ADVENTIST MIDWEST HEALTH: Form 990, tax year 2018

View the entire original 990 at ProPublica ↗

Organization: ADVENTIST MIDWEST HEALTH (EIN 36-2276984)
Tax period: 2018-01-01 to 2018-12-31
Filed: 2019-11-15
IRS object ID: 201913199349307706
Schema version: 2018v3.1
Source: Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule H
Schedule I
Schedule J
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2019-11-15T11:08:40-06:00	ReturnTs
Tax Period End	2018-12-31	TaxPeriodEndDt
Return Type	990	ReturnTypeCd
Tax Period Begin	2018-01-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	362276984	EIN

Business Name BusinessName

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

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

US Address USAddress

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

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	LYNN C ADDISCOTT	PersonNm
Person Title	ASSISTANT SECRETARY	PersonTitleTxt
Phone	6308566001	PhoneNum
Signature	2019-11-14	SignatureDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

Field	Value	IRS element (for citing)
I Pv4 Address	204.139.85.142	IPv4AddressTxt

Field	Value	IRS element (for citing)
IP	2019-11-14	IPDt
IP Tm	09:57:43	IPTm
IP Timezone	ES	IPTimezoneCd
Filing License Type	P	FilingLicenseTypeCd
At Submission Creation Device Id	DA39A3EE5E6B4B0D3255BFEF95601890AFD80709	AtSubmissionCreationDeviceId
At Submission Filing Device Id	1CF6776BA0A2965D553CEF3953E0B36AE7F0CCCB	AtSubmissionFilingDeviceId

Field	Value	IRS element (for citing)
Tax	2018	TaxYr
Build TS	2020-03-31 21:24:44Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	MICHAEL MURRILL	PrincipalOfficerNm

US Address USAddress

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

Field	Value	IRS element (for citing)
Gross Receipts	$529,408,363	GrossReceiptsAmt
Group Return For Affiliates	0	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.AMITAHEALTH.ORG	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1904	FormationYr
Legal Domicile State	IL	LegalDomicileStateCd
Activity Or Mission	THE PROVISION OF MEDICAL CARE TO THE COMMUNITY THROUGH THE OPERATION OF TWO HOSPITALS.	ActivityOrMissionDesc
Voting Members Governing Body	17	VotingMembersGoverningBodyCnt
Voting Members Independent	9	VotingMembersIndependentCnt
Total Employee	3638	TotalEmployeeCnt
Total Volunteers	827	TotalVolunteersCnt
Total Gross UBI	$1,366,925	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$712,037	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$884,721	PYContributionsGrantsAmt
CY Contributions Grants	$887,064	CYContributionsGrantsAmt
PY Program Service Revenue	$520,717,469	PYProgramServiceRevenueAmt
CY Program Service Revenue	$525,679,727	CYProgramServiceRevenueAmt
PY Investment Income	$3,828,882	PYInvestmentIncomeAmt
CY Investment Income	$1,027,796	CYInvestmentIncomeAmt
PY Other Revenue	$466,767	PYOtherRevenueAmt
CY Other Revenue	$319,031	CYOtherRevenueAmt
PY Total Revenue	$525,897,839	PYTotalRevenueAmt
CY Total Revenue	$527,913,618	CYTotalRevenueAmt
PY Grants And Similar Paid	$875,820	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$990,074	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$217,559,360	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$211,514,198	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$300,117,768	PYOtherExpensesAmt
CY Other Expenses	$310,334,387	CYOtherExpensesAmt
PY Total Expenses	$518,552,948	PYTotalExpensesAmt
CY Total Expenses	$522,838,659	CYTotalExpensesAmt
PY Revenues Less Expenses	$7,344,891	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$5,074,959	CYRevenuesLessExpensesAmt
Total Assets BOY	$663,595,260	TotalAssetsBOYAmt
Total Assets EOY	$640,448,880	TotalAssetsEOYAmt
Total Liabilities BOY	$395,747,520	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$375,686,061	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$267,847,740	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$264,762,819	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	ADVENTIST HEALTH SYSTEM SUNBELT HEALTHCARE CORPORATION AND ALL ITS SUBSIDIARY ORGANIZATIONS WERE ESTABLISHED BY THE SEVENTH-DAY ADVENTIST CHURCH TO BRING A MINISTRY OF HEALING AND HEALTH TO THE COMMUNITIES SERVED. OUR MISSION IS TO EXTEND THE HEALING MINISTRY OF CHRIST.THE HOSPITAL AND HEALTHCARE SYSTEM WHOSE PARENT IS ADVENTIST HEALTH SYSTEM SUNBELT HEALTHCARE CORPORATION IS KNOWN AS ADVENTHEALTH. ADVENTHEALTH SEEKS TO BE WIDELY RESPECTED AS A CONSUMER-FOCUSED ORGANIZATION THAT ENGAGES INDIVIDUALS IN THEIR HEALTH BY DELIVERING WHOLISTIC, BEST PRACTICE CARE ACROSS A CONNECTED, COMPREHENSIVE CONTINUUM OF SERVICES. WITH CHRIST AS OUR EXAMPLE, ADVENTHEALTH CARES FOR AND NURTURES PEOPLE: OUR EMPLOYEES, OUR COMMUNITIES, OUR HEALTHCARE PROFESSIONALS, AND THOSE WHO TRUST US FOR CARE AND HEALING.	MissionDesc
Significant New Program Srvc	0	SignificantNewProgramSrvcInd
Significant Change	0	SignificantChangeInd
Expense	$456,047,448	ExpenseAmt
Grant	$990,074	GrantAmt
Revenue	$524,438,735	RevenueAmt
Desc	AMITA HEALTH ADVENTIST MEDICAL CENTER HINSDALE (AMITA HEALTH HINSDALE, OR THE HOSPITAL) IS A 261-BED ACUTE-CARE HOSPITAL IN HINSDALE, ILLINOIS, THAT HAS SERVED THE HEALTHCARE NEEDS OF HINSDALE AND SURROUNDING AREAS FOR MORE THAN 100 YEARS. LOCATED AT 120 NORTH OAK STREET, AMITA HEALTH HINSDALE IS A FULL-SERVICE HOSPITAL THAT INCLUDES A LEVEL III NEONATAL INTENSIVE CARE UNIT AND THE AMITA HEALTH CANCER INSTITUTE & OUTPATIENT CENTER IN HINSDALE. THE HOSPITAL HAS ADDITIONAL SPECIALTIES IN BEHAVIORAL MEDICINE, CARDIOLOGY, NEUROSCIENCES AND ORTHOPEDICS. IT HAS EXPANDED ITS NEUROSCIENCES AND BEHAVIORAL MEDICINE PROGRAMS AND HAS BECOME A LEADER IN ROBOTIC SURGERY PROGRAMS, INCLUDING MAKO ROBOTIC-ARM ASSISTED SURGERIES FOR PARTIAL KNEE, TOTAL HIP AND TOTAL KNEE REPLACEMENTS, AND DA VINCI ROBOTIC GYNECOLOGICAL SURGERIES. OTHER SERVICES OFFERED BY THE HOSPITAL INCLUDE OPEN HEART SURGERY, EMERGENCY SERVICES, ENDOCRINOLOGY, GASTROENTEROLOGY, GERIATRICS, HOME HEALTH, HOSPICE, IMAGING, INTERVENTIONAL RADIOLOGY, OUTPATIENT SERVICES, A PAIN CENTER, PEDIATRIC SERVICES, PHYSICAL REHABILITATION, RHEUMATOLOGY, SLEEP DISORDERS, SURGICAL SERVICES, UROLOGY, VASCULAR LAB SERVICES AND WOMEN'S CARE. THE HOSPITAL OPERATES AN IMAGING CENTER IN WESTMONT AND WOODRIDGE, ILLINOIS; AN OUTPATIENT BEHAVIORAL HEALTH SITE IN WESTMONT; AND AN OUTPATIENT ADOLESCENT MENTAL HEALTH SITE IN WESTMONT. IN PARTNERSHIP WITH PT SOLUTIONS, THE HOSPITAL ALSO OPERATES AN OUTPATIENT PHYSICAL REHABILITATION SITE IN HINSDALE. A FIXTURE IN HINSDALE SINCE 1904, AMITA HEALTH HINSDALE PLAYS AN ACTIVE ROLE IN THE COMMUNITY, SPONSORING A VARIETY OF EVENTS AND PROVIDING WELLNESS SERVICES FOR THE VILLAGE'S EMPLOYEES. THE HOSPITAL HAS A SPECIAL COLLABORATIVE RELATIONSHIP WITH SISTER HOSPITAL AMITA HEALTH ADVENTIST MEDICAL CENTER LA GRANGE (AMITA HEALTH LA GRANGE) IN LA GRANGE, ILLINOIS. ABOUT TWO MILES SEPARATE THE HOSPITALS, AND BECAUSE OF THEIR PROXIMITY TO EACH OTHER, THEY HAVE WORKED TO INTEGRATE THEIR SERVICES AND TO WORK COLLABORATIVELY INSTEAD OF COMPETING AGAINST EACH OTHER. THE HOSPITALS SHARE THE SAME SENIOR MANAGEMENT TEAM, DEPARTMENT LEADERS, AND MEDICAL STAFF, AND THEY PARTNERED TO DEVELOP THE AMITA HEALTH CANCER INSTITUTE AND OUTPATIENT CENTER, WHICH OPENED IN 2016 IN HINSDALE. THE INTEGRATION PROCESS HAS REDUCED OPERATING COSTS FOR THE TWO HOSPITALS, AND THEY HAVE REINVESTED THE SAVINGS TO EXPAND AND ENHANCE SERVICES. THE TWO HOSPITALS OPERATE FAMILY-PRACTICE RESIDENCY PROGRAMS IN WHICH MEDICAL-SCHOOL GRADUATES SERVE THEIR RESIDENCIES, DOING CLINICAL ROTATIONS. THE PROGRAMS ARE A CONSISTENT SOURCE OF FAMILY-PRACTICE PHYSICIANS FOR THE COMMUNITY PROVIDING A FULL SCOPE OF PRIMARY CARE SERVICES. DURING 2018, OVER 16,700 PATIENTS WERE CARED FOR AT THE AMITA HEALTH LAGRANGE FAMILY MEDICINE CENTER AND ALMOST 17,500 PATIENTS AT THE AMITA HEALTH HINSDALE FAMILY MEDICINE CENTER, INCLUDING MANY MEDICAID RECIPIENTS AT BOTH CENTERS. THE AMITA HEALTH LAGRANGE FAMILY MEDICINE CENTER ALSO PROVIDES OBSTETRICAL CARE AT A LOCAL FEDERALLY QUALIFIED HEALTH CENTER IN LAGRANGE (PILLARS COMMUNITY HEALTH). AMITA HEALTH HINSDALE IS AWARDED MAGNET NURSING DESIGNATION BY THE AMERICAN NURSES CREDENTIALING CENTER, CERTIFIED BY THE JOINT COMMISSION AND THE AMERICAN HEART ASSOCIATION/AMERICAN STROKE ASSOCIATION AS A PRIMARY STROKE CENTER, AND HAS RECEIVED NATIONAL QUALITY APPROVAL FROM THE JOINT COMMISSION. THE BLUE CROSS AND BLUE SHIELD ASSOCIATION HAS AWARDED ITS BLUE DISTINCTION CENTER + DESIGNATION TO AMITA HEALTH HINSDALE FOR DELIVERING SAFE, HIGH-QUALITY AND COST-EFFICIENT CARDIAC CARE AND MATERNITY CARE. IN 2018, AMITA HEALTH HINSDALE EARNED A FIVE-STAR RATING -THE HIGHEST POSSIBLE- POSTED ON THE CENTERS FOR MEDICARE & MEDICAID SERVICES' HOSPITAL COMPARE WEBSITE. THE HOSPITAL ALSO EARNED AN "A," THE HIGHEST POSSIBLE SCORE, IN THE SPRING 2018 AND FALL 2018 EDITIONS OF THE LEAPFROG GROUP'S BIANNUAL HOSPITAL SAFETY GRADE. IN 2018, AMITA HEALTH HINSDALE ALSO EARNED HEALTHGRADE'S PATIENT SAFETY EXCELLENCE AWARD. AMITA HEALTH HINSDALE IS RANKED 11TH IN THE CHICAGO AREA AND 13TH IN ILLINOIS IN U.S. NEWS & WORLD REPORT'S LATEST BEST HOSPITALS REPORT, EARNING RECOGNITION FOR HIGH PERFORMANCE IN TWO ADULT SPECIALTIES (GASTROENTEROLOGY & GI SURGERY AND UROLOGY) AND FOUR ADULT PROCEDURES/CONDITIONS (AORTC VALVE SURGERY, HEART FAILURE, HIP REPLACEMENT, AND KNEE REPLACEMENT). IN 2018, AMITA HEALTH HINSDALE TREATED 11,714 INPATIENTS, PERFORMED 2,421 INPATIENT SURGERIES, AND DELIVERED 2,357 BABIES. AMITA HEALTH HINSDALE'S MEDICAL STAFF INCLUDES ALMOST 700 PHYSICIANS REPRESENTING 75 MEDICAL AND SURGICAL SPECIALTIES. AMITA HEALTH HINSDALE PROVIDES CARE FOR ALL, INCLUDING THE FINANCIALLY DISADVANTAGED, UNINSURED, UNDERINSURED, HOMELESS AND THOSE WHO RECEIVE PUBLIC AID. IN 2018, AMITA HEALTH HINSDALE PROVIDED $436,594 OF CHARITY CARE AT COST. THIS WAS IN ADDITION TO $6,916,606 IN COMMUNITY EDUCATION COSTS, INCLUDING THE HOSPITAL'S RESIDENCY PROGRAM AND $372,000 IN OTHER COMMUNITY BENEFITS SERVICES, $8,992,292 OF UNREIMBURSED MEDICARE COSTS TO PATIENTS, $3,434,573 OF BAD DEBT EXPENSE AT COST, AND $5,741,233 OF UNREIMBURSED MEDICAID AT COST. ABOUT ADVENTIST MIDWEST HEALTH THE TOP-TIER PARENT OF THE FILING ORGANIZATION, ADVENTIST HEALTH SYSTEM SUNBELT HEALTHCARE CORPORATION, OWNS A REGIONAL HEALTH SYSTEM WHICH INCLUDES A NETWORK OF FOUR NOT-FOR-PROFIT HOSPITALS AND THEIR OUTPATIENT-BASED HEALTHCARE FACILITIES OPERATING IN CHICAGO'S WESTERN SUBURBS. THE FOUR NOT-FOR-PROFIT CHICAGO HOSPITALS TAKE A HOLISTIC APPROACH TO WELLNESS, ADDRESSING THE PHYSICAL, MENTAL, SOCIAL AND SPIRITUAL NEEDS OF THE PEOPLE IT SERVES. THE FOUR HOSPITALS AND OTHER FACILITIES ARE INTEGRAL TO THE FABRIC OF THEIR COMMUNITIES. THE HOSPITALS PARTNER WITH LOCAL CIVIC ORGANIZATIONS AND BUSINESSES TO BRING STATE-OF-THE-ART TREATMENTS AND PREVENTIVE HEALTHCARE SERVICES CLOSE TO WHERE PEOPLE LIVE AND WORK. AS PART OF ADVENTHEALTH, THE LARGEST, NOT-FOR-PROFIT PROTESTANT HOSPITAL SYSTEM IN THE NATION, THE FILING ORGANIZATION IS GROUNDED IN CHRISTIAN VALUES AND COMMITTED TO EXTENDING THE HEALING MINISTRY OF CHRIST. THE FILING ORGANIZATION WELCOMES PATIENTS FROM ANY RELIGIOUS DENOMINATION AS WELL AS PATIENTS WHO DO NOT ASCRIBE TO ANY RELIGION. IN FEBRUARY 2015, AMH AND ALEXIAN BROTHERS HEALTH SYSTEM (ABHS) FORMED A JOINT OPERATING COMPANY (JOC). A JOC ALLOWS SEPARATE OWNERS TO INTEGRATE OPERATIONS TO ACHIEVE A COMMON GOAL WHILE MAINTAINING SEPARATE OWNERSHIP OF ASSETS. IT ALSO ALLOWS AMH AND ABHS TO WORK IN UNISON WHILE PRESERVING THE ADVENTIST AND CATHOLIC IDENTITIES AND MISSION PRIORITIES THAT DEFINE AMH AND ABHS, RESPECTIVELY. IN APRIL 2015, ALEXIAN BROTHERS-AHS MIDWEST REGION HEALTH CO., D/B/A AMITA HEALTH, WAS ANNOUNCED AS THE NEW NAME OF THE JOC. THE NAME AMITA IS INSPIRED BY THE MEANING IT HAS IN SEVERAL LANGUAGES -- FRIENDSHIP IN ITALIAN, HONESTY AND TRUTH IN HEBREW, AND SPIRITUAL LIGHT AND BOUNDLESSNESS IN HINDI. THE NAME REFLECTS AMITA HEALTH'S FAITH-BASED CALL TO HEALING, ITS CORE VALUES, AND THE COMPASSION AND DEDICATION THAT ITS CAREGIVERS SHOW EVERY DAY TO PATIENTS, THEIR FAMILIES AND EACH OTHER.	Desc
Total Program Service Expenses	$456,047,448	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (1)	DescribedInSection501c3Ind
Schedule B Required	Yes (1)	ScheduleBRequiredInd
Political Campaign Acty	0	PoliticalCampaignActyInd
Lobbying Activities	Yes (1)	LobbyingActivitiesInd
Subject To Proxy Tax	0	SubjectToProxyTaxInd
Donor Advised Fund	0	DonorAdvisedFundInd
Conservation Easements	0	ConservationEasementsInd
Collections Of Art	0	CollectionsOfArtInd
Credit Counseling	0	CreditCounselingInd
Temp Or Permanent Endowments	Yes (1)	TempOrPermanentEndowmentsInd
Report Land Building Equipment	Yes (1)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	0	ReportInvestmentsOtherSecInd
Report Program Related Invst	0	ReportProgramRelatedInvstInd
Report Other Assets	Yes (1)	ReportOtherAssetsInd
Report Other Liabilities	Yes (1)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (1)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	0	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (1)	ConsolidatedAuditFinclStmtInd
School Operating	0	SchoolOperatingInd
Foreign Office	0	ForeignOfficeInd
Foreign Activities	0	ForeignActivitiesInd
More Than5000 K To Org	0	MoreThan5000KToOrgInd
More Than5000 K To Individuals	0	MoreThan5000KToIndividualsInd
Professional Fundraising	0	ProfessionalFundraisingInd
Fundraising Activities	0	FundraisingActivitiesInd
Gaming Activities	0	GamingActivitiesInd
Operate Hospital	Yes (1)	OperateHospitalInd
Audited Financial Stmt Att	Yes (1)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (1)	GrantsToOrganizationsInd
Grants To Individuals	0	GrantsToIndividualsInd
Schedule J Required	Yes (1)	ScheduleJRequiredInd
Tax Exempt Bonds	0	TaxExemptBondsInd
Engaged In Excess Benefit Trans	0	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	0	PYExcessBenefitTransInd
Loan Outstanding	0	LoanOutstandingInd
Grant To Related Person	0	GrantToRelatedPersonInd
Business Rln With Org Mem	0	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	0	BusinessRlnWithFamMemInd
Business Rln With Officer Ent	0	BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri	0	DeductibleNonCashContriInd
Deductible Art Contribution	0	DeductibleArtContributionInd
Terminate Operations	0	TerminateOperationsInd
Partial Liquidation	0	PartialLiquidationInd
Disregarded Entity	0	DisregardedEntityInd
Related Entity	Yes (1)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (1)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (1)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	0	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	0	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (1)	ScheduleORequiredInd
IRP Document	175	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (1)	BackupWthldComplianceInd
Employee	3638	EmployeeCnt
Employment Tax Returns Filed	Yes (1)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (1)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (1)	Form990TFiledInd
Foreign Financial Account	0	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTransInd
Taxable Party Notification	0	TaxablePartyNotificationInd
Nondeductible Contributions	0	NondeductibleContributionsInd
Quid Pro Quo Contributions	0	QuidProQuoContributionsInd
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	0	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	0	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	0	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	0	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	0	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	17	GoverningBodyVotingMembersCnt
Independent Voting Member	9	IndependentVotingMemberCnt
Family Or Business Rln	0	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	0	DelegationOfMgmtDutiesInd
Change To Org Documents	0	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	0	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (1)	MembersOrStockholdersInd
Election Of Board Members	Yes (1)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (1)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (1)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (1)	MinutesOfCommitteesInd
Officer Mailing Address	0	OfficerMailingAddressInd
Local Chapters	0	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (1)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (1)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (1)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (1)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (1)	WhistleblowerPolicyInd
Document Retention Policy	Yes (1)	DocumentRetentionPolicyInd
Compensation Process CEO	0	CompensationProcessCEOInd
Compensation Process Other	0	CompensationProcessOtherInd
Investment In Joint Venture	Yes (1)	InvestmentInJointVentureInd
Written Policy Or Procedure	Yes (1)	WrittenPolicyOrProcedureInd
States Where Copy Of Return Is Fld	IL	StatesWhereCopyOfReturnIsFldCd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	DEBORAH SCHIMEROWSKI	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Phone	8157257133	PhoneNum

US Address USAddress

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

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

Form990 Part VII Section A Form990PartVIISectionAGrp (30 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	OfficerOfficerInd	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
HAFFNER PHD RANDALL
DIR/CHAIRMAN	0.10	50.00	Yes (X)	$0	$2,960,838	$312,821
AGUILERA RONALD
DIRECTOR	0.10	0.20	Yes (X)	$0	$1,645	$0
ARQUILLA VENANZIO
DIRECTOR	0.10	0.20	Yes (X)	$0	$0	$0
EASTMAN LINDA
DIRECTOR	0.10	0.20	Yes (X)	$0	$0	$0
GRAY JR MARSHALL
DIRECTOR	0.10	0.20	Yes (X)	$0	$0	$0
GUTH MD SCOTT
DIRECTOR (BEG 1/18)	2.90	0.20	Yes (X)	$20,750	$0	$0
HAWKINS RONNIE
DIRECTOR	0.10	0.20	Yes (X)	$0	$0	$0
HOLDER BILL
DIRECTOR	0.10	0.20	Yes (X)	$0	$0	$0
MARTINEZ MD CARLOS
DIRECTOR (BEG 1/18)	0.10	3.60	Yes (X)	$0	$25,500	$0
O'CONNOR PETER
DIRECTOR	0.10	4.40	Yes (X)	$0	$0	$0
SCOTT GLYNN
DIRECTOR	0.10	2.40	Yes (X)	$0	$2,295	$0
SHARON MD GREG
DIRECTOR (END 12/18)	0.10	4.90	Yes (X)	$0	$33,313	$0
SNYDER BRENT G
DIRECTOR	0.10	50.00	Yes (X)	$0	$1,483,334	$182,333
THORDARSON THOR
DIR/PRES/SEC/COO	10.00	40.00	Yes (X)	$844,895	$8,815	$41,853
VALENTINE II MDIV MAURICE
DIRECTOR/VICE CHAIR	0.10	0.20	Yes (X)	$0	$2,395	$0
WRIGHT JONATHAN
DIRECTOR	0.10	0.20	Yes (X)	$0	$0	$0
YANG MD ERIC
DIR/INTERIM CMO (BEG 7/18, END 12/18)	25.00	0.20	Yes (X)	$0	$475,676	$15,291
PROVINCE STEVEN
PRES/CEO HINSDALE	50.00	0.00		$454,519	$0	$33,647	Yes (X)
MURRILL MICHAEL L
PRES/CEO LA GRANGE	50.00	0.20		$331,532	$0	$41,637	Yes (X)
MATHIS REBECCA
VP/CFO HINSDALE/LA GRANGE	50.00	0.20		$274,389	$9,214	$43,567	Yes (X)
MAYCOCK ADAM
VP/COO HINSDALE/LA GRANGE	50.00	0.00		$234,112	$0	$38,405		Yes (X)
CHEN MD BONNY
VP/CMO HINSDALE/LA GRANGE (END 7/18)	25.00	0.00		$241,846	$494	$41,899		Yes (X)
MURPHY MARY
CNO HINSDALE/LA GRANGE	50.00	0.20		$273,506	$15,346	$23,703		Yes (X)
RUSSELL DONALD
EVP/CHIEF HR OFFICER	25.00	25.00		$604,299	$190,721	$42,678			Yes (X)
CHRISTIAN BRUCE
PRES/CEO GLENOAKS/BOLINGBROOK	0.00	50.00		$476,749	$120,521	$33,401			Yes (X)
CARROLL RICHARD
VP/CMO GLENOAKS/BOLINGBROOK	0.00	50.00		$455,632	$32,014	$37,797			Yes (X)
ROEHR RICHARD
VP SYSTEM SERVICES	50.00	0.00		$303,691	$0	$44,162			Yes (X)
RADIVOJEVIC VLADIMIR
VP/COO GLENOAKS/BOLINGBROOK	0.00	50.00		$261,450	$0	$43,059			Yes (X)
CRANE DAVID
FORMER REGIONAL CEO	0.00	0.00		$0	$444,098	$8,528				Yes (X)
GOEBEL MICHAEL J
FORMER CEO	0.00	0.00		$0	$304,850	$19,994				Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$4,777,370	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$6,111,069	TotReportableCompRltdOrgAmt
Total Other Compensation	$1,004,775	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	244	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (1)	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (1)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	0	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
COMPASS GROUP USA INC
PO BOX 102289	ATLANTA	GA	30368	FOOD SERVICE	$12,974,975
POWER CONSTRUCTION COMPANY LLC
8750 W BRYN MAWR AVE STE 500	CHICAGO	IL	60631	CONSTRUCTION SERVICES	$4,954,132
PT SOLUTIONS HOLDINGS LLC
PO BOX 441146	KENNESAW	GA	30160	THERAPY SERVICES	$3,607,877
MIDWEST ANESTHESIA PARTNERS LLC
387 SHUMAN BLVD STE 240W	NAPERVILLE	IL	60563	ON CALL SERVICES	$3,279,329
TRIMEDX LLC
PO BOX 636129	CINCINNATI	OH	45263	CLINICAL ENGINEERING SERVICES	$1,959,814

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	93	CntrctRcvdGreaterThan100KCnt
Info In Schedule O Part VIII	Yes (X)	InfoInScheduleOPartVIIIInd
Related Organizations	$820,122	RelatedOrganizationsAmt
Government Grants	$66,942	GovernmentGrantsAmt
Total Contributions	$887,064	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
NET PATIENT REVENUE	622110	$472,723,119	$471,481,153	$1,241,966
MANAGEMENT SVCS TO RELATED	622110	$45,932,292	$45,932,292
PROF. OFFICE BUILDING/EMP. HOUSIN	622110	$1,942,013	$1,942,013
SHARE OF JOC INCOME	622110	$1,689,793	$1,689,793
CAFETERIA REVENUE	622110	$1,400,751	$1,400,751

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,991,759	TotalRevenueColumnAmt
Related Or Exempt Func Income	$1,974,825	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$16,934	UnrelatedBusinessRevenueAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$525,679,727	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$2,141,308	TotalRevenueColumnAmt
Exclusion	$2,141,308	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$257,295	RealAmt
Personal	$116,277	PersonalAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$64,197	RealAmt
Personal	$8,252	PersonalAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$193,098	RealAmt
Personal	$108,025	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$301,123	TotalRevenueColumnAmt
Unrelated Business Revenue	$108,025	UnrelatedBusinessRevenueAmt
Exclusion	$193,098	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Other	$308,784	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$792,017	SecuritiesAmt
Other	$630,279	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	-$792,017	SecuritiesAmt
Other	-$321,495	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$1,113,512	TotalRevenueColumnAmt
Exclusion	-$1,113,512	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp

Field	Value	IRS element (for citing)
Desc	EHR REVENUE	Desc
Business	622110	BusinessCd
Total Revenue Column	$17,908	TotalRevenueColumnAmt
Related Or Exempt Func Income	$17,908	RelatedOrExemptFuncIncomeAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$17,908	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$527,913,618	TotalRevenueColumnAmt
Related Or Exempt Func Income	$524,438,735	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$1,366,925	UnrelatedBusinessRevenueAmt
Exclusion	$1,220,894	ExclusionAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part IX	Yes (X)	InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$990,074	TotalAmt
Program Services	$990,074	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$2,361,077	TotalAmt
Management And General	$2,361,077	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$174,467,439	TotalAmt
Program Services	$138,621,514	ProgramServicesAmt
Management And General	$35,845,925	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$5,460,800	TotalAmt
Program Services	$4,352,312	ProgramServicesAmt
Management And General	$1,108,488	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$16,794,697	TotalAmt
Program Services	$13,341,298	ProgramServicesAmt
Management And General	$3,453,399	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$12,430,185	TotalAmt
Program Services	$9,906,982	ProgramServicesAmt
Management And General	$2,523,203	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$660,890	TotalAmt
Management And General	$660,890	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$326,148	TotalAmt
Management And General	$326,148	ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$405,187	TotalAmt
Management And General	$405,187	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$77,358,491	TotalAmt
Program Services	$63,029,024	ProgramServicesAmt
Management And General	$14,329,467	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$84,217	TotalAmt
Management And General	$84,217	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$9,412,088	TotalAmt
Program Services	$7,150,446	ProgramServicesAmt
Management And General	$2,261,642	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$22,296,029	TotalAmt
Program Services	$19,869,176	ProgramServicesAmt
Management And General	$2,426,853	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$8,508,453	TotalAmt
Program Services	$8,508,453	ProgramServicesAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$741,227	TotalAmt
Program Services	$69,873	ProgramServicesAmt
Management And General	$671,354	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$7,966,786	TotalAmt
Program Services	$7,966,786	ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$28,274,931	TotalAmt
Program Services	$28,274,931	ProgramServicesAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$4,327,056	TotalAmt
Program Services	$4,288,639	ProgramServicesAmt
Management And General	$38,417	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES	$97,403,842	$97,403,842
OTHER JOC COSTS	$24,945,791	$24,945,791
STATE TAX INDIGENT ASSE	$21,062,420	$21,062,420
UNRELATED BUSINESS INCO	$31,832		$31,832

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$6,528,999	TotalAmt
Program Services	$6,265,887	ProgramServicesAmt
Management And General	$263,112	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$522,838,659	TotalAmt
Program Services	$456,047,448	ProgramServicesAmt
Management And General	$66,791,211	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

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

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$8,193	BOYAmt
EOY	$7,468	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$83,201,498	BOYAmt
EOY	$86,963,772	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$76,279,090	BOYAmt
EOY	$66,654,808	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$11,639,439	BOYAmt
EOY	$10,435,128	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$12,429,464	BOYAmt
EOY	$13,089,164	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$851,535,304	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$575,432,692	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$267,687,236	BOYAmt
EOY	$276,102,612	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$447,998	BOYAmt
EOY	$451,833	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$810,000	BOYAmt
EOY	$210,000	EOYAmt

Intangible Assets IntangibleAssetsGrp

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

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$209,437,583	BOYAmt
EOY	$184,879,336	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$663,595,260	BOYAmt
EOY	$640,448,880	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$55,489,952	BOYAmt
EOY	$48,894,016	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$368,799	BOYAmt
EOY	$307,778	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$339,888,769	BOYAmt
EOY	$326,484,267	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$395,747,520	BOYAmt
EOY	$375,686,061	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows SFAS117	Yes (X)	OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$259,437,800	BOYAmt
EOY	$256,478,205	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$4,808,906	BOYAmt
EOY	$4,805,560	EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$3,601,034	BOYAmt
EOY	$3,479,054	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$267,847,740	BOYAmt
EOY	$264,762,819	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$663,595,260	BOYAmt
EOY	$640,448,880	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$5,074,959	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	-$3,198,725	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	-$4,961,155	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	0	AccountantCompileOrReviewInd
FS Audited	Yes (1)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

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

Field	Value	IRS element (for citing)
Audit Committee	Yes (1)	AuditCommitteeInd
Federal Grant Audit Required	0	FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

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

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

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

Contributor US Address ContributorUSAddress

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

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

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	0	VolunteersInd
Paid Staff Or Management	0	PaidStaffOrManagementInd
Media Advertisements	0	MediaAdvertisementsInd
Mailings Members	0	MailingsMembersInd
Publications Or Broadcast	0	PublicationsOrBroadcastInd
Grants Other Organizations	0	GrantsOtherOrganizationsInd
Direct Contact Legislators	0	DirectContactLegislatorsInd
Rallies Demonstrations	0	RalliesDemonstrationsInd
Other Activities	Yes (1)	OtherActivitiesInd
Other Activities	$64,564	OtherActivitiesAmt
Total Lobbying Expenditures	$64,564	TotalLobbyingExpendituresAmt
Not Described Section501c3	0	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART II-B, LINE 1:	FormAndLineReferenceDesc
Explanation	DUES WERE PAID TO THE AMERICAN HOSPITAL ASSOCIATION AND ILLINOIS HOSPITAL ASSOCIATION.	ExplanationTxt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

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

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

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

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

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

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$1,709,572	BeginningYearBalanceAmt
Contributions	$90,685	ContributionsAmt
Investment Earnings Or Losses	$67,588	InvestmentEarningsOrLossesAmt
Other Expenditures	$20,025	OtherExpendituresAmt
End Year Balance	$1,847,820	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$1,641,940	BeginningYearBalanceAmt
Investment Earnings Or Losses	$67,632	InvestmentEarningsOrLossesAmt
End Year Balance	$1,709,572	EndYearBalanceAmt

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

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$17,131,811	OtherCostOrOtherBasisAmt
Book Value	$17,131,811	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$490,156,092	OtherCostOrOtherBasisAmt
Depreciation	$303,570,703	DepreciationAmt
Book Value	$186,585,389	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$303,469,328	OtherCostOrOtherBasisAmt
Depreciation	$263,953,607	DepreciationAmt
Book Value	$39,515,721	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$40,778,073	OtherCostOrOtherBasisAmt
Depreciation	$7,908,382	DepreciationAmt
Book Value	$32,869,691	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$276,102,612	TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (5 entries)

DescDesc	Book ValueBookValueAmt
OTHER RECEIVABLES	$446,426
DUE FROM RELATED	$19,825,828
BENEFICIAL INTEREST IN FOUNDATION	$10,484,311
INTERCOMPANY RECEIVABLE	$152,799,452
OTHER ASSETS	$1,323,319

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$184,879,336	TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (7 entries)

DescDesc	AmtAmt
DUE TO AFFILIATED	$9,507,319
PAYABLE TO THIRD PARTIES	$43,820,370
CREDIT BALANCES IN A/R	$6,707,406
INTERCO. ALLOC. OF TE BOND PROCEEDS	$249,793,003
LEASES PAYABLE	$2,380,220
OTHER NONCURRENT LIABILITIES	$9,584,677
OTHER LIABILITIES	$4,691,272

Field	Value	IRS element (for citing)
Total Liability	$326,484,267	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

PART V, LINE 4:

ALL ENDOWMENT FUNDS ARE HELD BY THE FOLLOWING RELATED 501(C)(3) EXEMPT FOUNDATIONS: HINSDALE HOSPITAL FOUNDATION (HHF): FORMED AND MAINTAINED EXCLUSIVELY TO FURTHER THE EXEMPT PURPOSE OF AMITA HEALTH ADVENTIST MEDICAL CENTER HINSDALE. HHF HELD ASSETS IN PERMANENT ENDOWMENT FUNDS DURING THE CURRENT YEAR. HHF'S ENDOWMENT CONSISTS OF THREE INDIVIDUAL FUNDS ESTABLISHED TO SUPPORT THE HOSPITAL'S OPLER CANCER CENTER AND CANCER CENTER NURSE NAVIGATION PROGRAM. LA GRANGE MEMORIAL HOSPITAL FOUNDATION (LMHF): FORMED AND MAINTAINED EXCLUSIVELY TO FURTHER THE EXEMPT PURPOSE OF AMITA HEALTH ADVENTIST MEDICAL CENTER LA GRANGE. LMHF'S PERMANENT ENDOWMENT CONSISTS OF A SCHOLARSHIP FUND ESTABLISHED TO SUPPORT NURSING SCHOLARSHIPS.

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, 2018 AND 2017. NAHS ALSO HAS TEMPORARY DEDUCTIBLE DIFFERENCES OF APPROXIMATELY $53,000 AND $55,700 AT DECEMBER 31, 2018 AND 2017, RESPECTIVELY, PRIMARILY AS A RESULT OF NET OPERATING LOSS CARRYFORWARDS. AT DECEMBER 31, 2018, NAHS HAD NET OPERATING LOSS CARRYFORWARDS OF APPROXIMATELY $54,500, EXPIRING BEGINNING IN 2022 THROUGH 2026. DEFERRED TAXES HAVE BEEN PROVIDED FOR THESE AMOUNTS, RESULTING IN A NET DEFERRED TAX ASSET OF APPROXIMATELY $13,400 AND $14,100 AT DECEMBER 31, 2018 AND 2017, 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, 2018 AND 2017 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 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, 2018 AND 2017. 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 WILL IMPACT TAX-EXEMPT ORGANIZATIONS, INCLUDING REVISIONS TO TAXES ON UNRELATED BUSINESS ACTIVITIES, EXCISE TAXES ON COMPENSATION OF CERTAIN EMPLOYEES, AND VARIOUS OTHER PROVISIONS. THE REGULATIONS NECESSARY TO IMPLEMENT THE LAW HAVE NOT YET BEEN PROMULGATED, AND THE ULTIMATE OUTCOME OF THESE REGULATIONS AND THE IMPACT TO THE SYSTEM CANNOT BE DETERMINED PRESENTLY. THE SYSTEM WILL CONTINUE TO REVIEW AND ASSESS THE IMPACT OF THE LEGISLATION TO THE CONSOLIDATED FINANCIAL STATEMENTS, BUT DOES NOT EXPECT THAT THE IMPACT WILL BE SIGNIFICANT.

Schedule H IRS990ScheduleH

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

Discounted Care Oth Percentage DiscountedCareOthPercentageGrp

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

Field	Value	IRS element (for citing)
Free Care Medically Indigent	Yes (1)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (1)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	0	ExpensesExceedBudgetInd
Annual Community Bnft Report	Yes (1)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (1)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$757,162	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$757,162	NetCommunityBenefitExpnsAmt
Total Expense	0.00140	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$64,850,634	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$55,974,904	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$8,875,730	NetCommunityBenefitExpnsAmt
Total Expense	0.01700	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$65,607,796	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$55,974,904	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$9,632,892	NetCommunityBenefitExpnsAmt
Total Expense	0.01840	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$16,326,617	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$3,976,825	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$12,349,792	NetCommunityBenefitExpnsAmt
Total Expense	0.02360	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$458,000	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$458,000	NetCommunityBenefitExpnsAmt
Total Expense	0.00090	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$16,784,617	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$3,976,825	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$12,807,792	NetCommunityBenefitExpnsAmt
Total Expense	0.02450	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$82,392,413	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$59,951,729	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$22,440,684	NetCommunityBenefitExpnsAmt
Total Expense	0.04290	TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$238,519	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$238,519	NetCommunityBenefitExpnsAmt
Total Expense	0.00050	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$238,519	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$238,519	NetCommunityBenefitExpnsAmt
Total Expense	0.00050	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (1)	BadDebtExpenseReportedInd
Bad Debt Expense	$20,384,316	BadDebtExpenseAmt
Bad Debt Expense Attributable	$665,546	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$134,402,684	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$154,222,822	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$19,820,138	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Cost To Charge Ratio	Yes (X)	CostToChargeRatioInd

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (1)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (1)	FinancialAssistancePrvsnInd

Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp

Entity Name EntityName

Field	Value	IRS element (for citing)
Business Name Line1	1 HINSDALE SURGICAL CENTER LLC	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Primary Activities	SURGICAL SERVICES	PrimaryActivitiesTxt
Org Profit Or Ownership	0.23450	OrgProfitOrOwnershipPct
Ofcr Etc Profit Or Ownership	0.00000	OfcrEtcProfitOrOwnershipPct
Physicians Profit Or Ownership	0.56310	PhysiciansProfitOrOwnershipPct

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

Hospital Facilities HospitalFacilitiesGrp (2 entries)

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

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp (2 entries)

FacilityFacilityNum	First Licensed CY Or PYFirstLicensedCYOrPYInd	Tax Exempt Hospital CY Or PYTaxExemptHospitalCYOrPYInd	CHNA ConductedCHNAConductedInd	Community DefinitionCommunityDefinitionInd	Community DemographicsCommunityDemographicsInd	Existing ResourcesExistingResourcesInd	How Data ObtainedHowDataObtainedInd	Community Health NeedsCommunityHealthNeedsInd	Other Health IssuesOtherHealthIssuesInd	Community Hlth Needs Id ProcessCommunityHlthNeedsIdProcessInd	Consulting ProcessConsultingProcessInd	Prior CHNA ImpactPriorCHNAImpactInd	CHNA ConductedCHNAConductedYr	Take Into Account Others InputTakeIntoAccountOthersInputInd	CHNA Conducted With Other FcltsCHNAConductedWithOtherFcltsInd	CHNA Conducted With Non FcltsCHNAConductedWithNonFcltsInd	CHNA Report Widely AvailableCHNAReportWidelyAvailableInd	Rpt Available On Own WebsiteRptAvailableOnOwnWebsiteInd	Own Website URLOwnWebsiteURLTxt	Paper Copy Public InspectionPaperCopyPublicInspectionInd	Rpt Available Thru Other MethodRptAvailableThruOtherMethodInd	Implementation Strategy AdoptImplementationStrategyAdoptInd	Implementation Strategy AdptImplementationStrategyAdptYr	Strategy Posted WebsiteStrategyPostedWebsiteInd	Strategy Website URLStrategyWebsiteURLTxt	Organization Incur Excise TaxOrganizationIncurExciseTaxInd	Elig Criteria ExplainedEligCriteriaExplainedInd	FPG Family Incm Lmt Free DscntFPGFamilyIncmLmtFreeDscntInd	FPG Family Incm Lmt Free CareFPGFamilyIncmLmtFreeCarePct	FPG Family Incm Lmt Dscnt CareFPGFamilyIncmLmtDscntCarePct	Asset Level CriteriaAssetLevelCriteriaInd	Medical Indigency CriteriaMedicalIndigencyCriteriaInd	Insurance Status CriteriaInsuranceStatusCriteriaInd	Underinsurance Stat CriteriaUnderinsuranceStatCriteriaInd	Explained BasisExplainedBasisInd	App Financial Asst ExplnAppFinancialAsstExplnInd	Described InfoDescribedInfoInd	Described Suprt DocDescribedSuprtDocInd	Provided Hospital ContactProvidedHospitalContactInd	Provided Nonprofit ContactProvidedNonprofitContactInd	Includes Publicity MeasuresIncludesPublicityMeasuresInd	FAP Available On WebsiteFAPAvailableOnWebsiteInd	FAP Available On Website URLFAPAvailableOnWebsiteURLTxt	FAP App Available On WebsiteFAPAppAvailableOnWebsiteInd	FAP App Available On Website URLFAPAppAvailableOnWebsiteURLTxt	FAP Summary On WebsiteFAPSummaryOnWebsiteInd	FAP Summary On Website URLFAPSummaryOnWebsiteURLTxt	FAP Avlbl On Request No ChargeFAPAvlblOnRequestNoChargeInd	FAP App Avlbl On Request No ChrgFAPAppAvlblOnRequestNoChrgInd	FAP Sum Avlbl On Request No ChrgFAPSumAvlblOnRequestNoChrgInd	Notified FAP Copy Bill DisplayNotifiedFAPCopyBillDisplayInd	Communtity Notified FAPCommuntityNotifiedFAPInd	FAP TranslatedFAPTranslatedInd	Other PublicityOtherPublicityInd	FAP Actions On NonpaymentFAPActionsOnNonpaymentInd	Permit No ActionsPermitNoActionsInd	Collection ActivitiesCollectionActivitiesInd	Provided Written NoticeProvidedWrittenNoticeInd	Made Effort Orally NotifyMadeEffortOrallyNotifyInd	Processed FAP ApplicationProcessedFAPApplicationInd	Made Presumptive Elig DetermMadePresumptiveEligDetermInd	Nondis Emergency Care PolicyNondisEmergencyCarePolicyInd	Look Back Medicare PrivateLookBackMedicarePrivateInd	Amounts Generally BilledAmountsGenerallyBilledInd	Gross ChargesGrossChargesInd
AMITA HLTH ADVENTIST MED CTR HINSDALE
1	0	0	Yes (1)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	16	Yes (1)	0	0	Yes (1)	Yes (X)	SEE STATEMENT	Yes (X)	Yes (X)	Yes (1)	17	Yes (1)	SEE STATEMENT	0	Yes (1)	Yes (X)	200.000000000000	600.000000000000	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (1)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (X)	SEE STATEMENT	Yes (X)	SEE STATEMENT	Yes (X)	SEE STATMENT	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (X)	0	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (X)	0	0
AMITA HLTH ADVENTIST MED CTR LA GRANGE
2	0	0	Yes (1)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	16	Yes (1)	0	0	Yes (1)	Yes (X)	SEE STATEMENT	Yes (X)	Yes (X)	Yes (1)	17	Yes (1)	SEE STATEMENT	0	Yes (1)	Yes (X)	200.000000000000	600.000000000000	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (1)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (X)	SEE STATEMENT	Yes (X)	SEE STATEMENT	Yes (X)	SEE STATMENT	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (X)	0	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (X)	0	0

Supplemental Information SupplementalInformationGrp (13 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
AMITA HLTH ADVENTIST MED CTR HINSDALE	PART V, SECTION B, LINE 5: ADVENTIST MIDWEST HEALTH, D/B/A AMITA HEALTH ADVENTIST MEDICAL CENTER HINSDALE (THE HOSPITAL) CONDUCTED A COMMUNITY HEALTH NEEDS ASSESSMENT THAT WAS ADOPTED BY ITS BOARD OF DIRECTORS BY 12/31/16. THE COMMUNITY HEALTH NEEDS ASSESSMENT WAS CONDUCTED ON BEHALF OF THE FILING ORGANIZATION AS PART OF A LARGER PROJECT SPONSORED BY THE METROPOLITAN CHICAGO HEALTHCARE COUNCIL (MCHC) AND DONE BY PROFESSIONAL RESEARCH CONSULTANTS, INC. (PRC). PRC IS A NATIONALLY-RECOGNIZED HEALTHCARE CONSULTING FIRM WITH EXTENSIVE EXPERIENCE CONDUCTING COMMUNITY HEALTH NEEDS ASSESSMENTS. THE HOSPITAL'S COMMUNITY HEALTH NEEDS ASSESSMENT GATHERED BOTH QUANTITATIVE AND QUALITATIVE DATA. QUALITATIVE DATA INCLUDED PRIMARY RESEARCH GATHERED THROUGH AN ONLINE KEY INFORMANT SURVEY OF VARIOUS COMMUNITY STAKEHOLDERS. THE ONLINE KEY INFORMANT SURVEY WAS DESIGNED AND EXECUTED TO SOLICIT INPUT FROM THOSE INDIVIDUALS WHO NOT ONLY HAD A BROAD INTEREST IN THE HEALTH NEEDS OF THE HOSPITAL'S COMMUNITY, BUT ALSO REPRESENTED THE NEEDS OF LOW-INCOME, MINORITY, AND OTHER MEDICALLY UNDER-SERVED POPULATIONS. PARTICIPANTS WERE CHOSEN BECAUSE OF THEIR ABILITY TO IDENTIFY PRIMARY CONCERNS OF POPULATIONS WITH WHOM THEY WORKED, AS WELL AS THE COMMUNITY OVERALL.PARTICIPANTS INCLUDED REPRESENTATIVES OF THE FOLLOWING ORGANIZATIONS: A SAFE HAVEN FOUNDATION AUSTIN CHILDCARE PROVIDERS NETWORK BETTER HEALTH NETWORK CHICAGO DEPARTMENT OF PUBLIC HEALTH DOMINICAN UNIVERSITY HEALTH SERVICES DUPAGE COUNTY HEALTH DEPARTMENT DUPAGE FEDERATION ON HUMAN SERVICES REFORM ELMHURST CUSD 205 ENLACE CHICAGO EVERTHRIVE ILLINOIS GROWING HOME, INC. HOUSING FORWARD ILLINOIS DEPARTMENT OF PUBLIC HEALTH, BELLWOOD REGIONAL OFFICE LORETTO HOSPITAL METROPOLITAN CHICAGO HEALTHCARE COUNCIL NAPERVILLE SCHOOL DISTRICT 203 NEW MOMS, INC. OAK PARK ELEMENTARY SCHOOL DISTRICT OAK PARK TOWNSHIP SENIOR SERVICES PCC COMMUNITY WELLNESS CENTER PEOPLE'S RESOURCE CENTER PLOWS COUNCIL ON AGING SAINT ANTHONY HOSPITAL ST. BERNARD HOSPITAL AND HEALTH CARE CENTER STICKNEY PUBLIC HEALTH DEPARTMENT ST. JOSEPH SERVICES TEAMWORK ENGLEWOOD UNITED WAY OF METROPOLITAN CHICAGO UNIVERSIDAD POPULAR VILLAGE OF ADDISON WEST HUMBOLDT PARK DEVELOPMENT COUNCIL WEST SIDE WOMEN
AMITA HLTH ADVENTIST MED CTR LA GRANGE	PART V, SECTION B, LINE 5: ADVENTIST MIDWEST HEALTH, D/B/A AMITA HEALTH ADVENTIST MEDICAL CENTER LA GRANGE (THE HOSPITAL) CONDUCTED A COMMUNITY HEALTH NEEDS ASSESSMENT THAT WAS ADOPTED BY ITS BOARD OF DIRECTORS BY 12/31/16. THE COMMUNITY HEALTH NEEDS ASSESSMENT WAS CONDUCTED ON BEHALF OF THE FILING ORGANIZATION AS PART OF A LARGER PROJECT SPONSORED BY THE METROPOLITAN CHICAGO HEALTHCARE COUNCIL (MCHC) AND DONE BY PROFESSIONAL RESEARCH CONSULTANTS, INC. (PRC). PRC IS A NATIONALLY-RECOGNIZED HEALTHCARE CONSULTING FIRM WITH EXTENSIVE EXPERIENCE CONDUCTING COMMUNITY HEALTH NEEDS ASSESSMENTS. THE HOSPITAL'S COMMUNITY HEALTH NEEDS ASSESSMENT GATHERED BOTH QUANTITATIVE AND QUALITATIVE DATA. QUALITATIVE DATA INCLUDED PRIMARY RESEARCH GATHERED THROUGH AN ONLINE KEY INFORMANT SURVEY OF VARIOUS COMMUNITY STAKEHOLDERS. THE ONLINE KEY INFORMANT SURVEY WAS DESIGNED AND EXECUTED TO SOLICIT INPUT FROM THOSE INDIVIDUALS WHO NOT ONLY HAD A BROAD INTEREST IN THE HEALTH NEEDS OF THE HOSPITAL'S COMMUNITY, BUT ALSO REPRESENTED THE NEEDS OF LOW-INCOME, MINORITY, AND OTHER MEDICALLY UNDER-SERVED POPULATIONS. PARTICIPANTS WERE CHOSEN BECAUSE OF THEIR ABILITY TO IDENTIFY PRIMARY CONCERNS OF POPULATIONS WITH WHOM THEY WORKED, AS WELL AS THE COMMUNITY OVERALL.PARTICIPANTS INCLUDED REPRESENTATIVES OF THE FOLLOWING ORGANIZATIONS: A SAFE HAVEN FOUNDATION AUSTIN CHILDCARE PROVIDERS NETWORK BETTER HEALTH NETWORK CHICAGO DEPARTMENT OF PUBLIC HEALTH DOMINICAN UNIVERSITY HEALTH SERVICES DUPAGE COUNTY HEALTH DEPARTMENT DUPAGE FEDERATION ON HUMAN SERVICES REFORM ELMHURST CUSD 205 ENLACE CHICAGO EVERTHRIVE ILLINOIS GROWING HOME, INC. HOUSING FORWARD ILLINOIS DEPARTMENT OF PUBLIC HEALTH, BELLWOOD REGIONAL OFFICE LORETTO HOSPITAL METROPOLITAN CHICAGO HEALTHCARE COUNCIL NAPERVILLE SCHOOL DISTRICT 203 NEW MOMS, INC. OAK PARK ELEMENTARY SCHOOL DISTRICT OAK PARK TOWNSHIP SENIOR SERVICES PCC COMMUNITY WELLNESS CENTER PEOPLE'S RESOURCE CENTER PLOWS COUNCIL ON AGING SAINT ANTHONY HOSPITAL ST. BERNARD HOSPITAL AND HEALTH CARE CENTER STICKNEY PUBLIC HEALTH DEPARTMENT ST. JOSEPH SERVICES TEAMWORK ENGLEWOOD UNITED WAY OF METROPOLITAN CHICAGO UNIVERSIDAD POPULAR VILLAGE OF ADDISON WEST HUMBOLDT PARK DEVELOPMENT COUNCIL WEST SIDE WOMEN
AMITA HLTH ADVENTIST MED CTR HINSDALE	PART V, SECTION B, LINE 7D: THE HOSPITAL HAS ADOPTED A POLICY THAT ADDRESSES THE PUBLIC POSTING REQUIREMENTS OF THE COMMUNITY HEALTH NEEDS ASSESSMENT. UNDER THIS POLICY, THE COMMUNITY HEALTH NEEDS ASSESSMENT REPORTS MUST BE POSTED ON THE HOSPITAL'S WEBSITE AT LEAST UNTIL THE DATE THE HOSPITAL FACILITY HAS MADE WIDELY AVAILABLE ON ITS WEBSITE ITS TWO SUBSEQUENT COMMUNITY HEALTH NEEDS ASSESSMENT REPORTS. THE HOSPITAL WILL ALSO MAKE A PAPER COPY OF ITS COMMUNITY HEALTH NEEDS ASSESSMENT REPORT AVAILABLE FOR PUBLIC INSPECTION UPON REQUEST AND WITHOUT CHARGE, AT LEAST UNTIL THE DATE THE HOSPITAL FACILITY HAS MADE AVAILABLE FOR PUBLIC INSPECTION ITS TWO SUBSEQUENT COMMUNITY HEALTH NEEDS ASSESSMENT REPORTS. IN ADDITION, COPIES OF THE CHNA REPORT WERE MAILED AND/OR E-MAILED TO COMMUNITY PARTNERS WHO PARTICIPATED IN THE CHNA PROCESS. PARTNERS WERE ALSO PROVIDED LINKS TO THE WEBSITE FOR DISSEMINATION TO THEIR MAILING LISTS AND RESPECTIVE CONSTITUENTS.
AMITA HLTH ADVENTIST MED CTR LA GRANGE	PART V, SECTION B, LINE 7D: THE HOSPITAL HAS ADOPTED A POLICY THAT ADDRESSES THE PUBLIC POSTING REQUIREMENTS OF THE COMMUNITY HEALTH NEEDS ASSESSMENT. UNDER THIS POLICY, THE COMMUNITY HEALTH NEEDS ASSESSMENT REPORTS MUST BE POSTED ON THE HOSPITAL'S WEBSITE AT LEAST UNTIL THE DATE THE HOSPITAL FACILITY HAS MADE WIDELY AVAILABLE ON ITS WEBSITE ITS TWO SUBSEQUENT COMMUNITY HEALTH NEEDS ASSESSMENT REPORTS. THE HOSPITAL WILL ALSO MAKE A PAPER COPY OF ITS COMMUNITY HEALTH NEEDS ASSESSMENT REPORT AVAILABLE FOR PUBLIC INSPECTION UPON REQUEST AND WITHOUT CHARGE, AT LEAST UNTIL THE DATE THE HOSPITAL FACILITY HAS MADE AVAILABLE FOR PUBLIC INSPECTION ITS TWO SUBSEQUENT COMMUNITY HEALTH NEEDS ASSESSMENT REPORTS. IN ADDITION, COPIES OF THE CHNA REPORT WERE MAILED AND/OR E-MAILED TO COMMUNITY PARTNERS WHO PARTICIPATED IN THE CHNA PROCESS. PARTNERS WERE ALSO PROVIDED LINKS TO THE WEBSITE FOR DISSEMINATION TO THEIR MAILING LISTS AND RESPECTIVE CONSTITUENTS.
AMITA HLTH ADVENTIST MED CTR HINSDALE	PART V, SECTION B, LINE 11: THE INFORMATION PROVIDED BELOW EXPLAINS HOW THE HOSPITAL FACILITY ADDRESSED IN 2018 THE SIGNIFICANT HEALTH NEEDS IDENTIFIED IN ITS 2016 COMMUNITY HEALTH NEEDS ASSESSMENT, AND ANY SUCH NEEDS THAT WERE NOT ADDRESSED AND THE REASONS WHY SUCH NEEDS WERE NOT ADDRESSED. THE HOSPITAL FACILITY CONDUCTED A COMMUNITY HEALTH NEEDS ASSESSMENT BY 12/31/16 AND ADOPTED AN IMPLEMENTATION STRATEGY TO ADDRESS THE SIGNIFICANT HEALTH NEEDS IDENTIFIED IN THE 2016 COMMUNITY HEALTH NEEDS ASSESSMENT IN 2017 PRIOR TO MAY 15, 2017. THE COMMUNITY HEALTH NEEDS ASSESSMENT FOR AMITA HEALTH ADVENTIST MEDICAL CENTER HINSDALE (AHH OR THE HOSPITAL) WAS COMPLETED IN 2016. THE 2016 COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) WAS CONDUCTED ON BEHALF OF THE HOSPITAL BY PROFESSIONAL RESEARCH CONSULTANTS, INC. (PRC) IN COOPERATION WITH THE METROPOLITAN CHICAGO HEALTH COLLABORATIVE (MCHC) AND OTHER PARTNERING HOSPITALS. THE SERVICE AREA FOR THE HOSPITAL IS COMPRISED OF 88 RESIDENTIAL ZIP CODES BASED ON PATIENT ORIGIN. A COMPLETE DESCRIPTION OF SAMPLE SIZE AND SURVEY DESIGN IS AVAILABLE IN THE FULL REPORT FOUND ONLINE AT: WWW.AMITAHEALTH.ORG/ABOUT-US/COMMUNITY-BENEFIT/AMITA-HEALTH-ADVENTIST-MEDICAL-CENTER-HINSDALE.DESCRIPTION OF DEMOGRAPHICIN THE HINSDALE HOSPITAL SERVICE AREA, THE POPULATION IS SLIGHTLY OLDER WITH 15.2% BEING OVER 65 AS COMPARED TO 13.9% IN ILLINOIS. THE HINSDALE HOSPITAL REGION IS SLIGHTLY MORE DIVERSE THAN AVERAGE, 18.5% OF THE POPULATION IS HISPANIC AS COMPARED TO 16.7% IN ALL OF ILLINOIS. THE COMMUNITY'S SOCIAL DETERMINANTS ARE POSITIVE, HAVING LESS POVERTY, LESS UNEMPLOYMENT AND A BETTER EDUCATED COMMUNITY THAN AVERAGE (PAGE 40). 6.9% OF THE POPULATION LIVES AT OR BELOW 100% OF THE POVERTY LEVEL AND 18.6% (INCLUSIVE) ARE AT OR BELOW 200% OF THE POVERTY LEVEL, REPRESENTING 168,845 INDIVIDUALS. IT IS MOST OFTEN THESE INDIVIDUALS THAT HAVE DIFFICULTY ACCESSING SERVICES AND HAVE POORER OVERALL HEALTH, AND SO OUR EFFORTS TO PROVIDE THE COMMUNITY WITH NEEDED SERVICES WAS DIRECTED IN MOST CASES TOWARDS THIS POPULATION. PRIORITY ISSUES IDENTIFIED IN THE CHNA: MENTAL HEALTH/SUBSTANCE ABUSE THE AHH SERVICE AREA IS ABOUT AVERAGE IN TERMS OF ITS MENTAL HEALTH INDICATORS, BUT FOR LOW INCOME AND THE UNINSURED THERE IS A MARKED LACK OF ACCESSIBILITY. KEY INFORMANTS CITE LACK OF MENTAL HEALTH SERVICES AS THEIR TOP CONCERN BECAUSE OF THE RIPPLE EFFECT ON THE COMMUNITY. ACTION TAKEN:- ACTIVE PARTNERS WITH IMPACT DUPAGE, AN INITIATIVE BY THE DUPAGE COUNTY HEALTH DEPARTMENT. THE WORK HAS INCLUDED A VARIETY OF ISSUES BUT MENTAL HEALTH WAS THE BIGGEST. BY DECEMBER 31, 2017, IT IDENTIFIED COMMON SUBJECTIVE AND OBJECTIVE QUALITY INDICATORS FOR DUPAGE COUNTY BEHAVIORAL HEALTH TREATMENT PROVIDERS.- CONTINUED TO WORK WITH IMPACT DUPAGE TO INCREASE AMOUNTS OF MEDICATIONS COLLECTED BY THE DUPAGE COUNTY RXBOX PROGRAM TO NEARLY 2 TONS THRU 2018, AS REPORTED BY DCHD ENVIRONMENTAL HEALTH SERVICES STAFF. THIS EFFORT IS ONGOING IN ORDER TO FIGHT AGAINST OPIOID ADDICTION AMONG YOUTH. - AMITA HEALTH ADVENTIST MEDICAL CENTER HINSDALE HELPS LEAD CAMP ERIN AND TOMMY'S KIDS SUMMER CAMP. BOTH ARE FOR CHILDREN AND TEENS, AND DESIGNED TO PROVIDE GRIEF EDUCATION AND EMOTIONAL SUPPORT. THROUGH OUR SUPPORT AND OTHER COMMUNITY-BASED ORGANIZATIONS, THE CAMP IS FREE OF CHARGE TO ALL CHILDREN. DIABETESTYPE II DIABETES IS MORE PREVALENT IN LOW INCOME AND UNINSURED POPULATIONS. DIABETES CONTRIBUTES TO HEART DISEASE AND STROKE, AND REQUIRES ONGOING AND EXPENSIVE CARE. THIS IS CLOSELY RELATED TO OBESITY, LACK OF EXERCISE AND POOR NUTRITION. ACTION TAKEN: - AMITA HEALTH ADVENTIST MEDICAL CENTER HINSDALE PARTNERED WITH ACCESS DUPAGE ON THE DEVELOPMENT OF A SELF-MANAGEMENT PROGRAM FOR LOW INCOME DIABETIC PATIENTS.- AMITA HEALTH ADVENTIST MEDICAL CENTER HINSDALE PROVIDED NURSES AT COMMUNITY EVENTS IN 2018 TO PROVIDE DIABETIC EDUCATION. NUTRITION, PHYSICAL ACTIVITY AND WEIGHTNUTRITION, PHYSICAL ACTIVITY AND WEIGHT IS CLOSELY LINKED TO THE INCIDENCE OF TYPE II DIABETES. CURIOUSLY, ACCORDING TO THE US DEPARTMENT OF AGRICULTURE 26.7% OF INDIVIDUALS IN DUPAGE COUNTY HAVE LOW FOOD ACCESS. MORE INFORMATION IS NEEDED AND HAS BEEN REQUESTED ABOUT THIS ISSUE. ACTION TAKEN: - ACTIVE MEMBER AND FUNDER OF FORWARD DUPAGE ($25,000 FROM HINSDALE), WHICH LEADS THE HEALTHY CHILD CARE PROJECT, DESIGNED TO CREATE ENVIRONMENTS FOR STAFF, CHILDREN AND THEIR FAMILIES THAT PROMOTE HEALTHY HABITS AND THAT COMBAT CHILDHOOD OBESITY. THE PARTNERSHIP ALSO INCLUDES WORKING WITH THE DUPAGE COUNTY HEALTH DEPARTMENT. AMITA REPRESENTATIVES ALSO SERVE ON ITS BOARD OF DIRECTORS TO HELP OVERSEE PLANNING AND INTERVENTIONS RELATED TO INCREASED PHYSICAL ACTIVITY AND NUTRITION IN THE COUNTY. FORWARD HAS SERVED OVER 1,600 CHILDREN FROM 20 DIFFERENT CHILD CARE CENTERS IN THE COUNTY SINCE STARTING IN 2014. ADDITIONALLY, FORWARD HAS WORKED WITH 8 HOSPITALS IN 2018 TO IMPROVE FOOD AND BEVERAGE OFFERINGS. - DIETITIANS HAD A NUTRITION TABLE AT THE GLENDALE HEIGHTS HEALTH AND SAFETY FAIR WHERE EDUCATION HANDOUTS WERE PROVIDED IN BOTH ENGLISH AND SPANISH ON GENERAL, CHILD, AND VEGETARIAN NUTRITION. IN ADDITION, COMPLIMENTARY BANANAS AND ORANGES WERE HANDED OUT, WHICH WERE SUPPLIED BY THE FOOD AND NUTRITION DEPARTMENT (DIETARY). SEE CONTINUATION
AMITA HLTH ADVENTIST MED CTR LA GRANGE	PART V, SECTION B, LINE 11: THE INFORMATION PROVIDED BELOW EXPLAINS HOW THE HOSPITAL FACILITY ADDRESSED IN 2018 THE SIGNIFICANT HEALTH NEEDS IDENTIFIED IN ITS 2016 COMMUNITY HEALTH NEEDS ASSESSMENT, AND ANY SUCH NEEDS THAT WERE NOT ADDRESSED AND THE REASONS WHY SUCH NEEDS WERE NOT ADDRESSED. THE HOSPITAL FACILITY CONDUCTED A COMMUNITY HEALTH NEEDS ASSESSMENT BY 12/31/16 AND ADOPTED AN IMPLEMENTATION STRATEGY TO ADDRESS THE SIGNIFICANT HEALTH NEEDS IDENTIFIED IN THE 2016 COMMUNITY HEALTH NEEDS ASSESSMENT IN 2017 PRIOR TO MAY 15, 2017. THE COMMUNITY HEALTH NEEDS ASSESSMENT FOR AMITA HEALTH ADVENTIST MEDICAL CENTER LA GRANGE (THE HOSPITAL) WAS COMPLETED IN 2016. THE 2016 COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) WAS CONDUCTED ON BEHALF OF THE HOSPITAL BY PROFESSIONAL RESEARCH CONSULTANTS, INC. (PRC) IN COOPERATION WITH THE METROPOLITAN CHICAGO HEALTH COLLABORATIVE (MCHC) AND OTHER PARTNERING HOSPITALS. THE SERVICE AREA FOR THE HOSPITAL IS COMPRISED OF 35 RESIDENTIAL ZIP CODES BASED ON PATIENT ORIGIN. A COMPLETE DESCRIPTION OF SAMPLE SIZE AND SURVEY DESIGN IS AVAILABLE IN THE FULL REPORT FOUND ONLINE AT WWW.AMITAHEALTH.ORG/ABOUT-US/COMMUNITY-BENEFIT/AMITA-HEALTH-ADVENTIST-MEDICAL-CENTER-LA-GRANGE. DESCRIPTION OF DEMOGRAPHICIN THE LA GRANGE HOSPITAL SERVICE AREA, THE POPULATION IS SLIGHTLY OLDER AND 31.7% OF THE POPULATION IS HISPANIC, A HIGH PERCENTAGE AS COMPARED TO 16.7% IN ILLINOIS AND 17.4% IN THE US. THE COMMUNITY'S SOCIAL DETERMINANTS ARE CHALLENGING, HAVING MORE POVERTY, MORE UNEMPLOYMENT AND A LESS EDUCATED COMMUNITY THAN AVERAGE IN COMPARISON TO THE MCHC REGION AND THE STATE. NEARLY 17% OF THE POPULATION LIVES AT OR BELOW 100% OF THE POVERTY LEVEL AND 36% ARE AT OR BELOW 200% OF THE POVERTY LEVEL, REPRESENTING 1,845,816 INDIVIDUALS. IN THE ASSESSMENT, IT IS MOST OFTEN THESE INDIVIDUALS THAT HAVE DIFFICULTY ACCESSING SERVICES AND HAVE POORER OVERALL HEALTH, AND SO OUR EFFORTS TO PROVIDE THE COMMUNITY WITH NEEDED SERVICES WAS DIRECTED IN MOST CASES TOWARDS THIS POPULATION. PRIORITY ISSUES IDENTIFIED IN THE CHNA: MENTAL HEALTH/SUBSTANCE ABUSE/TOBACCO USE IN THE LA GRANGE HOSPITAL COMMUNITY, 18.6% OF THE RESIDENTS REPORT FAIR OR POOR MENTAL HEALTH AS COMPARED TO 13.2% IN THE MCHC REGION AND 11.9% IN THE US. IN ADDITION, 31.9% OF RESIDENTS REPORT SYMPTOMS OF CHRONIC DEPRESSION AS COMPARED TO 26 % IN THE MCHC REGION. ACCESS TO MENTAL HEALTH SERVICES IS MOST DIFFICULT FOR THOSE IN A LOWER SOCIOECONOMIC STATUS. THE CHNA IDENTIFIED A SLIGHTLY HIGHER DEATH RATE WITH CIRRHOSIS OF THE LIVER. SIMILAR TO MENTAL HEALTH, COMMUNITY STAKEHOLDERS REPORT DIFFICULTY GAINING ACCESS TO SUBSTANCE ABUSE TREATMENT FOR LOW INCOME RESIDENTS AS A PRIORITY. IN THE LA GRANGE HOSPITAL COMMUNITY, 18% OF RESIDENTS REPORT LIVING WITH SOMEONE WHO SMOKES AT HOME AS COMPARED TO 13.75% IN THE MCHC REGION AND 12.75% IN THE US. ACTION TAKEN:- THE HOSPITAL FINANCIALLY SUPPORTED PILLARS COMMUNITY HEALTH (FORMERLY THE COMMUNITY NURSE HEALTH CENTER) WITH A DONATION TO LAUNCH THE LIVING ROOM IN CONJUNCTION WITH THE NATIONAL ALLIANCE ON MENTAL ILLNESS (NAMI) METRO SUBURBAN AND COMMUNITY MEMORIAL FOUNDATION. THE PROGRAM HELPED 275 PEOPLE GAIN ACCESS TO MENTAL HEALTH CARE AND AVOID HOSPITALIZATION IN ITS FIRST YEAR. 90% OF PEOPLE WHO SEEK THEIR MENTAL HEALTH AND ADDICTIONS SERVICES ARE ABLE TO CONNECT WITH A THERAPIST OR CASE MANAGER WITHIN 24 HOURS.- THROUGH A 2-YEAR GRANT PROVIDED BY AMITA HEALTH ADVENTIST MEDICAL CENTER LA GRANGE TO THE COMMUNITY NURSE HEALTH CENTER STARTING IN 2018, GOALS WERE SET TO INTEGRATE MENTAL HEALTH SCREENINGS DURING PRIMARY CARE VISITS FOR BOTH YOUTH (4-11 YEARS) AND ADOLESCENTS/ADULTS (12 YEARS THRU ADULT). EIGHTY-FOUR PERCENT OF THOSE SCREENED POSITIVE FOR MENTAL HEALTH NEEDS WERE GIVEN A DOCUMENTED FOLLOW-UP PLAN. - SUPPORTED PILLARS' CRISIS/SASS TEAM WHICH HELPS MANAGE PERSONAL AND FAMILY EMERGENCIES DUE TO DEPRESSION, SUICIDAL BEHAVIOR, AND MENTAL ILLNESS; FAMILY CONFLICT AND DOMESTIC ABUSE; ACUTE ALCOHOL AND DRUG ISSUES; AND SUDDEN TRAUMAS. DIABETESTHE PREVALENCE OF TYPE II DIABETES HAS RISEN SHARPLY FROM 8.5% IN 2009, 12.6% IN 2012 AND 15.4% IN 2015. IT IS MOST PREVALENT IN THOSE OVER 65 AND THOSE WITH INCOMES LESS THAN 200% OF THE FEDERAL POVERTY LEVEL. DIABETES IS CLOSELY RELATED TO HEART DISEASE, STROKE, KIDNEY DISEASE, AND LIFESTYLE FACTORS SUCH AS NUTRITION AND EXERCISE. ACTION TAKEN:- THE HOSPITAL CONTINUED ITS PARTNERSHIP WITH PILLARS COMMUNITY HEALTH TO PROVIDE CHRONIC DISEASE MANAGEMENT THAT INCLUDES OBESITY, HYPERTENSION AND CHOLESTEROL SCREENING AND TREATMENT TO LOW-INCOME AND UNDERINSURED INDIVIDUALS. - THROUGH A 2-YEAR GRANT PROVIDED BY AMITA HEALTH ADVENTIST MEDICAL CENTER LA GRANGE TO PILLARS COMMUNITY HEALTH STARTING IN 2018, A GOAL WAS GIVEN TO REDUCE THE PERCENTAGE OF PATIENTS AGES 18-75 YEARS OF AGE WITH DIABETES WHO HAD HEMOGLOBIN A1C>9.0% FROM 28% TO 19%. TWENTY PERCENT OF THE PATIENTS AGED 18-75 WITH DIABETES HAD A1C GREATER THAN 9.0% AT THE END OF 2018. NUTRITION, PHYSICAL ACTIVITY AND WEIGHTTHE PREVALENCE OF OBESITY IS INCREASING, 22.9% IN 2009 TO 29.2% IN 2015. GOOD NUTRITION AND EXERCISE ARE LACKING ESPECIALLY AMONGST LOW INCOME RESIDENTS. ACTION TAKEN:- THE HOSPITAL OFFERED THE FREE ACT II SENIOR CLUB, WHICH IS A SERIES OF ACTIVITIES AND EVENTS FOR THE AREA'S SENIOR POPULATION. THE HOSPITAL ALSO PARTICIPATED IN WELLNESS SCREENINGS, OFFERED EXERCISE PROGRAMS AND TIPS FOR HEALTHY LIVING, PROVIDED MEDICAL BILLING ASSISTANCE, PROVIDED MEDICARE UPDATES, AND ARRANGED EDUCATIONAL PROGRAMS AND TRIPS. THERE WERE OVER 40 PARTICIPANTS THROUGHOUT THE YEAR. IN ADDITION, THE HOSPITAL HOSTED AND COORDINATED THE AGING WELL NEIGHBORHOOD RESOURCE FAIR FOR 200 PARTICIPANTS AND FALL PREVENTION FAIR WITH 130 PARTICIPANTS. - THE HOSPITAL'S FOOD AND NUTRITION DEPARTMENT PARTICIPATED IN THE FARMERS MARKET, PROVIDING PATRONS THE OPPORTUNITY TO LEARN ABOUT NUTRITION AND HEALTHY EATING, AS WELL AS TO CONSULT WITH A DIETITIAN. AN AVERAGE OF 75 PEOPLE WERE SERVED AT EACH WEEKLY MARKET MAY-OCTOBER. - THE HOSPITAL SPONSORED THE ANNUAL GREATER LA GRANGE YMCA REINDEER RUN 5K, A HEALTH AND WELLNESS EVENT THAT RAISES FUNDS FOR THE LOCAL YMCA. AS WELL AS SPONSORSHIP, SEVERAL OF OUR OUTPATIENT PHYSICAL THERAPISTS PROVIDED FREE STRETCHING TO PARTICIPANTS BEFORE AND AFTER THE EVENT. - THE HOSPITAL SPONSORED THE LA GRANGE ROTARY RUN FOR PIE, AN ANNUAL HEALTH AND WELLNESS EVENT TO RAISE MONEY FOR THE ROTARY CLUB. SEE CONTINUATION
AMITA HLTH ADVENTIST MED CTR HINSDALE	PART V, SECTION B, LINE 16J: THE FILING ORGANIZATION USES MULTIPLE METHODS OF COMMUNICATING ITS MISSION OF PROVIDING CARE TO ALL WHO NEED IT REGARDLESS OF ABILITY TO PAY. SIGNS POSTED AT REGISTRATION CLEARLY POINT OUT THAT CHARITY CARE OR FINANCIAL ASSISTANCE IS AVAILABLE. REGISTRATION IS EDUCATED ON PROVIDING FINANCIAL ASSISTANCE POLICY INFORMATION AND FORMS TO PATIENTS. THE MAIN WEBSITE FOR ALL SYSTEM HOSPITALS FEATURES INFORMATION ON HOW TO APPLY FOR FINANCIAL ASSISTANCE ON-LINE. IN THE HOSPITAL SETTING, WE EMPLOY FINANCIAL COUNSELORS WHO ARE AVAILABLE TO WORK WITH PATIENTS AND WE ALSO HAVE MEDICAID APPLICATION SPECIALISTS TO ASSIST PATIENTS THAT MAY QUALIFY. IN ADDITION, ALL BILLS AND STATEMENTS INCLUDE INFORMATION REGARDING FINANCIAL ASSISTANCE.
AMITA HLTH ADVENTIST MED CTR LA GRANGE	PART V, SECTION B, LINE 16J: THE FILING ORGANIZATION USES MULTIPLE METHODS OF COMMUNICATING ITS MISSION OF PROVIDING CARE TO ALL WHO NEED IT REGARDLESS OF ABILITY TO PAY. SIGNS POSTED AT REGISTRATION CLEARLY POINT OUT THAT CHARITY CARE OR FINANCIAL ASSISTANCE IS AVAILABLE. REGISTRATION IS EDUCATED ON PROVIDING FINANCIAL ASSISTANCE POLICY INFORMATION AND FORMS TO PATIENTS. THE MAIN WEBSITE FOR ALL SYSTEM HOSPITALS FEATURES INFORMATION ON HOW TO APPLY FOR FINANCIAL ASSISTANCE ON-LINE. IN THE HOSPITAL SETTING, WE EMPLOY FINANCIAL COUNSELORS WHO ARE AVAILABLE TO WORK WITH PATIENTS AND WE ALSO HAVE MEDICAID APPLICATION SPECIALISTS TO ASSIST PATIENTS THAT MAY QUALIFY. IN ADDITION, ALL BILLS AND STATEMENTS INCLUDE INFORMATION REGARDING FINANCIAL ASSISTANCE.
SCHEDULE H, PART V, SECTION B, LINE 7A	EACH HOSPITAL FACILITY'S CHNA REPORT WAS MADE WIDELY AVAILABLE THROUGH THE FOLLOWING WEBSITES:FACILITY 1 -- AMITA HLTH ADVENTIST MED CTR HINSDALEHTTPS://WWW.AMITAHEALTH.ORG/ABOUT-US/COMMUNITY-BENEFIT/AMITA-HEALTH-ADVENTIST-MEDICAL-CENTER-HINSDALE FACILITY 2 -- AMITA HLTH ADVENTIST MED CTR LA GRANGEHTTPS://WWW.AMITAHEALTH.ORG/ABOUT-US/COMMUNITY-BENEFIT/AMITA-HEALTH-ADVENTIST-MEDICAL-CENTER-LA-GRANGE
SCHEDULE H, PART V, SECTION B, LINE 10A:	EACH HOSPITAL FACILITY'S MOST RECENTLY ADOPTED IMPLEMENTATION STRATEGY WAS MADE WIDELY AVAILABLE THROUGH THE FOLLOWING WEBSITES:FACILITY 1 -- AMITA HLTH ADVENTIST MED CTR HINSDALE HTTPS://WWW.AMITAHEALTH.ORG/ABOUT-US/COMMUNITY-BENEFIT/AMITA-HEALTH-ADVENTIST-MEDICAL-CENTER-HINSDALE FACILITY 2 -- AMITA HLTH ADVENTIST MED CTR LA GRANGE HTTPS://WWW.AMITAHEALTH.ORG/ABOUT-US/COMMUNITY-BENEFIT/AMITA-HEALTH-ADVENTIST-MEDICAL-CENTER-LA-GRANGE
SCHEDULE H, PART V, SECTION B, LINE 16A,B,C:	EACH HOSPITAL'S FINANCIAL ASSISTANCE POLICY CAN BE FOUND AT:FACILITY 1 -- AMITA HLTH ADVENTIST MED CTR HINSDALE WWW.AMITAHEALTH.ORG/PATIENT-RESOURCES/PAY-YOUR-BILL/PRICE-ESTIMATES/ADVENTIST-FORMS-AND-POLICY-INFORMATIONFACILITY 2 -- AMITA HLTH ADVENTIST MED CTR LA GRANGEWWW.AMITAHEALTH.ORG/PATIENT-RESOURCES/PAY-YOUR-BILL/PRICE-ESTIMATES/ADVENTIST-FORMS-AND-POLICY-INFORMATIONEACH HOSPITAL FACILITY'S FINANCIAL ASSISTANCE POLICY APPLICATION WAS MADE WIDELY AVAILABLE THROUGH THE FOLLOWING WEBSITES:FACILITY 1 -- AMITA HLTH ADVENTIST MED CTR HINSDALE WWW.AMITAHEALTH.ORG/PATIENT-RESOURCES/PAY-YOUR-BILL/PRICE-ESTIMATES/ADVENTIST-FORMS-AND-POLICY-INFORMATIONFACILITY 2 -- AMITA HLTH ADVENTIST MED CTR LA GRANGEWWW.AMITAHEALTH.ORG/PATIENT-RESOURCES/PAY-YOUR-BILL/PRICE-ESTIMATES/ADVENTIST-FORMS-AND-POLICY-INFORMATIONEACH HOSPITAL FACILITY'S PLAIN LANGUAGE SUMMARY IS AVAILABLE AT:FACILITY 1 -- AMITA HLTH ADVENTIST MED CTR HINSDALE WWW.AMITAHEALTH.ORG/PATIENT-RESOURCES/PAY-YOUR-BILL/PRICE-ESTIMATES/ADVENTIST-FORMS-AND-POLICY-INFORMATION FACILITY 2 -- AMITA HLTH ADVENTIST MED CTR LA GRANGEWWW.AMITAHEALTH.ORG/PATIENT-RESOURCES/PAY-YOUR-BILL/PRICE-ESTIMATES/ADVENTIST-FORMS-AND-POLICY-INFORMATION
SCHEDULE H, PART V, SECTION B, LINE 11: CONTINUATION FOR HINSDALE	OTHER IDENTIFIED HEALTH ISSUES ACCESS TO HEALTHCARE SERVICES ACCESS TO HEALTHCARE SERVICES IS THE MOST PROBLEMATIC FOR THOSE IN VERY LOW AND LOW INCOME CATEGORIES, THOSE WITHOUT INSURANCE AND THOSE WITH MEDICAID. THE SURVEY IDENTIFIED THAT 72% OF THOSE OVER 65 HAVE A SPECIFIC SOURCE OF ONGOING CARE, SIMILAR TO THE MCHC REGION BUT LESS THAN ILLINOIS AT 80%. THIS MAY BE A LOYALTY ISSUE, LIKELY NOT THE INABILITY TO ACCESS CARE. ACTION TAKEN:- SINCE 2017, THE HOSPITAL HAS BEEN IN A PARTNERSHIP WITH DISPENSARY OF HOPE. BY WORKING WITH THE PHARMACEUTICAL SUPPLY CHAIN, THE DISPENSARY OF HOPE SUPPORTS THE OUTPATIENT PHARMACY BY PROVIDING FREE MEDICATION TO LOW-INCOME AND CHRONICALLY ILL INDIVIDUALS WHO ARE UNDERINSURED. OUR PHARMACISTS PROVIDE FREE CONSULTATIONS AND OFFICE HOURS FOR DISPENSING THE MEDICATION.- THE HOSPITAL PROVIDED FREE OR FOR A NOMINAL FEE FAMILY CLASSES THAT INCLUDED INFANT AND CHILD CPR; BREASTFEEDING; NATURAL CHILDBIRTH; INFANT MASSAGE; VBAC (VAGINAL BIRTH AFTER CESAREAN); PREPARED CHILDBIRTH MARATHON; LAMAZE CHILDBIRTH EDUCATION CLASS; THE HAPPIEST BABY ON THE BLOCK; AND, POSTPARTUM WELLNESS WORKSHOP.- AMITA HEALTH ADVENTIST MEDICAL CENTER HINSDALE PROVIDED $220,521 IN FUNDING TO ACCESS DUPAGE TO SUPPORT LOW-INCOME, UNDERINSURED COMMUNITY MEMBERS. -- ACCESS DUPAGE ENROLLEES TYPICALLY PAY A MODEST FEE FOR A SILVER ACA PLAN. -- EACH PATIENT RECEIVES A PRIMARY CARE PHYSICIAN OR A CLINIC THAT PROVIDES ONGOING PRIMARY CARE. COPAYMENTS TEND TO COST NO MORE THAN FIFTEEN DOLLARS FOR PRIMARY CARE SERVICES. -- ACCESS DUPAGE HELPS SECURE SPECIALISTS FOR ALL ENROLLEES. -- MAJORITY OF THE LAB AND DIAGNOSTIC SERVICES ORDERED BY PCP OR REFERRED SPECIALISTS ARE COVERED BY THE PROGRAM AND AVAILABLE AT A LOCAL HOSPITAL FOR A FIVE DOLLAR COPAYMENT PER TEST. -- PRESCRIPTIONS ORDERED BY THE PCP OR REFERRED SPECIALISTS ARE COVERED BY THE PROGRAM AND AVAILABLE AT SELECT DUPAGE COUNTY PHARMACIES FOR COPAYMENTS RANGING FROM TEN DOLLARS TO FIFTY DOLLARS. GENERIC MEDICATIONS COVERED BY ACCESS DUPAGE SHOULD COST NO MORE THAN TEN DOLLARS AND MAY BE LESS EXPENSIVE IF PATIENTS FREQUENT PHARMACIES OFFERING LOWER COST PHARMACY PROGRAMS. CANCERTHE AGE ADJUSTED DEATH RATE FOR FEMALE BREAST CANCER IS 24.2 AS COMPARED TO ILLINOIS AT 22.8 AND THE US AT 21.3. ACTION TAKEN:- THE HOSPITAL IS WORKING TOWARD HELPING TO ELIMINATE COLORECTAL CANCER AS A MAJOR PUBLIC HEALTH PROBLEM IN THOSE 50 AND OLDER WITH THE 80% BY 2018 PLEDGE. TOGETHER WITH THE AMERICAN CANCER SOCIETY AND THE NATIONAL COLORECTAL CANCER ROUNDTABLE, EACH AMITA HOSPITAL PLEDGED TO EMBRACE THE SHARED GOAL OF REGULARLY SCREENING 80 PERCENT OF ADULTS IN THIS AGE GROUP FOR CANCER BY 2018. MORE THAN 1,000 ORGANIZATIONS ACROSS THE COUNTRY HAVE ALSO TAKEN THE PLEDGE. IN 2018, THE AMITA HEALTH CANCER INSTITUTE HINSDALE HOSTED A COLON CANCER SCREENING DAY TO OFFER FREE SCREENINGS.- PROVIDED FREE MAMMACARE, AN INTERNATIONALLY RECOGNIZED STANDARD FOR BREAST EXAMINATION. DURING THE CLASSES, COMMUNITY MEMBERS PRACTICE ON LIFELIKE BREAST MODELS, ALLOWING THEM TO FEEL THE DIFFERENCE BETWEEN THE TEXTURES OF NORMAL TISSUES AND LUMPS. - CHARGE A NOMINAL FEE OF $25 FOR SMOKING CESSATION CLASSES THAT RUN FOR EIGHT CONSECUTIVE WEEKS. HEART DISEASE AND STROKEALTHOUGH A TOP CONCERN FOR THE KEY INFORMANTS, THE DATA DOES NOT INDICATE THAT THIS IS A PRIORITY. THE AGE ADJUSTED DEATH RATES FOR HEART DISEASE AND STROKE ARE WELL BELOW COMPARISONS. IT MAY BE THAT COMMENTERS ARE NOTING A LOGICAL INCREASE DUE TO THE AGING POPULATION. ACTION TAKEN: - THE HOSPITAL CONTINUED ITS PARTNERSHIP WITH THE DUPAGE HEALTH COALITION. PATIENTS ARE ABLE TO RECEIVE HEALTHCARE SERVICES THAT TREAT HEART DISEASE AND STROKE.- THROUGHOUT THE YEAR, AMITA HEALTH, INCLUDING THE HOSPITAL, PROVIDED FREE FLU VACCINES, LEG CIRCULATION SCREENINGS, BLOOD SUGAR CHECKS, BLOOD PRESSURE CHECKS, BODY FAT ANALYSIS AND A STROKE RISK ASSESSMENT IMMUNIZATION AND INFECTIOUS DISEASESAMONG ADULTS AGED 65 AND OVER, 49.3% HAVE HAD FLU VACCINES AS COMPARED TO 56.6% IN THE MCHC REGION AND 58.6% IN ILLINOIS. THIS OPPORTUNITY CAN BE ADDRESSED WITHIN EMPLOYED PHYSICIAN GROUPS AS WELL AS IN THE COMMUNITY. ACTION TAKEN:- THE HOSPITAL PARTNERED WITH THE DUPAGE HEALTH COALITION IN ORDER TO PROVIDE FREE OR LOW-COST SERVICES THAT TREAT INFECTIOUS DISEASES OR PREVENT THEM THROUGH IMMUNIZATIONS.ISSUES CONSIDERED, BUT NOT ADDRESSED: PRIORITIES WHICH WE HAVE CHOSEN NOT TO SPECIFICALLY ADDRESS IN OUR COMMUNITY INCLUDE FAMILY PLANNING, SEXUALLY TRANSMITTED DISEASES, ORAL HEALTH/DENTAL CARE AND HEARING AND VISION PROBLEMS. FAMILY PLANNING IS A SERVICE WHICH IS PROVIDED IN OUR COMMUNITY BY PRIVATE PHYSICIANS, FQHCS AND SOCIAL SERVICE AGENCIES, AND ARE EASILY ACCESSIBLE TO THE GENERAL PUBLIC. SEXUALLY TRANSMITTED DISEASES ARE ALSO COVERED BY SOCIAL SERVICE AGENCIES AND PHYSICIANS IN THE COMMUNITY. ORAL HEALTH/DENTAL CARE WAS EXPLORED AS A POTENTIAL COMMUNITY BENEFIT. HOWEVER, IT WAS DETERMINED THAT LOCAL FQHCS PROVIDE DENTAL SERVICES AND MEMBERS OF THE COMMUNITY HAVE ACCESS TO THESE SERVICES. THE LOWEST PRIORITY, HEARING AND VISION PROBLEMS, HAS NOT BEEN IDENTIFIED BY OUR COMMUNITY PARTNERS AS AN UNMET NEED.
SCHEDULE H, PART V, SECTION B, LINE 11: CONTINUATION FOR LA GRANGE	OTHER COMMUNITY ISSUES ADDRESSEDACCESS TO HEALTHCARE SERVICES MORE RESIDENTS HAVE COVERAGE THAN IN THE PAST, BUT 24.4% OF THOSE BELOW 200% OF THE FEDERAL POVERTY LIMIT DO NOT HAVE INSURANCE COVERAGE AND HAVE DIFFICULTY ACCESSING CARE. ACTION TAKEN:- THE HOSPITAL PARTNERED WITH THE ILLINOIS PUBLIC HEALTH INSTITUTE TO SURVEY AND OUTREACH TO THE COMMUNITY REGARDING THE ISSUES AROUND AFFORDABLE FOOD ACCESS AND FOOD DESERTS. - THE HOSPITAL CONTINUED TO PROVIDE MEDICAID/MEDICARE ENROLLMENT SERVICES TO COMMUNITY MEMBERS AT NO COST DIRECTLY FROM THE FACILITY. CANCERTHE PREVALENCE OF CANCER HAS INCREASED IN THE LA GRANGE HOSPITAL COMMUNITY FROM 4.4% IN 2012 TO 6.5% IN 2015 EVEN AS SCREENINGS FOR PROSTATE, FEMALE BREAST AND CERVICAL CANCERS HAVE INCREASED SLIGHTLY.ACTION TAKEN: - THE HOSPITAL PROVIDED FREE MAMMACARE, AN INTERNATIONALLY RECOGNIZED STANDARD FOR BREAST EXAMINATION. DURING THE CLASSES, COMMUNITY MEMBERS PRACTICE ON LIFELIKE BREAST MODELS, ALLOWING THEM TO FEEL THE DIFFERENCE BETWEEN THE TEXTURES OF NORMAL TISSUES AND LUMPS. - THE HOSPITAL CHARGES A NOMINAL FEE OF $25 FOR SMOKING CESSATION CLASSES THAT RUN FOR EIGHT CONSECUTIVE WEEKS. - THE HOSPITAL LED THE S-ANON & ICAN SUPPORT GROUPS, WHICH SERVE CANCER SURVIVORS AND FAMILY & FRIENDS WITH SEXUAL ADDICTION.HEART DISEASE AND STROKEALTHOUGH CITED AS A TOP CONCERN, THE DATA FOR LA GRANGE HOSPITAL IS ABOUT AVERAGE OR BELOW AVERAGE FOR HEART DISEASE AND STROKE. HOWEVER, WITH THE PREVALENCE OF TYPE II DIABETES RISING INCIDENCE FOR HEART DISEASE AND STROKE WILL LIKELY INCREASE. ACTION TAKEN:- THROUGHOUT THE YEAR, THE HOSPITAL DIRECTLY PROVIDED FREE FLU VACCINES, LEG CIRCULATION SCREENINGS, BLOOD SUGAR CHECKS, BLOOD PRESSURE CHECKS, BODY FAT ANALYSIS AND STROKE RISK ASSESSMENTS THROUGHOUT THE SERVICE AREAS. - THE HOSPITAL PROVIDED FREE COMMUNITY SUPPORT WITH CAREGIVERS AND STROKE SURVIVORS. THE AGE RANGES FROM 50'S - 90'S. HIV/AIDS/STDTHE PREVALENCE OF HIV/AIDS IN THE LA GRANGE HOSPITAL AREA IS RELATIVELY HIGH AT A RATE OF 558.5/100,000 AS COMPARED TO THE MCHC REGION AT 449.1/100,000 AND ILLINOIS AT 300.1/100,000. ACTION TAKEN:- THE HOSPITAL CONTINUED ITS PARTNERSHIP WITH PILLARS COMMUNITY HEALTH WITH THEIR EFFORTS TO PROVIDE HIV/AIDS/STD TESTING, TREATMENT AND COUNSELING TO LOW-INCOME AND UNDERINSURED INDIVIDUALS. IMMUNIZATION AND INFECTIOUS DISEASESTHE SURVEY NOTED POSITIVE PROGRESS IN THE PERCENTAGE OF SENIORS RECEIVING FLU VACCINES AND PNEUMONIA VACCINES, BUT FEWER ARE COMPLETING A HEPATITIS B VACCINATION SERIES. ACTION TAKEN:- THE HOSPITAL CONTINUED ITS PARTNERSHIP WITH COMMUNITY PILLARS HEALTH TO PROVIDE IMMUNIZATION AND INFECTIOUS DISEASES TREATMENT TO LOW-INCOME AND UNDERINSURED CHILDREN AND ADULTS. INFANT HEALTH AND FAMILY PLANNINGTHE LA GRANGE HOSPITAL COMMUNITY HAS A HIGHER PERCENTAGE OF LOW BIRTHWEIGHT BABIES AT 8.9% AS COMPARED TO ILLINOIS AT 4.0% AND THE US AT 8.0%. INFANT DEATH RATES ARE HIGHER AS WELL AT 6.7% COMPARED TO 6.3% IN ILLINOIS AND 6.0% IN THE US. ACTION TAKEN:- THE HOSPITAL PROVIDED CLASSES FOR FREE OR FOR A NOMINAL FEE TO COMMUNITY MEMBERS, INCLUDING: INFANT AND CHILD CPR CLASSES; BREASTFEEDING SUPPORT GROUPS; BREAST PUMP RENTALS; EVERYTHING YOU NEED TO KNOW ABOUT PREPARED CHILDBIRTH, BREASTFEEDING AND WELL BABY CARE, AND, INJURY AND VIOLENCE. - THROUGH A 2-YEAR GRANT PROVIDED BY AMITA HEALTH ADVENTIST MEDICAL CENTER LA GRANGE TO PILLARS COMMUNITY HEALTH STARTING IN 2018, A GOAL WAS GIVEN THAT NO MORE THAN 5% OF BIRTHS TO HEALTH CENTER PATIENTS WILL BE LESS THAN 2,500 GRAMS. AT THE END OF 2018, 0% OF THE BIRTHS OF HEALTH CENTER PATIENTS WERE LESS THAN 2,500 GRAMS. INJURY & VIOLENCE THERE IS A HIGHER RATE OF HOMICIDE AND VIOLENT CRIME IN THE LA GRANGE HOSPITAL AREA THAN IN THE MCHC REGION OR IN ILLINOIS. A HIGHER THAN AVERAGE NUMBER OF RESIDENTS REPORT BEING A VICTIM OF VIOLENCE CRIME AS WELL. ACTION TAKEN:- THE HOSPITAL PARTNERED WITH THE ILLINOIS PUBLIC HEALTH INSTITUTE TO PROVIDE SUPPORT TO SOCIAL WORKERS SO THAT THEY MAY BETTER SUPPORT SURVIVORS OF VIOLENT CRIMES. COMMUNITY ISSUES IDENTIFIED AND NOT ADDRESSED:- POTENTIALLY DISABLING CONDITIONS ALTHOUGH AN IDENTIFIED COMMUNITY NEED, THE HOSPITAL PROVIDES EXTENSIVE SERVICES IN A CLINICAL SETTING. DUE TO THE LACK OF FUNDING, THE HOSPITAL WAS NOT ABLE TO CREATE AN EXTERNAL COMMUNITY BENEFIT PROGRAM.- CHRONIC KIDNEY DISEASE NO FURTHER PROGRAMMING WAS CREATED, AS THE HOSPITAL'S INTERNAL PLAN FOR UNDERINSURED OR UNINSURED PATIENTS WAS ADOPTED AS DESCRIBED: IF THE PATIENT IS DIAGNOSED WITH END STAGE RENAL DISEASE (ESRD) THEY BECOME ELIGIBLE FOR MEDICARE REGARDLESS OF AGE. IF FURTHER THEY HAVE NO EMPLOYER SPONSORED PLAN THEN MEDICARE BECOMES PRIME AND COVERS DIALYSIS RIGHT AWAY AS SOON AS ALL OF THE PAPERWORK IS DONE. IF THE PATIENT IS NOT MEDICARE ELIGIBLE THEN PUBLIC AID BECOMES PRIME AND COVERS THE TREATMENTS. LASTLY IF THE PATIENT IS NOT ELIGIBLE FOR EITHER MEDICARE OR PUBLIC AID (GENERALLY ONLY UNDOCUMENTED ALIENS MEET THIS CRITERIA SO IT IS RARE) THEN USUALLY THERE ARE FUNDS AVAILABLE THROUGH THE NATIONAL KIDNEY FOUNDATION ETC. THE SOCIAL WORKERS ASSOCIATED WITH THE DIALYSIS CENTERS PROVIDE THE REFERRALS AND EDUCATION. - FAMILY PLANNING - THIS IS A SERVICE ALREADY PROVIDED IN THE HOSPITAL'S COMMUNITY BY PRIVATE PHYSICIANS, FQHCS, AND SOCIAL SERVICE AGENCIES. - ORAL HEALTH/DENTAL CARE - IT WAS DETERMINED THAT THE LOCAL FQHCS PROVIDE DENTAL SERVICES AND THIS IS NOT A COMPETENCY OF THE HOSPITAL. - HEARING AND VISION PROBLEMS - THIS WAS NOT IDENTIFIED BY OUR COMMUNITY PARTNERS AS AN UNMET NEED.

Field	Value	IRS element (for citing)
Facility	33	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (33 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt	Address Line2USAddress/AddressLine2Txt
1 - AMITA CANCER INSITUTE-HINSDALE
1 SALT CREEK LANE	HINSDALE	IL	60521	CANCER TREATMENT CENTER
2 - ADVENTIST HEART & VASCULAR
908 ELM ST SUITE 404	HINSDALE	IL	60521	VASCULAR INTERVENTION CENTER
3 - HINSDALE IMAGING CENTER
1 SALT CREEK LANE	HINSDALE	IL	60521	IMAGING CENTER
4 - WESTMONT IMAGING CENTER
6311 S CASS AVE	WESTMONT	IL	60559	IMAGING CENTER
5 - NEW DAY CENTER FOR ADDICTIONSOPTIONS
740 PASQUINELLI DR SUITE 104	WESTMONT	IL	60559	BEHAVORIAL HEALTH
6 - HEALTH CARE AT HOME
5101 S WILLOW SPRINGS RD 2ND FLOOR	LA GRANGE	IL	60525	HOME HEALTH CARE
7 - ST THOMAS HOSPICE & PALLIATIVE CARE
119 E OGDEN AVE SUITE 111	HINSDALE	IL	60521	HOSPICE CARE
8 - ADVENTIST LAB PARTNERS
2434 WOLF ROAD	WESTCHESTER	IL	60154	LAB SERVICE CENTER
9 - ADVENTIST LAB PARTNERS
908 N ELM ST SUITE 116	HINSDALE	IL	60521	LAB SERVICE CENTER
10 - ADVENTIST LAB PARTNERS
908 N ELM ST SUITE 210	HINSDALE	IL	60521	LAB SERVICE CENTER
11 - ADVENTIST LAB PARTNERS
5101 S WILLOW SPRINGS RD 2ND FLOOR	LA GRANGE	IL	60525	LAB SERVICE CENTER
12 - ADVENTIST LAB PARTNERS
412 63RD ST	DOWNERS GROVE	IL	60516	LAB SERVICE CENTER
13 - ADVENTIST PAULSON PEDIATRIC REHAB
222 E OGDEN AVE	HINSDALE	IL	60521	OUTPATIENT REHABILITATION FACILITY
14 - ADVENTIST LAB PARTNERS
630 E NORTH AVENUE	CAROL STREAM	IL	60188	LAB SERVICE CENTER
15 - PT SOLUTIONS OF SALT CREEK
12 SALT CREEK LN 325	HINSDALE	IL	60521	PHYSICAL THERAPY
16 - ADVENTIST LAB PARTNERS
15720 SOUTH ROUTE 59	PLAINFIELD	IL	60544	LAB SERVICE CENTER
17 - ADVENTIST PAULSON REHAB - WILLOWBROOK
619 PLAINFIELD RD	WILLOWBROOK	IL	60527	REHABILITATION CENTER
18 - ADVENTIST HINSDALE FAMILY MEDICAL CENTER
135 N OAK ST	HINSDALE	IL	60521	FAMILY MEDICINE CENTER
19 - ADVENTIST LAB PARTNERS
130 N OAK ST	HINSDALE	IL	60521	LAB SERVICE CENTER
20 - ADVENTIST LAB PARTNERS
2323 63RD ST	WOODRIDGE	IL	60517	LAB SERVICE CENTER
21 - ADVENTIST LA GRANGE FAMILY MEDICAL CENTER
5201 S WILLOW SPRINGS ROAD SUITE	LA GRANGE	IL	60525	FAMILY MEDICAL CENTER	300
22 - ADVENTIST LAB PARTNERS
6311 S CASS AVE	WESTMONT	IL	60559	LAB SERVICE CENTER
23 - ADVENTIST LAB PARTNERS
644 S WEBER RD	ROMEOVILLE	IL	60446	LAB SERVICE CENTER
24 - ADVENTIST LAB PARTNERS
550 E BOUGHTON RD	BOLINGBROOK	IL	60440	LAB SERVICE CENTER
25 - ADVENTIST LAB PARTNERS
6283 S ARCHER AVE	CHICAGO	IL	60638	LAB SERVICE CENTER
26 - ADVENTIST LAB PARTNERS
396 REMINGTON BLVD SUITE 141	BOLINGBROOK	IL	60440	LAB SERVICE CENTER
27 - ADVENTIST LAB PARTNERS
5207 MAIN ST	DOWNERS GROVE	IL	60515	LAB SERVICE CENTER
28 - ADVENTIST LAB PARTNERS
105 E BURLINGTON AVE	RIVERSIDE	IL	60546	LAB SERVICE CENTER
29 - ADVENTIST LAB PARTNERS
235 REMINGTON BLVD STE G7	BOLINGBROOK	IL	60440	LAB SERVICE CENTER
30 - AMITA WOODRIDGE IMAGING & THERAPY CTR
2363 63RD ST	WOODRIDGE	IL	60517	IMAGING & OP REHABILITATION CENTER
31 - ADVENTIST LAB PARTNERS
2425 W 22ND ST SUITE 104	OAKBROOK	IL	60523	LAB SERVICE CENTER
32 - ADVENTIST LAB PARTNERS
333 CHESTNUT ST SUITE 204	HINSDALE	IL	60521	LAB SERVICE CENTER
33 - ADVENTIST LAB PARTNERS
303 ARMY TRAIL ROAD SUITE 410B	BLOOMINGDALE	IL	60108	LAB SERVICE CENTER

Supplemental Information Detail SupplementalInformationDetail (15 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE 3C:	EVERY UNINSURED PERSON, REGARDLESS OF INCOME, RECEIVES AN AUTOMATIC 15% DISCOUNT OFF OF CHARGES. PERSONS WHO EARN LESS THAN 600% OF THE FEDERAL POVERTY GUIDELINES ARE GIVEN MORE SIGNIFICANT DISCOUNTS, DEPENDING ON THEIR INDIVIDUAL SITUATIONS. FEDERAL POVERTY LEVEL - 0-200% UNINSURED PATIENT DISCOUNT - 95%FEDERAL POVERTY LEVEL - 201-300% UNINSURED PATIENT DISCOUNT - 75%FEDERAL POVERTY LEVEL - 301-600% UNINSURED PATIENT DISCOUNT - 74%FEDERAL POVERTY LEVEL - > 600% UNINSURED PATIENT DISCOUNT - 74%
PART I, LINE 6A:	THE FILING ORGANIZATION WAS A WHOLLY OWNED SUBSIDIARY OF ADVENTIST HEALTH SYSTEM SUNBELT HEALTHCARE CORPORATION (AHSSHC) DURING ITS CURRENT TAX YEAR. DURING THE CURRENT YEAR, AHSSHC SERVED AS A PARENT ORGANIZATION TO 24 TAX-EXEMPT 501(C)(3) HOSPITAL ORGANIZATIONS AND A NUMBER OF OTHER HEALTH CARE FACILITIES THAT OPERATED IN 10 STATES WITHIN THE U.S. THE SYSTEM OF ORGANIZATIONS UNDER THE CONTROL AND OWNERSHIP OF AHSSHC IS KNOWN AS "ADVENTHEALTH". ALL HOSPITAL ORGANIZATIONS WITHIN ADVENTHEALTH COLLECT, CALCULATE, AND REPORT THE COMMUNITY BENEFITS THEY PROVIDE TO THE COMMUNITIES THEY SERVE. ADVENTHEALTH ORGANIZATIONS EXIST SOLELY TO IMPROVE AND ENHANCE THE LOCAL COMMUNITIES THEY SERVE. ADVENTHEALTH HAS A SYSTEM-WIDE COMMUNITY BENEFITS ACCOUNTING POLICY THAT PROVIDES GUIDELINES FOR ITS HEALTH CARE PROVIDER ORGANIZATIONS TO CAPTURE AND REPORT THE COSTS OF SERVICES PROVIDED TO THE UNDERPRIVILEGED AND TO THE BROADER COMMUNITY. EACH ADVENTHEALTH HOSPITAL FACILITY REPORTS THEIR COMMUNITY BENEFITS TO THEIR BOARD OF DIRECTORS AND STRIVES TO COMMUNICATE THEIR COMMUNITY BENEFITS TO THEIR LOCAL COMMUNITIES. ADDITIONALLY, THE FILING ORGANIZATION'S MOST RECENTLY CONDUCTED COMMUNITY HEALTH NEEDS ASSESSMENT AND ASSOCIATED IMPLEMENTATION STRATEGY CAN BE ACCESSED ON THE FILING ORGANIZATION'S WEBSITE. THE FILING ORGANIZATION IS INCLUDED IN THE SUBMISSION OF THE ANNUAL NONPROFIT HOSPITAL COMMUNITY BENEFIT PLAN REPORT WITH THE ATTORNEY GENERAL'S OFFICE OF THE STATE OF ILLINOIS. THIS REPORT IS PREPARED ON A CONSOLIDATED BASIS AND INCLUDES DATA FOR ADVENTIST MIDWEST HEALTH, ADVENTIST GLENOAKS HOSPITAL, AND ADVENTIST BOLINGBROOK HOSPITAL. THESE HOSPITAL ORGANIZATIONS ARE ALL RELATED ORGANIZATIONS.
PART I, LINE 7:	THE FOLLOWING COSTING METHODOLOGIES WERE USED: -CHARITY AT COST - A COST TO CHARGE METHODOLOGY BASED ON THE MOST RECENTLY FILED MEDICARE COST REPORT WAS USED TO CALCULATE COSTS.-UNREIMBURSED MEDICAID - COSTS ARE CALCULATED USING THE MOST RECENTLY FILED MEDICAID COST REPORT.-OTHER BENEFITS - COSTS ARE DETERMINED BY ACTIVITY REPORTED IN ACCORDANCE WITH GUIDELINES PUBLISHED BY THE CATHOLIC HEALTH ASSOCIATION. COSTS COULD INCLUDE THE VALUE OF HOURLY WAGES, COSTS OF MATERIALS, VALUE OF SPACE LOANED TO COMMUNITY GROUPS FOR MEETINGS, AND INDIRECT COSTS WHERE APPLICABLE.
PART II, COMMUNITY BUILDING ACTIVITIES:	COMMUNITY BUILDING ACTIVITIES INCLUDE PROGRAMS THAT IMPROVE THE COMMUNITY'S HEALTH AND SAFETY BY ADDRESSING THE ROOT CAUSES OF HEALTH PROBLEMS, SUCH AS POVERTY, HOMELESSNESS AND ENVIRONMENTAL HAZARDS. PARTICIPATION IN COLLABORATIVE COMMUNITY EFFORTS TO PROMOTE PUBLIC HEALTH INITIATIVES IS ALSO INCLUDED, SUCH AS ENGAGEMENT IN COALITIONS AND ADVOCACY FOR HEALTH IMPROVEMENT. THESE ACTIVITIES STRENGTHEN THE COMMUNITY'S CAPACITY TO PROMOTE THE HEALTH AND WELL-BEING OF ITS RESIDENTS BY OFFERING THE EXPERTISE AND RESOURCES OF THE HEALTH CARE ORGANIZATION. ADVENTIST MIDWEST HEALTH HOSPITALS ENGAGE IN A VARIETY OF COMMUNITY-BUILDING ACTIVITIES WHICH ULTIMATELY IMPROVE THE HEALTH AND WELL-BEING OF THE COMMUNITIES WE ARE PRIVILEGED TO SERVE, EVEN THOUGH THEY ARE NOT SPECIFIC HEALTH ACTIVITIES.
PART III, LINE 2:	AFTER SATISFACTION OF AMOUNTS DUE FROM INSURANCE AND REASONABLE EFFORTS TO COLLECT FROM THE PATIENT HAVE BEEN EXHAUSTED, THE FILING ORGANIZATION FOLLOWS ESTABLISHED GUIDELINES FOR PLACING CERTAIN PAST-DUE PATIENT BALANCES WITHIN COLLECTION AGENCIES, SUBJECT TO THE TERMS OF CERTAIN RESTRICTIONS ON COLLECTION EFFORTS AS DETERMINED BY AMITA HEALTH. ACCOUNTS RECEIVABLE ARE WRITTEN OFF AFTER COLLECTION EFFORTS HAVE BEEN FOLLOWED IN ACCORDANCE WITH THE FILING ORGANIZATION'S POLICIES.
PART III, LINE 3:	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: THE FILING ORGANIZATION PROACTIVELY WORKS TO PRESUMPTIVELY ASSESS AND GRANT CHARITY TO ALL UNINSURED PATIENTS. THE HOSPITAL SCREENS ALL UNINSURED PATIENTS AGAINST CREDIT SCORE DATA IN ORDER TO PRESUMPTIVELY APPLY ITS FINANCIAL ASSISTANCE POLICY. BASED ON THIS PROCESS, APPROXIMATELY 96% OF THE UNINSURED PATIENT POPULATION IS DEFINED AS ELIGIBLE FOR A PARTIAL CHARITY ADJUSTMENT ON THEIR ACCOUNTS. THE AVERAGE DISCOUNT GIVEN TO THE UNINSURED PATIENT POPULATION IS 81%. IN PRIOR YEARS, PROACTIVE EFFORTS WERE LIMITED TO ONLY THOSE ACCOUNTS WITH BALANCES > $5,000. UNDER THAT SCENARIO, IT WAS ESTIMATED THAT 1/3 OF OUR BAD DEBT PLACEMENTS MAY HAVE BEEN ELIGIBLE FOR CHARITY CARE DISCOUNTS. WITH A MORE COMPREHENSIVE PRESUMPTIVE CHARITY PROGRAM, MANY MORE ACCOUNTS ARE GRANTED CHARITY EARLIER IN THE PROCESS AND PRIOR TO BAD DEBT PLACEMENT. THEREFORE, IT IS ESTIMATED THAT APPROXIMATELY 10% OF OUR CURRENT BAD DEBT PLACEMENTS WOULD BE ELIGIBLE FOR ADDITIONAL CHARITY IF A FULL PRESUMPTIVE CHARITY PROCESS WAS CONDUCTED ACROSS 100% OF OUR SELF-PAY AFTER INSURANCE ACCOUNTS. DISCOUNTS AND PAYMENTS ARE NOT INCLUDED IN BAD DEBT EXPENSE IN THE FINANCIAL STATEMENTS UNLESS THE PAYMENT IS A RECOVERY OF AMOUNTS PREVIOUSLY WRITTEN OFF AS BAD DEBT. RECOVERIES ARE CLASSIFIED AS A DECREASE TO BAD DEBT EXPENSE. RATIONALE FOR INCLUDING CERTAIN BAD DEBTS IN COMMUNITY BENEFIT: THE FILING ORGANIZATION IS DEDICATED TO THE VIEW THAT MEDICALLY NECESSARY HEALTH CARE FOR EMERGENCY AND NON-ELECTIVE PATIENTS SHOULD BE ACCESSIBLE TO ALL, REGARDLESS OF AGE, GENDER, GEOGRAPHIC LOCATION, CULTURAL BACKGROUND, PHYSICIAN MOBILITY, OR ABILITY TO PAY. THE FILING ORGANIZATION TREATS EMERGENCY AND NON-ELECTIVE PATIENTS REGARDLESS OF THEIR ABILITY TO PAY OR THE AVAILABILITY OF THIRD-PARTY COVERAGE. BY PROVIDING HEALTH CARE TO ALL WHO REQUIRE EMERGENCY OR NON-ELECTIVE CARE IN A NON-DISCRIMINATORY MANNER, THE FILING ORGANIZATION IS PROVIDING HEALTH CARE TO THE BROAD COMMUNITY IT SERVES. AS A 501(C)(3) HOSPITAL ORGANIZATION, THE FILING ORGANIZATION MAINTAINS A 24/7 EMERGENCY ROOM PROVIDING CARE TO ALL WHOM PRESENT. WHEN A PATIENT'S ARRIVAL AND/OR ADMISSION TO THE FACILITY BEGINS WITHIN THE EMERGENCY DEPARTMENT, TRIAGE AND MEDICAL SCREENING ARE ALWAYS COMPLETED PRIOR TO REGISTRATION STAFF PROCEEDING WITH THE DETERMINATION OF A PATIENT'S SOURCE OF PAYMENT. IF THE PATIENT REQUIRES ADMISSION AND CONTINUED NON-ELECTIVE CARE, THE FILING ORGANIZATION PROVIDES THE NECESSARY CARE REGARDLESS OF THE PATIENT'S ABILITY TO PAY. THE FILING ORGANIZATION'S OPERATION OF A 24/7 EMERGENCY DEPARTMENT THAT ACCEPTS ALL INDIVIDUALS IN NEED OF CARE PROMOTES THE HEALTH OF THE COMMUNITY THROUGH THE PROVISION OF CARE TO ALL WHOM PRESENT. CURRENT INTERNAL REVENUE SERVICE GUIDANCE THAT TAX-EXEMPT HOSPITALS MAINTAIN SUCH EMERGENCY ROOMS WAS ESTABLISHED TO ENSURE THAT EMERGENCY CARE WOULD BE PROVIDED TO ALL WITHOUT DISCRIMINATION. THE TREATMENT OF ALL AT THE FILING ORGANIZATION'S EMERGENCY DEPARTMENT IS A COMMUNITY BENEFIT. UNDER THE FILING ORGANIZATION'S FINANCIAL ASSISTANCE POLICY, EVERY EFFORT IS MADE TO OBTAIN A PATIENT'S NECESSARY FINANCIAL INFORMATION TO DETERMINE ELIGIBILITY FOR FINANCIAL ASSISTANCE. HOWEVER, NOT ALL PATIENTS WILL COOPERATE WITH SUCH EFFORTS AND A FINANCIAL ASSISTANCE ELIGIBILITY DETERMINATION CANNOT BE MADE BASED UPON INFORMATION SUPPLIED BY THE INDIVIDUAL. IN THIS CASE, A PATIENT'S PORTION OF A BILL THAT REMAINS UNPAID FOR A CERTAIN STIPULATED TIME PERIOD IS WHOLLY OR PARTIALLY CLASSIFIED AS BAD DEBT. BAD DEBTS ASSOCIATED WITH PATIENTS WHO HAVE RECEIVED CARE THROUGH THE FILING ORGANIZATION'S EMERGENCY DEPARTMENT SHOULD BE CONSIDERED COMMUNITY BENEFIT AS CHARITABLE HOSPITALS EXIST TO PROVIDE SUCH CARE IN PURSUIT OF THEIR PURPOSE OF MEETING THE NEED FOR EMERGENCY MEDICAL CARE SERVICES AVAILABLE TO ALL IN THE COMMUNITY.
PART III, LINE 4:	FINANCIAL STATEMENT FOOTNOTE RELATED TO ACCOUNTS RECEIVABLE AND ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS:THE FINANCIAL INFORMATION OF THE FILING ORGANIZATION IS INCLUDED IN A CONSOLIDATED AUDITED FINANCIAL STATEMENT FOR THE CURRENT YEAR.THE APPLICABLE FOOTNOTE FROM THE ATTACHED CONSOLIDATED AUDITED FINANCIAL STATEMENTS THAT ADDRESSES ACCOUNTS RECEIVABLE, THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS, AND THE PROVISION FOR BAD DEBTS CAN BE FOUND ON PAGE 7 AND 8. PLEASE NOTE THAT DOLLAR AMOUNTS ON THE ATTACHED CONSOLIDATED AUDITED FINANCIAL STATEMENTS ARE IN THOUSANDS.
PART III, LINE 8:	COSTING METHODOLOGY: MEDICARE ALLOWABLE COSTS WERE CALCULATED USING A COST-TO-CHARGE RATIO. RATIONALE FOR INCLUDING A MEDICARE SHORTFALL AS COMMUNITY BENEFIT:AS A 501(C)(3) ORGANIZATION, THE FILING ORGANIZATION PROVIDES EMERGENCY AND NON-ELECTIVE CARE TO ALL REGARDLESS OF ABILITY TO PAY. ALL HOSPITAL SERVICES ARE PROVIDED IN A NON-DISCRIMINATORY MANNER TO PATIENTS WHO ARE COVERED BENEFICIARIES UNDER THE MEDICARE PROGRAM. AS A PUBLIC INSURANCE PROGRAM, MEDICARE PROVIDES A PRE-ESTABLISHED REIMBURSEMENT RATE/AMOUNT TO HEALTH CARE PROVIDERS FOR THE SERVICES THEY PROVIDE TO PATIENTS. IN SOME CASES, THE REIMBURSEMENT AMOUNT PROVIDED TO A HOSPITAL MAY EXCEED ITS COSTS OF PROVIDING A PARTICULAR SERVICE OR SERVICES TO A PATIENT. IN OTHER CASES, THE MEDICARE REIMBURSEMENT AMOUNT MAY RESULT IN THE HOSPITAL EXPERIENCING A SHORTFALL OF REIMBURSEMENT RECEIVED OVER COSTS INCURRED. IN THOSE CASES WHERE AN OVERALL SHORTFALL IS GENERATED FOR PROVIDING SERVICES TO ALL MEDICARE PATIENTS, THE SHORTFALL AMOUNT SHOULD BE CONSIDERED AS A BENEFIT TO THE COMMUNITY. TAX-EXEMPT HOSPITALS ARE REQUIRED TO ACCEPT ALL MEDICARE PATIENTS REGARDLESS OF THE PROFITABILITY, OR LACK THEREOF, WITH RESPECT TO THE SERVICES THEY PROVIDE TO MEDICARE PATIENTS. THE POPULATION OF INDIVIDUALS COVERED UNDER THE MEDICARE PROGRAM IS SUFFICIENTLY LARGE SO THAT THE PROVISION OF SERVICES TO THE POPULATION IS A BENEFIT TO THE COMMUNITY AND RELIEVES THE BURDENS OF GOVERNMENT. IN THOSE SITUATIONS WHERE THE PROVISION OF SERVICES TO THE TOTAL MEDICARE PATIENT POPULATION OF A TAX-EXEMPT HOSPITAL DURING ANY YEAR RESULTS IN A SHORTFALL OF REIMBURSEMENT RECEIVED OVER THE COST OF PROVIDING CARE, THE TAX-EXEMPT HOSPITAL HAS PROVIDED A BENEFIT TO A CLASS OF PERSONS BROAD ENOUGH TO BE CONSIDERED A BENEFIT TO THE COMMUNITY. DESPITE A FINANCIAL SHORTFALL, A TAX-EXEMPT HOSPITAL MUST AND WILL CONTINUE TO ACCEPT AND CARE FOR MEDICARE PATIENTS. TYPICALLY, TAX-EXEMPT HOSPITALS PROVIDE HEALTH CARE SERVICES BASED UPON AN ASSESSMENT OF THE HEALTH CARE NEEDS OF THEIR COMMUNITY AS OPPOSED TO THEIR TAXABLE COUNTERPARTS WHERE PROFITABILITY OFTEN DRIVES DECISIONS ABOUT PATIENT CARE SERVICES THAT ARE OFFERED. PATIENT CARE PROVIDED BY TAX-EXEMPT HOSPITALS THAT RESULTS IN MEDICARE SHORTFALLS SHOULD BE CONSIDERED AS PROVIDING A BENEFIT TO THE COMMUNITY AND RELIEVING THE BURDENS OF GOVERNMENT.
PART III, LINE 9B:	IT IS THE POLICY OF THE FILING ORGANIZATION TO OFFER PATIENTS A PAYMENT PLAN AND/OR CHARITY ASSISTANCE WHEN IT BECOMES KNOWN OR EVEN SUSPECTED THAT A PATIENT NEEDS FINANCIAL ASSISTANCE. SIGNS AND BROCHURES ARE POSTED IN FACILITY REGISTRATION AREAS. FINANCIAL COUNSELORS ARE NOTIFIED AND EVERY ATTEMPT IS MADE TO CONTACT AND WORK WITH THE PATIENT OR THEIR FAMILY TO HELP THEM COMPLETE A FINANCIAL ASSISTANCE APPLICATION WITH COMPASSION AND DIGNITY. FINANCIAL COUNSELORS WORK WITH PATIENTS TO HELP DETERMINE IF THERE ARE ANY THIRD-PARTY PAYORS WHICH MAY BE AVAILABLE TO HELP THE PATIENT MEET THEIR OBLIGATIONS. THE HOSPITAL WORKS WITH THE PATIENT TO DETERMINE IF THEY ARE ELIGIBLE FOR FEDERAL PROGRAMS INCLUDING MEDICAID, STATE FUNDED PROGRAMS INCLUDING CRIME VICTIMS, ALTERNATIVE INSURANCE INCLUDING COBRA, WORKER'S COMPENSATION AND OR OTHER SPECIALIZED GRANT PROGRAMS SUCH AS OUR MAMMOGRAPHY GRANT PROGRAM FOR LOW INCOME WOMEN. IN THE EVENT NO THIRD-PARTY PROGRAMS ARE IDENTIFIED, THE HOSPITAL THEN WORKS WITH THE PATIENT TO HELP THEM APPLY FOR FINANCIAL ASSISTANCE DISCOUNTS AND PAYMENT PLANS. IN ADDITION, ALL BILLS AND STATEMENTS INCLUDE INFORMATION REGARDING FINANCIAL ASSISTANCE.
PART VI, LINE 2:	THE FILING ORGANIZATION'S HOSPITALS CONDUCTED COMMUNITY HEALTH NEEDS ASSESSMENTS (CHNAS) THAT WERE ADOPTED BY THE FILING ORGANIZATION'S GOVERNING BOARD BY DECEMBER 31, 2016. BOTH HOSPITAL'S 2016 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 COMMUNITIES.SUCH PRACTICES AND PROCESSES INVOLVE THE FOLLOWING:1. HOSPITAL OPERATING/COMMUNITY BOARDS COMPOSED OF INDIVIDUALS BROADLY REPRESENTATIVE OF EACH COMMUNITY, COMMUNITY LEADERS, AND THOSE WITH SPECIALIZED MEDICAL TRAINING AND EXPERTISE;2. POST-DISCHARGE PATIENT FOLLOW-UP RELATED TO THE ON-GOING CARE AND TREATMENT OF PATIENTS WHO SUFFER FROM CHRONIC DISEASES; 3. SPONSORSHIP AND PARTICIPATION IN COMMUNITY HEALTH AND WELLNESS ACTIVITIES THAT REACH A BROAD SPECTRUM OF THE FILING ORGANIZATION'S COMMUNITIES; AND 4. COLLABORATION WITH OTHER LOCAL COMMUNITY GROUPS TO ADDRESS THE HEALTH CARE NEEDS OF THE FILING ORGANIZATION'S COMMUNITIES.
PART VI, LINE 3:	THE FINANCIAL ASSISTANCE POLICY (FAP), FINANCIAL ASSISTANCE APPLICATION FORM (FAA FORM), AND THE PLAIN LANGUAGE SUMMARY OF THE FINANCIAL ASSISTANCE POLICY (PLS) OF THE FILING ORGANIZATION'S HOSPITAL FACILITIES ARE TRANSPARENT AND AVAILABLE TO ALL INDIVIDUALS SERVED AT ANY POINT IN THE CARE CONTINUUM. THE FAP, FAA FORM, PLS, AND CONTACT INFORMATION FOR EACH HOSPITAL FACILITY'S FINANCIAL COUNSELORS ARE PROMINENTLY AND CONSPICUOUSLY POSTED ON EACH OF THE FILING ORGANIZATION'S HOSPITAL FACILITY'S WEBSITES. THE WEBSITES INDICATE THAT A COPY OF THE FAP, FAA FORM, AND PLS IS AVAILABLE AND HOW TO OBTAIN SUCH COPIES IN THE PRIMARY LANGUAGES OF ANY POPULATIONS WITH LIMITED PROFICIENCY IN ENGLISH THAT CONSTITUTE THE LESSER OF 1,000 INDIVIDUALS OR 5% OF THE MEMBERS OF THE COMMUNITY SERVED BY EACH HOSPITAL FACILITY (REFERRED TO BELOW AS LEP DEFINED POPULATIONS). SIGNAGE IS DISPLAYED IN PUBLIC LOCATIONS OF THE FILING ORGANIZATION'S HOSPITAL FACILITIES, INCLUDING AT ALL POINTS OF ADMISSION AND REGISTRATION AND THE EMERGENCY DEPARTMENT. THE SIGNAGE CONTAINS EACH HOSPITAL FACILITY'S WEBSITE ADDRESS WHERE THE FAP, FAA FORM, AND PLS CAN BE ACCESSED AND THE TELEPHONE NUMBER AND PHYSICAL LOCATION THAT INDIVIDUALS CAN CALL OR VISIT TO OBTAIN COPIES OF THE FAP, FAA FORM AND PLS OR TO OBTAIN MORE INFORMATION ABOUT EACH HOSPITAL FACILITY'S FAP, FAA FORM AND PLS. PAPER COPIES OF EACH HOSPITAL FACILITY'S FAP, FAA FORM AND PLS ARE AVAILABLE UPON REQUEST AND WITHOUT CHARGE, BOTH IN PUBLIC LOCATIONS IN EACH HOSPITAL FACILITY AND BY MAIL. PAPER COPIES ARE MADE AVAILABLE IN ENGLISH AND IN THE PRIMARY LANGUAGES OF ANY LEP DEFINED POPULATIONS. THE FILING ORGANIZATION'S HOSPITAL FACILITIES' FINANCIAL COUNSELORS SEEK TO PROVIDE PERSONAL FINANCIAL COUNSELING TO ALL INDIVIDUALS ADMITTED TO THE HOSPITAL FACILITY WHO ARE CLASSIFIED AS SELF-PAY DURING THE COURSE OF THEIR HOSPITAL STAY OR AT TIME OF DISCHARGE TO EXPLAIN THE FAP AND FAA FORM AND TO PROVIDE INFORMATION CONCERNING OTHER SOURCES OF ASSISTANCE THAT MAY BE AVAILABLE, SUCH AS MEDICAID. A PAPER COPY OF THE HOSPITAL FACILITY'S PLS WILL BE OFFERED TO EVERY PATIENT AS A PART OF THE INTAKE OR DISCHARGE PROCESS. A CONSPICUOUS WRITTEN NOTICE IS INCLUDED ON ALL BILLING STATEMENTS SENT TO PATIENTS THAT NOTIFIES AND INFORMS RECIPIENTS ABOUT THE AVAILABILITY OF FINANCIAL ASSISTANCE UNDER THE FILING ORGANIZATION'S FINANCIAL ASSISTANCE POLICY, INCLUDING THE FOLLOWING: 1) THE TELEPHONE NUMBER OF THE HOSPITAL FACILITY'S OFFICE OR DEPARTMENT THAT CAN PROVIDE INFORMATION ABOUT THE FAP AND THE FAA FORM; AND 2) THE WEBSITE ADDRESS WHERE COPIES OF THE FAP, FAA FORM AND PLS MAY BE OBTAINED. REASONABLE ATTEMPTS ARE MADE TO INFORM INDIVIDUALS ABOUT THE HOSPITAL FACILITY'S FAP IN ALL ORAL COMMUNICATIONS REGARDING THE AMOUNT DUE FOR THE INDIVIDUAL'S CARE. COPIES OF THE PLS ARE DISTRIBUTED TO MEMBERS OF THE COMMUNITY IN A MANNER REASONABLY CALCULATED TO REACH THOSE MEMBERS OF THE COMMUNITY WHO ARE MOST LIKELY TO REQUIRE FINANCIAL ASSISTANCE.
PART VI, LINE 4:	THE FILING ORGANIZATION CURRENTLY OPERATES 2 HOSPITAL FACILITIES, AMITA HEALTH ADVENTIST MEDICAL CENTER HINSDALE AND AMITA HEALTH ADVENTIST MEDICAL CENTER LA GRANGE. BOTH LOCATED IN ILLINOIS, THESE FACILITIES ARE MAJOR HEALTHCARE PROVIDERS IN THE COMMUNITIES THEY SERVE. AMITA HEALTH ADVENTIST MEDICAL CENTER HINSDALE (AHH) IS LOCATED IN HINSDALE, ILLINOIS. IT CURRENTLY OPERATES A HOSPITAL FACILITY AND IS LICENSED FOR 261 BEDS. IN ADDITION TO OPERATING A HOSPITAL, AHH ALSO OPERATES A CANCER TREATMENT CENTER, 2 IMAGING CENTERS, 2 OUTPATIENT REHABILITATION FACILITIES, 1 BEHAVIORAL HEALTH CENTER, 1 VASCULAR INTERVENTION CENTER, AND 1 FAMILY HEALTH MEDICINE CENTER. AHH IS A CRUCIAL COMMUNITY AND REGIONAL ASSET. IT IS THE ONLY TEACHING HOSPITAL IN DUPAGE COUNTY, ILLINOIS. MANY OF THE MEDICAL STAFF MEMBERS HOLD TEACHING POSITIONS AT CHICAGO'S PREMIER MEDICAL SCHOOLS AND ACADEMIC MEDICAL CENTERS, AND PARTICIPATE IN MEDICAL RESEARCH STUDIES AND CLINICAL TRIALS. PLEASE SEE OUR RESPONSE TO FORM 990 PART III, LINE 4A FOR A DETAILED EXPLANATION OF THE SERVICES AND PROGRAMS OFFERED BY AHH.IN THE HOSPITAL SERVICE AREA, THE POPULATION IS SLIGHTLY OLDER WITH 15.2% BEING OVER 65 AS COMPARED TO 13.9% IN ILLINOIS. THE HINSDALE HOSPITAL REGION IS SLIGHTLY MORE DIVERSE THAN AVERAGE, 18.5% OF THE POPULATION IS HISPANIC AS COMPARED TO 16.7% IN ALL OF ILLINOIS. THE COMMUNITY'S SOCIAL DETERMINANTS ARE POSITIVE, HAVING LESS POVERTY, LESS UNEMPLOYMENT AND A BETTER EDUCATED COMMUNITY THAN AVERAGE (PAGE 40). 6.9% OF THE POPULATION LIVES AT OR BELOW 100% OF THE POVERTY LEVEL AND 18.6% (INCLUSIVE) ARE AT OR BELOW 200% OF THE POVERTY LEVEL, REPRESENTING 168,845 INDIVIDUALS. APPROXIMATELY 44.6% OF AHH'S PATIENTS DURING 2018 WERE MEDICARE PATIENTS, ABOUT 9.8% WERE MEDICAID PATIENTS, ABOUT 1.2% WERE SELF-PAY PATIENTS, AND THE REMAINING PERCENTAGE WERE PATIENTS COVERED UNDER COMMERCIAL INSURANCE. IN 2018, ABOUT 53.6% OF AHH'S IN-PATIENTS WERE ADMITTED THROUGH AHH'S EMERGENCY DEPARTMENT.AMITA HEALTH ADVENTIST MEDICAL CENTER LA GRANGE (AHLG) IS A 222-BED FACILITY PROVIDING OUTPATIENT AND INPATIENT PRIMARY CARE, TRAUMA CARE AND WELLNESS SERVICES TO RESIDENTS OF CHICAGO'S WESTERN SUBURBS. AHLG IS A LEADER IN OFFERING COMPREHENSIVE ONCOLOGY SERVICES, ORTHOPEDIC SERVICES, ADVANCED CARDIAC CARE, WOMEN'S HEALTH AND MATERNITY CARE, EMERGENCY, GERIATRIC AND MANY OTHER SPECIALTIES THAT CATER TO THE COMMUNITIES IT SERVES. THE COMMUNITIES SERVED BY AHLG CONTAIN A HIGH SENIOR POPULATION. TO ADDRESS THE UNIQUE NEEDS OF ITS SERVICE AREA, AHLG OFFERS A BROAD SPECTRUM OF SERVICES DESIGNED TO MEET THE DIVERSE NEEDS OF AGING ADULTS. IN THE LA GRANGE HOSPITAL SERVICE AREA, THE POPULATION IS SLIGHTLY OLDER AND 31.7% OF THE POPULATION IS HISPANIC, A HIGH PERCENTAGE AS COMPARED TO 16.7% IN ILLINOIS AND 17.4% IN THE US. THE COMMUNITY'S SOCIAL DETERMINANTS ARE CHALLENGING, HAVING MORE POVERTY, MORE UNEMPLOYMENT AND A LESS EDUCATED COMMUNITY THAN AVERAGE IN COMPARISON TO THE MCHC REGION AND THE STATE. NEARLY 17% OF THE POPULATION LIVES AT OR BELOW 100% OF THE POVERTY LEVEL AND 36% ARE AT OR BELOW THE 200% OF THE POVERTY LEVEL, REPRESENTING 1,845,816 INDIVIDUALS. APPROXIMATELY 55.1% OF AHLG'S PATIENTS DURING 2018 WERE MEDICARE PATIENTS, ABOUT 10.6% WERE MEDICAID PATIENTS, ABOUT 1.8% WERE SELF-PAY PATIENTS, AND THE REMAINING PERCENTAGE WERE PATIENTS COVERED UNDER COMMERCIAL INSURANCE. IN 2018, ABOUT 80.9% OF ALGH'S IN-PATIENTS WERE ADMITTED THROUGH THE HOSPITAL'S EMERGENCY DEPARTMENT.
PART VI, LINE 5:	THE PROVISION OF COMMUNITY BENEFIT IS CENTRAL TO THE FILING ORGANIZATION'S MISSION OF SERVICE AND COMPASSION. RESTORING AND PROMOTING THE HEALTH AND QUALITY OF LIFE OF THOSE IN THE COMMUNITIES SERVED BY THE FILING ORGANIZATION IS A FUNCTION OF "EXTENDING THE HEALING MINISTRY OF CHRIST AND EMBODIES THE FILING ORGANIZATION'S COMMITMENT TO ITS VALUES AND PRINCIPLES. THE FILING ORGANIZATION COMMITS SUBSTANTIAL RESOURCES TO PROVIDE A BROAD RANGE OF SERVICES TO BOTH THE UNDERPRIVILEGED AS WELL AS THE BROADER COMMUNITY. IN ADDITION TO THE COMMUNITY BENEFIT AND COMMUNITY BUILDING INFORMATION PROVIDED IN PARTS I, II AND III OF THIS SCHEDULE H, THE FILING ORGANIZATION CAPTURES AND REPORTS THE BENEFITS PROVIDED TO ITS COMMUNITY THROUGH FAITH-BASED CARE. EXAMPLES OF SUCH BENEFITS INCLUDE THE COST ASSOCIATED WITH CHAPLAINCY CARE PROGRAMS AND MISSION PEER REVIEWS AND MISSION CONFERENCES. DURING THE CURRENT YEAR, THE FILING ORGANIZATION PROVIDED $1,595,070 OF BENEFIT WITH RESPECT TO THE FAITH-BASED AND SPIRITUAL NEEDS OF THE COMMUNITY IN CONJUNCTION WITH ITS OPERATION OF COMMUNITY HOSPITALS. THE FILING ORGANIZATION ALSO PROVIDES BENEFITS TO ITS COMMUNITY'S INFRASTRUCTURE BY INVESTING IN CAPITAL IMPROVEMENTS TO ENSURE THAT FACILITIES AND TECHNOLOGY PROVIDE THE BEST POSSIBLE CARE TO THE COMMUNITY. DURING THE CURRENT YEAR, THE FILING ORGANIZATION EXPENDED $36,374,157 IN NEW CAPITAL IMPROVEMENTS. AS FAITH-BASED MISSION-DRIVEN COMMUNITY HOSPITALS, THE FILING ORGANIZATION IS CONTINUALLY INVOLVED IN MONITORING ITS COMMUNITIES, IDENTIFYING UNMET HEALTH CARE NEEDS AND DEVELOPING SOLUTIONS AND PROGRAMS TO ADDRESS THOSE NEEDS. IN ACCORDANCE WITH ITS CONSERVATIVE APPROACH TO FISCAL RESPONSIBILITY, SURPLUS FUNDS OF THE FILING ORGANIZATION ARE CONTINUALLY BEING INVESTED IN RESOURCES THAT IMPROVE THE AVAILABILITY AND QUALITY OF DELIVERY OF HEALTH CARE SERVICES AND PROGRAMS TO ITS COMMUNITIES.
PART VI, LINE 6:	THE FILING ORGANIZATION IS A PART OF A FAITH-BASED HEALTHCARE SYSTEM OF ORGANIZATIONS WHOSE PARENT IS ADVENTIST HEALTH SYSTEM SUNBELT HEALTHCARE CORPORATION (AHSSHC). THE SYSTEM IS KNOWN AS ADVENTHEALTH. AHSSHC IS AN ORGANIZATION EXEMPT FROM FEDERAL INCOME TAX UNDER IRC SECTION 501(C)(3). AHSSHC AND ITS SUBSIDIARY ORGANIZATIONS OPERATE 44 HOSPITALS THROUGHOUT THE U.S., PRIMARILY IN THE SOUTHEASTERN PORTION OF THE U.S. AHSSHC AND ITS SUBSIDIARIES ALSO OPERATE 11 NURSING HOME FACILITIES AND OTHER ANCILLARY HEALTH CARE PROVIDER FACILITIES, SUCH AS AMBULATORY SURGERY CENTERS AND DIAGNOSTIC IMAGING CENTERS. THE FILING ORGANIZATION IS ALSO A COVERED AFFILIATE OF A JOINT OPERATING COMPANY THAT DOES BUSINESS UNDER THE NAME OF AMITA HEALTH. AMITA HEALTH HAS BEEN RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS A TAX-EXEMPT ORGANIZATION UNDER IRC SECTION 501(C)(3). AMITA HEALTH PROVIDES VARIOUS MANAGEMENT AND EXECUTIVE SUPPORT SERVICES TO THE FILING ORGANIZATION. THE PROVISION OF THESE EXECUTIVE AND SUPPORT SERVICES ON A CENTRALIZED BASIS BY AMITA HEALTH AND BY AHSSHC PROVIDES AN APPROPRIATE BALANCE BETWEEN PROVIDING THE HOSPITAL ORGANIZATION WITH MISSION-DRIVEN CONSISTENT LEADERSHIP AND SUPPORT WHILE ALLOWING THE HOSPITAL ORGANIZATION TO FOCUS ITS RESOURCES ON MEETING THE SPECIFIC HEALTH CARE NEEDS OF THE COMMUNITY IT SERVES. THE READER OF THIS FORM 990 SHOULD KEEP IN MIND THAT THIS REPORTING ENTITY MAY DIFFER IN CERTAIN AREAS FROM THAT OF A STAND-ALONE HOSPITAL ORGANIZATION DUE TO ITS INCLUSION AS A COVERED AFFILIATE OF AMITA HEALTH AND AS PART OF A LARGER SYSTEM OF HEALTHCARE ORGANIZATIONS. AS A PART OF A SYSTEM OF HOSPITALS AND OTHER HEALTH CARE ORGANIZATIONS, THE FILING ORGANIZATION BENEFITS FROM REDUCED COSTS DUE TO SYSTEM EFFICIENCIES, SUCH AS LARGE GROUP PURCHASING DISCOUNTS, AND THE AVAILABILITY OF INTERNAL RESOURCES SUCH AS INTERNAL LEGAL COUNSEL. AS A RESULT, MANAGEMENT FEE EXPENSE REPORTED BY THE FILING ORGANIZATION MAY APPEAR GREATER IN RELATION TO MANAGEMENT FEE EXPENSE THAT MAY BE REPORTED BY A SINGLE STAND-ALONE HOSPITAL. THE SINGLE STAND-ALONE HOSPITAL WOULD LIKELY REPORT COSTS ASSOCIATED WITH MANAGEMENT AND OTHER PROFESSIONAL SERVICES ON VARIOUS EXPENSE LINE ITEMS IN ITS STATEMENT OF REVENUE AND EXPENSE AS OPPOSED TO REPORTING SUCH COSTS IN ONE OVERALL MANAGEMENT FEE EXPENSE. AS THE REPORTING OF THE FORM 990 IS DONE ON AN ENTITY BY ENTITY BASIS, THERE IS NO SINGLE FORM 990 THAT CAPTURES THE PROGRAMS AND OPERATIONS OF ADVENTHEALTH OR OF AMITA HEALTH AS A WHOLE. THE READER IS DIRECTED TO VISIT THE WEB-SITE OF ADVENTHEALTH AT WWW.ADVENTHEALTH.COM TO LEARN MORE ABOUT THE MISSION AND OPERATIONS OF ADVENTHEALTH AND TO ACCESS WWW.AMITAHEALTH.ORG TO LEARN MORE ABOUT THE VISION AND SERVICES PROVIDED BY ALL ITS LOCATIONS.
PART VI, LINE 7, REPORTS FILED WITH STATES	IL

Schedule I IRS990ScheduleI

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

Recipient Table RecipientTable (9 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Purpose Of GrantPurposeOfGrantTxt	Non Cash AssistanceNonCashAssistanceAmt	Valuation Method UsedValuationMethodUsedDesc	Non Cash AssistanceNonCashAssistanceDesc
AGING CARE CONNECTIONS
111 W HARRIS AVE	LA GRANGE	IL	60525	362721289	501(C)(3)	$22,500	GENERAL SUPPORT
COMMUNITY NURSE HEALTH ASSOCIATION
23 CALENDAR AVE	LA GRANGE	IL	60525	362170869	501(C)(3)	$78,500	MEDICAL CARE FOR UNINSURED
DUPAGE HEALTH COALITION
511 THORNHILL DRIVE SUITE M	CAROL STREAM	IL	60188	364448208	501(C)(3)	$220,521	GENERAL SUPPORT
HINSDALE HOSPITAL FOUNDATION
7 SALT CREEK LANE	HINSDALE	IL	60521	521466387	501(C)(3)		PROVISION OF GENERAL ADMINISTRATIVE SUPPORT	$401,201	COST	GENERAL ADMINISTRATIVE SUPPORT
LA GRANGE MEMORIAL HOSPITAL FOUNDATION
5101 SOUTH WILLOW SPRINGS RD	LA GRANGE	IL	60525	300247776	501(C)(3)		PROVISION OF GENERAL ADMINISTRATIVE SUPPORT	$168,065	COST	GENERAL ADMINISTRATIVE SUPPORT
LAKE UNION CONFERENCE OF SEVENTH DAY ADVENTIST
PO BOX 287	BERRIEN SPRINGS	MI	49103	381474933	501(C)(3)	$8,868	GENERAL SUPPORT
THE DUPAGE COMMUNITY FOUNDATION
300 WOODCREEK DR 310	DOWNERS GROVE	IL	60515	363978733	501(C)(3)	$25,000	GENERAL SUPPORT
CHICAGO ZOOLOGICAL SOCIETY
3300 GOLF RD	BROOKFIELD	IL	60005	362167016	501(C)(3)	$25,000	GENERAL SUPPORT
ILLINOIS CONFERENCE OF SEVENTH DAY ADVENTIST
619 PLAINFIELD RD	WILLOWBROOK	IL	60527	362277365	501(C)(3)	$40,000	GENERAL SUPPORT

Field	Value	IRS element (for citing)
Total501c3 Org	9	Total501c3OrgCnt
Total Other Org	0	TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART I, LINE 2:	FormAndLineReferenceDesc
Explanation	GRANTS ARE GENERALLY MADE ONLY TO RELATED ORGANIZATIONS THAT ARE EXEMPT FROM FEDERAL INCOME TAX UNDER 501(C)(3), OR TO OTHER 501(C)(3) ORGANIZATIONS THAT ARE A PART OF THE GROUP EXEMPTION RULING ISSUED TO THE GENERAL CONFERENCE OF SEVENTH-DAY ADVENTISTS, OR TO OTHER 501(C)(3) COMMUNITY ORGANIZATIONS INVOLVED IN HEALTH-RELATED CAUSES. ACCORDINGLY, THE FILING ORGANIZATION HAS NOT ESTABLISHED SPECIFIC PROCEDURES FOR MONITORING THE USE OF GRANT FUNDS IN THE UNITED STATES AS THE FILING ORGANIZATION DOES NOT HAVE A GRANT MAKING PROGRAM THAT WOULD NECESSITATE SUCH PROCEDURES.	ExplanationTxt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Travel For Companions	Yes (X)	TravelForCompanionsInd
Idemnification Gross Up Pmts	Yes (X)	IdemnificationGrossUpPmtsInd
Discretionary Spending Acct	Yes (X)	DiscretionarySpendingAcctInd
Housing Allowance Or Residence	Yes (X)	HousingAllowanceOrResidenceInd
Written Policy Ref T And E Expnss	Yes (1)	WrittenPolicyRefTAndEExpnssInd
Substantiation Required	Yes (1)	SubstantiationRequiredInd
Severance Payment	Yes (1)	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (1)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	0	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	0	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	0	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	0	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	0	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	0	AnyNonFixedPaymentsInd
Initial Contract Exception	0	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (17 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
HAFFNER PHD RANDALL
DIR/CHAIRMAN	$0	$1,220,923	$0	$745,145	$0	$994,770	$0	$265,119	$0	$47,702	$0	$3,273,659	$0	$201,612
SNYDER BRENT G
DIRECTOR	$0	$738,163	$0	$401,708	$0	$343,463	$0	$135,669	$0	$46,664	$0	$1,665,667	$0	$110,994
THORDARSON THOR
DIR/PRES/SEC/COO	$596,055	$0	$208,791	$0	$40,049	$8,815	$14,849	$0	$27,004	$0	$886,748	$8,815	$0	$7,591
YANG MD ERIC
DIR/INTERIM CMO (BEG 7/18, END 12/18	$0	$240,000	$0	$0	$0	$235,676	$0	$14,849	$0	$442	$0	$490,967	$0	$0
PROVINCE STEVEN
PRES/CEO HINSDALE	$364,427	$0	$0	$0	$90,092	$0	$14,849	$0	$18,798	$0	$488,166	$0	$0	$0
MURRILL MICHAEL L
PRES/CEO LA GRANGE	$300,247	$0	$15,390	$0	$15,895	$0	$14,849	$0	$26,788	$0	$373,169	$0	$0	$0
MATHIS REBECCA
VP/CFO HINSDALE/LA GRANGE	$264,066	$0	$0	$0	$10,323	$9,214	$14,742	$0	$28,825	$0	$317,956	$9,214	$0	$8,134
MAYCOCK ADAM
VP/COO HINSDALE/LA GRANGE	$211,780	$0	$0	$0	$22,332	$0	$11,452	$0	$26,953	$0	$272,517	$0	$0	$0
CHEN MD BONNY
VP/CMO HINSDALE/LA GRANGE (END 7/18)	$222,353	$0	$0	$0	$19,493	$494	$19,607	$0	$17,419	$4,873	$278,872	$5,367	$0	$402
MURPHY MARY
CNO HINSDALE/LA GRANGE	$263,981	$0	$0	$0	$9,525	$15,346	$14,324	$0	$9,379	$0	$297,209	$15,346	$0	$13,561
RUSSELL DONALD
EVP/CHIEF HR OFFICER	$392,762	$0	$190,040	$0	$21,497	$190,721	$14,849	$0	$27,829	$0	$646,977	$190,721	$0	$13,202
CHRISTIAN BRUCE
PRES/CEO GLENOAKS/BOLINGBROOK	$394,796	$0	$59,925	$13,204	$22,028	$107,317	$15,192	$0	$18,209	$0	$510,150	$120,521	$0	$107,317
CARROLL RICHARD
VP/CMO GLENOAKS/BOLINGBROOK	$383,678	$0	$0	$0	$71,954	$32,014	$14,849	$0	$22,948	$0	$493,429	$32,014	$0	$25,736
ROEHR RICHARD
VP SYSTEM SERVICES	$292,891	$0	$0	$0	$10,800	$0	$14,849	$0	$29,313	$0	$347,853	$0	$0	$0
RADIVOJEVIC VLADIMIR
VP/COO GLENOAKS/BOLINGBROOK	$250,685	$0	$0	$0	$10,765	$0	$14,186	$0	$28,873	$0	$304,509	$0	$0	$0
CRANE DAVID
FORMER REGIONAL CEO	$0	$0	$0	$0	$0	$444,098	$0	$0	$0	$8,528	$0	$452,626	$0	$0
GOEBEL MICHAEL J
FORMER CEO	$0	$0	$0	$19,011	$0	$285,839	$0	$0	$0	$19,994	$0	$324,844	$0	$59,698

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE 1A	MEMBERS OF THE FILING ORGANIZATION'S EXECUTIVE MANAGEMENT TEAM THAT HOLD THE POSITION OF VICE-PRESIDENT OR ABOVE ARE COMPENSATED BY AND ON THE PAYROLL OF THE FILING ORGANIZATION. THE FILING ORGANIZATION IS A PART OF THE SYSTEM OF HEALTHCARE ORGANIZATIONS KNOWN AS ADVENTHEALTH (AH). THE TOP-TIER PARENT OF ADVENTHEALTH IS ADVENTIST HEALTH SYSTEM SUNBELT HEALTHCARE CORPORATION (AHSSHC). AHSSC IS EXEMPT FROM FEDERAL INCOME TAX UNDER IRC SECTION 501(C)(3). AS PART OF AH, THE FILING ORGANIZATION ADHERES TO CERTAIN AHSSHC POLICIES REGARDING ITS EXECUTIVES. TRAVEL FOR COMPANIONS: AHSSHC HAS A CORPORATE EXECUTIVE POLICY THAT PROVIDES A BENEFIT TO ALLOW FOR A TRAVELING EXECUTIVE TO HAVE HIS OR HER SPOUSE ACCOMPANY THE EXECUTIVE ON CERTAIN BUSINESS TRIPS EACH YEAR. TYPICALLY, REIMBURSEMENT IS ONLY PROVIDED TO CERTAIN EXECUTIVE LEADERS AND IS USUALLY LIMITED TO ONE BUSINESS TRIP PER YEAR BEYOND THE ANNUAL ADVENTHEALTH PRESIDENT'S COUNCIL BUSINESS MEETING AND OTHER MEETINGS WHERE THE SPOUSE IS SPECIFICALLY INVITED. THE AHSSHC CORPORATE EXECUTIVE SPOUSAL TRAVEL POLICY WAS ORIGINALLY APPROVED AND REVIEWED BY THE AHSSHC BOARD COMPENSATION COMMITTEE, AN INDEPENDENT BODY OF THE AHSSHC BOARD OF DIRECTORS. ALL SPOUSAL TRAVEL COSTS REIMBURSED TO THE EXECUTIVE ARE CONSIDERED TAXABLE COMPENSATION TO THE EXECUTIVE. TAX INDEMNIFICATION AND GROSS-UP PAYMENTS: ADVENTHEALTH HAS A SYSTEM-WIDE POLICY ADDRESSING GROSS-UP PAYMENTS PROVIDED IN CONNECTION WITH EMPLOYER-PROVIDED BENEFITS/OTHER TAXABLE ITEMS. UNDER THE POLICY, CERTAIN TAXABLE BUSINESS-RELATED REIMBURSEMENTS (I.E. TAXABLE BUSINESS-RELATED MOVING EXPENSES, TAXABLE ITEMS PROVIDED IN CONNECTION WITH EMPLOYMENT) PROVIDED TO ANY EMPLOYEE MAY BE GROSSED-UP AT A 25% RATE UPON APPROVAL BY THE FILING ORGANIZATION'S CEO AND CFO. ADDITIONALLY, EMPLOYEES AT THE DIRECTOR LEVEL AND ABOVE ARE ELIGIBLE FOR GROSS-UP PAYMENTS ON GIFTS RECEIVED FOR BOARD OF DIRECTOR SERVICES. DISCRETIONARY SPENDING ACCOUNT: A NOMINAL DISCRETIONARY SPENDING AMOUNT WAS PROVIDED IN THE CURRENT YEAR TO ALL ELIGIBLE EXECUTIVES WHO ATTEND THE ANNUAL ADVENTHEALTH PRESIDENT'S COUNCIL BUSINESS MEETING ($500 PER EXECUTIVE) OR THE ANNUAL ADVENTHEALTH CFO CONFERENCE OR CMO/CNO BUSINESS MEETING ($300 PER EXECUTIVE). OTHER DISCRETIONARY SPENDING ACCOUNTS MAY BE PROVIDED IN CONNECTION WITH OTHER ADVENTHEALTH SPONSORED CONFERENCES BUT TYPICALLY DO NOT EXCEED $200 PER PARTICIPANT. THE PAYMENT PROVIDED TO EACH EXECUTIVE WAS CONSIDERED TAXABLE COMPENSATION TO THE EXECUTIVE. HOUSING ALLOWANCE OR RESIDENCE FOR PERSONAL USE: IN PRIOR YEARS, AHSSHC PROVIDED HOUSING ASSISTANCE IN THE FORM OF A SHARED EQUITY INTEREST IN A RESIDENCE TO ELIGIBLE EXECUTIVES WHO WERE EXPECTED TO LIVE WITHIN THE IMMEDIATE PROXIMITY OF HOSPITAL FACILITIES LOCATED IN HIGH-COST COMMUNITIES. AS WITH ALL AHSSHC CORPORATE EXECUTIVE POLICIES, THE HOUSING BENEFIT POLICY WAS ORIGINALLY AUTHORIZED AND APPROVED BY THE AHSSHC BOARD COMPENSATION COMMITTEE, AN INDEPENDENT COMMITTEE OF THE AHSSHC BOARD OF DIRECTORS. THIS HOUSING ASSISTANCE POLICY WAS RETIRED IN 2018. AT THE TIME OF THE HOUSING ASSISTANCE POLICY'S RETIREMENT, THERE WAS ONLY ONE ELIGIBLE EXECUTIVE THAT IS LISTED ON PART VII OF THIS RETURN THAT REMAINS A PARTICIPANT IN THIS PROGRAM. THE APPROPRIATE ANNUAL DOLLAR AMOUNT OF THE HOUSING BENEFIT PROVIDED TO THE REMAINING ELIGIBLE EXECUTIVE IS TREATED AS TAXABLE COMPENSATION TO THE EMPLOYEE.
PART I, LINE 3	THE FILING ORGANIZATION IS A COVERED AFFILIATE OF THE JOINT OPERATING COMPANY, ALEXIAN BROTHERS-AHS MIDWEST REGION HEALTH CO. D/B/A AMITA HEALTH (AMITA). AMITA UTILIZES VARIOUS COMPARABILITY DATA IN ESTABLISHING COMPENSATION FOR THOSE EXECUTIVES THAT PERFORM SERVICES FOR AMITA AND FOR ONE OR MORE COVERED AFFILIATES. COMPARABILITY DATA UTILIZED INCLUDES COMPENSATION SURVEYS AND STUDIES AND THE FORMS 990 OF OTHER UNRELATED COMPARABLE ORGANIZATIONS. AMITA ALSO HAS A COMPENSATION COMMITTEE THAT APPROVES ALL RELEVANT EXECUTIVE COMPENSATION. THE COMPENSATION OF THE FILING ORGANIZATION'S CEO WAS DETERMINED AND APPROVED BY AMITA'S EXECUTIVE COMPENSATION COMMITTEE.
PART I, LINES 4A-B	LINE 4A: DURING THE YEAR ENDING DECEMBER 31, 2018, MICHAEL GOEBEL AND DAVID CRANE RECEIVED SEVERANCE PAYMENTS IN THE AMOUNTS OF $205,488 AND $444,433 RESPECTIVELY. PURSUANT TO THE AHSSHC CORPORATE EXECUTIVE POLICY GOVERNING EXECUTIVE SEVERANCE, SEVERANCE AGREEMENTS FOR EXECUTIVES OPERATING AT THE VICE PRESIDENT LEVEL AND ABOVE ARE ENTERED INTO UPON ELIGIBILITY TO FACILITATE THE TRANSITION TO SUBSEQUENT EMPLOYMENT FOLLOWING AN INVOLUNTARY SEPARATION FROM EMPLOYMENT WITH ADVENTHEALTH. LINE 4B: CERTAIN INDIVIDUALS LISTED ON FORM 990, PART VII, SECTION A, LINE 1A RECEIVED COMPENSATION IN 2018 FROM ADVENTIST HEALTH SYSTEM SUNBELT HEALTHCARE CORPORATION (AHSSHC), THE PARENT ORGANIZATION OF A HEALTHCARE SYSTEM KNOWN AS ADVENTHEALTH. BEGINNING IN 2018, CERTAIN EXECUTIVE EMPLOYEES WHO WERE PREVIOUSLY ON THE PAYROLL OF AHSSHC WERE TRANSFERRED TO THE PAYROLL OF THE FILING ORGANIZATION. CERTAIN EXECUTIVES WHO WERE PARTICIPANTS IN AHSSHC'S NON-QUALIFIED DEFERRED COMPENSATION PLAN RECEIVED TAXABLE AMOUNTS FROM THE PLAN IN 2018. A DESCRIPTION OF THE PLAN FOLLOWS. IN RECOGNITION OF THE CONTRIBUTION THAT EACH EXECUTIVE MAKES TO THE SUCCESS OF ADVENTHEALTH, ADVENTHEALTH PROVIDES TO ELIGIBLE EXECUTIVES PARTICIPATION IN THE ADVENTHEALTH EXECUTIVE FLEX BENEFIT PROGRAM (THE PLAN). THE PURPOSE OF THE PLAN IS TO OFFER ELIGIBLE EXECUTIVES AN OPPORTUNITY TO ELECT 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 PLAN PROVIDES ELIGIBLE PARTICIPANTS A PRE-DETERMINED BENEFITS ALLOWANCE CREDIT THAT IS EQUAL TO A PERCENTAGE OF THE EXECUTIVE'S BASE PAY FROM WHICH IS DEDUCTED THE COST OF MANDATORY AND ELECTIVE EMPLOYEE BENEFITS. THE PRE-DETERMINED BENEFITS ALLOWANCE CREDIT PERCENTAGE IS APPROVED BY THE AHSSHC BOARD COMPENSATION COMMITTEE, AN INDEPENDENT COMMITTEE OF THE BOARD OF DIRECTORS OF AHSSHC. ANY FUNDS THAT REMAIN AFTER THE COST OF MANDATORY AND ELECTIVE BENEFITS ARE SUBTRACTED FROM THE ANNUAL PRE-DETERMINED BENEFITS ALLOWANCE ARE CONTRIBUTED, AT THE EMPLOYEE'S OPTION, 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 DOCUMENTS DEFINE AN EMPLOYEE WHO IS ELIGIBLE TO PARTICIPATE IN THE PLAN TO GENERALLY INCLUDE THE CHIEF EXECUTIVE OFFICERS OF ADVENTHEALTH ENTITIES AND VICE PRESIDENTS OF ALL ADVENTHEALTH ENTITIES WHOSE BASE SALARY IS AT LEAST $250,000. 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 IS FORFEITED BY THE EXECUTIVE UPON A VOLUNTARY SEPARATION. IN ADDITION TO THE PLAN, ADVENTHEALTH HAS INSTITUTED 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. PARTICIPATION IN THE PLAN IS OFFERED TO ADVENTHEALTH EXECUTIVES 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) 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 THE SERP AND BY THE INDIVIDUAL'S YEAR OF ENTRY TO THE ADVENTHEALTH EXECUTIVE FLEX BENEFIT PROGRAM. ADDITIONALLY, ADVENTHEALTH HAS ADOPTED A SENIOR EXECUTIVE DEATH BENEFIT (SEDB) PLAN IN RECOGNITION OF THE CONSIDERABLE AGE AND SERVICE REQUIREMENTS IN THE SERP. THE SEDB PLAN PROVIDES A BENEFIT IN AN AMOUNT EQUAL TO THE AMOUNT THE EXECUTIVE'S BENEFIT WOULD HAVE BEEN UNDER THE SERP 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 PLAN WITH PRESENT VALUE RECOGNIZING AN EARLY BENEFIT COMMENCEMENT. 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 OF THE ELIGIBILITY REQUIREMENTS OF SERP AS OF THE EXECUTIVE'S DATE OF DEATH BUT WOULD HAVE SATISFIED ALL OF THOSE REQUIREMENTS WITHIN FIVE (5) YEARS FOLLOWING DEATH HAD THE EXECUTIVE LIVED AND CONTINUED EMPLOYMENT. THE SEDB PLAN WAS REVIEWED AND APPROVED BY THE AHSSHC BOARD COMPENSATION COMMITTEE, AN INDEPENDENT BODY OF THE AHSSHC BOARD OF DIRECTORS. FLEX PLAN FLEX PLAN/ SERP 457(B) CY CY EMPLOYER CY CONTRIB./ DISTRIBUTIONS* CONTRIB. DISTRIBUTIONS* PAYMENT ------------------------------------------------------- RICHARD CARROLL, MD $ 0 $ 32,014 $ 0 $ 0 BONNY CHEN $ 0 $ 494 $ 0 $ 0 MICHAEL GOEBEL $ 0 $ 76,842 $ 0 $ 0 RANDALL HAFFNER, PHD $250,270 $ 267,057 $ 657,852 $ 0 REBECCA MATHIS $ 0 $ 9,214 $ 0 $ 0 MARY MURPHY $ 0 $ 15,346 $ 0 $ 0 BRENT G. SNYDER $139,320 $112,373 $ 144,701 $ 0 THOR THORDARSON $ 0 $ 8,815 $ 0 $ 0 BRUCE CHRISTIAN $ 0 $ 0 $ 0 $ 107,317 DONALD RUSSELL $ 0 $ 11,737 $ 178,984 $ 0 *INCLUDING INVESTMENT EARNINGS

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (15 entries)

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PART III, LINE 4A - CONTINUATION FOR AMITA HEALTH HINSDALE	AMITA HEALTH HINSDALE CLINICAL INSTITUTES AMITA HEALTH CANCER INSTITUTE & OUTPATIENT CENTER: AMITA HEALTH HINSDALE INCLUDES THE AMITA HEALTH CANCER INSTITUTE & OUTPATIENT CENTER (THE CENTER), WHICH OPENED IN HINSDALE IN FEBRUARY 2016. THE 54,000-SQUARE-FOOT CENTER PROVIDES A CENTRALIZED LOCATION FOR PATIENTS ON THEIR JOURNEY FROM DIAGNOSIS TO RECOVERY, CONSOLIDATING INTO ONE FACILITY A COMPREHENSIVE RANGE OF SERVICES FORMERLY SCATTERED ACROSS AMITA HEALTH HINSDALE AND AMITA HEALTH LA GRANGE. PATIENTS VISITING THE CENTER CAN SEE THEIR PHYSICIAN, HAVE LAB WORK PERFORMED, AND RECEIVE CHEMOTHERAPY AND RADIATION TREATMENTS IN A COMFORTING, HEALING ENVIRONMENT FEATURING STATE-OF-THE-ART TECHNOLOGY. HAVING A COMPREHENSIVE ARRAY OF SERVICES UNDER ONE ROOF FACILITATES COORDINATION OF TREATMENT AMONG MULTIDISCIPLINARY TEAM MEMBERS WHILE SAVING TIME AND REDUCING STRESS FOR PATIENTS. THE CENTER'S DESIGN AND ITS EMPHASIS ON PATIENT CONVENIENCE REFLECT THE INPUT OF CANCER SURVIVORS, PHYSICIANS AND ASSOCIATES CALLED UPON FOR THEIR IDEAS AS PLANS FOR THE FACILITY WERE DEVELOPED. THE FACILITY'S FIRST FLOOR IS DEDICATED TO CANCER TREATMENT, AND ITS SECOND FLOOR OFFERS OUTPATIENT IMAGING SERVICES, SUCH AS MAMMOGRAPHY, ULTRASOUND AND X-RAY. THE FACILITY HAS SEPARATE ENTRANCES FOR THE TWO DIFFERENT GROUPS OF PATIENTS IT SERVES. THE CENTER FEATURES TWO LINEAR ACCELERATORS FOR RADIATION TREATMENT AND 28 CHEMOTHERAPY INFUSION CHAIRS, INCLUDING 17 IN PRIVATE ROOMS, FOUR IN SEMI-PRIVATE ROOMS, AND SEVEN IN COMMUNITY ROOMS DESIGNED TO FOSTER PATIENT-TO-PATIENT SUPPORT AND COMMUNICATION. THE CENTER ALSO HAS 21 EXAM ROOMS FOR DOCTOR-PATIENT CONSULTATIONS, A TESTING LABORATORY AND A PHARMACY SPECIALIZING IN CHEMOTHERAPY. ANOTHER CONVENIENCE IS THE CENTER'S WELLNESS HOUSE OFFICE. WELLNESS HOUSE IS A NOT-FOR-PROFIT ORGANIZATION THAT OFFERS AN EXTENSIVE ARRAY OF SUPPORT SERVICES FOR PEOPLE LIVING WITH CANCER. THE OFFICE REFLECTS THE CENTER'S FOCUS ON PROVIDING "ADJACENCIES, OR CLOSELY RELATED SERVICES, IN ONE CONVENIENT SETTING. OTHER ADJACENCIES OFFERED AT THE FACILITY INCLUDE NUTRITION COUNSELING AND GENETIC COUNSELING. AMITA HEALTH HINSDALE SERVICES DIAGNOSTIC SERVICES: AMITA HEALTH HINSDALE'S DIAGNOSTIC SERVICES INCLUDE THE LATEST TECHNOLOGY AND PRACTICES, WHICH ARE ACCREDITED BY NATIONALLY AND STATE RECOGNIZED AGENCIES AND ASSOCIATIONS, SUCH AS THE ILLINOIS EMERGENCY MANAGEMENT AGENCY, THE AMERICAN COLLEGE OF RADIOLOGY, THE COLLEGE OF AMERICAN PATHOLOGISTS, THE CLINICAL LABORATORY IMPROVEMENT AMENDMENTS AND THE JOINT COMMISSION. DIAGNOSTIC SERVICES OFFERED INCLUDE: -- DIAGNOSTIC IMAGING (GENERAL X-RAY, CT, MRI, PET, ULTRASOUND, NUCLEAR MEDICINE) -- BREAST-CARE SERVICES (SCREENING AND 3-D DIAGNOSTIC MAMMOGRAPHY, BREAST BIOPSY ULTRASOUND, STEREOTACTIC BREAST BIOPSY, BONE DENSITOMETRY, GENETIC COUNSELING, MAMMACARE BREAST SELF-EXAMINATION INSTRUCTIONS) -- CARDIOLOGY (CARDIAC CATHETERIZATION, ELECTROPHYSIOLOGY, ELECTROCARDIOGRAMS [EKGS], STRESS TESTING, ECHOCARDIOGRAPHY, HOLTER MONITORING OF ARRHYTHMIAS) -- PULMONARY DIAGNOSTICS (ARTERIAL BLOOD GAS ANALYSIS) -- GASTROENTEROLOGY (COLONOSCOPY, BRONCHOSCOPY) -- LABORATORY/PATHOLOGY (CHEMISTRY, MICROBIOLOGY, HEMATOLOGY, HISTOLOGY, CYTOLOGY, PHLEBOTOMY, TRANSFUSION SERVICES) EMERGENCY DEPARTMENT: EMERGENCY MEDICAL CARE IS PROVIDED 24/7 FOR ALL AGES AND TYPES OF PATIENTS, REGARDLESS OF THEIR ABILITY TO PAY FOR SUCH SERVICES. OUTPATIENT SERVICES PERFORMED IN 2018: -- 3,795 OUTPATIENT SURGERIES -- 61,555 DIAGNOSTIC IMAGES, INCLUDING GENERAL X-RAY, CT, MRI, PET, ULTRASOUND, NUCLEAR MEDICINE AND OTHERS -- 733,927 LABORATORY TESTS -- 27,110 EMERGENCY ROOM VISITS.
PART III, LINE 4A - FOR AMITA HEALTH LA GRANGE	AMITA HEALTH ADVENTIST MEDICAL CENTER LA GRANGE (AMITA HEALTH LA GRANGE, OR THE HOSPITAL) IS A 222-BED ACUTE-CARE HOSPITAL IN LA GRANGE, ILLINOIS, THAT HAS SERVED THE HEALTHCARE NEEDS OF THE LA GRANGE COMMUNITY AND SURROUNDING AREAS SINCE 1955. LOCATED AT 5101 SOUTH WILLOW SPRINGS ROAD, AMITA HEALTH LA GRANGE IS A FULL-SERVICE HOSPITAL THAT INCLUDES A MEDICAL OFFICE BUILDING ON ITS CAMPUS IN LA GRANGE, AS WELL AS THE AMITA HEALTH CANCER INSTITUTE & OUTPATIENT CENTER IN HINSDALE. IN ADDITION TO CANCER CARE, OTHER SPECIALTY CARE AND SERVICES OFFERED BY THE HOSPITAL INCLUDE CLINICAL RESEARCH TRIALS, EMERGENCY SERVICES, ENDOCRINOLOGY, GERIATRICS, GASTROENTEROLOGY, HEART AND VASCULAR, HOME HEALTH, HOSPICE, IMAGING, INTERVENTIONAL RADIOLOGY, LAB SERVICES, NEUROLOGY, OBSTETRICS, ORTHOPEDICS, PASTORAL CARE, PEDIATRICS, PHYSICAL REHABILITATION, RHEUMATOLOGY, SLEEP DISORDERS, SURGICAL SERVICES, UROLOGY, WOMEN'S CARE AND WOUND CARE. THE HOSPITAL HAS AN IMAGING FACILITY IN WESTCHESTER, ILLINOIS, AND OPERATES AN OUTPATIENT PHYSICAL REHABILITATION SITE IN WILLOWBROOK, ILLINOIS, IN PARTNERSHIP WITH PT SOLUTIONS. THE HOSPITAL HAS A 16-BED ACUTE INPATIENT REHABILITATION UNIT THAT INCLUDES AN APARTMENT WHERE THERAPISTS TRAIN PATIENTS TO RESUME DAILY LIVING ACTIVITIES. A 2016 EXPANSION AND RENOVATION OF THE HOSPITAL'S EMERGENCY DEPARTMENT INCREASED THE NUMBER OF TREATMENT BAYS FROM 16 TO 23. EACH BAY IS A PRIVATE ROOM ENCLOSED WITH SOLID WALLS AND A DOOR, INSTEAD OF THE THIN CURTAINS THAT HAD SEPARATED BAYS IN THE OLD EMERGENCY DEPARTMENT. THE NEW EMERGENCY DEPARTMENT ALSO FEATURES A FAST-TRACK AREA FOR PATIENTS WITH MORE-MINOR EMERGENCIES TO DECREASE WAIT TIMES FOR THOSE PATIENTS AND TO FREE UP EXAM ROOMS FOR MORE-SERIOUS CASES. THROUGH THE YEARS, AMITA HEALTH LA GRANGE HAS BUILT NUMEROUS PARTNERSHIPS WITH COMMUNITY ORGANIZATIONS TO ADDRESS LOCAL HEALTHCARE NEEDS. ADDRESSING THE NEEDS OF OLDER ADULTS IS A KEY FOCUS FOR THE HOSPITAL, WHICH SERVES A LARGE MEDICARE POPULATION. AMITA HEALTH LA GRANGE HAS A SPECIAL COLLABORATIVE RELATIONSHIP WITH SISTER HOSPITAL AMITA HEALTH ADVENTIST MEDICAL CENTER HINSDALE (AMITA HEALTH HINSDALE) IN HINSDALE, ILLINOIS. ABOUT TWO MILES SEPARATE THE HOSPITALS, AND BECAUSE OF THEIR PROXIMITY TO EACH OTHER, THEY HAVE WORKED TO INTEGRATE THEIR SERVICES AND TO WORK COLLABORATIVELY INSTEAD OF COMPETING AGAINST EACH OTHER. THE HOSPITALS SHARE THE SAME SENIOR MANAGEMENT TEAM, DEPARTMENT LEADERS, AND MEDICAL STAFF, AND THEY PARTNERED TO DEVELOP THE AMITA HEALTH CANCER INSTITUTE AND OUTPATIENT CENTER, WHICH OPENED IN 2016 IN HINSDALE. THE INTEGRATION PROCESS HAS REDUCED OPERATING COSTS FOR THE TWO HOSPITALS, AND THEY HAVE REINVESTED THE SAVINGS TO EXPAND AND ENHANCE SERVICES. THE TWO HOSPITALS ALSO OPERATE A FAMILY-PRACTICE RESIDENCY PROGRAM IN WHICH MEDICAL-SCHOOL GRADUATES SERVE THEIR RESIDENCIES, DOING CLINICAL ROTATIONS, CARING FOR 18,000 PATIENTS ANNUALLY -- INCLUDING MANY MEDICAID RECIPIENTS -- AT A PRIMARY-CARE CLINIC AT AMITA HEALTH HINSDALE, AND PROVIDING OBSTETRICAL SERVICES AT A DUPAGE COUNTY HEALTH DEPARTMENT CLINIC IN WESTMONT. THE PROGRAM IS A CONSISTENT SOURCE OF FAMILY-PRACTICE PHYSICIANS FOR THE COMMUNITY. AMITA HEALTH LA GRANGE IS CERTIFIED BY THE JOINT COMMISSION AND THE AMERICAN HEART ASSOCIATION/AMERICAN STROKE ASSOCIATION AS A PRIMARY STROKE CENTER AND HAS RECEIVED NATIONAL QUALITY APPROVAL FROM THE JOINT COMMISSION. THE BLUE CROSS AND BLUE SHIELD ASSOCIATION HAS AWARDED ITS BLUE DISTINCTION CENTER+ DESIGNATION TO THE HOSPITAL FOR DELIVERING SAFE, HIGH-QUALITY AND COST-EFFICIENT MATERNITY CARE. IN DECEMBER 2017, AMITA HEALTH LA GRANGE EARNED A FIVE-STAR RATING - THE HIGHEST POSSIBLE - IN RATINGS POSTED ON THE CENTERS FOR MEDICARE & MEDICAID SERVICES' HOSPITAL COMPARE WEBSITE. THE HOSPITAL EARNED AN "A," THE HIGHEST POSSIBLE SCORE, IN THE SPRING 2017 AND FALL 2017 EDITIONS OF THE LEAPFROG GROUP'S BIANNUAL HOSPITAL SAFETY GRADE STUDY. IN ADDITION, AMITA HEALTH LA GRANGE WAS RATED AS HIGH-PERFORMING IN TWO ADULT PROCEDURES/CONDITIONS (CHRONIC OBSTRUCTIVE PULMONARY DISEASE AND HEART FAILURE) IN U.S. NEWS & WORLD REPORT'S 2017-2018 BEST HOSPITALS REPORT. ALSO IN 2017, AMINO, A SAN FRANCISCO-BASED HEALTHCARE DATA COMPANY, RANKED AMITA HEALTH LA GRANGE 11TH IN THE COMPANY'S RANKINGS OF THE CHICAGO AREA'S TOP 12 BEST VALUE HOSPITALS. IN 2018, AMITA HEALTH LA GRANGE TREATED 7,843 INPATIENTS, PERFORMED 1,532 INPATIENT SURGERIES AND DELIVERED 137 BABIES. THE HOSPITAL'S MEDICAL STAFF INCLUDES 728 PHYSICIANS REPRESENTING MORE THAN 606 MEDICAL AND SURGICAL SPECIALTIES. AMITA HEALTH LA GRANGE PROVIDES CARE FOR ALL, INCLUDING THE FINANCIALLY DISADVANTAGED, UNINSURED, UNDERINSURED, HOMELESS AND THOSE WHO RECEIVE PUBLIC AID. IN 2018, AMITA HEALTH LA GRANGE PROVIDED $1,320,568 OF CHARITY CARE AT COST. THIS WAS IN ADDITION TO $5,433,186 IN COMMUNITY EDUCATION COSTS, INCLUDING THE HOSPITAL'S RESIDENCY PROGRAM, $86,000 IN OTHER COMMUNITY BENEFITS SERVICES, $1,858,783 OF BAD DEBT EXPENSE AT COST, AND $3,134,497 OF UNREIMBURSED MEDICAID AT COST. ABOUT ADVENTIST MIDWEST HEALTH THE TOP-TIER PARENT OF THE FILING ORGANIZATION, ADVENTIST HEALTH SYSTEM SUNBELT HEALTHCARE CORPORATION, OWNS A REGIONAL HEALTH SYSTEM WHICH INCLUDES A NETWORK OF FOUR NOT-FOR-PROFIT HOSPITALS AND THEIR OUTPATIENT-BASED HEALTHCARE FACILITIES OPERATING IN CHICAGO'S WESTERN SUBURBS. THE FOUR NOT-FOR-PROFIT CHICAGO HOSPITALS TAKE A HOLISTIC APPROACH TO WELLNESS, ADDRESSING THE PHYSICAL, MENTAL, SOCIAL AND SPIRITUAL NEEDS OF THE PEOPLE IT SERVES. THE FOUR HOSPITALS AND OTHER FACILITIES ARE INTEGRAL TO THE FABRIC OF THEIR COMMUNITIES. THE HOSPITALS PARTNER WITH LOCAL CIVIC ORGANIZATIONS AND BUSINESSES TO BRING STATE-OF-THE-ART TREATMENTS AND PREVENTIVE HEALTHCARE SERVICES CLOSE TO WHERE PEOPLE LIVE AND WORK. AS PART OF ADVENTHEALTH, THE LARGEST, NOT-FOR-PROFIT PROTESTANT HOSPITAL SYSTEM IN THE NATION, THE FILING ORGANIZATION IS GROUNDED IN CHRISTIAN VALUES AND COMMITTED TO EXTENDING THE HEALING MINISTRY OF CHRIST. THE FILING ORGANIZATION WELCOMES PATIENTS FROM ANY RELIGIOUS DENOMINATION AS WELL AS PATIENTS WHO DO NOT ASCRIBE TO ANY RELIGION. IN FEBRUARY 2015, AMH AND ALEXIAN BROTHERS HEALTH SYSTEM (ABHS) FORMED A JOINT OPERATING COMPANY (JOC). A JOC ALLOWS SEPARATE OWNERS TO INTEGRATE OPERATIONS TO ACHIEVE A COMMON GOAL WHILE MAINTAINING SEPARATE OWNERSHIP OF ASSETS. IT ALSO ALLOWS AMH AND ABHS TO WORK IN UNISON WHILE PRESERVING THE ADVENTIST AND CATHOLIC IDENTITIES AND MISSION PRIORITIES THAT DEFINE AMH AND ABHS, RESPECTIVELY. IN APRIL 2015, ALEXIAN BROTHERS-AHS MIDWEST REGION HEALTH CO., D/B/A AMITA HEALTH, WAS ANNOUNCED AS THE NEW NAME OF THE JOC. THE NAME AMITA IS INSPIRED BY THE MEANING IT HAS IN SEVERAL LANGUAGES -- FRIENDSHIP IN ITALIAN, HONESTY AND TRUTH IN HEBREW, AND SPIRITUAL LIGHT AND BOUNDLESSNESS IN HINDI. THE NAME REFLECTS AMITA HEALTH'S FAITH-BASED CALL TO HEALING, ITS CORE VALUES, AND THE COMPASSION AND DEDICATION THAT ITS CAREGIVERS SHOW EVERY DAY TO PATIENTS, THEIR FAMILIES AND EACH OTHER.
PART III, LINE 4A - CONTINUATION FOR AMITA HEALTH LA GRANGE	AMITA HEALTH LA GRANGE CLINICAL INSTITUTES AMITA HEALTH CANCER INSTITUTE & OUTPATIENT CENTER: AMITA HEALTH LA GRANGE INCLUDES THE AMITA HEALTH CANCER INSTITUTE & OUTPATIENT CENTER (THE CENTER), WHICH OPENED IN HINSDALE IN FEBRUARY 2016. THE 54,000-SQUARE-FOOT CENTER PROVIDES A CENTRALIZED LOCATION FOR PATIENTS ON THEIR JOURNEY FROM DIAGNOSIS TO RECOVERY, CONSOLIDATING INTO ONE FACILITY A COMPREHENSIVE RANGE OF SERVICES FORMERLY SCATTERED ACROSS AMITA HEALTH HINSDALE AND AMITA HEALTH LA GRANGE. PATIENTS VISITING THE CENTER CAN SEE THEIR PHYSICIAN, HAVE LAB WORK PERFORMED, AND RECEIVE CHEMOTHERAPY AND RADIATION TREATMENTS IN A COMFORTING, HEALING ENVIRONMENT FEATURING STATE-OF-THE-ART TECHNOLOGY. HAVING A COMPREHENSIVE ARRAY OF SERVICES UNDER ONE ROOF FACILITATES COORDINATION OF TREATMENT AMONG MULTIDISCIPLINARY TEAM MEMBERS WHILE SAVING TIME AND REDUCING STRESS FOR PATIENTS. THE CENTER'S DESIGN AND ITS EMPHASIS ON PATIENT CONVENIENCE REFLECT THE INPUT OF CANCER SURVIVORS, PHYSICIANS AND ASSOCIATES CALLED UPON FOR THEIR IDEAS AS PLANS FOR THE FACILITY WERE DEVELOPED. THE FACILITY'S FIRST FLOOR IS DEDICATED TO CANCER TREATMENT, AND ITS SECOND FLOOR OFFERS OUTPATIENT IMAGING SERVICES, SUCH AS MAMMOGRAPHY, ULTRASOUND AND X-RAY. THE FACILITY HAS SEPARATE ENTRANCES FOR THE TWO DIFFERENT GROUPS OF PATIENTS IT SERVES. THE CENTER FEATURES TWO LINEAR ACCELERATORS FOR RADIATION TREATMENT AND 28 CHEMOTHERAPY INFUSION CHAIRS, INCLUDING 17 IN PRIVATE ROOMS, FOUR IN SEMI-PRIVATE ROOMS, AND SEVEN IN COMMUNITY ROOMS DESIGNED TO FOSTER PATIENT-TO-PATIENT SUPPORT AND COMMUNICATION. THE CENTER ALSO HAS 21 EXAM ROOMS FOR DOCTOR-PATIENT CONSULTATIONS, A TESTING LABORATORY AND A PHARMACY SPECIALIZING IN CHEMOTHERAPY. ANOTHER CONVENIENCE IS THE CENTER'S WELLNESS HOUSE OFFICE. WELLNESS HOUSE IS A NOT-FOR-PROFIT ORGANIZATION THAT OFFERS AN EXTENSIVE ARRAY OF SUPPORT SERVICES FOR PEOPLE LIVING WITH CANCER. THE OFFICE REFLECTS THE CENTER'S FOCUS ON PROVIDING "ADJACENCIES, OR CLOSELY RELATED SERVICES, IN ONE CONVENIENT SETTING. OTHER ADJACENCIES OFFERED AT THE FACILITY INCLUDE NUTRITION COUNSELING AND GENETIC COUNSELING. AMITA HEALTH LA GRANGE SERVICES DIAGNOSTIC SERVICES: AMITA HEALTH LA GRANGE'S DIAGNOSTIC SERVICES INCLUDE THE LATEST TECHNOLOGY AND PRACTICES, WHICH ARE ACCREDITED BY NATIONALLY AND STATE RECOGNIZED AGENCIES AND ASSOCIATIONS, SUCH AS THE ILLINOIS EMERGENCY MANAGEMENT AGENCY, THE AMERICAN COLLEGE OF RADIOLOGY, THE COLLEGE OF AMERICAN PATHOLOGISTS, THE CLINICAL LABORATORY IMPROVEMENT AMENDMENTS AND THE JOINT COMMISSION. DIAGNOSTIC SERVICES OFFERED INCLUDE: -- DIAGNOSTIC IMAGING (GENERAL X-RAY, CT, MRI [INCLUDING OPEN MRI], PET, ULTRASOUND, NUCLEAR MEDICINE) -- BREAST-CARE SERVICES (SCREENING AND 3-D DIAGNOSTIC MAMMOGRAPHY, BREAST BIOPSY ULTRASOUND, STEREOTACTIC BREAST BIOPSY, BONE DENSITOMETRY, GENETIC COUNSELING, MAMMACARE BREAST SELF-EXAMINATION INSTRUCTIONS) -- CARDIOLOGY (CARDIAC CATHETERIZATION, ELECTROPHYSIOLOGY, ELECTROCARDIOGRAMS [EKGS], STRESS TESTING, ECHOCARDIOGRAPHY, HOLTER MONITORING OF ARRHYTHMIAS) -- PULMONARY DIAGNOSTICS (ARTERIAL BLOOD GAS ANALYSIS) -- GASTROENTEROLOGY (COLONOSCOPY, BRONCHOSCOPY) -- LABORATORY/PATHOLOGY (CHEMISTRY, MICROBIOLOGY, HEMATOLOGY, HISTOLOGY, CYTOLOGY, PHLEBOTOMY, TRANSFUSION SERVICES) EMERGENCY DEPARTMENT: EMERGENCY MEDICAL CARE IS PROVIDED 24/7 FOR ALL AGES AND TYPES OF PATIENTS, REGARDLESS OF THEIR ABILITY TO PAY FOR SUCH SERVICES. OUTPATIENT SERVICES PERFORMED IN 2018: -- 2,610 OUTPATIENT SURGERIES -- 50,261 DIAGNOSTIC IMAGES, INCLUDING GENERAL X-RAY, CT, MRI, PET, ULTRASOUND, NUCLEAR MEDICINE AND OTHERS -- 179,210 LABORATORY TESTS -- 31,811 EMERGENCY ROOM VISITS. INPATIENT REHABILITATION SERVICES PERFORMED IN 2018: -- 515 INPATIENTS WERE TREATED
FORM 990, PART VI, SECTION A, LINE 6	ADVENTIST MIDWEST HEALTH (THE FILING ORGANIZATION) HAS ONE MEMBER. THE SOLE MEMBER OF THE FILING ORGANIZATION IS ADVENTIST HEALTH SYSTEM/SUNBELT, INC. (AHSSI). AHSSI IS A FLORIDA, NOT-FOR-PROFIT CORPORATION THAT IS EXEMPT FROM FEDERAL INCOME TAX UNDER INTERNAL REVENUE CODE (IRC) SECTION 501(C)(3). THERE ARE NO OTHER CLASSES OF MEMBERSHIP IN THE FILING ORGANIZATION.
FORM 990, PART VI, SECTION A, LINE 7A	THE MEMBERS OF THE BOARD OF DIRECTORS (GOVERNING BOARD) OF THE FILING ORGANIZATION ARE APPOINTED BY THE CORPORATE MEMBER, ADVENTIST HEALTH SYSTEM/SUNBELT, INC. THE CORPORATE MEMBER IS ENTITLED TO ELECT NOT LESS THAN EIGHTEEN (18) AND NO MORE THAN TWENTY THREE (23) VOTING MEMBERS TO THE BOARD OF DIRECTORS OF THE FILING ORGANIZATION PURSUANT TO THE PROVISIONS OF THE BYLAWS, SUBJECT TO THE RATIFICATION OF THE AMITA HEALTH BOARD OF DIRECTORS.
FORM 990, PART VI, SECTION A, LINE 7B	THE FILING ORGANIZATION IS ONE OF TWO MEMBERS AND IS A COVERED AFFILIATE OF THE JOC KNOWN AS AMITA HEALTH. THE OTHER MEMBER OF AMITA HEALTH IS ALEXIAN BROTHERS HEALTH SYSTEM. THE SOLE MEMBER OF THE FILING ORGANIZATION IS ADVENTIST HEALTH SYSTEM/SUNBELT, INC. (AHSSI). THE TOP-TIER PARENT OF AMH IS AHSSHC (SPONSOR). THE GOVERNING DOCUMENTS OF THE FILING ORGANIZATION PROVIDE FOR CERTAIN RESERVED POWERS TO EXERCISE FINANCIAL, MANAGERIAL, AND OPERATIONAL AUTHORITIES OVER THE FILING ORGANIZATION BY AHSSHC, AS SPONSOR, BY AHSSI AS MEMBER, BY BOTH MEMBERS OF THE JOC, NAMELY, AMH AND ALEXIAN BROTHERS HEALTH SYSTEM (MEMBERS), AND BY THE BOARD OF DIRECTORS OF THE JOC. CERTAIN GOVERNANCE POWERS ARE RESERVED TO AHSSI AS THE MEMBER OF THE FILING ORGANIZATION. THESE RESERVED POWERS INCLUDE THE ALTERATION, RESTATEMENT OR REPEAL OF THE ARTICLES OF INCORPORATION, BYLAWS OR MISSION STATEMENT OF THE FILING ORGANIZATION, PROVIDED THAT SUCH ACTIONS ARE NOT INCONSISTENT WITH THE JOC BYLAWS OR THE AFFILIATION AGREEMENT AND THE APPOINTMENT OF THE FILING ORGANIZATION'S BOARD OF DIRECTORS, SUBJECT TO THE RATIFICATION OF THE JOC BOARD OF DIRECTORS. FINANCIAL AUTHORITIES RESERVED TO THE SPONSOR, THE BOARD OF DIRECTORS OF THE JOC, AND BY BOTH MEMBERS OF THE JOC INCLUDE THE APPROVAL OF ANY DISPOSITION OF THE FILING ORGANIZATION'S ASSETS AND ANY INTERNAL TRANSFER OF THE FILING ORGANIZATION'S ASSETS. THE SPONSOR, THE BOARD OF DIRECTORS OF THE JOC, AND BOTH MEMBERS OF THE JOC MAY APPROVE SUCH DISPOSITIONS OR TRANSFERS UP TO ESTABLISHED ASSET DOLLAR VALUES AS SET FORTH IN THE BYLAWS OF THE FILING ORGANIZATION. ANNUAL OPERATING AND CAPITAL BUDGETS OF THE FILING ORGANIZATION MUST BE RATIFIED BY BOTH SPONSORS OF THE JOC. THE BOARD OF DIRECTORS OF THE JOC MUST APPROVE ANY CAPITAL EXPENDITURE TO BE MADE BY THE FILING ORGANIZATION IN EXCESS OF $10 MILLION. OPERATIONAL AUTHORITIES RESERVED TO THE BOARD OF DIRECTORS OF THE JOC INCLUDE THE DETERMINATION OF THE SERVICES TO BE PROVIDED BY THE FILING ORGANIZATION, INCLUDING THE AUTHORITY TO DIRECT THE EXPANSION, REDUCTION AND CONSOLIDATION OF CLINICAL PROGRAMS, PATIENT CARE SERVICES AND ADMINISTRATIVE CAPABILITIES OR OTHER MAJOR CHANGES IN THE OPERATION OF THE FILING ORGANIZATION.
FORM 990, PART VI, SECTION B, LINE 11B	THE FILING ORGANIZATION'S CURRENT YEAR FORM 990 WAS REVIEWED BY THE BOARD CHAIRMAN, 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 CONFLICT OF INTERESTS, ANY MEMBER OF THE BOARD OF DIRECTORS OF THE FILING ORGANIZATION OR ANY PRINCIPAL OFFICER OF THE FILING ORGANIZATION (I.E. INTERESTED PERSONS) MUST DISCLOSE THE EXISTENCE OF ANY FINANCIAL INTEREST WITH THE FILING ORGANIZATION AND MUST BE GIVEN THE OPPORTUNITY TO DISCLOSE ALL MATERIAL FACTS CONCERNING THE FINANCIAL INTEREST/ARRANGEMENT TO THE BOARD OF DIRECTORS OF THE FILING ORGANIZATION OR TO ANY MEMBERS OF A COMMITTEE WITH BOARD DELEGATED POWERS THAT IS CONSIDERING THE PROPOSED TRANSACTION OR ARRANGEMENT. SUBSEQUENT TO ANY DISCLOSURE OF ANY FINANCIAL INTEREST/ARRANGEMENT AND ALL MATERIAL FACTS, AND AFTER ANY DISCUSSION WITH THE RELEVANT BOARD MEMBER OR PRINCIPAL OFFICER, THE REMAINING MEMBERS OF THE BOARD OF DIRECTORS OR COMMITTEE WITH BOARD DELEGATED POWERS SHALL DISCUSS, ANALYZE, AND VOTE UPON THE POTENTIAL FINANCIAL INTEREST/ARRANGEMENT TO DETERMINE IF A CONFLICT OF INTEREST EXISTS. ACCORDING TO THE FILING ORGANIZATION'S CONFLICT OF INTEREST POLICY, AN INTERESTED PERSON MAY MAKE A PRESENTATION TO THE BOARD OF DIRECTORS (OR COMMITTEE WITH BOARD DELEGATED POWERS), BUT AFTER SUCH PRESENTATION, SHALL LEAVE THE MEETING DURING THE DISCUSSION OF, AND THE VOTE ON, THE TRANSACTION OR ARRANGEMENT THAT RESULTS IN A CONFLICT OF INTEREST. EACH INTERESTED PERSON, AS DEFINED UNDER THE FILING ORGANIZATION'S CONFLICT OF INTEREST POLICY, SHALL ANNUALLY SIGN A STATEMENT WHICH AFFIRMS THAT SUCH PERSON HAS RECEIVED A COPY OF THE CONFLICT OF INTEREST POLICY, HAS READ AND UNDERSTANDS THE POLICY, HAS AGREED TO COMPLY WITH THE POLICY, AND UNDERSTANDS THAT THE FILING ORGANIZATION IS A CHARITABLE ORGANIZATION THAT MUST PRIMARILY ENGAGE IN ACTIVITIES WHICH ACCOMPLISH ONE OR MORE OF ITS EXEMPT PURPOSES. THE FILING ORGANIZATION'S CONFLICT OF INTEREST POLICY ALSO REQUIRES THAT PERIODIC REVIEWS SHALL BE CONDUCTED TO ENSURE THAT THE FILING ORGANIZATION OPERATES IN A MANNER CONSISTENT WITH ITS CHARITABLE PURPOSES.
FORM 990, PART VI, SECTION B, LINE 15	THE FILING ORGANIZATION'S CEO, OTHER OFFICERS AND KEY EMPLOYEES ARE ON THE PAYROLL OF THE FILING ORGANIZATION, HOWEVER THE COMPENSATION PACKAGE OF THESE EXECUTIVES IS DETERMINED BY THE JOINT OPERATING COMPANY, ALEXIAN BROTHERS-AHS MIDWEST REGION HEALTH CO. DBA AMITA HEALTH. AS NOTED IN OUR RESPONSE TO PART VI, SECTION A, LINE 7B, THE FILING ORGANIZATION IS A COVERED AFFILIATE IN THE JOC KNOWN AS AMITA HEALTH. PLEASE SEE THE DISCUSSION CONCERNING THE PROCESS FOLLOWED BY AMITA HEALTH IN DETERMINING EXECUTIVE COMPENSATION IN OUR RESPONSE TO SCHEDULE J, LINE 3.
FORM 990, PART VI, SECTION C, LINE 19	THE FILING ORGANIZATION IS A PART OF THE SYSTEM OF HEALTHCARE ORGANIZATIONS KNOWN AS ADVENTHEALTH. THE AUDITED CONSOLIDATED FINANCIAL STATEMENTS OF ADVENTHEALTH AND OF THE ADVENTHEALTH "OBLIGATED GROUP" ARE FILED ANNUALLY WITH THE MUNICIPAL SECURITIES RULEMAKING BOARD (MSRB). THE "OBLIGATED GROUP" IS A GROUP OF AHSSHC SUBSIDIARIES THAT ARE JOINTLY AND SEVERALLY LIABLE UNDER A MASTER TRUST INDENTURE THAT SECURES DEBT PRIMARILY ISSUED ON A TAX-EXEMPT BASIS. UNAUDITED QUARTERLY FINANCIAL STATEMENTS PREPARED IN ACCORDANCE WITH GENERALLY ACCEPTED ACCOUNTING PRINCIPLES (GAAP) ARE ALSO FILED WITH MSRB FOR ADVENTHEALTH ON A CONSOLIDATED BASIS AND FOR THE GROUPING OF ADVENTHEALTH SUBSIDIARIES COMPRISING THE "OBLIGATED GROUP". THE FILING ORGANIZATION DOES NOT GENERALLY MAKE ITS GOVERNING DOCUMENTS OR CONFLICT OF INTEREST POLICY AVAILABLE TO THE PUBLIC.
PART VII, SECTION A	FOR THOSE BOARD OF DIRECTOR MEMBERS (NOT INCLUDING PHYSICIAN MEMBERS OF THE BOARD) WHO DEVOTE LESS THAN FULL-TIME TO THE FILING ORGANIZATION (BASED UPON THE AVERAGE NUMBER OF HOURS PER WEEK SHOWN IN COLUMN (B) ON PAGE 7 OF THE RETURN) THE COMPENSATION AMOUNTS SHOWN IN COLUMNS (E) AND (F) ON PAGE 7 WERE PROVIDED IN CONJUNCTION WITH THAT PERSON'S RESPONSIBILITIES AND ROLES IN SERVING IN AN EXECUTIVE LEADERSHIP POSITION WITHIN ADVENTHEALTH OR AMITA HEALTH. PHYSICIAN MEMBERS OF THE BOARD OF DIRECTORS RECEIVED COMPENSATION FROM RELATED ORGANIZATIONS AS A RESULT OF PROVIDING VARIOUS MEDICAL SERVICES TO THOSE RELATED ENTITIES.
PART VIII, LINES 7B AND 7C:	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 13,174,441. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 13,174,441. PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES -267,108. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES -267,108. PURCHASED MEDICAL SERVICES: PROGRAM SERVICE EXPENSES 8,046,444. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 8,046,444. ENVIRONMENTAL SERVICES: PROGRAM SERVICE EXPENSES 7,556,698. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 7,556,698. RECRUITING: PROGRAM SERVICE EXPENSES 32,424. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 32,424. FOOD SERVICE CONTRACTS: PROGRAM SERVICE EXPENSES 7,509,600. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 7,509,600. OTHER PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 26,976,525. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 26,976,525. AHS MANAGEMENT FEES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 14,329,467. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 14,329,467.
PART X, LINE 2	THE AMOUNTS SHOWN ON LINE 2 OF PART X OF THIS RETURN INCLUDE THE FILING ORGANIZATION'S INTEREST IN A CENTRAL INVESTMENT POOL MAINTAINED BY ADVENTIST HEALTH SYSTEM SUNBELT HEALTHCARE CORPORATION, THE FILING ORGANIZATION'S TOP-TIER PARENT. THE INVESTMENTS IN THE CENTRAL INVESTMENT POOL ARE RECORDED AT MARKET VALUE.
FORM 990, PART XI, LINE 9:	ALLOCATIONS TO TAX-EXEMPT PARENT WITH RESPECT TO DEBT -876,419. INTEREST IN FOUNDATION -2,046. TRANSFER TO TOP-TIER TAX-EXEMPT PARENT -3,922,428. TRANSFER FOR EXPENSES -160,261. ROUNDING -1.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (105 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd	Direct Controlling NADirectControllingNACd
ADVENTHEALTH FOUNDATION SHAWNEE MISSION
9100 W 74TH STREET	SHAWNEE MISSION	KS	66204	480868859	FUND-RAISING FOR TAX-EXEMPT HOSPITAL	KS	501(C)(3)	LINE 7	SHAWNEE MISSION MEDICAL CENTER INC	Yes (1)
ADVENTHEALTH UNIVERSITY INC FKA ADV UNIV OF HLTH SCIENCES INC
671 LAKE WINYAH DRIVE	ORLANDO	FL	32803	593069793	EDUCATION/OPERATION OF SCHOOL	FL	501(C)(3)	LINE 2	ADVENTIST HLTH SYSTEMSUNBELT INC	Yes (1)
ADVENTHEALTH RANSOM MEMORIAL INC (619-123118)
1301 S MAIN STREET	OTTAWA	KS	66067	830976641	OPERATION OF HOSPITAL & RELATED SERVICES	KS	501(C)(3)	LINE 3	ADVENTIST HLTH MID-AMERICA INC	Yes (1)
ADVENTIST BOLINGBROOK HOSPITAL
500 REMINGTON BLVD	BOLINGBROOK	IL	60440	651219504	OPERATION OF HOSPITAL & RELATED SERVICES	IL	501(C)(3)	LINE 3	ADVENTIST MIDWEST HEALTH	Yes (1)
ADVENTIST CARE CENTERS - COURTLAND INC
730 COURTLAND STREET	ORLANDO	FL	32804	205774723	OPERATION OF HOME FOR THE AGED/HLTHCARE DELIVERY	FL	501(C)(3)	LINE 10	SUNBELT HLTH CARE CENTERS INC	Yes (1)
ADVENTIST GLENOAKS HOSPITAL
701 WINTHROP AVENUE	GLENDALE HEIGHTS	IL	60139	363208390	OPERATION OF HOSPITAL & RELATED SERVICES	IL	501(C)(3)	LINE 3	ADVENTIST MIDWEST HEALTH	Yes (1)
ADVENTIST HLTH MID-AMERICA INC
9100 W 74TH STREET	SHAWNEE MISSION	KS	66204	521347407	SUPPORT OF AFFILIATED HOSPITAL	KS	501(C)(3)	LINE 12C, III-FI	ADVENTIST HLTH SYSTEMSUNBELT INC	Yes (1)
ADVENTIST HLTH PARTNERS INC
2601 NAVISTAR DR BLDG 4 FINANCE	LISLE	IL	60532	364138353	OPERATION OF PHYSICIAN PRACTICES & MEDICAL SERVICES	IL	501(C)(3)	LINE 3	AHS MIDWEST MANAGEMENT INC	Yes (1)
ADVENTIST HLTH SYSTEM SUNBELT HLTHCARE CORP
900 HOPE WAY	ALTAMONTE SPRINGS	FL	32714	592170012	MANAGEMENT SERVICES	FL	501(C)(3)	LINE 12A, I		0	N/A
ADVENTIST HLTH SYSTEM GEORGIA INC
1035 RED BUD ROAD	CALHOUN	GA	30701	581425000	OPERATION OF HOSPITAL & RELATED SERVICES	GA	501(C)(3)	LINE 3	ADVENTIST HLTH SYSTEM SUNBELT HLTHCARE CORP	Yes (1)
ADVENTIST HLTH SYSTEMSUNBELT INC
900 HOPE WAY	ALTAMONTE SPRINGS	FL	32714	591479658	OPERATION OF HOSPITAL & RELATED SERVICES	FL	501(C)(3)	LINE 3	ADVENTIST HLTH SYSTEM SUNBELT HLTHCARE CORP	Yes (1)
ADVENTIST HLTH SYSTEMTEXAS INC
11801 S FREEWAY	BURLESON	TX	76028	742578952	LEASING PERSONNEL TO AFFILIATED HOSPITAL	TX	501(C)(3)	LINE 12C, III-FI	ADVENTIST HLTH SYSTEM SUNBELT HLTHCARE CORP	Yes (1)
ADVENTIST MIDWEST HEALTH
120 NORTH OAK STREET	HINSDALE	IL	60521	362276984	OPERATION OF HOSPITAL & RELATED SERVICES	IL	501(C)(3)	LINE 3	ADVENTIST HLTH SYSTEMSUNBELT INC	Yes (1)
AHP SPECIALTY CARE NFP
2601 NAVISTAR DR BLDG 4 FINANCE	LISLE	IL	60532	811105774	OPERATION OF PHYSICIAN PRACTICES & MEDICAL SERVICES	IL	501(C)(3)	LINE 3	AHS MIDWEST MANAGEMENT INC	Yes (1)
AHS MIDWEST MANAGEMENT INC
2601 NAVISTAR DR BLDG 4 FINANCE	LISLE	IL	60532	363354567	OPERATION OF PHYSICIAN PRACTICE MGMT	IL	501(C)(3)	LINE 12A, I	ADVENTIST MIDWEST HEALTH	Yes (1)
AHSCENTRAL TEXAS INC
1301 WONDER WORLD DRIVE	SAN MARCOS	TX	78666	742621825	PROVIDE OFFICE SPACE - MEDICAL PROFESSIONALS	TX	501(C)(3)	LINE 12C, III-FI	ADVENTIST HLTH SYSTEM SUNBELT HLTHCARE CORP	Yes (1)
ALEXIAN BROTHERS-AHS MIDWEST REGION HLTH CO DBA AMITA HLTH
2601 NAVISTAR DR BLDG 4 FINANCE	LISLE	IL	60532	472360513	JOINT OPERATING COMPANY	IL	501(C)(3)	LINE 12B, II		0	N/A
APOPKA HLTH CARE PROPERTIES INC
305 E OAK STREET	APOPKA	FL	32703	510605694	LEASE TO RELATED ORGANIZATION	GA	501(C)(3)	LINE 12C, III-FI	SUNBELT HLTH CARE CENTERS INC	Yes (1)
BATTLE CREEK ADVENTIST HOSPITAL
900 HOPE WAY	ALTAMONTE SPRINGS	FL	32714	381359189	INACTIVE	MI	501(C)(3)	LINE 3	ADVENTIST HLTH SYSTEMSUNBELT INC	Yes (1)
BOLINGBROOK HOSPITAL FOUNDATION
500 REMINGTON BLVD	BOLINGBROOK	IL	60440	900494445	FUND-RAISING FOR TAX-EXEMPT HOSPITAL	IL	501(C)(3)	LINE 7	MIDWEST HLTH FOUNDATION	0
BRADFORD HEIGHTS HLTH & REHAB CENTER INC
950 HIGHPOINT DRIVE	HOPKINSVILLE	KY	42240	205782342	OPERATION OF HOME FOR THE AGED/HLTHCARE DELIVERY	KY	501(C)(3)	LINE 10	SUNBELT HLTH CARE CENTERS INC	Yes (1)
BURLESON NURSING & REHAB CENTER INC
301 HUGULEY BLVD	BURLESON	TX	76028	205782243	OPERATION OF HOME FOR THE AGED/HLTHCARE DELIVERY	TX	501(C)(3)	LINE 10	SUNBELT HLTH CARE CENTERS INC	Yes (1)
CALDWELL HLTH CARE PROPERTIES INC
1333 WEST MAIN	PRINCETON	KY	42445	510605680	LEASE TO RELATED ORGANIZATION	GA	501(C)(3)	LINE 12C, III-FI	SUNBELT HLTH CARE CENTERS INC	Yes (1)
CENTRAL TEXAS HLTHCARE COLLABORATIVE
1301 WONDER WORLD DRIVE	SAN MARCOS	TX	78666	453739929	SUPPORT OPERATION OF HOSPITAL	TX	501(C)(3)	LINE 12A, I	ADVENTIST HLTH SYSTEMSUNBELT INC	Yes (1)
CHICKASAW HLTH CARE PROPERTIES INC
250 S CHICKASAW TRAIL	ORLANDO	FL	32825	510605681	LEASE TO RELATED ORGANIZATION	GA	501(C)(3)	LINE 12C, III-FI	SUNBELT HLTH CARE CENTERS INC	Yes (1)
CHIPPEWA VALLEY HOSPITAL & OAKVIEW CARE CENTER INC
1220 THIRD AVENUE WEST	DURAND	WI	54736	391365168	OPERATION OF HOSPITAL & RELATED SERVICES	WI	501(C)(3)	LINE 3	ADVENTIST HLTH SYSTEMSUNBELT INC	Yes (1)
COURTLAND HLTH CARE PROPERTIES INC
730 COURTLAND STREET	ORLANDO	FL	32804	510605682	LEASE TO RELATED ORGANIZATION	GA	501(C)(3)	LINE 12C, III-FI	SUNBELT HLTH CARE CENTERS INC	Yes (1)
CREEKWOOD PLACE NURSING & REHAB CENTER INC
107 BOYLES DRIVE	RUSSELLVILLE	KY	42276	205782260	OPERATION OF HOME FOR THE AGED/HLTHCARE DELIVERY	KY	501(C)(3)	LINE 10	SUNBELT HLTH CARE CENTERS INC	Yes (1)
DAIRY ROAD HLTH CARE PROPERTIES INC
7350 DAIRY ROAD	ZEPHYRHILLS	FL	33540	510605684	LEASE TO RELATED ORGANIZATION	GA	501(C)(3)	LINE 12C, III-FI	SUNBELT HLTH CARE CENTERS INC	Yes (1)
EAST ORLANDO HLTH & REHAB CENTER INC
250 S CHICKASAW TRAIL	ORLANDO	FL	32825	205774748	OPERATION OF HOME FOR THE AGED/HLTHCARE DELIVERY	FL	501(C)(3)	LINE 10	SUNBELT HLTH CARE CENTERS INC	Yes (1)
EMORY-ADVENTIST INC
900 HOPE WAY	ALTAMONTE SPRINGS	FL	32714	582171011	INACTIVE	GA	501(C)(3)	LINE 3	ADVENTIST HLTH SYSTEMSUNBELT INC	Yes (1)
FLETCHER HOSPITAL INC
100 HOSPITAL DRIVE	HENDERSONVILLE	NC	28792	560543246	OPERATION OF HOSPITAL & RELATED SVCS	NC	501(C)(3)	LINE 3	ADVENTIST HLTH SYSTEM SUNBELT HLTHCARE CORP	Yes (1)
FLNC INC
3355 E SEMORAN BLVD	APOPKA	FL	32703	205774761	OPERATION OF HOME FOR THE AGED/HLTHCARE DELIVERY	FL	501(C)(3)	LINE 10	SUNBELT HLTH CARE CENTERS INC	Yes (1)
FLORIDA HOSPITAL DADE CITY INC
13100 FORT KING ROAD	DADE CITY	FL	33525	822567308	OPERATION OF HOSPITAL & RELATED SVCS	FL	501(C)(3)	LINE 3	ADVENTIST HLTH SYSTEM SUNBELT HLTHCARE CORP	Yes (1)
FLORIDA HOSPITAL HEALTHCARE PARTNERS INC
770 WEST GRANADA BLVD 101	ORMOND BEACH	FL	32174	462354804	OPERATION OF PHYSICIAN PRACTICES & MEDICAL SERVICES	FL	501(C)(3)	LINE 3	ADVENTIST HLTH SYSTEMSUNBELT INC	Yes (1)
FLORIDA HOSPITAL MEDICAL GROUP INC
2600 WESTHALL LANE 4TH FLOOR	MAITLAND	FL	32751	593214635	OPERATION OF PHYSICIAN PRACTICES & MEDICAL SERVICES	FL	501(C)(3)	LINE 3	ADVENTIST HLTH SYSTEMSUNBELT INC	Yes (1)
FLORIDA HOSPITAL OCALA INC
1500 SW 1ST AVENUE	OCALA	FL	34471	824372339	OPERATION OF HOSPITAL & RELATED SVCS	FL	501(C)(3)	LINE 3	ADVENTIST HLTH SYSTEM SUNBELT HLTHCARE CORP	Yes (1)
FLORIDA HOSPITAL PHYSICIAN GROUP INC
12470 TELECOM DR 100	TAMPA	FL	33637	462021581	OPERATION OF PHYSICIAN PRACTICES & MEDICAL SERVICES	FL	501(C)(3)	LINE 3	ADVENTIST HLTH SYSTEM SUNBELT HLTHCARE CORP	Yes (1)
FLORIDA HOSPITAL WATERMAN INC
1000 WATERMAN WAY	TAVARES	FL	32778	593140669	OPERATION OF HOSPITAL & RELATED SERVICES	FL	501(C)(3)	LINE 3	ADVENTIST HLTH SYSTEM SUNBELT HLTHCARE CORP	Yes (1)
FLORIDA HOSPITAL ZEPHYRHILLS INC
7050 GALL BLVD	ZEPHYRHILLS	FL	33541	592108057	OPERATION OF HOSPITAL & RELATED SERVICES	FL	501(C)(3)	LINE 3	ADVENTIST HLTH SYSTEMSUNBELT INC	Yes (1)
FLORIDA RADIOLOGY IMAGING AT LAKE MARY LLC (222-123118)
2600 WESTHALL LANE 4TH FLOOR	MAITLAND	FL	32751	550789387	IMAGING & TESTING	FL	501(C)(3)	LINE 3	FLORIDA HOSPITAL MEDICAL GROUP INC	Yes (1)
FOUNTAIN INN NURSING & REHAB CENTER INC
485 NORTH KELLER ROAD 250	MAITLAND	FL	32751	472180518	OPERATION OF HOME FOR THE AGED/HLTHCARE DELIVERY	FL	501(C)(3)	LINE 10	SUNBELT HLTH CARE CENTERS INC	Yes (1)
GLENOAKS HOSPITAL FOUNDATION
701 WINTHROP AVENUE	GLENDALE HEIGHTS	IL	60139	363926044	FUND-RAISING FOR TAX-EXEMPT HOSPITAL	IL	501(C)(3)	LINE 7	MIDWEST HLTH FOUNDATION	0
HELEN ELLIS MEMORIAL HOSPITAL AUXILIARY INC
1395 S PINELLAS AVE	TARPON SPRINGS	FL	34689	592106043	FUND-RAISING FOR TAX-EXEMPT HOSPITAL/FOUNDATION	FL	501(C)(3)	LINE 12C, III-FI		0	N/A
HELEN ELLIS MEMORIAL HOSPITAL FOUNDATION INC
1395 S PINELLAS AVE	TARPON SPRINGS	FL	34689	593690149	FUND-RAISING FOR TAX-EXEMPT HOSPITAL	FL	501(C)(3)	LINE 7		0	N/A
HINSDALE HOSPITAL FOUNDATION
120 NORTH OAK STREET	HINSDALE	IL	60521	521466387	FUND-RAISING FOR TAX-EXEMPT HOSPITAL	IL	501(C)(3)	LINE 7	MIDWEST HLTH FOUNDATION	0
HOSPICE OF THE COMFORTER INC
480 W CENTRAL PARKWAY	ALTAMONTE SPRINGS	FL	32714	592935928	OPERATION OF HOSPICE	FL	501(C)(3)	LINE 10	THE COMFORTER HEALTH CARE GROUP INC	Yes (1)
HOSPICE OF THE COMFORTER FOUNDATION INC
480 W CENTRAL PARKWAY	ALTAMONTE SPRINGS	FL	32714	271858033	INACTIVE	FL	501(C)(3)	LINE 7	THE COMFORTER HEALTH CARE GROUP INC	Yes (1)
IN-MOTION REHAB INC
485 NORTH KELLER ROAD 250	MAITLAND	FL	32751	208023411	THERAPY SERVICES TO TAX EXEMPT NURSING HOMES	KS	501(C)(3)	LINE 12B, II	SUNBELT HLTH CARE CENTERS INC	Yes (1)
LA GRANGE MEMORIAL HOSPITAL FOUNDATION
5101 S WILLOW SPRINGS RD	LA GRANGE	IL	60525	300247776	FUND-RAISING FOR TAX-EXEMPT HOSPITAL	IL	501(C)(3)	LINE 7	MIDWEST HLTH FOUNDATION	0
LAKE COUNTY HEALTH CARE PROPERTIES INC
485 NORTH KELLER ROAD 250	MAITLAND	FL	32751	813923985	LEASE TO RELATED ORGANIZATION	GA	501(C)(3)	LINE 12C, III-FI	SUNBELT HLTH CARE CENTERS INC	Yes (1)
MEMORIAL HLTH SYSTEMS FOUNDATION INC
305 MEMORIAL MEDICAL PKWY 212	DAYTONA BEACH	FL	32117	311771522	FUND-RAISING FOR TAX-EXEMPT HOSPITAL	FL	501(C)(3)	LINE 7		0	N/A
MEMORIAL HLTH SYSTEMS INC
301 MEMORIAL MEDICAL PARKWAY	DAYTONA BEACH	FL	32117	590973502	OPERATION OF HOSPITAL & RELATED SERVICES	FL	501(C)(3)	LINE 3	ADVENTIST HLTH SYSTEMSUNBELT INC	Yes (1)
MEMORIAL HOSPITAL - WEST VOLUSIA INC
701 WEST PLYMOUTH AVENUE	DELAND	FL	32720	593256803	OPERATION OF HOSPITAL & RELATED SERVICES	FL	501(C)(3)	LINE 3	MEMORIAL HLTH SYSTEMS INC	Yes (1)
MEMORIAL HOSPITAL FLAGLER INC
60 MEMORIAL MEDICAL PARKWAY	PALM COAST	FL	32164	592951990	OPERATION OF HOSPITAL & RELATED SERVICES	FL	501(C)(3)	LINE 3	MEMORIAL HLTH SYSTEMS INC	Yes (1)
MEMORIAL HOSPITAL INC
210 MARIE LANGDON DRIVE	MANCHESTER	KY	40962	610594620	OPERATION OF HOSPITAL & RELATED SERVICES	KY	501(C)(3)	LINE 3	ADVENTIST HLTH SYSTEM SUNBELT HLTHCARE CORP	Yes (1)
MERRIAM HLTH CARE PROPERTIES INC
9700 WEST 62ND STREET	MERRIAM	KS	66203	364595806	LEASE TO RELATED ORGANIZATION	KS	501(C)(3)	LINE 12C, III-FI	SUNBELT HLTH CARE CENTERS INC	Yes (1)
METROPLEX ADVENTIST HOSPITAL INC
2201 S CLEAR CREEK ROAD	KILLEEN	TX	76549	742225672	OPERATION OF HOSPITAL & RELATED SERVICES	TX	501(C)(3)	LINE 3	ADVENTIST HLTH SYSTEM SUNBELT HLTHCARE CORP	Yes (1)
METROPLEX CLINIC PHYSICIANS INC
2201 S CLEAR CREEK ROAD	KILLEEN	TX	76549	113762050	PHYSICIAN HLTHCARE SERVICES TO THE COMMUNITY	TX	501(C)(3)	LINE 3	METROPLEX ADVENTIST HOSPITAL INC	Yes (1)
MIDWEST HLTH FOUNDATION
120 NORTH OAK STREET	HINSDALE	IL	60521	352230515	SUPPORT OF SUBSIDIARY FOUNDATIONS	IL	501(C)(3)	LINE 12B, II		0	N/A
MILLS HLTH & REHAB CENTER INC
500 BECK LANE	MAYFIELD	KY	42066	205782320	OPERATION OF HOME FOR THE AGED/HLTHCARE DELIVERY	KY	501(C)(3)	LINE 10	SUNBELT HLTH CARE CENTERS INC	Yes (1)
MISSION STRATEGIES OF GEORGIA INC
485 NORTH KELLER ROAD 250	MAITLAND	FL	32751	900866024	PROVISION OF SUPPORT TO THE NURSING HOME DIVISION	GA	501(C)(3)	LINE 12B, II	SUNBELT HLTH CARE CENTERS INC	Yes (1)
MISSOURI ADVENTIST HLTH INC
9100 W 74TH STREET	SHAWNEE MISSION	KS	66204	431224729	SUPPORT HLTH CARE SERVICES	MO	501(C)(3)	LINE 12D, III-O	ADVENTIST HLTH MID-AMERICA INC	Yes (1)
ORMOND BEACH MEMORIAL HOSPITAL AUXILIARY INC
301 MEMORIAL MEDICAL PARKWAY	DAYTONA BEACH	FL	32117	591721962	VOLUNTEER SUPPORT SERVICES	FL	501(C)(3)	LINE 12C, III-FI		0	N/A
OSCEOLA HEALTH CARE PROPERTIES INC
485 NORTH KELLER ROAD 250	MAITLAND	FL	32751	813165729	LEASE TO RELATED ORGANIZATION	GA	501(C)(3)	LINE 12C, III-FI	SUNBELT HLTH CARE CENTERS INC	Yes (1)
OVERLAND PARK NURSING & REHAB CENTER INC
6501 WEST 75TH STREET	OVERLAND PARK	KS	66204	205774821	OPERATION OF HOME FOR THE AGED/HLTHCARE DELIVERY	KS	501(C)(3)	LINE 10	SUNBELT HLTH CARE CENTERS INC	Yes (1)
PARAGON HLTH CARE PROPERTIES INC
950 HIGHPOINT DRIVE	HOPKINSVILLE	KY	42240	510605686	LEASE TO RELATED ORGANIZATION	GA	501(C)(3)	LINE 12C, III-FI	SUNBELT HLTH CARE CENTERS INC	Yes (1)
PASCO-PINELLAS HILLSBOROUGH COMMUNITY HLTH SYSTEM INC
2600 BRUCE B DOWNS BLVD	WESLEY CHAPEL	FL	33544	208488713	OPERATION OF HOSPITAL & RELATED SERVICES	FL	501(C)(3)	LINE 3	ADVENTIST HLTH SYSTEM SUNBELT HLTHCARE CORP	Yes (1)
PORTERCARE ADVENTIST HLTH SYSTEM (630 YEAR END)
9100 E MINERAL CIRCLE	CENTENNIAL	CO	80112	840438224	OPERATION OF HOSPITAL & RELATED SERVICES	CO	501(C)(3)	LINE 3	ADVENTIST HLTH SYSTEM SUNBELT HLTHCARE CORP	Yes (1)
PRINCETON HLTH & REHAB CENTER INC
1333 WEST MAIN	PRINCETON	KY	42445	205782272	OPERATION OF HOME FOR THE AGED/HLTHCARE DELIVERY	KY	501(C)(3)	LINE 10	SUNBELT HLTH CARE CENTERS INC	Yes (1)
PRINCETON PROFESSIONAL SERVICES INC
601 E ROLLINS STREET	ORLANDO	FL	32803	591191045	PROVISION OF HLTHCARE SERVICES	FL	501(C)(3)	LINE 10	ADVENTIST HLTH SYSTEM SUNBELT HLTHCARE CORP	Yes (1)
QUALITY CIRCLE FOR HLTHCARE INC
900 HOPE WAY	ALTAMONTE SPRINGS	FL	32714	263789368	HLTHCARE QUALITY SERVICES	FL	501(C)(3)	LINE 12A, I	ADVENTIST HLTH SYSTEM SUNBELT HLTHCARE CORP	Yes (1)
RESOURCE PERSONNEL INC
485 NORTH KELLER ROAD 250	MAITLAND	FL	32751	208040875	PROVIDE ADMINISTRATIVE SUPPORT TO TAX EXEMPT NURSING HOMES	FL	501(C)(3)	LINE 12B, II	SUNBELT HLTH CARE CENTERS INC	Yes (1)
ROCKY MOUNTAIN ADVENTIST HLTHCARE FOUNDATION (630 YEAR END)
7995 E PRENTICE AVE 204	GREENWOOD VILLAGE	CO	80111	840745018	FUND-RAISING FOR TAX-EXEMPT HOSPITAL	CO	501(C)(3)	LINE 7		0	N/A
ROLLINS BROOK COMMUNITY CARE CORP
2201 S CLEAR CREEK ROAD	KILLEEN	TX	76549	461656773	SUPPORT OPERATION OF HOSPITAL	TX	501(C)(3)	LINE 12A, I	ADVENTIST HLTH SYSTEMSUNBELT INC	Yes (1)
RUSSELLVILLE HLTH CARE PROPERTIES INC
683 EAST THIRD STREET	RUSSELLVILLE	KY	42276	510605691	LEASE TO RELATED ORGANIZATION	GA	501(C)(3)	LINE 12C, III-FI	SUNBELT HLTH CARE CENTERS INC	Yes (1)
SAN MARCOS HLTH CARE PROPERTIES INC
1900 MEDICAL PARKWAY	SAN MARCOS	TX	78666	510605693	LEASE TO RELATED ORGANIZATION	GA	501(C)(3)	LINE 12C, III-FI	SUNBELT HLTH CARE CENTERS INC	Yes (1)
SAN MARCOS NURSING & REHAB CENTER INC
1900 MEDICAL PARKWAY	SAN MARCOS	TX	78666	205782224	OPERATION OF HOME FOR THE AGED/HLTHCARE DELIVERY	TX	501(C)(3)	LINE 10	SUNBELT HLTH CARE CENTERS INC	Yes (1)
SHAWNEE MISSION HLTH CARE INC
6501 WEST 75TH STREET	OVERLAND PARK	KS	66204	480952508	LEASE TO RELATED ORGANIZATION	KS	501(C)(3)	LINE 12C, III-FI	SUNBELT HLTH CARE CENTERS INC	Yes (1)
SHAWNEE MISSION HLTH CARE PROPERTIES INC
485 NORTH KELLER ROAD 250	MAITLAND	FL	32751	813914908	LEASE TO RELATED ORGANIZATION	GA	501(C)(3)	LINE 12C, III-FI	SUNBELT HLTH CARE CENTERS INC	Yes (1)
SHAWNEE MISSION MEDICAL CENTER INC
9100 W 74TH STREET	SHAWNEE MISSION	KS	66204	480637331	OPERATION OF HOSPITAL & RELATED SERVICES	KS	501(C)(3)	LINE 3	ADVENTIST HLTH MID-AMERICA INC	Yes (1)
SOUTH PASCO HLTH CARE PROPERTIES INC
38250 A AVENUE	ZEPHYRHILLS	FL	33542	510605679	LEASE TO RELATED ORGANIZATION	GA	501(C)(3)	LINE 12C, III-FI	SUNBELT HLTH CARE CENTERS INC	Yes (1)
SOUTHEAST VOLUSIA HEALTHCARE CORP
401 PALMETTO STREET	NEW SMYRNA BEACH	FL	32168	473793197	OPERATION OF HOSPITAL & RELATED SERVICES	FL	501(C)(3)	LINE 3	ADVENTIST HLTH SYSTEM SUNBELT HLTHCARE CORP	Yes (1)
SOUTHWEST VOLUSIA HLTH SERVICES INC
1055 SAXON BLVD	ORANGE CITY	FL	32763	593281591	MEDICAL OFFICE BUILDING FOR HOSPITAL	FL	501(C)(3)	LINE 12A, I	SOUTHWEST VOLUSIA HLTHCARE CORP	Yes (1)
SOUTHWEST VOLUSIA HLTHCARE CORP
1055 SAXON BLVD	ORANGE CITY	FL	32763	593149293	OPERATION OF HOSPITAL & RELATED SERVICES	FL	501(C)(3)	LINE 3	ADVENTIST HLTH SYSTEMSUNBELT INC	Yes (1)
SPECIALTY PHYSICIANS OF CENTRAL TEXAS INC
1301 WONDER WORLD DRIVE	SAN MARCOS	TX	78666	208814408	PHYSICIAN HLTHCARE SERVICES TO THE COMMUNITY	TX	501(C)(3)	LINE 3	ADVENTIST HLTH SYSTEMSUNBELT INC	Yes (1)
SPRING VIEW HLTH & REHAB CENTER INC
718 GOODWIN LANE	LEITCHFIELD	KY	42754	205782288	OPERATION OF HOME FOR THE AGED/HLTHCARE DELIVERY	KY	501(C)(3)	LINE 10	SUNBELT HLTH CARE CENTERS INC	Yes (1)
SUNBELT HLTH & REHAB CENTER - APOPKA INC
305 EAST OAK STREET	APOPKA	FL	32703	205774856	OPERATION OF HOME FOR THE AGED/HLTHCARE DELIVERY	FL	501(C)(3)	LINE 10	SUNBELT HLTH CARE CENTERS INC	Yes (1)
SUNBELT HLTH CARE CENTERS INC
485 NORTH KELLER ROAD 250	MAITLAND	FL	32751	581473135	MANAGEMENT SERVICES	TN	501(C)(3)	LINE 12B, II	ADVENTIST HLTH SYSTEM SUNBELT HLTHCARE CORP	Yes (1)
SUNSYSTEM DEVELOPMENT CORP
900 HOPE WAY	ALTAMONTE SPRINGS	FL	32714	592219301	FUND RAISING FOR AFFILIATED TAX-EXEMPT HOSPITALS	FL	501(C)(3)	LINE 7	ADVENTIST HLTH SYSTEM SUNBELT HLTHCARE CORP	Yes (1)
TARPON SPRINGS HOSPITAL FOUNDATION INC
1395 S PINELLAS AVE	TARPON SPRINGS	FL	34689	590898901	OPERATION OF HOSPITAL & RELATED SERVICES	FL	501(C)(3)	LINE 3	UNIVERSITY COMMUNITY HOSPITAL INC	Yes (1)
TARRANT COUNTY HLTH CARE PROPERTIES INC
301 HUGULEY BLVD	BURLESON	TX	76028	510605677	LEASE TO RELATED ORGANIZATION	GA	501(C)(3)	LINE 12C, III-FI	SUNBELT HLTH CARE CENTERS INC	Yes (1)
TAYLOR CREEK HLTH CARE PROPERTIES INC
718 GOODWIN LANE	LEITCHFIELD	KY	42754	510605678	LEASE TO RELATED ORGANIZATION	GA	501(C)(3)	LINE 12C, III-FI	SUNBELT HLTH CARE CENTERS INC	Yes (1)
THE COMFORTER HEALTH CARE GROUP INC
605 MONTGOMERY ROAD	ALTAMONTE SPRINGS	FL	32714	271857940	LEASE TO RELATED ORGANIZATION	FL	501(C)(3)	LINE 12C, III-FI	ADVENTIST HLTH SYSTEM SUNBELT HLTHCARE CORP	Yes (1)
THE VOLUNTEER AUXILIARY OF FLORIDA HOSPITAL - FLAGLER INC
60 MEMORIAL MEDICAL PARKWAY	PALM COAST	FL	32164	592486582	VOLUNTEER SUPPORT SERVICES	FL	501(C)(3)	LINE 12C, III-FI		0	N/A
TRI-COUNTY NURSING AND REHAB CENTER INC
485 NORTH KELLER ROAD 250	MAITLAND	FL	32751	472219363	OPERATION OF HOME FOR THE AGED/HLTHCARE DELIVERY	FL	501(C)(3)	LINE 10	SUNBELT HLTH CARE CENTERS INC	Yes (1)
TRINITY NURSING & REHAB CENTER INC
9700 WEST 62ND STREET	MERRIAM	KS	66203	205774890	OPERATION OF HOME FOR THE AGED/HLTHCARE DELIVERY	KS	501(C)(3)	LINE 10	SUNBELT HLTH CARE CENTERS INC	Yes (1)
UNIVERSITY COMMUNITY HOSPITAL FOUNDATION INC
3100 E FLETCHER AVE	TAMPA	FL	33613	592554889	FUND-RAISING FOR TAX-EXEMPT HOSPITAL	FL	501(C)(3)	LINE 12A, I		0	N/A
UNIVERSITY COMMUNITY HOSPITAL SPECIALTY CARE INC
3100 E FLETCHER AVE	TAMPA	FL	33613	593231322	INACTIVE	FL	501(C)(3)	LINE 12A, I	UNIVERSITY COMMUNITY HOSPITAL INC	Yes (1)
UNIVERSITY COMMUNITY HOSPITAL INC
3100 E FLETCHER AVE	TAMPA	FL	33613	591113901	OPERATION OF HOSPITAL & RELATED SERVICES	FL	501(C)(3)	LINE 3	ADVENTIST HLTH SYSTEM SUNBELT HLTHCARE CORP	Yes (1)
WEST FLORIDA HEALTH INC
14055 RIVEREDGE DRIVE	TAMPA	FL	33637	471881744	HOLDING COMPANY	FL	501(C)(3)	LINE 10	ADVENTIST HLTH SYSTEM SUNBELT HLTHCARE CORP	Yes (1)
WEST FLORIDA HEALTH HOME CARE INC
13601 BRUCE B DOWNS BLVD STE 110	TAMPA	FL	33613	593686109	HOME HEALTH SERVICES	GA	501(C)(3)	LINE 10	WEST FLORIDA HEALTH INC	Yes (1)
WEST KENTUCKY HLTH CARE PROPERTIES INC
500 BECK LANE	MAYFIELD	KY	42066	510605676	LEASE TO RELATED ORGANIZATION	GA	501(C)(3)	LINE 12C, III-FI	SUNBELT HLTH CARE CENTERS INC	Yes (1)
ZEPHYR HAVEN HLTH & REHAB CENTER INC
38250 A AVENUE	ZEPHYRHILLS	FL	33542	205774930	OPERATION OF HOME FOR THE AGED/HLTHCARE DELIVERY	FL	501(C)(3)	LINE 10	SUNBELT HLTH CARE CENTERS INC	Yes (1)
ZEPHYRHILLS HLTH & REHAB CENTER INC
7350 DAIRY ROAD	ZEPHYRHILLS	FL	33540	205774967	OPERATION OF HOME FOR THE AGED/HLTHCARE DELIVERY	FL	501(C)(3)	LINE 10	SUNBELT HLTH CARE CENTERS INC	Yes (1)

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (7 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Direct Controlling NADirectControllingNACd
CLEAR CREEK MOB LTD
2201 S CLEAR CREEK RD	KILLEEN	TX	76549	742609195	REAL ESTATE	TX	N/A
FLORIDA HOSPITAL DMERT LLC
500 WINDERLEY PLACE STE 324	MAITLAND	FL	32751	202392253	MEDICAL EQUIPMENT	FL	N/A
FLORIDA HOSPITAL HOME INFUSION LLP
500 WINDERLEY PLACE STE 226	MAITLAND	FL	32751	593142824	HOME INFUSION SERVICES	FL	N/A
FUNCTIONAL NEUROSURGICAL AMBULATORY SURGERY CTR LLC
11 W DRY CREEK CIRCLE 120	LITTLETON	CO	80120	464426708	SURGERY CENTER	CO	N/A
PRINCETON HOMECARE SERVICES LLC
1050 FORRER BLVD	KETTERING	OH	45420	814196648	OPERATION OF HOME HEALTH AGENCY	FL	N/A
SAN MARCOS MRI LP
1330 WONDER WORLD DR STE 202	SAN MARCOS	TX	78666	770597972	IMAGING & TESTING	TX	N/A
THE BARIATRIC CENTER OF KANSAS CITY LLC (628-123118)
9100 W 74TH STREET	MERRIAM	KS	66204	823025378	SURGERY CENTER	KS	N/A

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (20 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Direct Controlling NADirectControllingNACd	Entity TypeEntityTypeTxt	Controlled OrganizationControlledOrganizationInd
ALTAMONTE MEDICAL PLAZA CONDOMINIUM ASSOCIATION INC
601 EAST ROLLINS STREET	ORLANDO	FL	32803	592855792	CONDO ASSOCIATION	FL	N/A	C	Yes (1)
APOPKA MEDICAL PLAZA CONDOMINIUM ASSOCIATION INC
601 EAST ROLLINS STREET	ORLANDO	FL	32803	593000857	CONDO ASSOCIATION	FL	N/A	C	Yes (1)
CC MOB INC
2201 S CLEAR CREEK ROAD	KILLEEN	TX	76549	742616875	REAL ESTATE RENTAL	TX	N/A	C	Yes (1)
CENTRAL TEXAS MEDICAL ASSOCIATES
1301 WONDER WORLD DRIVE	SAN MARCOS	TX	78666	742729873	INACTIVE	TX	N/A	C	Yes (1)
CENTRAL TEXAS PROVIDERS NETWORK
1301 WONDER WORLD DRIVE	SAN MARCOS	TX	78666	742827652	PHYSICIAN HOSPITAL ORG.	TX	N/A	C	Yes (1)
FLORIDA HOSPITAL FLAGLER MEDICAL OFFICES ASSOCIATION INC
60 MEMORIAL MEDICAL PARKWAY	PALM COAST	FL	32164	262158309	CONDO ASSOCIATION	FL	N/A	C	Yes (1)
FLORIDA HOSP HLTH VILLAGE PROPERTY OWNER'S ASSOC INC
550 E ROLLINS STREET 7TH FLOOR	ORLANDO	FL	32803	821748255	CONDO ASSOCIATION	FL	N/A	C	Yes (1)
FLORIDA HOSPITAL HEALTHCARE SYSTEM INC
101 SOUTHHALL LANE STE 150	MAITLAND	FL	32751	593215680	PHSO	FL	N/A	C	Yes (1)
FLORIDA MEDICAL PLAZA CONDOMINIUM ASSOCIATION INC
601 EAST ROLLINS STREET	ORLANDO	FL	32803	592855791	CONDO ASSOCIATION	FL	N/A	C	Yes (1)
FLORIDA MEMORIAL HEALTH NETWORK INC
770 W GRANADA BLVD STE 317	ORMOND BEACH	FL	32174	593403558	PHYSICIAN HOSPITAL ORG.	FL	N/A	C	Yes (1)
KISSIMMEE MULTISPECIALTY CLINIC CONDOMINIUM ASSOCIATION INC
201 HILDA STREET SUITE 30	KISSIMMEE	FL	34741	593539564	CONDO ASSOCIATION	FL	N/A	C	Yes (1)
LN HEALTH PARTNERS INC
550 E ROLLINS STREET 6TH FLOOR	ORLANDO	FL	32803	813556903	INACTIVE	FL	N/A	C	Yes (1)
MIDWEST MANAGEMENT SERVICES INC
9100 WEST 74TH STREET	SHAWNEE MISSION	KS	66204	480901551	INACTIVE	KS	N/A	C	Yes (1)
NORTH AMERICAN HEALTH SERVICES INC & SUB
900 HOPE WAY	ALTAMONTE SPRINGS	FL	32714	621041820	LESSOR/HOLDING CO.	TN	N/A	C	Yes (1)
ORMOND PROF ASSOCIATES CONDO ASSOC'N INC (430 YEAR END)
770 W GRANADA BLVD STE 101	ORMOND BEACH	FL	32174	592694434	CONDO ASSOCIATION	FL	N/A	C	Yes (1)
PARK RIDGE PROPERTY OWNER'S ASSOCIATION INC
1 PARK PLACE NAPLES ROAD	FLETCHER	NC	28732	030380531	CONDO ASSOCIATION	NC	N/A	C	Yes (1)
PORTER AFFILIATED HEALTH SERVICES INC
2525 S DOWNING STREET	DENVER	CO	80210	840956175	HEALTHCARE SERVICES	CO	N/A	C	Yes (1)
SAN MARCOS REGIONAL MRI INC
1301 WONDER WORLD DRIVE	SAN MARCOS	TX	78666	770597968	HOLDING COMPANY	TX	N/A	C	Yes (1)
THE GARDEN RETIREMENT COMMUNITY INC
485 NORTH KELLER ROAD STE 250	MAITLAND	FL	32751	593414055	REAL ESTATE RENTAL	FL	N/A	C	Yes (1)
WINTER PARK MEDICAL OFFICE BUILDING I CONDO ASSOC INC
601 EAST ROLLINS STREET	ORLANDO	FL	32803	452228478	CONDO ASSOCIATION	FL	N/A	C	Yes (1)

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

Transactions Related Org TransactionsRelatedOrgGrp (24 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
ADVENTIST HEALTH SYSTEM SUNBELT HEALTHCARE CORPORATION
B	$3,922,428	ACTUAL AMOUNT GIVEN
ADVENTIST HEALTH SYSTEM SUNBELT HEALTHCARE CORPORATION
M	$4,890,175	% OF FACILITY'S OPERATING EXPENSE
ADVENTIST HEALTH SYSTEM SUNBELT HEALTHCARE CORP DBA AHS INFORMATION SERVICE
M	$14,980,575	% OF FACILITY'S OPERATING EXPENSE
ADVENTIST HEALTH SYSTEM SUNBELT HEALTHCARE CORPORATION
P	$14,364,808	COST
ADVENTIST HEALTH SYSTEM SUNBELT HEALTHCARE CORP DBA AHS INFORMATION SERVICE
P	$182,911	COST
ADVENTIST BOLINGBROOK HOSPITAL
P	$7,532,589	COST
ADVENTIST BOLINGBROOK HOSPITAL
Q	$31,979,183	COST
ADVENTIST GLENOAKS HOSPITAL
P	$6,629,102	COST
ADVENTIST GLENOAKS HOSPITAL
Q	$34,334,067	COST
ADVENTIST HEALTH PARTNERS INC
P	$4,415,532	COST
ADVENTIST HEALTH PARTNERS INC
Q	$3,839,277	COST
AHS MIDWEST MANAGEMENT INC
P	$688,746	COST
AHS MIDWEST MANAGEMENT INC
Q	$7,164,079	COST
AHS MIDWEST MANAGEMENT INC
M	$13,908,373	OPEN TO CONFIRM
HINSDALE HOSPITAL FOUNDATION
B	$401,201	ACTUAL AMOUNT GIVEN
HINSDALE HOSPITAL FOUNDATION
C	$3,585,024	ACTUAL AMOUNT RECEIVED
LA GRANGE MEMORIAL HOSPITAL FOUNDATION
B	$168,065	ACTUAL AMOUNT GIVEN
LA GRANGE MEMORIAL HOSPITAL FOUNDATION
C	$604,299	ACTUAL AMOUNT RECEIVED
NORTH AMERICAN HEALTH SERVICES INC
P	$181,868	COST
NORTH AMERICAN HEALTH SERVICES INC
L	$61,000	COST
ADVENTIST BOLINGBROOK HOSPITAL
L	$18,895,206	PERCENTAGE OF REGIONAL COSTS
ADVENTIST GLENOAKS HOSPITAL
L	$12,909,624	PERCENTAGE OF REGIONAL COSTS
AHS MIDWEST MANAGEMENT INC
L	$14,067,462	PERCENTAGE OF REGIONAL COSTS
ALEXIAN BROTHERS - AHS MIDWEST REGION HEALTH CO
R	$1,689,793	JOC AFFILIATION AGREEMENT