Adventist Health System Sunbelt Inc in Altamonte Spg, Florida (FL)

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Adventist Health System Sunbelt Inc
Employer Identification Number (EIN)591479658
Name of OrganizationAdventist Health System Sunbelt Inc
Address900 Hope Way, Altamonte Spg, FL 32714-1502
SubsectionCharitable Organization
Ruling Date01/1950
DeductibilityContributions are deductible
FoundationOrganization which receives a substantial part of its support from a governmental unit or the general public
OrganizationAssociation
Exempt Organization StatusUnconditional Exemption
Tax Period12/2013
Assets$50,000,000 to greater
Income$50,000,000 to greater
Filing Requirement990 (all other) or 990EZ return
Asset Amount$7,038,810,789
Amount of Income$3,232,259,164
Form 990 Revenue Amount$3,225,219,481
National Taxonomy of Exempt Entities (NTEE)Health - General and Rehabilitative: Community Health Systems


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Amount of income in 2013: $3,232,259,164
Adventist Health System Sunbelt Inc: 

 $3,232,259,164
Other organizations performing similar types of work: 

 $58,371,666

Assets in 2013: $7,038,810,789
This organization: 

 $7,038,810,789
Other organizations performing similar types of work: 

 $115,495,398

Expenses in 2013: $2,930,524,205
Adventist Health System Sunbelt Inc: 

 $2,930,524,205
Other organizations performing similar types of work: 

 $46,510,321

Income to expenses ratio in 2013: 1.1
Adventist Health System Sunbelt Inc: 

 1.1
Other organizations performing similar types of work: 

 1.0

Expenses allocated to program services in 2007: 90.3%
This organization: 

 90.3%
Other organizations performing similar types of work: 

 86.6%

Number of employees in 2013: 25,798
Adventist Health System Sunbelt Inc: 

 25,798
Other organizations performing similar types of work: 

 360

Employees paid over $100,000 in 2013: 6.1%
Adventist Health System Sunbelt Inc: 

 6.1%
Other organizations performing similar types of work: 

 0.0%

Grants share in income in 2013: 0.2%
Adventist Health System Sunbelt Inc: 

 0.2%
Other organizations performing similar types of work: 

 0.0%

Financial snapshot ($)

Revenue for 2013

Assets at the end of 2013

Functional expenses for 2013

Checklist
20122013
Is the organization described in section 501(c)(3) or 4947(a)(1) (other than a private foundation)?YesYes
Is the organization required to complete Schedule B, Schedule of Contributors?YesYes
Did the organization engage in direct or indirect political campaign activities on behalf of or in opposition to candidates for public office?NoNo
Did the organization engage in lobbying activities, or have a section 501(h) election in effect during the tax year?YesYes
Is the organization a section 501(c)(4), 501(c)(5), or 501(c)(6) organization that receives membership dues, assessments, or similar amounts as defined in Revenue Procedure 98-19?NoNo
Did the organization maintain any donor advised funds or any similar funds or accounts for which donors have the right to provide advice on the distribution or investment of amounts in such funds or accounts?NoNo
Did the organization receive or hold a conservation easement, including easements to preserve open space, the environment, historic land areas, or historic structures?YesYes
Did the organization maintain collections of works of art, historical treasures, or other similar assets?NoNo
Did the organization report an amount for escrow or custodial account liability; serve as a custodian or provide credit counseling, debt management, credit repair, or debt negotiation services?NoNo
Did the organization, directly or through a related organization, hold assets in temporarily restricted endowments, permanent endowments, or quasi-endowments?YesYes
Did the organization report an amount for land, buildings, and equipment?YesYes
Did the organization report an amount for investments-other securities that is 5% or more of its total assets?NoNo
Did the organization report an amount for investments-program related that is 5% or more of its total assets?NoNo
Did the organization report an amount for other assets that is 5% or more of its total assets?YesYes
Did the organization report an amount for other liabilities?YesYes
Did the organization's separate or consolidated financial statements for the tax year include a footnote that addresses the organization's liability for uncertain tax positions under FIN 48 (ASC 740)?YesYes
Did the organization obtain separate, independent audited financial statements for the tax year?NoNo
Was the organization included in consolidated, independent audited financial statements for the tax year?YesYes
Is the organization a school described in section 170(b)(1)(A)(ii)?NoNo
Did the organization maintain an office, employees, or agents outside of the United States?NoNo
Did the organization have aggregate revenues or expenses of more than $10,000 from grantmaking, fundraising, business, investment, and program service activities outside the United States, or aggregate foreign investments valued at $100,000 or more?YesYes
Did the organization report more than $5,000 of grants or other assistance to or for any foreign organization?YesYes
Did the organization report more than $5,000 of aggregate grants or other assistance to or for foreign individuals?NoNo
Did the organization report a total of more than $15,000 of expenses for professional fundraising services?NoNo
Did the organization report more than $15,000 total of fundraising event gross income and contributions?NoNo
Did the organization report more than $15,000 of gross income from gaming activities?NoNo
Did the organization operate one or more hospital facilities?YesYes
Did the organization attach a copy of its audited financial statements?YesYes
Did the organization report more than $5,000 of grants or other assistance to any domestic organization or domestic government?YesYes
Did the organization report more than $5,000 of grants or other assistance to or for domestic individuals?NoNo
Did the organization answer 'Yes' about compensation of the organization's current and former officers, directors, trustees, key employees, and highest compensated employees?YesYes
Did the organization have a tax-exempt bond issue with an outstanding principal amount of more than $100,000 as of the last day of the year, that was issued after December 31, 2002?YesYes
Did the organization invest any proceeds of tax-exempt bonds beyond a temporary period exception?NoNo
Did the organization maintain an escrow account other than a refunding escrow at any time during the year to defease any tax-exempt bonds?YesYes
Did the organization act as an 'on behalf of' issuer for bonds outstanding at any time during the year?NoNo
Did the organization engage in an excess benefit transaction with a disqualified person during the year?NoNo
Is the organization aware that it engaged in an excess benefit transaction with a disqualified person in a prior year, and that the transaction has not been reported on any of the organization's prior Forms 990 or 990-EZ?NoNo
Did the organization report any amount for receivables from or payables to any current or former officers, directors, trustees, key employees, highest compensated employees, or disqualified persons?NoNo
Did the organization provide a grant or other assistance to an officer, director, trustee, key employee, substantial contributor or employee thereof, a grant selection committee member, or to a 35% controlled entity or family member of any of these persons?NoNo
Was the organization a party to a business transaction with one of the following parties
A current or former officer, director, trustee, or key employee?NoNo
A family member of a current or former officer, director, trustee, or key employee?YesYes
An entity of which a current or former officer, director, trustee, or key employee (or a family member thereof) was an officer, director, trustee, or direct or indirect owner?NoNo
Did the organization receive more than $25,000 in non-cash contributions?YesNo
Did the organization receive contributions of art, historical treasures, or other similar assets, or qualified conservation contributions?NoNo
Did the organization liquidate, terminate, or dissolve and cease operations?NoNo
Did the organization sell, exchange, dispose of, or transfer more than 25% of its net assets?NoNo
Did the organization own 100% of an entity disregarded as separate from the organization under Regulations sections 301.7701-2 and 301.7701-3?YesYes
Was the organization related to any tax-exempt or taxable entity?YesYes
Did the organization have a controlled entity within the meaning of section 512(b)(13)?YesYes
Did the organization make any transfers to an exempt non-charitable related organization?NoNo
Did the organization conduct more than 5% of its activities through an entity that is not a related organization and that is treated as a partnership for federal income tax purposes?NoNo
Statements Regarding Other IRS Filings and Tax Compliance
201120122013
The number reported in Box 3 of Form 10962,0762,010
The number of Forms W-2G00
Did the organization comply with backup withholding rules for reportable payments to vendors and reportable gaming (gambling) winnings to prize winners?YesYes
The number of employees reported on Form W-3, Transmittal of Wage and Tax Statements, filed for the calendar year ending with or within the year covered by this return24,81225,798
Did the organization file all required federal employment tax returns?YesYes
Did the organization have unrelated business gross income of $1,000 or more during the year?YesYesYes
Has it filed a Form 990-T for this year?YesYes
At any time during the calendar year, did the organization have an interest in, or a signature or other authority over, a financial account in a foreign country (such as a bank account, securities account, or other financial account)?NoNo
Was the organization a party to a prohibited tax shelter transaction at any time during the tax year?NoNo
Did any taxable party notify the organization that it was or is a party to a prohibited tax shelter transaction?NoNo
Did the organization file Form 8886-T?NoNo
Does the organization have annual gross receipts that are normally greater than $100,000, and did the organization solicit any contributions that were not tax deductible as charitable contributions?NoNo
Did the organization include with every solicitation an express statement that such contributions or gifts were not tax deductible?NoNo
Did the organization receive a payment in excess of $75 made partly as a contribution and partly for goods and services provided to the payor?NoNo
Did the organization notify the donor of the value of the goods or services provided?NoNo
Did the organization sell, exchange, or otherwise dispose of tangible personal property for which it was required to file Form 8282?NoNo
Did the organization receive any funds, directly or indirectly, to pay premiums on a personal benefit contract?NoNo
Did the organization, during the year, pay premiums, directly or indirectly, on a personal benefit contract?NoNo
If the organization received a contribution of qualified intellectual property, did the organization file Form 8899 as required?NoNo
If the organization received a contribution of cars, boats, airplanes, or other vehicles, did the organization file a Form 1098-C?NoNo
Did a donor advised fund maintained by the sponsoring organization have excess business holdings at any time during the year?NoNo
Did the sponsoring organization make any taxable distributions under section 4966?NoNo
Did the sponsoring organization make a distribution to a donor, donor advisor, or related person?NoNo
Initiation fees and capital contributions$0$0$0
Gross receipts for public use of club facilities $0$0$0
Gross income from members or shareholders$0$0$0
Gross income from other sources$0$0$0
Is the organization filing Form 990 in lieu of Form 1041?NoNo
The amount of tax-exempt interest received or accrued during the year$0$0
Is the organization licensed to issue qualified health plans in more than one state?NoNo
The amount of reserves the organization is required to maintain by the states in which the organization is licensed to issue qualified health plans$0$0
The amount of reserves on hand$0$0
Did the organization receive any payments for indoor tanning services during the tax year?NoNo
Has it filed a Form 720 to report these payments?NoNo
Compensation of Officers, Directors, Trustees, Key Employees, Highest Compensated Employees, and Independent Contractors
20122013
Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees
Total reportable compensation from the organization$3,925,513$4,277,472
Total reportable compensation from related organizations$15,271,941$16,317,386
Total estimated amount of other compensation from the organization and related organizations$2,061,819$2,068,154
Total number of individuals who received more than $100,000 of reportable compensation from the organization1,0381,104
Total number of independent contractors who received more than $100,000 of compensation from the organization388470
Statement of Revenue
201120122013
Total revenue$2,936,452,588$3,115,943,068$3,225,219,481
Contributions, Gifts, Grants and Other Similar Amounts$6,313,788$8,143,760$6,676,943
Program Service Revenue$2,899,300,597$3,052,566,284$3,159,694,997
900099$2,972,269,098$3,085,283,859
900099$23,610,897$17,921,477
900099$19,646,318$14,669,894
Lessors of Nonresidential Buildings (except Miniwarehouses) $10,339,133$9,399,558
900099$6,876,123$7,436,410
All other program service revenue$19,824,715$24,983,799
Other Revenue
Investment income (including dividends, interest, and other similar amounts)$13,360,818$13,567,527$16,667,039
Income from investment of tax-exempt bond proceeds$2,335,372$468,130$202,559
Royalties$553,965$279,441$332,057
Net rental income$3,404,183$3,072,631$3,256,864
Gross rents (Real / Personal)$4,564,083 / $229,817$4,451,065 / $209,742$4,242,878 / $209,742
Less: rental expenses (Real / Personal)$1,389,020 / $697$1,587,978 / $198$1,193,479 / $2,277
Rental income or (loss) (Real / Personal)$3,175,063 / $229,120$2,863,087 / $209,544$3,049,399 / $207,465
Net gain/loss from sales of assets other than inventory$9,877,649$18,288,930$18,668,374
Gross amount from sales of assets other than inventory (Securities / Other)$9,333,207 / $3,331,542$17,704,540 / $4,449,404$13,868,003 / $10,644,298
Less: cost or other basis and sales expenses (Securities / Other)$0 / $2,787,100$0 / $3,865,014$0 / $5,843,927
Gain or (loss) (Securities / Other)$9,333,207 / $544,442$17,704,540 / $584,390$13,868,003 / $4,800,371
Net income/loss from fundraising events$-36,696$0$0
Net income/loss from gaming activities$0$0$0
Net income/loss from sales of inventory$0$0$0
Miscellaneous Revenue$1,342,912$19,556,365$19,720,648
900099$13,690,266$10,861,654
900099$5,728,259$8,898,128
900099$137,840$-39,134
All other revenue$0$0
Statement of Functional Expenses
201120122013
Total functional expenses$2,713,748,836$2,865,960,990$2,930,524,205
Grants and other assistance to domestic organizations and domestic governments$23,324,989$21,092,831
Grants and other assistance to domestic individuals$0$0
Grants and other assistance to foreign organizations, foreign governments, and foreign individuals$89,577$322,771
Benefits paid to or for members$0$0
Compensation of current officers, directors, trustees, and key employees$10,171,032$10,481,182$11,645,470
Compensation not included above, to disqualified persons$0$0
Other salaries and wages$989,086,993$1,014,789,755$1,045,615,727
Pension plan accruals and contributions$35,665,232$39,359,530
Other employee benefits$241,586,585$250,674,843
Payroll taxes$76,443,736$76,432,936$78,523,247
Fees for services (non-employees)
Management$0$0
Legal$7,109,607$11,051,629
Accounting$619,331$598,302
Lobbying$0$0
Professional fundraising services$0$0$0
Investment management fees$0$0
Other$247,139,753$295,876,111
Advertising and promotion$16,718,428$17,365,365
Office expenses$103,235,818$100,140,840
Information technology$18,779,905$17,197,328
Royalties$0$0
Occupancy$60,472,743$60,209,302
Travel$6,087,663$6,916,041
Payments of travel or entertainment expenses for any federal, state, or local public officials$0$0
Conferences, conventions, and meetings$1,312,476$1,400,515
Interest$70,189,549$62,015,874
Payments to affiliates$0$0
Depreciation, depletion, and amortization$159,039,466$158,464,070
Insurance$42,169,859$28,439,787
Other expenses$509,526,071$533,065,885
Other expenses$83,770,648$70,035,765
Other expenses$66,203,586$38,222,536
Other expenses$35,029,340$11,784
Other expenses$36,186,491$82,278,652
Balance Sheet
201120122013
Total assets$5,913,996,141$6,299,999,146$7,038,810,789
Cash - non-interest-bearing$104,616$103,380
Savings and temporary cash investments$1,559,001,735$2,022,267,786
Pledges and grants receivable, net$0$0
Accounts receivable, net$421,785,860$444,928,441
Loans and other receivables from current and former officers, directors, trustees, key employees, and highest compensated employees$0$0
Loans and other receivables from other disqualified persons, persons described in section 4958(c)(3)(B), and contributing employers and sponsoring organizations of section 501(c)(9) voluntary employees' beneficiary organizations$0$0
Notes and loans receivable, net$0$0
Inventories for sale or use$73,594,192$73,801,169
Prepaid expenses and deferred charges$29,239,839$23,917,484
Land, buildings, and equipment: cost or other basis$1,777,349,745$1,884,921,993
Investments - publicly traded securities$0$0
Investments - other securities$278,044,188$277,802,883
Investments - program-related$0$0
Intangible assets$34,901,310$33,144,645
Other assets$2,125,977,661$2,277,923,008
Total liabilities$3,954,358,511$4,064,813,224$4,522,366,478
Accounts payable and accrued expenses$211,662,358$253,635,420
Grants payable$0$0
Deferred revenue$0$0
Tax-exempt bond liabilities$3,588,586,470$3,620,560,952$3,967,083,441
Escrow or custodial account liability$0$0
Loans and other payables to current and former officers, directors, trustees, key employees, highest compensated employees, and disqualified persons$0$0
Secured mortgages and notes payable to unrelated third parties$0$0$0
Unsecured notes and loans payable to unrelated third parties$0$0$0
Other liabilities (including federal income tax, payables to related third parties, and other liabilities)$232,589,914$301,647,617
Total net assets or fund balances$1,959,637,630$2,235,185,922$2,516,444,311
Unrestricted net assets$2,233,704,874$2,514,344,365
Temporarily restricted net assets$1,481,048$2,099,946
Permanently restricted net assets$0$0
Capital stock or trust principal, or current funds$0$0
Paid-in or capital surplus, or land, building, or equipment fund$0$0
Retained earnings, endowment, accumulated income, or other funds$0$0$0
Reason for Public Charity Status (for 2013)
The organization is not a private foundation because it is:A hospital or a cooperative hospital service organization described in section 170(b)(1)(A)(iii)
Number of organizations supported0
Sum of amounts of support$0
Revenue, Expenses, and Changes in Net Assets or Fund Balances
20002001200220032004200520062007
Total revenue$1,431,770,960$1,607,375,359$1,779,306,955$1,929,347,329$2,057,922,966$2,188,773,026$2,269,256,447$2,290,648,378
Contributions, gifts, grants, and similar amounts received$3,465,237$4,929,434$1,966,980$3,508,069$1,696,686$8,420,288$2,428,578$893,063
Contributions to donor advised funds$0$0
Direct public support$2,226,153$117,213$106,245$3,300,913$1,059,335$6,263,121$119,058$695,028
Indirect public support$0$4,754,653$1,818,364$0$537,139$2,003,140$1,987,140$0
Government contributions (grants)$1,239,084$57,568$42,371$207,156$100,212$154,027$322,380$198,035
Program service revenue including government fees and contracts$1,401,186,641$1,575,197,771$1,748,584,910$1,892,963,899$2,014,244,643$2,116,556,375$2,179,245,976$2,208,544,091
Membership dues and assessments$0$0$0$0$0$0$0$0
Interest on savings and temporary cash investments$0$192,559$25,990$3,174,231$6,010,720$20,018,795$13,052,833$29,498
Dividends and interest from securities$17,244,186$24,892,467$23,230,838$22,658,800$34,957,017$33,972,793$71,441,371$67,076,907
Net rental income or (loss)$-234,550$2,780,130$1,825,360$814,313$297,590$-103,297$4,973,063$1,914,717
Gross rents$5,870,439$8,292,859$8,084,432$7,915,846$7,611,348$7,662,558$8,173,483$8,839,537
Less: rental expenses$6,104,989$5,512,729$6,259,072$7,101,533$7,313,758$7,765,855$3,200,420$6,924,820
Other investment income$0$0$0$3,981,342$1,011,008$1,464,378$282,338$3,601,897
Gain or (loss) from sales of assets other than inventory$7,930,528$-262,917$3,984,425$-389,566$-5,361,246$4,971,604$-6,300,211$4,649,770
Gross amount from sales of assets other than inventory$12,566,117$5,054,193$7,447,734$7,151,340$4,418,092$9,015,334$24,474,378$20,908,338
Less: cost or other basis and sales expenses$4,635,589$5,317,110$3,463,309$7,540,906$9,779,338$4,043,730$30,774,589$16,258,568
Net income or (loss) from special events and activities$0$0$0$0$0$-84,953$10,665$-103,113
Gross revenue$0$0$0$0$0$208,898$296,448$16,000
Less: direct expenses other than fundraising expenses$0$0$0$0$0$293,851$285,783$119,113
Gross profit or (loss) from sales of inventory$0$0$0$0$0$0$0$0
Gross sales of inventory, less returns and allowances$0$0$0$0$0$0$0$0
Less: cost of goods sold$0$0$0$0$0$0$0$0
Other revenue$2,178,918$-354,085$-311,548$2,636,241$5,066,548$3,557,043$4,121,834$4,041,548
Total expenses$1,380,274,390$1,531,734,035$1,699,977,115$1,886,187,220$1,966,740,658$2,091,682,380$2,166,209,365$2,125,086,592
Program services$1,260,298,019$1,400,403,799$1,537,148,802$1,645,464,821$1,730,698,445$1,851,926,659$1,927,122,657$1,918,358,979
Management and general$119,976,371$131,330,236$162,828,313$240,653,085$235,953,245$239,755,721$239,086,708$206,727,613
Fundraising$0$0$0$69,314$88,968$0$0$0
Payments to affiliates$0$0$0$0$0$0$0$0
Net assets or fund balances at end of year$843,312,481$873,276,826$848,520,242$905,153,842$1,030,199,407$1,113,015,498$1,265,650,978$1,388,461,529
Excess or (deficit) for the year$51,496,570$75,641,324$79,329,840$43,160,109$91,182,308$97,090,646$103,047,082$165,561,786
Net assets or fund balances at beginning of year$877,807,277$843,312,481$873,276,823$848,520,242$905,153,842$1,030,199,407$1,113,015,498$1,265,650,978
Other changes in net assets or fund balances$-85,991,366$-45,676,982$-104,086,421$13,473,491$33,863,257$-14,274,555$49,588,398$-42,751,235
Statement of Functional Expenses (for 2007)
TotalProgram servicesManagement and generalFundraising
Total functional expenses$2,125,086,592$1,918,358,979$206,727,613$0
Grants paid from donor advised funds$0
Other grants and allocations$250,000
Specific assistance to individuals$0
Benefits paid to or for members$0
Compensation of current officers, directors, key employees, etc.$0$0$0$0
Compensation of former officers, directors, key employees, etc.$0$0$0$0
Compensation and other distributions, not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B)$0$0$0$0
Salaries and wages of employees not included above$793,898,657$772,807,161$21,091,496$0
Pension plan contributions not included above$25,145,616$24,652,684$492,932$0
Employee benefits not included above$169,701,561$158,867,578$10,833,983$0
Payroll taxes$61,211,878$59,932,180$1,279,698$0
Professional fundraising fees$0$0$0$0
Accounting fees$745,521$0$745,521$0
Legal fees$1,405,709$0$1,405,709$0
Supplies$372,078,462$359,114,678$12,963,784$0
Telephone$6,918,415$6,912,300$6,115$0
Postage and shipping$2,503,839$166,881$2,336,958$0
Occupancy$34,604,787$34,380,543$224,244$0
Equipment rental and maintenance$21,092,467$21,091,627$840$0
Printing and publications$2,741,312$1,937,709$803,603$0
Travel$4,660,609$2,043,948$2,616,661$0
Conferences, conventions, and meetings$1,119,949$541,996$577,953$0
Interest$59,282,099$52,643,257$6,638,842$0
Depreciation, depletion, etc.$119,744,931$119,744,931$0$0
Other expenses not covered above$447,980,780$303,271,506$144,709,274$0
Balance Sheets
20002001200220032004200520062007
Total assets$2,369,664,847$2,417,924,700$2,538,538,575$2,743,528,608$2,850,192,123$3,131,810,505$3,336,572,107$3,421,070,928
Cash - non-interest-bearing$0$433,265,292$574,697,707$757,767,357$791,656,532$799,823,801$837,207,899$995,866,534
Savings and temporary cash investments$333,311,975$141,309,648$79,791,914$143,999,811$118,763,012$131,649,245$141,804,088$90,524,949
Accounts receivable less allowance for doubtful accounts$300,597,246$265,469,211$243,127,739$254,608,249$279,690,671$295,798,111$340,789,458$324,730,753
Pledges receivable less allowance for doubtful accounts$0$0$0$0$0$0$2,148,925$0
Grants receivable$0$0$0$0$0$0$0$0
Receivables from current and former officers, directors, trustees, and key employees$0$0$0$0$0$0$0$0
Receivables from other disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B)$0$0
Other notes and loans receivable less allowance for doubtful accounts$0$0$0$0$0$0$0$0
Inventories for sale or use$25,650,787$27,296,288$28,718,385$32,592,440$38,448,686$41,212,901$44,789,402$45,154,657
Prepaid expenses and deferred charges$34,964,576$38,150,635$33,580,369$38,374,462$44,521,583$17,661,434$16,611,492$40,784,841
Investments - publicly-traded securities$0$0
Investments - other securities$0$0$0$0$0$0$0$0
Investments - land, buildings, and equipment less accumulated depreciation$0$0$0$0$0$0$0$0
Investments - other$412,567,147$275,369,681$273,268,089$286,280,155$286,963,027$285,510,112$275,094,627$301,118,132
Land, buildings, and equipment less accumulated depreciation$1,003,121,190$991,778,162$982,028,198$938,413,034$982,146,867$1,108,205,859$1,282,149,070$1,397,421,568
Other assets, including program-related investments$259,451,926$245,285,783$323,326,174$291,493,100$308,001,745$451,949,042$395,977,146$225,469,494
Total liabilities$1,526,352,366$1,544,647,877$1,690,018,333$1,838,374,766$1,819,992,716$2,018,795,007$2,070,921,129$2,032,609,399
Accounts payable and accrued expenses$133,944,893$120,358,127$126,221,886$145,977,511$137,723,572$145,697,565$177,066,497$154,002,095
Grants payable$0$0$0$0$0$0$0$0
Deferred revenue$5,570,625$5,990,625$5,893,014$7,297,124$6,139,190$3,007,189$530,632$1,588,669
Loans from officers, directors, trustees, and key employees$0$0$0$0$0$0$0$0
Tax-exempt bond liabilities$1,159,932,287$1,246,197,187$1,354,892,644$1,355,806,933$1,349,803,453$1,553,337,650$1,662,542,000$1,715,353,788
Mortgages and other notes payable$4,433,866$30,830,751$5,700,913$33,352,266$44,172,445$13,929,329$11,402,268$5,666,972
Other liabilities$222,470,695$141,271,187$197,309,876$295,940,932$282,154,056$302,823,274$219,379,732$155,997,875
Total liabilities and net assets/fund balances$2,369,664,847$2,417,924,700$2,538,538,575$2,743,528,608$2,850,192,123$3,131,810,505$3,336,572,107$3,421,070,928
Total net assets or fund balances$843,312,481$873,276,823$848,520,242$905,153,842$1,030,199,407$1,113,015,498$1,265,650,978$1,388,461,529
Reconciliation of Revenue per Audited Financial Statements With Revenue per Return
20002001200220032004200520062007
Total revenue$1,431,770,960$1,607,375,359$1,779,306,955$1,929,347,329$2,057,922,966$2,188,773,026$2,269,256,446$2,290,648,378
Total revenue, gains, and other support per audited financial statements$1,971,827,402$2,416,561,673$2,677,048,355$3,151,969,296$3,367,321,705$3,485,888,657$3,734,377,220$3,862,574,716
Other expenses$575,272,290$814,606,860$901,646,491$1,222,933,903$1,318,192,298$1,393,705,237$1,502,338,951$1,580,691,617
Net unrealized gains on investments$0$0$0$0$0$0$0$0
Donated services and use of facilities$0$0$0$0$0$0$0$0
Recoveries of prior year grants$0$0$0$0$0$0$0$0
Other$575,272,290$814,606,860$901,646,491$1,222,933,903$1,318,192,298$1,393,705,237$1,502,338,951$1,580,691,617
Other revenue$35,215,848$5,420,546$3,905,091$311,936$8,793,559$96,589,606$37,218,177$8,765,279
Investment expenses$0$0$0$0$0$0$0$0
Other$35,215,848$5,420,546$3,905,091$311,936$8,793,559$96,589,606$37,218,177$8,765,279
Reconciliation of Expenses per Audited Financial Statements With Expenses per Return
20002001200220032004200520062007
Total expenses$1,380,274,390$1,531,734,035$1,699,977,115$1,886,187,220$1,966,740,658$2,091,682,380$2,166,209,365$2,125,086,592
Total expenses and losses per audited financial statements$1,913,462,418$2,304,237,078$2,552,092,629$2,999,238,744$3,171,682,240$3,300,630,375$3,491,095,497$3,580,797,953
Other revenue$566,836,952$773,456,004$856,122,105$1,114,888,812$1,213,882,171$1,308,645,310$1,370,121,285$1,462,618,287
Donated services and use of facilities$0$0$0$0$0$0$0$0
Prior year adjustments$0$0$0$0$0$0$0$0
Losses$0$0$0$0$0$0$0$0
Other$566,836,952$773,456,004$856,122,105$1,114,888,812$1,213,882,171$1,308,645,310$1,370,121,285$1,462,618,287
Other expenses$33,648,924$952,961$4,006,591$1,837,288$8,940,589$99,697,315$45,235,153$6,906,926
Investment expenses$0$0$0$0$0$0$0$0
Other$33,648,924$952,961$4,006,591$1,837,288$8,940,589$99,697,315$45,235,153$6,906,926
Current Officers, Directors, Trustees, and Key Employees
Total number of officers, directors, and trustees permitted to vote on organization business at board meetings19
Are any officers, directors, trustees, or key employees listed in Form 990, Part V-A, or highest compensated employees listed in Schedule A, Part I, or highest compensated professional and other independent contractors listed in Schedule A, Part II-A or II-B, related to each other through family or business relationships?No
Do any officers, directors, trustees, or key employees listed in Form 990, Part V-A, or highest compensated employees listed in Schedule A, Part I, or highest compensated professional and other independent contractors listed in Schedule A, Part II-A or II-B, receive compensation from any other organizations, whether tax exempt or taxable, that are related to the organization?Yes
Does the organization have a written conflict of interest policy?Yes
Other Information
Did the organization have unrelated business gross income of $1,000 or more during the year covered by this return, and has it filed a tax return on Form 990-T for this year?Yes
Was there a liquidation, dissolution, termination, or substantial contraction during the year?No
Is the organization related (other than by association with a statewide or nationwide organization) through common membership, governing bodies, trustees, officers, etc., to any other exempt or nonexempt organization?Yes
Direct and indirect political expenditures$0
Did the organization file Form 1120-POL for this year?No
Were substantially all dues nondeductible by members?
Did the organization make only in-house lobbying expenditures of $2,000 or less?
Dues, assessments, and similar amounts from members$0
Section 162(e) lobbying and political expenditures$0
Aggregate nondeductible amount of section 6033(e)(1)(A) dues notices$0
Taxable amount of lobbying and political expenditures$0
Does the organization elect to pay the section 6033(e) tax on the amount above?
If section 6033(e)(1)(A) dues notices were sent, does the organization agree to add the amount above to its reasonable estimate of dues allocable to nondeductible lobbying and political expenditures for the following tax year?
Initiation fees and capital contributions$0
Gross receipts for public use of club facilities$0
At any time during the year, did the organization, directly or indirectly, own a controlled entity within the meaning of section 512(b)(13)?Yes
Amount of tax imposed on the organization during the year under: section 4911$0
Amount of tax imposed on the organization during the year under: section 4912$0
Amount of tax imposed on the organization during the year under: section 4955$0
Did the organization engage in any section 4958 excess benefit transaction during the year or did it become aware of an excess benefit transaction from a prior year?No
Amount of tax imposed on the organization managers or disqualified persons during the year under sections 4912, 4955, and 4958$0
Amount of tax above, reimbursed by the organization$0
At any time during the tax year, was the organization a party to a prohibited tax shelter transaction?No
Did the organization acquire a direct or indirect interest in any applicable insurance contract?No
Did the supporting organization, or a fund maintained by a sponsoring organization, have excess business holdings at any time during the year?No
Number of employees employed in the pay period that includes March 12, 200619,761
Analysis of Income-Producing Activities (for 2007)
Unrelated business incomeExcluded by section 512, 513, or 514Related or exempt function income
Business codeAmountExclusion codeAmount
Total$14,125,253$80,912,161$2,194,717,901
Program service revenue
Program service revenue 1000000$000$0$2,148,135,426
Program service revenue 2Caterers$46,89000$0$13,938,880
Program service revenue 3Medical and diagnostic laboratories$8,120,69800$0$23,970
Program service revenue 4000000$000$0$6,286,399
Program service revenue 5Administrative and support services$5,658,81600$0$26,333,012
$0$0$2,148,135,426
$0$0$1,281,028
$0$0$502,084
$0$0$194,118
$0$0$2,859,165
Caterers$46,890$0$13,938,880
Drycleaning and laundry services$114,797$0$316,214
$0$0$2,798,436
Administrative and support services$2,470,402$0$0
Other personal services$185,734$0$4,482,644
$0$0$1,305,823
$0$0$927,205
$0$0$4,200,036
Gift, novelty, and souvenir stores$6,953$0$4,823,201
$0$0$245,463
Medical and diagnostic laboratories$8,120,698$0$23,970
Pharmacies and drug stores$2,286,170$0$1,668,808
$0$0$6,286,399
All other ambulatory health care services$341,731$0$728,787
Management consulting services$253,029$0$0
Medicare/Medicaid payments000000$000$0$0
Fees and contracts from government agencies000000$000$0$0
Membership dues and assessments000000$000$0$0
Interest on savings and temporary cash investments000000$0Dividends, interest, payments with respect to securities loans, annuities, income from notional principal contracts, loan commitment fees, and other substantially similar income from ordinary and routine investments excluded by section 512(b)(1)$29,498$0
Dividends and interest from securitiesPassive income activities with controlled organizations$9,080Dividends, interest, payments with respect to securities loans, annuities, income from notional principal contracts, loan commitment fees, and other substantially similar income from ordinary and routine investments excluded by section 512(b)(1)$67,067,827$0
Net rental income or (loss) from real estate
debt-financed propertyLessors of nonresidential buildings (except miniwarehouses)$-139,44200$0$0
not debt-financed propertyPassive income activities with controlled organizations$188,553Real property rental income that does not depend on the income or profits derived by the person leasing the property and is excluded by section 512(b)(3)$1,624,948$0
Net rental income or (loss) from personal propertyRental of personal property$240,65800$0$0
Other investment income000000$0Royalty income excluded by section 512(b)(2)$3,601,897$0
Gain or (loss) from sales of assets other than inventory000000$0Gain (or loss, to the extent allowed) from the sale of investments and other non-inventory property and from certain property acquired from financial institutions that are in conservatorship or receivership (sections 512(b)(5) and 512(b)(16)(A))$4,649,770$0
Net income or (loss) from special events000000$0Income from an activity that is not regularly carried on (section 512(a)(1))$-103,113$0
Gross profit or (loss) from sales of inventory000000$000$0$0
Other revenue000000$0Section 501(c)(3) organization - Income from an activity carried on primarily for the convenience of the organization's members, students, patients, visitors, officers, or employees (hospital parking lot or museum cafeteria, for example) (section 513(a)(2))$4,041,334$214
Information Regarding Taxable Subsidiaries and Disregarded Entities (for 2007)
EIN of corporation, partnership, or disregarded entityPercentage of ownership interestTotal incomeEnd-of-year assets
593215680100%$116,678,862$43,026,558
59340355856%$10,992,322$4,363,901
62160042274%$3,636,270$2,834,337
20422763950%$34,796$1,841,112
Compensation of the Five Highest Paid Employees Other Than Officers, Directors, and Trustees (for 2007)
CompensationContributions to employee benefit plans & deferred compensationExpense account and other allowances
$504,877$6,765$0
$450,707$6,765$0
$445,363$6,765$0
$440,133$6,765$0
$432,957$6,765$0
Total number of other employees paid over $50,0006,274
Statements About Activities (for 2007)
Expenses paid or incurred in connection with the lobbying activities$117,629
Did the organization receive or hold an easement for conservation purposes, including easements to preserve open space, the environment, historic land areas or historic structures?No
Did the organization provide credit counseling, debt management, credit repair, or debt negotiation services?No
Did the organization maintain any donor advised funds?No
Did the organization make any taxable distributions under section 4966?No
Did the organization make a distribution to a donor, donor advisor, or related person?No
The total number of donor advised funds owned at the end of the tax year$0
The aggregate value of assets held in all donor advised funds owned at the end of the tax year$0
The total number of separate funds or accounts owned at the end of the tax year (excluding donor advised funds included above) where donors have the right to provide advice on the distribution or investment of amounts in such funds or accounts$0
The aggregate value of assets held in all funds or accounts included above at the end of the tax year$0
Reason for Non-Private Foundation Status
The organization is not a private foundation because it isHospital, or a cooperative hospital service organization
Support Schedule
19992000200120022003200420052006
Total$0$0$0$0$0$0$0$0
Gifts, grants, and contributions received$0$0$0$0$0$0$0$0
Membership fees received$0$0$0$0$0$0$0$0
Gross receipts from admissions, merchandise sold or services performed, or furnishing of facilities in any activity that is related to the organization's charitable, etc., purpose$0$0$0$0$0$0$0$0
Gross income from interest, dividends, amounts received from payments on securities loans (section 512(a)(5)), rents, royalties, and unrelated business taxable income (less section 511 taxes) from businesses acquired by the organization after June 30, 1975$0$0$0$0$0$0$0$0
Net income from unrelated business activities not included above$0$0$0$0$0$0$0$0
Tax revenues levied for the organization's benefit and either paid to it or expended on its behalf$0$0$0$0$0$0$0$0
The value of services or facilities furnished to the organization by a governmental unit without charge. Do not include the value of services or facilities generally furnished to the public without charge$0$0$0$0$0$0$0$0
Other income$0$0$0$0$0$0$0$0
Lobbying Expenditures by Electing Public Charities (for 2007)
Total exempt purpose expenditures$0
Total lobbying expenditures$0
Total lobbying expenditures to influence public opinion (grassroots lobbying)$0
Total lobbying expenditures to influence a legislative body (direct lobbying)$0
Other exempt purpose expenditures$0
Lobbying nontaxable amount$0
Grassroots nontaxable amount$0
Unrelated Trade or Business Income (for 2008)
IncomeExpensesNet
Total$16,151,146$410,013$15,741,133
Gross receipts or sales less returns and allowances$14,683,496$0$0
Cost of goods sold$0$0$0
Gross profit$0$0$14,683,496
Capital gain net income$0$0$0
Net gain$0$0$0
Capital loss deduction for trusts$0$0$0
Income (loss) from partnerships and S corporations$3,724,221$0$372,422
Rent income$0$0$0
Unrelated debt-financed income$-109,238$0$-109,238
Interest, annuities, royalties, and rents from controlled organizations$573,433$410,013$163,420
Investment income of a section 501(c)(7), (9), or (17) organization$0$0$0
Exploited exempt activity income$0$0$0
Advertising income$0$0$0
Other income$631,033$0$631,033
Deductions Not Taken Elsewhere (for 2008)
Total deductions$14,118,906
Compensation of officers, directors, and trustees$0
Salaries and wages$4,310,624
Repairs and maintenance$0
Bad debts$766,964
Interest$0
Taxes and licenses$82,785
Charitable contributions$177,408
Depreciation$288,518
Depletion$0
Contributions to deferred compensation plans$0
Employee benefit programs$1,269,695
Excess exempt expenses$0
Excess readership costs$0
Other deductions$7,222,912
Unrelated business taxable income$1,621,227
Unrelated business taxable income before net operating loss deduction$1,622,227
Net operating loss deduction$0
Unrelated business taxable income before specific deduction$1,622,227
Specific deduction$0
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Organizations performing similar types of work
IdNameAddressStateEstablishedTotal Income
1Adventist Health System Sunbelt Inc900 Hope Way, Altamonte Spg, FL 32714-1502FL1950-01$3,232,259,164
2Baptist Health Of South Florida Inc6855 Red Road Suite 600, Coral Gables, FL 33143-3518FL1992-01$3,066,084,866
3Baycare Health Systems Inc2985 Drew St, Clearwater, FL 33759-3012FL1987-06$2,000,624,243
4Orlando Health Inc1414 Kuhl Avenue Mp 2, Orlando, FL 32806-2008FL1977-07$1,971,143,257
5Adventist Health System Sunbelt Healthcare Corporation900 Hope Way, Altamonte Spg, FL 32714-1502FL1947-04$535,227,154
6Health First Inc3300 S Fiske Blvd, Rockledge, FL 32955-4306FL1996-12$293,811,863
7Orlando Health Physician Group Inc1414 Kuhl Ave, Orlando, FL 32806-2008FL1997-02$153,456,242
8Bethesda Health Inc2815 S Seacrest Blvd, Boynton Beach, FL 33435-7934FL1984-09$100,675,194
9Morton Plant Mease Health Care Inc300 Pinellas St, Clearwater, FL 33756-3804FL1989-02$83,298,971
10St Josephs Health Care Center Inc3003 W Dr Martin Luther King Jr, Tampa, FL 33607-6307FL1997-03$43,377,686
11Bayfront Health Education And Research Organization Inc744 6th Ave S, St Petersburg, FL 33701-4510FL1987-06$36,439,017
12Genesis Health Inc, Brooks Health System3599 University Blvd S, Jacksonville, FL 32216-4252FL1983-04$33,903,574
13Lakeland Regional Health Systems Inc1324 Lakeland Hills Blvd, Lakeland, FL 33805-4543FL1986-07$24,530,522
14Mid-Florida Medical Services Inc200 Avenue F Ne, Winter Haven, FL 33881-4131FL1985-03$10,210,324
15Community Health Corporation1700 S Tamiami Trl, Sarasota, FL 34239-3555FL1987-05$5,465,317
16Space Coast Health Foundation Inc6905 N Wickham Rd Ste 301, Melbourne, FL 32940-7551FL1997-12$4,059,931
17Sante Fe Health Care IncGainesville, FL 32602FL$2,072,000
18Treasure Coast Health Council Inc600 Sandtree Dr Ste 101, Palm Bch Gdns, FL 33403-1538FL1983-04$1,671,407
19Nch Healthcare Systems IncPO BOX 413029, Naples, FL 34101-3029FL1984-03$737,893
20Baptist Health System Inc3563 Philips Hwy Bld F Ste 608, Jacksonville, FL 32207-5683FL1985-08$359,611
Number of organizations performing similar types of work
Alaska1
Alabama5
Arizona8
California23
Colorado15
Connecticut6
Florida22
Georgia16
Hawaii2
Iowa3
Illinois19
Indiana7
Kansas2
Kentucky6
Louisiana3
Massachusetts15
Maryland13
Maine3
Michigan15
Minnesota9
Missouri12
Mississippi2
Montana1
North Carolina7
North Dakota1
Nebraska7
New Hampshire3
New Jersey8
New Mexico1
Nevada2
New York12
Ohio26
Oklahoma6
Oregon2
Pennsylvania32
Rhode Island4
South Carolina7
Tennessee10
Texas20
Utah1
Virginia10
Vermont3
Washington4
Wisconsin6
West Virginia6
International2
Total388
20 biggest affiliated organizations
AffiliationNameAddressStateEstablishedTotal Income
SubordinateLoma Linda UniversityPO BOX 2000, Loma Linda, CA 92354-0200CA1950-01$3,315,441,382
SubordinateAdventist Health System Sunbelt Inc900 Hope Way, Altamonte Spg, FL 32714-1502FL1950-01$3,232,259,164
SubordinateSeventh-Day Adventists Loma Linda University Medical Center IncPO BOX 2000, Loma Linda, CA 92354-0200CA1947-04$1,288,000,186
SubordinatePortercare Adventist Health System, Dba Parker Adventist Hospital3025 S Parker Road Suite 510, Aurora, CO 80014-2911CO1931-09$980,380,702
SubordinateAdventist Healthcare Inc, Adventist Behavioral Health Eastern820 W Diamond Ave Ste 600, Gaithersburg, MD 20878-1469MD1947-04$819,910,080
SubordinateKettering College2110 Leiter Rd, Miamisburg, OH 45342-3598OH1947-04$682,488,958
SubordinateAdventist Health System Sunbelt Healthcare Corporation900 Hope Way, Altamonte Spg, FL 32714-1502FL1947-04$535,227,154
SubordinateDayton Osteopathic Hospital, Dba Southview Medical Center2110 Leiter Rd, Miamisburg, OH 45342-3598OH1947-04$333,694,111
SubordinatePortland Adventist Medical Center10123 Se Market St, Portland, OR 97216-2532OR1947-04$317,892,351
SubordinateAdventist Health System-West, Adventist Health2100 Douglas Blvd, Roseville, CA 95661-3898CA1947-04$296,500,295
SubordinateMemorial Health Systems Inc, Florida Hospital Memorial Med Ctr770 W Granada Blvd Ste 101, Ormond Beach, FL 32174-5179FL1947-04$255,596,080
SubordinateSonora Community Hospital, Dba Sonora Regional Medical Center1000 Greenley Rd, Sonora, CA 95370-5200CA1947-04$210,628,521
SubordinateFlorida Hospital Waterman Inc1000 Waterman Way, Tavares, FL 32778-5266FL1992-07$204,408,195
SubordinateSt Helena Hospital10 Woodland Rd, Saint Helena, CA 94574-9554CA1947-04$195,787,857
SubordinateFeather River Hospital5974 Pentz Rd, Paradise, CA 95969-5509CA1993-07$184,528,992
SubordinateMemorial Hospital Flagler Inc, Florida Hospital-Flagler770 W Granada Blvd Ste 101, Ormond Beach, FL 32174-5179FL1947-04$164,824,429
SubordinateSouthwest Volusia Healthcare Corporation, Florida Hospital Fish Memorial1055 Saxon Blvd, Orange City, FL 32763-8468FL1950-01$130,165,075
SubordinateHackettstown Community Hospital, Hackettstown Regional Medical Ctr651 Willow Grove St, Hackettstown, NJ 07840-1799NJ1950-01$128,807,563
SubordinateMemorial Hospital-West Volusia Inc, Florida Hospital Deland701 W Plymouth Ave, Deland, FL 32720-3236FL1947-04$123,138,698
SubordinateUkiah Adventist Hospital, Ukiah Valley Medical Ctr275 Hospital Dr, Ukiah, CA 95482-4531CA1947-04$117,655,223
Number of affiliated organizations
Alabama1
Arkansas1
California20
Colorado2
Connecticut1
Florida24
Georgia2
Idaho1
Illinois4
Kansas3
Kentucky3
Massachusetts2
Maryland12
Michigan1
North Carolina1
Nebraska1
New Jersey1
New York2
Ohio4
Oregon2
Tennessee5
Texas3
Washington1
West Virginia1
Total98

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