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Nonprofiteer
← MEMORIAL HEALTH SYSTEMS INC

Form 990 for tax year 2024

Filed by MEMORIAL HEALTH SYSTEMS INC.

Totals

Total revenue
$785,818,974
Total expenses
$690,379,641
Contributions and grants received
$17,959,951
Grants paid
$882,367
Program services expenses (Part IX)
$622,815,258
Management and general expenses
$67,564,383
Fundraising expenses
$0
Program service expenses (Part III)
$622,815,258

Program services were 90.2% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Listed in Part VII

  • HAFFNER PHD RANDALL

    DIRECTOR

    Total calculated
    $4,345,131
    From this org
    $0
    From related orgs
    $4,129,971
    Other
    $215,160
    Hours/week
    0.2 + 50 related

    Schedule J breakdown matched by us

    Base
    $0 + $1,741,198 related
    Bonus
    $0 + $2,099,022 related
    Other
    $0 + $289,751 related
    Deferred
    $0 + $179,406 related
    Nontaxable benefits
    $0 + $35,754 related
    Filer's total
    $0 + $4,345,131 related

  • OTTATI DAVID

    FORMER OFFICER

    Total calculated
    $3,002,459
    From this org
    $0
    From related orgs
    $2,778,371
    Other
    $224,088
    Hours/week
    0 + 50 related

    Schedule J breakdown matched by us

    Base
    $0 + $1,067,695 related
    Bonus
    $0 + $1,185,417 related
    Other
    $0 + $525,259 related
    Deferred
    $0 + $179,406 related
    Nontaxable benefits
    $0 + $44,682 related
    Filer's total
    $0 + $3,002,459 related

  • GOODMAN TODD

    DIR/AH CEN FL DIV CFO

    Total calculated
    $2,147,156
    From this org
    $0
    From related orgs
    $1,954,121
    Other
    $193,035
    Hours/week
    0.1 + 50 related

    Schedule J breakdown matched by us

    Base
    $0 + $947,775 related
    Bonus
    $0 + $619,903 related
    Other
    $0 + $386,443 related
    Deferred
    $0 + $156,406 related
    Nontaxable benefits
    $0 + $36,629 related
    Filer's total
    $0 + $2,147,156 related

  • GREGORY PHD AUDREY

    DIR/CHAIR/FL EAST DIVISION

    Total calculated
    $1,955,595
    From this org
    $0
    From related orgs
    $1,701,959
    Other
    $253,636
    Hours/week
    13.5 + 36.5 related

    Schedule J breakdown matched by us

    Base
    $0 + $953,677 related
    Bonus
    $0 + $630,015 related
    Other
    $0 + $118,267 related
    Deferred
    $0 + $215,714 related
    Nontaxable benefits
    $0 + $37,922 related
    Filer's total
    $0 + $1,955,595 related

  • CELANO PATRICIA

    FORMER KEY EMPLOYEE

    Total calculated
    $1,917,020
    From this org
    $0
    From related orgs
    $1,760,793
    Other
    $156,227
    Hours/week
    0 + 50 related

    Schedule J breakdown matched by us

    Base
    $0 + $659,665 related
    Bonus
    $0 + $657,381 related
    Other
    $0 + $443,747 related
    Deferred
    $0 + $153,777 related
    Nontaxable benefits
    $0 + $2,450 related
    Filer's total
    $0 + $1,917,020 related

  • THOMAS DEBORA

    DIRECTOR

    Total calculated
    $1,193,470
    From this org
    $0
    From related orgs
    $1,069,351
    Other
    $124,119
    Hours/week
    13.5 + 36.5 related

    Schedule J breakdown matched by us

    Base
    $0 + $540,986 related
    Bonus
    $0 + $368,173 related
    Other
    $0 + $160,192 related
    Deferred
    $0 + $93,873 related
    Nontaxable benefits
    $0 + $30,246 related
    Filer's total
    $0 + $1,193,470 related

  • WEIS DAVID

    CEO-HOSPITAL FACILITY

    Total calculated
    $961,496
    From this org
    $0
    From related orgs
    $833,721
    Other
    $127,775
    Hours/week
    45 + 5 related

    Schedule J breakdown matched by us

    Base
    $0 + $507,285 related
    Bonus
    $0 + $249,067 related
    Other
    $0 + $77,369 related
    Deferred
    $0 + $93,479 related
    Nontaxable benefits
    $0 + $34,296 related
    Filer's total
    $0 + $961,496 related

  • HERNANDEZ MD DENNIS

    DIRECTOR

    Total calculated
    $850,290
    From this org
    $0
    From related orgs
    $779,174
    Other
    $71,116
    Hours/week
    0.2 + 50 related

    Schedule J breakdown matched by us

    Base
    $0 + $375,475 related
    Bonus
    $0 + $206,399 related
    Other
    $0 + $197,300 related
    Deferred
    $0 + $37,282 related
    Nontaxable benefits
    $0 + $33,834 related
    Filer's total
    $0 + $850,290 related

  • SINCLAIR MD DAVID

    CMO-HOSPITAL FACILITY

    Total calculated
    $770,972
    From this org
    $0
    From related orgs
    $644,860
    Other
    $126,112
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $0 + $472,782 related
    Bonus
    $0 + $117,742 related
    Other
    $0 + $54,336 related
    Deferred
    $0 + $93,147 related
    Nontaxable benefits
    $0 + $32,965 related
    Filer's total
    $0 + $770,972 related

  • CHAPMAN CULLY

    FORMER OFFICER

    Total calculated
    $764,509
    From this org
    $0
    From related orgs
    $674,116
    Other
    $90,393
    Hours/week
    0 + 50 related

    Schedule J breakdown matched by us

    Base
    $0 + $357,831 related
    Bonus
    $0 + $100,282 related
    Other
    $0 + $216,003 related
    Deferred
    $0 + $76,327 related
    Nontaxable benefits
    $0 + $14,066 related
    Filer's total
    $0 + $764,509 related

  • LUNDE ERIC

    FORMER KEY EMPLOYEE

    Total calculated
    $666,333
    From this org
    $0
    From related orgs
    $550,333
    Other
    $116,000
    Hours/week
    0 + 50 related

    Schedule J breakdown matched by us

    Base
    $0 + $359,642 related
    Bonus
    $0 + $136,187 related
    Other
    $0 + $54,504 related
    Deferred
    $0 + $79,221 related
    Nontaxable benefits
    $0 + $36,779 related
    Filer's total
    $0 + $666,333 related

  • GOEB-BURKETT MICHELE

    FORMER KEY EMPLOYEE

    Total calculated
    $592,860
    From this org
    $0
    From related orgs
    $512,603
    Other
    $80,257
    Hours/week
    14 + 36 related

    Schedule J breakdown matched by us

    Base
    $0 + $321,105 related
    Bonus
    $0 + $95,772 related
    Other
    $0 + $95,726 related
    Deferred
    $0 + $59,408 related
    Nontaxable benefits
    $0 + $20,849 related
    Filer's total
    $0 + $592,860 related

  • DOMAYER CORY

    CFO - HOSPITAL FACILITY

    Total calculated
    $556,350
    From this org
    $0
    From related orgs
    $450,771
    Other
    $105,579
    Hours/week
    45 + 5 related

    Schedule J breakdown matched by us

    Base
    $0 + $315,015 related
    Bonus
    $0 + $85,921 related
    Other
    $0 + $49,835 related
    Deferred
    $0 + $72,069 related
    Nontaxable benefits
    $0 + $33,510 related
    Filer's total
    $0 + $556,350 related

  • DESAI MD SURESH

    DIRECTOR

    Total calculated
    $432,630
    From this org
    $0
    From related orgs
    $414,621
    Other
    $18,009
    Hours/week
    0.2 + 50 related

    Schedule J breakdown matched by us

    Base
    $0 + $392,508 related
    Bonus
    $0 + $16,199 related
    Other
    $0 + $5,914 related
    Deferred
    $0 + $17,727 related
    Nontaxable benefits
    $0 + $282 related
    Filer's total
    $0 + $432,630 related

  • TKACHUCK DERRIK

    COO-HOSPITAL FACIITY

    Total calculated
    $425,794
    From this org
    $0
    From related orgs
    $372,217
    Other
    $53,577
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $0 + $291,099 related
    Bonus
    $0 + $68,400 related
    Other
    $0 + $12,718 related
    Deferred
    $0 + $18,516 related
    Nontaxable benefits
    $0 + $35,061 related
    Filer's total
    $0 + $425,794 related

  • KABANUK JAMIE

    CNO-HOSPITAL FACILITY

    Total calculated
    $423,080
    From this org
    $0
    From related orgs
    $383,500
    Other
    $39,580
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $0 + $297,834 related
    Bonus
    $0 + $73,615 related
    Other
    $0 + $12,051 related
    Deferred
    $0 + $11,616 related
    Nontaxable benefits
    $0 + $27,964 related
    Filer's total
    $0 + $423,080 related

  • BROWN MD DOUGLAS

    EXECUTIVE MED DIRECTOR-REV CYCLE

    Total calculated
    $399,292
    From this org
    $350,471
    From related orgs
    $0
    Other
    $48,821
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $315,156
    Bonus
    $30,568
    Other
    $4,747
    Deferred
    $17,727
    Nontaxable benefits
    $31,094
    Filer's total
    $399,292

  • PAZ MD GEORGE

    EXECUTIVE MED DIRECTOR-REV CYCLE

    Total calculated
    $359,023
    From this org
    $322,302
    From related orgs
    $0
    Other
    $36,721
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $319,638
    Bonus
    $1,307
    Other
    $1,357
    Deferred
    $0
    Nontaxable benefits
    $36,721
    Filer's total
    $359,023

  • GRAY KRISTEN

    FORMER KEY EMPLOYEE

    Total calculated
    $350,848
    From this org
    $0
    From related orgs
    $315,035
    Other
    $35,813
    Hours/week
    0 + 50 related

    Schedule J breakdown matched by us

    Base
    $0 + $242,913 related
    Bonus
    $0 + $66,667 related
    Other
    $0 + $5,455 related
    Deferred
    $0 + $13,225 related
    Nontaxable benefits
    $0 + $22,588 related
    Filer's total
    $0 + $350,848 related

  • DORR JOHN

    REGIONAL DIRECTOR-MEDICAL PHYSICIST

    Total calculated
    $345,977
    From this org
    $295,881
    From related orgs
    $0
    Other
    $50,096
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $266,873
    Bonus
    $26,224
    Other
    $2,784
    Deferred
    $14,897
    Nontaxable benefits
    $35,199
    Filer's total
    $345,977

  • KEYES MD MICHAEL

    EXECUTIVE MED DIRECTOR-REV CYCLE

    Total calculated
    $340,170
    From this org
    $339,786
    From related orgs
    $0
    Other
    $384
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $338,498
    Bonus
    $0
    Other
    $1,288
    Deferred
    $0
    Nontaxable benefits
    $384
    Filer's total
    $340,170

  • COLLINS WILLIAM

    SENIOR MEDICAL PHYSICIST THERAPY

    Total calculated
    $319,018
    From this org
    $283,325
    From related orgs
    $0
    Other
    $35,693
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $268,925
    Bonus
    $4,828
    Other
    $9,572
    Deferred
    $15,073
    Nontaxable benefits
    $20,620
    Filer's total
    $319,018

  • PATEL MD KETUL

    DIRECTOR/CHIEF OF STAFF

    Total calculated
    $24,310
    From this org
    $24,310
    From related orgs
    $0
    Other
    $0
    Hours/week
    3.3

  • ADAMS JOHN

    DIRECTOR

    Total calculated
    $310
    From this org
    $310
    From related orgs
    $0
    Other
    $0
    Hours/week
    0.2 + 0.1 related

  • AROCHO MD JAMES

    DIRECTOR

    Total calculated
    $310
    From this org
    $310
    From related orgs
    $0
    Other
    $0
    Hours/week
    0.1

  • BURT DAVID

    DIRECTOR

    Total calculated
    $310
    From this org
    $310
    From related orgs
    $0
    Other
    $0
    Hours/week
    0.2

  • CEBALLOS GLORIA

    DIRECTOR

    Total calculated
    $310
    From this org
    $310
    From related orgs
    $0
    Other
    $0
    Hours/week
    0.2

  • DAWSON MELINDA

    DIRECTOR (END 12/2024)

    Total calculated
    $310
    From this org
    $310
    From related orgs
    $0
    Other
    $0
    Hours/week
    0.1 + 0.1 related

  • DESAI MD METEESH

    DIRECTOR (END 12/2024)

    Total calculated
    $310
    From this org
    $310
    From related orgs
    $0
    Other
    $0
    Hours/week
    0.1

  • FERGUSON JOHN

    DIRECTOR

    Total calculated
    $310
    From this org
    $310
    From related orgs
    $0
    Other
    $0
    Hours/week
    0.2 + 0.1 related

  • HOOPER ANDREA

    DIRECTOR

    Total calculated
    $310
    From this org
    $310
    From related orgs
    $0
    Other
    $0
    Hours/week
    0.2

  • HOSSEINI NIKA

    DIRECTOR (BEG 02/2024)

    Total calculated
    $310
    From this org
    $310
    From related orgs
    $0
    Other
    $0
    Hours/week
    0.1 + 0.1 related

  • MARONEY PHILIP

    DIRECTOR

    Total calculated
    $310
    From this org
    $310
    From related orgs
    $0
    Other
    $0
    Hours/week
    0.2

Compensation is as filed in Part VII: reportable pay from this organization and from related organizations, other compensation, and hours per week. The total, marked calculated, is our sum of the three dollar columns, with a blank column counted as $0; the form itself has no total. On a Form 990-EZ the columns are Part IV's instead — compensation, contributions to benefit plans, and expense account — and the total sums those. A Schedule J breakdown is as filed: base pay, bonus, other, deferred compensation and nontaxable benefits from this organization, with any from related organizations beside each, and the filer's own total. It is shown with the Part VII listing of the same name on the same return. The form gives no key between the two, so that pairing is ours, and is marked matched by us.

Schedule J

Answered yes

  • 1a · First-class or charter travel
  • 1a · Travel for companions
  • 1a · Tax indemnification and gross-up payments
  • 1a · Discretionary spending account
  • 1a · Health or social club dues or initiation fees
  • 1b · Written policy on the line-1a expenses
  • 2 · Substantiation required before reimbursing expenses
  • 4b · Supplemental nonqualified retirement plan

Answered no

  • 4a · Severance or change-of-control payment
  • 4c · Equity-based compensation arrangement
  • 5a · Pay contingent on this organization's revenues
  • 5b · Pay contingent on a related organization's revenues
  • 6a · Pay contingent on this organization's net earnings
  • 6b · Pay contingent on a related organization's net earnings
  • 7 · Other non-fixed payments
  • 8 · Paid under the initial-contract exception

The filer's explanations (Part III)

PART I, LINE 1A
THE FILING ORGANIZATION IS A PART OF THE SYSTEM OF HEALTHCARE ORGANIZATIONS KNOWN AS ADVENTHEALTH. MEMBERS OF THE FILING ORGANIZATION'S EXECUTIVE MANAGEMENT TEAM THAT HOLD THE POSITION OF VICE-PRESIDENT OR ABOVE ARE COMPENSATED BY AND ON THE PAYROLL OF ADVENTIST HEALTH SYSTEM SUNBELT HEALTHCARE CORPORATION (AHSSHC), THE PARENT ORGANIZATION OF THE HEALTHCARE SYSTEM KNOWN AS ADVENTHEALTH. AHSSHC IS EXEMPT FROM FEDERAL INCOME TAX UNDER IRC SECTION 501(C)(3). THE FILING ORGANIZATION REIMBURSES AHSSHC FOR THE SALARY AND BENEFIT COST OF THOSE EXECUTIVES LISTED IN PART VII THAT ARE ON THE PAYROLL OF AHSSHC. AT THE DIRECTION OF AHSSHC, AND IN ACCORDANCE WITH THE RESERVED POWERS IN THE FILING ORGANIZATION'S GOVERNING DOCUMENTS, THE EXECUTIVE TEAM LISTED ON PART VII PROVIDES SERVICES TO THE FILING ORGANIZATION. FIRST-CLASS OR CHARTER TRAVEL: PURSUANT TO THE ADVENTHEALTH SYSTEM-WIDE GENERAL POLICY REGARDING BUSINESS TRAVEL, NO REIMBURSEMENT WILL BE PROVIDED FOR ANY ADDITIONAL COST INCURRED WITH RESPECT TO FIRST-CLASS OR CHARTER AIR TRAVEL BEYOND THE COST OF A REGULAR COACH AIRFARE. AS A MEANS OF PROVIDING ADDITIONAL BUSINESS TRAVEL REIMBURSEMENT FOR THOSE MEMBERS OF THE AHSSHC SENIOR EXECUTIVE MANAGEMENT TEAM THAT TRAVEL FREQUENTLY ON BEHALF OF ADVENTHEALTH, A SPECIAL ANNUAL TRAVEL ALLOWANCE IS PROVIDED FOR THOSE EXECUTIVES. AS ADVENTHEALTH OPERATES 51 HOSPITALS IN 9 STATES, THE SENIOR LEADERSHIP OF AHSSHC TRAVEL EXTENSIVELY AND OFTEN VISIT MULTIPLE HOSPITAL LOCATIONS IN DIFFERENT STATES AS A PART OF A SINGLE BUSINESS TRIP. THE SPECIAL TRAVEL ALLOWANCE CAN PROVIDE REIMBURSEMENTS TO THE EXECUTIVE FOR SUCH ITEMS AS THE PURCHASE OF AIR TRAVEL UPGRADE COUPONS OR TO COVER THE COST DIFFERENTIAL BETWEEN COACH AND FIRST-CLASS TRAVEL. THE SPECIAL TRAVEL ALLOWANCE BENEFIT WAS ORIGINALLY AUTHORIZED BY AND CODIFIED INTO A POLICY BY THE AHSSHC BOARD COMPENSATION COMMITTEE (THE COMMITTEE), AN INDEPENDENT BODY OF THE AHSSHC BOARD OF DIRECTORS, WHO ALSO APPROVES THE ANNUAL CAP ON THE AMOUNT OF THE ALLOWANCE. THE SPECIAL TRAVEL ALLOWANCE HAS AN ANNUAL CAP OF $33,500 FOR SENIOR AND SYSTEM EXECUTIVE VICE PRESIDENTS (GENERALLY 18 ADVENTHEALTH EXECUTIVE VICE PRESIDENTS) AND THE MULTI-STATE CFO, $20,000 FOR SYSTEM SENIOR VICE PRESIDENTS, REGIONAL CEO'S AND DIVISION CHIEF OFFICERS (GENERALLY 50-60 INDIVIDUAL EXECUTIVES) AND $7,500 FOR OTHER EXECUTIVES WHOSE ROLE REQUIRES EXTENSIVE TRAVEL (CURRENTLY 4), AS APPROVED BY THE ADVENTHEALTH CEO. THE ADVENTHEALTH SYSTEM CEO DOES NOT HAVE AN ANNUAL CAP. A DIVISIONAL CEO, CFO AND CNO FOR ADVENTHEALTH ARE LISTED ON PART VII OF THIS FORM 990 FOR THE FILING ORGANIZATION. THE DIVISIONAL CEO, CFO AND CNO ARE CONSIDERED COMMON LAW EMPLOYEES OF AND ARE ON THE PAYROLL OF AHSSHC. WHILE THE SPECIAL TRAVEL ALLOWANCE BENEFIT IS AN AHSSHC COMPENSATION POLICY AND PRACTICE, THE COST OF PROVIDING THIS BENEFIT IS ALLOCATED TO AND EITHER WHOLLY OR PARTIALLY REIMBURSED BY THE FILING ORGANIZATION. ACCORDINGLY, THE FILING ORGANIZATION HAS CHECKED THE BOX IN SCHEDULE J, PART I, LINE 1A FOR FIRST-CLASS OR CHARTER TRAVEL SINCE IT HAS WHOLLY OR PARTIALLY PAID FOR THE COST OF PROVIDING THIS BENEFIT. THOSE EXECUTIVES WHO RECEIVE THE SPECIAL TRAVEL ALLOWANCE ARE RESPONSIBLE FOR TRACKING THE EXPENSES REIMBURSABLE UNDER THE SPECIAL TRAVEL ALLOWANCE AND MUST SUBMIT SUCH EXPENSES ON THEIR ACCOUNTABLE PLAN EXPENSE REPORT. ANY TAXABLE REIMBURSEMENTS MADE TO EXECUTIVES UNDER THE SPECIAL TRAVEL ALLOWANCE ARRANGEMENT ARE TREATED AS TAXABLE COMPENSATION TO THE EXECUTIVE. TRAVEL FOR COMPANIONS: AHSSHC HAS A CORPORATE EXECUTIVE POLICY THAT PROVIDES A BENEFIT TO ALLOW FOR A TRAVELING AHSSHC EXECUTIVE TO HAVE HIS OR HER SPOUSE ACCOMPANY THE EXECUTIVE ON CERTAIN BUSINESS TRIPS EACH YEAR. TYPICALLY, REIMBURSEMENT IS ONLY PROVIDED TO CERTAIN EXECUTIVE LEADERS AND IS USUALLY LIMITED TO ONE BUSINESS TRIP PER YEAR BEYOND THE ANNUAL ADVENTHEALTH PRESIDENT'S COUNCIL BUSINESS MEETING AND OTHER MEETINGS WHERE THE SPOUSE IS SPECIFICALLY INVITED. THE AHSSHC CORPORATE EXECUTIVE SPOUSAL TRAVEL POLICY WAS ORIGINALLY APPROVED AND REVIEWED BY THE AHSSHC BOARD COMPENSATION COMMITTEE, AN INDEPENDENT BODY OF THE AHSSHC BOARD OF DIRECTORS. ALL SPOUSAL TRAVEL COSTS REIMBURSED TO THE EXECUTIVE ARE CONSIDERED TAXABLE COMPENSATION TO THE EXECUTIVE. TAX INDEMNIFICATION AND GROSS-UP PAYMENTS: ADVENTHEALTH HAS A SYSTEM-WIDE GENERAL POLICY ADDRESSING GROSS-UP PAYMENTS PROVIDED IN CONNECTION WITH EMPLOYER-PROVIDED BENEFITS (OTHER THAN RELOCATION ASSISTANCE PROVIDED TO EXECUTIVES). UNDER THE POLICY, CERTAIN TAXABLE BUSINESS-RELATED REIMBURSEMENTS THAT ARE PROVIDED TO ANY EMPLOYEE MAY BE GROSSED UP AT A 25% RATE UPON APPROVAL BY THE FILING ORGANIZATION'S CEO AND CFO. ADDITIONALLY, EMPLOYEES AT THE DIRECTOR LEVEL AND ABOVE ARE ELIGIBLE FOR GROSS-UP PAYMENTS ON GIFTS RECEIVED FOR BOARD OF DIRECTOR SERVICES. DISCRETIONARY SPENDING ACCOUNT: OCCASIONAL DISCRETIONARY SPENDING AMOUNTS ARE PERIODICALLY PROVIDED TO ELIGIBLE EXECUTIVES WHO ATTEND ANNUAL BUSINESS MEETINGS SUCH AS THE ADVENTHEALTH PRESIDENT'S COUNCIL, CFO CONFERENCE OR THE CMO/CNO BUSINESS MEETING. PAYMENTS PROVIDED TO EACH EXECUTIVE ARE CONSIDERED TAXABLE COMPENSATION TO THE EXECUTIVE. HEALTH OR SOCIAL CLUB DUES OR INITIATION FEES: AHSSHC HAS A CORPORATE EXECUTIVE POLICY THAT ADDRESSES BUSINESS DEVELOPMENT EXPENDITURES. UNDER THIS POLICY, TO ENCOURAGE EXECUTIVES TO ESTABLISH AND CULTIVATE STRONG WORKING RELATIONSHIPS WITH THE MEDICAL COMMUNITY AND OTHER LEADERS IN THE COMMUNITY AND INDUSTRY, CERTAIN ADVENTHEALTH EXECUTIVES MAY BE REIMBURSED FOR MEMBER DUES AND USAGE CHARGES FOR A COUNTRY CLUB OR OTHER SOCIAL CLUB UPON AUTHORIZATION. CLUB MEMBERSHIPS MUST BE APPROVED BY THE ADVENTHEALTH PRESIDENT/CEO ON AN ANNUAL BASIS. EACH ADVENTHEALTH EXECUTIVE WHO IS APPROVED FOR A CLUB MEMBERSHIP MUST SUBMIT AN ANNUAL REPORT DESCRIBING HOW THEY USED THE MEMBERSHIP TO BENEFIT THEIR ORGANIZATION DURING THE PRECEDING YEAR SO THAT THE ADVENTHEALTH PRESIDENT/CEO CAN DETERMINE IF CONTINUANCE OF THE CLUB MEMBERSHIP FURTHERS THE BUSINESS INTERESTS OF ADVENTHEALTH. IN THE CURRENT YEAR, FOR THIS FILING ORGANIZATION, ONE EXECUTIVE LISTED IN PART VII RECEIVED REIMBURSEMENT FOR CLUB FEES. WHILE THE CLUB DUES MEMBERSHIP IS AN AHSSHC COMPENSATION POLICY AND PRACTICE, THE COST OF PROVIDING THIS BENEFIT IS ALLOCATED TO AND REIMBURSED IN WHOLE OR IN PART BY THE FILING ORGANIZATION. ACCORDINGLY, THE FILING ORGANIZATION HAS CHECKED THE BOX IN SCHEDULE J, PART I, LINE 1A FOR HEALTH OR SOCIAL CLUB DUES SINCE IT HAS WHOLLY OR PARTIALLY PAID FOR THE COST OF PROVIDING THIS BENEFIT.
PART I, LINE 3
THE INDIVIDUAL WHO SERVES AS THE CEO OF THE FILING ORGANIZATION IS APPOINTED AND COMPENSATED BY ADVENTIST HEALTH SYSTEM SUNBELT HEALTHCARE CORPORATION (AHSSHC). COMPENSATION AND BENEFITS PROVIDED TO THIS INDIVIDUAL ARE DETERMINED PURSUANT TO POLICIES, PROCEDURES, AND PROCESSES OF AHSSHC THAT ARE DESIGNED TO ENSURE COMPLIANCE WITH THE INTERMEDIATE SANCTIONS LAWS AS SET FORTH IN IRC SECTION 4958. AHSSHC HAS TAKEN STEPS TO ENSURE THAT PROCESSES ARE IN PLACE TO SATISFY THE REBUTTABLE PRESUMPTION OF REASONABLENESS STANDARD AS SET FORTH IN TREASURY REGULATION SECTION 53.4958-6 WITH RESPECT TO ITS ACTIVE EXECUTIVE-LEVEL POSITIONS. THE AHSSHC BOARD COMPENSATION COMMITTEE (THE COMMITTEE) SERVES AS THE GOVERNING BODY FOR ALL EXECUTIVE COMPENSATION MATTERS. THE COMMITTEE IS COMPOSED OF CERTAIN MEMBERS OF THE BOARD OF DIRECTORS (THE BOARD) OF AHSSHC. VOTING MEMBERS OF THE COMMITTEE INCLUDE ONLY INDIVIDUALS WHO SERVE ON THE BOARD AS INDEPENDENT REPRESENTATIVES, WHO HOLD NO EMPLOYMENT POSITIONS WITH AHSSHC AND WHO DO NOT HAVE RELATIONSHIPS WITH ANY OF THE INDIVIDUALS WHOSE COMPENSATION IS UNDER THEIR REVIEW THAT IMPACTS THEIR BEST INDEPENDENT JUDGMENT AS FIDUCIARIES OF AHSSHC. THE COMMITTEE'S ROLE IS TO REVIEW AND APPROVE ALL COMPONENTS OF THE EXECUTIVE COMPENSATION PLAN OF AHSSHC. AS AN INDEPENDENT GOVERNING BODY WITH RESPECT TO EXECUTIVE COMPENSATION, IT SHOULD BE NOTED THAT THE COMMITTEE WILL OFTEN CONFER IN EXECUTIVE SESSIONS ON MATTERS OF COMPENSATION POLICY AND POLICY CHANGES. IN SUCH EXECUTIVE SESSIONS, NO MEMBERS OF MANAGEMENT OF AHSSHC ARE PRESENT, OTHER THAN THE CHIEF PEOPLE OFFICER, WHO REMAINS AT THE REQUEST OF THE CHAIRMAN/COMMITTEE TO PROVIDE ASSISTANCE/INFORMATION AS NEEDED. THE COMMITTEE IS ADVISED BY AN INDEPENDENT THIRD-PARTY COMPENSATION ADVISOR. THIS ADVISOR PREPARES ALL THE BENCHMARK STUDIES FOR THE COMMITTEE. COMPENSATION LEVELS ARE BENCHMARKED WITH A NATIONAL PEER GROUP OF OTHER NOT-FOR-PROFIT HEALTHCARE SYSTEMS AND HOSPITALS OF SIMILAR SIZE AND COMPLEXITY TO ADVENTHEALTH AND EACH OF ITS AFFILIATED ENTITIES. THE FOLLOWING PRINCIPLES GUIDE THE ESTABLISHMENT OF INDIVIDUAL EXECUTIVE COMPENSATION: - THE SALARY OF THE PRESIDENT/CEO OF ADVENTHEALTH WILL NOT EXCEED THE 50TH PERCENTILE OF COMPARABLE SALARIES PAID BY SIMILARLY SITUATED ORGANIZATIONS; AND - OTHER EXECUTIVE SALARIES SHALL BE ESTABLISHED USING MARKET MEDIANS. THE COMPENSATION PHILOSOPHY, POLICIES, AND PRACTICES OF AHSSHC ARE CONSISTENT WITH THE ORGANIZATION'S FAITH-BASED MISSION AND CONFORM TO APPLICABLE LAWS, REGULATIONS, AND BUSINESS PRACTICES. AS A FAITH-BASED ORGANIZATION SPONSORED BY THE SEVENTH-DAY ADVENTIST CHURCH (THE CHURCH), AHSSHC'S PHILOSOPHY AND PRINCIPLES WITH RESPECT TO ITS EXECUTIVE COMPENSATION PRACTICES REFLECT THE CONSERVATIVE APPROACH OF THE CHURCH'S MISSION OF SERVICE AND WERE DEVELOPED IN COUNSEL WITH THE CHURCH'S LEADERSHIP.
PART I, LINE 4B
AS DISCUSSED IN LINE 1A ABOVE, EXECUTIVES ON THE FILING ORGANIZATION'S MANAGEMENT TEAM THAT HOLD THE POSITION OF VICE-PRESIDENT OR ABOVE ARE COMPENSATED BY AND ON THE PAYROLL OF ADVENTIST HEALTH SYSTEM SUNBELT HEALTHCARE CORPORATION (AHSSHC), THE PARENT ORGANIZATION OF THE HEALTHCARE SYSTEM KNOWN AS ADVENTHEALTH. IN RECOGNITION OF THE CONTRIBUTION THAT EACH EXECUTIVE MAKES TO THE SUCCESS OF ADVENTHEALTH, ADVENTHEALTH PROVIDES SUPPLEMENTAL EXECUTIVE 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. SERP III PLAN: 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 $345,000 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. SERP II PLAN: 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. FLEX PLAN: 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. HAFFNER,RANDALL $ 160,890 $ 137,319 $ 1,972 $ 0 OTTATI,DAVID $ 160,890 $ 159,135 $ 284,107 $ 0 GOODMAN,TODD $ 160,890 $ 137,319 $ 150,594 $ 0 GREGORY,AUDREY $ 0 $ 0 $ 0 $ 197,198 CELANO,PATRICIA $ 135,261 $ 98,573 $ 264,822 $ 0 THOMAS,DEBORA $ 98,357 $ 57,610 $ 0 $ 0 WEIS,DAVID $ 69,087 $ 48,460 $ 0 $ 9,544 HERNANDEZ,DENNIS $ 41,766 $ 21,657 $ 0 $ 18,699 SINCLAIR,DAVID $ 0 $ 0 $ 0 $ 74,631 CHAPMAN,CULLY $ 57,090 $ 52,482 $ 0 $ 721 LUNDE,ERIC $ 0 $ 0 $ 0 $ 60,705 GOEB-BURKETT,MICHELE $ 40,892 $ 37,624 $ 0 $ 0 DOMAYER,CORY $ 0 $ 0 $ 0 $ 53,553 SERP III DISTR.* HERNANDEZ,DENNIS $ 108,479 *INCLUDING INVESTMENT EARNINGS

Part I's answers as filed. A line not listed was left unanswered; on lines 1a and 3 that means the box was not checked.

Grants on this return

Related organizations on this return

Schedule R Part II: tax-exempt organizations related to the filer by control. It does not record shared board members or money.

Provenance

Return type
form_990
Tax year
2024
Filed
7 November 2025
IRS schema version
2024v5.2
Source object
202543219349314159

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