FLETCHER HOSPITAL INC: Form 990, tax year 2021
View the entire original 990 at ProPublica ↗
- Organization
- FLETCHER HOSPITAL INC (EIN 56-0543246)
- Tax period
- 2021-01-01 to 2021-12-31
- Filed
- 2022-11-14
- IRS object ID
- 202243189349306429
- 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 | 2022-11-14T11:13:47-06:00 | 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 | 560543246 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | FLETCHER HOSPITAL INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | FLET | BusinessNameControlTxt |
| Phone | 8286848501 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 100 HOSPITAL DRIVE | AddressLine1Txt |
| City | HENDERSONVILLE | CityNm |
| State Abbreviation | NC | StateAbbreviationCd |
| ZIP | 28792 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | LYNN C ADDISCOTT | PersonNm |
| Person Title | ASSISTANT SECRETARY | PersonTitleTxt |
| Phone | 8286848501 | PhoneNum |
| Signature | 2022-11-04 | 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 HENDERSONVILLE | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | BRANDON NUDD | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 100 HOSPITAL DRIVE | AddressLine1Txt |
| City | HENDERSONVILLE | CityNm |
| State Abbreviation | NC | StateAbbreviationCd |
| ZIP | 28792 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $263,607,509 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.ADVENTHEALTH.COM/HOSPITAL/ADVENTHEALTH-HENDER | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1920 | FormationYr |
| Legal Domicile State | NC | LegalDomicileStateCd |
| Activity Or Mission | THE PROVISION OF MEDICAL CARE TO THE COMMUNITY THROUGH THE OPERATION OF A 103 BED HOSPITAL. | ActivityOrMissionDesc |
| Voting Members Governing Body | 10 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 4 | VotingMembersIndependentCnt |
| Total Employee | 1576 | TotalEmployeeCnt |
| Total Volunteers | 71 | TotalVolunteersCnt |
| Total Gross UBI | $88,297 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $25,193,077 | PYContributionsGrantsAmt |
| CY Contributions Grants | $1,544,181 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $211,644,352 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $251,713,749 | CYProgramServiceRevenueAmt |
| PY Investment Income | $1,831,168 | PYInvestmentIncomeAmt |
| CY Investment Income | $10,309,312 | CYInvestmentIncomeAmt |
| PY Other Revenue | $20,778 | PYOtherRevenueAmt |
| CY Other Revenue | $17,677 | CYOtherRevenueAmt |
| PY Total Revenue | $238,689,375 | PYTotalRevenueAmt |
| CY Total Revenue | $263,584,919 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $902,343 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $905,326 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $98,245,810 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $110,378,639 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $110,527,261 | PYOtherExpensesAmt |
| CY Other Expenses | $130,811,868 | CYOtherExpensesAmt |
| PY Total Expenses | $209,675,414 | PYTotalExpensesAmt |
| CY Total Expenses | $242,095,833 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $29,013,961 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $21,489,086 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $288,014,341 | TotalAssetsBOYAmt |
| Total Assets EOY | $309,247,463 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $86,600,106 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $88,958,980 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $201,414,235 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $220,288,483 | 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 | $220,243,452 | ExpenseAmt |
| Grant | $905,326 | GrantAmt |
| Revenue | $251,625,452 | RevenueAmt |
| Desc | THE HOSPITAL OPERATES A 103-BED ACUTE CARE HOSPITAL WITH 3,910 PATIENT ADMISSIONS, 18,140 PATIENT DAYS, 191,400 OUTPATIENT VISITS, AND 271,323 PHYSICIAN PRACTICE PATIENT VISITS IN THE CURRENT YEAR. | Desc |
| Total Program Service Expenses | $220,243,452 | 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 | 0 | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | Yes (1) | 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 | 1576 | 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 | 10 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 4 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (1) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (1) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | 0 | CompensationProcessCEOInd |
| Compensation Process Other | 0 | CompensationProcessOtherInd |
| Investment In Joint Venture | Yes (1) | InvestmentInJointVentureInd |
| Written Policy Or Procedure | Yes (1) | WrittenPolicyOrProcedureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ELLA STENSTROM | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 8286812420 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 100 HOSPITAL DRIVE | AddressLine1Txt |
| City | HENDERSONVILLE | CityNm |
| State Abbreviation | NC | StateAbbreviationCd |
| ZIP | 28792 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | Yes (X) | InfoInScheduleOPartVIIInd |
Form990 Part VII Section A Form990PartVIISectionAGrp (25 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Key EmployeeKeyEmployeeInd | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd |
|---|---|---|---|---|---|---|---|---|---|---|
| MURRILL MICHAEL | ||||||||||
| CHAIRMAN/CEO SE REGION | 9.40 | 40.60 | Yes (X) | Yes (X) | $0 | $700,614 | $160,963 | |||
| REEVES CORY | ||||||||||
| VICE CHAIRMAN/SEC/PRES (END 06/21) | 33.30 | 16.70 | Yes (X) | Yes (X) | $0 | $736,546 | $42,178 | |||
| STALFORD MD MICHAEL | ||||||||||
| PHYSICIAN | 43.90 | 0.00 | $627,289 | $0 | $85,303 | Yes (X) | ||||
| GUYTON ALAN | ||||||||||
| DIRECTOR/CFO SE REGION | 9.40 | 40.60 | Yes (X) | $0 | $489,042 | $116,852 | ||||
| HARDIN MD JEFFREY | ||||||||||
| PHYSICIAN | 40.00 | 0.00 | $496,821 | $0 | $87,524 | Yes (X) | ||||
| HERBERT MD TERESA | ||||||||||
| CMO | 50.00 | 0.00 | $0 | $484,008 | $91,131 | Yes (X) | ||||
| LUGUS MD THOMAS | ||||||||||
| PHYSICIAN | 40.00 | 0.00 | $511,810 | $0 | $50,008 | Yes (X) | ||||
| HARKHANI MD NINA | ||||||||||
| PHYSICIAN | 40.00 | 0.00 | $447,239 | $0 | $75,615 | Yes (X) | ||||
| DIMITROVA GERGANA | ||||||||||
| PHYSICIAN | 40.00 | 0.00 | $443,766 | $0 | $52,881 | Yes (X) | ||||
| COSTON DO JEFFREY | ||||||||||
| DIRECTOR | 40.90 | 0.00 | Yes (X) | $413,177 | $0 | $82,157 | ||||
| BONNEY MD STEPHEN | ||||||||||
| DIRECTOR | 41.30 | 0.00 | Yes (X) | $407,555 | $0 | $64,326 | ||||
| NUDD BRANDON | ||||||||||
| DIRECTOR/PRES/CEO-AHH (BEG 08/21) | 50.00 | 0.00 | Yes (X) | Yes (X) | $0 | $350,652 | $36,909 | |||
| MILLER SCOTT | ||||||||||
| COO | 50.00 | 0.00 | $0 | $329,757 | $53,098 | Yes (X) | ||||
| LINDSEY RICHARD | ||||||||||
| FORMER CNO | 0.00 | 50.00 | $0 | $321,202 | $44,607 | Yes (X) | ||||
| STENSTROM ELLA | ||||||||||
| CFO | 50.00 | 0.00 | Yes (X) | $0 | $281,837 | $52,398 | ||||
| KIESSLING-URITIS MD MARY ANNE | ||||||||||
| DIRECTOR | 42.30 | 0.00 | Yes (X) | $236,706 | $0 | $54,404 | ||||
| JOY JR ROLAND | ||||||||||
| CNO (END 08/21) | 50.00 | 0.00 | $0 | $226,325 | $20,967 | Yes (X) | ||||
| DZIALO MAUREEN | ||||||||||
| CNO (BEG 09/21) | 50.00 | 0.00 | $0 | $209,663 | $10,091 | Yes (X) | ||||
| MAINARDI MD CARLO | ||||||||||
| FORMER CMO | 25.00 | 0.00 | $196,027 | $0 | $19,758 | Yes (X) | ||||
| BUNCH JAMES | ||||||||||
| FORMER VICE CHAIR/SEC./PRES. | 0.00 | 50.00 | $0 | $101,764 | $0 | Yes (X) | ||||
| LOUIS LESLIE | ||||||||||
| DIRECTOR | 0.20 | 0.00 | Yes (X) | $620 | $4,602 | $0 | ||||
| KECKLEY PAUL | ||||||||||
| DIRECTOR (BEG 01/21) | 0.20 | 0.00 | Yes (X) | $620 | $0 | $0 | ||||
| LEATHERWOOD LAURA | ||||||||||
| DIRECTOR | 0.20 | 0.00 | Yes (X) | $620 | $0 | $0 | ||||
| MCGRADY CHUCK | ||||||||||
| DIRECTOR (BEG 01/21) | 0.20 | 0.00 | Yes (X) | $620 | $0 | $0 | ||||
| CHILDS TRAVIS | ||||||||||
| DIRECTOR (END 01/21) | 0.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $3,782,870 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $4,236,012 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $1,201,170 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 156 | 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 |
|---|---|---|---|---|---|
| PT SOLUTIONS HOLDINGS LLC | |||||
| PO BOX 441146 | KENNESAW | GA | 30160 | PHYSICAL THERAPY SERVICES | $8,359,825 |
| GENESISCARE USA OF NORTH CAROLINA PA | |||||
| 2234 COLONIAL BLVD BOX 50 | FORT MYERS | FL | 33907 | MEDICAL FEES | $3,536,778 |
| AMN HEALTHCARE SERVICES INC | |||||
| 2735 COLLECTIONS CENTER DRIVE | CHICAGO | IL | 60693 | AGENCY FEES | $1,566,923 |
| MAXIM HEALTHCARE SERVICES INC | |||||
| 12558 COLLECTIONS CENTER DR | CHICAGO | IL | 60693 | AGENCY FEES | $1,444,216 |
| WEATHERBY LOCUMS INC | |||||
| PO BOX 972633 | DALLAS | TX | 75397 | PHYSICIAN SERVICES | $1,004,297 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 47 | CntrctRcvdGreaterThan100KCnt |
| Info In Schedule O Part VIII | Yes (X) | InfoInScheduleOPartVIIIInd |
| Related Organizations | $193,536 | RelatedOrganizationsAmt |
| Government Grants | $1,350,645 | GovernmentGrantsAmt |
| Total Contributions | $1,544,181 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (5 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt |
|---|---|---|---|---|
| NET PATIENT REVENUE | 622110 | $236,519,075 | $236,519,075 | |
| PHARMACY REVENUE | 622110 | $14,242,998 | $14,242,998 | |
| CAFETERIA REVENUE | 622110 | $436,102 | $381,621 | $54,481 |
| LAB REVENUE UBI | 622110 | $33,816 | $33,816 | |
| MEDICAL RECORDS COPIES | 622110 | $5,954 | $5,954 |
Total Oth Program Service Rev TotalOthProgramServiceRevGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $475,804 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $475,804 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $251,713,749 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $4,907,711 | TotalRevenueColumnAmt |
| Exclusion | $4,907,711 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $40,267 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $22,590 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $17,677 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $17,677 | TotalRevenueColumnAmt |
| Exclusion | $17,677 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $5,359,217 | SecuritiesAmt |
| Other | $42,384 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $0 | SecuritiesAmt |
| Other | $0 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $5,359,217 | SecuritiesAmt |
| Other | $42,384 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $5,401,601 | TotalRevenueColumnAmt |
| Exclusion | $5,401,601 | ExclusionAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $263,584,919 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $251,625,452 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $88,297 | UnrelatedBusinessRevenueAmt |
| Exclusion | $10,326,989 | 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 | $905,326 | TotalAmt |
| Program Services | $905,326 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,198,856 | TotalAmt |
| Management And General | $4,198,856 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $83,199,048 | TotalAmt |
| Program Services | $83,199,048 | ProgramServicesAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,038,128 | TotalAmt |
| Program Services | $2,930,259 | ProgramServicesAmt |
| Management And General | $107,869 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $14,406,628 | TotalAmt |
| Program Services | $13,813,798 | ProgramServicesAmt |
| Management And General | $592,830 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,535,979 | TotalAmt |
| Program Services | $5,339,424 | ProgramServicesAmt |
| Management And General | $196,555 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $217,075 | TotalAmt |
| Management And General | $217,075 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $56,446 | TotalAmt |
| Management And General | $56,446 | ManagementAndGeneralAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $419,716 | TotalAmt |
| Management And General | $419,716 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $37,591,060 | TotalAmt |
| Program Services | $25,235,735 | ProgramServicesAmt |
| Management And General | $12,355,325 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,250,562 | TotalAmt |
| Management And General | $1,250,562 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,982,383 | TotalAmt |
| Program Services | $2,643,193 | ProgramServicesAmt |
| Management And General | $1,339,190 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,009,890 | TotalAmt |
| Program Services | $7,634,462 | ProgramServicesAmt |
| Management And General | $375,428 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,895,404 | TotalAmt |
| Program Services | $6,895,404 | ProgramServicesAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $442,258 | TotalAmt |
| Program Services | $77,211 | ProgramServicesAmt |
| Management And General | $365,047 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $137,793 | TotalAmt |
| Management And General | $137,793 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $853,617 | TotalAmt |
| Program Services | $853,617 | ProgramServicesAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,985,036 | TotalAmt |
| Program Services | $5,985,036 | ProgramServicesAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,223,579 | TotalAmt |
| Program Services | $1,123,665 | ProgramServicesAmt |
| Management And General | $99,914 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt |
|---|---|---|
| MEDICAL SUPPLIES | $52,738,213 | $52,738,213 |
| RESERVED CARES FUNDING | $5,116,445 | $5,116,445 |
| REPAIRS & MAINTENANCE | $4,088,104 | $4,088,104 |
| STATE TAX INDIGENT ASSE | $1,605,303 | $1,605,303 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $198,984 | TotalAmt |
| Program Services | $59,209 | ProgramServicesAmt |
| Management And General | $139,775 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $242,095,833 | TotalAmt |
| Program Services | $220,243,452 | ProgramServicesAmt |
| Management And General | $21,852,381 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part X | Yes (X) | InfoInScheduleOPartXInd |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,965 | BOYAmt |
| EOY | $9,773 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $164,380,957 | BOYAmt |
| EOY | $197,442,681 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $25,830,647 | BOYAmt |
| EOY | $27,958,122 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | -$2,042 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,452,869 | BOYAmt |
| EOY | $4,539,842 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,466,679 | BOYAmt |
| EOY | $8,288,947 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $140,793,871 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $78,798,315 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $62,082,881 | BOYAmt |
| EOY | $61,995,556 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $26,790,343 | BOYAmt |
| EOY | $9,014,584 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $288,014,341 | BOYAmt |
| EOY | $309,247,463 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $13,626,926 | BOYAmt |
| EOY | $16,771,227 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $101,433 | BOYAmt |
| EOY | $121,794 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $72,871,747 | BOYAmt |
| EOY | $72,065,959 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $86,600,106 | BOYAmt |
| EOY | $88,958,980 | 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 | $201,414,235 | BOYAmt |
| EOY | $220,288,483 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $201,414,235 | BOYAmt |
| EOY | $220,288,483 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $288,014,341 | BOYAmt |
| EOY | $309,247,463 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $21,489,086 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $3,824,324 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | -$6,439,162 | OtherChangesInNetAssetsAmt |
| 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 | $11,164 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $11,164 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | 0 | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART II-B, LINE 1: | FormAndLineReferenceDesc |
| Explanation | DUES WERE PAID TO THE AMERICAN HOSPITAL ASSOCIATION AND THE NORTH CAROLINA HEALTHCARE ASSOCIATION. | ExplanationTxt |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $8,437,825 | OtherCostOrOtherBasisAmt |
| Book Value | $8,437,825 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $69,345,619 | OtherCostOrOtherBasisAmt |
| Depreciation | $33,536,610 | DepreciationAmt |
| Book Value | $35,809,009 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $59,448,190 | OtherCostOrOtherBasisAmt |
| Depreciation | $44,294,124 | DepreciationAmt |
| Book Value | $15,154,066 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $3,562,237 | OtherCostOrOtherBasisAmt |
| Depreciation | $967,581 | DepreciationAmt |
| Book Value | $2,594,656 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $61,995,556 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (8 entries)
| DescDesc | AmtAmt |
|---|---|
| DUE TO RELATED | $4,711,119 |
| PAYABLE TO THIRD PARTIES | $3,953,871 |
| CREDIT BALANCES IN A/R | $1,645,376 |
| OTHER DEFERRED REVENUE | $23,269,203 |
| ACCRUED INTEREST PAYABLE | $7,361 |
| INTERCO ALLOC OF TE BOND PROCEEDS | $33,502,798 |
| OPERATING LEASE LIABILITY | $4,950,352 |
| OTHER LIABILITIES | $25,879 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $72,065,959 | 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 | Yes (1) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $3,624,756 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $3,624,756 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01500 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $19,633,670 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $15,720,017 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $3,913,653 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01620 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $23,258,426 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $15,720,017 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $7,538,409 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.03120 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $146,030 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $14,692 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $131,338 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00050 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,243,097 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $1,210,164 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $32,933 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00010 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $423,122 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $423,122 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00170 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,812,249 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $1,224,856 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $587,393 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00230 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $25,070,675 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $16,944,873 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $8,125,802 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.03350 | TotalExpensePct |
Community Support CommunitySupportGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $14,208 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $14,208 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00010 | TotalExpensePct |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $14,208 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $14,208 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00010 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (1) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $9,306,537 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $1,437,725 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $46,574,834 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $49,602,536 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$3,027,702 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | Yes (X) | CostToChargeRatioInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (1) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (1) | FinancialAssistancePrvsnInd |
Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp
Entity Name EntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | 1 SUMMIT HEALTH PARTNERS LLC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Primary Activities | AMBULATORY SURGERY CENTER | PrimaryActivitiesTxt |
| Org Profit Or Ownership | 0.33000 | OrgProfitOrOwnershipPct |
| Physicians Profit Or Ownership | 0.49000 | PhysiciansProfitOrOwnershipPct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ADVENTHEALTH HENDERSONVILLE | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 100 HOSPITAL DRIVE | AddressLine1Txt |
| City | HENDERSONVILLE | CityNm |
| State Abbreviation | NC | StateAbbreviationCd |
| ZIP | 28792 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | WWW.ADVENTHEALTH.COM/HOSPITAL/ADVENTHE | WebsiteAddressTxt |
| State License | H0019 | 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 | ADVENTHEALTH HENDERSONVILLE | 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 (10 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| ADVENTHEALTH HENDERSONVILLE | PART V, SECTION B, LINE 5: FLETCHER HOSPITAL, INC., D/B/A ADVENTHEALTH HENDERSONVILLE (AHH OR THE HOSPITAL), SERVES A COMMUNITY THAT INCLUDES HENDERSON COUNTY AND SOUTHERN BUNCOMBE COUNTY IN WESTERN NORTH CAROLINA. IN CONDUCTING ITS 2019 COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA), AHH ENGAGED ITS BROAD COMMUNITY THROUGH PARTICIPATION IN LOCAL AND REGIONAL CHNA COMMITTEES. TO HELP GUIDE THE HOSPITAL THROUGH ITS OWN CHNA PROCESS, THE HOSPITAL UTILIZED THE RESOURCES OF REGIONAL AND LOCAL CHNA COMMITTEES, AS WELL AS ITS OWN INTERNAL CHNA COMMITTEE. THE HENDERSON COUNTY PARTNERSHIP FOR HEALTH SERVED AS THE LOCAL CHNA COMMITTEE AND THE WESTERN NORTH CAROLINA HEALTHY IMPACT STEERING COMMITTEE SERVED AS THE REGIONAL CHNA COMMITTEE. BOTH COMMITTEES INCLUDED REPRESENTATION NOT ONLY FROM THE HOSPITAL, PUBLIC HEALTH AND THE BROAD COMMUNITY, BUT FROM LOW-INCOME, MINORITY AND OTHER UNDERSERVED POPULATIONS. WNC HEALTHY IMPACT IS A REGIONAL PARTNERSHIP OF HOSPITALS AND PUBLIC HEALTH DEPARTMENTS REPRESENTING 18 COUNTIES THAT COMPRISE WESTERN NORTH CAROLINA THAT SERVES TO BRING TOGETHER HOSPITAL REPRESENTATIVES, HEALTH DEPARTMENT OFFICIALS, AND COMMUNITY HEALTH LEADERS TO ASSESS AND ADDRESS HEALTH NEEDS IN THE REGION. WITH RESPECT TO THE HENDERSON COUNTY PARTNERSHIP FOR HEALTH, THE LOCAL CHNA COMMUNITY COMMITTEE, AN EMPHASIS WAS PLACED UPON SOLICITING INPUT FROM REPRESENTATIVES OF ORGANIZATIONS SERVING LOW-INCOME, MINORITY, AND OTHER UNDERSERVED POPULATIONS. MEMBERS OF THE HENDERSON COUNTY COMMUNITY HEALTH ASSESSMENT COMMITTEE THAT REPRESENTED SUCH UNDERSERVED POPULATIONS INCLUDED THE FOLLOWING:- THE HENDERSON COUNTY DEPARTMENT OF PUBLIC HEALTH;- MADISON COUNTY HEALTH DEPARTMENT; - JACKSON COUNTY HEALTH DEPARTMENT;- BUNCOMBE COUNTY HEALTH DEPARTMENT;- RUTHERFORD-POLK-MCDOWELL DISTRICT HEALTH DEPARTMENT; - BLUE RIDGE HEALTH - A FEDERALLY QUALIFIED HEALTH CENTER;- THE FREE CLINICS - AN ORGANIZATION UTILIZING VOLUNTEERS TO PROVIDE FREE HEALTHCARE AND SERVICES TO LOW-INCOME UNINSURED RESIDENTS AND MINORITIES;- SAFELIGHT - AN ORGANIZATION PROVIDING SERVICES AND SHELTER FOR SURVIVORS OF DOMESTIC VIOLENCE, SEXUAL ASSAULT AND CHILD ABUSE; - THRIVE - AN ORGANIZATION THAT SERVES PEOPLE WITH MENTAL HEALTH SYMPTOMS;- HENDERSON COUNTY DEPARTMENT OF SOCIAL SERVICES; - COUNCIL ON AGING FOR HENDERSON COUNTY - AN ORGANIZATION THAT PROVIDES AND COORDINATES SERVICES TO HELP KEEP OLDER ADULTS LIVING INDEPENDENTLY; - HENDERSONVILLE FAMILY YMCA;- HENDERSON COUNTY PUBLIC SCHOOLS; AND- CROSSNORE HENDERSONVILLE, AN ORGANIZATION PROVIDING BEHAVIORAL HEALTH AND FOSTER CARE SERVICES FOR CHILDREN IN HENDERSON COUNTY. |
| ADVENTHEALTH HENDERSONVILLE | PART V, SECTION B, LINE 7D: THE HOSPITAL HAS ADOPTED A POLICY THAT ADDRESSES THE PUBLIC POSTING REQUIREMENTS OF THE COMMUNITY HEALTH NEEDS ASSESSMENT. UNDER THIS POLICY, THE COMMUNITY HEALTH NEEDS ASSESSMENT REPORTS MUST BE POSTED ON THE HOSPITAL'S WEBSITE AT LEAST UNTIL THE DATE THE HOSPITAL FACILITY HAS MADE WIDELY AVAILABLE ON ITS WEBSITE ITS TWO SUBSEQUENT COMMUNITY HEALTH NEEDS ASSESSMENT REPORTS. THE HOSPITAL WILL ALSO MAKE A PAPER COPY OF ITS COMMUNITY HEALTH NEEDS ASSESSMENT REPORT AVAILABLE FOR PUBLIC INSPECTION UPON REQUEST AND WITHOUT CHARGE, AT LEAST UNTIL THE DATE THE HOSPITAL FACILITY HAS MADE AVAILABLE FOR PUBLIC INSPECTION ITS TWO SUBSEQUENT COMMUNITY HEALTH NEEDS ASSESSMENT REPORTS. |
| ADVENTHEALTH HENDERSONVILLE | PART V, SECTION B, LINE 11: FLETCHER HOSPITAL, INC. D/B/A ADVENTHEALTH HENDERSONVILLE WILL BE REFERRED TO IN THIS DOCUMENT AS ADVENTHEALTH HENDERSONVILLE 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 HENDERSONVILLE IS PART OF THE MULTI-STATE DIVISION OF ADVENTHEALTH (THE DIVISION). THE DIVISION INCLUDES NINE HOSPITAL FACILITIES. THIS IS THE SECOND-YEAR UPDATE FOR ADVENTHEALTH HENDERSONVILLE'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 HENDERSONVILLE 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 HENDERSONVILLE CHOSE FOUR PRIORITIES FOR ITS 2020-2022 COMMUNITY HEALTH PLAN: 1. MENTAL HEALTH2. SUBSTANCE ABUSE3. PHYSICAL ACTIVITY AND NUTRITION 4. SAFE AND AFFORDABLE HOUSINGPRIORITY 1: MENTAL HEALTH 2019 DESCRIPTION OF THE ISSUE:MENTAL HEALTH HAS BEEN A COMMUNITY HEALTH NEEDS ASSESSMENT HEALTH PRIORITY FOR HENDERSON COUNTY SINCE 2003. ACCESS TO AND THE QUALITY OF MENTAL HEALTH SERVICES HAVE BEEN A SOURCE OF CONCERN FOR MANY YEARS. OVER THE LAST 15 YEARS, MANY CHANGES TO THE MENTAL HEALTH SYSTEM HAVE OCCURRED, WHICH HAVE NEGATIVELY AFFECTED THOSE LIVING WITH MENTAL ILLNESS IN OUR COMMUNITY, AS WELL AS THEIR CAREGIVERS AND OTHER ORGANIZATIONS THAT PROVIDE SUPPORT. MENTAL HEALTH AND PHYSICAL HEALTH ARE CLOSELY CONNECTED. MENTAL HEALTH PLAYS A MAJOR ROLE IN PEOPLE'S ABILITY TO MAINTAIN GOOD PHYSICAL HEALTH. MENTAL ILLNESSES, SUCH AS DEPRESSION AND ANXIETY, IMPACT PEOPLE'S ABILITY TO PARTICIPATE IN HEALTH-PROMOTING BEHAVIORS. IN TURN, PROBLEMS WITH PHYSICAL HEALTH, SUCH AS CHRONIC DISEASES, CAN HAVE A SERIOUS IMPACT ON MENTAL HEALTH AND DECREASE A PERSON'S ABILITY TO PARTICIPATE IN TREATMENT AND RECOVERY. MENTAL ILLNESS CAN AFFECT ANYONE, OF ANY AGE, AT ANY TIME IN THEIR LIVES. EVEN YOUTH ARE NOT IMMUNE. THERE IS OFTEN CO-OCCURRENCE WITH DRUG MISUSE, HOMELESSNESS, AND MENTAL ILLNESS. THE NUMBERS OF WESTERN NORTH CAROLINA RESIDENTS BEING SERVED BY MENTAL HEALTH PROGRAMS HAS DECREASED OVERALL BUT IS BEGINNING TO INCREASE AGAIN. IT IS IMPORTANT TO NOTE THAT DECREASED ACCESS DOES NOT NECESSARILY MEAN DECREASED NEED.WHEN ASKED, SURVEY AND FOCUS GROUP PARTICIPANTS MOST OFTEN REPORTED A GREATER NEED FOR SERVICES PROVIDED IN HENDERSON COUNTY. SERVICES FOR THE UNINSURED AND UNDER-INSURED POPULATIONS, AS WELL AS SERVICES PROVIDED IN SPANISH, ARE LIMITED. THE NEED TO TRAVEL TO BUNCOMBE COUNTY OR ELSEWHERE IN THE STATE TO RECEIVE SERVICES ALSO MAKES ACCESS A PROBLEM. FOR THOSE WHO HAVE INSURANCE, CO-PAYS WERE LISTED MOST FREQUENTLY AS A BARRIER TO CARE. - 14.4% OF ADULTS REPORTED MORE THAN SEVEN DAYS OF POOR MENTAL HEALTH IN THE PAST MONTH. (2018 COMMUNITY HEALTH SURVEY)- 9.2% OF ADULTS REPORTED INABILITY TO GET NEEDED MENTAL HEALTH CARE IN THE PAST YEAR. (2018 COMMUNITY HEALTH SURVEY)- SUICIDE MORTALITY RATE HAS INCREASED TO 18.8 PER 100,000.(NC STATE CENTER FOR HEALTH STATISTICS)- 21.4% OF 9TH GRADERS REPORTED SERIOUSLY CONSIDERING SUICIDE IN THE LAST YEAR.(2017 YOUTH RISK BEHAVIOR SURVEY)- 13% OF ADULTS REPORTED HAVING FOUR OR MORE ADVERSE CHILDHOOD EXPERIENCES.(2018 COMMUNITY HEALTH SURVEY)2021 UPDATE: THE ADVENTHEALTH HENDERSONVILLE COMMUNITY HEALTH PLAN HAS THREE DESIRED GOAL STATEMENTS UNDER THE MENTAL HEALTH PRIORITY. 1. PROVIDE NEEDED MENTAL HEALTH SERVICES AT THE RIGHT PLACE AND TIME2. ENHANCE THE COUNTY'S COMMUNITY-BASED MENTAL HEALTH SYSTEM TO FULLY SUPPORT RELATIONSHIP-BASED, PERSONALIZED CARE3. MAINTAIN SERVICES FOR THE CHRONICALLY MENTALLY ILL IN THE REGIONGOAL 1: PROVIDE NEEDED MENTAL HEALTH SERVICES AT THE RIGHT PLACE AND TIME OBJECTIVE 1: THE FIRST OBJECTIVE IS TO CONTINUE DEVELOPING THE NEXT PHASE OF A "LIVING ROAD MAP" FOCUSED SPECIFICALLY ON CAREGIVER/FAMILY SUPPORT TO HELP PATIENTS, PROVIDERS AND SAFETY-NET ORGANIZATIONS NAVIGATE THE REGION'S MENTAL HEALTH SYSTEM AND ACCESS APPROPRIATE COMMUNITY-BASED RESOURCES. THE INITIATIVE IS FUNDED AND MANAGED BY THE HENDERSON COUNTY PARTNERSHIP FOR HEALTH WITH SUPPORT FROM ADVENTHEALTH HENDERSONVILLE AND A COMMITTEE OF LOCAL NON-PROFITS, GOVERNMENT AGENCIES AND HEALTH CARE PROVIDERS AND ALL OUTCOMES ARE SPECIFIC TO THIS ORGANIZATION AND ITS MEMBERSHIP. THE COMMITTEE AND THE HOSPITAL MET ITS SET METRIC OF COMPLETING THE YOUTH SERVICES COMPONENT OF THIS "LIVING ROAD MAP" FOR CAREGIVERS AND FAMILIES NAVIGATING THE REGION'S MENTAL HEALTH SYSTEM AND FINALIZED THE YOUTH SERVICES COMPONENT IN 2021.(CONTINUED) |
| ADVENTHEALTH HENDERSONVILLE | 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, LINE 7A AND LINE 10A | THE CHNA REPORT CAN BE FOUND AT URL: HTTPS://WWW.ADVENTHEALTH.COM/COMMUNITY-HEALTH-NEEDS-ASSESSMENTSTHE IMPLEMENTATION STRATEGY REPORT CAN BE FOUND AT URL: HTTPS://WWW.ADVENTHEALTH.COM/COMMUNITY-HEALTH-NEEDS-ASSESSMENTS |
| SCHEDULE H, PART V, SECTION B, LINE 11, CONTINUED: | OBJECTIVE 2: THE SECOND OBJECTIVE IS TO INCREASE THE NUMBER OF CHILD MEDICAL EXAMS THROUGH THE BELIEVE CHILD ADVOCACY CENTER (CAC) BY AT LEAST 15% FROM A BENCHMARK OF 120 BY THE END OF YEAR THREE. THE INITIATIVE IS FUNDED AND MANAGED BY SAFELIGHT WITH SUPPORT FROM ADVENTHEALTH HENDERSONVILLE AND ALL OUTCOMES ARE SPECIFIC TO THE ORGANIZATION AND THE REPORTING HOSPITAL. SAFELIGHT SURPASSED ITS SET METRIC OF COMPLETING 140 CHILD MEDICAL EXAMS IN 2021. THE BELIEVE CHILD ADVOCACY CENTER (CAC) COMPLETED 230 CHILD MEDICAL EXAMS IN 2021. ADVENTHEALTH HENDERSONVILLE PROVIDED ITS ANNUAL $17,000 DONATION AND CONTINUED TO FUND THE PHYSICIAN ASSISTANT POSITION FOR THE CENTER IN 2021. OBJECTIVE 3:THE THIRD OBJECTIVE IS TO INCREASE THE NUMBER OF CHILDREN SERVED BY CROSSNORE SCHOOL & CHILDREN'S HOME THROUGH ITS SCHOOL-BASED MENTAL HEALTH COUNSELING PROGRAM BY AT LEAST 10% FROM A BASELINE OF 150 STUDENTS BY THE END OF YEAR THREE. THE INITIATIVE IS FUNDED AND MANAGED BY CROSSNORE SCHOOL AND CHILDREN'S HOME WITH SUPPORT FROM ADVENTHEALTH HENDERSONVILLE AND ALL OUTCOMES ARE SPECIFIC TO THE ORGANIZATION. CROSSNORE SURPASSED ITS SET METRIC OF SERVING 160 STUDENTS THROUGH ITS SCHOOL-BASED MENTAL HEALTH COUNSELING PROGRAM IN 2021, BY SERVING 304 STUDENTS IN THE PROGRAM LAST YEAR. ADVENTHEALTH HENDERSONVILLE PROVIDED AN ADJUSTED ANNUAL DONATION OF $5,000 TO THE ORGANIZATION DUE TO COVID-19 IMPACTS AND LIMITATIONS IN 2021. OBJECTIVE 4:THE FOURTH OBJECTIVE IS TO INCREASE THE NUMBER OF DOMESTIC VIOLENCE SURVIVORS RECEIVING SAFE, EFFECTIVE, AND TIMELY VICTIM ADVOCACY SERVICES TO ADDRESS THE EFFECTS OF TRAUMA THROUGH HELPMATE BY AT LEAST 5% FROM A BASELINE OF 3,200 WOMEN AND CHILDREN BY THE END OF YEAR THREE. THE INITIATIVE IS FUNDED AND MANAGED BY HELPMATE WITH SUPPORT FROM ADVENTHEALTH HENDERSONVILLE AND ALL OUTCOMES ARE SPECIFIC TO THE ORGANIZATION. HELPMATE SURPASSED ITS SET METRIC OF 3,300 IN 2021 BY SERVING 3,647 DOMESTIC VIOLENCE SURVIVORS IN THE LAST YEAR. ADVENTHEALTH HENDERSONVILLE PROVIDED ITS ANNUAL $5,000 DONATION TO THE ORGANIZATION IN 2021. OBJECTIVE 5:THE FIFTH OBJECTIVE IS TO INCREASE THE NUMBER OF SEXUAL ABUSE SURVIVORS SERVED BY OUR VOICE THROUGH ITS RECOVERY PROGRAMS BY AT LEAST 5% FROM A BASELINE OF 877 BY THE END OF YEAR THREE. THE INITIATIVE IS FUNDED AND MANAGED BY OUR VOICE WITH SUPPORT FROM ADVENTHEALTH HENDERSONVILLE AND ALL OUTCOMES ARE SPECIFIC TO THE ORGANIZATION. COVID-19 IMPACTS AND RESTRICTIONS PREVENTED OUR VOICE FROM PROGRESSING ON ITS SET METRIC OF SERVING 900 SEXUAL ABUSE SURVIVORS IN 2021. OUR VOICE SERVED 723 SURVIVORS IN 2021. ADVENTHEALTH HENDERSONVILLE PROVIDED ITS ANNUAL DONATION OF $5,000 TO THE ORGANIZATION IN 2021. GOAL 2: ENHANCE THE COUNTY'S COMMUNITY-BASED MENTAL HEALTH SYSTEM TO FULLY SUPPORT RELATIONSHIP-BASED, PERSONALIZED CARE OBJECTIVE 1: THE FIRST OBJECTIVE IS TO SUPPORT AND EXPAND THE PHOENIX PROJECT, IN PARTNERSHIP WITH SAFELIGHT AND THE FREE CLINICS, TO ENHANCE ACCESS TO MENTAL HEALTH SERVICES AND TRAUMA-INFORMED PRIMARY CARE FOR SURVIVORS OF DOMESTIC VIOLENCE AND SEXUAL ASSAULT. THE PROGRAM WILL EXPAND THE NUMBER OF PATIENTS IT SERVES BY AT LEAST 10% FROM A BASELINE OF APPROXIMATELY 100 WOMEN BY THE END OF YEAR THREE. THE INITIATIVE IS FUNDED AND MANAGED BY SAFELIGHT AND THE FREE CLINICS WITH SUPPORT FROM ADVENTHEALTH HENDERSONVILLE AND ALL OUTCOMES ARE SPECIFIC TO THESE ORGANIZATIONS. THE PHOENIX PROJECT AND ITS PARTNERS SURPASSED ITS SET METRIC OF 110 PATIENTS IN 2021. BY SERVING 187 PATIENTS IN THE LAST YEAR, ADVENTHEALTH HENDERSONVILLE CONTINUED TO BE THE FISCAL AGENT FOR THE GRANT SUPPORTING THIS PROGRAM AND PROVIDED ITS ANNUAL $17,000 DONATION TO SAFELIGHT AND $10,000 DONATION TO THE FREE CLINICS IN 2021. OBJECTIVE 2: THE SECOND OBJECTIVE IS TO IMPLEMENT AND EXPAND THE FREE CLINICS' BEHAVIORAL HEALTH OUTREACH IN THE HENDERSON COUNTY DETENTION CENTER. THE PROGRAM'S GOAL IS TO CONNECT WITH 75% OF INMATES WITHIN THE DETENTION CENTER TO SCREEN FOR MENTAL HEALTH NEEDS AND TO FOLLOW UP WITH 20% OF INMATES UPON DISCHARGE BY THE END OF YEAR THREE. THE INITIATIVE IS FUNDED AND MANAGED BY THE FREE CLINICS WITH SUPPORT FROM ADVENTHEALTH HENDERSONVILLE AND ALL OUTCOMES ARE SPECIFIC TO THIS ORGANIZATION. THE FREE CLINICS SURPASSED ITS SET METRIC OF CONNECTING WITH 70% OF INMATES WITHIN THE DETENTION CENTER TO SCREEN FOR MENTAL HEALTH NEEDS AND FOLLOWING UP WITH 20% OF INMATES UPON DISCHARGE IN 2021. THE FREE CLINICS CONNECTED WITH 73% OF INMATES FOR SCREENINGS AND FOLLOWED UP WITH 40% OF INMATES UPON DISCHARGE IN 2021. ADVENTHEALTH HENDERSONVILLE PROVIDED ITS ANNUAL $10,000 DONATION TO THE FREE CLINICS IN 2021. OBJECTIVE 3: THE THIRD OBJECTIVE IS TO INCREASE THE NUMBER OF DOMESTIC VIOLENCE AND SEXUAL ASSAULT SURVIVORS SERVED BY SAFELIGHT THROUGH ITS COUNSELING PROGRAMS BY AT LEAST 5% FROM A BASELINE OF 497 ADULTS AND CHILDREN BY THE END OF YEAR THREE. THE INITIATIVE IS FUNDED AND MANAGED BY SAFELIGHT WITH SUPPORT FROM ADVENTHEALTH HENDERSONVILLE AND ALL OUTCOMES ARE SPECIFIC TO THIS ORGANIZATION. COVID-19 IMPACTS AND RESTRICTIONS PREVENTED SAFELIGHT FROM PROGRESSING ON ITS SET METRIC OF SERVING 514 DOMESTIC VIOLENCE AND SEXUAL ASSAULT SURVIVORS IN 2021. SAFELIGHT SERVED 298 SURVIVORS IN 2021. ADVENTHEALTH HENDERSONVILLE PROVIDED ITS ANNUAL $17,000 DONATION TO THE ORGANIZATION IN 2021. OBJECTIVE 4: THE FOURTH OBJECTIVE IS TO INCREASE THE NUMBER OF YOUTH AND YOUNG ADULTS ON THE AUTISM SPECTRUM RECEIVING INTENSIVE APPLIED BEHAVIOR ANALYSIS (ABA) THROUGH ST. GERARD HOUSE BY AT LEAST 10% FROM A BASELINE OF 81 BY THE END OF YEAR THREE. THE INITIATIVE IS FUNDED AND MANAGED BY ST. GERARD HOUSE WITH SUPPORT FROM ADVENTHEALTH HENDERSONVILLE AND ALL OUTCOMES ARE SPECIFIC TO THIS ORGANIZATION. COVID-19 IMPACTS AND RESTRICTIONS PREVENTED ST. GERARD HOUSE FROM PROGRESSING ON ITS SET METRIC OF SERVING 86 YOUTH AND YOUNG ADULTS IN 2021. ST. GERARD HOUSE SERVED 67 YOUTH AND YOUNG ADULTS IN 2021. ADVENTHEALTH HENDERSONVILLE PROVIDED ITS ANNUAL $5,000 DONATION TO THE ORGANIZATION IN 2021. GOAL 3: MAINTAIN SERVICES FOR THE CHRONICALLY MENTALLY ILL IN THE REGION OBJECTIVE 1: THE FIRST OBJECTIVE IS TO CONTINUE SERVING INDIVIDUALS WITH SEVERE AND PERSISTENT MENTAL ILLNESS THROUGH THRIVE IN ITS CLUBHOUSE DAY PROGRAM BY MAINTAINING ITS BASELINE OF 55 ADULTS PER MONTH THROUGH THE END OF YEAR THREE. THE INITIATIVE IS FUNDED AND MANAGED BY THRIVE WITH SUPPORT FROM ADVENTHEALTH HENDERSONVILLE. COVID IMPACTS AND RESTRICTIONS PREVENTED THRIVE FROM MEETING ITS SET METRIC OF 55 ADULTS PER MONTH IN 2021. THRIVE SERVED 39 ADULTS PER MONTH IN 2021. ADVENTHEALTH HENDERSONVILLE PROVIDED ITS ANNUAL $7,500 DONATION TO THE ORGANIZATION IN 2021. |
| SCHEDULE H, PART V, SECTION B, LINE 11, CONTINUED: | PRIORITY 2: SUBSTANCE ABUSE 2019 DESCRIPTION OF THE ISSUE:SUBSTANCE ABUSE REFERS TO A SET OF RELATED CONDITIONS ASSOCIATED WITH THE CONSUMPTION OF MIND- AND BEHAVIOR-ALTERING SUBSTANCES THAT HAVE NEGATIVE BEHAVIORAL AND HEALTH OUTCOMES. SOCIAL ATTITUDES AND POLITICAL AND LEGAL RESPONSES TO THE CONSUMPTION OF ALCOHOL AND ILLICIT DRUGS MAKE SUBSTANCE ABUSE ONE OF THE MOST COMPLEX PUBLIC HEALTH ISSUES. SUBSTANCE ABUSE WAS IDENTIFIED AS A TOP PRIORITY IN ADVENTHEALTH HENDERSONVILLE'S PREVIOUS CHNAS.OPIOIDS CAUSED THE HIGHEST PROPORTION OF DRUG OVERDOSE DEATHS IN HENDERSON COUNTY AND IN THE STATE AND THE RATES OF DEATHS ARE INCREASING. THIS CATEGORY OF DRUGS INCLUDES COMMONLY PRESCRIBED MEDICATIONS LIKE HYDROCODONE, OXYCODONE, MORPHINE, CODEINE AND RELATED DRUGS. IT ALSO INCLUDES HEROIN AND SYNTHETIC NARCOTICS LIKE FENTANYL AND FENTANYL-ANALOGUES (DRUGS THAT ARE SIMILAR TO FENTANYL BUT HAVE BEEN CHEMICALLY MODIFIED TO BYPASS CURRENT DRUG LAWS).OPIOID-RELATED DEATHS INVOLVING PAIN MEDICATIONS LIKE OXYCODONE AND HYDROCODONE HAVE HISTORICALLY BEEN THE LEADING CAUSE OF OVERDOSE DEATHS. ILLICIT SUBSTANCES SUCH AS HEROIN, FENTANYL AND FENTANYL ANALOGUES ARE INCREASINGLY CONTRIBUTING TO OVERDOSE DEATHS, RESULTING IN HIGHER RATES OF OPIOID OVERDOSE DEATHS. AN INCREASE IN BEHAVIORS RELATED TO TOBACCO, ELECTRONIC VAPING AND ALCOHOL USAGE HAVE ALSO BEEN OF CONCERN FOR MANY COMMUNITY MEMBERS DURING THIS CHNA PROCESS.- 24 UNINTENTIONAL OPIOID DEATHS IN HENDERSON COUNTY IN 2017.(NORTH CAROLINA OPIOID DASHBOARD)- 71 OPIOID OVERDOSE EMERGENCY DEPARTMENT VISITS IN 2017.(NORTH CAROLINA OPIOID DASHBOARD)- 21.8% OF ADULTS REPORTED USING OPIATES/OPIOIDS IN THE PAST YEAR-WITH OR WITHOUT A PRESCRIPTION.(2018 COMMUNITY HEALTH SURVEY)- 21.4% OF FATAL CRASHES ARE ALCOHOL RELATED.(NCDOT)- 17.4% OF 9TH GRADERS REPORTED THAT THEY RODE WITH A DRIVER WHO HAD BEEN DRINKING ALCOHOL IN THE LAST 30 DAYS.(2017 YOUTH RISK BEHAVIOR SURVEY)- 39% OF 9TH GRADERS REPORTED THAT THEY HAVE USED ELECTRONIC VAPOR PRODUCTS.(2017 YOUTH RISK BEHAVIOR SURVEY)2021 UPDATE: THE ADVENTHEALTH HENDERSONVILLE COMMUNITY HEALTH PLAN HAS THREE DESIRED GOAL STATEMENTS UNDER THE SUBSTANCE ABUSE PRIORITY. 1. INCREASE AND ENHANCE COMMUNITY SUBSTANCE ABUSE, INCLUDING TOBACCO, VAPING AND ALCOHOL, EDUCATION AND PREVENTION PROGRAMS 2. REDUCE PRESCRIPTION DRUG DIVERSION AND MISUSE 3. DEVELOP COMMUNITY-BASED SUBSTANCE ABUSE TREATMENT OPTIONS AND SUPPORT PROGRAMSGOAL 1: INCREASE AND ENHANCE COMMUNITY SUBSTANCE ABUSE INCLUDING TOBACCO, VAPING AND ALCOHOL EDUCATION AND PREVENTION PROGRAMS OBJECTIVE 1: THE FIRST OBJECTIVE IS FOR HOPE RX AND ITS COMMUNITY PARTNERS, INCLUDING ADVENTHEALTH HENDERSONVILLE, TO INCREASE THE NUMBER OF SUBSTANCE MISUSE-FOCUSED COMMUNITY EDUCATION EVENTS BY AT LEAST 15% FROM A BASELINE OF 20 EVENTS BY THE END OF YEAR THREE. THE INITIATIVE IS FUNDED AND MANAGED BY HOPE RX WITH SUPPORT FROM ADVENTHEALTH HENDERSONVILLE AND ALL OUTCOMES ARE SPECIFIC TO THIS ORGANIZATION. COVID-19 IMPACTS PREVENTED HOPE RX FROM PROGRESSING ON ITS SET METRIC OF 22 SUBSTANCE-MISUSE FOCUSED EVENTS IN 2021. HOPE RX HOSTED 17 SUBSTANCE-MISUSE FOCUSED EVENTS IN 2021 DUE TO COVID-19 RESTRICTIONS THAT CANCELLED MANY HOPE RX PROGRAMS AND LIMITED IN-PERSON GATHERINGS. ADVENTHEALTH HENDERSONVILLE PROVIDED ITS ANNUAL COMMITMENT OF $15,000 THROUGH A COMBINATION OF CASH DONATIONS ($10,000) AND IN-KIND SUPPORT (CREATIVE, PRODUCTION AND EDITING EXCEEDING $5,000) FOR THE CREATION OF A DOCUMENTARY VIDEO ON THE DANGERS OF SUBSTANCE MISUSE FOR YOUTH. OBJECTIVE 2: THE SECOND OBJECTIVE IS FOR HOPE RX TO DEVELOP A LOCAL YOUTH COUNCIL TO ENGAGE HIGH SCHOOL STUDENTS IN SUBSTANCE MISUSE EDUCATION AND PREVENTION PROGRAMS BY THE END OF YEAR THREE. THE INITIATIVE IS FUNDED AND MANAGED BY HOPE RX WITH SUPPORT FROM ADVENTHEALTH HENDERSONVILLE AND ALL OUTCOMES ARE SPECIFIC TO THIS ORGANIZATION. HOPE RX MET ITS SET METRIC OF CREATING AND IMPLEMENTING A YOUTH COUNCIL IN 2021. HOPE RX CREATED ITS YOUTH COUNCIL IN 2021 AND THE ORGANIZATION GREW TO 22 MEMBERS. ADVENTHEALTH HENDERSONVILLE PROVIDED ITS ANNUAL COMMITMENT OF $15,000 THROUGH A COMBINATION OF CASH DONATIONS ($10,000) AND IN-KIND SUPPORT (CREATIVE, PRODUCTION AND EDITING EXCEEDING $5,000) FOR THE CREATION OF A DOCUMENTARY VIDEO ON THE DANGERS OF SUBSTANCE MISUSE FOR YOUTH. GOAL 2: REDUCE PRESCRIPTION DRUG DIVERSION AND MISUSE OBJECTIVE 1: THE FIRST OBJECTIVE IS FOR HOPE RX AND ITS COMMUNITY PARTNERS (INCLUDING ADVENTHEALTH HENDERSONVILLE) TO INCREASE THE ANNUAL NUMBER OF PRESCRIPTION DRUG DROP-OFF EVENTS BY AT LEAST 10% FROM A BASELINE OF 12 DRUG TAKE-BACK EVENTS BY THE END OF YEAR THREE. THE INITIATIVE IS FUNDED AND MANAGED BY HOPE RX WITH SUPPORT FROM ADVENTHEALTH HENDERSONVILLE AND ALL OUTCOMES ARE SPECIFIC TO THIS ORGANIZATION. COVID-19 IMPACTS AND RESTRICTIONS PREVENTED HOPE RX FROM PROGRESSING ON ITS SET METRIC OF HOSTING 13 PRESCRIPTION DRUG DROP-OFF EVENTS IN 2021. HOPE RX HOSTED SEVEN PRESCRIPTION DRUG DROP-OFF EVENTS IN 2021. COVID-19 RESTRICTIONS CANCELLED MANY HOPE RX PROGRAMS DUE TO LIMITATIONS ON IN-PERSON GATHERINGS. ADVENTHEALTH HENDERSONVILLE PROVIDED ITS ANNUAL COMMITMENT OF $15,000 THROUGH A COMBINATION OF CASH DONATIONS ($10,000) AND IN-KIND SUPPORT (CREATIVE, PRODUCTION AND EDITING EXCEEDING $5,000) FOR THE CREATION OF A DOCUMENTARY VIDEO ON THE DANGERS OF SUBSTANCE MISUSE FOR YOUTH. GOAL 3: DEVELOP COMMUNITY-BASED SUBSTANCE ABUSE TREATMENT OPTIONS AND SUPPORT PROGRAMS OBJECTIVE 1: THE FIRST OBJECTIVE IS FOR BLUE RIDGE HEALTH TO INCREASE PARTICIPATION IN MEDICATION ASSISTED THERAPY (MAT) PROGRAMS BY AT LEAST 10% IN WESTERN NORTH CAROLINA FROM A BASELINE OF APPROXIMATELY 200 PATIENTS BY THE END OF YEAR THREE. THE INITIATIVE IS FUNDED AND MANAGED BY BLUE RIDGE HEALTH WITH SUPPORT FROM ADVENTHEALTH HENDERSONVILLE AND ALL OUTCOMES ARE SPECIFIC TO THIS ORGANIZATION. BLUE RIDGE HEALTH SURPASSED ITS SET METRIC OF SERVING 215 PATIENTS THROUGH ITS MEDICATION ASSISTED THERAPY (MAT) IN 2021. BLUE RIDGE HEALTH SERVED 827 PATIENTS THROUGH ITS MEDICATION ASSISTED THERAPY (MAT) IN 2021. COVID-19 RESTRICTIONS PREVENTED BLUE RIDGE HEALTH FROM HOSTING TRADITIONAL FUNDRAISING EVENTS AND ADVENTHEALTH HENDERSONVILLE DID NOT PROVIDE ITS ANNUAL $10,000 DONATION TO THE ORGANIZATION IN 2021. OBJECTIVE 2: THE SECOND OBJECTIVE IS FOR FIRST CONTACT ADDICTION MINISTRIES TO EXPAND ITS SUBSTANCE ABUSE TREATMENT AND FAMILY SUPPORT PROGRAMS BY AT LEAST 10% FROM A BASELINE OF 1,100 CLIENT INTAKES BY THE END OF YEAR THREE. THE INITIATIVE IS FUNDED AND MANAGED BY FIRST CONTACT ADDICTION MINISTRIES WITH SUPPORT FROM ADVENTHEALTH HENDERSONVILLE AND ALL OUTCOMES ARE SPECIFIC TO THIS ORGANIZATION. FIRST CONTACT ADDICTION MINISTRIES SURPASSED ITS SET METRIC OF SERVING 1,174 CLIENTS IN 2021. FIRST CONTACT ADDICTION MINISTRIES SERVED 3,336 CLIENTS IN 2021. ADVENTHEALTH HENDERSONVILLE PROVIDED AN ADJUSTED ANNUAL DONATION OF $10,000 IN 2021 DUE TO THE IMPACTS OF COVID-19. OBJECTIVE 3:THE THIRD OBJECTIVE IS FOR WNC RESCUE MINISTRIES TO INCREASE THE NUMBER OF GRADUATES OF ITS ABBA'S HOUSE RESIDENTIAL PROGRAM FOR NEW MOTHERS STRUGGLING WITH DRUG ADDICTION BY AT LEAST 20% FROM A BASELINE OF 11 BY THE END OF YEAR THREE. THE INITIATIVE IS FUNDED AND MANAGED BY WESTERN CAROLINA RESCUE MINISTRIES WITH SUPPORT FROM ADVENTHEALTH HENDERSONVILLE AND ALL OUTCOMES ARE SPECIFIC TO THIS ORGANIZATION. COVID-19 RESTRICTIONS AND IMPACTS PREVENTED WNC RESCUE MINISTRIES FROM PROGRESSING ON ITS SET METRIC OF SERVING 13 PROGRAM GRADUATES IN 2021. WNC RESCUE MINISTRIES SERVED 7 PROGRAM GRADUATES IN 2021. ADVENTHEALTH HENDERSONVILLE PROVIDED ITS ANNUAL $10,000 DONATION TO THE ORGANIZATION IN 2021. |
| SCHEDULE H, PART V, SECTION B, LINE 11, CONTINUED: | OBJECTIVE 4:THE FOURTH OBJECTIVE IS FOR THE FREE CLINICS AND HENDERSON COUNTY TO PARTNER WITH AREA HOSPITALS TO DEVELOP A POST OVERDOSE RESPONSE TEAM (PORT) TO FOLLOW UP WITH PATIENTS 24 HOURS AFTER AN OVERDOSE AND CONNECT THEM WITH COMMUNITY RESOURCES AND RECOVERY PROGRAMS BY THE END OF YEAR THREE. THE INITIATIVE IS FUNDED AND MANAGED BY THE FREE CLINICS AND HENDERSON COUNTY WITH SUPPORT FROM ADVENTHEALTH HENDERSONVILLE AND ALL OUTCOMES ARE SPECIFIC TO THIS ORGANIZATION. THE FREE CLINICS AND HENDERSON COUNTY MET ITS SET METRIC OF DEVELOPING A POST OVERDOSE RESPONSE TEAM (PORT) IN 2021. ADVENTHEALTH HENDERSONVILLE PROVIDED ITS ANNUAL $10,000 DONATION TO THE ORGANIZATION IN 2021. PRIORITY 3: PHYSICAL ACTIVITY AND NUTRITION 2019 DESCRIPTION OF THE ISSUE:OBESITY WAS A TOP HEALTH PRIORITY IN ADVENTHEALTH HENDERSONVILLE'S PAST CHNAS. BEING OVERWEIGHT OR OBESE IS A MAJOR RISK FACTOR FOR MANY CHRONIC DISEASES INCLUDING HEART DISEASE, TYPE 2 DIABETES, HYPERTENSION AND CANCER. THE HENDERSON COUNTY PARTNERSHIP FOR HEALTH CHANGED THE PRIORITY TO PHYSICAL ACTIVITY AND NUTRITION DURING THE LAST CHNA TO AVOID THE STIGMA ASSOCIATED WITH THE TERM "OBESITY AND ITS NEGATIVE CONNOTATIONS. OBESITY RATES ARE IMPORTANT, BUT NOT THE WHOLE STORY. THE COMMUNITY EMPHASIZED THAT PEOPLE CAN BE HEALTHIER AT ANY WEIGHT IF THEY MAKE EVEN MINOR LIFESTYLE CHANGES. EVIDENCE SHOWS THAT PHYSICAL ACTIVITY AND MAKING GOOD NUTRITIONAL CHOICES CAN HAVE A POSITIVE IMPACT ON OBESITY AND MANY OF THE CHRONIC DISEASES IMPACTED BY OBESITY. THE FOCUS HAS ALWAYS BEEN ON PHYSICAL ACTIVITY AND NUTRITION WHEN THE COMMUNITY WORKED TO ADDRESS "OBESITY" IN THE PAST.- 22.4% OF ADULTS IN HENDERSON COUNTY REPORT THEY GET THE RECOMMENDED AMOUNT OF PHYSICAL ACTIVITY.(2018 COMMUNITY HEALTH SURVEY) - 6.7% OF ADULTS REPORT THEY CONSUME FRUITS AND VEGETABLE FIVE OR MORE TIMES A DAY.(2018 COMMUNITY HEALTH SURVEY)- 68.5% (7 OUT OF 10) ADULTS REPORT THEY ARE OVERWEIGHT OR OBESE.(2018 COMMUNITY HEALTH SURVEY) - 1 OUT OF 5 ADULTS REPORT THEY HAVE RUN OUT OF FOOD OR WORRIED ABOUT RUNNING OUT OF FOOD AT LEAST ONCE IN THE PAST YEAR.(2018 COMMUNITY HEALTH SURVEY)- 1 OUT OF 3 CHILDREN ARE OVERWEIGHT OR OBESE.(NC-NPASS DATA: NORTH CAROLINA DIVISION OF PUBLIC HEALTH)2021 UPDATE: THE ADVENTHEALTH HENDERSONVILLE COMMUNITY HEALTH PLAN HAS THREE DESIRED GOAL STATEMENTS UNDER THE PHYSICAL ACTIVITY AND NUTRITION PRIORITY. 1. INCREASE PHYSICAL ACTIVITY AMONG YOUTH 2. REDUCE FOOD INSECURITY IN THE REGION 3. INCREASE ACCESS TO NUTRITIOUS FOOD FOR UNDERSERVED POPULATIONS GOAL 1: INCREASE PHYSICAL ACTIVITY AMONG YOUTH OBJECTIVE 1: THE FIRST OBJECTIVE IS TO INCREASE PARTICIPATION IN GIRLS ON THE RUN OF WESTERN NORTH CAROLINA BY AT LEAST 10% FROM A BASELINE OF 1,002 PARTICIPANTS BY THE END OF YEAR THREE. THE INITIATIVE IS FUNDED AND MANAGED BY GIRLS ON THE RUN OF WESTERN NORTH CAROLINA WITH SUPPORT FROM ADVENTHEALTH HENDERSONVILLE AND ALL OUTCOMES ARE SPECIFIC TO THIS ORGANIZATION. COVID IMPACTS AND RESTRICTIONS AGAIN PREVENTED GIRLS ON THE RUN OF WESTERN NORTH CAROLINA FROM MEETING ITS SET METRIC OF SERVING 1,067 PARTICIPANTS IN 2021. THE ENTIRE GIRLS ON THE RUN PROGRAM WAS PAUSED IN 2021 DUE TO THE ONGOING COVID-19 PANDEMIC AND OTHER EXTENUATING CIRCUMSTANCES. ADVENTHEALTH HENDERSONVILLE PROVIDED ITS $5,000 ANNUAL DONATION TO THE ORGANIZATION THAT WILL BE APPLIED TO FUTURE PROGRAMS. GOAL 2: REDUCE FOOD INSECURITY IN THE REGION OBJECTIVE 1: THE FIRST OBJECTIVE IS TO INCREASE THE NUMBER OF PEOPLE WHO RECEIVED MEALS FROM INTERFAITH ASSISTANCE MINISTRIES' (IAM) BY AT LEAST 10% FROM A BASELINE OF 10,709 PEOPLE BY YEAR THREE. THE INITIATIVE IS FUNDED AND MANAGED BY INTERFAITH ASSISTANCE MINISTRIES (IAM) WITH SUPPORT FROM ADVENTHEALTH HENDERSONVILLE AND ALL OUTCOMES ARE SPECIFIC TO THIS ORGANIZATION. INTERFAITH ASSISTANCE MINISTRIES (IAM) SURPASSED ITS SET METRIC OF SERVING 11,423 PEOPLE MEALS IN 2021. INTERFAITH ASSISTANCE MINISTRIES (IAM) SERVED 43,056 PEOPLE MEALS IN 2021. ADVENTHEALTH HENDERSONVILLE PROVIDED ITS ANNUAL DONATION OF $10,000 IN 2021. OBJECTIVE 2: THE SECOND OBJECTIVE IS TO INCREASE THE NUMBER OF MEALS/FOOD BOXES DISTRIBUTED BY THE STOREHOUSE BY AT LEAST 10% FROM A BASELINE OF 8,496 BOXES BY YEAR THREE. THE INITIATIVE IS FUNDED AND MANAGED BY THE STOREHOUSE WITH SUPPORT FROM ADVENTHEALTH HENDERSONVILLE AND ALL OUTCOMES ARE SPECIFIC TO THIS ORGANIZATION. THE STOREHOUSE MET THE EQUIVALENT OF ITS SET METRIC OF SERVING 9,064 MEALS/FOOD BOXES IN 2021. THE STOREHOUSE WAS FORCED TO ADJUST ITS PACKAGING DUE TO SUPPLY CHAIN LIMITATIONS AND SERVED 1,728 SIGNIFICANTLY LARGER FOOD BOXES THAT REPRESENTED 315,000 POUNDS OF FOOD IN 2021. ADVENTHEALTH HENDERSONVILLE PROVIDED AN ADJUSTED ANNUAL DONATION OF $4,000 DUE TO COVID-19 IMPACTS IN 2021. OBJECTIVE 3: THE THIRD OBJECTIVE IS TO INCREASE THE NUMBER OF FOOD BOXES DISTRIBUTED BY ASHEVILLE BUNCOMBE COMMUNITY CHRISTIAN MINISTRIES (ABCCM) BY AT LEAST 10% FROM A BASELINE OF 37,508 FOOD BOXES BY YEAR THREE. THE INITIATIVE IS FUNDED AND MANAGED BY ASHEVILLE BUNCOMBE COMMUNITY CHRISTIAN MINISTRIES (ABCCM) WITH SUPPORT FROM ADVENTHEALTH HENDERSONVILLE AND ALL OUTCOMES ARE SPECIFIC TO THIS ORGANIZATION. ASHEVILLE BUNCOMBE COMMUNITY CHRISTIAN MINISTRIES (ABCCM) SURPASSED ITS SET METRIC OF PROVIDING 40,008 FOOD BOXES IN 2021. ASHEVILLE BUNCOMBE COMMUNITY CHRISTIAN MINISTRIES (ABCCM) PROVIDED 44,932 FOOD BOXES IN 2021. ADVENTHEALTH HENDERSONVILLE PROVIDED ITS ANNUAL $15,000 DONATION TO THE ORGANIZATION IN 2021. OBJECTIVE 4: THE FOURTH OBJECTIVE IS TO INCREASE THE NUMBER OF HOT MEALS SERVED BY WESTERN CAROLINA RESCUE MINISTRIES BY AT LEAST 10% FROM A BASELINE OF 82,267 MEALS BY YEAR THREE. THE INITIATIVE IS FUNDED AND MANAGED BY WESTERN CAROLINA RESCUE MINISTRIES WITH SUPPORT FROM ADVENTHEALTH HENDERSONVILLE AND ALL OUTCOMES ARE SPECIFIC TO THIS ORGANIZATION. WESTERN CAROLINA RESCUE MINISTRIES SURPASSED ITS SET METRIC OF PROVIDING 87,752 HOT MEALS IN 2021. WESTERN CAROLINA RESCUE MINISTRIES PROVIDED 143,535 HOT MEALS IN 2021. ADVENTHEALTH HENDERSONVILLE PROVIDED ITS ANNUAL $10,000 DONATION TO THE ORGANIZATION AND PARTNERED TO HOST A THANKSGIVING MEAL EVENT IN 2021. GOAL 3: INCREASE ACCESS TO NUTRITIOUS FOOD FOR UNDERSERVED POPULATIONS OBJECTIVE 1: THE FIRST OBJECTIVE IS FOR THE HENDERSON COUNTY COMMITTEE FOR ACTIVITY AND NUTRITION (CAN) AND ITS PARTNERS, INCLUDING ADVENTHEALTH HENDERSONVILLE, TO INCREASE THE NUMBER OF FARMERS MARKETS IN HENDERSON COUNTY THAT ACCEPT THE SNAP/DEBIT/CREDIT PROGRAM TO A TOTAL OF FOUR FROM A BASELINE OF TWO MARKETS BY YEAR THREE. THE INITIATIVE IS FUNDED AND MANAGED BY HENDERSON COUNTY COMMITTEE FOR ACTIVITY AND NUTRITION (CAN) AND THE HENDERSON COUNTY PARTNERSHIP FOR HEALTH WITH SUPPORT FROM ADVENTHEALTH HENDERSONVILLE AND ALL OUTCOMES ARE SPECIFIC TO THIS ORGANIZATION, THE HENDERSON COUNTY COMMITTEE FOR ACTIVITY AND NUTRITION (CAN) PROGRESSED ON ITS SET METRIC BY INCREASING THE NUMBER OF FARMERS MARKETS AND LOCAL FOOD HUBS ACCEPTING THE SNAP/DEBIT/CREDIT PROGRAM TO THREE IN 2021. PRIORITY 4: SAFE AND AFFORDABLE HOUSING: 2019 DESCRIPTION OF THE ISSUE:SAFE AND AFFORDABLE HOUSING WAS A PRIORITY IN ADVENTHEALTH HENDERSONVILLE'S LAST CHNA AND CONTINUES TO BE A COMMUNITY CONCERN. CONSIDERED A SOCIAL DETERMINANT OF HEALTH, HOUSING CAN AFFECT A WIDE RANGE OF HEALTH AND QUALITY-OF-LIFE OUTCOMES. EVERYONE NEEDS A PLACE TO LIVE, REGARDLESS OF AGE, JOB, RACE, DISABILITY, INCOME OR POSITION IN LIFE. BUT NOT EVERYONE'S HOME IS AFFORDABLE. HENDERSON COUNTY RESIDENTS SPEND MORE FOR HOUSING (RENTAL AND MORTGAGES) ON AVERAGE THAN THE REST OF THE REGION. THE DEPARTMENT OF HOUSING AND URBAN DEVELOPMENT (HUD) DEFINES "AFFORDABLE HOUSING" AS CONSUMING NO MORE THAN 30% OF A HOUSEHOLD'S MONTHLY INCOME, INCLUDING UTILITIES. THIS IS THE MAXIMUM LEVEL A FAMILY SHOULD SPEND. GENERALLY, WHEN FAMILIES OR INDIVIDUALS SPEND MORE THAN 30% OF THEIR INCOME ON HOUSING, THEY DO NOT HAVE ENOUGH INCOME TO WITHSTAND FINANCIAL SETBACKS OR MEET OTHER BASIC NEEDS SUCH AS FOOD, CLOTHING AND MEDICAL INSURANCE.CRISIS HOUSING ADDRESSES THE IMMINENT HEALTH AND SAFETY ASPECTS OF THIS PRIORITY. THE CHNA IDENTIFIED THE NEED FOR ENSURING THAT DOMESTIC VIOLENCE AND SEXUAL ASSAULT SURVIVORS IN THE REGION HAD ACCESS TO CRISIS SHELTERS AND BASIC NEEDS. |
| SCHEDULE H, PART V, SECTION B, LINE 11, CONTINUED: | THE HOMELESS POPULATION IN HENDERSON COUNTY PEAKED IN 2017. ACCORDING TO THE POINT IN TIME SURVEY, AN AVERAGE OF 19% OF THE HOMELESS POPULATION WAS DEEMED "CHRONICALLY HOMELESS," WHICH MEANS THEY HAVE A DISABILITY AND HAVE BEEN HOMELESS FOR AT LEAST ONE YEAR OR HAVE HAD FOUR EPISODES OF HOMELESSNESS IN THREE YEARS.- 46.4% OF RENTERS SPEND MORE THAN 30% OF THEIR INCOME ON HOUSING AND 18.8% OF RENTERS SPEND MORE THAN HALF THEIR INCOME ON HOUSING.(US CENSUS BUREAU)- 16.4% OF MORTGAGE OWNERS SPEND MORE THAN 30% OF THEIR INCOME ON HOUSING AND 6.2% OF MORTGAGE OWNERS SPEND MORE THAN HALF THEIR INCOME ON HOUSING.(US CENSUS BUREAU)- 24% OF ALL HOUSEHOLDS IN HENDERSON COUNTY ARE COST BURDENED (SPEND MORE THAN 30% OF TOTAL INCOME ON HOUSING).(US CENSUS BUREAU)- 112 HOMELESS PERSONS WERE COUNTED IN THE ANNUAL POINT IN TIME COUNT IN 2017.(2017 HENDERSON COUNTY HOMELESS POINT IN TIME COUNT)2021 UPDATE: THE ADVENTHEALTH HENDERSONVILLE COMMUNITY HEALTH PLAN HAS THREE DESIRED GOAL STATEMENTS UNDER THE SAFE AND AFFORDABLE HOUSING PRIORITY. 1. INCREASE ACCESS TO CRISIS SHELTERS FOR SURVIVORS OF DOMESTIC VIOLENCE AND SEXUAL ASSAULT 2. INCREASE ACCESS TO EMERGENCY SHELTER FOR THE HOMELESS IN THE REGION 3. INCREASE ACCESS TO SAFE AND AFFORDABLE HOUSING IN THE REGION GOAL 1: INCREASE ACCESS TO CRISIS SHELTERS FOR SURVIVORS OF DOMESTIC VIOLENCE AND SEXUAL ASSAULT OBJECTIVE 1: THE FIRST OBJECTIVE IS TO INCREASE THE NUMBER OF DOMESTIC VIOLENCE AND SEXUAL ASSAULT SURVIVORS SERVED BY SAFELIGHT IN THE ORGANIZATION'S SHELTER BY AT LEAST 5% FROM A BASELINE OF 289 ADULTS AND CHILDREN BY YEAR THREE. THE INITIATIVE IS FUNDED AND MANAGED BY SAFELIGHT WITH SUPPORT FROM ADVENTHEALTH HENDERSONVILLE AND THE OUTCOMES ARE SPECIFIC TO THIS ORGANIZATION. COVID-19 IMPACTS AND RESTRICTIONS PREVENTED SAFELIGHT FROM PROGRESSING ON ITS SET METRIC OF SERVING 299 ADULTS AND CHILDREN IN THE ORGANIZATION'S SHELTER IN 2021. SAFELIGHT SERVED 168 INDIVIDUALS IN 2021. ADVENTHEALTH HENDERSONVILLE PROVIDED ITS ANNUAL $17,000 DONATION TO THE ORGANIZATION IN 2021. OBJECTIVE 2: THE SECOND OBJECTIVE IS TO INCREASE THE NUMBER OF DOMESTIC VIOLENCE AND SEXUAL ASSAULT SURVIVORS SERVED BY HELPMATE IN THE ORGANIZATION'S SHELTER BY AT LEAST 5% FROM A BASELINE OF 202 ADULTS AND CHILDREN BY THE END OF YEAR THREE. THE INITIATIVE IS FUNDED AND MANAGED BY HELPMATE WITH SUPPORT FROM ADVENTHEALTH HENDERSONVILLE AND THE OUTCOMES ARE SPECIFIC TO THIS ORGANIZATION. HELPMATE SURPASSED ITS SET METRIC OF SERVING 209 ADULTS AND CHILDREN IN THE ORGANIZATION'S SHELTER IN 2021. HELPMATE SERVED 723 ADULTS AND CHILDREN IN ITS SHELTER IN 2021. ADVENTHEALTH HENDERSONVILLE PROVIDED ITS ANNUAL $5,000 DONATION TO THE ORGANIZATION IN 2021. GOAL 2: INCREASE ACCESS TO EMERGENCY SHELTER FOR THE HOMELESS IN THE REGION OBJECTIVE 1: THE FIRST OBJECTIVE IS TO INCREASE THE ANNUAL NUMBER OF CLIENTS SERVED BY ASHEVILLE BUNCOMBE COMMUNITY CHRISTIAN MINISTRIES (ABCCM) AT STEADFAST HOUSE BY AT LEAST 15% FROM A BASELINE OF 131 BY YEAR THREE. THE INITIATIVE IS FUNDED AND MANAGED BY ASHEVILLE BUNCOMBE COMMUNITY CHRISTIAN MINISTRIES (ABCCM) WITH SUPPORT FROM ADVENTHEALTH HENDERSONVILLE AND THE OUTCOMES ARE SPECIFIC TO THIS ORGANIZATION. COVID-19 LIMITATIONS, NAMELY THE ONBOARDING PROCESS, QUARANTINE RESTRICTIONS AND TESTING, PREVENTED ASHEVILLE BUNCOMBE COMMUNITY CHRISTIAN MINISTRIES (ABCCM) FROM PROGRESSING ON ITS SET METRIC OF SERVING 145 WOMEN AND CHILDREN IN ITS STEADFAST HOUSE PROGRAM IN 2021. ASHEVILLE BUNCOMBE COMMUNITY CHRISTIAN MINISTRIES (ABCCM) SERVED 123 WOMEN AND CHILDREN IN THE PROGRAM IN 2021. ADVENTHEALTH HENDERSONVILLE PROVIDED ITS ANNUAL $15,000 DONATION TO THE ORGANIZATION IN 2021. OBJECTIVE 2: THE SECOND OBJECTIVE IS TO INCREASE THE ANNUAL NUMBER OF SAFE SHELTER BEDS THROUGH WESTERN CAROLINA RESCUE MINISTRIES BY AT LEAST 5% FROM A BASELINE OF 41,014 BY YEAR THREE. THE INITIATIVE IS FUNDED AND MANAGED BY WESTERN CAROLINA RESCUE MINISTRIES WITH SUPPORT FROM ADVENTHEALTH HENDERSONVILLE AND THE OUTCOMES ARE SPECIFIC TO THIS ORGANIZATION. COVID-19 RESTRICTIONS PREVENTED WESTERN CAROLINA RESCUE MINISTRIES FROM PROGRESSING ON ITS SET METRIC OF 42,381 SAFE SHELTER BEDS IN 2021. WESTERN CAROLINA RESCUE MINISTRIES PROVIDED 24,764 SAFE SHELTER BEDS IN 2021. ADVENTHEALTH HENDERSONVILLE PROVIDED ITS ANNUAL $10,000 DONATION TO THE ORGANIZATION IN 2021. GOAL 3: INCREASE ACCESS TO SAFE AND AFFORDABLE HOUSING IN THE REGION OBJECTIVE 1: THE FIRST OBJECTIVE IS TO INCREASE THE NUMBER OF CLIENTS SERVED BY THRIVE'S HOUSING CASE MANAGEMENT PROGRAM BY AT LEAST 10% FROM A BASELINE OF APPROXIMATELY 65 BY THE END OF YEAR THREE. THE INITIATIVE IS FUNDED AND MANAGED BY THRIVE WITH SUPPORT FROM ADVENTHEALTH HENDERSONVILLE AND THE OUTCOMES ARE SPECIFIC TO THIS ORGANIZATION. THRIVE SURPASSED ITS SET METRIC OF SERVING 70 CLIENTS THROUGH ITS HOUSING CASE MANAGEMENT PROGRAM IN 2021. THRIVE SERVED 238 CLIENTS IN ITS PROGRAM IN 2021. ADVENTHEALTH HENDERSONVILLE PROVIDED ITS ANNUAL DONATION OF $7,500 TO THE ORGANIZATION IN 2021. OBJECTIVE 2: THE SECOND OBJECTIVE IS TO INCREASE THE NUMBER OF PERMANENT HOUSING PLACEMENTS THROUGH ASHEVILLE BUNCOMBE COMMUNITY CHRISTIAN MINISTRIES' (ABCCM) STEADFAST HOUSE FOR UNDERSERVED WOMEN AND CHILDREN IN BUNCOMBE COUNTY BY AT LEAST 10% FROM A BASELINE OF 70 BY THE END OF YEAR THREE. THE INITIATIVE IS FUNDED AND MANAGED BY ASHEVILLE BUNCOMBE COMMUNITY CHRISTIAN MINISTRIES (ABCCM) WITH SUPPORT FROM ADVENTHEALTH HENDERSONVILLE AND THE OUTCOMES ARE SPECIFIC TO THE ORGANIZATION. ASHEVILLE BUNCOMBE COMMUNITY CHRISTIAN MINISTRIES (ABCCM) SURPASSED ITS SET METRIC OF SERVING 75 WOMEN AND CHILDREN THROUGH PERMANENT HOUSING PLACEMENTS IN 2021. ASHEVILLE BUNCOMBE COMMUNITY CHRISTIAN MINISTRIES (ABCCM) SERVED 110 WOMEN AND CHILDREN THROUGH THE PROGRAM IN 2021. ADVENTHEALTH HENDERSONVILLE PROVIDED ITS ANNUAL DONATION OF $15,000 TO SUPPORT THE ORGANIZATION IN 2021. OBJECTIVE 3:THE THIRD OBJECTIVE IS TO CONTINUE SUPPORT FOR HENDERSON COUNTY HABITAT FOR HUMANITY AND INCREASE THE NUMBER OF HOUSES COMPLETED BY AT LEAST 10% FROM A BASELINE OF 17 HOMES BY THE END OF YEAR THREE. THE INITIATIVE IS FUNDED AND MANAGED BY HENDERSON COUNTY HABITAT FOR HUMANITY WITH SUPPORT FROM ADVENTHEALTH HENDERSONVILLE AND THE OUTCOMES ARE SPECIFIC TO THE ORGANIZATION. COVID-19 SEVERELY LIMITED THE ORGANIZATION'S OPERATIONS AND HENDERSON COUNTY HABITAT FOR HUMANITY WAS UNABLE TO PROGRESS ON ITS SET METRIC OF COMPLETING 18 HOUSES IN 2020. HENDERSON COUNTY HABITAT FOR HUMANITY COMPLETED 5 HOUSES IN 2021. ADVENTHEALTH HENDERSONVILLE DID NOT PROVIDE AN ANNUAL DONATION OF $5,000 DUE TO THE IMPACTS OF COVID-19 IN 2021. COMMUNITY NEEDS NOT CHOSEN BY ADVENTHEALTH HENDERSONVILLE: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. VAPING WAS HIGHLIGHTED IN COMMUNITY SURVEYS, NAMELY THE YOUTH RISK BEHAVIOR SURVEY, AS AN ISSUE OF HIGH CONCERN. ADVENTHEALTH HENDERSONVILLE AND THE HENDERSON COUNTY PARTNERSHIP FOR HEALTH DETERMINED THAT THE ISSUE OF VAPING WAS MORE EFFECTIVELY INCLUDED AND ADDRESSED IN THE BROADER PRIORITY OF SUBSTANCE ABUSE. 2. SUICIDE, SPECIFICALLY YOUTH CONSIDERING SUICIDE, WAS IDENTIFIED IN THE COMMUNITY HEALTH NEEDS ASSESSMENT AS AN ISSUE OF HIGH CONCERN. ADVENTHEALTH HENDERSONVILLE AND THE HENDERSON COUNTY PARTNERSHIP FOR HEALTH DETERMINED THAT THE ISSUE OF SUICIDE WAS MORE EFFECTIVELY INCLUDED AND ADDRESSED IN THE BROADER PRIORITY OF MENTAL HEALTH. 3. ADVERSE CHILDHOOD EXPERIENCES (ACES) WERE A CONSISTENT AND PREVALENT CONCERN THROUGHOUT THE COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS. ADVENTHEALTH HENDERSONVILLE AND THE HENDERSON COUNTY PARTNERSHIP FOR HEALTH DETERMINED THAT ACES, SPECIFICALLY TRAUMA-INFORMED CARE, SHOULD BE INCLUDED AS A COMPONENT OF ALL IDENTIFIED HEALTH PRIORITIES. 4. BIRTH OUTCOMES & INFANT MORTALITY: THE INTERNAL COMMUNITY HEALTH NEEDS ASSESSMENT COMMITTEE (CHNAC) FELT BIRTH OUTCOMES & INFANT MORTALITY WOULD BE ADDRESSED THROUGH THE COMBINATION OF OTHER PRIORITIES NAMELY FOCUSING ON NUTRITION, SUBSTANCE ABUSE, MENTAL HEALTH, AND SOCIAL DETERMINANTS OF HEALTH, SUCH AS SAFE AND AFFORDABLE HOUSING. MANY OF THE CONTRIBUTING FACTORS THAT IMPACT THESE HEALTH PRIORITIES ALSO CONTRIBUTE TO BIRTH OUTCOMES & INFANT MORTALITY. |
| SCHEDULE H, PART V, LINE 16A, B, AND C: | LINE 16A, FAP WEBSITE:HTTPS://WWW.ADVENTHEALTH.COM/HOSPITAL/ADVENTHEALTH-HENDERSONVILLE/LEGAL/FINANCIAL-ASSISTANCELINE 16B, FAP APPLICATION WEBSITE:HTTPS://WWW.ADVENTHEALTH.COM/HOSPITAL/ADVENTHEALTH-HENDERSONVILLE/LEGAL/FINANCIAL-ASSISTANCELINE 16C, FAP PLAIN LANGUAGE SUMMARY WEBSITE:HTTPS://WWW.ADVENTHEALTH.COM/HOSPITAL/ADVENTHEALTH-HENDERSONVILLE/LEGAL/FINANCIAL-ASSISTANCE |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 3 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (3 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | FacilityFacilityTxt |
|---|---|---|---|---|
| 1 - ADVENTHEALTH CENTRA CARE ARDEN | ||||
| 430 AIRPORT ROAD | ARDEN | NC | 28704 | URGENT CARE |
| 2 - ADVENTHEALTH MEDICAL GROUP PHYS CLINIC | ||||
| 123 EAST MAIN SUITE 102 | BREVARD | NC | 28712 | PHYSICIAN CLINIC |
| 3 - ADVENTHEALTH MEDICAL GROUP PHYS CLINIC | ||||
| 841 CASE STREET | HENDERSONVILLE | NC | 28792 | PHYSICIAN CLINIC |
Supplemental Information Detail SupplementalInformationDetail (16 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. THE FILING ORGANIZATION PREPARES AN ANNUAL COMMUNITY BENEFIT REPORT ON A SEPARATE ENTITY BASIS FOR THE HOSPITAL(S) THAT IT OWNS AND OPERATES. THE SEPARATE ANNUAL COMMUNITY BENEFIT REPORT IS GENERALLY UTILIZED FOR STATE COMMUNITY BENEFIT REPORTING AND/OR FOR OTHER LOCAL COMMUNITY PURPOSES. |
| 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 I, LINE 7G: | THE FILING ORGANIZATION REPORTED ON PART I, LINE 7G, COLUMN (E) COSTS ATTRIBUTABLE TO WOUND CARE. THE COSTS REPORTED AS COMMUNITY BENEFIT EXPENSE ASSOCIATED WITH WOUND CARE WERE $1,243,097. |
| PART II, COMMUNITY BUILDING ACTIVITIES: | ADVENTHEALTH HENDERSONVILLE (THE HOSPITAL) IS INVOLVED WITH AND SUPPORTIVE OF VARIOUS OTHER COMMUNITY AGENCIES IN ITS SERVICE AREA THAT WORK COLLABORATIVELY TO HELP THOSE IN NEED AND TO IMPROVE THE HEALTH AND SAFETY OF THE RESIDENTS OF THE COMMUNITY. |
| 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.RATIONALE FOR INCLUDING A MEDICARE SHORTFALL AS COMMUNITY BENEFIT:AS A 501(C)(3) ORGANIZATION, THE FILING ORGANIZATION PROVIDES EMERGENCY AND NON-ELECTIVE CARE TO ALL REGARDLESS OF ABILITY TO PAY. ALL HOSPITAL SERVICES ARE PROVIDED IN A NON-DISCRIMINATORY MANNER TO PATIENTS WHO ARE COVERED BENEFICIARIES UNDER THE MEDICARE PROGRAM. AS A PUBLIC INSURANCE PROGRAM, MEDICARE PROVIDES A PRE-ESTABLISHED REIMBURSEMENT RATE/AMOUNT TO HEALTH CARE PROVIDERS FOR THE SERVICES THEY PROVIDE TO PATIENTS. IN SOME CASES, THE REIMBURSEMENT AMOUNT PROVIDED TO A HOSPITAL MAY EXCEED ITS COSTS OF PROVIDING A PARTICULAR SERVICE OR SERVICES TO A PATIENT. IN OTHER CASES, THE MEDICARE REIMBURSEMENT AMOUNT MAY RESULT IN THE HOSPITAL EXPERIENCING A SHORTFALL OF REIMBURSEMENT RECEIVED OVER COSTS INCURRED. IN THOSE CASES WHERE AN OVERALL SHORTFALL IS GENERATED FOR PROVIDING SERVICES TO ALL MEDICARE PATIENTS, THE SHORTFALL AMOUNT SHOULD BE CONSIDERED AS A BENEFIT TO THE COMMUNITY. TAX-EXEMPT HOSPITALS ARE REQUIRED TO ACCEPT ALL MEDICARE PATIENTS REGARDLESS OF THE PROFITABILITY, OR LACK THEREOF, WITH RESPECT TO THE SERVICES THEY PROVIDE TO MEDICARE PATIENTS. THE POPULATION OF INDIVIDUALS COVERED UNDER THE MEDICARE PROGRAM IS SUFFICIENTLY LARGE SO THAT THE PROVISION OF SERVICES TO THE POPULATION IS A BENEFIT TO THE COMMUNITY AND RELIEVES THE BURDENS OF GOVERNMENT. IN THOSE SITUATIONS WHERE THE PROVISION OF SERVICES TO THE TOTAL MEDICARE PATIENT POPULATION OF A TAX-EXEMPT HOSPITAL DURING ANY YEAR RESULTS IN A SHORTFALL OF REIMBURSEMENT RECEIVED OVER THE COST OF PROVIDING CARE, THE TAX-EXEMPT HOSPITAL HAS PROVIDED A BENEFIT TO A CLASS OF PERSONS BROAD ENOUGH TO BE CONSIDERED A BENEFIT TO THE COMMUNITY. DESPITE A FINANCIAL SHORTFALL, A TAX-EXEMPT HOSPITAL MUST AND WILL CONTINUE TO ACCEPT AND CARE FOR MEDICARE PATIENTS. TYPICALLY, TAX-EXEMPT HOSPITALS PROVIDE HEALTH CARE SERVICES BASED UPON AN ASSESSMENT OF THE HEALTH CARE NEEDS OF THEIR COMMUNITY AS OPPOSED TO THEIR TAXABLE COUNTERPARTS WHERE PROFITABILITY OFTEN DRIVES DECISIONS ABOUT PATIENT CARE SERVICES THAT ARE OFFERED. PATIENT CARE PROVIDED BY TAX-EXEMPT HOSPITALS THAT RESULTS IN MEDICARE SHORTFALLS SHOULD BE CONSIDERED AS PROVIDING A BENEFIT TO THE COMMUNITY AND RELIEVING THE BURDENS OF GOVERNMENT. |
| PART III, LINE 9B: | 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 MEDICARE PATIENTS AS REPORTED IN THE AHS COMMUNITY BENEFIT REPORT ARE AS FOLLOWS:- MEDICARE SURPLUS/(SHORTFALL) SHOWN ON LINE 7 OF SECTION B OF SCHEDULE H: $ (3,027,702)- DIFFERENCE IN COSTING METHODOLOGY: (7,442,566)- UNREIMBURSED COSTS INCURRED FOR SERVICES PROVIDED TO MEDICARE PATIENTS THAT ARE NOT INCLUDED IN THE ORGANIZATION'S MEDICARE COST REPORT: (18,436,058) -------------TOTAL UNREIMBURSED COSTS OF SERVING ALL MEDICARE PATIENTS PER THE FILING ORGANIZATION'S COMMUNITY BENEFIT REPORTING: $(28,906,326) 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 LOCATED IN FLETCHER, NORTH CAROLINA SITUATED BETWEEN ASHEVILLE AND HENDERSONVILLE, NORTH CAROLINA. IT CURRENTLY OPERATES ADVENTHEALTH HENDERSONVILLE. ADVENTHEALTH HENDERSONVILLE IS A 103-BED, STATE OF THE ART HOSPITAL THAT INCLUDES CARDIAC CARE AND REHABILITATION, EMERGENCY SERVICES, NATIONALLY AWARDED CANCER CARE, STATE-OF-THE-ART SURGICAL CARE, FULL-SERVICE ORTHOPEDIC CARE, AN AWARD-WINNING LABOR AND DELIVERY EXPERIENCE, AND A FULL RANGE OF IMAGING SERVICES TO HELP PEOPLE ACROSS OUR REGION EXPERIENCE WHOLE HEALTH.ADVENTHEALTH HENDERSONVILLE (THE HOSPITAL) IS A CRUCIAL COMMUNITY AND REGIONAL ASSET. HENDERSON COUNTY HAS A LARGE ELDERLY POPULATION DUE TO A FAVORABLE CLIMATE AND LOCATION FOR RETIREES.DURING 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 68.5% OF THE HOSPITAL'S IN-PATIENTS WERE ADMITTED THROUGH THE HOSPITAL'S EMERGENCY DEPARTMENT. - MEDICARE PATIENTS 55.4% - MEDICAID PATIENTS 8.2% - SELF-PAY PATIENTS 2.9% THE DEMOGRAPHIC MAKEUP OF THE HENDERSON COUNTY IS AS FOLLOWS: - POPULATION 116,748 - POPULATION OVER 65 24.7% - UNEMPLOYMENT RATE 3.8% - VIOLENT CRIME RATE (PER 100,000 POP.) 151.1 - UNINSURED 22.4%ADVENTHEALTH HENDERSONVILLE DEFINES ITS COMMUNITY AS ITS PRIMARY SERVICE AREA (PSA) FROM WHICH 75-80% OF ITS PATIENTS COME. THIS INCLUDES ALL OF HENDERSON COUNTY AND PORTIONS OF BUNCOMBE COUNTY - NAMELY ARDEN, BLACK MOUNTAIN, FAIRVIEW, FLETCHER, SKYLAND, AND SWANNANOA. |
| PART VI, LINE 5: | THE PROVISION OF COMMUNITY BENEFIT IS CENTRAL TO ADVENTHEALTH HENDERSONVILLE'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 $101,991 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 $6,806,412 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: | THE FILING ORGANIZATION 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 (17 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Recipient EINRecipientEIN | IRC SectionIRCSectionDesc | Cash GrantCashGrantAmt | Non Cash AssistanceNonCashAssistanceAmt | Purpose Of GrantPurposeOfGrantTxt | Valuation Method UsedValuationMethodUsedDesc | Non Cash AssistanceNonCashAssistanceDesc |
|---|---|---|---|---|---|---|---|---|---|---|
| ASHEVILLE AREA CHAMBER OF COMMERCE | ||||||||||
| PO BOX 1010 | ASHEVILLE | NC | 28802 | 560125440 | 501(C)(6) | $22,200 | $0 | GENERAL SUPPORT | ||
| ASHEVILLE BUNCOMBE COMMUNITY CHRISTIAN MINISTRY INC | ||||||||||
| 20 TWENTIETH STREET | ASHEVILLE | NC | 28806 | 560945001 | 501(C)(3) | $15,000 | $0 | GENERAL SUPPORT | ||
| BLUE RIDGE COMMUNITY COLLEGE EDUCATIONAL FOUNDATION INC | ||||||||||
| 180 WEST CAMPUS DRIVE | FLAT ROCK | NC | 28731 | 510175113 | 501(C)(3) | $10,000 | $0 | GENERAL SUPPORT | ||
| BUNCOMBE COUNTY SCHOOLS FOUNDATION INC | ||||||||||
| 175 BINGHAM ROAD | ASHEVILLE | NC | 28806 | 581685536 | 501(C)(3) | $31,000 | $0 | GENERAL SUPPORT | ||
| CHAMBER OF COMMERCE GREATER HENDERSONVILLE | ||||||||||
| 204 KANUGA ROAD | HENDERSONVILLE | NC | 28739 | 560258910 | 501(C)(6) | $7,356 | $0 | GENERAL SUPPORT | ||
| FIRST CONTACT MINISTRIES INC | ||||||||||
| PO BOX 2886 | HENDERSONVILLE | NC | 28793 | 474399326 | 501(C)(3) | $10,000 | $0 | GENERAL SUPPORT | ||
| FLETCHER ACADEMY INC | ||||||||||
| PO BOX 5440 | FLETCHER | NC | 28732 | 561432644 | 501(C)(3) | $100,000 | $2,000 | CONSTRUCTION | FMV | 2005 FORD RANGER TRUCK |
| HANDS ON A CHILDS GALLERY INC | ||||||||||
| 318 NORTH MAIN STREET | HENDERSONVILLE | NC | 28792 | 830397594 | 501(C)(3) | $25,000 | $0 | GENERAL SUPPORT | ||
| HENDERSON COUNTY EDUCATION FOUNDATION INC | ||||||||||
| 414 4TH AVENUE W | HENDERSONVILLE | NC | 28739 | 581734733 | 501(C)(3) | $17,250 | $0 | GENERAL SUPPORT | ||
| HENDERSON COUNTY FREE MEDICAL CLINIC INC | ||||||||||
| 841 CASE STREET | HENDERSONVILLE | NC | 28792 | 562212024 | 501(C)(3) | $30,000 | $0 | GENERAL SUPPORT | ||
| INTERFAITH ASSISTANCE MINISTRY INC | ||||||||||
| PO BOX 2562 | HENDERSONVILLE | NC | 28793 | 581556963 | 501(C)(3) | $20,000 | $0 | GENERAL SUPPORT | ||
| MOUNTAIN AREA PREGNANCY SERVICES | ||||||||||
| 1710 OLD HAYWOOD ROAD | ASHEVILLE | NC | 28806 | 561854677 | 501(C)(3) | $20,000 | $0 | GENERAL SUPPORT | ||
| NORTH CAROLINA APPLE FESTIVAL INC | ||||||||||
| 318 N MAIN STREET SUITE 15 | HENDERSONVILLE | NC | 28792 | 237361399 | 501(C)(3) | $10,000 | $0 | GENERAL SUPPORT | ||
| SAFELIGHT INC | ||||||||||
| 133 FIFTH AVENUE | HENDERSONVILLE | NC | 28792 | 561469847 | 501(C)(3) | $17,000 | $0 | GENERAL SUPPORT | ||
| SUNSYSTEM DEVELOPMENT CORP DBA ADVENTHEALTH HENDERSONVILLE FOUNDATION | ||||||||||
| 100 HOSPITAL DRIVE | HENDERSONVILLE | NC | 28792 | 592219301 | 501(C)(3) | $0 | $482,311 | PROVISION OF GENERAL ADMINISTRATIVE SUPPORT | COST | GENERAL ADMINISTRATIVE SUPPORT |
| THRIVE | ||||||||||
| 110-C CHADWICK SQUARE COURT | HENDERSONVILLE | NC | 28739 | 205599815 | 501(C)(3) | $7,500 | $0 | GENERAL SUPPORT | ||
| WESTERN CAROLINA RESCUE MINISTRIES INC | ||||||||||
| 225 PATTON AVENUE | ASHEVILLE | NC | 28801 | 561249407 | 501(C)(3) | $10,000 | $0 | GENERAL SUPPORT | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 15 | Total501c3OrgCnt |
| Total Other Org | 2 | 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) |
|---|---|---|
| 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 (20 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| MURRILL MICHAEL | ||||||||||||||
| CHAIRMAN/CEO SE REGION | $0 | $587,700 | $0 | $93,590 | $0 | $19,324 | $0 | $117,171 | $0 | $43,792 | $0 | $861,577 | $0 | $0 |
| REEVES CORY | ||||||||||||||
| VICE CHAIRMAN/SEC/PRES (END 06/21) | $0 | $252,266 | $0 | $143,256 | $0 | $341,024 | $0 | $4,754 | $0 | $37,424 | $0 | $778,724 | $0 | $98,020 |
| STALFORD MD MICHAEL | ||||||||||||||
| PHYSICIAN | $540,643 | $0 | $68,413 | $0 | $18,233 | $0 | $15,548 | $0 | $69,755 | $0 | $712,592 | $0 | $0 | $0 |
| GUYTON ALAN | ||||||||||||||
| DIRECTOR/CFO SE REGION | $0 | $371,855 | $0 | $67,400 | $0 | $49,787 | $0 | $70,854 | $0 | $45,998 | $0 | $605,894 | $0 | $17,387 |
| HARDIN MD JEFFREY | ||||||||||||||
| PHYSICIAN | $488,671 | $0 | $0 | $0 | $8,150 | $0 | $15,548 | $0 | $71,976 | $0 | $584,345 | $0 | $0 | $0 |
| HERBERT MD TERESA | ||||||||||||||
| CMO | $0 | $345,305 | $0 | $59,046 | $0 | $79,657 | $0 | $48,724 | $0 | $42,407 | $0 | $575,139 | $0 | $23,694 |
| LUGUS MD THOMAS | ||||||||||||||
| PHYSICIAN | $397,078 | $0 | $106,399 | $0 | $8,333 | $0 | $15,548 | $0 | $34,460 | $0 | $561,818 | $0 | $0 | $0 |
| HARKHANI MD NINA | ||||||||||||||
| PHYSICIAN | $442,669 | $0 | $0 | $0 | $4,570 | $0 | $15,548 | $0 | $60,067 | $0 | $522,854 | $0 | $0 | $0 |
| DIMITROVA GERGANA | ||||||||||||||
| PHYSICIAN | $266,714 | $0 | $159,692 | $0 | $17,360 | $0 | $15,548 | $0 | $37,333 | $0 | $496,647 | $0 | $0 | $0 |
| COSTON DO JEFFREY | ||||||||||||||
| DIRECTOR | $395,371 | $0 | $0 | $0 | $17,806 | $0 | $15,548 | $0 | $66,609 | $0 | $495,334 | $0 | $0 | $0 |
| BONNEY MD STEPHEN | ||||||||||||||
| DIRECTOR | $399,560 | $0 | $0 | $0 | $7,995 | $0 | $15,548 | $0 | $48,778 | $0 | $471,881 | $0 | $0 | $0 |
| NUDD BRANDON | ||||||||||||||
| DIRECTOR/PRES/CEO-AHH (BEG 08/21) | $0 | $159,964 | $0 | $0 | $0 | $190,688 | $0 | $22,067 | $0 | $14,842 | $0 | $387,561 | $0 | $0 |
| MILLER SCOTT | ||||||||||||||
| COO | $0 | $259,733 | $0 | $46,652 | $0 | $23,372 | $0 | $15,548 | $0 | $37,550 | $0 | $382,855 | $0 | $0 |
| LINDSEY RICHARD | ||||||||||||||
| FORMER CNO | $0 | $266,679 | $0 | $44,082 | $0 | $10,441 | $0 | $15,548 | $0 | $29,059 | $0 | $365,809 | $0 | $0 |
| STENSTROM ELLA | ||||||||||||||
| CFO | $0 | $230,793 | $0 | $39,577 | $0 | $11,467 | $0 | $14,905 | $0 | $37,493 | $0 | $334,235 | $0 | $0 |
| KIESSLING-URITIS MD MARY ANNE | ||||||||||||||
| DIRECTOR | $185,902 | $0 | $34,119 | $0 | $16,685 | $0 | $12,866 | $0 | $41,538 | $0 | $291,110 | $0 | $0 | $0 |
| JOY JR ROLAND | ||||||||||||||
| CNO (END 08/21) | $0 | $177,207 | $0 | $41,019 | $0 | $8,099 | $0 | $4,441 | $0 | $16,526 | $0 | $247,292 | $0 | $0 |
| DZIALO MAUREEN | ||||||||||||||
| CNO (BEG 09/21) | $0 | $59,475 | $0 | $0 | $0 | $150,188 | $0 | $0 | $0 | $10,091 | $0 | $219,754 | $0 | $0 |
| MAINARDI MD CARLO | ||||||||||||||
| FORMER CMO | $138,471 | $0 | $50,479 | $0 | $7,077 | $0 | $0 | $0 | $19,758 | $0 | $215,785 | $0 | $0 | $0 |
| BUNCH JAMES | ||||||||||||||
| FORMER VICE CHAIR/SEC./PRES. | $0 | $0 | $0 | $54,369 | $0 | $47,395 | $0 | $0 | $0 | $0 | $0 | $101,764 | $0 | $38,980 |
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. 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, CORY REEVES RECEIVED SEVERANCE PAYMENTS IN THE AMOUNT OF $206,516. 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 (CONTINUED): | 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 III AHS 457B CONTR. DISTR.* CONTR. DISTR. MURRILL,MICHAEL $ 0 $ 0 $ 107,423 $ 0 REEVES,CORY $ 15,646 $ 67,188 $ 0 $ 41,124 GUYTON,ALAN $ 40,107 $ 21,329 $ 15,200 $ 0 HERBERT,MD,TERESA $ 36,505 $ 29,394 $ 16,655 $ 0 NUDD,BRANDON $ 0 $ 0 $ 22,067 $ 0 BUNCH,JAMES $ 0 $ 47,395 $ 0 $ 0 * INCLUDING INVESTMENT EARNINGS |
Schedule L IRS990ScheduleL
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp
Name Of Interested NameOfInterested
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HERBERT-WIDMAN LLC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Relationship Description | OWNED BY KEY EMPLOYEE | RelationshipDescriptionTxt |
| Transaction | $116,280 | TransactionAmt |
| Transaction | LEASE | TransactionDesc |
| Sharing Of Revenues | 0 | SharingOfRevenuesInd |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (13 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART V, LINE 1A: | THE PARENT CORPORATION AND SOLE TOP-TIER MEMBER OF FLETCHER HOSPITAL, 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 | FLETCHER HOSPITAL, INC. (THE FILING ORGANIZATION) HAS ONE MEMBER. THE SOLE MEMBER OF THE FILING ORGANIZATION IS ADVENTIST HEALTH SYSTEM SUNBELT HEALTHCARE CORPORATION. ADVENTIST HEALTH SYSTEM SUNBELT HEALTHCARE CORPORATION (AHSSHC) 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 AHSSHC. THE BOARD OF DIRECTORS OF THE FILING ORGANIZATION ARE APPOINTED BY THE SOLE MEMBER, AHSSHC, 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 | AHSSHC, AS THE SOLE MEMBER OF THE FILING ORGANIZATION, HAS CERTAIN RESERVED POWERS AS SET FORTH IN THE BYLAWS OF THE FILING ORGANIZATION. THESE RESERVED POWERS INCLUDE THE FOLLOWING: A) TO APPROVE AND DISAPPROVE THE EXECUTIVE AND/OR ADMINISTRATIVE LEADERSHIP OF THE FILING ORGANIZATION, AND THEIR SALARIES; B) TO ADOPT, AMEND, RESTATE, AND REPEAL THE ARTICLES OF INCORPORATION OR BYLAWS OF THE FILING ORGANIZATION, AND THE MEDICAL STAFF BYLAWS; C) TO SET LIMITS AND TERMS FOR THE BORROWING OF FUNDS; D) TO APPROVE OR DISAPPROVE MAJOR BUILDING PROGRAMS AND/OR PURCHASE OR SALE OF PERSONAL PROPERTY OR REAL PROPERTY EQUAL TO OR IN EXCESS OF ONE MILLION DOLLARS; E) TO APPROVE OR DISAPPROVE THE ANNUAL OPERATING AND CAPITAL BUDGETS OF THE FILING ORGANIZATION; F) TO DIRECT THE PLACEMENT OF FUNDS AND CAPITAL OF THE FILING ORGANIZATION; G) TO ESTABLISH GENERAL GUIDING POLICIES, TO IMPLEMENT QUALITY ASSESSMENT, IMPROVEMENT AND UTILIZATION REVIEW PROGRAMS; AND H) TO APPROVE THE APPOINTMENT OF AN AUDITING FIRM AND ELECTION OF THE FISCAL YEAR FOR THE FILING ORGANIZATION. |
| FORM 990, PART VI, SECTION B, LINE 11B | THE FILING ORGANIZATION'S CURRENT YEAR FORM 990 WAS REVIEWED BY THE BOARD CHAIRMAN, BOARD FINANCE COMMITTEE CHAIR, CEO AND BY THE CFO PRIOR TO ITS FILING WITH THE IRS. THE REVIEW CONDUCTED BY THE BOARD CHAIRMAN, BOARD FINANCE COMMITTEE CHAIR, CEO AND THE CFO DID NOT INCLUDE THE REVIEW OF ANY SUPPORTING WORKPAPERS THAT WERE USED IN PREPARATION OF THE CURRENT YEAR FORM 990, BUT DID INCLUDE A REVIEW OF THE ENTIRE FORM 990 AND ALL SUPPORTING SCHEDULES. |
| FORM 990, PART VI, SECTION B, LINE 12C | THE CONFLICT OF INTEREST POLICY OF THE FILING ORGANIZATION APPLIES TO MEMBERS OF ITS BOARD OF DIRECTORS AND ITS PRINCIPAL OFFICERS (TO BE KNOWN AS INTERESTED PERSONS). IN CONNECTION WITH ANY ACTUAL OR POSSIBLE CONFLICTS OF INTEREST, ANY MEMBER OF THE BOARD OF DIRECTORS OF THE FILING ORGANIZATION OR ANY PRINCIPAL OFFICER OF THE FILING ORGANIZATION (I.E. INTERESTED PERSONS) MUST DISCLOSE THE EXISTENCE OF ANY FINANCIAL INTEREST WITH THE FILING ORGANIZATION AND MUST BE GIVEN THE OPPORTUNITY TO DISCLOSE ALL MATERIAL FACTS CONCERNING THE FINANCIAL INTEREST/ARRANGEMENT TO THE BOARD OF DIRECTORS OF THE FILING ORGANIZATION OR TO ANY MEMBERS OF A COMMITTEE WITH BOARD DELEGATED POWERS THAT IS CONSIDERING THE PROPOSED TRANSACTION OR ARRANGEMENT. SUBSEQUENT TO ANY DISCLOSURE OF ANY FINANCIAL INTEREST/ARRANGEMENT AND ALL MATERIAL FACTS, AND AFTER ANY DISCUSSION WITH THE RELEVANT BOARD MEMBER OR PRINCIPAL OFFICER, THE REMAINING MEMBERS OF THE BOARD OF DIRECTORS OR COMMITTEE WITH BOARD DELEGATED POWERS SHALL DISCUSS, ANALYZE, AND VOTE UPON THE POTENTIAL FINANCIAL INTEREST/ARRANGEMENT TO DETERMINE IF A CONFLICT OF INTEREST EXISTS. ACCORDING TO THE FILING ORGANIZATION'S CONFLICT OF INTEREST POLICY, AN INTERESTED PERSON MAY MAKE A PRESENTATION TO THE BOARD OF DIRECTORS (OR COMMITTEE WITH BOARD DELEGATED POWERS), BUT AFTER SUCH PRESENTATION, SHALL LEAVE THE MEETING DURING THE DISCUSSION OF, AND THE VOTE ON, THE TRANSACTION OR ARRANGEMENT THAT RESULTS IN A CONFLICT OF INTEREST. EACH INTERESTED PERSON, AS DEFINED UNDER THE FILING ORGANIZATION'S CONFLICT OF INTEREST POLICY, SHALL ANNUALLY SIGN A STATEMENT WHICH AFFIRMS THAT SUCH PERSON HAS RECEIVED A COPY OF THE CONFLICT OF INTEREST POLICY, HAS READ AND UNDERSTANDS THE POLICY, HAS AGREED TO COMPLY WITH THE POLICY, AND UNDERSTANDS THAT THE FILING ORGANIZATION IS A CHARITABLE ORGANIZATION THAT MUST PRIMARILY ENGAGE IN ACTIVITIES WHICH ACCOMPLISH ONE OR MORE OF ITS EXEMPT PURPOSES. THE FILING ORGANIZATION'S CONFLICT OF INTEREST POLICY ALSO REQUIRES THAT PERIODIC REVIEWS SHALL BE CONDUCTED TO ENSURE THAT THE FILING ORGANIZATION OPERATES IN A MANNER CONSISTENT WITH ITS CHARITABLE PURPOSES. |
| FORM 990, PART VI, SECTION B, LINE 15 | THE FILING ORGANIZATION'S CEO, OTHER OFFICERS AND KEY EMPLOYEES ARE NOT COMPENSATED BY THE FILING ORGANIZATION. SUCH INDIVIDUALS ARE COMPENSATED BY THE RELATED TOP-TIER PARENT ORGANIZATION OF THE FILING ORGANIZATION. PLEASE SEE THE DISCUSSION CONCERNING THE PROCESS FOLLOWED BY THE RELATED TOP-TIER PARENT ORGANIZATION IN DETERMINING EXECUTIVE COMPENSATION IN OUR RESPONSE TO SCHEDULE J, LINE 3. |
| FORM 990, PART VI, SECTION C, LINE 19 | THE FILING ORGANIZATION IS A PART OF THE SYSTEM OF HEALTHCARE ORGANIZATIONS KNOWN AS ADVENTHEALTH. THE AUDITED CONSOLIDATED FINANCIAL STATEMENTS OF ADVENTHEALTH AND OF THE ADVENTHEALTH "OBLIGATED GROUP" ARE FILED ANNUALLY WITH THE MUNICIPAL SECURITIES RULEMAKING BOARD (MSRB). THE "OBLIGATED GROUP" IS A GROUP OF AHSSHC SUBSIDIARIES THAT ARE JOINTLY AND SEVERALLY LIABLE UNDER A MASTER TRUST INDENTURE THAT SECURES DEBT PRIMARILY ISSUED ON A TAX-EXEMPT BASIS. UNAUDITED QUARTERLY FINANCIAL STATEMENTS PREPARED IN ACCORDANCE WITH GENERALLY ACCEPTED ACCOUNTING PRINCIPLES (GAAP) ARE ALSO FILED WITH MSRB FOR ADVENTHEALTH ON A CONSOLIDATED BASIS AND FOR THE GROUPING OF ADVENTHEALTH SUBSIDIARIES COMPRISING THE "OBLIGATED GROUP". THE FILING ORGANIZATION DOES NOT GENERALLY MAKE ITS GOVERNING DOCUMENTS OR CONFLICT OF INTEREST POLICY AVAILABLE TO THE PUBLIC. |
| PART VII, SECTION A: | FOR THOSE BOARD OF DIRECTOR MEMBERS (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. |
| 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 9,581,797. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 9,581,797. PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 3,150,531. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,150,531. PURCHASED MEDICAL SERVICES: PROGRAM SERVICE EXPENSES 9,815,076. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 9,815,076. ENVIRONMENTAL SERVICES: PROGRAM SERVICE EXPENSES 1,727,454. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,727,454. TRANSCRIPTION SERVICES: PROGRAM SERVICE EXPENSES 379,591. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 379,591. RECRUITING: PROGRAM SERVICE EXPENSES 119,211. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 119,211. FOOD SERVICE CONTRACTS: PROGRAM SERVICE EXPENSES 282. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 282. MISCELLANEOUS PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 461,793. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 461,793. ADVENTHEALTH MANAGEMENT FEES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 6,386,434. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 6,386,434. BILLING & COLLECTION SERVICES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 3,655,706. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,655,706. ADVENTHEALTH SHARED SERVICE FEE: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 2,313,185. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,313,185. |
| 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. |
| FORM 990, PART XI, LINE 9: | TRANSFER TO TOP-TIER TAX-EXEMPT PARENT -7,296,391. VALUE OF ASSETS SOLD TO AFFILIATED ASC JV 771,000. DONATIONS FROM SUPPORTING FOUNDATION 92,534. ALLOCATION FROM TAX-EXEMPT PARENT WITH RESPECT TO DEBT -30,870. DONATION FROM TAX-EXEMPT AFFILIATE 24,566. ROUNDING -1. |
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 | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Predominant Income TypePredominantIncomeTypeTxt | Share Of EOY AssetsShareOfEOYAssetsAmt | Disproportionate AllocationsDisproportionateAllocationsInd | General Or Managing PartnerGeneralOrManagingPartnerInd | OwnershipOwnershipPct | Direct Controlling NADirectControllingNACd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| FLETCHER HOSPITAL SURGICAL VENTURES LLC | |||||||||||||
| 9131 ANSON WAY STE 304 | RALEIGH | NC | 27615 | 861482646 | INDIRECT INTEREST IN SURGERY CENTER | NC | FLETCHER HOSPITAL INC | RELATED | $3,568,614 | 0 | 0 | 0.65000 | |
| FLORIDA HOSPITAL DMERT LLC | |||||||||||||
| 500 WINDERLEY PLACE STE 324 | MAITLAND | FL | 32751 | 202392253 | MEDICAL EQUIPMENT | FL | 0 | Yes (1) | N/A | ||||
| FLORIDA HOSPITAL HOME INFUSION LLP | |||||||||||||
| 500 WINDERLEY PLACE STE 226 | MAITLAND | FL | 32751 | 593142824 | HOME INFUSION SERVICES | FL | 0 | Yes (1) | N/A | ||||
| FUNCTIONAL NEUROSURGICAL AMBULATORY SURGERY CTR LLC | |||||||||||||
| 11 W DRY CREEK CIRCLE 120 | LITTLETON | CO | 80120 | 464426708 | SURGERY CENTER | CO | 0 | 0 | N/A | ||||
| PAHS ONPOINT URGENT CARE LLC | |||||||||||||
| 9100 E MINERAL CIRCLE | CENTENNIAL | CO | 80112 | 832465331 | URGENT CARE CENTER | CO | 0 | 0 | N/A | ||||
| PRINCETON HOMECARE SERVICES LLC | |||||||||||||
| 1050 FORRER BLVD | KETTERING | OH | 45420 | 814196648 | OPERATION OF HOME HEALTH AGENCY | FL | 0 | 0 | N/A | ||||
| SAN MARCOS MRI LP (1121-8121) | |||||||||||||
| 1330 WONDER WORLD DR STE 202 | SAN MARCOS | TX | 78666 | 770597972 | IMAGING & TESTING | TX | 0 | 0 | N/A | ||||
| SURGERY CENTER OF ROME LP | |||||||||||||
| 900 HOPE WAY | ALTAMONTE SPRINGS | FL | 32714 | 200390305 | SURGERY CENTER | FL | 0 | 0 | N/A | ||||
| THE BARIATRIC CENTER OF KANSAS CITY LLC | |||||||||||||
| 9100 W 74TH STREET | MERRIAM | KS | 66204 | 823025378 | SURGERY CENTER | KS | 0 | 0 | N/A | ||||
| URGENT CARE CENTERS OF BREVARD COUNTY LLC | |||||||||||||
| 2600 WESTHALL LANE | MAITLAND | FL | 32751 | 844261523 | URGENT CARE CENTERS | FL | 0 | Yes (1) | N/A | ||||
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 | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | OwnershipOwnershipPct |
|---|---|---|---|---|---|---|---|---|---|---|---|
| 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 | C | Yes (1) | FLETCHER HOSPITAL INC | 1.00000 | |
| 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 | Yes (1) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | Yes (1) | 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 | 0 | SharingOfFacilitiesInd |
| Paid Employees Sharing | 0 | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (1) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (1) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | Yes (1) | TransferToOtherOrgInd |
| Transfer From Other Org | Yes (1) | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (15 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| ADVENTIST HEALTH SYSTEM SUNBELT HEALTHCARE CORPORATION | ||
| B | $7,296,391 | ACTUAL AMOUNT GIVEN |
| ADVENTIST HEALTH SYSTEM SUNBELT HEALTHCARE CORPORATION | ||
| M | $2,181,003 | % OF FACILITY'S OPERATING EXP. |
| ADVENTIST HEALTH SYSTEM SUNBELT HEALTHCARE CORPORATION | ||
| P | $12,164,238 | COST |
| ADVENTIST HEALTH SYSTEM SUNBELT HEALTHCARE CORPORATION DBA AIT | ||
| M | $6,337,453 | % OF FACILITY'S OPERATING EXP. |
| ADVENTIST HEALTH SYSTEM SUNBELT HEALTHCARE CORPORATION DBA AIT | ||
| P | $228,232 | COST |
| ADVENTIST HEALTH SYSTEM SUNBELT HEALTHCARE CORPORATION - SHARED SERVICES | ||
| M | $2,164,166 | % OF FACILITY'S OPERATING EXP. |
| SUNSYSTEM DEVELOPMENT CORPORATION DBA ADVENTHEALTH HENDERSONVILLE FNDN | ||
| B | $482,311 | ACTUAL AMOUNT GIVEN |
| SUNSYSTEM DEVELOPMENT CORPORATION DBA ADVENTHEALTH HENDERSONVILLE FNDN | ||
| C | $294,778 | ACTUAL AMOUNT RECEIVED |
| ADVENTIST HEALTH SYSTEM GEORGIA INC | ||
| Q | $377,389 | COST |
| ADVENTIST HEALTH SYSTEM GEORGIA INC | ||
| P | $3,391,548 | COST |
| ADVENTIST HEALTH SYSTEM GEORGIA INC | ||
| M | $50,509 | COST |
| ADVENTIST HEALTH SYSTEMSUNBELT INC DBA ADVENTHEALTH CENTRA CARE | ||
| M | $160,107 | COST |
| ADVENTIST HEALTH SYSTEMSUNBELT INC DBA ADVENTHEALTH CENTRA CARE | ||
| P | $1,107,891 | COST |
| ADVENTIST HEALTH SYSTEMSUNBELT INC DBA ADVENTHEALTH CENTRA CARE | ||
| R | $2,733,617 | ACTUAL AMOUNT GIVEN |
| SHAWNEE MISSION MEDICAL CENTER INC | ||
| P | $426,536 | COST |