ADVENTIST HEALTH SYSTEM SUNBELT INC: Form 990, tax year 2013

View the entire original 990 at ProPublica ↗

Organization: ADVENTIST HEALTH SYSTEM SUNBELT INC (EIN 59-1479658)
Tax period: 2013-01-01 to 2013-12-31
Filed: 2014-11-17
IRS object ID: 201403219349311205
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 ReturnHeader

Field	Value	IRS element (for citing)
Return	2014-11-17T17:13:55-06:00	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	591479658	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Adventist Health SystemSunbelt Inc	BusinessNameLine1

Field	Value	IRS element (for citing)
Business Name Control	ADVE	BusinessNameControlTxt
Phone	4073572317	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	900 Hope Way	AddressLine1
City	Altamonte Springs	City
State	FL	State
ZIP Code	32714	ZIPCode

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	Lynn C Addiscott	PersonNm
Person Title	Asst Secretary	PersonTitleTxt
Phone	4079751492	PhoneNum
Signature	2014-11-17	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	Donald Jernigan	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	900 Hope Way	AddressLine1
City	Altamonte Springs	City
State	FL	State
ZIP Code	32714	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	$3,232,259,164	GrossReceiptsAmt
Group Return For Affiliates	0	GroupReturnForAffiliatesInd
Group Exemption	1071	GroupExemptionNum
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	www.adventisthealthsystem.com	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1973	FormationYr
Legal Domicile State	FL	LegalDomicileStateCd
Activity Or Mission	Operation of 12 acute-care hospitals & related healthcare services.	ActivityOrMissionDesc
Voting Members Governing Body	24	VotingMembersGoverningBodyCnt
Voting Members Independent	18	VotingMembersIndependentCnt
Total Employee	25798	TotalEmployeeCnt
Total Volunteers	4113	TotalVolunteersCnt
Total Gross UBI	$10,648,196	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$1,390,027	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$8,143,760	PYContributionsGrantsAmt
CY Contributions Grants	$6,676,943	CYContributionsGrantsAmt
PY Program Service Revenue	$3,052,566,284	PYProgramServiceRevenueAmt
CY Program Service Revenue	$3,159,694,997	CYProgramServiceRevenueAmt
PY Investment Income	$32,324,587	PYInvestmentIncomeAmt
CY Investment Income	$35,537,972	CYInvestmentIncomeAmt
PY Other Revenue	$22,908,437	PYOtherRevenueAmt
CY Other Revenue	$23,309,569	CYOtherRevenueAmt
PY Total Revenue	$3,115,943,068	PYTotalRevenueAmt
CY Total Revenue	$3,225,219,481	CYTotalRevenueAmt
PY Grants And Similar Paid	$23,414,566	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$21,415,602	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$1,378,955,690	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$1,425,818,817	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$1,463,590,734	PYOtherExpensesAmt
CY Other Expenses	$1,483,289,786	CYOtherExpensesAmt
PY Total Expenses	$2,865,960,990	PYTotalExpensesAmt
CY Total Expenses	$2,930,524,205	CYTotalExpensesAmt
PY Revenues Less Expenses	$249,982,078	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$294,695,276	CYRevenuesLessExpensesAmt
Total Assets BOY	$6,299,999,146	TotalAssetsBOYAmt
Total Assets EOY	$7,038,810,789	TotalAssetsEOYAmt
Total Liabilities BOY	$4,064,813,224	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$4,522,366,478	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$2,235,185,922	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$2,516,444,311	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	$2,680,841,623	ExpenseAmt
Grant	$21,415,602	GrantAmt
Revenue	$3,169,747,834	RevenueAmt
Desc	Operation of 12 acute care hospitals with 157,184 patient admissions, 762,076 patient days and 1,255,545 outpatient visits in the current year. In addition to hospital operations, the corporation provides medical care through a number of other activities such as urgent care centers, physician clinics, home health services, hospice services, sleep centers, wound centers, therapy and rehab.	Desc
Total Program Service Expenses	$2,680,841,623	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (1)	DescribedInSection501c3Ind
Schedule B Required	Yes (1)	ScheduleBRequiredInd
Political Campaign Acty	0	PoliticalCampaignActyInd
Lobbying Activities	Yes (1)	LobbyingActivitiesInd
Subject To Proxy Tax	0	SubjectToProxyTaxInd
Donor Advised Fund	0	DonorAdvisedFundInd
Conservation Easements	Yes (1)	ConservationEasementsInd
Collections Of Art	0	CollectionsOfArtInd
Credit Counseling	0	CreditCounselingInd
Temp Or Permanent Endowments	Yes (1)	TempOrPermanentEndowmentsInd
Report Land Building Equipment	Yes (1)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	0	ReportInvestmentsOtherSecInd
Report Program Related Invst	0	ReportProgramRelatedInvstInd
Report Other Assets	Yes (1)	ReportOtherAssetsInd
Report Other Liabilities	Yes (1)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (1)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	0	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (1)	ConsolidatedAuditFinclStmtInd
School Operating	0	SchoolOperatingInd
Foreign Office	0	ForeignOfficeInd
Foreign Activities	Yes (1)	ForeignActivitiesInd
More Than5000 K To Org	Yes (1)	MoreThan5000KToOrgInd
More Than5000 K To Individuals	0	MoreThan5000KToIndividualsInd
Professional Fundraising	0	ProfessionalFundraisingInd
Fundraising Activities	0	FundraisingActivitiesInd
Gaming Activities	0	GamingActivitiesInd
Operate Hospital	Yes (1)	OperateHospitalInd
Audited Financial Stmt Att	Yes (1)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (1)	GrantsToOrganizationsInd
Grants To Individuals	0	GrantsToIndividualsInd
Schedule J Required	Yes (1)	ScheduleJRequiredInd
Tax Exempt Bonds	Yes (1)	TaxExemptBondsInd
Invest Tax Exempt Bonds	0	InvestTaxExemptBondsInd
Escrow Account	Yes (1)	EscrowAccountInd
On Behalf Of Issuer	0	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	0	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	0	PYExcessBenefitTransInd
Loan Outstanding	0	LoanOutstandingInd
Grant To Related Person	0	GrantToRelatedPersonInd
Business Rln With Org Mem	0	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	Yes (1)	BusinessRlnWithFamMemInd
Business Rln With Officer Ent	0	BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri	0	DeductibleNonCashContriInd
Deductible Art Contribution	0	DeductibleArtContributionInd
Terminate Operations	0	TerminateOperationsInd
Partial Liquidation	0	PartialLiquidationInd
Disregarded Entity	Yes (1)	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	2010	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (1)	BackupWthldComplianceInd
Employee	25798	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	24	GoverningBodyVotingMembersCnt
Independent Voting Member	18	IndependentVotingMemberCnt
Family Or Business Rln	Yes (1)	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	0	DelegationOfMgmtDutiesInd
Change To Org Documents	Yes (1)	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	0	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (1)	MembersOrStockholdersInd
Election Of Board Members	Yes (1)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (1)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (1)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (1)	MinutesOfCommitteesInd
Officer Mailing Address	0	OfficerMailingAddressInd
Local Chapters	0	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (1)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (1)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (1)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (1)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (1)	WhistleblowerPolicyInd
Document Retention Policy	Yes (1)	DocumentRetentionPolicyInd
Compensation Process CEO	0	CompensationProcessCEOInd
Compensation Process Other	0	CompensationProcessOtherInd
Investment In Joint Venture	Yes (1)	InvestmentInJointVentureInd
Written Policy Or Procedure	Yes (1)	WrittenPolicyOrProcedureInd
States Where Copy Of Return Is Fld	IL	StatesWhereCopyOfReturnIsFldCd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

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

Field	Value	IRS element (for citing)
Phone	4073572463	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	900 Hope Way	AddressLine1
City	Altamonte Springs	City
State	FL	State
ZIP Code	32714	ZIPCode

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

Form990 Part VII Section A Form990PartVIISectionAGrp (45 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
Carlson Ronald
Director	1.00	3.00	Yes (X)	$0	$950	$0
Cauley DMin Michael F
Director	1.00	3.00	Yes (X)	$0	$950	$0
Craig Carlos
Director	1.00	3.00	Yes (X)	$0	$950	$0
Davidson James R
Director	1.00	3.00	Yes (X)	$0	$2,025	$0
Griffith Jr Buford
Director	1.00	3.00	Yes (X)	$0	$2,025	$0
Grove Rodney A
Director (end 10/13)	1.00	3.00	Yes (X)	$0	$425	$0
Hagele Elaine M
Director	1.00	3.00	Yes (X)	$0	$2,025	$0
Hayes Alta Sue
Director	1.00	3.00	Yes (X)	$0	$950	$0
Houmann Lars D
Director	35.00	15.00	Yes (X)	$0	$1,670,927	$240,916
Jernigan PhD Donald L
Director/CEO	1.00	50.00	Yes (X)	$0	$1,621,076	$100,888	Yes (X)
Johnson MD Mark
Director	1.00	3.00	Yes (X)	$0	$950	$0
Knutson J Deryl
Director	1.00	3.00	Yes (X)	$0	$2,025	$0
Lemon Thomas L
Vice Chairman/Director	1.00	3.00	Yes (X)	$0	$2,247	$0
Livesay MDiv Donald E
Chairman/Director	1.00	3.00	Yes (X)	$0	$2,247	$0
Moore MDiv Larry R
Vice Chairman/Director	1.00	3.00	Yes (X)	$0	$2,247	$0
Morel Hubert J
Director	1.00	3.00	Yes (X)	$0	$950	$0
Pichette Ray
Director	1.00	3.00	Yes (X)	$0	$950	$0
Reiner Richard K
Director	1.00	50.00	Yes (X)	$0	$1,662,894	$59,355
Robinson Randy
Director	1.00	3.00	Yes (X)	$0	$2,025	$0
Scott Glynn CW
Director	1.00	3.00	Yes (X)	$0	$2,025	$0
Shaw Terry D
Director	1.00	50.00	Yes (X)	$0	$1,692,632	$243,317	Yes (X)
Smith DMin PhD Ron C
Vice Chair/Sec/Director	1.00	3.00	Yes (X)	$0	$2,247	$0
Thurber Gary
Director (beg 11/13)	1.00	3.00	Yes (X)	$0	$1,800	$0
Webb Gil
Director (beg 1/13)	1.00	3.00	Yes (X)	$0	$1,075	$0
Werner Thomas L
Director	1.00	3.00	Yes (X)	$0	$1,450	$0
Banks David P
Senior VP - FH	50.00	0.00		$0	$719,499	$130,106		Yes (X)
Cummings Jr Desmond
Exec VP - FH	50.00	0.00		$0	$459,922	$35,899		Yes (X)
Dodds Sheryl D
Senior VP - FH	50.00	0.00		$0	$479,340	$66,291		Yes (X)
Fulbright Robert D
Senior VP - FH	50.00	0.00		$0	$526,092	$103,310		Yes (X)
Goodman Todd A
Senior VP - FH	50.00	0.00		$0	$474,756	$70,747		Yes (X)
Hilliard Douglas W
Senior VP - FH	50.00	0.00		$0	$455,188	$89,418		Yes (X)
Hurst Jeffry D
Senior VP - FH	50.00	0.00		$0	$439,125	$63,338		Yes (X)
Moorhead MD John David
Senior VP - FH	50.00	0.00		$0	$848,448	$38,980		Yes (X)
Owen Terry R
Senior VP - FH	50.00	0.00		$0	$674,300	$89,304		Yes (X)
Paradis J Brian
Exec VP - FH	50.00	0.00		$0	$980,046	$180,121		Yes (X)
Reed MD Monica P
Senior VP - FH	50.00	0.00		$100	$936,001	$121,060		Yes (X)
Soler Eddie
CFO - FL Divison	50.00	0.00		$0	$1,607,117	$145,119		Yes (X)
Bittner MD Hartmuth
Medical Director	56.00	0.00		$1,126,611	$0	$24,210			Yes (X)
Lee MD Kathy
Physician	70.00	0.00		$899,103	$0	$27,367			Yes (X)
Eubanks Jr MDWilliam Stephen
Executive Director of Academic Surgery	54.00	0.00		$800,256	$0	$25,888			Yes (X)
Jones MDPhillip E
Physician	55.00	0.00		$751,766	$0	$36,342			Yes (X)
Torres MDRamon M
Physician	60.00	0.00		$699,636	$0	$37,738			Yes (X)
Grim-Marcarelli Karen
Former key employee	50.00	0.00		$0	$430,707	$47,740				Yes (X)
Hamilton Connie A
Former key employee	0.00	0.00		$0	$288,005	$25,976				Yes (X)
Herrin Arlene K
Former key employee	50.00	0.00		$0	$318,773	$64,724				Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$4,277,472	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$16,317,386	TotReportableCompRltdOrgAmt
Total Other Compensation	$2,068,154	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	1104	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
BRASFIELD & GORRIE LLC
200 Colonial Ctr Pwy Ste 200	Lake Mary	FL	32746	Construction Services	$33,397,878
CERNER CORPORATION
2800 Rockcreek Parkway	Kansas City	MO	64117	Technology Support Solutions	$23,149,641
ROBINS & MORTON
400 SHADES CREEK PARKWAY Ste 200	BIRMINGHAM	AL	35209	Construction Services	$12,025,514
KOOSHAREM CORPORATION
24223 Network Place	Chicago	IL	60673	Staffing	$10,262,255
CC STAFFING INC
6551 Park of Commerce Bvd	Boca Raton	FL	33437	Staffing	$5,683,674

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	470	CntrctRcvdGreaterThan100KCnt
Related Organizations	$4,151,355	RelatedOrganizationsAmt
Government Grants	$2,436,862	GovernmentGrantsAmt
All Other Contributions	$88,726	AllOtherContributionsAmt
Total Contributions	$6,676,943	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
Patient Revenue	900099	$3,085,283,859	$3,078,796,903	$6,486,956
Cafeteria/Vending Rev.	900099	$17,921,477	$17,374,236	$547,241
Management Fee	900099	$14,669,894	$14,014,515	$655,379
Rent from Exemp Affiliates	531120	$9,399,558	$9,399,558
Gift Shop	900099	$7,436,410	$7,362,667	$73,743

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$24,983,799	TotalRevenueColumnAmt
Related Or Exempt Func Income	$23,079,307	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$1,904,492	UnrelatedBusinessRevenueAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$3,159,694,997	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$16,667,039	TotalRevenueColumnAmt
Exclusion	$16,667,039	ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$202,559	TotalRevenueColumnAmt
Exclusion	$202,559	ExclusionAmt

Royalties Revenue RoyaltiesRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$332,057	TotalRevenueColumnAmt
Exclusion	$332,057	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$4,242,878	RealAmt
Personal	$209,742	PersonalAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$1,193,479	RealAmt
Personal	$2,277	PersonalAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$3,049,399	RealAmt
Personal	$207,465	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$3,256,864	TotalRevenueColumnAmt
Unrelated Business Revenue	$980,385	UnrelatedBusinessRevenueAmt
Exclusion	$2,276,479	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$13,868,003	SecuritiesAmt
Other	$10,644,298	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$0	SecuritiesAmt
Other	$5,843,927	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$13,868,003	SecuritiesAmt
Other	$4,800,371	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$18,668,374	TotalRevenueColumnAmt
Exclusion	$18,668,374	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
Equity earnings from related enti	900099	$10,861,654	$10,861,654
EHR Revenue	900099	$8,898,128	$8,898,128
Investment in Subs	900099	-$39,134	-$39,134

Field	Value	IRS element (for citing)
Other Revenue Total	$19,720,648	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$3,225,219,481	TotalRevenueColumnAmt
Related Or Exempt Func Income	$3,169,747,834	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$10,648,196	UnrelatedBusinessRevenueAmt
Exclusion	$38,146,508	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	$21,092,831	TotalAmt
Program Services	$21,092,831	ProgramServicesAmt

Foreign Grants ForeignGrantsGrp

Field	Value	IRS element (for citing)
Total	$322,771	TotalAmt
Program Services	$322,771	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$11,645,470	TotalAmt
Management And General	$11,645,470	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$1,045,615,727	TotalAmt
Program Services	$1,023,138,100	ProgramServicesAmt
Management And General	$22,477,627	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$39,359,530	TotalAmt
Program Services	$36,971,445	ProgramServicesAmt
Management And General	$2,388,085	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$250,674,843	TotalAmt
Program Services	$241,665,949	ProgramServicesAmt
Management And General	$9,008,894	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$78,523,247	TotalAmt
Program Services	$76,635,339	ProgramServicesAmt
Management And General	$1,887,908	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$11,051,629	TotalAmt
Management And General	$11,051,629	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$598,302	TotalAmt
Management And General	$598,302	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$295,876,111	TotalAmt
Program Services	$228,444,330	ProgramServicesAmt
Management And General	$67,431,781	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$17,365,365	TotalAmt
Management And General	$17,365,365	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$100,140,840	TotalAmt
Program Services	$74,779,820	ProgramServicesAmt
Management And General	$25,361,020	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$17,197,328	TotalAmt
Program Services	$14,504,859	ProgramServicesAmt
Management And General	$2,692,469	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$60,209,302	TotalAmt
Program Services	$60,091,131	ProgramServicesAmt
Management And General	$118,171	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$6,916,041	TotalAmt
Program Services	$3,195,565	ProgramServicesAmt
Management And General	$3,720,476	ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$1,400,515	TotalAmt
Program Services	$948,806	ProgramServicesAmt
Management And General	$451,709	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$62,015,874	TotalAmt
Program Services	$62,015,874	ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$158,464,070	TotalAmt
Program Services	$158,464,070	ProgramServicesAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$28,439,787	TotalAmt
Program Services	$28,086,506	ProgramServicesAmt
Management And General	$353,281	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
Medical Supplies	$533,065,885	$533,065,885
Repairs/Maintenance	$70,035,765	$70,035,765
Assessments	$38,222,536	$38,222,536
UBI Tax	$11,784		$11,784

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$82,278,652	TotalAmt
Program Services	$9,160,041	ProgramServicesAmt
Management And General	$73,118,611	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$2,930,524,205	TotalAmt
Program Services	$2,680,841,623	ProgramServicesAmt
Management And General	$249,682,582	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$104,616	BOYAmt
EOY	$103,380	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$1,559,001,735	BOYAmt
EOY	$2,022,267,786	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$421,785,860	BOYAmt
EOY	$444,928,441	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$73,594,192	BOYAmt
EOY	$73,801,169	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$29,239,839	BOYAmt
EOY	$23,917,484	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$3,710,045,242	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$1,825,123,249	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$1,777,349,745	BOYAmt
EOY	$1,884,921,993	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$278,044,188	BOYAmt
EOY	$277,802,883	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$34,901,310	BOYAmt
EOY	$33,144,645	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$2,125,977,661	BOYAmt
EOY	$2,277,923,008	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$6,299,999,146	BOYAmt
EOY	$7,038,810,789	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$211,662,358	BOYAmt
EOY	$253,635,420	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$3,620,560,952	BOYAmt
EOY	$3,967,083,441	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$232,589,914	BOYAmt
EOY	$301,647,617	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$4,064,813,224	BOYAmt
EOY	$4,522,366,478	EOYAmt

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

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$2,233,704,874	BOYAmt
EOY	$2,514,344,365	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$1,481,048	BOYAmt
EOY	$2,099,946	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$2,235,185,922	BOYAmt
EOY	$2,516,444,311	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$6,299,999,146	BOYAmt
EOY	$7,038,810,789	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$294,695,276	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	-$111,057	NetUnrlzdGainsLossesInvstAmt
Prior Period Adjustments	-$166,017	PriorPeriodAdjustmentsAmt
Other Changes In Net Assets	-$13,159,813	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	0	AccountantCompileOrReviewInd
FS Audited	Yes (1)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

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

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

Schedule A IRS990ScheduleA

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

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

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

Contributor US Address ContributorUSAddress

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

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

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	0	VolunteersInd
Paid Staff Or Management	Yes (1)	PaidStaffOrManagementInd
Media Advertisements	0	MediaAdvertisementsInd
Mailings Members	0	MailingsMembersInd
Publications Or Broadcast	0	PublicationsOrBroadcastInd
Grants Other Organizations	0	GrantsOtherOrganizationsInd
Direct Contact Legislators	0	DirectContactLegislatorsInd
Rallies Demonstrations	Yes (1)	RalliesDemonstrationsInd
Rallies Demonstrations	$9,335	RalliesDemonstrationsAmt
Other Activities	Yes (1)	OtherActivitiesInd
Other Activities	$401,592	OtherActivitiesAmt
Total Lobbying Expenditures	$410,927	TotalLobbyingExpendituresAmt
Not Described Section501c3	0	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

Part II-B, Line 1:

The corporation reimbursed traveling expenses and paid fees to retain the services of four consulting firms which performed lobbying activities on behalf of the corporation. The four firms were William Filan, John Andrew Kane, Dick Batchelor, and Johnson & Blanton and were paid a total of $283,365 during the year. Additionaly, dues were paid to the American Hospital Association, Florida Hospital Association, Illinois Hospital Association, Texas Hospital Association, Association of Organ Procurement and the Metropolitan Chicago Healthcare Council who use a portion of the dues to conduct lobbying activities.

Part II-B 1(b)

During 2013 salary expense of $21,845 was incurred for paid staff engaged in lobbying activities.

Schedule D IRS990ScheduleD

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

CY Endwmt Fund CYEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$16,590,057	BeginningYearBalanceAmt
Contributions	$79,461	ContributionsAmt
Investment Earnings Or Losses	$808,853	InvestmentEarningsOrLossesAmt
Other Expenditures	$355,621	OtherExpendituresAmt
End Year Balance	$17,122,750	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$15,730,537	BeginningYearBalanceAmt
Contributions	$79,402	ContributionsAmt
Investment Earnings Or Losses	$780,118	InvestmentEarningsOrLossesAmt
End Year Balance	$16,590,057	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$15,221,113	BeginningYearBalanceAmt
Contributions	$121,143	ContributionsAmt
Investment Earnings Or Losses	$753,535	InvestmentEarningsOrLossesAmt
Other Expenditures	$365,254	OtherExpendituresAmt
End Year Balance	$15,730,537	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$14,810,178	BeginningYearBalanceAmt
Contributions	$30,263	ContributionsAmt
Investment Earnings Or Losses	$720,592	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$339,920	GrantsOrScholarshipsAmt
End Year Balance	$15,221,113	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$14,077,615	BeginningYearBalanceAmt
Contributions	$57,189	ContributionsAmt
Investment Earnings Or Losses	$696,088	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$117,114	GrantsOrScholarshipsAmt
Administrative Expenses	-$96,400	AdministrativeExpensesAmt
End Year Balance	$14,810,178	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Board Designated Balance EOY	0.80590	BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY	0.19410	PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY	0.00000	TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org	0	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	Yes (1)	EndowmentsHeldRelatedOrgInd
Related Org List Sch R	Yes (1)	RelatedOrgListSchRInd

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$203,979,362	OtherCostOrOtherBasisAmt
Book Value	$203,979,362	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$1,307,372,501	OtherCostOrOtherBasisAmt
Depreciation	$559,940,643	DepreciationAmt
Book Value	$747,431,858	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$1,961,099,638	OtherCostOrOtherBasisAmt
Depreciation	$1,207,816,161	DepreciationAmt
Book Value	$753,283,477	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$237,593,741	OtherCostOrOtherBasisAmt
Depreciation	$57,366,445	DepreciationAmt
Book Value	$180,227,296	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$1,884,921,993	TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (10 entries)

DescDesc	Book ValueBookValueAmt
Funds Held in Trust	$187,813,714
Other Current Receivables	$13,713,472
Due From Related Parties and Affiliates	$51,172,975
Donor Restricted Assets	$12,874
Deferred Charges and Costs	$21,527,216
Long-term Investments	$76,701,365
Other Non-Current Assets	$9,802,145
Receivable - Interco Alloc of Tax-Exempt Bond Proceeds	$1,898,273,607
Receivable from Third Party	$18,741,273
Assets Held for Sale	$164,367

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$2,277,923,008	TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (7 entries)

DescDesc	AmtAmt
Accounts Receivable - Credit Balances	$9,071,974
Payable to Third Party	$115,496,411
Due to Related-Affiliated Entities	$21,888,546
Other Current Liabilities	$6,503,240
Other Non-Current Liabilities	$141,566,952
Notes and Loans Payable	$174,174
Leases Payable	$6,946,320

Field	Value	IRS element (for citing)
Total Liability	$301,647,617	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Part II, Line 9:	The filing organization has recorded the land conservation easement on its financial statements as a Property, Plant, and Equipment Asset. The conservation easement generates no revenue and the filing organization did not incur any expense in 2013 related to the maintenance and monitoring of the conservation easement.
Part V, Line 4:	All endowment funds are held by related 501(c)(3) exempt foundations. These endowment funds have been established for a variety of purposes in support of related tax-exempt hospitals. All of the foundation's permanently restricted endowment funds are required to be retained permanently either by explicit donor stipulation or by the Florida Uniform Prudent Management of Institutional Funds Act.
Part X, Line 2:	The filing organization is a subsidiary organization within Adventist Health System (AHS). The consolidated financial statements of AHS contain the following FIN 48 footnote: Please note that dollar amounts are in thousands. Healthcare Corporation and its affiliated organizations, other than North American Health Services, Inc. and its 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.

Schedule F IRS990ScheduleF

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

Account Activities Outside US AccountActivitiesOutsideUSGrp (22 entries)

RegionRegionTxt	Type Of Activities ConductedTypeOfActivitiesConductedTxt	Region Total ExpendituresRegionTotalExpendituresAmt	Specific Services ProvidedSpecificServicesProvidedTxt
Central America and the Caribbean	Grantmaking	$167,169
Central America and the Caribbean	Meetings	$8,116
Central America and the Caribbean	Program Services	$14,040	Medical Care Mission Trips
East Asia and the Pacific	Grantmaking	$31,258
East Asia and the Pacific	Meetings	$7,331
East Asia and the Pacific	Program Service	$31,058	Travel expenses related to grantmaking
Europe (including Iceland and Greenland)	Meetings	$18,396
Europe (including Iceland and Greenland)	Program Services	$58,931	Surgical Care
Middle East and North Africa	Meetings	$50,692
Middle East and North Africa	Program Services	$21,423	Education/Learning
North America (which includes Canada and Mexico, but not the U.S.)	Meetings	$14,729
North America (which includes Canada and Mexico, but not the U.S.)	Program Services	$59,543	Surgical Care
North America (which includes Canada and Mexico, but not the U.S.)	Program Services	$13,772	Speech Therapy
Russia and Neighboring States	Program Services	$400	Medical supplies and equipment
South America	Grantmaking	$16,207
South America	Meetings	$2,767
South America	Program Services	$48,766	Medical/dental clinics
South America	Program Services	$31,480	Surgical Care
South America	Program Services	$85,241	Mission trips and Conferences. Medical supplies and other donated supplies.
South Asia	Meetings	$600
Sub-Saharan Africa	Grantmaking	$108,137
Sub-Saharan Africa	Program Services	$121,363	Mission trips

Field	Value	IRS element (for citing)
Subtotal Offices	0	SubtotalOfficesCnt
Subtotal Employees	0	SubtotalEmployeesCnt
Continutation Total Office	0	ContinutationTotalOfficeCnt
Continutation Total Employee	0	ContinutationTotalEmployeeCnt
Total Office	0	TotalOfficeCnt
Total Employee	0	TotalEmployeeCnt
Subtotal Spent	$336,299	SubtotalSpentAmt
Continuation Spent	$575,120	ContinuationSpentAmt
Total Spent	$911,419	TotalSpentAmt

Grants To Org Outside US GrantsToOrgOutsideUSGrp (7 entries)

RegionRegionTxt	Purpose Of GrantPurposeOfGrantTxt	Cash GrantCashGrantAmt	Manner Of Cash DisbursementMannerOfCashDisbursementTxt	Valuation Method UsedValuationMethodUsedDesc	Non Cash AssistanceNonCashAssistanceAmt	Description Of Non Cash AsstDescriptionOfNonCashAsstTxt
Central America and the Caribbean	Medical Supplies or Equipment	$10,400	Check	Book
Sub-Saharan Africa	General Support	$108,137	Electronic Funds	Book
Central America and the Caribbean	Medical Supplies or Equipment			Book	$7,590	Medical Equipment
Central America and the Caribbean	Medical Supplies or Equipment			Book	$112,738	Medical Equipment
East Asia and the Pacific	Medical Supplies or Equipment			Book	$31,258	Medical Supplies
South America	Medical Supplies or Equipment			Book	$16,207	Medical Supplies
Central America and the Caribbean	General Support	$36,441	Electronic Funds	Book

Field	Value	IRS element (for citing)
Total501c3 Org	7	Total501c3OrgCnt
Total Other Org	0	TotalOtherOrgCnt
Transfer To Foreign Corp	0	TransferToForeignCorpInd
Interest In Foreign Trust	0	InterestInForeignTrustInd
Foreign Corp Ownership	0	ForeignCorpOwnershipInd
Passive Foreign Investmest Co	0	PassiveForeignInvestmestCoInd
Foreign Partnership	0	ForeignPartnershipInd
Boycott Countries	0	BoycottCountriesInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Part I, Line 2:	FormAndLineReferenceDesc
Explanation	Foreign grants are generally non-cash donations of medical equipment and supplies to assist foreign health care providers in fulfilling their mission of providing health care services to the populations they serve. The foreign health care providers are often hospitals and/or clinics operated and/or sponsored by or affiliated with the Seventh-Day Adventist Church. The foreign hospitals/clinics may be located in remote and/or underserved villages and townships of developing countries. Grants are typically made to other U.S. charitable organizations or foreign entities recognized as charitable by the foreign country in which they are located. As a result of the nature of the grants as non-cash medical equipment and supplies and the fact that most grants are made indirectly through other U.S. or foreign charitable organizations, the filing organization has not established specific procedures for monitoring the use of grant funds outside the United States.	ExplanationTxt

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (1)	FinancialAssistancePolicyInd
Written Policy	Yes (1)	WrittenPolicyInd
All Hospitals Policy	Yes (X)	AllHospitalsPolicyInd
FPG Reference Free Care	Yes (1)	FPGReferenceFreeCareInd
Percent200	Yes (X)	Percent200Ind
FPG Reference Discounted Care	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	$159,241,205	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$159,241,205	NetCommunityBenefitExpnsAmt
Total Expense	0.05430	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$447,754,923	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$272,912,109	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$174,842,814	NetCommunityBenefitExpnsAmt
Total Expense	0.05970	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$606,996,128	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$272,912,109	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$334,084,019	NetCommunityBenefitExpnsAmt
Total Expense	0.11400	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$14,872,017	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$242,882	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$14,629,135	NetCommunityBenefitExpnsAmt
Total Expense	0.00500	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$44,214,551	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$10,872,205	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$33,342,346	NetCommunityBenefitExpnsAmt
Total Expense	0.01140	TotalExpensePct

Research ResearchGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$3,592,650	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$2,313,507	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,279,143	NetCommunityBenefitExpnsAmt
Total Expense	0.00040	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$14,318,590	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$14,318,590	NetCommunityBenefitExpnsAmt
Total Expense	0.00490	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$76,997,808	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$13,428,594	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$63,569,214	NetCommunityBenefitExpnsAmt
Total Expense	0.02170	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$683,993,936	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$286,340,703	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$397,653,233	NetCommunityBenefitExpnsAmt
Total Expense	0.13570	TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$20,305,216	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$5,590,095	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$14,715,121	NetCommunityBenefitExpnsAmt
Total Expense	0.00500	TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$398,209	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$9,075	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$389,134	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$20,703,425	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$5,599,170	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$15,104,255	NetCommunityBenefitExpnsAmt
Total Expense	0.00510	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (1)	BadDebtExpenseReportedInd
Bad Debt Expense	$122,803,958	BadDebtExpenseAmt
Bad Debt Expense Attributable	$6,129,440	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$682,661,267	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$773,834,903	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$91,173,636	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

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

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

Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp (5 entries)

Primary ActivitiesPrimaryActivitiesTxt	Org Profit Or OwnershipOrgProfitOrOwnershipPct	Ofcr Etc Profit Or OwnershipOfcrEtcProfitOrOwnershipPct	Physicians Profit Or OwnershipPhysiciansProfitOrOwnershipPct
1 San Marcos MRI LP
Imaging Center	0.55000	0.00000	0.45000
2 Central Texas Ambulatory Endoscopy
Endoscopy Center	0.18800	0.00000	0.81200
3 Surgical Center at Sun'N Lake LLC
Ambulatory Surgery	0.50000	0.00000	0.50000
4 Surgery Management Associates of Kissimmee LLC
Management/Admin	0.30000	0.00000	0.70000
5 Celebration Surgery Management LLC
Management/Admin	0.40000	0.00000	0.60000

Field	Value	IRS element (for citing)
Hospital Facilities	12	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp (12 entries)

FacilityFacilityNum	Address Line1USAddress/AddressLine1	CityUSAddress/City	StateUSAddress/State	ZIP CodeUSAddress/ZIPCode	Website AddressWebsiteAddressTxt	State LicenseStateLicenseNum	Licensed HospitalLicensedHospitalInd	General Medical And SurgicalGeneralMedicalAndSurgicalInd	Childrens HospitalChildrensHospitalInd	Teaching HospitalTeachingHospitalInd	Research FacilityResearchFacilityInd	Emergency Room24 HrsEmergencyRoom24HrsInd	OtherOtherDesc	Facility Reporting GroupFacilityReportingGroupCd	Critical Access HospitalCriticalAccessHospitalInd
Florida Hospital Orlando
1	601 E Rollins Street	Orlando	FL	32803	www.floridahospital.com/orlando	4369	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Therapy Center, EPS Cath Lab	A
Florida Hospital Celebration Health
2	400 Celebration Place	Celebration	FL	34747	www.floridahospital.com/celebration-h	4369	Yes (X)	Yes (X)		Yes (X)		Yes (X)	Therapy Center	A
Florida Hospital Altamonte
3	601 E Altamonte Drive	Altamonte Springs	FL	32701	www.floridahospitalaltamonte.com	4369	Yes (X)	Yes (X)		Yes (X)		Yes (X)	Cancer Center, therapy, non professional svces	A
Florida Hospital East Orlando
4	7727 Lake Underhill Road	Orlando	FL	32822	www.floridahospitaleast.com	4369	Yes (X)	Yes (X)		Yes (X)		Yes (X)		A
Winter Park Memorial Hospital
5	200 N Lakemont Avenue	Winter Park	FL	32822	www.floridahospital.com/winter-park-m	4369	Yes (X)	Yes (X)		Yes (X)		Yes (X)		A
Adventist La Grange Memorial Hospital
6	5101 S Willow Springs Road	La Grange	IL	60525	www.keepingyouwell.com/almh/	0005017	Yes (X)	Yes (X)		Yes (X)	Yes (X)	Yes (X)		A
FH Heartland Medical Center
7	4200 Sun N Lake Blvd	Sebring	FL	33872	fhheartland.org	4171	Yes (X)	Yes (X)				Yes (X)		A
Florida Hospital Kissimmee
8	2450 North Orange Blossom Trail	Kissimmee	FL	34744	www.floridahospital.com/kissimmee	4369	Yes (X)	Yes (X)		Yes (X)		Yes (X)		A
Central Texas Medical Center
9	1301 Wonder World Dr	San Marcos	TX	78666	ctmc.org	000556	Yes (X)	Yes (X)				Yes (X)		B
Florida Hospital Apopka
10	201 N Park Avenue	Apopka	FL	32703	www.floridahospitalapopka.com	4369	Yes (X)	Yes (X)		Yes (X)		Yes (X)		A
FH Heartland Medical Center Lake Placid
11	1210 US 27 N	Lake Placid	FL	33852	fhheartland.org	4171	Yes (X)	Yes (X)				Yes (X)	Senior Behavioral Unit	A
Florida Hospital Wauchula
12	533 W Carlton Street	Wauchula	FL	33873	fhheartland.org	4239	Yes (X)	Yes (X)				Yes (X)	Skilled Nursing	B	Yes (X)

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp (2 entries)

CHNA ConductedCHNAConductedInd	Community DefinitionCommunityDefinitionInd	Community DemographicsCommunityDemographicsInd	Existing ResourcesExistingResourcesInd	How Data ObtainedHowDataObtainedInd	Community Health NeedsCommunityHealthNeedsInd	Other Health IssuesOtherHealthIssuesInd	Community Hlth Needs Id ProcessCommunityHlthNeedsIdProcessInd	Consulting ProcessConsultingProcessInd	CHNA ConductedCHNAConductedYr	Take Into Account Others InputTakeIntoAccountOthersInputInd	CHNA Conducted With Other FcltsCHNAConductedWithOtherFcltsInd	CHNA Report Widely AvailableCHNAReportWidelyAvailableInd	Rpt Available On Own WebsiteRptAvailableOnOwnWebsiteInd	Rpt Available Upon RequestRptAvailableUponRequestInd	Rpt Available Thru Other MethodRptAvailableThruOtherMethodInd	Prioritize Health NeedsPrioritizeHealthNeedsInd	All Needs AddressedAllNeedsAddressedInd	Organization Incur Excise TaxOrganizationIncurExciseTaxInd	Elig Criteria ExplainedEligCriteriaExplainedInd	FPG Used Deter Elig Free CareFPGUsedDeterEligFreeCareInd	FPG Family Incm Lmt Free CareFPGFamilyIncmLmtFreeCarePct	FPG Used Determ Elig Dscnt CareFPGUsedDetermEligDscntCareInd	FPG Family Incm Lmt Dscnt CareFPGFamilyIncmLmtDscntCarePct	Explained BasisExplainedBasisInd	Income LevelIncomeLevelInd	Asset LevelAssetLevelInd	Medical IndigencyMedicalIndigencyInd	Insurance StatusInsuranceStatusInd	Uninsured DiscountUninsuredDiscountInd	Medicaid MedicareMedicaidMedicareInd	State RegulationStateRegulationInd	App Financial Asst ExplnAppFinancialAsstExplnInd	Includes Publicity MeasuresIncludesPublicityMeasuresInd	Available On RequestAvailableOnRequestInd	Other PublicityOtherPublicityInd	FAP Actions On NonpaymentFAPActionsOnNonpaymentInd	Collection ActivitiesCollectionActivitiesInd	Nondis Emergency Care PolicyNondisEmergencyCarePolicyInd	Other Method UsedOtherMethodUsedInd	Amounts Generally BilledAmountsGenerallyBilledInd	Gross ChargesGrossChargesInd	ResidencyResidencyInd
GROUP A
Yes (1)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	13	Yes (1)	Yes (1)	Yes (1)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	0	0	Yes (1)	Yes (1)	200.000000000000	Yes (1)	400.000000000000	Yes (1)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (1)	Yes (X)	Yes (X)	Yes (1)	0	Yes (1)	Yes (X)	0	0
GROUP B
Yes (1)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	13	Yes (1)	0	Yes (1)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	0	0	Yes (1)	Yes (1)	200.000000000000	Yes (1)	400.000000000000	Yes (1)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (1)	Yes (X)	Yes (X)	Yes (1)	0	Yes (1)	Yes (X)	0	0	Yes (X)

Supplemental Information SupplementalInformationGrp (87 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Part V, Section B	Facility Reporting Group A
Facility Reporting Group A consists of:	- Facility 1: Florida Hospital Orlando, - Facility 2: Florida Hospital Celebration Health, - Facility 3: Florida Hospital Altamonte, - Facility 4: Florida Hospital East Orlando, - Facility 5: Winter Park Memorial Hospital, - Facility 6: Adventist La Grange Memorial Hospital, - Facility 8: Florida Hospital Kissimmee, - Facility 7: FH Heartland Medical Center, - Facility 10: Florida Hospital Apopka, - Facility 11: FH Heartland Medical Center Lake Placid
Facility 1 -- Florida Hospital Orlando Part V, Section B, line 3:	Florida Hospital (FH) is a 2,409 bed medical complex in Central Florida with seven separate hospital campuses. FH serves the residents of Central Florida (primarily serving the residents of Orange, Osceola, Seminole and Lake Counties) but also draws patients from other parts of the Southeastern United States, the Caribbean and South America. The 7-campus hospital health system is the largest healthcare provider in Central Florida and the nation's largest Medicare provider with FH being the second largest employer in the area. All of the seven campuses of FH operate under a single hospital license. Florida Hospital Orlando (FHO) is a 1,177 acute-care bed hospital and medical center founded in 1908. It is Florida Hospital's flagship hospital and is the largest campus in the Florida Hospital system. FHO has 957 acute care beds, 59 adult psychiatric beds, 10 comprehensive medical rehabilitation beds, 28 Level II Neonatal Intensive Care Unit beds, and 53 Level III Neonatal Intensive Care Unit beds. Special services include an adult and pediatric bone marrow transplant program, adult open-heart surgery, as well as organ programs for adult and pediatric kidney transplants and adult liver and pancreas transplants. This campus also serves as a Baker Act receiving center and offers specialty care in the areas of digestive health; hyperbaric medicine and wound care; fetal diagnostics; pain medicine; pediatric hematology/oncology; respiratory care; women's services; and surgical oncology. FHO is also home to institutes for: cancer; diabetes; translational research; cardiology; orthopedics; and neuroscience. In 2012, FHO admitted 53,945 patients; completed 34,131 surgeries; delivered 2,608 babies; saw 97,806 patients in the emergency department; and cared for 170,650 patients on an outpatient basis.Florida Hospital (all campuses) conducted its 2013 Community Health Needs Assessment (CHNA) in two parts: a regional health needs assessment for Orange, Seminole and Osceola Counties in Central Florida, followed by separate assessments focused on and tailored to each of the seven campuses of FH. Three not-for-profit clinical hospitals within Central Florida, namely FH, Orlando Health, and Lakeside Behavioral Health, together with the Florida Department of Health in Orange County, collaborated to conduct the regional tri-county health needs assessment. This was the first ever multi-hospital, public health department joint community health needs assessment. These four organizations also collaborated with other community agencies under the umbrellas of "Healthy Orange Florida" in Orange County, "Healthy Seminole" in Seminole County, and "Community Vision" in Osceola County. Healthy Seminole is an 81-member affiliation of representatives from FH, local government, social service, and educational organizations within Seminole County. The Health Council of East Central Florida, Inc. (the Health Council), a regional quasi-government health planning agency, was contracted with to assist with data collection and analysis. The Health Council conducted over 70 key stakeholder interviews with individuals representing the broad interests of the tri-county area. Key stakeholders for the tri-county assessment included individuals with special knowledge of or interest in public health (i.e., health departments); individuals/organizations serving or representing the interests of medically underserved, low-income, and minority populations; persons who represented the broad interests of residents served by the hospitals; and individuals representing large employers and employee interests. A total of 72 stakeholders representing 44 social service and health care organizations were interviewed and completed a questionnaire aimed at identifying health barriers, assets, resources, and needs within the region. As a part of its efforts to ensure broad community-based input into the CHNA process, FH formed a Community Health Needs Assessment Committee (CHNAC). The CHNAC was comprised of external community members/stakeholders and senior FH leaders. The community members in particular provided strong representation of low-income, minority and underserved populations. Listed below are several examples of community organizations represented on the CHNAC: * Hebni Nutrition Consultant a nutritionist who works in the local African American community;* The University of Central Florida School of Medicine primary care physician training;* Winter Park Health Foundation a local non-profit organization that develops and funds school health and older adult programs; * Orange County Public Schools serves children of all ages and ethnicities, including those who are homeless and/or eligible for free or reduced lunch programs; and * Gracia Anderson Foundation a local non-profit organization that funds social service projects.
Facility 1 -- Florida Hospital Orlando Part V, Section B, line 4:	The filing organization collaborated with two other not-for-profit hospitals, namely Orlando Health and Lakeside Behavioral Health, to create a Community Health Needs Assessment for Orange, Osceola, and Seminole Counties. The Community Health Needs Assessment describes the health of Central Floridians for the purpose of planning interventions relevant to the community.
Facility 1 -- Florida Hospital Orlando Part V, Section B, line 5d:	The Hospital has adopted a policy that addresses the public posting requirements of the Community Health Needs Assessment. Under this policy, the Community Health Needs Assessment Report must be posted on the Hospital's website by the end of the year in which it is conducted. The Hospital will make a copy of its Community Health Needs Assessment Report available upon request. The Hospital will also make a paper copy of the Community Health Needs Assessment Report available for public inspection at the Hospital facility.
Facility 1 -- Florida Hospital Orlando 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.Each of the filing organization's hospital facilities adopted its initial Community Health Needs Assessment by 12/31/13 and was in the process of developing its community health needs implementation strategy. The filing organization's implementation strategy will be documented in a written report called the "Community Health Plan". The Community Health Plan (CHP) will describe how the filing organization's hospital plans to meet its identified prioritized health needs or will identify the health need as one the filing organization's hospital does not intend to specifically address and provide an explanation as to why the filing organization's hospital does not intend to address that health need. In accordance with Proposed Regulation Section 1.501(r)-3(e)(2), each of the filing organization's hospital's CHP will be adopted no later than May 15, 2014.
Facility 1 -- Florida Hospital Orlando Part V, Section B, line 7:	As described in our response to Schedule H, Part V, Section B, line 3, Florida Hospital (FH) formed a Community Health Needs Assessment Committee (CHNAC) to review primary and secondary data collected by the tri-county assessment. The tri-county data, hospital utilization data, and stakeholder interviews were reviewed and analyzed by each of the FH campus committees and the CHNAC. Each FH hospital campus established a campus-specific committee to review data and to determine campus health need priorities based on the intensity of the need, current community initiatives addressing the health need, FH's capacity to impact the issue, and the opportunity for collaboration with other hospitals and community partners. The CHNAC and each local hospital campus committee used a decision tree process to review identified health issues and assist in the priority selection process. This process resulted in 14 areas of health concern in Orange County. These 14 prioritized health needs were: 1) Diabetes; 2) Heart disease; 3) Obesity; 4) Maternal and child health; 5) Cancer; 6) Sexually transmitted diseases; 7) Substance abuse; 8) Mental health; 9) Chronic disease management; 10) Violent crime; 11) Health literacy; 12) Single parent households; 13) Motor vehicle collisions; and 14) Access to care. The Florida Hospital Orlando (FHO) local hospital campus committee recognized that while all 14 issues impact the health of the campus hospital's community, it was important to focus on specific areas of impact over a defined period of time if sustainable change is to be accomplished. Final priority selection resulted in the following three key priorities for Florida Hospital Orlando:* Heart disease* Mental health* Access to care The following identified health needs were not selected for top priority based on the following: * Diabetes, obesity, cancer and chronic disease management - Risk factors for diabetes, obesity and cancer mirror that of risk factors for heart disease; efforts to reduce, control, and prevent heart disease has the potential to positively impact the incidence and prevalence of these related chronic conditions. Chronic disease management techniques and principles will also be used in addressing heart disease.* Sexually transmitted diseases and substance abuse - The FH Orlando campus does not currently have service lines in these areas. Plans are in place to continue to work with other local agencies and community based organizations to promote these programs. Additionally, efforts to contribute to the mental health and well-being of Orlando residents will impact these areas.* Violent crime, single parent households and motor vehicle collisions - These priorities are not core competencies of Florida Hospital Orlando. However, FHO will continue to support the efforts of local law enforcement agencies, organizations like Harbor House of Central Florida, and other organizations that are committed to community mobilization, education, and support services.* Maternal and child health - This issue will be addressed via efforts to impact mental health concerns across the lifespan. * Health literacy - The principle of health literacy is embedded into FHO's chronic disease self-management program efforts as we seek to educate the community on health resources. FHO also aims to strengthen the relationship with organizations that offer primary care, dental and obstetric service. Internally, FHO is working to ensure comprehensive discharge education.
Facility 1 -- Florida Hospital Orlando Part V, Section B, line 14g:	The filing organization has developed a patient-friendly summary version of its financial assistance policy (FAP). The filing organization's FAP provides that each of its hospital facilities will post the patient-friendly summary version of its FAP on the Hospital's website. In addition, the FAP of each of the Hospital facilities 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 -- Florida Hospital Orlando 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 -- Florida Hospital Celebration Health Part V, Section B, line 3:	Florida Hospital (FH) is a 2,409 bed medical complex in Central Florida with seven separate hospital campuses. FH serves the residents of Central Florida (primarily serving the residents of Orange, Osceola, Seminole and Lake Counties) but also draws patients from other parts of the Southeastern United States, the Caribbean and South America. The 7-campus hospital health system is the largest healthcare provider in Central Florida and the nation's largest Medicare provider with FH being the second largest employer in the area. All of the seven campuses of FH operate under a single hospital license. The Florida Hospital Celebration Health (FHCH) campus is a 172-bed, state-of-the-art hospital that serves as a showcase of innovation and excellence in healthcare. Established in 1997, Florida Hospital Celebration Health was designed to serve as a cornerstone of health in the Disney-planned community of Celebration, Florida. In 2012, FHCH served 67,721 patients in the emergency department; 75,967 patients via outpatient treatment; 13,518 patients on an inpatient basis; delivered 2,110 babies; and performed 8,141 surgeries.Florida Hospital (all campuses) conducted its 2013 Community Health Needs Assessment (CHNA) in two parts: a regional health needs assessment for Orange, Seminole and Osceola Counties in Central Florida, followed by separate assessments focused on and tailored to each of the seven campuses of FH. Three not-for-profit clinical hospitals within Central Florida, namely FH, Orlando Health, and Lakeside Behavioral Health, together with the Florida Department of Health in Orange County, collaborated to conduct the regional tri-county health needs assessment. This was the first ever multi-hospital, public health department joint community health needs assessment. These four organizations also collaborated with other community agencies under the umbrellas of "Healthy Orange Florida" in Orange County, "Healthy Seminole" in Seminole County, and "Community Vision" in Osceola County. Healthy Seminole is an 81-member affiliation of representatives from FH, local government, social service, and educational organizations within Seminole County. The Health Council of East Central Florida, Inc. (the Health Council), a regional quasi-government health planning agency, was contracted with to assist with data collection and analysis. The Health Council conducted over 70 key stakeholder interviews with individuals representing the broad interests of the tri-county area. Key stakeholders for the tri-county assessment included individuals with special knowledge of or interest in public health (i.e., health departments); individuals/organizations serving or representing the interests of medically underserved, low-income, and minority populations; persons who represented the broad interests of residents served by the hospitals; and individuals representing large employers and employee interests. A total of 72 stakeholders representing 44 social service and health care organizations were interviewed and completed a questionnaire aimed at identifying health barriers, assets, resources, and needs within the region. As a part of its efforts to ensure broad community-based input into the CHNA process, FH formed a Community Health Needs Assessment Committee (CHNAC). The CHNAC was comprised of external community members/stakeholders and senior FH leaders. The community members in particular provided strong representation of low-income, minority and underserved populations. Listed below are several examples of community organizations represented on the CHNAC: * Hebni Nutrition Consultant a nutritionist who works in the local African American community;* The University of Central Florida School of Medicine primary care physician training;* Winter Park Health Foundation a local non-profit organization that develops and funds school health and older adult programs; * Orange County Public Schools serves children of all ages and ethnicities, including those who are homeless and/or eligible for free or reduced lunch programs; and * Gracia Anderson Foundation a local non-profit organization that funds social service projects.
Facility 2 -- Florida Hospital Celebration Health Part V, Section B, line 4:	The filing organization collaborated with two other not-for-profit hospitals, namely Orlando Health and Lakeside Behavioral Health, to create a Community Health Needs Assessment for Orange, Osceola, and Seminole Counties. The Community Health Needs Assessment describes the health of Central Floridians for the purpose of planning interventions relevant to the community.
Facility 2 -- Florida Hospital Celebration Health Part V, Section B, line 5d:	The Hospital has adopted a policy that addresses the public posting requirements of the Community Health Needs Assessment. Under this policy, the Community Health Needs Assessment Report must be posted on the Hospital's website by the end of the year in which it is conducted. The Hospital will make a copy of its Community Health Needs Assessment Report available upon request. The Hospital will also make a paper copy of the Community Health Needs Assessment Report available for public inspection at the Hospital facility.
Facility 2 -- Florida Hospital Celebration Health 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.Each of the filing organization's hospital facilities adopted its initial Community Health Needs Assessment by 12/31/13 and was in the process of developing its community health needs implementation strategy. The filing organization's implementation strategy will be documented in a written report called the "Community Health Plan". The Community Health Plan (CHP) will describe how the filing organization's hospital plans to meet its identified prioritized health needs or will identify the health need as one the filing organization's hospital does not intend to specifically address and provide an explanation as to why the filing organization's hospital does not intend to address that health need. In accordance with Proposed Regulation Section 1.501(r)-3(e)(2), each of the filing organization's hospital's CHP will be adopted no later than May 15, 2014.
Facility 2 -- Florida Hospital Celebration Health Part V, Section B, line 7:	As described in our response to Schedule H, Part V, Section B, line 3, Florida Hospital (FH) formed a Community Health Needs Assessment Committee (CHNAC) to review primary and secondary data collected by the tri-county assessment. The tri-county data, hospital utilization data, and stakeholder interviews were reviewed and analyzed by each of the FH campus committees and the CHNAC. Each FH hospital campus established a campus-specific committee to review data and to determine campus health need priorities based on the intensity of the need, current community initiatives addressing the health need, FH's capacity to impact the issue, and the opportunity for collaboration with other hospitals and community partners. The CHNAC and each local hospital campus committee used a decision tree process to review identified health issues and assist in the priority selection process. This process resulted in 14 areas of health concern in Osceola County. These 14 prioritized health needs were: 1) Heart Disease; 2) Obesity; 3) Cancer; 4) Diabetes; 5) Asthma; 6) Maternal and child health; 7) Mental health; 8) Substance abuse; 9) Dental care; 10) Affordable healthcare; 11) Housing affordability; 12) Homelessness; 13) High unemployment; and 14) Single parent households. The Florida Hospital Celebration Health (FHCH) local hospital campus committee recognized that while all 14 issues impact the health of the campus hospital's community, it was important to focus on specific areas of impact over a defined period of time if sustainable change is to be accomplished. Final priority selection resulted in the following three key priorities for Florida Hospital Celebration Health:* Obesity* Diabetes* Maternal and child healthThe following identified health needs were not selected for top priority based on the following: * Heart disease, asthma and cancer - As obesity is a contributing factor to these three chronic diseases; a reduction in obesity should contribute to a reduction in complications due to these chronic diseases and have the potential to delay or eradicate the onset of heart disease, asthma, or cancer. * Dental care, substance abuse and mental health - The FH Celebration Health campus does not currently have service lines in these areas. Plans are in place to continue to work with other local agencies and community based organizations to promote these programs.* Housing affordability, homelessness, high unemployment and single parent households - These priorities are not core competencies of Florida Hospital Celebration Health. However, FHCH will continue to support the efforts of local law enforcement agencies, organizations like Harbor House of Central Florida, and other organizations that are committed to community mobilization, education, and support services.* Affordable healthcare - FHCH is an active supporter of health care for the uninsured in Osceola County and was one of the founders of the four-facility network of Federally Qualified Health Centers in the county. Further, the principle of affordable healthcare is embedded into FHCH's multiple Florida Hospital programs and efforts to educate the community on health resources.
Facility 2 -- Florida Hospital Celebration Health Part V, Section B, line 14g:	The filing organization has developed a patient-friendly summary version of its financial assistance policy (FAP). The filing organization's FAP provides that each of its hospital facilities will post the patient-friendly summary version of its FAP on the Hospital's website. In addition, the FAP of each of the Hospital facilities 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 -- Florida Hospital Celebration Health 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 3 -- Florida Hospital Altamonte Part V, Section B, line 3:	Florida Hospital (FH) is a 2,409 bed medical complex in Central Florida with seven separate hospital campuses. FH serves the residents of Central Florida (primarily serving the residents of Orange, Osceola, Seminole and Lake Counties) but also draws patients from other parts of the Southeastern United States, the Caribbean and South America. The 7-campus hospital health system is the largest healthcare provider in Central Florida and the nation's largest Medicare provider with FH being the second largest employer in the area. All of the seven campuses of FH operate under a single hospital license. The Florida Hospital Altamonte (FHA) campus is a 376-bed, acute-care community hospital located in Altamonte Springs, Florida. It was established in 1973 as the first satellite campus of Florida Hospital. Since its establishment, Florida Hospital Altamonte has been providing state-of-the-art healthcare to its community, a 15-zip code area surrounding Altamonte Springs, and remains the largest satellite campus in the Florida Hospital system. FHA cares for more than 168,000 patients a year, including 67,000 emergency patients and 20,000 inpatients, with 2,000 baby deliveries and performs approximately 10,000 surgical cases and 79,000 outpatient procedures making it the largest and most comprehensive hospital in Seminole County.Florida Hospital (all campuses) conducted its 2013 Community Health Needs Assessment (CHNA) in two parts: a regional health needs assessment for Orange, Seminole and Osceola Counties in Central Florida, followed by separate assessments focused on and tailored to each of the seven campuses of FH. Three not-for-profit clinical hospitals within Central Florida, namely FH, Orlando Health, and Lakeside Behavioral Health, together with the Florida Department of Health in Orange County, collaborated to conduct the regional tri-county health needs assessment. This was the first ever multi-hospital, public health department joint community health needs assessment. These four organizations also collaborated with other community agencies under the umbrellas of "Healthy Orange Florida" in Orange County, "Healthy Seminole" in Seminole County, and "Community Vision" in Osceola County. Healthy Seminole is an 81-member affiliation of representatives from FH, local government, social service, and educational organizations within Seminole County. The Health Council of East Central Florida, Inc. (the Health Council), a regional quasi-government health planning agency, was contracted with to assist with data collection and analysis. The Health Council conducted over 70 key stakeholder interviews with individuals representing the broad interests of the tri-county area. Key stakeholders for the tri-county assessment included individuals with special knowledge of or interest in public health (i.e., health departments); individuals/organizations serving or representing the interests of medically underserved, low-income, and minority populations; persons who represented the broad interests of residents served by the hospitals; and individuals representing large employers and employee interests. A total of 72 stakeholders representing 44 social service and health care organizations were interviewed and completed a questionnaire aimed at identifying health barriers, assets, resources, and needs within the region. As a part of its efforts to ensure broad community-based input into the CHNA process, FH formed a Community Health Needs Assessment Committee (CHNAC). The CHNAC was comprised of external community members/stakeholders and senior FH leaders. The community members in particular provided strong representation of low-income, minority and underserved populations. Listed below are several examples of community organizations represented on the CHNAC: * Hebni Nutrition Consultant a nutritionist who works in the local African American community;* The University of Central Florida School of Medicine primary care physician training;* Winter Park Health Foundation a local non-profit organization that develops and funds school health and older adult programs; * Orange County Public Schools serves children of all ages and ethnicities, including those who are homeless and/or eligible for free or reduced lunch programs; and * Gracia Anderson Foundation a local non-profit organization that funds social service projects.
Facility 3 -- Florida Hospital Altamonte Part V, Section B, line 4:	The filing organization collaborated with two other not-for-profit hospitals, namely Orlando Health and Lakeside Behavioral Health, to create a Community Health Needs Assessment for Orange, Osceola, and Seminole Counties. The Community Health Needs Assessment describes the health of Central Floridians for the purpose of planning interventions relevant to the community.
Facility 3 -- Florida Hospital Altamonte Part V, Section B, line 5d:	The Hospital has adopted a policy that addresses the public posting requirements of the Community Health Needs Assessment. Under this policy, the Community Health Needs Assessment Report must be posted on the Hospital's website by the end of the year in which it is conducted. The Hospital will make a copy of its Community Health Needs Assessment Report available upon request. The Hospital will also make a paper copy of the Community Health Needs Assessment Report available for public inspection at the Hospital facility.
Facility 3 -- Florida Hospital Altamonte 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.Each of the filing organization's hospital facilities adopted its initial Community Health Needs Assessment by 12/31/13 and was in the process of developing its community health needs implementation strategy. The filing organization's implementation strategy will be documented in a written report called the "Community Health Plan". The Community Health Plan (CHP) will describe how the filing organization's hospital plans to meet its identified prioritized health needs or will identify the health need as one the filing organization's hospital does not intend to specifically address and provide an explanation as to why the filing organization's hospital does not intend to address that health need. In accordance with Proposed Regulation Section 1.501(r)-3(e)(2), each of the filing organization's hospital's CHP will be adopted no later than May 15, 2014.
Facility 3 -- Florida Hospital Altamonte Part V, Section B, line 7:	As described in our response to Schedule H, Part V, Section B, line 3, Florida Hospital (FH) formed a Community Health Needs Assessment Committee (CHNAC) to review primary and secondary data collected by the tri-county assessment. The tri-county data, hospital utilization data, and stakeholder interviews were reviewed and analyzed by each of the FH campus committees and the CHNAC. Each FH hospital campus established a campus-specific committee to review data and to determine campus health need priorities based on the intensity of the need, current community initiatives addressing the health need, FH's capacity to impact the issue, and the opportunity for collaboration with other hospitals and community partners. The CHNAC and each local hospital campus committee used a decision tree process to review identified health issues and assist in the priority selection process. This process resulted in 14 areas of health concern in Seminole County. These 14 prioritized health needs were: 1) Obesity; 2) Diabetes; 3) Cancer; 4) Heart Disease; 5) Substance abuse; 6) Mental health; 7) Maternal and child health; 8) Stroke; 9) Asthma; 10) Affordable healthcare; 11) Motor vehicle collisions; 12) Physical activity among youth; 13) Marijuana use among youth; and 14) Housing affordability. The Florida Hospital Altamonte (FHA) local hospital campus committee recognized that while all 14 issues impact the health of the campus hospital's community, it was important to focus on specific areas of impact over a defined period of time if sustainable change is to be accomplished. Final priority selection resulted in the following two key priorities for Florida Hospital Altamonte:* Obesity* Access to Affordable HealthcareThe following identified health needs were not selected for top priority based on the following: * Diabetes, cancer, heart disease, stroke, and asthma - As obesity is a risk factor in all of these chronic diseases; a reduction in obesity has the potential to delay or eradicate the onset of diabetes, heart disease, as well as asthma, stroke or cancer. * Physical Activity among youth will also be addressed via efforts to reduce and prevent childhood obesity.* Substance abuse, mental health, marijuana use among youth and maternal and child health - The FH Altamonte campus does not currently have service lines in these areas. Plans are in place to continue to work with other local agencies and community based organizations to promote these programs.* Motor vehicle collisions and housing affordability - These priorities are not core competencies of Florida Hospital Altamonte. However, FHA will continue to support the efforts of local law enforcement agencies, organizations like Harbor House of Central Florida, and other organizations that are committed to community mobilization, education, and support services.
Facility 3 -- Florida Hospital Altamonte Part V, Section B, line 14g:	The filing organization has developed a patient-friendly summary version of its financial assistance policy (FAP). The filing organization's FAP provides that each of its hospital facilities will post the patient-friendly summary version of its FAP on the Hospital's website. In addition, the FAP of each of the Hospital facilities 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 3 -- Florida Hospital Altamonte 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 4 -- Florida Hospital East Orlando Part V, Section B, line 3:	Florida Hospital (FH) is a 2,409 bed medical complex in Central Florida with seven separate hospital campuses. FH serves the residents of Central Florida (primarily serving the residents of Orange, Osceola, Seminole and Lake Counties) but also draws patients from other parts of the Southeastern United States, the Caribbean and South America. The 7-campus hospital health system is the largest healthcare provider in Central Florida and the nation's largest Medicare provider with FH being the second largest employer in the area. All of the seven campuses of FH operate under a single hospital license. The Florida Hospital East Orlando (FHEO) campus is a 265-bed full-service community hospital and has been serving East Orange County residents since it was acquired in 1990. In 2012, FHEO saw 15,284 inpatients; 70,738 outpatients; 83,037 emergency cases; and performed 5,007 surgeries annually.Florida Hospital (all campuses) conducted its 2013 Community Health Needs Assessment (CHNA) in two parts: a regional health needs assessment for Orange, Seminole and Osceola Counties in Central Florida, followed by separate assessments focused on and tailored to each of the seven campuses of FH. Three not-for-profit clinical hospitals within Central Florida, namely FH, Orlando Health, and Lakeside Behavioral Health, together with the Florida Department of Health in Orange County, collaborated to conduct the regional tri-county health needs assessment. This was the first ever multi-hospital, public health department joint community health needs assessment. These four organizations also collaborated with other community agencies under the umbrellas of "Healthy Orange Florida" in Orange County, "Healthy Seminole" in Seminole County, and "Community Vision" in Osceola County. Healthy Seminole is an 81-member affiliation of representatives from FH, local government, social service, and educational organizations within Seminole County. The Health Council of East Central Florida, Inc. (the Health Council), a regional quasi-government health planning agency, was contracted with to assist with data collection and analysis. The Health Council conducted over 70 key stakeholder interviews with individuals representing the broad interests of the tri-county area. Key stakeholders for the tri-county assessment included individuals with special knowledge of or interest in public health (i.e., health departments); individuals/organizations serving or representing the interests of medically underserved, low-income, and minority populations; persons who represented the broad interests of residents served by the hospitals; and individuals representing large employers and employee interests. A total of 72 stakeholders representing 44 social service and health care organizations were interviewed and completed a questionnaire aimed at identifying health barriers, assets, resources, and needs within the region. As a part of its efforts to ensure broad community-based input into the CHNA process, FH formed a Community Health Needs Assessment Committee (CHNAC). The CHNAC was comprised of external community members/stakeholders and senior FH leaders. The community members in particular provided strong representation of low-income, minority and underserved populations. Listed below are several examples of community organizations represented on the CHNAC: * Hebni Nutrition Consultant a nutritionist who works in the local African American community;* The University of Central Florida School of Medicine primary care physician training;* Winter Park Health Foundation a local non-profit organization that develops and funds school health and older adult programs; * Orange County Public Schools serves children of all ages and ethnicities, including those who are homeless and/or eligible for free or reduced lunch programs; and * Gracia Anderson Foundation a local non-profit organization that funds social service projects.
Facility 4 -- Florida Hospital East Orlando Part V, Section B, line 4:	The filing organization collaborated with two other not-for-profit hospitals, namely Orlando Health and Lakeside Behavioral Health, to create a Community Health Needs Assessment for Orange, Osceola, and Seminole Counties. The Community Health Needs Assessment describes the health of Central Floridians for the purpose of planning interventions relevant to the community.
Facility 4 -- Florida Hospital East Orlando Part V, Section B, line 5d:	The Hospital has adopted a policy that addresses the public posting requirements of the Community Health Needs Assessment. Under this policy, the Community Health Needs Assessment Report must be posted on the Hospital's website by the end of the year in which it is conducted. The Hospital will make a copy of its Community Health Needs Assessment Report available upon request. The Hospital will also make a paper copy of the Community Health Needs Assessment Report available for public inspection at the Hospital facility.
Facility 4 -- Florida Hospital East Orlando 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.Each of the filing organization's hospital facilities adopted its initial Community Health Needs Assessment by 12/31/13 and was in the process of developing its community health needs implementation strategy. The filing organization's implementation strategy will be documented in a written report called the "Community Health Plan". The Community Health Plan (CHP) will describe how the filing organization's hospital plans to meet its identified prioritized health needs or will identify the health need as one the filing organization's hospital does not intend to specifically address and provide an explanation as to why the filing organization's hospital does not intend to address that health need. In accordance with Proposed Regulation Section 1.501(r)-3(e)(2), each of the filing organization's hospital's CHP will be adopted no later than May 15, 2014.
Facility 4 -- Florida Hospital East Orlando Part V, Section B, line 7:	As described in our response to Schedule H, Part V, Section B, line 3, Florida Hospital (FH) formed a Community Health Needs Assessment Committee (CHNAC) to review primary and secondary data collected by the tri-county assessment. The tri-county data, hospital utilization data, and stakeholder interviews were reviewed and analyzed by each of the FH campus committees and the CHNAC. Each FH hospital campus established a campus-specific committee to review data and to determine campus health need priorities based on the intensity of the need, current community initiatives addressing the health need, FH's capacity to impact the issue, and the opportunity for collaboration with other hospitals and community partners. The CHNAC and each local hospital campus committee used a decision tree process to review identified health issues and assist in the priority selection process. This process resulted in 14 areas of health concern in Orange County. These 14 prioritized health needs were: 1) Diabetes; 2) Heart disease; 3) Obesity; 4) Maternal and child health; 5) Cancer; 6) Sexually transmitted diseases; 7) Substance abuse; 8) Mental health; 9) Chronic disease management; 10) Violent crime; 11) Health literacy; 12) Single parent households; 13) Motor vehicle collisions; and 14) Access to healthcare. The Florida Hospital East Orlando (FHEO) local hospital campus committee recognized that while all 14 issues impact the health of the campus hospital's community, it was important to focus on specific areas of impact over a defined period of time if sustainable change is to be accomplished. Final priority selection resulted in the following two key priorities for Florida Hospital East Orlando:* Obesity* DiabetesThe following identified health needs were not selected for top priority based on the following: * Heart disease, cancer, and chronic disease management - As obesity is a contributing factor to these two chronic diseases; a reduction in obesity should contribute to a reduction in complications due to these chronic diseases and have the potential to delay or eradicate the onset of heart disease or cancer. * Sexually transmitted diseases, substance abuse, mental health and maternal and child health - The FH East Orlando campus does not currently have service lines in these areas. Plans are in place to continue to work with other local agencies and community based organizations to promote these programs.* Violent crime, single parent households, motor vehicle collisions and housing affordability - These priorities are not core competencies of Florida Hospital East Orlando. However, Florida Hospital East Orlando will continue to support the efforts of local law enforcement agencies, organizations like Harbor House of Central Florida, and other organizations that are committed to community mobilization, education, and support services.* Health literacy and access to care - The principle of health literacy is embedded into Florida Hospital East Orlando's chronic disease self-management program efforts as we seek to educate the community on health resources. Florida Hospital East Orlando also aims to strengthen its relationships with organizations that offer primary care, dental, and obstetrics services.
Facility 4 -- Florida Hospital East Orlando Part V, Section B, line 14g:	The filing organization has developed a patient-friendly summary version of its financial assistance policy (FAP). The filing organization's FAP provides that each of its hospital facilities will post the patient-friendly summary version of its FAP on the Hospital's website. In addition, the FAP of each of the Hospital facilities 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 4 -- Florida Hospital East Orlando 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 5 -- Winter Park Memorial Hospital Part V, Section B, line 3:	Florida Hospital (FH) is a 2,409 bed medical complex in Central Florida with seven separate hospital campuses. FH serves the residents of Central Florida (primarily serving the residents of Orange, Osceola, Seminole and Lake Counties) but also draws patients from other parts of the Southeastern United States, the Caribbean and South America. The 7-campus hospital health system is the largest healthcare provider in Central Florida and the nation's largest Medicare provider with FH being the second largest employer in the area. All of the seven campuses of FH operate under a single hospital license. The Winter Park Memorial Hospital (WPMH) campus is a 322-bed acute-care facility that primarily serves the residents of northeastern Orange and southeastern Seminole Counties. WPMH began caring for patients in February 1995 when it first opened its doors to the public. In 2000, Florida Hospital Winter Park Memorial was fully acquired by the Florida Hospital system. Services provided by Winter Park Memorial include: 24-Hour emergency department with Express Care and the area's only senior emergency room; The Baby Place Central Florida's only boutique hospital for women and babies; cancer institute; cardiology; critical care; diagnostic imaging; diabetes education; educational classes and support groups; endoscopy; Longevity Medicine Institute; in and outpatient surgery including minimally invasive and robotic surgery; laboratory; orthopedic institute; pediatrics; rehabilitation & sports medicine; sleep disorders center; and women's health. Every year, WPMH treats more than 150,000 patients, including in 2012 46,175 patients in the emergency department; 16,945 inpatients admitted; 74,271 outpatients; 2,776 babies delivered; and 9,124 surgeries performed.Florida Hospital (all campuses) conducted its 2013 Community Health Needs Assessment (CHNA) in two parts: a regional health needs assessment for Orange, Seminole and Osceola Counties in Central Florida, followed by separate assessments focused on and tailored to each of the seven campuses of FH. Three not-for-profit clinical hospitals within Central Florida, namely FH, Orlando Health, and Lakeside Behavioral Health, together with the Florida Department of Health in Orange County, collaborated to conduct the regional tri-county health needs assessment. This was the first ever multi-hospital, public health department joint community health needs assessment. These four organizations also collaborated with other community agencies under the umbrellas of "Healthy Orange Florida" in Orange County, "Healthy Seminole" in Seminole County, and "Community Vision" in Osceola County. Healthy Seminole is an 81-member affiliation of representatives from FH, local government, social service, and educational organizations within Seminole County. The Health Council of East Central Florida, Inc. (the Health Council), a regional quasi-government health planning agency, was contracted with to assist with data collection and analysis. The Health Council conducted over 70 key stakeholder interviews with individuals representing the broad interests of the tri-county area. Key stakeholders for the tri-county assessment included individuals with special knowledge of or interest in public health (i.e., health departments); individuals/organizations serving or representing the interests of medically underserved, low-income, and minority populations; persons who represented the broad interests of residents served by the hospitals; and individuals representing large employers and employee interests. A total of 72 stakeholders representing 44 social service and health care organizations were interviewed and completed a questionnaire aimed at identifying health barriers, assets, resources, and needs within the region. As a part of its efforts to ensure broad community-based input into the CHNA process, FH formed a Community Health Needs Assessment Committee (CHNAC). The CHNAC was comprised of external community members/stakeholders and senior FH leaders. The community members in particular provided strong representation of low-income, minority and underserved populations. Listed below are several examples of community organizations represented on the CHNAC: * Hebni Nutrition Consultant a nutritionist who works in the local African American community;* The University of Central Florida School of Medicine primary care physician training;* Winter Park Health Foundation a local non-profit organization that develops and funds school health and older adult programs; * Orange County Public Schools serves children of all ages and ethnicities, including those who are homeless and/or eligible for free or reduced lunch programs; and * Gracia Anderson Foundation a local non-profit organization that funds social service projects.
Facility 5 -- Winter Park Memorial Hospital Part V, Section B, line 4:	The filing organization collaborated with two other not-for-profit hospitals, namely Orlando Health and Lakeside Behavioral Health, to create a Community Health Needs Assessment for Orange, Osceola, and Seminole Counties. The Community Health Needs Assessment describes the health of Central Floridians for the purpose of planning interventions relevant to the community.
Facility 5 -- Winter Park Memorial Hospital Part V, Section B, line 5d:	The Hospital has adopted a policy that addresses the public posting requirements of the Community Health Needs Assessment. Under this policy, the Community Health Needs Assessment Report must be posted on the Hospital's website by the end of the year in which it is conducted. The Hospital will make a copy of its Community Health Needs Assessment Report available upon request. The Hospital will also make a paper copy of the Community Health Needs Assessment Report available for public inspection at the Hospital facility.
Facility 5 -- Winter Park Memorial 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.Each of the filing organization's hospital facilities adopted its initial Community Health Needs Assessment by 12/31/13 and was in the process of developing its community health needs implementation strategy. The filing organization's implementation strategy will be documented in a written report called the "Community Health Plan". The Community Health Plan (CHP) will describe how the filing organization's hospital plans to meet its identified prioritized health needs or will identify the health need as one the filing organization's hospital does not intend to specifically address and provide an explanation as to why the filing organization's hospital does not intend to address that health need. In accordance with Proposed Regulation Section 1.501(r)-3(e)(2), each of the filing organization's hospital's CHP will be adopted no later than May 15, 2014.
Facility 5 -- Winter Park Memorial Hospital Part V, Section B, line 7:	As described in our response to Schedule H, Part V, Section B, line 3, Florida Hospital (FH) formed a Community Health Needs Assessment Committee (CHNAC) to review primary and secondary data collected by the tri-county assessment. The tri-county data, hospital utilization data, and stakeholder interviews were reviewed and analyzed by each of the FH campus committees and the CHNAC. Each FH hospital campus established a campus-specific committee to review data and to determine campus health need priorities based on the intensity of the need, current community initiatives addressing the health need, FH's capacity to impact the issue, and the opportunity for collaboration with other hospitals and community partners. The CHNAC and each local hospital campus committee used a decision tree process to review identified health issues and assist in the priority selection process. This process resulted in 14 areas of health concern in Orange County. These 14 prioritized health needs were: 1) Diabetes; 2) Heart disease; 3) Obesity; 4) Maternal and child health; 5) Cancer; 6) Sexually transmitted diseases; 7) Substance abuse; 8) Mental health; 9) Chronic disease management; 10) Violent crime; 11) Health literacy; 12) Single parent households; 13) Motor vehicle collisions; and 14) Access to care. The Winter Park Memorial Hospital (WPMH) local hospital campus committee recognized that while all 14 issues impact the health of the campus hospital's community, it was important to focus on specific areas of impact over a defined period of time if sustainable change is to be accomplished. Final priority selection resulted in the following three key priorities for Winter Park Memorial Hospital:* Obesity* Diabetes* Chronic disease management The following identified health needs were not selected for top priority based on the following: * Heart disease and cancer - As obesity is a contributing factor to these chronic diseases; a reduction in obesity should contribute to a reduction in complications due to these chronic diseases and have the potential to delay or eradicate the onset of heart disease or cancer. * Sexually transmitted diseases, substance abuse, and mental health - The Winter Park Memorial Hospital campus does not currently have service lines in these areas. Plans are in place to continue to work with other local agencies and community based organizations to promote these programs. * Violent crime, single parent households and motor vehicle collisions - These priorities are not core competencies of Winter Park Memorial Hospital. However, WPMH will continue to support the efforts of local law enforcement agencies, organizations like Harbor House of Central Florida, and other organizations that are committed to community mobilization, education, and support services.* Health literacy and access to care - The principle of health literacy is embedded into WPMH's chronic disease self-management program efforts as we seek to educate the community on health resources. WPMH also aims to strengthen the relationship with organizations that offer primary care, dental and obstetric service. Internally, WPMH is working to ensure comprehensive discharge education.* Maternal and child health - Florida Hospital Winter Park will continue to partner with other community-based organizations to seek opportunities for collaboration on best practice programs addressing maternal and child health.
Facility 5 -- Winter Park Memorial Hospital Part V, Section B, line 14g:	The filing organization has developed a patient-friendly summary version of its financial assistance policy (FAP). The filing organization's FAP provides that each of its hospital facilities will post the patient-friendly summary version of its FAP on the Hospital's website. In addition, the FAP of each of the Hospital facilities 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 5 -- Winter Park Memorial 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 6 -- Adventist La Grange Memorial Hospital Part V, Section B, line 3:	Adventist La Grange Hospital (the Hospital or the filing organization) is one of four not-for-profit related hospital organizations located in the western and southwestern suburbs of Chicago. Each of these four hospitals is a part of Adventist Health System (AHS). AHS is a health care system primarily consisting of tax-exempt 501(c)(3) hospital organization that operate 44 hospitals in 10 states within the US. The four related hospital organizations located in Chicago, collectively called Adventist Midwest Health (AMH), are clinically integrated, share overlapping communities, and are tied together by common mission, values, and vision. As the four hospitals are located in the same Metropolitan Service Area, the hospitals collaborated in 2013 to conduct a joint Community Health Needs Assessment (CHNA). The four related hospital organizations are Adventist GlenOaks Hospital, Adventist Hinsdale Hospital, Adventist Bolingbrook Hospital, and Adventist Health System/Sunbelt, Inc., dba Adventist La Grange Memorial Hospital. In conducting its 2013 joint CHNA, the four AMH hospitals collected primary and secondary data using a number of data collection methodologies. Adventist GlenOaks Hospital, Adventist Hinsdale Hospital, and Adventist La Grange Memorial Hospital partnered with the Metropolitan Chicago Healthcare Council to conduct its primary research, consisting of telephone surveys, focus groups, and written surveys. A list of recommended participants to be included in the focus groups was provided by the Metropolitan Chicago Healthcare Council. Participants included representatives of public health, individuals who work with low-income, minority or other medically underserved populations, and those who work with persons with chronic disease conditions.
Facility 6 -- Adventist La Grange Memorial Hospital Part V, Section B, line 4:	The Community Health Needs Assessment conducted by Adventist La Grange Memorial Hospital (the Hospital) was based upon the Hospital's involvement and enrichment of those who live within DuPage County, Illinois. The CHNA was conducted in conjunction with related hospitals in the Chicago Metropolitan area: Adventist Hinsdale HospitalAdventist Bolingbrook HospitalAdventist GlenOaks Hospital
Facility 6 -- Adventist La Grange Memorial Hospital Part V, Section B, line 5d:	The Hospital has adopted a policy that addresses the public posting requirements of the Community Health Needs Assessment. Under this policy, the Community Health Needs Assessment Report must be posted on the Hospital's website by the end of the year in which it is conducted. The Hospital will make a copy of its Community Health Needs Assessment Report available upon request. The Hospital will also make a paper copy of the Community Health Needs Assessment Report available for public inspection at the Hospital facility.
Facility 6 -- Adventist La Grange Memorial 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.Each of the filing organization's hospital facilities adopted its initial Community Health Needs Assessment by 12/31/13 and was in the process of developing its community health needs implementation strategy. The filing organization's implementation strategy will be documented in a written report called the "Community Health Plan". The Community Health Plan (CHP) will describe how the filing organization's hospital plans to meet its identified prioritized health needs or will identify the health need as one the filing organization's hospital does not intend to specifically address and provide an explanation as to why the filing organization's hospital does not intend to address that health need. In accordance with Proposed Regulation Section 1.501(r)-3(e)(2), each of the filing organization's hospital's CHP will be adopted no later than May 15, 2014.
Facility 6 -- Adventist La Grange Memorial Hospital Part V, Section B, line 7:	Following data collection and analysis, the AMH hospitals formed a Community Health Needs Assessment Committee (CHNAC) to review the data collected and to formulate the determination of health priorities using a systematic approach that relied heavily on a decision tree priority selection process. Initial health needs priority analysis and selection resulted in identifying the following health needs as initial priorities:* Chronic disease prevention (hypertension, blood cholesterol)* Youth Services* Cancer Treatment* Violence Prevention* Access to Healthcare Services * Awareness of Services* Behavioral Health and Substance Abuse* Diabetes* Pneumococcus Vaccination. The CHNAC narrowed the above initially identified health needs priorities using a priority selection process that considered the following:1) Do the AMH hospitals have the ability to effectively meet the need?2) Is the service already offered in a manner that supports need within and outside of AMH's community?3) Is the need a high-impact priority?4) Do the AMH hospitals have the resources to address the priority? Upon final health needs priority selection, the CHNAC chose the following four priorities for the AMH hospitals:* Access to Healthcare Services (lack of insurance and lack of awareness of services)* Influenza vaccinations* Pneumococcus vaccinations* Hypertension The following identified health needs were not selected for top priority based on the following.* The prevention and management of chronic care issues in relation to heart disease (blood cholesterol levels) - after much discussion the CHNAC decided that this was a commonly available prevention measure at most surrounding providers. It is also frequently a part of community health fairs and routine physician visits. * Behavioral health and substance abuse - Adventist Midwest Health provides comprehensive inpatient programs for behavioral health (Adventist GlenOaks Hospital and Adventist Hinsdale Hospital) and outpatient programs for both behavioral health and substance abuse (Adventist Hinsdale Hospital). Serving the Adventist Midwest Health community, the AMH hospitals support local county initiatives to bring these necessary services to those in need.
Facility 6 -- Adventist La Grange Memorial Hospital Part V, Section B, line 14g:	The filing organization has developed a patient-friendly summary version of its financial assistance policy (FAP). The filing organization's FAP provides that each of its hospital facilities will post the patient-friendly summary version of its FAP on the Hospital's website. In addition, the FAP of each of the Hospital facilities 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 6 -- Adventist La Grange Memorial 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 7 -- Florida Hospital Kissimmee Part V, Section B, line 3:	Florida Hospital (FH) is a 2,409 bed medical complex in Central Florida with seven separate hospital campuses. FH serves the residents of Central Florida (primarily serving the residents of Orange, Osceola, Seminole and Lake Counties) but also draws patients from other parts of the Southeastern United States, the Caribbean and South America. The 7-campus hospital health system is the largest healthcare provider in Central Florida and the nation's largest Medicare provider with FH being the second largest employer in the area. All of the seven campuses of FH operate under a single hospital license. Florida Hospital Kissimmee (FHK) is a not-for-profit hospital with 83 acute care beds and an emergency department and has been part of the Florida Hospital system since 1993. FHK offers comprehensive inpatient and outpatient services including emergency care; cancer treatment including radiation therapy; imaging services including PET, MRI, CT, nuclear, mammography, and ultrasound; a designated primary stroke center; digestive health; and surgical specialties to Osceola County residents. In 2012, FHK saw 43,067 patients in the emergency department; 26,336 patients for outpatient treatment; admitted 5,188 patients; and performed 2,124 surgeries. FHK provides holistic care body, mind and spirit and is committed to providing a personalized patient experience for all patients.Florida Hospital (all campuses) conducted its 2013 Community Health Needs Assessment (CHNA) in two parts: a regional health needs assessment for Orange, Seminole and Osceola Counties in Central Florida, followed by separate assessments focused on and tailored to each of the seven campuses of FH. Three not-for-profit clinical hospitals within Central Florida, namely FH, Orlando Health, and Lakeside Behavioral Health, together with the Florida Department of Health in Orange County, collaborated to conduct the regional tri-county health needs assessment. This was the first ever multi-hospital, public health department joint community health needs assessment. These four organizations also collaborated with other community agencies under the umbrellas of "Healthy Orange Florida" in Orange County, "Healthy Seminole" in Seminole County, and "Community Vision" in Osceola County. Healthy Seminole is an 81-member affiliation of representatives from FH, local government, social service, and educational organizations within Seminole County. The Health Council of East Central Florida, Inc. (the Health Council), a regional quasi-government health planning agency, was contracted with to assist with data collection and analysis. The Health Council conducted over 70 key stakeholder interviews with individuals representing the broad interests of the tri-county area. Key stakeholders for the tri-county assessment included individuals with special knowledge of or interest in public health (i.e., health departments); individuals/organizations serving or representing the interests of medically underserved, low-income, and minority populations; persons who represented the broad interests of residents served by the hospitals; and individuals representing large employers and employee interests. A total of 72 stakeholders representing 44 social service and health care organizations were interviewed and completed a questionnaire aimed at identifying health barriers, assets, resources, and needs within the region. As a part of its efforts to ensure broad community-based input into the CHNA process, FH formed a Community Health Needs Assessment Committee (CHNAC). The CHNAC was comprised of external community members/stakeholders and senior FH leaders. The community members in particular provided strong representation of low-income, minority and underserved populations. Listed below are several examples of community organizations represented on the CHNAC: * Hebni Nutrition Consultant a nutritionist who works in the local African American community;* The University of Central Florida School of Medicine primary care physician training;* Winter Park Health Foundation a local non-profit organization that develops and funds school health and older adult programs; * Orange County Public Schools serves children of all ages and ethnicities, including those who are homeless and/or eligible for free or reduced lunch programs; and * Gracia Anderson Foundation a local non-profit organization that funds social service projects.
Facility 7 -- Florida Hospital Kissimmee Part V, Section B, line 4:	The filing organization collaborated with two other not-for-profit hospitals, namely Orlando Health and Lakeside Behavioral Health, to create a Community Health Needs Assessment for Orange, Osceola, and Seminole Counties. The Community Health Needs Assessment describes the health of Central Floridians for the purpose of planning interventions relevant to the community.
Facility 7 -- Florida Hospital Kissimmee Part V, Section B, line 5d:	The Hospital has adopted a policy that addresses the public posting requirements of the Community Health Needs Assessment. Under this policy, the Community Health Needs Assessment Report must be posted on the Hospital's website by the end of the year in which it is conducted. The Hospital will make a copy of its Community Health Needs Assessment Report available upon request. The Hospital will also make a paper copy of the Community Health Needs Assessment Report available for public inspection at the Hospital facility.
Facility 7 -- Florida Hospital Kissimmee 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.Each of the filing organization's hospital facilities adopted its initial Community Health Needs Assessment by 12/31/13 and was in the process of developing its community health needs implementation strategy. The filing organization's implementation strategy will be documented in a written report called the "Community Health Plan". The Community Health Plan (CHP) will describe how the filing organization's hospital plans to meet its identified prioritized health needs or will identify the health need as one the filing organization's hospital does not intend to specifically address and provide an explanation as to why the filing organization's hospital does not intend to address that health need. In accordance with Proposed Regulation Section 1.501(r)-3(e)(2), each of the filing organization's hospital's CHP will be adopted no later than May 15, 2014.
Facility 7 -- Florida Hospital Kissimmee Part V, Section B, line 7:	As described in our response to Schedule H, Part V, Section B, line 3, Florida Hospital (FH) formed a Community Health Needs Assessment Committee (CHNAC) to review primary and secondary data collected by the tri-county assessment. The tri-county data, hospital utilization data, and stakeholder interviews were reviewed and analyzed by each of the FH campus committees and the CHNAC. Each FH hospital campus established a campus-specific committee to review data and to determine campus health need priorities based on the intensity of the need, current community initiatives addressing the health need, FH's capacity to impact the issue, and the opportunity for collaboration with other hospitals and community partners. The CHNAC and each local hospital campus committee used a decision tree process to review identified health issues and assist in the priority selection process. This process resulted in 14 areas of health concern in Osceola County. These 14 prioritized health needs were: 1) Heart Disease; 2) Obesity; 3) Cancer; 4) Diabetes; 5) Asthma; 6) Maternal and child health; 7) Mental health; 8) Substance abuse; 9) Dental care; 10) Affordable healthcare; 11) Housing affordability; 12) Homelessness; 13) High unemployment; and 14) Single parent households. The Florida Hospital Kissimmee (FHK) local hospital campus committee recognized that while all 14 issues impact the health of the campus hospital's community, it was important to focus on specific areas of impact over a defined period of time if sustainable change is to be accomplished. Final priority selection resulted in the following three key priorities for Florida Hospital Kissimmee:* Obesity* Diabetes* Heart diseaseThe following identified health needs were not selected for top priority based on the following: * Asthma and cancer - As obesity is a contributing factor to these chronic diseases; a reduction in obesity should contribute to a reduction in complications due to these chronic diseases and have the potential to delay or eradicate the onset of asthma or cancer. * Dental care, substance abuse, mental health and maternal and child health - The FH Kissimmee campus does not currently have service lines in these areas. Plans are in place to continue to work with other local agencies and community based organizations to promote these programs.* Housing affordability, homelessness, high unemployment and single parent households - These priorities are not core competencies of Florida Hospital Kissimmee. However, FHK will continue to support the efforts of local law enforcement agencies, organizations like Harbor House of Central Florida, and other organizations that are committed to community mobilization, education, and support services.* Affordable healthcare - FHK is an active supporter of health care for the uninsured in Osceola County and was one of the founders of the four-facility network of Federally Qualified Health Centers in the county. Further, the principle of affordable healthcare is embedded into FHK's multiple Florida Hospital programs and efforts to educate the community on health resources.
Facility 7 -- Florida Hospital Kissimmee Part V, Section B, line 14g:	The filing organization has developed a patient-friendly summary version of its financial assistance policy (FAP). The filing organization's FAP provides that each of its hospital facilities will post the patient-friendly summary version of its FAP on the Hospital's website. In addition, the FAP of each of the Hospital facilities 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 7 -- Florida Hospital Kissimmee 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 8 -- FH Heartland Medical Center Part V, Section B, line 3:	Florida Hospital Heartland in Sebring and Florida Hospital Lake Placid (the FHH Hospitals), located in Highlands County, Florida, operate under a single hospital license. Collectively, these two hospitals serve the residents of Highlands County, which includes the cities of Sebring, Lake Placid and Avon Park. Highlands County has an estimated population of 102,000 permanent residents, with an approximate increase of an additional 35,000 seasonal residents during the winter months. Highlands County's residents comprised the fifth-oldest population in the US in 2012. Florida Hospital Heartland in Sebring and Florida Hospital Lake Placid conducted a joint Community Health Needs Assessment (CHNA) in 2013. The CHNA was conducted through a collaborative community health needs assessment process that included the Highlands County Health Department, the Community Health Improvement Planning Committee (CHIP) of Highlands County, Samaritan's Touch free clinics in Sebring, the Highlands County Rural Health Network, Highlands Regional Medical Center, and Central Florida Health Care (a federally qualified health center). The CHNA process included the collection of both primary and secondary data. Primary data consisted of community surveys and direct stakeholder input, particularly with respect to representatives from the CHIC Committee. With respect to the process of gathering and analyzing both primary and secondary health needs assessment data, the collaborative team relied significantly on the CHIP Committee due to its broad representation of the communities served by the FHH Hospitals. The CHIPS Committee is composed of a number of representatives from organizations that serve the medically underserved, low-income populations and those with chronic disease needs. Among others, the following organizations were represented on the CHIC Committee:Highlands County Department of Health;Tri-County Human Services;Salvation Army;Florida Department of Health;Healthy Start Coalition;Children's Services Council; andHeartland Rural Health Network. The CHIP members represent public health, the broad community and people who are low-income, minorities or otherwise undeserved. Their mission is to improve the health of communities through education and the promotion of healthy lifestyles; build partnerships to maximize resources; and provide access to quality health care to all of the people in Highlands County regardless of ability to pay. The FHH Hospitals also established a Community Health Needs Assessment Committee (CHNAC) to analyze the health data collected and prioritize key issues for the FHH Hospitals to address.
Facility 8 -- FH Heartland Medical Center Part V, Section B, line 4:	Florida Hospital Heartland in Sebring and Florida Hospital Lake Placid conducted a joint Community Health Needs Assessment (CHNA) in 2013. The CHNA was conducted through a collaborative community needs assessment process with the hospitals, Highlands County Health Department, the Community Health Improvement Planning Committee (CHIP) of Highlands County, Samaritan's Touch free clinics in Sebring, the Highlands County Rural Health Network, Highlands Regional Medical Center, and Central Florida Health Care (a federally qualified health center).
Facility 8 -- FH Heartland Medical Center Part V, Section B, line 5d:	The Hospital has adopted a policy that addresses the public posting requirements of the Community Health Needs Assessment. Under this policy, the Community Health Needs Assessment Report must be posted on the Hospital's website by the end of the year in which it is conducted. The Hospital will make a copy of its Community Health Needs Assessment Report available upon request. The Hospital will also make a paper copy of the Community Health Needs Assessment Report available for public inspection at the Hospital facility.
Facility 8 -- FH Heartland Medical Center 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.Each of the filing organization's hospital facilities adopted its initial Community Health Needs Assessment by 12/31/13 and was in the process of developing its community health needs implementation strategy. The filing organization's implementation strategy will be documented in a written report called the "Community Health Plan". The Community Health Plan (CHP) will describe how the filing organization's hospital plans to meet its identified prioritized health needs or will identify the health need as one the filing organization's hospital does not intend to specifically address and provide an explanation as to why the filing organization's hospital does not intend to address that health need. In accordance with Proposed Regulation Section 1.501(r)-3(e)(2), each of the filing organization's hospital's CHP will be adopted no later than May 15, 2014.
Facility 8 -- FH Heartland Medical Center Part V, Section B, line 7:	Florida Hospital Heartland in Sebring and Florida Hospital Lake Placid (the FHH Hospitals) established a Community Health Needs Assessment Committee (CHNAC) to review and analyze primary and secondary data collected and to formulate determinations of the top health needs of their communities. The CHNAC worked with community partners consisting of the local Health Department, Samaritan's Touch Clinic and the Community Health Improvement Planning Committee. Health needs priorities were based upon each identified health need's severity, the scope of the need, the FHH Hospitals' ability to address the need, and other community resources that may be already addressing the health issue. The health need priority selection process resulted in the identification of the following top 12 focus areas: 1) Access to healthcare; 2) Medical home shortage; 3) Cancer; 4) Heart disease and stroke; 5) Motor vehicle deaths; 6) Diabetes; 7) Chronic lower respiratory disease; 8) Need for health promotion; 9) HIV/AIDS; 10) Pregnancy, prenatal care and newborn care; 11) Pediatric services; and 12) Mental health/substance abuse.The CHNAC recognized that while all 12 issues impact the health of the FHH Hospitals' communities, it was important to focus on specific areas of impact over a defined period of time if sustainable change is to be accomplished. Final priority selection resulted in the selection of the following four key priorities for the FHH Hospitals:* Cancer* Heart disease and stroke* Diabetes* Access to healthcareThe following identified health needs were not selected for top priority based on the following:* Medical home shortage, pregnancy, prenatal care and newborn care: These issues will be addressed though efforts to address access to healthcare.* Motor vehicle deaths, chronic lower respiratory disease, HIV/AIDS and mental health/substance abuse: There are already other advocacies and organizations in place to address these issues.* Need for health promotion: This issue will be addressed through efforts to address diabetes.* Pediatric services: There are internal efforts in place to update the existing pediatric unit.
Facility 8 -- FH Heartland Medical Center Part V, Section B, line 14g:	The filing organization has developed a patient-friendly summary version of its financial assistance policy (FAP). The filing organization's FAP provides that each of its hospital facilities will post the patient-friendly summary version of its FAP on the Hospital's website. In addition, the FAP of each of the Hospital facilities 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 8 -- FH Heartland Medical Center 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 10 -- Florida Hospital Apopka Part V, Section B, line 3:	Florida Hospital (FH) is a 2,409 bed medical complex in Central Florida with seven separate hospital campuses. FH serves the residents of Central Florida (primarily serving the residents of Orange, Osceola, Seminole and Lake Counties) but also draws patients from other parts of the Southeastern United States, the Caribbean and South America. The 7-campus hospital health system is the largest healthcare provider in Central Florida and the nation's largest Medicare provider with FH being the second largest employer in the area. All of the seven campuses of FH operate under a single hospital license. The Florida Hospital Apopka (FHAP) campus is a 50-bed acute-care community hospital located in Apopka, Florida. In 2012, FHAP cared for nearly 60,000 patients, including 35,709 emergency cases, 16,301 outpatient visits, and 2,974 inpatient visits. Services offered by Florida Hospital Apopka include but are not limited to: rehabilitation services; intensive and progressive care units; 50 acute care beds; a 24-hour emergency department; imaging services; a women's diagnostic center; home health services; cardiac diagnosis services; and a sleep lab. Services not provided at Florida Hospital Apopka are provided at other campuses and ground and air transportation are available to ensure all patients can access the appropriate level of care.Florida Hospital (all campuses) conducted its 2013 Community Health Needs Assessment (CHNA) in two parts: a regional health needs assessment for Orange, Seminole and Osceola Counties in Central Florida, followed by separate assessments focused on and tailored to each of the seven campuses of FH. Three not-for-profit clinical hospitals within Central Florida, namely FH, Orlando Health, and Lakeside Behavioral Health, together with the Florida Department of Health in Orange County, collaborated to conduct the regional tri-county health needs assessment. This was the first ever multi-hospital, public health department joint community health needs assessment. These four organizations also collaborated with other community agencies under the umbrellas of "Healthy Orange Florida" in Orange County, "Healthy Seminole" in Seminole County, and "Community Vision" in Osceola County. Healthy Seminole is an 81-member affiliation of representatives from FH, local government, social service, and educational organizations within Seminole County. The Health Council of East Central Florida, Inc. (the Health Council), a regional quasi-government health planning agency, was contracted with to assist with data collection and analysis. The Health Council conducted over 70 key stakeholder interviews with individuals representing the broad interests of the tri-county area. Key stakeholders for the tri-county assessment included individuals with special knowledge of or interest in public health (i.e., health departments); individuals/organizations serving or representing the interests of medically underserved, low-income, and minority populations; persons who represented the broad interests of residents served by the hospitals; and individuals representing large employers and employee interests. A total of 72 stakeholders representing 44 social service and health care organizations were interviewed and completed a questionnaire aimed at identifying health barriers, assets, resources, and needs within the region. As a part of its efforts to ensure broad community-based input into the CHNA process, FH formed a Community Health Needs Assessment Committee (CHNAC). The CHNAC was comprised of external community members/stakeholders and senior FH leaders. The community members in particular provided strong representation of low-income, minority and underserved populations. Listed below are several examples of community organizations represented on the CHNAC: * Hebni Nutrition Consultant a nutritionist who works in the local African American community;* The University of Central Florida School of Medicine primary care physician training;* Winter Park Health Foundation a local non-profit organization that develops and funds school health and older adult programs; * Orange County Public Schools serves children of all ages and ethnicities, including those who are homeless and/or eligible for free or reduced lunch programs; and * Gracia Anderson Foundation a local non-profit organization that funds social service projects.
Facility 10 -- Florida Hospital Apopka Part V, Section B, line 4:	The filing organization collaborated with two other not-for-profit hospitals, namely Orlando Health and Lakeside Behavioral Health, to create a Community Health Needs Assessment for Orange, Osceola, and Seminole Counties. The Community Health Needs Assessment describes the health of Central Floridians for the purpose of planning interventions relevant to the community.
Facility 10 -- Florida Hospital Apopka Part V, Section B, line 5d:	The Hospital has adopted a policy that addresses the public posting requirements of the Community Health Needs Assessment. Under this policy, the Community Health Needs Assessment Report must be posted on the Hospital's website by the end of the year in which it is conducted. The Hospital will make a copy of its Community Health Needs Assessment Report available upon request. The Hospital will also make a paper copy of the Community Health Needs Assessment Report available for public inspection at the Hospital facility.
Facility 10 -- Florida Hospital Apopka 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.Each of the filing organization's hospital facilities adopted its initial Community Health Needs Assessment by 12/31/13 and was in the process of developing its community health needs implementation strategy. The filing organization's implementation strategy will be documented in a written report called the "Community Health Plan". The Community Health Plan (CHP) will describe how the filing organization's hospital plans to meet its identified prioritized health needs or will identify the health need as one the filing organization's hospital does not intend to specifically address and provide an explanation as to why the filing organization's hospital does not intend to address that health need. In accordance with Proposed Regulation Section 1.501(r)-3(e)(2), each of the filing organization's hospital's CHP will be adopted no later than May 15, 2014.
Facility 10 -- Florida Hospital Apopka Part V, Section B, line 7:	As described in our response to Schedule H, Part V, Section B, line 3, Florida Hospital (FH) formed a Community Health Needs Assessment Committee (CHNAC) to review primary and secondary data collected by the tri-county assessment. The tri-county data, hospital utilization data, and stakeholder interviews were reviewed and analyzed by each of the FH campus committees and the CHNAC. Each FH hospital campus established a campus-specific committee to review data and to determine campus health need priorities based on the intensity of the need, current community initiatives addressing the health need, FH's capacity to impact the issue, and the opportunity for collaboration with other hospitals and community partners. The CHNAC and each local hospital campus committee used a decision tree process to review identified health issues and assist in the priority selection process. This process resulted in 14 areas of health concern in Orange County. These 14 prioritized health needs were: 1) Diabetes; 2) Heart Disease; 3) Cancer; 4) Maternal and child health; 5) Sexually transmitted diseases; 6) Substance abuse; 7) Mental health; 8) Violent crime; 9) Single parent households; 10) Motor vehicle collisions; 11) Health literacy; 12) Chronic Disease Management; 13) Obesity; and 14) Access to healthcare. The Florida Hospital Apopka local hospital campus committee recognized that while all 14 issues impact the health of the campus hospital's community, it was important to focus on specific areas of impact over a defined period of time if sustainable change is to be accomplished. Final priority selection resulted in the following two key priorities for Florida Hospital Apopka:* Obesity* Chronic Disease ManagementThe following identified health needs were not selected for top priority based on the following: * Diabetes, heart disease, and cancer - As obesity is a contributing factor to these three chronic diseases; a reduction in obesity should contribute to a reduction in complications due to these chronic diseases and have the potential to delay or eradicate the onset of diabetes, heart disease, or cancer. * Maternal and child health, sexually transmitted diseases, substance abuse, and mental health - The FH Apopka campus does not currently have service lines in these areas. Plans are in place to continue to work with other local agencies and community based organizations to promote these programs.* Violent crime, single parent households, and motor vehicle collisions - These priorities are not core competencies of Florida Hospital Apopka. However, FH Apopka will continue to support the efforts of local law enforcement agencies, organizations like Harbor House of Central Florida, and other organizations that are committed to community mobilization, education, and support services.* Health literacy and access to care - The principle of health literacy is embedded into FH Apopka's chronic disease self-management program efforts as we seek to educate the community on health resources. FH Apopka also aims to strengthen the relationship with Community Health Centers, a Federally Qualified Health Center (FQHC) in Apopka that offers primary care, dental and obstetric service.
Facility 10 -- Florida Hospital Apopka Part V, Section B, line 14g:	The filing organization has developed a patient-friendly summary version of its financial assistance policy (FAP). The filing organization's FAP provides that each of its hospital facilities will post the patient-friendly summary version of its FAP on the Hospital's website. In addition, the FAP of each of the Hospital facilities 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 10 -- Florida Hospital Apopka 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 11 -- FH Heartland Medical Center Lake Placid Part V, Section B, line 3:	Florida Hospital Heartland in Sebring and Florida Hospital Lake Placid (the FHH Hospitals), located in Highlands County, Florida, operate under a single hospital license. Collectively, these two hospitals serve the residents of Highlands County, which includes the cities of Sebring, Lake Placid and Avon Park. Highlands County has an estimated population of 102,000 permanent residents, with an approximate increase of an additional 35,000 seasonal residents during the winter months. Highlands County's residents comprised the fifth-oldest population in the US in 2012. Florida Hospital Heartland in Sebring and Florida Hospital Lake Placid conducted a joint Community Health Needs Assessment (CHNA) in 2013. The CHNA was conducted through a collaborative community health needs assessment process that included the Highlands County Health Department, the Community Health Improvement Planning Committee (CHIP) of Highlands County, Samaritan's Touch free clinics in Sebring, the Highlands County Rural Health Network, Highlands Regional Medical Center, and Central Florida Health Care (a federally qualified health center). The CHNA process included the collection of both primary and secondary data. Primary data consisted of community surveys and direct stakeholder input, particularly with respect to representatives from the CHIC Committee. With respect to the process of gathering and analyzing both primary and secondary health needs assessment data, the collaborative team relied significantly on the CHIP Committee due to its broad representation of the communities served by the FHH Hospitals. The CHIPS Committee is composed of a number of representatives from organizations that serve the medically underserved, low-income populations and those with chronic disease needs. Among others, the following organizations were represented on the CHIC Committee:Highlands County Department of Health;Tri-County Human Services;Salvation Army;Florida Department of Health;Healthy Start Coalition;Children's Services Council; andHeartland Rural Health Network. The CHIP members represent public health, the broad community and people who are low-income, minorities or otherwise undeserved. Their mission is to improve the health of communities through education and the promotion of healthy lifestyles; build partnerships to maximize resources; and provide access to quality health care to all of the people in Highlands County regardless of ability to pay. The FHH Hospitals also established a Community Health Needs Assessment Committee (CHNAC) to analyze the health data collected and prioritize key issues for the FHH Hospitals to address.
Facility 11 -- FH Heartland Medical Center Lake Placid Part V, Section B, line 4:	Florida Hospital Heartland in Sebring and Florida Hospital Lake Placid conducted a joint Community Health Needs Assessment (CHNA) in 2013. The CHNA was conducted through a collaborative community needs assessment process with the hospitals, Highlands County Health Department, the Community Health Improvement Planning Committee (CHIP) of Highlands County, Samaritan's Touch free clinics in Sebring, the Highlands County Rural Health Network, Highlands Regional Medical Center, and Central Florida Health Care (a federally qualified health center).
Facility 11 -- FH Heartland Medical Center Lake Placid Part V, Section B, line 5d:	The Hospital has adopted a policy that addresses the public posting requirements of the Community Health Needs Assessment. Under this policy, the Community Health Needs Assessment Report must be posted on the Hospital's website by the end of the year in which it is conducted. The Hospital will make a copy of its Community Health Needs Assessment Report available upon request. The Hospital will also make a paper copy of the Community Health Needs Assessment Report available for public inspection at the Hospital facility.
Facility 11 -- FH Heartland Medical Center Lake Placid 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.Each of the filing organization's hospital facilities adopted its initial Community Health Needs Assessment by 12/31/13 and was in the process of developing its community health needs implementation strategy. The filing organization's implementation strategy will be documented in a written report called the "Community Health Plan". The Community Health Plan (CHP) will describe how the filing organization's hospital plans to meet its identified prioritized health needs or will identify the health need as one the filing organization's hospital does not intend to specifically address and provide an explanation as to why the filing organization's hospital does not intend to address that health need. In accordance with Proposed Regulation Section 1.501(r)-3(e)(2), each of the filing organization's hospital's CHP will be adopted no later than May 15, 2014.
Facility 11 -- FH Heartland Medical Center Lake Placid Part V, Section B, line 7:	Florida Hospital Heartland in Sebring and Florida Hospital Lake Placid (the FHH Hospitals) established a Community Health Needs Assessment Committee (CHNAC) to review and analyze primary and secondary data collected and to formulate determinations of the top health needs of their communities. The CHNAC worked with community partners consisting of the local Health Department, Samaritan's Touch Clinic and the Community Health Improvement Planning Committee. Health needs priorities were based upon each identified health need's severity, the scope of the need, the FHH Hospitals' ability to address the need, and other community resources that may be already addressing the health issue. The health need priority selection process resulted in the identification of the following top 12 focus areas: 1) Access to healthcare; 2) Medical home shortage; 3) Cancer; 4) Heart disease and stroke; 5) Motor vehicle deaths; 6) Diabetes; 7) Chronic lower respiratory disease; 8) Need for health promotion; 9) HIV/AIDS; 10) Pregnancy, prenatal care and newborn care; 11) Pediatric services; and 12) Mental health/substance abuse.The CHNAC recognized that while all 12 issues impact the health of the FHH Hospitals' communities, it was important to focus on specific areas of impact over a defined period of time if sustainable change is to be accomplished. Final priority selection resulted in the selection of the following four key priorities for the FHH Hospitals:* Cancer* Heart disease and stroke* Diabetes* Access to healthcareThe following identified health needs were not selected for top priority based on the following:* Medical home shortage, pregnancy, prenatal care and newborn care: These issues will be addressed though efforts to address access to healthcare.* Motor vehicle deaths, chronic lower respiratory disease, HIV/AIDS and mental health/substance abuse: There are already other advocacies and organizations in place to address these issues.* Need for health promotion: This issue will be addressed through efforts to address diabetes.* Pediatric services: There are internal efforts in place to update the existing pediatric unit.
Facility 11 -- FH Heartland Medical Center Lake Placid Part V, Section B, line 14g:	The filing organization has developed a patient-friendly summary version of its financial assistance policy (FAP). The filing organization's FAP provides that each of its hospital facilities will post the patient-friendly summary version of its FAP on the Hospital's website. In addition, the FAP of each of the Hospital facilities 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 11 -- FH Heartland Medical Center Lake Placid 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.
Part V, Section B	Facility Reporting Group B
Facility Reporting Group B consists of:	- Facility 9: Central Texas Medical Center, - Facility 12: Florida Hospital Wauchula
Facility 9 -- Central Texas Medical Center Part V, Section B, line 3:	Central Texas Medical Center (CTMC) is a 178-bed community hospital providing a wide range of complex healthcare services located in San Marcos, Texas. CTMC is one of two hospitals in Hays County and provides a wide range of healthcare services. CTMC's primary service area is identified as the cities of Lockhart, San Marcos, Kyle and Wimberley. The secondary service area is Hays County (location of the cities of San Marcos, Kyle and Wimberley) and Caldwell County (location of the city of Lockhart). Caldwell County is served by one critical access hospital. While the demographics of Hays and Caldwell counties are similar, the cities located in CTMC's primary service area (San Marcos, Kyle, Lockhart and Wimberley) are quite diverse. Wide variations exist in the median household income, percentage of residents below the Federal Poverty Level, ethnicity and education. In conducting its 2013 Community Health Needs Assessment (CHNA), CTMC solicited input from numerous stakeholders from throughout Hays and Caldwell Counties in an effort to gain a thorough understanding of the unique health needs in its primary and secondary service area. Stakeholder organizations were identified as such because they provide resources and/or programs that promote or enhance the health needs of residents in the primary and secondary service areas. Primary data was gathered through interviews and surveys. The goal of this process was to distinguish prevalent health issues impacting residents in the primary and secondary service areas, identify community programs and/or services currently being offered to address the health needs of the population, and recognize gaps that prohibited or limited access to services or disrupt the continuity of care. Many of these organizations offer services that specifically target low-income populations, minority populations, the medically underserved or those with chronic disease needs. As a part of its efforts to ensure broad community-based input into the CHNA process, CTMC established a Community Health Needs Assessment Committee (CHNAC). The CTMC Community Health Needs Assessment Committee is comprised of individuals who represent multiple communities and embody diverse community programs, services and organizations. Each member not only brings a rich understanding of the primary and secondary service areas but are also "subject matter experts" in a variety of areas including public health, mental health, government, education, non-profit, agencies/advocacy groups, faith-based organizations, and the medical community. Community members of the CHNAC represented the following organizations: * Hays County Health Department; * Healthy Communities Collaborative;* Texas State University - San Marcos;* Faith Community Nurses of Hays County (FCNOHC); * San Marcos Consolidated Independent School District (SMCISD); * Women, Infants and Children (WIC) Program; * San Marcos City Council; * Hays County Commissioners Court;* Area Agency on Aging of the Capital Area;;* Schieb (Mental Health Services);* Community Action, Inc. (CAI); * Wimberley EMS; and * Live Oak Health Partners.
Facility 9 -- Central Texas Medical Center Part V, Section B, line 5d:	The Hospital has adopted a policy that addresses the public posting requirements of the Community Health Needs Assessment. Under this policy, the Community Health Needs Assessment Report must be posted on the Hospital's website by the end of the year in which it is conducted. The Hospital will make a copy of its Community Health Needs Assessment Report available upon request. The Hospital will also make a paper copy of the Community Health Needs Assessment Report available for public inspection at the Hospital facility.
Facility 9 -- Central Texas Medical Center 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.Each of the filing organization's hospital facilities adopted its initial Community Health Needs Assessment by 12/31/13 and was in the process of developing its community health needs implementation strategy. The filing organization's implementation strategy will be documented in a written report called the "Community Health Plan". The Community Health Plan (CHP) will describe how the filing organization's hospital plans to meet its identified prioritized health needs or will identify the health need as one the filing organization's hospital does not intend to specifically address and provide an explanation as to why the filing organization's hospital does not intend to address that health need. In accordance with Proposed Regulation Section 1.501(r)-3(e)(2), each of the filing organization's hospital's CHP will be adopted no later than May 15, 2014.
Facility 9 -- Central Texas Medical Center Part V, Section B, line 7:	CTMC formed a Community Health Needs Assessment Committee (CHNAC) to review primary and secondary data collected and to formulate the determination of health priorities using a systematic approach that relied heavily on a decision tree priority selection process. The decision tree format assisted the CHNAC in focusing on those needs that CTMC would have the ability to influence through the implementation or expansion of programs, services, or other actions, and that may be the focus of other community resources/organizations that may be already addressing the need in some way. The CHNAC used a Priority Selection Report tool to assist in the review of data collected and prioritization of the top areas of significant community need for CTMC's community. The top needs identified included: * Improved healthcare access for uninsured, low-income adults; * Timely access to healthcare professionals, especially primary care physicians and mental health professionals; * Health promotion programs emphasizing the value of making healthier lifestyle choices; * Disease prevention and treatment programs focused on cardiovascular disease, diabetes, and cancer; * Respiratory disorders; * Limited transportation resources, especially transportation for healthcare services; and * Teen pregnancy prevention and support services. After careful review and consideration, it was determined that CTMC has the resources and infrastructures to most effectively address the following (in order of priority): * Accessing the right level of care, in the right setting, at the right time: rate of uninsured; * Timely access (including afterhours care) to Healthcare Professionals, especially primary care; accessing care close to home when care is needed; * Healthier management of lifestyle/making good choices in the areas of nutrition, weight management, exercise, smoking, alcohol use and sexually transmitted infections (STIs); * Prevalence and/or enhanced outpatient management of heart disease/congestive heart failure (CHF) and related conditions/risk factors such as hypertension; and* Prevalence and/or enhanced outpatient management of diabetes; programs to address anticipated growth of diabetes and related conditions; Through a Community Health Plan, CTMC will develop several desired or expected outcomes for each of the selected priorities, evaluate how current services could be expanded or improved to meet targeted outcomes and/or envision potential new projects that will address the identified needs. Projects will be vetted and finalized; quantifiable goals will be established along with tracking mechanisms to record progress and achievement of defined outcomes. The following identified health needs were not selected for top priority based on the following:* Prevalence of Respiratory Disorders including asthma and COPD and access to programs/services that reduce "rescue care". CTMC does not currently have the infrastructure to support programs that focus on respiratory diseases. * Timely access to local Mental Health Services including treatment for substance abuse. CTMC did not select this identified health need as a priority as there are other community programs that are already addressing this need through other agencies in the community. Nor does CTMC have the expertise or professional staff to address mental health services. Currently, all patients that present at CTMC with behavioral health conditions, including substance abuse, are transferred to another facility once medically stabilized * Prevalence of some cancer-related conditions and timely access to screening services and treatment. CTMC offers screening and related services specifically for breast cancer however CTMC does not offer clinical programs necessary for the treatment of cancer including oncology and radiation services. CTMC will continue to support community screening programs, especially breast cancer screening. * Limited transportation resources, especially transportation for healthcare and related services. CTMC does not have the infrastructure to address transportation needs that are prevalent throughout the counties we serve. A future goal would be to design targeted healthcare services that are offered in satellite locations throughout the service area to make access to care closer to home and lessen reliance on transportation services. * Reduced Teen Pregnancy Rates; support services including healthcare for pregnant teens. CTMC has a very robust obstetrics program including a neonatal ICU. Teen mothers frequently access these services. CTMC also offers free childbirth education services including breastfeeding/lactation consultation but will rely on other community programs to fully address this need.
Facility 9 -- Central Texas Medical Center Part V, Section B, line 14g:	The filing organization has developed a patient-friendly summary version of its financial assistance policy (FAP). The filing organization's FAP provides that each of its hospital facilities will post the patient-friendly summary version of its FAP on the Hospital's website. In addition, the FAP of each of the Hospital facilities 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 9 -- Central Texas Medical Center 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 12 -- Florida Hospital Wauchula Part V, Section B, line 3:	Florida Hospital Wauchula (FHW) is a 25-bed hospital specializing in emergency and outpatient care located in Hardee County, Florida. Florida Hospital Wauchula opened in 1993, a year after the closing of Hardee County's only (other) hospital. Since then, not only has FHW set the pace for healthcare in Hardee County, in 2000 it also became the first Critical Access Hospital (CAH) in the State of Florida. To be designated as a CAH in Florida, a hospital must be located in a rural area and be at least 35 miles from the nearest other hospital. Hardee County is a socio-economically disadvantaged, rural, agricultural county that is also designated as a health professional shortage area by the US Department of Health and Human Services. To ensure that input was solicited from the medically underserved, low-income and minority populations, FHW gathered input from a number of key stakeholder organizations in the community. Input was gathered from the Hardee County Primary Health Care Network, a public/private partnership that provides health care to the working poor. The Hardee County Primary Health Care Network includes Central Florida Health Care, a federally qualified health care center, the Hardee County Health Department, Pioneer Medical Center, FHW, and a pharmacy. The Network provides services to Hardee County residents who have no insurance or are not eligible for Medicare, Medicaid, or other government programs. FHW also gathered input from other key stakeholder organizations/agencies including the Hardee County Health Department and Central Florida Health Care. As noted above, Central Florida Health Care is a federally qualified health care center and provides services to everyone in the community, including undocumented and other underserved populations. Over 51% of the Board of Central Florida Health Care is comprised of clinic users. Florida Hospital Wauchula also established a Community Health Needs Assessment Committee (CHNAC). Input was solicited from all members of the CHNAC. The CHNAC was comprised of community representatives and members of the Florida Hospital Wauchula Board.
Facility 12 -- Florida Hospital Wauchula Part V, Section B, line 5d:	The Hospital has adopted a policy that addresses the public posting requirements of the Community Health Needs Assessment. Under this policy, the Community Health Needs Assessment Report must be posted on the Hospital's website by the end of the year in which it is conducted. The Hospital will make a copy of its Community Health Needs Assessment Report available upon request. The Hospital will also make a paper copy of the Community Health Needs Assessment Report available for public inspection at the Hospital facility.
Facility 12 -- Florida Hospital Wauchula 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.Each of the filing organization's hospital facilities adopted its initial Community Health Needs Assessment by 12/31/13 and was in the process of developing its community health needs implementation strategy. The filing organization's implementation strategy will be documented in a written report called the "Community Health Plan". The Community Health Plan (CHP) will describe how the filing organization's hospital plans to meet its identified prioritized health needs or will identify the health need as one the filing organization's hospital does not intend to specifically address and provide an explanation as to why the filing organization's hospital does not intend to address that health need. In accordance with Proposed Regulation Section 1.501(r)-3(e)(2), each of the filing organization's hospital's CHP will be adopted no later than May 15, 2014.
Facility 12 -- Florida Hospital Wauchula Part V, Section B, line 7:	Florida Hospital Wauchula (FHW) established a Community Health Needs Assessment Committee (CHNAC) to review and analyze primary and secondary data collected and to formulate determinations of the top health needs of its community. Health needs priorities were based upon each identified health need's severity, the scope of the need, the FHW's ability to address the need, and other community resources that may be already addressing the health issue. The health need priority selection process resulted in the identification of the following top 12 focus areas: 1) Access to health care & medical home; 2) Cancer; 3) Heart disease and stroke; 4) Motor vehicle deaths; 5) Diabetes; 6) Chronic lower respiratory disease; 7) Health promotion; 8) HIV/AIDS; 9) Pregnancy/prenatal care/newborn; 10) Mental health/substance abuse; 11) Immunizations numbers; 12) Dental care.The CHNAC recognized that while all 12 issues impact the health of FHW's community, it was important to focus on specific areas of impact over a defined period of time if sustainable change is to be accomplished. Final priority selection resulted in the selection of the following four key priorities for Florida Hospital Wauchula:* Cancer* Diabetes* Heart disease and stroke* Access to healthcare & medical homeThe following identified health needs were not selected for top priority based on the following:* Motor vehicle deaths, chronic lower respiratory disease, HIV/AIDS, pregnancy/prenatal care/newborn, pediatric services, mental health/substance abuse and immunizations: There are already other advocacies and organizations in place to address these issues.* Health promotion: This issue will be addressed through efforts to address diabetes.* Dental care: This issue will be addressed though efforts to address access to healthcare.
Facility 12 -- Florida Hospital Wauchula Part V, Section B, line 14g:	The filing organization has developed a patient-friendly summary version of its financial assistance policy (FAP). The filing organization's FAP provides that each of its hospital facilities will post the patient-friendly summary version of its FAP on the Hospital's website. In addition, the FAP of each of the Hospital facilities 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 12 -- Florida Hospital Wauchula 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.
Part V, Section B, Line 5a	Each hospital facility's CHNA report was made widely available through the following websites:Facility 1 -- Florida Hospital Orlandohttps://www.floridahospital.com/sites/default/files/florida_hospital_orlando_-_2013_chna.pdfFacility 2 -- Florida Hospital Celebration Healthhttps://www.floridahospital.com/sites/default/files/florida_hospital_celebration_health_-_2013_chna.pdfFacility 3 -- Florida Hospital Altamontehttps://www.floridahospital.com/sites/default/files/florida_hospital_altamonte_-_2013_chna_0.pdfFacility 4 -- Florida Hospital East Orlandohttps://www.floridahospital.com/sites/default/files/florida_hospital_east_orlando_-_2013_chna.pdfFacility 5 -- Winter Park Memorial Hospitalhttps://www.floridahospital.com/sites/default/files/florida_hospital_winter_park_memorial_-_2013_chna.pdfFacility 6 -- Adventist La Grange Memorial Hospitalhttp://www.keepingyouwell.com/Portals/33/docs/Community%20Benefits/Adventist%20La%20Grange%20Hospital%202013%20CHNA.pdfFacility 7 -- Florida Hospital Kissimmeehttps://www.floridahospital.com/sites/default/files/florida_hospital_kissimmee_-_2013_chna.pdfFacility 8 -- FH Heartland Medical Centerhttps://www.floridahospital.com/sites/default/files/pdf/florida_hospital_heartland_2013_chna.pdfFacility 9 -- Central Texas Medical Centerhttp://www.ctmc.org/Portals/7/docs/Community%20Benefits/CTMC%20CHNA%202013.pdfFacility 10 -- Florida Hospital Apopkahttps://www.floridahospital.com/sites/default/files/florida_hospital_apopka_-_2013_chna.pdfFacility 11 -- FH Heartland Medical Center Lake Placidhttps://www.floridahospital.com/sites/default/files/pdf/florida_hospital_lake_placid_2013_chna.pdfFacility 12 -- Florida Hospital Wauchulahttps://www.floridahospital.com/sites/default/files/pdf/florida_hospital_wauchula_-_2013_chna.pdf

Field	Value	IRS element (for citing)
Facility	136	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (136 entries)

Address Line1USAddress/AddressLine1	CityUSAddress/City	StateUSAddress/State	ZIP CodeUSAddress/ZIPCode	FacilityFacilityTxt	Address Line2USAddress/AddressLine2
Florida Hospital Cancer Institute
2501 N Orange Avenue Suites 139 181	Orlando	FL	32804	Cancer Center
Florida Hospital Orlando Pathology Lab
2855 N Orange Avenue	Orlando	FL	32803	Lab Services
Florida Hospital Rehabilitation and Spor
5165 Adanson Street	Orlando	FL	32804	Therapy Center
Florida Hospital Cancer Institute - Kiss
1300 West Oak Street	Kissimmee	FL	34741	Cancer Center
Florida Hospital Cancer Care Center
2100 Glenwood Drive	Winter Park	FL	32792	Radiation Oncology
Family Health East Orlando Women's Pavil
7975 Lake Underhill Road Suite 100	Orlando	FL	32822	Women's Health Clinic
Florida Hospital Kidney Stone Center
2501 N Orange Avenue Suite 121	Orlando	FL	32804	Outpatient Services
Florida Hospital Altamonte Imaging Cente
661 E Altamonte Drive Suite 112	Altamonte Springs	FL	32701	MRI/CT
Florida Hospital Altamonte Ambulatory Su
661 E Altamonte Drive Suite 110	Altamonte Springs	FL	32701	Outpatient Surgery Center
Florida Hospital Altamonte Medical Plaza
661 E Altamonte Drive Suite 110 112	Altamonte Springs	FL	32701	Physician Clinics
Florida Hospital Medical Plaza
2501 N Orange Avenue	Orlando	FL	32804	Physician Clinics
Florida Hospital Center for Behavioral H
501 E King Street 1st Floor	Orlando	FL	32803	Med/Psych
Florida Hospital Transplant Center
2415 N Orange Avenue Suite 700	Orlando	FL	32804	Organ Tissue/Transplant Center
FRi Princeton
235 E Princeton Street Suite 100	Orlando	FL	32804	Imaging Center
Florida Hospital Advanced Nuclear Imagin
328 Spruce Street	Orlando	FL	32803	Radiology Services
Florida Hospital Surgery Center East Or
258 S Chickasaw Trail Suite 100	Orlando	FL	32825	Outpatient Surgery
Florida Hospital Celebration Health Outp
410 Celebration Place Suite 408	Celebration	FL	34747	Outpatient Surgery Center
Loch Haven OBGyn Group
235 E Princeton Street Suite 200	Orlando	FL	32804	Physician Clinics
FHCC - Lake Buena Vista #2
12500 S Apopka Vineland Rd	Orlando	FL	32836	Urgent care Clinic
Florida Hospital Gamma Knife
2501 N Orange Ave Suite 101 S	Orlando	FL	32804	Gamma Knife
FRi Lake Mary
775 Primera Blvd Suite 1031	Lake Mary	FL	32746	Imaging Center
Adventist Paulson Rehab - Willowbrook
619 Plainfield Road	Willowbrook	IL	60521	Rehabilitation Center
Florida Hospital Altamonte Imaging Cente
894 E Altamonte Drive Suite 1100	Altamonte Springs	FL	32701	Radiology Services
FHHMC Cardiology Associates
4638 Sun n Lake Blvd	Sebring	FL	33872	Outpatient Phys Clinic
Florida Hospital Rehabilitation & Sports
8701 Maitland Summit Blvd	Orlando	FL	32810	Therapy Center
Surgical Center at Sun N' Lake LLC
4240 Sun n Lake Blvd	Sebring	FL	33872	Outpatient Surgery
Florida Hospital Altamonte Pain Medicine
711 East Altamonte Drive Suite 100	Altamonte Springs	FL	32701	Pain Medicine
Florida Hospital Rehabilitation & Sports
7975 Lake Underhill Road Suite 345	Orlando	FL	32822	Therapy Center
Florida Hospital Center for Thrombosis
2566 Lee Road	Winter Park	FL	32789	Thrombosis Center
Central Texas Ambulatory Endoscopy
1303 Wonder World Dr	San Marcos	TX	78666	Endoscopy Services
FHCC - SANFORD
4451 West 1st Street	Sanford	FL	32771	Urgent care Clinic
FHCC - WATERFORD
250 N Alafaya Trail Suite 135	Orlando	FL	32825	Urgent care Clinic
Winter Park Memorial Hospital Women's Ce
1925 Mizell Ave Suites 105 107	Winter Park	FL	32792	Women's Health Clinic, Imaging
FRi Oviedo
8000 Red Bug Lake Road Suite 120	Oviedo	FL	32765	Imaging Center
Florida Hospital Altamonte Mammography C
661 E Altamonte Drive Suite 130	Altamonte Springs	FL	32701	Imaging Center
FHCC - WINTER GARDEN
3005 Daniels Road	Winter Garden	FL	34787	Urgent care Clinic
FRi Waterford Lake
12301 Lake Underhill Rd Suite 113	Orlando	FL	32828	Imaging Center
FHCC - WINTER PARK
3099 Aloma Avenue	Winter Park	FL	32792	Urgent care Clinic
Family Health Center Winter Park
2950 Aloma Ave Suite 100	Winter Park	FL	32792	Physician Clinics, Medicine Specialists, Surgical Specialists
FHHMC SeaScape Imaging & Laboratory OP C
2950 Alt US 27 S	Sebring	FL	33870	Outpatient Imaging Center & Laboratory
FHCC - ORANGE LAKE
8201 W Irlo Bronson Highway	Kissimmee	FL	34747	Urgent care Clinic
FHCC - ALTAMONTE
440 W Highway 436	Altamonte Springs	FL	32714	Urgent care Clinic
CTMC Hospice
1315 IH 35 North	San Marcos	TX	78666	Hospice services
Florida Hospital Center for Sleep Disord
501 E King Street 2nd Floor	Orlando	FL	32803	Sleep Disorder Center
FHCC - LEE ROAD
2540 Lee Road	Winter Park	FL	32789	Urgent care Clinic
Florida Hospital Rehabilitation & Sports
711 E Altamonte Drive Suite 200	Altamonte Springs	FL	32701	Therapy Center
Adventist La Grange Family Medical Cente
5201 S Willow Springs Road Suite	La Grange	IL	60525	Family Medical Center	300
FHCC - DR PHILLIPS
8014 Conroy-Windermere Rd Suite 104	Orlando	FL	32835	Urgent care Clinic
La Grange Cancer Treatment Pavilion
1325 Memorial Dr	La Grange	IL	60525	Cancer Center/Wound Care Facility
FHCC - COLONIAL TOWN
630 North Bumby Ave	Orlando	FL	32803	Urgent care Clinic
FHCC - MT DORA
9015 US Highway 441	Mount Dora	FL	32757	Urgent care Clinic
FHHMC Center Priority Health Care
4200 Sun n Lake Blvd	Sebring	FL	33872	Outpatient Phys Clinic
FH Wauchula Pioneer Medical Center
515 Carlton Street	Wauchula	FL	33873	Outpatient Phys Clinic
FHCC - RDV
8701 Maitland Summit Blvd	Maitland	FL	32810	Urgent care Clinic
FHCC - HUNTERS CREEK
3293 Greenwald Way North	Kissimmee	FL	34741	Urgent care Clinic
FHCC - SAND LAKE
2301 Sand Lake Road	Orlando	FL	32809	Urgent care Clinic
FHCC - KISSIMMEE
4320 W Vine Street	Kissimmee	FL	34746	Urgent care Clinic
Florida Hospital Rehabilitation & Sports
8000 Red Bug Lake Road Suite 140	Oviedo	FL	32765	Therapy Center
FHCC - AZALEA PARK
509 S Semoran Blvd	Orlando	FL	32807	Urgent care Clinic
FHCC - OnsiteBusiness Health Services
901 N Lake Destiny Road Suite 400	Maitland	FL	32750	Onsite Services
FHCC - OVIEDO
8010 Red Bug Road	Oviedo	FL	32765	Urgent care Clinic
FHCC - CLERMONT
15701 State Road 50 Suite 101	Clermont	FL	34711	Urgent care Clinic
Florida Hospital Rehab and Sport Medicin
2005 Mizell Ave	Winter Park	FL	32792	Therapy Center
Medical Plaza - Florida Hospital Kissimm
2400 North Orange Blossom Trail	Kissimmee	FL	34744	Physician Clinics
FHCC - UNIVERSITY
11550 University Blvd	Orlando	FL	32817	Urgent care Clinic
Florida Hospital Rehab and Sports Medici
100 Waymont Court Suite 120	Lake Mary	FL	32746	Therapy & Hearing Center
Florida Hospital Sleep Disorder Center -
1925 Mizell Avenue Suite 200	Winter Park	FL	32792	Sleep Center
FHCC - LONGWOOD
855 S US Highway 17-92	Longwood	FL	32750	Urgent care Clinic
FHHMC Family Practice Center
1006 W Pleasant Street	Avon Park	FL	33825	Outpatient Phys Clinic
Family Health Center East
7975 Lake Underhill Road Suite 200	Orlando	FL	32822	Physician Clinics
Florida Hospital Rehabilitation & Sports
615 E Princeton St Suite 104	Orlando	FL	32803	Therapy Center
FHHMC Pulmonary and Critical Care Specia
4409 Sun n Lake Blvd Suite E	Sebring	FL	33872	Outpatient Phys Clinic
Florida Hospital Urology Surgery Center
1812 N Mills Ave	Orlando	FL	32803	Physician Clinics
FHHMC Interventional Cardiology
6325 US 27 North Suite 202	Sebring	FL	33872	Outpatient Phys Clinic
FHHMC Heartland Women's Health
37 Ryant Blvd	Sebring	FL	33870	Outpatient Phys Clinic
Florida Hospital Rehabilitation & Sports
201 Hilda Street Suite 12	Kissimmee	FL	34741	Therapy Center
San Marcos MRI LP
1330 Wonder World Dr	San Marcos	TX	78666	Imaging Services
FHCC - CONWAY
5810 S Semoran Blvd	Orlando	FL	32822	Urgent care Clinic
Celebration Hand Therapy
410 Celebration Place Suite 300	Celebration	FL	34747	Therapy Center
FHHMC Therapy Center
6325 US Hwy 27 N	Sebring	FL	33870	Outpatient Physical Therapy
Florida Hospital Rehabilitation & Sports
205 N Park Avenue Suite 110	Apopka	FL	32703	Therapy Center
Florida Hospital Diabetes Institute
2415 N Orange Ave Suite 501	Orlando	FL	32804	Diabetes
Eden Spa
2501 N Orange Ave Suite 186	Orlando	FL	32804	Therapy and other personal services
CTMC Rehab Services
1340 Wonder World Dr	San Marcos	TX	78666	OP Rehab Services
FHHMC Wound Care
4143 Sun N Lake Blvd	Sebring	FL	33872	Wound Care
Florida Hospital Rehabilitation & Sports
2520 N Orange Avenue Suite 100	Orlando	FL	32804	Therapy Center
FHHMC Women's Wellness Center Sebring
4240 Sun n Lake Blvd	Sebring	FL	33872	Outpatient Phys Clinic
Florida Hospital Rehabilitation and Spor
1603 S Hiawassee Road	Orlando	FL	32835	Therapy Center
FHHMC Highlands Surgical Associates
4301 Sun n Lake Blvd Suite 103	Sebring	FL	33872	Outpatient Phys Clinic
Florida Hospital Laboratory - Orlando
2501 N Orange Avenue Suite 370	Orlando	FL	32804	Lab Services
FHHMC Family Medicine Specialist & OP La
2315 US Highway 27 North	Avon Park	FL	33825	Outpatient Phys Clinic & Laboratory
CTMC Home Health
2007 Medical Parkway	San Marcos	TX	78666	Home Health services
FHHMC Sleep Lab
4301 Sun N Lake Blvd	Sebring	FL	33872	Sleep Lab
FHHMC Center for Infectious Disease
4409 Sun n Lake Blvd Suite E	Sebring	FL	33870	Outpatient Phys Clinic
FHHMC ENT Specialist
4325 Sun n Lake Blvd Suite 102	Sebring	FL	33872	Outpatient Phys Clinic
FHHMC Family Medicine Associates
5909 US Hway 27 N Ste 102	Sebring	FL	33870	Outpatient Phys Clinic
FHHMC Seascape Internal Medicine Sebring
2950 Alt US 27 South Suite B	Sebring	FL	33870	Outpatient Phys Clinic
FHHMC Therapy Center Lake Placid
1210 US 27 N	Lake Placid	FL	33852	Outpatient Physical Therapy
Darden Onsite
1000 Darden Center Drive	Orlando	FL	32837	Employer Onsite Clinic
FHHMC CareNow
4421 Sun n Lake Blvd Suite B	Sebring	FL	33872	Outpatient Phys Clinic
FHHMC Psychiatric Services
4023 Sun n Lake Blvd	Sebring	FL	33872	Outpatient Phys Clinic
Florida Hospital Sleep Disorder Center -
203 N Park Avenue Suite 106	Apopka	FL	32703	Sleep Center
FHHMC Urology Specialist
4215 Sun N Lake Blvd	Sebring	FL	33872	Outpatient Phys Clinic
FHHMC Priority Health Care
1210 US Highway 27 N	Lake Placid	FL	33852	Outpatient Phys Clinic
FH Wauchula The Therapy Center
1330 Hwy 17 S	Wauchula	FL	33873	Outpatient Physical Therapy
Florida Hospital Laboratory - Lucerne Te
1723 Lucerne Terrace	Orlando	FL	32806	Lab collection
FHHMC Internal Medicine Specialist
6801 US Hwy 27 North Suite B-2	Sebring	FL	33870	Outpatient Phys Clinic
FHHMC Highlands Surgical Associates Lake
1352 US 27 North	Lake Placid	FL	33852	Outpatient Phys Clinic
FHCC - WESLEY CHAPEL
5504 Gateway Boulevard	Wesley Chapel	FL	33544	Urgent care Clinic
FHHMC Psychiatric Services
1346 US Highway 27 S	Lake Placid	FL	33852	Outpatient Phys Clinic
FHHMC Family Care of Lake Placid
201 US Hway South	Lake Placid	FL	33852	Outpatient Phys Clinic
Siemens Onsite
4400 N Alafaya Trail MC Q1-240	Orlando	FL	32826	Employer Onsite Clinic
FHHMC Cardio-Pulmonary
4635 Sun N Lake Blvd	Sebring	FL	33872	Cardio Pulmonary Rehab
FH Wauchula Hardee Family Medicine
522 W Carlton Street	Wauchula	FL	33873	Outpatient Phys Clinic
Florida Hospital Laboratory - Altamonte
661 East Altamonte Drive Suite 131	Altamonte Springs	FL	32701	Lab Services
FHHMC Outpatient Laboratory
6801 US Hwy 27 N Suite C -1	Sebring	FL	33872	Outpatient Laboratory
Florida Hospital Laboratory - Palm Sprin
631 Palm Springs Drive Suite 113	Altamonte Springs	FL	32701	Lab collection
Florida Hospital Hearing Center East Or
7975 Lake Underhill Road Suite 300	Orlando	FL	32822	Hearing Center
Wyndham Onsite
6277 Sea Harbor Dr	Orlando	FL	32821	Employer Onsite Clinic
Florida Hospital Laboratory - Winter Par
1925 Mizell Ave Suite 100	Winter Park	FL	32792	Lab Services
FH Wauchula Sleep Lab & Wound Care
457 W Carlton St	Wauchula	FL	33873	Sleep Lab
FHHMC Gastroenterology & Women's Wellnes
1352 US 27 North	Lake Placid	FL	33852	Outpatient Phys Clinic
FHHMC Gastroenterology Center Sebring
4421 Sun n Lake Blvd Suite B	Sebring	FL	33872	Outpatient Phys Clinic
OCG Onsite
450 E South Street	Orlando	FL	32802	Employer Onsite Clinic
Center for Pediatric & Adolescent Medici
15502 Stoneybrook West Parkway	Winter Garden	FL	34787	Pediatric Center / Outpatient Services	Suite 2-
CTMC OP Lab and Radiology
151 Kirkham Circle	Kyle	TX	78640	OP lab, rehab & medical imaging
FHW Cardiology Associates
463 Carlton Street	Wauchula	FL	33873	Outpatient Phys Clinic
Florida Hospital Laboratory - Tavares
1769 David Walker Drive	Tavares	FL	32778	Lab collection
Waterman Onsite
1000 Waterman Way	Tavares	FL	32778	Employer Onsite Clinic
FHHMC Diabetes Center
4023 Sun N Lake	Sebring	FL	33872	Diabetes Center
FH Wauchula Womens Wellness Center
526 W Carlton Street	Wauchula	FL	33873	Outpatient Phys Clinic
FHHMC Family Medicine Center of Lake Pla
1352 US 27 North	Lake Placid	FL	33852	Outpatient Phys Clinic
FHHMC Neurology
4421 Sun n Lake Blvd Suite B	Sebring	FL	33872	Outpatient Phys Clinic
Florida Hospital Women's CenterLactatio
2520 N Orange Avenue Suite 103	Orlando	FL	32804	Lactation Center, Birthing Classes
Total Healthcare Management
1000 Universal Studios Plaza 3	Orlando	FL	32819	Employer Onsite Clinic
FHHMC Lake Placid Wound Care
1352 US Hwy 27 N	Lake Placid	FL	33852	Wound Care

Supplemental Information Detail SupplementalInformationDetail (16 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Part I, Line 6a:	The filing organization is a wholly owned subsidiary of Adventist Health System Sunbelt Healthcare Corporation (AHSSHC). 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 costs of community building activities reported on Part II of Schedule H primarily represent the costs associated with commercially sponsored research conducted by two of the organization's hospitals. These two hospitals participate in clinical drug and device research that is performed on patients who have a condition or disease for which the eventual commercial use of a drug or device is intended. This research is related to patient care and serves to expand scientific knowledge with respect to potential treatments and cures for various diseases and conditions.The remainder of the costs incurred stem from the hospitals' involvement in and support of various other community agencies in its service area that work collaboratively to help those in need and to improve the health and safety of the residents of the community. The organization's hospitals participate with a number of other community organizations to address the healthcare needs of the community. Both cash and in-kind donations are made annually to various local charitable organizations.
Part III, Line 2:	The amount of bad debt expense, reported on line 2 of Section A of Part III is recorded in accordance with Healthcare Financial Management Association Statement No. 15. Discounts and payments on patient accounts are recorded as adjustments to revenue, not bad debt expense.
Part III, Line 3:	Methodology for Determining the Estimated Amount of Bad Debt Expense that May Represent Patients who Could Have Qualified under the Filing Organization's 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.Rationale for Including a Medicare Shortfall as Community Benefit:As a 501(c)(3) organization, the filing organization provides emergency and non-elective care to all regardless of ability to pay. All hospital services are provided in a non-discriminatory manner to patients who are covered beneficiaries under the Medicare program. As a public insurance program, Medicare provides a pre-established reimbursement rate/amount to health care providers for the services they provide to patients. In some cases, the reimbursement amount provided to a hospital may exceed its costs of providing a particular service or services to a patient. In other cases, the Medicare reimbursement amount may result in the hospital experiencing a shortfall of reimbursement received over costs incurred. In those cases where an overall shortfall is generated for providing services to all Medicare patients, the shortfall amount should be considered as a benefit to the community. Tax-exempt hospitals are required to accept all Medicare patients regardless of the profitability, or lack thereof, with respect to the services they provide to Medicare patients. The population of individuals covered under the Medicare program is sufficiently large so that the provision of services to the population is a benefit to the community and relieves the burdens of government. In those situations where the provision of services to the total Medicare patient population of a tax-exempt hospital during any year results in a shortfall of reimbursement received over the cost of providing care, the tax-exempt hospital has provided a benefit to a class of persons broad enough to be considered a benefit to the community. Despite a financial shortfall, a tax-exempt hospital must and will continue to accept and care for Medicare patients. Typically, tax-exempt hospitals provide health care services based upon an assessment of the health care needs of their community as opposed to their taxable counterparts where profitability often drives decisions about patient care services that are offered. Patient care provided by tax-exempt hospitals that results in Medicare shortfalls should be considered as providing a benefit to the community and relieving the burdens of government.
Part III, Line 9b:	Collection Policies:At the time of patient registration, non-elective self-pay patients are informed of the minimum discount available under the filing organization's self-pay discount policy. Such patients are also informed of the filing organization's charity care policy and told that they will be required to submit necessary financial data in order to potentially receive any additional 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. However, if a patient does not make any payments for three consecutive months, the account may be referred for further collection activity. The filing organization does not pursue collection of amounts from patients determined to qualify for a 100% reduction in charges under its charity care 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 ServicesTo All Medicare Beneficiaries:The Medicare revenue and allowable costs of care reported in Section B of Part III of Schedule H are based upon the amounts reported in the filing organization's Medicare cost report in accordance with the IRS instructions for Schedule H. On an annual basis, the filing organization also determines its total unreimbursed costs associated with providing services to all Medicare patients. Unreimbursed costs are reported as a community benefit to the elderly and are included in the consolidated Adventist Health System (AHS or the Company) Community Benefits Report contained in the AHS Annual Report document. The primary reconciling items between the Medicare surplus/(shortfall) shown on line 7 of Section B of Part III of Schedule H and the filing organization's unreimbursed costs of services provided to Medicare patients as reported in the AHS Community Benefit Report are as follows:- Medicare surplus/(shortfall) shown on line 7 of Section B of Schedule H: $(91,173,636)- Difference in costing methodology: 4,909,326- Unreimbursed costs incurred for services provided to Medicare patients that are not included in the organization's Medicare cost report: (126,264,617) -------------Total Unreimbursed costs of serving all Medicare patients per the filing organization's community benefit reporting: $(212,528,927)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 filing organization's hospital facilities conducted their initial community health needs assessments (CHNAs) during the current year. The initial CHNAs were adopted by all hospital governing boards by December 31, 2013, the end of the filing organization's taxable year in which the CHNAs were conducted. All of the filing organization's hospital facilities' initial CHNAs complied with the guidance set forth by the IRS in Proposed Regulation Section 1.501(r)-3. In addition to the CHNAs discussed above, a variety of practices and processes are in place to ensure that the filing organization is responsive to the health needs of all of its communities. Such practices and processes involve the following:1. Hospitals' operating/community boards composed of individuals broadly representative of the community, community leaders, and those with specialized medical training and expertise;2. Post-discharge patient follow-up related to the on-going care and treatment of patients who suffer from chronic diseases; 3. Sponsorship and participation in community health and wellness activities that reach a broad spectrum of the filing organization's hospital communities; and 4. Collaboration with other local community groups to address the health care needs of the filing organization's hospital communities.
Part VI, Line 3:	The filing organization's hospitals have 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 filing organization's Hospitals include the Application for Financial Assistance along with the initial patient bill. The Hospitals' Financial Assistance Application is also available to patients on the Hospitals' web-site in both an English and Spanish version. Additionally, the Hospitals' 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:	In 2013, the filing organization operated 5 separately licensed hospitals that together encompassed 12 separate campus locations. The hospitals are located in Florida, Illinois and Texas. A description of each of the hospital campuses is described below.Adventist Health System/Sunbelt, Inc. dba Central Texas Medical Center:Central Texas Medical Center (CTMC) is a 178-bed acute-care hospital providing a wide range of healthcare services in San Marcos, Texas and the neighboring communities within Hays and Caldwell counties, Texas. Special services offered at CTMC include a 24/7, Level 4 emergency and trauma center, state-of-the-art medical imaging and laboratory services, a new women's center featuring a Level 2 Neonatal Intensive Care Unit, newly renovated and expanded surgery suites, a Rehabilitation Institute, a center for advanced wound healing and hyperbaric medicine, and a cardiac catheterization lab. As a health resource for their community, CTMC's Creation Health Institute also annually hosts the oldest and largest health screening and fair event in Hays County as well as a number of ongoing classes and workshops ranging in topics from diabetes prevention and management to heart disease, stroke, arthritis, self-help, nutrition and more. CTMC received accreditation as a certified chest pain center from the Society of Chest Pain Centers in 2011. The accreditation enhances CTMC's ability to receive and treat patients suffering from chest pain and/or a possible heart attack. The result is a focus on reduced time from symptom onset to diagnosis and treatment, getting patients treated more quickly during the critical window of time when the integrity of the heart muscle can be preserved, and monitoring of patients whose diagnosis is uncertain to ensure they are not sent home too quickly or admitted unnecessarily. In 2010, 2011, 2012 and 2013, CTMC was named The Best Hospital in Hays County. In 2012, CTMC became the first operating room along the IH-35 corridor between Austin and San Antonio to be equipped with a da Vinci robotic-assisted surgery suite. San Marcos, Texas is located in Hays County, Texas and is in close proximity to Austin and San Antonio. CTMC's primary market has a population of approximately 89,000, with an estimated 8,400 over the age of 65. The weighted average household income, based on population, in the primary market is approximately $39,000. High school graduates account for approximately 87% of Hays County, with an estimated 32% having a bachelor's degree or higher. It is estimated that 18% of the individuals residing in Hays County live below the poverty level and the unemployment rate is about 8%. Approximately 39% of CTMC's patients during 2013 were Medicare patients, about 12% were Medicaid patients, about 16% were self-pay patients and the remaining percentage were patients covered under commercial insurance. In 2013, about 67% of CTMC's in-patients were admitted through the Emergency Department.Adventist Health System/Sunbelt, Inc. dba Florida Hospital Heartland Medical Center:Florida Hospital Heartland Medical Center (FHHMC) is comprised of three separate hospital campuses with a total of 222 beds. Two of the hospital campuses are located in Highlands County, Florida and operate under a single hospital license and the third separately licensed campus is located in Hardee County, Florida. Highlands and Hardee counties are in the south central areas of Florida and are adjacent to each other. Florida Hospital Heartland Medical Center, Highlands County - The main 147-bed hospital facility is located in north Sebring. The facility provides a wide range of healthcare services including Certified Stroke and Chest Pain Centers, the county's busiest emergency department, ACR-accredited imaging services, surgical services and Blessed Beginnings obstetrics. Since 2012, the Heart & Vascular Center has added a third cath lab, expanded the emergency care department and renovated the lab services area. Florida Hospital Heartland Medical Center Lake Placid, Highlands County - This satellite facility houses 33 medical and surgical beds, the county's only 17-bed inpatient mental health unit, an outpatient counseling center, and a wide range of services that are highly sophisticated for a small community hospital. This campus also specializes in inpatient geriatric psychiatric services and outpatient behavioral health counseling centers within Highlands and Hardee counties. The need for behavioral health services is extreme in both counties since there is no other program closer than sixty miles. Since 2012, this campus has added a Tele-ICU program and its imaging services are ACR-accreditated. Florida Hospital Wauchula, Hardee County - This campus is licensed for 25 beds and specializes in emergency and outpatient care, while offering excellent medical inpatient services. The inpatient unit is mixed with both acutely ill patients and patients who need short-term rehabilitation (transitional care). This campus offers the only emergency care in Hardee County. In 2000, Florida Hospital Wauchula became the first Critical Access Hospital in the state of Florida. Since 2012, this campus has added the county's only mammography program, updated the lab services area and its imaging services are ACR-accreditated. As noted above, Highlands and Hardee counties in Florida are located in the heart of the Florida Peninsula. The Hospital's primary market has a population of approximately 133,000 with an estimated 35,000 over the age of 65. The weighted average household income, based on population, in the primary market is approximately $34,000. High school graduates account for approximately 77% of Highlands County, with an estimated 14% having a bachelor's degree or higher. It is estimated that 16% of the individuals residing in Highlands County live below the poverty level and the unemployment rate is about 10%. Approximately 65% of FHHMC's patients during 2013 were Medicare patients, about 13% were Medicaid patients, about 6% were self-pay patients and the remaining percentage were patients covered under commercial insurance. In 2013, about 64% of FHHMC's in-patients were admitted through the Emergency Department.Adventist Health System/Sunbelt, Inc. dba Florida Hospital (FH):FH is a 2,409 bed medical complex in Central Florida with seven separate hospital campuses that operate under a single hospital license. FH serves the residents of Central Florida (primarily serving the residents of Orange, Osceola, Seminole and Lake County) but also draws patients from other parts of the Southeastern United States, the Caribbean and South America. The 7-campus health system is the largest healthcare provider in Central Florida with more than 1.7 million patient visits per year and is the nation's largest Medicare provider. Florida Hospital is the second largest employer in the area. The main campus of the FH system is located in Orlando, Florida (Orange County) near the downtown area. The other 6 campuses are located in surrounding communities in the counties of Orange, Osceola, and Seminole. In addition to operating the 7 hospitals, FH also operates 22 full-service urgent care clinics in convenient community settings. A brief description of each of the 7 hospital campuses is described below:Florida Hospital Orlando (Orange County) - At the core of the FH system, FH Orlando is a 1,177 bed acute-care tertiary hospital. FH Orlando is home to nationally recognized Centers of Excellence for cancer, cardiology, children's health, diabetes, neuroscience, orthopedics, transplant and global robotics. Florida Hospital Orlando houses one of the largest Emergency Departments and cardiac catheterization labs in the country and is one of the busiest hospitals in the nation, providing service excellence to more than 55,000 inpatients and 175,000 outpatients each year. The recent opening of a 15-story patient tower features 200 more beds and 500 new jobs. The campus also includes a state-of-the-art Cardiac Diagnostic Center featuring 15 Cath and electro physiology (EPS) Labs. The cardiology team currently treats 34,000+ individuals for chest pain and performs over 1,400 open heart surgeries each year making them first in the state for the number of surgeries performed. *** see continuation of footnote
Part VI, Line 5:	The provision of community benefit is central to the filing organization's mission of service and compassion. Restoring and promoting the health and quality of life of those in the communities served by the filing organization is a function of "extending the healing ministry of Christ" and embodies the filing organization's commitment to its values and principles. The filing organization commits substantial resources to provide a broad range of services to both the underprivileged as well as the broader community. In addition to the community benefit information provided in Parts I, II and III of this Schedule H, the filing organization captures and reports the benefits provided to its community through faith-based care. Examples of such benefits include the cost associated with chaplaincy care programs and mission peer reviews and mission conferences. During the current year, the filing organization provided $6,894,574 of benefit with respect to the faith-based and spiritual needs of the communities it serves in conjunction with its operation of community hospitals. The filing organization also provides benefits to its communities' infrastructure by investing in capital improvements to ensure that facilities and technology provide the best possible care. During the current year, the filing organization expended $271,978,453 in new capital improvements. As faith-based mission-driven community hospitals, the filing organization is continually involved in monitoring its communities, identifying unmet health care needs and developing solutions and programs to address those needs. In accordance with its conservative approach to fiscal responsibility, surplus funds of the Hospitals are continually being invested in resources that improve the availability and quality of delivery of health care services and programs to its communities.
Part VI, Line 6:	The filing organization is a part of a faith-based healthcare system of organizations whose parent is Adventist Health System Sunbelt Healthcare Corporation (AHSSHC). The system is known as Adventist Health System (AHS). AHSSHC is an organization exempt from federal income tax under IRC Section 501(c)(3). AHSSHC and its subsidiary organizations operate 44 hospitals in 10 states throughout the U.S., primarily in the Southeastern portion of the U.S. AHSSHC and its subsidiaries also operate 16 nursing home facilities and other ancillary health care provider facilities, such as ambulatory surgery centers and diagnostic imaging centers. As the parent organization of the AHS system, AHSSHC provides executive leadership and other professional support services to its subsidiary organizations. Professional support services include among others corporate compliance, legal, human resources, reimbursement, risk management, and tax as well as treasury functions. The provision of these executive and support services on a centralized basis by AHSSHC provides an appropriate balance between providing each AHS subsidiary hospital organization with mission-driven consistent leadership and support while allowing the hospital organization to focus its resources on meeting the specific health care needs of the community it serves. The reader of this Form 990 should keep in mind that this reporting entity may differ in certain areas from that of a stand-alone hospital organization due to its inclusion in a larger system of healthcare organizations. As a part of a system of hospital and other health care organizations, the filing organization benefits from reduced costs due to system efficiencies, such as large group purchasing discounts, and the availability of internal resources such as internal legal counsel. Each AHS subsidiary pays a management fee to AHSSHC for the internal services provided by AHSSHC. As a result, management fee expense reported by a AHS subsidiary organization may appear greater in relation to management fee expense that may be reported by a single stand-alone hospital. The single stand-alone hospital would likely report costs associated with management and other professional services on various expense line items in its statement of revenue and expense as opposed to reporting such costs in one overall management fee expense. As the reporting of the Form 990 is done on an entity by entity basis, there is no single Form 990 that captures the programs and operations of AHS as a whole. The reader is directed to visit the web-site of AHS at www.adventisthealthsystem.com to learn more about the mission and operations of AHS and to access AHS's annual report that contains financial data as well as community benefit reporting for the entire system.
Part VI, Line 7	The annual community benefit report contained in the annual report prepared by Adventist Health System Sunbelt Healthcare Corporation (AHSSHC) on behalf of the entire AHS System of healthcare organization is not filed with any state agencies. Certain hospitals within the filing organization file annual community benefit reports with the state in which they are located. Specifically, Central Texas Medical Center files a community benefit report with the State of Texas and Adventist La Grange Memorial Hospital files a community benefit report with the State of Illinois.
Part VI, Line 4 Continuation of Footnote	Description of Community Information - ContinuedAlso located on the Florida Hospital Orlando Campus is the Walt Disney Pavilion at Florida Hospital for Children. The Walt Disney Pavilion is not a stand-alone facility but rather a 7-story, 174-bed tower located on Florida Hospital Orlando's campus. It is a full-service facility served by more than 60 pediatric specialists and a highly trained pediatric team of more than 600 employees. The Walt Disney Pavilion at Florida Hospital for Children delivers a complete range of pediatric health services for younger patients including advanced surgery, oncology, neurosurgery, cardiology and transplant services; full-service pediatrics; and an innovative health and obesity platform. Orlando is located in Orange County, Florida. The Hospital's primary market has a population of approximately 1,822,000 with an estimated 197,000 over the age of 65. The weighted average household income, based on population, in the primary market is approximately $52,000. High school graduates account for approximately 87% of Orange County, with an estimated 30% having a bachelor's degree or higher. It is estimated that 13% of the individuals residing in Orange County live below the poverty level and the unemployment rate is about 8%. Approximately 43% of the Hospital's patients during 2013 were Medicare patients, about 17% were Medicaid patients, about 7% were self-pay patients and the remaining percentage were patients covered under commercial insurance. In 2013, about 71% of the hospital's in-patients were admitted through the hospital's Emergency Department. Florida Hospital Altamonte (Seminole County) - FH Altamonte is a 376-bed facility, which has recently doubled in size with a new patient tower to better serve a busy community. FH Altamonte was the first "satellite" hospital, built in 1973 on what was then pastureland, miles from the nearest business district. Located north of Orlando in fast-growing Seminole County, Florida Hospital Altamonte is the largest satellite campus within the Florida Hospital health care system. In addition to maternity, pediatric, emergency, medical and surgical services, the hospital operates the Martin Andersen Cancer Center (along with the region's only Cancer Resource Library), a heart catheterization lab, and a comprehensive outpatient program which includes surgery, diagnostics, and medical treatment programs. Florida Hospital Apopka (Orange County) - In 1975, FH Apopka became the second satellite hospital. For nearly three decades, Florida Hospital Apopka has set the standard in hometown health care by providing high-tech, quality care with a personalized touch. They are situated just 12 miles northwest of Orlando, with a small, yet advanced, 50-bed campus that houses a certified Chest Pain Center and a multitude of inpatient and outpatient services. Florida Hospital Celebration Health (Osceola County) - FH Celebration Health is a cornerstone of Disney's planned community in Celebration, Florida. Today, this 174-bed acute care hospital delivers a state-of-the-art healing environment to residents of Osceola, Orange, Polk and Lake Counties, as well as to visitors from across the United States and the world. From its creation FH Celebration Health has been about promoting health and wellness as well as healing. Inside the resort-style hospital there is a wellness center, complete with workout area, pool, and rehabilitation facility. FH Celebration Health also houses the Global Robotics Institute, which provides patients with access to some of the most experienced robotic surgeons in the world. The Nicholson Center for Surgical Advancement also is a location where surgeons from around the world travel to learn the latest robotic surgery techniques. In 2011, the new 234,000 square-foot patient tower added 62 beds and will house the Interactive Patient Care Unit, the first of its kind in the nation. In connection with the Institute for Interactive Patient Care, everything from new patient safety technology to changing ways to communicate with patients about their care could be studied as part of the unit. Florida Hospital East Orlando (Orange County) - FH East Orlando is now an innovative local leader that fills a vital need in a fast-growing area. A recent 200,000 square-foot expansion project upgraded the hospital to 265 beds, with a spacious patient tower and 80 new private rooms designed to enhance the holistic care experience. Florida Hospital Kissimmee (Osceola County) - FH Kissimmee is an 83-bed community-focused hospital, conveniently located near Walt Disney World. The team located at FH Kissimmee is dedicated to bringing mission-focused, faith-based care to residents and visitors of Osceola and Orange Counties. This facility has recently expanded to include a new medical office building, patient tower, new main entrance and a parking garage. Florida Hospital Winter Park (Orange County) - FH Winter Park Memorial Hospital is a 320-bed facility that is a model of community health and wellness. The facility boasts spacious patient care areas and a full spectrum of specialties and services, including the Dr. P. Phillips Baby Place (with Level II NICU), Florida Hospital Orthopedic Institute, and state-of-the-art surgery, recovery and rehabilitation at the Florida Hospital Cancer Institute. Adventist Health System/Sunbelt, Inc. dba Adventist La Grange Memorial Hospital:Adventist La Grange Memorial Hospital (ALMH) is a 205-bed facility providing outpatient and inpatient primary care, trauma care and wellness services to residents of Chicago's western suburbs. The hospital is a leader in offering comprehensive oncology services, orthopedic services, advanced cardiac care, women's health and maternity care, emergency, geriatric and many other specialties that cater to the communities it serves. The communities served by ALMH contain a high senior population. To address the unique needs of its service area, ALMH offers a broad spectrum of services designed to meet the diverse needs of aging adults. La Grange, Illinois is located in Cook County. The Hospital's primary market has a population of approximately 158,000, with an estimated 25,000 over the age of 65. The weighted average household income, based on population, in the primary market is approximately $68,000. High school graduates account for approximately 85% of Cook County, with an estimated 33% having a bachelor's degree or higher. It is estimated that 15% of the individuals residing in Cook County live below the poverty level and the unemployment rate is about 9%. Approximately 54% of the Hospital's patients during 2013 were Medicare patients, about 7% were Medicaid patients, about 3% were self-pay patients and the remaining percentage were patients covered under commercial insurance. In 2013, about 75% of the hospital's in-patients were admitted through the hospital's Emergency Department.

Schedule I IRS990ScheduleI

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

Recipient Table RecipientTable (107 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	Address Line2USAddress/AddressLine2
ADVENTIST CARE CENTERS - COURTLAND INC
730 COURTLAND ST	ORLANDO	FL	32804	205774723	501(c)(3)	$147,564	General Support
ALLIANCE OF THE SPACE COAST INC DBA Florida Abolitionist
PO BOX 536832	ORLANDO	FL	32853	593178045	501(c)(3)	$10,000	General Support
AMERICAN CANCER SOCIETY INC
601 W COLONIAL DR	ORLANDO	FL	328047007	131788491	501(c)(3)	$19,500	General Support
AMERICAN HEART ASSOCIATION INC
1101 NORTHCHASE PKWY SE STE 1	MARIETTA	GA	30067	135613797	501(c)(3)	$111,661	General Support
AMERICAN LUNG ASSOCIATION OF SOUTHEAST INC
851 OUTER RD	ORLANDO	FL	32814	590662271	501(c)(3)	$17,500	General Support
AMERICAN NATIONAL RED CROSS
PO BOX 905890	CHARLOTTE	NC	282905890	530196605	501(c)(3)	$20,000	General Support
APOPKA HIGHLAND SEVENTH DAY ADVENTIST CHURCH
340 VOTAW RD	APOPKA	FL	327034393	593166917	501(c)(3)	$6,000	General Support
BEACON NETWORK INC
PO BOX 2547	ORLANDO	FL	328022547	274894580	501(c)(3)	$7,500	General Support
CASA DE MEXICO DE LA FLORIDA CENTRAL INC
400 S ORANGE AVE 9TH FLOOR	ORLANDO	FL	32801	593428138	501(c)(3)	$10,000	General Support
CELEBRATION FOUNDATION INC
610 SYCAMORE ST	CELEBRATION	FL	34747	593370753	501(c)(3)	$51,000	General Support
CENTRAL FLORIDA CHAMBER for PERSONS WITH DISABILITIES LLC
3201 E COLONIAL DR UNIT A20	ORLANDO	FL	328035174	264201627	Other	$28,000	General Support
CENTRAL FLORIDA FAMILY HEALTH CENTER INC
2400 STATE ROAD 415	SANFORD	FL	32771	591741286	501(c)(3)	$45,000	General Support
CENTRAL FLORIDA PARTNERSHIP INC
PO BOX 1234	ORLANDO	FL	32804	331202266	501(c)(6)	$100,245	General Support
CENTRAL FLORIDA PEDIATRIC SOCIETY INC
1890 SEMORAN BLVD	WINTER PARK	FL	32792	237422278	501(c)(3)	$10,000	General Support
CENTRAL FLORIDA REGIONAL HEALTH INFORMATION ORGANIZATION INC
3208-C EAST COLONIAL DRIVE	ORLANDO	FL	328035127	208145032	501(c)(3)	$174,505	General Support
CENTRAL FLORIDA YOUNG MEN'S CHRISTIAN ASSOCIATION
433 N MILLS AVENUE	ORLANDO	FL	328035721	590624430	501(c)(3)	$17,000	General Support
CENTRAL TEXAS HEALTHCARE COLLABORATIVE
1301 WONDER WORLD DR	SAN MARCOS	TX	78666	453739929	501(c)(3)	$1,447,713	Provision of Indigent Care
CENTRAL TEXAS MEDICAL CENTER FOUNDATION
1301 WONDER WORLD DR	SAN MARCOS	TX	78666	742259907	501(c)(3)		General Support	$84,206	Book	Provision of general administrative support
Champion for Children Foundation of Highlands County Inc
419 E Center Avenue	Sebring	FL	33870	650444941	501(c)(3)	$6,250	General Support
CHILDREN'S HOME SOCIETY OF FLORIDA
1485 S SEMORAN BLVD SUITE 1448	WINTER PARK	FL	327925533	590192430	501(c)(3)	$7,500	General Support
CITY OF ALTAMONTE SPRINGS
150 CRANES ROOST BLVD STE 2200	ALTAMONTE SPRINGS	FL	32701	596000263	GOVT	$15,000	General Support
CITY OF WINTER PARK
401 S PARK AVE	WINTER PARK	FL	32789	596000454	GOVT	$10,000	General Support
COMMUNITY BASED CARE OF CENTRAL FLORIDA INC
4001 PELEE ST	ORLANDO	FL	328173100	010631375	501(c)(3)	$29,672	General Support
COMMUNITY PRESBYTERIAN CHURCH IN CELEBRATION FL INC
511 CELEBRATION AVE	CELEBRATION	FL	34747	911822890	501(c)(3)	$15,000	General Support
COMMUNITY VISION INC LEADERSHIP ASSOCIATION OF OSCEOLA
704 GENERATION PT APT 101	KISSIMMEE	FL	347445918	592896657	501(c)(3)	$26,000	General Support
DOMINOUSA NATIONAL DOMINO FEDERATION USA
PO BOX 526	SANFORD	FL	327720526	830465521	501(c)(3)	$15,000	General Support
DOWNTOWN COLLEGE PARK PARTNERSHIP INC
PO BOX 547744	ORLANDO	FL	32854	237250533	501(c)(3)	$13,500	General Support
EAST ORLANDO HEALTH & REHAB CENTER INC
250 SOUTH CHICKASAW TRAIL	ORLANDO	FL	32825	205774748	501(c)(3)	$1,440,600	General Support
FLNC INC
3355 E SEMORAN BLVD	APOPKA	FL	32703	205774761	501(c)(3)	$2,211,000	General Support
FLORIDA BAPTIST CHILDRENS HOMES INC
7748 SW 95TH TER	MIAMI	FL	331567506	590657326	501(c)(3)	$12,500	General Support
FLORIDA CHAMBER OF COMMERCE INC
PO BOX 11309 136 SOUTH BRONOUGH	TALLAHASSEE	FL	32302	590248200	501(c)(6)	$350,000	General Support				STREET
Florida Conference Association of Seventh-Day Adventist dba Better Living C
PO Box 3092	Lake Placid	FL	33862	596137501	501(c)(3)	$6,000	General Support
FLORIDA CONFERENCE OF SEVENTH-DAY ADVENTISTS
351 S STATE ROAD 434	ALTAMONTE SPRINGS	FL	327143824	590806975	501(c)(3)	$7,000	General Support
Florida Hospital Waterman Inc
1000 Waterman Way	Tavares	FL	32778	593140669	501(c)(3)	$376,695	General Support
FLORIDA INTERFAITH INSTITUTE DBA INTERFAITH COUNCIL OF CENTRAL FLORIDA
PO BOX 3310	WINTER PARK	FL	32790	455420165	501(c)(3)	$30,000	General Support
FLORIDA PRIDE LLC DBA USSSA PRIDE
611 LINE DR	KISSIMMEE	FL	347444457	271302554	Other	$10,000	General Support
FOREST LAKE ACADEMY
500 EDUCATION LOOP	APOPKA	FL	327036176	590816443	501(c)(3)	$12,000	General Support
FOREST LAKE EDUCATION CENTER
1275 LEARNING LOOP	LONGWOOD	FL	32779	593143238	501(c)(3)	$8,394	General Support
FOREST LAKE SDA CHURCH
515 HARLEY LESTER LANE	APOPKA	FL	32703	592885433	501(c)(3)	$15,250	General Support
FOUNDATION FOR ORANGE COUNTY PUBLIC SCHOOLS INC
445 W AMELIA ST STE 901	ORLANDO	FL	328011153	592788435	501(c)(3)	$25,000	General Support
FOUNDATION FOR SEMINOLE STATE COLLEGE OF FLORIDA INC
1055 AAA DRIVE STE 209	LAKE MARY	FL	327465072	237033822	501(c)(3)	$83,333	General Support
GR8 TO DON8 INC
968 MOSS TREE PL	LONGWOOD	FL	32750	271946207	501(c)(3)	$10,000	General Support
GRACE MEDICAL HOME INC
51 PENNSYLVANIA STREET	ORLANDO	FL	328062938	281817966	501(c)(3)	$100,000	General Support
GREATER ORLANDO CHAMBER OF COMMERCE INC DBA ORLANDO REGIONAL CHAMBER OF COM
PO BOX 1234	ORLANDO	FL	328021234	590272107	501(c)(6)	$50,000	General Support
HABITAT FOR HUMANITY OF GREATER ORLANDO AREA INC
4116 SILVER STAR RD	ORLANDO	FL	328084636	592789167	501(c)(3)	$20,000	General Support
HARBOR HOUSE OF CENTRAL FLORIDA INC
PO BOX 680748	ORLANDO	FL	32868	591712936	501(c)(3)	$5,500	General Support
HEALTH CARE CENTER FOR THE HOMELESS INC
232 N ORANGE BLOSSOM TRL	ORLANDO	FL	32805	593185020	501(c)(3)	$115,000	General Support
HEALTHY START COALITION OF ORANGE COUNTY INC
600 COURTLAND ST STE 565	ORLANDO	FL	32804	593125675	501(c)(3)	$20,000	General Support
HEALTHY START COALITION OF OSCEOLA COUNTY INC
PO BOX 701995	ST CLOUD	FL	34770	593212535	501(c)(3)	$15,000	General Support
HEART OF FLORIDA UNITED WAY INC
1940 TRAYLOR BLVD	ORLANDO	FL	32804	590808854	501(c)(3)	$55,297	General Support
Heartland Triathlon of Highlands County Inc
1200 Highlands Drive	Lake Placid	FL	33852	452232127	501(c)(3)	$11,000	General Support
HEBNI NUTRITION CONSULTANTS INC
2009 WEST CENTRAL BLVD	ORLANDO	FL	32805	593258397	501(c)(3)	$10,000	General Support
Highlands County Health Department
7205 S George Boulevard	Sebring	FL	33875	593502843	Gov't	$60,750	Medical care
HISPANIC BUSINESS INITIATIVE FUND OF FLORIDA INC
3201 E COLONIAL DR UNIT A20	ORLANDO	FL	32803	593341405	501(c)(3)	$24,000	General Support
HISPANIC CHAMBER OF COMMERCE METRO ORLANDO INC
3201 E COLONIAL DRIVE	ORLANDO	FL	32803	593103840	501(c)(6)	$22,250	General Support
HOPE NOW INTERNATIONAL INC
PO BOX 181173	CASSELBERRY	FL	327181173	274498303	501(c)(3)	$10,000	General Support
HOSPICE OF THE COMFORTER FOUNDATION INC
496 W CENTRAL PKWY	ALTAMONTE SPRINGS	FL	327142415	271858033	501(c)(3)	$10,000	General Support
IDIGNITY INC DBA INDIGNITY
424 E CENTRAL BLVD 199	ORLANDO	FL	328011923	010921490	501(c)(3)	$25,000	General Support
IVANHOE VILLAGE INC
1605 ALDEN RD	ORLANDO	FL	328031861	261797406	501(c)(3)	$7,000	General Support
JOBS PARTNERSHIP OF FLORIDA INC
4900 MILLENIA BLVD	ORLANDO	FL	328396053	593612893	501(c)(3)	$10,000	General Support
JUNIOR ACHIEVEMENT OF CENTRAL FLORIDA INC
PO BOX 917197	ORLANDO	FL	32891	590972112	501(c)(3)	$88,000	General Support
KIDS BEATING CANCER INC
615 E PRINCETON ST STE 400	ORLANDO	FL	32803	593136203	501(c)(3)	$8,000	General Support
KIDS HOUSE OF SEMINOLE INC
5467 NORTH RONALD REGAN BLVD	SANFORD	FL	32773	593415005	501(c)(3)	$18,500	General Support
La Grange Memorial Hospital Foundation
5101 South Willow Springs Road	La Grange	IL	60525	300247776	501(c)(3)		General Support	$254,903	Book	Provision of general administrative support
LAKESIDE BEHAVIORAL HEALTHCARE INC
1800 MERCY DRIVE STE 302	ORLANDO	FL	32808	592301233	501(c)(3)	$1,417,298	General Support
LIFEWORK LEADERSHIP
1220 E CONCORD ST	Orlando	FL	328035453	371592618	501(c)(3)	$10,000	General Support
MARCH OF DIMES FOUNDATION
341 N MAITLAND AVE STE 115	MAITLAND	FL	32751	131846366	501(c)(3)	$15,000	General Support
MENTAL HEALTH ASSOCIATION OF CENTRAL FLORIDA INC
1525 E ROBINSON ST	ORLANDO	FL	32801	590816432	501(c)(3)	$14,153	General Support
MILLS FIFTY MAIN STREET CORPORATION
1200 WEBER ST	ORLANDO	FL	328033334	800203856	501(c)(3)	$6,500	General Support
NEW IMAGE YOUTH CENTER INC
212 S PARRAMORE AVE	ORLANDO	FL	32805	562482818	501(c)(3)	$15,000	General Support
NOMEL INCTHE BIG HOUSE
1544 LANE PARK CUTOFF	TAVARES	FL	327786117	273982168	Other	$20,000	General Support
OAKWOOD UNIVERSITY
7000 ADVENTIST BLVD NW	HUNTSVILLE	AL	35896	630366652	501(c)(3)	$10,000	General Support
ORANGE COUNTY BOARD OF COUNTY COMMISSIONERS dba HEALTH AND FAMILY SERVICES
PO BOX 38	ORLANDO	FL	32802	596000773	GOVT	$8,000	General Support
ORANGE COUNTY BRANCH NATIONAL ASSOCIATION FOR THE ADVANCEMENT OF COLORED PE
PO BOX 618285	ORLANDO	FL	328618285	596196714	Other	$10,000	General Support
ORLANDO JUNIOR ACADEMY
30 E EVANS STREET	ORLANDO	FL	32804	262325009	501(c)(3)	$456,500	General Support
ORLANDO SCIENCE CENTER INC
777 E PRINCETON STREET	ORLANDO	FL	32803	590896343	501(c)(3)	$1,007,500	General Support
ORLANDOORANGE COUNTY CONVENTION & VISITOR'S BUREAU INC
VISITORS BUREAU INC6700 FORUM DRIVE	ORLANDO	FL	328218087	592395248	501(c)(6)	$10,000	General Support				SUITE 100
OSCEOLA COUNTY COUNCIL ON AGING INC
700 GENERATION POINT	KISSIMMEE	FL	34744	591595398	501(c)(3)	$48,622	General Support
PRIMARY CARE ACCESS NETWORK INC
101 S WESTMORELAND DR	ORLANDO	FL	328052258	461817605	501(c)(3)	$10,000	General Support
PTA FLORIDA CONGRESS EDGEWATER SR HIGH SCHOOL PTA
3100 EDGEWATER DR	ORLANDO	FL	328043722	237106540	501(c)(3)	$10,000	General Support
RACE TIME SPORTS INC
478 E ALTAMONTE DRIVE STE 108-716	ALTAMONTE SPRINGS	FL	327014628	262379573	Other	$7,500	General Support
RESCUE OUTREACH MISSION OF CENTRAL FLORIDA INC
1515 INTERNATIONAL PKWY STE 2031	LAKE MARY	FL	327467635	592876415	501(c)(3)	$6,500	General Support
RONALD MCDONALD HOUSE CHARITIES OF CENTRAL FLORIDA INC
1030 N ORANGE AV	WINTER PARK	FL	327894709	593211250	501(c)(3)	$11,000	General Support
ROTARY CLUB OF WINTER GARDEN
PO BOX 770096	WINTER GARDEN	FL	347770096	596140005	501(c)(6)	$10,000	General Support
RUNWAY TO HOPE INC
189 S ORANGE AVE	ORLANDO	FL	328013261	273272616	501(c)(3)	$6,000	General Support
Samaritan Touch Care Center Inc
3015 Herring Avenue	Sebring	FL	33870	020773338	501(c)(3)	$270,833	Medical care
SEMINOLE COUNTYLAKE MARY REGIONAL CHAMBER OF COMMERCE INC
1055 AAA DR STE 153	LAKE MARY	FL	32746	593646781	501(c)(6)	$15,000	General Support
SHEPHERDS HOPE INC
4851 S APOPKA VINELAND RD	ORLANDO	FL	328193128	593420727	501(c)(3)	$116,500	General Support
South Florida State College
600 W College Drive	Avon Park	FL	33825	591218159	Gov't	$18,215	General Support
SOUTHERN ADVENTIST UNIVERSITY
PO BOX 370	COLLEGEDALE	TN	37315	620536733	501(c)(3)	$118,000	General Support
STRENGTHEN ORLANDO INC
400 SOUTH ORANGE AVE 6TH FLOOR	ORLANDO	FL	328013360	271964941	501(c)(3)	$21,000	General Support
SUNBELT HEALTH & REHAB CENTER - APOPKA INC
305 EAST OAK ST	APOPKA	FL	32703	205774856	501(c)(3)	$473,040	General Support
Sunsystem Development Corporation
900 HOPE WAY	ALTAMONTE SPRINGS	FL	32714	592219301	501(c)(3)	$28,000	General Support	$4,808,401	Book	Provision of general administrative support
SUSAN G KOMEN BREAST CANCER FOUNDATION
1350 ORANGE AVE STE 260	WINTER PARK	FL	32789	752854957	501(c)(3)	$10,000	General Support
THE FOUNDATION FOR SUCCESS INC DBA SOS (SUPPORT OUR SCHOLARS)
PO BOX 1985	WINTER PARK	FL	327901985	260711355	501(c)(3)	$10,000	General Support
The School Board of Highlands County
426 School Street	Sebring	FL	33870	566000654	Gov't	$10,800	Senior Eeucation
THE SCHOOL BOARD OF ORANGE COUNTY FLORIDA ORANGE COUNTY PUBLIC SCHOOLS
445 WEST AMELIA STREET	ORLANDO	FL	32801	596000771	Gov't	$7,000	General Support
UCF ATHLETICS ASSOCIATION INC
PO BOX 163555	ORLANDO	FL	328163555	562334448	501(c)(3)	$5,500	General Support
UNITED GLOBAL OUTREACH INC
2301 N ORANGE AVE	ORLANDO	FL	328045510	030511875	501(c)(3)	$95,000	General Support
UNIVERSAL ORLANDO FOUNDATION INC
1000 UNIVERSAL STUDIOS PLAZA	ORLANDO	FL	32819	593510383	501(c)(3)	$15,000	General Support
UNIVERSITY OF CENTRAL FLORIDA FOUNDATION INC
12424 RESEARCH PARKWAY STE 140	ORLANDO	FL	32826	596211832	501(c)(3)	$165,000	General Support
US DREAM ACADEMY INC
5950 SYMPHONY WOODS RD	COLUMBIA	MD	21044	593514841	501(c)(3)	$10,000	General Support
VALENCIA COLLEGE FOUNDATION INC
190 S ORANGE AVE	ORLANDO	FL	328013204	237442785	501(c)(3)	$214,500	General Support
WALT DISNEY PARKS AND RESORTS US INC
PO BOX 403337	ATLANTA	GA	30384	952412883	Other	$10,000	General Support
WINTER GARDEN HERITAGE FOUNDATION INC
PO BOX 770657	WINTER GARDEN	FL	347770657	593201766	501(c)(3)	$7,500	General Support
WINTER PARK CHAMBER OF COMMERCE
PO BOX 280	WINTER PARK	FL	32790	590514615	501(c)(6)	$15,100	General Support
WINTER PARK HEALTH FOUNDATION INC
220 EDINBURGH DR	WINTER PARK	FL	32792	590669460	501(c)(3)	$67,500	General Support

Field	Value	IRS element (for citing)
Total501c3 Org	93	Total501c3OrgCnt
Total Other Org	14	TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Part I, Line 2:	FormAndLineReferenceDesc
Explanation	Grants are generally made to related organizations that are exempt from Federal Income Tax under 501(c)(3), other 501(c)(3) organizations that are a part of the group exemption ruling issued to the General Conference of Seventh-Day Adventists, or to other local or local affiliate of national charitable organizations whose purposes are healthcare-related. Accordingly, the filing organization has not established specific procedures for monitoring the use of grant funds in the United States as the filing organization does not have a grant making program that would necessitate such procedures.	ExplanationTxt

Schedule J IRS990ScheduleJ

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

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (24 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
Houmann Lars D
Director	$0	$911,606	$0	$302,898	$0	$456,423	$0	$197,919	$0	$42,997	$0	$1,911,843	$0	$166,425
Jernigan PhD Donald L
Director/CEO	$0	$988,725	$0	$329,269	$0	$303,082	$0	$13,850	$0	$87,038	$0	$1,721,964	$0	$0
Reiner Richard K
Director	$0	$913,142	$0	$302,898	$0	$446,854	$0	$13,850	$0	$45,505	$0	$1,722,249	$0	$0
Shaw Terry D
Director	$0	$911,185	$0	$302,898	$0	$478,549	$0	$197,919	$0	$45,398	$0	$1,935,949	$0	$166,425
Banks David P
Senior VP - FH	$0	$491,217	$0	$143,179	$0	$85,103	$0	$92,125	$0	$37,981	$0	$849,605	$0	$71,324
Cummings Jr Desmond
Exec VP - FH	$0	$206,078	$0	$161,711	$0	$92,133	$0	$13,850	$0	$22,049	$0	$495,821	$0	$0
Dodds Sheryl D
Senior VP - FH	$0	$338,264	$0	$79,967	$0	$61,109	$0	$46,110	$0	$20,181	$0	$545,631	$0	$27,818
Fulbright Robert D
Senior VP - FH	$0	$390,500	$0	$92,530	$0	$43,062	$0	$59,765	$0	$43,545	$0	$629,402	$0	$30,682
Goodman Todd A
Senior VP - FH	$0	$334,119	$0	$76,600	$0	$64,037	$0	$35,277	$0	$35,470	$0	$545,503	$0	$30,690
Hilliard Douglas W
Senior VP - FH	$0	$337,130	$0	$77,415	$0	$40,643	$0	$50,012	$0	$39,406	$0	$544,606	$0	$28,115
Hurst Jeffry D
Senior VP - FH	$0	$314,445	$0	$74,749	$0	$49,931	$0	$33,362	$0	$29,976	$0	$502,463	$0	$12,709
Moorhead MD John David
Senior VP - FH	$0	$484,295	$0	$114,746	$0	$249,407	$0	$13,320	$0	$25,660	$0	$887,428	$0	$61,794
Owen Terry R
Senior VP - FH	$0	$405,673	$0	$114,238	$0	$154,389	$0	$56,611	$0	$32,693	$0	$763,604	$0	$35,827
Paradis J Brian
Exec VP - FH	$0	$640,946	$0	$215,324	$0	$123,776	$0	$133,188	$0	$46,933	$0	$1,160,167	$0	$104,404
Reed MD Monica P
Senior VP - FH	$0	$456,189	$0	$128,556	$100	$351,256	$0	$83,311	$0	$37,749	$100	$1,057,061	$0	$59,656
Soler Eddie
CFO - FL Divison	$0	$554,099	$0	$184,101	$0	$868,917	$0	$111,495	$0	$33,624	$0	$1,752,236	$0	$86,340
Bittner MD Hartmuth
Medical Director	$1,119,067	$0	$56	$0	$7,488	$0	$8,750	$0	$15,460	$0	$1,150,821	$0	$0	$0
Lee MD Kathy
Physician	$394,009	$0	$466,056	$0	$39,038	$0	$13,850	$0	$13,517	$0	$926,470	$0	$0	$0
Eubanks Jr MDWilliam Stephen
Executive Director of Academic Surge	$622,162	$0	$140,077	$0	$38,017	$0	$8,599	$0	$17,289	$0	$826,144	$0	$0	$0
Jones MDPhillip E
Physician	$592,770	$0	$137,500	$0	$21,496	$0	$13,850	$0	$22,492	$0	$788,108	$0	$0	$0
Torres MDRamon M
Physician	$591,374	$0	$96,303	$0	$11,959	$0	$13,850	$0	$23,888	$0	$737,374	$0	$0	$0
Grim-Marcarelli Karen
Former key employee	$0	$249,704	$0	$48,819	$0	$132,184	$0	$21,039	$0	$26,701	$0	$478,447	$0	$6,362
Hamilton Connie A
Former key employee	$0	$0	$0	$0	$0	$288,005	$0	$13,850	$0	$12,126	$0	$313,981	$0	$0
Herrin Arlene K
Former key employee	$0	$246,146	$0	$35,185	$0	$37,442	$0	$37,509	$0	$27,215	$0	$383,497	$0	$25,443

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Part I, Line 1a	The filing organization is a part of the system of healthcare organizations known as Adventist Health System (AHS). Members of the filing organization's executive management team that hold the position of Vice-President or above are compensated by and on the payroll of Adventist Health System Sunbelt Healthcare Corporation (AHSSHC), the parent organization of AHS. AHSSHC is exempt from federal income tax under IRC Section 501(c)(3). The filing organization reimburses AHSSHC for the salary and benefit cost of those executives on the payroll of AHSSHC that provide services and are on the management team of the filing organization. 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 does 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. 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 of the entire system of AHSSHC. Compensation and benefits provided to this individual are determined pursuant to policies, procedures, and processes of AHSSHC that are designed to ensure compliance with the intermediate sanctions laws as set forth in IRC Section 4958. AHSSHC has taken steps to ensure that processes are in place to satisfy the rebuttable presumption of reasonableness standard as set forth in Treasury Regulation 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, Lines 4a-b	During the year ending December 31, 2013, Connie A. Hamilton received severance payments in the amount of $288,425. 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. 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 ------------------------------------------------------- Houmann, Lars D. $ 184,069 $ 186,831 $232,784 $ 0 Jernigan, Ph.D., Donald L. $ 210,224 $ 192,724 $ 0 $ 0 Reiner, Richard K. $ 191,096 $ 173,596 $194,730 $ 0 Shaw, Terry D. $ 184,069 $ 179,354 $268,802 $ 0 Banks, David P. $ 78,276 $ 71,361 $ 0 $ 0 Cummings, Jr., Desmond $ 15,219 $ 15,219 $ 23,597 $ 0 Dodds, Sheryl D. $ 49,760 $ 27,830 $ 0 $ 0 Fulbright, Robert D$ 45,916 $ 30,698 $ 0 $ 0 Goodman, Todd A. $ 38,927 $ 36,173 $ 0 $ 0 Hilliard, Douglas W$ 36,163 $ 28,130 $ 0 $ 0 Hurst, Jeffry D. $ 37,013 $ 15,499 $ 0 $ 0 Moorhead, MD, John David $ 88,282 $ 199,636 $ 0 $ 0 Owen, Terry R. $ 60,262 $ 42,792 $ 75,619 $ 0 Paradis, J. Brian $ 119,345 $ 104,458 $ 0 $ 0 Reed, MD, Monica P.$ 69,461 $ 59,687 $276,818 $ 0 Soler, Eddie $ 97,645 $ 103,782 $745,939 $ 0 Grim-Marcarelli, Karen $ 24,690 $ 7,426 $ 94,824 $ 0 Herrin, Arlene K. $ 28,759 $ 25,456 $ 0 $ 0 * Including Investment Earnings
Part I, Line 6	The filing organization's physician compensation formula is designed to result in total compensation that would be reasonable for each physician. The filing organization utilizes national survey productivity, cost, and compensation data in formulating all aspects of the compensation plan. Physician compensation contractual agreements include a ceiling or reasonable maximum on the amount a physician may earn. The filing organization's employed physicians enter into a written agreement that requires the physicians to provide medical care to individuals who are referred by the filing organization. The filing organization's compensation arrangement does not use a method of compensation that is based upon a percentage of the organization's net income. Under the compensation arrangement, physician base salary, including any additional compensation based on a percentage of the practice/location net revenue, is documented as being within a range of Fair Market Value.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (4 entries)

Bond ReferenceBondReferenceCd	Bond Issuer EINBondIssuerEIN	CUSIPCUSIPNum	Bond IssuedBondIssuedDt	Issue PriceIssuePriceAmt	PurposePurposeDesc	DefeasedDefeasedInd	On Behalf Of IssuerOnBehalfOfIssuerInd	Pool FinancingPoolFinancingInd
Highlands County Health Facilities Authority
A	521313569	431022FR8	2005-10-18	$64,943,086	2005A, Refund FL 1993A&B, TN 1993 and Tarrant 1993 all issued 10/20/1993	0	0	0
Highlands County Health Facilities Authority
B	521313569	431022GN6	2005-10-18	$106,410,063	2005B, Refund Orange 2000, Tenn 2000, and Tarrant 2000 all issued 8/31/2000	0	0	0
Highlands County Health Facilities Authority
C	521313569	431022HG0	2005-10-18	$63,434,535	2005C, Refund Colorado 2001 issued 3/28/2001	0	0	0
Highlands County Health Facilities Authority
D	521313569	431022HH8	2005-10-18	$102,220,000	2005D, Expand/refurbish facilities, purchase equipment	0	0	0

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (4 entries)

Bond ReferenceBondReferenceCd	RetiredRetiredAmt	Bond DefeasedBondDefeasedAmt	Total ProceedsTotalProceedsAmt	Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt	Other Spent ProceedsOtherSpentProceedsAmt	Substantial CompletionSubstantialCompletionYr	Current RefundingCurrentRefundingInd	Advance RefundingAdvanceRefundingInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd	Capital ExpendituresCapitalExpendituresAmt
A	$22,185,000	$1,510,000	$64,943,086	$926,709	$64,016,377	1993	Yes (1)	0	Yes (1)	Yes (1)
B	$18,350,000	$16,155,000	$106,410,063	$1,532,450	$104,877,613	2000	0	Yes (1)	Yes (1)	Yes (1)
C	$10,130,000		$63,434,535	$928,933	$62,505,602	2001	0	Yes (1)	Yes (1)	Yes (1)
D	$9,480,000	$12,255,000	$102,220,000	$1,500,000		2005	0	0	Yes (1)	Yes (1)	$100,720,000

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (4 entries)

Bond ReferenceBondReferenceCd	Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd	Engage Bond Counsel ContractsEngageBondCounselContractsInd	Any Research AgreementsAnyResearchAgreementsInd	Engage Bond Counsel ResearchEngageBondCounselResearchInd	Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A	Yes (1)	Yes (1)	Yes (1)	Yes (1)	Yes (1)
B	Yes (1)	Yes (1)	Yes (1)	Yes (1)	Yes (1)
C	Yes (1)	Yes (1)	Yes (1)	Yes (1)	Yes (1)
D	Yes (1)	Yes (1)	Yes (1)	Yes (1)	Yes (1)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (4 entries)

Bond ReferenceBondReferenceCd	Exception To RebateExceptionToRebateInd	Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd
A	Yes (1)	Yes (1)
B	Yes (1)	Yes (1)
C	Yes (1)	Yes (1)
D	Yes (1)	Yes (1)

Procedures Corrective Action ProceduresCorrectiveActionGrp (4 entries)

Bond ReferenceBondReferenceCd	Procedures Corrective ActionProceduresCorrectiveActionInd
A	Yes (1)
B	Yes (1)
C	Yes (1)
D	Yes (1)

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Part III, Line 8c	Highlands County Health Facilities Authority 2012A, AR Program: A sale of bond-financed assets in 2006 was identified in early 2013. The taxpayer has paid off the bonds related to this asset sale and filed a VCAP request pursuant to Notice 2008-31, 2008-11 IRB 592, on October 25, 2013.
Part III, Line 8c	Highlands County Health Facilities Authority 2012B, AR Program: A sale of bond-financed assets in 2006 was identified in early 2013. The taxpayer has paid off the bonds related to this asset sale and filed a VCAP request pursuant to Notice 2008-31, 2008-11 IRB 592, on October 25, 2013.
Part III, Line 8c	Kansas Development Finance Authority 2012A: A sale of bond-financed assets in 2003 was identified in July 2013. The taxpayer has paid off the bonds related to this asset sale and filed a VCAP request pursuant to Notice 2008-31, 2008-11 IRB 592, on October 15, 2014.
Part III, Line 8c	Highlands County Health Facilities Authority 2012B-F: A sale of bond-financed assets in 2003 was identified in July 2013. The taxpayer has paid off the bonds related to this asset sale and filed a VCAP request pursuant to Notice 2008-31, 2008-11 IRB 592, on October 15, 2014.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (4 entries)

Bond ReferenceBondReferenceCd	Bond Issuer EINBondIssuerEIN	CUSIPCUSIPNum	Bond IssuedBondIssuedDt	Issue PriceIssuePriceAmt	PurposePurposeDesc	DefeasedDefeasedInd	On Behalf Of IssuerOnBehalfOfIssuerInd	Pool FinancingPoolFinancingInd
Highlands County Health Facilities Authority
A	521313569	431022HUD	2006-06-14	$205,156,000	2006C, Expand/refurbish facilities, purchase equipment	0	0	0
Colorado Health Facilities Authority
B	840752932	19648AAV7	2006-11-15	$249,501,424	2006D&E, Refnd Highland, Tarrant 98 iss 12/17/98, Highland iss 03D 10/7/03	0	0	0
Colorado Health Facilities Authority
C	840752932	19648ACG8	2006-11-15	$30,371,450	2006F, Refund 1995 Bonds issued 6/8/1995	0	0	0
Highlands County Health Facilities Authority
D	521313569	431022JZ6	2006-12-20	$212,464,496	2006G, Refund Highlands 2002 issued 12/19/02 and Orange 2002 issued 7/10/02	0	0	0

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (4 entries)

Bond ReferenceBondReferenceCd	RetiredRetiredAmt	Bond DefeasedBondDefeasedAmt	Total ProceedsTotalProceedsAmt	Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt	Capital ExpendituresCapitalExpendituresAmt	Substantial CompletionSubstantialCompletionYr	Current RefundingCurrentRefundingInd	Advance RefundingAdvanceRefundingInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd	Other Spent ProceedsOtherSpentProceedsAmt
A	$5,355,000	$4,900,000	$205,156,000	$2,000,000	$203,156,000	2006	0	0	Yes (1)	Yes (1)
B	$19,765,000	$8,105,000	$249,501,424	$2,492,891		2003	0	Yes (1)	Yes (1)	Yes (1)	$247,008,533
C	$3,075,000	$19,265,000	$30,371,450	$306,707		1995	Yes (1)	0	Yes (1)	Yes (1)	$30,064,743
D	$21,910,000	$7,320,000	$212,464,496	$1,856,375		2002	0	Yes (1)	Yes (1)	Yes (1)	$210,608,121

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (4 entries)

Bond ReferenceBondReferenceCd	Any Lease ArrangementsAnyLeaseArrangementsInd	Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd	Engage Bond Counsel ContractsEngageBondCounselContractsInd	Any Research AgreementsAnyResearchAgreementsInd	Engage Bond Counsel ResearchEngageBondCounselResearchInd	Private Bus Concerning UBIPrivateBusConcerningUBIPct	Total Private Business UseTotalPrivateBusinessUsePct	Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd	Private Bus Use By OthersPrivateBusUseByOthersPct
A	Yes (1)	Yes (1)	Yes (1)	Yes (1)	Yes (1)	0.00100	0.00100	Yes (1)
B	Yes (1)	Yes (1)	Yes (1)	Yes (1)	Yes (1)		0.00200	Yes (1)	0.00200
C	0	Yes (1)	Yes (1)	Yes (1)	Yes (1)			Yes (1)
D	Yes (1)	Yes (1)	Yes (1)	Yes (1)	Yes (1)		0.00300	Yes (1)	0.00300

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (4 entries)

Bond ReferenceBondReferenceCd	Exception To RebateExceptionToRebateInd	Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd
A	Yes (1)	Yes (1)
B	Yes (1)	Yes (1)
C	Yes (1)	Yes (1)
D	Yes (1)	Yes (1)

Procedures Corrective Action ProceduresCorrectiveActionGrp (4 entries)

Bond ReferenceBondReferenceCd	Procedures Corrective ActionProceduresCorrectiveActionInd
A	Yes (1)
B	Yes (1)
C	Yes (1)
D	Yes (1)

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (4 entries)

Bond ReferenceBondReferenceCd	Bond Issuer EINBondIssuerEIN	CUSIPCUSIPNum	Bond IssuedBondIssuedDt	Issue PriceIssuePriceAmt	PurposePurposeDesc	DefeasedDefeasedInd	On Behalf Of IssuerOnBehalfOfIssuerInd	Pool FinancingPoolFinancingInd
Highlands County Health Facilities Authority
A	521313569	431022KK7	2007-08-08	$366,445,000	2007A B C D, Expand/refurbish facilities, purchase equipment	0	0	0
Highlands County Health Facilities Authority
B	521313569	431022QZ8	2008-12-16	$68,000,000	2008A, Expand/refurbish facilities, purchase equipment	0	0	0
Kansas Development Finance Authority
C	481066589	48542ABX8	2009-07-08	$325,394,417	2009C, Ref 96/05&97/05 iss 1/13/05, 03A 1/16/03, 08B 12/19/08, exp facility	0	0	0
Kansas Development Finance Authority
D	481066589	48542ACY5	2009-10-01	$102,271,154	2009D, Refund Highlands 07C, 8/8/07 & expand/refurbish facilities/purc equip	0	0	0

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (4 entries)

Bond ReferenceBondReferenceCd	RetiredRetiredAmt	Total ProceedsTotalProceedsAmt	Credit EnhancementCreditEnhancementAmt	Capital ExpendituresCapitalExpendituresAmt	Substantial CompletionSubstantialCompletionYr	Current RefundingCurrentRefundingInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd	Other Spent ProceedsOtherSpentProceedsAmt
A	$259,800,000	$366,445,000	$5,560,382	$360,884,618	2007	0	Yes (1)	Yes (1)
B	$26,000,000	$68,000,000		$68,000,000	2008	0	Yes (1)	Yes (1)
C	$21,820,000	$325,394,417		$12,004,967	2009	Yes (1)	Yes (1)	Yes (1)	$313,389,450
D	$9,055,000	$102,271,154		$21,844,721	2009	Yes (1)	Yes (1)	Yes (1)	$80,426,433

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (4 entries)

Bond ReferenceBondReferenceCd	Any Lease ArrangementsAnyLeaseArrangementsInd	Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd	Engage Bond Counsel ContractsEngageBondCounselContractsInd	Any Research AgreementsAnyResearchAgreementsInd	Engage Bond Counsel ResearchEngageBondCounselResearchInd	Private Bus Use By OthersPrivateBusUseByOthersPct	Total Private Business UseTotalPrivateBusinessUsePct	Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A	Yes (1)	Yes (1)	Yes (1)	Yes (1)	Yes (1)	0.00200	0.00200	Yes (1)
B	0	Yes (1)	Yes (1)	Yes (1)	Yes (1)			Yes (1)
C	Yes (1)	Yes (1)	Yes (1)	Yes (1)	Yes (1)	0.00100	0.00100	Yes (1)
D	0	Yes (1)	Yes (1)	Yes (1)	Yes (1)			Yes (1)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (4 entries)

Bond ReferenceBondReferenceCd	Rebate Not Due YetRebateNotDueYetInd	Exception To RebateExceptionToRebateInd	Variable Rate IssueVariableRateIssueInd	Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd
A	0	Yes (1)	Yes (1)	Yes (1)
B	Yes (1)	Yes (1)	0	Yes (1)
C	Yes (1)	Yes (1)	0	Yes (1)
D	Yes (1)	Yes (1)	0	Yes (1)

Procedures Corrective Action ProceduresCorrectiveActionGrp (4 entries)

Bond ReferenceBondReferenceCd	Procedures Corrective ActionProceduresCorrectiveActionInd
A	Yes (1)
B	Yes (1)
C	Yes (1)
D	Yes (1)

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (4 entries)

Bond ReferenceBondReferenceCd	Bond Issuer EINBondIssuerEIN	CUSIPCUSIPNum	Bond IssuedBondIssuedDt	Issue PriceIssuePriceAmt	PurposePurposeDesc	DefeasedDefeasedInd	On Behalf Of IssuerOnBehalfOfIssuerInd	Pool FinancingPoolFinancingInd
Highlands County Health Facilities Authority
A	521313569	431022SP8	2009-11-16	$190,752,502	09E & 08B Conv, Ref Orange 91/01 10/11/01, 92/03 5/15/03, 08B 12/19/08	0	0	0
Highlands County Health Facilities Authority
B	521313569	431022SG8	2009-11-16	$177,240,000	2005I Conv, Refund Highlands 05I 12/22/05 & expand/refurbish facilities	0	0	0
Highlands County Health Facilities Authority
C	521313569		2010-12-17	$57,000,000	2010A, Expand/refurbish facilities, purchase equipment	0	0	0
Orange County Health Facilities Authority
D	521378595		2010-12-22	$25,000,000	2010B, Expand/refurbish facilities, purchase equipment	0	0	0

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (4 entries)

Bond ReferenceBondReferenceCd	RetiredRetiredAmt	Total ProceedsTotalProceedsAmt	Other Spent ProceedsOtherSpentProceedsAmt	Substantial CompletionSubstantialCompletionYr	Current RefundingCurrentRefundingInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd	Capital ExpendituresCapitalExpendituresAmt
A	$15,145,000	$190,752,502	$190,752,502	2008	Yes (1)	Yes (1)	Yes (1)
B	$125,000,000	$178,936,632	$177,240,000	2005	Yes (1)	Yes (1)	Yes (1)	$1,696,632
C		$57,000,000		2010	0	Yes (1)	Yes (1)	$57,000,000
D	$2,000,000	$25,000,000		2010	0	Yes (1)	Yes (1)	$25,000,000

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (4 entries)

Bond ReferenceBondReferenceCd	Any Lease ArrangementsAnyLeaseArrangementsInd	Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd	Engage Bond Counsel ContractsEngageBondCounselContractsInd	Any Research AgreementsAnyResearchAgreementsInd	Engage Bond Counsel ResearchEngageBondCounselResearchInd	Private Bus Use By OthersPrivateBusUseByOthersPct	Total Private Business UseTotalPrivateBusinessUsePct	Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A	Yes (1)	Yes (1)	Yes (1)	Yes (1)	Yes (1)	0.00100	0.00100	Yes (1)
B	Yes (1)	Yes (1)	Yes (1)	Yes (1)	Yes (1)	0.00900	0.00900	Yes (1)
C	0	Yes (1)	Yes (1)	Yes (1)	Yes (1)			Yes (1)
D	0	Yes (1)	Yes (1)	Yes (1)	Yes (1)			Yes (1)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (4 entries)

Bond ReferenceBondReferenceCd	Rebate Not Due YetRebateNotDueYetInd	Exception To RebateExceptionToRebateInd	Variable Rate IssueVariableRateIssueInd	Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd
A	Yes (1)	Yes (1)	0	Yes (1)
B	Yes (1)	Yes (1)	Yes (1)	Yes (1)
C	Yes (1)	Yes (1)	Yes (1)	Yes (1)
D	Yes (1)	Yes (1)	Yes (1)	Yes (1)

Procedures Corrective Action ProceduresCorrectiveActionGrp (4 entries)

Bond ReferenceBondReferenceCd	Procedures Corrective ActionProceduresCorrectiveActionInd
A	Yes (1)
B	Yes (1)
C	Yes (1)
D	Yes (1)

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (4 entries)

Bond ReferenceBondReferenceCd	Bond Issuer EINBondIssuerEIN	Bond IssuedBondIssuedDt	Issue PriceIssuePriceAmt	PurposePurposeDesc	DefeasedDefeasedInd	On Behalf Of IssuerOnBehalfOfIssuerInd	Pool FinancingPoolFinancingInd
Kansas Development Finance Authority
A	481066589	2010-12-22	$25,000,000	2010C, Expand/refurbish facilities, purchase equipment	0	0	0
Colorado Health Facilities Authority
B	840752932	2010-12-22	$25,000,000	2010D, Expand/refurbish facilities, purchase equipment	0	0	0
Highlands County Health Facilities Authority
C	521313569	2010-12-30	$225,000,000	2010E, Expand/refurbish facilities, purchase equipment	0	0	0
Highlands County Health Facilities Authority
D	521313569	2011-11-16	$80,000,000	2011A, Expand/refurbish facilities	0	0	0

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (4 entries)

Bond ReferenceBondReferenceCd	RetiredRetiredAmt	Total ProceedsTotalProceedsAmt	Capital ExpendituresCapitalExpendituresAmt	Substantial CompletionSubstantialCompletionYr	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd
A	$2,000,000	$25,000,000	$25,000,000	2010	Yes (1)	Yes (1)
B	$2,000,000	$25,000,000	$25,000,000	2010	Yes (1)	Yes (1)
C	$18,000,000	$225,000,000	$225,000,000	2010	Yes (1)	Yes (1)
D	$360,000	$80,000,000	$80,000,000	2011	Yes (1)	Yes (1)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (4 entries)

Bond ReferenceBondReferenceCd	Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd	Engage Bond Counsel ContractsEngageBondCounselContractsInd	Any Research AgreementsAnyResearchAgreementsInd	Engage Bond Counsel ResearchEngageBondCounselResearchInd	Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A	Yes (1)	Yes (1)	Yes (1)	Yes (1)	Yes (1)
B	Yes (1)	Yes (1)	Yes (1)	Yes (1)	Yes (1)
C	Yes (1)	Yes (1)	Yes (1)	Yes (1)	Yes (1)
D	Yes (1)	Yes (1)	Yes (1)	Yes (1)	Yes (1)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (4 entries)

Bond ReferenceBondReferenceCd	Rebate Not Due YetRebateNotDueYetInd	Exception To RebateExceptionToRebateInd	Variable Rate IssueVariableRateIssueInd	Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd
A	Yes (1)	Yes (1)	Yes (1)	Yes (1)
B	Yes (1)	Yes (1)	Yes (1)	Yes (1)
C	Yes (1)	Yes (1)	Yes (1)	Yes (1)
D	Yes (1)	Yes (1)	Yes (1)	Yes (1)

Procedures Corrective Action ProceduresCorrectiveActionGrp (4 entries)

Bond ReferenceBondReferenceCd	Procedures Corrective ActionProceduresCorrectiveActionInd
A	Yes (1)
B	Yes (1)
C	Yes (1)
D	Yes (1)

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (4 entries)

Bond ReferenceBondReferenceCd	Bond Issuer EINBondIssuerEIN	Bond IssuedBondIssuedDt	Issue PriceIssuePriceAmt	PurposePurposeDesc	DefeasedDefeasedInd	On Behalf Of IssuerOnBehalfOfIssuerInd	Pool FinancingPoolFinancingInd	CUSIPCUSIPNum
Highlands County Health Facilities Authority
A	521313569	2012-03-21	$294,985,000	2012A, AR Program - Refund 2009 A-F AR Program	0	0	0
Highlands County Health Facilities Authority
B	521313569	2012-07-25	$115,015,000	2012B, AR Program - Expand/refurbish facilities, purchase equipment	0	0	0
Kansas Development Finance Authority
C	481066589	2012-08-29	$310,952,245	2012A - Refund Or-1995; H-02,03C,05H,06B,07B,07D,08A; C-2004B; K-2004C	0	0	0	48542ADG3
Highlands County Health Facilities Authority
D	521313569	2012-08-29	$348,320,000	2012B-F - Refund Or-1995; H-02,03C,05H,06B,07B,07D,08A; C-2004B; K-2004C	0	0	0	431022TL6

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (4 entries)

Bond ReferenceBondReferenceCd	RetiredRetiredAmt	Total ProceedsTotalProceedsAmt	Other Spent ProceedsOtherSpentProceedsAmt	Substantial CompletionSubstantialCompletionYr	Current RefundingCurrentRefundingInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd	Capital ExpendituresCapitalExpendituresAmt
A	$400,000	$294,985,000	$294,985,000	2004	Yes (1)	Yes (1)	Yes (1)
B		$115,015,000		2012	0	Yes (1)	Yes (1)	$115,015,000
C		$310,952,245	$310,952,245	2008	Yes (1)	Yes (1)	Yes (1)
D	$24,830,000	$348,320,000	$348,320,000	2008	Yes (1)	Yes (1)	Yes (1)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (4 entries)

Bond ReferenceBondReferenceCd	Any Lease ArrangementsAnyLeaseArrangementsInd	Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd	Engage Bond Counsel ContractsEngageBondCounselContractsInd	Any Research AgreementsAnyResearchAgreementsInd	Engage Bond Counsel ResearchEngageBondCounselResearchInd	Change In Use Bond Financed PropChangeInUseBondFinancedPropInd	Change In Use Bond Financed PropChangeInUseBondFinancedPropPct	Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd	Private Bus Use By OthersPrivateBusUseByOthersPct	Total Private Business UseTotalPrivateBusinessUsePct
A	0	Yes (1)	Yes (1)	Yes (1)	Yes (1)	Yes (1)	0.00080	Yes (1)
B	0	Yes (1)	Yes (1)	Yes (1)	Yes (1)	Yes (1)	0.00080	Yes (1)
C	Yes (1)	Yes (1)	Yes (1)	Yes (1)	Yes (1)	Yes (1)	0.00370	Yes (1)	0.00500	0.00500
D	Yes (1)	Yes (1)	Yes (1)	Yes (1)	Yes (1)	Yes (1)	0.00370	Yes (1)	0.00500	0.00500

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (4 entries)

Bond ReferenceBondReferenceCd	Rebate Not Due YetRebateNotDueYetInd	Exception To RebateExceptionToRebateInd	Variable Rate IssueVariableRateIssueInd	Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd
A	Yes (1)	Yes (1)	Yes (1)	Yes (1)
B	Yes (1)	Yes (1)	Yes (1)	Yes (1)
C	Yes (1)	Yes (1)	Yes (1)	Yes (1)
D	Yes (1)	Yes (1)	Yes (1)	Yes (1)

Procedures Corrective Action ProceduresCorrectiveActionGrp (4 entries)

Bond ReferenceBondReferenceCd	Procedures Corrective ActionProceduresCorrectiveActionInd
A	Yes (1)
B	Yes (1)
C	Yes (1)
D	Yes (1)

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (3 entries)

Bond ReferenceBondReferenceCd	Bond Issuer EINBondIssuerEIN	Bond IssuedBondIssuedDt	Issue PriceIssuePriceAmt	PurposePurposeDesc	DefeasedDefeasedInd	On Behalf Of IssuerOnBehalfOfIssuerInd	Pool FinancingPoolFinancingInd	CUSIPCUSIPNum
Highlands County Health Facilities Authority
A	521313569	2012-08-29	$125,000,000	2012G&H - Refund Highlands 2005I Conversion Bonds	0	0	0
Highlands County Health Facilities Authority
B	521313569	2012-11-08	$232,125,000	2012I - Refunded Volusia 1994-A; Highlands 2004A, 2005E, 2005F, 2005G	0	0	0	431022TR3
Highlands County Health Facilities Authority
C	521313569	2013-09-18	$485,000,000	2013A B C, Expand/refurbish facilities, purchase equipment	0	0	0

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (3 entries)

Bond ReferenceBondReferenceCd	Total ProceedsTotalProceedsAmt	Other Spent ProceedsOtherSpentProceedsAmt	Substantial CompletionSubstantialCompletionYr	Current RefundingCurrentRefundingInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd	RetiredRetiredAmt	Capital ExpendituresCapitalExpendituresAmt	UnspentUnspentAmt
A	$125,000,000	$125,000,000	2005	Yes (1)	Yes (1)	Yes (1)
B	$232,125,000	$232,125,000	2005	Yes (1)	Yes (1)	Yes (1)	$1,285,000
C	$485,000,000		2013	0	0	Yes (1)		$306,390,000	$178,610,000

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (3 entries)

Bond ReferenceBondReferenceCd	Any Lease ArrangementsAnyLeaseArrangementsInd	Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd	Engage Bond Counsel ContractsEngageBondCounselContractsInd	Any Research AgreementsAnyResearchAgreementsInd	Engage Bond Counsel ResearchEngageBondCounselResearchInd	Private Bus Use By OthersPrivateBusUseByOthersPct	Total Private Business UseTotalPrivateBusinessUsePct	Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A	Yes (1)	Yes (1)	Yes (1)	Yes (1)	Yes (1)	0.00900	0.00900	Yes (1)
B	Yes (1)	Yes (1)	Yes (1)	Yes (1)	Yes (1)	0.00200	0.00200	Yes (1)
C	0	Yes (1)	Yes (1)	Yes (1)	Yes (1)			Yes (1)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (3 entries)

Bond ReferenceBondReferenceCd	Rebate Not Due YetRebateNotDueYetInd	Exception To RebateExceptionToRebateInd	Variable Rate IssueVariableRateIssueInd	Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd
A	Yes (1)	Yes (1)	Yes (1)	Yes (1)
B	Yes (1)	Yes (1)	Yes (1)	Yes (1)
C	Yes (1)	0	Yes (1)	Yes (1)

Procedures Corrective Action ProceduresCorrectiveActionGrp (3 entries)

Bond ReferenceBondReferenceCd	Procedures Corrective ActionProceduresCorrectiveActionInd
A	Yes (1)
B	Yes (1)
C	Yes (1)

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (3 entries)

Relationship DescriptionRelationshipDescriptionTxt	TransactionTransactionAmt	TransactionTransactionDesc	Sharing Of RevenuesSharingOfRevenuesInd
Jenola Bradwell
Family of board member	$53,440	Employee Compensation	0
Karen Tilstra
Family of key employee	$117,006	Consulting	0
Clifton Scott
Family of board member	$69,385	Employee Compensation	0

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (13 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Form 990, Part VI, Section A, line 2	Lars Houmann and Terry Owen - Family Relationship
Form 990, Part VI, Section A, line 4	The Bylaws of the filing organization were amended in 2013 as follows. Clarification was added to the definition of the Member noting that the sole member, AHSSHC, may act through its Board of Directors, an Executive Board or committees. A new provision has been added to the Bylaws to provide that a quorum shall be deemed to exist where the majority of the members of the Board of Directors, executive committee or other committee are present.
Form 990, Part VI, Section A, line 6	Adventist Health System/Sunbelt, Inc. (the filing organization) has one member. The sole member of the filing organization is Adventist Health System Sunbelt Healthcare Corporation. Adventist Health System Sunbelt Healthcare Corporation (AHSSHC) is a Florida, not-for-profit corporation that is exempt from federal income tax under Internal Revenue Code (IRC) Section 501(c)(3). There are no other classes of membership in the filing organization.
Form 990, Part VI, Section A, line 7a	The sole member of the filing organization is AHSSHC. The Board of Directors of the filing organization are appointed by the sole member, AHSSHC, who has the right to elect, appoint or remove any member of the Board of Directors of the filing organization.
Form 990, Part VI, Section A, line 7b	AHSSHC, as the sole member of the filing organization, has certain reserved powers as set forth in the Bylaws of the filing organization. These reserved powers include the following: a) to approve and disapprove the executive and/or administrative leadership of the filing organization, and their salaries; b) to approve and disapprove the operating Bylaws of the filing organization; c) to set limits and terms for the borrowing of funds; d) to approve or disapprove major building programs and/or purchase or sale of personal property or real property equal to or in excess of One Million dollars; e) to approve or disapprove the annual operating and capital budgets of the filing organization; f) to direct the placement of funds and capital of the filing organization; and g) to establish general guiding policies.
Form 990, Part VI, Section B, line 11	The filing organization's current year Form 990 was reviewed by the Chief Financial Executive subsequent to its filing with the IRS. The review conducted by the Chief Financial Executive did not include the review of any supporting workpapers that were used in preparation of the current year Form 990, but did include a review of the entire Form 990 and all supporting schedules.
Form 990, Part VI, Section B, line 12c	The Conflict of Interest Policy of the filing organization applies to members of its Board of Directors and its principal officers (to be known as Interested Persons). In connection with any actual or possible conflict of interests, any member of the Board of Directors of the filing organization or any principal officer of the filing organization (i.e. Interested Persons) must disclose the existence of any financial interest with the filing organization and must be given the opportunity to disclose all material facts concerning the financial interest/arrangement to the Board of Directors of the filing organization or to any members of a committee with board delegated powers that is considering the proposed transaction or arrangement. Subsequent to any disclosure of any financial interest/arrangement and all material facts, and after any discussion with the relevant Board member or principal officer, the remaining members of the Board of Directors or committee with board delegated powers shall discuss, analyze, and vote upon the potential financial interest/arrangement to determine if a conflict of interest exists. According to the filing organization's Conflict of Interest Policy, an Interested Person may make a presentation to the Board of Directors (or committee with board delegated powers), but after such presentation, shall leave the meeting during the discussion of, and the vote on, the transaction or arrangement that results in a conflict of interest. Each Interested Person, as defined under the filing organization's Conflict of Interest Policy, shall annually sign a statement which affirms that such person has received a copy of the Conflict of Interests policy, has read and understands the policy, has agreed to comply with the policy, and understands that the filing organization is a charitable organization that must primarily engage in activities which accomplish one or more of its exempt purposes. The filing organization's Conflict of Interest Policy also requires that periodic reviews shall be conducted to ensure that the filing organization operates in a manner consistent with its charitable purposes.
Form 990, Part VI, Section B, line 15	The filing organization's CEO, other officers and key employees are not compensated by the filing organization. Such individuals are compensated by the related top-tier parent organization of the filing organization. Please see the discussion concerning the process followed by the related top-tier parent organization in determining executive compensation in our response to Schedule J, Line 3.
Form 990, Part VI, Section C, line 19	The filing organization is a part of the system of healthcare organizations known as Adventist Health System (AHS). Each year, AHS publishes an annual report document that includes a financial report for the relevant year as well as a community benefit report. The financial report and community benefit report are presented on a consolidated basis and represent all of the activities, results of operations, and financial position at year-end of the entire AHS system. In addition, the audited consolidated financial statements of AHS and of the AHS "Obligated Group" are filed annually with the Municipal Securities Rulemaking Board (MSRB). The "Obligated Group" is a group of AHSSHC subsidiaries that are jointly and severally liable under a Master Trust Indenture that secures debt primarily issued on a tax-exempt basis. Unaudited quarterly financial statements prepared in accordance with Generally Accepted Accounting Principles (GAAP) are also filed with MSRB for AHS on a consolidated basis and for the grouping of AHS subsidiaries comprising the "Obligated Group". The filing organization does not generally make its governing documents or conflict of interest policy available to the public.
Part VII, Section A	For those Board of Director members who devote less than full-time to the filing organization (based upon the average number of hours per week shown in column (B) on page 7 of the return) the compensation amounts shown in columns (E) and (F) on page 7 for Don Jernigan, Lars Houmann, Richard Reiner, and Terry Shaw, were provided in conjunction with that person's responsibilities and roles in serving in an executive leadership position within Adventist Health System (AHS). Don Jernigan, Richard Reiner,and Terry Shaw devote approximately 50 hours per week in conjunction with serving in their respective executive leadership position within AHS. Lars Houmann devotes approximately 35 hours a week to the filing organization and the remainder of time is devoted to his leadership position within AHS.
Form 990, Part IX, line 11g	Payments to Healthcare Professionals: Program service expenses 138,879,884. Management and general expenses 0. Fundraising expenses 0. Total expenses 138,879,884. Professional Fees: Program service expenses 78,318,121. Management and general expenses 393,675. Fundraising expenses 0. Total expenses 78,711,796. Purchased Medical Services: Program service expenses 4,839,493. Management and general expenses 0. Fundraising expenses 0. Total expenses 4,839,493. Environmental Services: Program service expenses 1,500,936. Management and general expenses 0. Fundraising expenses 0. Total expenses 1,500,936. Transcription Services: Program service expenses 227,732. Management and general expenses 0. Fundraising expenses 0. Total expenses 227,732. Recruiting: Program service expenses 218,629. Management and general expenses 0. Fundraising expenses 0. Total expenses 218,629. Food Service Contracts: Program service expenses 514,780. Management and general expenses 0. Fundraising expenses 0. Total expenses 514,780. Region Support Services: Program service expenses 0. Management and general expenses 2,384,623. Fundraising expenses 0. Total expenses 2,384,623. Miscellaneous Purchased Services: Program service expenses 3,944,755. Management and general expenses 3,312,023. Fundraising expenses 0. Total expenses 7,256,778. AHS Management Fees: Program service expenses 0. Management and general expenses 54,443,434. Fundraising expenses 0. Total expenses 54,443,434. Billing & Collection Services: Program service expenses 0. Management and general expenses 6,898,026. Fundraising expenses 0. Total expenses 6,898,026.
Form 990, Part XI, line 9:	Transfer to tax-exempt affiliates -23,280,543. Transfer to tax-exempt parent -15,787,382. Donated Property 1,564,941. SWAP loss amortization 60,536. Allocations from Tax-exempt Parent with respect to Debt 6,706,068. Transfer for expenses -190,764. Gifts 16,443,053. Other -33,074. Interest in Foundation 1,357,351. Rounding 1.
Part X, Line 2	The amounts shown on line 2 of Part X of this return include the filing organization's interest in a central investment pool maintained by Adventist Health System Sunbelt Healthcare Corporation, the filing organization's top-tier parent. The investments in the central investment pool are recorded at market value.

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp

Disregarded Entity Name DisregardedEntityName

Field	Value	IRS element (for citing)
Business Name Line1	Florida Radiology Imaging at Lake Mary LLC (1113-22513)	BusinessNameLine1

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	875 Concourse Parkway 150	AddressLine1
City	Maitland	City
State	FL	State
ZIP Code	32751	ZIPCode

Field	Value	IRS element (for citing)
EIN	550789387	EIN
Primary Activities	Imaging & Testing	PrimaryActivitiesTxt
Legal Domicile State	FL	LegalDomicileStateCd
Total Income	$3,050,215	TotalIncomeAmt
End Of Year Assets	$0	EndOfYearAssetsAmt

Direct Controlling Entity Name DirectControllingEntityName

Field	Value	IRS element (for citing)
Business Name Line1	Adventist Health SystemSunbelt Inc	BusinessNameLine1

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	Yes (1)
Adventist Care Centers - Courtland Inc
730 Courtland Street	Orlando	FL	32804	205774723	Operation of Home for the Aged/Hlthcare Delivery	FL	501(c)(3)	Line 9	Sunbelt Hlth Care Centers Inc	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	Yes (1)
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	Yes (1)
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	Yes (1)
Adventist Hlth Partners Inc
1000 Remington Blvd Ste 200	Bolingbrook	IL	60440	364138353	Operate out-patient physician clinics	IL	501(c)(3)	Line 3	AHS Midwest Management Inc	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	Yes (1)
AHS Midwest Management Inc
1000 Remington Blvd Ste 200	Bolingbrook	IL	60440	363354567	Operation of Physician Practice Mgmt	IL	501(c)(3)	Line 11a, I	Adventist Hlth SystemSunbelt Inc	Yes (1)
AHSCentral Texas Inc
1301 Wonder World Drive	San Marcos	TX	78666	742621825	Provide Office Space - Medical Professionals	TX	501(c)(3)	Line 11c, III-FI	Adventist Hlth System Sunbelt Hlthcare Corp	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	Yes (1)
Bolingbrook Hospital Foundation
1000 Remington Blvd N Entrance 2nd	Bolingbrook	IL	60440	900494445	Fund-raising for Tax-exempt hospital	IL	501(c)(3)	Line 7	Midwest Hlth Foundation	0
Bradford Heights Hlth & Rehab Center Inc
950 Highpoint Drive	Hopkinsville	KY	42240	205782342	Operation of Home for the Aged/Hlthcare Delivery	KY	501(c)(3)	Line 9	Sunbelt Hlth Care Centers Inc	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	Yes (1)
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	Yes (1)
Chickasaw Hlth Care Properties Inc
250 S Chickasaw Trail	Orlando	FL	32825	510605681	Lease to Related Organization	GA	501(c)(3)	Line 11c, III-FI	Sunbelt Hlth Care Centers Inc	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	Yes (1)
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	Yes (1)
Fletcher Hospital Inc
100 Hospital Drive	Hendersonville	NC	28792	560543246	Operation of Hospital & Related Svcs	NC	501(c)(3)	Line 3	Adventist Hlth System Sunbelt Hlthcare Corp	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	Yes (1)
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	Yes (1)
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	Yes (1)
Foundation for Shawnee Mission Medical Center Inc
9100 W 74th Street	Shawnee Mission	KS	66204	480868859	Fund-raising for Tax-exempt hospital	KS	501(c)(3)	Line 11a, I	Shawnee Mission Medical Center Inc	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	Yes (1)
La Grange Memorial Hospital Foundation
5101 S Willow Springs Rd	La Grange	IL	60525	300247776	Fund-raising for Tax-exempt hospital	IL	501(c)(3)	Line 7	Midwest Hlth Foundation	0
Memorial Hlth Systems Foundation Inc
770 West Granada Blvd	Ormond Beach	FL	32174	311771522	Fund-raising for Tax-exempt hospital	FL	501(c)(3)	Line 7	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	Yes (1)
Memorial Hospital - West Volusia Inc
701 West Plymouth Avenue	Deland	FL	32720	593256803	Operation of Hospital & Related Services	FL	501(c)(3)	Line 3	Memorial Hlth Systems Inc	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	0
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	Yes (1)
Russellville Hlth Care Properties Inc
683 East Third Street	Russellville	KY	42276	510605691	Lease to Related Organization	GA	501(c)(3)	Line 11c, III-FI	Sunbelt Hlth Care Centers Inc	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	Yes (1)
Specialty Physicians of Central Texas Inc
1301 Wonder World Drive	San Marcos	TX	78666	208814408	Physician Hlthcare services to the community	TX	501(c)(3)	Line 3	Adventist Hlth SystemSunbelt Inc	Yes (1)
Spring View Hlth & Rehab Center Inc
718 Goodwin Lane	Leitchfield	KY	42754	205782288	Operation of Home for the Aged/Hlthcare Delivery	KY	501(c)(3)	Line 9	Sunbelt Hlth Care Centers Inc	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	N/A
Endoscopy Center at Porter LLC
1001 South Park Drive	Littleton	CO	80120	205855038	Medical Services	CO	N/A
Florida Hospital DMERT LLC
2450 Maitland Center Pkwy Ste 200	Maitland	FL	32751	202392253	Medical Equipment	FL	N/A
Florida Hospital Home Infusion
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		Adventist Hlth SystemSunbelt Inc	Related	$59,067	$257,475	0	0	0.55000
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	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Entity TypeEntityTypeTxt	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	OwnershipOwnershipPct	Controlled OrganizationControlledOrganizationInd	Direct Controlling NADirectControllingNACd	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	Adventist Hlth SystemSunbelt Inc	C	$122,842	$36,925	0.58000	Yes (1)
Apopka Medical Plaza Condominium Association Inc
601 East Rollins Street	Orlando	FL	32803	593000857	Condo Association	FL	Adventist Hlth SystemSunbelt Inc	C	$27,868	$17,851	0.89000	Yes (1)
CC MOB Inc
2201 S Clear Creek Road	Killeen	TX	76549	742616875	Real Estate Rental	TX		C				0	N/A
Central Texas Medical Associates
1301 Wonder World Drive	San Marcos	TX	78666	742729873	Physician Clinics	TX	Adventist Hlth SystemSunbelt Inc	C			1.00000	Yes (1)
Central Texas Provider's Network
1301 Wonder World Drive	San Marcos	TX	78666	742827652	Physician Hospital Org.	TX	Adventist Hlth SystemSunbelt Inc	C	$1,949	$41,671	1.00000	Yes (1)
Florida Hospital Flagler Medical Offices Association Inc
60 Memorial Medical Parkway	Palm Coast	FL	32164	262158309	Condo Association	FL		C				0	N/A
Florida Hospital Healthcare System Inc
602 Courtland Street	Orlando	FL	32804	593215680	PHO/TPA	FL	Adventist Hlth SystemSunbelt Inc	C	$144,583,515	$49,147,811	1.00000	Yes (1)
Florida Medical Plaza Condo Association Inc
601 East Rollins Street	Orlando	FL	32803	592855791	Condo Association	FL	Adventist Hlth SystemSunbelt Inc	C	$771,033	$207,096	0.78000	Yes (1)
Florida Memorial Health Network Inc
770 W Granada Blvd Ste 317	Ormond Beach	FL	32174	593403558	Physician Hospital Org.	FL		C				0	N/A
Huguley Alliance Foundation
11801 South Freeway	Fort Worth	TX	76115	752642209	Inactive	TX	Adventist Hlth SystemSunbelt Inc	C		$136,191	1.00000	Yes (1)
Kissimmee Multispecialty Clinic Condominium Association Inc
201 Hilda Street Suite 30	Kissimmee	FL	34741	593539564	Condo Association	FL	Adventist Hlth SystemSunbelt Inc	C	$51,521		0.54400	Yes (1)
Midwest Management Services Inc
9100 West 74th Street	Shawnee Mission	KS	66204	480901551	Real Estate Rental	KS		C				0	N/A
Metroplex Adventist Hospital CRNA (11-111113)
2201 S Clear Creek Road	Killeen	TX	76549	260760794	Support hospital - provide allied health professionals	TX		C				0	N/A
North American Health Services Inc & Subs
111 N Orlando Avenue	Winter Park	FL	32789	621041820	Lessor/Holding Co.	TN		C				0	N/A
Ormond Professional Condo Association (430 Year End)
770 W Granada Blvd Ste 101	Ormond Beach	FL	32174	592694434	Condo Association	FL		C				0	N/A
Park Ridge Property Owner's Association Inc
1 Park Place Naples Road	Fletcher	NC	28732	030380531	Condo Association	NC		C				0	N/A
Porter Affiliated Hlth Services Inc dba Diversified Affiliated Hlth Svcs
2525 S Downing Street	Denver	CO	80210	840956175	Healthcare Services	CO		C				0	N/A
San Marcos Regional MRI Inc
1301 Wonder World Drive	San Marcos	TX	78666	770597968	Holding Company	TX	Adventist Hlth SystemSunbelt Inc	C	$1,595	$11,464	1.00000	Yes (1)
The Garden Retirement Community Inc
602 Courtland Street Ste 200	Orlando	FL	32804	593414055	Real Estate Rental	FL		C				0	N/A
University Community Health Insurance Company SPC Ltd (11-32813)
					Captive Insurance			C				0	N/A	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		C				0	N/A
Winter Park Medical Office Building I Condo Assoc Inc
200 Lakemont Ave	Winter Park	FL	32792	452228478	Physician Clinics	FL	Adventist Hlth SystemSunbelt Inc	C	$161,654	$8,367	0.52000	Yes (1)

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

Transactions Related Org TransactionsRelatedOrgGrp (85 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
Adventist Health System Sunbelt Healthcare Corporation
B	$15,787,382	Actual Amount Given
Adventist Health System Sunbelt Healthcare Corporation
C	$76,232	Actual Amount Received
Adventist Health System Sunbelt Healthcare Corporation
M	$54,275,946	% of Facility's Operating Exp
Adventist Health System Sunbelt Healthcare Corporation
P	$149,124,649	Cost
Adventist Health System Sunbelt Healthcare Corporation
Q	$10,499,736	Cost
Adventist Health System Sunbelt Healthcare Corporation dba AHSIS
M	$15,153,303	% of Facility's Operating Exp
Adventist Health System Sunbelt Healthcare Corp dba Sunbelt Medical Mgmt
J	$86,640	Cost
Adventist Health System Sunbelt Healthcare Corp dba Sunbelt Medical Mgmt
P	$289,426	Cost
Adventist Health System Sunbelt Healthcare Corp dba Sunbelt Medical Mgmt
Q	$726,450	Cost
Adventist Bolingbrook Hospital
L	$619,738	Cost
Adventist Bolingbrook Hospital
P	$111,607	Cost
Adventist Bolingbrook Hospital
Q	$76,240	Cost
Adventist Care Centers Courtland Inc
B	$147,564	Actual Amount Given
Adventist GlenOaks Hospital
L	$572,921	Cost
Adventist GlenOaks Hospital
P	$55,151	Cost
Adventist GlenOaks Hospital
Q	$117,470	Cost
Adventist Health Partners Inc
J	$377,252	FMV Rental Rate
Adventist Health Partners Inc
L	$501,748	Cost
Adventist Health Partners Inc
P	$2,970,511	Cost
Adventist Health System Affiliate Benefit Trust
C	$14,000,000	Actual Amount Received
Adventist Health System Georgia Inc
L	$537,022	Cost
Adventist Hinsdale Hospital
L	$4,181,245	Cost
Adventist Hinsdale Hospital
P	$18,073,769	Cost
Adventist Hinsdale Hospital
Q	$3,190,735	Cost
Adventist University of Health Sciences
J	$2,199,732	Cost
Adventist University of Health Sciences
P	$318,932	Cost
Adventist University of Health Sciences
Q	$17,673,173	Cost
Adventist University of Health Sciences
R	$4,671,209	Cost
AHS Midwest Management Inc
P	$867,704	Cost
AHSCentral Texas Inc
K	$138,947	Cost
Central Texas Healthcare Collaborative
B	$1,447,713	Actual Amount Given
Central Texas Medical Center Foundation
B	$84,206	Actual Amount Given
Central Texas Medical Center Foundation
C	$257,104	Actual Amount Received
Central Texas Providers Network
Q	$54,316	Cost
East Orlando Health & Rehab Center Inc
B	$1,440,600	Actual Amount Given
Emory-Adventist Inc
A	$277,153	FMV Interest Rate
Emory-Adventist Inc
S	$950,400	Principal Loan Amount
Fletcher Hospital Inc
L	$571,032	Cost
Fletcher Hospital Inc
R	$478,831	Cost
FLNC Inc
B	$2,211,000	Actual Amount Given
Florida Hospital Healthcare System Inc
A	$243,257	FMV Rental Rate
Florida Hospital Healthcare System Inc
M	$114,093,082	Claims Reimb Plus FMV Fee
Florida Hospital Healthcare System Inc
Q	$13,081,033	Cost
Florida Hospital Medical Group Inc
B	$24,565,644	Actual Amount Given
Florida Hospital Medical Group Inc
A	$6,415,163	FMV Rental Rate
Florida Hospital Medical Group Inc
K	$320,974	Cost
Florida Hospital Medical Group Inc
L	$3,055,586	Cost
Florida Hospital Medical Group Inc
M	$55,193,272	Cost Plus Appropriate %
Florida Hospital Medical Group Inc
P	$4,576,634	Cost
Florida Hospital Medical Group Inc
Q	$4,465,593	Cost
Florida Hospital Medical Group Inc
R	$6,890,424	Cost
Florida Hospital Waterman Inc
B	$376,695	Actual Amount Given
Florida Hospital Waterman Inc
L	$1,241,823	Cost
Florida Hospital Waterman Inc
P	$106,153	Cost
Florida Hospital Waterman Inc
Q	$171,794	Cost
Florida Hospital Zephyrhills Inc
L	$1,180,761	Cost
Florida Hospital Zephyrhills Inc
Q	$81,590	Cost
Jellico Community Hospital Inc
L	$800,096	Cost
La Grange Memorial Hospital Foundation
B	$254,903	Actual Amount Given
La Grange Memorial Hospital Foundation
C	$1,094,432	Actual Amount Received
Memorial Health Systems Inc
L	$1,798,465	Cost
Memorial Hospital - Flagler Inc
L	$1,346,517	Cost
Memorial Hospital - West Volusia Inc
L	$1,159,050	Cost
Memorial Hospital - West Volusia Inc
P	$67,695	Cost
Memorial Hospital Inc
L	$630,533	Cost
North American Health Services Inc dba Elm Creek Property Management
P	$76,564	Cost
Pasco-Pinellas Hillsborough Community Health System Inc
C	$141,216	Actual Amount Received
Pasco-Pinellas Hillsborough Community Health System Inc
L	$312,783	Cost
Princeton Professional Services Inc
J	$232,698	Cost Plus Appropriate Margin
Shawnee Mission Medical Center Inc
L	$1,298,393	Cost
Southwest Volusia Healthcare Corporation
L	$1,140,469	Cost
Southwest Volusia Healthcare Corporation
P	$84,785	Cost
Southwest Volusia Healthcare Corporation
Q	$279,501	Cost
Specialty Physicians of Central Texas Inc
B	$4,000,000	Actual Amount Given
Specialty Physicians of Central Texas Inc
Q	$414,160	Cost
Sunbelt Health & Rehab Center Apopka Inc
B	$473,040	Actual Amount Given
Sunbelt Health Care Centers Inc
J	$318,757	Cost
Sunsystem Development Corporation
B	$4,836,401	Actual Amount Given
Sunsystem Development Corporation
C	$19,205,554	Actual Amount Received
Sunsystem Development Corporation
Q	$3,672,066	Cost
Sunsystem Development Corporation
R	$5,186,508	Cost
Tarpon Springs Hospital Foundation
L	$155,027	Cost
University Community Hospital Inc
B	$2,000,000	Actual Amount Given
University Community Hospital Inc
L	$2,960,650	Cost
University Community Hospital Inc
Q	$128,462	Cost