TY 2021 Form 990 Schedule R

efile Public Visual Render ObjectId: 202310459349302496 - Submission: 2023-02-14 TIN: 59-2170012

SCHEDULE R
(Form 990)

Department of the Treasury
Internal Revenue Service

Related Organizations and Unrelated Partnerships

Complete if the organization answered "Yes" on Form 990, Part IV, line 33, 34, 35b, 36, or 37.
MediumBullet

Attach to Form 990.
MediumBullet

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2021

Open to Public Inspection

Name of the organization

Adventist Health System Sunbelt
Healthcare Corporation

Employer identification number

59-2170012

Part I

Identification of Disregarded Entities. Complete if the organization answered "Yes" on Form 990, Part IV, line 33.

(a) Name, address, and EIN (if applicable) of disregarded entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Total income	(e) End-of-year assets	(f) Direct controlling entity

Part II

Identification of Related Tax-Exempt Organizations. Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related tax-exempt organizations during the tax year.

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	(g) Section 512(b)(13) controlled entity?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	Yes	No
(1)AdventHealth East Florida Inc (3521 - 123121) 900 Hope Way Altamonte Springs,FL32714 88-2288563	Future Operation of Hospital & Related Services	FL	501(c)(3)	Line 3	Adventist Hlth System Sunbelt Hlthcare Corp	Yes
(2)AdventHealth Family Medicine Rural Health Clinics Inc 187 PR 4060 Lampasas,TX76550 27-1858033	Operation of Rural Health Clinics & Medical Services	FL	501(c)(3)	Line 3	Metroplex Adventist Hospital Inc	Yes
(3)AdventHealth Kansas City Foundation fka AH Fdn Shawnee Mission 7315 E Frontage Road Merriam,KS66204 48-0868859	Fund-raising for Tax-exempt hospitals	KS	501(c)(3)	Line 7	Shawnee Mission Medical Center Inc	Yes
(4)AdventHealth Home Care East Florida LLC 770 West Granada Blvd 319 Ormond Beach,FL32174 83-3768458	Inactive	FL	501(c)(3)	Line 10	Memorial Hlth Systems Inc	Yes
(5)AdventHealth Hospice Care East Florida Inc 770 West Granada Blvd 304 Ormond Beach,FL32174 83-3748461	Inactive	FL	501(c)(3)	Line 10	Memorial Hlth Systems Inc	Yes
(6)AdventHealth North Polk Inc 3100 E Fletcher Ave Tampa,FL33613 59-3231322	Inactive	FL	501(c)(3)	Line 12a, I	University Community Hospital Inc	Yes
(7)AdventHealth Polk North Inc 40100 US Highway 27 N Davenport,FL33837 84-1793121	Operation of Hospital & Related Services	FL	501(c)(3)	Line 3	Adventist Hlth System Sunbelt Hlthcare Corp	Yes
(8)AdventHealth Polk South Inc 410 South 11th Street Lake Wales,FL33853 83-4672945	Operation of Hospital & Related Services	FL	501(c)(3)	Line 3	Adventist Hlth System Sunbelt Hlthcare Corp	Yes
(9)AdventHealth Ransom Memorial Inc 1301 S Main Street Ottawa,KS66067 83-0976641	Operation of Hospital & Related Services	KS	501(c)(3)	Line 3	Adventist Hlth Mid-America Inc	Yes
(10)AdventHealth Riverview Inc (5321 - 123121) 14055 Riveredge Drive Ste 150 Tampa,FL33637 87-0901094	Future Operation of Hospital & Related Services	FL	501(c)(3)	Line 3	Adventist Hlth System Sunbelt Hlthcare Corp	Yes
(11)AdventHealth Senior Care Inc 900 Hope Way Altamonte Springs,FL32714 84-1817046	Operation of Physician Practices & Medical Services	FL	501(c)(3)	Line 3	Adventist Hlth System Sunbelt Hlthcare Corp	Yes
(12)AdventHealth South Overland ParkInc 7820 W 165th Street Overland Park,KS66223 36-4595806	Operation of Hospital & Related Services	KS	501(c)(3)	Line 3	Adventist Hlth Mid-America Inc	Yes
(13)AdventHealth University Inc 671 Winyah Drive Orlando,FL32803 59-3069793	Education/Operation of School	FL	501(c)(3)	Line 2	Adventist Hlth SystemSunbelt Inc	Yes
(14)AdventHealth West Florida Ambulatory Services Inc 14055 Riveredge Drive Ste 250 Tampa,FL33637 47-1881744	Support of Imaging Center & Home Health Subsidiaries	FL	501(c)(3)	Line 12b, II	Adventist Hlth System Sunbelt Hlthcare Corp	Yes
(15)AdventHealth West Florida Imaging Inc 14055 Riveredge Drive Ste 250 Tampa,FL33637 84-3225135	Imaging & Testing	FL	501(c)(3)	Line 3	AdventHealth West Florida Ambulatory Services Inc	Yes
(16)Adventist Bolingbrook Hospital 500 Remington Blvd Bolingbrook,IL60440 65-1219504	Operation of Hospital & Related Services	IL	501(c)(3)	Line 3	Adventist Midwest Health	Yes
(17)Adventist Care Centers - Courtland Inc 730 Courtland Street Orlando,FL32804 20-5774723	Operation of Home for the Aged/Hlthcare Delivery	FL	501(c)(3)	Line 10	Sunbelt Hlth Care Centers Inc	Yes
(18)Adventist GlenOaks Hospital 701 Winthrop Avenue Glendale Heights,IL60139 36-3208390	Operation of Hospital & Related Services	IL	501(c)(3)	Line 3	Adventist Midwest Health	Yes
(19)Adventist Health Mid-America Inc 9100 W 74th Street Shawnee Mission,KS66204 52-1347407	Support of Affiliated Hospital	KS	501(c)(3)	Line 12c, III-FI	Adventist Hlth SystemSunbelt Inc	Yes
(20)Adventist Health Partners Inc 5101 S Willow Springs Rd Suite B101 La Grange,IL60525 36-4138353	Operation of Physician Practices & Medical Services	IL	501(c)(3)	Line 3	AHS Midwest Management Inc	Yes
(21)Adventist Health System Georgia Inc 1035 Red Bud Road NE Calhoun,GA30701 58-1425000	Operation of Hospital & Related Services	GA	501(c)(3)	Line 3	Adventist Hlth System Sunbelt Hlthcare Corp	Yes
(22)Adventist Hlth System Sunbelt Hlthcare Corp 900 Hope Way Altamonte Springs,FL32714 59-2170012	Management Services	FL	501(c)(3)	Line 12a, I	N/A		No
(23)Adventist Hlth SystemSunbelt Inc 900 Hope Way Altamonte Springs,FL32714 59-1479658	Operation of Hospitals & Related Services	FL	501(c)(3)	Line 3	Adventist Hlth System Sunbelt Hlthcare Corp	Yes
(24)Adventist Hlth SystemTexas Inc 11801 S Freeway Burleson,TX76028 74-2578952	Leasing Personnel to Affiliated Hospital	TX	501(c)(3)	Line 12c, III-FI	Adventist Hlth System Sunbelt Hlthcare Corp	Yes
(25)Adventist Midwest Health 120 North Oak Street Hinsdale,IL60521 36-2276984	Operation of Hospitals & Related Services	IL	501(c)(3)	Line 3	Adventist Hlth SystemSunbelt Inc	Yes
(26)AHP Specialty Care NFP 5101 S Willow Springs Rd Suite B101 La Grange,IL60525 81-1105774	Operation of Physician Practices & Medical Services	IL	501(c)(3)	Line 3	AHS Midwest Management Inc	Yes
(27)AHS Midwest Management Inc 5101 S Willow Springs Rd Suite B101 La Grange,IL60525 36-3354567	Operation of Physician Practice Management	IL	501(c)(3)	Line 12a, I	Adventist Midwest Health	Yes
(28)Apopka Health Care Properties Inc 305 E Oak Street Apopka,FL32703 51-0605694	Lease to Related Organization	GA	501(c)(3)	Line 12c, III-FI	Sunbelt Hlth Care Centers Inc	Yes
(29)Bert Fish Medical Center Auxiliary Inc 401 Palmetto Street New Smyrna Beach,FL32168 59-1054892	Volunteer support services	FL	501(c)(3)	Line 10	N/A		No
(30)Bradford Heights Health & Rehab Center Inc 485 North Keller Road 250 Maitland,FL32751 20-5782342	Inactive - Wind-Down	KY	501(c)(3)	Line 10	Sunbelt Hlth Care Centers Inc	Yes
(31)Burleson Nursing & Rehab Center Inc 301 Huguley Blvd Burleson,TX76028 20-5782243	Operation of Home for the Aged/Hlthcare Delivery	TX	501(c)(3)	Line 10	Sunbelt Hlth Care Centers Inc	Yes
(32)Chickasaw Health Care Properties Inc 250 S Chickasaw Trail Orlando,FL32825 51-0605681	Lease to Related Organization	GA	501(c)(3)	Line 12c, III-FI	Sunbelt Hlth Care Centers Inc	Yes
(33)Chippewa Valley Hospital & Oakview Care Center Inc 1220 Third Avenue West Durand,WI54736 39-1365168	Operation of Hospital & Related Services	WI	501(c)(3)	Line 3	Adventist Hlth SystemSunbelt Inc	Yes
(34)Coalition For Physician Well-Being Inc 900 Hope Way Altamonte Springs,FL32714 46-3477012	Provide support for Physician well-being	FL	501(c)(3)	Line 10	Adventist Hlth System Sunbelt Hlthcare Corp	Yes
(35)Courtland Health Care Properties Inc 730 Courtland Street Orlando,FL32804 51-0605682	Lease to Related Organization	GA	501(c)(3)	Line 12c, III-FI	Sunbelt Hlth Care Centers Inc	Yes
(36)Creekwood Place Nursing & Rehab Center Inc 485 North Keller Road 250 Maitland,FL32751 20-5782260	Inactive - Wind-Down	KY	501(c)(3)	Line 10	Sunbelt Hlth Care Centers Inc	Yes
(37)Dairy Road Health Care Properties Inc 7350 Dairy Road Zephyrhills,FL33540 51-0605684	Lease to Related Organization	GA	501(c)(3)	Line 12c, III-FI	Sunbelt Hlth Care Centers Inc	Yes
(38)East Orlando Health & Rehab Center Inc 250 S Chickasaw Trail Orlando,FL32825 20-5774748	Operation of Home for the Aged/Hlthcare Delivery	FL	501(c)(3)	Line 10	Sunbelt Hlth Care Centers Inc	Yes
(39)Emory-Adventist Inc (1121 - 123121) 900 Hope Way Altamonte Springs,FL32714 58-2171011	Inactive	GA	501(c)(3)	Line 3	Adventist Hlth SystemSunbelt Inc	Yes
(40)Fletcher Hospital Inc 100 Hospital Drive Hendersonville,NC28792 56-0543246	Operation of Hospital & Related Services	NC	501(c)(3)	Line 3	Adventist Hlth System Sunbelt Hlthcare Corp	Yes
(41)FLNC Inc 3355 E Semoran Blvd Apopka,FL32703 20-5774761	Operation of Home for the Aged/Hlthcare Delivery	FL	501(c)(3)	Line 10	Sunbelt Hlth Care Centers Inc	Yes
(42)Florida Hospital Dade City Inc 13100 Fort King Road Dade City,FL33525 82-2567308	Operation of Hospital & Related Services	FL	501(c)(3)	Line 3	Adventist Hlth System Sunbelt Hlthcare Corp	Yes
(43)Florida Hospital Healthcare Partners Inc 770 West Granada Blvd 101 Ormond Beach,FL32174 46-2354804	Operation of Physician Practices & Medical Services	FL	501(c)(3)	Line 3	Adventist Hlth SystemSunbelt Inc	Yes
(44)Florida Hospital Medical Group Inc 2600 Westhall Lane 4th Floor Maitland,FL32751 59-3214635	Operation of Physician Practices & Medical Services	FL	501(c)(3)	Line 3	Adventist Hlth SystemSunbelt Inc	Yes
(45)Florida Hospital Ocala Inc 1500 SW 1st Avenue Ocala,FL34471 82-4372339	Operation of Hospital & Related Services	FL	501(c)(3)	Line 3	Adventist Hlth System Sunbelt Hlthcare Corp	Yes
(46)Florida Hospital Physician Group Inc 12470 Telecom Dr 100 Tampa,FL33637 46-2021581	Operation of Physician Practices & Medical Services	FL	501(c)(3)	Line 3	Adventist Hlth System Sunbelt Hlthcare Corp	Yes
(47)Florida Hospital Waterman Inc 1000 Waterman Way Tavares,FL32778 59-3140669	Operation of Hospital & Related Services	FL	501(c)(3)	Line 3	Adventist Hlth System Sunbelt Hlthcare Corp	Yes
(48)Florida Hospital Zephyrhills Inc 7050 Gall Blvd Zephyrhills,FL33541 59-2108057	Operation of Hospital & Related Services	FL	501(c)(3)	Line 3	Adventist Hlth SystemSunbelt Inc	Yes
(49)Florida Radiology Imaging at Lake Mary LLC 2600 Westhall Lane 4th Floor Maitland,FL32751 55-0789387	Imaging & Testing	FL	501(c)(3)	Line 3	Florida Hospital Medical Group Inc	Yes
(50)Fountain Inn Nursing & Rehab Center Inc 4501 Waterman Way Tavares,FL32778 47-2180518	Operation of Home for the Aged/Hlthcare Delivery	FL	501(c)(3)	Line 10	Sunbelt Hlth Care Centers Inc	Yes
(51)Helen Ellis Memorial Hospital Auxiliary Inc 1395 S Pinellas Ave Tarpon Springs,FL34689 59-2106043	Fund-raising for Tax-exempt hospital/foundation	FL	501(c)(3)	Line 12c, III-FI	N/A		No
(52)Helen Ellis Memorial Hospital Foundation Inc 1395 S Pinellas Ave Tarpon Springs,FL34689 59-3690149	Fund-raising for Tax-exempt hospital	FL	501(c)(3)	Line 7	N/A		No
(53)Hinsdale Hospital Foundation 120 North Oak Street Hinsdale,IL60521 52-1466387	Fund-raising for Tax-exempt hospital	IL	501(c)(3)	Line 7	Midwest Hlth Foundation		No
(54)Hospice of the Comforter Inc 480 W Central Parkway Altamonte Springs,FL32714 59-2935928	Operation of Hospice	FL	501(c)(3)	Line 10	The Comforter Health Care Group Inc	Yes
(55)In-Motion Rehab Inc 485 North Keller Road 250 Maitland,FL32751 20-8023411	Inactive	KS	501(c)(3)	Line 12b, II	Sunbelt Hlth Care Centers Inc	Yes
(56)Lake County Health Care Properties Inc 485 North Keller Road 250 Maitland,FL32751 81-3923985	Lease to Related Organization	GA	501(c)(3)	Line 12c, III-FI	Sunbelt Hlth Care Centers Inc	Yes
(57)Memorial Health Systems Foundation Inc 305 Memorial Medical Pkwy 212 Daytona Beach,FL32117 31-1771522	Fund-raising for Tax-exempt hospital	FL	501(c)(3)	Line 7	N/A		No
(58)Memorial Health Systems Inc 301 Memorial Medical Parkway Daytona Beach,FL32117 59-0973502	Operation of Hospital & Related Services	FL	501(c)(3)	Line 3	Adventist Hlth SystemSunbelt Inc	Yes
(59)Memorial Hospital - West Volusia Inc 701 West Plymouth Avenue Deland,FL32720 59-3256803	Operation of Hospital & Related Services	FL	501(c)(3)	Line 3	Memorial Hlth Systems Inc	Yes
(60)Memorial Hospital Flagler Inc 60 Memorial Medical Parkway Palm Coast,FL32164 59-2951990	Operation of Hospital & Related Services	FL	501(c)(3)	Line 3	Memorial Hlth Systems Inc	Yes
(61)Memorial Hospital Inc 210 Marie Langdon Drive Manchester,KY40962 61-0594620	Operation of Hospital & Related Services	KY	501(c)(3)	Line 3	Adventist Hlth System Sunbelt Hlthcare Corp	Yes
(62)Metroplex Adventist Hospital Inc 2201 S Clear Creek Road Killeen,TX76549 74-2225672	Operation of Hospital & Related Services	TX	501(c)(3)	Line 3	Adventist Hlth System Sunbelt Hlthcare Corp	Yes
(63)Metroplex Clinic Physicians Inc 2201 S Clear Creek Road Killeen,TX76549 11-3762050	Physician Healthcare services to the community	TX	501(c)(3)	Line 3	Metroplex Adventist Hospital Inc	Yes
(64)Midwest Health Foundation 120 North Oak Street Hinsdale,IL60521 35-2230515	Fund-Raising for Supported Exempt Hospitals	IL	501(c)(3)	Line 7	N/A		No
(65)Mills Health & Rehab Center Inc 485 North Keller Road 250 Maitland,FL32751 20-5782320	Inactive - Wind-Down	KY	501(c)(3)	Line 10	Sunbelt Hlth Care Centers Inc	Yes
(66)Mission Strategies of Georgia Inc 485 North Keller Road 250 Maitland,FL32751 90-0866024	Provision of support to the nursing home division	GA	501(c)(3)	Line 12b, II	Sunbelt Hlth Care Centers Inc	Yes
(67)Missouri Adventist Health Inc 9100 W 74th Street Shawnee Mission,KS66204 43-1224729	Support Health Care Services	MO	501(c)(3)	Line 12d, III-O	Adventist Hlth Mid-America Inc	Yes
(68)Ormond Beach Memorial Hospital Auxiliary Inc(11-123121) 301 Memorial Medical Pkwy Daytona Beach,FL32117 59-1721962	Volunteer support services	FL	501(c)(3)	Line 12c, III-FI	N/A		No
(69)Osceola Health Care Properties Inc 485 North Keller Road 250 Maitland,FL32751 81-3165729	Lease to Related Organization	GA	501(c)(3)	Line 12c, III-FI	Sunbelt Hlth Care Centers Inc	Yes
(70)Overland Park Nursing & Rehab Center Inc 6501 West 75th Street Overland Park,KS66204 20-5774821	Operation of Home for the Aged/Hlthcare Delivery	KS	501(c)(3)	Line 10	Sunbelt Hlth Care Centers Inc	Yes
(71)Pasco-Pinellas Hillsborough Community Hlth System Inc 2600 Bruce B Downs Blvd Wesley Chapel,FL33544 20-8488713	Operation of Hospital & Related Services	FL	501(c)(3)	Line 3	Adventist Hlth System Sunbelt Hlthcare Corp	Yes
(72)Portercare Adventist Health System (630 YE) 9100 E Mineral Circle Centennial,CO80112 84-0438224	Operation of Hospitals & Related Services	CO	501(c)(3)	Line 3	Adventist Hlth System Sunbelt Hlthcare Corp	Yes
(73)Princeton Health & Rehab Center Inc 485 North Keller Road 250 Maitland,FL32751 20-5782272	Inactive - Wind-Down	KY	501(c)(3)	Line 10	Sunbelt Hlth Care Centers Inc	Yes
(74)Princeton Professional Services Inc 601 E Rollins Street Orlando,FL32803 59-1191045	Provision of Healthcare Services	FL	501(c)(3)	Line 10	Adventist Hlth System Sunbelt Hlthcare Corp	Yes
(75)Quality Circle for Healthcare Inc 900 Hope Way Altamonte Springs,FL32714 26-3789368	Healthcare Quality Services	FL	501(c)(3)	Line 12a, I	Adventist Hlth System Sunbelt Hlthcare Corp	Yes
(76)Redmond Park Hospital LLC (10121 - 123121) 501 Redmond Road NW Rome,GA30165 58-1123037	Operation of Hospital & Related Services	GA	501(c)(3)	Line 3	Adventist Hlth System Sunbelt Hlthcare Corp	Yes
(77)Resource Personnel Inc 485 North Keller Road 250 Maitland,FL32751 20-8040875	Provide administrative support to tax exempt nursing homes	FL	501(c)(3)	Line 12b, II	Sunbelt Hlth Care Centers Inc	Yes
(78)Rocky Mountain Adventist Hlthcare Foundation (630 YE) 960 E Harvard Avenue Ste 230 Denver,CO80210 84-0745018	Fund-raising for Tax-exempt hospital	CO	501(c)(3)	Line 7	N/A		No
(79)Rollins Brook Community Care Corp 2201 S Clear Creek Road Killeen,TX76549 46-1656773	Support Operation of Hospital	TX	501(c)(3)	Line 12a, I	Adventist Hlth SystemSunbelt Inc	Yes
(80)San Marcos Health Care Properties Inc (11 - 123021) 1900 Medical Parkway San Marcos,TX78666 51-0605693	Lease to Related Organization	GA	501(c)(3)	Line 12c, III-FI	Sunbelt Hlth Care Centers Inc	Yes
(81)San Marcos Nursing & Rehab Center Inc 1900 Medical Parkway San Marcos,TX78666 20-5782224	Operation of Home for the Aged/Hlthcare Delivery	TX	501(c)(3)	Line 10	Sunbelt Hlth Care Centers Inc	Yes
(82)Shawnee Mission Hlth Care Properties Inc 485 North Keller Road 250 Maitland,FL32751 81-3914908	Lease to Related Organization	GA	501(c)(3)	Line 12c, III-FI	Sunbelt Hlth Care Centers Inc	Yes
(83)Shawnee Mission Health Care Inc 6501 West 75th Street Overland Park,KS66204 48-0952508	Lease to Related Organization	KS	501(c)(3)	Line 12c, III-FI	Sunbelt Hlth Care Centers Inc	Yes
(84)Shawnee Mission Medical Center Inc 9100 W 74th Street Shawnee Mission,KS66204 48-0637331	Operation of Hospital & Related Services	KS	501(c)(3)	Line 3	Adventist Hlth Mid-America Inc	Yes
(85)South Pasco Health Care Properties Inc 38250 A Avenue Zephyrhills,FL33542 51-0605679	Lease to Related Organization	GA	501(c)(3)	Line 12c, III-FI	Sunbelt Hlth Care Centers Inc	Yes
(86)Southeast Volusia Healthcare Corp 401 Palmetto Street New Smyrna Beach,FL32168 47-3793197	Operation of Hospital & Related Services	FL	501(c)(3)	Line 3	Adventist Hlth System Sunbelt Hlthcare Corp	Yes
(87)Southwest Volusia Health Services Inc 1055 Saxon Blvd Orange City,FL32763 59-3281591	Medical Office Building for Hospital	FL	501(c)(3)	Line 12a, I	Southwest Volusia Hlthcare Corp	Yes
(88)Southwest Volusia Healthcare Corp 1055 Saxon Blvd Orange City,FL32763 59-3149293	Operation of Hospital & Related Services	FL	501(c)(3)	Line 3	Adventist Hlth SystemSunbelt Inc	Yes
(89)Spring View Health & Rehab Center Inc 485 North Keller Road 250 Maitland,FL32751 20-5782288	Inactive - Wind-Down	KY	501(c)(3)	Line 10	Sunbelt Hlth Care Centers Inc	Yes
(90)Sunbelt Health & Rehab Center - Apopka Inc 305 East Oak Street Apopka,FL32703 20-5774856	Operation of Home for the Aged/Hlthcare Delivery	FL	501(c)(3)	Line 10	Sunbelt Hlth Care Centers Inc	Yes
(91)Sunbelt Health Care Centers Inc 485 North Keller Road 250 Maitland,FL32751 58-1473135	Management Services	TN	501(c)(3)	Line 12b, II	Adventist Hlth System Sunbelt Hlthcare Corp	Yes
(92)SunSystem Development Corp 900 Hope Way Altamonte Springs,FL32714 59-2219301	Fund-Raising for Affiliated Tax-Exempt Hospitals	FL	501(c)(3)	Line 7	Adventist Hlth System Sunbelt Hlthcare Corp	Yes
(93)Tarpon Springs Hospital Foundation Inc 1395 S Pinellas Ave Tarpon Springs,FL34689 59-0898901	Operation of Hospital & Related Services	FL	501(c)(3)	Line 3	University Community Hospital Inc	Yes
(94)Tarrant County Health Care Properties Inc 301 Huguley Blvd Burleson,TX76028 51-0605677	Lease to Related Organization	GA	501(c)(3)	Line 12c, III-FI	Sunbelt Hlth Care Centers Inc	Yes
(95)The Comforter Health Care Group Inc 605 Montgomery Road Altamonte Springs,FL32714 27-1857940	Support Services to Related Hospice	FL	501(c)(3)	Line 12c, III-FI	Adventist Hlth System Sunbelt Hlthcare Corp	Yes
(96)The Volunteer Auxiliary of Florida Hosp Flagler Inc(11-8321) 60 Memorial Medical Pkwy Palm Coast,FL32164 59-2486582	Volunteer support services	FL	501(c)(3)	Line 12c, III-FI	N/A		No
(97)Tri-County Nursing and Rehab Center Inc 1290 Celebration Blvd Kissimmee,FL34747 47-2219363	Operation of Home for the Aged/Hlthcare Delivery	FL	501(c)(3)	Line 10	Sunbelt Hlth Care Centers Inc	Yes
(98)University Community Hospital Foundation Inc 3100 E Fletcher Ave Tampa,FL33613 59-2554889	Fund-raising for Tax-exempt hospital	FL	501(c)(3)	Line 7	N/A		No
(99)University Community Hospital Inc 3100 E Fletcher Ave Tampa,FL33613 59-1113901	Operation of Hospitals & Related Services	FL	501(c)(3)	Line 3	Adventist Hlth System Sunbelt Hlthcare Corp	Yes
(100)West Florida Health Home Care Inc 13601 Bruce B Downs Blvd Ste 110 Tampa,FL33613 59-3686109	Home Health Services	GA	501(c)(3)	Line 10	AdventHealth West Florida Ambulatory Svcs Inc	Yes
(101)Zephyr Haven Health & Rehab Center Inc 38250 A Avenue Zephyrhills,FL33542 20-5774930	Operation of Home for the Aged/Hlthcare Delivery	FL	501(c)(3)	Line 10	Sunbelt Hlth Care Centers Inc	Yes
(102)Zephyrhills Health & Rehab Center Inc 7350 Dairy Road Zephyrhills,FL33540 20-5774967	Operation of Home for the Aged/Hlthcare Delivery	FL	501(c)(3)	Line 10	Sunbelt Hlth Care Centers Inc	Yes

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50135Y

Schedule R (Form 990) 2021

Page 2

Schedule R (Form 990) 2021

Page 2

Part III

Identification of Related Organizations Taxable as a Partnership. Complete if the organization answered "Yes" on Form 990, Part IV, line 34, because it had one or more related organizations treated as a partnership during the tax year.

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(f) Share of total income	(g) Share of end-of-year assets	(h) Disproprtionate allocations?		(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?		(k) Percentage ownership
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No	(k) Percentage ownership
(1) Fletcher Hospital Surgical Ventures LLC 9131 Anson Way Ste 304 Raleigh,NC27615 86-1482646	Indirect Interest in Surgery Center	NC	N/A				No			No
(2) Florida Hospital DMERT LLC 500 Winderley Place Ste 324 Maitland,FL32751 20-2392253	Medical Equipment	FL	N/A				No		Yes
(3) Florida Hospital Home Infusion LLP 500 Winderley Place Ste 226 Maitland,FL32751 59-3142824	Home Infusion Services	FL	N/A				No		Yes
(4) Functional Neurosurgical Ambulatory Surgery Ctr LLC 11 W Dry Creek Circle 120 Littleton,CO80120 46-4426708	Surgery Center	CO	N/A				No			No
(5) PAHS OnPoint Urgent Care LLC 9100 E Mineral Circle Centennial,CO80112 83-2465331	Urgent Care Center	CO	N/A				No			No
(6) Princeton Homecare Services LLC 1050 Forrer Blvd Kettering,OH45420 81-4196648	Operation of Home Health Agency	FL	N/A				No			No
(7) San Marcos MRI LP (1121-8121) 1330 Wonder World Dr Ste 202 San Marcos,TX78666 77-0597972	Imaging & Testing	TX	N/A				No			No
(8) Surgery Center of Rome LP 900 Hope Way Altamonte Springs,FL32714 20-0390305	Surgery Center	FL	N/A				No			No
(9) The Bariatric Center of Kansas City LLC 9100 W 74th Street Merriam,KS66204 82-3025378	Surgery Center	KS	N/A				No			No
(10) Urgent Care Centers of Brevard County LLC 2600 Westhall Lane Maitland,FL32751 84-4261523	Urgent Care Centers	FL	N/A				No		Yes

Part IV

Identification of Related Organizations Taxable as a Corporation or Trust. Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a corporation or trust during the tax year.

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Type of entity (C corp, S corp, or trust)	(f) Share of total income	(g) Share of end-of-year assets	(h) Percentage ownership	(i) Section 512(b)(13) controlled entity?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Type of entity (C corp, S corp, or trust)	(f) Share of total income	(g) Share of end-of-year assets	(h) Percentage ownership	Yes	No
(1) AdventHealth Orlando Network Inc (35 - 123121) 900 Hope Way Altamonte Springs,FL32714 86-2639185	Inactive	FL	Adventist Hlth System Sunbelt Hlthcare Corp	C			100.000 %	Yes
(2) AdventHealth Professional Staffing Inc (35 - 123121) 900 Hope Way Altamonte Springs,FL32714 88-0742779	INACTIVE	FL	Adventist Hlth System Sunbelt Hlthcare Corp	C			100.000 %	Yes
(3) AdventHealth Tampa Network Inc (35 - 123121) 900 Hope Way Altamonte Springs,FL32714 86-2666178	Inactive	FL	Adventist Hlth System Sunbelt Hlthcare Corp	C			100.000 %	Yes
(4) AdventHealth Team Members Inc (35 - 123121) 900 Hope Way Altamonte Springs,FL32714 88-0763664	INACTIVE	FL	Adventist Hlth System Sunbelt Hlthcare Corp	C			100.000 %	Yes
(5) Altamonte Medical Plaza Condominium Association Inc 601 East Rollins Street Orlando,FL32803 59-2855792	Condo Association	FL	N/A	C				Yes
(6) Apopka Medical Plaza Condominium Association Inc 601 East Rollins Street Orlando,FL32803 59-3000857	Condo Association	FL	N/A	C				Yes
(7) Battle Creek Adventist Hospital 900 Hope Way Altamonte Springs,FL32714 38-1359189	Inactive	MI	N/A	C				Yes
(8) Central Texas Medical Associates (11-12252021) 1301 Wonder World Drive San Marcos,TX78666 74-2729873	Inactive	TX	N/A	C				Yes
(9) Florida Hosp Hlth Village Property Owner's Assoc Inc 550 E Rollins Street 7th Floor Orlando,FL32803 82-1748255	Condo Association	FL	N/A	C				Yes
(10) Florida Hospital Flagler Medical Offices Association Inc 60 Memorial Medical Parkway Palm Coast,FL32164 26-2158309	Condo Association	FL	N/A	C				Yes
(11) Florida Hospital Healthcare System Inc 101 Southhall Lane Ste 150 Maitland,FL32751 59-3215680	PHSO / CIN	FL	N/A	C				Yes
(12) Florida Medical Plaza Condominium Association Inc 601 East Rollins Street Orlando,FL32803 59-2855791	Condo Association	FL	N/A	C				Yes
(13) Kissimmee Multispecialty Clinic Condominium Association Inc 201 Hilda Street Suite 30 Kissimmee,FL34741 59-3539564	Condo Association	FL	N/A	C				Yes
(14) Midwest Management Services Inc 9100 West 74th Street Shawnee Mission,KS66204 48-0901551	Inactive	KS	N/A	C				Yes
(15) North American Health Services Inc & Sub 900 Hope Way Altamonte Springs,FL32714 62-1041820	Holding Co.	TN	Adventist Hlth System Sunbelt Hlthcare Corp	C	10,539,471	63,448,308	100.000 %	Yes
(16) Ormond Prof Associates Condo Assoc Inc (430 year end) 770 W Granada Blvd Ste 101 Ormond Beach,FL32174 59-2694434	Condo Association	FL	N/A	C				Yes
(17) Park Ridge Property Owner's Association Inc 1 Park Place Naples Road Fletcher,NC28732 03-0380531	Condo Association	NC	N/A	C				Yes
(18) Porter Affiliated Health Services Inc (11-63021) 2525 S Downing Street Denver,CO80210 84-0956175	INACTIVE	CO	N/A	C				Yes
(19) Redmond Park Health Services Inc (10121 - 123121) 900 Hope Way Altamonte Springs,FL32714 62-1330078	Holding Company	GA	N/A	C				Yes
(20) Redmond Physician Practice Company (10121 - 10121) 900 Hope Way Altamonte Springs,FL32714 62-1662134	Medical Clinics	GA	Adventist Hlth System Sunbelt Hlthcare Corp	C			100.000 %	Yes
(21) Surgicare of Rome Inc (10121 - 123121) 900 Hope Way Altamonte Springs,FL32714 20-0376307	Holding Company	GA	N/A	C				Yes
(22) The Garden Retirement Community Inc 485 North Keller Road Ste 250 Maitland,FL32751 59-3414055	Real Estate Rental	FL	N/A	C				Yes
(23) Winter Park Medical Office Building I Condo Assoc Inc 601 East Rollins Street Orlando,FL32803 45-2228478	Condo Association	FL	N/A	C				Yes

Schedule R (Form 990) 2021

Page 3

Schedule R (Form 990) 2021

Page 3

Part V

Transactions With Related Organizations. Complete if the organization answered "Yes" on Form 990, Part IV, line 34, 35b, or 36.

Note. Complete line 1 if any entity is listed in Parts II, III, or IV of this schedule.

Yes

1 During the tax year, did the orgranization engage in any of the following transactions with one or more related organizations listed in Parts II-IV?

a Receipt of (i) interest, (ii) annuities, (iii) royalties, or (iv) rent from a controlled entity .....................

Yes

b Gift, grant, or capital contribution to related organization(s) ............................

Yes

c Gift, grant, or capital contribution from related organization(s) ............................

Yes

d Loans or loan guarantees to or for related organization(s) ............................

e Loans or loan guarantees by related organization(s) ............................

f Dividends from related organization(s) ............................

g Sale of assets to related organization(s) ............................

h Purchase of assets from related organization(s) ............................

i Exchange of assets with related organization(s) ............................

j Lease of facilities, equipment, or other assets to related organization(s) .......................

k Lease of facilities, equipment, or other assets from related organization(s) ......................

l Performance of services or membership or fundraising solicitations for related organization(s) .....................

Yes

m Performance of services or membership or fundraising solicitations by related organization(s) .................

Yes

n Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) ...................

o Sharing of paid employees with related organization(s) ............................

p Reimbursement paid to related organization(s) for expenses ............................

q Reimbursement paid by related organization(s) for expenses ............................

Yes

r Other transfer of cash or property to related organization(s) ............................

Yes

s Other transfer of cash or property from related organization(s) ............................

Yes

If the answer to any of the above is "Yes," see the instructions for information on who must complete this line, including covered relationships and transaction thresholds.

(a) Name of related organization	(b) Transaction type (a-s)	(c) Amount involved	(d) Method of determining amount involved
(1) Florida Hospital Healthcare System Inc	A	826,751	FMV
(2) AdventHealth Senior Care Inc	B	13,000,000	Actual Amount Given
(3) AdventHealth Polk North Inc	C	2,124,003	Actual Amount Received
(4) Adventist Bolingbrook Hospital	C	3,274,222	Actual Amount Received
(5) Adventist GlenOaks Hospital	C	1,462,346	Actual Amount Received
(6) Adventist Health System Georgia Inc	C	5,589,529	Actual Amount Received
(7) Adventist Health SystemSunbelt Inc	C	151,129,549	Actual Amount Received
(8) Adventist Midwest Health	C	10,765,445	Actual Amount Received
(9) Chippewa Valley Hospital & Oakview Care Center Inc	C	433,280	Actual Amount Received
(10) Fletcher Hospital Inc	C	7,296,391	Actual Amount Received
(11) Florida Hospital Dade City Inc	C	1,062,527	Actual Amount Received
(12) Florida Hospital Medical Group Inc	C	9,170,509	Actual Amount Received
(13) Florida Hospital Ocala Inc	C	5,661,840	Actual Amount Received
(14) Florida Hospital Waterman Inc	C	13,491,896	Actual Amount Received
(15) Florida Hospital Zephyrhills Inc	C	5,391,656	Actual Amount Received
(16) Memorial Health Systems Inc	C	11,800,475	Actual Amount Received
(17) Memorial Hospital - Flagler Inc	C	13,214,390	Actual Amount Received
(18) Memorial Hospital - West Volusia Inc	C	5,863,108	Actual Amount Received
(19) Memorial Hospital Inc	C	1,259,897	Actual Amount Received
(20) Pasco-Pinellas Hillsborough Community Health System Inc	C	9,413,477	Actual Amount Received
(21) PorterCare Adventist Health System	C	36,846,039	Actual Amount Received
(22) Shawnee Mission Medical Center Inc	C	18,434,340	Actual Amount Received
(23) Southeast Volusia Healthcare Corporation	C	1,699,385	Actual Amount Received
(24) Southwest Volusia Healthcare Corporation	C	5,868,746	Actual Amount Received
(25) SunSystem Development Corporation dba AdventHealth Foundation Central Flori	C	165,000	Actual Amount Received
(26) Tarpon Springs Hospital Foundation Inc dba AdventHealth North Pinellas	C	1,897,575	Actual Amount Received
(27) University Community Hospital Inc	C	14,849,376	Actual Amount Received
(28) AdventHealth Polk North Inc	L	11,184,645	% of subsidaries' operating exp.
(29) AdventHealth Polk South Inc	L	4,438,936	% of subsidaries' operating exp.
(30) AdventHealth Ransom Memorial Inc	L	2,513,261	% of subsidaries' operating exp.
(31) AdventHealth South Overland Park Inc	L	1,900,123	% of subsidaries' operating exp.
(32) AdventHealth West Florida Ambulatory Services Inc	L	140,492	% of subsidaries' operating exp.
(33) AdventHealth West Florida Imaging Inc	L	80,764	% of subsidaries' operating exp.
(34) Adventist Bolingbrook Hospital	L	7,793,311	% of subsidaries' operating exp.
(35) Adventist GlenOaks Hospital	L	4,184,815	% of subsidaries' operating exp.
(36) Adventist Health System Georgia Inc	L	9,452,790	% of subsidaries' operating exp.
(37) Adventist Health SystemSunbelt Inc	L	259,915,527	% of subsidaries' operating exp.
(38) Adventist Midwest Health	L	18,065,163	% of subsidaries' operating exp.
(39) AHS Midwest Management Inc	L	1,282,463	% of subsidaries' operating exp.
(40) Chippewa Valley Hospital & Oakview Care Center Inc	L	851,751	% of subsidaries' operating exp.
(41) Fletcher Hospital Inc	L	10,682,623	% of subsidaries' operating exp.
(42) Florida Hospital Dade City Inc	L	3,714,748	% of subsidaries' operating exp.
(43) Florida Hospital Healthcare System Inc	L	6,301,273	% of subsidaries' operating exp.
(44) Florida Hospital Medical Group Inc	L	9,132,569	% of subsidaries' operating exp.
(45) Florida Hospital Ocala Inc	L	19,452,251	% of subsidaries' operating exp.
(46) Florida Hospital Physician Group Inc	L	3,208,332	% of subsidaries' operating exp.
(47) Florida Hospital Waterman Inc	L	16,331,925	% of subsidaries' operating exp.
(48) Florida Hospital Zephyrhills Inc	L	10,043,749	% of subsidaries' operating exp.
(49) Florida Radiology Imaging at Lake Mary LLC	L	393,370	% of subsidaries' operating exp.
(50) Hospice of the Comforter Inc	L	367,546	% of subsidaries' operating exp.
(51) Memorial Health Systems Inc	L	23,115,241	% of subsidaries' operating exp.
(52) Memorial Hospital - Flagler Inc	L	11,554,371	% of subsidaries' operating exp.
(53) Memorial Hospital - West Volusia Inc	L	9,462,414	% of subsidaries' operating exp.
(54) Memorial Hospital Inc	L	3,689,489	% of subsidaries' operating exp.
(55) Metroplex Adventist Hospital Inc	L	9,246,576	% of subsidaries' operating exp.
(56) Pasco-Pinellas Hillsborough Community Health System Inc	L	13,296,991	% of subsidaries' operating exp.
(57) PorterCare Adventist Health System	L	11,097,704	% of subsidaries' operating exp.
(58) Redmond Park Hospital LLC	L	1,528,918	% of subsidaries' operating exp.
(59) Shawnee Mission Medical Center Inc	L	25,562,079	% of subsidaries' operating exp.
(60) Southeast Volusia Healthcare Corporation	L	7,839,197	% of subsidaries' operating exp.
(61) Southwest Volusia Healthcare Corporation	L	11,209,185	% of subsidaries' operating exp.
(62) Sunbelt Health Care Centers Inc	L	3,685,827	% of subsidaries' operating exp.
(63) Tarpon Springs Hospital Foundation Inc dba AdventHealth North Pinellas	L	7,443,645	% of subsidaries' operating exp.
(64) University Community Hospital Inc	L	43,407,810	% of subsidaries' operating exp.
(65) West Florida Health Home Care Inc	L	310,069	% of subsidaries' operating exp.
(66) AdventHealth Ransom Memorial Inc	M	103,085	Cost
(67) Adventist Bolingbrook Hospital	M	369,308	Cost
(68) Adventist Health System Georgia Inc	M	127,333	Cost
(69) Adventist Health SystemSunbelt Inc	M	178,379	Cost
(70) Adventist Midwest Health	M	286,940	Cost
(71) Shawnee Mission Medical Center Inc	M	335,107	Cost
(72) AdventHealth Family Medicine Rural Health Clinics Inc	Q	346,602	Cost
(73) AdventHealth Polk North Inc	Q	10,520,350	Cost
(74) AdventHealth Polk South Inc	Q	2,805,869	Cost
(75) AdventHealth Ransom Memorial Inc	Q	2,947,958	Cost
(76) AdventHealth Senior Care Inc	Q	264,380	Cost
(77) AdventHealth South Overland Park Inc	Q	940,388	Cost
(78) AdventHealth West Florida Ambulatory Services Inc	Q	82,907	Cost
(79) AdventHealth West Florida Imaging Inc	Q	105,016	Cost
(80) Adventist Bolingbrook Hospital	Q	3,576,505	Cost
(81) Adventist GlenOaks Hospital	Q	2,302,144	Cost
(82) Adventist Health Partners Inc	Q	5,221,435	Cost
(83) Adventist Health System Georgia Inc	Q	13,908,305	Cost
(84) Adventist Health SystemSunbelt Inc	Q	243,292,619	Cost
(85) Adventist Midwest Health	Q	7,510,505	Cost
(86) Chippewa Valley Hospital & Oakview Care Center Inc	Q	1,076,547	Cost
(87) Fletcher Hospital Inc	Q	12,392,470	Cost
(88) Florida Hospital Dade City Inc	Q	1,749,199	Cost
(89) Florida Hospital Healthcare Partners Inc	Q	12,172,085	Cost
(90) Florida Hospital Healthcare System Inc	Q	1,395,621	Cost
(91) Florida Hospital Medical Group Inc	Q	45,412,798	Cost
(92) Florida Hospital Ocala Inc	Q	16,290,339	Cost
(93) Florida Hospital Physician Group Inc	Q	10,720,347	Cost
(94) Florida Hospital Waterman Inc	Q	13,918,734	Cost
(95) Florida Hospital Zephyrhills Inc	Q	11,868,377	Cost
(96) Florida Radiology Imaging at Lake Mary LLC	Q	1,648,055	Cost
(97) Hospice of the Comforter Inc	Q	1,105,273	Cost
(98) Memorial Health Systems Inc	Q	22,512,051	Cost
(99) Memorial Hospital - Flagler Inc	Q	10,967,055	Cost
(100) Memorial Hospital - West Volusia Inc	Q	8,599,214	Cost
(101) Memorial Hospital Inc	Q	5,031,505	Cost
(102) Metroplex Adventist Hospital Inc	Q	7,293,229	Cost
(103) Metroplex Clinic Physicians Inc	Q	361,170	Cost
(104) Pasco-Pinellas Hillsborough Community Health System Inc	Q	12,972,304	Cost
(105) PorterCare Adventist Health System	Q	4,737,533	Cost
(106) Princeton Professional Services Inc	Q	174,141	Cost
(107) Redmond Park Hospital LLC	Q	636,715	Cost
(108) Shawnee Mission Medical Center Inc	Q	28,832,767	Cost
(109) Southeast Volusia Healthcare Corporation	Q	6,601,342	Cost
(110) Southwest Volusia Healthcare Corporation	Q	8,771,475	Cost
(111) Sunbelt Health Care Centers Inc	Q	5,449,177	Cost
(112) Tarpon Springs Hospital Foundation Inc dba AdventHealth North Pinellas	Q	8,004,654	Cost
(113) University Community Hospital Inc	Q	53,791,715	Cost
(114) West Florida Health Home Care Inc	Q	743,038	Cost
(115) Adventist Health SystemSunbelt Inc	R	82,495,500	Actual Amount Given
(116) Metroplex Adventist Hospital Inc	S	5,526,590	Actual Amount Received

Schedule R (Form 990) 2021

Page 4

Schedule R (Form 990) 2021

Page 4

Part VI

Unrelated Organizations Taxable as a Partnership. Complete if the organization answered "Yes" on Form 990, Part IV, line 37.

Provide the following information for each entity taxed as a partnership through which the organization conducted more than five percent of its activities (measured by total assets or gross revenue) that was not a related organization. See instructions regarding exclusion for certain investment partnerships.

(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(e) Are all partners section 501(c)(3) organizations?		(f) Share of total income	(g) Share of end-of-year assets	(h) Disproprtionate allocations?		(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?		(k) Percentage ownership
(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	Yes	No	(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No	(k) Percentage ownership

Schedule R (Form 990) 2021

Page 5

Schedule R (Form 990) 2021

Page 5

Part VII

Supplemental Information

Provide additional information for responses to questions on Schedule R. See instructions.

Return Reference	Explanation

Schedule R (Form 990) 2021

Additional Data

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