MEMORIAL HEALTH SYSTEMS INC: Form 990, tax year 2017

View the entire original 990 at ProPublica ↗

Organization: MEMORIAL HEALTH SYSTEMS INC (EIN 59-0973502)
Tax period: 2017-01-01 to 2017-12-31
Filed: 2018-11-15
IRS object ID: 201823199349310472
Schema version: 2017v2.3
Source: Download XML · Original 990 at ProPublica

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

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

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2018-11-15T14:07:33-06:00	ReturnTs
Tax Period End	2017-12-31	TaxPeriodEndDt
Return Type	990	ReturnTypeCd
Tax Period Begin	2017-01-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	590973502	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	MEMORIAL HEALTH SYSTEMS INC	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	MEMO	BusinessNameControlTxt
Phone	3866766000	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	301 MEMORIAL MEDICAL PARKWAY	AddressLine1Txt
City	DAYTONA BEACH	CityNm
State Abbreviation	FL	StateAbbreviationCd
ZIP	32117	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	LYNN C ADDISCOTT	PersonNm
Person Title	ASSISTANT SECRETARY	PersonTitleTxt
Phone	4073572317	PhoneNum
Signature	2018-11-07	SignatureDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

Field	Value	IRS element (for citing)
I Pv4 Address	204.139.85.141	IPv4AddressTxt

Field	Value	IRS element (for citing)
IP	2018-11-07	IPDt
IP Tm	08:34:59	IPTm
IP Timezone	ES	IPTimezoneCd
Filing License Type	P	FilingLicenseTypeCd
At Submission Creation Device Id	DA39A3EE5E6B4B0D3255BFEF95601890AFD80709	AtSubmissionCreationDeviceId
At Submission Filing Device Id	6F248CD6EFF84B1BE2234CC43AB797AE6C4F0CE1	AtSubmissionFilingDeviceId

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

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

Field	Value	IRS element (for citing)
Business Name Line1	FLORIDA HOSPITAL MEMORIAL MEDICAL CENTER	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Principal Officer	ED NOSEWORTHY	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	301 MEMORIAL MEDICAL PARKWAY	AddressLine1Txt
City	DAYTONA BEACH	CityNm
State Abbreviation	FL	StateAbbreviationCd
ZIP	32117	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$361,709,407	GrossReceiptsAmt
Group Return For Affiliates	0	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.FLORIDAHOSPITAL.COM/MEMORIAL-MEDICAL-CENTER	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1961	FormationYr
Legal Domicile State	FL	LegalDomicileStateCd
Activity Or Mission	MEDICAL CARE TO THE COMMUNITY THROUGH THE OPERATION OF TWO HOSPITALS WITH A TOTAL OF 407 BEDS. UNFORTUNATELY, THE OCEANSIDE LOCATION HAD TO CLOSE DUE TO HURRICANE IRMA IN SEPTEMBER 2017.	ActivityOrMissionDesc
Voting Members Governing Body	18	VotingMembersGoverningBodyCnt
Voting Members Independent	9	VotingMembersIndependentCnt
Total Employee	2999	TotalEmployeeCnt
Total Volunteers	226	TotalVolunteersCnt
Total Gross UBI	$113,030	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$71,343	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$0	PYContributionsGrantsAmt
CY Contributions Grants	$15,000	CYContributionsGrantsAmt
PY Program Service Revenue	$322,825,645	PYProgramServiceRevenueAmt
CY Program Service Revenue	$355,281,337	CYProgramServiceRevenueAmt
PY Investment Income	$766,303	PYInvestmentIncomeAmt
CY Investment Income	$6,113,033	CYInvestmentIncomeAmt
PY Other Revenue	$101,333	PYOtherRevenueAmt
CY Other Revenue	$72,021	CYOtherRevenueAmt
PY Total Revenue	$323,693,281	PYTotalRevenueAmt
CY Total Revenue	$361,481,391	CYTotalRevenueAmt
PY Grants And Similar Paid	$289,582	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$417,852	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$122,251,006	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$137,571,240	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$181,396,275	PYOtherExpensesAmt
CY Other Expenses	$197,525,292	CYOtherExpensesAmt
PY Total Expenses	$303,936,863	PYTotalExpensesAmt
CY Total Expenses	$335,514,384	CYTotalExpensesAmt
PY Revenues Less Expenses	$19,756,418	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$25,967,007	CYRevenuesLessExpensesAmt
Total Assets BOY	$461,959,647	TotalAssetsBOYAmt
Total Assets EOY	$479,867,438	TotalAssetsEOYAmt
Total Liabilities BOY	$167,694,501	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$162,569,517	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$294,265,146	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$317,297,921	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	$310,391,554	ExpenseAmt
Grant	$417,852	GrantAmt
Revenue	$355,240,328	RevenueAmt
Desc	OPERATION OF 2 ACUTE CARE HOSPITALS WITH 16,725 PATIENT ADMISSIONS, 94,714 PATIENT DAYS, AND 152,112 OUTPATIENT VISITS IN THE CURRENT YEAR. BOTH HOSPITALS ARE LOCATED IN ORMOND BEACH AND DAYTONA BEACH, FLORIDA. UNFORTUNATELY, THE OCEANSIDE LOCATION HAD TO CLOSE DUE TO HURRICANE IRMA IN SEPTEMBER 2017.	Desc
Total Program Service Expenses	$310,391,554	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	0	BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri	0	DeductibleNonCashContriInd
Deductible Art Contribution	0	DeductibleArtContributionInd
Terminate Operations	0	TerminateOperationsInd
Partial Liquidation	0	PartialLiquidationInd
Disregarded Entity	0	DisregardedEntityInd
Related Entity	Yes (1)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (1)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (1)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	0	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	0	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (1)	ScheduleORequiredInd
Info In Schedule O Part V	Yes (X)	InfoInScheduleOPartVInd
IRP Document	0	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Employee	2999	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
Form1098 C Filed	0	Form1098CFiledInd
Indoor Tanning Services	0	IndoorTanningServicesInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	18	GoverningBodyVotingMembersCnt
Independent Voting Member	9	IndependentVotingMemberCnt
Family Or Business Rln	0	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	0	DelegationOfMgmtDutiesInd
Change To Org Documents	0	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	0	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (1)	MembersOrStockholdersInd
Election Of Board Members	Yes (1)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (1)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (1)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (1)	MinutesOfCommitteesInd
Officer Mailing Address	0	OfficerMailingAddressInd
Local Chapters	0	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (1)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (1)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (1)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (1)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (1)	WhistleblowerPolicyInd
Document Retention Policy	Yes (1)	DocumentRetentionPolicyInd
Compensation Process CEO	0	CompensationProcessCEOInd
Compensation Process Other	0	CompensationProcessOtherInd
Investment In Joint Venture	Yes (1)	InvestmentInJointVentureInd
Written Policy Or Procedure	Yes (1)	WrittenPolicyOrProcedureInd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	CULLY CHAPMAN	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Phone	3862313910	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	301 MEMORIAL MEDICAL PARKWAY	AddressLine1Txt
City	DAYTONA BEACH	CityNm
State Abbreviation	FL	StateAbbreviationCd
ZIP	32117	ZIPCd

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

Form990 Part VII Section A Form990PartVIISectionAGrp (34 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
DAVID OTTATI
DIR/PRES/CHAIRMAN (BEG 6/17, END PRES 9/17)	14.00	36.00	Yes (X)	$0	$702,189	$143,654
ROBERT FULBRIGHT
DIR/CHAIR/TREAS (END 4/17)	14.00	36.00	Yes (X)	$0	$1,999,664	$94,950
JOHN ADAMS
DIRECTOR	0.60	0.60	Yes (X)	$306	$0	$0
JAMES AROCHO MD
DIRECTOR	0.60	0.00	Yes (X)	$306	$0	$0
LONNIE BROWN
DIRECTOR	0.60	0.00	Yes (X)	$306	$0	$0
JAMES BRYAN MD
DIRECTOR	0.60	0.00	Yes (X)	$306	$0	$0
DAVID BURT
DIRECTOR	0.60	0.00	Yes (X)	$306	$0	$0
PAUL CLARE
DIRECTOR	0.60	0.00	Yes (X)	$306	$0	$0
SURESH DESAI MD
DIRECTOR	5.80	0.00	Yes (X)	$40,706	$0	$0
JOHN FERGUSON
DIRECTOR (BEG 1/17)	0.60	0.60	Yes (X)	$306	$0	$0
TODD GOODMAN
DIR/SEC (BEG 2/17, SEC END 9/17)	0.60	50.00	Yes (X)	$0	$752,877	$139,261
LARS HOUMANN
DIRECTOR (BEG 12/17)	0.60	50.00	Yes (X)	$0	$2,430,960	$329,576
SANDRA K JOHNSON
DIRECTOR (END 12/17)	0.60	50.00	Yes (X)	$0	$1,386,877	$168,140
KENNETH MATTISON
DIRECTOR (END 9/17)	0.60	50.00	Yes (X)	$0	$601,995	$98,824
WILLIAM MCMUNN
DIRECTOR	0.60	0.00	Yes (X)	$306	$0	$0
ED NOSEWORTHY
DIRECTOR/CEO	50.00	0.60	Yes (X)	$0	$750,638	$120,291	Yes (X)
RON RASMUSSEN MD
DIRECTOR	0.60	60.00	Yes (X)	$0	$465,698	$37,547
EDDIE SCHATZ JR
DIRECTOR	0.60	0.00	Yes (X)	$306	$0	$0
JULIE SCHNEIDER MD
DIRECTOR	0.60	70.00	Yes (X)	$0	$986,954	$23,752
EDDIE SOLER
DIRECTOR/SEC (END 2/17)	0.60	50.00	Yes (X)	$0	$1,383,460	$189,096
DEBORA THOMAS
REGION CFO, DIR BEG 12/17/SEC BEG 9/17	14.00	36.00	Yes (X)	$0	$1,087,902	$98,411	Yes (X)
DARYL TOL
DIR/SEC (BEG 9/17, END SEC 12/17)	0.60	50.00	Yes (X)	$0	$1,328,194	$245,784
JERMAINE BUCKNOR
CFO (END 9/17)	50.00	0.00		$0	$264,038	$47,486	Yes (X)
TRISHA CELANO
REGION CCO	14.00	36.00		$0	$452,999	$71,630		Yes (X)
DARLINDA COPELAND
COO	50.00	0.60		$0	$406,340	$69,876		Yes (X)
MICHELE GOEB-BURKETT
CNO	50.00	0.00		$0	$289,594	$73,732		Yes (X)
KRISTEN GRAY MD
CMO	50.00	0.00		$0	$465,963	$98,891		Yes (X)
WILLIAM COLLINS
MEDICAL PHYSICIST	50.00	0.00		$201,171	$0	$19,988			Yes (X)
JOHN DORR
CHIEF PHYSICIST	50.00	0.00		$195,479	$0	$40,310			Yes (X)
MARSHALL HUGHEY
DIRECTOR OF PHARMACY	50.00	0.00		$174,952	$0	$33,277			Yes (X)
PATRICK CONNER
CERTIFIED RN ANESTHITIST	50.00	0.00		$167,136	$0	$17,904			Yes (X)
IMELDA UNTO
EF-ADMIN ONCOLOGY SERVICES	50.00	0.00		$166,991	$0	$31,369			Yes (X)
NIGEL HINDS
FORMER CFO	0.00	50.00		$0	$308,632	$67,096				Yes (X)
RONALD JIMENEZ MD
FORMER CMO	0.00	50.00		$0	$452,874	$85,567				Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$949,189	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$16,517,848	TotReportableCompRltdOrgAmt
Total Other Compensation	$2,346,412	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	90	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
THE ROBINS AND MORTON GROUP
400 SHADES CREEK PKWY	BIRMINGHAM	AL	35209	CONTRACTOR - BUILDING SERVICES	$1,755,150
ADVENTIST HEALTH SYSTEMSUNBELT INC DB
601 EAST ROLLINS STREET	ORLANDO	FL	32803	LAUNDRY AND LAB SERVICES	$1,403,071
SUPPLEMENTAL HEALTHCARE SERVICES
1640 W REDSTONE CTR DR 200	PARK CITY	UT	84098	MEDICAL STAFFING SERVICES	$1,224,852
VOLUSIA OB GYN PA
500 HEALTH BLVD	DAYTONA BEACH	FL	32114	WOMEN'S MEDICAL SERVICES	$1,131,968
MOBIL DIALYSIS INC
801 CENTRAL PARK DRIVE	SANFORD	FL	32771	DIALYSIS SERVICES	$864,605

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	71	CntrctRcvdGreaterThan100KCnt
Info In Schedule O Part VIII	Yes (X)	InfoInScheduleOPartVIIIInd
All Other Contributions	$15,000	AllOtherContributionsAmt
Total Contributions	$15,000	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
NET PATIENT REVENUE	622110	$350,042,410	$349,948,036	$94,374
MEDICAL OFFICE BUILDING	622110	$2,669,240	$2,650,584	$18,656
CAFETERIA REVENUE	622110	$1,730,691	$1,730,691
FITNESS CENTER REVENUE	622110	$258,488	$258,488
RENT FROM AFFILIATES	622110	$190,097	$190,097

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$390,411	TotalRevenueColumnAmt
Related Or Exempt Func Income	$390,411	RelatedOrExemptFuncIncomeAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$355,281,337	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$2,945,796	TotalRevenueColumnAmt
Exclusion	$2,945,796	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$3,390,253	SecuritiesAmt
Other	$5,000	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$0	SecuritiesAmt
Other	$228,016	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$3,390,253	SecuritiesAmt
Other	-$223,016	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$3,167,237	TotalRevenueColumnAmt
Exclusion	$3,167,237	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp

Field	Value	IRS element (for citing)
Desc	EHR REVENUE	Desc
Business	622110	BusinessCd
Total Revenue Column	$72,021	TotalRevenueColumnAmt
Related Or Exempt Func Income	$72,021	RelatedOrExemptFuncIncomeAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$72,021	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$361,481,391	TotalRevenueColumnAmt
Related Or Exempt Func Income	$355,240,328	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$113,030	UnrelatedBusinessRevenueAmt
Exclusion	$6,113,033	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	$417,852	TotalAmt
Program Services	$417,852	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$3,830,959	TotalAmt
Management And General	$3,830,959	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$99,411,735	TotalAmt
Program Services	$98,811,752	ProgramServicesAmt
Management And General	$599,983	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$5,045,065	TotalAmt
Program Services	$4,854,326	ProgramServicesAmt
Management And General	$190,739	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$19,762,605	TotalAmt
Program Services	$18,505,792	ProgramServicesAmt
Management And General	$1,256,813	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$9,520,876	TotalAmt
Program Services	$9,160,920	ProgramServicesAmt
Management And General	$359,956	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$463,266	TotalAmt
Management And General	$463,266	ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$653,395	TotalAmt
Management And General	$653,395	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$61,497,485	TotalAmt
Program Services	$52,043,493	ProgramServicesAmt
Management And General	$9,453,992	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$2,425,026	TotalAmt
Management And General	$2,425,026	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$5,222,931	TotalAmt
Program Services	$3,159,189	ProgramServicesAmt
Management And General	$2,063,742	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$11,521,882	TotalAmt
Program Services	$9,833,602	ProgramServicesAmt
Management And General	$1,688,280	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$7,055,508	TotalAmt
Program Services	$7,055,508	ProgramServicesAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$239,771	TotalAmt
Management And General	$239,771	ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$291,011	TotalAmt
Management And General	$291,011	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$4,421,173	TotalAmt
Program Services	$4,421,705	ProgramServicesAmt
Management And General	-$532	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$18,688,189	TotalAmt
Program Services	$18,688,189	ProgramServicesAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$4,838,778	TotalAmt
Program Services	$4,672,755	ProgramServicesAmt
Management And General	$166,023	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES	$67,953,763	$67,953,763
REPAIRS & MAINTENANCE	$7,102,143	$7,102,143
STATE TAX INDIGENT ASSE	$3,702,206	$3,702,206
UBI TAXES	$10,000		$10,000

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$1,438,765	TotalAmt
Program Services	$8,359	ProgramServicesAmt
Management And General	$1,430,406	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$335,514,384	TotalAmt
Program Services	$310,391,554	ProgramServicesAmt
Management And General	$25,122,830	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

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

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$6,736	BOYAmt
EOY	$6,111	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$113,589,381	BOYAmt
EOY	$136,221,969	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$42,489,079	BOYAmt
EOY	$43,805,001	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$7,555,985	BOYAmt
EOY	$8,852,073	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$9,505,482	BOYAmt
EOY	$8,285,714	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$426,599,530	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$168,964,995	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$264,997,324	BOYAmt
EOY	$257,634,535	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$7,013,318	BOYAmt
EOY	$7,472,108	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$15,337,062	BOYAmt
EOY	$15,251,334	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$1,465,280	BOYAmt
EOY	$2,338,593	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$461,959,647	BOYAmt
EOY	$479,867,438	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$13,284,855	BOYAmt
EOY	$16,612,916	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$17,297	BOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$154,392,349	BOYAmt
EOY	$145,956,601	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$167,694,501	BOYAmt
EOY	$162,569,517	EOYAmt

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

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$289,793,232	BOYAmt
EOY	$312,660,083	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$562,699	BOYAmt
EOY	$728,623	EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$3,909,215	BOYAmt
EOY	$3,909,215	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$294,265,146	BOYAmt
EOY	$317,297,921	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$461,959,647	BOYAmt
EOY	$479,867,438	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$25,967,007	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$4,737,212	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	-$7,671,444	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	0	AccountantCompileOrReviewInd
FS Audited	Yes (1)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

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

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

Schedule A IRS990ScheduleA

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

Schedule B IRS990ScheduleB

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	0	VolunteersInd
Paid Staff Or Management	0	PaidStaffOrManagementInd
Media Advertisements	0	MediaAdvertisementsInd
Mailings Members	0	MailingsMembersInd
Publications Or Broadcast	0	PublicationsOrBroadcastInd
Grants Other Organizations	0	GrantsOtherOrganizationsInd
Direct Contact Legislators	0	DirectContactLegislatorsInd
Rallies Demonstrations	0	RalliesDemonstrationsInd
Other Activities	Yes (1)	OtherActivitiesInd
Other Activities	$11,815	OtherActivitiesAmt
Total Lobbying Expenditures	$11,815	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 DUES 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

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$21,454,232	OtherCostOrOtherBasisAmt
Book Value	$21,454,232	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$281,892,814	OtherCostOrOtherBasisAmt
Depreciation	$81,607,260	DepreciationAmt
Book Value	$200,285,554	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$121,389,181	OtherCostOrOtherBasisAmt
Depreciation	$86,735,743	DepreciationAmt
Book Value	$34,653,438	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$1,863,303	OtherCostOrOtherBasisAmt
Depreciation	$621,992	DepreciationAmt
Book Value	$1,241,311	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$257,634,535	TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (8 entries)

DescDesc	AmtAmt
DUE TO RELATED	$5,217,627
PAYABLE TO THIRD PARTIES	$2,244,701
CREDIT BALANCES IN A/R	$1,657,937
OTHER DEFERRED REVENUE	$202,114
INTERCO ALLOC OF TE BOND PROCEEDS	$134,795,926
LEASES PAYABLE	$1,321,869
DUE TO AFFILIATED	$244,605
OTHER LIABILITIES	$271,822

Field	Value	IRS element (for citing)
Total Liability	$145,956,601	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 IN THE CURRENT YEAR 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 (ASC 740) FOOTNOTE - THE DIVISION FOLLOWS THE INCOME TAXES TOPIC OF THE ACCOUNTING STANDARDS CODIFICATION (ASC) (ASC 740) 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, 2017.

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	$10,686,989	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$10,686,989	NetCommunityBenefitExpnsAmt
Total Expense	0.03190	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$32,280,180	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$17,467,532	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$14,812,648	NetCommunityBenefitExpnsAmt
Total Expense	0.04410	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$42,967,169	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$17,467,532	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$25,499,637	NetCommunityBenefitExpnsAmt
Total Expense	0.07600	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$223,318	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$223,318	NetCommunityBenefitExpnsAmt
Total Expense	0.00070	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,267	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$1,267	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$224,585	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$224,585	NetCommunityBenefitExpnsAmt
Total Expense	0.00070	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$43,191,754	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$17,467,532	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$25,724,222	NetCommunityBenefitExpnsAmt
Total Expense	0.07670	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (1)	BadDebtExpenseReportedInd
Bad Debt Expense	$15,965,780	BadDebtExpenseAmt
Bad Debt Expense Attributable	$1,559,743	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$95,743,157	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$84,417,402	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	$11,325,755	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	2	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp (2 entries)

FacilityFacilityNum	Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Website AddressWebsiteAddressTxt	State LicenseStateLicenseNum	Licensed HospitalLicensedHospitalInd	General Medical And SurgicalGeneralMedicalAndSurgicalInd	Emergency Room24 HrsEmergencyRoom24HrsInd
FLORIDA HOSPITAL MEMORIAL MEDICAL CENTER
1	301 MEMORIAL MEDICAL PARKWAY	DAYTONA BEACH	FL	32117	WWW.FLORIDAHOSPITAL.COM/MEMORIAL-MEDIC	4201	Yes (X)	Yes (X)	Yes (X)
FLORIDA HOSPITAL OCEANSIDE
2	264 SOUTH ATLANTIC AVE	ORMOND BEACH	FL	32176	N/A - CLOSED DUE TO HURRICANE IRMA	4201	Yes (X)	Yes (X)	Yes (X)

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp (2 entries)

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

Supplemental Information SupplementalInformationGrp (17 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FLORIDA HOSPITAL MEMORIAL MEDICAL CENTER	PART V, SECTION B, LINE 5: MEMORIAL HEALTH SYSTEMS, INC., D/B/A FLORIDA HOSPITAL MEMORIAL MEDICAL CENTER, (FHMMC OR THE HOSPITAL) OPERATES TWO HOSPITALS UNDER A SINGLE LICENSE IN VOLUSIA COUNTY, FLORIDA WITH A TOTAL OF 407 LICENSED BEDS. FOR PURPOSES OF ITS 2016 COMMUNITY HEALTH NEEDS ASSESSMENT, THE HOSPITAL DEFINED ITS COMMUNITY AS ALL OF VOLUSIA COUNTY, FLORIDA. VOLUSIA COUNTY, FLORIDA HAS A TOTAL POPULATION OF OVER 500,000. ABOUT 18% OF THE POPULATION WAS UNDER AGE 18 AND 23% OF THE POPULATION WAS 65 YEARS OR OLDER. FHMMC JOINED WITH ITS FOUR AFFILIATED HOSPITALS IN VOLUSIA COUNTY AND WITH HALIFAX HEALTH, AN UNRELATED GOVERNMENTAL HOSPITAL IN VOLUSIA COUNTY, AND WITH THE VOLUSIA COUNTY DEPARTMENT OF HEALTH TO CONDUCT A COUNTY-WIDE COMMUNITY HEALTH NEEDS ASSESSMENT IN 2015-2016. ADDITIONALLY, THE HOSPITAL CONTRACTED WITH ONE VOICE FOR VOLUSIA, A LOCAL NON-PROFIT ORGANIZATION TO ASSIST IN PRIMARY DATA COLLECTION, COMPILATION AND ANALYSIS AND FACILITATION OF THE REVIEW AND PRIORITIZATION PROCESS FOR IDENTIFIED COMMUNITY HEALTH NEEDS. AS A PART OF ITS EFFORTS TO ENSURE BROAD COMMUNITY-BASED INPUT INTO THE CHNA PROCESS, THE HOSPITAL ESTABLISHED A LEADERSHIP TEAM THAT INCLUDED 45 LEADERS FROM 15 ORGANIZATIONS REPRESENTING KEY SECTORS OF THE PUBLIC HEALTH SYSTEM AS WELL AS LOW-INCOME, MINORITY AND OTHER UNDERSERVED POPULATIONS. IN ADDITION TO THE LEADERSHIP TEAM, THE 2016 COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS INCLUDED INPUT FROM PEOPLE REPRESENTING THE BROAD COMMUNITY, INCLUDING LOW-INCOME, MINORITY, AND OTHER MEDICALLY UNDERSERVED POPULATIONS. THIS INPUT WAS GATHERED THROUGH COMMUNITY SURVEYS (INTERNET AND PAPER) THAT REACHED 2,003 CONSUMERS AND STAKEHOLDERS AND TWO COMMUNITY MEETINGS THAT ENGAGED 120 COMMUNITY MEMBERS AND STAKEHOLDERS. THE FOLLOWING COMMUNITY-BASED ORGANIZATIONS WERE PARTICIPANTS ON THE LEADERSHIP TEAM. THESE ORGANIZATIONS SPECIFICALLY REPRESENTED THE NEEDS OF LOW-INCOME, MINORITY AND MEDICALLY UNDERSERVED POPULATIONS. THE VOLUSIA COUNTY HEALTH DEPARTMENT,THE JESUS CLINIC - A CLINIC PROVIDING FREE HEALTHCARE TO FAMILIES THAT DO NOT QUALIFY FOR MEDICAID AND ARE UNINSURED,FAMILY HEALTH SOURCE MEDICAL CENTERS,LUTHERAN SERVICES FLORIDA HEALTH SYSTEMS,VOLUSIA COUNTY SCHOOLS,STETSON UNIVERSITY,COUNCIL ON AGING,CAREER SOURCE FLAGLER/VOLUSIA,HEALTHY START COALITION OF FLAGLER AND VOLUSIA,EASTER SEALS,BETHUNE-COOKMAN UNIVERSITY,UNITED WAY OF VOLUSIA-FLAGLER COUNTIES; ANDSTEWART MARCHMAN ACT BEHAVIORAL HEALTHCARE - RECOVERY FOR MENTAL ILLNESS AND ADDICTION.
FLORIDA HOSPITAL OCEANSIDE	PART V, SECTION B, LINE 5: MEMORIAL HEALTH SYSTEMS, INC., D/B/A FLORIDA HOSPITAL MEMORIAL MEDICAL CENTER, (FHMMC OR THE HOSPITAL) OPERATES TWO HOSPITALS UNDER A SINGLE LICENSE IN VOLUSIA COUNTY, FLORIDA WITH A TOTAL OF 407 LICENSED BEDS. FOR PURPOSES OF ITS 2016 COMMUNITY HEALTH NEEDS ASSESSMENT, THE HOSPITAL DEFINED ITS COMMUNITY AS ALL OF VOLUSIA COUNTY, FLORIDA. VOLUSIA COUNTY, FLORIDA HAS A TOTAL POPULATION OF OVER 500,000. ABOUT 18% OF THE POPULATION WAS UNDER AGE 18 AND 23% OF THE POPULATION WAS 65 YEARS OR OLDER. FHMMC JOINED WITH ITS FOUR AFFILIATED HOSPITALS IN VOLUSIA COUNTY AND WITH HALIFAX HEALTH, AN UNRELATED GOVERNMENTAL HOSPITAL IN VOLUSIA COUNTY, AND WITH THE VOLUSIA COUNTY DEPARTMENT OF HEALTH TO CONDUCT A COUNTY-WIDE COMMUNITY HEALTH NEEDS ASSESSMENT IN 2015-2016. ADDITIONALLY, THE HOSPITAL CONTRACTED WITH ONE VOICE FOR VOLUSIA, A LOCAL NON-PROFIT ORGANIZATION TO ASSIST IN PRIMARY DATA COLLECTION, COMPILATION AND ANALYSIS AND FACILITATION OF THE REVIEW AND PRIORITIZATION PROCESS FOR IDENTIFIED COMMUNITY HEALTH NEEDS. AS A PART OF ITS EFFORTS TO ENSURE BROAD COMMUNITY-BASED INPUT INTO THE CHNA PROCESS, THE HOSPITAL ESTABLISHED A LEADERSHIP TEAM THAT INCLUDED 45 LEADERS FROM 15 ORGANIZATIONS REPRESENTING KEY SECTORS OF THE PUBLIC HEALTH SYSTEM AS WELL AS LOW-INCOME, MINORITY AND OTHER UNDERSERVED POPULATIONS. IN ADDITION TO THE LEADERSHIP TEAM, THE 2016 COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS INCLUDED INPUT FROM PEOPLE REPRESENTING THE BROAD COMMUNITY, INCLUDING LOW-INCOME, MINORITY, AND OTHER MEDICALLY UNDERSERVED POPULATIONS. THIS INPUT WAS GATHERED THROUGH COMMUNITY SURVEYS (INTERNET AND PAPER) THAT REACHED 2,003 CONSUMERS AND STAKEHOLDERS AND TWO COMMUNITY MEETINGS THAT ENGAGED 120 COMMUNITY MEMBERS AND STAKEHOLDERS. THE FOLLOWING COMMUNITY-BASED ORGANIZATIONS WERE PARTICIPANTS ON THE LEADERSHIP TEAM. THESE ORGANIZATIONS SPECIFICALLY REPRESENTED THE NEEDS OF LOW-INCOME, MINORITY AND MEDICALLY UNDERSERVED POPULATIONS. THE VOLUSIA COUNTY HEALTH DEPARTMENT,THE JESUS CLINIC - A CLINIC PROVIDING FREE HEALTHCARE TO FAMILIES THAT DO NOT QUALIFY FOR MEDICAID AND ARE UNINSURED,FAMILY HEALTH SOURCE MEDICAL CENTERS,LUTHERAN SERVICES FLORIDA HEALTH SYSTEMS,VOLUSIA COUNTY SCHOOLS,STETSON UNIVERSITY,COUNCIL ON AGING,CAREER SOURCE FLAGLER/VOLUSIA,HEALTHY START COALITION OF FLAGLER AND VOLUSIA,EASTER SEALS,BETHUNE-COOKMAN UNIVERSITY,UNITED WAY OF VOLUSIA-FLAGLER COUNTIES; ANDSTEWART MARCHMAN ACT BEHAVIORAL HEALTHCARE - RECOVERY FOR MENTAL ILLNESS AND ADDICTION.
FLORIDA HOSPITAL MEMORIAL MEDICAL CENTER	PART V, SECTION B, LINE 6A: THE FILING ORGANIZATION PARTICIPATED IN A JOINT REGIONAL COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) THAT INCLUDED THREE RELATED HOSPITAL ORGANIZATIONS, AN UNRELATED HOSPITAL ORGANIZATION, THE VOLUSIA COUNTY HEALTH DEPARTMENT AND A COMMUNITY NON-PROFIT ORGANIZATION. THESE COLLABORATORS ALL CONSIDERED VOLUSIA COUNTY TO BE THE PRIMARY SERVICE AREA FOR PURPOSES OF THE JOINT CHNA. ALL COLLABORATORS IN THE JOINT REGIONAL CHNA WERE AS FOLLOWS:RELATED COLLABORATORS:MEMORIAL HOSPITAL WEST VOLUSIA, INC., DBA FLORIDA HOSPITAL DELANDSOUTHWEST VOLUSIA HEALTHCARE CORPORATION, DBA FLORIDA HOSPITAL FISH MEMORIALSOUTHEAST VOLUSIA HEALTHCARE CORPORATION, DBA FLORIDA HOSPITAL NEW SMYRNA; MEMORIAL HEALTH SYSTEMS, INC., DBA FLORIDA HOSPITAL MEMORIAL MEDICAL CENTER; ANDMEMORIAL HEALTH SYSTEMS, INC., DBA FLORIDA HOSPITAL OCEANSIDE;UNRELATED COLLABORATORS:HALIFAX HEALTH MEDICAL CENTER;THE VOLUSIA COUNTY HEALTH DEPARTMENT; AND ONE VOICE FOR VOLUSIA.
FLORIDA HOSPITAL OCEANSIDE	PART V, SECTION B, LINE 6A: THE FILING ORGANIZATION PARTICIPATED IN A JOINT REGIONAL COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) THAT INCLUDED THREE RELATED HOSPITAL ORGANIZATIONS, AN UNRELATED HOSPITAL ORGANIZATION, THE VOLUSIA COUNTY HEALTH DEPARTMENT AND A COMMUNITY NON-PROFIT ORGANIZATION. THESE COLLABORATORS ALL CONSIDERED VOLUSIA COUNTY TO BE THE PRIMARY SERVICE AREA FOR PURPOSES OF THE JOINT CHNA. ALL COLLABORATORS IN THE JOINT REGIONAL CHNA WERE AS FOLLOWS:RELATED COLLABORATORS:MEMORIAL HOSPITAL WEST VOLUSIA, INC., DBA FLORIDA HOSPITAL DELANDSOUTHWEST VOLUSIA HEALTHCARE CORPORATION, DBA FLORIDA HOSPITAL FISH MEMORIALSOUTHEAST VOLUSIA HEALTHCARE CORPORATION, DBA FLORIDA HOSPITAL NEW SMYRNA; MEMORIAL HEALTH SYSTEMS, INC., DBA FLORIDA HOSPITAL MEMORIAL MEDICAL CENTER; ANDMEMORIAL HEALTH SYSTEMS, INC., DBA FLORIDA HOSPITAL OCEANSIDE;UNRELATED COLLABORATORS:HALIFAX HEALTH MEDICAL CENTER;THE VOLUSIA COUNTY HEALTH DEPARTMENT; AND ONE VOICE FOR VOLUSIA.
FLORIDA HOSPITAL MEMORIAL MEDICAL CENTER	PART V, SECTION B, LINE 6B: THE FILING ORGANIZATION PARTICIPATED IN A JOINT REGIONAL COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) THAT INCLUDED THREE RELATED HOSPITAL ORGANIZATIONS, AN UNRELATED HOSPITAL ORGANIZATION, THE VOLUSIA COUNTY HEALTH DEPARTMENT AND A COMMUNITY NON-PROFIT ORGANIZATION. THESE COLLABORATORS ALL CONSIDERED VOLUSIA COUNTY TO BE THE PRIMARY SERVICE AREA FOR PURPOSES OF THE JOINT CHNA. ALL COLLABORATORS IN THE JOINT REGIONAL CHNA WERE AS FOLLOWS:RELATED COLLABORATORS:MEMORIAL HOSPITAL WEST VOLUSIA, INC., DBA FLORIDA HOSPITAL DELANDSOUTHWEST VOLUSIA HEALTHCARE CORPORATION, DBA FLORIDA HOSPITAL FISH MEMORIALSOUTHEAST VOLUSIA HEALTHCARE CORPORATION, DBA FLORIDA HOSPITAL NEW SMYRNA; MEMORIAL HEALTH SYSTEMS, INC., DBA FLORIDA HOSPITAL MEMORIAL MEDICAL CENTER; ANDMEMORIAL HEALTH SYSTEMS, INC., DBA FLORIDA HOSPITAL OCEANSIDE;UNRELATED COLLABORATORS:HALIFAX HEALTH MEDICAL CENTER;THE VOLUSIA COUNTY HEALTH DEPARTMENT; AND ONE VOICE FOR VOLUSIA.
FLORIDA HOSPITAL OCEANSIDE	PART V, SECTION B, LINE 6B: THE FILING ORGANIZATION PARTICIPATED IN A JOINT REGIONAL COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) THAT INCLUDED THREE RELATED HOSPITAL ORGANIZATIONS, AN UNRELATED HOSPITAL ORGANIZATION, THE VOLUSIA COUNTY HEALTH DEPARTMENT AND A COMMUNITY NON-PROFIT ORGANIZATION. THESE COLLABORATORS ALL CONSIDERED VOLUSIA COUNTY TO BE THE PRIMARY SERVICE AREA FOR PURPOSES OF THE JOINT CHNA. ALL COLLABORATORS IN THE JOINT REGIONAL CHNA WERE AS FOLLOWS:RELATED COLLABORATORS:MEMORIAL HOSPITAL WEST VOLUSIA, INC., DBA FLORIDA HOSPITAL DELANDSOUTHWEST VOLUSIA HEALTHCARE CORPORATION, DBA FLORIDA HOSPITAL FISH MEMORIALSOUTHEAST VOLUSIA HEALTHCARE CORPORATION, DBA FLORIDA HOSPITAL NEW SMYRNA; MEMORIAL HEALTH SYSTEMS, INC., DBA FLORIDA HOSPITAL MEMORIAL MEDICAL CENTER; ANDMEMORIAL HEALTH SYSTEMS, INC., DBA FLORIDA HOSPITAL OCEANSIDE;UNRELATED COLLABORATORS:HALIFAX HEALTH MEDICAL CENTER;THE VOLUSIA COUNTY HEALTH DEPARTMENT; AND ONE VOICE FOR VOLUSIA.
FLORIDA HOSPITAL MEMORIAL MEDICAL CENTER	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.
FLORIDA HOSPITAL OCEANSIDE	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.
FLORIDA HOSPITAL MEMORIAL MEDICAL CENTER	PART V, SECTION B, LINE 11: THE INFORMATION PROVIDED BELOW EXPLAINS HOW THE HOSPITAL FACILITY ADDRESSED IN 2017 THE SIGNIFICANT HEALTH NEEDS IDENTIFIED IN ITS 2016 COMMUNITY HEALTH NEEDS ASSESSMENT, AND ANY SUCH NEEDS THAT WERE NOT ADDRESSED AND THE REASONS WHY SUCH NEEDS WERE NOT ADDRESSED. THE HOSPITAL FACILITY CONDUCTED A COMMUNITY HEALTH NEEDS ASSESSMENT 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. MEMORIAL HEALTH SYSTEMS, INC., DBA FLORIDA HOSPITAL MEMORIAL MEDICAL CENTER (FHMMC OR THE HOSPITAL), IS PART OF THE CENTRAL FLORIDA DIVISION-NORTH REGION OF ADVENTIST HEALTH SYSTEM. THE REGION INCLUDES 7 HOSPITAL FACILITIES.THIS IS THE FIRST-YEAR UPDATE FOR FLORIDA HOSPITAL MEMORIAL MEDICAL CENTER'S 2017-2019 COMMUNITY HEALTH PLAN/IMPLEMENTATION STRATEGY. FLORIDA HOSPITAL MEMORIAL MEDICAL CENTER DEVELOPED THIS PLAN AND POSTED IT IN MAY 2017 AS PART OF ITS 2016 COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS.FOR THE DEVELOPMENT OF BOTH THE COMMUNITY HEALTH NEEDS ASSESSMENT AND THE COMMUNITY HEALTH PLAN/IMPLEMENTATION STRATEGY, FLORIDA HOSPITAL MEMORIAL MEDICAL CENTER WORKED TO DEFINE AND ADDRESS THE NEEDS OF LOW-INCOME, MINORITY AND UNDERSERVED POPULATIONS IN ITS SERVICE AREA. THE 2016 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 2017-2019 COMMUNITY HEALTH PLAN. THE FIRST-YEAR PROGRESS ON THE COMMUNITY HEALTH PLAN IS NOTED BELOW. THIS NARRATIVE DESCRIBES THE ISSUES IDENTIFIED IN 2016 AND GIVES 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 MEMORIAL MEDICAL CENTER CHOSE FIVE AREAS OF FOCUS FOR THEIR 2017-2019 COMMUNITY HEALTH PLAN: ADULT BEHAVIORAL HEALTH; YOUTH MENTAL HEALTH AND BEHAVIORAL HEALTH; CHRONIC DISEASE: CARDIOVASCULAR AND DIABETES; BARRIERS TO ACCESSING HEALTH CARE SERVICES; AND HEALTHY EATING AND PHYSICAL ACTIVITY.PRIORITY: ADULT BEHAVIORAL HEALTH2016 DESCRIPTION OF THE ISSUE: BEHAVIORAL HEALTH IS A TERM THAT COVERS THE FULL RANGE OF MENTAL AND EMOTIONAL WELL-BEING - FROM COPING WITH DAILY LIFE CHALLENGES TO THE OFTEN COMPLEX TREATMENT OF MENTAL ILLNESSES, SUCH AS DEPRESSION OR PERSONALITY DISORDER, AS WELL AS SUBSTANCE USE DISORDER AND OTHER ADDICTIVE BEHAVIORS. NOW MORE THAN EVER, HEALTH EXPERTS ACROSS ALL FIELDS ARE RECOGNIZING THE IMPORTANT LINK BETWEEN GOOD BEHAVIORAL HEALTH AND GOOD OVERALL HEALTH. ACCORDING TO THE 2000+ RESPONDENTS OF THE VOLUSIA/FLAGLER COMMUNITY HEALTH SURVEY, BEHAVIORAL HEALTH RELATED ISSUES WERE THE TOP THREE UNHEALTHY BEHAVIORS VOLUSIA COUNTY RESIDENTS WERE MOST CONCERNED ABOUT (DRUG ABUSE, 56%, MENTAL HEALTH/STRESS 47% AND ALCOHOL ABUSE 45%). INJURIES AND DEATHS FROM ALCOHOL-SUSPECTED MOTOR VEHICLE CRASHES WERE HIGHER THAN THE FLORIDA RATES. DEATH RATES FROM CHRONIC LIVER DISEASE AND CIRRHOSIS HAVE INCREASED FOR ALL VOLUSIA RESIDENTS (15.4 PER 100,000 IN 2012-14). THE PERCENTAGE OF VOLUSIA RESIDENTS WHO SELF-REPORTED BEING CURRENT SMOKERS WAS 10.7% HIGHER THAN THE FLORIDA PERCENTAGE. THE HIGHEST PERCENTAGE OF SMOKERS WERE ADULTS WITH LESS THAN A HIGH SCHOOL EDUCATION AND THE LOWEST WAS ADULTS AGED 65 AND OLDER. THE PERCENTAGE OF VOLUSIA RESIDENTS WHO REPORTED HAVING "POOR MENTAL HEALTH DAYS" ON 14 OR MORE OF THE PAST 30 DAYS WAS HIGHER THAN THE FLORIDA PERCENTAGE. WOMEN REPORTED A HIGHER PERCENTAGE OF THESE DAYS THAN MEN.2017 UPDATE: MANY PARTNER ORGANIZATIONS ARE FOCUSED ON ADULT MENTAL HEALTH STRATEGIES AS PART OF THE COUNTYWIDE COMMUNITY HEALTH IMPROVEMENT PLAN. FLORIDA HOSPITAL MEMORIAL MEDICAL CENTER IMPLEMENTED TWO STRATEGIES FOCUSED ON ADULT BEHAVIORAL HEALTH: SMOKING CESSATION CLASSES AND LOW DOSE CT SCREENINGS FOR LUNG CANCER. 41 ADULTS COMPLETED SMOKING CESSATION EDUCATION CLASSES IN 2017, ONLY SLIGHTLY FEWER THAN THE GOAL OF 50 FOR 2017. ADDITIONALLY, 89 INDIVIDUALS WERE SCREENED THROUGH THE NEWLY ESTABLISHED LOW DOSE CT PROGRAM. BASED ON THE 2017 OUTCOMES FOR THESE STRATEGIES, NO ADJUSTMENTS OR ADDITIONS ARE PLANNED FOR 2018. COMMUNITY READINESS TO QUIT IS THE LARGEST CHALLENGE FLORIDA HOSPITAL MEMORIAL MEDICAL CENTER FACES WHILE IMPLEMENTING THE SMOKING CESSATION CLASSES. ALTHOUGH WE MARKET THE CLASSES IN AS MANY MARKETING CHANNELS AS POSSIBLE, OUR CLASS REGISTRATIONS HAVE NOT INCREASED. WE WILL CONTINUE TO LOOK FOR OTHER WAYS TO REACH THE RIGHT INDIVIDUALS FOR THESE CLASSES.PRIORITY: YOUTH MENTAL HEALTH AND BEHAVIORAL HEALTH2016 DESCRIPTION OF THE ISSUE: IT IS ESTIMATED THAT 50 PERCENT OF MENTAL HEALTH CONDITIONS MANIFEST THEMSELVES DURING ADOLESCENCE. PREVENTING MENTAL AND/OR SUBSTANCE USE DISORDERS AND RELATED PROBLEMS IN CHILDREN, ADOLESCENTS, AND YOUNG ADULTS IS CRITICAL TO AMERICANS' BEHAVIORAL AND PHYSICAL HEALTH. IN 2012-14 THE VOLUSIA SUICIDE RATE WAS 8.5 PER 100,000--HIGHER THAN THE STATE RATE OF 4.9. DESPITE A DECLINE IN HIGH SCHOOL STUDENTS USING ALCOHOL IN THE LAST 30 DAYS, VOLUSIA'S RATE HAS BEEN CONSISTENTLY HIGHER THAN THE STATE RATE WITH 29.6% OF HIGH SCHOOLERS REPORTING ALCOHOL USE. VOLUSIA COUNTY RATES FOR SMOKING AND MARIJUANA USE ARE ALSO CONSISTENTLY HIGHER THAN THE STATE RATE.2017 UPDATE: AS WITH ADULT BEHAVIORAL HEALTH, YOUTH BEHAVIORAL HEALTH IS BEING ADDRESSED BY OTHER COMMUNITY PARTNERS SUPPORTING THE COUNTYWIDE COMMUNITY HEALTH IMPROVEMENT PLAN. FLORIDA HOSPITAL MEMORIAL MEDICAL CENTER IMPLEMENTED ONE PREVENTION-ORIENTED STRATEGY FOCUSED ON SCHOOL-AGED YOUTH IN PARTNERSHIP WITH THE AMERICAN DIABETES ASSOCIATION. MORNING MILE, A PROGRAM DESIGNED TO ENCOURAGE PHYSICAL ACTIVITY AMONG YOUTH, WAS INITIATED DURING THE 2017-2018 SCHOOL YEAR. INCREASED PHYSICAL ACTIVITY IS A PROVEN STRATEGY TO IMPROVE BOTH PHYSICAL AND MENTAL HEALTH AND 245 STUDENTS PARTICIPATED IN THE PROGRAM IN ITS FIRST YEAR OF IMPLEMENTATION. NO CHANGES IN STRATEGY OR ADDITIONAL OBJECTIVES ARE PLANNED FOR 2018. OUR LARGEST CHALLENGE WITH THIS INITIATIVE CONTINUES TO BE THE EARLY HOUR AT WHICH WE ARE ASKING THE PARENTS AND SCHOOLS TO WORK WITH THE CHILDREN. THIS CONSIDERED, THERE SEEMS TO BE AN ADJUSTMENT AND THE PROGRAM IS BEGINNING TO BE EMBRACED. SEE CONTINUATION
FLORIDA HOSPITAL OCEANSIDE	PART V, SECTION B, LINE 11: THE INFORMATION PROVIDED BELOW EXPLAINS HOW THE HOSPITAL FACILITY ADDRESSED IN 2017 THE SIGNIFICANT HEALTH NEEDS IDENTIFIED IN ITS 2016 COMMUNITY HEALTH NEEDS ASSESSMENT, AND ANY SUCH NEEDS THAT WERE NOT ADDRESSED AND THE REASONS WHY SUCH NEEDS WERE NOT ADDRESSED. THE HOSPITAL FACILITY CONDUCTED A COMMUNITY HEALTH NEEDS ASSESSMENT 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 OCEANSIDE SCHEDULE H, PART V, SECTION B, LINE 11NOTE TO THE READER, THE IMPLEMENTATION PLAN WAS DONE FOR BOTH CAMPUSES, SO WHERE FLORIDA HOSPITAL MEDICAL CENTER IS MENTIONED, IT ALSO INCLUDES THE OCEANSIDE CAMPUS.MEMORIAL HEALTH SYSTEMS, INC., DBA FLORIDA HOSPITAL MEMORIAL MEDICAL CENTER (FHMMC OR THE HOSPITAL), IS PART OF THE CENTRAL FLORIDA DIVISION-NORTH REGION OF ADVENTIST HEALTH SYSTEM. THE REGION INCLUDES 7 HOSPITAL FACILITIES.THIS IS THE FIRST-YEAR UPDATE FOR FLORIDA HOSPITAL MEMORIAL MEDICAL CENTER'S 2017-2019 COMMUNITY HEALTH PLAN/IMPLEMENTATION STRATEGY. FLORIDA HOSPITAL MEMORIAL MEDICAL CENTER DEVELOPED THIS PLAN AND POSTED IT IN MAY 2017 AS PART OF ITS 2016 COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS.FOR THE DEVELOPMENT OF BOTH THE COMMUNITY HEALTH NEEDS ASSESSMENT AND THE COMMUNITY HEALTH PLAN/IMPLEMENTATION STRATEGY, FLORIDA HOSPITAL MEMORIAL MEDICAL CENTER WORKED TO DEFINE AND ADDRESS THE NEEDS OF LOW-INCOME, MINORITY AND UNDERSERVED POPULATIONS IN ITS SERVICE AREA. THE 2016 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 2017-2019 COMMUNITY HEALTH PLAN. THE FIRST-YEAR PROGRESS ON THE COMMUNITY HEALTH PLAN IS NOTED BELOW. THIS NARRATIVE DESCRIBES THE ISSUES IDENTIFIED IN 2016 AND GIVES 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 MEMORIAL MEDICAL CENTER CHOSE FIVE AREAS OF FOCUS FOR THEIR 2017-2019 COMMUNITY HEALTH PLAN: ADULT BEHAVIORAL HEALTH; YOUTH MENTAL HEALTH AND BEHAVIORAL HEALTH; CHRONIC DISEASE: CARDIOVASCULAR AND DIABETES; BARRIERS TO ACCESSING HEALTH CARE SERVICES; AND HEALTHY EATING AND PHYSICAL ACTIVITY.PRIORITY: ADULT BEHAVIORAL HEALTH2016 DESCRIPTION OF THE ISSUE: BEHAVIORAL HEALTH IS A TERM THAT COVERS THE FULL RANGE OF MENTAL AND EMOTIONAL WELL-BEING - FROM COPING WITH DAILY LIFE CHALLENGES TO THE OFTEN COMPLEX TREATMENT OF MENTAL ILLNESSES, SUCH AS DEPRESSION OR PERSONALITY DISORDER, AS WELL AS SUBSTANCE USE DISORDER AND OTHER ADDICTIVE BEHAVIORS. NOW MORE THAN EVER, HEALTH EXPERTS ACROSS ALL FIELDS ARE RECOGNIZING THE IMPORTANT LINK BETWEEN GOOD BEHAVIORAL HEALTH AND GOOD OVERALL HEALTH. ACCORDING TO THE 2000+ RESPONDENTS OF THE VOLUSIA/FLAGLER COMMUNITY HEALTH SURVEY, BEHAVIORAL HEALTH RELATED ISSUES WERE THE TOP THREE UNHEALTHY BEHAVIORS VOLUSIA COUNTY RESIDENTS WERE MOST CONCERNED ABOUT (DRUG ABUSE, 56%, MENTAL HEALTH/STRESS 47% AND ALCOHOL ABUSE 45%). INJURIES AND DEATHS FROM ALCOHOL-SUSPECTED MOTOR VEHICLE CRASHES WERE HIGHER THAN THE FLORIDA RATES. DEATH RATES FROM CHRONIC LIVER DISEASE AND CIRRHOSIS HAVE INCREASED FOR ALL VOLUSIA RESIDENTS (15.4 PER 100,000 IN 2012-14). THE PERCENTAGE OF VOLUSIA RESIDENTS WHO SELF-REPORTED BEING CURRENT SMOKERS WAS 10.7% HIGHER THAN THE FLORIDA PERCENTAGE. THE HIGHEST PERCENTAGE OF SMOKERS WERE ADULTS WITH LESS THAN A HIGH SCHOOL EDUCATION AND THE LOWEST WAS ADULTS AGED 65 AND OLDER. THE PERCENTAGE OF VOLUSIA RESIDENTS WHO REPORTED HAVING "POOR MENTAL HEALTH DAYS" ON 14 OR MORE OF THE PAST 30 DAYS WAS HIGHER THAN THE FLORIDA PERCENTAGE. WOMEN REPORTED A HIGHER PERCENTAGE OF THESE DAYS THAN MEN.2017 UPDATE: MANY PARTNER ORGANIZATIONS ARE FOCUSED ON ADULT MENTAL HEALTH STRATEGIES AS PART OF THE COUNTYWIDE COMMUNITY HEALTH IMPROVEMENT PLAN. FLORIDA HOSPITAL MEMORIAL MEDICAL CENTER IMPLEMENTED TWO STRATEGIES FOCUSED ON ADULT BEHAVIORAL HEALTH: SMOKING CESSATION CLASSES AND LOW DOSE CT SCREENINGS FOR LUNG CANCER. 41 ADULTS COMPLETED SMOKING CESSATION EDUCATION CLASSES IN 2017, ONLY SLIGHTLY FEWER THAN THE GOAL OF 50 FOR 2017. ADDITIONALLY, 89 INDIVIDUALS WERE SCREENED THROUGH THE NEWLY ESTABLISHED LOW DOSE CT PROGRAM. BASED ON THE 2017 OUTCOMES FOR THESE STRATEGIES, NO ADJUSTMENTS OR ADDITIONS ARE PLANNED FOR 2018. COMMUNITY READINESS TO QUIT IS THE LARGEST CHALLENGE FLORIDA HOSPITAL MEMORIAL MEDICAL CENTER FACES WHILE IMPLEMENTING THE SMOKING CESSATION CLASSES. ALTHOUGH WE MARKET THE CLASSES IN AS MANY MARKETING CHANNELS AS POSSIBLE, OUR CLASS REGISTRATIONS HAVE NOT INCREASED. WE WILL CONTINUE TO LOOK FOR OTHER WAYS TO REACH THE RIGHT INDIVIDUALS FOR THESE CLASSES.PRIORITY: YOUTH MENTAL HEALTH AND BEHAVIORAL HEALTH2016 DESCRIPTION OF THE ISSUE: IT IS ESTIMATED THAT 50 PERCENT OF MENTAL HEALTH CONDITIONS MANIFEST THEMSELVES DURING ADOLESCENCE. PREVENTING MENTAL AND/OR SUBSTANCE USE DISORDERS AND RELATED PROBLEMS IN CHILDREN, ADOLESCENTS, AND YOUNG ADULTS IS CRITICAL TO AMERICANS' BEHAVIORAL AND PHYSICAL HEALTH. IN 2012-14 THE VOLUSIA SUICIDE RATE WAS 8.5 PER 100,000 -- HIGHER THAN THE STATE RATE OF 4.9. DESPITE A DECLINE IN HIGH SCHOOL STUDENTS USING ALCOHOL IN THE LAST 30 DAYS, VOLUSIA'S RATE HAS BEEN CONSISTENTLY HIGHER THAN THE STATE RATE WITH 29.6% OF HIGH SCHOOLERS REPORTING ALCOHOL USE. VOLUSIA COUNTY RATES FOR SMOKING AND MARIJUANA USE ARE ALSO CONSISTENTLY HIGHER THAN THE STATE RATE.2017 UPDATE: AS WITH ADULT BEHAVIORAL HEALTH, YOUTH BEHAVIORAL HEALTH IS BEING ADDRESSED BY OTHER COMMUNITY PARTNERS SUPPORTING THE COUNTYWIDE COMMUNITY HEALTH IMPROVEMENT PLAN. FLORIDA HOSPITAL MEMORIAL MEDICAL CENTER IMPLEMENTED ONE PREVENTION-ORIENTED STRATEGY FOCUSED ON SCHOOL-AGED YOUTH IN PARTNERSHIP WITH THE AMERICAN DIABETES ASSOCIATION. MORNING MILE, A PROGRAM DESIGNED TO ENCOURAGE PHYSICAL ACTIVITY AMONG YOUTH, WAS INITIATED DURING THE 2017-2018 SCHOOL YEAR. INCREASED PHYSICAL ACTIVITY IS A PROVEN STRATEGY TO IMPROVE BOTH PHYSICAL AND MENTAL HEALTH AND 245 STUDENTS PARTICIPATED IN THE PROGRAM IN ITS FIRST YEAR OF IMPLEMENTATION. NO CHANGES IN STRATEGY OR ADDITIONAL OBJECTIVES ARE PLANNED FOR 2018. OUR LARGEST CHALLENGE WITH THIS INITIATIVE CONTINUES TO BE THE EARLY HOUR AT WHICH WE ARE ASKING THE PARENTS AND SCHOOLS TO WORK WITH THE CHILDREN. THIS CONSIDERED, THERE SEEMS TO BE AN ADJUSTMENT AND THE PROGRAM IS BEGINNING TO BE EMBRACED. SEE CONTINUATION
SCHEDULE H, PART V, SECTION B, LINE 7A:	THE CHNA REPORT FOR BOTH CAMPUSES 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 FOR BOTH CAMPUSES 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 FOR BOTH CAMPUSES CAN BE FOUND AT URL:HTTPS://WWW.FLORIDAHOSPITAL.COM/PATIENT-RESOURCES/BILLING/FINANCIAL-ASSISTANCE THE FINANCIAL ASSISTANCE POLICY APPLICATION FOR BOTH CAMPUSES CAN BE FOUND AT:HTTPS://WWW.FLORIDAHOSPITAL.COM/PATIENT-RESOURCES/BILLING/FINANCIAL-ASSISTANCE THE PLAIN LANGUAGE SUMMARY FOR BOTH CAMPUSES ARE AVAILABLE AT:HTTPS://WWW.FLORIDAHOSPITAL.COM/PATIENT-RESOURCES/BILLING/FINANCIAL-ASSISTANCE
CONTINUATION OF PART V, SECTION B, LINE 11 FOR ORMOND:	PRIORITY: CHRONIC DISEASE: CARDIOVASCULAR AND DIABETES AND HEALTHY EATING AND PHYSICAL ACTIVITY2016 DESCRIPTION OF THE ISSUE: CHRONIC DISEASES AND CONDITIONS--SUCH AS HEART DISEASE, STROKE, CANCER, AND DIABETES--ARE AMONG THE MOST COMMON, COSTLY, AND PREVENTABLE OF ALL HEALTH PROBLEMS. THESE CONDITIONS SHORTEN LIVES, REDUCE QUALITY OF LIFE, AND CREATE CONSIDERABLE BURDEN FOR CAREGIVERS. IN 2013, THE PERCENTAGE OF VOLUSIA ADULTS SELF-REPORTING THAT THEY HAD EVER BEEN TOLD THEY HAD HIGH BLOOD CHOLESTEROL WAS HIGHER THAN THE FLORIDA PERCENTAGE. THE VOLUSIA RATE FOR HOSPITALIZATIONS FROM STROKES (274.0 PER 100,000) DECREASED SLIGHTLY OVER THE LAST FIVE YEARS REPORTED BUT RATES FOR BLACKS REMAINED HIGH. THE AGE-ADJUSTED DIABETES DEATH RATE FOR VOLUSIA COUNTY (27.4 PER 100,000) INCREASED OVER THE REPORTED YEAR AND WAS CONSISTENTLY HIGHER THAN THE FLORIDA RATE. REGULAR PHYSICAL ACTIVITY AND HEALTHY EATING CAN HELP PEOPLE MANAGE THEIR WEIGHT AS WELL AS REDUCE THEIR RISK FOR CHRONIC DISEASE. THE PERCENTAGE OF VOLUSIA ADULTS WHO SELF-REPORTED EATING FIVE OR MORE SERVINGS OF FRUITS AND VEGETABLES PER DAY WAS LOWER THAN THE FLORIDA PERCENTAGE IN 2013. 49.2% OF ADULTS SELF-REPORTED BEING INACTIVE OR INSUFFICIENTLY ACTIVE--WITH OVER 33.7% OF THE POPULATION BEING OVERWEIGHT AND 24.4% BEING OBESE. 82% OF VOLUSIA ADULTS REPORTED THAT THEIR OVERALL HEALTH WAS "GOOD OR "EXCELLENT". 2017 UPDATE: FLORIDA HOSPITAL MEMORIAL MEDICAL CENTER IMPLEMENTED SEVEN DISTINCT STRATEGIES FOCUSED ON THE PRIORITIES OF CARDIOVASCULAR DISEASE, DIABETES AND HEALTHY EATING AND PHYSICAL ACTIVITY. CREATION HEALTH, AN EIGHT-WEEK, FAITH-BASED WELLNESS PLAN WITH LIFESTYLE SEMINARS AND TRAINING BASED ON 8 PRINCIPLES: CHOICE, REST, ENVIRONMENT, ACTIVITY, TRUST, INTERPERSONAL RELATIONS, OUTLOOK AND NUTRITION, WAS PROVIDED TO 66 INDIVIDUALS IN 2017. FLORIDA HOSPITAL MEMORIAL MEDICAL CENTER ALSO PROVIDED EDUCATIONAL SEMINARS COVERING OTHER HEALTH TOPICS OF INTEREST TO 719 INDIVIDUALS, EXCEEDING THE TARGET OF 300. OUTREACH ACTIVITIES REACHED 2,715 INDIVIDUALS AND OVER 125 INDIVIDUALS RECEIVED A FREE HEALTH SCREENING SUCH AS CHOLESTEROL AND HBA1C (BLOOD SUGAR) SCREENINGS AND BLOOD PRESSURE SCREENINGS. ENROLLMENT REACHED 3,607 FOR THE CHANGE YOUR LIFE PROGRAM-- A SUCCESSFUL LIFESTYLE/HEALTH PROMOTION PROGRAM. ADDITIONALLY, FLORIDA HOSPITAL MEMORIAL MEDICAL CENTER PROVIDED DIABETES EDUCATION CLASSES TO 10 PARTICIPANTS. FLORIDA HOSPITAL MEMORIAL MEDICAL CENTER ALSO SUCCESSFULLY IMPLEMENTED COMMUNITY CARE, A COMMUNITY-BASED CARE COORDINATION PROGRAM FOR HIGH RISK PATIENTS WITH A HISTORY OF PREVENTABLE ED VISITS AND INPATIENT ADMISSIONS. THE PROGRAM TARGETS THE UNDERSERVED PATIENTS IN THE COMMUNITY IN AN EFFORT TO PROVIDE BETTER AND MORE COORDINATED CARE TO HELP IMPROVE THEIR HEALTH OUTCOMES. 42 NEW INDIVIDUALS WERE ENROLLED AND SERVED THROUGH COMMUNITY CARE--EXCEEDING THE 2017 TARGET FOR THIS PROGRAM. THIS COMPLEMENTARY ARRAY OF STRATEGIES WILL BE IMPLEMENTED IN 2018 WITHOUT CHANGES OR ADDITIONS. PRIORITY: BARRIERS TO ACCESSING HEALTH CARE SERVICES2016 DESCRIPTION OF THE ISSUE: ACCESS TO COMPREHENSIVE QUALITY HEALTH CARE SERVICES IS IMPORTANT FOR THE ACHIEVEMENT OF HEALTH EQUITY AND FOR INCREASING THE QUALITY OF A HEALTHY LIFE FOR EVERYONE. ACCORDING TO THE VOLUSIA/FLAGLER COMMUNITY HEALTH SURVEY, THE TOP 3 BARRIERS TO GETTING HEALTH CARE WERE: LACK OF EVENING AND/OR WEEKEND SERVICES (22.6%); CAN'T PAY FOR DOCTOR/HOSPITAL VISITS (21.8%); AND LONG WAITS FOR APPOINTMENTS (21.3%). IN 2013, ONLY 79.8% OF VOLUSIA ADULTS HAD SOME TYPE OF HEALTH CARE COVERAGE AND ONLY 74.8% REPORTED HAVING A PERSONAL DOCTOR.2017 UPDATE: TO ADDRESS ACCESS TO HEALTH CARE SERVICES, FLORIDA HOSPITAL MEMORIAL MEDICAL CENTER IMPLEMENTED SEVERAL STRATEGIES FOCUSED ON INDIVIDUAL'S RESIDING IN THE HOSPITAL'S AT-RISK ZIP CODES. THE HOSPITAL PROVIDED FINANCIAL SUPPORT TO THE JESUS CLINIC IN DAYTONA BEACH TO INCREASE ACCESS TO HEALTH SERVICES FOR UNINSURED INDIVIDUALS. FLORIDA HOSPITAL MEMORIAL MEDICAL CENTER ALSO OFFERED 8 SCHOLARSHIPS FOR NEWBORN AND LACTATION EDUCATION CLASSES IN 2017. THE HOSPITAL ALSO PROVIDED FREE MEETING SPACE TO 27 SUPPORT GROUPS OPERATING IN THE COMMUNITY. IN 2018, FLORIDA HOSPITAL MEMORIAL MEDICAL CENTER WILL PARTNER WITH THE UNITED WAY OF VOLUSIA AND FLAGLER COUNTIES TO INCREASE ACCESS TO HEALTH RESOURCE INFORMATION THROUGH PROMOTION ON THE 2-1-1 CALL CENTER RESOURCE.
CONTINUATION OF PART V, SECTION B, LINE 11 FOR OCEANSIDE:	PRIORITY: CHRONIC DISEASE: CARDIOVASCULAR AND DIABETES AND HEALTHY EATING AND PHYSICAL ACTIVITY2016 DESCRIPTION OF THE ISSUE: CHRONIC DISEASES AND CONDITIONS--SUCH AS HEART DISEASE, STROKE, CANCER, AND DIABETES--ARE AMONG THE MOST COMMON, COSTLY, AND PREVENTABLE OF ALL HEALTH PROBLEMS. THESE CONDITIONS SHORTEN LIVES, REDUCE QUALITY OF LIFE, AND CREATE CONSIDERABLE BURDEN FOR CAREGIVERS. IN 2013, THE PERCENTAGE OF VOLUSIA ADULTS SELF-REPORTING THAT THEY HAD EVER BEEN TOLD THEY HAD HIGH BLOOD CHOLESTEROL WAS HIGHER THAN THE FLORIDA PERCENTAGE. THE VOLUSIA RATE FOR HOSPITALIZATIONS FROM STROKES (274.0 PER 100,000) DECREASED SLIGHTLY OVER THE LAST FIVE YEARS REPORTED BUT RATES FOR BLACKS REMAINED HIGH. THE AGE-ADJUSTED DIABETES DEATH RATE FOR VOLUSIA COUNTY (27.4 PER 100,000) INCREASED OVER THE REPORTED YEAR AND WAS CONSISTENTLY HIGHER THAN THE FLORIDA RATE. REGULAR PHYSICAL ACTIVITY AND HEALTHY EATING CAN HELP PEOPLE MANAGE THEIR WEIGHT AS WELL AS REDUCE THEIR RISK FOR CHRONIC DISEASE. THE PERCENTAGE OF VOLUSIA ADULTS WHO SELF-REPORTED EATING FIVE OR MORE SERVINGS OF FRUITS AND VEGETABLES PER DAY WAS LOWER THAN THE FLORIDA PERCENTAGE IN 2013. 49.2% OF ADULTS SELF-REPORTED BEING INACTIVE OR INSUFFICIENTLY ACTIVE--WITH OVER 33.7% OF THE POPULATION BEING OVERWEIGHT AND 24.4% BEING OBESE. 82% OF VOLUSIA ADULTS REPORTED THAT THEIR OVERALL HEALTH WAS "GOOD OR "EXCELLENT". 2017 UPDATE: FLORIDA HOSPITAL MEMORIAL MEDICAL CENTER IMPLEMENTED SEVEN DISTINCT STRATEGIES FOCUSED ON THE PRIORITIES OF CARDIOVASCULAR DISEASE, DIABETES AND HEALTHY EATING AND PHYSICAL ACTIVITY. CREATION HEALTH, AN EIGHT-WEEK, FAITH-BASED WELLNESS PLAN WITH LIFESTYLE SEMINARS AND TRAINING BASED ON 8 PRINCIPLES: CHOICE, REST, ENVIRONMENT, ACTIVITY, TRUST, INTERPERSONAL RELATIONS, OUTLOOK AND NUTRITION, WAS PROVIDED TO 66 INDIVIDUALS IN 2017. FLORIDA HOSPITAL MEMORIAL MEDICAL CENTER ALSO PROVIDED EDUCATIONAL SEMINARS COVERING OTHER HEALTH TOPICS OF INTEREST TO 719 INDIVIDUALS, EXCEEDING THE TARGET OF 300. OUTREACH ACTIVITIES REACHED 2,715 INDIVIDUALS AND OVER 125 INDIVIDUALS RECEIVED A FREE HEALTH SCREENING SUCH AS CHOLESTEROL AND HBA1C (BLOOD SUGAR) SCREENINGS AND BLOOD PRESSURE SCREENINGS. ENROLLMENT REACHED 3,607 FOR THE CHANGE YOUR LIFE PROGRAM-- A SUCCESSFUL LIFESTYLE/HEALTH PROMOTION PROGRAM. ADDITIONALLY, FLORIDA HOSPITAL MEMORIAL MEDICAL CENTER PROVIDED DIABETES EDUCATION CLASSES TO 10 PARTICIPANTS. FLORIDA HOSPITAL MEMORIAL MEDICAL CENTER ALSO SUCCESSFULLY IMPLEMENTED COMMUNITY CARE, A COMMUNITY-BASED CARE COORDINATION PROGRAM FOR HIGH RISK PATIENTS WITH A HISTORY OF PREVENTABLE ED VISITS AND INPATIENT ADMISSIONS. THE PROGRAM TARGETS THE UNDERSERVED PATIENTS IN THE COMMUNITY IN AN EFFORT TO PROVIDE BETTER AND MORE COORDINATED CARE TO HELP IMPROVE THEIR HEALTH OUTCOMES. 42 NEW INDIVIDUALS WERE ENROLLED AND SERVED THROUGH COMMUNITY CARE--EXCEEDING THE 2017 TARGET FOR THIS PROGRAM. THIS COMPLEMENTARY ARRAY OF STRATEGIES WILL BE IMPLEMENTED IN 2018 WITHOUT CHANGES OR ADDITIONS. PRIORITY: BARRIERS TO ACCESSING HEALTH CARE SERVICES2016 DESCRIPTION OF THE ISSUE: ACCESS TO COMPREHENSIVE QUALITY HEALTH CARE SERVICES IS IMPORTANT FOR THE ACHIEVEMENT OF HEALTH EQUITY AND FOR INCREASING THE QUALITY OF A HEALTHY LIFE FOR EVERYONE. ACCORDING TO THE VOLUSIA/FLAGLER COMMUNITY HEALTH SURVEY, THE TOP 3 BARRIERS TO GETTING HEALTH CARE WERE: LACK OF EVENING AND/OR WEEKEND SERVICES (22.6%); CAN'T PAY FOR DOCTOR/HOSPITAL VISITS (21.8%); AND LONG WAITS FOR APPOINTMENTS (21.3%). IN 2013, ONLY 79.8% OF VOLUSIA ADULTS HAD SOME TYPE OF HEALTH CARE COVERAGE AND ONLY 74.8% REPORTED HAVING A PERSONAL DOCTOR.2017 UPDATE: TO ADDRESS ACCESS TO HEALTH CARE SERVICES, FLORIDA HOSPITAL MEMORIAL MEDICAL CENTER IMPLEMENTED SEVERAL STRATEGIES FOCUSED ON INDIVIDUAL'S RESIDING IN THE HOSPITAL'S AT-RISK ZIP CODES. THE HOSPITAL PROVIDED FINANCIAL SUPPORT TO THE JESUS CLINIC IN DAYTONA BEACH TO INCREASE ACCESS TO HEALTH SERVICES FOR UNINSURED INDIVIDUALS. FLORIDA HOSPITAL MEMORIAL MEDICAL CENTER ALSO OFFERED 8 SCHOLARSHIPS FOR NEWBORN AND LACTATION EDUCATION CLASSES IN 2017. THE HOSPITAL ALSO PROVIDED FREE MEETING SPACE TO 27 SUPPORT GROUPS OPERATING IN THE COMMUNITY. IN 2018, FLORIDA HOSPITAL MEMORIAL MEDICAL CENTER WILL PARTNER WITH THE UNITED WAY OF VOLUSIA AND FLAGLER COUNTIES TO INCREASE ACCESS TO HEALTH RESOURCE INFORMATION THROUGH PROMOTION ON THE 2-1-1 CALL CENTER RESOURCE.
CONTINUATION OF PART V, SECTION B, LINE 11 FOR ORMOND:	COMMUNITY NEEDS NOT CHOSEN BY FLORIDA HOSPITAL MEMORIAL MEDICAL CENTER AND OCEANSIDE: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? FLORIDA HOSPITAL MEMORIAL MEDICAL CENTER AND OCEANSIDE CHOSE TO ADDRESS A COMPONENT OF EACH OF THE FIVE PRIORITY ISSUES IN THEIR COMMUNITY HEALTH PLAN AND WILL WORK IN PARTNERSHIP WITH MANY OTHER ORGANIZATIONS THAT ARE LEADING STRATEGIES INCLUDED IN THE COUNTYWIDE COMMUNITY HEALTH IMPROVEMENT PLAN.THE COUNTYWIDE COMMUNITY HEALTH NEEDS ASSESSMENT INCLUDED AN ADDITIONAL 8 ISSUES WHICH WERE EXPLORED DURING THIS PROCESS AND REMAIN AN IMPORTANT PART OF COMMUNITY HEALTH AND WELL-BEING. ALTHOUGH NOT SELECTED AS TOP PRIORITIES, THE ADDITIONAL SIGNIFICANT HEALTH NEEDS IDENTIFIED AND NOT ADDRESSED ARE INCLUDED WITH BRIEF DESCRIPTIONS BELOW.ADDITIONAL HEALTH ISSUES IDENTIFIED BY THE CHNA PARTNERSHIP INCLUDE:AGING-RELATED ISSUES: SEVERAL ISSUES WERE IDENTIFIED AMONGST THE AGING POPULATION OF VOLUSIA COUNTY, WHICH INCLUDED VACCINATIONS, MENTAL HEALTH, DEMENTIA, ALZHEIMER'S DISEASE, AND FALLS. THE COMMUNITY HEALTH NEEDS ASSESSMENT COMMITTEE BELIEVED THAT THE TOP FIVE PRIORITIZED ISSUES WERE MORE IMPORTANT FOR THE COMMUNITY TO ADDRESS.CHILD/ADOLESCENT ISSUES: SPECIFIC ISSUES IDENTIFIED RELATED TO CHILD/ADOLESCENCE INCLUDED THE PHYSICAL ENVIRONMENT AND SAFETY, ESPECIALLY PREVENTION OF AVOIDABLE INJURIES AND DEATHS. EDUCATION AND THE AFFECT THAT EXPOSURE TO VIOLENCE AND/OR NEGATIVE PEER BEHAVIOR CAN HAVE WAS IDENTIFIED AS AN ISSUE. HEALTH CARE IN THE CHILD AND ADOLESCENT CATEGORY WAS ANOTHER CONCERN IDENTIFIED. THIS ISSUE WAS NOT ADDRESSED AS ACCIDENT AND INJURY PREVENTION ARE NOT COMPETENCIES OF THE HOSPITAL.CHRONIC DISEASE: CANCER/RESPIRATORY DISEASES: CHRONIC DISEASE, ESPECIALLY HEART DISEASE, STROKE, CANCER, AND DIABETES, ARE AMONG THE MOST COMMON, COSTLY AND PREVENTABLE OF ALL HEALTH PROBLEMS. DISPARITIES AMONGST RACE IN THE VOLUSIA COUNTY POPULATION WAS ALSO IDENTIFIED. THE COMMUNITY HEALTH NEEDS ASSESSMENT COMMITTEE BELIEVED THAT THE TOP FIVE PRIORITIZED ISSUES WERE MORE IMPORTANT FOR THE COMMUNITY TO ADDRESS.COMMUNICABLE & INFECTIOUS DISEASES: HIV/AIDS, STDS, AND VACCINE PREVENTABLE DISEASES WERE ALL NOTED AS SPECIFIC ISSUES. THERE WAS ALSO A HIGHER INCIDENCE OF THESE TYPES OF DISEASE IN THE BLACK POPULATION OF VOLUSIA COUNTY. THIS ISSUE WAS NOT ADDRESSED AS THE LOCAL HEALTH DEPARTMENTS ARE WORKING ON THIS ISSUE.CRIME, DOMESTIC VIOLENCE, AND CHILD ABUSE: VOLUSIA RATES FOR DOMESTIC VIOLENCE WERE CONSISTENTLY HIGHER EACH YEAR THAN SURROUNDING COUNTIES. VOLUSIA, FLAGLER, AND PUTMAN COUNTY REPORTED 8,703 CHILD ABUSE RELATED PROTECTIVE INVESTIGATIONS IN 2015 ALONE AND 1,127 CHILDREN LIVING IN OUT OF HOME CARE IN 2016, WHICH INCREASES RISK FOR LONG TERM HEALTH ISSUES BASED ON THE ADVERSE CHILDHOOD EXPERIENCES (ACE) STUDY. VIOLENCE IN SCHOOL WAS ANOTHER ISSUE HIGHLIGHTED IN THIS REPORT, BASED ON SELF-REPORTED DATA. THE COMMUNITY HEALTH NEEDS ASSESSMENT COMMITTEE BELIEVED THAT THE ABOVE TOP FIVE PRIORITIZED ISSUES WERE MORE IMPORTANT FOR THE COMMUNITY TO ADDRESS.EARLY CHILDHOOD: AMONGST THE YOUNGEST POPULATION, THERE WERE SEVERAL ISSUES HIGHLIGHTED, WHICH INCLUDED INFANT MORTALITY, ACCIDENTAL INJURIES, HEALTH INSURANCE, CHILDREN FULLY IMMUNIZED, AND SCHOOL READINESS. MANY OF THESE ISSUES CARRY INTO THE CHILD/ADOLESCENT YEARS. THIS ISSUE WAS NOT ADDRESSED AS ACCIDENT AND INJURY PREVENTION ARE NOT COMPETENCIES OF THE HOSPITAL.WOMEN'S HEALTH, PRENATAL CARE AND BIRTH OUTCOMES: WOMEN'S HEALTH INCLUDES HEALTH RISKS IN PREGNANCY, SOCIODEMOGRAPHIC FACTORS WHICH AFFECT PREGNANCY, INFANT, AND CHILD HEALTH, LOW BIRTH WEIGHT, FETAL AND INFANT MORTALITY, PRENATAL CARE, AND TEEN PREGNANCY. THIS ISSUE INCLUDES THE AVAILABILITY, COST AND LACK OF INSURANCE COVERAGE. THE HOSPITAL HAS FINANCIAL COUNSELORS WHO HELP PATIENTS QUALIFY FOR MEDICAID AND MAKE REFERRALS TO AREA MARKETPLACE NAVIGATORS WHO HELP PEOPLE ENROLL IN AFFORDABLE COVERAGE. FLORIDA DID NOT EXPAND MEDICAID COVERAGE UNDER THE AFFORDABLE CARE ACT, LEAVING MANY PEOPLE UNABLE TO AFFORD INSURANCE OR QUALIFY FOR PREMIUM SUBSIDIES. THIS ISSUE WAS NOT ADDRESSED AS THE COMMUNITY HEALTH NEEDS ASSESSMENT COMMITTEE BELIEVED THAT THE TOP FIVE PRIORITIZED ISSUES WERE MORE IMPORTANT FOR THE COMMUNITY TO ADDRESS. SOCIO-DEMOGRAPHICS: SOCIAL FACTORS AND THE PHYSICAL ENVIRONMENT WERE AMONGST ISSUES IN THIS CATEGORY. THEY INCLUDED MEDIAN HOUSEHOLD INCOME, UNEMPLOYMENT, WAGES, HOUSING, POVERTY, AND EDUCATION. SOCIO-ECONOMIC ISSUES ARE NOT A COMPETENCY OF THE HOSPITAL.
CONTINUATION OF PART V, SECTION B, LINE 11 FOR OCEANSIDE:	COMMUNITY NEEDS NOT CHOSEN BY FLORIDA HOSPITAL MEMORIAL MEDICAL CENTER AND OCEANSIDE: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? FLORIDA HOSPITAL MEMORIAL MEDICAL CENTER AND OCEANSIDE CHOSE TO ADDRESS A COMPONENT OF EACH OF THE FIVE PRIORITY ISSUES IN THEIR COMMUNITY HEALTH PLAN AND WILL WORK IN PARTNERSHIP WITH MANY OTHER ORGANIZATIONS THAT ARE LEADING STRATEGIES INCLUDED IN THE COUNTYWIDE COMMUNITY HEALTH IMPROVEMENT PLAN.THE COUNTYWIDE COMMUNITY HEALTH NEEDS ASSESSMENT INCLUDED AN ADDITIONAL 8 ISSUES WHICH WERE EXPLORED DURING THIS PROCESS AND REMAIN AN IMPORTANT PART OF COMMUNITY HEALTH AND WELL-BEING. ALTHOUGH NOT SELECTED AS TOP PRIORITIES, THE ADDITIONAL SIGNIFICANT HEALTH NEEDS IDENTIFIED AND NOT ADDRESSED ARE INCLUDED WITH BRIEF DESCRIPTIONS BELOW.ADDITIONAL HEALTH ISSUES IDENTIFIED BY THE CHNA PARTNERSHIP INCLUDE:AGING-RELATED ISSUES: SEVERAL ISSUES WERE IDENTIFIED AMONGST THE AGING POPULATION OF VOLUSIA COUNTY, WHICH INCLUDED VACCINATIONS, MENTAL HEALTH, DEMENTIA, ALZHEIMER'S DISEASE, AND FALLS. THE COMMUNITY HEALTH NEEDS ASSESSMENT COMMITTEE BELIEVED THAT THE TOP FIVE PRIORITIZED ISSUES WERE MORE IMPORTANT FOR THE COMMUNITY TO ADDRESS.CHILD/ADOLESCENT ISSUES: SPECIFIC ISSUES IDENTIFIED RELATED TO CHILD/ADOLESCENCE INCLUDED THE PHYSICAL ENVIRONMENT AND SAFETY, ESPECIALLY PREVENTION OF AVOIDABLE INJURIES AND DEATHS. EDUCATION AND THE AFFECT THAT EXPOSURE TO VIOLENCE AND/OR NEGATIVE PEER BEHAVIOR CAN HAVE WAS IDENTIFIED AS AN ISSUE. HEALTH CARE IN THE CHILD AND ADOLESCENT CATEGORY WAS ANOTHER CONCERN IDENTIFIED. THIS ISSUE WAS NOT ADDRESSED AS ACCIDENT AND INJURY PREVENTION ARE NOT COMPETENCIES OF THE HOSPITAL.CHRONIC DISEASE: CANCER/RESPIRATORY DISEASES: CHRONIC DISEASE, ESPECIALLY HEART DISEASE, STROKE, CANCER, AND DIABETES, ARE AMONG THE MOST COMMON, COSTLY AND PREVENTABLE OF ALL HEALTH PROBLEMS. DISPARITIES AMONGST RACE IN THE VOLUSIA COUNTY POPULATION WAS ALSO IDENTIFIED. THE COMMUNITY HEALTH NEEDS ASSESSMENT COMMITTEE BELIEVED THAT THE TOP FIVE PRIORITIZED ISSUES WERE MORE IMPORTANT FOR THE COMMUNITY TO ADDRESS.COMMUNICABLE & INFECTIOUS DISEASES: HIV/AIDS, STDS, AND VACCINE PREVENTABLE DISEASES WERE ALL NOTED AS SPECIFIC ISSUES. THERE WAS ALSO A HIGHER INCIDENCE OF THESE TYPES OF DISEASE IN THE BLACK POPULATION OF VOLUSIA COUNTY. THIS ISSUE WAS NOT ADDRESSED AS THE LOCAL HEALTH DEPARTMENTS ARE WORKING ON THIS ISSUE.CRIME, DOMESTIC VIOLENCE, AND CHILD ABUSE: VOLUSIA RATES FOR DOMESTIC VIOLENCE WERE CONSISTENTLY HIGHER EACH YEAR THAN SURROUNDING COUNTIES. VOLUSIA, FLAGLER, AND PUTMAN COUNTY REPORTED 8,703 CHILD ABUSE RELATED PROTECTIVE INVESTIGATIONS IN 2015 ALONE AND 1,127 CHILDREN LIVING IN OUT OF HOME CARE IN 2016, WHICH INCREASES RISK FOR LONG TERM HEALTH ISSUES BASED ON THE ADVERSE CHILDHOOD EXPERIENCES (ACE) STUDY. VIOLENCE IN SCHOOL WAS ANOTHER ISSUE HIGHLIGHTED IN THIS REPORT, BASED ON SELF-REPORTED DATA. THE COMMUNITY HEALTH NEEDS ASSESSMENT COMMITTEE BELIEVED THAT THE ABOVE TOP FIVE PRIORITIZED ISSUES WERE MORE IMPORTANT FOR THE COMMUNITY TO ADDRESS.EARLY CHILDHOOD: AMONGST THE YOUNGEST POPULATION, THERE WERE SEVERAL ISSUES HIGHLIGHTED, WHICH INCLUDED INFANT MORTALITY, ACCIDENTAL INJURIES, HEALTH INSURANCE, CHILDREN FULLY IMMUNIZED, AND SCHOOL READINESS. MANY OF THESE ISSUES CARRY INTO THE CHILD/ADOLESCENT YEARS. THIS ISSUE WAS NOT ADDRESSED AS ACCIDENT AND INJURY PREVENTION ARE NOT COMPETENCIES OF THE HOSPITAL.WOMEN'S HEALTH, PRENATAL CARE AND BIRTH OUTCOMES: WOMEN'S HEALTH INCLUDES HEALTH RISKS IN PREGNANCY, SOCIODEMOGRAPHIC FACTORS WHICH AFFECT PREGNANCY, INFANT, AND CHILD HEALTH, LOW BIRTH WEIGHT, FETAL AND INFANT MORTALITY, PRENATAL CARE, AND TEEN PREGNANCY. THIS ISSUE INCLUDES THE AVAILABILITY, COST AND LACK OF INSURANCE COVERAGE. THE HOSPITAL HAS FINANCIAL COUNSELORS WHO HELP PATIENTS QUALIFY FOR MEDICAID AND MAKE REFERRALS TO AREA MARKETPLACE NAVIGATORS WHO HELP PEOPLE ENROLL IN AFFORDABLE COVERAGE. FLORIDA DID NOT EXPAND MEDICAID COVERAGE UNDER THE AFFORDABLE CARE ACT, LEAVING MANY PEOPLE UNABLE TO AFFORD INSURANCE OR QUALIFY FOR PREMIUM SUBSIDIES. THIS ISSUE WAS NOT ADDRESSED AS THE COMMUNITY HEALTH NEEDS ASSESSMENT COMMITTEE BELIEVED THAT THE TOP FIVE PRIORITIZED ISSUES WERE MORE IMPORTANT FOR THE COMMUNITY TO ADDRESS. SOCIO-DEMOGRAPHICS: SOCIAL FACTORS AND THE PHYSICAL ENVIRONMENT WERE AMONGST ISSUES IN THIS CATEGORY. THEY INCLUDED MEDIAN HOUSEHOLD INCOME, UNEMPLOYMENT, WAGES, HOUSING, POVERTY, AND EDUCATION. SOCIO-ECONOMIC ISSUES ARE NOT A COMPETENCY OF THE HOSPITAL.

Field	Value	IRS element (for citing)
Facility	25	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (25 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt	Address Line2USAddress/AddressLine2Txt
1 - FHMMC CANCER CENTER
224 MEMORIAL MEDICAL PARKWAY	DAYTONA BEACH	FL	32117	CANCER CENTER
2 - FHMMC-MOB (MARTIN ROBERT KENT CHRISTOPH
305 MEMORIAL MEDICAL PARKWAY	DAYTONA BEACH	FL	32117	NEUROSURGERY	SUITE-505
3 - FHMMC-MOB (DESAI UTPAL MANGONON PATRICK
305 MEMORIAL MEDICAL PARKWAY	DAYTONA BEACH	FL	32117	CARDIOVASCULAR SURGERY/CARDIAC THORACIC & VASCULAR SURGEON	SUITE-308
4 - MEMORIAL FAMILY CARE-ORMOND (GONSALVES LI
335 CLYDE MORRIS BOULEVARD	ORMOND BEACH	FL	32174	FAMILY & GYNECOLOGIC SURGERY	SUITE-240
5 - TWIN LAKES FAMILY PRACTICE (ST JAMES LUT
1890 LPGA BOULEVARD SUITE-170	DAYTONA BEACH	FL	32117	FAMILY MEDICINE
6 - FHMMC WOMEN'S CARE
305 MEMORIAL MEDICAL PARKWAY	DAYTONA BEACH	FL	32174	WOMEN'S CARE	SUITE-400
7 - FHMMC-MOB (EISENHUT JOSHUA & NIEWALD AND
305 MEMORIAL MEDICAL PARKWAY	DAYTONA BEACH	FL	32117	FAMILY MEDICINE	SUITE-502
8 - COASTAL INTERNAL MEDICINE SPECIALISTS LLC
335 CLYDE MORRIS BOULEVARD	ORMOND BEACH	FL	32174	INTERNAL MEDICINE	SUITE-290
9 - FHMMC-MOB (DAAS ADEL)
305 MEMORIAL MEDICAL PARKWAY	DAYTONA BEACH	FL	32117	GASTROENTEROLOGY/HEPATOLOGY	SUITE-307
10 - FHMMC-MOB (BIRKEDAL CHRISTIAN)
305 MEMORIAL MEDICAL PARKWAY	DAYTONA BEACH	FL	32117	GENERAL SURGERY	SUITE-205
11 - FHMMC FAMILY MEDICINE AT THE PAVILION
5535 SOUTH WILLIAMSON BOULEVARD	PORT ORANGE	FL	32128	FAMILY MEDICINE	SUITE 70
12 - FHMMC-MOB-PECKS FAMILY PRACTICE (REBECCA A
305 MEMORIAL MEDICAL PARKWAY	DAYTONA BEACH	FL	32174	FAMILY MEDICINE	SUITE-401
13 - FHMMC-MOB (MAZLOOM NARGES)
305 MEMORIAL MEDICAL PARKWAY	DAYTONA BEACH	FL	32117	OTOLARYNGOLOGY (ENT)	SUITE-208
14 - FHMMC-MOB (COHEN HEZI)
305 MEMORIAL MEDICAL PARKWAY	DAYTONA BEACH	FL	32117	FAMILY MEDICINE	SUITE-207
15 - FHMMC-MOB - PEDIATRICS (SULOCHANA SHILPA
305 MEMORIAL MEDICAL PARKWAY	DAYTONA BEACH	FL	32117	PEDIATRICS	SUITE-405
16 - FHMMC-MOB (RASMUSSEN RONALD)
305 MEMORIAL MEDICAL PARKWAY	DAYTONA BEACH	FL	32117	GENERAL SURGERY	SUITE-209
17 - FHMMC-MOB (MURPHY MARK DENNIS)
305 MEMORIAL MEDICAL PARKWAY	DAYTONA BEACH	FL	32117	NEUROSURGERY	SUITE-303
18 - FHHCP-NSB (KELLER KIMBERLY)
125 FLORIDA MEMORIAL PARKWAY	NEW SMYRNA BEACH	FL	32168	FAMILY MEDICINE	SUITE-2600
19 - FHHCP-NSB (MALAN KATHRYN)
125 FLORIDA MEMORIAL PARKWAY	NEW SMYRNA BEACH	FL	32168	FAMILY MEDICINE	SUITE-2500
20 - FHHCP MINA ZAHEDI MD
1050 WEST GRANADA BOULEVARD	ORMOND BEACH	FL	32174	INTERNAL MEDICINE	SUITE-2-A
21 - FHHCP-NSB (FISCHER CARNE TINA)
125 FLORIDA MEMORIAL PARKWAY	NEW SMYRNA BEACH	FL	32168	FAMILY MEDICINE	SUITE-2700
22 - FHHCP JESSY CASIMIRO MD
290 CLYDE MORRIS BOULEVARD	ORMOND BEACH	FL	32174	FAMILY MEDICINE	SUITE-A-2
23 - FHHCP RACHEL SCHEERER MD
1425 HAND AVENUE SUITE-F	ORMOND BEACH	FL	32174	FAMILY MEDICINE
24 - FHMMC-MOB (GROVE CHRISTOPHER)
305 MEMORIAL MEDICAL PARKWAY	DAYTONA BEACH	FL	32117	GENERAL SURGERY	SUITE-201
25 - FHMMC INTERNAL MEDICINE AT THE PAVILION
5535 SOUTH WILLIAMSON BOULEVARD	PORT ORANGE	FL	32128	FAMILY MEDICINE/INTERNAL MEDICINE	SUITE-722

Supplemental Information Detail SupplementalInformationDetail (14 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE 6A:	THE FILING ORGANIZATION IS A WHOLLY OWNED SUBSIDIARY OF ADVENTIST HEALTH SYSTEM SUNBELT HEALTHCARE CORPORATION (AHSSHC) DURING ITS CURRENT TAX YEAR. AHSSHC SERVES AS A PARENT ORGANIZATION TO 22 TAX-EXEMPT 501(C)(3) HOSPITAL ORGANIZATIONS THAT OPERATE 43 HOSPITALS IN NINE STATES WITHIN THE U.S. THE SYSTEM OF ORGANIZATIONS UNDER THE CONTROL AND OWNERSHIP OF AHSSHC IS KNOWN AS "ADVENTIST HEALTH SYSTEM" (AHS).ALL HOSPITAL ORGANIZATIONS WITHIN AHS COLLECT, CALCULATE, AND REPORT THE COMMUNITY BENEFITS THEY PROVIDE TO THE COMMUNITIES THEY SERVE. AHS ORGANIZATIONS EXIST SOLELY TO IMPROVE AND ENHANCE THE LOCAL COMMUNITIES THEY SERVE. AHS HAS A SYSTEM-WIDE COMMUNITY BENEFITS ACCOUNTING POLICY THAT PROVIDES GUIDELINES FOR ITS HEALTH CARE PROVIDER ORGANIZATIONS TO CAPTURE AND REPORT THE COSTS OF SERVICES PROVIDED TO THE UNDERPRIVILEGED AND TO THE BROADER COMMUNITY. EACH AHS HOSPITAL FACILITY REPORTS THEIR COMMUNITY BENEFITS TO THEIR BOARD OF DIRECTORS AND STRIVES TO COMMUNICATE THEIR COMMUNITY BENEFITS TO THEIR LOCAL COMMUNITIES. ADDITIONALLY, THE FILING ORGANIZATIONS MOST RECENTLY CONDUCTED COMMUNITY HEALTH NEEDS ASSESSMENT AND ASSOCIATED IMPLEMENTATION STRATEGY ARE POSTED ON THE FILING ORGANIZATION'S WEBSITE.
PART I, LINE 7:	THE AMOUNTS OF COSTS REPORTED IN THE TABLE IN LINE 7 OF PART I OF SCHEDULE H WERE DETERMINED BY UTILIZING A COST-TO-CHARGE RATIO DERIVED FROM WORKSHEET 2, RATIO OF PATIENT CARE COST-TO-CHARGES, CONTAINED IN THE SCHEDULE H INSTRUCTIONS.
PART III, LINE 2:	THE AMOUNT OF BAD DEBT EXPENSE REPORTED ON LINE 2 OF SECTION A OF PART III IS RECORDED IN ACCORDANCE WITH HEALTHCARE FINANCIAL MANAGEMENT ASSOCIATION STATEMENT NO. 15. DISCOUNTS AND PAYMENTS ON PATIENT ACCOUNTS ARE RECORDED AS ADJUSTMENTS TO REVENUE, NOT BAD DEBT EXPENSE.
PART III, LINE 3:	METHODOLOGY FOR DETERMINING THE ESTIMATED AMOUNT OF BAD DEBT EXPENSE THAT MAY REPRESENT PATIENTS WHO COULD HAVE QUALIFIED UNDER THE FILING ORGANIZATION'S FINANCIAL ASSISTANCE POLICY:SELF-PAY PATIENTS MAY APPLY FOR FINANCIAL ASSISTANCE BY COMPLETING A FINANCIAL ASSISTANCE APPLICATION FORM (FAA FORM). IF AN INDIVIDUAL DOES NOT SUBMIT A COMPLETE FAA FORM WITHIN 240 DAYS AFTER THE FIRST POST-DISCHARGE BILLING STATEMENT IS SENT TO THE INDIVIDUAL, AN INDIVIDUAL MAY BE CONSIDERED FOR PRESUMPTIVE ELIGIBILITY BASED UPON A SCORING TOOL THAT IS DESIGNED TO CLASSIFY PATIENTS INTO GROUPS OF VARYING ECONOMIC MEANS. THE SCORING TOOL USES ALGORITHMS THAT INCORPORATE DATA FROM CREDIT BUREAUS, DEMOGRAPHIC DATABASES, AND HOSPITAL SPECIFIC DATA TO INFER AND CLASSIFY PATIENTS INTO RESPECTIVE ECONOMIC MEANS CATEGORIES. INDIVIDUALS WHO EARN A CERTAIN SCORE ON THE SCORING TOOL ARE CONSIDERED TO QUALIFY AS ELIGIBLE FOR THE MOST GENEROUS FINANCIAL ASSISTANCE UNDER THE FILING ORGANIZATION'S FINANCIAL ASSISTANCE POLICY. AS DETERMINED BY THE FILING ORGANIZATION, A NOMINAL AMOUNT OF SUCH A PATIENT'S BILL IS WRITTEN OFF AS BAD DEBT EXPENSE, WHILE THE REMAINING PORTION OF THE PATIENT'S BILL IS CONSIDERED NON-STATE CHARITY. THE AMOUNT WRITTEN OFF AS BAD DEBT EXPENSE FOR THOSE PATIENTS WHO POTENTIALLY QUALIFY AS NON-STATE CHARITY USING THE SCORING TOOL IS THE AMOUNT SHOWN ON LINE 3 OF SECTION A OF PART III. RATIONALE FOR INCLUDING CERTAIN BAD DEBTS IN COMMUNITY BENEFIT:THE FILING ORGANIZATION IS DEDICATED TO THE VIEW THAT MEDICALLY NECESSARY HEALTH CARE FOR EMERGENCY AND NON-ELECTIVE PATIENTS SHOULD BE ACCESSIBLE TO ALL, REGARDLESS OF AGE, GENDER, GEOGRAPHIC LOCATION, CULTURAL BACKGROUND, PHYSICIAN MOBILITY, OR ABILITY TO PAY. THE FILING ORGANIZATION TREATS EMERGENCY AND NON-ELECTIVE PATIENTS REGARDLESS OF THEIR ABILITY TO PAY OR THE AVAILABILITY OF THIRD-PARTY COVERAGE. BY PROVIDING HEALTH CARE TO ALL WHO REQUIRE EMERGENCY OR NON-ELECTIVE CARE IN A NON-DISCRIMINATORY MANNER, THE FILING ORGANIZATION IS PROVIDING HEALTH CARE TO THE BROAD COMMUNITY IT SERVES. AS A 501(C)(3) HOSPITAL ORGANIZATION, THE FILING ORGANIZATION MAINTAINS A 24/7 EMERGENCY ROOM PROVIDING CARE TO ALL WHOM PRESENT. WHEN A PATIENT'S ARRIVAL AND/OR ADMISSION TO THE FACILITY BEGINS WITHIN THE EMERGENCY DEPARTMENT, TRIAGE AND MEDICAL SCREENING ARE ALWAYS COMPLETED PRIOR TO REGISTRATION STAFF PROCEEDING WITH THE DETERMINATION OF A PATIENT'S SOURCE OF PAYMENT. IF THE PATIENT REQUIRES ADMISSION AND CONTINUED NON-ELECTIVE CARE, THE FILING ORGANIZATION PROVIDES THE NECESSARY CARE REGARDLESS OF THE PATIENT'S ABILITY TO PAY. THE FILING ORGANIZATION'S OPERATION OF A 24/7 EMERGENCY DEPARTMENT THAT ACCEPTS ALL INDIVIDUALS IN NEED OF CARE PROMOTES THE HEALTH OF THE COMMUNITY THROUGH THE PROVISION OF CARE TO ALL WHOM PRESENT. CURRENT INTERNAL REVENUE SERVICE GUIDANCE THAT TAX-EXEMPT HOSPITALS MAINTAIN SUCH EMERGENCY ROOMS WAS ESTABLISHED TO ENSURE THAT EMERGENCY CARE WOULD BE PROVIDED TO ALL WITHOUT DISCRIMINATION. THE TREATMENT OF ALL AT THE FILING ORGANIZATION'S EMERGENCY DEPARTMENT IS A COMMUNITY BENEFIT. UNDER THE FILING ORGANIZATION'S FINANCIAL ASSISTANCE POLICY, EVERY EFFORT IS MADE TO OBTAIN A PATIENT'S NECESSARY FINANCIAL INFORMATION TO DETERMINE ELIGIBILITY FOR FINANCIAL ASSISTANCE. HOWEVER, NOT ALL PATIENTS WILL COOPERATE WITH SUCH EFFORTS AND A FINANCIAL ASSISTANCE ELIGIBILITY DETERMINATION CANNOT BE MADE BASED UPON INFORMATION SUPPLIED BY THE INDIVIDUAL. IN THIS CASE, A PATIENT'S PORTION OF A BILL THAT REMAINS UNPAID FOR A CERTAIN STIPULATED TIME PERIOD IS WHOLLY OR PARTIALLY CLASSIFIED AS BAD DEBT. BAD DEBTS ASSOCIATED WITH PATIENTS WHO HAVE RECEIVED CARE THROUGH THE FILING ORGANIZATION'S EMERGENCY DEPARTMENT SHOULD BE CONSIDERED COMMUNITY BENEFIT AS CHARITABLE HOSPITALS EXIST TO PROVIDE SUCH CARE IN PURSUIT OF THEIR PURPOSE OF MEETING THE NEED FOR EMERGENCY MEDICAL CARE SERVICES AVAILABLE TO ALL IN THE COMMUNITY.
PART III, LINE 4:	FINANCIAL STATEMENT FOOTNOTE RELATED TO ACCOUNTS RECEIVABLE AND ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS:THE FINANCIAL INFORMATION OF THE FILING ORGANIZATION IS INCLUDED IN A CONSOLIDATED AUDITED FINANCIAL STATEMENT FOR THE CURRENT YEAR.THE APPLICABLE FOOTNOTE FROM THE ATTACHED CONSOLIDATED AUDITED FINANCIAL STATEMENTS THAT ADDRESSES ACCOUNTS RECEIVABLE, THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS, AND THE PROVISION FOR BAD DEBTS CAN BE FOUND ON 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.
SUPPLEMENTAL SCHEDULE TO SCHEDULE H, PART III, SECTION B	RECONCILIATION OF SCHEDULE H REPORTED MEDICARE SURPLUS/(SHORTFALL) TO UNREIMBURSED MEDICARE COSTS ASSOCIATED WITH THE PROVISION OF SERVICESTO ALL MEDICARE BENEFICIARIES:THE MEDICARE REVENUE AND ALLOWABLE COSTS OF CARE REPORTED IN SECTION B OF PART III OF SCHEDULE H ARE BASED UPON THE AMOUNTS REPORTED IN THE FILING ORGANIZATION'S MEDICARE COST REPORT IN ACCORDANCE WITH THE IRS INSTRUCTIONS FOR SCHEDULE H. ON AN ANNUAL BASIS, THE FILING ORGANIZATION ALSO DETERMINES ITS TOTAL UNREIMBURSED COSTS ASSOCIATED WITH PROVIDING SERVICES TO ALL MEDICARE PATIENTS. UNREIMBURSED COSTS ARE CONSIDERED A COMMUNITY BENEFIT TO THE ELDERLY AND ARE COMBINED INTO AN ANNUAL COMMUNITY BENEFIT STATEMENT PREPARED BY ADVENTIST HEALTH SYSTEM. THE PRIMARY RECONCILING ITEMS BETWEEN THE MEDICARE SURPLUS/(SHORTFALL) SHOWN ON LINE 7 OF SECTION B OF PART III OF SCHEDULE H AND THE FILING ORGANIZATION'S UNREIMBURSED COSTS OF SERVICES PROVIDED TO MEDICARE PATIENTS AS REPORTED IN THE AHS COMMUNITY BENEFIT REPORT ARE AS FOLLOWS:- MEDICARE SURPLUS/(SHORTFALL) SHOWN ON LINE 7 OF SECTION B OF SCHEDULE H: $ 11,325,755- DIFFERENCE IN COSTING METHODOLOGY: (19,839,021)- UNREIMBURSED COSTS INCURRED FOR SERVICES PROVIDED TO MEDICARE PATIENTS THAT ARE NOT INCLUDED IN THE ORGANIZATION'S MEDICARE COST REPORT: (8,963,748) -------------TOTAL SURPLUS/(SHORTFALL) COSTS OF SERVING ALL MEDICARE PATIENTS PER THE FILING ORGANIZATION'S COMMUNITY BENEFIT REPORTING: $ (17,477,014)AS INDICATED ABOVE, THE PRIMARY DIFFERENCES BETWEEN THE MEDICARE SURPLUS/(SHORTFALL) REPORTED ON SCHEDULE H, PART III, SECTION B, LINE 7 AND THE FILING ORGANIZATION'S PORTION OF THE COMPANY'S ANNUAL COMMUNITY BENEFIT STATEMENT IS DUE TO A DIFFERENCE IN THE COSTING METHODOLOGY AND DIFFERENCES IN THE POPULATION OF MEDICARE PATIENTS WITHIN THE CALCULATION. THE COST METHODOLOGY UTILIZED IN CALCULATING ANY MEDICARE SURPLUS/(SHORTFALL) FOR PURPOSES OF THE ANNUAL COMMUNITY BENEFIT REPORTING IS BASED UPON THE COST-TO-CHARGE RATIO OUTLINED IN WORKSHEET 2 OF THE SCHEDULE H INSTRUCTIONS. THE SAME COST-TO-CHARGE RATIO IS USED TO DETERMINE THE COSTS ASSOCIATED WITH SERVICES PROVIDED TO CHARITY CARE PATIENTS AND MEDICAID PATIENTS AS REPORTED IN SCHEDULE H, PART I, LINE 7. IN ADDITION, THE MEDICARE COST REPORT EXCLUDES SERVICES PROVIDED TO MEDICARE PATIENTS FOR PHYSICIAN SERVICES, SERVICES PROVIDED TO PATIENTS ENROLLED IN MEDICARE HMOS, AND CERTAIN SERVICES PROVIDED BY OUTPATIENT DEPARTMENTS OF THE FILING ORGANIZATION THAT ARE REIMBURSED ON A FEE SCHEDULE. THE COMPANY'S OWN COMMUNITY BENEFIT STATEMENT CAPTURES THE UNREIMBURSED COST OF PROVIDING SERVICES TO ALL MEDICARE BENEFICIARIES THROUGHOUT THE ORGANIZATION.
PART VI, LINE 2:	THE HOSPITALS CONDUCTED COMMUNITY HEALTH NEEDS ASSESSMENTS (CHNA) DURING 2013 AND 2016. THE 2016 CHNAS WERE ADOPTED BY THE GOVERNING BOARD BY DECEMBER 31, 2016, THE END OF THE FILING ORGANIZATION'S TAXABLE YEAR IN WHICH IT CONDUCTED THE CHNAS. THE HOSPITALS' 2016 CHNAS COMPLIED WITH THE GUIDANCE SET FORTH BY THE IRS IN FINAL REGULATION SECTION 1.501(R)-3. IN ADDITION TO THE CHNAS DISCUSSED ABOVE, A VARIETY OF PRACTICES AND PROCESSES ARE IN PLACE TO ENSURE THAT THE FILING ORGANIZATION IS RESPONSIVE TO THE HEALTH NEEDS OF ITS COMMUNITIES.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 FACILITIES ARE TRANSPARENT AND AVAILABLE TO ALL INDIVIDUALS SERVED AT ANY POINT IN THE CARE CONTINUUM. THE FAP, FAA FORM, PLS, AND CONTACT INFORMATION FOR EACH HOSPITAL FACILITY'S FINANCIAL COUNSELORS ARE PROMINENTLY AND CONSPICUOUSLY POSTED ON EACH FILING ORGANIZATION'S HOSPITAL FACILITY'S WEBSITES. THE WEBSITES 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 FACILITIES, 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:	THE FILING ORGANIZATION OPERATED 2 HOSPITALS IN VOLUSIA COUNTY, FLORIDA IN 2017; FLORIDA HOSPITAL MEMORIAL MEDICAL CENTER (MEMORIAL), A 327-LICENSED BED FACILITY AND FLORIDA HOSPITAL OCEANSIDE (OCEANSIDE), A 80-LICENSED BED FACILITY. UNFORTUNATELY, DUE TO DAMAGED CAUSED BY HURRICANE IRMA IN SEPTEMBER 2017, OCEANSIDE HAD TO CLOSE ITS LOCATION IN 2017 AND THE OCEANSIDE BEDS WERE RELOCATED TO MEMORIAL. ADDITIONALLY, THE FILING ORGANIZATION SERVES ITS COMMUNITIES WITH IMAGING SERVICES, AND LABORATORY SERVICES THROUGHOUT EAST CENTRAL FLORIDA. MORE THAN 400 PHYSICIANS HOLD PRIVILEGES AT THE FILING ORGANIZATION'S FACILITIES AND COMBINED, THE FILING ORGANIZATION EMPLOYS MORE THAN 2800 INDIVIDUALS. THERE IS AN AFFILIATE HOSPITAL AND TWO OTHER HOSPITALS WITHIN A RADIUS OF 20 MILES OR LESS FROM MEMORIAL AND OCEANSIDE. APPROXIMATELY 62% OF THE FILING ORGANIZATION'S PATIENTS DURING 2017 WERE MEDICARE PATIENTS, ABOUT 9.9% WERE MEDICAID PATIENTS, 4.2% WERE SELF-PAY, AND THE REMAINING PERCENTAGE WERE PATIENTS COVERED UNDER COMMERCIAL INSURANCE. FOR 2017 ABOUT 59.3% OF THE HOSPITAL'S IN-PATIENTS WERE ADMITTED THROUGH THE HOSPITAL'S EMERGENCY DEPARTMENT.MEMORIAL IS VOLUSIA COUNTY'S NEWEST AND MOST COMPREHENSIVE FACILITY. ITS NEW FACILITY FEATURES THE AREA'S ONLY ENDOVASCULAR/HYBRID OPERATING ROOM WHERE PATIENTS ARE DIAGNOSED AND TREATED IN ONE LOCATION FOR A VARIETY OF HEART AND ENDOVASCULAR CONDITIONS; THE AREA'S ONLY SIEMENS SOMOTOM 64-SLICE CT SCANNER FOR FASTER, PAINLESS DIAGNOSES OF HEART CONDITIONS AND STROKES USING 50 PERCENT LESS RADIATION; AND A NEWLY EXPANDED EMERGENCY DEPARTMENT FEATURING "NO WAIT" SERVICES. VOLUSIA COUNTY, FLORIDA HAS A POPULATION OF OVER 500,000 PEOPLE, WITH AN ESTIMATED 23% AGE 65 OR OVER THE AGE OF 65. DAYTONA BEACH IS THE REGIONAL COMMERCIAL AND CULTURAL HUB OF THE DELTONA-DAYTONA BEACH-ORMOND BEACH AREA. THE CITY IS AN INTEGRAL SEGMENT OF THE INTERSTATE HIGHWAY 4 CORRIDOR WITH SPECIALIZED INDUSTRIES IN AEROSPACE, AUTOMOTIVE, AND MANUFACTURING. THE MEDIAN HOUSEHOLD INCOME, BASED ON POPULATION, IN VOLUSIA COUNTY IS APPROXIMATELY $40,818. HIGH SCHOOL GRADUATES ACCOUNT FOR APPROXIMATELY 88.9% OF VOLUSIA COUNTY WITH AN ESTIMATED 22.5% HAVING A BACHELOR'S DEGREE OR HIGHER. IT IS ESTIMATED THAT 11.7% OF THE FAMILIES RESIDING IN VOLUSIA COUNTY LIVE BELOW THE POVERTY LEVEL AND THE UNEMPLOYMENT RATE IS ABOUT 5%.OCEANSIDE HAS A LONG HISTORY OF COMMUNITY SUPPORT AND SERVICES WHICH INCLUDES MEDICAL/SURGICAL CARE AND THE OPERATION OF PENINSULA REHABILITATION CENTER, VOLUSIA COUNTY'S ONLY INPATIENT REHABILITATION CENTER. IT ALSO OFFERS AN OUTPATIENT REHAB UNIT, IMAGING SERVICES, LABORATORY SERVICES, AND CARDIOPULMONARY SERVICES. UNFORTUNATELY, DUE TO HURRICANE IRMA IN SEPTEMBER 2017, OCEANSIDE HAD TO CLOSE ITS LOCATION.
PART VI, LINE 5:	THE PROVISION OF COMMUNITY BENEFIT IS CENTRAL TO THE FILING ORGANIZATION'S MISSION OF SERVICE AND COMPASSION. RESTORING AND PROMOTING THE HEALTH AND QUALITY OF LIFE OF THOSE IN THE COMMUNITIES SERVED BY THE FILING ORGANIZATION IS A FUNCTION OF "EXTENDING THE HEALING MINISTRY OF CHRIST AND EMBODIES THE FILING ORGANIZATION'S COMMITMENT TO ITS VALUES AND PRINCIPLES. THE FILING ORGANIZATION COMMITS SUBSTANTIAL RESOURCES TO PROVIDE A BROAD RANGE OF SERVICES TO BOTH THE UNDERPRIVILEGED AS WELL AS THE BROADER COMMUNITY. IN ADDITION TO THE COMMUNITY BENEFIT AND COMMUNITY BUILDING INFORMATION PROVIDED IN PARTS I, II AND III OF THIS SCHEDULE H, THE FILING ORGANIZATION CAPTURES AND REPORTS THE BENEFITS PROVIDED TO ITS COMMUNITIES THROUGH FAITH-BASED CARE. EXAMPLES OF SUCH BENEFITS INCLUDE THE COST ASSOCIATED WITH CHAPLAINCY CARE PROGRAMS AND MISSION PEER REVIEWS AND MISSION CONFERENCES. DURING THE CURRENT YEAR, THE FILING ORGANIZATION PROVIDED $686,535 OF BENEFIT WITH RESPECT TO THE FAITH-BASED AND SPIRITUAL NEEDS OF ITS COMMUNITIES IN CONJUNCTION WITH ITS OPERATION OF 2 COMMUNITY HOSPITALS. THE FILING ORGANIZATION ALSO PROVIDES BENEFITS TO ITS COMMUNITY'S INFRASTRUCTURE BY INVESTING IN CAPITAL IMPROVEMENTS TO ENSURE THAT FACILITIES AND TECHNOLOGY PROVIDE THE BEST POSSIBLE CARE TO THE COMMUNITY. DURING THE CURRENT YEAR, THE FILING ORGANIZATION EXPENDED $11,324,058 IN NEW CAPITAL IMPROVEMENTS. AS FAITH-BASED MISSION-DRIVEN COMMUNITY HOSPITALS, THE FILING ORGANIZATION 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 FILING ORGANIZATION ARE CONTINUALLY BEING INVESTED IN RESOURCES THAT IMPROVE THE AVAILABILITY AND QUALITY OF DELIVERY OF HEALTH CARE SERVICES AND PROGRAMS TO ITS COMMUNITIES.
PART VI, LINE 6:	THE FILING ORGANIZATION IS A PART OF A FAITH-BASED HEALTHCARE SYSTEM OF ORGANIZATIONS WHOSE PARENT IS ADVENTIST HEALTH SYSTEM SUNBELT HEALTHCARE CORPORATION (AHSSHC). THE SYSTEM IS KNOWN AS ADVENTIST HEALTH SYSTEM (AHS). AHSSHC IS AN ORGANIZATION EXEMPT FROM FEDERAL INCOME TAX UNDER IRC SECTION 501(C)(3). AHSSHC AND ITS SUBSIDIARY ORGANIZATIONS OPERATE 43 HOSPITALS THROUGHOUT THE U.S., PRIMARILY IN THE SOUTHEASTERN PORTION OF THE U.S. AHSSHC AND ITS SUBSIDIARIES ALSO OPERATE 15 NURSING HOME FACILITIES AND OTHER ANCILLARY HEALTH CARE PROVIDER FACILITIES, SUCH AS AMBULATORY SURGERY CENTERS AND DIAGNOSTIC IMAGING CENTERS. 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 IT, CORPORATE COMPLIANCE, LEGAL, REIMBURSEMENT, RISK MANAGEMENT, AND TAX AS WELL AS TREASURY FUNCTIONS. CERTAIN SUPPORT SERVICES, SUCH AS HUMAN RESOURCES, PAYROLL, A/P, AND SUPPLY CHAIN MANAGEMENT ARE PROVIDED PURSUANT TO A SHARED SERVICES MODEL BY AHSSHC TO ITS SUBSIDIARY ORGANIZATIONS. THE PROVISION OF THESE EXECUTIVE AND SUPPORT SERVICES ON A CENTRALIZED BASIS BY AHSSHC PROVIDES AN APPROPRIATE BALANCE BETWEEN PROVIDING EACH 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 AN 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 (11 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Non Cash AssistanceNonCashAssistanceAmt	Valuation Method UsedValuationMethodUsedDesc	Non Cash AssistanceNonCashAssistanceDesc	Purpose Of GrantPurposeOfGrantTxt	Cash GrantCashGrantAmt
MEMORIAL HEALTH SYSTEMS FOUNDATION INC
301 MEMORIAL MEDICAL PKWY	DAYTONA BEACH	FL	32117	311771522	501(C)(3)	$257,950	COST	GENERAL ADMINISTRATIVE SUPPORT	PROVISION OF GENERAL ADMINISTRATIVE SUPPORT
AMERICAN HEART ASSOCIATION INC
7272 GREENVILLE AVE	DALLAS	TX	75231	135613797	501(C)(3)				GENERAL SUPPORT	$12,000
DAYTONA STATE COLLEGE FOUNDATION INC
1200 W INTL SPEEDWAY BLVD 302	DAYTONA BEACH	FL	32114	591581805	501(C)(3)				GENERAL SUPPORT	$5,627
ORMOND BEACH CHAMBER OF COMMERCE
165 WEST GRANADA BLVD	ORMOND BEACH	FL	32174	590618671	501(C)(6)				GENERAL SUPPORT	$15,600
CITY OF DAYTONA BEACH
301 S RIDGEWOOD AVE	DAYTONA BEACH	FL	32114	596000304	GOVERNMENTAL				GENERAL SUPPORT	$9,000
DAYTONA REGIONAL CHAMBER OF COMMERCE INC
126 E ORANGE AVE	DAYTONA BEACH	FL	32114	590215990	501(C)(6)				GENERAL SUPPORT	$9,800
AMERICAN CANCER SOCIETY FLORIDA DIVISION
555 11TH STREET NW	WASHINGTON	DC	20004	522340031	501(C)(3)				GENERAL SUPPORT	$9,375
ORMOND MAINSTREET INC
PO BOX 2917	ORMOND BEACH	FL	32175	593311218	501(C)(3)				GENERAL SUPPORT	$8,000
EARLY LEARNING COALITION OF FLAGLER AND VOLUSIA COUNTY
135 EXECUTIVE CIRCLE 100	DAYTONA BEACH	FL	32114	593646549	501(C)(3)				GENERAL SUPPORT	$5,500
FOOD BRINGS HOPE INC
2379 BEVILLE ROAD	DAYTONA BEACH	FL	32119	455480270	501(C)(3)				GENERAL SUPPORT	$10,000
UNIVERSITY OF CENTRAL FLORIDA FOUNDATION INC
12424 RESEARCH PARKWAY 250	ORLANDO	FL	32826	596211832	501(C)(3)				GENERAL SUPPORT	$75,000

Field	Value	IRS element (for citing)
Total501c3 Org	9	Total501c3OrgCnt
Total Other Org	2	TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

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

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Travel For Companions	Yes (X)	TravelForCompanionsInd
Idemnification Gross Up Pmts	Yes (X)	IdemnificationGrossUpPmtsInd
Discretionary Spending Acct	Yes (X)	DiscretionarySpendingAcctInd
Housing Allowance Or Residence	Yes (X)	HousingAllowanceOrResidenceInd
Written Policy Ref T And E Expnss	Yes (1)	WrittenPolicyRefTAndEExpnssInd
Substantiation Required	Yes (1)	SubstantiationRequiredInd
Severance Payment	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 (24 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
DAVID OTTATI
DIR/PRES/CHAIRMAN (BEG 6/17, END PRE	$0	$531,508	$0	$97,517	$0	$73,164	$0	$94,017	$0	$49,637	$0	$845,843	$0	$50,373
ROBERT FULBRIGHT
DIR/CHAIR/TREAS (END 4/17)	$0	$181,596	$0	$176,596	$0	$1,641,472	$0	$80,374	$0	$14,576	$0	$2,094,614	$0	$74,925
TODD GOODMAN
DIR/SEC (BEG 2/17, SEC END 9/17)	$0	$566,406	$0	$113,656	$0	$72,815	$0	$84,873	$0	$54,388	$0	$892,138	$0	$29,839
LARS HOUMANN
DIRECTOR (BEG 12/17)	$0	$1,195,114	$0	$354,332	$0	$881,514	$0	$261,265	$0	$68,311	$0	$2,760,536	$0	$205,694
SANDRA K JOHNSON
DIRECTOR (END 12/17)	$0	$646,902	$0	$174,636	$0	$565,339	$0	$105,153	$0	$62,987	$0	$1,555,017	$0	$53,840
KENNETH MATTISON
DIRECTOR (END 9/17)	$0	$396,399	$0	$42,889	$0	$162,707	$0	$52,533	$0	$46,291	$0	$700,819	$0	$37,546
ED NOSEWORTHY
DIRECTOR/CEO	$0	$425,482	$0	$45,995	$0	$279,161	$0	$77,906	$0	$42,385	$0	$870,929	$0	$47,988
RON RASMUSSEN MD
DIRECTOR	$0	$442,523	$0	$3,053	$0	$20,122	$0	$14,562	$0	$22,985	$0	$503,245	$0	$0
JULIE SCHNEIDER MD
DIRECTOR	$0	$498,185	$0	$468,477	$0	$20,292	$0	$14,562	$0	$9,190	$0	$1,010,706	$0	$0
EDDIE SOLER
DIRECTOR/SEC (END 2/17)	$0	$707,943	$0	$218,334	$0	$457,183	$0	$148,561	$0	$40,535	$0	$1,572,556	$0	$104,577
DEBORA THOMAS
REGION CFO, DIR BEG 12/17/SEC BEG 9/	$0	$411,606	$0	$40,903	$0	$635,393	$0	$46,359	$0	$52,052	$0	$1,186,313	$0	$19,916
DARYL TOL
DIR/SEC (BEG 9/17, END SEC 12/17)	$0	$973,114	$0	$228,725	$0	$126,355	$0	$187,314	$0	$58,470	$0	$1,573,978	$0	$69,647
JERMAINE BUCKNOR
CFO (END 9/17)	$0	$197,510	$0	$19,987	$0	$46,541	$0	$13,534	$0	$33,952	$0	$311,524	$0	$62
TRISHA CELANO
REGION CCO	$0	$348,034	$0	$66,020	$0	$38,945	$0	$35,996	$0	$35,634	$0	$524,629	$0	$10,235
DARLINDA COPELAND
COO	$0	$333,495	$0	$24,167	$0	$48,678	$0	$47,459	$0	$22,417	$0	$476,216	$0	$22,400
MICHELE GOEB-BURKETT
CNO	$0	$246,420	$0	$18,133	$0	$25,041	$0	$27,250	$0	$46,482	$0	$363,326	$0	$11,040
KRISTEN GRAY MD
CMO	$0	$342,915	$0	$25,657	$0	$97,391	$0	$47,101	$0	$51,790	$0	$564,854	$0	$16,369
WILLIAM COLLINS
MEDICAL PHYSICIST	$196,037	$0	$0	$0	$5,134	$0	$10,198	$0	$9,790	$0	$221,159	$0	$0	$0
JOHN DORR
CHIEF PHYSICIST	$194,531	$0	$0	$0	$948	$0	$10,617	$0	$29,693	$0	$235,789	$0	$0	$0
MARSHALL HUGHEY
DIRECTOR OF PHARMACY	$164,170	$0	$0	$0	$10,782	$0	$8,667	$0	$24,610	$0	$208,229	$0	$0	$0
PATRICK CONNER
CERTIFIED RN ANESTHITIST	$144,208	$0	$13,757	$0	$9,171	$0	$8,313	$0	$9,591	$0	$185,040	$0	$0	$0
IMELDA UNTO
EF-ADMIN ONCOLOGY SERVICES	$156,212	$0	$0	$0	$10,779	$0	$8,428	$0	$22,941	$0	$198,360	$0	$0	$0
NIGEL HINDS
FORMER CFO	$0	$256,331	$0	$23,357	$0	$28,944	$0	$22,323	$0	$44,773	$0	$375,728	$0	$16,923
RONALD JIMENEZ MD
FORMER CMO	$0	$371,856	$0	$28,645	$0	$52,373	$0	$36,324	$0	$49,243	$0	$538,441	$0	$16,846

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 CERTAIN EXECUTIVE LEADERS AND IS USUALLY LIMITED TO ONE BUSINESS TRIP PER YEAR BEYOND THE ANNUAL AHS PRESIDENT'S COUNCIL BUSINESS MEETING AND OTHER MEETINGS WHERE THE SPOUSE IS SPECIFICALLY INVITED. THE AHSSHC CORPORATE EXECUTIVE SPOUSAL TRAVEL POLICY WAS ORIGINALLY APPROVED AND REVIEWED BY THE AHSSHC BOARD COMPENSATION COMMITTEE, AN INDEPENDENT BODY OF THE AHSSHC BOARD OF DIRECTORS. ALL SPOUSAL TRAVEL COSTS REIMBURSED TO THE EXECUTIVE ARE CONSIDERED TAXABLE COMPENSATION TO THE EXECUTIVE. TAX INDEMNIFICATION AND GROSS-UP PAYMENTS: AHS HAS A SYSTEM-WIDE POLICY ADDRESSING GROSS-UP PAYMENTS PROVIDED IN CONNECTION WITH EMPLOYER-PROVIDED BENEFITS/OTHER TAXABLE ITEMS. UNDER THE POLICY, CERTAIN TAXABLE BUSINESS-RELATED REIMBURSEMENTS (I.E. TAXABLE BUSINESS-RELATED MOVING EXPENSES, TAXABLE ITEMS PROVIDED IN CONNECTION WITH EMPLOYMENT) PROVIDED TO ANY EMPLOYEE MAY BE GROSSED-UP AT A 25% RATE UPON APPROVAL OF THE FILING ORGANIZATION'S CEO AND CFO. ADDITIONALLY, EMPLOYEES AT THE DIRECTOR LEVEL AND ABOVE ARE ELIGIBLE FOR GROSS-UP PAYMENTS ON GIFTS RECEIVED FOR BOARD OF DIRECTOR SERVICES. DISCRETIONARY SPENDING ACCOUNT: A NOMINAL DISCRETIONARY SPENDING AMOUNT WAS PROVIDED IN THE CURRENT YEAR TO ALL ELIGIBLE EXECUTIVES WHO ATTEND THE ANNUAL AHS PRESIDENT'S COUNCIL BUSINESS MEETING ($500 PER EXECUTIVE) OR THE ANNUAL AHS CFO CONFERENCE OR CMO/CNO BUSINESS MEETING ($300 PER EXECUTIVE). OTHER DISCRETIONARY SPENDING ACCOUNTS MAY BE PROVIDED IN CONNECTION WITH OTHER AHS SPONSORED CONFERENCES BUT TYPICALLY DO NOT EXCEED $200 PER PARTICIPANT. WITH RESPECT TO THE AHS PRESIDENT'S COUNCIL MEETING, ELIGIBLE EXECUTIVES MAY INCLUDE AHSSHC VICE PRESIDENTS AND ABOVE AND ALL AHSSHC SUBSIDIARY ORGANIZATION CEOS AND REGIONAL CFOS. THE PAYMENT PROVIDED TO EACH EXECUTIVE WAS CONSIDERED TAXABLE COMPENSATION TO THE EXECUTIVE. HOUSING ALLOWANCE OR RESIDENCE FOR PERSONAL USE: AHSSHC HAS A CORPORATE EXECUTIVE POLICY THAT ADDRESSES ASSISTANCE TO EXECUTIVES WHO HAVE BEEN RELOCATED BY THE COMPANY DURING THE YEAR. RELOCATION ASSISTANCE PROVIDED TO EXECUTIVES MAY INCLUDE RELOCATION ALLOWANCES TO ASSIST WITH DUPLICATE HOUSING EXPENSES. RELOCATION ASSISTANCE IS ADMINISTERED PER AHSSHC POLICY BY AN EXTERNAL RELOCATION COMPANY. ANY TAXABLE REIMBURSEMENTS MADE TO EXECUTIVES IN CONNECTION WITH RELOCATION ASSISTANCE ARE TREATED AS WAGES TO THE EXECUTIVE AND ARE SUBJECT TO ALL PAYROLL WITHHOLDING AND REPORTING REQUIREMENTS.
PART I, LINE 3	THE 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 A SPLIT DOLLAR LIFE INSURANCE POLICY AND LONG-TERM CARE INSURANCE, TO INDIVIDUALLY TAILOR A BENEFITS PROGRAM APPROPRIATE TO EACH EXECUTIVE'S NEEDS. THE PLAN PROVIDES ELIGIBLE PARTICIPANTS A PRE-DETERMINED BENEFITS ALLOWANCE CREDIT THAT IS EQUAL TO A PERCENTAGE OF THE EXECUTIVE'S BASE PAY FROM WHICH IS DEDUCTED THE COST OF MANDATORY AND ELECTIVE EMPLOYEE BENEFITS. THE PRE-DETERMINED BENEFITS ALLOWANCE CREDIT PERCENTAGE IS APPROVED BY THE AHSSHC BOARD COMPENSATION COMMITTEE, AN INDEPENDENT COMMITTEE OF THE BOARD OF DIRECTORS OF AHSSHC. ANY FUNDS THAT REMAIN AFTER THE COST OF MANDATORY AND ELECTIVE BENEFITS ARE SUBTRACTED FROM THE ANNUAL PRE-DETERMINED BENEFITS ALLOWANCE ARE CONTRIBUTED, AT THE EMPLOYEE'S OPTION, TO EITHER AN IRC 457(F) DEFERRED COMPENSATION ACCOUNT OR TO AN IRC 457(B) ELIGIBLE DEFERRED COMPENSATION PLAN. UPON ATTAINMENT OF AGE 65, ALL PREVIOUS 457(F) DEFERRED AMOUNTS ARE PAID IMMEDIATELY TO THE PARTICIPANT AND ANY FUTURE EMPLOYER CONTRIBUTIONS ARE MADE QUARTERLY FROM THE PLAN DIRECTLY TO THE PARTICIPANT. THE PLAN DOCUMENTS DEFINE AN EMPLOYEE WHO IS ELIGIBLE TO PARTICIPATE IN THE PLAN TO GENERALLY INCLUDE THE CHIEF EXECUTIVE OFFICERS OF AHS ENTITIES AND VICE PRESIDENTS OF ALL AHS ENTITIES WHOSE BASE SALARY IS AT LEAST $243,000. THE PLAN PROVIDES FOR A CLASS YEAR VESTING SCHEDULE (2 YEARS FOR EACH CLASS YEAR) WITH RESPECT TO AMOUNTS ACCUMULATED IN THE EXECUTIVE'S 457(F) DEFERRED COMPENSATION ACCOUNT. DISTRIBUTIONS COULD ALSO BE MADE FROM THE EXECUTIVE'S 457(F) DEFERRED COMPENSATION ACCOUNT UPON ATTAINMENT OF AGE 65 OR UPON AN INVOLUNTARY SEPARATION. THE ACCOUNT IS FORFEITED BY THE EXECUTIVE UPON A VOLUNTARY SEPARATION. IN ADDITION TO THE PLAN, AHS HAS INSTITUTED A DEFINED BENEFIT, NON-TAX-QUALIFIED DEFERRED COMPENSATION PLAN FOR CERTAIN EXECUTIVES WHO HAVE PROVIDED LENGTHY SERVICE TO AHS AND/OR TO OTHER SEVENTH-DAY ADVENTIST CHURCH HOSPITALS OR HEALTH CARE INSTITUTIONS. PARTICIPATION IN THE PLAN IS OFFERED TO AHS EXECUTIVES ON A PRORATA SCHEDULE BEGINNING WITH 20 YEARS OF SERVICE AS AN EMPLOYEE OF AHS AND/OR ANOTHER HOSPITAL OR HEALTH CARE INSTITUTION CONTROLLED BY THE SEVENTH-DAY ADVENTIST CHURCH AND WHO SATISFY CERTAIN OTHER QUALIFYING CRITERIA. THIS SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP) WAS DESIGNED TO PROVIDE ELIGIBLE EXECUTIVES WITH THE ECONOMIC EQUIVALENT OF AN ANNUAL INCOME BEGINNING AT NORMAL RETIREMENT AGE EQUAL TO 60% OF THE AVERAGE OF THE PARTICIPANT'S THREE, FIVE OR SEVEN HIGHEST YEARS OF BASE SALARY FROM AHS ACTIVE EMPLOYMENT INCLUSIVE OF INCOME FROM ALL OTHER SEVENTH-DAY ADVENTIST CHURCH HEALTHCARE EMPLOYER-FINANCED RETIREMENT INCOME SOURCES AND INVESTMENT INCOME EARNED ON THOSE CONTRIBUTIONS THROUGH SOCIAL SECURITY NORMAL RETIREMENT AGE AS DEFINED IN THE PLAN. THE NUMBER OF YEARS INCLUDED IN HIGHEST AVERAGE COMPENSATION IS DETERMINED BY THE INDIVIDUAL'S YEAR OF ENTRY TO THE SERP AND BY THE INDIVIDUAL'S YEAR OF ENTRY TO THE AHS EXECUTIVE FLEX BENEFIT PROGRAM. ADDITIONALLY, IN 2017 AHS ADOPTED A SENIOR EXECUTIVE DEATH BENEFIT (SEDB) PLAN IN RECOGNITION OF THE CONSIDERABLE AGE AND SERVICE REQUIREMENTS IN THE SERP. THE SEDB PLAN PROVIDES A BENEFIT IN AN AMOUNT EQUAL TO THE AMOUNT THE EXECUTIVE'S BENEFIT WOULD HAVE BEEN UNDER THE SERP PLAN ASSUMING THAT, ON THE DATE OF THE EXECUTIVE'S DEATH (AND NOT BEFORE), THE EXECUTIVE SATISFIED THE LAST OF THE ELIGIBILITY REQUIREMENTS OF THE SERP PLAN WITH PRESENT VALUE RECOGNIZING AN EARLY BENEFIT COMMENCEMENT. AN ELIGIBLE EXECUTIVE BECOMES A PARTICIPANT IN THE SEDB PLAN IF THE EXECUTIVE DIES PRIOR TO TERMINATION OF EMPLOYMENT, PROVIDED THE EXECUTIVE HAS NOT SATISFIED ALL OF THE ELIGIBILITY REQUIREMENTS OF SERP AS OF THE EXECUTIVE'S DATE OF DEATH BUT WOULD HAVE SATISFIED ALL OF THOSE REQUIREMENTS WITHIN FIVE (5) YEARS FOLLOWING DEATH HAD THE EXECUTIVE LIVED AND CONTINUED EMPLOYMENT. THE SEDB PLAN WAS REVIEWED AND APPROVED BY THE AHSSHC BOARD COMPENSATION COMMITTEE, AN INDEPENDENT BODY OF THE AHSSHC BOARD OF DIRECTORS. FLEX PLAN FLEX PLAN/ SERP 457(B) CY SEDB CY EMPLOYER CY CONTRIB./ DISTR.* DISTR. CONTRIB. DISTR.* PAYMENT --------------------------------------------------------------------------- OTTATI, DAVID A. $ 79,455 $ 54,143 $ 0 $ 0 $ 0 HOUMANN, LARS D. $246,703 $217,552 $608,036 $ 0 $ 0 JOHNSON, SANDRA K. $108,591 $ 61,717 $449,668 $ 0 $ 0 NOSEWORTHY, ED $ 63,344 $ 51,099 $202,405 $ 0 $ 0 TOL, DARYL L. $190,752 $ 76,082 $ 0 $ 0 $ 0 FULBRIGHT, ROBERT D. $ 67,085 $229,578 $ 0 $ 0 $1,054,221 THOMAS, DEBORA H. $ 49,797 $ 20,019 $578,762 $ 0 $ 0 MATTISON, KENNETH $ 55,971 $ 41,979 $ 72,116 $ 0 $ 0 GRAY, MD, KRISTEN D. $ 32,539 $ 16,454 $ 0 $ 0 $ 0 CELANO, PATRICIA $ 44,428 $ 10,926 $ 0 $ 0 $ 0 COPELAND, DARLINDA G.$ 50,897 $ 22,638 $ 0 $ 0 $ 0 GOEB-BURKETT, MICHELE$ 12,688 $ 12,252 $ 0 $ 0 $ 0 GOODMAN, TODD A. $ 88,311 $ 32,813 $ 0 $ 0 $ 0 SOLER, EDDIE $ 133,999 $ 114,569 $303,339 $ 0 $ 0 BUCKNOR, JERMAINE $ 10,114 $ 584 $ 0 $ 0 $ 0 HINDS, NIGEL E. $ 13,161 $ 18,187 $ 0 $ 0 $ 0 JIMENEZ, RONALD $ 39,762 $ 16,933 $ 0 $ 0 $ 0 *INCLUDING INVESTMENT EARNINGS

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 HEALTH SYSTEMS, 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) FUNCTION FOR ALL AHSSHC SUBSIDIARY ORGANIZATIONS. THE FILING ORGANIZATION HAS ENTERED "0" IN PART V, LINE 1A BECAUSE THE FILING ORGANIZATION NO LONGER ISSUES FORM 1099 RETURNS, RATHER, ALL SUCH RETURNS ARE FILED BY AND UNDER THE NAME AND EIN OF AHSSHC AS THE PAYOR SUBJECT TO THE INFORMATION REPORTING REQUIREMENTS OF SECTION 6041. THE FACTS AND CIRCUMSTANCES SUPPORT A POSITION THAT AHSSHC, AS A PAYOR ON BEHALF OF ITS SUBSIDIARY ORGANIZATIONS IN A SHARED SERVICE ENVIRONMENT, WILL HAVE SUFFICIENT MANAGEMENT AND OVERSIGHT IN CONNECTION WITH THE SUBSIDIARY ORGANIZATIONS' PAYMENTS TO MEET THE STANDARD SET FORTH IN TREAS. REG. SECTION 1.6041-1(E). AHSSHC WILL NOT MERELY BE MAKING PAYMENTS AT THE DIRECTION OF ITS SUBSIDIARY ORGANIZATIONS. ACCORDINGLY, AHSSHC IS CONSIDERED THE PAYOR SUBJECT TO THE INFORMATION REPORTING REQUIREMENTS OF SECTION 6041.
FORM 990, PART VI, SECTION A, LINE 6	MEMORIAL HEALTH SYSTEMS, INC. (THE FILING ORGANIZATION) HAS ONE MEMBER. THE SOLE MEMBER OF THE FILING ORGANIZATION IS ADVENTIST HEALTH SYSTEM/SUNBELT, INC. ADVENTIST HEALTH SYSTEM/SUNBELT, INC.(AHSSI) IS A FLORIDA, NOT-FOR-PROFIT CORPORATION THAT IS EXEMPT FROM FEDERAL INCOME TAX UNDER INTERNAL REVENUE CODE (IRC) SECTION 501(C)(3). THERE ARE NO OTHER CLASSES OF MEMBERSHIP IN THE FILING ORGANIZATION.
FORM 990, PART VI, SECTION A, LINE 7A	THE SOLE MEMBER OF THE FILING ORGANIZATION IS AHSSI. THE BOARD OF DIRECTORS OF THE FILING ORGANIZATION ARE APPOINTED BY THE SOLE MEMBER, AHSSI, 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	AHSSI, AS THE SOLE MEMBER OF THE FILING ORGANIZATION, HAS CERTAIN RESERVED POWERS AS SET FORTH IN THE BYLAWS OF THE FILING ORGANIZATION. THESE RESERVED POWERS INCLUDE THE FOLLOWING: A) TO APPROVE AND DISAPPROVE THE EXECUTIVE AND/OR ADMINISTRATIVE LEADERSHIP OF THE FILING ORGANIZATION, AND THEIR SALARIES; B) TO ADOPT, AMEND, RESTATE, AND REPEAL THE ARTICLES OF INCORPORATION OR BYLAWS OF THE FILING ORGANIZATION; C) TO SET LIMITS AND TERMS FOR THE BORROWING OF FUNDS; D) TO APPROVE OR DISAPPROVE THE PURCHASE OR SALE OF PERSONAL PROPERTY OR REAL PROPERTY EQUAL TO OR IN EXCESS OF CERTAIN DOLLAR AMOUNT THRESHOLDS; E) TO APPROVE OR DISAPPROVE THE ANNUAL OPERATING AND CAPITAL BUDGETS OF THE FILING ORGANIZATION; F) TO DIRECT THE PLACEMENT OF FUNDS AND CAPITAL OF THE FILING ORGANIZATION; G) TO ESTABLISH GENERAL GUIDING POLICIES, TO IMPLEMENT QUALITY ASSESSMENT, IMPROVEMENT AND UTILIZATION REVIEW PROGRAMS; H) TO APPROVE THE APPOINTMENT OF AN AUDITING FIRM AND ELECTION OF THE FISCAL YEAR FOR THE FILING ORGANIZATION; AND I) TO ESTABLISH A PROCESS FOR ADDRESSING PATIENT GRIEVANCES.
FORM 990, PART VI, SECTION B, LINE 11B	THE FILING ORGANIZATION'S CURRENT YEAR FORM 990 WAS REVIEWED BY THE BOARD CHAIRMAN, BOARD FINANCE COMMITTEE CHAIR, CEO AND BY THE CFO PRIOR TO ITS FILING WITH THE IRS. THE REVIEW CONDUCTED BY THE BOARD CHAIRMAN, BOARD FINANCE COMMITTEE CHAIR, CEO AND THE CFO DID NOT INCLUDE THE REVIEW OF ANY SUPPORTING WORKPAPERS THAT WERE USED IN PREPARATION OF THE CURRENT YEAR FORM 990, BUT DID INCLUDE A REVIEW OF THE ENTIRE FORM 990 AND ALL SUPPORTING SCHEDULES.
FORM 990, PART VI, SECTION B, LINE 12C	THE CONFLICT OF INTEREST POLICY OF THE FILING ORGANIZATION APPLIES TO MEMBERS OF ITS BOARD OF DIRECTORS AND ITS PRINCIPAL OFFICERS (TO BE KNOWN AS INTERESTED PERSONS). IN CONNECTION WITH ANY ACTUAL OR POSSIBLE CONFLICTS OF INTEREST, ANY MEMBER OF THE BOARD OF DIRECTORS OF THE FILING ORGANIZATION OR ANY PRINCIPAL OFFICER OF THE FILING ORGANIZATION (I.E. INTERESTED PERSONS) MUST DISCLOSE THE EXISTENCE OF ANY FINANCIAL INTEREST WITH THE FILING ORGANIZATION AND MUST BE GIVEN THE OPPORTUNITY TO DISCLOSE ALL MATERIAL FACTS CONCERNING THE FINANCIAL INTEREST/ARRANGEMENT TO THE BOARD OF DIRECTORS OF THE FILING ORGANIZATION OR TO ANY MEMBERS OF A COMMITTEE WITH BOARD DELEGATED POWERS THAT IS CONSIDERING THE PROPOSED TRANSACTION OR ARRANGEMENT. SUBSEQUENT TO ANY DISCLOSURE OF ANY FINANCIAL INTEREST/ARRANGEMENT AND ALL MATERIAL FACTS, AND AFTER ANY DISCUSSION WITH THE RELEVANT BOARD MEMBER OR PRINCIPAL OFFICER, THE REMAINING MEMBERS OF THE BOARD OF DIRECTORS OR COMMITTEE WITH BOARD DELEGATED POWERS SHALL DISCUSS, ANALYZE, AND VOTE UPON THE POTENTIAL FINANCIAL INTEREST/ARRANGEMENT TO DETERMINE IF A CONFLICT OF INTEREST EXISTS. ACCORDING TO THE FILING ORGANIZATION'S CONFLICT OF INTEREST POLICY, AN INTERESTED PERSON MAY MAKE A PRESENTATION TO THE BOARD OF DIRECTORS (OR COMMITTEE WITH BOARD DELEGATED POWERS), BUT AFTER SUCH PRESENTATION, SHALL LEAVE THE MEETING DURING THE DISCUSSION OF, AND THE VOTE ON, THE TRANSACTION OR ARRANGEMENT THAT RESULTS IN A CONFLICT OF INTEREST. EACH INTERESTED PERSON, AS DEFINED UNDER THE FILING ORGANIZATION'S CONFLICT OF INTEREST POLICY, SHALL ANNUALLY SIGN A STATEMENT WHICH AFFIRMS THAT SUCH PERSON HAS RECEIVED A COPY OF THE CONFLICT OF 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 TRUSTEE MEMBERS (EXCLUDING PHYSICIAN 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. PHYSICIAN MEMBERS OF THE BOARD OF DIRECTORS RECEIVED COMPENSATION FROM RELATED ORGANIZATIONS AS A RESULT OF PROVIDING VARIOUS MEDICAL SERVICES TO THOSE RELATED ENTITIES.
PART VIII, LINES 7A, B AND C:	THE AMOUNTS SHOWN IN PART VIII, LINES 7A AND 7C OF THE FORM 990 REPRESENTS AN ALLOCATED SHARE OF CAPITAL GAIN/(LOSS) FROM A SYSTEM WIDE, CORPORATE ADMINISTERED, INVESTMENT PROGRAM.
FORM 990, PART IX, LINE 11G	PAYMENTS TO HEALTHCARE PROFESSIONALS: PROGRAM SERVICE EXPENSES 10,202,188. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 10,202,188. PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 1,125,621. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,125,621. PURCHASED MEDICAL SERVICES: PROGRAM SERVICE EXPENSES 32,615,624. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 32,615,624. ENVIRONMENTAL SERVICES: PROGRAM SERVICE EXPENSES 1,998,049. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,998,049. TRANSCRIPTION SERVICES: PROGRAM SERVICE EXPENSES 167,985. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 167,985. RECRUITING: PROGRAM SERVICE EXPENSES 103,987. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 103,987. FOOD SERVICE CONTRACTS: PROGRAM SERVICE EXPENSES 6,188. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 6,188. MISCELLANEOUS PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 5,823,851. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 5,823,851. AHS MANAGEMENT FEES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 5,393,215. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 5,393,215. BILLING & COLLECTION SERVICES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 1,102,809. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,102,809. EHR MANAGEMENT FEES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 25,872. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 25,872. AHS SHARED SERVICES FEES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 2,932,096. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,932,096.
PART X, LINE 2	THE AMOUNTS SHOWN ON LINE 2 OF PART X OF THIS RETURN INCLUDE THE FILING ORGANIZATION'S INTEREST IN A CENTRAL INVESTMENT POOL MAINTAINED BY ADVENTIST HEALTH SYSTEM SUNBELT HEALTHCARE CORPORATION, THE FILING ORGANIZATION'S TOP-TIER PARENT. THE INVESTMENTS IN THE CENTRAL INVESTMENT POOL ARE RECORDED AT MARKET VALUE.
FORM 990, PART XI, LINE 9:	ALLOCATION WITH RESPECT TO DEBT TO TAX-EXEMPT PARENT 239,522. TRANSFER TO TAX-EXEMPT TOP-TIER PARENT CORPORATION -3,306,088. CHANGE IN INVESTMENT IN RELATED FOUNDATION 458,789. GIFTS 401,111. TRANSFER TO/FROM TAX-EXEMPT BROTHER/SISTER CORPORATION 2,979,775. TRANSFER TO TAX-EXEMPT PARENT CORPORATION -4,655,899. IMPAIRMENT LOSS ON OCEANSIDE HOSPITAL FACILITY -3,788,659. ROUNDING 5.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (102 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd	Direct Controlling NADirectControllingNACd
ADVENTIST BOLINGBROOK HOSPITAL
500 REMINGTON BLVD	BOLINGBROOK	IL	60440	651219504	OPERATION OF HOSPITAL & RELATED SERVICES	IL	501(C)(3)	LINE 3	ADVENTIST MIDWEST HEALTH	Yes (1)
ADVENTIST CARE CENTERS - COURTLAND INC
730 COURTLAND STREET	ORLANDO	FL	32804	205774723	OPERATION OF HOME FOR THE AGED/HLTHCARE DELIVERY	FL	501(C)(3)	LINE 10	SUNBELT HLTH CARE CENTERS INC	Yes (1)
ADVENTIST GLENOAKS HOSPITAL
701 WINTHROP AVENUE	GLENDALE HEIGHTS	IL	60139	363208390	OPERATION OF HOSPITAL & RELATED SERVICES	IL	501(C)(3)	LINE 3	ADVENTIST MIDWEST HEALTH	Yes (1)
ADVENTIST HLTH MID-AMERICA INC
9100 W 74TH STREET	SHAWNEE MISSION	KS	66204	521347407	SUPPORT OF AFFILIATED HOSPITAL	KS	501(C)(3)	LINE 12C, III-FI	ADVENTIST HLTH SYSTEMSUNBELT INC	Yes (1)
ADVENTIST HLTH PARTNERS INC
2601 NAVISTAR DR BLDG 4 FINANCE	LISLE	IL	60532	364138353	OPERATION OF PHYSICIAN PRACTICES & MEDICAL SERVICES	IL	501(C)(3)	LINE 3	AHS MIDWEST MANAGEMENT INC	Yes (1)
ADVENTIST HLTH SYSTEM SUNBELT HLTHCARE CORP
900 HOPE WAY	ALTAMONTE SPRINGS	FL	32714	592170012	MANAGEMENT SERVICES	FL	501(C)(3)	LINE 12A, I		0	N/A
ADVENTIST HLTH SYSTEM GEORGIA INC
1035 RED BUD ROAD	CALHOUN	GA	30701	581425000	OPERATION OF HOSPITAL & RELATED SERVICES	GA	501(C)(3)	LINE 3	ADVENTIST HLTH SYSTEM SUNBELT HLTHCARE CORP	Yes (1)
ADVENTIST HLTH SYSTEMSUNBELT INC
900 HOPE WAY	ALTAMONTE SPRINGS	FL	32714	591479658	OPERATION OF HOSPITAL & RELATED SERVICES	FL	501(C)(3)	LINE 3	ADVENTIST HLTH SYSTEM SUNBELT HLTHCARE CORP	Yes (1)
ADVENTIST HLTH SYSTEMTEXAS INC
11801 S FREEWAY	BURLESON	TX	76028	742578952	LEASING PERSONNEL TO AFFILIATED HOSPITAL	TX	501(C)(3)	LINE 12C, III-FI	ADVENTIST HLTH SYSTEM SUNBELT HLTHCARE CORP	Yes (1)
ADVENTIST MIDWEST HEALTH
120 NORTH OAK STREET	HINSDALE	IL	60521	362276984	OPERATION OF HOSPITAL & RELATED SERVICES	IL	501(C)(3)	LINE 3	ADVENTIST HLTH SYSTEMSUNBELT INC	Yes (1)
ADVENTIST UNIVERSITY OF HEALTH SCIENCES INC (630 YEAR END)
671 LAKE WINYAH DRIVE	ORLANDO	FL	32803	593069793	EDUCATION/OPERATION OF SCHOOL	FL	501(C)(3)	LINE 2	ADVENTIST HLTH SYSTEMSUNBELT INC	Yes (1)
AHP SPECIALTY CARE NFP
2601 NAVISTAR DR BLDG 4 FINANCE	LISLE	IL	60532	811105774	OPERATION OF PHYSICIAN PRACTICES & MEDICAL SERVICES	IL	501(C)(3)	LINE 3	AHS MIDWEST MANAGEMENT INC	Yes (1)
AHS MIDWEST MANAGEMENT INC
2601 NAVISTAR DR BLDG 4 FINANCE	LISLE	IL	60532	363354567	OPERATION OF PHYSICIAN PRACTICE MGMT	IL	501(C)(3)	LINE 12A, I	ADVENTIST MIDWEST HEALTH	Yes (1)
AHSCENTRAL TEXAS INC
1301 WONDER WORLD DRIVE	SAN MARCOS	TX	78666	742621825	PROVIDE OFFICE SPACE - MEDICAL PROFESSIONALS	TX	501(C)(3)	LINE 12C, III-FI	ADVENTIST HLTH SYSTEM SUNBELT HLTHCARE CORP	Yes (1)
APOPKA HLTH CARE PROPERTIES INC
305 E OAK STREET	APOPKA	FL	32703	510605694	LEASE TO RELATED ORGANIZATION	GA	501(C)(3)	LINE 12C, III-FI	SUNBELT HLTH CARE CENTERS INC	Yes (1)
BATTLE CREEK ADVENTIST HOSPITAL
900 HOPE WAY	ALTAMONTE SPRINGS	FL	32714	381359189	INACTIVE	MI	501(C)(3)	LINE 3	ADVENTIST HLTH SYSTEMSUNBELT INC	Yes (1)
BOLINGBROOK HOSPITAL FOUNDATION
500 REMINGTON BLVD	BOLINGBROOK	IL	60440	900494445	FUND-RAISING FOR TAX-EXEMPT HOSPITAL	IL	501(C)(3)	LINE 7	MIDWEST HLTH FOUNDATION	0
BRADFORD HEIGHTS HLTH & REHAB CENTER INC
950 HIGHPOINT DRIVE	HOPKINSVILLE	KY	42240	205782342	OPERATION OF HOME FOR THE AGED/HLTHCARE DELIVERY	KY	501(C)(3)	LINE 10	SUNBELT HLTH CARE CENTERS INC	Yes (1)
BURLESON NURSING & REHAB CENTER INC
301 HUGULEY BLVD	BURLESON	TX	76028	205782243	OPERATION OF HOME FOR THE AGED/HLTHCARE DELIVERY	TX	501(C)(3)	LINE 10	SUNBELT HLTH CARE CENTERS INC	Yes (1)
CALDWELL HLTH CARE PROPERTIES INC
1333 WEST MAIN	PRINCETON	KY	42445	510605680	LEASE TO RELATED ORGANIZATION	GA	501(C)(3)	LINE 12C, III-FI	SUNBELT HLTH CARE CENTERS INC	Yes (1)
CENTRAL TEXAS HLTHCARE COLLABORATIVE
1301 WONDER WORLD DRIVE	SAN MARCOS	TX	78666	453739929	SUPPORT OPERATION OF HOSPITAL	TX	501(C)(3)	LINE 12A, I	ADVENTIST HLTH SYSTEMSUNBELT INC	Yes (1)
CENTURA HEALTH CORPORATION
9100 E MINERAL CIRCLE	CENTENNIAL	CO	80112	841335382	JOINT OPERATING COMPANY	CO	501(C)(3)	LINE 12A, I		0	N/A
CHICKASAW HLTH CARE PROPERTIES INC
250 S CHICKASAW TRAIL	ORLANDO	FL	32825	510605681	LEASE TO RELATED ORGANIZATION	GA	501(C)(3)	LINE 12C, III-FI	SUNBELT HLTH CARE CENTERS INC	Yes (1)
CHIPPEWA VALLEY HOSPITAL & OAKVIEW CARE CENTER INC
1220 THIRD AVENUE WEST	DURAND	WI	54736	391365168	OPERATION OF HOSPITAL & RELATED SERVICES	WI	501(C)(3)	LINE 3	ADVENTIST HLTH SYSTEMSUNBELT INC	Yes (1)
COURTLAND HLTH CARE PROPERTIES INC
730 COURTLAND STREET	ORLANDO	FL	32804	510605682	LEASE TO RELATED ORGANIZATION	GA	501(C)(3)	LINE 12C, III-FI	SUNBELT HLTH CARE CENTERS INC	Yes (1)
CREEKWOOD PLACE NURSING & REHAB CENTER INC
107 BOYLES DRIVE	RUSSELLVILLE	KY	42276	205782260	OPERATION OF HOME FOR THE AGED/HLTHCARE DELIVERY	KY	501(C)(3)	LINE 10	SUNBELT HLTH CARE CENTERS INC	Yes (1)
DAIRY ROAD HLTH CARE PROPERTIES INC
7350 DAIRY ROAD	ZEPHYRHILLS	FL	33540	510605684	LEASE TO RELATED ORGANIZATION	GA	501(C)(3)	LINE 12C, III-FI	SUNBELT HLTH CARE CENTERS INC	Yes (1)
EAST ORLANDO HLTH & REHAB CENTER INC
250 S CHICKASAW TRAIL	ORLANDO	FL	32825	205774748	OPERATION OF HOME FOR THE AGED/HLTHCARE DELIVERY	FL	501(C)(3)	LINE 10	SUNBELT HLTH CARE CENTERS INC	Yes (1)
EMORY-ADVENTIST INC
900 HOPE WAY	ALTAMONTE SPRINGS	FL	32714	582171011	INACTIVE	GA	501(C)(3)	LINE 3	ADVENTIST HLTH SYSTEMSUNBELT INC	Yes (1)
FLETCHER HOSPITAL INC
100 HOSPITAL DRIVE	HENDERSONVILLE	NC	28792	560543246	OPERATION OF HOSPITAL & RELATED SVCS	NC	501(C)(3)	LINE 3	ADVENTIST HLTH SYSTEM SUNBELT HLTHCARE CORP	Yes (1)
FLNC INC
3355 E SEMORAN BLVD	APOPKA	FL	32703	205774761	OPERATION OF HOME FOR THE AGED/HLTHCARE DELIVERY	FL	501(C)(3)	LINE 10	SUNBELT HLTH CARE CENTERS INC	Yes (1)
FLORIDA HOSPITAL DADE CITY INC (816-123117)
13100 FORT KING ROAD	DADE CITY	FL	33525	822567308	INACTIVE	FL	501(C)(3)	LINE 3	ADVENTIST HLTH SYSTEM SUNBELT HLTHCARE CORP	Yes (1)
FLORIDA HOSPITAL HEALTHCARE PARTNERS INC
770 WEST GRANADA BLVD 101	ORMOND BEACH	FL	32174	462354804	OPERATION OF PHYSICIAN PRACTICES & MEDICAL SERVICES	FL	501(C)(3)	LINE 3	ADVENTIST HLTH SYSTEMSUNBELT INC	Yes (1)
FLORIDA HOSPITAL MEDICAL GROUP INC
2600 WESTHALL LANE 4TH FLOOR	MAITLAND	FL	32751	593214635	OPERATION OF PHYSICIAN PRACTICES & MEDICAL SERVICES	FL	501(C)(3)	LINE 3	ADVENTIST HLTH SYSTEMSUNBELT INC	Yes (1)
FLORIDA HOSPITAL OCALA INC (1214-123117)
900 HOPE WAY	ALTAMONTE SPRINGS	FL	32714	824372339	INACTIVE	FL	501(C)(3)	LINE 3	ADVENTIST HLTH SYSTEM SUNBELT HLTHCARE CORP	Yes (1)
FLORIDA HOSPITAL PHYSICIAN GROUP INC
12470 TELECOM DR 100	TAMPA	FL	33637	462021581	OPERATION OF PHYSICIAN PRACTICES & MEDICAL SERVICES	FL	501(C)(3)	LINE 3	ADVENTIST HLTH SYSTEM SUNBELT HLTHCARE CORP	Yes (1)
FLORIDA HOSPITAL WATERMAN INC
1000 WATERMAN WAY	TAVARES	FL	32778	593140669	OPERATION OF HOSPITAL & RELATED SERVICES	FL	501(C)(3)	LINE 3	ADVENTIST HLTH SYSTEM SUNBELT HLTHCARE CORP	Yes (1)
FLORIDA HOSPITAL ZEPHYRHILLS INC
7050 GALL BLVD	ZEPHYRHILLS	FL	33541	592108057	OPERATION OF HOSPITAL & RELATED SERVICES	FL	501(C)(3)	LINE 3	ADVENTIST HLTH SYSTEMSUNBELT INC	Yes (1)
FOUNDATION FOR SHAWNEE MISSION MEDICAL CENTER INC
9100 W 74TH STREET	SHAWNEE MISSION	KS	66204	480868859	FUND-RAISING FOR TAX-EXEMPT HOSPITAL	KS	501(C)(3)	LINE 7	SHAWNEE MISSION MEDICAL CENTER INC	Yes (1)
FOUNTAIN INN NURSING & REHAB CENTER INC
485 NORTH KELLER ROAD 250	MAITLAND	FL	32751	472180518	OPERATION OF HOME FOR THE AGED/HLTHCARE DELIVERY	FL	501(C)(3)	LINE 10	SUNBELT HLTH CARE CENTERS INC	Yes (1)
GLENOAKS HOSPITAL FOUNDATION
701 WINTHROP AVENUE	GLENDALE HEIGHTS	IL	60139	363926044	FUND-RAISING FOR TAX-EXEMPT HOSPITAL	IL	501(C)(3)	LINE 7	MIDWEST HLTH FOUNDATION	0
HELEN ELLIS MEMORIAL HOSPITAL AUXILIARY INC
1395 S PINELLAS AVE	TARPON SPRINGS	FL	34689	592106043	FUND-RAISING FOR TAX-EXEMPT HOSPITAL/FOUNDATION	FL	501(C)(3)	LINE 12C, III-FI		0	N/A
HELEN ELLIS MEMORIAL HOSPITAL FOUNDATION INC
1395 S PINELLAS AVE	TARPON SPRINGS	FL	34689	593690149	FUND-RAISING FOR TAX-EXEMPT HOSPITAL	FL	501(C)(3)	LINE 7		0	N/A
HINSDALE HOSPITAL FOUNDATION
120 NORTH OAK STREET	HINSDALE	IL	60521	521466387	FUND-RAISING FOR TAX-EXEMPT HOSPITAL	IL	501(C)(3)	LINE 7	MIDWEST HLTH FOUNDATION	0
HOSPICE OF THE COMFORTER INC
480 W CENTRAL PARKWAY	ALTAMONTE SPRINGS	FL	32714	592935928	OPERATION OF HOSPICE	FL	501(C)(3)	LINE 10	THE COMFORTER HEALTH CARE GROUP INC	Yes (1)
HOSPICE OF THE COMFORTER FOUNDATION INC
480 W CENTRAL PARKWAY	ALTAMONTE SPRINGS	FL	32714	271858033	INACTIVE	FL	501(C)(3)	LINE 7	THE COMFORTER HEALTH CARE GROUP INC	Yes (1)
IN-MOTION REHAB INC
485 NORTH KELLER ROAD 250	MAITLAND	FL	32751	208023411	THERAPY SERVICES TO TAX EXEMPT NURSING HOMES	KS	501(C)(3)	LINE 12B, II	SUNBELT HLTH CARE CENTERS INC	Yes (1)
LA GRANGE MEMORIAL HOSPITAL FOUNDATION
5101 S WILLOW SPRINGS RD	LA GRANGE	IL	60525	300247776	FUND-RAISING FOR TAX-EXEMPT HOSPITAL	IL	501(C)(3)	LINE 7	MIDWEST HLTH FOUNDATION	0
LAKE COUNTY HEALTH CARE PROPERTIES INC
485 NORTH KELLER ROAD 250	MAITLAND	FL	32751	813923985	LEASE TO RELATED ORGANIZATION	GA	501(C)(3)	LINE 12C, III-FI	SUNBELT HLTH CARE CENTERS INC	Yes (1)
MEMORIAL HLTH SYSTEMS FOUNDATION INC
305 MEMORIAL MEDICAL PKWY 212	DAYTONA BEACH	FL	32117	311771522	FUND-RAISING FOR TAX-EXEMPT HOSPITAL	FL	501(C)(3)	LINE 7		0	N/A
MEMORIAL HLTH SYSTEMS INC
301 MEMORIAL MEDICAL PARKWAY	DAYTONA BEACH	FL	32117	590973502	OPERATION OF HOSPITAL & RELATED SERVICES	FL	501(C)(3)	LINE 3	ADVENTIST HLTH SYSTEMSUNBELT INC	Yes (1)
MEMORIAL HOSPITAL - WEST VOLUSIA INC
701 WEST PLYMOUTH AVENUE	DELAND	FL	32720	593256803	OPERATION OF HOSPITAL & RELATED SERVICES	FL	501(C)(3)	LINE 3	MEMORIAL HLTH SYSTEMS INC	Yes (1)
MEMORIAL HOSPITAL FLAGLER INC
60 MEMORIAL MEDICAL PARKWAY	PALM COAST	FL	32164	592951990	OPERATION OF HOSPITAL & RELATED SERVICES	FL	501(C)(3)	LINE 3	MEMORIAL HLTH SYSTEMS INC	Yes (1)
MEMORIAL HOSPITAL INC
210 MARIE LANGDON DRIVE	MANCHESTER	KY	40962	610594620	OPERATION OF HOSPITAL & RELATED SERVICES	KY	501(C)(3)	LINE 3	ADVENTIST HLTH SYSTEM SUNBELT HLTHCARE CORP	Yes (1)
MERRIAM HLTH CARE PROPERTIES INC
9700 WEST 62ND STREET	MERRIAM	KS	66203	364595806	LEASE TO RELATED ORGANIZATION	KS	501(C)(3)	LINE 12C, III-FI	SUNBELT HLTH CARE CENTERS INC	Yes (1)
METROPLEX ADVENTIST HOSPITAL INC
2201 S CLEAR CREEK ROAD	KILLEEN	TX	76549	742225672	OPERATION OF HOSPITAL & RELATED SERVICES	TX	501(C)(3)	LINE 3	ADVENTIST HLTH SYSTEM SUNBELT HLTHCARE CORP	Yes (1)
METROPLEX CLINIC PHYSICIANS INC
2201 S CLEAR CREEK ROAD	KILLEEN	TX	76549	113762050	PHYSICIAN HLTHCARE SERVICES TO THE COMMUNITY	TX	501(C)(3)	LINE 3	METROPLEX ADVENTIST HOSPITAL INC	Yes (1)
MIDWEST HLTH FOUNDATION
120 NORTH OAK STREET	HINSDALE	IL	60521	352230515	SUPPORT OF SUBSIDIARY FOUNDATIONS	IL	501(C)(3)	LINE 12B, II		0	N/A
MILLS HLTH & REHAB CENTER INC
500 BECK LANE	MAYFIELD	KY	42066	205782320	OPERATION OF HOME FOR THE AGED/HLTHCARE DELIVERY	KY	501(C)(3)	LINE 10	SUNBELT HLTH CARE CENTERS INC	Yes (1)
MISSION STRATEGIES OF GEORGIA INC
485 NORTH KELLER ROAD 250	MAITLAND	FL	32751	900866024	PROVISION OF SUPPORT TO THE NURSING HOME DIVISION	GA	501(C)(3)	LINE 12B, II	SUNBELT HLTH CARE CENTERS INC	Yes (1)
MISSOURI ADVENTIST HLTH INC
9100 W 74TH STREET	SHAWNEE MISSION	KS	66204	431224729	SUPPORT HLTH CARE SERVICES	MO	501(C)(3)	LINE 12D, III-O	ADVENTIST HLTH MID-AMERICA INC	Yes (1)
ORMOND BEACH MEMORIAL HOSPITAL AUXILIARY INC
301 MEMORIAL MEDICAL PARKWAY	DAYTONA BEACH	FL	32117	591721962	VOLUNTEER SUPPORT SERVICES	FL	501(C)(3)	LINE 12C, III-FI		0	N/A
OSCEOLA HEALTH CARE PROPERTIES INC
485 NORTH KELLER ROAD 250	MAITLAND	FL	32751	813165729	LEASE TO RELATED ORGANIZATION	GA	501(C)(3)	LINE 12C, III-FI	SUNBELT HLTH CARE CENTERS INC	Yes (1)
OVERLAND PARK NURSING & REHAB CENTER INC
6501 WEST 75TH STREET	OVERLAND PARK	KS	66204	205774821	OPERATION OF HOME FOR THE AGED/HLTHCARE DELIVERY	KS	501(C)(3)	LINE 10	SUNBELT HLTH CARE CENTERS INC	Yes (1)
PARAGON HLTH CARE PROPERTIES INC
950 HIGHPOINT DRIVE	HOPKINSVILLE	KY	42240	510605686	LEASE TO RELATED ORGANIZATION	GA	501(C)(3)	LINE 12C, III-FI	SUNBELT HLTH CARE CENTERS INC	Yes (1)
PASCO-PINELLAS HILLSBOROUGH COMMUNITY HLTH SYSTEM INC
2600 BRUCE B DOWNS BLVD	WESLEY CHAPEL	FL	33544	208488713	OPERATION OF HOSPITAL & RELATED SERVICES	FL	501(C)(3)	LINE 3	ADVENTIST HLTH SYSTEM SUNBELT HLTHCARE CORP	Yes (1)
PORTERCARE ADVENTIST HLTH SYSTEM (630 YEAR END)
9100 E MINERAL CIRCLE	CENTENNIAL	CO	80112	840438224	OPERATION OF HOSPITAL & RELATED SERVICES	CO	501(C)(3)	LINE 3	ADVENTIST HLTH SYSTEM SUNBELT HLTHCARE CORP	Yes (1)
PRINCETON HLTH & REHAB CENTER INC
1333 WEST MAIN	PRINCETON	KY	42445	205782272	OPERATION OF HOME FOR THE AGED/HLTHCARE DELIVERY	KY	501(C)(3)	LINE 10	SUNBELT HLTH CARE CENTERS INC	Yes (1)
PRINCETON PROFESSIONAL SERVICES INC
601 E ROLLINS STREET	ORLANDO	FL	32803	591191045	PROVISION OF HLTHCARE SERVICES	FL	501(C)(3)	LINE 10	ADVENTIST HLTH SYSTEM SUNBELT HLTHCARE CORP	Yes (1)
QUALITY CIRCLE FOR HLTHCARE INC
900 HOPE WAY	ALTAMONTE SPRINGS	FL	32714	263789368	HLTHCARE QUALITY SERVICES	FL	501(C)(3)	LINE 12A, I	ADVENTIST HLTH SYSTEM SUNBELT HLTHCARE CORP	Yes (1)
RESOURCE PERSONNEL INC
485 NORTH KELLER ROAD 250	MAITLAND	FL	32751	208040875	PROVIDE ADMINISTRATIVE SUPPORT TO TAX EXEMPT NURSING HOMES	FL	501(C)(3)	LINE 12B, II	SUNBELT HLTH CARE CENTERS INC	Yes (1)
ROCKY MOUNTAIN ADVENTIST HLTHCARE FOUNDATION (630 YEAR END)
7995 E PRENTICE AVE 204	GREENWOOD VILLAGE	CO	80111	840745018	FUND-RAISING FOR TAX-EXEMPT HOSPITAL	CO	501(C)(3)	LINE 7		0	N/A
ROLLINS BROOK COMMUNITY CARE CORP
2201 S CLEAR CREEK ROAD	KILLEEN	TX	76549	461656773	SUPPORT OPERATION OF HOSPITAL	TX	501(C)(3)	LINE 12A, I	ADVENTIST HLTH SYSTEMSUNBELT INC	Yes (1)
RUSSELLVILLE HLTH CARE PROPERTIES INC
683 EAST THIRD STREET	RUSSELLVILLE	KY	42276	510605691	LEASE TO RELATED ORGANIZATION	GA	501(C)(3)	LINE 12C, III-FI	SUNBELT HLTH CARE CENTERS INC	Yes (1)
SAN MARCOS HLTH CARE PROPERTIES INC
1900 MEDICAL PARKWAY	SAN MARCOS	TX	78666	510605693	LEASE TO RELATED ORGANIZATION	GA	501(C)(3)	LINE 12C, III-FI	SUNBELT HLTH CARE CENTERS INC	Yes (1)
SAN MARCOS NURSING & REHAB CENTER INC
1900 MEDICAL PARKWAY	SAN MARCOS	TX	78666	205782224	OPERATION OF HOME FOR THE AGED/HLTHCARE DELIVERY	TX	501(C)(3)	LINE 10	SUNBELT HLTH CARE CENTERS INC	Yes (1)
SHAWNEE MISSION HLTH CARE INC
6501 WEST 75TH STREET	OVERLAND PARK	KS	66204	480952508	LEASE TO RELATED ORGANIZATION	KS	501(C)(3)	LINE 12C, III-FI	SUNBELT HLTH CARE CENTERS INC	Yes (1)
SHAWNEE MISSION HLTH CARE PROPERTIES INC
485 NORTH KELLER ROAD 250	MAITLAND	FL	32751	813914908	LEASE TO RELATED ORGANIZATION	GA	501(C)(3)	LINE 12C, III-FI	SUNBELT HLTH CARE CENTERS INC	Yes (1)
SHAWNEE MISSION MEDICAL CENTER INC
9100 W 74TH STREET	SHAWNEE MISSION	KS	66204	480637331	OPERATION OF HOSPITAL & RELATED SERVICES	KS	501(C)(3)	LINE 3	ADVENTIST HLTH MID-AMERICA INC	Yes (1)
SOUTH CENTRAL INC
900 HOPE WAY	ALTAMONTE SPRINGS	FL	32714	593689740	MANAGEMENT SUPPORT	GA	501(C)(3)	LINE 12C, III-FI		0	N/A
SOUTH PASCO HLTH CARE PROPERTIES INC
38250 A AVENUE	ZEPHYRHILLS	FL	33542	510605679	LEASE TO RELATED ORGANIZATION	GA	501(C)(3)	LINE 12C, III-FI	SUNBELT HLTH CARE CENTERS INC	Yes (1)
SOUTHEAST VOLUSIA HEALTHCARE CORP
401 PALMETTO STREET	NEW SMYRNA BEACH	FL	32168	473793197	OPERATION OF HOSPITAL & RELATED SERVICES	FL	501(C)(3)	LINE 3	ADVENTIST HLTH SYSTEM SUNBELT HLTHCARE CORP	Yes (1)
SOUTHWEST VOLUSIA HLTH SERVICES INC
1055 SAXON BLVD	ORANGE CITY	FL	32763	593281591	MEDICAL OFFICE BUILDING FOR HOSPITAL	FL	501(C)(3)	LINE 12A, I	SOUTHWEST VOLUSIA HLTHCARE CORP	Yes (1)
SOUTHWEST VOLUSIA HLTHCARE CORP
1055 SAXON BLVD	ORANGE CITY	FL	32763	593149293	OPERATION OF HOSPITAL & RELATED SERVICES	FL	501(C)(3)	LINE 3	ADVENTIST HLTH SYSTEMSUNBELT INC	Yes (1)
SPECIALTY PHYSICIANS OF CENTRAL TEXAS INC
1301 WONDER WORLD DRIVE	SAN MARCOS	TX	78666	208814408	PHYSICIAN HLTHCARE SERVICES TO THE COMMUNITY	TX	501(C)(3)	LINE 3	ADVENTIST HLTH SYSTEMSUNBELT INC	Yes (1)
SPRING VIEW HLTH & REHAB CENTER INC
718 GOODWIN LANE	LEITCHFIELD	KY	42754	205782288	OPERATION OF HOME FOR THE AGED/HLTHCARE DELIVERY	KY	501(C)(3)	LINE 10	SUNBELT HLTH CARE CENTERS INC	Yes (1)
SUNBELT HLTH & REHAB CENTER - APOPKA INC
305 EAST OAK STREET	APOPKA	FL	32703	205774856	OPERATION OF HOME FOR THE AGED/HLTHCARE DELIVERY	FL	501(C)(3)	LINE 10	SUNBELT HLTH CARE CENTERS INC	Yes (1)
SUNBELT HLTH CARE CENTERS INC
485 NORTH KELLER ROAD 250	MAITLAND	FL	32751	581473135	MANAGEMENT SERVICES	TN	501(C)(3)	LINE 12B, II	ADVENTIST HLTH SYSTEM SUNBELT HLTHCARE CORP	Yes (1)
SUNSYSTEM DEVELOPMENT CORP
900 HOPE WAY	ALTAMONTE SPRINGS	FL	32714	592219301	FUND RAISING FOR AFFILIATED TAX-EXEMPT HOSPITALS	FL	501(C)(3)	LINE 7	ADVENTIST HLTH SYSTEM SUNBELT HLTHCARE CORP	Yes (1)
TARPON SPRINGS HOSPITAL FOUNDATION INC
1395 S PINELLAS AVE	TARPON SPRINGS	FL	34689	590898901	OPERATION OF HOSPITAL & RELATED SERVICES	FL	501(C)(3)	LINE 3	UNIVERSITY COMMUNITY HOSPITAL INC	Yes (1)
TARRANT COUNTY HLTH CARE PROPERTIES INC
301 HUGULEY BLVD	BURLESON	TX	76028	510605677	LEASE TO RELATED ORGANIZATION	GA	501(C)(3)	LINE 12C, III-FI	SUNBELT HLTH CARE CENTERS INC	Yes (1)
TAYLOR CREEK HLTH CARE PROPERTIES INC
718 GOODWIN LANE	LEITCHFIELD	KY	42754	510605678	LEASE TO RELATED ORGANIZATION	GA	501(C)(3)	LINE 12C, III-FI	SUNBELT HLTH CARE CENTERS INC	Yes (1)
THE COMFORTER HEALTH CARE GROUP INC
605 MONTGOMERY ROAD	ALTAMONTE SPRINGS	FL	32714	271857940	LEASE TO RELATED ORGANIZATION	FL	501(C)(3)	LINE 12C, III-FI	ADVENTIST HLTH SYSTEM SUNBELT HLTHCARE CORP	Yes (1)
THE VOLUNTEER AUXILIARY OF FLORIDA HOSPITAL - FLAGLER INC
60 MEMORIAL MEDICAL PARKWAY	PALM COAST	FL	32164	592486582	VOLUNTEER SUPPORT SERVICES	FL	501(C)(3)	LINE 12C, III-FI		0	N/A
TRI-COUNTY NURSING AND REHAB CENTER INC
485 NORTH KELLER ROAD 250	MAITLAND	FL	32751	472219363	OPERATION OF HOME FOR THE AGED/HLTHCARE DELIVERY	FL	501(C)(3)	LINE 10	SUNBELT HLTH CARE CENTERS INC	Yes (1)
TRINITY NURSING & REHAB CENTER INC
9700 WEST 62ND STREET	MERRIAM	KS	66203	205774890	OPERATION OF HOME FOR THE AGED/HLTHCARE DELIVERY	KS	501(C)(3)	LINE 10	SUNBELT HLTH CARE CENTERS INC	Yes (1)
UNIVERSITY COMMUNITY HOSPITAL FOUNDATION INC
3100 E FLETCHER AVE	TAMPA	FL	33613	592554889	FUND-RAISING FOR TAX-EXEMPT HOSPITAL	FL	501(C)(3)	LINE 12A, I		0	N/A
UNIVERSITY COMMUNITY HOSPITAL SPECIALTY CARE INC
3100 E FLETCHER AVE	TAMPA	FL	33613	593231322	INACTIVE	FL	501(C)(3)	LINE 12A, I	UNIVERSITY COMMUNITY HOSPITAL INC	Yes (1)
UNIVERSITY COMMUNITY HOSPITAL INC
3100 E FLETCHER AVE	TAMPA	FL	33613	591113901	OPERATION OF HOSPITAL & RELATED SERVICES	FL	501(C)(3)	LINE 3	ADVENTIST HLTH SYSTEM SUNBELT HLTHCARE CORP	Yes (1)
WEST KENTUCKY HLTH CARE PROPERTIES INC
500 BECK LANE	MAYFIELD	KY	42066	510605676	LEASE TO RELATED ORGANIZATION	GA	501(C)(3)	LINE 12C, III-FI	SUNBELT HLTH CARE CENTERS INC	Yes (1)
ZEPHYR HAVEN HLTH & REHAB CENTER INC
38250 A AVENUE	ZEPHYRHILLS	FL	33542	205774930	OPERATION OF HOME FOR THE AGED/HLTHCARE DELIVERY	FL	501(C)(3)	LINE 10	SUNBELT HLTH CARE CENTERS INC	Yes (1)
ZEPHYRHILLS HLTH & REHAB CENTER INC
7350 DAIRY ROAD	ZEPHYRHILLS	FL	33540	205774967	OPERATION OF HOME FOR THE AGED/HLTHCARE DELIVERY	FL	501(C)(3)	LINE 10	SUNBELT HLTH CARE CENTERS INC	Yes (1)

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (7 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Direct Controlling NADirectControllingNACd
CLEAR CREEK MOB LTD
2201 S CLEAR CREEK RD	KILLEEN	TX	76549	742609195	REAL ESTATE	TX	N/A
FLORIDA HOSPITAL DMERT LLC
500 WINDERLEY PLACE STE 324	MAITLAND	FL	32751	202392253	MEDICAL EQUIPMENT	FL	N/A
FLORIDA HOSPITAL HOME INFUSION LLP
500 WINDERLEY PLACE STE 324	MAITLAND	FL	32751	593142824	HOME INFUSION SERVICES	FL	N/A
FUNCTIONAL NEUROSURGICAL AMBULATORY SURGERY CTR LLC
11 W DRY CREEK CIRCLE 120	LITTLETON	CO	80120	464426708	SURGERY CENTER	CO	N/A
PAHSLARKIN VENTURES LLC
9100 E MINERAL CIR	CENTENNIAL	CO	80112	474211060	MEDICAL SERVICES	CO	N/A
PRINCETON HOMECARE SERVICES LLC
600 COURTLAND STREET STE 300	ORLANDO	FL	32804	814196648	OPERATION OF HOME HEALTH AGENCY	FL	N/A
SAN MARCOS MRI LP
1330 WONDER WORLD DR STE 202	SAN MARCOS	TX	78666	770597972	IMAGING & TESTING	TX	N/A

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (20 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Direct Controlling NADirectControllingNACd	Entity TypeEntityTypeTxt	Controlled OrganizationControlledOrganizationInd	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	N/A	C	Yes (1)
FLORIDA HOSP HLTH VILLAGE PROPERTY OWNER'S ASSOC INC
550 E ROLLINS STREET 7TH FLOOR	ORLANDO	FL	32803	821748255	CONDO ASSOCIATION	FL	N/A	C	Yes (1)
FLORIDA HOSPITAL HEALTHCARE SYSTEM INC
101 SOUTHHALL LANE STE 150	MAITLAND	FL	32751	593215680	PHSO	FL	N/A	C	Yes (1)
FLORIDA MEDICAL PLAZA CONDOMINIUM ASSOCIATION INC
601 EAST ROLLINS STREET	ORLANDO	FL	32803	592855791	CONDO ASSOCIATION	FL	N/A	C	Yes (1)
FLORIDA MEMORIAL HEALTH NETWORK INC
770 W GRANADA BLVD STE 317	ORMOND BEACH	FL	32174	593403558	PHYSICIAN HOSPITAL ORG.	FL		C	Yes (1)	MHS MHF MHWV OR SWVHC	$4,323	$241,184	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
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		C	Yes (1)	MEMORIAL HLTH SYSTEMS INC	$976		0.79900
PARK RIDGE PROPERTY OWNER'S ASSOCIATION INC
1 PARK PLACE NAPLES ROAD	FLETCHER	NC	28732	030380531	CONDO ASSOCIATION	NC	N/A	C	Yes (1)
PORTER AFFILIATED HEALTH SERVICES INC
2525 S DOWNING STREET	DENVER	CO	80210	840956175	HEALTHCARE SERVICES	CO	N/A	C	Yes (1)
SAN MARCOS REGIONAL MRI INC
1301 WONDER WORLD DRIVE	SAN MARCOS	TX	78666	770597968	HOLDING COMPANY	TX	N/A	C	Yes (1)
THE GARDEN RETIREMENT COMMUNITY INC
485 NORTH KELLER ROAD STE 250	MAITLAND	FL	32751	593414055	REAL ESTATE RENTAL	FL	N/A	C	Yes (1)
WINTER PARK MEDICAL OFFICE BUILDING I CONDO ASSOC INC
601 EAST ROLLINS STREET	ORLANDO	FL	32803	452228478	CONDO ASSOCIATION	FL	N/A	C	Yes (1)

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

Transactions Related Org TransactionsRelatedOrgGrp (29 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
MEMORIAL HOSPITAL FLAGLER INC
Q	$10,690,142	COST
MEMORIAL HOSPITAL FLAGLER INC
P	$10,402,208	COST
MEMORIAL HOSPITAL WEST VOLUSIA INC
P	$7,946,807	COST
MEMORIAL HOSPITAL WEST VOLUSIA INC
Q	$7,782,085	COST
SOUTHWEST VOLUSIA HEALTHCARE CORPORATION
P	$6,991,601	COST
SOUTHWEST VOLUSIA HEALTHCARE CORPORATION
Q	$6,927,999	COST
FLORIDA HOSPITAL MEDICAL GROUP INC
Q	$289,123	COST
FLORIDA HOSPITAL HEALTHCARE SYSTEM INC
Q	$129,543	COST
FLORIDA MEMORIAL HEALTH NETWORK INC
Q	$72,434	COST
MEMORIAL HEALTH SYSTEMS FOUNDATION INC
B	$257,950	ACTUAL AMOUNT GIVEN
MEMORIAL HEALTH SYSTEMS FOUNDATION INC
C	$401,111	ACTUAL AMOUNT RECEIVED
ADVENTIST HEALTH SYSTEMSUNBELT INCDBA FLORIDA HOSPITAL
P	$1,403,071	COST
ADVENTIST HEALTH SYSTEMSUNBELT INCDBA FLORIDA HOSPITAL
Q	$556,534	COST
ADVENTIST HEALTH SYSTEM SUNBELT HEALTHCARE CORPORATION
M	$3,537,888	% OF FACILITY'S OPERATING EXP.
ADVENTIST HEALTH SYSTEM SUNBELT HEALTHCARE CORPORATION DBA AHS IS
M	$10,423,654	% OF FACILITY'S OPERATING EXP.
ADVENTIST HEALTH SYSTEM SUNBELT HEALTHCARE CORPORATION
P	$14,647,925	COST
ADVENTIST HEALTH SYSTEMSUNBELT INC
M	$25,872	% OF FACILITY'S EHR REVENUE
ADVENTIST HEALTH SYSTEM SUNBELT HEALTHCARE CORPORATION-SHARED SERVICES
M	$2,932,096	% OF FACILITY'S OPERATING EXP.
ADVENTIST HEALTH SYSTEM SUNBELT HEALTHCARE CORPORATION
B	$3,306,086	ACTUAL AMOUNT GIVEN
MEMORIAL HOSPITAL FLAGLER INC
S	$884,621	ACTUAL AMOUNT TRANSFERRED
MEMORIAL HOSPITAL WEST VOLUSIA INC
S	$744,944	ACTUAL AMOUNT TRANSFERRED
ADVENTIST HEALTH SYSTEMSUNBELT INC
R	$4,655,899	ACTUAL AMOUNT TRANSFERRED
SOUTHEAST VOLUSIA HEALTHCARE CORPORATION
S	$558,707	ACTUAL AMOUNT TRANSFERRED
SOUTHWEST VOLUSIA HEALTHCARE CORPORATION
S	$791,503	ACTUAL AMOUNT TRANSFERRED
FLORIDA HOSPITAL MEDICAL GROUP INC
P	$1,159,250	COST
FLORIDA HOSPITAL WATERMAN INC
P	$694,991	COST
FLORIDA HOSPITAL WATERMAN INC
Q	$1,371,472	COST
SOUTHEAST VOLUSIA HEALTHCARE CORPORATION
P	$4,563,373	COST
SOUTHEAST VOLUSIA HEALTHCARE CORPORATION
Q	$5,371,253	COST