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← GENERAL CONFERENCE OF SEVENTH DAY ADVENTIST

Form 990 for tax year 2024

Filed by GENERAL CONFERENCE OF SEVENTH DAY ADVENTIST.

Totals

Total revenue
$342,560,258
Total expenses
$277,376,479
Contributions and grants received
$3,000,575
Grants paid
$409,026
Program service revenue
$331,897,562
Investment income
$7,662,121
Other revenue
$0
Total assets, end of year
$424,644,104
Total liabilities, end of year
$70,068,622
Net assets or fund balances, end of year
$354,575,482
Program services expenses (Part IX)
$255,421,662
Management and general expenses
$21,954,817
Fundraising expenses
$0
Program service expenses (Part III)
$255,421,662

Program services were 92.1% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Line items

Every line the filer filed in Parts VIII, IX and X, as filed and in filed order. Blank columns are left out, and the lines are not forced to add up to the totals above.

Revenue

Part VIII, the statement of revenue.

  • 1d · Related organizations

    $7,986

  • 1e · Government grants (contributions)

    $69,839

  • 1f · All other contributions, gifts and grants

    $2,922,750

  • 2a · Program service revenue: Net Patient Revenue

    total $329,820,075 · related or exempt $329,820,075

  • 2b · Program service revenue: Medical Office Building Rentals

    total $1,077,206 · related or exempt $1,077,206

  • 2c · Program service revenue: Cafeteria Revenue

    total $802,888 · related or exempt $802,888

  • 2d · Program service revenue: Gift Shop Revenue

    total $177,213 · related or exempt $177,213

  • 2f · All other program service revenue

    total $20,180 · related or exempt $20,180

  • 3 · Investment income

    total $5,107,002 · excluded $5,107,002

  • 7a · Gross sales of assets other than inventory

    securities $2,510,081 · other assets $45,038

  • 7b · Less cost or other basis and sales expenses

    securities $0 · other assets $0

  • 7c · Gain or loss

    securities $2,510,081 · other assets $45,038

  • 7d · Net gain or loss

    total $2,555,119 · excluded $2,555,119

Functional expenses

Part IX, the statement of functional expenses.

  • 1 · Grants to domestic organizations and governments

    total $409,026 · program services $409,026

  • 5 · Compensation of officers, directors and key employees

    total $1,952,326 · management and general $1,952,326

  • 7 · Other salaries and wages

    total $86,305,851 · program services $85,649,245 · management and general $656,606

  • 8 · Pension plan contributions

    total $3,404,458 · program services $3,313,035 · management and general $91,423

  • 9 · Other employee benefits

    total $19,427,711 · program services $18,919,821 · management and general $507,890

  • 10 · Payroll taxes

    total $6,352,535 · program services $6,181,944 · management and general $170,591

  • 11b · Fees: legal

    total $113,149 · management and general $113,149

  • 11c · Fees: accounting

    total $73,361 · management and general $73,361

  • 11f · Fees: investment management

    total $557,902 · management and general $557,902

  • 11g · Fees: other

    total $54,553,097 · program services $41,692,474 · management and general $12,860,623

  • 12 · Advertising and promotion

    total $946,191 · management and general $946,191

  • 13 · Office expenses

    total $7,148,348 · program services $4,825,744 · management and general $2,322,604

  • 14 · Information technology

    total $11,786,510 · program services $10,853,132 · management and general $933,378

  • 16 · Occupancy

    total $7,142,731 · program services $7,142,731

  • 17 · Travel

    total $136,309 · program services $1,300 · management and general $135,009

  • 19 · Conferences, conventions and meetings

    total $321,257 · management and general $321,257

  • 20 · Interest

    total $518,381 · program services $518,381

  • 22 · Depreciation, depletion and amortization

    total $12,366,956 · program services $12,366,956

  • 23 · Insurance

    total $2,839,690 · program services $2,739,711 · management and general $99,979

  • 24a · Other expenses: Medical Supplies

    total $42,188,703 · program services $42,188,703

  • 24b · Other expenses: State Assessment

    total $11,989,057 · program services $11,989,057

  • 24c · Other expenses: Repairs & Maintenance

    total $6,506,904 · program services $6,506,904

  • 24d · Other expenses: Dues & Memberships

    total $164,257 · management and general $164,257

  • 24e · All other expenses

    total $171,769 · program services $123,498 · management and general $48,271

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $790 · end of year $987

  • 2 · Savings and temporary cash investments

    beginning of year $116,906,049 · end of year $154,558,515

  • 4 · Accounts receivable

    beginning of year $38,734,330 · end of year $39,137,387

  • 8 · Inventories for sale or use

    beginning of year $7,692,368 · end of year $7,758,807

  • 9 · Prepaid expenses and deferred charges

    beginning of year $12,535,305 · end of year $16,323,648

  • 10a · Land, buildings and equipment: cost or other basis

    $217,946,236

  • 10b · Land, buildings and equipment: accumulated depreciation

    $44,299,388

  • 10c · Land, buildings and equipment, net

    beginning of year $146,753,777 · end of year $173,646,848

  • 12 · Investments: other securities

    beginning of year $256,673 · end of year $256,673

  • 14 · Intangible assets

    beginning of year $16,385,835 · end of year $13,233,834

  • 15 · Other assets

    beginning of year $23,647,126 · end of year $19,727,405

  • 17 · Accounts payable and accrued expenses

    beginning of year $30,265,039 · end of year $31,547,710

  • 25 · Other liabilities

    beginning of year $41,418,861 · end of year $38,520,912

  • 27 · Net assets without donor restrictions

    beginning of year $291,228,353 · end of year $354,575,482

Mission and programs · 2024

Mission

Adventist Health System Sunbelt Healthcare Corporation and all its subsidiary organizations were established by the Seventh-Day Adventist Church to bring a ministry of healing and health to the communities served. Our mission is to extend the healing ministry of Christ.The hospital and healthcare system whose parent is Adventist Health System Sunbelt Healthcare Corporation is known as AdventHealth. AdventHealth seeks to be widely respected as a consumer-focused organization that engages individuals in their health by delivering wholistic, best practice care across a connected, comprehensive continuum of services. With Christ as our example, AdventHealth cares for and nurtures people: our employees, our communities, our healthcare professionals, and those who trust us for care and healing.

Activities or mission (Part I)

The provision of medical care to the community through the operation of a 202 bed hospital.

  • Operation of a 202-bed acute care hospital located in Polk County, FL. During the current year there were 10,349 patient admissions, 46,763 patient days, and 102,232 outpatient visits.

    Expenses $255,421,662 · Grants $409,026 · Revenue $331,897,562

As filed on the 2024 return. The filer continues this part on Schedule O, which is not shown here.

Listed in Part VII

  • Harcombe Doug

    Director

    Total calculated
    $2,384,901
    From this org
    $0
    From related orgs
    $2,241,652
    Other
    $143,249
    Hours/week
    0.2 + 50 related

    Schedule J breakdown matched by us

    Base
    $0 + $582,984 related
    Bonus
    $0 + $285,858 related
    Other
    $0 + $1,372,810 related
    Deferred
    $0 + $112,086 related
    Nontaxable benefits
    $0 + $31,163 related
    Filer's total
    $0 + $2,384,901 related

  • Adams Brian

    Former Officer

    Total calculated
    $2,125,679
    From this org
    $0
    From related orgs
    $1,878,402
    Other
    $247,277
    Hours/week
    0 + 50 related

    Schedule J breakdown matched by us

    Base
    $0 + $1,115,786 related
    Bonus
    $0 + $570,958 related
    Other
    $0 + $191,658 related
    Deferred
    $0 + $214,016 related
    Nontaxable benefits
    $0 + $33,261 related
    Filer's total
    $0 + $2,125,679 related

  • Wandersleben Jennifer

    Director/Chair/President

    Total calculated
    $1,562,103
    From this org
    $0
    From related orgs
    $1,395,935
    Other
    $166,168
    Hours/week
    8.9 + 41.1 related

    Schedule J breakdown matched by us

    Base
    $0 + $713,959 related
    Bonus
    $0 + $516,034 related
    Other
    $0 + $165,942 related
    Deferred
    $0 + $130,239 related
    Nontaxable benefits
    $0 + $35,929 related
    Filer's total
    $0 + $1,562,103 related

  • Hilliard Doug

    Director

    Total calculated
    $1,281,492
    From this org
    $0
    From related orgs
    $1,139,592
    Other
    $141,900
    Hours/week
    0.2 + 50 related

    Schedule J breakdown matched by us

    Base
    $0 + $634,662 related
    Bonus
    $0 + $294,789 related
    Other
    $0 + $210,141 related
    Deferred
    $0 + $106,079 related
    Nontaxable benefits
    $0 + $35,821 related
    Filer's total
    $0 + $1,281,492 related

  • Seetahal Shiva

    Director (Beg 05/2024;End 12/2024)

    Total calculated
    $1,173,867
    From this org
    $0
    From related orgs
    $1,125,126
    Other
    $48,741
    Hours/week
    0.2 + 50 related

    Schedule J breakdown matched by us

    Base
    $0 + $734,397 related
    Bonus
    $0 + $378,866 related
    Other
    $0 + $11,863 related
    Deferred
    $0 + $17,727 related
    Nontaxable benefits
    $0 + $31,014 related
    Filer's total
    $0 + $1,173,867 related

  • Clark Tim

    Director/CEO Polk Mkt

    Total calculated
    $845,126
    From this org
    $0
    From related orgs
    $720,023
    Other
    $125,103
    Hours/week
    25 + 25 related

    Schedule J breakdown matched by us

    Base
    $0 + $436,929 related
    Bonus
    $0 + $210,744 related
    Other
    $0 + $72,350 related
    Deferred
    $0 + $88,799 related
    Nontaxable benefits
    $0 + $36,304 related
    Filer's total
    $0 + $845,126 related

  • Heinrich William

    Former Officer

    Total calculated
    $836,665
    From this org
    $0
    From related orgs
    $738,861
    Other
    $97,804
    Hours/week
    0 + 50 related

    Schedule J breakdown matched by us

    Base
    $0 + $442,677 related
    Bonus
    $0 + $193,514 related
    Other
    $0 + $102,670 related
    Deferred
    $0 + $65,832 related
    Nontaxable benefits
    $0 + $31,972 related
    Filer's total
    $0 + $836,665 related

  • Dunkel Jason

    Director

    Total calculated
    $826,920
    From this org
    $0
    From related orgs
    $723,793
    Other
    $103,127
    Hours/week
    0.3 + 50 related

    Schedule J breakdown matched by us

    Base
    $0 + $418,282 related
    Bonus
    $0 + $215,813 related
    Other
    $0 + $89,698 related
    Deferred
    $0 + $63,734 related
    Nontaxable benefits
    $0 + $39,393 related
    Filer's total
    $0 + $826,920 related

  • Fernandez Duarte Jose

    CMO - Polk Mkt

    Total calculated
    $595,145
    From this org
    $0
    From related orgs
    $503,475
    Other
    $91,670
    Hours/week
    25 + 25 related

    Schedule J breakdown matched by us

    Base
    $0 + $378,573 related
    Bonus
    $0 + $95,000 related
    Other
    $0 + $29,902 related
    Deferred
    $0 + $78,421 related
    Nontaxable benefits
    $0 + $13,249 related
    Filer's total
    $0 + $595,145 related

  • Brown Royce

    Director (Beg 02/2024)

    Total calculated
    $535,886
    From this org
    $0
    From related orgs
    $438,067
    Other
    $97,819
    Hours/week
    0.2 + 50 related

    Schedule J breakdown matched by us

    Base
    $0 + $264,294 related
    Bonus
    $0 + $131,033 related
    Other
    $0 + $42,740 related
    Deferred
    $0 + $63,494 related
    Nontaxable benefits
    $0 + $34,325 related
    Filer's total
    $0 + $535,886 related

  • Hengesbach Justin

    CFO - Polk Mkt

    Total calculated
    $419,079
    From this org
    $0
    From related orgs
    $369,309
    Other
    $49,770
    Hours/week
    25 + 25 related

    Schedule J breakdown matched by us

    Base
    $0 + $269,881 related
    Bonus
    $0 + $63,029 related
    Other
    $0 + $36,399 related
    Deferred
    $0 + $18,516 related
    Nontaxable benefits
    $0 + $31,254 related
    Filer's total
    $0 + $419,079 related

  • Keller-Pickford Aimee

    Former Key Employee

    Total calculated
    $404,846
    From this org
    $0
    From related orgs
    $362,956
    Other
    $41,890
    Hours/week
    0 + 50 related

    Schedule J breakdown matched by us

    Base
    $0 + $251,254 related
    Bonus
    $0 + $68,231 related
    Other
    $0 + $43,471 related
    Deferred
    $0 + $18,516 related
    Nontaxable benefits
    $0 + $23,374 related
    Filer's total
    $0 + $404,846 related

  • Ankoviak Jo Ann

    CNO

    Total calculated
    $378,737
    From this org
    $0
    From related orgs
    $338,734
    Other
    $40,003
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $0 + $210,131 related
    Bonus
    $0 + $65,000 related
    Other
    $0 + $63,603 related
    Deferred
    $0 + $18,059 related
    Nontaxable benefits
    $0 + $21,944 related
    Filer's total
    $0 + $378,737 related

  • Hess Julie

    COO

    Total calculated
    $367,423
    From this org
    $0
    From related orgs
    $324,680
    Other
    $42,743
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $0 + $238,002 related
    Bonus
    $0 + $64,160 related
    Other
    $0 + $22,518 related
    Deferred
    $0 + $17,389 related
    Nontaxable benefits
    $0 + $25,354 related
    Filer's total
    $0 + $367,423 related

  • Bichachi Joshua

    Director of Pharmacy

    Total calculated
    $233,359
    From this org
    $222,973
    From related orgs
    $0
    Other
    $10,386
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $196,804
    Bonus
    $25,078
    Other
    $1,091
    Deferred
    $10,163
    Nontaxable benefits
    $223
    Filer's total
    $233,359

  • Lungu Emmanuel

    Exec Director of Quality

    Total calculated
    $230,725
    From this org
    $198,474
    From related orgs
    $0
    Other
    $32,251
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $181,945
    Bonus
    $14,695
    Other
    $1,834
    Deferred
    $4,161
    Nontaxable benefits
    $28,090
    Filer's total
    $230,725

  • Lopez Jesina

    Assistant Nurse Manager

    Total calculated
    $228,955
    From this org
    $190,350
    From related orgs
    $0
    Other
    $38,605
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $175,503
    Bonus
    $0
    Other
    $14,847
    Deferred
    $6,496
    Nontaxable benefits
    $32,109
    Filer's total
    $228,955

  • Phillips LaTosha

    Director of Nursing

    Total calculated
    $221,857
    From this org
    $212,951
    From related orgs
    $0
    Other
    $8,906
    Hours/week
    0 + 40 related

    Schedule J breakdown matched by us

    Base
    $188,459
    Bonus
    $23,104
    Other
    $1,388
    Deferred
    $8,717
    Nontaxable benefits
    $189
    Filer's total
    $221,857

  • Ace Jose

    Registered Nurse

    Total calculated
    $204,537
    From this org
    $180,705
    From related orgs
    $0
    Other
    $23,832
    Hours/week
    0 + 40 related

    Schedule J breakdown matched by us

    Base
    $177,136
    Bonus
    $0
    Other
    $3,569
    Deferred
    $9,099
    Nontaxable benefits
    $14,733
    Filer's total
    $204,537

  • Hagensicker Janice

    Director (Beg 01/2024)

    Total calculated
    $175,393
    From this org
    $0
    From related orgs
    $175,393
    Other
    $0
    Hours/week
    0.2 + 0.2 related

    Schedule J breakdown matched by us

    Base
    $0
    Bonus
    $0 + $68,068 related
    Other
    $0 + $107,325 related
    Deferred
    $0
    Nontaxable benefits
    $0
    Filer's total
    $0 + $175,393 related

  • Harchandani Preeti

    Director (Beg 05/2024;End 12/2024)

    Total calculated
    $1,000
    From this org
    $1,000
    From related orgs
    $0
    Other
    $0
    Hours/week
    0.2 + 0.2 related

  • Bratten Amy

    Director (Beg 04/2024)

    Total calculated
    $1,000
    From this org
    $1,000
    From related orgs
    $0
    Other
    $0
    Hours/week
    0.2 + 0.2 related

  • Guth Jim

    Director

    Total calculated
    $1,000
    From this org
    $1,000
    From related orgs
    $0
    Other
    $0
    Hours/week
    0.2 + 0.2 related

  • Littleton Greg

    Director

    Total calculated
    $1,000
    From this org
    $1,000
    From related orgs
    $0
    Other
    $0
    Hours/week
    0.2 + 0.2 related

  • Nelson James

    Director

    Total calculated
    $1,000
    From this org
    $1,000
    From related orgs
    $0
    Other
    $0
    Hours/week
    0.2 + 0.2 related

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, and on a Form 990-PF Part VIII's — 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
  • 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 Senior Executive Officer for AdventHealth is a member of the Board of Directors of the filing organization. The Divisional Senior Executive Officer is considered a common law employee of and is 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.
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. Harcombe,Douglas $ 93,570 $ 68,944 $ 1,231,667 $ 0 Adams,Brian $ 160,890 $ 116,908 $ 0 $ 57,610 Wandersleben,Jennifer $ 128,737 $ 93,539 $ 0 $ 5,986 Hilliard,Douglas $ 110,563 $ 78,402 $ 47,906 $ 0 Clark,Timothy $ 58,184 $ 33,028 $ 0 $ 12,099 Heinrich,William $ 58,239 $ 36,249 $ 0 $ 12,077 Dunkel,Jason $ 54,731 $ 18,797 $ 0 $ 13,487 Fernandez Duarte,Jose $ 0 $ 0 $ 0 $ 59,905 Brown,Royce $ 0 $ 0 $ 0 $ 44,978 AHS 457b Distr.* Hagensicker,Janice $ 106,661 * 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.

Taxable family on this return

Schedule R Parts I, III and IV, as filed. These record ownership and control, not shared board members or money moved.

Related partnerships

Part III: related organizations taxable as a partnership, with the filer's share.

Related corporations and trusts

Part IV: related organizations taxable as a corporation or trust.

Provenance

Return type
form_990
Tax year
2024
Filed
22 October 2025
IRS schema version
2024v5.2
Source object
202523179349312152

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