Civic Intelligence

Emory-Adventist Inc

990 • Fiscal year 2017 • EIN 58-2171011

Jan 01, 2017 to Dec 31, 2017 • Filed on Nov 07, 2018

900 Hope WayAltamonte Springs, FL 32714

(407) 357-1000

Siviq Scores

Precomputed percentiles for this filing year versus similar nonprofits in the same peer cohort.

Liabilities / Assets

34th percentile

0.00x

Higher debt load relative to assets than 34% of similar nonprofits.

2017 filings • 501(c)3 • $500k-$1M nonprofits • Source year 2017

Liabilities / Revenue

49th percentile

0.03x

Higher debt load relative to revenue than 49% of similar nonprofits.

2017 filings • 501(c)3 • $500k-$1M nonprofits • Source year 2017

Net Margin

96th percentile

75%

Higher net margin than 96% of similar nonprofits.

2017 filings • 501(c)3 • $500k-$1M nonprofits • Source year 2017

Top Officer Pay

100th percentile

$2,654,661

Higher top officer pay than 100% of similar nonprofits.

Top officer pay equals 2011.4% of source-year revenue.

2017 filings • 501(c)3 • $500k-$1M nonprofits • Source year 2017

Asset Growth

57th percentile

6.0%

Faster asset growth than 57% of similar nonprofits.

2017 filings • 501(c)3 • $500k-$1M nonprofits • Annualized from 2016 to 2017

Revenue Growth

2nd percentile

-75%

Faster revenue growth than 2% of similar nonprofits.

2017 filings • 501(c)3 • $500k-$1M nonprofits • Annualized from 2016 to 2017

Assets

Up

$980,461

Up $55,561 (+6.0%) from 2016

Net Assets

Up

$976,290

Up $102,070 (+12%) from 2016

Liabilities

Down

$4,171

Down $46,509 (-92%) from 2016

Revenue

Down

$131,979

Down $394,354 (-75%) from 2016

Expenses

Up

$33,169

Up $103,781 (+147%) from 2016

Net Income

Down

$98,810

Down $498,135 (-83%) from 2016

Historical Trend

Balance Sheet Trend

The highlighted filing sits inside the broader history for assets, liabilities, and net assets.

$30M$20M$10M$0-$10MAssets 2010: $28,725,942Liabilities 2010: $29,746,673Net Assets 2010: -$1,020,7312010Assets 2011: $28,371,321Liabilities 2011: $29,075,129Net Assets 2011: -$703,8082011Assets 2012: $25,945,198Liabilities 2012: $27,139,156Net Assets 2012: -$1,193,9582012Assets 2013: $25,284,367Liabilities 2013: $24,153,879Net Assets 2013: $1,130,4882013Assets 2014: $10,370,068Liabilities 2014: $2,790,768Net Assets 2014: $7,579,3002014Assets 2015: $616,856Liabilities 2015: $371,919Net Assets 2015: $244,9372015Assets 2016: $924,900Liabilities 2016: $50,680Net Assets 2016: $874,2202016Assets 2017: $980,461Liabilities 2017: $4,171Net Assets 2017: $976,2902017Assets 2018: $1,250,442Liabilities 2018: $0Net Assets 2018: $1,250,4422018Assets 2019: $1,183,279Liabilities 2019: $902Net Assets 2019: $1,182,3772019Assets 2020: $1,149,272Liabilities 2020: -$3Net Assets 2020: $1,149,2752020Assets 2021: $0Liabilities 2021: $0Net Assets 2021: $02021

Highlighted filing

2017

Assets$980,461
Liabilities$4,171
Net Assets$976,290

Operations Trend

Revenue, expenses, and net income across loaded years, with this filing highlighted.

$60M$40M$20M$0-$20MExpenses 2010: $55,162,8612010Expenses 2011: $49,696,1462011Expenses 2012: $49,418,5212012Revenue 2013: $51,613,223Expenses 2013: $53,733,823Net Income 2013: -$2,120,6002013Revenue 2014: $38,265,655Expenses 2014: $52,787,713Net Income 2014: -$14,522,0582014Revenue 2015: $1,702,243Expenses 2015: $1,183,646Net Income 2015: $518,5972015Revenue 2016: $526,333Expenses 2016: -$70,612Net Income 2016: $596,9452016Revenue 2017: $131,979Expenses 2017: $33,169Net Income 2017: $98,8102017Revenue 2018: $197,968Expenses 2018: -$76,291Net Income 2018: $274,2592018Revenue 2019: $19,245Expenses 2019: $85,642Net Income 2019: -$66,3972019Revenue 2020: $8,165Expenses 2020: $41,267Net Income 2020: -$33,1022020Revenue 2021: $8,282Expenses 2021: $14,797Net Income 2021: -$6,5152021

Highlighted filing

2017

Revenue$131,979
Expenses$33,169
Net Income$98,810
Jump To
Filing Snapshot
Filing Period
Jan 1, 2017 to Dec 31, 2017
Signed
Nov 7, 2018
Return Version
2017v2.3
Gross Receipts
$131,979
Mission and Program Overview

Mission

Adventist Health System Sunbelt Healthcare Corporation and all of 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.

Hospital became inactive in october 2014. In wind down for 2017.

Balance Sheet Detail
LineBeginningEndChange
Assets
Savings and Temporary Cash Investments$813,203$800,315▼ $12,888
Total Assets$924,900$980,461▲ $55,561
Other Assets Total$111,697$180,146▲ $68,449
Liabilities
Accounts Payable and Accrued Expenses$50,162$4,171▼ $45,991
Other Liabilities$518$0▼ $518
Total Liabilities$50,680$4,171▼ $46,509
Net Assets / Fund Balance
Unrestricted Net Assets$874,220$976,290▲ $102,070
Total Net Assets Fund Balance$874,220$976,290▲ $102,070
Total Liabilities and Net Assets / Fund Balance$924,900$980,461▲ $55,561

Asset Categories

AssetBook ValueDepreciationBasis
Other Assets Org$558--
Compensation and Service Providers

Employees

NameTitleOtherTotal
Wright Edward ETrustee$1,487$1,487

Board Members and Trustees

Revenue and Support

Revenue Composition

Contributions and Grants
$0
Program Service Revenue
$127,602
Investment Income
$4,377
Other Revenue
$0
Change in Net Assets
$98,810
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Salaries, Compensation, and Employee Benefits$22,737
Other Expenses$10,432
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Pension Plan Contributions-$27,776-$27,776
Fees for Services Legal-$15,941-$15,941
Other Employee Benefits-$794-$794
Fees for Service Investment Mgmnt Fees-$451-$451
Payroll Taxes-$-5,833-$-5,833
Other Expenses$-9,421--$-9,421
Total Functional Expenses$-5,960$39,129$0$33,169
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
No
Subject to proxy tax
No
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
Yes
Business relationship with family members
No
Business relationship with organization members
No
Material changes to governing documents
No
Compensation from other sources disclosed
No
CEO compensation reviewed
No
Other officer compensation reviewed
No
Conflict-of-interest policy
Yes
Audited financial statements prepared
Yes
Key decisions subject to board approval
No
Management duties delegated
No

Governance Explanations

Form 990, Part VI, Section A, line 2

Dane C. Peterson and Karina Belifante, MD - Business Relationship Dane C. Peterson and Ronnie Jowers - Business Relationship

Form 990, Part VI, Section A, line 6

Emory-Adventist, Inc. (the filing organization) has two members. The members of the filing organization are Adventist Health System/Sunbelt, Inc. (AHSSI) and Emory Healthcare, Inc. (EHI). Both AHSSI and EHI are not-for-profit corporations that are exempt from federal income tax under Internal Revenue Code (IRC) Section 501(c)(3). There are no other classes of membership in the filing organization.

Form 990, Part VI, Section A, line 7A

The Board of Trustees of the filing organization are appointed by AHSSI and EHI, who have the right to elect, appoint or remove any member of the Board of Trustees of the filing organization.

Form 990, Part VI, Section B, line 11B

The filing organization's current year Form 990 was reviewed by the Board Chairman and the CFO, responsible to oversee the wind down of this entity, prior to its filing with the IRS. The review conducted by the Board Chairman and the responsible CFO did not include the review of any supporting workpapers that were used in preparation of the current year Form 990, but did include a review of the entire Form 990 and all supporting schedules.

Form 990, Part VI, Section B, line 12C

The Conflict of Interest Policy of the filing organization applies to members of its Board of Trustees and its principal officers (to be known as Interested Persons). In connection with any actual or possible conflicts of interest, any member of the Board of Trustees of the filing organization or any principal officer of the filing organization (i.e. Interested Persons) must disclose the existence of any financial interest with the filing organization and must be given the opportunity to disclose all material facts concerning the financial interest/arrangement to the Board of Trustees of the filing organization or to any members of a committee with board delegated powers that is considering the proposed transaction or arrangement. Subsequent to any disclosure of any financial interest/arrangement and all material facts, and after any discussion with the relevant Board member or principal officer, the remaining members of the Board of Trustees or committee with board delegated powers shall discuss, analyze, and vote upon the potential financial interest/arrangement to determine if a conflict of interest exists. According to the filing organization's Conflict of Interest Policy, an Interested Person may make a presentation to the Board of Trustees (or committee with board delegated powers), but after such presentation, shall leave the meeting during the discussion of, and the vote on, the transaction or arrangement that results in a conflict of interest. Each Interested Person, as defined under the filing organization's Conflict of Interest Policy, shall annually sign a statement which affirms that such person has received a copy of the Conflict of Interests policy, has read and understands the policy, has agreed to comply with the policy, and understands that the filing organization is a charitable organization that must primarily engage in activities which accomplish one or more of its exempt purposes. the filing organization's Conflict of Interest Policy also requires that periodic reviews shall be conducted to ensure that the filing organization operates in a manner consistent with its charitable purposes.

Form 990, Part VI, Section B, line 15

The filing organization's CEO, other officers and key employees are not compensated by the filing organization. Such individuals are compensated by the related top-tier parent organization of the filing organization. Please see the discussion concerning the process followed by the related top-tier parent organization in determining executive compensation in our response to Schedule J, Line 3.

Form 990, Part VI, Section C, line 19

The filing organization is a part of the system of healthcare organizations known as Adventist Health System (AHS). The audited consolidated financial statements of AHS and of the AHS "Obligated Group" are filed annually with the Municipal Securities Rulemaking Board (MSRB). The "Obligated Group" is a group of AHSSHC subsidiaries that are jointly and severally liable under a Master Trust Indenture that secures debt primarily issued on a tax-exempt basis. Unaudited quarterly financial statements prepared in accordance with Generally Accepted Accounting Principles (GAAP) are also filed with MSRB for AHS on a consolidated basis and for the grouping of AHS subsidiaries comprising the "Obligated Group". The filing organization does not generally make its governing documents or conflict of interest policy available to the public.

Part VII, Section A

For those Board of Director members who devote less than full-time to the filing organization (based upon the average number of hours per week shown in column (B) on page 7 of the return) the compensation amounts shown in columns (E) and (F) on page 7 were provided in conjunction with that person's responsibilities and roles in serving in an executive leadership position within Adventist Health System.

Part VIII, Lines 7A and 7C:

The amounts shown in Part VIII, Lines 7a and 7c of the Form 990 represents an allocated share of capital gain/(loss) from a system wide, corporate administered, investment program.

Filing and Contact Details

Filer

Filer Name
Emory-adventist Inc
EIN
58-2171011
Phone
4073571000
Address
900 Hope Way, Altamonte Springs, FL 32714

Signing Officer

Name
Lynn C Addiscott
Title
Assistant Secretary
Phone
4073571000
Signed
2018-11-07

Organization Details

Principal Officer
Peter M Weber
Formed
1995
Legal Domicile
Ga
Voting Board Members
11
Independent Board Members
7
Employees
0
Volunteers
0
Supplemental Narrative

Additional Explanations

Part IV, Line 20A

On October 31, 2014, Emory Adventist, Inc. (the Taxpayer) discontinued the operation of a licensed hospital. On or about the time that hospital operations were discontinued, the Taxpayer relinquished its license to operate a hospital in accordance with Georgia law. Therefore, the Taxpayer no longer operates a hospital facility.

Form 990, Part XI, line 9:

Rounding -3.

Part X, Line 2

The amounts shown on line 2 of Part X of this return include the filing organization's interest in a central investment pool maintained by Adventist Health System Sunbelt Healthcare Corporation, the filing organization's top-tier parent. The investments in the central investment pool are recorded at market value.

Financial Statement Notes

Part X, Line 2:

The filing organization is a subsidiary organization within Adventist Health System (AHS). The consolidated financial statements of AHS contain the following FIN 48 (ASC 740) footnote: Please note that dollar amounts are in thousands. Healthcare Corporation and its affiliated organizations, other than North American Health Services, Inc. and its subsidiary (NAHS), are exempt from state and federal income taxes. Accordingly, Healthcare Corporation and its tax-exempt affiliates are not subject to federal, state or local income taxes except for any net unrelated business taxable income. NAHS is a wholly owned, for-profit subsidiary of Healthcare Corporation. NAHS and its subsidiary are subject to federal and state income taxes. NAHS files a consolidated federal income tax return and, where appropriate, consolidated state income tax returns. All taxable income was fully offset by net operating loss carryforwards for federal income tax purposes; as such, there is no provision for current federal or state income tax for the years ended December 31, 2017 and 2016. NAHS also has temporary deductible differences of approximately $55,700 and $59,100 at December 31, 2017 and 2016, respectively, primarily as a result of net operating loss carryforwards. At December 31, 2017, NAHS had net operating loss carryforwards of approximately $56,400, expiring beginning in 2022 through 2026. Deferred taxes have been provided for these amounts, resulting in a net deferred tax asset of approximately $14,100 and $22,500 at December 31, 2017 and 2016, respectively. A full valuation allowance has been provided at December 31, 2017 and 2016 to offset the deferred tax asset since Healthcare Corporation has determined that it is more likely than not that the benefit of the net operating loss carryforwards will not be realized in future years. On December 22, 2017, the United States enacted tax reform legislation commonly known as the Tax Cuts and Jobs Act (Act), resulting in significant modifications to existing law. NAHS remeasured its deferred tax assets and liabilities based on the rates at which they are expected to reverse in the future, which is generally 21%. Additionally, NAHS had a corresponding decrease to its valuation allowance resulting in no net tax expense impact. The Income Taxes Topic of the ASC (ASC 740) prescribes the accounting for uncertainty in income tax positions recognized in financial statements. ASC 740 prescribes a recognition threshold and measurement attribute for the financial statement recognition and measurement of a tax position taken, or expected to be taken, in a tax return. There were no material uncertain tax positions as of December 31, 2017 and 2016.

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IRS990/MissionDesc0Adventist Health System Sunbelt Healthcare Corporation and all of 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.
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IRS990ScheduleD/SupplementalInformationDetail/ExplanationTxt0The filing organization is a subsidiary organization within Adventist Health System (AHS). The consolidated financial statements of AHS contain the following FIN 48 (ASC 740) footnote: Please note that dollar amounts are in thousands. Healthcare Corporation and its affiliated organizations, other than North American Health Services, Inc. and its subsidiary (NAHS), are exempt from state and federal income taxes. Accordingly, Healthcare Corporation and its tax-exempt affiliates are not subject to federal, state or local income taxes except for any net unrelated business taxable income. NAHS is a wholly owned, for-profit subsidiary of Healthcare Corporation. NAHS and its subsidiary are subject to federal and state income taxes. NAHS files a consolidated federal income tax return and, where appropriate, consolidated state income tax returns. All taxable income was fully offset by net operating loss carryforwards for federal income tax purposes; as such, there is no provision for current federal or state income tax for the years ended December 31, 2017 and 2016. NAHS also has temporary deductible differences of approximately $55,700 and $59,100 at December 31, 2017 and 2016, respectively, primarily as a result of net operating loss carryforwards. At December 31, 2017, NAHS had net operating loss carryforwards of approximately $56,400, expiring beginning in 2022 through 2026. Deferred taxes have been provided for these amounts, resulting in a net deferred tax asset of approximately $14,100 and $22,500 at December 31, 2017 and 2016, respectively. A full valuation allowance has been provided at December 31, 2017 and 2016 to offset the deferred tax asset since Healthcare Corporation has determined that it is more likely than not that the benefit of the net operating loss carryforwards will not be realized in future years. On December 22, 2017, the United States enacted tax reform legislation commonly known as the Tax Cuts and Jobs Act (Act), resulting in significant modifications to existing law. NAHS remeasured its deferred tax assets and liabilities based on the rates at which they are expected to reverse in the future, which is generally 21%. Additionally, NAHS had a corresponding decrease to its valuation allowance resulting in no net tax expense impact. The Income Taxes Topic of the ASC (ASC 740) prescribes the accounting for uncertainty in income tax positions recognized in financial statements. ASC 740 prescribes a recognition threshold and measurement attribute for the financial statement recognition and measurement of a tax position taken, or expected to be taken, in a tax return. There were no material uncertain tax positions as of December 31, 2017 and 2016.
IRS990ScheduleD/SupplementalInformationDetail/FormAndLineReferenceDesc0Part X, Line 2:
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IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/PersonNm0Haffner PhD Randall L
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/PersonNm1Hauck MD Loran D
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/PersonNm2Snyder Esq Brent G
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/PersonNm3Weber Peter M
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/PersonNm4Kiley Dennis J
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TitleTxt0Trustee
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IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TitleTxt2Trustee
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TitleTxt3Chairman
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TitleTxt4Former President/CEO
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IRS990ScheduleJ/SeverancePaymentInd01
IRS990ScheduleJ/SupplementalInformationDetail/ExplanationTxt0The individual who serves as the CEO of the filing organization is compensated by Adventist Health System Sunbelt Healthcare Corporation (AHSSHC) for that individual's role in serving as the CEO. 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 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 of the community, 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. 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 AHS and each of its affiliated entities. The following principles guide the establishment of individual executive compensation: - The salary of the President/CEO of AHS will not exceed the 40th 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.
IRS990ScheduleJ/SupplementalInformationDetail/ExplanationTxt1During the year ending December 31, 2017, Dennis Kiley received severance payments in the amount of $203,624. Pursuant to the AHSSHC Corporate Executive Policy governing executive severance, severance agreements for executives operating at the Vice President level and above are entered into upon eligibility to facilitate the transition to subsequent employment following an involuntary separation from employment with AHS. 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 a healthcare system known as Adventist Health System (AHS). In recognition of the contribution that each executive makes to the success of AHS, AHS provides to eligible executives participation in the AHS Executive FLEX Benefit Program (the Plan). The purpose of the Plan is to offer eligible executives an opportunity to elect 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. The Plan provides eligible participants a pre-determined benefits allowance credit that is equal to a percentage of the executive's base pay from which is deducted the cost of mandatory and elective employee benefits. The pre-determined benefits allowance credit percentage is approved by the AHSSHC Board Compensation Committee, an independent committee of the Board of Directors of AHSSHC. Any funds that remain after the cost of mandatory and elective benefits are subtracted from the annual pre-determined benefits allowance are contributed, at the employee's option, 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 documents define an employee who is eligible to participate in the Plan to generally include the Chief Executive Officers of AHS entities and Vice Presidents of all AHS entities whose base salary is at least $243,000. 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 is forfeited by the executive upon a voluntary separation. In addition to the Plan, AHS has instituted a defined benefit, non-tax-qualified deferred compensation plan for certain executives who have provided lengthy service to AHS and/or to other Seventh-day Adventist Church hospitals or health care institutions. Participation in the plan is offered to AHS executives on a prorata schedule beginning with 20 years of service as an employee of AHS and/or another hospital or health care institution controlled by the Seventh-day Adventist Church and who satisfy certain other qualifying criteria. This supplemental executive retirement plan (SERP) 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 AHS 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 the SERP and by the individual's year of entry to the AHS Execu
IRS990ScheduleJ/SupplementalInformationDetail/FormAndLineReferenceDesc0Part I, Line 3
IRS990ScheduleJ/SupplementalInformationDetail/FormAndLineReferenceDesc1Part I, Lines 4a-b
IRS990ScheduleJ/SupplementalNonqualRtrPlanInd01
IRS990/ScheduleORequiredInd01
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt0On October 31, 2014, Emory Adventist, Inc. (the Taxpayer) discontinued the operation of a licensed hospital. On or about the time that hospital operations were discontinued, the Taxpayer relinquished its license to operate a hospital in accordance with Georgia law. Therefore, the Taxpayer no longer operates a hospital facility.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt1Dane C. Peterson and Karina Belifante, MD - Business Relationship Dane C. Peterson and Ronnie Jowers - Business Relationship
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt2Emory-Adventist, Inc. (the filing organization) has two members. The members of the filing organization are Adventist Health System/Sunbelt, Inc. (AHSSI) and Emory Healthcare, Inc. (EHI). Both AHSSI and EHI are not-for-profit corporations that are exempt from federal income tax under Internal Revenue Code (IRC) Section 501(c)(3). There are no other classes of membership in the filing organization.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt3The Board of Trustees of the filing organization are appointed by AHSSI and EHI, who have the right to elect, appoint or remove any member of the Board of Trustees of the filing organization.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt4The filing organization's current year Form 990 was reviewed by the Board Chairman and the CFO, responsible to oversee the wind down of this entity, prior to its filing with the IRS. The review conducted by the Board Chairman and the responsible CFO did not include the review of any supporting workpapers that were used in preparation of the current year Form 990, but did include a review of the entire Form 990 and all supporting schedules.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt5The Conflict of Interest Policy of the filing organization applies to members of its Board of Trustees and its principal officers (to be known as Interested Persons). In connection with any actual or possible conflicts of interest, any member of the Board of Trustees of the filing organization or any principal officer of the filing organization (i.e. Interested Persons) must disclose the existence of any financial interest with the filing organization and must be given the opportunity to disclose all material facts concerning the financial interest/arrangement to the Board of Trustees of the filing organization or to any members of a committee with board delegated powers that is considering the proposed transaction or arrangement. Subsequent to any disclosure of any financial interest/arrangement and all material facts, and after any discussion with the relevant Board member or principal officer, the remaining members of the Board of Trustees or committee with board delegated powers shall discuss, analyze, and vote upon the potential financial interest/arrangement to determine if a conflict of interest exists. According to the filing organization's Conflict of Interest Policy, an Interested Person may make a presentation to the Board of Trustees (or committee with board delegated powers), but after such presentation, shall leave the meeting during the discussion of, and the vote on, the transaction or arrangement that results in a conflict of interest. Each Interested Person, as defined under the filing organization's Conflict of Interest Policy, shall annually sign a statement which affirms that such person has received a copy of the Conflict of Interests policy, has read and understands the policy, has agreed to comply with the policy, and understands that the filing organization is a charitable organization that must primarily engage in activities which accomplish one or more of its exempt purposes. the filing organization's Conflict of Interest Policy also requires that periodic reviews shall be conducted to ensure that the filing organization operates in a manner consistent with its charitable purposes.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt6The filing organization's CEO, other officers and key employees are not compensated by the filing organization. Such individuals are compensated by the related top-tier parent organization of the filing organization. Please see the discussion concerning the process followed by the related top-tier parent organization in determining executive compensation in our response to Schedule J, Line 3.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt7The filing organization is a part of the system of healthcare organizations known as Adventist Health System (AHS). The audited consolidated financial statements of AHS and of the AHS "Obligated Group" are filed annually with the Municipal Securities Rulemaking Board (MSRB). The "Obligated Group" is a group of AHSSHC subsidiaries that are jointly and severally liable under a Master Trust Indenture that secures debt primarily issued on a tax-exempt basis. Unaudited quarterly financial statements prepared in accordance with Generally Accepted Accounting Principles (GAAP) are also filed with MSRB for AHS on a consolidated basis and for the grouping of AHS subsidiaries comprising the "Obligated Group". The filing organization does not generally make its governing documents or conflict of interest policy available to the public.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt8For those Board of Director members who devote less than full-time to the filing organization (based upon the average number of hours per week shown in column (B) on page 7 of the return) the compensation amounts shown in columns (E) and (F) on page 7 were provided in conjunction with that person's responsibilities and roles in serving in an executive leadership position within Adventist Health System.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt9The amounts shown in Part VIII, Lines 7a and 7c of the Form 990 represents an allocated share of capital gain/(loss) from a system wide, corporate administered, investment program.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt10Rounding -3.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt11The amounts shown on line 2 of Part X of this return include the filing organization's interest in a central investment pool maintained by Adventist Health System Sunbelt Healthcare Corporation, the filing organization's top-tier parent. The investments in the central investment pool are recorded at market value.
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc0Part IV, Line 20a
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc1Form 990, Part VI, Section A, line 2
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc2Form 990, Part VI, Section A, line 6
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc3Form 990, Part VI, Section A, line 7a
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc4Form 990, Part VI, Section B, line 11b
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc5Form 990, Part VI, Section B, line 12c
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc6Form 990, Part VI, Section B, line 15
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc7Form 990, Part VI, Section C, line 19
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc8Part VII, Section A
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc9Part VIII, Lines 7a and 7c:
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc10Form 990, Part XI, line 9:
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc11Part X, Line 2
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IRS990ScheduleR/AssetSaleToOtherOrgInd00
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