ADVENTIST BOLINGBROOK HOSPITAL: Form 990, tax year 2017

View the entire original 990 at ProPublica ↗

Organization: ADVENTIST BOLINGBROOK HOSPITAL (EIN 65-1219504)
Tax period: 2017-01-01 to 2017-12-31
Filed: 2018-11-14
IRS object ID: 201843189349302179
Schema version: 2017v2.3
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	2018-11-14T09:08:06-06:00	ReturnTs
Tax Period End	2017-12-31	TaxPeriodEndDt
Return Type	990	ReturnTypeCd
Tax Period Begin	2017-01-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	651219504	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	ADVENTIST BOLINGBROOK HOSPITAL	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	ADVE	BusinessNameControlTxt
Phone	6303125000	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	500 REMINGTON BLVD	AddressLine1Txt
City	BOLINGBROOK	CityNm
State Abbreviation	IL	StateAbbreviationCd
ZIP	60440	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	LYNN C ADDISCOTT	PersonNm
Person Title	ASSISTANT SECRETARY	PersonTitleTxt
Phone	4073572317	PhoneNum
Signature	2018-11-13	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	2018-11-13	IPDt
IP Tm	13:15:24	IPTm
IP Timezone	ES	IPTimezoneCd
Filing License Type	P	FilingLicenseTypeCd
At Submission Creation Device Id	DA39A3EE5E6B4B0D3255BFEF95601890AFD80709	AtSubmissionCreationDeviceId
At Submission Filing Device Id	6F248CD6EFF84B1BE2234CC43AB797AE6C4F0CE1	AtSubmissionFilingDeviceId

Field	Value	IRS element (for citing)
Tax	2017	TaxYr
Build TS	2019-02-21 02:37:17Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	BRUCE CHRISTIAN	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	500 REMINGTON BLVD	AddressLine1Txt
City	BOLINGBROOK	CityNm
State Abbreviation	IL	StateAbbreviationCd
ZIP	60440	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$132,709,021	GrossReceiptsAmt
Group Return For Affiliates	0	GroupReturnForAffiliatesInd
Group Exemption	1071	GroupExemptionNum
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.AMITAHEALTH.ORG	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	2003	FormationYr
Legal Domicile State	IL	LegalDomicileStateCd
Activity Or Mission	OPERATION OF A 138-BED ACUTE-CARE HOSPITAL SERVING RESIDENTS IN & AROUND BOLINGBROOK, IL.	ActivityOrMissionDesc
Voting Members Governing Body	17	VotingMembersGoverningBodyCnt
Voting Members Independent	10	VotingMembersIndependentCnt
Total Employee	811	TotalEmployeeCnt
Total Volunteers	201	TotalVolunteersCnt
Total Gross UBI	$0	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$126,758	PYContributionsGrantsAmt
CY Contributions Grants	$34,037	CYContributionsGrantsAmt
PY Program Service Revenue	$122,495,333	PYProgramServiceRevenueAmt
CY Program Service Revenue	$130,026,061	CYProgramServiceRevenueAmt
PY Investment Income	$0	PYInvestmentIncomeAmt
CY Investment Income	$954,040	CYInvestmentIncomeAmt
PY Other Revenue	$0	PYOtherRevenueAmt
CY Other Revenue	$4,657	CYOtherRevenueAmt
PY Total Revenue	$122,622,091	PYTotalRevenueAmt
CY Total Revenue	$131,018,795	CYTotalRevenueAmt
PY Grants And Similar Paid	$251,011	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$202,205	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$47,785,743	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$46,941,423	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$78,137,697	PYOtherExpensesAmt
CY Other Expenses	$80,830,768	CYOtherExpensesAmt
PY Total Expenses	$126,174,451	PYTotalExpensesAmt
CY Total Expenses	$127,974,396	CYTotalExpensesAmt
PY Revenues Less Expenses	-$3,552,360	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$3,044,399	CYRevenuesLessExpensesAmt
Total Assets BOY	$124,765,432	TotalAssetsBOYAmt
Total Assets EOY	$121,331,177	TotalAssetsEOYAmt
Total Liabilities BOY	$111,218,834	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$121,887,729	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$13,546,598	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	-$556,552	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 ADVENTIST HEALTH SYSTEM (AHS). AHS 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, AHS 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	$111,567,129	ExpenseAmt
Grant	$202,205	GrantAmt
Revenue	$130,030,718	RevenueAmt
Desc	THE FILING ORGANIZATION DOES BUSINESS UNDER THE NAME AMITA HEALTH ADVENTIST MEDICAL CENTER BOLINGBROOK (AMITA HEALTH BOLINGBROOK, OR THE HOSPITAL). AMITA HEALTH BOLINGBROOK, WHICH IS PART OF AHS, OPERATES A 138-BED ACUTE-CARE HOSPITAL IN BOLINGBROOK, ILLINOIS, THAT HAS SERVED THE HEALTHCARE NEEDS OF THE BOLINGBROOK COMMUNITY AND SURROUNDING AREAS SINCE THE HOSPITAL OPENED IN 2008. LOCATED AT 500 REMINGTON BLVD., AMITA HEALTH BOLINGBROOK IS A FULL-SERVICE HOSPITAL THAT INCLUDES TWO MEDICAL OFFICE BUILDINGS ON ITS CAMPUS IN BOLINGBROOK, AN AMBULATORY-CARE SITE IN PLAINFIELD, ILLINOIS, AND SEVEN OUTPATIENT PHYSICAL REHABILITATION SITES IN PARTNERSHIP WITH PT SOLUTIONS. SPECIALTY CARE AND OTHER SERVICES AVAILABLE AT THE HOSPITAL INCLUDE BARIATRICS, A BREAST CENTER, CANCER CARE, CARDIAC CARE, A CHRONIC DISEASE CENTER, EMERGENCY SERVICES, EXECUTIVE HEALTH, GASTROENTEROLOGY, GERIATRICS, HOME HEALTH, HOSPICE, INTERVENTIONAL RADIOLOGY, NEUROLOGY, A PAIN MANAGEMENT CENTER, PEDIATRICS, PHYSICAL REHABILITATION, RADIOLOGY, SLEEP DISORDERS, SURGICAL SERVICES, AND WOMEN'S CARE. IN 2015, THE HOSPITAL OPENED A 24-BED GEROPSYCHIATRY UNIT TO ADDRESS A GROWING COMMUNITY NEED FOR MENTAL HEALTH TREATMENT FOR OLDER ADULTS. IN 2017, AMITA HEALTH BOLINGBROOK OPENED A HEPATITIS-C CLINIC DEDICATED TO THE DIAGNOSIS AND TREATMENT OF THE DISEASE, WHICH KILLS TENS OF THOUSANDS OF PEOPLE A YEAR. THE HOSPITAL HAS EXPANDED ITS OUTPATIENT SERVICES STEADILY IN RECENT YEARS, OFFERING OUTPATIENT SERVICES SUCH AS BARIATRIC SURGERY, INTERVENTIONAL PAIN MANAGEMENT, AND A MOBILE PET/CT SERVICE. THE HOSPITAL'S AMBULATORY-CARE SITE IN PLAINFIELD, ILLINOIS, OFFERS IMAGING, LABORATORY AND REHABILITATION SERVICES. AMITA HEALTH BOLINGBROOK PLAYS AN ACTIVE ROLE IN THE COMMUNITY, SPONSORING A WIDE VARIETY OF COMMUNITY OUTREACH PROGRAMS, INCLUDING FREE HEALTH SCREENINGS AND EDUCATIONAL PROGRAMS. IN ADDITION, THE HOSPITAL PROVIDES HEALTH SERVICES TO LOCAL EMPLOYERS.AMITA HEALTH BOLINGBROOK HAS BUILT A REPUTATION FOR CLINICAL EXCELLENCE, EARNING RECOGNITION FROM SEVERAL INDEPENDENT AUTHORITIES. THE JOINT COMMISSION HAS ACCREDITED THE HOSPITAL WITH THE GOLD SEAL OF APPROVAL FOR QUALITY. THE JOINT COMMISSION AND THE AMERICAN HEART ASSOCIATION/AMERICAN STROKE ASSOCIATION HAVE CERTIFIED THE HOSPITAL AS A PRIMARY STROKE CENTER. THE BLUE CROSS BLUE SHIELD ASSOCIATION HAS RECOGNIZED THE MEDICAL CENTER AS A BLUE DISTINCTION CENTER+ FOR DELIVERING SAFE, HIGH-QUALITY AND COST-EFFICIENT MATERNITY CARE. THE HOSPITAL'S WOMEN'S IMAGING CENTER HAS BEEN DESIGNATED BY THE AMERICAN COLLEGE OF RADIOLOGY AS A BREAST IMAGING CENTER OF EXCELLENCE, AND ITS SLEEP DISORDERS CENTER HAS BEEN ACCREDITED BY THE AMERICAN ACADEMY OF SLEEP MEDICINE. IN 2017, AMITA HEALTH BOLINGBROOK TREATED 5,923 INPATIENTS, PERFORMED 910 INPATIENT SURGERIES AND DELIVERED 944 BABIES. THE HOSPITAL'S MEDICAL STAFF INCLUDES 482 PHYSICIANS REPRESENTING 27 MEDICAL AND SURGICAL SPECIALTIES.AMITA HEALTH BOLINGBROOK PROVIDES CARE FOR ALL, INCLUDING THE FINANCIALLY DISADVANTAGED, UNINSURED, UNDERINSURED, HOMELESS AND THOSE WHO RECEIVE PUBLIC AID. IN 2017, THE HOSPITAL PROVIDED $1,564,614 OF CHARITY CARE AT COST. THIS WAS IN ADDITION TO $95,447 IN OTHER COMMUNITY BENEFITS SERVICES, $2,211,688 OF BAD DEBT EXPENSE AT COST, AND $7,895,355 OF UNREIMBURSED MEDICAID AT COST.ABOUT ADVENTIST MIDWEST HEALTHAMITA HEALTH BOLINGBROOK IS A SUBSIDIARY ORGANIZATION OF ADVENTIST MIDWEST HEALTH (AMH), A NETWORK OF FOUR NOT-FOR-PROFIT HOSPITALS AND THEIR OUTPATIENT-BASED HEALTHCARE FACILITIES IN CHICAGO'S WESTERN SUBURBS. AMH TAKES A HOLISTIC APPROACH TO WELLNESS, ADDRESSING THE PHYSICAL, MENTAL, SOCIAL AND SPIRITUAL NEEDS OF THE PEOPLE IT SERVES. AMH'S HOSPITALS AND OTHER FACILITIES ARE INTEGRAL TO THE FABRIC OF THEIR COMMUNITIES. AMH PARTNERS 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 ADVENTIST HEALTH SYSTEM, THE LARGEST, NOT-FOR-PROFIT PROTESTANT HOSPITAL SYSTEM IN THE NATION, AMH IS GROUNDED IN CHRISTIAN VALUES AND COMMITTED TO EXTENDING THE HEALING MINISTRY OF CHRIST. AMH 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 TWO 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.AMITA HEALTH BOLINGBROOK SERVICES DIAGNOSTIC SERVICESTHE HOSPITAL'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) -- 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 DEPARTMENTEMERGENCY 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 2017: -- 3,030 OUTPATIENT SURGERIES-- 12,839 DIAGNOSTIC IMAGES, INCLUDING GENERAL X-RAY, CT, MRI, PET, ULTRASOUND, NUCLEAR MEDICINE AND OTHERS-- 164,543 LABORATORY TESTS-- 39,323 EMERGENCY ROOM VISITS.	Desc
Total Program Service Expenses	$111,567,129	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	0	TempOrPermanentEndowmentsInd
Report Land Building Equipment	Yes (1)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	0	ReportInvestmentsOtherSecInd
Report Program Related Invst	0	ReportProgramRelatedInvstInd
Report Other Assets	0	ReportOtherAssetsInd
Report Other Liabilities	Yes (1)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (1)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	0	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (1)	ConsolidatedAuditFinclStmtInd
School Operating	0	SchoolOperatingInd
Foreign Office	0	ForeignOfficeInd
Foreign Activities	0	ForeignActivitiesInd
More Than5000 K To Org	0	MoreThan5000KToOrgInd
More Than5000 K To Individuals	0	MoreThan5000KToIndividualsInd
Professional Fundraising	0	ProfessionalFundraisingInd
Fundraising Activities	0	FundraisingActivitiesInd
Gaming Activities	0	GamingActivitiesInd
Operate Hospital	Yes (1)	OperateHospitalInd
Audited Financial Stmt Att	Yes (1)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (1)	GrantsToOrganizationsInd
Grants To Individuals	0	GrantsToIndividualsInd
Schedule J Required	Yes (1)	ScheduleJRequiredInd
Tax Exempt Bonds	0	TaxExemptBondsInd
Engaged In Excess Benefit Trans	0	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	0	PYExcessBenefitTransInd
Loan Outstanding	0	LoanOutstandingInd
Grant To Related Person	0	GrantToRelatedPersonInd
Business Rln With Org Mem	0	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	0	BusinessRlnWithFamMemInd
Business Rln 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
Info In Schedule O Part V	Yes (X)	InfoInScheduleOPartVInd
IRP Document	0	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Employee	811	EmployeeCnt
Employment Tax Returns Filed	Yes (1)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	0	UnrelatedBusIncmOverLimitInd
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
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	17	GoverningBodyVotingMembersCnt
Independent Voting Member	10	IndependentVotingMemberCnt
Family Or Business Rln	0	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	0	DelegationOfMgmtDutiesInd
Change To Org Documents	0	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	0	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (1)	MembersOrStockholdersInd
Election Of Board Members	Yes (1)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (1)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (1)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (1)	MinutesOfCommitteesInd
Officer Mailing Address	0	OfficerMailingAddressInd
Local Chapters	0	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (1)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (1)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (1)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (1)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (1)	WhistleblowerPolicyInd
Document Retention Policy	Yes (1)	DocumentRetentionPolicyInd
Compensation Process CEO	0	CompensationProcessCEOInd
Compensation Process Other	0	CompensationProcessOtherInd
Investment In Joint Venture	0	InvestmentInJointVentureInd
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	DEBRA WILBURN	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Phone	2242730191	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	500 REMINGTON BLVD	AddressLine1Txt
City	BOLINGBROOK	CityNm
State Abbreviation	IL	StateAbbreviationCd
ZIP	60440	ZIPCd

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

Form990 Part VII Section A Form990PartVIISectionAGrp (36 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
RANDALL HAFFNER PHD
DIR/CHAIRMAN	0.10	50.00	Yes (X)	$0	$2,335,962	$318,699
RONALD AGUILERA
DIRECTOR (BEG 6/17)	0.10	4.00	Yes (X)	$0	$1,179	$0
VENANZIO ARQUILLA
DIRECTOR	0.10	0.20	Yes (X)	$0	$0	$0
LINDA EASTMAN
DIRECTOR	0.10	0.20	Yes (X)	$0	$0	$0
MARSHALL GRAY JR
DIRECTOR	0.10	0.50	Yes (X)	$0	$0	$0
RONNIE HAWKINS
DIRECTOR	0.10	0.20	Yes (X)	$0	$0	$0
BILL HOLDER
DIRECTOR	0.10	0.40	Yes (X)	$0	$0	$0
DONALD LIVESAY MDIV
VICE CHAIRMAN/DIR (END 9/17)	0.10	1.00	Yes (X)	$0	$308	$0
PATRICIA MADEJ MD
DIRECTOR	0.10	50.00	Yes (X)	$0	$464,853	$17,125
PETER O'CONNOR
DIRECTOR	0.10	0.20	Yes (X)	$0	$0	$0
RAY PICHETTE
DIRECTOR (END 6/17)	0.10	1.00	Yes (X)	$0	$308	$0
GLYNN SCOTT
DIRECTOR	0.10	4.00	Yes (X)	$0	$2,129	$0
GREG SHARON MD
DIRECTOR	0.10	5.00	Yes (X)	$0	$36,000	$0
CHRISTINE SMITH
DIRECTOR (END 9/17)	0.10	0.50	Yes (X)	$0	$0	$0
BRENT G SNYDER
TREASURER/DIRECTOR	0.10	50.00	Yes (X)	$0	$1,296,802	$194,697
THOR THORDARSON
DIR/PRES/SEC	7.50	42.50	Yes (X)	$0	$635,726	$143,508
MAURICE VALENTINE II MDIV
DIRECTOR	0.10	4.00	Yes (X)	$0	$2,237	$0
DINO VALLERA MD
DIRECTOR (END 12/17)	0.10	0.20	Yes (X)	$0	$0	$0
JONATHAN WRIGHT
DIRECTOR	0.10	0.20	Yes (X)	$0	$0	$0
ERIC YANG MD
DIRECTOR	0.10	50.00	Yes (X)	$0	$345,107	$14,562
BRUCE CHRISTIAN
CEO (BEG 6/17)	25.00	25.00		$0	$591,421	$78,366	Yes (X)
RICK MACE
CEO (END 3/17)	50.00	0.00		$0	$470,213	$36,814	Yes (X)
CHASE AALBORG
CFO	25.00	25.00		$0	$234,162	$52,202	Yes (X)
RICHARD ROEHR
COO (END 11/17)	25.00	25.00		$0	$249,822	$54,202		Yes (X)
RICHARD CARROLL MD
CMO-GLENOAKS & BOLINGBROOK	25.00	25.00		$0	$709,143	$98,464		Yes (X)
OBED CRUZ RN
CNO (BEG 7/17)	50.00	0.00		$0	$154,800	$5,670		Yes (X)
JOLENE ALBAUGH
CNO (END 7/17)	50.00	0.00		$0	$243,947	$45,329		Yes (X)
DIANE LEONARD
DIR NURSING	60.00	0.00		$178,288	$0	$34,146			Yes (X)
CANDICE WASHILEWSKI
ADMIN DIR OF NURSING	60.00	0.00		$156,088	$0	$23,439			Yes (X)
CECILLE TRUVER
DIR RADIOLOGY	60.00	0.00		$147,706	$0	$16,478			Yes (X)
JODI PONTERIO
PHARMACY MANAGER	60.00	0.00		$136,796	$0	$5,855			Yes (X)
CONSTANCE PERRY
DIR NURSING	60.00	0.00		$134,892	$0	$5,148			Yes (X)
DAVID L CRANE
FORMER REGION CEO	0.00	0.00		$0	$735,184	$42,816				Yes (X)
REBECCA MATHIS
FORMER CFO	0.00	50.00		$0	$377,715	$50,147				Yes (X)
MARY MURPHY
FORMER REGIONAL CNO	0.00	50.00		$0	$396,974	$45,757				Yes (X)
MICHAEL MURRILL
FORMER COO	0.00	50.00		$0	$371,987	$58,037				Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$753,770	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$9,655,979	TotReportableCompRltdOrgAmt
Total Other Compensation	$1,341,461	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	38	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 & ENVIRONMENTAL SERVICES	$4,668,517
PT SOLUTIONS HOLDINGS LLC
PO BOX 441146	KENNESAW	GA	30160	THERAPY SERVICES	$3,772,926
ADVANCE INPATIENT MEDICINE
903 COMMERCE DRIVE 333	OAKBROOK	IL	60523	PHYSICIAN SERVICES	$678,392
LAW OFFICES OF NEIL GREENE
250 PARKWAY DRIVE 160	LINCOLNSHIRE	IL	60069	DEBT COLLECTION SERVICES	$481,623
TOTAL RENAL CARE INC
PO BOX 781607	PHILADELPHIA	PA	19178	DIALYSIS SERVICES	$465,024

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	20	CntrctRcvdGreaterThan100KCnt
Related Organizations	$922	RelatedOrganizationsAmt
Government Grants	$33,115	GovernmentGrantsAmt
Total Contributions	$34,037	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
NET PATIENT REVENUE	622110	$128,904,734	$128,904,734
CAFETERIA REVENUE	622110	$522,587	$522,587
HEALTH EDUCATION PROGRAMS	622110	$320,193	$320,193
MEDICAL OFFICE BUILDING	622110	$112,156	$112,156
GIFT SHOP REVENUE	622110	$59,986	$59,986

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$106,405	TotalRevenueColumnAmt
Related Or Exempt Func Income	$106,405	RelatedOrExemptFuncIncomeAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$130,026,061	TotalProgramServiceRevenueAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Other	$2,644,266	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Other	$1,690,226	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Other	$954,040	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$954,040	TotalRevenueColumnAmt
Exclusion	$954,040	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp

Field	Value	IRS element (for citing)
Desc	EHR REVENUE	Desc
Business	622110	BusinessCd
Total Revenue Column	$4,657	TotalRevenueColumnAmt
Related Or Exempt Func Income	$4,657	RelatedOrExemptFuncIncomeAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$4,657	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$131,018,795	TotalRevenueColumnAmt
Related Or Exempt Func Income	$130,030,718	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$954,040	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	$202,205	TotalAmt
Program Services	$202,205	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$1,940,103	TotalAmt
Management And General	$1,940,103	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$33,542,473	TotalAmt
Program Services	$33,542,473	ProgramServicesAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$975,823	TotalAmt
Program Services	$959,209	ProgramServicesAmt
Management And General	$16,614	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$7,690,973	TotalAmt
Program Services	$7,690,973	ProgramServicesAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$2,792,051	TotalAmt
Program Services	$2,744,514	ProgramServicesAmt
Management And General	$47,537	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$57,084	TotalAmt
Management And General	$57,084	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$33,889,889	TotalAmt
Program Services	$20,832,502	ProgramServicesAmt
Management And General	$13,057,387	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$47,653	TotalAmt
Management And General	$47,653	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$2,367,756	TotalAmt
Program Services	$2,227,517	ProgramServicesAmt
Management And General	$140,239	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$4,106,647	TotalAmt
Program Services	$3,369,421	ProgramServicesAmt
Management And General	$737,226	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$2,487,645	TotalAmt
Program Services	$2,487,645	ProgramServicesAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$63,745	TotalAmt
Program Services	$8,123	ProgramServicesAmt
Management And General	$55,622	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$2,976,406	TotalAmt
Program Services	$2,976,406	ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$6,575,520	TotalAmt
Program Services	$6,575,520	ProgramServicesAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$1,971,133	TotalAmt
Program Services	$1,638,611	ProgramServicesAmt
Management And General	$332,522	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (3 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt
MEDICAL SUPPLIES	$20,637,162	$20,637,162
STATE TAX INDIGENT ASSE	$4,686,881	$4,686,881
REPAIRS & MAINTENANCE	$917,810	$917,810

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$45,437	TotalAmt
Program Services	$70,157	ProgramServicesAmt
Management And General	-$24,720	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$127,974,396	TotalAmt
Program Services	$111,567,129	ProgramServicesAmt
Management And General	$16,407,267	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$3,944	BOYAmt
EOY	$3,444	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$34,745	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$23,163,506	BOYAmt
EOY	$24,833,968	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$2,606,922	BOYAmt
EOY	$3,026,853	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$2,675,055	BOYAmt
EOY	$3,005,337	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$173,033,690	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$89,243,146	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$91,387,162	BOYAmt
EOY	$83,790,544	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$1,267,457	BOYAmt
EOY	$1,541,553	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$3,661,386	BOYAmt
EOY	$5,094,733	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$124,765,432	BOYAmt
EOY	$121,331,177	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$6,354,922	BOYAmt
EOY	$8,332,943	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$311,929	BOYAmt
EOY	$214,855	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$104,551,983	BOYAmt
EOY	$113,339,931	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$111,218,834	BOYAmt
EOY	$121,887,729	EOYAmt

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

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$12,755,453	BOYAmt
EOY	-$1,506,183	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$791,145	BOYAmt
EOY	$949,631	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$13,546,598	BOYAmt
EOY	-$556,552	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$124,765,432	BOYAmt
EOY	$121,331,177	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$3,044,399	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$8,202	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	-$17,155,751	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

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	Yes (1)	GrantsOtherOrganizationsInd
Grants Other Organizations	$1,500	GrantsOtherOrganizationsAmt
Direct Contact Legislators	0	DirectContactLegislatorsInd
Rallies Demonstrations	0	RalliesDemonstrationsInd
Other Activities	Yes (1)	OtherActivitiesInd
Other Activities	$27,352	OtherActivitiesAmt
Total Lobbying Expenditures	$28,852	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 TO THE AMERICAN HOSPITAL ASSOCIATION AND ILLINOIS HOSPITAL ASSOCIATION, AND $1,500 TO WILL COUNTY CENTER FOR ECONOMIC DEVELOPMENT.	ExplanationTxt

Schedule D IRS990ScheduleD

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$108,615,620	OtherCostOrOtherBasisAmt
Depreciation	$37,211,828	DepreciationAmt
Book Value	$71,403,792	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$63,904,390	OtherCostOrOtherBasisAmt
Depreciation	$51,922,498	DepreciationAmt
Book Value	$11,981,892	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$513,680	OtherCostOrOtherBasisAmt
Depreciation	$108,820	DepreciationAmt
Book Value	$404,860	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$83,790,544	TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (5 entries)

DescDesc	AmtAmt
DUE TO RELATED	$23,309,823
PAYABLE TO THIRD PARTIES	$7,496,953
AR CREDIT BALANCES	$3,358,016
INTERCO ALLOC OF TE BOND PROCEEDS	$78,872,767
OTHER LIABILITIES	$302,372

Field	Value	IRS element (for citing)
Total Liability	$113,339,931	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART X, LINE 2:	FormAndLineReferenceDesc
Explanation	THE FILING ORGANIZATION IS A SUBSIDIARY ORGANIZATION WITHIN ADVENTIST HEALTH SYSTEM (AHS). THE CONSOLIDATED FINANCIAL STATEMENTS OF AHS 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, 2017 AND 2016. NAHS ALSO HAS TEMPORARY DEDUCTIBLE DIFFERENCES OF APPROXIMATELY $55,700 AND $59,100 AT DECEMBER 31, 2017 AND 2016, RESPECTIVELY, PRIMARILY AS A RESULT OF NET OPERATING LOSS CARRYFORWARDS. AT DECEMBER 31, 2017, NAHS HAD NET OPERATING LOSS CARRYFORWARDS OF APPROXIMATELY $56,400, EXPIRING BEGINNING IN 2022 THROUGH 2026. DEFERRED TAXES HAVE BEEN PROVIDED FOR THESE AMOUNTS, RESULTING IN A NET DEFERRED TAX ASSET OF APPROXIMATELY $14,100 AND $22,500 AT DECEMBER 31, 2017 AND 2016, RESPECTIVELY. A FULL VALUATION ALLOWANCE HAS BEEN PROVIDED AT DECEMBER 31, 2017 AND 2016 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. 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. 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%. ADDITIONALLY, NAHS HAD A CORRESPONDING DECREASE TO ITS VALUATION ALLOWANCE RESULTING IN NO NET TAX EXPENSE IMPACT. 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, 2017 AND 2016.	ExplanationTxt

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (1)	FinancialAssistancePolicyInd
Written Policy	Yes (1)	WrittenPolicyInd
All Hospitals Policy	Yes (X)	AllHospitalsPolicyInd
FPG Reference Free Care	Yes (1)	FPGReferenceFreeCareInd
Percent200	Yes (X)	Percent200Ind
FPG Reference Discounted Care	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	$1,564,614	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$1,564,614	NetCommunityBenefitExpnsAmt
Total Expense	0.01220	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$30,644,012	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$22,748,657	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$7,895,355	NetCommunityBenefitExpnsAmt
Total Expense	0.06170	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$32,208,626	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$22,748,657	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$9,459,969	NetCommunityBenefitExpnsAmt
Total Expense	0.07390	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$22,015	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$22,015	NetCommunityBenefitExpnsAmt
Total Expense	0.00020	TotalExpensePct

Research ResearchGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$73,609	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$178	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$73,431	NetCommunityBenefitExpnsAmt
Total Expense	0.00060	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$95,624	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$178	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$95,446	NetCommunityBenefitExpnsAmt
Total Expense	0.00080	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$32,304,250	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$22,748,835	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$9,555,415	NetCommunityBenefitExpnsAmt
Total Expense	0.07470	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (1)	BadDebtExpenseReportedInd
Bad Debt Expense	$9,455,698	BadDebtExpenseAmt
Bad Debt Expense Attributable	$291,459	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$31,611,809	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$30,720,637	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	$891,172	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

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

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

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	ADVENTIST BOLINGBROOK HOSPITAL	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	500 REMINGTON BLVD	AddressLine1Txt
City	BOLINGBROOK	CityNm
State Abbreviation	IL	StateAbbreviationCd
ZIP	60440	ZIPCd

Field	Value	IRS element (for citing)
Website Address	WWW.AMITAHEALTH.ORG/LOCATIONS/HOSPITAL	WebsiteAddressTxt
State License	0005496	StateLicenseNum
Licensed Hospital	Yes (X)	LicensedHospitalInd
General Medical And Surgical	Yes (X)	GeneralMedicalAndSurgicalInd
Emergency Room24 Hrs	Yes (X)	EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	ADVENTIST BOLINGBROOK HOSPITAL	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
First Licensed CY Or PY	0	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	0	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (1)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Prior CHNA Impact	Yes (X)	PriorCHNAImpactInd
CHNA Conducted	16	CHNAConductedYr
Take Into Account Others Input	Yes (1)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	0	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	0	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (1)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	SEE STATEMENT	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Rpt Available Thru Other Method	Yes (X)	RptAvailableThruOtherMethodInd
Implementation Strategy Adopt	Yes (1)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	17	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (1)	StrategyPostedWebsiteInd
Strategy Website URL	SEE STATEMENT	StrategyWebsiteURLTxt
Organization Incur Excise Tax	0	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (1)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	200.000000000000	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	600.000000000000	FPGFamilyIncmLmtDscntCarePct
Asset Level Criteria	Yes (X)	AssetLevelCriteriaInd
Medical Indigency Criteria	Yes (X)	MedicalIndigencyCriteriaInd
Insurance Status Criteria	Yes (X)	InsuranceStatusCriteriaInd
Underinsurance Stat Criteria	Yes (X)	UnderinsuranceStatCriteriaInd
Explained Basis	Yes (1)	ExplainedBasisInd
App Financial Asst Expln	Yes (1)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Provided Nonprofit Contact	Yes (X)	ProvidedNonprofitContactInd
Includes Publicity Measures	Yes (1)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	SEE STATEMENT	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	SEE STATEMENT	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	SEE STATEMENT	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill Display	Yes (X)	NotifiedFAPCopyBillDisplayInd
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
FAP Translated	Yes (X)	FAPTranslatedInd
FAP Actions On Nonpayment	Yes (1)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	0	CollectionActivitiesInd
Provided Written Notice	Yes (X)	ProvidedWrittenNoticeInd
Made Effort Orally Notify	Yes (X)	MadeEffortOrallyNotifyInd
Processed FAP Application	Yes (X)	ProcessedFAPApplicationInd
Made Presumptive Elig Determ	Yes (X)	MadePresumptiveEligDetermInd
Nondis Emergency Care Policy	Yes (1)	NondisEmergencyCarePolicyInd
Look Back Medicare Private	Yes (X)	LookBackMedicarePrivateInd
Amounts Generally Billed	0	AmountsGenerallyBilledInd
Gross Charges	0	GrossChargesInd

Supplemental Information SupplementalInformationGrp (7 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
ADVENTIST BOLINGBROOK HOSPITAL	PART V, SECTION B, LINE 5: ADVENTIST BOLINGBROOK HOSPITAL (THE HOSPITAL OR THE FILING ORGANIZATION) 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:- DUPAGE COUNTY HEALTH DEPARTMENT- DUPAGE FEDERATION ON HUMAN SERVICES REFORM- ELMHURST CUSD 205- METROPOLITAN CHICAGO HEALTHCARE COUNCIL- NAPERVILLE SCHOOL DISTRICT 203- PEOPLE'S RESOURCE CENTER- VILLAGE OF ADDISON
ADVENTIST BOLINGBROOK HOSPITAL	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.
ADVENTIST BOLINGBROOK HOSPITAL	PART V, SECTION B, LINE 11: THE INFORMATION PROVIDED BELOW EXPLAINS HOW THE HOSPITAL FACILITY ADDRESSED IN 2017 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. AMITA HEALTH ADVENTIST BOLINGBROOK HOSPITAL (ABH OR THE HOSPITAL) COMPLETED A COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA)IN 2016. 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). THE SERVICE AREA FOR THE HOSPITAL IS COMPRISED OF 34 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 HTTPS://WWW.AMITAHEALTH.ORG/ABOUT-US/COMMUNITY-BENEFIT/ADVENTIST-BOLINGBROOK. DESCRIPTION OF DEMOGRAPHICSIN THE BOLINGBROOK HOSPITAL SERVICE AREA, THE POPULATION IS SLIGHTLY YOUNGER THAN AVERAGE, AND ABOUT 17.7% OF THE POPULATION IS HISPANIC. THE COMMUNITY'S SOCIAL DETERMINANTS ARE POSITIVE, HAVING LESS POVERTY, LESS UNEMPLOYMENT AND A BETTER EDUCATED COMMUNITY THAN AVERAGE (2016 CHNA, PAGE 39). HOWEVER, 7.4% OF THE POPULATION LIVES AT OR BELOW 100% OF THE POVERTY LEVEL AND 19.4% ARE AT OR BELOW 200% OF THE POVERTY LEVEL, REPRESENTING 306,654 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 ADDRESSEDMENTAL HEALTH/SUBSTANCE ABUSEIN THE ABH SERVICE AREA, 22.8% OF RESIDENTS DESCRIBE THEIR MENTAL HEALTH AS FAIR OR POOR AS COMPARED TO THE MCHC REGION AT 13.2% AND THE NATION AT 11.9%. ACCESSING MENTAL HEALTH SERVICES IS PARTICULARLY DIFFICULT FOR LOW INCOME RESIDENTS AND THOSE WITHOUT INSURANCE. RELATED TO MENTAL HEALTH ACCESS ISSUES, 6.9% OF ABH RESIDENTS REPORT LIVER DISEASE AS COMPARED TO 1.6% OF THE MCHC AREA. ACTIONS TAKEN: - AS MEMBERS OF THE WILL COUNTY MAPP COLLABORATIVE, THE HOSPITAL PROMOTED MENTAL HEALTH FIRST AID, A PUBLIC EDUCATION PROGRAM DESIGNED TO TEACH INDIVIDUALS HOW TO INTERACT WITH AND HELP SOMEONE EXPERIENCING A MENTAL HEALTH OR ADDICTIONS CHALLENGE OR CRISIS. PARTICIPANTS LEARN MENTAL ILLNESS SIGNS AND SYMPTOMS, RISK ASSESSMENT, INTERVENTION STRATEGIES, AND EFFECTIVE COMMUNICATION SKILLS. SINCE 2014, 890 PEOPLE HAVE BECOME MENTAL HEALTH FIRST AIDERS. - SUPPORT THE VNA HEALTH CARE CENTER WITH FUNDING SO THAT LOW-INCOME PATIENTS CAN RECEIVE MENTAL HEALTH SERVICES.NUTRITION, PHYSICAL ACTIVITY AND WEIGHTTHE PERCENTAGE OF OBESITY/OVERWEIGHT ISSUES IN CHILDREN IS QUITE HIGH IN THE ABH COMMUNITY. OVER 44.0% ARE OVERWEIGHT, 40.3% ARE OBESE AS COMPARED TO THE MCHC REGION AT 31.6% AND 18.1% RESPECTIVELY. ACTION TAKEN: - THE HOSPITAL PARTNERED TO PROVIDE GONOODLE, AN ONLINE SUITE DESIGNED TO PROVIDE A SLEW OF HEALTH CARE COURSES THROUGH THE USE OF THE APPLICATION. STUDENTS, TEACHERS AND FAMILIES AT VALLEY VIEW SCHOOLS CAN ACCESS THE PRODUCT AT NO COST. IN 2017, 197 TEACHERS (OR 48% OF ELIGIBLE TEACHERS) WERE ACTIVE; 4,365 STUDENTS PARTICIPATED IN GONOODLE ACTIVITIES, AND 12 SCHOOLS HAVE ACTIVE GONOODLE USERS. - HOSTED THE FIRST ST. PADDY'S HALF MARATHON AND 5K COURSE RUNS THROUGHOUT BOLINGBROOK. NEARLY 1,800 RUNNERS PARTICIPATED IN THE HALF MARATHON. THE EVENT WAS SPONSORED IN PARTNERSHIP WITH PT SOLUTIONS PHYSICAL THERAPY AND THE VILLAGE OF BOLINGBROOK. - SUPPORTED WEWILL WORKHEALTHY, A WORKSITE WELLNESS RECOGNITION PROGRAM DEVELOPED IN 2013. IT RECOGNIZES THE WORKSITES IN WILL COUNTY THAT ARE ENGAGED IN WORKSITE WELLNESS BEST PRACTICES THROUGH AN APPLICATION PROCESS. THIS APPLICATION CONSISTS OF POLICIES, PROGRAMS, AND SERVICES PERTAINING TO HEALTH PROMOTION, PHYSICAL ACTIVITY, BEHAVIORAL HEALTH, ENVIRONMENTAL HEALTH, NUTRITION, AND SAFETY. WEWILL WORKHEALTHY IS A TWO-YEAR AWARDS PROGRAM WITH LEVELS OF RECOGNITION: HONORABLE MENTION, BRONZE, SILVER, GOLD, AND THE INNOVATION AWARD. NINETEEN ORGANIZATIONS HAVE RECEIVED RECOGNITION, IMPACTING MORE THAN 10,000 WILL COUNTY EMPLOYEES. - THE HOSPITAL DONATED CLOSE TO $10K IN FUNDING TO UNITED WAY FUNDS FOR THEIR HEALTHY LIFESTYLES CATEGORY. SOME OF THE HEALTHY LIFESTYLES PROGRAMS OUR UNITED WAY INVESTS IN ARE: - MOBILE DENTAL UNIT TO HELP CHILDREN AND ADULTS WHO NEED DENTAL CARE BUT HAVE NO INSURANCE - ONCOLOGY SUPPORT FOR INDIVIDUALS GOING THROUGH TREATMENT FOR CANCER AND SUPPORT TO THEIR FAMILIES - AUTISM SERVICES FOR CHILDREN AND SUPPORT TO THEIR FAMILIES - MOBILE HEARING VAN TO SCREEN CHILDREN AND ADULTS - RESIDENTIAL TREATMENT FOR ADULTS WHO ARE ALCOHOL OR DRUG DEPENDENT - TRAUMA FOCUSED MENTAL HEALTH SERVICES FOR CHILDREN WHO HAVE BEEN ABUSED - MEDICAL CARE FOR CHILDREN AND ADULTS WHO NEED MEDICAL CARE BUT HAVE NO HEALTH INSURANCEOTHER IDENTIFIED HEALTH ISSUESACCESS TO HEALTHCARE SERVICES OVERALL, 47.8% OF THE ABH SERVICE AREA REPORTED DIFFICULTY IN ACCESSING CARE DUE TO FINDING A DOCTOR, COST, INCONVENIENT OFFICE HOURS OR LACK OF TRANSPORTATION. OF THOSE IN THE LOWER SOCIOECONOMIC STATUS, 66.7% REPORTED DIFFICULTY ACCESSING CARE. ACTION TAKEN: - PROVIDED FUNDING TO VNA HEALTH CARE IN THE AMOUNT OF $15K. THE VNA IS A FQHC THAT IS HOUSED IN THE HOSPITAL'S ADMINISTRATIVE BUILDING FOR A SUBSIDIZED COST AND TO INCREASE ACCESS TO A COMPREHENSIVE LIST OF SERVICES. VNA SERVED LOW-INCOME UNDERINSURED AND UNINSURED PATIENTS. - OVER THE PAST THREE YEARS, THE WILL COUNTY MAPP COLLABORATIVE, IN WHICH THE HOSPITAL IS A MEMBER, DEVELOPED A CAMPAIGN TO EDUCATE HEALTH CARE CONSUMERS ON HOW TO APPROPRIATELY UTILIZE SERVICES. THE CAMPAIGN LISTED SYMPTOMS ON WHEN TO GO TO YOUR PRIMARY CARE PROVIDER OR THE EMERGENCY ROOM, ALL THE WHILE PROMOTING THE LOCAL FQHCS.CANCERTHE AGE ADJUSTED DEATH RATE FROM FEMALE BREAST CANCER IS SLIGHTLY ABOVE NATIONAL RATES, THE INCIDENCE OF PROSTATE CANCER IS SLIGHTLY ABOVE NATIONAL RATES. ACTION TAKEN: - HOSTED THE ANNUAL PINK LIGHTING CEREMONY ON THE HOSPITAL CAMPUS, COMMEMORATING THE START OF BREAST CANCER AWARENESS MONTH. PATIENTS, SURVIVORS, THEIR FAMILIES AND STAFF GATHERED FOR MUSIC, PRAYER, A SPECIAL SPEAKER AND THE CHANCE TO PUT A RIBBON ON THE TREE IN MEMORY OF A LOVED ONE. - IN PARTNERSHIP WITH MACY'S AND PINK, HOSTED THE ANNUAL FASHION SHOW EVENT FEATURING BREAST CANCER PATIENTS AND SURVIVORS. GUEST GOT TO ADMIRE THE LATEST IN FALL FASHIONS, AS WELL AS LEARN ABOUT PREVENTION AND TREATMENT FROM PHYSICIANS. - THROUGH THE PARTNERSHIP WITH THE VNA HEALTH CARE CENTER, LOW-INCOME PATIENTS HAVE ACCESS TO FREE MAMMOGRAM SCREENINGS. - 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 HOSPITAL PLEDGED TO EMBRACE THE SHARED GOAL OF REGULARLY SCREENING 80 PERCENT OF ADULTS IN THIS AGE GROUP FOR THE CANCER BY 2018. MORE THAN 1,000 ORGANIZATIONS ACROSS THE COUNTRY HAVE ALSO TAKEN THE PLEDGE.DIABETESWHILE THE AGE ADJUSTED DEATH RATE FOR TYPE II DIABETES IS FAVORABLE IN THE ABH AREA, 14.8% OF THE POPULATION REPORTS BORDERLINE DIABETES AS COMPARED TO 6.9% OF THE MCHC POPULATION AND 5.1% OF THE NATIONAL POPULATION. THIS SERIOUS, CHRONIC DISEASE IS EXPENSIVE TO TREAT AND CLOSELY RELATED TO HEART DISEASE, STROKE, OBESITY AND NUTRITION. ACTION TAKEN:- THROUGH THE SUPPORT TO VNA HEALTH CARE CENTER, COMMUNITY MEMBERS HAVE AN OPPORTUNITY TO BE SCREENED FOR PRE-DIABETES AND DIABETES CLASSES. VNA OFFERS A MULTI-DISCIPLINARY DIABETES RESOURCE TEAM TO SUPPORT PATIENTS THROUGH A STEP BY STEP DIABETES PROGRAM. THEIR RECORDS SHOW THAT OVER 60% OF THE PATIENTS REDUCED THEIR WEIGHT; 100% INCREASED PHYSICAL ACTIVITY; AND, 80% OF PATIENTS HAD HEALTHIER EATING HABITS. SEE CONTINUATION
SCHEDULE H, PART V, SECTION B, LINE 11 - CONTINUATION:	FAMILY PLANNINGTHIS ISSUE WAS CALLED OUT AS A TOP CONCERN BY COMMUNITY STAKEHOLDERS, BUT NOT SUPPORTED BY DATA. IT IS LIKELY THAT BECAUSE LACK OF FAMILY PLANNING IS SO DETRIMENTAL TO YOUNG WOMEN, PARTICULARLY THOSE OF LOW SOCIOECONOMIC STATUS, ITS IMPACT IS GREATER THAN THE NUMBERS WOULD SUGGEST. ACTION TAKEN: - DONATED $10K TO THE MARCH OF DIMES TO SUPPORT MEDICAL RESEARCH IN THE AREA OF PREMATURE BIRTH. - OFFERED FREE OR FOR A NOMINAL FEE CLASSES TO FAMILIES AND COMMUNITY MEMBERS ON TOPICS THAT INCLUDE: BABY CARE BASICS; INFANT AND CHILD CPR CLASSES; PREPARED CHILDBIRTH MARATHON; BREASTFEEDING CLASS; AND, BREASTFEEDING SUPPORT GROUP. HEART DISEASE AND STROKEBOTH OF THESE ISSUES ARE HIGHER THAN THE STATE AND NATIONAL NORMS, ALTHOUGH THE DEATH RATE FOR BOTH IS MORE FAVORABLE THAN STATE OR NATIONAL NORMS. ACTION TAKEN: - IN ALL OF THE 34 ZIP CODES, AMITA HEALTH PROVIDES ONGOING FREE FLU VACCINES, LEG CIRCULATION SCREENINGS, BLOOD SUGAR CHECKS, BLOOD PRESSURE CHECKS, BODY FAT ANALYSIS AND STROKE RISK ASSESSMENTS. - WITH THE HELP OF THE ROMEOVILLE AND BOLINGBROOK FIRE DEPARTMENTS, THE EMERGENCY DEPARTMENT STAFF FROM THE HOSPITAL PARTICIPATED IN THE ANNUAL OPEN HOUSE, PROVIDING HEALTH, STROKE PREVENTION AND EMERGENCY ROOM INFORMATION TO GUESTS.IMMUNIZATION AND INFECTIOUS DISEASESONLY 37.8% OF THOSE OVER 65 HAVE HAD A FLU VACCINE IN THE PAST YEAR, WELL BELOW MCHC AT 56.5% AND ILLINOIS AT 58.6%. ALL IMMUNIZATIONS ARE BELOW THE HEALTHY PEOPLE 2020 BENCHMARKS. ACTION TAKEN: - PARTNERED WITH THE VNA HEALTH CARE CENTER TO PROVIDE PRIMARY CARE SERVICES THAT INCLUDE ADMINISTERING THE REQUIRED VACCINATIONS FOR SCHOOL AND HELPING FAMILIES TO STAY ON TRACK OF THEIR VACCINATION SCHEDULES. - PROVIDED EVERY PATIENT UPON DISCHARGE THE OPPORTUNITY TO RECEIVE A FLU VACCINE. IT REQUIRED EVERY EMPLOYEE TO HAVE A FLU VACCINE FOR THE PROTECTION OF OUR PATIENTS UNLESS THEY WERE MEDICALLY EXCUSED. SEXUALLY TRANSMITTED DISEASESIN THE ABH COMMUNITY, 23.1% OF UNMARRIED 18-64 YEAR OLDS REPORTED 3 OR MORE SEXUAL PARTNERS IN THE PAST YEAR AS COMPARED TO 12.9% IN THE MCHC REGION.ACTION TAKEN: - SUPPORTED THE VNA HEALTH CARE CENTER WITH THEIR EFFORTS TO TREAT STD-RELATED HEALTH PROBLEMS FOR FREE TO LOW-INCOME PATIENTS. - PROVIDED REFERRALS TO THE COUNTY HEALTH DEPARTMENT WHICH OFFERS FREE STD TESTING. ISSUES NOT ADDRESSED - POTENTIALLY DISABLING CONDITIONS - ALTHOUGH AN IDENTIFIED COMMUNITY NEED, THE HOSPITAL PROVIDES EXTENSIVE SERVICES IN A CLINICAL SETTING. ADDITIONALLY, 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 PRIMARY 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) THAN USUALLY THERE ARE FUNDS AVAILABLE THROUGH THE NATIONAL KIDNEY FOUNDATION ETC. THE SOCIAL WORKERS ASSOCIATED WITH THE DIALYSIS CENTERS PROVIDE THE REFERRALS AND EDUCATION. - INJURY AND VIOLENCE - THE CHNA IDENTIFIED BICYCLE HELMET USAGE AND VIOLENT CRIME BOTH AS LOW-PRIORITY. THERE WAS NO PROGRAM DEVISED FOR THE HELMET USAGE DUE TO FUNDING. IN TERMS OF VIOLENT CRIME, THE HOSPITAL DECIDED TO CONTINUE THE FREE ED TRAINING TO OUR LOCAL LAW ENFORCEMENT/FIRST RESPONDERS AND NOT DEDICATE SEPARATE DOLLARS FOR VIOLENT CRIME DUE TO SHORTAGES IN FUNDING.
SCHEDULE H, PART V, SECTION B, LINE 7A:	THE CHNA REPORT CAN BE FOUND AT URL:HTTPS://WWW.AMITAHEALTH.ORG/ABOUT-US/COMMUNITY-BENEFIT/ADVENTIST-BOLINGBROOK
SCHEDULE H, PART V, SECTION B, LINE 10A:	THE HOSPITAL'S MOST RECENTLY ADOPTED IMPLEMENTATION STRATEGY CAN BE FOUND AT:HTTPS://WWW.AMITAHEALTH.ORG/ABOUT-US/COMMUNITY-BENEFIT/ADVENTIST-BOLINGBROOK
SCHEDULE H, PART V, SECTION B, LINE 16A,B,C:	THE FINANCIAL ASSISTANCE POLICY CAN BE FOUND AT URL:HTTPS://WWW.AMITAHEALTH.ORG/PATIENT-RESOURCES/PAY-YOUR-BILL/FINANCIAL-ASSISTANCE/ADVENTIST-FORMS-AND-POLICY-INFORMATIONTHE FINANCIAL ASSISTANCE POLICY APPLICATION CAN BE FOUND AT:HTTPS://WWW.AMITAHEALTH.ORG/PATIENT-RESOURCES/PAY-YOUR-BILL/FINANCIAL-ASSISTANCE/ADVENTIST-FORMS-AND-POLICY-INFORMATIONTHE PLAIN LANGUAGE SUMMARY IS AVAILABLE AT:HTTPS://WWW.AMITAHEALTH.ORG/PATIENT-RESOURCES/PAY-YOUR-BILL/FINANCIAL-ASSISTANCE/ADVENTIST-FORMS-AND-POLICY-INFORMATION

Field	Value	IRS element (for citing)
Facility	5	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (5 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
2 - PLAINFIELD IMAGING & OUTPATIENT CENTER
15728 S ROUTE 59	PLAINFIELD	IL	60544	IMAGING CENTER
3 - ADVENTIST BOLINGBROOK HOSPITAL
420 REMINGTON BLVD 135	BOLINGBROOK	IL	60440	OUTPATIENT REHABILITATION FACILITY
4 - MATERNAL FETAL MEDICINE DEPT
396 REMINGTON BLVD 231	BOLINGBROOK	IL	60440	MATERNAL FETAL MEDICINE
5 - WOMEN'S IMAGING CENTER
396 REMINGTON BLVD 235	BOLINGBROOK	IL	60440	IMAGING CENTER
6 - ADVENTIST PLAINFIELD PHYSICAL THERAPY
15728 S ROUTE 59	PLAINFIELD	IL	60544	OUTPATIENT REHABILITATION FACILITY

Supplemental Information Detail SupplementalInformationDetail (13 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE 6A:	THE FILING ORGANIZATION IS A WHOLLY OWNED SUBSIDIARY OF ADVENTIST HEALTH SYSTEM SUNBELT HEALTHCARE CORPORATION (AHSSHC) DURING ITS CURRENT YEAR. AHSSHC SERVES AS A PARENT ORGANIZATION TO 22 TAX-EXEMPT 501(C)(3) HOSPITAL ORGANIZATIONS THAT OPERATE 43 HOSPITALS IN NINE STATES WITHIN THE U.S. THE SYSTEM OF ORGANIZATIONS UNDER THE CONTROL AND OWNERSHIP OF AHSSHC IS KNOWN AS "ADVENTIST HEALTH SYSTEM" (AHS).ALL HOSPITAL ORGANIZATIONS WITHIN AHS COLLECT, CALCULATE, AND REPORT THE COMMUNITY BENEFITS THEY PROVIDE TO THE COMMUNITIES THEY SERVE. AHS ORGANIZATIONS EXIST SOLELY TO IMPROVE AND ENHANCE THE LOCAL COMMUNITIES THEY SERVE. AHS 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 AHS 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 ORGANIZATIONS MOST RECENTLY CONDUCTED COMMUNITY HEALTH NEEDS ASSESSMENT AND ASSOCIATED IMPLEMENTATION STRATEGY ARE POSTED ON THE FILING ORGANIZATION'S WEBSITE.
PART I, LINE 7:	THE AMOUNTS OF COSTS REPORTED IN THE TABLE IN LINE 7 OF PART I OF SCHEDULE H WERE DETERMINED BY UTILIZING A COST-TO-CHARGE RATIO DERIVED FROM WORKSHEET 2, RATIO OF PATIENT CARE COST-TO-CHARGES, CONTAINED IN THE SCHEDULE H INSTRUCTIONS.
PART III, LINE 2:	THE AMOUNT OF BAD DEBT EXPENSE REPORTED ON LINE 2 OF SECTION A OF PART III IS RECORDED IN ACCORDANCE WITH HEALTHCARE FINANCIAL MANAGEMENT ASSOCIATION STATEMENT NO. 15. DISCOUNTS AND PAYMENTS ON PATIENT ACCOUNTS ARE RECORDED AS ADJUSTMENTS TO REVENUE, NOT BAD DEBT EXPENSE.
PART III, LINE 3:	METHODOLOGY FOR DETERMINING THE ESTIMATED AMOUNT OF BAD DEBT EXPENSE THAT MAY REPRESENT PATIENTS WHO COULD HAVE QUALIFIED UNDER THE FILING ORGANIZATION'S FINANCIAL ASSISTANCE POLICY:SELF-PAY PATIENTS MAY APPLY FOR FINANCIAL ASSISTANCE BY COMPLETING A FINANCIAL ASSISTANCE APPLICATION FORM (FAA FORM). IF AN INDIVIDUAL DOES NOT SUBMIT A COMPLETE FAA FORM WITHIN 240 DAYS AFTER THE FIRST POST-DISCHARGE BILLING STATEMENT IS SENT TO THE INDIVIDUAL, AN INDIVIDUAL MAY BE CONSIDERED FOR PRESUMPTIVE ELIGIBILITY BASED UPON A SCORING TOOL THAT IS DESIGNED TO CLASSIFY PATIENTS INTO GROUPS OF VARYING ECONOMIC MEANS. THE SCORING TOOL USES ALGORITHMS THAT INCORPORATE DATA FROM CREDIT BUREAUS, DEMOGRAPHIC DATABASES, AND HOSPITAL SPECIFIC DATA TO INFER AND CLASSIFY PATIENTS INTO RESPECTIVE ECONOMIC MEANS CATEGORIES. INDIVIDUALS WHO EARN A CERTAIN SCORE ON THE SCORING TOOL ARE CONSIDERED TO QUALIFY AS ELIGIBLE FOR THE MOST GENEROUS FINANCIAL ASSISTANCE UNDER THE FILING ORGANIZATION'S FINANCIAL ASSISTANCE POLICY. AS DETERMINED BY THE FILING ORGANIZATION, A NOMINAL AMOUNT OF SUCH A PATIENT'S BILL IS WRITTEN OFF AS BAD DEBT EXPENSE, WHILE THE REMAINING PORTION OF THE PATIENT'S BILL IS CONSIDERED NON-STATE CHARITY. THE AMOUNT WRITTEN OFF AS BAD DEBT EXPENSE FOR THOSE PATIENTS WHO POTENTIALLY QUALIFY AS NON-STATE CHARITY USING THE SCORING TOOL IS THE AMOUNT SHOWN ON LINE 3 OF SECTION A OF PART III. RATIONALE FOR INCLUDING CERTAIN BAD DEBTS IN COMMUNITY BENEFIT:THE FILING ORGANIZATION IS DEDICATED TO THE VIEW THAT MEDICALLY NECESSARY HEALTH CARE FOR EMERGENCY AND NON-ELECTIVE PATIENTS SHOULD BE ACCESSIBLE TO ALL, REGARDLESS OF AGE, GENDER, GEOGRAPHIC LOCATION, CULTURAL BACKGROUND, PHYSICIAN MOBILITY, OR ABILITY TO PAY. THE FILING ORGANIZATION TREATS EMERGENCY AND NON-ELECTIVE PATIENTS REGARDLESS OF THEIR ABILITY TO PAY OR THE AVAILABILITY OF THIRD-PARTY COVERAGE. BY PROVIDING HEALTH CARE TO ALL WHO REQUIRE EMERGENCY OR NON-ELECTIVE CARE IN A NON-DISCRIMINATORY MANNER, THE FILING ORGANIZATION IS PROVIDING HEALTH CARE TO THE BROAD COMMUNITY IT SERVES. AS A 501(C)(3) HOSPITAL ORGANIZATION, THE FILING ORGANIZATION MAINTAINS A 24/7 EMERGENCY ROOM PROVIDING CARE TO ALL WHOM PRESENT. WHEN A PATIENT'S ARRIVAL AND/OR ADMISSION TO THE FACILITY BEGINS WITHIN THE EMERGENCY DEPARTMENT, TRIAGE AND MEDICAL SCREENING ARE ALWAYS COMPLETED PRIOR TO REGISTRATION STAFF PROCEEDING WITH THE DETERMINATION OF A PATIENT'S SOURCE OF PAYMENT. IF THE PATIENT REQUIRES ADMISSION AND CONTINUED NON-ELECTIVE CARE, THE FILING ORGANIZATION PROVIDES THE NECESSARY CARE REGARDLESS OF THE PATIENT'S ABILITY TO PAY. THE FILING ORGANIZATION'S OPERATION OF A 24/7 EMERGENCY DEPARTMENT THAT ACCEPTS ALL INDIVIDUALS IN NEED OF CARE PROMOTES THE HEALTH OF THE COMMUNITY THROUGH THE PROVISION OF CARE TO ALL WHOM PRESENT. CURRENT INTERNAL REVENUE SERVICE GUIDANCE THAT TAX-EXEMPT HOSPITALS MAINTAIN SUCH EMERGENCY ROOMS WAS ESTABLISHED TO ENSURE THAT EMERGENCY CARE WOULD BE PROVIDED TO ALL WITHOUT DISCRIMINATION. THE TREATMENT OF ALL AT THE FILING ORGANIZATION'S EMERGENCY DEPARTMENT IS A COMMUNITY BENEFIT. UNDER THE FILING ORGANIZATION'S FINANCIAL ASSISTANCE POLICY, EVERY EFFORT IS MADE TO OBTAIN A PATIENT'S NECESSARY FINANCIAL INFORMATION TO DETERMINE ELIGIBILITY FOR FINANCIAL ASSISTANCE. HOWEVER, NOT ALL PATIENTS WILL COOPERATE WITH SUCH EFFORTS AND A FINANCIAL ASSISTANCE ELIGIBILITY DETERMINATION CANNOT BE MADE BASED UPON INFORMATION SUPPLIED BY THE INDIVIDUAL. IN THIS CASE, A PATIENT'S PORTION OF A BILL THAT REMAINS UNPAID FOR A CERTAIN STIPULATED TIME PERIOD IS WHOLLY OR PARTIALLY CLASSIFIED AS BAD DEBT. BAD DEBTS ASSOCIATED WITH PATIENTS WHO HAVE RECEIVED CARE THROUGH THE FILING ORGANIZATION'S EMERGENCY DEPARTMENT SHOULD BE CONSIDERED COMMUNITY BENEFIT AS CHARITABLE HOSPITALS EXIST TO PROVIDE SUCH CARE IN PURSUIT OF THEIR PURPOSE OF MEETING THE NEED FOR EMERGENCY MEDICAL CARE SERVICES AVAILABLE TO ALL IN THE COMMUNITY.
PART III, LINE 4:	FINANCIAL STATEMENT FOOTNOTE RELATED TO ACCOUNTS RECEIVABLE AND ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS:THE FINANCIAL INFORMATION OF THE FILING ORGANIZATION IS INCLUDED IN A CONSOLIDATED AUDITED FINANCIAL STATEMENT FOR THE CURRENT YEAR.THE APPLICABLE FOOTNOTE FROM THE ATTACHED CONSOLIDATED AUDITED FINANCIAL STATEMENTS THAT ADDRESSES ACCOUNTS RECEIVABLE, THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS, AND THE PROVISION FOR BAD DEBTS CAN BE FOUND ON PAGES 8-9. PLEASE NOTE THAT DOLLAR AMOUNTS ON THE ATTACHED CONSOLIDATED AUDITED FINANCIAL STATEMENTS ARE IN THOUSANDS.
PART III, LINE 8:	COSTING METHODOLOGY: MEDICARE ALLOWABLE COSTS WERE CALCULATED USING A COST-TO-CHARGE RATIO.
PART III, LINE 9B:	THE HOSPITAL FILING ORGANIZATION'S COLLECTION PRACTICES ARE IN CONFORMITY WITH THE REQUIREMENTS SET FORTH IN THE 2014 FINAL REGULATIONS REGARDING THE REQUIREMENTS OF INTERNAL REVENUE CODE SECTION 501(R)(4) - (R)(6). NO EXTRAORDINARY COLLECTION ACTIONS (ECA'S) ARE INITIATED BY THE HOSPITAL FILING ORGANIZATION IN THE 120-DAY PERIOD FOLLOWING THE DATE AFTER THE FIRST POST-DISCHARGE BILLING STATEMENT IS SENT TO THE INDIVIDUAL (OR, IF LATER, THE SPECIFIED DEADLINE GIVEN IN A WRITTEN NOTICE OF ACTIONS THAT MAY BE TAKEN, AS DESCRIBED BELOW). INDIVIDUALS ARE PROVIDED WITH AT LEAST ONE WRITTEN NOTICE (NOTICE OF ACTIONS THAT MAY BE TAKEN) AND A COPY OF THE FILING ORGANIZATION'S PLAIN LANGUAGE SUMMARY OF THE FINANCIAL ASSISTANCE POLICY THAT INFORMS THE INDIVIDUAL THAT THE HOSPITAL FILING ORGANIZATION MAY TAKE ACTIONS TO REPORT ADVERSE INFORMATION TO CREDIT REPORTING AGENCIES/BUREAUS IF THE INDIVIDUAL DOES NOT SUBMIT A FINANCIAL ASSISTANCE APPLICATION FORM (FAA FORM) OR PAY THE AMOUNT DUE BY A SPECIFIED DEADLINE. THE SPECIFIED DEADLINE IS NOT EARLIER THAN 120 DAYS AFTER THE FIRST POST-DISCHARGE BILLING STATEMENT IS SENT TO THE INDIVIDUAL AND IS AT LEAST 30 DAYS AFTER THE NOTICE IS PROVIDED. A REASONABLE ATTEMPT IS ALSO MADE TO ORALLY NOTIFY AN INDIVIDUAL ABOUT THE FILING ORGANIZATION'S FINANCIAL ASSISTANCE POLICY AND HOW THE INDIVIDUAL MAY OBTAIN ASSISTANCE WITH THE FINANCIAL ASSISTANCE APPLICATION PROCESS. IF AN INDIVIDUAL SUBMITS AN INCOMPLETE FAA FORM DURING THE 240-DAY PERIOD FOLLOWING THE DATE ON WHICH THE FIRST POST-DISCHARGE BILLING STATEMENT WAS SENT TO THE INDIVIDUAL, THE HOSPITAL FILING ORGANIZATION SUSPENDS ANY REPORTING TO CONSUMER CREDIT REPORTING AGENCIES/BUREAUS (OR CEASES ANY OTHER ECA'S) AND PROVIDES A WRITTEN NOTICE TO THE INDIVIDUAL DESCRIBING WHAT ADDITIONAL INFORMATION OR DOCUMENTATION IS NEEDED TO COMPLETE THE FAA FORM. THIS WRITTEN NOTICE CONTAINS CONTACT INFORMATION INCLUDING THE TELEPHONE NUMBER AND PHYSICAL LOCATION OF THE HOSPITAL FACILITY'S OFFICE OR DEPARTMENT THAT CAN PROVIDE INFORMATION ABOUT THE FINANCIAL ASSISTANCE POLICY, AS WELL AS CONTACT INFORMATION OF THE HOSPITAL FACILITY'S OFFICE OR DEPARTMENT THAT CAN PROVIDE ASSISTANCE WITH THE FINANCIAL ASSISTANCE APPLICATION PROCESS OR, ALTERNATIVELY, A NONPROFIT ORGANIZATION OR GOVERNMENTAL AGENCY THAT CAN PROVIDE ASSISTANCE WITH THE FINANCIAL ASSISTANCE APPLICATION PROCESS IF THE HOSPITAL FACILITY IS UNABLE TO DO SO. IF AN INDIVIDUAL SUBMITS A COMPLETE FAA FORM WITHIN A REASONABLE TIME-PERIOD AS SET FORTH IN THE NOTICE DESCRIBED ABOVE, THE HOSPITAL FILING ORGANIZATION WILL SUSPEND ANY ADVERSE REPORTING TO CONSUMER CREDIT REPORTING AGENCIES/BUREAUS UNTIL A FINANCIAL ASSISTANCE POLICY ELIGIBILITY DETERMINATION CAN BE MADE.
PART VI, LINE 2:	THE HOSPITAL CONDUCTED A COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) THAT WAS ADOPTED BY ITS GOVERNING BOARD BY DECEMBER 31, 2016. THE 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 COMMUNITY.SUCH PRACTICES AND PROCESSES INVOLVE THE FOLLOWING:1. A HOSPITAL OPERATING/COMMUNITY BOARD COMPOSED OF INDIVIDUALS BROADLY REPRESENTATIVE OF THE COMMUNITY, COMMUNITY LEADERS, AND THOSE WITH SPECIALIZED MEDICAL TRAINING AND EXPERTISE;2. POST-DISCHARGE PATIENT FOLLOW-UP RELATED TO THE ON-GOING CARE AND TREATMENT OF PATIENTS WHO SUFFER FROM CHRONIC DISEASES; 3. SPONSORSHIP AND PARTICIPATION IN COMMUNITY HEALTH AND WELLNESS ACTIVITIES THAT REACH A BROAD SPECTRUM OF THE FILING ORGANIZATION'S COMMUNITY; AND 4. COLLABORATION WITH OTHER LOCAL COMMUNITY GROUPS TO ADDRESS THE HEALTH CARE NEEDS OF THE FILING ORGANIZATION'S COMMUNITY.
PART VI, LINE 3:	THE FINANCIAL ASSISTANCE POLICY (FAP), FINANCIAL ASSISTANCE APPLICATION FORM (FAA FORM), AND THE PLAIN LANGUAGE SUMMARY OF THE FINANCIAL ASSISTANCE POLICY (PLS) OF THE FILING ORGANIZATION'S HOSPITAL FACILITY ARE TRANSPARENT AND AVAILABLE TO ALL INDIVIDUALS SERVED AT ANY POINT IN THE CARE CONTINUUM. THE FAP, FAA FORM, PLS, AND CONTACT INFORMATION FOR THE HOSPITAL FACILITY'S FINANCIAL COUNSELORS ARE PROMINENTLY AND CONSPICUOUSLY POSTED ON THE FILING ORGANIZATION'S HOSPITAL FACILITY'S WEBSITE. THE WEBSITE INDICATES THAT A COPY OF THE FAP, FAA FORM, AND PLS IS AVAILABLE AND HOW TO OBTAIN SUCH COPIES IN THE PRIMARY LANGUAGES OF ANY POPULATIONS WITH LIMITED PROFICIENCY IN ENGLISH THAT CONSTITUTE THE LESSER OF 1,000 INDIVIDUALS OR 5% OF THE MEMBERS OF THE COMMUNITY SERVED BY THE HOSPITAL FACILITY (REFERRED TO BELOW AS LEP DEFINED POPULATIONS). SIGNAGE IS DISPLAYED IN PUBLIC LOCATIONS OF THE FILING ORGANIZATION'S HOSPITAL FACILITY, INCLUDING AT ALL POINTS OF ADMISSION AND REGISTRATION AND THE EMERGENCY DEPARTMENT. THE SIGNAGE CONTAINS THE HOSPITAL FACILITY'S WEBSITE ADDRESS WHERE THE FAP, FAA FORM, AND PLS CAN BE ACCESSED AND THE TELEPHONE NUMBER AND PHYSICAL LOCATION THAT INDIVIDUALS CAN CALL OR VISIT TO OBTAIN COPIES OF THE FAP, FAA FORM AND PLS OR TO OBTAIN MORE INFORMATION ABOUT THE HOSPITAL FACILITY'S FAP, FAA FORM AND PLS. PAPER COPIES OF THE HOSPITAL FACILITY'S FAP, FAA FORM AND PLS ARE AVAILABLE UPON REQUEST AND WITHOUT CHARGE, BOTH IN PUBLIC LOCATIONS IN THE HOSPITAL FACILITY AND BY MAIL. PAPER COPIES ARE MADE AVAILABLE IN ENGLISH AND IN THE PRIMARY LANGUAGES OF ANY LEP DEFINED POPULATIONS. THE FILING ORGANIZATION'S HOSPITAL FACILITY'S FINANCIAL COUNSELORS SEEK TO PROVIDE PERSONAL FINANCIAL COUNSELING TO ALL INDIVIDUALS ADMITTED TO THE HOSPITAL FACILITY WHO ARE CLASSIFIED AS SELF-PAY DURING THE COURSE OF THEIR HOSPITAL STAY OR AT TIME OF DISCHARGE TO EXPLAIN THE FAP AND FAA FORM AND TO PROVIDE INFORMATION CONCERNING OTHER SOURCES OF ASSISTANCE THAT MAY BE AVAILABLE, SUCH AS MEDICAID. A PAPER COPY OF THE HOSPITAL FACILITY'S PLS WILL BE OFFERED TO EVERY PATIENT AS A PART OF THE INTAKE OR DISCHARGE PROCESS. A CONSPICUOUS WRITTEN NOTICE IS INCLUDED ON ALL BILLING STATEMENTS SENT TO PATIENTS THAT NOTIFIES AND INFORMS RECIPIENTS ABOUT THE AVAILABILITY OF FINANCIAL ASSISTANCE UNDER THE FILING ORGANIZATION'S FINANCIAL ASSISTANCE POLICY, INCLUDING THE FOLLOWING: 1) THE TELEPHONE NUMBER OF THE HOSPITAL FACILITY'S OFFICE OR DEPARTMENT THAT CAN PROVIDE INFORMATION ABOUT THE FAP AND THE FAA FORM; AND 2) THE WEBSITE ADDRESS WHERE COPIES OF THE FAP, FAA FORM AND PLS MAY BE OBTAINED. REASONABLE ATTEMPTS ARE MADE TO INFORM INDIVIDUALS ABOUT THE HOSPITAL FACILITY'S FAP IN ALL ORAL COMMUNICATIONS REGARDING THE AMOUNT DUE FOR THE INDIVIDUAL'S CARE. COPIES OF THE PLS ARE DISTRIBUTED TO MEMBERS OF THE COMMUNITY IN A MANNER REASONABLY CALCULATED TO REACH THOSE MEMBERS OF THE COMMUNITY WHO ARE MOST LIKELY TO REQUIRE FINANCIAL ASSISTANCE.
PART VI, LINE 4:	ADVENTIST BOLINGBROOK HOSPITAL (THE HOSPITAL) IS A 138-BED STATE-OF-THE-ART ACUTE CARE HOSPITAL SERVING THE RESIDENTS OF THE VILLAGE OF BOLINGBROOK, ILLINOIS AND SURROUNDING COMMUNITIES. BOLINGBROOK IS LOCATED IN WILL COUNTY, ILLINOIS. THE POPULATION FOR DUPAGE AND WILL COUNTY IS APPROXIMATELY 1,602,491, WITH AN ESTIMATED 11.1% AGE 65 OR OVER THE AGE OF 65. THE BUILDING OF THE HOSPITAL WAS THE RESULT OF A SUSTAINED, 27-YEAR COMMITMENT BY ADVENTIST HEALTH SYSTEM TO BOLINGBROOK AND ITS SERVICE AREA. PRIOR TO THE BUILDING OF THE HOSPITAL, ADVENTIST MIDWEST HEALTH, AN AFFILIATE OF THE HOSPITAL, OPERATED A FREE STANDING EMERGENCY CENTER IN THE VILLAGE OF BOLINGBROOK. THE HOSPITAL IS MEETING A DEMAND FOR ACUTE CARE INPATIENT, OUTPATIENT, AND EMERGENCY SERVICES IN THE COMMUNITIES IT SERVES. THE HOSPITAL OFFERS THE LATEST TECHNOLOGICAL ADVANCES AND WAS DESIGNED TO OFFER ALL FAMILY-FRIENDLY PRIVATE PATIENT ROOMS. SERVICES OFFERED AT THE HOSPITAL INCLUDE CARDIAC CARE, IMAGING SERVICES, A WOMEN'S CARE CENTER, INCLUDING A MATERNAL FETAL CENTER, SURGICAL SERVICES AND INTERVENTIONAL RADIOLOGY. THE HOSPITAL OFFERS OTHER SERVICES NOT AVAILABLE AT ANY OTHER HOSPITAL IN WILL COUNTY. AN EXAMPLE IS AN ENDOSCOPIC ULTRASOUND, A NEW, HIGHLY-DETAILED DIAGNOSTIC TEST THAT COMBINES ENDOSCOPY AND ULTRASONOGRAPHY TO ALLOW ACCURATE IMAGING OF TUMORS. THE HOSPITAL OPENED A NEW WOUND CARE CENTER IN 2013 AND HAS ALSO ESTABLISHED AN AGREEMENT WITH VNA HEALTH CARE TO OFFER A FEDERALLY QUALIFIED HEALTH CENTER ON THE HOSPITAL CAMPUS TO PROVIDE CARE FOR THE UNINSURED AND UNDERINSURED. HIGH SCHOOL GRADUATES ACCOUNT FOR APPROXIMATELY 91.4% OF THE HOSPITAL'S SERVICE AREA. IT IS ESTIMATED THAT 19.4% OF THE INDIVIDUALS RESIDING IN THE HOSPITAL'S SERVICE AREA LIVE BELOW 200% OF THE FEDERAL POVERTY LEVEL AND THE UNEMPLOYMENT RATE IS ABOUT 5.4%. APPROXIMATELY 34% OF THE HOSPITAL'S PATIENTS DURING 2017 WERE MEDICARE PATIENTS, ABOUT 21.4% WERE MEDICAID PATIENTS, ABOUT 3.4% WERE SELF-PAY PATIENTS, AND THE REMAINING PERCENTAGE WERE PATIENTS COVERED UNDER COMMERCIAL INSURANCE. IN 2017, ABOUT 71% OF THE HOSPITAL'S IN-PATIENTS WERE ADMITTED THROUGH THE HOSPITAL'S EMERGENCY DEPARTMENT.
PART VI, LINE 5:	THE PROVISION OF COMMUNITY BENEFIT IS CENTRAL TO ADVENTIST BOLINGBROOK HOSPITAL'S MISSION OF SERVICE AND COMPASSION. RESTORING AND PROMOTING THE HEALTH AND QUALITY OF LIFE OF THOSE IN THE COMMUNITIES SERVED BY THE HOSPITAL IS A FUNCTION OF "EXTENDING THE HEALING MINISTRY OF CHRIST AND EMBODIES THE HOSPITAL'S COMMITMENT TO ITS VALUES AND PRINCIPLES. THE HOSPITAL COMMITS SUBSTANTIAL RESOURCES TO PROVIDE A BROAD RANGE OF SERVICES TO BOTH THE UNDERPRIVILEGED AS WELL AS THE BROADER COMMUNITY. IN ADDITION TO THE COMMUNITY BENEFIT AND COMMUNITY BUILDING INFORMATION PROVIDED IN PARTS I, II AND III OF THIS SCHEDULE H, THE HOSPITAL CAPTURES AND REPORTS THE BENEFITS PROVIDED TO ITS COMMUNITY THROUGH FAITH-BASED CARE. EXAMPLES OF SUCH BENEFITS INCLUDE THE COST ASSOCIATED WITH CHAPLAINCY CARE PROGRAMS AND MISSION PEER REVIEWS AND MISSION CONFERENCES. DURING THE CURRENT YEAR, THE HOSPITAL PROVIDED $532,347 OF BENEFIT WITH RESPECT TO THE FAITH-BASED AND SPIRITUAL NEEDS OF THE COMMUNITY IN CONJUNCTION WITH ITS OPERATION OF A COMMUNITY HOSPITAL. THE HOSPITAL ALSO PROVIDES BENEFITS TO ITS COMMUNITY'S INFRASTRUCTURE BY INVESTING IN CAPITAL IMPROVEMENTS TO ENSURE THAT FACILITIES AND TECHNOLOGY PROVIDE THE BEST POSSIBLE CARE TO THE COMMUNITY. AS A FAITH-BASED MISSION-DRIVEN COMMUNITY HOSPITAL, THE HOSPITAL IS CONTINUALLY INVOLVED IN MONITORING ITS COMMUNITY, IDENTIFYING UNMET HEALTH CARE NEEDS AND DEVELOPING SOLUTIONS AND PROGRAMS TO ADDRESS THOSE NEEDS. IN ACCORDANCE WITH ITS CONSERVATIVE APPROACH TO FISCAL RESPONSIBILITY, SURPLUS FUNDS OF THE HOSPITAL ARE CONTINUALLY BEING INVESTED IN RESOURCES THAT IMPROVE THE AVAILABILITY AND QUALITY OF DELIVERY OF HEALTH CARE SERVICES AND PROGRAMS TO ITS COMMUNITY.
PART VI, LINE 6:	ADVENTIST BOLINGBROOK HOSPITAL 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 ADVENTIST HEALTH SYSTEM (AHS). AHSSHC IS AN ORGANIZATION EXEMPT FROM FEDERAL INCOME TAX UNDER IRC SECTION 501(C)(3). AHSSHC AND ITS SUBSIDIARY ORGANIZATIONS OPERATE 43 HOSPITALS THROUGHOUT THE U.S., PRIMARILY IN THE SOUTHEASTERN PORTION OF THE U.S. AHSSHC AND ITS SUBSIDIARIES ALSO OPERATE 15 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 AHS OR OF AMITA HEALTH AS A WHOLE. THE READER IS DIRECTED TO VISIT THE WEB-SITE OF AHS AT WWW.ADVENTISTHEALTHSYSTEM.COM TO LEARN MORE ABOUT THE MISSION AND OPERATIONS OF AHS 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 (4 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Non Cash AssistanceNonCashAssistanceAmt	Valuation Method UsedValuationMethodUsedDesc	Non Cash AssistanceNonCashAssistanceDesc	Purpose Of GrantPurposeOfGrantTxt	Cash GrantCashGrantAmt
BOLINGBROOK HOSPITAL FOUNDATION
500 REMINGTON BLVD	BOLINGBROOK	IL	60440	900494445	501(C)(3)	$174,705	COST	GENERAL ADMINSTRATIVE SUPPORT	PROVISION OF GENERAL ADMINISTRATIVE SUPPORT
UNITED WAY OF WILL COUNTY
54 N OTTAWA STREET 300	JOLIET	IL	60432	362515625	501(C)(3)				GENERAL SUPPORT	$10,000
BOLINGBROOK SEVENTH DAY ADVENTIST CHURCH
301 E BOUGHTON ROAD	BOLINGBROOK	IL	60440	362277365	501(C)(3)				GENERAL SUPPORT	$10,000
DUPAGE HABITAT FOR HUMANITY
1600 E ROOSEVELT ROAD	WHEATON	IL	60187	364003119	501(C)(3)				GENERAL SUPPORT	$7,500

Field	Value	IRS element (for citing)
Total501c3 Org	4	Total501c3OrgCnt
Total Other Org	0	TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

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

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
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 (19 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
RANDALL HAFFNER PHD
DIR/CHAIRMAN	$0	$1,187,115	$0	$356,895	$0	$791,952	$0	$259,249	$0	$59,450	$0	$2,654,661	$0	$142,176
PATRICIA MADEJ MD
DIRECTOR	$0	$446,815	$0	$0	$0	$18,038	$0	$9,162	$0	$7,963	$0	$481,978	$0	$0
BRENT G SNYDER
TREASURER/DIRECTOR	$0	$717,944	$0	$240,969	$0	$337,889	$0	$133,081	$0	$61,616	$0	$1,491,499	$0	$113,464
THOR THORDARSON
DIR/PRES/SEC	$0	$502,981	$0	$66,660	$0	$66,085	$0	$87,899	$0	$55,609	$0	$779,234	$0	$0
ERIC YANG MD
DIRECTOR	$0	$239,910	$0	$0	$0	$105,197	$0	$14,562	$0	$0	$0	$359,669	$0	$0
BRUCE CHRISTIAN
CEO (BEG 6/17)	$0	$293,894	$0	$86,430	$0	$211,097	$0	$14,562	$0	$63,804	$0	$669,787	$0	$0
RICK MACE
CEO (END 3/17)	$0	$58,320	$0	$0	$0	$411,893	$0	$4,450	$0	$32,364	$0	$507,027	$0	$0
CHASE AALBORG
CFO	$0	$179,248	$0	$14,250	$0	$40,664	$0	$11,254	$0	$40,948	$0	$286,364	$0	$0
RICHARD ROEHR
COO (END 11/17)	$0	$207,447	$0	$18,636	$0	$23,739	$0	$13,235	$0	$40,967	$0	$304,024	$0	$0
RICHARD CARROLL MD
CMO-GLENOAKS & BOLINGBROOK	$0	$374,977	$0	$35,781	$0	$298,385	$0	$37,956	$0	$60,508	$0	$807,607	$0	$30,188
OBED CRUZ RN
CNO (BEG 7/17)	$0	$86,990	$0	$0	$0	$67,810	$0	$0	$0	$5,670	$0	$160,470	$0	$0
JOLENE ALBAUGH
CNO (END 7/17)	$0	$108,501	$0	$17,711	$0	$117,735	$0	$5,125	$0	$40,204	$0	$289,276	$0	$0
DIANE LEONARD
DIR NURSING	$129,152	$0	$5,880	$0	$43,256	$0	$9,135	$0	$25,011	$0	$212,434	$0	$0	$0
CANDICE WASHILEWSKI
ADMIN DIR OF NURSING	$88,080	$0	$6,015	$0	$61,993	$0	$7,856	$0	$15,583	$0	$179,527	$0	$0	$0
CECILLE TRUVER
DIR RADIOLOGY	$116,825	$0	$5,143	$0	$25,738	$0	$7,295	$0	$9,183	$0	$164,184	$0	$0	$0
DAVID L CRANE
FORMER REGION CEO	$0	$0	$0	$0	$0	$735,184	$0	$0	$0	$42,816	$0	$778,000	$0	$0
REBECCA MATHIS
FORMER CFO	$0	$261,102	$0	$13,143	$0	$103,470	$0	$14,562	$0	$35,585	$0	$427,862	$0	$32
MARY MURPHY
FORMER REGIONAL CNO	$0	$245,204	$0	$12,184	$0	$139,586	$0	$27,191	$0	$18,566	$0	$442,731	$0	$16,382
MICHAEL MURRILL
FORMER COO	$0	$274,220	$0	$13,228	$0	$84,539	$0	$14,562	$0	$43,475	$0	$430,024	$0	$0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE 1A	THE FILING ORGANIZATION IS A PART OF THE SYSTEM OF HEALTHCARE ORGANIZATIONS KNOWN AS ADVENTIST HEALTH SYSTEM (AHS). CERTAIN MEMBERS OF THE FILING ORGANIZATION'S EXECUTIVE MANAGEMENT TEAM THAT HOLD THE POSITION OF VICE-PRESIDENT OR ABOVE ARE ON THE PAYROLL OF ADVENTIST HEALTH SYSTEM SUNBELT HEALTHCARE CORPORATION (AHSSHC), THE PARENT ORGANIZATION OF AHS. AHSSHC IS EXEMPT FROM FEDERAL INCOME TAX UNDER IRC SECTION 501(C)(3). TRAVEL FOR COMPANIONS: AHSSHC HAS A CORPORATE EXECUTIVE POLICY THAT PROVIDES A BENEFIT TO ALLOW FOR A TRAVELING AHSSHC EXECUTIVE TO HAVE HIS OR HER SPOUSE ACCOMPANY THE EXECUTIVE ON CERTAIN BUSINESS TRIPS EACH YEAR. TYPICALLY, REIMBURSEMENT IS ONLY PROVIDED TO CERTAIN EXECUTIVE LEADERS AND IS USUALLY LIMITED TO ONE BUSINESS TRIP PER YEAR BEYOND THE ANNUAL AHS 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: AHS 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 OF 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 AHS PRESIDENT'S COUNCIL BUSINESS MEETING ($500 PER EXECUTIVE) OR THE ANNUAL AHS CFO CONFERENCE OR CMO/CNO BUSINESS MEETING ($300 PER EXECUTIVE). OTHER DISCRETIONARY SPENDING ACCOUNTS MAY BE PROVIDED IN CONNECTION WITH OTHER AHS SPONSORED CONFERENCES BUT TYPICALLY DO NOT EXCEED $200 PER PARTICIPANT. WITH RESPECT TO THE AHS PRESIDENT'S COUNCIL MEETING, ELIGIBLE EXECUTIVES MAY INCLUDE AHSSHC VICE PRESIDENTS AND ABOVE AND ALL AHSSHC SUBSIDIARY ORGANIZATION CEOS AND REGIONAL CFOS. THE PAYMENT PROVIDED TO EACH EXECUTIVE WAS CONSIDERED TAXABLE COMPENSATION TO THE EXECUTIVE. HOUSING ALLOWANCE OR RESIDENCE FOR PERSONAL USE: AHSSHC HAS A CORPORATE EXECUTIVE POLICY THAT ADDRESSES ASSISTANCE TO EXECUTIVES WHO HAVE BEEN RELOCATED BY THE COMPANY DURING THE YEAR. RELOCATION ASSISTANCE PROVIDED TO EXECUTIVES MAY INCLUDE RELOCATION ALLOWANCES TO ASSIST WITH DUPLICATE HOUSING EXPENSES. RELOCATION ASSISTANCE IS ADMINISTERED PER AHSSHC POLICY BY AN EXTERNAL RELOCATION COMPANY. ANY TAXABLE REIMBURSEMENTS MADE TO EXECUTIVES IN CONNECTION WITH RELOCATION ASSISTANCE ARE TREATED AS WAGES TO THE EXECUTIVE AND ARE SUBJECT TO ALL PAYROLL WITHHOLDING AND REPORTING REQUIREMENTS.
PART I, LINE 3	THE 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	DURING THE YEAR ENDING DECEMBER 31, 2017, RICK MACE, JOLENE ALBAUGH, AND DAVID CRANE RECEIVED SEVERANCE PAYMENTS IN THE AMOUNT OF $255,624, $91,514 AND $734,518 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 AHS. AS DISCUSSED IN LINE 1A ABOVE, EXECUTIVES ON THE FILING ORGANIZATION'S MANAGEMENT TEAM THAT HOLD THE POSITION OF VICE-PRESIDENT OR ABOVE ARE COMPENSATED BY AND ON THE PAYROLL OF ADVENTIST HEALTH SYSTEM SUNBELT HEALTHCARE CORPORATION (AHSSHC), THE PARENT ORGANIZATION OF A HEALTHCARE SYSTEM KNOWN AS ADVENTIST HEALTH SYSTEM (AHS). IN RECOGNITION OF THE CONTRIBUTION THAT EACH EXECUTIVE MAKES TO THE SUCCESS OF AHS, AHS PROVIDES TO ELIGIBLE EXECUTIVES PARTICIPATION IN THE AHS 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 AHS ENTITIES AND VICE PRESIDENTS OF ALL AHS ENTITIES WHOSE BASE SALARY IS AT LEAST $243,000. 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, AHS HAS INSTITUTED A DEFINED BENEFIT, NON-TAX-QUALIFIED DEFERRED COMPENSATION PLAN FOR CERTAIN EXECUTIVES WHO HAVE PROVIDED LENGTHY SERVICE TO AHS AND/OR TO OTHER SEVENTH-DAY ADVENTIST CHURCH HOSPITALS OR HEALTH CARE INSTITUTIONS. PARTICIPATION IN THE PLAN IS OFFERED TO AHS EXECUTIVES ON A PRORATA SCHEDULE BEGINNING WITH 20 YEARS OF SERVICE AS AN EMPLOYEE OF AHS 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 AHS 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 AHS EXECUTIVE FLEX BENEFIT PROGRAM. ADDITIONALLY, IN 2017 AHS 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 ------------------------------------------------------- RANDALL HAFFNER, PHD $244,687 $ 159,510 $ 568,287 $ 0 THOR THORDARSON $ 73,337 $ 0 $ 0 $ 0 BRENT G. SNYDER $136,519 $114,063 $ 149,906 $ 0 RICK MACE $ 4,450 $ 87,466 $ 17,315 $ 16,841 MICHAEL MURRILL $ 16,251 $ 4,583 $ 0 $ 0 REBECCA MATHIS $ 13,399 $ 35 $ 0 $ 0 BRUCE CHRISTIAN $ 20,611 $ 0 $ 0 $ 0 RICHARD CARROLL, MD $ 41,394 $ 33,212 $ 0 $ 0 MARY MURPHY $ 30,629 $ 17,900 $ 0 $ 0 *INCLUDING INVESTMENT EARNINGS.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (11 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART V, LINE 1A:	THE PARENT CORPORATION OF ADVENTIST BOLINGBROOK HOSPITAL (THE FILING ORGANIZATION) IS ADVENTIST MIDWEST HEALTH (AMH). AMH IS AN ILLINOIS, NOT-FOR-PROFIT CORPORATION THAT IS EXEMPT FROM FEDERAL INCOME TAX UNDER INTERNAL REVENUE CODE (IRC) SECTION 501(C)(3). AMH HAS ESTABLISHED A SHARED SERVICE CENTER TO CENTRALIZE THE ACCOUNTS PAYABLE (A/P) FUNCTION FOR ALL AMH SUBSIDIARY ORGANIZATIONS. THE FILING ORGANIZATION HAS ENTERED "0" IN PART V, LINE 1A BECAUSE THE FILING ORGANIZATION NO LONGER ISSUES FORM 1099 RETURNS, RATHER, ALL SUCH RETURNS ARE FILED BY AND UNDER THE NAME AND EIN OF AMH AS THE PAYOR SUBJECT TO THE INFORMATION REPORTING REQUIREMENTS OF SECTION 6041. THE FACTS AND CIRCUMSTANCES SUPPORT A POSITION THAT AMH, AS A PAYOR ON BEHALF OF ITS SUBSIDIARY ORGANIZATIONS IN A SHARED SERVICE ENVIRONMENT, WILL HAVE SUFFICIENT MANAGEMENT AND OVERSIGHT IN CONNECTION WITH THE SUBSIDIARY ORGANIZATIONS' PAYMENTS TO MEET THE STANDARD SET FORTH IN TREAS. REG. SECTION 1.6041-1(E). AMH WILL NOT MERELY BE MAKING PAYMENTS AT THE DIRECTION OF ITS SUBSIDIARY ORGANIZATIONS. ACCORDINGLY, AMH IS CONSIDERED THE PAYOR SUBJECT TO THE INFORMATION REPORTING REQUIREMENTS OF SECTION 6041.
FORM 990, PART VI, SECTION A, LINE 6	ADVENTIST BOLINGBROOK HOSPITAL (THE FILING ORGANIZATION) HAS ONE MEMBER. THE SOLE MEMBER OF THE FILING ORGANIZATION IS ADVENTIST MIDWEST HEALTH. ADVENTIST MIDWEST HEALTH (AMH) IS AN ILLINOIS, 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, AMH. 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 A COVERED AFFILIATE OF THE JOC KNOWN AS AMITA HEALTH. THE SOLE MEMBER OF THE FILING ORGANIZATION IS AMH. AMH IS ALSO ONE OF TWO MEMBERS IN AMITA HEALTH. THE OTHER MEMBER OF AMITA HEALTH IS ALEXIAN BROTHERS HEALTH SYSTEM. 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 AMH 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 AMH 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 CONFLICTS OF INTEREST, ANY MEMBER OF THE BOARD OF DIRECTORS OF THE FILING ORGANIZATION OR ANY PRINCIPAL OFFICER OF THE FILING ORGANIZATION (I.E. INTERESTED PERSONS) MUST DISCLOSE THE EXISTENCE OF ANY FINANCIAL INTEREST WITH THE FILING ORGANIZATION AND MUST BE GIVEN THE OPPORTUNITY TO DISCLOSE ALL MATERIAL FACTS CONCERNING THE FINANCIAL INTEREST/ARRANGEMENT TO THE BOARD OF DIRECTORS OF THE FILING ORGANIZATION OR TO ANY MEMBERS OF A COMMITTEE WITH BOARD DELEGATED POWERS THAT IS CONSIDERING THE PROPOSED TRANSACTION OR ARRANGEMENT. SUBSEQUENT TO ANY DISCLOSURE OF ANY FINANCIAL INTEREST/ARRANGEMENT AND ALL MATERIAL FACTS, AND AFTER ANY DISCUSSION WITH THE RELEVANT BOARD MEMBER OR PRINCIPAL OFFICER, THE REMAINING MEMBERS OF THE BOARD OF DIRECTORS OR COMMITTEE WITH BOARD DELEGATED POWERS SHALL DISCUSS, ANALYZE, AND VOTE UPON THE POTENTIAL FINANCIAL INTEREST/ARRANGEMENT TO DETERMINE IF A CONFLICT OF INTEREST EXISTS. ACCORDING TO THE FILING ORGANIZATION'S CONFLICT OF INTEREST POLICY, AN INTERESTED PERSON MAY MAKE A PRESENTATION TO THE BOARD OF DIRECTORS (OR COMMITTEE WITH BOARD DELEGATED POWERS), BUT AFTER SUCH PRESENTATION, SHALL LEAVE THE MEETING DURING THE DISCUSSION OF, AND THE VOTE ON, THE TRANSACTION OR ARRANGEMENT THAT RESULTS IN A CONFLICT OF INTEREST. EACH INTERESTED PERSON, AS DEFINED UNDER THE FILING ORGANIZATION'S CONFLICT OF INTEREST POLICY, SHALL ANNUALLY SIGN A STATEMENT WHICH AFFIRMS THAT SUCH PERSON HAS RECEIVED A COPY OF THE CONFLICT OF INTERESTS POLICY, HAS READ AND UNDERSTANDS THE POLICY, HAS AGREED TO COMPLY WITH THE POLICY, AND UNDERSTANDS THAT THE FILING ORGANIZATION IS A CHARITABLE ORGANIZATION THAT MUST PRIMARILY ENGAGE IN ACTIVITIES WHICH ACCOMPLISH ONE OR MORE OF ITS EXEMPT PURPOSES. THE FILING ORGANIZATION'S CONFLICT OF INTEREST POLICY ALSO REQUIRES THAT PERIODIC REVIEWS SHALL BE CONDUCTED TO ENSURE THAT THE FILING ORGANIZATION OPERATES IN A MANNER CONSISTENT WITH ITS CHARITABLE PURPOSES.
FORM 990, PART VI, SECTION B, LINE 15	THE FILING ORGANIZATION'S CEO, OTHER OFFICERS AND KEY EMPLOYEES ARE NOT COMPENSATED BY THE FILING ORGANIZATION. THE OFFICERS AND KEY EMPLOYEES ARE COMPENSATED BY THE RELATED TOP-TIER PARENT ORGANIZATION OF THE FILING ORGANIZATION. AS NOTED IN OUR RESPONSE TO PART VI, SECTION A, LINE 7B, THE FILING ORGANIZATION IS A COVERED AFFILIATE OF THE JOC KNOWN AS AMITA HEALTH. THE COMPENSATION OF THE CEO AND CFO IS ESTABLISHED AND APPROVED BY 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 ADVENTIST HEALTH SYSTEM (AHS). THE AUDITED CONSOLIDATED FINANCIAL STATEMENTS OF AHS AND OF THE AHS "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 AHS ON A CONSOLIDATED BASIS AND FOR THE GROUPING OF AHS SUBSIDIARIES COMPRISING THE "OBLIGATED GROUP". THE FILING ORGANIZATION DOES NOT GENERALLY MAKE ITS GOVERNING DOCUMENTS OR CONFLICT OF INTEREST POLICY AVAILABLE TO THE PUBLIC.
PART VII, SECTION A	FOR THOSE BOARD OF DIRECTOR MEMBERS (NOT INCLUDING PHYSICIAN MEMBERS OF THE BOARD), OFFICER(S) AND KEY EMPLOYEES WHO DEVOTE LESS THAN FULL-TIME TO THE FILING ORGANIZATION (BASED UPON THE AVERAGE NUMBER OF HOURS PER WEEK SHOWN IN COLUMN (B) ON PAGE 7 OF THE RETURN) THE COMPENSATION AMOUNTS SHOWN IN COLUMNS (E) AND (F) ON PAGE 7 WERE PROVIDED IN CONJUNCTION WITH THAT PERSON'S RESPONSIBILITIES AND ROLES IN SERVING IN AN EXECUTIVE LEADERSHIP POSITION WITHIN ADVENTIST HEALTH SYSTEM OR AMITA HEALTH. PHYSICIAN MEMBERS OF THE BOARD OF DIRECTORS RECEIVED COMPENSATION FROM RELATED ORGANIZATIONS AS A RESULT OF PROVIDING VARIOUS MEDICAL SERVICES TO THOSE RELATED ENTITIES.
FORM 990, PART IX, LINE 11G	PAYMENTS TO HEALTHCARE PROFESSIONALS: PROGRAM SERVICE EXPENSES 5,911,987. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 5,911,987. PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 697,540. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 697,540. PURCHASED MEDICAL SERVICES: PROGRAM SERVICE EXPENSES 5,640,383. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 5,640,383. ENVIRONMENTAL SERVICES: PROGRAM SERVICE EXPENSES 2,801,646. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,801,646. RECRUITING: PROGRAM SERVICE EXPENSES 18,000. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 18,000. FOOD SERVICE CONTRACTS: PROGRAM SERVICE EXPENSES 2,090,124. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,090,124. MISCELLANEOUS PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 3,672,822. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,672,822. AHS MANAGEMENT FEES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 1,068,417. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,068,417. BILLING & COLLECTION SERVICES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 21,707. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 21,707. REGION SUPPORT SERVICES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 11,967,263. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 11,967,263.
FORM 990, PART XI, LINE 9:	TRANSFER TO TOP-TIER TAX-EXEMPT PARENT -702,844. ALLOCATIONS FROM TAX-EXEMPT PARENT WITH RESPECT TO DEBT 140,144. NET CHANGE IN INTEREST IN FOUNDATION 262,939. TRANSFER TO TAX-EXEMPT PARENT -3,958,182. TRANSFER TO TAX-EXEMPT RELATED ORGANIZATION -12,897,810. ROUNDING 2.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (103 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
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)
ADVENTIST UNIVERSITY OF HEALTH SCIENCES INC (630 YEAR END)
671 LAKE WINYAH DRIVE	ORLANDO	FL	32803	593069793	EDUCATION/OPERATION OF SCHOOL	FL	501(C)(3)	LINE 2	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 HEALTH CO DBA AMITA HEALTH
3040 W SALT CREEK LANE	ARLINGTON HEIGHTS	IL	60005	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)
CENTURA HEALTH CORPORATION
9100 E MINERAL CIRCLE	CENTENNIAL	CO	80112	841335382	JOINT OPERATING COMPANY	CO	501(C)(3)	LINE 12A, I		0	N/A
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 (816-123117)
13100 FORT KING ROAD	DADE CITY	FL	33525	822567308	INACTIVE	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 (1214-123117)
900 HOPE WAY	ALTAMONTE SPRINGS	FL	32714	824372339	INACTIVE	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)
FOUNDATION FOR SHAWNEE MISSION MEDICAL CENTER INC
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)
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 CENTRAL INC
900 HOPE WAY	ALTAMONTE SPRINGS	FL	32714	593689740	MANAGEMENT SUPPORT	GA	501(C)(3)	LINE 12C, III-FI		0	N/A
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 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 324	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
PAHSLARKIN VENTURES LLC
9100 E MINERAL CIR	CENTENNIAL	CO	80112	474211060	MEDICAL SERVICES	CO	N/A
PRINCETON HOMECARE SERVICES LLC
600 COURTLAND STREET STE 300	ORLANDO	FL	32804	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

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	0	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	Yes (1)	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	0	SharingOfFacilitiesInd
Paid Employees Sharing	0	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	Yes (1)	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	Yes (1)	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	0	TransferToOtherOrgInd
Transfer From Other Org	0	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (16 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
ADVENTIST MIDWEST HEALTH
P	$26,440,848	COST
ADVENTIST MIDWEST HEALTH
Q	$10,041,438	COST
ADVENTIST HEALTH SYSTEM SUNBELT HEALTHCARE CORPORATION
B	$702,842	ACTUAL AMOUNT GIVEN
ADVENTIST HEALTH SYSTEM SUNBELT HEALTHCARE CORPORATION
M	$1,028,391	% OF FACILITY'S OPERATING EXP.
ADVENTIST HEALTH SYSTEM SUNBELT HEALTHCARE CORPORATION
P	$5,042,230	COST
BOLINGBROOK HOSPITAL FOUNDATION
B	$174,705	ACTUAL AMOUNT GIVEN
ADVENTIST GLEN OAKS HOSPITAL
Q	$98,809	COST
ADVENTIST HEALTH PARTNERS INC
P	$3,478,419	COST
ADVENTIST HEALTH PARTNERS INC
Q	$630,213	COST
AHS MIDWEST MANAGEMENT INC
P	$78,930	COST
ADVENTIST GLEN OAKS HOSPITAL
P	$188,086	COST
ADVENTIST HEALTH SYSTEM SUNBELT HEALTHCARE CORPORATION DBA AHS IS
M	$4,091,156	% OF FACILITY'S OPERATING EXP.
ADVENTIST HEALTH PARTNERS INC
B	$10,533,848	ACTUAL AMOUNT GIVEN
AHS MIDWEST MANAGEMENT INC
B	$2,363,962	ACTUAL AMOUNT GIVEN
ADVENTIST MIDWEST HEALTH
B	$5,968,856	ACTUAL AMOUNT GIVEN
ADVENTIST MIDWEST HEALTH
C	$2,010,675	ACTUAL AMOUNT RECEIVED