MEMORIAL HOSPITAL-WEST VOLUSIA INC: Form 990, tax year 2021
View the entire original 990 at ProPublica ↗
- Organization
- MEMORIAL HOSPITAL-WEST VOLUSIA INC (EIN 59-3256803)
- Tax period
- 2021-01-01 to 2021-12-31
- Filed
- 2022-11-14
- IRS object ID
- 202243189349305659
- Schema version
- 2021v4.2
- 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 | 2022-11-14T10:26:58-06:00 | ReturnTs |
| Tax Period End | 2021-12-31 | TaxPeriodEndDt |
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2021-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 593256803 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MEMORIAL HOSPITAL - WEST VOLUSIA INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | MEMO | BusinessNameControlTxt |
| Phone | 3869434522 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 701 WEST PLYMOUTH AVENUE | AddressLine1Txt |
| City | DELAND | CityNm |
| State Abbreviation | FL | StateAbbreviationCd |
| ZIP | 32720 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | LYNN C ADDISCOTT | PersonNm |
| Person Title | ASSISTANT SECRETARY | PersonTitleTxt |
| Phone | 4079751492 | PhoneNum |
| Signature | 2022-10-28 | 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 |
Additional Filer Information AdditionalFilerInformation
Trusted Customer TrustedCustomerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trusted Customer | 3 | TrustedCustomerCd |
| Authentication Assurance Level | AAL1 | AuthenticationAssuranceLevelCd |
| Identity Assurance Level | IAL1 | IdentityAssuranceLevelCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2021 | TaxYr |
| Build TS | 2022-09-23 18:48:47Z | BuildTS |
Form 990 IRS990
Doing Business As Name DoingBusinessAsName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ADVENTHEALTH DELAND | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | LORENZO BROWN | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 701 WEST PLYMOUTH AVENUE | AddressLine1Txt |
| City | DELAND | CityNm |
| State Abbreviation | FL | StateAbbreviationCd |
| ZIP | 32720 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $202,180,889 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.ADVENTHEALTH.COM | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1994 | FormationYr |
| Legal Domicile State | FL | LegalDomicileStateCd |
| Activity Or Mission | THE PROVISION OF MEDICAL CARE TO THE COMMUNITY SERVED THROUGH THE OPERATION OF A 164 BED HOSPITAL. | ActivityOrMissionDesc |
| Voting Members Governing Body | 16 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 7 | VotingMembersIndependentCnt |
| Total Employee | 1229 | TotalEmployeeCnt |
| Total Volunteers | 87 | TotalVolunteersCnt |
| Total Gross UBI | $186,469 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $80,169 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $8,404,138 | PYContributionsGrantsAmt |
| CY Contributions Grants | $417,333 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $160,653,136 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $193,931,830 | CYProgramServiceRevenueAmt |
| PY Investment Income | $1,601,996 | PYInvestmentIncomeAmt |
| CY Investment Income | $7,702,292 | CYInvestmentIncomeAmt |
| PY Other Revenue | $50,133 | PYOtherRevenueAmt |
| CY Other Revenue | $117,358 | CYOtherRevenueAmt |
| PY Total Revenue | $170,709,403 | PYTotalRevenueAmt |
| CY Total Revenue | $202,168,813 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $236,471 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $241,364 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $68,925,227 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $55,600,153 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $91,742,413 | PYOtherExpensesAmt |
| CY Other Expenses | $134,497,315 | CYOtherExpensesAmt |
| PY Total Expenses | $160,904,111 | PYTotalExpensesAmt |
| CY Total Expenses | $190,338,832 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $9,805,292 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $11,829,981 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $214,612,374 | TotalAssetsBOYAmt |
| Total Assets EOY | $228,877,865 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $70,520,911 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $75,971,771 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $144,091,463 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $152,906,094 | 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 | $174,998,298 | ExpenseAmt |
| Grant | $241,364 | GrantAmt |
| Revenue | $193,745,361 | RevenueAmt |
| Desc | OPERATION OF A 164-BED ACUTE CARE HOSPITAL LOCATED IN VOLUSIA COUNTY. IN THE CURRENT YEAR THERE WERE 8,363 PATIENT ADMISSIONS, 39,884 PATIENT DAYS, 107,263 OUTPATIENT VISITS, AND 97,766 PHYSICIAN CLINIC PATIENT VISITS. | Desc |
| Total Program Service Expenses | $174,998,298 | 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 | 0 | 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 | 0 | 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 | 1229 | 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 | 16 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 7 | 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 | 0 | InvestmentInJointVentureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | KYLE GLASS | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 3869434455 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 701 WEST PLYMOUTH AVE | AddressLine1Txt |
| City | DELAND | CityNm |
| State Abbreviation | FL | StateAbbreviationCd |
| ZIP | 32720 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | Yes (X) | InfoInScheduleOPartVIIInd |
Form990 Part VII Section A Form990PartVIISectionAGrp (33 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 | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|---|---|
| TOL DARYL | ||||||||||
| DIR/CEO AH CEN FL DIV (END 01/21) | 0.00 | 0.00 | Yes (X) | $0 | $2,712,537 | $8,693 | ||||
| GOODMAN TODD | ||||||||||
| DIRECTOR (BEG 01/21) | 0.20 | 50.00 | Yes (X) | $0 | $1,698,001 | $183,060 | ||||
| OTTATI DAVID | ||||||||||
| DIR/CHAIR(END 12/21)/AH CFN REG | 6.00 | 44.00 | Yes (X) | $0 | $1,287,575 | $204,455 | Yes (X) | |||
| THOMAS DEBORA | ||||||||||
| DIRECTOR (BEG 01/21) | 0.20 | 50.00 | Yes (X) | $0 | $830,633 | $99,955 | ||||
| COOK TIMOTHY | ||||||||||
| FORMER DIRECTOR/CEO | 0.00 | 50.00 | $0 | $804,480 | $121,183 | Yes (X) | ||||
| PRADO MD MARTIN | ||||||||||
| DIRECTOR | 0.20 | 50.00 | Yes (X) | $0 | $763,647 | $93,363 | ||||
| CELANO PATRICIA | ||||||||||
| FORMER KEY EMPLOYEE/REGIONAL CCO | 0.00 | 50.00 | $0 | $647,089 | $128,755 | Yes (X) | ||||
| GHOSN C JOSEF | ||||||||||
| DIRECTOR (BEG 01/21) | 0.20 | 50.00 | Yes (X) | $0 | $646,988 | $75,646 | ||||
| HINDS NIGEL | ||||||||||
| FORMER CFO/TREASURER | 0.00 | 50.00 | $0 | $592,796 | $71,675 | Yes (X) | ||||
| BROWN LORENZO | ||||||||||
| DIR/SEC/CEO(END01/21)AH CFN W REG | 25.00 | 25.00 | Yes (X) | $0 | $538,743 | $115,772 | Yes (X) | |||
| DAVIS BRENT | ||||||||||
| DIRECTOR/CFO - CFN REG | 6.00 | 44.00 | Yes (X) | $0 | $527,787 | $125,817 | ||||
| SMITH MD CHRISTOPHER | ||||||||||
| FORMER CMO | 0.00 | 50.00 | $0 | $435,275 | $92,459 | Yes (X) | ||||
| WEIS DAVID | ||||||||||
| CEO - HOSPITAL FACILITY (BEG 01/21) | 50.00 | 0.20 | Yes (X) | $0 | $420,443 | $104,303 | Yes (X) | |||
| GREGORY PHD AUDREY | ||||||||||
| DIR/CHAIR(BEG 12/21)/CEO CFN REG | 6.00 | 44.00 | Yes (X) | $0 | $416,334 | $25,988 | Yes (X) | |||
| GLASS KYLE | ||||||||||
| CFO - HOSPITAL FACILITY | 37.50 | 12.50 | $0 | $322,199 | $58,110 | Yes (X) | ||||
| LINDSEY CRAIG | ||||||||||
| FORMER CNO | 0.00 | 50.00 | $0 | $321,202 | $44,607 | Yes (X) | ||||
| ANKOVIAK JOANN | ||||||||||
| FORMER CNO | 0.00 | 50.00 | $0 | $278,024 | $39,849 | Yes (X) | ||||
| AGUERO SAMUEL | ||||||||||
| COO - HOSPITAL FACILITY (END 12/21) | 50.00 | 0.00 | $0 | $249,978 | $49,768 | Yes (X) | ||||
| SANCHEZ ANGEL | ||||||||||
| AH DEL ADMIN SUPERVISOR | 50.00 | 0.00 | $230,766 | $0 | $48,170 | Yes (X) | ||||
| LEBRON MICHELE | ||||||||||
| CNO - HOSPITAL FACILITY | 50.00 | 0.00 | $0 | $204,406 | $48,710 | Yes (X) | ||||
| RICHARDS RENEE | ||||||||||
| AH DEL RN | 50.00 | 0.00 | $187,693 | $0 | $53,367 | Yes (X) | ||||
| HAGGERTY MARIA | ||||||||||
| AH DEL ADMIN SUPERVISOR PR | 50.00 | 0.00 | $206,473 | $0 | $33,358 | Yes (X) | ||||
| FIGUEROA JANET | ||||||||||
| AH DEL RN | 50.00 | 0.00 | $197,516 | $0 | $25,957 | Yes (X) | ||||
| TINONAS MARLON | ||||||||||
| AH DEL ASST. NURSE MANAGER | 50.00 | 0.00 | $181,605 | $0 | $34,218 | Yes (X) | ||||
| REINER RICHARD | ||||||||||
| DIRECTOR | 0.20 | 0.00 | Yes (X) | $0 | $58,577 | $0 | ||||
| DIBELLO MD CHRISTOPHER | ||||||||||
| DIRECTOR/CHIEF OF STAFF | 0.20 | 0.00 | Yes (X) | $540 | $0 | $0 | ||||
| WEINER DO TRACY | ||||||||||
| DIRECTOR | 0.20 | 0.00 | Yes (X) | $540 | $0 | $0 | ||||
| COURTHEYN DOREEN | ||||||||||
| DIRECTOR | 0.20 | 0.00 | Yes (X) | $540 | $0 | $0 | ||||
| CUSACK JOYCE | ||||||||||
| DIRECTOR (END 12/21) | 0.20 | 0.00 | Yes (X) | $540 | $0 | $0 | ||||
| FLOWERS W BEN | ||||||||||
| DIRECTOR | 0.20 | 0.00 | Yes (X) | $540 | $0 | $0 | ||||
| HAGSTROM LORNA JEAN | ||||||||||
| DIRECTOR | 0.20 | 0.00 | Yes (X) | $540 | $0 | $0 | ||||
| WOODS MICHAEL | ||||||||||
| DIRECTOR | 0.20 | 0.00 | Yes (X) | $540 | $0 | $0 | ||||
| BOUIE AL | ||||||||||
| DIRECTOR | 0.20 | 0.00 | Yes (X) | $540 | $0 | $0 | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $1,008,373 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $13,756,714 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $1,887,238 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 85 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | Yes (1) | 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 |
|---|---|---|---|---|---|
| AMN HEALTHCARE INC | |||||
| 2735 COLLECTIONS CENTER DRIVE | CHICAGO | IL | 60693 | AGENCY FEES | $6,857,722 |
| FIDE LLC | |||||
| 624 GRASSMERE PARK | NASHVILLE | TN | 37211 | AGENCY FEES | $1,986,762 |
| MORRISON HEALTHCARE | |||||
| PO BOX 102289 | ATLANTA | GA | 30368 | MANAGEMENT FEES | $1,781,079 |
| USAP FLORIDA US ANESTHESIA PARTNERS | |||||
| 851 TRAFALGAR COURT STE 200E | MAITLAND | FL | 32751 | MEDICAL SERVICES - ANESTHESIOLOGY | $1,639,566 |
| CROTHALL HEALTHCARE INC | |||||
| 13028 COLLECTIONS CENTER DRIVE | CHICAGO | IL | 60693 | MEDICAL SERVICES | $1,375,277 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 37 | CntrctRcvdGreaterThan100KCnt |
| Info In Schedule O Part VIII | Yes (X) | InfoInScheduleOPartVIIIInd |
| Government Grants | $416,833 | GovernmentGrantsAmt |
| All Other Contributions | $500 | AllOtherContributionsAmt |
| Total Contributions | $417,333 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (5 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt |
|---|---|---|---|---|
| NET PATIENT REVENUE | 622110 | $189,117,720 | $188,931,251 | $186,469 |
| REIMB OF EXP-TE AFFILIATE | 622110 | $3,431,576 | $3,431,576 | |
| CAFETERIA REVENUE | 622110 | $611,262 | $611,262 | |
| MEDICAL OFFICE BUILDING | 622110 | $405,038 | $405,038 | |
| GIFT SHOP REVENUE | 622110 | $323,329 | $323,329 |
Total Oth Program Service Rev TotalOthProgramServiceRevGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $42,905 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $42,905 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $193,931,830 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $3,684,881 | TotalRevenueColumnAmt |
| Exclusion | $3,684,881 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $4,023,887 | SecuritiesAmt |
| Other | $5,600 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $0 | SecuritiesAmt |
| Other | $12,076 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $4,023,887 | SecuritiesAmt |
| Other | -$6,476 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $4,017,411 | TotalRevenueColumnAmt |
| Exclusion | $4,017,411 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Sales Of Inventory | $117,358 | GrossSalesOfInventoryAmt |
| Cost Of Goods Sold | $0 | CostOfGoodsSoldAmt |
Net Income Or Loss NetIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $117,358 | TotalRevenueColumnAmt |
| Exclusion | $117,358 | ExclusionAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $202,168,813 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $193,745,361 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $186,469 | UnrelatedBusinessRevenueAmt |
| Exclusion | $7,819,650 | 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 | $241,364 | TotalAmt |
| Program Services | $241,364 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,929,036 | TotalAmt |
| Management And General | $1,929,036 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $38,433,924 | TotalAmt |
| Program Services | $38,433,924 | ProgramServicesAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,026,237 | TotalAmt |
| Program Services | $1,982,225 | ProgramServicesAmt |
| Management And General | $44,012 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,402,390 | TotalAmt |
| Program Services | $9,257,722 | ProgramServicesAmt |
| Management And General | $144,668 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,808,566 | TotalAmt |
| Program Services | $3,725,840 | ProgramServicesAmt |
| Management And General | $82,726 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,194,534 | TotalAmt |
| Management And General | $4,194,534 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $67,245 | TotalAmt |
| Management And General | $67,245 | ManagementAndGeneralAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $315,137 | TotalAmt |
| Management And General | $315,137 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $74,496,479 | TotalAmt |
| Program Services | $68,184,180 | ProgramServicesAmt |
| Management And General | $6,312,299 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $529,858 | TotalAmt |
| Management And General | $529,858 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,974,552 | TotalAmt |
| Program Services | $3,248,358 | ProgramServicesAmt |
| Management And General | $726,194 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,876,717 | TotalAmt |
| Program Services | $6,513,353 | ProgramServicesAmt |
| Management And General | $363,364 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,754,941 | TotalAmt |
| Program Services | $3,754,941 | ProgramServicesAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $66,619 | TotalAmt |
| Management And General | $66,619 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $147,298 | TotalAmt |
| Management And General | $147,298 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $648,874 | TotalAmt |
| Program Services | $648,874 | ProgramServicesAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,628,854 | TotalAmt |
| Program Services | $5,628,854 | ProgramServicesAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,857,745 | TotalAmt |
| Program Services | $1,812,516 | ProgramServicesAmt |
| Management And General | $45,229 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| MEDICAL SUPPLIES | $24,154,190 | $24,154,190 | |
| REPAIRS & MAINTENANCE | $4,135,742 | $4,135,742 | |
| STATE TAX INDIGENT ASSE | $3,161,264 | $3,161,264 | |
| UBI TAXES | $9,200 | $9,200 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $478,066 | TotalAmt |
| Program Services | $114,951 | ProgramServicesAmt |
| Management And General | $363,115 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $190,338,832 | TotalAmt |
| Program Services | $174,998,298 | ProgramServicesAmt |
| Management And General | $15,340,534 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,150 | BOYAmt |
| EOY | $4,729 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $129,528,059 | BOYAmt |
| EOY | $143,971,812 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $17,997,474 | BOYAmt |
| EOY | $20,133,677 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,285,777 | BOYAmt |
| EOY | $2,223,513 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,288,924 | BOYAmt |
| EOY | $6,351,855 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $156,825,742 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $107,589,355 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $52,615,926 | BOYAmt |
| EOY | $49,236,387 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $102,032 | BOYAmt |
| EOY | $99,510 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,789,032 | BOYAmt |
| EOY | $6,856,382 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $214,612,374 | BOYAmt |
| EOY | $228,877,865 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $19,363,309 | BOYAmt |
| EOY | $25,015,424 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $51,157,602 | BOYAmt |
| EOY | $50,956,347 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $70,520,911 | BOYAmt |
| EOY | $75,971,771 | 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 | $144,091,463 | BOYAmt |
| EOY | $152,906,094 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $144,091,463 | BOYAmt |
| EOY | $152,906,094 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $214,612,374 | BOYAmt |
| EOY | $228,877,865 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $11,829,981 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $2,871,436 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | -$5,886,786 | 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 | $8,872 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $8,872 | 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 | AMERICAN HOSPITAL ASSOCIATION, FLORIDA HOSPITAL ASSOCIATION, AND AMERICAN COLLEGE OF CARDIOLOGY FOUNDATION DUES | ExplanationTxt |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $5,915,832 | OtherCostOrOtherBasisAmt |
| Book Value | $5,915,832 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $81,936,397 | OtherCostOrOtherBasisAmt |
| Depreciation | $54,242,723 | DepreciationAmt |
| Book Value | $27,693,674 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $66,076,007 | OtherCostOrOtherBasisAmt |
| Depreciation | $51,679,588 | DepreciationAmt |
| Book Value | $14,396,419 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $2,897,506 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,667,044 | DepreciationAmt |
| Book Value | $1,230,462 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $49,236,387 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (8 entries)
| DescDesc | AmtAmt |
|---|---|
| DUE TO RELATED | $7,396,425 |
| PAYABLE TO THIRD PARTIES | $932,178 |
| CREDIT BALANCES IN A/R | $439,465 |
| OTHER DEFERRED REVENUE | $15,711,713 |
| ACCRUED INTEREST PAYABLE | $516 |
| INTERCO. ALLOC. OF TE BOND PROCEEDS | $25,756,170 |
| OPERATING LEASE LIABILITY | $614,661 |
| OTHER LIABILITIES | $105,219 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $50,956,347 | 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, 2021 AND 2020. NAHS ALSO HAS TEMPORARY DEDUCTIBLE DIFFERENCES OF APPROXIMATELY $33,000 AND $41,800 AT DECEMBER 31, 2021 AND 2020, RESPECTIVELY, PRIMARILY AS A RESULT OF NET OPERATING LOSS CARRYFORWARDS. AT DECEMBER 31, 2021, NAHS HAD NET OPERATING LOSS CARRYFORWARDS OF APPROXIMATELY $34,000, EXPIRING BEGINNING IN 2022 THROUGH 2026. DEFERRED TAXES HAVE BEEN PROVIDED FOR THESE AMOUNTS, RESULTING IN A NET DEFERRED TAX ASSET OF APPROXIMATELY $8,100 AND $10,200 AT DECEMBER 31, 2021 AND 2020, 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, 2021 AND 2020 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, 2021 AND 2020. | 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 | 0 | FPGReferenceDiscountedCareInd |
| 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 | $9,409,440 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $9,409,440 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.04940 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $27,782,933 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $13,214,474 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $14,568,459 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.07650 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $37,192,373 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $13,214,474 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $23,977,899 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.12590 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $73,162 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $73,162 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00040 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $122,373 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $99,023 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $23,350 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00010 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $0 | TotalCommunityBenefitExpnsAmt |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $195,535 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $99,023 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $96,512 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00050 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $37,387,908 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $13,313,497 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $24,074,411 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.12640 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (1) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $9,582,388 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $3,073,806 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $33,548,321 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $36,875,707 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$3,327,386 | 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 |
| 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 DELAND | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 701 W PLYMOUTH AVE | AddressLine1Txt |
| City | DELAND | CityNm |
| State Abbreviation | FL | StateAbbreviationCd |
| ZIP | 32720 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | WWW.ADVENTHEALTH.COM/HOSPITAL/ADVENTHE | WebsiteAddressTxt |
| State License | 4436 | StateLicenseNum |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MEMORIAL HOSPITAL - WEST VOLUSIA INC | 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 | 19 | 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 |
| 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 (11 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| MEMORIAL HOSPITAL - WEST VOLUSIA, INC. | PART V, SECTION B, LINE 5: MEMORIAL HOSPITAL - WEST VOLUSIA, INC. D/B/A ADVENTHEALTH DELAND, (AHD OR THE HOSPITAL) OPERATES A 164-BED ACUTE CARE HOSPITAL IN VOLUSIA COUNTY, FLORIDA. FOR PURPOSES OF ITS 2019 COMMUNITY HEALTH NEEDS ASSESSMENT, THE HOSPITAL DEFINED ITS COMMUNITY AS ITS PRIMARY SERVICE AREA FROM WHICH 65% OF ITS PATIENTS COME. ABOUT 24% OF THE POPULATION WAS 65 YEARS OR OLDER. A COMMUNITY HEALTH NEEDS ASSESSMENT COMMITTEE (CHNAC) WAS FORMED TO HELP ADVENTHEALTH DELAND CONDUCT A COMPREHENSIVE ASSESSMENT OF THE COMMUNITY. THE COMMITTEE INCLUDED REPRESENTATION FROM THE HOSPITAL, PUBLIC HEALTH OFFICIALS AND THE BROAD COMMUNITY AS WELL AS REPRESENTATION FROM LOW-INCOME, MINORITY AND OTHER UNDERSERVED POPULATIONS. MEMBERS WERE STRATEGICALLY CHOSEN, WHO REPRESENTED ORGANIZATIONS THAT SERVE LOW INCOME, MINORITY, AND UNDERSERVED POPULATIONS. EACH ORGANIZATION ALSO HAS SPECIFIC STRATEGIES IN PLACE TO CREATE ACCESS FOR VULNERABLE POPULATIONS. THE FOLLOWING ORGANIZATIONS WERE MEMBERS OF THE CHNAC.AZALEA HEALTH - FEDERALLY QUALIFIED HEALTH CENTER,BETHUNE COOKMAN UNIVERSITY,COMMUNITY PARTNERSHIP FOR CHILDREN,THE COUNTY OF VOLUSIA,THE DAYTONA BEACH CHAMBER OF COMMERCE,THE DEPARTMENT OF CHILDREN AND FAMILIES,EARLY LEARNING COALITION OF FLAGLER & VOLUSIA,FAMILY HEALTH SOURCE MEDICAL CENTERS - FEDERALLY QUALIFIED HEALTH CENTER, THE FLORIDA DEPARTMENT OF HEALTH IN VOLUSIA COUNTY,HALIFAX HEALTH, HEALTHY START COALITION OF FLAGLER/VOLUSIA, LSF (LUTHERAN SERVICES FLORIDA) HEALTH SYSTEMS, INC., TEAM VOLUSIA ECONOMIC DEVELOPMENT CORPORATE (TVEDC), UNITED WAY OF VOLUSIA-FLAGLER, VOLUSIA COUNTY SCHOOLS, VOLUSIA/FLAGLER BEHAVIORAL HEALTH CONSORTIUM; AND VOLUSIA/FLAGLER COALITION FOR THE HOMELESS.COMMUNITY INPUT WAS GATHERED THROUGH A PRIMARILY INTERNET-BASED COUNTY HEALTH SURVEY THAT INCLUDED 31 QUESTIONS ABOUT QUALITY OF LIFE, COMMUNITY HEALTH CONCERNS, AND SOCIAL DETERMINANTS OF HEALTH. IN VOLUSIA COUNTY, 2,608 VOLUSIA RESIDENTS COMPLETED THE SURVEY. FOCUS GROUPS WERE ALSO CONDUCTED ACROSS VOLUSIA COUNTY FOCUSED ON THE FOLLOWING POPULATIONS: YOUTH, COLLEGE STUDENTS, OLDER ADULTS, IMPOVERISHED COMMUNITIES/NEIGHBORHOODS, SPANISH SPEAKERS, MATERNAL AND CHILD HEALTH GROUPS, AND PROFESSIONAL GROUPS. |
| MEMORIAL HOSPITAL - WEST VOLUSIA, INC. | 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. |
| MEMORIAL HOSPITAL - WEST VOLUSIA, INC. | PART V, SECTION B, LINE 11: MEMORIAL HOSPITAL - WEST VOLUSIA, INC. D/B/A ADVENTHEALTH DELAND WILL BE REFERRED TO IN THIS DOCUMENT AS ADVENTHEALTH DELAND 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 DELAND IS PART OF THE CENTRAL FLORIDA DIVISION OF ADVENTHEALTH. IN 2020, THE CENTRAL FLORIDA DIVISION NORTH-REGION (CFD-N), WHICH INCLUDES ADVENTHEALTH DAYTONA BEACH, ADVENTHEALTH DELAND, ADVENTHEALTH FISH MEMORIAL, ADVENTHEALTH NEW SMYRNA, ADVENTHEALTH PALM COAST AND ADVENTHEALTH WATERMAN WAS COMBINED WITH THE CENTRAL FLORIDA DIVISION SOUTH-REGION (CFD-S), WHICH INCLUDES ADVENTHEALTH ALTAMONTE, ADVENTHEALTH APOPKA, ADVENTHEALTH CELEBRATION, ADVENTHEALTH EAST ORLANDO, ADVENTHEALTH HEART OF FLORIDA, ADVENTHEALTH KISSIMMEE, ADVENTHEALTH LAKE WALES, ADVENTHEALTH ORLANDO AND ADVENTHEALTH WINTER PARK TO UNIFY AS ONE UNDER THE CENTRAL FLORIDA DIVISION. THE COMBINATION INCLUDED SIX HOSPITALS FROM CFD-N AND NINE HOSPITALS FROM CFD-S. THE COMMUNITY HEALTH PLANS/IMPLEMENTATION STRATEGIES FOR BOTH REGIONS WERE FINALIZED BEFORE THE COMBINATION. THE CENTRAL FLORIDA DIVISION OF ADVENTHEALTH NOW INCLUDES 15 HOSPITALS.THIS IS THE SECOND-YEAR UPDATE FOR ADVENTHEALTH DELAND'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 DELAND 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 SECOND-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 DELAND CHOSE FIVE PRIORITIES FOR ITS 2020-2022 COMMUNITY HEALTH PLAN:1. ADULT & YOUTH BEHAVIORAL HEALTH2. CARDIOVASCULAR DISEASES & DIABETES3. BARRIERS TO ACCESSING HEALTH CARE SERVICES4. HEALTHY EATING & PHYSICAL ACTIVITY5. SOCIAL AND ECONOMIC ISSUES (SOCIAL DETERMINANTS OF HEALTH)PRIORITY 1: ADULT & YOUTH BEHAVIORAL HEALTH2019 DESCRIPTION OF THE ISSUE:ALCOHOL USE- HEAVY/BINGE DRINKING HAS INCREASED SLIGHTLY FROM 2010 TO 2016. THE PERCENT IS HIGHEST FOR WHITE INDIVIDUALS.- VOLUSIA COUNTY'S ALCOHOL-SUSPECTED MOTOR VEHICLE CRASHES AND TRAFFIC CRASH INJURIES RATES HAVE DECREASED SINCE 2014 BUT ARE SLIGHTLY HIGHER THAN FLORIDA.- ALCOHOL-SUSPECTED TRAFFIC CRASH DEATHS INCREASED BETWEEN 2015 AND 2016 IN VOLUSIA COUNTY AND THE COUNTY'S RATE IS HIGHER THAN FLORIDA.- THE PERCENT OF STUDENT ALCOHOL USE HAS BEEN DECREASING SINCE 2008 BUT REMAINS SLIGHTLY HIGHER THAN FLORIDA.SMOKING AND SUBSTANCE MISUSE- VOLUSIA'S RATE OF OPIOID-INVOLVED OVERDOSE HOSPITALIZATIONS INCREASED FROM 2015 TO 2017 AND IS HIGHER THAN FLORIDA'S. THE RATE OF DEATH FROM OPIOID OVERDOSES INCREASED IN THE LAST YEAR AND NOW EXCEEDS THE FLORIDA RATE.- THE PERCENT OF VOLUSIA COUNTY ADULTS WHO SMOKE IS HIGHER THAN FLORIDA (THE DIFFERENCE IS STATISTICALLY SIGNIFICANT).- THE PERCENT OF VOLUSIA COUNTY MIDDLE AND HIGH SCHOOL STUDENTS USING MARIJUANA DECREASED BETWEEN 2016 AND 2018 BUT REMAINS HIGHER THAN FLORIDA.- REPORTED CIGARETTE USE AMONG VOLUSIA COUNTY MIDDLE AND HIGH SCHOOL STUDENTS HAS DECLINED, BUT BOTH RATES REMAIN HIGHER THAN FLORIDA.MENTAL HEALTH - THE PERCENT OF VOLUSIA COUNTY ADULTS WHO HAD 14 OR MORE POOR MENTAL HEALTH DAYS IN THE LAST MONTH IS HIGHER THAN FLORIDA.- THE PERCENT OF VOLUSIA COUNTY ADULTS WITH A DEPRESSIVE DISORDER IS HIGHER THAN FLORIDA (THE DIFFERENCE IS STATISTICALLY SIGNIFICANT FOR HISPANIC POPULATION).- VOLUSIA COUNTY'S SUICIDE RATE IS INCREASING AND IS HIGHER THAN FLORIDA'S. - VOLUSIA COUNTY'S AGE 19-21 RATE OF HOSPITALIZATIONS FOR SELF-INFLICTED INJURIES HAS INCREASED BUT IS LOWER THAN FLORIDA'S.2021 UPDATE:THE ADVENTHEALTH DELAND COMMUNITY HEALTH PLAN HAS THREE DESIRED GOAL STATEMENTS UNDER THE ADULT & YOUTH BEHAVIORAL HEALTH PRIORITY.1. ESTABLISH A HEALTHY EQUITY ZONE (HEZ) IN THE SPRING HILL NEIGHBORHOOD OF DELAND TO REDUCE HEALTH INEQUITIES AND PROVIDE ACCESS TO MENTAL HEALTH AND SUBSTANCE ABUSE SERVICES.2. ESTABLISH A MULTI-AGENCY REFERRAL AND COMMUNICATION MANAGEMENT SYSTEM IN VOLUSIA/FLAGLER COUNTY TO EFFECTIVELY CONNECT INDIVIDUALS IN NEED TO BEHAVIORAL HEALTH CARE SERVICES.3. PROVIDE SPECIAL PROGRAMS FOR AT-RISK STUDENTS IN THE DELAND AREA.GOAL 1: ESTABLISH A HEALTHY EQUITY ZONE (HEZ) IN THE SPRING HILL NEIGHBORHOOD OF DELAND TO REDUCE HEALTH INEQUITIES AND PROVIDE ACCESS TO MENTAL HEALTH AND SUBSTANCE ABUSE SERVICES.OBJECTIVE 1:THE FIRST OBJECTIVE IS TO WORK WITH COMMUNITY RESIDENTS AND COMMUNITY ORGANIZATIONS TO IDENTIFY SPECIFIC MENTAL HEALTH AND SUBSTANCE ABUSE SERVICE NEEDS WITHIN THE COMMUNITY THROUGH AN ENGAGEMENT PROCESS BY THE END OF YEAR ONE. THE OBJECTIVE IS FUNDED BY, AND ALL OUTCOMES ARE SPECIFIC TO THE HOSPITAL, ALTHOUGH THE OBJECTIVE IS MANAGED AT THE DIVISIONAL LEVEL. TO DRIVE THE OBJECTIVES FORWARD AND TO MEET THE GOALS ESTABLISHED AS PART OF THE 2020 CHP, THE HOSPITAL HAS PARTNERED WITH ORGANIZATIONS AND INDIVIDUALS TO DEVELOP THE HEALTH EQUITY ZONE (HEZ) INITIATIVE. THE HEZ INITIATIVE IS FUNDED AND DEPLOYED THROUGH ADVENTHEALTH DELAND AND ALL OUTCOMES ARE SPECIFIC TO THE REPORTING HOSPITAL. THE HEZ INITIATIVE IS FOCUSED ON CREATING A COMPREHENSIVE AND COLLABORATIVE APPROACH TO LEVERAGE NEW AND EXISTING RESOURCES FOCUSED ON A SPECIFIC GEOGRAPHIC AREA, THE SPRING HILL NEIGHBORHOOD OF DELAND. THE SPRING HILL NEIGHBORHOOD IN DELAND HAS BEEN A COMMUNITY IN THE AREA WITH A CONSISTENTLY HIGH LEVEL OF POVERTY OVER THE LAST FOUR DECADES AND HAS BEEN IDENTIFIED IN COMMUNITY HEALTH ASSESSMENTS AS AN AREA OF HIGH NEED.BY ENGAGING RESIDENTS AND COMMUNITY ORGANIZATIONS TOGETHER, THE HEZ WILL FOCUS ON PROVIDING SERVICES AND SUPPORT FOR THIS VULNERABLE POPULATION WITH THE GOAL OF CREATING MEASURABLE HEALTH IMPROVEMENT. THE HOSPITAL PROGRESSED ON ITS SET METRIC OF IDENTIFYING SPECIFIC MENTAL HEALTH AND SUBSTANCE ABUSE SERVICE NEEDS THROUGH AN EXPLORATORY MEETING ATTENDED BY 31 COMMUNITY AND NEIGHBORHOOD LEADERS TO DISCUSS THE FORMATION OF A HEALTH EQUITY ZONE AND A HEZ STEERING COMMITTEE. THE HOSPITAL PROGRESSED ON ITS SET METRIC OF IDENTIFYING SPECIFIC MENTAL HEALTH AND SUBSTANCE ABUSE SERVICE NEEDS THROUGH DISCUSSIONS WITH MEMBERS OF THE HEZ STEERING COMMITTEE. THE HEZ STEERING COMMITTEE WILL BE REFRESHED IN 2022 TO IDENTIFY COMMUNITY LEADERS AND ORGANIZATIONS TO BE PART OF THE STEERING COMMITTEE TO MOVE THIS WORK FORWARD. ALTHOUGH THE FULL OBJECTIVE WAS NOT MET IN YEAR TWO, THIS WAS DUE TO THE NEED TO REALLOCATE RESOURCES BECAUSE OF COVID-19. THE HOSPITAL HAS REENGAGED FULLY WITH THE SPRING HILL COMMUNITY AND IS PROGRESSING TO MEET ITS OBJECTIVES. (CONTINUED) |
| MEMORIAL HOSPITAL - WEST VOLUSIA, INC. | 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 7A: | THE CHNA REPORT CAN BE FOUND AT URL:HTTPS://WWW.ADVENTHEALTH.COM/COMMUNITY-HEALTH-NEEDS-ASSESSMENTS |
| SCHEDULE H, PART V, SECTION B, LINE 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, SECTION B, LINE 11 EXPLANATION CONTINUED: | ADDITIONALLY, STEPS HAVE BEEN TAKEN TO INVENTORY CURRENT COMMUNITY IMPROVEMENT EFFORTS TO IDENTIFY ALIGNMENT OPPORTUNITIES. ADVENTHEALTH DELAND HAS IDENTIFIED THE NEED FOR TRUE ENGAGEMENT WITH SPRING HILL RESIDENTS TO FOCUS ON THE ASSETS OF THE COMMUNITY. THERE ARE KEY COMMUNITY MEMBERS WHO CAN HELP CONNECT WITH RESIDENTS TO CONDUCT AN ASSESSMENT IN 2022 BY CAPTURING THE VOICES OF THE NEIGHBORHOOD RESIDENTS. THE HOSPITAL ALSO IDENTIFIED THE NEED FOR COORDINATION ACROSS ORGANIZATIONS AS A KEY COMPONENT IN THE SUCCESS OF THE INITIATIVE. IN SUPPORT OF THIS, THE DEPARTMENT OF HEALTH IN VOLUSIA COUNTY AND ONE VOICE FOR VOLUSIA, A LOCAL COMMUNITY CONVENER WHICH HAS LED SEVERAL INITIATIVES AND SERVES AS A DATA AND STRATEGY ADVISOR IN VOLUSIA COUNTY, ARE SEEKING FUNDS TO CREATE A COMMUNITY HEALTH WORKER POSITION TO FOCUS ON THE NEIGHBORHOOD. FURTHERMORE, DURING 2021, NARCAN, A LIFE-SAVING MEDICATION, WAS ADMINISTERED TO 130 INDIVIDUALS WHO WERE EXPERIENCING AN OPIOID-RELATED OVERDOSE.THE HOSPITAL SUPPORTED SISTERS BUILD NETWORK FOR GIRLS COVID VACCINE CLINIC AT EARL BROWN PARK, WITH 7 VACCINATIONS ADMINISTERED.OBJECTIVE 2:THE SECOND OBJECTIVE IS TO WORK WITH COMMUNITY PARTNERS TO INCREASE ACCESS FOR 15% OF HEZ NEIGHBORHOOD RESIDENTS TO OBTAIN IDENTIFIED SERVICES (IN HOME OR IN THE NEIGHBORHOOD) BY THE END OF YEAR THREE. THE OBJECTIVE TO INCREASE ACCESS TO NEEDED IDENTIFIED SERVICES IS DEPLOYED THROUGH ADVENTHEALTH DELAND AND ALL OUTCOMES ARE SPECIFIC TO THE REPORTING HOSPITAL. HOWEVER, THE HEZ INITIATIVE, THROUGH WHICH THIS OBJECTIVE IS DEPLOYED, IS MANAGED AT THE DIVISIONAL LEVEL. THE HOSPITAL PROGRESSED ON ITS SET METRIC OF IMPROVED ACCESS FOR 15% OF RESIDENTS BY ESTABLISHING THE HEZ STEERING COMMITTEE AS A FOUNDATIONAL STEP TOWARD THIS BROAD PLACE-BASED INITIATIVE.GOAL 2: ESTABLISH A MULTI-AGENCY REFERRAL AND COMMUNICATION MANAGEMENT SYSTEM IN VOLUSIA/FLAGLER COUNTY TO EFFECTIVELY CONNECT INDIVIDUALS IN NEED TO BEHAVIORAL HEALTH CARE SERVICES.OBJECTIVE 1:THE FIRST OBJECTIVE IS A DIVISIONAL INITIATIVE AND APPEARS ON MULTIPLE COMMUNITY HEALTH PLANS OF HOSPITALS IN THE CENTRAL FLORIDA DIVISION OF ADVENTHEALTH, THE SAME DIVISION AS THE REPORTING HOSPITAL. THE HOSPITALS PARTNERED ON THIS INITIATIVE BECAUSE OF A SHARED CHNA PRIORITY. THE OBJECTIVE IS TO SUPPORT THE DEVELOPMENT OF A PILOT PROJECT TO CONNECT HEALTH AND BEHAVIORAL HEALTH SYSTEMS THROUGH THE UTILIZATION OF A REFERRAL AND COMMUNICATION MANAGEMENT TECHNOLOGY SYSTEM TO BE LAUNCHED BY THE END OF YEAR TWO. THIS OBJECTIVE IS MANAGED AT A DIVISIONAL LEVEL AND OUTCOMES ARE REPORTED AT A DIVISIONAL LEVEL; HOWEVER, ALL FUNDING IS SPECIFIC TO THE REPORTING HOSPITAL. THE HOSPITAL'S SUPPORT PROVIDES FUNDING TO FLAGLER CARES, A LOCAL NOT-FOR-PROFIT, WHICH FOCUSES ON INCREASING CAPACITY AND COORDINATION FOR HEALTH AND HUMAN SERVICES PROGRAMS AND FOR THE PLANNING AND IMPLEMENTATION OF A DIGITAL SOLUTION TO FACILITATE REFERRALS TO BEHAVIORAL HEALTH SERVICES TO INCREASE ACCESS TO CARE AND IMPROVE HEALTH. THE DIVISION PROGRESSED ON ITS SET METRIC THROUGH THE LAUNCH OF A PLAN TO SUPPORT THE LARGER OBJECTIVE. FLAGLER CARES LAUNCHED THE LINKING INDIVIDUALS TO NETWORK OF CARE (LINC) FLAGLER VOLUSIA REFERRAL MANAGEMENT SYSTEM IN AUGUST 2021 WITH AN INITIAL FOCUS ON BEHAVIORAL HEALTH SERVICES. BY THE END OF 2021, FOURTEEN ORGANIZATIONS WERE PARTICIPATING IN THE NETWORK AND OVER 889 REFERRALS WERE SENT THROUGH THE SYSTEM.GOAL 3: PROVIDE SPECIAL PROGRAMS FOR AT RISK STUDENTS IN THE DELAND AREA.OBJECTIVE 1:THE FIRST OBJECTIVE IS TO SUPPORT A BEFORE SCHOOL CLUB AT SOUTHWEST MIDDLE SCHOOL WITH AN INTERNAL FACULTY SPONSOR TO FOCUS ON PROVIDING YOUTH OPPORTUNITIES FOR SELF-DEVELOPMENT AND INSPIRE YOUTH TO GROW INTO HEALTHY WELL-BALANCED ADULTS. THIS OBJECTIVE IS MANAGED AT A DIVISIONAL LEVEL AND APPEARS ON SEVERAL COMMUNITY HEALTH PLANS IN THE DIVISION; HOWEVER, ALL FUNDING AND OUTCOMES ARE SPECIFIC TO THE REPORTING HOSPITAL. THE HOSPITAL'S FINANCIAL SUPPORT PROVIDES ACCESS TO A FOCUSED YOUTH DEVELOPMENT PROGRAM FOR AT RISK MIDDLE SCHOOL YOUTH. THE HOSPITAL DID NOT MEET ITS SET METRIC OF PROVIDING FUNDING, DUE TO A CHANGE IN STRATEGY BY THE OTHER PARTNER. DUE TO COVID-19, THE PROGRAM WAS DELAYED. AS A RESULT OF THE CONTINUED PANDEMIC, ADVENTHEALTH HAS PIVOTED WHERE NECESSARY TO ADDRESS THE IMMEDIATE NEEDS OF OUR COMMUNITY. WE ARE WORKING TO IDENTIFY WAYS TO SUPPORT THE NEEDS ORIGINALLY IDENTIFIED IN OUR CHNAS, AS RESOURCES AND PUBLIC HEALTH RECOMMENDATIONS DEVELOP.PRIORITY 2: CARDIOVASCULAR DISEASES & DIABETES 2019 DESCRIPTION OF THE ISSUE:CARDIOVASCULAR DISEASES- THE YEARS OF POTENTIAL LIFE LOST (YPLL) RATE FOR VOLUSIA COUNTY INCREASED FROM 2014 TO 2017 AND IS HIGHER THAN FLORIDA.- THE VOLUSIA COUNTY DEATH RATE FOR HEART FAILURE IS HIGHER THAN FLORIDA.- VOLUSIA COUNTY'S HOSPITALIZATION RATE FOR CONGESTIVE HEART FAILURE IS HIGHER THAN FLORIDA'S AND THE RATE FOR BLACK INDIVIDUALS IS MUCH HIGHER.- THE VOLUSIA COUNTY HOSPITALIZATION RATE FOR CORONARY HEART DISEASE IS HIGHER THAN FLORIDA AND THE RATE FOR BLACK INDIVIDUALS IS HIGHER THAN THE RATE FOR ALL.- THE VOLUSIA COUNTY DEATH RATE FOR CORONARY HEART DISEASE IS HIGHER THAN FLORIDA.- THE VOLUSIA COUNTY HOSPITALIZATION RATE FOR STROKE IS HIGHER THAN FLORIDA AND THE RATE FOR BLACK INDIVIDUALS IS HIGHER THAN OTHER GROUPS.- THE VOLUSIA COUNTY DEATH RATE FOR STROKE IS HIGHER THAN FLORIDA AND THE RATE FOR BLACK INDIVIDUALS IS HIGHER THAN OTHER GROUPS.DIABETES - THE DEATH RATE FROM DIABETES INCREASED BETWEEN 2016 AND 2017 AND IS HIGHER IN VOLUSIA COUNTY THAN IN FLORIDA. THE RATE IS HIGHEST FOR BLACK INDIVIDUALS.- THE RATE OF PREVENTABLE HOSPITALIZATIONS FOR ADULTS UNDER 65 FROM DIABETES IS INCREASING AND HIGHER THAN FLORIDA.2021 UPDATE:THE ADVENTHEALTH DELAND COMMUNITY HEALTH PLAN HAS TWO DESIRED GOAL STATEMENTS UNDER THE CARDIOVASCULAR DISEASES & DIABETES PRIORITY.1. ESTABLISH A HEALTHY EQUITY ZONE (HEZ) IN THE SPRING HILL NEIGHBORHOOD OF DELAND TO REDUCE HEALTH INEQUITIES AND PROVIDE HEALTH SERVICES TO REDUCE CARDIOVASCULAR DISEASES AND DIABETES.2. REDUCE THE ONSET OF DIABETES AMONG YOUTH.GOAL 1: ESTABLISH A HEALTHY EQUITY ZONE (HEZ) IN THE SPRING HILL NEIGHBORHOOD OF DELAND TO REDUCE HEALTH INEQUITIES AND PROVIDE HEALTH SERVICES TO REDUCE CARDIOVASCULAR DISEASES AND DIABETES.OBJECTIVE 1:THE FIRST OBJECTIVE IS TO WORK WITH COMMUNITY RESIDENTS AND COMMUNITY ORGANIZATIONS TO SCREEN 20% OF IDENTIFIED HEZ RESIDENTS FOR PRE-DIABETES/DIABETES, HIGH BLOOD PRESSURE AND OTHER RISK FACTORS FOR CHRONIC CONDITIONS. THE SCREENING INITIATIVE IS FUNDED AND DEPLOYED THROUGH ADVENTHEALTH DELAND AND ALL OUTCOMES ARE SPECIFIC TO THE REPORTING HOSPITAL. THE SCREENING INITIATIVE IS FOCUSED ON PROVIDING OPPORTUNITIES IN THE NEIGHBORHOOD TO ENCOURAGE SCREENING AND REDUCE ACCESS BARRIERS FOR NEIGHBORHOOD RESIDENTS. THE HOSPITAL PROGRESSED ON ITS SET METRIC BY PARTNERING WITH LOCAL COMMUNITY ORGANIZATIONS THAT CAN IDENTIFY LOCAL COMMUNITY MEMBERS WHO WILL BENEFIT FROM SCREENINGS AND CAN ENCOURAGE SCREENINGS. DUE TO COVID-19, THE PROGRAM WAS DELAYED. DURING DIABETES AWARENESS MONTH ON NOVEMBER 19, 2021, AN ADVENTHEALTH DELAND DIABETES EDUCATOR PROVIDED AN EDUCATIONAL EVENT IN SPRING HILL. EACH PARTICIPANT RECEIVED A DIABETES RISK ASSESSMENT TO COMPLETE AT HOME ALONG WITH INFORMATION ABOUT THE GOOD SAMARITAN CLINIC. EACH OF THE 30 YOUTH ALSO TOOK HOME A HEALTHY SNACK (TRAIL MIX) AND A MODEL OF THE HEALTHY PLATE. JOYCE PARRILLO RN, CDCES, DIABETES EDUCATION AND WELLNESS COORDINATOR AT ADVENTHEALTH DELAND, VOLUNTEERS AT THE GOOD SAMARITAN CLINIC FOR 2 HOURS EACH MONTH. A TOTAL OF 30 PEOPLE ATTENDED THE CLASSES IN 2021.OBJECTIVE 2:THE SECOND OBJECTIVE IS TO PROMOTE ADVENTHEALTH DELAND DIABETES EDUCATION RESOURCES TO HEZ RESIDENTS AND ENGAGE 50 RESIDENTS IN EDUCATIONAL OPPORTUNITIES BY THE END OF YEAR ONE. THIS OBJECTIVE IS MANAGED AT A DIVISIONAL LEVEL HOWEVER ALL FUNDING AND OUTCOMES ARE SPECIFIC TO THE REPORTING HOSPITAL. THE EDUCATION INITIATIVE WAS FOCUSED ON LEVERAGING EXISTING ADVENTHEALTH DELAND RESOURCES TO PROVIDE EDUCATIONAL OPPORTUNITIES, INCLUDING SUPPORT GROUPS AND EDUCATION CLASSES, IN THE NEIGHBORHOOD TO REDUCE ACCESS BARRIERS. THE HOSPITAL PROGRESSED ON ITS SET METRIC. ALTHOUGH DUE TO SOCIAL DISTANCING PRECAUTIONS AND COVID-19 CONSIDERATIONS THE OBJECTIVE WAS NOT MET IN ITS ENTIRETY, THE HOSPITAL HAS ALLOCATED RESOURCES AND REALIGNED WITH PARTNERS TO ENGAGE WITH THE COMMUNITY TO MOVE THE OBJECTIVE FORWARD AND WILL REPORT OUT IN YEAR THREE.(CONTINUED) |
| SCHEDULE H, PART V, SECTION B, LINE 11 EXPLANATION CONTINUED: | WE IDENTIFIED AN OPPORTUNITY TO COLLABORATE WITH FAITH PARTNERS TO IMPLEMENT VIRTUAL SESSIONS OF DIABETES UNDONE, A DIABETES PROGRAM FOCUSED ON HEALTHY EATING AND LIFESTYLE CHOICES, LED BY AN INTERNAL DIETICIAN IN 2021. ADDITIONALLY, THE BOYS & GIRLS CLUBS OF VOLUSIA/FLAGLER COUNTIES - LACEY FAMILY SPRING HILL CLUB HAS A FOOD PANTRY WHERE DIABETES EDUCATIONAL MATERIALS CAN BE DISTRIBUTED.DIABETES UNDONE TOOK PLACE AT THE DEBARY ORANGE CITY ADVENTIST CHURCH ON AUGUST 19, 2021, WITH 18 PARTICIPANTS. A SPILL THE BEANS NUTRITION EVENT/COOKING EXPO WAS HELD AUGUST 22, 2021, WITH 54 PARTICIPANTS.GOAL 2: REDUCE THE ONSET OF DIABETES AMONG YOUTH.OBJECTIVE 1: THE FIRST OBJECTIVE IS TO IMPLEMENT A DIABETES EDUCATION PROGRAM FOR 75% OF THIRD GRADERS IN IDENTIFIED ELEMENTARY SCHOOLS DURING THE 2020-2021 SCHOOL YEAR AND TO PROVIDE A NUTRITIONAL STUDENT EDUCATION PROGRAM IN DELAND. THIS OBJECTIVE IS MANAGED AT A DIVISIONAL LEVEL; HOWEVER, ALL FUNDING AND OUTCOMES ARE SPECIFIC TO THE REPORTING HOSPITAL. THE SCHOOL-BASED DIABETES PROGRAM PROVIDES EDUCATIONAL PROGRAMMING TO THIRD GRADERS AT AN IDENTIFIED AT-RISK SCHOOL IN THE DELAND AREA. THE HOSPITAL DID NOT MEET ITS SET METRIC. DUE TO COVID-19, THE ORIGINAL PROGRAM WAS TAKEN OFFLINE, BUT THIS DID ALLOW FOR AN ALTERNATIVE VIRTUAL ALTERNATIVE TO BE DEVELOPED. THE DIVISION IDENTIFIED MISSION FIT, AN ADVENTHEALTH FOR CHILDREN PROGRAM, WHICH IS A COMPREHENSIVE CHILDREN'S WELLNESS INITIATIVE THAT EMPOWERS STUDENTS TO BE AGENTS OF HEALTH AS A VIABLE ALTERNATIVE. THE PROGRAM APPROACHES EACH ASPECT OF PHYSICAL AND MENTAL WELL-BEING, NOT ONLY FOR CHILDREN AND TEENS, BUT ALSO FOR THE FAMILY UNIT, WHEN HOUSEHOLD SUPPORT IS NEEDED TO AFFECT CHANGE.THIS PARTNERSHIP WITH ADVENTHEALTH FOR CHILDREN WILL ENABLE THE LAUNCH OF A VIRTUAL PROGRAM WITH A DELAND AREA SCHOOL. IN ADDITION TO THIS VIRTUAL PROGRAM, AN AMERICAN DIABETES ASSOCIATION DIABETES SCREENING TOOL HAS BEEN IDENTIFIED FOR IMPLEMENTATION WITH YOUTH IN THE SPRING HILL AREA OF DELAND; THIS PAPER TOOL IS EASILY DISTRIBUTED AND CAN BE UTILIZED AS A SELF-SCREENING TOOL. ALSO, THE HOSPITAL WILL PARTNER WITH THE EARLY LEARNING COALITION OF FLAGLER, A COMMUNITY-BASED ORGANIZATION WHICH PROVIDES FREE CHILDCARE RESOURCES AND REFERRALS TO ALL FAMILIES IN VOLUSIA AND FLAGLER COUNTIES SEEKING INFORMATION ON QUALITY EARLY CARE AND EDUCATION PROGRAMS. THE HOSPITAL WILL ALSO PARTNER WITH THE DEPARTMENT OF HEALTH IN VOLUSIA COUNTY ON THEIR HEALTHY EATING AND PHYSICAL ACTIVITY CAMPAIGN CALLED 5-2-1-0, WHICH ENCOURAGES EARLY EDUCATION ON THE IMPORTANCE OF FIVE FRUITS AND VEGETABLES A DAY, A MAXIMUM OF TWO HOURS OF SCREEN TIME, ONE HOUR OF ACTIVITY AND ZERO SUGARY DRINKS A DAY.PRIORITY 3: BARRIERS TO ACCESSING HEALTH CARE SERVICES2019 DESCRIPTION OF THE ISSUE:- VOLUSIA COUNTY'S RATE OF HEALTH RESOURCES PER POPULATION ARE LOWER THAN FLORIDA IN THE CATEGORIES OF PHYSICIANS, INTERNISTS, OB/GYN AND PEDIATRICIANS. - VOLUSIA COUNTY HAS A HIGHER PERCENTAGE OF BIRTHS COVERED BY MEDICAID THAN FLORIDA. RATES FOR BLACK AND HISPANIC INDIVIDUALS ARE HIGHER. - THE PERCENT OF VOLUSIA COUNTY ADULTS WITH A PERSONAL DOCTOR IS LOWER THAN FLORIDA. - VOLUSIA COUNTY HAS A LOWER RATIO OF PRIMARY CARE PHYSICIANS, DENTISTS, AND MENTAL HEALTH PROVIDERS TO POPULATION THAN FLORIDA.2021 UPDATE: THE ADVENTHEALTH DELAND COMMUNITY HEALTH PLAN HAS THREE DESIRED GOAL STATEMENTS UNDER THE BARRIERS TO ACCESSING HEALTH CARE SERVICES PRIORITY.1. ESTABLISH A HEALTHY EQUITY ZONE (HEZ) IN THE SPRING HILL NEIGHBORHOOD OF DELAND TO REDUCE HEALTH INEQUITIES AND PROVIDE ACCESS TO RESIDENT IDENTIFIED HEALTH AND SOCIAL SERVICES.2. INCREASE THE NUMBER OF INDIVIDUALS WHO HAVE ACCESS TO NECESSARY HEALTH CARE SERVICES.3. CREATE NEW ACCESS TO HEALTH SCREENINGS FOR AT RISK POPULATIONS IN THE DELAND AREA.GOAL 1: ESTABLISH A HEALTHY EQUITY ZONE (HEZ) IN THE SPRING HILL NEIGHBORHOOD OF DELAND TO REDUCE HEALTH INEQUITIES AND PROVIDE ACCESS TO RESIDENT IDENTIFIED HEALTH AND SOCIAL SERVICES. OBJECTIVE 1: THE FIRST OBJECTIVE IS TO WORK WITH AT LEAST 100 COMMUNITY RESIDENTS AND COMMUNITY ORGANIZATIONS TO IDENTIFY THREE SPECIFIC ACCESS BARRIERS TO HEALTH SERVICES BY THE END OF YEAR ONE. THE OBJECTIVE IS FUNDED BY, AND ALL OUTCOMES ARE SPECIFIC TO THE HOSPITAL, ALTHOUGH THE OBJECTIVE IS MANAGED AT THE DIVISION LEVEL. TO DRIVE THE OBJECTIVES FORWARD AND TO MEET THE GOALS ESTABLISHED AS PART OF THE 2020 CHP, THE HOSPITAL HAS PARTNERED WITH ORGANIZATIONS AND INDIVIDUALS TO DEVELOP THE HEALTH EQUITY ZONE INITIATIVE. THE HEZ INITIATIVE IS FUNDED AND DEPLOYED THROUGH ADVENTHEALTH DELAND AND ALL OUTCOMES ARE SPECIFIC TO THE REPORTING HOSPITAL.THE HOSPITAL PROGRESSED ON ITS SET METRIC OF IDENTIFYING THREE SPECIFIC ACCESS BARRIERS TO HEALTH SERVICES THROUGH DISCUSSIONS WITH MEMBERS OF THE HEZ STEERING COMMITTEE. THE HEZ STEERING COMMITTEE WILL BE REFRESHED IN 2022 TO IDENTIFY COMMUNITY LEADERS AND ORGANIZATIONS TO BE PART OF THE STEERING COMMITTEE TO MOVE THIS WORK FORWARD. ALTHOUGH THE FULL OBJECTIVE WAS NOT MET IN YEAR TWO, THIS WAS DUE TO THE NEED TO REALLOCATE RESOURCES BECAUSE OF COVID-19. THE HOSPITAL HAS REENGAGED FULLY WITH THE SPRING HILL COMMUNITY AND IS PROGRESSING TO MEET ITS OBJECTIVES.ADDITIONALLY, STEPS HAVE BEEN TAKEN TO INVENTORY CURRENT COMMUNITY IMPROVEMENT EFFORTS TO IDENTIFY ALIGNMENT OPPORTUNITIES. ADVENTHEALTH DELAND HAS IDENTIFIED THE NEED FOR TRUE ENGAGEMENT WITH SPRING HILL RESIDENTS TO FOCUS ON THE ASSETS OF THE COMMUNITY. THERE ARE KEY COMMUNITY MEMBERS WHO CAN HELP CONNECT WITH RESIDENTS TO CONDUCT AN ASSESSMENT IN 2022 BY CAPTURING THE VOICES OF THE NEIGHBORHOOD RESIDENTS. THE HOSPITAL ALSO IDENTIFIED THE NEED FOR COORDINATION ACROSS ORGANIZATIONS AS A KEY COMPONENT IN THE SUCCESS OF THE INITIATIVE. IN SUPPORT OF THIS, THE DEPARTMENT OF HEALTH IN VOLUSIA COUNTY WILL PROVIDE A COMMUNITY HEALTH WORKER POSITION TO SPEND SOME TIME WORKING IN THE NEIGHBORHOOD.OBJECTIVE 2:THE SECOND OBJECTIVE IS TO WORK WITH LOCAL COMMUNITY-BASED ORGANIZATIONS TO ESTABLISH NEEDED HEALTH SERVICES IN THE NEIGHBORHOOD OR ADDRESS BARRIERS IDENTIFIED BY COMMUNITY RESIDENTS DURING THE ASSESSMENT PROCESS AND PROVIDE SERVICE ACCESS TO 25% OF IDENTIFIED RESIDENTS BY THE END OF YEAR THREE. THE INITIATIVE TO INCREASE ACCESS TO HEALTH AND SOCIAL SERVICES IS DEPLOYED THROUGH ADVENTHEALTH DELAND AND ALL OUTCOMES ARE SPECIFIC TO THE REPORTING HOSPITAL. THE INITIATIVE PLANNED FOR YEAR THREE WILL IMPROVE ACCESS TO THE HEALTH SERVICES IDENTIFIED BY COMMUNITY RESIDENTS. THE HOSPITAL PROGRESSED ON ITS SET METRIC OF IMPROVED ACCESS FOR 25% OF RESIDENTS BY ESTABLISHING THE HEZ STEERING COMMITTEE AS A FOUNDATIONAL STEP TOWARD THIS BROAD PLACE-BASED INITIATIVE.GOAL 2: INCREASE THE NUMBER OF INDIVIDUALS WHO HAVE ACCESS TO NECESSARY HEALTH CARE SERVICES.OBJECTIVE 1:THE FIRST OBJECTIVE IS TO EXPAND OPERATING HOURS TO INCLUDE EVENING AND WEEKEND HOURS AT WEST VOLUSIA MEDICAL ASSOCIATES TO INCREASE ACCESS TO CARE. THE PROGRAM EXPANSION INITIATIVE IS DEPLOYED THROUGH ADVENTHEALTH DELAND AND ALL OUTCOMES ARE SPECIFIC TO THE REPORTING HOSPITAL. THE EXPANSION OF OPERATING HOURS OF VOLUSIA MEDICAL ASSOCIATES, WHICH SINCE THE WRITING OF THE COMMUNITY HEALTH PLAN HAS BEEN ACQUIRED AND REBRANDED AS THE ADVENTHEALTH MEDICAL GROUP INTERNAL MEDICINE AT DELAND, WAS IDENTIFIED AS A STRATEGY TO INCREASE ACCESS TO CARE. THE HOSPITAL MET ITS SET METRIC AS ADVENTHEALTH MEDICAL GROUP INTERNAL MEDICINE DELAND EXPANDED ITS HOURS IN 2021.ADVENTHEALTH MEDICAL GROUP INTERNAL MEDICINE AT DELAND EXPANDED ITS HOURS BEGINNING JANUARY 4, 2021, TO MONDAY THROUGH FRIDAY FROM 7:00 AM TO 7:00 PM TO MEET THE NEEDS OF THE COMMUNITY. VIRTUAL VISITS ARE ALSO AVAILABLE TO THE COMMUNITY. ALSO, IN SUPPORT OF THE BARRIERS TO ACCESS TO CARE PRIORITY, THE HOSPITAL PROVIDED THE GOOD SAMARITAN CLINIC WITH $396,761 IN MEDICAL CARE SERVICES AS WELL AS A $15,000 CASH DONATION TO GOOD SAMARITAN CLINIC. THE TOTAL CONTRIBUTION IN 2021 WAS $411,761. ADDITIONALLY, THE COMMUNITY CARE PROGRAM AT THE HOSPITAL PROVIDES EDUCATION, SUPPORT AND CARE COORDINATION THROUGH AN INTERDISCIPLINARY TEAM SERVING THE MOST VULNERABLE PATIENTS. THE TEAM PROVIDES HOME VISITS AT NO CHARGE, FOCUSING ON EDUCATING PATIENTS AND FAMILIES ON PREVENTATIVE CARE AND REDUCING BARRIERS RELATED TO THE SOCIAL DETERMINANTS OF HEALTH. THE HOSPITAL ENROLLED 85 NEW COMMUNITY CARE PATIENTS IN 2021.(CONTINUED) |
| SCHEDULE H, PART V, SECTION B, LINE 11 EXPLANATION CONTINUED: | OBJECTIVE 2: THE SECOND OBJECTIVE IS TO INCREASE THE NUMBER OF INDIVIDUALS PARTICIPATING IN THE FREE TOOLS TO QUIT TOBACCO CESSATION PROGRAMS BY 10% OVER THE NUMBER OF PARTICIPANTS IN 2019. THE OBJECTIVE IS MANAGED BY THE DIVISION; HOWEVER, THE HOSPITAL PROVIDES IN-KIND RESOURCES AND ALL OUTCOMES REPORTED ARE SPECIFIC TO THE REPORTING HOSPITAL. THE NORTHEAST FLORIDA AREA HEALTH EDUCATION CENTER (NEFAHEC) TOBACCO CESSATION PROGRAMS PROVIDE FREE INTERVENTION THERAPIES TO QUIT SMOKING TOBACCO. THROUGH A PARTNERSHIP WITH NEFAHEC, A LOCAL CHAPTER OF THE NATIONAL AREA HEALTH EDUCATION CENTER (AHEC) ORGANIZATION, WE WILL INCREASE THE NUMBER OF INDIVIDUALS PARTICIPATING IN THE CLASSES BY PROVIDING CONNECTION POINTS TO NEFAHEC'S CLASSES THROUGH SOCIAL MEDIA POSTS AND INTERNAL RESOURCES.NEFAHEC IS A COMMUNITY FOCUSED ORGANIZATION THAT DEVELOPS AND IMPLEMENTS COMMUNITY-BASED HEALTH PROMOTION ACTIVITIES AND EDUCATION PROGRAMS, WHICH TARGET THE UNDERSERVED. AS IT RELATES TO OUR RELATIONSHIP WITH NEFAHEC, WE ARE PARTNERING WITH NEFAHEC TO PROVIDE COMMUNITY MEMBERS THE TOOLS AND RESOURCES TO ASSIST WITH TOBACCO CESSATION.THE HOSPITAL PROGRESSED ON ITS SET METRIC. ADVENTHEALTH DELAND REFERRED 5 INDIVIDUALS FOR SMOKING CESSATION SERVICES PROVIDED BY NEFAHEC IN 2021. GOAL 3: CREATE NEW ACCESS TO HEALTH SCREENINGS FOR AT RISK POPULATIONS IN THE DELAND AREA. OBJECTIVE 1:THE FIRST OBJECTIVE IS TO PROVIDE ACCESS TO VISION SCREENINGS FOR 75% OF YOUTH CLUB MEMBERS ANNUALLY AT THE LACEY FAMILY SPRING HILL BOYS & GIRLS CLUB. THE VISION SCREENING INITIATIVE IS DEPLOYED THROUGH ADVENTHEALTH DELAND AND ALL OUTCOMES ARE SPECIFIC TO THE REPORTING HOSPITAL. THE VISION SCREENING INITIATIVE PROVIDES INCREASED ACCESS TO IMPORTANT VISION SCREENING FOR YOUTH LIVING IN THE SPRING HILL NEIGHBORHOOD. THE HOSPITAL DID NOT MEET ITS SET METRIC OF 75% OF BOYS AND GIRLS CLUB MEMBERS SCREENED. AS A RESULT OF THE ALLOCATION OF RESOURCES DURING COVID-19, THE HOSPITAL WAS NOT ABLE TO PROVIDE THIS SERVICE AT THE TIME. ADDITIONALLY, THE HOSPITAL RECOGNIZES THAT WITHOUT A COMMUNITY PARTNER TO PROVIDE THE NEEDED FOLLOW CARE AFTER SCREENINGS IT IS BETTER TO NOT MOVE THE OBJECTIVE FORWARD WITHOUT A STRATEGY IN PLACE. THE HOSPITAL WILL WORK TO IDENTIFY AN ALTERNATIVE STRATEGY TO SUPPORT THE COMMUNITY.PRIORITY 4: HEALTHY EATING & PHYSICAL ACTIVITY2019 DESCRIPTION OF THE ISSUE:- OVER 70% OF VOLUSIA COUNTY MIDDLE AND HIGH SCHOOL STUDENTS LACK VIGOROUS PHYSICAL ACTIVITY AND THE PERCENT INCREASED FROM 2014 TO 2016. THE PERCENT IS BETTER THAN FLORIDA.- THE PERCENT OF VOLUSIA COUNTY ADULTS WHO ARE SEDENTARY INCREASED FROM 2007 TO 2016 AND IS NOW HIGHER THAN FLORIDA.- THE PERCENT OF VOLUSIA COUNTY MIDDLE AND HIGH SCHOOLERS WHO WERE OBESE INCREASED SIGNIFICANTLY FROM 2014 TO 2016.- THE PERCENT OF VOLUSIA COUNTY ADULTS WHO ARE OBESE INCREASED BETWEEN 2013 AND 2016 AND THE PERCENT IS NOW HIGHER THAN FLORIDA.- INJURY DEATHS ARE INCREASING AND HIGHER THAN FLORIDA.2021 UPDATE: THE ADVENTHEALTH DELAND COMMUNITY HEALTH PLAN HAS TWO DESIRED GOAL STATEMENTS UNDER THE HEALTHY EATING & PHYSICAL ACTIVITY PRIORITY.1. ESTABLISH A HEALTHY EQUITY ZONE (HEZ) IN THE SPRING HILL NEIGHBORHOOD OF DELAND TO REDUCE HEALTH INEQUITIES AND PROVIDE ACCESS TO HEALTHY FOODS AND OPPORTUNITIES FOR PHYSICAL ACTIVITY.2. INCREASE PHYSICAL ACTIVITY AND HEALTHY EATING AMONG VULNERABLE RESIDENTS.GOAL 1: ESTABLISH A HEALTHY EQUITY ZONE (HEZ) IN THE SPRING HILL NEIGHBORHOOD OF DELAND TO REDUCE HEALTH INEQUITIES AND PROVIDE ACCESS TO HEALTHY FOODS AND OPPORTUNITIES FOR PHYSICAL ACTIVITY.OBJECTIVE 1:THE FIRST OBJECTIVE IS TO WORK WITH AT LEAST 100 COMMUNITY RESIDENTS AND FIVE COMMUNITY ORGANIZATIONS TO ASCERTAIN CURRENT ACCESS TO HEALTHY FOODS AND OPPORTUNITIES FOR PHYSICAL ACTIVITY THROUGH AN ASSESSMENT PROCESS AND TO IDENTIFY GAPS AND MISSING RESOURCES BY THE END OF YEAR ONE. THE OBJECTIVE IS FUNDED BY AND ALL OUTCOMES ARE SPECIFIC TO THE HOSPITAL, ALTHOUGH THE OBJECTIVE IS MANAGED AT THE DIVISION LEVEL. TO DRIVE THE OBJECTIVES FORWARD AND TO MEET THE GOALS ESTABLISHED AS PART OF THE 2020 CHP, THE HOSPITAL HAS PARTNERED WITH ORGANIZATIONS AND INDIVIDUALS TO DEVELOP THE HEALTH EQUITY ZONE INITIATIVE. THE HOSPITAL PROGRESSED ON ITS SET METRIC BY CONVENING AN EXPLORATORY MEETING ATTENDED BY 31 COMMUNITY AND NEIGHBORHOOD LEADERS TO DISCUSS THE FORMATION OF A HEALTH EQUITY ZONE AND A HEZ STEERING COMMITTEE. ALTHOUGH THE FULL OBJECTIVE WAS NOT MET IN YEAR ONE, THIS WAS DUE TO THE NEED TO REALLOCATE RESOURCES BECAUSE OF COVID-19. THE HOSPITAL HAS REENGAGED FULLY WITH THE SPRING HILL COMMUNITY AND IS PROGRESSING TO MEET ITS OBJECTIVES.ADDITIONALLY, STEPS HAVE BEEN TAKEN TO INVENTORY CURRENT COMMUNITY IMPROVEMENT EFFORTS TO IDENTIFY ALIGNMENT OPPORTUNITIES. ADVENTHEALTH DELAND HAS IDENTIFIED THE NEED FOR TRUE ENGAGEMENT WITH SPRING HILL RESIDENTS TO FOCUS ON THE ASSETS OF THE COMMUNITY. THERE ARE KEY COMMUNITY MEMBERS WHO CAN HELP CONNECT WITH RESIDENTS TO CONDUCT AN ASSESSMENT IN 2022 BY CAPTURING THE VOICES OF THE NEIGHBORHOOD RESIDENTS. THROUGH ASSESSMENT AND ENGAGEMENT ACTIVITIES IN 2022, ADVENTHEALTH DELAND WILL MAXIMIZE THE EXISTING COMMUNITY ASSETS, INCLUDING THE COMMUNITY GARDEN IN SPRING HILL, TO INCREASE ACCESS TO HEALTHY FOODS.OBJECTIVE 2:THE SECOND OBJECTIVE IS TO IMPLEMENT STRATEGIES TO INCREASE ACCESS TO HEALTHY FOODS AND CREATE NEW OPPORTUNITIES FOR PHYSICAL ACTIVITY, BASED ON THE GAPS IDENTIFIED DURING THE COMMUNITY ASSESSMENT, FOR 30% OF RESIDENTS BY THE END OF YEAR THREE. THE INITIATIVE TO INCREASE ACCESS TO HEALTHY FOOD AND PHYSICAL ACTIVITY IS DEPLOYED THROUGH ADVENTHEALTH DELAND AND ALL OUTCOMES ARE SPECIFIC TO THE REPORTING HOSPITAL. THE OBJECTIVE PLANNED FOR A YEAR THREE DEPLOYMENT WILL IMPROVE ACCESS TO THE HEALTHY FOOD AND PHYSICAL ACTIVITY NEEDS IDENTIFIED BY COMMUNITY RESIDENTS. THE HOSPITAL PROGRESSED ON ITS SET METRIC OF IMPROVED ACCESS FOR 30% OF RESIDENTS BY ESTABLISHING THE HEZ STEERING COMMITTEE AS A FOUNDATIONAL STEP TOWARD THIS BROAD PLACE-BASED INITIATIVE.GOAL 2: INCREASE PHYSICAL ACTIVITY AND HEALTHY EATING AMONG VULNERABLE RESIDENTS.OBJECTIVE 1:THE FIRST OBJECTIVE IS TO PROVIDE EDUCATION ABOUT HEALTHY EATING AND PHYSICAL ACTIVITY TO 75% OF BOYS & GIRLS CLUBS' MEMBERS FOUR TIMES ANNUALLY. THE BOYS & GIRLS CLUBS EDUCATION INITIATIVE IS FUNDED AND DEPLOYED THROUGH ADVENTHEALTH DELAND AND ALL OUTCOMES ARE SPECIFIC TO THE REPORTING HOSPITAL. THE BOYS & GIRLS CLUBS EDUCATION INITIATIVE IS FOCUSED ON PROVIDING AT LEAST FOUR EDUCATION SESSIONS A YEAR TO CLUB PARTICIPANTS TO INCREASE THEIR UNDERSTANDING OF HEALTHY EATING AND PHYSICAL ACTIVITY. THE HOSPITAL MET ITS SET METRIC OF PROVIDING FOUR EDUCATION SESSIONS REACHING 75% OF CLUB PARTICIPANTS WITH FOUR SESSIONS WITH AN AVERAGE OF 48% OF YOUTHS REACHED. FOUR EDUCATIONAL PROGRAMS ON GARDENING, PHYSICAL ACTIVITY ROCK PAINTING, CREATIVE PROBLEM SOLVING WITH PUZZLES AND PHYSICAL ACTIVITY WITH CHRISTMAS TREES WERE PROVIDED TO CLUB MEMBERS AT THE LACEY FAMILY SPRING HILL BOYS & GIRLS CLUB. DURING THE 2021 WEEK OF CARING, TRAIL MIX TO-GO BAGS WERE DELIVERED FOR EVERY CLUB MEMBER OF THE BOYS & GIRLS CLUB VOLUSIA/FLAGLER.OBJECTIVE 2:THE SECOND OBJECTIVE IS A DIVISIONAL INITIATIVE AND APPEARS ON MULTIPLE COMMUNITY HEALTH PLANS OF HOSPITALS IN THE CENTRAL FLORIDA DIVISION OF ADVENTHEALTH, THE SAME DIVISION AS THE REPORTING HOSPITAL. THE DIVISION CHOSE THIS INITIATIVE BECAUSE OF A SHARED CHNA PRIORITY. THIS OBJECTIVE, TO PROVIDE $4,000 IN FINANCIAL SUPPORT ANNUALLY TO THE BOYS & GIRLS CLUBS AS PART OF A STRATEGIC PARTNERSHIP, IS TO PROVIDE DAILY FRESH FRUIT AND WHOLE GRAIN SNACKS TO CLUB MEMBERS. THE OBJECTIVE IS FUNDED THROUGH THE HOSPITAL AND ALL OUTCOMES ARE SPECIFIC TO THE REPORTING HOSPITAL, HOWEVER THE INITIATIVE IS MANAGED BY THE DIVISION. THIS INITIATIVE PROVIDES FINANCIAL SUPPORT SO THAT YOUTH PARTICIPATING IN LOCAL BOYS & GIRLS CLUBS CAN HAVE ACCESS TO DAILY HEALTHY SNACKS. THE HOSPITAL MET ITS SET METRIC OF PROVIDING FUNDING SUPPORT WITH $4,000 DOLLARS PROVIDED. THE PROVIDED FUNDING WAS ABLE TO MAKE UP FOR THE USDA GRANT SHORTFALL AND PROVIDE CLUB MEMBERS WITH DAILY FRESH FRUIT AND WHOLE GRAIN SNACKS WHICH, DURING COVID-19, WAS DISTRIBUTED TO CLUB MEMBERS' FAMILIES.(CONTINUED) |
| SCHEDULE H, PART V, SECTION B, LINE 11 EXPLANATION CONTINUED: | PRIORITY 5: SOCIAL AND ECONOMIC ISSUES (SOCIAL DETERMINANTS OF HEALTH) 2019 DESCRIPTION OF THE ISSUE:- VOLUSIA COUNTY'S MEDIAN HOUSEHOLD INCOME IS LOWER THAN FLORIDA'S.- VOLUSIA COUNTY'S PERCENT OF INDIVIDUALS AND INDIVIDUALS BELOW AGE 18 BELOW POVERTY ARE BOTH SLIGHTLY HIGHER THAN FLORIDA'S.- THE VOLUSIA COUNTY PERCENT OF ELEMENTARY AND MIDDLE SCHOOL STUDENTS ELIGIBLE FOR FREE/REDUCED PRICE LUNCHES IS HIGHER THAN FLORIDA (A PROXY MEASURE FOR LOW INCOME).- THE VOLUSIA COUNTY HIGH SCHOOL GRADUATION RATE IS LOWER THAN FLORIDA.- THE VOLUSIA COUNTY PERCENT OF ADULTS LIMITED BY PHYSICAL, MENTAL, OR EMOTIONAL PROBLEMS IS HIGHER THAN FLORIDA (DIFFERENCE IS STATISTICALLY SIGNIFICANT).- VOLUSIA COUNTY'S FOOD INSECURITY RATE IS HIGHER THAN FLORIDA'S.- VOLUSIA COUNTY'S PER CAPITA INCOME IS LOWER THAN FLORIDA'S.- OVER 30% OF VOLUSIA COUNTY HOUSEHOLDS SPEND MORE THAN 30% OF THEIR INCOME ON HOUSING AND WORKERS IN 8 OF THE TOP 20 INDUSTRIES IN VOLUSIA ARE ESTIMATED TO BE HOUSING BURDENED BASED ON AVERAGE HOURLY WAGE.- THE VOLUSIA COUNTY NUMBER OF INDIVIDUALS COUNTED DURING THE POINT-IN-TIME COUNT WAS HIGHER IN 2019 THAN IN 2018.- THE VOLUSIA COUNTY NUMBER OF HOMELESS STUDENTS HAS BEEN INCREASING SINCE 2016.- VOLUSIA COUNTY'S PERCENT OF SINGLE PARENT HOUSEHOLDS IS HIGHER THAN FLORIDA'S.2021 UPDATE: THE ADVENTHEALTH DELAND COMMUNITY HEALTH PLAN HAS ONE DESIRED GOAL STATEMENT UNDER THE SOCIAL AND ECONOMIC ISSUES (SOCIAL DETERMINANTS OF HEALTH) PRIORITY.1. ESTABLISH A HEALTHY EQUITY ZONE (HEZ) IN THE SPRING HILL NEIGHBORHOOD OF DELAND TO REDUCE HEALTH INEQUITIES AND PROVIDE ACCESS TO RESIDENT IDENTIFIED SUPPORTS TO IMPROVE THE ECONOMIC CONDITIONS OF THE NEIGHBORHOOD.GOAL 1: ESTABLISH A HEALTHY EQUITY ZONE (HEZ) IN THE SPRING HILL NEIGHBORHOOD OF DELAND TO REDUCE HEALTH INEQUITIES AND PROVIDE ACCESS TO RESIDENT IDENTIFIED SUPPORTS TO IMPROVE THE ECONOMIC CONDITIONS OF THE NEIGHBORHOOD.OBJECTIVE 1:THE FIRST OBJECTIVE IS TO WORK WITH COMMUNITY RESIDENTS AND COMMUNITY ORGANIZATIONS TO IDENTIFY HOUSING, EMPLOYMENT, AND OTHER FINANCIAL STABILITY BARRIERS BY THE END OF YEAR ONE. THE OBJECTIVE IS FUNDED BY AND ALL OUTCOMES ARE SPECIFIC TO THE HOSPITAL, ALTHOUGH THE OBJECTIVE IS MANAGED AT THE DIVISION LEVEL. TO DRIVE THE OBJECTIVES FORWARD AND TO MEET THE GOALS ESTABLISHED AS PART OF THE 2020 CHP, THE HOSPITAL HAS PARTNERED WITH ORGANIZATIONS AND INDIVIDUALS TO DEVELOP THE HEALTH EQUITY ZONE INITIATIVE.THE HOSPITAL PROGRESSED ON ITS SET METRIC TO IDENTIFY HOUSING, EMPLOYMENT, AND OTHER FINANCIAL STABILITY BARRIERS THROUGH DISCUSSIONS WITH MEMBERS OF THE HEZ STEERING COMMITTEE. THE HEZ STEERING COMMITTEE WILL BE REFRESHED IN 2022 TO IDENTIFY COMMUNITY LEADERS AND ORGANIZATIONS TO BE PART OF THE STEERING COMMITTEE TO MOVE THIS WORK FORWARD. ALTHOUGH THE FULL OBJECTIVE WAS NOT MET IN YEAR TWO, THIS WAS DUE TO THE NEED TO REALLOCATE RESOURCES BECAUSE OF COVID-19. THE HOSPITAL HAS REENGAGED FULLY WITH THE SPRING HILL COMMUNITY AND IS PROGRESSING TO MEET ITS OBJECTIVES.OBJECTIVE 2:THE SECOND OBJECTIVE IS TO WORK WITH COMMUNITY PARTNERS TO DEVELOP A LONG-RANGE PLAN TO INCREASE RESIDENT'S FINANCIAL STABILITY BY THE END OF YEAR THREE. THE INITIATIVE TO INCREASE RESIDENT'S FINANCIAL STABILITY IS DEPLOYED THROUGH ADVENTHEALTH DELAND AND ALL OUTCOMES ARE SPECIFIC TO THE REPORTING HOSPITAL. THE INITIATIVE PLANNED FOR YEAR THREE WILL IMPROVE ACCESS TO SERVICES TO SUPPORT FINANCIAL STABILITY OF RESIDENTS IN THE SPRING HILL COMMUNITY. THE HOSPITAL PROGRESSED ON ITS SET METRIC OF WORKING WITH COMMUNITY PARTNERS TO IMPROVE ACCESS TO IDENTIFIED SERVICES BY ESTABLISHING THE HEZ STEERING COMMITTEE AS A FOUNDATIONAL STEP TOWARD THIS BROAD PLACE-BASED INITIATIVE. ADVENTHEALTH PROVIDED $5,000.00 OF FINANCIAL SUPPORT IN 2021 TO VOLUSIA COUNTY IN PREPARATION FOR THE 2022 AFFORDABLE HOUSING SUMMIT, ATTENDED BY 200 PEOPLE.COMMUNITY NEEDS NOT CHOSEN BY ADVENTHEALTH DELAND: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. THE YEARS OF POTENTIAL AGING-RELATED ISSUESTHE DATA COLLECTED FOR INDIVIDUALS 65 AND OLDER DID NOT DEMONSTRATE SIGNIFICANT NEGATIVE TRENDS OR NEGATIVE COMPARISON TO STATE DATA. THE ONLY INDICATOR OF CONCERN NOTED WAS SUICIDE RATE FOR INDIVIDUALS OVER 65 WHICH WILL BE ADDRESSED THROUGH THE PRIORITIZATION OF ADULT BEHAVIORAL HEALTH. THERE ARE NUMEROUS INITIATIVES IN PLACE TO PROVIDE SERVICES TO THIS TARGET POPULATION.2. CHILD & ADOLESCENT ISSUESTHE MOST SIGNIFICANT CHILDHOOD ISSUES ARE ADDRESSED THROUGH OTHER PRIORITY ISSUES (BEHAVIORAL HEALTH, ACCESS TO SERVICES, HEALTHY EATING, AND PHYSICAL ACTIVITY).3. COMMUNICABLE & INFECTIOUS DISEASESTHE DATA COLLECTED DID NOT DEMONSTRATE SIGNIFICANT NEGATIVE TRENDS OR COMPARISON DATA. MANY ISSUES NOTED IN THE INDICATORS OF CONCERN WILL BE ADDRESSED THROUGH THE PRIORITIZATION OF ACCESS TO HEALTH CARE SERVICES.4. CRIME, DOMESTIC VIOLENCE & CHILD ABUSETHE DATA COLLECTED DID NOT DEMONSTRATE SIGNIFICANT NEGATIVE TRENDS OR NEGATIVE COMPARISON TO STATE DATA. MANY ISSUES NOTED IN THE INDICATORS OF CONCERN WILL BE ADDRESSED THROUGH THE PRIORITIZATION OF SOCIAL AND ECONOMIC ISSUES. 5. EARLY CHILDHOODTHERE ARE SIGNIFICANT EFFORTS ALREADY IN PLACE TO ADDRESS THIS TARGET POPULATION.6. WOMEN'S HEALTH, PRENATAL CARE & BIRTH OUTCOMESTHERE ARE SIGNIFICANT EFFORTS ALREADY IN PLACE TO ADDRESS THIS TARGET POPULATION. MANY OF THE INDICATORS OF CONCERN WILL BE ADDRESSED THROUGH THE PRIORITIZATION OF ACCESS TO HEALTH CARE SERVICES. |
| SCHEDULE H, PART V, SECTION B, LINE 16A,B,C: | THE FINANCIAL ASSISTANCE POLICY CAN BE FOUND AT URL:HTTPS://WWW.ADVENTHEALTH.COM/HOSPITAL/ADVENTHEALTH-DELAND/LEGAL/FINANCIAL-ASSISTANCETHE FINANCIAL ASSISTANCE POLICY APPLICATION CAN BE FOUND AT:HTTPS://WWW.ADVENTHEALTH.COM/HOSPITAL/ADVENTHEALTH-DELAND/LEGAL/FINANCIAL-ASSISTANCETHE PLAIN LANGUAGE SUMMARY IS AVAILABLE AT:HTTPS://WWW.ADVENTHEALTH.COM/HOSPITAL/ADVENTHEALTH-DELAND/LEGAL/FINANCIAL-ASSISTANCE |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 11 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (11 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | FacilityFacilityTxt |
|---|---|---|---|---|
| 1 - ADVENTHEALTH MEDICAL GROUP PHY CLINIC | ||||
| 1070 NORTH STONE STREET SUITE A | DELAND | FL | 32720 | PHYSICIAN CLINIC |
| 2 - ADVENTHEALTH MEDICAL GROUP PHY CLINIC | ||||
| 1070 NORTH STONE STREET SUITE D | DELAND | FL | 32720 | PHYSICIAN CLINIC |
| 3 - ADVENTHEALTH MEDICAL GROUP PHY CLINIC | ||||
| 685 PEACHWOOD DRIVE | DELAND | FL | 32720 | PHYSICIAN CLINIC |
| 4 - ADVENTHEALTH MEDICAL GROUP PHY CLINIC | ||||
| 1431 ORANGE CAMP ROAD SUITE 118/119 | DELAND | FL | 32724 | PHYSICIAN CLINIC |
| 5 - ADVENTHEALTH MEDICAL GROUP PHY CLINIC | ||||
| 151 VICTORIA COMMONS BLVD SUITE 104 | DELAND | FL | 32720 | PHYSICIAN CLINIC |
| 6 - ADVENTHEALTH MEDICAL GROUP PHY CLINIC | ||||
| 1061 MEDICAL CENTER DRIVE SUITE 201 | ORANGE CITY | FL | 32763 | PHYSICIAN CLINIC |
| 7 - ADVENTHEALTH MEDICAL GROUP PHY CLINIC | ||||
| 151 VICTORIA COMMONS BLVD SUITE 102 | DELAND | FL | 32720 | PHYSICIAN CLINIC |
| 8 - ADVENTHEALTH MEDICAL GROUP PHY CLINIC | ||||
| 742 W PLYMOUTH AVENUE | DELAND | FL | 32720 | PHYSICIAN CLINIC |
| 9 - ADVENTHEALTH MEDICAL GROUP PHY CLINIC | ||||
| 1070 NORTH STONE STREET SUITE C | DELAND | FL | 32720 | PHYSICIAN CLINIC |
| 10 - ADVENTHEALTH MEDICAL GROUP PHY CLINIC | ||||
| 1070 NORTH STONE STREET SUITE E | DELAND | FL | 32720 | PHYSICIAN CLINIC |
| 11 - ADVENTHEALTH MEDICAL GROUP PHY CLINIC | ||||
| 230 E NEW YORK AVENUE | DELAND | FL | 32724 | PHYSICIAN CLINIC |
Supplemental Information Detail SupplementalInformationDetail (14 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| 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 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 AND 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. |
| PART III, LINE 9B: | 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: $ (3,327,386) - DIFFERENCE IN COSTING METHODOLOGY: (3,404,489)- UNREIMBURSED COSTS INCURRED FOR SERVICES PROVIDED TO MEDICARE PATIENTS THAT ARE NOT INCLUDED IN THE ORGANIZATION'S MEDICARE COST REPORT: (6,786,148) -------------TOTAL UNREIMBURSED COSTS OF SERVING ALL MEDICARE PATIENTS PER THE FILING ORGANIZATION'S COMMUNITYBENEFIT REPORTING $(13,518,023) 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 2019 CHNA WAS ADOPTED BY ITS GOVERNING BOARD BY DECEMBER 31, 2019, THE END OF THE HOSPITAL'S TAXABLE YEAR IN WHICH IT CONDUCTED THE CHNA. THE HOSPITAL'S 2019 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 IS A PART OF ADVENTHEALTH, ONE OF THE NATION'S LARGEST NOT-FOR-PROFIT HEALTHCARE PROVIDERS WITH A MISSION OF EXTENDING THE HEALING MINISTRY OF CHRIST. ADVENTHEALTH DELAND PROVIDES WHOLE PERSON CARE TO HEAL THE BODY, MIND AND SPIRIT. FOR OVER 50 YEARS, ADVENTHEALTH DELAND HAS SERVED THE WEST VOLUSIA AREA AND SURROUNDING COMMUNITIES BY PROVIDING COMPREHENSIVE HEALTH CARE SERVICES AND IS ONE OF THE SIX HOSPITALS IN FLAGLER, LAKE AND VOLUSIA COUNTIES THAT COMPOSE THE ADVENTHEALTH CENTRAL FLORIDA DIVISION - NORTH REGION.ADVENTHEALTH DELAND IS A 164-BED ACUTE CARE HOSPITAL LOCATED IN DELAND, FLORIDA AND IS FULLY ACCREDITED BY THE JOINT COMMISSION ON ACCREDITATION OF HEALTH CARE ORGANIZATIONS AND PROVIDES THE FOLLOWING SERVICES FOR THE COMMUNITY: - CANCER CARE - DIABETES CARE - HEART AND VASCULAR CARE - HOME CARE - HOSPICE CARE - IMAGING SERVICES - LAB SERVICES - ORTHOPEDIC CARE - SPORTS AND REHAB CARE - SURGICAL CARE - URGENT AND EMERGENCY CARE - WOMEN AND CHILDREN CARE - WOUND CAREDURING 2021, 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 2021, ABOUT 90.8% OF THE HOSPITAL'S IN-PATIENTS WERE ADMITTED THROUGH THE HOSPITAL'S EMERGENCY DEPARTMENT. - MEDICARE PATIENTS 54.6% - MEDICAID PATIENTS 13.2% - SELF-PAY PATIENTS 6.1% THE DEMOGRAPHIC MAKEUP OF THE HOSPITAL'S COMMUNITY IS AS FOLLOWS: - POPULATION 187,842 - POPULATION OVER 65 24.00% - POVERTY (BELOW 100% FPL) 16.10% - UNEMPLOYMENT RATE 7.00% - VIOLENT CRIME RATE (PER 100,000 POP.) 424.9 - POP. AGE 25+ WITH NO HIGH SCHOOL DIPLOMA 11.40% - UNINSURED ADULTS 17.70% - UNINSURED CHILDREN 5.94% - FOOD INSECURITY RATE 16.20% - POP. WITH LOW FOOD ACCESS 35.76% |
| PART VI, LINE 5: | THE PROVISION OF COMMUNITY BENEFIT IS CENTRAL TO ADVENTHEALTH DELAND'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 $197,948 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 $2,230,638 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: | ADVENTHEALTH DELAND 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 48 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 ADVENTHEALTH 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. |
| 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 (6 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Recipient EINRecipientEIN | IRC SectionIRCSectionDesc | Cash GrantCashGrantAmt | Non Cash AssistanceNonCashAssistanceAmt | Valuation Method UsedValuationMethodUsedDesc | Non Cash AssistanceNonCashAssistanceDesc | Purpose Of GrantPurposeOfGrantTxt |
|---|---|---|---|---|---|---|---|---|---|---|
| SUNSYSTEM DEVELOPMENT CORP DBA FLORIDA HOSPITAL DELAND FOUNDATION | ||||||||||
| 701 W PLYMOUTH AVENUE | DELAND | FL | 32720 | 592219301 | 501 (C)(3) | $0 | $173,241 | COST | GENERAL ADMINISTRATIVE SUPPORT | PROVISION OF GENERAL ADMINISTRATIVE SUPPORT |
| DELAND SEVENTH DAY ADVENTIST CHURCH | ||||||||||
| 220 N KEPLER ROAD | DELAND | FL | 32724 | 593120525 | 501 (C)(3) | $13,000 | $0 | GENERAL SUPPORT | ||
| GOOD SAMARITAN CLINIC OF WEST VOLUSIA INC | ||||||||||
| 136 E PLYMOUTH AVENUE | DELAND | FL | 32724 | 300408193 | 501 (C)(3) | $15,000 | $0 | GENERAL SUPPORT | ||
| CATALYST GLOBAL YOUTH INITIATIVES INC | ||||||||||
| 1309 MICHAEL AVENUE | DELTONA | FL | 32738 | 452831697 | 501 (C)(3) | $10,000 | $0 | GENERAL SUPPORT | ||
| FLAGLER CARES INC | ||||||||||
| 160 CYPRESS POINT PARKWAY STE B302 | PALM COAST | FL | 32164 | 474145174 | 501 (C)(3) | $13,000 | $0 | GENERAL SUPPORT | ||
| BOYS & GIRLS CLUBS OF VOLUSIA FLAGLER COUNTIES INC | ||||||||||
| 101 N WOODLAND BOULEVARD STE 400 | DELAND | FL | 32720 | 593158162 | 501 (C)(3) | $5,070 | $0 | GENERAL SUPPORT | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 6 | Total501c3OrgCnt |
| Total Other Org | 0 | 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 IRC SECTION 501(C)(3), OR TO OTHER LOCAL CHARITABLE COMMUNITY ORGANIZATIONS, OR TO OTHER 501(C)(3) ORGANIZATIONS THAT ARE A PART OF THE GROUP EXEMPTION RULING ISSUED TO THE GENERAL CONFERENCE OF SEVENTH-DAY ADVENTISTS. 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. | 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 |
| Written Policy Ref T And E Expnss | Yes (1) | WrittenPolicyRefTAndEExpnssInd |
| Substantiation Required | Yes (1) | SubstantiationRequiredInd |
| Severance Payment | Yes (1) | 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 (24 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| TOL DARYL | ||||||||||||||
| DIR/CEO AH CEN FL DIV (END 01/21) | $0 | $128,869 | $0 | $922,947 | $0 | $1,660,721 | $0 | $0 | $0 | $8,693 | $0 | $2,721,230 | $0 | $354,679 |
| GOODMAN TODD | ||||||||||||||
| DIRECTOR (BEG 01/21) | $0 | $719,496 | $0 | $353,016 | $0 | $625,489 | $0 | $128,293 | $0 | $54,767 | $0 | $1,881,061 | $0 | $94,417 |
| OTTATI DAVID | ||||||||||||||
| DIR/CHAIR(END 12/21)/AH CFN REG | $0 | $758,048 | $0 | $329,302 | $0 | $200,225 | $0 | $156,314 | $0 | $48,141 | $0 | $1,492,030 | $0 | $119,809 |
| THOMAS DEBORA | ||||||||||||||
| DIRECTOR (BEG 01/21) | $0 | $478,415 | $0 | $121,101 | $0 | $231,117 | $0 | $70,791 | $0 | $29,164 | $0 | $930,588 | $0 | $55,923 |
| COOK TIMOTHY | ||||||||||||||
| FORMER DIRECTOR/CEO | $0 | $442,384 | $0 | $174,821 | $0 | $187,275 | $0 | $76,485 | $0 | $44,698 | $0 | $925,663 | $0 | $28,243 |
| PRADO MD MARTIN | ||||||||||||||
| DIRECTOR | $0 | $423,693 | $0 | $332,934 | $0 | $7,020 | $0 | $15,548 | $0 | $77,815 | $0 | $857,010 | $0 | $0 |
| CELANO PATRICIA | ||||||||||||||
| FORMER KEY EMPLOYEE/REGIONAL CCO | $0 | $472,725 | $0 | $98,101 | $0 | $76,263 | $0 | $84,121 | $0 | $44,634 | $0 | $775,844 | $0 | $40,348 |
| GHOSN C JOSEF | ||||||||||||||
| DIRECTOR (BEG 01/21) | $0 | $366,298 | $0 | $76,478 | $0 | $204,212 | $0 | $43,828 | $0 | $31,818 | $0 | $722,634 | $0 | $19,875 |
| HINDS NIGEL | ||||||||||||||
| FORMER CFO/TREASURER | $0 | $323,875 | $0 | $139,940 | $0 | $128,981 | $0 | $24,885 | $0 | $46,790 | $0 | $664,471 | $0 | $4,462 |
| BROWN LORENZO | ||||||||||||||
| DIR/SEC/CEO(END01/21)AH CFN W REG | $0 | $389,753 | $0 | $125,442 | $0 | $23,548 | $0 | $63,239 | $0 | $52,533 | $0 | $654,515 | $0 | $7,493 |
| DAVIS BRENT | ||||||||||||||
| DIRECTOR/CFO - CFN REG | $0 | $430,002 | $0 | $82,242 | $0 | $15,543 | $0 | $81,750 | $0 | $44,067 | $0 | $653,604 | $0 | $0 |
| SMITH MD CHRISTOPHER | ||||||||||||||
| FORMER CMO | $0 | $354,906 | $0 | $49,133 | $0 | $31,236 | $0 | $50,648 | $0 | $41,811 | $0 | $527,734 | $0 | $0 |
| WEIS DAVID | ||||||||||||||
| CEO - HOSPITAL FACILITY (BEG 01/21) | $0 | $348,140 | $0 | $45,733 | $0 | $26,570 | $0 | $62,658 | $0 | $41,645 | $0 | $524,746 | $0 | $12,700 |
| GREGORY PHD AUDREY | ||||||||||||||
| DIR/CHAIR(BEG 12/21)/CEO CFN REG | $0 | $137,063 | $0 | $0 | $0 | $279,271 | $0 | $19,731 | $0 | $6,257 | $0 | $442,322 | $0 | $0 |
| GLASS KYLE | ||||||||||||||
| CFO - HOSPITAL FACILITY | $0 | $271,483 | $0 | $41,082 | $0 | $9,634 | $0 | $15,548 | $0 | $42,562 | $0 | $380,309 | $0 | $0 |
| LINDSEY CRAIG | ||||||||||||||
| FORMER CNO | $0 | $266,679 | $0 | $44,082 | $0 | $10,441 | $0 | $15,548 | $0 | $29,059 | $0 | $365,809 | $0 | $0 |
| ANKOVIAK JOANN | ||||||||||||||
| FORMER CNO | $0 | $229,099 | $0 | $39,661 | $0 | $9,264 | $0 | $14,607 | $0 | $25,242 | $0 | $317,873 | $0 | $0 |
| AGUERO SAMUEL | ||||||||||||||
| COO - HOSPITAL FACILITY (END 12/21) | $0 | $203,925 | $0 | $35,683 | $0 | $10,370 | $0 | $12,315 | $0 | $37,453 | $0 | $299,746 | $0 | $0 |
| SANCHEZ ANGEL | ||||||||||||||
| AH DEL ADMIN SUPERVISOR | $176,827 | $0 | $7,917 | $0 | $46,022 | $0 | $12,436 | $0 | $35,734 | $0 | $278,936 | $0 | $0 | $0 |
| LEBRON MICHELE | ||||||||||||||
| CNO - HOSPITAL FACILITY | $0 | $173,564 | $0 | $17,424 | $0 | $13,418 | $0 | $6,061 | $0 | $42,649 | $0 | $253,116 | $0 | $0 |
| RICHARDS RENEE | ||||||||||||||
| AH DEL RN | $132,883 | $0 | $7,360 | $0 | $47,450 | $0 | $10,023 | $0 | $43,344 | $0 | $241,060 | $0 | $0 | $0 |
| HAGGERTY MARIA | ||||||||||||||
| AH DEL ADMIN SUPERVISOR PR | $170,885 | $0 | $3,582 | $0 | $32,006 | $0 | $10,603 | $0 | $22,755 | $0 | $239,831 | $0 | $0 | $0 |
| FIGUEROA JANET | ||||||||||||||
| AH DEL RN | $151,984 | $0 | $7,392 | $0 | $38,140 | $0 | $762 | $0 | $25,195 | $0 | $223,473 | $0 | $0 | $0 |
| TINONAS MARLON | ||||||||||||||
| AH DEL ASST. NURSE MANAGER | $150,342 | $0 | $2,017 | $0 | $29,246 | $0 | $9,068 | $0 | $25,150 | $0 | $215,823 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (4 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 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 48 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 (ADVENTHEALTH CABINET - 13 MEMBERS) AND $15,000 FOR ADVENTHEALTH CORPORATE OFFICE SENIOR VICE PRESIDENTS, REGIONAL CEO'S, AND DIVISION CHIEF OFFICERS (GENERALLY 20-35 INDIVIDUAL EXECUTIVES). TWO INDIVIDUALS WHO SERVED IN 2021 AS REGIONAL CEOS FOR ADVENTHEALTH ARE MEMBERS OF THE BOARD OF DIRECTORS OF THE FILING ORGANIZATION. THE REGIONAL CEOS ARE CONSIDERED COMMON LAW EMPLOYEES AND ARE ON THE PAYROLL OF AHSSHC. WHILE THE SPECIAL TRAVEL ALLOWANCE BENEFIT IS AN AHSSHC COMPENSATION POLICY AND PRACTICE, THE COST OF PROVIDING THIS BENEFIT IS ALLOCATED TO AND EITHER WHOLLY OR PARTIALLY REIMBURSED BY THE FILING ORGANIZATION. ACCORDINGLY, THE FILING ORGANIZATION HAS CHECKED THE BOX IN SCHEDULE J, PART I, LINE 1A FOR FIRST-CLASS OR CHARTER TRAVEL SINCE IT HAS WHOLLY OR PARTIALLY PAID FOR THE COST OF PROVIDING THIS BENEFIT. THOSE EXECUTIVES WHO RECEIVE THE SPECIAL TRAVEL ALLOWANCE ARE RESPONSIBLE FOR TRACKING THE EXPENSES REIMBURSABLE UNDER THE SPECIAL TRAVEL ALLOWANCE AND MUST SUBMIT SUCH EXPENSES ON THEIR ACCOUNTABLE PLAN EXPENSE REPORT. ANY TAXABLE REIMBURSEMENTS MADE TO EXECUTIVES UNDER THE SPECIAL TRAVEL ALLOWANCE ARRANGEMENT ARE TREATED AS TAXABLE COMPENSATION TO THE EXECUTIVE. TRAVEL FOR COMPANIONS: AHSSHC HAS A CORPORATE EXECUTIVE POLICY THAT PROVIDES A BENEFIT TO ALLOW FOR A TRAVELING AHSSHC EXECUTIVE TO HAVE HIS OR HER SPOUSE ACCOMPANY THE EXECUTIVE ON CERTAIN BUSINESS TRIPS EACH YEAR. TYPICALLY, REIMBURSEMENT IS ONLY PROVIDED TO CERTAIN EXECUTIVE LEADERS AND IS USUALLY LIMITED TO ONE BUSINESS TRIP PER YEAR BEYOND THE ANNUAL ADVENTHEALTH PRESIDENT'S COUNCIL BUSINESS MEETING AND OTHER MEETINGS WHERE THE SPOUSE IS SPECIFICALLY INVITED. THE AHSSHC CORPORATE EXECUTIVE SPOUSAL TRAVEL POLICY WAS ORIGINALLY APPROVED AND REVIEWED BY THE AHSSHC BOARD COMPENSATION COMMITTEE, AN INDEPENDENT BODY OF THE AHSSHC BOARD OF DIRECTORS. ALL SPOUSAL TRAVEL COSTS REIMBURSED TO THE EXECUTIVE ARE CONSIDERED TAXABLE COMPENSATION TO THE EXECUTIVE. TAX INDEMNIFICATION AND GROSS-UP PAYMENTS: ADVENTHEALTH HAS A SYSTEM-WIDE 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. |
| 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, LINES 4A-B | DURING THE YEAR ENDING DECEMBER 31, 2021, DARYL TOL RECEIVED SEVERANCE PAYMENTS IN THE AMOUNT OF $1,169,453. PURSUANT TO THE AHSSHC CORPORATE EXECUTIVE POLICY GOVERNING EXECUTIVE SEVERANCE, SEVERANCE AGREEMENTS FOR EXECUTIVES OPERATING AT THE VICE PRESIDENT LEVEL AND ABOVE ARE ENTERED INTO UPON ELIGIBILITY TO FACILITATE THE TRANSITION TO SUBSEQUENT EMPLOYMENT FOLLOWING AN INVOLUNTARY SEPARATION FROM EMPLOYMENT WITH ADVENTHEALTH. 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 BENEFIT PLANS TO ELIGIBLE EXECUTIVES. IN 2020, ADVENTHEALTH RESTRUCTURED ITS EXECUTIVE SUPPLEMENTAL RETIREMENT AND BENEFIT PLANS TO REDUCE COMPLEXITY, TO INCREASE PREDICTABILITY OF BENEFITS AND TO CONSOLIDATE MULTIPLE SUPPLEMENTAL EXECUTIVE BENEFIT PLANS INTO ONE PLAN. EFFECTIVE 1/1/2020, A NEW SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP III) WAS ADOPTED AND THE THREE EXISTING PLANS, DESCRIBED BELOW, WERE AMENDED AND RESTATED. THE NEWLY ADOPTED SERP III PLAN, AS WELL AS THE AMENDED AND RESTATED PLANS, WERE REVIEWED AND APPROVED BY THE AHSSHC BOARD COMPENSATION COMMITTEE, AN INDEPENDENT BODY OF THE AHSSHC BOARD OF DIRECTORS. SERP III PLAN (EFFECTIVE 1/1/2020): TO RECOGNIZE THE CONTRIBUTION EACH EXECUTIVE MAKES TO THE SUCCESS OF ADVENTHEALTH AND TO RECOGNIZE THE LIMITATIONS AVAILABLE TO EXECUTIVES IN QUALIFIED RETIREMENT PLANS DUE TO COMPENSATION LIMITS SET ON SUCH PLANS, ADVENTHEALTH ADOPTED A NEW SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP III) IN 2020. 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. 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 $290,000 IN 2021 (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 (AMENDED AND RESTATED IN 2020): IN 2020, THE SERP II PLAN WAS AMENDED AND RESTATED TO PROVIDE THAT 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. 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. 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 (AMENDED AND RESTATED IN 2020): IN 2020, THE FLEX PLAN WAS AMENDED AND RESTATED 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. ADDITIONALLY, A PROVISION WAS ADDED TO PLACE A MAXIMUM LIMIT ON THE AMOUNT OF A PARTICIPANT'S ANNUAL FLEX ALLOWANCE TO NOT BE GREATER THAN A MAXIMUM DOLLAR AMOUNT OR PERCENTAGE OF COMPENSATION AS ESTABLISHED BY THE ADVENTHEALTH BENEFITS ADMINISTRATION COMMITTEE. 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. 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 IS 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. |
| PART I, LINE 4B CONT'D: | SENIOR EXECUTIVE DEATH BENEFIT PLAN (SEDB) (AMENDED AND RESTATED IN 2020): THE SEDB PLAN WAS ORIGINALLY DESIGNED TO PROVIDE A BENEFIT IN AN AMOUNT EQUAL TO THE AMOUNT THE EXECUTIVE'S BENEFIT WOULD HAVE BEEN UNDER THE SERP II PLAN ASSUMING THAT, ON THE DATE OF THE EXECUTIVE'S DEATH (AND NOT BEFORE), THE EXECUTIVE SATISFIED THE LAST OF THE ELIGIBILITY REQUIREMENTS OF THE SERP II PLAN WITH PRESENT VALUE RECOGNIZING AN EARLY BENEFIT COMMENCEMENT. IN CONJUNCTION WITH THE AMENDMENT AND RESTATEMENT OF THE SERP II PLAN, THE SEDB WAS SIMILARLY AMENDED IN 2020 TO LIMIT ELIGIBLE EMPLOYEES TO ONLY THOSE WHO EITHER SATISFY THE ELIGIBILITY REQUIREMENTS OF SERP II AS OF JANUARY 1 2020, OR REMAIN IN ACTIVE EMPLOYMENT AND WILL SATISFY THOSE REQUIREMENTS PRIOR TO DECEMBER 31, 2027. AN ELIGIBLE EXECUTIVE BECOMES A PARTICIPANT IN THE SEDB PLAN IF THE EXECUTIVE DIES PRIOR TO TERMINATION OF EMPLOYMENT, PROVIDED THE EXECUTIVE HAS NOT SATISFIED ALL THE ELIGIBILITY REQUIREMENTS OF SERP II AS OF THE EXECUTIVE'S DATE OF DEATH BUT WOULD HAVE SATISFIED ALL THOSE REQUIREMENTS WITHIN FIVE (5) YEARS FOLLOWING DEATH HAD THE EXECUTIVE LIVED AND CONTINUED EMPLOYMENT. THE SEDB PLAN WILL TERMINATE AUTOMATICALLY AFTER DECEMBER 31, 2027. FLEX PLAN FLEX PLAN SERP II SERP III AHS 457B CONTR. DISTR.* CONTR./DISTR. CONTR. DISTR. TOL,DARYL $ 10,167 $ 477,704 $ 0 $ 0 $ 0 GOODMAN,TODD $ 132,245 $ 116,878 $ 456,377 $ 0 $ 0 OTTATI,DAVID $ 140,766 $ 173,800 $ 0 $ 0 $ 0 THOMAS,DEBORA $ 74,743 $ 56,605 $ 127,294 $ 0 $ 0 COOK,TIMOTHY $ 60,937 $ 34,149 $ 117,562 $ 0 $ 0 CELANO,PATRICIA $ 68,573 $ 46,777 $ 0 $ 0 $ 0 GHOSN,JOSEF $ 47,780 $ 22,524 $ 136,067 $ 0 $ 0 HINDS,NIGEL $ 28,837 $ 5,151 $ 89,192 $ 0 $ 0 BROWN,LORENZO $ 47,691 $ 7,571 $ 0 $ 0 $ 0 DAVIS,BRENT $ 0 $ 0 $ 0 $ 66,202 $ 0 SMITH,CHRISTOPHER $ 38,922 $ 0 $ 0 $ 15,678 $ 0 WEIS,DAVID $ 36,086 $ 12,787 $ 0 $ 16,824 $ 0 GREGORY,AUDREY $ 0 $ 0 $ 0 $ 19,731 $ 0 REINER,RICHARD $ 0 $ 0 $ 0 $ 0 $ 57,225 * INCLUDING INVESTMENT EARNINGS |
Schedule L IRS990ScheduleL
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (2 entries)
| Relationship DescriptionRelationshipDescriptionTxt | TransactionTransactionAmt | TransactionTransactionDesc | Sharing Of RevenuesSharingOfRevenuesInd |
|---|---|---|---|
| KIRSTEN L HAGSTROM-RODRIGUEZ | |||
| FAMILY OF BOARD MEMBER | $83,122 | EMPLOYEE COMPENSATION | 0 |
| MELISSA WOODS | |||
| FAMILY OF BOARD MEMBER | $15,140 | NON-EMPLOYEE COMPENSATION | 0 |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (14 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART V, LINE 1A: | THE PARENT CORPORATION AND SOLE TOP-TIER MEMBER OF MEMORIAL HOSPITAL - WEST VOLUSIA, 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 | MEMORIAL HOSPITAL-WEST VOLUSIA, INC. (THE FILING ORGANIZATION) HAS ONE MEMBER. THE SOLE MEMBER OF THE FILING ORGANIZATION IS MEMORIAL HEALTH SYSTEMS, INC. (MHS) MEMORIAL HEALTH SYSTEMS INC. IS A FLORIDA, 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 MHS. THE BOARD OF DIRECTORS OF THE FILING ORGANIZATION ARE APPOINTED BY THE SOLE MEMBER, MHS, WHO HAS THE RIGHT TO ELECT, APPOINT OR REMOVE ANY MEMBER OF THE BOARD OF DIRECTORS OF THE FILING ORGANIZATION. |
| FORM 990, PART VI, SECTION A, LINE 7B | MHS, AS THE SOLE MEMBER OF THE FILING ORGANIZATION, AND ADVENTIST HEALTH SYSTEM SUNBELT HEALTHCARE CORPORATION, AS THE TOP-TIER MEMBER OF THE FILING ORGANIZATION, HAVE 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; C) TO SET LIMITS AND TERMS FOR THE BORROWING OF FUNDS EXCEEDING $100,000; D) TO APPROVE OR DISAPPROVE THE PURCHASE OR SALE OF PERSONAL PROPERTY OR REAL PROPERTY EQUAL TO OR IN EXCESS OF CERTAIN DOLLAR AMOUNT THRESHOLDS; E) TO APPROVE OR DISAPPROVE THE ANNUAL OPERATING AND CAPITAL BUDGETS AND STRATEGIC PLANS OF THE FILING ORGANIZATION; F) TO APPROVE OR DISAPPROVE CAPITAL EXPENDITURES IN EXCESS OF $1,000,000; G) TO APPROVE OR DISAPPROVE PERFORMANCE/QUALITY IMPROVEMENT AND CASE MANAGEMENT PROGRAMS; H) TO APPROVE THE APPOINTMENT OF AN AUDITING FIRM AND ELECTION OF THE FISCAL YEAR FOR THE FILING ORGANIZATION; I) TO APPROVE OR DISAPPROVE MATERIAL CHANGES IN SERVICES OFFERED BY THE FILING ORGANIZATION; J) THE AUTHORITY TO REQUIRE THE FILING ORGANIZATION'S ADHERENCE TO POLICIES ADOPTED BY THE MEMBER OR AHSSHC; K) THE AUTHORITY TO SECURE NAMING RIGHTS AND TO DIRECT THE PLACEMENT OF FUNDS AND CAPITAL AND THE MAKING OF GIFTS, SPONSORSHIPS, DONATIONS, LOANS AND TRANSFERS OF FUNDS OR OTHER ASSETS BY THE FILING ORGANIZATION IN EXCESS OF $100,000; L) TO APPROVE OR DISAPPROVE THE SALE, PURCHASE, DONATION, OR OTHER CONVEYANCE OF PERSONAL PROPERTY WITH A VALUE IN EXCESS OF $1,000,000 NOT OTHERWISE APPROVED IN THE CURRENT CAPITAL OR OPERATING BUDGETS; M) TO APPROVE OR DISAPPROVE THE IMPLEMENTATION OF NON-TRADITIONAL, NON-HEALTHCARE RELATED ACTIVITIES; N) TO APPROVE OR DISAPPROVE THE SELECTION OF THE FILING ORGANIZATION'S GROUP PURCHASING ORGANIZATION(S); O) TO APPROVE OR DISAPPROVE ANY JOINT VENTURE OR PARTNERSHIP IN WHICH THE FILING ORGANIZATION WOULD BE A MEMBER OR PARTNER; P) TO APPROVE THE IT SYSTEMS USED BY THE FILING ORGANIZATION; AND Q) THE AUTHORITY TO REQUIRE THE FILING ORGANIZATION'S ADHERENCE TO THE SYSTEM-WIDE NAMING NOMENCLATURE ADOPTED BY THE MEMBER OR AHSSHC. |
| 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 INTERESTS POLICY, HAS READ AND UNDERSTANDS THE POLICY, HAS AGREED TO COMPLY WITH THE POLICY, AND UNDERSTANDS THAT THE FILING ORGANIZATION IS A CHARITABLE ORGANIZATION THAT MUST PRIMARILY ENGAGE IN ACTIVITIES WHICH ACCOMPLISH ONE OR MORE OF ITS EXEMPT PURPOSES. THE FILING ORGANIZATION'S CONFLICT OF INTEREST POLICY ALSO REQUIRES THAT PERIODIC REVIEWS SHALL BE CONDUCTED TO ENSURE THAT THE FILING ORGANIZATION OPERATES IN A MANNER CONSISTENT WITH ITS CHARITABLE PURPOSES. |
| FORM 990, PART VI, SECTION B, LINE 15 | THE FILING ORGANIZATION'S CEO, OTHER OFFICERS AND KEY EMPLOYEES ARE NOT COMPENSATED BY THE FILING ORGANIZATION. SUCH INDIVIDUALS ARE COMPENSATED BY THE RELATED TOP-TIER PARENT ORGANIZATION OF THE FILING ORGANIZATION. PLEASE SEE THE DISCUSSION CONCERNING THE PROCESS FOLLOWED BY THE RELATED TOP-TIER PARENT ORGANIZATION IN DETERMINING EXECUTIVE COMPENSATION IN OUR RESPONSE TO SCHEDULE J, LINE 3. |
| FORM 990, PART VI, SECTION C, LINE 19 | THE FILING ORGANIZATION IS A PART OF THE SYSTEM OF HEALTHCARE ORGANIZATIONS KNOWN AS 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. |
| FORM 990, PART VII, SECTION A: | FOR THOSE BOARD OF DIRECTOR MEMBERS (NOT INCLUDING PHYSICIAN MEMBERS OF THE BOARD), OFFICER(S) AND KEY EMPLOYEES 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. PHYSICIAN MEMBERS OF THE BOARD OF DIRECTORS RECEIVED COMPENSATION FROM RELATED ORGANIZATIONS AS A RESULT OF PROVIDING VARIOUS MEDICAL SERVICES TO THOSE RELATED ENTITIES. |
| FORM 990, PART VIII, LINES 7A, B AND C: | THE AMOUNT SHOWN IN PART VIII, LINE 7C(I) OF THE FORM 990 REPRESENTS AN ALLOCATED SHARE OF CAPITAL GAIN/(LOSS) FROM A SYSTEM WIDE, CORPORATE ADMINISTERED, INVESTMENT PROGRAM. |
| FORM 990, PART IX, LINE 11G | PAYMENTS TO HEALTHCARE PROFESSIONALS: PROGRAM SERVICE EXPENSES 39,895,018. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 39,895,018. PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 2,586,107. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,586,107. PURCHASED MEDICAL SERVICES: PROGRAM SERVICE EXPENSES 21,520,627. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 21,520,627. ENVIRONMENTAL SERVICES: PROGRAM SERVICE EXPENSES 403,690. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 403,690. TRANSCRIPTION SERVICES: PROGRAM SERVICE EXPENSES 42,981. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 42,981. RECRUITING: PROGRAM SERVICE EXPENSES 130,242. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 130,242. MISCELLANEOUS PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 3,605,515. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,605,515. ADVENTHEALTH MANAGEMENT FEES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 4,098,240. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 4,098,240. BILLING & COLLECTION SERVICES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 348,881. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 348,881. ADVENTHEALTH SHARED SERVICES FEES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 1,865,178. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,865,178. |
| FORM 990, PART XI, LINE 9: | TRANSFER TO TOP-TIER TAX-EXEMPT PARENT -5,863,108. ALLOCATION TO TAX-EXEMPT PARENT WITH RESPECT TO DEBT -23,732. DONATION TO TAX-EXEMPT AFFILIATE -2,381. DONATION FROM TAX-EXEMPT AFFILIATE 2,435. |
| FORM 990, PART XII, LINE 3B: | 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, 2021, 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. |
| FORM 990, PART X, LINE 2: | THE AMOUNTS SHOWN ON LINE 2 OF PART X OF THIS RETURN INCLUDE THE FILING ORGANIZATION'S INTEREST IN A CENTRAL INVESTMENT POOL MAINTAINED BY ADVENTIST HEALTH SYSTEM SUNBELT HEALTHCARE CORPORATION, THE FILING ORGANIZATION'S TOP-TIER PARENT. THE INVESTMENTS IN THE CENTRAL INVESTMENT POOL ARE RECORDED AT MARKET VALUE. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (102 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 EAST FLORIDA INC (3521 - 123121) | |||||||||||
| 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 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 KANSAS CITY FOUNDATION FKA AH FDN SHAWNEE MISSION | |||||||||||
| 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 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 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 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 (5321 - 123121) | |||||||||||
| 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 PARKINC | |||||||||||
| 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 | AHS MIDWEST MANAGEMENT INC | 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 | AHS MIDWEST MANAGEMENT INC | Yes (1) | |
| AHS MIDWEST MANAGEMENT INC | |||||||||||
| 5101 S WILLOW SPRINGS RD SUITE B101 | LA GRANGE | IL | 60525 | 363354567 | OPERATION OF PHYSICIAN PRACTICE MANAGEMENT | IL | 501(C)(3) | LINE 12A, I | ADVENTIST MIDWEST HEALTH | 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 | 0 | N/A | |
| BRADFORD HEIGHTS HEALTH & REHAB CENTER INC | |||||||||||
| 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 | |||||||||||
| 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) | |
| EMORY-ADVENTIST INC (1121 - 123121) | |||||||||||
| 900 HOPE WAY | ALTAMONTE SPRINGS | FL | 32714 | 582171011 | INACTIVE | GA | 501(C)(3) | LINE 3 | ADVENTIST HLTH SYSTEMSUNBELT 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 | |||||||||||
| 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 | |||||||||||
| 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 | |||||||||||
| 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) | |
| ORMOND BEACH MEMORIAL HOSPITAL AUXILIARY INC(11-123121) | |||||||||||
| 301 MEMORIAL MEDICAL PKWY | DAYTONA BEACH | FL | 32117 | 591721962 | VOLUNTEER SUPPORT SERVICES | FL | 501(C)(3) | LINE 12C, III-FI | 0 | N/A | |
| 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 | |||||||||||
| 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 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 (10121 - 123121) | |||||||||||
| 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 HEALTH CARE PROPERTIES INC (11 - 123021) | |||||||||||
| 1900 MEDICAL PARKWAY | SAN MARCOS | TX | 78666 | 510605693 | LEASE TO RELATED ORGANIZATION | GA | 501(C)(3) | LINE 12C, III-FI | SUNBELT HLTH CARE CENTERS 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 | |||||||||||
| 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) | |
| 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) | |
| 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) | |
| THE VOLUNTEER AUXILIARY OF FLORIDA HOSP FLAGLER INC(11-8321) | |||||||||||
| 60 MEMORIAL MEDICAL PKWY | PALM COAST | FL | 32164 | 592486582 | VOLUNTEER SUPPORT SERVICES | FL | 501(C)(3) | LINE 12C, III-FI | 0 | N/A | |
| 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 (10 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 |
| 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 | |||||||||
| 1050 FORRER BLVD | KETTERING | OH | 45420 | 814196648 | OPERATION OF HOME HEALTH AGENCY | FL | N/A | 0 | 0 |
| SAN MARCOS MRI LP (1121-8121) | |||||||||
| 1330 WONDER WORLD DR STE 202 | SAN MARCOS | TX | 78666 | 770597972 | IMAGING & TESTING | TX | N/A | 0 | 0 |
| SURGERY CENTER OF ROME LP | |||||||||
| 900 HOPE WAY | ALTAMONTE SPRINGS | FL | 32714 | 200390305 | SURGERY CENTER | FL | 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 (23 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 (35 - 123121) | |||||||||
| 900 HOPE WAY | ALTAMONTE SPRINGS | FL | 32714 | 862639185 | INACTIVE | FL | N/A | C | Yes (1) |
| ADVENTHEALTH PROFESSIONAL STAFFING INC (35 - 123121) | |||||||||
| 900 HOPE WAY | ALTAMONTE SPRINGS | FL | 32714 | 880742779 | INACTIVE | FL | N/A | C | Yes (1) |
| ADVENTHEALTH TAMPA NETWORK INC (35 - 123121) | |||||||||
| 900 HOPE WAY | ALTAMONTE SPRINGS | FL | 32714 | 862666178 | INACTIVE | FL | N/A | C | Yes (1) |
| ADVENTHEALTH TEAM MEMBERS INC (35 - 123121) | |||||||||
| 900 HOPE WAY | ALTAMONTE SPRINGS | FL | 32714 | 880763664 | INACTIVE | 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) |
| CENTRAL TEXAS MEDICAL ASSOCIATES (11-12252021) | |||||||||
| 1301 WONDER WORLD DRIVE | SAN MARCOS | TX | 78666 | 742729873 | INACTIVE | TX | 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) |
| PORTER AFFILIATED HEALTH SERVICES INC (11-63021) | |||||||||
| 2525 S DOWNING STREET | DENVER | CO | 80210 | 840956175 | INACTIVE | CO | N/A | C | Yes (1) |
| SURGICARE OF ROME INC (10121 - 123121) | |||||||||
| 900 HOPE WAY | ALTAMONTE SPRINGS | FL | 32714 | 200376307 | HOLDING COMPANY | GA | N/A | C | Yes (1) |
| REDMOND PARK HEALTH SERVICES INC (10121 - 123121) | |||||||||
| 900 HOPE WAY | ALTAMONTE SPRINGS | FL | 32714 | 621330078 | HOLDING COMPANY | GA | N/A | C | Yes (1) |
| REDMOND PHYSICIAN PRACTICE COMPANY (10121 - 10121) | |||||||||
| 900 HOPE WAY | ALTAMONTE SPRINGS | FL | 32714 | 621662134 | MEDICAL CLINICS | 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 | 0 | 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 | Yes (1) | 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 | Yes (1) | 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 | Yes (1) | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (23 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| ADVENTIST HEALTH SYSTEM SUNBELT HEALTHCARE CORPORATION | ||
| B | $5,863,108 | ACTUAL AMOUNT GIVEN |
| SUNSYSTEM DEVELOPMENT CORP DBA ADVENTHEALTH DELAND FOUNDATION | ||
| B | $173,241 | ACTUAL AMOUNT GIVEN |
| FLORIDA HOSPITAL HEALTHCARE SYSTEM INC | ||
| P | $5,643,785 | COST |
| MEMORIAL HEALTH SYSTEMS INC | ||
| Q | $13,157,945 | COST |
| MEMORIAL HEALTH SYSTEMS INC | ||
| P | $15,759,511 | COST |
| SOUTHWEST VOLUSIA HEALTHCARE CORPORATION | ||
| Q | $1,648,865 | COST |
| SOUTHWEST VOLUSIA HEALTHCARE CORPORATION | ||
| P | $822,046 | COST |
| MEMORIAL HOSPITAL FLAGLER INC | ||
| Q | $19,048,233 | COST |
| MEMORIAL HOSPITAL FLAGLER INC | ||
| P | $4,498,037 | COST |
| FLORIDA HOSPITAL HEALTHCARE PARTNERS INC | ||
| N | $9,973,913 | COST |
| SOUTHEAST VOLUSIA HEALTHCARE CORPORATION | ||
| Q | $243,426 | COST |
| SOUTHEAST VOLUSIA HEALTHCARE CORPORATION | ||
| P | $172,619 | COST |
| FLORIDA HOSPITAL HEALTHCARE PARTNERS INC | ||
| Q | $26,037,155 | COST |
| FLORIDA HOSPITAL HEALTHCARE PARTNERS INC | ||
| P | $34,286,301 | COST |
| FLORIDA HOSPITAL WATERMAN INC | ||
| Q | $71,650 | COST |
| FLORIDA HOSPITAL WATERMAN INC | ||
| P | $72,332 | COST |
| FLORIDA HOSPITAL MEDICAL GROUP INC | ||
| M | $241,662 | COST |
| ADVENTIST HEALTH SYSTEM SUNBELT HEALTHCARE CORPORATION | ||
| M | $1,582,374 | % OF FACILITY OPERATING EXPENSES |
| ADVENTIST HEALTH SYSTEM SUNBELT HEALTHCARE CORPORATIONSHARED SERVICES FEE | ||
| M | $1,749,062 | % OF FACILITY OPERATING EXPENSES |
| ADVENTIST HEALTH SYSTEM SUNBELT HEALTHCARE CORPORATIONAIT FEE | ||
| M | $6,130,979 | % OF FACILITY OPERATING EXPENSES |
| ADVENTIST HEALTH SYSTEM SUNBELT HEALTHCARE CORPORATION | ||
| P | $8,574,535 | COST |
| ADVENTIST HEALTH SYSTEMSUNBELT INC DBA ADVENTHEALTH ORLANDO | ||
| M | $384,694 | COST |
| FLORIDA HOSPITAL DMERT LLC | ||
| H | $51,440 | COST |