2021-11-15T12:43:54-06:00 2020-12-31 990 2020-01-01 581425000 ADVENTIST HEALTH SYSTEM GEORGIA INC ADVE 7066027800 1035 RED BUD ROAD NE CALHOUN GA 30701 LYNN C ADDISCOTT ASSISTANT SECRETARY 4079751492 2021-11-15 LYNN ADDISCOTT 999009999 2 AAL1 IAL1 2020 2022-09-23 18:48:47Z X MICHAEL MURRILL 1035 RED BUD ROAD NE CALHOUN GA 30701 196950585 0 1071 X WWW.ADVENTHEALTH.COM X 1981 GA THE PROVISION OF MEDICAL CARE TO THE COMMUNITY THROUGH THE OPERATION OF TWO HOSPITALS. 12 5 1580 70 74061 0 374964 4854437 185705109 190641094 3470741 1377162 25500 8500 189576314 196881193 83881 100213 0 0 97005548 101328749 0 0 0 79250446 89291958 176339875 190720920 13236439 6160273 227869617 247927770 65866031 78032978 162003586 169894792 X 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. 0 0 173570382 100213 190575533 OPERATION OF ADVENTHEALTH GORDON, A 69-BED ACUTE CARE HOSPITAL WITH 3,781 PATIENT ADMISSIONS, 18,161 PATIENT DAYS, AND 83,533 OUTPATIENT VISITS; OF ADVENTHEALTH MURRAY, A 42-BED ACUTE CARE HOSPITAL WITH 587 PATIENT ADMISSIONS, 1,512 PATIENT DAYS, AND 37,219 OUTPATIENT VISITS; AND OF A MEDICAL GROUP WITH 257,885 PHYSICIAN/PATIENT ENCOUNTERS/VISITS DURING THE CURRENT YEAR. 173570382 1 1 0 1 0 0 0 0 0 0 1 0 0 0 1 1 0 1 0 0 0 0 0 0 0 0 1 1 1 0 1 0 0 0 0 0 0 1 1 0 0 0 0 0 1 1 1 0 0 1 0 0 1580 1 1 1 0 0 0 0 0 0 0 0 0 0 0 X 12 5 1 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 0 0 0 GA X ALAN GUYTON 7066027800 1035 RED BUD ROAD NE CALHOUN GA 30701 X HAFFNER PHD RANDALL L CHAIRMAN/DIR 0.20 50.00 X 0 2876292 209336 SOLER EDDIE DIRECTOR 0.10 50.00 X 0 1210478 187520 LEE HAK JOO PHYSICIAN 44.60 0.00 X 1072720 0 44200 LAND ADAM PHYSICIAN 42.10 0.00 X 971058 0 46520 KING STEPHEN PHYSICIAN 40.30 0.00 X 889769 0 41494 REEVES CORY D CFO (ENDED 5/2020) 22.50 27.50 X 0 814688 95689 BOX MD J BRENT DIRECTOR 0.20 50.00 X 0 749494 132963 MURRILL MICHAEL CEO/DIRECTOR (BEGAN 6/2020) 25.00 25.00 X X 0 732406 104121 AHN DANIEL S PHYSICIAN 40.30 0.00 X 748834 0 45977 WEBER PETER M CEO/DIR/SECRETARY (ENDED 6/2020) 25.00 25.00 X X 0 716154 70703 GUYTON ALAN VP/CFO (BEGAN 4/2020) 22.50 27.50 X 0 494225 107745 KEIZER MD LAVERNE DIRECTOR 50.60 0.00 X 540434 0 41494 GARNER NORMAN PHYSICIAN 50.00 0.00 X 535679 0 41624 BOX MD CRAIG DIRECTOR 41.20 0.00 X 525002 0 41501 JOYAVE MD JOSEPH L CO-CMO 50.00 0.00 X 0 474776 75430 PARROTT MD MAX CO-CMO 52.90 0.00 X 314191 0 39836 JORDON AMELIA D CNO 50.00 0.00 X 0 310869 40166 STEELY KAREN M COO 50.00 0.00 X 0 261909 50431 LIVESAY DONALD DIRECTOR 0.20 0.00 X 0 12000 0 RUSTAD GARY DIRECTOR 0.20 0.00 X 0 4274 0 BROWN JEFF DIRECTOR 0.20 0.00 X 500 0 0 FEHLENBERG STEVEN DIRECTOR 0.20 0.00 X 500 0 0 LANCE DAVID DIRECTOR 0.20 0.00 X 480 0 0 PITTMAN BRITTANY DIRECTOR 0.20 0.00 X 480 0 0 5599647 8657565 1416750 128 0 1 0 PT SOLUTIONS HOLDINGS LLC PO BOX 724557 ATLANTA GA 31139 PHYSICAL THERAPY SERVICES 4595276 SIEMENS MEDICAL SOLUTIONS USA INC 40 LIBERTY BLVD MALVERN PA 19355 SERVICE CONTRACTS 2064979 BRASFIELD & GORRIE LLC 2999 CIRCLE 75 PARKWAY ATLANTA GA 30339 CONSTRUCTION SERVICES 1659816 AMN HEALTHCARE INC 12400 HIGH BLUFF DR SAN DIEGO CA 92130 STAFFING SERVICES 938464 MURRAY EMERGENCY PHYSICIANS LLC PO BOX 740666 ATLANTA GA 30374 PHYSICIAN STAFFING SERVICES 830773 44 X 45135 4252342 556960 4854437 NET PATIENT REVENUE 622110 189651210 189577149 74061 CAFETERIA REVENUE 622110 312781 312781 PHARMACY REVENUE 622110 267347 267347 MEDICAL OFFICE BUILDING 622110 250250 250250 GIFT SHOP REVENUE 622110 61563 61563 97943 97943 190641094 1378239 1378239 68315 46683 22709 -46683 45606 -1077 -1077 EHR REVENUE 622110 8500 8500 8500 196881193 190575533 74061 1377162 X 100213 100213 4543391 1433612 3109779 74212701 74212701 2886521 2789652 96869 14342668 13565652 777016 5343468 5164038 179430 163796 163796 52917 52917 241752 241752 22984843 14834137 8150706 2000928 2000928 5295546 4055750 1239796 6574672 6109461 465211 6152027 6152027 277420 22659 254761 149651 149651 1087086 1087086 9578308 9578308 2555359 2391479 163880 MEDICAL SUPPLIES 24092813 24092813 REPAIRS & MAINTENANCE 5887671 5887671 STATE TAX INDIGENT ASSE 2021250 2021250 175919 71873 104046 190720920 173570382 17150538 0 X 7894 7994 93401623 102853469 23734742 30392631 3344477 5623974 2966714 3759897 181777537 86079559 96992848 95697978 7421319 9591827 227869617 247927770 15741077 14622637 182873 91778 49942081 63318563 65866031 78032978 X 161976318 169417271 27268 477521 162003586 169894792 227869617 247927770 X 6160273 1915262 -184329 X X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 14224 14224 0 PART II-B, LINE 1: MEMBER DUES PAID TO THE AMERICAN HOSPITAL ASSOCIATION AND THE GEORGIA HOSPITAL ASSOCIATION THAT REPRESENT LOBBYING ACTIVITIES CONDUCTED BY THESE TWO ASSOCIATIONS. 6405677 6405677 102870718 39026598 63844120 67877352 46002510 21874842 4623790 1050451 3573339 95697978 DUE TO RELATED 14442108 PAYABLE TO THIRD PARTIES 2005068 ACCRUED INTEREST PAYABLE 7355 CREDIT BALANCES IN A/R 1195299 OTHER DEFERRED REVENUE 3182947 INTERCO ALLOC OF TE BOND PROCEEDS 36589239 OPERATING LEASE LIABILITY 4354238 OTHER LIABILITIES 1542309 63318563 X 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. 1 1 X 1 X 0 1 1 0 1 1 12152463 12152463 0.06370 27584320 18630904 8953416 0.04690 39736783 18630904 21105879 0.11060 2886385 2886385 0.01510 2886385 2886385 0.01510 42623168 18630904 23992264 0.12570 1 21158266 1877657 31009265 31350850 -341585 X 1 1 2 1 ADVENTHEALTH GORDON 1035 RED BUD ROAD CALHOUN GA 30701 WWW.ADVENTHEALTH.COM 064-334 X X X 2 ADVENTHEALTH MURRAY 707 OLD DALTON ELLIJAY ROAD CHATSWORTH GA 30705 WWW.ADVENTHEALTH.COM 105-706 X X X ADVENTHEALTH GORDON 1 0 0 1 X X X X X X X X X 19 1 0 0 1 X SEE PART V, PAGE 8 X X 1 20 1 SEE PART V, PAGE 8 0 1 X 200.000000000000 X X X X X 1 1 X X X X 1 X SEE PART V, PAGE 8 X SEE PART V, PAGE 8 X SEE PART V, PAGE 8 X X X X X X 1 X 0 X X X X 1 X 0 0 ADVENTHEALTH MURRAY 2 0 0 1 X X X X X X X X X 19 1 0 0 1 X SEE PART V, PAGE 8 X X 1 20 1 SEE PART V, PAGE 8 0 1 X 200.000000000000 X X X X X 1 1 X X X X 1 X SEE PART V, PAGE 8 X SEE PART V, PAGE 8 X SEE PART V, PAGE 8 X X X X X X 1 X 0 X X X X 1 X 0 0 ADVENTHEALTH GORDON PART V, SECTION B, LINE 5: ADVENTIST HEALTH SYSTEM GEORGIA, INC., DBA ADVENTHEALTH GORDON (AHG OR THE HOSPITAL), SERVES GORDON COUNTY RESIDENTS IN NORTHWEST GEORGIA. AHG IS A 69-BED COMMUNITY HOSPITAL LOCATED IN CALHOUN, GEORGIA AND IS THE ONLY HOSPITAL LOCATED WITHIN GORDON COUNTY. THE HOSPITAL'S PRIMARY SERVICE AREA INCLUDES ALL ZIP CODES WITHIN GORDON COUNTY. THE POPULATION OF GORDON COUNTY IS APPROXIMATELY 193,283 WITH AN AVERAGE PER CAPITA INCOME OF APPROXIMATELY $19,750. THE 2019 COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) FOR THE HOSPITAL WAS BUILT ON INPUT FROM PEOPLE REPRESENTING THE BROAD COMMUNITY, AS WELL AS LOW-INCOME, MINORITY AND OTHER MEDICALLY UNDERSERVED POPULATIONS. PRIMARY DATA WAS COLLECTED THROUGH COMMUNITY SURVEYS AND STAKEHOLDER INTERVIEWS.A. COMMUNITY SURVEYS - PAPER SURVEY QUESTIONNAIRES WERE COLLECTED AT HEALTH FAIRS, HEALTH SCREENINGS, BLOOD PRESSURE SCREENINGS AND BLOOD PRESSURE CLINICS SET UP AT THE LOCAL WAL-MART, LOCAL CHURCHES AND THE GORDON COUNTY FAMILY CONNECTIONS OFFICE. ONLINE SURVEYS WERE DISTRIBUTED VIA EMAIL. THE COMMUNITY COMPLETED 321 SURVEYS (194 PAPER AND 127 ONLINE). B. STAKEHOLDER INTERVIEWS - TWENTY-THREE STAKEHOLDER INTERVIEWS WERE CONDUCTED WITH INDIVIDUALS. ADDITIONALLY, TWO FOCUS GROUP DISCUSSIONS, WITH FOUR PARTICIPANTS IN EACH GROUP, COMPRISED OF REPRESENTATIVES FROM COMMUNITY ORGANIZATIONS, WHICH SERVE LOW INCOME COMMUNITY MEMBERS, WERE HELD.A COMMUNITY HEALTH NEEDS ASSESSMENT COMMITTEE (CHNAC) WAS FORMED TO HELP ADVENTHEALTH GORDON CONDUCT A COMPREHENSIVE ASSESSMENT OF THE COMMUNITY. THE COMMITTEE INCLUDED REPRESENTATION FROM THE HOSPITAL, PUBLIC HEALTH OFFICIALS AND THE BROAD COMMUNITY AS WELL AS REPRESENTATION FROM LOW-INCOME, MINORITY AND OTHER UNDERSERVED POPULATIONS. COMMUNITY MEMBERS OF THE CHNAC REPRESENTED THE FOLLOWING ORGANIZATIONS: - GEORGE CHAMBERS RESOURCE CENTER, AN ORGANIZATION PROVIDING TRAINING FOR HANDICAPPED ADULTS - GORDON COUNTY SENIOR CENTER, AN ORGANIZATION PROVIDING PROGRAMS AND MEALS FOR SENIOR CITIZENS - GORDON COUNTY HEALTH DEPARTMENT - GORDON COUNTY CHAMBER - FAMILY CONNECTION OF GORDON COUNTY, AN ORGANIZATION PROVIDING HELP FOR ABUSED CHILDREN - VOLUNTARY ACTION CENTER, AN ORGANIZATION PROVIDING EDUCATIONAL PROGRAMS AND ASSISTANCE FOR THE UNDERSERVED - GORDON COUNTY BOYS AND GIRLS CLUB ADVENTHEALTH MURRAY PART V, SECTION B, LINE 5: ADVENTIST HEALTH SYSTEM GEORGIA, INC, DBA ADVENTHEALTH MURRAY (AHM OR THE HOSPITAL), SERVES MURRAY COUNTY RESIDENTS IN NORTHWEST GEORGIA. AHM IS A 42-BED COMMUNITY HOSPITAL LOCATED IN CHATSWORTH, GEORGIA AND IS THE ONLY HOSPITAL LOCATED WITHIN MURRAY COUNTY. THE HOSPITAL'S PRIMARY SERVICE AREA INCLUDED ALL ZIP CODES WITHIN MURRAY COUNTY. THE POPULATION OF MURRAY COUNTY IS APPROXIMATELY 111,716 WITH AN AVERAGE PER CAPITA INCOME OF APPROXIMATELY $17,291.THE 2019 COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) FOR THE HOSPITAL WAS BUILT ON INPUT FROM PEOPLE REPRESENTING THE BROAD COMMUNITY, AS WELL AS LOW-INCOME, MINORITY AND OTHER MEDICALLY UNDERSERVED POPULATIONS. PRIMARY DATA WAS COLLECTED THROUGH COMMUNITY SURVEYS AND STAKEHOLDER INTERVIEWS.A. COMMUNITY SURVEYS - PAPER SURVEY QUESTIONNAIRES WERE DISTRIBUTED AND COLLECTED AT HEALTH FAIRS, HEALTH SCREENINGS, BLOOD PRESSURE SCREENINGS AND BLOOD PRESSURE CLINICS. MEMBERS OF THE COMMUNITY COMPLETED A TOTAL OF 200 SURVEYS (157 PAPER AND 43 ONLINE).B. STAKEHOLDER INTERVIEWS - NINE STAKEHOLDER INTERVIEWS AND TWO FOCUS GROUPS WITH FOUR PARTICIPANTS EACH WERE CONDUCTED WITH INDIVIDUALS REPRESENTING COMMUNITY ORGANIZATIONS, WHICH SERVE LOW INCOME, MINORITY AND UNDERSERVED POPULATIONS.A COMMUNITY HEALTH NEEDS ASSESSMENT COMMITTEE (CHNAC) WAS FORMED TO HELP ADVENTHEALTH MURRAY CONDUCT A COMPREHENSIVE ASSESSMENT OF THE COMMUNITY. THE COMMITTEE INCLUDED REPRESENTATION FROM THE HOSPITAL, PUBLIC HEALTH OFFICIALS AND THE BROAD COMMUNITY AS WELL AS REPRESENTATION FROM LOW-INCOME, MINORITY AND OTHER UNDERSERVED POPULATIONS. COMMUNITY MEMBERS OF THE CHNAC REPRESENTED THE FOLLOWING ORGANIZATIONS: - MURRAY COUNTY SENIOR CENTER, AN ORGANIZATION PROVIDING PROGRAMS AND MEALS FOR SENIOR CITIZENS - NORTHWEST ELEMENTARY SCHOOL - MURRAY COUNTY HEALTH DEPARTMENT - MURRAY COUNTY CHAMBER OF COMMERCE - MURRAY COUNTY BOYS AND GIRLS CLUB ADVENTHEALTH GORDON PART V, SECTION B, LINE 7D: THE HOSPITAL HAS ADOPTED A POLICY THAT ADDRESSES THE PUBLIC POSTING REQUIREMENTS OF THE COMMUNITY HEALTH NEEDS ASSESSMENT. UNDER THIS POLICY, THE COMMUNITY HEALTH NEEDS ASSESSMENT REPORTS MUST BE POSTED ON THE HOSPITAL'S WEBSITE AT LEAST UNTIL THE DATE THE HOSPITAL FACILITY HAS MADE WIDELY AVAILABLE ON ITS WEBSITE ITS TWO SUBSEQUENT COMMUNITY HEALTH NEEDS ASSESSMENT REPORTS. THE HOSPITAL WILL ALSO MAKE A PAPER COPY OF ITS COMMUNITY HEALTH NEEDS ASSESSMENT REPORT AVAILABLE FOR PUBLIC INSPECTION UPON REQUEST AND WITHOUT CHARGE, AT LEAST UNTIL THE DATE THE HOSPITAL FACILITY HAS MADE AVAILABLE FOR PUBLIC INSPECTION ITS TWO SUBSEQUENT COMMUNITY HEALTH NEEDS ASSESSMENT REPORTS. ADVENTHEALTH MURRAY PART V, SECTION B, LINE 7D: THE HOSPITAL HAS ADOPTED A POLICY THAT ADDRESSES THE PUBLIC POSTING REQUIREMENTS OF THE COMMUNITY HEALTH NEEDS ASSESSMENT. UNDER THIS POLICY, THE COMMUNITY HEALTH NEEDS ASSESSMENT REPORTS MUST BE POSTED ON THE HOSPITAL'S WEBSITE AT LEAST UNTIL THE DATE THE HOSPITAL FACILITY HAS MADE WIDELY AVAILABLE ON ITS WEBSITE ITS TWO SUBSEQUENT COMMUNITY HEALTH NEEDS ASSESSMENT REPORTS. THE HOSPITAL WILL ALSO MAKE A PAPER COPY OF ITS COMMUNITY HEALTH NEEDS ASSESSMENT REPORT AVAILABLE FOR PUBLIC INSPECTION UPON REQUEST AND WITHOUT CHARGE, AT LEAST UNTIL THE DATE THE HOSPITAL FACILITY HAS MADE AVAILABLE FOR PUBLIC INSPECTION ITS TWO SUBSEQUENT COMMUNITY HEALTH NEEDS ASSESSMENT REPORTS. ADVENTHEALTH GORDON PART V, SECTION B, LINE 11: ADVENTIST HEALTH SYSTEM GEORGIA, INC. D/B/A ADVENTHEALTH GORDON WILL BE REFERRED TO IN THIS DOCUMENT AS ADVENTHEALTH GORDON OR "THE HOSPITAL". THE HOSPITAL IS A WHOLLY OWNED SUBSIDIARY OF ADVENTIST HEALTH SYSTEM SUNBELT HEALTHCARE CORPORATION (AHSSHC). AHSSHC IS THE 501(C)(3) PARENT ORGANIZATION OF A HOSPITAL AND HEALTHCARE SYSTEM KNOWN AS ADVENTHEALTH. IN JANUARY 2019, EVERY WHOLLY-OWNED ENTITY OF AHSSHC ADOPTED THE ADVENTHEALTH SYSTEM BRAND. OUR IDENTITY HAS BEEN UNIFIED TO REPRESENT THE FULL CONTINUUM OF CARE OUR SYSTEM OFFERS. ANY REFERENCES TO OUR PRIOR COMMUNITY HEALTH NEEDS ASSESSMENTS (CHNAS) OR PRIOR COMMUNITY HEALTH PLANS (CHPS) WILL UTILIZE OUR NEW NAME FOR CONSISTENCY. ADVENTHEALTH GORDON IS PART OF THE MULTI-STATE DIVISION OF ADVENTHEALTH. THE DIVISION INCLUDES NINE HOSPITAL FACILITIES. THIS IS THE FIRST-YEAR UPDATE FOR ADVENTHEALTH GORDON'S 2020-2022 COMMUNITY HEALTH PLAN/IMPLEMENTATION STRATEGY. THE HOSPITAL DEVELOPED THIS PLAN AND POSTED IT IN MAY 2020 AS PART OF ITS 2019 COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS. FOR THE DEVELOPMENT OF BOTH THE COMMUNITY HEALTH NEEDS ASSESSMENT AND THE COMMUNITY HEALTH PLAN/IMPLEMENTATION STRATEGY, ADVENTHEALTH GORDON WORKED TO DEFINE AND ADDRESS THE NEEDS OF LOW-INCOME, MINORITY AND UNDERSERVED POPULATIONS IN ITS SERVICE AREA. THE 2019 COMMUNITY HEALTH NEEDS ASSESSMENT USED PRIMARY DATA INTERVIEWS AND SURVEYS; SECONDARY DATA FROM LOCAL, REGIONAL AND NATIONAL HEALTH-RELATED SOURCES; AND HOSPITAL PREVALENCE DATA TO HELP THE HOSPITAL DETERMINE THE HEALTH NEEDS OF THE COMMUNITY IT SERVES. ONCE THE DATA WAS GATHERED, THE PRIMARY ISSUES IDENTIFIED IN THE COMMUNITY HEALTH NEEDS ASSESSMENT WERE PRIORITIZED BY COMMUNITY AND HOSPITAL STAKEHOLDERS, WHO THEN SELECTED KEY ISSUES FOR THE HOSPITAL TO ADDRESS IN ITS 2020-2022 COMMUNITY HEALTH PLAN. THE FIRST-YEAR PROGRESS ON THE COMMUNITY HEALTH PLAN IS NOTED BELOW. THE NARRATIVE DESCRIBES THE PRIORITIZED ISSUES IDENTIFIED IN 2019 AND GIVES AN UPDATE ON THE STRATEGIES ADDRESSING THOSE ISSUES. THERE IS ALSO A DESCRIPTION OF THE IDENTIFIED ISSUES THAT THE HOSPITAL DID NOT ADDRESS. ADVENTHEALTH GORDON CHOSE FOUR PRIORITIES FOR ITS 2020-2022 COMMUNITY HEALTH PLAN: 1. CANCER2. CHRONIC DISEASE3. MENTAL HEALTH 4. VAPINGPRIORITY 1: CANCER 2019 DESCRIPTION OF THE ISSUE:CANCER CONTINUES TO BE THE LEADING CAUSE OF DEATH ACROSS THE UNITED STATES AS WELL AS THE TOP CONCERN ACCORDING TO COMMUNITY SURVEYS AND STAKEHOLDER INTERVIEWS. ACCORDING TO THE CENTER FOR DISEASE CONTROL AND PREVENTION'S NATIONAL VIAL STATISTICS SYSTEM, THE AGE-ADJUSTED DEATH RATE (PER 100,000 POP.) IS 180.33 IN THE HOSPITAL'S PRIMARY SERVICE AREA COMPARED TO THE STATE AVERAGE OF 164.74.ONE IMPORTANT DETERMINING FACTOR FOR INCIDENCE OF CANCER IS THE PERCENT OF ADULTS WHO RECEIVE RECOMMENDED CANCER SCREENINGS. THIS PREVENTIVE BEHAVIOR PROVIDES AN OPPORTUNITY FOR EARLY DETECTION AND TREATMENT OF DISEASE. THIS INDICATOR CAN ALSO HIGHLIGHT A LACK OF ACCESS TO PREVENTIVE CARE, A LACK OF HEALTH KNOWLEDGE, INSUFFICIENT PROVIDER OUTREACH AND/OR SOCIAL BARRIERS PREVENTING UTILIZATION OF SERVICES. CONSISTENTLY, ADVENTHEALTH GORDON PRIMARY SERVICE AREA (PSA) DATA REFLECTS A LOWER PERCENTAGE THAN STATE AVERAGE OF ADULTS RECEIVING RECOMMENDED PREVENTATIVE SCREENINGS. AS SHOWN BELOW. IN THE HOSPITAL'S PSA, 52.2% OF ADULTS 50 AND OLDER SELF-REPORT THAT THEY HAVE EVER HAD A SIGMOIDOSCOPY OR COLONOSCOPY VERSUS THE STATE AVERAGE OF 62.4%. ADDITIONALLY, ONLY 77.8% OF WOMEN AGED 18 OR OLDER SELF-REPORT THEY HAVE HAD A PAP TEST IN THE PAST THREE YEARS, VERSUS THE STATE AVERAGE OF 82.7%.THE AGE ADJUSTED INCIDENCE RATES FOR VARIOUS TYPES OF CANCER ARE SIMILAR TO OR HIGHER THAN THE STATE AVERAGE IN THE HOSPITAL PRIMARY SERVICE AREA AS SHOWN BELOW: - RATES FOR LUNG CANCER IN THE PSA ARE 85.7 VERSUS THE STATE RATE OF 64.1 PER 100,000. - BREAST CANCER RATES IN THE PSA ARE 100 VERSUS THE STATE RATE OF 125.8 PER 100,000. - RATES FOR CERVIX CANCER IN THE PSA ARE 8.8 VERSUS THE STATE RATE OF 7.7 PER 100,000. - COLON AND RECTUM CANCER RATES IN THE PSA ARE 40.4 VERSUS THE STATE RATE OF 41.8 PER 100,000.THE MORTALITY RATE FOR CANCER IN THE HOSPITAL'S PSA (183.58) IS ALSO HIGHER THAN THAT IN THE STATE (162.06) PER 100,000. THE HOSPITAL PLANS TO CONTINUE EFFORTS TO OFFER SCREENINGS AND EDUCATION TO EDUCATE THE COMMUNITY AS WELL AS PROVIDE OPPORTUNITIES FOR INCREASED ACCESS TO EARLY DETECTION.2020 UPDATE: THE ADVENTHEALTH GORDON COMMUNITY HEALTH PLAN HAS TWO DESIRED GOAL STATEMENTS UNDER THE CANCER PRIORITY. 1. PROVIDE FREE SCREENING AND PREVENTIVE INFORMATION IN OUR COMMUNITY2. INCREASE ACCESS TO EARLY DIAGNOSIS AND TREATMENTGOAL 1: PROVIDE FREE SCREENING AND PREVENTIVE INFORMATION IN OUR COMMUNITY OBJECTIVE 1: THE FIRST OBJECTIVE IS TO PROVIDE A FREE ANNUAL MELANOMA CANCER SCREENING EVENT FOR THE COMMUNITY AT LARGE AND FREE CANCER SCREENING FOR PUBLIC SAFETY GROUPS ANNUALLY TO RAISE AWARENESS ABOUT CANCER TO COMMUNITY MEMBERS RESIDING IN THE HOSPITAL'S PRIMARY SERVICE AREA (PSA) TO 300 PARTICIPANTS FROM A BASELINE OF ZERO BY THE END OF YEAR THREE. THE OBJECTIVE IS A SHARED INITIATIVE WITH ADVENTHEALTH MURRAY. THESE HOSPITALS ARE PART OF THE MULTI-STATE DIVISION OF ADVENTHEALTH, THE SAME DIVISION AS THE REPORTING HOSPITAL. THE HOSPITALS PARTNERED ON THIS INITIATIVE BECAUSE OF A SHARED CHNA PRIORITY. THE INITIATIVE IS MANAGED THROUGH BOTH HOSPITALS; HOWEVER, ALL FUNDING AND OUTCOMES ARE SPECIFIC TO THE REPORTING HOSPITAL. THE CALHOUN POLICE DEPARTMENT WAS THE FIRST PUBLIC SAFETY GROUP FOR YEAR ONE TO RECEIVE CANCER SCREENINGS. THE HOSPITAL WAS ABLE TO PROGRESS ON THE INITIATIVE BY PROVIDING CANCER SCREENINGS FOR 24 PARTICIPATES FROM THE CALHOUN POLICE DEPARTMENT. HOWEVER DUE TO COVID-19, THE HOSPITAL'S MELANOMA MONDAY EVENT WAS CANCELLED FOR YEAR ONE. THE HOSPITAL WILL CONTINUE TO WORK ON BOTH INITIATIVES IN 2021. GOAL 2: INCREASE ACCESS TO EARLY DIAGNOSIS AND TREATMENT OBJECTIVE 1: THE SECOND OBJECTIVE IS TO DISTRIBUTE EDUCATIONAL INFORMATION AT COMMUNITY EVENTS, SUCH AS THE HEALTH AND WELLNESS CLASSES AT THE VOLUNTARY ACTION CENTER, DINNER WITH A DOC AND LOCAL INDUSTRY HEALTH FAIRS, TO INCREASE CANCER AWARENESS FOR COMMUNITY MEMBERS RESIDING IN THE HOSPITAL'S PSA TO 350 PARTICIPANTS FROM A BASELINE OF ZERO BY THE END OF YEAR THREE. THE OBJECTIVE IS A SHARED INITIATIVE WITH ADVENTHEALTH MURRAY. THESE HOSPITALS ARE PART OF THE MULTI-STATE DIVISION OF ADVENTHEALTH, THE SAME DIVISION AS THE REPORTING HOSPITAL. THE HOSPITALS PARTNERED ON THIS INITIATIVE BECAUSE OF A SHARED CHNA PRIORITY. THE INITIATIVE IS MANAGED THROUGH BOTH HOSPITALS; HOWEVER, ALL FUNDING AND OUTCOMES ARE SPECIFIC TO THE REPORTING HOSPITAL. THE EDUCATIONAL MATERIALS PROVIDED INCLUDE INFORMATION ON THE IMPORTANCE OF EARLY DETECTION, DIAGNOSIS AND TREATMENT, AS WELL AS IDENTIFY LOCAL CARE OPTIONS FOR INDIVIDUALS IN NEED. THE HOSPITAL PROGRESSED ON ITS SET METRIC TO PROVIDE FREE EDUCATION INFORMATION FOR ACCESS TO EARLY CANCER DIAGNOSIS AND TREATMENT AT COMMUNITY EVENTS TO 350 INDIVIDUALS BY YEAR THREE WITH 116 INDIVIDUALS SERVED IN YEAR ONE. PRIORITY 2: CHRONIC DISEASE 2019 DESCRIPTION OF THE ISSUE:CHRONIC DISEASE IS THE LEADING CAUSE OF DEATH AND DISABILITY IN THE UNITED STATES. CHOLESTEROL, DIABETES, HEART DISEASE AND HIGH BLOOD PRESSURE WERE ALL IDENTIFIED AS TOP PRIORITIES IN BOTH PRIMARY AND SECONDARY DATA UTILIZED DURING ADVENTHEALTH GORDON'S COMMUNITY. HEALTH OUTCOMES IN THE HOSPITAL'S PSA ARE SIMILAR TO OR WORSE THAN THE STATE AVERAGE ACROSS SEVERAL INDICATORS. - THE PERCENTAGE OF ADULTS WITH HIGH BLOOD PRESSURE IN THE HOSPITAL'S PSA IS 31.42% VERSUS THE STATE AVERAGE OF 31.6%. - IN THE HOSPITAL'S PSA THERE IS A HIGHER PERCENTAGE OF ADULTS DIAGNOSED WITH DIABETES (15.5%) THAN THE STATE AVERAGE (11.15%). - THE PERCENTAGE OF ADULTS WITH HIGH CHOLESTEROL IS IN THE HOSPITAL'S PSA IS 39.9% WHICH IS HIGHER THAN THE STATE AVERAGE OF 37.4%. - IN THE HOSPITAL'S PSA THERE IS A HIGHER PERCENTAGE OF ADULTS DIAGNOSED WITH HEART DISEASE (7.3%) THAN THE STATE AVERAGE (4.4%).(CONTINUED) ADVENTHEALTH MURRAY PART V, SECTION B, LINE 11: ADVENTIST HEALTH SYSTEM GEORGIA, INC. D/B/A ADVENTHEALTH MURRAY WILL BE REFERRED TO IN THIS DOCUMENT AS ADVENTHEALTH MURRAY OR "THE HOSPITAL". THE HOSPITAL IS A WHOLLY OWNED SUBSIDIARY OF ADVENTIST HEALTH SYSTEM SUNBELT HEALTHCARE CORPORATION (AHSSHC). AHSSHC IS THE 501(C)(3) PARENT ORGANIZATION OF A HOSPITAL AND HEALTHCARE SYSTEM KNOWN AS ADVENTHEALTH. IN JANUARY 2019, EVERY WHOLLY-OWNED ENTITY OF AHSSHC ADOPTED THE ADVENTHEALTH SYSTEM BRAND. OUR IDENTITY HAS BEEN UNIFIED TO REPRESENT THE FULL CONTINUUM OF CARE OUR SYSTEM OFFERS. ANY REFERENCES TO OUR PRIOR COMMUNITY HEALTH NEEDS ASSESSMENTS (CHNAS) OR PRIOR COMMUNITY HEALTH PLANS (CHPS) WILL UTILIZE OUR NEW NAME FOR CONSISTENCY. ADVENTHEALTH MURRAY IS PART OF THE MULTI-STATE DIVISION OF ADVENTHEALTH. THE DIVISION INCLUDES NINE HOSPITAL FACILITIES. THIS IS THE FIRST-YEAR UPDATE FOR ADVENTHEALTH MURRAY'S 2020-2022 COMMUNITY HEALTH PLAN/IMPLEMENTATION STRATEGY. THE HOSPITAL DEVELOPED THIS PLAN AND POSTED IT IN MAY 2020 AS PART OF ITS 2019 COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS. FOR THE DEVELOPMENT OF BOTH THE COMMUNITY HEALTH NEEDS ASSESSMENT AND THE COMMUNITY HEALTH PLAN/IMPLEMENTATION STRATEGY, ADVENTHEALTH MURRAY WORKED TO DEFINE AND ADDRESS THE NEEDS OF LOW-INCOME, MINORITY AND UNDERSERVED POPULATIONS IN ITS SERVICE AREA. THE 2019 COMMUNITY HEALTH NEEDS ASSESSMENT USED PRIMARY DATA INTERVIEWS AND SURVEYS; SECONDARY DATA FROM LOCAL, REGIONAL AND NATIONAL HEALTH-RELATED SOURCES; AND HOSPITAL PREVALENCE DATA TO HELP THE HOSPITAL DETERMINE THE HEALTH NEEDS OF THE COMMUNITY IT SERVES. ONCE THE DATA WAS GATHERED, THE PRIMARY ISSUES IDENTIFIED IN THE COMMUNITY HEALTH NEEDS ASSESSMENT WERE PRIORITIZED BY COMMUNITY AND HOSPITAL STAKEHOLDERS, WHO THEN SELECTED KEY ISSUES FOR THE HOSPITAL TO ADDRESS IN ITS 2020-2022 COMMUNITY HEALTH PLAN. THE FIRST-YEAR PROGRESS ON THE COMMUNITY HEALTH PLAN IS NOTED BELOW. THE NARRATIVE DESCRIBES THE PRIORITIZED ISSUES IDENTIFIED IN 2019 AND GIVES AN UPDATE ON THE STRATEGIES ADDRESSING THOSE ISSUES. THERE IS ALSO A DESCRIPTION OF THE IDENTIFIED ISSUES THAT THE HOSPITAL DID NOT ADDRESS. ADVENTHEALTH MURRAY CHOSE FOUR PRIORITIES FOR ITS 2020-2022 COMMUNITY HEALTH PLAN: 1. CANCER2. DIABETES3. VAPING 4. NUTRITIONPRIORITY 1: CANCER 2019 DESCRIPTION OF THE ISSUE:CANCER CONTINUES TO BE THE LEADING CAUSE OF DEATH ACROSS THE UNITED STATES AS WELL AS THE TOP COMMUNITY CONCERN ACCORDING TO COMMUNITY SURVEYS AND STAKEHOLDER INTERVIEWS. ACCORDING TO THE CENTER FOR DISEASE CONTROL AND PREVENTION'S NATIONAL VITAL STATISTICS SYSTEM, THE AGEADJUSTED DEATH RATE (PER 100,000 POP.) IS 181.34 IN THE HOSPITAL'S PRIMARY SERVICE AREA COMPARED TO THE STATE AVERAGE OF 162.06. ONE IMPORTANT DETERMINING FACTOR FOR INCIDENCE OF CANCER IS THE PERCENT OF ADULTS WHO RECEIVE RECOMMENDED CANCER SCREENINGS. THIS PREVENTIVE BEHAVIOR PROVIDES AN OPPORTUNITY FOR EARLY DETECTION AND TREATMENT OF DISEASE. THIS INDICATOR CAN ALSO HIGHLIGHT A LACK OF ACCESS TO PREVENTIVE CARE, A LACK OF HEALTH KNOWLEDGE, INSUFFICIENT PROVIDER OUTREACH AND/OR SOCIAL BARRIERS PREVENTING UTILIZATION OF SERVICES. CONSISTENTLY, ADVENTHEALTH MURRAY PRIMARY SERVICE AREA (PSA) DATA REFLECTS A LOWER PERCENTAGE THAN STATE AVERAGE OF ADULTS RECEIVING RECOMMENDED PREVENTATIVE SCREENINGS AS SHOWN BELOW. - IN THE HOSPITAL'S PSA 40.5% OF INDIVIDUALS RECEIVE THE RECOMMENDED SIGMOIDOSCOPY OR COLONOSCOPY SCREENING LESS THAN THE STATE AVERAGE OF 62.4%. - THE STATE AVERAGE FOR MAMMOGRAM SCREENINGS IS 62.3% WHICH IS HIGHER THAN THAT IN THE HOSPITAL'S PSA (49.9%). - IN THE HOSPITAL'S PSA 81.9% OF WOMEN RECEIVE A PAP TEST, SIMILAR TO THE AVERAGE IN THE STATE OF 82.7%.THE AGE ADJUSTED INCIDENCE RATES FOR VARIOUS TYPES OF CANCER ARE CONSISTENTLY HIGHER THAN THE STATE AVERAGE IN THE HOSPITAL PRIMARY SERVICE AREA AS SHOWN BELOW WITH THE EXCEPTION OF BREAST CANCER, WHICH IS STILL THE SECOND MOST FREQUENT TYPE OF CANCER DIAGNOSED IN THE COMMUNITY. - RATES FOR LUNG CANCER IN THE PSA ARE 86.5 VERSUS THE STATE RATE OF 64.1 PER 100,000. - BREAST CANCER RATES IN THE PSA ARE 85.9 VERSUS THE STATE RATE OF 125.8 PER 100,000. - THERE IS NO DATA ON THE RATES OF CERVICAL CANCER IN THE HOSPITAL'S PSA WHILE THE STATE RATE OF 7.7 PER 100,000. - COLON AND RECTUM CANCER RATES IN THE PSA ARE 35.9 VERSUS THE STATE RATE OF 41.8 PER 100,000. - RATES FOR PROSTATE CANCER IN THE PSA ARE 88.7 VERSUS THE STATE RATE OF 122.3 PER 100,000. THE HOSPITAL PLANS TO CONTINUE EFFORTS TO OFFER SCREENINGS AND EDUCATION TO INFORM THE COMMUNITY AS WELL AS PROVIDE OPPORTUNITIES FOR INCREASED ACCESS TO EARLY DETECTION.2020 UPDATE: RECOGNIZING THE IMPACT OF SOCIAL DETERMINANTS OF HEALTH, LIKE ACCESS TO HEALTH CARE, ON INDIVIDUALS' HEALTH OUTCOMES, ADVENTHEALTH RECENTLY PARTNERED WITH AUNT BERTHA, A SOCIAL CARE NETWORK, TO CONNECT PATIENTS TO PROGRAMS IN THE COMMUNITIES THAT ADDRESS SOCIAL NEEDS. THIS PARTNERSHIP WILL HELP ADVENTHEALTH TEAM MEMBERS TO MORE FULLY INTEGRATE SOCIAL CARE INTO OUR WHOLE-PERSON CARE MODEL. OUR WHOLE-PERSON APPROACH TO CARE IS DESIGNED TO EMPOWER INDIVIDUALS TO TAKE THEIR HEALTH INTO THEIR OWN HANDS. THIS APPROACH IN ADDITION TO OUR PARTNERSHIP WITH AUNT BERTHA WILL ALLOW US TO CONNECT PATIENTS TO NEEDED RESOURCES, WHICH IS A KEY STEP IN CREATING HEALTHIER PEOPLE AND COMMUNITIES. THE ADVENTHEALTH MURRAY COMMUNITY HEALTH PLAN HAS TWO DESIRED GOAL STATEMENTS UNDER THE CANCER PRIORITY. 1. PROVIDE FREE SCREENING AND EDUCATION TO THE COMMUNITY2. INCREASE ACCESS TO EARLY DIAGNOSIS AND TREATMENTGOAL 1: PROVIDE FREE SCREENING AND EDUCATION TO THE COMMUNITYOBJECTIVE 1: THE FIRST OBJECTIVE IS TO CONTINUE WITH A FREE ANNUAL MELANOMA CANCER SCREENING EVENT FOR THE COMMUNITY AT LARGE, TO RAISE AWARENESS ABOUT CANCER AND HAVE STAFF ON-HAND TO ANSWER QUESTIONS REGARDING CANCER FOR COMMUNITY MEMBERS RESIDING IN THE HOSPITAL'S PSA TO SCREEN 150 PARTICIPANTS FROM A BASELINE OF ZERO BY THE END OF YEAR THREE. THE OBJECTIVE IS A SHARED INITIATIVE WITH ADVENTHEALTH GORDON. THESE HOSPITALS ARE PART OF THE MULTI-STATE DIVISION OF ADVENTHEALTH, THE SAME DIVISION AS THE REPORTING HOSPITAL. THE HOSPITALS PARTNERED ON THIS INITIATIVE BECAUSE OF A SHARED CHNA PRIORITY. THE INITIATIVE IS MANAGED THROUGH BOTH HOSPITALS; HOWEVER, ALL FUNDING AND OUTCOMES ARE SPECIFIC TO THE REPORTING HOSPITAL. THE HOSPITAL WAS ABLE TO PROGRESS ON THE INITIATIVE BY PROVIDING CANCER SCREENINGS FOR 30 MURRAY FIRST RESPONDERS. HOWEVER DUE TO COVID-19, THE HOSPITAL'S MELANOMA MONDAY EVENT WAS CANCELLED FOR YEAR ONE. THE HOSPITAL WILL CONTINUE TO WORK ON BOTH INITIATIVES IN 2021. GOAL 2: INCREASE ACCESS TO EARLY DIAGNOSIS AND TREATMENT OBJECTIVE 1: THE FIRST OBJECTIVE IS TO DISTRIBUTE EDUCATION INFORMATION AT COMMUNITY EVENTS, SUCH AS THE DINNER WITH A DOC, LOCAL INDUSTRY HEALTH FAIRS AND THE BLACK BEAR FESTIVAL, TO INCREASE CANCER AWARENESS. THIS OBJECTIVE AIMS TO REACH 250 COMMUNITY MEMBERS FROM A BASELINE OF ZERO BY THE END OF YEAR THREE TO PROMOTE THE BENEFITS OF GETTING AN EARLY DIAGNOSIS. THE OBJECTIVE IS A SHARED INITIATIVE WITH ADVENTHEALTH GORDON. THESE HOSPITALS ARE PART OF THE MULTI-STATE DIVISION OF ADVENTHEALTH, THE SAME DIVISION AS THE REPORTING HOSPITAL. THE HOSPITALS PARTNERED ON THIS INITIATIVE BECAUSE OF A SHARED CHNA PRIORITY. THE INITIATIVE IS MANAGED THROUGH BOTH HOSPITALS; HOWEVER, ALL FUNDING AND OUTCOMES ARE SPECIFIC TO THE REPORTING HOSPITAL. THE EDUCATIONAL MATERIALS PROVIDED INCLUDE INFORMATION ON THE IMPORTANCE OF EARLY DETECTION, DIAGNOSIS AND TREATMENT, AS WELL AS IDENTIFY LOCAL CARE OPTIONS FOR INDIVIDUALS IN NEED. THE HOSPITAL PROGRESSED ON ITS SET METRIC WITH 89 COMMUNITY MEMBERS REACHED. PRIORITY 2: DIABETES 2019 DESCRIPTION OF THE ISSUE:DIABETES IS ANOTHER LEADING CAUSE OF DEATH AND DISABILITY IN THE UNITED STATES. THIS CHRONIC DISEASE WAS IDENTIFIED AS AN AREA OF CONCERN FOR BOTH COMMUNITY MEMBERS AND STAKEHOLDERS. TOP 10 INPATIENT ADMISSION DATA INDICATED ENDOCRINOLOGY AS ONE OF THE MOST FREQUENT DIAGNOSES, WHICH REFLECTS A NEED FOR BETTER PREVENTION AND MAINTENANCE TO AVOID UNNECESSARY HOSPITAL STAYS FOR A PREVENTABLE AND MANAGEABLE DISEASE. HEALTH OUTCOMES REFLECT THE NEED FOR STRATEGIC EFFORTS TO ADDRESS DIABETES IN THE ADVENTHEALTH MURRAY COMMUNITY. LEFT UNTREATED, DIABETES CAN LEAD TO REDUCTION IN QUALITY OF LIFE. IN THE HOSPITAL'S PRIMARY SERVICE AREA, THE PERCENTAGE OF ADULTS REPORTING DIABETES IS 19.1%, HIGHER THAN THE STATE AVERAGE OF 11.15%.(CONTINUED) ADVENTHEALTH GORDON PART V, SECTION B, LINE 13H: EFFECTIVE MARCH 1, 2020, THE FILING ORGANIZATION'S HOSPITAL FACILITY (OR FACILITIES) AUGMENTED THEIR FINANCIAL ASSISTANCE POLICY WITH A COVID-19 FINANCIAL GRACE ADDENDUM. PURSUANT TO THE COVID-19 FINANCIAL GRACE ADDENDUM, UNINSURED PATIENTS TREATED FOR COVID-19 RELATED EVALUATIONS ARE TO RECEIVE FREE OR DISCOUNTED CARE DEPENDING ON THE PATIENT'S COOPERATION IN SUBMITTING NECESSARY FINANCIAL ASSISTANCE INFORMATION. INSURED PATIENTS TESTED FOR COVID-19 ARE NOT EXPECTED TO HAVE OUT-OF-POCKET EXPENSES BASED ON INSURANCE COMMUNITY RESPONSE TO WAIVE PATIENT FINANCIAL RESPONSIBILITY. IF A PAYER UNEXPECTEDLY FAILS TO WAIVE PATIENT RESPONSIBILITY FOR COVID-19 RELATED TESTING, THE FILING ORGANIZATION WILL NOT BALANCE BILL PATIENTS FOR ANY OUT-OF-POCKET EXPENSES RELATED TO COVID-19. IN ADDITION, PATIENTS WITH EXISTING PAYMENT PLANS ARE PROVIDED OPPORTUNITIES FOR REDUCING THEIR MONTHLY PAYMENTS. ADVENTHEALTH MURRAY PART V, SECTION B, LINE 13H: EFFECTIVE MARCH 1, 2020, THE FILING ORGANIZATION'S HOSPITAL FACILITY (OR FACILITIES) AUGMENTED THEIR FINANCIAL ASSISTANCE POLICY WITH A COVID-19 FINANCIAL GRACE ADDENDUM. PURSUANT TO THE COVID-19 FINANCIAL GRACE ADDENDUM, UNINSURED PATIENTS TREATED FOR COVID-19 RELATED EVALUATIONS ARE TO RECEIVE FREE OR DISCOUNTED CARE DEPENDING ON THE PATIENT'S COOPERATION IN SUBMITTING NECESSARY FINANCIAL ASSISTANCE INFORMATION. INSURED PATIENTS TESTED FOR COVID-19 ARE NOT EXPECTED TO HAVE OUT-OF-POCKET EXPENSES BASED ON INSURANCE COMMUNITY RESPONSE TO WAIVE PATIENT FINANCIAL RESPONSIBILITY. IF A PAYER UNEXPECTEDLY FAILS TO WAIVE PATIENT RESPONSIBILITY FOR COVID-19 RELATED TESTING, THE FILING ORGANIZATION WILL NOT BALANCE BILL PATIENTS FOR ANY OUT-OF-POCKET EXPENSES RELATED TO COVID-19. IN ADDITION, PATIENTS WITH EXISTING PAYMENT PLANS ARE PROVIDED OPPORTUNITIES FOR REDUCING THEIR MONTHLY PAYMENTS. PART V, SECTION B, LINE 7A URL FOR ADVENTHEALTH GORDON'S CHNA: HTTPS://WWW.ADVENTHEALTH.COM/COMMUNITY-HEALTH-NEEDS-ASSESSMENTSURL FOR ADVENTHEALTH MURRAY'S CHNA: HTTPS://WWW.ADVENTHEALTH.COM/COMMUNITY-HEALTH-NEEDS-ASSESSMENTS PART V, SECTION B, LINE 10A URL FOR ADVENTHEALTH GORDON'S MOST RECENTLY ADOPTED IMPLEMENTATION STRATEGY: HTTPS://WWW.ADVENTHEALTH.COM/COMMUNITY-HEALTH-NEEDS-ASSESSMENTSURL FOR ADVENTHEALTH MURRAY'S MOST RECENTLY ADOPTED IMPLEMENTATION STRATEGY: HTTPS://WWW.ADVENTHEALTH.COM/COMMUNITY-HEALTH-NEEDS-ASSESSMENTS PART V, LINE 16A, 16B, AND 16C: PART V, 16A, FAP WEBSITE:ADVENTHEALTH GORDONHTTPS://WWW.ADVENTHEALTH.COM/LEGAL/FINANCIAL-ASSISTANCEADVENTHEALTH MURRAYHTTPS://WWW.ADVENTHEALTH.COM/LEGAL/FINANCIAL-ASSISTANCEPART V, 16B, FAP APPLICATION WEBSITE:ADVENTHEALTH GORDONHTTPS://WWW.ADVENTHEALTH.COM/LEGAL/FINANCIAL-ASSISTANCEADVENTHEALTH MURRAYHTTPS://WWW.ADVENTHEALTH.COM/LEGAL/FINANCIAL-ASSISTANCEPART V, 16C, FAP PLAIN LANGUAGE SUMMARY WEBSITE:ADVENTHEALTH GORDONHTTPS://WWW.ADVENTHEALTH.COM/LEGAL/FINANCIAL-ASSISTANCEADVENTHEALTH MURRAYHTTPS://WWW.ADVENTHEALTH.COM/LEGAL/FINANCIAL-ASSISTANCE SCH H, PART V, SECTION B, LINE 11 (CONTINUED) - ADVENTHEALTH GORDON ACCESS TO CARE CONTINUES TO BE AN ADDITIONAL CONTRIBUTOR TO HIGHER THAN AVERAGE RATES OF CHRONIC DISEASE WITH THE HOSPITAL'S PRIMARY SERVICE AREAS (PSAS). THE INDICATORS ARE RELEVANT BECAUSE ACCESS TO REGULAR PRIMARY CARE IS IMPORTANT TO PREVENTING MAJOR HEALTH ISSUES AND EMERGENCY DEPARTMENT VISITS. - 32.7% OF ADULTS LACK A CONSISTENT SOURCE OF PRIMARY CARE ACCORDING TO THE CENTER FOR DISEASE CONTROL AND PREVENTION BEHAVIORAL RISK FACTOR SURVEILLANCE SYSTEM 2011-12 DATA. THIS INDICATOR IS HIGHER THAN THE STATE AVERAGE OF 26.09%. - THE RATE OF PREVENTABLE HOSPITAL EVENTS PER 1,000 MEDICARE ENROLLEES IS ALSO HIGHER THAN STATE AVERAGE AT 59.2 FOR THE PRIMARY SERVICE AREA COMPARED TO THE STATE AVERAGE OF 50.2. THIS INDICATOR IS RELEVANT BECAUSE ACCESS TO REGULAR PRIMARY CARE IS IMPORTANT TO PREVENTING MAJOR HEALTH ISSUES AND EMERGENCY DEPARTMENT VISITS.2020 UPDATE: RECOGNIZING THE IMPACT OF SOCIAL DETERMINANTS OF HEALTH, LIKE ACCESS TO HEALTH CARE, ON INDIVIDUALS' HEALTH OUTCOMES, ADVENTHEALTH RECENTLY PARTNERED WITH AUNT BERTHA, A SOCIAL CARE NETWORK, TO CONNECT PATIENTS TO PROGRAMS IN THE COMMUNITIES THAT ADDRESS SOCIAL NEEDS. THIS PARTNERSHIP WILL HELP ADVENTHEALTH TEAM MEMBERS TO MORE FULLY INTEGRATE SOCIAL CARE INTO OUR WHOLE-PERSON CARE MODEL. OUR WHOLE-PERSON APPROACH TO CARE IS DESIGNED TO EMPOWER INDIVIDUALS TO TAKE THEIR HEALTH INTO THEIR OWN HANDS. THIS APPROACH IN ADDITION TO OUR PARTNERSHIP WITH AUNT BERTHA WILL ALLOW US TO CONNECT PATIENTS TO NEEDED RESOURCES, WHICH IS A KEY STEP IN CREATING HEALTHIER PEOPLE AND COMMUNITIES. THE ADVENTHEALTH GORDON COMMUNITY HEALTH PLAN HAS TWO DESIRED GOAL STATEMENTS UNDER THE CHRONIC DISEASE PRIORITY. 1. PROVIDE FREE SCREENINGS IN OUR COMMUNITY 2. INCREASE NUMBER INDIVIDUALS RECEIVING PREVENTATIVE, EARLY DIAGNOSIS AND TREATMENT GOAL 1: PROVIDE FREE SCREENINGS IN OUR COMMUNITY OBJECTIVE 1: THE FIRST OBJECTIVE IS TO PROVIDE FREE SCREENINGS AT HEALTH FAIRS, SUCH AS DALTON STATE COLLEGE, DIXIE GROUP AND THE LOCAL EMERGENCY PLANNING COMMITTEE (LEPC) PUBLIC SAFETY, TO RAISE AWARENESS ABOUT CHRONIC DISEASE AND BENEFITS OF PROACTIVE SCREENINGS FOR COMMUNITY MEMBERS RESIDING IN THE HOSPITAL'S PSA TO 500 PARTICIPANTS FROM A BASELINE OF ZERO BY THE END OF YEAR THREE. THE INITIATIVE IS FUNDED AND MANAGED THROUGH ADVENTHEALTH GORDON AND ALL OUTCOMES ARE SPECIFIC TO THE REPORTING HOSPITAL. THE HOSPITAL EXCEEDED THE SET METRIC FOR THE END OF YEAR THREE BY PROVIDING BIOMETRIC SCREENINGS TO 532 COMMUNITY MEMBERS. RECOGNIZING THE IMPORTANCE OF EARLY DETECTION IN THE TREATMENT OF CHRONIC DISEASES THE HOSPITAL WILL CONTINUE TO OFFER THESE SERVICES TO THE COMMUNITY, IMPOWERING COMMUNITY MEMBERS TO ACCESS NECESSARY CARE. OBJECTIVE 2: THE SECOND OBJECTIVE IS TO PROVIDE FREE SCREENINGS TO LOW-INCOME FAMILIES AT THE HEALTH AND WELLNESS CLASSES AT THE VOLUNTARY ACTION CENTER IN THE HOSPITAL'S PSA TO 100 PARTICIPANTS FROM A BASELINE OF ZERO BY THE END OF YEAR THREE. THE VOLUNTARY ACTION CENTER IS A LOCAL NON-PROFIT WHICH OFFERS A VARIETY OF SERVICES ADDRESSING NEEDS ASSOCIATED WITH FOOD SECURITY, HOUSING AND OTHER SOCIAL DETERMINANTS OF HEALTH. THE INITIATIVE IS FUNDED AND MANAGED THROUGH ADVENTHEALTH GORDON AND ALL OUTCOMES ARE SPECIFIC TO THE REPORTING HOSPITAL. THE HOSPITAL PROGRESSED ON ITS SET METRIC AND WILL CONTINUE ITS EFFORTS TO MEET THE OBJECTIVE BY THE END OF YEAR THREE. GOAL 2: INCREASE NUMBER INDIVIDUALS RECEIVING PREVENTATIVE, EARLY DIAGNOSIS AND TREATMENT OBJECTIVE 1: THE FIRST OBJECTIVE IS TO HOST COMMUNITY CLASSES, SUCH AS DIABETES EDUCATION AND THE WEIGHT MANAGEMENT PROGRAM FOR CANCER SURVIVORS, ON A MONTHLY BASIS TO PROVIDE EDUCATION ON CHRONIC DISEASE STRATEGIES FOR COMMUNITY MEMBERS RESIDING IN THE HOSPITAL'S PSA TO 150 PARTICIPANTS FROM A BASELINE OF ZERO BY THE END OF YEAR THREE. THE CLASSES ARE FUNDED AND MANAGED THROUGH ADVENTHEALTH GORDON AND ALL OUTCOMES ARE SPECIFIC TO THE REPORTING HOSPITAL. THE HOSPITAL PROGRESSED ON ITS SET METRIC BY ENROLLING 57 PARTICIPANTS. OBJECTIVE 2: THE SECOND OBJECTIVE IS TO PARTICIPATE IN LOCAL INDUSTRY HEALTH FAIRS TO PROVIDE CHRONIC DISEASE EDUCATIONAL INFORMATION TO COMMUNITY MEMBERS RESIDING IN THE HOSPITAL'S PSA TO 500 PARTICIPANTS FROM A BASELINE OF ZERO BY THE END OF YEAR THREE. THE CHRONIC DISEASE EDUCATION INFORMATION IS FUNDED AND MANAGED THROUGH ADVENTHEALTH GORDON AND ALL OUTCOMES ARE SPECIFIC TO THE REPORTING HOSPITAL. THE HOSPITAL PROGRESSED ON ITS SET METRIC OF BY PROVIDING INFORMATION TO 243 COMMUNITY MEMBERS.PRIORITY 3: MENTAL HEALTH 2019 DESCRIPTION OF THE ISSUE:MENTAL HEALTH ISSUES ARE OFTEN UNDIAGNOSED DUE TO THE LACK OF KNOWLEDGE REGARDING TREATMENT. MENTAL ILLNESS, ESPECIALLY DEPRESSION, INCREASES THE RISK FOR MANY TYPES OF PHYSICAL HEALTH PROBLEMS, PARTICULARLY LONG-LASTING CONDITIONS LIKE STROKE, TYPE 2 DIABETES AND HEART DISEASE. SOCIAL AND EMOTIONAL SUPPORT IS CRITICAL FOR NAVIGATING THE CHALLENGES OF DAILY LIFE AS WELL AS FOR GOOD MENTAL HEALTH. SOCIAL AND EMOTIONAL SUPPORT IS ALSO LINKED TO EDUCATIONAL ACHIEVEMENT AND ECONOMIC STABILITY. SECONDARY DATA INDICATES THAT 22.7% OF ADULTS OVER THE AGE OF 18 SELF-REPORT THAT THEY RECEIVE INSUFFICIENT SOCIAL AND EMOTIONAL SUPPORT ALL OR MOST OF THE TIME. THIS IS HIGHER THAN THE STATE AVERAGE OF 20.7%. THE ADVENTHEALTH PSA HAS A SLIGHTLY HIGHER RATE OF DEATH DUE TO INTENTIONAL SELF-HARM (SUICIDE) PER 100,000 POPULATION AT 15.35 COMPARED TO THE STATE RATE OF 13.3. THIS INDICATOR IS RELEVANT AS SUICIDE IS A MAJOR INDICATOR OF POOR MENTAL HEALTH. MOREOVER, THE PERCENTAGE OF MEDICARE FEE-FOR-SERVICE POPULATION INSIDE THE HOSPITAL PSA WITH DEPRESSION IS 20.8% COMPARED TO THE STATE AVERAGE OF 17.9%. THE HOSPITAL RECOGNIZES THAT IMPACTING ISSUES SUCH AS MENTAL HEALTH WILL BE MORE SUCCESSFUL WITH COLLABORATION. ADVENTHEALTH GORDON WILL PARTNER WITH COMMUNITY AGENCIES TO EDUCATE THE COMMUNITY AND HELP CONNECT THOSE IN NEED TO AVAILABLE RESOURCES.2020 UPDATE: THE ADVENTHEALTH GORDON COMMUNITY HEALTH PLAN HAS TWO DESIRED GOAL STATEMENTS UNDER THE MENTAL HEALTH PRIORITY. 1. PROVIDE INFORMATION ON RESOURCES IN OUR COMMUNITY 2. INCREASE NUMBER INDIVIDUALS RECEIVING TREATMENT GOAL 1: PROVIDE INFORMATION ON RESOURCES IN OUR COMMUNITY OBJECTIVE 1: THE FIRST OBJECTIVE IS TO SHARE EDUCATIONAL MATERIAL ON MENTAL HEALTH AT COMMUNITY EVENTS WITH 250 COMMUNITY MEMBERS, FROM A BASELINE OF ZERO, TO INCREASE AWARENESS AND REDUCE THE SUICIDE DEATH RATE IN GORDON COUNTY BY THE END OF YEAR THREE. THE INITIATIVE IS FUNDED AND MANAGED THROUGH ADVENTHEALTH GORDON AND ALL OUTCOMES ARE SPECIFIC TO THE REPORTING HOSPITAL. THE HOSPITAL PROVIDES MATERIALS ON THE IMPORTANCE OF MENTAL HEALTH AWARENESS, AS WELL AS A RESOURCE GUIDE TO CONNECT COMMUNITY MEMBERS IN NEED TO LOCALLY AVAILABLE RESOURCES. THE HOSPITAL PROGRESSED ON ITS SET METRIC OF PROVIDING MENTAL HEALTH EDUCATION MATERIALS WITH 86 COMMUNITY MEMBERS REACHED.OBJECTIVE 2: THE SECOND OBJECTIVE IS TO WORK WITH THE THREE PUBLIC HIGH SCHOOLS IN CALHOUN/GORDON COUNTY DURING NATIONAL SUICIDE PREVENTION WEEK BY PROVIDING VOLUNTEERS AND EDUCATIONAL LITERATURE TO INCREASE THE OVERALL AWARENESS OF AVAILABLE RESOURCES TO COMMUNITY MEMBERS RESIDING IN THE HOSPITAL'S PSA TO 600 HIGH SCHOOL STUDENTS FROM A BASELINE OF ZERO BY THE END OF YEAR THREE. THE INITIATIVE IS CONDUCTED THROUGH ADVENTHEALTH GORDON AND ALL OUTCOMES ARE SPECIFIC TO THE REPORTING HOSPITAL. THE METRIC FOR THE OBJECTIVE WAS PROGRESSED ON BY IDENTIFYING LOCAL SCHOOLS AND COMMUNITY PARTNERS FOR DEPLOYMENT. DUE TO THE NECESSARY SOCIAL DISTANCING PRECAUTIONS AS A RESULT OF COVID-19, THE FIRST YEAR WAS DEDICATED TO PLANNING AND STRATEGY. IN 2021, THE HOSPITAL WILL CONTINUE IN THE NEXT PHASE OF THE OBJECTIVE AND WILL BEGIN HOSTING SESSIONS AT LOCAL SCHOOLS. GOAL 2: INCREASE NUMBER INDIVIDUALS RECEIVING TREATMENT OBJECTIVE 1: THE FIRST OBJECTIVE IS TO IDENTIFY EXISTING COMMUNITY RESOURCES TO HELP SUPPORT UNINSURED/UNDERINSURED POPULATIONS AND CONNECT COMMUNITY MEMBERS IN NEED WITH THESE COMMUNITY RESOURCES, INCLUDING AVAILABLE TREATMENT OPTIONS. THIS OBJECTIVE WILL PROVIDE FREE RESOURCE GUIDES AT ADVENTHEALTH GORDON'S CLINICS TO UNINSURED/UNDERINSURED POPULATIONS RESIDING IN THE HOSPITAL'S PSA FOR 200 COMMUNITY MEMBERS FROM A BASELINE OF ZERO BY THE END OF YEAR THREE. THE INITIATIVE IS DEPLOYED THROUGH ADVENTHEALTH GORDON AND ALL OUTCOMES ARE SPECIFIC TO THE REPORTING HOSPITAL. (CONTINUED) SCH H, PART V, SECTION B, LINE 11 (CONTINUED) - ADVENTHEALTH MURRAY ACCESS TO CARE CONTINUES TO BE AN ADDITIONAL CONTRIBUTOR TO HIGHER THAN AVERAGE RATES OF DIABETES AMONG THE HOSPITAL PSA. THE BELOW INDICATORS ARE RELEVANT BECAUSE ACCESS TO REGULAR PRIMARY CARE IS IMPORTANT TO PREVENTING MAJOR HEALTH ISSUES AND EMERGENCY DEPARTMENT VISITS. - 33.4% OF ADULTS LACK A CONSISTENT SOURCE OF PRIMARY CARE ACCORDING TO THE CENTER FOR DISEASE CONTROL AND PREVENTION BEHAVIORAL RISK FACTOR SURVEILLANCE SYSTEM 2011-12 DATA. THIS INDICATOR IS HIGHER THAN THE STATE AVERAGE OF 26.09%. - THE RATE OF PREVENTABLE HOSPITAL EVENTS PER 1,000 MEDICARE ENROLLEES IS ALSO HIGHER THAN STATE AVERAGE AT 67.3 FOR THE PRIMARY SERVICE AREA COMPARED TO THE STATE AVERAGE OF 50.2. THIS INDICATOR IS RELEVANT BECAUSE ACCESS TO REGULAR PRIMARY CARE IS IMPORTANT TO PREVENTING MAJOR HEALTH ISSUES AND EMERGENCY DEPARTMENT VISITS.2020 UPDATE: THE ADVENTHEALTH MURRAY COMMUNITY HEALTH PLAN HAS TWO DESIRED GOAL STATEMENTS UNDER THE DIABETES PRIORITY. 1. PROVIDE FREE SCREENINGS IN OUR COMMUNITY 2. INCREASE NUMBER INDIVIDUALS RECEIVING PREVENTATIVE, EARLY DIAGNOSIS AND TREATMENT GOAL 1: PROVIDE FREE SCREENINGS IN OUR COMMUNITY OBJECTIVE 1: THE FIRST OBJECTIVE IS TO CONTINUE TO PROVIDE FREE SCREENINGS AT HEALTH FAIRS SUCH AS THE MURRAY COUNTY EMPLOYEE HEALTH FAIR TO RAISE AWARENESS ABOUT DIABETES TO COMMUNITY MEMBERS RESIDING IN THE HOSPITAL'S PSA TO 250 COMMUNITY MEMBERS FROM A BASELINE OF ZERO BY THE END OF YEAR THREE. THE FREE SCREENINGS ARE FUNDED AND MANAGED THROUGH ADVENTHEALTH MURRAY AND ALL OUTCOMES ARE SPECIFIC TO THE REPORTING HOSPITAL. THE HOSPITAL IS CONTINUING TO MEET THE SET METRIC BY THE END OF YEAR THREE, HOWEVER DUE TO THE PANDEMIC THE FREE SCREENINGS AT HEALTH FAIRS WERE DELAYED. GOAL 2: INCREASE NUMBER INDIVIDUALS RECEIVING PREVENTATIVE, EARLY DIAGNOSIS AND TREATMENT OBJECTIVE 1: THE FIRST OBJECTIVE IS TO PARTNER WITH THE CHATSWORTH SEVENTH-DAY ADVENTIST CHURCH FOR COMMUNITY CLASSES, SUCH AS DIABETES UNDONE WHICH EMPOWERS PARTICIPANTS TO IMPROVE THEIR HEALTH OUTCOMES THROUGH LIFESTYLE CHANGE, TO PROVIDE EDUCATION ON DIABETES TO COMMUNITY MEMBERS RESIDING IN THE HOSPITAL'S PSA TO 100 COMMUNITY MEMBERS FROM A BASELINE OF ZERO BY THE END OF YEAR THREE. THE INITIATIVE IS FUNDED AND MANAGED THROUGH ADVENTHEALTH MURRAY AND ALL OUTCOMES ARE SPECIFIC TO THE REPORTING HOSPITAL. THE HOSPITAL PROGRESSED ON ITS SET METRIC OF PROVIDING DIABETES EDUCATION TO 100 COMMUNITY MEMBERS BY THE END OF YEAR THREE. DUE TO COVID-19, THE PARTNERSHIP WITH THE CHATSWORTH SEVENTH-DAY ADVENTIST CHURCH WAS PUT ON HOLD IN 2020. AS AN EFFECT OF COVID-19 THE RESOURCES THAT WERE AVAILABLE TO MOVE THIS PROGRAM FORWARD HAVE CHANGED AND THE HOSPITAL IS LOOKING FOR A NEW STRATEGY TO ADDRESS THIS GOAL AND OBJECTIVE IN 2021. OBJECTIVE 2: THE SECOND OBJECTIVE IS TO CONTINUE TO PARTICIPATE IN LOCAL INDUSTRY HEALTH FAIRS TO PROVIDE COMMUNITY MEMBERS WITH DIABETES EDUCATIONAL INFORMATION THROUGH PRINTED LITERATURE AND A STAFF MEMBER TO ANSWER QUESTIONS FOR COMMUNITY MEMBERS RESIDING IN THE HOSPITAL'S PSA TO 250 COMMUNITY MEMBERS FROM A BASELINE OF ZERO BY THE END OF YEAR THREE. THE INITIATIVE IS FUNDED AND CONDUCTED THROUGH ADVENTHEALTH MURRAY AND ALL OUTCOMES ARE SPECIFIC TO THE REPORTING HOSPITAL. DUE COVID-19 AND THE SOCIAL DISTANCING PRECAUTIONS AND NECESSARY PUBLIC HEALTH MEASURES THIS INITIATIVE WAS PUT ON HOLD. THE HOSPITAL INTENDS TO MOVE THIS OBJECTIVE FORWARD AS SOON AS PUBLIC HEALTH RESTRICTIONS ALLOW. PRIORITY 3: VAPING 2019 DESCRIPTION OF THE ISSUE:VAPING IS QUICKLY BECOMING AN EPIDEMIC AMONG SCHOOL-AGE CHILDREN. DATA IS LIMITED ON VAPING AND E-CIGARETTE USE AS THIS IS A RELATIVELY NEW HEALTH ISSUE. CURRENT AGE-ADJUSTED PERCENT OF ADULTS WHO SMOKE CIGARETTES IS 25.3% IN THE HOSPITAL PRIMARY SERVICE AREA COMPARED TO THE STATE PERCENT OF 17.8%. ADVENTHEALTH MURRAY COMMUNITY STAKEHOLDERS VOCALIZED CONCERN OVER THE GROWING NUMBER OF CHILDREN ADOPTING THIS BEHAVIOR. THE USE OF E-CIGARETTES IS UNSAFE FOR CHILDREN, TEENS AND YOUNG ADULTS. MOST E-CIGARETTES CONTAIN NICOTINE, WHICH HAS PROVEN TO BE HIGHLY ADDICTIVE AND HARMFUL TO ADOLESCENT BRAIN DEVELOPMENT. THERE IS GROWING CONCERN REGARDING THE INCREASE IN USE, ESPECIALLY IN THE COMMUNITY'S YOUTH. OPPORTUNITIES HAVE BEEN IDENTIFIED FOR THE HOSPITAL TO PARTNER WITH THE SCHOOL SYSTEM TO HELP BOLSTER EFFORTS TO PROVIDE EDUCATION, SCREENINGS AND STRENGTHEN PREVENTION EFFORTS.2020 UPDATE: THE ADVENTHEALTH MURRAY COMMUNITY HEALTH PLAN HAS TWO DESIRED GOAL STATEMENTS UNDER THE VAPING PRIORITY. 1. PARTNER WITH SCHOOL SYSTEMS TO EDUCATE THE STUDENTS IN OUR COMMUNITY 2. PROVIDE INFORMATION AND RESOURCES IN OUR COMMUNITY TO ADULTS GOAL 1: PARTNER WITH SCHOOL SYSTEMS TO EDUCATE THE STUDENTS IN OUR COMMUNITY OBJECTIVE 1: THE FIRST OBJECTIVE IS TO PROVIDE FOUR LECTURES PER YEAR AT THE MURRAY COUNTY MIDDLE AND HIGH SCHOOLS TO INCREASE THE NUMBER OF STUDENTS THAT ARE AWARE OF THE DANGERS OF VAPING TO STUDENTS RESIDING IN THE HOSPITAL'S PSA TO 3,095 STUDENTS FROM A BASELINE OF ZERO BY THE END OF YEAR THREE. THE OBJECTIVE IS A SHARED INITIATIVE WITH ADVENTHEALTH GORDON. THESE HOSPITALS ARE PART OF THE MULTI-STATE DIVISION OF ADVENTHEALTH, THE SAME DIVISION AS THE REPORTING HOSPITAL. THE HOSPITALS PARTNERED ON THIS INITIATIVE BECAUSE OF A SHARED CHNA PRIORITY. THE INITIATIVE IS MANAGED THROUGH BOTH HOSPITALS; HOWEVER, ALL FUNDING AND OUTCOMES ARE SPECIFIC TO THE REPORTING HOSPITAL. THE METRIC FOR THE OBJECTIVE WAS PROGRESSED ON BY IDENTIFYING LOCAL SCHOOLS AND COMMUNITY PARTNERS FOR DEPLOYMENT. DUE TO THE NECESSARY SOCIAL DISTANCING PRECAUTIONS AS A RESULT OF COVID-19, THE FIRST YEAR WAS DEDICATED TO PLANNING AND STRATEGY. IN 2021, THE HOSPITAL WILL CONTINUE IN THE NEXT PHASE OF THE OBJECTIVE AND WILL BEGIN HOSTING LECTURES AT LOCAL SCHOOLS. GOAL 2: PROVIDE INFORMATION AND RESOURCES IN OUR COMMUNITY TO ADULTS OBJECTIVE 1: THE FIRST OBJECTIVE IS TO DEVELOP AND LAUNCH FOUR SOCIAL MEDIA POSTS PER YEAR DIRECTED AT THE ADULT POPULATION IN TARGETED ZIP CODES WITHIN ADVENTHEALTH MURRAYS' PSA TO INCREASE AWARENESS AND EDUCATION AMONG THE ADULT POPULATION ON THE DANGERS OF VAPING IS A SHARED INITIATIVE WITH ADVENTHEALTH GORDON. THESE HOSPITALS ARE PART OF THE MULTI-STATE DIVISION OF ADVENTHEALTH, THE SAME DIVISION AS THE REPORTING HOSPITAL. THE HOSPITALS PARTNERED ON THIS INITIATIVE BECAUSE OF A SHARED CHNA PRIORITY. FUNDING AND OUTCOMES REPORTED REPRESENT BOTH HOSPITALS. THE POST WILL BE "BOOSTED" FOR $500 PER YEAR TARGETING AUDIENCES AGED 30-60 YEARS OLD IN ORDER TO REACH PARENTS AND GRANDPARENTS RESIDING IN THE HOSPITAL'S PSA TO 20,000 VIEWS FROM A BASELINE OF ZERO BY THE END OF YEAR THREE. THE HOSPITALS PROGRESSED ON THE INITIATIVE BY DEVELOPING SOME OF THE FOUNDATIONAL STEPS FOR THE SOCIAL MEDIA CAMPAIGN, HOWEVER THE INITIATIVE WAS NOT LAUNCHED DUE TO COVID-19. THE INTENTION IS TO RELAUNCH THIS INITIATIVE WITH THE EXPECTATION OF COMPLETION BY THE END OF YEAR THREE.PRIORITY 4: NUTRITION 2019 DESCRIPTION OF THE ISSUE:THE NEED TO FOCUS ON NUTRITION WAS REFLECTED IN CONSISTENTLY HIGHER THAN STATE INCIDENCE OF PREVENTABLE, CHRONIC DISEASE. THE COMMUNITY HEALTH NEEDS ASSESSMENT COMMITTEE AGREED THAT INCREASING THE COMMUNITY'S ABILITY TO ACCESS AND INCORPORATE A MORE BALANCED DIET WOULD HELP WITH THE PREVENTION AND MAINTENANCE OF MANY ISSUES IDENTIFIED THROUGHOUT THE NEEDS ASSESSMENT PROCESS. THE CURRENT FOOD INSECURITY RATE FOR THE ADVENTHEALTH MURRAY PRIMARY SERVICE AREA (PSA) IS 11.2%, WHICH IS SLIGHTLY LOWER THAN THE STATE AVERAGE OF 14.4%. ALTHOUGH A FOOD INSECURITY RATE LOWER THAN STATE AVERAGE IS CONSIDERED POSITIVE, 11.2% OF THE POPULATION TRANSLATES TO APPROXIMATELY ONE IN NINE COMMUNITY MEMBERS WHO EXPERIENCE A LACK OF CONSISTENT ACCESS TO ENOUGH FOOD TO SUSTAIN AN ACTIVE, HEALTHY LIFE. IN ADDITION TO FOOD INSECURITY, THE HOSPITAL ALSO UTILIZED THE FOOD ACCESS RESEARCH ATLAS TO DETERMINE IF A SIGNIFICANT NUMBER OF INDIVIDUALS, OR SHARE OF THE POPULATION, ARE FAR FROM A SUPERMARKET, SUPERCENTER, OR LARGE GROCERY STORE. WHILE LOWER THAN THE STATE AVERAGE OF 30.82%, THE HOSPITAL PSA STILL HAS 19.21%, OR APPROXIMATELY ONE IN FIVE, COMMUNITY MEMBERS WHO LACK REASONABLE ACCESS TO HEALTHY AND NUTRITIOUS FOOD.2020 UPDATE: THE ADVENTHEALTH MURRAY COMMUNITY HEALTH PLAN HAS TWO DESIRED GOAL STATEMENTS UNDER THE NUTRITION PRIORITY. 1. PARTNER WITH COMMUNITY AGENCIES TO EDUCATE LOW INCOME ADULTS 2. EDUCATE INDIVIDUALS IN OUR COMMUNITY ON HEALTHY EATING CHOICES (CONTINUED) SCH H, PART V, SECTION B, LINE 11 (CONTINUED) - ADVENTHEALTH GORDON IN MANY COMMUNITIES A BARRIER TO ACCESSING CARE IS OFTEN A LACK OF AWARENESS OF AVAILABLE TREATMENT OPTIONS. BY EDUCATING COMMUNITY MEMBERS AND INCREASING AWARENESS OF THE AVAILABLE LOCAL RESOURCES, THE HOSPITAL AIMS TO CONNECT MORE INDIVIDUALS IN NEED TO APPROPRIATE AVENUES OF CARE. DURING THE COURSE OF IDENTIFYING AVAILABLE RESOURCES WHICH SUPPORT MENTAL HEALTH NEEDS IN THE COMMUNITY, IT HAS BECOME CLEAR THERE IS A GAP OF NEEDED SERVICES IN THE HOSPITAL'S PSA. TO BE THE MOST EFFECTIVE WITH THE AVAILABLE HOSPITAL RESOURCES AT THIS TIME, THE HOSPITAL WILL FOCUS ITS EFFORTS ON CONNECTING INDIVIDUALS WITH THE RESOURCES AVAILABLE, WHILE SEEKING WAYS TO ADDRESS THIS GAP IN THE FUTURE. THE METRIC FOR THE OBJECTIVE WAS PROGRESSED ON. IN 2020, THE HOSPITAL PROVIDED RESOURCE GUIDES TO 78 COMMUNITY MEMBERS. OBJECTIVE 2: THE SECOND OBJECTIVE IS TO CO-SPONSOR A MENTAL HEALTH FAIR FOR PUBLIC HIGH SCHOOL STUDENTS IN CALHOUN/GORDON COUNTY TO INCREASE THE NUMBER OF TEENS AND ADULTS THAT HAVE ACCESS TO TREATMENT INFORMATION TO STUDENTS RESIDING IN THE HOSPITAL'S PSA TO 500 HIGH SCHOOL STUDENTS FROM A BASELINE OF ZERO BY THE END OF YEAR THREE. THE INITIATIVE IS CONDUCTED THROUGH ADVENTHEALTH GORDON AND ALL OUTCOMES ARE SPECIFIC TO THE REPORTING HOSPITAL. THE METRIC FOR THE OBJECTIVE WAS PROGRESSED ON BY IDENTIFYING LOCAL SCHOOLS AND COMMUNITY PARTNERS FOR DEPLOYMENT. DUE TO THE NECESSARY SOCIAL DISTANCING PRECAUTIONS AS A RESULT OF COVID-19, THE FIRST YEAR WAS DEDICATED TO PLANNING AND STRATEGY. IN 2021, THE HOSPITAL WILL CONTINUE IN THE NEXT PHASE OF THE OBJECTIVE AND WILL BEGIN HOSTING MENTAL HEALTH FAIRS AT LOCAL SCHOOLS. PRIORITY 4: VAPING 2019 DESCRIPTION OF THE ISSUE:VAPING IS QUICKLY BECOMING AN EPIDEMIC AMONG SCHOOL AGE CHILDREN. ADVENTHEALTH GORDON COMMUNITY STAKEHOLDERS VOCALIZED CONCERN OVER THE GROWING NUMBER OF CHILDREN ADOPTING THIS BEHAVIOR. THE USE OF E-CIGARETTES IS UNSAFE FOR CHILDREN, TEENS AND YOUNG ADULTS. MOST E-CIGARETTES CONTAIN NICOTINE, WHICH HAS PROVEN TO BE HIGHLY ADDICTIVE AND HARMFUL TO ADOLESCENT BRAIN DEVELOPMENT. THERE IS GROWING CONCERN REGARDING THE INCREASE IN USE, ESPECIALLY IN THE COMMUNITY'S YOUTH. OPPORTUNITIES HAVE BEEN IDENTIFIED FOR THE HOSPITAL TO PARTNER WITH THE SCHOOL SYSTEM TO HELP BOLSTER EFFORTS TO PROVIDE EDUCATION, SCREENINGS AND STRENGTHEN PREVENTION EFFORTS.2020 UPDATE: THE ADVENTHEALTH GORDON COMMUNITY HEALTH PLAN HAS TWO DESIRED GOAL STATEMENTS UNDER THE VAPING PRIORITY. 1. PARTNER WITH SCHOOL SYSTEMS TO EDUCATE THE STUDENTS IN OUR COMMUNITY 2. PROVIDE INFORMATION AND RESOURCES IN OUR COMMUNITY TO ADULTS GOAL 1: PARTNER WITH SCHOOL SYSTEMS TO EDUCATE THE STUDENTS IN OUR COMMUNITY OBJECTIVE 1: THE FIRST OBJECTIVE IS TO PROVIDE EIGHT LECTURES PER YEAR AT THE CALHOUN/GORDON COUNTY MIDDLE AND HIGH SCHOOLS TO INCREASE THE NUMBER OF STUDENTS THAT ARE AWARE OF THE DANGERS OF VAPING. THE OBJECTIVE IS A SHARED INITIATIVE WITH ADVENTHEALTH MURRAY. THESE HOSPITALS ARE PART OF THE MULTI-STATE DIVISION OF ADVENTHEALTH, THE SAME DIVISION AS THE REPORTING HOSPITAL. THE HOSPITALS PARTNERED ON THIS INITIATIVE BECAUSE OF A SHARED CHNA PRIORITY. THE INITIATIVE IS MANAGED THROUGH BOTH HOSPITALS; HOWEVER, ALL FUNDING AND OUTCOMES ARE SPECIFIC TO THE REPORTING HOSPITAL. THIS OBJECTIVE WILL EDUCATE 5,400 STUDENTS FROM A BASELINE OF ZERO BY THE END OF YEAR THREE. THE METRIC FOR THE OBJECTIVE WAS PROGRESSED ON BY IDENTIFYING LOCAL SCHOOLS AND COMMUNITY PARTNERS FOR DEPLOYMENT. DUE TO THE NECESSARY SOCIAL DISTANCING PRECAUTIONS AS A RESULT OF COVID-19, THE FIRST YEAR WAS DEDICATED TO PLANNING AND STRATEGY. IN 2021, THE HOSPITAL WILL CONTINUE IN THE NEXT PHASE OF THE OBJECTIVE AND WILL BEGIN HOSTING LECTURES AT LOCAL SCHOOLS. GOAL 2: PROVIDE INFORMATION AND RESOURCES IN OUR COMMUNITY TO ADULTS OBJECTIVE 1: THE FIRST OBJECTIVE, TO DEVELOP AND LAUNCH FOUR SOCIAL MEDIA POSTS PER YEAR DIRECTED AT THE ADULT POPULATION TO INCREASE AWARENESS AND EDUCATION AMONG THE ADULT POPULATION ON THE DANGERS OF VAPING, IS A SHARED INITIATIVE WITH ADVENTHEALTH MURRAY. THESE HOSPITALS ARE PART OF THE MULTI-STATE DIVISION OF ADVENTHEALTH, THE SAME DIVISION AS THE REPORTING HOSPITAL. THE HOSPITALS PARTNERED ON THIS INITIATIVE BECAUSE OF A SHARED CHNA PRIORITY. FUNDING AND OUTCOMES REPORTED REPRESENT BOTH HOSPITALS. THE POST WILL BE "BOOSTED" FOR $500 PER YEAR TARGETING AUDIENCES AGED 30-60 YEARS OLD IN ORDER TO REACH PARENTS AND GRANDPARENTS RESIDING IN THE HOSPITAL'S PSA TO 20,000 VIEWS FROM A BASELINE OF ZERO BY THE END OF YEAR THREE. THE HOSPITALS PROGRESSED ON THE INITIATIVE BY DEVELOPING SOME OF THE FOUNDATIONAL STEPS FOR THE SOCIAL MEDIA CAMPAIGN, HOWEVER THE INITIATIVE WAS NOT LAUNCHED DUE TO COVID-19. AS A RESULT OF THE PANDEMIC THE HOSPITALS CHANNELED THEIR EXISTING RESOURCES TO MEET THE NEEDS OF THE COMMUNITY THAT DEVELOPED AS A RESULT OF THE PANDEMIC. THE INTENTION IS TO RELAUNCH THIS INITIATIVE WITH THE EXPECTATION OF COMPLETION BY THE END OF YEAR THREE. COMMUNITY NEEDS NOT CHOSEN BY ADVENTHEALTH GORDON:THE PRIMARY AND SECONDARY DATA IN THE COMMUNITY HEALTH NEEDS ASSESSMENT IDENTIFIED MULTIPLE COMMUNITY ISSUES. THE HOSPITAL AND COMMUNITY STAKEHOLDERS USED THE FOLLOWING CRITERIA TO NARROW THE LARGER LIST TO THE PRIORITY AREAS NOTED ABOVE:1. HOW ACUTE IS THE NEED? (BASED ON DATA AND COMMUNITY CONCERN)2. WHAT IS THE TREND? IS THE NEED GETTING WORSE?3. DOES THE HOSPITAL PROVIDE SERVICES THAT RELATE TO THE PRIORITY? 4. IS SOMEONE ELSE - OR MULTIPLE GROUPS - IN THE COMMUNITY ALREADY WORKING ON THIS ISSUE? 5. IF THE HOSPITAL WERE TO ADDRESS THIS ISSUE, ARE THERE OPPORTUNITIES TO WORK WITH COMMUNITY PARTNERS? BASED ON THIS PRIORITIZATION PROCESS, THE HOSPITAL DID NOT CHOOSE THE FOLLOWING COMMUNITY ISSUES:1. TEEN PREGNANCY: TEEN PREGNANCY CAN IMPACT QUALITY OF LIFE FOR BOTH MOTHER AND CHILD. TEEN MOTHERS ARE AT A HIGHER RISK FOR POSTPARTUM DEPRESSION AND FUTURE POVERTY. THE COMMUNITY ASSET INVENTORY IDENTIFIED SEVERAL EXISTING PROGRAMS AND ORGANIZATIONS ADDRESSING THIS ISSUE. THE CHNAC CHOSE NOT TO FOCUS ON THIS ISSUE IN ORDER TO AVOID DUPLICATION OF EFFORTS. 2. IMMUNIZATIONS: THE COMMUNITY HEALTH NEEDS ASSESSMENT COMMITTEE (CHNAC) AGREED THAT, WHILE IMPORTANT, ALREADY EXISTING EFFORTS LED BY THE LOCAL HEALTH DEPARTMENT WERE ADDRESSING THE ISSUE OF IMMUNIZATIONS. THE HOSPITAL WILL CONTINUE TO SUPPORT THE EFFORTS OF THE LOCAL HEALTH DEPARTMENT.3. RESPIRATORY DISEASE: ALTHOUGH SOME COMMUNITY MEMBERS CITED CHILDHOOD ASTHMA AS A COMMUNITY HEALTH PROBLEM, THE CHNAC DID NOT BELIEVE THIS PRIORITY COMPARED TO OTHER ISSUE. ADVENTHEALTH GORDON WILL CONTINUE TO PARTNER WITH THE SCHOOL SYSTEM TO HELP BOLSTER EFFORT TO PROVIDE EDUCATION AND SCREENINGS. SCH H, PART V, SECTION B, LINE 11 (CONTINUED) - ADVENTHEALTH MURRAY GOAL 1: PARTNER WITH COMMUNITY AGENCIES TO EDUCATE LOW INCOME ADULTS OBJECTIVE 1: THE FIRST OBJECTIVE IS TO WORK WITH THE CHATSWORTH SEVENTH-DAY ADVENTIST CHURCH PROVIDING VOLUNTEERS AND EDUCATIONAL LITERATURE TO EDUCATE OUR COMMUNITY MEMBERS ON HEALTHY EATING HABITS FOR COMMUNITY MEMBERS RESIDING IN THE HOSPITAL'S PSA TO 150 COMMUNITY MEMBERS FROM A BASELINE OF ZERO BY THE END OF YEAR THREE. THE COMMUNITY MEMBERS ARE PROVIDED EDUCATION THROUGH THE DIABETES UNDONE PROGRAM, WHICH APPEARS IN THE THIRD PRIORITY. NUTRITION IS A KEY COMPONENT IMPACTING DIABETES AND OTHER CHRONIC DISEASES AND IS INCLUDED AS PART OF THE DIABETES UNDONE CURRICULUM. THE REPORTED NUMBERS ARE NOT UNIQUE BUT REFLECT A TOTAL OF 150 ACROSS BOTH GOALS/OBJECTIVES. THE INITIATIVE IS FUNDED AND MANAGED THROUGH ADVENTHEALTH MURRAY AND ALL OUTCOMES ARE SPECIFIC TO THE REPORTING HOSPITAL. DUE TO COVID-19, THE PARTNERSHIP WITH THE CHATSWORTH SEVENTH-DAY ADVENTIST CHURCH WAS PUT ON HOLD IN 2020. AS AN EFFECT OF COVID-19 THE RESOURCES THAT WERE AVAILABLE TO MOVE THIS PROGRAM FORWARD HAVE CHANGED AND THE HOSPITAL IS LOOKING FOR A NEW STRATEGY TO ADDRESS THIS GOAL AND OBJECTIVE IN 2021. GOAL 2: EDUCATE INDIVIDUALS IN OUR COMMUNITY ON HEALTHY EATING CHOICES OBJECTIVE 1: THE FIRST OBJECTIVE IS TO SHARE EDUCATION MATERIAL ON HEALTHY EATING AT COMMUNITY EVENTS TO INCREASE AWARENESS FOR A HEALTHIER LIFESTYLE FOR COMMUNITY MEMBERS RESIDING IN THE HOSPITAL'S PSA TO 200 COMMUNITY MEMBERS FROM A BASELINE OF ZERO BY THE END OF YEAR THREE. THE INITIATIVE IS FUNDED AND MANAGED THROUGH ADVENTHEALTH MURRAY AND ALL OUTCOMES ARE SPECIFIC TO THE REPORTING HOSPITAL. THE HOSPITAL WAS ABLE TO SHARE EDUCATION MATERIAL ON HEALTHY EATING TO 106 COMMUNITY MEMBERS. THE HOSPITAL PROGRESSED ON ITS SET METRIC OF SHARING EDUCATION MATERIAL WITH 200 COMMUNITY MEMBERS WITH 106 COMMUNITY MEMBERS REACHED.OBJECTIVE 2: THE SECOND OBJECTIVE IS TO USE CREATION LIFE CLASSES TO PROVIDE ACCESS TO KNOWLEDGE AROUND HEALTHY NUTRITION TO COMMUNITY MEMBERS RESIDING IN THE HOSPITAL'S PSA TO 150 COMMUNITY MEMBERS FROM BASELINE OF ZERO BY THE END OF YEAR THREE. THE CREATION LIFE CLASSES ARE FUNDED AND MANAGED THROUGH ADVENTHEALTH MURRAY AND ALL OUTCOMES ARE SPECIFIC TO THE REPORTING HOSPITAL. THE INITIATIVE PROVIDES INDIVIDUALS AT RISK FOR CHRONIC DISEASE WITH WELLNESS AND HEALTHY LIFESTYLE PRINCIPLES BASED ON THE TENANTS OF CHOICE, REST, ENVIRONMENT, ACTIVITY, TRUST, INTERPERSONAL RELATIONSHIPS, OUTLOOK AND NUTRITION. THESE EIGHT PRINCIPLES PROVIDE GUIDANCE AND SUPPORT TO HELP TRANSFORM YOUR LIVES IN POSITIVE WAYS. THE CREATION LIFE PRINCIPLES ARE BACKED BY SCIENCE. THEY HAVE BEEN PROVEN SUCCESSFUL IN STUDIES FUNDED BY THE NATIONAL INSTITUTES OF HEALTH, WORLD HEALTH ORGANIZATION AND NATIONAL CANCER INSTITUTE, AMONG OTHERS. DUE COVID-19 AND THE SOCIAL DISTANCING PRECAUTIONS AND NECESSARY PUBLIC HEALTH MEASURES THIS INITIATIVE WAS PUT ON HOLD. THE HOSPITAL INTENDS TO MOVE THIS OBJECTIVE FORWARD AS SOON AS PUBLIC HEALTH RESTRICTIONS ALLOW. COMMUNITY NEEDS NOT CHOSEN BY ADVENTHEALTH MURRAY:THE PRIMARY AND SECONDARY DATA IN THE COMMUNITY HEALTH NEEDS ASSESSMENT IDENTIFIED MULTIPLE COMMUNITY ISSUES. THE HOSPITAL AND COMMUNITY STAKEHOLDERS USED THE FOLLOWING CRITERIA TO NARROW THE LARGER LIST TO THE PRIORITY AREAS NOTED ABOVE:1. HOW ACUTE IS THE NEED? (BASED ON DATA AND COMMUNITY CONCERN)2. WHAT IS THE TREND? IS THE NEED GETTING WORSE?3. DOES THE HOSPITAL PROVIDE SERVICES THAT RELATE TO THE PRIORITY? 4. IS SOMEONE ELSE - OR MULTIPLE GROUPS - IN THE COMMUNITY ALREADY WORKING ON THIS ISSUE? 5. IF THE HOSPITAL WERE TO ADDRESS THIS ISSUE, ARE THERE OPPORTUNITIES TO WORK WITH COMMUNITY PARTNERS? BASED ON THIS PRIORITIZATION PROCESS, THE HOSPITAL DID NOT CHOOSE THE FOLLOWING COMMUNITY ISSUES:1. TEEN PREGNANCY: TEEN PREGNANCY CAN IMPACT QUALITY OF LIFE FOR BOTH MOTHER AND CHILD. TEEN MOTHERS ARE AT A HIGHER RISK FOR POSTPARTUM DEPRESSION AND FUTURE POVERTY. THE COMMUNITY ASSET INVENTORY IDENTIFIED EXISTING PROGRAMS AND ORGANIZATIONS ADDRESSING THIS ISSUE. THE COMMUNITY HEALTH NEEDS ASSESSMENT COMMITTEE (CHNAC) CHOSE NOT TO FOCUS ON THIS ISSUE IN ORDER TO AVOID DUPLICATION OF EFFORTS.2. IMMUNIZATION CHILDREN: THE CHNAC AGREED THAT WHILE, EXISTING EFFORTS LED BY THE LOCAL HEALTH DEPARTMENT WERE ADDRESSING THE ISSUE OF IMMUNIZATION. THE HOSPITAL WILL CONTINUE TO SUPPORT THE EFFORTS OF THE LOCAL HEALTH DEPARTMENT.3. ASTHMA IN CHILDREN: ALTHOUGH SOME COMMUNITY MEMBERS CITED CHILDHOOD ASTHMA AS A COMMUNITY HEALTH PROBLEM, THE CHNAC DID NOT BELIEVE THIS PRIORITY COMPARED TO OTHER ISSUES IN TERMS OF THE MAGNITUDE OF THE HEALTH PROBLEM IT POSED TO THE COMMUNITY. ADVENTHEALTH MURRAY WILL CONTINUE TO PARTNER WITH THE SCHOOL SYSTEM TO HELP BOLSTER EFFORTS TO PROVIDE EDUCATION AND SCREENINGS.4. HEART DISEASE/HIGH BLOOD PRESSURE/CHOLESTEROL: HEART DISEASE, HIGH BLOOD PRESSURE AND CHOLESTEROL WERE IDENTIFIED CONSISTENTLY AS AREAS OF CONCERN IN BOTH PRIMARY AND SECONDARY DATA. THE HOSPITAL AND COMMUNITY BOTH HAVE EXISTING PROGRAMS IN PLACE. ADVENTHEALTH MURRAY WILL CONTINUE TO PARTNER WITH THE COMMUNITY AND PROVIDE SCREENINGS AND EDUCATION TO COMMUNITY MEMBERS. BY ADDRESSING NUTRITION THROUGH EDUCATION AND PARTNERSHIPS, THE CHNA HOPES TO BE ABLE TO POSITIVELY IMPACT THESE CONDITIONS. 23 1 - ADVENTHEALTH MEDICAL GROUP PHY CLINIC 400 TIMMS ROAD NE CALHOUN GA 30701 PHYSICIAN CLINIC 2 - ADVENTHEALTH MEDICAL GROUP PHY CLINIC 109 HOSPITAL COURT CALHOUN GA 30701 PHYSICIAN CLINIC 3 - ADVENTHEALTH MEDICAL GROUP PHY CLINIC 170 CURTIS PARKWAY NE SUITE 1 CALHOUN GA 30701 PHYSICIAN CLINIC 4 - ADVENTHEALTH MEDICAL GROUP PHY CLINIC 400 TIMMS ROAD NE CALHOUN GA 30701 PHYSICIAN CLINIC 5 - ADVENTHEALTH MEDICAL GROUP PHY CLINIC 100 HOSPITAL COURT CALHOUN GA 30701 PHYSICIAN CLINIC 6 - ADVENTHEALTH GORDON EMS 105 WILLOWBROOK WAY SE CALHOUN GA 30701 AMBULANCE SERVICE 7 - ADVENTHEALTH MEDICAL GROUP PHY CLINIC 815 CURTIS PARKWAY SE CALHOUN GA 30701 PHYSICIAN CLINIC 8 - ADVENTHEALTH MEDICAL GROUP PHY CLINIC 1035 RED BUD ROAD SUITE 105 CALHOUN GA 30701 PHYSICIAN CLINIC 9 - ADVENTHEALTH MEDICAL GROUP PHY CLINIC 824 GI MADDOX PARKWAY CHATSWORTH GA 30705 PHYSICIAN CLINIC 10 - ADVENTHEALTH MEDICAL GROUP PHY CLINIC 1035 RED BUD ROAD SUITE 201 CALHOUN GA 30701 PHYSICIAN CLINIC 11 - ADVENTHEALTH MEDICAL GROUP PHY CLINIC 21 COMMERCE PARKWAY ADAIRSVILLE GA 30103 PHYSICIAN CLINIC 12 - ADVENTHEALTH MEDICAL GROUP PHY CLINIC 1035 RED BUD ROAD SUITE 203 CALHOUN GA 30701 PHYSICIAN CLINIC 13 - ADVENTHEALTH MEDICAL GROUP PHY CLINIC 104 HOSPITAL DRIVE CHATSWORTH GA 30705 PHYSICIAN CLINIC 14 - ADVENTHEALTH MEDICAL GROUP PHY CLINIC 100 HOSPITAL DRIVE CHATSWORTH GA 30705 PHYSICIAN CLINIC 15 - ADVENTHEALTH MEDICAL GROUP PHY CLINIC 106 HOSPITAL DRIVE SUITE 5 CHATSWORTH GA 30705 PHYSICIAN CLINIC 16 - ADVENTHEALTH MEDICAL GROUP PHY CLINIC 110 HOSPITAL DRIVE CALHOUN GA 30701 PHYSICIAN CLINIC 17 - ADVENTHEALTH MEDICAL GROUP PHY CLINIC 106 HOSPITAL DRIVE SUITE 1 CHATSWORTH GA 30705 PHYSICIAN CLINIC 18 - ADVENTHEALTH MEDICAL GROUP PHY CLINIC 101 YELLOW JACKET DRIVE CALHOUN GA 30701 PHYSICIAN CLINIC 19 - ADVENTHEALTH MEDICAL GROUP PHY CLINIC 97 HEFNER STREET SUITE 203 EAST ELLIJAY GA 30540 PHYSICIAN CLINIC 20 - ADVENTHEALTH MEDICAL GROUP PHY CLINIC 1091 RED BUD ROAD NE CALHOUN GA 30701 PHYSICIAN CLINIC 21 - ADVENTHEALTH MEDICAL GROUP PHY CLINIC 106 HOSPITAL DRIVE SUITE 6 CHATSWORTH GA 30705 PHYSICIAN CLINIC 22 - ADVENTHEALTH MEDICAL GROUP PHY CLINIC 400 TIMMS ROAD NE CALHOUN GA 30701 PHYSICIAN CLINIC 23 - ADVENTHEALTH MEDICAL GROUP PHY CLINIC 21 COMMERCE PARKWAY ADAIRSVILLE GA 30103 PHYSICIAN CLINIC 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 27 TAX-EXEMPT 501(C)(3) HOSPITAL ORGANIZATIONS AND A NUMBER OF OTHER HEALTH CARE FACILITIES THAT OPERATED IN 10 STATES WITHIN THE U.S. THE SYSTEM OF ORGANIZATIONS UNDER THE CONTROL AND OWNERSHIP OF AHSSHC IS KNOWN AS "ADVENTHEALTH".ALL HOSPITAL ORGANIZATIONS WITHIN ADVENTHEALTH COLLECT, CALCULATE, AND REPORT THE COMMUNITY BENEFITS THEY PROVIDE TO THE COMMUNITIES THEY SERVE. ADVENTHEALTH ORGANIZATIONS EXIST SOLELY TO IMPROVE AND ENHANCE THE LOCAL COMMUNITIES THEY SERVE. ADVENTHEALTH HAS A SYSTEM-WIDE COMMUNITY BENEFITS ACCOUNTING POLICY THAT PROVIDES GUIDELINES FOR ITS HEALTH CARE PROVIDER ORGANIZATIONS TO CAPTURE AND REPORT THE COSTS OF SERVICES PROVIDED TO THE UNDERPRIVILEGED AND TO THE BROADER COMMUNITY. EACH ADVENTHEALTH HOSPITAL FACILITY REPORTS THEIR COMMUNITY BENEFITS TO THEIR BOARD OF DIRECTORS AND STRIVES TO COMMUNICATE THEIR COMMUNITY BENEFITS TO THEIR LOCAL COMMUNITIES. ADDITIONALLY, THE FILING ORGANIZATION'S MOST RECENTLY CONDUCTED COMMUNITY HEALTH NEEDS ASSESSMENT AND ASSOCIATED IMPLEMENTATION STRATEGY CAN BE ACCESSED ON THE FILING ORGANIZATION'S WEBSITE. PART I, LINE 7: THE AMOUNTS OF COSTS REPORTED IN THE TABLE IN LINE 7 OF PART I OF SCHEDULE H WERE DETERMINED BY UTILIZING A COST-TO-CHARGE RATIO DERIVED FROM WORKSHEET 2, RATIO OF PATIENT CARE COST-TO-CHARGES, CONTAINED IN THE SCHEDULE H INSTRUCTIONS. PART III, LINE 2: THE AMOUNT OF BAD DEBT EXPENSE REPORTED ON LINE 2 OF SECTION A OF PART III IS RECORDED IN ACCORDANCE WITH HEALTHCARE FINANCIAL MANAGEMENT ASSOCIATION STATEMENT NO. 15. DISCOUNTS AND PAYMENTS ON PATIENT ACCOUNTS ARE RECORDED AS ADJUSTMENTS TO REVENUE, NOT BAD DEBT EXPENSE. PART III, LINE 3: METHODOLOGY FOR DETERMINING THE ESTIMATED AMOUNT OF BAD DEBT EXPENSE THAT MAY REPRESENT PATIENTS WHO COULD HAVE QUALIFIED UNDER THE FILING ORGANIZATION'S FINANCIAL ASSISTANCE POLICY:SELF-PAY PATIENTS MAY APPLY FOR FINANCIAL ASSISTANCE BY COMPLETING A FINANCIAL ASSISTANCE APPLICATION FORM (FAA FORM). IF AN INDIVIDUAL DOES NOT SUBMIT A COMPLETE FAA FORM WITHIN 240 DAYS AFTER THE FIRST POST-DISCHARGE BILLING STATEMENT IS SENT TO THE INDIVIDUAL, AN INDIVIDUAL MAY BE CONSIDERED FOR PRESUMPTIVE ELIGIBILITY BASED UPON A SCORING TOOL THAT IS DESIGNED TO CLASSIFY PATIENTS INTO GROUPS OF VARYING ECONOMIC MEANS. THE SCORING TOOL USES ALGORITHMS THAT INCORPORATE DATA FROM CREDIT BUREAUS, DEMOGRAPHIC DATABASES, AND HOSPITAL SPECIFIC DATA TO INFER AND CLASSIFY PATIENTS INTO RESPECTIVE ECONOMIC MEANS CATEGORIES. INDIVIDUALS WHO EARN A CERTAIN SCORE ON THE SCORING TOOL ARE CONSIDERED TO QUALIFY AS ELIGIBLE FOR THE MOST GENEROUS FINANCIAL ASSISTANCE UNDER THE FILING ORGANIZATION'S FINANCIAL ASSISTANCE POLICY. AS DETERMINED BY THE FILING ORGANIZATION, A NOMINAL AMOUNT OF SUCH A PATIENT'S BILL IS WRITTEN OFF AS BAD DEBT EXPENSE, WHILE THE REMAINING PORTION OF THE PATIENT'S BILL IS CONSIDERED NON-STATE CHARITY. THE AMOUNT WRITTEN OFF AS BAD DEBT EXPENSE FOR THOSE PATIENTS WHO POTENTIALLY QUALIFY AS NON-STATE CHARITY USING THE SCORING TOOL IS THE AMOUNT SHOWN ON LINE 3 OF SECTION A OF PART III. RATIONALE FOR INCLUDING CERTAIN BAD DEBTS IN COMMUNITY BENEFIT:THE FILING ORGANIZATION IS DEDICATED TO THE VIEW THAT MEDICALLY NECESSARY HEALTH CARE FOR EMERGENCY AND NON-ELECTIVE PATIENTS SHOULD BE ACCESSIBLE TO ALL, REGARDLESS OF AGE, GENDER, GEOGRAPHIC LOCATION, CULTURAL BACKGROUND, PHYSICIAN MOBILITY, OR ABILITY TO PAY. THE FILING ORGANIZATION TREATS EMERGENCY AND NON-ELECTIVE PATIENTS REGARDLESS OF THEIR ABILITY TO PAY OR THE AVAILABILITY OF THIRD-PARTY COVERAGE. BY PROVIDING HEALTH CARE TO ALL WHO REQUIRE EMERGENCY OR NON-ELECTIVE CARE IN A NON-DISCRIMINATORY MANNER, THE FILING ORGANIZATION IS PROVIDING HEALTH CARE TO THE BROAD COMMUNITY IT SERVES. AS A 501(C)(3) HOSPITAL ORGANIZATION, THE FILING ORGANIZATION MAINTAINS A 24/7 EMERGENCY ROOM PROVIDING CARE TO ALL WHOM PRESENT. WHEN A PATIENT'S ARRIVAL AND/OR ADMISSION TO THE FACILITY BEGINS WITHIN THE EMERGENCY DEPARTMENT, TRIAGE AND MEDICAL SCREENING ARE ALWAYS COMPLETED PRIOR TO REGISTRATION STAFF PROCEEDING WITH THE DETERMINATION OF A PATIENT'S SOURCE OF PAYMENT. IF THE PATIENT REQUIRES ADMISSION AND CONTINUED NON-ELECTIVE CARE, THE FILING ORGANIZATION PROVIDES THE NECESSARY CARE REGARDLESS OF THE PATIENT'S ABILITY TO PAY. THE FILING ORGANIZATION'S OPERATION OF A 24/7 EMERGENCY DEPARTMENT THAT ACCEPTS ALL INDIVIDUALS IN NEED OF CARE PROMOTES THE HEALTH OF THE COMMUNITY THROUGH THE PROVISION OF CARE TO ALL WHOM PRESENT. CURRENT INTERNAL REVENUE SERVICE GUIDANCE THAT TAX-EXEMPT HOSPITALS MAINTAIN SUCH EMERGENCY ROOMS WAS ESTABLISHED TO ENSURE THAT EMERGENCY CARE WOULD BE PROVIDED TO ALL WITHOUT DISCRIMINATION. THE TREATMENT OF ALL AT THE FILING ORGANIZATION'S EMERGENCY DEPARTMENT IS A COMMUNITY BENEFIT. UNDER THE FILING ORGANIZATION'S FINANCIAL ASSISTANCE POLICY, EVERY EFFORT IS MADE TO OBTAIN A PATIENT'S NECESSARY FINANCIAL INFORMATION TO DETERMINE ELIGIBILITY FOR FINANCIAL ASSISTANCE. HOWEVER, NOT ALL PATIENTS WILL COOPERATE WITH SUCH EFFORTS AND A FINANCIAL ASSISTANCE ELIGIBILITY DETERMINATION CANNOT BE MADE BASED UPON INFORMATION SUPPLIED BY THE INDIVIDUAL. IN THIS CASE, A PATIENT'S PORTION OF A BILL THAT REMAINS UNPAID FOR A CERTAIN STIPULATED TIME PERIOD IS WHOLLY OR PARTIALLY CLASSIFIED AS BAD DEBT. BAD DEBTS ASSOCIATED WITH PATIENTS WHO HAVE RECEIVED CARE THROUGH THE FILING ORGANIZATION'S EMERGENCY DEPARTMENT SHOULD BE CONSIDERED COMMUNITY BENEFIT AS CHARITABLE HOSPITALS EXIST TO PROVIDE SUCH CARE IN PURSUIT OF THEIR PURPOSE OF MEETING THE NEED FOR EMERGENCY MEDICAL CARE SERVICES AVAILABLE TO ALL IN THE COMMUNITY. PART III, LINE 4: FINANCIAL STATEMENT FOOTNOTE RELATED TO ACCOUNTS RECEIVABLE AND ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS:THE FINANCIAL INFORMATION OF THE FILING ORGANIZATION IS INCLUDED IN A CONSOLIDATED AUDITED FINANCIAL STATEMENT FOR THE CURRENT YEAR.THE APPLICABLE FOOTNOTE FROM THE ATTACHED CONSOLIDATED AUDITED FINANCIAL STATEMENTS THAT ADDRESSES ACCOUNTS RECEIVABLE, THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS, AND THE PROVISION FOR BAD DEBTS CAN BE FOUND ON PAGES 8 AND 9. PLEASE NOTE THAT DOLLAR AMOUNTS ON THE ATTACHED CONSOLIDATED AUDITED FINANCIAL STATEMENTS ARE IN THOUSANDS. PART III, LINE 8: COSTING METHODOLOGY: MEDICARE ALLOWABLE COSTS WERE CALCULATED USING A COST-TO-CHARGE RATIO.RATIONALE FOR INCLUDING A MEDICARE SHORTFALL AS COMMUNITY BENEFIT:AS A 501(C)(3) ORGANIZATION, THE FILING ORGANIZATION PROVIDES EMERGENCY AND NON-ELECTIVE CARE TO ALL REGARDLESS OF ABILITY TO PAY. ALL HOSPITAL SERVICES ARE PROVIDED IN A NON-DISCRIMINATORY MANNER TO PATIENTS WHO ARE COVERED BENEFICIARIES UNDER THE MEDICARE PROGRAM. AS A PUBLIC INSURANCE PROGRAM, MEDICARE PROVIDES A PRE-ESTABLISHED REIMBURSEMENT RATE/AMOUNT TO HEALTH CARE PROVIDERS FOR THE SERVICES THEY PROVIDE TO PATIENTS. IN SOME CASES, THE REIMBURSEMENT AMOUNT PROVIDED TO A HOSPITAL MAY EXCEED ITS COSTS OF PROVIDING A PARTICULAR SERVICE OR SERVICES TO A PATIENT. IN OTHER CASES, THE MEDICARE REIMBURSEMENT AMOUNT MAY RESULT IN THE HOSPITAL EXPERIENCING A SHORTFALL OF REIMBURSEMENT RECEIVED OVER COSTS INCURRED. IN THOSE CASES WHERE AN OVERALL SHORTFALL IS GENERATED FOR PROVIDING SERVICES TO ALL MEDICARE PATIENTS, THE SHORTFALL AMOUNT SHOULD BE CONSIDERED AS A BENEFIT TO THE COMMUNITY. TAX-EXEMPT HOSPITALS ARE REQUIRED TO ACCEPT ALL MEDICARE PATIENTS REGARDLESS OF THE PROFITABILITY, OR LACK THEREOF, WITH RESPECT TO THE SERVICES THEY PROVIDE TO MEDICARE PATIENTS. THE POPULATION OF INDIVIDUALS COVERED UNDER THE MEDICARE PROGRAM IS SUFFICIENTLY LARGE SO THAT THE PROVISION OF SERVICES TO THE POPULATION IS A BENEFIT TO THE COMMUNITY AND RELIEVES THE BURDENS OF GOVERNMENT. IN THOSE SITUATIONS WHERE THE PROVISION OF SERVICES TO THE TOTAL MEDICARE PATIENT POPULATION OF A TAX-EXEMPT HOSPITAL DURING ANY YEAR RESULTS IN A SHORTFALL OF REIMBURSEMENT RECEIVED OVER THE COST OF PROVIDING CARE, THE TAX-EXEMPT HOSPITAL HAS PROVIDED A BENEFIT TO A CLASS OF PERSONS BROAD ENOUGH TO BE CONSIDERED A BENEFIT TO THE COMMUNITY. DESPITE A FINANCIAL SHORTFALL, A TAX-EXEMPT HOSPITAL MUST AND WILL CONTINUE TO ACCEPT AND CARE FOR MEDICARE PATIENTS. TYPICALLY, TAX-EXEMPT HOSPITALS PROVIDE HEALTH CARE SERVICES BASED UPON AN ASSESSMENT OF THE HEALTH CARE NEEDS OF THEIR COMMUNITY AS OPPOSED TO THEIR TAXABLE COUNTERPARTS WHERE PROFITABILITY OFTEN DRIVES DECISIONS ABOUT PATIENT CARE SERVICES THAT ARE OFFERED. PATIENT CARE PROVIDED BY TAX-EXEMPT HOSPITALS THAT RESULTS IN MEDICARE SHORTFALLS SHOULD BE CONSIDERED AS PROVIDING A BENEFIT TO THE COMMUNITY AND RELIEVING THE BURDENS OF GOVERNMENT. PART III, LINE 9B: THE HOSPITAL FILING ORGANIZATION'S COLLECTION PRACTICES ARE IN CONFORMITY WITH THE REQUIREMENTS SET FORTH IN THE 2014 FINAL REGULATIONS REGARDING THE REQUIREMENTS OF INTERNAL REVENUE CODE SECTION 501(R)(4) - (R)(6). NO EXTRAORDINARY COLLECTION ACTIONS (ECA'S) ARE INITIATED BY THE HOSPITAL FILING ORGANIZATION IN THE 120-DAY PERIOD FOLLOWING THE DATE AFTER THE FIRST POST-DISCHARGE BILLING STATEMENT IS SENT TO THE INDIVIDUAL (OR, IF LATER, THE SPECIFIED DEADLINE GIVEN IN A WRITTEN NOTICE OF ACTIONS THAT MAY BE TAKEN, AS DESCRIBED BELOW). INDIVIDUALS ARE PROVIDED WITH AT LEAST ONE WRITTEN NOTICE (NOTICE OF ACTIONS THAT MAY BE TAKEN) AND A COPY OF THE FILING ORGANIZATION'S PLAIN LANGUAGE SUMMARY OF THE FINANCIAL ASSISTANCE POLICY THAT INFORMS THE INDIVIDUAL THAT THE HOSPITAL FILING ORGANIZATION MAY TAKE ACTIONS TO REPORT ADVERSE INFORMATION TO CREDIT REPORTING AGENCIES/BUREAUS IF THE INDIVIDUAL DOES NOT SUBMIT A FINANCIAL ASSISTANCE APPLICATION FORM (FAA FORM) OR PAY THE AMOUNT DUE BY A SPECIFIED DEADLINE. THE SPECIFIED DEADLINE IS NOT EARLIER THAN 120 DAYS AFTER THE FIRST POST-DISCHARGE BILLING STATEMENT IS SENT TO THE INDIVIDUAL AND IS AT LEAST 30 DAYS AFTER THE NOTICE IS PROVIDED. A REASONABLE ATTEMPT IS ALSO MADE TO ORALLY NOTIFY AN INDIVIDUAL ABOUT THE FILING ORGANIZATION'S FINANCIAL ASSISTANCE POLICY AND HOW THE INDIVIDUAL MAY OBTAIN ASSISTANCE WITH THE FINANCIAL ASSISTANCE APPLICATION PROCESS. IF AN INDIVIDUAL SUBMITS AN INCOMPLETE FAA FORM DURING THE 240-DAY PERIOD FOLLOWING THE DATE ON WHICH THE FIRST POST-DISCHARGE BILLING STATEMENT WAS SENT TO THE INDIVIDUAL, THE HOSPITAL FILING ORGANIZATION SUSPENDS ANY REPORTING TO CONSUMER CREDIT REPORTING AGENCIES/BUREAUS (OR CEASES ANY OTHER ECA'S) AND PROVIDES A WRITTEN NOTICE TO THE INDIVIDUAL DESCRIBING WHAT ADDITIONAL INFORMATION OR DOCUMENTATION IS NEEDED TO COMPLETE THE FAA FORM. THIS WRITTEN NOTICE CONTAINS CONTACT INFORMATION INCLUDING THE TELEPHONE NUMBER AND PHYSICAL LOCATION OF THE HOSPITAL FACILITY'S OFFICE OR DEPARTMENT THAT CAN PROVIDE INFORMATION ABOUT THE FINANCIAL ASSISTANCE POLICY, AS WELL AS CONTACT INFORMATION OF THE HOSPITAL FACILITY'S OFFICE OR DEPARTMENT THAT CAN PROVIDE ASSISTANCE WITH THE FINANCIAL ASSISTANCE APPLICATION PROCESS OR, ALTERNATIVELY, A NONPROFIT ORGANIZATION OR GOVERNMENTAL AGENCY THAT CAN PROVIDE ASSISTANCE WITH THE FINANCIAL ASSISTANCE APPLICATION PROCESS IF THE HOSPITAL FACILITY IS UNABLE TO DO SO. IF AN INDIVIDUAL SUBMITS A COMPLETE FAA FORM WITHIN A REASONABLE TIME-PERIOD AS SET FORTH IN THE NOTICE DESCRIBED ABOVE, THE HOSPITAL FILING ORGANIZATION WILL SUSPEND ANY ADVERSE REPORTING TO CONSUMER CREDIT REPORTING AGENCIES/BUREAUS UNTIL A FINANCIAL ASSISTANCE POLICY ELIGIBILITY DETERMINATION CAN BE MADE. SUPPLEMENTAL SCHEDULE TO SCHEDULE H, PART III, SECTION B RECONCILIATION OF SCHEDULE H REPORTED MEDICARE SURPLUS/(SHORTFALL) TO UNREIMBURSED MEDICARE COSTS ASSOCIATED WITH THE PROVISION OF SERVICESTO ALL MEDICARE BENEFICIARIES:THE MEDICARE REVENUE AND ALLOWABLE COSTS OF CARE REPORTED IN SECTION B OF PART III OF SCHEDULE H ARE BASED UPON THE AMOUNTS REPORTED IN THE FILING ORGANIZATION'S MEDICARE COST REPORT IN ACCORDANCE WITH THE IRS INSTRUCTIONS FOR SCHEDULE H. ON AN ANNUAL BASIS, THE FILING ORGANIZATION ALSO DETERMINES ITS TOTAL UNREIMBURSED COSTS ASSOCIATED WITH PROVIDING SERVICES TO ALL MEDICARE PATIENTS. UNREIMBURSED COSTS ARE CONSIDERED A COMMUNITY BENEFIT TO THE ELDERLY AND ARE COMBINED INTO AN ANNUAL COMMUNITY BENEFIT STATEMENT PREPARED BY ADVENTIST HEALTH SYSTEM. THE PRIMARY RECONCILING ITEMS BETWEEN THE MEDICARE SURPLUS/(SHORTFALL) SHOWN ON LINE 7 OF SECTION B OF PART III OF SCHEDULE H AND THE FILING ORGANIZATION'S UNREIMBURSED COSTS OF SERVICES PROVIDED TO MEDICARE PATIENTS AS REPORTED IN THE AHS COMMUNITY BENEFIT REPORT ARE AS FOLLOWS:- MEDICARE SURPLUS/(SHORTFALL) SHOWN ON LINE 7 OF SECTION B OF SCHEDULE H: $ (341,585)- DIFFERENCE IN COSTING METHODOLOGY: (11,276,614)- UNREIMBURSED COSTS INCURRED FOR SERVICES PROVIDED TO MEDICARE PATIENTS THAT ARE NOT INCLUDED IN THE ORGANIZATION'S MEDICARE COST REPORT: (7,318,199) -------------TOTAL SURPLUS/(SHORTFALL) COSTS OF SERVING ALL MEDICARE PATIENTS PER THE FILING ORGANIZATION'S COMMUNITY BENEFIT REPORTING: $(18,936,398)AS INDICATED ABOVE, THE PRIMARY DIFFERENCES BETWEEN THE MEDICARE SURPLUS/(SHORTFALL) REPORTED ON SCHEDULE H, PART III, SECTION B, LINE 7 AND THE FILING ORGANIZATION'S PORTION OF THE COMPANY'S ANNUAL COMMUNITY BENEFIT STATEMENT IS DUE TO A DIFFERENCE IN THE COSTING METHODOLOGY AND DIFFERENCES IN THE POPULATION OF MEDICARE PATIENTS WITHIN THE CALCULATION. THE COST METHODOLOGY UTILIZED IN CALCULATING ANY MEDICARE SURPLUS/(SHORTFALL) FOR PURPOSES OF THE ANNUAL COMMUNITY BENEFIT REPORTING IS BASED UPON THE COST-TO-CHARGE RATIO OUTLINED IN WORKSHEET 2 OF THE SCHEDULE H INSTRUCTIONS. THE SAME COST-TO-CHARGE RATIO IS USED TO DETERMINE THE COSTS ASSOCIATED WITH SERVICES PROVIDED TO CHARITY CARE PATIENTS AND MEDICAID PATIENTS AS REPORTED IN SCHEDULE H, PART I, LINE 7. IN ADDITION, THE MEDICARE COST REPORT EXCLUDES SERVICES PROVIDED TO MEDICARE PATIENTS FOR PHYSICIAN SERVICES, SERVICES PROVIDED TO PATIENTS ENROLLED IN MEDICARE HMOS, AND CERTAIN SERVICES PROVIDED BY OUTPATIENT DEPARTMENTS OF THE FILING ORGANIZATION THAT ARE REIMBURSED ON A FEE SCHEDULE. THE COMPANY'S OWN COMMUNITY BENEFIT STATEMENT CAPTURES THE UNREIMBURSED COST OF PROVIDING SERVICES TO ALL MEDICARE BENEFICIARIES THROUGHOUT THE ORGANIZATION. PART VI, LINE 2: THE HOSPITAL CONDUCTS COMMUNITY HEALTH NEEDS ASSESSMENTS (CHNA) EVERY THREE YEARS. ITS 2019 CHNA WAS ADOPTED BY ITS GOVERNING BOARD BY DECEMBER 31, 2019, THE END OF THE HOSPITAL'S TAXABLE YEAR IN WHICH IT CONDUCTED THE CHNA. THE HOSPITAL'S 2019 CHNA COMPLIED WITH THE GUIDANCE SET FORTH BY THE IRS IN FINAL REGULATION SECTION 1.501(R)-3. IN ADDITION TO THE CHNA DISCUSSED ABOVE, A VARIETY OF PRACTICES AND PROCESSES ARE IN PLACE TO ENSURE THAT THE FILING ORGANIZATION IS RESPONSIVE TO THE HEALTH NEEDS OF ITS COMMUNITY.SUCH PRACTICES AND PROCESSES INVOLVE THE FOLLOWING:1. A HOSPITAL OPERATING/COMMUNITY BOARD COMPOSED OF INDIVIDUALS BROADLY REPRESENTATIVE OF THE COMMUNITY, COMMUNITY LEADERS, AND THOSE WITH SPECIALIZED MEDICAL TRAINING AND EXPERTISE;2. POST-DISCHARGE PATIENT FOLLOW-UP RELATED TO THE ON-GOING CARE AND TREATMENT OF PATIENTS WHO SUFFER FROM CHRONIC DISEASES; 3. SPONSORSHIP AND PARTICIPATION IN COMMUNITY HEALTH AND WELLNESS ACTIVITIES THAT REACH A BROAD SPECTRUM OF THE FILING ORGANIZATION'S COMMUNITY; AND 4. COLLABORATION WITH OTHER LOCAL COMMUNITY GROUPS TO ADDRESS THE HEALTH CARE NEEDS OF THE FILING ORGANIZATION'S COMMUNITY. PART VI, LINE 3: THE FINANCIAL ASSISTANCE POLICY (FAP), FINANCIAL ASSISTANCE APPLICATION FORM (FAA FORM), AND THE PLAIN LANGUAGE SUMMARY OF THE FINANCIAL ASSISTANCE POLICY (PLS) OF THE FILING ORGANIZATION'S HOSPITAL FACILITY ARE TRANSPARENT AND AVAILABLE TO ALL INDIVIDUALS SERVED AT ANY POINT IN THE CARE CONTINUUM. THE FAP, FAA FORM, PLS, AND CONTACT INFORMATION FOR THE HOSPITAL FACILITY'S FINANCIAL COUNSELORS ARE PROMINENTLY AND CONSPICUOUSLY POSTED ON THE FILING ORGANIZATION'S HOSPITAL FACILITY'S WEBSITE. THE WEBSITE INDICATES THAT A COPY OF THE FAP, FAA FORM, AND PLS IS AVAILABLE AND HOW TO OBTAIN SUCH COPIES IN THE PRIMARY LANGUAGES OF ANY POPULATIONS WITH LIMITED PROFICIENCY IN ENGLISH THAT CONSTITUTE THE LESSER OF 1,000 INDIVIDUALS OR 5% OF THE MEMBERS OF THE COMMUNITY SERVED BY THE HOSPITAL FACILITY (REFERRED TO BELOW AS LEP DEFINED POPULATIONS). SIGNAGE IS DISPLAYED IN PUBLIC LOCATIONS OF THE FILING ORGANIZATION'S HOSPITAL FACILITY, INCLUDING AT ALL POINTS OF ADMISSION AND REGISTRATION AND THE EMERGENCY DEPARTMENT. THE SIGNAGE CONTAINS THE HOSPITAL FACILITY'S WEBSITE ADDRESS WHERE THE FAP, FAA FORM, AND PLS CAN BE ACCESSED AND THE TELEPHONE NUMBER AND PHYSICAL LOCATION THAT INDIVIDUALS CAN CALL OR VISIT TO OBTAIN COPIES OF THE FAP, FAA FORM AND PLS OR TO OBTAIN MORE INFORMATION ABOUT THE HOSPITAL FACILITY'S FAP, FAA FORM AND PLS. PAPER COPIES OF THE HOSPITAL FACILITY'S FAP, FAA FORM AND PLS ARE AVAILABLE UPON REQUEST AND WITHOUT CHARGE, BOTH IN PUBLIC LOCATIONS IN THE HOSPITAL FACILITY AND BY MAIL. PAPER COPIES ARE MADE AVAILABLE IN ENGLISH AND IN THE PRIMARY LANGUAGES OF ANY LEP DEFINED POPULATIONS. THE FILING ORGANIZATION'S HOSPITAL FACILITY'S FINANCIAL COUNSELORS SEEK TO PROVIDE PERSONAL FINANCIAL COUNSELING TO ALL INDIVIDUALS ADMITTED TO THE HOSPITAL FACILITY WHO ARE CLASSIFIED AS SELF-PAY DURING THE COURSE OF THEIR HOSPITAL STAY OR AT TIME OF DISCHARGE TO EXPLAIN THE FAP AND FAA FORM AND TO PROVIDE INFORMATION CONCERNING OTHER SOURCES OF ASSISTANCE THAT MAY BE AVAILABLE, SUCH AS MEDICAID. A PAPER COPY OF THE HOSPITAL FACILITY'S PLS WILL BE OFFERED TO EVERY PATIENT AS A PART OF THE INTAKE OR DISCHARGE PROCESS. A CONSPICUOUS WRITTEN NOTICE IS INCLUDED ON ALL BILLING STATEMENTS SENT TO PATIENTS THAT NOTIFIES AND INFORMS RECIPIENTS ABOUT THE AVAILABILITY OF FINANCIAL ASSISTANCE UNDER THE FILING ORGANIZATION'S FINANCIAL ASSISTANCE POLICY, INCLUDING THE FOLLOWING: 1) THE TELEPHONE NUMBER OF THE HOSPITAL FACILITY'S OFFICE OR DEPARTMENT THAT CAN PROVIDE INFORMATION ABOUT THE FAP AND THE FAA FORM; AND 2) THE WEBSITE ADDRESS WHERE COPIES OF THE FAP, FAA FORM AND PLS MAY BE OBTAINED. REASONABLE ATTEMPTS ARE MADE TO INFORM INDIVIDUALS ABOUT THE HOSPITAL FACILITY'S FAP IN ALL ORAL COMMUNICATIONS REGARDING THE AMOUNT DUE FOR THE INDIVIDUAL'S CARE. COPIES OF THE PLS ARE DISTRIBUTED TO MEMBERS OF THE COMMUNITY IN A MANNER REASONABLY CALCULATED TO REACH THOSE MEMBERS OF THE COMMUNITY WHO ARE MOST LIKELY TO REQUIRE FINANCIAL ASSISTANCE. PART VI, LINE 4: ADVENTIST HEALTH SYSTEM GEORGIA, INC., D/B/A ADVENTHEALTH GORDON (THE HOSPITAL), IS A 69-BED COMMUNITY HOSPITAL THAT SERVES THE RESIDENTS OF CALHOUN, GORDON COUNTY, AND SURROUNDING AREAS IN GEORGIA. ADVENTHEALTH GORDON OFFERS MULTIPLE SERVICES FOR THE RESIDENTS OF NORTH GEORGIA. THESE INCLUDE: 24-HOUR EMERGENCY CENTER, REHABILITATION SERVICES, INTENSIVE AND PROGRESSIVE CARE UNITS, RADIOLOGY, WOMEN'S DIAGNOSTIC CENTER, GENERAL AND CANCER SURGERY, HOME HEALTH SERVICES, ONCOLOGY SERVICES AND RADIATION THERAPY, URGENT CARE CENTERS, UROLOGY SERVICES, ENDOCRINOLOGY SERVICES, PAIN MANAGEMENT SERVICES AND PASTORAL CARE.IN ADDITION, ADVENTHEALTH GORDON OPERATES THE FOLLOWING SATELLITE ADVENTHEALTH MEDICAL GROUP FACILITIES: URGENT CARE CALHOUN, NORTH GEORGIA EYE CARE, ONCOLOGY, UROLOGY, NORTHWEST GEORGIA ORTHOPEDICS AND SPORTS MEDICINE (THREE LOCATIONS), HOME CARE, NORTHWEST GEORGIA OB/GYN, PRIMARY CARE, NORTHWEST GEORGIA ENDOCRINOLOGY, ADULT & PEDIATRIC MEDICAL ASSOCIATES, INTERNAL AND FAMILY MEDICINE, OWASA FAMILY MEDICINE, NORTH GEORGIA CANCER CENTER, HEALTH DEPOT, COOK FAMILY PRACTICE, AND MICHAEL A. WITT, MD, OFFICES IN CHATSWORTH, GEORGIA.ADVENTHEALTH GORDON DEFINED ITS COMMUNITY AS ITS PRIMARY SERVICE AREA (PSA) FROM WHICH 75-80% OF ITS PATIENTS COME. THIS AREA INCLUDES ALL ZIP CODES LOCATED WITHIN GORDON COUNTY.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 70% OF THE HOSPITAL'S IN-PATIENTS WERE ADMITTED THROUGH THE HOSPITAL'S EMERGENCY DEPARTMENT. - MEDICARE PATIENTS 46.3% - MEDICAID PATIENTS 13.0% - SELF-PAY PATIENTS 7.2% THE DEMOGRAPHIC MAKEUP OF THE HOSPITAL'S COMMUNITY IS AS FOLLOWS: - POPULATION 193,283 - POPULATION OVER 65 13.0% - POVERTY (BELOW 100% FPL) 19.6% - UNEMPLOYMENT RATE 8.4% - VIOLENT CRIME RATE (PER 100,000 POP.) 266.1 - POP. AGE 25+ WITH NO HIGH SCHOOL DIPLOMA 28.9% - UNINSURED ADULTS 24.8% - UNINSURED CHILDREN 8.5% - FOOD INSECURITY RATE 14.4% - POP. WITH LOW FOOD ACCESS 21.7%ADVENTIST HEALTH SYSTEM GEORGIA, INC., DBA ADVENTHEALTH MURRAY (AHM), IS A 42-BED COMMUNITY HOSPITAL THAT SERVES THE RESIDENTS OF CHATSWORTH, MURRAY COUNTY AND SURROUNDING AREAS IN GEORGIA. ADVENTHEALTH MURRAY OFFERS MULTIPLE SERVICES FOR THE RESIDENTS OF MURRAY COUNTY. THESE SERVICES INCLUDE: 24-HOUR EMERGENCY DEPARTMENT, IMAGING SERVICES, INPATIENT SERVICES, LABORATORY, EMS, ORTHOPEDICS, RESPIRATORY THERAPY, PHYSICAL THERAPY, SPORTS MEDICINE AND SURGICAL SERVICES.IN ADDITION, ADVENTHEALTH MURRAY PARTNERS WITH ADVENTHEALTH GORDON TO PROVIDE THE FOLLOWING SERVICES: CANCER CARE, CARDIAC REHABILITATION, EYE CARE, FAMILY MEDICINE, HOME CARE, HYPERBARIC MEDICINE, INTERNAL MEDICINE, OB/GYN/LABOR & DELIVERY, PEDIATRICS, PHYSICAL THERAPY, ROBOTIC-ASSISTED SURGERY, SLEEP DISORDERS, SPORTS MEDICINE, URGENT CARE, UROLOGY, WOMEN'S HEALTH SERVICES AND WOUND CARE.ADVENTHEALTH MURRAY DEFINED ITS COMMUNITY AS ITS PRIMARY SERVICE AREA (PSA) FROM WHICH 75-80% OF ITS PATIENTS COME. THIS AREA INCLUDES ALL ZIP CODES LOCATED WITHIN MURRAY COUNTY.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 99% OF THE HOSPITAL'S IN-PATIENTS WERE ADMITTED THROUGH THE HOSPITAL'S EMERGENCY DEPARTMENT. - MEDICARE PATIENTS 40.0% - MEDICAID PATIENTS 19.7% - SELF-PAY PATIENTS 12.7% THE DEMOGRAPHIC MAKEUP OF THE HOSPITAL'S COMMUNITY IS AS FOLLOWS: - POPULATION 111,716 - POPULATION OVER 65 12.4% - POVERTY (BELOW 100% FPL) 24.3% - UNEMPLOYMENT RATE 9.5% - VIOLENT CRIME RATE (PER 100,000 POP.) 203.7 - POP. AGE 25+ WITH NO HIGH SCHOOL DIPLOMA 35.5% - UNINSURED ADULTS 23.0% - UNINSURED CHILDREN 7.9% - FOOD INSECURITY RATE 15.9% - POP. WITH LOW FOOD ACCESS 26.3% PART VI, LINE 5: THE PROVISION OF COMMUNITY BENEFIT IS CENTRAL TO THE FILING ADVENTIST HEALTH SYSTEM GEORGIA, INC.'S MISSION OF SERVICE AND COMPASSION. RESTORING AND PROMOTING THE HEALTH AND QUALITY OF LIFE OF THOSE IN THE COMMUNITIES SERVED BY THE HOSPITAL IS A FUNCTION OF "EXTENDING THE HEALING MINISTRY OF CHRIST AND EMBODIES THE HOSPITAL'S COMMITMENT TO ITS VALUES AND PRINCIPLES. THE HOSPITAL COMMITS SUBSTANTIAL RESOURCES TO PROVIDE A BROAD RANGE OF SERVICES TO BOTH THE UNDERPRIVILEGED AS WELL AS THE BROADER COMMUNITY. IN ADDITION TO THE COMMUNITY BENEFIT AND COMMUNITY BUILDING INFORMATION PROVIDED IN PARTS I, II AND III OF THIS SCHEDULE H, THE HOSPITAL CAPTURES AND REPORTS THE BENEFITS PROVIDED TO ITS COMMUNITY THROUGH FAITH-BASED CARE. EXAMPLES OF SUCH BENEFITS INCLUDE THE COST ASSOCIATED WITH CHAPLAINCY CARE PROGRAMS AND MISSION PEER REVIEWS AND MISSION CONFERENCES. DURING THE CURRENT YEAR, THE HOSPITAL PROVIDED $190,259 OF BENEFIT WITH RESPECT TO THE FAITH-BASED AND SPIRITUAL NEEDS OF THE COMMUNITY IN CONJUNCTION WITH ITS OPERATION OF A COMMUNITY HOSPITAL. THE HOSPITAL ALSO PROVIDES BENEFITS TO ITS COMMUNITY'S INFRASTRUCTURE BY INVESTING IN CAPITAL IMPROVEMENTS TO ENSURE THAT FACILITIES AND TECHNOLOGY PROVIDE THE BEST POSSIBLE CARE TO THE COMMUNITY. DURING THE CURRENT YEAR, THE HOSPITAL EXPENDED $9,049,305 IN NEW CAPITAL IMPROVEMENTS. AS A FAITH-BASED MISSION-DRIVEN COMMUNITY HOSPITAL, THE HOSPITAL IS CONTINUALLY INVOLVED IN MONITORING ITS COMMUNITY, IDENTIFYING UNMET HEALTH CARE NEEDS AND DEVELOPING SOLUTIONS AND PROGRAMS TO ADDRESS THOSE NEEDS. IN ACCORDANCE WITH ITS CONSERVATIVE APPROACH TO FISCAL RESPONSIBILITY, SURPLUS FUNDS OF THE HOSPITAL ARE CONTINUALLY BEING INVESTED IN RESOURCES THAT IMPROVE THE AVAILABILITY AND QUALITY OF DELIVERY OF HEALTH CARE SERVICES AND PROGRAMS TO ITS COMMUNITY. PART VI, LINE 6: ADVENTIST HEALTH SYSTEM GEORGIA, INC. 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. AS THE PARENT ORGANIZATION OF ADVENTHEALTH, AHSSHC PROVIDES EXECUTIVE LEADERSHIP AND OTHER PROFESSIONAL SUPPORT SERVICES TO ITS SUBSIDIARY ORGANIZATIONS. PROFESSIONAL SUPPORT SERVICES INCLUDE AMONG OTHERS IT, CORPORATE COMPLIANCE, LEGAL, REIMBURSEMENT, RISK MANAGEMENT, AND TAX AS WELL AS TREASURY FUNCTIONS. CERTAIN SUPPORT SERVICES, SUCH AS HUMAN RESOURCES, PAYROLL, A/P, AND SUPPLY CHAIN MANAGEMENT ARE PROVIDED PURSUANT TO A SHARED SERVICES MODEL BY AHSSHC TO ITS SUBSIDIARY ORGANIZATIONS. THE PROVISION OF THESE EXECUTIVE AND SUPPORT SERVICES ON A CENTRALIZED BASIS BY AHSSHC PROVIDES AN APPROPRIATE BALANCE BETWEEN PROVIDING EACH ADVENTHEALTH SUBSIDIARY HOSPITAL ORGANIZATION WITH MISSION-DRIVEN CONSISTENT LEADERSHIP AND SUPPORT WHILE ALLOWING THE HOSPITAL ORGANIZATION TO FOCUS ITS RESOURCES ON MEETING THE SPECIFIC HEALTH CARE NEEDS OF THE COMMUNITY IT SERVES. THE READER OF THIS FORM 990 SHOULD KEEP IN MIND THAT THIS REPORTING ENTITY MAY DIFFER IN CERTAIN AREAS FROM THAT OF A STAND-ALONE HOSPITAL ORGANIZATION DUE TO ITS INCLUSION IN A LARGER SYSTEM OF HEALTHCARE ORGANIZATIONS. AS A PART OF A SYSTEM OF HOSPITAL AND OTHER HEALTH CARE ORGANIZATIONS, THE FILING ORGANIZATION BENEFITS FROM REDUCED COSTS DUE TO SYSTEM EFFICIENCIES, SUCH AS LARGE GROUP PURCHASING DISCOUNTS, AND THE AVAILABILITY OF INTERNAL RESOURCES SUCH AS INTERNAL LEGAL COUNSEL. EACH ADVENTHEALTH SUBSIDIARY PAYS A MANAGEMENT FEE TO AHSSHC FOR THE INTERNAL SERVICES PROVIDED BY AHSSHC. AS A RESULT, MANAGEMENT FEE EXPENSE REPORTED BY AN ADVENTHEALTH SUBSIDIARY ORGANIZATION MAY APPEAR GREATER IN RELATION TO MANAGEMENT FEE EXPENSE THAT MAY BE REPORTED BY A SINGLE STAND-ALONE HOSPITAL. THE SINGLE STAND-ALONE HOSPITAL WOULD LIKELY REPORT COSTS ASSOCIATED WITH MANAGEMENT AND OTHER PROFESSIONAL SERVICES ON VARIOUS EXPENSE LINE ITEMS IN ITS STATEMENT OF REVENUE AND EXPENSE AS OPPOSED TO REPORTING SUCH COSTS IN ONE OVERALL MANAGEMENT FEE EXPENSE. AS THE REPORTING OF THE FORM 990 IS DONE ON AN ENTITY BY ENTITY BASIS, THERE IS NO SINGLE FORM 990 THAT CAPTURES THE PROGRAMS AND OPERATIONS OF ADVENTHEALTH AS A WHOLE. THE READER IS DIRECTED TO VISIT THE WEB-SITE OF ADVENTHEALTH AT WWW.ADVENTHEALTH.COM TO LEARN MORE ABOUT THE MISSION AND OPERATIONS OF ADVENTHEALTH. PART VI, LINE 7: THE FILING ORGANIZATION DOES NOT FILE AN ANNUAL COMMUNITY BENEFIT REPORT WITH ANY STATE AGENCIES. 1 SUNSYSTEM DEVELOPMENT CORPORATION DBA ADVENTHEALTH GORDON FOUNDATION 1035 RED BUD ROAD CALHOUN GA 30701 592219301 501(C)(3) 66391 COST GENERAL ADMINISTRATIVE SUPPORT PROVISION OF GENERAL ADMINISTRATIVE SUPPORT NORTHWEST GEORGIA REGIONAL CANCER COALITION INC 111 BRIDGEPOINT PLAZA NO 120 ROME GA 30161 020657616 501(C)(3) 10000 GENERAL SUPPORT 2 0 PART I, LINE 2: GRANTS ARE GENERALLY MADE ONLY TO RELATED ORGANIZATIONS THAT ARE EXEMPT FROM FEDERAL INCOME TAX UNDER IRC SECTION 501(C)(3), OR TO OTHER LOCAL CHARITABLE COMMUNITY ORGANIZATIONS, OR TO OTHER 501(C)(3) ORGANIZATIONS THAT ARE A PART OF THE GROUP EXEMPTION RULING ISSUED TO THE GENERAL CONFERENCE OF SEVENTH-DAY ADVENTISTS. ACCORDINGLY, THE FILING ORGANIZATION HAS NOT ESTABLISHED SPECIFIC PROCEDURES FOR MONITORING THE USE OF GRANT FUNDS IN THE UNITED STATES AS THE FILING ORGANIZATION DOES NOT HAVE A GRANT MAKING PROGRAM THAT WOULD NECESSITATE SUCH PROCEDURES. X X X X X X 1 1 0 1 0 0 0 1 0 0 0 HAFFNER PHD RANDALL L CHAIRMAN/DIR 0 1301578 0 485357 0 1089357 0 165320 0 44016 0 3085628 0 250270 SOLER EDDIE DIRECTOR 0 772770 0 253149 0 184559 0 161326 0 26194 0 1397998 0 136730 LEE HAK JOO PHYSICIAN 739807 0 299948 0 32965 0 15320 0 28880 0 1116920 0 0 0 LAND ADAM PHYSICIAN 635864 0 315215 0 19979 0 15320 0 31200 0 1017578 0 0 0 KING STEPHEN PHYSICIAN 723863 0 130784 0 35122 0 15320 0 26174 0 931263 0 0 0 REEVES CORY D CFO (ENDED 5/2020) 0 393621 0 90653 0 330414 0 54063 0 41626 0 910377 0 33358 BOX MD J BRENT DIRECTOR 0 541685 0 113941 0 93868 0 93323 0 39640 0 882457 0 35501 MURRILL MICHAEL CEO/DIRECTOR (BEGAN 6/2020) 0 489930 0 88742 0 153734 0 70031 0 34090 0 836527 0 0 AHN DANIEL S PHYSICIAN 389731 0 351075 0 8028 0 15320 0 30657 0 794811 0 0 0 WEBER PETER M CEO/DIR/SECRETARY (ENDED 6/2020) 0 341119 0 203743 0 171292 0 37534 0 33169 0 786857 0 87719 GUYTON ALAN VP/CFO (BEGAN 4/2020) 0 327931 0 57500 0 108794 0 64495 0 43250 0 601970 0 14411 KEIZER MD LAVERNE DIRECTOR 526157 0 0 0 14277 0 15188 0 26306 0 581928 0 0 0 GARNER NORMAN PHYSICIAN 522773 0 0 0 12906 0 15320 0 26304 0 577303 0 0 0 BOX MD CRAIG DIRECTOR 497892 0 0 0 27110 0 15320 0 26181 0 566503 0 0 0 JOYAVE MD JOSEPH L CO-CMO 0 354274 0 67070 0 53432 0 48961 0 26469 0 550206 0 20146 PARROTT MD MAX CO-CMO 217424 0 41814 0 54953 0 15320 0 24516 0 354027 0 0 0 JORDON AMELIA D CNO 0 263808 0 41000 0 6061 0 15320 0 24846 0 351035 0 0 STEELY KAREN M COO 0 211540 0 39275 0 11094 0 13852 0 36579 0 312340 0 0 PART I, LINE 1A THE FILING ORGANIZATION IS A PART OF THE SYSTEM OF HEALTHCARE ORGANIZATIONS KNOWN AS ADVENTHEALTH. MEMBERS OF THE FILING ORGANIZATION'S EXECUTIVE MANAGEMENT TEAM THAT HOLD THE POSITION OF VICE-PRESIDENT OR ABOVE ARE COMPENSATED BY AND ON THE PAYROLL OF ADVENTIST HEALTH SYSTEM SUNBELT HEALTHCARE CORPORATION (AHSSHC), THE PARENT ORGANIZATION OF THE HEALTHCARE SYSTEM KNOWN AS ADVENTHEALTH. AHSSHC IS EXEMPT FROM FEDERAL INCOME TAX UNDER IRC SECTION 501(C)(3). THE FILING ORGANIZATION REIMBURSES AHSSHC FOR THE SALARY AND BENEFIT COST OF THOSE EXECUTIVES ON THE PAYROLL OF AHSSHC. AT THE DIRECTION OF AHSSHC, AND IN ACCORDANCE WITH THE RESERVED POWERS IN THE FILING ORGANIZATION'S GOVERNING DOCUMENTS, THE EXECUTIVE TEAM LISTED ON PART VII PROVIDES SERVICES TO THE FILING ORGANIZATION. FIRST-CLASS OR CHARTER TRAVEL: PURSUANT TO THE ADVENTHEALTH SYSTEM-WIDE GENERAL POLICY REGARDING BUSINESS TRAVEL, NO REIMBURSEMENT WILL BE PROVIDED FOR ANY ADDITIONAL COST INCURRED WITH RESPECT TO FIRST-CLASS OR CHARTER AIR TRAVEL BEYOND THE COST OF A REGULAR COACH AIRFARE. AS A MEANS OF PROVIDING ADDITIONAL BUSINESS TRAVEL REIMBURSEMENT FOR THOSE MEMBERS OF THE AHSSHC SENIOR EXECUTIVE MANAGEMENT TEAM THAT TRAVEL FREQUENTLY ON BEHALF OF ADVENTHEALTH, A SPECIAL ANNUAL TRAVEL ALLOWANCE IS PROVIDED FOR THOSE EXECUTIVES. AS ADVENTHEALTH OPERATES 48 HOSPITALS IN 9 STATES, THE SENIOR LEADERSHIP OF AHSSHC TRAVEL EXTENSIVELY AND OFTEN VISIT MULTIPLE HOSPITAL LOCATIONS IN DIFFERENT STATES AS A PART OF A SINGLE BUSINESS TRIP. THE SPECIAL TRAVEL ALLOWANCE CAN PROVIDE REIMBURSEMENTS TO THE EXECUTIVE FOR SUCH ITEMS AS THE PURCHASE OF AIR TRAVEL UPGRADE COUPONS, TO COVER THE COST DIFFERENTIAL BETWEEN COACH AND FIRST-CLASS TRAVEL, OR TO COVER THE COST OF A CHARTER FLIGHT. THE SPECIAL TRAVEL ALLOWANCE BENEFIT WAS ORIGINALLY AUTHORIZED BY AND CODIFIED INTO A POLICY BY THE AHSSHC BOARD COMPENSATION COMMITTEE (THE COMMITTEE), AN INDEPENDENT BODY OF THE AHSSHC BOARD OF DIRECTORS, WHO ALSO APPROVES THE ANNUAL CAP ON THE AMOUNT OF THE ALLOWANCE. THE SPECIAL TRAVEL ALLOWANCE HAS AN ANNUAL CAP OF $24,000 FOR MEMBERS OF THE LEADERSHIP EXECUTIVE TEAM (ADVENTHEALTH CABINET - 13 MEMBERS) AND $15,000 FOR ADVENTHEALTH CORPORATE OFFICE SENIOR VICE PRESIDENTS, REGIONAL CEO'S AND DIVISION CHIEF OFFICERS (GENERALLY 20-30 INDIVIDUAL EXECUTIVES). THE REGIONAL CEO FOR ADVENTHEALTH IS A MEMBER OF THE BOARD OF DIRECTORS OF THE FILING ORGANIZATION. THE REGIONAL CEO IS CONSIDERED A COMMON LAW EMPLOYEE OF AND IS ON THE PAYROLL OF AHSSHC. WHILE THE SPECIAL TRAVEL ALLOWANCE BENEFIT IS AN AHSSHC COMPENSATION POLICY AND PRACTICE, THE COST OF PROVIDING THIS BENEFIT IS ALLOCATED TO AND REIMBURSED BY THE FILING ORGANIZATION. ACCORDINGLY, THE FILING ORGANIZATION HAS CHECKED THE BOX IN SCHEDULE J, PART I, LINE 1A FOR FIRST-CLASS OR CHARTER TRAVEL SINCE IT HAS PAID FOR THE COST OF PROVIDING THIS BENEFIT. THOSE EXECUTIVES WHO RECEIVE THE SPECIAL TRAVEL ALLOWANCE ARE RESPONSIBLE FOR TRACKING THE EXPENSES REIMBURSABLE UNDER THE SPECIAL TRAVEL ALLOWANCE AND MUST SUBMIT SUCH EXPENSES ON THEIR ACCOUNTABLE PLAN EXPENSE REPORT. ANY TAXABLE REIMBURSEMENTS MADE TO EXECUTIVES UNDER THE SPECIAL TRAVEL ALLOWANCE ARRANGEMENT ARE TREATED AS TAXABLE COMPENSATION TO THE EXECUTIVE. TRAVEL FOR COMPANIONS: AHSSHC HAS A CORPORATE EXECUTIVE POLICY THAT PROVIDES A BENEFIT TO ALLOW FOR A TRAVELING AHSSHC EXECUTIVE TO HAVE HIS OR HER SPOUSE ACCOMPANY THE EXECUTIVE ON CERTAIN BUSINESS TRIPS EACH YEAR. TYPICALLY, REIMBURSEMENT IS ONLY PROVIDED TO CERTAIN EXECUTIVE LEADERS AND IS USUALLY LIMITED TO ONE BUSINESS TRIP PER YEAR BEYOND THE ANNUAL ADVENTHEALTH PRESIDENT'S COUNCIL BUSINESS MEETING AND OTHER MEETINGS WHERE THE SPOUSE IS SPECIFICALLY INVITED. THE AHSSHC CORPORATE EXECUTIVE SPOUSAL TRAVEL POLICY WAS ORIGINALLY APPROVED AND REVIEWED BY THE AHSSHC BOARD COMPENSATION COMMITTEE, AN INDEPENDENT BODY OF THE AHSSHC BOARD OF DIRECTORS. ALL SPOUSAL TRAVEL COSTS REIMBURSED TO THE EXECUTIVE ARE CONSIDERED TAXABLE COMPENSATION TO THE EXECUTIVE. TAX INDEMNIFICATION AND GROSS-UP PAYMENTS: ADVENTHEALTH HAS A SYSTEM-WIDE POLICY ADDRESSING GROSS-UP PAYMENTS PROVIDED IN CONNECTION WITH EMPLOYER-PROVIDED BENEFITS/OTHER TAXABLE ITEMS. UNDER THE POLICY, CERTAIN TAXABLE BUSINESS-RELATED REIMBURSEMENTS (I.E. TAXABLE BUSINESS-RELATED MOVING EXPENSES, TAXABLE ITEMS PROVIDED IN CONNECTION WITH EMPLOYMENT) PROVIDED TO ANY EMPLOYEE MAY BE GROSSED-UP AT A 25% RATE UPON APPROVAL BY THE FILING ORGANIZATION'S CEO AND CFO. ADDITIONALLY, EMPLOYEES AT THE DIRECTOR LEVEL AND ABOVE ARE ELIGIBLE FOR GROSS-UP PAYMENTS ON GIFTS RECEIVED FOR BOARD OF DIRECTOR SERVICES. DISCRETIONARY SPENDING ACCOUNT: OCCASIONAL DISCRETIONARY SPENDING AMOUNTS ARE PERIODICALLY PROVIDED TO ELIGIBLE EXECUTIVES WHO ATTEND ANNUAL BUSINESS MEETINGS SUCH AS THE ADVENTHEALTH PRESIDENT'S COUNCIL, CFO CONFERENCE OR THE CMO/CNO BUSINESS MEETING. PAYMENTS PROVIDED TO EACH EXECUTIVE ARE CONSIDERED TAXABLE COMPENSATION TO THE EXECUTIVE. HOUSING ALLOWANCE OR RESIDENCE FOR PERSONAL USE: AHSSHC HAS A CORPORATE EXECUTIVE POLICY THAT ADDRESSES ASSISTANCE TO EXECUTIVES WHO HAVE BEEN RELOCATED BY THE COMPANY DURING THE YEAR. RELOCATION ASSISTANCE PROVIDED TO EXECUTIVES MAY INCLUDE RELOCATION ALLOWANCES TO ASSIST WITH DUPLICATE HOUSING EXPENSES. RELOCATION ASSISTANCE IS ADMINISTERED PER AHSSHC POLICY BY AN EXTERNAL RELOCATION COMPANY. ALL TAXABLE REIMBURSEMENTS MADE TO EXECUTIVES IN CONNECTION WITH RELOCATION ASSISTANCE ARE TREATED AS WAGES TO THE EXECUTIVE AND ARE SUBJECT TO ALL PAYROLL WITHHOLDING AND REPORTING REQUIREMENTS. HEALTH OR SOCIAL CLUB DUES OR INITIATION FEES: AHSSHC HAS A CORPORATE EXECUTIVE POLICY THAT ADDRESSES BUSINESS DEVELOPMENT EXPENDITURES. UNDER THIS POLICY, CERTAIN ADVENTHEALTH ELIGIBLE EXECUTIVES MAY BE REIMBURSED FOR MEMBER DUES AND USAGE CHARGES FOR A COUNTRY CLUB OR OTHER SOCIAL CLUB UPON AUTHORIZATION. CLUB MEMBERSHIPS MUST BE APPROVED BY THE BOARD OF DIRECTORS OF THE ADVENTHEALTH ORGANIZATION FOR WHICH THEY SERVE. ELIGIBLE EXECUTIVES ARE LIMITED TO CERTAIN SENIOR LEVEL EXECUTIVES (HOSPITAL ORGANIZATION CEOS, THE CEO OF THE NURSING HOME DIVISION OF ADVENTHEALTH, SENIOR VICE PRESIDENTS AT TWO LARGE HOSPITAL ORGANIZATIONS, DIVISIONAL AND REGIONAL CEOS AND CFOS AND THE PRESIDENT/CEO, CABINET MEMBERS AND SENIOR VICE PRESIDENTS OF AHSSHC). EACH ADVENTHEALTH EXECUTIVE WHO IS APPROVED FOR A CLUB MEMBERSHIP MUST SUBMIT AN ANNUAL REPORT TO THE AHSSHC PRESIDENT/CEO. THE REPORT IS TO DESCRIBE HOW THE MEMBERSHIP BENEFITED THEIR ORGANIZATION DURING THE PRECEDING YEAR SO THAT THE AHSSHC PRESIDENT/CEO CAN MAKE A DETERMINATION IF CONTINUANCE OF THE CLUB MEMBERSHIP FURTHERS THE BUSINESS INTERESTS OF ADVENTHEALTH. IN THE CURRENT YEAR, FOR THIS FILING ORGANIZATION, TWO EXECUTIVES LISTED IN PART VII RECEIVED REIMBURSEMENT FOR CLUB FEES. WHILE THE CLUB DUES MEMBERSHIP IS AN AHSSHC COMPENSATION POLICY AND PRACTICE, THE COST OF PROVIDING THIS BENEFIT IS ALLOCATED TO AND REIMBURSED IN WHOLE OR IN PART BY THE FILING ORGANIZATION. ACCORDINGLY, THE FILING ORGANIZATION HAS CHECKED THE BOX IN SCHEDULE J, PART I, LINE 1A FOR HEALTH OR SOCIAL CLUB DUES SINCE IT HAS WHOLLY OR PARTIALLY PAID FOR THE COST OF PROVIDING THIS BENEFIT. PART I, LINE 3 THE INDIVIDUAL WHO SERVES AS THE CEO OF THE FILING ORGANIZATION IS APPOINTED AND COMPENSATED BY ADVENTIST HEALTH SYSTEM SUNBELT HEALTHCARE CORPORATION (AHSSHC). COMPENSATION AND BENEFITS PROVIDED TO THIS INDIVIDUAL ARE DETERMINED PURSUANT TO POLICIES, PROCEDURES, AND PROCESSES OF AHSSHC THAT ARE DESIGNED TO ENSURE COMPLIANCE WITH THE INTERMEDIATE SANCTIONS LAWS AS SET FORTH IN IRC SECTION 4958. AHSSHC HAS TAKEN STEPS TO ENSURE THAT PROCESSES ARE IN PLACE TO SATISFY THE REBUTTABLE PRESUMPTION OF REASONABLENESS STANDARD AS SET FORTH IN TREASURY REGULATION 53.4958-6 WITH RESPECT TO ITS ACTIVE EXECUTIVE-LEVEL POSITIONS. THE AHSSHC BOARD COMPENSATION COMMITTEE (THE COMMITTEE) SERVES AS THE GOVERNING BODY FOR ALL EXECUTIVE COMPENSATION MATTERS. THE COMMITTEE IS COMPOSED OF CERTAIN MEMBERS OF THE BOARD OF DIRECTORS (THE BOARD) OF AHSSHC. VOTING MEMBERS OF THE COMMITTEE INCLUDE ONLY INDIVIDUALS WHO SERVE ON THE BOARD AS INDEPENDENT REPRESENTATIVES OF THE COMMUNITY, WHO HOLD NO EMPLOYMENT POSITIONS WITH AHSSHC AND WHO DO NOT HAVE RELATIONSHIPS WITH ANY OF THE INDIVIDUALS WHOSE COMPENSATION IS UNDER THEIR REVIEW THAT IMPACTS THEIR BEST INDEPENDENT JUDGMENT AS FIDUCIARIES OF AHSSHC. THE COMMITTEE'S ROLE IS TO REVIEW AND APPROVE ALL COMPONENTS OF THE EXECUTIVE COMPENSATION PLAN OF AHSSHC. AS AN INDEPENDENT GOVERNING BODY WITH RESPECT TO EXECUTIVE COMPENSATION, IT SHOULD BE NOTED THAT THE COMMITTEE WILL OFTEN CONFER IN EXECUTIVE SESSIONS ON MATTERS OF COMPENSATION POLICY AND POLICY CHANGES. IN SUCH EXECUTIVE SESSIONS, NO MEMBERS OF MANAGEMENT OF AHSSHC ARE PRESENT. THE COMMITTEE IS ADVISED BY AN INDEPENDENT THIRD-PARTY COMPENSATION ADVISOR. THIS ADVISOR PREPARES ALL THE BENCHMARK STUDIES FOR THE COMMITTEE. COMPENSATION LEVELS ARE BENCHMARKED WITH A NATIONAL PEER GROUP OF OTHER NOT-FOR-PROFIT HEALTHCARE SYSTEMS AND HOSPITALS OF SIMILAR SIZE AND COMPLEXITY TO ADVENTHEALTH AND EACH OF ITS AFFILIATED ENTITIES. THE FOLLOWING PRINCIPLES GUIDE THE ESTABLISHMENT OF INDIVIDUAL EXECUTIVE COMPENSATION: - THE SALARY OF THE PRESIDENT/CEO OF ADVENTHEALTH WILL NOT EXCEED THE 50TH PERCENTILE OF COMPARABLE SALARIES PAID BY SIMILARLY SITUATED ORGANIZATIONS; AND - OTHER EXECUTIVE SALARIES SHALL BE ESTABLISHED USING MARKET MEDIANS. THE COMPENSATION PHILOSOPHY, POLICIES, AND PRACTICES OF AHSSHC ARE CONSISTENT WITH THE ORGANIZATION'S FAITH-BASED MISSION AND CONFORM TO APPLICABLE LAWS, REGULATIONS, AND BUSINESS PRACTICES. AS A FAITH-BASED ORGANIZATION SPONSORED BY THE SEVENTH-DAY ADVENTIST CHURCH (THE CHURCH), AHSSHC'S PHILOSOPHY AND PRINCIPLES WITH RESPECT TO ITS EXECUTIVE COMPENSATION PRACTICES REFLECT THE CONSERVATIVE APPROACH OF THE CHURCH'S MISSION OF SERVICE AND WERE DEVELOPED IN COUNSEL WITH THE CHURCH'S LEADERSHIP. PART I, LINE 4B AS DISCUSSED IN LINE 1A ABOVE, EXECUTIVES ON THE FILING ORGANIZATION'S MANAGEMENT TEAM THAT HOLD THE POSITION OF VICE-PRESIDENT OR ABOVE ARE COMPENSATED BY AND ON THE PAYROLL OF ADVENTIST HEALTH SYSTEM SUNBELT HEALTHCARE CORPORATION (AHSSHC), THE PARENT ORGANIZATION OF THE HEALTHCARE SYSTEM KNOWN AS ADVENTHEALTH. IN RECOGNITION OF THE CONTRIBUTION THAT EACH EXECUTIVE MAKES TO THE SUCCESS OF ADVENTHEALTH, ADVENTHEALTH PROVIDES SUPPLEMENTAL EXECUTIVE 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. (CONTINUED) PART I, LINE 6 THE FILING ORGANIZATION'S PHYSICIAN COMPENSATION FORMULA IS DESIGNED TO RESULT IN TOTAL COMPENSATION THAT WOULD BE REASONABLE FOR EACH PHYSICIAN. THE FILING ORGANIZATION UTILIZES NATIONAL SURVEY PRODUCTIVITY, COST, AND COMPENSATION DATA IN FORMULATING ALL ASPECTS OF THE COMPENSATION PLAN. PHYSICIAN COMPENSATION CONTRACTUAL AGREEMENTS INCLUDE A CEILING OR REASONABLE MAXIMUM ON THE AMOUNT A PHYSICIAN MAY EARN. THE FILING ORGANIZATION'S EMPLOYED PHYSICIANS ENTER INTO A WRITTEN AGREEMENT THAT REQUIRES THE PHYSICIANS TO PROVIDE MEDICAL CARE TO INDIVIDUALS WHO ARE REFERRED BY THE FILING ORGANIZATION. THE FILING ORGANIZATION'S COMPENSATION ARRANGEMENT DOES NOT USE A METHOD OF COMPENSATION THAT IS BASED UPON A PERCENTAGE OF THE ORGANIZATION'S NET INCOME. UNDER THE COMPENSATION ARRANGEMENT, PHYSICIAN BASE SALARY, INCLUDING ANY ADDITIONAL COMPENSATION BASED ON A PERCENTAGE OF THE PRACTICE/LOCATION NET REVENUE, IS DOCUMENTED AS BEING WITHIN A RANGE OF FAIR MARKET VALUE. PART I, LINE 4B (CONTINUED): FLEX PLAN FLEX PLAN SERP II SERP III CONTR. DISTR.* CONTR./DISTR. CONTR. HAFFNER, RANDALL $ 150,000 $ 280,729 $ 740,512 $ 0 SOLER, EDDIE $ 146,006 $ 159,081 $ 0 $ 0 REEVES, CORY $ 38,743 $ 38,325 $ 0 $ 0 BOX, J. BRENT $ 75,839 $ 40,203 $ 0 $ 21,664 MURRILL, MICHAEL $ 0 $ 0 $ 0 $ 49,977 WEBER, PETER $ 41,714 $ 106,656 $ 0 $ 0 GUYTON, ALAN $ 22,285 $ 16,797 $ 0 $ 26,890 JOYAVE, JOSEPH $ 40,756 $ 20,688 $ 0 $ 12,385 * INCLUDING INVESTMENT EARNINGS JUDY FEHLENBERG RELATIVE OF BOARD MEMBER 17149 EMPLOYEE COMPENSATION 0 NORTHWEST GEORGIA MEDICAL PARK LLC 45% OWNED BY BOARD MEMBERS 700626 LEASE AGREEMENT 0 BROOKE DIBIASE RELATIVE OF BOARD MEMBER 533 EMPLOYEE COMPENSATION 0 STEPHANIE LARSEN RELATIVE OF BOARD MEMBER 115792 EMPLOYEE COMPENSATION 0 DENISE RUSTAD RELATIVE OF BOARD MEMBER 14418 EMPLOYEE COMPENSATION 0 FORM 990, PART V, LINE 1A THE PARENT CORPORATION AND SOLE TOP-TIER MEMBER OF ADVENTIST HEALTH SYSTEM GEORGIA, INC. IS ADVENTIST HEALTH SYSTEM SUNBELT HEALTHCARE CORPORATION (AHSSHC). AHSSHC IS A FLORIDA, NOT-FOR-PROFIT CORPORATION THAT IS EXEMPT FROM FEDERAL INCOME TAX UNDER INTERNAL REVENUE CODE (IRC) SECTION 501(C)(3). AHSSHC HAS ESTABLISHED A SHARED SERVICE CENTER TO CENTRALIZE THE ACCOUNTS PAYABLE (A/P) FUNCTION FOR ALL AHSSHC SUBSIDIARY ORGANIZATIONS. THE FILING ORGANIZATION HAS ENTERED "0" IN PART V, LINE 1A BECAUSE THE FILING ORGANIZATION NO LONGER ISSUES FORM 1099 RETURNS, RATHER, ALL SUCH RETURNS ARE FILED BY AND UNDER THE NAME AND EIN OF AHSSHC AS THE PAYOR SUBJECT TO THE INFORMATION REPORTING REQUIREMENTS OF SECTION 6041. THE FACTS AND CIRCUMSTANCES SUPPORT A POSITION THAT AHSSHC, AS A PAYOR ON BEHALF OF ITS SUBSIDIARY ORGANIZATIONS IN A SHARED SERVICE ENVIRONMENT, WILL HAVE SUFFICIENT MANAGEMENT AND OVERSIGHT IN CONNECTION WITH THE SUBSIDIARY ORGANIZATIONS' PAYMENTS TO MEET THE STANDARD SET FORTH IN TREAS. REG. SECTION 1.6041-1(E). AHSSHC WILL NOT MERELY BE MAKING PAYMENTS AT THE DIRECTION OF ITS SUBSIDIARY ORGANIZATIONS. ACCORDINGLY, AHSSHC IS CONSIDERED THE PAYOR SUBJECT TO THE INFORMATION REPORTING REQUIREMENTS OF SECTION 6041. FORM 990, PART VI, SECTION A, LINE 2 BRENT BOX AND CRAIG BOX - FAMILY RELATIONSHIP PETER WEBER AND DAVID LANCE - BUSINESS RELATIONSHIP BRENT BOX AND MAX PARROTT - BUSINESS RELATIONSHIP FORM 990, PART VI, SECTION A, LINE 6 ADVENTIST HEALTH SYSTEM GEORGIA, INC. (THE FILING ORGANIZATION) HAS ONE MEMBER. THE SOLE MEMBER OF THE FILING ORGANIZATION IS ADVENTIST HEALTH SYSTEM SUNBELT HEALTHCARE CORPORATION. ADVENTIST HEALTH SYSTEM SUNBELT HEALTHCARE CORPORATION (AHSSHC) IS A FLORIDA, NOT-FOR-PROFIT CORPORATION THAT IS EXEMPT FROM FEDERAL INCOME TAX UNDER INTERNAL REVENUE CODE (IRC) SECTION 501(C)(3). THERE ARE NO OTHER CLASSES OF MEMBERSHIP IN THE FILING ORGANIZATION. FORM 990, PART VI, SECTION A, LINE 7A THE SOLE MEMBER OF THE FILING ORGANIZATION IS AHSSHC. THE BOARD OF DIRECTORS OF THE FILING ORGANIZATION ARE APPOINTED BY THE SOLE MEMBER, AHSSHC, WHO HAS THE RIGHT TO ELECT, APPOINT OR REMOVE ANY MEMBER OF THE BOARD OF DIRECTORS OF THE FILING ORGANIZATION. FORM 990, PART VI, SECTION A, LINE 7B AHSSHC, AS THE SOLE MEMBER OF THE FILING ORGANIZATION, HAS CERTAIN RESERVED POWERS AS SET FORTH IN THE BYLAWS OF THE FILING ORGANIZATION. THESE RESERVED POWERS INCLUDE THE FOLLOWING: A) TO APPROVE AND DISAPPROVE THE EXECUTIVE AND/OR ADMINISTRATIVE LEADERSHIP OF THE FILING ORGANIZATION, AND THEIR SALARIES; B) TO ADOPT, AMEND, RESTATE, AND REPEAL THE ARTICLES OF INCORPORATION OR BYLAWS OF THE FILING ORGANIZATION, AND THE MEDICAL STAFF BYLAWS; C) TO SET LIMITS AND TERMS FOR THE BORROWING OF FUNDS; D) TO APPROVE OR DISAPPROVE MAJOR BUILDING PROGRAMS AND/OR PURCHASE OR SALE OF PERSONAL PROPERTY OR REAL PROPERTY EQUAL TO OR IN EXCESS OF ONE MILLION DOLLARS; E) TO APPROVE OR DISAPPROVE THE ANNUAL OPERATING AND CAPITAL BUDGETS OF THE FILING ORGANIZATION; F) TO DIRECT THE PLACEMENT OF FUNDS AND CAPITAL OF THE FILING ORGANIZATION; G) TO ESTABLISH GENERAL GUIDING POLICIES, TO IMPLEMENT QUALITY ASSESSMENT, IMPROVEMENT AND UTILIZATION REVIEW PROGRAMS; H) TO APPROVE THE APPOINTMENT OF AN AUDITING FIRM AND ELECTION OF THE FISCAL YEAR FOR THE FILING ORGANIZATION; AND I) TO ESTABLISH A PROCESS FOR ADDRESSING PATIENT GRIEVANCES. FORM 990, PART VI, SECTION B, LINE 11B THE FILING ORGANIZATION'S CURRENT YEAR FORM 990 WAS REVIEWED BY THE BOARD CHAIRMAN, BOARD FINANCE COMMITTEE CHAIR, CEO AND BY THE CFO PRIOR TO ITS FILING WITH THE IRS. THE REVIEW CONDUCTED BY THE BOARD CHAIRMAN, BOARD FINANCE COMMITTEE CHAIR, CEO AND THE CFO DID NOT INCLUDE THE REVIEW OF ANY SUPPORTING WORKPAPERS THAT WERE USED IN PREPARATION OF THE CURRENT YEAR FORM 990, BUT DID INCLUDE A REVIEW OF THE ENTIRE FORM 990 AND ALL SUPPORTING SCHEDULES. FORM 990, PART VI, SECTION B, LINE 12C THE CONFLICT OF INTEREST POLICY OF THE FILING ORGANIZATION APPLIES TO MEMBERS OF ITS BOARD OF DIRECTORS AND ITS PRINCIPAL OFFICERS (TO BE KNOWN AS INTERESTED PERSONS). IN CONNECTION WITH ANY ACTUAL OR POSSIBLE CONFLICTS OF INTEREST, ANY MEMBER OF THE BOARD OF DIRECTORS OF THE FILING ORGANIZATION OR ANY PRINCIPAL OFFICER OF THE FILING ORGANIZATION (I.E. INTERESTED PERSONS) MUST DISCLOSE THE EXISTENCE OF ANY FINANCIAL INTEREST WITH THE FILING ORGANIZATION AND MUST BE GIVEN THE OPPORTUNITY TO DISCLOSE ALL MATERIAL FACTS CONCERNING THE FINANCIAL INTEREST/ARRANGEMENT TO THE BOARD OF DIRECTORS OF THE FILING ORGANIZATION OR TO ANY MEMBERS OF A COMMITTEE WITH BOARD DELEGATED POWERS THAT IS CONSIDERING THE PROPOSED TRANSACTION OR ARRANGEMENT. SUBSEQUENT TO ANY DISCLOSURE OF ANY FINANCIAL INTEREST/ARRANGEMENT AND ALL MATERIAL FACTS, AND AFTER ANY DISCUSSION WITH THE RELEVANT BOARD MEMBER OR PRINCIPAL OFFICER, THE REMAINING MEMBERS OF THE BOARD OF DIRECTORS OR COMMITTEE WITH BOARD DELEGATED POWERS SHALL DISCUSS, ANALYZE, AND VOTE UPON THE POTENTIAL FINANCIAL INTEREST/ARRANGEMENT TO DETERMINE IF A CONFLICT OF INTEREST EXISTS. ACCORDING TO THE FILING ORGANIZATION'S CONFLICT OF INTEREST POLICY, AN INTERESTED PERSON MAY MAKE A PRESENTATION TO THE BOARD OF DIRECTORS (OR COMMITTEE WITH BOARD DELEGATED POWERS), BUT AFTER SUCH PRESENTATION, SHALL LEAVE THE MEETING DURING THE DISCUSSION OF, AND THE VOTE ON, THE TRANSACTION OR ARRANGEMENT THAT RESULTS IN A CONFLICT OF INTEREST. EACH INTERESTED PERSON, AS DEFINED UNDER THE FILING ORGANIZATION'S CONFLICT OF INTEREST POLICY, SHALL ANNUALLY SIGN A STATEMENT WHICH AFFIRMS THAT SUCH PERSON HAS RECEIVED A COPY OF THE CONFLICT OF INTEREST POLICY, HAS READ AND UNDERSTANDS THE POLICY, HAS AGREED TO COMPLY WITH THE POLICY, AND UNDERSTANDS THAT THE FILING ORGANIZATION IS A CHARITABLE ORGANIZATION THAT MUST PRIMARILY ENGAGE IN ACTIVITIES WHICH ACCOMPLISH ONE OR MORE OF ITS EXEMPT PURPOSES. THE FILING ORGANIZATION'S CONFLICT OF INTEREST POLICY ALSO REQUIRES THAT PERIODIC REVIEWS SHALL BE CONDUCTED TO ENSURE THAT THE FILING ORGANIZATION OPERATES IN A MANNER CONSISTENT WITH ITS CHARITABLE PURPOSES. FORM 990, PART VI, SECTION B, LINE 15 THE FILING ORGANIZATION'S CEO, OTHER OFFICERS AND KEY EMPLOYEES ARE NOT COMPENSATED BY THE FILING ORGANIZATION. SUCH INDIVIDUALS ARE COMPENSATED BY THE RELATED TOP-TIER PARENT ORGANIZATION OF THE FILING ORGANIZATION. PLEASE SEE THE DISCUSSION CONCERNING THE PROCESS FOLLOWED BY THE RELATED TOP-TIER PARENT ORGANIZATION IN DETERMINING EXECUTIVE COMPENSATION IN OUR RESPONSE TO SCHEDULE J, LINE 3. FORM 990, PART VI, SECTION C, LINE 19 THE FILING ORGANIZATION IS A PART OF THE SYSTEM OF HEALTHCARE ORGANIZATIONS KNOWN AS ADVENTHEALTH. THE AUDITED CONSOLIDATED FINANCIAL STATEMENTS OF ADVENTHEALTH AND OF THE ADVENTHEALTH "OBLIGATED GROUP" ARE FILED ANNUALLY WITH THE MUNICIPAL SECURITIES RULEMAKING BOARD (MSRB). THE "OBLIGATED GROUP" IS A GROUP OF AHSSHC SUBSIDIARIES THAT ARE JOINTLY AND SEVERALLY LIABLE UNDER A MASTER TRUST INDENTURE THAT SECURES DEBT PRIMARILY ISSUED ON A TAX-EXEMPT BASIS. UNAUDITED QUARTERLY FINANCIAL STATEMENTS PREPARED IN ACCORDANCE WITH GENERALLY ACCEPTED ACCOUNTING PRINCIPLES (GAAP) ARE ALSO FILED WITH MSRB FOR ADVENTHEALTH ON A CONSOLIDATED BASIS AND FOR THE GROUPING OF ADVENTHEALTH SUBSIDIARIES COMPRISING THE "OBLIGATED GROUP". THE FILING ORGANIZATION DOES NOT GENERALLY MAKE ITS GOVERNING DOCUMENTS OR CONFLICT OF INTEREST POLICY AVAILABLE TO THE PUBLIC. PART VII, SECTION A FOR THOSE BOARD OF DIRECTOR MEMBERS (NOT INCLUDING PHYSICIAN MEMBERS OF THE BOARD), OFFICER(S) AND KEY EMPLOYEES WHO DEVOTE LESS THAN FULL-TIME TO THE FILING ORGANIZATION (BASED UPON THE AVERAGE NUMBER OF HOURS PER WEEK SHOWN IN COLUMN (B) ON PAGE 7 OF THE RETURN) THE COMPENSATION AMOUNTS SHOWN IN COLUMNS (E) AND (F) ON PAGE 7 WERE PROVIDED IN CONJUNCTION WITH THAT PERSON'S RESPONSIBILITIES AND ROLES IN SERVING IN AN EXECUTIVE LEADERSHIP POSITION AS AN EMPLOYEE OF ADVENTIST HEALTH SYSTEM SUNBELT HEALTHCARE CORPORATION. PHYSICIAN MEMBERS OF THE BOARD OF DIRECTORS RECEIVED COMPENSATION FROM RELATED ORGANIZATIONS AS A RESULT OF PROVIDING VARIOUS MEDICAL SERVICES TO THOSE RELATED ENTITIES. PART VIII, LINES 7A, B AND C: THE AMOUNT SHOWN IN PART VIII, LINE 7C(I) OF THE FORM 990 REPRESENTS AN ALLOCATED SHARE OF CAPITAL GAIN/(LOSS) FROM A SYSTEM WIDE, CORPORATE ADMINISTERED, INVESTMENT PROGRAM. FORM 990, PART IX, LINE 11G PAYMENTS TO HEALTHCARE PROFESSIONALS: PROGRAM SERVICE EXPENSES 3,195,653. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,195,653. PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 7,300,129. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 7,300,129. PURCHASED MEDICAL SERVICES: PROGRAM SERVICE EXPENSES 2,708,586. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,708,586. ENVIRONMENTAL SERVICES: PROGRAM SERVICE EXPENSES 1,228,113. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,228,113. TRANSCRIPTION SERVICES: PROGRAM SERVICE EXPENSES 48,474. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 48,474. RECRUITING: PROGRAM SERVICE EXPENSES 38,291. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 38,291. MISCELLANEOUS PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 314,891. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 314,891. ADVENTHEALTH MANAGEMENT FEES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 2,664,318. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,664,318. BILLING & COLLECTION SERVICES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 3,854,172. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,854,172. ADVENTHEALTH SHARED SERVICE FEE: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 1,632,216. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,632,216. PART X, LINE 2 THE AMOUNT SHOWN ON LINE 2 OF PART X OF THIS RETURN INCLUDES THE FILING ORGANIZATION'S INTEREST IN A CENTRAL INVESTMENT POOL MAINTAINED BY ADVENTIST HEALTH SYSTEM SUNBELT HEALTHCARE CORPORATION, THE FILING ORGANIZATION'S TOP-TIER PARENT. THE INVESTMENTS IN THE CENTRAL INVESTMENT POOL ARE RECORDED AT MARKET VALUE. FORM 990, PART XI, LINE 9: TRANSFER TO TAX EXEMPT PARENT -1,666,873. RESTRICTED GIFTS 1,676,618. TRANSFERS FOR EXPENSES -187,168. TRANSFER TO UNRESTRICTED -6,906. FORM 990, PART XII, LINE 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. 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