ADVENTIST MIDWEST HEALTH: Form 990, tax year 2020

View the entire original 990 at ProPublica ↗

Organization: ADVENTIST MIDWEST HEALTH (EIN 36-2276984)
Tax period: 2020-01-01 to 2020-12-31
Filed: 2021-11-12
IRS object ID: 202123169349301717
Schema version: 2020v4.1
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 O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2021-11-12T07:51:22-06:00	ReturnTs
Tax Period End	2020-12-31	TaxPeriodEndDt
Return Type	990	ReturnTypeCd
Tax Period Begin	2020-01-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	362276984	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	ADVENTIST MIDWEST HEALTH	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	ADVE	BusinessNameControlTxt
Phone	6308569000	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	120 NORTH OAK STREET	AddressLine1Txt
City	HINSDALE	CityNm
State Abbreviation	IL	StateAbbreviationCd
ZIP	60521	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	LYNN C ADDISCOTT	PersonNm
Person Title	ASSISTANT SECRETARY	PersonTitleTxt
Phone	6308566001	PhoneNum
Signature	2021-11-11	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	2	TrustedCustomerCd
Authentication Assurance Level	AAL1	AuthenticationAssuranceLevelCd
Identity Assurance Level	IAL1	IdentityAssuranceLevelCd

Field	Value	IRS element (for citing)
Tax	2020	TaxYr
Build TS	2022-09-23 18:48:47Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	ADAM MAYCOCK	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	120 NORTH OAK STREET	AddressLine1Txt
City	HINSDALE	CityNm
State Abbreviation	IL	StateAbbreviationCd
ZIP	60521	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$557,978,952	GrossReceiptsAmt
Group Return For Affiliates	0	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.AMITAHEALTH.ORG	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1904	FormationYr
Legal Domicile State	IL	LegalDomicileStateCd
Activity Or Mission	THE PROVISION OF MEDICAL CARE TO THE COMMUNITY THROUGH THE OPERATION OF TWO HOSPITALS.	ActivityOrMissionDesc
Voting Members Governing Body	18	VotingMembersGoverningBodyCnt
Voting Members Independent	9	VotingMembersIndependentCnt
Total Employee	3084	TotalEmployeeCnt
Total Volunteers	624	TotalVolunteersCnt
Total Gross UBI	$996,941	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$370,930	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$604,310	PYContributionsGrantsAmt
CY Contributions Grants	$48,723,760	CYContributionsGrantsAmt
PY Program Service Revenue	$556,642,135	PYProgramServiceRevenueAmt
CY Program Service Revenue	$506,041,037	CYProgramServiceRevenueAmt
PY Investment Income	$4,148,172	PYInvestmentIncomeAmt
CY Investment Income	$2,665,012	CYInvestmentIncomeAmt
PY Other Revenue	$295,593	PYOtherRevenueAmt
CY Other Revenue	$291,882	CYOtherRevenueAmt
PY Total Revenue	$561,690,210	PYTotalRevenueAmt
CY Total Revenue	$557,721,691	CYTotalRevenueAmt
PY Grants And Similar Paid	$1,071,397	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$1,501,227	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$203,310,166	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$177,456,672	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$370,001,922	PYOtherExpensesAmt
CY Other Expenses	$311,276,733	CYOtherExpensesAmt
PY Total Expenses	$574,383,485	PYTotalExpensesAmt
CY Total Expenses	$490,234,632	CYTotalExpensesAmt
PY Revenues Less Expenses	-$12,693,275	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$67,487,059	CYRevenuesLessExpensesAmt
Total Assets BOY	$664,162,556	TotalAssetsBOYAmt
Total Assets EOY	$694,030,437	TotalAssetsEOYAmt
Total Liabilities BOY	$408,658,961	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$369,116,216	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$255,503,595	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$324,914,221	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	$414,976,544	ExpenseAmt
Grant	$1,501,227	GrantAmt
Revenue	$506,041,037	RevenueAmt
Desc	AMITA HEALTH ADVENTIST MEDICAL CENTER HINSDALE (AMITA HEALTH HINSDALE, OR THE HOSPITAL) IS A 261-BED ACUTE-CARE HOSPITAL IN HINSDALE, ILLINOIS, THAT HAS SERVED THE HEALTHCARE NEEDS OF HINSDALE AND SURROUNDING AREAS FOR MORE THAN 100 YEARS. LOCATED AT 120 NORTH OAK STREET, AMITA HEALTH HINSDALE IS A FULL-SERVICE HOSPITAL THAT INCLUDES A LEVEL III NEONATAL INTENSIVE CARE UNIT AND THE AMITA HEALTH CANCER INSTITUTE & OUTPATIENT CENTER IN HINSDALE. THE HOSPITAL HAS ADDITIONAL SPECIALTIES IN BEHAVIORAL MEDICINE, CARDIOLOGY, NEUROSCIENCES AND ORTHOPEDICS. IT HAS EXPANDED ITS NEUROSCIENCES AND BEHAVIORAL MEDICINE PROGRAMS AND HAS BECOME A LEADER IN ROBOTIC SURGERY PROGRAMS INCLUDING DA VINCI ROBOTIC SURGERIES. OTHER SERVICES OFFERED BY THE HOSPITAL INCLUDE OPEN HEART SURGERY, EMERGENCY SERVICES, ENDOCRINOLOGY, GASTROENTEROLOGY, GERIATRICS, HOME HEALTH, HOSPICE, IMAGING, INTERVENTIONAL RADIOLOGY, OUTPATIENT SERVICES, A PAIN CENTER, PEDIATRIC SERVICES, PHYSICAL REHABILITATION, RHEUMATOLOGY, SLEEP DISORDERS, SURGICAL SERVICES, UROLOGY, VASCULAR LAB SERVICES AND WOMEN'S CARE. THE HOSPITAL OPERATES AN IMAGING CENTER IN WESTMONT AND WOODRIDGE, ILLINOIS; AN OUTPATIENT BEHAVIORAL HEALTH SITE IN WESTMONT; AND AN OUTPATIENT ADOLESCENT MENTAL HEALTH SITE IN WESTMONT. IN PARTNERSHIP WITH PT SOLUTIONS, THE HOSPITAL ALSO OPERATES AN OUTPATIENT PHYSICAL REHABILITATION SITE IN HINSDALE. A FIXTURE IN HINSDALE SINCE 1904, AMITA HEALTH HINSDALE PLAYS AN ACTIVE ROLE IN THE COMMUNITY, SPONSORING A VARIETY OF EVENTS AND PROVIDING WELLNESS SERVICES FOR THE VILLAGE'S EMPLOYEES. THE HOSPITAL HAS A SPECIAL COLLABORATIVE RELATIONSHIP WITH SISTER HOSPITAL AMITA HEALTH ADVENTIST MEDICAL CENTER LA GRANGE (AMITA HEALTH LA GRANGE) IN LA GRANGE, ILLINOIS. ABOUT TWO MILES SEPARATE THE HOSPITALS, AND BECAUSE OF THEIR PROXIMITY TO EACH OTHER, THEY HAVE WORKED TO INTEGRATE THEIR SERVICES AND TO WORK COLLABORATIVELY INSTEAD OF COMPETING AGAINST EACH OTHER. THE HOSPITALS SHARE THE SAME SENIOR MANAGEMENT TEAM, DEPARTMENT LEADERS, AND MEDICAL STAFF, AND THEY PARTNERED TO DEVELOP THE AMITA HEALTH CANCER INSTITUTE AND OUTPATIENT CENTER, WHICH OPENED IN 2016 IN HINSDALE. THE INTEGRATION PROCESS HAS REDUCED OPERATING COSTS FOR THE TWO HOSPITALS, AND THEY HAVE REINVESTED THE SAVINGS TO EXPAND AND ENHANCE SERVICES. THE TWO HOSPITALS OPERATE FAMILY-PRACTICE RESIDENCY PROGRAMS IN WHICH MEDICAL-SCHOOL GRADUATES SERVE THEIR RESIDENCIES, DOING CLINICAL ROTATIONS. THE PROGRAMS ARE A CONSISTENT SOURCE OF FAMILY-PRACTICE PHYSICIANS FOR THE COMMUNITY PROVIDING A FULL SCOPE OF PRIMARY CARE SERVICES. DURING 2020, 17,500 PATIENTS WERE CARED FOR AT THE AMITA HEALTH LAGRANGE FAMILY MEDICINE CENTER AND 16,180 PATIENTS AT THE AMITA HEALTH HINSDALE FAMILY MEDICINE CENTER, INCLUDING MANY MEDICAID RECIPIENTS AT BOTH CENTERS. THE AMITA HEALTH LAGRANGE FAMILY MEDICINE CENTER ALSO PROVIDES OBSTETRICAL CARE AT A LOCAL FEDERALLY QUALIFIED HEALTH CENTER IN LAGRANGE (PILLARS COMMUNITY HEALTH). AMITA HEALTH HINSDALE IS AWARDED MAGNET NURSING DESIGNATION BY THE AMERICAN NURSES CREDENTIALING CENTER, CERTIFIED BY THE JOINT COMMISSION AND THE AMERICAN HEART ASSOCIATION/AMERICAN STROKE ASSOCIATION AS A PRIMARY STROKE CENTER, AND HAS RECEIVED NATIONAL QUALITY APPROVAL FROM THE JOINT COMMISSION. THE BLUE CROSS AND BLUE SHIELD ASSOCIATION HAS AWARDED ITS BLUE DISTINCTION CENTER + DESIGNATION TO AMITA HEALTH HINSDALE FOR DELIVERING SAFE, HIGH-QUALITY AND COST-EFFICIENT CARDIAC CARE, MATERNITY CARE, SPINE SURGERY AND HIP AND KNEE REPLACEMENT. IN 2020, AMITA HEALTH HINSDALE AND LA GRANGE MAINTAINED A FIVE-STAR RATING -THE HIGHEST POSSIBLE- POSTED ON THE CENTERS FOR MEDICARE & MEDICAID SERVICES. THE HOSPITAL ALSO EARNED AN "A," THE HIGHEST POSSIBLE SCORE, IN THE SPRING 2020 AND FALL 2020 EDITIONS OF THE LEAPFROG GROUP'S BIANNUAL HOSPITAL SAFETY GRADE. IN 2019, AMITA HEALTH HINSDALE ALSO EARNED HEALTHGRADE'S PATIENT SAFETY EXCELLENCE AWARD AND HEALTHGRADE'S OUTSTANDING PATIENT EXPERIENCE AWARD. AMITA HEALTH HINSDALE IS RANKED 15TH IN THE CHICAGO AREA AND 18TH IN ILLINOIS IN U.S. NEWS & WORLD REPORT'S LATEST BEST HOSPITALS REPORT, EARNING RECOGNITION FOR HIGH PERFORMANCE IN ONE ADULT SPECIALTY (CARDIOLOGY AND HEART SURGERY) AND THREE ADULT PROCEDURES/CONDITIONS (HEART FAILURE, HIP REPLACEMENT, AND KNEE REPLACEMENT). THE AMITA HEALTH CANCER INSTITUTE AT HINSDALE WAS RECOGNIZED FOR OUTSTANDING ACHIVEMENT IN 2019 BY THE AMERICAN COLLEGE OF SURGEONS WHICH IS ACHIEVED BY FEWER THAN 10% OF CANCER PROGRAMS NATIONWIDE. IN 2020, AMITA HEALTH HINSDALE AND LAGRANGE COMBINED TREATED 16,636 INPATIENTS, PERFORMED 2,769 INPATIENT SURGERIES, AND DELIVERED 2,306 BABIES. AMITA HEALTH HINSDALE'S MEDICAL STAFF INCLUDES 1,015 PHYSICIANS REPRESENTING MORE THAN 79 MEDICAL AND SURGICAL SPECIALTIES. AMITA HEALTH HINSDALE AND LAGRANGE PROVIDE CARE FOR ALL, INCLUDING THE FINANCIALLY DISADVANTAGED, UNINSURED, UNDERINSURED, HOMELESS AND THOSE WHO RECEIVE PUBLIC AID. IN 2020, AMITA HEALTH HINSDALE AND LAGRANGE PROVIDED $2,839,235 OF CHARITY CARE AT COST. THIS WAS IN ADDITION TO $11,641,274 IN COMMUNITY EDUCATION COSTS, INCLUDING THE HOSPITAL'S RESIDENCY PROGRAM AND $1,146,799 IN OTHER COMMUNITY BENEFITS SERVICES, $11,948,105 OF UNREIMBURSED MEDICARE COSTS TO PATIENTS, $335,029 OF BAD DEBT EXPENSE AT COST, AND $17,141,176 OF UNREIMBURSED MEDICAID AT COST. THE TOP-TIER PARENT OF THE FILING ORGANIZATION, ADVENTIST HEALTH SYSTEM SUNBELT HEALTHCARE CORPORATION, OWNS A REGIONAL HEALTH SYSTEM WHICH INCLUDES A NETWORK OF FOUR NOT-FOR-PROFIT HOSPITALS AND THEIR OUTPATIENT-BASED HEALTHCARE FACILITIES OPERATING IN CHICAGO'S WESTERN SUBURBS. THE FOUR CHICAGO NOT-FOR-PROFIT HOSPITALS TAKE A HOLISTIC APPROACH TO WELLNESS, ADDRESSING THE PHYSICAL, MENTAL, SOCIAL AND SPIRITUAL NEEDS OF THE PEOPLE IT SERVES. THE FOUR HOSPITALS AND OTHER FACILITIES ARE INTEGRAL TO THE FABRIC OF THEIR COMMUNITIES. THE HOSPITALS PARTNER WITH LOCAL CIVIC ORGANIZATIONS AND BUSINESSES TO BRING STATE-OF-THE-ART TREATMENTS AND PREVENTIVE HEALTHCARE SERVICES CLOSE TO WHERE PEOPLE LIVE AND WORK. AS PART OF ADVENTHEALTH, THE LARGEST, NOT-FOR-PROFIT PROTESTANT HOSPITAL SYSTEM IN THE NATION, THE FILING ORGANIZATION IS GROUNDED IN CHRISTIAN VALUES AND COMMITTED TO EXTENDING THE HEALING MINISTRY OF CHRIST. THE FILING ORGANIZATION WELCOMES PATIENTS FROM ANY RELIGIOUS DENOMINATION AS WELL AS PATIENTS WHO DO NOT ASCRIBE TO ANY RELIGION. IN FEBRUARY 2015, AMH AND ALEXIAN BROTHERS HEALTH SYSTEM (ABHS) FORMED A JOINT OPERATING COMPANY (JOC). A JOC ALLOWS SEPARATE OWNERS TO INTEGRATE OPERATIONS TO ACHIEVE A COMMON GOAL WHILE MAINTAINING SEPARATE OWNERSHIP OF ASSETS. IT ALSO ALLOWS AMH AND ABHS TO WORK IN UNISON WHILE PRESERVING THE ADVENTIST AND CATHOLIC IDENTITIES AND MISSION PRIORITIES THAT DEFINE AMH AND ABHS, RESPECTIVELY. IN APRIL 2015, ALEXIAN BROTHERS-AHS MIDWEST REGION HEALTH CO., D/B/A AMITA HEALTH, WAS ANNOUNCED AS THE NEW NAME OF THE JOC. THE NAME AMITA IS INSPIRED BY THE MEANING IT HAS IN SEVERAL LANGUAGES -- FRIENDSHIP IN ITALIAN, HONESTY AND TRUTH IN HEBREW, AND SPIRITUAL LIGHT AND BOUNDLESSNESS IN HINDI. THE NAME REFLECTS AMITA HEALTH'S FAITH-BASED CALL TO HEALING, ITS CORE VALUES, AND THE COMPASSION AND DEDICATION THAT ITS CAREGIVERS SHOW EVERY DAY TO PATIENTS, THEIR FAMILIES AND EACH OTHER.	Desc
Total Program Service Expenses	$414,976,544	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	Yes (1)	DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment	Yes (1)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	0	ReportInvestmentsOtherSecInd
Report Program Related Invst	0	ReportProgramRelatedInvstInd
Report Other Assets	Yes (1)	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	Yes (1)	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	0	BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri	0	DeductibleNonCashContriInd
Deductible Art Contribution	0	DeductibleArtContributionInd
Terminate Operations	0	TerminateOperationsInd
Partial Liquidation	0	PartialLiquidationInd
Disregarded Entity	0	DisregardedEntityInd
Related Entity	Yes (1)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (1)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (1)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	0	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	0	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (1)	ScheduleORequiredInd
IRP Document	180	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (1)	BackupWthldComplianceInd
Employee	3084	EmployeeCnt
Employment Tax Returns Filed	Yes (1)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (1)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (1)	Form990TFiledInd
Foreign Financial Account	0	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTransInd
Taxable Party Notification	0	TaxablePartyNotificationInd
Nondeductible Contributions	0	NondeductibleContributionsInd
Quid Pro Quo Contributions	0	QuidProQuoContributionsInd
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	0	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	0	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	0	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	0	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	0	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	18	GoverningBodyVotingMembersCnt
Independent Voting Member	9	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
States Where Copy Of Return Is Fld	IL	StatesWhereCopyOfReturnIsFldCd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	DANAE STILL	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Phone	6308566006	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	120 N OAK STREET	AddressLine1Txt
City	HINSDALE	CityNm
State Abbreviation	IL	StateAbbreviationCd
ZIP	60521	ZIPCd

Field	Value	IRS element (for citing)
Info In Schedule O Part VII	Yes (X)	InfoInScheduleOPartVIIInd

Form990 Part VII Section A Form990PartVIISectionAGrp (30 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Highest Compensated EmployeeHighestCompensatedEmployeeInd	OfficerOfficerInd	Key EmployeeKeyEmployeeInd
HAFFNER PHD RANDALL
DIR/CHAIRMAN	0.30	50.00	Yes (X)	$0	$2,876,292	$209,336
CARROLL RICHARD
VP/CMO GLENOAKS/BOLINGBROOK	0.00	50.00		$543,724	$1,323,096	$36,187	Yes (X)
SNYDER BRENT
DIRECTOR	0.30	50.00	Yes (X)	$0	$1,244,833	$191,435
THORDARSON THOR
DIR/SEC/EVP & REGIONAL COO	10.00	40.00	Yes (X)	$948,281	$0	$35,319
MURRILL MICHAEL
CEO HINSDALE/LA GRANGE (END 6/20)	50.00	0.00		$293,340	$439,066	$104,121		Yes (X)
BUCHANAN HERBERT
DIRECTOR/REG OPERATIONS OFFICER	5.00	45.00	Yes (X)	$64,279	$578,505	$17,514
CHRISTIAN BRUCE
PRES/CEO GLENOAKS/BOLINGBROOK	0.00	50.00		$536,534	$0	$34,911	Yes (X)
ROEHR RICHARD
COO GLENOAKS/BOLINGBROOK	0.00	50.00		$452,788	$0	$47,896	Yes (X)
PETRINA ROBERT
INTERIM CFO HINSDALE/LA GRANGE (END 11/20)	50.00	0.00		$485,556	$0	$3,393		Yes (X)
NAND MD BELA
CMO HINSDALE/LA GRANGE	50.00	0.00		$445,251	$0	$24,470			Yes (X)
RUSSELL DONALD
EVP/CHIEF HR OFFICER	0.00	0.00		$438,545	$0	$0	Yes (X)
MURPHY MARY
CNO HINSDALE/LA GRANGE	25.00	25.00		$391,101	$0	$29,144			Yes (X)
MAYCOCK ADAM
COO (END 6/20) CEO (BEG 6/20) HINSDALE/LA GRANGE	50.00	0.00		$358,920	$0	$40,113		Yes (X)
SCHIMEROWSKI DEBORAH
CFO (END 3/20)	2.50	47.50		$19,154	$363,931	$9,345		Yes (X)
SMITH MARYJO
SVP-HUMAN RESOURCES	25.00	25.00		$370,740	$0	$906	Yes (X)
DE RAMOS DO DAVID
DIRECTOR	0.30	50.00	Yes (X)	$0	$190,417	$27,903
STILL DANAE
CFO (BEG 10/20)	50.00	0.00		$115,369	$0	$871		Yes (X)
GUTH MD SCOTT
DIRECTOR	8.50	0.60	Yes (X)	$62,225	$0	$0
MARTINEZ MD CARLOS
DIRECTOR	0.30	3.80	Yes (X)	$0	$20,375	$0
MURREY MD SUSAN
DIRECTOR (BEG 1/20)	2.00	0.60	Yes (X)	$10,313	$0	$0
VALENTINE II MDIV MAURICE
DIRECTOR/VICE CHAIR	0.30	4.70	Yes (X)	$0	$4,072	$0
SCOTT GLYNN
DIRECTOR	0.30	3.70	Yes (X)	$0	$3,974	$0
AGUILERA RONALD
DIRECTOR	0.30	3.70	Yes (X)	$0	$2,851	$0
ARQUILLA VENANZIO
DIRECTOR	0.30	0.60	Yes (X)	$0	$0	$0
EASTMAN LINDA
DIRECTOR	0.30	0.60	Yes (X)	$0	$0	$0
GRAY JR MARSHALL
DIRECTOR	0.60	0.60	Yes (X)	$0	$0	$0
HAWKINS RONNIE
DIRECTOR	0.30	0.60	Yes (X)	$0	$0	$0
HOLDER BILL
DIRECTOR	0.30	0.60	Yes (X)	$0	$0	$0
O'CONNOR PETER
DIRECTOR	0.30	0.60	Yes (X)	$0	$0	$0
WRIGHT JONATHAN
DIRECTOR	0.30	0.60	Yes (X)	$0	$0	$0

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$5,536,120	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$7,047,412	TotReportableCompRltdOrgAmt
Total Other Compensation	$812,864	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	260	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	0	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (1)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	Yes (1)	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
R1 RCM INC
39918 TREASURY CENTER	CHICAGO	IL	60694	REVENUE CYCLE SERVICE	$18,079,906
ALVERNO CLINICAL LABORATORIES LLC
2434 INTERSTATE PLAZA DRIVE	HAMMOND	IN	46324	LAB SERVICE	$15,281,057
COMPASS GROUP USA INC
PO BOX 102289	ATLANTA	GA	30368	FOOD SERVICE	$10,804,126
ALEXIAN BROTHERS HEALTH SYSTEM
2601 NAVISTAR DR	LISLE	IL	60532	MANAGEMENT SERVICES	$8,747,645
TRIMEDX LLC
PO BOX 636129	CINCINNATI	OH	45263	CLINICAL ENGINEERING SERVICES	$5,860,338

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	47	CntrctRcvdGreaterThan100KCnt
Info In Schedule O Part VIII	Yes (X)	InfoInScheduleOPartVIIIInd
Related Organizations	$672,867	RelatedOrganizationsAmt
Government Grants	$48,017,837	GovernmentGrantsAmt
All Other Contributions	$33,056	AllOtherContributionsAmt
Total Contributions	$48,723,760	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
NET PATIENT REVENUE	622110	$435,927,707	$435,374,071	$553,636
MANAGEMENT SVCS TO RELATED	622110	$52,566,218	$52,566,218
SHARE OF JOC INCOME	622110	$10,476,978	$10,476,978
RENT FROM EXEMPT AFFILIATES	622110	$2,930,848	$2,930,848
PROF. OFFICE BUILDING/EMP. HOUSIN	622110	$1,916,682	$1,916,682

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$2,222,604	TotalRevenueColumnAmt
Related Or Exempt Func Income	$1,883,246	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$339,358	UnrelatedBusinessRevenueAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$506,041,037	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,944,170	TotalRevenueColumnAmt
Exclusion	$1,944,170	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$434,821	RealAmt
Personal	$114,322	PersonalAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$246,886	RealAmt
Personal	$10,375	PersonalAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$187,935	RealAmt
Personal	$103,947	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$291,882	TotalRevenueColumnAmt
Unrelated Business Revenue	$103,947	UnrelatedBusinessRevenueAmt
Exclusion	$187,935	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$602,905	SecuritiesAmt
Other	$117,937	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	$602,905	SecuritiesAmt
Other	$117,937	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$720,842	TotalRevenueColumnAmt
Exclusion	$720,842	ExclusionAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$557,721,691	TotalRevenueColumnAmt
Related Or Exempt Func Income	$505,148,043	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$996,941	UnrelatedBusinessRevenueAmt
Exclusion	$2,852,947	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	$1,447,614	TotalAmt
Program Services	$1,447,614	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$53,613	TotalAmt
Program Services	$53,613	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$2,561,075	TotalAmt
Management And General	$2,561,075	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$140,595,617	TotalAmt
Program Services	$112,917,035	ProgramServicesAmt
Management And General	$27,678,582	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$2,119,709	TotalAmt
Program Services	$1,709,306	ProgramServicesAmt
Management And General	$410,403	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$21,207,957	TotalAmt
Program Services	$17,077,443	ProgramServicesAmt
Management And General	$4,130,514	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$10,972,314	TotalAmt
Program Services	$8,847,931	ProgramServicesAmt
Management And General	$2,124,383	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$193,674	TotalAmt
Management And General	$193,674	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$139,336	TotalAmt
Management And General	$139,336	ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$335,136	TotalAmt
Management And General	$335,136	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$101,770,315	TotalAmt
Program Services	$68,189,990	ProgramServicesAmt
Management And General	$33,580,325	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$44,031	TotalAmt
Management And General	$44,031	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$19,038,463	TotalAmt
Program Services	$17,725,578	ProgramServicesAmt
Management And General	$1,312,885	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$14,419,040	TotalAmt
Program Services	$13,078,382	ProgramServicesAmt
Management And General	$1,340,658	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$9,603,795	TotalAmt
Program Services	$9,603,795	ProgramServicesAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$383,329	TotalAmt
Management And General	$383,329	ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$187,068	TotalAmt
Program Services	$187,068	ProgramServicesAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$7,469,396	TotalAmt
Program Services	$7,469,396	ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$27,194,095	TotalAmt
Program Services	$27,194,095	ProgramServicesAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$4,573,950	TotalAmt
Program Services	$4,531,950	ProgramServicesAmt
Management And General	$42,000	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Management And GeneralManagementAndGeneralAmt	Program ServicesProgramServicesAmt
UNRELATED BUSINESS INCO	$128,073	$128,073
MEDICAL SUPPLIES	$55,831,862		$55,831,862
OTHER OPERATING COSTS	$42,199,668		$42,199,668
STATE TAX INDIGENT ASSE	$22,047,403		$22,047,403

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$5,718,099	TotalAmt
Program Services	$4,864,415	ProgramServicesAmt
Management And General	$853,684	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$490,234,632	TotalAmt
Program Services	$414,976,544	ProgramServicesAmt
Management And General	$75,258,088	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	$7,616	BOYAmt
EOY	$7,865	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$84,154,965	BOYAmt
EOY	$94,973,303	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$70,613,815	BOYAmt
EOY	$60,993,392	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$9,132,665	BOYAmt
EOY	$10,988,859	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$12,869,263	BOYAmt
EOY	$11,870,235	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$882,237,158	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$614,856,749	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$282,223,045	BOYAmt
EOY	$267,380,409	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$284,997	BOYAmt
EOY	$713,390	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$210,000	BOYAmt
EOY	$210,000	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$1,654,759	BOYAmt
EOY	$1,489,284	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$203,011,431	BOYAmt
EOY	$245,403,700	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$664,162,556	BOYAmt
EOY	$694,030,437	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$52,248,118	BOYAmt
EOY	$43,088,544	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$526,046	BOYAmt
EOY	$354,491	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$355,884,797	BOYAmt
EOY	$325,673,181	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$408,658,961	BOYAmt
EOY	$369,116,216	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	$247,551,276	BOYAmt
EOY	$314,696,148	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$7,952,319	BOYAmt
EOY	$10,218,073	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$255,503,595	BOYAmt
EOY	$324,914,221	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$664,162,556	BOYAmt
EOY	$694,030,437	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$67,487,059	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$3,190,453	NetUnrlzdGainsLossesInvstAmt
Prior Period Adjustments	$206,875	PriorPeriodAdjustmentsAmt
Other Changes In Net Assets	-$1,473,761	OtherChangesInNetAssetsAmt
Info In Schedule O Part XII	Yes (X)	InfoInScheduleOPartXIIInd
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	0	AccountantCompileOrReviewInd
FS Audited	Yes (1)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Consolidated Basis Fincl Stmt	Yes (X)	ConsolidatedBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (1)	AuditCommitteeInd
Federal Grant Audit Required	Yes (1)	FederalGrantAuditRequiredInd
Federal Grant Audit Performed	Yes (1)	FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor US Address ContributorUSAddress

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	0	VolunteersInd
Paid Staff Or Management	0	PaidStaffOrManagementInd
Media Advertisements	0	MediaAdvertisementsInd
Mailings Members	0	MailingsMembersInd
Publications Or Broadcast	0	PublicationsOrBroadcastInd
Grants Other Organizations	0	GrantsOtherOrganizationsInd
Direct Contact Legislators	0	DirectContactLegislatorsInd
Rallies Demonstrations	0	RalliesDemonstrationsInd
Other Activities	Yes (1)	OtherActivitiesInd
Other Activities	$63,474	OtherActivitiesAmt
Total Lobbying Expenditures	$63,474	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 ILLINOIS HOSPITAL ASSOCIATION.	ExplanationTxt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$2,685,040	BeginningYearBalanceAmt
Investment Earnings Or Losses	$103,974	InvestmentEarningsOrLossesAmt
Other Expenditures	$103,974	OtherExpendituresAmt
End Year Balance	$2,685,040	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$2,685,040	BeginningYearBalanceAmt
Investment Earnings Or Losses	$302,541	InvestmentEarningsOrLossesAmt
Other Expenditures	$302,541	OtherExpendituresAmt
End Year Balance	$2,685,040	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$2,757,867	BeginningYearBalanceAmt
Investment Earnings Or Losses	$351,461	InvestmentEarningsOrLossesAmt
Other Expenditures	$424,288	OtherExpendituresAmt
End Year Balance	$2,685,040	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$2,776,135	BeginningYearBalanceAmt
Investment Earnings Or Losses	$349,939	InvestmentEarningsOrLossesAmt
Other Expenditures	$368,207	OtherExpendituresAmt
End Year Balance	$2,757,867	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$1,847,820	BeginningYearBalanceAmt
Contributions	$2,500,224	ContributionsAmt
Investment Earnings Or Losses	$158,502	InvestmentEarningsOrLossesAmt
Other Expenditures	$1,730,411	OtherExpendituresAmt
End Year Balance	$2,776,135	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Board Designated Balance EOY	0.00000	BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY	1.00000	PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY	0.00000	TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org	0	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	Yes (1)	EndowmentsHeldRelatedOrgInd
Related Org List Sch R	Yes (1)	RelatedOrgListSchRInd

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$16,349,846	OtherCostOrOtherBasisAmt
Book Value	$16,349,846	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$529,821,317	OtherCostOrOtherBasisAmt
Depreciation	$327,650,374	DepreciationAmt
Book Value	$202,170,943	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$324,927,536	OtherCostOrOtherBasisAmt
Depreciation	$279,105,849	DepreciationAmt
Book Value	$45,821,687	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$11,138,459	OtherCostOrOtherBasisAmt
Depreciation	$8,100,526	DepreciationAmt
Book Value	$3,037,933	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$267,380,409	TotalBookValueLandBuildingsAmt

Financial Derivatives FinancialDerivativesGrp

Field	Value	IRS element (for citing)
Book Value	$0	BookValueAmt

Other Assets Org OtherAssetsOrgGrp (8 entries)

DescDesc	Book ValueBookValueAmt
DUE FROM AFFILIATED	$7,045,505
OTHER RECEIVABLES	$4,696,773
RECEIVABLE FROM THIRD PARTIES	$6,574,724
DUE FROM RELATED	$51,412,604
BENEFICIAL INTEREST IN FOUNDATION	$10,897,805
INTERCOMPANY RECEIVABLE	$152,799,452
RIGHT OF USE ASSET-OPERATING LEASE	$10,191,326
OTHER ASSETS	$1,785,511

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$245,403,700	TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (9 entries)

DescDesc	AmtAmt
DUE TO AFFILIATED	$18,577,902
PAYABLE TO THIRD PARTIES	$38,553,600
CREDIT BALANCES IN A/R	$3,844,005
INTERCO. ALLOC. OF TE BOND PROCEEDS	$235,940,737
OTHER NONCURRENT LIABILITIES	$11,162,710
DUE TO RELATED	-$1,053,364
ACCRUED INTEREST PAYABLE	$160,783
OPERATING LEASE LIABILITY	$12,100,953
OTHER LIABILITIES	$6,385,855

Field	Value	IRS element (for citing)
Total Liability	$325,673,181	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

PART V, LINE 4:

ALL ENDOWMENT FUNDS ARE HELD BY THE FOLLOWING RELATED 501(C)(3) EXEMPT FOUNDATIONS: HINSDALE HOSPITAL FOUNDATION (HHF): FORMED AND MAINTAINED EXCLUSIVELY TO FURTHER THE EXEMPT PURPOSE OF AMITA HEALTH ADVENTIST MEDICAL CENTER HINSDALE. HHF HELD ASSETS IN PERMANENT ENDOWMENT FUNDS DURING THE CURRENT YEAR. HHF'S ENDOWMENT CONSISTS OF THREE INDIVIDUAL FUNDS ESTABLISHED TO SUPPORT THE HOSPITAL'S OPLER CANCER CENTER AND CANCER CENTER NURSE NAVIGATION PROGRAM. MIDWEST HEALTH FOUNDATION (MHF): MAINTAINED TO HOLD ASSETS IN A PERMANENT ENDOWMENT FUND ESTABLISED TO SUPPORT NURSING SCHOLARSHIPS. THE FUND WAS ESTABLISHED BY LA GRANGE MEMORIAL HOSPITAL FOUNDATION, THEN WAS TRANSFERRED TO MHF ON 6/21/19 AS THE RESULT OF A LEGAL MERGER.

PART X, LINE 2:

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, 2020 AND 2019. NAHS ALSO HAS TEMPORARY DEDUCTIBLE DIFFERENCES OF APPROXIMATELY $41,800 AND $46,500 AT DECEMBER 31, 2020 AND 2019, RESPECTIVELY, PRIMARILY AS A RESULT OF NET OPERATING LOSS CARRYFORWARDS. AT DECEMBER 31, 2020, NAHS HAD NET OPERATING LOSS CARRYFORWARDS OF APPROXIMATELY $43,500, EXPIRING BEGINNING IN 2022 THROUGH 2026. DEFERRED TAXES HAVE BEEN PROVIDED FOR THESE AMOUNTS, RESULTING IN A NET DEFERRED TAX ASSET OF APPROXIMATELY $10,200 AND $11,400 AT DECEMBER 31, 2020 AND 2019, 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, 2020 AND 2019 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, 2020 AND 2019. ON DECEMBER 22, 2017, THE UNITED STATES ENACTED TAX REFORM LEGISLATION COMMONLY KNOWN AS THE TAX CUTS AND JOBS ACT (ACT), RESULTING IN SIGNIFICANT MODIFICATIONS TO EXISTING LAW. CERTAIN PROVISIONS IMPACT TAX-EXEMPT ORGANIZATIONS, INCLUDING REVISIONS TO TAXES ON UNRELATED BUSINESS ACTIVITIES, EXCISE TAXES ON COMPENSATION OF CERTAIN EMPLOYEES, AND VARIOUS OTHER PROVISIONS. THE IMPACT OF THESE PROVISIONS ON THE CONSOLIDATED FINANCIAL STATEMENTS IS NOT, AND IS NOT EXPECTED, TO BE SIGNIFICANT.

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (1)	FinancialAssistancePolicyInd
Written Policy	Yes (1)	WrittenPolicyInd
All Hospitals Policy	Yes (X)	AllHospitalsPolicyInd
FPG Reference Free Care	Yes (1)	FPGReferenceFreeCareInd
Percent200	Yes (X)	Percent200Ind
FPG Reference Discounted Care	Yes (1)	FPGReferenceDiscountedCareInd

Discounted Care Oth Percentage DiscountedCareOthPercentageGrp

Field	Value	IRS element (for citing)
Other	Yes (X)	OtherInd
Discounted Care Other	600.000000000000	DiscountedCareOtherPct

Field	Value	IRS element (for citing)
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	$2,839,235	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$2,839,235	NetCommunityBenefitExpnsAmt
Total Expense	0.00580	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$63,569,006	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$46,427,830	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$17,141,176	NetCommunityBenefitExpnsAmt
Total Expense	0.03500	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$66,408,241	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$46,427,830	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$19,980,411	NetCommunityBenefitExpnsAmt
Total Expense	0.04080	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$74,684	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$74,684	NetCommunityBenefitExpnsAmt
Total Expense	0.00020	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$15,893,810	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$4,319,367	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$11,574,443	NetCommunityBenefitExpnsAmt
Total Expense	0.02360	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$401,542	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$401,542	NetCommunityBenefitExpnsAmt
Total Expense	0.00080	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$16,370,036	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$4,319,367	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$12,050,669	NetCommunityBenefitExpnsAmt
Total Expense	0.02460	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$82,778,277	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$50,747,197	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$32,031,080	NetCommunityBenefitExpnsAmt
Total Expense	0.06540	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$54,330	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$54,330	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$164,585	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$164,585	NetCommunityBenefitExpnsAmt
Total Expense	0.00030	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$218,915	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$218,915	NetCommunityBenefitExpnsAmt
Total Expense	0.00040	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (1)	BadDebtExpenseReportedInd
Bad Debt Expense	-$1,953,122	BadDebtExpenseAmt
Bad Debt Expense Attributable	$184,156	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$129,593,833	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$136,499,660	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$6,905,827	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 HINSDALE SURGICAL CENTER LLC	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Primary Activities	SURGICAL SERVICES	PrimaryActivitiesTxt
Org Profit Or Ownership	0.28450	OrgProfitOrOwnershipPct
Ofcr Etc Profit Or Ownership	0.00000	OfcrEtcProfitOrOwnershipPct
Physicians Profit Or Ownership	0.43100	PhysiciansProfitOrOwnershipPct

Field	Value	IRS element (for citing)
Hospital Facilities	2	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp (2 entries)

FacilityFacilityNum	Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Website AddressWebsiteAddressTxt	State LicenseStateLicenseNum	Licensed HospitalLicensedHospitalInd	General Medical And SurgicalGeneralMedicalAndSurgicalInd	Teaching HospitalTeachingHospitalInd	Emergency Room24 HrsEmergencyRoom24HrsInd	Research FacilityResearchFacilityInd
AMITA HLTH ADVENTIST MED CTR HINSDALE
1	120 NORTH OAK STREET	HINSDALE	IL	60521	WWW.AMITAHEALTH.ORG	0000976	Yes (X)	Yes (X)	Yes (X)	Yes (X)
AMITA HLTH ADVENTIST MED CTR LA GRANGE
2	5101 S WILLOW SPRINGS ROAD	LA GRANGE	IL	60525	WWW.AMITAHEALTH.ORG	0005017	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp (2 entries)

FacilityFacilityNum	First Licensed CY Or PYFirstLicensedCYOrPYInd	Tax Exempt Hospital CY Or PYTaxExemptHospitalCYOrPYInd	CHNA ConductedCHNAConductedInd	Community DefinitionCommunityDefinitionInd	Community DemographicsCommunityDemographicsInd	Existing ResourcesExistingResourcesInd	How Data ObtainedHowDataObtainedInd	Community Health NeedsCommunityHealthNeedsInd	Other Health IssuesOtherHealthIssuesInd	Community Hlth Needs Id ProcessCommunityHlthNeedsIdProcessInd	Consulting ProcessConsultingProcessInd	Prior CHNA ImpactPriorCHNAImpactInd	CHNA ConductedCHNAConductedYr	Take Into Account Others InputTakeIntoAccountOthersInputInd	CHNA Conducted With Other FcltsCHNAConductedWithOtherFcltsInd	CHNA Conducted With Non FcltsCHNAConductedWithNonFcltsInd	CHNA Report Widely AvailableCHNAReportWidelyAvailableInd	Rpt Available On Own WebsiteRptAvailableOnOwnWebsiteInd	Own Website URLOwnWebsiteURLTxt	Paper Copy Public InspectionPaperCopyPublicInspectionInd	Rpt Available Thru Other MethodRptAvailableThruOtherMethodInd	Implementation Strategy AdoptImplementationStrategyAdoptInd	Implementation Strategy AdptImplementationStrategyAdptYr	Strategy Posted WebsiteStrategyPostedWebsiteInd	Strategy Website URLStrategyWebsiteURLTxt	Organization Incur Excise TaxOrganizationIncurExciseTaxInd	Elig Criteria ExplainedEligCriteriaExplainedInd	FPG Family Incm Lmt Free DscntFPGFamilyIncmLmtFreeDscntInd	FPG Family Incm Lmt Free CareFPGFamilyIncmLmtFreeCarePct	FPG Family Incm Lmt Dscnt CareFPGFamilyIncmLmtDscntCarePct	Asset Level CriteriaAssetLevelCriteriaInd	Medical Indigency CriteriaMedicalIndigencyCriteriaInd	Insurance Status CriteriaInsuranceStatusCriteriaInd	Underinsurance Stat CriteriaUnderinsuranceStatCriteriaInd	Other CriteriaOtherCriteriaInd	Explained BasisExplainedBasisInd	App Financial Asst ExplnAppFinancialAsstExplnInd	Described InfoDescribedInfoInd	Described Suprt DocDescribedSuprtDocInd	Provided Hospital ContactProvidedHospitalContactInd	Provided Nonprofit ContactProvidedNonprofitContactInd	Includes Publicity MeasuresIncludesPublicityMeasuresInd	FAP Available On WebsiteFAPAvailableOnWebsiteInd	FAP Available On Website URLFAPAvailableOnWebsiteURLTxt	FAP App Available On WebsiteFAPAppAvailableOnWebsiteInd	FAP App Available On Website URLFAPAppAvailableOnWebsiteURLTxt	FAP Summary On WebsiteFAPSummaryOnWebsiteInd	FAP Summary On Website URLFAPSummaryOnWebsiteURLTxt	FAP Avlbl On Request No ChargeFAPAvlblOnRequestNoChargeInd	FAP App Avlbl On Request No ChrgFAPAppAvlblOnRequestNoChrgInd	FAP Sum Avlbl On Request No ChrgFAPSumAvlblOnRequestNoChrgInd	Notified FAP Copy Bill DisplayNotifiedFAPCopyBillDisplayInd	Communtity Notified FAPCommuntityNotifiedFAPInd	FAP TranslatedFAPTranslatedInd	Other PublicityOtherPublicityInd	FAP Actions On NonpaymentFAPActionsOnNonpaymentInd	Permit No ActionsPermitNoActionsInd	Collection ActivitiesCollectionActivitiesInd	Provided Written NoticeProvidedWrittenNoticeInd	Made Effort Orally NotifyMadeEffortOrallyNotifyInd	Processed FAP ApplicationProcessedFAPApplicationInd	Made Presumptive Elig DetermMadePresumptiveEligDetermInd	Nondis Emergency Care PolicyNondisEmergencyCarePolicyInd	Look Back Medicare PrivateLookBackMedicarePrivateInd	Amounts Generally BilledAmountsGenerallyBilledInd	Gross ChargesGrossChargesInd
AMITA HLTH ADVENTIST MED CTR HINSDALE
1	0	0	Yes (1)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	19	Yes (1)	Yes (1)	Yes (1)	Yes (1)	Yes (X)	SEE PART V, PAGE 8	Yes (X)	Yes (X)	Yes (1)	20	Yes (1)	SEE PART V, PAGE 8	0	Yes (1)	Yes (X)	200.000000000000	600.000000000000	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (1)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (X)	SEE PART V, PAGE 8	Yes (X)	SEE PART V, PAGE 8	Yes (X)	SEE PART V, PAGE 8	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (X)	0	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (X)	0	0
AMITA HLTH ADVENTIST MED CTR LA GRANGE
2	0	0	Yes (1)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	19	Yes (1)	Yes (1)	Yes (1)	Yes (1)	Yes (X)	SEE PART V, PAGE 8	Yes (X)	Yes (X)	Yes (1)	20	Yes (1)	SEE PART V, PAGE 8	0	Yes (1)	Yes (X)	200.000000000000	600.000000000000	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (1)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (X)	SEE PART V, PAGE 8	Yes (X)	SEE PART V, PAGE 8	Yes (X)	SEE PART V, PAGE 8	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (X)	0	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (X)	0	0

Supplemental Information SupplementalInformationGrp (18 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
AMITA HLTH ADVENTIST MED CTR HINSDALE	PART V, SECTION B, LINE 5: ADVENTIST MIDWEST HEALTH, DBA AMITA HEALTH ADVENTIST MEDICAL CENTER HINSDALE, (AMH HINSDALE OR THE HOSPITAL) COLLABORATED WITH OTHER HOSPITAL AND NON-HOSPITAL ORGANIZATIONS TO CONDUCT A JOINT CHNA IN 2019. ALL THE COLLABORATORS IN THE 2019 JOINT CHNA DEFINED THEIR COMMUNITY TO BE DUPAGE COUNTY, ILLINOIS. DUPAGE COUNTY, ILLINOIS HAS A POPULATION OF OVER 900,000. THE 2019 JOINT CHNA WAS A COLLABORATIVE EFFORT OF IMPACT DUPAGE. IMPACT DUPAGE IS A COALITION OF ORGANIZATIONS THAT WAS FORMED WITH THE PURPOSE OF CREATING A COMMON UNDERSTANDING OF COMMUNITY NEEDS, GAPS, AND PRIORITIES THAT WILL ADVANCE THE WELL-BEING OF THE DUPAGE COUNTY COMMUNITY. THE HOSPITAL IS A MEMBER OF THE STEERING COMMITTEE OF IMPACT DUPAGE AS A HOSPITAL ORGANIZATION OF AMITA HEALTH THAT SERVES THE RESIDENTS OF DUPAGE COUNTY. IMPACT DUPAGE UTILIZED A COMMUNITY DRIVEN, STRATEGIC PLANNING PROCESS IN DEVELOPING AND IMPLEMENTING EFFORTS AROUND THE PRIORITIZATION OF PUBLIC HEALTH ISSUES. AS A PART OF THE COMMUNITY HEALTH ASSESSMENT AND DATA COLLECTION EFFORTS, A SPECIFIC EFFORT WAS MADE TO INCLUDE INPUT FROM UNDERREPRESENTED POPULATION GROUPS AND PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY. IMPACT DUPAGE CONDUCTED A SURVEY AMONG DUPAGE COUNTY RESIDENTS TO ASSESS THE COMMUNITY'S PERCEPTIONS, THOUGHTS AND OPINIONS OF HEALTH AND THE QUALITY OF LIFE IN THEIR COMMUNITY. THE SURVEY WAS OPEN TO ALL DUPAGE COUNTY RESIDENTS AND 1,577 SURVEYS WERE COLLECTED. THE SURVEY WAS CONDUCTED ONLINE AND BY PAPER. PRIOR TO THE SURVEY LAUNCH, COMMUNICATION TOOLS WERE DEVELOPED AND DISSEMINATED TO PROMOTE THE SURVEY. THE SURVEY CONTAINED QUESTIONS ON DUPAGE COUNTY'S GREATEST STRENGTHS, IMPORTANT HEALTH CONCERNS, RISKY BEHAVIORS, COMMUNITY AND PERSONAL HEALTH, AND WHERE THE COMMUNITY SHOULD FOCUS ITS ATTENTION TO MAKE THINGS BETTER IN DUPAGE COUNTY. USING ITS NETWORK OF COMMITTEE MEMBERS, INFORMATION REGARDING THE LAUNCH OF THE SURVEY WAS DISTRIBUTED TO THE FOLLOWING ORGANIZATIONS IN ORDER TO ENSURE REPRESENTATION FROM THE BROAD COMMUNITY OF DUPAGE COUNTY: ADDISON RESOURCES CONNECTBENEDICTINE UNIVERSITYDUPAGE CHIEFS OF POLICE ASSOCIATIONDUPAGE COUNTY BOARD OF HEALTHDUPAGE COUNTY HEALTH DEPARTMENT PUBLIC HEALTH CLINICSDUPAGE COUNTY JUVENILE JUSTICE COUNCILDUPAGE COUNTYDUPAGE EARLY CHILDHOOD COLLABORATIONDUPAGE MAYORS AND MANAGERS CONFERENCEFAMILY SHELTER SERVICE GLENDALE HEIGHTS YOUTH COMMISSIONHEALTHY LOMBARDIMPACT DUPAGE NETWORKSLOVE CHRISTIAN CLEARINGHOUSE NEWSLETTERMUNICIPAL PIOSNORTH CENTRAL COLLEGEOHSEM EOC TOUR GIRL SCOUT PARENTSPEOPLE'S RESOURCE CENTER WEEKLY EMAILSPREVENTION LEADERSHIP TEAMVIRTUAL BACKPACKSWALK IN MINISTRIESWEATHER SPOTTER TRAINING COURSE ATTENDEES, ANDWOODRIDGE PARK DISTRICT. PAPER SURVEYS WERE LOCATED AT MULTIPLE DUPAGE COUNTY HEALTH DEPARTMENT PUBLIC HEALTH CLINICS THROUGHOUT THE COUNTY. THE SURVEY WAS FEATURED IN VILLAGE NEWSLETTERS AND VARIOUS AGENCY WEBSITES AND SOCIAL MEDIA ACCOUNTS.
AMITA HLTH ADVENTIST MED CTR LA GRANGE	PART V, SECTION B, LINE 5: ADVENTIST MIDWEST HEALTH, DBA AMITA HEALTH ADVENTIST MEDICAL CENTER LA GRANGE (AMH LA GRANGE OR THE HOSPITAL) WAS A PARTICIPANT IN A COLLABORATIVE 2019 COMMUNITY HEALTH NEEDS ASSESSMENT FOR CHICAGO AND SUBURBAN COOK COUNTY, ILLINOIS CONDUCTED BY THE ALLIANCE FOR HEALTH EQUITY. THE ALLIANCE FOR HEALTH EQUITY IS A COLLABORATIVE OF 37 HOSPITALS, 6 LOCAL HEALTH DEPARTMENTS INCLUDING THE CHICAGO DEPARTMENT OF PUBLIC HEALTH AND THE COOK COUNTY DEPARTMENT OF PUBLIC HEALTH, AND NEARLY 100 COMMUNITY-BASED ORGANIZATIONS. THE ILLINOIS PUBLIC HEALTH INSTITUTE SERVED AS THE BACKBONE ORGANIZATION TO FACILITATE THE COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS CONDUCTED BY THE ALLIANCE FOR HEALTH EQUITY. THE ALLIANCE FOR HEALTH EQUITY'S METHODS OF COMMUNITY ENGAGEMENT FOR THE 2019 COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) INCLUDED AMONG OTHERS THE FOLLOWING: - GATHERING INPUT FROM COMMUNITY RESIDENTS WHO ARE UNDERREPRESENTED;- PARTNERING WITH COMMUNITY-BASED ORGANIZATIONS FOR COLLECTION OF COMMUNITY INPUT THROUGH SURVEYS AND FOCUS GROUPS; AND - ENGAGING COMMUNITY-BASED ORGANIZATIONS AND COMMUNITY RESIDENTS AS MEMBERS OF IMPLEMENTATION COMMITTEES AND WORKGROUPS. PRIMARY DATA FOR THE CHNA WAS COLLECTED THROUGH COMMUNITY INPUT SURVEYS, COMMUNITY RESIDENT FOCUS GROUPS AND LEARNING MAP SESSIONS, HEALTH CARE AND SOCIAL SERVICE PROVIDER FOCUS GROUPS, AND TWO STAKEHOLDER ASSESSMENTS LED BY PARTNER HEALTH DEPARTMENTS. THE ALLIANCE FOR HEALTH EQUITY PARTNERS COLLECTED 5,934 COMMUNITY INPUT SURVEYS FROM INDIVIDUALS 18 OR OLDER LIVING IN CHICAGO AND SUBURBAN COOK COUNTY. THE SURVEYS WERE AVAILABLE ON PAPER AND ONLINE AND WERE DISSEMINATED IN ENGLISH, SPANISH, CHINESE, AND POLISH. HOSPITALS, COMMUNITY-BASED ORGANIZATIONS, AND HEALTH DEPARTMENTS DISTRIBUTED THE SURVEYS WITH THE INTENTION OF GAINING INSIGHT FROM PRIORITY POPULATIONS THAT ARE TYPICALLY UNDERREPRESENTED, SUCH AS COMMUNITIES OF COLOR, IMMIGRANTS, LGBTQ+ COMMUNITY MEMBERS, INDIVIDUALS WITH DISABILITIES, AND LOW-INCOME COMMUNITIES. A TOTAL OF 52 COMMUNITY INPUT SESSIONS (FOCUS GROUPS AND LEARNING MAP SESSIONS) WERE HELD IN 2018-2019 WITH PRIORITY POPULATIONS SUCH AS VETERANS, INDIVIDUALS LIVING WITH MENTAL ILLNESS, COMMUNITIES OF COLOR, OLDER ADULTS, CAREGIVERS, TEENS AND YOUNG ADULTS, LGBTQ+ COMMUNITY MEMBERS, ADULTS AND TEENS EXPERIENCING HOMELESSNESS, FAMILIES WITH CHILDREN, FAITH COMMUNITIES, ADULTS WITH DISABILITIES, AND CHILDREN AND ADULTS LIVING WITH CHRONIC CONDITIONS SUCH AS DIABETES AND ASTHMA. IN ADDITION TO THE 52 COMMUNITY INPUT SESSIONS, THERE WERE THREE FOCUS GROUPS WITH HEALTH CARE AND SOCIAL SERVICE PROVIDERS HOSTED BY THREE CHNA PARTICIPANT HOSPITALS. STAKEHOLDER ASSESSMENTS INCLUDED A FORCES OF CHANGE ASSESSMENT FOCUSING ON THE TRENDS, FACTORS AND EVENTS THAT ARE CURRENTLY AFFECTING OR ARE ANTICIPATED TO AFFECT THE PUBLIC HEALTH SYSTEM IN THE NEXT THREE TO FIVE YEARS AND CONSISTED OF AN ONLINE SURVEY OF 122 RESPONDENTS REPRESENTING 86 ORGANIZATIONS IN CHICAGO AND SUBURBAN COOK COUNTY. A HEALTH EQUITY CAPACITY STAKEHOLDER ASSESSMENT WAS ALSO CONDUCTED WITH 80 PEOPLE FROM ACROSS CHICAGO AND SUBURBAN COOK COUNTY.
AMITA HLTH ADVENTIST MED CTR HINSDALE	PART V, SECTION B, LINE 6A: ADVENTIST MIDWEST HEALTH, DBA AMITA HEALTH ADVENTIST MEDICAL CENTER HINSDALE (THE HOSPITAL), COLLABORATED WITH OTHER HOSPITAL AND NON-HOSPITAL ORGANIZATIONS TO CONDUCT A JOINT CHNA IN 2019. ALL THE COLLABORATORS IN THE 2019 JOINT CHNA DEFINED THEIR COMMUNITY TO BE DUPAGE COUNTY, ILLINOIS. DUPAGE COUNTY, ILLINOIS HAS A POPULATION OF OVER 900,000. THE 2019 JOINT CHNA WAS A COLLABORATIVE EFFORT OF IMPACT DUPAGE, A COLLABORATION OF PARTNERS FORMED WITH THE PURPOSE OF CREATING A COMMON UNDERSTANDING OF COMMUNITY NEEDS, GAPS AND PRIORITIES THAT WILL ADVANCE THE WELL-BEING OF THE DUPAGE COUNTY COMMUNITY. THE HOSPITAL, AS A PART OF AMITA HEALTH SYSTEM, WAS A MEMBER OF THE STEERING COMMITTEE OF IMPACT DUPAGE, ALONG WITH OTHER HOSPITAL AND NON-HOSPITAL ORGANIZATIONS AND INCLUDING THE DUPAGE COUNTY HEALTH DEPARTMENT. THE OTHER HOSPITAL ORGANIZATIONS THAT PARTICIPATED IN THE 2019 JOINT CHNA AS A MEMBER OF THE STEERING COMMITTEE OF IMPACT DUPAGE WERE ADVOCATE AURORA HEALTH CARE, EDWARD ELMHURST HEALTH AND NORTHWESTERN MEDICINE.
AMITA HLTH ADVENTIST MED CTR LA GRANGE	PART V, SECTION B, LINE 6A: ADVENTIST MIDWEST HEALTH, DBA AMITA HEALTH ADVENTIST MEDICAL CENTER LA GRANGE (AMH LA GRANGE OR THE HOSPITAL) WAS A PARTICIPANT IN A COLLABORATIVE 2019 COMMUNITY HEALTH NEEDS ASSESSMENT FOR CHICAGO AND SUBURBAN COOK COUNTY, ILLINOIS CONDUCTED BY THE ALLIANCE FOR HEALTH EQUITY. THE ALLIANCE FOR HEALTH EQUITY IS A COLLABORATIVE OF 37 HOSPITALS, 6 LOCAL HEALTH DEPARTMENTS INCLUDING THE CHICAGO DEPARTMENT OF PUBLIC HEALTH AND THE COOK COUNTY DEPARTMENT OF PUBLIC HEALTH, AND NEARLY 100 COMMUNITY-BASED ORGANIZATIONS. THE ILLINOIS PUBLIC HEALTH INSTITUTE SERVED AS THE BACKBONE ORGANIZATION TO FACILITATE THE COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS CONDUCTED BY THE ALLIANCE FOR HEALTH EQUITY. THE HOSPITAL PARTICIPANTS IN THE 2018-2018 CHNA CONDUCTED BY THE ALLIANCE FOR HEALTH EQUITY INCLUDED THE FOLLOWING: NONPROFIT HOSPITAL MEMBERSADVOCATE AURORA CHILDREN'S HOSPITALADVOCATE AURORA CHRIST MEDICAL CENTERADVOCATE AURORA ILLINOIS MASONIC MEDICAL CENTERADVOCATE AURORA LUTHERAN GENERAL HOSPITALADVOCATE AURORA SOUTH SUBURBAN HOSPITALADVOCATE AURORA TRINITY HOSPITALAMITA ADVENTIST MEDICAL CENTER LA GRANGEAMITA ALEXIAN BROTHERS MEDICAL CENTER, ELK GROVE VILLAGEAMITA HOLY FAMILY MEDICAL CENTERAMITA RESURRECTION MEDICAL CENTERAMITA ST. ALEXIUS MEDICAL CENTER AND ALEXIAN BROTHERS BEHAVIORAL HEALTH HOSPITALAMITA SAINT FRANCIS HOSPITALAMITA SAINT JOSEPH HOSPITALAMITA SAINTS MARY AND ELIZABETH MEDICAL CENTERANN & ROBERT H. LURIE CHILDREN'S HOSPITAL OF CHICAGOJACKSON PARK HOSPITALTHE LORETTO HOSPITALLOYOLA MEDICINE- GOTTLIEB MEMORIAL HOSPITALLOYOLA MEDICINE- LOYOLA UNIVERSITY MEDICAL CENTERLOYOLA MEDICINE- MACNEAL HOSPITALMERCY HOSPITAL & MEDICAL CENTERNORTHWESTERN MEMORIAL HOSPITALNORWEGIAN AMERICAN HOSPITALPALOS COMMUNITY HOSPITALROSELAND COMMUNITY HOSPITALRUSH OAK PARKRUSH UNIVERSITY MEDICAL CENTERSINAI HEALTH SYSTEM- HOLY CROSS HOSPITALSINAI HEALTH SYSTEM- MOUNT SINAI HOSPITALSINAI HEALTH SYSTEM- SCHWAB REHABILITATION HOSPITALSOUTH SHORE HOSPITALSWEDISH COVENANT HOSPITALUNIVERSITY OF CHICAGO MEDICINEUNIVERSITY OF CHICAGO MEDICINE-INGALLS MEMORIAL HOSPITAL PUBLIC HOSPITAL PARTNERSCOOK COUNTY HEALTH- STROGER HOSPITAL UNIVERSITY OF ILLINOIS HOSPITAL & HEALTH SCIENCES SYSTEMCOOK COUNTY HEALTH- PROVIDENT HOSPITAL PUBLIC HEALTH DEPARTMENT PARTNERSCHICAGO DEPARTMENT OF PUBLIC HEALTH COOK COUNTY DEPARTMENT OF PUBLIC HEALTH EVANSTON HEALTH AND HUMAN SERVICES DEPARTMENTVILLAGE OF SKOKIE, HEALTH DEPARTMENT
AMITA HLTH ADVENTIST MED CTR HINSDALE	PART V, SECTION B, LINE 6B: ADVENTIST MIDWEST HEALTH, DBA AMITA HEALTH ADVENTIST MEDICAL CENTER HINSDALE (THE HOSPITAL), COLLABORATED WITH OTHER HOSPITAL AND NON-HOSPITAL ORGANIZATIONS TO CONDUCT A JOINT CHNA IN 2019. ALL THE COLLABORATORS IN THE 2019 JOINT CHNA DEFINED THEIR COMMUNITY TO BE DUPAGE COUNTY, ILLINOIS. DUPAGE COUNTY, ILLINOIS HAS A POPULATION OF OVER 900,000. THE 2019 JOINT CHNA WAS A COLLABORATIVE EFFORT OF IMPACT DUPAGE, A COLLABORATION OF PARTNERS FORMED WITH THE PURPOSE OF CREATING A COMMON UNDERSTANDING OF COMMUNITY NEEDS, GAPS AND PRIORITIES THAT WILL ADVANCE THE WELL-BEING OF THE DUPAGE COUNTY COMMUNITY. THE HOSPITAL, AS A PART OF AMITA HEALTH SYSTEM, WAS A MEMBER OF THE STEERING COMMITTEE OF IMPACT DUPAGE, ALONG WITH OTHER HOSPITAL AND NON-HOSPITAL ORGANIZATIONS AND INCLUDING THE DUPAGE COUNTY HEALTH DEPARTMENT. THE OTHER NON-HOSPITAL ORGANIZATIONS THAT PARTICIPATED IN THE 2019 JOINT CHNA AS MEMBERS OF THE STEERING COMMITTEE OF IMPACT DUPAGE WERE ADVOCATE AURORA HEALTH CARE, COMMUNITY CONSOLIDATED SCHOOL DISTRICT 89, DUPAGE HEALTH COALITION, DUPAGE COUNTY COMMUNITY SERVICES, DUPAGE COUNTY HEALTH DEPARTMENT, DUPAGE COUNTY PUBLIC DEFENDER'S OFFICE, DUPAGE FEDERATION ON HUMAN SERVICES REFORM, DUPAGE FOUNDATION, DUPAGE PADS, FAMILY SHELTER SERVICE, LINDEN OAKS BEHAVIORAL HEALTH (EDWARD ELMHURST HEALTH), METROPOLITAN FAMILY SERVICES DUPAGE, NORTHWESTERN MEDICINE, PEOPLE'S RESOURCE CENTER, PRAIRIE STATE LEGAL SERVICES, INC., WORKNET DUPAGE DUPAGE COUNTY WORKFORCE DEVELOPMENT, AND UNITED WAY OF METRO CHICAGO.
AMITA HLTH ADVENTIST MED CTR LA GRANGE	PART V, SECTION B, LINE 6B: ADVENTIST MIDWEST HEALTH, DBA AMITA HEALTH ADVENTIST MEDICAL CENTER LA GRANGE (AMH LA GRANGE OR THE HOSPITAL) WAS A PARTICIPANT IN A COLLABORATIVE 2019 COMMUNITY HEALTH NEEDS ASSESSMENT FOR CHICAGO AND SUBURBAN COOK COUNTY, ILLINOIS CONDUCTED BY THE ALLIANCE FOR HEALTH EQUITY. THE ALLIANCE FOR HEALTH EQUITY IS A COLLABORATIVE OF 37 HOSPITALS, 6 LOCAL HEALTH DEPARTMENTS INCLUDING THE CHICAGO DEPARTMENT OF PUBLIC HEALTH AND THE COOK COUNTY DEPARTMENT OF PUBLIC HEALTH, AND NEARLY 100 COMMUNITY-BASED ORGANIZATIONS. THE ILLINOIS PUBLIC HEALTH INSTITUTE SERVED AS THE BACKBONE ORGANIZATION TO FACILITATE THE COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS CONDUCTED BY THE ALLIANCE FOR HEALTH EQUITY. THE NON-HOSPITAL PARTICIPANTS IN THE 2018-2018 CHNA CONDUCTED BY THE ALLIANCE FOR HEALTH EQUITY INCLUDED THE FOLLOWING 4 PUBLIC HEALTH DEPARTMENTS (TWO ADDITIONAL HEALTH DEPARTMENTS ARE PARTICIPANTS IN THE ALLIANCE FOR HEALTH EQUITY BUT WERE NOT DIRECT PARTNERS IN THIS CHNA PROCESS): NONPROFIT HOSPITAL MEMBERSADVOCATE AURORA CHILDREN'S HOSPITALADVOCATE AURORA CHRIST MEDICAL CENTERADVOCATE AURORA ILLINOIS MASONIC MEDICAL CENTERADVOCATE AURORA LUTHERAN GENERAL HOSPITALADVOCATE AURORA SOUTH SUBURBAN HOSPITALADVOCATE AURORA TRINITY HOSPITALAMITA ADVENTIST MEDICAL CENTER LA GRANGEAMITA ALEXIAN BROTHERS MEDICAL CENTER, ELK GROVE VILLAGEAMITA HOLY FAMILY MEDICAL CENTERAMITA RESURRECTION MEDICAL CENTERAMITA ST. ALEXIUS MEDICAL CENTER AND ALEXIAN BROTHERS BEHAVIORAL HEALTH HOSPITALAMITA SAINT FRANCIS HOSPITALAMITA SAINT JOSEPH HOSPITALAMITA SAINTS MARY AND ELIZABETH MEDICAL CENTERANN & ROBERT H. LURIE CHILDREN'S HOSPITAL OF CHICAGOJACKSON PARK HOSPITALTHE LORETTO HOSPITALLOYOLA MEDICINE- GOTTLIEB MEMORIAL HOSPITALLOYOLA MEDICINE- LOYOLA UNIVERSITY MEDICAL CENTERLOYOLA MEDICINE- MACNEAL HOSPITALMERCY HOSPITAL & MEDICAL CENTERNORTHWESTERN MEMORIAL HOSPITALNORWEGIAN AMERICAN HOSPITALPALOS COMMUNITY HOSPITALROSELAND COMMUNITY HOSPITALRUSH OAK PARKRUSH UNIVERSITY MEDICAL CENTERSINAI HEALTH SYSTEM- HOLY CROSS HOSPITALSINAI HEALTH SYSTEM- MOUNT SINAI HOSPITALSINAI HEALTH SYSTEM- SCHWAB REHABILITATION HOSPITALSOUTH SHORE HOSPITALSWEDISH COVENANT HOSPITALUNIVERSITY OF CHICAGO MEDICINEUNIVERSITY OF CHICAGO MEDICINE-INGALLS MEMORIAL HOSPITAL PUBLIC HOSPITAL PARTNERSCOOK COUNTY HEALTH- STROGER HOSPITAL UNIVERSITY OF ILLINOIS HOSPITAL & HEALTH SCIENCES SYSTEMCOOK COUNTY HEALTH- PROVIDENT HOSPITAL PUBLIC HEALTH DEPARTMENT PARTNERSCHICAGO DEPARTMENT OF PUBLIC HEALTH COOK COUNTY DEPARTMENT OF PUBLIC HEALTH EVANSTON HEALTH AND HUMAN SERVICES DEPARTMENTVILLAGE OF SKOKIE, HEALTH DEPARTMENT
AMITA HLTH ADVENTIST MED CTR HINSDALE	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. COPIES OF THE CHNA REPORT WERE MAILED AND/OR E-MAILED TO COMMUNITY PARTNERS WHO PARTICIPATED IN THE CHNA PROCESS. PARTNERS WERE ALSO PROVIDED LINKS TO THE WEBSITE FOR DISSEMINATION TO THEIR MAILING LISTS AND RESPECTIVE CONSTITUENTS. THE COMMUNITY HEALTH NEEDS ASSESSMENT IS AVAILABLE AT AMITAHEALTH.ORG/ABOUT-US/COMMUNITY-BENEFIT AND IS ALSO BROADLY DISTRIBUTED WITHIN OUR COMMUNITY TO STAKEHOLDERS INCLUDING COMMUNITY LEADERS, GOVERNMENT OFFICIALS, AND SERVICE ORGANIZATIONS.
AMITA HLTH ADVENTIST MED CTR LA GRANGE	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. COPIES OF THE CHNA REPORT WERE MAILED AND/OR E-MAILED TO COMMUNITY PARTNERS WHO PARTICIPATED IN THE CHNA PROCESS. PARTNERS WERE ALSO PROVIDED LINKS TO THE WEBSITE FOR DISSEMINATION TO THEIR MAILING LISTS AND RESPECTIVE CONSTITUENTS. THE COMMUNITY HEALTH NEEDS ASSESSMENT IS AVAILABLE AT AMITAHEALTH.ORG/ABOUT-US/COMMUNITY-BENEFIT AND IS ALSO BROADLY DISTRIBUTED WITHIN OUR COMMUNITY TO STAKEHOLDERS INCLUDING COMMUNITY LEADERS, GOVERNMENT OFFICIALS, AND SERVICE ORGANIZATIONS.
AMITA HLTH ADVENTIST MED CTR HINSDALE	PART V, SECTION B, LINE 11: THE INFORMATION PROVIDED BELOW EXPLAINS HOW THE HOSPITAL FACILITY ADDRESSED IN 2020 THE SIGNIFICANT HEALTH NEEDS IDENTIFIED IN ITS 2019 COMMUNITY HEALTH NEEDS ASSESSMENT, AND ANY SUCH NEEDS THAT WERE NOT ADDRESSED AND THE REASONS WHY SUCH NEEDS WERE NOT ADDRESSED. THE HOSPITAL FACILITY CONDUCTED A COMMUNITY HEALTH NEEDS ASSESSMENT BY 12/31/19 AND ADOPTED AN IMPLEMENTATION STRATEGY TO ADDRESS THE SIGNIFICANT HEALTH NEEDS IDENTIFIED IN THE 2019 COMMUNITY HEALTH NEEDS ASSESSMENT IN 2020 PRIOR TO MAY 15, 2020. THE 2019 CHNA FOR AMITA HEALTH ADVENTIST MEDICAL CENTER HINSDALE (THE HOSPITAL) IDENTIFIED THE FOLLOWING PRIORITIZED HEALTH NEEDS IN OUR COMMUNITY:BEHAVIORAL HEALTH, INCLUDING SUBSTANCE USE DISORDERS AS WELL AS MENTAL HEALTH WITH A FOCUS ON PREVENTION AND TREATMENT.HEALTH STATUS IMPROVEMENT, BUILDING A PERSON-CENTERED MODEL OF HEALTHCARE THAT IS EFFICIENT AND EFFECTIVE, CREATES MEANINGFUL ACCESS TO CARE FOR ALL AND DEMONSTRATIVELY IMPROVES HEALTH STATUS.AFFORDABLE HOUSING, DEVELOPING AFFORDABLE HOUSING THAT MEETS THE DEMOGRAPHIC PROFILE OF THE COUNTY THAT IS APPROPRIATE AND SAFE FOR ALL RESIDENTS NO MATTER THEIR ECONOMIC STATUS.TO BE SUCCESSFUL, AMITA HEALTH ADVENTIST MEDICAL CENTER HINSDALE CONTINUED TO PARTNER WITH IMPACT DUPAGE TO ADOPT SHARED AND COMPLIMENTARY STRATEGIES AND LEVERAGE RESOURCES TO IMPROVE EFFICIENCIES AND INCREASE EFFECTIVENESS FOR OVERALL IMPROVEMENT. DATA SHARING ACROSS THE LOCAL PUBLIC HEALTH SYSTEM WAS INSTRUMENTAL IN DEVELOPING THE CHNA AND WILL CONTINUE TO BE AN IMPORTANT TOOL FOR ESTABLISHING, MEASURING, AND MONITORING OUTCOME OBJECTIVES. THE FOLLOWING PRIORITIZED HEALTH NEEDS WILL BE ADDRESSED IN THE 2020-2022 IMPLEMENTATION STRATEGY:BEHAVIORAL HEALTH PRIORITY OVERVIEW: BEHAVIORAL HEALTH CONTINUES TO BE A PRIMARY CONCERN IN DUPAGE COUNTY. ADDRESSING BEHAVIORAL HEALTH REQUIRES ATTENTION TO SUBSTANCE USE DISORDERS AS WELL AS MENTAL HEALTH. THE RECENT CHNA ALSO EMPHASIZED THE NEED FOR PREVENTION OF SUBSTANCE USE AT AN EARLY AGE AND THE REDUCTION OF STIGMA SURROUNDING BEHAVIORAL HEALTH. DRUG ABUSE AND MENTAL HEALTH ISSUES WERE THE TOP TWO CONCERNS ON THE COMMUNITY SURVEY DURING THE LAST ASSESSMENT.STRATEGY #1: MENTAL HEALTH FIRST AIDGOAL: INCREASE PERSONS TRAINED IN THE COMMUNITY ON MENTAL HEALTH FIRST AID (MHFA) TO INCREASE IDENTIFICATION OF THOSE IN A CRISIS AND REDUCE STIGMA ASSOCIATED WITH MENTAL HEALTH ISSUES.ANTICIPATED IMPACT: BY DECEMBER 2022, AMITA HEALTH ADVENTIST MEDICAL CENTER HINSDALE AND ITS COMMUNITY PARTNERS WILL HAVE TRAINED 200 PERSONS IN MENTAL HEALTH FIRST AID. PROGRESS UPDATE: IN 2020, AMITA HEALTH ADVENTIST MEDICAL CENTER HINSDALE BEGAN REACHING OUT TO EXTERNAL PARTNERS TO HOST TRAININGS. HOWEVER, DUE TO THE COVID-19 PANDEMIC, IN-PERSON TRAININGS WERE PUT ON HOLD. PLANNING ENSUED TO OFFER A MHFA TRAINING IN A VIRTUAL FORMAT. VIRTUAL TRAININGS BEGAN IN THE FINAL QUARTER OF 2020. THE HOSPITAL SCHEDULED TRAININGS FOR ITS COMMUNITY FOR EARLY 2021.HEALTH STATUS IMPROVEMENTPRIORITY OVERVIEW: DATA FROM THE MOST RECENT CHNA INDICATED A NEED FOR CONTINUED FOCUS ON ISSUES INVOLVING RESIDENTS' ACCESS TO HEALTH AND MOVEMENT TOWARD MORE POSITIVE HEALTH OUTCOMES FOR DUPAGE COUNTY RESIDENTS. ONE OF THE SOCIAL DETERMINANTS OF HEALTH CLOSELY ASSOCIATED WITH POSITIVE HEALTH OUTCOMES IS THE AVAILABILITY OF AFFORDABLE, HEALTHY FOODS. GOAL: INCREASE THE AVAILABILITY OF HEALTHY FOODS WITHIN LOW-INCOME COMMUNITIES SERVED BY THE HOSPITAL. STRATEGY #1: RX MOBILE FOOD PANTRIESANTICIPATED IMPACT: BY DECEMBER 2022, A MONTHLY AVERAGE OF 400 PERSONS WILL BE PROVIDED WITH FREE HEALTHY FOOD OPTIONS THROUGH THE RX MOBILE FOOD PANTRY. PROGRESS UPDATE: IN 2020, AMITA HEALTH ADVENTIST MEDICAL CENTER HINSDALE PROVIDED 24 RX MOBILE FOOD PANTRIES TO ITS PATIENTS AND THE COMMUNITY. THIS EFFORT ASSISTED 5,911 PERSONS. ADDITIONALLY, DUE TO THE COVID-19 PANDEMIC, DELIVERIES WERE MADE FROM THE RX MOBILE FOOD PANTRIES TO LOW-INCOME SENIORS. THIS ADDITIONAL EFFORT ASSISTED 1,448 PERSONS. PRIORITY OVERVIEW: DATA FROM THE MOST RECENT CHNA INDICATED A NEED FOR CONTINUED FOCUS ON ISSUES INVOLVING RESIDENTS' ACCESS TO HEALTH AND MOVEMENT TOWARD MORE POSITIVE HEALTH OUTCOMES FOR DUPAGE COUNTY RESIDENTS. ACCESS TO HEALTH CARE AND HEALTH INSURANCE ESPECIALLY FOR THE LOW-INCOME PERSONS IN THE DUPAGE COMMUNITY CONTINUES TO BE AN ISSUE. EIGHTY-FIVE PERCENT OF DUPAGE COUNTY RESIDENTS REPORTED HAVING A USUAL HEALTH CARE PROVIDER WHILE A TOP "RISKY BEHAVIOR NOTED ON THE LAST ASSESSMENT RESIDENT SURVEY WAS NOT HAVING HEALTH INSURANCE. GOAL: INCREASE THE NUMBER OF PERSONS INSURED USING THE SILVER ACCESS PROGRAM. STRATEGY #2: PARTNERSHIP WITH ACCESS DUPAGE (DUPAGE HEALTH COALITION)ANTICIPATED IMPACT: BY DECEMBER 2022, THE SILVER ACCESS PROGRAM WILL MAINTAIN AN ANNUAL ENROLLMENT OF OVER 575 PERSONS IN THE DUPAGE COUNTY COMMUNITY. PROGRESS UPDATE: AMITA HEALTH ADVENTIST MEDICAL CENTER HINSDALE PROVIDED FINANCIAL CONTRIBUTIONS TO ACCESS DUPAGE (DUPAGE HEALTH COALITION) IN 2020 OF $113,068. THIS FUNDING HELPS COORDINATE CARE FOR THE 4,997 PATIENTS WHO ARE UNINSURED IN DUPAGE COUNTY. THE SILVER ACCESS PROGRAM ASSISTED 842 PERSONS IN 2020, WHICH IS A 287% GROWTH IN THE LAST 5 YEARS. PRIORITY OVERVIEW: DATA FROM THE MOST RECENT CHNA INDICATED A NEED FOR CONTINUED FOCUS ON ISSUES INVOLVING RESIDENTS' ACCESS TO HEALTH AND MOVEMENT TOWARD MORE POSITIVE HEALTH OUTCOMES FOR DUPAGE COUNTY RESIDENTS. ASSISTING PATIENTS AND COMMUNITY MEMBERS TO PROGRAMS AND SERVICES THAT CAN IMPROVE THEIR SOCIAL DETERMINANTS OF HEALTH ARE NEEDED. GOAL: INCREASE PATIENT AND COMMUNITY MEMBERS CONNECTION TO SERVICES TO REDUCE SOCIAL DETERMINANTS OF HEALTH THROUGH THE PROVISION OF THE AMITA HEALTH COMMUNITY RESOURCE DIRECTORY (AUNT BERTHA). STRATEGY #3: AUNT BERTHA (SEARCH & CONNECT)ANTICIPATED IMPACT: BY DECEMBER 2022, 60% OF PATIENTS IN NEED WILL BE DIRECTLY REFERRED TO A LOCAL AGENCY FOR ASSISTANCE USING THE AMITA HEALTH COMMUNITY RESOURCE DIRECTORY (AUNT BERTHA). PROGRESS UPDATE: AMITA HEALTH ADVENTIST MEDICAL CENTER HINSDALE UTILIZED THE SOCIAL DETERMINANT OF HEALTH SOFTWARE, AUNT BERTHA, TO CONNECT AND REFER PATIENTS TO LOCAL RESOURCES SUCH AS FOOD PANTRIES, HEALTH CLINICS, UTILITIES SUPPORT AND MORE. ADDITIONALLY, AN EXTERNAL WEBSITE IS HOSTED FOR THE COMMUNITY AS A COMMUNITY BENEFIT TO SEARCH FOR THEIR OWN RESOURCES. IN FY20, ADDITIONAL COMMUNITY PARTNERS WERE ADDED TO THE RESOURCE PORTAL AND TRAININGS HAVE BEEN PLANNED FOR COMMUNITY BASED ORGANIZATIONS IN EARLY 2021.THE FOLLOWING PRIORITIZED HEALTH NEEDS WILL NOT BE ADDRESSED IN THE 2020-2022 IMPLEMENTATION STRATEGY: AFFORDABLE HOUSINGWHILE CRITICALLY IMPORTANT TO OVERALL COMMUNITY HEALTH, FOR THE AREA NOT CHOSEN, THERE ARE SERVICE PROVIDERS IN THE COMMUNITY BETTER RESOURCED TO ADDRESS THESE PRIORITIES. AMITA HEALTH ADVENTIST MEDICAL CENTER HINSDALE WILL WORK COLLABORATIVELY WITH THESE ORGANIZATIONS AS APPROPRIATE TO ENSURE OPTIMAL SERVICE COORDINATION AND UTILIZATION. ADDITIONALLY, THE PROVISION OF THE AMITA HEALTH COMMUNITY RESOURCE DIRECTORY (AUNT BERTHA) TO OUR ASSOCIATES AND PHYSICIANS WILL CONNECT THOSE IN NEED TO FREE OR REDUCED COST SERVICES SUCH AS MEDICAL CARE, FOOD, JOB TRAINING, TRANSPORTATION, HOUSING, LEGAL, AND MORE. THIS IMPLEMENTATION STRATEGY WAS APPROVED BY THE ADVENTIST MIDWEST HEALTH BOARD ON JANUARY 23, 2020. THE COLLECTIVE MONITORING, REPORTING PROGRESS AND REVISING WILL ENSURE THE PLAN REMAINS RELEVANT AND EFFECTIVE.IN 2020, THE ABOVE INDICATES THE PROGRESS MADE ON PROGRAMMING CONDUCTED TO ADDRESS THE IDENTIFIED HEALTH NEEDS OF THE HOSPITAL, BASED ON THE MOST RECENT CHNA FINDINGS. IN ADDITION TO THE STRATEGIC INITIATIVES BELOW, THE HOSPITAL PROVIDED ADDITIONAL HEALTH EDUCATION INITIATIVES, HEALTH FOCUSED EVENTS, IN-KIND SERVICES AND CASH DONATIONS TO SUPPORT AND RESPOND TO THE NEEDS OF THE COMMUNITY.
AMITA HLTH ADVENTIST MED CTR LA GRANGE	PART V, SECTION B, LINE 11: ADVENTIST MIDWEST HEALTH, DBA AMITA HEALTH ADVENTIST MEDICAL CENTER LA GRANGE, WILL BE REFERRED TO IN THIS DOCUMENT AS AHAMCLG OR THE HOSPITAL. THE INFORMATION PROVIDED BELOW EXPLAINS HOW THE HOSPITAL FACILITY ADDRESSED IN 2020 THE SIGNIFICANT HEALTH NEEDS IDENTIFIED IN ITS 2019 COMMUNITY HEALTH NEEDS ASSESSMENT, AND ANY SUCH NEEDS THAT WERE NOT ADDRESSED AND THE REASONS WHY SUCH NEEDS WERE NOT ADDRESSED. THE HOSPITAL FACILITY CONDUCTED A COMMUNITY HEALTH NEEDS ASSESSMENT BY 12/31/19 AND ADOPTED AN IMPLEMENTATION STRATEGY TO ADDRESS THE SIGNIFICANT HEALTH NEEDS IDENTIFIED IN THE 2019 COMMUNITY HEALTH NEEDS ASSESSMENT IN 2020 PRIOR TO MAY 15, 2020. THE 2019 CHNA HAS IDENTIFIED THE FOLLOWING PRIORITIZED HEALTH NEEDS IN OUR COMMUNITY:SOCIAL AND STRUCTURAL DETERMINANTS OF HEALTH, INCLUDING POLICIES THAT ADVANCE EQUITY AND PROMOTE PHYSICAL AND MENTAL WELL-BEING, AND CONDITIONS THAT SUPPORT HEALTHY EATING AND ACTIVE LIVING.ACCESS TO CARE, COMMUNITY RESOURCES, AND SYSTEMS IMPROVEMENTS, CONSISTING OF TIMELY LINKAGE TO APPROPRIATE CARE, AND RESOURCES, REFERRALS, COORDINATION, AND CONNECTION TO COMMUNITY-BASED SERVICES. MENTAL HEALTH AND SUBSTANCE USE DISORDERS, ESPECIALLY REDUCING STIGMA, INCREASING THE REACH AND COORDINATION OF BEHAVIORAL HEALTH SERVICES, AND ADDRESSING THE OPIOID EPIDEMIC.CHRONIC CONDITION PREVENTION AND MANAGEMENT, FOCUSING ESPECIALLY ON METABOLIC DISEASES SUCH AS DIABETES, HEART DISEASE, AND HYPERTENSION, AND ON ASTHMA, CANCER, AND COMPLEX CHRONIC CONDITIONS.THE FOLLOWING PRIORITIZED HEALTH NEEDS WILL BE ADDRESSED IN THE 2020-2022 IMPLEMENTATION STRATEGY:SOCIAL & STRUCTURAL DETERMINANTS OF HEALTH PRIORITY OVERVIEW: THE SOCIAL AND STRUCTURAL DETERMINANTS OF HEALTH SUCH AS POVERTY, UNEQUAL ACCESS TO COMMUNITY RESOURCES, UNEQUAL EDUCATION FUNDING AND QUALITY, STRUCTURAL RACISM, AND ENVIRONMENTAL CONDITIONS ARE UNDERLYING ROOT CAUSES OF HEALTH INEQUITIES. ADDITIONALLY, SOCIAL DETERMINANTS OF HEALTH OFTEN VARY BY GEOGRAPHY, GENDER, SEXUAL ORIENTATION, AGE, RACE, DISABILITY, AND ETHNICITY. THE STRONG CONNECTIONS BETWEEN SOCIAL, ECONOMIC, AND ENVIRONMENTAL FACTORS AND HEALTH ARE APPARENT IN CHICAGO AND SUBURBAN COOK COUNTY, WITH HEALTH INEQUITIES BEING EVEN MORE PRONOUNCED THAN MANY NATIONAL TRENDS. WITHIN THE AHAMCLG PRIMARY SERVICE AREA THERE ARE IDENTIFIED FOOD DESERTS ESPECIALLY NEAR LOW-INCOME AND HIGHER POVERTY COMMUNITIES. GOAL: INCREASE THE AVAILABILITY OF HEALTHY FOODS WITHIN THE LOW-INCOME COMMUNITY.STRATEGY: MOBILE FOOD PANTRIESANTICIPATED IMPACT: BY DECEMBER 2022, A MONTHLY AVERAGE OF 200 PERSONS WILL BE PROVIDED WITH FREE HEALTHY FOOD OPTIONS THROUGH THE MOBILE FOOD PANTRY PROGRAMMING. PROGRESS UPDATE: THE HOSPITAL CONTINUED TO REFER THEIR PATIENTS AND COMMUNITIES TO THE RX MOBILE FOOD PANTRIES HELD AT THEIR SISTER CAMPUS, AMITA HEALTH ADVENTIST MEDICAL CENTER HINSDALE. IN 2020, TWENTY-FOUR RX MOBILE FOOD PANTRIES WERE HELD FOR PATIENTS AND THE COMMUNITY. THIS EFFORT ASSISTED 5,911 PERSONS. ACCESS TO CARE & COMMUNITY RESOURCES PRIORITY OVERVIEW: HEALTHY PEOPLE 2020 STATES THAT ACCESS TO COMPREHENSIVE HEALTHCARE SERVICES IS IMPORTANT FOR ACHIEVING HEALTH EQUITY AND IMPROVING QUALITY OF LIFE FOR EVERYONE. DISPARITIES IN ACCESS TO CARE AND COMMUNITY RESOURCES WERE IDENTIFIED AS UNDERLYING ROOT CAUSES OF MANY OF THE HEALTH INEQUITIES EXPERIENCED BY RESIDENTS IN COOK COUNTY. HOMELESSNESS IN THE AHAMCLG SERVICE AREA CONTINUES TO BE AN ISSUE.GOAL: INCREASE ACCESS TO HEALTH CARE FOR HOMELESS PERSONS IN THE AHAMCLG PRIMARY SERVICE AREA. STRATEGY #1: BEDS PLUS COLLABORATIONANTICIPATED IMPACT: BY DECEMBER 2022, 70% OF PERSONS UTILIZING THE BEDS PLUS DAY PROGRAM WILL BE CONNECTED TO A MEDICAL HOME. PROGRESS UPDATE: A WORKGROUP WAS FORMED IN EARLY 2020 TO DISCUSS THE HOSPITAL'S FUNDING OF A NURSE CARE COORDINATOR FOR BEDS PLUS. WORK WAS DELAYED DUE TO THE ONGOING NEEDS OF THE PANDEMIC. IMPLEMENTATION WORK BEGAN AGAIN IN LATE 2020, WITH THE ANTICIPATION THAT THE NURSE CARE COORDINATOR WOULD COMMENCE IN 2021.GOAL: INCREASE PATIENT AND COMMUNITY MEMBERS' CONNECTIONS TO SERVICES TO IMPROVE SOCIAL DETERMINANTS OF HEALTH THROUGH THE PROVISION OF THE AMITA HEALTH COMMUNITY RESOURCE DIRECTORY (AUNT BERTHA). STRATEGY #2: AUNT BERTHA (SEARCH & CONNECT)ANTICIPATED IMPACT: BY DECEMBER 2022, 60% OF PATIENTS IN NEED WILL BE DIRECTLY REFERRED TO A LOCAL AGENCY FOR ASSISTANCE USING THE AMITA HEALTH COMMUNITY RESOURCE DIRECTORY (AUNT BERTHA). PROGRESS UPDATE: AHAMCLG ASSOCIATES UTILIZED THE SOCIAL DETERMINANT OF HEALTH SOFTWARE, AUNT BERTHA, TO CONNECT AND REFER PATIENTS TO LOCAL RESOURCES SUCH AS FOOD PANTRIES, HEALTH CLINICS, UTILITIES SUPPORT AND MORE. ADDITIONALLY, AN EXTERNAL WEBSITE IS HOSTED FOR THE COMMUNITY AS A COMMUNITY BENEFIT TO SEARCH FOR THEIR OWN RESOURCES. IN FY20, ADDITIONAL COMMUNITY PARTNERS WERE ADDED TO THE RESOURCE PORTAL AND TRAININGS HAVE BEEN PLANNED FOR COMMUNITY BASED ORGANIZATIONS IN EARLY 2021.MENTAL HEALTH & SUBSTANCE USE DISORDERSPRIORITY OVERVIEW: BEHAVIORAL HEALTH CONTINUES TO BE A PRIMARY CONCERN IN COOK COUNTY. ADDRESSING BEHAVIORAL HEALTH REQUIRES ATTENTION TO SUBSTANCE USE DISORDERS AS WELL AS MENTAL HEALTH. THE AHAMCLG SERVICE AREA HAS A HIGHER INCIDENCE OF EMERGENCY DEPARTMENT VISITS FOR MENTAL HEALTH AND SUBSTANCE USE DISORDERS. GOAL: INCREASE PERSONS TRAINED IN THE COMMUNITY ON MENTAL HEALTH FIRST AID (MHFA) TO INCREASE IDENTIFICATION OF THOSE IN A CRISIS AND REDUCE STIGMA ASSOCIATED WITH MENTAL HEALTH ISSUES.STRATEGY #1: MENTAL HEALTH FIRST AIDANTICIPATED IMPACT: BY DECEMBER 2022, AMITA HEALTH ADVENTIST MEDICAL CENTER LA GRANGE AND ITS COMMUNITY PARTNERS WILL HAVE TRAINED 200 PERSONS IN MENTAL HEALTH FIRST AID. PROGRESS UPDATE: IN 2020, THE HOSPITAL BEGAN REACHING OUT TO EXTERNAL PARTNERS TO HOST TRAININGS. HOWEVER, DUE TO THE COVID-19 PANDEMIC, IN-PERSON TRAININGS WERE PUT ON HOLD. PLANNING ENSUED TO OFFER A MHFA TRAINING IN A VIRTUAL FORMAT. VIRTUAL TRAININGS BEGAN IN THE FINAL QUARTER OF 2020. THE HOSPITAL HAS SCHEDULED TRAININGS FOR ITS COMMUNITY FOR EARLY 2021.GOAL: INCREASE ACCESS AND ENGAGEMENT IN MENTAL HEALTH SERVICES THAT ARE INTEGRATED IN THE PRIMARY CARE SETTING.STRATEGY #2: PARTNERSHIP WITH PILLARS COMMUNITY HEALTH ANTICIPATED IMPACT: BY DECEMBER 2022, 70% OF THOSE INDIVIDUALS IDENTIFIED AS NEEDING A BEHAVIORAL HEALTH APPOINTMENT WILL ENGAGE IN AT LEAST ONE VISIT WITH A SCHEDULED BEHAVIORAL HEALTH CONSULTANT. PROGRESS UPDATE: AHAMCLG PROVIDED FINANCIAL CONTRIBUTIONS TO PILLAR COMMUNITY HEALTH IN 2020 TOTALING $100,000 TO ENSURE PROGRESS ON HEALTH OUTCOMES OF THE UNDERSERVED IN THE HOSPITAL'S COMMUNITY. DUE TO THE PANDEMIC, SOME SERVICES WERE ON HOLD OR DEFERRED BY THE HEALTH CLINIC. IN EARLY 2021, 74% OF THOSE INDIVIDUALS IDENTIFIED AS NEEDING A BEHAVIORAL HEALTH APPOINTMENT ENGAGED IN AT LEAST ONE VISIT WITH A SCHEDULED BEHAVIORAL HEALTH CONSULTANT. CHRONIC CONDITION PREVENTION & MANAGEMENTPRIORITY OVERVIEW: THE NUMBER OF INDIVIDUALS IN THE U.S. WHO ARE LIVING WITH A CHRONIC DISEASE IS PROJECTED TO CONTINUE INCREASING WELL INTO THE FUTURE. SIXTY-FIVE PERCENT OF DEATHS IN SUBURBAN COOK COUNTY WERE DUE TO CHRONIC DISEASES. AS A RESULT, IT WILL BE INCREASINGLY IMPORTANT FOR THE HEALTHCARE SYSTEM TO FOCUS ON PREVENTION OF CHRONIC DISEASE AND THE PROVISION OF ONGOING CARE MANAGEMENT.GOAL: INCREASE ACCESS TO CARE FOR LOW-INCOME POPULATIONS IN THE AHAMCLG SERVICE AREA FOR THE PREVENTION AND MANAGEMENT OF CHRONIC CONDITIONS.STRATEGY: PARTNERSHIP WITH PILLARS COMMUNITY HEALTH CONTINUE PARTNERSHIP WITH PILLARS COMMUNITY HEALTH IN ADDRESSING THE CHRONIC HEALTH ISSUES THAT DISPROPORTIONATELY AFFECT LOW INCOME POPULATION INCLUDING OBESITY AND DIABETES. ADULTS AND YOUTH (3-17 YEARS) WITH ELEVATED BMI LEVELS WILL RECEIVE A DOCUMENTED FOLLOW UP PLAN INCLUDING NUTRITION AND PHYSICAL ACTIVITY COUNSELING SESSIONS. ADULTS WITH DIABETES WILL BE MANAGED TO KEEP HEMOGLOBIN A1C < 9.0%.ANTICIPATED IMPACT: BY DECEMBER 2022, 70% OF ADULT PATIENTS DIAGNOSED WITH DIABETES WILL KEEP THEIR HEMOGLOBIN A1C < 9.0%.PROGRESS UPDATE: ADVENTIST LA GRANGE HOSPITAL PROVIDED FINANCIAL CONTRIBUTIONS TO PILLAR COMMUNITY HEALTH IN 2020 TOTALING $100,000 TO ENSURE PROGRESS ON HEALTH OUTCOMES OF THE UNDERSERVED IN THE HOSPITAL COMMUNITY. DUE TO THE PANDEMIC, SOME SERVICES WERE ON HOLD OR DEFERRED BY THE HEALTH CLINIC. IN 2020, 31% OF PATIENTS WITH DIABETES HAD HEMOGLOBIN A1C>9.0%, THEREFORE ONLY 69% OF ADULT PATIENTS WITH DIABETES HAD HEMOGLOBIN A1C < 9.0%.SEE CONTINUATION
AMITA HLTH ADVENTIST MED CTR HINSDALE	PART V, SECTION B, LINE 13H: THE FILING ORGANIZATION'S HOSPITAL FACILITY (OR FACILITIES) IMPLEMENTED A COVID-19 EMERGENCY FINANCIAL HARDSHIP POLICY IN WHICH UNINSURED PATIENTS WHO ARE TREATED FOR COVID-19 RELATED EVALUATION AND/OR TREATMENT WILL NOT BE BILLED. 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 INCLUDING A REQUEST TO DEFER ANY PAYMENT PLAN PAYMENT FOR AN INITIAL PERIOD OF UP TO 120 DAYS.
AMITA HLTH ADVENTIST MED CTR LA GRANGE	PART V, SECTION B, LINE 13H: THE FILING ORGANIZATION'S HOSPITAL FACILITY (OR FACILITIES) IMPLEMENTED A COVID-19 EMERGENCY FINANCIAL HARDSHIP POLICY IN WHICH UNINSURED PATIENTS WHO ARE TREATED FOR COVID-19 RELATED EVALUATION AND/OR TREATMENT WILL NOT BE BILLED. 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 INCLUDING A REQUEST TO DEFER ANY PAYMENT PLAN PAYMENT FOR AN INITIAL PERIOD OF UP TO 120 DAYS.
AMITA HLTH ADVENTIST MED CTR HINSDALE	PART V, SECTION B, LINE 16J: THE FILING ORGANIZATION USES MULTIPLE METHODS OF COMMUNICATING ITS MISSION OF PROVIDING CARE TO ALL WHO NEED IT REGARDLESS OF ABILITY TO PAY. SIGNS POSTED AT REGISTRATION CLEARLY POINT OUT THAT CHARITY CARE OR FINANCIAL ASSISTANCE IS AVAILABLE. REGISTRATION IS EDUCATED ON PROVIDING FINANCIAL ASSISTANCE POLICY INFORMATION AND FORMS TO PATIENTS. THE MAIN WEBSITE FOR ALL SYSTEM HOSPITALS FEATURES INFORMATION ON HOW TO APPLY FOR FINANCIAL ASSISTANCE ON-LINE. IN THE HOSPITAL SETTING, WE EMPLOY FINANCIAL COUNSELORS WHO ARE AVAILABLE TO WORK WITH PATIENTS AND WE ALSO HAVE MEDICAID APPLICATION SPECIALISTS TO ASSIST PATIENTS THAT MAY QUALIFY. IN ADDITION, ALL BILLS AND STATEMENTS INCLUDE INFORMATION REGARDING FINANCIAL ASSISTANCE.
AMITA HLTH ADVENTIST MED CTR LA GRANGE	PART V, SECTION B, LINE 16J: THE FILING ORGANIZATION USES MULTIPLE METHODS OF COMMUNICATING ITS MISSION OF PROVIDING CARE TO ALL WHO NEED IT REGARDLESS OF ABILITY TO PAY. SIGNS POSTED AT REGISTRATION CLEARLY POINT OUT THAT CHARITY CARE OR FINANCIAL ASSISTANCE IS AVAILABLE. REGISTRATION IS EDUCATED ON PROVIDING FINANCIAL ASSISTANCE POLICY INFORMATION AND FORMS TO PATIENTS. THE MAIN WEBSITE FOR ALL SYSTEM HOSPITALS FEATURES INFORMATION ON HOW TO APPLY FOR FINANCIAL ASSISTANCE ON-LINE. IN THE HOSPITAL SETTING, WE EMPLOY FINANCIAL COUNSELORS WHO ARE AVAILABLE TO WORK WITH PATIENTS AND WE ALSO HAVE MEDICAID APPLICATION SPECIALISTS TO ASSIST PATIENTS THAT MAY QUALIFY. IN ADDITION, ALL BILLS AND STATEMENTS INCLUDE INFORMATION REGARDING FINANCIAL ASSISTANCE.
SCHEDULE H, PART V, SECTION B, LINE 11: CONTINUATION FOR LA GRANGE	THE FOLLOWING PRIORITIZED HEALTH NEEDS WILL NOT BE DIRECTLY ADDRESSED IN THE 2020-2022 IMPLEMENTATION STRATEGY: MATERNAL & CHILD HEALTH SAFETY, TRAUMA & INJURYWHILE CRITICALLY IMPORTANT TO OVERALL COMMUNITY HEALTH, FOR THE AREAS NOT CHOSEN, THERE ARE SERVICE PROVIDERS IN THE COMMUNITY BETTER RESOURCED TO ADDRESS THESE PRIORITIES. AMITA HEALTH ADVENTIST MEDICAL CENTER LAGRANGE WILL WORK COLLABORATIVELY WITH THESE ORGANIZATIONS AS APPROPRIATE TO ENSURE OPTIMAL SERVICE COORDINATION AND UTILIZATION. ADDITIONALLY, THE PROVISION OF THE AMITA HEALTH COMMUNITY RESOURCE DIRECTORY (AUNT BERTHA) TO OUR ASSOCIATES AND PHYSICIANS, WILL CONNECT THOSE IN NEED TO FREE OR REDUCED COST SERVICES SUCH AS MEDICAL CARE, FOOD, JOB TRAINING, TRANSPORTATION, HOUSING, LEGAL, AND MORE. THIS IMPLEMENTATION STRATEGY WAS APPROVED BY THE ADVENTIST MIDWEST HEALTH BOARD ON JANUARY 23, 2020. THE COLLECTIVE MONITORING, REPORTING PROGRESS AND REVISING WILL ENSURE THE PLAN REMAINS RELEVANT AND EFFECTIVE.
SCHEDULE H, PART V, SECTION B, LINE 7A	EACH HOSPITAL FACILITY'S CHNA REPORT WAS MADE WIDELY AVAILABLE THROUGH THE FOLLOWING WEBSITES:FACILITY 1 -- AMITA HLTH ADVENTIST MED CTR HINSDALEHTTPS://WWW.AMITAHEALTH.ORG/ABOUT-US/COMMUNITY-BENEFIT-AND-HEALTH-NEEDS-ASSESSMENT/COMMUNITY-BENEFIT-HINSDALE FACILITY 2 -- AMITA HLTH ADVENTIST MED CTR LA GRANGEHTTPS://WWW.AMITAHEALTH.ORG/ABOUT-US/COMMUNITY-BENEFIT-AND-HEALTH-NEEDS-ASSESSMENT/COMMUNITY-BENEFIT-LA-GRANGE
SCHEDULE H, PART V, SECTION B, LINE 10A:	EACH HOSPITAL FACILITY'S MOST RECENTLY ADOPTED IMPLEMENTATION STRATEGY WAS MADE WIDELY AVAILABLE THROUGH THE FOLLOWING WEBSITES:FACILITY 1 -- AMITA HLTH ADVENTIST MED CTR HINSDALE HTTPS://WWW.AMITAHEALTH.ORG/ABOUT-US/COMMUNITY-BENEFIT-AND-HEALTH-NEEDS-ASSESSMENT/COMMUNITY-BENEFIT-HINSDALE FACILITY 2 -- AMITA HLTH ADVENTIST MED CTR LA GRANGE HTTPS://WWW.AMITAHEALTH.ORG/ABOUT-US/COMMUNITY-BENEFIT-AND-HEALTH-NEEDS-ASSESSMENT/COMMUNITY-BENEFIT-LA-GRANGE
SCHEDULE H, PART V, SECTION B, LINE 16A,B,C:	EACH HOSPITAL'S FINANCIAL ASSISTANCE POLICY CAN BE FOUND AT:FACILITY 1 -- AMITA HLTH ADVENTIST MED CTR HINSDALE HTTPS://WWW.AMITAHEALTH.ORG/PAY-YOUR-BILL/FINANCIAL-ASSISTANCE/FINANCIAL-ASSISTANCE-FORMS-AND-POLICYFACILITY 2 -- AMITA HLTH ADVENTIST MED CTR LA GRANGEHTTPS://WWW.AMITAHEALTH.ORG/PAY-YOUR-BILL/FINANCIAL-ASSISTANCE/FINANCIAL-ASSISTANCE-FORMS-AND-POLICYEACH HOSPITAL FACILITY'S FINANCIAL ASSISTANCE POLICY APPLICATION WAS MADE WIDELY AVAILABLE THROUGH THE FOLLOWING WEBSITES:FACILITY 1 -- AMITA HLTH ADVENTIST MED CTR HINSDALE HTTPS://WWW.AMITAHEALTH.ORG/PAY-YOUR-BILL/FINANCIAL-ASSISTANCE/FINANCIAL-ASSISTANCE-FORMS-AND-POLICYFACILITY 2 -- AMITA HLTH ADVENTIST MED CTR LA GRANGEHTTPS://WWW.AMITAHEALTH.ORG/PAY-YOUR-BILL/FINANCIAL-ASSISTANCE/FINANCIAL-ASSISTANCE-FORMS-AND-POLICYEACH HOSPITAL FACILITY'S PLAIN LANGUAGE SUMMARY IS AVAILABLE AT:FACILITY 1 -- AMITA HLTH ADVENTIST MED CTR HINSDALE HTTPS://WWW.AMITAHEALTH.ORG/PAY-YOUR-BILL/FINANCIAL-ASSISTANCE/FINANCIAL-ASSISTANCE-FORMS-AND-POLICY FACILITY 2 -- AMITA HLTH ADVENTIST MED CTR LA GRANGEHTTPS://WWW.AMITAHEALTH.ORG/PAY-YOUR-BILL/FINANCIAL-ASSISTANCE/FINANCIAL-ASSISTANCE-FORMS-AND-POLICY

Field	Value	IRS element (for citing)
Facility	32	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (32 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt	Address Line2USAddress/AddressLine2Txt
1 - ADVENTIST HEART & VASCULAR
908 N ELM ST SUITE 404	HINSDALE	IL	60521	VASCULAR INTERVENTION CENTER
2 - HINSDALE IMAGING CENTER
1 SALT CREEK LANE	HINSDALE	IL	60521	IMAGING CENTER
3 - AMITA WOODRIDGE IMAGING & THERAPY CENTER
2363 63RD ST	WOODRIDGE	IL	60517	IMAGING & OP REHABILITATION CENTER
4 - HEALTH CARE AT HOME
5101 S WILLOW SPRINGS RD 2ND FLOOR	LA GRANGE	IL	60525	HOME HEALTH CARE
5 - ST THOMAS HOSPICE & PALLIATIVE CARE
119 E OGDEN AVE SUITE 111	HINSDALE	IL	60521	HOSPICE CARE
6 - NEW DAY CENTER FOR ADDICTIONSOPTIONS
740 PASQUINELLI DR SUITE 104	WESTMONT	IL	60559	BEHAVIORAL HEALTH
7 - WESTMONT IMAGING CENTER
6311 S CASS AVE	WESTMONT	IL	60559	IMAGING CENTER
8 - ADVENTIST LAB PARTNERS
2323 63RD ST	WOODRIDGE	IL	60517	LAB SERVICE CENTER
9 - ADVENTIST LAB PARTNERS
908 N ELM SUITE 116	HINSDALE	IL	60521	LAB SERVICE CENTER
10 - ADVENTIST PAULSON PEDIATRIC REHAB
222 E OGDEN AVE	HINSDALE	IL	60521	OUTPATIENT REHABILITATION FACILITY
11 - ADVENTIST PAULSON REHAB - WILLOWBROOK
7229 SOUTH KINGERY HIGHWAY	WILLOWBROOK	IL	60527	REHABILITATION CENTER
12 - ADVENTIST LA GRANGE FAMILY MEDICAL CENTER
5201 S WILLOW SPRINGS ROAD SUITE	LA GRANGE	IL	60525	FAMILY MEDICAL CENTER	300
13 - ADVENTIST HINSDALE FAMILY MEDICAL CENTER
135 N OAK ST	HINSDALE	IL	60521	FAMILY MEDICINE CENTER
14 - ADVENTIST LAB PARTNERS
5101 S WILLOW SPRINGS RD	LA GRANGE	IL	60525	LAB SERVICE CENTER
15 - ADVENTIST LAB PARTNERS
630 E NORTH AVENUE	CAROL STREAM	IL	60188	LAB SERVICE CENTER
16 - ADVENTIST LAB PARTNERS
2434 WOLF ROAD	WESTCHESTER	IL	60154	LAB SERVICE CENTER
17 - ADVENTIST LAB PARTNERS
6283 S ARCHER AVE	CHICAGO	IL	60638	LAB SERVICE CENTER
18 - ADVENTIST LAB PARTNERS
6311 S CASS AVE	WESTMONT	IL	60559	LAB SERVICE CENTER
19 - ADVENTIST LAB PARTNERS
235 REMINGTON SUITE G7	BOLINGBROOK	IL	60440	LAB SERVICE CENTER
20 - ADVENTIST LAB PARTNERS
15720 SOUTH ROUTE 59	PLAINFIELD	IL	60544	LAB SERVICE CENTER
21 - ADVENTIST LAB PARTNERS
5207 MAIN ST	DOWNERS GROVE	IL	60515	LAB SERVICE CENTER
22 - AMITA CANCER INSTITUTE-HINSDALE
1 SALT CREEK LANE	HINSDALE	IL	60521	CANCER TREATMENT CENTER
23 - ADVENTIST LAB PARTNERS
396 REMINGTON BLVD SUITE 141	BOLINGBROOK	IL	60440	LAB SERVICE CENTER
24 - ADVENTIST LAB PARTNERS
550 E BOUGHTON	BOLINGBROOK	IL	60440	LAB SERVICE CENTER
25 - ADVENTIST LAB PARTNERS
908 N ELM ST SUITE 210	HINSDALE	IL	60521	LAB SERVICE CENTER
26 - ADVENTIST LAB PARTNERS
105 E BURLINGTON AVE	RIVERSIDE	IL	60546	LAB SERVICE CENTER
27 - ADVENTIST LAB PARTNERS
644 S WEBER RD	ROMEOVILLE	IL	60446	LAB SERVICE CENTER
28 - ADVENTIST LAB PARTNERS
412 63RD ST	DOWNERS GROVE	IL	60516	LAB SERVICE CENTER
29 - ADVENTIST LAB PARTNERS
130 N OAK ST	HINSDALE	IL	60521	LAB SERVICE CENTER
30 - ADVENTIST LAB PARTNERS
2425 W 22ND ST SUITE 104	OAKBROOK	IL	60523	LAB SERVICE CENTER
31 - ADVENTIST LAB PARTNERS
333 CHESTNUT ST SUITE 204	HINSDALE	IL	60521	LAB SERVICE CENTER
32 - ADVENTIST LAB PARTNERS
303 ARMY TRAIL ROAD SUITE 410B	BLOOMINGDALE	IL	60108	LAB SERVICE CENTER

Supplemental Information Detail SupplementalInformationDetail (15 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE 3C:	EVERY UNINSURED PERSON, REGARDLESS OF INCOME, RECEIVES AN AUTOMATIC 15% DISCOUNT OFF OF CHARGES. PERSONS WHO EARN LESS THAN 600% OF THE FEDERAL POVERTY GUIDELINES ARE GIVEN MORE SIGNIFICANT DISCOUNTS, DEPENDING ON THEIR INDIVIDUAL SITUATIONS.FEDERAL POVERTY LEVEL - 0-200% UNINSURED PATIENT DISCOUNT - 95%FEDERAL POVERTY LEVEL - 201-300% UNINSURED PATIENT DISCOUNT - 75%FEDERAL POVERTY LEVEL - 301-600% UNINSURED PATIENT DISCOUNT - 74%FEDERAL POVERTY LEVEL - > 600% UNINSURED PATIENT DISCOUNT - 74%
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 29 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 IS INCLUDED IN THE SUBMISSION OF THE ANNUAL NONPROFIT HOSPITAL COMMUNITY BENEFIT PLAN REPORT WITH THE ATTORNEY GENERAL'S OFFICE OF THE STATE OF ILLINOIS. THIS REPORT IS PREPARED ON A CONSOLIDATED BASIS AND INCLUDES DATA FOR ADVENTIST MIDWEST HEALTH, ADVENTIST GLENOAKS HOSPITAL, AND ADVENTIST BOLINGBROOK HOSPITAL. THESE HOSPITAL ORGANIZATIONS ARE ALL RELATED ORGANIZATIONS.
PART I, LINE 7:	THE FOLLOWING COSTING METHODOLOGIES WERE USED: - CHARITY AT COST - A COST TO CHARGE METHODOLOGY BASED ON THE MOST RECENTLY FILED MEDICARE COST REPORT WAS USED TO CALCULATE COSTS. - UNREIMBURSED MEDICAID - COSTS ARE CALCULATED USING THE MOST RECENTLY FILED MEDICAID COST REPORT. - OTHER BENEFITS - COSTS ARE DETERMINED BY ACTIVITY REPORTED IN ACCORDANCE WITH GUIDELINES PUBLISHED BY THE CATHOLIC HEALTH ASSOCIATION. COSTS COULD INCLUDE THE VALUE OF HOURLY WAGES, COSTS OF MATERIALS, VALUE OF SPACE LOANED TO COMMUNITY GROUPS FOR MEETINGS, AND INDIRECT COSTS WHERE APPLICABLE.
PART II, COMMUNITY BUILDING ACTIVITIES:	COMMUNITY BUILDING ACTIVITIES INCLUDE PROGRAMS THAT IMPROVE THE COMMUNITY'S HEALTH AND SAFETY BY ADDRESSING THE ROOT CAUSES OF HEALTH PROBLEMS, SUCH AS POVERTY, HOMELESSNESS AND ENVIRONMENTAL HAZARDS. PARTICIPATION IN COLLABORATIVE COMMUNITY EFFORTS TO PROMOTE PUBLIC HEALTH INITIATIVES IS ALSO INCLUDED, SUCH AS ENGAGEMENT IN COALITIONS AND ADVOCACY FOR HEALTH IMPROVEMENT. THESE ACTIVITIES STRENGTHEN THE COMMUNITY'S CAPACITY TO PROMOTE THE HEALTH AND WELL-BEING OF ITS RESIDENTS BY OFFERING THE EXPERTISE AND RESOURCES OF THE HEALTH CARE ORGANIZATION. ADVENTIST MIDWEST HEALTH ENGAGES IN A VARIETY OF COMMUNITY-BUILDING ACTIVITIES WHICH ULTIMATELY IMPROVE THE HEALTH AND WELL-BEING OF THE COMMUNITIES WE ARE PRIVILEGED TO SERVE, EVEN THOUGH THEY ARE NOT SPECIFIC HEALTH ACTIVITIES.
PART III, LINE 2:	AFTER SATISFACTION OF AMOUNTS DUE FROM INSURANCE AND REASONABLE EFFORTS TO COLLECT FROM THE PATIENT HAVE BEEN EXHAUSTED, THE FILING ORGANIZATION FOLLOWS ESTABLISHED GUIDELINES FOR PLACING CERTAIN PAST-DUE PATIENT BALANCES WITHIN COLLECTION AGENCIES, SUBJECT TO THE TERMS OF CERTAIN RESTRICTIONS ON COLLECTION EFFORTS AS DETERMINED BY AMITA HEALTH. ACCOUNTS RECEIVABLE ARE WRITTEN OFF AFTER COLLECTION EFFORTS HAVE BEEN FOLLOWED IN ACCORDANCE WITH THE FILING ORGANIZATION'S POLICIES.
PART III, LINE 3:	THE FILING ORGANIZATION PROACTIVELY WORKS TO PRESUMPTIVELY ASSESS AND GRANT CHARITY TO ALL UNINSURED PATIENTS. THE HOSPITAL SCREENS ALL UNINSURED PATIENTS AGAINST CREDIT SCORE DATA IN ORDER TO PRESUMPTIVELY APPLY ITS FINANCIAL ASSISTANCE POLICY. BASED ON THIS PROCESS, APPROXIMATELY 96% OF THE UNINSURED PATIENT POPULATION IS DEFINED AS ELIGIBLE FOR A PARTIAL CHARITY ADJUSTMENT ON THEIR ACCOUNTS. THE AVERAGE DISCOUNT GIVEN TO THE UNINSURED PATIENT POPULATION IS 81%. IN PRIOR YEARS, PROACTIVE EFFORTS WERE LIMITED TO ONLY THOSE ACCOUNTS WITH BALANCES > $5,000. UNDER THAT SCENARIO, IT WAS ESTIMATED THAT 1/3 OF OUR BAD DEBT PLACEMENTS MAY HAVE BEEN ELIGIBLE FOR CHARITY CARE DISCOUNTS. WITH A MORE COMPREHENSIVE PRESUMPTIVE CHARITY PROGRAM, MANY MORE ACCOUNTS ARE GRANTED CHARITY EARLIER IN THE PROCESS AND PRIOR TO BAD DEBT PLACEMENT. THEREFORE, IT IS ESTIMATED THAT APPROXIMATELY 10% OF OUR CURRENT BAD DEBT PLACEMENTS WOULD BE ELIGIBLE FOR ADDITIONAL CHARITY IF A FULL PRESUMPTIVE CHARITY PROCESS WAS CONDUCTED ACROSS 100% OF OUR SELF-PAY AFTER INSURANCE ACCOUNTS.DISCOUNTS AND PAYMENTS ARE NOT INCLUDED IN BAD DEBT EXPENSE IN THE FINANCIAL STATEMENTS UNLESS THE PAYMENT IS A RECOVERY OF AMOUNTS PREVIOUSLY WRITTEN OFF AS BAD DEBT. RECOVERIES ARE CLASSIFIED AS A DECREASE TO BAD DEBT EXPENSE.RATIONALE FOR INCLUDING CERTAIN BAD DEBTS IN COMMUNITY BENEFIT:THE FILING ORGANIZATION IS DEDICATED TO THE VIEW THAT MEDICALLY NECESSARY HEALTH CARE FOR EMERGENCY AND NON-ELECTIVE PATIENTS SHOULD BE ACCESSIBLE TO ALL, REGARDLESS OF AGE, GENDER, GEOGRAPHIC LOCATION, CULTURAL BACKGROUND, PHYSICIAN MOBILITY, OR ABILITY TO PAY. THE FILING ORGANIZATION TREATS EMERGENCY AND NON-ELECTIVE PATIENTS REGARDLESS OF THEIR ABILITY TO PAY OR THE AVAILABILITY OF THIRD-PARTY COVERAGE. BY PROVIDING HEALTH CARE TO ALL WHO REQUIRE EMERGENCY OR NON-ELECTIVE CARE IN A NON-DISCRIMINATORY MANNER, THE FILING ORGANIZATION IS PROVIDING HEALTH CARE TO THE BROAD COMMUNITY IT SERVES. AS A 501(C)(3) HOSPITAL ORGANIZATION, THE FILING ORGANIZATION MAINTAINS A 24/7 EMERGENCY ROOM PROVIDING CARE TO ALL WHOM PRESENT. WHEN A PATIENT'S ARRIVAL AND/OR ADMISSION TO THE FACILITY BEGINS WITHIN THE EMERGENCY DEPARTMENT, TRIAGE AND MEDICAL SCREENING ARE ALWAYS COMPLETED PRIOR TO REGISTRATION STAFF PROCEEDING WITH THE DETERMINATION OF A PATIENT'S SOURCE OF PAYMENT. IF THE PATIENT REQUIRES ADMISSION AND CONTINUED NON-ELECTIVE CARE, THE FILING ORGANIZATION PROVIDES THE NECESSARY CARE REGARDLESS OF THE PATIENT'S ABILITY TO PAY. THE FILING ORGANIZATION'S OPERATION OF A 24/7 EMERGENCY DEPARTMENT THAT ACCEPTS ALL INDIVIDUALS IN NEED OF CARE PROMOTES THE HEALTH OF THE COMMUNITY THROUGH THE PROVISION OF CARE TO ALL WHOM PRESENT. CURRENT INTERNAL REVENUE SERVICE GUIDANCE THAT TAX-EXEMPT HOSPITALS MAINTAIN SUCH EMERGENCY ROOMS WAS ESTABLISHED TO ENSURE THAT EMERGENCY CARE WOULD BE PROVIDED TO ALL WITHOUT DISCRIMINATION. THE TREATMENT OF ALL AT THE FILING ORGANIZATION'S EMERGENCY DEPARTMENT IS A COMMUNITY BENEFIT. UNDER THE FILING ORGANIZATION'S FINANCIAL ASSISTANCE POLICY, EVERY EFFORT IS MADE TO OBTAIN A PATIENT'S NECESSARY FINANCIAL INFORMATION TO DETERMINE ELIGIBILITY FOR FINANCIAL ASSISTANCE. HOWEVER, NOT ALL PATIENTS WILL COOPERATE WITH SUCH EFFORTS AND A FINANCIAL ASSISTANCE ELIGIBILITY DETERMINATION CANNOT BE MADE BASED UPON INFORMATION SUPPLIED BY THE INDIVIDUAL. IN THIS CASE, A PATIENT'S PORTION OF A BILL THAT REMAINS UNPAID FOR A CERTAIN STIPULATED TIME PERIOD IS WHOLLY OR PARTIALLY CLASSIFIED AS BAD DEBT. BAD DEBTS ASSOCIATED WITH PATIENTS WHO HAVE RECEIVED CARE THROUGH THE FILING ORGANIZATION'S EMERGENCY DEPARTMENT SHOULD BE CONSIDERED COMMUNITY BENEFIT AS CHARITABLE HOSPITALS EXIST TO PROVIDE SUCH CARE IN PURSUIT OF THEIR PURPOSE OF MEETING THE NEED FOR EMERGENCY MEDICAL CARE SERVICES AVAILABLE TO ALL IN THE COMMUNITY.
PART III, LINE 4:	FINANCIAL STATEMENT FOOTNOTE RELATED TO ACCOUNTS RECEIVABLE AND ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS:THE FINANCIAL INFORMATION OF THE FILING ORGANIZATION IS INCLUDED IN A CONSOLIDATED AUDITED FINANCIAL STATEMENT FOR THE CURRENT YEAR.THE APPLICABLE FOOTNOTE FROM THE ATTACHED CONSOLIDATED AUDITED FINANCIAL STATEMENTS THAT ADDRESSES ACCOUNTS RECEIVABLE, THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS, AND THE PROVISION FOR BAD DEBTS CAN BE FOUND ON PAGES 8-9. PLEASE NOTE THAT DOLLAR AMOUNTS ON THE ATTACHED CONSOLIDATED AUDITED FINANCIAL STATEMENTS ARE IN THOUSANDS.
PART III, LINE 8:	COSTING METHODOLOGY:MEDICARE ALLOWABLE COSTS WERE CALCULATED USING A COST-TO-CHARGE RATIO.RATIONALE FOR INCLUDING A MEDICARE SHORTFALL AS COMMUNITY BENEFIT:AS A 501(C)(3) ORGANIZATION, THE FILING ORGANIZATION PROVIDES EMERGENCY AND NON-ELECTIVE CARE TO ALL REGARDLESS OF ABILITY TO PAY. ALL HOSPITAL SERVICES ARE PROVIDED IN A NON-DISCRIMINATORY MANNER TO PATIENTS WHO ARE COVERED BENEFICIARIES UNDER THE MEDICARE PROGRAM. AS A PUBLIC INSURANCE PROGRAM, MEDICARE PROVIDES A PRE-ESTABLISHED REIMBURSEMENT RATE/AMOUNT TO HEALTH CARE PROVIDERS FOR THE SERVICES THEY PROVIDE TO PATIENTS. IN SOME CASES, THE REIMBURSEMENT AMOUNT PROVIDED TO A HOSPITAL MAY EXCEED ITS COSTS OF PROVIDING A PARTICULAR SERVICE OR SERVICES TO A PATIENT. IN OTHER CASES, THE MEDICARE REIMBURSEMENT AMOUNT MAY RESULT IN THE HOSPITAL EXPERIENCING A SHORTFALL OF REIMBURSEMENT RECEIVED OVER COSTS INCURRED. IN THOSE CASES WHERE AN OVERALL SHORTFALL IS GENERATED FOR PROVIDING SERVICES TO ALL MEDICARE PATIENTS, THE SHORTFALL AMOUNT SHOULD BE CONSIDERED AS A BENEFIT TO THE COMMUNITY. TAX-EXEMPT HOSPITALS ARE REQUIRED TO ACCEPT ALL MEDICARE PATIENTS REGARDLESS OF THE PROFITABILITY, OR LACK THEREOF, WITH RESPECT TO THE SERVICES THEY PROVIDE TO MEDICARE PATIENTS. THE POPULATION OF INDIVIDUALS COVERED UNDER THE MEDICARE PROGRAM IS SUFFICIENTLY LARGE SO THAT THE PROVISION OF SERVICES TO THE POPULATION IS A BENEFIT TO THE COMMUNITY AND RELIEVES THE BURDENS OF GOVERNMENT. IN THOSE SITUATIONS WHERE THE PROVISION OF SERVICES TO THE TOTAL MEDICARE PATIENT POPULATION OF A TAX-EXEMPT HOSPITAL DURING ANY YEAR RESULTS IN A SHORTFALL OF REIMBURSEMENT RECEIVED OVER THE COST OF PROVIDING CARE, THE TAX-EXEMPT HOSPITAL HAS PROVIDED A BENEFIT TO A CLASS OF PERSONS BROAD ENOUGH TO BE CONSIDERED A BENEFIT TO THE COMMUNITY. DESPITE A FINANCIAL SHORTFALL, A TAX-EXEMPT HOSPITAL MUST AND WILL CONTINUE TO ACCEPT AND CARE FOR MEDICARE PATIENTS. TYPICALLY, TAX-EXEMPT HOSPITALS PROVIDE HEALTH CARE SERVICES BASED UPON AN ASSESSMENT OF THE HEALTH CARE NEEDS OF THEIR COMMUNITY AS OPPOSED TO THEIR TAXABLE COUNTERPARTS WHERE PROFITABILITY OFTEN DRIVES DECISIONS ABOUT PATIENT CARE SERVICES THAT ARE OFFERED. PATIENT CARE PROVIDED BY TAX-EXEMPT HOSPITALS THAT RESULTS IN MEDICARE SHORTFALLS SHOULD BE CONSIDERED AS PROVIDING A BENEFIT TO THE COMMUNITY AND RELIEVING THE BURDENS OF GOVERNMENT.
PART III, LINE 9B:	IT IS THE POLICY OF THE FILING ORGANIZATION TO OFFER PATIENTS A PAYMENT PLAN AND/OR CHARITY ASSISTANCE WHEN IT BECOMES KNOWN OR EVEN SUSPECTED THAT A PATIENT NEEDS FINANCIAL ASSISTANCE. SIGNS AND BROCHURES ARE POSTED IN FACILITY REGISTRATION AREAS. FINANCIAL COUNSELORS ARE NOTIFIED AND EVERY ATTEMPT IS MADE TO CONTACT AND WORK WITH THE PATIENT OR THEIR FAMILY TO HELP THEM COMPLETE A FINANCIAL ASSISTANCE APPLICATION WITH COMPASSION AND DIGNITY. FINANCIAL COUNSELORS WORK WITH PATIENTS TO HELP DETERMINE IF THERE ARE ANY THIRD-PARTY PAYORS WHICH MAY BE AVAILABLE TO HELP THE PATIENT MEET THEIR OBLIGATIONS. THE HOSPITAL WORKS WITH THE PATIENT TO DETERMINE IF THEY ARE ELIGIBLE FOR FEDERAL PROGRAMS INCLUDING MEDICAID, STATE FUNDED PROGRAMS INCLUDING CRIME VICTIMS, ALTERNATIVE INSURANCE INCLUDING COBRA, WORKER'S COMPENSATION AND OR OTHER SPECIALIZED GRANT PROGRAMS SUCH AS OUR MAMMOGRAPHY GRANT PROGRAM FOR LOW INCOME WOMEN. IN THE EVENT NO THIRD-PARTY PROGRAMS ARE IDENTIFIED, THE HOSPITAL THEN WORKS WITH THE PATIENT TO HELP THEM APPLY FOR FINANCIAL ASSISTANCE DISCOUNTS AND PAYMENT PLANS. IN ADDITION, ALL BILLS AND STATEMENTS INCLUDE INFORMATION REGARDING FINANCIAL ASSISTANCE.
PART VI, LINE 2:	THE FILING ORGANIZATION'S HOSPITALS CONDUCT COMMUNITY HEALTH NEEDS ASSESSMENTS (CHNA) EVERY THREE YEARS. ITS 2019 CHNAS WERE ADOPTED BY ITS GOVERNING BOARD BY DECEMBER 31, 2019, THE END OF THE FILING ORGANIZATION'S TAXABLE YEAR IN WHICH IT CONDUCTED THE CHNAS. THE FILING ORGANIZATION'S 2019 CHNAS COMPLIED WITH THE GUIDANCE SET FORTH BY THE IRS IN FINAL REGULATION SECTION 1.501(R)-3. IN ADDITION TO THE CHNAS 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 COMMUNITIES. IN ADDITION TO THE CHNAS 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 COMMUNITIES. SUCH PRACTICES AND PROCESSES INVOLVE THE FOLLOWING:1. HOSPITAL OPERATING/COMMUNITY BOARDS COMPOSED OF INDIVIDUALS BROADLY REPRESENTATIVE OF EACH 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 COMMUNITIES; AND 4. COLLABORATION WITH OTHER LOCAL COMMUNITY GROUPS TO ADDRESS THE HEALTH CARE NEEDS OF THE FILING ORGANIZATION'S COMMUNITIES.
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 FACILITIES ARE TRANSPARENT AND AVAILABLE TO ALL INDIVIDUALS SERVED AT ANY POINT IN THE CARE CONTINUUM. THE FAP, FAA FORM, PLS, AND CONTACT INFORMATION FOR EACH HOSPITAL FACILITY'S FINANCIAL COUNSELORS ARE PROMINENTLY AND CONSPICUOUSLY POSTED ON EACH OF THE FILING ORGANIZATION'S HOSPITAL FACILITY'S WEBSITES. THE WEBSITES INDICATE 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 EACH HOSPITAL FACILITY (REFERRED TO BELOW AS LEP DEFINED POPULATIONS). SIGNAGE IS DISPLAYED IN PUBLIC LOCATIONS OF THE FILING ORGANIZATION'S HOSPITAL FACILITIES, INCLUDING AT ALL POINTS OF ADMISSION AND REGISTRATION AND THE EMERGENCY DEPARTMENT. THE SIGNAGE CONTAINS EACH 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 EACH HOSPITAL FACILITY'S FAP, FAA FORM AND PLS. PAPER COPIES OF EACH HOSPITAL FACILITY'S FAP, FAA FORM AND PLS ARE AVAILABLE UPON REQUEST AND WITHOUT CHARGE, BOTH IN PUBLIC LOCATIONS IN EACH 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 FACILITIES' 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 CURRENTLY OPERATES 2 HOSPITAL FACILITIES, AMITA HEALTH ADVENTIST MEDICAL CENTER HINSDALE AND AMITA HEALTH ADVENTIST MEDICAL CENTER LA GRANGE. BOTH LOCATED IN ILLINOIS, THESE FACILITIES ARE MAJOR HEALTHCARE PROVIDERS IN THE COMMUNITIES THEY SERVE. ADVENTIST MIDWEST HEALTH, DBA AMITA HEALTH ADVENTIST MEDICAL CENTER HINSDALE (AHH), IS LOCATED IN HINSDALE, ILLINOIS. IT CURRENTLY OPERATES A HOSPITAL FACILITY AND IS LICENSED FOR 261 BEDS. IN ADDITION TO OPERATING A HOSPITAL, AHH ALSO OPERATES A CANCER TREATMENT CENTER, 2 IMAGING CENTERS, 2 OUTPATIENT REHABILITATION FACILITIES, 1 BEHAVIORAL HEALTH CENTER, 1 VASCULAR INTERVENTION CENTER, AND 1 FAMILY HEALTH MEDICINE CENTER. AHH IS A CRUCIAL COMMUNITY AND REGIONAL ASSET. IT IS THE ONLY TEACHING HOSPITAL IN DUPAGE COUNTY, ILLINOIS. MANY OF THE MEDICAL STAFF MEMBERS HOLD TEACHING POSITIONS AT CHICAGO'S PREMIER MEDICAL SCHOOLS AND ACADEMIC MEDICAL CENTERS AND PARTICIPATE IN MEDICAL RESEARCH STUDIES AND CLINICAL TRIALS.PLEASE SEE OUR RESPONSE TO FORM 990 PART III, LINE 4A FOR A DETAILED EXPLANATION OF THE SERVICES AND PROGRAMS OFFERED BY AHH. THE AHH COMMUNITY CONSISTS PRIMARILY OF HINSDALE AND THE SURROUNDING AREA. WE DEFINE THE AHH PRIMARY SERVICE AREA AS THE COLLECTION OF ZIP CODES WHERE APPROXIMATELY 75% OF HOSPITAL PATIENTS RESIDE, AND WE FOCUS OUR COMMUNITY HEALTH IMPROVEMENT ON THIS SERVICE AREA. THE MAJORITY OF THE SERVICE AREA RESIDES IN DUPAGE COUNTY. THE EASTERN PART OF THE SERVICE AREA IS IN SUBURBAN COOK COUNTY. ACCORDING TO US CENSUS DATA (2018) THE POPULATION OF THIS SERVICE AREA IS 660,745. THE AVERAGE AGE IS 41.7 YEARS WITH AN AVERAGE FAMILY INCOME OF $92,006. THE AGE SPREAD OF THE PRIMARY SERVICE AREA IS SIMILAR IN DUPAGE COUNTY, COOK COUNTY AND ILLINOIS. SEVEN PERCENT OF THOSE THAT RESIDE IN THIS SERVICE AREA ARE LIVING IN POVERTY. THE PRIMARY SERVICE AREA OF AHH HAS A SLIGHTLY HIGHER HISPANIC/LATINO POPULATION AND NON-HISPANIC BLACK POPULATION THAN DUPAGE COUNTYDURING 2020, THE AHH'S PATIENT PERCENTAGE POPULATION WAS MADE UP OF THE BELOW PAYORS WITH THE REMAINING PERCENTAGE OF THE PATIENTS BEING COVERED UNDER COMMERCIAL INSURANCE. IN 2020, ABOUT 53% OF AHH'S IN-PATIENTS WERE ADMITTED THROUGH THE HOSPITAL'S EMERGENCY DEPARTMENT. - MEDICARE PATIENTS 43.5% - MEDICAID PATIENTS 11.4% - SELF-PAY PATIENTS 1.5% THE DEMOGRAPHIC MAKEUP OF THE HOSPITAL'S DUPAGE COUNTY COMMUNITY IS AS FOLLOWS: - POPULATION 929,026 - POPULATION OVER 65 15.67% - POVERTY (BELOW 100% FPL) 6.8% - UNINSURED ADULTS 6.3% - UNINSURED CHILDREN 3% AMITA HEALTH ADVENTIST MEDICAL CENTER LA GRANGE (THE HOSPITAL) IS A 198-BED FACILITY PROVIDING OUTPATIENT AND INPATIENT PRIMARY CARE, TRAUMA CARE AND WELLNESS SERVICES TO RESIDENTS OF CHICAGO'S WESTERN SUBURBS. THE HOSPITAL IS A LEADER IN OFFERING COMPREHENSIVE ONCOLOGY SERVICES, ORTHOPEDIC SERVICES, ADVANCED CARDIAC CARE, WOMEN'S HEALTH AND MATERNITY CARE, EMERGENCY, GERIATRIC AND MANY OTHER SPECIALTIES THAT CATER TO THE COMMUNITIES IT SERVES. THE HOSPITAL COMMUNITY CONSISTS PRIMARILY OF LAGRANGE AND THE SURROUNDING AREA. WE DEFINE THE PRIMARY SERVICE AREA (PSA) AS THE COLLECTION OF ZIP CODES WHERE APPROXIMATELY 75% OF HOSPITAL PATIENTS RESIDE, AND WE FOCUS OUR COMMUNITY HEALTH IMPROVEMENT ON THIS SERVICE AREA. THE MAJORITY OF THE SERVICE AREA POPULATION RESIDES IN SUBURBAN COOK COUNTY WITH PART OF THE WESTERN SERVICE AREA IN DUPAGE COUNTY. ACCORDING TO US CENSUS DATA (2018) THE POPULATION OF THIS SERVICE AREA IS 452,150. THE AVERAGE AGE IS 39.4 YEARS WITH AN AVERAGE FAMILY INCOME OF $77,969. THE AGE SPREAD OF THE PRIMARY SERVICE AREA IS SIMILAR TO DUPAGE COUNTY, COOK COUNTY AND ILLINOIS. TEN PERCENT OF THOSE THAT RESIDE IN THIS SERVICE AREA ARE LIVING IN POVERTY. LA GRANGE AND ITS SURROUNDING AREAS ARE ROUGHLY EQUALLY SPLIT BETWEEN HISPANIC/LATINO AND NON-HISPANIC WHITE POPULATIONS. DURING 2020, 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 2020, ABOUT 76.4% OF THE HOSPITAL'S IN-PATIENTS WERE ADMITTED THROUGH THE HOSPITAL'S EMERGENCY DEPARTMENT. - MEDICARE PATIENTS 56.9% - MEDICAID PATIENTS 10.4% - SELF-PAY PATIENTS 2.4% THE DEMOGRAPHIC MAKEUP OF THE HOSPITAL'S COOK COUNTY COMMUNITY IS AS FOLLOWS: - POPULATION 5,132,480 - POPULATION OVER 65 14% - POVERTY (BELOW 100% FPL) 16% - UNEMPLOYMENT RATE 10% - POP. AGE 25+ WITH NO HIGH SCHOOL DIPLOMA 15% - UNINSURED ADULTS 11% - UNINSURED CHILDREN 4%
PART VI, LINE 5:	THE PROVISION OF COMMUNITY BENEFIT IS CENTRAL TO THE FILING ORGANIZATION'S MISSION OF SERVICE AND COMPASSION. RESTORING AND PROMOTING THE HEALTH AND QUALITY OF LIFE OF THOSE IN THE COMMUNITIES SERVED BY THE FILING ORGANIZATION IS A FUNCTION OF "EXTENDING THE HEALING MINISTRY OF CHRIST AND EMBODIES THE FILING ORGANIZATION'S COMMITMENT TO ITS VALUES AND PRINCIPLES. THE FILING ORGANIZATION 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 FILING ORGANIZATION 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 FILING ORGANIZATION PROVIDED $1,106,466 OF BENEFIT WITH RESPECT TO THE FAITH-BASED AND SPIRITUAL NEEDS OF THE COMMUNITY IN CONJUNCTION WITH ITS OPERATION OF COMMUNITY HOSPITALS. THE FILING ORGANIZATION 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 FILING ORGANIZATION EXPENDED $10,334,685 IN NEW CAPITAL IMPROVEMENTS. AS FAITH-BASED MISSION-DRIVEN COMMUNITY HOSPITALS, THE FILING ORGANIZATION IS CONTINUALLY INVOLVED IN MONITORING ITS COMMUNITIES, 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 FILING ORGANIZATION ARE CONTINUALLY BEING INVESTED IN RESOURCES THAT IMPROVE THE AVAILABILITY AND QUALITY OF DELIVERY OF HEALTH CARE SERVICES AND PROGRAMS TO ITS COMMUNITIES.
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 11 NURSING HOME FACILITIES AND OTHER ANCILLARY HEALTH CARE PROVIDER FACILITIES, SUCH AS AMBULATORY SURGERY CENTERS AND DIAGNOSTIC IMAGING CENTERS. THE FILING ORGANIZATION IS ALSO A COVERED AFFILIATE OF A JOINT OPERATING COMPANY THAT DOES BUSINESS UNDER THE NAME OF AMITA HEALTH. AMITA HEALTH HAS BEEN RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS A TAX-EXEMPT ORGANIZATION UNDER IRC SECTION 501(C)(3). AMITA HEALTH PROVIDES VARIOUS MANAGEMENT AND EXECUTIVE SUPPORT SERVICES TO THE FILING ORGANIZATION. THE PROVISION OF THESE EXECUTIVE AND SUPPORT SERVICES ON A CENTRALIZED BASIS BY AMITA HEALTH AND BY AHSSHC PROVIDES AN APPROPRIATE BALANCE BETWEEN PROVIDING THE 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 AS A COVERED AFFILIATE OF AMITA HEALTH AND AS PART OF A LARGER SYSTEM OF HEALTHCARE ORGANIZATIONS. AS A PART OF A SYSTEM OF HOSPITALS 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. AS A RESULT, MANAGEMENT FEE EXPENSE REPORTED BY THE FILING 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 OR OF AMITA HEALTH 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 AND TO ACCESS WWW.AMITAHEALTH.ORG TO LEARN MORE ABOUT THE VISION AND SERVICES PROVIDED BY ALL ITS LOCATIONS.
PART VI, LINE 7, REPORTS FILED WITH STATES	IL

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Grant Records Maintained	Yes (1)	GrantRecordsMaintainedInd

Recipient Table RecipientTable (7 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Purpose Of GrantPurposeOfGrantTxt	Non Cash AssistanceNonCashAssistanceAmt	Valuation Method UsedValuationMethodUsedDesc	Non Cash AssistanceNonCashAssistanceDesc
CHICAGO ZOOLOGICAL SOCIETY
3300 GOLF ROAD	BROOKFIELD	IL	60513	362167016	501(C)(3)	$25,000	GENERAL SUPPORT
DUPAGE HEALTH COALITION
511 THORNHILL DR STE E	CAROL STREAM	IL	60188	364448208	501(C)(3)	$113,069	GENERAL SUPPORT
HINSDALE HOSPITAL FOUNDATION
7 SALT CREEK LANE	HINSDALE	IL	60521	521466387	501(C)(3)		PROVISION OF GENERAL ADMINISTRATIVE SUPPORT	$149,399	COST	GENERAL ADMINISTRATIVE SUPPORT
MIDWEST HEALTH FOUNDATION
120 N OAK STREET	HINSDALE	IL	60521	352230515	501(C)(3)		PROVISION OF GENERAL ADMINISTRATIVE SUPPORT	$833,933	COST	GENERAL ADMINISTRATIVE SUPPORT
ROTARY CLUB OF HINSDALE FOUNDATION INC
PO BOX 395	HINSDALE	IL	60522	364285727	501(C)(3)	$20,000	GENERAL SUPPORT
PILLARS COMMUNITY SERVICES
23 CALENDAR AVE	LA GRANGE	IL	60525	362170869	501(C)(3)	$100,000	GENERAL SUPPORT
LAKE UNION CONFERENCE OF SEVENTH DAY ADVENTISTS
PO BOX 287	BERRIEN SPRINGS	MI	49103	381474933	501(C)(3)	$12,364	GENERAL SUPPORT

Field	Value	IRS element (for citing)
Total501c3 Org	7	Total501c3OrgCnt
Total Other Org	0	TotalOtherOrgCnt

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp (2 entries)

Grant TypeGrantTypeTxt	RecipientRecipientCnt	Cash GrantCashGrantAmt	Non Cash AssistanceNonCashAssistanceAmt
HARDSHIP ASSISTANCE	46	$32,350	$0
PAYMENTS FOR NURSING HOME/REHABILITATION POST-HOSPITAL STAY CHARGES	2	$21,263	$0

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART I, LINE 2:	FormAndLineReferenceDesc
Explanation	GRANTS ARE GENERALLY MADE ONLY TO RELATED ORGANIZATIONS THAT ARE EXEMPT FROM FEDERAL INCOME TAX UNDER 501(C)(3), 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, OR TO OTHER 501(C)(3) COMMUNITY ORGANIZATIONS INVOLVED IN HEALTH-RELATED CAUSES. 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 (16 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
HAFFNER PHD RANDALL
DIR/CHAIRMAN	$0	$1,301,578	$0	$485,357	$0	$1,089,357	$0	$165,320	$0	$44,016	$0	$3,085,628	$0	$250,270
CARROLL RICHARD
VP/CMO GLENOAKS/BOLINGBROOK	$399,489	$0	$54,873	$0	$89,362	$1,323,096	$18,525	$0	$17,662	$0	$579,911	$1,323,096	$0	$0
SNYDER BRENT
DIRECTOR	$0	$788,098	$0	$256,954	$0	$199,781	$0	$165,201	$0	$26,234	$0	$1,436,268	$0	$120,820
THORDARSON THOR
DIR/SEC/EVP & REGIONAL COO	$714,190	$0	$145,087	$0	$89,004	$0	$18,005	$0	$17,314	$0	$983,600	$0	$0	$0
MURRILL MICHAEL
CEO HINSDALE/LA GRANGE (END 6/20)	$190,921	$299,009	$63,742	$25,000	$38,677	$115,057	$4,734	$65,297	$13,904	$20,186	$311,978	$524,549	$0	$0
BUCHANAN HERBERT
DIRECTOR/REG OPERATIONS OFFICER	$49,450	$445,047	$5,379	$48,408	$9,450	$85,050	$570	$5,130	$1,181	$10,633	$66,030	$594,268	$0	$0
CHRISTIAN BRUCE
PRES/CEO GLENOAKS/BOLINGBROOK	$409,765	$0	$70,392	$0	$56,377	$0	$17,100	$0	$17,811	$0	$571,445	$0	$0	$0
ROEHR RICHARD
COO GLENOAKS/BOLINGBROOK	$379,361	$0	$49,942	$0	$23,485	$0	$18,525	$0	$29,371	$0	$500,684	$0	$0	$0
PETRINA ROBERT
INTERIM CFO HINSDALE/LA GRANGE (END	$455,539	$0	$0	$0	$30,017	$0	$0	$0	$3,393	$0	$488,949	$0	$0	$0
NAND MD BELA
CMO HINSDALE/LA GRANGE	$374,683	$0	$41,406	$0	$29,162	$0	$14,481	$0	$9,989	$0	$469,721	$0	$0	$0
RUSSELL DONALD
EVP/CHIEF HR OFFICER	$0	$0	$0	$0	$438,545	$0	$0	$0	$0	$0	$438,545	$0	$0	$0
MURPHY MARY
CNO HINSDALE/LA GRANGE	$318,528	$0	$37,448	$0	$35,125	$0	$18,525	$0	$10,619	$0	$420,245	$0	$0	$0
MAYCOCK ADAM
COO (END 6/20) CEO (BEG 6/20) HINSDA	$305,115	$0	$25,095	$0	$28,710	$0	$14,890	$0	$25,223	$0	$399,033	$0	$0	$0
SCHIMEROWSKI DEBORAH
CFO (END 3/20)	$4,668	$88,701	$0	$0	$14,486	$275,230	$282	$5,367	$185	$3,511	$19,621	$372,809	$0	$0
SMITH MARYJO
SVP-HUMAN RESOURCES	$94,915	$0	$68,500	$0	$207,325	$0	$316	$0	$590	$0	$371,646	$0	$0	$0
DE RAMOS DO DAVID
DIRECTOR	$0	$140,796	$0	$0	$0	$49,621	$0	$12,017	$0	$15,886	$0	$218,320	$0	$0

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE 1A	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 THE FILING ORGANIZATION. THE FILING ORGANIZATION IS A PART OF THE SYSTEM OF HEALTHCARE ORGANIZATIONS KNOWN AS ADVENTHEALTH. THE TOP-TIER PARENT OF ADVENTHEALTH IS ADVENTIST HEALTH SYSTEM SUNBELT HEALTHCARE CORPORATION (AHSSHC). AHSSHC IS EXEMPT FROM FEDERAL INCOME TAX UNDER IRC SECTION 501(C)(3). AS PART OF ADVENTHEALTH, THE FILING ORGANIZATION ADHERES TO CERTAIN AHSSHC POLICIES REGARDING ITS EXECUTIVES. TRAVEL FOR COMPANIONS: AHSSHC HAS A CORPORATE EXECUTIVE POLICY THAT PROVIDES A BENEFIT TO ALLOW FOR A TRAVELING 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: NOMINAL DISCRETIONARY SPENDING AMOUNTS ARE PERIODICALLY PROVIDED TO ELIGIBLE EXECUTIVES WHO ATTEND ANNUAL BUSINESS MEETINGS SUCH AS THE ADVENTHEALTH CFO CONFERENCE OR THE CMO/CNO BUSINESS MEETING ($300 OR LESS PER EXECUTIVE). PAYMENTS PROVIDED TO EACH EXECUTIVE ARE CONSIDERED TAXABLE COMPENSATION TO THE EXECUTIVE. HOUSING ALLOWANCE OR RESIDENCE FOR PERSONAL USE: IN PRIOR YEARS, AHSSHC PROVIDED HOUSING ASSISTANCE IN THE FORM OF A SHARED EQUITY INTEREST IN A RESIDENCE TO ELIGIBLE EXECUTIVES WHO WERE EXPECTED TO LIVE WITHIN THE IMMEDIATE PROXIMITY OF HOSPITAL FACILITIES LOCATED IN HIGH-COST COMMUNITIES. AS WITH ALL AHSSHC CORPORATE EXECUTIVE POLICIES, THE HOUSING BENEFIT POLICY WAS ORIGINALLY AUTHORIZED AND APPROVED BY THE AHSSHC BOARD COMPENSATION COMMITTEE, AN INDEPENDENT COMMITTEE OF THE AHSSHC BOARD OF DIRECTORS. THIS HOUSING ASSISTANCE POLICY WAS RETIRED IN 2018. AT THE TIME OF THE HOUSING ASSISTANCE POLICY'S RETIREMENT, THERE WAS ONLY ONE ELIGIBLE EXECUTIVE THAT IS LISTED ON PART VII OF THIS RETURN THAT REMAINS A PARTICIPANT IN THIS PROGRAM. THE APPROPRIATE ANNUAL DOLLAR AMOUNT OF THE HOUSING BENEFIT PROVIDED TO THE REMAINING ELIGIBLE EXECUTIVE IS TREATED AS TAXABLE COMPENSATION TO THE EMPLOYEE.
PART I, LINE 3	THE FILING ORGANIZATION IS A COVERED AFFILIATE OF THE JOINT OPERATING COMPANY, ALEXIAN BROTHERS-AHS MIDWEST REGION HEALTH CO. D/B/A AMITA HEALTH (AMITA). AMITA UTILIZES VARIOUS COMPARABILITY DATA IN ESTABLISHING COMPENSATION FOR THOSE EXECUTIVES THAT PERFORM SERVICES FOR AMITA AND FOR ONE OR MORE COVERED AFFILIATES. COMPARABILITY DATA UTILIZED INCLUDES COMPENSATION SURVEYS AND STUDIES AND THE FORMS 990 OF OTHER UNRELATED COMPARABLE ORGANIZATIONS. AMITA ALSO HAS A COMPENSATION COMMITTEE THAT APPROVES ALL RELEVANT EXECUTIVE COMPENSATION. THE COMPENSATION OF THE FILING ORGANIZATION'S CEO WAS DETERMINED AND APPROVED BY AMITA'S EXECUTIVE COMPENSATION COMMITTEE.
PART I, LINES 4A-B	LINE 4A: DURING THE YEAR ENDING DECEMBER 31, 2020, DONALD RUSSELL AND MARYJO SMITH RECEIVED SEVERANCE PAYMENTS IN THE AMOUNTS OF $438,545 AND $189,835 RESPECTIVELY. THE EXECUTIVES' SEVERANCE COMPENSATION (VP AND ABOVE) IS GOVERNED BY THE AMITA HEALTH EXECUTIVE SEVERANCE PAY PLAN AND HR POLICY. ANY DEVIATION FROM THE POLICY MUST BE APPROVED BY THE CEO AND THE EVP OF HUMAN RESOURCES. IN ADDITION, DEBORAH SCHIMEROWSKI RECEIVED SEVERANCE PAYMENTS IN THE AMOUNT OF $237,544 FROM PRESENCE CARE TRANSFORMATION CORPORATION, AN UNRELATED IRC SECTION 501(C)(3) ENTITY. LINE 4B: MICHAEL MURRILL, RANDALL HAFFNER, AND BRENT SNYDER RECEIVED COMPENSATION IN 2020 FROM ADVENTIST HEALTH SYSTEM SUNBELT HEALTHCARE CORPORATION (AHSSHC), THE TOP-TIER PARENT OF THE FILING ORGANIZATION AND THE PARENT ORGANIZATION OF A 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 $285,000 IN 2020 (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.
SENIOR EXECUTIVE DEATH BENEFIT PLAN (SEDB) (AMENDED AND RESTATED IN 2020):	THE SEDB PLAN WAS ORIGINALLY DESIGNED TO PROVIDE A BENEFIT IN AN AMOUNT EQUAL TO THE AMOUNT THE EXECUTIVE'S BENEFIT WOULD HAVE BEEN UNDER THE SERP II PLAN ASSUMING THAT, ON THE DATE OF THE EXECUTIVE'S DEATH (AND NOT BEFORE), THE EXECUTIVE SATISFIED THE LAST OF THE ELIGIBILITY REQUIREMENTS OF THE SERP II PLAN WITH PRESENT VALUE RECOGNIZING AN EARLY BENEFIT COMMENCEMENT. IN CONJUNCTION WITH THE AMENDMENT AND RESTATEMENT OF THE SERP II PLAN, THE SEDB WAS SIMILARLY AMENDED IN 2020 TO LIMIT ELIGIBLE EMPLOYEES TO ONLY THOSE WHO EITHER SATISFY THE ELIGIBILITY REQUIREMENTS OF SERP II AS OF JANUARY 1 2020, OR REMAIN IN ACTIVE EMPLOYMENT AND WILL SATISFY THOSE REQUIREMENTS PRIOR TO DECEMBER 31, 2027. AN ELIGIBLE EXECUTIVE BECOMES A PARTICIPANT IN THE SEDB PLAN IF THE EXECUTIVE DIES PRIOR TO TERMINATION OF EMPLOYMENT, PROVIDED THE EXECUTIVE HAS NOT SATISFIED ALL THE ELIGIBILITY REQUIREMENTS OF SERP II AS OF THE EXECUTIVE'S DATE OF DEATH BUT WOULD HAVE SATISFIED ALL THOSE REQUIREMENTS WITHIN FIVE (5) YEARS FOLLOWING DEATH HAD THE EXECUTIVE LIVED AND CONTINUED EMPLOYMENT. THE SEDB PLAN WILL TERMINATE AUTOMATICALLY AFTER DECEMBER 31, 2027. FLEX PLAN FLEX PLAN SERP II SERP III CONTR. DISTR.* CONTR./DISTR. CONTR. RANDALL HAFFNER, PHD $ 150,000 $ 280,729 $ 740,512 $ 0 RICHARD CARROLL $ 0 $ 0 $ 1,323,096 $ 0 BRENT SNYDER $ 149,881 $ 135,569 $ 0 $ 0 MICHAEL MURRILL $ 0 $ 0 $ 0 $ 49,977 * INCLUDING INVESTMENT EARNINGS
FORM 990, PART VII, SECTION A, LINE 5:	DEBORAH SCHIMEROSWKI, REGIONAL CFO, WAS COMPENSATED BY PRESENCE CARE TRANSFORMATION CORPORATION IN 2020 AND HERBERT BUCHANAN WAS COMPENSATED BY ALEXIAN BROTHERS HEALTH SYSTEM IN 2020 FOR SERVICES PROVIDED TO THE FILING ORGANIZATION. PRESENCE CARE TRANSFORMATION CORPORATION AND ALEXIAN BROTHERS HEALTH SYSTEM ARE AFFILIATED WITH THE FILING ORGANIZATION. PLEASE SEE OUR RESPONSE TO FORM 990, PART VI, SECTION A, LINE 7B FOR A DISCUSSION CONCERNING THE FILING ORGANIZATION'S AFFILIATION WITH ALEXIAN BROTHERS HEALTH SYSTEM THROUGH THE JOINT OPERATING COMPANY KNOWN AS AMITA HEALTH. COMPENSATION FOR THESE INDIVIDUAL'S SERVICES PROVIDED TO THE FILING ORGANIZATION IS DISCLOSED IN PART VII, LINE 1A, AND SCHEDULE J, PART II.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (13 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 6	ADVENTIST MIDWEST HEALTH (THE FILING ORGANIZATION) HAS ONE MEMBER. THE SOLE MEMBER OF THE FILING ORGANIZATION IS ADVENTIST HEALTH SYSTEM/SUNBELT, INC. (AHSSI). AHSSI 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 MEMBERS OF THE BOARD OF DIRECTORS (GOVERNING BOARD) OF THE FILING ORGANIZATION ARE APPOINTED BY THE CORPORATE MEMBER, ADVENTIST HEALTH SYSTEM/SUNBELT, INC. THE CORPORATE MEMBER IS ENTITLED TO ELECT NOT LESS THAN EIGHTEEN (18) AND NO MORE THAN TWENTY THREE (23) VOTING MEMBERS TO THE BOARD OF DIRECTORS OF THE FILING ORGANIZATION PURSUANT TO THE PROVISIONS OF THE BYLAWS, SUBJECT TO THE RATIFICATION OF THE AMITA HEALTH BOARD OF DIRECTORS.
FORM 990, PART VI, SECTION A, LINE 7B	THE FILING ORGANIZATION IS ONE OF TWO MEMBERS AND IS A COVERED AFFILIATE OF THE JOC KNOWN AS AMITA HEALTH. THE OTHER MEMBER OF AMITA HEALTH IS ALEXIAN BROTHERS HEALTH SYSTEM. THE SOLE MEMBER OF THE FILING ORGANIZATION IS ADVENTIST HEALTH SYSTEM/SUNBELT, INC. (AHSSI). THE TOP-TIER PARENT OF AMH IS AHSSHC (SPONSOR). THE GOVERNING DOCUMENTS OF THE FILING ORGANIZATION PROVIDE FOR CERTAIN RESERVED POWERS TO EXERCISE FINANCIAL, MANAGERIAL, AND OPERATIONAL AUTHORITIES OVER THE FILING ORGANIZATION BY AHSSHC, AS SPONSOR, BY AHSSI AS MEMBER, BY BOTH MEMBERS OF THE JOC, NAMELY, AMH AND ALEXIAN BROTHERS HEALTH SYSTEM (MEMBERS), AND BY THE BOARD OF DIRECTORS OF THE JOC. CERTAIN GOVERNANCE POWERS ARE RESERVED TO AHSSI AS THE MEMBER OF THE FILING ORGANIZATION. THESE RESERVED POWERS INCLUDE THE ALTERATION, RESTATEMENT OR REPEAL OF THE ARTICLES OF INCORPORATION, BYLAWS OR MISSION STATEMENT OF THE FILING ORGANIZATION, PROVIDED THAT SUCH ACTIONS ARE NOT INCONSISTENT WITH THE JOC BYLAWS OR THE AFFILIATION AGREEMENT AND THE APPOINTMENT OF THE FILING ORGANIZATION'S BOARD OF DIRECTORS, SUBJECT TO THE RATIFICATION OF THE JOC BOARD OF DIRECTORS. FINANCIAL AUTHORITIES RESERVED TO THE SPONSOR, THE BOARD OF DIRECTORS OF THE JOC, AND BY BOTH MEMBERS OF THE JOC INCLUDE THE APPROVAL OF ANY DISPOSITION OF THE FILING ORGANIZATION'S ASSETS AND ANY INTERNAL TRANSFER OF THE FILING ORGANIZATION'S ASSETS. THE SPONSOR, THE BOARD OF DIRECTORS OF THE JOC, AND BOTH MEMBERS OF THE JOC MAY APPROVE SUCH DISPOSITIONS OR TRANSFERS UP TO ESTABLISHED ASSET DOLLAR VALUES AS SET FORTH IN THE BYLAWS OF THE FILING ORGANIZATION. ANNUAL OPERATING AND CAPITAL BUDGETS OF THE FILING ORGANIZATION MUST BE RATIFIED BY BOTH SPONSORS OF THE JOC. THE BOARD OF DIRECTORS OF THE JOC MUST APPROVE ANY CAPITAL EXPENDITURE TO BE MADE BY THE FILING ORGANIZATION IN EXCESS OF $10 MILLION. OPERATIONAL AUTHORITIES RESERVED TO THE BOARD OF DIRECTORS OF THE JOC INCLUDE THE DETERMINATION OF THE SERVICES TO BE PROVIDED BY THE FILING ORGANIZATION, INCLUDING THE AUTHORITY TO DIRECT THE EXPANSION, REDUCTION AND CONSOLIDATION OF CLINICAL PROGRAMS, PATIENT CARE SERVICES AND ADMINISTRATIVE CAPABILITIES OR OTHER MAJOR CHANGES IN THE OPERATION OF THE FILING ORGANIZATION.
FORM 990, PART VI, SECTION B, LINE 11B	THE FILING ORGANIZATION'S CURRENT YEAR FORM 990 WAS REVIEWED BY THE BOARD CHAIRMAN, CEO AND BY THE CFO PRIOR TO ITS FILING WITH THE IRS. THE REVIEW CONDUCTED BY THE BOARD CHAIRMAN, 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 CONFLICT OF INTERESTS, 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 ON THE PAYROLL OF THE FILING ORGANIZATION, HOWEVER THE COMPENSATION PACKAGE OF THESE EXECUTIVES IS DETERMINED BY THE JOINT OPERATING COMPANY, ALEXIAN BROTHERS-AHS MIDWEST REGION HEALTH CO. DBA AMITA HEALTH. AS NOTED IN OUR RESPONSE TO PART VI, SECTION A, LINE 7B, THE FILING ORGANIZATION IS A COVERED AFFILIATE IN THE JOC KNOWN AS AMITA HEALTH. PLEASE SEE THE DISCUSSION CONCERNING THE PROCESS FOLLOWED BY AMITA HEALTH 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) WHO DEVOTE LESS THAN FULL-TIME TO THE FILING ORGANIZATION (BASED UPON THE AVERAGE NUMBER OF HOURS PER WEEK SHOWN IN COLUMN (B) ON PAGE 7 OF THE RETURN) THE COMPENSATION AMOUNTS SHOWN IN COLUMNS (E) AND (F) ON PAGE 7 WERE PROVIDED IN CONJUNCTION WITH THAT PERSON'S RESPONSIBILITIES AND ROLES IN SERVING IN AN EXECUTIVE LEADERSHIP POSITION WITHIN ADVENTHEALTH OR AMITA HEALTH. PHYSICIAN MEMBERS OF THE BOARD OF DIRECTORS RECEIVED COMPENSATION FROM RELATED ORGANIZATIONS AS A RESULT OF PROVIDING VARIOUS MEDICAL SERVICES TO THOSE RELATED ENTITIES.
FORM 990, PART VIII, LINES 7A, B AND C:	THE AMOUNTS SHOWN IN PART VIII, LINES 7A(I) AND 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 PROFESSIONAL: PROGRAM SERVICE EXPENSES 15,508,555. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 15,508,555. PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 3,790,756. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,790,756. PURCHASED MEDICAL SERVICES: PROGRAM SERVICE EXPENSES 5,862,272. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 5,862,272. ENVIRONMENTAL SERVICES: PROGRAM SERVICE EXPENSES 7,506,264. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 7,506,264. RECRUITING: PROGRAM SERVICE EXPENSES 6,346. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 6,346. FOOD SERVICE CONTRACTS: PROGRAM SERVICE EXPENSES 7,617,304. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 7,617,304. OTHER PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 27,898,493. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 27,898,493. AH MANAGEMENT FEES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 16,331,296. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 16,331,296. BILLING & COLLECTION SERVICES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 17,249,029. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 17,249,029.
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:	INTEREST IN FOUNDATION 1,743,043. TRANSFER TO TAX-EXEMPT PARENT -3,491,370. TRANSFER FOR EXPENSES -195,818. OTHER -29,616. TEMPORARILY RESTRICTED GIFTS 500,000.
PART XII, LINES 3A AND 3B:	FOR THE 2020 FISCAL YEAR ENDING DECEMBER 31, 2020, ADVENTHEALTH WAS SUBJECT TO THE SINGLE AUDIT REQUIREMENTS, AS SET FORTH IN THE REGULATIONS AT 2 CFR PART 200, SUBPART F. AS A CALENDAR YEAR TAXPAYER, THE DEADLINE TO COMPLETE AND SUBMIT THE SINGLE AUDIT REPORTING PACKAGE TO THE FEDERAL AUDIT CLEARINGHOUSE, AS REQUIRED UNDER SUBPART F OF 2 CFR 200.501, IS SEPTEMBER 30, 2021. HOWEVER, ON MARCH 19TH, 2021, THE OFFICE OF MANAGEMENT AND BUDGET (OMB) ISSUED MEMORANDUM M21-20, WHICH OUTLINED THE OMB'S EFFORTS TO SUPPLEMENT THE SUPPORT IN THE AMERICAN RESCUE PLAN ACT OF 2021 (ARP), PROMOTE PUBLIC TRUST IN THE FEDERAL GOVERNMENT'S STEWARDSHIP OF TAXPAYER RESOURCES, AND ALLEVIATE SOME OF THE ADMINISTRATIVE CHALLENGES RELATED TO THE CORONAVIRUS PANDEMIC. AS PART OF THE ADMINISTRATIVE RELIEF INCLUDED IN MEMORANDUM M21-20, THE OMB PROVIDED A SIX-MONTH EXTENSION OF TIME TO COMPLETE AND SUBMIT THE SINGLE AUDIT REPORTING PACKAGE. THE EXTENDED REPORTING DEADLINE FOR CALENDAR YEAR TAXPAYERS IS MARCH 31, 2022.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (105 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 FAMILY MEDICINE RURAL HEALTH CLINICS INC
187 PR 4060	LAMPASAS	TX	76550	271858033	OPERATION OF RURAL HEALTH CLINICS & MEDICAL SERVICES	FL	501(C)(3)	LINE 3	METROPLEX ADVENTIST HOSPITAL INC	Yes (1)
ADVENTHEALTH FOUNDATION SHAWNEE MISSION
9100 W 74TH STREET	SHAWNEE MISSION	KS	66204	480868859	FUND-RAISING FOR TAX-EXEMPT HOSPITAL	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 12A, I	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 12A, I	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 SENIOR CARE INC FKA AH OSCEOLA SOUTH INC
900 HOPE WAY	ALTAMONTE SPRINGS	FL	32714	841817046	INACTIVE	FL	501(C)(3)	LINE 3	ADVENTIST HLTH SYSTEM SUNBELT HLTHCARE CORP	Yes (1)
ADVENTHEALTH SOUTH OVERLAND PARKINC FKA MERRIAM HLTH CARE PROP
7820 W 165TH STREET	OVERLAND PARK	KS	66223	364595806	INACTIVE	KS	501(C)(3)	LINE 3	ADVENTIST HLTH MID-AMERICA INC	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 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 SVCS INC
14055 RIVEREDGE DRIVE STE 250	TAMPA	FL	33637	471881744	OPERATION OF IMAGING CENTER & MEDICAL SERVICES	FL	501(C)(3)	LINE 10	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 10	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 HLTH 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 HLTH PARTNERS INC
2601 NAVISTAR DR BLDG 4 FINANCE	LISLE	IL	60532	364138353	OPERATION OF PHYSICIAN PRACTICES & MEDICAL SERVICES	IL	501(C)(3)	LINE 3	AHS MIDWEST MANAGEMENT INC	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 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 SYSTEMSUNBELT INC
900 HOPE WAY	ALTAMONTE SPRINGS	FL	32714	591479658	OPERATION OF HOSPITAL & 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 HOSPITAL & RELATED SERVICES	IL	501(C)(3)	LINE 3	ADVENTIST HLTH SYSTEMSUNBELT INC	Yes (1)
AHP SPECIALTY CARE NFP
2601 NAVISTAR DR BLDG 4 FINANCE	LISLE	IL	60532	811105774	OPERATION OF PHYSICIAN PRACTICES & MEDICAL SERVICES	IL	501(C)(3)	LINE 3	AHS MIDWEST MANAGEMENT INC	Yes (1)
AHS MIDWEST MANAGEMENT INC
2601 NAVISTAR DR BLDG 4 FINANCE	LISLE	IL	60532	363354567	OPERATION OF PHYSICIAN PRACTICE MGMT	IL	501(C)(3)	LINE 12A, I	ADVENTIST MIDWEST HEALTH	Yes (1)
AHSCENTRAL TEXAS INC (11-12142020)
11801 S FREEWAY	BURLESON	TX	76028	742621825	PROVIDE OFFICE SPACE - MEDICAL PROFESSIONALS	TX	501(C)(3)	LINE 12C, III-FI	ADVENTIST HLTH SYSTEM SUNBELT HLTHCARE CORP	Yes (1)
ALEXIAN BROTHERS-AHS MIDWEST REGION HEALTH CO DBA AMITA HEALTH
2601 NAVISTAR DR BLDG 4 FINANCE	LISLE	IL	60532	472360513	JOINT OPERATING COMPANY	IL	501(C)(3)	LINE 12B, II		0	N/A
APOPKA HLTH 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)
BATTLE CREEK ADVENTIST HOSPITAL
900 HOPE WAY	ALTAMONTE SPRINGS	FL	32714	381359189	INACTIVE	MI	501(C)(3)	LINE 3	ADVENTIST HLTH SYSTEMSUNBELT 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	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)
CENTRAL TEXAS HLTHCARE COLLABORATIVE (11-3312020)
1301 WONDER WORLD DRIVE	SAN MARCOS	TX	78666	453739929	SUPPORT OPERATION OF HOSPITAL	TX	501(C)(3)	LINE 12A, I	ADVENTIST HLTH SYSTEMSUNBELT INC	Yes (1)
CHICKASAW HLTH 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 (619 - 12312020)
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 HLTH 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	KY	501(C)(3)	LINE 10	SUNBELT HLTH CARE CENTERS INC	Yes (1)
DAIRY ROAD HLTH 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 HLTH & 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
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 SVCS	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 SVCS	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 SVCS	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	THERAPY SERVICES TO TAX EXEMPT NURSING HOMES	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 HLTH 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 HLTH 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 HLTHCARE 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	SUPPORT OF SUBSIDIARY FOUNDATIONS	IL	501(C)(3)	LINE 7		0	N/A
MILLS HEALTH & REHAB CENTER INC
485 NORTH KELLER ROAD 250	MAITLAND	FL	32751	205782320	INACTIVE	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 HLTH CARE SERVICES	MO	501(C)(3)	LINE 12D, III-O	ADVENTIST HLTH MID-AMERICA INC	Yes (1)
ORMOND BEACH MEMORIAL HOSPITAL AUXILIARY INC
301 MEMORIAL MEDICAL PARKWAY	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 HOSPITAL & 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	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 HLTHCARE SERVICES	FL	501(C)(3)	LINE 10	ADVENTIST HLTH SYSTEM SUNBELT HLTHCARE CORP	Yes (1)
QUALITY CIRCLE FOR HLTHCARE INC
900 HOPE WAY	ALTAMONTE SPRINGS	FL	32714	263789368	HLTHCARE QUALITY SERVICES	FL	501(C)(3)	LINE 12A, I	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 YEAR END)
7995 E PRENTICE AVE 204	GREENWOOD VILLAGE	CO	80111	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 HLTH CARE PROPERTIES INC
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 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 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 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 HLTH 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 HLTH 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 HLTHCARE 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)
SPECIALTY PHYSICIANS OF CENTRAL TEXAS INC (11-3312020)
1301 WONDER WORLD DRIVE	SAN MARCOS	TX	78666	208814408	PHYSICIAN HLTHCARE SERVICES TO THE COMMUNITY	TX	501(C)(3)	LINE 3	ADVENTIST HLTH SYSTEMSUNBELT INC	Yes (1)
SPRING VIEW HLTH & REHAB CENTER INC
485 NORTH KELLER ROAD 250	MAITLAND	FL	32751	205782288	INACTIVE	KY	501(C)(3)	LINE 10	SUNBELT HLTH CARE CENTERS INC	Yes (1)
SUNBELT HLTH & 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 HLTH 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 HLTH 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	LEASE TO RELATED ORGANIZATION	FL	501(C)(3)	LINE 12C, III-FI	ADVENTIST HLTH SYSTEM SUNBELT HLTHCARE CORP	Yes (1)
THE VOLUNTEER AUXILIARY OF FLORIDA HOSPITAL - FLAGLER INC
60 MEMORIAL MEDICAL PARKWAY	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)
TRINITY NURSING & REHAB CENTER INC (11-91020)
485 NORTH KELLER ROAD 250	MAITLAND	FL	32751	205774890	OPERATION OF HOME FOR THE AGED/HLTHCARE DELIVERY	KS	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 12A, I		0	N/A
UNIVERSITY COMMUNITY HOSPITAL INC
3100 E FLETCHER AVE	TAMPA	FL	33613	591113901	OPERATION OF HOSPITAL & 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 FL AMBULATORY SVCS INC	Yes (1)
ZEPHYR HAVEN HLTH & 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 HLTH & REHAB CENTER INC
7350 DAIRY ROAD	ZEPHYRHILLS	FL	33540	205774967	OPERATION OF HOME FOR THE AGED/HLTHCARE DELIVERY	FL	501(C)(3)	LINE 10	SUNBELT HLTH CARE CENTERS INC	Yes (1)

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (10 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Direct Controlling NADirectControllingNACd	Disproportionate AllocationsDisproportionateAllocationsInd	General Or Managing PartnerGeneralOrManagingPartnerInd
FLETCHER HOSPITAL SURGICAL VENTURES LLC
9131 ANSON WAY STE 304	RALEIGH	NC	27615	861482646	INDIRECT INTEREST IN SURGERY CENTER	NC	N/A	0	0
FLORIDA HOSPITAL DMERT LLC
500 WINDERLEY PLACE STE 324	MAITLAND	FL	32751	202392253	MEDICAL EQUIPMENT	FL	N/A	0	Yes (1)
FLORIDA HOSPITAL HOME INFUSION LLP
500 WINDERLEY PLACE STE 226	MAITLAND	FL	32751	593142824	HOME INFUSION SERVICES	FL	N/A	0	Yes (1)
FUNCTIONAL NEUROSURGICAL AMBULATORY SURGERY CTR LLC
11 W DRY CREEK CIRCLE 120	LITTLETON	CO	80120	464426708	SURGERY CENTER	CO	N/A	0	0
HEART OF FLORIDA SURGERY CENTER LLC (11 -10152020)
410 LIONEL WAY 100	DAVENPORT	FL	33837	812235296	SURGERY CENTER	DE	N/A	0	Yes (1)
PAHS ONPOINT URGENT CARE LLC
9100 E MINERAL CIRCLE	CENTENNIAL	CO	80112	832465331	URGENT CARE CENTER	CO	N/A	0	0
PRINCETON HOMECARE SERVICES LLC
1050 FORRER BLVD	KETTERING	OH	45420	814196648	OPERATION OF HOME HEALTH AGENCY	FL	N/A	0	0
SAN MARCOS MRI LP
1330 WONDER WORLD DR STE 202	SAN MARCOS	TX	78666	770597972	IMAGING & TESTING	TX	N/A	0	0
THE BARIATRIC CENTER OF KANSAS CITY LLC
9100 W 74TH STREET	MERRIAM	KS	66204	823025378	SURGERY CENTER	KS	N/A	0	0
URGENT CARE CTRS OF BREVARD COUNTY LLC (14-12312020)
2600 WESTHALL LANE	MAITLAND	FL	32751	844261523	URGENT CARE CENTERS	FL	N/A	0	Yes (1)

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (19 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Direct Controlling NADirectControllingNACd	Entity TypeEntityTypeTxt	Controlled OrganizationControlledOrganizationInd
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)
CC MOB INC
2201 S CLEAR CREEK ROAD	KILLEEN	TX	76549	742616875	REAL ESTATE RENTAL	TX	N/A	C	Yes (1)
CENTRAL TEXAS MEDICAL ASSOCIATES
1301 WONDER WORLD DRIVE	SAN MARCOS	TX	78666	742729873	INACTIVE	TX	N/A	C	Yes (1)
CENTRAL TEXAS PROVIDERS NETWORK (11-3312020)
1301 WONDER WORLD DRIVE	SAN MARCOS	TX	78666	742827652	PHYSICIAN HOSPITAL ORG.	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	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)
LN HEALTH PARTNERS INC (11 - 9102020)
550 E ROLLINS STREET 6TH FLOOR	ORLANDO	FL	32803	813556903	INACTIVE	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	LESSOR/HOLDING CO.	TN	N/A	C	Yes (1)
ORMOND PROF ASSOCIATES CONDO ASSOC'N INC (430 YEAR END)
770 W GRANADA BLVD STE 101	ORMOND BEACH	FL	32174	592694434	CONDO ASSOCIATION	FL	N/A	C	Yes (1)
PARK RIDGE PROPERTY OWNER'S ASSOCIATION INC
1 PARK PLACE NAPLES ROAD	FLETCHER	NC	28732	030380531	CONDO ASSOCIATION	NC	N/A	C	Yes (1)
PORTER AFFILIATED HEALTH SERVICES INC
2525 S DOWNING STREET	DENVER	CO	80210	840956175	HEALTHCARE SERVICES	CO	N/A	C	Yes (1)
SAN MARCOS REGIONAL MRI INC (11-3312020)
1301 WONDER WORLD DRIVE	SAN MARCOS	TX	78666	770597968	HOLDING COMPANY	TX	N/A	C	Yes (1)
THE GARDEN RETIREMENT COMMUNITY INC
485 NORTH KELLER ROAD STE 250	MAITLAND	FL	32751	593414055	REAL ESTATE RENTAL	FL	N/A	C	Yes (1)
WINTER PARK MEDICAL OFFICE BUILDING I CONDO ASSOC INC
601 EAST ROLLINS STREET	ORLANDO	FL	32803	452228478	CONDO ASSOCIATION	FL	N/A	C	Yes (1)

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	0	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	Yes (1)	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	Yes (1)	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	0	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	0	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	0	DivRelatedOrganizationInd
Asset Sale To Other Org	0	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	0	AssetPurchaseFromOtherOrgInd
Asset Exchange	0	AssetExchangeInd
Rental Of Facilities To Oth Org	0	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	0	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	Yes (1)	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	Yes (1)	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	0	SharingOfFacilitiesInd
Paid Employees Sharing	0	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	Yes (1)	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	Yes (1)	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	0	TransferToOtherOrgInd
Transfer From Other Org	Yes (1)	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (25 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
ADVENTIST HEALTH SYSTEM SUNBELT HEALTHCARE CORPORATION
M	$4,636,444	% OF FACILITY'S OPERATING EXPENSE
ADVENTIST HEALTH SYSTEM SUNBELT HEALTHCARE CORP DBA AHS INFORMATION SERVICE
M	$13,835,476	% OF FACILITY'S OPERATING EXPENSE
ADVENTIST HEALTH SYSTEM SUNBELT HEALTHCARE CORPORATION
P	$7,204,807	COST
ADVENTIST HEALTH SYSTEM SUNBELT HEALTHCARE CORP DBA AHS INFORMATION SERVICE
P	$206,805	COST
ADVENTIST HEALTH SYSTEM SUNBELT HEALTHCARE CORPORATION
B	$3,491,369	ACTUAL AMOUNT GIVEN
ADVENTIST BOLINGBROOK HOSPITAL
Q	$50,286,288	COST
ADVENTIST GLENOAKS HOSPITAL
Q	$18,110,380	COST
ADVENTIST HEALTH PARTNERS INC
Q	$34,606,691	COST
AHS MIDWEST MANAGEMENT INC
Q	$4,186,754	COST
NORTH AMERICAN HEALTH SERVICES INC
Q	$26,649	COST
ADVENTIST BOLINGBROOK HOSPITAL
P	$5,421,945	COST
ADVENTIST GLENOAKS HOSPITAL
P	$2,649,261	COST
ADVENTIST HEALTH PARTNERS INC
P	$4,765,641	COST
AHS MIDWEST MANAGEMENT INC
P	$365,183	COST
NORTH AMERICAN HEALTH SERVICES INC
P	$75,698	COST
ADVENTIST BOLINGBROOK HOSPITAL
L	$20,423,223	PERCENTAGE OF REGIONAL COSTS
ADVENTIST GLENOAKS HOSPITAL
L	$12,756,841	PERCENTAGE OF REGIONAL COSTS
AHS MIDWEST MANAGEMENT INC
L	$10,790,952	PERCENTAGE OF REGIONAL COSTS
NORTH AMERICAN HEALTH SERVICES INC
L	$53,856	PERCENTAGE OF REGIONAL COSTS
ADVENTIST HEALTH PARTNERS INC
L	$8,541,345	PERCENTAGE OF REGIONAL COSTS
HINSDALE HOSPITAL FOUNDATION
C	$1,719,803	ACTUAL AMOUNT RECEIVED
MIDWEST HEALTH FOUNDATION
C	$240,345	ACTUAL AMOUNT RECEIVED
HINSDALE HOSPITAL FOUNDATION
B	$149,399	ACTUAL AMOUNT GIVEN
MIDWEST HEALTH FOUNDATION
B	$833,933	ACTUAL AMOUNT GIVEN
ALEXIAN BROTHERS - AHS MIDWEST REGION HEALTH CO
S	$10,768,094	ACTUAL AMOUNT RECEIVED