MEMORIAL HOSPITAL FLAGLER INC: Form 990, tax year 2016

View the entire original 990 at ProPublica ↗

Organization: MEMORIAL HOSPITAL FLAGLER INC (EIN 59-2951990)
Tax period: 2016-01-01 to 2016-12-31
Filed: 2018-01-29
IRS object ID: 201810299349301601
Schema version: 2016v3.0
Source: Download XML · Original 990 at ProPublica

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

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

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2018-01-29T15:20:42-06:00	ReturnTs
Tax Period End	2016-12-31	TaxPeriodEndDt
Return Type	990	ReturnTypeCd
Tax Period Begin	2016-01-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	592951990	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	MEMORIAL HOSPITAL FLAGLER INC	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	MEMO	BusinessNameControlTxt
Phone	3865862000	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	60 MEMORIAL MEDICAL PARKWAY	AddressLine1Txt
City	PALM COAST	CityNm
State Abbreviation	FL	StateAbbreviationCd
ZIP	32164	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	Lynn C Addiscott	PersonNm
Person Title	ASSISTANT SECRETARY	PersonTitleTxt
Phone	4079751492	PhoneNum
Signature	2018-01-10	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	2018-01-10	IPDt
IP Tm	15:42:13	IPTm
IP Timezone	ES	IPTimezoneCd
Filing License Type	P	FilingLicenseTypeCd
At Submission Creation Device Id	C18440E83583A01A3D3F74DEBC89B245B68C7147	AtSubmissionCreationDeviceId
At Submission Filing Device Id	F7F973113C6C6A5F5987F0EC85E73F6D0608CD2F	AtSubmissionFilingDeviceId

Field	Value	IRS element (for citing)
Tax	2016	TaxYr
Build TS	2021-01-29 14:40:06Z	BuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

Field	Value	IRS element (for citing)
Business Name Line1	Florida Hospital Flagler	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Principal Officer	Ron Jimenez	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	60 MEMORIAL MEDICAL PARKWAY	AddressLine1Txt
City	PALM COAST	CityNm
State Abbreviation	FL	StateAbbreviationCd
ZIP	32164	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$189,069,779	GrossReceiptsAmt
Group Return For Affiliates	0	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.floridahospital.com/flagler	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1989	FormationYr
Legal Domicile State	FL	LegalDomicileStateCd
Activity Or Mission	The provision of medical care to the community through the operation of a 99 bed hospital.	ActivityOrMissionDesc
Voting Members Governing Body	18	VotingMembersGoverningBodyCnt
Voting Members Independent	10	VotingMembersIndependentCnt
Total Employee	1271	TotalEmployeeCnt
Total Volunteers	254	TotalVolunteersCnt
Total Gross UBI	$260,653	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$169,667	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$40,960	PYContributionsGrantsAmt
CY Contributions Grants	$57,222	CYContributionsGrantsAmt
PY Program Service Revenue	$183,891,770	PYProgramServiceRevenueAmt
CY Program Service Revenue	$185,214,037	CYProgramServiceRevenueAmt
PY Investment Income	-$2,610,337	PYInvestmentIncomeAmt
CY Investment Income	$1,313,848	CYInvestmentIncomeAmt
PY Other Revenue	$281,709	PYOtherRevenueAmt
CY Other Revenue	$126,660	CYOtherRevenueAmt
PY Total Revenue	$181,604,102	PYTotalRevenueAmt
CY Total Revenue	$186,711,767	CYTotalRevenueAmt
PY Grants And Similar Paid	$91,779	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$114,725	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$58,010,873	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$61,723,354	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$93,182,233	PYOtherExpensesAmt
CY Other Expenses	$99,074,014	CYOtherExpensesAmt
PY Total Expenses	$151,284,885	PYTotalExpensesAmt
CY Total Expenses	$160,912,093	CYTotalExpensesAmt
PY Revenues Less Expenses	$30,319,217	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$25,799,674	CYRevenuesLessExpensesAmt
Total Assets BOY	$320,581,611	TotalAssetsBOYAmt
Total Assets EOY	$319,475,362	TotalAssetsEOYAmt
Total Liabilities BOY	$89,369,916	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$84,126,883	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$231,211,695	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$235,348,479	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	$150,337,025	ExpenseAmt
Grant	$114,725	GrantAmt
Revenue	$185,080,044	RevenueAmt
Desc	PROVISION OF MEDICAL CARE TO BOTH INPATIENTS AND OUTPATIENTS. DURING THE CURRENT YEAR, THE HOSPITAL HAD 7,839 PATIENT ADMISSIONS WHICH RESULTED IN 34,006 PATIENT DAYS AND 151,869 OUTPATIENT VISITS. THE HOSPITAL IS A 99-BED ACUTE CARE HOSPITAL LOCATED IN FLAGLER COUNTY, FLORIDA.	Desc
Total Program Service Expenses	$150,337,025	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	Yes (1)	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	Yes (1)	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	1271	EmployeeCnt
Employment Tax Returns Filed	Yes (1)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (1)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (1)	Form990TFiledInd
Foreign Financial Account	0	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTransInd
Taxable Party Notification	0	TaxablePartyNotificationInd
Nondeductible Contributions	0	NondeductibleContributionsInd
Quid Pro Quo Contributions	0	QuidProQuoContributionsInd
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	0	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	0	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	0	IndoorTanningServicesInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	18	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	Yes (1)	InvestmentInJointVentureInd
Written Policy Or Procedure	Yes (1)	WrittenPolicyOrProcedureInd
States Where Copy Of Return Is Fld	FL	StatesWhereCopyOfReturnIsFldCd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	CORY DOMAYER	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Phone	3865864200	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	60 MEMORIAL MEDICAL PARKWAY	AddressLine1Txt
City	PALM COAST	CityNm
State Abbreviation	FL	StateAbbreviationCd
ZIP	32164	ZIPCd

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

Form990 Part VII Section A Form990PartVIISectionAGrp (33 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
Fulbright Robert
Chairman/Dir	8.50	41.50	Yes (X)	$0	$790,357	$149,702
Alter MD Dennis
DirECTOR	50.00	0.00	Yes (X)	$0	$1,031,894	$25,968
Chiumento Michael
DIRECTOR	0.20	0.00	Yes (X)	$330	$0	$0
Deininger Robert
DirECTOR (Beg 2/16)	0.20	50.00	Yes (X)	$330	$333,020	$55,339
Fowler David
DIRECTOR	0.20	0.00	Yes (X)	$330	$0	$0
Hamilton MD Ted
DiRECTOR	0.20	50.00	Yes (X)	$330	$743,790	$66,204
Jimenez MD Ronald
Director/CEO (Beg 5/16)	50.00	0.00	Yes (X)	$330	$470,583	$77,410	Yes (X)
Johnson Sandra K
DirECTOR	0.20	50.00	Yes (X)	$0	$962,268	$119,004
Leverton Roger
DirECTOR	0.20	0.00	Yes (X)	$0	$0	$0
Mattison Kenneth R
Director/CEO (End 5/16)	50.00	0.00	Yes (X)	$0	$671,433	$88,933	Yes (X)
McCabe MD Kristin
DirECTOR	0.20	0.00	Yes (X)	$330	$0	$0
Moorman Holsey
DirECTOR	0.20	0.00	Yes (X)	$330	$0	$0
Noseworthy Gordon Edward
DirECTOR	0.20	50.00	Yes (X)	$0	$989,896	$110,560
Papandrea Tony
DirECTOR	0.20	0.00	Yes (X)	$330	$0	$0
Revels Barbara
DirECTOR	0.20	0.00	Yes (X)	$330	$0	$0
Seifert Lewis
DirECTOR (End 8/16)	0.20	50.00	Yes (X)	$0	$827,748	$155,209
Sowers Scott
DirECTOR	0.20	0.00	Yes (X)	$330	$0	$0
Sword Raven
DirECTOR	0.20	0.00	Yes (X)	$330	$0	$0
Thomas Debora H
DirECTOR	8.50	41.50	Yes (X)	$0	$519,963	$82,914
Zimmet DO Glenn
DirECTOR	0.20	0.00	Yes (X)	$330	$0	$0
Bucknor Jermaine
CFO (END 1/16)	50.00	0.00		$0	$334,125	$61,380	Yes (X)
DoMayer Cory
CFO (Beg 2/16)	50.00	0.00		$0	$218,754	$50,039	Yes (X)
King Joanne
COO	50.00	0.00		$0	$198,084	$54,323		Yes (X)
Thomas MD Ronald
CMO	50.00	0.00		$0	$426,359	$67,454		Yes (X)
Davis Robert
CNO	50.00	0.00		$0	$228,745	$49,005		Yes (X)
Celano Patricia
CCO	8.50	41.50		$0	$435,454	$63,299		Yes (X)
Roy Tapash K
Oncology Radiation Therapist	60.00	0.00		$174,538	$0	$25,354			Yes (X)
Cole Rema
Hospice Administrator	50.00	0.00		$146,649	$0	$17,555			Yes (X)
Subers John
Foundation administrator	50.00	0.00		$141,327	$0	$24,513			Yes (X)
McFadden Karen E
Home Health Administrator	50.00	0.00		$129,132	$0	$17,402			Yes (X)
Wagner Guy W
Pharmacist	60.00	0.00		$123,932	$0	$14,462			Yes (X)
Ottati David
Former CEO	0.00	50.00		$0	$562,973	$106,254				Yes (X)
Ziesmer Valerie
Former CFO	0.00	50.00		$0	$301,794	$37,924				Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$719,538	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$10,047,240	TotReportableCompRltdOrgAmt
Total Other Compensation	$1,520,207	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	21	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (1)	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (1)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	0	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
PT Solutions Holdings LLC
PO Box 441146	Kennesaw	GA	30160	Physical Therapy Services	$5,350,724
MedPartners Locum Tenens LLC
PO Box 4729	Winter Park	FL	32793	Hospitalists	$2,557,267
GE Healthcare - Apt
PO BOx 96483	Chicago	IL	60693	Biomed Maintenance	$1,853,579
SHERIDAN HEALTHCorp Inc
PO Box 452197	SUNRISE	FL	333232197	ANESTHESIA SERVICES	$1,713,638
Batson-Cook Company
800 North Magnolia Avenue Suite 60	Orlando	FL	32803	Design/Construction Services	$1,089,006

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	62	CntrctRcvdGreaterThan100KCnt
Info In Schedule O Part VIII	Yes (X)	InfoInScheduleOPartVIIIInd
Related Organizations	$57,222	RelatedOrganizationsAmt
Total Contributions	$57,222	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
Net patient revenue	622110	$183,653,903	$183,393,250	$260,653
Medical office building	622110	$959,523	$959,523
Cafeteria revenue	622110	$556,140	$556,140

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$44,471	TotalRevenueColumnAmt
Related Or Exempt Func Income	$44,471	RelatedOrExemptFuncIncomeAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$185,214,037	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$3,665,723	TotalRevenueColumnAmt
Exclusion	$3,665,723	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Other	$6,137	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$2,358,012	SecuritiesAmt
Other	$0	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	-$2,358,012	SecuritiesAmt
Other	$6,137	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$2,351,875	TotalRevenueColumnAmt
Exclusion	-$2,351,875	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp

Field	Value	IRS element (for citing)
Desc	EHR Revenue	Desc
Business	622110	BusinessCd
Total Revenue Column	$126,660	TotalRevenueColumnAmt
Related Or Exempt Func Income	$126,660	RelatedOrExemptFuncIncomeAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$126,660	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$186,711,767	TotalRevenueColumnAmt
Related Or Exempt Func Income	$185,080,044	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$260,653	UnrelatedBusinessRevenueAmt
Exclusion	$1,313,848	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	$114,725	TotalAmt
Program Services	$114,725	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$3,327,055	TotalAmt
Management And General	$3,327,055	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$42,980,378	TotalAmt
Program Services	$42,980,378	ProgramServicesAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$1,725,920	TotalAmt
Program Services	$1,696,650	ProgramServicesAmt
Management And General	$29,270	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$9,698,111	TotalAmt
Program Services	$9,698,111	ProgramServicesAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$3,991,890	TotalAmt
Program Services	$3,924,192	ProgramServicesAmt
Management And General	$67,698	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$105,174	TotalAmt
Management And General	$105,174	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$71,462	TotalAmt
Management And General	$71,462	ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$943,119	TotalAmt
Management And General	$943,119	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$45,289,227	TotalAmt
Program Services	$41,826,121	ProgramServicesAmt
Management And General	$3,463,106	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$151,050	TotalAmt
Management And General	$151,050	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$3,194,984	TotalAmt
Program Services	$2,330,001	ProgramServicesAmt
Management And General	$864,983	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$4,483,376	TotalAmt
Program Services	$3,907,432	ProgramServicesAmt
Management And General	$575,944	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$3,561,699	TotalAmt
Program Services	$3,561,699	ProgramServicesAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$549,893	TotalAmt
Program Services	$89	ProgramServicesAmt
Management And General	$549,804	ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$51,115	TotalAmt
Management And General	$51,115	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$2,178,210	TotalAmt
Program Services	$2,178,210	ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$7,732,740	TotalAmt
Program Services	$7,732,740	ProgramServicesAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$2,377,767	TotalAmt
Program Services	$2,301,541	ProgramServicesAmt
Management And General	$76,226	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Management And GeneralManagementAndGeneralAmt	Program ServicesProgramServicesAmt
Income Tax Expense	$18,900	$18,900
Medical Supplies	$22,928,712		$22,928,712
Repairs & maintenance	$3,261,030		$3,261,030
State Tax Indigent Asse	$1,885,113		$1,885,113

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$290,443	TotalAmt
Program Services	$10,281	ProgramServicesAmt
Management And General	$280,162	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$160,912,093	TotalAmt
Program Services	$150,337,025	ProgramServicesAmt
Management And General	$10,575,068	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$4,042	BOYAmt
EOY	$3,601	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$202,553,069	BOYAmt
EOY	$185,921,212	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$22,009,849	BOYAmt
EOY	$23,277,908	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$2,812,668	BOYAmt
EOY	$2,977,110	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$3,207,598	BOYAmt
EOY	$6,649,555	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$164,344,600	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$79,466,021	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$75,037,641	BOYAmt
EOY	$84,878,579	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$50,000	BOYAmt
EOY	$50,000	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$14,522,088	BOYAmt
EOY	$14,522,088	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$384,656	BOYAmt
EOY	$1,195,309	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$320,581,611	BOYAmt
EOY	$319,475,362	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$9,202,793	BOYAmt
EOY	$8,239,743	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$161,356	BOYAmt
EOY	$216,008	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$80,005,767	BOYAmt
EOY	$75,671,132	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$89,369,916	BOYAmt
EOY	$84,126,883	EOYAmt

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

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$231,208,240	BOYAmt
EOY	$235,233,024	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$3,455	BOYAmt
EOY	$115,455	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$231,211,695	BOYAmt
EOY	$235,348,479	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$320,581,611	BOYAmt
EOY	$319,475,362	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$25,799,674	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$3,937,987	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	-$25,600,877	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	0	AccountantCompileOrReviewInd
FS Audited	Yes (1)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

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

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

Schedule A IRS990ScheduleA

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

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

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

Contributor US Address ContributorUSAddress

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

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

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	0	VolunteersInd
Paid Staff Or Management	0	PaidStaffOrManagementInd
Media Advertisements	0	MediaAdvertisementsInd
Mailings Members	0	MailingsMembersInd
Publications Or Broadcast	0	PublicationsOrBroadcastInd
Grants Other Organizations	0	GrantsOtherOrganizationsInd
Direct Contact Legislators	0	DirectContactLegislatorsInd
Rallies Demonstrations	0	RalliesDemonstrationsInd
Other Activities	Yes (1)	OtherActivitiesInd
Other Activities	$5,375	OtherActivitiesAmt
Total Lobbying Expenditures	$5,375	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	AMERICAN HOSPITAL ASSOCIATION and FLORIDA HOSPITAL ASSOCIATION DUES.	ExplanationTxt

Schedule D IRS990ScheduleD

Field	Value	IRS element (for citing)
Protection Natural Habitat	Yes (X)	ProtectionNaturalHabitatInd
States Easements Held	1	StatesEasementsHeldCnt
Written Policy Monitoring	0	WrittenPolicyMonitoringInd
Staff Hours Spent Enforcement	0.00	StaffHoursSpentEnforcementCnt
Expenses Incurred Enforcement	$0	ExpensesIncurredEnforcementAmt
Section170h Rqr Stsfd	0	Section170hRqrStsfdInd

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$7,311,502	OtherCostOrOtherBasisAmt
Book Value	$7,311,502	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$58,188,691	OtherCostOrOtherBasisAmt
Depreciation	$21,397,937	DepreciationAmt
Book Value	$36,790,754	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$79,357,981	OtherCostOrOtherBasisAmt
Depreciation	$54,078,962	DepreciationAmt
Book Value	$25,279,019	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$19,486,426	OtherCostOrOtherBasisAmt
Depreciation	$3,989,122	DepreciationAmt
Book Value	$15,497,304	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$84,878,579	TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (5 entries)

DescDesc	AmtAmt
Credit balances in A/R	$1,034,026
Interco. Alloc. of TE Bond Proceeds	$65,610,453
Due to related	$4,682,723
Payable to third parties	$4,174,500
Other liabilities	$169,430

Field	Value	IRS element (for citing)
Total Liability	$75,671,132	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

Part II, Line 9:

The filing organization has recorded the land conservation easement on its financial statements as a Property, Plant, and Equipment Asset. The conservation easement generates no revenue and the filing organization did not incur any expense related to the maintenance and monitoring of the conservation easement.

Part X, Line 2:

The Hospital is part of a consolidated audited financial statement. The consolidated audited financial statement includes the following FIN 48 footnote - The Division follows ASC 740, Income Taxes, which 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, 2016.

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (1)	FinancialAssistancePolicyInd
Written Policy	Yes (1)	WrittenPolicyInd
All Hospitals Policy	Yes (X)	AllHospitalsPolicyInd
FPG Reference Free Care	Yes (1)	FPGReferenceFreeCareInd
Percent200	Yes (X)	Percent200Ind
FPG Reference Discounted Care	0	FPGReferenceDiscountedCareInd
Free Care Medically Indigent	Yes (1)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (1)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	Yes (1)	ExpensesExceedBudgetInd
Unable To Provide Care	0	UnableToProvideCareInd
Annual Community Bnft Report	Yes (1)	AnnualCommunityBnftReportInd
Report Publically Available	0	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$5,937,094	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$5,937,094	NetCommunityBenefitExpnsAmt
Total Expense	0.03690	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$14,903,941	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$8,298,790	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$6,605,151	NetCommunityBenefitExpnsAmt
Total Expense	0.04100	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$20,841,035	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$8,298,790	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$12,542,245	NetCommunityBenefitExpnsAmt
Total Expense	0.07790	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$711,437	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$711,437	NetCommunityBenefitExpnsAmt
Total Expense	0.00440	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$5,810	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$5,810	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$717,247	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$717,247	NetCommunityBenefitExpnsAmt
Total Expense	0.00440	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$21,558,282	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$8,298,790	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$13,259,492	NetCommunityBenefitExpnsAmt
Total Expense	0.08230	TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$75,813	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$75,813	NetCommunityBenefitExpnsAmt
Total Expense	0.00050	TotalExpensePct

Other Communtity Building Acty OtherCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$30,694	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$30,694	NetCommunityBenefitExpnsAmt
Total Expense	0.00020	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$106,507	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$106,507	NetCommunityBenefitExpnsAmt
Total Expense	0.00070	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (1)	BadDebtExpenseReportedInd
Bad Debt Expense	$10,299,075	BadDebtExpenseAmt
Bad Debt Expense Attributable	$1,017,958	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$58,628,510	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$47,712,365	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	$10,916,145	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	FLORIDA HOSPITAL - FLAGLER	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	60 Memorial Medical Parkway	AddressLine1Txt
City	Palm Coast	CityNm
State Abbreviation	FL	StateAbbreviationCd
ZIP	32164	ZIPCd

Field	Value	IRS element (for citing)
Website Address	www.floridahospital.com/flagler	WebsiteAddressTxt
State License	4465	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	Memorial Hospital Flagler Inc	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	Yes (1)	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	Yes (1)	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	14	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
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 (10 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Memorial Hospital Flagler, Inc.	Part V, Section B, Line 5: Memorial Hospital Flagler, Inc., d/b/a Florida Hospital Flagler (FHF or the Hospital), operates a 99-bed acute-care hospital in Flagler County, Florida. The primary service area of the Hospital includes most of Flagler County. In 2016, the Flagler County population was 82.1% white, 10.8% African-American, 10.2% Hispanic, and 7.1% other races. FHF partnered with the Florida Department of Health - Flagler, Halifax Health, and Flagler Cares (an informal coalition of public and private organizations providing health and related support services) to create the Flagler Community Health Needs Assessment and Planning Partnership. The Partnership created a collaborative, countywide Community Health Needs Assessment in 2016. The 2016 Community Health Needs Assessment was built on input from people representing the broad community, as well as low-income, minority, and other medically underserved populations. Input was solicited throughout 2016, and was gathered and considered in multiple ways. FHF and the Flagler County Community Health Needs Assessment and Planning Partnership created a multi-tiered approach to stakeholder involvement. The plan included the formation of a Leadership Council that included 27 leaders from 18 organizations representing key sectors of the public health system and safety net, including organizations representing low income, minority and other underserved populations. The community engagement process also included community health surveys and facilitated community meetings. The Leadership Council of the Flagler County Community Health Needs Assessment and Planning Partnership includes representatives from the Flagler County Department of Health, United Way of Flagler/Volusia Counties, Stewart-Marchman-Act Behavorial Healthcare, Azalea Health, a federally qualified health center, the Flagler Free Clinic, the Family Life Center, Healthy Start of Flagler/Volusia, and the Florida State Department of Children and Families. These organizations represented the needs of low-income, minority, and other medically underserved populations.
Memorial Hospital Flagler, Inc.	Part V, Section B, Line 6a: Halifax Health
Memorial Hospital Flagler, Inc.	Part V, Section B, Line 6b: Flagler Department of Health
Memorial Hospital Flagler, Inc.	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.
Memorial Hospital Flagler, Inc.	Part V, Section B, Line 11: The information provided below explains how the hospital facility addressed in 2016 the significant health needs identified in its 2013 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 in 2016 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.Florida Hospital Flagler (FHF) is part of the East Florida Region of Florida Hospital. The Region includes six hospital facilities. This is the third-year update for Florida Hospital Flagler's 2013-2016 Community Health Plan/Implementation Strategy. Florida Hospital Flagler (FHF or "the Hospital") developed this Plan and posted it no later than May 15, 2014 as part of its 2013 Community Health Needs Assessment process.For the development of both the Community Health Needs Assessment and the Community Health Plan/Implementation Strategy, Florida Hospital Flagler made a particular effort to define and address the needs of low-income, minority and underserved populations in its service area. The 2013 Community Health Needs Assessment used primary data interviews and surveys; secondary data from local, regional and national health-related sources; and Hospital prevalence data to help the Hospital determine the health needs of the community it serves. Once the data was gathered, the primary issues identified in the Needs Assessment were prioritized by community and hospital stakeholders, who then selected key issues for the Hospital to address in its 2013-2016 Community Health Plan. The three-year progress on the Community Health Plan is noted below. The narrative describes the issues identified in 2013 and give an update on the strategies addressing those issues. There is also a description of the identified issues that the Hospital is not addressing. Florida Hospital Flagler is located in Palm Coast, Florida. The Hospital is located in the less populated western part of the city. Bunnell, FL is the (Flagler) county seat and is included in the Hospital's service area. In general, the 2,000 Bunnell residents have lower income and education levels than much of Palm Coast. Florida Hospital Flagler's 2013 Community Health Needs Assessment identified high cholesterol, obesity/nutrition, smoking, and chronic disease (heart disease, diabetes and cancer) as key health issues. Many of these conditions are related to lifestyle and to access to health/community resources. In 2015 and 2016, the Hospital provided multiple community health education programs and seminars, and tripled attendance in most of them over the past years. Efforts included work with low income populations. Some efforts, such as Change Your Life and CREATION Health, were aligned with similar efforts at four other Florida Hospital facilities in adjacent Volusia County. Priority Issue: Prompting Health & Wellness - Heart Disease, Diabetes and Wellness/Lifestyle 2013 Description of the Issue: The age-adjusted death rate for cardiac disease in Flagler County is 12.6 per 100,000 compared to 7.8 per 100,000 for the rest of Florida. Needs Assessment findings attribute the higher rate to several factors: the aging population, lifestyle factors and access/understanding of the community's health and community resources. The County's rates of diabetes and obesity are also slightly higher than the state average. 2016 Update: In 2016, over 1,300 people were enrolled in the Change Your Life lifestyle membership program. In support of the Change Your Life program, the Hospital implemented CREATION Health: an education program focused on a healthy lifestyle built around the eight core principles of CREATION Health (choice, rest, environment, activity, trust, interpersonal relationships, outlook and nutrition). 82 individuals participated in CREATION Health classes during 2014-2016 and over 70% of participants reported an increased understanding of these principles. The Hospital invested $5,550 in the program and over 829 volunteer hours to implement the program.Through a variety of outreach efforts, including Change Your Life and CREATION Health, the Hospital provided 2,935 people (including low-income groups) with important health screenings (including cholesterol and HbA1C blood sugar screenings) and over 5,321 individuals with weekly blood pressure screenings. People whose screenings were abnormal were referred to their family doctors or other affordable sources of care.In addition to these educational and screening efforts, Florida Hospital Flagler held 45 educational seminars during 2014-2016 that engaged over 2,350 people. The Hospital also hosted or provided meeting space to community groups for support and education programs that addressed not only health issues, but social conditions. Programs included diabetes education, prostate cancer, breast cancer, head & neck cancer, cancer caregivers, lupus, stroke, step-parents, domestic violence, multiple myeloma survivors, Parkinson's disease, Gamblers Anonymous and Overeaters Anonymous. Priority: Access to Health Care Services2013 Description of the Issue: Access to health care emerged as a priority for our Community Benefit plans because data showed high rates of residents without access to health care (especially primary care) and residents without insurance. Limited access to health care services can aggravate other issues identified through our research including chronic disease, mental health issues, and maternal and child health. In 2013, the community had a free clinic but lacked a Federally Qualified or Rural Health Center. 2016 Update: Florida Hospital Flagler worked with community partners to bring Azalea Health, a multi-location FQHC, to Palm Coast. The new center offers affordable primary care services to Palm Coast and the surrounding area. The FQHC sees patients with Medicaid and Medicare, and sees uninsured patients on a sliding fee scale. In addition, the Hospital provided over 950 lab vouchers to the Flagler Free Clinic.Priority: Access to Health and Community Resources 2013 Description of the Issue: At the time of the 2013 Assessment, the County's 2-1-1 community resource line was sorely out-of-date, and lacked listings for health and wellness resources. 2016 Update: Florida Hospital Flagler worked with community partners to update the 2-1-1 service. The 2016 goals and achievements were threefold: 1) increase the number of health and wellness resources listed in the county's 2-1-1 database 2) increase referrals by staff to health and wellness resources and 3) increase the number of web referrals for health and wellness resources from 0. Through an investment of $9,052 the database was increased to include 147 new health and wellness resources, over 2,900 staff referrals to health and wellness resources and 6,500 web referrals to health and wellness resources.Priority: Adult Tobacco Use and Abuse programs2013 Description of the Issue: The rate of smoking in Flagler County adults (2010) falls in the third quartile in the state. 2016 Update: 408 people completed smoking cessation classes offered by Florida Hospital Flagler during 2014-2016. The "Tools to Quit" smoking cessation program was offered on campus and in underserved areas though a Hospital investment of $3,000. The Hospital is also a supporter of the Tobacco Free Flagler County Partnership, a community coalition whose goal is to prevent youth initiation and reduce the use of tobacco products.**See Continuation
Schedule H, Part V, Section B, Line 7a:	The CHNA report can be found at URL:https://www.floridahospital.com/community-health-needs-assessments
Schedule H, Part V, Section B, Line 10a:	The hospital's most recently adopted implementation strategy can be found at:https://www.floridahospital.com/community-health-needs-assessments
Schedule H, Part V, Section B, Line 16a,b,c:	The Financial Assistance Policy can be found at URL:https://floridahospital.com/patient-resources/billing/financial-assistanceThe Financial Assistance Policy application can be found at:https://floridahospital.com/patient-resources/billing/financial-assistanceThe plain language summary is available at:https://floridahospital.com/patient-resources/billing/financial-assistance
Part V, Section B, Line 8-10a	The filing organization adopted a Community Health Needs Assessment Report by 12/31/16 and was in the process of developing its Community Health Needs Implementation Strategy. The filing organization's 2017 Community Health Needs Implementation Strategy will be documented in a written report called the "Community Health Plan". The Community Health Plan (CHP) will describe how the filing organization plans to meet its identified prioritized health needs or will identify the health need as one the filing organization does not intend to specifically address and provide an explanation as to why the filing organization does not intend to address that health need. In accordance with Final Regulation Section 1.501(r)-3(c)(5), the filing organization's 2017 CHP was adopted no later than May 15, 2017 and is also posted on the hospital facility's website.As the hospital facility's 2017 Community Health Needs Implementation Strategy was not adopted by the end of the hospital organization's taxable year of December 31, 2016, Schedule H, Part V, Section B, line 9 indicates that 2014 was the tax year in which the hospital facility last adopted an implementation strategy. Schedule H, Part V, Section B, Line 10a reflects the website address for the hospital facility's 2014 Implementation Strategy since this is the most recently adopted Implementation Strategy.
Part V, Section B, Line 11:	**ContinuationPriorities Considered but Not Selected The primary and secondary data in the Community Health Needs Assessment identified multiple community issues. Hospital and community stakeholders used the following criteria to narrow the larger list to the priority areas noted above:1. How acute is the need? (based on data and community concern)2. What is the trend? Is the need getting worse?3. Does the Hospital provide services that relate to the priority? 4. Is someone else - or multiple groups - in the community already working on this issue? 5. If the Hospital were to address this issue, are there opportunities to work with community partners? Based on this prioritization process, the Hospital did not choose the following community issues: Communicable DiseasesFlorida Hospital Flagler did not select Communicable Disease as a priority at this time. We determined that there are groups already addressing this issue: The Health Department, Diggs Miracle Care and the Outreach Community Care Network. In addition, the Hospital does not have the capacity to effectively address this issue. InjuriesWe also determined we are not the best community partner to address Injury, which was identified as a top priority through secondary data. Multiple community groups are working on issues like unintentional injury, violence, and domestic violence in our community. These groups include the school systems, domestic abuse shelters, and governmental groups.Maternal and Child Health Maternal and child health issues were not selected as a direct effort. We believe our efforts around health and wellness and increasing health care access should have a positive impact on these issues. The Hospital Maternity program offers new mother and parent support and education. The Health Department offers prenatal care for low-income women, and the Healthy Start Coalition of Volusia/Flagler offers support programs, especially for high-risk mothers. The Teen Outreach Program (TOP) in the County school system - a positive youth development curriculum that encourages Healthy Behavior, Life Skills and a Sense of Purpose - has a goal of reducing teen pregnancies.

Field	Value	IRS element (for citing)
Facility	48	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (48 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt	Address Line2USAddress/AddressLine2Txt
1 - Florida Hospital Flagler Town Center Sur
120 Cypress Edge Drive Suite 102	Palm Coast	FL	32164	Surgical services
2 - Palm Coast Parkway MRI
120 Cypress Edge Drive	Palm Coast	FL	32164	Imaging Services
3 - Palm Coast Parkway Laboratory
120 Cypress Edge Drive	Palm Coast	FL	32164	Laboratory Services
4 - Palm Coast Parkway CT
120 Cypress Edge Drive	Palm Coast	FL	32164	CT Services
5 - Florida Hospital Memorial Hospice dba Ho
770 W Granada Blvd Suite 304	Ormond Beach	FL	32174	Hospice Administrative Office
6 - Florida Hospital Memorial Home Health
770 W Granada Blvd Suite 319	Ormond Beach	FL	32174	Home care services
7 - Florida Hospital Flagler Hospitalist
60 Memorial Medical Parkway	Palm Coast	FL	32164	Hospitalist
8 - Palm Coast Parkway Radiology
120 Cypress Edge Drive	Palm Coast	FL	32164	Radiology Services
9 - HCP - Alter Gay and Keen MD
21 Hospital Drive Suite 110	Palm Coast	FL	32164	Orthopedic Services
10 - Palm Coast Parkway Physical Therapy
120 Cypress Edge Drive	Palm Coast	FL	32164	Physical Therapy
11 - Palm Coast Parkway Ultrasound
120 Cypress Edge Drive	Palm Coast	FL	32164	Ultrasound Services
12 - Florida Hospital Hospice - Memorial
301 Memorial Medical Parkway	Daytona Beach	FL	32117	Hospice care services
13 - HCP - McKinley Joseph MD
3 Pine Cone Circle Suite 105	Palm Coast	FL	32137	Gastroenterology Services
14 - HCP - Joiner Thomas A MD
61 Memorial Medical Parkway Suite	Palm Coast	FL	32164	Family Practice Services	2811
15 - Stuart F Meyer Hospice House
150 Memorial Parkway	Palm Coast	FL	32164	Hospice care services
16 - Prompt Care
120 Cypress Edge Drive Suite 102	Palm Coast	FL	32164	Urgent Care & Family Practice
17 - HCP - Bower Steven C MD
61 Memorial Medical Parkway Suite	Palm Coast	FL	32164	Surgical services	3807
18 - Florida Hospital Flagler Intensivist
60 Memorial Medical Parkway	Palm Coast	FL	32164	Intensivist
19 - Palm Coast Parkway Women's Center
120 Cypress Edge Drive	Palm Coast	FL	32164	Women's Health Services
20 - HCP - Combs Wallace MD
120 Pinnacles Drive Suite 1	Palm Coast	FL	32164	Gastroenterology Services
21 - HCP - Kurian Kizhake MD
61 Memorial Medical Parkway Suite	Palm Coast	FL	32164	Cardiology Services	3808
22 - HCP - Bolla John D MD
61 Memorial Medical Parkway Suite	Palm Coast	FL	32164	Family Practice Services	3803
23 - Florida Hospital Hospice - Fish
190 N Charles Richard Beall Blvd	Debary	FL	32713	Hospice Administrative Office
24 - HCP - Davis Michael DO dba Pediatrics
61 Memorial Medical Parkway Suite	Palm Coast	FL	32164	Pediatric Services	3811
25 - HCP - Cascone John MD
61 Memorial Medical Parkway Suite	Palm Coast	FL	32164	Surgical services	3805
26 - HCP - Garcia-Guerra Jose MD
61 Memorial Medical Parkway Suite	Palm Coast	FL	32164	Neurological Services	2808
27 - HCP - Rosenbaum Corey MD
21 Hospital Drive Suite 110	Palm Coast	FL	32164	Orthopedic Services
28 - HCP - Turchin Sergey MD
120 Cypress Edge Drive Suite 209	Palm Coast	FL	32164	Internal Medicine Services
29 - HCP - Ceballos Jecebu MD
61 Memorial Medical Parkway Suite	Palm Coast	FL	32164	Family Practice Services	2806
30 - HCP - Ward Jeffery J DO
61 Memorial Medical Parkway Suite	Palm Coast	FL	32164	Family Practice Services	3813
31 - HCP - Ahmed Tanam MD
120 Cypress Edge Drive Suite 207	Palm Coast	FL	32164	Family Practice Services
32 - HCP - Blair-Britt Loray MD
61 Memorial Medical Parkway Suite	Palm Coast	FL	32164	Family Practice Services	3802
33 - HCP - Oglesby Allan C MD
61 Memorial Medical Parkway Suite	Palm Coast	FL	32164	Internal Medicine Services	3805
34 - HCP - Karraffa David MD
120 Cypress Edge Drive Suite 206	Palm Coast	FL	32164	Nephrology Services
35 - HCP - Maclsaac Gregory MD
120 Cypress Edge Drive Suite 210	Palm Coast	FL	32164	Family Practice Services
36 - HCP - Screnock Jonathan MD
120 Cypress Edge Drive Suite 204	Palm Coast	FL	32164	Family Practice Services
37 - HCP - Hoskote Jaideep MD
120 Cypress Edge Drive Suite 201	Palm Coast	FL	32164	Nephrology Services
38 - HCP - Millan Pinzon Sonia MD
120 Cypress Edge Drive	Palm Coast	FL	32164	Family Practice Services
39 - HCP - Nanavati Amit MD
61 Memorial Medical Parkway Ste	Palm Coast	FL	32164	Cardiology Services	1-800B
40 - HCP - Siddiqui Rehana MD
61 memorial Medical Parkway Suite	Palm Coast	FL	32164	General Practice Services	3812
41 - HCP - Cooper Sharrell MD
120 Cypress Edge Drive Suite 202	Palm Coast	FL	32164	Family Practice Services
42 - HCP - Iheme Chiamaka MD
120 Cypress Edge Drive Suite 202	Palm Coast	FL	32164	Family Practice Services
43 - HCP - Nasr Issam MD
61 Memorial Medical Parkway Suite	Palm Coast	FL	32164	gastroenterology Services	2815
44 - HCP - Melo Haroldo MD
42A Caroline Street	Bunnell	FL	32110	Internal Medicine Services
45 - Palm Coast Parkway Occupational Therapy
120 Cypress Edge Drive	Palm Coast	FL	32164	Occupational Therapy
46 - HCP - Walsh John A MD
61 Memorial Medical Parkway Ste	Palm Coast	FL	32164	Surgery, Cardiovascular/Thoracic Services	1-800B
47 - HCP - Shams Safwan MD
61 Memorial Medical Parkway Suite	Palm Coast	FL	32164	Gastroenterology Services	1800-
48 - HCP - Palm Coast Family PracticePlantat
42A Caroline Street	Bunnell	FL	32110	Family Practice Services

Supplemental Information Detail SupplementalInformationDetail (14 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Part I, Line 6a:	The filing organization was a wholly owned subsidiary of Adventist Health System Sunbelt Healthcare Corporation (AHSSHC) during its current tax year. During the current year, AHSSHC served as a parent organization to 22 tax-exempt 501(c)(3) hospital organizations that operated 44 hospitals in ten 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 II, Community Building Activities:	Memorial Hospital Flagler, Inc. (the Hospital) is involved with and supportive of various other community agencies in its service area that work collaboratively to help those in need and to improve the health and safety of the residents of the community. The Hospital participates with a number of other community organizations to address the healthcare needs of the community. The Hospital provides supplies and cash donations to a local community free clinic organization. The Hospital also participates in community events, such as the Rely for Life, American Cancer Society, and Heartwalk.The costs of community building activities reported on Part II of Schedule H also represent the costs associated with providing education for the filing organization's staff physicians and employees. The filing organization's provision of these educational programs/activities to staff physicians and employees provides an opportunity for health care professionals to enhance their skills and expertise and keep up-to-date with the latest advancements in medical procedures and technology. In addition, training opportunities are often provided on-site at the filing organization's hospital facility, thereby allowing for health care professionals to be more readily available to assist in meeting immediate patient care needs. Education and training provided to the facility's workforce is vital in assisting health care professionals directly involved in patient care with keeping abreast of the latest developments in their respective areas of expertise, learning possible new and innovate ways of delivering care to patients, and understanding the newest technologies available for the treatment of patients.
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 page 7. 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 community health needs assessments (CHNA) during 2013 and 2016. It's 2016 CHNA was adopted by its governing board by December 31, 2016, the end of the Hospital's taxable year in which it conducted the CHNA. 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:	Memorial Hospital Flagler (the Hospital) is a 99-bed acute care facility that provides quality health care services to the residents of Palm Coast and surrounding Flagler County in the State of Florida. The Hospital is the sole provider of emergency hospital services in Flagler County. The Hospital is located in a rural community located between two larger cities. The Hospital is a crucial community and regional asset. Medicare has designated Florida Hospital Flagler as a Medicare Dependent Hospital as it is located in a rural area. The nearest other hospital is 15 miles away and this facility is owned by an affiliate. The Hospital currently offers most hospital services including cancer, home health and hospice programs. The Hospital is also the third largest employer in Flagler County.The Hospital's primary service area has a population of approximately 104,571, with an estimated 30,020 over the age of 65. High school graduates make up 84.4% of Flagler county with 21.7% of the population holding a bachelor's degree or higher. The median household income, based on population, in Flagler county is approximately $46,939. In 2015, Flagler county had an unemployment rate of 6.2%.Approximately 61.5% of the Hospital's patients during 2016 were Medicare patients, about 8.4% were Medicaid patients, about 6.2% were self-pay patients, and the remaining percentage were patients covered under commercial insurance. In 2016, about 88.7% 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 Memorial Hospital Flagler'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 $179,917 of benefit with respect to the faith-based and spiritual needs of the community in conjunction with its operation of a community hospital. The Hospital also provides benefits to its community's infrastructure by investing in capital improvements to ensure that facilities and technology provide the best possible care to the community. During the current year, the Hospital expended $17,573,678 in new capital improvements. As a faith-based mission-driven community hospital, the Hospital is continually involved in monitoring its community, identifying unmet health care needs and developing solutions and programs to address those needs. In accordance with its conservative approach to fiscal responsibility, surplus funds of the Hospital are continually being invested in resources that improve the availability and quality of delivery of health care services and programs to its community.
Part VI, Line 6:	The filing organization is a part of a faith-based healthcare system of organizations whose parent is Adventist Health System Sunbelt Healthcare Corporation (AHSSHC). The system is known as 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 44 hospitals in 10 states throughout the U.S., primarily in the Southeastern portion of the U.S. AHSSHC and its subsidiaries also operate 16 nursing home facilities and other ancillary health care provider facilities, such as ambulatory surgery centers and diagnostic imaging centers. As the parent organization of the AHS system, AHSSHC provides executive leadership and other professional support services to its subsidiary organizations. Professional support services include among others corporate compliance, legal, human resources, reimbursement, risk management, and tax as well as treasury functions. The provision of these executive and support services on a centralized basis by AHSSHC provides an appropriate balance between providing each AHS subsidiary hospital organization with mission-driven consistent leadership and support while allowing the hospital organization to focus its resources on meeting the specific health care needs of the community it serves. The reader of this Form 990 should keep in mind that this reporting entity may differ in certain areas from that of a stand-alone hospital organization due to its inclusion in a larger system of healthcare organizations. As a part of a system of hospital and other health care organizations, the filing organization benefits from reduced costs due to system efficiencies, such as large group purchasing discounts, and the availability of internal resources such as internal legal counsel. Each AHS subsidiary pays a management fee to AHSSHC for the internal services provided by AHSSHC. As a result, management fee expense reported by a AHS subsidiary organization may appear greater in relation to management fee expense that may be reported by a single stand-alone hospital. The single stand-alone hospital would likely report costs associated with management and other professional services on various expense line items in its statement of revenue and expense as opposed to reporting such costs in one overall management fee expense. As the reporting of the Form 990 is done on an entity by entity basis, there is no single Form 990 that captures the programs and operations of AHS 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.
Part VI, Line 7:	The filing organization does not file an annual community benefit report with any state agencies.

Schedule I IRS990ScheduleI

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

Recipient Table RecipientTable (6 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Purpose Of GrantPurposeOfGrantTxt
Palm Coast Seventh Day Adventist Church
5650 Belle Terre Parkway	Palm Coast	FL	32137	590806975	501(c)(3)	$50,000	General Support
Flagler County Education Direct-Support Organization Inc
1769 E Moody Blvd Building 2	Bunnell	FL	32110	593006312	501(c)(3)	$5,250	General Support
PDA Florida Inc
PO Box 352493	Palm Coast	FL	32135	593758112	501(c)(3)	$7,750	General Support
The Flagler Auditorium Governing Board Inc
PO BOX 755	Bunnell	FL	32110	593079371	501(c)(3)	$11,250	General Support
American Heart Association
237 E Marks St	Orlando	FL	32803	135613797	501(c)(3)	$14,438	General Support
Flagler County Free Clinic Inc
PO BOX 863	Bunnell	FL	32100	205036975	501(c)(3)	$25,000	General Support

Field	Value	IRS element (for citing)
Total501c3 Org	6	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
Written Policy Ref T And E Expnss	Yes (1)	WrittenPolicyRefTAndEExpnssInd
Substantiation Required	Yes (1)	SubstantiationRequiredInd
Severance Payment	0	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 (21 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
Fulbright Robert
Chairman/Dir	$0	$553,740	$0	$139,180	$0	$97,437	$0	$100,584	$0	$49,118	$0	$940,059	$0	$62,736
Alter MD Dennis
DirECTOR	$0	$513,412	$0	$475,484	$0	$42,998	$0	$14,388	$0	$11,580	$0	$1,057,862	$0	$0
Deininger Robert
DirECTOR (Beg 2/16)	$0	$275,628	$0	$29,254	$330	$28,138	$0	$14,387	$0	$40,952	$330	$388,359	$0	$0
Hamilton MD Ted
DiRECTOR	$0	$422,542	$0	$104,995	$330	$216,253	$0	$14,388	$0	$51,816	$330	$809,994	$0	$0
Jimenez MD Ronald
Director/CEO (Beg 5/16)	$0	$354,676	$0	$66,568	$330	$49,339	$0	$33,037	$0	$44,373	$330	$547,993	$0	$16,665
Johnson Sandra K
DirECTOR	$0	$497,740	$0	$169,032	$0	$295,496	$0	$68,651	$0	$50,353	$0	$1,081,272	$0	$42,991
Mattison Kenneth R
Director/CEO (End 5/16)	$0	$385,104	$0	$99,849	$0	$186,480	$0	$50,595	$0	$38,338	$0	$760,366	$0	$35,440
Noseworthy Gordon Edward
DirECTOR	$0	$404,665	$0	$98,618	$0	$486,613	$0	$73,574	$0	$36,986	$0	$1,100,456	$0	$45,135
Seifert Lewis
DirECTOR (End 8/16)	$0	$567,366	$0	$148,759	$0	$111,623	$0	$103,910	$0	$51,299	$0	$982,957	$0	$80,118
Thomas Debora H
DirECTOR	$0	$360,181	$0	$98,402	$0	$61,380	$0	$35,287	$0	$47,627	$0	$602,877	$0	$22,121
Bucknor Jermaine
CFO (END 1/16)	$0	$266,800	$0	$41,723	$0	$25,602	$0	$19,778	$0	$41,602	$0	$395,505	$0	$0
DoMayer Cory
CFO (Beg 2/16)	$0	$190,781	$0	$14,469	$0	$13,504	$0	$11,152	$0	$38,887	$0	$268,793	$0	$0
King Joanne
COO	$0	$171,051	$0	$19,964	$0	$7,069	$0	$10,561	$0	$43,762	$0	$252,407	$0	$0
Thomas MD Ronald
CMO	$0	$305,493	$0	$52,482	$0	$68,384	$0	$14,388	$0	$53,066	$0	$493,813	$0	$0
Davis Robert
CNO	$0	$176,826	$0	$31,386	$0	$20,533	$0	$11,657	$0	$37,348	$0	$277,750	$0	$0
Celano Patricia
CCO	$0	$320,064	$0	$55,823	$0	$59,567	$0	$28,179	$0	$35,120	$0	$498,753	$0	$25,724
Roy Tapash K
Oncology Radiation Therapist	$172,818	$0	$111	$0	$1,609	$0	$5,764	$0	$19,590	$0	$199,892	$0	$0	$0
Cole Rema
Hospice Administrator	$128,079	$0	$10,714	$0	$7,856	$0	$7,314	$0	$10,241	$0	$164,204	$0	$0	$0
Subers John
Foundation administrator	$120,008	$0	$9,614	$0	$11,705	$0	$4,077	$0	$20,436	$0	$165,840	$0	$0	$0
Ottati David
Former CEO	$0	$403,475	$0	$87,689	$0	$71,809	$0	$63,196	$0	$43,058	$0	$669,227	$0	$43,411
Ziesmer Valerie
Former CFO	$0	$239,058	$0	$36,216	$0	$26,520	$0	$24,860	$0	$13,064	$0	$339,718	$0	$3,542

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). Members of the filing organization's executive management team that hold the position of Vice-President or above are compensated by and on the payroll of Adventist Health System Sunbelt Healthcare Corporation (AHSSHC), the parent organization of AHS. AHSSHC is exempt from federal income tax under IRC Section 501(c)(3). The filing organization reimburses AHSSHC for the salary and benefit cost of those executives on the payroll of AHSSHC that provide services and are on the management team of the filing organization. Travel for companions: AHSSHC has a Corporate Executive Policy that provides a benefit to allow for a traveling AHSSHC executive to have his or her spouse accompany the executive on certain business trips each year. Typically, reimbursement is only provided to Vice Presidents and above 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.
Part I, Line 3	The individual who serves as the CEO of the filing organization is compensated by Adventist Health System Sunbelt Healthcare Corporation (AHSSHC) for that individual's role in serving as the CEO. Compensation and benefits provided to this individual are determined pursuant to policies, procedures, and processes of AHSSHC that are designed to ensure compliance with the intermediate sanctions laws as set forth in IRC Section 4958. AHSSHC has taken steps to ensure that processes are in place to satisfy the rebuttable presumption of reasonableness standard as set forth in Treasury Regulation 53.4958-6 with respect to its active executive-level positions. The AHSSHC Board Compensation Committee (the Committee) serves as the governing body for all executive compensation matters. The Committee is composed of certain members of the Board of Directors (the Board) of AHSSHC. Voting members of the Committee include only individuals who serve on the Board as independent representatives of the community, who hold no employment positions with AHSSHC and who do not have relationships with any of the individuals whose compensation is under their review that impacts their best independent judgment as fiduciaries of AHSSHC. The Committee's role is to review and approve all components of the executive compensation plan of AHSSHC. As an independent governing body with respect to executive compensation, it should be noted that the Committee will often confer in executive sessions on matters of compensation policy and policy changes. In such executive sessions, no members of management of AHSSHC are present. The Committee is advised by an independent third party compensation advisor. This advisor prepares all the benchmark studies for the Committee. Compensation levels are benchmarked with a national peer group of other not-for-profit healthcare systems and hospitals of similar size and complexity to AHS and each of its affiliated entities. The following principles guide the establishment of individual executive compensation: - The salary of the President/CEO of AHS will not exceed the 40th percentile of comparable salaries paid by similarly situated organizations; and - Other executive salaries shall be established using market medians. The compensation philosophy, policies, and practices of AHSSHC are consistent with the organization's faith-based mission and conform to applicable laws, regulations, and business practices. As a faith-based organization sponsored by the Seventh-day Adventist Church (the Church), AHSSHC's philosophy and principles with respect to its executive compensation practices reflect the conservative approach of the Church's mission of service and were developed in counsel with the Church's leadership.
Part I, Line 4b	As discussed in Line 1a above, executives on the filing organization's management team that hold the position of Vice-President or above are compensated by and on the payroll of Adventist Health System Sunbelt Healthcare Corporation (AHSSHC), the parent organization of 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 deferred compensation benefits taxable under Internal Revenue Code (IRC) Section 457(f), 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 AHS 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 $236,000. 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. Flex Plan Flex Plan/ SERP 457(b) CY CY Employer CY Contrib./ Distributions Contrib. Distributions* Payment ------------------------------------------------------- Ted Hamilton, MD $ 63,522 $ 63,522 $ 96,118 $ 0 Sandra Johnson $ 72,263 $ 42,629 $209,450 $ 0 Kenneth Mattison $ 54,207 $ 34,953 $ 54,723 $ 0 Edward Noseworthy $ 59,186 $ 45,393 $181,066 $ 0 David Ottati $ 48,808 $ 44,756 $ 0 $ 0 Lewis Seifert $ 89,523 $ 80,183 $ 0 $ 0 Debora Thomas $ 38,900 $ 22,133 $ 0 $ 0 Ronald Thomas, MD $ 35,014 $ 35,014 $ 0 $ 0 Valerie Ziesmer $ 28,472 $ 3,542 $ 0 $ 0 Robert Fulbright $ 86,197 $ 62,771 $ 0 $ 0 Jermaine Bucknor $ 14,934 $ 0 $ 0 $ 0 Robert Deininger $ 17,071 $ 0 $ 0 $ 0 Ronald Jimenez, MD$ 36,649 $ 16,674 $ 0 $ 0 Patricia Celano $ 40,723 $ 25,424 $ 0 $ 0 *Including Investment Earnings

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp

Name Of Interested NameOfInterested

Field	Value	IRS element (for citing)
Person	Dennis Alter MD PA dba Alter Orth	PersonNm

Field	Value	IRS element (for citing)
Relationship Description	100% owned by board member	RelationshipDescriptionTxt
Transaction	$208,290	TransactionAmt
Transaction	Office Space Lease	TransactionDesc
Sharing Of Revenues	0	SharingOfRevenuesInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (13 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Part V, Line 1a	The parent corporation and sole top-tier member of Memorial Hospital Flagler, Inc. (the filing organization) is Adventist Health System Sunbelt Healthcare Corporation (AHSSHC). AHSSHC is a Florida, not-for-profit corporation that is exempt from federal income tax under Internal Revenue Code (IRC) Section 501(c)(3). AHSSHC has established a shared service center to centralize the Accounts Payable (A/P), Payroll, HR, and Materials Management functions for all AHSSHC subsidiary organizations. The facts and circumstances support a position that AHSSHC, as a payor on behalf of its subsidiary organizations in a shared service environment, will have sufficient management and oversight in connection with the subsidiary organizations' payments to meet the standard set forth in Treas. Reg. Section 1.6041-1(e). AHSSHC will not merely be making payments at the direction of its subsidiary organizations. Accordingly, AHSSHC is considered the payor subject to the information reporting requirements of Section 6041. The filing organization has entered "0" in Part V, Line 1a because the filing organization no longer issues Form 1099 returns, rather, all such returns are filed by and under the name and EIN of AHSSHC as the payor subject to the information reporting requirements of Section 6041.
Form 990, Part VI, Section A, line 6	Memorial Hospital - Flagler, Inc. (the filing organization) has one member. The sole member of the filing organization is Memorial Health Systems, Inc. Memorial Health Systems, Inc. (MHS) is a Florida, not-for-profit corporation that is exempt from federal income tax under Internal Revenue Code (IRC) Section 501(c)(3). There are no other classes of membership in the filing organization.
Form 990, Part VI, Section A, line 7a	The sole member of the filing organization is MHS. The Board of Directors of the filing organization are appointed by the sole member, MHS, who has the right to elect, appoint or remove any member of the Board of Directors of the filing organization.
Form 990, Part VI, Section A, line 7b	MHS, as the sole member of the filing organization, has certain reserved powers as set forth in the Bylaws of the filing organization. These reserved powers include the following: a) to approve and disapprove the executive and/or administrative leadership of the filing organization, and their salaries; b) to adopt, amend, restate, and repeal the Bylaws of the filing organization; c) to set limits and terms for the borrowing of funds in excess of an established amount; d) to approve or disapprove material changes in services offered and/or purchase or sale of personal property or real property equal to or in excess of an established amount; e) to approve or disapprove the annual operating and capital budgets of the filing organization; f) to direct the placement of funds and capital of the filing organization; g) to establish general guiding policies, to implement quality assessment, improvement and case management; h) to approve the appointment of an auditing firm and election of the fiscal year for the filing organization; and i) to establish a process for addressing patient grievances.
Form 990, Part VI, Section B, line 11b	The filing organization's current year Form 990 was reviewed by the Board Chairman, Board Finance Committee Chair, CEO and by the CFO prior to its filing with the IRS. The review conducted by the Board Chairman, Board Finance Committee Chair, CEO and the CFO did not include the review of any supporting workpapers that were used in preparation of the current year Form 990, but did include a review of the entire Form 990 and all supporting schedules.
Form 990, Part VI, Section B, line 12c	The Conflict of Interest Policy of the filing organization applies to members of its Board of Directors and its principal officers (to be known as Interested Persons). In connection with any actual or possible conflict of interests, any member of the Board of Directors of the filing organization or any principal officer of the filing organization (i.e. Interested Persons) must disclose the existence of any financial interest with the filing organization and must be given the opportunity to disclose all material facts concerning the financial interest/arrangement to the Board of Directors of the filing organization or to any members of a committee with board delegated powers that is considering the proposed transaction or arrangement. Subsequent to any disclosure of any financial interest/arrangement and all material facts, and after any discussion with the relevant Board member or principal officer, the remaining members of the Board of Directors or committee with board delegated powers shall discuss, analyze, and vote upon the potential financial interest/arrangement to determine if a conflict of interest exists. According to the filing organization's Conflict of Interest Policy, an Interested Person may make a presentation to the Board of Directors (or committee with board delegated powers), but after such presentation, shall leave the meeting during the discussion of, and the vote on, the transaction or arrangement that results in a conflict of interest. Each Interested Person, as defined under the filing organization's Conflict of Interest Policy, shall annually sign a statement which affirms that such person has received a copy of the Conflict of 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. Such individuals are compensated by the related top-tier parent organization of the filing organization. Please see the discussion concerning the process followed by the related top-tier parent organization in determining executive compensation in our response to Schedule J, Line 3.
Form 990, Part VI, Section C, line 19	The filing organization is a part of the system of healthcare organizations known as 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 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.
Part VIII, Lines 7b and 7c:	The amounts shown in Part VIII Lines 7b and 7c of the Form 990 represent an allocated share of capital gain/(loss) from a system wide, corporate administered, investment program.
Form 990, Part IX, line 11g	Payments to Healthcare Professionals: Program service expenses 7,458,704. Management and general expenses 0. Fundraising expenses 0. Total expenses 7,458,704. Professional Fees : Program service expenses 1,482,040. Management and general expenses 0. Fundraising expenses 0. Total expenses 1,482,040. Purchased Medical Services : Program service expenses 20,879,121. Management and general expenses 0. Fundraising expenses 0. Total expenses 20,879,121. Environmental Services : Program service expenses 608,873. Management and general expenses 0. Fundraising expenses 0. Total expenses 608,873. Transcription Services : Program service expenses 107,077. Management and general expenses 0. Fundraising expenses 0. Total expenses 107,077. Recruiting : Program service expenses 49,001. Management and general expenses 0. Fundraising expenses 0. Total expenses 49,001. Food Service Contracts : Program service expenses 321,173. Management and general expenses 0. Fundraising expenses 0. Total expenses 321,173. Miscellaneous Purchased Services : Program service expenses 10,920,132. Management and general expenses 0. Fundraising expenses 0. Total expenses 10,920,132. AHS Management Fees : Program service expenses 0. Management and general expenses 3,256,049. Fundraising expenses 0. Total expenses 3,256,049. Billing & Collection Services : Program service expenses 0. Management and general expenses 163,937. Fundraising expenses 0. Total expenses 163,937. EHR Management Fees : Program service expenses 0. Management and general expenses 43,120. Fundraising expenses 0. Total expenses 43,120.
Form 990, Part XI, line 9:	Allocation from tax-exempt parent with respect to debt 45,192. Transfer to/from affiliate -22,567,624. Transfer to tax-exempt parent -3,190,446. Gifts 112,000. Rounding 1.
Part X, Line 2	The amounts shown on line 2 of Part X of this return include the filing organization's interest in a central investment pool maintained by Adventist Health System Sunbelt Healthcare Corporation, the filing organization's top-tier parent. The investments in the central investment pool are recorded at market value.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (101 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
3040 Salt Creek Lane	Arlington Heights	IL	60005	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
3040 Salt Creek Lane	Arlington Heights	IL	60005	811105774	Operation of Physician Practices & Medical Services	IL	501(c)(3)	Line 3	AHS Midwest Management Inc	Yes (1)
AHS Midwest Management Inc
1000 Remington Blvd Ste 200	Bolingbrook	IL	60440	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)
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
1000 Remington Blvd Ste 200	Bolingbrook	IL	60440	381359189	Inactive	MI	501(c)(3)	Line 3	Adventist Hlth SystemSunbelt Inc	Yes (1)
Bolingbrook Hospital Foundation
1000 Remington Blvd N Entrance 2nd	Bolingbrook	IL	60440	900494445	Fund-raising for Tax-exempt hospital	IL	501(c)(3)	Line 7	Midwest Hlth Foundation	0
Bradford Heights Hlth & Rehab Center Inc
950 Highpoint Drive	Hopkinsville	KY	42240	205782342	Operation of Home for the Aged/Hlthcare Delivery	KY	501(c)(3)	Line 10	Sunbelt Hlth Care Centers Inc	Yes (1)
Burleson Nursing & Rehab Center Inc
301 Huguley Blvd	Burleson	TX	76028	205782243	Operation of Home for the Aged/Hlthcare Delivery	TX	501(c)(3)	Line 10	Sunbelt Hlth Care Centers Inc	Yes (1)
Caldwell Hlth Care Properties Inc
1333 West Main	Princeton	KY	42445	510605680	Lease to Related Organization	GA	501(c)(3)	Line 12c, III-FI	Sunbelt Hlth Care Centers Inc	Yes (1)
Central Texas Hlthcare Collaborative
1301 Wonder World Drive	San Marcos	TX	78666	453739929	Support Operation of Hospital	TX	501(c)(3)	Line 12a, I	Adventist Hlth SystemSunbelt Inc	Yes (1)
Chickasaw Hlth Care Properties Inc
250 S Chickasaw Trail	Orlando	FL	32825	510605681	Lease to Related Organization	GA	501(c)(3)	Line 12c, III-FI	Sunbelt Hlth Care Centers Inc	Yes (1)
Chippewa Valley Hospital & Oakview Care Center Inc
1220 Third Avenue West	Durand	WI	54736	391365168	Operation of Hospital & Related Services	WI	501(c)(3)	Line 3	Adventist Hlth SystemSunbelt Inc	Yes (1)
Courtland Hlth Care Properties Inc
730 Courtland Street	Orlando	FL	32804	510605682	Lease to Related Organization	GA	501(c)(3)	Line 12c, III-FI	Sunbelt Hlth Care Centers Inc	Yes (1)
Creekwood Place Nursing & Rehab Center Inc
107 Boyles Drive	Russellville	KY	42276	205782260	Operation of Home for the Aged/Hlthcare Delivery	KY	501(c)(3)	Line 10	Sunbelt Hlth Care Centers Inc	Yes (1)
Dairy Road Hlth Care Properties Inc
7350 Dairy Road	Zephyrhills	FL	33540	510605684	Lease to Related Organization	GA	501(c)(3)	Line 12c, III-FI	Sunbelt Hlth Care Centers Inc	Yes (1)
East Orlando Hlth & Rehab Center Inc
250 S Chickasaw Trail	Orlando	FL	32825	205774748	Operation of Home for the Aged/Hlthcare Delivery	FL	501(c)(3)	Line 10	Sunbelt Hlth Care Centers Inc	Yes (1)
Emory-Adventist Inc
900 Hope Way	Altamonte Springs	FL	32714	582171011	Inactive	GA	501(c)(3)	Line 3	Adventist Hlth SystemSunbelt Inc	Yes (1)
Fletcher Hospital Inc
100 Hospital Drive	Hendersonville	NC	28792	560543246	Operation of Hospital & Related Svcs	NC	501(c)(3)	Line 3	Adventist Hlth System Sunbelt Hlthcare Corp	Yes (1)
FLNC Inc
3355 E Semoran Blvd	Apopka	FL	32703	205774761	Operation of Home for the Aged/Hlthcare Delivery	FL	501(c)(3)	Line 10	Sunbelt Hlth Care Centers Inc	Yes (1)
Florida Hospital 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 Ln 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 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
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	Tarpon Springs Hospital Foundation Inc	0
Hinsdale Hospital Foundation
7 Salt Creek Lane Suite 203	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	Fund Raising for Affiliated Tax-Exempt Hospice	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
770 West Granada Blvd	Ormond Beach	FL	32174	311771522	Fund-raising for Tax-exempt hospital	FL	501(c)(3)	Line 7		0
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
Osceola Health Care Properties Inc (620-123116)
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
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(98-123116)
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)
Takoma Regional Hospital Inc (630 Year End)(7115-123116)
401 Takoma Ave	Greeneville	TN	37743	510603966	Operation of Hospital & Related Services	TN	501(c)(3)	Line 3	Adventist Hlth SystemSunbelt Inc	Yes (1)
Takoma Regional Hospital Foundation Inc
401 Takoma Ave	Greeneville	TN	37743	471334302	Fund Raising for Affiliated Tax-Exempt Hospital	TN	501(c)(3)	Line 7	Takoma Regional Hospital Inc	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
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
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 (8 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
Endoscopy Center at Porter LLC (11-32916)
1001 South Park Drive	Littleton	CO	80120	205855038	Medical Services	CO	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 Center LLC
777 S Williams St	Denver	CO	80209	464426708	Surgery Center	CO	N/A
PAHSLarkin Ventures LLC
9100 E Mineral Cir	Centennial	CO	80112	474211060	Medical Services	CO	N/A
PAHSUSP Surgery Centers LLC
15305 Dallas Pkwy Ste 1600 LB 28	Addison	TX	75010	263057950	Medical Services	CO	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	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	OwnershipOwnershipPct
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		C	Yes (1)	Memorial Hospital-Flagler Inc	$238,573	$90,207	0.91280
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 Condo 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		C	Yes (1)	MHS MHF MHWV or SWVHC	$23,265	$101,782	0.25000
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 (815-123116)
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 Aff Hlth Svcs Inc dba Diversified Aff Hlth Svcs
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	Yes (1)	SharingOfFacilitiesInd
Paid Employees Sharing	Yes (1)	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	Yes (1)	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	Yes (1)	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	Yes (1)	TransferToOtherOrgInd
Transfer From Other Org	0	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (22 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
Memorial Health Systems Inc
P	$10,328,916	Cost
Memorial Health Systems Inc
Q	$10,780,761	Cost
Florida Hospital Medical Group Inc
Q	$139,204	Cost
Florida Hospital Medical Group Inc
P	$629,058	Cost
Adventist Health SystemSunbelt Inc dba Florida Hospital
P	$232,970	Cost
Adventist Health System Sunbelt Healthcare Corporation
M	$2,939,533	% of facility's operating exp.
Adventist Health System Sunbelt Healthcare Corporation dba AHS IS
M	$4,086,190	% of facility's operating exp.
Adventist Health System Sunbelt Healthcare Corporation-Shared Services
M	$1,379,908	% of facility's Operating exp.
Adventist Health System Sunbelt Healthcare Corporation
P	$7,835,704	Cost
Adventist Health SystemSunbelt Inc
M	$43,120	% of facility's EHR revenue
SunSystem Development Corporation dba Florida Hospital Flagler Foundation
O	$332,965	Cost
Florida Memorial Health Network
Q	$6,266,143	Cost
Memorial Hospital - West Volusia Inc dba Florida Hospital DeLand
Q	$140,315	Cost
Memorial Hospital - West Volusia Inc dba Florida Hospital DeLand
P	$138,250	Cost
Southwest Volusia Healthcare Corporation dba Florida Hospital Fish Memorial
Q	$1,439,143	Cost
Southwest Volusia Healthcare Corporation dba Florida Hospital Fish Memorial
P	$1,433,286	Cost
Florida Hospital Healthcare Partners Inc
N	$57,997,265	Cost
Adventist Health System Sunbelt Healthcare Corporation
C	$57,222	Actual Amount Received
SunSystem Development Corporation dba Florida Hospital Flagler Foundation
C	$112,000	Actual Amount Received
Adventist Health System Sunbelt Healthcare Corporation
B	$3,190,446	Actual Amount Given
Southeast Volusia Healthcare Corporation dba Florida Hospital New Smyrna
B	$21,962,125	Actual Amount Given
Memorial Health Systems Inc
R	$605,499	actual Amount Given