2025-06-19T14:48:44-05:00 2024-11-04 990 2024-01-01 592106043 Helen Ellis Memorial Hospital Auxiliary Inc HELE 7279425000 1395 S Pinellas Ave Tarpon Springs FL 34689 Pamela Dameron-Bare Director 7279425000 2025-06-19 0 2024 2025-03-06 01:10:19Z X AdventHealth North Pinellas Auxiliary Pamela Dameron-Bare 1395 S Pinellas Ave Tarpon Springs FL 34689 8778 0 X N/A X 1980 FL Volunteer Activity for supported tax-exempt Hospital. X 14 12 0 110 0 0 1139 385 8513 535 0 0 14646 3496 24298 4416 1500 0 0 0 0 0 0 0 0 9960 4801 11460 4801 12838 -385 26435 0 277 0 26158 0 Volunteer Activity for supported tax-exempt Hospital. 0 0 0 0 3496 The Gift Shop operates at the organization's supported Hospital facility and is for the convenience of the Hospital's patients, employees, and visitors. 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 1 0 0 1 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 X 14 12 1 0 0 0 1 1 1 1 1 0 0 1 0 0 0 0 0 0 X Minh Dang-Do 7279425107 1395 S Pinellas Ave Tarpon Springs FL 34689 Quattlebaum Ryan Director 0.50 50.00 X 0 510558 96212 Dameron-Bare Pamela Dir/Volunteer Coordinator 0.50 40.00 X 0 49546 2113 Campana Anita Director/President 0.50 0.00 X X 0 0 0 Cassella Linda Dir/Asst Treasurer 0.50 0.00 X X 0 0 0 Chendorain Marie Dir/1st VP/Asst Treasurer 0.50 0.00 X X 0 0 0 Chimento Bruce Dir/Treasurer 0.50 0.00 X X 0 0 0 Chimento Marlene Director 0.50 0.00 X 0 0 0 Kendall Shirley Dir/Recording Sec 0.50 0.00 X X 0 0 0 Lester Joyce Director 0.50 0.00 X 0 0 0 Marshanke Nancy Director (beg 1/24) 0.50 0.00 X 0 0 0 Mulroe Michael Director/2nd VP 0.50 0.00 X 0 0 0 Parker Jane Corresponding Sec 0.50 0.00 X X 0 0 0 Rodriquez Ruben Parliamentarian 0.50 0.00 X X 0 0 0 Sullivan Joseph Director 0.50 0.00 X 0 0 0 0 560104 98325 0 0 1 0 0 385 385 Commission Revenue 900099 535 535 535 7858 4362 3496 3496 4416 3496 0 535 570 570 1951 1951 Fundraising Expense 1572 1572 Sales Tax 708 708 4801 0 4801 0 275 0 23477 0 0 2683 0 0 0 0 0 0 0 0 0 0 0 0 26435 0 277 0 277 0 X 26158 0 26158 0 26435 0 X -385 -25773 X 0 0 0 X X 1 Tarpon Springs Hospital Foundation Inc dba Helen Ellis Memorial Hospital 590898901 3 1 0 0 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 X 1 1 Schedule A, Part IV, Section D, Line 2: The filing organization (the Auxiliary) supports Tarpon Springs Hospital Foundation, Inc., dba AdventHealth North Pinellas (the Hospital). The primary activity of the filing organization is to provide, organize and coordinate volunteer members of the community who provide various services at the Hospital, including the operating of the Hospital's gift shop, serving in receptionist and greeter roles at the Hospital's reception areas, in various surgical waiting rooms, and in the Emergency Department. A total of 109 individual members of the community donated their time and expertise to the Hospital in 2024. In furtherance of its purposes and activities to support the Hospital, the filing organization maintains a close and continuous working relationship with the Hospital. The Hospital also has a significant voice in the Auxiliary's investment policies and in directing the use of the Auxiliary's income or assets throughout the year. The Bylaws of the filing organization state that the Hospital's administrator or his or her representative and the Coordinator of Volunteer Services shall be ex-officio members of the Board of Directors. The Auxiliary Board has the power to manage and control the affairs and funds of the Auxiliary, to approve the annual operating budget, and to administer the affairs of the Auxiliary. Regular meetings of the Board are held monthly. Through such monthly meetings, representatives from the Hospital and the Auxiliary members of the Board discuss current and projected needs of the Hospital and how the Auxiliary may assist the Hospital in meeting those needs. Additionally, the Board as a group discusses how the funds of the Auxiliary are invested and how to best utilize the resources, income and assets of the Auxiliary to benefit and support the Hospital. Accounting statements of the Auxiliary are provided at such meetings to the members of the Board. Based upon these facts, the Auxiliary is meeting the responsiveness test as set forth in Treas. Reg. 1.509(a)-4(i)(3). Schedule A, Part IV, Section D, Question 3: The filing organization (the Auxiliary) supports Tarpon Springs Hospital Foundation, Inc., dba AdventHealth North Pinellas (the Hospital). The primary activity of the filing organization is to provide, organize and coordinate volunteer members of the community who provide various services at the Hospital, including the operating of the Hospital's gift shop, serving in receptionist and greeter roles at the Hospital's reception areas, in various surgical waiting rooms, and in the Emergency Department. A total of 109 individual members of the community donated their time and expertise to the Hospital in 2024. In furtherance of its purposes and activities to support the Hospital, the filing organization maintains a close and continuous working relationship with the Hospital. The Hospital also has a significant voice in the Auxiliary's investment policies and in directing the use of the Auxiliary's income or assets throughout the year. The Bylaws of the filing organization state that the Hospital's administrator or his or her representative and the Coordinator of Volunteer Services shall be ex-officio members of the Board of Directors. The Auxiliary Board has the power to manage and control the affairs and funds of the Auxiliary, to approve the annual operating budget, and to administer the affairs of the Auxiliary. Regular meetings of the Board are held monthly. Through such monthly meetings, representatives from the Hospital and the Auxiliary members of the Board discuss current and projected needs of the Hospital and how the Auxiliary may assist the Hospital in meeting those needs. Additionally, the Board as a group discusses how the funds of the Auxiliary are invested and how to best utilize the resources, income and assets of the Auxiliary to benefit and support the Hospital. Accounting statements of the Auxiliary are provided at such meetings to the members of the Board. Based upon these facts, the Auxiliary is meeting the responsiveness test as set forth in Treas. Reg. 1.509(a)-4(i)(3). Schedule A, Part IV, Section E, Question 2a: The filing organization (the Auxiliary) supports Tarpon Springs Hospital Foundation, Inc., dba AdventHealth North Pinellas (the Hospital). The primary activity of the filing organization is to provide, organize and coordinate volunteer members of the community who provide various services at the Hospital, including the operating of the Hospital's gift shop, serving in receptionist and greeter roles at the Hospital's reception areas, in various surgical waiting rooms, and in the Emergency Department. A total of 109 individual members of the community donated their time and expertise to the Hospital in 2024. The activities conducted by the volunteer members of the Auxiliary contribute to and further the exempt purposes of its supported Hospital by providing services to the Hospital's patients, visitors, and employees. One of the primary activities of the Auxiliary is conducting the day-to-day operations of the Hospital's gift shop. In Revenue Ruling 69-267, the Internal Revenue Service found that the operation of a gift shop that sells candy, newspapers, books, magazines, flowers, and other small gift items was an activity that improved the physical comfort and mental well-being of its patients and contributed importantly to the Hospital's exempt purposes. Other activities of the Auxiliary consist of providing volunteer Auxiliary members to perform certain functions at the Hospital that are necessary and contribute to the comfort and well-being of the Hospital's patients and visitors, such as providing information to patients and visitors at reception desks and in other various waiting room areas. These activities all contribute to the convenience, comfort, and well-being of the Hospital's patients, visitors, and employees. As discussed in our response to Part IV, Section D, Questions 2 and 3 of Schedule A, the Auxiliary is responsive to the Hospital through the Hospital's participation in the Auxiliary Board. Through monthly meetings of the Auxiliary Board, there is continual communication between the Auxiliary and the Hospital concerning how the Auxiliary members can best meet the needs of the Hospital's patients, visitors, and employees. Substantially all of the Auxiliary's activities are devoted to volunteer members providing services to the Hospital as described in detail above. Auxiliary volunteer member hours are tracked and monitored throughout the year by the location of the Hospital department where the volunteer provides services. As noted above, the Auxiliary provides a variety of services to the Hospital that directly contribute to the comfort, convenience and well-being of the Hospital's patients, its visitors, and its employees. If the volunteer members did not provide these services, the Hospital would need to provide such services through its employed workforce. The operation of a gift shop within the Hospital would be conducted by the Hospital even if the Auxiliary volunteer members were not available to assist in its operations. Similarly, receptionist/greeter duties would need to be provided by employed Hospital personnel absent the Auxiliary's members' services. Accordingly, but for the involvement of the Auxiliary, the Hospital would engage in the activities currently conducted by the Auxiliary. Schedule A, Part IV, Section E, Question 2b: The filing organization (the Auxiliary) supports Tarpon Springs Hospital Foundation, Inc., dba AdventHealth North Pinellas (the Hospital). The primary activity of the filing organization is to provide, organize and coordinate volunteer members of the community who provide various services at the Hospital, including the operating of the Hospital's gift shop, serving in receptionist and greeter roles at the Hospital's reception areas, in various surgical waiting rooms, and in the Emergency Department. A total of 109 individual members of the community donated their time and expertise to the Hospital in 2024. The activities conducted by the volunteer members of the Auxiliary contribute to and further the exempt purposes of its supported Hospital by providing services to the Hospital's patients, visitors, and employees. One of the primary activities of the Auxiliary is conducting the day-to-day operations of the Hospital's gift shop. In Revenue Ruling 69-267, the Internal Revenue Service found that the operation of a gift shop that sells candy, newspapers, books, magazines, flowers, and other small gift items was an activity that improved the physical comfort and mental well-being of its patients and contributed importantly to the Hospital's exempt purposes. Other activities of the Auxiliary consist of providing volunteer Auxiliary members to perform certain functions at the Hospital that are necessary and contribute to the comfort and well-being of the Hospital's patients and visitors, such as providing information to patients and visitors at reception desks and in other various waiting room areas. These activities all contribute to the convenience, comfort, and well-being of the Hospital's patients, visitors, and employees. As discussed in our response to Part IV, Section D, Questions 2 and 3 of Schedule A, the Auxiliary is responsive to the Hospital through the Hospital's participation in the Auxiliary Board. Through monthly meetings of the Auxiliary Board, there is continual communication between the Auxiliary and the Hospital concerning how the Auxiliary members can best meet the needs of the Hospital's patients, visitors, and employees. Substantially all of the Auxiliary's activities are devoted to volunteer members providing services to the Hospital as described in detail above. Auxiliary volunteer member hours are tracked and monitored throughout the year by the location of the Hospital department where the volunteer provides services. As noted above, the Auxiliary provides a variety of services to the Hospital that directly contribute to the comfort, convenience and well-being of the Hospital's patients, its visitors, and its employees. If the volunteer members did not provide these services, the Hospital would need to provide such services through its employed workforce. The operation of a gift shop within the Hospital would be conducted by the Hospital even if the Auxiliary volunteer members were not available to assist in its operations. Similarly, receptionist/greeter duties would need to be provided by employed Hospital personnel absent the Auxiliary's members' services. Accordingly, but for the involvement of the Auxiliary, the Hospital would engage in the activities currently conducted by the Auxiliary. 0 1 0 0 0 0 0 0 0 Quattlebaum Ryan Director 0 319777 0 112786 0 77995 0 74234 0 21978 0 606770 0 0 Part I, Line 4b One of the Directors on the filing organization's Board of Directors, Ryan Quattlebaum, is compensated by and on the payroll of Adventist Health System Sunbelt Healthcare Corporation (AHSSHC), the parent organization of the healthcare system known as AdventHealth and top-tier parent of the supported hospital organization. In recognition of the contribution that each executive makes to the success of AdventHealth, AdventHealth provides supplemental executive retirement benefit plans to eligible executives. As the supplemental executive retirement benefit plans were updated in 2020 and certain individuals still participate as grand-fathered participants in certain plans, the narrative below discusses all plans in which there were any participants in 2024. 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 $330,000 in 2024 (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. 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. 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. 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. 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. In 2020, the Flex Plan was amended 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. 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 for any plan year shall not be greater than the maximum dollar amount or the percentage of compensation as 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. FLEX Plan FLEX Plan SERP II SERP III Contr. Distr.* Contr./Distr. Contr. Quattlebaum, Ryan $ 0 $ 0 $ 0 $ 55,718 * Including Investment Earnings Cash 2024-03-15 23090 cash 593690149 Helen Ellis Memorial Hospital Founation 1395 S Pinellas Ave Tarpon Springs FL 34689 501(c)(3) Accounts Receivable 2024-03-31 858 Book Value 593690149 Helen Ellis Memorial Hospital Founation 1395 S Pinellas Ave Tarpon Springs FL 34689 501(c)(3) 0 0 0 0 1 0 0 0 0 Form 990, Part VI, Section A, line 2 Family Relationship - Bruce Chimento and Marlene Chimento Form 990, Part VI, Section A, line 6 The governing documents of the filing organization provide that all persons who are interested in Tarpon Springs Hospital Foundation, Inc. dba AdventHealth North Pinellas who meet the membership requirements for membership as set forth in the By-Laws of the filing organization, and who are willing to uphold the purpose of the filing organization shall be members. Form 990, Part VI, Section A, line 7a The affairs of the filing organization are managed by the Board of Directors. The Board of Directors consists of the elected officers of the organization, three elected directors, the past president, a Hospital Administrator or their representative and the Hospital Coordinator of Volunteers. The Board of Director's members are elected for two-year terms by the current members. Form 990, Part VI, Section A, line 7b The Articles of Incorporation or By-Laws of the filing organization can only be amended upon the approval of the members of the organization. Form 990, Part VI, Section B, line 11b The filing organization's current year Form 990 was reviewed by a Director of the filing organization, prior to its filing with the IRS. The review conducted by a Director did not include the review of any supporting workpapers that were used in preparation of the current year Form 990, but did include a review of the entire Form 990 and all supporting schedules. Form 990, Part VI, Section C, line 19 As an Auxiliary organization supporting Tarpon Springs Hospital Foundation, Inc., dba AdventHealth North Pinellas, the financial statements and governing documents of the filing organization are not generally made available to the public. Form 990, Part XI, line 9: Prior Period Adjustment -1,825. Distributions in Liquidation -23,948. AdventHealth Bond Clinic fka AdventHealth PCP Network Inc (722 - 1231 900 Hope Way Altamonte Springs FL 32714 333559943 Operation of Medical Clinics & Health Care Services FL 501(c)(3) Line 3 Adventist Hlth System Sunbelt Hlthcare Corp 0 AdventHealth Family Medicine Rural Health Clinics Inc 187 PR 4060 Lampasas TX 76550 271858033 Operation of Rural Health Clinics & Medical Services FL 501(c)(3) Line 3 Metroplex Adventist Hospital Inc 0 AdventHealth Foundation Inc 900 Hope Way Altamonte Springs FL 32714 592219301 Fund-Raising for Affiliated Tax-Exempt Hospitals FL 501(c)(3) Line 7 Adventist Hlth System Sunbelt Hlthcare Corp 0 AdventHealth Home Health and Hospice Inc fka Hospice of the Comforter Inc 2600 Westhall Lane 2nd Floor Maitland FL 32751 592935928 Operation of Home Health & Hospice Services FL 501(c)(3) Line 10 The Comforter Health Care Group Inc 0 AdventHealth Kansas City Foundation 7315 E Frontage Road Merriam KS 66204 480868859 Fund-raising for Tax-exempt Hospital KS 501(c)(3) Line 7 Shawnee Mission Medical Center Inc 0 AdventHealth Palm Coast Parkway Inc 1 AdventHealth Way Palm Coast FL 32137 882288563 Operation of Hospital & Related Services FL 501(c)(3) Line 3 Adventist Hlth System Sunbelt Hlthcare Corp 0 AdventHealth Polk North Inc 40100 US Highway 27 N Davenport FL 33837 841793121 Operation of Hospital & Related Services FL 501(c)(3) Line 3 Adventist Hlth System Sunbelt Hlthcare Corp 0 AdventHealth Polk South Inc 410 South 11th Street Lake Wales FL 33853 834672945 Operation of Hospital & Related Services FL 501(c)(3) Line 3 Adventist Hlth System Sunbelt Hlthcare Corp 0 AdventHealth Port Charlotte Inc (112124 - 12312024) 2500 Harbor Blvd Port Charlotte FL 33952 332257010 Future Operation of Hospital & Related Services FL 501(c)(3) Line 3 Adventist Hlth System Sunbelt Hlthcare Corp 0 AdventHealth Primary Care Network Inc 900 Hope Way Altamonte Springs FL 32714 932208118 Operation of Physician Practices & Medical Services FL 501(c)(3) Line 3 Adventist Hlth System Sunbelt Hlthcare Corp 0 AdventHealth Primary Health Division Inc (930 - 12312024) 900 Hope Way Altamonte Springs FL 32714 335016341 Inactive FL 501(c)(3) Line 12a, I Adventist Hlth SystemSunbelt Inc 0 AdventHealth Ransom Memorial Inc 1301 S Main Street Ottawa KS 66067 830976641 Operation of Hospital & Related Services KS 501(c)(3) Line 3 Adventist Hlth Mid-America Inc 0 AdventHealth Riverview Inc 9330 US Highway 301 S Riverview FL 33637 870901094 Operation of Hospital & Related Services FL 501(c)(3) Line 3 Adventist Hlth System Sunbelt Hlthcare Corp 0 AdventHealth Senior Care Inc 900 Hope Way Altamonte Springs FL 32714 841817046 Operation of Physician Practices & Medical Services FL 501(c)(3) Line 3 Adventist Hlth System Sunbelt Hlthcare Corp 0 AdventHealth South Overland Park Inc 7820 W 165th Street Overland Park KS 66223 364595806 Operation of Hospital & Related Services KS 501(c)(3) Line 3 Adventist Hlth Mid-America Inc 0 AdventHealth Team Member Services Inc (1021 - 12312024) 900 Hope Way Altamonte Springs FL 32714 331797512 Future Professional Employer Organization FL 501(c)(3) Line 12c, III-FI Adventist Hlth System Sunbelt Hlthcare Corp 0 AdventHealth University Inc 671 Winyah Drive Orlando FL 32803 593069793 Education/Operation of School FL 501(c)(3) Line 2 Adventist Hlth SystemSunbelt Inc 0 AdventHealth West Florida Ambulatory Services Inc 14055 Riveredge Drive Ste 250 Tampa FL 33637 471881744 Support of Imaging Center & Home Health Subsidiaries FL 501(c)(3) Line 12b, II Adventist Hlth System Sunbelt Hlthcare Corp 0 AdventHealth West Florida Imaging Inc 14055 Riveredge Drive Ste 250 Tampa FL 33637 843225135 Imaging & Testing FL 501(c)(3) Line 3 AdventHealth West Florida Ambulatory Services Inc 0 Adventist Care Centers - Courtland Inc (11 - 872024) 900 Hope Way Altamonte Springs FL 32714 205774723 Operation of Home for the Aged/Hlthcare Delivery FL 501(c)(3) Line 10 Sunbelt Hlth Care Centers Inc 0 Adventist Health Mid-America Inc 9100 W 74th Street Shawnee Mission KS 66204 521347407 Support of Affiliated Hospital KS 501(c)(3) Line 12c, III-FI Adventist Hlth SystemSunbelt Inc 0 Adventist Health System Georgia Inc 1035 Red Bud Road NE Calhoun GA 30701 581425000 Operation of Hospitals & Related Services GA 501(c)(3) Line 3 Adventist Hlth System Sunbelt Hlthcare Corp 0 Adventist Hlth System Sunbelt Hlthcare Corp 900 Hope Way Altamonte Springs FL 32714 592170012 Management Services FL 501(c)(3) Line 12a, I N/A 0 Adventist Hlth SystemSunbelt Inc 900 Hope Way Altamonte Springs FL 32714 591479658 Operation of Hospitals & Related Services FL 501(c)(3) Line 3 Adventist Hlth System Sunbelt Hlthcare Corp 0 Adventist Hlth SystemTexas Inc 11801 S Freeway Burleson TX 76028 742578952 Employee Leasing of Personnel to Affiliated Hospitals TX 501(c)(3) Line 12c, III-FI Adventist Hlth System Sunbelt Hlthcare Corp 0 AHS Midwest Management Inc 5101 S Willow Springs Rd La Grange IL 60525 363354567 Employee Leasing of Personnel to Supported Hospitals IL 501(c)(3) Line 12c, III-FI Adventist Hlth System Sunbelt Hlthcare Corp 0 Apopka Health Care Properties Inc (11 - 2172024) 900 Hope Way Altamonte Springs FL 32714 510605694 Lease to Related Organization GA 501(c)(3) Line 12c, III-FI Sunbelt Hlth Care Centers Inc 0 Burleson Nursing & Rehab Center Inc (11 - 10152024) 900 Hope Way Altamonte Springs FL 32714 205782243 Operation of Home for the Aged/Hlthcare Delivery TX 501(c)(3) Line 10 Sunbelt Hlth Care Centers Inc 0 Chickasaw Health Care Properties Inc (11 - 2172024) 900 Hope Way Altamonte Springs FL 32714 510605681 Lease to Related Organization GA 501(c)(3) Line 12c, III-FI Sunbelt Hlth Care Centers Inc 0 Chippewa Valley Hospital & Oakview Care Center Inc 1220 Third Avenue West Durand WI 54736 391365168 Operation of Hospital & Related Services WI 501(c)(3) Line 3 Adventist Hlth SystemSunbelt Inc 0 Coalition For Physician Well-Being Inc 900 Hope Way Altamonte Springs FL 32714 463477012 Provide support for Physician well-being FL 501(c)(3) Line 10 Adventist Hlth System Sunbelt Hlthcare Corp 0 Courtland Health Care Properties Inc (11 - 2172024) 900 Hope Way Altamonte Springs FL 32714 510605682 Lease to Related Organization GA 501(c)(3) Line 12c, III-FI Sunbelt Hlth Care Centers Inc 0 Dairy Road Health Care Properties Inc (11 - 2172024) 900 Hope Way Altamonte Springs FL 32714 510605684 Lease to Related Organization GA 501(c)(3) Line 12c, III-FI Sunbelt Hlth Care Centers Inc 0 East Orlando Health & Rehab Center Inc (11 - 10152024) 900 Hope Way Altamonte Springs FL 32714 205774748 Operation of Home for the Aged/Hlthcare Delivery FL 501(c)(3) Line 10 Sunbelt Hlth Care Centers Inc 0 Fletcher Hospital Inc 100 Hospital Drive Hendersonville NC 28792 560543246 Operation of Hospitals & Related Services NC 501(c)(3) Line 3 Adventist Hlth System Sunbelt Hlthcare Corp 0 FLNC Inc (11 - 872024) 900 Hope Way Altamonte Springs FL 32714 205774761 Operation of Home for the Aged/Hlthcare Delivery FL 501(c)(3) Line 10 Sunbelt Hlth Care Centers Inc 0 Florida Hospital Dade City Inc 13100 Fort King Road Dade City FL 33525 822567308 Operation of Hospital & Related Services FL 501(c)(3) Line 3 Adventist Hlth System Sunbelt Hlthcare Corp 0 Florida Hospital Healthcare Partners Inc 770 West Granada Blvd 101 Ormond Beach FL 32174 462354804 Operation of Physician Practices & Medical Services FL 501(c)(3) Line 3 Adventist Hlth SystemSunbelt Inc 0 Florida Hospital Medical Group Inc 2600 Westhall Lane 4th Floor Maitland FL 32751 593214635 Operation of Physician Practices & Medical Services FL 501(c)(3) Line 3 Adventist Hlth SystemSunbelt Inc 0 Florida Hospital Ocala Inc 1500 SW 1st Avenue Ocala FL 34471 824372339 Operation of Hospital & Related Services FL 501(c)(3) Line 3 Adventist Hlth System Sunbelt Hlthcare Corp 0 Florida Hospital Physician Group Inc 14055 Riveredge Drive Ste 250 Tampa FL 33637 462021581 Operation of Physician Practices & Medical Services FL 501(c)(3) Line 3 Adventist Hlth System Sunbelt Hlthcare Corp 0 Florida Hospital Waterman Inc 1000 Waterman Way Tavares FL 32778 593140669 Operation of Hospital & Related Services FL 501(c)(3) Line 3 Adventist Hlth System Sunbelt Hlthcare Corp 0 Florida Hospital Zephyrhills Inc 7050 Gall Blvd Zephyrhills FL 33541 592108057 Operation of Hospital & Related Services FL 501(c)(3) Line 3 Adventist Hlth SystemSunbelt Inc 0 Florida Radiology Imaging at Lake Mary LLC 2600 Westhall Lane 4th Floor Maitland FL 32751 550789387 Imaging & Testing FL 501(c)(3) Line 3 Florida Hospital Medical Group Inc 0 Fountain Inn Nursing & Rehab Center Inc (11 - 9242024) 900 Hope Way Altamonte Springs FL 32714 472180518 Operation of Home for the Aged/Hlthcare Delivery FL 501(c)(3) Line 10 Sunbelt Hlth Care Centers Inc 0 Helen Ellis Memorial Hospital Auxiliary Inc (11 - 1142024) 1395 S Pinellas Ave Tarpon Springs FL 34689 592106043 Fund-raising for Tax-Exempt Hospital/Foundation FL 501(c)(3) Line 12c, III-FI N/A 0 Helen Ellis Memorial Hospital Foundation Inc 1395 S Pinellas Ave Tarpon Springs FL 34689 593690149 Fund-raising for Tax-Exempt Hospital FL 501(c)(3) Line 7 N/A 0 Lake County Health Care Properties Inc (11 - 2172024) 900 Hope Way Altamonte Springs FL 32714 813923985 Lease to Related Organization GA 501(c)(3) Line 12c, III-FI Sunbelt Hlth Care Centers Inc 0 Memorial Health Systems Foundation Inc 305 Memorial Medical Pkwy 212 Daytona Beach FL 32117 311771522 Fund-raising for Tax-Exempt Hospital FL 501(c)(3) Line 7 N/A 0 Memorial Health Systems Inc 301 Memorial Medical Parkway Daytona Beach FL 32117 590973502 Operation of Hospital & Related Services FL 501(c)(3) Line 3 Adventist Hlth SystemSunbelt Inc 0 Memorial Hospital - West Volusia Inc 701 West Plymouth Avenue Deland FL 32720 593256803 Operation of Hospital & Related Services FL 501(c)(3) Line 3 Memorial Hlth Systems Inc 0 Memorial Hospital Flagler Inc 60 Memorial Medical Parkway Palm Coast FL 32164 592951990 Operation of Hospital & Related Services FL 501(c)(3) Line 3 Memorial Hlth Systems Inc 0 Memorial Hospital Inc 210 Marie Langdon Drive Manchester KY 40962 610594620 Operation of Hospital & Related Services KY 501(c)(3) Line 3 Adventist Hlth System Sunbelt Hlthcare Corp 0 Metroplex Adventist Hospital Inc 2201 S Clear Creek Road Killeen TX 76549 742225672 Operation of Hospitals & Related Services TX 501(c)(3) Line 3 Adventist Hlth System Sunbelt Hlthcare Corp 0 Metroplex Clinic Physicians Inc 2201 S Clear Creek Road Killeen TX 76549 113762050 Operation of Physician Practices & Medical Services TX 501(c)(3) Line 3 Metroplex Adventist Hospital Inc 0 Mission Strategies of Georgia Inc 900 Hope Way Altamonte Springs FL 32714 900866024 Provision of support to the nursing home division GA 501(c)(3) Line 12b, II Sunbelt Hlth Care Centers Inc 0 Osceola Health Care Properties Inc (11 - 2172024) 900 Hope Way Altamonte Springs FL 32714 813165729 Lease to Related Organization GA 501(c)(3) Line 12c, III-FI Sunbelt Hlth Care Centers Inc 0 Overland Park Nursing & Rehab Center Inc (11 - 6172024) 900 Hope Way Altamonte Springs FL 32714 205774821 Operation of Home for the Aged/Hlthcare Delivery KS 501(c)(3) Line 10 Sunbelt Hlth Care Centers Inc 0 PAHS Service Corporation 6061 S Willow Drive Greenwood Village CO 80111 923398616 Employee Leasing of Personnel to Related Hospitals CO 501(c)(3) Line 12a, I Portercare Adventist Health System 0 Pasco-Pinellas Hillsborough Community Hlth System Inc 2600 Bruce B Downs Blvd Wesley Chapel FL 33544 208488713 Operation of Hospital & Related Services FL 501(c)(3) Line 3 Adventist Hlth System Sunbelt Hlthcare Corp 0 Portercare Adventist Health System 6061 S Willow Drive Greenwood Village CO 80111 840438224 Operation of Hospitals & Related Services CO 501(c)(3) Line 3 Adventist Hlth System Sunbelt Hlthcare Corp 0 Princeton Homecare Services LLC 602 Courtland Street 310 Orlando FL 32804 814196648 Home Health Care Services FL 501(c)(3) Line 10 Princeton Prof Services Inc 0 Princeton Professional Services Inc 601 E Rollins Street Orlando FL 32803 591191045 Operation of ASC's and other Healthcare Services FL 501(c)(3) Line 3 Adventist Hlth System Sunbelt Hlthcare Corp 0 Quality Circle for Healthcare Inc 900 Hope Way Altamonte Springs FL 32714 263789368 Healthcare Quality Services FL 501(c)(3) Line 12a, I Adventist Hlth System Sunbelt Hlthcare Corp 0 Redmond Park Hospital LLC 501 Redmond Road NW Rome GA 30165 581123037 Operation of Hospital & Related Services GA 501(c)(3) Line 3 Adventist Hlth System Sunbelt Hlthcare Corp 0 Resource Personnel Inc (11 - 872024) 900 Hope Way Altamonte Springs FL 32714 208040875 Provide administrative support to tax exempt nursing homes FL 501(c)(3) Line 12b, II Sunbelt Hlth Care Centers Inc 0 Rocky Mountain Adventist Hlthcare Foundation 950 E Harvard Avenue Ste 230 Denver CO 80210 840745018 Fund-raising for Tax-Exempt Hospital CO 501(c)(3) Line 7 Portercare Adventist Health System 0 Rollins Brook Community Care Corp 2201 S Clear Creek Road Killeen TX 76549 461656773 Support Operation of Hospital TX 501(c)(3) Line 12a, I Adventist Hlth SystemSunbelt Inc 0 San Marcos Nursing & Rehab Center Inc 900 Hope Way Altamonte Springs FL 32714 205782224 Inactive - In wind down TX 501(c)(3) Line 10 Sunbelt Hlth Care Centers Inc 0 Shawnee Mission Hlth Care Properties Inc (11 - 822024) 900 Hope Way Altamonte Springs FL 32714 813914908 Inactive - In wind down GA 501(c)(3) Line 12c, III-FI Sunbelt Hlth Care Centers Inc 0 Shawnee Mission Health Care Inc (11 - 6172024) 900 Hope Way Altamonte Springs FL 32714 480952508 Lease to Related Organization KS 501(c)(3) Line 12c, III-FI Sunbelt Hlth Care Centers Inc 0 Shawnee Mission Medical Center Inc 9100 W 74th Street Shawnee Mission KS 66204 480637331 Operation of Hospital & Related Services KS 501(c)(3) Line 3 Adventist Hlth Mid-America Inc 0 South Pasco Health Care Properties Inc (11 - 2172024) 900 Hope Way Altamonte Springs FL 32714 510605679 Lease to Related Organization GA 501(c)(3) Line 12c, III-FI Sunbelt Hlth Care Centers Inc 0 Southeast Volusia Healthcare Corp 401 Palmetto Street New Smyrna Beach FL 32168 473793197 Operation of Hospital & Related Services FL 501(c)(3) Line 3 Adventist Hlth System Sunbelt Hlthcare Corp 0 Southwest Volusia Health Services Inc 1055 Saxon Blvd Orange City FL 32763 593281591 Medical Office Building for Hospital FL 501(c)(3) Line 12a, I Southwest Volusia Hlthcare Corp 0 Southwest Volusia Healthcare Corp 1055 Saxon Blvd Orange City FL 32763 593149293 Operation of Hospital & Related Services FL 501(c)(3) Line 3 Adventist Hlth SystemSunbelt Inc 0 Sunbelt Health & Rehab Center - Apopka Inc 900 Hope Way Altamonte Springs FL 32714 205774856 Operation of Home for the Aged/Hlthcare Delivery FL 501(c)(3) Line 10 Sunbelt Hlth Care Centers Inc 0 Sunbelt Health Care Centers Inc 900 Hope Way Altamonte Springs FL 32714 581473135 Management Services TN 501(c)(3) Line 12b, II Adventist Hlth System Sunbelt Hlthcare Corp 0 Tarpon Springs Hospital Foundation Inc 1395 S Pinellas Ave Tarpon Springs FL 34689 590898901 Operation of Hospital & Related Services FL 501(c)(3) Line 3 University Community Hospital Inc 0 Tarrant County Health Care Properties Inc (11 - 2172024) 900 Hope Way Altamonte Springs FL 32714 510605677 Lease to Related Organization GA 501(c)(3) Line 12c, III-FI Sunbelt Hlth Care Centers Inc 0 The Comforter Health Care Group Inc 605 Montgomery Road Altamonte Springs FL 32714 271857940 Support Services to Related Hospice FL 501(c)(3) Line 12c, III-FI Adventist Hlth System Sunbelt Hlthcare Corp 0 Tri-County Nursing and Rehab Center Inc (11 - 872024) 900 Hope Way Altamonte Springs FL 32714 472219363 Operation of Home for the Aged/Hlthcare Delivery FL 501(c)(3) Line 10 Sunbelt Hlth Care Centers Inc 0 University Community Hospital Foundation Inc 3100 E Fletcher Ave Tampa FL 33613 592554889 Fund-raising for Tax-exempt hospital FL 501(c)(3) Line 7 N/A 0 University Community Hospital Inc 3100 E Fletcher Ave Tampa FL 33613 591113901 Operation of Hospitals & Related Services FL 501(c)(3) Line 3 Adventist Hlth System Sunbelt Hlthcare Corp 0 West Florida Health Home Care Inc 12903 N Telecom Parkway Temple Terrace FL 33637 593686109 Home Health Services GA 501(c)(3) Line 10 AdventHealth West Florida Ambulatory Services Inc 0 Zephyr Haven Health & Rehab Center Inc (11 - 872024) 900 Hope Way Altamonte Springs FL 32714 205774930 Operation of Home for the Aged/Hlthcare Delivery FL 501(c)(3) Line 10 Sunbelt Hlth Care Centers Inc 0 Zephyrhills Health & Rehab Center Inc (11 - 872024) 900 Hope Way Altamonte Springs FL 32714 205774967 Operation of Home for the Aged/Hlthcare Delivery FL 501(c)(3) Line 10 Sunbelt Hlth Care Centers Inc 0 AdventHealth Surgery Center Daytona Beach LLC 103 Memorial Medical Pkwy Ste 300 Daytona Beach FL 32117 922967648 Surgery Center FL N/A 0 0 AdventHealth Surgery Center Innovation Tower LLC 265 E Rollins Street Orlando FL 32804 882744377 Surgery Center FL N/A 0 0 AHH MOB II LLC 10800 Farley Ste 380 Overland Park KS 66210 560543246 Operation of Medical Office Building MO N/A 0 0 Fletcher Hospital Surgical Ventures LLC 9131 Anson Way Ste 304 Raleigh NC 27615 861482646 Indirect Interest in Surgery Center NC N/A 0 0 Florida Hospital DMERT LLC 500 Winderley Place Ste 324 Maitland FL 32751 202392253 Medical Equipment FL N/A 0 1 Florida Hospital Home Infusion LLP 500 Winderley Place Ste 226 Maitland FL 32751 593142824 Home Infusion Services FL N/A 0 1 Functional Neurosurgical Ambulatory Surgery Ctr LLC 11 W Dry Creek Circle 120 Littleton CO 80120 464426708 Surgery Center CO N/A 0 0 M&O Daytona MOB I LLC 1125 Sanctuary Parkway Ste 410 Alpharetta GA 30009 883063262 Operation of Medical Office Building DE N/A 0 0 M&O Orlando MOB I LLC 1125 Sanctuary Parkway Ste 410 Alpharetta GA 30009 844259138 Operation of Medical Office Building DE N/A 0 0 Nationwide ASC Holdings LLC (522 - 123124) 569 Brookwood Village Ste 901 Birmingham AL 35209 993267709 Holding Co. FL N/A 0 1 OnPoint OBGYN LLC 7780 S Broadway 280 Littleton CO 80122 873522453 Healthcare Services CO N/A 0 0 Orange City Surgical LLC 1053 Medical Center Drive Ste 201 Orange City FL 32763 208105013 Surgery Center FL N/A 0 0 PAHS OnPoint Imaging LLC 9205 S Broadway Highlands Ranch CO 80129 833275105 Imaging Center CO N/A 0 0 PAHS OnPoint Urgent Care LLC 9100 E Mineral Circle Centennial CO 80112 832465331 Urgent Care Center CO N/A 0 0 SCA - Alliance LLC 569 Brookwood Village Ste 901 Birmingham AL 35209 471807383 Indirect Interest in Surgery Center DE N/A 0 0 SCA-Central Florida LLC 569 Brookwood Village Ste 901 Birmingham AL 35209 471535510 Indirect Interest in Surgery Center DE N/A 0 0 Surgery Center of Rome LP 501 Redmond Road NW Rome GA 30165 200390305 Surgery Center GA N/A 0 0 The Bariatric Center of Kansas City LLC 9100 W 74th Street Merriam KS 66204 823025378 Surgery Center KS N/A 0 0 Urgent Care Centers of Brevard County LLC 2600 Westhall Lane Ste 200 Maitland FL 32751 844261523 Urgent Care Centers FL N/A 0 1 AdventHealth Asheville Inc 100 Hospital Drive Hendersonville NC 28792 921144574 Inactive NC N/A C 0 AdventHealth Hospice Care East Florida Inc 770 West Granada Blvd 304 Ormond Beach FL 32174 833748461 Inactive FL N/A C 0 AdventHealth at Overland Park-College MOB Condominium Assoc 9119 W 74th Street Ste 260 Merriam KS 66204 874353752 Condo Association KS N/A C 0 AdventHealth City Center North Owners' Assoc Inc 9119 W 74th Street Ste 260 Merriam KS 66204 991471046 Maintenance Association KS N/A C 0 AdventHealth Primary Care Inc (1124-62424) 900 Hope Way Altamonte Springs FL 32714 593231322 Inactive FL N/A C 0 AdventHealth Value Based Bundle Management LLC 2600 Lucien Way Maitland FL 32751 873487910 Medical Contracting and Billing FL N/A C 0 Altamonte Medical Plaza Condominium Association Inc 601 East Rollins Street Orlando FL 32803 592855792 Condo Association FL N/A C 0 Battle Creek Adventist Hospital 900 Hope Way Altamonte Springs FL 32714 381359189 Inactive MI N/A C 0 Florida Hospital Flagler Medical Offices Association Inc 60 Memorial Medical Parkway Palm Coast FL 32164 262158309 Condo Association FL N/A C 0 Florida Hosp Hlth Village Property Owner's Assoc Inc 550 E Rollins Street 7th Floor Orlando FL 32803 821748255 Condo Association FL N/A C 0 Florida Hospital Healthcare System Inc 2600 Lucien Way Maitland FL 32751 593215680 PHSO / CIN FL N/A C 0 Florida Medical Plaza Condominium Association Inc 601 East Rollins Street Orlando FL 32803 592855791 Condo Association FL N/A C 0 Gateway Center Association of Altamonte Springs Inc 900 Hope Way Altamonte Springs FL 32714 464685345 Maintenance Association FL N/A C 0 Kissimmee Multispecialty Clinic Condominium Association Inc 201 Hilda Street Suite 30 Kissimmee FL 34741 593539564 Condo Association FL N/A C 0 Midwest Management Services Inc 9100 West 74th Street Shawnee Mission KS 66204 480901551 Inactive KS N/A C 0 North American Health Services Inc & Sub 900 Hope Way Altamonte Springs FL 32714 621041820 Holding Co. TN N/A C 0 Ormond Prof Associates Condo Assoc Inc (430 year end) 770 W Granada Blvd Ste 101 Ormond Beach FL 32174 592694434 Condo Association FL N/A C 0 Park Ridge Property Owner's Association Inc 1 Park Place Naples Road Fletcher NC 28732 030380531 Condo Association NC N/A C 0 Park Ridge Condominium #1 Unit Owners Association Inc 1 Park Place Naples Road Fletcher NC 28732 010584623 Condo Association NC N/A C 0 Redmond Park Health Services Inc 501 Redmond Rd NW Rome GA 30165 621330078 Holding Company GA N/A C 0 Surgicare of Rome Inc 501 Redmond Rd NW Rome GA 30165 200376307 Holding Company GA N/A C 0 The Garden Retirement Community Inc 900 Hope Way Altamonte Springs FL 32714 593414055 Real Estate Rental FL N/A C 0 Winter Park Medical Office Building I Condo Assoc Inc 601 East Rollins Street Orlando FL 32803 452228478 Condo Association FL N/A C 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 Helen Ellis Memorial Hospital Foundation Inc R 23948 Actual Amount Given in Liquidatio