SHAWNEE MISSION MEDICAL CENTER INC: Form 990, tax year 2022
View the entire original 990 at ProPublica ↗
- Organization
- SHAWNEE MISSION MEDICAL CENTER INC (EIN 48-0637331)
- Tax period
- 2022-01-01 to 2022-12-31
- Filed
- 2023-11-15
- IRS object ID
- 202343199349314054
- Schema version
- 2022v5.0
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule H
- Schedule I
- Schedule J
- Schedule L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2023-11-15T13:02:44-06:00 | ReturnTs |
| Tax Period End | 2022-12-31 | TaxPeriodEndDt |
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2022-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 480637331 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SHAWNEE MISSION MEDICAL CENTER INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | SHAW | BusinessNameControlTxt |
| Phone | 9136762000 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 9100 W 74TH STREET | AddressLine1Txt |
| City | SHAWNEE MISSION | CityNm |
| State Abbreviation | KS | StateAbbreviationCd |
| ZIP | 66204 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | LYNN C ADDISCOTT | PersonNm |
| Person Title | ASSISTANT SECRETARY | PersonTitleTxt |
| Phone | 9136762152 | PhoneNum |
| Signature | 2023-10-24 | SignatureDt |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | LYNN | PersonFirstNm |
| Person Last | ADDISCOTT | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 999009999 | SSN |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IRS Responsible Prty Info Curr | 0 | IRSResponsiblePrtyInfoCurrInd |
Additional Filer Information AdditionalFilerInformation
Trusted Customer TrustedCustomerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trusted Customer | 2 | TrustedCustomerCd |
| Authentication Assurance Level | AAL1 | AuthenticationAssuranceLevelCd |
| Identity Assurance Level | IAL1 | IdentityAssuranceLevelCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2022 | TaxYr |
| Build TS | 2023-04-26 12:10:37Z | BuildTS |
Form 990 IRS990
Doing Business As Name DoingBusinessAsName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ADVENTHEALTH SHAWNEE MISSION | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | SAM HUENERGARDT | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 9100 W 74TH STREET | AddressLine1Txt |
| City | SHAWNEE MISSION | CityNm |
| State Abbreviation | KS | StateAbbreviationCd |
| ZIP | 66204 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $604,714,344 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Group Exemption | 1071 | GroupExemptionNum |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | ADVENTHEALTH.COM/HOSPITAL/ADVENTHEALTH-SHAWNEE | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1956 | FormationYr |
| Legal Domicile State | KS | LegalDomicileStateCd |
| Activity Or Mission | THE PROVISION OF MEDICAL CARE TO THE COMMUNITY THROUGH THE OPERATION OF A 504 BED HOSPITAL. | ActivityOrMissionDesc |
| Voting Members Governing Body | 18 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 11 | VotingMembersIndependentCnt |
| Total Employee | 5091 | TotalEmployeeCnt |
| Total Volunteers | 381 | TotalVolunteersCnt |
| Total Gross UBI | $2,266,217 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $8,759,814 | PYContributionsGrantsAmt |
| CY Contributions Grants | $3,559,428 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $606,856,839 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $589,917,639 | CYProgramServiceRevenueAmt |
| PY Investment Income | $20,977,058 | PYInvestmentIncomeAmt |
| CY Investment Income | $4,592,440 | CYInvestmentIncomeAmt |
| PY Other Revenue | $302,402 | PYOtherRevenueAmt |
| CY Other Revenue | $344,119 | CYOtherRevenueAmt |
| PY Total Revenue | $636,896,113 | PYTotalRevenueAmt |
| CY Total Revenue | $598,413,626 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $1,814,045 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $2,045,235 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $270,212,743 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $270,473,159 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $280,977,270 | PYOtherExpensesAmt |
| CY Other Expenses | $285,841,428 | CYOtherExpensesAmt |
| PY Total Expenses | $553,004,058 | PYTotalExpensesAmt |
| CY Total Expenses | $558,359,822 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $83,892,055 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $40,053,804 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $966,283,657 | TotalAssetsBOYAmt |
| Total Assets EOY | $881,840,032 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $321,272,219 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $271,568,283 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $645,011,438 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $610,271,749 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| 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. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $520,061,400 | ExpenseAmt |
| Grant | $2,045,235 | GrantAmt |
| Revenue | $587,651,422 | RevenueAmt |
| Desc | OPERATION OF A 504-BED ACUTE CARE HOSPITAL. THERE WERE 16,914 PATIENT ADMISSIONS, 72,831 PATIENT DAYS, 288,413 OUTPATIENT VISITS, AND 424,421 PHYSICIAN PRACTICE PATIENT VISITS IN THE CURRENT YEAR. | Desc |
| Total Program Service Expenses | $520,061,400 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (1) | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | 0 | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | Yes (1) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (1) | AuditedFinancialStmtAttInd |
| Grants To Organizations | Yes (1) | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | Yes (1) | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | Yes (1) | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | 0 | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | Yes (1) | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (1) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (1) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| Info In Schedule O Part V | Yes (X) | InfoInScheduleOPartVInd |
| IRP Document | 0 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 5091 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | Yes (1) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (1) | Form990TFiledInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 18 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 11 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (1) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (1) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | 0 | CompensationProcessCEOInd |
| Compensation Process Other | 0 | CompensationProcessOtherInd |
| Investment In Joint Venture | Yes (1) | InvestmentInJointVentureInd |
| Written Policy Or Procedure | Yes (1) | WrittenPolicyOrProcedureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MAIRILISE POTHIN OWEN | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 9136762153 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 9100 W 74TH STREET | AddressLine1Txt |
| City | SHAWNEE MISSION | CityNm |
| State Abbreviation | KS | StateAbbreviationCd |
| ZIP | 66204 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | Yes (X) | InfoInScheduleOPartVIIInd |
Form990 Part VII Section A Form990PartVIISectionAGrp (30 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|---|
| BACON KEN | |||||||||
| CHAIRMAN/CEO AH MULTI-STATE DIV | 2.00 | 48.00 | Yes (X) | $0 | $1,621,638 | $290,272 | |||
| HUENERGARDT SAM | |||||||||
| REGION CEO/TRUSTEE | 42.00 | 8.00 | Yes (X) | $0 | $1,080,966 | $193,052 | Yes (X) | ||
| RANDOLPH KARSTEN | |||||||||
| TRUSTEE/CFO AH MULTI-STATE DIV | 1.00 | 50.00 | Yes (X) | $0 | $838,897 | $172,435 | |||
| KELLEY MD GORDON | |||||||||
| TRUSTEE | 50.00 | 0.00 | Yes (X) | $348,965 | $0 | $34,921 | |||
| WITTEK MD REAGAN | |||||||||
| TRUSTEE | 5.00 | 0.00 | Yes (X) | $31,775 | $0 | $0 | |||
| CAUGHRON MD SAMUEL | |||||||||
| TRUSTEE (BEG 6/22) | 1.92 | 0.00 | Yes (X) | $16,025 | $0 | $0 | |||
| THURBER GARY | |||||||||
| TRUSTEE | 1.00 | 2.00 | Yes (X) | $495 | $5,568 | $0 | |||
| VANDEVERE DAVID | |||||||||
| TRUSTEE | 2.00 | 1.00 | Yes (X) | $525 | $5,363 | $0 | |||
| CARLSON RONALD | |||||||||
| TRUSTEE | 2.00 | 2.00 | Yes (X) | $495 | $5,213 | $0 | |||
| BERNARD ROGER | |||||||||
| TRUSTEE | 1.00 | 2.00 | Yes (X) | $495 | $5,213 | $0 | |||
| CORIDAN T DEAN | |||||||||
| TRUSTEE | 1.00 | 1.00 | Yes (X) | $495 | $4,593 | $0 | |||
| PISHNY LYLE | |||||||||
| TRUSTEE | 1.00 | 1.00 | Yes (X) | $495 | $525 | $0 | |||
| MARSHALL-CHURA PHD PENNY | |||||||||
| TRUSTEE | 1.00 | 0.00 | Yes (X) | $525 | $0 | $0 | |||
| CUSICK BARBARA | |||||||||
| TRUSTEE | 1.00 | 0.20 | Yes (X) | $525 | $0 | $0 | |||
| WILLIAMS STEPHEN R | |||||||||
| TRUSTEE (BEG 9/22) | 1.00 | 0.00 | Yes (X) | $525 | $0 | $0 | |||
| RODGERS TIMOTHY | |||||||||
| VICE CHAIRMAN | 1.00 | 0.20 | Yes (X) | $495 | $0 | $0 | |||
| MADDUX GREG | |||||||||
| TRUSTEE | 1.00 | 0.00 | Yes (X) | $495 | $0 | $0 | |||
| GAFNEY TODD | |||||||||
| TRUSTEE (BEG 1/22) | 1.00 | 0.20 | Yes (X) | $495 | $0 | $0 | |||
| JACKSON MD ROBERT | |||||||||
| TRUSTEE (END 8/22) | 1.00 | 3.00 | Yes (X) | $0 | $0 | $0 | |||
| KNECHT MICHAEL | |||||||||
| CEO | 45.00 | 5.00 | $0 | $713,957 | $145,562 | Yes (X) | |||
| HEINRICH BILL | |||||||||
| REGION CFO | 42.00 | 8.00 | $0 | $597,083 | $106,155 | Yes (X) | |||
| POTHIN OWEN MAIRILISE | |||||||||
| CFO | 50.00 | 0.00 | $0 | $387,840 | $107,336 | Yes (X) | |||
| HAYS MD LISA | |||||||||
| CMO | 45.00 | 5.00 | $0 | $468,352 | $123,461 | Yes (X) | |||
| FONTOURA DANIEL | |||||||||
| COO | 50.00 | 0.00 | $0 | $455,010 | $112,923 | Yes (X) | |||
| SHELTON RAIMONDA | |||||||||
| CNO (BEG 10/22) | 50.00 | 0.00 | $163,844 | $49,236 | $42,934 | Yes (X) | |||
| AL CHEKAKIEMD M OBADAH | |||||||||
| PHYSICIAN | 50.00 | 0.00 | $1,288,349 | $0 | $49,788 | Yes (X) | |||
| HABIB MD AMMAR | |||||||||
| PHYSICIAN | 50.00 | 0.00 | $1,074,615 | $0 | $48,714 | Yes (X) | |||
| BIRIA MD MAZDA | |||||||||
| PHYSICIAN | 50.00 | 0.00 | $894,086 | $0 | $45,246 | Yes (X) | |||
| WILT DO HEATH | |||||||||
| PHYSICIAN | 50.00 | 0.00 | $836,848 | $0 | $44,353 | Yes (X) | |||
| HERTZENBERG MD CASEY | |||||||||
| PHYSICIAN | 50.00 | 0.00 | $818,346 | $0 | $47,440 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $5,478,913 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $6,239,454 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $1,564,592 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 382 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| PT SOLUTIONS HOLDINGS LLC | |||||
| 1100 CIRCLE 7T PKWY 1400 | ATLANTA | GA | 30339 | THERAPY SERVICES | $8,455,350 |
| MCCARTHY BUILDING COMPANIES INC | |||||
| 2727 PACES FERRY RD SE 1600 | ATLANTA | GA | 30339 | CONSTRUCTION | $4,881,009 |
| HKS ARCHITECTS PC | |||||
| 225 E ROBINSON ST | ORLANDO | FL | 32801 | ARCHITECTURAL DESIGN | $4,082,014 |
| GE PRECISION HEALTHCARE LLC | |||||
| PO BOX 96483 | CHICAGO | IL | 60693 | TECHNOLOGY | $3,281,029 |
| WALZ TETRICK ADVERTISING | |||||
| 6299 NAIL AVE 300 | MISSION | KS | 66202 | ADVERTISING | $2,024,143 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 145 | CntrctRcvdGreaterThan100KCnt |
| Info In Schedule O Part VIII | Yes (X) | InfoInScheduleOPartVIIIInd |
| Related Organizations | $947,356 | RelatedOrganizationsAmt |
| Government Grants | $2,612,072 | GovernmentGrantsAmt |
| Total Contributions | $3,559,428 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (5 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt |
|---|---|---|---|---|
| NET PATIENT REVENUE | 622110 | $580,167,503 | $580,167,503 | |
| TIMESHARE/MOB | 622110 | $3,164,615 | $3,047,050 | $117,565 |
| CAFETERIA REVENUE | 622110 | $1,990,342 | $1,990,342 | |
| DAYCARE REVENUE | 622110 | $1,593,916 | $1,593,916 | |
| PHARMACY | 622110 | $1,020,049 | $149,947 | $870,102 |
Total Oth Program Service Rev TotalOthProgramServiceRevGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,981,214 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $702,664 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $1,278,550 | UnrelatedBusinessRevenueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $589,917,639 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $10,875,458 | TotalRevenueColumnAmt |
| Exclusion | $10,875,458 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $344,119 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $0 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $344,119 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $344,119 | TotalRevenueColumnAmt |
| Exclusion | $344,119 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $17,700 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $6,300,718 | SecuritiesAmt |
| Other | $0 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | -$6,300,718 | SecuritiesAmt |
| Other | $17,700 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$6,283,018 | TotalRevenueColumnAmt |
| Exclusion | -$6,283,018 | ExclusionAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $598,413,626 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $587,651,422 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $2,266,217 | UnrelatedBusinessRevenueAmt |
| Exclusion | $4,936,559 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,045,235 | TotalAmt |
| Program Services | $2,045,235 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,016,302 | TotalAmt |
| Program Services | $431,686 | ProgramServicesAmt |
| Management And General | $3,584,616 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $202,683,444 | TotalAmt |
| Program Services | $201,281,886 | ProgramServicesAmt |
| Management And General | $1,401,558 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,673,634 | TotalAmt |
| Program Services | $6,533,181 | ProgramServicesAmt |
| Management And General | $140,453 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $42,729,811 | TotalAmt |
| Program Services | $41,351,441 | ProgramServicesAmt |
| Management And General | $1,378,370 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $14,369,968 | TotalAmt |
| Program Services | $14,067,538 | ProgramServicesAmt |
| Management And General | $302,430 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $452,267 | TotalAmt |
| Management And General | $452,267 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $87,340 | TotalAmt |
| Management And General | $87,340 | ManagementAndGeneralAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,078,533 | TotalAmt |
| Management And General | $1,078,533 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $64,040,580 | TotalAmt |
| Program Services | $50,932,886 | ProgramServicesAmt |
| Management And General | $13,107,694 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,258,545 | TotalAmt |
| Management And General | $5,258,545 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,785,911 | TotalAmt |
| Program Services | $5,555,006 | ProgramServicesAmt |
| Management And General | $3,230,905 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $32,375,951 | TotalAmt |
| Program Services | $30,831,974 | ProgramServicesAmt |
| Management And General | $1,543,977 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $16,247,668 | TotalAmt |
| Program Services | $16,247,668 | ProgramServicesAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $959,792 | TotalAmt |
| Program Services | $409,868 | ProgramServicesAmt |
| Management And General | $549,924 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $349,665 | TotalAmt |
| Management And General | $349,665 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,253,418 | TotalAmt |
| Program Services | $5,253,418 | ProgramServicesAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $30,082,928 | TotalAmt |
| Program Services | $30,082,928 | ProgramServicesAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,702,354 | TotalAmt |
| Program Services | $14,121 | ProgramServicesAmt |
| Management And General | $4,688,233 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (2 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt |
|---|---|---|
| MEDICAL SUPPLIES | $104,665,734 | $104,665,734 |
| REPAIRS & MAINTENANCE | $10,527,218 | $10,527,218 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $973,524 | TotalAmt |
| Program Services | -$170,388 | ProgramServicesAmt |
| Management And General | $1,143,912 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $558,359,822 | TotalAmt |
| Program Services | $520,061,400 | ProgramServicesAmt |
| Management And General | $38,298,422 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part X | Yes (X) | InfoInScheduleOPartXInd |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,999 | BOYAmt |
| EOY | $6,650 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $408,001,997 | BOYAmt |
| EOY | $318,987,646 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $84,134,826 | BOYAmt |
| EOY | $82,909,284 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $109,066 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,287,914 | BOYAmt |
| EOY | $11,221,365 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $29,396,639 | BOYAmt |
| EOY | $33,695,097 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $770,997,692 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $373,741,368 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $384,018,677 | BOYAmt |
| EOY | $397,256,324 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,893,129 | BOYAmt |
| EOY | $7,568,847 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,397,253 | BOYAmt |
| EOY | $3,607,209 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $37,146,223 | BOYAmt |
| EOY | $26,478,544 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $966,283,657 | BOYAmt |
| EOY | $881,840,032 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $42,717,093 | BOYAmt |
| EOY | $40,198,115 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $197,955 | BOYAmt |
| EOY | $174,039 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $278,357,171 | BOYAmt |
| EOY | $231,196,129 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $321,272,219 | BOYAmt |
| EOY | $271,568,283 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $645,011,438 | BOYAmt |
| EOY | $610,271,749 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $645,011,438 | BOYAmt |
| EOY | $610,271,749 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $966,283,657 | BOYAmt |
| EOY | $881,840,032 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $40,053,804 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | -$58,188,478 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | -$16,605,015 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | Yes (1) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (1) | FederalGrantAuditPerformedInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | VolunteersInd |
| Paid Staff Or Management | 0 | PaidStaffOrManagementInd |
| Media Advertisements | 0 | MediaAdvertisementsInd |
| Mailings Members | 0 | MailingsMembersInd |
| Publications Or Broadcast | 0 | PublicationsOrBroadcastInd |
| Grants Other Organizations | 0 | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | 0 | DirectContactLegislatorsInd |
| Rallies Demonstrations | 0 | RalliesDemonstrationsInd |
| Other Activities | Yes (1) | OtherActivitiesInd |
| Other Activities | $18,630 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $18,630 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | 0 | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART II-B, LINE 1: | FormAndLineReferenceDesc |
| Explanation | DUES WERE PAID TO THE AMERICAN HOSPITAL ASSOCIATION AND KANSAS HOSPITAL ASSOCIATION. | ExplanationTxt |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $45,797,519 | OtherCostOrOtherBasisAmt |
| Book Value | $45,797,519 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $428,756,099 | OtherCostOrOtherBasisAmt |
| Depreciation | $188,376,541 | DepreciationAmt |
| Book Value | $240,379,558 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $237,258,634 | OtherCostOrOtherBasisAmt |
| Depreciation | $172,394,962 | DepreciationAmt |
| Book Value | $64,863,672 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $59,185,440 | OtherCostOrOtherBasisAmt |
| Depreciation | $12,969,865 | DepreciationAmt |
| Book Value | $46,215,575 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $397,256,324 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (7 entries)
| DescDesc | AmtAmt |
|---|---|
| DUE TO RELATED | $11,909,270 |
| PAYABLE TO THIRD PARTIES | $3,226,321 |
| CREDIT BALANCES IN A/R | $2,456,911 |
| ACCRUED INTEREST PAYABLE | $37,476 |
| INTERCO ALLOC OF TE BOND PROCEEDS | $191,338,610 |
| OPERATING LEASE LIABILITY | $21,653,901 |
| OTHER LIABILITIES | $573,640 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $231,196,129 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART X, LINE 2: | FormAndLineReferenceDesc |
| Explanation | THE FILING ORGANIZATION IS A SUBSIDIARY ORGANIZATION WITHIN ADVENTHEALTH. THE CONSOLIDATED FINANCIAL STATEMENTS OF ADVENTHEALTH 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, 2022 AND 2021. NAHS ALSO HAS TEMPORARY DEDUCTIBLE DIFFERENCES OF APPROXIMATELY $18,200 AND $33,000 AT DECEMBER 31, 2022 AND 2021, RESPECTIVELY, PRIMARILY AS A RESULT OF NET OPERATING LOSS CARRYFORWARDS. AT DECEMBER 31, 2022, NAHS HAD NET OPERATING LOSS CARRYFORWARDS OF APPROXIMATELY $10,000, EXPIRING IN 2023 THROUGH 2026. DEFERRED TAXES HAVE BEEN PROVIDED FOR THESE AMOUNTS, RESULTING IN A NET DEFERRED TAX ASSET OF APPROXIMATELY $4,500 AND $8,100 AT DECEMBER 31, 2022 AND 2021, RESPECTIVELY. 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%. A FULL VALUATION ALLOWANCE HAS BEEN PROVIDED AT DECEMBER 31, 2022 AND 2021 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. THE INCOME TAXES TOPIC OF THE ACCOUNTING STANDARDS CODIFICATION (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, 2022 AND 2021. | ExplanationTxt |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (1) | FinancialAssistancePolicyInd |
| Written Policy | Yes (1) | WrittenPolicyInd |
| All Hospitals Policy | Yes (X) | AllHospitalsPolicyInd |
| FPG Reference Free Care | Yes (1) | FPGReferenceFreeCareInd |
| Percent200 | Yes (X) | Percent200Ind |
| FPG Reference Discounted Care | Yes (1) | FPGReferenceDiscountedCareInd |
| Percent400 | Yes (X) | Percent400Ind |
| Free Care Medically Indigent | Yes (1) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (1) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | 0 | ExpensesExceedBudgetInd |
| Annual Community Bnft Report | Yes (1) | AnnualCommunityBnftReportInd |
| Report Publically Available | 0 | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $14,349,079 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $14,349,079 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02570 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $34,819,307 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $22,575,907 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $12,243,400 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02190 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $49,168,386 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $22,575,907 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $26,592,479 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.04760 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,389,845 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $1,389,845 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00250 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,389,845 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $1,389,845 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00250 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $50,558,231 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $22,575,907 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $27,982,324 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.05010 | TotalExpensePct |
Economic Development EconomicDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $75,282 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $75,282 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00010 | TotalExpensePct |
Community Support CommunitySupportGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $32,080 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $32,080 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00010 | TotalExpensePct |
Health Improvement Advocacy HealthImprovementAdvocacyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $66,653 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $66,653 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00010 | TotalExpensePct |
Other Communtity Building Acty OtherCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $723,340 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $723,340 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00130 | TotalExpensePct |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $897,355 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $897,355 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00160 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (1) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $27,753,596 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $3,669,145 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $89,260,975 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $94,654,330 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$5,393,355 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | Yes (X) | CostToChargeRatioInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (1) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (1) | FinancialAssistancePrvsnInd |
Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp (2 entries)
| Primary ActivitiesPrimaryActivitiesTxt | Org Profit Or OwnershipOrgProfitOrOwnershipPct | Ofcr Etc Profit Or OwnershipOfcrEtcProfitOrOwnershipPct | Physicians Profit Or OwnershipPhysiciansProfitOrOwnershipPct |
|---|---|---|---|
| 1 SHAWNEE MISSION PRAIRIE STAR SURGERY CENTER LLC | |||
| AMBULATORY SURGERY SERVICES | 0.50000 | 0.00000 | 0.50000 |
| 2 SHAWNEE MISSION SURGERY CENTER LLC | |||
| AMBULATORY SURGERY SERVICES | 0.50000 | 0.00000 | 0.50000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ADVENTHEALTH SHAWNEE MISSION | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 9100 W 74TH STREET | AddressLine1Txt |
| City | SHAWNEE MISSION | CityNm |
| State Abbreviation | KS | StateAbbreviationCd |
| ZIP | 66204 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | WWW.ADVENTHEALTH.COM/HOSPITAL/ADVENTHE | WebsiteAddressTxt |
| State License | H-046-004 | StateLicenseNum |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Teaching Hospital | Yes (X) | TeachingHospitalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ADVENTHEALTH SHAWNEE MISSION | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| First Licensed CY Or PY | 0 | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | 0 | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (1) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| Prior CHNA Impact | Yes (X) | PriorCHNAImpactInd |
| CHNA Conducted | 22 | CHNAConductedYr |
| Take Into Account Others Input | Yes (1) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | 0 | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | 0 | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (1) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | SEE PART V, PAGE 8 | OwnWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Rpt Available Thru Other Method | Yes (X) | RptAvailableThruOtherMethodInd |
| Implementation Strategy Adopt | Yes (1) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 20 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (1) | StrategyPostedWebsiteInd |
| Strategy Website URL | SEE PART V, PAGE 8 | StrategyWebsiteURLTxt |
| Organization Incur Excise Tax | 0 | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (1) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 200.000000000000 | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 400.000000000000 | FPGFamilyIncmLmtDscntCarePct |
| Asset Level Criteria | Yes (X) | AssetLevelCriteriaInd |
| Medical Indigency Criteria | Yes (X) | MedicalIndigencyCriteriaInd |
| Insurance Status Criteria | Yes (X) | InsuranceStatusCriteriaInd |
| Underinsurance Stat Criteria | Yes (X) | UnderinsuranceStatCriteriaInd |
| Other Criteria | Yes (X) | OtherCriteriaInd |
| Explained Basis | Yes (1) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (1) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Provided Nonprofit Contact | Yes (X) | ProvidedNonprofitContactInd |
| Includes Publicity Measures | Yes (1) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | SEE PART V, PAGE 8 | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | SEE PART V, PAGE 8 | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | SEE PART V, PAGE 8 | FAPSummaryOnWebsiteURLTxt |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| FAP Sum Avlbl On Request No Chrg | Yes (X) | FAPSumAvlblOnRequestNoChrgInd |
| Notified FAP Copy Bill Display | Yes (X) | NotifiedFAPCopyBillDisplayInd |
| Communtity Notified FAP | Yes (X) | CommuntityNotifiedFAPInd |
| FAP Translated | Yes (X) | FAPTranslatedInd |
| FAP Actions On Nonpayment | Yes (1) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | 0 | CollectionActivitiesInd |
| Provided Written Notice | Yes (X) | ProvidedWrittenNoticeInd |
| Made Effort Orally Notify | Yes (X) | MadeEffortOrallyNotifyInd |
| Processed FAP Application | Yes (X) | ProcessedFAPApplicationInd |
| Made Presumptive Elig Determ | Yes (X) | MadePresumptiveEligDetermInd |
| Nondis Emergency Care Policy | Yes (1) | NondisEmergencyCarePolicyInd |
| Look Back Medicare Private | Yes (X) | LookBackMedicarePrivateInd |
| Amounts Generally Billed | 0 | AmountsGenerallyBilledInd |
| Gross Charges | 0 | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (10 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| ADVENTHEALTH SHAWNEE MISSION | PART V, SECTION B, LINE 5: SHAWNEE MISSION MEDICAL CENTER., D/B/A ADVENTHEALTH SHAWNEE MISSION (AHSM OR THE HOSPITAL), DEFINES ITS COMMUNITY AS 34 ZIP CODES ENCOMPASSING PARTS OF THREE COUNTIES: JOHNSON, WYANDOTTE, AND LEAVENWORTH. IN CONDUCTING ITS 2022 COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA), AHSM COLLECTED INPUT FROM ORGANIZATIONS AND INDIVIDUALS THAT REPRESENTED THE BROAD INTERESTS OF THE COMMUNITY, WITH SPECIFIC REPRESENTATION FROM THOSE ORGANIZATIONS THAT REPRESENT THE INTERESTS OF THE MEDICALLY UNDERSERVED AND LOW-INCOME POPULATIONS IN THE HOSPITAL'S COMMUNITY. IN ORDER TO ENSURE BROAD COMMUNITY INPUT, AHSM PARTNERED WITH LOCAL COMMUNITY ORGANIZATIONS AND STAKEHOLDERS, INCLUDING THOSE IN PUBLIC HEALTH AND THOSE WHO REPRESENT THE INTERESTS OF MEDICALLY UNDERSERVED, LOW-INCOME AND MINORITY COMMUNITY MEMBERS, TO FORM A COMMUNITY HEALTH NEEDS ASSESSMENT COMMITTEE (CHNAC) TO GUIDE THE ASSESSMENT PROCESS INCLUDING THE FOLLOWING ORGANIZATIONS THAT FOCUS ON THESE INTERESTS.UNITED COMMUNITY SERVICES OF JOHNSON COUNTYUNIFIED GOVERNMENT OF WYANDOTTE COUNTY AND KANSAS CITY, KANSASCITY OF SHAWNEETRAILRIDGE MIDDLE SCHOOL PTACHURCH OF THE RESURRECTIONCOMMUNITY HEALTH COUNCIL OF WYANDOTTE COUNTY (CRADLE KC AND EVERY BABY TO 1)HEALTH PARTNERSHIPS CLINICS (FQHC)EL CENTROMERCY & TRUTH MEDICAL MISSIONS (SAFETY NET CLINICS)DOUBLE UP FOOD BUCKSJOHNSON COUNTY DEPARTMENT OF HEALTH AND ENVIRONMENTSHAWNEE MISSION SCHOOL DISTRICTJOHNSON COUNTY COMMISSION ON AGINGJEWISH FAMILY SERVICES OF KANSAS CITYADDITIONALLY, THE HOSPITAL COLLECTED INPUT DIRECTLY FROM THE COMMUNITY AND FROM STAKEHOLDERS THROUGH COMMUNITY HEALTH AND STAKEHOLDER SURVEYS. |
| ADVENTHEALTH SHAWNEE MISSION | PART V, SECTION B, LINE 7D: THE HOSPITAL HAS ADOPTED A POLICY THAT ADDRESSES THE PUBLIC POSTING REQUIREMENTS OF THE COMMUNITY HEALTH NEEDS ASSESSMENT. UNDER THIS POLICY, THE COMMUNITY HEALTH NEEDS ASSESSMENT REPORTS MUST BE POSTED ON THE HOSPITAL'S WEBSITE AT LEAST UNTIL THE DATE THE HOSPITAL FACILITY HAS MADE WIDELY AVAILABLE ON ITS WEBSITE ITS TWO SUBSEQUENT COMMUNITY HEALTH NEEDS ASSESSMENT REPORTS. THE HOSPITAL WILL ALSO MAKE A PAPER COPY OF ITS COMMUNITY HEALTH NEEDS ASSESSMENT REPORT AVAILABLE FOR PUBLIC INSPECTION UPON REQUEST AND WITHOUT CHARGE, AT LEAST UNTIL THE DATE THE HOSPITAL FACILITY HAS MADE AVAILABLE FOR PUBLIC INSPECTION ITS TWO SUBSEQUENT COMMUNITY HEALTH NEEDS ASSESSMENT REPORTS. |
| ADVENTHEALTH SHAWNEE MISSION | PART V, SECTION B, LINE 11: SHAWNEE MISSION MEDICAL CENTER, INC. D/B/A ADVENTHEALTH SHAWNEE MISSION WILL BE REFERRED TO IN THIS DOCUMENT AS ADVENTHEALTH SHAWNEE MISSION OR "THE HOSPITAL". THE HOSPITAL IS A WHOLLY OWNED SUBSIDIARY OF ADVENTIST HEALTH SYSTEM SUNBELT HEALTHCARE CORPORATION (AHSSHC). AHSSHC IS THE 501(C)(3) PARENT ORGANIZATION OF A HOSPITAL AND HEALTHCARE SYSTEM KNOWN AS ADVENTHEALTH. IN JANUARY 2019, EVERY WHOLLY OWNED ENTITY OF AHSSHC ADOPTED THE ADVENTHEALTH SYSTEM BRAND. OUR IDENTITY HAS BEEN UNIFIED TO REPRESENT THE FULL CONTINUUM OF CARE OUR SYSTEM OFFERS. ANY REFERENCES TO OUR PRIOR COMMUNITY HEALTH NEEDS ASSESSMENTS (CHNAS) OR PRIOR COMMUNITY HEALTH PLANS (CHPS) WILL UTILIZE OUR NEW NAME FOR CONSISTENCY. ADVENTHEALTH SHAWNEE MISSION IS PART OF THE MULTI-STATE DIVISION OF ADVENTHEALTH. THE DIVISION INCLUDES 22 HOSPITAL FACILITIES. THIS IS THE THIRD-YEAR UPDATE FOR ADVENTHEALTH SHAWNEE MISSION'S 2020-2022 COMMUNITY HEALTH PLAN/IMPLEMENTATION STRATEGY. THE HOSPITAL DEVELOPED THIS PLAN AND POSTED IT IN MAY 2020 AS PART OF ITS 2019 COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS. FOR THE DEVELOPMENT OF BOTH THE COMMUNITY HEALTH NEEDS ASSESSMENT AND THE COMMUNITY HEALTH PLAN/IMPLEMENTATION STRATEGY, ADVENTHEALTH SHAWNEE MISSION WORKED TO DEFINE AND ADDRESS THE NEEDS OF LOW-INCOME, MINORITY AND UNDERSERVED POPULATIONS IN ITS SERVICE AREA. THE 2019 COMMUNITY HEALTH NEEDS ASSESSMENT USED PRIMARY DATA INTERVIEWS AND SURVEYS; SECONDARY DATA FROM LOCAL, REGIONAL AND NATIONAL HEALTH-RELATED SOURCES; AND HOSPITAL PREVALENCE DATA TO HELP THE HOSPITAL DETERMINE THE HEALTH NEEDS OF THE COMMUNITY IT SERVES. ONCE THE DATA WAS GATHERED, THE PRIMARY ISSUES IDENTIFIED IN THE COMMUNITY HEALTH NEEDS ASSESSMENT WERE PRIORITIZED BY COMMUNITY AND HOSPITAL STAKEHOLDERS, WHO THEN SELECTED KEY ISSUES FOR THE HOSPITAL TO ADDRESS IN ITS 2020-2022 COMMUNITY HEALTH PLAN. THE THIRD-YEAR PROGRESS ON THE COMMUNITY HEALTH PLAN IS NOTED BELOW. THE NARRATIVE DESCRIBES THE PRIORITIZED ISSUES IDENTIFIED IN 2019 AND GIVES AN UPDATE ON THE STRATEGIES ADDRESSING THOSE ISSUES. THERE IS ALSO A DESCRIPTION OF THE IDENTIFIED ISSUES THAT THE HOSPITAL DID NOT ADDRESS. ADVENTHEALTH SHAWNEE MISSION CHOSE FOUR PRIORITIES FOR ITS 2020-2022 COMMUNITY HEALTH PLAN: 1. LACK OF RESOURCES TO MEET COMMUNITY MENTAL AND BEHAVIORAL HEALTH2. RISING HEALTH CARE COSTS AND LACK OF HEALTH INSURANCE3. CHRONIC DISEASE HEALTH DISPARITIES IN COMMUNITIES OF COLOR 4. POOR PREGNANCY OUTCOMES IN WYANDOTTE COUNTYPRIORITY 1: LACK OF RESOURCES TO MEET COMMUNITY MENTAL AND BEHAVIORAL HEALTH 2019 DESCRIPTION OF THE ISSUE:ADVENTHEALTH SHAWNEE MISSION IS ONE OF THE FEW HOSPITALS IN THE KANSAS CITY METROPOLITAN AREA THAT PROVIDES INPATIENT AND OUTPATIENT MENTAL AND BEHAVIORAL SERVICES. COLLABORATION WITH COMMUNITY PARTNERS WILL BE VITAL TO THE SUCCESS OF ADDRESSING THIS ISSUE. ADVENTHEALTH SHAWNEE MISSION'S HOUSEHOLD COMMUNITY CONCERN SURVEY RESPONSES INDICATED A HIGH IMPORTANCE AND LOW SATISFACTION ON MENTAL HEALTH. IN ADDITION, JOHNSON COUNTY HOUSEHOLD AND SOCIAL MEDIA COMMUNITY CONCERNS SURVEY RESULTS IDENTIFIED MENTAL HEALTH HIGH IN IMPORTANCE AND LOW IN SATISFACTION.KANSAS DEPARTMENT OF HEALTH AND ENVIRONMENT DATA ACCESSED THROUGH KANSAS HEALTH MATTERS (2015-2017) REPORTS THAT 8.6% OF RESIDENTS IN JOHNSON COUNTY AND 13.4% OF RESIDENTS IN WYANDOTTE COUNTY INDICATED THAT MENTAL HEALTH WAS NOT GOOD" ON 14+ DAYS IN THE PAST MONTH. SUICIDE MORTALITY RATES IN JOHNSON COUNTY AND WYANDOTTE COUNTY ARE HIGHER THAN THE HEALTHY PEOPLE 2020 GOAL OF 10.2 SUICIDE MORTALITIES PER 100,000. IN JOHNSON COUNTY, SUICIDE RATES CONTINUE TO SIGNIFICANTLY INCREASE IN EVERY AGE RANGE WITH SUICIDES FOR AGES 15-24 AT 19.7 PER 100,000 AND 23 PER 100,000 IN AGES 45-64 IN 2017. 2022 UPDATE: THE ADVENTHEALTH SHAWNEE MISSION COMMUNITY HEALTH PLAN HAS TWO DESIRED GOAL STATEMENTS UNDER THE LACK OF RESOURCES TO MEET COMMUNITY MENTAL AND BEHAVIORAL HEALTH PRIORITY. 1. REDUCE OVERDOSES AND DEATHS FROM PRESCRIPTION PAIN AND OPIOIDS 2. REDUCE NUMBER OF SUICIDE ATTEMPTS AND DEATHS IN JOHNSON COUNTY GOAL 1: REDUCE OVERDOSES AND DEATHS FROM PRESCRIPTION PAIN AND OPIOIDS OBJECTIVE 1: THE FIRST OBJECTIVE IS TO INCREASE REFERRALS TO THE HEALTH PARTNERSHIP CLINIC'S NEW MEDICAL ASSISTANCE TREATMENT FOR OPIOID DEPENDENCY/SUBSTANCE ABUSE PROGRAM. A BASELINE FOR REFERRALS WILL BE ESTABLISHED AFTER YEAR ONE WITH AN INCREASE OF 10% PER YEAR FOR YEARS TWO AND THREE. THE INITIATIVE IS DEPLOYED THROUGH ADVENTHEALTH SHAWNEE MISSION AND ALL OUTCOMES ARE SPECIFIC TO THE REPORTING HOSPITAL. HEALTH PARTNERSHIP CLINIC IS A FEDERALLY QUALIFIED HEALTH CENTER THAT PROVIDES COMPREHENSIVE TREATMENT FOR COMMUNITY MEMBERS STRUGGLING WITH OPIOID DEPENDENCY. IN YEAR ONE, THE HOSPITAL ESTABLISHED A BASELINE OF EIGHT REFERRALS TO HEALTH PARTNERSHIP CLINIC. IN YEAR THREE, THE HOSPITAL CONDUCTED TEN REFERRALS AND DID NOT MEET ITS' METRIC OF A 10% INCREASE FROM YEAR TWO WHERE 13 CLIENTS WERE REFERRED. OBJECTIVE 2: THE SECOND OBJECTIVE IS TO INCREASE THE NUMBER OF HEALTH PROFESSIONALS AND COMMUNITY MEMBERS WITH DEMONSTRATED SKILLS AND KNOWLEDGE TO RECOGNIZE AND RESPOND TO OVERDOSES BY INCLUDING THE AMERICAN HEART ASSOCIATION'S FIRST RESPONSE TO DRUG OVERDOSE MODULES INTO CPR PROGRAMS IN 280 PROGRAMS WITH 1,900 PARTICIPANTS WITH A BASELINE OF ZERO PROGRAMS AND ZERO PARTICIPANTS IN THREE YEARS. THE INITIATIVE IS MANAGED THROUGH ADVENTHEALTH SHAWNEE MISSION AND ALL OUTCOMES ARE SPECIFIC TO THE REPORTING HOSPITAL. IN YEAR THREE, THE HOSPITAL EXCEEDED ITS' METRIC WITH 1,134 PROGRAMS AND 6,237 PARTICIPANTS. IN THREE YEARS, THE HOSPITAL SUPPORTED A TOTAL OF 1,677 PROGRAMS AND 10,696 PARTICIPANTS IN THREE YEARS. OBJECTIVE 3:THE THIRD OBJECTIVE IS TO INCREASE COMMUNITY AWARENESS AND PARTICIPATION IN NON-PHARMACEUTICAL APPROACHES FOR MANAGING PAIN BY 15% (5% PER YEAR). THE BASELINE IS 370 PARTICIPANTS IN THE FEEL WHOLE WELLNESS PROGRAMS AND MIND-BODY FITNESS CLASSES, ADDITIONALLY 1,380 MASSAGES IS THE BASELINE FOR INDIVIDUALS SEEKING NON-PHARMACEUTICAL APPROACHES TO PAIN. OUR GOAL IS TO HAVE 90% OF PARTICIPANTS REPORT REDUCED STRESS, ANXIETY OR PAIN THROUGH POST-SURVEY. THE INITIATIVE IS MANAGED THROUGH ADVENTHEALTH SHAWNEE MISSION AND ALL OUTCOMES ARE SPECIFIC TO THE REPORTING HOSPITAL. IN YEAR THREE, THE HOSPITAL MET ITS' METRIC BY INCREASING PARTICIPATION IN WELLNESS AND FITNESS PROGRAMS BY 28% FROM YEAR TWO WITH A TOTAL OF 243 PARTICIPANTS. NINETY-SEVEN PERCENT OF PARTICIPANTS REPORTED REDUCED STRESS, ANXIETY, OR PAIN. A TOTAL OF 2,952 INDIVIDUALS RECEIVED MASSAGES IN YEAR THREE RESULTING IN A 20% INCREASE FROM YEAR TWO. OBJECTIVE 4:THE FOURTH OBJECTIVE IS TO INCREASE BY 15% OVER THREE YEARS THE NUMBER OF PATIENTS SUFFERING FROM BACK PAIN WHO ARE CONNECTED TO NON-PHARMACEUTICAL SOLUTIONS FOR MANAGEMENT OF BACK PAIN FROM A BASELINE ESTABLISHED IN YEAR ONE. THE INITIATIVE IS MANAGED THROUGH ADVENTHEALTH SHAWNEE MISSION AND ALL OUTCOMES ARE SPECIFIC TO THE REPORTING HOSPITAL. BY THE END OF YEAR THREE, THE HOSPITAL REFERRED 211 PATIENTS EXPERIENCING BACK PAIN TO NON-PHARMACEUTICAL OPTIONS THEREBY MEETING THE OBJECTIVE.SEE CONTINUATION 2 |
| ADVENTHEALTH SHAWNEE MISSION | PART V, SECTION B, LINE 13H: EFFECTIVE MARCH 1, 2020, THE FILING ORGANIZATION'S HOSPITAL FACILITY (OR FACILITIES) AUGMENTED THEIR FINANCIAL ASSISTANCE POLICY WITH A COVID-19 FINANCIAL GRACE ADDENDUM. PURSUANT TO THE COVID-19 FINANCIAL GRACE ADDENDUM, UNINSURED PATIENTS TREATED FOR COVID-19 RELATED EVALUATIONS ARE TO RECEIVE FREE OR DISCOUNTED CARE DEPENDING ON THE PATIENT'S COOPERATION IN SUBMITTING NECESSARY FINANCIAL ASSISTANCE INFORMATION. INSURED PATIENTS TESTED FOR COVID-19 ARE NOT EXPECTED TO HAVE OUT-OF-POCKET EXPENSES BASED ON INSURANCE COMMUNITY RESPONSE TO WAIVE PATIENT FINANCIAL RESPONSIBILITY. IF A PAYER UNEXPECTEDLY FAILS TO WAIVE PATIENT RESPONSIBILITY FOR COVID-19 RELATED TESTING, THE FILING ORGANIZATION WILL NOT BALANCE BILL PATIENTS FOR ANY OUT-OF-POCKET EXPENSES RELATED TO COVID-19. IN ADDITION, PATIENTS WITH EXISTING PAYMENT PLANS ARE PROVIDED OPPORTUNITIES FOR REDUCING THEIR MONTHLY PAYMENTS. |
| SCHEDULE H, PART V SECTION B LINE 11 - CONTINUATION 2 | GOAL 2: REDUCE NUMBER OF SUICIDE ATTEMPTS AND DEATHS IN JOHNSON COUNTY OBJECTIVE 1: THE FIRST OBJECTIVE IS THAT THE HOSPITAL WILL PROVIDE LEADERSHIP, PROFESSIONAL EXPERTISE AND COMMUNITY ENGAGEMENT TO SUPPORT THE STRATEGIC PLAN OF THE JOHNSON COUNTY SUICIDE PREVENTION COALITION TO REDUCE SUICIDE DEATHS IN JOHNSON COUNTY BY 10% IN THREE YEARS FROM A BASELINE OF 81 SUICIDE DEATHS IN 2019. THE INITIATIVE IS DRIVEN BY A COMMUNITY COALITION THROUGH WHICH THE HOSPITAL PROVIDES IN-KIND LEADERSHIP AND PARTICIPATION THROUGH ADVENTHEALTH SHAWNEE MISSION AND ALL OUTCOMES ARE SPECIFIC TO THE REPORTING HOSPITAL. IN YEAR THREE, THE HOSPITAL MET ITS' METRIC THROUGH LEADERSHIP AND ATTENDANCE AT 36 MEETINGS. WHILE THE COUNTY DID NOT REDUCE SUICIDES BY 10% IN THREE YEARS, THE HOSPITAL MET ITS' METRIC BY PROVIDING LEADERSHIP AND EXPERTISE IN 94 MEETINGS OVER THREE YEARS. OBJECTIVE 2: THE SECOND OBJECTIVE IS THAT THE HOSPITAL WILL INCREASE THE KNOWLEDGE AND SKILLS OF HEALTH PROFESSIONALS AND COMMUNITY MEMBERS TO RECOGNIZE, RESPOND AND SUPPORT MENTAL HEALTH NEEDS (INCLUDING CONTEMPLATION OF SUICIDE) THROUGH HOSTING AND FINANCIAL SUPPORT OF THE EVIDENCE-BASED CERTIFICATION PROGRAMS INCLUDING APPLIED SUICIDE INTERVENTION SKILLS TRAINING (ASIST) AND MENTAL HEALTH FIRST AID (MHFA) PROGRAMS FOR 150 INDIVIDUALS (50 PER YEAR) OVER THE NEXT THREE YEARS. THE INITIATIVE IS FUNDED THROUGH ADVENTHEALTH SHAWNEE MISSION AND ALL OUTCOMES ARE SPECIFIC TO THE REPORTING HOSPITAL. IN YEAR TWO JOHNSON COUNTY MENTAL HEALTH RECEIVED FUNDING FROM ANOTHER FUNDER FOR MENTAL HEALTH FIRST AID AND ASIST PROGRAMS AND REQUESTED THE HOSPITAL RE-ALLOCATE FUNDING FOR THE EVIDENCE-BASED SOURCES OF STRENGTH. WITH THE HOSPITAL'S FINANCIAL SUPPORT, 206 ADULTS AND 1,090 STUDENTS HAVE BEEN TRAINED. THE HOSPITAL MET AND COMPLETED THIS METRIC IN YEAR TWO. OBJECTIVE 3: THE THIRD OBJECTIVE IS THAT THE HOSPITAL WILL REDUCE SUICIDE DEATHS BY PROVIDING NON-EMERGENT ASSESSMENTS TO EVALUATE SAFETY RISK AND PROVIDE SPECIFIC TREATMENT OPTIONS TO 1,500 INDIVIDUALS OVER THE NEXT THREE YEARS. THE INITIATIVE IS FUNDED AND MANAGED THROUGH ADVENTHEALTH SHAWNEE MISSION AND ALL OUTCOMES ARE SPECIFIC TO THE REPORTING HOSPITAL. IN YEAR THREE THE HOSPITAL PROVIDED AT NO COST 397 ASSESSMENTS AND 2,037 INDIVIDUALS SEEKING SUPPORT THROUGH THE BEHAVIORAL DEPARTMENT'S CRISIS LINE. IN THREE YEARS, THE HOSPITAL PROVIDED A TOTAL OF 1,227 ASSESSMENTS AND DID NOT MEET THE 1,500 METRIC OBJECTIVE. HOWEVER, THE COMMUNITY BENEFITED WITH ADDITIONAL SUPPORT THROUGH THE HOSPITALS' CRISIS SUPPORT LINE WITH 3,521 INDIVIDUALS RECEIVING SUPPORT THROUGH THIS FREE SERVICE. PRIORITY 2: RISING HEALTH CARE COSTS AND LACK OF HEALTH INSURANCE 2019 DESCRIPTION OF THE ISSUE:COMMUNITY CONCERN SURVEY RESULTS FROM ADVENTHEALTH SHAWNEE MISSION, KEY STAKEHOLDERS AND JOHNSON COUNTY'S HOUSEHOLD AND SOCIAL MEDIA ALL AGREED THAT "HEALTH INSURANCE FOR ALL" HAD THE HIGHEST IMPORTANCE WITH THE LOWEST SATISFACTION. THE ADULT UNINSURED RATE FOR AGES 18-65 IS 11.58%. WYANDOTTE COUNTY'S ADULT UNINSURED RATE IS 22.32%. WHILE JOHNSON COUNTY'S UNINSURED RATE OF 7.85% IS SIGNIFICANTLY LOWER, THE TOTAL NUMBER OF ADULTS WITHOUT HEALTH INSURANCE IS APPROXIMATELY 7,000 HIGHER THAN JOHNSON COUNTY. OUR COMMUNITY SURVEY INDICATES 22.6% WERE UNABLE TO SEE A DOCTOR DUE TO COST. IN OUR COMMUNITY SURVEY, 25% OF RESIDENTS IN JOHNSON COUNTY REPORTED BEING WORRIED OR STRESSED ABOUT PAYING THEIR MEDICAL BILLS. WHILE ADDRESSING THE FACTORS EFFECTING RISING HEALTHCARE IS DIFFICULT, THE HOSPITAL WILL CONTINUE TO ADVOCATE FOR MEDICAID EXPANSION IN KANSAS. IN ADDITION, THE HOSPITAL IS IN THE POSITION TO ASSIST ACCESS FOR HEALTH INSURANCE FOR THOSE SEEKING CARE AND CAN ASSIST PATIENTS AND THE COMMUNITY ON HEALTH INSURANCE LITERACY AND SUPPORT AND PARTNER WITH SAFETY-NET CLINICS.2022 UPDATE: THE ADVENTHEALTH SHAWNEE MISSION COMMUNITY HEALTH PLAN HAS TWO DESIRED GOAL STATEMENTS UNDER THE RISING HEALTH CARE COSTS AND LACK OF HEALTH INSURANCE PRIORITY. 1. INCREASE ACCESS TO HEALTH INSURANCE FOR LOW-INCOME INDIVIDUALS 2. INCREASE NUMBER INDIVIDUALS WITH MEDICAL HOME GOAL 1: INCREASE ACCESS TO HEALTH INSURANCE FOR LOW-INCOME INDIVIDUALS OBJECTIVE 1: THE FIRST OBJECTIVE IS THAT THE HOSPITAL WILL SIGN UP 150 INDIVIDUALS WITHOUT HEALTH COVERAGE TO AN APPROPRIATE HEALTH PLAN FOR THOSE LIVING WITHIN ONE MILE OF THE INTERSECTIONS OF 31ST AND MINNESOTA IN ZIP CODE 66102 AND 75TH AND QUIVIRA IN ZIP CODE 66203 IN THREE YEARS BY HOSTING AND SPONSORING COMMUNITY ENGAGEMENT EVENTS. THE INITIATIVE IS MANAGED THROUGH ADVENTHEALTH SHAWNEE MISSION AND ALL OUTCOMES ARE SPECIFIC TO THE REPORTING HOSPITAL. IN YEAR THREE, THE HOSPITAL, WITH SUPPORT OF OUR COMMUNITY PARTNERS, ASSISTED 92 INDIVIDUALS WITH HEALTH INSURANCE COVERAGE. THE HOSPITAL DID NOT MEET ITS' METRIC OF 150 INDIVIDUALS SIGNED UP FOR HEALTH COVERAGE IN THREE YEARS. DUE TO COVID-19 FEWER IN-PERSON SIGN-UP EVENTS WERE SCHEDULED. GOAL 2: INCREASE THE NUMBER OF INDIVIDUALS WITH A MEDICAL HOME OBJECTIVE 1: THE FIRST OBJECTIVE IS THE HOSPITAL WILL INCREASE PATIENT CAPACITY FOR SAFETY NET CLINICS BY 250 PATIENTS EACH YEAR THROUGH FINANCIAL SUPPORT AND PATIENT REFERRALS. THE INITIATIVE IS FUNDED THROUGH ADVENTHEALTH SHAWNEE MISSION AND ALL OUTCOMES ARE SPECIFIC TO THE REPORTING HOSPITAL. IN YEAR THREE, THE HOSPITAL EXCEEDED ITS' METRIC OF INCREASING CAPACITY FOR SAFETY NET CLINICS BY PROVIDING A TOTAL OF $127,000, RESULTING IN 428 PATIENTS RECEIVING CARE. OBJECTIVE 2: THE SECOND OBJECTIVE IS THE HOSPITAL WILL INCREASE THE NUMBER OF INDIVIDUALS WITH A MEDICAL HOME LIVING WITHIN ONE MILE OF THE INTERSECTION OF 31ST AND MINNESOTA IN ZIP CODE 66102 AND 75TH AND QUIVIRA IN ZIP CODE 66203 BY IDENTIFYING, REFERRING AND FOLLOWING UP WITH AN APPROPRIATE CARE PROVIDER FOR 100 INDIVIDUALS IN THREE YEARS. THE OBJECTIVE IS DRIVEN THROUGH COMMUNITY COLLABORATION WITH MERCY & TRUTH MEDICAL MISSIONS. ADVENTHEALTH SHAWNEE MISSION PROVIDES IN-KIND AND FINANCIAL SUPPORT. IN YEAR THREE, THE HOSPITAL MET THIS METRIC BY PROVIDING FINANCIAL SUPPORT AND VOLUNTEER SUPPORT FOR A FREE SATURDAY HEALTH CLINIC. IN YEARS TWO AND THREE, 296 CLIENTS RECEIVED CARE AT THE FREE SATURDAY CLINIC. OF THESE CLIENTS 178 WERE NEW TO THIS CLINIC WITH THE OPPORTUNITY TO ESTABLISH A MEDICAL HOME. OBJECTIVE 3: THE THIRD OBJECTIVE IS THE HOSPITAL WILL INCREASE THE NUMBER OF INDIVIDUALS WHO ARE UP TO DATE ON PREVENTIVE SCREENINGS AND IMMUNIZATIONS BY PROVIDING 150 HEALTH SCREENINGS AND IMMUNIZATIONS FOR FAMILIES LIVING WITHIN ONE MILE OF THE INTERSECTION OF 31ST AND MINNESOTA IN ZIP CODE 66102 AND 75TH AND QUIVIRA IN ZIP CODE 66203. THE INITIATIVE IS FUNDED AND MANAGED THROUGH ADVENTHEALTH SHAWNEE MISSION AND ALL OUTCOMES ARE SPECIFIC TO THE REPORTING HOSPITAL. THIS METRIC WAS MET IN YEAR TWO WHEN THE HOSPITAL PROVIDED FUNDING AND NURSE VOLUNTEERS TO PROVIDE 385 FLU SHOTS IN TARGETED NEIGHBORHOODS. IN YEAR THREE, THE HOSPITAL CONDUCTED AN ADDITIONAL 16 WELL-WOMEN SCREENINGS PROVIDED AT NO COST. SEE CONTINUATION 3 |
| SCHEDULE H, PART V SECTION B LINE 11 - CONTINUATION 3 | PRIORITY 3: CHRONIC DISEASE HEALTH DISPARITIES IN COMMUNITIES OF COLOR 2019 DESCRIPTION OF THE ISSUE:HOSPITAL ADMISSION RATES FOR DIABETES, STROKE, HEART DISEASE AND CONGESTIVE HEART FAILURE ARE SIGNIFICANTLY HIGHER FOR BLACKS THAN WHITES. IN WYANDOTTE COUNTY THE HOSPITAL ADMISSION RATE FOR DIABETES IS 51.5 PER 100,000 FOR BLACKS COMPARED TO 29.3 FOR WHITE ADMISSIONS. HEART DISEASE ADMISSION RATES FOR BLACKS ARE 325 PER 100,000 AS COMPARED TO 218 FOR WHITES. JOHNSON COUNTY RATES ARE LOWER THAN WYANDOTTE COUNTY BUT ALSO REFLECT THIS DISPARITY.POSITIVE LIFESTYLE BEHAVIORS HAVE A DIRECT IMPACT ON IMPROVED HEALTH AND REDUCING CHRONIC DISEASE. THE ADVENTHEALTH SHAWNEE MISSION COMMUNITY SURVEY INDICATED THAT 14% NEVER EAT FRUITS OR VEGETABLES AND 79% DO NOT EAT THE RECOMMENDED NUMBER OF FRUITS AND VEGETABLES.OUR COMMUNITY HEALTH SURVEY INDICATED 18% OF HOUSEHOLDS WERE WORRIED THAT FOOD WOULD RUN OUT BEFORE THEY HAD MONEY TO BUY MORE. ADDITIONALLY, 13% OF HOUSEHOLDS RAN OUT OF FOOD BEFORE THEY HAD THE MONEY TO BUY MORE. FEEDING AMERICA INDICATES A 16.8% FOOD INSECURITY RATE IN WYANDOTTE COUNTY AND 10.6% IN JOHNSON COUNTY.FOOD INSECURITY FOR RESIDENTS IN JOHNSON COUNTY IS LOWER THAN OUR NEIGHBORING WYANDOTTE COUNTY, YET THE NUMBER OF RESIDENTS THAT ARE FOOD INSECURE IS TWICE AS HIGH. THE GRAPHS COMPARE THE COUNTIES FOOD INSECURITY AS WELL AS DEMONSTRATING THE HIGH PERCENT OF FOOD INSECURE RESIDENTS IN JOHNSON COUNTY THAT ARE NOT ELIGIBLE FOR ASSISTANCE.ADULTS SMOKING CIGARETTES IN THE ADVENTHEALTH SHAWNEE MISSION CATCHMENT AREA IS 18%. IN WYANDOTTE COUNTY 24.7% OF ADULTS SMOKE CIGARETTES. THE HOSPITAL CAN PARTICIPATE, SUPPORT AND LEAD INITIATIVES THAT EFFECTIVELY ADDRESS CHRONIC DISEASES IN OUR COMMUNITY THROUGH FINANCIAL SUPPORT, EXPERTISE, ADVOCACY AND COMMUNITY OUTREACH AND EDUCATION.2022 UPDATE: THE ADVENTHEALTH SHAWNEE MISSION COMMUNITY HEALTH PLAN HAS TWO DESIRED GOAL STATEMENTS UNDER THE CHRONIC DISEASE HEALTH DISPARITIES IN COMMUNITIES OF COLOR PRIORITY. 1. INCREASE ACCESS TO HEALTHY FOOD FOR LOW-INCOME FAMILIES 2. INCREASE KNOWLEDGE, IMPROVE LIFESTYLE BEHAVIORS AND PROVIDE SUPPORT TO PREVENT AND MANAGE CHRONIC DISEASE IN THE HOSPITAL'S COMMUNITY GOAL 1: INCREASE ACCESS TO HEALTHY FOOD FOR LOW-INCOME FAMILIES OBJECTIVE 1: THE FIRST OBJECTIVE IS THE HOSPITAL WILL SIGN UP 75 NEW INDIVIDUALS FOR FOOD ASSISTANCE PROGRAMS IN THREE YEARS FOR FAMILIES LIVING WITHIN ONE MILE OF THE INTERSECTION OF 31ST AND MINNESOTA IN ZIP CODE 66102 AND 75TH AND QUIVIRA IN ZIP CODE 66203 BY HOSTING AND SPONSORING COMMUNITY ENGAGEMENT EVENTS. THE INITIATIVE IS MANAGED THROUGH ADVENTHEALTH SHAWNEE MISSION AND ALL OUTCOMES ARE SPECIFIC TO THE REPORTING HOSPITAL.THE HOSPITAL DID NOT MEET ITS METRIC OF 75 INDIVIDUALS SIGNING UP FOR FOOD ASSISTANCE IN THREE YEARS. IN YEAR THREE THE HOSPITAL, WITH THE SUPPORT OF COMMUNITY PARTNERS, ASSISTED AN ADDITIONAL 27 FAMILIES WITH SIGNING UP FOR FOOD ASSISTANCE FOR A TOTAL OF 54 OVER THE THREE YEARS. IN ADDITION, THE HOSPITAL PROVIDED RESOURCES ON FOOD ASSISTANCE SIGN-UPS TO 2,050 INDIVIDUALS LIVING IN THESE NEIGHBORHOODS. OBJECTIVE 2: THE SECOND OBJECTIVE IS THE HOSPITAL WILL PROVIDE FINANCIAL SUPPORT AND FOOD DONATIONS TO NOT-FOR-PROFIT ORGANIZATIONS THAT FOCUS ON INCREASING ACCESS TO HEALTHY FOOD IN LOW FOOD ACCESS AREAS. THE INITIATIVE IS FUNDED AND DEPLOYED THROUGH ADVENTHEALTH SHAWNEE MISSION AND ALL OUTCOMES ARE SPECIFIC TO THE REPORTING HOSPITAL. IN YEAR THREE, THE HOSPITAL DONATED $24,000 TO THE RENEWED HOPE FOOD BUS FOR A TOTAL OF $31,000 DONATED OVER THE THREE YEARS TO NOT-FOR-PROFIT ORGANIZATIONS ADDRESSING ACCESS TO HEALTHY FOOD AND EXCEEDED ITS' THREE-YEAR METRIC.GOAL 2: INCREASE KNOWLEDGE, IMPROVE LIFESTYLE BEHAVIORS AND PROVIDE SUPPORT TO PREVENT AND MANAGE CHRONIC DISEASE IN THE HOSPITAL'S COMMUNITY OBJECTIVE 1: THE FIRST OBJECTIVE IS THE HOSPITAL WILL INCREASE HEALTH KNOWLEDGE AND/OR IMPROVE HEALTH BEHAVIORS IN PARTICIPANTS OF FEEL WHOLE CLASSES AND MOVE-4-LIFE MONITORED FITNESS PROGRAMS, LIVING IN VITALITY WOMEN'S HEALTH CONFERENCE AND CHRONIC DISEASE SUPPORT GROUPS BY INCREASING PARTICIPATION BY 5% PER YEAR AND CONSISTENTLY DEMONSTRATING A 90% RESPONSE FROM PARTICIPANTS INDICATING NEW KNOWLEDGE, IMPROVED HEALTH OR BEHAVIOR CHANGE. THE 2019 BASELINE IS 2,700 PARTICIPANTS. THE INITIATIVE IS MANAGED THROUGH ADVENTHEALTH SHAWNEE MISSION AND ALL OUTCOMES ARE SPECIFIC TO THE REPORTING HOSPITAL. IN YEAR THREE, THE HOSPITAL MET ITS' METRIC WITH AN INCREASED PARTICIPATION OF 35% FROM YEAR TWO WITH A TOTAL OF 1,246 PARTICIPANTS. ALSO, 95% OF FEEL WHOLE AND MOVE-4 LIFE PARTICIPANTS INDICATED NEW KNOWLEDGE, IMPROVED HEALTH, OR BEHAVIOR CHANGE. HOWEVER, THE HOSPITAL DID NOT MEET ITS' METRIC OF A 5% INCREASE EACH YEAR FROM THE 2019 BASELINE DUE TO THE IMPACT OF COVID 19 IN YEARS 1 AND 2. OBJECTIVE 2: THE SECOND OBJECTIVE IS TO PROVIDE THE MEALS WITH SKILLS PROGRAM WHICH WILL INCREASE ACCESS TO HEALTHY FOOD FOR 150 LOW-INCOME FAMILIES AND WHO WILL DEMONSTRATE A 90% INCREASE IN KNOWLEDGE IN THREE YEARS FOR THOSE LIVING IN A TARGETED AREA. THE HOSPITAL IS FOCUSED ON THE COMMUNITY WITHIN ONE MILE OF THE INTERSECTION OF 31ST AND MINNESOTA IN ZIP CODE 66102 AND 75TH AND QUIVIRA IN ZIP CODE 66203. THE MEALS WITH SKILLS PROGRAM IS AN INTERNAL ADVENTHEALTH PROGRAM FOCUSED ON HEALTHY EATING ON A BUDGET, WHICH PROVIDES COOKING EDUCATION AND FOOD TO PARTICIPANTS. THE INITIATIVE IS FUNDED AND MANAGED THROUGH ADVENTHEALTH SHAWNEE MISSION AND ALL OUTCOMES ARE SPECIFIC TO THE REPORTING HOSPITAL.IN YEAR THREE, 175 FAMILIES RECEIVED THE MEALS WITH SKILLS KITS, AND AN ADDITIONAL 278 CHILDREN PARTICIPATED IN FRUIT AND VEGETABLE INTERACTIVE DEMONSTRATIONS. IN THE THREE YEARS, THE HOSPITAL MET ITS' METRIC BY PROVIDING MEAL PREPARATION KITS TO 300 FAMILIES BUT DID NOT MEET ITS' METRIC OF PARTICIPANTS DEMONSTRATING INCREASED KNOWLEDGE DUE TO THE CHANGE OF PROGRAM DELIVERY BECAUSE OF COVID-19 RESTRICTIONS AND SAFETY PRECAUTIONS. SEE CONTINUATION 4 |
| SCHEDULE H, PART V SECTION B LINE 11 - CONTINUATION 4 | PRIORITY 4: POOR PREGNANCY OUTCOMES IN WYANDOTTE COUNTY 2019 DESCRIPTION OF THE ISSUE:IN WYANDOTTE COUNTY, 27% OF EXPECTING MOTHERS RECEIVE NO OR LATE PRENATAL CARE. THE INFANT MORTALITY RATE IN WYANDOTTE COUNTY IS 7 PER 1,000 LIVE BIRTHS WITH THE HIGHEST NUMBER OF INFANT DEATHS OCCURRING AMONG BLACK COMMUNITY MEMBERS. IN WYANDOTTE COUNTY, 8.5% OF MOTHERS SMOKED DURING PREGNANCY AS COMPARED TO THE HEALTHY PEOPLE GOAL FOR 2020 OF 1.4%. THE INFANT MORTALITY RATE AMONG THE BLACK POPULATION IS SIGNIFICANTLY HIGHER IN COMPARISON TO WHITE AND HISPANIC POPULATIONS.ADVENTHEALTH SHAWNEE MISSION DELIVERS OVER 5,000 BABIES PER YEAR AND PROVIDES EXCELLENT RESOURCES IN PRENATAL AND PARENTAL EDUCATION. AT THE WRITING OF THIS REPORT, THERE ARE STRATEGIC INITIATIVES IN WYANDOTTE COUNTY ADDRESSING THE HIGH INFANT MORTALITY RATES. CONSIDERING THAT GREATER THAN 20% OF BABIES DELIVERED AT OUR HOSPITAL ARE FROM WYANDOTTE COUNTY, OUR CONTINUED SUPPORT WILL BE ESSENTIAL FOR IMPROVING PREGNANCY OUTCOMES IN THIS COUNTY.2022 UPDATE: THE ADVENTHEALTH SHAWNEE MISSION COMMUNITY HEALTH PLAN HAS ONE DESIRED GOAL STATEMENTS UNDER THE POOR PREGNANCY OUTCOMES IN WYANDOTTE COUNTY PRIORITY. 1. REDUCE NUMBER OF INFANT DEATHS IN WYANDOTTE COUNTY GOAL 1: REDUCE NUMBER OF INFANT DEATHS IN WYANDOTTE COUNTY OBJECTIVE 1: THE FIRST OBJECTIVE IS THE HOSPITAL WILL INCREASE KNOWLEDGE OF THE COMMUNITY ON HOW TO PROVIDE A SAFE ENVIRONMENT THAT SUPPORTS INFANTS REACHING THEIR FIRST BIRTHDAY IN GOOD HEALTH THROUGH IMPLEMENTATION OF EVERY BABY TO 1, A FAITH-BASED INITIATIVE, AND WILL DEMONSTRATE A 60% INCREASE OF KNOWLEDGE FROM PRE-TEST TO POST-TEST IN THREE AFRICAN AMERICAN FAITH COMMUNITIES IN WYANDOTTE COUNTY. THE OBJECTIVE IS CONDUCTED THROUGH A COMMUNITY COALITION WITH IN-KIND AND FINANCIAL SUPPORT FROM ADVENTHEALTH SHAWNEE MISSION AND ALL OUTCOMES ARE SPECIFIC TO THE REPORTING HOSPITAL. THE HOSPITAL MET ITS' METRIC IN YEAR THREE WITH A THIRD WYANDOTTE COUNTY FAITH COMMUNITY PARTICIPATING AND DEMONSTRATING INCREASED KNOWLEDGE IN THE POST-TEST. IN ADDITION, THE HOSPITAL FUNDED AND HOSTED AN EVERY-BABY TO 1 CAR SEAT INSTALLATION AND SAFETY EVENT FOR 36 FAMILIES. OBJECTIVE 2: THE SECOND OBJECTIVE IS THE HOSPITAL WILL PROVIDE SUPPORT TO THE COMMUNITY FOR 7,500 EXPECTING AND NEW PARENTS BY PROVIDING A FREE 24-7 PHONE NUMBER TO CALL WITH QUESTIONS OR SUPPORT AND FACILITATION OF SUPPORT GROUPS IN THE NEXT THREE YEARS. THE INITIATIVE IS FUNDED AND MANAGED THROUGH ADVENTHEALTH SHAWNEE MISSION AND ALL OUTCOMES ARE SPECIFIC TO THE REPORTING HOSPITAL. IN YEAR THREE, THE HOSPITAL PROVIDED 1,144 EXPECTING AND NEW PARENTS SUPPORT THROUGH GROUPS AND 24-7 PHONE CONSULTATIONS. HOWEVER, THE HOSPITAL DID NOT MEET ITS' THREE-YEAR OBJECTIVE. OVER THE THREE YEARS 4,497 EXPECTING AND NEW PARENTS BENEFITED FROM THE HOSPITALS GROUP AND PHONE SUPPORT. OBJECTIVE 3:THE THIRD OBJECTIVE IS THE HOSPITAL WILL PROVIDE SUPPORT FOR MOTHERS EXPERIENCING POST-PARTUM DEPRESSION BY IDENTIFYING EXPECTING AND NEW MOMS AT RISK AND REFERRING TO RESOURCES AND FACILITATING SUPPORT GROUPS AND INDIVIDUAL CONVERSATIONS BY INCREASING THE NUMBER SERVED BY 15% OVER THE NEXT THREE YEARS FROM A BASELINE OF 6,700 IN 2019. THE INITIATIVE IS FUNDED AND MANAGED THROUGH ADVENTHEALTH SHAWNEE MISSION AND ALL OUTCOMES ARE SPECIFIC TO THE REPORTING HOSPITAL. IN YEAR THREE, THE HOSPITAL DID NOT MEET ITS METRIC TO INCREASE THE NUMBERS OF NEW MOTHERS SERVED, HOWEVER, 421 NEW MOMS BENEFITED FROM PARTICIPATION IN INDIVIDUAL OR GROUP CONSULTATIONS FOR POST-PARTUM DEPRESSION. OBJECTIVE 4:THE FOURTH OBJECTIVE IS THE HOSPITAL WILL PROVIDE SUPPORT THROUGH LEADERSHIP AND PROFESSIONAL EXPERTISE FOR NOT-FOR-PROFIT AND GOVERNMENTAL ORGANIZATIONS WITH STRATEGIC GOALS TO REDUCE PRE-TERM BIRTHS IN WYANDOTTE COUNTY. THE OBJECTIVE IS CONDUCTED THROUGH A COMMUNITY COALITION WITH IN-KIND AND FINANCIAL SUPPORT FROM ADVENTHEALTH SHAWNEE MISSION AND ALL OUTCOMES ARE SPECIFIC TO THE REPORTING HOSPITAL. THE HOSPITAL MET ITS' METRIC WITH AN ADDITIONAL $7,500 CONTRIBUTION IN 2022. OVER THE THREE YEARS, THE HOSPITAL PROVIDED $25,500 IN FUNDING TO THE COMMUNITY HEALTH COUNCIL OF WYANDOTTE COUNTY IN SUPPORT OF CRADLE-KC COLLABORATIVE AND EVERY BABY TO 1, AS WELL AS ACTIVELY PARTICIPATING IN COMMITTEES AND COLLABORATIVES. COMMUNITY NEEDS NOT CHOSEN BY ADVENTHEALTH SHAWNEE MISSION:THE PRIMARY AND SECONDARY DATA IN THE COMMUNITY HEALTH NEEDS ASSESSMENT IDENTIFIED MULTIPLE COMMUNITY ISSUES. THE HOSPITAL AND COMMUNITY STAKEHOLDERS USED THE FOLLOWING CRITERIA TO NARROW THE LARGER LIST TO THE PRIORITY AREAS NOTED ABOVE:1. HOW ACUTE IS THE NEED? (BASED ON DATA AND COMMUNITY CONCERN)2. WHAT IS THE TREND? IS THE NEED GETTING WORSE?3. DOES THE HOSPITAL PROVIDE SERVICES THAT RELATE TO THE PRIORITY? 4. IS SOMEONE ELSE - OR MULTIPLE GROUPS - IN THE COMMUNITY ALREADY WORKING ON THIS ISSUE? 5. IF THE HOSPITAL WERE TO ADDRESS THIS ISSUE, ARE THERE OPPORTUNITIES TO WORK WITH COMMUNITY PARTNERS? BASED ON THIS PRIORITIZATION PROCESS, THE HOSPITAL DID NOT CHOOSE THE FOLLOWING COMMUNITY ISSUES:1. LACK OF AFFORDABLE HOUSING: OUR COMMUNITY SURVEY INDICATED 7.3% HAD CONCERN THEY MAY NOT HAVE STABLE HOUSING IN THE NEXT TWO MONTHS. THE STAKEHOLDER AND JOHNSON COUNTY COMMUNITY SURVEY IDENTIFIED THE AVAILABILITY OF AFFORDABLE HOUSING AS A HIGH PRIORITY WITH LOW SATISFACTION ON THE COMMUNITY'S RESPONSE. WHILE THE HOSPITAL DID NOT INCLUDE AFFORDABLE HOUSING AS ONE OF OUR TOP FOUR ISSUES TO BE ADDRESSED, THE HOSPITAL WILL CONTINUE TO ENGAGE AND SUPPORT THE EFFORTS OF UNITED COMMUNITY SERVICES AND OTHER AGENCIES THAT ARE CURRENTLY ADDRESSING THIS ISSUE. 2. LIMITED TRANSPORTATION OPTIONS: JOHNSON COUNTY IS A SPRAWLING COUNTY WITH MINIMAL ACCESS TO PUBLIC TRANSPORTATION. MANY NEIGHBORHOODS ARE NOT WALK-BIKE FRIENDLY. LESS THAN 1% OF ADVENTHEALTH SHAWNEE MISSION'S SERVICE AREA USES PUBLIC TRANSPORTATION AND 6.9% REPORTED LACK OF TRANSPORTATION AS A BARRIER TO HEALTH CARE. THE HOSPITAL PROVIDES RIDE VOUCHERS FOR PATIENTS AND WILL CONTINUE TO SUPPORT AND ADVOCATE FOR COMMUNITY INITIATIVES TO IMPROVE TRANSPORTATION ISSUES IN OUR COMMUNITY. 3. SOCIAL ISOLATION AND INCREASING RATES OF DEPRESSION: GREATER THAN 1-IN-5 INDICATED THEY OFTEN FEEL ISOLATED EITHER OFTEN OR SOME OF THE TIME IN THE HOSPITAL'S COMMUNITY SURVEY. THERE ARE A WIDE VARIETY OF AVAILABLE SOCIAL SUPPORT OPPORTUNITIES INCLUDING CHURCHES, LIBRARIES AND COMMUNITY CENTERS. THE HOSPITAL PROVIDES A WIDE RANGE OF SUPPORT GROUPS AND SOCIAL SUPPORT SERVICES. SOCIAL CONNECTEDNESS IS CONSIDERED IN THE DEVELOPMENT OF OUR COMMUNITY HEALTH PLAN. |
| SCHEDULE H, PART V SECTION B LINES 7A AND 10A: | LINE 7A. THE CHNA REPORT CAN BE FOUND AT URL:HTTPS://WWW.ADVENTHEALTH.COM/COMMUNITY-HEALTH-NEEDS-ASSESSMENTSLINE 10A. THE HOSPITAL'S MOST RECENTLY ADOPTED IMPLEMENTATION STRATEGY CAN BE FOUND AT:HTTPS://WWW.ADVENTHEALTH.COM/COMMUNITY-HEALTH-NEEDS-ASSESSMENTS |
| SCHEDULE H, PART V, LINE 16A, 16B, AND 16C | LINE 16ATHE FINANCIAL ASSISTANCE POLICY CAN BE FOUND AT THE FOLLOWING WEBSITE: HTTPS://WWW.ADVENTHEALTH.COM/LEGAL/FINANCIAL-ASSISTANCELINE 16BTHE FINANCIAL ASSISTANCE POLICY APPLICATION CAN BE FOUND AT THE FOLLOWING WEBSITE: HTTPS://WWW.ADVENTHEALTH.COM/LEGAL/FINANCIAL-ASSISTANCELINE 16CTHE PLAIN LANGUAGE SUMMARY CAN BE FOUND AT THE FOLLOWING WEBSITE: HTTPS://WWW.ADVENTHEALTH.COM/LEGAL/FINANCIAL-ASSISTANCE |
| SCHEDULE H, PART V, SECTION B, LINE 8 - 10A CHNA IMPLEMENTATION STRATEGY | THE FILING ORGANIZATION ADOPTED A COMMUNITY HEALTH NEEDS ASSESSMENT REPORT BY 12/31/2022 AND WAS IN THE PROCESS OF DEVELOPING ITS COMMUNITY HEALTH NEEDS IMPLEMENTATION STRATEGY AT THAT TIME. THE FILING ORGANIZATION'S 2023-2025 COMMUNITY HEALTH NEEDS IMPLEMENTATION STRATEGY IS DOCUMENTED IN A WRITTEN REPORT CALLED THE "COMMUNITY HEALTH PLAN". THE COMMUNITY HEALTH PLAN (CHP) DESCRIBES HOW THE FILING ORGANIZATION PLANS TO MEET ITS IDENTIFIED PRIORITIZED HEALTH NEEDS OR IDENTIFIES THE HEALTH NEED AS ONE THE FILING ORGANIZATION DOES NOT INTEND TO SPECIFICALLY ADDRESS AND PROVIDES AN EXPLANATION AS TO WHY THE FILING ORGANIZATION DOES NOT INTEND TO ADDRESS THAT HEALTH NEED. THE FILING ORGANIZATION'S 2023-2025 CHP WAS ADOPTED BY MAY 15, 2023 AND IS POSTED ON THE HOSPITAL FACILITY'S WEBSITE. |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 28 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (28 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | FacilityFacilityTxt | Address Line2USAddress/AddressLine2Txt |
|---|---|---|---|---|---|
| 2 - ADVENTHEALTH SURGERY CENTER SHAWNEE MISSIO | |||||
| 9301 W 74TH ST SUITE 300 | MERRIAM | KS | 66204 | SURGERY CENTER | |
| 3 - ADVENTHEALTH SURGERY CENTER LENEXA | |||||
| 23401 PRAIRIE STAR PARKWAY | LENEXA | KS | 66227 | SURGERY CENTER | |
| 4 - ADVENTHEALTH MEDICAL GROUP PRIMARY CARE AT | |||||
| 7450 KESSLER STREET SUITE 300 | MERRIAM | KS | 66204 | PRIMARY CARE | |
| 5 - ADVENTHEALTH MEDICAL GROUP CARDIOLOGY AT S | |||||
| 9119 W 74TH STREET SUITE 350 | MERRIAM | KS | 66204 | MEDICAL GROUP | |
| 6 - ADVENTHEALTH MEDICAL GROUP PRIMARY CARE AT | |||||
| 23351 PRAIRIE STAR PARKWAY SUITE | LENEXA | KS | 66227 | PRIMARY CARE | A245 |
| 7 - ADVENTHEALTH MEDICAL GROUP PRIMARY CARE AT | |||||
| 4921 W 18TH STREET | LAWRENCE | KS | 66047 | PRIMARY CARE | |
| 8 - ADVENTHEALTH MEDICAL GROUP ENDOCRINOLOGY A | |||||
| 7450 KESSLER STREET SUITE 203 | MERRIAM | KS | 66204 | MEDICAL GROUP | |
| 9 - ADVENTHEALTH MEDICAL GROUP PULMONOLOGY AT | |||||
| 7450 KESSLER STREET SUITE 204 | MERRIAM | KS | 66204 | MEDICAL GROUP | |
| 10 - CENTRA CARE OLATHE | |||||
| 14744 W 119TH STREET | OLATHE | KS | 66062 | URGENT CARE | |
| 11 - CENTRA CARE SM PKWY | |||||
| 11245 SHAWNEE MISSION PARKWAY | SHAWNEE | KS | 66203 | URGENT CARE | |
| 12 - ADVENTHEALTH MEDICAL GROUP NEUROLOGY AT SH | |||||
| 7450 KESSLER STREET SUITE 205 | MERRIAM | KS | 66204 | MEDICAL GROUP | |
| 13 - ADVENTHEALTH MEDICAL GROUP INTERNAL MEDICI | |||||
| 7840 W 165TH STREET SUITE 210 | OVERLAND PARK | KS | 66223 | PRIMARY CARE | |
| 14 - CENTRA CARE OVERLAND PARK | |||||
| 9099 W 135TH STREET | OVERLAND PARK | KS | 66221 | URGENT CARE | |
| 15 - ADVENTHEALTH MEDICAL GROUP PRIMARY CARE AT | |||||
| 8700 BOURGADE SUITE 2 | LENEXA | KS | 66219 | PRIMARY CARE | |
| 16 - ADVENTHEALTH MEDICAL GROUP PRIMARY CARE AT | |||||
| 7501 MISSION RD SUITE 103 | PRAIRIE VILLAGE | KS | 66208 | PRIMARY CARE | |
| 17 - ADVENTHEALTH MEDICAL GROUP GENERAL SURGERY | |||||
| 7450 KESSLER STREET SUITE 201 | MERRIAM | KS | 66204 | MEDICAL GROUP | |
| 18 - ADVENTHEALTH MEDICAL GROUP PRIMARY CARE AT | |||||
| 6240 W 135TH STREET SUITE 150 | OVERLAND PARK | KS | 66223 | PRIMARY CARE | |
| 19 - ADVENTHEALTH MEDICAL GROUP PSYCHIATRY AT S | |||||
| 9100 W 74TH ST FL 6 TOWER 2 | MERRIAM | KS | 66204 | MEDICAL GROUP | |
| 20 - ADVENTHEALTH MEDICAL GROUP NEUROSURGERY AT | |||||
| 7450 KESSLER STREET SUITE 202 | MERRIAM | KS | 66204 | MEDICAL GROUP | |
| 21 - ADVENTHEALTH MEDICAL GROUP PRIMARY CARE AT | |||||
| 6815 HILLTOP RD SUITE 100 | SHAWNEE | KS | 66226 | PRIMARY CARE | |
| 22 - ADVENTHEALTH MEDICAL GROUP PRIMARY CARE AT | |||||
| 22450 S HARRISON STREET SUITE 100 | SPRING HILL | KS | 66083 | PRIMARY CARE | |
| 23 - ADVENTHEALTH MEDICAL GROUP PRIMARY CARE AT | |||||
| 7840 W 165TH STREET SUITE 160 | OVERLAND PARK | KS | 66223 | PRIMARY CARE | |
| 24 - ADVENTHEALTH MEDICAL GROUP PRIMARY CARE AT | |||||
| 8960 COMMERCE DR SUITE 4E | DE SOTO | KS | 66018 | PRIMARY CARE | |
| 25 - ADVENTHEALTH IMAGING CENTER | |||||
| 5675 ROE BLVD | ROELAND PARK | KS | 66205 | MEDICAL GROUP | |
| 26 - ADVENTHEALTH MEDICAL GROUP CARDIOVASCULAR | |||||
| 9119 W 74TH STREET SUITE 350 | MERRIAM | KS | 66204 | MEDICAL GROUP | |
| 27 - ADVENTHEALTH MEDICAL GROUP PRIMARY CARE AT | |||||
| 705 BAPTISTE DR | PAOLA | KS | 66071 | PRIMARY CARE | |
| 28 - ADVENTHEALTH MEDICAL GROUP CARDIOLOGY AT L | |||||
| 1004 PROGRESS DRIVE SUITE 130 | LANSING | KS | 66043 | MEDICAL GROUP | |
| 29 - ADVENTHEALTH MEDICAL GROUP CARDIOLOGY AT L | |||||
| 23351 PRAIRIE STAR PARKWAY SUITE | LENEXA | KS | 66227 | MEDICAL GROUP | A275 |
Supplemental Information Detail SupplementalInformationDetail (16 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 3C: | UNDER THE HOSPITAL FACILITY'S FINANCIAL ASSISTANCE POLICY, AN INDIVIDUAL IS ELIGIBLE FOR A 100% REDUCTION FROM APPLICABLE CHARGES IF THE INDIVIDUAL'S HOUSEHOLD INCOME IS AT OR BELOW 200% OF THE CURRENT FEDERAL POVERTY GUIDELINES. ALTERNATIVELY, A PATIENT MAY ALSO QUALIFY FOR A 100% REDUCTION FROM CHARGES WHEN THE UNPAID PORTION OF A PATIENT'S BILL EXCEEDS 25% OF THE INDIVIDUAL'S ANNUAL HOUSEHOLD INCOME AND WHERE THE TOTAL ANNUAL HOUSEHOLD INCOME IS LESS THAN 500% OF THE FEDERAL POVERTY GUIDELINES. MEDICARE RECIPIENTS MAY ALSO BE ELIGIBLE FOR FINANCIAL ASSISTANCE UNDER THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY DEPENDING UPON THE INDIVIDUAL'S INCOME AND RESOURCES. RESOURCES ARE GENERALLY DEFINED AS ASSETS SUCH AS MONEY IN CHECKING OR SAVINGS ACCOUNTS, STOCKS, AND BONDS. |
| PART I, LINE 6A: | THE FILING ORGANIZATION WAS A WHOLLY OWNED SUBSIDIARY OF ADVENTIST HEALTH SYSTEM SUNBELT HEALTHCARE CORPORATION (AHSSHC) DURING ITS CURRENT TAX YEAR. DURING THE CURRENT YEAR, AHSSHC SERVED AS A PARENT ORGANIZATION TO 30 TAX-EXEMPT 501(C)(3) HOSPITAL ORGANIZATIONS AND A NUMBER OF OTHER HEALTH CARE FACILITIES THAT OPERATED IN 10 STATES WITHIN THE U.S. THE SYSTEM OF ORGANIZATIONS UNDER THE CONTROL AND OWNERSHIP OF AHSSHC IS KNOWN AS "ADVENTHEALTH".ALL HOSPITAL ORGANIZATIONS WITHIN ADVENTHEALTH COLLECT, CALCULATE, AND REPORT THE COMMUNITY BENEFITS THEY PROVIDE TO THE COMMUNITIES THEY SERVE. ADVENTHEALTH ORGANIZATIONS EXIST SOLELY TO IMPROVE AND ENHANCE THE LOCAL COMMUNITIES THEY SERVE. ADVENTHEALTH HAS A SYSTEM-WIDE COMMUNITY BENEFITS ACCOUNTING POLICY THAT PROVIDES GUIDELINES FOR ITS HEALTH CARE PROVIDER ORGANIZATIONS TO CAPTURE AND REPORT THE COSTS OF SERVICES PROVIDED TO THE UNDERPRIVILEGED AND TO THE BROADER COMMUNITY. EACH ADVENTHEALTH HOSPITAL FACILITY REPORTS THEIR COMMUNITY BENEFITS TO THEIR BOARD OF DIRECTORS AND STRIVES TO COMMUNICATE THEIR COMMUNITY BENEFITS TO THEIR LOCAL COMMUNITIES. ADDITIONALLY, THE FILING ORGANIZATION'S MOST RECENTLY CONDUCTED COMMUNITY HEALTH NEEDS ASSESSMENT AND ASSOCIATED IMPLEMENTATION STRATEGY CAN BE ACCESSED ON THE FILING ORGANIZATION'S WEBSITE. |
| PART I, LINE 7: | THE AMOUNTS OF COSTS REPORTED IN THE TABLE IN LINE 7 OF PART I OF SCHEDULE H WERE DETERMINED BY UTILIZING A COST-TO-CHARGE RATIO DERIVED FROM WORKSHEET 2, RATIO OF PATIENT CARE COST-TO-CHARGES, CONTAINED IN THE SCHEDULE H INSTRUCTIONS. |
| PART II, COMMUNITY BUILDING ACTIVITIES: | SHAWNEE MISSION MEDICAL CENTER (THE HOSPITAL) IS INVOLVED WITH AND SUPPORTIVE OF VARIOUS OTHER COMMUNITY AGENCIES IN ITS SERVICE AREA THAT WORK COLLABORATIVELY TO HELP THOSE IN NEED AND TO IMPROVE THE HEALTH AND SAFETY OF THE RESIDENTS OF THE COMMUNITY. THE HOSPITAL PARTICIPATES WITH A NUMBER OF OTHER COMMUNITY ORGANIZATIONS TO ADDRESS THE HEALTHCARE NEEDS OF THE COMMUNITY, SUCH AS THE HEALTH PARTNERSHIP OF JOHNSON COUNTY WHO SPECIALIZES IN TREATING LOW INCOME PERSONS. IN ADDITION TO OFFERING NUMEROUS CLASSES AND A SPIRITUAL WELLNESS PROGRAM, THE HOSPITAL IS SUPPORTIVE OF OTHER HEALTH AND WELLNESS EVENTS CURRENTLY CONDUCTED IN ITS COMMUNITY, SUCH AS THE AMERICAN HEART ASSOCIATION HEART WALK. THE HOSPITAL ALSO PROVIDES FINANCIAL SUPPORT AND ASSISTANCE TO OTHER COMMUNITY GROUPS THROUGH THE PROVISION OF GRANTS TO ORGANIZATIONS, SUCH AS THE SHAWNEE MISSION EDUCATION FOUNDATION AND BLUE VALLEY EDUCATION FOUNDATION. |
| PART III, LINE 2: | THE AMOUNT OF BAD DEBT EXPENSE REPORTED ON LINE 2 OF SECTION A OF PART III IS RECORDED IN ACCORDANCE WITH HEALTHCARE FINANCIAL MANAGEMENT ASSOCIATION STATEMENT NO. 15. DISCOUNTS AND PAYMENTS ON PATIENT ACCOUNTS ARE RECORDED AS ADJUSTMENTS TO REVENUE, NOT BAD DEBT EXPENSE. |
| PART III, LINE 3: | METHODOLOGY FOR DETERMINING THE ESTIMATED AMOUNT OF BAD DEBT EXPENSE THAT MAY REPRESENT PATIENTS WHO COULD HAVE QUALIFIED UNDER THE FILING ORGANIZATION'S FINANCIAL ASSISTANCE POLICY:SELF-PAY PATIENTS MAY APPLY FOR FINANCIAL ASSISTANCE BY COMPLETING A FINANCIAL ASSISTANCE APPLICATION FORM (FAA FORM). IF AN INDIVIDUAL DOES NOT SUBMIT A COMPLETE FAA FORM WITHIN 240 DAYS AFTER THE FIRST POST-DISCHARGE BILLING STATEMENT IS SENT TO THE INDIVIDUAL, AN INDIVIDUAL MAY BE CONSIDERED FOR PRESUMPTIVE ELIGIBILITY BASED UPON A SCORING TOOL THAT IS DESIGNED TO CLASSIFY PATIENTS INTO GROUPS OF VARYING ECONOMIC MEANS. THE SCORING TOOL USES ALGORITHMS THAT INCORPORATE DATA FROM CREDIT BUREAUS, DEMOGRAPHIC DATABASES, AND HOSPITAL SPECIFIC DATA TO INFER AND CLASSIFY PATIENTS INTO RESPECTIVE ECONOMIC MEANS CATEGORIES. INDIVIDUALS WHO EARN A CERTAIN SCORE ON THE SCORING TOOL ARE CONSIDERED TO QUALIFY AS ELIGIBLE FOR THE MOST GENEROUS FINANCIAL ASSISTANCE UNDER THE FILING ORGANIZATION'S FINANCIAL ASSISTANCE POLICY. AS DETERMINED BY THE FILING ORGANIZATION, A NOMINAL AMOUNT OF SUCH A PATIENT'S BILL IS WRITTEN OFF AS BAD DEBT EXPENSE, WHILE THE REMAINING PORTION OF THE PATIENT'S BILL IS CONSIDERED NON-STATE CHARITY. THE AMOUNT WRITTEN OFF AS BAD DEBT EXPENSE FOR THOSE PATIENTS WHO POTENTIALLY QUALIFY AS NON-STATE CHARITY USING THE SCORING TOOL IS THE AMOUNT SHOWN ON LINE 3 OF SECTION A OF PART III. RATIONALE FOR INCLUDING CERTAIN BAD DEBTS IN COMMUNITY BENEFIT:THE FILING ORGANIZATION IS DEDICATED TO THE VIEW THAT MEDICALLY NECESSARY HEALTH CARE FOR EMERGENCY AND NON-ELECTIVE PATIENTS SHOULD BE ACCESSIBLE TO ALL, REGARDLESS OF AGE, GENDER, GEOGRAPHIC LOCATION, CULTURAL BACKGROUND, PHYSICIAN MOBILITY, OR ABILITY TO PAY. THE FILING ORGANIZATION TREATS EMERGENCY AND NON-ELECTIVE PATIENTS REGARDLESS OF THEIR ABILITY TO PAY OR THE AVAILABILITY OF THIRD-PARTY COVERAGE. BY PROVIDING HEALTH CARE TO ALL WHO REQUIRE EMERGENCY OR NON-ELECTIVE CARE IN A NON-DISCRIMINATORY MANNER, THE FILING ORGANIZATION IS PROVIDING HEALTH CARE TO THE BROAD COMMUNITY IT SERVES. AS A 501(C)(3) HOSPITAL ORGANIZATION, THE FILING ORGANIZATION MAINTAINS A 24/7 EMERGENCY ROOM PROVIDING CARE TO ALL WHOM PRESENT. WHEN A PATIENT'S ARRIVAL AND/OR ADMISSION TO THE FACILITY BEGINS WITHIN THE EMERGENCY DEPARTMENT, TRIAGE AND MEDICAL SCREENING ARE ALWAYS COMPLETED PRIOR TO REGISTRATION STAFF PROCEEDING WITH THE DETERMINATION OF A PATIENT'S SOURCE OF PAYMENT. IF THE PATIENT REQUIRES ADMISSION AND CONTINUED NON-ELECTIVE CARE, THE FILING ORGANIZATION PROVIDES THE NECESSARY CARE REGARDLESS OF THE PATIENT'S ABILITY TO PAY. THE FILING ORGANIZATION'S OPERATION OF A 24/7 EMERGENCY DEPARTMENT THAT ACCEPTS ALL INDIVIDUALS IN NEED OF CARE PROMOTES THE HEALTH OF THE COMMUNITY THROUGH THE PROVISION OF CARE TO ALL WHOM PRESENT. CURRENT INTERNAL REVENUE SERVICE GUIDANCE THAT TAX-EXEMPT HOSPITALS MAINTAIN SUCH EMERGENCY ROOMS WAS ESTABLISHED TO ENSURE THAT EMERGENCY CARE WOULD BE PROVIDED TO ALL WITHOUT DISCRIMINATION. THE TREATMENT OF ALL AT THE FILING ORGANIZATION'S EMERGENCY DEPARTMENT IS A COMMUNITY BENEFIT. UNDER THE FILING ORGANIZATION'S FINANCIAL ASSISTANCE POLICY, EVERY EFFORT IS MADE TO OBTAIN A PATIENT'S NECESSARY FINANCIAL INFORMATION TO DETERMINE ELIGIBILITY FOR FINANCIAL ASSISTANCE. HOWEVER, NOT ALL PATIENTS WILL COOPERATE WITH SUCH EFFORTS AND A FINANCIAL ASSISTANCE ELIGIBILITY DETERMINATION CANNOT BE MADE BASED UPON INFORMATION SUPPLIED BY THE INDIVIDUAL. IN THIS CASE, A PATIENT'S PORTION OF A BILL THAT REMAINS UNPAID FOR A CERTAIN STIPULATED TIME PERIOD IS WHOLLY OR PARTIALLY CLASSIFIED AS BAD DEBT. BAD DEBTS ASSOCIATED WITH PATIENTS WHO HAVE RECEIVED CARE THROUGH THE FILING ORGANIZATION'S EMERGENCY DEPARTMENT SHOULD BE CONSIDERED COMMUNITY BENEFIT AS CHARITABLE HOSPITALS EXIST TO PROVIDE SUCH CARE IN PURSUIT OF THEIR PURPOSE OF MEETING THE NEED FOR EMERGENCY MEDICAL CARE SERVICES AVAILABLE TO ALL IN THE COMMUNITY. |
| PART III, LINE 4: | FINANCIAL STATEMENT FOOTNOTE RELATED TO ACCOUNTS RECEIVABLE AND ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS:THE FINANCIAL INFORMATION OF THE FILING ORGANIZATION IS INCLUDED IN A CONSOLIDATED AUDITED FINANCIAL STATEMENT FOR THE CURRENT YEAR.THE APPLICABLE FOOTNOTE FROM THE ATTACHED CONSOLIDATED AUDITED FINANCIAL STATEMENTS THAT ADDRESSES ACCOUNTS RECEIVABLE, THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS, AND THE PROVISION FOR BAD DEBTS CAN BE FOUND ON PAGES 8-9. PLEASE NOTE THAT DOLLAR AMOUNTS ON THE ATTACHED CONSOLIDATED AUDITED FINANCIAL STATEMENTS ARE IN THOUSANDS. |
| PART III, LINE 8: | COSTING METHODOLOGY: MEDICARE ALLOWABLE COSTS WERE CALCULATED USING A COST-TO-CHARGE RATIO.RATIONALE FOR INCLUDING A MEDICARE SHORTFALL AS COMMUNITY BENEFIT:AS A 501(C)(3) ORGANIZATION, THE FILING ORGANIZATION PROVIDES EMERGENCY AND NON-ELECTIVE CARE TO ALL REGARDLESS OF ABILITY TO PAY. ALL HOSPITAL SERVICES ARE PROVIDED IN A NON-DISCRIMINATORY MANNER TO PATIENTS WHO ARE COVERED BENEFICIARIES UNDER THE MEDICARE PROGRAM. AS A PUBLIC INSURANCE PROGRAM, MEDICARE PROVIDES A PRE-ESTABLISHED REIMBURSEMENT RATE/AMOUNT TO HEALTH CARE PROVIDERS FOR THE SERVICES THEY PROVIDE TO PATIENTS. IN SOME CASES, THE REIMBURSEMENT AMOUNT PROVIDED TO A HOSPITAL MAY EXCEED ITS COSTS OF PROVIDING A PARTICULAR SERVICE OR SERVICES TO A PATIENT. IN OTHER CASES, THE MEDICARE REIMBURSEMENT AMOUNT MAY RESULT IN THE HOSPITAL EXPERIENCING A SHORTFALL OF REIMBURSEMENT RECEIVED OVER COSTS INCURRED. IN THOSE CASES WHERE AN OVERALL SHORTFALL IS GENERATED FOR PROVIDING SERVICES TO ALL MEDICARE PATIENTS, THE SHORTFALL AMOUNT SHOULD BE CONSIDERED AS A BENEFIT TO THE COMMUNITY. TAX-EXEMPT HOSPITALS ARE REQUIRED TO ACCEPT ALL MEDICARE PATIENTS REGARDLESS OF THE PROFITABILITY, OR LACK THEREOF, WITH RESPECT TO THE SERVICES THEY PROVIDE TO MEDICARE PATIENTS. THE POPULATION OF INDIVIDUALS COVERED UNDER THE MEDICARE PROGRAM IS SUFFICIENTLY LARGE SO THAT THE PROVISION OF SERVICES TO THE POPULATION IS A BENEFIT TO THE COMMUNITY AND RELIEVES THE BURDENS OF GOVERNMENT. IN THOSE SITUATIONS WHERE THE PROVISION OF SERVICES TO THE TOTAL MEDICARE PATIENT POPULATION OF A TAX-EXEMPT HOSPITAL DURING ANY YEAR RESULTS IN A SHORTFALL OF REIMBURSEMENT RECEIVED OVER THE COST OF PROVIDING CARE, THE TAX-EXEMPT HOSPITAL HAS PROVIDED A BENEFIT TO A CLASS OF PERSONS BROAD ENOUGH TO BE CONSIDERED A BENEFIT TO THE COMMUNITY. DESPITE A FINANCIAL SHORTFALL, A TAX-EXEMPT HOSPITAL MUST AND WILL CONTINUE TO ACCEPT AND CARE FOR MEDICARE PATIENTS. TYPICALLY, TAX-EXEMPT HOSPITALS PROVIDE HEALTH CARE SERVICES BASED UPON AN ASSESSMENT OF THE HEALTH CARE NEEDS OF THEIR COMMUNITY AS OPPOSED TO THEIR TAXABLE COUNTERPARTS WHERE PROFITABILITY OFTEN DRIVES DECISIONS ABOUT PATIENT CARE SERVICES THAT ARE OFFERED. PATIENT CARE PROVIDED BY TAX-EXEMPT HOSPITALS THAT RESULTS IN MEDICARE SHORTFALLS SHOULD BE CONSIDERED AS PROVIDING A BENEFIT TO THE COMMUNITY AND RELIEVING THE BURDENS OF GOVERNMENT. |
| PART III, LINE 9B: | COLLECTION POLICIES:THE HOSPITAL FILING ORGANIZATION'S COLLECTION PRACTICES ARE IN CONFORMITY WITH THE REQUIREMENTS SET FORTH IN THE 2014 FINAL REGULATIONS REGARDING THE REQUIREMENTS OF INTERNAL REVENUE CODE SECTION 501(R)(4) - (R)(6). NO EXTRAORDINARY COLLECTION ACTIONS (ECA'S) ARE INITIATED BY THE HOSPITAL FILING ORGANIZATION IN THE 120-DAY PERIOD FOLLOWING THE DATE AFTER THE FIRST POST-DISCHARGE BILLING STATEMENT IS SENT TO THE INDIVIDUAL (OR, IF LATER, THE SPECIFIED DEADLINE GIVEN IN A WRITTEN NOTICE OF ACTIONS THAT MAY BE TAKEN, AS DESCRIBED BELOW). INDIVIDUALS ARE PROVIDED WITH AT LEAST ONE WRITTEN NOTICE (NOTICE OF ACTIONS THAT MAY BE TAKEN) AND A COPY OF THE FILING ORGANIZATION'S PLAIN LANGUAGE SUMMARY OF THE FINANCIAL ASSISTANCE POLICY THAT INFORMS THE INDIVIDUAL THAT THE HOSPITAL FILING ORGANIZATION MAY TAKE ACTIONS TO REPORT ADVERSE INFORMATION TO CREDIT REPORTING AGENCIES/BUREAUS IF THE INDIVIDUAL DOES NOT SUBMIT A FINANCIAL ASSISTANCE APPLICATION FORM (FAA FORM) OR PAY THE AMOUNT DUE BY A SPECIFIED DEADLINE. THE SPECIFIED DEADLINE IS NOT EARLIER THAN 120 DAYS AFTER THE FIRST POST-DISCHARGE BILLING STATEMENT IS SENT TO THE INDIVIDUAL AND IS AT LEAST 30 DAYS AFTER THE NOTICE IS PROVIDED. A REASONABLE ATTEMPT IS ALSO MADE TO ORALLY NOTIFY AN INDIVIDUAL ABOUT THE FILING ORGANIZATION'S FINANCIAL ASSISTANCE POLICY AND HOW THE INDIVIDUAL MAY OBTAIN ASSISTANCE WITH THE FINANCIAL ASSISTANCE APPLICATION PROCESS. IF AN INDIVIDUAL SUBMITS AN INCOMPLETE FAA FORM DURING THE 240-DAY PERIOD FOLLOWING THE DATE ON WHICH THE FIRST POST-DISCHARGE BILLING STATEMENT WAS SENT TO THE INDIVIDUAL, THE HOSPITAL FILING ORGANIZATION SUSPENDS ANY REPORTING TO CONSUMER CREDIT REPORTING AGENCIES/BUREAUS (OR CEASES ANY OTHER ECA'S) AND PROVIDES A WRITTEN NOTICE TO THE INDIVIDUAL DESCRIBING WHAT ADDITIONAL INFORMATION OR DOCUMENTATION IS NEEDED TO COMPLETE THE FAA FORM. THIS WRITTEN NOTICE CONTAINS CONTACT INFORMATION INCLUDING THE TELEPHONE NUMBER AND PHYSICAL LOCATION OF THE HOSPITAL FACILITY'S OFFICE OR DEPARTMENT THAT CAN PROVIDE INFORMATION ABOUT THE FINANCIAL ASSISTANCE POLICY, AS WELL AS CONTACT INFORMATION OF THE HOSPITAL FACILITY'S OFFICE OR DEPARTMENT THAT CAN PROVIDE ASSISTANCE WITH THE FINANCIAL ASSISTANCE APPLICATION PROCESS OR, ALTERNATIVELY, A NONPROFIT ORGANIZATION OR GOVERNMENTAL AGENCY THAT CAN PROVIDE ASSISTANCE WITH THE FINANCIAL ASSISTANCE APPLICATION PROCESS IF THE HOSPITAL FACILITY IS UNABLE TO DO SO. IF AN INDIVIDUAL SUBMITS A COMPLETE FAA FORM WITHIN A REASONABLE TIME-PERIOD AS SET FORTH IN THE NOTICE DESCRIBED ABOVE, THE HOSPITAL FILING ORGANIZATION WILL SUSPEND ANY ADVERSE REPORTING TO CONSUMER CREDIT REPORTING AGENCIES/BUREAUS UNTIL A FINANCIAL ASSISTANCE POLICY ELIGIBILITY DETERMINATION CAN BE MADE. |
| SUPPLEMENTAL SCHEDULE TO SCHEDULE H, PART III, SECTION B, LINE 8: | RECONCILIATION OF SCHEDULE H REPORTED MEDICARE SURPLUS/(SHORTFALL) TO UNREIMBURSED MEDICARE COSTS ASSOCIATED WITH THE PROVISION OF SERVICESTO ALL MEDICARE BENEFICIARIES:THE MEDICARE REVENUE AND ALLOWABLE COSTS OF CARE REPORTED IN SECTION B OF PART III OF SCHEDULE H ARE BASED UPON THE AMOUNTS REPORTED IN THE FILING ORGANIZATION'S MEDICARE COST REPORT IN ACCORDANCE WITH THE IRS INSTRUCTIONS FOR SCHEDULE H. ON AN ANNUAL BASIS, THE FILING ORGANIZATION ALSO DETERMINES ITS TOTAL UNREIMBURSED COSTS ASSOCIATED WITH PROVIDING SERVICES TO ALL MEDICARE PATIENTS. UNREIMBURSED COSTS ARE CONSIDERED A COMMUNITY BENEFIT TO THE ELDERLY AND ARE COMBINED INTO AN ANNUAL COMMUNITY BENEFIT STATEMENT PREPARED BY ADVENTHEALTH. THE PRIMARY RECONCILING ITEMS BETWEEN THE MEDICARE SURPLUS/(SHORTFALL) SHOWN ON LINE 7 OF SECTION B OF PART III OF SCHEDULE H AND THE FILING ORGANIZATION'S UNREIMBURSED COSTS OF SERVICES PROVIDED TO ALL MEDICARE PATIENTS ARE AS FOLLOWS:- MEDICARE SURPLUS/(SHORTFALL) SHOWN ON LINE 7 OF SECTION B OF SCHEDULE H: $ (5,393,355)- DIFFERENCE IN COSTING METHODOLOGY: (21,547,076)- UNREIMBURSED COSTS INCURRED FOR SERVICES PROVIDED TO MEDICARE PATIENTS THAT ARE NOT INCLUDED IN THE ORGANIZATION'S MEDICARE COST REPORT: (34,741,840) -------------TOTAL UNREIMBURSED COSTS OF SERVING ALL MEDICARE PATIENTS PER THE FILING ORGANIZATION'S COMMUNITY BENEFIT REPORTING: $(61,682,271) AS INDICATED ABOVE, THE PRIMARY DIFFERENCES BETWEEN THE MEDICARE SURPLUS/(SHORTFALL) REPORTED ON SCHEDULE H, PART III, SECTION B, LINE 7 AND THE FILING ORGANIZATION'S PORTION OF THE COMPANY'S ANNUAL COMMUNITY BENEFIT STATEMENT IS DUE TO A DIFFERENCE IN THE COSTING METHODOLOGY AND DIFFERENCES IN THE POPULATION OF MEDICARE PATIENTS WITHIN THE CALCULATION. THE COST METHODOLOGY UTILIZED IN CALCULATING ANY MEDICARE SURPLUS/(SHORTFALL) FOR PURPOSES OF THE ANNUAL COMMUNITY BENEFIT REPORTING IS BASED UPON THE COST-TO-CHARGE RATIO OUTLINED IN WORKSHEET 2 OF THE SCHEDULE H INSTRUCTIONS. THE SAME COST-TO-CHARGE RATIO IS USED TO DETERMINE THE COSTS ASSOCIATED WITH SERVICES PROVIDED TO CHARITY CARE PATIENTS AND MEDICAID PATIENTS AS REPORTED IN SCHEDULE H, PART I, LINE 7. IN ADDITION, THE MEDICARE COST REPORT EXCLUDES SERVICES PROVIDED TO MEDICARE PATIENTS FOR PHYSICIAN SERVICES, SERVICES PROVIDED TO PATIENTS ENROLLED IN MEDICARE HMOS, AND CERTAIN SERVICES PROVIDED BY OUTPATIENT DEPARTMENTS OF THE FILING ORGANIZATION THAT ARE REIMBURSED ON A FEE SCHEDULE. THE COMPANY'S OWN COMMUNITY BENEFIT STATEMENT CAPTURES THE UNREIMBURSED COST OF PROVIDING SERVICES TO ALL MEDICARE BENEFICIARIES THROUGHOUT THE ORGANIZATION. |
| PART VI, LINE 2: | THE HOSPITAL CONDUCTS COMMUNITY HEALTH NEEDS ASSESSMENTS (CHNA) EVERY THREE YEARS. ITS 2022 CHNA WAS ADOPTED BY ITS GOVERNING BOARD BY DECEMBER 31, 2022, THE END OF THE HOSPITAL'S TAXABLE YEAR IN WHICH IT CONDUCTED THE CHNA. THE HOSPITAL'S 2022 CHNA COMPLIED WITH THE GUIDANCE SET FORTH BY THE IRS IN FINAL REGULATION SECTION 1.501(R)-3. IN ADDITION TO THE CHNA DISCUSSED ABOVE, A VARIETY OF PRACTICES AND PROCESSES ARE IN PLACE TO ENSURE THAT THE FILING ORGANIZATION IS RESPONSIVE TO THE HEALTH NEEDS OF ITS COMMUNITY.SUCH PRACTICES AND PROCESSES INVOLVE THE FOLLOWING:1.A HOSPITAL OPERATING/COMMUNITY BOARD COMPOSED OF INDIVIDUALS BROADLY REPRESENTATIVE OF THE COMMUNITY, COMMUNITY LEADERS, AND THOSE WITH SPECIALIZED MEDICAL TRAINING AND EXPERTISE;2.POST-DISCHARGE PATIENT FOLLOW-UP RELATED TO THE ON-GOING CARE AND TREATMENT OF PATIENTS WHO SUFFER FROM CHRONIC DISEASES; 3.SPONSORSHIP AND PARTICIPATION IN COMMUNITY HEALTH AND WELLNESS ACTIVITIES THAT REACH A BROAD SPECTRUM OF THE FILING ORGANIZATION'S COMMUNITY; AND 4.COLLABORATION WITH OTHER LOCAL COMMUNITY GROUPS TO ADDRESS THE HEALTH CARE NEEDS OF THE FILING ORGANIZATION'S COMMUNITY. |
| PART VI, LINE 3: | THE FINANCIAL ASSISTANCE POLICY (FAP), FINANCIAL ASSISTANCE APPLICATION FORM (FAA FORM), AND THE PLAIN LANGUAGE SUMMARY OF THE FINANCIAL ASSISTANCE POLICY (PLS) OF THE FILING ORGANIZATION'S HOSPITAL FACILITY ARE TRANSPARENT AND AVAILABLE TO ALL INDIVIDUALS SERVED AT ANY POINT IN THE CARE CONTINUUM. THE FAP, FAA FORM, PLS, AND CONTACT INFORMATION FOR THE HOSPITAL FACILITY'S FINANCIAL COUNSELORS ARE PROMINENTLY AND CONSPICUOUSLY POSTED ON THE FILING ORGANIZATION'S HOSPITAL FACILITY'S WEBSITE. THE WEBSITE INDICATES THAT A COPY OF THE FAP, FAA FORM, AND PLS IS AVAILABLE AND HOW TO OBTAIN SUCH COPIES IN THE PRIMARY LANGUAGES OF ANY POPULATIONS WITH LIMITED PROFICIENCY IN ENGLISH THAT CONSTITUTE THE LESSER OF 1,000 INDIVIDUALS OR 5% OF THE MEMBERS OF THE COMMUNITY SERVED BY THE HOSPITAL FACILITY (REFERRED TO BELOW AS LEP DEFINED POPULATIONS). SIGNAGE IS DISPLAYED IN PUBLIC LOCATIONS OF THE FILING ORGANIZATION'S HOSPITAL FACILITY, INCLUDING AT ALL POINTS OF ADMISSION AND REGISTRATION AND THE EMERGENCY DEPARTMENT. THE SIGNAGE CONTAINS THE HOSPITAL FACILITY'S WEBSITE ADDRESS WHERE THE FAP, FAA FORM, AND PLS CAN BE ACCESSED AND THE TELEPHONE NUMBER AND PHYSICAL LOCATION THAT INDIVIDUALS CAN CALL OR VISIT TO OBTAIN COPIES OF THE FAP, FAA FORM AND PLS OR TO OBTAIN MORE INFORMATION ABOUT THE HOSPITAL FACILITY'S FAP, FAA FORM AND PLS. PAPER COPIES OF THE HOSPITAL FACILITY'S FAP, FAA FORM AND PLS ARE AVAILABLE UPON REQUEST AND WITHOUT CHARGE, BOTH IN PUBLIC LOCATIONS IN THE HOSPITAL FACILITY AND BY MAIL. PAPER COPIES ARE MADE AVAILABLE IN ENGLISH AND IN THE PRIMARY LANGUAGES OF ANY LEP DEFINED POPULATIONS. THE FILING ORGANIZATION'S HOSPITAL FACILITY'S FINANCIAL COUNSELORS SEEK TO PROVIDE PERSONAL FINANCIAL COUNSELING TO ALL INDIVIDUALS ADMITTED TO THE HOSPITAL FACILITY WHO ARE CLASSIFIED AS SELF-PAY DURING THE COURSE OF THEIR HOSPITAL STAY OR AT TIME OF DISCHARGE TO EXPLAIN THE FAP AND FAA FORM AND TO PROVIDE INFORMATION CONCERNING OTHER SOURCES OF ASSISTANCE THAT MAY BE AVAILABLE, SUCH AS MEDICAID. A PAPER COPY OF THE HOSPITAL FACILITY'S PLS WILL BE OFFERED TO EVERY PATIENT AS A PART OF THE INTAKE OR DISCHARGE PROCESS. A CONSPICUOUS WRITTEN NOTICE IS INCLUDED ON ALL BILLING STATEMENTS SENT TO PATIENTS THAT NOTIFIES AND INFORMS RECIPIENTS ABOUT THE AVAILABILITY OF FINANCIAL ASSISTANCE UNDER THE FILING ORGANIZATION'S FINANCIAL ASSISTANCE POLICY, INCLUDING THE FOLLOWING: 1) THE TELEPHONE NUMBER OF THE HOSPITAL FACILITY'S OFFICE OR DEPARTMENT THAT CAN PROVIDE INFORMATION ABOUT THE FAP AND THE FAA FORM; AND 2) THE WEBSITE ADDRESS WHERE COPIES OF THE FAP, FAA FORM AND PLS MAY BE OBTAINED. REASONABLE ATTEMPTS ARE MADE TO INFORM INDIVIDUALS ABOUT THE HOSPITAL FACILITY'S FAP IN ALL ORAL COMMUNICATIONS REGARDING THE AMOUNT DUE FOR THE INDIVIDUAL'S CARE. COPIES OF THE PLS ARE DISTRIBUTED TO MEMBERS OF THE COMMUNITY IN A MANNER REASONABLY CALCULATED TO REACH THOSE MEMBERS OF THE COMMUNITY WHO ARE MOST LIKELY TO REQUIRE FINANCIAL ASSISTANCE. |
| PART VI, LINE 4: | THE FILING ORGANIZATION (THE HOSPITAL) IS LOCATED IN MERRIAM, KANSAS, AND IS LICENSED FOR 504 ACUTE CARE BEDS. THE HOSPITAL'S 54-ACRE CAMPUS INCLUDES AN OUTPATIENT SURGERY CENTER, SEVEN MEDICAL OFFICE BUILDINGS AND AN ASSOCIATE CHILD CARE CENTER. IN ADDITION TO OPERATING A HOSPITAL, THE FILING ORGANIZATION ALSO RUNS TWO SATELLITE CAMPUSES WHICH INCLUDE HOSPITAL-BASED EMERGENCY DEPARTMENTS AND OTHER AMBULATORY SERVICES; AND VARIOUS OCCUPATIONAL MEDICINE, REHABILITATION AND URGENT CARE CLINICS IN THE KANSAS CITY AREA. THE FILING ORGANIZATION EMPLOYS MORE THAN 3,500 LOCAL RESIDENTS AND SUPPORTS AN EXCEPTION STAFF OF NEARLY 700 PHYSICIANS, THE LARGEST FULL-SERVICE MEDICAL STAFF IN KANSAS CITY.ADVENTHEALTH SHAWNEE MISSION (AHSM) IS A CRUCIAL COMMUNITY AND REGIONAL ASSET. AHSM HAS THE BUSIEST EMERGENCY DEPARTMENT IN JOHNSON COUNTY, THE AREA'S FIRST ACCREDITED CHEST PAIN EMERGENCY CENTER, DELIVERS MORE BABIES THAN ANY OTHER HOSPITAL IN THE METROPOLITAN AREA, IS THE ONLY CERTIFIED MEMBER OF THE MD ANDERSON CANCER NETWORK IN KANSAS CITY, AND SINCE 1986 HAS BEEN OPERATING NURSELINE, WHICH ALLOWS INDIVIDUALS IN THE COMMUNITY TO SEEK FREE AND DEPENDABLE HEALTH INFORMATION FROM A REGISTERED NURSE 24 HOURS A DAY. A TOTAL OF FIVE OTHER COMPETING HOSPITALS ARE LOCATED WITHIN A RADIUS OF 12 MILES OR LESS FROM THE HOSPITAL'S PRIMARY HOSPITAL FACILITY.DURING 2022, THE HOSPITAL'S PATIENT PERCENTAGE POPULATION WAS MADE UP OF THE BELOW PAYORS WITH THE REMAINING PERCENTAGE OF THE PATIENTS BEING COVERED UNDER COMMERCIAL INSURANCE. IN 2022, ABOUT 56% OF THE HOSPITAL'S IN-PATIENTS WERE ADMITTED THROUGH THE HOSPITAL'S EMERGENCY DEPARTMENT. - MEDICARE PATIENTS 44.4% - MEDICAID PATIENTS 6.6% - SELF-PAY PATIENTS 4.5% THE DEMOGRAPHIC MAKEUP OF THE HOSPITAL'S COMMUNITY IS AS FOLLOWS: - POPULATION 716,574 - POPULATION OVER 65 13.6% - POVERTY (BELOW 100% FPL) 8.1% - HIGH SCHOOL GRADUATION RATE 92.4% - UNINSURED ADULTS 13.6% - FOOD INSECURITY RATE 11.8% - POP. WITH LOW FOOD ACCESS 65.3% |
| PART VI, LINE 5: | THE PROVISION OF COMMUNITY BENEFIT IS CENTRAL TO SHAWNEE MISSION MEDICAL CENTER'S MISSION OF SERVICE AND COMPASSION. RESTORING AND PROMOTING THE HEALTH AND QUALITY OF LIFE OF THOSE IN THE COMMUNITIES SERVED BY THE HOSPITAL IS A FUNCTION OF "EXTENDING THE HEALING MINISTRY OF CHRIST AND EMBODIES THE HOSPITAL'S COMMITMENT TO ITS VALUES AND PRINCIPLES. THE HOSPITAL COMMITS SUBSTANTIAL RESOURCES TO PROVIDE A BROAD RANGE OF SERVICES TO BOTH THE UNDERPRIVILEGED AS WELL AS THE BROADER COMMUNITY. IN ADDITION TO THE COMMUNITY BENEFIT AND COMMUNITY BUILDING INFORMATION PROVIDED IN PARTS I, II AND III OF THIS SCHEDULE H, THE HOSPITAL CAPTURES AND REPORTS THE BENEFITS PROVIDED TO ITS COMMUNITY THROUGH FAITH-BASED CARE. EXAMPLES OF SUCH BENEFITS INCLUDE THE COST ASSOCIATED WITH CHAPLAINCY CARE PROGRAMS AND MISSION PEER REVIEWS AND MISSION CONFERENCES. DURING THE CURRENT YEAR, THE HOSPITAL PROVIDED $1,038,681 OF BENEFIT WITH RESPECT TO THE FAITH-BASED AND SPIRITUAL NEEDS OF THE COMMUNITY IN CONJUNCTION WITH ITS OPERATION OF A COMMUNITY HOSPITAL. THE HOSPITAL ALSO PROVIDES BENEFITS TO ITS COMMUNITY'S INFRASTRUCTURE BY INVESTING IN CAPITAL IMPROVEMENTS TO ENSURE THAT FACILITIES AND TECHNOLOGY PROVIDE THE BEST POSSIBLE CARE TO THE COMMUNITY. DURING THE CURRENT YEAR, THE HOSPITAL EXPENDED $43,544,268 IN NEW CAPITAL IMPROVEMENTS. AS A FAITH-BASED MISSION-DRIVEN COMMUNITY HOSPITAL, THE HOSPITAL IS CONTINUALLY INVOLVED IN MONITORING ITS COMMUNITY, IDENTIFYING UNMET HEALTH CARE NEEDS AND DEVELOPING SOLUTIONS AND PROGRAMS TO ADDRESS THOSE NEEDS. IN ACCORDANCE WITH ITS CONSERVATIVE APPROACH TO FISCAL RESPONSIBILITY, SURPLUS FUNDS OF THE HOSPITAL ARE CONTINUALLY BEING INVESTED IN RESOURCES THAT IMPROVE THE AVAILABILITY AND QUALITY OF DELIVERY OF HEALTH CARE SERVICES AND PROGRAMS TO ITS COMMUNITY. |
| PART VI, LINE 6: | SHAWNEE MISSION MEDICAL CENTER IS A PART OF A FAITH-BASED HEALTHCARE SYSTEM OF ORGANIZATIONS WHOSE PARENT IS ADVENTIST HEALTH SYSTEM SUNBELT HEALTHCARE CORPORATION (AHSSHC). THE SYSTEM IS KNOWN AS ADVENTHEALTH. AHSSHC IS AN ORGANIZATION EXEMPT FROM FEDERAL INCOME TAX UNDER IRC SECTION 501(C)(3). AHSSHC AND ITS SUBSIDIARY ORGANIZATIONS OPERATE 49 HOSPITALS THROUGHOUT THE U.S., PRIMARILY IN THE SOUTHEASTERN PORTION OF THE U.S. AHSSHC AND ITS SUBSIDIARIES ALSO OPERATE 10 NURSING HOME FACILITIES AND OTHER ANCILLARY HEALTH CARE PROVIDER FACILITIES, SUCH AS AMBULATORY SURGERY CENTERS AND DIAGNOSTIC IMAGING CENTERS. AS THE PARENT ORGANIZATION OF ADVENTHEALTH, AHSSHC PROVIDES EXECUTIVE LEADERSHIP AND OTHER PROFESSIONAL SUPPORT SERVICES TO ITS SUBSIDIARY ORGANIZATIONS. PROFESSIONAL SUPPORT SERVICES INCLUDE AMONG OTHERS IT, CORPORATE COMPLIANCE, LEGAL, REIMBURSEMENT, RISK MANAGEMENT, AND TAX AS WELL AS TREASURY FUNCTIONS. CERTAIN SUPPORT SERVICES, SUCH AS HUMAN RESOURCES, PAYROLL, A/P, AND SUPPLY CHAIN MANAGEMENT ARE PROVIDED PURSUANT TO A SHARED SERVICES MODEL BY AHSSHC TO ITS SUBSIDIARY ORGANIZATIONS. THE PROVISION OF THESE EXECUTIVE AND SUPPORT SERVICES ON A CENTRALIZED BASIS BY AHSSHC PROVIDES AN APPROPRIATE BALANCE BETWEEN PROVIDING EACH ADVENTHEALTH SUBSIDIARY HOSPITAL ORGANIZATION WITH MISSION-DRIVEN CONSISTENT LEADERSHIP AND SUPPORT WHILE ALLOWING THE HOSPITAL ORGANIZATION TO FOCUS ITS RESOURCES ON MEETING THE SPECIFIC HEALTH CARE NEEDS OF THE COMMUNITY IT SERVES. THE READER OF THIS FORM 990 SHOULD KEEP IN MIND THAT THIS REPORTING ENTITY MAY DIFFER IN CERTAIN AREAS FROM THAT OF A STAND-ALONE HOSPITAL ORGANIZATION DUE TO ITS INCLUSION IN A LARGER SYSTEM OF HEALTHCARE ORGANIZATIONS. AS A PART OF A SYSTEM OF HOSPITAL AND OTHER HEALTH CARE ORGANIZATIONS, THE FILING ORGANIZATION BENEFITS FROM REDUCED COSTS DUE TO SYSTEM EFFICIENCIES, SUCH AS LARGE GROUP PURCHASING DISCOUNTS, AND THE AVAILABILITY OF INTERNAL RESOURCES SUCH AS INTERNAL LEGAL COUNSEL. EACH AHS SUBSIDIARY PAYS A MANAGEMENT FEE TO AHSSHC FOR THE INTERNAL SERVICES PROVIDED BY AHSSHC. AS A RESULT, MANAGEMENT FEE EXPENSE REPORTED BY AN ADVENTHEALTH SUBSIDIARY ORGANIZATION MAY APPEAR GREATER IN RELATION TO MANAGEMENT FEE EXPENSE THAT MAY BE REPORTED BY A SINGLE STAND-ALONE HOSPITAL. THE SINGLE STAND-ALONE HOSPITAL WOULD LIKELY REPORT COSTS ASSOCIATED WITH MANAGEMENT AND OTHER PROFESSIONAL SERVICES ON VARIOUS EXPENSE LINE ITEMS IN ITS STATEMENT OF REVENUE AND EXPENSE AS OPPOSED TO REPORTING SUCH COSTS IN ONE OVERALL MANAGEMENT FEE EXPENSE. AS THE REPORTING OF THE FORM 990 IS DONE ON AN ENTITY BY ENTITY BASIS, THERE IS NO SINGLE FORM 990 THAT CAPTURES THE PROGRAMS AND OPERATIONS OF ADVENTHEALTH AS A WHOLE. THE READER IS DIRECTED TO VISIT THE WEB-SITE OF ADVENTHEALTH AT WWW.ADVENTHEALTH.COM TO LEARN MORE ABOUT THE MISSION AND OPERATIONS OF ADVENTHEALTH. |
| SCHEDULE H, PART VI, LINE 7: | THE FILING ORGANIZATION DOES NOT FILE AN ANNUAL COMMUNITY BENEFIT REPORT WITH ANY STATE AGENCIES. |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (1) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable (21 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Recipient EINRecipientEIN | IRC SectionIRCSectionDesc | Cash GrantCashGrantAmt | Non Cash AssistanceNonCashAssistanceAmt | Purpose Of GrantPurposeOfGrantTxt | Valuation Method UsedValuationMethodUsedDesc | Non Cash AssistanceNonCashAssistanceDesc |
|---|---|---|---|---|---|---|---|---|---|---|
| THE BERT NASH COMMUNITY MENTAL HEALTH CENTER INC | ||||||||||
| 200 MAINE ST STE A | LAWRENCE | KS | 66044 | 480775739 | 501(C)(3) | $7,500 | $0 | GENERAL SUPPORT | ||
| CENTER FOR PRACTICAL BIOETHICS INC | ||||||||||
| 1111 MAIN ST 500 | KANSAS CITY | KS | 64105 | 480985815 | 501(C)(3) | $13,813 | $0 | GENERAL SUPPORT | ||
| AMERICAN HEART ASSOC INC | ||||||||||
| PO BOX 841390 | DALLAS | TX | 75284 | 135613797 | 501(C)(3) | $75,000 | $0 | GENERAL SUPPORT | ||
| CENTRAL STATES CONFERENCE ON THE TEACHING OF FOREIGN LANGUAGES | ||||||||||
| 239 TONKIN DRIVE | ISHPEMING | MI | 49849 | 237067399 | 501(C)(3) | $10,000 | $0 | GENERAL SUPPORT | ||
| IOWA-MISSOURI CONFERENCE OF SDA | ||||||||||
| 1005 GRAND AVE | WEST DES MOINES | IA | 50265 | 420801837 | 501(C)(3) | $6,000 | $0 | GENERAL SUPPORT | ||
| WELCOME HOUSE INC | ||||||||||
| 1414 E 27TH ST | KANSAS CITY | MO | 64108 | 430984039 | 501(C)(3) | $25,000 | $0 | GENERAL SUPPORT | ||
| KANSAS CITY EXPRESS INC | ||||||||||
| PO BOX 8158 | PRAIRIE VILLAGE | KS | 66208 | 274553532 | 501(C)(3) | $10,000 | $0 | GENERAL SUPPORT | ||
| KANSAS CITY SYMPHONY | ||||||||||
| 1703 WYANDOTTE ST STE 200 | KANSAS CITY | KS | 64108 | 431297475 | 501(C)(3) | $89,000 | $0 | GENERAL SUPPORT | ||
| JEWISH COMMUNITY CENTER OF GREATER KANSAS CITY | ||||||||||
| 5801 W 115TH STREET SUITE 101 | OVERLAND PARK | KS | 66211 | 440545992 | 501(C)(3) | $20,000 | $0 | GENERAL SUPPORT | ||
| NEW HAVEN SEVENTH DAY | ||||||||||
| 8714 ANTIOCH RD | OVERLAND PARK | KS | 66212 | 481147515 | 501(C)(3) | $109,000 | $0 | GENERAL SUPPORT | ||
| OLATHE PUBLIC SCHOOLS FOUNDATION | ||||||||||
| 300 E LOULA ST | OLATHE | KS | 66061 | 481190090 | 501(C)(3) | $5,750 | $0 | GENERAL SUPPORT | ||
| MIDLAND ADVENTIST ACADEMY | ||||||||||
| 6915 MAURER RD | SHAWNEE | KS | 66217 | 480774673 | 501(C)(3) | $106,500 | $0 | GENERAL SUPPORT | ||
| THE 3&2 BASEBALL CLUB OF JOHNSON COUNTY | ||||||||||
| PO BOX 14011 | LENEXA | KS | 66285 | 480796898 | 501(C)(3) | $25,000 | $0 | GENERAL SUPPORT | ||
| ADVENTHEALTH KANSAS CITY FOUNDATION | ||||||||||
| 9100 W 74TH STEET | SHAWNEE MISSION | KS | 66204 | 480868859 | 501(C)(3) | $383,936 | $1,147,880 | GENERAL SUPPORT | COST | GENERAL ADMIN SUPPORT |
| RANSOM MEMORIAL HOSPITAL CHARITABLE ASSOCIATION INC DBA ADVENTHEALTH OTT | ||||||||||
| 1301 S MAIN ST | OTTAWA | KS | 66067 | 481097527 | 501(C)(3) | $10,000 | $0 | GENERAL SUPPORT | ||
| DOWNTOWN OVERLAND PARK PARTNERSHIP INC | ||||||||||
| 7221 W 79TH ST STE 106 | OVERLAND PARK | KS | 66204 | 481147998 | 501(C)(6) | $20,000 | $0 | GENERAL SUPPORT | ||
| BLUE VALLEY EDUCATIONAL FOUNDATION | ||||||||||
| 15020 METCALF AVE | OVERLAND PARK | KS | 66223 | 481159744 | 501(C)(3) | $40,000 | $0 | GENERAL SUPPORT | ||
| ARTS AND RECREATION FOUNDATION OF OVERLAND PARK INC | ||||||||||
| 8500 SANTE FE | OVERLAND PARK | KS | 66212 | 481171599 | 501(C)(3) | $15,000 | $0 | GENERAL SUPPORT | ||
| SHAWNEE MISSION EDUCATION FOUNDATION | ||||||||||
| 8200 W 71ST STREET | SHAWNEE MISSION | KS | 66204 | 742823938 | 501(C)(3) | $20,000 | $0 | GENERAL SUPPORT | ||
| MERCY AND MERCY TRUTH MEDICAL MISSIONS | ||||||||||
| 721 N 31ST ST | KANSAS CITY | KS | 66102 | 742847917 | 501(C)(3) | $25,000 | $0 | GENERAL SUPPORT | ||
| PHARMACY OF GRACE INC | ||||||||||
| PO BOX 14884 | LENEXA | KS | 66285 | 825372375 | 501(C)(3) | $80,000 | $0 | GENERAL SUPPORT | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 20 | Total501c3OrgCnt |
| Total Other Org | 1 | TotalOtherOrgCnt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINE 2: | FormAndLineReferenceDesc |
| Explanation | GRANTS ARE GENERALLY MADE ONLY TO RELATED ORGANIZATIONS THAT ARE EXEMPT FROM FEDERAL INCOME TAX UNDER 501(C)(3) AND OTHER ORGANIZATIONS THAT ARE EXEMPT FROM FEDERAL INCOME TAX UNDER 501(C)(3) AND 501(C)6). ACCORDINGLY, THE FILING ORGANIZATION HAS NOT ESTABLISHED SPECIFIC PROCEDURES FOR MONITORING THE USE OF GRANT FUNDS IN THE UNITED STATES AS THE FILING ORGANIZATION DOES NOT HAVE A GRANT MAKING PROGRAM THAT WOULD NECESSITATE SUCH PROCEDURES. THEREFORE, GRANTS ARE APPROVED ON A CASE-BY-CASE BASIS. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| First Class Or Charter Travel | Yes (X) | FirstClassOrCharterTravelInd |
| Travel For Companions | Yes (X) | TravelForCompanionsInd |
| Idemnification Gross Up Pmts | Yes (X) | IdemnificationGrossUpPmtsInd |
| Discretionary Spending Acct | Yes (X) | DiscretionarySpendingAcctInd |
| Housing Allowance Or Residence | Yes (X) | HousingAllowanceOrResidenceInd |
| Club Dues Or Fees | Yes (X) | ClubDuesOrFeesInd |
| Written Policy Ref T And E Expnss | Yes (1) | WrittenPolicyRefTAndEExpnssInd |
| Substantiation Required | Yes (1) | SubstantiationRequiredInd |
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (1) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (15 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| BACON KEN | ||||||||||||||
| CHAIRMAN/CEO AH MULTI-STATE DIV | $0 | $1,226,644 | $0 | $338,892 | $0 | $56,102 | $0 | $243,332 | $0 | $46,940 | $0 | $1,911,910 | $0 | $0 |
| AL CHEKAKIEMD M OBADAH | ||||||||||||||
| PHYSICIAN | $888,519 | $0 | $395,650 | $0 | $4,180 | $0 | $16,400 | $0 | $33,388 | $0 | $1,338,137 | $0 | $0 | $0 |
| HUENERGARDT SAM | ||||||||||||||
| REGION CEO/TRUSTEE | $0 | $751,872 | $0 | $196,309 | $0 | $132,785 | $0 | $144,531 | $0 | $48,521 | $0 | $1,274,018 | $0 | $85,211 |
| HABIB MD AMMAR | ||||||||||||||
| PHYSICIAN | $781,971 | $0 | $265,374 | $0 | $27,270 | $0 | $16,400 | $0 | $32,314 | $0 | $1,123,329 | $0 | $0 | $0 |
| RANDOLPH KARSTEN | ||||||||||||||
| TRUSTEE/CFO AH MULTI-STATE DIV | $0 | $639,762 | $0 | $140,919 | $0 | $58,216 | $0 | $122,737 | $0 | $49,698 | $0 | $1,011,332 | $0 | $20,991 |
| BIRIA MD MAZDA | ||||||||||||||
| PHYSICIAN | $659,548 | $0 | $228,196 | $0 | $6,342 | $0 | $16,400 | $0 | $28,846 | $0 | $939,332 | $0 | $0 | $0 |
| WILT DO HEATH | ||||||||||||||
| PHYSICIAN | $532,663 | $0 | $301,590 | $0 | $2,595 | $0 | $16,400 | $0 | $27,953 | $0 | $881,201 | $0 | $0 | $0 |
| HERTZENBERG MD CASEY | ||||||||||||||
| PHYSICIAN | $815,283 | $0 | $0 | $0 | $3,063 | $0 | $16,400 | $0 | $31,040 | $0 | $865,786 | $0 | $0 | $0 |
| KNECHT MICHAEL | ||||||||||||||
| CEO | $0 | $512,681 | $0 | $113,491 | $0 | $87,785 | $0 | $93,312 | $0 | $52,250 | $0 | $859,519 | $0 | $54,462 |
| HEINRICH BILL | ||||||||||||||
| REGION CFO | $0 | $417,452 | $0 | $65,158 | $0 | $114,473 | $0 | $59,232 | $0 | $46,923 | $0 | $703,238 | $0 | $0 |
| HAYS MD LISA | ||||||||||||||
| CMO | $0 | $414,461 | $0 | $39,123 | $0 | $14,768 | $0 | $79,961 | $0 | $43,500 | $0 | $591,813 | $0 | $0 |
| FONTOURA DANIEL | ||||||||||||||
| COO | $0 | $368,422 | $0 | $67,156 | $0 | $19,432 | $0 | $73,055 | $0 | $39,868 | $0 | $567,933 | $0 | $0 |
| POTHIN OWEN MAIRILISE | ||||||||||||||
| CFO | $0 | $316,325 | $0 | $57,953 | $0 | $13,562 | $0 | $65,240 | $0 | $42,096 | $0 | $495,176 | $0 | $0 |
| KELLEY MD GORDON | ||||||||||||||
| TRUSTEE | $308,238 | $0 | $30,502 | $0 | $10,225 | $0 | $16,400 | $0 | $18,521 | $0 | $383,886 | $0 | $0 | $0 |
| SHELTON RAIMONDA | ||||||||||||||
| CNO (BEG 10/22) | $133,679 | $48,059 | $17,455 | $0 | $12,710 | $1,177 | $7,896 | $2,256 | $27,847 | $4,935 | $199,587 | $56,427 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| 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 49 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, TO COVER THE COST DIFFERENTIAL BETWEEN COACH AND FIRST-CLASS TRAVEL, OR TO COVER THE COST OF A CHARTER FLIGHT. 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 $24,000 FOR MEMBERS OF THE LEADERSHIP EXECUTIVE TEAM (13 ADVENTHEALTH CABINET MEMBERS AND THE ADVENTHEALTH MULTI-STATE CFO) AND $15,000 FOR ADVENTHEALTH CORPORATE OFFICE SENIOR VICE PRESIDENTS, REGIONAL CEO'S, AND DIVISION CHIEF OFFICERS (GENERALLY 50 - 55 INDIVIDUAL EXECUTIVES). A REGIONAL CEO FOR ADVENTHEALTH IS A MEMBER OF THE BOARD OF DIRECTORS OF THE FILING ORGANIZATION. THE REGIONAL CEO 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. A REPORT ON CHARTER TRAVEL IS PROVIDED TO THE AHSSHC BOARD COMPENSATION COMMITTEE AT EACH MEETING. 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 POLICY ADDRESSING GROSS-UP PAYMENTS PROVIDED IN CONNECTION WITH EMPLOYER-PROVIDED BENEFITS/OTHER TAXABLE ITEMS. UNDER THE POLICY, CERTAIN TAXABLE BUSINESS-RELATED REIMBURSEMENTS (I.E. TAXABLE BUSINESS-RELATED MOVING EXPENSES, TAXABLE ITEMS PROVIDED IN CONNECTION WITH EMPLOYMENT) 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. HOUSING ALLOWANCE OR RESIDENCE FOR PERSONAL USE: AHSSHC HAS A CORPORATE EXECUTIVE POLICY THAT ADDRESSES ASSISTANCE TO EXECUTIVES WHO HAVE BEEN RELOCATED BY THE COMPANY DURING THE YEAR. RELOCATION ASSISTANCE PROVIDED TO EXECUTIVES MAY INCLUDE RELOCATION ALLOWANCES TO ASSIST WITH DUPLICATE HOUSING EXPENSES. RELOCATION ASSISTANCE IS ADMINISTERED PER AHSSHC POLICY BY AN EXTERNAL RELOCATION COMPANY. ALL TAXABLE REIMBURSEMENTS MADE TO EXECUTIVES IN CONNECTION WITH RELOCATION ASSISTANCE ARE TREATED AS WAGES TO THE EXECUTIVE AND ARE SUBJECT TO ALL PAYROLL WITHHOLDING AND REPORTING REQUIREMENTS. 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 INITIALLY AS WELL AS 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, TWO EXECUTIVES 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 2022. 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 $305,000 IN 2022 (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. BACON, KEN $ 0 $ 0 $ 0 $ 226,932 HUENERGARDT, SAM $ 128,131 $ 115,142 $ 0 $ 0 RANDOLPH, KARSTEN $ 106,337 $ 28,763 $ 0 $ 0 KNECHT, MICHAEL $ 72,296 $ 64,648 $ 0 $ 4,617 HEINRICH, BILL $ 49,430 $ 0 $ 0 $ 13,901 HAYS, MD,LISA $ 0 $ 0 $ 0 $ 63,561 FONTOURA,DANIEL $ 0 $ 0 $ 0 $ 56,655 POTHIN OWEN,MAIRILISE $ 0 $ 0 $ 0 $ 48,840 * INCLUDING INVESTMENT EARNINGS |
Schedule L IRS990ScheduleL
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (2 entries)
| Relationship DescriptionRelationshipDescriptionTxt | TransactionTransactionAmt | TransactionTransactionDesc | Sharing Of RevenuesSharingOfRevenuesInd |
|---|---|---|---|
| SUSAN RODGERS | |||
| FAMILY OF BOARD MEMBER | $39,314 | COMPENSATION | 0 |
| SAMUEL CAUGHRON MD | |||
| BOARD MEMBER | $881,118 | PROFESSIONAL SERVICES | 0 |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (14 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART V, LINE 1A | THE PARENT CORPORATION AND SOLE TOP-TIER MEMBER OF SHAWNEE MISSION MEDICAL CENTER, INC. (THE FILING ORGANIZATION) IS ADVENTIST HEALTH SYSTEM SUNBELT HEALTHCARE CORPORATION (AHSSHC). AHSSHC IS A FLORIDA, NOT-FOR-PROFIT CORPORATION THAT IS EXEMPT FROM FEDERAL INCOME TAX UNDER INTERNAL REVENUE CODE (IRC) SECTION 501(C)(3). AHSSHC HAS ESTABLISHED A SHARED SERVICE CENTER TO CENTRALIZE THE ACCOUNTS PAYABLE (A/P) FUNCTION FOR ALL AHSSHC SUBSIDIARY ORGANIZATIONS. THE FILING ORGANIZATION HAS ENTERED "0" IN PART V, LINE 1A BECAUSE THE FILING ORGANIZATION NO LONGER ISSUES FORM 1099 RETURNS, RATHER, ALL SUCH RETURNS ARE FILED BY AND UNDER THE NAME AND EIN OF AHSSHC AS THE PAYOR SUBJECT TO THE INFORMATION REPORTING REQUIREMENTS OF SECTION 6041. THE FACTS AND CIRCUMSTANCES SUPPORT A POSITION THAT AHSSHC, AS A PAYOR ON BEHALF OF ITS SUBSIDIARY ORGANIZATIONS IN A SHARED SERVICE ENVIRONMENT, WILL HAVE SUFFICIENT MANAGEMENT AND OVERSIGHT IN CONNECTION WITH THE SUBSIDIARY ORGANIZATIONS' PAYMENTS TO MEET THE STANDARD SET FORTH IN TREAS. REG. SECTION 1.6041-1(E). AHSSHC WILL NOT MERELY BE MAKING PAYMENTS AT THE DIRECTION OF ITS SUBSIDIARY ORGANIZATIONS. ACCORDINGLY, AHSSHC IS CONSIDERED THE PAYOR SUBJECT TO THE INFORMATION REPORTING REQUIREMENTS OF SECTION 6041. |
| FORM 990, PART VI, SECTION A, LINE 6 | SHAWNEE MISSION MEDICAL CENTER, INC. (THE FILING ORGANIZATION) HAS ONE MEMBER. THE SOLE MEMBER OF THE FILING ORGANIZATION IS ADVENTIST HEALTH MID-AMERICA, INC. (AHMA). AHMA IS A KANSAS, NOT-FOR-PROFIT CORPORATION THAT IS 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 SOLE MEMBER OF THE FILING ORGANIZATION IS AHMA. THE BOARD OF TRUSTEES OF THE FILING ORGANIZATION ARE APPOINTED BY THE SOLE MEMBER, AHMA, WHO HAS THE RIGHT TO ELECT, APPOINT OR REMOVE ANY MEMBER OF THE BOARD OF TRUSTEES OF THE FILING ORGANIZATION. |
| FORM 990, PART VI, SECTION A, LINE 7B | AHMA, AS THE SOLE MEMBER OF THE FILING ORGANIZATION, HAS CERTAIN RESERVED POWERS AS SET FORTH IN THE BYLAWS OF THE FILING ORGANIZATION. THESE RESERVED POWERS INCLUDE THE FOLLOWING: A) TO APPROVE AND DISAPPROVE THE EXECUTIVE AND/OR ADMINISTRATIVE LEADERSHIP OF THE FILING ORGANIZATION, AND THEIR SALARIES; B) TO ADOPT, AMEND, RESTATE, AND REPEAL THE ARTICLES OF INCORPORATION OR BYLAWS OF THE FILING ORGANIZATION, AND THE MEDICAL STAFF BYLAWS; C) TO SET LIMITS AND TERMS FOR THE BORROWING OF FUNDS; D) TO APPROVE OR DISAPPROVE MAJOR BUILDING PROGRAMS AND/OR PURCHASE OR SALE OF PERSONAL PROPERTY OR REAL PROPERTY EQUAL TO OR IN EXCESS OF ONE MILLION DOLLARS; E) TO APPROVE OR DISAPPROVE THE ANNUAL OPERATING AND CAPITAL BUDGETS OF THE FILING ORGANIZATION; F) TO DIRECT THE PLACEMENT OF FUNDS AND CAPITAL OF THE FILING ORGANIZATION; G) TO ESTABLISH GENERAL GUIDING POLICIES, TO IMPLEMENT QUALITY ASSESSMENT, IMPROVEMENT AND UTILIZATION REVIEW PROGRAMS; AND H) TO APPROVE THE APPOINTMENT OF AN AUDITING FIRM AND ELECTION OF THE FISCAL YEAR FOR 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, BOARD FINANCE COMMITTEE CHAIR, CEO AND BY THE CFO PRIOR TO ITS FILING WITH THE IRS. THE REVIEW CONDUCTED BY THE BOARD CHAIRMAN, BOARD FINANCE COMMITTEE CHAIR, CEO AND THE 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 DIRECTORS 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 DIRECTORS 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 DIRECTORS 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 DIRECTORS 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 DIRECTORS (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 INTEREST 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 ADVENTHEALTH. THE AUDITED CONSOLIDATED FINANCIAL STATEMENTS OF ADVENTHEALTH AND OF THE ADVENTHEALTH "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 ADVENTHEALTH ON A CONSOLIDATED BASIS AND FOR THE GROUPING OF ADVENTHEALTH 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 AND OFFICER(S) 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 AS AN EMPLOYEE OF ADVENTIST HEALTH SYSTEM SUNBELT HEALTHCARE CORPORATION. |
| PART VIII, LINES 7A, B AND C: | THE AMOUNT SHOWN IN PART VIII, LINE 7C(I) OF THE FORM 990 REPRESENT AN ALLOCATED SHARE OF CAPITAL GAIN/(LOSS) FROM A SYSTEM WIDE, CORPORATE ADMINISTERED, INVESTMENT PROGRAM. |
| FORM 990, PART IX, LINE 11G | PAYMENTS TO HEALTHCARE PROFESSIONAL: PROGRAM SERVICE EXPENSES 19,627,204. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 19,627,204. PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 684,128. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 684,128. PURCHASED MEDICAL SERVICES: PROGRAM SERVICE EXPENSES 2,081,368. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,081,368. ENVIRONMENTAL SERVICES: PROGRAM SERVICE EXPENSES 834,628. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 834,628. TRANSCRIPTION: PROGRAM SERVICE EXPENSES 39,069. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 39,069. RECRUITING: PROGRAM SERVICE EXPENSES 373,161. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 373,161. MISCELLANEOUS PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 27,293,328. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 27,293,328. ADVENTHEALTH MANAGEMENT FEES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 6,199,179. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 6,199,179. BILLING & COLLECTION SERVICES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 2,131,153. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,131,153. ADVENTHEALTH SHARED SERVICE FEE: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 4,777,362. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 4,777,362. |
| PART X, LINE 2 | THE AMOUNTS SHOWN ON LINE 2 OF PART X OF THIS RETURN INCLUDES 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. |
| FORM 990, PART XI, LINE 9: | TRANSFER TO TAX-EXEMPT TOP-TIER PARENT -6,890,620. GIFTS FROM FOUNDATION 575,968. DONATED PROPERTY 453,580. ALLOCATION TO/FROM TAX-EXEMPT PARENT WITH RESPECT TO DEBT 1,672,853. TRANSFER TO TAX-EXEMPT RELATED ORGANIZATION -11,595,429. MARKET VALUE ADJUSTMENT -821,369. ROUNDING 2. |
| FORM 990, PART XII, LINE 3B OMB CIRCULAR A-133 AUDIT | THE TAXPAYER IS PART OF A CONTROLLED GROUP OF ORGANIZATIONS THAT COMPRISE A CONSOLIDATED FINANCIAL STATEMENT AUDIT. THE CONTROLLED GROUP'S PARENT IS ADVENTIST HEALTH SYSTEM SUNBELT HEALTHCARE CORPORATION (AHSSHC), A 501(C)(3) ORGANIZATION. THE SYSTEM OF HEALTHCARE ENTITIES OWNED AND CONTROLLED BY AHSSHC IS KNOWN AS ADVENTHEALTH. FOR THE YEAR ENDED DECEMBER 31, 2022, ADVENTHEALTH WILL FILE A CONSOLIDATED SINGLE AUDIT WHICH WILL INCLUDE ALL ENTITIES THAT ARE PART OF THE CONTROLLED GROUP. ACCORDINGLY, THE TAXPAYER HAS CHECKED YES TO THE QUESTIONS ON PART XII, LINE 3A AND 3B. |
Schedule R IRS990ScheduleR
Id Disregarded Entities IdDisregardedEntitiesGrp (3 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Total IncomeTotalIncomeAmt | End Of Year AssetsEndOfYearAssetsAmt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt |
|---|---|---|---|---|---|---|---|---|---|
| SM CORPORATE CARE LLC (11 - 42122) | |||||||||
| 9100 W 74TH ST | MERRIAM | KS | 66204 | 431864343 | INACTIVE | KS | $0 | $0 | SHAWNEE MISSION MEDICAL CENTER INC |
| SM MEDICAL SERVICES LLC (11 - 42122) | |||||||||
| 9100 W 74TH ST | MERRIAM | KS | 66204 | 431864341 | INACTIVE | KS | $0 | $0 | SHAWNEE MISSION MEDICAL CENTER INC |
| STRATEGIC HEALTHCARE RESOURCES LLC (11 - 42122) | |||||||||
| 9100 W 74TH ST | MERRIAM | KS | 66204 | 481219284 | INACTIVE | KS | $0 | $0 | SHAWNEE MISSION MEDICAL CENTER INC |
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (100 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Controlled OrganizationControlledOrganizationInd | Direct Controlling NADirectControllingNACd |
|---|---|---|---|---|---|---|---|---|---|---|---|
| ADVENTHEALTH ASHVILLE INC (5922 - 123122) | |||||||||||
| 900 HOPE WAY | ALTAMONTE SPRINGS | FL | 32714 | 921144574 | FUTURE OPERATION OF HOSPITAL & RELATED SERVICES | NC | 501(C)(3) | LINE 3 | ADVENTIST HLTH SYSTEM SUNBELT HLTHCARE CORP | Yes (1) | |
| ADVENTHEALTH FAMILY MEDICINE RURAL HEALTH CLINICS INC | |||||||||||
| 187 PR 4060 | LAMPASAS | TX | 76550 | 271858033 | OPERATION OF RURAL HEALTH CLINICS & MEDICAL SERVICES | FL | 501(C)(3) | LINE 3 | METROPLEX ADVENTIST HOSPITAL INC | Yes (1) | |
| ADVENTHEALTH FOUNDATION FKA SUNSYSTEM DEVELOPMENT CORP | |||||||||||
| 900 HOPE WAY | ALTAMONTE SPRINGS | FL | 32714 | 592219301 | FUND-RAISING FOR AFFILIATED TAX-EXEMPT HOSPITALS | FL | 501(C)(3) | LINE 7 | ADVENTIST HLTH SYSTEM SUNBELT HLTHCARE CORP | Yes (1) | |
| ADVENTHEALTH HOME CARE EAST FLORIDA LLC | |||||||||||
| 770 WEST GRANADA BLVD 319 | ORMOND BEACH | FL | 32174 | 833768458 | INACTIVE | FL | 501(C)(3) | LINE 10 | MEMORIAL HLTH SYSTEMS INC | Yes (1) | |
| ADVENTHEALTH HOSPICE CARE EAST FLORIDA INC | |||||||||||
| 770 WEST GRANADA BLVD 304 | ORMOND BEACH | FL | 32174 | 833748461 | INACTIVE | FL | 501(C)(3) | LINE 10 | MEMORIAL HLTH SYSTEMS INC | Yes (1) | |
| ADVENTHEALTH KANSAS CITY FOUNDATION | |||||||||||
| 7315 E FRONTAGE ROAD | MERRIAM | KS | 66204 | 480868859 | FUND-RAISING FOR TAX-EXEMPT HOSPITALS | KS | 501(C)(3) | LINE 7 | SHAWNEE MISSION MEDICAL CENTER INC | Yes (1) | |
| ADVENTHEALTH NORTH POLK INC | |||||||||||
| 3100 E FLETCHER AVE | TAMPA | FL | 33613 | 593231322 | INACTIVE | FL | 501(C)(3) | LINE 12A, I | UNIVERSITY COMMUNITY HOSPITAL INC | Yes (1) | |
| ADVENTHEALTH PALM COAST PARKWAY INC FKA AH EAST FLORIDA INC | |||||||||||
| 900 HOPE WAY | ALTAMONTE SPRINGS | FL | 32714 | 882288563 | FUTURE OPERATION OF HOSPITAL & RELATED SERVICES | FL | 501(C)(3) | LINE 3 | ADVENTIST HLTH SYSTEM SUNBELT HLTHCARE CORP | Yes (1) | |
| ADVENTHEALTH POLK NORTH INC | |||||||||||
| 40100 US HIGHWAY 27 N | DAVENPORT | FL | 33837 | 841793121 | OPERATION OF HOSPITAL & RELATED SERVICES | FL | 501(C)(3) | LINE 3 | ADVENTIST HLTH SYSTEM SUNBELT HLTHCARE CORP | Yes (1) | |
| ADVENTHEALTH POLK SOUTH INC | |||||||||||
| 410 SOUTH 11TH STREET | LAKE WALES | FL | 33853 | 834672945 | OPERATION OF HOSPITAL & RELATED SERVICES | FL | 501(C)(3) | LINE 3 | ADVENTIST HLTH SYSTEM SUNBELT HLTHCARE CORP | Yes (1) | |
| ADVENTHEALTH RANSOM MEMORIAL INC | |||||||||||
| 1301 S MAIN STREET | OTTAWA | KS | 66067 | 830976641 | OPERATION OF HOSPITAL & RELATED SERVICES | KS | 501(C)(3) | LINE 3 | ADVENTIST HLTH MID-AMERICA INC | Yes (1) | |
| ADVENTHEALTH RIVERVIEW INC | |||||||||||
| 14055 RIVEREDGE DRIVE STE 150 | TAMPA | FL | 33637 | 870901094 | FUTURE OPERATION OF HOSPITAL & RELATED SERVICES | FL | 501(C)(3) | LINE 3 | ADVENTIST HLTH SYSTEM SUNBELT HLTHCARE CORP | Yes (1) | |
| ADVENTHEALTH SENIOR CARE INC | |||||||||||
| 900 HOPE WAY | ALTAMONTE SPRINGS | FL | 32714 | 841817046 | OPERATION OF PHYSICIAN PRACTICES & MEDICAL SERVICES | FL | 501(C)(3) | LINE 3 | ADVENTIST HLTH SYSTEM SUNBELT HLTHCARE CORP | Yes (1) | |
| ADVENTHEALTH SOUTH OVERLAND PARK INC | |||||||||||
| 7820 W 165TH STREET | OVERLAND PARK | KS | 66223 | 364595806 | OPERATION OF HOSPITAL & RELATED SERVICES | KS | 501(C)(3) | LINE 3 | ADVENTIST HLTH MID-AMERICA INC | Yes (1) | |
| ADVENTHEALTH UNIVERSITY INC | |||||||||||
| 671 WINYAH DRIVE | ORLANDO | FL | 32803 | 593069793 | EDUCATION/OPERATION OF SCHOOL | FL | 501(C)(3) | LINE 2 | ADVENTIST HLTH SYSTEMSUNBELT INC | Yes (1) | |
| ADVENTHEALTH WEST FLORIDA AMBULATORY SERVICES INC | |||||||||||
| 14055 RIVEREDGE DRIVE STE 250 | TAMPA | FL | 33637 | 471881744 | SUPPORT OF IMAGING CENTER & HOME HEALTH SUBSIDIARIES | FL | 501(C)(3) | LINE 12B, II | ADVENTIST HLTH SYSTEM SUNBELT HLTHCARE CORP | Yes (1) | |
| ADVENTHEALTH WEST FLORIDA IMAGING INC | |||||||||||
| 14055 RIVEREDGE DRIVE STE 250 | TAMPA | FL | 33637 | 843225135 | IMAGING & TESTING | FL | 501(C)(3) | LINE 3 | ADVENTHEALTH WEST FLORIDA AMBULATORY SERVICES INC | Yes (1) | |
| ADVENTIST BOLINGBROOK HOSPITAL | |||||||||||
| 500 REMINGTON BLVD | BOLINGBROOK | IL | 60440 | 651219504 | OPERATION OF HOSPITAL & RELATED SERVICES | IL | 501(C)(3) | LINE 3 | ADVENTIST MIDWEST HEALTH | Yes (1) | |
| ADVENTIST CARE CENTERS - COURTLAND INC | |||||||||||
| 730 COURTLAND STREET | ORLANDO | FL | 32804 | 205774723 | OPERATION OF HOME FOR THE AGED/HLTHCARE DELIVERY | FL | 501(C)(3) | LINE 10 | SUNBELT HLTH CARE CENTERS INC | Yes (1) | |
| ADVENTIST GLENOAKS HOSPITAL | |||||||||||
| 701 WINTHROP AVENUE | GLENDALE HEIGHTS | IL | 60139 | 363208390 | OPERATION OF HOSPITAL & RELATED SERVICES | IL | 501(C)(3) | LINE 3 | ADVENTIST MIDWEST HEALTH | Yes (1) | |
| ADVENTIST HEALTH MID-AMERICA INC | |||||||||||
| 9100 W 74TH STREET | SHAWNEE MISSION | KS | 66204 | 521347407 | SUPPORT OF AFFILIATED HOSPITAL | KS | 501(C)(3) | LINE 12C, III-FI | ADVENTIST HLTH SYSTEMSUNBELT INC | Yes (1) | |
| ADVENTIST HEALTH PARTNERS INC | |||||||||||
| 5101 S WILLOW SPRINGS RD SUITE B101 | LA GRANGE | IL | 60525 | 364138353 | OPERATION OF PHYSICIAN PRACTICES & MEDICAL SERVICES | IL | 501(C)(3) | LINE 3 | ADVENTIST MIDWEST HEALTH | Yes (1) | |
| ADVENTIST HEALTH SYSTEM GEORGIA INC | |||||||||||
| 1035 RED BUD ROAD NE | CALHOUN | GA | 30701 | 581425000 | OPERATION OF HOSPITAL & RELATED SERVICES | GA | 501(C)(3) | LINE 3 | ADVENTIST HLTH SYSTEM SUNBELT HLTHCARE CORP | Yes (1) | |
| ADVENTIST HLTH SYSTEM SUNBELT HLTHCARE CORP | |||||||||||
| 900 HOPE WAY | ALTAMONTE SPRINGS | FL | 32714 | 592170012 | MANAGEMENT SERVICES | FL | 501(C)(3) | LINE 12A, I | 0 | N/A | |
| ADVENTIST HLTH SYSTEMSUNBELT INC | |||||||||||
| 900 HOPE WAY | ALTAMONTE SPRINGS | FL | 32714 | 591479658 | OPERATION OF HOSPITALS & RELATED SERVICES | FL | 501(C)(3) | LINE 3 | ADVENTIST HLTH SYSTEM SUNBELT HLTHCARE CORP | Yes (1) | |
| ADVENTIST HLTH SYSTEMTEXAS INC | |||||||||||
| 11801 S FREEWAY | BURLESON | TX | 76028 | 742578952 | LEASING PERSONNEL TO AFFILIATED HOSPITAL | TX | 501(C)(3) | LINE 12C, III-FI | ADVENTIST HLTH SYSTEM SUNBELT HLTHCARE CORP | Yes (1) | |
| ADVENTIST MIDWEST HEALTH | |||||||||||
| 120 NORTH OAK STREET | HINSDALE | IL | 60521 | 362276984 | OPERATION OF HOSPITALS & RELATED SERVICES | IL | 501(C)(3) | LINE 3 | ADVENTIST HLTH SYSTEMSUNBELT INC | Yes (1) | |
| AHP SPECIALTY CARE NFP | |||||||||||
| 5101 S WILLOW SPRINGS RD SUITE B101 | LA GRANGE | IL | 60525 | 811105774 | OPERATION OF PHYSICIAN PRACTICES & MEDICAL SERVICES | IL | 501(C)(3) | LINE 3 | ADVENTIST MIDWEST HEALTH | Yes (1) | |
| AHS MIDWEST MANAGEMENT INC | |||||||||||
| 500 REMINGTON BLVD | BOLINGBROOK | IL | 60440 | 363354567 | OPERATION OF PHYSICIAN PRACTICE MANAGEMENT | IL | 501(C)(3) | LINE 12A, I | ADVENTIST HLTH SYSTEM SUNBELT HLTHCARE CORP | Yes (1) | |
| APOPKA HEALTH CARE PROPERTIES INC | |||||||||||
| 305 E OAK STREET | APOPKA | FL | 32703 | 510605694 | LEASE TO RELATED ORGANIZATION | GA | 501(C)(3) | LINE 12C, III-FI | SUNBELT HLTH CARE CENTERS INC | Yes (1) | |
| BERT FISH MEDICAL CENTER AUXILIARY INC | |||||||||||
| 401 PALMETTO STREET | NEW SMYRNA BEACH | FL | 32168 | 591054892 | VOLUNTEER SUPPORT SERVICES | FL | 501(C)(3) | LINE 10 | SOUTHEAST VOLUSIA HEALTHCARE CORP | 0 | |
| BRADFORD HEIGHTS HEALTH & REHAB CENTER INC (11-122222) | |||||||||||
| 485 NORTH KELLER ROAD 250 | MAITLAND | FL | 32751 | 205782342 | INACTIVE - WIND-DOWN | KY | 501(C)(3) | LINE 10 | SUNBELT HLTH CARE CENTERS INC | Yes (1) | |
| BURLESON NURSING & REHAB CENTER INC | |||||||||||
| 301 HUGULEY BLVD | BURLESON | TX | 76028 | 205782243 | OPERATION OF HOME FOR THE AGED/HLTHCARE DELIVERY | TX | 501(C)(3) | LINE 10 | SUNBELT HLTH CARE CENTERS INC | Yes (1) | |
| CHICKASAW HEALTH CARE PROPERTIES INC | |||||||||||
| 250 S CHICKASAW TRAIL | ORLANDO | FL | 32825 | 510605681 | LEASE TO RELATED ORGANIZATION | GA | 501(C)(3) | LINE 12C, III-FI | SUNBELT HLTH CARE CENTERS INC | Yes (1) | |
| CHIPPEWA VALLEY HOSPITAL & OAKVIEW CARE CENTER INC | |||||||||||
| 1220 THIRD AVENUE WEST | DURAND | WI | 54736 | 391365168 | OPERATION OF HOSPITAL & RELATED SERVICES | WI | 501(C)(3) | LINE 3 | ADVENTIST HLTH SYSTEMSUNBELT INC | Yes (1) | |
| COALITION FOR PHYSICIAN WELL-BEING INC | |||||||||||
| 900 HOPE WAY | ALTAMONTE SPRINGS | FL | 32714 | 463477012 | PROVIDE SUPPORT FOR PHYSICIAN WELL-BEING | FL | 501(C)(3) | LINE 10 | ADVENTIST HLTH SYSTEM SUNBELT HLTHCARE CORP | Yes (1) | |
| COURTLAND HEALTH CARE PROPERTIES INC | |||||||||||
| 730 COURTLAND STREET | ORLANDO | FL | 32804 | 510605682 | LEASE TO RELATED ORGANIZATION | GA | 501(C)(3) | LINE 12C, III-FI | SUNBELT HLTH CARE CENTERS INC | Yes (1) | |
| CREEKWOOD PLACE NURSING & REHAB CENTER INC (11-12622) | |||||||||||
| 485 NORTH KELLER ROAD 250 | MAITLAND | FL | 32751 | 205782260 | INACTIVE - WIND-DOWN | KY | 501(C)(3) | LINE 10 | SUNBELT HLTH CARE CENTERS INC | Yes (1) | |
| DAIRY ROAD HEALTH CARE PROPERTIES INC | |||||||||||
| 7350 DAIRY ROAD | ZEPHYRHILLS | FL | 33540 | 510605684 | LEASE TO RELATED ORGANIZATION | GA | 501(C)(3) | LINE 12C, III-FI | SUNBELT HLTH CARE CENTERS INC | Yes (1) | |
| EAST ORLANDO HEALTH & REHAB CENTER INC | |||||||||||
| 250 S CHICKASAW TRAIL | ORLANDO | FL | 32825 | 205774748 | OPERATION OF HOME FOR THE AGED/HLTHCARE DELIVERY | FL | 501(C)(3) | LINE 10 | SUNBELT HLTH CARE CENTERS INC | Yes (1) | |
| FLETCHER HOSPITAL INC | |||||||||||
| 100 HOSPITAL DRIVE | HENDERSONVILLE | NC | 28792 | 560543246 | OPERATION OF HOSPITAL & RELATED SERVICES | NC | 501(C)(3) | LINE 3 | ADVENTIST HLTH SYSTEM SUNBELT HLTHCARE CORP | Yes (1) | |
| FLNC INC | |||||||||||
| 3355 E SEMORAN BLVD | APOPKA | FL | 32703 | 205774761 | OPERATION OF HOME FOR THE AGED/HLTHCARE DELIVERY | FL | 501(C)(3) | LINE 10 | SUNBELT HLTH CARE CENTERS INC | Yes (1) | |
| FLORIDA HOSPITAL DADE CITY INC | |||||||||||
| 13100 FORT KING ROAD | DADE CITY | FL | 33525 | 822567308 | OPERATION OF HOSPITAL & RELATED SERVICES | FL | 501(C)(3) | LINE 3 | ADVENTIST HLTH SYSTEM SUNBELT HLTHCARE CORP | Yes (1) | |
| FLORIDA HOSPITAL HEALTHCARE PARTNERS INC | |||||||||||
| 770 WEST GRANADA BLVD 101 | ORMOND BEACH | FL | 32174 | 462354804 | OPERATION OF PHYSICIAN PRACTICES & MEDICAL SERVICES | FL | 501(C)(3) | LINE 3 | ADVENTIST HLTH SYSTEMSUNBELT INC | Yes (1) | |
| FLORIDA HOSPITAL MEDICAL GROUP INC | |||||||||||
| 2600 WESTHALL LANE 4TH FLOOR | MAITLAND | FL | 32751 | 593214635 | OPERATION OF PHYSICIAN PRACTICES & MEDICAL SERVICES | FL | 501(C)(3) | LINE 3 | ADVENTIST HLTH SYSTEMSUNBELT INC | Yes (1) | |
| FLORIDA HOSPITAL OCALA INC | |||||||||||
| 1500 SW 1ST AVENUE | OCALA | FL | 34471 | 824372339 | OPERATION OF HOSPITAL & RELATED SERVICES | FL | 501(C)(3) | LINE 3 | ADVENTIST HLTH SYSTEM SUNBELT HLTHCARE CORP | Yes (1) | |
| FLORIDA HOSPITAL PHYSICIAN GROUP INC | |||||||||||
| 12470 TELECOM DR 100 | TAMPA | FL | 33637 | 462021581 | OPERATION OF PHYSICIAN PRACTICES & MEDICAL SERVICES | FL | 501(C)(3) | LINE 3 | ADVENTIST HLTH SYSTEM SUNBELT HLTHCARE CORP | Yes (1) | |
| FLORIDA HOSPITAL WATERMAN INC | |||||||||||
| 1000 WATERMAN WAY | TAVARES | FL | 32778 | 593140669 | OPERATION OF HOSPITAL & RELATED SERVICES | FL | 501(C)(3) | LINE 3 | ADVENTIST HLTH SYSTEM SUNBELT HLTHCARE CORP | Yes (1) | |
| FLORIDA HOSPITAL ZEPHYRHILLS INC | |||||||||||
| 7050 GALL BLVD | ZEPHYRHILLS | FL | 33541 | 592108057 | OPERATION OF HOSPITAL & RELATED SERVICES | FL | 501(C)(3) | LINE 3 | ADVENTIST HLTH SYSTEMSUNBELT INC | Yes (1) | |
| FLORIDA RADIOLOGY IMAGING AT LAKE MARY LLC | |||||||||||
| 2600 WESTHALL LANE 4TH FLOOR | MAITLAND | FL | 32751 | 550789387 | IMAGING & TESTING | FL | 501(C)(3) | LINE 3 | FLORIDA HOSPITAL MEDICAL GROUP INC | Yes (1) | |
| FOUNTAIN INN NURSING & REHAB CENTER INC | |||||||||||
| 4501 WATERMAN WAY | TAVARES | FL | 32778 | 472180518 | OPERATION OF HOME FOR THE AGED/HLTHCARE DELIVERY | FL | 501(C)(3) | LINE 10 | SUNBELT HLTH CARE CENTERS INC | Yes (1) | |
| HELEN ELLIS MEMORIAL HOSPITAL AUXILIARY INC | |||||||||||
| 1395 S PINELLAS AVE | TARPON SPRINGS | FL | 34689 | 592106043 | FUND-RAISING FOR TAX-EXEMPT HOSPITAL/FOUNDATION | FL | 501(C)(3) | LINE 12C, III-FI | 0 | N/A | |
| HELEN ELLIS MEMORIAL HOSPITAL FOUNDATION INC | |||||||||||
| 1395 S PINELLAS AVE | TARPON SPRINGS | FL | 34689 | 593690149 | FUND-RAISING FOR TAX-EXEMPT HOSPITAL | FL | 501(C)(3) | LINE 7 | 0 | N/A | |
| HINSDALE HOSPITAL FOUNDATION | |||||||||||
| 120 NORTH OAK STREET | HINSDALE | IL | 60521 | 521466387 | FUND-RAISING FOR TAX-EXEMPT HOSPITAL | IL | 501(C)(3) | LINE 7 | MIDWEST HLTH FOUNDATION | 0 | |
| HOSPICE OF THE COMFORTER INC | |||||||||||
| 480 W CENTRAL PARKWAY | ALTAMONTE SPRINGS | FL | 32714 | 592935928 | OPERATION OF HOSPICE | FL | 501(C)(3) | LINE 10 | THE COMFORTER HEALTH CARE GROUP INC | Yes (1) | |
| IN-MOTION REHAB INC (11-122722) | |||||||||||
| 485 NORTH KELLER ROAD 250 | MAITLAND | FL | 32751 | 208023411 | INACTIVE | KS | 501(C)(3) | LINE 12B, II | SUNBELT HLTH CARE CENTERS INC | Yes (1) | |
| LAKE COUNTY HEALTH CARE PROPERTIES INC (11-122822) | |||||||||||
| 485 NORTH KELLER ROAD 250 | MAITLAND | FL | 32751 | 813923985 | LEASE TO RELATED ORGANIZATION | GA | 501(C)(3) | LINE 12C, III-FI | SUNBELT HLTH CARE CENTERS INC | Yes (1) | |
| MEMORIAL HEALTH SYSTEMS FOUNDATION INC | |||||||||||
| 305 MEMORIAL MEDICAL PKWY 212 | DAYTONA BEACH | FL | 32117 | 311771522 | FUND-RAISING FOR TAX-EXEMPT HOSPITAL | FL | 501(C)(3) | LINE 7 | 0 | N/A | |
| MEMORIAL HEALTH SYSTEMS INC | |||||||||||
| 301 MEMORIAL MEDICAL PARKWAY | DAYTONA BEACH | FL | 32117 | 590973502 | OPERATION OF HOSPITAL & RELATED SERVICES | FL | 501(C)(3) | LINE 3 | ADVENTIST HLTH SYSTEMSUNBELT INC | Yes (1) | |
| MEMORIAL HOSPITAL - WEST VOLUSIA INC | |||||||||||
| 701 WEST PLYMOUTH AVENUE | DELAND | FL | 32720 | 593256803 | OPERATION OF HOSPITAL & RELATED SERVICES | FL | 501(C)(3) | LINE 3 | MEMORIAL HLTH SYSTEMS INC | Yes (1) | |
| MEMORIAL HOSPITAL FLAGLER INC | |||||||||||
| 60 MEMORIAL MEDICAL PARKWAY | PALM COAST | FL | 32164 | 592951990 | OPERATION OF HOSPITAL & RELATED SERVICES | FL | 501(C)(3) | LINE 3 | MEMORIAL HLTH SYSTEMS INC | Yes (1) | |
| MEMORIAL HOSPITAL INC | |||||||||||
| 210 MARIE LANGDON DRIVE | MANCHESTER | KY | 40962 | 610594620 | OPERATION OF HOSPITAL & RELATED SERVICES | KY | 501(C)(3) | LINE 3 | ADVENTIST HLTH SYSTEM SUNBELT HLTHCARE CORP | Yes (1) | |
| METROPLEX ADVENTIST HOSPITAL INC | |||||||||||
| 2201 S CLEAR CREEK ROAD | KILLEEN | TX | 76549 | 742225672 | OPERATION OF HOSPITAL & RELATED SERVICES | TX | 501(C)(3) | LINE 3 | ADVENTIST HLTH SYSTEM SUNBELT HLTHCARE CORP | Yes (1) | |
| METROPLEX CLINIC PHYSICIANS INC | |||||||||||
| 2201 S CLEAR CREEK ROAD | KILLEEN | TX | 76549 | 113762050 | PHYSICIAN HEALTHCARE SERVICES TO THE COMMUNITY | TX | 501(C)(3) | LINE 3 | METROPLEX ADVENTIST HOSPITAL INC | Yes (1) | |
| MIDWEST HEALTH FOUNDATION | |||||||||||
| 120 NORTH OAK STREET | HINSDALE | IL | 60521 | 352230515 | FUND-RAISING FOR SUPPORTED EXEMPT HOSPITALS | IL | 501(C)(3) | LINE 7 | 0 | N/A | |
| MILLS HEALTH & REHAB CENTER INC(11-12622) | |||||||||||
| 485 NORTH KELLER ROAD 250 | MAITLAND | FL | 32751 | 205782320 | INACTIVE - WIND-DOWN | KY | 501(C)(3) | LINE 10 | SUNBELT HLTH CARE CENTERS INC | Yes (1) | |
| MISSION STRATEGIES OF GEORGIA INC | |||||||||||
| 485 NORTH KELLER ROAD 250 | MAITLAND | FL | 32751 | 900866024 | PROVISION OF SUPPORT TO THE NURSING HOME DIVISION | GA | 501(C)(3) | LINE 12B, II | SUNBELT HLTH CARE CENTERS INC | Yes (1) | |
| MISSOURI ADVENTIST HEALTH INC | |||||||||||
| 9100 W 74TH STREET | SHAWNEE MISSION | KS | 66204 | 431224729 | SUPPORT HEALTH CARE SERVICES | MO | 501(C)(3) | LINE 12D, III-O | ADVENTIST HLTH MID-AMERICA INC | Yes (1) | |
| OSCEOLA HEALTH CARE PROPERTIES INC | |||||||||||
| 485 NORTH KELLER ROAD 250 | MAITLAND | FL | 32751 | 813165729 | LEASE TO RELATED ORGANIZATION | GA | 501(C)(3) | LINE 12C, III-FI | SUNBELT HLTH CARE CENTERS INC | Yes (1) | |
| OVERLAND PARK NURSING & REHAB CENTER INC | |||||||||||
| 6501 WEST 75TH STREET | OVERLAND PARK | KS | 66204 | 205774821 | OPERATION OF HOME FOR THE AGED/HLTHCARE DELIVERY | KS | 501(C)(3) | LINE 10 | SUNBELT HLTH CARE CENTERS INC | Yes (1) | |
| PASCO-PINELLAS HILLSBOROUGH COMMUNITY HLTH SYSTEM INC | |||||||||||
| 2600 BRUCE B DOWNS BLVD | WESLEY CHAPEL | FL | 33544 | 208488713 | OPERATION OF HOSPITAL & RELATED SERVICES | FL | 501(C)(3) | LINE 3 | ADVENTIST HLTH SYSTEM SUNBELT HLTHCARE CORP | Yes (1) | |
| PORTERCARE ADVENTIST HEALTH SYSTEM (630 YE) | |||||||||||
| 9100 E MINERAL CIRCLE | CENTENNIAL | CO | 80112 | 840438224 | OPERATION OF HOSPITALS & RELATED SERVICES | CO | 501(C)(3) | LINE 3 | ADVENTIST HLTH SYSTEM SUNBELT HLTHCARE CORP | Yes (1) | |
| PRINCETON HEALTH & REHAB CENTER INC (11-12622) | |||||||||||
| 485 NORTH KELLER ROAD 250 | MAITLAND | FL | 32751 | 205782272 | INACTIVE - WIND-DOWN | KY | 501(C)(3) | LINE 10 | SUNBELT HLTH CARE CENTERS INC | Yes (1) | |
| PRINCETON HOMECARE SERVICES LLC (81 - 123122) | |||||||||||
| 602 COURTLAND STREET 310 | ORLANDO | FL | 32804 | 814196648 | HOME HEALTH CARE SERVCIES | FL | 501(C)(3) | LINE 10 | PRINCETON PROF SERVICES INC | Yes (1) | |
| PRINCETON PROFESSIONAL SERVICES INC | |||||||||||
| 601 E ROLLINS STREET | ORLANDO | FL | 32803 | 591191045 | PROVISION OF HEALTHCARE SERVICES | FL | 501(C)(3) | LINE 10 | ADVENTIST HLTH SYSTEM SUNBELT HLTHCARE CORP | Yes (1) | |
| QUALITY CIRCLE FOR HEALTHCARE INC | |||||||||||
| 900 HOPE WAY | ALTAMONTE SPRINGS | FL | 32714 | 263789368 | HEALTHCARE QUALITY SERVICES | FL | 501(C)(3) | LINE 12A, I | ADVENTIST HLTH SYSTEM SUNBELT HLTHCARE CORP | Yes (1) | |
| REDMOND PARK HOSPITAL LLC | |||||||||||
| 501 REDMOND ROAD NW | ROME | GA | 30165 | 581123037 | OPERATION OF HOSPITAL & RELATED SERVICES | GA | 501(C)(3) | LINE 3 | ADVENTIST HLTH SYSTEM SUNBELT HLTHCARE CORP | Yes (1) | |
| RESOURCE PERSONNEL INC | |||||||||||
| 485 NORTH KELLER ROAD 250 | MAITLAND | FL | 32751 | 208040875 | PROVIDE ADMINISTRATIVE SUPPORT TO TAX EXEMPT NURSING HOMES | FL | 501(C)(3) | LINE 12B, II | SUNBELT HLTH CARE CENTERS INC | Yes (1) | |
| ROCKY MOUNTAIN ADVENTIST HLTHCARE FOUNDATION (630 YE) | |||||||||||
| 960 E HARVARD AVENUE STE 230 | DENVER | CO | 80210 | 840745018 | FUND-RAISING FOR TAX-EXEMPT HOSPITAL | CO | 501(C)(3) | LINE 7 | 0 | N/A | |
| ROLLINS BROOK COMMUNITY CARE CORP | |||||||||||
| 2201 S CLEAR CREEK ROAD | KILLEEN | TX | 76549 | 461656773 | SUPPORT OPERATION OF HOSPITAL | TX | 501(C)(3) | LINE 12A, I | ADVENTIST HLTH SYSTEMSUNBELT INC | Yes (1) | |
| SAN MARCOS NURSING & REHAB CENTER INC | |||||||||||
| 1900 MEDICAL PARKWAY | SAN MARCOS | TX | 78666 | 205782224 | OPERATION OF HOME FOR THE AGED/HLTHCARE DELIVERY | TX | 501(C)(3) | LINE 10 | SUNBELT HLTH CARE CENTERS INC | Yes (1) | |
| SHAWNEE MISSION HLTH CARE PROPERTIES INC | |||||||||||
| 485 NORTH KELLER ROAD 250 | MAITLAND | FL | 32751 | 813914908 | LEASE TO RELATED ORGANIZATION | GA | 501(C)(3) | LINE 12C, III-FI | SUNBELT HLTH CARE CENTERS INC | Yes (1) | |
| SHAWNEE MISSION HEALTH CARE INC | |||||||||||
| 6501 WEST 75TH STREET | OVERLAND PARK | KS | 66204 | 480952508 | LEASE TO RELATED ORGANIZATION | KS | 501(C)(3) | LINE 12C, III-FI | SUNBELT HLTH CARE CENTERS INC | Yes (1) | |
| SHAWNEE MISSION MEDICAL CENTER INC | |||||||||||
| 9100 W 74TH STREET | SHAWNEE MISSION | KS | 66204 | 480637331 | OPERATION OF HOSPITAL & RELATED SERVICES | KS | 501(C)(3) | LINE 3 | ADVENTIST HLTH MID-AMERICA INC | Yes (1) | |
| SOUTH PASCO HEALTH CARE PROPERTIES INC | |||||||||||
| 38250 A AVENUE | ZEPHYRHILLS | FL | 33542 | 510605679 | LEASE TO RELATED ORGANIZATION | GA | 501(C)(3) | LINE 12C, III-FI | SUNBELT HLTH CARE CENTERS INC | Yes (1) | |
| SOUTHEAST VOLUSIA HEALTHCARE CORP | |||||||||||
| 401 PALMETTO STREET | NEW SMYRNA BEACH | FL | 32168 | 473793197 | OPERATION OF HOSPITAL & RELATED SERVICES | FL | 501(C)(3) | LINE 3 | ADVENTIST HLTH SYSTEM SUNBELT HLTHCARE CORP | Yes (1) | |
| SOUTHWEST VOLUSIA HEALTH SERVICES INC | |||||||||||
| 1055 SAXON BLVD | ORANGE CITY | FL | 32763 | 593281591 | MEDICAL OFFICE BUILDING FOR HOSPITAL | FL | 501(C)(3) | LINE 12A, I | SOUTHWEST VOLUSIA HLTHCARE CORP | Yes (1) | |
| SOUTHWEST VOLUSIA HEALTHCARE CORP | |||||||||||
| 1055 SAXON BLVD | ORANGE CITY | FL | 32763 | 593149293 | OPERATION OF HOSPITAL & RELATED SERVICES | FL | 501(C)(3) | LINE 3 | ADVENTIST HLTH SYSTEMSUNBELT INC | Yes (1) | |
| SPRING VIEW HEALTH & REHAB CENTER INC (11-122222) | |||||||||||
| 485 NORTH KELLER ROAD 250 | MAITLAND | FL | 32751 | 205782288 | INACTIVE - WIND-DOWN | KY | 501(C)(3) | LINE 10 | SUNBELT HLTH CARE CENTERS INC | Yes (1) | |
| SUNBELT HEALTH & REHAB CENTER - APOPKA INC | |||||||||||
| 305 EAST OAK STREET | APOPKA | FL | 32703 | 205774856 | OPERATION OF HOME FOR THE AGED/HLTHCARE DELIVERY | FL | 501(C)(3) | LINE 10 | SUNBELT HLTH CARE CENTERS INC | Yes (1) | |
| SUNBELT HEALTH CARE CENTERS INC | |||||||||||
| 485 NORTH KELLER ROAD 250 | MAITLAND | FL | 32751 | 581473135 | MANAGEMENT SERVICES | TN | 501(C)(3) | LINE 12B, II | ADVENTIST HLTH SYSTEM SUNBELT HLTHCARE CORP | Yes (1) | |
| TARPON SPRINGS HOSPITAL FOUNDATION INC | |||||||||||
| 1395 S PINELLAS AVE | TARPON SPRINGS | FL | 34689 | 590898901 | OPERATION OF HOSPITAL & RELATED SERVICES | FL | 501(C)(3) | LINE 3 | UNIVERSITY COMMUNITY HOSPITAL INC | Yes (1) | |
| TARRANT COUNTY HEALTH CARE PROPERTIES INC | |||||||||||
| 301 HUGULEY BLVD | BURLESON | TX | 76028 | 510605677 | LEASE TO RELATED ORGANIZATION | GA | 501(C)(3) | LINE 12C, III-FI | SUNBELT HLTH CARE CENTERS INC | Yes (1) | |
| THE COMFORTER HEALTH CARE GROUP INC | |||||||||||
| 605 MONTGOMERY ROAD | ALTAMONTE SPRINGS | FL | 32714 | 271857940 | SUPPORT SERVICES TO RELATED HOSPICE | FL | 501(C)(3) | LINE 12C, III-FI | ADVENTIST HLTH SYSTEM SUNBELT HLTHCARE CORP | Yes (1) | |
| TRI-COUNTY NURSING AND REHAB CENTER INC | |||||||||||
| 1290 CELEBRATION BLVD | KISSIMMEE | FL | 34747 | 472219363 | OPERATION OF HOME FOR THE AGED/HLTHCARE DELIVERY | FL | 501(C)(3) | LINE 10 | SUNBELT HLTH CARE CENTERS INC | Yes (1) | |
| UNIVERSITY COMMUNITY HOSPITAL FOUNDATION INC | |||||||||||
| 3100 E FLETCHER AVE | TAMPA | FL | 33613 | 592554889 | FUND-RAISING FOR TAX-EXEMPT HOSPITAL | FL | 501(C)(3) | LINE 7 | 0 | N/A | |
| UNIVERSITY COMMUNITY HOSPITAL INC | |||||||||||
| 3100 E FLETCHER AVE | TAMPA | FL | 33613 | 591113901 | OPERATION OF HOSPITALS & RELATED SERVICES | FL | 501(C)(3) | LINE 3 | ADVENTIST HLTH SYSTEM SUNBELT HLTHCARE CORP | Yes (1) | |
| WEST FLORIDA HEALTH HOME CARE INC | |||||||||||
| 13601 BRUCE B DOWNS BLVD STE 110 | TAMPA | FL | 33613 | 593686109 | HOME HEALTH SERVICES | GA | 501(C)(3) | LINE 10 | ADVENTHEALTH WEST FLORIDA AMBULATORY SVCS INC | Yes (1) | |
| ZEPHYR HAVEN HEALTH & REHAB CENTER INC | |||||||||||
| 38250 A AVENUE | ZEPHYRHILLS | FL | 33542 | 205774930 | OPERATION OF HOME FOR THE AGED/HLTHCARE DELIVERY | FL | 501(C)(3) | LINE 10 | SUNBELT HLTH CARE CENTERS INC | Yes (1) | |
| ZEPHYRHILLS HEALTH & REHAB CENTER INC | |||||||||||
| 7350 DAIRY ROAD | ZEPHYRHILLS | FL | 33540 | 205774967 | OPERATION OF HOME FOR THE AGED/HLTHCARE DELIVERY | FL | 501(C)(3) | LINE 10 | SUNBELT HLTH CARE CENTERS INC | Yes (1) | |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (12 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Direct Controlling NADirectControllingNACd | Disproportionate AllocationsDisproportionateAllocationsInd | General Or Managing PartnerGeneralOrManagingPartnerInd |
|---|---|---|---|---|---|---|---|---|---|
| FLETCHER HOSPITAL SURGICAL VENTURES LLC | |||||||||
| 9131 ANSON WAY STE 304 | RALEIGH | NC | 27615 | 861482646 | INDIRECT INTEREST IN SURGERY CENTER | NC | N/A | 0 | 0 |
| FLORIDA HOSPITAL DMERT LLC | |||||||||
| 500 WINDERLEY PLACE STE 324 | MAITLAND | FL | 32751 | 202392253 | MEDICAL EQUIPMENT | FL | N/A | 0 | Yes (1) |
| FLORIDA HOSPITAL HOME INFUSION LLP | |||||||||
| 500 WINDERLEY PLACE STE 226 | MAITLAND | FL | 32751 | 593142824 | HOME INFUSION SERVICES | FL | N/A | 0 | Yes (1) |
| FUNCTIONAL NEUROSURGICAL AMBULATORY SURGERY CTR LLC | |||||||||
| 11 W DRY CREEK CIRCLE 120 | LITTLETON | CO | 80120 | 464426708 | SURGERY CENTER | CO | N/A | 0 | 0 |
| M&O ORLANDO MOB I LLC | |||||||||
| 1919 N ORANGE AVE STE E | ORLANDO | FL | 32804 | 844259138 | OPERATION OF MEDICAL OFFICE BUILDING | DE | N/A | 0 | 0 |
| ONPOINT OBGYN LLC (21-123122) | |||||||||
| 7780 S BROADWAY 280 | LITTLETON | CO | 80122 | 873522453 | HEALTHCARE SERVICES | CO | N/A | 0 | 0 |
| PAHS ONPOINT IMAGING LLC | |||||||||
| 9205 S BROADWAY | HIGHLANDS RANCH | CO | 80129 | 833275105 | IMAGING CENTER | CO | N/A | 0 | 0 |
| PAHS ONPOINT URGENT CARE LLC | |||||||||
| 9100 E MINERAL CIRCLE | CENTENNIAL | CO | 80112 | 832465331 | URGENT CARE CENTER | CO | N/A | 0 | 0 |
| PRINCETON HOMECARE SERVICES LLC (11-8122) | |||||||||
| 602 COURTLAND STREET 310 | ORLANDO | FL | 32804 | 814196648 | OPERATION OF HOME HEALTH AGENCY | FL | N/A | 0 | 0 |
| SURGERY CENTER OF ROME LP | |||||||||
| 501 REDMOND ROAD NW | ROME | GA | 30165 | 200390305 | SURGERY CENTER | GA | N/A | 0 | 0 |
| THE BARIATRIC CENTER OF KANSAS CITY LLC | |||||||||
| 9100 W 74TH STREET | MERRIAM | KS | 66204 | 823025378 | SURGERY CENTER | KS | N/A | 0 | 0 |
| URGENT CARE CENTERS OF BREVARD COUNTY LLC | |||||||||
| 2600 WESTHALL LANE | MAITLAND | FL | 32751 | 844261523 | URGENT CARE CENTERS | FL | N/A | 0 | Yes (1) |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (22 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Direct Controlling NADirectControllingNACd | Entity TypeEntityTypeTxt | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|
| ADVENTHEALTH ORLANDO NETWORK INC (11 - 41922) | |||||||||
| 900 HOPE WAY | ALTAMONTE SPRINGS | FL | 32714 | 862639185 | INACTIVE | FL | N/A | C | Yes (1) |
| ADVENTHEALTH PROFESSIONAL STAFFING INC (11 - 12822) | |||||||||
| 900 HOPE WAY | ALTAMONTE SPRINGS | FL | 32714 | 880742779 | INACTIVE | FL | N/A | C | Yes (1) |
| ADVENTHEALTH TAMPA NETWORK INC (11 - 41922) | |||||||||
| 900 HOPE WAY | ALTAMONTE SPRINGS | FL | 32714 | 862666178 | INACTIVE | FL | N/A | C | Yes (1) |
| ADVENTHEALTH TEAM MEMBERS INC (11 - 12822) | |||||||||
| 900 HOPE WAY | ALTAMONTE SPRINGS | FL | 32714 | 880763664 | INACTIVE | FL | N/A | C | Yes (1) |
| ADVENTHEALTH VALUE BASED BUNDLE MANAGEMENT LLC (61-123122) | |||||||||
| 101 SOUTHHALL LANE STE 150 | MAITLAND | FL | 32751 | 873487910 | MEDICAL CONTRACTING AND BILLING | FL | N/A | C | Yes (1) |
| ALTAMONTE MEDICAL PLAZA CONDOMINIUM ASSOCIATION INC | |||||||||
| 601 EAST ROLLINS STREET | ORLANDO | FL | 32803 | 592855792 | CONDO ASSOCIATION | FL | N/A | C | Yes (1) |
| APOPKA MEDICAL PLAZA CONDOMINIUM ASSOCIATION INC | |||||||||
| 601 EAST ROLLINS STREET | ORLANDO | FL | 32803 | 593000857 | CONDO ASSOCIATION | FL | N/A | C | Yes (1) |
| BATTLE CREEK ADVENTIST HOSPITAL | |||||||||
| 900 HOPE WAY | ALTAMONTE SPRINGS | FL | 32714 | 381359189 | INACTIVE | MI | N/A | C | Yes (1) |
| FLORIDA HOSPITAL FLAGLER MEDICAL OFFICES ASSOCIATION INC | |||||||||
| 60 MEMORIAL MEDICAL PARKWAY | PALM COAST | FL | 32164 | 262158309 | CONDO ASSOCIATION | FL | N/A | C | Yes (1) |
| FLORIDA HOSP HLTH VILLAGE PROPERTY OWNER'S ASSOC INC | |||||||||
| 550 E ROLLINS STREET 7TH FLOOR | ORLANDO | FL | 32803 | 821748255 | CONDO ASSOCIATION | FL | N/A | C | Yes (1) |
| FLORIDA HOSPITAL HEALTHCARE SYSTEM INC | |||||||||
| 101 SOUTHHALL LANE STE 150 | MAITLAND | FL | 32751 | 593215680 | PHSO / CIN | FL | N/A | C | Yes (1) |
| FLORIDA MEDICAL PLAZA CONDOMINIUM ASSOCIATION INC | |||||||||
| 601 EAST ROLLINS STREET | ORLANDO | FL | 32803 | 592855791 | CONDO ASSOCIATION | FL | N/A | C | Yes (1) |
| KISSIMMEE MULTISPECIALTY CLINIC CONDOMINIUM ASSOCIATION INC | |||||||||
| 201 HILDA STREET SUITE 30 | KISSIMMEE | FL | 34741 | 593539564 | CONDO ASSOCIATION | FL | N/A | C | Yes (1) |
| MIDWEST MANAGEMENT SERVICES INC | |||||||||
| 9100 WEST 74TH STREET | SHAWNEE MISSION | KS | 66204 | 480901551 | INACTIVE | KS | N/A | C | Yes (1) |
| NORTH AMERICAN HEALTH SERVICES INC & SUB | |||||||||
| 900 HOPE WAY | ALTAMONTE SPRINGS | FL | 32714 | 621041820 | HOLDING CO. | TN | N/A | C | Yes (1) |
| ORMOND PROF ASSOCIATES CONDO ASSOC INC (430 YEAR END) | |||||||||
| 770 W GRANADA BLVD STE 101 | ORMOND BEACH | FL | 32174 | 592694434 | CONDO ASSOCIATION | FL | N/A | C | Yes (1) |
| PARK RIDGE PROPERTY OWNER'S ASSOCIATION INC | |||||||||
| 1 PARK PLACE NAPLES ROAD | FLETCHER | NC | 28732 | 030380531 | CONDO ASSOCIATION | NC | N/A | C | Yes (1) |
| PARK RIDGE CONDOMINIUM #1 UNIT OWNERS ASSOCIATION INC | |||||||||
| 1 PARK PLACE NAPLES ROAD | FLETCHER | NC | 28732 | 010584623 | CONDO ASSOCIATION | NC | N/A | C | Yes (1) |
| SURGICARE OF ROME INC | |||||||||
| 501 REDMOND RD | ROME | GA | 30165 | 200376307 | HOLDING COMPANY | GA | N/A | C | Yes (1) |
| REDMOND PARK HEALTH SERVICES INC | |||||||||
| 501 REDMOND RD | ROME | GA | 30165 | 621330078 | HOLDING COMPANY | GA | N/A | C | Yes (1) |
| THE GARDEN RETIREMENT COMMUNITY INC | |||||||||
| 485 NORTH KELLER ROAD STE 250 | MAITLAND | FL | 32751 | 593414055 | REAL ESTATE RENTAL | FL | N/A | C | Yes (1) |
| WINTER PARK MEDICAL OFFICE BUILDING I CONDO ASSOC INC | |||||||||
| 601 EAST ROLLINS STREET | ORLANDO | FL | 32803 | 452228478 | CONDO ASSOCIATION | FL | N/A | C | Yes (1) |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | Yes (1) | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (1) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (1) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | 0 | SharingOfFacilitiesInd |
| Paid Employees Sharing | 0 | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (1) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (1) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (14 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| ADVENTHEALTH KANSAS CITY FOUNDATION | ||
| C | $1,523,324 | ACTUAL AMOUNT RECEIVED |
| ADVENTHEALTH KANSAS CITY FOUNDATION | ||
| B | $1,147,880 | COST |
| ADVENTIST HEALTH SYSTEM SUNBELT HEALTHCARE CORPORATION | ||
| B | $6,890,620 | ACTUAL AMOUNT GIVEN |
| ADVENTIST HEALTH SYSTEM SUNBELT HEALTHCARE CORPORATION | ||
| M | $4,465,973 | % OF FACILITY'S OPERATING EXPENSE |
| ADVENTIST HEALTH SYSTEM SUNBELT HEALTHCARE CORP DBA AH INFO TECHNOLOGY | ||
| M | $17,449,789 | % OF FACILITY'S OPERATING EXPENSE |
| ADVENTIST HEALTH SYSTEM SUNBELT HEALTHCARE CORP - SHARED SVCS | ||
| M | $4,777,362 | % OF FACILITY'S OPERATING EXPENSE |
| ADVENTIST HEALTH SYSTEM SUNBELT HEALTHCARE CORPORATION | ||
| P | $24,826,319 | COST |
| CHIPPEWA VALLEY HOSPITAL AND OAKVIEW CARE CENTER INC | ||
| Q | $454,137 | COST |
| THE BARIATRIC CENTER OF KANSAS CITY LLC | ||
| Q | $11,284,240 | COST |
| ADVENTIST HEALTH SYSTEM SUNBELT HEALTHCARE CORP DBA AH INFO TECHNOLOGY | ||
| P | $619,656 | COST |
| ADVENTHEALTH RANSOM MEMORIAL INC | ||
| Q | $2,733,175 | COST |
| ADVENTHEALTH SOUTH OVERLAND PARK INC | ||
| Q | $279,290 | COST |
| ADVENTHEALTH KANSAS CITY FOUNDATION | ||
| B | $383,936 | ACTUAL AMOUNT GIVEN |
| ADVENTHEALTH SOUTH OVERLAND PARK INC | ||
| P | $588,739 | COST |