ADVENTIST HEALTH SYSTEM SUNBELT INC: Form 990, tax year 2015
View the entire original 990 at ProPublica ↗
- Organization
- ADVENTIST HEALTH SYSTEM SUNBELT INC (EIN 59-1479658)
- Tax period
- 2015-01-01 to 2015-12-31
- Filed
- 2016-11-15
- IRS object ID
- 201613209349316226
- Schema version
- 2015v2.1
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule F
- Schedule H
- Schedule I
- Schedule J
- Schedule K
- Schedule K
- Schedule K
- Schedule K
- Schedule K
- Schedule K
- Schedule L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2016-11-15T17:25:44-06:00 | ReturnTs |
| Tax Period End | 2015-12-31 | TaxPeriodEndDt |
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2015-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 591479658 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Adventist Health SystemSunbelt Inc | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | ADVE | BusinessNameControlTxt |
| Phone | 4073572317 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 900 Hope Way | AddressLine1Txt |
| City | Altamonte Springs | CityNm |
| State Abbreviation | FL | StateAbbreviationCd |
| ZIP | 32714 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Lynn C Addiscott | PersonNm |
| Person Title | Asst. Secretary | PersonTitleTxt |
| Phone | 4079751492 | PhoneNum |
| Signature | 2016-11-15 | SignatureDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2015 | TaxYr |
| Build TS | 2017-02-10 21:41:12Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | Donald Jernigan | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 900 Hope Way | AddressLine1Txt |
| City | Altamonte Springs | CityNm |
| State Abbreviation | FL | StateAbbreviationCd |
| ZIP | 32714 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $11,369,617,856 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Group Exemption | 1071 | GroupExemptionNum |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | www.adventisthealthsystem.com | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1973 | FormationYr |
| Legal Domicile State | FL | LegalDomicileStateCd |
| Activity Or Mission | Operation of 12 acute-care hospitals & related healthcare services. | ActivityOrMissionDesc |
| Voting Members Governing Body | 25 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 18 | VotingMembersIndependentCnt |
| Total Employee | 28058 | TotalEmployeeCnt |
| Total Volunteers | 3292 | TotalVolunteersCnt |
| Total Gross UBI | $16,308,484 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $1,417,668 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $19,963,442 | PYContributionsGrantsAmt |
| CY Contributions Grants | $9,303,349 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $3,495,776,766 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $3,648,256,768 | CYProgramServiceRevenueAmt |
| PY Investment Income | $19,148,820 | PYInvestmentIncomeAmt |
| CY Investment Income | -$25,362,685 | CYInvestmentIncomeAmt |
| PY Other Revenue | $19,398,813 | PYOtherRevenueAmt |
| CY Other Revenue | $11,676,116 | CYOtherRevenueAmt |
| PY Total Revenue | $3,554,287,841 | PYTotalRevenueAmt |
| CY Total Revenue | $3,643,873,548 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $30,961,993 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $20,381,036 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $1,505,976,027 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $1,576,273,864 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $1,717,937,247 | PYOtherExpensesAmt |
| CY Other Expenses | $1,745,242,517 | CYOtherExpensesAmt |
| PY Total Expenses | $3,254,875,267 | PYTotalExpensesAmt |
| CY Total Expenses | $3,341,897,417 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $299,412,574 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $301,976,131 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $7,381,553,307 | TotalAssetsBOYAmt |
| Total Assets EOY | $6,857,582,662 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $4,595,334,574 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $4,065,608,896 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $2,786,218,733 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $2,791,973,766 | NetAssetsOrFundBalancesEOYAmt |
| Mission | Adventist Health System Sunbelt Healthcare Corporation and all of 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. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $3,040,235,616 | ExpenseAmt |
| Grant | $20,381,036 | GrantAmt |
| Revenue | $3,641,280,564 | RevenueAmt |
| Desc | Operation of 12 acute care hospitals with 151,965 patient admissions, 765,964 patient days and 1,277,653 outpatient visits in the current year. In addition to hospital operations, the corporation provides medical care through a number of other activities such as urgent care centers, physician clinics, home health services, hospice services, sleep centers, wound centers, therapy and rehab. | Desc |
| Total Program Service Expenses | $3,040,235,616 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (1) | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Temp Or Permanent Endowments | Yes (1) | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (1) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | Yes (1) | ForeignActivitiesInd |
| More Than5000 K To Org | Yes (1) | 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 | Yes (1) | TaxExemptBondsInd |
| Invest Tax Exempt Bonds | 0 | InvestTaxExemptBondsInd |
| Escrow Account | Yes (1) | EscrowAccountInd |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuerInd |
| 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 | Yes (1) | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | 0 | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (1) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (1) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 2059 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 28058 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | Yes (1) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (1) | Form990TFiledInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 25 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 18 | IndependentVotingMemberCnt |
| Family Or Business Rln | Yes (1) | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | Yes (1) | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (1) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (1) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | 0 | CompensationProcessCEOInd |
| Compensation Process Other | 0 | CompensationProcessOtherInd |
| Investment In Joint Venture | Yes (1) | InvestmentInJointVentureInd |
| Written Policy Or Procedure | Yes (1) | WrittenPolicyOrProcedureInd |
| States Where Copy Of Return Is Fld | IL | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Terry Shaw | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 4073572463 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 900 Hope Way | AddressLine1Txt |
| City | Altamonte Springs | CityNm |
| State Abbreviation | FL | StateAbbreviationCd |
| ZIP | 32714 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | Yes (X) | InfoInScheduleOPartVIIInd |
Form990 Part VII Section A Form990PartVIISectionAGrp (49 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 |
|---|---|---|---|---|---|---|---|---|---|
| Brown-Fraser PhD Sherine | |||||||||
| Director (beg 9/15) | 1.00 | 3.00 | Yes (X) | $0 | $1,100 | $0 | |||
| Carlson Ronald | |||||||||
| Director | 1.00 | 3.00 | Yes (X) | $0 | $1,709 | $0 | |||
| Cauley DMin Michael F | |||||||||
| Director | 1.00 | 3.00 | Yes (X) | $737 | $1,432 | $0 | |||
| Craig Carlos | |||||||||
| Director | 1.00 | 3.00 | Yes (X) | $0 | $1,432 | $0 | |||
| Davidson James R | |||||||||
| Director | 1.00 | 3.00 | Yes (X) | $737 | $2,457 | $0 | |||
| Griffith Jr Buford | |||||||||
| Director | 1.00 | 3.00 | Yes (X) | $0 | $2,457 | $0 | |||
| Haffner PhD Randall L | |||||||||
| Director (beg 6/15) | 1.00 | 50.00 | Yes (X) | $0 | $1,835,419 | $242,710 | |||
| Hagele Elaine M | |||||||||
| Director (end 3/15) | 1.00 | 3.00 | Yes (X) | $0 | $200 | $0 | |||
| Hayes Alta Sue | |||||||||
| Director (end 9/15) | 1.00 | 3.00 | Yes (X) | $0 | $332 | $0 | |||
| Houmann Lars D | |||||||||
| Director | 25.00 | 25.00 | Yes (X) | $0 | $1,946,070 | $269,392 | |||
| Jernigan PhD Donald L | |||||||||
| Director/CEO | 1.00 | 50.00 | Yes (X) | $0 | $1,994,042 | $86,346 | Yes (X) | ||
| Johnson MD Mark | |||||||||
| Director | 1.00 | 3.00 | Yes (X) | $0 | $1,300 | $0 | |||
| Knutson J Deryl | |||||||||
| Director | 1.00 | 3.00 | Yes (X) | $0 | $2,457 | $0 | |||
| Lemon Thomas L | |||||||||
| Chairman/Director (end 7/15) | 2.00 | 3.00 | Yes (X) | $0 | $957 | $0 | |||
| Livesay MDiv Donald E | |||||||||
| Chairman/Director | 2.00 | 3.00 | Yes (X) | $0 | $2,457 | $0 | |||
| Moore MDiv Larry R | |||||||||
| Vice Chairman/Director | 2.00 | 3.00 | Yes (X) | $0 | $2,457 | $0 | |||
| Morel Hubert J | |||||||||
| Director | 1.00 | 3.00 | Yes (X) | $737 | $1,432 | $0 | |||
| Peoples Troy K | |||||||||
| Director (beg 3/15) | 1.00 | 3.00 | Yes (X) | $0 | $2,125 | $0 | |||
| Pichette Raymond | |||||||||
| Director | 1.00 | 3.00 | Yes (X) | $0 | $1,432 | $0 | |||
| Reiner Richard K | |||||||||
| Director (end 5/15) | 1.00 | 50.00 | Yes (X) | $0 | $1,084,868 | $62,839 | |||
| Robinson Randy | |||||||||
| Director | 1.00 | 3.00 | Yes (X) | $737 | $2,457 | $0 | |||
| Scott Glynn CW | |||||||||
| Director | 1.00 | 3.00 | Yes (X) | $0 | $2,457 | $0 | |||
| Shaw EdD Kenneth | |||||||||
| Director (beg 9/15) | 1.00 | 3.00 | Yes (X) | $0 | $1,432 | $0 | |||
| Shaw Terry D | |||||||||
| Director/CFO | 1.00 | 50.00 | Yes (X) | $0 | $1,848,060 | $267,032 | Yes (X) | ||
| Smith DMin PhD Ron C | |||||||||
| Vice Chair/Sec/Director | 2.00 | 3.00 | Yes (X) | $737 | $2,457 | $0 | |||
| Thurber Gary F | |||||||||
| Vice Chairman/Director | 1.00 | 3.00 | Yes (X) | $0 | $2,182 | $0 | |||
| Valentine II MDiv Maurice R | |||||||||
| Director (beg 9/15) | 1.00 | 3.00 | Yes (X) | $0 | $2,182 | $0 | |||
| Webb Gil | |||||||||
| Director | 1.00 | 3.00 | Yes (X) | $0 | $2,457 | $0 | |||
| Werner Thomas L | |||||||||
| Director | 1.00 | 3.00 | Yes (X) | $0 | $49,089 | $0 | |||
| Banks David P | |||||||||
| Exec VP/CSO Division - FH | 50.00 | 0.00 | $0 | $828,882 | $147,096 | Yes (X) | |||
| Dodds Sheryl D | |||||||||
| Senior Exec Officer/CCO - FH | 50.00 | 0.00 | $0 | $541,067 | $81,263 | Yes (X) | |||
| Fulbright Robert D | |||||||||
| Senior Exec Officer - FH (end 12/15) | 50.00 | 0.00 | $0 | $708,804 | $131,192 | Yes (X) | |||
| Goodman Todd A | |||||||||
| Senior VP - FH | 50.00 | 0.00 | $0 | $534,628 | $85,582 | Yes (X) | |||
| Hagensicker Janice K | |||||||||
| Senior VP - FH | 50.00 | 0.00 | $0 | $684,107 | $80,818 | Yes (X) | |||
| Harcombe Douglas W | |||||||||
| Senior VP - FH | 50.00 | 0.00 | $0 | $393,804 | $83,482 | Yes (X) | |||
| Hilliard Douglas W | |||||||||
| Senior VP - FH | 50.00 | 0.00 | $0 | $534,496 | $102,384 | Yes (X) | |||
| Hurst Jeffery D | |||||||||
| Senior VP - FH | 50.00 | 0.00 | $0 | $514,774 | $77,826 | Yes (X) | |||
| Moorhead MD John David | |||||||||
| Senior Exec Officer/CMO - FH | 50.00 | 0.00 | $0 | $788,938 | $51,065 | Yes (X) | |||
| Owen Terry R | |||||||||
| Senior Exec Officer - FH | 50.00 | 0.00 | $0 | $779,533 | $97,803 | Yes (X) | |||
| Paradis J Brian | |||||||||
| CEO Division - FH (end 11/15) | 50.00 | 0.00 | $0 | $1,279,047 | $205,220 | Yes (X) | |||
| Reed MD Monica P | |||||||||
| Senior Exec Officer - FH | 50.00 | 0.00 | $0 | $835,135 | $132,129 | Yes (X) | |||
| Soler Eddie | |||||||||
| Exec VP/CFO Divison - FH | 50.00 | 0.00 | $0 | $1,150,263 | $158,854 | Yes (X) | |||
| Stevens Eric A | |||||||||
| Senior Exec Officer - FH (beg 12/15) | 50.00 | 0.00 | $0 | $506,105 | $79,206 | Yes (X) | |||
| Tol Daryl L | |||||||||
| CEO Division - FH (beg 12/15) | 50.00 | 0.00 | $0 | $831,645 | $125,888 | Yes (X) | |||
| Lee MD Kathy | |||||||||
| Physician | 50.00 | 0.00 | $1,066,288 | $0 | $29,026 | Yes (X) | |||
| Eubanks Jr MD William Stephen | |||||||||
| Executive Director of Academic Surgery | 40.00 | 0.00 | $934,324 | $0 | $19,408 | Yes (X) | |||
| Silvestry MD Scott | |||||||||
| Director - Thoracic Transplant | 40.00 | 0.00 | $828,454 | $0 | $31,540 | Yes (X) | |||
| Jones MD Phillip E | |||||||||
| Physician | 50.00 | 0.00 | $790,187 | $0 | $35,913 | Yes (X) | |||
| Raval MD Nirav Y | |||||||||
| Cardio-Transplant Physician | 40.00 | 0.00 | $714,282 | $0 | $31,074 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $4,337,220 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $19,710,136 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $2,715,088 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 1733 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | 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 |
|---|---|---|---|---|---|
| Brasfield & Gorrie LLC | |||||
| 941 W Morse Blvd Ste 200 | Winter Park | FL | 32789 | Design and Construction | $73,277,793 |
| Barton Malow Company | |||||
| 5337 Millenia Lakes Blvd Ste 235 | Orlando | FL | 32839 | Construction Service | $34,170,220 |
| Cerner Corporation | |||||
| PO Box 959156 | Saint Louis | MO | 63195 | Patient Records & Billing Service | $20,782,827 |
| Koosharem Corporation Select Staffing | |||||
| 24223 Network Pl | Chicago | IL | 60673 | Staffing | $16,976,180 |
| CC Staffing Inc | |||||
| PO Box 404678 | Atlanta | GA | 30384 | Staffing | $14,933,768 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 444 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $5,199,832 | RelatedOrganizationsAmt |
| Government Grants | $3,859,859 | GovernmentGrantsAmt |
| All Other Contributions | $243,658 | AllOtherContributionsAmt |
| Total Contributions | $9,303,349 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (5 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt |
|---|---|---|---|---|
| Patient Revenue | 622110 | $3,578,479,240 | $3,566,514,052 | $11,965,188 |
| Cafeteria/Vending Rev. | 622110 | $19,389,554 | $18,760,554 | $629,000 |
| Rent from Exemp Affiliates | 622110 | $12,615,445 | $12,615,445 | |
| Research | 622110 | $7,367,061 | $7,367,061 | |
| Gift Shop | 622110 | $6,782,450 | $6,730,753 | $51,697 |
Total Oth Program Service Rev TotalOthProgramServiceRevGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $23,623,018 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $20,242,751 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $3,380,267 | UnrelatedBusinessRevenueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $3,648,256,768 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $48,431,981 | TotalRevenueColumnAmt |
| Exclusion | $48,431,981 | ExclusionAmt |
Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $324,847 | TotalRevenueColumnAmt |
| Exclusion | $324,847 | ExclusionAmt |
Royalties Revenue RoyaltiesRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $381,883 | TotalRevenueColumnAmt |
| Exclusion | $381,883 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $3,608,248 | RealAmt |
| Personal | $231,062 | PersonalAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $1,572,908 | RealAmt |
| Personal | $22,117 | PersonalAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $2,035,340 | RealAmt |
| Personal | $208,945 | PersonalAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $2,244,285 | TotalRevenueColumnAmt |
| Unrelated Business Revenue | $282,332 | UnrelatedBusinessRevenueAmt |
| Exclusion | $1,961,953 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $7,646,664,268 | SecuritiesAmt |
| Other | $3,365,502 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $7,723,328,366 | SecuritiesAmt |
| Other | $820,917 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | -$76,664,098 | SecuritiesAmt |
| Other | $2,544,585 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$74,119,513 | TotalRevenueColumnAmt |
| Exclusion | -$74,119,513 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| Equity earnings from related enti | 622110 | $8,236,693 | $8,236,693 |
| EHR Revenue | 622110 | $1,950,318 | $1,950,318 |
| Investment in Subs | 622110 | -$1,137,063 | -$1,137,063 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $9,049,948 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $3,643,873,548 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $3,641,280,564 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $16,308,484 | UnrelatedBusinessRevenueAmt |
| Exclusion | -$23,018,849 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $20,225,516 | TotalAmt |
| Program Services | $20,225,516 | ProgramServicesAmt |
Foreign Grants ForeignGrantsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $155,520 | TotalAmt |
| Program Services | $155,520 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $13,822,445 | TotalAmt |
| Management And General | $13,822,445 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,157,094,819 | TotalAmt |
| Program Services | $1,143,475,475 | ProgramServicesAmt |
| Management And General | $13,619,344 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $42,210,007 | TotalAmt |
| Program Services | $41,298,142 | ProgramServicesAmt |
| Management And General | $911,865 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $277,816,920 | TotalAmt |
| Program Services | $267,239,457 | ProgramServicesAmt |
| Management And General | $10,577,463 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $85,329,673 | TotalAmt |
| Program Services | $83,448,556 | ProgramServicesAmt |
| Management And General | $1,881,117 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,746,163 | TotalAmt |
| Management And General | $9,746,163 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $611,670 | TotalAmt |
| Management And General | $611,670 | ManagementAndGeneralAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $12,651,693 | TotalAmt |
| Management And General | $12,651,693 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $322,093,530 | TotalAmt |
| Program Services | $288,465,662 | ProgramServicesAmt |
| Management And General | $33,627,868 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $21,251,470 | TotalAmt |
| Management And General | $21,251,470 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $99,873,584 | TotalAmt |
| Program Services | $72,924,659 | ProgramServicesAmt |
| Management And General | $26,948,925 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $13,078,129 | TotalAmt |
| Program Services | $11,687,152 | ProgramServicesAmt |
| Management And General | $1,390,977 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $65,882,648 | TotalAmt |
| Program Services | $65,848,227 | ProgramServicesAmt |
| Management And General | $34,421 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,897,407 | TotalAmt |
| Program Services | $3,738,302 | ProgramServicesAmt |
| Management And General | $3,159,105 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,711,465 | TotalAmt |
| Program Services | $1,032,177 | ProgramServicesAmt |
| Management And General | $679,288 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $51,180,117 | TotalAmt |
| Program Services | $51,180,117 | ProgramServicesAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $165,354,274 | TotalAmt |
| Program Services | $165,354,274 | ProgramServicesAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $61,843,375 | TotalAmt |
| Program Services | $61,474,491 | ProgramServicesAmt |
| Management And General | $368,884 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| Medical Supplies | $614,477,989 | $614,477,989 | |
| Repairs/Maintenance | $78,402,113 | $78,402,113 | |
| Settlements | $46,249,434 | $46,249,434 | |
| UBI Tax | $301,127 | $301,127 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $173,636,329 | TotalAmt |
| Program Services | $69,807,787 | ProgramServicesAmt |
| Management And General | $103,828,542 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,341,897,417 | TotalAmt |
| Program Services | $3,040,235,616 | ProgramServicesAmt |
| Management And General | $301,661,801 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $107,874 | BOYAmt |
| EOY | $113,373 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,096,739,949 | BOYAmt |
| EOY | $1,947,033,102 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $499,819,933 | BOYAmt |
| EOY | $581,708,203 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $80,835,798 | BOYAmt |
| EOY | $80,866,232 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $17,555,966 | BOYAmt |
| EOY | $21,809,191 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $3,929,533,322 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $1,862,402,925 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,017,980,607 | BOYAmt |
| EOY | $2,067,130,397 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $277,373,392 | BOYAmt |
| EOY | $6,819,502 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $32,589,757 | BOYAmt |
| EOY | $32,779,520 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,358,550,031 | BOYAmt |
| EOY | $2,119,323,142 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,381,553,307 | BOYAmt |
| EOY | $6,857,582,662 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $351,124,411 | BOYAmt |
| EOY | $273,084,819 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,788,766,732 | BOYAmt |
| EOY | $3,271,874,640 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $455,443,431 | BOYAmt |
| EOY | $520,649,437 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,595,334,574 | BOYAmt |
| EOY | $4,065,608,896 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,784,339,068 | BOYAmt |
| EOY | $2,790,708,206 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,879,665 | BOYAmt |
| EOY | $1,265,560 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,786,218,733 | BOYAmt |
| EOY | $2,791,973,766 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,381,553,307 | BOYAmt |
| EOY | $6,857,582,662 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $301,976,131 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | -$15,047,449 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | -$281,173,649 | 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 | Yes (1) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (1) | FederalGrantAuditPerformedInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | VolunteersInd |
| Paid Staff Or Management | Yes (1) | 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 | $340,928 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $340,928 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | 0 | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part II-B, Line 1: | The corporation reimbursed traveling expenses and paid fees to retain the services of six consulting firms which performed lobbying activities on behalf of the corporation. The six firms were William Filan, John Andrew Kane, Johnson & Blanton, Political Media Research dba Mason-Dixon Polling & Research, David Christian and Jean Van Smith and were paid a total of $218,029 during the year. Additionaly, dues were paid to the American Hospital Association, Florida Hospital Association, Illinois Hospital Association, Texas Hospital Association, and Association of Organ Procurement who use a portion of the dues to conduct lobbying activities. |
| Part II-B 1(b) | During 2015 salary expense of $2,140 was incurred for paid staff engaged in lobbying activities. |
Schedule D IRS990ScheduleD
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $18,094,598 | BeginningYearBalanceAmt |
| Contributions | $530,000 | ContributionsAmt |
| Investment Earnings Or Losses | $911,157 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $417,212 | OtherExpendituresAmt |
| End Year Balance | $19,118,543 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $17,122,750 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $976,037 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $344,211 | OtherExpendituresAmt |
| End Year Balance | $17,754,576 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $16,590,057 | BeginningYearBalanceAmt |
| Contributions | $79,461 | ContributionsAmt |
| Investment Earnings Or Losses | $808,853 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $355,621 | OtherExpendituresAmt |
| End Year Balance | $17,122,750 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $15,730,537 | BeginningYearBalanceAmt |
| Contributions | $79,402 | ContributionsAmt |
| Investment Earnings Or Losses | $780,118 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $16,590,057 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $15,221,113 | BeginningYearBalanceAmt |
| Contributions | $121,143 | ContributionsAmt |
| Investment Earnings Or Losses | $753,535 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $365,254 | OtherExpendituresAmt |
| End Year Balance | $15,730,537 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated Balance EOY | 0.82000 | BoardDesignatedBalanceEOYPct |
| Prmnnt Endowment Balance EOY | 0.18000 | PrmnntEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | 0 | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | Yes (1) | EndowmentsHeldRelatedOrgInd |
| Related Org List Sch R | Yes (1) | RelatedOrgListSchRInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $199,105,198 | OtherCostOrOtherBasisAmt |
| Book Value | $199,105,198 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,293,089,169 | OtherCostOrOtherBasisAmt |
| Depreciation | $531,642,603 | DepreciationAmt |
| Book Value | $761,446,566 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $2,167,287,900 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,272,570,169 | DepreciationAmt |
| Book Value | $894,717,731 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $270,051,055 | OtherCostOrOtherBasisAmt |
| Depreciation | $58,190,153 | DepreciationAmt |
| Book Value | $211,860,902 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $2,067,130,397 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (8 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| Funds Held in Trust | $9,262,296 |
| Due From Related Parties and Affiliates | $127,986,598 |
| Donor Restricted Assets | $12,874 |
| Deferred Charges and Costs | $15,739,239 |
| Long-term Investments | $86,249,740 |
| Other Non-Current Assets | $11,196,629 |
| Receivable - Interco Alloc of Tax-Exempt Bond Proceeds | $1,855,483,772 |
| Receivable from Third Party | $13,391,994 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $2,119,323,142 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (7 entries)
| DescDesc | AmtAmt |
|---|---|
| Accounts Receivable - Credit Balances | $16,635,327 |
| Payable to Third Party | $77,043,950 |
| Due to Related-Affiliated Entities | $59,985,717 |
| Other Current Liabilities | $24,294,668 |
| Other Non-Current Liabilities | $140,227,315 |
| Notes and Loans Payable | $200,068,597 |
| Leases Payable | $2,393,863 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $520,649,437 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part V, Line 4: | All endowment funds are held by related 501(c)(3) exempt foundations. These endowment funds have been established for a variety of purposes in support of related tax-exempt hospitals. All of the foundation's permanently restricted endowment funds are required to be retained permanently either by explicit donor stipulation or by the Florida Uniform Prudent Management of Institutional Funds Act. Part V, line 1a, column (a) Current year - Explanation for change in opening balance: During year 2015, it came to the attention of the Foundation's management that an Endowment in the amount of $340,022 was mistakenly misclassified as of December 31, 2014. As a result, the Foundation restated beginning board-designated endowment funds in its 2015 tax year. |
| Part X, Line 2: | The filing organization is a subsidiary organization within Adventist Health System (AHS). The consolidated financial statements of AHS contain the following FIN 48 footnote: Please note that dollar amounts are in thousands. Healthcare Corporation and its affiliated organizations, other than North American Health Services, Inc. and its subsidiary (NAHS), are exempt from state and federal income taxes. Accordingly, Healthcare Corporation and its tax-exempt affiliates are not subject to federal, state or local income taxes except for any net unrelated business taxable income. NAHS is a wholly owned, for-profit subsidiary of Healthcare Corporation. NAHS and its subsidiary are subject to federal and state income taxes. NAHS files a consolidated federal income tax return and, where appropriate, consolidated state income tax returns. All taxable income was fully offset by net operating loss carryforwards for federal income tax purposes; as such, there is no provision for current federal or state income tax for the years ended December 31, 2015 and 2014. NAHS also has temporary deductible differences of approximately $62,700 and $63,600 at December 31, 2015 and 2014, respectively, primarily as a result of net operating loss carryforwards. At December 31, 2015, NAHS had net operating loss carryforwards of approximately $62,500, expiring beginning in 2022 through 2026. Deferred taxes have been provided for these amounts, resulting in a net deferred tax asset of approximately $23,800 and $24,200 at December 31, 2015 and 2014, respectively. A full valuation allowance has been provided at December 31, 2015 and 2014 to offset the deferred tax asset since Healthcare Corporation has determined that it is more likely than not that the benefit of the net operating loss carryforwards will not be realized in future years. The Income Taxes Topic of the ASC (ASC 740) prescribes the accounting for uncertainty in income tax positions recognized in financial statements. ASC 740 prescribes a recognition threshold and measurement attribute for the financial statement recognition and measurement of a tax position taken, or expected to be taken, in a tax return. There were no material uncertain tax positions as of December 31, 2015 and 2014. |
Schedule F IRS990ScheduleF
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | 0 | GrantRecordsMaintainedInd |
Account Activities Outside US AccountActivitiesOutsideUSGrp (24 entries)
| RegionRegionTxt | OfficesOfficesCnt | EmployeeEmployeeCnt | Type Of Activities ConductedTypeOfActivitiesConductedTxt | Region Total ExpendituresRegionTotalExpendituresAmt | Specific Services ProvidedSpecificServicesProvidedTxt |
|---|---|---|---|---|---|
| Central America and the Caribbean | 0 | 0 | Grantmaking | $127,793 | |
| Central America and the Caribbean | 0 | 0 | Meetings | $6,808 | |
| Central America and the Caribbean | 0 | 0 | Program Services | $92,702 | Mission trip, provision of staff for outside mission trip |
| Central America and the Caribbean | 0 | 0 | Speakers | $486 | |
| East Asia and the Pacific | 0 | 0 | Meetings | $27,952 | |
| East Asia and the Pacific | 0 | 0 | Program Services | $9,212 | Provision of staff for outside mission trip |
| East Asia and the Pacific | 0 | 0 | Speakers | $8,870 | |
| Europe (including Iceland and Greenland) | 0 | 0 | Meetings | $40,434 | |
| Europe (including Iceland and Greenland) | 0 | 0 | Speakers | $5,498 | |
| Middle East and North Africa | 0 | 0 | Meetings | $2,857 | |
| Middle East and North Africa | 0 | 0 | Speakers | $6,341 | |
| North America (which includes Canada and Mexico, but not the U.S.) | 0 | 0 | Grantmaking | $6,300 | |
| North America (which includes Canada and Mexico, but not the U.S.) | 0 | 0 | Meetings | $1,837 | |
| North America (which includes Canada and Mexico, but not the U.S.) | 0 | 0 | Program Services | $89,968 | Mission trip |
| North America (which includes Canada and Mexico, but not the U.S.) | 0 | 0 | Speakers | $7,277 | |
| South America | 0 | 0 | Grantmaking | $1,850 | |
| South America | 0 | 0 | Program Services | $121,296 | Mission trip, provision of services and supplies |
| South America | 0 | 0 | Speakers | $4,047 | |
| South Asia | 0 | 0 | Grantmaking | $16,550 | |
| South Asia | 0 | 0 | Program Services | $29,285 | Mission trip |
| South Asia | 0 | 0 | Speakers | $313 | |
| Sub-Saharan Africa | 0 | 0 | Grantmaking | $21,196 | |
| Sub-Saharan Africa | 0 | 0 | Meetings | $6,846 | |
| Sub-Saharan Africa | 0 | 0 | Program Services | $327,080 | Mission trip, management services for Learning Village & Summitt Clinic |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Subtotal Offices | 0 | SubtotalOfficesCnt |
| Subtotal Employees | 0 | SubtotalEmployeesCnt |
| Continutation Total Office | 0 | ContinutationTotalOfficeCnt |
| Continutation Total Employee | 0 | ContinutationTotalEmployeeCnt |
| Total Office | 0 | TotalOfficeCnt |
| Total Employee | 0 | TotalEmployeeCnt |
| Subtotal Spent | $314,257 | SubtotalSpentAmt |
| Continuation Spent | $648,541 | ContinuationSpentAmt |
| Total Spent | $962,798 | TotalSpentAmt |
Grants To Org Outside US GrantsToOrgOutsideUSGrp (8 entries)
| RegionRegionTxt | Purpose Of GrantPurposeOfGrantTxt | Non Cash AssistanceNonCashAssistanceAmt | Description Of Non Cash AsstDescriptionOfNonCashAsstTxt | Valuation Method UsedValuationMethodUsedDesc | Cash GrantCashGrantAmt | Manner Of Cash DisbursementMannerOfCashDisbursementTxt |
|---|---|---|---|---|---|---|
| Central America and the Caribbean | Medical Supplies or Equipment | $27,654 | Medical Supplies or Equipment | Donated Value | ||
| North America (which includes Canada and Mexico, but not the U.S.) | Medical Supplies or Equipment | $6,300 | Medical Supplies or Equipment | Donated Value | ||
| South Asia | Medical Supplies or Equipment | $16,550 | Medical Supplies or Equipment | Donated Value | ||
| Sub-Saharan Africa | Medical Supplies or Equipment | $8,200 | Medical Supplies or Equipment | Donated Value | ||
| Sub-Saharan Africa | Medical Supplies or Equipment | $7,316 | Medical Supplies or Equipment | Donated Value | ||
| Central America and the Caribbean | General Support | Book | $12,000 | Check | ||
| Central America and the Caribbean | General Support | Book | $65,000 | Check | ||
| Central America and the Caribbean | General Support | Book | $12,500 | Check |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 8 | Total501c3OrgCnt |
| Total Other Org | 0 | TotalOtherOrgCnt |
| Transfer To Foreign Corp | 0 | TransferToForeignCorpInd |
| Interest In Foreign Trust | 0 | InterestInForeignTrustInd |
| Foreign Corp Ownership | 0 | ForeignCorpOwnershipInd |
| Passive Foreign Investmest Co | 0 | PassiveForeignInvestmestCoInd |
| Foreign Partnership | 0 | ForeignPartnershipInd |
| Boycott Countries | 0 | BoycottCountriesInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part I, Line 2: | FormAndLineReferenceDesc |
| Explanation | Foreign grants are generally non-cash donations of medical equipment and supplies to assist foreign health care providers in fulfilling their mission of providing health care services to the populations they serve. The foreign health care providers are often hospitals and/or clinics operated and/or sponsored by or affiliated with the Seventh-Day Adventist Church. The foreign hospitals/clinics may be located in remote and/or underserved villages and townships of developing countries. Grants are typically made to other U.S. charitable organizations or foreign entities recognized as charitable by the foreign country in which they are located. As a result of the nature of the grants as non-cash medical equipment and supplies and the fact that most grants are made indirectly through other U.S. or foreign charitable organizations, the filing organization has not established specific procedures for monitoring the use of grant funds outside the United States. | ExplanationTxt |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (1) | FinancialAssistancePolicyInd |
| Written Policy | Yes (1) | WrittenPolicyInd |
| All Hospitals Policy | Yes (X) | AllHospitalsPolicyInd |
| FPG Reference Free Care | Yes (1) | FPGReferenceFreeCareInd |
| Percent200 | Yes (X) | Percent200Ind |
| FPG Reference Discounted Care | 0 | FPGReferenceDiscountedCareInd |
| Free Care Medically Indigent | Yes (1) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (1) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | 0 | ExpensesExceedBudgetInd |
| Annual Community Bnft Report | Yes (1) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (1) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $143,917,616 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $143,917,616 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.04310 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $477,909,430 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $311,726,532 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $166,182,898 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.04970 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $621,827,046 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $311,726,532 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $310,100,514 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.09280 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $18,481,404 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $312,519 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $18,168,885 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00540 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $40,748,127 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $8,932,605 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $31,815,522 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00950 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $13,157,156 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $12,739,425 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $417,731 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00010 | TotalExpensePct |
Research ResearchGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $3,384,083 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $1,984,462 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,399,621 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00040 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $13,466,092 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $13,466,092 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00400 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $89,236,862 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $23,969,011 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $65,267,851 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01940 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $711,063,908 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $335,695,543 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $375,368,365 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.11220 | TotalExpensePct |
Health Improvement Advocacy HealthImprovementAdvocacyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $24,424,842 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $6,576,282 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $17,848,560 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00530 | TotalExpensePct |
Workforce Development WorkforceDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $435,617 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $6,435 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $429,182 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00010 | TotalExpensePct |
Other Communtity Building Acty OtherCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,361 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $1,361 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $24,861,820 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $6,582,717 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $18,279,103 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00540 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (1) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $190,844,807 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $5,545,540 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $688,627,572 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $810,596,383 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$121,968,811 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | Yes (X) | CostToChargeRatioInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (1) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (1) | FinancialAssistancePrvsnInd |
Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp (5 entries)
| Primary ActivitiesPrimaryActivitiesTxt | Org Profit Or OwnershipOrgProfitOrOwnershipPct | Ofcr Etc Profit Or OwnershipOfcrEtcProfitOrOwnershipPct | Physicians Profit Or OwnershipPhysiciansProfitOrOwnershipPct |
|---|---|---|---|
| 1 San Marcos MRI LP | |||
| Imaging Center | 0.60000 | 0.00000 | 0.40000 |
| 2 Central Texas Ambulatory Endoscopy | |||
| Endoscopy Center | 0.18800 | 0.00000 | 0.81200 |
| 3 Surgical Center at Sun'N Lake LLC | |||
| Ambulatory Surgery | 0.50000 | 0.00000 | 0.50000 |
| 4 Surgery Management Associates of Kissimmee LLC | |||
| Management/Admin | 0.30000 | 0.00000 | 0.70000 |
| 5 Celebration Surgery Management LLC | |||
| Management/Admin | 0.38000 | 0.00000 | 0.62000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital Facilities | 12 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp (12 entries)
| FacilityFacilityNum | Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Website AddressWebsiteAddressTxt | State LicenseStateLicenseNum | Licensed HospitalLicensedHospitalInd | General Medical And SurgicalGeneralMedicalAndSurgicalInd | Childrens HospitalChildrensHospitalInd | Teaching HospitalTeachingHospitalInd | Research FacilityResearchFacilityInd | Emergency Room24 HrsEmergencyRoom24HrsInd | OtherOtherDesc | Facility Reporting GroupFacilityReportingGroupCd | Critical Access HospitalCriticalAccessHospitalInd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Florida Hospital Orlando | |||||||||||||||
| 1 | 601 E Rollins Street | Orlando | FL | 32803 | www.floridahospital.com/orlando | 4369 | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Therapy Center, EPS Cath Lab | A | |
| Florida Hospital Altamonte | |||||||||||||||
| 2 | 601 E Altamonte Drive | Altamonte Springs | FL | 32701 | www.floridahospital.com/altamonte | 4369 | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Cancer Center, therapy | A | |||
| Florida Hospital Celebration Health | |||||||||||||||
| 3 | 400 Celebration Place | Celebration | FL | 34747 | www.floridahospital.com/celebration-h | 4369 | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Therapy Center | A | |||
| Winter Park Memorial Hospital | |||||||||||||||
| 4 | 200 N Lakemont Avenue | Winter Park | FL | 32822 | www.floridahospital.com/winter-park-m | 4369 | Yes (X) | Yes (X) | Yes (X) | Yes (X) | A | ||||
| Florida Hospital East Orlando | |||||||||||||||
| 5 | 7727 Lake Underhill Road | Orlando | FL | 32822 | www.floridahospital.com/east-orlando | 4369 | Yes (X) | Yes (X) | Yes (X) | Yes (X) | A | ||||
| FH Heartland Medical Center | |||||||||||||||
| 6 | 4200 Sun N Lake Blvd | Sebring | FL | 33872 | www.floridahospital.com/heartland | 4171 | Yes (X) | Yes (X) | Yes (X) | A | |||||
| Florida Hospital Kissimmee | |||||||||||||||
| 7 | 2450 North Orange Blossom Trail | Kissimmee | FL | 34744 | www.floridahospital.com/kissimmee | 4369 | Yes (X) | Yes (X) | Yes (X) | Yes (X) | A | ||||
| Central Texas Medical Center | |||||||||||||||
| 8 | 1301 Wonder World Dr | San Marcos | TX | 78666 | ctmc.org | 000556 | Yes (X) | Yes (X) | Yes (X) | B | |||||
| Florida Hospital Apopka | |||||||||||||||
| 9 | 201 N Park Avenue | Apopka | FL | 32703 | www.floridahospital.com/apopka | 4369 | Yes (X) | Yes (X) | Yes (X) | Yes (X) | A | ||||
| FH Heartland Medical Center Lake Placid | |||||||||||||||
| 10 | 1210 US 27 N | Lake Placid | FL | 33852 | www.floridahospital.com/heartland | 4171 | Yes (X) | Yes (X) | Yes (X) | Senior Behavioral Unit | A | ||||
| Florida Hospital Wauchula | |||||||||||||||
| 11 | 533 W Carlton Street | Wauchula | FL | 33873 | www.floridahospital.com/heartland | 4239 | Yes (X) | Yes (X) | Yes (X) | Skilled Nursing | B | Yes (X) | |||
| Adventist La Grange Memorial Hospital | |||||||||||||||
| 12 | 5101 S Willow Springs Road | La Grange | IL | 60525 | www.keepingyouwell.com/almh/ | 0005017 | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | C | |||
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp (3 entries)
| 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 | 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 | Strategy AttachedStrategyAttachedInd | 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 | 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 | FAP Notice DisplayedFAPNoticeDisplayedInd | Communtity Notified FAPCommuntityNotifiedFAPInd | FAP Actions On NonpaymentFAPActionsOnNonpaymentInd | Permit No ActionsPermitNoActionsInd | Collection ActivitiesCollectionActivitiesInd | FAP Notified Upon AdmissionFAPNotifiedUponAdmissionInd | FAP Notified Before DischargeFAPNotifiedBeforeDischargeInd | FAP Notified All PatientsFAPNotifiedAllPatientsInd | Documented Elig DeterminationDocumentedEligDeterminationInd | Nondis Emergency Care PolicyNondisEmergencyCarePolicyInd | Other Method UsedOtherMethodUsedInd | Amounts Generally BilledAmountsGenerallyBilledInd | Gross ChargesGrossChargesInd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| GROUP A | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| 0 | 0 | Yes (1) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | 13 | Yes (1) | Yes (1) | Yes (1) | Yes (1) | Yes (X) | See statement | Yes (X) | Yes (X) | Yes (1) | 14 | Yes (1) | See statement | 0 | 0 | Yes (1) | Yes (X) | 200.000000000000 | 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 (1) | Yes (X) | 0 | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (1) | Yes (X) | 0 | 0 |
| GROUP B | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| 0 | 0 | Yes (1) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | 13 | Yes (1) | 0 | 0 | Yes (1) | Yes (X) | See statement | Yes (X) | Yes (X) | Yes (1) | 14 | Yes (1) | See statement | 0 | 0 | Yes (1) | Yes (X) | 200.000000000000 | 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 (1) | Yes (X) | 0 | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (1) | Yes (X) | 0 | 0 |
| GROUP C | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| 0 | 0 | Yes (1) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | 13 | Yes (1) | Yes (1) | 0 | Yes (1) | Yes (X) | See statement | Yes (X) | Yes (X) | Yes (1) | 14 | Yes (1) | See statement | 0 | 0 | Yes (1) | Yes (X) | 200.000000000000 | 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 (1) | Yes (X) | 0 | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (1) | Yes (X) | 0 | 0 |
Supplemental Information SupplementalInformationGrp (86 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part V, Section B | Facility Reporting Group A |
| Facility Reporting Group A consists of: | - Facility 1: Florida Hospital Orlando, - Facility 3: Florida Hospital Celebration Health, - Facility 2: Florida Hospital Altamonte, - Facility 5: Florida Hospital East Orlando, - Facility 4: Winter Park Memorial Hospital, - Facility 7: Florida Hospital Kissimmee, - Facility 6: FH Heartland Medical Center, - Facility 9: Florida Hospital Apopka, - Facility 10: FH Heartland Medical Center Lake Placid |
| Group A-Facility 1 -- Florida Hospital Orlando Part V, Section B, line 5: | Florida Hospital (FH) is a 2,579 bed medical complex in Central Florida with seven separate hospital campuses. FH serves the residents of Central Florida (primarily serving the residents of Orange, Osceola, Seminole and Lake Counties) but also draws patients from other parts of the Southeastern United States, the Caribbean and South America. The 7-campus hospital health system is the largest healthcare provider in Central Florida and the nation's largest Medicare provider with FH being the second largest employer in the area. All of the seven campuses of FH operate under a single hospital license. Florida Hospital Orlando (FHO) is a 1,217 acute-care bed hospital and medical center founded in 1908. It is Florida Hospital's flagship hospital and is the largest campus in the Florida Hospital system. FHO has 1,067 acute care beds, 59 adult psychiatric beds, 10 comprehensive medical rehabilitation beds, 28 Level II Neonatal Intensive Care Unit beds, and 53 Level III Neonatal Intensive Care Unit beds. Special services include an adult and pediatric bone marrow transplant program, adult open-heart surgery, as well as organ programs for adult and pediatric kidney transplants and adult liver and pancreas transplants. This campus also serves as a Baker Act receiving center and offers specialty care in the areas of digestive health; hyperbaric medicine and wound care; fetal diagnostics; pain medicine; pediatric hematology/oncology; respiratory care; women's services; and surgical oncology. FHO is also home to institutes for: cancer; diabetes; translational research; cardiology; orthopedics; and neuroscience. Florida Hospital (all campuses) conducted its 2013 Community Health Needs Assessment (CHNA) in two parts: a regional health needs assessment for Orange, Seminole and Osceola Counties in Central Florida, followed by separate assessments focused on and tailored to each of the seven campuses of FH. Three not-for-profit clinical hospitals within Central Florida, namely FH, Orlando Health, and Lakeside Behavioral Health, together with the Florida Department of Health in Orange County, collaborated to conduct the regional tri-county health needs assessment. This was the first ever multi-hospital, public health department joint community health needs assessment. These four organizations also collaborated with other community agencies under the umbrellas of "Healthy Orange Florida" in Orange County, "Healthy Seminole" in Seminole County, and "Community Vision" in Osceola County. Healthy Seminole is an 81-member affiliation of representatives from FH, local government, social service, and educational organizations within Seminole County. The Health Council of East Central Florida, Inc. (the Health Council), a regional quasi-government health planning agency, was contracted with to assist with data collection and analysis. The Health Council conducted over 70 key stakeholder interviews with individuals representing the broad interests of the tri-county area. Key stakeholders for the tri-county assessment included individuals with special knowledge of or interest in public health (i.e., health departments); individuals/organizations serving or representing the interests of medically underserved, low-income, and minority populations; persons who represented the broad interests of residents served by the hospitals; and individuals representing large employers and employee interests. A total of 72 stakeholders representing 44 social service and health care organizations were interviewed and completed a questionnaire aimed at identifying health barriers, assets, resources, and needs within the region. As a part of its efforts to ensure broad community-based input into the CHNA process, FH formed a Community Health Needs Assessment Committee (CHNAC). The CHNAC was comprised of external community members/stakeholders and senior FH leaders. The community members in particular provided strong representation of low-income, minority and underserved populations. Listed below are several examples of community organizations represented on the CHNAC: * Hebni Nutrition Consultant a nutritionist who works in the local African American community;* The University of Central Florida School of Medicine primary care physician training;* Winter Park Health Foundation a local non-profit organization that develops and funds school health and older adult programs; * Orange County Public Schools serves children of all ages and ethnicities, including those who are homeless and/or eligible for free or reduced lunch programs; and * Gracia Anderson Foundation a local non-profit organization that funds social service projects. |
| Group A-Facility 1 -- Florida Hospital Orlando Part V, Section B, line 6a: | The filing organization collaborated with two other not-for-profit hospitals, namely Orlando Health and Lakeside Behavioral Health, to create a Community Health Needs Assessment for Orange, Osceola, and Seminole Counties. The Community Health Needs Assessment describes the health of Central Floridians for the purpose of planning interventions relevant to the community. |
| Group A-Facility 1 -- Florida Hospital Orlando Part V, Section B, line 6b: | The Hospital collaborated with the Florida Department of Health in Orange County and other community agencies under the umbrellas of "Healthy Orange Florida" in Orange County, "Healthy Seminole" in Seminole County, and "Community Vision" in Osceola County. Healthy Seminole is an 81-member affiliation of representatives from FH, local government, social service, and educational organizations within Seminole County. The Health Council of East Central Florida, Inc. (the Health Council), a regional quasi-government health planning agency, was contracted with to assist with data collection and analysis. |
| Group A-Facility 1 -- Florida Hospital Orlando 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 Report must be posted on the Hospital's website by the end of the year in which it is conducted. The Hospital will make a copy of its Community Health Needs Assessment Report available upon request. The Hospital will also make a paper copy of the Community Health Needs Assessment Report available for public inspection at the Hospital facility. |
| Group A-Facility 1 -- Florida Hospital Orlando Part V, Section B, line 11: | Community Needs Being Addressed by Florida Hospital Orlando: Florida Hospital (FH) has seven acute-care hospital facilities in Orange, Seminole and Osceola Counties, FL. The tri-county area is often referred to as Central Florida. The seven FH facilities operate under one license but, due to the diverse communities served, FH conducted separate Community Health Needs Assessments and Community Health Plans (implementation strategies) for each FH campus. This narrative describes the Community Health Plan for Florida Hospital Orlando (FHO), a tertiary medical center in downtown Orlando in Orange County, Florida. FHO chose three areas of focus for its 2013-16 Community Health Plan: Access to Care, Mental Health and Heart Disease/Obesity. This narrative also addresses efforts in Diabetes and Obesity/Disease Prevention. Priority Issue: Access to Affordable Health Care 2013 Description of the Issue: Over 24% of people in Central Florida do not have health insurance, and the State of Florida has not accepted federal Medicaid expansion dollars. A number of Florida Hospital Orlando initiatives linked uninsured and underinsured residents with free or affordable health care. 2015 Update: Florida Hospital Orlando provided $6 million in financial support for the Primary Care Access Network (PCAN) of Orange County, a dynamic collaborative of 22 safety net providers: Orange County Government, FQHC medical homes, the Health Department, free clinics, community agencies, hospitals and social service entities. PCAN's mission is to improve the access, quality and coordination of health care services to the underinsured and uninsured populations of Orange County. Since 2001, the collaboration has grown from one FQHC medical home with 5,000 patients to 13 FQHCs with 92,000 uninsured patients. Uninsured patients are seen on a sliding fee scale basis (the FQHCs also accept Medicaid, Medicare and private insurance). In addition, 10,300 people with incomes below 125% of the federal poverty level received secondary care at the Orange County Medical Clinic. FHO also provided $100,000 in financial support to (both) Grace Medical Home (for chronic conditions) and the Health Care Center for the Homeless. Florida Hospital Orlando operated a no-cost Community After Hours Clinic that saw 3,000 uninsured patients. FHO financially supported the operations of Shepherd's Hope free clinics (that saw 15,000 uninsured patients), provided funding for an electronic medical record system, and recruited over 150 different Florida Hospital employees to volunteer at Shepherd's Hope clinics. FHO also provided financial support to start up the school health clinic at nearby Edgewater High School. FHO provided a funding match for the Healthy Start Coalition of Orange County that serves mothers and infants. Florida Hospital's mobile mammogram unit provided 1,400 free or very low-cost mammograms to uninsured women. In order to help build the local health care workforce (and ensure that Central Florida has providers in the future), Florida Hospital Orlando provided funding for the professional development and education of medical and nursing students from Valencia College, Seminole State College, Adventist University, the University of Central Florida (UCF), and the UCF School of Medicine. These entities also rotate students through multiple clinical departments at Florida Hospital Orlando. Priority Issue: Mental Health 2013 Description of the Issue: While there are strong mental health and substance abuse providers in the Orange County community, funding for these services is very limited (as is the case throughout Florida). Florida Hospital Orlando has medical-psychiatric beds, and is the Baker Act Receiving Center for Orange County. 2015 Update: The Florida Hospital Outlook Clinic for Depression & Anxiety provided free comprehensive behavioral evaluation, treatment and case management for uninsured residents of Orange County. In 2015, 816 patients received services (the goal was 650). The Outlook Clinic is a partnership with Orange County Government Health Services, the Mental Health Association of Orange County, the University of Central Florida College of Social Work, and others. Florida Hospital Orlando was a founder of, and provides major funding for, the Orange County Central Receiving Center (CRC). The CRC provides an alternative to jail or to the Baker Act Receiving Center. Law enforcement officers can bring non-dangerous arrestees to the CRC, a short-term treatment setting for alcohol or drug-impaired arrestees. The County mental health provider, Aspire Behavioral Health Partners (Aspire), operates the CRC. Florida Hospital Orlando also provided other major funding for Aspire as well as financial support for the Mental Health Association of Central Florida. FHO has representatives working on the Orange County Government SAMHSA Wrap-Around effort to coordinate preventive mental health services for children. Priority Issue: Heart Disease/Obesity 2013 Description of the Issue: Heart Disease is a leading cause of death in Central Florida and across the nation. Risk factors for heart disease include obesity, lack of exercise and smoking. The Florida Heart Institute at Florida Hospital Orlando offers heart transplantation, surgical and interventional cardiology programs, and a full range of pre- and post-treatment services. 2015 Update: Florida Hospital Orlando continued to fund and operate a Congestive Heart Failure (CHF) clinic serving uninsured patients. It is staffed by Florida Hospital ARNPs and is co-located with the Orlando County Medical Clinic (specialty care) noted above. In 2015, the clinic served 850 patients at no cost. FHO offered many free screenings and community lectures on disease prevention and recognizing the warning signs of heart disease. Cardiac education and support programs included (but were not limited to) the Mended Hearts Cardiac Support Group, Caring for Your Heart When You Have Diabetes, Get Your Heart in Rhythm, and Do Women with Endometriosis Have A Higher Risk of Heart Disease? Florida Hospital also offers free Quit Smoking Now smoking cessation classes and a free online Heart Disease Risk Assessment. These programs were all open to the public. FHO was a major funder of research and education sponsored by the American Heart Association, and sponsored the AHA and other 5K Runs. Issue: Diabetes in the Town of Eatonville 2013 Description of the Issue: Florida Hospital Orlando's 2013 Needs Assessment showed that Diabetes is among the most prevalent chronic diseases in Orange County. Diabetes can lead to the development of serious and disabling complications if not properly treated. Complications include heart disease and stroke, high blood pressure, blindness, kidney disease and limb amputation. The town of Eatonville, just three miles from Florida Hospital Orlando, is the nation's oldest African-American community. The community has a 24% rate of diabetes (compared to 7.1% for the rest of Orange County). 2015 Update: "Healthy Eatonville Place" targeted the primarily African-American residents of the town of Eatonville. The program offered screenings, diabetic health risk assessments and treatment to help Eatonville residents better control their diabetes. Diabetic and pre-diabetic residents participated in the no-cost effort, and the program's retention rate was 85%. For 2015, other outcomes included:- Pre-diabetic participants who did not become diabetic: 66%- Pre-diabetic participants who met their weight loss goal of >7%: 50%- Pre-diabetic participants who reported nutrition and exercise changes: 60%- Patients with poorly controlled diabetes who reached their blood pressure goal: 80%- Patients with poorly controlled diabetes who finished diabetes education and understood their personal goals: 90% - Patients "graduates" with poorly controlled diabetes who continued with the program's interventions and support programs: 75%. FHO also supports the American Diabetes Association Annual 5k and other walks that provide opportunities for leisure time activity. Issue: Obesity / Disease Prevention 2013 Description of the Issue: Obesity increases the risk for developing health conditions such as heart disease, stroke, diabetes and cancer. Additionally, being overweight or obese increases the risk of adverse health outcomes and has significant economic impacts on individuals and the community. These impacts can include a rise in health care spending over time as well as lost earnings and productivity due to illness. **see continuation of footnote |
| Group A-Facility 1 -- Florida Hospital Orlando Part V, Section B, line 22d: | In determining the maximum amount that can be charged to financial assistance policy-eligible individuals for emergency or other medically necessary care, the Hospital used the following methodology in 2015:The Hospital utilized the look-back method for determining its amounts generally billed (AGB) percentage. In calculating its AGB percentage, the Hospital included claims allowed during its prior 12-month period by Medicare fee-for-service (including Medicare Advantage) and all commercial payors that had any activity with the Hospital during the taxable year. |
| Group A-Facility 3 -- Florida Hospital Celebration Health Part V, Section B, line 5: | Florida Hospital (FH) is a 2,579 bed medical complex in Central Florida with seven separate hospital campuses. FH serves the residents of Central Florida (primarily serving the residents of Orange, Osceola, Seminole and Lake Counties) but also draws patients from other parts of the Southeastern United States, the Caribbean and South America. The 7-campus hospital health system is the largest healthcare provider in Central Florida and the nation's largest Medicare provider with FH being the second largest employer in the area. All of the seven campuses of FH operate under a single hospital license. The Florida Hospital Celebration Health (FHCH) campus is a 203-bed, state-of-the-art hospital that serves as a showcase of innovation and excellence in healthcare. Established in 1997, Florida Hospital Celebration Health was designed to serve as a cornerstone of health in the Disney-planned community of Celebration, Florida. Florida Hospital (all campuses) conducted its 2013 Community Health Needs Assessment (CHNA) in two parts: a regional health needs assessment for Orange, Seminole and Osceola Counties in Central Florida, followed by separate assessments focused on and tailored to each of the seven campuses of FH. Three not-for-profit clinical hospitals within Central Florida, namely FH, Orlando Health, and Lakeside Behavioral Health, together with the Florida Department of Health in Orange County, collaborated to conduct the regional tri-county health needs assessment. This was the first ever multi-hospital, public health department joint community health needs assessment. These four organizations also collaborated with other community agencies under the umbrellas of "Healthy Orange Florida" in Orange County, "Healthy Seminole" in Seminole County, and "Community Vision" in Osceola County. Healthy Seminole is an 81-member affiliation of representatives from FH, local government, social service, and educational organizations within Seminole County. The Health Council of East Central Florida, Inc. (the Health Council), a regional quasi-government health planning agency, was contracted with to assist with data collection and analysis. The Health Council conducted over 70 key stakeholder interviews with individuals representing the broad interests of the tri-county area. Key stakeholders for the tri-county assessment included individuals with special knowledge of or interest in public health (i.e., health departments); individuals/organizations serving or representing the interests of medically underserved, low-income, and minority populations; persons who represented the broad interests of residents served by the hospitals; and individuals representing large employers and employee interests. A total of 72 stakeholders representing 44 social service and health care organizations were interviewed and completed a questionnaire aimed at identifying health barriers, assets, resources, and needs within the region. As a part of its efforts to ensure broad community-based input into the CHNA process, FH formed a Community Health Needs Assessment Committee (CHNAC). The CHNAC was comprised of external community members/stakeholders and senior FH leaders. The community members in particular provided strong representation of low-income, minority and underserved populations. Listed below are several examples of community organizations represented on the CHNAC: * Hebni Nutrition Consultant a nutritionist who works in the local African American community;* The University of Central Florida School of Medicine primary care physician training;* Winter Park Health Foundation a local non-profit organization that develops and funds school health and older adult programs; * Orange County Public Schools serves children of all ages and ethnicities, including those who are homeless and/or eligible for free or reduced lunch programs; and * Gracia Anderson Foundation a local non-profit organization that funds social service projects. |
| Group A-Facility 3 -- Florida Hospital Celebration Health Part V, Section B, line 6a: | The filing organization collaborated with two other not-for-profit hospitals, namely Orlando Health and Lakeside Behavioral Health, to create a Community Health Needs Assessment for Orange, Osceola, and Seminole Counties. The Community Health Needs Assessment describes the health of Central Floridians for the purpose of planning interventions relevant to the community. |
| Group A-Facility 3 -- Florida Hospital Celebration Health Part V, Section B, line 6b: | The Hospital collaborated with the Florida Department of Health in Orange County and other community agencies under the umbrellas of "Healthy Orange Florida" in Orange County, "Healthy Seminole" in Seminole County, and "Community Vision" in Osceola County. Healthy Seminole is an 81-member affiliation of representatives from FH, local government, social service, and educational organizations within Seminole County. The Health Council of East Central Florida, Inc. (the Health Council), a regional quasi-government health planning agency, was contracted with to assist with data collection and analysis. |
| Group A-Facility 3 -- Florida Hospital Celebration Health 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 Report must be posted on the Hospital's website by the end of the year in which it is conducted. The Hospital will make a copy of its Community Health Needs Assessment Report available upon request. The Hospital will also make a paper copy of the Community Health Needs Assessment Report available for public inspection at the Hospital facility. |
| Group A-Facility 3 -- Florida Hospital Celebration Health Part V, Section B, line 11: | Community Needs Being Addressed by Florida Hospital Celebration Health: Florida Hospital (FH) has seven acute-care hospital facilities in Orange, Seminole and Osceola Counties, FL. The tri-county area is often referred to as Central Florida. The seven FH facilities operate under one license but, due to the diverse communities served, FH conducted separate Community Health Needs Assessments and Community Health Plans (implementation strategies) for each FH campus. This narrative describes the Community Health Plan for Florida Hospital Celebration Health (FHCH), a 203-bed community hospital in the town of Celebration in northwestern Osceola County, Florida. FHCH is 10 miles away from Florida Hospital Kissimmee. Celebration is a planned community originally developed by the Walt Disney Company in the late 1990s. Today, it is an unincorporated town in Orange County. The residents of Celebration are considered upper middle class, but the area around the town is home to many low-income people who work part- or full-time in the tourism industry. Florida Hospital Celebration Health chose two areas of focus for its 2013-16 Community Health Plan: Obesity/Diabetes and Maternal and Child Health. FHCH is also deeply involved in Access to Care initiatives for the County's uninsured residents. Accordingly, the narrative below describes the actions taken by FHCH with respect to Access to Care issues. Priority: Obesity/Diabetes 2013 Description of the Issue: Obesity increases the risk for developing health conditions such as heart disease, stroke, diabetes, and cancer - and the comorbidities that often accompany these diseases. Additionally, being overweight or obese increases the risk of adverse health outcomes and has significant economic impacts on individuals and the community. These impacts can include a rise in health care spending over time as well as lost earnings and productivity due to illness. Good nutrition, physical activity, and maintaining a healthy body weight can help manage/prevent obesity and promote overall health and well-being. 2015 Update: Florida Hospital Celebration Health's obesity/chronic disease interventions targeted both adults and children. FHCH partnered with local organizations to deliver weekend food to children who qualify for free or reduced lunch (per the school district). FHCH facilitated and hosted an event to package food items for children and families, and supported education initiatives around the 5-2-1-0 Let's Go campaign in Osceola County Schools. Let's Go! is a nationally recognized childhood obesity prevention effort that works with schools, child care and out-of-school programs, and community organizations. The programs promote the 5-2-1-0 formula: five or more fruits and vegetables, 2 hours less recreational screen time, 1 hour more of physical activity and 0 sugary drinks (and more water). CREATION Health lifestyle seminars and expanded programs were offered at Florida Hospital Celebration and in community settings. CREATION Health is a faith-based wellness plan that focuses on eight principles: Choice, Rest, Environment, Activity, Trust, Interpersonal Relationships, Outlook and Nutrition. FHCH also offered free 'Quit Smoking' smoking cessation and nutrition classes. To increase opportunities for leisure time physical activity, FHCH sponsored a number of 5K races including the Town of Celebration Marathon and half-marathon events, with proceeds going to a scholarship fund for Osceola County high school seniors. FHCH also supported the annual Healthy 100 Run and the American Heart Association 5K Run (and enlisted 650 employees from the tri-county area) and other runs and walks. Priority: Maternal and Child Health 2013 Description of the Issue: Pre-term and low birthweight rates in Osceola County were comparable or lower than Orange and Seminole Counties, as was the rate of receiving prenatal care in the first trimester. All indicators meet the Healthy People 2020 goals. 2015 Update: While many of the babies delivered at Florida Hospital Celebration Health came from middle- or upper-income families, many did not. FHCH's service area includes the rural, very low-income community of Intercession City and its surrounding area. Florida Hospital Celebration Health participated in community-based, early intervention efforts to reduce cesarean births due to failure to progress. FHCH also put a strong emphasis on increasing the number of women who are breastfeeding exclusively at the time of discharge. A wide range of parent education classes are available; most are open to the public. Staff from Florida Hospital Celebration Health served on the Fetal Infant Mortality Review Committee on the Closing the Gap grant administered by the Florida Department of Health in Osceola County. The Committee studied data and proposed solutions to improve infant health outcomes for County residents. FHCH also provided a funding match for the Healthy Start Coalition of Osceola County. Priority: Access to Care 2013 Description of the Issue: Access to comprehensive, quality health care is important for increasing the quality of life. Osceola County has the highest rate of un-insured in Central Florida - over 30%. The County is 50% Hispanic and across the nation, Hispanics have much higher rates of being un-insured. 2015 Update: Florida Hospitals Celebration Health and Kissimmee are founders and active members of the Osceola Health Leadership Council sponsored by Community Vision. Since 1995, Community Vision has worked to bring public, private and faith sectors together in partnerships to create solutions for Osceola County's many challenges. Florida Hospital was a founder of Community Vision, and Florida Hospital established an endowment that funds the agency's health leadership efforts. The Health Leadership Council members represent the four hospitals in the County (two are Florida Hospital facilities), the Health Department, free clinics, the Council on Aging and others. Their work has led to better coordination among safety net providers, the expansion of the County's network of Federally Qualified Health Centers (FQHCs), the establishment of the County's free clinics, and a specialty care referral network. Florida Hospital Celebration Health and Florida Hospital Kissimmee financially supported a number of free/affordable health care resources for uninsured County residents. This included the Council on Aging free chronic care clinic (for uninsured adults of all ages), the free diabetes program at the Council on Aging clinic (200 participants), and the no-cost secondary care referral system for the County's free clinics. The Council on Aging clinic served 1,500 people in 2015; as many as 50% were of Hispanic origin. FHCH also provided financial support to help un- and underinsured people to garner referrals and enrollment assistance for the FQHC medical homes in St. Cloud, Kissimmee, Poinciana, and Intercession City (four miles from Celebration) which served 32,000 patients. Florida Hospitals Celebration Health and Kissimmee were founders of the Community Hope Center. The Hope Center serves low-income, poverty-level families who are homeless or live in motels along Highway 192 in western Osceola County. The Center is a community collaboration whose key partners include Community Presbyterian Church of Celebration, Osceola Council on Aging, Park Place Behavioral Health, Community Vision and Florida Hospital. In 2015, the Health Care Center for the Homeless (HCCH) opened a new FQHC at the Hope Center. Florida Hospital provided start-up funding for the clinic, which saw 1,500 people in 2015. Florida Hospital Celebration Health provided financial support for project OPEN (Osceola Poverty Elimination Network), a community-based program dedicated to advancing women (primarily) and families from poverty to self-sufficiency. Project OPEN targeted low-income residents of the many low-budget motels along western Highway 192. Seventy-five women have graduated from the program, and 85% are now employed as CNAs. In addition, FHCH supported the education and training of medical practitioners at UCF Medical School, the TECO (Technical Education Center of Osceola) nursing and other health professions programs, and the Valencia College Nursing program. Many of these students participated in clinical rotations at Florida Hospitals Kissimmee and Celebration Health. Florida Hospital Celebration Health provided a funding match for the Healthy Start Coalition of Osceola County that serves mothers and infants. FHCH's mobile mammogram unit provided 4,100 free or very low-cost mammograms to uninsured women, including those in Osceola County.**see continuation of footnote |
| Group A-Facility 3 -- Florida Hospital Celebration Health Part V, Section B, line 22d: | In determining the maximum amount that can be charged to financial assistance policy-eligible individuals for emergency or other medically necessary care, the Hospital used the following methodology in 2015:The Hospital utilized the look-back method for determining its amounts generally billed (AGB) percentage. In calculating its AGB percentage, the Hospital included claims allowed during its prior 12-month period by Medicare fee-for-service (including Medicare Advantage) and all commercial payors that had any activity with the Hospital during the taxable year. |
| Group A-Facility 2 -- Florida Hospital Altamonte Part V, Section B, line 5: | Florida Hospital (FH) is a 2,579 bed medical complex in Central Florida with seven separate hospital campuses. FH serves the residents of Central Florida (primarily serving the residents of Orange, Osceola, Seminole and Lake Counties) but also draws patients from other parts of the Southeastern United States, the Caribbean and South America. The 7-campus hospital health system is the largest healthcare provider in Central Florida and the nation's largest Medicare provider with FH being the second largest employer in the area. All of the seven campuses of FH operate under a single hospital license. The Florida Hospital Altamonte (FHA) campus is a 362-bed, acute-care community hospital located in Altamonte Springs, Florida. It was established in 1973 as the first satellite campus of Florida Hospital. Since its establishment, Florida Hospital Altamonte has been providing state-of-the-art healthcare to its community, a 15-zip code area surrounding Altamonte Springs, and remains the largest satellite campus in the Florida Hospital system. FHA cares for more than 168,000 patients a year, including 67,000 emergency patients and 20,000 inpatients, with 2,000 baby deliveries and performs approximately 10,000 surgical cases and 79,000 outpatient procedures making it the largest and most comprehensive hospital in Seminole County.Florida Hospital (all campuses) conducted its 2013 Community Health Needs Assessment (CHNA) in two parts: a regional health needs assessment for Orange, Seminole and Osceola Counties in Central Florida, followed by separate assessments focused on and tailored to each of the seven campuses of FH. Three not-for-profit clinical hospitals within Central Florida, namely FH, Orlando Health, and Lakeside Behavioral Health, together with the Florida Department of Health in Orange County, collaborated to conduct the regional tri-county health needs assessment. This was the first ever multi-hospital, public health department joint community health needs assessment. These four organizations also collaborated with other community agencies under the umbrellas of "Healthy Orange Florida" in Orange County, "Healthy Seminole" in Seminole County, and "Community Vision" in Osceola County. Healthy Seminole is an 81-member affiliation of representatives from FH, local government, social service, and educational organizations within Seminole County. The Health Council of East Central Florida, Inc. (the Health Council), a regional quasi-government health planning agency, was contracted with to assist with data collection and analysis. The Health Council conducted over 70 key stakeholder interviews with individuals representing the broad interests of the tri-county area. Key stakeholders for the tri-county assessment included individuals with special knowledge of or interest in public health (i.e., health departments); individuals/organizations serving or representing the interests of medically underserved, low-income, and minority populations; persons who represented the broad interests of residents served by the hospitals; and individuals representing large employers and employee interests. A total of 72 stakeholders representing 44 social service and health care organizations were interviewed and completed a questionnaire aimed at identifying health barriers, assets, resources, and needs within the region. As a part of its efforts to ensure broad community-based input into the CHNA process, FH formed a Community Health Needs Assessment Committee (CHNAC). The CHNAC was comprised of external community members/stakeholders and senior FH leaders. The community members in particular provided strong representation of low-income, minority and underserved populations. Listed below are several examples of community organizations represented on the CHNAC: * Hebni Nutrition Consultant a nutritionist who works in the local African American community;* The University of Central Florida School of Medicine primary care physician training;* Winter Park Health Foundation a local non-profit organization that develops and funds school health and older adult programs; * Orange County Public Schools serves children of all ages and ethnicities, including those who are homeless and/or eligible for free or reduced lunch programs; and * Gracia Anderson Foundation a local non-profit organization that funds social service projects. |
| Group A-Facility 2 -- Florida Hospital Altamonte Part V, Section B, line 6a: | The filing organization collaborated with two other not-for-profit hospitals, namely Orlando Health and Lakeside Behavioral Health, to create a Community Health Needs Assessment for Orange, Osceola, and Seminole Counties. The Community Health Needs Assessment describes the health of Central Floridians for the purpose of planning interventions relevant to the community. |
| Group A-Facility 2 -- Florida Hospital Altamonte Part V, Section B, line 6b: | The Hospital collaborated with the Florida Department of Health in Orange County and other community agencies under the umbrellas of "Healthy Orange Florida" in Orange County, "Healthy Seminole" in Seminole County, and "Community Vision" in Osceola County. Healthy Seminole is an 81-member affiliation of representatives from FH, local government, social service, and educational organizations within Seminole County. The Health Council of East Central Florida, Inc. (the Health Council), a regional quasi-government health planning agency, was contracted with to assist with data collection and analysis. |
| Group A-Facility 2 -- Florida Hospital Altamonte 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 Report must be posted on the Hospital's website by the end of the year in which it is conducted. The Hospital will make a copy of its Community Health Needs Assessment Report available upon request. The Hospital will also make a paper copy of the Community Health Needs Assessment Report available for public inspection at the Hospital facility. |
| Group A-Facility 2 -- Florida Hospital Altamonte Part V, Section B, line 11: | Community Needs Being Addressed by Florida Hospital Altamonte: Florida Hospital (FH) has seven acute-care hospital facilities in Orange, Seminole and Osceola Counties, FL. The tri-county area is often referred to as Central Florida. The seven FH facilities operate under one license but, due to the diverse communities served, FH conducted separate Community Health Needs Assessments and Community Health Plans (implementation strategies) for each FH campus. This narrative describes the Community Health Plan for Florida Hospital Altamonte (FHAlt), a 362-bed community hospital in Altamonte Springs, a northern suburb of Orlando, Florida. FHAlt is located in Seminole County, which is more affluent than Orange and Osceola Counties (in which six other Florida Hospital facilities are located). Florida Hospital Altamonte chose two areas of focus for its 2013-16 Community Health Plan: Access to Care and Obesity. The Obesity effort also addresses the prevention and management of Chronic Diseases. Priority: Access to Care 2013 Description of the Issue: The state of Florida has not accepted federal Medicaid expansion dollars, leaving 17.4% of Seminole County residents without health insurance. While this is lower than the overall Central Florida rate of 24%, Seminole County has pockets of uninsured residents, particularly in Sanford, the County seat. 2015 Update: Florida Hospital Altamonte provided financial support to the Health Care Center for the Homeless (HCCH) for its new medical and dental facility at Harvest Time Ministries in Sanford. HCCH is a federally qualified health center (FQHC) that sees uninsured patients on a sliding fee scale basis, and accepts Medicaid, Medicare and most insurance. Florida Hospital Altamonte also supports HCCH's HOPE van and the HOPE team which provides behavioral health services to homeless people living in camps in the woods. Florida Hospital Altamonte has worked for many years with the True Health FQHC in Sanford on referrals between the entities. FHAlt also joined True Health and others to successfully advocate for the restoration of bus service to the Sanford facility. Florida Hospital Altamonte provided financial support (for operations) to Shepherd's Hope, which opened a free clinic in Longwood in Seminole County. This clinic is located at the Seminole Sharing Center that provides a food pantry, clothing boutique, and social services for the working poor, as well as the Oasis Center for homeless people (which includes showers and other amenities). FHAlt funds also helped Shepherd's Hope build a new electronic medical records system, and FHAlt staff recruited over 150 different Florida Hospital employees to volunteer at Shepherd's Hope clinics including the new Longwood location. Florida Hospital Orlando's Community After Hours Clinic, Congestive Health Failure Clinic, Lung Clinic and Outlook Clinic for Depression & Anxiety are located in adjacent Orange County but also serve Seminole County residents. These clinics are provided at no cost to their patients. Florida Hospital Altamonte provides leadership (via board membership) and full salary support for the clinical leader at Kids' House of Seminole and its Children's Advocacy Center. Kids' House provides services to victims of child abuse and their families, as well as prevention programs. FHAlt also provided a funding match for the Healthy Start Coalition of Seminole County that serves mothers and infants. Florida Hospital's mobile mammogram unit provided 1,400 free or very low-cost mammograms to uninsured women, including those in Seminole County. FHAlt financially supports IDignity, a nonprofit agency that helps homeless people without identification to get IDs. IDignity serves both Seminole and Orange Counties. In order to help build the local health care workforce (and ensure that Central Florida has providers in the future), FHAlt provided funding for the professional development and education of medical and nursing students from Valencia College, Seminole State College, Adventist University, the University of Central Florida (UCF), and the UCF School of Medicine. These entities, particularly Seminole State College, rotate students through clinical departments at Florida Hospital Altamonte. Issue: Obesity / Disease Prevention 2013 Description of the Issue: Obesity increases the risk for developing health conditions such as heart disease, stroke, diabetes and cancer. Additionally, being overweight or obese increases the risk of adverse health outcomes and has significant economic impacts on individuals and the community. These impacts can include a rise in health care spending over time as well as lost earnings and productivity due to illness. Good nutrition, physical activity, and maintaining a healthy body weight can help manage/prevent obesity and promote overall health and well-being. Florida Hospital Altamonte's obesity interventions were designed to serve both adults and children. 2015 Update: Florida Hospital Altamonte partnered with the Winter Park Health Foundation to co-found "Healthy Central Florida," an initiative that promotes healthy living and influences policy changes such as smoke-free resolutions. Healthy Central Florida also offered healthy lifestyle events in Winter Park (north Orange and South Seminole Counties) and Maitland, which straddles Seminole and Orange Counties. Examples include events that promoted a healthy lifestyle, exercise, good nutrition, and the establishment of smoke-free and safe pedestrian resolutions in Winter Park and other communities. Activities included the Maitland Walks program. Florida Hospital Altamonte also provided leadership to the Healthy Seminole Collaboration, a collaboration of community organizations working to reduce obesity in the County, and offered free 'Quit Smoking Now' smoking cessation classes. With community partners, Florida Hospital served 4,200 people in identified food deserts with a Mobile Farmers Market that offered fresh fruits and vegetables, cooking demos and nutritional educational opportunities in Seminole and Orange Counties. CREATION Health lifestyle seminars and expanded programs were offered at Florida Hospital Altamonte and in community settings. CREATION Health is a faith-based wellness plan that focuses on eight principles: Choice, Rest, Environment, Activity, Trust, Interpersonal Relationships, Outlook and Nutrition. CREATION Kids is a child-friendly wellness program that stresses healthy eating and exercise in church and school settings; it reached 350 children and their parents. To increase opportunities for leisure time physical activity, Florida Hospital Altamonte provided free state park admissions to Seminole County residents, and sponsored a number of 5K races that also raised funds for groups such as the American Heart Association (the Heart Walk enlisted 650 FHAlt employees). **see continuation of footnote |
| Group A-Facility 2 -- Florida Hospital Altamonte Part V, Section B, line 22d: | In determining the maximum amount that can be charged to financial assistance policy-eligible individuals for emergency or other medically necessary care, the Hospital used the following methodology in 2015:The Hospital utilized the look-back method for determining its amounts generally billed (AGB) percentage. In calculating its AGB percentage, the Hospital included claims allowed during its prior 12-month period by Medicare fee-for-service (including Medicare Advantage) and all commercial payors that had any activity with the Hospital during the taxable year. |
| Group A-Facility 5 -- Florida Hospital East Orlando Part V, Section B, line 5: | Florida Hospital (FH) is a 2,579 bed medical complex in Central Florida with seven separate hospital campuses. FH serves the residents of Central Florida (primarily serving the residents of Orange, Osceola, Seminole and Lake Counties) but also draws patients from other parts of the Southeastern United States, the Caribbean and South America. The 7-campus hospital health system is the largest healthcare provider in Central Florida and the nation's largest Medicare provider with FH being the second largest employer in the area. All of the seven campuses of FH operate under a single hospital license. The Florida Hospital East Orlando (FHEO) campus is a 265-bed full-service community hospital and has been serving East Orange County residents since it was acquired in 1990. Florida Hospital (all campuses) conducted its 2013 Community Health Needs Assessment (CHNA) in two parts: a regional health needs assessment for Orange, Seminole and Osceola Counties in Central Florida, followed by separate assessments focused on and tailored to each of the seven campuses of FH. Three not-for-profit clinical hospitals within Central Florida, namely FH, Orlando Health, and Lakeside Behavioral Health, together with the Florida Department of Health in Orange County, collaborated to conduct the regional tri-county health needs assessment. This was the first ever multi-hospital, public health department joint community health needs assessment. These four organizations also collaborated with other community agencies under the umbrellas of "Healthy Orange Florida" in Orange County, "Healthy Seminole" in Seminole County, and "Community Vision" in Osceola County. Healthy Seminole is an 81-member affiliation of representatives from FH, local government, social service, and educational organizations within Seminole County. The Health Council of East Central Florida, Inc. (the Health Council), a regional quasi-government health planning agency, was contracted with to assist with data collection and analysis. The Health Council conducted over 70 key stakeholder interviews with individuals representing the broad interests of the tri-county area. Key stakeholders for the tri-county assessment included individuals with special knowledge of or interest in public health (i.e., health departments); individuals/organizations serving or representing the interests of medically underserved, low-income, and minority populations; persons who represented the broad interests of residents served by the hospitals; and individuals representing large employers and employee interests. A total of 72 stakeholders representing 44 social service and health care organizations were interviewed and completed a questionnaire aimed at identifying health barriers, assets, resources, and needs within the region. As a part of its efforts to ensure broad community-based input into the CHNA process, FH formed a Community Health Needs Assessment Committee (CHNAC). The CHNAC was comprised of external community members/stakeholders and senior FH leaders. The community members in particular provided strong representation of low-income, minority and underserved populations. Listed below are several examples of community organizations represented on the CHNAC: * Hebni Nutrition Consultant a nutritionist who works in the local African American community;* The University of Central Florida School of Medicine primary care physician training;* Winter Park Health Foundation a local non-profit organization that develops and funds school health and older adult programs; * Orange County Public Schools serves children of all ages and ethnicities, including those who are homeless and/or eligible for free or reduced lunch programs; and * Gracia Anderson Foundation a local non-profit organization that funds social service projects. |
| Group A-Facility 5 -- Florida Hospital East Orlando Part V, Section B, line 6a: | The filing organization collaborated with two other not-for-profit hospitals, namely Orlando Health and Lakeside Behavioral Health, to create a Community Health Needs Assessment for Orange, Osceola, and Seminole Counties. The Community Health Needs Assessment describes the health of Central Floridians for the purpose of planning interventions relevant to the community. |
| Group A-Facility 5 -- Florida Hospital East Orlando Part V, Section B, line 6b: | The Hospital collaborated with the Florida Department of Health in Orange County and other community agencies under the umbrellas of "Healthy Orange Florida" in Orange County, "Healthy Seminole" in Seminole County, and "Community Vision" in Osceola County. Healthy Seminole is an 81-member affiliation of representatives from FH, local government, social service, and educational organizations within Seminole County. The Health Council of East Central Florida, Inc. (the Health Council), a regional quasi-government health planning agency, was contracted with to assist with data collection and analysis. |
| Group A-Facility 5 -- Florida Hospital East Orlando 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 Report must be posted on the Hospital's website by the end of the year in which it is conducted. The Hospital will make a copy of its Community Health Needs Assessment Report available upon request. The Hospital will also make a paper copy of the Community Health Needs Assessment Report available for public inspection at the Hospital facility. |
| Group A-Facility 5 -- Florida Hospital East Orlando Part V, Section B, line 11: | Florida Hospital (FH) has seven acute-care hospital facilities in Orange, Seminole and Osceola Counties, FL. The tri-county area is often referred to as Central Florida. The seven FH facilities operate under one license but, due to the diverse communities served, FH conducted separate Community Health Needs Assessments and Community Health Plans (implementation strategies) for each FH campus. Community Needs Being Addressed by Florida Hospital East Orlando: Florida Hospital East Orlando chose five areas of focus for their 2013-2016 Community Health Plan: Obesity, Access to Care, Mental Health, Diabetes, Violent Crime, and Social Determinants of Health/Health Disparities A. Obesity 2013 Description of the Issue: Obesity negatively affects people's quality of life and increases the risk for developing health conditions such as heart disease, stroke, diabetes, and cancer - and the comorbidities that often accompany these diseases. Additionally, being overweight or obese increases the risk of adverse health outcomes and has significant economic impacts on individuals and the community. These impacts can include a rise in health care spending over time as well as lost earnings and productivity due to illness. Several factors influence the likelihood of obesity including individual behavior, the social and built environment, and genetic heritability. As a result, being overweight or obese is a complex health issue to address. 2015 Update: Good nutrition, physical activity, and maintaining a healthy body weight can help manage/prevent obesity and promote overall health and well-being. Florida Hospital East Orlando's (FHEO) obesity interventions target both adults and children. The interventions undertaken by Florida Hospital East Orlando include: - Increasing opportunities for leisure time physical activity in a social setting for the residents of our Orange County PSA through funding and staffing an Annual 5k known as the Run for Rescue's ASPCA 5k;- Offering educational programming aimed at increasing quality of life that focused on nutrition, stress management, and exercise through the Employee Families Performance Workshop Series offered by FHEO;- Implementing and supporting positive nutritional and exercise instruction within the PSA through our Mission FIT Possible program within the area;- Facilitating walking programs that aid in increasing leisure time within targeted communities of the PSA;- Increasing the availability of fruits to children and through support of a mobile farmers market that actively travels to regions identified as food deserts; - Funding efforts to reduce heart related conditions though the funding of research and programs via financial support and board membership on the American Heart Association;- Providing leadership and expertise to a collaborative body composed of Orange County's community organizations whose aim is to reduce obesity throughout the County via the Healthy Orange Collaboration; and - Creation Health faith-based wellness plan that focuses on eight principles: Choice, Rest, Environment, Activity, Trust, Interpersonal Relationships, Outlook and Nutrition. CREATION Health lifestyle seminars and expanded programs are offered at all Florida Hospital locations and in community settings. B. Diabetes 2013 Description of the Issue: Diabetes can lead to the development of serious and disabling complications if not properly treated. Complications include heart disease and stroke, high blood pressure, blindness, kidney disease, and limb amputation. According to the American Diabetes Association, it is possible to prevent or delay diabetic complications through a healthy diet, physical activity, and maintaining a healthy weight and glucose levels. 2015 Update: Florida Hospital East Orlando's diabetes engagement interventions include: - Continuing to offer the Cuidate program based on the Stanford chronic disease self-management program. Because the East Orlando community is nearly 50% Hispanic, the CDC-recommended classes are offered in both Spanish and English.- Continuing the Bridge Program intensive case management model that helps uninsured, high-user patients with chronic conditions. The Bridge team helps patients enroll in affordable FQHC Medical Homes, compassionate drug programs, and community resources that improve health, disease management skills, and quality of life. C. Access to Care 2013 Description of the Issue: Over 24% of people in Central Florida do not have health insurance, and the State of Florida has not accepted federal Medicaid expansion dollars. 2015 Update: A number of Florida Hospital East Orlando initiatives educate and link underserved community members to free or affordable health resources: - Operating the Community After Hours Clinic (at Florida Hospital) that provides care to uninsured and underinsured people; - Financially supporting and leading the Primary Care Access Network (PCAN) integrated system of health care for un- and underinsured people in Orange County. PCAN has 92,000 primary care patients in 13 FQHC medical homes, and 10,000 secondary care patients. - Encouraging medical home enrollment by making appointments or referring un- and underinsured emergency department patients and inpatients to PCAN FQHCs; - Providing financial support to Shepherd's Hope free clinics; - Providing financial support for the Health Care Center for the Homeless;- Providing financial support for Grace Medical Home, a chronic care medical home for uninsured people;- Increasing the availability of free or low-cost mammograms for un- and underinsured women via the mobile mammogram unit and Florida Hospital diagnostics centers; and - Supporting the education and training of medical practitioners through the FH Residency programs and Adventist University, and through partnerships with the UCF and FSU Medical Schools D. Mental Health and Substance Abuse 2013 Description of the Issue: Florida Hospital East Orlando has identified mental health as being essential to personal well-being, family and interpersonal relationships, and the ability to contribute to society. Issues of mental health such as depression and anxiety affect people's ability to participate in health-promoting behaviors. Research has shown that mental health and physical health are closely connected because mental health plays a major role in people's ability to maintain good physical health. 2015 Update: Currently, there are strong mental health and substance abuse assets in Orange County including Aspire Behavioral Health (in- and outpatient mental health/substance abuse services). Still, such services in Orange County can be hard to access because of funding and capacity issues. Florida Hospital East Orlando works with local providers to help expand capacity. Specifically, FHEO interventions include:- Providing major funding to Aspire Behavioral Health Center (County mental health) for in- and outpatient mental health and substance abuse services; - Offering comprehensive evaluation, treatment, and case management for uninsured residents of Orange County through the Outlook Clinic for Depression & Anxiety. Florida Hospital funds the clinic in partnership with the Mental Health Association, the Orange County Medical Clinic, the UCF School of Social Work, the Primary Care Access Network (PCAN) and Walgreens.- Funding enhanced behavioral health services at FQHCs in East Orlando; and- Supporting efforts to provide behavioral health services in low-income, underserved areas such as Bithlo Partners including Aspire Health Partners, United Way and the Harbor House Domestic Violence Center. Additionally, the Florida Hospital Community Health Impact Council (a grant-making entity) funds some community-based, model behavioral programs for adults and children. **see continuation of footnote |
| Group A-Facility 5 -- Florida Hospital East Orlando Part V, Section B, line 22d: | In determining the maximum amount that can be charged to financial assistance policy-eligible individuals for emergency or other medically necessary care, the Hospital used the following methodology in 2015:The Hospital utilized the look-back method for determining its amounts generally billed (AGB) percentage. In calculating its AGB percentage, the Hospital included claims allowed during its prior 12-month period by Medicare fee-for-service (including Medicare Advantage) and all commercial payors that had any activity with the Hospital during the taxable year. |
| Group A-Facility 4 -- Winter Park Memorial Hospital Part V, Section B, line 5: | Florida Hospital (FH) is a 2,579 bed medical complex in Central Florida with seven separate hospital campuses. FH serves the residents of Central Florida (primarily serving the residents of Orange, Osceola, Seminole and Lake Counties) but also draws patients from other parts of the Southeastern United States, the Caribbean and South America. The 7-campus hospital health system is the largest healthcare provider in Central Florida and the nation's largest Medicare provider with FH being the second largest employer in the area. All of the seven campuses of FH operate under a single hospital license. The Winter Park Memorial Hospital (WPMH) campus is a 320-bed acute-care facility that primarily serves the residents of northeastern Orange and southeastern Seminole Counties. WPMH began caring for patients in February 1995 when it first opened its doors to the public. In 2000, Florida Hospital Winter Park Memorial was fully acquired by the Florida Hospital system. Services provided by Winter Park Memorial include: 24-Hour emergency department with Express Care and the area's only senior emergency room; The Baby Place Central Florida's only boutique hospital for women and babies; cancer institute; cardiology; critical care; diagnostic imaging; diabetes education; educational classes and support groups; endoscopy; Longevity Medicine Institute; in and outpatient surgery including minimally invasive and robotic surgery; laboratory; orthopedic institute; pediatrics; rehabilitation & sports medicine; sleep disorders center; and women's health. Every year, WPMH treats more than 150,000 patients.Florida Hospital (all campuses) conducted its 2013 Community Health Needs Assessment (CHNA) in two parts: a regional health needs assessment for Orange, Seminole and Osceola Counties in Central Florida, followed by separate assessments focused on and tailored to each of the seven campuses of FH. Three not-for-profit clinical hospitals within Central Florida, namely FH, Orlando Health, and Lakeside Behavioral Health, together with the Florida Department of Health in Orange County, collaborated to conduct the regional tri-county health needs assessment. This was the first ever multi-hospital, public health department joint community health needs assessment. These four organizations also collaborated with other community agencies under the umbrellas of "Healthy Orange Florida" in Orange County, "Healthy Seminole" in Seminole County, and "Community Vision" in Osceola County. Healthy Seminole is an 81-member affiliation of representatives from FH, local government, social service, and educational organizations within Seminole County. The Health Council of East Central Florida, Inc. (the Health Council), a regional quasi-government health planning agency, was contracted with to assist with data collection and analysis. The Health Council conducted over 70 key stakeholder interviews with individuals representing the broad interests of the tri-county area. Key stakeholders for the tri-county assessment included individuals with special knowledge of or interest in public health (i.e., health departments); individuals/organizations serving or representing the interests of medically underserved, low-income, and minority populations; persons who represented the broad interests of residents served by the hospitals; and individuals representing large employers and employee interests. A total of 72 stakeholders representing 44 social service and health care organizations were interviewed and completed a questionnaire aimed at identifying health barriers, assets, resources, and needs within the region. As a part of its efforts to ensure broad community-based input into the CHNA process, FH formed a Community Health Needs Assessment Committee (CHNAC). The CHNAC was comprised of external community members/stakeholders and senior FH leaders. The community members in particular provided strong representation of low-income, minority and underserved populations. Listed below are several examples of community organizations represented on the CHNAC: * Hebni Nutrition Consultant a nutritionist who works in the local African American community;* The University of Central Florida School of Medicine primary care physician training;* Winter Park Health Foundation a local non-profit organization that develops and funds school health and older adult programs; * Orange County Public Schools serves children of all ages and ethnicities, including those who are homeless and/or eligible for free or reduced lunch programs; and * Gracia Anderson Foundation a local non-profit organization that funds social service projects. |
| Group A-Facility 4 -- Winter Park Memorial Hospital Part V, Section B, line 6a: | The filing organization collaborated with two other not-for-profit hospitals, namely Orlando Health and Lakeside Behavioral Health, to create a Community Health Needs Assessment for Orange, Osceola, and Seminole Counties. The Community Health Needs Assessment describes the health of Central Floridians for the purpose of planning interventions relevant to the community. |
| Group A-Facility 4 -- Winter Park Memorial Hospital Part V, Section B, line 6b: | The Hospital collaborated with the Florida Department of Health in Orange County and other community agencies under the umbrellas of "Healthy Orange Florida" in Orange County, "Healthy Seminole" in Seminole County, and "Community Vision" in Osceola County. Healthy Seminole is an 81-member affiliation of representatives from FH, local government, social service, and educational organizations within Seminole County. The Health Council of East Central Florida, Inc. (the Health Council), a regional quasi-government health planning agency, was contracted with to assist with data collection and analysis. |
| Group A-Facility 4 -- Winter Park Memorial Hospital Part V, Section B, line 7d: | The Hospital has adopted a policy that addresses the public posting requirements of the Community Health Needs Assessment. Under this policy, the Community Health Needs Assessment Report must be posted on the Hospital's website by the end of the year in which it is conducted. The Hospital will make a copy of its Community Health Needs Assessment Report available upon request. The Hospital will also make a paper copy of the Community Health Needs Assessment Report available for public inspection at the Hospital facility. |
| Group A-Facility 4 -- Winter Park Memorial Hospital Part V, Section B, line 11: | Community Needs Being Addressed by Winter Park Memorial Hospital (a Florida Hospital): Florida Hospital (FH) has seven acute-care hospital facilities in Orange, Seminole and Osceola Counties, FL. The tri-county area is often referred to as Central Florida. The seven FH facilities operate under one license but, due to the diverse communities served, FH conducted separate Community Health Needs Assessments and Community Health Plans (implementation strategies) for each FH campus. This narrative describes the Community Health Plan for Winter Park Memorial Hospital (a Florida Hospital), a 320-bed community hospital. Winter Park Memorial Hospital (WPMH) is located in a suburb of Orlando, and shares much of the same service area with Florida Hospital Orlando and Florida Hospital East Orlando in Orange County. Winter Park Memorial Hospital chose three areas of focus for its 2013-16 Community Health Plan: Access to Care, Diabetes, and Obesity/Chronic Disease. Priority: Obesity & Chronic Disease Prevention 2013 Description of the Issue: Obesity increases the risk for developing health conditions such as heart disease, stroke, diabetes and cancer. Additionally, being overweight or obese increases the risk of adverse health outcomes and has significant economic impacts on individuals and the community. These impacts can include a rise in health care spending over time as well as lost earnings and productivity due to illness. Good nutrition, physical activity, and maintaining a healthy body weight can help manage/prevent obesity and promote overall health and well-being. Winter Park Memorial Hospital's obesity and disease prevention interventions were designed to serve both adults and children. 2015 Update: Florida Hospital partnered with the Winter Park Health Foundation to co-found "Healthy Central Florida," an initiative that supports healthy living and influences policy changes such as smoke-free resolutions. Healthy Central Florida also offers numerous community events that promoted a healthy lifestyle, exercise, good nutrition, and the establishment of smoke-free and safe pedestrian resolutions in Winter Park and community. Examples of events included Bike to Work Day, International Walk (or Bike) to School Day, Walk 90 and nutrition seminars with national experts. These programs are offered at no cost. The CEO of Winter Park Memorial Hospital was also the Mayor of Winter Park in 2015, so additional walking efforts engaged 820 people: Walk and Talk with the Mayor, Walk with a Doc, the Mayor's Sole Challenge, and Maitland Walks. The Walk and Roll (walking school bus) program reached 500 elementary school students. Again, there was no charge for these activities. With community partners, Florida Hospital served 4,200 people in identified food deserts with a Mobile Farmers Market that offered fresh fruits and vegetables, cooking demos and nutritional educational opportunities. CREATION Health lifestyle seminars and expanded programs were offered at Winter Park Memorial Hospital and in community settings. CREATION Health is a faith-based wellness plan that focuses on eight principles: Choice, Rest, Environment, Activity, Trust, Interpersonal Relationships, Outlook and Nutrition. CREATION Kids is a child-friendly wellness program that stresses healthy eating and exercise in church and school settings; it reached 350 children and their parents. To increase opportunities for leisure time physical activity, WPMH sponsored a number of 5K races that also raised funds for groups such as the American Heart Association; the Heart Walk enlisted 650 WPMH employees. Additionally, Florida Hospital Winter Park and its community partners - the Department of Health, the Area Health Education Council (AHEC), the American Heart Association, the American Cancer Society, the American Lung Association, etc. - provided health education and disease management programs as well as support groups. Priority Issue: Access to Affordable Health Care 2013 Description of the Issue: Over 24% of people in Central Florida do not have health insurance, and the State of Florida has not accepted federal Medicaid expansion dollars. A number of Florida Hospital (including WPMH) initiatives linked uninsured and underinsured residents with free or affordable health care: 2015 Update: Florida Hospital provided $6 million in financial support for the Primary Care Access Network (PCAN) of Orange County, a dynamic collaborative of 22 safety net providers: Orange County Government, FQHC medical homes, the Health Department, free clinics, community agencies, hospitals and social service entities. PCAN's mission is to improve the access, quality and coordination of health care services to the underinsured and uninsured populations of Orange County. Since 2001, the collaboration has grown from one FQHC medical home with 5,000 patients to 13 FQHCs with 92,000 uninsured patients. Uninsured patients are seen on a sliding fee scale basis (the FQHCs also accept Medicaid, Medicare and private insurance). In addition, 10,300 people with incomes below 125% of the federal poverty level received secondary care at the Orange County Medical Clinic. FHO, together with WPMH, also provided $100,000 in financial support to (both) Grace Medical Home (for chronic conditions) and the Health Care Center for the Homeless. Florida Hospital Orlando operated a no-cost Community After Hours Clinic that saw 3,000 uninsured patients and supported all FH campus locations. FH, collectively with all campuses, financially supported the operations of Shepherd's Hope free clinics (that saw 15,000 uninsured patients), provided funding for an electronic medical record system, and recruited over 150 different Florida Hospital employees to volunteer at Shepherd's Hope clinics. FH, including WPMH, provided a funding match for the Healthy Start Coalition of Orange County that serves mothers and infants. Florida Hospital's mobile mammogram unit provided 1,400 free or very low-cost mammograms to uninsured women. In order to help build the local health care workforce (and ensure that Central Florida has providers in the future), Florida Hospital (including Winter Park Memorial Hospital) provided funding for the professional development and education of medical and nursing students from Valencia College, Seminole State College, Adventist University, the University of Central Florida (UCF), and the UCF School of Medicine. These entities also rotate students through clinical departments at WPMH. Issue: Diabetes 2013 Description of the Issue: Winter Park Memorial Hospital's 2013 Needs Assessment showed that Diabetes is one of the most prevalent chronic diseases in Orange County. Diabetes can lead to the development of serious and disabling complications if not properly treated. Complications include heart disease and stroke, high blood pressure, blindness, kidney disease and limb amputation. The town of Eatonville, in the Winter Park Memorial Hospital service area, is the nation's oldest black community. The community has a 24% rate of diabetes (compared to 7.1% for the rest of Orange County). 2015 Update: Florida Hospital Orlando and WPMH implemented the "Healthy Eatonville Place" program which targeted the primarily African-American residents of the town of Eatonville. The program offered screenings, diabetic health risk assessments and treatment to help Eatonville residents better control their diabetes. Diabetic and pre-diabetic residents participated in the no-cost effort, and the program's retention rate was 85%. For 2015, other outcomes included:- Pre-diabetic participants who did not become diabetic: 66%- Pre-diabetic participants who met their weight loss goal of >7%: 50%- Pre-diabetic participants who reported nutrition and exercise changes: 60%- Patients with poorly controlled diabetes who reached their blood pressure goal: 80%- Patients with poorly controlled diabetes who finished diabetes education and understood their personal goals: 90% - Patients "graduates" with poorly controlled diabetes who continued with program's interventions and support programs: 75% WPMH also supported the American Diabetes Association Annual 5k and other walks that provide opportunities for leisure time activity. **see continuation of footnote |
| Group A-Facility 4 -- Winter Park Memorial Hospital Part V, Section B, line 22d: | In determining the maximum amount that can be charged to financial assistance policy-eligible individuals for emergency or other medically necessary care, the Hospital used the following methodology in 2015:The Hospital utilized the look-back method for determining its amounts generally billed (AGB) percentage. In calculating its AGB percentage, the Hospital included claims allowed during its prior 12-month period by Medicare fee-for-service (including Medicare Advantage) and all commercial payors that had any activity with the Hospital during the taxable year. |
| Group A-Facility 7 -- Florida Hospital Kissimmee Part V, Section B, line 5: | Florida Hospital (FH) is a 2,579 bed medical complex in Central Florida with seven separate hospital campuses. FH serves the residents of Central Florida (primarily serving the residents of Orange, Osceola, Seminole and Lake Counties) but also draws patients from other parts of the Southeastern United States, the Caribbean and South America. The 7-campus hospital health system is the largest healthcare provider in Central Florida and the nation's largest Medicare provider with FH being the second largest employer in the area. All of the seven campuses of FH operate under a single hospital license. Florida Hospital Kissimmee (FHK) is a not-for-profit hospital with 162 acute care beds and an emergency department and has been part of the Florida Hospital system since 1993. FHK offers comprehensive inpatient and outpatient services including emergency care; cancer treatment including radiation therapy; imaging services including PET, MRI, CT, nuclear, mammography, and ultrasound; a designated primary stroke center; digestive health; and surgical specialties to Osceola County residents. FHK provides holistic care - body, mind and spirit - and is committed to providing a personalized patient experience for all patients.Florida Hospital (all campuses) conducted its 2013 Community Health Needs Assessment (CHNA) in two parts: a regional health needs assessment for Orange, Seminole and Osceola Counties in Central Florida, followed by separate assessments focused on and tailored to each of the seven campuses of FH. Three not-for-profit clinical hospitals within Central Florida, namely FH, Orlando Health, and Lakeside Behavioral Health, together with the Florida Department of Health in Orange County, collaborated to conduct the regional tri-county health needs assessment. This was the first ever multi-hospital, public health department joint community health needs assessment. These four organizations also collaborated with other community agencies under the umbrellas of "Healthy Orange Florida" in Orange County, "Healthy Seminole" in Seminole County, and "Community Vision" in Osceola County. Healthy Seminole is an 81-member affiliation of representatives from FH, local government, social service, and educational organizations within Seminole County. The Health Council of East Central Florida, Inc. (the Health Council), a regional quasi-government health planning agency, was contracted with to assist with data collection and analysis. The Health Council conducted over 70 key stakeholder interviews with individuals representing the broad interests of the tri-county area. Key stakeholders for the tri-county assessment included individuals with special knowledge of or interest in public health (i.e., health departments); individuals/organizations serving or representing the interests of medically underserved, low-income, and minority populations; persons who represented the broad interests of residents served by the hospitals; and individuals representing large employers and employee interests. A total of 72 stakeholders representing 44 social service and health care organizations were interviewed and completed a questionnaire aimed at identifying health barriers, assets, resources, and needs within the region. As a part of its efforts to ensure broad community-based input into the CHNA process, FH formed a Community Health Needs Assessment Committee (CHNAC). The CHNAC was comprised of external community members/stakeholders and senior FH leaders. The community members in particular provided strong representation of low-income, minority and underserved populations. Listed below are several examples of community organizations represented on the CHNAC: * Hebni Nutrition Consultant a nutritionist who works in the local African American community;* The University of Central Florida School of Medicine primary care physician training;* Winter Park Health Foundation a local non-profit organization that develops and funds school health and older adult programs; * Orange County Public Schools serves children of all ages and ethnicities, including those who are homeless and/or eligible for free or reduced lunch programs; and * Gracia Anderson Foundation a local non-profit organization that funds social service projects. |
| Group A-Facility 7 -- Florida Hospital Kissimmee Part V, Section B, line 6a: | The filing organization collaborated with two other not-for-profit hospitals, namely Orlando Health and Lakeside Behavioral Health, to create a Community Health Needs Assessment for Orange, Osceola, and Seminole Counties. The Community Health Needs Assessment describes the health of Central Floridians for the purpose of planning interventions relevant to the community. |
| Group A-Facility 7 -- Florida Hospital Kissimmee Part V, Section B, line 6b: | The Hospital collaborated with the Florida Department of Health in Orange County and other community agencies under the umbrellas of "Healthy Orange Florida" in Orange County, "Healthy Seminole" in Seminole County, and "Community Vision" in Osceola County. Healthy Seminole is an 81-member affiliation of representatives from FH, local government, social service, and educational organizations within Seminole County. The Health Council of East Central Florida, Inc. (the Health Council), a regional quasi-government health planning agency, was contracted with to assist with data collection and analysis. |
| Group A-Facility 7 -- Florida Hospital Kissimmee 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 Report must be posted on the Hospital's website by the end of the year in which it is conducted. The Hospital will make a copy of its Community Health Needs Assessment Report available upon request. The Hospital will also make a paper copy of the Community Health Needs Assessment Report available for public inspection at the Hospital facility. |
| Group A-Facility 7 -- Florida Hospital Kissimmee Part V, Section B, line 11: | Community Needs Being Addressed by Florida Hospital Kissimmee: Florida Hospital (FH) has seven acute-care hospital facilities in Orange, Seminole and Osceola Counties, FL. The tri-county area is often referred to as Central Florida. The seven FH facilities operate under one license but, due to the diverse communities served, FH conducted separate Community Health Needs Assessments and Community Health Plans (implementation strategies) for each FH campus. This narrative describes the Community Health Plan for Florida Hospital Kissimmee (FHK), a 162-bed community hospital in the city of Kissimmee in north central Osceola County, Florida. FHK is 10 miles from Florida Hospital Celebration Health, also in Osceola County. Osceola County is a bedroom community to Orlando, and houses many residents who work part- or full-time in the tourism industry. Nearly 50% of Kissimmee residents are of Hispanic descent. Overall, health outcomes and income levels in Osceola County are the lowest in Central Florida. FHK chose three areas of focus for its 2013-16 Community Health Plan: Access to Care, Obesity/Heart Disease/Diabetes, and Violent Crime. Priority: Access to Care 2013 Description of the Issue: Access to comprehensive, quality health care is important for increasing the quality of life. Osceola County has the highest rate of un-insured in Central Florida - over 30%. The County is 50% Hispanic and across the nation, Hispanics have much higher rates of being un-insured. 2015 Update: Florida Hospital Kissimmee is a founder and active member of the Osceola Health Leadership Council sponsored by Community Vision. Since 1995, Community Vision has worked to bring public, private and faith sectors together in partnerships to create solutions for Osceola County's many challenges. Florida Hospital was a founder of Community Vision and established an endowment that funds the agency's health leadership efforts. The Health Leadership Council members represent the four hospitals in the County (two are Florida Hospital facilities), the Health Department, free clinics, the Council on Aging and others. Their work has led to better coordination among safety net providers, the expansion of the County's network of Federally Qualified Health Centers (FQHCs), the establishment of the County's free clinics, and a specialty care referral network. Florida Hospital Kissimmee and Florida Hospital Celebration Health (also located in Osceola County) financially supported a number of free/affordable health care resources for uninsured county residents. This included the Council on Aging free chronic care clinic (for uninsured adults of all ages), the free diabetes program at the Council on Aging clinic (200 participants), and the no-cost secondary care referral system for the County's free clinics. The Council on Aging clinic served 1,500 people in 2015; as many as 50% were of Hispanic origin. FHK also provided financial support to help un- and underinsured people to garner referrals and enrollment assistance for the FQHC medical homes in St. Cloud, Kissimmee, Poinciana, and Intercession City that served 32,000 patients. Florida Hospitals Kissimmee and Celebration Health were founders of the Community Hope Center. The Hope Center serves low-income, poverty-level families who are homeless or live in motels along Highway 192 in western Osceola County. The Center is a community collaboration whose key partners include Community Presbyterian Church of Celebration, Osceola Council on Aging, Park Place Behavioral Health, Community Vision and Florida Hospital. In 2015, the Health Care Center for the Homeless (HCCH) opened a new FQHC at the Hope Center. Florida Hospital provided start-up funding for the clinic, which saw 1,500 people in 2015. Florida Hospital Kissimmee provided treatment space for victims of sexual assault in Osceola County. At least six Florida Hospital Kissimmee nurses are certified Sexual Assault Nurse Examiners (SANE) and are on-call for victims when they are brought in by law enforcement. Florida Hospital provided financial support for project OPEN (Osceola Poverty Elimination Network), a community-based program dedicated to advancing women (primarily) and families from poverty to self-sufficiency. Project OPEN targeted low-income residents of the many low-budget motels along western Highway 192. Seventy-five women have graduated from the program, and 85% are now employed as CNAs. In addition, FHK supported the education and training of medical practitioners at UCF Medical School, the TECO (Technical Education Center of Osceola) nursing and other health professions programs, and the Valencia College Nursing program. Many of these students participated in clinical rotation at Florida Hospitals Kissimmee and Celebration Health. Florida Hospital provided a funding match for the Healthy Start Coalition of Osceola County that serves mothers and infants. Florida Hospital's mobile mammogram unit provided 4,100 free or very low-cost mammograms to uninsured women, including those in Osceola County. Priority: Chronic Disease: Obesity / Heart Disease/Diabetes 2013 Description of the Issue: Florida Hospital Kissimmee's Community Health Needs Assessment showed that 31.9% of Osceola County residents are obese compared to 27.9% in Orange County and 26.4% in Seminole County. Rates of heart disease and stroke are also far higher than the rest of Central Florida, and the rate of hospitalization for diabetes is 3,273 per 100,000 (higher than Orange and Seminole Counties). Obesity increases the risk for chronic health conditions such as heart disease, stroke, diabetes and cancer - and the comorbidities that often accompany these diseases. Additionally, being overweight or obese increases the risk of adverse health outcomes and has significant economic impacts on individuals and the community. These impacts can include a rise in health care spending over time as well as lost earnings and productivity due to illness. Poverty is one of the drivers of obesity. 2015 Update: Florida Hospital Kissimmee's obesity/chronic disease interventions targeted both adults and children. FHK partnered with local organizations to deliver weekend food to children who qualify for free or reduced lunch (per the school district). FHK facilitated and hosted an event to package food items for children and families, and supported education initiatives around the 5-2-1-0 Let's Go campaign in Osceola County Schools. Let's Go! is a nationally recognized childhood obesity prevention effort that works with schools, child care and out-of-school programs, and community organizations. The programs promote the 5-2-1-0 formula: five or more fruits and vegetables, 2 hours less recreational screen time, 1 hour more of physical activity and 0 sugary drinks (and more water). CREATION Health lifestyle seminars and expanded programs were offered at Florida Hospital Kissimmee and in community settings. CREATION Health is a faith-based wellness plan that focuses on eight principles: Choice, Rest, Environment, Activity, Trust, Interpersonal Relationships, Outlook and Nutrition. FHK also offered free 'Quit Smoking' smoking cessation and nutrition classes. To increase opportunities for leisure time physical activity, FHK sponsored a number of 5K races including the Town of Celebration Marathon and half-marathon events, with proceeds going to a scholarship fund for Osceola County high school seniors. FHK also supported the annual Healthy 100 Run and the American Heart Association 5K Run (and enlisted 650 employees from the tri-county area) and other runs and walks. Priority: Violent Crime 2013 Description of the Issue: According to the Florida Department of Law Enforcement, Osceola County's rate of violent crime exceeds the national average. While hospitals lack the ability to directly address violent crimes, Florida Hospital Kissimmee is engaged with organizations that address the effects of violent crime. 2015 Update: Initiatives include providing clinical space for Sexual Assault Nurse Examiners who work directly with victims of sexual assault. **see continuation of footnote |
| Group A-Facility 7 -- Florida Hospital Kissimmee Part V, Section B, line 22d: | In determining the maximum amount that can be charged to financial assistance policy-eligible individuals for emergency or other medically necessary care, the Hospital used the following methodology in 2015:The Hospital utilized the look-back method for determining its amounts generally billed (AGB) percentage. In calculating its AGB percentage, the Hospital included claims allowed during its prior 12-month period by Medicare fee-for-service (including Medicare Advantage) and all commercial payors that had any activity with the Hospital during the taxable year. |
| Group A-Facility 6 -- FH Heartland Medical Center Part V, Section B, line 5: | Florida Hospital Heartland in Sebring and Florida Hospital Lake Placid (the FHH Hospitals), located in Highlands County, Florida, operate under a single hospital license. Collectively, these two hospitals serve the residents of Highlands County, which includes the cities of Sebring, Lake Placid and Avon Park. Highlands County has an estimated population of 102,000 permanent residents, with an approximate increase of an additional 35,000 seasonal residents during the winter months. Highlands County's residents comprised the fifth-oldest population in the US in 2012. Florida Hospital Heartland in Sebring and Florida Hospital Lake Placid conducted a joint Community Health Needs Assessment (CHNA) in 2013. The CHNA was conducted through a collaborative community health needs assessment process that included the Highlands County Health Department, the Community Health Improvement Planning Committee (CHIP) of Highlands County, Samaritan's Touch free clinics in Sebring, the Highlands County Rural Health Network, Highlands Regional Medical Center, and Central Florida Health Care (a federally qualified health center). The CHNA process included the collection of both primary and secondary data. Primary data consisted of community surveys and direct stakeholder input, particularly with respect to representatives from the CHIC Committee. With respect to the process of gathering and analyzing both primary and secondary health needs assessment data, the collaborative team relied significantly on the CHIP Committee due to its broad representation of the communities served by the FHH Hospitals. The CHIPS Committee is composed of a number of representatives from organizations that serve the medically underserved, low-income populations and those with chronic disease needs. Among others, the following organizations were represented on the CHIC Committee:Highlands County Department of Health;Tri-County Human Services;Salvation Army;Florida Department of Health;Healthy Start Coalition;Children's Services Council; andHeartland Rural Health Network. The CHIP members represent public health, the broad community and people who are low-income, minorities or otherwise undeserved. Their mission is to improve the health of communities through education and the promotion of healthy lifestyles; build partnerships to maximize resources; and provide access to quality health care to all of the people in Highlands County regardless of ability to pay. The FHH Hospitals also established a Community Health Needs Assessment Committee (CHNAC) to analyze the health data collected and prioritize key issues for the FHH Hospitals to address. |
| Group A-Facility 6 -- FH Heartland Medical Center Part V, Section B, line 6a: | Florida Hospital Heartland in Sebring and Florida Hospital Lake Placid conducted a joint Community Health Needs Assessment (CHNA) in 2013. The CHNA was conducted through a collaborative community needs assessment process with the hospitals, Highlands County Health Department, the Community Health Improvement Planning Committee (CHIP) of Highlands County, Samaritan's Touch free clinics in Sebring, the Highlands County Rural Health Network, Highlands Regional Medical Center, and Central Florida Health Care (a federally qualified health center). |
| Group A-Facility 6 -- FH Heartland Medical Center Part V, Section B, line 6b: | Florida Hospital Heartland in Sebring and Florida Hospital Lake Placid conducted a joint Community Health Needs Assessment (CHNA) in 2013. The CHNA was conducted through a collaborative community needs assessment process with the hospitals, Highlands County Health Department, the Community Health Improvement Planning Committee (CHIP) of Highlands County, Samaritan's Touch free clinics in Sebring, the Highlands County Rural Health Network, Highlands Regional Medical Center, and Central Florida Health Care (a federally qualified health center). |
| Group A-Facility 6 -- FH Heartland 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 Report must be posted on the Hospital's website by the end of the year in which it is conducted. The Hospital will make a copy of its Community Health Needs Assessment Report available upon request. The Hospital will also make a paper copy of the Community Health Needs Assessment Report available for public inspection at the Hospital facility. |
| Group A-Facility 6 -- FH Heartland Medical Center Part V, Section B, line 11: | The Florida Hospital Heartland Division is comprised of three hospital facilities. Florida Hospital Heartland Medical Center (FHH) in Sebring and Florida Hospital Lake Placid (FHLP) in Lake Placid are both located in Highlands County. Florida Hospital Wauchula (FHW) is located in adjacent Hardee County. Because the Florida hospital facilities in Highlands County are 16 miles apart and share the same service area, this response to Question 11 focuses on the two Highlands County facilities. Highlands County is a rural county with 97,600 residents. However, the town of Sebring is home to just 10,300 people and Lake Placid is home to another 2,125. About a third of the residents are over 65. FHH and FHLPs' Community Health Needs Assessment Committee, comprised of community members including those representing low-income, minority and other underserved populations, selected the following four priority issues. Priority: Cancer 2013 Description of the issue: Cancer is the second leading cause of death in the Sebring/Lake Placid community. Efforts to promote the importance for early detection are key to reducing the number of cases of cervical, breast and prostate cancer. Individuals from underserved populations are more likely to be diagnosed with late-stage cancers that might have been treated, or cured, if diagnosed earlier. 2015 Update: Florida Hospitals Heartland/Lake Placid held 26 smoking cessation classes in 2015; the classes were free to 125 uninsured/low-income residents. FHH/FHLPs' Pink Army (Breast Cancer) education efforts and early detection provided education about the early detection of breast cancer. Staff and 170 volunteers (trained by FHH/FHLP) reached nearly 3,100 people (the goal was 700) at 50 different community events. The effort also raised $7,350 for the community mammography fund for uninsured residents. Priority: Heart Disease and Stroke 2013 Description of the Issue: Heart disease and stroke are the leading cause of death in the Sebring/Lake Placid community. High cholesterol, heart attacks, angina, heart disease and hypertension rates are above the state average for all adults and for adult women. Poor eating habits and economic pressure contribute to these outcomes. As with cancer, heart disease and its risk factors are not being detected early in people who do not or cannot afford routine checkups with a physician. 2015 Update: Because much of Highlands County's population consists of older people with chronic conditions, the Stanford Chronic Disease Self-Management Program (CDSMP) was a new effort defined in our implementation strategies. The CDSMP uses pre- and post-program surveys, and has expected outcomes (defined by the CDC) around disease self-management skills and reductions in preventable hospitalizations. As in other communities, it took time to set up the program according to Stanford specifications, build community partnerships, and train trainers. This work was completed in 2015 and classes will begin Q1 of 2016. There will be no charge for the program. Two lifestyle training programs addressed the prevention and lifestyle factors that impact heart disease and stroke. CREATION Health classes and programs were offered at no cost in the community and at FHH and FHLP. CREATION Health is based on the principles of choice, rest, environment, activity, trust, interpersonal relationships, outlook and nutrition. CHIP (Community Health Improvement Program) provided classes on nutrition, exercise and stress management. CHIP's pre- and post-class biometric screenings showed that 100% of the program participants had improved biometric scores, an increased understanding of nutrition principles, and adherence to routine checkups with their physicians. Other heart disease-related community efforts included cardiac screenings at eight health fairs. 75 people participated in cardiac rehabilitation classes, and 80 attended stroke education seminars. All programs stressed the importance of regular checkups with primary care physicians. Priority: Diabetes/Chronic Disease Management 2013 Description of the Issue: There is a higher-than-state average for diabetes-related hospitalizations, including amputations, in the Florida Hospital Heartland service area. Attendance at diabetes self-management programs is also below the state average, indicating that it is important to make our community more aware of the importance of managing diabetes. An individual's socio-economic status, race and ethnicity plays a major role in access to education about diabetes and risk factors. 2015 Update: Interventions included diabetes self-management classes for 110 people, a community diabetes support group, outpatient Medical Nutrition Therapy (MNT) and gestational diabetes classes. The Stanford Chronic Disease Self-Management Program (CDSMP) to be implemented in 2016 includes a focus on diabetes. There will be no charge for the program. Priority: Access to Health Care 2013 Description of the Issue: In addition to a lack of affordable insurance and/or health care services, access to health care can be attributed to a lack of education or understanding of the health care system and how treatment and overall care is communicated. Providing community education about access to health care and decision-making skills is important, as is information about resources for screening and intervention programs at health fairs and other events offered in the community. 2015 Update: FHH/FHLP provided $2.5 million (at cost) in vouchers for free lab and imaging services to the local free clinic for uninsured people. FHH/FHLP conducted eight health fairs for both insured and uninsured community members; uninsured participants were referred to the local Federally Qualified Health Center (FQHC). 45 Congregational Health volunteers provided education on available health care resources. **see continuation of footnote |
| Group A-Facility 6 -- FH Heartland Medical Center Part V, Section B, line 22d: | In determining the maximum amount that can be charged to financial assistance policy-eligible individuals for emergency or other medically necessary care, the Hospital used the following methodology in 2015:The Hospital utilized the look-back method for determining its amounts generally billed (AGB) percentage. In calculating its AGB percentage, the Hospital included claims allowed during its prior 12-month period by Medicare fee-for-service (including Medicare Advantage) and all commercial payors that had any activity with the Hospital during the taxable year. |
| Group A-Facility 9 -- Florida Hospital Apopka Part V, Section B, line 5: | Florida Hospital (FH) is a 2,579 bed medical complex in Central Florida with seven separate hospital campuses. FH serves the residents of Central Florida (primarily serving the residents of Orange, Osceola, Seminole and Lake Counties) but also draws patients from other parts of the Southeastern United States, the Caribbean and South America. The 7-campus hospital health system is the largest healthcare provider in Central Florida and the nation's largest Medicare provider with FH being the second largest employer in the area. All of the seven campuses of FH operate under a single hospital license. The Florida Hospital Apopka (FHAP) campus is a 50-bed acute-care community hospital located in Apopka, Florida. Services offered by Florida Hospital Apopka include but are not limited to: rehabilitation services; intensive and progressive care units; 50 acute care beds; a 24-hour emergency department; imaging services; a women's diagnostic center; home health services; cardiac diagnosis services; and a sleep lab. Services not provided at Florida Hospital Apopka are provided at other campuses and ground and air transportation are available to ensure all patients can access the appropriate level of care.Florida Hospital (all campuses) conducted its 2013 Community Health Needs Assessment (CHNA) in two parts: a regional health needs assessment for Orange, Seminole and Osceola Counties in Central Florida, followed by separate assessments focused on and tailored to each of the seven campuses of FH. Three not-for-profit clinical hospitals within Central Florida, namely FH, Orlando Health, and Lakeside Behavioral Health, together with the Florida Department of Health in Orange County, collaborated to conduct the regional tri-county health needs assessment. This was the first ever multi-hospital, public health department joint community health needs assessment. These four organizations also collaborated with other community agencies under the umbrellas of "Healthy Orange Florida" in Orange County, "Healthy Seminole" in Seminole County, and "Community Vision" in Osceola County. Healthy Seminole is an 81-member affiliation of representatives from FH, local government, social service, and educational organizations within Seminole County. The Health Council of East Central Florida, Inc. (the Health Council), a regional quasi-government health planning agency, was contracted with to assist with data collection and analysis. The Health Council conducted over 70 key stakeholder interviews with individuals representing the broad interests of the tri-county area. Key stakeholders for the tri-county assessment included individuals with special knowledge of or interest in public health (i.e., health departments); individuals/organizations serving or representing the interests of medically underserved, low-income, and minority populations; persons who represented the broad interests of residents served by the hospitals; and individuals representing large employers and employee interests. A total of 72 stakeholders representing 44 social service and health care organizations were interviewed and completed a questionnaire aimed at identifying health barriers, assets, resources, and needs within the region. As a part of its efforts to ensure broad community-based input into the CHNA process, FH formed a Community Health Needs Assessment Committee (CHNAC). The CHNAC was comprised of external community members/stakeholders and senior FH leaders. The community members in particular provided strong representation of low-income, minority and underserved populations. Listed below are several examples of community organizations represented on the CHNAC: * Hebni Nutrition Consultant a nutritionist who works in the local African American community;* The University of Central Florida School of Medicine primary care physician training;* Winter Park Health Foundation a local non-profit organization that develops and funds school health and older adult programs; * Orange County Public Schools serves children of all ages and ethnicities, including those who are homeless and/or eligible for free or reduced lunch programs; and * Gracia Anderson Foundation a local non-profit organization that funds social service projects. |
| Group A-Facility 9 -- Florida Hospital Apopka Part V, Section B, line 6a: | The filing organization collaborated with two other not-for-profit hospitals, namely Orlando Health and Lakeside Behavioral Health, to create a Community Health Needs Assessment for Orange, Osceola, and Seminole Counties. The Community Health Needs Assessment describes the health of Central Floridians for the purpose of planning interventions relevant to the community. |
| Group A-Facility 9 -- Florida Hospital Apopka Part V, Section B, line 6b: | The Hospital collaborated with the Florida Department of Health in Orange County and other community agencies under the umbrellas of "Healthy Orange Florida" in Orange County, "Healthy Seminole" in Seminole County, and "Community Vision" in Osceola County. Healthy Seminole is an 81-member affiliation of representatives from FH, local government, social service, and educational organizations within Seminole County. The Health Council of East Central Florida, Inc. (the Health Council), a regional quasi-government health planning agency, was contracted with to assist with data collection and analysis. |
| Group A-Facility 9 -- Florida Hospital Apopka 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 Report must be posted on the Hospital's website by the end of the year in which it is conducted. The Hospital will make a copy of its Community Health Needs Assessment Report available upon request. The Hospital will also make a paper copy of the Community Health Needs Assessment Report available for public inspection at the Hospital facility. |
| Group A-Facility 9 -- Florida Hospital Apopka Part V, Section B, line 11: | Community Needs Being Addressed by Florida Hospital Apopka: Florida Hospital (FH) has seven acute-care hospital facilities in Orange, Seminole and Osceola Counties, FL. The tri-county area is often referred to as Central Florida. The seven FH facilities operate under one license but, due to the diverse communities served, FH conducted separate Community Health Needs Assessments and Community Health Plans (implementation strategies) for each FH campus. Florida Hospital Apopka (FHAp) chose two areas of focus for its 2013-16 Community Health Plan: Obesity/Chronic Disease and Access to Care. A. Obesity/Chronic Disease2013 Description of the Issue: Obesity increases the risk for developing health conditions such as heart disease, stroke, diabetes, and cancer - and the comorbidities that often accompany these diseases. Additionally, being overweight or obese increases the risk of adverse health outcomes and has significant economic impacts on individuals and the community. These impacts can include a rise in health care spending over time as well as lost earnings and productivity due to illness. Several factors influence the likelihood of obesity including individual behavior, the social and built environment, and genetic heritability. As a result, being overweight or obese is a complex health issue to address. 2015 Update: Good nutrition, physical activity, and maintaining a healthy body weight can help manage/prevent obesity and promote overall health and well-being. Florida Hospital Apopka's obesity/chronic disease interventions target both adults and children: - Provide funding to increase opportunities for health education via community garden curriculum implemented through Head Start;- Increase opportunities for leisure time physical activity in a social setting via annual 5k runs;- Provide education to increase knowledge of positive behaviors towards healthy eating and exercise via Mission Fit Possible program for Children;- Provide education and clinical care to increase knowledge of and positive behaviors toward healthy eating and exercise;- Increase the availability of fruits to the diets of the population age 2 and older via the mobile farmers market;- Provide education and clinical care to increase knowledge of and positive attitudes towards healthy foods;- Promote nature prescription pad pilot to Florida Hospital Medical Group physicians so that they may "prescribe" exercise via free admissions for up to 8 persons to a state park; and - Provide support and board membership to the American Heart Association and encourage employee participation in the annual Heart Walk. Additional Chronic disease interventions include:- Heart of Apopka, which uses the Stanford chronic disease self-management program for patients with chronic conditions (free).- Free care for uninsured COPD and asthma patients at the Apopka Lung Clinic operated by FHAp's Respiratory Care Department.- Increase access to medication and pulmonary care through FHAp's Pulmonary Rehab center. - CREATION Health faith-based wellness plan that focuses on eight principles: Choice, Rest, Environment, Activity, Trust, Interpersonal Relationships, Outlook and Nutrition. CREATION Health lifestyle seminars and expanded programs are offered at all Florida Hospital locations and in community settings. - Free 'Quit Smoking Now' smoking cessation classes. B. Access to Care A number of Florida Hospital Apopka initiatives educate and link underserved community members to free or affordable health resources: - Operate the Community After Hours Clinic (at Florida Hospital) that provide cares to uninsured and underinsured people; - Financially support and lead the Primary Care Access Network (PCAN) integrated system of health care for un- and underinsured people in Orange County. PCAN has 92,000 primary care patients in 13 FQHC medical homes, and 10,000 secondary care patients. - Encourage medical home enrollment by making appointments or referring un- and underinsured emergency department and inpatients to PCAN FQHCs; - Provide financial support to Shepherd's Hope free clinics; - Provide financial for the Health Care Center for the Homeless;- Provide financial support for Grace Medical Home, a chronic care medical home for uninsured people;- Operate the Apopka Lung Clinic for uninsured people with chronic respiratory conditions including COPD and asthma;- Increase the availability of free or low-cost mammograms for un- and underinsured women via the mobile mammogram unit and Florida Hospital diagnostics centers; and - Support the education and training of medical practitioners through the FH Residency programs and Adventist University, and through partnerships with the UCF and FSU Medical Schools. Community Needs Not Chosen by Florida Hospital Apopka: A. Stroke Stroke is among the most common chronic conditions in the United States and is frequently related to health behaviors such as obesity and smoking. Florida Hospital Apopka and its community partners - the Department of Health, the Area Health Education Council (AHEC), the American Heart Association, the American Cancer Society, the American Lung Association, etc. - already provide health education and disease management programs. As noted above, FHAp's Obesity interventions focus on health education, exercise, nutrition, stress management, and personal accountability - factors vital to the control of diabetes, cancer, heart disease, stroke, asthma and the comorbidities that often accompany these diseases. Therefore, Florida Hospital Apopka is addressing the risk factors for these chronic diseases by specifically addressing Obesity. B. DiabetesDiabetes can lead to the development of serious and disabling complications if not properly treated. Complications include heart disease and stroke, high blood pressure, blindness, kidney disease, and limb amputation. According to the American Diabetes Association, it is possible to prevent or delay diabetic complications through a healthy diet, physical activity, and maintaining a healthy weight and glucose levels. Florida Hospital Apopka does not offer specific diabetes services (other than routine inpatient care), but its diabetes engagement includes the Heart of Apopka program that uses the Stanford chronic disease self-management program that includes diabetes management. Because the Apopka community is nearly 50% Hispanic, the free, CDC-recommended classes are offered in both Spanish and English. C. CancerFlorida Hospital Apopka does not provide cancer treatment services. Patients in the Apopka community are treated at the Cancer Institute at the main Florida Hospital campus. In addition, Florida Hospital Apopka supports the Area Health Education Council (AHEC) and provides funding to the American Cancer Society and the American Lung Association; these partners provide health education and disease management programs throughout the county. D. Heart DiseaseHeart disease, hypertension and Congestive Heart Failure - with Diabetes - are the most common chronic conditions in the United States. Risk factors include health behaviors such as obesity and smoking. The Heart of Apopka program noted above provides education and support for people with or at risk for heart disease through the free Stanford Chronic Disease Self-Management Program offered in Spanish and English. Apopka residents can access the free Florida Hospital congestive heart failure clinic at the Orange County Medical Clinic. FHAp supports efforts to reduce heart related conditions through the funding of research and programs via board membership to the American Heart Association. E. Sexually Transmitted DiseasesFlorida Hospital Apopka provides inpatient care but does not provide wrap-around services for HIV/AIDS or STD patients. The Health Department has STD and HIV/AIDS Clinics, and the Center for Multicultural Wellness and Prevention provides programs that screen for and treat sexually transmitted diseases. In addition, Orange County Government Health Services operates the Ryan White HIV/AIDS Program that provides services to people without sufficient health coverage or financial resources to cope with HIV. **see continuation of footnote |
| Group A-Facility 9 -- Florida Hospital Apopka Part V, Section B, line 22d: | In determining the maximum amount that can be charged to financial assistance policy-eligible individuals for emergency or other medically necessary care, the Hospital used the following methodology in 2015:The Hospital utilized the look-back method for determining its amounts generally billed (AGB) percentage. In calculating its AGB percentage, the Hospital included claims allowed during its prior 12-month period by Medicare fee-for-service (including Medicare Advantage) and all commercial payors that had any activity with the Hospital during the taxable year. |
| Group A-Facility 10 -- FH Heartland Medical Center Lake Placid Part V, Section B, line 5: | Florida Hospital Heartland in Sebring and Florida Hospital Lake Placid (the FHH Hospitals), located in Highlands County, Florida, operate under a single hospital license. Collectively, these two hospitals serve the residents of Highlands County, which includes the cities of Sebring, Lake Placid and Avon Park. Highlands County has an estimated population of 102,000 permanent residents, with an approximate increase of an additional 35,000 seasonal residents during the winter months. Highlands County's residents comprised the fifth-oldest population in the US in 2012. Florida Hospital Heartland in Sebring and Florida Hospital Lake Placid conducted a joint Community Health Needs Assessment (CHNA) in 2013. The CHNA was conducted through a collaborative community health needs assessment process that included the Highlands County Health Department, the Community Health Improvement Planning Committee (CHIP) of Highlands County, Samaritan's Touch free clinics in Sebring, the Highlands County Rural Health Network, Highlands Regional Medical Center, and Central Florida Health Care (a federally qualified health center). The CHNA process included the collection of both primary and secondary data. Primary data consisted of community surveys and direct stakeholder input, particularly with respect to representatives from the CHIC Committee. With respect to the process of gathering and analyzing both primary and secondary health needs assessment data, the collaborative team relied significantly on the CHIP Committee due to its broad representation of the communities served by the FHH Hospitals. The CHIPS Committee is composed of a number of representatives from organizations that serve the medically underserved, low-income populations and those with chronic disease needs. Among others, the following organizations were represented on the CHIC Committee:Highlands County Department of Health;Tri-County Human Services;Salvation Army;Florida Department of Health;Healthy Start Coalition;Children's Services Council; andHeartland Rural Health Network. The CHIP members represent public health, the broad community and people who are low-income, minorities or otherwise undeserved. Their mission is to improve the health of communities through education and the promotion of healthy lifestyles; build partnerships to maximize resources; and provide access to quality health care to all of the people in Highlands County regardless of ability to pay. The FHH Hospitals also established a Community Health Needs Assessment Committee (CHNAC) to analyze the health data collected and prioritize key issues for the FHH Hospitals to address. |
| Group A-Facility 10 -- FH Heartland Medical Center Lake Placid Part V, Section B, line 6a: | Florida Hospital Heartland in Sebring and Florida Hospital Lake Placid conducted a joint Community Health Needs Assessment (CHNA) in 2013. The CHNA was conducted through a collaborative community needs assessment process with the hospitals, Highlands County Health Department, the Community Health Improvement Planning Committee (CHIP) of Highlands County, Samaritan's Touch free clinics in Sebring, the Highlands County Rural Health Network, Highlands Regional Medical Center, and Central Florida Health Care (a federally qualified health center). |
| Group A-Facility 10 -- FH Heartland Medical Center Lake Placid Part V, Section B, line 6b: | Florida Hospital Heartland in Sebring and Florida Hospital Lake Placid conducted a joint Community Health Needs Assessment (CHNA) in 2013. The CHNA was conducted through a collaborative community needs assessment process with the hospitals, Highlands County Health Department, the Community Health Improvement Planning Committee (CHIP) of Highlands County, Samaritan's Touch free clinics in Sebring, the Highlands County Rural Health Network, Highlands Regional Medical Center, and Central Florida Health Care (a federally qualified health center). |
| Group A-Facility 10 -- FH Heartland Medical Center Lake Placid 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 Report must be posted on the Hospital's website by the end of the year in which it is conducted. The Hospital will make a copy of its Community Health Needs Assessment Report available upon request. The Hospital will also make a paper copy of the Community Health Needs Assessment Report available for public inspection at the Hospital facility. |
| Group A-Facility 10 -- FH Heartland Medical Center Lake Placid Part V, Section B, line 11: | The Florida Hospital Heartland Division is comprised of three hospital facilities. Florida Hospital Heartland Medical Center (FHH) in Sebring and Florida Hospital Lake Placid (FHLP) in Lake Placid are both located in Highlands County. Florida Hospital Wauchula (FHW) is located in adjacent Hardee County. Because the Florida hospital facilities in Highlands County are 16 miles apart and share the same service area, this response to Question 11 focuses on the two Highlands County facilities. Highlands County is a rural county with 97,600 residents. However, the town of Sebring is home to just 10,300 people and Lake Placid is home to another 2,125. About a third of the residents are over 65. FHH and FHLPs' Community Health Needs Assessment Committee, comprised of community members including those representing low-income, minority and other underserved populations, selected the following four priority issues. Priority: Cancer 2013 Description of the issue: Cancer is the second leading cause of death in the Sebring/Lake Placid community. Efforts to promote the importance for early detection are key to reducing the number of cases of cervical, breast and prostate cancer. Individuals from underserved populations are more likely to be diagnosed with late-stage cancers that might have been treated, or cured, if diagnosed earlier. 2015 Update: Florida Hospitals Heartland/Lake Placid held 26 smoking cessation classes in 2015; the classes were free to 125 uninsured/low-income residents. FHH/FHLPs' Pink Army (Breast Cancer) education efforts and early detection provided education about the early detection of breast cancer. Staff and 170 volunteers (trained by FHH/FHLP) reached nearly 3,100 people (the goal was 700) at 50 different community events. The effort also raised $7,350 for the community mammography fund for uninsured residents. Priority: Heart Disease and Stroke 2013 Description of the Issue: Heart disease and stroke are the leading cause of death in the Sebring/Lake Placid community. High cholesterol, heart attacks, angina, heart disease and hypertension rates are above the state average for all adults and for adult women. Poor eating habits and economic pressure contribute to these outcomes. As with cancer, heart disease and its risk factors are not being detected early in people who do not or cannot afford routine checkups with a physician. 2015 Update: Because much of Highlands County's population consists of older people with chronic conditions, the Stanford Chronic Disease Self-Management Program (CDSMP) was a new effort defined in our implementation strategies. The CDSMP uses pre- and post-program surveys, and has expected outcomes (defined by the CDC) around disease self-management skills and reductions in preventable hospitalizations. As in other communities, it took time to set up the program according to Stanford specifications, build community partnerships, and train trainers. This work was completed in 2015 and classes will begin Q1 of 2016. There will be no charge for the program. Two lifestyle training programs addressed the prevention and lifestyle factors that impact heart disease and stroke. CREATION Health classes and programs were offered at no cost in the community and at FHH and FHLP. CREATION Health is based on the principles of choice, rest, environment, activity, trust, interpersonal relationships, outlook and nutrition. CHIP (Community Health Improvement Program) provided classes on nutrition, exercise and stress management. CHIP's pre- and post-class biometric screenings showed that 100% of the program participants had improved biometric scores, an increased understanding of nutrition principles, and adherence to routine checkups with their physicians. Other heart disease-related community efforts included cardiac screenings at eight health fairs. 75 people participated in cardiac rehabilitation classes, and 80 attended stroke education seminars. All programs stressed the importance of regular checkups with primary care physicians. Priority: Diabetes/Chronic Disease Management 2013 Description of the Issue: There is a higher-than-state average for diabetes-related hospitalizations, including amputations, in the Florida Hospital Heartland service area. Attendance at diabetes self-management programs is also below the state average, indicating that it is important to make our community more aware of the importance of managing diabetes. An individual's socio-economic status, race and ethnicity plays a major role in access to education about diabetes and risk factors. 2015 Update: Interventions included diabetes self-management classes for 110 people, a community diabetes support group, outpatient Medical Nutrition Therapy (MNT) and gestational diabetes classes. The Stanford Chronic Disease Self-Management Program (CDSMP) to be implemented in 2016 includes a focus on diabetes. There will be no charge for the program. Priority: Access to Health Care 2013 Description of the Issue: In addition to a lack of affordable insurance and/or health care services, access to health care can be attributed to a lack of education or understanding of the health care system and how treatment and overall care is communicated. Providing community education about access to health care and decision-making skills is important, as is information about resources for screening and intervention programs at health fairs and other events offered in the community. 2015 Update: FHH/FHLP provided $2.5 million (at cost) in vouchers for free lab and imaging services to the local free clinic for uninsured people. FHH/FHLP conducted eight health fairs for both insured and uninsured community members; uninsured participants were referred to the local Federally Qualified Health Center (FQHC). 45 Congregational Health volunteers provided education on available health care resources. **see continuation of footnote |
| Group A-Facility 10 -- FH Heartland Medical Center Lake Placid Part V, Section B, line 22d: | In determining the maximum amount that can be charged to financial assistance policy-eligible individuals for emergency or other medically necessary care, the Hospital used the following methodology in 2015:The Hospital utilized the look-back method for determining its amounts generally billed (AGB) percentage. In calculating its AGB percentage, the Hospital included claims allowed during its prior 12-month period by Medicare fee-for-service (including Medicare Advantage) and all commercial payors that had any activity with the Hospital during the taxable year. |
| Part V, Section B | Facility Reporting Group B |
| Facility Reporting Group B consists of: | - Facility 8: Central Texas Medical Center, - Facility 11: Florida Hospital Wauchula |
| Group B-Facility 8 -- Central Texas Medical Center Part V, Section B, line 5: | Central Texas Medical Center (CTMC) is a 178-bed community hospital providing a wide range of complex healthcare services located in San Marcos, Texas. CTMC is one of two hospitals in Hays County and provides a wide range of healthcare services. CTMC's primary service area is identified as the cities of Lockhart, San Marcos, Kyle and Wimberley. The secondary service area is Hays County (location of the cities of San Marcos, Kyle and Wimberley) and Caldwell County (location of the city of Lockhart). Caldwell County is served by one critical access hospital. While the demographics of Hays and Caldwell counties are similar, the cities located in CTMC's primary service area (San Marcos, Kyle, Lockhart and Wimberley) are quite diverse. Wide variations exist in the median household income, percentage of residents below the Federal Poverty Level, ethnicity and education. In conducting its 2013 Community Health Needs Assessment (CHNA), CTMC solicited input from numerous stakeholders from throughout Hays and Caldwell Counties in an effort to gain a thorough understanding of the unique health needs in its primary and secondary service area. Stakeholder organizations were identified as such because they provide resources and/or programs that promote or enhance the health needs of residents in the primary and secondary service areas. Primary data was gathered through interviews and surveys. The goal of this process was to distinguish prevalent health issues impacting residents in the primary and secondary service areas, identify community programs and/or services currently being offered to address the health needs of the population, and recognize gaps that prohibited or limited access to services or disrupt the continuity of care. Many of these organizations offer services that specifically target low-income populations, minority populations, the medically underserved or those with chronic disease needs. As a part of its efforts to ensure broad community-based input into the CHNA process, CTMC established a Community Health Needs Assessment Committee (CHNAC). The CTMC Community Health Needs Assessment Committee is comprised of individuals who represent multiple communities and embody diverse community programs, services and organizations. Each member not only brings a rich understanding of the primary and secondary service areas but are also "subject matter experts" in a variety of areas including public health, mental health, government, education, non-profit, agencies/advocacy groups, faith-based organizations, and the medical community. Community members of the CHNAC represented the following organizations: * Hays County Health Department; * Healthy Communities Collaborative;* Texas State University - San Marcos;* Faith Community Nurses of Hays County (FCNOHC); * San Marcos Consolidated Independent School District (SMCISD); * Women, Infants and Children (WIC) Program; * San Marcos City Council; * Hays County Commissioners Court;* Area Agency on Aging of the Capital Area;;* Schieb (Mental Health Services);* Community Action, Inc. (CAI); * Wimberley EMS; and * Live Oak Health Partners. |
| Group B-Facility 8 -- Central Texas 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 Report must be posted on the Hospital's website by the end of the year in which it is conducted. The Hospital will make a copy of its Community Health Needs Assessment Report available upon request. The Hospital will also make a paper copy of the Community Health Needs Assessment Report available for public inspection at the Hospital facility. |
| Group B-Facility 8 -- Central Texas Medical Center Part V, Section B, line 11: | Central Texas Medical Center (CTMC) is located in San Marcos, Texas. Because the State of Texas did not expand Medicaid, the San Marcos community and the rest of Texas still have high rates of uninsured patients. In addition, San Marcos is located in southern Texas, and has a large immigrant population. As a result, access to affordable health care for the uninsured was identified as a community priority in CTMC's 2013 Community Health Needs Assessment. Many of CTMC's implementation strategies focus on access to care. Priority: Accessing the right level of care, in the right setting, at the right time: rate of uninsured CTMC interventions include: Live Oaks Health Partners Community Clinic (LOHPCC) is CTMC's multi-specialty medical practice. It serves insured and uninsured patients at three locations. In 2015, the planned interventions included the expansion of services to uninsured patients. All goals were exceeded.- Goal: increase primary care capacity for uninsured patients at LOHPCC by adding evening hours to increase patient encounters by at least 475. Actual: 500 additional patients.- Goal: create physician access at LOHPCC for uninsured patients with complex medical conditions. Actual: 30-plus available appointments per week (from zero). - Goal: increase the number of uninsured patients receiving prescription assistance at LOHPCC to at least 250 patients. Actual: 310 patients enrolled.- Goal: add 150 discounted labs and radiology tests for uninsured patients at LOHPCC. Actual: 250. - Goal: distribute at least 100 vouchers for free mammograms. Actual: 85-plus vouchers redeemed.- Goal: recruit primary care physicians to establish practices in Hays and/or Caldwell Counties (Medically Underserved Areas that have challenges attracting new physicians). Actual: two recruited. - Goal: collaborate with at least two area school counselors to increase participation (to at least 50 people) in the CTMC Hospital Grief Center's Camp HeartSong and Camp HeartSong Too. Actual: 70 participants.- Goal: increase the number of support groups at the CTMC Hospital Grief Center from six to seven per year. Actual: 9 groups. Priority: Healthier management of lifestyle/making good choices in the areas of nutrition, weight management, exercise, smoking, alcohol use and sexually transmitted infections (STIs).CTMC interventions included efforts with community partners to promote lifestyle improvements:- Goal: collaborate with churches, civic groups, schools and employers to offer CREATION Health workshops (based on principles of choice, rest, environment, activity, trust, interpersonal relationships, outlook and nutrition). Baseline: 0. Actual: 6 groups, 300 on-line assessments. - Goal: increase CREATION Health Fitness Challenge participants from 16 to 32 by adding at least one Challenge and creating a children's component. Actual: 450 participants.- Goal: collaborate with local community organizations to provide vouchers for free health screenings to residents of Hays and Caldwell Counties at CTMC's annual HealthCheck screening event. Baseline: 0. Actual: 200 vouchers distributed. Priority: Prevalence and/or enhanced outpatient management of heart disease/congestive heart failure (CHF) and related conditions/risk factors such as hypertensionCTMC interventions include efforts to better manage uninsured CHF patients who come to CTMC:- Goal: identify uninsured Congestive Health failure (CHF) patients at risk for preventable readmissions and provide contacts to help them manage their disease in outpatient and home settings. Actual: contacts provided for 95% of target population. - Goal: initiate referrals to medical homes for at least 50 percent of unfunded CHF patients in Hays and Caldwell Counties. Actual: 75%.- Goal: develop a "Better Breathers Club" in cooperation with the American Lung Association for residents of CTMC's service area who have CHF, COPD (Chronic Obstructive Pulmonary Disease) or related conditions. Actual: trainer certified but attendance was low. Priority: Prevalence and/or enhanced outpatient management of diabetes; programs to address anticipated growth of diabetes and related conditions.CTMC interventions include community screenings and education for people with diabetes: - Goal: monthly glucose screenings and Diabetes Risk Assessments to 30 residents of Hays and Caldwell Counties. Actual: 36. - Goal: 25% of diabetes education participants will receive at least two follow-up visits over a 12-month period. Actual: 40%. Priorities Considered but Not Selected: Prevalence of Respiratory Disorders including asthma and COPD and access to programs/services that reduce "rescue care". While this is an important initiative, CTMC does not currently have the infrastructure to support programs that focus on respiratory diseases. There are no engaged pulmonologists on the medical staff. Future programs could include pulmonary rehabilitation and education programs that focus on asthma and those with chronic obstructive pulmonary disease (COPD). CTMC is working with the Lung Association on the Better Breathers program. Timely access to local Mental Health Services including treatment for substance abuse. As noted in the Needs Assessment, limited resources are available for mental health services. Hill Country Mental Health and Mental Retardation (MHMR) operate the Schieb Center in San Marcos. This center offers a wide array of programs. Qualitative data suggests demand for these services outweighs access. At this time CTMC does not have the expertise or professional staff to address mental health services. Currently, all patients who present at CTMC with behavioral health conditions, including substance abuse, are transferred to another facility once medically stabilized. In 2012, almost 10% of all transfers from CTMC were due to mental health conditions. Prevalence of some cancer-related conditions and timely access to screening services and treatment. CTMC offers screening and related services specifically for breast cancer. We do not, however, offer clinical programs for the treatment of cancer including oncology and radiation services. Significant enhancements to our medical staff membership and service lines would need to be accomplished in order to effectively treat cancer and cancer-related conditions. We will continue to support community screening programs, especially breast cancer screening. Limited transportation resources, especially transportation for healthcare and related services. Unfortunately, Hays and Caldwell Counties have no mass transportation system. There is no bus system or light rail access. The CARTS (Capital Area Rural Transportation System) addresses some transportation challenges but services must be arranged ahead of time and the wait times can be significant. CTMC does not have the infrastructure to address transportation needs that are prevalent throughout the counties we serve. A future goal would be to design targeted health care services that are offered in satellite locations throughout the service area to make access to care closer to home and lessen reliance on transportation services. Reduced Teen Pregnancy Rates; support services including healthcare for pregnant teens. CTMC has a very robust obstetrics program including a neonatal ICU. Teen mothers frequently access these services. CTMC also offers free childbirth education services including breastfeeding/lactation consultation. While we offer a reasonable array of obstetrical-related health care services CTMC is not in the best position to reduce teen pregnancy rates through education and birth control. Other community partners including the Health Departments are working on this issue. Therefore, this is not an identified CTMC priority at this time. |
| Group B-Facility 8 -- Central Texas Medical Center Part V, Section B, line 22d: | In determining the maximum amount that can be charged to financial assistance policy-eligible individuals for emergency or other medically necessary care, the Hospital used the following methodology in 2015:The Hospital utilized the look-back method for determining its amounts generally billed (AGB) percentage. In calculating its AGB percentage, the Hospital included claims allowed during its prior 12-month period by Medicare fee-for-service (including Medicare Advantage) and all commercial payors that had any activity with the Hospital during the taxable year. |
| Group B-Facility 11 -- Florida Hospital Wauchula Part V, Section B, line 5: | Florida Hospital Wauchula (FHW) is a 25-bed hospital specializing in emergency and outpatient care located in Hardee County, Florida. Florida Hospital Wauchula opened in 1993, a year after the closing of Hardee County's only (other) hospital. Since then, not only has FHW set the pace for healthcare in Hardee County, in 2000 it also became the first Critical Access Hospital (CAH) in the State of Florida. To be designated as a CAH in Florida, a hospital must be located in a rural area and be at least 35 miles from the nearest other hospital. Hardee County is a socio-economically disadvantaged, rural, agricultural county that is also designated as a health professional shortage area by the US Department of Health and Human Services. To ensure that input was solicited from the medically underserved, low-income and minority populations, FHW gathered input from a number of key stakeholder organizations in the community. Input was gathered from the Hardee County Primary Health Care Network, a public/private partnership that provides health care to the working poor. The Hardee County Primary Health Care Network includes Central Florida Health Care, a federally qualified health care center, the Hardee County Health Department, Pioneer Medical Center, FHW, and a pharmacy. The Network provides services to Hardee County residents who have no insurance or are not eligible for Medicare, Medicaid, or other government programs. FHW also gathered input from other key stakeholder organizations/agencies including the Hardee County Health Department and Central Florida Health Care. As noted above, Central Florida Health Care is a federally qualified health care center and provides services to everyone in the community, including undocumented and other underserved populations. Over 51% of the Board of Central Florida Health Care is comprised of clinic users. Florida Hospital Wauchula also established a Community Health Needs Assessment Committee (CHNAC). Input was solicited from all members of the CHNAC. The CHNAC was comprised of community representatives and members of the Florida Hospital Wauchula Board. |
| Group B-Facility 11 -- Florida Hospital Wauchula 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 Report must be posted on the Hospital's website by the end of the year in which it is conducted. The Hospital will make a copy of its Community Health Needs Assessment Report available upon request. The Hospital will also make a paper copy of the Community Health Needs Assessment Report available for public inspection at the Hospital facility. |
| Group B-Facility 11 -- Florida Hospital Wauchula Part V, Section B, line 11: | The Florida Hospital Heartland Division is comprised of three hospital facilities. Florida Hospital Wauchula is located in Hardee County. Florida Hospital Heartland Medical Center in Sebring and Florida Hospital Lake Placid in Lake Placid are located in adjacent Highlands County. This update refers to Florida Hospital Wauchula. Florida Hospital Wauchula is a 25-bed Critical Access Hospital in Hardee County, a small, rural county (638 square miles) with 27,500 residents. Wauchula is the county seat. Of Wauchula's 4,500 residents, 70% self-identify as white; over 44% also self-identify as Hispanic. Florida Hospital Wauchula is the only hospital in the County; Wauchula patients needing more critical care are often transferred to Florida Hospital Heartland Medical Center or Florida Hospital Lake Placid. Priority: Access to Health Care 2013 Description of the Issue: Access to health care is a major issue for Hardee County, where 32% of the residents are uninsured (compared to 24% for the rest of the state). Access to care is affected by socio-economic status, health risk behaviors and limited job opportunities. The Affordable Care Act helped many people get insurance but the State of Florida did not expand Medicaid, leaving the most vulnerable without health coverage. There is a severe physician shortage in Hardee County which, according to the Hardee County Health Department, ranks 56th (of 67 counties) in access to clinical care. The County has a ratio of 3,237:1 for primary care providers. Not only is there a shortage of providers, but there is a lack of education on how to access affordable health care and treatment, as well as screenings. 2015 Update: Florida Hospital Wauchula (FHW) set out to improve access to care by helping community primary care providers increase their capacity. Florida Hospital Wauchula is a founder and an active partner in the Hardee County Primary Care Network, a public/private partnership that provides health care to the working poor whose incomes are less than 150% of the federal poverty level. FHW operates the Pioneer Medical Center (Rural Health Clinic) that accepts Medicaid and sees uninsured patients on a sliding fee scale basis. The Network also includes Central Florida Health Care, a Federally Qualified Health Center/Migrant Health Center that offers primary, dental, pediatric, and obstetrical/gynecological care. The Hardee County Health Department, Florida Hospital Wauchula, and a local pharmacy round out the Network. The Network enrolled over 1,200 new patients in 2015 (the average annual enrollment is 1,200-1,300 people). All providers accept Medicaid, Medicare and some insurance. Uninsured patients are eligible for sliding scale fees, and usually pay a small co-payment for services. Florida Hospital Wauchula donated medical services including labs and imaging for uninsured patients, and actively enrolls eligible patients in Medicaid. Priority: Cancer 2013 Description of the Issue: Cancer is the leading cause of death in Hardee County. The 2009-2011 age-adjusted death rate for all cancers for Hardee County residents is 165 per 100,000 residents compared to the State of Florida's rate of 161.1 per 100,000. For men, the three leading cancers are lung, prostate and colorectal. For women, the leading cancers are lung, breast and colorectal. Efforts to promote the importance of early detection are key to reducing the number of cases. Individuals from underserved populations are more likely to be diagnosed with late-stage cancers that might have been treated or cured if diagnosed earlier. 2015 Update: In partnership with the two other Florida Hospital facilities in the Division, a number of interventions included Wauchula-area patients. Efforts included smoking cessation classes that were free to uninsured/low-income residents. Low-income and uninsured Hardee County residents also had access to mammography. Screenings and treatment for residents with incomes below 150% of the federal poverty level were provided through the Primary Care Network of Hardee County (see Access to Care). FHWs' Pink Army (Breast Cancer) sponsored education efforts about the early detection of breast cancer, and raised dollars for the County's mammography fund. Florida Hospital Wauchula does not provide cancer treatment services; patients may receive this care at Florida Hospital Heartland Medical Center in Sebring. Priority: Diabetes 2013 Description of the Issue: Hardee County has a higher than state average rate of diabetes-related hospitalizations and amputations. With diabetes self-management education below the state average, the emphasis on educating the public about management of diabetes is crucial. 2015 Update: Because Florida Hospital Wauchula is so small, health educators from Florida Hospital Heartland (in Sebring) provided health education and promotion activities in Hardee County. 37% of adult residents are considered obese, so the programs promoted physical activity and weight loss for overweight or obese participants. Diabetes screenings (A1c) were offered in cooperation with the Hardee County Primary Care Network and Heartland Rural Health Network (serving five counties including Hardee). The Network serves people whose incomes are less than 150% of the federal poverty level. In addition, uninsured people with high blood sugar were referred to the Central Florida Health Care (FQHC) or the Pioneer Medical Center (RHC) that accept uninsured patients on a sliding fee scale basis. In 2015, Florida Hospital Wauchula (along with Florida Hospital Heartland Medical Center and Florida Hospital Lake Placid) worked to implement the Stanford Chronic Disease Self-Management Program (CDSMP). This included the training of facilitators, development of community and hospital partnerships, and recruitment of participants. The CDSMP, recognized by the CDC for improvement in diabetes self-management skills and reduced hospitalizations, will begin in the first quarter of 2016. Priority: Heart Disease and Stroke 2013 Description of the Issue: Heart Disease and Stroke are the leading cause of death in Florida, and are often related to overweight and obesity. In Hardee County, heart disease and stroke are the second highest cause of death. High cholesterol, heart attacks, angina, heart disease and hypertension rates are above the state average for all adults and adult women. Poor eating habits and economic pressure contribute to these outcomes. As with cancer, heart disease and its risk factors are not being detected early in people who do not schedule routine checkups with a physician. 2015 Update: Florida Hospital Wauchula provided cardiac screenings and stroke seminars at local health fairs, as well as educational seminars on the importance of regular checkups with primary care physicians. As appropriate, uninsured patients were referred to Central Florida Health Care (FQHC) or the Pioneer Medical Center (RHC); both accept Medicaid and see uninsured patients on a sliding fee scale basis. Because Florida Hospital Wauchula does not provide advanced cardiac treatment services, patients may receive this care at Florida Hospital Heartland Medical Center in Sebring. As noted above, Florida Hospital Wauchula (along with Florida Hospital Heartland Medical Center and Florida Hospital Lake Placid) worked to implement the Stanford Chronic Disease Self-Management Program (CDSMP) in 2015. The CDSMP is recognized by the CDC for improvement in chronic heart disease self-management skills and reduced hospitalizations, will begin first quarter of 2016. **see continuation of footnote |
| Group B-Facility 11 -- Florida Hospital Wauchula Part V, Section B, line 22d: | In determining the maximum amount that can be charged to financial assistance policy-eligible individuals for emergency or other medically necessary care, the Hospital used the following methodology in 2015:The Hospital utilized the look-back method for determining its amounts generally billed (AGB) percentage. In calculating its AGB percentage, the Hospital included claims allowed during its prior 12-month period by Medicare fee-for-service (including Medicare Advantage) and all commercial payors that had any activity with the Hospital during the taxable year. |
| Part V, Section B | Facility Reporting Group C |
| Facility Reporting Group C consists of: | - Facility 12: Adventist La Grange Memorial Hospital |
| Group C-Facility 12 -- Adventist La Grange Memorial Hospital Part V, Section B, line 5: | Adventist La Grange Hospital (the Hospital) is one of four not-for-profit related hospital organizations located in the western and southwestern suburbs of Chicago. Each of these four hospitals is a part of Adventist Health System (AHS). AHS is a health care system primarily consisting of tax-exempt 501(c)(3) hospital organization that operate 44 hospitals in 10 states within the US. The four related hospital organizations located in Chicago, collectively called Adventist Midwest Health (AMH), are clinically integrated, share overlapping communities, and are tied together by common mission, values, and vision. As the four hospitals are located in the same Metropolitan Service Area, the hospitals collaborated in 2013 to conduct a joint Community Health Needs Assessment (CHNA). The four related hospital organizations are Adventist GlenOaks Hospital, Adventist Hinsdale Hospital, Adventist Bolingbrook Hospital, and Adventist Health System/Sunbelt, Inc., dba Adventist La Grange Memorial Hospital. In conducting its 2013 joint CHNA, the four AMH hospitals collected primary and secondary data using a number of data collection methodologies. Adventist GlenOaks Hospital, Adventist Hinsdale Hospital, and Adventist La Grange Memorial Hospital partnered with the Metropolitan Chicago Healthcare Council to conduct its primary research, consisting of telephone surveys, focus groups, and written surveys. A list of recommended participants to be included in the focus groups was provided by the Metropolitan Chicago Healthcare Council. Participants included representatives of public health, individuals who work with low-income, minority or other medically underserved populations, and those who work with persons with chronic disease conditions. |
| Group C-Facility 12 -- Adventist La Grange Memorial Hospital Part V, Section B, line 6a: | The Community Health Needs Assessment conducted by Adventist La Grange Memorial Hospital (the Hospital) was based upon the Hospital's involvement and enrichment of those who live within DuPage County, Illinois. The CHNA was conducted in conjunction with related hospitals in the Chicago Metropolitan area: Adventist Hinsdale HospitalAdventist Bolingbrook HospitalAdventist GlenOaks Hospital |
| Group C-Facility 12 -- Adventist La Grange Memorial Hospital Part V, Section B, line 7d: | The Hospital has adopted a policy that addresses the public posting requirements of the Community Health Needs Assessment. Under this policy, the Community Health Needs Assessment Report must be posted on the Hospital's website by the end of the year in which it is conducted. The Hospital will make a copy of its Community Health Needs Assessment Report available upon request. The Hospital will also make a paper copy of the Community Health Needs Assessment Report available for public inspection at the Hospital facility. |
| Group C-Facility 12 -- Adventist La Grange Memorial Hospital Part V, Section B, line 11: | Note: On 1/31/2015, the net assets associated with the operation of Adventist La Grange Memorial Hospital (ALMH) were transferred into Adventist Midwest Health, a related 501(c)(3) tax-exempt organization. Although financial operations have only been reported for the period 1/1/2015 - 1/31/2015, the following activities are reported for the period 1/1/2015 - 12/31/2015. As noted in Part V, Section B, Line 5 and Line 6, the Hospital (ALMH) is a part of Adventist Health System and conducted a joint CHNA with the following related AHS hospitals, all located in the suburbs of Chicago, in 2013:- Adventist Midwest Health dba Adventist Hinsdale Hospital (AHH); - Adventist Bolingbrook Hospital (ABH); and- Adventist GlenOaks Hospital. These four hospitals are known collectively as the Adventist Midwest Region (AMR), and as a region, have prioritized and addressed the significant needs within their region as a result of the joint CHNA conducted and outlined below. The following is a listing of programs/activities undertaken in 2015 to address identified significant needs: Priority 1: Access to Health Care (Lack of Insurance) - Health Insurance Exchange Enrollment for 210 people AHH/ALMH made the decision to refer to local navigators in 2014 as there were duplicative services available in convenient locations for local community members. - Medicaid Enrollment for Hospital PatientsThe AMR hospitals contracted for the services of a service provider to assist with the enrollment of Medicaid patients at AHH, ALMH, ABH, and AGO. - Discharge Medications for Uninsured PatientsThis goal was exceeded. ALMH - 54 patients were provided with discharge medication assistance. - Links with Community Partners (i.e. Aging Connections) to help prevent avoidable readmissions - ALMH - 15.0% decrease in avoidable readmissions. - Free Breast and Cervical Cancer Screenings Residents of ALMH Family Medicine Clinics provide free services through the La Grange Community Nurses Association. In 2015, approximately 338 physician hours were provided. - Provide OB services at the AMR HospitalsAt ALMH, obstetrical services were provided to women with financial and access needs. As a result, there were 80 deliveries at ALMH. - Provide Free Flu and Pneumonia Vaccines and Vaccine Education Information was posted on ALMH's website. Free flu vaccines were provided at the Residency Program at ALMH. The La Grange Family Practice Residency Program continues to be a place for those with financial needs as no patients are turned away. - Help patients make appointments with local FQHCsAn FQHC administered by the VNA was established on the campus of ABH. A process is in place at both the ED and Registration Departments to help guide eligible patients to make an appointment at the FQHC and ultimately find a Medical Home. AHH, ALMH, and AGO also provide information about FQHS in the area to any patients who may benefit. - Partner with the American Kidney Foundation on Free Kidney Disease Screenings for underserved people at Adventist Midwest Health Facilities. In 2015, there were screenings with the KIdneymobile in Lombard, Plainfield, and Bolingbrook reaching over 200 people. - Operate two Family Practice Residency Programs and support an RN to BSN Program at all AMR Hospitals to help expand the healthcare work force. The La Grange Memorial Hospital Residency program continues to successfully train and educate competent physicians as well as provide access to care for individuals with financial need. In 2015, La Grange Memorial Hospital had 7 graduates. - Post-discharge Chronic Disease ManagementOffered Stanford Chronic Disease Self-Management Program (six-week post discharge educational program) with patients from all 4 AMR Hospitals using Creation Health principles. The number of participants in 2015 was 39. Priority 2: Influenza Vaccine (18-64 years) - Community education programs were held throughout the communities served by the four AMR Hospitals; AHH, ALMH, ABH, and AGO. - Free flu vaccines were given at health fairs and flu clinics, and at the two Family Practice Residency Programs. Priority 3: Pneumococcus Vaccine (65 years and older) - Free Pneumococcus vaccinations were given at the Hinsdale Family Practice Medicine Clinic. - Community Education on the importance of immunizations was conducted as well. Priority 4: Hypertension (over 18 years) - Throughout the AMR, free blood pressure screenings were conducted by teams from the four AMR Hospitals. Additionally, there were screenings conducted in partnership with various health care providers and local YMCA's throughout the surrounding communities. - Web site education on hypertension was provided.- Education regarding hypertension was provided through a system wide newsletter. Priorities Considered but Not Selected: Prevention and Management of Chronic Care Issues: Heart Disease [blood cholesterol levels]Rationale: While this tested well on the Impact Analysis Matrix, using the Decision Tree, it was determined that this is a commonly available prevention measure at most surrounding providers. It is frequently a part of community health fairs and routine physician visits. Behavioral Health and Substance Abuse Rationale: Adventist Midwest Health provides comprehensive inpatient programs for behavioral health (Adventist GlenOaks Hospital and Adventist Hinsdale Hospital) and outpatient programs for both behavioral health and substance abuse (Adventist Hinsdale Hospital). Serving the Adventist Midwest Health Community, AMR Hospitals support County initiatives to bring these necessary services to those in need. Prioritizing Access to Care as one of the selected Health Priorities will assist Adventist Midwest Health in extending services for those who currently lack such access. |
| Group C-Facility 12 -- Adventist La Grange Memorial Hospital Part V, Section B, line 22d: | In determining the maximum amount that can be charged to financial assistance policy-eligible individuals for emergency or other medically necessary care, the Hospital used the following methodology in 2015:The Hospital utilized the look-back method for determining its amounts generally billed (AGB) percentage. In calculating its AGB percentage, the Hospital included claims allowed during its prior 12-month period by Medicare fee-for-service (including Medicare Advantage) and all commercial payors that had any activity with the Hospital during the taxable year. |
| Part V, Section B, Line 7a | Each hospital facility's CHNA report was made widely available through the following websites:Facility 1 -- Florida Hospital Orlandohttps://www.floridahospital.com/sites/default/files/florida_hospital_orlando_-_2013_chna.pdfFacility 2 -- Florida Hospital Altamontehttps://www.floridahospital.com/sites/default/files/florida_hospital_altamonte_-_2013_chna_0.pdfFacility 3 -- Florida Hospital Celebration Healthhttps://www.floridahospital.com/sites/default/files/florida_hospital_celebration_health_-_2013_chna.pdfFacility 4 -- Winter Park Memorial Hospitalhttps://www.floridahospital.com/sites/default/files/florida_hospital_winter_park_memorial_-_2013_chna.pdfFacility 5 -- Florida Hospital East Orlandohttps://www.floridahospital.com/sites/default/files/florida_hospital_east_orlando_-_2013_chna.pdfFacility 6 -- FH Heartland Medical Centerhttps://www.floridahospital.com/sites/default/files/florida_hospital_heartland_-_2013_community_health_needs_assessment.pdfFacility 7 -- Florida Hospital Kissimmeehttps://www.floridahospital.com/sites/default/files/florida_hospital_kissimmee_-_2013_chna.pdfFacility 8 -- Central Texas Medical Centerhttp://www.ctmc.org/Portals/7/docs/Community%20Benefits/CTMC%20CHNA%202013.pdfFacility 9 -- Florida Hospital Apopkahttps://www.floridahospital.com/sites/default/files/florida_hospital_apopka_-_2013_chna.pdfFacility 10 -- FH Heartland Medical Center Lake Placidhttps://www.floridahospital.com/sites/default/files/florida_hospital_lake_placid_-_2013_community_health_needs_assessment.pdfFacility 11 -- Florida Hospital Wauchulahttps://www.floridahospital.com/sites/default/files/pdf/florida_hospital_wauchula_-_2013_chna.pdfFacility 12 -- Adventist La Grange Memorial Hospitalhttp://www.keepingyouwell.com/Portals/33/docs/Community%20Benefits/Adventist%20La%20Grange%20Hospital%202013%20CHNA.pdf |
| Part V, Section B, Line 10a | Each hospital facility's most recently adopted implementation strategy was made widely available through the following websites:Facility 1 -- Florida Hospital Orlandohttps://www.floridahospital.com/sites/default/files/florida_hospital_orlando_2014-16_community_health_improvement_plan_0.docxFacility 2 -- Florida Hospital Altamontehttps://www.floridahospital.com/sites/default/files/florida_hospital_altamonte_2014-16_community_health_plan.pdfFacility 3 -- Florida Hospital Celebration Healthhttps://www.floridahospital.com/sites/default/files/florida_hospital_celebration_2014-16_community_health_plan.docxFacility 4 -- Winter Park Memorial Hospitalhttps://www.floridahospital.com/sites/default/files/florida_hospital_winter_park_memorial_2014-16_community_health_improvement_plan_0.docxFacility 5 -- Florida Hospital East Orlandohttps://www.floridahospital.com/sites/default/files/florida_hospital_east_orlando_2014-16_community_health_improvement_plan_0.docxFacility 6 -- FH Heartland Medical Centerhttps://www.floridahospital.com/sites/default/files/heartland_2014-16_community_health_plan.docxFacility 7 -- Florida Hospital Kissimmeehttps://www.floridahospital.com/sites/default/files/florida_hospital_kissimmee_2014-16_community_health_improvement_plan.docxFacility 8 -- Central Texas Medical Centerhttp://www.ctmc.org/Portals/7/docs/Community%20Benefits/CTMC%202014-16%20Community%20Health%20Plan.pdfFacility 9 -- Florida Hospital Apopkahttps://www.floridahospital.com/sites/default/files/florida_hospital_apopka_2014-16_community_health_improvement_plan.pdfFacility 10 -- FH Heartland Medical Center Lake Placidhttps://www.floridahospital.com/sites/default/files/lake_placid_2014-16_community_health_plan.docxFacility 11 -- Florida Hospital Wauchulahttps://www.floridahospital.com/sites/default/files/wauchula_2014-16_community_health_plan.docxFacility 12 -- Adventist La Grange Memorial Hospitalhttp://www.keepingyouwell.com/Portals/3/docs/About%20Us/Community%20Benefit/ALMH%2014-16%20Community%20Health%20Plan.pdf |
| Part V, Section B, Line 16a-16C | Each hospital facility's FAP, FAP application form and plain language summary of the FAP was made widely available through the following websites:Facility 1 -- Florida Hospital Orlandohttps://webcdn.ahss.org/internet/policy/fh/en/FAD_fho_fh-en.pdfFacility 2 -- Florida Hospital Altamontehttps://webcdn.ahss.org/internet/policy/fh/en/FAD_fha_fh-en.pdfFacility 3 -- Florida Hospital Celebration Healthhttps://webcdn.ahss.org/internet/policy/fh/en/FAD_fhch_fh-en.pdfFacility 4 -- Winter Park Memorial Hospitalhttps://webcdn.ahss.org/internet/policy/fh/en/FAD_fhwp_fh-en.pdfFacility 5 -- Florida Hospital East Orlandohttps://webcdn.ahss.org/internet/policy/fh/en/FAD_fheo_fh-en.pdfFacility 6 -- FH Heartland Medical Centerhttps://webcdn.ahss.org/internet/policy/fh/en/FAD_fhh_fh-en.pdfFacility 7 -- Florida Hospital Kissimmeehttps://webcdn.ahss.org/internet/policy/fh/en/FAD_fhk_fh-en.pdfFacility 8 -- Central Texas Medical Centerhttp://webcdn.ahss.org/internet/policy/multihosp/en/FAD_CTMC-en.pdfFacility 9 -- Florida Hospital Apopkahttps://webcdn.ahss.org/internet/policy/fh/en/FAD_fhap_fh-en.pdfFacility 10 -- FH Heartland Medical Center Lake Placidhttps://webcdn.ahss.org/internet/policy/fh/en/FAD_fhh_fh-en.pdfFacility 11 -- Florida Hospital Wauchulahttps://webcdn.ahss.org/internet/policy/fh/en/FAD_fhh_fh-en.pdfFacility 12 -- Adventist La Grange Memorial Hospitalhttps://www.keepingyouwell.com/almh/patients-visitors/billing-and-financial-services/financial-assistance |
| Part V, Section B, Line 11 Continuation of Footnote | Group A-Facility 1 -- Florida Hospital OrlandoDescription of CHNA Significant Needs Continued 2015 Update: CREATION Health lifestyle seminars and expanded programs were offered at Florida Hospital Orlando and in community settings. CREATION Health is a faith-based wellness plan that focuses on eight principles: Choice, Rest, Environment, Activity, Trust, Interpersonal Relationships, Outlook and Nutrition. CREATION Kids is a child-friendly wellness program that stresses healthy eating and exercise in church and school settings; it reached 350 children and their parents. With community partners, Florida Hospital served 4,200 people in identified food deserts with a Mobile Farmers Market that offered fresh fruits and vegetables, cooking demos and nutritional educational opportunities. Florida Hospital Orlando also provided financial support to three public and private school-based gardens in the Orlando community. Community Needs Not Chosen by Florida Hospital Orlando: Social Determinants of Health and Health Disparities 2013 Description of the Issue: Although specific health determinants and poverty were not selected as priorities in Florida Hospital Orlando's Community Health Needs Assessment, FHO supports "place-based" community transformation efforts that address health determinants in geographically specific areas. 2015 Update: Florida Hospital Orlando continued to be the anchor partner for the City of Bithlo Transformation Effort led by the nonprofit agency United Global Outreach (UGO). UGO and its partners are working to address multiple conditions in this very low-income community (census tract 166.22) of 8,200 people: Education, Housing, Transportation, Health Care, Environment, Basic Needs and Sense of Community. FHO provided $150,000 in direct funding. FHO also engaged community partners (colleges, businesses, community organizations, etc.) and recruited its vendors and employees to help in the effort. These efforts were valued at more than $400,000 in 2015. Florida Hospital Orlando was also a partner in LIFT Orlando, a nonprofit organization of business leaders collaborating with residents to accelerate community transformation in the primarily low-income, African-American community of Parramore in downtown Orlando. Focus areas include cradle-to-career education, mixed income housing, community health and wellness, and long-term economic viability. FHO provides funding to IDignity, a nonprofit agency that helps homeless, precariously housed and other low-income people get identification items: birth certificates, social security numbers or cards, drivers' licenses, state IDs and other personal identification. Violent Crime 2015 Update: Hospitals lack the ability to directly address violent crimes but, given the high crime rates, Florida Hospital Orlando views its active involvement in issues of awareness and prevention as especially crucial. FHO provided major funding to the Harbor House Domestic Violence Center, and provided office and (off-site) treatment space for the Orange County Victims' Services Center (VSC) and the Sexual Assault Treatment Center (SATC) of Orange County. Approximately 10 nurses were trained as Sexual Assault Nurse Examiners and are on-call for the SATC. Florida Hospital Orlando staff, particularly in the ED, were trained to screen patients for domestic violence issues. Health Literacy2015 Update: Health Literacy was not selected as a priority issue by Florida Hospital Orlando. The Adult Literacy League and others organizations including Hispanic Health Initiatives and the Center for Multicultural Wellness & Prevention provide literacy services for the community. In addition, FHO provides full translation services that assists patients for whom English is not the primary language. Motor Vehicle Accidents2015 Update: The issue of motor vehicle collision is not within the purview of community hospitals. Florida Hospital Orlando does promote and fund safe pedestrianism through its partnership with Healthy Central Florida. Single Parent Households2015 Update: The issue of single parent households is not within the purview of Florida Hospital Orlando. Maternal and Child Health2015 Update: Because of its existing support of the Healthy Start Coalition and other maternal infant initiatives, Florida Hospital Orlando did not choose Maternal and Child Health as a priority area. Florida Hospital facilities (Winter Park, Orlando and Celebration) provide obstetrics services, and the new Florida Women's Hospital opened in 2015. Sexually Transmitted Diseases 2015 Update: Florida Hospital Orlando provides inpatient care but does not provide wrap-around services for HIV/AIDS or STD patients. The Health Department has STD and HIV/AIDS Clinics, and the Center for Multicultural Wellness and Prevention provides programs that screen for and treat sexually transmitted diseases. In addition, Orange County Government Health Services operates the Ryan White HIV/AIDS Program that provides services to people without sufficient health coverage or financial resources to cope with HIV/AIDS. Diabetes 2015 Update: Diabetes is a major health concern in Central Florida, and the Florida Hospital Diabetes Institute provides treatment, education and research for the community. Rather than a global focus on diabetes, FHO is focusing on obesity because it is a risk factor for diabetes, heart disease and cancer. Cancer2015 Update: Cancer is a major cause of death in Central Florida and the U.S. as a whole. Florida Hospital Orlando is not focusing on cancer and cancer prevention as a priority because of the many hospital and community resources already available. Groups like the American Cancer and Leukemia Societies provide outreach and education throughout the community - and in partnership with the hospitals. FHO receives Susan G. Komen dollars to help fund free mammograms for low-income women, and uses its mobile mammogram unit to reach out to this audience. |
| Part V, Section B, Line 11 Continuation of Footnote | Group A-Facility 3 -- Florida Hospital Celebration HealthDescription of CHNA Significant Needs Continued Community Needs Not Chosen by Florida Hospital Celebration Health: Heart DiseaseFlorida Hospital Celebration Health supports chronic disease management programs at the Osceola Council on Aging Chronic Care Clinic and the Hope Clinic. In addition, the Obesity interventions noted above address many of the risk factors for heart disease. Mental Health and Substance AbuseFlorida Hospital Celebration Health does not offer substance abuse or behavioral/mental health services. Hospital inpatients with behavioral health co-morbidities are transferred to the Med-Psych unit at Florida Hospital Orlando campus or to Park Place Behavioral Health, Osceola's County's behavioral health provider and home of the County's Baker Act Receiving Center. Dental CareFlorida Hospital Celebration Health does not offer dental care but partners with the Dental Care Access Foundation that provides free and/or sliding fee scale dentistry to people who are uninsured or underinsured. Several of the five FQHCs in Osceola County provide dental services. Cancer Florida Hospital Celebration Health provides cancer treatment but did not choose Cancer as a top priority community issue. FHCH does offer various cancer education programs. AsthmaFlorida Hospital Celebration Health does not have Asthma-specific community programming but actively supports the American Lung Association, and provides health education, disease management and stop smoking programs. Housing Affordability and HomelessnessHousing affordability is not a core competency of hospitals and other health care providers. Florida Hospital is not leading out on this issue but made a significant financial donation (that garnered a community match) to establish and expand permanent supportive housing efforts in the tri-county area. Florida Hospital Celebration Health also provides leadership to two regional commissions focused on housing issues specific to vulnerable families and individuals, and is active in Habitat for Humanity. High UnemploymentHigh unemployment, while a health determinant, is not a core competency of Florida Hospital. As a means of promoting employment, Florida Hospital Celebration Health provides leadership to the regional BusinessForce, multiple Chambers of Commerce (including Kissimmee, Celebration and St. Cloud) and Economic Development Commissions (Orange and Osceola) that focus on growing a healthy business community. As a means of promoting both access to care and challenging high unemployment, Florida Hospital Celebration Health supports the education and training of Certified Nursing Assistants in Osceola County through the Project OPEN initiative described above. Single Parent HouseholdsSingle Parent Households are not a core competency of hospitals and other health care providers. |
| Part V, Section B, Line 11 Continuation of Footnote | Group A-Facility 2 -- Florida Hospital AltamonteDescription of CHNA Significant Needs Continued Community Needs Not Chosen by Florida Hospital Altamonte: Diabetes, Cancer, Heart Disease, Stroke & AsthmaFlorida Hospital Altamonte and its community partners - the Department of Health, the Area Health Education Council (AHEC), the American Heart Association, the American Cancer Society, the American Lung Association, etc. - already provide a number of health education and disease management programs. Marijuana Use among Youth, Mental Health & Substance AbuseFlorida Hospital Altamonte does not provide substance abuse or behavioral/mental health services. There are strong mental health and substance abuse assets in Seminole County including Aspire Behavioral Health (in- and outpatient mental health and substance abuse services) and the Orlando Health Behavioral Group, an 80-bed psychiatric hospital at South Seminole Hospital, an unrelated hospital. Maternal and Child Health Florida Hospital Altamonte provides obstetrics services and a variety of pre- and postnatal programs and car seats for parents and children. Women and children may qualify for our Financial Assistance Program that includes charity care and/or steep discounts for low-income patients. As noted in the Access to Care section above, Florida Hospital Altamonte provides member support to maternal and child health initiatives in Seminole County including the Healthy Start Coalition of Seminole County and Kids' House (the County's sexual abuse treatment center for children). Motor Vehicle Accidents The issue of motor vehicle collisions is not within the purview of community hospitals. Housing affordabilityHousing affordability is a health determinant rather than a core competency of hospitals and other health care providers. Florida Hospital Altamonte made a significant financial donation (that garnered community matches) to establish and expand permanent supportive housing efforts in Seminole County and surrounding areas. Florida Hospital also provides leadership to two regional commissions focused on issues of housing specific to vulnerable families and individuals, and is active in Habitat for Humanity. |
| Part V, Section B, Line 11 Continuation of Footnote | Group A-Facility 5 -- Florida Hospital East OrlandoDescription of CHNA Significant Needs Continued E. Social Determinants of Health/Health Disparities 2013 Description of the Issues: Health disparities adversely affect people who have systematically experienced greater obstacles to health based on their: racial or ethnic group; religion; socioeconomic status; gender; age; mental health; cognitive, sensory, or physical disability; sexual orientation or gender identity; geographic location; or other characteristics historically linked to discrimination or exclusion. Within Orange County, black/African-American, Hispanic/Latino families, and the elderly are more than three times more likely to live in poverty than their white neighbors. Further, the Florida Hospital East Orlando community is more than 50% Hispanic and the east part of the County includes the community of Bithlo, one of the poorest communities in Florida. 2015 Update: Florida Hospital East Orlando currently has as a strong internal Diversity program. FHEO has also created a new Committee to better address the disparities in our community; membership includes national health equity scholars. In addition, FHEO staff serve on the board of the Central Florida Partnership on Health Disparities, a 501(c)(3) entity initially founded by Florida Hospital. F. Violent Crime Hospitals lack the ability to directly address violent crimes, but Florida Hospital has provided funding to several organizations that address the effects of violent crime. We view our active involvement in issues of awareness and prevention as especially crucial since Orange County's rates of violent crime exceed the national average. Interventions include:- Funding to Harbor House Domestic Violence Centers;- Providing office and treatment space for the Orange County Victims' Services Center;- Training FHEO staff to screen patients for domestic violence issues; and - Donating space for the Sexual Assault Treatment Center of Orange County. Community Needs Not Chosen by Florida Hospital East Orlando: A. Sexually Transmitted DiseasesFlorida Hospital East Orlando provides inpatient care but does not provide wrap-around services for HIV/AIDS or STD patients. The Health Department has STD and HIV/AIDS Clinics, and the Center for Multicultural Wellness and Prevention provides programs that screen for and treat sexually transmitted diseases. In addition, Orange County Government Health Services operates the Ryan White HIV/AIDS Program that provides services to people without sufficient health coverage or financial resources to cope with HIV disease. B. Maternal and Child Health Florida Hospital East Orlando does not have Maternal and Child health services, but supports the Healthy Start Coalition financially and through Board of Director service. Other Florida Hospital facilities (Winter Park, Orlando and Celebration) provide obstetrics services, and the new Florida Women's Hospital opened in 2015. The Walt Disney Pavilion at Florida Children's Hospital accepts referrals from other Florida Hospital campuses and from FH's CentraCare Walk-In Urgent Care Centers. C. Cancer Florida Hospital East Orlando does not provide cancer treatment services. Patients in the East Orlando community are treated at the Cancer Institute at the main Florida Hospital campus. In addition, Florida Hospital East Orlando supports the Area Health Education Council (AHEC) and provides funding to the American Cancer Society and the American Lung Association; these partners provide health education and disease management programs throughout the County. D. Heart DiseaseHeart disease, hypertension and Congestive Heart Failure - with Diabetes - are the most common chronic conditions in the United States. Risk factors include health behaviors such as obesity and smoking. The Cuidate and Bridge programs noted above provide education and support for people with or at risk for heart disease through the Stanford Chronic Disease Self-Management Program offered in Spanish and English. E. Motor Vehicle CollisionsThe issue of motor vehicle collisions is not within the purview of community hospitals. Florida Hospital East Orlando does promote and fund safe pedestrianism through its partnership with Healthy Central Florida. F. Single Parent HouseholdsAgain, the issue of single parent households is not within the purview of Florida Hospital East Orlando. In financially supporting the tri-county Healthy Start Coalitions, Florida Hospital East Orlando helps expectant and new patient's access health education and parenting programs. |
| Part V, Section B, Line 11 Continuation of Footnote | Group A-Facility 4 -- Winter Park Memorial HospitalDescription of CHNA Significant Needs Continued Community Needs Not Chosen by Winter Park Memorial Hospital: Substance Abuse and Mental Health While there are strong mental health and substance abuse providers in the Orange County community, funding for these services is very limited (as is the case throughout Florida). Florida Hospital Orlando has medical-psychiatric beds, and is the Baker Act Receiving Center for Orange County. Health LiteracyHealth Literacy was not selected as a priority issue by Winter Park Memorial Hospital. The Adult Literacy League and others entities including Hispanic Health Initiatives and the Center for Multicultural Wellness & Prevention provide literacy services for the community. In addition, WPMH provides full translation services that help patients for whom English is not the primary language. Motor Vehicle Accidents The issue of motor vehicle collisions is not within the purview of community hospitals. Winter Park Memorial Hospital does promote and fund safe pedestrianism through its partnership with Healthy Central Florida. Single Parent Households The issue of single parent households is not within the purview of Winter Park Memorial Hospital. Maternal and Child HealthBecause of its existing support of the Healthy Start Coalition and other maternal infant initiatives, Winter Park Memorial Hospital did not choose Maternal and Child Health as a priority area. WPMH houses the Baby Place OB program, and the Baby Place Academy which offers multiple parent education programs. Some examples include Boot Camp for New Dads (in cooperation with the Orange County Healthy Start Coalition), Sibling Class, Infant and Child CPR, and Childbirth Preparation. Sexually Transmitted Diseases Winter Park Memorial Hospital provides inpatient care but does not provide wrap-around services for HIV/AIDS or STD patients. The Health Department has STD and HIV/AIDS Clinics, and the Center for Multicultural Wellness and Prevention provides programs that screen for and treat sexually transmitted diseases. In addition, Orange County Government Health Services operates the Ryan White HIV/AIDS Program that provides services to people without sufficient health coverage or financial resources to cope with HIV/AIDS. Heart Disease/Diabetes Heart disease/Diabetes is a major health concern in Central Florida, and the Florida Hospital Diabetes Institute provides treatment, education and research for the community. Rather than a global focus on heart disease/diabetes, WPMH is focusing on obesity because it is a risk factor for diabetes, heart disease and cancer. CancerCancer is a major cause of death in Central Florida and the U.S. as a whole. Winter Park Memorial Hospital is not focusing on cancer and cancer prevention as a priority because of the many hospital and community resources already available. Groups like the American Cancer Society and Leukemia Societies provide outreach and education throughout the community - and in partnership with the hospitals. WPMH receives Susan G. Komen dollars to help fund free mammograms for low-income women, and uses its mobile mammogram unit to reach out to this audience. |
| Part V, Section B, Line 11 Continuation of Footnote | Group A-Facility 7 -- Florida Hospital KissimmeeDescription of CHNA Significant Needs Continued Community Needs Not Chosen by Florida Hospital Kissimmee: Mental Health and Substance AbuseFlorida Hospital Kissimmee does not offer substance abuse or behavioral/mental health services. Hospital inpatients with behavioral health co-morbidities are transferred to the Med-Psych unit at Florida Hospital Orlando campus or to Park Place Behavioral Health, Osceola's behavioral health provider and home of the County's Baker Act Receiving Center. Dental CareFlorida Hospital Kissimmee does not offer dental care but partners with the Dental Care Access Foundation that provides free and/or sliding fee scale dentistry to people who are uninsured or underinsured. Several of the five FQHCs in Osceola County offer dental services. Cancer Florida Hospital Kissimmee does not provide cancer treatment; its cancer patients are referred to Florida Hospital Celebration Health or Florida Hospital Orlando. AsthmaFlorida Hospital Kissimmee does not have Asthma-specific community programming but actively supports the American Lung Association, and provides health education, disease management and stop smoking programs. Maternal and Child HealthFHK does not have Maternal and Child health services, but supports the Healthy Start Coalition of Osceola County financially and through Board of Director services. Other Florida Hospital facilities (Winter Park, Orlando, and Celebration) provides obstetrics services, and the new Florida Women's Hospital at Florida Hospital Orlando opened in 2015. Housing Affordability and HomelessnessHousing affordability is not a core competency of hospitals and other health care providers. Florida Hospital is not leading out on this issue but made a significant financial donation (that garnered a community match) to establish and expand permanent supportive housing efforts in the tri-county area. High UnemploymentHigh unemployment is not a core competency of hospitals. Florida Hospital Kissimmee already supports the education and training of health care professionals through Project Open (training of homeless or precariously housed women as Certified Nursing Assistants) and at local colleges and trade schools, including the Technical Education Center of Osceola (TECO) and Valencia College in Osceola County. Single Parent HouseholdsSingle Parent households are not a core competency of hospitals and other health care providers. |
| Part V, Section B, Line 11 Continuation of Footnote | Group A-Facility 9 -- Florida Hospital ApopkaDescription of CHNA Significant Needs Continued F. Maternal and Child HealthFlorida Hospital Apopka does not offer Maternal and Child health services, but supports the Healthy Start Coalition financially and through Board of Director service. Other Florida Hospital facilities (Winter Park, Orlando and Celebration) provide obstetrics services, and the new Florida Women's Hospital opened in 2015. The Walt Disney Pavilion at Florida Children's Hospital accepts referrals from other Florida Hospital campuses and from FH's CentraCare Walk-In Urgent Care Centers. G. Mental Health and Substance AbuseFlorida Hospital Apopka does not provide mental health and substance abuse services. There are strong mental health and substance abuse assets in Orange and Seminole County including Aspire Behavioral Health (in- and outpatient mental health and substance abuse services) and the Orlando Health Behavioral Group, an 80-bed psychiatric hospital at South Seminole Hospital, an unrelated hospital. Additionally, the Florida Hospital Community Health Impact Council (a grant-making entity) funds model behavioral programs for adults and children. Despite not being an explicit initiative prioritized by the campus, Florida Hospital Apopka is addressing issues of mental health by:- Offering comprehensive evaluation, treatment and case management to improve quality of life for residents with mental health diagnosis via the outlook clinic for Depression and Anxiety - created in partnership with the Mental Health Association, FH Behavioral Health, Orange County Medical Clinic, UCF School of Social Work and Walgreens; and- Increasing the likelihood of medication adherence among uninsured patients via free or discounted prescription medications. H. Motor Vehicle Collisions The community issue of motor vehicle collisions is a health determinant rather than a core competency of most hospitals including Florida Hospital Apopka. I. Single Parent HouseholdsSingle Parent Households, while a community issue, are a health determinant rather than a core competency of most hospitals including Florida Hospital Apopka. J. Health LiteracyAlthough health literacy was not an issue prioritized by the Apopka campus, the principle of health literacy is embedded into our chronic disease self-management program efforts. We also aim to strengthen the relationship with community resources including Community Health Centers, a Federally Qualified Health Center (FQHC) in Apopka that offers primary care, dental, and obstetric services. Florida Hospital is also working internally to ensure comprehensive discharge education that emphasizes patients' understanding of the nature of their condition and has piloted a health navigator program in a local FQHC to better embed the principle of health literacy into its community health planning. |
| Part V, Section B, Line 11 Continuation of Footnote | Group A-Facility 6 -- Florida Hospital Heartland Medical CenterDescription of CHNA Significant Needs Continued Priorities Considered but Not Selected: Medical Home Shortage: The community's total number of licensed family physicians is below the state average with a ratio of 1 primary care physician to 270 people. This issue was not chosen because it is encompassed in the access to health care priority. Motor Vehicle Deaths: The community's rate of motor vehicle accidents is higher that the state average; many are related to alcohol. Motor vehicle deaths that do not involve alcohol are seen as unintentional deaths and may be related to the rural nature of the community. Numerous local organizations are currently working to stop drinking and driving. Chronic Lower Respiratory Disease: Hospitalizations for respiratory diseases exceed the state rate. Smoking is the main cause of chronic lower respiratory disease. Florida Hospital already offers smoking cessation classes and a Better Breathers Support Group, and other organizations such as the American Lung Association focus on this disease. Need for Health Promotion: Lifestyle and personal health habits are growing concerns. The community's obesity rate is higher than the expected level for students in middle and high school, as well as in adults. We are already addressing this issue in our diabetes, heart disease and chronic disease self-management efforts. In addition, ACCESS Florida offered by the Florida Department of Children and Families helps families purchase nutritional foods needed to maintain a healthy lifestyle. HIV/AIDS: HIV/AIDS deaths exceed the state average. An alarming 29% of married persons still believe you get HIV from mosquitoes. This is an issue of education, which many groups are focusing on. The local Health Department cares for HIV/AIDS patients. The Highlands County Rural Health Network offers "Making a Difference!" an initiative that empowers adolescents to change their behaviors and reduce their risks of pregnancy, HIV and other sexual transmitted diseases. Maternal-Infant: Pregnancy, parental care and newborn care fall in as the tenth issue. Even though teen birth rates have dropped since 2010, the area's rates are still above the average. A 15 to 20-year-old has a 57% chance of giving birth, and 30% of mothers began their prenatal care after the first trimester. Florida Hospital Heartland offers a birthing center that serves women of all incomes and ethnicities. Several community groups are working diligently on teen pregnancy prevention. Healthy Choices Education/Teen Pregnancy Prevention are current initiatives by Highlands County Rural Health Network (of which FHH is a member); their focus is helping reduce STDs and teen pregnancy within the community. Pediatrics: Pediatric services are limited in this community, due in part to a limited demand driven by a large aging population. Florida Hospital Heartland has a pediatric unit and a pediatric hospitalist, but no specialists. Families with acute needs travel out of the community - to Tampa, Orlando or Lakeland - for specialty pediatric services. Heartland has a referral agreement with the Florida Hospital for Children in Orlando that provides access to 30 sub-specialties. Due to the limited demand for pediatrics in the community, Florida Hospital Heartland has no current plans to expand the existing pediatric unit. Mental Health/Substance Abuse: There is a shortage of mental health providers in the community, meaning that the ability to provide effective care is challenging. In Highlands County, the patient-to-provider ratio is four times the state average. Substance abuse is also a growing issue, especially in middle and high school aged populations. Marijuana use is above the state average. Florida Hospital Heartland does not provide mental health or substance abuse services. BALANCE Lives in Transition is an organization formed to improve treatment and quality of life for residents. Drug Free Highlands works with the Highlands County School Board and Sheriff's Office to promote a drug- free community. |
| Part V, Section B, Line 11 Continuation of Footnote | Group A-Facility 10 -- Florida Hospital Heartland Medical Center Lake PlacidDescription of CHNA Significant Needs Continued Priorities Considered but Not Selected: Medical Home Shortage: The community's total number of licensed family physicians is below the state average with a ratio of 1 primary care physician to 270 people. This issue was not chosen because it is encompassed in the access to health care priority. Motor Vehicle Deaths: The community's rate of motor vehicle accidents is higher that the state average; many are related to alcohol. Motor vehicle deaths that do not involve alcohol are seen as unintentional deaths and may be related to the rural nature of the community. Numerous local organizations are currently working to stop drinking and driving. Chronic Lower Respiratory Disease: Hospitalizations for respiratory diseases exceed the state rate. Smoking is the main cause of chronic lower respiratory disease. Florida Hospital already offers smoking cessation classes and a Better Breathers Support Group, and other organizations such as the American Lung Association focus on this disease. Need for Health Promotion: Lifestyle and personal health habits are growing concerns. The community's obesity rate is higher than the expected level for students in middle and high school, as well as in adults. We are already addressing this issue in our diabetes, heart disease and chronic disease self-management efforts. In addition, ACCESS Florida offered by the Florida Department of Children and Families helps families purchase nutritional foods needed to maintain a healthy lifestyle. HIV/AIDS: HIV/AIDS deaths exceed the state average. An alarming 29% of married persons still believe you get HIV from mosquitoes. This is an issue of education, which many groups are focusing on. The local Health Department cares for HIV/AIDS patients. The Highlands County Rural Health Network offers "Making a Difference!" an initiative that empowers adolescents to change their behaviors and reduce their risks of pregnancy, HIV and other sexual transmitted diseases. Maternal-Infant: Pregnancy, parental care and newborn care fall in as the tenth issue. Even though teen birth rates have dropped since 2010, the area's rates are still above the average. A 15 to 20-year-old has a 57% chance of giving birth, and 30% of mothers began their prenatal care after the first trimester. Florida Hospital Heartland offers a birthing center that serves women of all incomes and ethnicities. Several community groups are working diligently on teen pregnancy prevention. Healthy Choices Education/Teen Pregnancy Prevention are current initiatives by Highlands County Rural Health Network (of which FHH is a member); their focus is helping reduce STDs and teen pregnancy within the community. Pediatrics: Pediatric services are limited in this community, due in part to a limited demand driven by a large aging population. Florida Hospital Heartland has a pediatric unit and a pediatric hospitalist, but no specialists. Families with acute needs travel out of the community - to Tampa, Orlando or Lakeland - for specialty pediatric services. Heartland has a referral agreement with the Florida Hospital for Children in Orlando that provides access to 30 sub-specialties. Due to the limited demand for pediatrics in the community, Florida Hospital Heartland has no current plans to expand the existing pediatric unit. Mental Health/Substance Abuse: There is a shortage of mental health providers in the community, meaning that the ability to provide effective care is challenging. In Highlands County, the patient-to-provider ratio is four times the state average. Substance abuse is also a growing issue, especially in middle and high school aged populations. Marijuana use is above the state average. Florida Hospital Heartland does not provide mental health or substance abuse services. BALANCE Lives in Transition is an organization formed to improve treatment and quality of life for residents. Drug Free Highlands works with the Highlands County School Board and Sheriff's Office to promote a drug- free community. |
| Part V, Section B, Line 11 Continuation of Footnote | Group B-Facility 11 -- Florida Hospital WauchulaDescription of CHNA Significant Needs Continued Priorities Considered but Not Selected: Motor Vehicle Deaths - The community's rate of motor vehicle accidents is higher that the state average; many are related to alcohol. Motor vehicle deaths that do not involve alcohol are seen as unintentional deaths and may be related to the rural nature of the community. This is not a core competency of FHW, and there are numerous community organizations working to stop drinking and driving. Chronic Lower Respiratory Disease - Smoking falls within the education for heart disease and stroke. Florida Hospital Wauchula already offers a five-week program to become tobacco free as well as a Better Breathers Club that teaches ways to cope with COPD. Health Promotion - This issue fell under the umbrella of diabetes, which is being addressed as one of the priorities. Florida Department of Children and Families offers ACCESS Florida, a program that helps individuals and families purchase nutritional foods needed to maintain and promote good health. The Hardee County Department of Health also offers a variety of health promotion programs. HIV/AIDS - Hardee County has an average of two AIDS cases reported annually. This issue already has numerous groups and advocacies working to educate about HIV/AIDS and how they can be treated if they are diagnosed. Making a Difference! is an initiative that empowers adolescents to change their behaviors that will reduce their risks of pregnancy, HIV and other sexually transmitted diseases. Pregnancy/Prenatal Care/Newborn - Florida Hospital Wauchula does not offer OB services. While teen birth rates are high, there are numerous organizations making an effort to educate on teen pregnancies and the importance of prenatal care as well as continuing the child's health welfare after birth through regular check-ups with a pediatrician. Healthy Choices Education /Teen Pregnancy Prevention are current initiatives by the Heartland Rural Health Network (five counties including Hardee); they focus on healthy choices education to help reduce STD and teen pregnancy within the community. Healthy Start is another program promoting optimal prenatal health and developmental outcomes for all pregnant women and babies. Pediatric Services - Florida Hospital Wauchula does not offer pediatric services. The Health Department, Florida Hospital Heartland and Central Florida Family Health Care (FQHC) offer these services. Mental Health/Substance Abuse - Florida Hospital Wauchula does not provide mental health services. Currently, there are a number of community-based substance abuse and mental health programs available to help provide stable environments and mentoring for those affected. BALANCE Lives in Transition was formed as a unique support system to improve the treatment and quality of life for residents. They are engaged in a variety of activities to create awareness about behavioral health and promote the promise of recovery for residents. Immunizations - Immunizations are increasingly available through health departments, drug stores, the local FQHC and primary care physicians. FHW does not provide immunizations. Dental Care - Dental care was not chosen as a priority due to the scope of resources available and the fact that this issue also falls into access to health care. Central Florida Health Care (FQHC) offers dental services for low-income and insured patients. |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 142 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (142 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | FacilityFacilityTxt | Address Line2USAddress/AddressLine2Txt |
|---|---|---|---|---|---|
| 1 - Florida Hospital Cancer Institute | |||||
| 2501 N Orange Avenue Suites 139 181 | Orlando | FL | 32804 | Cancer Center | |
| 2 - Florida Hospital Rehabilitation and Spor | |||||
| 5165 Adanson Street | Orlando | FL | 32804 | Therapy Center | |
| 3 - Florida Hospital Orlando Pathology Lab | |||||
| 2855 N Orange Avenue | Orlando | FL | 32803 | Lab Services | |
| 4 - Florida Hospital Kissimmee Outpatient Im | |||||
| 2400 N Orange Blossom Trail Suite | Kissimmee | FL | 34744 | Outpatient Services | 106 |
| 5 - Florida Hospital Altamonte Infusion Cent | |||||
| 894 E Altamonte Drive Suite 3000 | Altamonte Springs | FL | 32701 | Infusion Center | |
| 6 - Florida Hospital Cancer Institute - Kiss | |||||
| 1300 West Oak Street | Kissimmee | FL | 34741 | Cancer Center | |
| 7 - Florida Hospital Kissimmee Infusion Cent | |||||
| 1300 West Oak Street Suite A | Kissimmee | FL | 34741 | Infusion Center | |
| 8 - Florida Hospital Altamonte Ambulatory Su | |||||
| 661 E Altamonte Drive Suite 110 | Altamonte Springs | FL | 32701 | Outpatient Surgery Center | |
| 9 - Florida Hospital Kidney Stone Center | |||||
| 2501 N Orange Avenue Suite 121 | Orlando | FL | 32804 | Outpatient Services | |
| 10 - Florida Hospital East Infusion Center | |||||
| 7975 Lake Underhill Rd Suite 130 | Orlando | FL | 32822 | Infusion Center | |
| 11 - Florida Hospital Altamonte Outpatient MR | |||||
| 661 E Altamonte Drive Suite 112 | Altamonte Springs | FL | 32701 | Radiology Services | |
| 12 - Family Health East Orlando Women's Pavil | |||||
| 7975 Lake Underhill Road Suite 100 | Orlando | FL | 32822 | Women's Health Clinic | |
| 13 - La Grange Cancer Treatment Pavillion | |||||
| 1325 Memorial Dr | La Grange | IL | 60525 | Cancer Center/Wound Care Facility | |
| 14 - Florida Hospital Endoscopy OP Services | |||||
| 2415 N Orange Ave Suite 201 | Orlando | FL | 32804 | OP Services | |
| 15 - Florida Hospital Cancer Care Center | |||||
| 2100 Glenwood Drive | Winter Park | FL | 32792 | Radiation Oncology | |
| 16 - FHCC - LAKE BUENA VISTA #2 | |||||
| 12500 S Apopka Vineland Rd | Orlando | FL | 32836 | Urgent Care Clinic | |
| 17 - Florida Hospital Surgery Center East Or | |||||
| 258 S Chickasaw Trail Suite 100 | Orlando | FL | 32825 | Outpatient Surgery | |
| 18 - Florida Hospital Transplant Center | |||||
| 2415 N Orange Avenue Suite 600 700 | Orlando | FL | 32804 | Organ Tissue/Transplant Center | |
| 19 - Adventist Paulson Rehab - Willowbrook | |||||
| 619 Plainfield Road | Willowbrook | IL | 60521 | Rehabilitation Center | |
| 20 - Florida Hospital Medical Plaza | |||||
| 2501 N Orange Avenue | Orlando | FL | 32804 | Physician Clinics | |
| 21 - Florida Hospital Rehabilitation & Sports | |||||
| 7975 Lake Underhill Road Suite 345 | Orlando | FL | 32822 | Therapy Center | |
| 22 - FHCC - SOUTH ORANGE | |||||
| 2609 South Orange Ave | Orlando | FL | 32806 | Urgent Care Clinic & Employer Onsite Clinic | |
| 23 - Florida Hospital Kissimee - OP Endoscopy | |||||
| 2400 North Orange Blossom Trail | Kissimmee | FL | 34744 | Outpatient Services | Suite 3 |
| 24 - Florida Hospital Altamonte Mammography C | |||||
| 661 E Altamonte Drive Suite 130 | Altamonte Springs | FL | 32701 | Radiology Services | |
| 25 - Central Texas Ambulatory Endoscopy | |||||
| 1303 Wonder World Dr | San Marcos | TX | 78666 | Endoscopy Services | |
| 26 - FHHMC Cardiology Associates | |||||
| 4638 Sun N Lake Blvd | Sebring | FL | 33872 | Outpatient Phys Clinic | |
| 27 - Florida Hospital Celebration Health Outp | |||||
| 410 Celebration Place Suite 408 | Celebration | FL | 34747 | Outpatient Surgery Center | |
| 28 - Florida Hospital Gamma Knife | |||||
| 2501 N Orange Ave Suite 101 S | Orlando | FL | 32804 | Gamma Knife | |
| 29 - FHCC - SANFORD | |||||
| 4451 West 1st Street | Sanford | FL | 32771 | Urgent Care Clinic | |
| 30 - FHCC - WATERFORD | |||||
| 250 N Alafaya Trail Suite 135 | Orlando | FL | 32825 | Urgent Care Clinic | |
| 31 - FHCC - ORANGE LAKE | |||||
| 8201 W Irlo Bronson Highway | Kissimmee | FL | 34747 | Urgent Care Clinic | |
| 32 - Admin BHS Onsite | |||||
| 2600 Westhall Lane Box 300 | Maitland | FL | 32751 | Corporate Services | |
| 33 - Florida Hospital Center for Behavioral H | |||||
| 501 E King Street 1st Floor | Orlando | FL | 32803 | Med/Psych | |
| 34 - FHCC - WINTER GARDEN | |||||
| 3005 Daniels Road | Winter Garden | FL | 34787 | Urgent Care Clinic | |
| 35 - Florida Hospital Rehabilitation & Sports | |||||
| 8701 Maitland Summit Blvd | Orlando | FL | 32810 | Therapy Center | |
| 36 - FHCC - WINTER PARK | |||||
| 3099 Aloma Avenue | Winter Park | FL | 32792 | Urgent Care Clinic | |
| 37 - Loch Haven OBGyn Group | |||||
| 235 E Princeton Street Suite 200 | Orlando | FL | 32804 | Physician Clinics | |
| 38 - FHHMC SeaScape Imaging & Laboratory OP C | |||||
| 2950 Alt US 27 S | Sebring | FL | 33870 | Outpatient Imaging & Laboratory | |
| 39 - FHCC - HUNTERS CREEK | |||||
| 3293 Greenwald Way North | Kissimmee | FL | 34741 | Urgent Care Clinic | |
| 40 - FH Wauchula Pioneer Medical Center | |||||
| 515 Carlton St | Wauchula | FL | 33873 | Outpatient Phys Clinic | |
| 41 - Adventist La Grange Family Medical Cente | |||||
| 5201 S Willow Springs Road Suite | La Grange | IL | 60525 | Family Medical Center | 300 |
| 42 - FHHMC Surgery Center | |||||
| 4240 Sun N Lake Blvd | Sebring | FL | 33872 | Outpatient Surgery | |
| 43 - FHCC - LEE ROAD | |||||
| 2540 Lee Road | Winter Park | FL | 32789 | Urgent Care Clinic | |
| 44 - FHCC - ALTAMONTE | |||||
| 440 W Highway 436 | Altamonte Springs | FL | 32714 | Urgent Care Clinic | |
| 45 - Winter Park Memorial Hospital Women's Ce | |||||
| 100 N Edinburgh | Winter Park | FL | 32792 | Women's Health Clinic, Imaging | |
| 46 - FHCC - MT DORA | |||||
| 9015 US Highway 441 | Mount Dora | FL | 32757 | Urgent Care Clinic | |
| 47 - Florida Hospital Altamonte Pain Medicine | |||||
| 711 East Altamonte Drive Suite 100 | Altamonte Springs | FL | 32701 | Pain Medicine | |
| 48 - Florida Hospital Celebration Women's Ins | |||||
| 410 Celebration Place Suite 201 | Celebration | FL | 34747 | Women's services | |
| 49 - FHCC - DR PHILLIPS | |||||
| 8014 Conroy-Windermere Rd Suite 104 | Orlando | FL | 32835 | Urgent Care Clinic | |
| 50 - FHCC - COLONIAL TOWN | |||||
| 630 North Bumby Ave | Orlando | FL | 32803 | Urgent Care Clinic | |
| 51 - San Marcos MRI LP | |||||
| 1330 Wonder World Dr | San Marcos | TX | 78666 | Imaging Services | |
| 52 - FHHMC Interventional Cardiology | |||||
| 4240 Sun N Lake Blvd Suite 202 | Sebring | FL | 33872 | Outpatient Phys Clinic | |
| 53 - FHCC - UNIVERSITY | |||||
| 11550 University Blvd | Orlando | FL | 32817 | Urgent Care Clinic | |
| 54 - FHCC - KISSIMMEE | |||||
| 4320 W Vine Street | Kissimmee | FL | 34746 | Urgent Care Clinic | |
| 55 - FHCC - AZALEA PARK | |||||
| 509 S Semoran Blvd | Orlando | FL | 32807 | Urgent Care Clinic | |
| 56 - FHCC - CLERMONT | |||||
| 15701 State Road 50 Suite 101 | Clermont | FL | 34711 | Urgent Care Clinic | |
| 57 - FHCC - OVIEDO | |||||
| 8010 Red Bug Road | Oviedo | FL | 32765 | Urgent Care Clinic | |
| 58 - Florida Hospital Rehabilitation & Sports | |||||
| 711 E Altamonte Drive Suite 200 | Altamonte Springs | FL | 32701 | Therapy Center | |
| 59 - Florida Hospital Altamonte Imaging Cente | |||||
| 894 E Altamonte Drive Suite 1100 | Altamonte Springs | FL | 32701 | Radiology Services | |
| 60 - FHCC - SAND LAKE | |||||
| 2301 Sand Lake Road | Orlando | FL | 32809 | Urgent Care Clinic | |
| 61 - FHCC - LONGWOOD | |||||
| 855 S US Highway 17-92 | Longwood | FL | 32750 | Urgent Care Clinic | |
| 62 - FHCC - BRANDON | |||||
| 10222 Bloomingdale Ave | Riverview | FL | 33578 | Urgent Care Clinic | |
| 63 - Florida Hospital Center for Thrombosis | |||||
| 2566 Lee Road | Winter Park | FL | 32789 | Thrombosis Center | |
| 64 - FHCC - PORT ORANGE | |||||
| 1208 Dunlawton Ave | Port Orange | FL | 32127 | Urgent Care Clinic | |
| 65 - Florida Hospital Celebration Health Life | |||||
| 410 Celebration Place Suite 302B | Celebration | FL | 34747 | Education Services | |
| 66 - Florida Hospital Center for Sleep Disord | |||||
| 501 E King Street 2nd Floor | Orlando | FL | 32803 | Sleep Disorder Center | |
| 67 - CTMC Hospice | |||||
| 1315 IH 35 North | San Marcos | TX | 78666 | Hospice services | |
| 68 - Florida Hospital Sleep Disorder Center - | |||||
| 1925 Mizell Avenue Suite 200 | Winter Park | FL | 32792 | Sleep Center | |
| 69 - Florida Hospital Advanced Nuclear Imagin | |||||
| 328 Spruce Street | Orlando | FL | 32803 | Radiology Services | |
| 70 - Family Health Center East | |||||
| 7975 Lake Underhill Road Suite 200 | Orlando | FL | 32822 | Physician Clinics | |
| 71 - Florida Hospital Rehabilitation & Sports | |||||
| 615 E Princeton St Suite 104 | Orlando | FL | 32803 | Therapy Center | |
| 72 - FHHMC Heartland Women's Health | |||||
| 37 Ryant Blvd | Sebring | FL | 33870 | Outpatient Phys Clinic | |
| 73 - FHHMC Therapy Center | |||||
| 6325 US Highway 27 N | Sebring | FL | 33870 | Outpatient Therapy Center | |
| 74 - Family Health Center Winter Park | |||||
| 2950 Aloma Ave Suite 100 | Winter Park | FL | 32792 | Physician Clinics, Medicine Specialists, Surgical Specialists | |
| 75 - Florida Hospital Rehabilitation & Sports | |||||
| 8000 Red Bug Lake Road Suite 140 | Oviedo | FL | 32765 | Therapy Center | |
| 76 - Florida Hospital Rehab and Sports Medici | |||||
| 100 Waymont Court Suite 120 | Lake Mary | FL | 32746 | Therapy/Hearing Center | |
| 77 - FHCC - CONWAY | |||||
| 5810 S Semoran Blvd | Orlando | FL | 32822 | Urgent Care Clinic | |
| 78 - FHHMC Family Practice Center | |||||
| 1006 W Pleasant St | Avon Park | FL | 33825 | Outpatient Phys Clinic | |
| 79 - FHHMC Highlands Surgical Associates | |||||
| 4301 Sun N Lake Blvd Suite 103 | Sebring | FL | 33872 | Outpatient Phys Clinic | |
| 80 - Florida Hospital Rehab and Sport Medicin | |||||
| 2005 Mizell Ave | Winter Park | FL | 32792 | Therapy Center | |
| 81 - Florida Hospital Cardiac Cath Lab | |||||
| 2501 N Orange Ave Suite 137 N | Orlando | FL | 32804 | Cardiac Cath Lab | |
| 82 - FHHMC Wound Care | |||||
| 4143 Sun N Lake Blvd | Sebring | FL | 33872 | Wound Care | |
| 83 - Florida Hospital Rehabilitation & Sports | |||||
| 2520 N Orange Avenue Suite 100 | Orlando | FL | 32804 | Therapy Center | |
| 84 - FHHMC Women's Wellness Center | |||||
| 4240 Sun N Lake Blvd Suite 200 | Sebring | FL | 33872 | Outpatient Phys Clinic | |
| 85 - Florida Hospital Rehabilitation & Sports | |||||
| 201 Hilda Street Suite 12 | Kissimmee | FL | 34741 | Therapy Center | |
| 86 - Florida Hospital Laboratory - Orlando | |||||
| 2501 N Orange Avenue Suite 370 | Orlando | FL | 32804 | Lab Services | |
| 87 - FHHMC Pulmonary & Critical Care Speciali | |||||
| 4409 Sun N Lake Blvd Suite E | Sebring | FL | 33872 | Outpatient Phys Clinic | |
| 88 - Florida Hospital Diabetes Institute | |||||
| 2415 N Orange Ave Suite 501 | Orlando | FL | 32804 | Diabetes | |
| 89 - Florida Hospital Kissimmee Clinical Phar | |||||
| 201 Hilda Street Suite 36 | Kissimmee | FL | 34741 | Outpatient Services | |
| 90 - FHHMC Family Medicine Specialist & OP La | |||||
| 2315 US Highway 27 N | Avon Park | FL | 33825 | Outpatient Phys Clinic & Laboratory | |
| 91 - CTMC Rehab Services | |||||
| 1340 Wonder World Dr | San Marcos | TX | 78666 | OP Rehab Services | |
| 92 - CTMC Home Health | |||||
| 2007 Medical Parkway | San Marcos | TX | 78666 | Home Health services | |
| 93 - Celebration Hand Therapy | |||||
| 410 Celebration Place Suite 300 | Celebration | FL | 34747 | Therapy Center | |
| 94 - Florida Hospital Rehabilitation & Sports | |||||
| 205 N Park Avenue Suite 110 | Apopka | FL | 32703 | Therapy Center | |
| 95 - Florida Hospital Urology Surgery Center | |||||
| 1812 N Mills Ave | Orlando | FL | 32803 | Physician Clinics | |
| 96 - Cancer Institute | |||||
| 4420 Sun N Lake Blvd | Sebring | FL | 33872 | Oncology | |
| 97 - Florida Hospital Apopka The Women's Cen | |||||
| 205 N Park Avenue Suite 108 | Apopka | FL | 32703 | Womens's services | |
| 98 - FHCC - CARROLLWOOD | |||||
| 4001 W Linebaugh Ave | Tampa | FL | 33624 | Urgent Care Clinic | |
| 99 - FHHMC Psychiatric Services | |||||
| 4023 Sun N Lake Blvd | Sebring | FL | 33872 | Outpatient Phys Clinic | |
| 100 - Medical Plaza - Florida Hospital Kissimm | |||||
| 2400 North Orange Blossom Trail | Kissimmee | FL | 34744 | Physician Clinics | |
| 101 - FHHMC Urology Specialist | |||||
| 4215 Sun N Lake Blvd | Sebring | FL | 33872 | Outpatient Phys Clinic | |
| 102 - Florida Hospital Rehabilitation and Spor | |||||
| 1603 S Hiawassee Road Suite 105 | Orlando | FL | 32835 | Therapy Center | |
| 103 - FHHMC ENT Specialist | |||||
| 4325 Sun N Lake Blvd Suite 102 | Sebring | FL | 33872 | Outpatient Phys Clinic | |
| 104 - Eden Spa | |||||
| 2501 N Orange Ave Suite 186 | Orlando | FL | 32804 | Therapy | |
| 105 - FHHMC CareNow | |||||
| 4421 Sun N Lake Blvd Suite B | Sebring | FL | 33872 | Outpatient Phys Clinic | |
| 106 - FHHMC Family Medicine Associates | |||||
| 5909 US Highway 27 N Suite 102 | Sebring | FL | 33870 | Outpatient Phys Clinic | |
| 107 - FHHMC Sleep Lab | |||||
| 4301 Sun N Lake Blvd | Sebring | FL | 33872 | Sleep Lab | |
| 108 - FHCC - WESLEY CHAPEL | |||||
| 5504 Gateway Boulevard | Wesley Chapel | FL | 33544 | Urgent Care Clinic | |
| 109 - Florida Hospital Rehab University of Cen | |||||
| UCF Health Service/Building 124-Rm | Orlando | FL | 32816 | Therapy Center | 114 |
| 110 - FHCC - SOUTH TAMPA | |||||
| 301 North Dale Mabry Hwy | Tampa | FL | 33609 | Urgent Care Clinic | |
| 111 - FHCC - LEESBURG | |||||
| 1103 North 14th Street | Leesburg | FL | 34748 | Urgent Care Clinic | |
| 112 - FHHMC Complete Family Care | |||||
| 935 Mall Ring Road | Sebring | FL | 33870 | Outpatient Phys Clinic | |
| 113 - FHHMC Family Care of Lake Placid | |||||
| 201 US Highway S | Lake Placid | FL | 33852 | Outpatient Phys Clinic | |
| 114 - FHHMC SeaScape Internal Medicine Sebring | |||||
| 2950 Alt US 27 S Suite B | Sebring | FL | 33870 | Outpatient Phys Clinic | |
| 115 - FHCC - DAYTONA | |||||
| 1014 W International Speedway Blvd | Daytona Beach | FL | 32114 | Urgent Care Clinic | |
| 116 - Florida Hospital Sleep Disorder Center - | |||||
| 203 N Park Avenue Suite 106 | Apopka | FL | 32703 | Sleep Center | |
| 117 - Darden Onsite | |||||
| 1000 Darden Center Drive | Orlando | FL | 32837 | Employer Onsite Clinic | |
| 118 - FH Wauchula The Therapy Center | |||||
| 1330 Highway 17 S | Wauchula | FL | 33873 | Outpatient Physical Therapy | |
| 119 - FHHMC Highlands Surgical Associates Lake | |||||
| 1352 US 27 North | Lake Placid | FL | 33852 | Outpatient Phys Clinic | |
| 120 - Center for Pediatric & Adolescent Medici | |||||
| 15502 Stoneybrook West Parkway | Winter Garden | FL | 34787 | Pediatric Center / Outpatient Services | Suite 2- |
| 121 - FH Wauchula Cardiology Associates | |||||
| 463 Carlton St | Wauchula | FL | 33873 | Outpatient Phys Clinic | |
| 122 - FHHMC Internal Medicine Specialist | |||||
| 6801 US Highway 27 N Suite B-2 | Sebring | FL | 33870 | Outpatient Phys Clinic | |
| 123 - Siemens Onsite | |||||
| 4400 N Alafaya Trail MC Q1-240 | Orlando | FL | 32826 | Employer Onsite Clinic | |
| 124 - Florida Hospital Laboratory - Lucerne Te | |||||
| 1723 Lucerne Terrace | Orlando | FL | 32806 | Lab Services | |
| 125 - FH Sports Med & Rehab - Lake Nona | |||||
| 9975 Tavistock Lakes Blvd Suite 140 | Orlando | FL | 32827 | Therapy Center | |
| 126 - JP Morgan Chase Onsite | |||||
| 550 International Parkway Floor 1 | Lake Mary | FL | 32746 | Employer Onsite Clinic | |
| 127 - Wyndham Onsite | |||||
| 6277 Sea Harbor Dr | Orlando | FL | 32821 | Employer Onsite Clinic | |
| 128 - Florida Hospital Laboratory - Tavares | |||||
| 1769 David Walker Drive | Tavares | FL | 32778 | Lab Services | |
| 129 - Florida Hospital Laboratory - Palm Sprin | |||||
| 631 Palm Springs Drive Suite 113 | Altamonte Springs | FL | 32701 | Lab Services | |
| 130 - FHHMC Outpatient Laboratory | |||||
| 6801 US Highway 27 N Suite C-1 | Sebring | FL | 33870 | Outpatient Laboratory | |
| 131 - FH Wauchula Sleep Lab | |||||
| 457 W Carlton St | Wauchula | FL | 33873 | Sleep Lab | |
| 132 - Florida Hospital Laboratory - Winter Par | |||||
| 1925 Mizell Ave Suite 100 | Winter Park | FL | 32792 | Lab Services | |
| 133 - EMPLOYER CARE - CARROLLWOOD | |||||
| 7001 N Dale Mabry Hwy Suite 10 | Tampa | FL | 33614 | Employer Onsite Clinic | |
| 134 - Florida Hospital Laboratory - Altamonte | |||||
| 661 East Altamonte Drive Suite 131 | Altamonte Springs | FL | 32701 | Lab Services | |
| 135 - Florida Hospital Women's CenterLactatio | |||||
| 2520 N Orange Avenue Suite 103 | Orlando | FL | 32804 | Lactation Center, Birthing Classes | |
| 136 - OCG Onsite | |||||
| 450 E South Street | Orlando | FL | 32802 | Employer Onsite Clinic | |
| 137 - FH Lab - Lake Nona | |||||
| 9975 Tavistock Lakes Blvd Suite 260 | Orlando | FL | 32827 | Lab Services | |
| 138 - Florida Hospital Hearing Center East Or | |||||
| 7975 Lake Underhill Road Suite 300 | Orlando | FL | 32822 | Hearing Center | |
| 139 - FH Wauchula Women's Wellness | |||||
| 526 W Carlton St | Wauchula | FL | 33873 | Outpatient Phys Clinic | |
| 140 - FHHMC Family Care of Sebring | |||||
| 844 Poinsettia Ave | Sebring | FL | 33870 | Outpatient Phys Clinic | |
| 141 - FHHMC Diabetes Center | |||||
| 4023 Sun N Lake Blvd | Sebring | FL | 33872 | Diabetes Center | |
| 142 - Waterman Onsite | |||||
| 1000 Waterman Way | Tavares | FL | 32778 | Employer Onsite Clinic | |
Supplemental Information Detail SupplementalInformationDetail (17 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part I, Line 6a: | The filing organization was a wholly owned subsidiary of Adventist Health System Sunbelt Healthcare Corporation (AHSSHC) during its current tax year. During the current year, AHSSHC served as a parent organization to 23 tax-exempt 501(c)(3) hospital organizations that operated 44 hospitals in ten states within the U.S. The system of organizations under the control and ownership of AHSSHC is known as "Adventist Health System" (AHS). All hospital organizations within AHS collect, calculate, and report the community benefits they provide to the communities they serve. AHS organizations exist solely to improve and enhance the local communities they serve. AHS has a system-wide community benefits accounting policy that provides guidelines for its health care provider organizations to capture and report the costs of services provided to the underprivileged and to the broader community. On an annual basis, the community benefits of all AHS organizations are consolidated and reported in the AHS Annual Report document prepared by Adventist Health System Sunbelt Healthcare Corporation (EIN 59-2170012). Additionally, the filing organization's most recently conducted community health needs assessments and associated implementation strategies are posted on the filing organization's websites. |
| Part I, Line 7: | The amounts of costs reported in the table in line 7 of Part I of Schedule H were determined by utilizing a cost-to-charge ratio derived from Worksheet 2, Ratio of Patient Care Cost-to-Charges, contained in the Schedule H instructions. |
| Part II, Community Building Activities: | The costs of community building activities reported on Part II of Schedule H primarily represent the costs associated with commercially sponsored research conducted by two of the organization's hospitals. These two hospitals participate in clinical drug and device research that is performed on patients who have a condition or disease for which the eventual commercial use of a drug or device is intended. This research is related to patient care and serves to expand scientific knowledge with respect to potential treatments and cures for various diseases and conditions.The costs of community building activities reported on Part II of Schedule H also include the costs associated with providing education for the filing organization's staff physicians and employees. The filing organization's provision of these educational programs/activities to staff physicians and employees provides an opportunity for health care professionals to enhance their skills and expertise and keep up-to-date with the latest advancements in medical procedures and technology. In addition, training opportunities are often provided on-site at the filing organization's hospital facilities, thereby allowing for health care professionals to be more readily available to assist in meeting immediate patient care needs. Education and training provided to each facility's workforce is vital in assisting health care professionals directly involved in patient care with keeping abreast of the latest developments in their respective areas of expertise, learning possible new and innovate ways of delivering care to patients, and understanding the newest technologies available for the treatment of patients.The remainder of the costs incurred stem from the hospitals' involvement in and support of various other community agencies in its service area that work collaboratively to help those in need and to improve the health and safety of the residents of the community. The organization's hospitals participate with a number of other community organizations to address the healthcare needs of the community. Both cash and in-kind donations are made annually to various local charitable organizations. |
| 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 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 non-state charity patients. An amount up to $1,000 of such a patient's bill is written off as bad debt expense, while the remaining portion of the patient's bill is considered to be 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 to be 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 9. Please note that dollar amounts on the attached consolidated audited financial statements are in thousands. |
| Part III, Line 8: | Costing Methodology: Medicare allowable costs were calculated using a cost-to-charge ratio. Rationale for Including a Medicare Shortfall as Community Benefit:As a 501(c)(3) organization, the filing organization provides emergency and non-elective care to all regardless of ability to pay. All hospital services are provided in a non-discriminatory manner to patients who are covered beneficiaries under the Medicare program. As a public insurance program, Medicare provides a pre-established reimbursement rate/amount to health care providers for the services they provide to patients. In some cases, the reimbursement amount provided to a hospital may exceed its costs of providing a particular service or services to a patient. In other cases, the Medicare reimbursement amount may result in the hospital experiencing a shortfall of reimbursement received over costs incurred. In those cases where an overall shortfall is generated for providing services to all Medicare patients, the shortfall amount should be considered as a benefit to the community. Tax-exempt hospitals are required to accept all Medicare patients regardless of the profitability, or lack thereof, with respect to the services they provide to Medicare patients. The population of individuals covered under the Medicare program is sufficiently large so that the provision of services to the population is a benefit to the community and relieves the burdens of government. In those situations where the provision of services to the total Medicare patient population of a tax-exempt hospital during any year results in a shortfall of reimbursement received over the cost of providing care, the tax-exempt hospital has provided a benefit to a class of persons broad enough to be considered a benefit to the community. Despite a financial shortfall, a tax-exempt hospital must and will continue to accept and care for Medicare patients. Typically, tax-exempt hospitals provide health care services based upon an assessment of the health care needs of their community as opposed to their taxable counterparts where profitability often drives decisions about patient care services that are offered. Patient care provided by tax-exempt hospitals that results in Medicare shortfalls should be considered as providing a benefit to the community and relieving the burdens of government. |
| Part III, Line 9b: | Collection Policies: The hospital filing organization's collection practices are in conformity with the requirements set forth in the 2012 Proposed 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 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) 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 that 120 days after the first billing statement is sent to the individual and is at least 30 days after the notice is provided. If an individual submits an incomplete FAA Form during the 240-day period following the date on which the first billing statement was sent to the individual, the hospital filing organization suspends any reporting to consumer credit reporting agencies/bureaus and provides a written notice to the individual describing what additional information or documentation is needed to complete the FAA Form. This written notice includes a copy of the hospital filing organization's Plain Language Summary of the Financial Assistance Policy (PLS) and informs the individual that the hospital filing organization may engage in adverse reporting to consumer credit reporting agencies/bureaus if the FAA Form is not completed by a specified deadline which is no earlier than the 240-day period following the date on which the first billing statement was sent to the individual or, if later, 30 days after the written notice is provided. If an individual submits a complete FAA Form within the 240-day period after the first billing statement is sent, 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 reported as a community benefit to the elderly and are included in the consolidated Adventist Health System (AHS or the Company) Community Benefits Report contained in the AHS Annual Report document. 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: $(121,968,811)- Difference in costing methodology: 10,911,924- Unreimbursed costs incurred for services provided to Medicare patients that are not included in the organization's Medicare cost report: (129,736,963) -------------Total Unreimbursed costs of serving all Medicare patients per the filing organization's community benefit reporting: $(240,793,850)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: | As reported in Schedule H, Part V, Section B, the filing organization's hospital facilities conducted their initial community health needs assessments (CHNAs) in 2013. The initial CHNAs were adopted by all hospital governing boards by December 31, 2013, the end of the filing organization's taxable year in which the CHNAs were conducted. All of the filing organization's hospital facilities' initial CHNAs complied with the guidance set forth by the IRS in Proposed 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 all of its communities. Such practices and processes involve the following:1. Hospitals' operating/community boards 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 hospital communities; and 4. Collaboration with other local community groups to address the health care needs of the filing organization's hospital communities. |
| Part VI, Line 3: | The Financial Assistance Policy (FAP) of the filing organization's hospital facilities is transparent and available to all individuals served at any point in the care continuum. The FAP, the Financial Assistance Application Form (FAA Form), the Plain Language Summary of the Financial Assistance Policy (PLS), and contact information for each of the hospital facility's financial counselors are prominently and conspicuously posted on each filing organization's hospital facility's website. Signage is displayed in each filing organization's hospital facility at all points of admission and registration, including the Emergency Department. The signage contains the hospital facility's website address where the FAP and the FAA Form can be accessed and the telephone number and physical location that individuals can call or visit with any questions about the FAP or the application process. 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. The filing organization's hospital facilities' financial counselors seek to provide personal financial counseling to all individuals admitted to each 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 copy of the hospital facility's PLS and FAA Form is distributed to every individual before discharge from each hospital facility. 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. |
| Part VI, Line 4: | In 2015, the filing organization operated 5 separately licensed hospitals that together encompassed 12 separate campus locations. The hospitals are located in Florida, Illinois and Texas. A description of each of the hospital campuses is described below.Adventist Health System/Sunbelt, Inc. dba Central Texas Medical Center:Central Texas Medical Center (CTMC) is a 178-bed acute-care hospital providing a wide range of healthcare services in San Marcos, Texas and the neighboring communities within Hays and Caldwell counties, Texas. Special services offered at CTMC include a 24/7, Level 4 emergency and trauma center, state-of-the-art medical imaging and laboratory services, a new women's center featuring a Level 2 Neonatal Intensive Care Unit, newly renovated and expanded surgery suites--including two equipped with robotic capabilities--a Rehabilitation Institute, a center for advanced wound healing and hyperbaric medicine, and two cardiac catheterization labs. As a health resource for their community, CTMC's Creation Health Institute also annually hosts the oldest and largest health screening and fair event in Hays County as well as a number of ongoing classes and workshops ranging in topics from diabetes prevention and management to heart disease, stroke, arthritis, self-help, nutrition and more. CTMC received accreditation as a certified chest pain center from the Society of Chest Pain Centers in 2011. The accreditation enhances CTMC's ability to receive and treat patients suffering from chest pain and/or a possible heart attack. The result is a focus on reduced time from symptom onset to diagnosis and treatment, getting patients treated more quickly during the critical window of time when the integrity of the heart muscle can be preserved, and monitoring of patients whose diagnosis is uncertain to ensure they are not sent home too quickly or admitted unnecessarily. CTMC remains the only hospital in the region that provides an inpatient Hospice unit. From 2010 through 2015, CTMC was named The Best Hospital in Hays County. In Fall 2015 and Spring 2016, CTMC was the first hospital between Austin and San Antonio to be awarded two consecutive "A" ratings by the Leapfrog Group recognizing outstanding achievement in hospital safety. In 2014, CTMC received awards and recognitions from the American Heart Association, American Stroke Association, The Joint Commission, Premier, Inc. and Healogics, Inc. related to the quality of care given to its patients. San Marcos, Texas is located in Hays County, Texas and is in close proximity to Austin and San Antonio. CTMC's primary service area has a population of approximately 111,694, with an estimated 14,308 over the age of 65. High school graduates account for approximately 84% of the primary service area. It is estimated that 13% of the individuals residing in the primary service area live below 100% of the Federal Poverty Level and the unemployment rate is about 4.4. Approximately 41% of CTMC's patients during 2015 were Medicare patients, about 10% were Medicaid patients, about 14% were self-pay patients and the remaining percentage were patients covered under commercial insurance. In 2015, about 68% of CTMC's in-patients were admitted through the Emergency Department.Adventist Health System/Sunbelt, Inc. dba Florida Hospital Heartland Medical Center:Florida Hospital Heartland Medical Center (FHHMC) is comprised of three separate hospital campuses with a total of 222 beds. Two of the hospital campuses are located in Highlands County, Florida and operate under a single hospital license and the third separately licensed campus is located in Hardee County, Florida. Highlands and Hardee counties are in the south central areas of Florida and are adjacent to each other. *Florida Hospital Heartland Medical Center, Highlands County - The main 147-bed hospital facility is located in north Sebring. The facility provides a wide range of healthcare services including Certified Stroke and Chest Pain Centers, the county's busiest emergency department, ACR-accredited imaging services, surgical services, Blessed Beginnings obstetrics, outpatient psychiatric and Tele ICU. Since 2012, the Heart & Vascular Center has added a third cath lab, expanded the emergency care department and renovated the lab services area. Sebring, Florida is located in Highlands County. Florida Hospital Heartland Medical Center's primary service area has a population of approximately 104,797, with an estimated 31,320 over the age of 65. The per capita income in Highlands County is approximately $20,071. High school graduates account for approximately 79% of the primary service area. It is estimated that 21% of the individuals residing in the primary service area live below 100% of the Federal Poverty Level and the unemployment rate is about 8.5. Uninsured in Highlands County is approximately 33%. *Florida Hospital Heartland Medical Center Lake Placid, Highlands County - This satellite facility houses 33 medical and surgical beds, the county's only 17-bed inpatient mental health unit and a wide range of services that are highly sophisticated for a small community hospital. This campus also specializes in inpatient geriatric psychiatric services within Highlands and Hardee counties. The need for behavioral health services is extreme in both counties since there is no other program closer than sixty miles. Since 2012, this campus has added a Tele-ICU program and its imaging services are ACR-accredited. Lake Placid, Florida is located in Highlands County. Florida Hospital Heartland Medical Center Lake Placid's primary service area has a population of approximately 66,574, with an estimated 22,735 over the age of 65. The per capita income in Highlands County is approximately $20,071. High school graduates account for approximately 81% of the primary service area. It is estimated that 19% of the individuals residing in the primary service area live below 100% of the Federal Poverty Level and the unemployment rate is about 8.4. Uninsured in Highlands County is approximately 33%. *Florida Hospital Wauchula, Hardee County - This campus is licensed for 25 beds and specializes in emergency and outpatient care, while offering excellent medical inpatient services. The inpatient unit is mixed with both acutely ill patients and patients who need short-term rehabilitation (transitional care). This campus offers the only emergency care in Hardee County. In 2000, Florida Hospital Wauchula became the first Critical Access Hospital in the state of Florida. Since 2012, this campus has added the county's only mammography program, updated the lab services area and its imaging services are ACR-accredited. Wauchula, Florida is located in Hardee County. Florida Hospital Wauchula's primary service area has a population of approximately 27,159, with an estimated 3,730 over the age of 65. The per capita income in Hardee County is approximately $15,366. High school graduates account for approximately 64% of the primary service area. It is estimated that 30% of the individuals residing in the primary service area live below 100% of the Federal Poverty Level and the unemployment rate is about 9.4. Uninsured in Hardee County is approximately 39%. Approximately 67% of FHHMC's patients during 2015 were Medicare patients, about 13% were Medicaid patients, about 4% were self-pay patients and the remaining percentage were patients covered under commercial insurance. In 2015, about 65% of FHHMC's in-patients were admitted through the Emergency Department.*** see continuation of footnote |
| Part VI, Line 5: | The provision of community benefit is central to the filing organization's mission of service and compassion. Restoring and promoting the health and quality of life of those in the communities served by the filing organization is a function of "extending the healing ministry of Christ and embodies the filing organization's commitment to its values and principles. The filing organization commits substantial resources to provide a broad range of services to both the underprivileged as well as the broader community. In addition to the community benefit and community building information provided in Parts I, II and III of this Schedule H, the filing organization captures and reports the benefits provided to its community through faith-based care. Examples of such benefits include the cost associated with chaplaincy care programs and mission peer reviews and mission conferences. During the current year, the filing organization provided $7,443,178 of benefit with respect to the faith-based and spiritual needs of the communities it serves in conjunction with its operation of community hospitals. The filing organization also provides benefits to its communities' infrastructure by investing in capital improvements to ensure that facilities and technology provide the best possible care. During the current year, the filing organization expended $338,858,273 in new capital improvements. As faith-based mission-driven community hospitals, the filing organization is continually involved in monitoring its communities, identifying unmet health care needs and developing solutions and programs to address those needs. In accordance with its conservative approach to fiscal responsibility, surplus funds of the Hospitals 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 44 hospitals in 10 states throughout the U.S., primarily in the Southeastern portion of the U.S. AHSSHC and its subsidiaries also operate 16 nursing home facilities and other ancillary health care provider facilities, such as ambulatory surgery centers and diagnostic imaging centers. As the parent organization of the AHS system, AHSSHC provides executive leadership and other professional support services to its subsidiary organizations. Professional support services include among others corporate compliance, legal, human resources, reimbursement, risk management, and tax as well as treasury functions. The provision of these executive and support services on a centralized basis by AHSSHC provides an appropriate balance between providing each AHS subsidiary hospital organization with mission-driven consistent leadership and support while allowing the hospital organization to focus its resources on meeting the specific health care needs of the community it serves. The reader of this Form 990 should keep in mind that this reporting entity may differ in certain areas from that of a stand-alone hospital organization due to its inclusion in a larger system of healthcare organizations. As a part of a system of hospital and other health care organizations, the filing organization benefits from reduced costs due to system efficiencies, such as large group purchasing discounts, and the availability of internal resources such as internal legal counsel. Each AHS subsidiary pays a management fee to AHSSHC for the internal services provided by AHSSHC. As a result, management fee expense reported by a AHS subsidiary organization may appear greater in relation to management fee expense that may be reported by a single stand-alone hospital. The single stand-alone hospital would likely report costs associated with management and other professional services on various expense line items in its statement of revenue and expense as opposed to reporting such costs in one overall management fee expense. As the reporting of the Form 990 is done on an entity by entity basis, there is no single Form 990 that captures the programs and operations of AHS as a whole. The reader is directed to visit the web-site of AHS at www.adventisthealthsystem.com to learn more about the mission and operations of AHS and to access AHS's annual report that contains financial data as well as community benefit reporting for the entire system. |
| Part VI, Line 7 | The annual community benefit report contained in the annual report prepared by Adventist Health System Sunbelt Healthcare Corporation (AHSSHC) on behalf of the entire AHS System of healthcare organization is not filed with any state agencies. Certain hospitals within the filing organization file annual community benefit reports with the state in which they are located. Specifically, Central Texas Medical Center files a community benefit report with the State of Texas and Adventist La Grange Memorial Hospital files a community benefit report with the State of Illinois. |
| Part VI, Line 4 Continuation of Footnote | Description of Community Information - ContinuedAdventist Health System/Sunbelt, Inc. dba Florida Hospital (FH):FH is a 2,579 bed medical complex in Central Florida with seven separate hospital campuses that operate under a single hospital license. FH serves the residents of Central Florida (primarily serving the residents of Orange, Osceola, Seminole and Lake County) but also draws patients from other parts of the Southeastern United States, the Caribbean and South America. The 7-campus health system is the largest healthcare provider in Central Florida with more than 2 million patient visits per year and is the nation's largest Medicare provider. Florida Hospital is the second largest employer in the area. The main campus of the FH system is located in Orlando, Florida (Orange County) near the downtown area. The other 6 campuses are located in surrounding communities in the counties of Orange, Osceola, and Seminole. In addition to operating the 7 hospitals, FH also operates 28 full-service urgent care clinics in convenient community settings. A brief description of each of the 7 hospital campuses is described below:*Florida Hospital Orlando (Orange County) - At the core of the FH system, FH Orlando is a 1,217 bed acute-care tertiary hospital. FH Orlando is home to nationally recognized Centers of Excellence for cancer, cardiology, children's health, diabetes, neuroscience, orthopedics, transplant and global robotics. Florida Hospital Orlando houses one of the largest Emergency Departments and cardiac catheterization labs in the country and is one of the busiest hospitals in the nation, providing service excellence to more than 53,000 inpatients and 180,000 outpatients each year. The recent opening of a 15-story patient tower features 200 more beds and 500 new jobs. The campus also includes a state-of-the-art Cardiac Diagnostic Center featuring 15 Cath and electro physiology (EPS) Labs. The cardiology team currently treats 39,000+ individuals for chest pain and performs over 2,000 open heart surgeries each year making them first in the state for the number of surgeries performed.Also located on the Florida Hospital Orlando Campus is the Walt Disney Pavilion at Florida Hospital for Children. The Walt Disney Pavilion is not a stand-alone facility but rather a 7-story, 181-bed tower located on Florida Hospital Orlando's campus. It is a full-service facility served by more than 60 pediatric specialists and a highly trained pediatric team of more than 600 employees. The Walt Disney Pavilion at Florida Hospital for Children delivers a complete range of pediatric health services for younger patients including advanced surgery, oncology, neurosurgery, cardiology and transplant services; full-service pediatrics; and an innovative health and obesity platform.Orlando is located in Orange County, Florida. The Hospital's primary market has a population of approximately 1,822,000 with an estimated 197,000 over the age of 65. The weighted average household income, based on population, in the primary market is approximately $52,000. High school graduates account for approximately 87% of Orange County, with an estimated 31% having a bachelor's degree or higher. It is estimated that 18% of the individuals residing in Orange County live below the poverty level and the unemployment rate is about 5%. Approximately 43% of the Hospital's patients during 2015 were Medicare patients, about 16% were Medicaid patients, about 7% were self-pay patients and the remaining percentage were patients covered under commercial insurance. In 2015, about 71% of the hospital's in-patients were admitted through the hospital's Emergency Department. *Florida Hospital Altamonte (Seminole County) - FH Altamonte is a 362-bed facility, which has recently doubled in size with a new patient tower to better serve a busy community. FH Altamonte was the first "satellite" hospital, built in 1973 on what was then pastureland, miles from the nearest business district. Located north of Orlando in fast-growing Seminole County, Florida Hospital Altamonte is the largest satellite campus within the Florida Hospital health care system. In addition to maternity, pediatric, emergency, medical and surgical services, the hospital operates the Martin Andersen Cancer Center (along with the region's only Cancer Resource Library), a heart catheterization lab, and a comprehensive outpatient program which includes surgery, diagnostics, and medical treatment programs. In 2014, the Mother Baby Unit was expanded to provide a 15 bed CDU, ten new LDR rooms, six triage rooms, a new C-section operating room and a new recovery unit.*Florida Hospital Apopka (Orange County) - In 1975, FH Apopka became the second satellite hospital. For nearly four decades, Florida Hospital Apopka has set the standard in hometown health care by providing high-tech, quality care with a personalized touch. They are situated just 12 miles northwest of Orlando, with a small, yet advanced, 50-bed campus that houses a certified Chest Pain Center and a multitude of inpatient and outpatient services.*Florida Hospital Celebration Health (Osceola County) - FH Celebration Health is a cornerstone of Disney's planned community in Celebration, Florida. Today, this 203-bed acute care hospital delivers a state-of-the-art healing environment to residents of Osceola, Orange, Polk and Lake Counties, as well as to visitors from across the United States and the world. From its creation FH Celebration Health has been about promoting health and wellness as well as healing. Inside the resort-style hospital there is a wellness center, complete with workout area, pool, and rehabilitation facility. FH Celebration Health also houses the Global Robotics Institute, which provides patients with access to some of the most experienced robotic surgeons in the world. The Nicholson Center for Surgical Advancement also is a location where surgeons from around the world travel to learn the latest robotic surgery techniques. In 2011, the new 234,000 square-foot patient tower added 62 beds and will house the Interactive Patient Care Unit, the first of its kind in the nation. In connection with the Institute for Interactive Patient Care, everything from new patient safety technology to changing ways to communicate with patients about their care could be studied as part of the unit. In 2013, a four story medical office building was added in which the Women's Institute is situated. In 2014, a new 5th floor inpatient 32 bed state-of-the art medical/surgical unit was added.*Florida Hospital East Orlando (Orange County) - FH East Orlando is now an innovative local leader that fills a vital need in a fast-growing area. A recent 200,000 square-foot expansion project upgraded the hospital to 265 beds, with a spacious patient tower and 80 new private rooms designed to enhance the holistic care experience. In 2014, a new expanded ED provided 60 new treatment rooms.*Florida Hospital Kissimmee (Osceola County) - FH Kissimmee is an 162-bed community-focused hospital, conveniently located near Walt Disney World. The team located at FH Kissimmee is dedicated to bringing mission-focused, faith-based care to residents and visitors of Osceola and Orange Counties. This facility has recently expanded to include a new medical office building, patient tower, new main entrance, expanded Emergency Department and a parking garage.*Florida Hospital Winter Park (Orange County) - FH Winter Park Memorial Hospital is a 320-bed facility that is a model of community health and wellness. The facility boasts spacious patient care areas and a full spectrum of specialties and services, including the Dr. P. Phillips Baby Place (with Level II NICU), Florida Hospital Orthopedic Institute, and state-of-the-art surgery, recovery and rehabilitation at the Florida Hospital Cancer Institute. |
| Part VI, Line 4 Continuation of Footnote | Adventist Health System/Sunbelt, Inc. dba Adventist La Grange Memorial Hospital:Note: On 1/31/2015, the net assets associated with the operation ofAdventist La Grange Memorial Hospital (ALMH) were transferred into Adventist Midwest Health, a related 501(c)(3) tax-exempt organization. Accordingly, only the operations for ALMH for the period 1/1/2015 - 1/31/2015 are included in this return. Adventist La Grange Memorial Hospital (ALMH) is a 204-bed facility providing outpatient and inpatient primary care, trauma care and wellness services to residents of Chicago's western suburbs. The hospital is a leader in offering comprehensive oncology services, orthopedic services, advanced cardiac care, women's health and maternity care, emergency, geriatric and many other specialties that cater to the communities it serves. The communities served by ALMH contain a high senior population. To address the unique needs of its service area, ALMH offers a broad spectrum of services designed to meet the diverse needs of aging adults. La Grange, Illinois is located in Cook County. Cook County's population is approximately 5,212,372, with an estimated 12.2% over the age 65. High school graduates account for approximately 84% of Cook County, with an estimated 33% having a bachelor's degree or higher. It is estimated that 36.0% of the individuals residing in Cook County live below 200% of the poverty level and the unemployment rate is about 6.3%. Approximately 52% of the Hospital's patients during 2015 were Medicare patients, about 9% were Medicaid patients, about 2% were self-pay patients and the remaining percentage were patients covered under commercial insurance. In 2015, about 71% of the hospital's in-patients were admitted through the hospital's Emergency Department. |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (1) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable (103 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Recipient EINRecipientEIN | IRC SectionIRCSectionDesc | Cash GrantCashGrantAmt | Purpose Of GrantPurposeOfGrantTxt | Non Cash AssistanceNonCashAssistanceAmt | Valuation Method UsedValuationMethodUsedDesc | Non Cash AssistanceNonCashAssistanceDesc |
|---|---|---|---|---|---|---|---|---|---|---|
| Adventist Care Centers - Courtland Inc | ||||||||||
| 730 Courtland St | Orlando | FL | 32804 | 205774723 | 501(c)(3) | $1,081,775 | General Support | |||
| Adventist Health System Sunbelt Healthcare Corporation | ||||||||||
| 900 Hope Way | Altamonte Springs | FL | 32714 | 592170012 | 501(c)(3) | $821,288 | General Support | |||
| American Diabetes Association Inc | ||||||||||
| 1701 North Beauregard Street | Alexandria | VA | 22311 | 131623888 | 501(c)(3) | $75,000 | General Support | |||
| American Association of Physicians of Indian Origin | ||||||||||
| 600 Enterprise Dr Ste 108 | Oak Brook | IL | 60523 | 382532505 | 501(c)(3) | $25,000 | General Support | |||
| American Cancer Society Florida Division Inc | ||||||||||
| 3709 W Jetton Avenue | Tampa | FL | 33873 | 131788491 | 501(c)(3) | $6,000 | General Support | |||
| American Heart AssociationGreater South Affiliate-Ar | ||||||||||
| 9900 Ninth St North | St Petersburg | FL | 33716 | 590637852 | 501(c)(3) | $155,000 | General Support | |||
| Avon Park SDA Church | ||||||||||
| 1410 W Avon Blvd | Avon Park | FL | 33825 | 593057686 | 501(c)(3) | $100,000 | General Support | |||
| Beacon Network Inc | ||||||||||
| PO Box 2547 | Orlando | FL | 328022547 | 274894580 | 501(c)(3) | $7,500 | General Support | |||
| Boy Scouts of America Inc Central Florida Council | ||||||||||
| 1951 S Orange Blossom Tr 102 | Apopka | FL | 32703 | 590624376 | 501(c)(3) | $22,600 | General Support | |||
| Buildings Us Inc | ||||||||||
| PO Box 3310 | Winter Park | FL | 327903310 | 455420165 | 501(c)(3) | $35,000 | General Support | |||
| Celebration Foundation Inc | ||||||||||
| 610 Sycamore St | Celebration | FL | 34747 | 593370753 | 501(c)(3) | $69,000 | General Support | |||
| Celebration Seventh Day Adventist Church | ||||||||||
| 52 Riley Rd 521 | Celebration | FL | 34747 | 205026637 | 501(c)(3) | $40,000 | General Support | |||
| Center For Multicultural Wellness and Prevention Inc | ||||||||||
| 641 N Rio Grande Ave | Orlando | FL | 32805 | 593368679 | 501(c)(3) | $9,500 | General Support | |||
| Central Florida Chamber for Persons With Disabilities LLC | ||||||||||
| 3201 E Colonial Dr Unit A20 | Orlando | FL | 328035174 | 264201627 | Other | $6,000 | General Support | |||
| Central Florida Commission On Homelessness | ||||||||||
| 255 S Orange Ave Ste 108 | Orlando | FL | 32801 | 460994106 | 501(c)(3) | $50,000 | General Support | |||
| Central Florida Partnership Inc | ||||||||||
| PO Box 1234 | Orlando | FL | 32804 | 331202266 | 501(c)(6) | $21,885 | General Support | |||
| Central Florida Young Men's Christian Association | ||||||||||
| 433 N Mills Avenue | Orlando | FL | 328035721 | 590624430 | 501(c)(3) | $14,380 | General Support | |||
| Central Texas Healthcare Collaborative | ||||||||||
| 1301 Wonder World Dr | San Marcos | TX | 78666 | 453739929 | 501(c)(3) | $1,314,013 | General Support | |||
| Central Texas Medical Center Foundation | ||||||||||
| 1301 Wonder World Dr | San Marcos | TX | 78666 | 742259907 | 501(c)(3) | General Support | $81,687 | Book | Provision of general administrative support | |
| City of Winter Garden | ||||||||||
| 300 W Plant St | Winter Garden | FL | 34787 | 596000452 | Gov't | $20,000 | General Support | |||
| Community Health Centers Inc | ||||||||||
| 110 S Woodland St | Winter Garden | FL | 34747 | 591480970 | 501(c)(3) | $10,000 | General Support | |||
| Creation Development Foundation dba Creation Kids Village | ||||||||||
| 599 Celebration Place | Celebration | FL | 34747 | 300724172 | 501(c)(3) | $30,000 | General Support | |||
| Crohns & Colitis Foundation of America | ||||||||||
| PO Box 701130 | Saint Cloud | FL | 34770 | 136193105 | 501(c)(3) | $7,500 | General Support | |||
| Downtown College Park Partnership Inc | ||||||||||
| PO Box 547744 | Orlando | FL | 32854 | 237250533 | 501(c)(3) | $12,500 | General Support | |||
| East Orlando Health & Rehab Center Inc | ||||||||||
| 250 South Chickasaw Trail | Orlando | FL | 32825 | 205774748 | 501(c)(3) | $1,897,625 | General Support | |||
| FLNC Inc | ||||||||||
| 3355 E Semoran Blvd | Apopka | FL | 32703 | 205774761 | 501(c)(3) | $3,727,625 | General Support | |||
| Florida Abolitionist Inc | ||||||||||
| 195 South Westmonte Drive | Altamonte Springs | FL | 32714 | 593178045 | 501(c)(3) | $10,000 | General Support | |||
| Florida Conference Association of Seventh-Day Adventist dba Better Living C | ||||||||||
| PO Box 3092 | Lake Placid | FL | 33862 | 596137501 | 501(c)(3) | $10,000 | General Support | |||
| Florida Emergency Medicine Foundation Inc | ||||||||||
| 3717 S Conway Rd | Orlando | FL | 32812 | 593001777 | 501(c)(3) | $9,000 | General Support | |||
| Florida Endowment Foundation for Vocationial Rehabilitation Inc DBA Th | ||||||||||
| 3320 Thomasville Rd Ste 200 | Tallahassee | FL | 32308 | 593052307 | 501(c)(3) | $20,000 | General Support | |||
| Florida Hospital SDA Church | ||||||||||
| 2800 N Orange Avenue | Orlando | FL | 32804 | 593039667 | 501(c)(3) | $50,000 | General Support | |||
| Florida Medical Association Inc | ||||||||||
| PO Box 10269 | Tallahassee | FL | 32302 | 590559672 | 501(c)(6) | $25,000 | General Support | |||
| Forest Lake Academy | ||||||||||
| 500 Education Loop | Apopka | FL | 327036176 | 590816443 | 501(c)(3) | $14,000 | General Support | |||
| Forest Lake SDA Church | ||||||||||
| 515 Harley Lester Lane | Apopka | FL | 32703 | 592885433 | 501(c)(3) | $8,500 | General Support | |||
| Foundation for Early Childhood Development Inc | ||||||||||
| PO Box 540387 | Orlando | FL | 32854 | 861076294 | 501(c)(3) | $10,000 | General Support | |||
| Foundation for Orange County Public Schools Inc | ||||||||||
| 445 W Amelia St Ste 901 | Orlando | FL | 328011153 | 592788435 | 501(c)(3) | $26,000 | General Support | |||
| Foundation for Seminole State College of Florida Inc | ||||||||||
| 1055 AAA Drive Ste 209 | Heathrow | FL | 32746 | 237033822 | 501(c)(3) | $89,334 | General Support | |||
| Franklin's Friends Inc | ||||||||||
| 901 Versailles Cir | Maitland | FL | 32751 | 461111664 | 501(c)(3) | $10,000 | General Support | |||
| Friends of the Mennello Museum of American Art Inc | ||||||||||
| 900 E Princeton Street | Orlando | FL | 32803 | 593618760 | 501(c)(3) | $11,750 | General Support | |||
| General Conference of Seventh Day Adventist | ||||||||||
| 12501 Old Columbia Pike | Silver Springs | MD | 20904 | 520643036 | 501(c)(3) | $11,500 | General Support | |||
| Gr8 to Don8 Inc | ||||||||||
| 7624 San Remo Pl | Orlando | FL | 32835 | 271946207 | 501(c)(3) | $10,000 | General Support | |||
| Grace Medical Home Inc | ||||||||||
| 51 Pennsylvania Street | Orlando | FL | 328062938 | 281817966 | 501(c)(3) | $102,500 | General Support | |||
| Greater San Marcos Partnership | ||||||||||
| 1340 Wonder World Dr 108 | San Marcos | TX | 78666 | 800624502 | 501(c)(6) | $25,000 | General Support | |||
| Harbor House of Central Florida Inc | ||||||||||
| PO Box 680748 | Orlando | FL | 32868 | 591712936 | 501(c)(3) | $66,500 | General Support | |||
| Health Care Center for the Homeless Inc | ||||||||||
| 232 N Orange Blossom Trl | Orlando | FL | 32805 | 593185020 | 501(c)(3) | $100,000 | General Support | |||
| Healthy Start Coalition of Osceola County Inc | ||||||||||
| PO Box 701995 | St Cloud | FL | 34770 | 593212535 | 501(c)(3) | $15,000 | General Support | |||
| Heart of Florida United Way Inc | ||||||||||
| 1940 Traylor Blvd | Orlando | FL | 32804 | 590808854 | 501(c)(3) | $65,000 | General Support | |||
| Heartland Triathlon of Highlands County Inc | ||||||||||
| 1200 Highlands Drive | Lake Placid | FL | 33852 | 452232127 | 501(c)(3) | $12,000 | General Support | |||
| Hispanic Business Initiative Fund of Florida Inc | ||||||||||
| 3201 E Colonial Dr Unit A20 | Orlando | FL | 32803 | 593341405 | 501(c)(3) | $27,000 | General Support | |||
| Hispanic Chamber of Commerce Metro Orlando Inc | ||||||||||
| 3201 E Colonial Drive | Orlando | FL | 32803 | 593103840 | 501(c)(6) | $10,000 | General Support | |||
| Historical Society of Central Florida Inc | ||||||||||
| 65 E Central Blvd | Orlando | FL | 32801 | 591860444 | 501(c)(3) | $10,000 | General Support | |||
| Hope Now International Inc | ||||||||||
| PO Box 181173 | Casselberry | FL | 327181173 | 274498303 | 501(c)(3) | $10,000 | General Support | |||
| Illinois Conference of Seventh-Day Adventist | ||||||||||
| 619 Plainfield Rd | Willowbrook | IL | 60527 | 362277365 | 501(c)(3) | $200,000 | General Support | |||
| JDRF International | ||||||||||
| 370 Center Pointe Cir Ste 1154 | Altamonte Springs | FL | 32701 | 231907729 | 501(c)(3) | $18,700 | General Support | |||
| Johns Hopkins All Childrens Hospital Inc | ||||||||||
| 501 6th Ave S Dept 9630 | Saint Petersburg | FL | 33701 | 590683252 | 501(c)(3) | $35,000 | General Support | |||
| Junior Achievement of Central Florida Inc | ||||||||||
| PO Box 917197 | Orlando | FL | 32891 | 590972112 | 501(c)(3) | $72,000 | General Support | |||
| Kids Beating Cancer Inc | ||||||||||
| 615 E Princeton St Ste 400 | Orlando | FL | 32803 | 593136203 | 501(c)(3) | $11,000 | General Support | |||
| Kids House of Seminole Inc | ||||||||||
| 5467 North Ronald Reagan Blvd | Sanford | FL | 32773 | 593415005 | 501(c)(3) | $20,000 | General Support | |||
| La Grange Memorial Hospital Foundation | ||||||||||
| 5101 South Willow Springs Road | La Grange | IL | 60525 | 300247776 | 501(c)(3) | $0 | General Support | $19,260 | Book | Provision of general administrative support |
| Lakeside Behavioral Healthcare Inc | ||||||||||
| 1800 Mercy Drive Ste 302 | Orlando | FL | 32808 | 592301233 | 501(c)(3) | $1,535,658 | General Support | |||
| Leadership Seminole | ||||||||||
| 1055 AAA Dr Ste 153 | Lake Mary | FL | 32746 | 593257486 | 501(c)(3) | $6,156 | General Support | |||
| Lifework Leadership | ||||||||||
| 1220 E Concord St | Orlando | FL | 328035453 | 371592618 | 501(c)(3) | $10,000 | General Support | |||
| March of Dimes Foundation | ||||||||||
| 341 N Maitland Ave Ste 115 | Maitland | FL | 32751 | 131846366 | 501(c)(3) | $27,500 | General Support | |||
| Matthews Hope Ministries Inc | ||||||||||
| 1460 Daniels Rd | Winter Garden | FL | 34787 | 272245867 | 501(c)(3) | $8,500 | General Support | |||
| Mental Health Association of Central Florida Inc | ||||||||||
| 1525 E Robinson St | Orlando | FL | 32801 | 590816432 | 501(c)(3) | $24,528 | General Support | |||
| Metro Orlando Economic Development Comm | ||||||||||
| 301 East Pine Street Ste 900 | Orlando | FL | 32801 | 591767933 | 501(c)(6) | $50,000 | General Support | |||
| Mothers Milk Bank of Florida | ||||||||||
| 8669 Commodity Circle Ste 490 | Orlando | FL | 32819 | 273939245 | 501(c)(3) | $50,000 | General Support | |||
| Mt Sinai Seventh Day Adventist Church | ||||||||||
| 2600 Orange Center Blvd | Orlando | FL | 32503 | 592284791 | 501(c)(3) | $16,000 | General Support | |||
| New Image Youth Center Inc | ||||||||||
| 212 S Parramore Ave | Orlando | FL | 32861 | 562482818 | 501(c)(3) | $15,000 | General Support | |||
| Oakwood University | ||||||||||
| 7000 Adventist Blvd NW | Huntsville | AL | 35896 | 630366652 | 501(c)(3) | $6,500 | General Support | |||
| Orange County Sheriff Foundation Inc | ||||||||||
| 43 E Pine St | Orlando | FL | 32801 | 273302264 | 501(c)(3) | $7,500 | General Support | |||
| Orlando Science Center Inc | ||||||||||
| 777 E Princeton Street | Orlando | FL | 32803 | 590896343 | 501(c)(3) | $7,500 | General Support | |||
| Osceola County Council On Aging Inc | ||||||||||
| 700 Generation Pt | Kissimmee | FL | 34744 | 591595398 | 501(c)(3) | $160,000 | General Support | |||
| Pennsylvania Media Associates Inc Dba WBZW WTLM-AMADIO | ||||||||||
| 1188 Lake View Dr | Altamonte Springs | FL | 32714 | 943134636 | Other | $13,995 | General Support | |||
| Primary Care Access Network Inc | ||||||||||
| 101 S Westmoreland Dr | Orlando | FL | 328052258 | 461817605 | 501(c)(3) | $35,000 | General Support | |||
| Ronald McDonald House Charities of Central Florida Inc | ||||||||||
| 1030 N Orange Av | Winter Park | FL | 327894709 | 593211250 | 501(c)(3) | $20,000 | General Support | $8,400 | Book | Laundry services |
| Runway to Hope Inc | ||||||||||
| 189 S Orange Ave | Orlando | FL | 328013261 | 273272616 | 501(c)(3) | $6,250 | General Support | |||
| Samaritan Touch Care Center Inc | ||||||||||
| 3015 Herring Avenue | Sebring | FL | 33870 | 020773338 | 501(c)(3) | $245,834 | Medical Care | |||
| San Marcos Sights & Sounds of Christmas Inc | ||||||||||
| 630 E Hopkins | San Marcos | TX | 78666 | 742759206 | 501(c)(3) | $12,000 | General Support | |||
| Shepherds Hope Inc | ||||||||||
| 4851 S Apopka Vineland Rd | Orlando | FL | 328193128 | 593420727 | 501(c)(3) | $112,500 | General Support | |||
| South Florida State College | ||||||||||
| 600 W College Drive | Avon Park | FL | 33825 | 591218159 | Gov't | $25,465 | General Support | |||
| Sunbelt Health & Rehab Center - Apopka Inc | ||||||||||
| 305 East Oak St | Apopka | FL | 32703 | 205774856 | 501(c)(3) | $967,675 | General Support | |||
| SunSystem Development Corporation | ||||||||||
| 900 Hope Way | Altamonte Springs | FL | 32714 | 592219301 | 501(c)(3) | General Support | $5,044,344 | Book | Provision of general administrative support | |
| Texas State University | ||||||||||
| 601 University Dr | San Marcos | TX | 72893 | 746002248 | Gov't | $12,000 | General Support | |||
| The IOA Foundation Inc | ||||||||||
| 1855 W State Road 434 | Longwood | FL | 32750 | 208964646 | 501(c)(3) | $15,000 | General Support | |||
| The School Board of Highlands County | ||||||||||
| 426 School Street | Sebring | FL | 33870 | 566000654 | Gov't | $13,500 | General Support | |||
| United Global Outreach Inc | ||||||||||
| 2301 N Orange Ave | Orlando | FL | 328045510 | 030511875 | 501(c)(3) | $160,000 | General Support | |||
| Universal Orlando Foundation Inc | ||||||||||
| 1000 Universal Studios Plaza | Orlando | FL | 32819 | 593510383 | 501(c)(3) | $15,000 | General Support | |||
| University of Central Florida Foundation Inc | ||||||||||
| 12424 Research Parkway Ste 140 | Orlando | FL | 32826 | 596211832 | 501(c)(3) | $35,350 | General Support | |||
| US Dream Academy Inc | ||||||||||
| 5950 Symphony Woods Rd | Columbia | MD | 21044 | 593514841 | 501(c)(3) | $10,000 | General Support | |||
| Val Skinner Foundation Inc | ||||||||||
| PO Box 213 | Bay Head | NJ | 08742 | 134084940 | 501(c)(3) | $54,000 | General Support | |||
| Valencia College Foundation Inc | ||||||||||
| PO Box 3028 | Orlando | FL | 32802 | 237442785 | 501(c)(3) | $214,500 | General Support | |||
| Walker Memorial Academy | ||||||||||
| 1525 W Avon Blvd | Avon Park | FL | 33825 | 421748753 | 501(c)(3) | $36,000 | General Support | |||
| Wauchula Seventh-Day Adventist Church | ||||||||||
| 205 S 11th Avenue | Wauchula | FL | 33873 | 650647279 | 501(c)(3) | $17,000 | General Support | |||
| Winter Park Chamber Of Commerce | ||||||||||
| PO Box 280 | Winter Park | FL | 32790 | 590514615 | 501(c)(6) | $6,000 | General Support | |||
| Winter Park Health Foundation Inc | ||||||||||
| 220 Edinburgh Dr | Winter Park | FL | 32792 | 590669460 | 501(c)(3) | $135,000 | General Support | |||
| (no name) | ||||||||||
| General Support | ||||||||||
| (no name) | ||||||||||
| General Support | ||||||||||
| (no name) | ||||||||||
| General Support | ||||||||||
| (no name) | ||||||||||
| General Support | ||||||||||
| (no name) | ||||||||||
| General Support | ||||||||||
| (no name) | ||||||||||
| General Support | ||||||||||
| (no name) | ||||||||||
| General Support | ||||||||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 88 | Total501c3OrgCnt |
| Total Other Org | 8 | 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 to related organizations that are exempt from Federal Income Tax under 501(c)(3), other 501(c)(3) organizations that are a part of the group exemption ruling issued to the General Conference of Seventh-Day Adventists, or to other local or local affiliate of national charitable organizations whose purposes are healthcare-related. 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) |
|---|---|---|
| First Class Or Charter Travel | Yes (X) | FirstClassOrCharterTravelInd |
| 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 |
| Club Dues Or Fees | Yes (X) | ClubDuesOrFeesInd |
| 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 | Yes (1) | 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 (25 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Haffner PhD Randall L | ||||||||||||||
| Director (beg 6/15) | $0 | $729,373 | $0 | $0 | $0 | $1,106,046 | $0 | $156,563 | $0 | $86,147 | $0 | $2,078,129 | $0 | $0 |
| Houmann Lars D | ||||||||||||||
| Director | $0 | $1,021,643 | $0 | $330,238 | $0 | $594,189 | $0 | $220,082 | $0 | $49,310 | $0 | $2,215,462 | $0 | $184,069 |
| Jernigan PhD Donald L | ||||||||||||||
| Director/CEO | $0 | $1,232,010 | $0 | $359,046 | $0 | $402,986 | $0 | $14,388 | $0 | $71,958 | $0 | $2,080,388 | $0 | $0 |
| Reiner Richard K | ||||||||||||||
| Director (end 5/15) | $0 | $556,753 | $0 | $330,569 | $0 | $197,546 | $0 | $14,388 | $0 | $48,451 | $0 | $1,147,707 | $0 | $0 |
| Shaw Terry D | ||||||||||||||
| Director/CFO | $0 | $1,021,643 | $0 | $330,569 | $0 | $495,848 | $0 | $220,082 | $0 | $46,950 | $0 | $2,115,092 | $0 | $184,069 |
| Banks David P | ||||||||||||||
| Exec VP/CSO Division - FH | $0 | $560,029 | $0 | $171,207 | $0 | $97,646 | $0 | $103,784 | $0 | $43,312 | $0 | $975,978 | $0 | $78,276 |
| Dodds Sheryl D | ||||||||||||||
| Senior Exec Officer/CCO - FH | $0 | $387,721 | $0 | $81,053 | $0 | $72,293 | $0 | $62,653 | $0 | $18,610 | $0 | $622,330 | $0 | $32,260 |
| Fulbright Robert D | ||||||||||||||
| Senior Exec Officer - FH (end 12/15) | $0 | $502,587 | $0 | $128,497 | $0 | $77,720 | $0 | $89,312 | $0 | $41,880 | $0 | $839,996 | $0 | $45,916 |
| Goodman Todd A | ||||||||||||||
| Senior VP - FH | $0 | $395,080 | $0 | $80,863 | $0 | $58,685 | $0 | $44,227 | $0 | $41,355 | $0 | $620,210 | $0 | $21,427 |
| Hagensicker Janice K | ||||||||||||||
| Senior VP - FH | $0 | $379,609 | $0 | $91,575 | $0 | $212,923 | $0 | $50,215 | $0 | $30,603 | $0 | $764,925 | $0 | $28,711 |
| Harcombe Douglas W | ||||||||||||||
| Senior VP - FH | $0 | $317,476 | $0 | $61,484 | $0 | $14,844 | $0 | $42,916 | $0 | $40,566 | $0 | $477,286 | $0 | $0 |
| Hilliard Douglas W | ||||||||||||||
| Senior VP - FH | $0 | $391,046 | $0 | $81,607 | $0 | $61,843 | $0 | $61,253 | $0 | $41,131 | $0 | $636,880 | $0 | $36,163 |
| Hurst Jeffery D | ||||||||||||||
| Senior VP - FH | $0 | $377,825 | $0 | $75,659 | $0 | $61,290 | $0 | $50,388 | $0 | $27,438 | $0 | $592,600 | $0 | $19,513 |
| Moorhead MD John David | ||||||||||||||
| Senior Exec Officer/CMO - FH | $0 | $532,470 | $0 | $116,305 | $0 | $140,163 | $0 | $9,088 | $0 | $41,977 | $0 | $840,003 | $0 | $4,570 |
| Owen Terry R | ||||||||||||||
| Senior Exec Officer - FH | $0 | $447,729 | $0 | $117,457 | $0 | $214,347 | $0 | $67,298 | $0 | $30,505 | $0 | $877,336 | $0 | $42,762 |
| Paradis J Brian | ||||||||||||||
| CEO Division - FH (end 11/15) | $0 | $712,000 | $0 | $211,181 | $0 | $355,866 | $0 | $150,022 | $0 | $55,198 | $0 | $1,484,267 | $0 | $119,345 |
| Reed MD Monica P | ||||||||||||||
| Senior Exec Officer - FH | $0 | $500,961 | $0 | $103,969 | $0 | $230,205 | $0 | $88,902 | $0 | $43,227 | $0 | $967,264 | $0 | $69,461 |
| Soler Eddie | ||||||||||||||
| Exec VP/CFO Divison - FH | $0 | $621,805 | $0 | $186,107 | $0 | $342,351 | $0 | $118,964 | $0 | $39,890 | $0 | $1,309,117 | $0 | $97,645 |
| Stevens Eric A | ||||||||||||||
| Senior Exec Officer - FH (beg 12/15) | $0 | $367,369 | $0 | $81,424 | $0 | $57,312 | $0 | $37,246 | $0 | $41,960 | $0 | $585,311 | $0 | $342 |
| Tol Daryl L | ||||||||||||||
| CEO Division - FH (beg 12/15) | $0 | $553,084 | $0 | $158,970 | $0 | $119,591 | $0 | $84,034 | $0 | $41,854 | $0 | $957,533 | $0 | $68,547 |
| Lee MD Kathy | ||||||||||||||
| Physician | $414,208 | $0 | $648,367 | $0 | $3,713 | $0 | $14,388 | $0 | $14,638 | $0 | $1,095,314 | $0 | $0 | $0 |
| Eubanks Jr MD William Stephen | ||||||||||||||
| Executive Director of Academic Surge | $773,074 | $0 | $133,000 | $0 | $28,250 | $0 | $0 | $0 | $19,408 | $0 | $953,732 | $0 | $0 | $0 |
| Silvestry MD Scott | ||||||||||||||
| Director - Thoracic Transplant | $727,832 | $0 | $100,000 | $0 | $622 | $0 | $14,388 | $0 | $17,152 | $0 | $859,994 | $0 | $0 | $0 |
| Jones MD Phillip E | ||||||||||||||
| Physician | $619,382 | $0 | $168,750 | $0 | $2,055 | $0 | $14,388 | $0 | $21,525 | $0 | $826,100 | $0 | $0 | $0 |
| Raval MD Nirav Y | ||||||||||||||
| Cardio-Transplant Physician | $518,039 | $0 | $194,218 | $0 | $2,025 | $0 | $14,388 | $0 | $16,686 | $0 | $745,356 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (4 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. First-class or charter travel: Pursuant to the AHS system-wide general policy regarding business travel, no reimbursement will be provided for any additional cost incurred with respect to first-class travel or charter air travel beyond the cost of a regular coach airfare. During the current year, one board member was provided first class travel to a single business meeting. The allowance of first class travel for this individual was approved in advance and authorized via the proper approval process. Travel for companions: AHSSHC has a Corporate Executive Policy that provides a benefit to allow for a traveling AHSSHC executive to have his or her spouse accompany the executive on certain business trips each year. Typically, reimbursement is only provided to Vice Presidents and above and is usually limited to one business trip per year beyond the annual AHS President's Council business meeting and other meetings where the spouse is specifically invited. The AHSSHC Corporate Executive Spousal Travel Policy was originally approved and reviewed by the AHSSHC Board Compensation Committee, an independent body of the AHSSHC Board of Directors. All spousal travel costs reimbursed to the executive or board member are considered taxable compensation. 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 to the executives and board members 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 or board member was considered taxable compensation. 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. Additionally, the filing organization has a policy that addresses select hard to fill clinical/professional positions. According to this policy, one highest compensated employee received a relocation allowance that included assistance for duplicate housing expenses. The relocation assistance was administered by the filing organization. Any taxable reimbursements made to executives or applicable employee in connection with relocation assistance are treated as wages to the executive and are subject to all payroll withholding and reporting requirements. Health or social club dues or initiation fees: AHSSHC has a Corporate Executive Policy that addresses business development expenditures. Under this policy, certain AHS eligible executives may be reimbursed for member dues and usage charges for a country club or other social club upon authorization. Club memberships must be recommended by the CEO of the AHS hospital organization and approved by the Chairman of the Board of Directors of the organization. In addition, the proposed membership must be approved annually by the AHSSHC Board Compensation Committee, an independent committee of the Board of Directors of AHSSHC. Eligible executives are limited to certain senior level executives (hospital organization CEOs, the CEO of the nursing home division of AHS, senior vice presidents at three large hospital organizations, regional CEOs and CFOs and the president and senior vice presidents of AHSSHC). In the current year, for this filing organization, four executives were eligible to receive reimbursement for club fees. Each AHS executive who is approved for a club membership must submit an annual report to the AHSSHC Board Compensation Committee that describes how the membership benefited their organization during the preceding year. |
| Part I, Line 3 | The individual who serves as the CEO of the filing organization is compensated by Adventist Health System Sunbelt Healthcare Corporation (AHSSHC) for that individual's role in serving as the CEO. Compensation and benefits provided to this individual are determined pursuant to policies, procedures, and processes of AHSSHC that are designed to ensure compliance with the intermediate sanctions laws as set forth in IRC Section 4958. AHSSHC has taken steps to ensure that processes are in place to satisfy the rebuttable presumption of reasonableness standard as set forth in Treasury Regulation 53.4958-6 with respect to its active executive-level positions. The AHSSHC Board Compensation Committee (the Committee) serves as the governing body for all executive compensation matters. The Committee is composed of certain members of the Board of Directors (the Board) of AHSSHC. Voting members of the Committee include only individuals who serve on the Board as independent representatives of the community, who hold no employment positions with AHSSHC and who do not have relationships with any of the individuals whose compensation is under their review that impacts their best independent judgment as fiduciaries of AHSSHC. The Committee's role is to review and approve all components of the executive compensation plan of AHSSHC. As an independent governing body with respect to executive compensation, it should be noted that the Committee will often confer in executive sessions on matters of compensation policy and policy changes. In such executive sessions, no members of management of AHSSHC are present. The Committee is advised by an independent third party compensation advisor. This advisor prepares all the benchmark studies for the Committee. Compensation levels are benchmarked with a national peer group of other not-for-profit healthcare systems and hospitals of similar size and complexity to AHS and each of its affiliated entities. The following principles guide the establishment of individual executive compensation: - The salary of the President/CEO of AHS will not exceed the 40th percentile of comparable salaries paid by similarly situated organizations; and - Other executive salaries shall be established using market medians. The compensation philosophy, policies, and practices of AHSSHC are consistent with the organization's faith-based mission and conform to applicable laws, regulations, and business practices. As a faith-based organization sponsored by the Seventh-day Adventist Church (the Church), AHSSHC's philosophy and principles with respect to its executive compensation practices reflect the conservative approach of the Church's mission of service and were developed in counsel with the Church's leadership. |
| Part I, Line 4b | As discussed in Line 1a above, executives on the filing organization's management team that hold the position of Vice-President or above are compensated by and on the payroll of Adventist Health System Sunbelt Healthcare Corporation (AHSSHC), the parent organization of a healthcare system known as Adventist Health System (AHS). In recognition of the contribution that each executive makes to the success of AHS, AHS provides to eligible executives participation in the AHS Executive FLEX Benefit Program (the Plan). The purpose of the Plan is to offer eligible executives an opportunity to elect from among a variety of supplemental benefits, including deferred compensation benefits taxable under Internal Revenue Code (IRC) Section 457(f), to individually tailor a benefits program appropriate to each executive's needs. The Plan provides eligible participants a pre-determined benefits allowance credit that is equal to a percentage of the executive's base pay from which is deducted the cost of mandatory and elective employee benefits. The pre-determined benefits allowance credit percentage is approved by the 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 $230,000. The Plan provides for a class year vesting schedule (2 years for each class year) with respect to amounts accumulated in the executive's 457(f) deferred compensation account. Distributions could also be made from the executive's 457(f) deferred compensation account upon attainment of age 65 or upon an involuntary separation. The account is forfeited by the executive upon a voluntary separation. In addition to the Plan, AHS has instituted a defined benefit, non-tax-qualified deferred compensation plan for certain executives who have provided lengthy service to AHS and/or to other Seventh-Day Adventist Church hospitals or health care institutions. Participation in the plan is offered to AHS executives on a prorata schedule beginning with 20 years of service as an employee of AHS and/or another hospital or health care institution controlled by the Seventh-Day Adventist Church and who satisfy certain other qualifying criteria. This supplemental executive retirement plan (SERP) was designed to provide eligible executives with the economic equivalent of an annual income beginning at normal retirement age equal to 60% of the average of the participant's three, five or seven highest years of base salary from AHS active employment inclusive of income from all other Seventh-Day Adventist Church healthcare employer-financed retirement income sources and investment income earned on those contributions through social security normal retirement age as defined in the plan. The number of years included in highest average compensation is determined by the individual's year of entry to the SERP and by the individual's year of entry to the AHS Executive FLEX Benefit Program. Flex Plan Flex Plan/ SERP 457(b) CY CY Employer CY Contrib./ Distributions Contrib. Distributions* Payment ------------------------------------------------------- Haffner, PhD, Randall L. $ 142,176 $ 0 $998,147 $ 0 Houmann, Lars D. $ 205,694 $ 200,461 $348,287 $ 0 Jernigan, Ph.D., Donald L. $ 268,608 $ 250,608 $ 0 $ 0 Reiner, Richard K. $ 109,965 $ 91,965 $ 0 $ 0 Shaw, Terry D. $ 205,694 $ 192,659 $265,766 $ 0 Banks, David P. $ 89,397 $ 78,323 $ 0 $ 0 Dodds, Sheryl D. $ 66,266 $ 32,278 $ 0 $ 0 Fulbright, Robert D. $ 74,925 $ 45,943 $ 0 $ 0 Goodman, Todd A. $ 47,839 $ 24,300 $ 0 $ 0 Hagensicker, Janice K. $ 53,827 $ 28,728 $133,723 $ 0 Harcombe, Douglas W. $ 28,529 $ 0 $ 0 $ 0 Hilliard, Douglas W. $ 46,865 $ 36,183 $ 0 $ 0 Hurst, Jeffery D. $ 54,000 $ 20,825 $ 0 $ 0 Moorhead, MD, John David $ 97,568 $ 79,568 $ 0 $ 0 Owen, Terry R. $ 70,911 $ 48,878 $125,518 $ 0 Paradis, J. Brian $ 135,635 $ 119,417 $151,808 $ 0 Reed, MD, Monica P.$ 74,515 $ 69,502 $135,136 $ 0 Soler, Eddie $ 104,577 $ 113,652 $201,522 $ 0 Stevens, Eric A. $ 40,858 $ 343 $ 0 $ 0 Tol, Daryl L. $ 87,647 $ 72,079 $ 0 $ 0 * Including Investment Earnings |
| Part I, Line 6 | The filing organization's physician compensation formula is designed to result in total compensation that would be reasonable for each physician. The filing organization utilizes national survey productivity, cost, and compensation data in formulating all aspects of the compensation plan. Physician compensation contractual agreements include a ceiling or reasonable maximum on the amount a physician may earn. The filing organization's employed physicians enter into a written agreement that requires the physicians to provide medical care to individuals who are referred by the filing organization. The filing organization's compensation arrangement does not use a method of compensation that is based upon a percentage of the organization's net income. Under the compensation arrangement, physician base salary, including any additional compensation based on a percentage of the practice/location net revenue, is documented as being within a range of Fair Market Value. |
Schedule K IRS990ScheduleK
Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (4 entries)
| Bond ReferenceBondReferenceCd | Bond Issuer EINBondIssuerEIN | CUSIPCUSIPNum | Bond IssuedBondIssuedDt | Issue PriceIssuePriceAmt | PurposePurposeDesc | DefeasedDefeasedInd | On Behalf Of IssuerOnBehalfOfIssuerInd | Pool FinancingPoolFinancingInd |
|---|---|---|---|---|---|---|---|---|
| Highlands County Health Facilities Authority | ||||||||
| A | 521313569 | 431022HUD | 2006-06-14 | $205,156,000 | 2006C, Expand/refurbish facilities, purchase equipment | Yes (1) | 0 | 0 |
| Highlands County Health Facilities Authority | ||||||||
| B | 521313569 | 431022KK7 | 2007-08-08 | $366,445,000 | 2007A B C D, Expand/refurbish facilities, purchase equipment | 0 | 0 | 0 |
| Kansas Development Finance Authority | ||||||||
| C | 481066589 | 48542ABX8 | 2009-07-08 | $325,394,417 | 2009C, Ref 96/05&97/05 iss 1/13/05, 03A 1/16/03, 08B 12/19/08, exp facility | 0 | 0 | 0 |
| Kansas Development Finance Authority | ||||||||
| D | 481066589 | 48542ACY5 | 2009-10-01 | $102,271,154 | 2009D, Refund Highlands 07C, 8/8/07 & expand/refurbish facilities/purc equip | 0 | 0 | 0 |
Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (4 entries)
| Bond ReferenceBondReferenceCd | RetiredRetiredAmt | Bond DefeasedBondDefeasedAmt | Total ProceedsTotalProceedsAmt | Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt | Capital ExpendituresCapitalExpendituresAmt | Substantial CompletionSubstantialCompletionYr | Current RefundingCurrentRefundingInd | Advance RefundingAdvanceRefundingInd | Final Allocation MadeFinalAllocationMadeInd | Adequate Books And Rec MaintAdequateBooksAndRecMaintInd | Credit EnhancementCreditEnhancementAmt | Other Spent ProceedsOtherSpentProceedsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| A | $27,725,000 | $4,900,000 | $205,156,000 | $2,000,000 | $203,156,000 | 2006 | 0 | 0 | Yes (1) | Yes (1) | ||
| B | $260,445,000 | $366,445,000 | $360,884,618 | 2007 | 0 | 0 | Yes (1) | Yes (1) | $5,560,382 | |||
| C | $68,385,000 | $325,394,417 | $12,004,967 | 2009 | Yes (1) | 0 | Yes (1) | Yes (1) | $313,389,450 | |||
| D | $14,770,000 | $102,271,154 | $21,844,721 | 2009 | Yes (1) | 0 | Yes (1) | Yes (1) | $80,426,433 |
Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (4 entries)
| Bond ReferenceBondReferenceCd | Owning Bond Financed PropertyOwningBondFinancedPropertyInd | Any Lease ArrangementsAnyLeaseArrangementsInd | Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd | Engage Bond Counsel ContractsEngageBondCounselContractsInd | Any Research AgreementsAnyResearchAgreementsInd | Engage Bond Counsel ResearchEngageBondCounselResearchInd | Private Bus Use By OthersPrivateBusUseByOthersPct | Private Bus Concerning UBIPrivateBusConcerningUBIPct | Total Private Business UseTotalPrivateBusinessUsePct | Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd | Change In Use Bond Financed PropChangeInUseBondFinancedPropInd | Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| A | 0 | Yes (1) | Yes (1) | Yes (1) | Yes (1) | Yes (1) | 0.00350 | 0.00100 | 0.00450 | 0 | 0 | Yes (1) |
| B | 0 | Yes (1) | Yes (1) | Yes (1) | Yes (1) | Yes (1) | 0.01420 | 0.01420 | 0 | 0 | Yes (1) | |
| C | 0 | Yes (1) | Yes (1) | Yes (1) | Yes (1) | Yes (1) | 0.00540 | 0.00540 | 0 | 0 | Yes (1) | |
| D | 0 | 0 | Yes (1) | Yes (1) | Yes (1) | Yes (1) | 0 | 0 | Yes (1) |
Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (4 entries)
| Bond ReferenceBondReferenceCd | Form8038 T FiledForm8038TFiledInd | Rebate Not Due YetRebateNotDueYetInd | Exception To RebateExceptionToRebateInd | No Rebate DueNoRebateDueInd | Variable Rate IssueVariableRateIssueInd | Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd | Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd | Gross Proceeds InvestedGrossProceedsInvestedInd | Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd |
|---|---|---|---|---|---|---|---|---|---|
| A | 0 | 0 | Yes (1) | 0 | 0 | 0 | 0 | 0 | Yes (1) |
| B | 0 | 0 | Yes (1) | 0 | Yes (1) | 0 | 0 | 0 | Yes (1) |
| C | 0 | Yes (1) | Yes (1) | 0 | 0 | 0 | 0 | 0 | Yes (1) |
| D | 0 | Yes (1) | Yes (1) | 0 | 0 | 0 | 0 | 0 | Yes (1) |
Procedures Corrective Action ProceduresCorrectiveActionGrp (4 entries)
| Bond ReferenceBondReferenceCd | Procedures Corrective ActionProceduresCorrectiveActionInd |
|---|---|
| A | Yes (1) |
| B | Yes (1) |
| C | Yes (1) |
| D | Yes (1) |
Supplemental Information Detail SupplementalInformationDetail (9 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part III, Line 8c | Highlands County Health Facilities Authority 2012A, AR Program: A sale of bond-financed assets in 2006 was identified in early 2013. The taxpayer has paid off the bonds related to this asset sale and filed a VCAP request pursuant to Notice 2008-31, 2008-11 IRB 592, on October 25, 2013. A Closing Agreement was finalized with the IRS on February 11, 2015. A subsequent sale of assets occurred in 2014. Remedial action was taken as proscribed in Treasury Regulation Section 1.141-12 to preserve the tax-exempt status of the interest on the bonds. |
| Part III, Line 8c | Highlands County Health Facilities Authority 2012B, AR Program: A sale of bond-financed assets in 2006 was identified in early 2013. The taxpayer has paid off the bonds related to this asset sale and filed a VCAP request pursuant to Notice 2008-31, 2008-11 IRB 592, on October 25, 2013. A Closing Agreement was finalized with the IRS on February 11, 2015. A subsequent sale of assets occurred in 2014. Remedial action was taken as proscribed in Treasury Regulation Section 1.141-12 to preserve the tax-exempt status of the interest on the bonds. |
| Part III, Line 8c | Kansas Development Finance Authority 2012A: A sale of bond-financed assets in 2003 was identified in July 2013. The taxpayer has paid off the bonds related to this asset sale and filed a VCAP request pursuant to Notice 2008-31, 2008-11 IRB 592, on October 15, 2014. A Closing Agreement was finalized with the IRS on December 18, 2015. |
| Part III, Line 8c | Highlands County Health Facilities Authority 2012B-F: A sale of bond-financed assets in 2003 was identified in July 2013. The taxpayer has paid off the bonds related to this asset sale and filed a VCAP request pursuant to Notice 2008-31, 2008-11 IRB 592, on October 15, 2014. A Closing Agreement was finalized with the IRS on December 18, 2015. |
| Part II, Line 3, Total Proceeds of Issue | Highlands County Health Facilities Authority 2013A-C: The difference between Total Proceeds of Issue reported on Part II, Line 3 and the Issue Price reported on Part I, column (e) is attributed to investment earnings. |
| Part II, Line 3, Total Proceeds of Issue | Highlands County Health Facilities Authority 2014A&D: The difference between Total Proceeds of Issue reported on Part II, Line 3 and the Issue Price reported on Part I, column (e) is attributed to investment earnings. |
| Part II, Line 3, Total Proceeds of Issue | Highlands County Health Facilities Authority 2014B: The difference between Total Proceeds of Issue reported on Part II, Line 3 and the Issue Price reported on Part I, column (e) is attributed to investment earnings. |
| Part II, Line 3, Total Proceeds of Issue | Highlands County Health Facilities Authority 2014C: The difference between Total Proceeds of Issue reported on Part II, Line 3 and the Issue Price reported on Part I, column (e) is attributed to investment earnings. |
| Part II, Line 3, Total Proceeds of Issue | Highlands County Health Facilities Authority 2014E: The difference between Total Proceeds of Issue reported on Part II, Line 3 and the Issue Price reported on Part I, column (e) is attributed to investment earnings. |
Schedule K IRS990ScheduleK
Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (4 entries)
| Bond ReferenceBondReferenceCd | Bond Issuer EINBondIssuerEIN | CUSIPCUSIPNum | Bond IssuedBondIssuedDt | Issue PriceIssuePriceAmt | PurposePurposeDesc | DefeasedDefeasedInd | On Behalf Of IssuerOnBehalfOfIssuerInd | Pool FinancingPoolFinancingInd |
|---|---|---|---|---|---|---|---|---|
| Highlands County Health Facilities Authority | ||||||||
| A | 521313569 | 431022SP8 | 2009-11-16 | $190,752,502 | 09E & 08B Conv, Ref Orange 91/01 10/11/01, 92/03 5/15/03, 08B 12/19/08 | 0 | 0 | 0 |
| Highlands County Health Facilities Authority | ||||||||
| B | 521313569 | 431022SG8 | 2009-11-16 | $178,936,632 | 2005I Conv, Refund Highlands 05I 12/22/05 & expand/refurbish facilities | 0 | 0 | 0 |
| Highlands County Health Facilities Authority | ||||||||
| C | 521313569 | 2010-12-17 | $57,000,000 | 2010A, Expand/refurbish facilities, purchase equipment | 0 | 0 | 0 | |
| Orange County Health Facilities Authority | ||||||||
| D | 521378595 | 2010-12-22 | $25,000,000 | 2010B, Expand/refurbish facilities, purchase equipment | 0 | 0 | 0 | |
Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (4 entries)
| Bond ReferenceBondReferenceCd | RetiredRetiredAmt | Total ProceedsTotalProceedsAmt | Other Spent ProceedsOtherSpentProceedsAmt | Substantial CompletionSubstantialCompletionYr | Current RefundingCurrentRefundingInd | Advance RefundingAdvanceRefundingInd | Final Allocation MadeFinalAllocationMadeInd | Adequate Books And Rec MaintAdequateBooksAndRecMaintInd | Capital ExpendituresCapitalExpendituresAmt |
|---|---|---|---|---|---|---|---|---|---|
| A | $26,065,000 | $190,752,502 | $190,752,502 | 2008 | Yes (1) | 0 | Yes (1) | Yes (1) | |
| B | $131,890,000 | $178,936,632 | $177,240,000 | 2005 | Yes (1) | 0 | Yes (1) | Yes (1) | $1,696,632 |
| C | $57,000,000 | 2010 | 0 | 0 | Yes (1) | Yes (1) | $57,000,000 | ||
| D | $4,000,000 | $25,000,000 | 2010 | 0 | 0 | Yes (1) | Yes (1) | $25,000,000 |
Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (4 entries)
| Bond ReferenceBondReferenceCd | Owning Bond Financed PropertyOwningBondFinancedPropertyInd | Any Lease ArrangementsAnyLeaseArrangementsInd | Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd | Engage Bond Counsel ContractsEngageBondCounselContractsInd | Any Research AgreementsAnyResearchAgreementsInd | Engage Bond Counsel ResearchEngageBondCounselResearchInd | Private Bus Use By OthersPrivateBusUseByOthersPct | Total Private Business UseTotalPrivateBusinessUsePct | Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd | Change In Use Bond Financed PropChangeInUseBondFinancedPropInd | Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd |
|---|---|---|---|---|---|---|---|---|---|---|---|
| A | 0 | Yes (1) | Yes (1) | Yes (1) | Yes (1) | Yes (1) | 0.00670 | 0.00670 | 0 | 0 | Yes (1) |
| B | 0 | Yes (1) | Yes (1) | Yes (1) | Yes (1) | Yes (1) | 0.00900 | 0.00900 | 0 | 0 | Yes (1) |
| C | 0 | 0 | Yes (1) | Yes (1) | Yes (1) | Yes (1) | 0 | 0 | Yes (1) | ||
| D | 0 | 0 | Yes (1) | Yes (1) | Yes (1) | Yes (1) | 0 | 0 | Yes (1) |
Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (4 entries)
| Bond ReferenceBondReferenceCd | Form8038 T FiledForm8038TFiledInd | Rebate Not Due YetRebateNotDueYetInd | Exception To RebateExceptionToRebateInd | No Rebate DueNoRebateDueInd | Variable Rate IssueVariableRateIssueInd | Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd | Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd | Gross Proceeds InvestedGrossProceedsInvestedInd | Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd |
|---|---|---|---|---|---|---|---|---|---|
| A | 0 | 0 | Yes (1) | 0 | 0 | 0 | 0 | 0 | Yes (1) |
| B | 0 | 0 | Yes (1) | 0 | Yes (1) | 0 | 0 | 0 | Yes (1) |
| C | 0 | 0 | Yes (1) | 0 | Yes (1) | 0 | 0 | 0 | Yes (1) |
| D | 0 | 0 | Yes (1) | 0 | Yes (1) | 0 | 0 | 0 | Yes (1) |
Procedures Corrective Action ProceduresCorrectiveActionGrp (4 entries)
| Bond ReferenceBondReferenceCd | Procedures Corrective ActionProceduresCorrectiveActionInd |
|---|---|
| A | Yes (1) |
| B | Yes (1) |
| C | Yes (1) |
| D | Yes (1) |
Schedule K IRS990ScheduleK
Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (4 entries)
| Bond ReferenceBondReferenceCd | Bond Issuer EINBondIssuerEIN | Bond IssuedBondIssuedDt | Issue PriceIssuePriceAmt | PurposePurposeDesc | DefeasedDefeasedInd | On Behalf Of IssuerOnBehalfOfIssuerInd | Pool FinancingPoolFinancingInd |
|---|---|---|---|---|---|---|---|
| Kansas Development Finance Authority | |||||||
| A | 481066589 | 2010-12-22 | $25,000,000 | 2010C, Expand/refurbish facilities, purchase equipment | 0 | 0 | 0 |
| Colorado Health Facilities Authority | |||||||
| B | 840752932 | 2010-12-22 | $25,000,000 | 2010D, Expand/refurbish facilities, purchase equipment | 0 | 0 | 0 |
| Highlands County Health Facilities Authority | |||||||
| C | 521313569 | 2010-12-30 | $225,000,000 | 2010E, Expand/refurbish facilities, purchase equipment | 0 | 0 | 0 |
| Highlands County Health Facilities Authority | |||||||
| D | 521313569 | 2011-11-16 | $80,000,000 | 2011A, Expand/refurbish facilities | 0 | 0 | 0 |
Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (4 entries)
| Bond ReferenceBondReferenceCd | RetiredRetiredAmt | Total ProceedsTotalProceedsAmt | Capital ExpendituresCapitalExpendituresAmt | Substantial CompletionSubstantialCompletionYr | Current RefundingCurrentRefundingInd | Advance RefundingAdvanceRefundingInd | Final Allocation MadeFinalAllocationMadeInd | Adequate Books And Rec MaintAdequateBooksAndRecMaintInd |
|---|---|---|---|---|---|---|---|---|
| A | $4,000,000 | $25,000,000 | $25,000,000 | 2010 | 0 | 0 | Yes (1) | Yes (1) |
| B | $4,000,000 | $25,000,000 | $25,000,000 | 2010 | 0 | 0 | Yes (1) | Yes (1) |
| C | $36,000,000 | $225,000,000 | $225,000,000 | 2010 | 0 | 0 | Yes (1) | Yes (1) |
| D | $720,000 | $80,000,000 | $80,000,000 | 2011 | 0 | 0 | Yes (1) | Yes (1) |
Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (4 entries)
| Bond ReferenceBondReferenceCd | Owning Bond Financed PropertyOwningBondFinancedPropertyInd | Any Lease ArrangementsAnyLeaseArrangementsInd | Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd | Engage Bond Counsel ContractsEngageBondCounselContractsInd | Any Research AgreementsAnyResearchAgreementsInd | Engage Bond Counsel ResearchEngageBondCounselResearchInd | Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd | Change In Use Bond Financed PropChangeInUseBondFinancedPropInd | Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd |
|---|---|---|---|---|---|---|---|---|---|
| A | 0 | 0 | Yes (1) | Yes (1) | Yes (1) | Yes (1) | 0 | 0 | Yes (1) |
| B | 0 | 0 | Yes (1) | Yes (1) | Yes (1) | Yes (1) | 0 | 0 | Yes (1) |
| C | 0 | 0 | Yes (1) | Yes (1) | Yes (1) | Yes (1) | 0 | 0 | Yes (1) |
| D | 0 | 0 | Yes (1) | Yes (1) | Yes (1) | Yes (1) | 0 | 0 | Yes (1) |
Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (4 entries)
| Bond ReferenceBondReferenceCd | Form8038 T FiledForm8038TFiledInd | Rebate Not Due YetRebateNotDueYetInd | Exception To RebateExceptionToRebateInd | No Rebate DueNoRebateDueInd | Variable Rate IssueVariableRateIssueInd | Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd | Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd | Gross Proceeds InvestedGrossProceedsInvestedInd | Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd |
|---|---|---|---|---|---|---|---|---|---|
| A | 0 | 0 | Yes (1) | 0 | Yes (1) | 0 | 0 | 0 | Yes (1) |
| B | 0 | 0 | Yes (1) | 0 | Yes (1) | 0 | 0 | 0 | Yes (1) |
| C | 0 | 0 | Yes (1) | 0 | Yes (1) | 0 | 0 | 0 | Yes (1) |
| D | 0 | Yes (1) | Yes (1) | 0 | Yes (1) | 0 | 0 | 0 | Yes (1) |
Procedures Corrective Action ProceduresCorrectiveActionGrp (4 entries)
| Bond ReferenceBondReferenceCd | Procedures Corrective ActionProceduresCorrectiveActionInd |
|---|---|
| A | Yes (1) |
| B | Yes (1) |
| C | Yes (1) |
| D | Yes (1) |
Schedule K IRS990ScheduleK
Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (4 entries)
| Bond ReferenceBondReferenceCd | Bond Issuer EINBondIssuerEIN | Bond IssuedBondIssuedDt | Issue PriceIssuePriceAmt | PurposePurposeDesc | DefeasedDefeasedInd | On Behalf Of IssuerOnBehalfOfIssuerInd | Pool FinancingPoolFinancingInd | CUSIPCUSIPNum |
|---|---|---|---|---|---|---|---|---|
| Highlands County Health Facilities Authority | ||||||||
| A | 521313569 | 2012-03-21 | $294,985,000 | 2012A, AR Program - Refund 2009 A-F AR Program | 0 | 0 | 0 | |
| Highlands County Health Facilities Authority | ||||||||
| B | 521313569 | 2012-07-25 | $115,015,000 | 2012B, AR Program - Expand/refurbish facilities, purchase equipment | 0 | 0 | 0 | |
| Kansas Development Finance Authority | ||||||||
| C | 481066589 | 2012-08-29 | $310,952,245 | 2012A - Refund Or-1995; H-02,03C,05H,06B,07B,07D,08A; C-2004B; K-2004C | 0 | 0 | 0 | 48542ADG3 |
| Highlands County Health Facilities Authority | ||||||||
| D | 521313569 | 2012-08-29 | $348,320,000 | 2012B-F - Refund Or-1995; H-02,03C,05H,06B,07B,07D,08A; C-2004B; K-2004C | 0 | 0 | 0 | 431022TL6 |
Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (4 entries)
| Bond ReferenceBondReferenceCd | RetiredRetiredAmt | Total ProceedsTotalProceedsAmt | Other Spent ProceedsOtherSpentProceedsAmt | Substantial CompletionSubstantialCompletionYr | Current RefundingCurrentRefundingInd | Advance RefundingAdvanceRefundingInd | Final Allocation MadeFinalAllocationMadeInd | Adequate Books And Rec MaintAdequateBooksAndRecMaintInd | Capital ExpendituresCapitalExpendituresAmt |
|---|---|---|---|---|---|---|---|---|---|
| A | $400,000 | $294,985,000 | $294,985,000 | 2004 | Yes (1) | 0 | Yes (1) | Yes (1) | |
| B | $115,015,000 | 2012 | 0 | 0 | Yes (1) | Yes (1) | $115,015,000 | ||
| C | $310,952,245 | $310,952,245 | 2008 | Yes (1) | 0 | Yes (1) | Yes (1) | ||
| D | $73,775,000 | $348,320,000 | $348,320,000 | 2008 | Yes (1) | 0 | Yes (1) | Yes (1) |
Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (4 entries)
| Bond ReferenceBondReferenceCd | Owning Bond Financed PropertyOwningBondFinancedPropertyInd | Any Lease ArrangementsAnyLeaseArrangementsInd | Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd | Engage Bond Counsel ContractsEngageBondCounselContractsInd | Any Research AgreementsAnyResearchAgreementsInd | Engage Bond Counsel ResearchEngageBondCounselResearchInd | Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd | Change In Use Bond Financed PropChangeInUseBondFinancedPropInd | Change In Use Bond Financed PropChangeInUseBondFinancedPropPct | Remedial Action TakenRemedialActionTakenInd | Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd | Private Bus Use By OthersPrivateBusUseByOthersPct | Total Private Business UseTotalPrivateBusinessUsePct |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| A | 0 | 0 | Yes (1) | Yes (1) | Yes (1) | Yes (1) | 0 | Yes (1) | 0.00140 | 0 | Yes (1) | ||
| B | 0 | 0 | Yes (1) | Yes (1) | Yes (1) | Yes (1) | 0 | Yes (1) | 0.00140 | 0 | Yes (1) | ||
| C | 0 | Yes (1) | Yes (1) | Yes (1) | Yes (1) | Yes (1) | 0 | Yes (1) | 0.00370 | 0 | Yes (1) | 0.00500 | 0.00500 |
| D | 0 | Yes (1) | Yes (1) | Yes (1) | Yes (1) | Yes (1) | 0 | Yes (1) | 0.00370 | 0 | Yes (1) | 0.00500 | 0.00500 |
Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (4 entries)
| Bond ReferenceBondReferenceCd | Form8038 T FiledForm8038TFiledInd | Rebate Not Due YetRebateNotDueYetInd | Exception To RebateExceptionToRebateInd | No Rebate DueNoRebateDueInd | Variable Rate IssueVariableRateIssueInd | Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd | Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd | Gross Proceeds InvestedGrossProceedsInvestedInd | Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd |
|---|---|---|---|---|---|---|---|---|---|
| A | 0 | Yes (1) | Yes (1) | 0 | Yes (1) | 0 | 0 | 0 | Yes (1) |
| B | 0 | Yes (1) | Yes (1) | 0 | Yes (1) | 0 | 0 | 0 | Yes (1) |
| C | 0 | Yes (1) | Yes (1) | 0 | Yes (1) | 0 | 0 | 0 | Yes (1) |
| D | 0 | Yes (1) | Yes (1) | 0 | Yes (1) | 0 | 0 | 0 | Yes (1) |
Procedures Corrective Action ProceduresCorrectiveActionGrp (4 entries)
| Bond ReferenceBondReferenceCd | Procedures Corrective ActionProceduresCorrectiveActionInd |
|---|---|
| A | Yes (1) |
| B | Yes (1) |
| C | Yes (1) |
| D | Yes (1) |
Schedule K IRS990ScheduleK
Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (4 entries)
| Bond ReferenceBondReferenceCd | Bond Issuer EINBondIssuerEIN | Bond IssuedBondIssuedDt | Issue PriceIssuePriceAmt | PurposePurposeDesc | DefeasedDefeasedInd | On Behalf Of IssuerOnBehalfOfIssuerInd | Pool FinancingPoolFinancingInd | CUSIPCUSIPNum |
|---|---|---|---|---|---|---|---|---|
| Highlands County Health Facilities Authority | ||||||||
| A | 521313569 | 2012-08-29 | $125,000,000 | 2012G&H - Refund Highlands 2005I Conversion Bonds | 0 | 0 | 0 | |
| Highlands County Health Facilities Authority | ||||||||
| B | 521313569 | 2012-11-08 | $232,125,000 | 2012I - Refunded Volusia 1994-A; Highlands 2004A, 2005E, 2005F, 2005G | 0 | 0 | 0 | 431022TR3 |
| Highlands County Health Facilities Authority | ||||||||
| C | 521313569 | 2013-09-18 | $485,000,000 | 2013A B C, Expand/refurbish facilities, purchase equipment | 0 | 0 | 0 | |
| Highlands County Health Facilities Authority | ||||||||
| D | 521313569 | 2014-07-02 | $110,000,000 | 2014A&D, Refund 2013C, expand/refurbish facilities, purchase equipment | 0 | 0 | 0 | |
Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (4 entries)
| Bond ReferenceBondReferenceCd | Total ProceedsTotalProceedsAmt | Other Spent ProceedsOtherSpentProceedsAmt | Substantial CompletionSubstantialCompletionYr | Current RefundingCurrentRefundingInd | Advance RefundingAdvanceRefundingInd | Final Allocation MadeFinalAllocationMadeInd | Adequate Books And Rec MaintAdequateBooksAndRecMaintInd | RetiredRetiredAmt | Capital ExpendituresCapitalExpendituresAmt |
|---|---|---|---|---|---|---|---|---|---|
| A | $125,000,000 | $125,000,000 | 2005 | Yes (1) | 0 | Yes (1) | Yes (1) | ||
| B | $232,125,000 | $232,125,000 | 2005 | Yes (1) | 0 | Yes (1) | Yes (1) | $4,050,000 | |
| C | $485,340,528 | 2013 | 0 | 0 | 0 | Yes (1) | $60,000,000 | $485,340,528 | |
| D | $110,068,380 | $60,000,000 | 2015 | Yes (1) | 0 | 0 | Yes (1) | $50,068,380 |
Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (4 entries)
| Bond ReferenceBondReferenceCd | Owning Bond Financed PropertyOwningBondFinancedPropertyInd | Any Lease ArrangementsAnyLeaseArrangementsInd | Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd | Engage Bond Counsel ContractsEngageBondCounselContractsInd | Any Research AgreementsAnyResearchAgreementsInd | Engage Bond Counsel ResearchEngageBondCounselResearchInd | Private Bus Use By OthersPrivateBusUseByOthersPct | Total Private Business UseTotalPrivateBusinessUsePct | Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd | Change In Use Bond Financed PropChangeInUseBondFinancedPropInd | Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd |
|---|---|---|---|---|---|---|---|---|---|---|---|
| A | 0 | Yes (1) | Yes (1) | Yes (1) | Yes (1) | Yes (1) | 0.00900 | 0.00900 | 0 | 0 | Yes (1) |
| B | 0 | Yes (1) | Yes (1) | Yes (1) | Yes (1) | Yes (1) | 0.00200 | 0.00200 | 0 | 0 | Yes (1) |
| C | 0 | 0 | Yes (1) | Yes (1) | Yes (1) | Yes (1) | 0 | 0 | Yes (1) | ||
| D | 0 | 0 | Yes (1) | Yes (1) | Yes (1) | Yes (1) | 0 | 0 | Yes (1) |
Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (4 entries)
| Bond ReferenceBondReferenceCd | Form8038 T FiledForm8038TFiledInd | Rebate Not Due YetRebateNotDueYetInd | Exception To RebateExceptionToRebateInd | No Rebate DueNoRebateDueInd | Variable Rate IssueVariableRateIssueInd | Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd | Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd | Gross Proceeds InvestedGrossProceedsInvestedInd | Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd |
|---|---|---|---|---|---|---|---|---|---|
| A | 0 | Yes (1) | Yes (1) | 0 | Yes (1) | 0 | 0 | 0 | Yes (1) |
| B | 0 | Yes (1) | Yes (1) | 0 | Yes (1) | 0 | 0 | 0 | Yes (1) |
| C | 0 | Yes (1) | 0 | 0 | Yes (1) | 0 | 0 | 0 | Yes (1) |
| D | 0 | Yes (1) | 0 | 0 | Yes (1) | 0 | 0 | 0 | Yes (1) |
Procedures Corrective Action ProceduresCorrectiveActionGrp (4 entries)
| Bond ReferenceBondReferenceCd | Procedures Corrective ActionProceduresCorrectiveActionInd |
|---|---|
| A | Yes (1) |
| B | Yes (1) |
| C | Yes (1) |
| D | Yes (1) |
Schedule K IRS990ScheduleK
Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (3 entries)
| Bond ReferenceBondReferenceCd | Bond Issuer EINBondIssuerEIN | Bond IssuedBondIssuedDt | Issue PriceIssuePriceAmt | PurposePurposeDesc | DefeasedDefeasedInd | On Behalf Of IssuerOnBehalfOfIssuerInd | Pool FinancingPoolFinancingInd | CUSIPCUSIPNum |
|---|---|---|---|---|---|---|---|---|
| Orange County Health Facilities Authority | ||||||||
| A | 521378595 | 2014-07-02 | $50,000,000 | 2014B, Expand/refurbish facilities, purchase equipment | 0 | 0 | 0 | |
| Kansas Development Finance Authority | ||||||||
| B | 481066589 | 2014-07-02 | $30,000,000 | 2014C, Expand/refurbish facilities, purchase equipment | 0 | 0 | 0 | |
| Colorado Health Facilities Authority | ||||||||
| C | 840752932 | 2014-07-23 | $82,501,800 | 2014E, Expand/refurbish facilities, purchase equipment | 0 | 0 | 0 | 19648AT39 |
Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (3 entries)
| Bond ReferenceBondReferenceCd | Total ProceedsTotalProceedsAmt | Capital ExpendituresCapitalExpendituresAmt | Substantial CompletionSubstantialCompletionYr | Current RefundingCurrentRefundingInd | Advance RefundingAdvanceRefundingInd | Final Allocation MadeFinalAllocationMadeInd | Adequate Books And Rec MaintAdequateBooksAndRecMaintInd |
|---|---|---|---|---|---|---|---|
| A | $50,068,380 | $50,068,380 | 2015 | 0 | 0 | 0 | Yes (1) |
| B | $30,041,050 | $30,041,050 | 2015 | 0 | 0 | 0 | Yes (1) |
| C | $82,616,012 | $82,616,012 | 2015 | 0 | 0 | 0 | Yes (1) |
Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (3 entries)
| Bond ReferenceBondReferenceCd | Owning Bond Financed PropertyOwningBondFinancedPropertyInd | Any Lease ArrangementsAnyLeaseArrangementsInd | Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd | Engage Bond Counsel ContractsEngageBondCounselContractsInd | Any Research AgreementsAnyResearchAgreementsInd | Engage Bond Counsel ResearchEngageBondCounselResearchInd | Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd | Change In Use Bond Financed PropChangeInUseBondFinancedPropInd | Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd |
|---|---|---|---|---|---|---|---|---|---|
| A | 0 | 0 | Yes (1) | Yes (1) | Yes (1) | Yes (1) | 0 | 0 | Yes (1) |
| B | 0 | 0 | Yes (1) | Yes (1) | Yes (1) | Yes (1) | 0 | 0 | Yes (1) |
| C | 0 | 0 | Yes (1) | Yes (1) | Yes (1) | Yes (1) | 0 | 0 | Yes (1) |
Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (3 entries)
| Bond ReferenceBondReferenceCd | Form8038 T FiledForm8038TFiledInd | Rebate Not Due YetRebateNotDueYetInd | Exception To RebateExceptionToRebateInd | No Rebate DueNoRebateDueInd | Variable Rate IssueVariableRateIssueInd | Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd | Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd | Gross Proceeds InvestedGrossProceedsInvestedInd | Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd |
|---|---|---|---|---|---|---|---|---|---|
| A | 0 | Yes (1) | 0 | 0 | Yes (1) | 0 | 0 | 0 | Yes (1) |
| B | 0 | Yes (1) | 0 | 0 | Yes (1) | 0 | 0 | 0 | Yes (1) |
| C | 0 | Yes (1) | 0 | 0 | Yes (1) | 0 | 0 | 0 | Yes (1) |
Procedures Corrective Action ProceduresCorrectiveActionGrp (3 entries)
| Bond ReferenceBondReferenceCd | Procedures Corrective ActionProceduresCorrectiveActionInd |
|---|---|
| A | Yes (1) |
| B | Yes (1) |
| C | Yes (1) |
Schedule L IRS990ScheduleL
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (6 entries)
| Relationship DescriptionRelationshipDescriptionTxt | TransactionTransactionAmt | TransactionTransactionDesc | Sharing Of RevenuesSharingOfRevenuesInd |
|---|---|---|---|
| Karen Tilstra | |||
| Family of key employee | $120,400 | Consulting | 0 |
| Dan Tilstra | |||
| Family of key employee | $11,112 | Professional Services | 0 |
| Clifton Scott | |||
| Family of board member | $104,481 | Employee Compensation | 0 |
| Kirsten Cutler | |||
| Family of board member | $45,726 | Employee Compensation | 0 |
| Shelby Houmann | |||
| Family of board member | $38,370 | Employee Compensation | 0 |
| Jacqueline Soler-Lemon | |||
| Family of key employee | $56,452 | Employee Compensation | 0 |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (12 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Part VI, Section A, line 2 | Lars Houmann and Terry Owen - Family Relationship |
| Form 990, Part VI, Section A, line 4 | During 2015, the Articles of Incorporation of Adventist Health System/Sunbelt, Inc. (AHSSI) were revised to increase the number of individuals who may be appointed to the Board of Directors from 22 to 25. |
| Form 990, Part VI, Section A, line 6 | Adventist Health System/Sunbelt, Inc. (the filing organization) has one member. The sole member of the filing organization is Adventist Health System Sunbelt Healthcare Corporation. Adventist Health System Sunbelt Healthcare Corporation (AHSSHC) is a Florida, not-for-profit corporation that is exempt from federal income tax under Internal Revenue Code (IRC) Section 501(c)(3). There are no other classes of membership in the filing organization. |
| Form 990, Part VI, Section A, line 7a | The sole member of the filing organization is AHSSHC. The Board of Directors of the filing organization are appointed by the sole member, AHSSHC, who has the right to elect, appoint or remove any member of the Board of Directors of the filing organization. |
| Form 990, Part VI, Section A, line 7b | AHSSHC, as the sole member of the filing organization, has certain reserved powers as set forth in the Bylaws of the filing organization. These reserved powers include the following: a) to approve and disapprove the executive and/or administrative leadership of the filing organization, and their salaries; b) to approve and disapprove the operating Bylaws of the filing organization; c) to set limits and terms for the borrowing of funds; d) to approve or disapprove major building programs and/or purchase or sale of personal property or real property equal to or in excess of One Million dollars; e) to approve or disapprove the annual operating and capital budgets of the filing organization; f) to direct the placement of funds and capital of the filing organization; and g) to establish general guiding policies. |
| Form 990, Part VI, Section B, line 11 | The filing organization's current year Form 990 was reviewed by the Chief Financial Executive prior to its filing with the IRS. The review conducted by the Chief Financial Executive did not include the review of any supporting workpapers that were used in preparation of the current year Form 990, but did include a review of the entire Form 990 and all supporting schedules. |
| Form 990, Part VI, Section B, line 12c | The Conflict of Interest Policy of the filing organization applies to members of its Board of Directors and its principal officers (to be known as Interested Persons). In connection with any actual or possible conflict of interests, any member of the Board of Directors of the filing organization or any principal officer of the filing organization (i.e. Interested Persons) must disclose the existence of any financial interest with the filing organization and must be given the opportunity to disclose all material facts concerning the financial interest/arrangement to the Board of Directors of the filing organization or to any members of a committee with board delegated powers that is considering the proposed transaction or arrangement. Subsequent to any disclosure of any financial interest/arrangement and all material facts, and after any discussion with the relevant Board member or principal officer, the remaining members of the Board of Directors or committee with board delegated powers shall discuss, analyze, and vote upon the potential financial interest/arrangement to determine if a conflict of interest exists. According to the filing organization's Conflict of Interest Policy, an Interested Person may make a presentation to the Board of Directors (or committee with board delegated powers), but after such presentation, shall leave the meeting during the discussion of, and the vote on, the transaction or arrangement that results in a conflict of interest. Each Interested Person, as defined under the filing organization's Conflict of Interest Policy, shall annually sign a statement which affirms that such person has received a copy of the Conflict of Interests policy, has read and understands the policy, has agreed to comply with the policy, and understands that the filing organization is a charitable organization that must primarily engage in activities which accomplish one or more of its exempt purposes. The filing organization's Conflict of Interest Policy also requires that periodic reviews shall be conducted to ensure that the filing organization operates in a manner consistent with its charitable purposes. |
| Form 990, Part VI, Section B, line 15 | The filing organization's CEO, other officers and key employees are not compensated by the filing organization. Such individuals are compensated by the related top-tier parent organization of the filing organization. Please see the discussion concerning the process followed by the related top-tier parent organization in determining executive compensation in our response to Schedule J, Line 3. |
| Form 990, Part VI, Section C, line 19 | The filing organization is a part of the system of healthcare organizations known as Adventist Health System (AHS). Each year, AHS publishes an annual report document that includes a financial report for the relevant year as well as a community benefit report. The financial report and community benefit report are presented on a consolidated basis and represent all of the activities, results of operations, and financial position at year-end of the entire AHS system. In addition, the audited consolidated financial statements of AHS and of the AHS "Obligated Group" are filed annually with the Municipal Securities Rulemaking Board (MSRB). The "Obligated Group" is a group of AHSSHC subsidiaries that are jointly and severally liable under a Master Trust Indenture that secures debt primarily issued on a tax-exempt basis. Unaudited quarterly financial statements prepared in accordance with Generally Accepted Accounting Principles (GAAP) are also filed with MSRB for AHS on a consolidated basis and for the grouping of AHS subsidiaries comprising the "Obligated Group". The filing organization does not generally make its governing documents or conflict of interest policy available to the public. |
| Part VII, Section A | For those Board of Director members who devote less than full-time to the filing organization (based upon the average number of hours per week shown in column (B) on page 7 of the return) the compensation amounts shown in columns (E) and (F) on page 7 for Don Jernigan, Randall Haffner, Lars Houmann, Richard Reiner, and Terry Shaw, were provided in conjunction with that person's responsibilities and roles in serving in an executive leadership position within Adventist Health System (AHS). Don Jernigan, Randall Haffner, Richard Reiner,and Terry Shaw devote approximately 50 hours per week in conjunction with serving in their respective executive leadership position within AHS. Lars Houmann devotes approximately 25 hours a week to the filing organization and the remainder of time is devoted to his leadership position within AHS. |
| Form 990, Part XI, line 9: | Transfer to tax-exempt affiliates -385,449,498. Transfer to tax-exempt parent -15,303,706. Donated Property 959,737. SWAP loss amortization 7,031,757. Allocations from Tax-exempt Parent with respect to Debt 7,559,546. Transfer for expenses -288,869. Gifts 4,686,917. Other -14,314,919. Interest in Foundation -2,796. Rounding 4. Internally Allocated Settlement Amounts 113,948,178. |
| Part X, Line 2 | The amounts shown on line 2 of Part X of this return include the filing organization's interest in a central investment pool maintained by Adventist Health System Sunbelt Healthcare Corporation, the filing organization's top-tier parent. The investments in the central investment pool are recorded at market value. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (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 9 | 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 11c, III-FI | Adventist Hlth SystemSunbelt Inc | Yes (1) | |
| Adventist Hlth Partners Inc | |||||||||||
| 1000 Remington Blvd Ste 200 | Bolingbrook | IL | 60440 | 364138353 | Operate out-patient physician clinics | 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 11a, I | Yes (1) | 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 | 36028 | 742578952 | Leasing Personnel to Affiliated Hospital | TX | 501(c)(3) | Line 11c, 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 (1230-123115) | |||||||||||
| 3040 Salt Creek Lane | Arlington Heights | IL | 60005 | 811105774 | Operation of Physician Practices & Medical Services | IL | 501(c)(3) | Line 3 | AHS Midwest Management Inc | Yes (1) | |
| AHS Midwest Management Inc | |||||||||||
| 1000 Remington Blvd Ste 200 | Bolingbrook | IL | 60440 | 363354567 | Operation of Physician Practice Mgmt | IL | 501(c)(3) | Line 11a, 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 11c, 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 11c, III-FI | Sunbelt Hlth Care Centers Inc | Yes (1) | |
| Battle Creek Adventist Hospital | |||||||||||
| 1000 Remington Blvd Ste 200 | Bolingbrook | IL | 60440 | 381359189 | Inactive | MI | 501(c)(3) | Line 3 | Adventist Hlth SystemSunbelt Inc | Yes (1) | |
| Bolingbrook Hospital Foundation | |||||||||||
| 1000 Remington Blvd N Entrance 2nd | Bolingbrook | IL | 60440 | 900494445 | Fund-raising for Tax-exempt hospital | IL | 501(c)(3) | Line 7 | Midwest Hlth Foundation | 0 | |
| Bradford Heights Hlth & Rehab Center Inc | |||||||||||
| 950 Highpoint Drive | Hopkinsville | KY | 42240 | 205782342 | Operation of Home for the Aged/Hlthcare Delivery | KY | 501(c)(3) | Line 9 | 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 9 | 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 11c, 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 11a, I | Adventist Hlth SystemSunbelt Inc | Yes (1) | |
| Chickasaw Hlth Care Properties Inc | |||||||||||
| 250 S Chickasaw Trail | Orlando | FL | 32825 | 510605681 | Lease to Related Organization | GA | 501(c)(3) | Line 11c, 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) | |
| Cobb Medical Associates LLC (11-122315) | |||||||||||
| 900 Hope Way | Altamonte Springs | FL | 32714 | 582617089 | Inactive | GA | 501(c)(3) | Line 3 | Emory-Adventist Inc | Yes (1) | |
| Courtland Hlth Care Properties Inc | |||||||||||
| 730 Courtland Street | Orlando | FL | 32804 | 510605682 | Lease to Related Organization | GA | 501(c)(3) | Line 11c, 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 9 | 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 11c, 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 9 | 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 9 | Sunbelt Hlth Care Centers Inc | Yes (1) | |
| FLORIDA HOSPITAL HEALTHCARE PARTNERS INC | |||||||||||
| 770 West Granada Blvd 101 | Ormond Beach | FL | 32174 | 462354804 | Operation of Physician Practices & Medical Services | FL | 501(c)(3) | Line 3 | Adventist Hlth SystemSunbelt Inc | Yes (1) | |
| Florida Hospital Medical Group Inc | |||||||||||
| 2600 Westhall Ln | Maitland | FL | 32751 | 593214635 | Operation of Physician Practices & Medical Services | FL | 501(c)(3) | Line 3 | Adventist Hlth SystemSunbelt Inc | Yes (1) | |
| Florida Hospital Physician Group Inc | |||||||||||
| 2700 Healing Way | Wesley Chapel | FL | 33545 | 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 11a, I | 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 9 | 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 11c, III-FI | 0 | ||
| Helen Ellis Memorial Hospital Foundation Inc | |||||||||||
| 1395 S Pinellas Ave | Tarpon Springs | FL | 34689 | 593690149 | Fund-raising for Tax-exempt hospital | FL | 501(c)(3) | Line 7 | Tarpon Springs Hospital Foundation Inc | 0 | |
| Hinsdale Hospital Foundation | |||||||||||
| 7 Salt Creek Lane Suite 203 | Hinsdale | IL | 60521 | 521466387 | Fund-raising for Tax-exempt hospital | IL | 501(c)(3) | Line 7 | Midwest Hlth Foundation | 0 | |
| Hospice of the Comforter Inc | |||||||||||
| 480 W Central Parkway | Altamonte Springs | FL | 32714 | 592935928 | Operation of Hospice | FL | 501(c)(3) | Line 9 | The Comforter Health Care Group Inc | Yes (1) | |
| Hospice of the Comforter Foundation Inc | |||||||||||
| 480 W Central Parkway | Altamonte Springs | FL | 32714 | 271858033 | Fund Raising for Affiliated Tax-Exempt Hospice | FL | 501(c)(3) | Line 7 | The Comforter Health Care Group Inc | Yes (1) | |
| In-Motion Rehab Inc | |||||||||||
| 485 North Keller Road 250 | Maitland | FL | 32751 | 208023411 | Therapy services to tax exempt nursing homes | KS | 501(c)(3) | Line 11b, II | Sunbelt Hlth Care Centers Inc | Yes (1) | |
| Jellico Community Hospital Inc (11-43015) | |||||||||||
| 188 Hospital Lane | Jellico | TN | 37762 | 620924706 | Operation of Hospital & Related Services | TN | 501(c)(3) | Line 3 | Adventist Hlth System Sunbelt Hlthcare Corp | 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 | |
| Memorial Hlth Systems Foundation Inc | |||||||||||
| 770 West Granada Blvd | Ormond Beach | FL | 32174 | 311771522 | Fund-raising for Tax-exempt hospital | FL | 501(c)(3) | Line 7 | 0 | ||
| Memorial Hlth Systems Inc | |||||||||||
| 301 Memorial Medical Parkway | Daytona Beach | FL | 32117 | 590973502 | Operation of Hospital & Related Services | FL | 501(c)(3) | Line 3 | Adventist Hlth SystemSunbelt Inc | Yes (1) | |
| Memorial Hospital - West Volusia Inc | |||||||||||
| 701 West Plymouth Avenue | Deland | FL | 32720 | 593256803 | Operation of Hospital & Related Services | FL | 501(c)(3) | Line 3 | Memorial Hlth Systems Inc | Yes (1) | |
| Memorial Hospital Flagler Inc | |||||||||||
| 60 Memorial Medical Parkway | Palm Coast | FL | 32164 | 592951990 | Operation of Hospital & Related Services | FL | 501(c)(3) | Line 3 | Memorial Hlth Systems Inc | Yes (1) | |
| Memorial Hospital Inc | |||||||||||
| 210 Marie Langdon Drive | Manchester | KY | 40962 | 610594620 | Operation of Hospital & Related Services | KY | 501(c)(3) | Line 3 | Adventist Hlth System Sunbelt Hlthcare Corp | Yes (1) | |
| Merriam Hlth Care Properties Inc | |||||||||||
| 9700 West 62nd Street | Merriam | KS | 66203 | 364595806 | Lease to Related Organization | KS | 501(c)(3) | Line 11c, 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) | |
| Metroplex Hospital Inc (11-6815) | |||||||||||
| 900 Hope Way | Altamonte Springs | FL | 32714 | 461256516 | Inactive | FL | 501(c)(3) | Line 3 | Adventist Hlth System Sunbelt Hlthcare Corp | Yes (1) | |
| Midwest Hlth Foundation | |||||||||||
| 120 North Oak Street | Hinsdale | IL | 60521 | 352230515 | Support of subsidiary Foundations | IL | 501(c)(3) | Line 11b, 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 9 | Sunbelt Hlth Care Centers Inc | Yes (1) | |
| Mission Strategies of Georgia Inc | |||||||||||
| 900 Hope Way | Altamonte Springs | FL | 32714 | 900866024 | Provision of support to the nursing home division | GA | 501(c)(3) | Line 11b, 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 11d, III-O | Adventist Hlth Mid-America Inc | Yes (1) | |
| North Regional EMS Inc (11-41615) | |||||||||||
| 188 Hospital Lane | Jellico | TN | 37762 | 262653616 | EMS Services | TN | 501(c)(3) | Line 9 | Jellico Community Hospital 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 11c, III-FI | 0 | ||
| 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 9 | 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 11c, 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) | |||||||||||
| 2525 S Downing Street | Denver | CO | 80210 | 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 9 | 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 9 | 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 11a, 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 11b, II | Sunbelt Hlth Care Centers Inc | Yes (1) | |
| Rocky Mountain Adventist Hlthcare Foundation (630 Year End) | |||||||||||
| 7995 E Prentice Ave 204 | Greenwood Village | CO | 80111 | 840745018 | Fund-raising for Tax-exempt hospital | CO | 501(c)(3) | Line 7 | 0 | ||
| Rollins Brook Community Care Corp | |||||||||||
| 2201 S Clear Creek Road | Killeen | TX | 76549 | 461656773 | Inactive | TX | 501(c)(3) | Line 11a, 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 11c, 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 11c, 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 9 | 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 11c, 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 11c, 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 11c, III-FI | Sunbelt Hlth Care Centers Inc | Yes (1) | |
| Southeast Volusia Healthcare Corp (421-123115) | |||||||||||
| 900 Hope Way | Altamonte Springs | FL | 32714 | 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 11a, 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 9 | 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 9 | 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 11b, II | Adventist Hlth System Sunbelt Hlthcare Corp | Yes (1) | |
| SunSystem Development Corp | |||||||||||
| 900 Hope Way | Altamonte Springs | FL | 32714 | 592219301 | Fund Raising for Affiliated Tax-Exempt Hospitals | FL | 501(c)(3) | Line 7 | Adventist Hlth System Sunbelt Hlthcare Corp | Yes (1) | |
| Takoma Regional Hospital Inc (630 Year End) | |||||||||||
| 401 Takoma Ave | Greeneville | TN | 37743 | 510603966 | Operation of Hospital & Related Services | TN | 501(c)(3) | Line 3 | Adventist Hlth SystemSunbelt Inc | Yes (1) | |
| TAKOMA REGIONAL HOSPITAL Foundation INC | |||||||||||
| 401 Takoma Ave | Greeneville | TN | 37743 | 471334302 | Fund Raising for Affiliated Tax-Exempt Hospital | TN | 501(c)(3) | Line 7 | Takoma Regional Hospital Inc | Yes (1) | |
| Tarpon Springs Hospital Foundation Inc | |||||||||||
| 1395 S Pinellas Ave | Tarpon Springs | FL | 34689 | 590898901 | Operation of Hospital & Related Services | FL | 501(c)(3) | Line 3 | University Community Hospital Inc | Yes (1) | |
| Tarrant County Hlth Care Properties Inc | |||||||||||
| 301 Huguley Blvd | Burleson | TX | 76028 | 510605677 | Lease to Related Organization | GA | 501(c)(3) | Line 11c, 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 11c, 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 11c, 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 11c, III-FI | 0 | ||
| TRI-COUNTY NURSING AND REHAB Center Inc | |||||||||||
| 485 North Keller Road 250 | Maitland | FL | 32751 | 472219363 | Operation of Home for the Aged/Hlthcare Delivery | FL | 501(c)(3) | Line 9 | 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 9 | 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 11a, I | 0 | ||
| University Community Hospital Specialty Care Inc | |||||||||||
| 3100 E Fletcher Ave | Tampa | FL | 33613 | 593231322 | Inactive | FL | 501(c)(3) | Line 11a, 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 11c, 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 9 | 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 9 | Sunbelt Hlth Care Centers Inc | Yes (1) | |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (9 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Direct Controlling NADirectControllingNACd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Predominant Income TypePredominantIncomeTypeTxt | Share Of Total IncomeShareOfTotalIncomeAmt | Share Of EOY AssetsShareOfEOYAssetsAmt | Disproportionate AllocationsDisproportionateAllocationsInd | General Or Managing PartnerGeneralOrManagingPartnerInd | OwnershipOwnershipPct |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Clear Creek MOB Ltd | ||||||||||||||
| 2201 S Clear Creek Rd | Killeen | TX | 76549 | 742609195 | Real Estate | TX | N/A | |||||||
| Endoscopy Center at Porter LLC | ||||||||||||||
| 1001 South Park Drive | Littleton | CO | 80120 | 205855038 | Medical Services | CO | N/A | |||||||
| Florida Hospital DMERT LLC | ||||||||||||||
| 2450 Maitland Center Pkwy Ste 200 | Maitland | FL | 32751 | 202392253 | Medical Equipment | FL | N/A | |||||||
| FLORIDA HOSPITAL HOME INFUSION LLP | ||||||||||||||
| 2450 Maitland Center Pkwy Ste 200 | Maitland | FL | 32751 | 593142824 | Home Infusion Services | FL | N/A | |||||||
| Functional Neurosurgical Ambulatory Surgery Center LLC | ||||||||||||||
| 777 S Williams St | Denver | CO | 80209 | 464426708 | Surgery Center | CO | N/A | |||||||
| PAHSLarkin Ventures LLC | ||||||||||||||
| 188 Inverness Dr West 500 | Englewood | CO | 80112 | 474211060 | Medical Services | CO | N/A | |||||||
| PAHSUSP Surgery Centers LLC | ||||||||||||||
| 15305 Dallas Pkwy Ste 1600 LB 28 | Addison | TX | 75010 | 263057950 | Medical Services | CO | N/A | |||||||
| San Marcos MRI LP | ||||||||||||||
| 1330 Wonder World Dr Ste 202 | San Marcos | TX | 78666 | 770597972 | Imaging & Testing | TX | Adventist Hlth SystemSunbelt Inc | Related | $430,705 | $394,293 | 0 | 0 | 0.60000 | |
| Shawnee Mission Open MRI LLC | ||||||||||||||
| 9100 W 74th Street Box 2923 | Shawnee Mission | KS | 66201 | 270011796 | Imaging & Testing | KS | N/A | |||||||
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (20 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Entity TypeEntityTypeTxt | Share Of Total IncomeShareOfTotalIncomeAmt | Share Of EOY AssetsShareOfEOYAssetsAmt | OwnershipOwnershipPct | Controlled OrganizationControlledOrganizationInd | Direct Controlling NADirectControllingNACd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Altamonte Medical Plaza Condominium Association Inc | |||||||||||||
| 601 East Rollins Street | Orlando | FL | 32803 | 592855792 | Condo Association | FL | Adventist Hlth SystemSunbelt Inc | C | $126,937 | $54,741 | 0.59000 | 0 | |
| Apopka Medical Plaza Condominium Association Inc | |||||||||||||
| 601 East Rollins Street | Orlando | FL | 32803 | 593000857 | Condo Association | FL | Adventist Hlth SystemSunbelt Inc | C | $33,468 | $24,698 | 0.89000 | 0 | |
| CC MOB Inc | |||||||||||||
| 2201 S Clear Creek Road | Killeen | TX | 76549 | 742616875 | Real Estate Rental | TX | C | 0 | N/A | ||||
| Central Texas Medical Associates | |||||||||||||
| 1301 Wonder World Drive | San Marcos | TX | 78666 | 742729873 | Inactive | TX | Adventist Hlth SystemSunbelt Inc | C | 1.00000 | 0 | |||
| Central Texas Provider's Network | |||||||||||||
| 1301 Wonder World Drive | San Marcos | TX | 78666 | 742827652 | Physician Hospital Org. | TX | Adventist Hlth SystemSunbelt Inc | C | $156,027 | $83,544 | 1.00000 | 0 | |
| Florida Hospital Flagler Medical Offices Association Inc | |||||||||||||
| 60 Memorial Medical Parkway | Palm Coast | FL | 32164 | 262158309 | Condo Association | FL | C | 0 | N/A | ||||
| FLORIDA HOSP HLTH VILLAGE PROPERTY OWNER'S ASSOC INC EIN applied for | |||||||||||||
| 550 E Rollins Street 7th Floor | Orlando | FL | 32803 | Condo Association | FL | Adventist Hlth SystemSunbelt Inc | C | 1.00000 | 0 | ||||
| Florida Hospital Healthcare System Inc | |||||||||||||
| 602 Courtland Street | Orlando | FL | 32804 | 593215680 | PHSO | FL | Adventist Hlth SystemSunbelt Inc | C | $1,244,734 | $19,159,342 | 1.00000 | 0 | |
| Florida Medical Plaza Condo Association Inc | |||||||||||||
| 601 East Rollins Street | Orlando | FL | 32803 | 592855791 | Condo Association | FL | Adventist Hlth SystemSunbelt Inc | C | $541,907 | $945,482 | 0.78000 | 0 | |
| Florida Memorial Health Network Inc | |||||||||||||
| 770 W Granada Blvd Ste 317 | Ormond Beach | FL | 32174 | 593403558 | Physician Hospital Org. | FL | C | 0 | N/A | ||||
| Kissimmee Multispecialty Clinic Condominium Association Inc | |||||||||||||
| 201 Hilda Street Suite 30 | Kissimmee | FL | 34741 | 593539564 | Condo Association | FL | Adventist Hlth SystemSunbelt Inc | C | $58,774 | 0.54400 | 0 | ||
| Lake County Health Care Properties Inc (end 123115) | |||||||||||||
| 485 North Keller Road Ste 250 | Maitland | FL | 32751 | 472179868 | Real Estate Rental | FL | C | 0 | N/A | ||||
| Midwest Management Services Inc | |||||||||||||
| 9100 West 74th Street | Shawnee Mission | KS | 66204 | 480901551 | Inactive | KS | C | 0 | N/A | ||||
| North American Health Services Inc & Sub | |||||||||||||
| 900 Hope Way | Altamonte Springs | FL | 32714 | 621041820 | Lessor/Holding Co. | TN | C | 0 | N/A | ||||
| ORMOND PROF Associates CONDO ASSOC'N Inc (430 YR END) | |||||||||||||
| 770 W Granada Blvd Ste 101 | Ormond Beach | FL | 32174 | 592694434 | Condo Association | FL | C | 0 | N/A | ||||
| Park Ridge Property Owner's Association Inc | |||||||||||||
| 1 Park Place Naples Road | Fletcher | NC | 28732 | 030380531 | Condo Association | NC | C | 0 | N/A | ||||
| PORTER AFF HLTH SVCS INC DBA DIVERSIFIED AFF HLTH SVCS | |||||||||||||
| 2525 S Downing Street | Denver | CO | 80210 | 840956175 | Healthcare Services | CO | C | 0 | N/A | ||||
| San Marcos Regional MRI Inc | |||||||||||||
| 1301 Wonder World Drive | San Marcos | TX | 78666 | 770597968 | Holding Company | TX | Adventist Hlth SystemSunbelt Inc | C | $15,203 | $15,606 | 1.00000 | 0 | |
| The Garden Retirement Community Inc | |||||||||||||
| 485 North Keller Road Ste 250 | Maitland | FL | 32751 | 593414055 | Real Estate Rental | FL | C | 0 | N/A | ||||
| Winter Park Medical Office Building I Condo Assoc Inc | |||||||||||||
| 601 East Rollins Street | Orlando | FL | 32803 | 452228478 | Condo Association | FL | Adventist Hlth SystemSunbelt Inc | C | $164,972 | $31,333 | 0.52000 | 0 | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | Yes (1) | 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 | Yes (1) | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | Yes (1) | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | Yes (1) | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (1) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | 0 | SharingOfFacilitiesInd |
| Paid Employees Sharing | 0 | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (1) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (1) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | Yes (1) | TransferToOtherOrgInd |
| Transfer From Other Org | Yes (1) | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (99 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| Adventist Health System Sunbelt Healthcare Corporation | ||
| B | $16,124,994 | Actual Amount Given |
| Adventist Health System Sunbelt Healthcare Corporation | ||
| C | $382,920 | Actual Amount Received |
| Adventist Health System Sunbelt Healthcare Corporation | ||
| M | $25,810,756 | % of Facility's Operating Exp |
| Adventist Health System Sunbelt Healthcare Corporation | ||
| P | $247,173,849 | Cost |
| Adventist Health System Sunbelt Healthcare Corporation | ||
| Q | $40,961,000 | Cost |
| Adventist Health System Sunbelt Healthcare Corporation | ||
| R | $100,000,000 | Actual Amount Given |
| Adventist Health System Sunbelt Healthcare Corporation dba AHSIS | ||
| M | $12,707,903 | % of Facility's Operating Exp |
| Adventist Health System Sunbelt Healthcare Corporation dba AHSIS | ||
| P | $766,483 | Cost |
| Adventist Health System Sunbelt Healthcare Corp dba Sunbelt Medical Mgmt | ||
| A | $88,496 | FMV Rental Rate |
| Adventist Health System Sunbelt Healthcare Corp dba Sunbelt Medical Mgmt | ||
| P | $114,439 | Cost |
| Adventist Health System Sunbelt Healthcare Corp dba Sunbelt Medical Mgmt | ||
| Q | $10,157 | Cost |
| Adventist Bolingbrook Hospital | ||
| Q | $90,689 | Cost |
| Adventist Care Centers Courtland Inc | ||
| B | $1,081,775 | Actual Amount Given |
| Adventist Health Partners Inc | ||
| L | $319,039 | Cost Plus Appropriate % |
| Adventist Health Partners Inc | ||
| P | $265,055 | Cost |
| Adventist Health Partners Inc | ||
| Q | $1,489,062 | Internally Alloc Settlement |
| Adventist Health Partners Inc | ||
| Q | $17,928 | Cost |
| Adventist Health Partners Inc | ||
| R | $10,006,212 | Actual Amount Given |
| Adventist Health System Georgia Inc | ||
| L | $462,253 | Cost |
| Adventist Health System Georgia Inc | ||
| Q | $634,079 | Internally Alloc Settlement |
| Adventist University of Health Sciences Inc | ||
| A | $2,716,896 | FMV Rental Rate |
| Adventist University of Health Sciences Inc | ||
| Q | $20,493,113 | Cost |
| Adventist University of Health Sciences Inc | ||
| R | $5,187,555 | Actual Amount Given |
| AHSCentral Texas Inc | ||
| K | $138,947 | Cost |
| AHS Midwest Management Inc | ||
| L | $62,835 | Cost |
| AHS Midwest Management Inc | ||
| P | $52,678 | Cost |
| Central Texas Healthcare Collaborative | ||
| B | $1,314,013 | Actual Amount Given |
| Central Texas Medical Center Foundation | ||
| B | $81,687 | Actual Amount Given |
| Central Texas Medical Center Foundation | ||
| C | $2,880,626 | Actual Amount Received |
| Central Texas Providers Network | ||
| Q | $64,532 | Cost |
| Cobb Medical Associates LLC | ||
| Q | $73,496 | Internally Alloc Settlement |
| East Orlando Health & Rehab Center Inc | ||
| B | $1,897,625 | Actual Amount Given |
| Emory-Adventist Inc | ||
| C | $650,000 | Actual Amount Received |
| Fletcher Hospital Inc | ||
| L | $154,501 | Cost |
| Fletcher Hospital Inc | ||
| Q | $10,597,284 | Internally Alloc Settlement |
| FLNC Inc | ||
| B | $3,727,625 | Actual Amount Given |
| Florida Hospital DMERT LLC | ||
| P | $119,714 | Cost |
| Florida Hospital Healthcare System Inc | ||
| A | $228,332 | FMV Rental Rate |
| Florida Hospital Healthcare System Inc | ||
| Q | $9,272,937 | Cost |
| Florida Hospital Medical Group Inc | ||
| A | $8,738,624 | FMV Rental Rate |
| Florida Hospital Medical Group Inc | ||
| B | $20,813,335 | Actual Amount Given |
| Florida Hospital Medical Group Inc | ||
| K | $393,923 | FMV Rental Rate |
| Florida Hospital Medical Group Inc | ||
| L | $78,045 | Cost Plus Appropriate % |
| Florida Hospital Medical Group Inc | ||
| M | $90,549,142 | Cost Plus Appropriate % |
| Florida Hospital Medical Group Inc | ||
| P | $5,068,878 | Cost |
| Florida Hospital Medical Group Inc | ||
| Q | $52,237,713 | Internally Alloc Settlement |
| Florida Hospital Medical Group Inc | ||
| Q | $9,713,087 | Cost |
| Florida Hospital Medical Group Inc | ||
| R | $73,072,519 | Actual Amount Given |
| Florida Hospital Waterman Inc | ||
| L | $1,102,678 | Cost |
| Florida Hospital Waterman Inc | ||
| Q | $113,342 | Cost |
| Florida Hospital Zephyrhills Inc | ||
| L | $154,876 | Cost |
| Florida Hospital Zephyrhills Inc | ||
| Q | $2,241,281 | Internally Alloc Settlement |
| Florida Hospital Zephyrhills Inc | ||
| Q | $11,762 | Cost |
| Hospice of the Comforter Inc | ||
| B | $2,000,000 | Actual Amount Given |
| Hospice of the Comforter Inc | ||
| K | $226,648 | Cost |
| Hospice of the Comforter Inc | ||
| Q | $632,036 | Cost |
| Jellico Community Hospital Inc | ||
| L | $171,983 | Cost |
| Memorial Health Systems Inc | ||
| K | $127,346 | Cost |
| Memorial Health Systems Inc | ||
| L | $333,316 | Cost |
| Memorial Health Systems Inc | ||
| Q | $17,156,237 | Internally Alloc Settlement |
| Memorial Health Systems Inc | ||
| Q | $134,091 | Cost |
| Memorial Hospital - Flagler Inc | ||
| L | $121,367 | Cost |
| Memorial Hospital - Flagler Inc | ||
| Q | $24,680,278 | Internally Alloc Settlement |
| Memorial Hospital - Flagler Inc | ||
| Q | $14,654 | Cost |
| Memorial Hospital - West Volusia Inc | ||
| L | $99,028 | Cost |
| Memorial Hospital - West Volusia Inc | ||
| Q | $265,866 | Internally Alloc Settlement |
| Memorial Hospital - West Volusia Inc | ||
| Q | $34,602 | Cost |
| Memorial Hospital Inc | ||
| L | $62,467 | Cost |
| Metroplex Hospital | ||
| P | $107,336 | Cost |
| Pasco-Pinellas Hillsborough Community Health System Inc | ||
| L | $695,328 | Cost |
| Princeton Professional Services Inc (PPS) | ||
| A | $244,561 | FMV Rental Rate |
| Princeton Professional Services Inc (PPS) | ||
| P | $255,129 | Cost |
| San Marcos MRI LP | ||
| A | $17,807 | FMV Rental Rate |
| Shawnee Mission Medical Center Inc | ||
| L | $269,109 | Cost |
| Shawnee Mission Medical Center Inc | ||
| Q | $519,620 | Cost |
| South Central Inc | ||
| C | $149,651 | Actual Amount Received |
| Southwest Volusia Healthcare Corporation | ||
| L | $112,667 | Cost |
| Southwest Volusia Healthcare Corporation | ||
| Q | $402,288 | Internally Alloc Settlement |
| Southwest Volusia Healthcare Corporation | ||
| Q | $123,267 | Cost |
| Specialty Physicians of Central Texas Inc | ||
| B | $3,290,877 | Actual Amount Given |
| Specialty Physicians of Central Texas Inc | ||
| Q | $3,827,120 | Internally Alloc Settlement |
| Specialty Physicians of Central Texas Inc | ||
| R | $3,827,120 | Actual Amount Given |
| Sunbelt Health & Rehab Center Apopka Inc | ||
| B | $967,675 | Actual Amount Given |
| Sunbelt Health Care Centers Inc | ||
| A | $306,711 | FMV Rental Rate |
| Sunbelt Health Care Centers Inc | ||
| H | $1,377,000 | FMV |
| SunSystem Development Corporation | ||
| B | $5,049,344 | Actual Amount Given |
| SunSystem Development Corporation | ||
| C | $5,569,656 | Actual Amount Received |
| SunSystem Development Corporation | ||
| L | $463,558 | Cost |
| SunSystem Development Corporation | ||
| Q | $3,394,699 | Cost |
| SunSystem Development Corporation | ||
| R | $5,270,650 | Actual Amount Given |
| Tarpon Springs Hospital Foundation Inc | ||
| L | $61,386 | Cost |
| Tarpon Springs Hospital Foundation Inc | ||
| Q | $146,402 | Internally Alloc Settlement |
| Tarpon Springs Hospital Foundation Inc | ||
| Q | $20,418 | Cost |
| Texas Health Huguley | ||
| P | $789,183 | Cost |
| University Community Hospital Inc | ||
| B | $7,900,000 | Actual Amount Given |
| University Community Hospital Inc | ||
| L | $1,218,779 | Cost |
| University Community Hospital Inc | ||
| P | $220,638 | Cost |
| University Community Hospital Inc | ||
| Q | $195,556 | Internally Alloc Settlement |
| University Community Hospital Inc | ||
| Q | $262,183 | Cost |