{"other_cost_or_other_basis":378934,"book_value":29050,"depreciation":349884},"total_book_value":1103759},"other_liabilities":{"liabilities":[{"description":"Interco. Alloc. of TE Bond Proceeds","amount":1778017},{"description":"Due to related","amount":150}],"total_liability":1778167,"footnote_text":true},"supplemental_information":[{"form_and_line_reference":"Part X, Line 2:","explanation":"The filing organization is a subsidiary organization within Adventist Health System (AHS). The consolidated financial statements of AHS contain the following FIN 48 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, 2015 and 2014. NAHS also has temporary deductible differences of approximately $62,700 and $63,600 at December 31, 2015 and 2014, respectively, primarily as a result of net operating loss carryforwards. At December 31, 2015, NAHS had net operating loss carryforwards of approximately $62,500, expiring beginning in 2022 through 2026. Deferred taxes have been provided for these amounts, resulting in a net deferred tax asset of approximately $23,800 and $24,200 at December 31, 2015 and 2014, respectively. A full valuation allowance has been provided at December 31, 2015 and 2014 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 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, 2015 and 2014."}]},"ScheduleJ":{"compensation_arrangements":{"compensation_based_on_revenue_filing_org":false,"compensation_based_on_revenue_related_orgs":false,"compensation_based_on_net_earnings_filing_org":false,"compensation_based_on_net_earnings_related_orgs":false,"nonfixed_payments":false,"initial_contract_exception":false,"severance_payment":false,"supplemental_nonqualified_retirement_plan":true,"equity_based_compensation_arrangement":false},"compensation":[{"person_name":"Finch Kenneth A","title":"Chairman","base_compensation_filing_org":0,"bonus_filing_org":0,"bonus_related_orgs":155375,"compensation_based_on_related_orgs":519155,"comp_report_prior_990_filing_org":0,"comp_report_prior_990_related_orgs":75988,"deferred_compensation_filing_org":0,"deferred_compensation_related_orgs":103293,"nontaxable_benefits_filing_org":0,"nontaxable_benefits_related_orgs":31962,"other_compensation_filing_org":0,"other_compensation_related_orgs":300226,"total_compensation_filing_org":0,"total_compensation_related_orgs":1110011,"name":"Finch Kenneth A"},{"person_name":"Johnson Penny L","title":"Director/Treasurer","base_compensation_filing_org":0,"bonus_filing_org":0,"bonus_related_orgs":69059,"compensation_based_on_related_orgs":327016,"comp_report_prior_990_filing_org":0,"comp_report_prior_990_related_orgs":24678,"deferred_compensation_filing_org":0,"deferred_compensation_related_orgs":45296,"nontaxable_benefits_filing_org":0,"nontaxable_benefits_related_orgs":40781,"other_compensation_filing_org":0,"other_compensation_related_orgs":50052,"total_compensation_filing_org":0,"total_compensation_related_orgs":532204,"name":"Johnson Penny L"},{"person_name":"Walton Carlyle L E","title":"Director","base_compensation_filing_org":0,"bonus_filing_org":0,"bonus_related_orgs":48860,"compensation_based_on_related_orgs":334351,"comp_report_prior_990_filing_org":0,"comp_report_prior_990_related_orgs":36842,"deferred_compensation_filing_org":0,"deferred_compensation_related_orgs":47130,"nontaxable_benefits_filing_org":0,"nontaxable_benefits_related_orgs":42200,"other_compensation_filing_org":0,"other_compensation_related_orgs":185689,"total_compensation_filing_org":0,"total_compensation_related_orgs":658230,"name":"Walton Carlyle L E"},{"person_name":"Huenergardt Samuel D","title":"Director/President (End 7/15)","base_compensation_filing_org":0,"bonus_filing_org":0,"bonus_related_orgs":57358,"compensation_based_on_related_orgs":167782,"comp_report_prior_990_filing_org":0,"comp_report_prior_990_related_orgs":53179,"deferred_compensation_filing_org":0,"deferred_compensation_related_orgs":12671,"nontaxable_benefits_filing_org":0,"nontaxable_benefits_related_orgs":23355,"other_compensation_filing_org":0,"other_compensation_related_orgs":79479,"total_compensation_filing_org":0,"total_compensation_related_orgs":340645,"name":"Huenergardt Samuel D"},{"person_name":"Stahl Anthony","title":"Director/Secretary (Beg 9/15)","base_compensation_filing_org":0,"bonus_filing_org":0,"bonus_related_orgs":37517,"compensation_based_on_related_orgs":220745,"comp_report_prior_990_filing_org":0,"comp_report_prior_990_related_orgs":0,"deferred_compensation_filing_org":0,"deferred_compensation_related_orgs":16820,"nontaxable_benefits_filing_org":0,"nontaxable_benefits_related_orgs":59464,"other_compensation_filing_org":0,"other_compensation_related_orgs":42904,"total_compensation_filing_org":0,"total_compensation_related_orgs":377450,"name":"Stahl Anthony"},{"person_name":"Sutton Jesse L","title":"CFO","base_compensation_filing_org":0,"bonus_filing_org":0,"bonus_related_orgs":29329,"compensation_based_on_related_orgs":190846,"comp_report_prior_990_filing_org":0,"comp_report_prior_990_related_orgs":0,"deferred_compensation_filing_org":0,"deferred_compensation_related_orgs":12319,"nontaxable_benefits_filing_org":0,"nontaxable_benefits_related_orgs":39085,"other_compensation_filing_org":0,"other_compensation_related_orgs":12685,"total_compensation_filing_org":0,"total_compensation_related_orgs":284264,"name":"Sutton Jesse L"}],"supplemental_information":[{"form_and_line_reference":"Part I, Line 3","explanation":"The individual who serves as the President of the filing organization is compensated by Adventist Health System Sunbelt Healthcare Corporation (AHSSHC) for that individual's role in serving as the CEO of the supported hospital, Central Texas Medical Center, a division of Adventist Health System/Sunbelt, Inc. (AHSSI). AHSSI is a 501(c)(3)subsidiary of AHSSHC. Compensation and benefits provided to this individual are determined pursuant to policies, procedures, and processes of AHSSHC 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 of the community, 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. 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 AHS and each of its affiliated entities. The following principles guide the establishment of individual executive compensation: - The salary of the President/CEO of AHS will not exceed the 40th 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_and_line_reference":"Part I, Line 4b","explanation":"Executives on the filing organization's management team that hold the position of Vice-President or above at the supported hospital are compensated by and on the payroll of Adventist Health System Sunbelt Healthcare Corporation (AHSSHC), the parent organization of a healthcare system known as Adventist Health System (AHS). In recognition of the contribution that each executive makes to the success of AHS, AHS provides to eligible executives participation in the AHS Executive FLEX Benefit Program (the Plan). The purpose of the Plan is to offer eligible executives an opportunity to elect from among a variety of supplemental benefits, including deferred compensation benefits taxable under Internal Revenue Code (IRC) Section 457(f), to individually tailor a benefits program appropriate to each executive's needs. The Plan provides eligible participants a pre-determined benefits allowance credit that is equal to a percentage of the executive's base pay from which is deducted the cost of mandatory and elective employee benefits. The pre-determined benefits allowance credit percentage is approved by the AHSSHC Board Compensation Committee, an independent committee of the Board of Directors of AHSSHC. Any funds that remain after the cost of mandatory and elective benefits are subtracted from the annual pre-determined benefits allowance are contributed, at the employee's option, to either an IRC 457(f) deferred compensation account or to an IRC 457(b) eligible deferred compensation plan. 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 documents define an employee who is eligible to participate in the Plan to generally include the Chief Executive Officers of AHS entities and Vice Presidents of all AHS entities whose base salary is at least $230,000. The Plan provides for a class year vesting schedule (2 years for each class year) with respect to amounts accumulated in the executive's 457(f) deferred compensation account. Distributions could also be made from the executive's 457(f) deferred compensation account upon attainment of age 65 or upon an involuntary separation. The account is forfeited by the executive upon a voluntary separation. In addition to the Plan, AHS has instituted a defined benefit, non-tax-qualified deferred compensation plan for certain executives who have provided lengthy service to AHS and/or to other Seventh-Day Adventist Church hospitals or health care institutions. Participation in the plan is offered to AHS executives on a prorata schedule beginning with 20 years of service as an employee of AHS and/or another hospital or health care institution controlled by the Seventh-Day Adventist Church and who satisfy certain other qualifying criteria. This supplemental executive retirement plan (SERP) was designed to provide eligible executives with the economic equivalent of an annual income beginning at normal retirement age equal to 60% of the average of the participant's three, five or seven highest years of base salary from AHS active employment inclusive of income from all other Seventh-Day Adventist Church healthcare employer-financed retirement income sources and investment income earned on those contributions through social security normal retirement age as defined in the plan. The number of years included in highest average compensation is determined by the individual's year of entry to the SERP and by the individual's year of entry to the AHS Executive FLEX Benefit Program. Flex Plan Flex Plan/ SERP 457(b) CY CY Employer CY Contrib./ Distributions Contrib. Distributions* Payment ------------------------------------------------------- Finch, Kenneth A. $ 88,906 $ 94,205 $176,946 $ 0 Johnson, Penny L. $ 30,909 $ 28,182 $ 0 $ 0 Walton, Carlyle L.E.$ 38,043 $ 37,124 $119,926 $ 0 Huenergardt, Samuel $ 8,966 $ 55,445 $ 0 $ 37,931 Stahl, Anthony $ 2,433 $ 0 $ 0 $ 0 * Including Investment Earnings"}]},"ScheduleR":{"tax_exempt_organizations":[{"ein":651219504,"business_name_line1":"Adventist Bolingbrook Hospital","primary_activities_text":"Operation of Hospital & Related Services","exempt_code_section_text":"501(c)(3)","public_charity_status_text":"Line 3","controlled_organization_indicator":true,"legal_domicile_state":"IL","direct_controlling_business_name_line1":"Adventist Midwest Health","address_line1":"500 Remington Blvd","city":"Bolingbrook","state":"IL","zip":"60440","name":"Adventist Bolingbrook Hospital","address":"500 Remington Blvd, Bolingbrook, IL, 60440"},{"ein":205774723,"business_name_line1":"Adventist Care Centers - Courtland 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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 AHS. Part I, Line 4b, Executives on the filing organization's management team that hold the position of Vice-President or above are compensated by and on the payroll of Adventist Health System Sunbelt Healthcare Corporation (AHSSHC), the parent organization of a healthcare system known as Adventist Health System (AHS). In recognition of the contribution that each executive makes to the success of AHS, AHS provides to eligible executives participation in the AHS Executive FLEX Benefit Program (the Plan). The purpose of the Plan is to offer eligible executives an opportunity to elect from among a variety of supplemental benefits, including deferred compensation benefits taxable under Internal Revenue Code (IRC) Section 457(f), to individually tailor a benefits program appropriate to each executive's needs. The Plan provides eligible participants a pre-determined benefits allowance credit that is equal to a percentage of the executive's base pay from which is deducted the cost of mandatory and elective employee benefits. The pre-determined benefits allowance credit percentage is approved by the AHS Board Strategy & Compensation Committee, an independent committee of the Board of Directors of AHSSHC. Any funds that remain after the cost of mandatory and elective benefits are subtracted from the annual pre-determined benefits allowance are contributed, at the employee's option, to either an IRC 457(f) deferred compensation account or to an IRC 457(b) eligible deferred compensation plan. 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 documents define an employee who is eligible to participate in the Plan to generally include the Chief Executive Officers of AHS entities and Vice Presidents of all AHS entities whose base salary is at least $204,000. The Plan provides for a class year vesting schedule (2 years for each class year) with respect to amounts accumulated in the executive's 457(f) deferred compensation account. Distributions could also be made from the executive's 457(f) deferred compensation account upon attainment of age 65 or upon an involuntary separation. The account is forfeited by the executive upon a voluntary separation. In addition to the Plan, AHS has instituted a defined benefit, non-tax-qualified deferred compensation plan for certain executives who have provided lengthy service to AHS and/or to other Seventh-Day Adventist Church hospital or health care institutions. Participation in the plan is offered to AHS executives on a prorata schedule beginning with 20 years of service as an employee of AHS and/or another hospital or health care institution controlled by the Seventh-Day Adventist Church and who satisfy certain other qualifying criteria. This supplemental executive retirement plan (SERP) was designed to provide eligible executives with the economic equivalent of an annual income beginning at normal retirement age equal to 60% of the average of the participant's three highest years of base salary from AHS active employment inclusive of income from all other Seventh-Day Adventist Church healthcare employer-financed retirement income sources and investment income earned on those contributions through social security normal retirement age as defined in the plan. Flex Plan/ Flex Plan/ SERP 457(b) CY 457(f) CY 457(f) CY Contrib./ Distributions Employer Distributions Payment Contrib. ------------------------------------------------------- Enderson, Daniel E. $ 14,506 $ 12,851 $ 0 $ 14,427 Finch, Kenneth A. $ 63,971 $ 48,602 $321,975 $ 0 Johnson, Penny L. $ 15,256 $ 0 $ 0 $ 0 Walton, Carlyle L.E.$ 30,630 $ 23,272 $ 0 $ 0 Huenergardt, Samuel $ 13,818 $ 0 $ 0 $ 0 Jepson, Gary L. $ 0 $ 25,273 $ 0 $ 0 Weber, Peter M. $ 48,697 $ 78,418 $ 0 $ 0 Crunk, Frances $ 20,475 $ 18,184 $ 0 $ 0"},{"form_and_line_reference":"Part III","explanation":"Part I, Question 3: As noted in our response to question 15 of Part VI of Form 990, the individual who serves as the President/CEO of the filing organization is compensated by Adventist Health System Sunbelt Healthcare Corporation (AHSSHC) for that individual's role in serving as the CEO of the supported hospital. Compensation and benefits provided to this individual are determined pursuant to policies, procedures, and processes of AHSSHC that are designed to ensure compliance with the intermediate sanctions laws as set forth in IRC Section 4958. AHSSHC uses all of the following to establish compensation of the CEO: - Compensation committee; - Independent compensation consultant; - Compensation survey or study; and - Approval by the board or compensation committee."}]},"ScheduleR":{"tax_exempt_organizations":[{"ein":651219504,"business_name_line1":"Adventist Bolingbrook Hospital","primary_activities":"Operation of Hospital & Related Services","exempt_code_section":"501(c)(3)","public_charity_status":"170(b)(1)(A)(iii)","controlled_organization":false,"legal_domicile_state":"IL","direct_controlling_business_name_line1":"Adventist Hlth SystemSunbelt Inc","address_line1":"500 Remington Blvd","city":"Bolingbrook","state":"IL","zip":"60440","name":"Adventist Bolingbrook Hospital","address":"500 Remington Blvd, Bolingbrook, IL, 60440"},{"ein":205774723,"business_name_line1":"Adventist Care Centers - Courtland Inc","primary_activities":"Operation of Home for the Aged/Hlthcare 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The primary activity of the filing organization is to provide office space for medical professionals on the hospital's (the supported organization) medical staff. Both the filing organization and the Supported Organization are owned and controlled by Adventist Health System Sunbelt Healthcare Corporation (AHSSHC), the 501(c)(3) parent organization of AdventHealth. AdventHealth is a faith-based healthcare system of organizations established by the Seventh-day Adventist Church to ensure that the health mission of the Seventh-day Adventist Church is carried out. CTMC has a significant voice in the filing organization's investment policies and in directing the use of the filing organization's income or assets throughout the year. The Chairman of the Board of Directors, the President/CEO/Board Member, and the CFO of the filing organization also serve as Chairman of the Board of Directors, President/CEO/Board Member, and CFO of CTMC. Per the filing organization's governing documents, the Board of Directors of the filing organization has the power to control and manage the property, business, and affairs of the filing organization, subject to certain reserved powers held by the Member. The Articles of Incorporation mandate that at least one member of the Board of Directors be selected from the membership of the Board of Directors of the supported organization as well as the criteria that at least 2/3 be members of the Seventh-Day Adventist Church. Through this overlap of Board members and officers and the fact that both the filing organization and the Supported Organization have the same sole top-tier member (AHSSHC), the Supported Organization is continually involved in directing the use of the filing organization's assets and resources."},{"form_and_line_reference":"Schedule A, Part IV, Section E, Line 2a","explanation":"As outlined in Section D, Question 3 above, the filing organization supports Adventist Health System/Sunbelt, Inc. dba Central Texas Medical Center (CTMC or the Hospital, the Supported Organization) which owns and operates an acute care hospital. The sole activity of the filing organization is to provide office space for medical professionals on the Hospital's (the supported organization) medical staff. The activity of holding title to and leasing the medical offices on the campus of the Hospital to members of its supported Hospital's medical staff (the supported organization) is a \"direct furtherance\" activity. The leasing of office space adjacent to the Hospital to members of the medical staff under the circumstances described contributes importantly to the Hospital functions by increasing the Hospital's efficiency, encouraging fuller utilization of its facilities, and improving the overall quality of its patient care. Please see our discussion for Schedule A, Part IV, Section D, Question 3 concerning how the filing organization is responsive to the needs and demands of the Supported Organization."},{"form_and_line_reference":"Schedule A, Part IV, Section E, Line 2b","explanation":"The activity of owning title to and leasing real property adjacent to the supported Hospital's campus in order to provide medical office space to physicians on the Hospital's medical staff furthers the Hospital's exempt purpose. This is an activity that, but for the involvement of the filing organization, the Hospital (Supported Organization) would conduct. 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A full valuation allowance has been provided at December 31, 2018 and 2017 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 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, 2018 and 2017. On December 22, 2017, the United States enacted tax reform legislation commonly known as the Tax Cuts and Jobs Act (Act), resulting in significant modifications to existing law. Certain provisions will impact tax-exempt organizations, including revisions to taxes on unrelated business activities, excise taxes on compensation of certain employees, and various other provisions. The regulations necessary to implement the law have not yet been promulgated, and the ultimate outcome of these regulations and the impact to the System cannot be determined presently. The System will continue to review and assess the impact of the legislation to the consolidated financial statements, but does not expect that the impact will be significant."}]},"ScheduleJ":{"compensation_arrangements":{"compensation_based_on_revenue_filing_org":false,"compensation_based_on_revenue_related_orgs":false,"compensation_based_on_net_earnings_filing_org":false,"compensation_based_on_net_earnings_related_orgs":false,"nonfixed_payments":false,"initial_contract_exception":false,"severance_payment":false,"supplemental_nonqualified_retirement_plan":true,"equity_based_compensation_arrangement":false},"compensation":[{"person_name":"Finch Kenneth A","title":"Chairman","base_compensation_filing_org":0,"bonus_filing_org":0,"bonus_related_orgs":229192,"compensation_based_on_related_orgs":594125,"comp_report_prior_990_filing_org":0,"comp_report_prior_990_related_orgs":87148,"deferred_compensation_filing_org":0,"deferred_compensation_related_orgs":117910,"nontaxable_benefits_filing_org":0,"nontaxable_benefits_related_orgs":33048,"other_compensation_filing_org":0,"other_compensation_related_orgs":364722,"total_compensation_filing_org":0,"total_compensation_related_orgs":1338997,"name":"Finch Kenneth A"},{"person_name":"Pridgen Parker","title":"CFO/Director/Treasurer","base_compensation_filing_org":0,"bonus_filing_org":0,"bonus_related_orgs":20968,"compensation_based_on_related_orgs":212919,"comp_report_prior_990_filing_org":0,"comp_report_prior_990_related_orgs":0,"deferred_compensation_filing_org":0,"deferred_compensation_related_orgs":10456,"nontaxable_benefits_filing_org":0,"nontaxable_benefits_related_orgs":32828,"other_compensation_filing_org":0,"other_compensation_related_orgs":7999,"total_compensation_filing_org":0,"total_compensation_related_orgs":285170,"name":"Pridgen Parker"},{"person_name":"Stahl Anthony","title":"Director/Secretary","base_compensation_filing_org":0,"bonus_filing_org":0,"bonus_related_orgs":80019,"compensation_based_on_related_orgs":300217,"comp_report_prior_990_filing_org":0,"comp_report_prior_990_related_orgs":12650,"deferred_compensation_filing_org":0,"deferred_compensation_related_orgs":33851,"nontaxable_benefits_filing_org":0,"nontaxable_benefits_related_orgs":43682,"other_compensation_filing_org":0,"other_compensation_related_orgs":31725,"total_compensation_filing_org":0,"total_compensation_related_orgs":489494,"name":"Stahl Anthony"},{"person_name":"Sutton Jesse L","title":"Director","base_compensation_filing_org":0,"bonus_filing_org":0,"bonus_related_orgs":83539,"compensation_based_on_related_orgs":335523,"comp_report_prior_990_filing_org":0,"comp_report_prior_990_related_orgs":10547,"deferred_compensation_filing_org":0,"deferred_compensation_related_orgs":42652,"nontaxable_benefits_filing_org":0,"nontaxable_benefits_related_orgs":47432,"other_compensation_filing_org":0,"other_compensation_related_orgs":36769,"total_compensation_filing_org":0,"total_compensation_related_orgs":545915,"name":"Sutton Jesse L"},{"person_name":"Walton Carlyle L E","title":"Director (End 7/18)","base_compensation_filing_org":0,"bonus_filing_org":0,"bonus_related_orgs":85705,"compensation_based_on_related_orgs":361927,"comp_report_prior_990_filing_org":0,"comp_report_prior_990_related_orgs":37332,"deferred_compensation_filing_org":0,"deferred_compensation_related_orgs":42179,"nontaxable_benefits_filing_org":0,"nontaxable_benefits_related_orgs":31997,"other_compensation_filing_org":0,"other_compensation_related_orgs":325712,"total_compensation_filing_org":0,"total_compensation_related_orgs":847520,"name":"Walton Carlyle L E"}],"supplemental_information":[{"form_and_line_reference":"Part I, Line 3","explanation":"The individual who serves as the CEO of the filing organization is is appointed and compensated by Adventist Health System Sunbelt Healthcare Corporation (AHSSHC). Compensation and benefits provided to this individual are determined pursuant to policies, procedures, and processes of AHSSHC 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 of the community, 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. 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_and_line_reference":"Part I, Line 4b","explanation":"Executives on the filing organization's management team that hold the position of Vice-President or above are compensated by and on the payroll of Adventist Health System Sunbelt Healthcare Corporation (AHSSHC), the parent organization of a healthcare system known as AdventHealth. In recognition of the contribution that each executive makes to the success of AdventHealth, AdventHealth provides to eligible executives participation in the AdventHealth Executive FLEX Benefit Program (the Plan). The purpose of the Plan is to offer eligible executives an opportunity to elect from among a variety of supplemental benefits, including a split dollar life insurance policy and long-term care insurance, to individually tailor a benefits program appropriate to each executive's needs. The Plan provides eligible participants a pre-determined benefits allowance credit that is equal to a percentage of the executive's base pay from which is deducted the cost of mandatory and elective employee benefits. The pre-determined benefits allowance credit percentage is approved by the AHSSHC Board Compensation Committee, an independent committee of the Board of Directors of AHSSHC. Any funds that remain after the cost of mandatory and elective benefits are subtracted from the annual pre-determined benefits allowance are contributed, at the employee's option, to either an IRC 457(f) deferred compensation account or to an IRC 457(b) eligible deferred compensation plan. 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 documents define an employee who is eligible to participate in the Plan to generally include the Chief Executive Officers of AdventHealth entities and Vice Presidents of all AdventHealth entities whose base salary is at least $250,000. The Plan provides for a class year vesting schedule (2 years for each class year) with respect to amounts accumulated in the executive's 457(f) deferred compensation account. Distributions could also be made from the executive's 457(f) deferred compensation account upon attainment of age 65 or upon an involuntary separation. The account is forfeited by the executive upon a voluntary separation. In addition to the Plan, AdventHealth has instituted 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. Participation in the plan is offered to AdventHealth executives 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) 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 the SERP and by the individual's year of entry to the AdventHealth Executive FLEX Benefit Program. Additionally, AdventHealth has adopted a Senior Executive Death Benefit (SEDB) Plan in recognition of the considerable age and service requirements in the SERP. The SEDB Plan provides a benefit in an amount equal to the amount the executive's benefit would have been under the SERP 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 Plan with present value recognizing an early benefit commencement. 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 of the eligibility requirements of SERP as of the executive's date of death but would have satisfied all of those requirements within five (5) years following death had the executive lived and continued employment. The SEDB Plan was reviewed and approved by the AHSSHC Board Compensation Committee, an independent body of the AHSSHC Board of Directors. Flex Plan Flex Plan/ SERP 457(b) CY CY Employer CY Contrib./ Distributions* Contrib. Distributions* Payment ------------------------------------------------------- Finch, Kenneth $103,061 $112,948 $198,372 $ 0 Stahl, Anthony $ 19,002 $ 16,087 $ 0 $ 0 Sutton, Jesse $ 27,803 $ 12,193 $ 0 $ 0 Walton, Carlyle $ 51,330 $ 37,807 $133,145 $ 0 * Including Investment Earnings"}]},"ScheduleR":{"tax_exempt_organizations":[{"ein":480868859,"business_name_line1":"AdventHealth Foundation Shawnee Mission","primary_activities_text":"Fund-raising for Tax-exempt hospital","exempt_code_section_text":"501(c)(3)","public_charity_status_text":"Line 7","controlled_organization_indicator":true,"legal_domicile_state":"KS","direct_controlling_business_name_line1":"Shawnee Mission Medical Center Inc","address_line1":"9100 W 74th Street","city":"Shawnee Mission","state":"KS","zip":"66204","name":"AdventHealth Foundation Shawnee Mission","address":"9100 W 74th Street, Shawnee Mission, KS, 66204"},{"ein":593069793,"business_name_line1":"AdventHealth University Inc fka Adv Univ of Hlth Sciences 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The primary activity of the filing organization is to provide office space for medical professionals on the hospital's (the supported organization) medical staff. Both the filing organization and the Supported Organization are owned and controlled by Adventist Health System Sunbelt Healthcare Corporation (AHSSHC), the 501(c)(3) parent organization of Adventist Health System. Adventist Health System is a faith-based healthcare system of organizations established by the Seventh-day Adventist Church to ensure that the health mission of the Seventh-day Adventist Church is carried out. CTMC has a significant voice in the filing organization's investment policies and in directing the use of the filing organization's income or assets throughout the year. The Chairman of the Board of Directors, the President/CEO/Board Member, and the CFO of the filing organization also serve as Chairman of the Board of Directors, President/CEO/Board Member, and CFO of CTMC. Per the filing organization's governing documents, the Board of Directors of the filing organization has the power to control and manage the property, business, and affairs of the filing organization, subject to certain reserved powers held by the Member. The Articles of Incorporation mandate that at least one member of the Board of Directors be selected from the membership of the Board of Directors of the supported organization as well as the criteria that at least 2/3 be members of the Seventh-Day Adventist Church. Through this overlap of Board members and officers and the fact that both the filing organization and the Supported Organization have the same sole top-tier member (AHSSHC), the Supported Organization is continually involved in directing the use of the filing organization's assets and resources."},{"form_and_line_reference":"Schedule A, Part IV, Section E, Line 2a","explanation":"As outlined in Section D, Question 3 above, the filing organization supports Adventist Health System/Sunbelt, Inc. dba Central Texas Medical Center (CTMC or the Hospital, the Supported Organization) which owns and operates an acute care hospital. The sole activity of the filing organization is to provide office space for medical professionals on the Hospital's (the supported organization) medical staff. The activity of holding title to and leasing the medical offices on the campus of the Hospital to members of its supported Hospital's medical staff (the supported organization) is a \"direct furtherance\" activity. The leasing of office space adjacent to the Hospital to members of the medical staff under the circumstances described contributes importantly to the Hospital functions by increasing the Hospital's efficiency, encouraging fuller utilization of its facilities, and improving the overall quality of its patient care. Please see our discussion for Schedule A, Part VI, Section D, Question 3 concerning how the filing organization is responsive to the needs and demands of the Supported Organization."},{"form_and_line_reference":"Schedule A, Part IV, Section E, Line 2b","explanation":"The activity of owning title to and leasing real property adjacent to the supported Hospital's campus in order to provide medical office space to physicians on the Hospital's medical staff furthers the Hospital's exempt purpose. This is an activity that, but for the involvement of the filing organization, the Hospital (Supported Organization) would conduct. 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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, 2016 and 2015. NAHS also has temporary deductible differences of approximately $59,100 and $62,700 at December 31, 2016 and 2015, respectively, primarily as a result of net operating loss carryforwards. At December 31, 2016, NAHS had net operating loss carryforwards of approximately $59,600, expiring beginning in 2022 through 2026. Deferred taxes have been provided for these amounts, resulting in a net deferred tax asset of approximately $22,500 and $23,800 at December 31, 2016 and 2015, respectively. A full valuation allowance has been provided at December 31, 2016 and 2015 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 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, 2016 and 2015."}]},"ScheduleJ":{"compensation_arrangements":{"compensation_based_on_revenue_filing_org":false,"compensation_based_on_revenue_related_orgs":false,"compensation_based_on_net_earnings_filing_org":false,"compensation_based_on_net_earnings_related_orgs":false,"nonfixed_payments":false,"initial_contract_exception":false,"severance_payment":false,"supplemental_nonqualified_retirement_plan":true,"equity_based_compensation_arrangement":false},"compensation":[{"person_name":"Finch Kenneth A","title":"Chairman","base_compensation_filing_org":0,"bonus_filing_org":0,"bonus_related_orgs":183479,"compensation_based_on_related_orgs":517494,"comp_report_prior_990_filing_org":0,"comp_report_prior_990_related_orgs":78947,"deferred_compensation_filing_org":0,"deferred_compensation_related_orgs":101536,"nontaxable_benefits_filing_org":0,"nontaxable_benefits_related_orgs":38991,"other_compensation_filing_org":0,"other_compensation_related_orgs":244470,"total_compensation_filing_org":0,"total_compensation_related_orgs":1085970,"name":"Finch Kenneth A"},{"person_name":"Johnson Penny L","title":"Director/Treasurer (End 7/16)","base_compensation_filing_org":0,"bonus_filing_org":0,"bonus_related_orgs":83640,"compensation_based_on_related_orgs":343044,"comp_report_prior_990_filing_org":0,"comp_report_prior_990_related_orgs":27545,"deferred_compensation_filing_org":0,"deferred_compensation_related_orgs":48133,"nontaxable_benefits_filing_org":0,"nontaxable_benefits_related_orgs":79370,"other_compensation_filing_org":0,"other_compensation_related_orgs":128456,"total_compensation_filing_org":0,"total_compensation_related_orgs":682643,"name":"Johnson Penny L"},{"person_name":"Walton Carlyle L E","title":"Director","base_compensation_filing_org":0,"bonus_filing_org":0,"bonus_related_orgs":102696,"compensation_based_on_related_orgs":332579,"comp_report_prior_990_filing_org":0,"comp_report_prior_990_related_orgs":39012,"deferred_compensation_filing_org":0,"deferred_compensation_related_orgs":46419,"nontaxable_benefits_filing_org":0,"nontaxable_benefits_related_orgs":43485,"other_compensation_filing_org":0,"other_compensation_related_orgs":194380,"total_compensation_filing_org":0,"total_compensation_related_orgs":719559,"name":"Walton Carlyle L E"},{"person_name":"Stahl Anthony","title":"Director/Secretary","base_compensation_filing_org":0,"bonus_filing_org":0,"bonus_related_orgs":46136,"compensation_based_on_related_orgs":246279,"comp_report_prior_990_filing_org":0,"comp_report_prior_990_related_orgs":0,"deferred_compensation_filing_org":0,"deferred_compensation_related_orgs":27037,"nontaxable_benefits_filing_org":0,"nontaxable_benefits_related_orgs":41424,"other_compensation_filing_org":0,"other_compensation_related_orgs":33188,"total_compensation_filing_org":0,"total_compensation_related_orgs":394064,"name":"Stahl Anthony"},{"person_name":"Sutton Jesse L","title":"CFO/Director/Treasurer (Dir Beg 9/16","base_compensation_filing_org":0,"bonus_filing_org":0,"bonus_related_orgs":36395,"compensation_based_on_related_orgs":234993,"comp_report_prior_990_filing_org":0,"comp_report_prior_990_related_orgs":0,"deferred_compensation_filing_org":0,"deferred_compensation_related_orgs":24934,"nontaxable_benefits_filing_org":0,"nontaxable_benefits_related_orgs":65392,"other_compensation_filing_org":0,"other_compensation_related_orgs":38448,"total_compensation_filing_org":0,"total_compensation_related_orgs":400162,"name":"Sutton Jesse L"}],"supplemental_information":[{"form_and_line_reference":"Part I, Line 3","explanation":"The individual who serves as the President of the filing organization is compensated by Adventist Health System Sunbelt Healthcare Corporation (AHSSHC) for that individual's role in serving as the CEO of the supported hospital, Central Texas Medical Center, a division of Adventist Health System/Sunbelt, Inc. (AHSSI). AHSSI is a 501(c)(3)subsidiary of AHSSHC. Compensation and benefits provided to this individual are determined pursuant to policies, procedures, and processes of AHSSHC 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 of the community, 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. 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 AHS and each of its affiliated entities. The following principles guide the establishment of individual executive compensation: - The salary of the President/CEO of AHS will not exceed the 40th 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_and_line_reference":"Part I, Line 4b","explanation":"Executives on the filing organization's management team that hold the position of Vice-President or above at the supported hospital are compensated by and on the payroll of Adventist Health System Sunbelt Healthcare Corporation (AHSSHC), the parent organization of a healthcare system known as Adventist Health System (AHS). In recognition of the contribution that each executive makes to the success of AHS, AHS provides to eligible executives participation in the AHS Executive FLEX Benefit Program (the Plan). The purpose of the Plan is to offer eligible executives an opportunity to elect from among a variety of supplemental benefits, including deferred compensation benefits taxable under Internal Revenue Code (IRC) Section 457(f), to individually tailor a benefits program appropriate to each executive's needs. The Plan provides eligible participants a pre-determined benefits allowance credit that is equal to a percentage of the executive's base pay from which is deducted the cost of mandatory and elective employee benefits. The pre-determined benefits allowance credit percentage is approved by the AHSSHC Board Compensation Committee, an independent committee of the Board of Directors of AHSSHC. Any funds that remain after the cost of mandatory and elective benefits are subtracted from the annual pre-determined benefits allowance are contributed, at the employee's option, to either an IRC 457(f) deferred compensation account or to an IRC 457(b) eligible deferred compensation plan. 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 documents define an employee who is eligible to participate in the Plan to generally include the Chief Executive Officers of AHS entities and Vice Presidents of all AHS entities whose base salary is at least $236,000. The Plan provides for a class year vesting schedule (2 years for each class year) with respect to amounts accumulated in the executive's 457(f) deferred compensation account. Distributions could also be made from the executive's 457(f) deferred compensation account upon attainment of age 65 or upon an involuntary separation. The account is forfeited by the executive upon a voluntary separation. In addition to the Plan, AHS has instituted a defined benefit, non-tax-qualified deferred compensation plan for certain executives who have provided lengthy service to AHS and/or to other Seventh-Day Adventist Church hospitals or health care institutions. Participation in the plan is offered to AHS executives on a prorata schedule beginning with 20 years of service as an employee of AHS and/or another hospital or health care institution controlled by the Seventh-Day Adventist Church and who satisfy certain other qualifying criteria. This supplemental executive retirement plan (SERP) was designed to provide eligible executives with the economic equivalent of an annual income beginning at normal retirement age equal to 60% of the average of the participant's three, five or seven highest years of base salary from AHS active employment inclusive of income from all other Seventh-Day Adventist Church healthcare employer-financed retirement income sources and investment income earned on those contributions through social security normal retirement age as defined in the plan. The number of years included in highest average compensation is determined by the individual's year of entry to the SERP and by the individual's year of entry to the AHS Executive FLEX Benefit Program. Flex Plan Flex Plan/ SERP 457(b) CY CY Employer CY Contrib./ Distributions Contrib. Distributions* Payment ------------------------------------------------------- Finch, Kenneth A. $ 87,148 $ 77,388 $129,586 $ 0 Johnson, Penny L. $ 33,746 $ 27,470 $ 0 $ 0 Walton, Carlyle L.E.$ 37,332 $ 39,035 $129,382 $ 0 Stahl, Anthony $ 12,650 $ 0 $ 0 $ 0 Sutton, Jesse $ 10,547 $ 0 $ 0 $ 0 * Including Investment Earnings"}]},"ScheduleR":{"tax_exempt_organizations":[{"ein":651219504,"business_name_line1":"Adventist Bolingbrook Hospital","primary_activities_text":"Operation of Hospital & Related Services","exempt_code_section_text":"501(c)(3)","public_charity_status_text":"Line 3","controlled_organization_indicator":true,"legal_domicile_state":"IL","direct_controlling_business_name_line1":"Adventist Midwest Health","address_line1":"500 Remington Blvd","city":"Bolingbrook","state":"IL","zip":"60440","name":"Adventist Bolingbrook Hospital","address":"500 Remington Blvd, Bolingbrook, IL, 60440"},{"ein":205774723,"business_name_line1":"Adventist Care Centers - Courtland 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Earl","title":"Director","average_hours_per_week":0.1,"average_hours_per_week_related_org":0.0,"reportable_comp_from_org":0,"reportable_comp_from_related_orgs":0,"other_compensation":0,"individual_trustee_or_director":true,"name":"Ingram Earl"},{"person_name":"Kagalwalla MD Abid","title":"Director","average_hours_per_week":0.1,"average_hours_per_week_related_org":1.42,"reportable_comp_from_org":0,"reportable_comp_from_related_orgs":11050,"other_compensation":0,"individual_trustee_or_director":true,"name":"Kagalwalla MD Abid"},{"person_name":"Pridgen Parker","title":"CFO/Director/Treasurer","average_hours_per_week":0.1,"average_hours_per_week_related_org":50.0,"reportable_comp_from_org":0,"reportable_comp_from_related_orgs":205602,"other_compensation":41182,"individual_trustee_or_director":true,"officer":true,"name":"Pridgen Parker"},{"person_name":"Reeves DDS Charles","title":"Director","average_hours_per_week":0.1,"average_hours_per_week_related_org":0.0,"reportable_comp_from_org":0,"reportable_comp_from_related_orgs":0,"other_compensation":0,"individual_trustee_or_director":true,"name":"Reeves DDS Charles"},{"person_name":"Shapiro DO Stuart","title":"Director (Beg 2/17; End 8/17)","average_hours_per_week":0.1,"average_hours_per_week_related_org":0.0,"reportable_comp_from_org":0,"reportable_comp_from_related_orgs":0,"other_compensation":0,"individual_trustee_or_director":true,"name":"Shapiro DO Stuart"},{"person_name":"Stahl Anthony","title":"Director/Secretary","average_hours_per_week":0.1,"average_hours_per_week_related_org":50.0,"reportable_comp_from_org":0,"reportable_comp_from_related_orgs":359684,"other_compensation":77160,"individual_trustee_or_director":true,"officer":true,"name":"Stahl Anthony"},{"person_name":"Sutton Jesse L","title":"Director/Treasurer","average_hours_per_week":0.1,"average_hours_per_week_related_org":50.0,"reportable_comp_from_org":0,"reportable_comp_from_related_orgs":375209,"other_compensation":85255,"individual_trustee_or_director":true,"officer":true,"name":"Sutton Jesse L"},{"person_name":"Walton Carlyle L E","title":"Director","average_hours_per_week":0.1,"average_hours_per_week_related_org":50.0,"reportable_comp_from_org":0,"reportable_comp_from_related_orgs":577483,"other_compensation":73745,"individual_trustee_or_director":true,"name":"Walton Carlyle L E"},{"person_name":"Welborn Ruth B","title":"Director","average_hours_per_week":0.1,"average_hours_per_week_related_org":50.0,"reportable_comp_from_org":0,"reportable_comp_from_related_orgs":0,"other_compensation":0,"individual_trustee_or_director":true,"name":"Welborn Ruth B"}]},"ScheduleA":{"public_charity_status":{"supporting_organization_509a3":true,"supporting_org_509a3_type3_functionally_integrated":true},"supported_organizations":{"total_supported_organizations":1,"supported_organizations_count":1,"sum_of_amounts":0,"other_support_sum":0,"rows":[{"ein":591479658,"organization_type":"3","support_amount":0,"other_support_amount":0,"governing_document_listed":true,"name":"Adventist Health SystemSunbelt Inc"}]},"supporting_organization_tests":{"contribution_35_controlled":false,"contribution_controller":false,"contribution_family":false,"controlled_by_disqualified_person":false,"disqualified_person_controlling_interest":false,"disqualified_person_ownership_interest":false,"excess_business_holdings_rules":false,"listed_by_name_governing_doc":true,"loan_disqualified_person":false,"organization_change_supported_org":false,"payment_substantial_contributor":false,"support_non_supported_org":false,"supported_org_not_organized_us":false,"supported_org_section_c456":false,"supporting_org_no_irs_determination":false,"type3_all_officers_close_relationship":true,"type3_all_supported_org_voice_investment":true,"type3_all_timely_provided_documents":true,"type3_functionally_integrated_activities_engaged":true,"type3_functionally_integrated_activities_further_purposes":true,"type3_functionally_integrated_activities_test":true},"supplemental_information":{"part_vi":[{"form_and_line_reference":"Schedule A, Part IV, Section D, Line 3","explanation":"The filing organization supports Adventist Health System/Sunbelt, Inc. dba Central Texas Medical Center (CTMC, the Supported Organization) which owns and operates an acute care hospital. The primary activity of the filing organization is to provide office space for medical professionals on the hospital's (the supported organization) medical staff. Both the filing organization and the Supported Organization are owned and controlled by Adventist Health System Sunbelt Healthcare Corporation (AHSSHC), the 501(c)(3) parent organization of Adventist Health System. Adventist Health System is a faith-based healthcare system of organizations established by the Seventh-day Adventist Church to ensure that the health mission of the Seventh-day Adventist Church is carried out. CTMC has a significant voice in the filing organization's investment policies and in directing the use of the filing organization's income or assets throughout the year. The Chairman of the Board of Directors, the President/CEO/Board Member, and the CFO of the filing organization also serve as Chairman of the Board of Directors, President/CEO/Board Member, and CFO of CTMC. Per the filing organization's governing documents, the Board of Directors of the filing organization has the power to control and manage the property, business, and affairs of the filing organization, subject to certain reserved powers held by the Member. The Articles of Incorporation mandate that at least one member of the Board of Directors be selected from the membership of the Board of Directors of the supported organization as well as the criteria that at least 2/3 be members of the Seventh-Day Adventist Church. Through this overlap of Board members and officers and the fact that both the filing organization and the Supported Organization have the same sole top-tier member (AHSSHC), the Supported Organization is continually involved in directing the use of the filing organization's assets and resources."},{"form_and_line_reference":"Schedule A, Part IV, Section E, Line 2a","explanation":"As outlined in Section D, Question 3 above, the filing organization supports Adventist Health System/Sunbelt, Inc. dba Central Texas Medical Center (CTMC or the Hospital, the Supported Organization) which owns and operates an acute care hospital. The sole activity of the filing organization is to provide office space for medical professionals on the Hospital's (the supported organization) medical staff. The activity of holding title to and leasing the medical offices on the campus of the Hospital to members of its supported Hospital's medical staff (the supported organization) is a \"direct furtherance\" activity. The leasing of office space adjacent to the Hospital to members of the medical staff under the circumstances described contributes importantly to the Hospital functions by increasing the Hospital's efficiency, encouraging fuller utilization of its facilities, and improving the overall quality of its patient care. Please see our discussion for Schedule A, Part VI, Section D, Question 3 concerning how the filing organization is responsive to the needs and demands of the Supported Organization."},{"form_and_line_reference":"Schedule A, Part IV, Section E, Line 2b","explanation":"The activity of owning title to and leasing real property adjacent to the supported Hospital's campus in order to provide medical office space to physicians on the Hospital's medical staff furthers the Hospital's exempt purpose. This is an activity that, but for the involvement of the filing organization, the Hospital (Supported Organization) would conduct. The Hospital benefits from having staff physicians maintain their private practices in the office space adjacent to the Hospital's campus by having such physicians ready and available for emergencies as well as increasing the physicians' participation in the Hospitals' quality and efficiency initiatives."}]}},"ScheduleB":{"attached":false,"required":false},"ScheduleD":{"land_buildings_equipment":{"land":{"other_cost_or_other_basis":14487,"book_value":14487},"buildings":{"other_cost_or_other_basis":2222511,"book_value":1050353,"depreciation":1172158},"other_land_buildings":{"other_cost_or_other_basis":378934,"book_value":0,"depreciation":378934},"total_book_value":1064840},"other_liabilities":{"liabilities":[{"description":"Due to related","amount":-340475},{"description":"Interco. Alloc. of TE Bond Proceeds","amount":1676904}],"total_liability":1336429,"footnote_text":true},"supplemental_information":[{"form_and_line_reference":"Part X, Line 2:","explanation":"The filing organization is a subsidiary organization within Adventist Health System (AHS). The consolidated financial statements of AHS 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, 2017 and 2016. NAHS also has temporary deductible differences of approximately $55,700 and $59,100 at December 31, 2017 and 2016, respectively, primarily as a result of net operating loss carryforwards. At December 31, 2017, NAHS had net operating loss carryforwards of approximately $56,400, expiring beginning in 2022 through 2026. Deferred taxes have been provided for these amounts, resulting in a net deferred tax asset of approximately $14,100 and $22,500 at December 31, 2017 and 2016, respectively. A full valuation allowance has been provided at December 31, 2017 and 2016 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. On December 22, 2017, the United States enacted tax reform legislation commonly known as the Tax Cuts and Jobs Act (Act), resulting in significant modifications to existing law. 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%. Additionally, NAHS had a corresponding decrease to its valuation allowance resulting in no net tax expense impact. The Income Taxes Topic of the 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, 2017 and 2016."}]},"ScheduleJ":{"compensation_arrangements":{"compensation_based_on_revenue_filing_org":false,"compensation_based_on_revenue_related_orgs":false,"compensation_based_on_net_earnings_filing_org":false,"compensation_based_on_net_earnings_related_orgs":false,"nonfixed_payments":false,"initial_contract_exception":false,"severance_payment":false,"supplemental_nonqualified_retirement_plan":true,"equity_based_compensation_arrangement":false},"compensation":[{"person_name":"Finch Kenneth A","title":"Chairman","base_compensation_filing_org":0,"bonus_filing_org":0,"bonus_related_orgs":91955,"compensation_based_on_related_orgs":577943,"comp_report_prior_990_filing_org":0,"comp_report_prior_990_related_orgs":88906,"deferred_compensation_filing_org":0,"deferred_compensation_related_orgs":115841,"nontaxable_benefits_filing_org":0,"nontaxable_benefits_related_orgs":48296,"other_compensation_filing_org":0,"other_compensation_related_orgs":364738,"total_compensation_filing_org":0,"total_compensation_related_orgs":1198773,"name":"Finch Kenneth A"},{"person_name":"Pridgen Parker","title":"CFO/Director/Treasurer","base_compensation_filing_org":0,"bonus_filing_org":0,"bonus_related_orgs":0,"compensation_based_on_related_orgs":158262,"comp_report_prior_990_filing_org":0,"comp_report_prior_990_related_orgs":0,"deferred_compensation_filing_org":0,"deferred_compensation_related_orgs":8556,"nontaxable_benefits_filing_org":0,"nontaxable_benefits_related_orgs":32626,"other_compensation_filing_org":0,"other_compensation_related_orgs":47340,"total_compensation_filing_org":0,"total_compensation_related_orgs":246784,"name":"Pridgen Parker"},{"person_name":"Stahl Anthony","title":"Director/Secretary","base_compensation_filing_org":0,"bonus_filing_org":0,"bonus_related_orgs":54711,"compensation_based_on_related_orgs":283605,"comp_report_prior_990_filing_org":0,"comp_report_prior_990_related_orgs":2433,"deferred_compensation_filing_org":0,"deferred_compensation_related_orgs":32420,"nontaxable_benefits_filing_org":0,"nontaxable_benefits_related_orgs":44740,"other_compensation_filing_org":0,"other_compensation_related_orgs":21368,"total_compensation_filing_org":0,"total_compensation_related_orgs":436844,"name":"Stahl Anthony"},{"person_name":"Sutton Jesse L","title":"Director/Treasurer","base_compensation_filing_org":0,"bonus_filing_org":0,"bonus_related_orgs":35065,"compensation_based_on_related_orgs":317318,"comp_report_prior_990_filing_org":0,"comp_report_prior_990_related_orgs":0,"deferred_compensation_filing_org":0,"deferred_compensation_related_orgs":40745,"nontaxable_benefits_filing_org":0,"nontaxable_benefits_related_orgs":44510,"other_compensation_filing_org":0,"other_compensation_related_orgs":22826,"total_compensation_filing_org":0,"total_compensation_related_orgs":460464,"name":"Sutton Jesse L"},{"person_name":"Walton Carlyle L E","title":"Director","base_compensation_filing_org":0,"bonus_filing_org":0,"bonus_related_orgs":41502,"compensation_based_on_related_orgs":351617,"comp_report_prior_990_filing_org":0,"comp_report_prior_990_related_orgs":38043,"deferred_compensation_filing_org":0,"deferred_compensation_related_orgs":25472,"nontaxable_benefits_filing_org":0,"nontaxable_benefits_related_orgs":48273,"other_compensation_filing_org":0,"other_compensation_related_orgs":184364,"total_compensation_filing_org":0,"total_compensation_related_orgs":651228,"name":"Walton Carlyle L E"}],"supplemental_information":[{"form_and_line_reference":"Part I, Line 3","explanation":"The individual who serves as the CEO of the filing organization is compensated by Adventist Health System Sunbelt Healthcare Corporation (AHSSHC) for that individual's role in serving as the CEO of the entire nursing home division of Adventist Health System. Compensation and benefits provided to this individual are determined pursuant to policies, procedures, and processes of AHSSHC 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 of the community, 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. 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 AHS and each of its affiliated entities. The following principles guide the establishment of individual executive compensation: - The salary of the President/CEO of AHS will not exceed the 40th 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_and_line_reference":"Part I, Line 4b","explanation":"Executives on the filing organization's management team that hold the position of Vice-President or above are compensated by and on the payroll of Adventist Health System Sunbelt Healthcare Corporation (AHSSHC), the parent organization of a healthcare system known as Adventist Health System (AHS). In recognition of the contribution that each executive makes to the success of AHS, AHS provides to eligible executives participation in the AHS Executive FLEX Benefit Program (the Plan). The purpose of the Plan is to offer eligible executives an opportunity to elect from among a variety of supplemental benefits, including a split dollar life insurance policy and long-term care insurance, to individually tailor a benefits program appropriate to each executive's needs. The Plan provides eligible participants a pre-determined benefits allowance credit that is equal to a percentage of the executive's base pay from which is deducted the cost of mandatory and elective employee benefits. The pre-determined benefits allowance credit percentage is approved by the AHSSHC Board Compensation Committee, an independent committee of the Board of Directors of AHSSHC. Any funds that remain after the cost of mandatory and elective benefits are subtracted from the annual pre-determined benefits allowance are contributed, at the employee's option, to either an IRC 457(f) deferred compensation account or to an IRC 457(b) eligible deferred compensation plan. 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 documents define an employee who is eligible to participate in the Plan to generally include the Chief Executive Officers of AHS entities and Vice Presidents of all AHS entities whose base salary is at least $243,000. The Plan provides for a class year vesting schedule (2 years for each class year) with respect to amounts accumulated in the executive's 457(f) deferred compensation account. Distributions could also be made from the executive's 457(f) deferred compensation account upon attainment of age 65 or upon an involuntary separation. The account is forfeited by the executive upon a voluntary separation. In addition to the Plan, AHS has instituted a defined benefit, non-tax-qualified deferred compensation plan for certain executives who have provided lengthy service to AHS and/or to other Seventh-day Adventist Church hospitals or health care institutions. Participation in the plan is offered to AHS executives on a prorata schedule beginning with 20 years of service as an employee of AHS and/or another hospital or health care institution controlled by the Seventh-day Adventist Church and who satisfy certain other qualifying criteria. This supplemental executive retirement plan (SERP) was designed to provide eligible executives with the economic equivalent of an annual income beginning at normal retirement age equal to 60% of the average of the participant's three, five or seven highest years of base salary from AHS active employment inclusive of income from all other Seventh-day Adventist Church healthcare employer-financed retirement income sources and investment income earned on those contributions through social security normal retirement age as defined in the plan. The number of years included in highest average compensation is determined by the individual's year of entry to the SERP and by the individual's year of entry to the AHS Executive FLEX Benefit Program. Additionally, in 2017 AHS adopted a Senior Executive Death Benefit (SEDB) Plan in recognition of the considerable age and service requirements in the SERP. The SEDB Plan provides a benefit in an amount equal to the amount the executive's benefit would have been under the SERP 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 Plan with present value recognizing an early benefit commencement. 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 of the eligibility requirements of SERP as of the executive's date of death but would have satisfied all of those requirements within five (5) years following death had the executive lived and continued employment. The SEDB Plan was reviewed and approved by the AHSSHC Board Compensation Committee, an independent body of the AHSSHC Board of Directors. Flex Plan Flex Plan/ SERP 457(b) CY CY Employer CY Contrib./ Distributions Contrib. Distributions* Payment ------------------------------------------------------- Finch, Kenneth A. $ 101,279 $ 99,321 $227,999 $ 0 Walton, Carlyle L.E.$ 34,310 $ 38,245 $112,513 $ 0 Stahl, Anthony $ 17,858 $ 2,746 $ 0 $ 0 Sutton, Jesse $ 26,183 $ 0 $ 0 $ 0 * Including Investment Earnings"}]},"ScheduleR":{"tax_exempt_organizations":[{"ein":651219504,"business_name_line1":"Adventist Bolingbrook Hospital","primary_activities_text":"Operation of Hospital & Related Services","exempt_code_section_text":"501(c)(3)","public_charity_status_text":"Line 3","controlled_organization_indicator":true,"legal_domicile_state":"IL","direct_controlling_business_name_line1":"Adventist Midwest Health","address_line1":"500 Remington Blvd","city":"Bolingbrook","state":"IL","zip":"60440","name":"Adventist Bolingbrook Hospital","address":"500 Remington Blvd, Bolingbrook, IL, 60440"},{"ein":205774723,"business_name_line1":"Adventist Care Centers - Courtland Inc","primary_activities_text":"Operation of Home for the 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Through this overlap of Board members and officers and the fact that both the filing organization and the Supported Organization have the same sole top-tier member (AHSSHC), the Supported Organization is continually involved in directing the use of the filing organization's assets and resources."},{"form_and_line_reference":"Schedule A, Part IV, Section E, Line 2a","explanation":"As outlined in Section D, Question 3 above, the filing organization supports Adventist Health System/Sunbelt, Inc. dba Central Texas Medical Center (CTMC or the Hospital, the Supported Organization) which owns and operates an acute care hospital. The sole activity of the filing organization is to provide office space for medical professionals on the Hospital's (the supported organization) medical staff. The activity of holding title to and leasing the medical offices on the campus of the Hospital to members of its supported Hospital's medical staff (the supported organization) is a \"direct furtherance\" activity. The leasing of office space adjacent to the Hospital to members of the medical staff under the circumstances described contributes importantly to the Hospital functions by increasing the Hospital's efficiency, encouraging fuller utilization of its facilities, and improving the overall quality of its patient care. Please see our discussion for Schedule A, Part IV, Section D, Question 3 concerning how the filing organization is responsive to the needs and demands of the Supported Organization."},{"form_and_line_reference":"Schedule A, Part IV, Section E, Line 2b","explanation":"The activity of owning title to and leasing real property adjacent to the supported Hospital's campus in order to provide medical office space to physicians on the Hospital's medical staff furthers the Hospital's exempt purpose. This is an activity that, but for the involvement of the filing organization, the Hospital (Supported Organization) would conduct. The Hospital benefits from having staff physicians maintain their private practices in the office space adjacent to the Hospital's campus by having such physicians ready and available for emergencies as well as increasing the physicians' participation in the Hospitals' quality and efficiency initiatives."}]}},"ScheduleB":{"attached":false,"required":false},"ScheduleD":{"land_buildings_equipment":{"land":{"other_cost_or_other_basis":14487,"book_value":14487},"buildings":{"other_cost_or_other_basis":2222511,"book_value":918973,"depreciation":1303538},"equipment":{"other_cost_or_other_basis":5910,"book_value":4038,"depreciation":1872},"other_land_buildings":{"other_cost_or_other_basis":378934,"book_value":0,"depreciation":378934},"total_book_value":937498},"other_liabilities":{"liabilities":[{"description":"Due to related","amount":-24718},{"description":"Interco. Alloc. of TE Bond Proceeds","amount":1567788}],"total_liability":1543070,"footnote_text":true},"supplemental_information":[{"form_and_line_reference":"Part X, Line 2:","explanation":"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, 2019 and 2018. NAHS also has temporary deductible differences of approximately $46,500 and $53,000 at December 31, 2019 and 2018, respectively, primarily as a result of net operating loss carryforwards. At December 31, 2019, NAHS had net operating loss carryforwards of approximately $47,500, expiring beginning in 2022 through 2026. Deferred taxes have been provided for these amounts, resulting in a net deferred tax asset of approximately $11,400 and $13,400 at December 31, 2019 and 2018, 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, 2019 and 2018 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 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, 2019 and 2018. On December 22, 2017, the United States enacted tax reform legislation commonly known as the Tax Cuts and Jobs Act (Act), resulting in significant modifications to existing law. Certain provisions impact tax-exempt organizations, including revisions to taxes on unrelated business activities, excise taxes on compensation of certain employees, and various other provisions. While final regulations on these provisions have not yet been promulgated, the impact of these provisions on the consolidated financial statements is not expected to be significant."}]},"ScheduleJ":{"compensation_arrangements":{"compensation_based_on_revenue_filing_org":false,"compensation_based_on_revenue_related_orgs":false,"compensation_based_on_net_earnings_filing_org":false,"compensation_based_on_net_earnings_related_orgs":false,"nonfixed_payments":false,"initial_contract_exception":false,"severance_payment":false,"supplemental_nonqualified_retirement_plan":true,"equity_based_compensation_arrangement":false},"compensation":[{"person_name":"Finch Kenneth A","title":"Chairman (End 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Compensation and benefits provided to this individual are determined pursuant to policies, procedures, and processes of AHSSHC 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 of the community, 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. 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_and_line_reference":"Part I, Line 4b","explanation":"Executives on the filing organization's management team that hold the position of Vice-President or above are compensated by and on the payroll of Adventist Health System Sunbelt Healthcare Corporation (AHSSHC), the parent organization of a healthcare system known as AdventHealth. In recognition of the contribution that each executive makes to the success of AdventHealth, AdventHealth provides to eligible executives participation in the AdventHealth Executive FLEX Benefit Program (the Plan). The purpose of the Plan is to offer eligible executives an opportunity to elect from among a variety of supplemental benefits, including a split dollar life insurance policy and long-term care insurance, to individually tailor a benefits program appropriate to each executive's needs. The Plan provides eligible participants a pre-determined benefits allowance credit that is equal to a percentage of the executive's base pay from which is deducted the cost of mandatory and elective employee benefits. The pre-determined benefits allowance credit percentage is approved by the AHSSHC Board Compensation Committee, an independent committee of the Board of Directors of AHSSHC. Any funds that remain after the cost of mandatory and elective benefits are subtracted from the annual pre-determined benefits allowance are contributed, at the employee's option, to either an IRC 457(f) deferred compensation account or to an IRC 457(b) eligible deferred compensation plan. 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 documents define an employee who is eligible to participate in the Plan to generally include the Chief Executive Officers of AdventHealth entities and Vice Presidents of all AdventHealth entities whose base salary is at least $260,000. The Plan provides for a class year vesting schedule (2 years for each class year) with respect to amounts accumulated in the executive's 457(f) deferred compensation account. Distributions could also be made from the executive's 457(f) deferred compensation account upon attainment of age 65 or upon an involuntary separation. The account is forfeited by the executive upon a voluntary separation. In addition to the Plan, AdventHealth has instituted 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. Participation in the plan is offered to AdventHealth executives 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) 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 the SERP and by the individual's year of entry to the AdventHealth Executive FLEX Benefit Program. Additionally, AdventHealth has adopted a Senior Executive Death Benefit (SEDB) Plan in recognition of the considerable age and service requirements in the SERP. The SEDB Plan provides a benefit in an amount equal to the amount the executive's benefit would have been under the SERP 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 Plan with present value recognizing an early benefit commencement. 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 of the eligibility requirements of SERP as of the executive's date of death but would have satisfied all of those requirements within five (5) years following death had the executive lived and continued employment. The SEDB Plan was reviewed and approved by the AHSSHC Board Compensation Committee, an independent body of the AHSSHC Board of Directors. Flex Plan Flex Plan/ SERP 457(b) CY CY Employer CY Contrib./ Distributions* Contrib. Distributions* Payment ------------------------------------------------------- Finch, Kenneth A. $109,950 $105,347 $171,080 $ 0 Huenergardt, Samuel D. $103,146 $ 0 $ 0 $ 0 Sutton, Jesse L. $ 33,561 $ 26,785 $ 0 $ 0 Stahl, Anthony $ 24,755 $ 18,786 $ 0 $ 0 Roberts, Kevin A. $ 42,276 $ 0 $ 0 $ 0 Pridgen, Parker $ 10,385 $ 0 $ 0 $ 0 * Including Investment Earnings"}]},"ScheduleR":{"tax_exempt_organizations":[{"ein":271858033,"business_name_line1":"AdventHealth Family Medicine Rural Health Clinics Inc fka Hospice of the C","primary_activities_text":"Operation of Rural Health Clinics & Medical Services","exempt_code_section_text":"501(c)(3)","public_charity_status_text":"Line 3","controlled_organization_indicator":true,"legal_domicile_state":"FL","direct_controlling_business_name_line1":"Metroplex Adventist Hospital Inc","address_line1":"187 PR 4060","city":"Lampasas","state":"TX","zip":"76550","name":"AdventHealth Family Medicine Rural Health Clinics Inc fka Hospice of the 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Through this overlap of Board members and officers and the fact that both the filing organization and the Supported Organization have the same sole top-tier member (AHSSHC), the Supported Organization is continually involved in directing the use of the filing organization's assets and resources."},{"form_and_line_reference":"Schedule A, Part IV, Section E, Line 2a","explanation":"As outlined in Section D, Question 3 above, the filing organization supports Adventist Health System/Sunbelt, Inc. dba Central Texas Medical Center (CTMC or the Hospital, the Supported Organization) which owns and operates an acute care hospital. The sole activity of the filing organization is to provide office space for medical professionals on the Hospital's (the supported organization) medical staff. The activity of holding title to and leasing the medical offices on the campus of the Hospital to members of its supported Hospital's medical staff (the supported organization) is a \"direct furtherance\" activity. The leasing of office space adjacent to the Hospital to members of the medical staff under the circumstances described contributes importantly to the Hospital functions by increasing the Hospital's efficiency, encouraging fuller utilization of its facilities, and improving the overall quality of its patient care. Please see our discussion for Schedule A, Part IV, Section D, Question 3 concerning how the filing organization is responsive to the needs and demands of the Supported Organization."},{"form_and_line_reference":"Schedule A, Part IV, Section E, Line 2b","explanation":"The activity of owning title to and leasing real property adjacent to the supported Hospital's campus in order to provide medical office space to physicians on the Hospital's medical staff furthers the Hospital's exempt purpose. This is an activity that, but for the involvement of the filing organization, the Hospital (Supported Organization) would conduct. The Hospital benefits from having staff physicians maintain their private practices in the office space adjacent to the Hospital's campus by having such physicians ready and available for emergencies as well as increasing the physicians' participation in the Hospitals' quality and efficiency initiatives."}]}},"ScheduleB":{"attached":false,"required":false},"ScheduleD":{"land_buildings_equipment":{"total_book_value":0},"other_liabilities":{"footnote_text":true},"supplemental_information":[{"form_and_line_reference":"Part X, Line 2:","explanation":"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, 2020 and 2019. NAHS also has temporary deductible differences of approximately $41,800 and $46,500 at December 31, 2020 and 2019, respectively, primarily as a result of net operating loss carryforwards. At December 31, 2020, NAHS had net operating loss carryforwards of approximately $43,500, expiring beginning in 2022 through 2026. Deferred taxes have been provided for these amounts, resulting in a net deferred tax asset of approximately $10,200 and $11,400 at December 31, 2020 and 2019, 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, 2020 and 2019 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, 2020 and 2019. On December 22, 2017, the United States enacted tax reform legislation commonly known as the Tax Cuts and Jobs Act (Act), resulting in significant modifications to existing law. Certain provisions impact tax-exempt organizations, including revisions to taxes on unrelated business activities, excise taxes on compensation of certain employees, and various other provisions. The impact of these provisions on the consolidated financial statements is not, and is not expected, to be significant."}]},"ScheduleJ":{"compensation_arrangements":{"compensation_based_on_revenue_filing_org":false,"compensation_based_on_revenue_related_orgs":false,"compensation_based_on_net_earnings_filing_org":false,"compensation_based_on_net_earnings_related_orgs":false,"nonfixed_payments":false,"initial_contract_exception":false,"severance_payment":false,"supplemental_nonqualified_retirement_plan":true,"equity_based_compensation_arrangement":false},"compensation":[{"person_name":"Johnson Penny","title":"Dir/President","base_compensation_filing_org":0,"bonus_filing_org":0,"bonus_related_orgs":156602,"compensation_based_on_related_orgs":634123,"comp_report_prior_990_filing_org":0,"comp_report_prior_990_related_orgs":65247,"deferred_compensation_filing_org":0,"deferred_compensation_related_orgs":114396,"nontaxable_benefits_filing_org":0,"nontaxable_benefits_related_orgs":52098,"other_compensation_filing_org":0,"other_compensation_related_orgs":241658,"total_compensation_filing_org":0,"total_compensation_related_orgs":1198877,"name":"Johnson Penny"},{"person_name":"Huenergardt Samuel","title":"Former Dir/President","base_compensation_filing_org":0,"bonus_filing_org":0,"bonus_related_orgs":186731,"compensation_based_on_related_orgs":656404,"comp_report_prior_990_filing_org":0,"comp_report_prior_990_related_orgs":20458,"deferred_compensation_filing_org":0,"deferred_compensation_related_orgs":100531,"nontaxable_benefits_filing_org":0,"nontaxable_benefits_related_orgs":43649,"other_compensation_filing_org":0,"other_compensation_related_orgs":53535,"total_compensation_filing_org":0,"total_compensation_related_orgs":1040850,"name":"Huenergardt Samuel"},{"person_name":"Sutton Jesse","title":"Director","base_compensation_filing_org":0,"bonus_filing_org":0,"bonus_related_orgs":89604,"compensation_based_on_related_orgs":371084,"comp_report_prior_990_filing_org":0,"comp_report_prior_990_related_orgs":27803,"deferred_compensation_filing_org":0,"deferred_compensation_related_orgs":28915,"nontaxable_benefits_filing_org":0,"nontaxable_benefits_related_orgs":37001,"other_compensation_filing_org":0,"other_compensation_related_orgs":69699,"total_compensation_filing_org":0,"total_compensation_related_orgs":596303,"name":"Sutton Jesse"},{"person_name":"Roberts Kevin","title":"Director","base_compensation_filing_org":0,"bonus_filing_org":0,"bonus_related_orgs":87480,"compensation_based_on_related_orgs":361780,"comp_report_prior_990_filing_org":0,"comp_report_prior_990_related_orgs":10986,"deferred_compensation_filing_org":0,"deferred_compensation_related_orgs":50086,"nontaxable_benefits_filing_org":0,"nontaxable_benefits_related_orgs":25105,"other_compensation_filing_org":0,"other_compensation_related_orgs":50385,"total_compensation_filing_org":0,"total_compensation_related_orgs":574836,"name":"Roberts Kevin"},{"person_name":"Nelson Stephanie","title":"CFO/Director/Treasurer","base_compensation_filing_org":0,"bonus_filing_org":0,"bonus_related_orgs":34571,"compensation_based_on_related_orgs":215539,"comp_report_prior_990_filing_org":0,"comp_report_prior_990_related_orgs":0,"deferred_compensation_filing_org":0,"deferred_compensation_related_orgs":13191,"nontaxable_benefits_filing_org":0,"nontaxable_benefits_related_orgs":20003,"other_compensation_filing_org":0,"other_compensation_related_orgs":88556,"total_compensation_filing_org":0,"total_compensation_related_orgs":371860,"name":"Nelson Stephanie"},{"person_name":"Stahl Anthony","title":"Director/Secretary","base_compensation_filing_org":0,"bonus_filing_org":0,"bonus_related_orgs":79010,"compensation_based_on_related_orgs":70465,"comp_report_prior_990_filing_org":0,"comp_report_prior_990_related_orgs":19002,"deferred_compensation_filing_org":0,"deferred_compensation_related_orgs":3523,"nontaxable_benefits_filing_org":0,"nontaxable_benefits_related_orgs":8506,"other_compensation_filing_org":0,"other_compensation_related_orgs":48357,"total_compensation_filing_org":0,"total_compensation_related_orgs":209861,"name":"Stahl Anthony"}],"supplemental_information":[{"form_and_line_reference":"Part I, Line 3","explanation":"The individuals who serve on the executive manaement team of the filing organization are appointed and compensated by Adventist Health System Sunbelt Healthcare Corporation (AHSSHC). Compensation and benefits provided to this individual are determined pursuant to policies, procedures, and processes of AHSSHC 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 of the community, 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. 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_and_line_reference":"Part I, Line 4b","explanation":"Executives on the filing organization's management team that hold the position of Vice-President or above are compensated by and on the payroll of Adventist Health System Sunbelt Healthcare Corporation (AHSSHC), the parent organization of the healthcare system known as AdventHealth. 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 $285,000 in 2020 (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. 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."},{"form_and_line_reference":"Schedule J, Part I, Line 4b continued","explanation":"FLEX Plan FLEX Plan SERP II SERP III Contr. Distr.* Contr./Distr. Contr. Johnson, Penny $ 99,077 $ 74,133 $ 0 $ 0 Huenergardt, Samuel $ 104,711 $ 26,243 $ 0 $ 0 Sutton, Jesse $ 33,096 $ 31,837 $ 0 $ 0 Roberts, Kevin $ 42,637 $ 13,763 $ 0 $ 11,630 Stahl, Anthony $ 3,523 $ 22,524 $ 0 $ 0 * Including Investment Earnings"}]},"ScheduleN":{"termination_or_liquidation":{"assets_distributed":true,"liabilities_paid":true,"bonds_outstanding":false,"required_to_notify_attorney_general":false,"attorney_general_notified":false},"successor_relationships":{"director_of_successor":false,"employee_of_successor":false,"owner_of_successor":false},"liquidations":[{"business_name_line1":"Adventist Health System Sunbelt Healthcare Corporation","ein":592170012,"irc_section":"501(c)(3)","distribution_date":"2020-12-14T00:00:00","description":"Equity / Cash transfer","fair_market_value":564423,"method_of_fmv_determination":"Book Value","address_line1":"900 Hope Way","city":"Altamonte Springs","state":"FL","zip":"32714","name":"Adventist Health System Sunbelt Healthcare Corporation","address":"900 Hope Way, Altamonte Springs, FL, 32714"}]},"ScheduleR":{"tax_exempt_organizations":[{"ein":271858033,"business_name_line1":"AdventHealth Family Medicine Rural Health Clinics Inc","primary_activities_text":"Operation of Rural Health Clinics & Medical Services","exempt_code_section_text":"501(c)(3)","public_charity_status_text":"Line 3","controlled_organization_indicator":true,"legal_domicile_state":"FL","direct_controlling_business_name_line1":"Metroplex Adventist Hospital Inc","address_line1":"187 PR 4060","city":"Lampasas","state":"TX","zip":"76550","name":"AdventHealth Family Medicine Rural Health Clinics Inc","address":"187 PR 4060, Lampasas, TX, 76550"},{"ein":480868859,"business_name_line1":"AdventHealth Foundation Shawnee Mission","primary_activities_text":"Fund-raising for Tax-exempt hospital","exempt_code_section_text":"501(c)(3)","public_charity_status_text":"Line 7","controlled_organization_indicator":true,"legal_domicile_state":"KS","direct_controlling_business_name_line1":"Shawnee Mission Medical Center Inc","address_line1":"9100 W 74th Street","city":"Shawnee Mission","state":"KS","zip":"66204","name":"AdventHealth Foundation Shawnee Mission","address":"9100 W 74th Street, Shawnee Mission, KS, 66204"},{"ein":833768458,"business_name_line1":"AdventHealth Home Care East Florida LLC","primary_activities_text":"Inactive","exempt_code_section_text":"501(c)(3)","public_charity_status_text":"Line 12a, I","controlled_organization_indicator":true,"legal_domicile_state":"FL","direct_controlling_business_name_line1":"Memorial Hlth Systems Inc","address_line1":"770 West Granada Blvd 319","city":"Ormond Beach","state":"FL","zip":"32174","name":"AdventHealth Home Care East Florida LLC","address":"770 West Granada Blvd 319, Ormond Beach, FL, 32174"},{"ein":833748461,"business_name_line1":"AdventHealth Hospice Care East Florida Inc","primary_activities_text":"Inactive","exempt_code_section_text":"501(c)(3)","public_charity_status_text":"Line 12a, I","controlled_organization_indicator":true,"legal_domicile_state":"FL","direct_controlling_business_name_line1":"Memorial Hlth Systems Inc","address_line1":"770 West Granada Blvd 304","city":"Ormond Beach","state":"FL","zip":"32174","name":"AdventHealth Hospice Care East Florida Inc","address":"770 West Granada Blvd 304, Ormond Beach, FL, 32174"},{"ein":593231322,"business_name_line1":"AdventHealth North Polk Inc","primary_activities_text":"Inactive","exempt_code_section_text":"501(c)(3)","public_charity_status_text":"Line 12a, I","controlled_organization_indicator":true,"legal_domicile_state":"FL","direct_controlling_business_name_line1":"University Community Hospital Inc","address_line1":"3100 E Fletcher Ave","city":"Tampa","state":"FL","zip":"33613","name":"AdventHealth North Polk Inc","address":"3100 E Fletcher Ave, Tampa, FL, 33613"},{"ein":841793121,"business_name_line1":"AdventHealth Polk North Inc","primary_activities_text":"Operation of Hospital & Related Services","exempt_code_section_text":"501(c)(3)","public_charity_status_text":"Line 3","controlled_organization_indicator":true,"legal_domicile_state":"FL","direct_controlling_business_name_line1":"Adventist Hlth System Sunbelt Hlthcare Corp","address_line1":"40100 US Highway 27 N","city":"Davenport","state":"FL","zip":"33837","name":"AdventHealth Polk North Inc","address":"40100 US Highway 27 N, Davenport, FL, 33837"},{"ein":834672945,"business_name_line1":"AdventHealth Polk South Inc","primary_activities_text":"Operation of Hospital & Related Services","exempt_code_section_text":"501(c)(3)","public_charity_status_text":"Line 3","controlled_organization_indicator":true,"legal_domicile_state":"FL","direct_controlling_business_name_line1":"Adventist Hlth System Sunbelt Hlthcare Corp","address_line1":"410 South 11th Street","city":"Lake 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Through this overlap of Board members and officers and the fact that both the filing organization and the Supported Organization have the same sole top-tier member (AHSSHC), the Supported Organization is continually involved in directing the use of the filing organization's assets and resources."},{"form_and_line_reference":"Schedule A, Part IV, Section E, Line 2a","explanation":"As outlined in Section D, Question 3 above, the filing organization supports Adventist Health System/Sunbelt, Inc. dba Central Texas Medical Center (CTMC or the Hospital, the Supported Organization) which owns and operates an acute care hospital. The sole activity of the filing organization is to provide office space for medical professionals on the Hospital's (the supported organization) medical staff. The activity of holding title to and leasing the medical offices on the campus of the Hospital to members of its supported Hospital's medical staff (the supported organization) is a \"direct furtherance\" activity. The leasing of office space adjacent to the Hospital to members of the medical staff under the circumstances described contributes importantly to the Hospital functions by increasing the Hospital's efficiency, encouraging fuller utilization of its facilities, and improving the overall quality of its patient care. 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The Hospital benefits from having staff physicians maintain their private practices in the office space adjacent to the Hospital's campus by having such physicians ready and available for emergencies as well as increasing the physicians' participation in the Hospitals' quality and efficiency initiatives."}]}},"ScheduleB":{"attached":false,"required":false},"ScheduleD":{"land_buildings_equipment":{"total_book_value":0},"other_liabilities":{"footnote_text":true},"supplemental_information":[{"form_and_line_reference":"Part X, Line 2:","explanation":"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, 2020 and 2019. NAHS also has temporary deductible differences of approximately $41,800 and $46,500 at December 31, 2020 and 2019, respectively, primarily as a result of net operating loss carryforwards. At December 31, 2020, NAHS had net operating loss carryforwards of approximately $43,500, expiring beginning in 2022 through 2026. Deferred taxes have been provided for these amounts, resulting in a net deferred tax asset of approximately $10,200 and $11,400 at December 31, 2020 and 2019, 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, 2020 and 2019 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, 2020 and 2019. On December 22, 2017, the United States enacted tax reform legislation commonly known as the Tax Cuts and Jobs Act (Act), resulting in significant modifications to existing law. Certain provisions impact tax-exempt organizations, including revisions to taxes on unrelated business activities, excise taxes on compensation of certain employees, and various other provisions. The impact of these provisions on the consolidated financial statements is not, and is not expected, to be significant."}]},"ScheduleJ":{"compensation_arrangements":{"compensation_based_on_revenue_filing_org":false,"compensation_based_on_revenue_related_orgs":false,"compensation_based_on_net_earnings_filing_org":false,"compensation_based_on_net_earnings_related_orgs":false,"nonfixed_payments":false,"initial_contract_exception":false,"severance_payment":false,"supplemental_nonqualified_retirement_plan":true,"equity_based_compensation_arrangement":false},"compensation":[{"person_name":"Johnson Penny","title":"Dir/President","base_compensation_filing_org":0,"bonus_filing_org":0,"bonus_related_orgs":156602,"compensation_based_on_related_orgs":634123,"comp_report_prior_990_filing_org":0,"comp_report_prior_990_related_orgs":65247,"deferred_compensation_filing_org":0,"deferred_compensation_related_orgs":114396,"nontaxable_benefits_filing_org":0,"nontaxable_benefits_related_orgs":52098,"other_compensation_filing_org":0,"other_compensation_related_orgs":241658,"total_compensation_filing_org":0,"total_compensation_related_orgs":1198877,"name":"Johnson Penny"},{"person_name":"Huenergardt Samuel","title":"Former Dir/President","base_compensation_filing_org":0,"bonus_filing_org":0,"bonus_related_orgs":186731,"compensation_based_on_related_orgs":656404,"comp_report_prior_990_filing_org":0,"comp_report_prior_990_related_orgs":20458,"deferred_compensation_filing_org":0,"deferred_compensation_related_orgs":100531,"nontaxable_benefits_filing_org":0,"nontaxable_benefits_related_orgs":43649,"other_compensation_filing_org":0,"other_compensation_related_orgs":53535,"total_compensation_filing_org":0,"total_compensation_related_orgs":1040850,"name":"Huenergardt Samuel"},{"person_name":"Sutton Jesse","title":"Director","base_compensation_filing_org":0,"bonus_filing_org":0,"bonus_related_orgs":89604,"compensation_based_on_related_orgs":371084,"comp_report_prior_990_filing_org":0,"comp_report_prior_990_related_orgs":27803,"deferred_compensation_filing_org":0,"deferred_compensation_related_orgs":28915,"nontaxable_benefits_filing_org":0,"nontaxable_benefits_related_orgs":37001,"other_compensation_filing_org":0,"other_compensation_related_orgs":69699,"total_compensation_filing_org":0,"total_compensation_related_orgs":596303,"name":"Sutton Jesse"},{"person_name":"Roberts Kevin","title":"Director","base_compensation_filing_org":0,"bonus_filing_org":0,"bonus_related_orgs":87480,"compensation_based_on_related_orgs":361780,"comp_report_prior_990_filing_org":0,"comp_report_prior_990_related_orgs":10986,"deferred_compensation_filing_org":0,"deferred_compensation_related_orgs":50086,"nontaxable_benefits_filing_org":0,"nontaxable_benefits_related_orgs":25105,"other_compensation_filing_org":0,"other_compensation_related_orgs":50385,"total_compensation_filing_org":0,"total_compensation_related_orgs":574836,"name":"Roberts Kevin"},{"person_name":"Nelson Stephanie","title":"CFO/Director/Treasurer","base_compensation_filing_org":0,"bonus_filing_org":0,"bonus_related_orgs":34571,"compensation_based_on_related_orgs":215539,"comp_report_prior_990_filing_org":0,"comp_report_prior_990_related_orgs":0,"deferred_compensation_filing_org":0,"deferred_compensation_related_orgs":13191,"nontaxable_benefits_filing_org":0,"nontaxable_benefits_related_orgs":20003,"other_compensation_filing_org":0,"other_compensation_related_orgs":88556,"total_compensation_filing_org":0,"total_compensation_related_orgs":371860,"name":"Nelson Stephanie"},{"person_name":"Stahl Anthony","title":"Director/Secretary","base_compensation_filing_org":0,"bonus_filing_org":0,"bonus_related_orgs":79010,"compensation_based_on_related_orgs":70465,"comp_report_prior_990_filing_org":0,"comp_report_prior_990_related_orgs":19002,"deferred_compensation_filing_org":0,"deferred_compensation_related_orgs":3523,"nontaxable_benefits_filing_org":0,"nontaxable_benefits_related_orgs":8506,"other_compensation_filing_org":0,"other_compensation_related_orgs":48357,"total_compensation_filing_org":0,"total_compensation_related_orgs":209861,"name":"Stahl Anthony"}],"supplemental_information":[{"form_and_line_reference":"Part I, Line 3","explanation":"The individuals who serve on the executive manaement team of the filing organization are appointed and compensated by Adventist Health System Sunbelt Healthcare Corporation (AHSSHC). Compensation and benefits provided to this individual are determined pursuant to policies, procedures, and processes of AHSSHC 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 of the community, 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. 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_and_line_reference":"Part I, Line 4b","explanation":"Executives on the filing organization's management team that hold the position of Vice-President or above are compensated by and on the payroll of Adventist Health System Sunbelt Healthcare Corporation (AHSSHC), the parent organization of the healthcare system known as AdventHealth. 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 $285,000 in 2020 (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. 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."},{"form_and_line_reference":"Schedule J, Part I, Line 4b continued","explanation":"FLEX Plan FLEX Plan SERP II SERP III Contr. Distr.* Contr./Distr. Contr. Johnson, Penny $ 99,077 $ 74,133 $ 0 $ 0 Huenergardt, Samuel $ 104,711 $ 26,243 $ 0 $ 0 Sutton, Jesse $ 33,096 $ 31,837 $ 0 $ 0 Roberts, Kevin $ 42,637 $ 13,763 $ 0 $ 11,630 Stahl, Anthony $ 3,523 $ 22,524 $ 0 $ 0 * Including Investment Earnings"}]},"ScheduleN":{"termination_or_liquidation":{"assets_distributed":true,"liabilities_paid":true,"bonds_outstanding":false,"required_to_notify_attorney_general":false,"attorney_general_notified":false},"successor_relationships":{"director_of_successor":false,"employee_of_successor":false,"owner_of_successor":false},"liquidations":[{"business_name_line1":"Adventist Health System Sunbelt Healthcare Corporation","ein":592170012,"irc_section":"501(c)(3)","distribution_date":"2020-12-14T00:00:00","description":"Equity / Cash transfer","fair_market_value":564423,"method_of_fmv_determination":"Book Value","address_line1":"900 Hope Way","city":"Altamonte Springs","state":"FL","zip":"32714","name":"Adventist Health System Sunbelt Healthcare Corporation","address":"900 Hope Way, Altamonte Springs, FL, 32714"}]},"ScheduleR":{"tax_exempt_organizations":[{"ein":271858033,"business_name_line1":"AdventHealth Family Medicine Rural Health Clinics Inc","primary_activities_text":"Operation of Rural Health Clinics & Medical Services","exempt_code_section_text":"501(c)(3)","public_charity_status_text":"Line 3","controlled_organization_indicator":true,"legal_domicile_state":"FL","direct_controlling_business_name_line1":"Metroplex Adventist Hospital Inc","address_line1":"187 PR 4060","city":"Lampasas","state":"TX","zip":"76550","name":"AdventHealth Family Medicine Rural Health Clinics Inc","address":"187 PR 4060, Lampasas, TX, 76550"},{"ein":480868859,"business_name_line1":"AdventHealth Foundation Shawnee Mission","primary_activities_text":"Fund-raising for Tax-exempt hospital","exempt_code_section_text":"501(c)(3)","public_charity_status_text":"Line 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33613"},{"ein":841793121,"business_name_line1":"AdventHealth Polk North Inc","primary_activities_text":"Operation of Hospital & Related Services","exempt_code_section_text":"501(c)(3)","public_charity_status_text":"Line 3","controlled_organization_indicator":true,"legal_domicile_state":"FL","direct_controlling_business_name_line1":"Adventist Hlth System Sunbelt Hlthcare Corp","address_line1":"40100 US Highway 27 N","city":"Davenport","state":"FL","zip":"33837","name":"AdventHealth Polk North Inc","address":"40100 US Highway 27 N, Davenport, FL, 33837"},{"ein":834672945,"business_name_line1":"AdventHealth Polk South Inc","primary_activities_text":"Operation of Hospital & Related Services","exempt_code_section_text":"501(c)(3)","public_charity_status_text":"Line 3","controlled_organization_indicator":true,"legal_domicile_state":"FL","direct_controlling_business_name_line1":"Adventist Hlth System Sunbelt Hlthcare Corp","address_line1":"410 South 11th Street","city":"Lake 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