MEMORIAL HOSPITAL FLAGLER INC: Form 990, tax year 2024

View the entire original 990 at ProPublica ↗

Organization
MEMORIAL HOSPITAL FLAGLER INC (EIN 59-2951990)
Tax period
2024-01-01 to 2024-12-31
Filed
2025-11-13
IRS object ID
202533179349312203
Schema version
2024v5.2
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 ReturnHeader

FieldValueIRS element (for citing)
Return2025-11-13T19:28:00-06:00ReturnTs
Tax Period End2024-12-31TaxPeriodEndDt
Return Type990ReturnTypeCd
Tax Period Begin2024-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN592951990EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1MEMORIAL HOSPITAL FLAGLER INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlMEMOBusinessNameControlTxt
Phone3865862000PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line160 MEMORIAL MEDICAL PARKWAYAddressLine1Txt
CityPALM COASTCityNm
State AbbreviationFLStateAbbreviationCd
ZIP32164ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonLYNN C ADDISCOTTPersonNm
Person TitleASSISTANT SECRETARYPersonTitleTxt
Phone4073572317PhoneNum
Signature2025-10-29SignatureDt
FieldValueIRS element (for citing)
IRS Responsible Prty Info Curr0IRSResponsiblePrtyInfoCurrInd
Tax2024TaxYr
Build TS2025-03-06 01:10:19ZBuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

FieldValueIRS element (for citing)
Business Name Line1ADVENTHEALTH PALM COASTBusinessNameLine1Txt
FieldValueIRS element (for citing)
Principal OfficerDENYSE BALES-CHUBBPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line160 MEMORIAL MEDICAL PARKWAYAddressLine1Txt
CityPALM COASTCityNm
State AbbreviationFLStateAbbreviationCd
ZIP32164ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$303,367,539GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.ADVENTHEALTH.COM/HOSPITALWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1989FormationYr
Legal Domicile StateFLLegalDomicileStateCd
Activity Or MissionTHE PROVISION OF MEDICAL CARE TO THE COMMUNITY THROUGH THE OPERATION OF A 99 BED HOSPITAL.ActivityOrMissionDesc
Voting Members Governing Body19VotingMembersGoverningBodyCnt
Voting Members Independent9VotingMembersIndependentCnt
Total Employee2388TotalEmployeeCnt
Total Volunteers109TotalVolunteersCnt
Total Gross UBI$155,384TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$80,662NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$344,958PYContributionsGrantsAmt
CY Contributions Grants$76,702CYContributionsGrantsAmt
PY Program Service Revenue$310,456,325PYProgramServiceRevenueAmt
CY Program Service Revenue$288,682,933CYProgramServiceRevenueAmt
PY Investment Income$3,113,482PYInvestmentIncomeAmt
CY Investment Income$14,587,302CYInvestmentIncomeAmt
PY Other Revenue$0PYOtherRevenueAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$313,914,765PYTotalRevenueAmt
CY Total Revenue$303,346,937CYTotalRevenueAmt
PY Grants And Similar Paid$708,759PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$470,242CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$82,406,215PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$81,926,905CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$182,540,176PYOtherExpensesAmt
CY Other Expenses$163,394,534CYOtherExpensesAmt
PY Total Expenses$265,655,150PYTotalExpensesAmt
CY Total Expenses$245,791,681CYTotalExpensesAmt
PY Revenues Less Expenses$48,259,615PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$57,555,256CYRevenuesLessExpensesAmt
Total Assets BOY$566,398,902TotalAssetsBOYAmt
Total Assets EOY$617,845,298TotalAssetsEOYAmt
Total Liabilities BOY$89,026,399TotalLiabilitiesBOYAmt
Total Liabilities EOY$86,594,495TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$477,372,503NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$531,250,803NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionADVENTIST HEALTH SYSTEM SUNBELT HEALTHCARE CORPORATION AND ALL ITS SUBSIDIARY ORGANIZATIONS WERE ESTABLISHED BY THE SEVENTH-DAY ADVENTIST CHURCH TO BRING A MINISTRY OF HEALING AND HEALTH TO THE COMMUNITIES SERVED. OUR MISSION IS TO EXTEND THE HEALING MINISTRY OF CHRIST.THE HOSPITAL AND HEALTHCARE SYSTEM WHOSE PARENT IS ADVENTIST HEALTH SYSTEM SUNBELT HEALTHCARE CORPORATION IS KNOWN AS ADVENTHEALTH. ADVENTHEALTH SEEKS TO BE WIDELY RESPECTED AS A CONSUMER-FOCUSED ORGANIZATION THAT ENGAGES INDIVIDUALS IN THEIR HEALTH BY DELIVERING WHOLISTIC, BEST PRACTICE CARE ACROSS A CONNECTED, COMPREHENSIVE CONTINUUM OF SERVICES. WITH CHRIST AS OUR EXAMPLE, ADVENTHEALTH CARES FOR AND NURTURES PEOPLE: OUR EMPLOYEES, OUR COMMUNITIES, OUR HEALTHCARE PROFESSIONALS, AND THOSE WHO TRUST US FOR CARE AND HEALING.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$226,662,428ExpenseAmt
Grant$470,242GrantAmt
Revenue$288,527,549RevenueAmt
DescPROVISION OF MEDICAL CARE TO BOTH INPATIENTS AND OUTPATIENTS. DURING THE CURRENT YEAR, THE HOSPITAL HAD 7,684 PATIENT ADMISSIONS WHICH RESULTED IN 35,307 PATIENT DAYS, 173,714 OUTPATIENT VISITS, AND 119,327 PHYSICIAN PRACTICE PATIENT VISITS. THE HOSPITAL IS A 99-BED ACUTE CARE HOSPITAL LOCATED IN FLAGLER COUNTY, FLORIDA.Desc
Total Program Service Expenses$226,662,428TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying ActivitiesYes (1)LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation EasementsYes (1)ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Donor Rstr Or Quasi Endowments0DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other AssetsYes (1)ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate HospitalYes (1)OperateHospitalInd
Audited Financial Stmt AttYes (1)AuditedFinancialStmtAttInd
Grants To OrganizationsYes (1)GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent0BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl EntYes (1)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (1)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
Info In Schedule O Part VYes (X)InfoInScheduleOPartVInd
IRP Document0IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee2388EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (1)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (1)Form990TFiledInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members19GoverningBodyVotingMembersCnt
Independent Voting Member9IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (1)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEO0CompensationProcessCEOInd
Compensation Process Other0CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldFLStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1MARK RATHBUNBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone3865864301PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line160 MEMORIAL MEDICAL PARKWAYAddressLine1Txt
CityPALM COASTCityNm
State AbbreviationFLStateAbbreviationCd
ZIP32164ZIPCd
FieldValueIRS element (for citing)
Info In Schedule O Part VIIYes (X)InfoInScheduleOPartVIIInd

Form990 Part VII Section A Form990PartVIISectionAGrp (31 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerIndKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeIndFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
ALTER MD DENNIS
DIRECTOR (END 12/2024)0.2050.00Yes (X)$0$513,761$45,907
BALES-CHUBB DENYSE
DIR/FACILITY CEO37.5012.50Yes (X)$0$1,066,602$137,850Yes (X)
CELANO PATRICIA
DIRECTOR (END 12/2024)0.2050.00Yes (X)$0$1,760,793$156,227
FOWLER DAVID
DIRECTOR0.200.20Yes (X)$310$0$0
GILVARY LAURA
DIRECTOR (BEG 01/2024)0.200.20Yes (X)$310$0$0
GOEB-BURKETT MICHELE
DIRECTOR6.5043.50Yes (X)$0$512,603$80,257
GOODMAN TODD
DIRECTOR0.5050.00Yes (X)$0$1,954,121$193,035
GREGORY PHD AUDREY
DIRECTOR/CHAIRMAN6.0044.00Yes (X)$0$1,701,959$253,636Yes (X)
HAFFNER PHD RANDALL
DIRECTOR0.2050.00Yes (X)$0$4,129,971$215,160
KABIR MD RIZWANUL
DIR / CHIEF OF STAFF0.200.20Yes (X)$0$0$0
LEVERTON ROGER
DIRECTOR0.200.20Yes (X)$310$0$0
PAPANDREA TONY
DIRECTOR0.200.20Yes (X)$310$0$0
REVELS BARBARA
DIRECTOR (END 12/2024)0.200.20Yes (X)$310$0$0
SWORD RAVEN
DIRECTOR0.200.20Yes (X)$310$0$0
THOMAS DEBORA
DIRECTOR (BEG 02/2024)6.0044.00Yes (X)$0$1,069,351$124,119
LOPEZ SEBASTIAN
DIRECTOR (BEG 01/2024)0.200.00Yes (X)$0$0$0
BRAZIER JESSICA
DIRECTOR (BEG 01/2024)0.2050.00Yes (X)$0$418,914$83,810
NANAVATI MD AMIT
DIRECTOR (BEG 01/2024)0.200.20Yes (X)$0$0$0
DE AQUINO WALLY
DIRECTOR0.2050.00Yes (X)$0$411,849$100,204
RATHBUN MARK
CFO - HOSPITAL FACILITY25.0025.00$0$426,606$107,909Yes (X)
SCOTT CLIFTON
COO - HOSPITAL FACILITY25.0025.00$0$327,259$35,847Yes (X)
HERBERT MD TERESA
CMO - HOSPITAL FACILITY25.0025.00$0$595,080$61,631Yes (X)
SUTTON KRISTEN
CNO - HOSPITAL FACILITY (BEG 01/2024)25.0025.00$0$431,369$50,686Yes (X)
BELL MARGARET
HOSPICE MEDICAL DIRECTOR40.000.00$237,933$0$36,823Yes (X)
TAYLOR WAYNE A
MKT DIRECTOR-PHARMACY40.000.00$232,534$0$44,693Yes (X)
PLEMONS JILLIAN SAYO
ASST NURSE MANAGER45.340.00$194,751$0$39,801Yes (X)
LORENZO LISA
CLINICAL PHARMACIST40.170.00$188,199$0$16,950Yes (X)
WILLIAMS ANDREA KATHLEEN
DIRECTOR & HRBP PC & PCPW40.000.00$181,619$0$26,877Yes (X)
DOMAYER CORY
FORMER OFFICER0.0050.00$0$450,771$105,579Yes (X)
KILMAN MD MARK
FORMER CMO - HOSPITAL FACILITY0.0050.00$0$771,916$129,330Yes (X)
GOVER MARY KATHY
FORMER CNO - HOSPITAL FACILITY0.0050.00$0$341,702$37,920Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$1,036,896TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$16,884,627TotReportableCompRltdOrgAmt
Total Other Compensation$2,084,251TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K234IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (1)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
THE ROBINS AND MORTON GROUP
400 SHADES CREEK PKWYBIRMINGHAMAL35209GENERAL CONTRACTOR$13,755,988
US ANESTHESIA PARTNERS OF FLORIDA
PO BOX 744573ATLANTAGA30374ANESTHESIOLOGY SERVICES$3,090,801
SOUND PHYSICIANS OF FLORIDA IV LLC
PO BOX 742936LOS ANGELESCA90074PHYSICIAN SERVICES$2,287,534
CROTHALL HEALTHCARE
1550 LIBERTY RIDGE DRIVE SUITE 110WAYNEPA19087HOUSEKEEPING & BIOMED SERVICES$914,532
ADVENTIST HEALTH SYSTEMSUNBELT INC DB
PO BOX 935977ATLANTAGA31193LABORATORY SERVICES$742,063
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K56CntrctRcvdGreaterThan100KCnt
Info In Schedule O Part VIIIYes (X)InfoInScheduleOPartVIIIInd
Related Organizations$51,837RelatedOrganizationsAmt
All Other Contributions$24,865AllOtherContributionsAmt
Total Contributions$76,702TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmt
NET PATIENT REVENUE622110$282,937,598$282,782,214$155,384
REIMB OF EXP-TE AFFILIATE622110$2,803,809$2,803,809
MEDICAL OFFICE BUILDING622110$1,665,656$1,665,656
CAFETERIA REVENUE622110$884,343$884,343
GIFT SHOP REVENUE622110$353,066$353,066

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

FieldValueIRS element (for citing)
Total Revenue Column$38,461TotalRevenueColumnAmt
Related Or Exempt Func Income$38,461RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$288,682,933TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$9,771,779TotalRevenueColumnAmt
Exclusion$9,771,779ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$4,823,262SecuritiesAmt
Other$12,863OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$0SecuritiesAmt
Other$20,602OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$4,823,262SecuritiesAmt
Other-$7,739OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$4,815,523TotalRevenueColumnAmt
Exclusion$4,815,523ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$303,346,937TotalRevenueColumnAmt
Related Or Exempt Func Income$288,527,549RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$155,384UnrelatedBusinessRevenueAmt
Exclusion$14,587,302ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$470,242TotalAmt
Program Services$470,242ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$2,344,474TotalAmt
Management And General$2,344,474ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$56,557,986TotalAmt
Program Services$56,557,986ProgramServicesAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$4,522,044TotalAmt
Program Services$4,370,058ProgramServicesAmt
Management And General$151,986ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$9,482,088TotalAmt
Program Services$8,697,675ProgramServicesAmt
Management And General$784,413ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$9,020,313TotalAmt
Program Services$8,717,140ProgramServicesAmt
Management And General$303,173ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$41,152TotalAmt
Management And General$41,152ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$73,361TotalAmt
Management And General$73,361ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$1,072,041TotalAmt
Management And General$1,072,041ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$91,383,166TotalAmt
Program Services$80,369,699ProgramServicesAmt
Management And General$11,013,467ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$101,288TotalAmt
Management And General$101,288ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$3,738,291TotalAmt
Program Services$2,366,564ProgramServicesAmt
Management And General$1,371,727ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$9,019,448TotalAmt
Program Services$8,274,861ProgramServicesAmt
Management And General$744,587ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$4,351,769TotalAmt
Program Services$4,351,769ProgramServicesAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$666,659TotalAmt
Management And General$666,659ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$84,914TotalAmt
Management And General$84,914ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$1,282,639TotalAmt
Program Services$1,282,639ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$9,057,373TotalAmt
Program Services$9,057,373ProgramServicesAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$1,665,354TotalAmt
Program Services$1,571,579ProgramServicesAmt
Management And General$93,775ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES$30,425,875$30,425,875
STATE TAX INDIGENT ASSE$5,030,822$5,030,822
REPAIRS & MAINTENANCE$4,964,492$4,964,492
UBI TAXES-$4,628-$4,628

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$440,518TotalAmt
Program Services$153,654ProgramServicesAmt
Management And General$286,864ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$245,791,681TotalAmt
Program Services$226,662,428ProgramServicesAmt
Management And General$19,129,253ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$2,060BOYAmt
EOY$1,499EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$267,924,451BOYAmt
EOY$257,692,853EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$30,640,161BOYAmt
EOY$28,595,757EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$3,536,308BOYAmt
EOY$3,911,937EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$10,338,094BOYAmt
EOY$9,772,804EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$248,200,577LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$133,145,645LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$86,906,812BOYAmt
EOY$115,054,932EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$8,720,919BOYAmt
EOY$7,259,108EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$158,330,097BOYAmt
EOY$195,556,408EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$566,398,902BOYAmt
EOY$617,845,298EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$26,620,898BOYAmt
EOY$23,040,815EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$10,189BOYAmt
EOY$47,500EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$62,395,312BOYAmt
EOY$63,506,180EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$89,026,399BOYAmt
EOY$86,594,495EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$477,103,478BOYAmt
EOY$531,250,803EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$269,025BOYAmt
EOY$0EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$477,372,503BOYAmt
EOY$531,250,803EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$566,398,902BOYAmt
EOY$617,845,298EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$57,555,256ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst-$255,850NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets-$3,421,106OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0VolunteersInd
Paid Staff Or Management0PaidStaffOrManagementInd
Media Advertisements0MediaAdvertisementsInd
Mailings Members0MailingsMembersInd
Publications Or Broadcast0PublicationsOrBroadcastInd
Grants Other Organizations0GrantsOtherOrganizationsInd
Direct Contact Legislators0DirectContactLegislatorsInd
Rallies Demonstrations0RalliesDemonstrationsInd
Other ActivitiesYes (1)OtherActivitiesInd
Other Activities$5,006OtherActivitiesAmt
Total Lobbying Expenditures$5,006TotalLobbyingExpendituresAmt
Not Described Section501c30NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART II-B, LINE 1:FormAndLineReferenceDesc
ExplanationDUES PAID TO THE AMERICAN HOSPITAL ASSOCIATION AND FLORIDA HOSPITAL ASSOCIATION.ExplanationTxt

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Protection Natural HabitatYes (X)ProtectionNaturalHabitatInd
States Easements Held1StatesEasementsHeldCnt
Written Policy Monitoring0WrittenPolicyMonitoringInd
Staff Hours Spent Enforcement0.00StaffHoursSpentEnforcementCnt
Expenses Incurred Enforcement$0ExpensesIncurredEnforcementAmt
Section170h Rqr Stsfd0Section170hRqrStsfdInd

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$18,790,787OtherCostOrOtherBasisAmt
Book Value$18,790,787BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$110,223,044OtherCostOrOtherBasisAmt
Depreciation$42,727,582DepreciationAmt
Book Value$67,495,462BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$111,971,800OtherCostOrOtherBasisAmt
Depreciation$84,367,530DepreciationAmt
Book Value$27,604,270BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$7,214,946OtherCostOrOtherBasisAmt
Depreciation$6,050,533DepreciationAmt
Book Value$1,164,413BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$115,054,932TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (5 entries)

DescDescBook ValueBookValueAmt
DUE FROM RELATED$188,453,535
OTHER RECEIVABLES$76,821
RECEIVABLE FROM THIRD PARTIES$5,076,560
RIGHT OF USE ASSET-OPER LEASE$1,647,782
OTHER ASSETS$301,710
FieldValueIRS element (for citing)
Total Book Value Other Assets$195,556,408TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (9 entries)

DescDescAmtAmt
DUE TO RELATED$3,949,568
PAYABLE TO THIRD PARTIES$2,511,064
CREDIT BALANCES IN A/R$1,249,403
OTHER DEFERRED REVENUE$4,253
ACCRUED INTEREST PAYABLE$5,756
INTERCO ALLOC OF TE BOND PROCEEDS$51,392,822
DUE TO AFFILIATED$213,314
OPERATING LEASE LIABILITY$1,738,118
OTHER LIABILITIES$2,441,882
FieldValueIRS element (for citing)
Total Liability$63,506,180TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART II, LINE 9:THE FILING ORGANIZATION HAS RECORDED THE LAND CONSERVATION EASEMENT ON ITS FINANCIAL STATEMENTS AS A PROPERTY, PLANT, AND EQUIPMENT ASSET. THE CONSERVATION EASEMENT GENERATES NO REVENUE AND THE FILING ORGANIZATION DID NOT INCUR ANY EXPENSE RELATED TO THE MAINTENANCE AND MONITORING OF THE CONSERVATION EASEMENT.
PART X, LINE 2:THE FILING ORGANIZATION IS A SUBSIDIARY ORGANIZATION WITHIN ADVENTHEALTH. THE CONSOLIDATED FINANCIAL STATEMENTS OF ADVENTHEALTH CONTAIN THE FOLLOWING FIN 48 (ASC 740) FOOTNOTE: PLEASE NOTE THAT DOLLAR AMOUNTS ARE IN THOUSANDS. HEALTHCARE CORPORATION AND ITS AFFILIATED ORGANIZATIONS, OTHER THAN NORTH AMERICAN HEALTH SERVICES, INC. AND ITS SUBSIDIARY (NAHS), ARE EXEMPT FROM STATE AND FEDERAL INCOME TAXES. ACCORDINGLY, HEALTHCARE CORPORATION AND ITS TAX-EXEMPT AFFILIATES ARE NOT SUBJECT TO FEDERAL, STATE, OR LOCAL INCOME TAXES EXCEPT FOR ANY NET UNRELATED BUSINESS TAXABLE INCOME. NAHS IS A WHOLLY OWNED, FOR-PROFIT SUBSIDIARY OF HEALTHCARE CORPORATION. NAHS AND ITS SUBSIDIARY ARE SUBJECT TO FEDERAL AND STATE INCOME TAXES. NAHS FILES A CONSOLIDATED FEDERAL INCOME TAX RETURN AND, WHERE APPROPRIATE, CONSOLIDATED STATE INCOME TAX RETURNS. THE PROVISION FOR FEDERAL AND STATE INCOME TAX FOR THE YEARS ENDED DECEMBER 31, 2024, AND 2023 IS APPROXIMATELY $1,619 AND $1,140, RESPECTIVELY. THE INCOME TAXES TOPIC OF THE ACCOUNTING STANDARDS CODIFICATION (ASC) 740, INCOME TAXES (ASC 740) PRESCRIBES THE ACCOUNTING FOR UNCERTAINTY IN INCOME TAX POSITIONS RECOGNIZED IN FINANCIAL STATEMENTS. ASC 740 PRESCRIBES A RECOGNITION THRESHOLD AND MEASUREMENT ATTRIBUTE FOR THE FINANCIAL STATEMENT RECOGNITION AND MEASUREMENT OF A TAX POSITION TAKEN, OR EXPECTED TO BE TAKEN, IN A TAX RETURN. THERE WERE NO MATERIAL UNCERTAIN TAX POSITIONS AS OF DECEMBER 31, 2024 AND 2023.

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (1)FinancialAssistancePolicyInd
Written PolicyYes (1)WrittenPolicyInd
All Hospitals PolicyYes (X)AllHospitalsPolicyInd
FPG Reference Free CareYes (1)FPGReferenceFreeCareInd

Free Care Oth Percentage FreeCareOthPercentageGrp

FieldValueIRS element (for citing)
OtherYes (X)OtherInd
Free Care Other250.000000000000FreeCareOtherPct
FieldValueIRS element (for citing)
FPG Reference Discounted CareYes (1)FPGReferenceDiscountedCareInd
Percent400Yes (X)Percent400Ind
Free Care Medically IndigentYes (1)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (1)FinancialAssistanceBudgetInd
Expenses Exceed BudgetYes (1)ExpensesExceedBudgetInd
Unable To Provide Care0UnableToProvideCareInd
Annual Community Bnft ReportYes (1)AnnualCommunityBnftReportInd
Report Publically Available0ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$8,057,453TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$8,057,453NetCommunityBenefitExpnsAmt
Total Expense0.03280TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$16,024,368TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$11,780,448DirectOffsettingRevenueAmt
Net Community Benefit Expns$4,243,920NetCommunityBenefitExpnsAmt
Total Expense0.01730TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$24,081,821TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$11,780,448DirectOffsettingRevenueAmt
Net Community Benefit Expns$12,301,373NetCommunityBenefitExpnsAmt
Total Expense0.05010TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$245,336TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$245,336NetCommunityBenefitExpnsAmt
Total Expense0.00100TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$37,100TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$37,100NetCommunityBenefitExpnsAmt
Total Expense0.00020TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$282,436TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$282,436NetCommunityBenefitExpnsAmt
Total Expense0.00120TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$24,364,257TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$11,780,448DirectOffsettingRevenueAmt
Net Community Benefit Expns$12,583,809NetCommunityBenefitExpnsAmt
Total Expense0.05130TotalExpensePct

Other Communtity Building Acty OtherCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$12,835TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$12,835NetCommunityBenefitExpnsAmt
Total Expense0.00010TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$12,835TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$12,835NetCommunityBenefitExpnsAmt
Total Expense0.00010TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (1)BadDebtExpenseReportedInd
Bad Debt Expense$6,209,741BadDebtExpenseAmt
Bad Debt Expense Attributable$193,470BadDebtExpenseAttributableAmt
Reimbursed By Medicare$62,089,985ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$57,363,508CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall$4,726,477MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
Cost To Charge RatioYes (X)CostToChargeRatioInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (1)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (1)FinancialAssistancePrvsnInd
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1ADVENTHEALTH PALM COASTBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line160 MEMORIAL MEDICAL PARKWAYAddressLine1Txt
CityPALM COASTCityNm
State AbbreviationFLStateAbbreviationCd
ZIP32164ZIPCd
FieldValueIRS element (for citing)
Website AddressWWW.ADVENTHEALTH.COMWebsiteAddressTxt
State License4465StateLicenseNum
Licensed HospitalYes (X)LicensedHospitalInd
General Medical And SurgicalYes (X)GeneralMedicalAndSurgicalInd
Emergency Room24 HrsYes (X)EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1MEMORIAL HOSPITAL FLAGLER INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Facility1FacilityNum
First Licensed CY Or PY0FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY0TaxExemptHospitalCYOrPYInd
CHNA ConductedYes (1)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
Prior CHNA ImpactYes (X)PriorCHNAImpactInd
CHNA Conducted22CHNAConductedYr
Take Into Account Others InputYes (1)TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts0CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts0CHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (1)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLSEE PART V, PAGE 8OwnWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Rpt Available Thru Other MethodYes (X)RptAvailableThruOtherMethodInd
Implementation Strategy AdoptYes (1)ImplementationStrategyAdoptInd
Implementation Strategy Adpt23ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (1)StrategyPostedWebsiteInd
Strategy Website URLSEE PART V, PAGE 8StrategyWebsiteURLTxt
Organization Incur Excise Tax0OrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (1)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care250.000000000000FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care400.000000000000FPGFamilyIncmLmtDscntCarePct
Asset Level CriteriaYes (X)AssetLevelCriteriaInd
Medical Indigency CriteriaYes (X)MedicalIndigencyCriteriaInd
Insurance Status CriteriaYes (X)InsuranceStatusCriteriaInd
Underinsurance Stat CriteriaYes (X)UnderinsuranceStatCriteriaInd
Explained BasisYes (1)ExplainedBasisInd
App Financial Asst ExplnYes (1)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Provided Nonprofit ContactYes (X)ProvidedNonprofitContactInd
Includes Publicity MeasuresYes (1)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLSEE PART V, PAGE 8FAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLSEE PART V, PAGE 8FAPAppAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLSEE PART V, PAGE 8FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No ChrgYes (X)FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill DisplayYes (X)NotifiedFAPCopyBillDisplayInd
Communtity Notified FAPYes (X)CommuntityNotifiedFAPInd
FAP TranslatedYes (X)FAPTranslatedInd
FAP Actions On NonpaymentYes (1)FAPActionsOnNonpaymentInd
Permit No ActionsYes (X)PermitNoActionsInd
Collection Activities0CollectionActivitiesInd
Provided Written NoticeYes (X)ProvidedWrittenNoticeInd
Made Effort Orally NotifyYes (X)MadeEffortOrallyNotifyInd
Processed FAP ApplicationYes (X)ProcessedFAPApplicationInd
Made Presumptive Elig DetermYes (X)MadePresumptiveEligDetermInd
Nondis Emergency Care PolicyYes (1)NondisEmergencyCarePolicyInd
Look Back Medicare PrivateYes (X)LookBackMedicarePrivateInd
Amounts Generally Billed0AmountsGenerallyBilledInd
Gross Charges0GrossChargesInd

Supplemental Information SupplementalInformationGrp (9 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
MEMORIAL HOSPITAL FLAGLER, INC.PART V, SECTION B, LINE 5: MEMORIAL HOSPITAL, FLAGLER, INC., D/B/A ADVENTHEALTH PALM COAST (AHPC OR THE HOSPITAL) OPERATES A HOSPITAL IN VOLUSIA COUNTY, FLORIDA WITH A TOTAL OF 99 LICENSED BEDS. FOR PURPOSES OF ITS 2022 COMMUNITY HEALTH NEEDS ASSESSMENT, THE HOSPITAL DEFINED ITS COMMUNITY AS ITS PRIMARY SERVICE AREA FROM WHICH 70% OF ITS PATIENTS COME. AS A PART OF ITS EFFORTS TO ENSURE BROAD COMMUNITY-BASED INPUT INTO THE CHNA PROCESS, THE HOSPITAL PARTICIPATED IN THE VOLUSIA/FLAGLER COUNTIES CHNA COLLABORATIVE (THE COLLABORATIVE) TO HELP GUIDE THE HOSPITAL THROUGH THE ASSESSMENT PROCESS. THE COLLABORATIVE INCLUDED REPRESENTATION FROM THE HOSPITAL, PUBLIC HEALTH EXPERTS AND THE BROAD COMMUNITY WITH INTENTIONAL REPRESENTATION FROM LOW-INCOME, MINORITY AND OTHER UNDERSERVED POPULATIONS. THE COLLABORATIVE COLLECTED INPUT DIRECTLY FROM THE COMMUNITY AND COMMUNITY STAKEHOLDERS, INCLUDING INDIVIDUALS WORKING IN ORGANIZATIONS THAT ADDRESS THE NEEDS AND INTERESTS OF THE COMMUNITY. PRIMARY DATA WAS COLLECTED THROUGH A COMMUNITY SURVEY, STAKEHOLDER INTERVIEWS, AND FOCUS GROUPS. A TOTAL OF 50 STAKEHOLDERS PARTICIPATED IN THE COLLABORATIVE AND INCLUDED THE FOLLOWING ORGANIZATIONS WHICH SPECIFICALLY ADDRESS THE NEEDS OF THE MEDICALLY UNDERSERVED, LOW-INCOME AND MINORITY MEMBERS OF THE HOSPITAL'S COMMUNITY. SMA HEALTHCARE, PROVIDING BEHAVIORAL HEALTH SERVICES,ADDICTION EDUCATION FOUNDATION,AFRICAN AMERICAN ENTREPRENEURS ASSOCIATION, INC.,BLACK HOMESCHOOLERS OF CENTRAL FLORIDA,CARVER CENTER,CATALYST GLOBAL YOUTH INITIATIVES, INC.,CHISHOLM COMMUNITY CENTER IN DELAND,DEPARTMENT OF HEALTH IN VOLUSIA COUNTY,DEPARTMENT OF HEALTH IN FLAGLER COUNTY,EARLY LEARNING COALITION OF FLAGLER AND VOLUSIA,EASTERSEALS NORTHEAST CENTRAL FLORIDA,FAMILY LIFE CENTER,FLAGLER CARES/ONE VOICE FOR VOLUSIA,FLAGLER COUNTY FREE CLINIC,FLAGLER COUNTY SCHOOL BOARD,FLAGLER NAACP,FLAGLER OARS,FLAGLER SHELTERING TREE,FOOD BRINGS HOPE,HALIFAX URBAN MINISTRIES,HEALTHY START COALITION OF FLAGLER AND VOLUSIA COUNTIES,JESUS CLINIC,UNITED WAY OF VOLUSIA/FLAGLER COUNTIES,VOLUSIA COUNTY SCHOOLS, ANDVOLUSIA/FLAGLER COALITION FOR THE HOMELESS.
MEMORIAL HOSPITAL FLAGLER, INC.PART V, SECTION B, LINE 7D: THE HOSPITAL HAS ADOPTED A POLICY THAT ADDRESSES THE PUBLIC POSTING REQUIREMENTS OF THE COMMUNITY HEALTH NEEDS ASSESSMENT. UNDER THIS POLICY, THE COMMUNITY HEALTH NEEDS ASSESSMENT REPORTS MUST BE POSTED ON THE HOSPITAL'S WEBSITE AT LEAST UNTIL THE DATE THE HOSPITAL FACILITY HAS MADE WIDELY AVAILABLE ON ITS WEBSITE ITS TWO SUBSEQUENT COMMUNITY HEALTH NEEDS ASSESSMENT REPORTS. THE HOSPITAL WILL ALSO MAKE A PAPER COPY OF ITS COMMUNITY HEALTH NEEDS ASSESSMENT REPORT AVAILABLE FOR PUBLIC INSPECTION UPON REQUEST AND WITHOUT CHARGE, AT LEAST UNTIL THE DATE THE HOSPITAL FACILITY HAS MADE AVAILABLE FOR PUBLIC INSPECTION ITS TWO SUBSEQUENT COMMUNITY HEALTH NEEDS ASSESSMENT REPORTS.
MEMORIAL HOSPITAL FLAGLER, INC.PART V, SECTION B, LINE 11: MEMORIAL HOSPITAL FLAGLER, INC. DBA ADVENTHEALTH PALM COAST, WILL BE REFERRED TO IN THIS DOCUMENT AS ADVENTHEALTH PALM COAST OR "THE HOSPITAL". THE HOSPITAL IS A WHOLLY OWNED SUBSIDIARY OF ADVENTIST HEALTH SYSTEM SUNBELT HEALTHCARE CORPORATION (AHSSHC). AHSSHC IS THE 501(C)(3) PARENT ORGANIZATION OF A HOSPITAL AND HEALTHCARE SYSTEM KNOWN AS ADVENTHEALTH.THIS IS THE SECOND-YEAR UPDATE FOR THE HOSPITAL'S 2023-2025 COMMUNITY HEALTH PLAN/IMPLEMENTATION STRATEGY. THE HOSPITAL DEVELOPED THIS PLAN AND POSTED IT IN MAY 2023 AS PART OF ITS 2022 COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS.FOR THE DEVELOPMENT OF BOTH THE COMMUNITY HEALTH NEEDS ASSESSMENT AND THE COMMUNITY HEALTH PLAN/IMPLEMENTATION STRATEGY, ADVENTHEALTH PALM COAST WORKED TO DEFINE AND ADDRESS THE NEEDS OF LOW-INCOME, MINORITY AND UNDERSERVED POPULATIONS IN ITS SERVICE AREA. THE COMMUNITY HEALTH NEEDS ASSESSMENT USED PRIMARY DATA INTERVIEWS AND SURVEYS; SECONDARY DATA FROM LOCAL, REGIONAL, AND NATIONAL HEALTH-RELATED SOURCES; AND HOSPITAL PREVALENCE DATA TO HELP THE HOSPITAL DETERMINE THE HEALTH NEEDS OF THE COMMUNITY IT SERVES. ONCE THE DATA WAS GATHERED, THE HEALTH ISSUES IDENTIFIED IN THE COMMUNITY HEALTH NEEDS ASSESSMENT WERE PRIORITIZED BY COMMUNITY AND HOSPITAL STAKEHOLDERS, WHO THEN SELECTED KEY PRIORITIES FOR THE HOSPITAL TO ADDRESS IN ITS COMMUNITY HEALTH PLAN. THE SECOND-YEAR PROGRESS ON THE COMMUNITY HEALTH PLAN IS NOTED BELOW. THE NARRATIVE DESCRIBES THE PRIORITIES IDENTIFIED IN 2022 AND GIVES AN UPDATE ON THE STRATEGIES ADDRESSING THOSE PRIORITIZED NEEDS. THERE IS ALSO A DESCRIPTION OF THE IDENTIFIED NEEDS THAT THE HOSPITAL DID NOT PRIORITIZE.THE HOSPITAL'S CHOSEN PRIORITIES ARE LISTED BELOW.1. BEHAVIORAL HEALTH: DRUG AND SUBSTANCE USE2. EARLY CHILDHOOD EDUCATION3. COMMUNITY ENGAGEMENT IN AVAILABLE RESOURCES AND SERVICESPRIORITY 1: BEHAVIORAL HEALTH: DRUG AND SUBSTANCE USE2022 DESCRIPTION OF THE PRIORITY: FENTANYL DEATHS IN FLAGLER COUNTY INCREASED NEARLY EIGHTFOLD FROM 2013 TO 2019 AND OPIOID-RELATED DEATHS DOUBLED FROM 2019 TO 2020 DESPITE DECREASING STATEWIDE. AWARENESS OF AND THE NEED TO ADDRESS SUBSTANCE MISUSE, AS WELL AS A GROWING FENTANYL CRISIS, HAS BEEN INCREASING IN THE COUNTRY. BY ADDRESSING ALCOHOL AND DRUG MISUSE AS A PRIORITY, THE HOSPITAL CAN ALIGN TO LOCAL, STATE AND NATIONAL EFFORTS FOR RESOURCES TO CREATE BETTER OUTCOMES OPPORTUNITIES OVER THE NEXT THREE YEARS.2024 UPDATE:GOAL 1.1: INCREASE THE RATE OF PERSONS WITH AN OPIOID USE DISORDER RECEIVING MEDICATIONS FOR ADDICTION TREATMENT IN PARTNERSHIP WITH FLAGLER CARES/COORDINATED OPIOID RECOVERY (CORE) PROGRAM. THIS COORDINATED APPROACH TO TREAT OPIOID USE DISORDER AND PREVENT OVERDOSE INCLUDES EDUCATION, AWARENESS, OUTREACH, INTERVENTION, AND TREATMENT. OBJECTIVE 1.1.1: HOLD 16 NARCAN EDUCATION & DISTRIBUTION EVENTS WITH FLAGLER OPEN ARMS RECOVERY SERVICES (OARS) AT THE HOSPITAL AND WITH LOCAL COMMUNITY AND FAITH PARTNERS BY DECEMBER 31, 2025. BY THE END OF 2024, 12 NARCAN EDUCATION AND DISTRIBUTION EVENTS WERE HELD AT ADVENTHEALTH PALM COAST EMERGENCY ROOM ENTRANCE AND THE 4TH ANNUAL RECOVERY MUSIC FESTIVAL. RESOURCES WERE DISTRIBUTED TO 400 INDIVIDUALS. THE EVENTS WERE PROMOTED THROUGH SOCIAL MEDIA AND PRESS RELEASE FLYERS WITHIN THE HOSPITAL AND THE COMMUNITY. FLAGLER OPEN ARMS RECOVERY SERVICES (OARS), PROVIDING EDUCATION, SUPPORT AND PEER SERVICES TO INDIVIDUALS AND FAMILIES IMPACTED BY SUBSTANCE USE DISORDERS, SERVED AS A COMMUNITY PARTNER BY PROVIDING NARCAN, EDUCATIONAL MATERIALS AND STAFF FOR THE EVENTS. THE HOSPITAL PROVIDED $1,097 TOWARDS THIS INITIATIVE.OBJECTIVE 1.1.2: BY DECEMBER 31, 2025, INCREASE THE PROPORTION OF PERSONS SUFFERING FROM SUBSTANCE USE DISORDER WHO ARE CONNECTED TO SUSTAINABLE CARE THROUGH FLAGLER CARES. INCREASE AWARENESS OF OPIOID USE DISORDER/SUBSTANCE USE DISORDER (OUD/SUD) RESOURCES ACROSS THE COMMUNITY AND ENCOURAGE INDIVIDUALS TO SEEK HELP THROUGH INCREASING THE NUMBER OF CONNECTIONS TO FLAGLER CARES. IN 2024, ADVENTHEALTH PALM COAST CASE MANAGERS, COMMUNITY CARE, AND NURSING STAFF REFERRED SIX INDIVIDUALS, THROUGH THE WHOLE HEALTH HUB, TO FLAGLER CARES FOR SUSTAINABLE CARE DUE TO A SUBSTANCE USE DISORDER. FLAGLER CARES ASPIRES TO BE A DRIVING FORCE BEHIND BOLD INNOVATIONS AND COMMUNITY IMPROVEMENT CREATING A COORDINATED SAFETY NET OF HEALTH AND SOCIAL CARE SERVICES. WHOLE HEALTH HUB IS A FREE WEBSITE THAT ALLOWS ANYONE TO SEARCH AND CONNECT TO A WIDE VARIETY OF SOCIALS SERVICES BASED ON THEIR LOCATION.GOAL 1.2: INCREASE THE PROPORTION OF CHILDREN AND ADOLESCENTS WITH BEHAVIORAL PROBLEMS WHO RECEIVE DEVELOPMENTALLY APPROPRIATE EVIDENCE-BASED TREATMENT. (HEALTHY PEOPLE 2030)OBJECTIVE 1.2.1: BY DECEMBER 31, 2025, INCREASE THE PERCENTAGE OF FLAGLER COUNTY SCHOOLS FACULTY/STAFF TRAINED IN YOUTH MENTAL HEALTH FIRST AID FROM 23% (2022) TO 80%. ADVENTHEALTH PALM COAST PARTNERSHIP INCLUDES $10,000 ANNUAL FINANCIAL INVESTMENT TO FLAGLER SCHOOLS FOR MENTAL HEALTH FUNDS. FUNDING TO HELP PROVIDE YOUTH MENTAL HEALTH FIRST AID TRAINING FOR SCHOOL-BASED FACULTY AND STAFF. YOUTH MENTAL HEALTH FIRST AID IS DESIGNED TO TEACH PARENTS, FAMILY MEMBERS, CAREGIVERS, TEACHERS, SCHOOL STAFF, PEERS, NEIGHBORS, HEALTH AND HUMAN SERVICE WORKERS AND OTHER CARING CITIZENS HOW TO HELP AN ADOLESCENT (AGE 12-18) WHO IS EXPERIENCING A MENTAL HEALTH OR ADDICTIONS CHALLENGE OR IS IN CRISIS. YOUTH MENTAL HEALTH FIRST AID IS PRIMARILY DESIGNED FOR ADULTS WHO REGULARLY INTERACT WITH YOUNG PEOPLE. THE COURSE INTRODUCES COMMON MENTAL HEALTH CHALLENGES FOR YOUTH, REVIEWS TYPICAL ADOLESCENT DEVELOPMENT AND TEACHES A 5-STEP ACTION PLAN FOR HOW TO HELP YOUNG PEOPLE IN BOTH CRISIS AND NON-CRISIS SITUATIONS. TOPICS COVERED INCLUDE ANXIETY, DEPRESSION, SUBSTANCE USE DISORDER IN WHICH PSYCHOSIS MAY OCCUR, DISRUPTIVE BEHAVIOR DISORDERS (INCLUDING AD/HD) AND EATING DISORDERS. IN 2024, ADVENTHEALTH PALM COAST PROVIDED $10,000 TO FLAGLER COUNTY SCHOOLS. FUNDING WAS USED BY FLAGLER COUNTY EDUCATION FOUNDATION TO PAY FOR YOUTH MENTAL HEALTH FIRST AID TRAININGS CONDUCTED THROUGH THE FLAGLER SCHOOLS STUDENT SERVICES DEPARTMENT FOR THE 2024-2025 SCHOOL YEAR.OBJECTIVE 1.2.2: BY DECEMBER 31, 2025, INCREASE THE NUMBER OF STUDENT REFERRALS BEING MADE THROUGH THE LINC (LINKING INDIVIDUALS TO NETWORKS OF CARE) SYSTEM TO 800 TOTAL REFERRALS FROM A BASELINE OF 502. FLAGLER COUNTY SCHOOL STUDENTS ARE REFERRED THROUGH LINC FLAGLER VOLUSIA TO BEHAVIORAL HEALTH SERVICES. LINC IS A MULTI-AGENCY DATA SYSTEM THAT ENABLES TRUSTED PROVIDERS TO SEND REFERRALS TO A NETWORK OF OTHER SERVICE PROVIDERS ON BEHALF OF INDIVIDUALS SEEKING BEHAVIORAL HEALTH ASSISTANCE. ORGANIZATION STAFF CAN SECURELY COMMUNICATE WITH OTHER CARE TEAM PROVIDERS THROUGH THE SYSTEM TO COLLABORATE ON SERVICES AND SUPPORTS. IN 2024, ADVENTHEALTH PALM COAST CONTRIBUTED $7,500 TO LINC FLAGLER VOLUSIA FOR BEHAVIORAL HEALTH SERVICES FOR FLAGLER COUNTY SCHOOL STUDENTS. LINC IS A MULTI-AGENCY DATA SYSTEM THAT ENABLES TRUSTED PROVIDERS TO SEND REFERRALS TO A NETWORK OF OTHER SERVICE PROVIDERS ON BEHALF OF INDIVIDUALS SEEKING BEHAVIORAL HEALTH ASSISTANCE. FLAGLER SCHOOLS ENSURES EDUCATIONAL SUCCESS THROUGH HIGH EXPECTATIONS AND INNOVATIVE THINKING IN A SAFE LEARNING ENVIRONMENT TO EMPOWER STUDENTS TO REACH THEIR FULL POTENTIAL AS RESPONSIBLE, ETHICAL, AND PRODUCTIVE CITIZENS IN A DIVERSE AND CHANGING WORLD.GOAL 1.3: PARTNER WITH SMA HEALTHCARE PEER SPECIALIST TO BENEFIT PEOPLE WHO ARE ENCOUNTERED IN THE EMERGENCY DEPARTMENT TO GO INTO TREATMENT FOR BEHAVIORAL HEALTH.OBJECTIVE 1.3.1: PARTNER WITH SMA HEALTHCARE PEER SPECIALIST TO INCREASE THE NUMBER OF PEOPLE WHO ARE ENCOUNTERED IN THE EMERGENCY DEPARTMENT WITH SUBSTANCE USE DISORDER WHO ARE CONNECTED TO APPROPRIATE TREATMENT SERVICES. IN ADDITION, CONNECT THE PATIENT (AND PEER) WITH MISSION AND MINISTRY IF ADDITIONAL SUPPORT IS NEEDED. BY DECEMBER 31, 2025 MISSION AND MINISTRY WILL CONNECT WITH 12 PATIENTS AND PEER SPECIALISTS. (FAITH COMMUNITY STRATEGY)IN 2024, ADVENTHEALTH PALM COAST PARTNERED WITH SMA HEALTHCARE TO PLACE A PEER SPECIALIST IN THE EMERGENCY DEPARTMENT. SMA HEALTHCARE IS AN ORGANIZATION PROVIDING EXCEPTIONAL BEHAVIORAL HEALTHCARE TO INDIVIDUALS LIVING WITH ADDICTION AND/OR MENTAL ILLNESS, TO CONNECT PATIENTS WITH SUBSTANCE USE DISORDERS TO APPROPRIATE TREATMENT SERVICES. THE PEER SPECIALIST HAS HELPED TWELVE PATIENTS WITH SUBSTANCE USE DISORDERS IN NEED OF TREATMENT. THE ADVENTHEALTH PALM COAST EMERGENCY AND MISSION AND MINISTRY DEPARTMENTS CONTINUE TO SUPPORT THE PATIENT CARE EFFORTS, AS NEEDED.(CONTINUED)
PART V, SECTION B, LINE 11 (CONTINUED):PRIORITY 2: EARLY CHILDHOOD EDUCATION2022 DESCRIPTION OF THE PRIORITY: THE ASSESSMENT SHOWED THAT THE PERCENTAGE OF YOUTH READY FOR KINDERGARTEN AT ENTRY HAS INCREASED IN FLAGLER COUNTY, ALTHOUGH IT IS STILL LOWER THAN THAT OF THE STATE. ACCORDING TO PUBLIC DATA, ONLY 41.6% OF TODDLERS IN THE COMMUNITY ARE ENROLLED IN PRESCHOOL, WHICH HELPS PREPARE YOUTH FOR KINDERGARTEN AND BEYOND. THE HOSPITAL PRIORITIZED EARLY CHILDHOOD EDUCATION BECAUSE OF THE FOUNDATION IT PROVIDES FOR BETTER HEALTH AND LONG-TERM OUTCOMES FOR ALL RESIDENTS.2024 UPDATE:GOAL 2.1: INCREASE THE PROPORTION OF CHILDREN WHO PARTICIPATE IN HIGH-QUALITY EARLY CHILDHOOD EDUCATION PROGRAMS. (HEALTHY PEOPLE 2030)OBJECTIVE 2.1.1: BY DECEMBER 31, 2025, PARTNER WITH EARLY LEARNING COALITION OF FLAGLER & VOLUSIA COUNTIES (ELCFV) TO HOST THREE EDUCATIONAL EVENTS WITH INVITED EXPERTS WHO WILL DISCUSS THE IMPORTANCE OF EARLY LEARNING. THESE EVENTS WILL BE USED AS AN OPPORTUNITY FOR ALL FAMILIES IN ATTENDANCE TO ENROLL THEIR CHILDREN IN SERVICES OFFERED BY ELCFV, INCLUDING FLORIDA'S VOLUNTARY PREKINDERGARTEN (VPK) PROGRAM. THIS INITIATIVE AND THE OUTCOMES ARE SHARED ACROSS MULTIPLE FACILITIES IN THE EAST FLORIDA DIVISION. THIS INCLUDES ADVENTHEALTH DELAND, ADVENTHEALTH FISH MEMORIAL, ADVENTHEALTH NEW SMYRNA BEACH, AND ADVENTHEALTH PALM COAST.RESEARCH SHOWS THAT WHEN LEARNING IS PART OF A GAME, FUN ACTIVITY, OR EVERYDAY ROUTINE, INFORMATION STICKS LONGER. THROUGH FLORIDA'S VOLUNTARY PREKINDERGARTEN (VPK) PROGRAM, CHILDREN CAN LEARN ALL DEVELOPMENTAL DOMAINS THROUGH PLAY. THE EIGHT DOMAINS INCLUDE: PHYSICAL HEALTH, APPROACHES TO LEARNING, SOCIAL AND EMOTIONAL DEVELOPMENT, LANGUAGE AND COMMUNICATION, EMERGENT LITERACY, MATHEMATICAL AND SCIENTIFIC THINKING, SOCIAL STUDIES AND THE ARTS, AND MOTOR DEVELOPMENT. FAMILIES WILL HAVE OPPORTUNITY TO ENROLL IN THE 3TS. THE 3TS PROGRAM IS COMPRISED OF FREE RESOURCES DESIGNED TO HELP PARENTS UNDERSTAND HOW IMPORTANT THEIR ROLE IS IN THEIR CHILD'S BRAIN DEVELOPMENT. THE HOSPITALS HOSTED THREE EDUCATIONAL EVENTS BY THE END OF 2024. THE HOSPITAL PROVIDED THE MEETING SPACE AND PROMOTED THE EVENT THROUGH SOCIAL MEDIA AND FLYERS AT PEDIATRICIAN OFFICES. ELCFV WORKS TO ENHANCE CHILDREN'S SCHOOL READINESS BY PROVIDING OPPORTUNITIES FOR QUALITY EARLY LEARNING, WHILE STRENGTHENING FAMILY STABILITY FOR A HEALTHY COMMUNITY. OBJECTIVE 2.1.2: BY DECEMBER 31, 2025, PARTNER WITH EARLY LEARNING COALITION OF FLAGLER & VOLUSIA COUNTIES TO PROVIDE APPROXIMATELY 3,600 SUMMER TAKE HOME BAGS FOR VPK STUDENTS TO PREVENT SUMMER READING LOSS IN PREPARATION FOR KINDERGARTEN. THIS INITIATIVE AND THE OUTCOMES ARE SHARED ACROSS MULTIPLE FACILITIES IN THE EAST FLORIDA DIVISION. THIS INCLUDES ADVENTHEALTH DELAND, ADVENTHEALTH FISH MEMORIAL, ADVENTHEALTH NEW SMYRNA BEACH, AND ADVENTHEALTH PALM COAST. IN 2024, THE HOSPITALS' WOMEN AND CHILDREN'S SERVICES DEPARTMENT PARTNERED WITH THE EARLY LEARNING COALITION OF FLAGLER AND VOLUSIA COUNTIES (WORKING TO ENHANCE CHILDREN'S SCHOOL READINESS BY PROVIDING OPPORTUNITIES FOR QUALITY EARLY LEARNING, WHILE STRENGTHENING FAMILY STABILITY FOR A HEALTHY COMMUNITY) TO PROVIDE $10,000 TO PURCHASE AND DISTRIBUTE 3,600 SUMMER TAKE HOME BAGS FOR EVERY VPK STUDENT ENROLLED IN VOLUSIA COUNTY SCHOOLS. THE SUMMER TAKE HOME BAGS INCLUDE STORYBOOKS, TOYS FOR DEVELOPMENT, A TRACKER TO HELP PARENTS VIEW BRAIN DEVELOPMENT MILESTONES, AND COMMUNITY RESOURCE INFORMATION TO HELP SUPPORT PARENTS. IT ALSO INCLUDES INFORMATION ON LOCAL LIBRARY LOCATIONS, SCREEN TIME GUIDELINES, AND HEALTHY LIFESTYLE ADVICE.GOAL 2.2: INCREASE THE PROPORTION OF CHILDREN WHO ARE DEVELOPMENTALLY ON TRACK AND READY FOR SCHOOL. (HEALTHY PEOPLE 2030)OBJECTIVE 2.2.1: BY DECEMBER 31, 2025, PARTNER WITH EARLY LEARNING COALITION OF FLAGLER & VOLUSIA COUNTIES TO OFFER THREE PARENT INFORMATION SESSIONS DEDICATED TO THE IMPORTANCE OF DEVELOPMENTAL SCREENINGS BOTH THROUGH SCHOOL READINESS AND HELP ME GROW WHICH PROVIDE TOOLS TO MOVE CHILDREN FORWARD IN THEIR SKILLS OUTSIDE OF THE CLASSROOM. THIS INITIATIVE AND THE OUTCOMES ARE SHARED ACROSS MULTIPLE FACILITIES IN THE EAST FLORIDA DIVISION. THIS INCLUDES ADVENTHEALTH DELAND, ADVENTHEALTH FISH MEMORIAL, ADVENTHEALTH NEW SMYRNA BEACH, AND ADVENTHEALTH PALM COAST.BY THE END OF 2024, THE HOSPITALS CONDUCTED THREE PARENT INFORMATION SESSIONS WITH A TOTAL OF 50 ATTENDEES. THE HOSPITAL CONTRIBUTED $2,000 TO THIS INITIATIVE.OBJECTIVE 2.2.2: BY DECEMBER 31, 2025, PARTNER WITH EARLY LEARNING COALITION OF FLAGLER & VOLUSIA COUNTIES TO OFFER THREE CLINICAL PROVIDER INFORMATION SESSIONS DEDICATED TO THE IMPORTANCE OF DEVELOPMENTAL SCREENINGS BOTH THROUGH SCHOOL READINESS AND HELP ME GROW WHICH PROVIDE TOOLS TO MOVE CHILDREN FORWARD IN THEIR SKILLS OUTSIDE OF THE CLASSROOM. THIS INITIATIVE AND THE OUTCOMES ARE SHARED ACROSS MULTIPLE FACILITIES IN THE EAST FLORIDA DIVISION. THIS INCLUDES ADVENTHEALTH DELAND, ADVENTHEALTH FISH MEMORIAL, ADVENTHEALTH NEW SMYRNA BEACH, AND ADVENTHEALTH PALM COAST.THE HOSPITALS MET WITH THE EARLY LEARNING COALITION OF FLAGLER AND VOLUSIA COUNTIES TO STRATEGIZE HOSTING LUNCH AND LEARNS TO ENGAGE PHYSICIANS AND THEIR OFFICES. NO INFORMATION SESSIONS HAVE BEEN HOSTED YET, BUT DISCUSSIONS CONTINUE. THE HOSPITAL PROVIDED $2,000 FOR THIS INITIATIVE.GOAL 2.3: INCREASE THE PROPORTION OF CHILDREN WITH A DEVELOPMENTAL DELAY WHO RECEIVE SPECIAL SERVICES TO MEET THEIR DEVELOPMENTAL NEEDS BY 48 MONTHS OF AGE. (HEALTHY PEOPLE 2030) OBJECTIVE 2.3.1: PARTNER WITH EASTERSEALS NORTHEAST CENTRAL FLORIDA OFFERING BEHAVIORAL INTERVENTION SERVICES. BY DECEMBER 31, 2025, PROVIDE 5 INFORMATION SESSIONS ON THE P.L.A.Y. PROJECT TO EXPAND THE SCOPE AND REACH OF SERVICES. THE P.L.A.Y. PROJECT IS AN AUTISM TRAINING AND EARLY INTERVENTION PROGRAM, AND EASTERSEALS OFFERS P.L.A.Y. THERAPY AT THEIR AUTISM CENTER OF EXCELLENCE (A.C.E.). PARTNER DONATIONS ALLOW THEM TO SERVE MORE CHILDREN AGES 18 MONTHS TO 6 YEARS IN GAINING LANGUAGE AND SOCIAL SKILLS. THIS INITIATIVE AND THE OUTCOMES ARE SHARED ACROSS MULTIPLE FACILITIES IN THE EAST FLORIDA DIVISION. THIS INCLUDES ADVENTHEALTH DELAND, ADVENTHEALTH FISH MEMORIAL, ADVENTHEALTH NEW SMYRNA BEACH, AND ADVENTHEALTH PALM COAST.IN 2024, THE HOSPITAL FUNDED THE FAMILY INTENSIVE TRAINING (FIT) PROGRAM. THIS PROGRAM IS FOCUSED ON AIDING PARENTS WITH CHILDREN ON WAITLISTS FOR SERVICES OR SIMPLY WITHOUT ACCESS TO BEHAVIORAL HEALTH SERVICES SO THEY CAN LEARN SKILLS TO AID THEIR NEURODIVERGENT CHILD PRIOR TO ACCESSING HEALTHCARE AIDED ASSISTANCE. THE PROGRAM OFFERS 10-12 TAILORED PARENT TRAINING SESSIONS WITH A BOARD-CERTIFIED BEHAVIORAL ANALYSTS FOR UP TO 10 FAMILIES. FIT WAS CREATED BY A CRITICAL NEED IDENTIFIED BY THE ABA AND PEDIATRIC THERAPY CLINICIANS AND CASE MANAGERS IN WORKING WITH THE EARLY CHILDHOOD CENTER STUDENTS. THE HOSPITAL PROVIDED $2,000 FOR THIS PROGRAM. BY THE END OF 2024, THE HOSPITALS PROVIDED A TOTAL OF FOUR INFORMATION SESSIONS.PRIORITY 3: COMMUNITY ENGAGEMENT IN AVAILABLE RESOURCES AND SERVICES2022 DESCRIPTION OF THE PRIORITY: DATA IN THE ASSESSMENT HIGHLIGHTED HOW COMPLICATED THE HEALTH CARE SYSTEM CAN BE TO UNDERSTAND AND NAVIGATE, EVEN FOR THOSE WHO WORK WITHIN THE INDUSTRY. MANY STAKEHOLDERS DISCUSSED HOW DISCONNECTED DIFFERENT PARTS OF THE HEALTH CARE SYSTEM ARE, LEADING TO A LACK OF CARE COORDINATION BETWEEN DIFFERENT PROVIDERS AND A LOW AWARENESS IN THE COMMUNITY OF WHAT SERVICES AND RESOURCES ARE AVAILABLE. WORD-OF-MOUTH TENDS TO BE THE BEST METHOD TO SHARE INFORMATION, ESPECIALLY IN PRIORITY POPULATIONS. THE HOSPITAL HOPES TO IMPROVE THE HEALTH OF THE COMMUNITY, BY INCREASING COMMUNITY ENGAGEMENT AND AWARENESS OF THE RESOURCES AND SERVICES AVAILABLE THAT IMPROVE HEALTH AND CONNECTING RESIDENTS TO THEM.2024 UPDATE:GOAL 3.1: INCREASE ACCESS TO INCOME AND HEALTH INSURANCE COVERAGE FOR VULNERABLE INDIVIDUALS.OBJECTIVE 3.1.1: PROVIDE ACCESS TO A SOAR PROCESSOR (SSI/SSDI OUTREACH, ACCESS, AND RECOVERY) THROUGH PARTNERSHIP WITH FLAGLER CARES SOAR TO ASSIST 180 ELIGIBLE COMMUNITY CARE PATIENTS TO APPLY FOR AND OBTAIN SSI/SSDI BENEFITS (INCLUDING INCOME AND MEDICAID/MEDICARE) BY DECEMBER 31, 2025. IN 2024, ADVENTHEALTH PALM COAST REFERRED FIVE PATIENTS TO FLAGLER CARES SOAR PROGRAM. OF THE FIVE APPLICANTS, ONE WAS SUCCESSFUL, ONE WAS UNSUCCESSFUL, AND THREE ARE STILL ENROLLED AND RECEIVING SERVICES FROM FLAGLER CARES SOAR PROCESSORS. IN 2024, SUCCESSFUL APPLICANTS WERE AWARDED $6,916 IN BACKPAY AND AWARDED $1,729 IN MONTHLY BENEFITS. FLAGLER CARES ASPIRES TO BE A DRIVING FORCE BEHIND BOLD INNOVATIONS AND COMMUNITY IMPROVEMENT CREATING A COORDINATED SAFETY NET OF HEALTH AND SOCIAL CARE SERVICES. ADVENTHEALTH EAST FLORIDA DIVISION PROVIDED $65,000 FOR THIS INITIATIVE. GOAL 3.2: INCREASE SOCIAL AND COMMUNITY SUPPORT TO IMPROVE HEALTH AND SOCIAL OUTCOMES FOR UNDERSERVED POPULATIONS. (HEALTHY PEOPLE 2030)(CONTINUED)
PART V, SECTION B, LINE 11 (CONTINUED):OBJECTIVE 3.2.1: INCREASE THE NUMBER OF AREA NON-PROFIT ORGANIZATIONS TRAINED ON THE WHOLE HEALTH HUB AND THUS ADDED TO THE WHOLE HEALTH HUB'S TRUSTED NETWORK. THE WHOLE HEALTH HUB IS A FREE WEBSITE THAT ALLOWS ANYONE TO SEARCH AND CONNECT TO A WIDE VARIETY OF SOCIAL SERVICES BASED ON THEIR LOCATION. BY DECEMBER 31, 2025, WE WILL INCREASE THE NUMBER OF CLAIMED NON-PROFIT ORGANIZATIONS TO 30 FROM A BASELINE OF 18. IN 2024, THE HOSPITALS MAINTAINED A BASELINE OF 18 CLAIMED NON-PROFIT PROFILES IN THE WHH.OBJECTIVE 3.2.2: HOST PRESENTATIONS RECOMMENDING THE WHOLE HEALTH HUB (WHH) FOR ADVENTHEALTH TEAM MEMBERS TO BECOME FAMILIAR WITH. PRESENTATIONS WILL ENCOURAGE TEAM MEMBERS TO REGISTER FOR TRAININGS THROUGH THE ADVENTHEALTH LEARNING NETWORK AND REFER PATIENTS TO WHOLE HEALTH HUB. BY DECEMBER 31, 2025, HOST 11 PRESENTATIONS FROM A BASELINE OF 2 TO PROMOTE AND INCREASE THE USE OF WHOLE HEALTH HUB AMONG TEAM MEMBERS. BY THE END OF 2024, ADVENTHEALTH PALM COAST HOSTED SIX PRESENTATIONS TO FAMILIARIZE TEAM MEMBERS WITH THE WHOLE HEALTH HUB. PRESENTATIONS WERE GIVEN TO THE FLAGLER/ST. JOHN'S CLERGY AND PROFESSIONAL PRACTICE COUNCIL (PPC). FOLLOWING THE PPC PRESENTATION, A STRATEGY WAS DEVELOPED TO PROVIDE WHOLE HEALTH HUB RACK CARDS TO CLINICAL TEAMS. THE HOSPITAL ALSO PROMOTED WHOLE HEALTH HUB THROUGH THE ADVENTHEALTH LEARNING NETWORK.OBJECTIVE 3.2.3: INVITE FAITH COMMUNITIES TO JOIN THE WHOLE HEALTH HUB AND PROMOTE USE OF THE PLATFORM TO HELP INDIVIDUALS FIND FREE AND LOW-COST SERVICES/RESOURCES IN THE COMMUNITY. BY DECEMBER 21, 2025, WE WILL INCREASE THE NUMBER OF CLAIMED FAITH-BASED NON-PROFIT ORGANIZATIONS TO 12 FROM A BASELINE OF 6. (FAITH COMMUNITY STRATEGY) IN 2024, THE HOSPITALS MAINTAINED A BASELINE OF SIX CLAIMED FAITH-BASED NON-PROFIT ORGANIZATIONS. OBJECTIVE 3.2.4: PROVIDE MENTORSHIP AND EDUCATION FOUR TIMES ANNUALLY TO SUPPORT IMPROVED HEALTH TO 75% OF BOYS & GIRLS CLUBS OF VOLUSIA AND FLAGLER MEMBERS AT NINE AREA CLUBS. THIS INITIATIVE AND THE OUTCOMES ARE SHARED ACROSS MULTIPLE FACILITIES IN THE EAST FLORIDA DIVISION. THIS INCLUDES ADVENTHEALTH DELAND, ADVENTHEALTH FISH MEMORIAL, ADVENTHEALTH NEW SMYRNA BEACH, AND ADVENTHEALTH PALM COAST. IN 2024, THE HOSPITALS PROVIDED MENTORSHIP AND EDUCATION FOUR TIMES. THE EDUCATION CENTERED AROUND WATER SAFETY, EARTH DAY, AND TEENAGE MENTAL HEALTH. THE BOYS AND GIRLS CLUBS OF VOLUSIA/FLAGLER COUNTIES IS AN ORGANIZATION THAT INSPIRES AND ENABLES ALL YOUNG PEOPLE TO REACH THEIR FULL POTENTIAL.OBJECTIVE 3.2.5: PROVIDE $4,000 ANNUALLY TO SUPPORT THE BOYS & GIRLS CLUBS OF VOLUSIA AND FLAGLER AS PART OF A REGIONAL STRATEGIC PARTNERSHIP TO PROVIDE DAILY FRESH FRUIT AND WHOLE GRAIN SNACKS TO CLUB MEMBERS AT EACH CLUB (THERE ARE CURRENTLY NINE CLUBS IN TOTAL). IN 2024, ADVENTHEALTH PALM COAST PROVIDED $4,000 TO THE BOYS AND GIRLS CLUBS OF VOLUSIA/FLAGLER COUNTIES, AN ORGANIZATION THAT INSPIRES AND ENABLES ALL YOUNG PEOPLE TO REACH THEIR FULL POTENTIAL. THE FUNDS WERE USED TO PROVIDE HEALTHY SNACKS OF FRESH FRUIT AND WHOLE GRAINS TO CLUB PARTICIPANTS AT THE RYMFIRE ELEMENTARY LOCATION IN PALM COAST.GOAL 3.3: INCREASE THE NUMBER OF STATE HEALTH DEPARTMENTS (AND/OR HOSPITALS) THAT REPORT USING SOCIAL MARKETING IN HEALTH PROMOTION AND DISEASE PREVENTION PROGRAMS. (HEALTHY PEOPLE 2030)OBJECTIVE 3.3.1: PROVIDE CONTENT (I.E. COMMUNITY HEALTH PROGRAM REPORTS) ONCE PER YEAR FOR VOLUSIA AND FLAGLER COLLABORATIVE COMMUNITY HEALTH IMPROVEMENT PLAN REPORTING ON PUBLIC FACING WEBSITE MYSIDEWALK. THIS INITIATIVE AND THE OUTCOMES ARE SHARED ACROSS MULTIPLE FACILITIES IN THE EAST FLORIDA DIVISION. THIS INCLUDES ADVENTHEALTH DELAND, ADVENTHEALTH FISH MEMORIAL, ADVENTHEALTH NEW SMYRNA BEACH, AND ADVENTHEALTH PALM COAST.THE HOSPITALS PROVIDED CONTENT FOR THE VOLUSIA AND FLAGLER COLLABORATIVE COMMUNITY HEALTH IMPROVEMENT PLAN. TWO UPDATES WERE POSTED ON MYSIDEWALK, A PLATFORM TURNING DATA INTO POWERFUL INSIGHTS THAT GUIDE COMMUNITIES TOWARD A BETTER TOMORROW.OBJECTIVE 3.3.2: COLLABORATE WITH ADVENTHEALTH COMMUNICATIONS TO PUBLISH FOUR COMMUNITY PARTNER STORIES ABOUT HEALTH PROMOTION AND DISEASE PREVENTION PROGRAMS ANNUALLY ON SOCIAL MEDIA PLATFORMS, ELEVATING OUR PARTNERS TO DEVELOP CAPACITY FOR COMMUNITY ADVOCACY AT LARGE. THIS INITIATIVE AND THE OUTCOMES ARE SHARED ACROSS MULTIPLE FACILITIES IN THE EAST FLORIDA DIVISION. THIS INCLUDES ADVENTHEALTH DAYTONA BEACH, ADVENTHEALTH FISH MEMORIAL, ADVENTHEALTH NEW SMYRNA BEACH, AND ADVENTHEALTH PALM COAST. BY THE END OF 2024, TEN COMMUNITY PARTNER STORIES WERE PUBLISHED ON THE HOSPITALS' SOCIAL MEDIA PLATFORMS. GOAL 3.4: EXPAND PIPELINE PROGRAMS THAT INCLUDE SERVICE LEARNING OR EXPERIENTIAL LEARNING COMPONENTS IN PUBLIC HEALTH SETTINGS (I.E. WORKFORCE DEVELOPMENT). (HEALTHY PEOPLE 2030)OBJECTIVE 3.4.1: BY DECEMBER 31, 2025, PARTNER WITH FLAGLER AND VOLUSIA COUNTY SCHOOLS, ADVENTHEALTH EDUCATION, AND ADVENTHEALTH SIMULATION LAB TO PROVIDE FOUR EDUCATIONAL OPPORTUNITIES ANNUALLY TO INCREASE AWARENESS AND INSPIRE WORKFORCE DEVELOPMENT ACROSS SECTORS. THIS INITIATIVE AND THE OUTCOMES ARE SHARED ACROSS MULTIPLE FACILITIES IN THE EAST FLORIDA DIVISION. THIS INCLUDES ADVENTHEALTH DELAND, ADVENTHEALTH FISH MEMORIAL, ADVENTHEALTH NEW SMYRNA BEACH, AND ADVENTHEALTH PALM COAST.BY THE END OF 2024, THE HOSPITALS PROVIDED FOUR EDUCATIONAL OPPORTUNITIES REACHING OVER 100 STUDENTS. THE HOSPITALS PARTNERED WITH SEVERAL ORGANIZATIONS INCLUDING THE JUNIOR CHAMBER OF COMMERCE, THE PACE CENTER FOR GIRLS, AND VOLUSIA COUNTY SCHOOLS.GOAL 3.5: ELIMINATE VERY LOW FOOD SECURITY IN CHILDREN. (HEALTHY PEOPLE 2030)OBJECTIVE 3.5.1: PARTNER WITH LOCAL NONPROFITS AS WELL AS FAITH COMMUNITIES (I.E. HALIFAX URBAN MINISTRIES, LOCAL CHURCHES) TO FUND FOOD PROGRAMS AND FOOD DRIVES. BY DECEMBER 31, 2025, PARTNER WITH FOOD BRINGS HOPE TO SERVE 1,800 CHILDREN. (FAITH ACCOUNTABILITY)THIS INITIATIVE AND THE OUTCOMES ARE SHARED ACROSS MULTIPLE FACILITIES IN THE EAST FLORIDA DIVISION. THIS INCLUDES ADVENTHEALTH NEW SMYRNA BEACH AND ADVENTHEALTH PALM COAST. IN 2024, THE HOSPITALS PROVIDED FOOD TO 1,800 CHILDREN FACING FOOD INSECURITY IN PARTNERSHIP WITH FOOD BRINGS HOPE, NURTURING THE BODY, MIND, AND SPIRIT OF UNDERPRIVILEGED CHILDREN IN THE LOCAL COMMUNITY AND HELPING THEM DISCOVER THEIR FULL POTENTIAL.GOAL 3.6: ALIGN WITH DEI COUNCIL TO IMPACT SEPSIS PROVIDE COMMUNITY EDUCATION TO BUILD AWARENESS OF SEPSIS. SEPSIS HAPPENS WHEN AN INFECTION YOU ALREADY HAVE IN YOUR SKIN, LUNGS, OR SOMEWHERE ELSE TRIGGERS A CHAIN REACTION THROUGHOUT YOUR BODY. (DEI) OBJECTIVE 3.6.1: PROVIDE SEPSIS EDUCATIONAL MATERIALS TO THE COMMUNITY UTILIZING CDC CONTENT IN BUILDING AWARENESS OF SEPSIS PREVENTION AND SYMPTOMS. ANYONE CAN GET AN INFECTION, AND ALMOST ANY INFECTION CAN LEAD TO SEPSIS. BY DECEMBER 31, 2025, PROVIDE SEPSIS EDUCATION TO 7,500 INDIVIDUALS.
PART V, SECTION B, LINE 11 (CONTINUED):IN 2024, ADVENTHEALTH PALM COAST PROVIDED SEPSIS EDUCATIONAL MATERIALS FOR THE COMMUNITY. EFFORTS WERE SUPPORTED BY THE ADVENTHEALTH DEI COUNCIL AND COMMUNITY PARTNERS INCLUDING FLAGLER SENIOR CENTER, PARKISON'S GROUP AND NEW JERSEY CLUB.PRIORITIES NOT ADDRESSED BY THE HOSPITAL:THE COMMUNITY HEALTH NEEDS ASSESSMENT IDENTIFIED MULTIPLE HEALTH NEEDS THROUGH THE COLLECTION OF PRIMARY AND SECONDARY DATA. AFTER REVIEWING THE DATA, THE HOSPITAL AND COMMUNITY STAKEHOLDERS CONDUCTED A PRIORITIZATION PROCESS. LISTED BELOW ARE THE PRIORITIES NOT ADDRESSED AND THE REASON WHY THEY WERE NOT SELECTED TO BE ADDRESSED.1. MENTAL HEALTH: THE MENTAL HEALTH NEEDS OF THE COMMUNITY ARE SIGNIFICANT, BUT THE HHNAC DID NOT PERCEIVE THE ABILITY TO IMPACT THE ISSUE WITH EXISTING HOSPITAL RESOURCES AT THIS TIME.2. HOUSING AND INCOME: THE HHNAC DID NOT PERCEIVE THE ABILITY TO HAVE A MEASURABLE IMPACT ON THESE ISSUES WITHIN THE THREE YEARS ALLOTTED FOR THE COMMUNITY HEALTH PLAN WITH THE CURRENT RESOURCES AVAILABLE TO THE HOSPITAL AT THIS TIME.
SCHEDULE H, PART V, SECTION B, LINE 7A:THE CHNA REPORT CAN BE FOUND AT URL:HTTPS://WWW.ADVENTHEALTH.COM/COMMUNITY-HEALTH-NEEDS-ASSESSMENTS
SCHEDULE H, PART V, SECTION B, LINE 10A:THE HOSPITAL'S MOST RECENTLY ADOPTED IMPLEMENTATION STRATEGY CAN BE FOUND AT:HTTPS://WWW.ADVENTHEALTH.COM/COMMUNITY-HEALTH-NEEDS-ASSESSMENTS
SCHEDULE H, PART V, SECTION B, LINE 16A,B,C:THE FINANCIAL ASSISTANCE POLICY CAN BE FOUND AT URL:HTTPS://WWW.ADVENTHEALTH.COM/LEGAL/FINANCIAL-ASSISTANCETHE FINANCIAL ASSISTANCE POLICY APPLICATION CAN BE FOUND AT:HTTPS://WWW.ADVENTHEALTH.COM/LEGAL/FINANCIAL-ASSISTANCETHE PLAIN LANGUAGE SUMMARY IS AVAILABLE AT:HTTPS://WWW.ADVENTHEALTH.COM/LEGAL/FINANCIAL-ASSISTANCE
FieldValueIRS element (for citing)
Facility21FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (21 entries)

Address Line1USAddress/AddressLine1TxtAddress Line2USAddress/AddressLine2TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdFacilityFacilityTxt
1 - ADVENTHEALTH MEDICAL GROUP PHY CLINIC
61 MEMORIAL MEDICAL PARKWAY SUITE2811PALM COASTFL32164PHYSICIAN CLINIC
2 - ADVENTHEALTH MEDICAL GROUP PHY CLINIC
21 HOSPITAL DRIVE SUITE 110PALM COASTFL32164PHYSICIAN CLINIC
3 - ADVENTHEALTH MEDICAL GROUP PHY CLINIC
3 ADVENTHEALTH WAY SUITE 120PALM COASTFL32137PHYSICIAN CLINIC
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61 MEMORIAL MEDICAL PARKWAY SUITE3804PALM COASTFL32164PHYSICIAN CLINIC

Supplemental Information Detail SupplementalInformationDetail (15 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 3C:UNDER THE HOSPITAL FACILITY'S FINANCIAL ASSISTANCE POLICY, AN INDIVIDUAL IS ELIGIBLE FOR A 100% REDUCTION FROM APPLICABLE CHARGES IF THE INDIVIDUAL'S HOUSEHOLD INCOME IS AT OR BELOW 250% OF THE CURRENT FEDERAL POVERTY GUIDELINES (FPG). UNINSURED PATIENTS WITH HOUSEHOLD INCOMES THAT EXCEED 250% OF THE FPG BUT ARE LESS THAN 401% ARE GRANTED A 98% DISCOUNT ON APPLICABLE BALANCES. INSURED PATIENTS WITH OUT-OF-POCKET BALANCES WITH HOUSEHOLD INCOMES BETWEEN 250% AND 400% OF THE FPG MAY RECEIVE A 75% DISCOUNT FROM APPLICABLE CHARGES. ALTERNATIVELY, A PATIENT MAY ALSO QUALIFY FOR A 100% REDUCTION FROM CHARGES WHEN THE UNPAID PORTION OF A PATIENT'S BILL EXCEEDS 25% OF THE INDIVIDUAL'S ANNUAL HOUSEHOLD INCOME AND THE PATIENT'S TOTAL ANNUAL HOUSEHOLD INCOME DOES NOT EXCEED 400% OF FPG. MEDICARE RECIPIENTS MAY ALSO BE ELIGIBLE FOR FINANCIAL ASSISTANCE UNDER THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY DEPENDING UPON THE INDIVIDUAL'S INCOME AND RESOURCES. RESOURCES ARE GENERALLY DEFINED AS ASSETS SUCH AS MONEY IN CHECKING OR SAVINGS ACCOUNTS, STOCKS, AND BONDS.
PART I, LINE 6A:THE FILING ORGANIZATION WAS A WHOLLY OR PARTIALLY OWNED SUBSIDIARY OF ADVENTIST HEALTH SYSTEM SUNBELT HEALTHCARE CORPORATION (AHSSHC) DURING ITS CURRENT TAX YEAR. DURING THE CURRENT YEAR, AHSSHC SERVED AS A PARENT ORGANIZATION TO 33 TAX-EXEMPT 501(C)(3) HOSPITAL ORGANIZATIONS AND OTHER SUBSIDIARY HEALTH CARE ORGANIZATIONS THAT OPERATED IN 12 STATES WITHIN THE U.S. THE SYSTEM OF ORGANIZATIONS UNDER THE CONTROL AND OWNERSHIP OF AHSSHC IS KNOWN AS "ADVENTHEALTH".ALL HOSPITAL ORGANIZATIONS WITHIN ADVENTHEALTH COLLECT, CALCULATE, AND REPORT THE COMMUNITY BENEFITS THEY PROVIDE TO THE COMMUNITIES THEY SERVE. ADVENTHEALTH ORGANIZATIONS EXIST SOLELY TO IMPROVE AND ENHANCE THE LOCAL COMMUNITIES THEY SERVE. ADVENTHEALTH HAS A SYSTEM-WIDE COMMUNITY BENEFITS ACCOUNTING POLICY THAT PROVIDES GUIDELINES FOR ITS HEALTH CARE PROVIDER ORGANIZATIONS TO CAPTURE AND REPORT THE COSTS OF SERVICES PROVIDED TO THE UNDERPRIVILEGED AND TO THE BROADER COMMUNITY. EACH ADVENTHEALTH HOSPITAL FACILITY REPORTS THEIR COMMUNITY BENEFITS TO THEIR BOARD OF DIRECTORS AND STRIVES TO COMMUNICATE THEIR COMMUNITY BENEFITS TO THEIR LOCAL COMMUNITIES. ADDITIONALLY, THE FILING ORGANIZATION'S MOST RECENTLY CONDUCTED COMMUNITY HEALTH NEEDS ASSESSMENT AND ASSOCIATED IMPLEMENTATION STRATEGY CAN BE ACCESSED ON THE FILING ORGANIZATION'S WEBSITE.
PART I, LINE 7:THE AMOUNTS OF COSTS REPORTED IN THE TABLE IN LINE 7 OF PART I OF SCHEDULE H WERE DETERMINED BY UTILIZING A COST-TO-CHARGE RATIO DERIVED FROM WORKSHEET 2, RATIO OF PATIENT CARE COST-TO-CHARGES, CONTAINED IN THE SCHEDULE H INSTRUCTIONS.
PART III, LINE 2:THE AMOUNT OF BAD DEBT EXPENSE REPORTED ON LINE 2 OF SECTION A OF PART III IS RECORDED IN ACCORDANCE WITH HEALTHCARE FINANCIAL MANAGEMENT ASSOCIATION STATEMENT NO. 15. DISCOUNTS AND PAYMENTS ON PATIENT ACCOUNTS ARE RECORDED AS ADJUSTMENTS TO REVENUE, NOT BAD DEBT EXPENSE.
PART III, LINE 3:METHODOLOGY FOR DETERMINING THE ESTIMATED AMOUNT OF BAD DEBT EXPENSE THAT MAY REPRESENT PATIENTS WHO COULD HAVE QUALIFIED UNDER THE FILING ORGANIZATION'S FINANCIAL ASSISTANCE POLICY:UNINSURED AND INSURED PATIENTS MAY APPLY FOR FINANCIAL ASSISTANCE BY COMPLETING A FINANCIAL ASSISTANCE APPLICATION FORM (FAA FORM). IF AN UNINSURED INDIVIDUAL DOES NOT SUBMIT A COMPLETED FAA FORM WITHIN 240 DAYS OF RECEIVING THEIR FIRST POST-DISCHARGE BILLING STATEMENT, THEY MAY STILL BE CONSIDERED FOR PRESUMPTIVE ELIGIBILITY. THIS DETERMINATION CAN BE MADE THROUGH THE USE OF THIRD-PARTY SCORING TOOLS, WHICH CLASSIFY PATIENTS INTO GROUPS BASED ON ECONOMIC MEANS. USING THE SCORING RESULTS, INDIVIDUALS MAY BE DEEMED ELIGIBLE FOR FINANCIAL ASSISTANCE. IN SUCH CASES, A PERCENTAGE OF THEIR ACCOUNT BALANCE CAN BE DISCOUNTED IN ACCORDANCE WITH THE FILING ORGANIZATION'S FINANCIAL ASSISTANCE POLICY. DEPENDING ON THE DETERMINATION, A NOMINAL PORTION OF THE PATIENT'S BILL MAY BE WRITTEN OFF AS BAD DEBT EXPENSE, WHILE THE REMAINING BALANCE IS CLASSIFIED AS CHARITY. THE AMOUNT CATEGORIZED AS BAD DEBT EXPENSE FOR PATIENTS WHO QUALIFY UNDER PRESUMPTIVE ELIGIBILITY GUIDELINES IS REPORTED ON LINE 3 OF SECTION A IN PART III.THE FILING ORGANIZATION RECOGNIZES THAT SOME PATIENTS MAY FACE BARRIERS THAT PREVENT THEM FROM COMPLETING AN APPLICATION WITHIN THE 240-DAY FINANCIAL ASSISTANCE PERIOD. THESE BARRIERS MAY INCLUDE LACK OF COOPERATION OR EXTENUATING CIRCUMSTANCES BEYOND THE PATIENT'S CONTROL. TO ADDRESS SUCH SITUATIONS, THE FILING ORGANIZATION PARTNERS WITH AN INTERNAL REVENUE CODE SECTION 501(C)(3) THIRD-PARTY ORGANIZATION TO FORGIVE DEBT ONCE A PATIENT'S ACCOUNT HAS COMPLETED THE BAD DEBT PROCESS. THIS ENSURES THAT INDIVIDUALS FACING GENUINE HARDSHIP STILL HAVE ACCESS TO FINANCIAL RELIEF, EVEN IF THEY ARE UNABLE TO COMPLY FULLY WITH THE FORMAL FAA PROCESS.RATIONALE FOR INCLUDING CERTAIN BAD DEBTS IN COMMUNITY BENEFIT:THE FILING ORGANIZATION IS DEDICATED TO THE VIEW THAT MEDICALLY NECESSARY HEALTH CARE FOR EMERGENCY AND NON-ELECTIVE PATIENTS SHOULD BE ACCESSIBLE TO ALL, REGARDLESS OF AGE, GENDER, GEOGRAPHIC LOCATION, CULTURAL BACKGROUND, PHYSICIAN MOBILITY, OR ABILITY TO PAY. THE FILING ORGANIZATION TREATS EMERGENCY AND NON-ELECTIVE PATIENTS REGARDLESS OF THEIR ABILITY TO PAY OR THE AVAILABILITY OF THIRD-PARTY COVERAGE. BY PROVIDING HEALTH CARE TO ALL WHO REQUIRE EMERGENCY OR NON-ELECTIVE CARE IN A NON-DISCRIMINATORY MANNER, THE FILING ORGANIZATION IS PROVIDING HEALTH CARE TO THE BROAD COMMUNITY IT SERVES. AS A 501(C)(3) HOSPITAL ORGANIZATION, THE FILING ORGANIZATION MAINTAINS ONE OR MORE 24/7 EMERGENCY ROOM(S) PROVIDING CARE TO ALL WHOM PRESENT. WHEN A PATIENT'S ARRIVAL AND/OR ADMISSION TO THE FACILITY BEGINS WITHIN THE EMERGENCY DEPARTMENT, TRIAGE AND MEDICAL SCREENING ARE ALWAYS COMPLETED PRIOR TO REGISTRATION STAFF PROCEEDING WITH THE DETERMINATION OF A PATIENT'S SOURCE OF PAYMENT. IF THE PATIENT REQUIRES ADMISSION AND CONTINUED NON-ELECTIVE CARE, THE FILING ORGANIZATION PROVIDES THE NECESSARY CARE REGARDLESS OF THE PATIENT'S ABILITY TO PAY. THE FILING ORGANIZATION'S OPERATION OF A 24/7 EMERGENCY DEPARTMENT THAT ACCEPTS ALL INDIVIDUALS IN NEED OF CARE PROMOTES THE HEALTH OF THE COMMUNITY THROUGH THE PROVISION OF CARE TO ALL WHOM PRESENT. CURRENT INTERNAL REVENUE SERVICE GUIDANCE THAT TAX-EXEMPT HOSPITALS MAINTAIN SUCH EMERGENCY ROOMS WAS ESTABLISHED TO ENSURE THAT EMERGENCY CARE WOULD BE PROVIDED TO ALL WITHOUT DISCRIMINATION. THE TREATMENT OF ALL AT THE FILING ORGANIZATION'S EMERGENCY DEPARTMENT IS A COMMUNITY BENEFIT. UNDER THE FILING ORGANIZATION'S FINANCIAL ASSISTANCE POLICY, EVERY EFFORT IS MADE TO OBTAIN A PATIENT'S NECESSARY FINANCIAL INFORMATION TO DETERMINE ELIGIBILITY FOR FINANCIAL ASSISTANCE. HOWEVER, NOT ALL PATIENTS WILL COOPERATE WITH SUCH EFFORTS AND A FINANCIAL ASSISTANCE ELIGIBILITY DETERMINATION CANNOT BE MADE BASED UPON INFORMATION SUPPLIED BY THE INDIVIDUAL. IN THIS CASE, A PATIENT'S PORTION OF A BILL THAT REMAINS UNPAID FOR A CERTAIN STIPULATED TIME PERIOD IS WHOLLY OR PARTIALLY CLASSIFIED AS BAD DEBT. BAD DEBTS ASSOCIATED WITH PATIENTS WHO HAVE RECEIVED CARE THROUGH THE FILING ORGANIZATION'S EMERGENCY DEPARTMENT SHOULD BE CONSIDERED COMMUNITY BENEFIT AS CHARITABLE HOSPITALS EXIST TO PROVIDE SUCH CARE IN PURSUIT OF THEIR PURPOSE OF MEETING THE NEED FOR EMERGENCY MEDICAL CARE SERVICES AVAILABLE TO ALL IN THE COMMUNITY.
PART III, LINE 4:FINANCIAL STATEMENT FOOTNOTE RELATED TO ACCOUNTS RECEIVABLE AND ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS:THE FINANCIAL INFORMATION OF THE FILING ORGANIZATION IS INCLUDED IN A CONSOLIDATED AUDITED FINANCIAL STATEMENT FOR THE CURRENT YEAR.THE APPLICABLE FOOTNOTE FROM THE ATTACHED CONSOLIDATED AUDITED FINANCIAL STATEMENTS THAT ADDRESSES ACCOUNTS RECEIVABLE, THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS, AND THE PROVISION FOR BAD DEBTS CAN BE FOUND ON PAGES 8 - 10. PLEASE NOTE THAT DOLLAR AMOUNTS ON THE ATTACHED CONSOLIDATED AUDITED FINANCIAL STATEMENTS ARE IN THOUSANDS.
PART III, 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 ENGAGE IN CERTAIN SPECIFIC ECAS, INCLUDING THE SELLING OF DEBT TO A THIRD PARTY, IF THE INDIVIDUAL DOES NOT SUBMIT A FINANCIAL ASSISTANCE APPLICATION FORM (FAA FORM) OR PAY THE AMOUNT DUE BY A SPECIFIED DEADLINE. THE SPECIFIED DEADLINE IS NOT EARLIER THAN 120 DAYS AFTER THE FIRST POST-DISCHARGE BILLING STATEMENT IS SENT TO THE INDIVIDUAL AND IS AT LEAST 30 DAYS AFTER THE NOTICE IS PROVIDED. A REASONABLE ATTEMPT IS ALSO MADE TO ORALLY NOTIFY AN INDIVIDUAL ABOUT THE FILING ORGANIZATION'S FINANCIAL ASSISTANCE POLICY AND HOW THE INDIVIDUAL MAY OBTAIN ASSISTANCE WITH THE FINANCIAL ASSISTANCE APPLICATION PROCESS. IF AN INDIVIDUAL SUBMITS AN INCOMPLETE FAA FORM DURING THE 240-DAY PERIOD FOLLOWING THE DATE ON WHICH THE FIRST POST-DISCHARGE BILLING STATEMENT WAS SENT TO THE INDIVIDUAL, THE HOSPITAL FILING ORGANIZATION SUSPENDS ANY ECA'S AND PROVIDES A WRITTEN NOTICE TO THE INDIVIDUAL DESCRIBING WHAT ADDITIONAL INFORMATION OR DOCUMENTATION IS NEEDED TO COMPLETE THE FAA FORM. THIS WRITTEN NOTICE CONTAINS CONTACT INFORMATION INCLUDING THE TELEPHONE NUMBER AND PHYSICAL LOCATION OF THE HOSPITAL FACILITY'S OFFICE OR DEPARTMENT THAT CAN PROVIDE INFORMATION ABOUT THE FINANCIAL ASSISTANCE POLICY, AS WELL AS CONTACT INFORMATION OF THE HOSPITAL FACILITY'S OFFICE OR DEPARTMENT THAT CAN PROVIDE ASSISTANCE WITH THE FINANCIAL ASSISTANCE APPLICATION PROCESS OR, ALTERNATIVELY, A NONPROFIT ORGANIZATION OR GOVERNMENTAL AGENCY THAT CAN PROVIDE ASSISTANCE WITH THE FINANCIAL ASSISTANCE APPLICATION PROCESS IF THE HOSPITAL FACILITY IS UNABLE TO DO SO. IF AN INDIVIDUAL SUBMITS A COMPLETE FAA FORM WITHIN A REASONABLE TIME-PERIOD AS SET FORTH IN THE NOTICE DESCRIBED ABOVE, THE HOSPITAL FILING ORGANIZATION WILL TAKE ALL AVAILABLE MEASURES TO REVERSE ANY ECAS AGAINST THE INDIVIDUAL AND WILL NOTIFY THE INDIVIDUAL IN WRITING WITHIN 60 DAYS AFTER RECEIVING THE COMPLETE FAA FORM OF THE ELIGIBILITY DETERMINATION AND THE BASIS FOR THE DETERMINATION.
SCHEDULE H, PART III, SECTION BSUPPLEMENTAL SCHEDULE TO SCHEDULE H, PART III, SECTION B, LINE 8 RECONCILIATION OF SCHEDULE H REPORTED MEDICARE SURPLUS/(SHORTFALL) TO UNREIMBURSED MEDICARE COSTS ASSOCIATED WITH THE PROVISION OF SERVICESTO ALL MEDICARE BENEFICIARIES:THE MEDICARE REVENUE AND ALLOWABLE COSTS OF CARE REPORTED IN SECTION B OF PART III OF SCHEDULE H ARE BASED UPON THE AMOUNTS REPORTED IN THE FILING ORGANIZATION'S MEDICARE COST REPORT IN ACCORDANCE WITH THE IRS INSTRUCTIONS FOR SCHEDULE H. ON AN ANNUAL BASIS, THE FILING ORGANIZATION ALSO DETERMINES ITS TOTAL UNREIMBURSED COSTS ASSOCIATED WITH PROVIDING SERVICES TO ALL MEDICARE PATIENTS. UNREIMBURSED COSTS ARE CONSIDERED A COMMUNITY BENEFIT TO THE ELDERLY AND ARE COMBINED INTO AN ANNUAL COMMUNITY BENEFIT STATEMENT PREPARED BY ADVENTHEALTH. THE PRIMARY RECONCILING ITEMS BETWEEN THE MEDICARE SURPLUS/(SHORTFALL) SHOWN ON LINE 7 OF SECTION B OF PART III OF SCHEDULE H AND THE FILING ORGANIZATION'S UNREIMBURSED COSTS OF SERVICES PROVIDED TO ALL MEDICARE PATIENTS ARE AS FOLLOWS:- MEDICARE SURPLUS/(SHORTFALL) SHOWN ON LINE 7 OF SECTION B OF SCHEDULE H: $ 4,726,477- DIFFERENCE IN COSTING METHODOLOGY: (2,985,362)- UNREIMBURSED COSTS INCURRED FOR SERVICES PROVIDED TO MEDICARE PATIENTS THAT ARE NOT INCLUDED IN THE ORGANIZATION'S MEDICARE COST REPORT: (4,916,837) -------------TOTAL UNREIMBURSED COSTS OF SERVING ALL MEDICARE PATIENTS PER THE FILING ORGANIZATION'S COMMUNITYBENEFIT REPORTING $ (3,175,722)AS INDICATED ABOVE, THE PRIMARY DIFFERENCES BETWEEN THE MEDICARE SURPLUS/(SHORTFALL) REPORTED ON SCHEDULE H, PART III, SECTION B, LINE 7 AND THE FILING ORGANIZATION'S PORTION OF THE COMPANY'S ANNUAL COMMUNITY BENEFIT STATEMENT IS DUE TO A DIFFERENCE IN THE COSTING METHODOLOGY AND DIFFERENCES IN THE POPULATION OF MEDICARE PATIENTS WITHIN THE CALCULATION. THE COST METHODOLOGY UTILIZED IN CALCULATING ANY MEDICARE SURPLUS/(SHORTFALL) FOR PURPOSES OF THE ANNUAL COMMUNITY BENEFIT REPORTING IS BASED UPON THE COST-TO-CHARGE RATIO OUTLINED IN WORKSHEET 2 OF THE SCHEDULE H INSTRUCTIONS. THE SAME COST-TO-CHARGE RATIO IS USED TO DETERMINE THE COSTS ASSOCIATED WITH SERVICES PROVIDED TO CHARITY CARE PATIENTS AND MEDICAID PATIENTS AS REPORTED IN SCHEDULE H, PART I, LINE 7. IN ADDITION, THE MEDICARE COST REPORT EXCLUDES SERVICES PROVIDED TO MEDICARE PATIENTS FOR PHYSICIAN SERVICES, SERVICES PROVIDED TO PATIENTS ENROLLED IN MEDICARE HMOS, AND CERTAIN SERVICES PROVIDED BY OUTPATIENT DEPARTMENTS OF THE FILING ORGANIZATION THAT ARE REIMBURSED ON A FEE SCHEDULE. THE COMPANY'S OWN COMMUNITY BENEFIT STATEMENT CAPTURES THE UNREIMBURSED COST OF PROVIDING SERVICES TO ALL MEDICARE BENEFICIARIES THROUGHOUT THE ORGANIZATION.
PART VI, LINE 2:THE HOSPITAL CONDUCTS COMMUNITY HEALTH NEEDS ASSESSMENTS (CHNA) EVERY THREE YEARS. IT'S 2022 CHNA WAS ADOPTED BY ITS GOVERNING BOARD BY DECEMBER 31, 2022, THE END OF THE HOSPITAL'S TAXABLE YEAR IN WHICH IT CONDUCTED THE CHNA. THE HOSPITAL'S 2022 CHNA COMPLIED WITH THE GUIDANCE SET FORTH BY THE IRS IN FINAL REGULATION SECTION 1.501(R)-3. IN ADDITION TO THE CHNA DISCUSSED ABOVE, A VARIETY OF PRACTICES AND PROCESSES ARE IN PLACE TO ENSURE THAT THE FILING ORGANIZATION IS RESPONSIVE TO THE HEALTH NEEDS OF ITS COMMUNITY.SUCH PRACTICES AND PROCESSES INVOLVE THE FOLLOWING:1. A HOSPITAL OPERATING/COMMUNITY BOARD COMPOSED OF INDIVIDUALS BROADLY REPRESENTATIVE OF THE COMMUNITY, COMMUNITY LEADERS, AND THOSE WITH SPECIALIZED MEDICAL TRAINING AND EXPERTISE;2. POST-DISCHARGE PATIENT FOLLOW-UP RELATED TO THE ON-GOING CARE AND TREATMENT OF PATIENTS WHO SUFFER FROM CHRONIC DISEASES; 3. SPONSORSHIP AND PARTICIPATION IN COMMUNITY HEALTH AND WELLNESS ACTIVITIES THAT REACH A BROAD SPECTRUM OF THE FILING ORGANIZATION'S COMMUNITY; AND 4. COLLABORATION WITH OTHER LOCAL COMMUNITY GROUPS TO ADDRESS THE HEALTH CARE NEEDS OF THE FILING ORGANIZATION'S COMMUNITY.
PART VI, LINE 3:THE FINANCIAL ASSISTANCE POLICY (FAP), FINANCIAL ASSISTANCE APPLICATION FORM (FAA FORM), AND THE PLAIN LANGUAGE SUMMARY OF THE FINANCIAL ASSISTANCE POLICY (PLS) OF THE FILING ORGANIZATION'S HOSPITAL FACILITY ARE TRANSPARENT AND AVAILABLE TO ALL INDIVIDUALS SERVED AT ANY POINT IN THE CARE CONTINUUM. THE FAP, FAA FORM, PLS, AND CONTACT INFORMATION FOR THE HOSPITAL FACILITY'S FINANCIAL COUNSELORS ARE PROMINENTLY AND CONSPICUOUSLY POSTED ON THE FILING ORGANIZATION'S HOSPITAL FACILITY'S WEBSITE. THE WEBSITE INDICATES THAT A COPY OF THE FAP, FAA FORM, AND PLS IS AVAILABLE AND HOW TO OBTAIN SUCH COPIES IN THE PRIMARY LANGUAGES OF ANY POPULATIONS WITH LIMITED PROFICIENCY IN ENGLISH THAT CONSTITUTE THE LESSER OF 1,000 INDIVIDUALS OR 5% OF THE MEMBERS OF THE COMMUNITY SERVED BY THE HOSPITAL FACILITY (REFERRED TO BELOW AS LEP DEFINED POPULATIONS). SIGNAGE IS DISPLAYED IN PUBLIC LOCATIONS OF THE FILING ORGANIZATION'S HOSPITAL FACILITY, INCLUDING AT ALL POINTS OF ADMISSION AND REGISTRATION AND THE EMERGENCY DEPARTMENT. THE SIGNAGE CONTAINS THE HOSPITAL FACILITY'S WEBSITE ADDRESS WHERE THE FAP, FAA FORM, AND PLS CAN BE ACCESSED AND THE TELEPHONE NUMBER AND PHYSICAL LOCATION THAT INDIVIDUALS CAN CALL OR VISIT TO OBTAIN COPIES OF THE FAP, FAA FORM AND PLS OR TO OBTAIN MORE INFORMATION ABOUT THE HOSPITAL FACILITY'S FAP, FAA FORM AND PLS. PAPER COPIES OF THE HOSPITAL FACILITY'S FAP, FAA FORM AND PLS ARE AVAILABLE UPON REQUEST AND WITHOUT CHARGE, BOTH IN PUBLIC LOCATIONS IN THE HOSPITAL FACILITY AND BY MAIL. PAPER COPIES ARE MADE AVAILABLE IN ENGLISH AND IN THE PRIMARY LANGUAGES OF ANY LEP DEFINED POPULATIONS. THE FILING ORGANIZATION'S HOSPITAL FACILITY'S FINANCIAL COUNSELORS MAY, UPON PATIENT REQUEST, PROVIDE PERSONAL FINANCIAL COUNSELING TO PATIENTS WHO ARE CLASSIFIED AS UNINSURED TO EXPLAIN THE FAP AND FAA FORM AND TO PROVIDE INFORMATION CONCERNING OTHER SOURCES OF ASSISTANCE THAT MAY BE AVAILABLE, SUCH AS MEDICAID. A PAPER COPY OF THE HOSPITAL FACILITY'S PLS WILL BE OFFERED TO EVERY PATIENT AS A PART OF THE INTAKE OR DISCHARGE PROCESS. A CONSPICUOUS WRITTEN NOTICE IS INCLUDED ON ALL BILLING STATEMENTS SENT TO PATIENTS THAT NOTIFIES AND INFORMS RECIPIENTS ABOUT THE AVAILABILITY OF FINANCIAL ASSISTANCE UNDER THE FILING ORGANIZATION'S FINANCIAL ASSISTANCE POLICY, INCLUDING THE FOLLOWING: 1) THE TELEPHONE NUMBER OF THE HOSPITAL FACILITY'S OFFICE OR DEPARTMENT THAT CAN PROVIDE INFORMATION ABOUT THE FAP AND THE FAA FORM; AND 2) THE WEBSITE ADDRESS WHERE COPIES OF THE FAP, FAA FORM AND PLS MAY BE OBTAINED. REASONABLE ATTEMPTS ARE MADE TO INFORM INDIVIDUALS ABOUT THE HOSPITAL FACILITY'S FAP IN ALL ORAL COMMUNICATIONS REGARDING THE AMOUNT DUE FOR THE INDIVIDUAL'S CARE. COPIES OF THE PLS ARE DISTRIBUTED TO MEMBERS OF THE COMMUNITY IN A MANNER REASONABLY CALCULATED TO REACH THOSE MEMBERS OF THE COMMUNITY WHO ARE MOST LIKELY TO REQUIRE FINANCIAL ASSISTANCE.
PART VI, LINE 4:MEMORIAL HOSPITAL FLAGLER (THE HOSPITAL) IS A 99-BED ACUTE CARE FACILITY THAT PROVIDES QUALITY HEALTH CARE SERVICES TO THE RESIDENTS OF PALM COAST AND SURROUNDING FLAGLER COUNTY IN THE STATE OF FLORIDA. THE HOSPITAL IS ONE OF THE SEVEN HOSPITALS IN FLAGLER, LAKE, AND VOLUSIA COUNTIES THAT COMPOSE THE ADVENTHEALTH EAST FLORIDA DIVISON - EAST REGION. WITH THE MISSION OF EXTENDING THE HEALING MINISTRY OF CHRIST, ADVENTHEALTH PALM COAST PROVIDES WHOLE PERSON CARE TO HEAL THE BODY, MIND AND SPIRIT. IT PROMOTES THE HEALTH OF THE COMMUNITY BY PROVIDING HEALTH SCREENINGS, COMMUNITY EDUCATION LECTURES, HEALTH FAIRS, COMMUNITY SUPPORT GROUPS, CREATION LIFE SEMINARS, AND SUPPLIES TO THE COMMUNITY FREE CLINIC. SERVICES OFFERED AT THE HOSPITAL INCLUDE CANCER CARE, DIABETES CARE, HEART AND VASCULAR CARE, HOME CARE, HOSPICE CARE, IMAGING SERVICES, UROLOGY, LAB SERVICES, NEUROLOGY CARE, ORTHOPEDIC CARE, SPORTS MEDICINE & REHAB CARE, SURGICAL CARE, URGENT AND EMERGENCY CARE, CARE FOR WOMEN AND CHILDREN, AND WOUND CARE.DURING 2024, THE HOSPITAL'S PATIENT PERCENTAGE POPULATION WAS MADE UP OF THE BELOW PAYORS WITH THE REMAINING PERCENTAGE OF THE PATIENTS BEING COVERED UNDER COMMERCIAL INSURANCE. IN 2024, ABOUT 87.7% OF THE HOSPITAL'S IN-PATIENTS WERE ADMITTED THROUGH THE HOSPITAL'S EMERGENCY DEPARTMENT. - MEDICARE PATIENTS 63.8% - MEDICAID PATIENTS 5.3% - SELF-PAY PATIENTS 3.4% THE DEMOGRAPHIC MAKEUP OF THE HOSPITAL'S COMMUNITY IS AS FOLLOWS: - POPULATION 104,446 - POPULATION OVER 65 29.4% - POVERTY (BELOW 100% FPL) 11.3% - HIGH SCHOOL GRADUATION RATE 91% - UNINSURED ADULTS 13.6% - FOOD INSECURITY RATE 9% - POP. WITH LOW FOOD ACCESS 70.1%
PART VI, LINE 5:THE PROVISION OF COMMUNITY BENEFIT IS CENTRAL TO THE FILING ORGANIZATION'S MISSION OF SERVICE AND COMPASSION. RESTORING AND PROMOTING THE HEALTH AND QUALITY OF LIFE OF THOSE IN THE COMMUNITIES SERVED BY THE HOSPITAL IS A FUNCTION OF "EXTENDING THE HEALING MINISTRY OF CHRIST AND EMBODIES THE HOSPITAL'S COMMITMENT TO ITS VALUES AND PRINCIPLES. THE HOSPITAL COMMITS SUBSTANTIAL RESOURCES TO PROVIDE A BROAD RANGE OF SERVICES TO BOTH THE UNDERPRIVILEGED AS WELL AS THE BROADER COMMUNITY. IN ADDITION TO THE COMMUNITY BENEFIT AND COMMUNITY BUILDING INFORMATION PROVIDED IN PARTS I, II AND III OF THIS SCHEDULE H, THE HOSPITAL CAPTURES AND REPORTS THE BENEFITS PROVIDED TO ITS COMMUNITY THROUGH FAITH-BASED CARE. EXAMPLES OF SUCH BENEFITS INCLUDE THE COST ASSOCIATED WITH CHAPLAINCY CARE PROGRAMS AND MISSION PEER REVIEWS AND MISSION CONFERENCES. DURING THE CURRENT YEAR, THE HOSPITAL PROVIDED $666,710 OF BENEFIT WITH RESPECT TO THE FAITH-BASED AND SPIRITUAL NEEDS OF THE COMMUNITY IN CONJUNCTION WITH ITS OPERATION OF A COMMUNITY HOSPITAL. THE HOSPITAL ALSO PROVIDES BENEFITS TO ITS COMMUNITY'S INFRASTRUCTURE BY INVESTING IN CAPITAL IMPROVEMENTS TO ENSURE THAT FACILITIES AND TECHNOLOGY PROVIDE THE BEST POSSIBLE CARE TO THE COMMUNITY. DURING THE CURRENT YEAR, THE HOSPITAL EXPENDED $37,205,492 IN NEW CAPITAL IMPROVEMENTS. AS A FAITH-BASED MISSION-DRIVEN COMMUNITY HOSPITAL, THE HOSPITAL IS CONTINUALLY INVOLVED IN MONITORING ITS COMMUNITY, IDENTIFYING UNMET HEALTH CARE NEEDS AND DEVELOPING SOLUTIONS AND PROGRAMS TO ADDRESS THOSE NEEDS. IN ACCORDANCE WITH ITS CONSERVATIVE APPROACH TO FISCAL RESPONSIBILITY, SURPLUS FUNDS OF THE HOSPITAL ARE CONTINUALLY BEING INVESTED IN RESOURCES THAT IMPROVE THE AVAILABILITY AND QUALITY OF DELIVERY OF HEALTH CARE SERVICES AND PROGRAMS TO ITS COMMUNITY.
PART VI, LINE 6:THE FILING ORGANIZATION IS A PART OF A FAITH-BASED HEALTHCARE SYSTEM OF ORGANIZATIONS WHOSE PARENT IS ADVENTIST HEALTH SYSTEM SUNBELT HEALTHCARE CORPORATION (AHSSHC). THE SYSTEM IS KNOWN AS ADVENTHEALTH. AHSSHC IS AN ORGANIZATION EXEMPT FROM FEDERAL INCOME TAX UNDER IRC SECTION 501(C)(3). AHSSHC AND ITS SUBSIDIARY ORGANIZATIONS OPERATE 51 HOSPITALS THROUGHOUT THE U.S., PRIMARILY IN THE SOUTHEASTERN PORTION OF THE U.S. AHSSHC AND ITS SUBSIDIARIES ALSO OPERATE OTHER ANCILLARY HEALTH CARE PROVIDER FACILITIES, SUCH AS AMBULATORY SURGERY CENTERS AND DIAGNOSTIC IMAGING CENTERS. AS THE PARENT ORGANIZATION OF ADVENTHEALTH, AHSSHC PROVIDES EXECUTIVE LEADERSHIP AND OTHER PROFESSIONAL SUPPORT SERVICES TO ITS SUBSIDIARY ORGANIZATIONS. PROFESSIONAL SUPPORT SERVICES INCLUDE AMONG OTHERS IT, CORPORATE COMPLIANCE, LEGAL, REIMBURSEMENT, RISK MANAGEMENT, AND TAX AS WELL AS TREASURY FUNCTIONS. CERTAIN SUPPORT SERVICES, SUCH AS HUMAN RESOURCES, PAYROLL, A/P, AND SUPPLY CHAIN MANAGEMENT ARE PROVIDED PURSUANT TO A SHARED SERVICES MODEL BY AHSSHC TO ITS SUBSIDIARY ORGANIZATIONS. THE PROVISION OF THESE EXECUTIVE AND SUPPORT SERVICES ON A CENTRALIZED BASIS BY AHSSHC PROVIDES AN APPROPRIATE BALANCE BETWEEN PROVIDING EACH ADVENTHEALTH SUBSIDIARY HOSPITAL ORGANIZATION WITH MISSION-DRIVEN CONSISTENT LEADERSHIP AND SUPPORT WHILE ALLOWING THE HOSPITAL ORGANIZATION TO FOCUS ITS RESOURCES ON MEETING THE SPECIFIC HEALTH CARE NEEDS OF THE COMMUNITY IT SERVES. THE READER OF THIS FORM 990 SHOULD KEEP IN MIND THAT THIS REPORTING ENTITY MAY DIFFER IN CERTAIN AREAS FROM THAT OF A STAND-ALONE HOSPITAL ORGANIZATION DUE TO ITS INCLUSION IN A LARGER SYSTEM OF HEALTHCARE ORGANIZATIONS. AS A PART OF A SYSTEM OF HOSPITAL AND OTHER HEALTH CARE ORGANIZATIONS, THE FILING ORGANIZATION BENEFITS FROM REDUCED COSTS DUE TO SYSTEM EFFICIENCIES, SUCH AS LARGE GROUP PURCHASING DISCOUNTS, AND THE AVAILABILITY OF INTERNAL RESOURCES SUCH AS INTERNAL LEGAL COUNSEL. THE FILING ORGANIZATION PAYS A MANAGEMENT FEE TO AHSSHC FOR THE SERVICES PROVIDED BY AHSSHC. AS A RESULT, MANAGEMENT FEE EXPENSE REPORTED BY THE FILING ORGANIZATION MAY APPEAR GREATER IN RELATION TO MANAGEMENT FEE EXPENSE THAT MAY BE REPORTED BY A SINGLE STAND-ALONE HOSPITAL. THE SINGLE STAND-ALONE HOSPITAL WOULD LIKELY REPORT COSTS ASSOCIATED WITH MANAGEMENT AND OTHER PROFESSIONAL SERVICES ON VARIOUS EXPENSE LINE ITEMS IN ITS STATEMENT OF REVENUE AND EXPENSE AS OPPOSED TO REPORTING SUCH COSTS IN ONE OVERALL MANAGEMENT FEE EXPENSE. AS THE REPORTING OF THE FORM 990 IS DONE ON AN ENTITY-BY-ENTITY BASIS, THERE IS NO SINGLE FORM 990 THAT CAPTURES THE PROGRAMS AND OPERATIONS OF ADVENTHEALTH AS A WHOLE. THE READER IS DIRECTED TO VISIT THE WEBSITE OF ADVENTHEALTH AT WWW.ADVENTHEALTH.COM TO LEARN MORE ABOUT THE MISSION AND OPERATIONS OF THE FILING ORGANIZATION.
PART VI, LINE 7:THE FILING ORGANIZATION DOES NOT FILE AN ANNUAL COMMUNITY BENEFIT REPORT WITH ANY STATE AGENCIES.

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (1)GrantRecordsMaintainedInd

Recipient Table RecipientTable (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtNon Cash AssistanceNonCashAssistanceAmtPurpose Of GrantPurposeOfGrantTxtValuation Method UsedValuationMethodUsedDescNon Cash AssistanceNonCashAssistanceDesc
PALM COAST SEVENTH DAY ADVENTIST CHURCH
5650 BELLE TERRE PARKWAYPALM COASTFL32137590806975501(C)(3)$26,278$0GENERAL SUPPORT
ADVENTHEALTH FOUNDATION INC DBA ADVENTHEALTH PALM COAST FOUNDATION
60 MEMORIAL MEDICAL PARKWAYPALM COASTFL32164592219301501(C)(3)$0$438,964PROVISION OF GENERAL ADMINISTRATIVE SUPPORTCOSTGENERAL ADMINISTRATIVE SUPPORT
FieldValueIRS element (for citing)
Total501c3 Org2Total501c3OrgCnt
Total Other Org0TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINE 2:FormAndLineReferenceDesc
ExplanationGRANTS 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

FieldValueIRS element (for citing)
First Class Or Charter TravelYes (X)FirstClassOrCharterTravelInd
Travel For CompanionsYes (X)TravelForCompanionsInd
Idemnification Gross Up PmtsYes (X)IdemnificationGrossUpPmtsInd
Discretionary Spending AcctYes (X)DiscretionarySpendingAcctInd
Housing Allowance Or ResidenceYes (X)HousingAllowanceOrResidenceInd
Written Policy Ref T And E ExpnssYes (1)WrittenPolicyRefTAndEExpnssInd
Substantiation RequiredYes (1)SubstantiationRequiredInd
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (1)SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (22 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
HAFFNER PHD RANDALL
DIRECTOR$0$1,741,198$0$2,099,022$0$289,751$0$179,406$0$35,754$0$4,345,131$0$129,500
GOODMAN TODD
DIRECTOR$0$947,775$0$619,903$0$386,443$0$156,406$0$36,629$0$2,147,156$0$129,500
GREGORY PHD AUDREY
DIRECTOR/CHAIRMAN$0$953,677$0$630,015$0$118,267$0$215,714$0$37,922$0$1,955,595$0$0
CELANO PATRICIA
DIRECTOR (END 12/2024)$0$659,665$0$657,381$0$443,747$0$153,777$0$2,450$0$1,917,020$0$92,892
BALES-CHUBB DENYSE
DIR/FACILITY CEO$0$540,242$0$301,080$0$225,280$0$114,851$0$22,999$0$1,204,452$0$125,498
THOMAS DEBORA
DIRECTOR (BEG 02/2024)$0$540,986$0$368,173$0$160,192$0$93,873$0$30,246$0$1,193,470$0$54,410
KILMAN MD MARK
FORMER CMO - HOSPITAL FACILITY$0$468,266$0$103,494$0$200,156$0$94,136$0$35,194$0$901,246$0$43,081
HERBERT MD TERESA
CMO - HOSPITAL FACILITY$0$354,902$0$95,255$0$144,923$0$34,999$0$26,632$0$656,711$0$14,893
GOEB-BURKETT MICHELE
DIRECTOR$0$321,105$0$95,772$0$95,726$0$59,408$0$20,849$0$592,860$0$35,481
ALTER MD DENNIS
DIRECTOR (END 12/2024)$0$419,266$0$82,148$0$12,347$0$17,727$0$28,180$0$559,668$0$0
DOMAYER CORY
FORMER OFFICER$0$315,015$0$85,921$0$49,835$0$72,069$0$33,510$0$556,350$0$0
RATHBUN MARK
CFO - HOSPITAL FACILITY$0$296,763$0$75,899$0$53,944$0$66,701$0$41,208$0$534,515$0$0
DE AQUINO WALLY
DIRECTOR$0$255,545$0$91,135$0$65,169$0$65,462$0$34,742$0$512,053$0$0
BRAZIER JESSICA
DIRECTOR (BEG 01/2024)$0$313,877$0$85,553$0$19,484$0$67,716$0$16,094$0$502,724$0$0
SUTTON KRISTEN
CNO - HOSPITAL FACILITY (BEG 01/2024$0$217,465$0$45,567$0$168,337$0$14,050$0$36,636$0$482,055$0$0
GOVER MARY KATHY
FORMER CNO - HOSPITAL FACILITY$0$241,501$0$78,210$0$21,991$0$17,182$0$20,738$0$379,622$0$0
SCOTT CLIFTON
COO - HOSPITAL FACILITY$0$254,594$0$54,357$0$18,308$0$13,448$0$22,399$0$363,106$0$0
TAYLOR WAYNE A
MKT DIRECTOR-PHARMACY$202,210$0$17,445$0$12,879$0$10,834$0$33,859$0$277,227$0$0$0
BELL MARGARET
HOSPICE MEDICAL DIRECTOR$216,753$0$18,213$0$2,967$0$10,939$0$25,884$0$274,756$0$0$0
PLEMONS JILLIAN SAYO
ASST NURSE MANAGER$169,198$0$2,307$0$23,246$0$8,547$0$31,254$0$234,552$0$0$0
WILLIAMS ANDREA KATHLEEN
DIRECTOR & HRBP PC & PCPW$149,906$0$21,017$0$10,696$0$5,684$0$21,193$0$208,496$0$0$0
LORENZO LISA
CLINICAL PHARMACIST$183,632$0$880$0$3,687$0$5,500$0$11,450$0$205,149$0$0$0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 1ATHE FILING ORGANIZATION IS A PART OF THE SYSTEM OF HEALTHCARE ORGANIZATIONS KNOWN AS ADVENTHEALTH. MEMBERS OF THE FILING ORGANIZATION'S EXECUTIVE MANAGEMENT TEAM THAT HOLD THE POSITION OF VICE-PRESIDENT OR ABOVE ARE COMPENSATED BY AND ON THE PAYROLL OF ADVENTIST HEALTH SYSTEM SUNBELT HEALTHCARE CORPORATION (AHSSHC), THE PARENT ORGANIZATION OF THE HEALTHCARE SYSTEM KNOWN AS ADVENTHEALTH. AHSSHC IS EXEMPT FROM FEDERAL INCOME TAX UNDER IRC SECTION 501(C)(3). THE FILING ORGANIZATION REIMBURSES AHSSHC FOR THE SALARY AND BENEFIT COST OF THOSE EXECUTIVES LISTED IN PART VII THAT ARE ON THE PAYROLL OF AHSSHC. AT THE DIRECTION OF AHSSHC, AND IN ACCORDANCE WITH THE RESERVED POWERS IN THE FILING ORGANIZATION'S GOVERNING DOCUMENTS, THE EXECUTIVE TEAM LISTED ON PART VII PROVIDES SERVICES TO THE FILING ORGANIZATION. FIRST-CLASS OR CHARTER TRAVEL: PURSUANT TO THE ADVENTHEALTH SYSTEM-WIDE GENERAL POLICY REGARDING BUSINESS TRAVEL, NO REIMBURSEMENT WILL BE PROVIDED FOR ANY ADDITIONAL COST INCURRED WITH RESPECT TO FIRST-CLASS OR CHARTER AIR TRAVEL BEYOND THE COST OF A REGULAR COACH AIRFARE. AS A MEANS OF PROVIDING ADDITIONAL BUSINESS TRAVEL REIMBURSEMENT FOR THOSE MEMBERS OF THE AHSSHC SENIOR EXECUTIVE MANAGEMENT TEAM THAT TRAVEL FREQUENTLY ON BEHALF OF ADVENTHEALTH, A SPECIAL ANNUAL TRAVEL ALLOWANCE IS PROVIDED FOR THOSE EXECUTIVES. AS ADVENTHEALTH OPERATES 51 HOSPITALS IN 9 STATES, THE SENIOR LEADERSHIP OF AHSSHC TRAVEL EXTENSIVELY AND OFTEN VISIT MULTIPLE HOSPITAL LOCATIONS IN DIFFERENT STATES AS A PART OF A SINGLE BUSINESS TRIP. THE SPECIAL TRAVEL ALLOWANCE CAN PROVIDE REIMBURSEMENTS TO THE EXECUTIVE FOR SUCH ITEMS AS THE PURCHASE OF AIR TRAVEL UPGRADE COUPONS OR TO COVER THE COST DIFFERENTIAL BETWEEN COACH AND FIRST-CLASS TRAVEL. THE SPECIAL TRAVEL ALLOWANCE BENEFIT WAS ORIGINALLY AUTHORIZED BY AND CODIFIED INTO A POLICY BY THE AHSSHC BOARD COMPENSATION COMMITTEE (THE COMMITTEE), AN INDEPENDENT BODY OF THE AHSSHC BOARD OF DIRECTORS, WHO ALSO APPROVES THE ANNUAL CAP ON THE AMOUNT OF THE ALLOWANCE. THE SPECIAL TRAVEL ALLOWANCE HAS AN ANNUAL CAP OF $33,500 FOR SENIOR AND SYSTEM EXECUTIVE VICE PRESIDENTS (GENERALLY 18 ADVENTHEALTH EXECUTIVE VICE PRESIDENTS) AND THE MULTI-STATE CFO, $20,000 FOR SYSTEM SENIOR VICE PRESIDENTS, REGIONAL CEO'S AND DIVISION CHIEF OFFICERS (GENERALLY 50-60 INDIVIDUAL EXECUTIVES) AND $7,500 FOR OTHER EXECUTIVES WHOSE ROLE REQUIRES EXTENSIVE TRAVEL (CURRENTLY 4), AS APPROVED BY THE ADVENTHEALTH CEO. THE ADVENTHEALTH SYSTEM CEO DOES NOT HAVE AN ANNUAL CAP. A REGIONAL CEO, DIVISIONAL CFO, AND DIVISIONAL CNO FOR ADVENTHEALTH ARE MEMBERS OF THE BOARD OF DIRECTORS OF THE FILING ORGANIZATION. THE REGIONAL CEO, DIVISIONAL CFO, AND DIVISIONAL CNO ARE CONSIDERED COMMON LAW EMPLOYEES OF AND ARE ON THE PAYROLL OF AHSSHC. WHILE THE SPECIAL TRAVEL ALLOWANCE BENEFIT IS AN AHSSHC COMPENSATION POLICY AND PRACTICE, THE COST OF PROVIDING THIS BENEFIT IS ALLOCATED TO AND EITHER WHOLLY OR PARTIALLY REIMBURSED BY THE FILING ORGANIZATION. ACCORDINGLY, THE FILING ORGANIZATION HAS CHECKED THE BOX IN SCHEDULE J, PART I, LINE 1A FOR FIRST-CLASS OR CHARTER TRAVEL SINCE IT HAS WHOLLY OR PARTIALLY PAID FOR THE COST OF PROVIDING THIS BENEFIT. THOSE EXECUTIVES WHO RECEIVE THE SPECIAL TRAVEL ALLOWANCE ARE RESPONSIBLE FOR TRACKING THE EXPENSES REIMBURSABLE UNDER THE SPECIAL TRAVEL ALLOWANCE AND MUST SUBMIT SUCH EXPENSES ON THEIR ACCOUNTABLE PLAN EXPENSE REPORT. ANY TAXABLE REIMBURSEMENTS MADE TO EXECUTIVES UNDER THE SPECIAL TRAVEL ALLOWANCE ARRANGEMENT ARE TREATED AS TAXABLE COMPENSATION TO THE EXECUTIVE. TRAVEL FOR COMPANIONS: AHSSHC HAS A CORPORATE EXECUTIVE POLICY THAT PROVIDES A BENEFIT TO ALLOW FOR A TRAVELING AHSSHC EXECUTIVE TO HAVE HIS OR HER SPOUSE ACCOMPANY THE EXECUTIVE ON CERTAIN BUSINESS TRIPS EACH YEAR. TYPICALLY, REIMBURSEMENT IS ONLY PROVIDED TO CERTAIN EXECUTIVE LEADERS AND IS USUALLY LIMITED TO ONE BUSINESS TRIP PER YEAR BEYOND THE ANNUAL ADVENTHEALTH PRESIDENT'S COUNCIL BUSINESS MEETING AND OTHER MEETINGS WHERE THE SPOUSE IS SPECIFICALLY INVITED. THE AHSSHC CORPORATE EXECUTIVE SPOUSAL TRAVEL POLICY WAS ORIGINALLY APPROVED AND REVIEWED BY THE AHSSHC BOARD COMPENSATION COMMITTEE, AN INDEPENDENT BODY OF THE AHSSHC BOARD OF DIRECTORS. ALL SPOUSAL TRAVEL COSTS REIMBURSED TO THE EXECUTIVE ARE CONSIDERED TAXABLE COMPENSATION TO THE EXECUTIVE. TAX INDEMNIFICATION AND GROSS-UP PAYMENTS: ADVENTHEALTH HAS A SYSTEM-WIDE GENERAL POLICY ADDRESSING GROSS-UP PAYMENTS PROVIDED IN CONNECTION WITH EMPLOYER-PROVIDED BENEFITS (OTHER THAN RELOCATION ASSISTANCE PROVIDED TO EXECUTIVES). UNDER THE POLICY, CERTAIN TAXABLE BUSINESS-RELATED REIMBURSEMENTS THAT ARE PROVIDED TO ANY EMPLOYEE MAY BE GROSSED UP AT A 25% RATE UPON APPROVAL BY THE FILING ORGANIZATION'S CEO AND CFO. ADDITIONALLY, EMPLOYEES AT THE DIRECTOR LEVEL AND ABOVE ARE ELIGIBLE FOR GROSS-UP PAYMENTS ON GIFTS RECEIVED FOR BOARD OF DIRECTOR SERVICES. DISCRETIONARY SPENDING ACCOUNT: OCCASIONAL DISCRETIONARY SPENDING AMOUNTS ARE PERIODICALLY PROVIDED TO ELIGIBLE EXECUTIVES WHO ATTEND ANNUAL BUSINESS MEETINGS SUCH AS THE ADVENTHEALTH PRESIDENT'S COUNCIL, CFO CONFERENCE OR THE CMO/CNO BUSINESS MEETING. PAYMENTS PROVIDED TO EACH EXECUTIVE ARE CONSIDERED TAXABLE COMPENSATION TO THE EXECUTIVE. HOUSING ALLOWANCE OR RESIDENCE FOR PERSONAL USE: AHSSHC HAS A CORPORATE EXECUTIVE POLICY THAT ADDRESSES ASSISTANCE TO EXECUTIVES WHO HAVE BEEN RELOCATED BY THE COMPANY DURING THE YEAR. RELOCATION ASSISTANCE PROVIDED TO EXECUTIVES MAY INCLUDE RELOCATION ALLOWANCES TO ASSIST WITH DUPLICATE HOUSING EXPENSES. RELOCATION ASSISTANCE IS ADMINISTERED PER AHSSHC POLICY BY AN EXTERNAL RELOCATION COMPANY. ALL 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. CERTAIN TAXABLE REIMBURSEMENTS INCLUDE A GROSS-UP AMOUNT FOR FEDERAL AND STATE INCOME TAXES.
PART I, LINE 3THE INDIVIDUAL WHO SERVES AS THE CEO OF THE FILING ORGANIZATION IS APPOINTED AND COMPENSATED BY ADVENTIST HEALTH SYSTEM SUNBELT HEALTHCARE CORPORATION (AHSSHC). COMPENSATION AND BENEFITS PROVIDED TO THIS INDIVIDUAL ARE DETERMINED PURSUANT TO POLICIES, PROCEDURES, AND PROCESSES OF AHSSHC THAT ARE DESIGNED TO ENSURE COMPLIANCE WITH THE INTERMEDIATE SANCTIONS LAWS AS SET FORTH IN IRC SECTION 4958. AHSSHC HAS TAKEN STEPS TO ENSURE THAT PROCESSES ARE IN PLACE TO SATISFY THE REBUTTABLE PRESUMPTION OF REASONABLENESS STANDARD AS SET FORTH IN TREASURY REGULATION SECTION 53.4958-6 WITH RESPECT TO ITS ACTIVE EXECUTIVE-LEVEL POSITIONS. THE AHSSHC BOARD COMPENSATION COMMITTEE (THE COMMITTEE) SERVES AS THE GOVERNING BODY FOR ALL EXECUTIVE COMPENSATION MATTERS. THE COMMITTEE IS COMPOSED OF CERTAIN MEMBERS OF THE BOARD OF DIRECTORS (THE BOARD) OF AHSSHC. VOTING MEMBERS OF THE COMMITTEE INCLUDE ONLY INDIVIDUALS WHO SERVE ON THE BOARD AS INDEPENDENT REPRESENTATIVES, WHO HOLD NO EMPLOYMENT POSITIONS WITH AHSSHC AND WHO DO NOT HAVE RELATIONSHIPS WITH ANY OF THE INDIVIDUALS WHOSE COMPENSATION IS UNDER THEIR REVIEW THAT IMPACTS THEIR BEST INDEPENDENT JUDGMENT AS FIDUCIARIES OF AHSSHC. THE COMMITTEE'S ROLE IS TO REVIEW AND APPROVE ALL COMPONENTS OF THE EXECUTIVE COMPENSATION PLAN OF AHSSHC. AS AN INDEPENDENT GOVERNING BODY WITH RESPECT TO EXECUTIVE COMPENSATION, IT SHOULD BE NOTED THAT THE COMMITTEE WILL OFTEN CONFER IN EXECUTIVE SESSIONS ON MATTERS OF COMPENSATION POLICY AND POLICY CHANGES. IN SUCH EXECUTIVE SESSIONS, NO MEMBERS OF MANAGEMENT OF AHSSHC ARE PRESENT, OTHER THAN THE CHIEF PEOPLE OFFICER, WHO REMAINS AT THE REQUEST OF THE CHAIRMAN/COMMITTEE TO PROVIDE ASSISTANCE/INFORMATION AS NEEDED. THE COMMITTEE IS ADVISED BY AN INDEPENDENT THIRD-PARTY COMPENSATION ADVISOR. THIS ADVISOR PREPARES ALL THE BENCHMARK STUDIES FOR THE COMMITTEE. COMPENSATION LEVELS ARE BENCHMARKED WITH A NATIONAL PEER GROUP OF OTHER NOT-FOR-PROFIT HEALTHCARE SYSTEMS AND HOSPITALS OF SIMILAR SIZE AND COMPLEXITY TO ADVENTHEALTH AND EACH OF ITS AFFILIATED ENTITIES. THE FOLLOWING PRINCIPLES GUIDE THE ESTABLISHMENT OF INDIVIDUAL EXECUTIVE COMPENSATION: - THE SALARY OF THE PRESIDENT/CEO OF ADVENTHEALTH WILL NOT EXCEED THE 50TH PERCENTILE OF COMPARABLE SALARIES PAID BY SIMILARLY SITUATED ORGANIZATIONS; AND - OTHER EXECUTIVE SALARIES SHALL BE ESTABLISHED USING MARKET MEDIANS. THE COMPENSATION PHILOSOPHY, POLICIES, AND PRACTICES OF AHSSHC ARE CONSISTENT WITH THE ORGANIZATION'S FAITH-BASED MISSION AND CONFORM TO APPLICABLE LAWS, REGULATIONS, AND BUSINESS PRACTICES. AS A FAITH-BASED ORGANIZATION SPONSORED BY THE SEVENTH-DAY ADVENTIST CHURCH (THE CHURCH), AHSSHC'S PHILOSOPHY AND PRINCIPLES WITH RESPECT TO ITS EXECUTIVE COMPENSATION PRACTICES REFLECT THE CONSERVATIVE APPROACH OF THE CHURCH'S MISSION OF SERVICE AND WERE DEVELOPED IN COUNSEL WITH THE CHURCH'S LEADERSHIP.
PART I, LINE 4BAS DISCUSSED IN LINE 1A ABOVE, EXECUTIVES ON THE FILING ORGANIZATION'S MANAGEMENT TEAM THAT HOLD THE POSITION OF VICE-PRESIDENT OR ABOVE ARE COMPENSATED BY AND ON THE PAYROLL OF ADVENTIST HEALTH SYSTEM SUNBELT HEALTHCARE CORPORATION (AHSSHC), THE PARENT ORGANIZATION OF THE HEALTHCARE SYSTEM KNOWN AS ADVENTHEALTH. IN RECOGNITION OF THE CONTRIBUTION THAT EACH EXECUTIVE MAKES TO THE SUCCESS OF ADVENTHEALTH, ADVENTHEALTH PROVIDES SUPPLEMENTAL EXECUTIVE RETIREMENT BENEFIT PLANS TO ELIGIBLE EXECUTIVES. AS THE SUPPLEMENTAL EXECUTIVE RETIREMENT BENEFIT PLANS WERE UPDATED IN 2020 AND CERTAIN INDIVIDUALS STILL PARTICIPATE AS GRAND-FATHERED PARTICIPANTS IN CERTAIN PLANS, THE NARRATIVE BELOW DISCUSSES ALL PLANS IN WHICH THERE WERE ANY PARTICIPANTS IN 2024. THE SERP III PLAN EFFECTIVELY REPLACES THE PRIOR SERP II PLAN, THE EXECUTIVE FLEX BENEFIT PROGRAM PLAN, AND THE SENIOR EXECUTIVE DEATH BENEFIT PLAN FOR QUALIFIED EXECUTIVES EXCEPT FOR CERTAIN GRANDFATHERED EXECUTIVE EMPLOYEES. SERP III PLAN: THE SERP III PLAN PROVIDES ELIGIBLE EXECUTIVES A PERCENTAGE OF THEIR BASE PAY, WHICH IS CREDITED TO A DEFERRED COMPENSATION ACCOUNT. THE PLAN ALSO PROVIDES FOR COMPENSATION DEFERRAL AND SELECTION OF LIFE INSURANCE COVERAGE AND LONG-TERM CARE INSURANCE. TO BE ELIGIBLE TO PARTICIPATE IN THE SERP III PLAN, EXECUTIVES MUST BE ON THE AHSSHC CORPORATE PAYROLL AND BE EITHER A CEO OF AN ADVENTHEALTH ENTITY, AN AHSSHC VICE PRESIDENT (VP) OR VP OF AN ADVENTHEALTH ENTITY WITH A BASE SALARY OF AT LEAST $345,000 IN 2024 (ADJUSTED ANNUALLY BY THE SAME PERCENTAGE AS IRC SECTION 401(A)(17) LIMIT INCREASES), OR OTHER LEADER SPECIFICALLY APPROVED BY THE ADVENTHEALTH PRESIDENT. ELIGIBLE EXECUTIVES DO NOT INCLUDE GRANDFATHERED EXECUTIVES, MEANING THOSE EXECUTIVES WHO WOULD SATISFY ALL THE ELIGIBILITY REQUIREMENTS OF THE SERP II PLAN PRIOR TO DEC 31, 2027, HAD THE PLAN NOT BEEN AMENDED AND RESTATED AS OF JAN. 1, 2020. CONTRIBUTION CREDITS WILL BE ESTABLISHED AND MAINTAINED BY CLASS YEAR ACCOUNTS FOR EACH PARTICIPANT USING TIERED CONTRIBUTION CREDIT PERCENTAGES OF ANNUAL BASE COMPENSATION. CONTRIBUTION CREDIT PERCENTAGES RANGE BETWEEN 15% AND 19% OF BASE COMPENSATION. CONTRIBUTION CREDITS WILL BE MADE EACH QUARTER IN 25% INCREMENTS WITH REDUCTIONS IN CONTRIBUTIONS IF THE EXECUTIVE IS ALSO A GRANDFATHERED FLEX PARTICIPANT (SEE BELOW). SERP III PROVIDES FOR A CLASS YEAR VESTING AND PAYMENT SCHEDULE (7 YEARS FOR EACH CLASS YEAR) WITH RESPECT TO AMOUNTS ACCUMULATED IN THE EXECUTIVE'S DEFERRED COMPENSATION ACCOUNT. UPON ATTAINMENT OF A NORMAL RETIREMENT AGE (AGE 62), OR UPON CERTAIN OTHER CIRCUMSTANCES AS DEFINED IN THE SERP III PLAN DOCUMENT, ALL DEFERRED AMOUNTS ARE PAID IMMEDIATELY TO THE PARTICIPANT. FOR ANY EXECUTIVES WORKING BEYOND THE NORMAL RETIREMENT AGE, FUTURE EMPLOYER CONTRIBUTIONS WILL BE MADE QUARTERLY FROM SERP III DIRECTLY TO THE PARTICIPANT AS A TAXABLE CASH BONUS. SERP II PLAN: THE SERP II PLAN IS A DEFINED BENEFIT, NON-TAX-QUALIFIED DEFERRED COMPENSATION PLAN FOR CERTAIN EXECUTIVES WHO HAVE PROVIDED LENGTHY SERVICE TO ADVENTHEALTH AND/OR TO OTHER SEVENTH-DAY ADVENTIST CHURCH HOSPITALS OR HEALTH CARE INSTITUTIONS. UNDER THE PROVISIONS OF THE SERP II PLAN, BENEFITS ARE PROVIDED TO QUALIFYING EXECUTIVE PARTICIPANTS ON A PRO-RATA SCHEDULE BEGINNING WITH 20 YEARS OF SERVICE AS AN EMPLOYEE OF ADVENTHEALTH AND/OR ANOTHER HOSPITAL OR HEALTH CARE INSTITUTION CONTROLLED BY THE SEVENTH-DAY ADVENTIST CHURCH AND WHO SATISFY CERTAIN OTHER QUALIFYING CRITERIA. ELIGIBLE EMPLOYEES ARE RESTRICTED TO THOSE EXECUTIVES WHO, AS OF JANUARY 1, 2020, SATISFIED, OR IF EMPLOYMENT CONTINUES, WILL SATISFY THE ELIGIBILITY REQUIREMENTS OF SERP II PRIOR TO DECEMBER 31, 2027. THIS SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP II) WAS DESIGNED TO PROVIDE ELIGIBLE EXECUTIVES WITH THE ECONOMIC EQUIVALENT OF AN ANNUAL INCOME BEGINNING AT NORMAL RETIREMENT AGE EQUAL TO 60% OF THE AVERAGE OF THE PARTICIPANT'S THREE, FIVE OR SEVEN HIGHEST YEARS OF BASE SALARY FROM ADVENTHEALTH ACTIVE EMPLOYMENT INCLUSIVE OF INCOME FROM ALL OTHER SEVENTH-DAY ADVENTIST CHURCH HEALTHCARE EMPLOYER-FINANCED RETIREMENT INCOME SOURCES AND INVESTMENT INCOME EARNED ON THOSE CONTRIBUTIONS THROUGH SOCIAL SECURITY NORMAL RETIREMENT AGE AS DEFINED IN THE PLAN. THE NUMBER OF YEARS INCLUDED IN HIGHEST AVERAGE COMPENSATION IS DETERMINED BY THE INDIVIDUAL'S YEAR OF ENTRY TO SERP II AND BY THE INDIVIDUAL'S YEAR OF ENTRY TO THE ADVENTHEALTH EXECUTIVE FLEX BENEFIT PROGRAM. FLEX PLAN: THE FLEX PLAN WAS ORIGINALLY DESIGNED TO PROVIDE ELIGIBLE EXECUTIVES AN OPPORTUNITY TO SELECT FROM AMONG A VARIETY OF SUPPLEMENTAL BENEFITS, INCLUDING A SPLIT DOLLAR LIFE INSURANCE POLICY AND LONG-TERM CARE INSURANCE, TO INDIVIDUALLY TAILOR A BENEFITS PROGRAM APPROPRIATE TO EACH EXECUTIVE'S NEEDS. IN 2020, THE FLEX PLAN WAS AMENDED TO EXCLUDE EMPLOYED EXECUTIVES WHO ARE HIRED OR PROMOTED AFTER A CERTAIN DATE FROM BEING ELIGIBLE TO PARTICIPATE IN THE FLEX PLAN EXCEPT FOR CERTAIN INSURANCE COVERAGE FEATURES OF THE PLAN. THE FLEX PLAN PROVIDES ELIGIBLE PARTICIPANTS A PRE-DETERMINED BENEFITS ALLOWANCE CREDIT THAT IS EQUAL TO A PERCENTAGE OF THE EXECUTIVE'S BASE PAY FROM WHICH THE COST OF MANDATORY AND ELECTIVE EMPLOYEE BENEFITS IS DEDUCTED. THE BENEFITS ALLOWANCE CREDIT PERCENTAGE FOR ANY PLAN YEAR SHALL NOT BE GREATER THAN THE MAXIMUM DOLLAR AMOUNT OR THE PERCENTAGE OF COMPENSATION AS DETERMINED BY THE ADVENTHEALTH BENEFITS ADMINISTRATION COMMITTEE. FOR GRANDFATHERED ELIGIBLE EMPLOYEES, THE ANNUAL PRE-DETERMINED FLEX ALLOWANCE IS CONTRIBUTED AND ANY FUNDS THAT REMAIN AFTER THE COST OF MANDATORY AND ELECTIVE BENEFITS ARE SUBTRACTED ARE, AT THE EMPLOYEE'S OPTION, CONTRIBUTED TO EITHER AN IRC 457(F) DEFERRED COMPENSATION ACCOUNT OR TO AN IRC 457(B) ELIGIBLE DEFERRED COMPENSATION PLAN. UPON ATTAINMENT OF AGE 65, ALL PREVIOUS 457(F) DEFERRED AMOUNTS ARE PAID IMMEDIATELY TO THE PARTICIPANT AND ANY FUTURE EMPLOYER CONTRIBUTIONS ARE MADE QUARTERLY FROM THE PLAN DIRECTLY TO THE PARTICIPANT. THE PLAN PROVIDES FOR A CLASS YEAR VESTING SCHEDULE (2 YEARS FOR EACH CLASS YEAR) WITH RESPECT TO AMOUNTS ACCUMULATED IN THE EXECUTIVE'S 457(F) DEFERRED COMPENSATION ACCOUNT. DISTRIBUTIONS COULD ALSO BE MADE FROM THE EXECUTIVE'S 457(F) DEFERRED COMPENSATION ACCOUNT UPON ATTAINMENT OF AGE 65 OR UPON AN INVOLUNTARY SEPARATION. THE ACCOUNT WILL BE FORFEITED BY THE EXECUTIVE UPON A VOLUNTARY SEPARATION. WITH RESPECT TO GRANDFATHERED PARTICIPANTS, THE FLEX PLAN DOCUMENTS DEFINE ELIGIBLE EMPLOYEES TO INCLUDE THE CHIEF EXECUTIVE OFFICERS OF ADVENTHEALTH ENTITIES AND VICE PRESIDENTS OF ALL ADVENTHEALTH ENTITIES WHOSE BASE SALARY WAS AT LEAST EQUAL TO THE INTERNAL REVENUE CODE SECTION 401(A)(17) COMPENSATION LIMIT EACH YEAR. FLEX PLAN FLEX PLAN SERP II SERP III CONTR. DISTR.* CONTR./DISTR. CONTR. HAFFNER, PHD, RANDALL $ 160,890 $ 137,319 $ 1,972 $ 0 GOODMAN, TODD $ 160,890 $ 137,319 $ 150,594 $ 0 GREGORY, PHD, AUDREY $ 0 $ 0 $ 0 $ 197,198 CELANO, PATRICIA $ 135,261 $ 98,573 $ 264,822 $ 0 BALES-CHUBB, DENYSE $ 96,335 $ 101,767 $ 0 $ 8,102 THOMAS, DEBORA $ 98,357 $ 57,610 $ 0 $ 0 KILMAN, MD, MARK $ 70,868 $ 45,693 $ 0 $ 4,752 HERBERT, MD, TERESA $ 39,483 $ 15,709 $ 0 $ 19,617 GOEB-BURKETT, MICHELLE $ 40,892 $ 37,624 $ 0 $ 0 DOMAYER, CORY $ 0 $ 0 $ 0 $ 53,553 RATHBUN, MARK $ 0 $ 0 $ 0 $ 48,185 DE AQUINO, WALLY $ 0 $ 0 $ 0 $ 46,946 BRAZIER, JESSICA $ 0 $ 0 $ 0 $ 49,500 SERP III DISTR.* BALES-CHUBB, DENYSE $ 47,052 HERBERT, MD, TERESA $ 19,617 * INCLUDING INVESTMENT EARNINGS

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (14 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART V, LINE 1ATHE PARENT CORPORATION AND SOLE TOP-TIER MEMBER OF MEMORIAL HOSPITAL FLAGLER, INC. (THE FILING ORGANIZATION) IS ADVENTIST HEALTH SYSTEM SUNBELT HEALTHCARE CORPORATION (AHSSHC). AHSSHC IS A FLORIDA, NOT-FOR-PROFIT CORPORATION THAT IS EXEMPT FROM FEDERAL INCOME TAX UNDER INTERNAL REVENUE CODE (IRC) SECTION 501(C)(3). AHSSHC HAS ESTABLISHED A SHARED SERVICE CENTER TO CENTRALIZE THE ACCOUNTS PAYABLE (A/P) FUNCTION FOR ALL AHSSHC SUBSIDIARY ORGANIZATIONS. THE FILING ORGANIZATION HAS ENTERED "0" IN PART V, LINE 1A BECAUSE THE FILING ORGANIZATION NO LONGER ISSUES FORM 1099 RETURNS, RATHER, ALL SUCH RETURNS ARE FILED BY AND UNDER THE NAME AND EIN OF AHSSHC AS THE PAYOR SUBJECT TO THE INFORMATION REPORTING REQUIREMENTS OF SECTION 6041. THE FACTS AND CIRCUMSTANCES SUPPORT A POSITION THAT AHSSHC, AS A PAYOR ON BEHALF OF ITS SUBSIDIARY ORGANIZATIONS IN A SHARED SERVICE ENVIRONMENT, WILL HAVE SUFFICIENT MANAGEMENT AND OVERSIGHT IN CONNECTION WITH THE SUBSIDIARY ORGANIZATIONS' PAYMENTS TO MEET THE STANDARD SET FORTH IN TREAS. REG. SECTION 1.6041-1(E). AHSSHC WILL NOT MERELY BE MAKING PAYMENTS AT THE DIRECTION OF ITS SUBSIDIARY ORGANIZATIONS. ACCORDINGLY, AHSSHC IS CONSIDERED THE PAYOR SUBJECT TO THE INFORMATION REPORTING REQUIREMENTS OF SECTION 6041.
FORM 990, PART VI, SECTION A, LINE 6MEMORIAL HOSPITAL FLAGLER, INC. (THE FILING ORGANIZATION) HAS ONE MEMBER. THE SOLE MEMBER OF THE FILING ORGANIZATION IS MEMORIAL HEALTH SYSTEMS, INC. MEMORIAL HEALTH SYSTEMS, INC. (MHS) 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 7ATHE SOLE MEMBER OF THE FILING ORGANIZATION IS MHS. THE BOARD OF DIRECTORS OF THE FILING ORGANIZATION ARE APPOINTED BY THE SOLE MEMBER, MHS, 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 7BMEMORIAL HEALTH SYSTEMS, INC, AS THE SOLE MEMBER OF THE FILING ORGANIZATION, AND ADVENTIST HEALTH SYSTEM SUNBELT HEALTHCARE CORPORATION, AS THE TOP-TIER MEMBER OF THE FILING ORGANIZATION, HAVE CERTAIN RESERVED POWERS AS SET FORTH IN THE BYLAWS OF THE FILING ORGANIZATION. THESE RESERVED POWERS INCLUDE THE FOLLOWING: A) TO APPROVE AND DISAPPROVE THE EXECUTIVE AND/OR ADMINISTRATIVE LEADERSHIP OF THE FILING ORGANIZATION, AND THEIR SALARIES; B) TO ADOPT, AMEND, RESTATE, AND REPEAL THE ARTICLES OF INCORPORATION OR BYLAWS OF THE FILING ORGANIZATION; C) TO SET LIMITS AND TERMS FOR THE BORROWING OF FUNDS EXCEEDING $100,000; D) TO APPROVE OR DISAPPROVE THE PURCHASE OR SALE OF PERSONAL PROPERTY OR REAL PROPERTY EQUAL TO OR IN EXCESS OF CERTAIN DOLLAR AMOUNT THRESHOLDS; E) TO APPROVE OR DISAPPROVE THE ANNUAL OPERATING AND CAPITAL BUDGETS AND STRATEGIC PLANS OF THE FILING ORGANIZATION; F) TO APPROVE OR DISAPPROVE CAPITAL EXPENDITURES IN EXCESS OF $1,000,000; G) TO APPROVE OR DISAPPROVE PERFORMANCE/QUALITY IMPROVEMENT AND CASE MANAGEMENT PROGRAMS; H) TO APPROVE THE APPOINTMENT OF AN AUDITING FIRM AND ELECTION OF THE FISCAL YEAR FOR THE FILING ORGANIZATION; I) TO APPROVE OR DISAPPROVE MATERIAL CHANGES IN SERVICES OFFERED BY THE FILING ORGANIZATION; J) THE AUTHORITY TO REQUIRE THE FILING ORGANIZATION'S ADHERENCE TO POLICIES ADOPTED BY THE MEMBER OR AHSSHC; K) THE AUTHORITY TO SECURE NAMING RIGHTS AND TO DIRECT THE PLACEMENT OF FUNDS AND CAPITAL AND THE MAKING OF GIFTS, SPONSORSHIPS, DONATIONS, LOANS AND TRANSFERS OF FUNDS OR OTHER ASSETS BY THE FILING ORGANIZATION IN EXCESS OF $1,000,000; L) TO APPROVE OR DISAPPROVE THE SALE, PURCHASE, DONATION, OR OTHER CONVEYANCE OF PERSONAL PROPERTY WITH A VALUE IN EXCESS OF $1,000,000 NOT OTHERWISE APPROVED IN THE CURRENT CAPITAL OR OPERATING BUDGETS; M) TO APPROVE OR DISAPPROVE THE IMPLEMENTATION OF NON-TRADITIONAL, NON-HEALTHCARE RELATED ACTIVITIES; N) TO APPROVE OR DISAPPROVE THE SELECTION OF THE FILING ORGANIZATION'S GROUP PURCHASING ORGANIZATION(S); O) TO APPROVE OR DISAPPROVE ANY JOINT VENTURE OR PARTNERSHIP IN WHICH THE FILING ORGANIZATION WOULD BE A MEMBER OR PARTNER; P) TO APPROVE THE IT SYSTEMS USED BY THE FILING ORGANIZATION; Q) THE AUTHORITY TO REQUIRE THE FILING ORGANIZATION'S ADHERENCE TO THE SYSTEM-WIDE NAMING NOMENCLATURE ADOPTED BY THE MEMBER OR AHSSHC; AND R) THE AUTHORITY TO SET AND ENFORCE POLICIES FOR PHYSICIAN COMPENSATION INCLUDING COMMERCIAL REASONABLENESS AND FAIR MARKET VALUE.
FORM 990, PART VI, SECTION B, LINE 11BTHE 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 12CTHE BOARD/OFFICER CONFLICT-OF-INTEREST POLICY OF THE FILING ORGANIZATION APPLIES TO MEMBERS OF ITS BOARD OF DIRECTORS AND ITS PRINCIPAL OFFICERS (TO BE KNOWN AS INTERESTED PERSONS). IN CONNECTION WITH ANY ACTUAL OR POSSIBLE CONFLICTS OF INTEREST, ANY MEMBER OF THE BOARD OF DIRECTORS OF THE FILING ORGANIZATION OR ANY PRINCIPAL OFFICER OF THE FILING ORGANIZATION (I.E. INTERESTED PERSONS) MUST DISCLOSE THE EXISTENCE OF ANY FINANCIAL INTEREST WITH THE FILING ORGANIZATION AND MUST BE GIVEN THE OPPORTUNITY TO DISCLOSE ALL MATERIAL FACTS CONCERNING THE FINANCIAL INTEREST/ARRANGEMENT TO THE BOARD OF DIRECTORS OF THE FILING ORGANIZATION OR TO ANY MEMBERS OF A COMMITTEE WITH BOARD DELEGATED POWERS THAT IS CONSIDERING THE PROPOSED TRANSACTION OR ARRANGEMENT. SUBSEQUENT TO ANY DISCLOSURE OF ANY FINANCIAL INTEREST/ARRANGEMENT AND ALL MATERIAL FACTS, AND AFTER ANY DISCUSSION WITH THE RELEVANT BOARD MEMBER OR PRINCIPAL OFFICER, THE REMAINING MEMBERS OF THE BOARD OF DIRECTORS OR COMMITTEE WITH BOARD DELEGATED POWERS SHALL DISCUSS, ANALYZE, AND VOTE UPON THE POTENTIAL FINANCIAL INTEREST/ARRANGEMENT TO DETERMINE IF A CONFLICT OF INTEREST EXISTS. ACCORDING TO THE FILING ORGANIZATION'S CONFLICT OF INTEREST POLICY, AN INTERESTED PERSON MAY MAKE A PRESENTATION TO THE BOARD OF DIRECTORS (OR COMMITTEE WITH BOARD DELEGATED POWERS), BUT AFTER SUCH PRESENTATION, SHALL LEAVE THE MEETING DURING THE DISCUSSION OF, AND THE VOTE ON, THE TRANSACTION OR ARRANGEMENT THAT RESULTS IN A CONFLICT OF INTEREST. EACH INTERESTED PERSON, AS DEFINED UNDER THE FILING ORGANIZATION'S CONFLICT OF INTEREST POLICY, SHALL ANNUALLY SIGN A STATEMENT WHICH AFFIRMS THAT SUCH PERSON HAS RECEIVED A COPY OF THE CONFLICT OF INTEREST POLICY, HAS READ AND UNDERSTANDS THE POLICY, HAS AGREED TO COMPLY WITH THE POLICY, AND UNDERSTANDS THAT THE FILING ORGANIZATION IS A CHARITABLE ORGANIZATION THAT MUST PRIMARILY ENGAGE IN ACTIVITIES WHICH ACCOMPLISH ONE OR MORE OF ITS EXEMPT PURPOSES. THE FILING ORGANIZATION'S CONFLICT OF INTEREST POLICY ALSO REQUIRES THAT PERIODIC REVIEWS SHALL BE CONDUCTED TO ENSURE THAT THE FILING ORGANIZATION OPERATES IN A MANNER CONSISTENT WITH ITS CHARITABLE PURPOSES.
FORM 990, PART VI, SECTION B, LINE 15THE FILING ORGANIZATION'S CEO, OTHER OFFICERS AND KEY EMPLOYEES ARE NOT COMPENSATED BY THE FILING ORGANIZATION. SUCH INDIVIDUALS ARE COMPENSATED BY THE RELATED TOP-TIER PARENT ORGANIZATION OF THE FILING ORGANIZATION. PLEASE SEE THE DISCUSSION CONCERNING THE PROCESS FOLLOWED BY THE RELATED TOP-TIER PARENT ORGANIZATION IN DETERMINING EXECUTIVE COMPENSATION IN OUR RESPONSE TO SCHEDULE J, LINE 3.
FORM 990, PART VI, SECTION C, LINE 19THE FILING ORGANIZATION IS A PART OF THE SYSTEM OF HEALTHCARE ORGANIZATIONS KNOWN AS ADVENTHEALTH. THE AUDITED CONSOLIDATED FINANCIAL STATEMENTS OF ADVENTHEALTH AND OF THE ADVENTHEALTH "OBLIGATED GROUP" ARE FILED ANNUALLY WITH THE MUNICIPAL SECURITIES RULEMAKING BOARD (MSRB). THE "OBLIGATED GROUP" IS A GROUP OF AHSSHC SUBSIDIARIES THAT ARE JOINTLY AND SEVERALLY LIABLE UNDER A MASTER TRUST INDENTURE THAT SECURES DEBT PRIMARILY ISSUED ON A TAX-EXEMPT BASIS. UNAUDITED QUARTERLY FINANCIAL STATEMENTS PREPARED IN ACCORDANCE WITH GENERALLY ACCEPTED ACCOUNTING PRINCIPLES (GAAP) ARE ALSO FILED WITH MSRB FOR ADVENTHEALTH ON A CONSOLIDATED BASIS AND FOR THE GROUPING OF ADVENTHEALTH SUBSIDIARIES COMPRISING THE "OBLIGATED GROUP". THE FILING ORGANIZATION DOES NOT GENERALLY MAKE ITS GOVERNING DOCUMENTS OR CONFLICT OF INTEREST POLICY AVAILABLE TO THE PUBLIC.
PART VII, SECTION AFOR THOSE BOARD OF DIRECTOR MEMBERS (NOT INCLUDING PHYSICIAN MEMBERS OF THE BOARD), OFFICER(S) AND KEY EMPLOYEES WHO DEVOTE LESS THAN FULL-TIME TO THE FILING ORGANIZATION (BASED UPON THE AVERAGE NUMBER OF HOURS PER WEEK SHOWN IN COLUMN (B) ON PAGE 7 OF THE RETURN) THE COMPENSATION AMOUNTS SHOWN IN COLUMNS (E) AND (F) ON PAGE 7 WERE PROVIDED IN CONJUNCTION WITH THAT PERSON'S RESPONSIBILITIES AND ROLES IN SERVING IN AN EXECUTIVE LEADERSHIP POSITION AS AN EMPLOYEE OF ADVENTIST HEALTH SYSTEM SUNBELT HEALTHCARE CORPORATION. PHYSICIAN MEMBERS OF THE BOARD OF DIRECTORS RECEIVED COMPENSATION FROM RELATED ORGANIZATIONS AS A RESULT OF PROVIDING VARIOUS MEDICAL SERVICES TO THOSE RELATED ENTITIES.
PART VIII, LINES 7A, B AND C:THE AMOUNTS SHOWN IN PART VIII, LINE 7, COLUMN (I) OF THE FORM 990 REPRESENT AN ALLOCATED SHARE OF CAPITAL GAIN/(LOSS) FROM A SYSTEM WIDE, CORPORATE ADMINISTERED, INVESTMENT PROGRAM.
FORM 990, PART IX, LINE 11GPAYMENTS TO HEALTHCARE PROFESSIONALS: PROGRAM SERVICE EXPENSES 35,595,672. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 35,595,672. PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 5,220,385. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 5,220,385. PURCHASED MEDICAL SERVICES: PROGRAM SERVICE EXPENSES 35,193,757. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 35,193,757. ENVIRONMENTAL SERVICES: PROGRAM SERVICE EXPENSES 765,985. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 765,985. TRANSCRIPTION SERVICES: PROGRAM SERVICE EXPENSES 50,774. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 50,774. RECRUITING: PROGRAM SERVICE EXPENSES 774,750. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 774,750. MISCELLANEOUS PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 2,768,376. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,768,376. ADVENTHEALTH MANAGEMENT FEES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 7,421,171. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 7,421,171. BILLING & COLLECTION SERVICES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 1,141,508. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,141,508. ADVENTHEALTH SHARED SERVICES FEES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 2,450,788. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,450,788.
FORM 990, PART XI, LINE 9:ALLOCATION TO/FROM TAX-EXEMPT PARENT WITH RESPECT TO DEBT 17,982. TRANSFER TO TOP-TIER TAX-EXEMPT PARENT -3,422,201. AMOUNTS RELEASED FROM RESTRICTED -269,025. RESTRICTED TRANSFER FROM RELATED TAX-EXEMPT FOUNDATION 252,135. ROUNDING 3.
PART XII, LINE 3B - OMB CIRCULAR A-133 AUDITALTHOUGH THE TAXPAYER IS NOT REQUIRED TO UNDERGO AN AUDIT AS SET FORTH IN THE SINGLE AUDIT ACT AND OMB CIRCULAR A-133, THE TAXPAYER IS PART OF A CONTROLLED GROUP OF ORGANIZATIONS THAT COMPRISE A CONSOLIDATED FINANCIAL STATEMENT AUDIT. THE CONTROLLED GROUP'S PARENT IS ADVENTIST HEALTH SYSTEM SUNBELT HEALTHCARE CORPORATION (AHSSHC), A 501(C)(3) ORGANIZATION. THE SYSTEM OF HEALTHCARE ENTITIES OWNED AND CONTROLLED BY AHSSHC IS KNOWN AS ADVENTHEALTH. FOR THE YEAR ENDED DECEMBER 31, 2024, ADVENTHEALTH WILL FILE A CONSOLIDATED SINGLE AUDIT WHICH WILL INCLUDE ALL ENTITIES THAT ARE PART OF THE CONTROLLED GROUP.
PART X, LINE 2THE AMOUNTS SHOWN ON LINE 2 OF PART X OF THIS RETURN INCLUDE THE FILING ORGANIZATION'S INTEREST IN A CENTRAL INVESTMENT POOL MAINTAINED BY ADVENTIST HEALTH SYSTEM SUNBELT HEALTHCARE CORPORATION, THE FILING ORGANIZATION'S TOP-TIER PARENT. THE INVESTMENTS IN THE CENTRAL INVESTMENT POOL ARE RECORDED AT MARKET VALUE.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (87 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationIndDirect Controlling NADirectControllingNACd
ADVENTHEALTH BOND CLINIC FKA ADVENTHEALTH PCP NETWORK INC (722 - 1231
900 HOPE WAYALTAMONTE SPRINGSFL32714333559943OPERATION OF MEDICAL CLINICS & HEALTH CARE SERVICESFL501(C)(3)LINE 3ADVENTIST HLTH SYSTEM SUNBELT HLTHCARE CORPYes (1)
ADVENTHEALTH FAMILY MEDICINE RURAL HEALTH CLINICS INC
187 PR 4060LAMPASASTX76550271858033OPERATION OF RURAL HEALTH CLINICS & MEDICAL SERVICESFL501(C)(3)LINE 3METROPLEX ADVENTIST HOSPITAL INCYes (1)
ADVENTHEALTH FOUNDATION INC
900 HOPE WAYALTAMONTE SPRINGSFL32714592219301FUND-RAISING FOR AFFILIATED TAX-EXEMPT HOSPITALSFL501(C)(3)LINE 7ADVENTIST HLTH SYSTEM SUNBELT HLTHCARE CORPYes (1)
ADVENTHEALTH HOME HEALTH AND HOSPICE INC FKA HOSPICE OF THE COMFORTER INC
2600 WESTHALL LANE 2ND FLOORMAITLANDFL32751592935928OPERATION OF HOME HEALTH & HOSPICE SERVICESFL501(C)(3)LINE 10THE COMFORTER HEALTH CARE GROUP INCYes (1)
ADVENTHEALTH KANSAS CITY FOUNDATION
7315 E FRONTAGE ROADMERRIAMKS66204480868859FUND-RAISING FOR TAX-EXEMPT HOSPITALKS501(C)(3)LINE 7SHAWNEE MISSION MEDICAL CENTER INCYes (1)
ADVENTHEALTH PALM COAST PARKWAY INC
1 ADVENTHEALTH WAYPALM COASTFL32137882288563OPERATION OF HOSPITAL & RELATED SERVICESFL501(C)(3)LINE 3ADVENTIST HLTH SYSTEM SUNBELT HLTHCARE CORPYes (1)
ADVENTHEALTH POLK NORTH INC
40100 US HIGHWAY 27 NDAVENPORTFL33837841793121OPERATION OF HOSPITAL & RELATED SERVICESFL501(C)(3)LINE 3ADVENTIST HLTH SYSTEM SUNBELT HLTHCARE CORPYes (1)
ADVENTHEALTH POLK SOUTH INC
410 SOUTH 11TH STREETLAKE WALESFL33853834672945OPERATION OF HOSPITAL & RELATED SERVICESFL501(C)(3)LINE 3ADVENTIST HLTH SYSTEM SUNBELT HLTHCARE CORPYes (1)
ADVENTHEALTH PORT CHARLOTTE INC (112124 - 12312024)
2500 HARBOR BLVDPORT CHARLOTTEFL33952332257010FUTURE OPERATION OF HOSPITAL & RELATED SERVICESFL501(C)(3)LINE 3ADVENTIST HLTH SYSTEM SUNBELT HLTHCARE CORPYes (1)
ADVENTHEALTH PRIMARY CARE NETWORK INC
900 HOPE WAYALTAMONTE SPRINGSFL32714932208118OPERATION OF PHYSICIAN PRACTICES & MEDICAL SERVICESFL501(C)(3)LINE 3ADVENTIST HLTH SYSTEM SUNBELT HLTHCARE CORPYes (1)
ADVENTHEALTH PRIMARY HEALTH DIVISION INC (930 - 12312024)
900 HOPE WAYALTAMONTE SPRINGSFL32714335016341INACTIVEFL501(C)(3)LINE 12A, IADVENTIST HLTH SYSTEMSUNBELT INCYes (1)
ADVENTHEALTH RANSOM MEMORIAL INC
1301 S MAIN STREETOTTAWAKS66067830976641OPERATION OF HOSPITAL & RELATED SERVICESKS501(C)(3)LINE 3ADVENTIST HLTH MID-AMERICA INCYes (1)
ADVENTHEALTH RIVERVIEW INC
9330 US HIGHWAY 301 SRIVERVIEWFL33637870901094OPERATION OF HOSPITAL & RELATED SERVICESFL501(C)(3)LINE 3ADVENTIST HLTH SYSTEM SUNBELT HLTHCARE CORPYes (1)
ADVENTHEALTH SENIOR CARE INC
900 HOPE WAYALTAMONTE SPRINGSFL32714841817046OPERATION OF PHYSICIAN PRACTICES & MEDICAL SERVICESFL501(C)(3)LINE 3ADVENTIST HLTH SYSTEM SUNBELT HLTHCARE CORPYes (1)
ADVENTHEALTH SOUTH OVERLAND PARK INC
7820 W 165TH STREETOVERLAND PARKKS66223364595806OPERATION OF HOSPITAL & RELATED SERVICESKS501(C)(3)LINE 3ADVENTIST HLTH MID-AMERICA INCYes (1)
ADVENTHEALTH TEAM MEMBER SERVICES INC (1021 - 12312024)
900 HOPE WAYALTAMONTE SPRINGSFL32714331797512FUTURE PROFESSIONAL EMPLOYER ORGANIZATIONFL501(C)(3)LINE 12C, III-FIADVENTIST HLTH SYSTEM SUNBELT HLTHCARE CORPYes (1)
ADVENTHEALTH UNIVERSITY INC
671 WINYAH DRIVEORLANDOFL32803593069793EDUCATION/OPERATION OF SCHOOLFL501(C)(3)LINE 2ADVENTIST HLTH SYSTEMSUNBELT INCYes (1)
ADVENTHEALTH WEST FLORIDA AMBULATORY SERVICES INC
14055 RIVEREDGE DRIVE STE 250TAMPAFL33637471881744SUPPORT OF IMAGING CENTER & HOME HEALTH SUBSIDIARIESFL501(C)(3)LINE 12B, IIADVENTIST HLTH SYSTEM SUNBELT HLTHCARE CORPYes (1)
ADVENTHEALTH WEST FLORIDA IMAGING INC
14055 RIVEREDGE DRIVE STE 250TAMPAFL33637843225135IMAGING & TESTINGFL501(C)(3)LINE 3ADVENTHEALTH WEST FLORIDA AMBULATORY SERVICES INCYes (1)
ADVENTIST CARE CENTERS - COURTLAND INC (11 - 872024)
900 HOPE WAYALTAMONTE SPRINGSFL32714205774723OPERATION OF HOME FOR THE AGED/HLTHCARE DELIVERYFL501(C)(3)LINE 10SUNBELT HLTH CARE CENTERS INCYes (1)
ADVENTIST HEALTH MID-AMERICA INC
9100 W 74TH STREETSHAWNEE MISSIONKS66204521347407SUPPORT OF AFFILIATED HOSPITALKS501(C)(3)LINE 12C, III-FIADVENTIST HLTH SYSTEMSUNBELT INCYes (1)
ADVENTIST HEALTH SYSTEM GEORGIA INC
1035 RED BUD ROAD NECALHOUNGA30701581425000OPERATION OF HOSPITALS & RELATED SERVICESGA501(C)(3)LINE 3ADVENTIST HLTH SYSTEM SUNBELT HLTHCARE CORPYes (1)
ADVENTIST HLTH SYSTEM SUNBELT HLTHCARE CORP
900 HOPE WAYALTAMONTE SPRINGSFL32714592170012MANAGEMENT SERVICESFL501(C)(3)LINE 12A, I0N/A
ADVENTIST HLTH SYSTEMSUNBELT INC
900 HOPE WAYALTAMONTE SPRINGSFL32714591479658OPERATION OF HOSPITALS & RELATED SERVICESFL501(C)(3)LINE 3ADVENTIST HLTH SYSTEM SUNBELT HLTHCARE CORPYes (1)
ADVENTIST HLTH SYSTEMTEXAS INC
11801 S FREEWAYBURLESONTX76028742578952EMPLOYEE LEASING OF PERSONNEL TO AFFILIATED HOSPITALSTX501(C)(3)LINE 12C, III-FIADVENTIST HLTH SYSTEM SUNBELT HLTHCARE CORPYes (1)
AHS MIDWEST MANAGEMENT INC
5101 S WILLOW SPRINGS RDLA GRANGEIL60525363354567EMPLOYEE LEASING OF PERSONNEL TO SUPPORTED HOSPITALSIL501(C)(3)LINE 12C, III-FIADVENTIST HLTH SYSTEM SUNBELT HLTHCARE CORPYes (1)
APOPKA HEALTH CARE PROPERTIES INC (11 - 2172024)
900 HOPE WAYALTAMONTE SPRINGSFL32714510605694LEASE TO RELATED ORGANIZATIONGA501(C)(3)LINE 12C, III-FISUNBELT HLTH CARE CENTERS INCYes (1)
BURLESON NURSING & REHAB CENTER INC (11 - 10152024)
900 HOPE WAYALTAMONTE SPRINGSFL32714205782243OPERATION OF HOME FOR THE AGED/HLTHCARE DELIVERYTX501(C)(3)LINE 10SUNBELT HLTH CARE CENTERS INCYes (1)
CHICKASAW HEALTH CARE PROPERTIES INC (11 - 2172024)
900 HOPE WAYALTAMONTE SPRINGSFL32714510605681LEASE TO RELATED ORGANIZATIONGA501(C)(3)LINE 12C, III-FISUNBELT HLTH CARE CENTERS INCYes (1)
CHIPPEWA VALLEY HOSPITAL & OAKVIEW CARE CENTER INC
1220 THIRD AVENUE WESTDURANDWI54736391365168OPERATION OF HOSPITAL & RELATED SERVICESWI501(C)(3)LINE 3ADVENTIST HLTH SYSTEMSUNBELT INCYes (1)
COALITION FOR PHYSICIAN WELL-BEING INC
900 HOPE WAYALTAMONTE SPRINGSFL32714463477012PROVIDE SUPPORT FOR PHYSICIAN WELL-BEINGFL501(C)(3)LINE 10ADVENTIST HLTH SYSTEM SUNBELT HLTHCARE CORPYes (1)
COURTLAND HEALTH CARE PROPERTIES INC (11 - 2172024)
900 HOPE WAYALTAMONTE SPRINGSFL32714510605682LEASE TO RELATED ORGANIZATIONGA501(C)(3)LINE 12C, III-FISUNBELT HLTH CARE CENTERS INCYes (1)
DAIRY ROAD HEALTH CARE PROPERTIES INC (11 - 2172024)
900 HOPE WAYALTAMONTE SPRINGSFL32714510605684LEASE TO RELATED ORGANIZATIONGA501(C)(3)LINE 12C, III-FISUNBELT HLTH CARE CENTERS INCYes (1)
EAST ORLANDO HEALTH & REHAB CENTER INC (11 - 10152024)
900 HOPE WAYALTAMONTE SPRINGSFL32714205774748OPERATION OF HOME FOR THE AGED/HLTHCARE DELIVERYFL501(C)(3)LINE 10SUNBELT HLTH CARE CENTERS INCYes (1)
FLETCHER HOSPITAL INC
100 HOSPITAL DRIVEHENDERSONVILLENC28792560543246OPERATION OF HOSPITALS & RELATED SERVICESNC501(C)(3)LINE 3ADVENTIST HLTH SYSTEM SUNBELT HLTHCARE CORPYes (1)
FLNC INC (11 - 872024)
900 HOPE WAYALTAMONTE SPRINGSFL32714205774761OPERATION OF HOME FOR THE AGED/HLTHCARE DELIVERYFL501(C)(3)LINE 10SUNBELT HLTH CARE CENTERS INCYes (1)
FLORIDA HOSPITAL DADE CITY INC
13100 FORT KING ROADDADE CITYFL33525822567308OPERATION OF HOSPITAL & RELATED SERVICESFL501(C)(3)LINE 3ADVENTIST HLTH SYSTEM SUNBELT HLTHCARE CORPYes (1)
FLORIDA HOSPITAL HEALTHCARE PARTNERS INC
770 WEST GRANADA BLVD 101ORMOND BEACHFL32174462354804OPERATION OF PHYSICIAN PRACTICES & MEDICAL SERVICESFL501(C)(3)LINE 3ADVENTIST HLTH SYSTEMSUNBELT INCYes (1)
FLORIDA HOSPITAL MEDICAL GROUP INC
2600 WESTHALL LANE 4TH FLOORMAITLANDFL32751593214635OPERATION OF PHYSICIAN PRACTICES & MEDICAL SERVICESFL501(C)(3)LINE 3ADVENTIST HLTH SYSTEMSUNBELT INCYes (1)
FLORIDA HOSPITAL OCALA INC
1500 SW 1ST AVENUEOCALAFL34471824372339OPERATION OF HOSPITAL & RELATED SERVICESFL501(C)(3)LINE 3ADVENTIST HLTH SYSTEM SUNBELT HLTHCARE CORPYes (1)
FLORIDA HOSPITAL PHYSICIAN GROUP INC
14055 RIVEREDGE DRIVE STE 250TAMPAFL33637462021581OPERATION OF PHYSICIAN PRACTICES & MEDICAL SERVICESFL501(C)(3)LINE 3ADVENTIST HLTH SYSTEM SUNBELT HLTHCARE CORPYes (1)
FLORIDA HOSPITAL WATERMAN INC
1000 WATERMAN WAYTAVARESFL32778593140669OPERATION OF HOSPITAL & RELATED SERVICESFL501(C)(3)LINE 3ADVENTIST HLTH SYSTEM SUNBELT HLTHCARE CORPYes (1)
FLORIDA HOSPITAL ZEPHYRHILLS INC
7050 GALL BLVDZEPHYRHILLSFL33541592108057OPERATION OF HOSPITAL & RELATED SERVICESFL501(C)(3)LINE 3ADVENTIST HLTH SYSTEMSUNBELT INCYes (1)
FLORIDA RADIOLOGY IMAGING AT LAKE MARY LLC
2600 WESTHALL LANE 4TH FLOORMAITLANDFL32751550789387IMAGING & TESTINGFL501(C)(3)LINE 3FLORIDA HOSPITAL MEDICAL GROUP INCYes (1)
FOUNTAIN INN NURSING & REHAB CENTER INC (11 - 9242024)
900 HOPE WAYALTAMONTE SPRINGSFL32714472180518OPERATION OF HOME FOR THE AGED/HLTHCARE DELIVERYFL501(C)(3)LINE 10SUNBELT HLTH CARE CENTERS INCYes (1)
HELEN ELLIS MEMORIAL HOSPITAL AUXILIARY INC (11 - 1142024)
1395 S PINELLAS AVETARPON SPRINGSFL34689592106043FUND-RAISING FOR TAX-EXEMPT HOSPITAL/FOUNDATIONFL501(C)(3)LINE 12C, III-FI0N/A
HELEN ELLIS MEMORIAL HOSPITAL FOUNDATION INC
1395 S PINELLAS AVETARPON SPRINGSFL34689593690149FUND-RAISING FOR TAX-EXEMPT HOSPITALFL501(C)(3)LINE 70N/A
LAKE COUNTY HEALTH CARE PROPERTIES INC (11 - 2172024)
900 HOPE WAYALTAMONTE SPRINGSFL32714813923985LEASE TO RELATED ORGANIZATIONGA501(C)(3)LINE 12C, III-FISUNBELT HLTH CARE CENTERS INCYes (1)
MEMORIAL HEALTH SYSTEMS FOUNDATION INC
305 MEMORIAL MEDICAL PKWY 212DAYTONA BEACHFL32117311771522FUND-RAISING FOR TAX-EXEMPT HOSPITALFL501(C)(3)LINE 70N/A
MEMORIAL HEALTH SYSTEMS INC
301 MEMORIAL MEDICAL PARKWAYDAYTONA BEACHFL32117590973502OPERATION OF HOSPITAL & RELATED SERVICESFL501(C)(3)LINE 3ADVENTIST HLTH SYSTEMSUNBELT INCYes (1)
MEMORIAL HOSPITAL - WEST VOLUSIA INC
701 WEST PLYMOUTH AVENUEDELANDFL32720593256803OPERATION OF HOSPITAL & RELATED SERVICESFL501(C)(3)LINE 3MEMORIAL HLTH SYSTEMS INCYes (1)
MEMORIAL HOSPITAL FLAGLER INC
60 MEMORIAL MEDICAL PARKWAYPALM COASTFL32164592951990OPERATION OF HOSPITAL & RELATED SERVICESFL501(C)(3)LINE 3MEMORIAL HLTH SYSTEMS INCYes (1)
MEMORIAL HOSPITAL INC
210 MARIE LANGDON DRIVEMANCHESTERKY40962610594620OPERATION OF HOSPITAL & RELATED SERVICESKY501(C)(3)LINE 3ADVENTIST HLTH SYSTEM SUNBELT HLTHCARE CORPYes (1)
METROPLEX ADVENTIST HOSPITAL INC
2201 S CLEAR CREEK ROADKILLEENTX76549742225672OPERATION OF HOSPITALS & RELATED SERVICESTX501(C)(3)LINE 3ADVENTIST HLTH SYSTEM SUNBELT HLTHCARE CORPYes (1)
METROPLEX CLINIC PHYSICIANS INC
2201 S CLEAR CREEK ROADKILLEENTX76549113762050OPERATION OF PHYSICIAN PRACTICES & MEDICAL SERVICESTX501(C)(3)LINE 3METROPLEX ADVENTIST HOSPITAL INCYes (1)
MISSION STRATEGIES OF GEORGIA INC
900 HOPE WAYALTAMONTE SPRINGSFL32714900866024PROVISION OF SUPPORT TO THE NURSING HOME DIVISIONGA501(C)(3)LINE 12B, IISUNBELT HLTH CARE CENTERS INCYes (1)
OSCEOLA HEALTH CARE PROPERTIES INC (11 - 2172024)
900 HOPE WAYALTAMONTE SPRINGSFL32714813165729LEASE TO RELATED ORGANIZATIONGA501(C)(3)LINE 12C, III-FISUNBELT HLTH CARE CENTERS INCYes (1)
OVERLAND PARK NURSING & REHAB CENTER INC (11 - 6172024)
900 HOPE WAYALTAMONTE SPRINGSFL32714205774821OPERATION OF HOME FOR THE AGED/HLTHCARE DELIVERYKS501(C)(3)LINE 10SUNBELT HLTH CARE CENTERS INCYes (1)
PAHS SERVICE CORPORATION
6061 S WILLOW DRIVEGREENWOOD VILLAGECO80111923398616EMPLOYEE LEASING OF PERSONNEL TO RELATED HOSPITALSCO501(C)(3)LINE 12A, IPORTERCARE ADVENTIST HEALTH SYSTEMYes (1)
PASCO-PINELLAS HILLSBOROUGH COMMUNITY HLTH SYSTEM INC
2600 BRUCE B DOWNS BLVDWESLEY CHAPELFL33544208488713OPERATION OF HOSPITAL & RELATED SERVICESFL501(C)(3)LINE 3ADVENTIST HLTH SYSTEM SUNBELT HLTHCARE CORPYes (1)
PORTERCARE ADVENTIST HEALTH SYSTEM
6061 S WILLOW DRIVEGREENWOOD VILLAGECO80111840438224OPERATION OF HOSPITALS & RELATED SERVICESCO501(C)(3)LINE 3ADVENTIST HLTH SYSTEM SUNBELT HLTHCARE CORPYes (1)
PRINCETON HOMECARE SERVICES LLC
602 COURTLAND STREET 310ORLANDOFL32804814196648HOME HEALTH CARE SERVICESFL501(C)(3)LINE 10PRINCETON PROF SERVICES INCYes (1)
PRINCETON PROFESSIONAL SERVICES INC
601 E ROLLINS STREETORLANDOFL32803591191045OPERATION OF ASC'S AND OTHER HEALTHCARE SERVICESFL501(C)(3)LINE 3ADVENTIST HLTH SYSTEM SUNBELT HLTHCARE CORPYes (1)
QUALITY CIRCLE FOR HEALTHCARE INC
900 HOPE WAYALTAMONTE SPRINGSFL32714263789368HEALTHCARE QUALITY SERVICESFL501(C)(3)LINE 12A, IADVENTIST HLTH SYSTEM SUNBELT HLTHCARE CORPYes (1)
REDMOND PARK HOSPITAL LLC
501 REDMOND ROAD NWROMEGA30165581123037OPERATION OF HOSPITAL & RELATED SERVICESGA501(C)(3)LINE 3ADVENTIST HLTH SYSTEM SUNBELT HLTHCARE CORPYes (1)
RESOURCE PERSONNEL INC (11 - 872024)
900 HOPE WAYALTAMONTE SPRINGSFL32714208040875PROVIDE ADMINISTRATIVE SUPPORT TO TAX EXEMPT NURSING HOMESFL501(C)(3)LINE 12B, IISUNBELT HLTH CARE CENTERS INCYes (1)
ROCKY MOUNTAIN ADVENTIST HLTHCARE FOUNDATION
950 E HARVARD AVENUE STE 230DENVERCO80210840745018FUND-RAISING FOR TAX-EXEMPT HOSPITALCO501(C)(3)LINE 7PORTERCARE ADVENTIST HEALTH SYSTEMYes (1)
ROLLINS BROOK COMMUNITY CARE CORP
2201 S CLEAR CREEK ROADKILLEENTX76549461656773SUPPORT OPERATION OF HOSPITALTX501(C)(3)LINE 12A, IADVENTIST HLTH SYSTEMSUNBELT INCYes (1)
SAN MARCOS NURSING & REHAB CENTER INC
900 HOPE WAYALTAMONTE SPRINGSFL32714205782224INACTIVE - IN WIND DOWNTX501(C)(3)LINE 10SUNBELT HLTH CARE CENTERS INCYes (1)
SHAWNEE MISSION HLTH CARE PROPERTIES INC (11 - 822024)
900 HOPE WAYALTAMONTE SPRINGSFL32714813914908INACTIVE - IN WIND DOWNGA501(C)(3)LINE 12C, III-FISUNBELT HLTH CARE CENTERS INCYes (1)
SHAWNEE MISSION HEALTH CARE INC (11 - 6172024)
900 HOPE WAYALTAMONTE SPRINGSFL32714480952508LEASE TO RELATED ORGANIZATIONKS501(C)(3)LINE 12C, III-FISUNBELT HLTH CARE CENTERS INCYes (1)
SHAWNEE MISSION MEDICAL CENTER INC
9100 W 74TH STREETSHAWNEE MISSIONKS66204480637331OPERATION OF HOSPITAL & RELATED SERVICESKS501(C)(3)LINE 3ADVENTIST HLTH MID-AMERICA INCYes (1)
SOUTH PASCO HEALTH CARE PROPERTIES INC (11 - 2172024)
900 HOPE WAYALTAMONTE SPRINGSFL32714510605679LEASE TO RELATED ORGANIZATIONGA501(C)(3)LINE 12C, III-FISUNBELT HLTH CARE CENTERS INCYes (1)
SOUTHEAST VOLUSIA HEALTHCARE CORP
401 PALMETTO STREETNEW SMYRNA BEACHFL32168473793197OPERATION OF HOSPITAL & RELATED SERVICESFL501(C)(3)LINE 3ADVENTIST HLTH SYSTEM SUNBELT HLTHCARE CORPYes (1)
SOUTHWEST VOLUSIA HEALTH SERVICES INC
1055 SAXON BLVDORANGE CITYFL32763593281591MEDICAL OFFICE BUILDING FOR HOSPITALFL501(C)(3)LINE 12A, ISOUTHWEST VOLUSIA HLTHCARE CORPYes (1)
SOUTHWEST VOLUSIA HEALTHCARE CORP
1055 SAXON BLVDORANGE CITYFL32763593149293OPERATION OF HOSPITAL & RELATED SERVICESFL501(C)(3)LINE 3ADVENTIST HLTH SYSTEMSUNBELT INCYes (1)
SUNBELT HEALTH & REHAB CENTER - APOPKA INC
900 HOPE WAYALTAMONTE SPRINGSFL32714205774856OPERATION OF HOME FOR THE AGED/HLTHCARE DELIVERYFL501(C)(3)LINE 10SUNBELT HLTH CARE CENTERS INCYes (1)
SUNBELT HEALTH CARE CENTERS INC
900 HOPE WAYALTAMONTE SPRINGSFL32714581473135MANAGEMENT SERVICESTN501(C)(3)LINE 12B, IIADVENTIST HLTH SYSTEM SUNBELT HLTHCARE CORPYes (1)
TARPON SPRINGS HOSPITAL FOUNDATION INC
1395 S PINELLAS AVETARPON SPRINGSFL34689590898901OPERATION OF HOSPITAL & RELATED SERVICESFL501(C)(3)LINE 3UNIVERSITY COMMUNITY HOSPITAL INCYes (1)
TARRANT COUNTY HEALTH CARE PROPERTIES INC (11 - 2172024)
900 HOPE WAYALTAMONTE SPRINGSFL32714510605677LEASE TO RELATED ORGANIZATIONGA501(C)(3)LINE 12C, III-FISUNBELT HLTH CARE CENTERS INCYes (1)
THE COMFORTER HEALTH CARE GROUP INC
605 MONTGOMERY ROADALTAMONTE SPRINGSFL32714271857940SUPPORT SERVICES TO RELATED HOSPICEFL501(C)(3)LINE 12C, III-FIADVENTIST HLTH SYSTEM SUNBELT HLTHCARE CORPYes (1)
TRI-COUNTY NURSING AND REHAB CENTER INC (11 - 872024)
900 HOPE WAYALTAMONTE SPRINGSFL32714472219363OPERATION OF HOME FOR THE AGED/HLTHCARE DELIVERYFL501(C)(3)LINE 10SUNBELT HLTH CARE CENTERS INCYes (1)
UNIVERSITY COMMUNITY HOSPITAL FOUNDATION INC
3100 E FLETCHER AVETAMPAFL33613592554889FUND-RAISING FOR TAX-EXEMPT HOSPITALFL501(C)(3)LINE 70N/A
UNIVERSITY COMMUNITY HOSPITAL INC
3100 E FLETCHER AVETAMPAFL33613591113901OPERATION OF HOSPITALS & RELATED SERVICESFL501(C)(3)LINE 3ADVENTIST HLTH SYSTEM SUNBELT HLTHCARE CORPYes (1)
WEST FLORIDA HEALTH HOME CARE INC
12903 N TELECOM PARKWAYTEMPLE TERRACEFL33637593686109HOME HEALTH SERVICESGA501(C)(3)LINE 10ADVENTHEALTH WEST FLORIDA AMBULATORY SERVICES INCYes (1)
ZEPHYR HAVEN HEALTH & REHAB CENTER INC (11 - 872024)
900 HOPE WAYALTAMONTE SPRINGSFL32714205774930OPERATION OF HOME FOR THE AGED/HLTHCARE DELIVERYFL501(C)(3)LINE 10SUNBELT HLTH CARE CENTERS INCYes (1)
ZEPHYRHILLS HEALTH & REHAB CENTER INC (11 - 872024)
900 HOPE WAYALTAMONTE SPRINGSFL32714205774967OPERATION OF HOME FOR THE AGED/HLTHCARE DELIVERYFL501(C)(3)LINE 10SUNBELT HLTH CARE CENTERS INCYes (1)

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (19 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdDirect Controlling NADirectControllingNACdDisproportionate AllocationsDisproportionateAllocationsIndGeneral Or Managing PartnerGeneralOrManagingPartnerInd
ADVENTHEALTH SURGERY CENTER DAYTONA BEACH LLC
103 MEMORIAL MEDICAL PKWY STE 300DAYTONA BEACHFL32117922967648SURGERY CENTERFLN/A00
ADVENTHEALTH SURGERY CENTER INNOVATION TOWER LLC
265 E ROLLINS STREETORLANDOFL32804882744377SURGERY CENTERFLN/A00
AHH MOB II LLC
10800 FARLEY STE 380OVERLAND PARKKS66210560543246OPERATION OF MEDICAL OFFICE BUILDINGMON/A00
FLETCHER HOSPITAL SURGICAL VENTURES LLC
9131 ANSON WAY STE 304RALEIGHNC27615861482646INDIRECT INTEREST IN SURGERY CENTERNCN/A00
FLORIDA HOSPITAL DMERT LLC
500 WINDERLEY PLACE STE 324MAITLANDFL32751202392253MEDICAL EQUIPMENTFLN/A0Yes (1)
FLORIDA HOSPITAL HOME INFUSION LLP
500 WINDERLEY PLACE STE 226MAITLANDFL32751593142824HOME INFUSION SERVICESFLN/A0Yes (1)
FUNCTIONAL NEUROSURGICAL AMBULATORY SURGERY CTR LLC
11 W DRY CREEK CIRCLE 120LITTLETONCO80120464426708SURGERY CENTERCON/A00
M&O DAYTONA MOB I LLC
1125 SANCTUARY PARKWAY STE 410ALPHARETTAGA30009883063262OPERATION OF MEDICAL OFFICE BUILDINGDEN/A00
M&O ORLANDO MOB I LLC
1125 SANCTUARY PARKWAY STE 410ALPHARETTAGA30009844259138OPERATION OF MEDICAL OFFICE BUILDINGDEN/A00
NATIONWIDE ASC HOLDINGS LLC (522 - 123124)
569 BROOKWOOD VILLAGE STE 901BIRMINGHAMAL35209993267709HOLDING CO.FLN/A0Yes (1)
ONPOINT OBGYN LLC
7780 S BROADWAY 280LITTLETONCO80122873522453HEALTHCARE SERVICESCON/A00
ORANGE CITY SURGICAL LLC
1053 MEDICAL CENTER DRIVE STE 201ORANGE CITYFL32763208105013SURGERY CENTERFLN/A00
PAHS ONPOINT IMAGING LLC
9205 S BROADWAYHIGHLANDS RANCHCO80129833275105IMAGING CENTERCON/A00
PAHS ONPOINT URGENT CARE LLC
9100 E MINERAL CIRCLECENTENNIALCO80112832465331URGENT CARE CENTERCON/A00
SCA - ALLIANCE LLC
569 BROOKWOOD VILLAGE STE 901BIRMINGHAMAL35209471807383INDIRECT INTEREST IN SURGERY CENTERDEN/A00
SCA-CENTRAL FLORIDA LLC
569 BROOKWOOD VILLAGE STE 901BIRMINGHAMAL35209471535510INDIRECT INTEREST IN SURGERY CENTERDEN/A00
SURGERY CENTER OF ROME LP
501 REDMOND ROAD NWROMEGA30165200390305SURGERY CENTERGAN/A00
THE BARIATRIC CENTER OF KANSAS CITY LLC
9100 W 74TH STREETMERRIAMKS66204823025378SURGERY CENTERKSN/A00
URGENT CARE CENTERS OF BREVARD COUNTY LLC
2600 WESTHALL LANE STE 200MAITLANDFL32751844261523URGENT CARE CENTERSFLN/A0Yes (1)

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (23 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdDirect Controlling NADirectControllingNACdEntity TypeEntityTypeTxtControlled OrganizationControlledOrganizationIndBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtShare Of Total IncomeShareOfTotalIncomeAmtShare Of EOY AssetsShareOfEOYAssetsAmtOwnershipOwnershipPct
ADVENTHEALTH ASHEVILLE INC
100 HOSPITAL DRIVEHENDERSONVILLENC28792921144574INACTIVENCN/ACYes (1)
ADVENTHEALTH HOSPICE CARE EAST FLORIDA INC
770 WEST GRANADA BLVD 304ORMOND BEACHFL32174833748461INACTIVEFLN/ACYes (1)
ADVENTHEALTH AT OVERLAND PARK-COLLEGE MOB CONDOMINIUM ASSOC
9119 W 74TH STREET STE 260MERRIAMKS66204874353752CONDO ASSOCIATIONKSN/ACYes (1)
ADVENTHEALTH CITY CENTER NORTH OWNERS' ASSOC INC
9119 W 74TH STREET STE 260MERRIAMKS66204991471046MAINTENANCE ASSOCIATIONKSN/ACYes (1)
ADVENTHEALTH PRIMARY CARE INC (1124-62424)
900 HOPE WAYALTAMONTE SPRINGSFL32714593231322INACTIVEFLN/ACYes (1)
ADVENTHEALTH VALUE BASED BUNDLE MANAGEMENT LLC
2600 LUCIEN WAYMAITLANDFL32751873487910MEDICAL CONTRACTING AND BILLINGFLN/ACYes (1)
ALTAMONTE MEDICAL PLAZA CONDOMINIUM ASSOCIATION INC
601 EAST ROLLINS STREETORLANDOFL32803592855792CONDO ASSOCIATIONFLN/ACYes (1)
BATTLE CREEK ADVENTIST HOSPITAL
900 HOPE WAYALTAMONTE SPRINGSFL32714381359189INACTIVEMIN/ACYes (1)
FLORIDA HOSPITAL FLAGLER MEDICAL OFFICES ASSOCIATION INC
60 MEMORIAL MEDICAL PARKWAYPALM COASTFL32164262158309CONDO ASSOCIATIONFLCYes (1)MEMORIAL HOSPITAL FLAGLER INC$545,257$149,4981.00000
FLORIDA HOSP HLTH VILLAGE PROPERTY OWNER'S ASSOC INC
550 E ROLLINS STREET 7TH FLOORORLANDOFL32803821748255CONDO ASSOCIATIONFLN/ACYes (1)
FLORIDA HOSPITAL HEALTHCARE SYSTEM INC
2600 LUCIEN WAYMAITLANDFL32751593215680PHSO / CINFLN/ACYes (1)
FLORIDA MEDICAL PLAZA CONDOMINIUM ASSOCIATION INC
601 EAST ROLLINS STREETORLANDOFL32803592855791CONDO ASSOCIATIONFLN/ACYes (1)
GATEWAY CENTER ASSOCIATION OF ALTAMONTE SPRINGS INC
900 HOPE WAYALTAMONTE SPRINGSFL32714464685345MAINTENANCE ASSOCIATIONFLN/ACYes (1)
KISSIMMEE MULTISPECIALTY CLINIC CONDOMINIUM ASSOCIATION INC
201 HILDA STREET SUITE 30KISSIMMEEFL34741593539564CONDO ASSOCIATIONFLN/ACYes (1)
MIDWEST MANAGEMENT SERVICES INC
9100 WEST 74TH STREETSHAWNEE MISSIONKS66204480901551INACTIVEKSN/ACYes (1)
NORTH AMERICAN HEALTH SERVICES INC & SUB
900 HOPE WAYALTAMONTE SPRINGSFL32714621041820HOLDING CO.TNN/ACYes (1)
ORMOND PROF ASSOCIATES CONDO ASSOC INC (430 YEAR END)
770 W GRANADA BLVD STE 101ORMOND BEACHFL32174592694434CONDO ASSOCIATIONFLN/ACYes (1)
PARK RIDGE PROPERTY OWNER'S ASSOCIATION INC
1 PARK PLACE NAPLES ROADFLETCHERNC28732030380531CONDO ASSOCIATIONNCN/ACYes (1)
PARK RIDGE CONDOMINIUM #1 UNIT OWNERS ASSOCIATION INC
1 PARK PLACE NAPLES ROADFLETCHERNC28732010584623CONDO ASSOCIATIONNCN/ACYes (1)
REDMOND PARK HEALTH SERVICES INC
501 REDMOND RD NWROMEGA30165621330078HOLDING COMPANYGAN/ACYes (1)
SURGICARE OF ROME INC
501 REDMOND RD NWROMEGA30165200376307HOLDING COMPANYGAN/ACYes (1)
THE GARDEN RETIREMENT COMMUNITY INC
900 HOPE WAYALTAMONTE SPRINGSFL32714593414055REAL ESTATE RENTALFLN/ACYes (1)
WINTER PARK MEDICAL OFFICE BUILDING I CONDO ASSOC INC
601 EAST ROLLINS STREETORLANDOFL32803452228478CONDO ASSOCIATIONFLN/ACYes (1)
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgYes (1)GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (1)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org0PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (1)PerformOfServicesByOtherOrgInd
Sharing Of Facilities0SharingOfFacilitiesInd
Paid Employees Sharing0PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (1)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (1)ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (44 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
ADVENTIST HEALTH SYSTEM SUNBELT HEALTHCARE CORPORATION
M$4,948,261% OF FACILITY'S OPERATING EXP.
ADVENTIST HEALTH SYSTEM SUNBELT HEALTHCARE CORPORATION-SHARED SERVICES
M$2,450,788% OF FACILITY'S OPERATING EXP.
ADVENTIST HEALTH SYSTEM SUNBELT HEALTHCARE CORP DBA AH INFO TECHNOLOGY
M$7,721,178% OF FACILITY'S OPERATING EXP.
ADVENTIST HEALTH SYSTEM SUNBELT HEALTHCARE CORPORATION
P$12,073,879COST
ADVENTIST HEALTH SYSTEM SUNBELT HEALTHCARE CORP DBA AH INFO TECHNOLOGY
P$63,580COST
ADVENTIST HEALTH SYSTEM SUNBELT HEALTHCARE CORPORATION
B$3,422,201ACTUAL AMOUNT GIVEN
ADVENTHEALTH FOUNDATION INC
C$310,061ACTUAL AMOUNT RECEIVED
ADVENTHEALTH FOUNDATION INC
B$438,964ACTUAL AMOUNT GIVEN
ADVENTHEALTH HOME HEALTH AND HOSPICE INC
P$1,135,464COST
ADVENTHEALTH HOME HEALTH AND HOSPICE INC
Q$1,126,276COST
ADVENTHEALTH PALM COAST PARKWAY INC
P$77,998,013COST
ADVENTHEALTH PALM COAST PARKWAY INC
Q$26,798,669COST
ADVENTHEALTH POLK NORTH INC
P$90,006COST
ADVENTHEALTH POLK NORTH INC
Q$259,649COST
ADVENTIST HEALTH SYSTEM GEORGIA INC
Q$50,344COST
ADVENTIST HEALTH SYSTEMSUNBELT INC DBA ADVENTHEALTH ORLANDO
P$26,656,157COST
ADVENTIST HEALTH SYSTEMSUNBELT INC DBA ADVENTHEALTH ORLANDO
Q$51,712,229COST
ADVENTIST HEALTH SYSTEMSUNBELT INC DBA ADVENTHEALTH CENTRA CARE
P$255,320COST
ADVENTIST HEALTH SYSTEMSUNBELT INC DBA ADVENTHEALTH CENTRA CARE
Q$992,747COST
ADVENTIST HEALTH SYSTEMSUNBELT INC DBA TOTAL HEALTH MANAGEMENT
P$257,380COST
ADVENTIST HEALTH SYSTEMSUNBELT INC DBA TOTAL HEALTH MANAGEMENT
Q$257,129COST
FLORIDA HOSPITAL HEALTHCARE PARTNERS INC
P$43,052,193COST
FLORIDA HOSPITAL HEALTHCARE PARTNERS INC
Q$40,609,991COST
FLORIDA HOSPITAL HEALTHCARE SYSTEM INC
Q$350,246COST
FLORIDA HOSPITAL MEDICAL GROUP INC
P$26,548,695COST
FLORIDA HOSPITAL MEDICAL GROUP INC
Q$25,126,293COST
FLORIDA HOSPITAL WATERMAN INC
P$142,886COST
FLORIDA HOSPITAL WATERMAN INC
Q$124,569COST
FLORIDA RADIOLOGY IMAGING AT LAKE MARY LLC
P$10,956,896COST
FLORIDA RADIOLOGY IMAGING AT LAKE MARY LLC
Q$9,710,802COST
MEMORIAL HEALTH SYSTEMS INC
P$17,338,496COST
MEMORIAL HEALTH SYSTEMS INC
Q$17,311,199COST
MEMORIAL HOSPITAL - WEST VOLUSIA INC
P$312,374COST
MEMORIAL HOSPITAL - WEST VOLUSIA INC
Q$312,192COST
REDMOND PARK HOSPITAL LLC
P$110,455COST
REDMOND PARK HOSPITAL LLC
Q$79,738COST
SHAWNEE MISSION MEDICAL CENTER INC
P$56,140COST
SHAWNEE MISSION MEDICAL CENTER INC
Q$57,691COST
SOUTHEAST VOLUSIA HEALTHCARE CORPORATION
P$227,386COST
SOUTHEAST VOLUSIA HEALTHCARE CORPORATION
Q$237,715COST
SOUTHWEST VOLUSIA HEALTHCARE CORPORATION
P$105,415COST
SOUTHWEST VOLUSIA HEALTHCARE CORPORATION
Q$100,172COST
UNIVERSITY COMMUNITY HOSPITAL INC
P$187,173COST
UNIVERSITY COMMUNITY HOSPITAL INC
Q$187,172COST

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