PORTERCARE ADVENTIST HEALTH SYSTEM: Form 990, tax year 2019
View the entire original 990 at ProPublica ↗
- Organization
- PORTERCARE ADVENTIST HEALTH SYSTEM (EIN 84-0438224)
- Tax period
- 2019-07-01 to 2020-06-30
- Filed
- 2021-05-14
- IRS object ID
- 202141349349307209
- Schema version
- 2019v5.2
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule H
- Schedule I
- Schedule J
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2021-05-14T17:50:14-05:00 | ReturnTs |
| Tax Period End | 2020-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 592170012 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Adventist Hlth Sys Sunbelt Healthcare | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 900 Hope Way | AddressLine1Txt |
| City | Altamonte Springs | CityNm |
| State Abbreviation | FL | StateAbbreviationCd |
| ZIP | 32714 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2019-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 840438224 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Portercare Adventist Health System | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | PORT | BusinessNameControlTxt |
| Phone | 3037656861 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 9100 E Mineral Circle | AddressLine1Txt |
| City | Centennial | CityNm |
| State Abbreviation | CO | StateAbbreviationCd |
| ZIP | 80112 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Andrew Gaasch | PersonNm |
| Person Title | CFO | PersonTitleTxt |
| Phone | 3037656861 | PhoneNum |
| Signature | 2021-05-13 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | Lynn C Addiscott | PreparerPersonNm |
| PTIN | P02150268 | PTIN |
| Phone | 4073572317 | PhoneNum |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2019 | TaxYr |
| Build TS | 2022-09-23 18:48:47Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | Peter Banko | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 9100 E Mineral Circle | AddressLine1Txt |
| City | Centennial | CityNm |
| State Abbreviation | CO | StateAbbreviationCd |
| ZIP | 80112 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $1,269,929,941 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Group Exemption | 1071 | GroupExemptionNum |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | www.centura.org | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1968 | FormationYr |
| Legal Domicile State | CO | LegalDomicileStateCd |
| Activity Or Mission | Our company, a faith based organization, invests in charity care, community programs and sponsorships designed to nurture the health of the people of Colorado with a goal to keep them healthy. | ActivityOrMissionDesc |
| Voting Members Governing Body | 5 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 2 | VotingMembersIndependentCnt |
| Total Employee | 6913 | TotalEmployeeCnt |
| Total Volunteers | 2 | TotalVolunteersCnt |
| Total Gross UBI | $1,439,901 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $750,669 | PYContributionsGrantsAmt |
| CY Contributions Grants | $37,840,930 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $1,294,249,479 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $1,204,891,652 | CYProgramServiceRevenueAmt |
| PY Investment Income | $17,671,143 | PYInvestmentIncomeAmt |
| CY Investment Income | -$7,566,689 | CYInvestmentIncomeAmt |
| PY Other Revenue | $11,687,432 | PYOtherRevenueAmt |
| CY Other Revenue | $14,083,672 | CYOtherRevenueAmt |
| PY Total Revenue | $1,324,358,723 | PYTotalRevenueAmt |
| CY Total Revenue | $1,249,249,565 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $486,970 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $823,841 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $454,071,277 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $455,946,926 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $757,692,229 | PYOtherExpensesAmt |
| CY Other Expenses | $733,905,292 | CYOtherExpensesAmt |
| PY Total Expenses | $1,212,250,476 | PYTotalExpensesAmt |
| CY Total Expenses | $1,190,676,059 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $112,108,247 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $58,573,506 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $1,727,435,014 | TotalAssetsBOYAmt |
| Total Assets EOY | $1,854,648,345 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $462,849,158 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $539,103,534 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $1,264,585,856 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $1,315,544,811 | NetAssetsOrFundBalancesEOYAmt |
| Mission | We extend the healing ministry of Christ by caring for those who are ill and by nurturing the health of the people in our communities. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $1,011,217,832 | ExpenseAmt |
| Grant | $823,841 | GrantAmt |
| Revenue | $1,217,458,718 | RevenueAmt |
| Desc | Operation of 5 acute care hospitals with 30,914 patient admissions, 129,450 patient days and 242,875 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 | $1,011,217,832 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (1) | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | 0 | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | Yes (1) | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (1) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | Yes (1) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (1) | AuditedFinancialStmtAttInd |
| Grants To Organizations | Yes (1) | GrantsToOrganizationsInd |
| Grants To Individuals | Yes (1) | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | 0 | BusinessRlnWith35CtrlEntInd |
| 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 |
| Info In Schedule O Part V | Yes (X) | InfoInScheduleOPartVInd |
| IRP Document | 0 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 6913 | 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 |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 5 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 2 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (1) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (1) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | 0 | CompensationProcessCEOInd |
| Compensation Process Other | 0 | CompensationProcessOtherInd |
| Investment In Joint Venture | Yes (1) | InvestmentInJointVentureInd |
| Written Policy Or Procedure | 0 | WrittenPolicyOrProcedureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Andrew Gaasch | PersonNm |
| Phone | 3036738249 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 9100 E Mineral Circle | AddressLine1Txt |
| City | Centennial | CityNm |
| State Abbreviation | CO | StateAbbreviationCd |
| ZIP | 80112 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (24 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 | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Key EmployeeKeyEmployeeInd |
|---|---|---|---|---|---|---|---|---|---|---|
| Haffner PhD Randall L | ||||||||||
| Board Chairman | 5.00 | 45.00 | Yes (X) | $0 | $2,740,749 | $301,079 | ||||
| Houmann Lars D | ||||||||||
| Board Member | 1.00 | 50.00 | Yes (X) | $0 | $2,609,062 | $296,909 | ||||
| Banko Peter | ||||||||||
| President | 5.00 | 45.00 | $0 | $2,436,926 | $448,976 | Yes (X) | ||||
| Rathbun Paul C | ||||||||||
| Board Member | 1.00 | 50.00 | Yes (X) | $0 | $1,594,684 | $249,273 | ||||
| Dean Morre | ||||||||||
| Chief Integration Off-Former Key Emp | 0.00 | 50.00 | $0 | $1,298,444 | $238,461 | Yes (X) | ||||
| Enderson Dan | ||||||||||
| Treasurer/CFO | 5.00 | 45.00 | $0 | $1,285,276 | $208,658 | Yes (X) | ||||
| Miner Todd MD | ||||||||||
| Orthopedic Surgeon | 50.00 | 0.00 | $1,280,484 | $0 | $39,822 | Yes (X) | ||||
| Yang Charlie MD | ||||||||||
| Orthopedic Surgeon | 50.00 | 0.00 | $1,264,745 | $0 | $41,174 | Yes (X) | ||||
| Ordelheide Kris | ||||||||||
| Secretary-Former Officer | 0.00 | 50.00 | $0 | $1,023,973 | $148,728 | Yes (X) | ||||
| Jennings Jason MD | ||||||||||
| Orthopedic Surgeon | 50.00 | 0.00 | $1,054,933 | $0 | $39,916 | Yes (X) | ||||
| Spenst Brett | ||||||||||
| CEO Littleton Adv Hosp-Former Key Emp | 0.00 | 50.00 | $0 | $974,740 | $110,231 | Yes (X) | ||||
| Huenergardt Samuel | ||||||||||
| CEO Shawnee Mission-Former Key Emp | 0.00 | 50.00 | $0 | $740,023 | $156,852 | Yes (X) | ||||
| Dennis Douglas MD | ||||||||||
| Orthopedic Surgeon | 50.00 | 0.00 | $845,558 | $0 | $30,357 | Yes (X) | ||||
| Sdrulla Dan MD | ||||||||||
| Otolaryngology Physician | 50.00 | 0.00 | $773,423 | $0 | $36,060 | Yes (X) | ||||
| Folkenberg Todd | ||||||||||
| CEO Porter Adventist Hospi | 50.00 | 0.00 | $0 | $655,440 | $128,852 | Yes (X) | ||||
| Goebel Michael | ||||||||||
| CEO Parker Adventist Hospi | 50.00 | 0.00 | $0 | $652,477 | $80,768 | Yes (X) | ||||
| Gaasch Andrew | ||||||||||
| CFO Porter Adv Hosp-Former Key Emp | 0.00 | 50.00 | $0 | $565,611 | $110,976 | Yes (X) | ||||
| McKinney Jillyan | ||||||||||
| CEO Littleton Adv Hosp(beg 7/19) | 50.00 | 0.00 | $0 | $580,360 | $87,440 | Yes (X) | ||||
| Pittman Jeremy | ||||||||||
| CFO Porter Adventist Hosp | 50.00 | 0.00 | $0 | $333,125 | $34,185 | Yes (X) | ||||
| Travis Carol | ||||||||||
| CFO Avista Adv Hosp | 50.00 | 0.00 | $0 | $317,915 | $34,229 | Yes (X) | ||||
| Fisher Jonathan | ||||||||||
| CFO Parker Adventist Hospi | 50.00 | 0.00 | $0 | $304,525 | $34,645 | Yes (X) | ||||
| Beckner Michelle | ||||||||||
| CFO Littleton Adv Hosp (beg 6/19) | 50.00 | 0.00 | $69,748 | $170,388 | $28,483 | Yes (X) | ||||
| Thurber Gary F | ||||||||||
| Board Member | 1.00 | 5.00 | Yes (X) | $0 | $2,749 | $0 | ||||
| Barnett D Edward | ||||||||||
| Board Member | 1.00 | 1.00 | Yes (X) | $0 | $1,699 | $0 | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $5,288,891 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $18,288,166 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $2,886,074 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 517 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | Yes (1) | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| South Denver Cardiology Associates PC | |||||
| 1000 SouthPark Dr | Littleton | CO | 80120 | Medical Services | $24,631,599 |
| Encompass Health Corporation | |||||
| 9001 Liberty Pkway | Birmingham | AL | 35242 | Medical Services | $2,871,401 |
| Critical Care Pulmonary and Sleep Associ | |||||
| 274 Union Blvd Ste 110 | Lakewood | CO | 80228 | Medical Services | $2,777,618 |
| USACS of Colorado Inc | |||||
| 4535 Dressler Rd NW | Canton | OH | 44718 | Medical Services | $2,311,334 |
| Diversified Clinical Services | |||||
| 28525 Network Place | Chicago | IL | 60673 | Medical Services | $2,285,794 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 77 | CntrctRcvdGreaterThan100KCnt |
| Info In Schedule O Part VIII | Yes (X) | InfoInScheduleOPartVIIIInd |
| Related Organizations | $1,236,068 | RelatedOrganizationsAmt |
| Government Grants | $36,604,862 | GovernmentGrantsAmt |
| Total Contributions | $37,840,930 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (5 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt |
|---|---|---|---|---|
| Net Patient Revenue | 622110 | $1,194,015,695 | $1,194,015,695 | |
| Cafeteria Revenue | 622110 | $3,444,819 | $3,444,782 | $37 |
| Medical Office Building Rentals | 622110 | $3,214,357 | $2,858,198 | $356,159 |
| Pharmacy Revenue | 622110 | $3,117,050 | $2,033,345 | $1,083,705 |
| Gift Shop Revenue | 622110 | $565,072 | $565,072 |
Total Oth Program Service Rev TotalOthProgramServiceRevGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $534,659 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $534,659 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $1,204,891,652 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $11,503,116 | TotalRevenueColumnAmt |
| Exclusion | $11,503,116 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $110,261 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $33,556 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $76,705 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $76,705 | TotalRevenueColumnAmt |
| Exclusion | $76,705 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $1,577,015 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $19,473,664 | SecuritiesAmt |
| Other | $1,173,156 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | -$19,473,664 | SecuritiesAmt |
| Other | $403,859 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$19,069,805 | TotalRevenueColumnAmt |
| Exclusion | -$19,069,805 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | Equity Earnings Subsidiaries | Desc |
| Business | 622110 | BusinessCd |
| Total Revenue Column | $14,006,967 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $14,006,967 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $14,006,967 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,249,249,565 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $1,217,458,718 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $1,439,901 | UnrelatedBusinessRevenueAmt |
| Exclusion | -$7,489,984 | 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 | $759,365 | TotalAmt |
| Program Services | $759,365 | ProgramServicesAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $64,476 | TotalAmt |
| Program Services | $64,476 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,245,998 | TotalAmt |
| Management And General | $3,245,998 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $369,210,951 | TotalAmt |
| Program Services | $330,809,547 | ProgramServicesAmt |
| Management And General | $38,401,404 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $17,092,521 | TotalAmt |
| Program Services | $15,198,020 | ProgramServicesAmt |
| Management And General | $1,894,501 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $42,099,295 | TotalAmt |
| Program Services | $37,704,219 | ProgramServicesAmt |
| Management And General | $4,395,076 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $24,298,161 | TotalAmt |
| Program Services | $21,605,001 | ProgramServicesAmt |
| Management And General | $2,693,160 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,971,823 | TotalAmt |
| Management And General | $2,971,823 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $336,385 | TotalAmt |
| Management And General | $336,385 | ManagementAndGeneralAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,880,784 | TotalAmt |
| Management And General | $1,880,784 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $267,581,959 | TotalAmt |
| Program Services | $152,604,829 | ProgramServicesAmt |
| Management And General | $114,977,130 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,743,942 | TotalAmt |
| Management And General | $1,743,942 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $20,525,699 | TotalAmt |
| Program Services | $16,400,571 | ProgramServicesAmt |
| Management And General | $4,125,128 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,960,303 | TotalAmt |
| Program Services | $4,817,592 | ProgramServicesAmt |
| Management And General | $1,142,711 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $25,303,312 | TotalAmt |
| Program Services | $25,303,312 | ProgramServicesAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $773,456 | TotalAmt |
| Program Services | $773,456 | ProgramServicesAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $790,330 | TotalAmt |
| Management And General | $790,330 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,636,430 | TotalAmt |
| Program Services | $9,636,430 | ProgramServicesAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $91,118,213 | TotalAmt |
| Program Services | $91,118,213 | ProgramServicesAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,008,304 | TotalAmt |
| Program Services | $7,719,263 | ProgramServicesAmt |
| Management And General | $289,041 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| Medical Supplies | $198,772,760 | $198,772,760 | |
| State Assessment | $72,374,571 | $72,374,571 | |
| Repairs and Maintenance | $22,857,050 | $22,857,050 | |
| Dues and Memberships | $507,386 | $507,386 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,762,585 | TotalAmt |
| Program Services | $2,699,157 | ProgramServicesAmt |
| Management And General | $63,428 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,190,676,059 | TotalAmt |
| Program Services | $1,011,217,832 | ProgramServicesAmt |
| Management And General | $179,458,227 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,329,120 | BOYAmt |
| EOY | $414,280 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $20,010,747 | BOYAmt |
| EOY | $125,184,882 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $171,629,894 | BOYAmt |
| EOY | $159,072,078 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,702,894 | BOYAmt |
| EOY | $4,171,298 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $26,144,400 | BOYAmt |
| EOY | $30,346,175 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,846,855 | BOYAmt |
| EOY | $3,742,250 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $1,438,353,250 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $748,215,403 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $700,446,531 | BOYAmt |
| EOY | $690,137,847 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $500,769,499 | BOYAmt |
| EOY | $515,553,135 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $88,508,623 | BOYAmt |
| EOY | $84,038,066 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $206,046,451 | BOYAmt |
| EOY | $241,988,334 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,727,435,014 | BOYAmt |
| EOY | $1,854,648,345 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $61,754,272 | BOYAmt |
| EOY | $68,383,900 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,547,076 | BOYAmt |
| EOY | $77,052,177 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $399,547,810 | BOYAmt |
| EOY | $393,667,457 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $462,849,158 | BOYAmt |
| EOY | $539,103,534 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,264,482,000 | BOYAmt |
| EOY | $1,315,440,955 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $103,856 | BOYAmt |
| EOY | $103,856 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,264,585,856 | BOYAmt |
| EOY | $1,315,544,811 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,727,435,014 | BOYAmt |
| EOY | $1,854,648,345 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $58,573,506 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $3,917,471 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | -$11,532,022 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | VolunteersInd |
| Paid Staff Or Management | 0 | PaidStaffOrManagementInd |
| Media Advertisements | 0 | MediaAdvertisementsInd |
| Mailings Members | 0 | MailingsMembersInd |
| Publications Or Broadcast | 0 | PublicationsOrBroadcastInd |
| Grants Other Organizations | 0 | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | 0 | DirectContactLegislatorsInd |
| Rallies Demonstrations | 0 | RalliesDemonstrationsInd |
| Other Activities | Yes (1) | OtherActivitiesInd |
| Other Activities | $16,004 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $16,004 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | 0 | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part II-B, Line 1i, Lobbying Activities: | FormAndLineReferenceDesc |
| Explanation | Dues were paid to Colorado Health Association, a portion of which were allocated to lobbying. | ExplanationTxt |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $99,744,255 | OtherCostOrOtherBasisAmt |
| Book Value | $99,744,255 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $866,491,587 | OtherCostOrOtherBasisAmt |
| Depreciation | $430,114,632 | DepreciationAmt |
| Book Value | $436,376,955 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $415,033,588 | OtherCostOrOtherBasisAmt |
| Depreciation | $297,493,853 | DepreciationAmt |
| Book Value | $117,539,735 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $57,083,820 | OtherCostOrOtherBasisAmt |
| Depreciation | $20,606,918 | DepreciationAmt |
| Book Value | $36,476,902 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $690,137,847 | TotalBookValueLandBuildingsAmt |
Other Securities OtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | Share of Parent Centralized Investment Pool | Desc |
| Book Value | $515,553,135 | BookValueAmt |
| Method Valuation | F | MethodValuationCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Securities | $515,553,135 | TotalBookValueSecuritiesAmt |
Other Assets Org OtherAssetsOrgGrp (6 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| Investment in Subsidiaries | $143,443,929 |
| Deposits | $4,117,679 |
| Due from Related | $75,689,375 |
| Receivable from Third Parties | $2,334,653 |
| Other Assets | $1,576,602 |
| Right-of-Use Asset-Operating Lease | $14,826,096 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $241,988,334 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (10 entries)
| DescDesc | AmtAmt |
|---|---|
| Interco Alloc of TE Bond Proceeds | $334,591,734 |
| Malpractice Liability | $16,740,744 |
| CRT Obligation | $4,950,000 |
| Environmental Remediation | $8,537 |
| Due to Related | $426,602 |
| Unemployment Claims Liability | $381,280 |
| Credit Balances in A/R | $4,568,974 |
| Payable to Third Parties | $13,748,397 |
| Operating Lease Liability | $18,123,269 |
| Accrued Interest Payable | $127,920 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $393,667,457 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part X, Line 2: | FormAndLineReferenceDesc |
| Explanation | The filing organization is a subsidiary organization within AdventHealth. The consolidated financial statements of AdventHealth contain the following FIN 48 (ASC 740) footnote: Please note that dollar amounts are in thousands. Healthcare Corporation and its affiliated organizations, other than North American Health Services, Inc. and its subsidiary (NAHS), are exempt from state and federal income taxes. Accordingly, Healthcare Corporation and its tax-exempt affiliates are not subject to federal, state or local income taxes except for any net unrelated business taxable income. NAHS is a wholly owned, for-profit subsidiary of Healthcare Corporation. NAHS and its subsidiary are subject to federal and state income taxes. NAHS files a consolidated federal income tax return and, where appropriate, consolidated state income tax returns. All taxable income was fully offset by net operating loss carryforwards for federal income tax purposes; as such, there is no provision for current federal or state income tax for the years ended December 31, 2019 and 2018. NAHS also has temporary deductible differences of approximately $46,500 and $53,000 at December 31, 2019 and 2018, respectively, primarily as a result of net operating loss carryforwards. At December 31, 2019, NAHS had net operating loss carryforwards of approximately $47,500, expiring beginning in 2022 through 2026. Deferred taxes have been provided for these amounts, resulting in a net deferred tax asset of approximately $11,400 and $13,400 at December 31, 2019 and 2018, respectively. NAHS remeasured its deferred tax assets and liabilities based on the rates at which they are expected to reverse in the future, which is generally 21%. A full valuation allowance has been provided at December 31, 2019 and 2018 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, 2019 and 2018. On December 22, 2017, the United States enacted tax reform legislation commonly known as the Tax Cuts and Jobs Act (Act), resulting in significant modifications to existing law. Certain provisions impact tax-exempt organizations, including revisions to taxes on unrelated business activities, excise taxes on compensation of certain employees, and various other provisions. While final regulations on these provisions have not yet been promulgated, the impact of these provisions on the consolidated financial statements is not expected to be significant. | 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 |
Free Care Oth Percentage FreeCareOthPercentageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Yes (X) | OtherInd |
| Free Care Other | 250.000000000000 | FreeCareOtherPct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| 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 | Yes (1) | ExpensesExceedBudgetInd |
| Unable To Provide Care | 0 | UnableToProvideCareInd |
| Annual Community Bnft Report | Yes (1) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (1) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $11,000,573 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $11,000,573 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00920 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $208,665,151 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $121,516,229 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $87,148,922 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.07320 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $219,665,724 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $121,516,229 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $98,149,495 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.08240 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $632,056 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $24,840 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $607,216 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00050 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $200,805 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $7,625 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $193,180 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00020 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $296,119 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $296,119 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00020 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,128,980 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $32,465 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,096,515 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00090 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $220,794,704 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $121,548,694 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $99,246,010 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.08330 | TotalExpensePct |
Workforce Development WorkforceDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $409,468 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $409,468 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00030 | TotalExpensePct |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $409,468 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $409,468 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00030 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (1) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $47,569,080 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $0 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $170,977,422 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $211,967,840 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$40,990,418 | 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 (6 entries)
| Primary ActivitiesPrimaryActivitiesTxt | Org Profit Or OwnershipOrgProfitOrOwnershipPct | Physicians Profit Or OwnershipPhysiciansProfitOrOwnershipPct |
|---|---|---|
| 1 Functional Neurosurgical Ambulatory Surgery Center LLC | ||
| Surgery Center | 0.51000 | 0.49000 |
| 2 Crown Point Surgery Center LLC | ||
| Surgery Center | 0.26950 | 0.33760 |
| 3 Flatirons Surgery Center LLC | ||
| Surgery Center | 0.25000 | 0.49900 |
| 4 Harvard Park Surgery Center LLC | ||
| Surgery Center | 0.25000 | 0.49900 |
| 5 South Denver Musculoskeletal Surgical Partners LLC | ||
| Surgery Center | 0.26850 | 0.46200 |
| 6 Summit View Surgery Center LLC | ||
| Surgery Center | 0.25750 | 0.44130 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital Facilities | 5 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp (5 entries)
| FacilityFacilityNum | Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Website AddressWebsiteAddressTxt | State LicenseStateLicenseNum | Licensed HospitalLicensedHospitalInd | General Medical And SurgicalGeneralMedicalAndSurgicalInd | Emergency Room24 HrsEmergencyRoom24HrsInd | Facility Reporting GroupFacilityReportingGroupCd | Research FacilityResearchFacilityInd |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Parker Adventist Hospital | |||||||||||
| 1 | 9395 Crown Crest Blvd | Parker | CO | 80138 | https://www.centura.org/locations/park | 1005 | Yes (X) | Yes (X) | Yes (X) | A | |
| Littleton Adventist Hospital | |||||||||||
| 2 | 7700 S Broadway | Littleton | CO | 80122 | https://www.centura.org/locations/litt | 1034 | Yes (X) | Yes (X) | Yes (X) | A | |
| Porter Adventist Hospital | |||||||||||
| 3 | 2525 S Downing St | Denver | CO | 80210 | https://www.centura.org/locations/port | 1036 | Yes (X) | Yes (X) | Yes (X) | A | Yes (X) |
| Avista Adventist Hospital | |||||||||||
| 4 | 100 Health Park Drive | Louisville | CO | 80027 | https://www.centura.org/locations/avis | 90831 | Yes (X) | Yes (X) | Yes (X) | A | |
| Castle Rock Adventist Health Campus | |||||||||||
| 5 | 2350 Meadows Blvd | Castle Rock | CO | 80109 | https://www.centura.org/locations/cast | 01L581 | Yes (X) | Yes (X) | Yes (X) | A | |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Facility Reporting Group A | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| First Licensed CY Or PY | 0 | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | 0 | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (1) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| Prior CHNA Impact | Yes (X) | PriorCHNAImpactInd |
| CHNA Conducted | 18 | CHNAConductedYr |
| Take Into Account Others Input | Yes (1) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | 0 | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | 0 | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (1) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | See Part V, Page 8 | OwnWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Implementation Strategy Adopt | Yes (1) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 19 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (1) | StrategyPostedWebsiteInd |
| Strategy Website URL | See Part V, Page 8 | StrategyWebsiteURLTxt |
| Organization Incur Excise Tax | 0 | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (1) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 250.000000000000 | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 400.000000000000 | FPGFamilyIncmLmtDscntCarePct |
| Asset Level Criteria | Yes (X) | AssetLevelCriteriaInd |
| Medical Indigency Criteria | Yes (X) | MedicalIndigencyCriteriaInd |
| Insurance Status Criteria | Yes (X) | InsuranceStatusCriteriaInd |
| Underinsurance Stat Criteria | Yes (X) | UnderinsuranceStatCriteriaInd |
| Residency Criteria | Yes (X) | ResidencyCriteriaInd |
| Explained Basis | Yes (1) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (1) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Provided Nonprofit Contact | Yes (X) | ProvidedNonprofitContactInd |
| Includes Publicity Measures | Yes (1) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | See Part V, Page 8 | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | See Part V, Page 8 | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | See Part V, Page 8 | FAPSummaryOnWebsiteURLTxt |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| FAP Sum Avlbl On Request No Chrg | Yes (X) | FAPSumAvlblOnRequestNoChrgInd |
| Notified FAP Copy Bill Display | Yes (X) | NotifiedFAPCopyBillDisplayInd |
| Communtity Notified FAP | Yes (X) | CommuntityNotifiedFAPInd |
| FAP Translated | Yes (X) | FAPTranslatedInd |
| FAP Actions On Nonpayment | Yes (1) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | 0 | CollectionActivitiesInd |
| Provided Written Notice | Yes (X) | ProvidedWrittenNoticeInd |
| Made Effort Orally Notify | Yes (X) | MadeEffortOrallyNotifyInd |
| Processed FAP Application | Yes (X) | ProcessedFAPApplicationInd |
| Made Presumptive Elig Determ | Yes (X) | MadePresumptiveEligDetermInd |
| Nondis Emergency Care Policy | Yes (1) | NondisEmergencyCarePolicyInd |
| Look Back Medicare Private | Yes (X) | LookBackMedicarePrivateInd |
| Amounts Generally Billed | 0 | AmountsGenerallyBilledInd |
| Gross Charges | 0 | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (6 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Schedule H, Part V, Section B, Line 5 | In order to assess the needs of the community while conducting its fiscal year 2019 Community Health Needs Assessment (CHNA), the Hospitals received input from community-based organizations focused on health and social determinants of health regarding medically underserved, low-income and minority populations in the service area. Each Hospital conducted three Community Health Needs Assessment Advisory Subcommittee meetings with community-based organizations in their respective communities. Organizations were identified based upon their connection with the community, including those serving people who are medically underserved and at greater risk of poor health and those organizations with influence on overall health in the community. Stakeholders provided input in multiple meetings to rank and prioritize health issues, identify both community assets and gaps, and to identify strategies for the health priorities. Lastly, the Hospitals engaged in the State of Colorado Health Care Policy and Finance Hospital Transformation Program Community and Health Neighborhood Engagement process focusing on the Medicaid population through which both community and Medicaid data were analyzed and focus groups were conducted. |
| Schedule H, Part V, Section B, Line 7a, Hospital Facility CHNA Website | Facility 1 - Parker Adventist Hospitalhttps://www.centura.org/community-programs/community-benefitFacility 2 - Littleton Adventist Hospitalhttps://www.centura.org/community-programs/community-benefitFacility 3 - Porter Adventist Hospitalhttps://www.centura.org/community-programs/community-benefitFacility 4 - Avista Adentist Hospitalhttps://www.centura.org/community-programs/community-benefitFacility 5 - Castle Rock Adventist Health Campushttps://www.centura.org/community-programs/community-benefit |
| Schedule H, Part V, Section B, Line 10: | Each hospital facility's most recently adopted implementation strategy was made widely available through the following websites:Facility 1 - Parker Adventist Hospitalhttps://www.centura.org/community-programs/community-benefitFacility 2 - Littleton Adventist Hospitalhttps://www.centura.org/community-programs/community-benefitFacility 3 - Porter Adventist Hospitalhttps://www.centura.org/community-programs/community-benefitFacility 4 - Avista Adentist Hospitalhttps://www.centura.org/community-programs/community-benefitFacility 5 - Castle Rock Adventist Health Campushttps://www.centura.org/community-programs/community-benefit |
| Schedule H, Part V, Section B, Line 16a - c: | Each hospital facility's FAP, FAP application form and plain language summary of the FAP was made widely available through the following websites:Facility 1 - Parker Adventist Hospitalhttps://www.centura.org/patients-and-families/billing-and-financial-services/financial-helpFacility 2 - Littleton Adventist Hospitalhttps://www.centura.org/patients-and-families/billing-and-financial-services/financial-helpFactility 3 - Porter Adventist Hospitalhttps://www.centura.org/patients-and-families/billing-and-financial-services/financial-helpFacility 4 - Avista Adventist Hospitalhttps://www.centura.org/patients-and-families/billing-and-financial-services/financial-helpFacility 5 - Castle Rock Adventist Health Campushttps://www.centura.org/patients-and-families/billing-and-financial-services/financial-help |
| Schedule H, Part V, Section B, Line 11: | The information provided below explains how each Hospital facility addressed in fiscal year 2020 (year ended June 30, 2020) the significant health needs identified in its fiscal year 2019 Community Health Needs Assessment, and any such needs that were not addressed and the reasons why such needs were not addressed. This is the first-year update for the filing organization's fiscal year 2020-2022 Community Health Implementation Plan. The filing organization developed this Plan and posted it by November 15, 2019 as part of its fiscal year 2020 Community Health Needs Assessment process. The following narrative describes the issues identified in fiscal year 2019 by each Hospital facility and gives an update on the strategies addressing those issues. There is also a description of the identified issues that the facilities are not addressing.Facility 1 - Parker Adventist Hospital Parker Adventist Hospital (PKAH) conducted its FY 2019 Community Health Needs Assessment (CHNA) through a collaborative partnership with Porter Adventist Hospital, Castle Rock Adventist Hospital, Littleton Adventist Hospital, and the Denver and Tri-County Public Health Departments. Both qualitative and quantitative primary and secondary data was gathered, along with numerous health indicators, and were prioritized by using a form of the Hanlon Method for Prioritizing Health Problems. Each identified need was rated against a) size, b) severity, and c) alignment with PKAH and community existing efforts. Total scores were compiled and resulted in the identification of the following prioritized health issues: Behavioral Health, and Access to Healthy Affordable Food. PKAH recognizes that focusing on a few health issues leads to greater progress than dispersing efforts across many issues. For each issue, best practices for screening and treatment as well as prevention through environmental and behavioral changes were identified. During fiscal year 2020, the following actions were taken with respect to the Behavioral Health initiative. In partnership with organizations throughout the metro Denver area, the Let's Talk Mental Health Stigma Campaign was redesigned to help reduce the stigma of mental health; safe connections were encouraged during COVID-19 and there were over 2.5M impressions post-launch. With respect to the prioritized need of Access to Healthy Affordable Food, PKAH provided COVID-19 emergency supplies to the local food pantry; donated to increase enrollment in SNAP by expanding SNAP outreach strategies through a bilingual Food Resource Hotline, a COVID Resource webpage, and a broad-based outreach and marketing campaign. There were more than 3,600 clicks on the Food Resource Hotline, 1,300 visitors utilized the Food Resource map and 7,100 new users visited CoFoodFinder.org. Overall, 16,002 households in need were provided with assistance and over 7,000 SNAP applications were made through the Food Resource Hotline. PKAH provided over 3,400 staff hours to address community health needs through direct support and partnerships with community organizations and coalitions. PKAH did not address the following identified health issues due to limited resources and the availability of other community organizations to address such needs: Heart Disease, Diabetes, Overweight/Obesity and Physical Activity/Nutrition, Intentional Injury, Asthma, and Substance Abuse. Facility 2 - Littleton Adventist HospitalLittleton Adventist Hospital (LAH) conducted its FY 2019 Community Health Needs Assessment (CHNA) through a collaborative partnership with Parker Adventist Hospital, Castle Rock Adventist Hospital, Porter Adventist Hospital, and the Denver and Tri-County Public Health Departments. Both qualitative and quantitative primary and secondary data was gathered, along with numerous health indicators, and were prioritized by using a form of the Hanlon Method for Prioritizing Health Problems. Each identified need was rated against a) size, b) severity, and c) alignment with LAH and community existing efforts. Total scores were compiled and resulted in the identification of the following prioritized health issues: Behavioral Health, and Access to Healthy Affordable Food. LAH recognizes that focusing on a few health issues leads to greater progress than dispersing efforts across many issues. For each issue, best practices for screening and treatment as well as prevention through environmental and behavioral changes were identified. During fiscal year 2020, the following actions were taken with respect to the Behavioral Health initiative. In partnership with organizations throughout the metro Denver area, the Let's Talk Mental Health Stigma Campaign was redesigned to help reduce the stigma of mental health; safe connections were encouraged during COVID-19 and there were over 2.5M impressions post-launch. With respect to the prioritized need of Access to Healthy Affordable Food, LAH provided COVID-19 emergency supplies to the local food pantry; donated to increase enrollment in SNAP by expanding SNAP outreach strategies through a bilingual Food Resource Hotline, a COVID Resource webpage, and a broad-based outreach and marketing campaign. There were more than 3,600 clicks on the Food Resource Hotline, 1,300 visitors utilized the Food Resource map and 7,100 new users visited CoFoodFinder.org. Overall, 16,002 households in need were provided with assistance and over 7,000 SNAP applications were made through the Food Resource Hotline. LAH provided over 10,500 staff hours to address community health needs through direct support and partnerships with community organizations and coalitions. LAH did not address the following identified health issues due to limited resources and the availability of other community organizations to address such needs: Heart Disease, Diabetes, Overweight/Obesity and Physical Activity/Nutrition, Intentional Injury, Asthma, and Substance Abuse. Facility 3 - Porter Adventist HospitalPorter Adventist Hospital (PAH) conducted its FY 2019 Community Health Needs Assessment (CHNA) through a collaborative partnership with Parker Adventist Hospital, Castle Rock Adventist Hospital, Littleton Adventist Hospital, and the Denver and Tri-County Public Health Departments. Both qualitative and quantitative primary and secondary data was gathered, along with numerous health indicators, and were prioritized by using a form of the Hanlon Method for Prioritizing Health Problems. Each identified need was rated against a) size, b) severity, and c) alignment with PAH and community existing efforts. Total scores were compiled and resulted in the identification of the following prioritized health issues: Behavioral Health, and Access to Healthy Affordable Food. PAH recognizes that focusing on a few health issues leads to greater progress than dispersing efforts across many issues. For each issue, best practices for screening and treatment as well as prevention through environmental and behavioral changes were identified. During fiscal year 2020, the following actions were taken with respect to the Behavioral Health initiative. In partnership with organizations throughout the metro Denver area, the Let's Talk Mental Health Stigma Campaign was redesigned to help reduce the stigma of mental health; safe connections were encouraged during COVID-19 and there were over 2.5M impressions post-launch. With respect to the prioritized need of Access to Healthy Affordable Food, PAH provided COVID-19 emergency supplies to the local food pantry; donated to increase enrollment in SNAP by expanding SNAP outreach strategies through a bilingual Food Resource Hotline, a COVID Resource webpage, and a broad-based outreach and marketing campaign. There were more than 3,600 clicks on the Food Resource Hotline, 1,300 visitors utilized the Food Resource map and 7,100 new users visited CoFoodFinder.org. Overall, 16,002 households in need were provided with assistance and over 7,000 SNAP applications were made through the Food Resource Hotline. PAH provided over 10,000 staff hours to address community health needs through direct support and partnerships with community organizations and coalitions. PAH did not address the following identified health issues due to limited resources and the availability of other community organizations to address such needs: Heart Disease, Diabetes, Overweight/Obesity and Physical Activity/Nutrition, Intentional Injury, Asthma, and Substance Abuse. See Conintuation |
| Schedule H, Part V, Section B, Line 11: - continuation | Facility 4 - Avista Adventist HospitalAvista Adventist Hospital (AAH) conducted its FY 2019 Community Health Needs Assessment (CHNA) through a collaborative partnership with the Boulder County Public Health Department, Broomfield Public Health and community stakeholders. Both qualitative and quantitative primary and secondary data was gathered, along with numerous health indicators, and were prioritized by using a form of the Hanlon Method for Prioritizing Health Problems. Each identified need was rated against a) size, b) severity, and c) alignment with AAH and community existing efforts. Total scores were compiled and resulted in the identification of the following prioritized health issues: Behavioral Health, and Access to Safe, Affordable Housing/Shelter/Food. AAH recognizes that focusing on a few health issues leads to greater progress than dispersing efforts across many issues. For each issue, best practices for screening and treatment as well as prevention through environmental and behavioral changes were identified. During fiscal year 2020, the following actions were taken with respect to the Behavioral Health initiative. In partnership with organizations throughout the metro Denver area, the Let's Talk Mental Health Stigma Campaign was redesigned to help reduce the stigma of mental health; safe connections were encouraged during COVID-19 and there were over 2.5M impressions post-launch. With respect to the prioritized need of Access to Safe, Affordable Housing/Shelter/Food, AAH provided COVID-19 emergency supplies to the local food pantry; donated to increase enrollment in SNAP by expanding SNAP outreach strategies through a bilingual Food Resource Hotline, a COVID Resource webpage, and a broad-based outreach and marketing campaign. There were more than 3,600 clicks on the Food Resource Hotline, 1,300 visitors utilized the Food Resource map and 7,100 new users visited CoFoodFinder.org. Overall, 16,002 households in need were provided with assistance and over 7,000 SNAP applications were made through the Food Resource Hotline. AAH provided just over 8,000 staff hours to address community health needs through direct support and partnerships with community organizations and coalitions. AAH did not address the identified health issues of Access to Care, Cancer, and Heart Health due to limited resources and other organizations that address these needs. Facility 5 - Castle Rock Adventist HospitalCastle Rock Adventist Hospital (CRAH) conducted its FY 2019 Community Health Needs Assessment (CHNA) through a collaborative partnership with Parker Adventist Hospital, Porter Adventist Hospital, Littleton Adventist Hospital, and the Denver and Tri-County Public Health Departments. Both qualitative and quantitative primary and secondary data was gathered, along with numerous health indicators, and were prioritized by using a form of the Hanlon Method for Prioritizing Health Problems. Each identified need was rated against a) size, b) severity, and c) alignment with CRAH and community existing efforts. Total scores were compiled and resulted in the identification of the following prioritized health issues: Behavioral Health, and Access to Healthy Affordable Food. CRAH recognizes that focusing on a few health issues leads to greater progress than dispersing efforts across many issues. For each issue, best practices for screening and treatment as well as prevention through environmental and behavioral changes were identified. During fiscal year 2020, the following actions were taken with respect to the Behavioral Health initiative. In partnership with organizations throughout the metro Denver area, the Let's Talk Mental Health Stigma Campaign was redesigned to help reduce the stigma of mental health; safe connections were encouraged during COVID-19 and there were over 2.5M impressions post-launch. With respect to the prioritized need of Access to Healthy Affordable Food, CRAH provided COVID-19 emergency supplies to the local food pantry; donated to increase enrollment in SNAP by expanding SNAP outreach strategies through a bilingual Food Resource Hotline, a COVID Resource webpage, and a broad-based outreach and marketing campaign. There were more than 3,600 clicks on the Food Resource Hotline, 1,300 visitors utilized the Food Resource map and 7,100 new users visited CoFoodFinder.org. Overall, 16,002 households in need were provided with assistance and over 7,000 SNAP applications were made through the Food Resource Hotline. CRAH provided over 1,800 staff hours to address community health needs through direct support and partnerships with community organizations and coalitions. CRAH did not address the following identified health issues due to limited resources and the availability of other community organizations to address such needs: Heart Disease, Diabetes, Overweight/Obesity and Physical Activity/Nutrition, Intentional Injury, Asthma, and Substance Abuse. |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 59 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (59 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | FacilityFacilityTxt |
|---|---|---|---|---|
| 1 - CHPG Southlands Primary CareWomen's Healt | ||||
| 6069 S Southlands Pkwy | Aurora | CO | 800165316 | HEALTHCARE SERVICES CLINIC |
| 2 - Cypress Hematology At Parker | ||||
| 9399 Crown Crest Blvd Ste 215 | Parker | CO | 801388508 | HEALTHCARE SERVICES CLINIC |
| 3 - South Denver Cardiology Associates | ||||
| 1000 SouthPark Dr | Littleton | CO | 801205654 | HEALTHCARE SERVICES CLINIC |
| 4 - Cypress Hemotolgy and Oncology | ||||
| 2555 S Downing St Ste 240 | Denver | CO | 802105855 | HEALTHCARE SERVICES CLINIC |
| 5 - Mile High Oncology | ||||
| 7780 S Broadway Ste 380 | Littleton | CO | 801222633 | HEALTHCARE SERVICES CLINIC |
| 6 - Centura Orthopedic & Spine Primary Care | ||||
| 9949 S Oswego St Ste 200 | Parker | CO | 801343753 | HEALTHCARE SERVICES CLINIC |
| 7 - CHPG West Littleton Primary Care | ||||
| 9670 W Coal Mine Ave | Littleton | CO | 80123 | HEALTHCARE SERVICES CLINIC |
| 8 - Porter Place | ||||
| 1001 E Yale Ave | Denver | CO | 80210 | NOT-FOR-PROFIT SENIOR LIVING FACILITY |
| 9 - CHPG Women's Health Littleton | ||||
| 7720 S Broadway Ste 250 | Littleton | CO | 801222634 | HEALTHCARE SERVICES CLINIC |
| 10 - CHPG Ridgegate ObGyn At Lone Tree | ||||
| 9695 S Yosemite St Ste 255B | Lone Tree | CO | 801242890 | HEALTHCARE SERVICES CLINIC |
| 11 - Porter Hospice | ||||
| 5020 E Arapahoe Rd | Littleton | CO | 80122 | HOSPICE SERVICES |
| 12 - Integrated Obgyn At Parker | ||||
| 9397 Crown Crest Blvd Ste 220 | Parker | CO | 801388576 | HEALTHCARE SERVICES CLINIC |
| 13 - CHPG Neurosurgery One | ||||
| 7780 S Broadway Ste 350 | Littleton | CO | 801222633 | HEALTHCARE SERVICES CLINIC |
| 14 - Colorado Joint Replacement | ||||
| 2535 S Downing St Ste 100 150 | Denver | CO | 80210 | HEALTHCARE SERVICES CLINIC |
| 15 - Pinnacle Women's Healthcare At Parker | ||||
| 9397 Crown Crest Blvd Ste 400 | Parker | CO | 801388789 | HEALTHCARE SERVICES CLINIC |
| 16 - Centura Health Emergency And Urgent Care M | ||||
| 9949 S Oswego St Ste 100 | Parker | CO | 801343753 | HEALTHCARE SERVICES CLINIC |
| 17 - CHPG Primary Care Southmoor | ||||
| 5570 DTC Parkway | Greenwood Village | CO | 80111 | HEALTHCARE SERVICES CLINIC |
| 18 - Primary Care (Harvard Park) | ||||
| 950 E Harvard Ave Ste 200 | Denver | CO | 802107006 | HEALTHCARE SERVICES CLINIC |
| 19 - Encompass Health Rehabilitation Hospital o | ||||
| 1001 West Mineral Ave | Littleton | CO | 80120 | HEALTHCARE SERVICES CLINIC |
| 20 - Centura Orthopedic & Spine | ||||
| 2352 Meadows Blvd Ste 300 | Castle Rock | CO | 801098419 | HEALTHCARE SERVICES CLINIC |
| 21 - CAH HealthFit Medical Professionals & Fitn | ||||
| 2356 Meadows Blvd Ste 140B | Castle Rock | CO | 80109 | HEALTHCARE SERVICES CLINIC |
| 22 - Timberview Clinic At Parker | ||||
| 9399 Crown Crest Blvd Ste 200 | Parker | CO | 801388508 | HEALTHCARE SERVICES CLINIC |
| 23 - OnPoint Urgent Care Highlands Ranch | ||||
| 9205 S Broadway | Littleton | CO | 80129 | HEALTHCARE SERVICES CLINIC |
| 24 - CHPG Oncology at AvistaCenter for Breast | ||||
| 80 Health Park Dr Ste 270 | Louisville | CO | 800279584 | HEALTHCARE SERVICES CLINIC |
| 25 - Colorado ENT Specialists | ||||
| 9399 Crown Crest Blvd Ste 401 | Parker | CO | 801388540 | HEALTHCARE SERVICES CLINIC |
| 26 - Centura Health Emergency and Urgent Care L | ||||
| 3280 S Wadsworth Blvd | Lakewood | CO | 80227 | HEALTHCARE SERVICES CLINIC |
| 27 - Ridgeline Family Medicine | ||||
| 2352 Meadows Blvd Ste 300 | Castle Rock | CO | 801098419 | HEALTHCARE SERVICES CLINIC |
| 28 - CHPG Internal Medicine Parker | ||||
| 9397 Crown Crest Blvd Ste 420 | Parker | CO | 801388789 | HEALTHCARE SERVICES CLINIC |
| 29 - Colorado Comprehensive Spine Institute | ||||
| 2535 S Downing Ste 180 | Denver | CO | 80210 | HEALTHCARE SERVICES CLINIC |
| 30 - CHPG Cornerstar Primary CareWomen's Healt | ||||
| 15901 E Briarwood Cir Ste 200 | Aurora | CO | 80016 | HEALTHCARE SERVICES CLINIC |
| 31 - CHPG Primary Care Church Ranch | ||||
| 7233 Church Ranch Blvd | Westminster | CO | 800214094 | HEALTHCARE SERVICES CLINIC |
| 32 - CHPG Primary Care Highlands | ||||
| 2490 W 26th Ave Ste A120 | Denver | CO | 802115317 | HEALTHCARE SERVICES CLINIC |
| 33 - PARKER PRIMARY CARE | ||||
| 9949 S Oswego St Ste 300 | Parker | CO | 801343752 | HEALTHCARE SERVICES CLINIC |
| 34 - Avista Family Medicine Erie | ||||
| 611 Mitchell Way | Erie | CO | 805165443 | HEALTHCARE SERVICES CLINIC |
| 35 - Centura Gastroenterology Porter | ||||
| 2535 S Downing St Ste 360 | Denver | CO | 802105850 | HEALTHCARE SERVICES CLINIC |
| 36 - Ridgeline Family Medicine At Castle Pine | ||||
| 250 Max Drive Ste 102 | Castle Pines | CO | 801089518 | HEALTHCARE SERVICES CLINIC |
| 37 - Aspen Creek Family Medicine | ||||
| 19461 E Parker Square Drive Ste A | Parker | CO | 80134 | HEALTHCARE SERVICES CLINIC |
| 38 - Highlands Ranch Medical Associates | ||||
| 9135 S Ridgeline Blvd Ste 190 | Highlands Ranch | CO | 801292395 | HEALTHCARE SERVICES CLINIC |
| 39 - Functional Neurosurgical Ambulatory Surger | ||||
| 11 W Dry Creek Circle Ste 120 | Littleton | CO | 80120 | HEALTHCARE SERVICES CLINIC |
| 40 - South Suburban Internal Medicine | ||||
| 7750 S Broadway Ste 100 | Littleton | CO | 801222630 | HEALTHCARE SERVICES CLINIC |
| 41 - CHPG Colorectal Surgery At Parker | ||||
| 9397 Crown Crest Blvd Ste 201 | Parker | CO | 801388576 | HEALTHCARE SERVICES CLINIC |
| 42 - South Quebec Family Medicine | ||||
| 6081 S Quebec Street Ste 100 | Centennial | CO | 80111 | HEALTHCARE SERVICES CLINIC |
| 43 - Centura Gastroenterology Castle Rock | ||||
| 2352 Meadows Blvd Ste 300 | Castle Rock | CO | 801098419 | HEALTHCARE SERVICES CLINIC |
| 44 - Precision Spine Center | ||||
| 6825 S Galena Street Suite 314 | Littleton | CO | 80112 | HEALTHCARE SERVICES CLINIC |
| 45 - CHPG Women's Health Porter | ||||
| 2555 S Downing St 1st Floor | Denver | CO | 802105855 | HEALTHCARE SERVICES CLINIC |
| 46 - CHPG Urology Castle Rock | ||||
| 2352 Meadows Blvd Ste 300 | Castle Rock | CO | 801098419 | HEALTHCARE SERVICES CLINIC |
| 47 - Grace Family Practice | ||||
| 6909 S Holly Cir Ste 100 | Centennial | CO | 801126300 | HEALTHCARE SERVICES CLINIC |
| 48 - Centura Gastroenterology Littleton | ||||
| 7780 S Broadway Ste 260 | Littleton | CO | 801222633 | HEALTHCARE SERVICES CLINIC |
| 49 - CHPG Neurosurgical and Spine | ||||
| 850 E Harvard Ave Suite 255 | Denver | CO | 80210 | HEALTHCARE SERVICES CLINIC |
| 50 - Colorado Neurovascular Specialists | ||||
| 7780 S Broadway Ste 340 | Littleton | CO | 801222633 | HEALTHCARE SERVICES CLINIC |
| 51 - CHPG Dimension Pain Clinic | ||||
| 2535 S Downing-Ste 180F | Denver | CO | 80210 | HEALTHCARE SERVICES CLINIC |
| 52 - Castle Rock Affiliated ENT | ||||
| 2352 Meadows Blvd Ste 300 | Castle Rock | CO | 801098419 | HEALTHCARE SERVICES CLINIC |
| 53 - Mapleton Hills Medical Plaza | ||||
| 2525 4th St | Boulder | CO | 80304 | HEALTHCARE SERVICES CLINIC |
| 54 - CHPG Avista Internal Medicine | ||||
| 90 Health Park Dr Ste 350 | Louisville | CO | 800279742 | HEALTHCARE SERVICES CLINIC |
| 55 - Colorado Head And Neck Specialists | ||||
| 2535 S Downing St Ste 480 | Denver | CO | 802105851 | HEALTHCARE SERVICES CLINIC |
| 56 - Southmoor ER and UC Center | ||||
| 7000 E Hampden Ave | Denver | CO | 80224 | HEALTHCARE UC CLINIC |
| 57 - CHPG NEUROSURGERY ONE PARKER | ||||
| 9397 Crown Crest Blvd Ste 411 | Parker | CO | 80138 | HEALTHCARE SERVICES CLINIC |
| 58 - Parker Endocrinology | ||||
| 9397 Crown Crest Blvd Ste 431 | Parker | CO | 801388789 | HEALTHCARE SERVICES CLINIC |
| 59 - Bariatric And Metabolic Center | ||||
| 9399 Crown Crest Blvd Ste 110 | Parker | CO | 80138 | HEALTHCARE SERVICES CLINIC |
Supplemental Information Detail SupplementalInformationDetail (14 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part I, Line 6a: | The filing organization operates as a part of Centura Health Corporation (Centura), a joint operating company that integrally manages a number of hospital and other healthcare provider facilities. All hospital organizations within Centura collect, calculate, and report the community benefits they provide to the communities they serve. Centura organizations exist solely to improve and enhance the local communities they serve. Centura has a system-wide community benefits accounting policy that provides guidelines for its health care provider organizations to capture and report the costs of services provided to the underprivileged and to the broader community. Each Centura hospital facility reports their community benefits to their Board of Directors and strives to communicate their community benefits to their local communities. Additionally, the filing organization's most recently conducted community health needs assessment and associated implementation strategy are posted on the filing organization's website. |
| Part I, Line 7: | Portercare Adventist Health System does not use a cost accounting system to determine the cost of charity care. The estimated cost of care is calculated as the ratio of each facility's total expenses to total gross revenue. Worksheet 2 was not used to develop the cost to charge ratio. There are no physician clinics included in subsidized health services. |
| Part II, Community Building Activities: | The costs of community building activities reported on Part II of Schedule H primarily represent the costs associated with providing education for the filing organization's staff physicians and employees. The filing organization's provision of these educational programs/activities to staff physicians and employees provides an opportunity for health care professionals to enhance their skills and expertise and keep up-to-date with the latest advancements in medical procedures and technology. In addition, training opportunities are often provided on-site at the filing organization's hospital facilities, thereby allowing for health care professionals to be more readily available to assist in meeting immediate patient care needs. Education and training provided to each facility's workforce is vital in assisting health care professionals directly involved in patient care with keeping abreast of the latest developments in their respective areas of expertise, learning possible new and innovative ways of delivering care to patients, and understanding the newest technologies available for the treatment of patients. |
| Part III, Line 2: | Portercare Adventist Health System (PAHS) uses the overall cost to gross charge ratio applicable to each facility to determine the costs in Part III Lines 2 and 3. PAHS automatically discounts all self pay patient accounts by 30% and also offers a prompt pay discount. This allowance is not included in the calculation of the cost of bad debts in instances where a patient does not pay his or her bill. |
| Part III, Line 3: | Portercare Adventist Health System does not believe that any portion of bad debt expense could reasonably be attributed to patients who qualify for financial assistance since amounts due from those individuals' accounts will be reclassified from bad debt expense to charity care within 30 days following the date that the patient is determined to qualify for charity care. 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 24/7 emergency rooms providing care to all whom present. When a patient's arrival and/or admission to a 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 24/7 Emergency Departments that accept 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 Departments is a community benefit. Under the filing organization's Financial Assistance Policy, every effort is made to obtain a patient's necessary financial information to determine eligibility for financial assistance. However, not all patients will cooperate with such efforts and a financial assistance eligibility determination cannot be made based upon information supplied by the individual. In this case, a patient's portion of a bill that remains unpaid for a certain stipulated time period is wholly or partially classified as bad debt. Bad debts associated with patients who have received care through the filing organization's Emergency Departments should be considered community benefit as charitable hospitals exist to provide such care in pursuit of their purpose of meeting the need for emergency medical care services available to all in the community. |
| Part III, Line 4: | The financial information of the filing organization is included in a consolidated audited financial statement for the current year.The applicable footnote from the attached consolidated audited financial statements that addresses accounts receivable, the allowance for uncollectible accounts, and the provision for bad debts can be found on pages 8-9. Please note that dollar amounts on the attached consolidated audited financial statements are in thousands. |
| Part III, Line 8: | Costing Methodology: Medicare allowable costs were calculated using a cost-to-charge ratio.Rationale for Including a Medicare Shortfall as Community Benefit:As a 501(c)(3) organization, the filing organization provides emergency and non-elective care to all regardless of ability to pay. All hospital services are provided in a non-discriminatory manner to patients who are covered beneficiaries under the Medicare program. As a public insurance program, Medicare provides a pre-established reimbursement rate/amount to health care providers for the services they provide to patients. In some cases, the reimbursement amount provided to a hospital may exceed its costs of providing a particular service or services to a patient. In other cases, the Medicare reimbursement amount may result in the hospital experiencing a shortfall of reimbursement received over costs incurred. In those cases where an overall shortfall is generated for providing services to all Medicare patients, the shortfall amount should be considered as a benefit to the community. Tax-exempt hospitals are required to accept all Medicare patients regardless of the profitability, or lack thereof, with respect to the services they provide to Medicare patients. The population of individuals covered under the Medicare program is sufficiently large so that the provision of services to the population is a benefit to the community and relieves the burdens of government. In those situations where the provision of services to the total Medicare patient population of a tax-exempt hospital during any year results in a shortfall of reimbursement received over the cost of providing care, the tax-exempt hospital has provided a benefit to a class of persons broad enough to be considered a benefit to the community. Despite a financial shortfall, a tax-exempt hospital must and will continue to accept and care for Medicare patients. Typically, tax-exempt hospitals provide health care services based upon an assessment of the health care needs of their community as opposed to their taxable counterparts where profitability often drives decisions about patient care services that are offered. Patient care provided by tax-exempt hospitals that results in Medicare shortfalls should be considered as providing a benefit to the community and relieving the burdens of government. |
| Part III, Line 9b: | The hospital filing organization's collection practices are in conformity with the requirements set forth in the 2014 Final Regulations regarding the requirements of Internal Revenue Code Section 501(r)(4) - (r)(6). No extraordinary collection actions (ECA's) are initiated by the hospital filing organization in the 120-day period following the date after the first post-discharge billing statement is sent to the individual (or, if later, the specified deadline given in a written notice of actions that may be taken, as described below). Individuals are provided with at least one written notice (notice of actions that may be taken) and a copy of the filing organization's Plain Language Summary of the Financial Assistance Policy that informs the individual that the hospital filing organization may take actions to report adverse information to credit reporting agencies/bureaus if the individual does not submit a Financial Assistance Application Form (FAA Form) or pay the amount due by a specified deadline. The specified deadline is not earlier than 120 days after the first post-discharge billing statement is sent to the individual and is at least 30 days after the notice is provided. A reasonable attempt is also made to orally notify an individual about the filing organization's Financial Assistance Policy and how the individual may obtain assistance with the Financial Assistance application process. If an individual submits an incomplete FAA Form during the 240-day period following the date on which the first post-discharge billing statement was sent to the individual, the hospital filing organization suspends any reporting to consumer credit reporting agencies/bureaus (or ceases any other ECA's) and provides a written notice to the individual describing what additional information or documentation is needed to complete the FAA Form. This written notice contains contact information including the telephone number and physical location of each hospital facility's office or department that can provide information about the Financial Assistance Policy, as well as contact information of each hospital facility's office or department that can provide assistance with the financial assistance application process or, alternatively, a nonprofit organization or governmental agency that can provide assistance with the financial assistance application process if the hospital facility is unable to do so. If an individual submits a complete FAA Form within a reasonable time-period as set forth in the notice described above, the hospital filing organization will suspend any adverse reporting to consumer credit reporting agencies/bureaus until a financial assistance policy eligibility determination can be made. |
| Part VI, Line 2: | The hospitals provide several services and resources to the communities they serve beyond the prioritized needs specifically identified in the Community Needs Assessment. They sponsor wellness events such as breast feeding education, asthma screenings, and financially support wellness initiatives of cities and public schools. They also provide transportation for low income patients and housing at no cost or very low cost for the families of low income patients of the hospitals that are far from their residence. They also support, financially and through volunteerism, initiatives such as soup kitchens and Meals on Wheels to provide food and nutrition education to address hunger issues. Hospital staff also volunteer to serve as preceptors for students of local health professional programs and serve on boards of local community organizations that provide social services to populations in need. |
| Part VI, Line 3: | The Financial Assistance Policy (FAP), Financial Assistance Application Form (FAA Form), and the Plain Language Summary of the Financial Assistance Policy (PLS) of the filing organization's hospital facilities are transparent and available to all individuals served at any point in the care continuum. The FAP, FAA Form, PLS, and contact information for each hospital facility's financial counselors are prominently and conspicuously posted on each filing organization's hospital facility's website. The websites indicate that a copy of the FAP, FAA Form, and PLS is available and how to obtain such copies in the primary languages of any populations with limited proficiency in English that constitute the lesser of 1,000 individuals or 5% of the members of the community served by each hospital facility (referred to below as LEP defined populations). Signage is displayed in public locations of each filing organization's hospital facility, including at all points of admission and registration and the Emergency Department. The signage contains each hospital facility's website address where the FAP, FAA Form, and PLS can be accessed and the telephone number and physical location that individuals can call or visit to obtain copies of the FAP, FAA Form and PLS or to obtain more information about the hospital facility's FAP, FAA Form and PLS. Paper copies of the hospital facility's FAP, FAA Form and PLS are available upon request and without charge, both in public locations in the hospital facility and by mail. Paper copies are made available in English and in the primary languages of any LEP defined populations. Each of the filing organization's hospital facility's financial counselors seek to provide personal financial counseling to all individuals admitted to the hospital facility who are classified as self-pay during the course of their hospital stay or at time of discharge to explain the FAP and FAA Form and to provide information concerning other sources of assistance that may be available, such as Medicaid. A paper copy of each hospital facility's PLS will be offered to every patient as a part of the intake or discharge process. A conspicuous written notice is included on all billing statements sent to patients that notifies and informs recipients about the availability of financial assistance under the filing organization's financial assistance policy, including the following: 1) the telephone number of the hospital facility's office or department that can provide information about the FAP and the FAA Form; and 2) the website address where copies of the FAP, FAA Form and PLS may be obtained. Reasonable attempts are made to inform individuals about the hospital facility's FAP in all oral communications regarding the amount due for the individual's care. Copies of the PLS are distributed to members of the community in a manner reasonably calculated to reach those members of the community who are most likely to require financial assistance. |
| Part VI, Line 4: | Littleton Adventist HospitalTo understand the profile of Littleton Adventist Hospital's community, we analyzed the demographic and health indicator data of the population within the defined service area. The service area has a total population of 998,316. The demographic makeup of these communities is as follows: - Race: The population is 75.2% white, 7.3% black, 5.3% Asian, 0.7% Native American/Alaskan Native, 0.2% native Hawaiian/Pacific Islander, 7.2% some other race, and 4.2% multiple races.- Ethnicity: 17% are Hispanic or Latino.- Education Level: In our communities, 77.4% of the population has some college. Colorado percentage is 71%.- Unemployment Rate: 3.5%, Colorado percentage is 3.9%.- Population with Limited English Proficiency: 2.7%, Colorado percentage is 2.8%.- High School Graduation Rate: 81.3%, Colorado percentage is 77.3%. - Income Inequality: Ratio of houseolds in the 80th percentage to income at the 20th percentile: 3.8, Colorado radio is 4.5.Approximately 49.4% of the Hospital's patients during the tax year were Medicare patients, about 10.3% were Medicaid patients, about 3.1% were self-pay patients, and the remaining percentage were patients covered under commercial insurance. In the current tax year, about 61.6% of the hospital's in-patients were admitted through the hospital's Emergency Department.Porter Adventist HospitalTo understand the profile of Porter Adventist Hospital's community, we analyzed the demographic and health indicator data of the population within the defined service area. The service area has a total population of 1,358,997. The demographic makeup of these communities is as follows: - Race: The population is 66.9% white, 10.6% black, 4.9% Asian, 1.1% Native American/Alaskan Native, 0.2% native Hawaiian/Pacific Islander, 11.7% some other race, and 4.7% multiple races. - Ethnicity: 26.6% are Hispanic or Latino. - Education Level: In our communities, 72.8% of the population has some college. Colorado percentage is 71%. - Unemployment Rate: 3.7%, Colorado percentage is 3.9%.- Population with Limited English Proficiency: 4.7%, Colorado percentage is 2.8%.- High School Graduation Rate: 68.4%, Colorado percentage is 77.3%.- Income Inequality: Ratio of households at 80th percentile of income to those at the 20th percentile of income: 4.7, Colorado ratio is 4.5. Approximately 47.1% of the Hospital's patients during the tax year were Medicare patients, about 15.8% were Medicaid patients, about 3.8% were self-pay patients, and the remaining percentage were patients covered under commercial insurance. In the current tax year, about 49.1% of the hospital's in-patients were admitted through the hospital's Emergency Department.Parker Adventist HospitalTo understand the profile of Parker Adventist Hospital's community, we analyzed the demographic and health indicator data of the population within the defined service area. The service area has a total population of 998,316. The demographic makeup of these communities is as follows: - Race: The population is 75.2% white, 7.3% black, 5.3% Asian, 0.7% Native American/Alaskan Native, 0.2% native Hawaiian/Pacific Islander, 7.2% some other race, and 4.2% multiple races.- Ethnicity: 17% are Hispanic or Latino.- Education Level: In our communities, 77.4% of the population has some college. Colorado percentage is 71%.- Unemployment Rate: 3.5%, Colorado percentage is 3.9%.- Population with Limited English Proficiency: 2.7%, Colorado percentage is 2.8%.- High School Graduation Rate: 81.3%, Colorado percentage is 77.3%.- Income Inequality: Ratio of households at 80th percentile of income to those at the 20th percentile of income: 3.8, Colorado ratio is 4.5.Approximately 40.1% of the Hospital's patients during the tax year were Medicare patients, about 12.4% were Medicaid patients, about 3.7% were self-pay patients, and the remaining percentage were patients covered under commercial insurance. In the current tax year, about 59.8% of the hospital's in-patients were admitted through the hospital's Emergency Department.Avista Adventist HospitalTo understand the profile of Avista Adventist Hospital's community, we analyzed the demographic and health indicator data of the population within the defined service area. The service area has a total population of 422,294. The demographic makeup of these communities is as follows: - Race: The population is 84.3% white, 1.1% black, 4.7% Asian, 0.6% Native American/Alaskan Native, 0.1% Native Hawaiian/Pacific Islander, 6.1% some other race, and 3.1% multiple races. - Ethnicity: 13.9% are Hispanic or Latino. - Education Level: In our communities, 83.2% of the population has an Associate's degree or higher. Colorado percentage is 71%.- Unemployment Rate: 3.2%, Colorado percentage is 3.9%.- Population with Limited English Proficiency: 1.9%, Colorado percentage is 2.8%.- High School Graduation Rate: 71%, Colorado percentage is 77.3%.- Income Inequality: Ratio of households at 80th percentile of income to those at the 20th percentile of income: 4.9, Colorado ratio is 4.5. Approximately 32.3% of the Hospital's patients during the tax year were Medicare patients, about 16.3% were Medicaid patients, about 6% were self-pay patients, and the remaining percentage were patients covered under commercial insurance. In the current tax year, about 22.8% of the hospital's in-patients were admitted through the hospital's Emergency Department.Castle Rock Adventist Health CampusTo understand the profile of Castle Rock Adventist Health Campus's community, we analyzed the demographic and health indicator data of the population within the defined service area. The service area has a total population of 357,920. The demographic makeup of these communities is as follows: - Race: The population is 88.4% white, 13% black, 4.2% Asian, 0.4% Native American/Alaskan Native, 0.1% native Hawaiian/Pacific Islander, 2.7% some other race, and 2.9% multiple races.- Ethnicity: 8.6% are Hispanic or Latino.- Education Level: In our communities, 86.3% of the population has some college. Colorado percentage is 71%.- Unemployment Rate: 3.1%, Colorado percentage is 3.9%. - Population with Limited English Proficiency: 0.8%, Colorado percentage is 2.8%.- High School Graduation Rate: 89.9%, Colorado percentage is 77.3%.- Income Inequality: Ratio of households at 80th percentile of income to those at the 20th percentile of income: 3.3, Colorado ratio is 4.5. Approximately 34.4% of the Hospital's patients during the tax year were Medicare patients, about 14.1% were Medicaid patients, about 5.3% were self-pay patients, and the remaining percentage were patients covered under commercial insurance. In the current tax year, about 55.1% of the hospital's in-patients were admitted through the hospital's Emergency Department. |
| Part VI, Line 5: | The provision of community benefit is central to Portercare Adventist Health System'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 by caring for those who are ill and by nuturing the health of the people in our communities and embodies the filing organization's commitment to its values and principles. The filing organization commits substantial resources to provide a broad range of services to both the underprivileged as well as the broader community. In addition to the community benefit and community building information provided in Parts I, II and III of this Schedule H, the filing organization captures and reports the benefits provided to its community through faith-based care. Examples of such benefits include the cost associated with chaplaincy care programs and mission peer reviews and mission conferences. During the current year, the filing organization provided $1,173,569 of benefit with respect to the faith-based and spiritual needs of its communities in conjunction with its operation of community hospitals. The filing organization also provides benefits to each of its community's infrastructure by investing in capital improvements to ensure that facilities and technology provide the best possible care to the community. During the current year, the filing organization expended $84,102,491 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 filing organization are continually being invested in resources that improve the availability and quality of delivery of health care services and programs to its communities. |
| Part VI, Line 6: | Portercare Adventist Health System is operated as part of Centura Health Corporation ("Centura"). Centura and its affiliated organizations are dedicated to extending the healing ministry of Christ by caring for those who are ill and by nurturing the health of the people in our communities. Specifically, Centura has launched a system-wide strategic plan to improve the quality, consistency, availability, and affordability of health care to communities throughout Colorado. The three main components of this strategy are (1) to continue investing in technology advancements that improve the quality, costs, and coordination of care including the establishment of electronic health records linking our physicians, clinics, hospitals, long-term facilities and home care services; (2) providing wellness care, thereby potentially reducing health care costs by helping patients to maintain good health, growing the level of support and outreach provided to rural communities, and increasing access, affordability and quality of health care; and (3) coordinate and develop systems of care, looking to each facility and entity in Centura to share best practices and improve overall efficiency and communication system-wide from birth to home care. |
| Part VI, Line 7, Reports Filed With States | CO |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (1) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable (14 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Recipient EINRecipientEIN | IRC SectionIRCSectionDesc | Cash GrantCashGrantAmt | Purpose Of GrantPurposeOfGrantTxt |
|---|---|---|---|---|---|---|---|
| Castle Rock Economic Development Council | |||||||
| 18 S Wilcox St 202 | Castle Rock | CO | 80104 | 841445735 | 501(c)(3) | $7,500 | General Support |
| Clinica Campesina Family Health Services | |||||||
| 345 Plaza Court North | Lafayette | CO | 80026 | 840743432 | 501(c)(3) | $191,400 | General Support |
| Rocky Mountain Adventist Healthcare Foundation | |||||||
| 2525 S Downing Street | Denver | CO | 80210 | 840745018 | 501(c)(3) | $43,750 | General Support |
| The Boulder Chamber of Commerce | |||||||
| 2440 Pearl Street | Boulder | CO | 80302 | 840152700 | 501(c)(6) | $7,255 | General Support |
| Colorado Center for Nursing Excellence | |||||||
| 5290 E Yale Circle Ste 102 | Denver | CO | 80222 | 320022295 | 501(c)(3) | $6,000 | General Support |
| Colorado Health Institute | |||||||
| 1999 N Broadway Ste 600 | Denver | CO | 80202 | 743082235 | 501(c)(3) | $54,286 | General Support |
| Crisis Center | |||||||
| PO BOX 631302 | LITTLETON | CO | 80163 | 742385006 | 501(c)(3) | $6,000 | General Support |
| Denver Health and Hospitals Foundation | |||||||
| 777 Bannock St NO MC0111 | Denver | CO | 80204 | 841085196 | 501(c)(3) | $10,000 | General Support |
| Doctors Care | |||||||
| 609 W Littleton Blvd Suite 100 | LITTLETON | CO | 80120 | 841150815 | 501(c)(3) | $250,000 | General Support |
| Erie Chamber of Commerce | |||||||
| PO Box 97 | Erie | CO | 80516 | 841325423 | 501(c)(6) | $5,700 | General Support |
| Hunger Free Colorado | |||||||
| 1355 S COLORADO BLVD 201 | DENVER | CO | 80222 | 680551464 | 501(c)(3) | $28,571 | General Support |
| Parker Task Force for Human Services | |||||||
| 19105 LONGS WAY | PARKER | CO | 80134 | 742494265 | 501(c)(3) | $7,500 | General Support |
| SECOR | |||||||
| 16965 PINE LANE STE 100 | PARKER | CO | 80134 | 204226894 | 501(c)(3) | $7,500 | General Support |
| UNION COLLEGE | |||||||
| 3800 S 48TH St | LINCOLN | NE | 68506 | 470405319 | 501(c)(3) | $65,000 | General Support |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 12 | Total501c3OrgCnt |
| Total Other Org | 2 | TotalOtherOrgCnt |
Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Type | Pharmaceuticals to Needy Individuals | GrantTypeTxt |
| Recipient | 2626 | RecipientCnt |
| Non Cash Assistance | $64,476 | NonCashAssistanceAmt |
| Valuation Method Used | Cost | ValuationMethodUsedDesc |
| Non Cash Assistance | Pharmaceuticals to Needy Individuals | NonCashAssistanceDesc |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part I, Line 2: | FormAndLineReferenceDesc |
| Explanation | Grants are generally made only to related organizations that are exempt from federal income tax under IRC Section 501(c)(3), or to other local charitable community organizations, or to other 501(c)(3) organizations that are a part of the group exemption ruling issued to the General Conference of Seventh-Day Adventists. Accordingly, the filing organization has not established specific procedures for monitoring the use of grant funds in the United States as the filing organization does not have a grant making program that would necessitate such procedures. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Travel For Companions | Yes (X) | TravelForCompanionsInd |
| Idemnification Gross Up Pmts | Yes (X) | IdemnificationGrossUpPmtsInd |
| Discretionary Spending Acct | Yes (X) | DiscretionarySpendingAcctInd |
| Housing Allowance Or Residence | Yes (X) | HousingAllowanceOrResidenceInd |
| Written Policy Ref T And E Expnss | Yes (1) | WrittenPolicyRefTAndEExpnssInd |
| Substantiation Required | Yes (1) | SubstantiationRequiredInd |
| Severance Payment | 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 | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (22 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Haffner PhD Randall L | ||||||||||||||
| Board Chairman | $0 | $1,264,609 | $0 | $491,378 | $0 | $984,762 | $0 | $258,314 | $0 | $42,765 | $0 | $3,041,828 | $0 | $244,687 |
| Houmann Lars D | ||||||||||||||
| Board Member | $0 | $1,209,479 | $0 | $552,173 | $0 | $847,410 | $0 | $251,578 | $0 | $45,331 | $0 | $2,905,971 | $0 | $246,703 |
| Banko Peter | ||||||||||||||
| President | $0 | $1,281,812 | $0 | $1,143,457 | $0 | $11,657 | $0 | $421,626 | $0 | $27,350 | $0 | $2,885,902 | $0 | $0 |
| Rathbun Paul C | ||||||||||||||
| Board Member | $0 | $993,376 | $0 | $380,674 | $0 | $220,634 | $0 | $208,495 | $0 | $40,778 | $0 | $1,843,957 | $0 | $171,802 |
| Dean Morre | ||||||||||||||
| Chief Integration Off-Former Key Emp | $0 | $689,311 | $0 | $526,516 | $0 | $82,617 | $0 | $205,048 | $0 | $33,413 | $0 | $1,536,905 | $0 | $0 |
| Enderson Dan | ||||||||||||||
| Treasurer/CFO | $0 | $645,944 | $0 | $486,591 | $0 | $152,741 | $0 | $180,444 | $0 | $28,214 | $0 | $1,493,934 | $0 | $0 |
| Miner Todd MD | ||||||||||||||
| Orthopedic Surgeon | $1,183,592 | $0 | $94,320 | $0 | $2,572 | $0 | $9,800 | $0 | $30,022 | $0 | $1,320,306 | $0 | $0 | $0 |
| Yang Charlie MD | ||||||||||||||
| Orthopedic Surgeon | $1,169,307 | $0 | $94,320 | $0 | $1,118 | $0 | $9,268 | $0 | $31,906 | $0 | $1,305,919 | $0 | $0 | $0 |
| Ordelheide Kris | ||||||||||||||
| Secretary-Former Officer | $0 | $504,997 | $0 | $382,295 | $0 | $136,681 | $0 | $126,331 | $0 | $22,397 | $0 | $1,172,701 | $0 | $0 |
| Jennings Jason MD | ||||||||||||||
| Orthopedic Surgeon | $959,495 | $0 | $94,320 | $0 | $1,118 | $0 | $7,561 | $0 | $32,355 | $0 | $1,094,849 | $0 | $0 | $0 |
| Spenst Brett | ||||||||||||||
| CEO Littleton Adv Hosp-Former Key Em | $0 | $540,007 | $0 | $166,258 | $0 | $268,475 | $0 | $86,487 | $0 | $23,744 | $0 | $1,084,971 | $0 | $0 |
| Huenergardt Samuel | ||||||||||||||
| CEO Shawnee Mission-Former Key Emp | $0 | $636,077 | $0 | $95,256 | $0 | $8,690 | $0 | $118,233 | $0 | $38,619 | $0 | $896,875 | $0 | $0 |
| Dennis Douglas MD | ||||||||||||||
| Orthopedic Surgeon | $699,588 | $0 | $132,038 | $0 | $13,932 | $0 | $9,800 | $0 | $20,557 | $0 | $875,915 | $0 | $0 | $0 |
| Sdrulla Dan MD | ||||||||||||||
| Otolaryngology Physician | $445,285 | $0 | $327,344 | $0 | $794 | $0 | $9,800 | $0 | $26,260 | $0 | $809,483 | $0 | $0 | $0 |
| Folkenberg Todd | ||||||||||||||
| CEO Porter Adventist Hospi | $0 | $405,853 | $0 | $191,287 | $0 | $58,300 | $0 | $97,863 | $0 | $30,989 | $0 | $784,292 | $0 | $0 |
| Goebel Michael | ||||||||||||||
| CEO Parker Adventist Hospi | $0 | $393,690 | $0 | $167,282 | $0 | $91,505 | $0 | $49,343 | $0 | $31,425 | $0 | $733,245 | $0 | $50,427 |
| Gaasch Andrew | ||||||||||||||
| CFO Porter Adv Hosp-Former Key Emp | $0 | $393,803 | $0 | $170,910 | $0 | $898 | $0 | $78,989 | $0 | $31,987 | $0 | $676,587 | $0 | $0 |
| McKinney Jillyan | ||||||||||||||
| CEO Littleton Adv Hosp(beg 7/19) | $0 | $326,487 | $0 | $138,038 | $0 | $115,835 | $0 | $60,429 | $0 | $27,011 | $0 | $667,800 | $0 | $0 |
| Pittman Jeremy | ||||||||||||||
| CFO Porter Adventist Hosp | $0 | $261,629 | $0 | $70,607 | $0 | $889 | $0 | $2,544 | $0 | $31,641 | $0 | $367,310 | $0 | $0 |
| Travis Carol | ||||||||||||||
| CFO Avista Adv Hosp | $0 | $240,404 | $0 | $76,844 | $0 | $667 | $0 | $5,191 | $0 | $29,038 | $0 | $352,144 | $0 | $0 |
| Fisher Jonathan | ||||||||||||||
| CFO Parker Adventist Hospi | $0 | $229,895 | $0 | $72,759 | $0 | $1,871 | $0 | $7,495 | $0 | $27,150 | $0 | $339,170 | $0 | $0 |
| Beckner Michelle | ||||||||||||||
| CFO Littleton Adv Hosp (beg 6/19) | $69,611 | $119,305 | $0 | $49,785 | $137 | $1,298 | $3,510 | $4,914 | $8,358 | $11,701 | $81,616 | $187,003 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part I, Line 1a | As discussed in Part VI, Section B, Line 15, the filing organization's top management officials are compensated by Centura Health Corporation (CHC). All officers and key employees are compensated by CHC, who manages the daily activities of Portercare Adventist Health System under a joint operating agreement dated December 8, 1995 between Adventist Health System Sunbelt Healthcare Corp. and Common Spirit Health. As such, their salaries are paid to them by CHC, a related organization, for services rendered in their capacity as key employees or officers of PAHS. All of their reportable compensation is disclosed on Form 990, Schedule J, Part II, row (ii) and Form 990, Part VII, column (e) as compensation from related organizations. Travel for companions: CHC provides reimbursement for spousal travel when certain of its executives attend conferences sponsored by Adventist Health System Sunbelt Healthcare Corporation (AHSSHC). AHSSHC is the tax-exempt top-tier parent of Portercare Adventist Health Systesm (PAHS). All spousal travel costs reimbursed to the executive are considered taxable compensation to the executive. Tax Indemnification and gross-up payments: CHC 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) provided to any employee may be grossed-up upon approval by the filing organization's CEO and CFO. Discretionary spending account: A cash discretionary spending account was provided in the current year to eligible executives in the form of a car allowance of $750 per month to help offset business travel expense. Other discretionary spending accounts may be provided in connection with attendance at conferences but typically do not exceed $300 per participant. Taxable travel and other spending accounts are considered taxable compensation to the executive. Housing allowance or residence for personal use: CHC has a Corporate Executive Policy that addresses assistance to executives who have been relocated by the company during the year. Relocation assistance is administered per CHC policy by an external relocation company. Any taxable reimbursements made to executives in connection with relocation assistance are treated as wages to the executive and are subject to all payroll withholding and reporting requirements. |
| Part I, Lines 4a-b | Line 4a: During 2019, Michael Goebel received severance payments in the amount of $24,008 from Adventist Health System Sunbelt Healthcare Corporation (AHSSHC) the top-tier 501(c)(3) parent of the filing organization. Pursuant to the AHSSHC Corporate Executive Policy governing executive severance, severance agreements for executives operating at the Vice President level and above are entered into upon eligibility to facilitate the transition to subsequent employment following an involuntary separation from employment with AdventHealth. Line 4b: As discussed in Line 1 above, the organization's top management officials' compensation is paid by Centura Health Corporation (CHC). All officers and key employees are compensated by CHC, who manages the daily activities of Portercare Adventist Health System (PAHS). As such, their salaries and all associated benefits are paid to them by CHC for services rendered in their capacity as key employees or officers of PAHS. All of their reportable compensation is disclosed on Form 990, Schedule J, Part II, row (ii) and Form 990, Part VII, column (e) as compensation from related organizations. Senior executives on the filing organization's management team that hold the position of Senior Vice-President or Hospital CEO are eligible to participate in the CHC EXECU-FLEX Benefit Plan (the Plan). In recognition of the contribution that each executive makes to the success of CHC, CHC provides for participation in the Plan to the eligible executives. The purpose of the Plan is to offer an opportunity to elect from among a variety of supplemental benefits to individually tailor a benefits program appropriate to each executive's needs. The executive is provided with a Flex allowance equivalent to 10% of base salary to purchase selected benefits and to contribute into a deferred non-qualified supplemental executive retirement plan. The Plan provides for a five-year cliff-vesting schedule with respect to amounts accumulated in the executive's deferred compensation account. CHC contributes into these deferred compensation accounts semi-annually and amounts are subject to a substantial risk of forfeiture with active participation required at time of vesting. In addition, CHC provides a Pension Restoration Benefit (PRB) to restore qualified plan contributions lost on income in excess of the current federal maximum allowable compensation to a qualified plan. The PRB provides contributions by restoring the amount that would have been contributed to the executive's retirement savings plan for compensation in excess of the legislative limits. Benefit amounts are added to the participant's flex allowance each year based on their total compensation from the prior year. The following received contributions to a non-qualified plan for the calendar year 2019: CY Employer CY Employer CY SERP CY PRB SERP Contr. PRB Contr. Distrib. Distrib. Peter Banko 219,913 191,913 Daniel Enderson 99,796 71,796 86,109 54,225 Todd Folkenberg 59,525 31,525 35,771 10,511 Andrew Gaasch 49,981 21,981 Brett Spenst 48,360 22,521 Michael Goebel 39,543 Kris Ordelheide 74,267 42,999 Morre Dean 111,747 83,747 48,832 22,993 McKinney, Jillyan 44,267 6,362 |
| Schedule J, Line 4b: | Additionally, Board members of the filing organization, R. Haffner, L. Houmann, and P. Rathbun, are compensated by and on the payroll of Adventist Health System Sunbelt Healthcare Corporation (AHSSSHC), the parent organization of a healthcare system known as AdventHealth. Key Employee M. Goebel, B. Spenst and Former Key Employee S. Huenergardt were also compensated by Adventist Health System Sunbelt Healthcare Corporation (AHSSHC) for a portion or for all of calendar year 2019. AdventHealth is exempt from federal income tax under Section 501(c)(3) of the Internal Revenue Code. In recognition of the contribution that each executive makes to the success of AdventHealth, AdventHealth provides to eligible executives participation in the AdventHealth Executive FLEX Benefit Program (the Plan). The purpose of the Plan is to offer eligible executives an opportunity to elect from among a variety of supplemental benefits, including a split dollar life insurance policy and long-term care insurance, to individually tailor a benefits program appropriate to each executive's needs. The Plan provides eligible participants a pre-determined benefits allowance credit that is equal to a percentage of the executive's base pay from which is deducted the cost of mandatory and elective employee benefits. The pre-determined benefits allowance credit percentage is approved by the AHSSHC Board Compensation Committee, an independent committee of the Board of Directors of AHSSHC. Any funds that remain after the cost of mandatory and elective benefits are subtracted from the annual pre-determined benefits allowance are contributed, at the employee's option, to either an IRC 457(f) deferred compensation account or to an IRC 457(b) eligible deferred compensation plan. Upon attainment of age 65, all previous 457(f) deferred amounts are paid immediately to the participant and any future employer contributions are made quarterly from the Plan directly to the participant. The Plan documents define an employee who is eligible to participate in the Plan to generally include the Chief Executive Officers of AdventHealth entities and Vice Presidents of all AdventHealth entities whose base salary is at least $260,000. 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, AdventHealth has instituted a defined benefit, non-tax-qualified deferred compensation plan for certain executives who have provided lengthy service to AdventHealth and/or to other Seventh-day Adventist Church hospitals or health care institutions. Participation in the plan is offered to AdventHealth executives on a pro-rata schedule beginning with 20 years of service as an employee of AdventHealth and/or another hospital or health care institution controlled by the Seventh-day Adventist Church and who satisfy certain other qualifying criteria. 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 AdventHealth active employment inclusive of income from all other Seventh-day Adventist Church healthcare employer-financed retirement income sources and investment income earned on those contributions through social security normal retirement age as defined in the plan. The number of years included in highest average compensation is determined by the individual's year of entry to the SERP and by the individual's year of entry to the AdventHealth Executive FLEX Benefit Program. Additionally, AdventHealth has adopted a Senior Executive Death Benefit (SEDB) Plan in recognition of the considerable age and service requirements in the SERP. The SEDB Plan provides a benefit in an amount equal to the amount the executive's benefit would have been under the SERP Plan assuming that, on the date of the executive's death (and not before), the executive satisfied the last of the eligibility requirements of the SERP Plan with present value recognizing an early benefit commencement. An eligible executive becomes a participant in the SEDB Plan if the executive dies prior to termination of employment, provided the executive has not satisfied all of the eligibility requirements of SERP as of the executive's date of death but would have satisfied all of those requirements within five (5) years following death had the executive lived and continued employment. The SEDB Plan was reviewed and approved by the AHSSHC Board Compensation Committee, an independent body of the AHSSHC Board of Directors. Flex Plan Flex Plan SERP 457(b) CY CY Employer CY Contrib./ Distrib. Contrib. Distrib. Payment ------------------------------------------------------- Randall Haffner $ 262,228 $ 238,856 $ 657,546 $ 0 Lars Houmann $ 255,491 $ 255,039 $ 487,733 $ 0 Paul Rathbun $ 193,409 $ 178,953 $ 0 $ 0 Michael Goebel $ 0 $ 54,046 $ 0 $ 0 Samuel Huenergardt $ 103,146 $ 0 $ 0 $ 0 Brett Spenst $ 65,984 $ 0 $ 0 $ 0 |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (13 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part V, Line 1a-1b | Pursuant to an Affiliation Agreement between Adventist Health System Sunbelt Healthcare Corporation and Common Spirit Health, Portercare Adventist Health System (the filing organization) is managed by Centura Health Corporation (CHC), a joint operating company. CHC is a Colorado, not-for-profit corporation that is exempt from federal income tax under Internal Revenue Code (IRC) Section 501(c)(3). CHC has established a shared service center to centralize the Accounts Payable (A/P) functions. The facts and circumstances support a position that CHC, as a payor on behalf of its managed organizations in a shared service environment, will have sufficient management and oversight in connection with the managed organizations' payments to meet the standard set forth in Treas. Reg. Section 1.6041-1(e). CHC will not merely be making payments at the direction of its managed organizations. Accordingly, CHC is considered the payor subject to the information reporting requirements of Section 6041. The filing organization has entered "0" in Part V, Line 1a because the filing organization no longer issues Form 1099 returns, rather, all such returns are filed by and under the name and EIN of CHC as the payor subject to the information reporting requirements of Section 6041. |
| Form 990, Part VI, Section A, line 1 | Pursuant to Article IV of the Bylaws of Portercare Adventist Health System, the Board of Trustees may, by resolution or resolutions passed by a majority of the Trustees thereof, appoint an Executive Committee or such other Committees for any purpose and delegate to such committees any of the powers and authority of the Board of Trustees as is permitted by law. Colorado law precludes a committee of the Board from (I) authorizing distributions; (II) approving or proposing to the member actions that Articles 121-137 of Title 7 of the Colorado revised statutes require to be approved by the member; (III) amending the corporation's amended and restated Articles of Incorporation; (IV) adopting, amending or repealing the Bylaws; (V) approving a plan of merger not requiring approval of the member; or (VI) approving a sale, lease, exchange or other disposition of all, or substantially all, of its property, with or without good will, other than in the usual and regular course of business subject to approval of the member. Such Committees shall have the power to act only in intervals between meetings of the Board of Trustees and shall, at all times, be subject to the control of the Board of Trustees. The Board of Trustees, or if the Board does not act, the Committees, shall establish rules and regulations for meetings and shall meet at such times as are deemed necessary, provided that a reasonable notice of all meetings shall be given to Committee members. No act of a Committee shall be valid unless approved by the vote or written consent of a majority of its members. Committees shall keep regular minutes of proceedings and report the same to the Board from time to time as the Board may require. |
| Form 990, Part VI, Section A, line 6 | Portercare Adventist Health System (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 | The Corporate member, AHSSHC, acting through the Board of Directors, maintains all rights permitted to be exercised by Directors of a Colorado corporation except as limited by the organization's Articles, Bylaws, or Affiliation Agreement with Common Spirit Health (CSH), F/K/A Catholic Health Initiatives. The Agreement of both AHSSHC and CSH is required for certain significant decisions involving Centura facilities. In addition, pursuant to the Affiliation Agreement between CSH, Colorado Health Initiatives Colorado (CHIC), Centura Health Corporation, and Portercare Adventist Health System (PAHS), certain matters affecting PAHS must be approved by both PAHS and CHIC. Those items include: - The transfer of assets valued at over $3,000,000 - The issuance of a debt instrument in excess of $250,000 - The amendment of the organizing documents - The admission of a new sponsor - A merger or dissolution or reorganization - Settlement of legal proceedings in excess of $2,000,000 - Capital expenditures in excess of $5,000,000 |
| Form 990, Part VI, Section B, line 11b | The filing organization's current year Form 990 was reviewed by the Board Chairman, Board Finance Committee Chair, CEO and by the CFO prior to its filing with the IRS. The review conducted by the Board Chairman, Board Finance Committee Chair, CEO and the CFO did not include the review of any supporting workpapers that were used in preparation of the current year Form 990, but did include a review of the entire Form 990 and all supporting schedules. |
| Form 990, Part VI, Section B, line 12c | Portercare Adventist Health System has adopted Centura Health's Conflict of Interest Policy: 1. Conflict of Interest Policy: 1.1 Consistent with Centura integrity standards, it is policy that each board of trustee member, corporate officer, and key employee act at all times in a manner that is consistent with Centura's mission and values-based service to the community and exercise care that he or she does not have any personal interest which might conflict with or appear to conflict with the interest of Centura or which might influence their judgment or actions in performing their duties. 1.1.1 In connection with an actual or possible transaction or arrangement involving Centura, any board member, corporate officer, or key employee who has a direct or indirect financial interest must disclose and be given the opportunity to share all material facts with the board considering the proposed transaction or arrangement. 1.1.2 Board members, corporate officers, and key employees are also required to disclose any possible conflicts on an annual basis through the conflict of interest questionnaire. 2. Procedure for disclosing and reviewing transactions or arrangements of potential conflict of interests: 2.1 Board members, corporate officers, and key employees that have a financial interest in any actual or possible transaction involving Centura are required to disclose the financial interest. 2.1.1 In order to determine if a conflict of interest exists, the individual who is considered to have a financial interest may make a presentation at the board or board committee meeting. After such presentation, the individual shall leave the meeting for discussion and a vote on the issue. 2.1.2 After exercising due diligence, the board or board committee shall determine whether Centura can obtain a more advantageous transaction with reasonable efforts from another person or entity. If a more advantageous transaction is not reasonably attainable, the board or board committee shall determine by a majority vote of the disinterested members whether the transaction is in Centura's best interest and is fair. 3. Procedure for disclosing and reviewing other potential conflicts of interest: 3.1 Board members, corporate officers, and key employees shall also disclose in advance to Centura leaders any non-transactional actions or relationships that have the potential to create a conflict of interest. 3.1.1 The board or board committee shall carefully review and scrutinize any potential conflict of interest. By a majority vote of the disinterested members, the board shall take whatever action is deemed appropriate with respect to the board member, corporate officer, or key employee under the circumstances, including possible corrective action, in order to best protect the interests of Centura. 3.1.2 On an annual basis, board members, corporate officers, and key employees will also be sent an email requesting they complete the board member and corporate officer conflict of interest questionnaire by the specified due date in the email. 3.1.3 The corporate responsibility department shall notify the chairperson of the board of any potential conflicts and the chairperson, or designee, shall perform further investigation as he or she deems appropriate. 4. Record of proceedings: 4.1 The minutes of the board and board committee shall contain: 4.1.1 The names of persons who disclosed or otherwise were found to have a financial interest and the nature of the financial interest. 4.1.2 The names of persons who were present for discussions and votes relating to any financial interest, the content of the discussion, including any alternatives, and a record of the board or board committee decision. 5. Violations of the conflicts of interest policy: 5.1 If the board or board committee has reasonable cause to believe that an individual has failed to disclose either an actual or potential conflict of interest, or all material facts surrounding an actual or possible conflict, the individual will be given a chance to explain. 5.1.1 After hearing the response, the board will conduct such additional investigation as appropriate. If the board determines that the individual has in fact failed to disclose as required by the conflict of interest policy, the board shall take appropriate disciplinary or corrective action. |
| Form 990, Part VI, Section B, line 15 | The organization's top management officials' compensation is paid by Centura Health Corporation. All officers and key employees are compensated by Centura Health Corporation, who manages the daily activities of Portercare Adventist Health System under a joint operating agreement dated December 8, 1995 between Adventist Health System Sunbelt Healthcare Corp. and Common Spirit Health. As such, their salaries are paid to them by Centura Health Corporation, a related organization, for services rendered in their capacity as key employees or officers of PAHS. All of their reportable compensation is disclosed on Form 990, Schedule J, Part II, row (ii) and Form 990, Part VII, column (e) as compensation from related organizations. External consultants are engaged to provide market-based compensation studies to make recommendations to Centura Health Corporation's (CHC) Compensation Committee regarding the compensation of the filing organization's CEO and CFO. The Compensation Committee is appointed by the Board of Trustees of CHC. The Board of Trustees may remove at any time, with or without cause, any member of the Compensation Committee; provided the filing organization's members, Portercare Adventist Health System (PAHS) and Catholic Health Initiatives Colorado (CHIC), shall have exclusive authority to appoint or remove, with or without cause, any member it or they appoint to the Compensation Committee. The consultant's recommendations are presented to and deliberated by CHC's Compensation Committee. The Compensation Committee relies upon all available comparable compensation data in finalizing its decision concerning compensation for its senior executive positions. The Compensation Committee deliberations and decisions are documented appropriately. CHC's Human Resources department performs an annual analysis of the market to determine compensation ranges for the remainder of CHC's Executives which are reviewed and approved by CHC's senior leadership. |
| Form 990, Part VI, Section C, line 19 | The organization's governing documents are available on the Colorado Secretary of State's website. The filing organization is a part of the system of healthcare organizations known as AdventHealth. The audited consolidated financial statements of AdventHealth and of the AdventHealth "Obligated Group" are filed annually with the Municipal Securities Rulemaking Board (MSRB). The "Obligated Group" is a group of AHSSHC subsidiaries that are jointly and severally liable under a Master Trust Indenture that secures debt primarily issued on a tax-exempt basis. Unaudited quarterly financial statements prepared in accordance with Generally Accepted Accounting Principles (GAAP) are also filed with MSRB for AdventHealth on a consolidated basis and for the grouping of AdventHealth subsidiaries comprising the "Obligated Group". The filing organization does not generally make its conflict of interest policy available to the public. |
| Form 990, Part VI, Line 16B, Joint Venture Policy: | Portercare Adventist Health System has not formally adopted a written policy or written procedure regarding joint ventures. Practices are in place that require the filing organization to perform an analysis and evaluation of its participation in every joint venture in which the filing organization will have an ownership interest. The internal review and analysis ensures that the filing organization will not become a participant in any joint ventures that could potentially threaten the tax-exempt status of the filing organization. |
| Part VIII, Lines 7a, b and c: | The amounts shown in Part VIII, Lines 7a(i) and 7c(i) of the Form 990 represents an allocated share of capital gain/(loss) from a system wide, corporate administered, investment program. |
| Form 990, Part IX, line 11g | Payments to Hlthcare Professionals: Program service expenses 81,847,835. Management and general expenses 0. Fundraising expenses 0. Total expenses 81,847,835. Professional Fees: Program service expenses 34,827,874. Management and general expenses 0. Fundraising expenses 0. Total expenses 34,827,874. Purchased Medical Services: Program service expenses 33,269,659. Management and general expenses 0. Fundraising expenses 0. Total expenses 33,269,659. Environmental Services: Program service expenses 2,907,833. Management and general expenses 0. Fundraising expenses 0. Total expenses 2,907,833. Transcription Services: Program service expenses 444,687. Management and general expenses 0. Fundraising expenses 0. Total expenses 444,687. Recruiting: Program service expenses -693,059. Management and general expenses 0. Fundraising expenses 0. Total expenses -693,059. Management Fees: Program service expenses 0. Management and general expenses 108,085,227. Fundraising expenses 0. Total expenses 108,085,227. Billing and Collection Services: Program service expenses 0. Management and general expenses 6,891,903. Fundraising expenses 0. Total expenses 6,891,903. |
| Form 990, Part XI, line 9: | Transfer to Tax-Exempt Parent -10,520,980. Joint Ventures Equity Changes 92,900. ASC 842 Lease Accounting Adjustments -664,330. Allocation with Respect to Debt from Tax-Exempt Parent -857,391. Reimbursement from Foundation 417,748. Other 31. |
Schedule R IRS990ScheduleR
Id Disregarded Entities IdDisregardedEntitiesGrp (3 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Total IncomeTotalIncomeAmt | End Of Year AssetsEndOfYearAssetsAmt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt |
|---|---|---|---|---|---|---|---|---|---|
| HealthFit Family Medicine LLC | |||||||||
| 9100 E Mineral Circle | Centennial | CO | 80112 | 815310593 | Medical Services - family practice | CO | $772,687 | $1,923,303 | Portercare Adventist Health System |
| HealthFit Medical Professionals LLC | |||||||||
| 9100 E Mineral Circle | Centennial | CO | 80112 | 473561708 | Medical Services - family practice | CO | $304,944 | $0 | Portercare Adventist Health System |
| HealthFit Wellness Professionals LLC | |||||||||
| 9100 E Mineral Circle | Centennial | CO | 80112 | 815325418 | Fitness Center | CO | $381,026 | $385,049 | Portercare Adventist Health System |
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (112 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Controlled OrganizationControlledOrganizationInd | Direct Controlling NADirectControllingNACd |
|---|---|---|---|---|---|---|---|---|---|---|---|
| AdventHealth Family Medicine Rural Health Clinics Inc fka Hospice of the C | |||||||||||
| 187 PR 4060 | Lampasas | TX | 76550 | 271858033 | Operation of Rural Health Clinics & Medical Services | FL | 501(c)(3) | Line 3 | Metroplex Adventist Hospital Inc | Yes (1) | |
| AdventHealth Foundation Shawnee Mission | |||||||||||
| 9100 W 74th Street | Shawnee Mission | KS | 66204 | 480868859 | Fund-raising for Tax-exempt hospital | KS | 501(c)(3) | Line 7 | Shawnee Mission Medical Center Inc | Yes (1) | |
| AdventHealth Home Care East Florida LLC (218-123119) | |||||||||||
| 770 West Granada Blvd 319 | Ormond Beach | FL | 32174 | 833768458 | Inactive | FL | 501(c)(3) | Line 12a, I | Memorial Hlth Systems Inc | Yes (1) | |
| AdventHealth Hospice Care East Florida Inc (218-123119) | |||||||||||
| 770 West Granada Blvd 304 | Ormond Beach | FL | 32174 | 833748461 | Inactive | FL | 501(c)(3) | Line 12a, I | Memorial Hlth Systems Inc | Yes (1) | |
| AdventHealth North Polk Inc fka University Community Hospital Specialty Ca | |||||||||||
| 3100 E Fletcher Ave | Tampa | FL | 33613 | 593231322 | Inactive | FL | 501(c)(3) | Line 12a, I | University Community Hospital Inc | Yes (1) | |
| AdventHealth Osceola South Inc (416-123119) | |||||||||||
| 900 Hope Way | Altamonte Springs | FL | 32714 | 841817046 | Inactive | FL | 501(c)(3) | Line 3 | Adventist Hlth System Sunbelt Hlthcare Corp | Yes (1) | |
| AdventHealth Polk North Inc (418-123119) | |||||||||||
| 40100 US Highway 27 N | Davenport | FL | 33837 | 841793121 | Operation of Hospital & Related Services | FL | 501(c)(3) | Line 3 | Adventist Hlth System Sunbelt Hlthcare Corp | Yes (1) | |
| AdventHealth Polk South Inc (415-123119) | |||||||||||
| 410 South 11th Street | Lake Wales | FL | 33853 | 834672945 | Operation of Hospital & Related Services | FL | 501(c)(3) | Line 3 | Adventist Hlth System Sunbelt Hlthcare Corp | Yes (1) | |
| AdventHealth Ransom Memorial Inc | |||||||||||
| 1301 S Main Street | Ottawa | KS | 66067 | 830976641 | Operation of Hospital & Related Services | KS | 501(c)(3) | Line 3 | Adventist Hlth Mid-America Inc | Yes (1) | |
| AdventHealth University Inc | |||||||||||
| 671 Lake Winyah Drive | Orlando | FL | 32803 | 593069793 | Education/Operation of School | FL | 501(c)(3) | Line 2 | Adventist Hlth SystemSunbelt Inc | Yes (1) | |
| AdventHealth West FL Ambulatory Svcs Inc fka West FL Hlth Inc | |||||||||||
| 14055 Riveredge Drive | Tampa | FL | 33637 | 471881744 | Inactive | FL | 501(c)(3) | Line 10 | Adventist Hlth System Sunbelt Hlthcare Corp | Yes (1) | |
| AdventHealth West Florida Imaging Inc (924-123119) | |||||||||||
| 14055 Riveredge Drive Ste 250 | Tampa | FL | 33637 | 843225135 | Imaging & Testing | FL | 501(c)(3) | Line 12a, I | AdventHealth West Florida Ambulatory Services Inc | Yes (1) | |
| Adventist Bolingbrook Hospital | |||||||||||
| 500 Remington Blvd | Bolingbrook | IL | 60440 | 651219504 | Operation of Hospital & Related Services | IL | 501(c)(3) | Line 3 | Adventist Midwest Health | Yes (1) | |
| Adventist Care Centers - Courtland Inc | |||||||||||
| 730 Courtland Street | Orlando | FL | 32804 | 205774723 | Operation of Home for the Aged/Hlthcare Delivery | FL | 501(c)(3) | Line 10 | Sunbelt Hlth Care Centers Inc | Yes (1) | |
| Adventist GlenOaks Hospital | |||||||||||
| 701 Winthrop Avenue | Glendale Heights | IL | 60139 | 363208390 | Operation of Hospital & Related Services | IL | 501(c)(3) | Line 3 | Adventist Midwest Health | Yes (1) | |
| Adventist Hlth Mid-America Inc | |||||||||||
| 9100 W 74th Street | Shawnee Mission | KS | 66204 | 521347407 | Support of Affiliated Hospital | KS | 501(c)(3) | Line 12c, III-FI | Adventist Hlth SystemSunbelt Inc | Yes (1) | |
| Adventist Hlth Partners Inc | |||||||||||
| 2601 Navistar Dr Bldg 4 Finance | Lisle | IL | 60532 | 364138353 | Operation of Physician Practices & Medical Services | IL | 501(c)(3) | Line 3 | AHS Midwest Management Inc | Yes (1) | |
| Adventist Hlth System Sunbelt Hlthcare Corp | |||||||||||
| 900 Hope Way | Altamonte Springs | FL | 32714 | 592170012 | Management Services | FL | 501(c)(3) | Line 12a, I | 0 | N/A | |
| Adventist Hlth System Georgia Inc | |||||||||||
| 1035 Red Bud Road | Calhoun | GA | 30701 | 581425000 | Operation of Hospital & Related Services | GA | 501(c)(3) | Line 3 | Adventist Hlth System Sunbelt Hlthcare Corp | Yes (1) | |
| Adventist Hlth SystemSunbelt Inc | |||||||||||
| 900 Hope Way | Altamonte Springs | FL | 32714 | 591479658 | Operation of Hospital & Related Services | FL | 501(c)(3) | Line 3 | Adventist Hlth System Sunbelt Hlthcare Corp | Yes (1) | |
| Adventist Hlth SystemTexas Inc | |||||||||||
| 11801 S Freeway | Burleson | TX | 76028 | 742578952 | Leasing Personnel to Affiliated Hospital | TX | 501(c)(3) | Line 12c, III-FI | Adventist Hlth System Sunbelt Hlthcare Corp | Yes (1) | |
| Adventist Midwest Health | |||||||||||
| 120 North Oak Street | Hinsdale | IL | 60521 | 362276984 | Operation of Hospital & Related Services | IL | 501(c)(3) | Line 3 | Adventist Hlth SystemSunbelt Inc | Yes (1) | |
| AHP Specialty Care NFP | |||||||||||
| 2601 Navistar Dr Bldg 4 Finance | Lisle | IL | 60532 | 811105774 | Operation of Physician Practices & Medical Services | IL | 501(c)(3) | Line 3 | AHS Midwest Management Inc | Yes (1) | |
| AHS Midwest Management Inc | |||||||||||
| 2601 Navistar Dr Bldg 4 Finance | Lisle | IL | 60532 | 363354567 | Operation of Physician Practice Mgmt | IL | 501(c)(3) | Line 12a, I | Adventist Midwest Health | Yes (1) | |
| AHSCentral Texas Inc | |||||||||||
| 1301 Wonder World Drive | San Marcos | TX | 78666 | 742621825 | Provide Office Space - Medical Professionals | TX | 501(c)(3) | Line 12c, III-FI | Adventist Hlth System Sunbelt Hlthcare Corp | Yes (1) | |
| Apopka Hlth Care Properties Inc | |||||||||||
| 305 E Oak Street | Apopka | FL | 32703 | 510605694 | Lease to Related Organization | GA | 501(c)(3) | Line 12c, III-FI | Sunbelt Hlth Care Centers Inc | Yes (1) | |
| Battle Creek Adventist Hospital | |||||||||||
| 900 Hope Way | Altamonte Springs | FL | 32714 | 381359189 | Inactive | MI | 501(c)(3) | Line 3 | Adventist Hlth SystemSunbelt Inc | Yes (1) | |
| Bert Fish Medical Center Auxiliary Inc | |||||||||||
| 401 Palmetto Street | New Smyrna Beach | FL | 32168 | 591054892 | Volunteer support services | FL | 501(c)(3) | Line 10 | 0 | N/A | |
| Bolingbrook Hospital Foundation (1119-62119) | |||||||||||
| 500 Remington Blvd | Bolingbrook | IL | 60440 | 900494445 | Fund-raising for Tax-exempt hospital | IL | 501(c)(3) | Line 7 | Midwest Hlth Foundation | 0 | |
| Bradford Heights Hlth & Rehab Center Inc | |||||||||||
| 950 Highpoint Drive | Hopkinsville | KY | 42240 | 205782342 | Operation of Home for the Aged/Hlthcare Delivery | KY | 501(c)(3) | Line 10 | Sunbelt Hlth Care Centers Inc | Yes (1) | |
| Burleson Nursing & Rehab Center Inc | |||||||||||
| 301 Huguley Blvd | Burleson | TX | 76028 | 205782243 | Operation of Home for the Aged/Hlthcare Delivery | TX | 501(c)(3) | Line 10 | Sunbelt Hlth Care Centers Inc | Yes (1) | |
| Caldwell Hlth Care Properties Inc | |||||||||||
| 1333 West Main | Princeton | KY | 42445 | 510605680 | Lease to Related Organization | GA | 501(c)(3) | Line 12c, III-FI | Sunbelt Hlth Care Centers Inc | Yes (1) | |
| Central Texas Hlthcare Collaborative | |||||||||||
| 1301 Wonder World Drive | San Marcos | TX | 78666 | 453739929 | Support Operation of Hospital | TX | 501(c)(3) | Line 12a, I | Adventist Hlth SystemSunbelt Inc | Yes (1) | |
| Centura Health Corporation | |||||||||||
| 9100 E Mineral Circle | Centennial | CO | 80112 | 841335382 | Joint Operating Company | CO | 501(c)(3) | 0 | |||
| Chickasaw Hlth Care Properties Inc | |||||||||||
| 250 S Chickasaw Trail | Orlando | FL | 32825 | 510605681 | Lease to Related Organization | GA | 501(c)(3) | Line 12c, III-FI | Sunbelt Hlth Care Centers Inc | Yes (1) | |
| Chippewa Valley Hospital & Oakview Care Center Inc | |||||||||||
| 1220 Third Avenue West | Durand | WI | 54736 | 391365168 | Operation of Hospital & Related Services | WI | 501(c)(3) | Line 3 | Adventist Hlth SystemSunbelt Inc | Yes (1) | |
| Courtland Hlth Care Properties Inc | |||||||||||
| 730 Courtland Street | Orlando | FL | 32804 | 510605682 | Lease to Related Organization | GA | 501(c)(3) | Line 12c, III-FI | Sunbelt Hlth Care Centers Inc | Yes (1) | |
| Creekwood Place Nursing & Rehab Center Inc | |||||||||||
| 107 Boyles Drive | Russellville | KY | 42276 | 205782260 | Operation of Home for the Aged/Hlthcare Delivery | KY | 501(c)(3) | Line 10 | Sunbelt Hlth Care Centers Inc | Yes (1) | |
| Dairy Road Hlth Care Properties Inc | |||||||||||
| 7350 Dairy Road | Zephyrhills | FL | 33540 | 510605684 | Lease to Related Organization | GA | 501(c)(3) | Line 12c, III-FI | Sunbelt Hlth Care Centers Inc | Yes (1) | |
| East Orlando Hlth & Rehab Center Inc | |||||||||||
| 250 S Chickasaw Trail | Orlando | FL | 32825 | 205774748 | Operation of Home for the Aged/Hlthcare Delivery | FL | 501(c)(3) | Line 10 | Sunbelt Hlth Care Centers Inc | Yes (1) | |
| Emory-Adventist Inc | |||||||||||
| 900 Hope Way | Altamonte Springs | FL | 32714 | 582171011 | Inactive | GA | 501(c)(3) | Line 3 | Adventist Hlth SystemSunbelt Inc | Yes (1) | |
| Fletcher Hospital Inc | |||||||||||
| 100 Hospital Drive | Hendersonville | NC | 28792 | 560543246 | Operation of Hospital & Related Svcs | NC | 501(c)(3) | Line 3 | Adventist Hlth System Sunbelt Hlthcare Corp | Yes (1) | |
| FLNC Inc | |||||||||||
| 3355 E Semoran Blvd | Apopka | FL | 32703 | 205774761 | Operation of Home for the Aged/Hlthcare Delivery | FL | 501(c)(3) | Line 10 | Sunbelt Hlth Care Centers Inc | Yes (1) | |
| Florida Hospital Dade City Inc | |||||||||||
| 13100 Fort King Road | Dade City | FL | 33525 | 822567308 | Operation of Hospital & Related Svcs | FL | 501(c)(3) | Line 3 | Adventist Hlth System Sunbelt Hlthcare Corp | Yes (1) | |
| Florida Hospital Healthcare Partners Inc | |||||||||||
| 770 West Granada Blvd 101 | Ormond Beach | FL | 32174 | 462354804 | Operation of Physician Practices & Medical Services | FL | 501(c)(3) | Line 3 | Adventist Hlth SystemSunbelt Inc | Yes (1) | |
| Florida Hospital Medical Group Inc | |||||||||||
| 2600 Westhall Lane 4th Floor | Maitland | FL | 32751 | 593214635 | Operation of Physician Practices & Medical Services | FL | 501(c)(3) | Line 3 | Adventist Hlth SystemSunbelt Inc | Yes (1) | |
| Florida Hospital Ocala Inc | |||||||||||
| 1500 SW 1st Avenue | Ocala | FL | 34471 | 824372339 | Operation of Hospital & Related Svcs | FL | 501(c)(3) | Line 3 | Adventist Hlth System Sunbelt Hlthcare Corp | Yes (1) | |
| Florida Hospital Physician Group Inc | |||||||||||
| 12470 Telecom Dr 100 | Tampa | FL | 33637 | 462021581 | Operation of Physician Practices & Medical Services | FL | 501(c)(3) | Line 3 | Adventist Hlth System Sunbelt Hlthcare Corp | Yes (1) | |
| Florida Hospital Waterman Inc | |||||||||||
| 1000 Waterman Way | Tavares | FL | 32778 | 593140669 | Operation of Hospital & Related Services | FL | 501(c)(3) | Line 3 | Adventist Hlth System Sunbelt Hlthcare Corp | Yes (1) | |
| Florida Hospital Zephyrhills Inc | |||||||||||
| 7050 Gall Blvd | Zephyrhills | FL | 33541 | 592108057 | Operation of Hospital & Related Services | FL | 501(c)(3) | Line 3 | Adventist Hlth SystemSunbelt Inc | Yes (1) | |
| Florida Radiology Imaging at Lake Mary LLC | |||||||||||
| 2600 Westhall Lane 4th Floor | Maitland | FL | 32751 | 550789387 | Imaging & Testing | FL | 501(c)(3) | Line 3 | Florida Hospital Medical Group Inc | Yes (1) | |
| Fountain Inn Nursing & Rehab Center Inc | |||||||||||
| 485 North Keller Road 250 | Maitland | FL | 32751 | 472180518 | Operation of Home for the Aged/Hlthcare Delivery | FL | 501(c)(3) | Line 10 | Sunbelt Hlth Care Centers Inc | Yes (1) | |
| GlenOaks Hospital Foundation (11-62119) | |||||||||||
| 701 Winthrop Avenue | Glendale Heights | IL | 60139 | 363926044 | Fund-raising for Tax-exempt hospital | IL | 501(c)(3) | Line 7 | Midwest Hlth Foundation | 0 | |
| Helen Ellis Memorial Hospital Auxiliary Inc | |||||||||||
| 1395 S Pinellas Ave | Tarpon Springs | FL | 34689 | 592106043 | Fund-raising for Tax-exempt hospital/foundation | FL | 501(c)(3) | Line 12c, III-FI | 0 | N/A | |
| Helen Ellis Memorial Hospital Foundation Inc | |||||||||||
| 1395 S Pinellas Ave | Tarpon Springs | FL | 34689 | 593690149 | Fund-raising for Tax-exempt hospital | FL | 501(c)(3) | Line 7 | 0 | N/A | |
| Hinsdale Hospital Foundation | |||||||||||
| 120 North Oak Street | Hinsdale | IL | 60521 | 521466387 | Fund-raising for Tax-exempt hospital | IL | 501(c)(3) | Line 7 | Midwest Hlth Foundation | 0 | |
| Hospice of the Comforter Inc | |||||||||||
| 480 W Central Parkway | Altamonte Springs | FL | 32714 | 592935928 | Operation of Hospice | FL | 501(c)(3) | Line 10 | The Comforter Health Care Group Inc | Yes (1) | |
| In-Motion Rehab Inc | |||||||||||
| 485 North Keller Road 250 | Maitland | FL | 32751 | 208023411 | Therapy services to tax exempt nursing homes | KS | 501(c)(3) | Line 12b, II | Sunbelt Hlth Care Centers Inc | Yes (1) | |
| La Grange Memorial Hospital Foundation (11-62119) | |||||||||||
| 5101 S Willow Springs Rd | La Grange | IL | 60525 | 300247776 | Fund-raising for Tax-exempt hospital | IL | 501(c)(3) | Line 7 | Midwest Hlth Foundation | 0 | |
| Lake County Health Care Properties Inc | |||||||||||
| 485 North Keller Road 250 | Maitland | FL | 32751 | 813923985 | Lease to Related Organization | GA | 501(c)(3) | Line 12c, III-FI | Sunbelt Hlth Care Centers Inc | Yes (1) | |
| Memorial Hlth Systems Foundation Inc | |||||||||||
| 305 Memorial Medical Pkwy 212 | Daytona Beach | FL | 32117 | 311771522 | Fund-raising for Tax-exempt hospital | FL | 501(c)(3) | Line 7 | 0 | N/A | |
| Memorial Hlth Systems Inc | |||||||||||
| 301 Memorial Medical Parkway | Daytona Beach | FL | 32117 | 590973502 | Operation of Hospital & Related Services | FL | 501(c)(3) | Line 3 | Adventist Hlth SystemSunbelt Inc | Yes (1) | |
| Memorial Hospital - West Volusia Inc | |||||||||||
| 701 West Plymouth Avenue | Deland | FL | 32720 | 593256803 | Operation of Hospital & Related Services | FL | 501(c)(3) | Line 3 | Memorial Hlth Systems Inc | Yes (1) | |
| Memorial Hospital Flagler Inc | |||||||||||
| 60 Memorial Medical Parkway | Palm Coast | FL | 32164 | 592951990 | Operation of Hospital & Related Services | FL | 501(c)(3) | Line 3 | Memorial Hlth Systems Inc | Yes (1) | |
| Memorial Hospital Inc | |||||||||||
| 210 Marie Langdon Drive | Manchester | KY | 40962 | 610594620 | Operation of Hospital & Related Services | KY | 501(c)(3) | Line 3 | Adventist Hlth System Sunbelt Hlthcare Corp | Yes (1) | |
| Merriam Hlth Care Properties Inc | |||||||||||
| 9700 West 62nd Street | Merriam | KS | 66203 | 364595806 | Lease to Related Organization | KS | 501(c)(3) | Line 12c, III-FI | Sunbelt Hlth Care Centers Inc | Yes (1) | |
| Metroplex Adventist Hospital Inc | |||||||||||
| 2201 S Clear Creek Road | Killeen | TX | 76549 | 742225672 | Operation of Hospital & Related Services | TX | 501(c)(3) | Line 3 | Adventist Hlth System Sunbelt Hlthcare Corp | Yes (1) | |
| Metroplex Clinic Physicians Inc | |||||||||||
| 2201 S Clear Creek Road | Killeen | TX | 76549 | 113762050 | Physician Hlthcare services to the community | TX | 501(c)(3) | Line 3 | Metroplex Adventist Hospital Inc | Yes (1) | |
| Midwest Hlth Foundation | |||||||||||
| 120 North Oak Street | Hinsdale | IL | 60521 | 352230515 | Support of subsidiary foundations | IL | 501(c)(3) | Line 12b, II | 0 | N/A | |
| Mills Hlth & Rehab Center Inc | |||||||||||
| 500 Beck Lane | Mayfield | KY | 42066 | 205782320 | Operation of Home for the Aged/Hlthcare Delivery | KY | 501(c)(3) | Line 10 | Sunbelt Hlth Care Centers Inc | Yes (1) | |
| Mission Strategies of Georgia Inc | |||||||||||
| 485 North Keller Road 250 | Maitland | FL | 32751 | 900866024 | Provision of support to the nursing home division | GA | 501(c)(3) | Line 12b, II | Sunbelt Hlth Care Centers Inc | Yes (1) | |
| Missouri Adventist Hlth Inc | |||||||||||
| 9100 W 74th Street | Shawnee Mission | KS | 66204 | 431224729 | Support Hlth Care Services | MO | 501(c)(3) | Line 12d, III-O | Adventist Hlth Mid-America Inc | Yes (1) | |
| Ormond Beach Memorial Hospital Auxiliary Inc | |||||||||||
| 301 Memorial Medical Parkway | Daytona Beach | FL | 32117 | 591721962 | Volunteer support services | FL | 501(c)(3) | Line 12c, III-FI | 0 | N/A | |
| Osceola Health Care Properties Inc | |||||||||||
| 485 North Keller Road 250 | Maitland | FL | 32751 | 813165729 | Lease to Related Organization | GA | 501(c)(3) | Line 12c, III-FI | Sunbelt Hlth Care Centers Inc | Yes (1) | |
| Overland Park Nursing & Rehab Center Inc | |||||||||||
| 6501 West 75th Street | Overland Park | KS | 66204 | 205774821 | Operation of Home for the Aged/Hlthcare Delivery | KS | 501(c)(3) | Line 10 | Sunbelt Hlth Care Centers Inc | Yes (1) | |
| Paragon Hlth Care Properties Inc | |||||||||||
| 950 Highpoint Drive | Hopkinsville | KY | 42240 | 510605686 | Lease to Related Organization | GA | 501(c)(3) | Line 12c, III-FI | Sunbelt Hlth Care Centers Inc | Yes (1) | |
| Pasco-Pinellas Hillsborough Community Hlth System Inc | |||||||||||
| 2600 Bruce B Downs Blvd | Wesley Chapel | FL | 33544 | 208488713 | Operation of Hospital & Related Services | FL | 501(c)(3) | Line 3 | Adventist Hlth System Sunbelt Hlthcare Corp | Yes (1) | |
| Portercare Adventist Hlth System (630 Year End) | |||||||||||
| 9100 E Mineral Circle | Centennial | CO | 80112 | 840438224 | Operation of Hospital & Related Services | CO | 501(c)(3) | Line 3 | Adventist Hlth System Sunbelt Hlthcare Corp | Yes (1) | |
| Princeton Hlth & Rehab Center Inc | |||||||||||
| 1333 West Main | Princeton | KY | 42445 | 205782272 | Operation of Home for the Aged/Hlthcare Delivery | KY | 501(c)(3) | Line 10 | Sunbelt Hlth Care Centers Inc | Yes (1) | |
| Princeton Professional Services Inc | |||||||||||
| 601 E Rollins Street | Orlando | FL | 32803 | 591191045 | Provision of Hlthcare Services | FL | 501(c)(3) | Line 10 | Adventist Hlth System Sunbelt Hlthcare Corp | Yes (1) | |
| Quality Circle for Hlthcare Inc | |||||||||||
| 900 Hope Way | Altamonte Springs | FL | 32714 | 263789368 | Hlthcare Quality Services | FL | 501(c)(3) | Line 12a, I | Adventist Hlth System Sunbelt Hlthcare Corp | Yes (1) | |
| Resource Personnel Inc | |||||||||||
| 485 North Keller Road 250 | Maitland | FL | 32751 | 208040875 | Provide administrative support to tax exempt nursing homes | FL | 501(c)(3) | Line 12b, II | Sunbelt Hlth Care Centers Inc | Yes (1) | |
| Rocky Mountain Adventist Hlthcare Foundation (630 Year End) | |||||||||||
| 7995 E Prentice Ave 204 | Greenwood Village | CO | 80111 | 840745018 | Fund-raising for Tax-exempt hospital | CO | 501(c)(3) | Line 7 | 0 | N/A | |
| Rollins Brook Community Care Corp | |||||||||||
| 2201 S Clear Creek Road | Killeen | TX | 76549 | 461656773 | Support Operation of Hospital | TX | 501(c)(3) | Line 12a, I | Adventist Hlth SystemSunbelt Inc | Yes (1) | |
| Russellville Hlth Care Properties Inc | |||||||||||
| 683 East Third Street | Russellville | KY | 42276 | 510605691 | Lease to Related Organization | GA | 501(c)(3) | Line 12c, III-FI | Sunbelt Hlth Care Centers Inc | Yes (1) | |
| San Marcos Hlth Care Properties Inc | |||||||||||
| 1900 Medical Parkway | San Marcos | TX | 78666 | 510605693 | Lease to Related Organization | GA | 501(c)(3) | Line 12c, III-FI | Sunbelt Hlth Care Centers Inc | Yes (1) | |
| San Marcos Nursing & Rehab Center Inc | |||||||||||
| 1900 Medical Parkway | San Marcos | TX | 78666 | 205782224 | Operation of Home for the Aged/Hlthcare Delivery | TX | 501(c)(3) | Line 10 | Sunbelt Hlth Care Centers Inc | Yes (1) | |
| Shawnee Mission Hlth Care Inc | |||||||||||
| 6501 West 75th Street | Overland Park | KS | 66204 | 480952508 | Lease to Related Organization | KS | 501(c)(3) | Line 12c, III-FI | Sunbelt Hlth Care Centers Inc | Yes (1) | |
| Shawnee Mission Hlth Care Properties Inc | |||||||||||
| 485 North Keller Road 250 | Maitland | FL | 32751 | 813914908 | Lease to Related Organization | GA | 501(c)(3) | Line 12c, III-FI | Sunbelt Hlth Care Centers Inc | Yes (1) | |
| Shawnee Mission Medical Center Inc | |||||||||||
| 9100 W 74th Street | Shawnee Mission | KS | 66204 | 480637331 | Operation of Hospital & Related Services | KS | 501(c)(3) | Line 3 | Adventist Hlth Mid-America Inc | Yes (1) | |
| South Pasco Hlth Care Properties Inc | |||||||||||
| 38250 A Avenue | Zephyrhills | FL | 33542 | 510605679 | Lease to Related Organization | GA | 501(c)(3) | Line 12c, III-FI | Sunbelt Hlth Care Centers Inc | Yes (1) | |
| Southeast Volusia Healthcare Corp | |||||||||||
| 401 Palmetto Street | New Smyrna Beach | FL | 32168 | 473793197 | Operation of Hospital & Related Services | FL | 501(c)(3) | Line 3 | Adventist Hlth System Sunbelt Hlthcare Corp | Yes (1) | |
| Southwest Volusia Hlth Services Inc | |||||||||||
| 1055 Saxon Blvd | Orange City | FL | 32763 | 593281591 | Medical Office Building for Hospital | FL | 501(c)(3) | Line 12a, I | Southwest Volusia Hlthcare Corp | Yes (1) | |
| Southwest Volusia Hlthcare Corp | |||||||||||
| 1055 Saxon Blvd | Orange City | FL | 32763 | 593149293 | Operation of Hospital & Related Services | FL | 501(c)(3) | Line 3 | Adventist Hlth SystemSunbelt Inc | Yes (1) | |
| Specialty Physicians of Central Texas Inc | |||||||||||
| 1301 Wonder World Drive | San Marcos | TX | 78666 | 208814408 | Physician Hlthcare services to the community | TX | 501(c)(3) | Line 3 | Adventist Hlth SystemSunbelt Inc | Yes (1) | |
| Spring View Hlth & Rehab Center Inc | |||||||||||
| 718 Goodwin Lane | Leitchfield | KY | 42754 | 205782288 | Operation of Home for the Aged/Hlthcare Delivery | KY | 501(c)(3) | Line 10 | Sunbelt Hlth Care Centers Inc | Yes (1) | |
| Sunbelt Hlth & Rehab Center - Apopka Inc | |||||||||||
| 305 East Oak Street | Apopka | FL | 32703 | 205774856 | Operation of Home for the Aged/Hlthcare Delivery | FL | 501(c)(3) | Line 10 | Sunbelt Hlth Care Centers Inc | Yes (1) | |
| Sunbelt Hlth Care Centers Inc | |||||||||||
| 485 North Keller Road 250 | Maitland | FL | 32751 | 581473135 | Management Services | TN | 501(c)(3) | Line 12b, II | Adventist Hlth System Sunbelt Hlthcare Corp | Yes (1) | |
| SunSystem Development Corp | |||||||||||
| 900 Hope Way | Altamonte Springs | FL | 32714 | 592219301 | Fund Raising for Affiliated Tax-Exempt Hospitals | FL | 501(c)(3) | Line 7 | Adventist Hlth System Sunbelt Hlthcare Corp | Yes (1) | |
| Tarpon Springs Hospital Foundation Inc | |||||||||||
| 1395 S Pinellas Ave | Tarpon Springs | FL | 34689 | 590898901 | Operation of Hospital & Related Services | FL | 501(c)(3) | Line 3 | University Community Hospital Inc | Yes (1) | |
| Tarrant County Hlth Care Properties Inc | |||||||||||
| 301 Huguley Blvd | Burleson | TX | 76028 | 510605677 | Lease to Related Organization | GA | 501(c)(3) | Line 12c, III-FI | Sunbelt Hlth Care Centers Inc | Yes (1) | |
| Taylor Creek Hlth Care Properties Inc | |||||||||||
| 718 Goodwin Lane | Leitchfield | KY | 42754 | 510605678 | Lease to Related Organization | GA | 501(c)(3) | Line 12c, III-FI | Sunbelt Hlth Care Centers Inc | Yes (1) | |
| The Comforter Health Care Group Inc | |||||||||||
| 605 Montgomery Road | Altamonte Springs | FL | 32714 | 271857940 | Lease to Related Organization | FL | 501(c)(3) | Line 12c, III-FI | Adventist Hlth System Sunbelt Hlthcare Corp | Yes (1) | |
| The Volunteer Auxiliary of Florida Hospital - Flagler Inc | |||||||||||
| 60 Memorial Medical Parkway | Palm Coast | FL | 32164 | 592486582 | Volunteer support services | FL | 501(c)(3) | Line 12c, III-FI | 0 | N/A | |
| Tri-County Nursing and Rehab Center Inc | |||||||||||
| 485 North Keller Road 250 | Maitland | FL | 32751 | 472219363 | Operation of Home for the Aged/Hlthcare Delivery | FL | 501(c)(3) | Line 10 | Sunbelt Hlth Care Centers Inc | Yes (1) | |
| Trinity Nursing & Rehab Center Inc | |||||||||||
| 9700 West 62nd Street | Merriam | KS | 66203 | 205774890 | Operation of Home for the Aged/Hlthcare Delivery | KS | 501(c)(3) | Line 10 | Sunbelt Hlth Care Centers Inc | Yes (1) | |
| University Community Hospital Foundation Inc | |||||||||||
| 3100 E Fletcher Ave | Tampa | FL | 33613 | 592554889 | Fund-raising for Tax-exempt hospital | FL | 501(c)(3) | Line 12a, I | 0 | N/A | |
| University Community Hospital Inc | |||||||||||
| 3100 E Fletcher Ave | Tampa | FL | 33613 | 591113901 | Operation of Hospital & Related Services | FL | 501(c)(3) | Line 3 | Adventist Hlth System Sunbelt Hlthcare Corp | Yes (1) | |
| West Florida Health Home Care Inc | |||||||||||
| 13601 Bruce B Downs Blvd Ste 110 | Tampa | FL | 33613 | 593686109 | Home Health Services | GA | 501(c)(3) | Line 10 | West Florida Health Inc | Yes (1) | |
| West Kentucky Hlth Care Properties Inc | |||||||||||
| 500 Beck Lane | Mayfield | KY | 42066 | 510605676 | Lease to Related Organization | GA | 501(c)(3) | Line 12c, III-FI | Sunbelt Hlth Care Centers Inc | Yes (1) | |
| Zephyr Haven Hlth & Rehab Center Inc | |||||||||||
| 38250 A Avenue | Zephyrhills | FL | 33542 | 205774930 | Operation of Home for the Aged/Hlthcare Delivery | FL | 501(c)(3) | Line 10 | Sunbelt Hlth Care Centers Inc | Yes (1) | |
| Zephyrhills Hlth & Rehab Center Inc | |||||||||||
| 7350 Dairy Road | Zephyrhills | FL | 33540 | 205774967 | Operation of Home for the Aged/Hlthcare Delivery | FL | 501(c)(3) | Line 10 | Sunbelt Hlth Care Centers Inc | Yes (1) | |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (9 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Direct Controlling NADirectControllingNACd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Predominant Income TypePredominantIncomeTypeTxt | Share Of Total IncomeShareOfTotalIncomeAmt | Share Of EOY AssetsShareOfEOYAssetsAmt | Disproportionate AllocationsDisproportionateAllocationsInd | General Or Managing PartnerGeneralOrManagingPartnerInd | OwnershipOwnershipPct |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Clear Creek MOB Ltd (1119-3519) | ||||||||||||||
| 2201 S Clear Creek Rd | Killeen | TX | 76549 | 742609195 | Real Estate | TX | N/A | |||||||
| Florida Hospital DMERT LLC | ||||||||||||||
| 500 Winderley Place Ste 324 | Maitland | FL | 32751 | 202392253 | Medical Equipment | FL | N/A | |||||||
| Florida Hospital Home Infusion LLP | ||||||||||||||
| 500 Winderley Place Ste 226 | Maitland | FL | 32751 | 593142824 | Home Infusion Services | FL | N/A | |||||||
| Heart of Florida Surgery Center LLC | ||||||||||||||
| 410 Lionel Way 100 | Davenport | FL | 33837 | 812235296 | Surgery Center | DE | N/A | |||||||
| Functional Neurosurgical Ambulatory Surgery Ctr LLC | ||||||||||||||
| 11 W Dry Creek Circle 120 | Littleton | CO | 80120 | 464426708 | Surgery Center | CO | Portercare Adventist Health System | Related | $275,755 | $354,119 | 0 | 0 | 0.51000 | |
| PAHS OnPoint Urgent Care LLC (382019 - 12312019) | ||||||||||||||
| 9100 E Mineral Circle | Centennial | CO | 80112 | 832465331 | Urgent Care Center | CO | Portercare Adventist Health System | Related | $2,484,461 | $13,970,092 | 0 | 0 | 0.51000 | |
| Princeton Homecare Services LLC | ||||||||||||||
| 1050 Forrer Blvd | Kettering | OH | 45420 | 814196648 | Operation of Home Health Agency | FL | N/A | |||||||
| San Marcos MRI LP | ||||||||||||||
| 1330 Wonder World Dr Ste 202 | San Marcos | TX | 78666 | 770597972 | Imaging & Testing | TX | N/A | |||||||
| The Bariatric Center of Kansas City LLC | ||||||||||||||
| 9100 W 74th Street | Merriam | KS | 66204 | 823025378 | Surgery Center | KS | N/A | |||||||
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (20 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Direct Controlling NADirectControllingNACd | Entity TypeEntityTypeTxt | Controlled OrganizationControlledOrganizationInd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Share Of EOY AssetsShareOfEOYAssetsAmt | OwnershipOwnershipPct |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Altamonte Medical Plaza Condominium Association Inc | ||||||||||||
| 601 East Rollins Street | Orlando | FL | 32803 | 592855792 | Condo Association | FL | N/A | C | Yes (1) | |||
| Apopka Medical Plaza Condominium Association Inc | ||||||||||||
| 601 East Rollins Street | Orlando | FL | 32803 | 593000857 | Condo Association | FL | N/A | C | Yes (1) | |||
| CC MOB Inc | ||||||||||||
| 2201 S Clear Creek Road | Killeen | TX | 76549 | 742616875 | Real Estate Rental | TX | N/A | C | Yes (1) | |||
| Central Texas Medical Associates | ||||||||||||
| 1301 Wonder World Drive | San Marcos | TX | 78666 | 742729873 | Inactive | TX | N/A | C | Yes (1) | |||
| Central Texas Providers Network | ||||||||||||
| 1301 Wonder World Drive | San Marcos | TX | 78666 | 742827652 | Physician Hospital Org. | TX | N/A | C | Yes (1) | |||
| Florida Hospital Flagler Medical Offices Association Inc | ||||||||||||
| 60 Memorial Medical Parkway | Palm Coast | FL | 32164 | 262158309 | Condo Association | FL | N/A | C | Yes (1) | |||
| Florida Hosp Hlth Village Property Owner's Assoc Inc | ||||||||||||
| 550 E Rollins Street 7th Floor | Orlando | FL | 32803 | 821748255 | Condo Association | FL | N/A | C | Yes (1) | |||
| Florida Hospital Healthcare System Inc | ||||||||||||
| 101 Southhall Lane Ste 150 | Maitland | FL | 32751 | 593215680 | PHSO | FL | N/A | C | Yes (1) | |||
| Florida Medical Plaza Condominium Association Inc | ||||||||||||
| 601 East Rollins Street | Orlando | FL | 32803 | 592855791 | Condo Association | FL | N/A | C | Yes (1) | |||
| Florida Memorial Health Network Inc (11 - 102419) | ||||||||||||
| 770 W Granada Blvd Ste 317 | Ormond Beach | FL | 32174 | 593403558 | Physician Hospital Org. | FL | N/A | C | Yes (1) | |||
| Kissimmee Multispecialty Clinic Condominium Association Inc | ||||||||||||
| 201 Hilda Street Suite 30 | Kissimmee | FL | 34741 | 593539564 | Condo Association | FL | N/A | C | Yes (1) | |||
| LN Health Partners Inc | ||||||||||||
| 550 E Rollins Street 6th Floor | Orlando | FL | 32803 | 813556903 | Inactive | FL | N/A | C | Yes (1) | |||
| Midwest Management Services Inc | ||||||||||||
| 9100 West 74th Street | Shawnee Mission | KS | 66204 | 480901551 | Inactive | KS | N/A | C | Yes (1) | |||
| North American Health Services Inc & Sub | ||||||||||||
| 900 Hope Way | Altamonte Springs | FL | 32714 | 621041820 | Lessor/Holding Co. | TN | N/A | C | Yes (1) | |||
| Ormond Prof Associates Condo Assoc'n Inc (430 year end) | ||||||||||||
| 770 W Granada Blvd Ste 101 | Ormond Beach | FL | 32174 | 592694434 | Condo Association | FL | N/A | C | Yes (1) | |||
| Park Ridge Property Owner's Association Inc | ||||||||||||
| 1 Park Place Naples Road | Fletcher | NC | 28732 | 030380531 | Condo Association | NC | N/A | C | Yes (1) | |||
| Porter Affiliated Health Services Inc | ||||||||||||
| 2525 S Downing Street | Denver | CO | 80210 | 840956175 | Healthcare Services | CO | C | Yes (1) | PorterCare Adventist Hlth System | $4,505 | 1.00000 | |
| San Marcos Regional MRI Inc | ||||||||||||
| 1301 Wonder World Drive | San Marcos | TX | 78666 | 770597968 | Holding Company | TX | N/A | C | Yes (1) | |||
| The Garden Retirement Community Inc | ||||||||||||
| 485 North Keller Road Ste 250 | Maitland | FL | 32751 | 593414055 | Real Estate Rental | FL | N/A | C | Yes (1) | |||
| Winter Park Medical Office Building I Condo Assoc Inc | ||||||||||||
| 601 East Rollins Street | Orlando | FL | 32803 | 452228478 | Condo Association | FL | N/A | C | Yes (1) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | Yes (1) | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (1) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (1) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | 0 | SharingOfFacilitiesInd |
| Paid Employees Sharing | 0 | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (1) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (8 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| Adventist Health System Sunbelt Healthcare Corporation | ||
| B | $10,520,980 | Amount Given |
| Adventist Health System Sunbelt Healthcare Corporation | ||
| M | $9,624,449 | % of Facility's Operating Expense |
| Adventist Health System Sunbelt Healthcare Corporation | ||
| P | $4,930,316 | Cost |
| Centura Health Corporation | ||
| M | $86,297,984 | % of Facility's Operating Exp/Rev |
| Centura Health Corporation | ||
| P | $36,170,313 | Cost |
| Rocky Mountain Adventist Healthcare Foundation | ||
| B | $43,750 | Amount Given |
| Rocky Mountain Adventist Healthcare Foundation | ||
| C | $957,685 | Amount Received |
| Centura Health Corporation | ||
| B | $3,500,000 | Amount Given |
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