2025-11-17T16:58:58-06:00 2024-12-31 990 2024-01-01 480637331 SHAWNEE MISSION MEDICAL CENTER INC SHAW 9136762000 9100 W 74TH STREET SHAWNEE MISSION KS 66204 LYNN C ADDISCOTT ASSISTANT SECRETARY 9136762153 2025-10-28 0 2024 2025-03-06 01:10:19Z ADVENTHEALTH SHAWNEE MISSION ALAN VERRILL MD 9100 W 74TH STREET SHAWNEE MISSION KS 66204 738671667 0 1071 X ADVENTHEALTH.COM/HOSPITAL/ADVENTHEALTH-SHAWNEE X 1956 KS THE PROVISION OF MEDICAL CARE TO THE COMMUNITY THROUGH THE OPERATION OF A 504 BED HOSPITAL. 19 11 4688 381 2433197 18844 1178497 1974803 633133776 721884728 3917724 14477495 342581 342581 638572578 738679607 1818443 2889710 0 0 296707651 317726995 0 0 0 303737124 346269269 602263218 666885974 36309360 71793633 993835927 1130926294 309294324 375783254 684541603 755143040 X ADVENTIST HEALTH SYSTEM SUNBELT HEALTHCARE CORPORATION AND ALL ITS SUBSIDIARY ORGANIZATIONS WERE ESTABLISHED BY THE SEVENTH-DAY ADVENTIST CHURCH TO BRING A MINISTRY OF HEALING AND HEALTH TO THE COMMUNITIES SERVED. OUR MISSION IS TO EXTEND THE HEALING MINISTRY OF CHRIST.THE HOSPITAL AND HEALTHCARE SYSTEM WHOSE PARENT IS ADVENTIST HEALTH SYSTEM SUNBELT HEALTHCARE CORPORATION IS KNOWN AS ADVENTHEALTH. ADVENTHEALTH SEEKS TO BE WIDELY RESPECTED AS A CONSUMER-FOCUSED ORGANIZATION THAT ENGAGES INDIVIDUALS IN THEIR HEALTH BY DELIVERING WHOLISTIC, BEST PRACTICE CARE ACROSS A CONNECTED, COMPREHENSIVE CONTINUUM OF SERVICES. WITH CHRIST AS OUR EXAMPLE, ADVENTHEALTH CARES FOR AND NURTURES PEOPLE: OUR EMPLOYEES, OUR COMMUNITIES, OUR HEALTHCARE PROFESSIONALS, AND THOSE WHO TRUST US FOR CARE AND HEALING. 0 0 601846260 2889710 719451531 OPERATION OF A 504-BED ACUTE CARE HOSPITAL. THERE WERE 18,819 PATIENT ADMISSIONS, 81,288 PATIENT DAYS, 275,912 OUTPATIENT VISITS, AND 535,299 PHYSICIAN PRACTICE PATIENT VISITS IN THE CURRENT YEAR. 601846260 1 1 0 1 0 0 0 0 0 1 1 0 0 0 1 1 0 1 0 0 1 1 0 0 0 0 1 1 1 0 1 0 0 0 0 0 0 0 1 0 0 0 0 0 1 1 1 0 0 1 X 0 0 1 4688 1 1 1 0 0 0 0 0 0 0 0 0 0 0 X 19 11 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 0 0 0 X STEPHANIE ROSENTRETER 9136762153 9100 W 74TH STREET SHAWNEE MISSION KS 66204 X HUENERGARDT SAM REGION CEO/TRUSTEE 42.00 8.00 X X 0 1543216 178312 RANDOLPH KARSTEN TRUSTEE/CFO AH MULTI-STATE 2.50 47.50 X 0 1644580 166436 VERRILL MD ALAN DIR/CEO (BEG 2/24) 50.00 0.00 X X 0 712607 147629 WITTEK MD REAGAN TRUSTEE 2.08 0.00 X 16649 0 0 CAUGHRON MD SAMUEL TRUSTEE 5.80 0.00 X 40034 0 0 THURBER GARY TRUSTEE 1.00 2.00 X 399 12988 0 VANDEVERE DAVID TRUSTEE 2.00 1.00 X 399 6796 0 CARLSON RONALD TRUSTEE 2.00 2.00 X 484 5918 0 BERNARD ROGER TRUSTEE 1.00 2.00 X 399 5682 0 CORIDAN T DEAN TRUSTEE (END 6/24) 1.00 1.00 X 0 6682 0 PISHNY LYLE TRUSTEE 1.00 1.00 X 399 0 0 MARSHALL-CHURA PHD PENNY TRUSTEE 1.00 0.00 X 399 0 0 CUSICK BARBARA TRUSTEE 1.00 0.20 X 399 0 0 WILLIAMS STEPHEN TRUSTEE 1.00 0.00 X 399 0 0 RODGERS TIMOTHY VICE CHAIRMAN 3.00 0.20 X 399 0 0 MADDUX GREG TRUSTEE 3.00 0.00 X 399 0 0 PROFFER MD ABIGAIL TRUSTEE 1.00 0.00 X 0 0 0 RIST TWYLA TRUSTEE 1.00 0.00 X 0 0 0 JAHN ANDREW DIR/CEO MULTI-STATE (BEG 4/24) 2.50 47.50 X 0 1591197 209932 ROCHHOLZ LEE TRUSTEE (BEG 9/24) 1.00 1.10 X 399 5482 0 POTHIN OWEN MAIRILISE CFO 50.00 0.00 X 0 491885 112034 HAYS MD LISA CMO (END 12/24) 40.00 10.00 X 0 591514 116646 FONTOURA DANIEL COO 50.00 0.00 X 0 513817 114734 SHELTON RAIMONDA CNO 50.00 0.00 X 0 349558 37783 AL CHEKAKIEMD M OBADAH PHYSICIAN 50.00 0.00 X 1652365 0 55192 HABIB MD AMMAR PHYSICIAN 50.00 0.00 X 1062299 0 53638 BIRIA MD MAZDA PHYSICIAN 50.00 0.00 X 1072957 0 51812 DHANIREDDYMD BHASWANTH PHYSICIAN 50.00 0.00 X 1783317 0 38016 BUTLER MD MATTHEW PHYSICIAN 50.00 0.00 X 1027451 0 54498 KNECHT MICHAEL FORMER OFFICER 45.00 5.00 X 0 1024483 30749 HEINRICH BILL FORMER OFFICER 42.00 8.00 X 0 738861 97804 6659546 9245266 1465215 501 1 1 0 GE JOHONSON CONSTRUCTION CO INC 8711 PENROSE LANE 300 LENEXA KS 66219 CONSTRUCTION 36201810 PT SOLUTIONS HOLDINGS LLC 1100 CIRCLE 7T PKWY 1400 ATLANTA GA 30339 THERAPY SERVICES 9832775 JE DUNN CONSTRUCTION COMPANY 4506 WORNALL RD KANSAS CITY MO 64111 CONSTRUCTION 7817825 MIDWEST ANESTHESIA ASSOCIATES PA 9100 W 74TH ST MERRIAM KS 66204 ANESTHESIA SERVICES 5778988 EXCEL CONSTRUCTORS INC 8041 W 47TH STREET OVERLAND PARK KS 66203 CONSTRUCTION 4738166 164 X 995489 979314 1974803 NET PATIENT REVENUE 622110 712404724 712404724 TIMESHARE/MOB 622110 2392374 2317010 75364 DAYCARE REVENUE 622110 1949664 1949664 CAFETERIA REVENUE 622110 1875785 1875785 PHARMACY 622110 1687303 56173 1631130 1574878 848175 726703 721884728 9533666 9533666 342581 0 342581 342581 342581 4649992 285897 0 -7940 4649992 293837 4943829 4943829 738679607 719451531 2433197 14820076 X 2539960 2539960 349750 349750 4586576 56683 4529893 239640021 237902710 1737311 9061552 8852511 209041 47742874 45888026 1854848 16695972 16310813 385159 784328 784328 128382 128382 1033529 1033529 90686319 59259928 31426391 4403989 4403989 10712699 5483841 5228858 30318166 28376709 1941457 17944914 17944914 1032294 423097 609197 382878 382878 1639605 1639605 31744454 31744454 9109544 14563 9094981 MEDICAL SUPPLIES 130666505 130666505 REPAIRS & MAINTENANCE 14403470 14403470 1278193 -11279 1289472 666885974 601846260 65039714 0 X 5469 6031 318072238 322276674 94188201 103905925 18911 74841 10210897 10604333 22281808 22559552 1039086976 415807206 497311507 623279770 7305165 7592326 2770218 3581662 41671513 37045180 993835927 1130926294 67926800 71316509 119467 103149 241248057 304363596 309294324 375783254 X 684541603 755143040 684541603 755143040 993835927 1130926294 X 71793633 -246659 -945537 X X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 27646 27646 0 PART II-B, LINE 1: DUES WERE PAID TO THE AMERICAN HOSPITAL ASSOCIATION AND KANSAS HOSPITAL ASSOCIATION. 6612715 296730 190195 515184 6584456 6822254 113727 159771 483037 6612715 6778139 109082 103036 168003 6822254 6639957 9769 178989 50576 6778139 6468663 32918 310064 171688 6639957 0.25186 0.74814 0 1 1 47966611 47966611 467412040 203861300 263550740 296238212 197727394 98510818 227470113 14218512 213251601 623279770 DUE TO RELATED 7913183 PAYABLE TO THIRD PARTIES 7387636 CREDIT BALANCES IN A/R 5527217 OTHER DEFERRED REVENUE 400039 ACCRUED INTEREST PAYABLE 47007 INTERCO ALLOC OF TE BOND PROCEEDS 244025737 DUE TO AFFILIATED 201214 OPERATING LEASE LIABILITY 21420857 OTHER LIABILITIES 17440706 304363596 X PART V, LINE 4: ADVENTHEALTH KANSAS CITY FOUNDATION, (AHKCF), A RELATED ORGANIZATION FORMED AND MAINTAINED EXCLUSIVELY TO FURTHER THE EXEMPT PURPOSE OF SHAWNEE MISSION MEDICAL CENTER, INC. (THE HOSPITAL), HELD ASSETS IN TEMPORARY ENDOWMENT AND PERMANENT ENDOWMENT FUNDS DURING THE CURRENT TAX YEAR. AHKCF'S ENDOWMENT CONSISTS OF INDIVIDUAL DONOR RESTRICTED ENDOWMENT FUNDS AND PLEDGES RECEIVABLE WHERE THE ASSETS HAVE BEEN DESIGNATED FOR ENDOWMENT. TEMPORARILY AND PERMANENTLY RESTRICTED ENDOWMENT FUNDS ARE INTENDED TO BENEFIT VARIOUS PROGRAMS AND DEPARTMENTS OF THE HOSPITAL AND ITS PATIENTS. PART X, LINE 2: THE FILING ORGANIZATION IS A SUBSIDIARY ORGANIZATION WITHIN ADVENTHEALTH. THE CONSOLIDATED FINANCIAL STATEMENTS OF ADVENTHEALTH CONTAIN THE FOLLOWING FIN 48 (ASC 740) FOOTNOTE: PLEASE NOTE THAT DOLLAR AMOUNTS ARE IN THOUSANDS. HEALTHCARE CORPORATION AND ITS AFFILIATED ORGANIZATIONS, OTHER THAN NORTH AMERICAN HEALTH SERVICES, INC. AND ITS SUBSIDIARY (NAHS), ARE EXEMPT FROM STATE AND FEDERAL INCOME TAXES. ACCORDINGLY, HEALTHCARE CORPORATION AND ITS TAX-EXEMPT AFFILIATES ARE NOT SUBJECT TO FEDERAL, STATE, OR LOCAL INCOME TAXES EXCEPT FOR ANY NET UNRELATED BUSINESS TAXABLE INCOME. NAHS IS A WHOLLY OWNED, FOR-PROFIT SUBSIDIARY OF HEALTHCARE CORPORATION. NAHS AND ITS SUBSIDIARY ARE SUBJECT TO FEDERAL AND STATE INCOME TAXES. NAHS FILES A CONSOLIDATED FEDERAL INCOME TAX RETURN AND, WHERE APPROPRIATE, CONSOLIDATED STATE INCOME TAX RETURNS. THE PROVISION FOR FEDERAL AND STATE INCOME TAX FOR THE YEARS ENDED DECEMBER 31, 2024 AND 2023 IS APPROXIMATELY $1,619 AND $1,140, RESPECTIVELY. THE INCOME TAXES TOPIC OF THE ACCOUNTING STANDARDS CODIFICATION (ASC) 740, INCOME TAXES (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, 2024 AND 2023. 1 SUB-SAHARAN AFRICA GRANTMAKING 162751 SOUTH AMERICA GRANTMAKING 186999 0 0 0 0 0 0 349750 0 349750 SOUTH AMERICA MEDICAL SUPPLIES AND EQUIPMENT 28227 ELECTRONIC FUNDS 0 BOOK 0 0 0 0 0 0 PART I, LINE 2: FOREIGN GRANTS ARE GENERALLY MADE TO ORGANIZATIONS WITHIN THE U.S. TO ASSIST WITH FUNDING FOR MISSION RELATED TRIPS WHOSE PURPOSE IS TO PROVIDE HEALTH CARE SERVICES IN FOREIGN LOCATIONS AND/OR CONSTRUCT AND BUILD HEALTH CARE FACILITIES IN FOREIGN LOCATIONS. THE U.S. ORGANIZATIONS SPONSORING THE HEALTH-RELATED MISSION TRIPS ARE OFTEN RELATED ORGANIZATIONS THAT ARE EXEMPT FROM FEDERAL INCOME TAX UNDER 501(C)(3) OR OTHER 501(C)(3) ORGANIZATIONS THAT ARE A PART OF THE GROUP EXEMPTION RULING ISSUED TO THE GENERAL CONFERENCE OF SEVENTH-DAY ADVENTISTS. ACCORDINGLY, THE FILING ORGANIZATION HAS NOT ESTABLISHED SPECIFIC PROCEDURES FOR MONITORING THE USE OF GRANT FUNDS OUTSIDE THE UNITED STATES AS THE FILING ORGANIZATION DOES NOT HAVE A GRANT MAKING PROGRAM THAT WOULD NECESSITATE SUCH PROCEDURES AND IS GENERALLY MAKING AN INDIRECT FOREIGN GRANT THROUGH ANOTHER U.S. CHARITABLE ORGANIZATION 1 1 X 1 X 250.000000000000 1 X 1 1 0 1 0 19264967 19264967 0.02890 34629403 22820181 11809222 0.01770 53894370 22820181 31074189 0.04660 1189962 1189962 0.00180 1189962 1189962 0.00180 55084332 22820181 32264151 0.04840 127418 127418 0.00020 2125 2125 0.00000 82975 82975 0.00010 62270 62270 0.00010 638224 638224 0.00100 913012 913012 0.00140 1 31298478 2594253 102030811 113475125 -11444314 X 1 1 1 SHAWNEE MISSION PRAIRIE STAR SURGERY CENTER LLC AMBULATORY SURGERY SERVICES 0.50000 0.00000 0.50000 2 SHAWNEE MISSION SURGERY CENTER LLC AMBULATORY SURGERY SERVICES 0.50000 0.00000 0.50000 1 1 ADVENTHEALTH SHAWNEE MISSION 9100 W 74TH STREET SHAWNEE MISSION KS 66204 WWW.ADVENTHEALTH.COM/HOSPITAL/ADVENTHE H-046-004 X X X X ADVENTHEALTH SHAWNEE MISSION 1 0 0 1 X X X X X X X X X 22 1 0 0 1 X SEE PART V, PAGE 8 X X 1 23 1 SEE PART V, PAGE 8 0 1 X 250.000000000000 400.000000000000 X X X X 1 1 X X X X 1 X SEE PART V, PAGE 8 X SEE PART V, PAGE 8 X SEE PART V, PAGE 8 X X X X X X 1 X 0 X X X X 1 X 0 0 ADVENTHEALTH SHAWNEE MISSION PART V, SECTION B, LINE 5: SHAWNEE MISSION MEDICAL CENTER., D/B/A ADVENTHEALTH SHAWNEE MISSION (AHSM OR THE HOSPITAL), DEFINES ITS COMMUNITY AS 34 ZIP CODES ENCOMPASSING PARTS OF THREE COUNTIES: JOHNSON, WYANDOTTE, AND LEAVENWORTH. IN CONDUCTING ITS 2022 COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA), AHSM COLLECTED INPUT FROM ORGANIZATIONS AND INDIVIDUALS THAT REPRESENTED THE BROAD INTERESTS OF THE COMMUNITY, WITH SPECIFIC REPRESENTATION FROM THOSE ORGANIZATIONS THAT REPRESENT THE INTERESTS OF THE MEDICALLY UNDERSERVED AND LOW-INCOME POPULATIONS IN THE HOSPITAL'S COMMUNITY. IN ORDER TO ENSURE BROAD COMMUNITY INPUT, AHSM PARTNERED WITH LOCAL COMMUNITY ORGANIZATIONS AND STAKEHOLDERS, INCLUDING THOSE IN PUBLIC HEALTH AND THOSE WHO REPRESENT THE INTERESTS OF MEDICALLY UNDERSERVED, LOW-INCOME AND MINORITY COMMUNITY MEMBERS, TO FORM A COMMUNITY HEALTH NEEDS ASSESSMENT COMMITTEE (CHNAC) TO GUIDE THE ASSESSMENT PROCESS INCLUDING THE FOLLOWING ORGANIZATIONS THAT FOCUS ON THESE INTERESTS.UNITED COMMUNITY SERVICES OF JOHNSON COUNTYUNIFIED GOVERNMENT OF WYANDOTTE COUNTY AND KANSAS CITY, KANSASCITY OF SHAWNEETRAILRIDGE MIDDLE SCHOOL PTACHURCH OF THE RESURRECTIONCOMMUNITY HEALTH COUNCIL OF WYANDOTTE COUNTY (CRADLE KC AND EVERY BABY TO 1)HEALTH PARTNERSHIPS CLINICS (FQHC)EL CENTROMERCY & TRUTH MEDICAL MISSIONS (SAFETY NET CLINICS)DOUBLE UP FOOD BUCKSJOHNSON COUNTY DEPARTMENT OF HEALTH AND ENVIRONMENTSHAWNEE MISSION SCHOOL DISTRICTJOHNSON COUNTY COMMISSION ON AGINGJEWISH FAMILY SERVICES OF KANSAS CITYADDITIONALLY, THE HOSPITAL COLLECTED INPUT DIRECTLY FROM THE COMMUNITY AND FROM STAKEHOLDERS THROUGH COMMUNITY HEALTH AND STAKEHOLDER SURVEYS. ADVENTHEALTH SHAWNEE MISSION PART V, SECTION B, LINE 7D: THE HOSPITAL HAS ADOPTED A POLICY THAT ADDRESSES THE PUBLIC POSTING REQUIREMENTS OF THE COMMUNITY HEALTH NEEDS ASSESSMENT. UNDER THIS POLICY, THE COMMUNITY HEALTH NEEDS ASSESSMENT REPORTS MUST BE POSTED ON THE HOSPITAL'S WEBSITE AT LEAST UNTIL THE DATE THE HOSPITAL FACILITY HAS MADE WIDELY AVAILABLE ON ITS WEBSITE ITS TWO SUBSEQUENT COMMUNITY HEALTH NEEDS ASSESSMENT REPORTS. THE HOSPITAL WILL ALSO MAKE A PAPER COPY OF ITS COMMUNITY HEALTH NEEDS ASSESSMENT REPORT AVAILABLE FOR PUBLIC INSPECTION UPON REQUEST AND WITHOUT CHARGE, AT LEAST UNTIL THE DATE THE HOSPITAL FACILITY HAS MADE AVAILABLE FOR PUBLIC INSPECTION ITS TWO SUBSEQUENT COMMUNITY HEALTH NEEDS ASSESSMENT REPORTS. ADVENTHEALTH SHAWNEE MISSION PART V, SECTION B, LINE 11: 2024 SCHEDULE H LINE 11 FOR SHAWNEE MISSION MEDICAL CENTER, INC. DBA ADVENTHEALTH SHAWNEE MISSIONSHAWNEE MISSION MEDICAL CENTER, INC. DBA ADVENTHEALTH SHAWNEE MISSION, WILL BE REFERRED TO IN THIS DOCUMENT AS ADVENTHEALTH SHAWNEE MISSION OR "THE HOSPITAL". THE HOSPITAL IS A WHOLLY OWNED SUBSIDIARY OF ADVENTIST HEALTH SYSTEM SUNBELT HEALTHCARE CORPORATION (AHSSHC). AHSSHC IS THE 501(C)(3) PARENT ORGANIZATION OF A HOSPITAL AND HEALTHCARE SYSTEM KNOWN AS ADVENTHEALTH.THIS IS THE SECOND-YEAR UPDATE FOR THE HOSPITAL'S 2023-2025 COMMUNITY HEALTH PLAN/IMPLEMENTATION STRATEGY. THE HOSPITAL DEVELOPED THIS PLAN AND POSTED IT IN MAY 2023 AS PART OF ITS 2022 COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS.FOR THE DEVELOPMENT OF BOTH THE COMMUNITY HEALTH NEEDS ASSESSMENT AND THE COMMUNITY HEALTH PLAN/IMPLEMENTATION STRATEGY, ADVENTHEALTH SHAWNEE MISSION WORKED TO DEFINE AND ADDRESS THE NEEDS OF LOW-INCOME, MINORITY AND UNDERSERVED POPULATIONS IN ITS SERVICE AREA. THE COMMUNITY HEALTH NEEDS ASSESSMENT USED PRIMARY DATA INTERVIEWS AND SURVEYS; SECONDARY DATA FROM LOCAL, REGIONAL, AND NATIONAL HEALTH-RELATED SOURCES; AND HOSPITAL PREVALENCE DATA TO HELP THE HOSPITAL DETERMINE THE HEALTH NEEDS OF THE COMMUNITY IT SERVES. ONCE THE DATA WAS GATHERED, THE HEALTH ISSUES IDENTIFIED IN THE COMMUNITY HEALTH NEEDS ASSESSMENT WERE PRIORITIZED BY COMMUNITY AND HOSPITAL STAKEHOLDERS, WHO THEN SELECTED KEY PRIORITIES FOR THE HOSPITAL TO ADDRESS IN ITS COMMUNITY HEALTH PLAN. THE SECOND-YEAR PROGRESS ON THE COMMUNITY HEALTH PLAN IS NOTED BELOW. THE NARRATIVE DESCRIBES THE PRIORITIES IDENTIFIED IN 2022 AND GIVES AN UPDATE ON THE STRATEGIES ADDRESSING THOSE PRIORITIZED NEEDS. THERE IS ALSO A DESCRIPTION OF THE IDENTIFIED NEEDS THAT THE HOSPITAL DID NOT PRIORITIZE TO ADDRESS.THE HOSPITAL'S CHOSEN PRIORITIES ARE LISTED BELOW.1. BEHAVIORAL HEALTH: MENTAL HEALTH AND DRUG MISUSE 2. NUTRITION AND HEALTHY EATING 3. PREVENTATIVE CARE AND SCREENINGSPRIORITY 1: BEHAVIORAL HEALTH: MENTAL HEALTH AND DRUG MISUSE2022 DESCRIPTION OF THE PRIORITY: IN THE HOSPITAL'S COMMUNITY, 19.3% OF RESIDENTS HAVE A PREVALENCE OF DEPRESSION, WHILE 12.7% OF THE RESIDENTS REPORT POOR MENTAL HEALTH. ACCORDING TO A COMMUNITY SURVEY, MORE THAN 25% OF RESPONDENTS HAVE BEEN DIAGNOSED WITH A DEPRESSIVE ORDER AND MORE THAN 26% HAVE BEEN DIAGNOSED WITH AN ANXIETY DISORDER. ALMOST 60% OF THE COMMUNITY AND STAKEHOLDERS SURVEYED DO NOT BELIEVE THE COMMUNITY IS GOOD AT TREATING MENTAL HEALTH. THERE IS ALSO A NEED TO ADDRESS DRUG MISUSE IN THE COMMUNITY. ACCORDING TO THE HOSPITAL'S COMMUNITY SURVEY, 36.8% OF RESPONDENTS REPORTED TAKING PRESCRIPTION MEDICATION FOR NON-MEDICAL REASONS, WHILE 33.3% BELIEVE THAT PEOPLE IN THE COMMUNITY ARE ADDICTED TO STREET DRUGS.2024 UPDATE:GOAL 1.1: IMPROVE ACCESS TO MENTAL AND BEHAVIORAL HEALTH SERVICES FOR ADULTS IN NEED OF TREATMENTOBJECTIVE 1.1.1: BY DECEMBER 31, 2025, THE HOSPITAL WILL INCREASE THE NUMBER OF INDIVIDUALS RECEIVING MENTAL AND BEHAVIORAL TREATMENT IN ADULTS FROM A BASELINE ESTABLISHED IN YEAR 1 BY 10%.IN 2024, ADVENTHEALTH SHAWNEE MISSION PROVIDED MENTAL AND SUBSTANCE MISUSE TREATMENT TO 1891 INDIVIDUALS. THIS IS 97% OF THE 2025 GOAL (1951) TO INCREASE THE NUMBER OF INDIVIDUALS RECEIVING TREATMENT BY 10% OF THE 2023 BASELINE, 1774. THE HOSPITAL WILL CONTINUE TO WORK TO INCREASE THEIR BASELINE. A NEW OUTPATIENT BEHAVIORAL HEALTH SPACE HAS BEEN RENOVATED, AND NEW PRACTITIONERS HAVE BEEN ONBOARDED. THE CENTER IS OPEN AND SEEING NEW PATIENTS WHILE OFFERING NEW SERVICES. COMMUNITY PARTNERS AND THE COMMUNITY AT LARGE WILL CONTINUE TO BE EDUCATED ON THE NEW SERVICES AVAILABLE. THE ADMINISTRATIVE DIRECTOR WILL PROVIDE UPDATED DATA AT THE END OF THE CALENDAR YEAR.OBJECTIVE 1.1.2: BY DECEMBER 31, 2025, THE HOSPITAL WILL INCREASE THE NUMBER OF INDIVIDUALS RECEIVING TREATMENT FOR THOSE WITH TREATMENT-RESISTIVE DEPRESSION IN ADULTS BY 6% FROM A BASELINE ESTABLISHED IN YEAR 1.IN 2024, ADVENTHEALTH SHAWNEE MISSION PROVIDED RESISTIVE DEPRESSION TREATMENT TO 41 INDIVIDUALS. THIS IS 92% OF THE 2025 GOAL (50) TO INCREASE THE NUMBER OF INDIVIDUALS RECEIVING TREATMENT BY 6% OF THE 2023 BASELINE, 47. THE HOSPITAL WILL CONTINUE TO WORK TO INCREASE THEIR BASELINE AND CONTINUE OFFERING NEXT-LEVEL CARE. GOAL 1.2: REDUCE OVERDOSES AND DEATHS FROM OPIOID MISUSEOBJECTIVE 1.2.1: BY DECEMBER 31, 2025, THE HOSPITAL WILL INCREASE THE NUMBER OF INDIVIDUALS RECEIVING TREATMENT FOR DRUG MISUSE BY 10% FROM A BASELINE ESTABLISHED IN YEAR ONE. IN 2023, THE HOSPITAL INCORRECTLY ESTABLISHED THE BASELINE AS THE NUMBER OF PEOPLE BEING ASSESSED INSTEAD OF THOSE WHO RECEIVED TREATMENT. THE TRUE BASELINE FOR THE NUMBER OF INDIVIDUALS RECEIVING TREATMENT IS 2,055 INDIVIDUALS. THE TARGET METRIC IS TO INCREASE THE NUMBER OF INDIVIDUALS RECEIVING TREATMENT TO 2,260, WHICH IS A 10% INCREASE FROM THE BASELINE. IN 2024, ADVENTHEALTH SHAWNEE MISSION PROVIDED DRUG MISUSE TREATMENT TO 1823 INDIVIDUALS. THIS IS 81% OF THE 2025 GOAL (2,260). THE DIRECTOR OF BEHAVIORAL HEALTH CONFIRMED THE HOSPITAL IS ON TRACK TO HIT THEIR GOALS.OBJECTIVE 1.2.2: THE HOSPITAL WILL PROVIDE PROFESSIONAL EXPERTISE AND SUPPORT FOR THE DEVELOPMENT AND IMPLEMENTATION OF THE JOHNSON COUNTY PREVENTION AND RECOVERY COALITION'S (JCTRC) PREVENTION AND EDUCATION STRATEGIES. BY DECEMBER 31, 2025, HOSPITAL LEADERSHIP AND STAFF WILL PROVIDE 54 HOURS OF PROFESSIONAL EXPERTISE TO THE COALITION. IN 2024, THE HOSPITAL CONTINUED THEIR ONGOING PARTICIPATION WITH THE JOHNSON COUNTY PREVENTION AND RECOVERY COALITION AND SUB-COMMITTEE MEETINGS. THE HOSPITAL ALSO PARTICIPATED IN THE JOHNSON COUNTY OPIOD SYMPOSIUM AND THE KANSAS CITY MENTAL HEALTH SUMMIT. BY THE END OF THE YEAR, THE HOSPITAL PROVIDED 46.5 HOURS OF EXPERTISE AND SUPPORT. THIS IS 86% OF THE 2025 GOAL TO PROVIDE 54 HOURS OF EXPERTISE AND SUPPORT.GOAL 1.3: REDUCE SUICIDE ATTEMPTS AND DEATHS IN HOSPITAL'S PRIMARY SERVICE AREAOBJECTIVE 1.3.1: BY DECEMBER 31, 2025, THE HOSPITAL WILL PROVIDE LEADERSHIP, PROFESSIONAL EXPERTISE AND FINANCIAL SUPPORT TO ASSIST JOHNSON COUNTY SUICIDE PREVENTION COALITION'S (JCSPC) GOAL TO REDUCE SUICIDE DEATHS BY 10% FROM A BASELINE OF 90 SUICIDE DEATHS IN 2021.ADVENTHEALTH SHAWNEE MISSION IS ON TRACK TO ACHIEVE THEIR TARGET OF REDUCING SUICIDE DEATHS ALONGSIDE THE JOHNSON COUNTY SUICIDE PREVENTION COALITION. THE COALITION SAVES AND SUPPORTS LIVES ALONGSIDE THEIR COMMUNITY PARTNERS, THROUGH AWARENESS, EDUCATION AND OUTREACH. THE HOSPITAL'S LEADERSHIP HAS PROVIDED 24 HOURS OF PARTICIPATION AND A $300 DONATION TO THE COALITION. THE OFFICIAL NUMBER OF SUICIDE DEATHS HAS NOT BEEN CONFIRMED BY THE JOHNSON COUNTY MEDICAL EXAMINER'S OFFICE; HOWEVER PRELIMINARY DATA INDICATES A DECREASE IN SUICIDE DEATHS FROM 2023 TO 2024.SEE CONTINUATION 2 SCHEDULE H, PART V SECTION B LINE 11 - CONTINUATION 2 OBJECTIVE 1.3.2: BY DECEMBER 31, 2025, THE HOSPITAL WILL FINANCIALLY SUPPORT REGIONAL MENTAL HEALTH EDUCATION AND CONFERENCES TO FURTHER THE KNOWLEDGE AND SKILLS OF 600 HEALTH PROFESSIONALS.IN 2024, ADVENTHEALTH SHAWNEE MISSION PROVIDED $1,500 TO THE KANSAS CITY METRO COUNCIL WITH 900 HEALTH PROFESSIONALS PRIMARILY PROVIDING MENTAL, BEHAVIORAL AND SOCIAL WORK SERVICES ATTENDING THE ANNUAL CONFERENCE. OBJECTIVE 1.3.3: BY DECEMBER 31, 2025, THE HOSPITAL WILL PROVIDE FREE NON-EMERGENT ASSESSMENTS TO EVALUATE SAFETY RISK AND COMMUNITY CRISIS PHONE LINE SUPPORT FOR 3,000 INDIVIDUALS.IN 2024, THE HOSPITAL PROVIDED 1,853 NON-EMERGENCY ASSESSMENTS TO EVALUATE SAFETY RISK AND COMMUNITY CRISIS PHONE LINE SUPPORT. BEHAVIORAL HEALTH TEAM LEADERS WILL CONTINUE TO PARTICIPATE IN THE JOHNSON COUNTY SUICIDE PREVENTION COALITION AND SUBCOMMITTEES. THE COALITION SAVES AND SUPPORTS LIVES ALONGSIDE THEIR COMMUNITY PARTNERS, THROUGH AWARENESS, EDUCATION AND OUTREACH.GOAL 1.4: INCREASE ACCESS TO RESOURCES SUPPORTING PARENTS AND ADULTS IN IDENTIFYING AND ADDRESSING EMOTIONAL AND BEHAVIORAL NEEDS IN CHILDREN.OBJECTIVE 1.4.1: BY DECEMBER 31, 2025, THE HOSPITAL WILL HOST AND / OR SPONSOR 15 PARENT EDUCATION EVENTS.IN 2024, THE HOSPITAL PARTICIPATED IN 11 EVENTS WHERE THEY PROVIDED PARENTING EDUCATION AND RESOURCES. THE EVENTS INCLUDED A COMMUNITY BABY SHOWER, RAISING KANSAS CITY KICK-OFF, THE SHAWNEE WELLNESS HUB, BACK TO SCHOOL NIGHT, AND COMMUNITY FAMILY NIGHTS. THE HOSPITAL WILL CONTINUE TO COLLABORATE WITH COMMUNITY PARTNERS TO IDENTIFY TOPICS AND PRESENTATIONS FOR PARENT EDUCATION EVENTS, AS WELL AS EFFECTIVE METRIC MEASUREMENTS. OBJECTIVE 1.4.2: BY DECEMBER 31, 2025, 75% OF THE PARTICIPANTS IN HOSPITAL SPONSORED PARENT EDUCATION EVENTS WILL REPORT INCREASED KNOWLEDGE OR CONFIDENCE IN PARENTING SKILLS.IN 2024, ADVENTHEALTH SHAWNEE MISSION HOSTED A WELLNESS PARENTING SERIES WITH 75% OF THE PARTICIPANTS REPORTING AN INCREASE IN KNOWLEDGE OR CONFIDENCE IN PARENTING SKILLS. ADVENTHEALTH SHAWNEE MISSION WILL CONTINUE TO EVALUATE PARTICIPANTS DURING FUTURE PARENT EDUCATION EVENTS ON INCREASED KNOWLEDGE AND CONFIDENCE IN PARENTING SKILLS.OBJECTIVE 1.4.3: BY DECEMBER 31, 2025, THE HOSPITAL WILL PROVIDE SUPPORT FOR 2,500 PARENTS OF CHILDREN (AGES 0-18) THROUGH GROUPS, INDIVIDUAL CONSULTS AND PARENTCARE PHONE SUPPORT LINE.IN 2024, ADVENTHEALTH SHAWNEE MISSION MADE 3,392 POINTS OF CONTACT WITH NEW MOTHERS ON TOPICS SUCH AS BREASTFEEDING AND POST-PARTUM DEPRESSION THROUGH THEIR PARENTCARE PROGRAM, PROVIDING COACHING, ADVICE, RESOURCES AND EDUCATION FROM EXPERTS FOR PARENTS AND CHILDREN.PRIORITY 2: NUTRITION AND HEALTHY EATING2022 DESCRIPTION OF THE PRIORITY: MORE THAN 41% OF COMMUNITY SURVEY RESPONDENTS REPORTED EATING FRUITS AND VEGETABLES LESS THAN TWO DAYS A WEEK. NUTRITION IS KNOWN TO BE A CRITICAL INFLUENCER OF HEALTH. HEALTHY EATING IMPROVES MATERNAL HEALTH AND HEALTH AT EVERY STAGE OF LIFE. IT BUILDS STRONGER IMMUNE SYSTEMS, LOWERS THE RISK OF CHRONIC DISEASES LIKE DIABETES AND CARDIOVASCULAR DISEASE, WHILE INCREASING LONGEVITY.2024 UPDATE:GOAL 2.1: THE HOSPITAL WILL ADVANCE HEALTH CARE KNOWLEDGE AND IMPROVE HEALTH OUTCOMES BY PARTICIPATING IN THE MID-AMERICA REGIONAL COUNCIL'S THREE-YEAR PRODUCE PRESCRIPTION RESEARCH PROGRAM.OBJECTIVE 2.1.1: BY DECEMBER 31, 2025, IDENTIFY AND ENROLL 45 PATIENTS WHO ARE FOOD INSECURE WITH PRE-HYPERTENSION OR PRE-DIABETES INTO THE PRODUCE PRESCRIPTION RESEARCH PROGRAM.IN 2024, ADVENTHEALTH SHAWNEE MISSION HAD 13 PARTICIPANTS COMPLETE THE FOOD INSECURITY PROGRAM. THE HOSPITAL IS PUTTING PLANS IN PLACE TO INCREASE PARTICIPATION IN 2025. THE ADVENTHEALTH MEDICAL GROUP WILL CONTINUE TO IDENTIFY AND INVITE FOOD INSECURE PATIENTS THAT ARE EITHER PRE-DIABETIC OR PRE-HYPERTENSIVE TO PARTICIPATE IN THE PROGRAM. THEY WILL ALSO CONTINUE TO ADMINISTER THE PROGRAM IN PARTNERSHIP WITH MID-AMERICA REGIONAL COUNCIL (MARC). MARC IS A VOLUNTARY ASSOCIATION OF LOCAL GOVERNMENTS CONVENING PARTNERS AND COORDINATING PLANNING EFFORTS ON A WIDE RANGE OF ISSUES IMPORTANT TO THEIR LOCAL COMMUNITIES. IDENTIFYING AND MAINTAINING PARTICIPATION HAS BEEN A CHALLENGE DUE TO CONFIDENTIALITY, TRANSPORTATION, AND TIME BARRIERS. THE HOSPITAL HAS BEEN UTILIZING TWO SOCIAL WORKERS TO ENCOURAGE PATIENT PARTICIPATION.OBJECTIVE 2.1.2: BY DECEMBER 31, 2025, PARTICIPANTS IN THE PRODUCE PRESCRIPTION RESEARCH PROGRAM WILL INCREASE THEIR KNOWLEDGE BY 5 POINTS FROM A PRE-TO-POST 6-MONTHS TEST.IN 2024, PARTICIPANTS IN THE PROGRAM INDICATED THEY HAD INCREASED THEIR KNOWLEDGE BASED ON PRE AND POST ASSESSMENT. MID-AMERICA REGIONAL COUNCIL (MARC), A VOLUNTARY ASSOCIATION OF LOCAL GOVERNMENTS CONVENING PARTNERS AND COORDINATING PLANNING EFFORTS ON A WIDE RANGE OF ISSUES IMPORTANT TO THEIR LOCAL COMMUNITIES, SERVED AS A SURVEY PARTNER. ADVENTHEALTH SHAWNEE MISSION WILL CONTINUE TO PROVIDE TESTING TO THEIR PROGRAM PARTICIPANTS TO TRACK INCREASED KNOWLEDGE.OBJECTIVE 2.1.3: BY DECEMBER 31, 2025, PARTICIPANTS IN THE PRODUCE PRESCRIPTION RESEARCH PROGRAM WILL INCREASE THEIR CONSUMPTION OF FRUITS AND VEGETABLES BY 20%. IN 2024, ALL PARTICIPANTS OF THE PRODUCE PRESCRIPTION RESEARCH PROGRAM INDICATED THEY HAD INCREASED THEIR CONSUMPTION OF FRUITS AND VEGETABLES. ALL 13 PARTICIPANTS WHO COMPLETED THE PROGRAM INDICATED THEY HAD INCREASED THEIR CONSUMPTION OF FRUITS AND VEGETABLES.SEE CONTINUATION 3 SCHEDULE H, PART V SECTION B LINE 11 - CONTINUATION 3 GOAL 2.2: IMPROVE HEALTH BY INCREASING ACCESS TO HEALTH-PROMOTING FOODS AND NUTRITION EDUCATION.OBJECTIVE 2.2.1: BY DECEMBER 31, 2024, 2,500 FAMILIES SEEKING FOOD ASSISTANCE WILL RECEIVE HEALTH-PROMOTING FOOD AND EDUCATIONAL INFORMATION ON NUTRITION'S ROLE IN CHRONIC DISEASE. IN 2024, ADVENTHEALTH SHAWNEE MISSION CONTINUED TO PARTNER WITH RENEWED HOPE FOOD PANTRY, PROVIDING HEALTH-PROMOTING FOOD AND EDUCATIONAL INFORMATION ON NUTRITION'S ROLE IN CHRONIC DISEASE TO COMMUNITY MEMBERS IN THE HOSPITAL'S PRIMARY SERVICE AREA. THROUGH THIS PARTNERSHIP, 1,882 INDIVIDUALS FROM 504 FAMILIES WERE SERVED. OBJECTIVE 2.2.2: BY DECEMBER 31, 2024, 125 LOW-INCOME INDIVIDUALS WILL PARTICIPATE IN PARTNER-LED EVIDENCE-BASED PROGRAMS.IN 2024, 61 COMMUNITY MEMBERS PARTICIPATED IN THE HEALTHY HEART AMBASSADORS AND DINING WITH DIABETES EVIDENCE-BASED PROGRAMS. THESE PROGRAMS WERE IN COLLABORATION WITH JOHNSON COUNTY HEALTH DEPARTMENT AND WYANDOTTE COUNTY HEALTH. THE HOSPITAL HAS SURPASSED THEIR GOAL OF 125 PARTICIPANTS.OBJECTIVE 2.2.3: BY DECEMBER 31, 2024, 50% OF PARTICIPANTS IN PARTNER-LED EVIDENCE-BASED PROGRAMS WILL REPORT AN INCREASED CONSUMPTION OF FRUITS AND VEGETABLES.IN 2024, 100% OF CHRONIC DISEASE PROGRAM PARTICIPANTS REPORTED AN INCREASED CONSUMPTION OF FRUITS AND VEGETABLES AFTER COMPLETION OF THE PROGRAM. PRIORITY 3: PREVENTATIVE CARE AND SCREENINGS2022 DESCRIPTION OF THE PRIORITY: ACCORDING TO COMMUNITY SURVEY RESPONDENTS, 33.5% ARE NOT AWARE OF WHAT PREVENTATIVE SCREENINGS ARE NEEDED. PUBLIC DATA SHOWS THAT LESS THAN 40% OF COMMUNITY SENIORS ARE UP TO DATE ON NECESSARY CORE PREVENTATIVE SERVICES. PREVENTATIVE CARE HAS BEEN SHOWN TO REDUCE THE RISK OF DISEASE, DISABILITIES AND DEATH. PREVENTATIVE CARE ALSO IMPROVES HEALTH OUTCOMES, QUALITY OF LIFE AND CAN DECREASE AN INDIVIDUAL'S COST OF CARE OVER TIME THROUGH EARLY DETECTION.2024 UPDATE:GOAL 3.1: IMPROVE PREGNANCY OUTCOMES BY IMPROVING ACCESS TO PRENATAL AND POSTNATAL CARE THROUGH MATERNAL COMMUNITY HEALTH WORKER (CHW) INITIATIVEOBJECTIVE 3.1.1: BY DECEMBER 31, 2025, INCREASE SCREENINGS FOR BLOOD PRESSURE AND GESTATIONAL DIABETES AMONG LOW-INCOME AND MINORITY EXPECTING MOMS BY 10% FROM A BASELINE ESTABLISHED IN 2023. THE HOSPITAL HAS IMPROVED PREGNANCY OUTCOMES BY INCREASING SCREENINGS FOR BLOOD PRESSURE AND GESTATIONAL DIABETES AMONG LOW-INCOME AND MINORITY EXPECTING MOMS BY PROVIDING BLOOD PRESSURE CUFFS AND EDUCATION THROUGH OUR MATERNAL COMMUNITY HEALTH WORKERS INITIATIVE. SINCE 2023, THE HOSPITAL HAS HAD 20 SCREENINGS AND DISTRIBUTED 400 BLOOD PRESSURE CUFFS TO LOW-INCOME MINORITY EXPECTING MOTHERS.OBJECTIVE 3.1.2: BY DECEMBER 31, 2025, INCREASE THE NUMBER OF LOW-INCOME AND MINORITY FAMILIES RECEIVING CHILDBIRTH, BREAST FEEDING AND INFANT CARE EDUCATION BY 10% FROM A BASELINE ESTABLISHED IN 2023.ADVENTHEALTH SHAWNEE MISSION WILL INCREASE THE FAMILIES RECEIVING EDUCATION BY 10% BY WORKING WITH OB/GYN OFFICES TO ENGAGE COMMUNITY HEALTH WORKERS EARLY IN A PATIENT'S PREGNANCY. BY THE END OF 2024, THE HOSPITAL HAD REACHED 117 FAMILIES.GOAL 3.2: IMPROVE HEALTH BY PROVIDING HEALTH SCREENINGS, IMMUNIZATIONS, AND EDUCATIONOBJECTIVE 3.2.1: BY DECEMBER 31, 2025, IN PARTNERSHIP WITH LOCAL FOOD DISTRIBUTION PARTNERS, THE HOSPITAL WILL PROVIDE 250 SCREENINGS FOR HYPERTENSION OR DIABETES AMONG LOW-INCOME ADULTS LIVING IN THE HOSPITAL'S SERVICE AREA.IN 2024, THE HOSPITAL CONDUCTED 25 HYPERTENSION SCREENINGS AT A COMMUNITY EVENT. IN 2024, THE HOSPITAL COLLABORATED WITH THE KANSAS CITY HEALTH DEPARTMENT AND PROVIDED BLOOD-PRESSURE SCREENINGS TO 25 COMMUNITY MEMBERS. AT THIS EVENT, THREE ADULTS AND TWO CHILDREN WERE REFERRED TO THE FQHC FOR FOLLOW UP BASED ON THE RESULT OF THE SCREENING. THE HOSPITAL HAS CONDUCTED 146 SCREENINGS AS OF DECEMBER 2024.OBJECTIVE 3.2.2: BY DECEMBER 31, 2025, THE HOSPITAL WILL INCREASE PARTICIPATION AND COMPLETION OF PARTNER-LED EVIDENCE-BASED PROGRAMS FOR HYPERTENSION AND DIABETES AMONG LOW-INCOME INDIVIDUALS BY FUNDING SELF-MONITORING BLOOD PRESSURE CUFFS AND FRESH PRODUCE AS INCENTIVES FOR 90 PARTICIPANTS.IN 2024, THE HOSPITAL PROVIDED A TOTAL OF 110 BLOOD PRESSURE CUFFS AS INCENTIVES FOR PROGRAM PARTICIPANTS. THE HOSPITAL ALSO PROVIDED FUNDING TO JOHNSON COUNTY HEALTH DEPARTMENT FOR THE PURCHASE OF PRODUCE. THE JOHNSON COUNTY HEALTH DEPARTMENT RAN THE HEALTHY HEART AMBASSADOR PROGRAM, AN EVIDENCE-BASED HYPERTENSION AND DIABETES PROGRAM. THE PROGRAM HAD 91 PARTICIPANTS IN 2024.SEE CONTINUATION 4 SCHEDULE H, PART V SECTION B LINE 11 - CONTINUATION 4 OBJECTIVE 3.2.3: THE HOSPITAL WILL INCREASE PATIENT CAPACITY FOR SAFETY NET CLINICS BY 250 PATIENTS EACH YEAR THROUGH FINANCIAL SUPPORT AND PATIENT REFERRALS.IN 2024, THE HOSPITAL PROVIDED $ 10,000 TO MERCY & TRUTH AND $3,000 TO HEALTH PARTNERSHIP CLINIC. MERCY AND TRUTH HEALTHCARE MINISTRY IS AN ORGANIZATION PROVIDING A HEALTHCARE HOME FOR A WORLD IN NEED, HELPING THEM RESTORE THEIR BODIES, RENEW THEIR MINDS AND REFRESH THEIR SOULS THROUGH TRANSFORMATIONAL, COMPASSIONATE, CHRISTIAN CARE. THE HEALTH PARTNERSHIP CLINIC IS DEDICATED TO IMPROVING THE HEALTH OF THE COMMUNITIES THEY SERVE THROUGH THE PROVISION OF HIGH QUALITY, AFFORDABLE, ACCESSIBLE AND CULTURALLY APPROPRIATE CARE TO ALL INDIVIDUALS REGARDLESS OF ABILITY TO PAY.PRIORITIES NOT ADDRESSED BY THE HOSPITAL:THE COMMUNITY HEALTH NEEDS ASSESSMENT IDENTIFIED MULTIPLE HEALTH NEEDS THROUGH THE COLLECTION OF PRIMARY AND SECONDARY DATA. AFTER REVIEWING THE DATA, THE HOSPITAL AND COMMUNITY STAKEHOLDERS CONDUCTED A PRIORITIZATION PROCESS. LISTED BELOW ARE THE PRIORITIES NOT ADDRESSED AND THE REASON WHY THEY WERE NOT SELECTED TO BE ADDRESSED.1. HEALTH INSURANCE AND ACCESS: THE HOSPITAL BELIEVES THAT OTHER ORGANIZATIONS ARE BETTER POSITIONED IN THE COMMUNITY TO ADDRESS THIS AND WILL SUPPORT THOSE EFFORTS WHEN ABLE IN THE COMMUNITY HEALTH PLAN THROUGH THE PREVENTATIVE CARE AND SCREENINGS PRIORITY.2. FOOD INSECURITY: THE HOSPITAL BELIEVES THAT OTHER ORGANIZATIONS ARE BETTER POSITIONED IN THE COMMUNITY TO ADDRESS THIS NEED DIRECTLY AND WILL SUPPORT THOSE EFFORTS WHEN ABLE IN THE COMMUNITY HEALTH PLAN THROUGH THE NUTRITION AND HEALTHY EATING PRIORITY.3. CARDIOVASCULAR DISEASE HYPERTENSION: THE HOSPITAL DID NOT SELECT HYPERTENSION AS A PRIORITY, AS IT IS NOT POSITIONED TO DIRECTLY ADDRESS THIS IN THE COMMUNITY AT LARGE. THE HOSPITAL DID CHOOSE NUTRITION AND HEALTHY EATING HOWEVER KNOWING THAT HOW INDIVIDUAL EATS IS AN INTEGRAL STEP IN TREATING HYPERTENSION AND HOPES TO HAVE AN INDIRECT IMPACT THROUGH THESE EFFORTS.4. DIABETES: THE HOSPITAL DID NOT SELECT DIABETES AS A PRIORITY, AS IT IS NOT POSITIONED TO DIRECTLY ADDRESS THIS IN THE COMMUNITY AT LARGE. THE HOSPITAL DID CHOOSE NUTRITION AND HEALTHY EATING HOWEVER KNOWING THAT HOW INDIVIDUAL EATS IS A FACTOR IN DIABETES AND HOPES TO HAVE AN INDIRECT IMPACT ON DIABETES THROUGH THESE EFFORTS.5. PREGNANCY AND MATERNAL HEALTH: THE HOSPITAL DID NOT SELECT PREGNANCY AND MATERNAL HEALTH AS A PRIORITY BUT WILL SUPPORT OTHER COMMUNITY PARTNERS WHERE POSSIBLE IN THEIR EFFORTS. THE HOSPITAL DID CHOOSE PREVENTATIVE CARE AND SCREENINGS, HOWEVER, KNOWING THAT PREVENTIVE CARE IS AN IMPORTANT FACTOR IN MATERNAL HEALTH AND MATERNAL HEALTH OUTCOMES AND HOPES TO HAVE AN INDIRECT IMPACT THROUGH THESE EFFORTS.6. HOUSING: THE NEED FOR SAFE AND AFFORDABLE HOUSING IN THE COMMUNITY IS SIGNIFICANT, HOWEVER THE HOSPITAL DID NOT PERCEIVE THE ABILITY TO HAVE A MEASURABLE IMPACT ON THE ISSUE WITHIN THE THREE YEARS ALLOTTED FOR THE FOR THE COMMUNITY HEALTH PLAN WITH THE CURRENT RESOURCES AVAILABLE TO THE COMMUNITY AND THE HOSPITAL AT THIS TIME. SCHEDULE H, PART V SECTION B LINES 7A AND 10A: LINE 7A. THE CHNA REPORT CAN BE FOUND AT URL:HTTPS://WWW.ADVENTHEALTH.COM/COMMUNITY-HEALTH-NEEDS-ASSESSMENTSLINE 10A. THE HOSPITAL'S MOST RECENTLY ADOPTED IMPLEMENTATION STRATEGY CAN BE FOUND AT:HTTPS://WWW.ADVENTHEALTH.COM/COMMUNITY-HEALTH-NEEDS-ASSESSMENTS SCHEDULE H, PART V, LINE 16A, 16B, AND 16C LINE 16ATHE FINANCIAL ASSISTANCE POLICY CAN BE FOUND AT THE FOLLOWING WEBSITE: HTTPS://WWW.ADVENTHEALTH.COM/LEGAL/FINANCIAL-ASSISTANCELINE 16BTHE FINANCIAL ASSISTANCE POLICY APPLICATION CAN BE FOUND AT THE FOLLOWING WEBSITE: HTTPS://WWW.ADVENTHEALTH.COM/LEGAL/FINANCIAL-ASSISTANCELINE 16CTHE PLAIN LANGUAGE SUMMARY CAN BE FOUND AT THE FOLLOWING WEBSITE: HTTPS://WWW.ADVENTHEALTH.COM/LEGAL/FINANCIAL-ASSISTANCE 30 1 - ADVENTHEALTH SURGERY CENTER SHAWNEE MISSIO 9301 W 74TH ST SUITE 300 MERRIAM KS 66204 SURGERY CENTER 2 - ADVENTHEALTH SURGERY CENTER PRAIRIE STAR 23401 PRAIRIE STAR PARKWAY LENEXA KS 66227 SURGERY CENTER 3 - ADVENTHEALTH MEDICAL GROUP PRIMARY CARE AT 7450 KESSLER STREET SUITE 300 MERRIAM KS 66204 PRIMARY CARE 4 - ADVENTHEALTH MEDICAL GROUP CARDIOLOGY AT S 9119 W 74TH STREET SUITE 350 MERRIAM KS 66204 MEDICAL GROUP 5 - ADVENTHEALTH MEDICAL GROUP PRIMARY CARE AT 7025 COLLEGE BLVD OVERLAND PARK KS 66211 PRIMARY CARE 6 - ADVENTHEALTH MEDICAL GROUP PRIMARY CARE AT 23351 PRAIRIE STAR PARKWAY SUITE A245 LENEXA KS 66227 PRIMARY CARE 7 - ADVENTHEALTH MEDICAL GROUP PRIMARY CARE AT 4921 W 18TH STREET LAWRENCE KS 66047 PRIMARY CARE 8 - ADVENTHEALTH MEDICAL GROUP ENDOCRINOLOGY A 7450 KESSLER STREET SUITE 203 MERRIAM KS 66204 MEDICAL GROUP 9 - CENTRA CARE OLATHE 14744 W 119TH STREET OLATHE KS 66062 URGENT CARE 10 - ADVENTHEALTH MEDICAL GROUP PRIMARY CARE AT 8700 BOURGADE SUITE 2 LENEXA KS 66219 PRIMARY CARE 11 - ADVENTHEALTH MEDICAL GROUP PULMONOLOGY AT 7450 KESSLER STREET SUITE 204 MERRIAM KS 66204 MEDICAL GROUP 12 - CENTRA CARE SM PKWY 11245 SHAWNEE MISSION PARKWAY SHAWNEE KS 66203 URGENT CARE 13 - ADVENTHEALTH MEDICAL GROUP NEUROLOGY AT SH 7450 KESSLER STREET SUITE 205 MERRIAM KS 66204 MEDICAL GROUP 14 - ADVENTHEALTH MEDICAL GROUP INTERNAL MEDICI 7840 W 165TH STREET SUITE 210 OVERLAND PARK KS 66223 PRIMARY CARE 15 - ADVENTHEALTH MEDICAL GROUP PRIMARY CARE AT 7501 MISSION RD SUITE 103 PRAIRIE VILLAGE KS 66208 PRIMARY CARE 16 - CENTRA CARE OVERLAND PARK 9099 W 135TH STREET OVERLAND PARK KS 66221 URGENT CARE 17 - ADVENTHEALTH MEDICAL GROUP NEUROSURGERY AT 7450 KESSLER STREET SUITE 202 MERRIAM KS 66204 MEDICAL GROUP 18 - ADVENTHEALTH MEDICAL GROUP PSYCHIATRY AT S 7301 E FRONTAGE ROAD MERRIAM KS 66204 MEDICAL GROUP 19 - ADVENTHEALTH MEDICAL GROUP PRIMARY CARE AT 7840 W 165TH STREET SUITE 160 OVERLAND PARK KS 66223 PRIMARY CARE 20 - ADVENTHEALTH IMAGING CENTER 5675 ROE BLVD ROELAND PARK KS 66205 IMAGING CENTER 21 - ADVENTHEALTH MEDICAL GROUP GENERAL SURGERY 7450 KESSLER STREET SUITE 201 MERRIAM KS 66204 MEDICAL GROUP 22 - ADVENTHEALTH MEDICAL GROUP PRIMARY CARE AT 6240 W 135TH STREET SUITE 150 OVERLAND PARK KS 66223 PRIMARY CARE 23 - ADVENTHEALTH MEDICAL GROUP PRIMARY CARE AT 22450 S HARRISON STREET SUITE 100 SPRING HILL KS 66083 PRIMARY CARE 24 - ADVENTHEALTH MEDICAL GROUP PRIMARY CARE AT 8960 COMMERCE DR SUITE 4E DE SOTO KS 66018 PRIMARY CARE 25 - ADVENTHEALTH MEDICAL GROUP MULTISPECIALTY 7840 W 165TH STREET SUITE 260 OVERLAND PARK KS 66223 MEDICAL GROUP 26 - ADVENTHEALTH MEDICAL GROUP CARDIOVASCULAR 9119 W 74TH STREET SUITE 350 MERRIAM KS 66204 MEDICAL GROUP 27 - ADVENTHEALTH MEDICAL GROUP CARDIOLOGY AT C 7025 COLLEGE BLVD SUITE 300 OVERLAND PARK KS 66211 MEDICAL GROUP 28 - ADVENTHEALTH MEDICAL GROUP PRIMARY CARE AT 705 BAPTISTE DR PAOLA KS 66071 PRIMARY CARE 29 - AVENTHEALTH FERTILITY CENTER 9119 W 74TH STREET SUITE 268 MERRIAM KS 66204 MEDICAL GROUP 30 - ADVENTHEALTH MEDICAL GROUP CARDIOLOGY AT L 1004 PROGRESS DRIVE SUITE 130 LANSING KS 66043 MEDICAL GROUP PART I, LINE 3C: UNDER THE HOSPITAL FACILITY'S FINANCIAL ASSISTANCE POLICY, AN INDIVIDUAL IS ELIGIBLE FOR A 100% REDUCTION FROM APPLICABLE CHARGES IF THE INDIVIDUAL'S HOUSEHOLD INCOME IS AT OR BELOW 250% OF THE CURRENT FEDERAL POVERTY GUIDELINES (FPG). UNINSURED PATIENTS WITH HOUSEHOLD INCOMES THAT EXCEED 250% OF THE FPG BUT ARE LESS THAN 401% ARE GRANTED A 98% DISCOUNT ON APPLICABLE BALANCES. INSURED PATIENTS WITH OUT-OF-POCKET BALANCES WITH HOUSEHOLD INCOMES BETWEEN 250% AND 400% OF THE FPG MAY RECEIVE A 75% DISCOUNT FROM APPLICABLE CHARGES. ALTERNATIVELY, A PATIENT MAY ALSO QUALIFY FOR A 100% REDUCTION FROM CHARGES WHEN THE UNPAID PORTION OF A PATIENT'S BILL EXCEEDS 25% OF THE INDIVIDUAL'S ANNUAL HOUSEHOLD INCOME AND THE PATIENT'S TOTAL ANNUAL HOUSEHOLD INCOME DOES NOT EXCEED 400% OF FPG. MEDICARE RECIPIENTS MAY ALSO BE ELIGIBLE FOR FINANCIAL ASSISTANCE UNDER THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY DEPENDING UPON THE INDIVIDUAL'S INCOME AND RESOURCES. RESOURCES ARE GENERALLY DEFINED AS ASSETS SUCH AS MONEY IN CHECKING OR SAVINGS ACCOUNTS, STOCKS, AND BONDS. PART I, LINE 6A: THE FILING ORGANIZATION WAS A WHOLLY OR PARTIALLY 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 33 TAX-EXEMPT 501(C)(3) HOSPITAL ORGANIZATIONS AND OTHER SUBSIDIARY HEALTH CARE ORGANIZATIONS THAT OPERATED IN 12 STATES WITHIN THE U.S. THE SYSTEM OF ORGANIZATIONS UNDER THE CONTROL AND OWNERSHIP OF AHSSHC IS KNOWN AS "ADVENTHEALTH".ALL HOSPITAL ORGANIZATIONS WITHIN ADVENTHEALTH COLLECT, CALCULATE, AND REPORT THE COMMUNITY BENEFITS THEY PROVIDE TO THE COMMUNITIES THEY SERVE. ADVENTHEALTH ORGANIZATIONS EXIST SOLELY TO IMPROVE AND ENHANCE THE LOCAL COMMUNITIES THEY SERVE. ADVENTHEALTH HAS A SYSTEM-WIDE COMMUNITY BENEFITS ACCOUNTING POLICY THAT PROVIDES GUIDELINES FOR ITS HEALTH CARE PROVIDER ORGANIZATIONS TO CAPTURE AND REPORT THE COSTS OF SERVICES PROVIDED TO THE UNDERPRIVILEGED AND TO THE BROADER COMMUNITY. EACH ADVENTHEALTH HOSPITAL FACILITY REPORTS THEIR COMMUNITY BENEFITS TO THEIR BOARD OF DIRECTORS AND STRIVES TO COMMUNICATE THEIR COMMUNITY BENEFITS TO THEIR LOCAL COMMUNITIES. ADDITIONALLY, THE FILING ORGANIZATION'S MOST RECENTLY CONDUCTED COMMUNITY HEALTH NEEDS ASSESSMENT AND ASSOCIATED IMPLEMENTATION STRATEGY CAN BE ACCESSED ON THE FILING ORGANIZATION'S WEBSITE. 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: SHAWNEE MISSION MEDICAL CENTER (THE HOSPITAL) IS INVOLVED WITH AND SUPPORTIVE OF VARIOUS OTHER COMMUNITY AGENCIES IN ITS SERVICE AREA THAT WORK COLLABORATIVELY TO HELP THOSE IN NEED AND TO IMPROVE THE HEALTH AND SAFETY OF THE RESIDENTS OF THE COMMUNITY. THE HOSPITAL PARTICIPATES WITH A NUMBER OF OTHER COMMUNITY ORGANIZATIONS TO ADDRESS THE HEALTHCARE NEEDS OF THE COMMUNITY, SUCH AS THE HEALTH PARTNERSHIP OF JOHNSON COUNTY WHO SPECIALIZES IN TREATING LOW INCOME PERSONS. IN ADDITION TO OFFERING NUMEROUS CLASSES AND A SPIRITUAL WELLNESS PROGRAM, THE HOSPITAL IS SUPPORTIVE OF OTHER HEALTH AND WELLNESS EVENTS CURRENTLY CONDUCTED IN ITS COMMUNITY, SUCH AS THE AMERICAN HEART ASSOCIATION HEART WALK. THE HOSPITAL ALSO PROVIDES FINANCIAL SUPPORT AND ASSISTANCE TO OTHER COMMUNITY GROUPS THROUGH THE PROVISION OF GRANTS TO ORGANIZATIONS, SUCH AS THE SHAWNEE MISSION EDUCATION FOUNDATION AND BLUE VALLEY EDUCATION FOUNDATION. PART III, SECTION A, 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, SECTION A, 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:UNINSURED AND INSURED PATIENTS MAY APPLY FOR FINANCIAL ASSISTANCE BY COMPLETING A FINANCIAL ASSISTANCE APPLICATION FORM (FAA FORM). IF AN UNINSURED INDIVIDUAL DOES NOT SUBMIT A COMPLETED FAA FORM WITHIN 240 DAYS OF RECEIVING THEIR FIRST POST-DISCHARGE BILLING STATEMENT, THEY MAY STILL BE CONSIDERED FOR PRESUMPTIVE ELIGIBILITY. THIS DETERMINATION CAN BE MADE THROUGH THE USE OF THIRD-PARTY SCORING TOOLS, WHICH CLASSIFY PATIENTS INTO GROUPS BASED ON ECONOMIC MEANS. USING THE SCORING RESULTS, INDIVIDUALS MAY BE DEEMED ELIGIBLE FOR FINANCIAL ASSISTANCE. IN SUCH CASES, A PERCENTAGE OF THEIR ACCOUNT BALANCE CAN BE DISCOUNTED IN ACCORDANCE WITH THE FILING ORGANIZATION'S FINANCIAL ASSISTANCE POLICY. DEPENDING ON THE DETERMINATION, A NOMINAL PORTION OF THE PATIENT'S BILL MAY BE WRITTEN OFF AS BAD DEBT EXPENSE, WHILE THE REMAINING BALANCE IS CLASSIFIED AS CHARITY. THE AMOUNT CATEGORIZED AS BAD DEBT EXPENSE FOR PATIENTS WHO QUALIFY UNDER PRESUMPTIVE ELIGIBILITY GUIDELINES IS REPORTED ON LINE 3 OF SECTION A IN PART III.THE FILING ORGANIZATION RECOGNIZES THAT SOME PATIENTS MAY FACE BARRIERS THAT PREVENT THEM FROM COMPLETING AN APPLICATION WITHIN THE 240-DAY FINANCIAL ASSISTANCE PERIOD. THESE BARRIERS MAY INCLUDE LACK OF COOPERATION OR EXTENUATING CIRCUMSTANCES BEYOND THE PATIENT'S CONTROL. TO ADDRESS SUCH SITUATIONS, THE FILING ORGANIZATION PARTNERS WITH AN INTERNAL REVENUE CODE SECTION 501(C)(3) THIRD-PARTY ORGANIZATION TO FORGIVE DEBT ONCE A PATIENT'S ACCOUNT HAS COMPLETED THE BAD DEBT PROCESS. THIS ENSURES THAT INDIVIDUALS FACING GENUINE HARDSHIP STILL HAVE ACCESS TO FINANCIAL RELIEF, EVEN IF THEY ARE UNABLE TO COMPLY FULLY WITH THE FORMAL FAA PROCESS.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 ONE OR MORE 24/7 EMERGENCY ROOM(S) PROVIDING CARE TO ALL WHOM PRESENT. WHEN A PATIENT'S ARRIVAL AND/OR ADMISSION TO THE FACILITY BEGINS WITHIN THE EMERGENCY DEPARTMENT, TRIAGE AND MEDICAL SCREENING ARE ALWAYS COMPLETED PRIOR TO REGISTRATION STAFF PROCEEDING WITH THE DETERMINATION OF A PATIENT'S SOURCE OF PAYMENT. IF THE PATIENT REQUIRES ADMISSION AND CONTINUED NON-ELECTIVE CARE, THE FILING ORGANIZATION PROVIDES THE NECESSARY CARE REGARDLESS OF THE PATIENT'S ABILITY TO PAY. THE FILING ORGANIZATION'S OPERATION OF A 24/7 EMERGENCY DEPARTMENT THAT ACCEPTS ALL INDIVIDUALS IN NEED OF CARE PROMOTES THE HEALTH OF THE COMMUNITY THROUGH THE PROVISION OF CARE TO ALL WHOM PRESENT. CURRENT INTERNAL REVENUE SERVICE GUIDANCE THAT TAX-EXEMPT HOSPITALS MAINTAIN SUCH EMERGENCY ROOMS WAS ESTABLISHED TO ENSURE THAT EMERGENCY CARE WOULD BE PROVIDED TO ALL WITHOUT DISCRIMINATION. THE TREATMENT OF ALL AT THE FILING ORGANIZATION'S EMERGENCY DEPARTMENT IS A COMMUNITY BENEFIT. UNDER THE FILING ORGANIZATION'S FINANCIAL ASSISTANCE POLICY, EVERY EFFORT IS MADE TO OBTAIN A PATIENT'S NECESSARY FINANCIAL INFORMATION TO DETERMINE ELIGIBILITY FOR FINANCIAL ASSISTANCE. HOWEVER, NOT ALL PATIENTS WILL COOPERATE WITH SUCH EFFORTS AND A FINANCIAL ASSISTANCE ELIGIBILITY DETERMINATION CANNOT BE MADE BASED UPON INFORMATION SUPPLIED BY THE INDIVIDUAL. IN THIS CASE, A PATIENT'S PORTION OF A BILL THAT REMAINS UNPAID FOR A CERTAIN STIPULATED TIME PERIOD IS WHOLLY OR PARTIALLY CLASSIFIED AS BAD DEBT. BAD DEBTS ASSOCIATED WITH PATIENTS WHO HAVE RECEIVED CARE THROUGH THE FILING ORGANIZATION'S EMERGENCY DEPARTMENT SHOULD BE CONSIDERED COMMUNITY BENEFIT AS CHARITABLE HOSPITALS EXIST TO PROVIDE SUCH CARE IN PURSUIT OF THEIR PURPOSE OF MEETING THE NEED FOR EMERGENCY MEDICAL CARE SERVICES AVAILABLE TO ALL IN THE COMMUNITY. PART III, SECTION A, LINE 4: FINANCIAL STATEMENT FOOTNOTE RELATED TO ACCOUNTS RECEIVABLE AND ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS:THE FINANCIAL INFORMATION OF THE FILING ORGANIZATION IS INCLUDED IN A CONSOLIDATED AUDITED FINANCIAL STATEMENT FOR THE CURRENT YEAR.THE APPLICABLE FOOTNOTE FROM THE ATTACHED CONSOLIDATED AUDITED FINANCIAL STATEMENTS THAT ADDRESSES ACCOUNTS RECEIVABLE, THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS, AND THE PROVISION FOR BAD DEBTS CAN BE FOUND ON PAGES 8-10. PLEASE NOTE THAT DOLLAR AMOUNTS ON THE ATTACHED CONSOLIDATED AUDITED FINANCIAL STATEMENTS ARE IN THOUSANDS. PART III, SECTION B, 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. SUPPLEMENTAL SCHEDULE TO SCHEDULE H, PART III, SECTION B, LINE 8: RECONCILIATION OF SCHEDULE H REPORTED MEDICARE SURPLUS/(SHORTFALL) TO UNREIMBURSED MEDICARE COSTS ASSOCIATED WITH THE PROVISION OF SERVICESTO ALL MEDICARE BENEFICIARIES:THE MEDICARE REVENUE AND ALLOWABLE COSTS OF CARE REPORTED IN SECTION B OF PART III OF SCHEDULE H ARE BASED UPON THE AMOUNTS REPORTED IN THE FILING ORGANIZATION'S MEDICARE COST REPORT IN ACCORDANCE WITH THE IRS INSTRUCTIONS FOR SCHEDULE H. ON AN ANNUAL BASIS, THE FILING ORGANIZATION ALSO DETERMINES ITS TOTAL UNREIMBURSED COSTS ASSOCIATED WITH PROVIDING SERVICES TO ALL MEDICARE PATIENTS. UNREIMBURSED COSTS ARE CONSIDERED A COMMUNITY BENEFIT TO THE ELDERLY AND ARE COMBINED INTO AN ANNUAL COMMUNITY BENEFIT STATEMENT PREPARED BY ADVENTHEALTH. 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 ALL MEDICARE PATIENTS ARE AS FOLLOWS:- MEDICARE SURPLUS/(SHORTFALL) SHOWN ON LINE 7 OF SECTION B OF SCHEDULE H: $ (11,444,314)- DIFFERENCE IN COSTING METHODOLOGY: (29,611,092)- UNREIMBURSED COSTS INCURRED FOR SERVICES PROVIDED TO MEDICARE PATIENTS THAT ARE NOT INCLUDED IN THE ORGANIZATION'S MEDICARE COST REPORT: (53,214,578) -------------TOTAL UNREIMBURSED COSTS OF SERVING ALL MEDICARE PATIENTS PER THE FILING ORGANIZATION'S COMMUNITY BENEFIT REPORTING: $(94,269,984) 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 III, SECTION C, LINE 9B: COLLECTION POLICIES:THE HOSPITAL FILING ORGANIZATION'S COLLECTION PRACTICES ARE IN CONFORMITY WITH THE REQUIREMENTS SET FORTH IN THE 2014 FINAL REGULATIONS REGARDING THE REQUIREMENTS OF INTERNAL REVENUE CODE SECTION 501(R)(4)-(R)(6). NO EXTRAORDINARY COLLECTION ACTIONS (ECA'S) ARE INITIATED BY THE HOSPITAL FILING ORGANIZATION IN THE 120-DAY PERIOD FOLLOWING THE DATE AFTER THE FIRST POST-DISCHARGE BILLING STATEMENT IS SENT TO THE INDIVIDUAL (OR, IF LATER, THE SPECIFIED DEADLINE GIVEN IN A WRITTEN NOTICE OF ACTIONS THAT MAY BE TAKEN, AS DESCRIBED BELOW). INDIVIDUALS ARE PROVIDED WITH AT LEAST ONE WRITTEN NOTICE (NOTICE OF ACTIONS THAT MAY BE TAKEN) AND A COPY OF THE FILING ORGANIZATION'S PLAIN LANGUAGE SUMMARY OF THE FINANCIAL ASSISTANCE POLICY THAT INFORMS THE INDIVIDUAL THAT THE HOSPITAL FILING ORGANIZATION MAY ENGAGE IN CERTAIN SPECIFIC ECAS, INCLUDING THE SELLING OF DEBT TO A THIRD PARTY, IF THE INDIVIDUAL DOES NOT SUBMIT A FINANCIAL ASSISTANCE APPLICATION FORM (FAA FORM) OR PAY THE AMOUNT DUE BY A SPECIFIED DEADLINE. THE SPECIFIED DEADLINE IS NOT EARLIER THAN 120 DAYS AFTER THE FIRST POST-DISCHARGE BILLING STATEMENT IS SENT TO THE INDIVIDUAL AND IS AT LEAST 30 DAYS AFTER THE NOTICE IS PROVIDED. A REASONABLE ATTEMPT IS ALSO MADE TO ORALLY NOTIFY AN INDIVIDUAL ABOUT THE FILING ORGANIZATION'S FINANCIAL ASSISTANCE POLICY AND HOW THE INDIVIDUAL MAY OBTAIN ASSISTANCE WITH THE FINANCIAL ASSISTANCE APPLICATION PROCESS. IF AN INDIVIDUAL SUBMITS AN INCOMPLETE FAA FORM DURING THE 240-DAY PERIOD FOLLOWING THE DATE ON WHICH THE FIRST POST-DISCHARGE BILLING STATEMENT WAS SENT TO THE INDIVIDUAL, THE HOSPITAL FILING ORGANIZATION SUSPENDS ANY ECA'S AND PROVIDES A WRITTEN NOTICE TO THE INDIVIDUAL DESCRIBING WHAT ADDITIONAL INFORMATION OR DOCUMENTATION IS NEEDED TO COMPLETE THE FAA FORM. THIS WRITTEN NOTICE CONTAINS CONTACT INFORMATION INCLUDING THE TELEPHONE NUMBER AND PHYSICAL LOCATION OF THE HOSPITAL FACILITY'S OFFICE OR DEPARTMENT THAT CAN PROVIDE INFORMATION ABOUT THE FINANCIAL ASSISTANCE POLICY, AS WELL AS CONTACT INFORMATION OF THE HOSPITAL FACILITY'S OFFICE OR DEPARTMENT THAT CAN PROVIDE ASSISTANCE WITH THE FINANCIAL ASSISTANCE APPLICATION PROCESS OR, ALTERNATIVELY, A NONPROFIT ORGANIZATION OR GOVERNMENTAL AGENCY THAT CAN PROVIDE ASSISTANCE WITH THE FINANCIAL ASSISTANCE APPLICATION PROCESS IF THE HOSPITAL FACILITY IS UNABLE TO DO SO. IF AN INDIVIDUAL SUBMITS A COMPLETE FAA FORM WITHIN A REASONABLE TIME-PERIOD AS SET FORTH IN THE NOTICE DESCRIBED ABOVE, THE HOSPITAL FILING ORGANIZATION WILL TAKE ALL AVAILABLE MEASURES TO REVERSE ANY ECAS AGAINST THE INDIVIDUAL AND WILL NOTIFY THE INDIVIDUAL IN WRITING WITHIN 60 DAYS AFTER RECEIVING THE COMPLETE FAA FORM OF THE ELIGIBILITY DETERMINATION AND THE BASIS FOR THE DETERMINATION. PART VI, LINE 2: THE HOSPITAL CONDUCTS COMMUNITY HEALTH NEEDS ASSESSMENTS (CHNA) EVERY THREE YEARS. ITS 2022 CHNA WAS ADOPTED BY ITS GOVERNING BOARD BY DECEMBER 31, 2022, THE END OF THE HOSPITAL'S TAXABLE YEAR IN WHICH IT CONDUCTED THE CHNA. THE HOSPITAL'S 2022 CHNA COMPLIED WITH THE GUIDANCE SET FORTH BY THE IRS IN FINAL REGULATION SECTION 1.501(R)-3. IN ADDITION TO THE CHNA DISCUSSED ABOVE, A VARIETY OF PRACTICES AND PROCESSES ARE IN PLACE TO ENSURE THAT THE FILING ORGANIZATION IS RESPONSIVE TO THE HEALTH NEEDS OF ITS COMMUNITY.SUCH PRACTICES AND PROCESSES INVOLVE THE FOLLOWING:1.A HOSPITAL OPERATING/COMMUNITY BOARD COMPOSED OF INDIVIDUALS BROADLY REPRESENTATIVE OF THE COMMUNITY, COMMUNITY LEADERS, AND THOSE WITH SPECIALIZED MEDICAL TRAINING AND EXPERTISE;2.POST-DISCHARGE PATIENT FOLLOW-UP RELATED TO THE ON-GOING CARE AND TREATMENT OF PATIENTS WHO SUFFER FROM CHRONIC DISEASES; 3.SPONSORSHIP AND PARTICIPATION IN COMMUNITY HEALTH AND WELLNESS ACTIVITIES THAT REACH A BROAD SPECTRUM OF THE FILING ORGANIZATION'S COMMUNITY; AND 4.COLLABORATION WITH OTHER LOCAL COMMUNITY GROUPS TO ADDRESS THE HEALTH CARE NEEDS OF THE FILING ORGANIZATION'S COMMUNITY. PART VI, LINE 3: THE FINANCIAL ASSISTANCE POLICY (FAP), FINANCIAL ASSISTANCE APPLICATION FORM (FAA FORM), AND THE PLAIN LANGUAGE SUMMARY OF THE FINANCIAL ASSISTANCE POLICY (PLS) OF THE FILING ORGANIZATION'S HOSPITAL FACILITY ARE TRANSPARENT AND AVAILABLE TO ALL INDIVIDUALS SERVED AT ANY POINT IN THE CARE CONTINUUM. THE FAP, FAA FORM, PLS, AND CONTACT INFORMATION FOR THE HOSPITAL FACILITY'S FINANCIAL COUNSELORS ARE PROMINENTLY AND CONSPICUOUSLY POSTED ON THE FILING ORGANIZATION'S HOSPITAL FACILITY'S WEBSITE. THE WEBSITE INDICATES THAT A COPY OF THE FAP, FAA FORM, AND PLS IS AVAILABLE AND HOW TO OBTAIN SUCH COPIES IN THE PRIMARY LANGUAGES OF ANY POPULATIONS WITH LIMITED PROFICIENCY IN ENGLISH THAT CONSTITUTE THE LESSER OF 1,000 INDIVIDUALS OR 5% OF THE MEMBERS OF THE COMMUNITY SERVED BY THE HOSPITAL FACILITY (REFERRED TO BELOW AS LEP DEFINED POPULATIONS). SIGNAGE IS DISPLAYED IN PUBLIC LOCATIONS OF THE FILING ORGANIZATION'S HOSPITAL FACILITY, INCLUDING AT ALL POINTS OF ADMISSION AND REGISTRATION AND THE EMERGENCY DEPARTMENT. THE SIGNAGE CONTAINS THE HOSPITAL FACILITY'S WEBSITE ADDRESS WHERE THE FAP, FAA FORM, AND PLS CAN BE ACCESSED AND THE TELEPHONE NUMBER AND PHYSICAL LOCATION THAT INDIVIDUALS CAN CALL OR VISIT TO OBTAIN COPIES OF THE FAP, FAA FORM AND PLS OR TO OBTAIN MORE INFORMATION ABOUT THE HOSPITAL FACILITY'S FAP, FAA FORM AND PLS. PAPER COPIES OF THE HOSPITAL FACILITY'S FAP, FAA FORM AND PLS ARE AVAILABLE UPON REQUEST AND WITHOUT CHARGE, BOTH IN PUBLIC LOCATIONS IN THE HOSPITAL FACILITY AND BY MAIL. PAPER COPIES ARE MADE AVAILABLE IN ENGLISH AND IN THE PRIMARY LANGUAGES OF ANY LEP DEFINED POPULATIONS. THE FILING ORGANIZATION'S HOSPITAL FACILITY'S FINANCIAL COUNSELORS MAY, UPON PATIENT REQUEST, PROVIDE PERSONAL FINANCIAL COUNSELING TO PATIENTS WHO ARE CLASSIFIED AS UNINSURED TO EXPLAIN THE FAP AND FAA FORM AND TO PROVIDE INFORMATION CONCERNING OTHER SOURCES OF ASSISTANCE THAT MAY BE AVAILABLE, SUCH AS MEDICAID. A PAPER COPY OF THE HOSPITAL FACILITY'S PLS WILL BE OFFERED TO EVERY PATIENT AS A PART OF THE INTAKE OR DISCHARGE PROCESS. A CONSPICUOUS WRITTEN NOTICE IS INCLUDED ON ALL BILLING STATEMENTS SENT TO PATIENTS THAT NOTIFIES AND INFORMS RECIPIENTS ABOUT THE AVAILABILITY OF FINANCIAL ASSISTANCE UNDER THE FILING ORGANIZATION'S FINANCIAL ASSISTANCE POLICY, INCLUDING THE FOLLOWING: 1) THE TELEPHONE NUMBER OF THE HOSPITAL FACILITY'S OFFICE OR DEPARTMENT THAT CAN PROVIDE INFORMATION ABOUT THE FAP AND THE FAA FORM; AND 2) THE WEBSITE ADDRESS WHERE COPIES OF THE FAP, FAA FORM AND PLS MAY BE OBTAINED. REASONABLE ATTEMPTS ARE MADE TO INFORM INDIVIDUALS ABOUT THE HOSPITAL FACILITY'S FAP IN ALL ORAL COMMUNICATIONS REGARDING THE AMOUNT DUE FOR THE INDIVIDUAL'S CARE. COPIES OF THE PLS ARE DISTRIBUTED TO MEMBERS OF THE COMMUNITY IN A MANNER REASONABLY CALCULATED TO REACH THOSE MEMBERS OF THE COMMUNITY WHO ARE MOST LIKELY TO REQUIRE FINANCIAL ASSISTANCE. PART VI, LINE 4: THE FILING ORGANIZATION (THE HOSPITAL) IS LOCATED IN SHAWNEE MISSION, KANSAS, AND IS LICENSED FOR 504 ACUTE CARE BEDS. THE HOSPITAL'S 54-ACRE CAMPUS INCLUDES AN OUTPATIENT SURGERY CENTER, SEVEN MEDICAL OFFICE BUILDINGS AND AN EMPLOYEE CHILD CARE CENTER. IN ADDITION TO OPERATING A HOSPITAL, THE FILING ORGANIZATION ALSO RUNS TWO SATELLITE CAMPUSES WHICH INCLUDES HOSPITAL-BASED EMERGENCY DEPARTMENTS AND OTHER AMBULATORY SERVICES; AND VARIOUS URGENT CARE CLINICS IN THE KANSAS CITY AREA. THE FILING ORGANIZATION EMPLOYS NEARLY 4,000 LOCAL RESIDENTS AND SUPPORTS AN EXCEPTIONAL STAFF OF MORE THAN 600 PHYSICIANS. SHAWNEE MISSION MEDICAL CENTER, INC., D/B/A ADVENTHEALTH SHAWNEE MISSION, IS A CRUCIAL COMMUNITY AND REGIONAL ASSET. ADVENTHEALTH SHAWNEE MISSION HAS THE BUSIEST EMERGENCY DEPARTMENT IN JOHNSON COUNTY, DELIVERS MORE BABIES THAN ANY OTHER HOSPITAL IN THE METROPOLITAN AREA AND INCLUDES THE NEW ADVENTHEALTH CANCER INSTITUTE, PROVIDING STATE-OF-THE-ART ONCOLOGY CARE TO THE COMMUNITY. A TOTAL OF FIVE OTHER COMPETING HOSPITALS ARE LOCATED WITHIN A RADIUS OF 12 MILES OR LESS FROM THE HOSPITAL'S PRIMARY HOSPITAL FACILITY.DURING 2024, THE HOSPITAL'S PATIENT PERCENTAGE POPULATION WAS MADE UP OF THE BELOW PAYORS WITH THE REMAINING PERCENTAGE OF THE PATIENTS BEING COVERED UNDER COMMERCIAL INSURANCE. IN 2024, ABOUT 69.4% OF THE HOSPITAL'S IN-PATIENTS WERE ADMITTED THROUGH THE HOSPITAL'S EMERGENCY DEPARTMENT. - MEDICARE PATIENTS 47.8% - MEDICAID PATIENTS 5.4% - SELF-PAY PATIENTS 3.5% THE DEMOGRAPHIC MAKEUP OF THE HOSPITAL'S COMMUNITY IS AS FOLLOWS: - POPULATION 716,574 - POPULATION OVER 65 13.6% - POVERTY (BELOW 100% FPL) 8.1% - HIGH SCHOOL GRADUATION RATE 92.4% - UNINSURED ADULTS 13.6% - FOOD INSECURITY RATE 11.8% - POP. WITH LOW FOOD ACCESS 65.3% PART VI, LINE 5: THE PROVISION OF COMMUNITY BENEFIT IS CENTRAL TO SHAWNEE MISSION MEDICAL CENTER'S MISSION OF SERVICE AND COMPASSION. RESTORING AND PROMOTING THE HEALTH AND QUALITY OF LIFE OF THOSE IN THE COMMUNITIES SERVED BY THE HOSPITAL IS A FUNCTION OF "EXTENDING THE HEALING MINISTRY OF CHRIST AND EMBODIES THE HOSPITAL'S COMMITMENT TO ITS VALUES AND PRINCIPLES. THE HOSPITAL COMMITS SUBSTANTIAL RESOURCES TO PROVIDE A BROAD RANGE OF SERVICES TO BOTH THE UNDERPRIVILEGED AS WELL AS THE BROADER COMMUNITY. IN ADDITION TO THE COMMUNITY BENEFIT AND COMMUNITY BUILDING INFORMATION PROVIDED IN PARTS I, II AND III OF THIS SCHEDULE H, THE HOSPITAL CAPTURES AND REPORTS THE BENEFITS PROVIDED TO ITS COMMUNITY THROUGH FAITH-BASED CARE. EXAMPLES OF SUCH BENEFITS INCLUDE THE COST ASSOCIATED WITH CHAPLAINCY CARE PROGRAMS AND MISSION PEER REVIEWS AND MISSION CONFERENCES. DURING THE CURRENT YEAR, THE HOSPITAL PROVIDED $1,206,339 OF BENEFIT WITH RESPECT TO THE FAITH-BASED AND SPIRITUAL NEEDS OF THE COMMUNITY IN CONJUNCTION WITH ITS OPERATION OF A COMMUNITY HOSPITAL. THE HOSPITAL ALSO PROVIDES BENEFITS TO ITS COMMUNITY'S INFRASTRUCTURE BY INVESTING IN CAPITAL IMPROVEMENTS TO ENSURE THAT FACILITIES AND TECHNOLOGY PROVIDE THE BEST POSSIBLE CARE TO THE COMMUNITY. DURING THE CURRENT YEAR, THE HOSPITAL EXPENDED $108,785,015 IN NEW CAPITAL IMPROVEMENTS. AS A FAITH-BASED MISSION-DRIVEN COMMUNITY HOSPITAL, THE HOSPITAL IS CONTINUALLY INVOLVED IN MONITORING ITS COMMUNITY, IDENTIFYING UNMET HEALTH CARE NEEDS AND DEVELOPING SOLUTIONS AND PROGRAMS TO ADDRESS THOSE NEEDS. IN ACCORDANCE WITH ITS CONSERVATIVE APPROACH TO FISCAL RESPONSIBILITY, SURPLUS FUNDS OF THE HOSPITAL ARE CONTINUALLY BEING INVESTED IN RESOURCES THAT IMPROVE THE AVAILABILITY AND QUALITY OF DELIVERY OF HEALTH CARE SERVICES AND PROGRAMS TO ITS COMMUNITY. PART VI, LINE 6: THE FILING ORGANIZATION IS A PART OF A FAITH-BASED HEALTHCARE SYSTEM OF ORGANIZATIONS WHOSE PARENT IS ADVENTIST HEALTH SYSTEM SUNBELT HEALTHCARE CORPORATION (AHSSHC). THE SYSTEM IS KNOWN AS ADVENTHEALTH. AHSSHC IS AN ORGANIZATION EXEMPT FROM FEDERAL INCOME TAX UNDER IRC SECTION 501(C)(3). AHSSHC AND ITS SUBSIDIARY ORGANIZATIONS OPERATE 51 HOSPITALS THROUGHOUT THE U.S., PRIMARILY IN THE SOUTHEASTERN PORTION OF THE U.S. AHSSHC AND ITS SUBSIDIARIES ALSO OPERATE OTHER ANCILLARY HEALTH CARE PROVIDER FACILITIES, SUCH AS AMBULATORY SURGERY CENTERS AND DIAGNOSTIC IMAGING CENTERS. AS THE PARENT ORGANIZATION OF ADVENTHEALTH, AHSSHC PROVIDES EXECUTIVE LEADERSHIP AND OTHER PROFESSIONAL SUPPORT SERVICES TO ITS SUBSIDIARY ORGANIZATIONS. PROFESSIONAL SUPPORT SERVICES INCLUDE AMONG OTHERS IT, CORPORATE COMPLIANCE, LEGAL, REIMBURSEMENT, RISK MANAGEMENT, AND TAX AS WELL AS TREASURY FUNCTIONS. CERTAIN SUPPORT SERVICES, SUCH AS HUMAN RESOURCES, PAYROLL, A/P, AND SUPPLY CHAIN MANAGEMENT ARE PROVIDED PURSUANT TO A SHARED SERVICES MODEL BY AHSSHC TO ITS SUBSIDIARY ORGANIZATIONS. THE PROVISION OF THESE EXECUTIVE AND SUPPORT SERVICES ON A CENTRALIZED BASIS BY AHSSHC PROVIDES AN APPROPRIATE BALANCE BETWEEN PROVIDING EACH ADVENTHEALTH 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. THE FILING ORGANIZATION PAYS A MANAGEMENT FEE TO AHSSHC FOR THE SERVICES PROVIDED BY AHSSHC. AS A RESULT, MANAGEMENT FEE EXPENSE REPORTED BY THE FILING ORGANIZATION MAY APPEAR GREATER IN RELATION TO MANAGEMENT FEE EXPENSE THAT MAY BE REPORTED BY A SINGLE STAND-ALONE HOSPITAL. THE SINGLE STAND-ALONE HOSPITAL WOULD LIKELY REPORT COSTS ASSOCIATED WITH MANAGEMENT AND OTHER PROFESSIONAL SERVICES ON VARIOUS EXPENSE LINE ITEMS IN ITS STATEMENT OF REVENUE AND EXPENSE AS OPPOSED TO REPORTING SUCH COSTS IN ONE OVERALL MANAGEMENT FEE EXPENSE. AS THE REPORTING OF THE FORM 990 IS DONE ON AN ENTITY-BY-ENTITY BASIS, THERE IS NO SINGLE FORM 990 THAT CAPTURES THE PROGRAMS AND OPERATIONS OF ADVENTHEALTH AS A WHOLE. THE READER IS DIRECTED TO VISIT THE WEBSITE OF ADVENTHEALTH AT WWW.ADVENTHEALTH.COM TO LEARN MORE ABOUT THE MISSION AND OPERATIONS OF THE FILING ORGANIZATION. SCHEDULE H, PART VI, LINE 7: THE FILING ORGANIZATION DOES NOT FILE AN ANNUAL COMMUNITY BENEFIT REPORT WITH ANY STATE AGENCIES. 1 15 AND THE MAHOMIES FOUNDATION 8931 WEST SUNSET ROAD STE 240 LAS VEGAS NV 89148 834134118 501(C)(3) 10000 0 GENERAL SUPPORT ADVENTHEALTH FOUNDATION SHAWNEE MISSION 9100 W 74TH STREET SHAWNEE MISSION KS 66204 480868859 501(C)(3) 1115863 1101638 COST GENERAL ADMIN SUPPORT GENERAL SUPPORT AMERICAN HEART ASSOC INC PO BOX 841390 DALLAS TX 75284 135613797 501(C)(3) 85000 0 GENERAL SUPPORT AMERICAN CANCER SOCIETY INC 270 PEACHTREE ST NW SUITE 1300 ATLANTA GA 30303 131788491 501(C)(3) 10000 0 GENERAL SUPPORT ARTS AND RECREATION FOUNDATION OF OVERLAND PARK INC 8500 SANTE FE OVERLAND PARK KS 66212 481171599 501(C)(3) 23000 0 GENERAL SUPPORT BLUE VALLEY EDUCATIONAL FOUNDATION 15020 METCALF AVE OVERLAND PARK KS 66223 481159744 501(C)(3) 20000 0 GENERAL SUPPORT CENTER FOR PRACTICAL BIOETHICS INC 1111 MAIN ST 500 KANSAS CITY MO 64105 480985815 501(C)(3) 10000 0 GENERAL SUPPORT UNIFIED SCHOOL DISTRICT NO 512 JOHNSON COUNTY KANSAS 8200 W 71ST STREET SHAWNEE MISSION KS 66204 480764907 GOV'T 20000 0 GENERAL SUPPORT COMMUNITY HEALTH COUNCIL OF WYANDOTTE CO 803 ARMSTRONG AVENUE KANSAS CITY KS 66101 010674969 501(C)(3) 18000 0 GENERAL SUPPORT DOWNTOWN OVERLAND PARK PARTNERSHIP INC 7221 W 79TH ST STE 106 OVERLAND PARK KS 66204 481147998 501(C)(6) 20000 0 GENERAL SUPPORT HAPPYBOTTOMS 303 W 79TH ST KANSAS CITY MO 64114 272423540 501(C)(3) 10000 0 GENERAL SUPPORT HEALTH PARTNERSHIP CLINIC INC 407 S CLAIRBONE RD STE 104 OVERLAND PARK KS 66062 481115529 501(C)(3) 14780 0 GENERAL SUPPORT JEWISH COMMUNITY CENTER OF GREATER KANSAS CITY 5801 W 115TH STREET SUITE 101 OVERLAND PARK KS 66211 440545992 501(C)(3) 20000 0 GENERAL SUPPORT JOHNSON COUNTY COMMUNITY COLLEGE FOUNDATION 12345 COLLEGE BLVD OVERLAND PARK KS 66210 237164614 501(C)(3) 15000 0 GENERAL SUPPORT PHARMACY OF GRACEINC PO BOX 14884 LENEXA KS 66285 825372375 501(C)(3) 35000 0 GENERAL SUPPORT KANSAS CITY SYMPHONY 1703 WYANDOTTE ST STE 200 KANSAS CITY MO 64108 431297475 501(C)(3) 17500 0 GENERAL SUPPORT MERCY AND MERCY TRUTH MEDICAL MISSIONS 721 N 31ST ST KANSAS CITY KS 66102 742847917 501(C)(3) 10000 0 GENERAL SUPPORT MIDLAND ADVENTIST ACADEMY 6915 MAURER RD SHAWNEE KS 66217 480774673 501(C)(3) 183325 0 GENERAL SUPPORT NEW CHANGE FOR YOUTH NC4Y 12801 W 61ST TERRACE SHAWNEE KS 66216 862120824 501(C)(3) 10500 0 GENERAL SUPPORT NEW HAVEN SEVENTH DAY 8714 ANTIOCH RD OVERLAND PARK KS 66212 481147515 501(C)(3) 79560 0 GENERAL SUPPORT COMMUNITY CENTER OF SHAWNEE INC 11110 WEST 67TH STREET SHAWNEE KS 66203 480948324 501(C)(3) 10000 0 GENERAL SUPPORT SHAWNEE MISSION EDUCATION FOUNDATION 8200 W 71ST STREET SHAWNEE MISSION KS 66204 742823938 501(C)(3) 20000 0 GENERAL SUPPORT THE 3&2 BASEBALL CLUB OF JOHNSON COUNTY PO BOX 14011 LENEXA KS 66285 480796898 501(C)(3) 25000 0 GENERAL SUPPORT THE BERT NASH COMMUNITY MENTAL HEALTH CENTER INC 200 MAINE ST STE A LAWRENCE KS 66044 480775739 501(C)(3) 7500 0 GENERAL SUPPORT TEDXKC INC 9740 ABERDEEN DRIVE OVERLAND PARK KS 66206 881075216 501(C)(3) 7500 0 GENERAL SUPPORT WELCOME HOUSE 1414 E 27TH ST KANSAS CITY MO 64108 430984039 501(C)(3) 25000 0 GENERAL SUPPORT GILDA'S CLUB KANSAS CITY 21 WEST 43RD STREET KANSAS CITY MO 64111 200493511 501(C)(3) 7000 0 GENERAL SUPPORT KANSAS CITY EXPRESS INC PO BOX 8158 PRAIRIE VILLAGE KS 66208 274553532 501(C)(3) 10000 0 GENERAL SUPPORT 27 1 PART I, LINE 2: GRANTS ARE GENERALLY MADE ONLY TO RELATED ORGANIZATIONS THAT ARE EXEMPT FROM FEDERAL INCOME TAX UNDER 501(C)(3) AND OTHER ORGANIZATIONS THAT ARE EXEMPT FROM FEDERAL INCOME TAX UNDER 501(C)(3) AND 501(C)6). 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. THEREFORE, GRANTS ARE APPROVED ON A CASE-BY-CASE BASIS. X X X X X 1 1 1 1 0 0 0 0 0 0 0 DHANIREDDYMD BHASWANTH PHYSICIAN 755822 0 1024662 0 2833 0 17727 0 20289 0 1821333 0 0 0 RANDOLPH KARSTEN TRUSTEE/CFO AH MULTI-STATE 0 729269 0 428513 0 486798 0 130246 0 36190 0 1811016 0 106337 JAHN ANDREW DIR/CEO MULTI-STATE (BEG 4/24) 0 836261 0 0 0 754936 0 174080 0 35852 0 1801129 0 0 HUENERGARDT SAM REGION CEO/TRUSTEE 0 756560 0 573096 0 213560 0 132436 0 45876 0 1721528 0 128131 AL CHEKAKIEMD M OBADAH PHYSICIAN 1078564 0 569383 0 4418 0 17727 0 37465 0 1707557 0 0 0 BIRIA MD MAZDA PHYSICIAN 645713 0 421194 0 6050 0 17727 0 34085 0 1124769 0 0 0 HABIB MD AMMAR PHYSICIAN 780814 0 278461 0 3024 0 17727 0 35911 0 1115937 0 0 0 BUTLER MD MATTHEW PHYSICIAN 468355 0 557163 0 1933 0 17727 0 36771 0 1081949 0 0 0 KNECHT MICHAEL FORMER OFFICER 0 177556 0 252486 0 594441 0 0 0 30749 0 1055232 0 221521 VERRILL MD ALAN DIR/CEO (BEG 2/24) 0 478644 0 174985 0 58978 0 112249 0 35380 0 860236 0 0 HEINRICH BILL FORMER OFFICER 0 442677 0 193514 0 102670 0 65832 0 31972 0 836665 0 28930 HAYS MD LISA CMO (END 12/24) 0 434031 0 117579 0 39904 0 77539 0 39107 0 708160 0 0 FONTOURA DANIEL COO 0 362466 0 97866 0 53485 0 79577 0 35157 0 628551 0 0 POTHIN OWEN MAIRILISE CFO 0 373275 0 87306 0 31304 0 78614 0 33420 0 603919 0 0 SHELTON RAIMONDA CNO 0 262108 0 63750 0 23700 0 17305 0 20478 0 387341 0 0 PART I, LINE 1A THE FILING ORGANIZATION IS A PART OF THE SYSTEM OF HEALTHCARE ORGANIZATIONS KNOWN AS ADVENTHEALTH. 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 THE HEALTHCARE SYSTEM KNOWN AS ADVENTHEALTH. 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 LISTED IN PART VII THAT ARE ON THE PAYROLL OF AHSSHC. AT THE DIRECTION OF AHSSHC, AND IN ACCORDANCE WITH THE RESERVED POWERS IN THE FILING ORGANIZATION'S GOVERNING DOCUMENTS, THE EXECUTIVE TEAM LISTED ON PART VII PROVIDES SERVICES TO THE FILING ORGANIZATION. FIRST-CLASS OR CHARTER TRAVEL: PURSUANT TO THE ADVENTHEALTH SYSTEM-WIDE GENERAL POLICY REGARDING BUSINESS TRAVEL, NO REIMBURSEMENT WILL BE PROVIDED FOR ANY ADDITIONAL COST INCURRED WITH RESPECT TO FIRST-CLASS OR CHARTER AIR TRAVEL BEYOND THE COST OF A REGULAR COACH AIRFARE. AS A MEANS OF PROVIDING ADDITIONAL BUSINESS TRAVEL REIMBURSEMENT FOR THOSE MEMBERS OF THE AHSSHC SENIOR EXECUTIVE MANAGEMENT TEAM THAT TRAVEL FREQUENTLY ON BEHALF OF ADVENTHEALTH, A SPECIAL ANNUAL TRAVEL ALLOWANCE IS PROVIDED FOR THOSE EXECUTIVES. AS ADVENTHEALTH OPERATES 51 HOSPITALS IN 9 STATES, THE SENIOR LEADERSHIP OF AHSSHC TRAVEL EXTENSIVELY AND OFTEN VISIT MULTIPLE HOSPITAL LOCATIONS IN DIFFERENT STATES AS A PART OF A SINGLE BUSINESS TRIP. THE SPECIAL TRAVEL ALLOWANCE CAN PROVIDE REIMBURSEMENTS TO THE EXECUTIVE FOR SUCH ITEMS AS THE PURCHASE OF AIR TRAVEL UPGRADE COUPONS OR TO COVER THE COST DIFFERENTIAL BETWEEN COACH AND FIRST-CLASS TRAVEL. THE SPECIAL TRAVEL ALLOWANCE BENEFIT WAS ORIGINALLY AUTHORIZED BY AND CODIFIED INTO A POLICY BY THE AHSSHC BOARD COMPENSATION COMMITTEE (THE COMMITTEE), AN INDEPENDENT BODY OF THE AHSSHC BOARD OF DIRECTORS, WHO ALSO APPROVES THE ANNUAL CAP ON THE AMOUNT OF THE ALLOWANCE. THE SPECIAL TRAVEL ALLOWANCE HAS AN ANNUAL CAP OF $33,500 FOR SENIOR AND SYSTEM EXECUTIVE VICE PRESIDENTS (GENERALLY 18 ADVENTHEALTH EXECUTIVE VICE PRESIDENTS) AND THE MULTI-STATE CFO, $20,000 FOR SYSTEM SENIOR VICE PRESIDENTS, REGIONAL CEO'S AND DIVISION CHIEF OFFICERS (GENERALLY 50-60 INDIVIDUAL EXECUTIVES) AND $7,500 FOR OTHER EXECUTIVES WHOSE ROLE REQUIRES EXTENSIVE TRAVEL (CURRENTLY 4), AS APPROVED BY THE ADVENTHEALTH CEO. THE ADVENTHEALTH SYSTEM CEO DOES NOT HAVE AN ANNUAL CAP. A REGIONAL CEO FOR ADVENTHEALTH IS A MEMBER OF THE BOARD OF DIRECTORS OF THE FILING ORGANIZATION. THE REGIONAL CEO IS CONSIDERED A COMMON LAW EMPLOYEE OF AND IS ON THE PAYROLL OF AHSSHC. WHILE THE SPECIAL TRAVEL ALLOWANCE BENEFIT IS AN AHSSHC COMPENSATION POLICY AND PRACTICE, THE COST OF PROVIDING THIS BENEFIT IS ALLOCATED TO AND EITHER WHOLLY OR PARTIALLY REIMBURSED BY THE FILING ORGANIZATION. ACCORDINGLY, THE FILING ORGANIZATION HAS CHECKED THE BOX IN SCHEDULE J, PART I, LINE 1A FOR FIRST-CLASS OR CHARTER TRAVEL SINCE IT HAS WHOLLY OR PARTIALLY PAID FOR THE COST OF PROVIDING THIS BENEFIT. THOSE EXECUTIVES WHO RECEIVE THE SPECIAL TRAVEL ALLOWANCE ARE RESPONSIBLE FOR TRACKING THE EXPENSES REIMBURSABLE UNDER THE SPECIAL TRAVEL ALLOWANCE AND MUST SUBMIT SUCH EXPENSES ON THEIR ACCOUNTABLE PLAN EXPENSE REPORT. A REPORT ON CHARTER TRAVEL IS PROVIDED TO THE AHSSHC BOARD COMPENSATION COMMITTEE AT EACH MEETING. ANY TAXABLE REIMBURSEMENTS MADE TO EXECUTIVES UNDER THE SPECIAL TRAVEL ALLOWANCE ARRANGEMENT ARE TREATED AS TAXABLE COMPENSATION TO THE EXECUTIVE. TRAVEL FOR COMPANIONS: AHSSHC HAS A CORPORATE EXECUTIVE POLICY THAT PROVIDES A BENEFIT TO ALLOW FOR A TRAVELING AHSSHC EXECUTIVE TO HAVE HIS OR HER SPOUSE ACCOMPANY THE EXECUTIVE ON CERTAIN BUSINESS TRIPS EACH YEAR. TYPICALLY, REIMBURSEMENT IS ONLY PROVIDED TO CERTAIN EXECUTIVE LEADERS AND IS USUALLY LIMITED TO ONE BUSINESS TRIP PER YEAR BEYOND THE ANNUAL ADVENTHEALTH PRESIDENT'S COUNCIL BUSINESS MEETING AND OTHER MEETINGS WHERE THE SPOUSE IS SPECIFICALLY INVITED. THE AHSSHC CORPORATE EXECUTIVE SPOUSAL TRAVEL POLICY WAS ORIGINALLY APPROVED AND REVIEWED BY THE AHSSHC BOARD COMPENSATION COMMITTEE, AN INDEPENDENT BODY OF THE AHSSHC BOARD OF DIRECTORS. ALL SPOUSAL TRAVEL COSTS REIMBURSED TO THE EXECUTIVE ARE CONSIDERED TAXABLE COMPENSATION TO THE EXECUTIVE. TAX INDEMNIFICATION AND GROSS-UP PAYMENTS: ADVENTHEALTH HAS A SYSTEM-WIDE POLICY ADDRESSING GROSS-UP PAYMENTS PROVIDED IN CONNECTION WITH EMPLOYER-PROVIDED BENEFITS/OTHER TAXABLE ITEMS. UNDER THE POLICY, CERTAIN TAXABLE BUSINESS-RELATED REIMBURSEMENTS (I.E. TAXABLE BUSINESS-RELATED MOVING EXPENSES, TAXABLE ITEMS PROVIDED IN CONNECTION WITH EMPLOYMENT) PROVIDED TO ANY EMPLOYEE MAY BE GROSSED-UP AT A 25% RATE UPON APPROVAL BY THE FILING ORGANIZATION'S CEO AND CFO. ADDITIONALLY, EMPLOYEES AT THE DIRECTOR LEVEL AND ABOVE ARE ELIGIBLE FOR GROSS-UP PAYMENTS ON GIFTS RECEIVED FOR BOARD OF DIRECTOR SERVICES. DISCRETIONARY SPENDING ACCOUNT: OCCASIONAL DISCRETIONARY SPENDING AMOUNTS ARE PERIODICALLY PROVIDED TO ELIGIBLE EXECUTIVES WHO ATTEND ANNUAL BUSINESS MEETINGS SUCH AS THE ADVENTHEALTH PRESIDENT'S COUNCIL, CFO CONFERENCE OR THE CMO/CNO BUSINESS MEETING. PAYMENTS PROVIDED TO EACH EXECUTIVE ARE CONSIDERED TAXABLE COMPENSATION TO THE EXECUTIVE. HEALTH OR SOCIAL CLUB DUES OR INITIATION FEES: AHSSHC HAS A CORPORATE EXECUTIVE POLICY THAT ADDRESSES BUSINESS DEVELOPMENT EXPENDITURES. UNDER THIS POLICY, TO ENCOURAGE EXECUTIVES TO ESTABLISH AND CULTIVATE STRONG WORKING RELATIONSHIPS WITH THE MEDICAL COMMUNITY AND OTHER LEADERS IN THE COMMUNITY AND INDUSTRY, CERTAIN ADVENTHEALTH EXECUTIVES MAY BE REIMBURSED FOR MEMBER DUES AND USAGE CHARGES FOR A COUNTRY CLUB OR OTHER SOCIAL CLUB UPON AUTHORIZATION. CLUB MEMBERSHIPS MUST BE APPROVED BY THE ADVENTHEALTH PRESIDENT/CEO INITIALLY AS WELL AS ON AN ANNUAL BASIS. EACH ADVENTHEALTH EXECUTIVE WHO IS APPROVED FOR A CLUB MEMBERSHIP MUST SUBMIT AN ANNUAL REPORT DESCRIBING HOW THEY USED THE MEMBERSHIP TO BENEFIT THEIR ORGANIZATION DURING THE PRECEDING YEAR SO THAT THE ADVENTHEALTH PRESIDENT/CEO CAN DETERMINE IF CONTINUANCE OF THE CLUB MEMBERSHIP FURTHERS THE BUSINESS INTERESTS OF ADVENTHEALTH. IN THE CURRENT YEAR, FOR THIS FILING ORGANIZATION, TWO EXECUTIVES LISTED IN PART VII RECEIVED REIMBURSEMENT FOR CLUB FEES. WHILE THE CLUB DUES MEMBERSHIP IS AN AHSSHC COMPENSATION POLICY AND PRACTICE, THE COST OF PROVIDING THIS BENEFIT IS ALLOCATED TO AND REIMBURSED IN WHOLE OR IN PART BY THE FILING ORGANIZATION. ACCORDINGLY, THE FILING ORGANIZATION HAS CHECKED THE BOX IN SCHEDULE J, PART I, LINE 1A FOR HEALTH OR SOCIAL CLUB DUES SINCE IT HAS WHOLLY OR PARTIALLY PAID FOR THE COST OF PROVIDING THIS BENEFIT. PART I, LINE 3 THE INDIVIDUAL WHO SERVES AS THE CEO OF THE FILING ORGANIZATION IS APPOINTED AND COMPENSATED BY ADVENTIST HEALTH SYSTEM SUNBELT HEALTHCARE CORPORATION (AHSSHC). 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 SECTION 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, 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, OTHER THAN THE CHIEF PEOPLE OFFICER, WHO REMAINS AT THE REQUEST OF THE CHAIRMAN/COMMITTEE TO PROVIDE ASSISTANCE/INFORMATION AS NEEDED. 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 ADVENTHEALTH AND EACH OF ITS AFFILIATED ENTITIES. THE FOLLOWING PRINCIPLES GUIDE THE ESTABLISHMENT OF INDIVIDUAL EXECUTIVE COMPENSATION: - THE SALARY OF THE PRESIDENT/CEO OF ADVENTHEALTH WILL NOT EXCEED THE 50TH 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, LINES 4A-B DURING THE YEAR ENDING DECEMBER 31, 2024, MICHAEL KNECHT RECEIVED SEVERANCE PAYMENTS IN THE AMOUNT OF $333,654. PURSUANT TO THE AHSSHC CORPORATE EXECUTIVE POLICY GOVERNING EXECUTIVE SEVERANCE, SEVERANCE AGREEMENTS FOR EXECUTIVES OPERATING AT THE VICE PRESIDENT LEVEL AND ABOVE ARE ENTERED INTO UPON ELIGIBILITY TO FACILITATE THE TRANSITION TO SUBSEQUENT EMPLOYMENT FOLLOWING AN INVOLUNTARY SEPARATION FROM EMPLOYMENT WITH ADVENTHEALTH. 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 THE HEALTHCARE SYSTEM KNOWN AS ADVENTHEALTH. IN RECOGNITION OF THE CONTRIBUTION THAT EACH EXECUTIVE MAKES TO THE SUCCESS OF ADVENTHEALTH, ADVENTHEALTH PROVIDES SUPPLEMENTAL EXECUTIVE RETIREMENT BENEFIT PLANS TO ELIGIBLE EXECUTIVES. AS THE SUPPLEMENTAL EXECUTIVE RETIREMENT BENEFIT PLANS WERE UPDATED IN 2020 AND CERTAIN INDIVIDUALS STILL PARTICIPATE AS GRAND-FATHERED PARTICIPANTS IN CERTAIN PLANS, THE NARRATIVE BELOW DISCUSSES ALL PLANS IN WHICH THERE WERE ANY PARTICIPANTS IN 2024. THE SERP III PLAN EFFECTIVELY REPLACES THE PRIOR SERP II PLAN, THE EXECUTIVE FLEX BENEFIT PROGRAM PLAN, AND THE SENIOR EXECUTIVE DEATH BENEFIT PLAN FOR QUALIFIED EXECUTIVES EXCEPT FOR CERTAIN GRANDFATHERED EXECUTIVE EMPLOYEES. SERP III PLAN: THE SERP III PLAN PROVIDES ELIGIBLE EXECUTIVES A PERCENTAGE OF THEIR BASE PAY, WHICH IS CREDITED TO A DEFERRED COMPENSATION ACCOUNT. THE PLAN ALSO PROVIDES FOR COMPENSATION DEFERRAL AND SELECTION OF LIFE INSURANCE COVERAGE AND LONG-TERM CARE INSURANCE. TO BE ELIGIBLE TO PARTICIPATE IN THE SERP III PLAN, EXECUTIVES MUST BE ON THE AHSSHC CORPORATE PAYROLL AND BE EITHER A CEO OF AN ADVENTHEALTH ENTITY, AN AHSSHC VICE PRESIDENT (VP) OR VP OF AN ADVENTHEALTH ENTITY WITH A BASE SALARY OF AT LEAST $345,000 IN 2024 (ADJUSTED ANNUALLY BY THE SAME PERCENTAGE AS IRC SECTION 401(A)(17) LIMIT INCREASES), OR OTHER LEADER SPECIFICALLY APPROVED BY THE ADVENTHEALTH PRESIDENT. ELIGIBLE EXECUTIVES DO NOT INCLUDE GRANDFATHERED EXECUTIVES, MEANING THOSE EXECUTIVES WHO WOULD SATISFY ALL THE ELIGIBILITY REQUIREMENTS OF THE SERP II PLAN PRIOR TO DEC 31, 2027, HAD THE PLAN NOT BEEN AMENDED AND RESTATED AS OF JAN. 1, 2020. CONTRIBUTION CREDITS WILL BE ESTABLISHED AND MAINTAINED BY CLASS YEAR ACCOUNTS FOR EACH PARTICIPANT USING TIERED CONTRIBUTION CREDIT PERCENTAGES OF ANNUAL BASE COMPENSATION. CONTRIBUTION CREDIT PERCENTAGES RANGE BETWEEN 15% AND 19% OF BASE COMPENSATION. CONTRIBUTION CREDITS WILL BE MADE EACH QUARTER IN 25% INCREMENTS WITH REDUCTIONS IN CONTRIBUTIONS IF THE EXECUTIVE IS ALSO A GRANDFATHERED FLEX PARTICIPANT (SEE BELOW). SERP III PROVIDES FOR A CLASS YEAR VESTING AND PAYMENT SCHEDULE (7 YEARS FOR EACH CLASS YEAR) WITH RESPECT TO AMOUNTS ACCUMULATED IN THE EXECUTIVE'S DEFERRED COMPENSATION ACCOUNT. UPON ATTAINMENT OF A NORMAL RETIREMENT AGE (AGE 62), OR UPON CERTAIN OTHER CIRCUMSTANCES AS DEFINED IN THE SERP III PLAN DOCUMENT, ALL DEFERRED AMOUNTS ARE PAID IMMEDIATELY TO THE PARTICIPANT. FOR ANY EXECUTIVES WORKING BEYOND THE NORMAL RETIREMENT AGE, FUTURE EMPLOYER CONTRIBUTIONS WILL BE MADE QUARTERLY FROM SERP III DIRECTLY TO THE PARTICIPANT AS A TAXABLE CASH BONUS. SERP II PLAN: THE SERP II PLAN IS A DEFINED BENEFIT, NON-TAX-QUALIFIED DEFERRED COMPENSATION PLAN FOR CERTAIN EXECUTIVES WHO HAVE PROVIDED LENGTHY SERVICE TO ADVENTHEALTH AND/OR TO OTHER SEVENTH-DAY ADVENTIST CHURCH HOSPITALS OR HEALTH CARE INSTITUTIONS. UNDER THE PROVISIONS OF THE SERP II PLAN, BENEFITS ARE PROVIDED TO QUALIFYING EXECUTIVE PARTICIPANTS ON A PRO-RATA SCHEDULE BEGINNING WITH 20 YEARS OF SERVICE AS AN EMPLOYEE OF ADVENTHEALTH AND/OR ANOTHER HOSPITAL OR HEALTH CARE INSTITUTION CONTROLLED BY THE SEVENTH-DAY ADVENTIST CHURCH AND WHO SATISFY CERTAIN OTHER QUALIFYING CRITERIA. ELIGIBLE EMPLOYEES ARE RESTRICTED TO THOSE EXECUTIVES WHO, AS OF JANUARY 1, 2020, SATISFIED, OR IF EMPLOYMENT CONTINUES, WILL SATISFY THE ELIGIBILITY REQUIREMENTS OF SERP II PRIOR TO DECEMBER 31, 2027. THIS SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP II) WAS DESIGNED TO PROVIDE ELIGIBLE EXECUTIVES WITH THE ECONOMIC EQUIVALENT OF AN ANNUAL INCOME BEGINNING AT NORMAL RETIREMENT AGE EQUAL TO 60% OF THE AVERAGE OF THE PARTICIPANT'S THREE, FIVE OR SEVEN HIGHEST YEARS OF BASE SALARY FROM ADVENTHEALTH ACTIVE EMPLOYMENT INCLUSIVE OF INCOME FROM ALL OTHER SEVENTH-DAY ADVENTIST CHURCH HEALTHCARE EMPLOYER-FINANCED RETIREMENT INCOME SOURCES AND INVESTMENT INCOME EARNED ON THOSE CONTRIBUTIONS THROUGH SOCIAL SECURITY NORMAL RETIREMENT AGE AS DEFINED IN THE PLAN. THE NUMBER OF YEARS INCLUDED IN HIGHEST AVERAGE COMPENSATION IS DETERMINED BY THE INDIVIDUAL'S YEAR OF ENTRY TO SERP II AND BY THE INDIVIDUAL'S YEAR OF ENTRY TO THE ADVENTHEALTH EXECUTIVE FLEX BENEFIT PROGRAM. FLEX PLAN: THE FLEX PLAN WAS ORIGINALLY DESIGNED TO PROVIDE ELIGIBLE EXECUTIVES AN OPPORTUNITY TO SELECT FROM AMONG A VARIETY OF SUPPLEMENTAL BENEFITS, INCLUDING A SPLIT DOLLAR LIFE INSURANCE POLICY AND LONG-TERM CARE INSURANCE, TO INDIVIDUALLY TAILOR A BENEFITS PROGRAM APPROPRIATE TO EACH EXECUTIVE'S NEEDS. IN 2020, THE FLEX PLAN WAS AMENDED TO EXCLUDE EMPLOYED EXECUTIVES WHO ARE HIRED OR PROMOTED AFTER A CERTAIN DATE FROM BEING ELIGIBLE TO PARTICIPATE IN THE FLEX PLAN EXCEPT FOR CERTAIN INSURANCE COVERAGE FEATURES OF THE PLAN. THE FLEX PLAN PROVIDES ELIGIBLE PARTICIPANTS A PRE-DETERMINED BENEFITS ALLOWANCE CREDIT THAT IS EQUAL TO A PERCENTAGE OF THE EXECUTIVE'S BASE PAY FROM WHICH THE COST OF MANDATORY AND ELECTIVE EMPLOYEE BENEFITS IS DEDUCTED. THE BENEFITS ALLOWANCE CREDIT PERCENTAGE FOR ANY PLAN YEAR SHALL NOT BE GREATER THAN THE MAXIMUM DOLLAR AMOUNT OR THE PERCENTAGE OF COMPENSATION AS DETERMINED BY THE ADVENTHEALTH BENEFITS ADMINISTRATION COMMITTEE. FOR GRANDFATHERED ELIGIBLE EMPLOYEES, THE ANNUAL PRE-DETERMINED FLEX ALLOWANCE IS CONTRIBUTED AND ANY FUNDS THAT REMAIN AFTER THE COST OF MANDATORY AND ELECTIVE BENEFITS ARE SUBTRACTED ARE, AT THE EMPLOYEE'S OPTION, CONTRIBUTED 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 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 WILL BE FORFEITED BY THE EXECUTIVE UPON A VOLUNTARY SEPARATION. WITH RESPECT TO GRANDFATHERED PARTICIPANTS, THE FLEX PLAN DOCUMENTS DEFINE ELIGIBLE EMPLOYEES TO INCLUDE THE CHIEF EXECUTIVE OFFICERS OF ADVENTHEALTH ENTITIES AND VICE PRESIDENTS OF ALL ADVENTHEALTH ENTITIES WHOSE BASE SALARY WAS AT LEAST EQUAL TO THE INTERNAL REVENUE CODE SECTION 401(A)(17) COMPENSATION LIMIT EACH YEAR. FLEX PLAN FLEX PLAN SERP II SERP III CONTR. DISTR.* CONTR./DISTR. CONTR. RANDOLPH, KARSTEN $ 134,730 $ 112,847 $ 289,254 $ 0 JAHN, ANDREW $ 0 $ 0 $ 0 $ 157,846 HUENERGARDT, SAM $ 136,920 $ 143,718 $ 0 $ 0 KNECHT, MICHAEL $ 0 $ 134,790 $ 0 $ 34,882 VERRILL, MD, ALAN $ 0 $ 0 $ 0 $ 93,733 HEINRICH, BILL $ 58,239 $ 36,249 $ 0 $ 12,077 HAYS, MD,LISA $ 0 $ 0 $ 0 $ 70,639 FONTOURA,DANIEL $ 0 $ 0 $ 0 $ 61,061 POTHIN OWEN,MAIRILISE $ 0 $ 0 $ 0 $ 60,098 SERP III DISTR.* KNECHT, MICHAEL $41,516 * INCLUDING INVESTMENT EARNINGS MAWD PATHOLOGY GROUP PA 100% OWNED BY BOARD MEMBER 916098 PROFESSIONAL SERVICES 0 PART V, LINE 1A THE PARENT CORPORATION AND SOLE TOP-TIER MEMBER OF SHAWNEE MISSION MEDICAL CENTER, INC. (THE FILING ORGANIZATION) IS ADVENTIST HEALTH SYSTEM SUNBELT HEALTHCARE CORPORATION (AHSSHC). AHSSHC IS A FLORIDA, NOT-FOR-PROFIT CORPORATION THAT IS EXEMPT FROM FEDERAL INCOME TAX UNDER INTERNAL REVENUE CODE (IRC) SECTION 501(C)(3). AHSSHC HAS ESTABLISHED A SHARED SERVICE CENTER TO CENTRALIZE THE ACCOUNTS PAYABLE (A/P) FUNCTION FOR ALL AHSSHC SUBSIDIARY ORGANIZATIONS. THE FILING ORGANIZATION HAS ENTERED "0" IN PART V, LINE 1A BECAUSE THE FILING ORGANIZATION NO LONGER ISSUES FORM 1099 RETURNS, RATHER, ALL SUCH RETURNS ARE FILED BY AND UNDER THE NAME AND EIN OF AHSSHC AS THE PAYOR SUBJECT TO THE INFORMATION REPORTING REQUIREMENTS OF SECTION 6041. THE FACTS AND CIRCUMSTANCES SUPPORT A POSITION THAT AHSSHC, AS A PAYOR ON BEHALF OF ITS SUBSIDIARY ORGANIZATIONS IN A SHARED SERVICE ENVIRONMENT, WILL HAVE SUFFICIENT MANAGEMENT AND OVERSIGHT IN CONNECTION WITH THE SUBSIDIARY ORGANIZATIONS' PAYMENTS TO MEET THE STANDARD SET FORTH IN TREAS. REG. SECTION 1.6041-1(E). AHSSHC WILL NOT MERELY BE MAKING PAYMENTS AT THE DIRECTION OF ITS SUBSIDIARY ORGANIZATIONS. ACCORDINGLY, AHSSHC IS CONSIDERED THE PAYOR SUBJECT TO THE INFORMATION REPORTING REQUIREMENTS OF SECTION 6041. FORM 990, PART VI, SECTION A, LINE 6 SHAWNEE MISSION MEDICAL CENTER, INC. (THE FILING ORGANIZATION) HAS ONE MEMBER. THE SOLE MEMBER OF THE FILING ORGANIZATION IS ADVENTIST HEALTH MID-AMERICA, INC. (AHMA). AHMA IS A KANSAS, 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 AHMA. THE BOARD OF TRUSTEES OF THE FILING ORGANIZATION ARE APPOINTED BY THE SOLE MEMBER, AHMA, WHO HAS THE RIGHT TO ELECT, APPOINT OR REMOVE ANY MEMBER OF THE BOARD OF TRUSTEES OF THE FILING ORGANIZATION. FORM 990, PART VI, SECTION A, LINE 7B AHMA, AS THE SOLE MEMBER OF THE FILING ORGANIZATION, HAS CERTAIN RESERVED POWERS AS SET FORTH IN THE BYLAWS OF THE FILING ORGANIZATION. THESE RESERVED POWERS INCLUDE THE FOLLOWING: A) TO APPROVE AND DISAPPROVE THE EXECUTIVE AND/OR ADMINISTRATIVE LEADERSHIP OF THE FILING ORGANIZATION, AND THEIR SALARIES; B) TO ADOPT, AMEND, RESTATE, AND REPEAL THE ARTICLES OF INCORPORATION OR BYLAWS OF THE FILING ORGANIZATION, AND THE MEDICAL STAFF BYLAWS; 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; G) TO ESTABLISH GENERAL GUIDING POLICIES, TO IMPLEMENT QUALITY ASSESSMENT, IMPROVEMENT AND UTILIZATION REVIEW PROGRAMS; AND H) TO APPROVE THE APPOINTMENT OF AN AUDITING FIRM AND ELECTION OF THE FISCAL YEAR FOR THE FILING ORGANIZATION. FORM 990, PART VI, SECTION B, LINE 11B THE FILING ORGANIZATION'S CURRENT YEAR FORM 990 WAS REVIEWED BY THE BOARD CHAIRMAN, BOARD FINANCE COMMITTEE CHAIR, CEO AND BY THE CFO PRIOR TO ITS FILING WITH THE IRS. THE REVIEW CONDUCTED BY THE BOARD CHAIRMAN, BOARD FINANCE COMMITTEE CHAIR, CEO AND THE CFO DID NOT INCLUDE THE REVIEW OF ANY SUPPORTING WORKPAPERS THAT WERE USED IN PREPARATION OF THE CURRENT YEAR FORM 990, BUT DID INCLUDE A REVIEW OF THE ENTIRE FORM 990 AND ALL SUPPORTING SCHEDULES. FORM 990, PART VI, SECTION B, LINE 12C THE CONFLICT OF INTEREST POLICY OF THE FILING ORGANIZATION APPLIES TO MEMBERS OF ITS BOARD OF DIRECTORS AND ITS PRINCIPAL OFFICERS (TO BE KNOWN AS INTERESTED PERSONS). IN CONNECTION WITH ANY ACTUAL OR POSSIBLE CONFLICTS OF INTEREST, ANY MEMBER OF THE BOARD OF DIRECTORS OF THE FILING ORGANIZATION OR ANY PRINCIPAL OFFICER OF THE FILING ORGANIZATION (I.E. INTERESTED PERSONS) MUST DISCLOSE THE EXISTENCE OF ANY FINANCIAL INTEREST WITH THE FILING ORGANIZATION AND MUST BE GIVEN THE OPPORTUNITY TO DISCLOSE ALL MATERIAL FACTS CONCERNING THE FINANCIAL INTEREST/ARRANGEMENT TO THE BOARD OF DIRECTORS OF THE FILING ORGANIZATION OR TO ANY MEMBERS OF A COMMITTEE WITH BOARD DELEGATED POWERS THAT IS CONSIDERING THE PROPOSED TRANSACTION OR ARRANGEMENT. SUBSEQUENT TO ANY DISCLOSURE OF ANY FINANCIAL INTEREST/ARRANGEMENT AND ALL MATERIAL FACTS, AND AFTER ANY DISCUSSION WITH THE RELEVANT BOARD MEMBER OR PRINCIPAL OFFICER, THE REMAINING MEMBERS OF THE BOARD OF DIRECTORS OR COMMITTEE WITH BOARD DELEGATED POWERS SHALL DISCUSS, ANALYZE, AND VOTE UPON THE POTENTIAL FINANCIAL INTEREST/ARRANGEMENT TO DETERMINE IF A CONFLICT OF INTEREST EXISTS. ACCORDING TO THE FILING ORGANIZATION'S CONFLICT OF INTEREST POLICY, AN INTERESTED PERSON MAY MAKE A PRESENTATION TO THE BOARD OF DIRECTORS (OR COMMITTEE WITH BOARD DELEGATED POWERS), BUT AFTER SUCH PRESENTATION, SHALL LEAVE THE MEETING DURING THE DISCUSSION OF, AND THE VOTE ON, THE TRANSACTION OR ARRANGEMENT THAT RESULTS IN A CONFLICT OF INTEREST. EACH INTERESTED PERSON, AS DEFINED UNDER THE FILING ORGANIZATION'S CONFLICT OF INTEREST POLICY, SHALL ANNUALLY SIGN A STATEMENT WHICH AFFIRMS THAT SUCH PERSON HAS RECEIVED A COPY OF THE CONFLICT OF INTEREST POLICY, HAS READ AND UNDERSTANDS THE POLICY, HAS AGREED TO COMPLY WITH THE POLICY, AND UNDERSTANDS THAT THE FILING ORGANIZATION IS A CHARITABLE ORGANIZATION THAT MUST PRIMARILY ENGAGE IN ACTIVITIES WHICH ACCOMPLISH ONE OR MORE OF ITS EXEMPT PURPOSES. THE FILING ORGANIZATION'S CONFLICT OF INTEREST POLICY ALSO REQUIRES THAT PERIODIC REVIEWS SHALL BE CONDUCTED TO ENSURE THAT THE FILING ORGANIZATION OPERATES IN A MANNER CONSISTENT WITH ITS CHARITABLE PURPOSES. FORM 990, PART VI, SECTION B, LINE 15 THE FILING ORGANIZATION'S CEO, OTHER OFFICERS AND KEY EMPLOYEES ARE 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 ADVENTHEALTH. THE AUDITED CONSOLIDATED FINANCIAL STATEMENTS OF ADVENTHEALTH AND OF THE ADVENTHEALTH "OBLIGATED GROUP" ARE FILED ANNUALLY WITH THE MUNICIPAL SECURITIES RULEMAKING BOARD (MSRB). THE "OBLIGATED GROUP" IS A GROUP OF AHSSHC SUBSIDIARIES THAT ARE JOINTLY AND SEVERALLY LIABLE UNDER A MASTER TRUST INDENTURE THAT SECURES DEBT PRIMARILY ISSUED ON A TAX-EXEMPT BASIS. UNAUDITED QUARTERLY FINANCIAL STATEMENTS PREPARED IN ACCORDANCE WITH GENERALLY ACCEPTED ACCOUNTING PRINCIPLES (GAAP) ARE ALSO FILED WITH MSRB FOR ADVENTHEALTH ON A CONSOLIDATED BASIS AND FOR THE GROUPING OF ADVENTHEALTH SUBSIDIARIES COMPRISING THE "OBLIGATED GROUP". THE FILING ORGANIZATION DOES NOT GENERALLY MAKE ITS GOVERNING DOCUMENTS OR CONFLICT OF INTEREST POLICY AVAILABLE TO THE PUBLIC. PART VII, SECTION A FOR THOSE BOARD OF DIRECTOR MEMBERS AND OFFICER(S) WHO DEVOTE LESS THAN FULL-TIME TO THE FILING ORGANIZATION (BASED UPON THE AVERAGE NUMBER OF HOURS PER WEEK SHOWN IN COLUMN (B) ON PAGE 7 OF THE RETURN) THE COMPENSATION AMOUNTS SHOWN IN COLUMNS (E) AND (F) ON PAGE 7 WERE PROVIDED IN CONJUNCTION WITH THAT PERSON'S RESPONSIBILITIES AND ROLES IN SERVING IN AN EXECUTIVE LEADERSHIP POSITION AS AN EMPLOYEE OF ADVENTIST HEALTH SYSTEM SUNBELT HEALTHCARE CORPORATION. PART VIII, LINES 7A, B AND C: THE AMOUNT SHOWN IN PART VIII, LINE 7C(I) OF THE FORM 990 REPRESENT AN ALLOCATED SHARE OF CAPITAL GAIN/(LOSS) FROM A SYSTEM WIDE, CORPORATE ADMINISTERED, INVESTMENT PROGRAM. FORM 990, PART IX, LINE 11G PAYMENTS TO HEALTHCARE PROFESSIONAL: PROGRAM SERVICE EXPENSES 26,406,627. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 26,406,627. PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 1,895,964. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,895,964. PURCHASED MEDICAL SERVICES: PROGRAM SERVICE EXPENSES 2,070,146. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,070,146. ENVIRONMENTAL SERVICES: PROGRAM SERVICE EXPENSES 1,278,135. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,278,135. TRANSCRIPTION: PROGRAM SERVICE EXPENSES 124,854. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 124,854. RECRUITING: PROGRAM SERVICE EXPENSES 531,515. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 531,515. FOOD SERVICE CONTRACTS: PROGRAM SERVICE EXPENSES 2,153. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,153. MISCELLANEOUS PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 26,950,534. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 26,950,534. ADVENTHEALTH MANAGEMENT FEES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 21,504,049. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 21,504,049. BILLING & COLLECTION SERVICES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 3,474,006. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,474,006. ADVENTHEALTH SHARED SERVICE FEE: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 6,448,336. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 6,448,336. PART X, LINE 2 THE AMOUNTS SHOWN ON LINE 2 OF PART X OF THIS RETURN INCLUDES THE FILING ORGANIZATION'S INTEREST IN A CENTRAL INVESTMENT POOL MAINTAINED BY ADVENTIST HEALTH SYSTEM SUNBELT HEALTHCARE CORPORATION, THE FILING ORGANIZATION'S TOP-TIER PARENT. THE INVESTMENTS IN THE CENTRAL INVESTMENT POOL ARE RECORDED AT MARKET VALUE. FORM 990, PART XI, LINE 9: TRANSFER TO TAX-EXEMPT TOP-TIER PARENT -4,994,351. GIFTS FROM FOUNDATION 1,787,376. MARKET VALUE ADJUSTMENT 44,186. ALLOCATION TO/FROM TAX EXEMPT PARNT WITH RESPECT TO DEBT 62,935. TRANSFER FROM TAX-EXEMPT RELATED ORGANIZATION 2,154,318. ROUNDING -1. FORM 990, PART XII, LINE 3B OMB CIRCULAR A-133 AUDIT ALTHOUGH THE TAXPAYER IS NOT REQUIRED TO UNDERGO AN AUDIT AS SET FORTH IN THE SINGLE AUDIT ACT AND OMB CIRCULAR A-133, THE TAXPAYER IS PART OF A CONTROLLED GROUP OF ORGANIZATIONS THAT COMPRISE A CONSOLIDATED FINANCIAL STATEMENT AUDIT. THE CONTROLLED GROUP'S PARENT IS ADVENTIST HEALTH SYSTEM SUNBELT HEALTHCARE CORPORATION (AHSSHC), A 501(C)(3) ORGANIZATION. THE SYSTEM OF HEALTHCARE ENTITIES OWNED AND CONTROLLED BY AHSSHC IS KNOWN AS ADVENTHEALTH. FOR THE YEAR ENDED DECEMBER 31, 2024, ADVENTHEALTH WILL FILE A CONSOLIDATED SINGLE AUDIT WHICH WILL INCLUDE ALL ENTITIES THAT ARE PART OF THE CONTROLLED GROUP. ADVENTHEALTH BOND CLINIC FKA ADVENTHEALTH PCP NETWORK INC (722 - 1231 900 HOPE WAY ALTAMONTE SPRINGS FL 32714 333559943 OPERATION OF MEDICAL CLINICS & HEALTH CARE SERVICES FL 501(C)(3) LINE 3 ADVENTIST HLTH SYSTEM SUNBELT HLTHCARE CORP 1 ADVENTHEALTH FAMILY MEDICINE RURAL HEALTH CLINICS INC 187 PR 4060 LAMPASAS TX 76550 271858033 OPERATION OF RURAL HEALTH CLINICS & MEDICAL SERVICES FL 501(C)(3) LINE 3 METROPLEX ADVENTIST HOSPITAL INC 1 ADVENTHEALTH FOUNDATION INC 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 1 ADVENTHEALTH HOME HEALTH AND HOSPICE INC FKA HOSPICE OF THE COMFORTER INC 2600 WESTHALL LANE 2ND FLOOR MAITLAND FL 32751 592935928 OPERATION OF HOME HEALTH & HOSPICE SERVICES FL 501(C)(3) LINE 10 THE COMFORTER HEALTH CARE GROUP INC 1 ADVENTHEALTH KANSAS CITY FOUNDATION 7315 E FRONTAGE ROAD MERRIAM KS 66204 480868859 FUND-RAISING FOR TAX-EXEMPT HOSPITAL KS 501(C)(3) LINE 7 SHAWNEE MISSION MEDICAL CENTER INC 1 ADVENTHEALTH PALM COAST PARKWAY INC 1 ADVENTHEALTH WAY PALM COAST FL 32137 882288563 OPERATION OF HOSPITAL & RELATED SERVICES FL 501(C)(3) LINE 3 ADVENTIST HLTH SYSTEM SUNBELT HLTHCARE CORP 1 ADVENTHEALTH POLK NORTH INC 40100 US HIGHWAY 27 N DAVENPORT FL 33837 841793121 OPERATION OF HOSPITAL & RELATED SERVICES FL 501(C)(3) LINE 3 ADVENTIST HLTH SYSTEM SUNBELT HLTHCARE CORP 1 ADVENTHEALTH POLK SOUTH INC 410 SOUTH 11TH STREET LAKE WALES FL 33853 834672945 OPERATION OF HOSPITAL & RELATED SERVICES FL 501(C)(3) LINE 3 ADVENTIST HLTH SYSTEM SUNBELT HLTHCARE CORP 1 ADVENTHEALTH PORT CHARLOTTE INC (112124 - 12312024) 2500 HARBOR BLVD PORT CHARLOTTE FL 33952 332257010 FUTURE OPERATION OF HOSPITAL & RELATED SERVICES FL 501(C)(3) LINE 3 ADVENTIST HLTH SYSTEM SUNBELT HLTHCARE CORP 1 ADVENTHEALTH PRIMARY CARE NETWORK INC 900 HOPE WAY ALTAMONTE SPRINGS FL 32714 932208118 OPERATION OF PHYSICIAN PRACTICES & MEDICAL SERVICES FL 501(C)(3) LINE 3 ADVENTIST HLTH SYSTEM SUNBELT HLTHCARE CORP 1 ADVENTHEALTH PRIMARY HEALTH DIVISION INC (930 - 12312024) 900 HOPE WAY ALTAMONTE SPRINGS FL 32714 335016341 INACTIVE FL 501(C)(3) LINE 12A, I ADVENTIST HLTH SYSTEMSUNBELT INC 1 ADVENTHEALTH RANSOM MEMORIAL INC 1301 S MAIN STREET OTTAWA KS 66067 830976641 OPERATION OF HOSPITAL & RELATED SERVICES KS 501(C)(3) LINE 3 ADVENTIST HLTH MID-AMERICA INC 1 ADVENTHEALTH RIVERVIEW INC 9330 US HIGHWAY 301 S RIVERVIEW FL 33637 870901094 OPERATION OF HOSPITAL & RELATED SERVICES FL 501(C)(3) LINE 3 ADVENTIST HLTH SYSTEM SUNBELT HLTHCARE CORP 1 ADVENTHEALTH SENIOR CARE INC 900 HOPE WAY ALTAMONTE SPRINGS FL 32714 841817046 OPERATION OF PHYSICIAN PRACTICES & MEDICAL SERVICES FL 501(C)(3) LINE 3 ADVENTIST HLTH SYSTEM SUNBELT HLTHCARE CORP 1 ADVENTHEALTH SOUTH OVERLAND PARK INC 7820 W 165TH STREET OVERLAND PARK KS 66223 364595806 OPERATION OF HOSPITAL & RELATED SERVICES KS 501(C)(3) LINE 3 ADVENTIST HLTH MID-AMERICA INC 1 ADVENTHEALTH TEAM MEMBER SERVICES INC (1021 - 12312024) 900 HOPE WAY ALTAMONTE SPRINGS FL 32714 331797512 FUTURE PROFESSIONAL EMPLOYER ORGANIZATION FL 501(C)(3) LINE 12C, III-FI ADVENTIST HLTH SYSTEM SUNBELT HLTHCARE CORP 1 ADVENTHEALTH UNIVERSITY INC 671 WINYAH DRIVE ORLANDO FL 32803 593069793 EDUCATION/OPERATION OF SCHOOL FL 501(C)(3) LINE 2 ADVENTIST HLTH SYSTEMSUNBELT INC 1 ADVENTHEALTH WEST FLORIDA AMBULATORY SERVICES INC 14055 RIVEREDGE DRIVE STE 250 TAMPA FL 33637 471881744 SUPPORT OF IMAGING CENTER & HOME HEALTH SUBSIDIARIES FL 501(C)(3) LINE 12B, II ADVENTIST HLTH SYSTEM SUNBELT HLTHCARE CORP 1 ADVENTHEALTH WEST FLORIDA IMAGING INC 14055 RIVEREDGE DRIVE STE 250 TAMPA FL 33637 843225135 IMAGING & TESTING FL 501(C)(3) LINE 3 ADVENTHEALTH WEST FLORIDA AMBULATORY SERVICES INC 1 ADVENTIST CARE CENTERS - COURTLAND INC (11 - 872024) 900 HOPE WAY ALTAMONTE SPRINGS FL 32714 205774723 OPERATION OF HOME FOR THE AGED/HLTHCARE DELIVERY FL 501(C)(3) LINE 10 SUNBELT HLTH CARE CENTERS INC 1 ADVENTIST HEALTH MID-AMERICA INC 9100 W 74TH STREET SHAWNEE MISSION KS 66204 521347407 SUPPORT OF AFFILIATED HOSPITAL KS 501(C)(3) LINE 12C, III-FI ADVENTIST HLTH SYSTEMSUNBELT INC 1 ADVENTIST HEALTH SYSTEM GEORGIA INC 1035 RED BUD ROAD NE CALHOUN GA 30701 581425000 OPERATION OF HOSPITALS & RELATED SERVICES GA 501(C)(3) LINE 3 ADVENTIST HLTH SYSTEM SUNBELT HLTHCARE CORP 1 ADVENTIST HLTH SYSTEM SUNBELT HLTHCARE CORP 900 HOPE WAY ALTAMONTE SPRINGS FL 32714 592170012 MANAGEMENT SERVICES FL 501(C)(3) LINE 12A, I N/A 0 ADVENTIST HLTH SYSTEMSUNBELT INC 900 HOPE WAY ALTAMONTE SPRINGS FL 32714 591479658 OPERATION OF HOSPITALS & RELATED SERVICES FL 501(C)(3) LINE 3 ADVENTIST HLTH SYSTEM SUNBELT HLTHCARE CORP 1 ADVENTIST HLTH SYSTEMTEXAS INC 11801 S FREEWAY BURLESON TX 76028 742578952 EMPLOYEE LEASING OF PERSONNEL TO AFFILIATED HOSPITALS TX 501(C)(3) LINE 12C, III-FI ADVENTIST HLTH SYSTEM SUNBELT HLTHCARE CORP 1 AHS MIDWEST MANAGEMENT INC 5101 S WILLOW SPRINGS RD LA GRANGE IL 60525 363354567 EMPLOYEE LEASING OF PERSONNEL TO SUPPORTED HOSPITALS IL 501(C)(3) LINE 12C, III-FI ADVENTIST HLTH SYSTEM SUNBELT HLTHCARE CORP 1 APOPKA HEALTH CARE PROPERTIES INC (11 - 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