METROPLEX ADVENTIST HOSPITAL INC: Form 990, tax year 2013

View the entire original 990 at ProPublica ↗

Organization: METROPLEX ADVENTIST HOSPITAL INC (EIN 74-2225672)
Tax period: 2013-01-01 to 2013-12-31
Filed: 2014-11-17
IRS object ID: 201403219349309550
Schema version: 2013v3.0
Source: Download XML · Original 990 at ProPublica

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

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

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2014-11-17T15:33:21-06:00	ReturnTs
Tax Period End	2013-12-31	TaxPeriodEndDt
Return Type	990	ReturnTypeCd
Tax Period Begin	2013-01-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	742225672	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	METROPLEX ADVENTIST HOSPITAL INC	BusinessNameLine1

Field	Value	IRS element (for citing)
Business Name Control	METR	BusinessNameControlTxt
Phone	2545267523	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	2201 SOUTH CLEAR CREEK ROAD	AddressLine1
City	KILLEEN	City
State	TX	State
ZIP Code	76549	ZIPCode

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	LYNN C ADDISCOTT	PersonNm
Person Title	ASSISTANT SECRETARY	PersonTitleTxt
Phone	2545267523	PhoneNum
Signature	2014-11-14	SignatureDt

Field	Value	IRS element (for citing)
Tax	2013	TaxYr
Build TS	2015-11-30 17:44:51Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	CARLYLE WALTON	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	2201 SOUTH CLEAR CREEK ROAD	AddressLine1
City	KILLEEN	City
State	TX	State
ZIP Code	76549	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	$115,778,586	GrossReceiptsAmt
Group Return For Affiliates	0	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.MPLEX.ORG	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1980	FormationYr
Legal Domicile State	TX	LegalDomicileStateCd
Activity Or Mission	THE PROVISION OF MEDICAL CARE TO THE COMMUNITY THROUGH THE OPERATION OF TWO HOSPITALS.	ActivityOrMissionDesc
Voting Members Governing Body	17	VotingMembersGoverningBodyCnt
Voting Members Independent	15	VotingMembersIndependentCnt
Total Employee	1271	TotalEmployeeCnt
Total Volunteers	233	TotalVolunteersCnt
Total Gross UBI	$66,003	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$15,249	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$0	PYContributionsGrantsAmt
CY Contributions Grants	$0	CYContributionsGrantsAmt
PY Program Service Revenue	$130,450,990	PYProgramServiceRevenueAmt
CY Program Service Revenue	$114,123,716	CYProgramServiceRevenueAmt
PY Investment Income	$570,624	PYInvestmentIncomeAmt
CY Investment Income	$656,964	CYInvestmentIncomeAmt
PY Other Revenue	$2,381,535	PYOtherRevenueAmt
CY Other Revenue	$928,144	CYOtherRevenueAmt
PY Total Revenue	$133,403,149	PYTotalRevenueAmt
CY Total Revenue	$115,708,824	CYTotalRevenueAmt
PY Grants And Similar Paid	$235,135	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$645,531	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$65,801,468	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$58,822,489	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$57,529,735	PYOtherExpensesAmt
CY Other Expenses	$55,110,450	CYOtherExpensesAmt
PY Total Expenses	$123,566,338	PYTotalExpensesAmt
CY Total Expenses	$114,578,470	CYTotalExpensesAmt
PY Revenues Less Expenses	$9,836,811	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$1,130,354	CYRevenuesLessExpensesAmt
Total Assets BOY	$124,245,335	TotalAssetsBOYAmt
Total Assets EOY	$121,991,262	TotalAssetsEOYAmt
Total Liabilities BOY	$16,657,150	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$19,779,595	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$107,588,185	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$102,211,667	NetAssetsOrFundBalancesEOYAmt
Mission	ADVENTIST HEALTH SYSTEM SUNBELT HEALTHCARE CORPORATION AND ALL OF ITS SUBSIDIARY ORGANIZATIONS WERE ESTABLISHED BY THE SEVENTH-DAY ADVENTIST CHURCH TO BRING A MINISTRY OF HEALING AND HEALTH TO THE COMMUNITIES SERVED. OUR MISSION IS TO EXTEND THE HEALING MINISTRY OF CHRIST.	MissionDesc
Significant New Program Srvc	0	SignificantNewProgramSrvcInd
Significant Change	0	SignificantChangeInd
Expense	$108,748,450	ExpenseAmt
Grant	$645,531	GrantAmt
Revenue	$114,955,384	RevenueAmt
Desc	OPERATION OF METROPLEX HOSPITAL, A 232-BED ACUTE-CARE HOSPITAL AND ROLLINS BROOK COMMUNITY HOSPITAL, A 25-BED ACUTE-CARE HOSPITAL; 7,148 PATIENT ADMISSIONS, 27,516 PATIENT DAYS, AND 121,670 OUTPATIENT VISITS IN THE CURRENT YEAR.	Desc
Total Program Service Expenses	$108,748,450	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (1)	DescribedInSection501c3Ind
Schedule B Required	Yes (1)	ScheduleBRequiredInd
Political Campaign Acty	0	PoliticalCampaignActyInd
Lobbying Activities	Yes (1)	LobbyingActivitiesInd
Subject To Proxy Tax	0	SubjectToProxyTaxInd
Donor Advised Fund	0	DonorAdvisedFundInd
Conservation Easements	0	ConservationEasementsInd
Collections Of Art	0	CollectionsOfArtInd
Credit Counseling	0	CreditCounselingInd
Temp Or Permanent Endowments	0	TempOrPermanentEndowmentsInd
Report Land Building Equipment	Yes (1)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	0	ReportInvestmentsOtherSecInd
Report Program Related Invst	0	ReportProgramRelatedInvstInd
Report Other Assets	Yes (1)	ReportOtherAssetsInd
Report Other Liabilities	Yes (1)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (1)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	0	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (1)	ConsolidatedAuditFinclStmtInd
School Operating	0	SchoolOperatingInd
Foreign Office	0	ForeignOfficeInd
Foreign Activities	0	ForeignActivitiesInd
More Than5000 K To Org	0	MoreThan5000KToOrgInd
More Than5000 K To Individuals	0	MoreThan5000KToIndividualsInd
Professional Fundraising	0	ProfessionalFundraisingInd
Fundraising Activities	0	FundraisingActivitiesInd
Gaming Activities	0	GamingActivitiesInd
Operate Hospital	Yes (1)	OperateHospitalInd
Audited Financial Stmt Att	Yes (1)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (1)	GrantsToOrganizationsInd
Grants To Individuals	0	GrantsToIndividualsInd
Schedule J Required	Yes (1)	ScheduleJRequiredInd
Tax Exempt Bonds	0	TaxExemptBondsInd
Engaged In Excess Benefit Trans	0	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	0	PYExcessBenefitTransInd
Loan Outstanding	0	LoanOutstandingInd
Grant To Related Person	0	GrantToRelatedPersonInd
Business Rln With Org Mem	0	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	Yes (1)	BusinessRlnWithFamMemInd
Business Rln With Officer Ent	0	BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri	0	DeductibleNonCashContriInd
Deductible Art Contribution	0	DeductibleArtContributionInd
Terminate Operations	0	TerminateOperationsInd
Partial Liquidation	0	PartialLiquidationInd
Disregarded Entity	0	DisregardedEntityInd
Related Entity	Yes (1)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (1)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (1)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	0	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	0	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (1)	ScheduleORequiredInd
IRP Document	167	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (1)	BackupWthldComplianceInd
Employee	1271	EmployeeCnt
Employment Tax Returns Filed	Yes (1)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (1)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (1)	Form990TFiledInd
Foreign Financial Account	0	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTransInd
Taxable Party Notification	0	TaxablePartyNotificationInd
Nondeductible Contributions	0	NondeductibleContributionsInd
Quid Pro Quo Contributions	0	QuidProQuoContributionsInd
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	0	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	0	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	0	IndoorTanningServicesInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	17	GoverningBodyVotingMembersCnt
Independent Voting Member	15	IndependentVotingMemberCnt
Family Or Business Rln	Yes (1)	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	0	DelegationOfMgmtDutiesInd
Change To Org Documents	0	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	0	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (1)	MembersOrStockholdersInd
Election Of Board Members	Yes (1)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (1)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (1)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (1)	MinutesOfCommitteesInd
Officer Mailing Address	0	OfficerMailingAddressInd
Local Chapters	0	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (1)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (1)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (1)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (1)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (1)	WhistleblowerPolicyInd
Document Retention Policy	Yes (1)	DocumentRetentionPolicyInd
Compensation Process CEO	0	CompensationProcessCEOInd
Compensation Process Other	0	CompensationProcessOtherInd
Investment In Joint Venture	Yes (1)	InvestmentInJointVentureInd
Written Policy Or Procedure	Yes (1)	WrittenPolicyOrProcedureInd
States Where Copy Of Return Is Fld	TX	StatesWhereCopyOfReturnIsFldCd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

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

Field	Value	IRS element (for citing)
Phone	2545198165	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	2201 S CLEAR CREEK ROAD	AddressLine1
City	KILLEEN	City
State	TX	State
ZIP Code	76549	ZIPCode

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

Form990 Part VII Section A Form990PartVIISectionAGrp (29 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	OfficerOfficerInd	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
KENNETH FINCH
CHAIRMAN	0.20	50.00	Yes (X)	$0	$839,062	$118,441
HENDERSON GARRETT
SECRETARY	0.20	0.00	Yes (X)	$0	$0	$0
ERNIE BOVIO
DIRECTOR (END 12/13)	0.20	0.00	Yes (X)	$0	$0	$0
JOHN BOYD MD
DIRECTOR (BEG 12/13)	0.10	0.00	Yes (X)	$0	$0	$0
GREG DEHMER MD
DIRECTOR	0.20	0.00	Yes (X)	$0	$0	$0
BRADI DIAZ
DIRECTOR (BEG 02/13)	0.10	0.00	Yes (X)	$0	$0	$0
BUFORD GRIFFITH JR
DIRECTOR	0.20	0.00	Yes (X)	$0	$0	$0
MIKE HELM
DIRECTOR	0.20	0.00	Yes (X)	$0	$0	$0
PENNY JOHNSON
DIRECTOR	0.20	50.00	Yes (X)	$0	$372,017	$71,735
MARY KLIEWER
DIRECTOR	0.20	0.00	Yes (X)	$0	$0	$0
J DERYL KNUTSON
DIRECTOR	0.10	0.00	Yes (X)	$0	$0	$0
JAMES LINDLEY
DIRECTOR	0.20	0.00	Yes (X)	$0	$0	$0
PAULA LOHSE
DIRECTOR	0.20	0.00	Yes (X)	$0	$0	$0
RICHARD PROCTER
DIRECTOR	0.20	0.00	Yes (X)	$0	$0	$0
STEVE SIBBITT MD
DIRECTOR	0.20	0.00	Yes (X)	$0	$0	$0
RONALD STEPP
DIRECTOR (BEG 08/13)	0.10	0.00	Yes (X)	$0	$0	$0
AHMAD UMAD MD
DIR/CHIEF OF STAFF ELECT (BEG 04/13)	0.20	0.00	Yes (X)	$0	$0	$0
PAUL WEST MD
DIRECTOR	0.10	0.00	Yes (X)	$0	$0	$0
SUNDARAM SUKUMAR MD
DIR/CHIEF OF STAFF ELECT (END 04/13)	0.50	0.00	Yes (X)	$3,750	$0	$0
CARLYLE WALTON
CEO/PRESIDENT	50.00	0.00		$0	$546,329	$81,988	Yes (X)
VICTOR LAWHORN
CFO (END 01/13)	50.00	0.00		$0	$201,693	$62,587	Yes (X)
ROBERT BROCK
CFO (BEG 03/13)	50.00	0.00		$0	$257,083	$80,490	Yes (X)
VIRGINIA HENDERSON
CNO (END 11/13)	50.00	0.00		$0	$217,790	$27,276		Yes (X)
STEVEN MCCLURE
DIRECTOR, IV THERAPY	40.00	0.00		$159,584	$0	$18,803			Yes (X)
FLOYD JORDAN
DIRECTOR, SURGERY	40.00	0.00		$122,835	$0	$5,783			Yes (X)
BRENDA COLEY
EXECUTIVE DIRECTOR, HR	40.00	0.00		$122,798	$0	$20,734			Yes (X)
TYLER MOHR
IV THERAPY COORDINATOR	40.00	0.00		$120,373	$0	$14,749			Yes (X)
LEEANN MODGLING
PHARMACIST	40.00	0.00		$120,112	$0	$18,742			Yes (X)
JEFFREY VILLANUEVA
FORMER COO/VP	0.00	50.00		$0	$255,260	$64,526				Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$649,452	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$2,689,234	TotReportableCompRltdOrgAmt
Total Other Compensation	$585,854	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	28	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (1)	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (1)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	0	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1	CityContractorAddress/USAddress/City	StateContractorAddress/USAddress/State	ZIP CodeContractorAddress/USAddress/ZIPCode	ServicesServicesDesc	CompensationCompensationAmt
SCOTT & WHITE HOSPITAL
2401 S 31ST STREET	TEMPLE	TX	76508	PHYSICIAN STAFFING	$6,143,140
DIVERSIFIED CLINICAL SER
PO BOX 850001	ORLANDO	FL	32885	WOUND CARE STAFFING & MANAGEMENT	$1,822,102
TGFT ENTERPRISES INC
61 N GILMER STREET	KILLEEN	TX	76540	LINEN SERVICE	$589,456
PEGASUS EMERGENCY GROUP
270 W KAGY BLVD STE E	BOZEMAN	MT	59715	ER PHYSICIAN STAFFING	$583,331
TEXAS HEALTH HUGULEY INC
11801 S FREEWAY	BURLESON	TX	76028	PATIENT FINANCE	$563,023

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	24	CntrctRcvdGreaterThan100KCnt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
NET PATIENT REVENUE	900099	$111,541,430	$111,541,430
CAFETERIA REVENUE	900099	$1,119,822	$1,119,822
MEDICAL OFFICE BLDG	531120	$1,091,371	$1,091,371
PHARMACY	900099	$234,874	$234,874
LAB REVENUE	621500	$66,003		$66,003

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$70,216	TotalRevenueColumnAmt
Related Or Exempt Func Income	$68,839	RelatedOrExemptFuncIncomeAmt
Exclusion	$1,377	ExclusionAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$114,123,716	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$363,349	TotalRevenueColumnAmt
Exclusion	$363,349	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$29,096	RealAmt
Personal	$26,940	PersonalAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$0	RealAmt
Personal	$26,940	PersonalAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$29,096	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$29,096	TotalRevenueColumnAmt
Exclusion	$29,096	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$287,195	SecuritiesAmt
Other	$49,242	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$0	SecuritiesAmt
Other	$42,822	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$287,195	SecuritiesAmt
Other	$6,420	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$293,615	TotalRevenueColumnAmt
Exclusion	$293,615	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp

Field	Value	IRS element (for citing)
Desc	EHR REVENUE	Desc
Total Revenue Column	$899,048	TotalRevenueColumnAmt
Related Or Exempt Func Income	$899,048	RelatedOrExemptFuncIncomeAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$899,048	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$115,708,824	TotalRevenueColumnAmt
Related Or Exempt Func Income	$114,955,384	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$66,003	UnrelatedBusinessRevenueAmt
Exclusion	$687,437	ExclusionAmt

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

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$645,531	TotalAmt
Program Services	$645,531	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$1,180,467	TotalAmt
Management And General	$1,180,467	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$43,032,995	TotalAmt
Program Services	$43,032,995	ProgramServicesAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$1,147,929	TotalAmt
Program Services	$1,129,203	ProgramServicesAmt
Management And General	$18,726	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$9,662,620	TotalAmt
Program Services	$9,582,557	ProgramServicesAmt
Management And General	$80,063	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$3,798,478	TotalAmt
Program Services	$3,736,512	ProgramServicesAmt
Management And General	$61,966	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$75,662	TotalAmt
Management And General	$75,662	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$23,598	TotalAmt
Management And General	$23,598	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$17,080,110	TotalAmt
Program Services	$15,301,414	ProgramServicesAmt
Management And General	$1,778,696	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$363,249	TotalAmt
Management And General	$363,249	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$3,788,093	TotalAmt
Program Services	$3,078,805	ProgramServicesAmt
Management And General	$709,288	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$4,781,854	TotalAmt
Program Services	$4,008,439	ProgramServicesAmt
Management And General	$773,415	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$2,879,952	TotalAmt
Program Services	$2,879,952	ProgramServicesAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$356,675	TotalAmt
Management And General	$356,675	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$4,326	TotalAmt
Program Services	$4,326	ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$8,232,118	TotalAmt
Program Services	$8,232,118	ProgramServicesAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$1,345,616	TotalAmt
Program Services	$1,328,908	ProgramServicesAmt
Management And General	$16,708	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES	$15,545,116	$15,545,116
SPECIAL EVENTS	$256,113		$256,113
REPAIRS & MAINTENANCE	$242,574	$242,574
UBI TAXES	$3,600		$3,600

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$131,794	TotalAmt
Management And General	$131,794	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$114,578,470	TotalAmt
Program Services	$108,748,450	ProgramServicesAmt
Management And General	$5,830,020	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$3,683	BOYAmt
EOY	$3,495	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$28,642,416	BOYAmt
EOY	$34,645,405	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$16,251,875	BOYAmt
EOY	$14,811,372	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$4,024,802	BOYAmt
EOY	$3,379,292	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$2,179,767	BOYAmt
EOY	$1,281,953	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$149,139,433	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$91,191,609	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$63,130,903	BOYAmt
EOY	$57,947,824	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$89,756	BOYAmt
EOY	-$58,909	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$449,474	BOYAmt
EOY	$348,286	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$9,472,659	BOYAmt
EOY	$9,632,544	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$124,245,335	BOYAmt
EOY	$121,991,262	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$9,445,112	BOYAmt
EOY	$8,010,180	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
EOY	$51,067	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$7,212,038	BOYAmt
EOY	$11,718,348	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$16,657,150	BOYAmt
EOY	$19,779,595	EOYAmt

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

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$107,588,185	BOYAmt
EOY	$102,171,830	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
EOY	$39,837	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$107,588,185	BOYAmt
EOY	$102,211,667	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$124,245,335	BOYAmt
EOY	$121,991,262	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$1,130,354	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	-$206,475	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	-$6,300,397	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	0	AccountantCompileOrReviewInd
FS Audited	Yes (1)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

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

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

Schedule A IRS990ScheduleA

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

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

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

Contributor US Address ContributorUSAddress

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

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

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	0	VolunteersInd
Paid Staff Or Management	0	PaidStaffOrManagementInd
Media Advertisements	0	MediaAdvertisementsInd
Mailings Members	0	MailingsMembersInd
Publications Or Broadcast	0	PublicationsOrBroadcastInd
Grants Other Organizations	0	GrantsOtherOrganizationsInd
Direct Contact Legislators	0	DirectContactLegislatorsInd
Rallies Demonstrations	0	RalliesDemonstrationsInd
Other Activities	Yes (1)	OtherActivitiesInd
Other Activities	$7,032	OtherActivitiesAmt
Total Lobbying Expenditures	$7,032	TotalLobbyingExpendituresAmt
Not Described Section501c3	0	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART II-B, LINE 1:	FormAndLineReferenceDesc
Explanation	AMERICAN HOSPITAL ASSOCIATION DUES AND TEXAS HOSPITAL ASSOCIATION DUES	ExplanationTxt

Schedule D IRS990ScheduleD

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$2,040,052	OtherCostOrOtherBasisAmt
Book Value	$2,040,052	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$73,336,166	OtherCostOrOtherBasisAmt
Depreciation	$35,418,969	DepreciationAmt
Book Value	$37,917,197	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$69,093,188	OtherCostOrOtherBasisAmt
Depreciation	$53,065,637	DepreciationAmt
Book Value	$16,027,551	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$4,670,027	OtherCostOrOtherBasisAmt
Depreciation	$2,707,003	DepreciationAmt
Book Value	$1,963,024	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$57,947,824	TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (4 entries)

DescDesc	Book ValueBookValueAmt
OTHER RECEIVABLES	$354,866
INVESTMENT IN SUBS	$102,250
RECEIVABLE FROM THIRD PARTIES	$1,927,381
DUE FROM RELATED	$7,248,047

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$9,632,544	TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (6 entries)

DescDesc	AmtAmt
CREDIT BALANCES IN A/R	$189,998
OTHER CURRENT LIABILITIES	$146,981
OTHER NONCURRENT LIABILITIES	$825,728
PAYABLE TO THIRD PARTIES	$4,742,235
NEGATIVE EQUITY - INVESTMENT IN SUB	$917,033
DUE TO RELATED	$4,896,373

Field	Value	IRS element (for citing)
Total Liability	$11,718,348	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART X, LINE 2:	FormAndLineReferenceDesc
Explanation	THE FILING ORGANIZATION IS A SUBSIDIARY ORGANIZATION WITHIN ADVENTIST HEALTH SYSTEM (AHS). THE CONSOLIDATED FINANCIAL STATEMENTS OF AHS CONTAIN THE FOLLOWING FIN 48 FOOTNOTE: PLEASE NOTE THAT DOLLAR AMOUNTS ARE IN THOUSANDS. HEALTHCARE CORPORATION AND ITS AFFILIATED ORGANIZATIONS, OTHER THAN NORTH AMERICAN HEALTH SERVICES, INC. AND ITS SUBSIDIARIES (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. FOR THE YEARS ENDED DECEMBER 31, 2013 AND 2012, UNRELATED BUSINESS INCOME ACTIVITIES CONDUCTED BY HEALTHCARE CORPORATION AND ITS TAX-EXEMPT AFFILIATES DID NOT GENERATE A MATERIAL AMOUNT OF COMBINED FEDERAL, STATE AND LOCAL INCOME TAX. NAHS IS A WHOLLY OWNED, FOR-PROFIT SUBSIDIARY OF HEALTHCARE CORPORATION. NAHS AND ITS SUBSIDIARIES ARE SUBJECT TO FEDERAL AND STATE INCOME TAXES. NAHS FILES A CONSOLIDATED FEDERAL INCOME TAX RETURN AND, WHERE APPROPRIATE, CONSOLIDATED STATE INCOME TAX RETURNS. FOR THE YEARS ENDED DECEMBER 31, 2013 AND 2012, NAHS GENERATED TAXABLE INCOME OF APPROXIMATELY $500 AND $2,100, RESPECTIVELY. THIS TAXABLE INCOME WAS FULLY OFFSET BY NET OPERATING LOSS CARRYFORWARDS FOR FEDERAL INCOME TAX PURPOSES. ALTHOUGH ONE STATE IN WHICH NAHS CONDUCTS BUSINESS HAS SUSPENDED THE UTILIZATION OF NET OPERATING LOSS CARRYFORWARDS FOR THE YEAR ENDED DECEMBER 31, 2013, NO MATERIAL STATE INCOME TAX LIABILITY RESULTED. ACCORDINGLY, THERE IS NO PROVISION FOR CURRENT FEDERAL OR STATE INCOME TAX FOR THE YEARS ENDED DECEMBER 31, 2013 AND 2012. NAHS ALSO HAS TEMPORARY DEDUCTIBLE DIFFERENCES OF APPROXIMATELY $65,000 AND $64,800 AT DECEMBER 31, 2013 AND 2012, RESPECTIVELY, PRIMARILY AS A RESULT OF NET OPERATING LOSS CARRYFORWARDS. AT DECEMBER 31, 2013, NAHS HAD NET OPERATING LOSS CARRYFORWARDS OF APPROXIMATELY $64,200 OF WHICH $21,000 WILL EXPIRE IN 2023, WITH THE REMAINING $43,200 EXPIRING BEGINNING IN 2018 THROUGH 2026. SOME OF THESE NET OPERATING LOSSES ARE SUBJECT TO THE SEPARATE RETURN LIMITATION YEAR RULES. DEFERRED TAXES HAVE BEEN PROVIDED FOR THESE AMOUNTS, RESULTING IN A NET DEFERRED TAX ASSET OF APPROXIMATELY $24,700 AND $24,600 AT DECEMBER 31, 2013 AND 2012, RESPECTIVELY. A FULL VALUATION ALLOWANCE HAS BEEN PROVIDED AT DECEMBER 31, 2013 AND 2012, RESPECTIVELY, TO OFFSET THE DEFERRED TAX ASSET SINCE HEALTHCARE CORPORATION HAS DETERMINED THAT IT IS MORE LIKELY THAN NOT THAT THE BENEFIT OF THE NET OPERATING LOSS CARRYFORWARDS WILL NOT BE REALIZED IN FUTURE YEARS. THE INCOME TAXES TOPIC OF THE ASC (ASC 740) PRESCRIBES THE ACCOUNTING FOR UNCERTAINTY IN INCOME TAX POSITIONS RECOGNIZED IN FINANCIAL STATEMENTS. ASC 740 PRESCRIBES A RECOGNITION THRESHOLD AND MEASUREMENT ATTRIBUTE FOR THE FINANCIAL STATEMENT RECOGNITION AND MEASUREMENT OF A TAX POSITION TAKEN OR EXPECTED TO BE TAKEN IN A TAX RETURN. THERE WERE NO MATERIAL UNCERTAIN TAX POSITIONS AS OF DECEMBER 31, 2013 AND 2012.	ExplanationTxt

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (1)	FinancialAssistancePolicyInd
Written Policy	Yes (1)	WrittenPolicyInd
All Hospitals Policy	Yes (X)	AllHospitalsPolicyInd
FPG Reference Free Care	Yes (1)	FPGReferenceFreeCareInd
Percent200	Yes (X)	Percent200Ind
FPG Reference Discounted Care	Yes (1)	FPGReferenceDiscountedCareInd
Percent400	Yes (X)	Percent400Ind
Free Care Medically Indigent	Yes (1)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (1)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	0	ExpensesExceedBudgetInd
Annual Community Bnft Report	Yes (1)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (1)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$11,865,217	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$11,865,217	NetCommunityBenefitExpnsAmt
Total Expense	0.10360	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$14,667,355	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$11,388,406	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$3,278,949	NetCommunityBenefitExpnsAmt
Total Expense	0.02860	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$26,532,572	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$11,388,406	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$15,144,166	NetCommunityBenefitExpnsAmt
Total Expense	0.13220	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$217,929	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$217,929	NetCommunityBenefitExpnsAmt
Total Expense	0.00190	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$162,204	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$162,204	NetCommunityBenefitExpnsAmt
Total Expense	0.00140	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$380,133	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$380,133	NetCommunityBenefitExpnsAmt
Total Expense	0.00330	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$26,912,705	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$11,388,406	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$15,524,299	NetCommunityBenefitExpnsAmt
Total Expense	0.13550	TotalExpensePct

Other Communtity Building Acty OtherCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$517,578	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$517,578	NetCommunityBenefitExpnsAmt
Total Expense	0.00450	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$517,578	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$517,578	NetCommunityBenefitExpnsAmt
Total Expense	0.00450	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (1)	BadDebtExpenseReportedInd
Bad Debt Expense	$4,959,463	BadDebtExpenseAmt
Bad Debt Expense Attributable	$1,785,803	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$36,563,427	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$36,507,714	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	$55,713	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

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

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

Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp

Entity Name EntityName

Field	Value	IRS element (for citing)
Business Name Line1	1 CLEAR CREEK MOB LTD	BusinessNameLine1

Field	Value	IRS element (for citing)
Primary Activities	REAL ESTATE RENTAL	PrimaryActivitiesTxt
Org Profit Or Ownership	0.60800	OrgProfitOrOwnershipPct
Ofcr Etc Profit Or Ownership	0.00000	OfcrEtcProfitOrOwnershipPct
Physicians Profit Or Ownership	0.22600	PhysiciansProfitOrOwnershipPct

Field	Value	IRS element (for citing)
Hospital Facilities	2	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp (2 entries)

FacilityFacilityNum	Address Line1USAddress/AddressLine1	CityUSAddress/City	StateUSAddress/State	ZIP CodeUSAddress/ZIPCode	State LicenseStateLicenseNum	Licensed HospitalLicensedHospitalInd	General Medical And SurgicalGeneralMedicalAndSurgicalInd	Emergency Room24 HrsEmergencyRoom24HrsInd	Facility Reporting GroupFacilityReportingGroupCd	Critical Access HospitalCriticalAccessHospitalInd
METROPLEX ADVENTIST HOSPITAL
1	2201 S CLEAR CREEK ROAD	KILLEEN	TX	76549	000397	Yes (X)	Yes (X)	Yes (X)	A
ROLLINS BROOK COMMUNITY HOSPITAL
2	608 N KEY AVENUE	LAMPASAS	TX	76550	007209	Yes (X)		Yes (X)	A	Yes (X)

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	METROPLEX ADVENTIST HOSPITAL	BusinessNameLine1

Field	Value	IRS element (for citing)
CHNA Conducted	Yes (1)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
CHNA Conducted	13	CHNAConductedYr
Take Into Account Others Input	Yes (1)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	Yes (1)	CHNAConductedWithOtherFcltsInd
CHNA Report Widely Available	Yes (1)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	WWW.MPLEX.ORG/PORTALS/6/DOCS/COMMUNITY%20	OwnWebsiteURLTxt
Rpt Available Upon Request	Yes (X)	RptAvailableUponRequestInd
Rpt Available Thru Other Method	Yes (X)	RptAvailableThruOtherMethodInd
Prioritize Health Needs	Yes (X)	PrioritizeHealthNeedsInd
Other Needs Addressed	Yes (X)	OtherNeedsAddressedInd
All Needs Addressed	0	AllNeedsAddressedInd
Organization Incur Excise Tax	0	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (1)	EligCriteriaExplainedInd
FPG Used Deter Elig Free Care	Yes (1)	FPGUsedDeterEligFreeCareInd
FPG Family Incm Lmt Free Care	200.000000000000	FPGFamilyIncmLmtFreeCarePct
FPG Used Determ Elig Dscnt Care	Yes (1)	FPGUsedDetermEligDscntCareInd
FPG Family Incm Lmt Dscnt Care	400.000000000000	FPGFamilyIncmLmtDscntCarePct
Explained Basis	Yes (1)	ExplainedBasisInd
Income Level	Yes (X)	IncomeLevelInd
Asset Level	Yes (X)	AssetLevelInd
Medical Indigency	Yes (X)	MedicalIndigencyInd
Insurance Status	Yes (X)	InsuranceStatusInd
Uninsured Discount	Yes (X)	UninsuredDiscountInd
Medicaid Medicare	Yes (X)	MedicaidMedicareInd
State Regulation	Yes (X)	StateRegulationInd
App Financial Asst Expln	Yes (1)	AppFinancialAsstExplnInd
Includes Publicity Measures	Yes (1)	IncludesPublicityMeasuresInd
Available On Request	Yes (X)	AvailableOnRequestInd
Other Publicity	Yes (X)	OtherPublicityInd
FAP Actions On Nonpayment	Yes (1)	FAPActionsOnNonpaymentInd
Collection Activities	0	CollectionActivitiesInd
Nondis Emergency Care Policy	Yes (1)	NondisEmergencyCarePolicyInd
Other Method Used	Yes (X)	OtherMethodUsedInd
Amounts Generally Billed	0	AmountsGenerallyBilledInd
Gross Charges	0	GrossChargesInd

Supplemental Information SupplementalInformationGrp (14 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART V, SECTION B	FACILITY REPORTING GROUP A
FACILITY REPORTING GROUP A CONSISTS OF:	- FACILITY 1: METROPLEX ADVENTIST HOSPITAL, - FACILITY 2: ROLLINS BROOK COMMUNITY HOSPITAL
FACILITY 1 -- METROPLEX ADVENTIST HOSPITAL PART V, SECTION B, LINE 3:	THE METROPLEX HEALTH SYSTEM COMMUNITY HEALTH NEEDS ASSESSMENT IS THE PRODUCT OF A REGIONAL COLLABORATIVE PROCESS. THE BELL COUNTY COMMUNITY NEEDS COALITION (THE COALITION) CONSISTS OF VARIOUS HEALTH AND HUMAN SERVICE STAKEHOLDERS DEDICATED TOWARD THE DEVELOPMENT OF A COUNTYWIDE HEALTH AND HUMAN SERVICES NEEDS ASSESSMENT. NEARLY ALL OF THE COALITION MEMBERS REPRESENTED LOW-INCOME, MINORITY AND UNDERSERVED POPULATIONS.THE COALITION WAS FOUNDED AND FUNDED BY MAJOR ORGANIZATIONS AND AGENCIES IN BELL COUNTY. FUNDERS INCLUDE METROPLEX ADVENTIST HOSPITAL/ROLLINS BROOK COMMUNITY HOSPITAL, SCOTT & WHITE HEALTHCARE, UNITED WAY OF CENTRAL TEXAS, AND UNITED WAY OF GREATER FORT HOOD AREA. THEY AND OTHER PARTNERS ARE ACTIVE MEMBERS OF THE COALITION, WHICH SERVED AS THE COMMUNITY AND HOSPITAL ADVISORY BOARD FOR THE METROPLEX HEALTH SYSTEM COMMUNITY HEALTH NEEDS ASSESSMENT. THE COALITION PARTNERS ALSO SERVE RESIDENTS IN LAMPASAS COUNTY.FUNDERSBELL COUNTY PUBLIC HEALTH DISTRICT - SERVES CHILDREN OF ALL BACKGROUNDS INCLUDING HIGH NUMBERS OF HISPANIC CHILDREN AND THOSE ON FREE OR REDUCED LUNCHMETROPLEX HEALTH SYSTEM - PROVIDES COMMUNITY HEALTH EDUCATION TO THE BROAD COMMUNITY AND SEES HIGH NUMBERS OF CHARITY PATIENTS WHO LACK INSURANCESCOTT & WHITE HEALTHCARE - PROVIDES COMMUNITY HEALTH EDUCATION TO THE BROAD COMMUNITY AND SEES HIGH NUMBERS OF CHARITY PATIENTS WHO LACK INSURANCEUNITED WAY OF CENTRAL TEXAS - PROVIDES SOCIAL SERVICES AND SOCIAL SERVICE FUNDING TO COMMUNITY AGENCIES SERVING LOW-INCOME AND MINORITY POPULATIONSUNITED WAY OF GREATER FORT HOOD AREA - PROVIDES SOCIAL SERVICES AND SOCIAL SERVICE FUNDING TO COMMUNITY AGENCIES SERVING LOW-INCOME AND MINORITY POPULATIONS AS WELL AS LOW-INCOME AND MINORITY FAMILIES FROM FORT HOODOTHER COALITION PARTNERSCENTRAL COUNTIES CENTER MENTAL HEALTH AND MENTAL RETARDATION - MENTAL AND BEHAVIORAL HEALTH SERVICES FOR THE BROAD COMMUNITY AND LOW-INCOME, MINORITY FAMILIESCENTRAL TEXAS AREA AGENCY ON AGING - SERVES SENIOR CITIZENS OF ALL INCOMES AND ETHNICITIESCENTRAL TEXAS COLLEGE - SERVES STUDENTS OF ALL BACKGROUNDS AND ETHNICITIES, AND PROVIDES FINANCIAL AID ASSISTANCE FOR LOW-INCOME STUDENTSTEXAS A&M UNIVERSITY/CENTRAL TEXAS - SERVES STUDENTS OF ALL BACKGROUNDS AND ETHNICITIES, AND PROVIDES FINANCIAL AID ASSISTANCE FOR LOW-INCOME STUDENTSTEXAS DEPARTMENT OF STATE HEALTH SERVICES - PUBLIC HEALTH ENTITY WITH STRONG EXPERIENCE IN COMMUNITY HEALTH NEEDS ASSESSMENT. THE MAJORITY OF CLIENTS USING HEALTH DEPARTMENT SERVICES ARE LOW-INCOME, AND MANY ARE HISPANIC.TEXAS HEALTH & HUMAN SERVICES COMMISSION, REGION 7 CENTRAL TEXAS - PROVIDES SOCIAL SERVICES FOR ALL CENTRAL TEXAS RESIDENTS, WITH A SPECIAL FOCUS ON LOW-INCOME AND MINORITY CLIENTS.TEXAS AGRILIFE EXTENSION SERVICE - STATEWIDE EDUCATIONAL AGENCY FOCUSING ON AGRICULTURE, ENVIRONMENTAL STEWARDSHIP, YOUTH AND ADULT LIFE SKILLS, HUMAN CAPITAL AND LEADERSHIP FOR ALL RESIDENTS.III CORPS AND FORT HOOD HEALTH PROMOTION - OPERATES COMMUNITY HEALTH PROMOTION EFFORTS FOR MILITARY FAMILIES THROUGH THE COMMUNITY HEALTH PROMOTION COUNCIL. ENCOURAGES HEALTHY LIVING AND GOOD NUTRITION.THE TOP PRIORITY OF THE COALITION WAS FOR THE ASSESSMENT TO BE AS CONCLUSIVE AND INCLUSIVE AS POSSIBLE. THE GROUP SPENT SEVERAL MONTHS DECIDING ON THE MOST IMPORTANT INDICATORS TO ASSESS THROUGH THE SURVEY INSTRUMENT, THE FOCUS GROUPS AND KEY INFORMANT INTERVIEWS; AS WELL AS SECONDARY DATA POINTS FROM COUNTY, STATE AND FEDERAL AGENCIES. A REAL EFFORT WAS MADE TO REACH OUT TO ALL MEMBERS OF THE BELL AND LAMPASAS COUNTY COMMUNITIES AND OBTAIN PERSPECTIVES ACROSS AGE, RACE/ETHNICITY, GENDER, PROFESSION, HOUSEHOLD INCOME, EDUCATION LEVEL AND GEOGRAPHIC LOCATION. IN THIS NEEDS ASSESSMENT PROCESS, THE COALITION FORMED STRONG PARTNERSHIPS WITH HEALTHCARE PROVIDERS, COUNTY AND STATE AGENCIES, FT. HOOD, NONPROFITS, MEDIA, FAITH-BASED GROUPS, BUSINESS AND CIVIC ORGANIZATIONS.TO SOLICIT BROAD COMMUNITY INPUT, THE COALITION DISTRIBUTED A PAPER SURVEY TO THOUSANDS OF PEOPLE, ENTERED THE DATA ONLINE, AND SHARED THE WEB LINK FOR THOSE PEOPLE WHO PREFERRED TO FILL OUT THE SURVEY ELECTRONICALLY. THE SURVEY WAS CONDUCTED IN THREE LANGUAGES: ENGLISH, SPANISH AND KOREAN. THE RESPONSE TO THE SURVEY FAR EXCEEDED THE GOAL OF THE COALITION: TO GET ABOUT 1,200 RESPONSES FROM THE COMMUNITY. OVER THE THREE MONTHS 2,881 BELL COUNTY RESIDENTS PARTICIPATED IN THE SURVEY. PARTICIPANTS INCLUDE PEOPLE OF ALL INCOMES AND ETHNICITIES.IN ADDITION TO THE SURVEYS, 14 INDIVIDUAL STAKEHOLDERS WERE INTERVIEWED. THESE INCLUDED A MAYOR, COUNTY COMMISSIONERS, A CITY COUNCIL MEMBER, A CHIEF OF POLICE, A CHAMBER PRESIDENT, SEVERAL CEOS AND AGENCY DIRECTORS. THE STAKEHOLDERS REPRESENTED ALL SEGMENTS OF THE COMMUNITY, INCLUDING UNDERSERVED AND ETHNIC POPULATIONS. INTERVIEW QUESTIONS FOCUSED ON THE BEST QUALITIES OF BELL AND LAMPASAS COUNTY, ALONG WITH THE MOST NEEDED HEALTH AND HUMAN SERVICES. ADDITIONALLY, THE KEY INFORMANTS AND OTHERS WERE ASKED ABOUT POTENTIAL SOLUTIONS AND RECOMMENDATIONS FOR IMPROVING THE QUALITY OF LIFE IN BELL AND LAMPASAS COUNTY.ADDITIONAL INFORMATION ON REASONS FOR LACK OF ACCESS TO SERVICES AND OTHER INFORMATION WERE GLEANED THROUGH FOCUS GROUPS TARGETING AREAS OF SPECIAL NEEDS, INCLUDING: SENIOR CAREGIVERS CAREGIVERS FOR CHILDREN WITH SPECIAL HEALTH CARE NEEDS NATIONAL ALLIANCE ON MENTAL ILLNESS CHAPTER MEMBERS UNITED WAY OF CENTRAL TEXAS PARTNER AGENCIES REPRESENTATIVES FROM FAITH-BASED ORGANIZATIONS THESE FOCUS GROUPS PROVIDED ADDITIONAL INFORMATION ON BELL AND LAMPASAS COUNTY'S STRENGTHS, GAPS, AND NEEDS FOR SPECIFIC SERVICES AND SUPPORTS.
FACILITY 1 -- METROPLEX ADVENTIST HOSPITAL PART V, SECTION B, LINE 4:	SCOTT & WHITE HEALTHCARE
FACILITY 1 -- METROPLEX ADVENTIST HOSPITAL PART V, SECTION B, LINE 6I:	AS A PART OF ITS COMMUNITY HEALTH NEEDS ASSESSMENT, THE FILING ORGANIZATION CONDUCTED AN EXTENSIVE AND THOROUGH ANALYSIS AND PRIORITIZATION OF ITS SIGNIFICANT IDENTIFIED HEALTH NEEDS. PLEASE SEE OUR DISCUSSION IN PART V, SECTION B, LINE 7.
FACILITY 1 -- METROPLEX ADVENTIST HOSPITAL PART V, SECTION B, LINE 7:	THE COALITION (SEE THE LISTING OF MEMBERS IN THE SCH. H, PART V, SECTION B, LINE 3 NARRATIVE ABOVE) REVIEWED ALL OF THE DATA AND PRIORITIZED THE KEY ISSUES ACCORDING TO INTENSITY OF THE NEED, CURRENT INITIATIVES AROUND THE ISSUE, AND THE POTENTIAL FOR FUTURE COLLABORATION. METROPLEX AND ROLLINS BROOK USED ADDITIONAL DATA COLLECTION TOOLS AND METHODS, BOTH QUANTITATIVE AND QUALITATIVE, TO CONDUCT A NEEDS ASSESSMENT OF THE FACTORS THAT FACILITATE HEALTH AND HUMAN SERVICES NEEDS AMONG OUR HOSPITALS' PRIMARY SERVICE AREA, BELL AND LAMPASAS COUNTY RESIDENTS.BECAUSE THIS WAS SUCH A COMPREHENSIVE NEEDS ASSESSMENT, METROPLEX ADVENTIST HOSPITAL AND ROLLINS BROOK COMMUNITY HOSPITAL USED THE BELL COUNTY COALITION AS ITS COMMUNITY HEALTH NEEDS ASSESSMENT COMMITTEE. BASED ON THE COALITION WORK AND THE SPECIFIC HOSPITAL WORK, THE COALITION AND METROPLEX/ROLLINS BROOK HOSPITALS CHOSE THREE TOP PRIORITIES FOR THE HOSPITALS TO ADDRESS FOR THE FOLLOWING REASONS 1. OBESITY HIGH OBESITY RATES IN THE ENTIRE COMMUNITY. THIS HAS BEEN AN ISSUE FOR MANY YEARS.2. FLU VACCINATIONS HIGH RATES OF FLU AND DEATHS FORM FLU IN THE SERVICE AREA.3. INTEGRATION OF MENTAL AND SPIRITUAL HEALTH HIGH NEED FOR MENTAL HEALTH SERVICES, ESPECIALLY AMONG LOW-INCOME AND MINORITY POPULATIONS.THE COALITION DETERMINED THAT THE OTHER THREE HEALTH PRIORITIES AND THE HUMAN SERVICES PRIORITIES COULD BE ADDRESS MORE EFFECTIVELY BY OTHER MEMBERS OF THE COALITION. THE HEALTH AND HUMAN SERVICE PRIORITIES THAT ARE NOT THE PRIMARY FOCUS OF METROPLEX AND ROLLINS BROOK INCLUDE THE FOLLOWING:HUMAN SERVICES1. UNEMPLOYMENT2. FAMILY VIOLENCE AND CHILD ABUSE3. HOMELESSNESS4. SENIOR SERVICESHEALTH SERVICES1. AFFORDABLE MEDICAL CARE2. LOW COST WALK-IN CLINICS FOR PREVENTIVE CARE3. LATE CLINIC HOURS
FACILITY 1 -- METROPLEX ADVENTIST HOSPITAL PART V, SECTION B, LINE 14G:	METROPLEX ADVENTIST HOSPITAL (THE HOSPITAL) HAS DEVELOPED A PATIENT-FRIENDLY SUMMARY VERSION OF ITS FINANCIAL ASSISTANCE POLICY (FAP). THE FILING ORGANIZATION'S FAP PROVIDES THAT ITS HOSPITAL FACILITY WILL POST THE PATIENT-FRIENDLY SUMMARY VERSION OF ITS FAP ON THE HOSPITAL'S WEBSITE. IN ADDITION, THE FAP OF THE HOSPITAL FACILITY STATES THAT SIGNAGE REGARDING THE AVAILABILITY OF THE HOSPITAL FACILITY'S FAP WILL BE VISIBLE AT POINTS OF ADMISSION AND REGISTRATION, INCLUDING THE EMERGENCY DEPARTMENT.
FACILITY 1 -- METROPLEX ADVENTIST HOSPITAL PART V, SECTION B, LINE 20D:	IN DETERMINING THE MAXIMUM AMOUNT THAT CAN BE CHARGED TO FINANCIAL ASSISTANCE POLICY-ELIGIBLE INDIVIDUALS FOR EMERGENCY OR OTHER MEDICALLY NECESSARY CARE, THE HOSPITAL USES THE FOLLOWING METHODOLOGY:THE HOSPITAL IDENTIFIES ALL COMMERCIAL PAYORS THAT HAD ANY ACTIVITY WITH THE HOSPITAL DURING THE TAXABLE YEAR. FOR THOSE IDENTIFIED COMMERCIAL PAYORS, AN AVERAGE OF THE NEGOTIATED COMMERCIAL INSURANCE RATES IS DETERMINED. THE AVERAGE OF ALL OF THE NEGOTIATED COMMERCIAL INSURANCE RATES FOR THOSE IDENTIFIED COMMERCIAL PAYORS DETERMINES THE MAXIMUM AMOUNT THAT CAN BE CHARGED TO PATIENTS ELIGIBLE UNDER THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY.
FACILITY 2 -- ROLLINS BROOK COMMUNITY HOSPITAL PART V, SECTION B, LINE 3:	THE METROPLEX HEALTH SYSTEM COMMUNITY HEALTH NEEDS ASSESSMENT IS THE PRODUCT OF A REGIONAL COLLABORATIVE PROCESS. THE BELL COUNTY COMMUNITY NEEDS COALITION (THE COALITION) CONSISTS OF VARIOUS HEALTH AND HUMAN SERVICE STAKEHOLDERS DEDICATED TOWARD THE DEVELOPMENT OF A COUNTYWIDE HEALTH AND HUMAN SERVICES NEEDS ASSESSMENT. NEARLY ALL OF THE COALITION MEMBERS REPRESENTED LOW-INCOME, MINORITY AND UNDERSERVED POPULATIONS.THE COALITION WAS FOUNDED AND FUNDED BY MAJOR ORGANIZATIONS AND AGENCIES IN BELL COUNTY. FUNDERS INCLUDE METROPLEX ADVENTIST HOSPITAL/ROLLINS BROOK COMMUNITY HOSPITAL, SCOTT & WHITE HEALTHCARE, UNITED WAY OF CENTRAL TEXAS, AND UNITED WAY OF GREATER FORT HOOD AREA. THEY AND OTHER PARTNERS ARE ACTIVE MEMBERS OF THE COALITION, WHICH SERVED AS THE COMMUNITY AND HOSPITAL ADVISORY BOARD FOR THE METROPLEX HEALTH SYSTEM COMMUNITY HEALTH NEEDS ASSESSMENT. THE COALITION PARTNERS ALSO SERVE RESIDENTS IN LAMPASAS COUNTY.FUNDERSBELL COUNTY PUBLIC HEALTH DISTRICT - SERVES CHILDREN OF ALL BACKGROUNDS INCLUDING HIGH NUMBERS OF HISPANIC CHILDREN AND THOSE ON FREE OR REDUCED LUNCHMETROPLEX HEALTH SYSTEM - PROVIDES COMMUNITY HEALTH EDUCATION TO THE BROAD COMMUNITY AND SEES HIGH NUMBERS OF CHARITY PATIENTS WHO LACK INSURANCESCOTT & WHITE HEALTHCARE - PROVIDES COMMUNITY HEALTH EDUCATION TO THE BROAD COMMUNITY AND SEES HIGH NUMBERS OF CHARITY PATIENTS WHO LACK INSURANCEUNITED WAY OF CENTRAL TEXAS - PROVIDES SOCIAL SERVICES AND SOCIAL SERVICE FUNDING TO COMMUNITY AGENCIES SERVING LOW-INCOME AND MINORITY POPULATIONSUNITED WAY OF GREATER FORT HOOD AREA - PROVIDES SOCIAL SERVICES AND SOCIAL SERVICE FUNDING TO COMMUNITY AGENCIES SERVING LOW-INCOME AND MINORITY POPULATIONS AS WELL AS LOW-INCOME AND MINORITY FAMILIES FROM FORT HOODOTHER COALITION PARTNERSCENTRAL COUNTIES CENTER MENTAL HEALTH AND MENTAL RETARDATION - MENTAL AND BEHAVIORAL HEALTH SERVICES FOR THE BROAD COMMUNITY AND LOW-INCOME, MINORITY FAMILIESCENTRAL TEXAS AREA AGENCY ON AGING - SERVES SENIOR CITIZENS OF ALL INCOMES AND ETHNICITIESCENTRAL TEXAS COLLEGE - SERVES STUDENTS OF ALL BACKGROUNDS AND ETHNICITIES, AND PROVIDES FINANCIAL AID ASSISTANCE FOR LOW-INCOME STUDENTSTEXAS A&M UNIVERSITY/CENTRAL TEXAS - SERVES STUDENTS OF ALL BACKGROUNDS AND ETHNICITIES, AND PROVIDES FINANCIAL AID ASSISTANCE FOR LOW-INCOME STUDENTSTEXAS DEPARTMENT OF STATE HEALTH SERVICES - PUBLIC HEALTH ENTITY WITH STRONG EXPERIENCE IN COMMUNITY HEALTH NEEDS ASSESSMENT. THE MAJORITY OF CLIENTS USING HEALTH DEPARTMENT SERVICES ARE LOW-INCOME, AND MANY ARE HISPANIC.TEXAS HEALTH & HUMAN SERVICES COMMISSION, REGION 7 CENTRAL TEXAS - PROVIDES SOCIAL SERVICES FOR ALL CENTRAL TEXAS RESIDENTS, WITH A SPECIAL FOCUS ON LOW-INCOME AND MINORITY CLIENTS.TEXAS AGRILIFE EXTENSION SERVICE - STATEWIDE EDUCATIONAL AGENCY FOCUSING ON AGRICULTURE, ENVIRONMENTAL STEWARDSHIP, YOUTH AND ADULT LIFE SKILLS, HUMAN CAPITAL AND LEADERSHIP FOR ALL RESIDENTS.III CORPS AND FORT HOOD HEALTH PROMOTION - OPERATES COMMUNITY HEALTH PROMOTION EFFORTS FOR MILITARY FAMILIES THROUGH THE COMMUNITY HEALTH PROMOTION COUNCIL. ENCOURAGES HEALTHY LIVING AND GOOD NUTRITION.THE TOP PRIORITY OF THE COALITION WAS FOR THE ASSESSMENT TO BE AS CONCLUSIVE AND INCLUSIVE AS POSSIBLE. THE GROUP SPENT SEVERAL MONTHS DECIDING ON THE MOST IMPORTANT INDICATORS TO ASSESS THROUGH THE SURVEY INSTRUMENT, THE FOCUS GROUPS AND KEY INFORMANT INTERVIEWS; AS WELL AS SECONDARY DATA POINTS FROM COUNTY, STATE AND FEDERAL AGENCIES. A REAL EFFORT WAS MADE TO REACH OUT TO ALL MEMBERS OF THE BELL AND LAMPASAS COUNTY COMMUNITIES AND OBTAIN PERSPECTIVES ACROSS AGE, RACE/ETHNICITY, GENDER, PROFESSION, HOUSEHOLD INCOME, EDUCATION LEVEL AND GEOGRAPHIC LOCATION. IN THIS NEEDS ASSESSMENT PROCESS, THE COALITION FORMED STRONG PARTNERSHIPS WITH HEALTHCARE PROVIDERS, COUNTY AND STATE AGENCIES, FT. HOOD, NONPROFITS, MEDIA, FAITH-BASED GROUPS, BUSINESS AND CIVIC ORGANIZATIONS.TO SOLICIT BROAD COMMUNITY INPUT, THE COALITION DISTRIBUTED A PAPER SURVEY TO THOUSANDS OF PEOPLE, ENTERED THE DATA ONLINE, AND SHARED THE WEB LINK FOR THOSE PEOPLE WHO PREFERRED TO FILL OUT THE SURVEY ELECTRONICALLY. THE SURVEY WAS CONDUCTED IN THREE LANGUAGES: ENGLISH, SPANISH AND KOREAN. THE RESPONSE TO THE SURVEY FAR EXCEEDED THE GOAL OF THE COALITION: TO GET ABOUT 1,200 RESPONSES FROM THE COMMUNITY. OVER THE THREE MONTHS 2,881 BELL COUNTY RESIDENTS PARTICIPATED IN THE SURVEY. PARTICIPANTS INCLUDE PEOPLE OF ALL INCOMES AND ETHNICITIES.IN ADDITION TO THE SURVEYS, 14 INDIVIDUAL STAKEHOLDERS WERE INTERVIEWED. THESE INCLUDED A MAYOR, COUNTY COMMISSIONERS, A CITY COUNCIL MEMBER, A CHIEF OF POLICE, A CHAMBER PRESIDENT, SEVERAL CEOS AND AGENCY DIRECTORS. THE STAKEHOLDERS REPRESENTED ALL SEGMENTS OF THE COMMUNITY, INCLUDING UNDERSERVED AND ETHNIC POPULATIONS. INTERVIEW QUESTIONS FOCUSED ON THE BEST QUALITIES OF BELL AND LAMPASAS COUNTY, ALONG WITH THE MOST NEEDED HEALTH AND HUMAN SERVICES. ADDITIONALLY, THE KEY INFORMANTS AND OTHERS WERE ASKED ABOUT POTENTIAL SOLUTIONS AND RECOMMENDATIONS FOR IMPROVING THE QUALITY OF LIFE IN BELL AND LAMPASAS COUNTY.ADDITIONAL INFORMATION ON REASONS FOR LACK OF ACCESS TO SERVICES AND OTHER INFORMATION WERE GLEANED THROUGH FOCUS GROUPS TARGETING AREAS OF SPECIAL NEEDS, INCLUDING: SENIOR CAREGIVERS CAREGIVERS FOR CHILDREN WITH SPECIAL HEALTH CARE NEEDS NATIONAL ALLIANCE ON MENTAL ILLNESS CHAPTER MEMBERS UNITED WAY OF CENTRAL TEXAS PARTNER AGENCIES REPRESENTATIVES FROM FAITH-BASED ORGANIZATIONS THESE FOCUS GROUPS PROVIDED ADDITIONAL INFORMATION ON BELL AND LAMPASAS COUNTY'S STRENGTHS, GAPS, AND NEEDS FOR SPECIFIC SERVICES AND SUPPORTS.
FACILITY 2 -- ROLLINS BROOK COMMUNITY HOSPITAL PART V, SECTION B, LINE 4:	SCOTT & WHITE HEALTHCARE
FACILITY 2 -- ROLLINS BROOK COMMUNITY HOSPITAL PART V, SECTION B, LINE 6I:	AS A PART OF ITS COMMUNITY HEALTH NEEDS ASSESSMENT, THE FILING ORGANIZATION CONDUCTED AN EXTENSIVE AND THOROUGH ANALYSIS AND PRIORITIZATION OF ITS SIGNIFICANT IDENTIFIED HEALTH NEEDS. PLEASE SEE OUR DISCUSSION IN PART V, SECTION B, LINE 7.
FACILITY 2 -- ROLLINS BROOK COMMUNITY HOSPITAL PART V, SECTION B, LINE 7:	THE COALITION (SEE THE LISTING OF MEMBERS IN THE SCH. H, PART V, SECTION B, LINE 3 NARRATIVE ABOVE) REVIEWED ALL OF THE DATA AND PRIORITIZED THE KEY ISSUES ACCORDING TO INTENSITY OF THE NEED, CURRENT INITIATIVES AROUND THE ISSUE, AND THE POTENTIAL FOR FUTURE COLLABORATION. METROPLEX AND ROLLINS BROOK USED ADDITIONAL DATA COLLECTION TOOLS AND METHODS, BOTH QUANTITATIVE AND QUALITATIVE, TO CONDUCT A NEEDS ASSESSMENT OF THE FACTORS THAT FACILITATE HEALTH AND HUMAN SERVICES NEEDS AMONG OUR HOSPITALS' PRIMARY SERVICE AREA, BELL AND LAMPASAS COUNTY RESIDENTS.BECAUSE THIS WAS SUCH A COMPREHENSIVE NEEDS ASSESSMENT, METROPLEX ADVENTIST HOSPITAL AND ROLLINS BROOK COMMUNITY HOSPITAL USED THE BELL COUNTY COALITION AS ITS COMMUNITY HEALTH NEEDS ASSESSMENT COMMITTEE. BASED ON THE COALITION WORK AND THE SPECIFIC HOSPITAL WORK, THE COALITION AND METROPLEX/ROLLINS BROOK HOSPITALS CHOSE THREE TOP PRIORITIES FOR THE HOSPITALS TO ADDRESS FOR THE FOLLOWING REASONS 1. OBESITY HIGH OBESITY RATES IN THE ENTIRE COMMUNITY. THIS HAS BEEN AN ISSUE FOR MANY YEARS.2. FLU VACCINATIONS HIGH RATES OF FLU AND DEATHS FORM FLU IN THE SERVICE AREA.3. INTEGRATION OF MENTAL AND SPIRITUAL HEALTH HIGH NEED FOR MENTAL HEALTH SERVICES, ESPECIALLY AMONG LOW-INCOME AND MINORITY POPULATIONS.THE COALITION DETERMINED THAT THE OTHER THREE HEALTH PRIORITIES AND THE HUMAN SERVICES PRIORITIES COULD BE ADDRESS MORE EFFECTIVELY BY OTHER MEMBERS OF THE COALITION. THE HEALTH AND HUMAN SERVICE PRIORITIES THAT ARE NOT THE PRIMARY FOCUS OF METROPLEX AND ROLLINS BROOK INCLUDE THE FOLLOWING:HUMAN SERVICES1. UNEMPLOYMENT2. FAMILY VIOLENCE AND CHILD ABUSE3. HOMELESSNESS4. SENIOR SERVICESHEALTH SERVICES1. AFFORDABLE MEDICAL CARE2. LOW COST WALK-IN CLINICS FOR PREVENTIVE CARE3. LATE CLINIC HOURS
FACILITY 2 -- ROLLINS BROOK COMMUNITY HOSPITAL PART V, SECTION B, LINE 14G:	ROLLINS BROOK COMMUNITY HOSPITAL (THE HOSPITAL) HAS DEVELOPED A PATIENT-FRIENDLY SUMMARY VERSION OF ITS FINANCIAL ASSISTANCE POLICY (FAP). THE FILING ORGANIZATION'S FAP PROVIDES THAT ITS HOSPITAL FACILITY WILL POST THE PATIENT-FRIENDLY SUMMARY VERSION OF ITS FAP ON THE HOSPITAL'S WEBSITE. IN ADDITION, THE FAP OF THE HOSPITAL FACILITY STATES THAT SIGNAGE REGARDING THE AVAILABILITY OF THE HOSPITAL FACILITY'S FAP WILL BE VISIBLE AT POINTS OF ADMISSION AND REGISTRATION, INCLUDING THE EMERGENCY DEPARTMENT.
FACILITY 2 -- ROLLINS BROOK COMMUNITY HOSPITAL PART V, SECTION B, LINE 20D:	IN DETERMINING THE MAXIMUM AMOUNT THAT CAN BE CHARGED TO FINANCIAL ASSISTANCE POLICY-ELIGIBLE INDIVIDUALS FOR EMERGENCY OR OTHER MEDICALLY NECESSARY CARE, THE HOSPITAL USES THE FOLLOWING METHODOLOGY:THE HOSPITAL IDENTIFIES ALL COMMERCIAL PAYORS THAT HAD ANY ACTIVITY WITH THE HOSPITAL DURING THE TAXABLE YEAR. FOR THOSE IDENTIFIED COMMERCIAL PAYORS, AN AVERAGE OF THE NEGOTIATED COMMERCIAL INSURANCE RATES IS DETERMINED. THE AVERAGE OF ALL OF THE NEGOTIATED COMMERCIAL INSURANCE RATES FOR THOSE IDENTIFIED COMMERCIAL PAYORS DETERMINES THE MAXIMUM AMOUNT THAT CAN BE CHARGED TO PATIENTS ELIGIBLE UNDER THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY.

Field	Value	IRS element (for citing)
Facility	7	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (7 entries)

Address Line1USAddress/AddressLine1	CityUSAddress/City	StateUSAddress/State	ZIP CodeUSAddress/ZIPCode	FacilityFacilityTxt
METROPLEX BEHAVIORAL HEALTH CENTER
2407 S CLEAR CREEK ROAD	KILLEEN	TX	76549	BEHAVIORAL HEALTH
WOUND CARE & HYPERBARIC MEDICINE CENTER
2300 S CLEAR CREEK ROAD STE 101	KILLEEN	TX	76549	OUTPATIENT WOUND CARE CLINIC
METROPLEX ENDOSCOPY CENTER
2405 S CLEAR CREEK ROAD	KILLEEN	TX	76549	AMBULATORY SURGERY CENTER
METROPLEX OPEN MRI
5610 E CENTRAL TEXAS EXPWY	KILLEEN	TX	76543	OUTPATIENT MRI CLINIC
HOME CARE OF METROPLEX
806 E AVENUE D STE D	COPPERAS COVE	TX	76522	HOME HEALTH
METROPLEX REHABILITATION CENTER
2300 S CLEAR CREEK ROAD STE 102	KILLEEN	TX	76549	OUTPATIENT REHABILITATION CLINIC
METROPLEX SLEEP CENTER
2111 S CLEAR CREEK ROAD	KILLEEN	TX	76549	SLEEP DISORDERS

Supplemental Information Detail SupplementalInformationDetail (15 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE 6A:	THE FILING ORGANIZATION IS A RELATED AFFILIATE OF ADVENTIST HEALTH SYSTEM SUNBELT HEALTHCARE CORPORATION (AHSSHC). AHSSHC SERVES AS A PARENT ORGANIZATION TO 24 TAX-EXEMPT 501(C)(3) HOSPITAL ORGANIZATIONS THAT OPERATE 44 HOSPITALS IN TEN STATES WITHIN THE U.S. THE SYSTEM OF ORGANIZATIONS UNDER THE CONTROL AND OWNERSHIP OF AHSSHC IS KNOWN AS "ADVENTIST HEALTH SYSTEM" (AHS).ALL HOSPITAL ORGANIZATIONS WITHIN AHS COLLECT, CALCULATE, AND REPORT THE COMMUNITY BENEFITS THEY PROVIDE TO THE COMMUNITIES THEY SERVE. AHS ORGANIZATIONS EXIST SOLELY TO IMPROVE AND ENHANCE THE LOCAL COMMUNITIES THEY SERVE. AHS HAS A SYSTEM-WIDE COMMUNITY BENEFITS ACCOUNTING POLICY THAT PROVIDES GUIDELINES FOR ITS HEALTH CARE PROVIDER ORGANIZATIONS TO CAPTURE AND REPORT THE COSTS OF SERVICES PROVIDED TO THE UNDERPRIVILEGED AND TO THE BROADER COMMUNITY. ON AN ANNUAL BASIS, THE COMMUNITY BENEFITS OF ALL AHS ORGANIZATIONS ARE CONSOLIDATED AND REPORTED IN THE AHS ANNUAL REPORT DOCUMENT PREPARED BY ADVENTIST HEALTH SYSTEM SUNBELT HEALTHCARE CORPORATION (EIN: 59-2170012).
PART I, LINE 7:	THE AMOUNTS OF COSTS REPORTED IN THE TABLE IN LINE 7 OF PART I OF SCHEDULE H WERE DETERMINED BY UTILIZING A COST-TO-CHARGE RATIO DERIVED FROM WORKSHEET 2, RATIO OF PATIENT CARE COST-TO-CHARGES, CONTAINED IN THE SCHEDULE H INSTRUCTIONS.
PART II, COMMUNITY BUILDING ACTIVITIES:	THE FILING ORGANIZATION IS INVOLVED WITH AND SUPPORTIVE OF VARIOUS ACTIVITIES 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. METROPLEX WELLNESS OFFERS VARIOUS HEALTH PROMOTION AND EDUCATIONAL PROGRAMS INCLUDING THE FOLLOWING: ARTHRITIS EXERCISE, LALECHE LEAGUE (ASSISTANCE TO MOTHERS WHO BREASTFEED THROUGH MOTHER-TO-MOTHER SUPPORT, ENCOURAGEMENT, AND EDUCATION), SENIOR EXCERCISE, GRIEF RECOVERY, DIABETES EDUCATION, ASTHMA EDUCATION, SMOKING CESSATION CLASSES, CANCER COSMETOLOGY CLASS AND SUPPORT GROUPS FOR THOSE AFFECTED BY CANCER. IN ADDITION TO THE ACTIVITIES LISTED ABOVE, THE FILING ORGANIZATION ALSO ORGANIZES HEALTH EVENTS & HEALTH FAIRS THAT PROVIDE HEALTH SCREENINGS ALONG WITH HEALTH INFORMATION, IMMUNIZATION CINICS, AND HEART CHECK (BLOOD PRESSURE MONITOR AND HEALTH EDUCATION PAMPHLETS) FREE TO THE PUBLIC.
PART III, LINE 2:	THE AMOUNT OF BAD DEBT EXPENSE, REPORTED ON LINE 2 OF SECTION A OF PART III IS RECORDED IN ACCORDANCE WITH HEALTHCARE FINANCIAL MANAGEMENT ASSOCIATION STATEMENT NO. 15. DISCOUNTS AND PAYMENTS ON PATIENT ACCOUNTS ARE RECORDED AS ADJUSTMENTS TO REVENUE, NOT BAD DEBT EXPENSE.
PART III, LINE 3:	METHODOLOGY FOR DETERMINING THE ESTIMATED AMOUNT OF BAD DEBT EXPENSE THAT MAY REPRESENT PATIENTS WHO COULD HAVE QUALIFIED UNDER THE FILING ORGANIZATION'S CHARITY CARE POLICY:SELF-PAY PATIENTS ARE REQUIRED TO COMPLETE A PATIENT FINANCIAL ASSISTANCE APPLICATION SHORT FORM (PFAA). IF THE PFAA IS NOT COMPLETED AFTER REASONABLE ATTEMPTS TO OBTAIN IT ARE EXHAUSTED, PATIENT INFORMATION IS PROCESSED THROUGH A SCORER PRODUCT. THE SCORER PRODUCT UTILIZES PUBLICLY AVAILABLE DATA, SUCH AS CREDIT REPORTS, TO ASSESS AN INDIVIDUAL PATIENT'S FINANCIAL VIABILITY. PATIENTS WHO EARN A CERTAIN SCORE ON THE SCORER PRODUCT ARE CONSIDERED TO QUALIFY AS NON-STATE CHARITY PATIENTS. AN AMOUNT UP TO $1,000 OF SUCH A PATIENT'S BILL IS WRITTEN OFF AS BAD DEBT EXPENSE, WHILE THE REMAINING PORTION OF THE PATIENT'S BILL IS CONSIDERED TO BE NON-STATE CHARITY. THE AMOUNT WRITTEN OFF AS BAD DEBT EXPENSE FOR THOSE PATIENTS WHO POTENTIALLY QUALIFY AS NON-STATE CHARITY USING THE SCORER PRODUCT IS THE AMOUNT SHOWN ON LINE 3 OF SECTION A OF PART III. RATIONALE FOR INCLUDING CERTAIN BAD DEBTS IN COMMUNITY BENEFIT:THE FILING ORGANIZATION IS DEDICATED TO THE VIEW THAT MEDICALLY NECESSARY HEALTH CARE FOR EMERGENCY AND NON-ELECTIVE PATIENTS SHOULD BE ACCESSIBLE TO ALL, REGARDLESS OF AGE, GENDER, GEOGRAPHIC LOCATION, CULTURAL BACKGROUND, PHYSICIAN MOBILITY, OR ABILITY TO PAY. THE FILING ORGANIZATION TREATS EMERGENCY AND NON-ELECTIVE PATIENTS REGARDLESS OF THEIR ABILITY TO PAY OR THE AVAILABILITY OF THIRD-PARTY COVERAGE. BY PROVIDING HEALTH CARE TO ALL WHO REQUIRE EMERGENCY OR NON-ELECTIVE CARE IN A NON-DISCRIMINATORY MANNER, THE FILING ORGANIZATION IS PROVIDING HEALTH CARE TO THE BROAD COMMUNITY IT SERVES. AS A 501(C)(3) HOSPITAL ORGANIZATION, THE FILING ORGANIZATION MAINTAINS A 24/7 EMERGENCY ROOM PROVIDING CARE TO ALL WHOM PRESENT. WHEN A PATIENT'S ARRIVAL AND/OR ADMISSION TO THE FACILITY BEGINS WITHIN THE EMERGENCY DEPARTMENT, TRIAGE AND MEDICAL SCREENING ARE ALWAYS COMPLETED PRIOR TO REGISTRATION STAFF PROCEEDING WITH THE DETERMINATION OF A PATIENT'S SOURCE OF PAYMENT. IF THE PATIENT REQUIRES ADMISSION AND CONTINUED NON-ELECTIVE CARE, THE FILING ORGANIZATION PROVIDES THE NECESSARY CARE REGARDLESS OF THE PATIENT'S ABILITY TO PAY. THE FILING ORGANIZATION'S OPERATION OF A 24/7 EMERGENCY DEPARTMENT THAT ACCEPTS ALL INDIVIDUALS IN NEED OF CARE PROMOTES THE HEALTH OF THE COMMUNITY THROUGH THE PROVISION OF CARE TO ALL WHOM PRESENT. CURRENT INTERNAL REVENUE SERVICE GUIDANCE THAT TAX-EXEMPT HOSPITALS MAINTAIN SUCH EMERGENCY ROOMS WAS ESTABLISHED TO ENSURE THAT EMERGENCY CARE WOULD BE PROVIDED TO ALL WITHOUT DISCRIMINATION. THE TREATMENT OF ALL AT THE FILING ORGANIZATION'S EMERGENCY DEPARTMENT IS A COMMUNITY BENEFIT. UNDER THE FILING ORGANIZATION'S CHARITY CARE POLICY, EVERY EFFORT IS MADE TO OBTAIN A PATIENT'S NECESSARY FINANCIAL INFORMATION TO DETERMINE ELIGIBILITY FOR CHARITY CARE. HOWEVER, NOT ALL PATIENTS WILL COOPERATE WITH SUCH EFFORTS AND A CHARITY CARE ELIGIBILITY DETERMINATION CAN NOT BE MADE. IN THIS CASE, A PATIENT'S PORTION OF A BILL THAT REMAINS UNPAID FOR A CERTAIN STIPULATED TIME PERIOD IS WHOLLY OR PARTIALLY CLASSIFIED AS BAD DEBT. BAD DEBTS ASSOCIATED WITH PATIENTS WHO HAVE RECEIVED CARE THROUGH THE FILING ORGANIZATION'S EMERGENCY DEPARTMENT SHOULD BE CONSIDERED TO BE COMMUNITY BENEFIT AS CHARITABLE HOSPITALS EXIST TO PROVIDE SUCH CARE IN PURSUIT OF THEIR PURPOSE OF MEETING THE NEED FOR EMERGENCY MEDICAL CARE SERVICES AVAILABLE TO ALL IN THE COMMUNITY.
PART III, LINE 4:	FINANCIAL STATEMENT FOOTNOTE RELATED TO ACCOUNTS RECEIVABLE AND ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS:THE FINANCIAL INFORMATION OF THE FILING ORGANIZATION IS INCLUDED IN A CONSOLIDATED AUDITED FINANCIAL STATEMENT FOR THE CURRENT YEAR.THE APPLICABLE FOOTNOTE FROM THE ATTACHED CONSOLIDATED AUDITED FINANCIAL STATEMENTS THAT ADDRESSES ACCOUNTS RECEIVABLE, THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS, AND THE PROVISION FOR BAD DEBTS CAN BE FOUND ON PAGES 7 AND 8. PLEASE NOTE THAT DOLLAR AMOUNTS ON THE ATTACHED CONSOLIDATED AUDITED FINANCIAL STATEMENTS ARE IN THOUSANDS.
PART III, LINE 8:	COSTING METHODOLOGY:MEDICARE ALLOWABLE COSTS WERE CALCULATED USING A COST-TO-CHARGE RATIO.
PART III, LINE 9B:	AT THE TIME OF PATIENT REGISTRATION, NON-ELECTIVE SELF-PAY PATIENTS ARE INFORMED OF THE FILING ORGANIZATION'S FINANCIAL ASSISTANCE POLICY AND TOLD THAT THEY WILL BE REQUIRED TO SUBMIT NECESSARY FINANCIAL DATA IN ORDER TO POTENTIALLY RECEIVE ANY DISCOUNTS. UNDER THE FILING ORGANIZATION'S FINANCIAL ASSISTANCE POLICY, PERCENTAGE DISCOUNTS ARE APPLIED TO A PATIENT'S ACCOUNT BASED UPON AMOUNTS GENERALLY BILLED TO INDIVIDUALS WHO HAVE INSURANCE COVERING SUCH CARE.UNDER THE FILING ORGANIZATION'S POLICIES, PAYMENT PLANS FOR PARTIAL CHARITY ACCOUNTS WILL BE INDIVIDUALLY DEVELOPED WITH THE PATIENT. PARTIAL CHARITY ACCOUNTS RESULT WHEN A FINANCIAL ASSISTANCE ELIGIBILITY DETERMINATION ALLOWS FOR A PERCENTAGE REDUCTION BUT LEAVES THE PATIENT WITH A SELF-PAY BALANCE. IF THE PATIENT COMPLIES WITH THE AGREED-UPON PAYMENT PLAN, THE FILING ORGANIZATION DOES NOT PURSUE ANY COLLECTION ACTION WITH RESPECT TO THE PATIENT. THE FILING ORGANIZATION DOES NOT PURSUE COLLECTION OF AMOUNTS FROM PATIENTS DETERMINED TO QUALIFY FOR A 100% REDUCTION IN CHARGES UNDER ITS FINANCIAL ASSISTANCE POLICY.
SUPPLEMENTAL SCHEDULE TO SCHEDULE H, PART III, SECTION B	RECONCILIATION OF SCHEDULE H REPORTED MEDICARE SURPLUS/(SHORTFALL) TO UNREIMBURSED MEDICARE COSTS ASSOCIATED WITH THE PROVISION OF SERVICES TO ALL MEDICARE BENEFICIARIES:THE MEDICARE REVENUE AND ALLOWABLE COSTS OF CARE REPORTED IN SECTION B OF PART III OF SCHEDULE H ARE BASED UPON THE AMOUNTS REPORTED IN THE FILING ORGANIZATION'S MEDICARE COST REPORT IN ACCORDANCE WITH THE IRS INSTRUCTIONS FOR SCHEDULE H. ON AN ANNUAL BASIS, THE FILING ORGANIZATION ALSO DETERMINES ITS TOTAL UNREIMBURSED COSTS ASSOCIATED WITH PROVIDING SERVICES TO ALL MEDICARE PATIENTS. UNREIMBURSED COSTS ARE REPORTED AS A COMMUNITY BENEFIT TO THE ELDERLY AND ARE INCLUDED IN THE CONSOLIDATED ADVENTIST HEALTH SYSTEM (AHS OR THE COMPANY) COMMUNITY BENEFITS REPORT CONTAINED IN THE AHS ANNUAL REPORT DOCUMENT. THE PRIMARY RECONCILING ITEMS BETWEEN THE MEDICARE SURPLUS/(SHORTFALL) SHOWN ON LINE 7 OF SECTION B OF PART III OF SCHEDULE H AND THE FILING ORGANIZATION'S UNREIMBURSED COSTS OF SERVICES PROVIDED TO MEDICARE PATIENTS AS REPORTED IN THE AHS COMMUNITY BENEFIT REPORT ARE AS FOLLOWS:- MEDICARE SURPLUS/(SHORTFALL) SHOWN ON LINE 7 OF SECTION B OF SCHEDULE H: $ 55,713- DIFFERENCE IN COSTING METHODOLOGY: 2,728,139- UNREIMBURSED COSTS INCURRED FOR SERVICES PROVIDED TO MEDICARE PATIENTS THAT ARE NOT INCLUDED IN THE ORGANIZATION'S MEDICARE COST REPORT: (3,311,638) -------------TOTAL SURPLUS(SHORTFALL) COSTS OF SERVING ALL MEDICARE PATIENTS PER THE FILING ORGANIZATION'S COMMUNITY BENEFIT REPORTING: $ (527,786)AS INDICATED ABOVE, THE PRIMARY DIFFERENCES BETWEEN THE MEDICARE SURPLUS/(SHORTFALL) REPORTED ON SCHEDULE H, PART III, SECTION B, LINE 7 AND THE FILING ORGANIZATION'S PORTION OF THE COMPANY'S ANNUAL COMMUNITY BENEFIT STATEMENT IS DUE TO A DIFFERENCE IN THE COSTING METHODOLOGY AND DIFFERENCES IN THE POPULATION OF MEDICARE PATIENTS WITHIN THE CALCULATION. THE COST METHODOLOGY UTILIZED IN CALCULATING ANY MEDICARE SURPLUS/(SHORTFALL) FOR PURPOSES OF THE ANNUAL COMMUNITY BENEFIT REPORTING IS BASED UPON THE COST-TO-CHARGE RATIO OUTLINED IN WORKSHEET 2 OF THE SCHEDULE H INSTRUCTIONS. THE SAME COST-TO-CHARGE RATIO IS USED TO DETERMINE THE COSTS ASSOCIATED WITH SERVICES PROVIDED TO CHARITY CARE PATIENTS AND MEDICAID PATIENTS AS REPORTED IN SCHEDULE H, PART I, LINE 7. IN ADDITION, THE MEDICARE COST REPORT EXCLUDES SERVICES PROVIDED TO MEDICARE PATIENTS FOR PHYSICIAN SERVICES, SERVICES PROVIDED TO PATIENTS ENROLLED IN MEDICARE HMOS, AND CERTAIN SERVICES PROVIDED BY OUTPATIENT DEPARTMENTS OF THE FILING ORGANIZATION THAT ARE REIMBURSED ON A FEE SCHEDULE. THE COMPANY'S OWN COMMUNITY BENEFIT STATEMENT CAPTURES THE UNREIMBURSED COST OF PROVIDING SERVICES TO ALL MEDICARE BENEFICIARIES THROUGHOUT THE ORGANIZATION.
PART VI, LINE 2:	AS REPORTED IN SCHEDULE H, PART V, SECTION B, LINES 1-8, THE HOSPITAL CONDUCTED ITS INITIAL COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) DURING THE CURRENT YEAR. ITS INITIAL CHNA WAS ADOPTED BY ITS GOVERNING BOARD BY DECEMBER 31, 2013, THE END OF THE HOSPITAL'S TAXABLE YEAR IN WHICH IT CONDUCTED THE CHNA. THE HOSPITAL'S INITIAL CHNA COMPLIED WITH THE GUIDANCE SET FORTH BY THE IRS IN PROPOSED 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 FACILITY HAS A PROCESS IN PLACE WHEREBY PATIENTS ARE INFORMED ABOUT THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY. SIGNAGE IS POSTED IN THE EMERGENCY ROOM INDICATING THAT FINANCIAL ASSISTANCE IS AVAILABLE FOR THOSE SELF-PAY PATIENTS MEETING ELIGIBILITY REQUIREMENTS. AFTER EMTALA MEDICAL SCREENING AND STABILIZATION REQUIREMENTS ARE MET, REGISTRATION PERSONNEL WILL SECURE FINANCIAL INFORMATION ON AS MANY SELF-PAY PATIENTS AS POSSIBLE AT THE TIME OF SERVICE. FOR THOSE WHO APPEAR TO QUALIFY FOR MEDICAID OR UNDER THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY, THE FINANCIAL COUNSELORS WILL CONTINUE TO WORK WITH THOSE PATIENTS UNTIL FINAL ACCOUNT RESOLUTION IS ACHIEVED. ALL OTHER SELF-PAY PATIENTS ARE COVERED UNDER THIS PROCESS. AT ANY TIME DURING THE PROCESS THAT DATA IS PROVIDED SHOWING THAT A PATIENT QUALIFIES FOR ASSISTANCE UNDER THE FINANCIAL ASSISTANCE POLICY THE DISCOUNTS EXTENDED UNDER THAT POLICY WILL BE APPLIED.AS PART OF THE BILLING PROCESS, THE HOSPITAL INCLUDES THE APPLICATION FOR FINANCIAL ASSISTANCE ALONG WITH THE INITIAL PATIENT BILL. THE HOSPITAL'S FINANCIAL ASSISTANCE APPLICATION IS ALSO AVAILABLE TO PATIENTS ON THE HOSPITAL'S WEB-SITE IN BOTH AN ENGLISH AND SPANISH VERSION. ADDITIONALLY, THE HOSPITAL'S FINANCIAL COUNSELORS ARE AVAILABLE TO WORK WITH EVERY PATIENT DURING THE FIRST 120 DAYS OF THE BILLING PROCESS TO ASSIST THE PATIENT WITH COMPLETING FINANCIAL ASSISTANCE APPLICATIONS AND INVESTIGATING OTHER POTENTIAL SOURCES OF THIRD-PARTY ASSISTANCE. THE DETERMINATION OF A PATIENT'S ELIGIBILITY FOR FINANCIAL ASSISTANCE IS MADE ON A CASE-BY-CASE BASIS. VARIOUS FACTORS ARE CONSIDERED IN THAT DETERMINATION. EACH INDIVIDUAL PATIENT WHO IS IDENTIFIED AS POTENTIALLY BEING ELIGIBLE TO RECEIVE FINANCIAL ASSISTANCE IS SEEN BY A FINANCIAL COUNSELOR AT THE HOSPITAL. THE FINANCIAL COUNSELOR WILL WORK WITH THE PATIENT TO MAKE SURE THAT OTHER SOURCES OF ASSISTANCE (PUBLIC OR OTHERWISE) HAVE BEEN SOUGHT TO THE FULLEST EXTENT POSSIBLE. WHEN OTHER FORMS OF ASSISTANCE ARE NOT AVAILABLE OR HAVE BEEN EXHAUSTED, THE HOSPITAL WILL GATHER CERTAIN FINANCIAL INFORMATION FROM THE PATIENT TO DETERMINE THE PATIENT'S ABILITY TO PAY BASED UPON LEVEL OF INCOME.
PART VI, LINE 4:	THE FILING ORGANIZATION CURRENTLY OPERATES 2 HOSPITAL FACILITIES, METROPLEX ADVENTIST HOSPITAL AND ROLLINS BROOK COMMUNITY HOSPITAL, IN THE NORTHERN HILL COUNTRY OF CENTRAL TEXAS. COMBINED, THESE FACILITIES ARE A MAJOR HEALTHCARE PROVIDER IN BELL, CORYELL, AND LAMPASAS COUNTIES.METROPLEX ADVENTIST HOSPITAL (MAH), LOCATED IN BELL COUNTY, IS LICENSED FOR 172 ACUTE-CARE BEDS AND 60 PSYCHIATRIC CARE BEDS. IN ADDITION, MAH ALSO OPERATES PHYSICIAN OFFICE BUILDINGS, REHABILITATIONS CENTERS, AND HOME CARE, AN ORGANIZATION WHICH PROVIDES HOME HEALTH SERVICES. AS THE SIXTH LARGEST EMPLOYER IN KILLEEN, TEXAS, MAH EMPLOYS APPROXIMATELY 1,400 AREA RESIDENTS AND CARES FOR MORE THAN 120,000 PATIENTS EACH YEAR. MAH IS LOCATED NEXT TO FORT HOOD, THE LARGEST MILITARY BASE IN THE COUNTRY WHICH MAKES THE COMMUNITY HEAVILY DEPENDENT ON THE POST AND THE SOLDIERS (AND THEIR FAMILIES) STATIONED THERE. ROLLINS BROOK COMMUNITY HOSPITAL (RBCH), LOCATED IN LAMPASAS COUNTY, TEXAS, IS LICENSED FOR 25 BEDS AND CARES FOR MORE THAN 16,000 PATIENTS EACH YEAR. BECAUSE OF ITS LOCATION AND POPULATION SERVED, RBCH IS A FEDERALLY DESIGNATED CRITICAL ACCESS HOSPITAL. RBCH IS A CRUCIAL COMMUNITY AND REGIONAL ASSET. IT IS THE SOLE HOSPITAL FACILITY FOR THE LAMPASAS COMMUNITY. THE COUNTY OF LAMPASAS COVERS APPROXIMATELY 714 SQUARE MILES. SIMILAR TO BELL COUNTY, LAMPASAS COUNTY'S ECONOMY IS ALSO HEAVILY DEPENDENT ON THE SOLDIERS (AND THEIR FAMILIES) STATIONED AT FORT HOOD, LOCATED LESS THAN 25 MILES AWAY. THE MAIN CAMPUS OF THE FILING ORGANIZATION PRIMARILY SERVES CORYELL AND BELL COUNTIES. THIS PRIMARY MARKET HAS A POPULATION OF APPROXIMATELY 224,600, WITH AN ESTIMATED 13,200 OVER THE AGE OF 65. THE WEIGHTED AVERAGE HOUSEHOLD INCOME, BASED ON POPULATION, IN THE PRIMARY MARKET IS APPROXIMATELY $45,000. HIGH SCHOOL GRADUATES ACCOUNT FOR APPROXIMATELY 88% OF BELL COUNTY, WITH AN ESTIMATED 21.5% HAVING A BACHELOR'S DEGREE OR HIGHER. IT IS ESTIMATED THAT 14% OF THE INDIVIUDUALS RESIDING IN BELL COUNTY LIVE BELOW THE POVERTY LEVEL AND THE UNEMPLOYMENT RATE IS ABOUT 7.9%.APPROXIMATELY 36% OF THE HOSPITAL'S PATIENTS DURING 2013 WERE MEDICARE PATIENTS, ABOUT 13.6% WERE MEDICAID PATIENTS, ABOUT 9.7% WERE SELF-PAY PATIENTS, AND THE REMAINING PERCENTAGE WERE PATIENTS COVERED UNDER COMMERCIAL INSURANCE. IN 2013, ABOUT 54% OF THE HOSPITALS IN-PATIENTS WERE ADMITTED THROUGH THE HOSPITALS EMERGENCY DEPARTMENT.
PART VI, LINE 5:	THE PROVISION OF COMMUNITY BENEFIT IS CENTRAL TO THE FILING ORGANIZATION'S MISSION OF SERVICE AND COMPASSION. RESTORING AND PROMOTING THE HEALTH AND QUALITY OF LIFE OF THOSE IN THE COMMUNITIES SERVED BY THE FILING ORGANIZATION IS A FUNCTION OF "EXTENDING THE HEALING MINISTRY OF CHRIST" AND EMBODIES THE FIING ORGANIZATION'S COMMITMENT TO ITS VALUES AND PRINCIPLES. THE FILING ORGANIZATION COMMITS SUBSTANTIAL RESOURCES TO PROVIDE A BROAD RANGE OF SERVICES TO BOTH THE UNDERPRIVILEGED AS WELL AS THE BROADER COMMUNITY. IN ADDITION TO THE COMMUNITY BENEFIT 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 FILING ORGANIZATION PROVIDED $198,631 OF BENEFIT WITH RESPECT TO THE FAITH-BASED AND SPIRITUAL NEEDS OF THE COMMUNITY IN CONJUNCTION WITH ITS OPERATION OF 2 COMMUNITY HOSPITALS. THE FILING ORGANIZATION ALSO PROVIDES BENEFITS TO ITS COMMUNITY'S INFRASTRUCTURE BY INVESTING IN CAPITAL IMPROVEMENTS TO ENSURE THAT FACILITIES AND TECHNOLOGY PROVIDE THE BEST POSSIBLE CARE TO THE COMMUNITY. DURING THE CURRENT YEAR, THE FILING ORGANIZATION EXPENDED $3,034,193 IN NEW CAPITAL IMPROVEMENTS. AS A FAITH-BASED MISSION-DRIVEN COMMUNITY HOSPITAL, THE FILING ORGANIZATION IS CONTINUALLY INVOLVED IN MONITORING ITS COMMUNITY, IDENTIFYING UNMET HEALTH CARE NEEDS AND DEVELOPING SOLUTIONS AND PROGRAMS TO ADDRESS THOSE NEEDS. IN ACCORDANCE WITH ITS CONSERVATIVE APPROACH TO FISCAL RESPONSIBILITY, SURPLUS FUNDS OF THE HOSPITAL ARE CONTINUALLY BEING INVESTED IN RESOURCES THAT IMPROVE THE AVAILABILITY AND QUALITY OF DELIVERY OF HEALTH CARE SERVICES AND PROGRAMS TO ITS COMMUNITY.
PART VI, LINE 6:	THE FILING ORGANIZATION IS A PART OF A FAITH-BASED HEALTHCARE SYSTEM OF ORGANIZATIONS WHOSE PARENT IS ADVENTIST HEALTH SYSTEM SUNBELT HEALTHCARE CORPORATION (AHSSHC). THE SYSTEM IS KNOWN AS ADVENTIST HEALTH SYSTEM (AHS). AHSSHC IS AN ORGANIZATION EXEMPT FROM FEDERAL INCOME TAX UNDER IRC SEC. 501(C)(3). AHSSHC AND ITS SUBSIDIARY ORGANIZATIONS OPERATE 44 HOSPITALS IN 10 STATES THROUGHOUT THE U.S., PRIMARILY IN THE SOUTHEASTERN PORTION OF THE U.S. AHSSHC AND ITS SUBSIDIARIES ALSO OPERATE 16 NURSING HOME FACILITIES AND OTHER ANCILLARY HEALTH CARE PROVIDER FACILITIES, SUCH AS AMBULATORY SURGERY CENTERS AND DIAGNOSTIC IMAGING CENTERS. AS THE PARENT ORGANIZATION OF THE AHS SYSTEM, AHSSHC PROVIDES EXECUTIVE LEADERSHIP AND OTHER PROFESSIONAL SUPPORT SERVICES TO ITS SUBSIDIARY ORGANIZATIONS. PROFESSIONAL SUPPORT SERVICES INCLUDE AMONG OTHERS CORPORATE COMPLIANCE, LEGAL, HUMAN RESOURCES, REIMBURSEMENT, RISK MANAGEMENT, AND TAX AS WELL AS TREASURY FUNCTIONS. THE PROVISION OF THESE EXECUTIVE AND SUPPORT SERVICES ON A CENTRALIZED BASIS BY AHSSHC PROVIDES AN APPROPRIATE BALANCE BETWEEN PROVIDING EACH AHS SUBSIDIARY HOSPITAL ORGANIZATION WITH MISSION-DRIVEN CONSISTENT LEADERSHIP AND SUPPORT WHILE ALLOWING THE HOSPITAL ORGANIZATION TO FOCUS ITS RESOURCES ON MEETING THE SPECIFIC HEALTH CARE NEEDS OF THE COMMUNITY IT SERVES. THE READER OF THIS FORM 990 SHOULD KEEP IN MIND THAT THIS REPORTING ENTITY MAY DIFFER IN CERTAIN AREAS FROM THAT OF A STAND-ALONE HOSPITAL ORGANIZATION DUE TO ITS INCLUSION IN A LARGER SYSTEM OF HEALTHCARE ORGANIZATIONS. AS A PART OF A SYSTEM OF HOSPITAL AND OTHER HEALTH CARE ORGANIZATIONS, THE FILING ORGANIZATION BENEFITS FROM REDUCED COSTS DUE TO SYSTEM EFFICIENCIES, SUCH AS LARGE GROUP PURCHASING DISCOUNTS, AND THE AVAILABILITY OF INTERNAL RESOURCES SUCH AS INTERNAL LEGAL COUNSEL. EACH AHS SUBSIDIARY PAYS A MANAGEMENT FEE TO AHSSHC FOR THE INTERNAL SERVICES PROVIDED BY AHSSHC. AS A RESULT, MANAGEMENT FEE EXPENSE REPORTED BY A AHS SUBSIDIARY ORGANIZATION MAY APPEAR GREATER IN RELATION TO MANAGEMENT FEE EXPENSE THAT MAY BE REPORTED BY A SINGLE STAND-ALONE HOSPITAL. THE SINGLE STAND-ALONE HOSPITAL WOULD LIKELY REPORT COSTS ASSOCIATED WITH MANAGEMENT AND OTHER PROFESSIONAL SERVICES ON VARIOUS EXPENSE LINE ITEMS IN ITS STATEMENT OF REVENUE AND EXPENSE AS OPPOSED TO REPORTING SUCH COSTS IN ONE OVERALL MANAGEMENT FEE EXPENSE. AS THE REPORTING OF THE FORM 990 IS DONE ON AN ENTITY BY ENTITY BASIS, THERE IS NO SINGLE FORM 990 THAT CAPTURES THE PROGRAMS AND OPERATIONS OF AHS AS A WHOLE. THE READER IS DIRECTED TO VISIT THE WEB-SITE OF AHS AT WWW.ADVENTISTHEALTHSYSTEM.COM TO LEARN MORE ABOUT THE MISSION AND OPERATIONS OF AHS AND TO ACCESS AHS'S ANNUAL REPORT THAT CONTAINS FINANCIAL DATA AS WELL AS COMMUNITY BENEFIT REPORTING FOR THE ENTIRE SYSTEM.
PART VI, LINE 7, REPORTS FILED WITH STATES	TX

Schedule I IRS990ScheduleI

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

Recipient Table RecipientTable (8 entries)

Address Line1USAddress/AddressLine1	CityUSAddress/City	StateUSAddress/State	ZIP CodeUSAddress/ZIPCode	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Purpose Of GrantPurposeOfGrantTxt	Non Cash AssistanceNonCashAssistanceAmt	Valuation Method UsedValuationMethodUsedDesc	Non Cash AssistanceNonCashAssistanceDesc
AMERICAN HEART ASSOCIATION
PO BOX 4002903	DES MOINES	IA	50340	135613797	501(C)(3)	$10,000	GENERAL SUPPORT
GREATER KILLEEN FREE CLINIC INC
309 2ND STREET	KILLEEN	TX	76541	742724725	501(C)(3)	$22,200	MEDICAL CARE	$9,129	BOOK	PHARMACEUTICALS
KILLEEN ISD EDUCATION FOUNDATION
200 N WS YOUNG DRIVE	KILLEEN	TX	76543	743001870	501(C)(3)	$6,200	GENERAL SUPPORT
SUNSYSTEM DEVELOPMENT CORP DBA METROPLEX FOUNDATION
900 HOPE WAY	ALTAMONTE SPRINGS	FL	32714	592219301	501(C)(3)	$2,500	PROVISION OF GENERAL ADMINISTRATIVE SUPPORT	$90,844	COST	GENERAL ADMINISTRATIVE SUPPORT
CENTRAL TEXAS COLLEGE FOUNDATION
PO BOX 1800	KILLEEN	TX	76540	742623554	501(C)(3)	$5,320	GENERAL SUPPORT
TEXAS A&M UNIVERSITY - CENTRAL TEXAS FOUNDATION
1001 LEADERSHIP PLACE	KILLEEN	TX	76540	260895118	501(C)(3)	$10,000	SCHOLARSHIPS, ACCELERATED PROGAMMATIC DEVELOPMENT, ADVANCE TECHNOLOGIES
UNITED WAY OF GREATER FORT HOOD
208 W AVENUE A	KILLEEN	TX	76541	741750544	501(C)(3)	$26,543	GENERAL SUPPORT
SCOTT & WHITE HOSPITAL
2401 S 31ST STREET	TEMPLE	TX	76508	741166904	501(C)(3)	$390,000	MEDICAL CARE

Field	Value	IRS element (for citing)
Total501c3 Org	8	Total501c3OrgCnt
Total Other Org	0	TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART I, LINE 2:	FormAndLineReferenceDesc
Explanation	IN ORDER TO MONITOR THE USE OF GRANT FUNDS PAID TO THE GREATER KILLEEN FREE CLINIC, INC. (GKFC), METROPLEX ADVENTIST HOSPITAL, INC. REVIEWS QUARTERLY REIMBURSABLE EXPENSE AND ANNUAL REPORTS FURNISHED BY GKFC. ALL OTHER GRANTS PAID DURING THE CURRENT YEAR WERE MONTIORED USING THE FOLLOWING PROCESS: 1) A COMMITEE OF 3-4 INDIVIDUALS CONSISTING OF EMPLOYEES AND DIRECTORS REVIEW THE PREVIOUS YEARS' CONTRIBUTION TO THE ORGANIZATION REQUESTING THE DONATION; 2) ASSESSES WHETHER THE MISSION OF THE ORGANIZATION REFLECTS THE MISSION AND VALUES OF ADVENTIST HEALTH SYSTEM; AND 3) ENSURES THAT THE REQUEST WILL NOT EXCEED THE BUDGETED AMOUNT 4) REQUESTS ABOVE $1,500 ARE ALSO REVIEWED AND APPROVED BY THE CEO	ExplanationTxt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Travel For Companions	Yes (X)	TravelForCompanionsInd
Idemnification Gross Up Pmts	Yes (X)	IdemnificationGrossUpPmtsInd
Discretionary Spending Acct	Yes (X)	DiscretionarySpendingAcctInd
Housing Allowance Or Residence	Yes (X)	HousingAllowanceOrResidenceInd
Club Dues Or Fees	Yes (X)	ClubDuesOrFeesInd
Written Policy Ref T And E Expnss	Yes (1)	WrittenPolicyRefTAndEExpnssInd
Substantiation Required	Yes (1)	SubstantiationRequiredInd
Severance Payment	0	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (1)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	0	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	0	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	0	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	0	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	0	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	0	AnyNonFixedPaymentsInd
Initial Contract Exception	0	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (8 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
KENNETH FINCH
CHAIRMAN	$0	$455,739	$0	$142,259	$0	$241,064	$0	$89,838	$0	$28,603	$0	$957,503	$0	$63,971
PENNY JOHNSON
DIRECTOR	$0	$276,715	$0	$63,033	$0	$32,269	$0	$38,528	$0	$33,207	$0	$443,752	$0	$15,256
CARLYLE WALTON
CEO/PRESIDENT	$0	$305,215	$0	$47,419	$0	$193,695	$0	$45,591	$0	$36,397	$0	$628,317	$0	$30,630
VICTOR LAWHORN
CFO (END 01/13)	$0	$161,415	$0	$19,901	$0	$20,377	$0	$10,881	$0	$51,706	$0	$264,280	$0	$0
ROBERT BROCK
CFO (BEG 03/13)	$0	$189,757	$0	$0	$0	$67,326	$0	$15,062	$0	$65,428	$0	$337,573	$0	$0
VIRGINIA HENDERSON
CNO (END 11/13)	$0	$162,183	$0	$17,398	$0	$38,209	$0	$11,394	$0	$15,882	$0	$245,066	$0	$0
STEVEN MCCLURE
DIRECTOR, IV THERAPY	$149,961	$0	$5,470	$0	$4,153	$0	$7,949	$0	$10,854	$0	$178,387	$0	$0	$0
JEFFREY VILLANUEVA
FORMER COO/VP	$0	$215,049	$0	$26,353	$0	$13,858	$0	$24,316	$0	$40,210	$0	$319,786	$0	$0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE 1A	THE FILING ORGANIZATION IS A PART OF THE SYSTEM OF HEALTHCARE ORGANIZATIONS KNOWN AS ADVENTIST HEALTH SYSTEM (AHS). MEMBERS OF THE FILING ORGANIZATION'S EXECUTIVE MANAGEMENT TEAM THAT HOLD THE POSITION OF VICE-PRESIDENT OR ABOVE ARE COMPENSATED BY AND ON THE PAYROLL OF ADVENTIST HEALTH SYSTEM SUNBELT HEALTHCARE CORPORATION (AHSSHC), THE PARENT ORGANIZATION OF AHS. AHSSHC IS EXEMPT FROM FEDERAL INCOME TAX UNDER IRC SECTION 501(C)(3). THE FILING ORGANIZATION REIMBURSES AHSSHC FOR THE SALARY AND BENEFIT COST OF THOSE EXECUTIVES ON THE PAYROLL OF AHSSHC THAT PROVIDE SERVICES AND ARE ON THE MANAGEMENT TEAM OF THE FILING ORGANIZATION. TRAVEL FOR COMPANIONS: AHSSHC HAS A CORPORATE EXECUTIVE POLICY THAT PROVIDES A BENEFIT TO ALLOW FOR A TRAVELING AHSSHC EXECUTIVE TO HAVE HIS OR HER SPOUSE ACCOMPANY THE EXECUTIVE ON CERTAIN BUSINESS TRIPS EACH YEAR. TYPICALLY, REIMBURSEMENT IS ONLY PROVIDED TO VICE PRESIDENTS AND ABOVE AND IS USUALLY LIMITED TO ONE BUSINESS TRIP PER YEAR BEYOND THE ANNUAL AHS PRESIDENT'S COUNCIL BUSINESS MEETING AND OTHER MEETINGS WHERE THE SPOUSE IS SPECIFICALLY INVITED. THE AHSSHC CORPORATE EXECUTIVE SPOUSAL TRAVEL POLICY WAS ORIGINALLY APPROVED AND REVIEWED BY THE AHSSHC BOARD COMPENSATION COMMITTEE, AN INDEPENDENT BODY OF THE AHSSHC BOARD OF DIRECTORS. ALL SPOUSAL TRAVEL COSTS REIMBURSED TO THE EXECUTIVE ARE CONSIDERED TAXABLE COMPENSATION TO THE EXECUTIVE. TAX INDEMNIFICATION AND GROSS-UP PAYMENTS: AHS HAS A SYSTEM-WIDE POLICY ADDRESSING GROSS-UP PAYMENTS PROVIDED IN CONNECTION WITH EMPLOYER-PROVIDED BENEFITS/OTHER TAXABLE ITEMS. UNDER THE POLICY, CERTAIN TAXABLE BUSINESS-RELATED REIMBURSEMENTS (I.E. TAXABLE BUSINESS-RELATED MOVING EXPENSES, TAXABLE ITEMS PROVIDED IN CONNECTION WITH EMPLOYMENT) PROVIDED TO ANY EMPLOYEE MAY BE GROSSED-UP AT A 25% RATE UPON APPROVAL OF THE FILING ORGANIZATION'S CEO AND CFO. ADDITIONALLY, EMPLOYEES AT THE DIRECTOR LEVEL AND ABOVE ARE ELIGIBLE FOR GROSS-UP PAYMENTS ON GIFTS RECEIVED FOR BOARD OF DIRECTOR SERVICES. DISCRETIONARY SPENDING ACCOUNT: A NOMINAL DISCRETIONARY SPENDING AMOUNT WAS PROVIDED IN THE CURRENT YEAR TO ALL ELIGIBLE EXECUTIVES WHO ATTEND THE ANNUAL AHS PRESIDENT'S COUNCIL BUSINESS MEETING ($500 PER EXECUTIVE) OR THE ANNUAL AHS CFO CONFERENCE BUSINESS MEETING ($300 PER EXECUTIVE). OTHER DISCRETIONARY SPENDING ACCOUNTS MAY BE PROVIDED IN CONNECTION WITH OTHER AHS SPONSORED CONFERENCES BUT TYPICALLY DO NOT EXCEED $200 PER PARTICIPANT. WITH RESPECT TO THE AHS PRESIDENT'S COUNCIL MEETING, ELIGIBLE EXECUTIVES MAY INCLUDE AHSSHC VICE PRESIDENTS AND ABOVE AND ALL AHSSHC SUBSIDIARY ORGANIZATION CEOS AND REGIONAL CFOS. THE PAYMENT PROVIDED TO EACH EXECUTIVE WAS CONSIDERED TAXABLE COMPENSATION TO THE EXECUTIVE. HOUSING ALLOWANCE OR RESIDENCE FOR PERSONAL USE: AHSSHC HAS A CORPORATE EXECUTIVE POLICY THAT ADDRESSES ASSISTANCE TO EXECUTIVES WHO HAVE BEEN RELOCATED BY THE COMPANY DURING THE YEAR. RELOCATION ASSISTANCE PROVIDED TO EXECUTIVES MAY INCLUDE RELOCATION ALLOWANCES TO ASSIST WITH DUPLICATE HOUSING EXPENSES. RELOCATION ASSISTANCE IS ADMINISTERED PER AHSSHC POLICY BY AN EXTERNAL RELOCATION COMPANY. ANY TAXABLE REIMBURSEMENTS MADE TO EXECUTIVES IN CONNECTION WITH RELOCATION ASSISTANCE ARE TREATED AS WAGES TO THE EXECUTIVE AND ARE SUBJECT TO ALL PAYROLL WITHHOLDING AND REPORTING REQUIREMENTS. HEALTH OR SOCIAL CLUB DUES OR INITIATION FEES: AHSSHC HAS A CORPORATE EXECUTIVE POLICY THAT ADDRESSES BUSINESS DEVELOPMENT EXPENDITURES. UNDER THIS POLICY, CERTAIN AHS ELIGIBLE EXECUTIVES MAY BE REIMBURSED FOR MEMBER DUES AND USAGE CHARGES FOR A COUNTRY CLUB OR OTHER SOCIAL CLUB UPON AUTHORIZATION. CLUB MEMBERSHIPS MUST BE RECOMMENDED BY THE CEO OF THE AHS HOSPITAL ORGANIZATION AND APPROVED BY THE CHAIRMAN OF THE BOARD OF DIRECTORS OF THE ORGANIZATION. IN ADDITION, THE PROPOSED MEMBERSHIP MUST BE APPROVED ANNUALLY BY THE AHSSHC BOARD COMPENSATION COMMITTEE, AN INDEPENDENT COMMITTEE OF THE BOARD OF DIRECTORS OF AHSSHC. ELIGIBLE EXECUTIVES ARE LIMITED TO CERTAIN SENIOR LEVEL EXECUTIVES (HOSPITAL ORGANIZATION CEOS, THE CEO OF THE NURSING HOME DIVISION OF AHS, SENIOR VICE PRESIDENTS AT THREE LARGE HOSPITAL ORGANIZATIONS, REGIONAL CEOS AND CFOS AND THE PRESIDENT AND SENIOR VICE PRESIDENTS OF AHSSHC). IN THE CURRENT YEAR, FOR THIS FILING ORGANIZATION, ONE EXECUTIVE WAS ELIGIBLE TO RECEIVE REIMBURSEMENT FOR CLUB FEES. EACH AHS EXECUTIVE WHO IS APPROVED FOR A CLUB MEMBERSHIP MUST SUBMIT AN ANNUAL REPORT TO THE AHSSHC BOARD COMPENSATION COMMITTEE THAT DESCRIBES HOW THE MEMBERSHIP BENEFITED THEIR ORGANIZATION DURING THE PRECEDING YEAR.
PART I, LINE 3	THE INDIVIDUAL WHO SERVES AS THE CEO OF THE FILING ORGANIZATION IS COMPENSATED BY ADVENTIST HEALTH SYSTEM SUNBELT HEALTHCARE CORPORATION (AHSSHC) FOR THAT INDIVIDUAL'S ROLE IN SERVING AS THE CEO. COMPENSATION AND BENEFITS PROVIDED TO THIS INDIVIDUAL ARE DETERMINED PURSUANT TO POLICIES, PROCEDURES, AND PROCESSES OF AHSSHC THAT ARE DESIGNED TO ENSURE COMPLIANCE WITH THE INTERMEDIATE SANCTIONS LAWS AS SET FORTH IN IRC SECTION 4958. AHSSHC HAS TAKEN STEPS TO ENSURE THAT PROCESSES ARE IN PLACE TO SATISFY THE REBUTTABLE PRESUMPTION OF REASONABLENESS STANDARD AS SET FORTH IN TREASURY REGULATION 53.4958-6 WITH RESPECT TO ITS ACTIVE EXECUTIVE-LEVEL POSITIONS. THE AHSSHC BOARD COMPENSATION COMMITTEE (THE COMMITTEE) SERVES AS THE GOVERNING BODY FOR ALL EXECUTIVE COMPENSATION MATTERS. THE COMMITTEE IS COMPOSED OF CERTAIN MEMBERS OF THE BOARD OF DIRECTORS (THE BOARD) OF AHSSHC. VOTING MEMBERS OF THE COMMITTEE INCLUDE ONLY INDIVIDUALS WHO SERVE ON THE BOARD AS INDEPENDENT REPRESENTATIVES OF THE COMMUNITY, WHO HOLD NO EMPLOYMENT POSITIONS WITH AHSSHC AND WHO DO NOT HAVE RELATIONSHIPS WITH ANY OF THE INDIVIDUALS WHOSE COMPENSATION IS UNDER THEIR REVIEW THAT IMPACTS THEIR BEST INDEPENDENT JUDGMENT AS FIDUCIARIES OF AHSSHC. THE COMMITTEE'S ROLE IS TO REVIEW AND APPROVE ALL COMPONENTS OF THE EXECUTIVE COMPENSATION PLAN OF AHSSHC. AS AN INDEPENDENT GOVERNING BODY WITH RESPECT TO EXECUTIVE COMPENSATION, IT SHOULD BE NOTED THAT THE COMMITTEE WILL OFTEN CONFER IN EXECUTIVE SESSIONS ON MATTERS OF COMPENSATION POLICY AND POLICY CHANGES. IN SUCH EXECUTIVE SESSIONS, NO MEMBERS OF MANAGEMENT OF AHSSHC ARE PRESENT. THE COMMITTEE IS ADVISED BY AN INDEPENDENT THIRD PARTY COMPENSATION ADVISOR. THIS ADVISOR PREPARES ALL THE BENCHMARK STUDIES FOR THE COMMITTEE. COMPENSATION LEVELS ARE BENCHMARKED WITH A NATIONAL PEER GROUP OF OTHER NOT-FOR-PROFIT HEALTHCARE SYSTEMS AND HOSPITALS OF SIMILAR SIZE AND COMPLEXITY TO AHS AND EACH OF ITS AFFILIATED ENTITIES. THE FOLLOWING PRINCIPLES GUIDE THE ESTABLISHMENT OF INDIVIDUAL EXECUTIVE COMPENSATION: - THE SALARY OF THE PRESIDENT/CEO OF AHS WILL NOT EXCEED THE 40TH PERCENTILE OF COMPARABLE SALARIES PAID BY SIMILARLY SITUATED ORGANIZATIONS; AND - OTHER EXECUTIVE SALARIES SHALL BE ESTABLISHED USING MARKET MEDIANS. THE COMPENSATION PHILOSOPHY, POLICIES, AND PRACTICES OF AHSSHC ARE CONSISTENT WITH THE ORGANIZATION'S FAITH-BASED MISSION AND CONFORM TO APPLICABLE LAWS, REGULATIONS, AND BUSINESS PRACTICES. AS A FAITH-BASED ORGANIZATION SPONSORED BY THE SEVENTH-DAY ADVENTIST CHURCH (THE CHURCH), AHSSHC'S PHILOSOPHY AND PRINCIPLES WITH RESPECT TO ITS EXECUTIVE COMPENSATION PRACTICES REFLECT THE CONSERVATIVE APPROACH OF THE CHURCH'S MISSION OF SERVICE AND WERE DEVELOPED IN COUNSEL WITH THE CHURCH'S LEADERSHIP.
PART I, LINE 4B	LINE 4A: DURING THE YEAR ENDING DECEMBER 31, 2013, VIRGINIA HENDERSON RECEIVED SEVERANCE PAYMENTS IN THE AMOUNT OF $6,581. PURSUANT TO THE AHSSHC CORPORATE EXECUTIVE POLICY GOVERNING EXECUTIVE SEVERANCE, SEVERANCE AGREEMENTS FOR EXECUTIVES OPERATING AT THE VICE PRESIDENT LEVEL AND ABOVE ARE ENTERED INTO UPON ELIGIBILITY TO FACILITATE THE TRANSITION TO SUBSEQUENT EMPLOYMENT FOLLOWING AN INVOLUNTARY SEPARATION FROM EMPLOYMENT WITH AHS. LINE 4B: AS DISCUSSED IN LINE 1A ABOVE, EXECUTIVES ON THE FILING ORGANIZATION'S MANAGEMENT TEAM THAT HOLD THE POSITION OF VICE-PRESIDENT OR ABOVE ARE COMPENSATED BY AND ON THE PAYROLL OF ADVENTIST HEALTH SYSTEM SUNBELT HEALTHCARE CORPORATION (AHSSHC), THE PARENT ORGANIZATION OF A HEALTHCARE SYSTEM KNOWN AS ADVENTIST HEALTH SYSTEM (AHS). IN RECOGNITION OF THE CONTRIBUTION THAT EACH EXECUTIVE MAKES TO THE SUCCESS OF AHS, AHS PROVIDES TO ELIGIBLE EXECUTIVES PARTICIPATION IN THE AHS EXECUTIVE FLEX BENEFIT PROGRAM (THE PLAN). THE PURPOSE OF THE PLAN IS TO OFFER ELIGIBLE EXECUTIVES AN OPPORTUNITY TO ELECT FROM AMONG A VARIETY OF SUPPLEMENTAL BENEFITS, INCLUDING DEFERRED COMPENSATION BENEFITS TAXABLE UNDER INTERNAL REVENUE CODE (IRC) SECTION 457(F), TO INDIVIDUALLY TAILOR A BENEFITS PROGRAM APPROPRIATE TO EACH EXECUTIVE'S NEEDS. THE PLAN PROVIDES ELIGIBLE PARTICIPANTS A PRE-DETERMINED BENEFITS ALLOWANCE CREDIT THAT IS EQUAL TO A PERCENTAGE OF THE EXECUTIVE'S BASE PAY FROM WHICH IS DEDUCTED THE COST OF MANDATORY AND ELECTIVE EMPLOYEE BENEFITS. THE PRE-DETERMINED BENEFITS ALLOWANCE CREDIT PERCENTAGE IS APPROVED BY THE AHSSHC BOARD COMPENSATION COMMITTEE, AN INDEPENDENT COMMITTEE OF THE BOARD OF DIRECTORS OF AHSSHC. ANY FUNDS THAT REMAIN AFTER THE COST OF MANDATORY AND ELECTIVE BENEFITS ARE SUBTRACTED FROM THE ANNUAL PRE-DETERMINED BENEFITS ALLOWANCE ARE CONTRIBUTED, AT THE EMPLOYEE'S OPTION, TO EITHER AN IRC 457(F) DEFERRED COMPENSATION ACCOUNT OR TO AN IRC 457(B) ELIGIBLE DEFERRED COMPENSATION PLAN. UPON ATTAINMENT OF AGE 65, ALL PREVIOUS 457(F) DEFERRED AMOUNTS ARE PAID IMMEDIATELY TO THE PARTICIPANT AND ANY FUTURE EMPLOYER CONTRIBUTIONS ARE MADE QUARTERLY FROM THE PLAN DIRECTLY TO THE PARTICIPANT. THE PLAN DOCUMENTS DEFINE AN EMPLOYEE WHO IS ELIGIBLE TO PARTICIPATE IN THE PLAN TO GENERALLY INCLUDE THE CHIEF EXECUTIVE OFFICERS OF AHS ENTITIES AND VICE PRESIDENTS OF ALL AHS ENTITIES WHOSE BASE SALARY IS AT LEAST $218,000. THE PLAN PROVIDES FOR A CLASS YEAR VESTING SCHEDULE (2 YEARS FOR EACH CLASS YEAR) WITH RESPECT TO AMOUNTS ACCUMULATED IN THE EXECUTIVE'S 457(F) DEFERRED COMPENSATION ACCOUNT. DISTRIBUTIONS COULD ALSO BE MADE FROM THE EXECUTIVE'S 457(F) DEFERRED COMPENSATION ACCOUNT UPON ATTAINMENT OF AGE 65 OR UPON AN INVOLUNTARY SEPARATION. THE ACCOUNT IS FORFEITED BY THE EXECUTIVE UPON A VOLUNTARY SEPARATION. IN ADDITION TO THE PLAN, AHS HAS INSTITUTED A DEFINED BENEFIT, NON-TAX-QUALIFIED DEFERRED COMPENSATION PLAN FOR CERTAIN EXECUTIVES WHO HAVE PROVIDED LENGTHY SERVICE TO AHS AND/OR TO OTHER SEVENTH-DAY ADVENTIST CHURCH HOSPITALS OR HEALTH CARE INSTITUTIONS. PARTICIPATION IN THE PLAN IS OFFERED TO AHS EXECUTIVES ON A PRORATA SCHEDULE BEGINNING WITH 20 YEARS OF SERVICE AS AN EMPLOYEE OF AHS AND/OR ANOTHER HOSPITAL OR HEALTH CARE INSTITUTION CONTROLLED BY THE SEVENTH-DAY ADVENTIST CHURCH AND WHO SATISFY CERTAIN OTHER QUALIFYING CRITERIA. THIS SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP) WAS DESIGNED TO PROVIDE ELIGIBLE EXECUTIVES WITH THE ECONOMIC EQUIVALENT OF AN ANNUAL INCOME BEGINNING AT NORMAL RETIREMENT AGE EQUAL TO 60% OF THE AVERAGE OF THE PARTICIPANT'S THREE, FIVE OR SEVEN HIGHEST YEARS OF BASE SALARY FROM AHS ACTIVE EMPLOYMENT INCLUSIVE OF INCOME FROM ALL OTHER SEVENTH-DAY ADVENTIST CHURCH HEALTHCARE EMPLOYER-FINANCED RETIREMENT INCOME SOURCES AND INVESTMENT INCOME EARNED ON THOSE CONTRIBUTIONS THROUGH SOCIAL SECURITY NORMAL RETIREMENT AGE AS DEFINED IN THE PLAN. THE NUMBER OF YEARS INCLUDED IN HIGHEST AVERAGE COMPENSATION IS DETERMINED BY THE INDIVIDUAL'S YEAR OF ENTRY TO THE SERP AND BY THE INDIVIDUAL'S YEAR OF ENTRY TO THE AHS EXECUTIVE FLEX BENEFIT PROGRAM. FLEX PLAN FLEX PLAN/ SERP 457(B) CY CY EMPLOYER CY CONTRIB./ DISTRIBUTIONS CONTRIB. DISTRIBUTIONS* PAYMENT ------------------------------------------------------- KENNETH FINCH $75,988 $76,654 $144,222 $0 PENNY JOHNSON $24,678 $17,230 $0 $0 CARLYLE WALTON $36,842 $32,784 $147,151 $0 ROBERT BROCK $15,396 $0 $0 $0 JEFFREY VILLANUEVA $10,990 $0 $0 $0 * INCLUDING INVESTMENT EARNINGS

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (2 entries)

Relationship DescriptionRelationshipDescriptionTxt	TransactionTransactionAmt	TransactionTransactionDesc	Sharing Of RevenuesSharingOfRevenuesInd
LATHA SUKUMAR MD
FAMILY MEMBER OF BOARD MEMBER	$28,060	PROFESSIONAL SERVICES	0
EILEEN CADDIES
FAMILY MEMBER OF KEY EMPLOYEE	$26,738	EMPLOYEE COMPENSATION	0

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (13 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 1	THE BOARD OF DIRECTORS FOR METROPLEX ADVENTIST HOSPITAL, INC. IS COMPRISED OF TWO CLASSES OF MEMBERS WITH POWER TO VOTE ON MATTERS THAT MAY COME BEFORE THE GOVERNING BODY; THE BOARD OF DIRECTORS OF THE CORPORATION AND A COMMUNITY BOARD. THE COMMUNITY BOARD IS PRIMARILY RESPONSIBLE FOR REPORTING TO THE BOARD OF DIRECTORS ON MATTERS AT EACH HOSPITAL LOCATION INVOLVING MEDICAL STAFF APPOINTMENT, REAPPOINTMENT, QUALITY ASSURANCE AND ADMINISTRATION OF MEDICAL STAFF BYLAWS, AND RULES AND REGULATIONS AND POLICIES AND MATTERS INVOLVING THE JOINT COMMISSION. THE BOARD OF DIRECTORS RETAINS FINAL AUTHORITY REGARDING ALL COMMUNITY BOARD ACTIONS TO ENSURE THAT ITS ACTIONS ARE CONSISTENT WITH THE BEST INTERESTS OF THE CORPORATION. THE COMMUNITY BOARD IS COMPRISED OF INDIVIDUALS FROM THE COMMUNITY WHO ARE APPOINTED BY THE BOARD. THREE OF THE SIXTEEN MEMBERS OF THE COMMUNITY BOARD ARE MEMBERS OF THE GOVERNING BOARD.
FORM 990, PART VI, SECTION A, LINE 2	STEVE SIBBITT, MD AND ERNIE BOVIO - BUSINESS RELATIONSHIP STEVE SIBBITT, MD AND GREG DEHMER, MD - BUSINESS RELATIONSHIP STEVE SIBBITT, MD AND JOHN BOYD, MD - BUSINESS RELATIONSHIP STEVE SIBBITT, MD AND AHMAD UMAD, MD - BUSINESS RELATIONSHIP PAULA LOHSE AND CARLYLE WALTON - BUSINESS RELATIONSHIP PAULA LOHSE AND RONALD STEPP - BUSINESS RELATIONSHIP PAULA LOHSE AND MIKE HELM - BUSINESS RELATIONSHIP KENNETH FINCH AND CARLYLE WALTON - BUSINESS RELATIONSHIP MARY KLIEWER AND JAMES LINDLEY - BUSINESS RELATIONSHIP
FORM 990, PART VI, SECTION A, LINE 6	METROPLEX ADVENTIST HOSPITAL, INC. (MAH) HAS TWO MEMBERS. THE MEMBERS OF MAH ARE ADVENTIST HEALTH SYSTEM SUNBELT HEALTHCARE CORPORATION (AHSSHC) AND SCOTT & WHITE MEMORIAL HOSPITAL AND SCOTT, SHERWOOD AND BRINDLEY FOUNDATION (SCOTT & WHITE). BOTH AHSSHC AND SCOTT & WHITE ARE NOT-FOR-PROFIT CORPORATIONS THAT ARE EXEMPT FROM FEDERAL INCOME TAX UNDER INTERNAL REVENUE CODE (IRC) SECTION 501(C)(3). THERE ARE NO OTHER CLASSES OF MEMBERSHIP IN MAH.
FORM 990, PART VI, SECTION A, LINE 7A	THE BOARD OF DIRECTORS (BOARD) OF MAH ARE APPOINTED BY AHSSHC (MAJORITY MEMBER) AND SCOTT & WHITE (MINORITY MEMBER). THE MAJORITY MEMBER IS ENTITLED TO ELECT FOUR DIRECTORS TO THE BOARD OF MAH AND THE MINORITY MEMBER IS ENTITILED TO ELECT TWO DIRECTORS TO THE BOARD. IN ADDITION, THE BOARD MAY APPOINT A COMMUNITY BOARD THAT IS RESPONSIBLE TO REPORT TO THE BOARD ON MATTERS AT EACH HOSPITAL INVOLVING MEDICAL STAFF APPOINTMENT, REAPPOINTMENT, QUALITY ASSURANCE AND ADMINISTRATION OF MEDICAL STAFF BYLAWS, RULES AND REGULATIONS AND POLICIES AND MATTERS INVOLVING THE JOINT COMMISSION. THE COMMUNITY BOARD SHALL CONSIST OF A MAXIMUM OF EIGHTEEN VOTING MEMBERS WHICH MAY BE APPOINTED OR REMOVED BY EACH MEMBER IN PROPORTION TO THE MEMBER'S MEMBERSHIP INTEREST IN MAH.
FORM 990, PART VI, SECTION A, LINE 7B	AHSSHC AND SCOTT & WHITE, AS THE SOLE MEMBERS OF MAH, HAVE CERTAIN RESERVED POWERS AS SET FORTH IN THE BYLAWS OF MAH. THESE RESERVED POWERS INCLUDE THE FOLLOWING: 1) TO ADD ADDITIONAL MEMBERS OR REQUIRE ADDITIONAL CAPITAL CONTRIBUTIONS FROM EITHER MEMBER; 2) TO AMEND, RESTATE, AND REPEAL THE ARTICLES OF INCORPORATION OR BYLAWS; 3) TO SET LIMITS AND TERMS FOR THE BORROWING OF FUNDS; 4) TO DIRECT THE PLACEMENT OF FUNDS AND CAPITAL; 5) TO MERGE, CONSOLIDATE, REORGANIZE, LIQUIDATE, OR VOLUNTARILY DISSOLVE MAH; 6) TO SELL, TRANSFER, LEASE, DISPOSE, OR ENCUMBER ALL OR SUBSTANTIALLY ALL OF THE ASSETS OF MAH. THOUGH NOT REQUIRING AN APPOROVAL BY THE MINORITY MEMBER, SCOTT & WHITE, THE MAJORITY MEMBER, AHSSHC, SHALL CONSULT WITH AND OBTAIN INPUT FROM THE MINORITY MEMBER PRIOR TO TAKING ANY ACTION INVOLVING: 1) AMENDMENT, RESTATEMENT, OR REPEAL OF THE CORPORATE COMPLIANCE POLICY; 2) APPOINTMENT OR REMOVAL OF THE PRESIDENT; 3) APPROVING OR ENTERING INTO LOANS TO, OR GUARANTEES FOR THE BENEFIT OF THIRD PARTIES IN AN AGGREGATE AMOUNT NOT TO EXCEED $100,000 IN ANY YEAR
FORM 990, PART VI, SECTION B, LINE 11	THE FILING ORGANIZATION'S CURRENT YEAR FORM 990 WAS REVIEWED BY THE BOARD CHAIRMAN, BOARD FINANCE COMMITTEE CHAIR, CEO AND BY THE CFO PRIOR TO ITS FILING WITH THE IRS. THE REVIEW CONDUCTED BY THE BOARD CHAIRMAN, BOARD FINANCE COMMITTEE CHAIR, CEO AND THE CFO DID NOT INCLUDE THE REVIEW OF ANY SUPPORTING WORKPAPERS THAT WERE USED IN PREPARATION OF THE CURRENT YEAR FORM 990, BUT DID INCLUDE A REVIEW OF THE ENTIRE FORM 990 AND ALL SUPPORTING SCHEDULES.
FORM 990, PART VI, SECTION B, LINE 12C	THE CONFLICT OF INTEREST POLICY OF THE FILING ORGANIZATION APPLIES TO MEMBERS OF ITS BOARD OF DIRECTORS AND ITS PRINCIPAL OFFICERS (TO BE KNOWN AS INTERESTED PERSONS). IN CONNECTION WITH ANY ACTUAL OR POSSIBLE CONFLICT OF INTERESTS, ANY MEMBER OF THE BOARD OF DIRECTORS OF THE FILING ORGANIZATION OR ANY PRINCIPAL OFFICER OF THE FILING ORGANIZATION (I.E. INTERESTED PERSONS) MUST DISCLOSE THE EXISTENCE OF ANY FINANCIAL INTEREST WITH THE FILING ORGANIZATION AND MUST BE GIVEN THE OPPORTUNITY TO DISCLOSE ALL MATERIAL FACTS CONCERNING THE FINANCIAL INTEREST/ARRANGEMENT TO THE BOARD OF DIRECTORS OF THE FILING ORGANIZATION OR TO ANY MEMBERS OF A COMMITTEE WITH BOARD DELEGATED POWERS THAT IS CONSIDERING THE PROPOSED TRANSACTION OR ARRANGEMENT. SUBSEQUENT TO ANY DISCLOSURE OF ANY FINANCIAL INTEREST/ARRANGEMENT AND ALL MATERIAL FACTS, AND AFTER ANY DISCUSSION WITH THE RELEVANT BOARD MEMBER OR PRINCIPAL OFFICER, THE REMAINING MEMBERS OF THE BOARD OF DIRECTORS OR COMMITTEE WITH BOARD DELEGATED POWERS SHALL DISCUSS, ANALYZE, AND VOTE UPON THE POTENTIAL FINANCIAL INTEREST/ARRANGEMENT TO DETERMINE IF A CONFLICT OF INTEREST EXISTS. ACCORDING TO THE FILING ORGANIZATION'S CONFLICT OF INTEREST POLICY, AN INTERESTED PERSON MAY MAKE A PRESENTATION TO THE BOARD OF DIRECTORS (OR COMMITTEE WITH BOARD DELEGATED POWERS), BUT AFTER SUCH PRESENTATION, SHALL LEAVE THE MEETING DURING THE DISCUSSION OF, AND THE VOTE ON, THE TRANSACTION OR ARRANGEMENT THAT RESULTS IN A CONFLICT OF INTEREST. EACH INTERESTED PERSON, AS DEFINED UNDER THE FILING ORGANIZATION'S CONFLICT OF INTEREST POLICY, SHALL ANNUALLY SIGN A STATEMENT WHICH AFFIRMS THAT SUCH PERSON HAS RECEIVED A COPY OF THE CONFLICT OF INTERESTS POLICY, HAS READ AND UNDERSTANDS THE POLICY, HAS AGREED TO COMPLY WITH THE POLICY, AND UNDERSTANDS THAT THE FILING ORGANIZATION IS A CHARITABLE ORGANIZATION THAT MUST PRIMARILY ENGAGE IN ACTIVITIES WHICH ACCOMPLISH ONE OR MORE OF ITS EXEMPT PURPOSES. THE FILING ORGANIZATION'S CONFLICT OF INTEREST POLICY ALSO REQUIRES THAT PERIODIC REVIEWS SHALL BE CONDUCTED TO ENSURE THAT THE FILING ORGANIZATION OPERATES IN A MANNER CONSISTENT WITH ITS CHARITABLE PURPOSES.
FORM 990, PART VI, SECTION B, LINE 15	THE FILING ORGANIZATION'S CEO, OTHER OFFICERS AND KEY EMPLOYEES ARE NOT COMPENSATED BY THE FILING ORGANIZATION. SUCH INDIVIDUALS ARE COMPENSATED BY THE RELATED TOP-TIER PARENT ORGANIZATION OF THE FILING ORGANIZATION. PLEASE SEE THE DISCUSSION CONCERNING THE PROCESS FOLLOWED BY THE RELATED TOP-TIER PARENT ORGANIZATION IN DETERMINING EXECUTIVE COMPENSATION IN OUR RESPONSE TO SCHEDULE J, LINE 3.
FORM 990, PART VI, SECTION C, LINE 19	THE FILING ORGANIZATION IS A PART OF THE SYSTEM OF HEALTHCARE ORGANIZATIONS KNOWN AS ADVENTIST HEALTH SYSTEM (AHS). EACH YEAR, AHS PUBLISHES AN ANNUAL REPORT DOCUMENT THAT INCLUDES A FINANCIAL REPORT FOR THE RELEVANT YEAR AS WELL AS A COMMUNITY BENEFIT REPORT. THE FINANCIAL REPORT AND COMMUNITY BENEFIT REPORT ARE PRESENTED ON A CONSOLIDATED BASIS AND REPRESENT ALL OF THE ACTIVITIES, RESULTS OF OPERATIONS, AND FINANCIAL POSITION AT YEAR-END OF THE ENTIRE AHS SYSTEM. IN ADDITION, THE AUDITED CONSOLIDATED FINANCIAL STATEMENTS OF AHS AND OF THE AHS "OBLIGATED GROUP" ARE FILED ANNUALLY WITH THE MUNICIPAL SECURITIES RULEMAKING BOARD (MSRB). THE "OBLIGATED GROUP" IS A GROUP OF AHSSHC SUBSIDIARIES THAT ARE JOINTLY AND SEVERALLY LIABLE UNDER A MASTER TRUST INDENTURE THAT SECURES DEBT PRIMARILY ISSUED ON A TAX-EXEMPT BASIS. UNAUDITED QUARTERLY FINANCIAL STATEMENTS PREPARED IN ACCORDANCE WITH GENERALLY ACCEPTED ACCOUNTING PRINCIPLES (GAAP) ARE ALSO FILED WITH MSRB FOR AHS ON A CONSOLIDATED BASIS AND FOR THE GROUPING OF AHS SUBSIDIARIES COMPRISING THE "OBLIGATED GROUP". THE FILING ORGANIZATION DOES NOT GENERALLY MAKE ITS GOVERNING DOCUMENTS OR CONFLICT OF INTEREST POLICY AVAILABLE TO THE PUBLIC.
PART VII, SECTION A	FOR THOSE BOARD OF DIRECTOR MEMBERS (NOT INCLUDING PHYSICIAN MEMBERS OF THE BOARD), OFFICER(S) AND KEY EMPLOYEES WHO DEVOTE LESS THAN FULL-TIME TO THE FILING ORGANIZATION (BASED UPON THE AVERAGE NUMBER OF HOURS PER WEEK SHOWN IN COLUMN (B) ON PAGE 7 OF THE RETURN) THE COMPENSATION AMOUNTS SHOWN IN COLUMNS (E) AND (F) ON PAGE 7 WERE PROVIDED IN CONJUNCTION WITH THAT PERSON'S RESPONSIBILITIES AND ROLES IN SERVING IN AN EXECUTIVE LEADERSHIP POSITION WITHIN ADVENTIST HEALTH SYSTEM. PHYSICIAN MEMBERS OF THE BOARD OF DIRECTORS RECEIVED COMPENSATION FROM RELATED ORGANIZATIONS AS A RESULT OF PROVIDING VARIOUS MEDICAL SERVICES TO THOSE RELATED ENTITIES.
FORM 990, PART IX, LINE 11G	PAYMENTS TO HEALTHCARE PROFESSIONAL : PROGRAM SERVICE EXPENSES 6,525,570. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 6,525,570. PROFESSIONAL FEES : PROGRAM SERVICE EXPENSES 1,410,338. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,410,338. PURCHASED MEDICAL SERVICES : PROGRAM SERVICE EXPENSES 2,985,915. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,985,915. ENVIRONMENTAL SERVICES : PROGRAM SERVICE EXPENSES 847,990. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 847,990. RECRUITING : PROGRAM SERVICE EXPENSES 311,601. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 311,601. MISCELLANEOUS PURCHASED SERVICES : PROGRAM SERVICE EXPENSES 3,220,000. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,220,000. AHS MANAGEMENT FEES : PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 1,081,766. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,081,766. BILLING & COLLECTIONS SERVICES : PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 696,930. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 696,930.
FORM 990, PART XI, LINE 9:	GIFTS 169,683. RELEASED FROM RESTRICTED -10,933. TRANSFER TO TAX-EXEMPT AFFILIATE -327,167. CAPITAL CONTRIBUTION TO TAX-EXEMPT AFFILIATE -6,131,980.
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 MAJORITY MEMBER. THE INVESTMENTS IN THE CENTRAL INVESTMENT POOL ARE RECORDED AT MARKET VALUE.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (105 entries)

Address Line1USAddress/AddressLine1	CityUSAddress/City	StateUSAddress/State	ZIP CodeUSAddress/ZIPCode	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Controlled OrganizationControlledOrganizationInd	Direct Controlling NADirectControllingNACd
ADVENTIST BOLINGBROOK HOSPITAL
500 REMINGTON BLVD	BOLINGBROOK	IL	60440	651219504	OPERATION OF HOSPITAL & RELATED SERVICES	IL	501(C)(3)	LINE 3	ADVENTIST HLTH SYSTEMSUNBELT INC	0
ADVENTIST CARE CENTERS - COURTLAND INC
730 COURTLAND STREET	ORLANDO	FL	32804	205774723	OPERATION OF HOME FOR THE AGED/HLTHCARE DELIVERY	FL	501(C)(3)	LINE 9	SUNBELT HLTH CARE CENTERS INC	0
ADVENTIST GLENOAKS HOSPITAL
701 WINTHROP AVENUE	GLENDALE HEIGHTS	IL	60139	363208390	OPERATION OF HOSPITAL & RELATED SERVICES	IL	501(C)(3)	LINE 3	ADVENTIST HLTH SYSTEMSUNBELT INC	0
ADVENTIST HINSDALE HOSPITAL
120 NORTH OAK STREET	HINSDALE	IL	60521	362276984	OPERATION OF HOSPITAL & RELATED SERVICES	IL	501(C)(3)	LINE 3	ADVENTIST HLTH SYSTEMSUNBELT INC	0
ADVENTIST HLTH MID-AMERICA INC
9100 W 74TH STREET	SHAWNEE MISSION	KS	66204	521347407	HLTHCARE RELATED SERVICES	KS	501(C)(3)	LINE 11A, I	ADVENTIST HLTH SYSTEMSUNBELT INC	0
ADVENTIST HLTH PARTNERS INC
1000 REMINGTON BLVD STE 200	BOLINGBROOK	IL	60440	364138353	OPERATE OUT-PATIENT PHYSICIAN CLINICS	IL	501(C)(3)	LINE 3	AHS MIDWEST MANAGEMENT INC	0
ADVENTIST HLTH SYSTEM AFFILIATED BENEFIT TRUST
900 HOPE WAY	ALTAMONTE SPRINGS	FL	32714	266422966	PROMOTION OF HLTHCARE	FL	501(C)(3)	LINE 11A, I	ADVENTIST HLTH SYSTEM SUNBELT HLTHCARE CORP	0
ADVENTIST HLTH SYSTEM SUNBELT HLTHCARE CORP
900 HOPE WAY	ALTAMONTE SPRINGS	FL	32714	592170012	MANAGEMENT SERVICES	FL	501(C)(3)	LINE 11A, I		0	N/A
ADVENTIST HLTH SYSTEMGEORGIA INC
1035 RED BUD ROAD	CALHOUN	GA	30701	581425000	OPERATION OF HOSPITAL & RELATED SERVICES	GA	501(C)(3)	LINE 3	ADVENTIST HLTH SYSTEM SUNBELT HLTHCARE CORP	0
ADVENTIST HLTH SYSTEMSUNBELT INC
900 HOPE WAY	ALTAMONTE SPRINGS	FL	32714	591479658	OPERATION OF HOSPITAL & RELATED SERVICES	FL	501(C)(3)	LINE 3	ADVENTIST HLTH SYSTEM SUNBELT HLTHCARE CORP	0
ADVENTIST HLTH SYSTEMTEXAS INC
602 COURTLAND STREET	ORLANDO	FL	32804	742578952	LEASING PERSONNEL TO AFFILIATED HOSPITAL	TX	501(C)(3)	LINE 11C, III-FI	ADVENTIST HLTH SYSTEM SUNBELT HLTHCARE CORP	0
ADVENTIST UNIVERSITY OF HEALTH SCIENCES INC (630 YEAR END)
671 LAKE WINYAH DRIVE	ORLANDO	FL	32803	593069793	EDUCATION/OPERATION OF SCHOOL	FL	501(C)(3)	LINE 2	ADVENTIST HLTH SYSTEMSUNBELT INC	0
AHS MIDWEST MANAGEMENT INC
1000 REMINGTON BLVD STE 200	BOLINGBROOK	IL	60440	363354567	OPERATION OF PHYSICIAN PRACTICE MGMT	IL	501(C)(3)	LINE 11A, I	ADVENTIST HLTH SYSTEMSUNBELT INC	0
AHSCENTRAL TEXAS INC
1301 WONDER WORLD DRIVE	SAN MARCOS	TX	78666	742621825	PROVIDE OFFICE SPACE - MEDICAL PROFESSIONALS	TX	501(C)(3)	LINE 11C, III-FI	ADVENTIST HLTH SYSTEM SUNBELT HLTHCARE CORP	0
APOPKA HLTH CARE PROPERTIES INC
305 E OAK STREET	APOPKA	FL	32703	510605694	LEASE TO RELATED ORGANIZATION	GA	501(C)(3)	LINE 11C, III-FI	SUNBELT HLTH CARE CENTERS INC	0
BATTLE CREEK ADVENTIST HOSPITAL
1000 REMINGTON BLVD STE 200	BOLINGBROOK	IL	60440	381359189	INACTIVE	MI	501(C)(3)	LINE 3	ADVENTIST HLTH SYSTEMSUNBELT INC	0
BOLINGBROOK HOSPITAL FOUNDATION
1000 REMINGTON BLVD N ENTRANCE 2ND	BOLINGBROOK	IL	60440	900494445	FUND-RAISING FOR TAX-EXEMPT HOSPITAL	IL	501(C)(3)	LINE 7	MIDWEST HLTH FOUNDATION	0
BRADFORD HEIGHTS HLTH & REHAB CENTER INC
950 HIGHPOINT DRIVE	HOPKINSVILLE	KY	42240	205782342	OPERATION OF HOME FOR THE AGED/HLTHCARE DELIVERY	KY	501(C)(3)	LINE 9	SUNBELT HLTH CARE CENTERS INC	0
BURLESON NURSING & REHAB CENTER INC
301 HUGULEY BLVD	BURLESON	TX	76028	205782243	OPERATION OF HOME FOR THE AGED/HLTHCARE DELIVERY	TX	501(C)(3)	LINE 9	SUNBELT HLTH CARE CENTERS INC	0
CALDWELL HLTH CARE PROPERTIES INC
1333 WEST MAIN	PRINCETON	KY	42445	510605680	LEASE TO RELATED ORGANIZATION	GA	501(C)(3)	LINE 11C, III-FI	SUNBELT HLTH CARE CENTERS INC	0
CEDAR CRAG TERRACE INC (630 YEAR END) (11-72213)
RT 5 BOX 900	MANCHESTER	KY	40962	611120442	OPERATION OF HOME FOR THE ELDERLY-DISABLED	KY	501(C)(3)	LINE 7	MEMORIAL HOSPITAL INC	0
CENTRAL TEXAS HLTHCARE COLLABORATIVE
1301 WONDER WORLD DRIVE	SAN MARCOS	TX	78666	453739929	SUPPORT OPERATION OF HOSPITAL	TX	501(C)(3)	LINE 11A, I	ADVENTIST HLTH SYSTEMSUNBELT INC	0
CENTRAL TEXAS MEDICAL CENTER FOUNDATION
1301 WONDER WORLD DRIVE	SAN MARCOS	TX	78666	742259907	FUND-RAISING FOR TAX-EXEMPT HOSPITAL	TX	501(C)(3)	LINE 7	ADVENTIST HLTH SYSTEMSUNBELT INC	0
CHICKASAW HLTH CARE PROPERTIES INC
250 S CHICKASAW TRAIL	ORLANDO	FL	32825	510605681	LEASE TO RELATED ORGANIZATION	GA	501(C)(3)	LINE 11C, III-FI	SUNBELT HLTH CARE CENTERS INC	0
CHIPPEWA VALLEY HOSPITAL & OAKVIEW CARE CENTER INC
1220 THIRD AVENUE WEST	DURAND	WI	54736	391365168	OPERATION OF HOSPITAL & RELATED SERVICES	WI	501(C)(3)	LINE 3	ADVENTIST HLTH SYSTEMSUNBELT INC	0
COBB MEDICAL ASSOCIATES LLC
3949 SOUTH COBB DRIVE SE	SMYRNA	GA	30080	582617089	OPERATION OF PHYSICIAN PRACTICES & MEDICAL SERVICES	GA	501(C)(3)	LINE 3	EMORY-ADVENTIST INC	0
COURTLAND HLTH CARE PROPERTIES INC
730 COURTLAND STREET	ORLANDO	FL	32804	510605682	LEASE TO RELATED ORGANIZATION	GA	501(C)(3)	LINE 11C, III-FI	SUNBELT HLTH CARE CENTERS INC	0
CREEKWOOD PLACE NURSING & REHAB CENTER INC
683 E THIRD STREET	RUSSELLVILLE	KY	42276	205782260	OPERATION OF HOME FOR THE AGED/HLTHCARE DELIVERY	KY	501(C)(3)	LINE 9	SUNBELT HLTH CARE CENTERS INC	0
DAIRY ROAD HLTH CARE PROPERTIES INC
7350 DAIRY ROAD	ZEPHYRHILLS	FL	33540	510605684	LEASE TO RELATED ORGANIZATION	GA	501(C)(3)	LINE 11C, III-FI	SUNBELT HLTH CARE CENTERS INC	0
EAST ORLANDO HLTH & REHAB CENTER INC
250 S CHICKASAW TRAIL	ORLANDO	FL	32825	205774748	OPERATION OF HOME FOR THE AGED/HLTHCARE DELIVERY	FL	501(C)(3)	LINE 9	SUNBELT HLTH CARE CENTERS INC	0
EMORY-ADVENTIST INC
3949 SOUTH COBB DRIVE	SMYRNA	GA	30080	582171011	OPERATION OF HOSPITAL & RELATED SVCS	GA	501(C)(3)	LINE 3	ADVENTIST HLTH SYSTEMSUNBELT INC	0
FLETCHER HOSPITAL INC
100 HOSPITAL DRIVE	HENDERSONVILLE	NC	28792	560543246	OPERATION OF HOSPITAL & RELATED SVCS	NC	501(C)(3)	LINE 3	ADVENTIST HLTH SYSTEM SUNBELT HLTHCARE CORP	0
FLNC INC
3355 E SEMORAN BLVD	APOPKA	FL	32703	205774761	OPERATION OF HOME FOR THE AGED/HLTHCARE DELIVERY	FL	501(C)(3)	LINE 9	SUNBELT HLTH CARE CENTERS INC	0
FLORIDA HOSPITAL HEALTHCARE PARTNERS INC (130-123113)
301 MEMORIAL MEDICAL PARKWAY	DAYTONA BEACH	FL	32117	462354804	OPERATION OF PHYSICIAN PRACTICES & MEDICAL SERVICES	FL	501(C)(3)	LINE 3	ADVENTIST HLTH SYSTEMSUNBELT INC	0
FLORIDA HOSPITAL MEDICAL GROUP INC
900 WINDERLEY PLACE	MAITLAND	FL	32751	593214635	OPERATION OF PHYSICIAN PRACTICES & MEDICAL SERVICES	FL	501(C)(3)	LINE 3	ADVENTIST HLTH SYSTEMSUNBELT INC	0
FLORIDA HOSPITAL PHYSICIAN GROUP INC (21-123113)
14055 RIVEREDGE DRIVE STE 250	TAMPA	FL	33637	462021581	OPERATION OF PHYSICIAN PRACTICES & MEDICAL SERVICES	FL	501(C)(3)	LINE 3	ADVENTIST HLTH SYSTEM SUNBELT HLTHCARE CORP	0
FLORIDA HOSPITAL WATERMAN INC
1000 WATERMAN WAY	TAVARES	FL	32778	593140669	OPERATION OF HOSPITAL & RELATED SERVICES	FL	501(C)(3)	LINE 3	ADVENTIST HLTH SYSTEM SUNBELT HLTHCARE CORP	0
FLORIDA HOSPITAL ZEPHYRHILLS INC
7050 GALL BLVD	ZEPHYRHILLS	FL	33541	592108057	OPERATION OF HOSPITAL & RELATED SERVICES	FL	501(C)(3)	LINE 3	ADVENTIST HLTH SYSTEMSUNBELT INC	0
FOUNDATION FOR SHAWNEE MISSION MEDICAL CENTER INC
9100 W 74TH STREET	SHAWNEE MISSION	KS	66204	480868859	FUND-RAISING FOR TAX-EXEMPT HOSPITAL	KS	501(C)(3)	LINE 11A, I	SHAWNEE MISSION MEDICAL CENTER INC	0
GLENOAKS HOSPITAL FOUNDATION
701 WINTHROP AVENUE	GLENDALE HEIGHTS	IL	60139	363926044	FUND-RAISING FOR TAX-EXEMPT HOSPITAL	IL	501(C)(3)	LINE 7	MIDWEST HLTH FOUNDATION	0
HELEN ELLIS MEMORIAL HOSPITAL AUXILIARY INC
1395 S PINELLAS AVE	TARPON SPRINGS	FL	34689	592106043	FUND-RAISING FOR TAX-EXEMPT HOSPITAL/FOUNDATION	FL	501(C)(3)	LINE 11C, III-FI	TARPON SPRINGS HOSPITAL FOUNDATION INC	0
HELEN ELLIS MEMORIAL HOSPITAL FOUNDATION INC
1395 S PINELLAS AVE	TARPON SPRINGS	FL	34689	593690149	FUND-RAISING FOR TAX-EXEMPT HOSPITAL	FL	501(C)(3)	LINE 11C, III-FI	TARPON SPRINGS HOSPITAL FOUNDATION INC	0
HINSDALE HOSPITAL FOUNDATION
7 SALT CREEK LANE SUITE 203	HINSDALE	IL	60521	521466387	FUND-RAISING FOR TAX-EXEMPT HOSPITAL	IL	501(C)(3)	LINE 7	MIDWEST HLTH FOUNDATION	0
IN-MOTION REHAB INC
602 COURTLAND STREET STE 200	ORLANDO	FL	32804	208023411	THERAPY SERVICES TO TAX EXEMPT NURSING HOMES	KS	501(C)(3)	LINE 11B, II	SUNBELT HLTH CARE CENTERS INC	0
JELLICO COMMUNITY HOSPITAL INC
188 HOSPITAL LANE	JELLICO	TN	37762	620924706	OPERATION OF HOSPITAL & RELATED SERVICES	TN	501(C)(3)	LINE 3	ADVENTIST HLTH SYSTEM SUNBELT HLTHCARE CORP	0
JOHNSON COUNTY COMMUNITY CARE CORPORATION (11-5613)
11801 SOUTH FREEWAY	BURLESON	TX	76028	452793120	SUPPORT OPERATION OF HOSPITAL	TX	501(C)(3)	LINE 11A, I	ADVENTIST HLTH SYSTEMSUNBELT INC	0
LA GRANGE MEMORIAL HOSPITAL FOUNDATION
5101 S WILLOW SPRINGS RD	LA GRANGE	IL	60525	300247776	FUND-RAISING FOR TAX-EXEMPT HOSPITAL	IL	501(C)(3)	LINE 7	MIDWEST HLTH FOUNDATION	0
MEMORIAL HLTH SYSTEMS FOUNDATION INC
770 WEST GRANADA BLVD	ORMOND BEACH	FL	32174	311771522	FUND-RAISING FOR TAX-EXEMPT HOSPITAL	FL	501(C)(3)	LINE 7	MEMORIAL HLTH SYSTEMS INC	0
MEMORIAL HLTH SYSTEMS INC
301 MEMORIAL MEDICAL PARKWAY	DAYTONA BEACH	FL	32117	590973502	OPERATION OF HOSPITAL & RELATED SERVICES	FL	501(C)(3)	LINE 3	ADVENTIST HLTH SYSTEMSUNBELT INC	0
MEMORIAL HOSPITAL - WEST VOLUSIA INC
701 WEST PLYMOUTH AVENUE	DELAND	FL	32720	593256803	OPERATION OF HOSPITAL & RELATED SERVICES	FL	501(C)(3)	LINE 3	MEMORIAL HLTH SYSTEMS INC	0
MEMORIAL HOSPITAL FLAGLER INC
60 MEMORIAL MEDICAL PARKWAY	PALM COAST	FL	32164	592951990	OPERATION OF HOSPITAL & RELATED SERVICES	FL	501(C)(3)	LINE 3	MEMORIAL HLTH SYSTEMS INC	0
MEMORIAL HOSPITAL INC
210 MARIE LANGDON DRIVE	MANCHESTER	KY	40962	610594620	OPERATION OF HOSPITAL & RELATED SERVICES	KY	501(C)(3)	LINE 3	ADVENTIST HLTH SYSTEM SUNBELT HLTHCARE CORP	0
MERRIAM HLTH CARE PROPERTIES INC
9700 WEST 62ND STREET	MERRIAM	KS	66203	364595806	LEASE TO RELATED ORGANIZATION	KS	501(C)(3)	LINE 11C, III-FI	SUNBELT HLTH CARE CENTERS INC	0
METROPLEX ADVENTIST HOSPITAL INC
2201 S CLEAR CREEK ROAD	KILLEEN	TX	76549	742225672	OPERATION OF HOSPITAL & RELATED SERVICES	TX	501(C)(3)	LINE 3	ADVENTIST HLTH SYSTEM SUNBELT HLTHCARE CORP	0
METROPLEX CLINIC PHYSICIANS INC
2201 S CLEAR CREEK ROAD	KILLEEN	TX	76549	113762050	PHYSICIAN HLTHCARE SERVICES TO THE COMMUNITY	TX	501(C)(3)	LINE 3	METROPLEX ADVENTIST HOSPITAL INC	Yes (1)
METROPLEX HOSPITAL INC
900 HOPE WAY	ALTAMONTE SPRINGS	FL	32714	461256516	FUTURE OPERATION OF HOSPITAL & RELATED SVCS	FL	501(C)(3)	LINE 3	ADVENTIST HLTH SYSTEM SUNBELT HLTHCARE CORP	0
MIDWEST HLTH FOUNDATION
120 NORTH OAK STREET	HINSDALE	IL	60521	352230515	SUPPORT OF SUBSIDIARY FOUNDATIONS	IL	501(C)(3)	LINE 11B, II		0	N/A
MILLS HLTH & REHAB CENTER INC
500 BECK LANE	MAYFIELD	KY	42066	205782320	OPERATION OF HOME FOR THE AGED/HLTHCARE DELIVERY	KY	501(C)(3)	LINE 9	SUNBELT HLTH CARE CENTERS INC	0
MISSION STRATEGIES OF GEORGIA INC
3949 S COBB DRIVE	SMYRNA	GA	30080	900866024	PROVISION OF SUPPORT TO THE NURSING HOME DIVISION	GA	501(C)(3)	LINE 11B, II	SUNBELT HLTH CARE CENTERS INC	0
MISSION STRATEGIES INC
602 COURTLAND STREET STE 200	ORLANDO	FL	32804	205982365	PROVISION OF SUPPORT TO THE NURSING HOME DIVISION	KS	501(C)(3)	LINE 11B, II	SUNBELT HLTH CARE CENTERS INC	0
MISSOURI ADVENTIST HLTH INC
9100 W 74TH STREET	SHAWNEE MISSION	KS	66204	431224729	SUPPORT HLTH CARE SERVICES	MO	501(C)(3)	LINE 11D, III-O	ADVENTIST HLTH MID-AMERICA INC	0
NORTH REGIONAL EMS INC
188 HOSPITAL LANE	JELLICO	TN	37762	262653616	EMS SERVICES	TN	501(C)(3)	LINE 9	JELLICO COMMUNITY HOSPITAL INC	0
ORMOND BEACH MEMORIAL HOSPITAL AUXILIARY INC
301 MEMORIAL MEDICAL PARKWAY	DAYTONA BEACH	FL	32117	591721962	VOLUNTEER SUPPORT SERVICES	FL	501(C)(3)	LINE 11C, III-FI	MEMORIAL HLTH SYSTEMS INC	0
OVERLAND PARK NURSING & REHAB CENTER INC
6501 WEST 75TH STREET	OVERLAND PARK	KS	66204	205774821	OPERATION OF HOME FOR THE AGED/HLTHCARE DELIVERY	KS	501(C)(3)	LINE 9	SUNBELT HLTH CARE CENTERS INC	0
PARAGON HLTH CARE PROPERTIES INC
950 HIGHPOINT DRIVE	HOPKINSVILLE	KY	42240	510605686	LEASE TO RELATED ORGANIZATION	GA	501(C)(3)	LINE 11C, III-FI	SUNBELT HLTH CARE CENTERS INC	0
PASCO-PINELLAS HILLSBOROUGH COMMUNITY HLTH SYSTEM INC
2400 BEDFORD ROAD	ORLANDO	FL	32803	208488713	OPERATION OF HOSPITAL & RELATED SERVICES	FL	501(C)(3)	LINE 3	ADVENTIST HLTH SYSTEM SUNBELT HLTHCARE CORP	0
PORTERCARE ADVENTIST HLTH SYSTEM (630 YEAR END)
2525 S DOWNING STREET	DENVER	CO	80210	840438224	OPERATION OF HOSPITAL & RELATED SERVICES	CO	501(C)(3)	LINE 3	ADVENTIST HLTH SYSTEM SUNBELT HLTHCARE CORP	0
PORTLAND NURSING & REHAB CENTER INC (11-6513)
215 HIGHLAND CIRCLE DRIVE	PORTLAND	TN	37148	205774842	OPERATION OF HOME FOR THE AGED/HLTHCARE DELIVERY	TN	501(C)(3)	LINE 9	SUNBELT HLTH CARE CENTERS INC	0
PRINCETON HLTH & REHAB CENTER INC
1333 WEST MAIN	PRINCETON	KY	42445	205782272	OPERATION OF HOME FOR THE AGED/HLTHCARE DELIVERY	KY	501(C)(3)	LINE 9	SUNBELT HLTH CARE CENTERS INC	0
PRINCETON PROFESSIONAL SERVICES INC
601 E ROLLINS STREET	ORLANDO	FL	32803	591191045	PROVISION OF HLTHCARE SERVICES	FL	501(C)(3)	LINE 9	ADVENTIST HLTH SYSTEM SUNBELT HLTHCARE CORP	0
QUALITY CIRCLE FOR HLTHCARE INC
900 HOPE WAY	ALTAMONTE SPRINGS	FL	32714	263789368	HLTHCARE QUALITY SERVICES	FL	501(C)(3)	LINE 11A, I	ADVENTIST HLTH SYSTEM SUNBELT HLTHCARE CORP	0
RESOURCE PERSONNEL INC
602 COURTLAND STREET STE 200	ORLANDO	FL	32804	208040875	PROVIDE ADMINISTRATIVE SUPPORT TO TAX EXEMPT NURSING HOMES	FL	501(C)(3)	LINE 11B, II	SUNBELT HLTH CARE CENTERS INC	0
ROCKY MOUNTAIN ADVENTIST HLTHCARE FOUNDATION (630 YEAR END)
2525 SOUTH DOWNING STREET	DENVER	CO	80210	840745018	FUND-RAISING FOR TAX-EXEMPT HOSPITAL	CO	501(C)(3)	LINE 7	PORTERCARE ADVENTIST HLTH SYSTEM	0
ROLLINS BROOK COMMUNITY CARE CORP
2201 S CLEAR CREEK ROAD	KILLEEN	TX	76549	461656773	INACTIVE	TX	501(C)(3)	LINE 11A, I	ADVENTIST HLTH SYSTEMSUNBELT INC	0
RUSSELLVILLE HLTH CARE PROPERTIES INC
683 EAST THIRD STREET	RUSSELLVILLE	KY	42276	510605691	LEASE TO RELATED ORGANIZATION	GA	501(C)(3)	LINE 11C, III-FI	SUNBELT HLTH CARE CENTERS INC	0
SAN MARCOS HLTH CARE PROPERTIES INC
1900 MEDICAL PARKWAY	SAN MARCOS	TX	78666	510605693	LEASE TO RELATED ORGANIZATION	GA	501(C)(3)	LINE 11C, III-FI	SUNBELT HLTH CARE CENTERS INC	0
SAN MARCOS NURSING & REHAB CENTER INC
1900 MEDICAL PARKWAY	SAN MARCOS	TX	78666	205782224	OPERATION OF HOME FOR THE AGED/HLTHCARE DELIVERY	TX	501(C)(3)	LINE 9	SUNBELT HLTH CARE CENTERS INC	0
SHAWNEE MISSION HLTH CARE INC
6501 WEST 75TH STREET	OVERLAND PARK	KS	66204	480952508	LEASE TO RELATED ORGANIZATION	KS	501(C)(3)	LINE 11C, III-FI	SUNBELT HLTH CARE CENTERS INC	0
SHAWNEE MISSION MEDICAL CENTER INC
9100 W 74TH STREET	SHAWNEE MISSION	KS	66204	480637331	OPERATION OF HOSPITAL & RELATED SERVICES	KS	501(C)(3)	LINE 3	ADVENTIST HLTH MID-AMERICA INC	0
SOUTH CENTRAL NURSING HOMES PROPERTIES INC
900 HOPE WAY	ALTAMONTE SPRINGS	FL	32714	593686109	MANAGEMENT SUPPORT	GA	501(C)(3)	LINE 11D, III-O	SOUTH CENTRAL INC	0
SOUTH CENTRAL NURSING HOMES INC
602 COURTLAND STREET	ORLANDO	FL	32804	611242373	MANAGEMENT SUPPORT	KY	501(C)(3)	LINE 11D, III-O	SOUTH CENTRAL INC	0
SOUTH CENTRAL PROPERTIES III INC
900 HOPE WAY	ALTAMONTE SPRINGS	FL	32714	593692860	REAL ESTATE	GA	501(C)(2)		SOUTH CENTRAL NURSING HOMES PROPERTIES INC	0
SOUTH CENTRAL PROPERTIES IV INC
900 HOPE WAY	ALTAMONTE SPRINGS	FL	32714	593692862	REAL ESTATE	GA	501(C)(2)		SOUTH CENTRAL NURSING HOMES PROPERTIES INC	0
SOUTH CENTRAL PROPERTIES VI INC
900 HOPE WAY	ALTAMONTE SPRINGS	FL	32714	593692857	REAL ESTATE	GA	501(C)(2)		SOUTH CENTRAL NURSING HOMES PROPERTIES INC	0
SOUTH CENTRAL PROPERTIES INC
900 HOPE WAY	ALTAMONTE SPRINGS	FL	32714	593651692	REAL ESTATE	GA	501(C)(2)		SOUTH CENTRAL NURSING HOMES PROPERTIES INC	0
SOUTH CENTRAL INC
602 COURTLAND STREET	ORLANDO	FL	32804	593689740	MANAGEMENT SUPPORT	GA	501(C)(3)	LINE 11C, III-FI		0	N/A
SOUTH PASCO HLTH CARE PROPERTIES INC
38250 A AVENUE	ZEPHYRHILLS	FL	33542	510605679	LEASE TO RELATED ORGANIZATION	GA	501(C)(3)	LINE 11C, III-FI	SUNBELT HLTH CARE CENTERS INC	0
SOUTHWEST VOLUSIA HLTH SERVICES INC
1055 SAXON BLVD	ORANGE CITY	FL	32763	593281591	MEDICAL OFFICE BUILDING FOR HOSPITAL	FL	501(C)(3)	LINE 11A, I	SOUTHWEST VOLUSIA HLTHCARE CORP	0
SOUTHWEST VOLUSIA HLTHCARE CORP
1055 SAXON BLVD	ORANGE CITY	FL	32763	593149293	OPERATION OF HOSPITAL & RELATED SERVICES	FL	501(C)(3)	LINE 3	ADVENTIST HLTH SYSTEMSUNBELT INC	0
SPECIALTY PHYSICIANS OF CENTRAL TEXAS INC
1301 WONDER WORLD DRIVE	SAN MARCOS	TX	78666	208814408	PHYSICIAN HLTHCARE SERVICES TO THE COMMUNITY	TX	501(C)(3)	LINE 3	ADVENTIST HLTH SYSTEMSUNBELT INC	0
SPRING VIEW HLTH & REHAB CENTER INC
718 GOODWIN LANE	LEITCHFIELD	KY	42754	205782288	OPERATION OF HOME FOR THE AGED/HLTHCARE DELIVERY	KY	501(C)(3)	LINE 9	SUNBELT HLTH CARE CENTERS INC	0
SUNBELT HLTH & REHAB CENTER - APOPKA INC
305 EAST OAK STREET	APOPKA	FL	32703	205774856	OPERATION OF HOME FOR THE AGED/HLTHCARE DELIVERY	FL	501(C)(3)	LINE 9	SUNBELT HLTH CARE CENTERS INC	0
SUNBELT HLTH CARE CENTERS INC
602 COURTLAND STREET STE 200	ORLANDO	FL	32804	581473135	MANAGEMENT SERVICES	TN	501(C)(3)	LINE 11B, II	ADVENTIST HLTH SYSTEM SUNBELT HLTHCARE CORP	0
SUNSYSTEM DEVELOPMENT CORP
900 HOPE WAY	ALTAMONTE SPRINGS	FL	32714	592219301	FUND RAISING FOR AFFILIATED TAX-EXEMPT HOSPITALS	FL	501(C)(3)	LINE 7	ADVENTIST HLTH SYSTEM SUNBELT HLTHCARE CORP	0
TARPON SPRINGS HOSPITAL FOUNDATION INC
1395 S PINELLAS AVE	TARPON SPRINGS	FL	34689	590898901	OPERATION OF HOSPITAL & RELATED SERVICES	FL	501(C)(3)	LINE 3	UNIVERSITY COMMUNITY HOSPITAL INC	0
TARRANT COUNTY HLTH CARE PROPERTIES INC
301 HUGULEY BLVD	BURLESON	TX	76028	510605677	LEASE TO RELATED ORGANIZATION	GA	501(C)(3)	LINE 11C, III-FI	SUNBELT HLTH CARE CENTERS INC	0
TAYLOR CREEK HLTH CARE PROPERTIES INC
718 GOODWIN LANE	LEITCHFIELD	KY	42754	510605678	LEASE TO RELATED ORGANIZATION	GA	501(C)(3)	LINE 11C, III-FI	SUNBELT HLTH CARE CENTERS INC	0
THE VOLUNTEER AUXILIARY OF FLORIDA HOSPITAL - FLAGLER INC
60 MEMORIAL MEDICAL PARKWAY	PALM COAST	FL	32164	592486582	VOLUNTEER SUPPORT SERVICES	FL	501(C)(3)	LINE 11C, III-FI	MEMORIAL HOSPITAL FLAGLER INC	0
TRINITY NURSING & REHAB CENTER INC
9700 WEST 62ND STREET	MERRIAM	KS	66203	205774890	OPERATION OF HOME FOR THE AGED/HLTHCARE DELIVERY	KS	501(C)(3)	LINE 9	SUNBELT HLTH CARE CENTERS INC	0
UNIVERSITY COMMUNITY HOSPITAL FOUNDATION INC
3100 E FLETCHER AVE	TAMPA	FL	33613	592554889	FUND-RAISING FOR TAX-EXEMPT HOSPITAL	FL	501(C)(3)	LINE 11A, I	UNIVERSITY COMMUNITY HOSPITAL INC	0
UNIVERSITY COMMUNITY HOSPITAL SPECIALTY CARE INC
3100 E FLETCHER AVE	TAMPA	FL	33613	593231322	INACTIVE	FL	501(C)(3)	LINE 11A, I	UNIVERSITY COMMUNITY HOSPITAL INC	0
UNIVERSITY COMMUNITY HOSPITAL INC
3100 E FLETCHER AVE	TAMPA	FL	33613	591113901	OPERATION OF HOSPITAL & RELATED SERVICES	FL	501(C)(3)	LINE 3	ADVENTIST HLTH SYSTEM SUNBELT HLTHCARE CORP	0
WEST KENTUCKY HLTH CARE PROPERTIES INC
500 BECK LANE	MAYFIELD	KY	42066	510605676	LEASE TO RELATED ORGANIZATION	GA	501(C)(3)	LINE 11C, III-FI	SUNBELT HLTH CARE CENTERS INC	0
ZEPHYR HAVEN HLTH & REHAB CENTER INC
38250 A AVENUE	ZEPHYRHILLS	FL	33542	205774930	OPERATION OF HOME FOR THE AGED/HLTHCARE DELIVERY	FL	501(C)(3)	LINE 9	SUNBELT HLTH CARE CENTERS INC	0
ZEPHYRHILLS HLTH & REHAB CENTER INC
7350 DAIRY ROAD	ZEPHYRHILLS	FL	33540	205774967	OPERATION OF HOME FOR THE AGED/HLTHCARE DELIVERY	FL	501(C)(3)	LINE 9	SUNBELT HLTH CARE CENTERS INC	0

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (9 entries)

Address Line1USAddress/AddressLine1	CityUSAddress/City	StateUSAddress/State	ZIP CodeUSAddress/ZIPCode	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Direct Controlling NADirectControllingNACd	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Predominant Income TypePredominantIncomeTypeTxt	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	Disproportionate AllocationsDisproportionateAllocationsInd	General Or Managing PartnerGeneralOrManagingPartnerInd	OwnershipOwnershipPct
APPALACHIAN THERAPY SERVICES LLC
100 HOSPITAL DRIVE	HENDERSONVILLE	NC	28792	202463851	THERAPY STAFFING	NC	N/A
CLEAR CREEK MOB LTD
2201 S CLEAR CREEK RD	KILLEEN	TX	76549	742609195	REAL ESTATE	TX		CLEAR CREEK MOB INC	RELATED	$46,220	$2,177,641	0	Yes (1)	0.60800
ENDOSCOPY CENTER AT PORTER LLC
1001 SOUTH PARK DRIVE	LITTLETON	CO	80120	205855038	MEDICAL SERVICES	CO	N/A
FLORIDA HOSPITAL DMERT LLC
2450 MAITLAND CENTER PKWY STE 200	MAITLAND	FL	32751	202392253	MEDICAL EQUIPMENT	FL	N/A
FLORIDA HOSPITAL HOME INFUSION
2450 MAITLAND CENTER PKWY STE 200	MAITLAND	FL	32751	593142824	HOME INFUSION SERVICES	FL	N/A
KCCCSMMC CANCER CENTER LLC (11-4813)
9100 W 74TH STREET	SHAWNEE MISSION	KS	66204	270909763	EQUIPMENT RENTAL	KS	N/A
PAHSUSP SURGERY CENTERS LLC
15305 DALLAS PKWY STE 1600 LB 28	ADDISON	TX	75010	263057950	MEDICAL SERVICES	CO	N/A
SAN MARCOS MRI LP
1330 WONDER WORLD DR STE 202	SAN MARCOS	TX	78666	770597972	IMAGING & TESTING	TX	N/A
SHAWNEE MISSION OPEN MRI LLC
9100 W 74TH STREET BOX 2923	SHAWNEE MISSION	KS	66201	270011796	IMAGING & TESTING	KS	N/A

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (22 entries)

Address Line1USAddress/AddressLine1	CityUSAddress/City	StateUSAddress/State	ZIP CodeUSAddress/ZIPCode	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Direct Controlling NADirectControllingNACd	Entity TypeEntityTypeTxt	Controlled OrganizationControlledOrganizationInd	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	OwnershipOwnershipPct	Address Line1ForeignAddress/AddressLine1	Province Or StateForeignAddress/ProvinceOrState	CountryForeignAddress/Country	Legal Domicile Foreign CountryLegalDomicileForeignCountryCd
ALTAMONTE MEDICAL PLAZA CONDOMINIUM ASSOCIATION INC
601 EAST ROLLINS STREET	ORLANDO	FL	32803	592855792	CONDO ASSOCIATION	FL	N/A	C	0
APOPKA MEDICAL PLAZA CONDOMINIUM ASSOCIATION INC
601 EAST ROLLINS STREET	ORLANDO	FL	32803	593000857	CONDO ASSOCIATION	FL	N/A	C	0
CC MOB INC
2201 S CLEAR CREEK ROAD	KILLEEN	TX	76549	742616875	REAL ESTATE RENTAL	TX		C	Yes (1)	METROPLEX ADVENTIST HOSPITAL INC	-$39,254	$46,334	1.00000
CENTRAL TEXAS MEDICAL ASSOCIATES
1301 WONDER WORLD DRIVE	SAN MARCOS	TX	78666	742729873	PHYSICIAN CLINICS	TX	N/A	C	0
CENTRAL TEXAS PROVIDER'S NETWORK
1301 WONDER WORLD DRIVE	SAN MARCOS	TX	78666	742827652	PHYSICIAN HOSPITAL ORG.	TX	N/A	C	0
FLORIDA HOSPITAL FLAGLER MEDICAL OFFICES ASSOCIATION INC
60 MEMORIAL MEDICAL PARKWAY	PALM COAST	FL	32164	262158309	CONDO ASSOCIATION	FL	N/A	C	0
FLORIDA HOSPITAL HEALTHCARE SYSTEM INC
602 COURTLAND STREET	ORLANDO	FL	32804	593215680	PHO/TPA	FL	N/A	C	0
FLORIDA MEDICAL PLAZA CONDO ASSOCIATION INC
601 EAST ROLLINS STREET	ORLANDO	FL	32803	592855791	CONDO ASSOCIATION	FL	N/A	C	0
FLORIDA MEMORIAL HEALTH NETWORK INC
770 W GRANADA BLVD STE 317	ORMOND BEACH	FL	32174	593403558	PHYSICIAN HOSPITAL ORG.	FL	N/A	C	0
HUGULEY ALLIANCE FOUNDATION
11801 SOUTH FREEWAY	FORT WORTH	TX	76115	752642209	INACTIVE	TX	N/A	C	0
KISSIMMEE MULTISPECIALTY CLINIC CONDOMINIUM ASSOCIATION INC
201 HILDA STREET SUITE 30	KISSIMMEE	FL	34741	593539564	CONDO ASSOCIATION	FL	N/A	C	0
MIDWEST MANAGEMENT SERVICES INC
9100 WEST 74TH STREET	SHAWNEE MISSION	KS	66204	480901551	REAL ESTATE RENTAL	KS	N/A	C	0
METROPLEX ADVENTIST HOSPITAL CRNA (11-111113)
2201 S CLEAR CREEK ROAD	KILLEEN	TX	76549	260760794	SUPPORT HOSPITAL - PROVIDE ALLIED HEALTH PROFESSIONALS	TX		C	0	METROPLEX ADVENTIST HOSPITAL INC			1.00000
NORTH AMERICAN HEALTH SERVICES INC & SUBS
111 N ORLANDO AVENUE	WINTER PARK	FL	32789	621041820	LESSOR/HOLDING CO.	TN	N/A	C	0
ORMOND PROFESSIONAL CONDO ASSOCIATION (430 YEAR END)
770 W GRANADA BLVD STE 101	ORMOND BEACH	FL	32174	592694434	CONDO ASSOCIATION	FL	N/A	C	0
PARK RIDGE PROPERTY OWNER'S ASSOCIATION INC
1 PARK PLACE NAPLES ROAD	FLETCHER	NC	28732	030380531	CONDO ASSOCIATION	NC	N/A	C	0
PORTER AFFILIATED HLTH SERVICES INC DBA DIVERSIFIED AFFILIATED HLTH SVCS
2525 S DOWNING STREET	DENVER	CO	80210	840956175	HEALTHCARE SERVICES	CO	N/A	C	0
SAN MARCOS REGIONAL MRI INC
1301 WONDER WORLD DRIVE	SAN MARCOS	TX	78666	770597968	HOLDING COMPANY	TX	N/A	C	0
THE GARDEN RETIREMENT COMMUNITY INC
602 COURTLAND STREET STE 200	ORLANDO	FL	32804	593414055	REAL ESTATE RENTAL	FL	N/A	C	0
UNIVERSITY COMMUNITY HEALTH INSURANCE COMPANY SPC LTD (11-32813)
					CAPTIVE INSURANCE		N/A	C	0					C/O AON INSURANCE MANAGERS PO BOX	GRAND CAYMAN	CJ	CJ
UCH SERVICES INC (11-61213)
3100 EAST FLETCHER AVE	TAMPA	FL	33613	593508454	MANAGEMENT COMPANY	FL	N/A	C	0
WINTER PARK MEDICAL OFFICE BUILDING I CONDO ASSOC INC
200 LAKEMONT AVE	WINTER PARK	FL	32792	452228478	PHYSICIAN CLINICS	FL	N/A	C	0

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

Transactions Related Org TransactionsRelatedOrgGrp (8 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
SUNSYSTEM DEVELOPMENT CORP DBA METROPLEX FOUNDATION
C	$110,944	ACTUAL AMOUNT RECEIVED
SUNSYSTEM DEVELOPMENT CORP DBA METROPLEX FOUNDATION
B	$90,844	COST OF GOODS AND SERVICES
ADVENTIST HEALTH SYSTEM SUNBELT HEALTHCARE CORP
M	$1,081,766	% OF FACILITY'S OPERATING EXPENSE
ADVENTIST HEALTH SYSTEM SUNBELT HEALTHCARE CORP DBA AHS IS
M	$4,168,503	% OF FACILITY'S OPERATING EXPENSE
ADVENTIST HEALTH SYSTEM SUNBELT HEALTHCARE CORP
P	$4,518,663	COST
ADVENTIST HEALTH SYSTEM AFFILIATE BENEFIT TRUST
B	$327,167	ACTUAL AMOUNT GIVEN
METROPLEX CLINIC PHYSICIANS INC
B	$6,131,980	ACTUAL AMOUNT GIVEN
METROPLEX CLINIC PHYSICIANS INC
A	$100,915	FAIR MARKET VALUE