MEMORIAL HEALTH SYSTEMS INC: Form 990, tax year 2014
View the entire original 990 at ProPublica ↗
- Organization
- MEMORIAL HEALTH SYSTEMS INC (EIN 59-0973502)
- Tax period
- 2014-01-01 to 2014-12-31
- Filed
- 2015-11-13
- IRS object ID
- 201543179349301759
- Schema version
- 2014v5.0
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule H
- Schedule I
- Schedule J
- Schedule L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2015-11-13T08:24:33-06:00 | ReturnTs |
| Tax Period End | 2014-12-31 | TaxPeriodEndDt |
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2014-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 590973502 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MEMORIAL HEALTH SYSTEMS INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | MEMO | BusinessNameControlTxt |
| Phone | 3866766000 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 301 MEMORIAL MEDICAL PARKWAY | AddressLine1Txt |
| City | DAYTONA BEACH | CityNm |
| State Abbreviation | FL | StateAbbreviationCd |
| ZIP | 32117 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | LYNN C ADDISCOTT | PersonNm |
| Person Title | ASSISTANT SECRETARY | PersonTitleTxt |
| Phone | 4079751492 | PhoneNum |
| Signature | 2015-11-13 | SignatureDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2014 | TaxYr |
| Build TS | 2016-04-25 22:37:26Z | BuildTS |
Form 990 IRS990
Doing Business As Name DoingBusinessAsName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | FLORIDA HOSPITAL MEMORIAL MEDICAL CENTER | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | DARYL TOL | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 301 MEMORIAL MEDICAL PARKWAY | AddressLine1Txt |
| City | DAYTONA BEACH | CityNm |
| State Abbreviation | FL | StateAbbreviationCd |
| ZIP | 32117 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $280,283,603 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.FLORIDAHOSPITAL.COM/MEMORIAL-MEDICAL-CENTER | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1961 | FormationYr |
| Legal Domicile State | FL | LegalDomicileStateCd |
| Activity Or Mission | MEDICAL CARE TO THE COMMUNITY THROUGH THE OPERATION OF TWO HOSPITALS WITH A TOTAL OF 358 BEDS. | ActivityOrMissionDesc |
| Voting Members Governing Body | 20 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 9 | VotingMembersIndependentCnt |
| Total Employee | 2331 | TotalEmployeeCnt |
| Total Volunteers | 302 | TotalVolunteersCnt |
| Total Gross UBI | $68,727 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $40,250 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $0 | PYContributionsGrantsAmt |
| CY Contributions Grants | $144,815 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $251,309,229 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $277,670,902 | CYProgramServiceRevenueAmt |
| PY Investment Income | $2,454,604 | PYInvestmentIncomeAmt |
| CY Investment Income | $1,691,735 | CYInvestmentIncomeAmt |
| PY Other Revenue | $1,832,247 | PYOtherRevenueAmt |
| CY Other Revenue | $776,151 | CYOtherRevenueAmt |
| PY Total Revenue | $255,596,080 | PYTotalRevenueAmt |
| CY Total Revenue | $280,283,603 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $164,459 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $176,784 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $116,271,145 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $126,856,524 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $130,339,662 | PYOtherExpensesAmt |
| CY Other Expenses | $134,603,944 | CYOtherExpensesAmt |
| PY Total Expenses | $246,775,266 | PYTotalExpensesAmt |
| CY Total Expenses | $261,637,252 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $8,820,814 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $18,646,351 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $435,916,188 | TotalAssetsBOYAmt |
| Total Assets EOY | $458,716,532 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $171,813,696 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $176,294,036 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $264,102,492 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $282,422,496 | NetAssetsOrFundBalancesEOYAmt |
| Mission | ADVENTIST HEALTH SYSTEM SUNBELT HEALTHCARE CORPORATION AND ALL OF ITS SUBSIDIARY ORGANIZATIONS WERE ESTABLISHED BY THE SEVENTH-DAY ADVENTIST CHURCH TO BRING A MINISTRY OF HEALING AND HEALTH TO THE COMMUNITIES SERVED. OUR MISSION IS TO EXTEND THE HEALING MINISTRY OF CHRIST. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $247,740,907 | ExpenseAmt |
| Grant | $176,784 | GrantAmt |
| Revenue | $278,378,326 | RevenueAmt |
| Desc | OPERATION OF 2 ACUTE CARE HOSPITALS WITH 13,853 PATIENT ADMISSIONS, 69,794 PATIENT DAYS, AND 123,721 OUTPATIENT VISITS IN THE CURRENT YEAR. BOTH HOSPITALS ARE LOCATED IN ORMOND BEACH AND DAYTONA BEACH, FLORIDA. | Desc |
| Total Program Service Expenses | $247,740,907 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (1) | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | Yes (1) | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Temp Or Permanent Endowments | 0 | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | Yes (1) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (1) | AuditedFinancialStmtAttInd |
| Grants To Organizations | Yes (1) | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | Yes (1) | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | 0 | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (1) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (1) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 212 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 2331 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | Yes (1) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (1) | Form990TFiledInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 20 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 9 | IndependentVotingMemberCnt |
| Family Or Business Rln | Yes (1) | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (1) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (1) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | 0 | CompensationProcessCEOInd |
| Compensation Process Other | 0 | CompensationProcessOtherInd |
| Investment In Joint Venture | Yes (1) | InvestmentInJointVentureInd |
| Written Policy Or Procedure | Yes (1) | WrittenPolicyOrProcedureInd |
| States Where Copy Of Return Is Fld | FL | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DEBORA THOMAS | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 3862313901 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 301 MEMORIAL MEDICAL PARKWAY | AddressLine1Txt |
| City | DAYTONA BEACH | CityNm |
| State Abbreviation | FL | StateAbbreviationCd |
| ZIP | 32117 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | Yes (X) | InfoInScheduleOPartVIIInd |
Form990 Part VII Section A Form990PartVIISectionAGrp (34 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd |
|---|---|---|---|---|---|---|---|---|---|---|
| JOHN ADAMS | ||||||||||
| DIRECTOR | 0.60 | 0.00 | Yes (X) | $300 | $0 | $0 | ||||
| JAMES AROCHO MD | ||||||||||
| DIRECTOR (BEG 9/14) | 0.60 | 0.00 | Yes (X) | $300 | $0 | $0 | ||||
| RICK BANKER | ||||||||||
| DIRECTOR | 0.60 | 0.00 | Yes (X) | $300 | $0 | $0 | ||||
| LONNIE BROWN | ||||||||||
| DIRECTOR | 0.60 | 0.00 | Yes (X) | $300 | $0 | $0 | ||||
| DAVID BURT | ||||||||||
| DIRECTOR | 0.60 | 0.00 | Yes (X) | $300 | $0 | $0 | ||||
| PAUL CLARE | ||||||||||
| DIRECTOR | 0.60 | 0.00 | Yes (X) | $300 | $0 | $0 | ||||
| SURESH DESAI MD | ||||||||||
| DIRECTOR | 4.90 | 0.00 | Yes (X) | $33,045 | $0 | $0 | ||||
| CHARLES D HOOD JR | ||||||||||
| DIRECTOR (END 8/14) | 0.60 | 0.00 | Yes (X) | $0 | $0 | $0 | ||||
| LARS HOUMANN | ||||||||||
| DIR/CHAIRMAN (BEG 2/14) | 0.60 | 50.00 | Yes (X) | $0 | $1,539,933 | $235,399 | ||||
| SANDRA K JOHNSON | ||||||||||
| DIRECTOR | 0.60 | 50.00 | Yes (X) | $0 | $655,675 | $108,271 | ||||
| NANCY LOHMAN | ||||||||||
| DIRECTOR | 0.60 | 0.00 | Yes (X) | $300 | $0 | $0 | ||||
| KENNETH MATTISON | ||||||||||
| DIRECTOR | 0.60 | 50.00 | Yes (X) | $0 | $543,501 | $91,500 | ||||
| WILLIAM MCMUNN | ||||||||||
| DIRECTOR | 0.60 | 0.00 | Yes (X) | $300 | $0 | $0 | ||||
| ED NOSEWORTHY | ||||||||||
| DIRECTOR | 0.60 | 50.00 | Yes (X) | $0 | $541,705 | $94,242 | ||||
| RON RASMUSSEN MD | ||||||||||
| DIRECTOR | 0.60 | 60.00 | Yes (X) | $300 | $459,418 | $35,092 | ||||
| EDDIE SCHATZ JR | ||||||||||
| DIRECTOR | 0.60 | 0.00 | Yes (X) | $300 | $0 | $0 | ||||
| JULIE SCHNEIDER MD | ||||||||||
| DIRECTOR | 0.60 | 70.00 | Yes (X) | $300 | $971,509 | $21,406 | ||||
| MICHAEL SCHULTZ | ||||||||||
| CHAIRMAN/DIR (END 2/14) | 0.60 | 50.00 | Yes (X) | $0 | $1,317,204 | $162,798 | ||||
| LEWIS SEIFERT | ||||||||||
| DIRECTOR | 0.60 | 50.00 | Yes (X) | $0 | $738,971 | $136,360 | ||||
| EDDIE SOLER | ||||||||||
| DIRECTOR (BEG 2/14) | 0.60 | 50.00 | Yes (X) | $0 | $970,057 | $153,205 | ||||
| DARYL TOL | ||||||||||
| DIRECTOR/CEO | 32.00 | 18.00 | Yes (X) | $0 | $715,857 | $135,372 | Yes (X) | |||
| ELIZABETH WEAGRAFF | ||||||||||
| DIRECTOR | 0.60 | 50.00 | Yes (X) | $300 | $365,374 | $80,726 | ||||
| DEBORA THOMAS | ||||||||||
| REGION CFO | 32.00 | 18.00 | $0 | $442,557 | $88,385 | Yes (X) | ||||
| DARLINDA COPELAND | ||||||||||
| COO | 50.00 | 0.00 | $0 | $381,454 | $62,855 | Yes (X) | ||||
| MICHELE GOEB-BURKETT | ||||||||||
| CNO | 50.00 | 0.00 | $0 | $252,807 | $48,331 | Yes (X) | ||||
| RONALD JIMENEZ | ||||||||||
| CMO | 50.00 | 0.00 | $0 | $409,299 | $67,169 | Yes (X) | ||||
| REYNALDO J RUEDA RIOS MD | ||||||||||
| PHYSICIAN | 40.00 | 0.00 | $245,147 | $0 | $14,307 | Yes (X) | ||||
| NUBIA FONSECA ORTIZ MD | ||||||||||
| PHYSICIAN | 40.00 | 0.00 | $236,062 | $0 | $23,576 | Yes (X) | ||||
| WILLIAM COLLINS | ||||||||||
| MEDICAL PHYSICIST | 40.00 | 0.00 | $195,273 | $0 | $16,814 | Yes (X) | ||||
| NIXON GUTIERREZ | ||||||||||
| MEDICAL PHYSICIST | 40.00 | 0.00 | $188,721 | $0 | $26,955 | Yes (X) | ||||
| MARSHALL HUGHEY | ||||||||||
| DIRECTOR OF PHARMACY | 40.00 | 0.00 | $172,754 | $0 | $20,574 | Yes (X) | ||||
| DAN WOLCOTT | ||||||||||
| FORMER VP | 0.00 | 50.00 | $0 | $297,369 | $68,108 | Yes (X) | ||||
| NIGEL HINDS | ||||||||||
| FORMER CFO | 0.00 | 50.00 | $0 | $313,353 | $64,271 | Yes (X) | ||||
| MARK LAROSE | ||||||||||
| FORMER CEO | 0.00 | 0.00 | $0 | $426,432 | $29,052 | Yes (X) | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $1,074,602 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $11,342,475 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $1,784,768 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 66 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | Yes (1) | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| ADVENTIST HEALTH SYSTEMSUNBELT INC DBA | |||||
| 601 E ROLLINS STREET | ORLANDO | FL | 32803 | LAB AND MARKETING SERVICE | $1,749,916 |
| FLORIDA LINEN SERVICES | |||||
| 1407 SW 8TH STREET | POMPANO BEACH | FL | 33069 | LINEN SERVICE | $862,545 |
| VOLUSIA OBGYN | |||||
| 500 HEALTH BLVD | DAYTONA BEACH | FL | 32114 | WOMEN'S CARE | $683,323 |
| MED HOLDINGS LLC | |||||
| PO BOX 538449 | ATLANTA | GA | 30353 | COLLECTION SERVICES | $434,925 |
| TOTAL RENAL CARE INC | |||||
| PO BOX 8500-1607 | PHILADELPHIA | PA | 19104 | DIALYSIS SERVICES | $401,390 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 47 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $144,815 | RelatedOrganizationsAmt |
| Total Contributions | $144,815 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (5 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| NET PATIENT REVENUE | 900099 | $270,131,998 | $270,131,998 |
| MANAGEMENT FEES | 561000 | $4,043,952 | $4,043,952 |
| MEDICAL OFFICE BUILDING | 531120 | $1,842,510 | $1,842,510 |
| CAFETERIA REVENUE | 900099 | $1,357,527 | $1,357,527 |
| HEALTH EDUCATION/THERAPY | 900099 | $165,963 | $165,963 |
Total Oth Program Service Rev TotalOthProgramServiceRevGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $128,952 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $60,225 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $68,727 | UnrelatedBusinessRevenueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $277,670,902 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,260,046 | TotalRevenueColumnAmt |
| Exclusion | $1,260,046 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $340,509 | SecuritiesAmt |
| Other | $91,180 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $0 | SecuritiesAmt |
| Other | $0 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $340,509 | SecuritiesAmt |
| Other | $91,180 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $431,689 | TotalRevenueColumnAmt |
| Exclusion | $431,689 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | EHR REVENUE | Desc |
| Business | 900099 | BusinessCd |
| Total Revenue Column | $776,151 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $776,151 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $776,151 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $280,283,603 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $278,378,326 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $68,727 | UnrelatedBusinessRevenueAmt |
| Exclusion | $1,691,735 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $176,784 | TotalAmt |
| Program Services | $176,784 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,139,549 | TotalAmt |
| Management And General | $2,139,549 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $97,917,701 | TotalAmt |
| Program Services | $97,917,701 | ProgramServicesAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,725,773 | TotalAmt |
| Program Services | $2,694,444 | ProgramServicesAmt |
| Management And General | $31,329 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $17,130,254 | TotalAmt |
| Program Services | $16,824,566 | ProgramServicesAmt |
| Management And General | $305,688 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,943,247 | TotalAmt |
| Program Services | $6,843,459 | ProgramServicesAmt |
| Management And General | $99,788 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $702,291 | TotalAmt |
| Management And General | $702,291 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $17,195,842 | TotalAmt |
| Program Services | $12,698,791 | ProgramServicesAmt |
| Management And General | $4,497,051 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,209,809 | TotalAmt |
| Management And General | $1,209,809 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,181,971 | TotalAmt |
| Program Services | $4,127,114 | ProgramServicesAmt |
| Management And General | $1,054,857 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,170,307 | TotalAmt |
| Program Services | $7,052,575 | ProgramServicesAmt |
| Management And General | $1,117,732 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,058,351 | TotalAmt |
| Program Services | $6,058,351 | ProgramServicesAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $405,156 | TotalAmt |
| Management And General | $405,156 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $188,484 | TotalAmt |
| Management And General | $188,484 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,728,400 | TotalAmt |
| Program Services | $5,728,400 | ProgramServicesAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $16,623,505 | TotalAmt |
| Program Services | $16,623,505 | ProgramServicesAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,130,145 | TotalAmt |
| Program Services | $3,022,423 | ProgramServicesAmt |
| Management And General | $107,722 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| MEDICAL SUPPLIES | $57,722,337 | $57,722,337 | |
| REPAIRS & MAINTENANCE | $6,720,260 | $6,720,260 | |
| STATE TAX INDIGENT ASSE | $2,802,230 | $2,802,230 | |
| UNRELATED BUSINESS INCO | $8,000 | $8,000 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,756,856 | TotalAmt |
| Program Services | $727,967 | ProgramServicesAmt |
| Management And General | $2,028,889 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $261,637,252 | TotalAmt |
| Program Services | $247,740,907 | ProgramServicesAmt |
| Management And General | $13,896,345 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,786 | BOYAmt |
| EOY | $6,683 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $119,133,731 | BOYAmt |
| EOY | $132,618,076 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $29,678,971 | BOYAmt |
| EOY | $36,043,778 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,923,767 | BOYAmt |
| EOY | $4,480,849 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,790,548 | BOYAmt |
| EOY | $8,048,597 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $356,175,510 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $103,406,104 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $251,477,508 | BOYAmt |
| EOY | $252,769,406 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,546,501 | BOYAmt |
| EOY | $7,259,993 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $76,875 | BOYAmt |
| EOY | $15,483,278 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $18,282,501 | BOYAmt |
| EOY | $2,005,872 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $435,916,188 | BOYAmt |
| EOY | $458,716,532 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $14,791,762 | BOYAmt |
| EOY | $19,719,473 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $157,021,934 | BOYAmt |
| EOY | $156,574,563 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $171,813,696 | BOYAmt |
| EOY | $176,294,036 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $259,548,554 | BOYAmt |
| EOY | $278,058,576 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $644,723 | BOYAmt |
| EOY | $454,705 | EOYAmt |
Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,909,215 | BOYAmt |
| EOY | $3,909,215 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $264,102,492 | BOYAmt |
| EOY | $282,422,496 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $435,916,188 | BOYAmt |
| EOY | $458,716,532 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $18,646,351 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | -$1,192 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | -$325,155 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | VolunteersInd |
| Paid Staff Or Management | 0 | PaidStaffOrManagementInd |
| Media Advertisements | 0 | MediaAdvertisementsInd |
| Mailings Members | 0 | MailingsMembersInd |
| Publications Or Broadcast | 0 | PublicationsOrBroadcastInd |
| Grants Other Organizations | 0 | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | 0 | DirectContactLegislatorsInd |
| Rallies Demonstrations | 0 | RalliesDemonstrationsInd |
| Other Activities | Yes (1) | OtherActivitiesInd |
| Other Activities | $4,485 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $4,485 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | 0 | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART II-B, LINE 1: | FormAndLineReferenceDesc |
| Explanation | AMERICAN HOSPITAL ASSOCIATION DUES AND FLORIDA HOSPITAL ASSOCIATION DUES | ExplanationTxt |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Protection Natural Habitat | Yes (X) | ProtectionNaturalHabitatInd |
| States Easements Held | 1 | StatesEasementsHeldCnt |
| Written Policy Monitoring | 0 | WrittenPolicyMonitoringInd |
| Staff Hours Spent Enforcement | 0.00 | StaffHoursSpentEnforcementCnt |
| Expenses Incurred Enforcement | $0 | ExpensesIncurredEnforcementAmt |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $21,454,232 | OtherCostOrOtherBasisAmt |
| Book Value | $21,454,232 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $254,733,201 | OtherCostOrOtherBasisAmt |
| Depreciation | $53,642,879 | DepreciationAmt |
| Book Value | $201,090,322 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $78,533,497 | OtherCostOrOtherBasisAmt |
| Depreciation | $49,330,268 | DepreciationAmt |
| Book Value | $29,203,229 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,454,580 | OtherCostOrOtherBasisAmt |
| Depreciation | $432,957 | DepreciationAmt |
| Book Value | $1,021,623 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $252,769,406 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (6 entries)
| DescDesc | AmtAmt |
|---|---|
| PAYABLE TO THIRD PARTIES | $7,651,800 |
| CREDIT BALANCES IN A/R | $1,527,942 |
| OTHER LIABILITIES | $2,357,648 |
| INTERCO. ALLOC. OF TE BOND PROCEEDS | $141,296,054 |
| DUE TO RELATED | $1,009,186 |
| LEASES PAYABLE | $2,731,933 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $156,574,563 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART II, LINE 9: | THE FILING ORGANIZATION HAS RECORDED THE LAND CONSERVATION EASEMENT ON ITS FINANCIAL STATEMENTS AS A PROPERTY, PLANT, AND EQUIPMENT ASSET. THE CONSERVATION EASEMENT GENERATES NO REVENUE AND THE FILING ORGANIZATION DID NOT INCUR ANY EXPENSE IN THE CURRENT YEAR RELATED TO THE MAINTENANCE AND MONITORING OF THE CONSERVATION EASEMENT. |
| PART X, LINE 2: | THE HOSPITAL IS PART OF A CONSOLIDATED AUDITED FINANCIAL STATEMENT. THE CONSOLIDATED AUDITED FINANCIAL STATEMENT INCLUDES THE FOLLOWING FIN 48 FOOTNOTE - THE DIVISION FOLLOWS THE INCOME TAXES TOPIC OF THE ACCOUNTING STANDARD CODIFICATION (ASC) (ASC 740), WHICH 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, 2014. |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (1) | FinancialAssistancePolicyInd |
| Written Policy | Yes (1) | WrittenPolicyInd |
| All Hospitals Policy | Yes (X) | AllHospitalsPolicyInd |
| FPG Reference Free Care | Yes (1) | FPGReferenceFreeCareInd |
| Percent200 | Yes (X) | Percent200Ind |
| FPG Reference Discounted Care | 0 | FPGReferenceDiscountedCareInd |
| Free Care Medically Indigent | Yes (1) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (1) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | 0 | ExpensesExceedBudgetInd |
| Annual Community Bnft Report | Yes (1) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (1) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $7,356,372 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $7,356,372 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02810 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $24,190,994 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $12,066,275 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $12,124,719 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.04630 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $31,547,366 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $12,066,275 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $19,481,091 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.07440 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $103,296 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $103,296 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00040 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $5,543 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $5,543 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $108,839 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $108,839 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00040 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $31,656,205 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $12,066,275 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $19,589,930 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.07480 | TotalExpensePct |
Workforce Development WorkforceDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $40,853 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $40,853 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00020 | TotalExpensePct |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $40,853 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $40,853 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00020 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (1) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $15,016,848 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $1,582,019 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $87,827,835 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $84,054,517 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | $3,773,318 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | Yes (X) | CostToChargeRatioInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (1) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (1) | FinancialAssistancePrvsnInd |
| Hospital Facilities | 2 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp (2 entries)
| FacilityFacilityNum | Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Website AddressWebsiteAddressTxt | State LicenseStateLicenseNum | Licensed HospitalLicensedHospitalInd | General Medical And SurgicalGeneralMedicalAndSurgicalInd | Emergency Room24 HrsEmergencyRoom24HrsInd |
|---|---|---|---|---|---|---|---|---|---|
| FLORIDA HOSPITAL MEMORIAL MEDICAL CENTER | |||||||||
| 1 | 301 MEMORIAL MEDICAL PARKWAY | DAYTONA BEACH | FL | 32117 | WWW.FLORIDAHOSPITAL.COM/MEMORIAL-MEDIC | 4201 | Yes (X) | Yes (X) | Yes (X) |
| FLORIDA HOSPITAL OCEANSIDE | |||||||||
| 2 | 264 SOUTH ATLANTIC AVE | ORMOND BEACH | FL | 32176 | WWW.FLORIDAHOSPITAL.COM/MEMORIAL-MEDIC | 4201 | Yes (X) | Yes (X) | Yes (X) |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp (2 entries)
| FacilityFacilityNum | First Licensed CY Or PYFirstLicensedCYOrPYInd | Tax Exempt Hospital CY Or PYTaxExemptHospitalCYOrPYInd | CHNA ConductedCHNAConductedInd | Community DefinitionCommunityDefinitionInd | Community DemographicsCommunityDemographicsInd | Existing ResourcesExistingResourcesInd | How Data ObtainedHowDataObtainedInd | Community Health NeedsCommunityHealthNeedsInd | Other Health IssuesOtherHealthIssuesInd | Community Hlth Needs Id ProcessCommunityHlthNeedsIdProcessInd | Consulting ProcessConsultingProcessInd | CHNA ConductedCHNAConductedYr | Take Into Account Others InputTakeIntoAccountOthersInputInd | CHNA Conducted With Other FcltsCHNAConductedWithOtherFcltsInd | CHNA Conducted With Non FcltsCHNAConductedWithNonFcltsInd | CHNA Report Widely AvailableCHNAReportWidelyAvailableInd | Rpt Available On Own WebsiteRptAvailableOnOwnWebsiteInd | Own Website URLOwnWebsiteURLTxt | Paper Copy Public InspectionPaperCopyPublicInspectionInd | Rpt Available Thru Other MethodRptAvailableThruOtherMethodInd | Implementation Strategy AdoptImplementationStrategyAdoptInd | Implementation Strategy AdptImplementationStrategyAdptYr | Strategy Posted WebsiteStrategyPostedWebsiteInd | Strategy Website URLStrategyWebsiteURLTxt | Strategy AttachedStrategyAttachedInd | Organization Incur Excise TaxOrganizationIncurExciseTaxInd | Elig Criteria ExplainedEligCriteriaExplainedInd | FPG Family Incm Lmt Free DscntFPGFamilyIncmLmtFreeDscntInd | FPG Family Incm Lmt Free CareFPGFamilyIncmLmtFreeCarePct | Asset Level CriteriaAssetLevelCriteriaInd | Medical Indigency CriteriaMedicalIndigencyCriteriaInd | Insurance Status CriteriaInsuranceStatusCriteriaInd | Explained BasisExplainedBasisInd | App Financial Asst ExplnAppFinancialAsstExplnInd | Described InfoDescribedInfoInd | Described Suprt DocDescribedSuprtDocInd | Provided Hospital ContactProvidedHospitalContactInd | Provided Nonprofit ContactProvidedNonprofitContactInd | Includes Publicity MeasuresIncludesPublicityMeasuresInd | FAP Available On WebsiteFAPAvailableOnWebsiteInd | FAP App Available On WebsiteFAPAppAvailableOnWebsiteInd | FAP Summary On WebsiteFAPSummaryOnWebsiteInd | FAP Avlbl On Request No ChargeFAPAvlblOnRequestNoChargeInd | FAP App Avlbl On Request No ChrgFAPAppAvlblOnRequestNoChrgInd | FAP Sum Avlbl On Request No ChrgFAPSumAvlblOnRequestNoChrgInd | FAP Notice DisplayedFAPNoticeDisplayedInd | Communtity Notified FAPCommuntityNotifiedFAPInd | FAP Actions On NonpaymentFAPActionsOnNonpaymentInd | Permit No ActionsPermitNoActionsInd | Collection ActivitiesCollectionActivitiesInd | FAP Notified Upon AdmissionFAPNotifiedUponAdmissionInd | FAP Notified Before DischargeFAPNotifiedBeforeDischargeInd | FAP Notified All PatientsFAPNotifiedAllPatientsInd | Documented Elig DeterminationDocumentedEligDeterminationInd | Nondis Emergency Care PolicyNondisEmergencyCarePolicyInd | Other Method UsedOtherMethodUsedInd | Amounts Generally BilledAmountsGenerallyBilledInd | Gross ChargesGrossChargesInd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| FLORIDA HOSPITAL MEMORIAL MEDICAL CENTER | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| 1 | 0 | 0 | Yes (1) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | 13 | Yes (1) | 0 | 0 | Yes (1) | Yes (X) | SEE STATEMENT | Yes (X) | Yes (X) | Yes (1) | 14 | Yes (1) | SEE STATEMENT | 0 | 0 | Yes (1) | Yes (X) | 200.000000000000 | Yes (X) | Yes (X) | Yes (X) | Yes (1) | Yes (1) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (1) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (1) | Yes (X) | 0 | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (1) | Yes (X) | 0 | 0 |
| FLORIDA HOSPITAL OCEANSIDE | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| 2 | 0 | 0 | Yes (1) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | 13 | Yes (1) | 0 | 0 | Yes (1) | Yes (X) | SEE STATEMENT | Yes (X) | Yes (X) | Yes (1) | 14 | Yes (1) | SEE STATEMENT | 0 | 0 | Yes (1) | Yes (X) | 200.000000000000 | Yes (X) | Yes (X) | Yes (X) | Yes (1) | Yes (1) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (1) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (1) | Yes (X) | 0 | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (1) | Yes (X) | 0 | 0 |
Supplemental Information SupplementalInformationGrp (18 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FLORIDA HOSPITAL MEMORIAL MEDICAL CENTER | PART V, SECTION B, LINE 5: MEMORIAL HEALTH SYSTEMS, INC. D/B/A FLORIDA HOSPITAL MEMORIAL MEDICAL CENTER, (FHMMC OR THE HOSPITAL) OPERATES TWO HOSPITALS IN VOLUSIA COUNTY, FLORIDA WITH A TOTAL OF 358 LICENSED BEDS. THE PRIMARY SERVICE AREA (PSA) FOR FHMMC HAS A TOTAL POPULATION OF APPROXIMATELY 300,000. ABOUT 17.4% OF THE POPULATION IS UNDER AGE 18 AND 25% OF THE POPULATION IS 65 YEARS OR OLDER. APPROXIMATELY 23.4% OF THE POPULATION WITHIN THE PSA IS UNINSURED. IN CONDUCTING ITS 2013 COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA), THE HOSPITAL CONTRACTED WITH A LOCAL NON-PROFIT ORGANIZATION TO ASSIST IN PRIMARY DATA COLLECTION, COMPILATION AND ANALYSIS AND FACILITATION OF THE REVIEW AND PRIORITIZATION PROCESS FOR IDENTIFIED COMMUNITY HEALTH NEEDS. THIS LOCAL NON-PROFIT ORGANIZATION ASSISTED THE HOSPITAL WITH PRIMARY DATA COLLECTION WHICH CONSISTED OF INTERVIEWS (BY PHONE OR ON-LINE) WITH IDENTIFIED STAKEHOLDERS. STAKEHOLDERS WERE CHOSEN TO ENSURE REPRESENTATION OF THE UNDERSERVED POPULATIONS IN VOLUSIA COUNTY. IN ADDITION, A LINK WAS ESTABLISHED ON THE HOSPITAL'S WEBSITE WHEREBY RESIDENTS OF THE HOSPITAL'S COMMUNITY COULD PARTICIPATE IN A COMMUNITY HEALTH NEEDS ASSESSMENT SURVEY. AS A PART OF ITS EFFORTS TO ENSURE BROAD COMMUNITY-BASED INPUT INTO THE CHNA PROCESS, THE HOSPITAL ESTABLISHED A COMMUNITY HEALTH NEEDS ASSESSMENT COMMITTEE (CHNAC). THE CHNAC WAS INTENDED TO REPRESENT THE NEEDS OF THE GENERAL COMMUNITY WITH A PARTICULAR FOCUS ON INCLUDING REPRESENTATIVES OF THE MEDICALLY UNDERSERVED, LOW-INCOME, AND MINORITY POPULATIONS. THE FOLLOWING COMMUNITY-BASED ORGANIZATIONS WERE PARTICIPANTS IN THE CHNAC:THE VOLUSIA COUNTY HEALTH DEPARTMENT;THE JESUS CLINIC - A CLINIC PROVIDING FREE HEALTHCARE TO FAMILIES THAT DO NOT QUALIFY FOR MEDICAID AND ARE UNINSURED;JUNIOR LEAGUE OF DAYTONA BEACH - A NOT-FOR-PROFIT THAT SUPPORTS COMMUNITY ORGANIZATIONS SUCH AS EASTER SEALS, ASSOCIATION OF RETARDED CITIZENS, HEALTHY START, PROJECT W.A.R.M. (WOMEN ASSISTING RECOVERING MOTHERS), BEST FOOT FORWARD (EVENT TO CLOTHE TITLE I SCHOOL CHILDREN) AND KIDS IN THE KITCHEN (WELLNESS PROGRAM); UNITED WAY OF VOLUSIA-FLAGLER COUNTIES; ANDSTEWART MARCHMAN ACT - RECOVERY FOR MENTAL ILLNESS AND ADDICTION. |
| FLORIDA HOSPITAL OCEANSIDE | PART V, SECTION B, LINE 5: MEMORIAL HEALTH SYSTEMS, INC. D/B/A FLORIDA HOSPITAL MEMORIAL MEDICAL CENTER, (FHMMC OR THE HOSPITAL) OPERATES TWO HOSPITALS IN VOLUSIA COUNTY, FLORIDA WITH A TOTAL OF 358 LICENSED BEDS. THE PRIMARY SERVICE AREA (PSA) FOR FHMMC HAS A TOTAL POPULATION OF APPROXIMATELY 300,000. ABOUT 17.4% OF THE POPULATION IS UNDER AGE 18 AND 25% OF THE POPULATION IS 65 YEARS OR OLDER. APPROXIMATELY 23.4% OF THE POPULATION WITHIN THE PSA IS UNINSURED. IN CONDUCTING ITS 2013 COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA), THE HOSPITAL CONTRACTED WITH A LOCAL NON-PROFIT ORGANIZATION TO ASSIST IN PRIMARY DATA COLLECTION, COMPILATION AND ANALYSIS AND FACILITATION OF THE REVIEW AND PRIORITIZATION PROCESS FOR IDENTIFIED COMMUNITY HEALTH NEEDS. THIS LOCAL NON-PROFIT ORGANIZATION ASSISTED THE HOSPITAL WITH PRIMARY DATA COLLECTION WHICH CONSISTED OF INTERVIEWS (BY PHONE OR ON-LINE) WITH IDENTIFIED STAKEHOLDERS. STAKEHOLDERS WERE CHOSEN TO ENSURE REPRESENTATION OF THE UNDERSERVED POPULATIONS IN VOLUSIA COUNTY. IN ADDITION, A LINK WAS ESTABLISHED ON THE HOSPITAL'S WEBSITE WHEREBY RESIDENTS OF THE HOSPITAL'S COMMUNITY COULD PARTICIPATE IN A COMMUNITY HEALTH NEEDS ASSESSMENT SURVEY. AS A PART OF ITS EFFORTS TO ENSURE BROAD COMMUNITY-BASED INPUT INTO THE CHNA PROCESS, THE HOSPITAL ESTABLISHED A COMMUNITY HEALTH NEEDS ASSESSMENT COMMITTEE (CHNAC). THE CHNAC WAS INTENDED TO REPRESENT THE NEEDS OF THE GENERAL COMMUNITY WITH A PARTICULAR FOCUS ON INCLUDING REPRESENTATIVES OF THE MEDICALLY UNDERSERVED, LOW-INCOME, AND MINORITY POPULATIONS. THE FOLLOWING COMMUNITY-BASED ORGANIZATIONS WERE PARTICIPANTS IN THE CHNAC:THE VOLUSIA COUNTY HEALTH DEPARTMENT;THE JESUS CLINIC - CLINIC PROVIDING FREE HEALTHCARE TO FAMILIES THAT DO NOT QUALIFY FOR MEDICAID AND ARE UNINSURED;JUNIOR LEAGUE OF DAYTONA BEACH - A NOT-FOR-PROFIT THAT SUPPORTS COMMUNITY ORGANIZATIONS SUCH AS EASTER SEALS, ASSOCIATION OF RETARDED CITIZENS, HEALTHY START, PROJECT W.A.R.M. (WOMEN ASSISTING RECOVERING MOTHERS), BEST FOOT FORWARD (EVENT TO CLOTHE TITLE I SCHOOL CHILDREN) AND KIDS IN THE KITCHEN (WELLNESS PROGRAM); UNITED WAY OF VOLUSIA-FLAGLER COUNTIES; ANDSTEWART MARCHMAN ACT - RECOVERY FOR MENTAL ILLNESS AND ADDICTION. |
| FLORIDA HOSPITAL MEMORIAL MEDICAL CENTER | 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 REPORT MUST BE POSTED ON THE HOSPITAL'S WEBSITE BY THE END OF THE YEAR IN WHICH IT IS CONDUCTED. THE HOSPITAL WILL MAKE A COPY OF ITS COMMUNITY HEALTH NEEDS ASSESSMENT REPORT AVAILABLE UPON REQUEST. THE HOSPITAL WILL ALSO MAKE A PAPER COPY OF THE COMMUNITY HEALTH NEEDS ASSESSMENT REPORT AVAILABLE FOR PUBLIC INSPECTION AT THE HOSPITAL FACILITY. |
| FLORIDA HOSPITAL OCEANSIDE | 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 REPORT MUST BE POSTED ON THE HOSPITAL'S WEBSITE BY THE END OF THE YEAR IN WHICH IT IS CONDUCTED. THE HOSPITAL WILL MAKE A COPY OF ITS COMMUNITY HEALTH NEEDS ASSESSMENT REPORT AVAILABLE UPON REQUEST. THE HOSPITAL WILL ALSO MAKE A PAPER COPY OF THE COMMUNITY HEALTH NEEDS ASSESSMENT REPORT AVAILABLE FOR PUBLIC INSPECTION AT THE HOSPITAL FACILITY. |
| FLORIDA HOSPITAL MEMORIAL MEDICAL CENTER | PART V, SECTION B, LINE 11: PRIORITIES 1 & 2: CARDIOVASCULAR DISEASE AND DIABETES FLORIDA HOSPITAL MEMORIAL MEDICAL CENTER HAS A LONGSTANDING HISTORY IN THE COMMUNITY AS A LEADER IN CARDIOVASCULAR CARE. IT WAS DETERMINED THAT FHMMC HAD SOLID RESOURCES IN PLACE TO TACKLE THIS ISSUE IN CONJUNCTION WITH THE VOLUSIA/FLAGLER MARKET-WIDE CHANGE YOUR LIFE PROGRAM, THE INCORPORATION OF CREATION HEALTH, AS WELL AS PLANNED COMMUNITY CORPORATE WELLNESS INITIATIVES AND PARTNERSHIPS WITH LOCAL CIVIC AND GOVERNMENT AGENCIES. FLORIDA HOSPITAL MEMORIAL MEDICAL CENTER'S DIABETES CENTER HAS THE RESOURCES AND STAFF AVAILABLE TO SUPPORT A COMMUNITY OUTREACH PROGRAM. SUPPORT GROUPS, NUTRITIONAL CLASSES AND EDUCATIONAL SEMINARS ARE CURRENTLY AVAILABLE AS WELL AS AN ANNUAL WORLD DIABETES DAY EVENT. ROLLING THESE EXISTING PROGRAMS INTO THE CHANGE YOUR LIFE PROGRAM AND ITS COMMUNITY OUTREACH ACTIVITIES TO PROMOTE HEALTH AND WELLNESS WAS A NATURAL FIT.INTERVENTIONS INCLUDE: - "CHANGE YOUR LIFE" WELLNESS PROGRAM FOR 1,800 COMMUNITY MEMBERS (INCLUDING SCHOLARSHIPS FOR LOW-INCOME PEOPLE) CENTERED ON THE EIGHT CORE PRINCIPLES OF CREATION HEALTH (CHOICE, REST, ENVIRONMENT, ACTIVITY, TRUST, INTERPERSONAL RELATIONSHIPS, OUTLOOK AND NUTRITION): EVENTS, PHYSICAL CHALLENGES, EDUCATION, ONLINE REPORTING AND PRIZES - CREATION HEALTH SEMINARS AT HOSPITAL AND COMMUNITY LOCATIONS, INCLUDING A TARGETED, LOW-INCOME COMMUNITY - CHOLESTEROL SCREENINGS FOR AREA RESIDENTS INCLUDING LOW-INCOME GROUPS - DIABETES EDUCATION SCHOLARSHIPS FOR UNDERSERVED ADULTS - SCHOLARSHIPS (AS NEEDED) FOR COMMUNITY EDUCATION PROGRAMS FOR AT LEAST 850 PEOPLE UNDERSTANDING HEART MEDICATIONS HEART HEALTHY COOKING DEMO AND NUTRITION SEMINAR GO RED SCREENING (HEART DISEASE) WOMEN'S HEALTH FAIR AND GO RED SCREENINGS SEE ADDITIONAL WELLNESS PROGRAMS IN PRIORITY 3 WELLNESS ON WHEELS MOBILE VAN HEALTH SCREENINGS.PRIORITY 3: PROMOTE HEALTH AND WELLNESS: OBESITY AND HEALTH LITERACYBOTH THE INTERNAL AND EXTERNAL STAKEHOLDERS AGREED THAT ALL OF THE CHRONIC ISSUES DISCUSSED, INCLUDING CARDIOVASCULAR DISEASE, DIABETES AND SUBSTANCE ABUSE, FELL UNDER THE UMBRELLA CATEGORY OF HEALTH AND WELLNESS. INTERVENTIONS INCLUDE: - "CHANGE YOUR LIFE" WELLNESS PROGRAM FOR 1,800 COMMUNITY MEMBERS (INCLUDING SCHOLARSHIPS FOR LOW-INCOME PEOPLE) CENTERED ON THE EIGHT CORE PRINCIPLES OF CREATION HEALTH (CHOICE, REST, ENVIRONMENT, ACTIVITY, TRUST, INTERPERSONAL RELATIONSHIPS, OUTLOOK AND NUTRITION): EVENTS, PHYSICAL CHALLENGES, EDUCATION, ONLINE REPORTING AND PRIZES - CREATION HEALTH SEMINARS AT HOSPITAL AND COMMUNITY LOCATIONS, INCLUDING A TARGETED, LOW-INCOME COMMUNITY - THE PINK ARMY VOLUNTEER "ARMY OF SOLDIERS" CONSISTING OF CURRENT BREAST CANCER PATIENTS AND SURVIVORS, MOTHERS AND FATHERS, SONS AND DAUGHTERS, AND FAMILY MEMBERS AND FRIENDS - PROVIDE COMMUNITY EDUCATION EFFORTS AROUND EARLY DETECTION OF BREAST CANCER - RAISE MONEY FOR MAMMOGRAMS FOR UNDERSERVED WOMEN HOSPITAL WELLNESS PROGRAMS: - SELF-DEFENSE WORKSHOP - PUBLIC HEALTH AND SAFETY FAIRS - BABY SHOWER FOR UNDERSERVED MOTHERS - SENIOR EXPO - BEGINNER YOGA CLASS - AEROBICS CLASS - SENIOR EXPO - CHURCH SPEAKERS' BUREAU ON VARIOUS HEALTH TOPICS INCLUDING CARDIAC DISEASE AND DIABETES - BIKE HELMET FITTINGS - PARTICIPATION IN THE NATIONAL NIGHT OUT ANNUAL COMMUNITY-BUILDING CAMPAIGN THAT PROMOTES POLICE-COMMUNITY PARTNERSHIPS AND NEIGHBORHOOD CAMARADERIE TO MAKE OUR NEIGHBORHOODS SAFER, BETTER PLACES TO LIVE - PARTICIPATION IN LET'S MOVE VOLUSIA'S YOUTH COALITION (WITH THE VOLUSIA HEALTH DEPARTMENT) - PARTICIPATION IN OTHER HEALTH DEPARTMENT WELLNESS INITIATIVES - PARTICIPATION IN AND EVENT FOR THE WORKSITE WELLNESS COUNCIL OF VOLUSIA COUNTY - WELLNESS PARTNERSHIPS WITH VOLUSIA COUNTY SCHOOLS - SUPPORT OF HEALTH AND WELLNESS EFFORTS SPONSORED BY THE JUNIOR LEAGUE OF DAYTONA BEACH - FINANCIAL SUPPORT FOR THE HEALTHY START COALITION OF FLAGLER/VOLUSIA. PRIORITY 4: SUBSTANCE USE AND ABUSE (TOBACCO, DRUGS, ALCOHOL, PRESCRIPTION DRUGS)FLORIDA HOSPITAL MEMORIAL MEDICAL CENTER CHOSE THIS AREA OF FOCUS BECAUSE IT WAS OUTSIDE OF ITS CORE COMPETENCIES AND "COMFORT ZONE." THE HOSPITAL WILL ACT IN A SUPPORTING ROLE TO EXISTING COMMUNITY EFFORTS.INTERVENTIONS INCLUDE: - FREE SMOKING CESSATION PROGRAMS THROUGH A GRANT TO THE FLORIDA AREA HEALTH EDUCATION CENTERS (AHEC) - PARTNERSHIPS WITH EXISTING DRUG AND ALCOHOL PROGRAMS SUCH AS STUDENTS WORKING AGAINST TOBACCO AND THE VOLUSIA COUNTY SCHOOLS SYSTEM - WORK WITH ONE NEW PARTNER TO DEVELOP A PLAN TO TARGET SUBSTANCE ABUSE IN YOUTH.PRIORITY 5: PROMOTE HEALTH AND WELLNESS: HEALTH CARE ACCESS ACCESS TO HEALTH CARE WAS IDENTIFIED BY BOTH EXTERNAL AND INTERNAL STAKEHOLDERS AS A PRIORITY. IN PARTICULAR, MANY LOW-INCOME RESIDENTS OF ZIP CODES 32114 AND 32117 ARE UNINSURED AND DO NOT HAVE ACCESS TO PRIMARY CARE. LIMITED ACCESS TO HEALTH CARE CAN LEAD TO CHRONIC ISSUES PREVIOUSLY IDENTIFIED INCLUDING CARDIOVASCULAR DISEASE, DIABETES AND OBESITY. THE DAYTONA BEACH CULTURAL CENTER WAS IDENTIFIED AS AN IDEAL LOCATION FOR SCREENINGS AND HEALTH EDUCATION BECAUSE OF ITS EASY ACCESS TO RESIDENTS IN (UNDERSERVED) ZIP CODE 32114.INTERVENTIONS INCLUDE: - FUNDING FOR DIAGNOSTIC AND TREATMENT SERVICES FOR THE FREE JESUS CLINIC THAT SERVES UNINSURED PEOPLE - INCREASE HEALTH AND WELLNESS RESOURCES ON THE 2-1-1 COMMUNITY SERVICE DATABASE - INCREASE HOSPITAL REFERRALS TO THE UPDATED 2-1-1 DATABASE - HOSPITAL-SPONSORED SUPPORT GROUPS - BEREAVEMENT - BIBLE STUDY - CANCER - LIVING WITH CANCER - CANCER - LOOK GOOD, FEEL BETTER - CANCER - BREAST CANCER - CANCER - LUNG CANCER - CARDIOPULMONARY - YOUNG AT HEART - CARDIOPULMONARY - BETTER BREATHERS CLUB - CHILDBIRTH - PREPARED CHILDBIRTH CLASSES - CHILDBIRTH - SUNDAY BIRTH SHOP - CHILD CARE - NEWBORN CARE CLASS - CHILD CARE - BIG BROTHER/BIG SISTER - DIABETES - KIDNEY SMART - MOTHERHOOD - MOMMY TO MOMMY GROUP - MOTHERHOOD - BREASTFEEDING SUPPORT GROUP - SMOKING CESSATION - QUIT SMOKING NOW! - STROKE - STUTTERING - COMMUNITY GROUPS HOLDING PROGRAMS ONSITE AT THE HOSPITAL - AARP FLORIDA - ALCOHOLICS ANONYMOUS - CODEPENDENTS ANONYMOUS - DEBTORS ANONYMOUS - NICOTINE ANONYMOUS - OVEREATERS ANONYMOUS - TOASTMASTERS.PRIORITIES CONSIDERED BUT NOT SELECTED OF THE TOP ISSUES IDENTIFIED BY THE PRIMARY AND SECONDARY DATA, FLORIDA HOSPITAL MEMORIAL MEDICAL CENTER CHOSE NOT TO CONCENTRATE ITS EFFORTS ON TWO ISSUES.MENTAL HEALTH DISORDERSTHE HOSPITAL DOES NOT PROVIDE MENTAL HEALTH AND SUBSTANCE ABUSE SERVICES, AND THEREFORE DOES NOT HAVE INTERNAL RESOURCES TO FULLY SUPPORT A COMMUNITY PROGRAM. OUR EXTERNAL, COMMUNITY STAKEHOLDERS SUGGESTED THAT, BY SUPPORTING THE PROGRAMS NOTED IN PRIORITY 4 (ABOVE), WE COULD HAVE AN INDIRECT IMPACT ON MENTAL HEALTH AND ALCOHOL AND DRUG ABUSE THAT THERE WOULD ALSO BE AN INDIRECT EFFECT ON MENTAL HEALTH ISSUES IN THE PRIMARY SERVICE AREA.CHRONIC DISEASE: ASTHMA FLORIDA HOSPITAL MEMORIAL MEDICAL CENTER ALREADY OFFERS COMMUNITY EDUCATION AND WELLNESS RESOURCES FOR LUNG DISEASE. IT DOES NOT HAVE SPECIFIC ASTHMA PROGRAMS BECAUSE OTHERS IN THE COMMUNITY DO SO, AND OUR HEALTH AND WELLNESS INITIATIVE AND 2-1-1 HAVE RESOURCES FOR THIS CONDITION. |
| FLORIDA HOSPITAL OCEANSIDE | PART V, SECTION B, LINE 11: BECAUSE THEIR SERVICE AREAS ARE IDENTICAL, FLORIDA HOSPITAL OCEANSIDE AND FLORIDA HOSPITAL MEMORIAL MEDICAL CENTER HAVE THE SAME COMMUNITY HEALTH PLAN.PRIORITIES 1 & 2: CARDIOVASCULAR DISEASE AND DIABETES FLORIDA HOSPITAL OCEANSIDE HAS A LONGSTANDING HISTORY IN THE COMMUNITY AS A LEADER IN CARDIOVASCULAR CARE. IT WAS DETERMINED THAT THE HOSPITAL HAD SOLID RESOURCES IN PLACE TO TACKLE THIS ISSUE IN CONJUNCTION WITH THE VOLUSIA/FLAGLER MARKET-WIDE CHANGE YOUR LIFE PROGRAM, THE INCORPORATION OF CREATION HEALTH, AS WELL AS PLANNED COMMUNITY CORPORATE WELLNESS INITIATIVES AND PARTNERSHIPS WITH LOCAL CIVIC AND GOVERNMENT AGENCIES. THE HOSPITAL'S DIABETES CENTER HAS THE RESOURCES AND STAFF AVAILABLE TO SUPPORT A COMMUNITY OUTREACH PROGRAM. SUPPORT GROUPS, NUTRITIONAL CLASSES AND EDUCATIONAL SEMINARS ARE CURRENTLY AVAILABLE AS WELL AS AN ANNUAL WORLD DIABETES DAY EVENT. ROLLING THESE EXISTING PROGRAMS INTO THE CHANGE YOUR LIFE PROGRAM AND ITS COMMUNITY OUTREACH ACTIVITIES TO PROMOTE HEALTH AND WELLNESS WAS A NATURAL FIT.INTERVENTIONS INCLUDE: - "CHANGE YOUR LIFE" WELLNESS PROGRAM FOR 1,800 COMMUNITY MEMBERS (INCLUDING SCHOLARSHIPS FOR LOW-INCOME PEOPLE) CENTERED ON THE EIGHT CORE PRINCIPLES OF CREATION HEALTH (CHOICE, REST, ENVIRONMENT, ACTIVITY, TRUST, INTERPERSONAL RELATIONSHIPS, OUTLOOK AND NUTRITION): EVENTS, PHYSICAL CHALLENGES, EDUCATION, ONLINE REPORTING AND PRIZES - CREATION HEALTH SEMINARS AT HOSPITAL AND COMMUNITY LOCATIONS, INCLUDING A TARGETED, LOW-INCOME COMMUNITY - CHOLESTEROL SCREENINGS FOR AREA RESIDENTS INCLUDING LOW-INCOME GROUPS - DIABETES EDUCATION SCHOLARSHIPS FOR UNDERSERVED ADULTS - SCHOLARSHIPS (AS NEEDED) FOR COMMUNITY EDUCATION PROGRAMS FOR AT LEAST 850 PEOPLE UNDERSTANDING HEART MEDICATIONS HEART HEALTHY COOKING DEMO AND NUTRITION SEMINAR GO RED SCREENING (HEART DISEASE) WOMEN'S HEALTH FAIR AND GO RED SCREENINGS SEE ADDITIONAL WELLNESS PROGRAMS IN PRIORITY 3 WELLNESS ON WHEELS MOBILE VAN HEALTH SCREENINGS.PRIORITY 3: PROMOTE HEALTH AND WELLNESS: OBESITY AND HEALTH LITERACYBOTH THE INTERNAL AND EXTERNAL STAKEHOLDERS AGREED THAT ALL OF THE CHRONIC ISSUES DISCUSSED, INCLUDING CARDIOVASCULAR DISEASE, DIABETES AND SUBSTANCE ABUSE, FELL UNDER THE UMBRELLA CATEGORY OF HEALTH AND WELLNESS. INTERVENTIONS INCLUDE: - "CHANGE YOUR LIFE" WELLNESS PROGRAM FOR 1,800 COMMUNITY MEMBERS (INCLUDING SCHOLARSHIPS FOR LOW-INCOME PEOPLE) CENTERED ON THE EIGHT CORE PRINCIPLES OF CREATION HEALTH (CHOICE, REST, ENVIRONMENT, ACTIVITY, TRUST, INTERPERSONAL RELATIONSHIPS, OUTLOOK AND NUTRITION): EVENTS, PHYSICAL CHALLENGES, EDUCATION, ONLINE REPORTING AND PRIZES - CREATION HEALTH SEMINARS AT HOSPITAL AND COMMUNITY LOCATIONS, INCLUDING A TARGETED, LOW-INCOME COMMUNITY - THE PINK ARMY VOLUNTEER "ARMY OF SOLDIERS" CONSISTING OF CURRENT BREAST CANCER PATIENTS AND SURVIVORS, MOTHERS AND FATHERS, SONS AND DAUGHTERS, AND FAMILY MEMBERS AND FRIENDS - PROVIDE COMMUNITY EDUCATION EFFORTS AROUND EARLY DETECTION OF BREAST CANCER - RAISE MONEY FOR MAMMOGRAMS FOR UNDERSERVED WOMEN HOSPITAL WELLNESS PROGRAMS: - SELF-DEFENSE WORKSHOP - PUBLIC HEALTH AND SAFETY FAIRS - BABY SHOWER FOR UNDERSERVED MOTHERS - SENIOR EXPO - BEGINNER YOGA CLASS - AEROBICS CLASS - SENIOR EXPO - CHURCH SPEAKERS' BUREAU ON VARIOUS HEALTH TOPICS INCLUDING CARDIAC DISEASE AND DIABETES - BIKE HELMET FITTINGS - PARTICIPATION IN THE NATIONAL NIGHT OUT ANNUAL COMMUNITY-BUILDING CAMPAIGN THAT PROMOTES POLICE-COMMUNITY PARTNERSHIPS AND NEIGHBORHOOD CAMARADERIE TO MAKE OUR NEIGHBORHOODS SAFER, BETTER PLACES TO LIVE - PARTICIPATION IN LET'S MOVE VOLUSIA'S YOUTH COALITION (WITH THE VOLUSIA HEALTH DEPARTMENT) - PARTICIPATION IN OTHER HEALTH DEPARTMENT WELLNESS INITIATIVES - PARTICIPATION IN AND EVENT FOR THE WORKSITE WELLNESS COUNCIL OF VOLUSIA COUNTY - WELLNESS PARTNERSHIPS WITH VOLUSIA COUNTY SCHOOLS - SUPPORT OF HEALTH AND WELLNESS EFFORTS SPONSORED BY THE JUNIOR LEAGUE OF DAYTONA BEACH - FINANCIAL SUPPORT FOR THE HEALTHY START COALITION OF FLAGLER/VOLUSIA. PRIORITY 4: SUBSTANCE USE AND ABUSE (TOBACCO, DRUGS, ALCOHOL, PRESCRIPTION DRUGS)FLORIDA HOSPITAL MEMORIAL MEDICAL CENTER CHOSE THIS AREA OF FOCUS BECAUSE IT WAS OUTSIDE OF ITS CORE COMPETENCIES AND "COMFORT ZONE." THE HOSPITAL WILL ACT IN A SUPPORTING ROLE TO EXISTING COMMUNITY EFFORTS.INTERVENTIONS INCLUDE: - FREE SMOKING CESSATION PROGRAMS THROUGH A GRANT TO THE FLORIDA AREA HEALTH EDUCATION CENTERS (AHEC) - PARTNERSHIPS WITH EXISTING DRUG AND ALCOHOL PROGRAMS SUCH AS STUDENTS WORKING AGAINST TOBACCO AND THE VOLUSIA COUNTY SCHOOLS SYSTEM - WORK WITH ONE NEW PARTNER TO DEVELOP A PLAN TO TARGET SUBSTANCE ABUSE IN YOUTH.PRIORITY 5: PROMOTE HEALTH AND WELLNESS: HEALTH CARE ACCESS ACCESS TO HEALTH CARE WAS IDENTIFIED BY BOTH EXTERNAL AND INTERNAL STAKEHOLDERS AS A PRIORITY. IN PARTICULAR, MANY LOW-INCOME RESIDENTS OF ZIP CODES 32114 AND 32117 ARE UNINSURED AND DO NOT HAVE ACCESS TO PRIMARY CARE. LIMITED ACCESS TO HEALTH CARE CAN LEAD TO CHRONIC ISSUES PREVIOUSLY IDENTIFIED INCLUDING CARDIOVASCULAR DISEASE, DIABETES AND OBESITY. THE DAYTONA BEACH CULTURAL CENTER WAS IDENTIFIED AS AN IDEAL LOCATION FOR SCREENINGS AND HEALTH EDUCATION BECAUSE OF ITS EASY ACCESS TO RESIDENTS IN (UNDERSERVED) ZIP CODE 32114.INTERVENTIONS INCLUDE: - FUNDING FOR DIAGNOSTIC AND TREATMENT SERVICES FOR THE FREE JESUS CLINIC THAT SERVES UNINSURED PEOPLE - INCREASE HEALTH AND WELLNESS RESOURCES ON THE 2-1-1 COMMUNITY SERVICE DATABASE - INCREASE HOSPITAL REFERRALS TO THE UPDATED 2-1-1 DATABASE - HOSPITAL-SPONSORED SUPPORT GROUPS - BEREAVEMENT - BIBLE STUDY - CANCER - LIVING WITH CANCER - CANCER - LOOK GOOD, FEEL BETTER - CANCER - BREAST CANCER - CANCER - LUNG CANCER - CARDIOPULMONARY - YOUNG AT HEART - CARDIOPULMONARY - BETTER BREATHERS CLUB - CHILDBIRTH - PREPARED CHILDBIRTH CLASSES - CHILDBIRTH - SUNDAY BIRTH SHOP - CHILD CARE - NEWBORN CARE CLASS - CHILD CARE - BIG BROTHER/BIG SISTER - DIABETES - KIDNEY SMART - MOTHERHOOD - MOMMY TO MOMMY GROUP - MOTHERHOOD - BREASTFEEDING SUPPORT GROUP - SMOKING CESSATION - QUIT SMOKING NOW! - STROKE - STUTTERING - COMMUNITY GROUPS HOLDING PROGRAMS ONSITE AT THE HOSPITAL - AARP FLORIDA - ALCOHOLICS ANONYMOUS - CODEPENDENTS ANONYMOUS - DEBTORS ANONYMOUS - NICOTINE ANONYMOUS - OVEREATERS ANONYMOUS - TOASTMASTERS.PRIORITIES CONSIDERED BUT NOT SELECTED OF THE TOP ISSUES IDENTIFIED BY THE PRIMARY AND SECONDARY DATA, FLORIDA HOSPITAL OCEANSIDE CHOSE NOT TO CONCENTRATE ITS EFFORTS ON TWO ISSUES.MENTAL HEALTH DISORDERSTHE HOSPITAL DOES NOT PROVIDE MENTAL HEALTH AND SUBSTANCE ABUSE SERVICES, AND THEREFORE DOES NOT HAVE INTERNAL RESOURCES TO FULLY SUPPORT A COMMUNITY PROGRAM. OUR EXTERNAL, COMMUNITY STAKEHOLDERS SUGGESTED THAT, BY SUPPORTING THE PROGRAMS NOTED IN PRIORITY 4 (ABOVE), WE COULD HAVE AN INDIRECT IMPACT ON MENTAL HEALTH AND ALCOHOL AND DRUG ABUSE THAT THERE WOULD ALSO BE AN INDIRECT EFFECT ON MENTAL HEALTH ISSUES IN THE PRIMARY SERVICE AREA.CHRONIC DISEASE: ASTHMA FLORIDA HOSPITAL OCEANSIDE ALREADY OFFERS COMMUNITY EDUCATION AND WELLNESS RESOURCES FOR LUNG DISEASE. IT DOES NOT HAVE SPECIFIC ASTHMA PROGRAMS BECAUSE OTHERS IN THE COMMUNITY DO SO, AND OUR HEALTH AND WELLNESS INITIATIVE AND 2-1-1 HAVE RESOURCES FOR THIS CONDITION. |
| FLORIDA HOSPITAL MEMORIAL MEDICAL CENTER | PART V, SECTION B, LINE 22D: IN DETERMINING THE MAXIMUM AMOUNT THAT CAN BE CHARGED TO FINANCIAL ASSISTANCE POLICY-ELIGIBLE INDIVIDUALS FOR EMERGENCY OR OTHER MEDICALLY NECESSARY CARE, THE HOSPITAL USED THE FOLLOWING METHODOLOGY IN 2014:THE HOSPITAL IDENTIFIED ALL COMMERCIAL PAYORS THAT HAD ANY ACTIVITY WITH THE HOSPITAL DURING THE TAXABLE YEAR. FOR THOSE IDENTIFIED COMMERCIAL PAYORS, AN AVERAGE OF THE NEGOTIATED COMMERCIAL INSURANCE RATES WAS DETERMINED. THE AVERAGE OF ALL OF THE NEGOTIATED COMMERCIAL INSURANCE RATES FOR THOSE IDENTIFIED COMMERCIAL PAYORS DETERMINED THE MAXIMUM AMOUNT THAT COULD BE CHARGED TO PATIENTS ELIGIBLE UNDER THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY. |
| FLORIDA HOSPITAL OCEANSIDE | PART V, SECTION B, LINE 22D: IN DETERMINING THE MAXIMUM AMOUNT THAT CAN BE CHARGED TO FINANCIAL ASSISTANCE POLICY-ELIGIBLE INDIVIDUALS FOR EMERGENCY OR OTHER MEDICALLY NECESSARY CARE, THE HOSPITAL USED THE FOLLOWING METHODOLOGY IN 2014:THE HOSPITAL IDENTIFIED ALL COMMERCIAL PAYORS THAT HAD ANY ACTIVITY WITH THE HOSPITAL DURING THE TAXABLE YEAR. FOR THOSE IDENTIFIED COMMERCIAL PAYORS, AN AVERAGE OF THE NEGOTIATED COMMERCIAL INSURANCE RATES WAS DETERMINED. THE AVERAGE OF ALL OF THE NEGOTIATED COMMERCIAL INSURANCE RATES FOR THOSE IDENTIFIED COMMERCIAL PAYORS DETERMINED THE MAXIMUM AMOUNT THAT COULD BE CHARGED TO PATIENTS ELIGIBLE UNDER THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY. |
| SCHEDULE H, PART V, SECTION B, LINE 7A: | THE CHNA REPORT FOR BOTH CAMPUSES CAN BE FOUND AT URL:HTTPS://WWW.FLORIDAHOSPITAL.COM/SITES/DEFAULT/FILES/PDF/FHMMC_3_4_CHNA_FINAL_REPORT_-_FOR_POSTING1.PDF |
| SCHEDULE H, PART V, SECTION B, LINE 10A: | THE HOSPITAL'S MOST RECENTLY ADOPTED IMPLEMENTATION STRATEGY FOR BOTH CAMPUSES CAN BE FOUND AT:HTTPS://WWW.FLORIDAHOSPITAL.COM/SITES/DEFAULT/FILES/FH_MEMORIAL_MEDICAL_2014-16_UPDATED_COMMUNITY_HEALTH_PLAN.PDF |
| SCHEDULE H, PART V, SECTION B, LINE 16A,B,C: | THE FINANCIAL ASSISTANCE POLICY FOR BOTH CAMPUSES CAN BE FOUND AT URL:HTTPS://WWW.FLORIDAHOSPITAL.COM/SITES/DEFAULT/FILES/FINANCIAL_ASSISTANCE_POLICY_FINAL_FORMAT_FOR_WEB_1_30_14.PDFTHE FINANCIAL ASSISTANCE POLICY APPLICATION FOR BOTH CAMPUSES CAN BE FOUND AT:HTTPS://WWW.FLORIDAHOSPITAL.COM/SITES/DEFAULT/FILES/FHMMC_FINANCIAL_ASSISTANCE_APPLICATION.PDFTHE PLAIN LANGUAGE SUMMARY FOR BOTH CAMPUSES ARE AVAILABLE AT:HTTPS://WWW.FLORIDAHOSPITAL.COM/SITES/DEFAULT/FILES/FHMMC_CHARITY_PLS.PDF |
| PART V, SECTION B, LINE 16 | FINANCIAL ASSISTANCE POLICY WEBSITE AVAILABILITY |
| FLORIDA HOSPITAL MEMORIAL MEDICAL CENTER PART V, SECTION B, LINE 16A WEBSITE: | SEE STATEMENT |
| FLORIDA HOSPITAL MEMORIAL MEDICAL CENTER PART V, SECTION B, LINE 16B WEBSITE: | SEE STATEMENT |
| FLORIDA HOSPITAL MEMORIAL MEDICAL CENTER PART V, SECTION B, LINE 16C WEBSITE: | SEE STATEMENT |
| FLORIDA HOSPITAL OCEANSIDE PART V, SECTION B, LINE 16A WEBSITE: | SEE STATEMENT |
| FLORIDA HOSPITAL OCEANSIDE PART V, SECTION B, LINE 16B WEBSITE: | SEE STATEMENT |
| FLORIDA HOSPITAL OCEANSIDE PART V, SECTION B, LINE 16C WEBSITE: | SEE STATEMENT |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 28 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (28 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | FacilityFacilityTxt |
|---|---|---|---|---|
| FHMMC CANCER CARE CENTER | ||||
| 224 MEMORIAL MEDICAL PKWY | DAYTONA BEACH | FL | 32117 | ONCOLOGY SERVICES |
| FLORIDA MEMORIAL HOSPITAL IMAGING CENTER | ||||
| 335 CLYDE MORRIS BLVD | ORMOND BEACH | FL | 32174 | DIAGNOSTIC IMAGING |
| FHMMC WOUND CARE | ||||
| 305 MEMORIAL MEDICAL PKWY 101 | DAYTONA BEACH | FL | 32117 | WOUND CARE SERVICES |
| FHMMC REHABILITATION SVCS OUTPATIENT CTR | ||||
| 501 STERTHAUS AVENUE | ORMOND BEACH | FL | 32174 | REHABILITATIVE SERVICES |
| PRACTICE OF DR MURRPHY MARTIN & KENT | ||||
| 305 MEMORIAL MEDICAL PKWY 206 | DAYTONA BEACH | FL | 32117 | NEURO SURGERY |
| NEW SMYRNA BEACH OUTPATIENT SERVICES | ||||
| 125 127 FLORIDA MEMORIAL PARKWAY | NEW SMYRNA BEACH | FL | 32168 | LAB, OUTPATIENT, IMAGING SERVICES |
| FHMMC AT THE PAVILION | ||||
| 5535 S WILLIAMSON BLVD700 | PORT ORANGE | FL | 32128 | HEALTHCARE REHAB, LAB, & RADIOLOGY SERVICES |
| FLORIDA WOMEN'S HEALTH CENTER | ||||
| 335 CLYDE MORRIS BLVD 240 | ORMOND BEACH | FL | 32174 | WOMEN'S HEALTH SERVICES |
| FLORIDA WOMEN'S CARE | ||||
| 305 MEMORIAL MEDICAL PKWY 400 | DAYTONA BEACH | FL | 32117 | OB GYN SERVICES |
| PRACTICE OF DR BIRKEDAL | ||||
| 305 MEMORIAL MEDICAL PKWY 205 | DAYTONA BEACH | FL | 32117 | GENERAL SURGERY |
| PRACTICE OF DR DAAS | ||||
| 305 MEMORIAL MEDICAL PKWY 203 | DAYTONA BEACH | FL | 32117 | GASTROENTEROLOGY |
| PRACTICE OF DR RASMUSSEN | ||||
| 305 MEMORIAL MEDICAL PKWY 209 | DAYTONA BEACH | FL | 32117 | GENERAL SURGERY |
| DAYTONA BEACH SHORES OUTPATIENT REHAB | ||||
| 3506 S ATLANTIC AVE | DAYTONA BEACH SHORES | FL | 32118 | REHAB AND LAB SERVICES |
| FHMMC CARDIAC REHAB | ||||
| 305 MEMORIAL MEDICAL PKWY 306 | DAYTONA BEACH | FL | 32117 | REHABILITATIVE SERVICES |
| MEMORIAL MEDLAB | ||||
| 290 N CLYDE MORRIS BLVD | ORMOND BEACH | FL | 32174 | LAB SERVICES |
| DR WINDHAM | ||||
| 305 MEMORIAL MEDICAL PKWY 201 | DAYTONA BEACH | FL | 32117 | ONCOLOGY SERVICES |
| PRACTICE OF DR COHEN | ||||
| 305 MEMORIAL MEDICAL PKWY 207 | DAYTONA BEACH | FL | 32117 | FAMILY MEDICINE |
| PRACTICE OF DR NIEWALD | ||||
| 305 MEMORIAL MEDICAL PKWY 208 | ORMOND BEACH | FL | 32174 | FAMILY MEDICINE |
| PRACTICE OF DR CASIMIRO | ||||
| 290 N CLYDE MORRIS BLVD A-2 | ORMOND BEACH | FL | 32174 | FAMILY MEDICINE |
| DR EISENHUT | ||||
| 305 MEMORIAL MEDICAL PKWY 208 | DAYTONA BEACH | FL | 32117 | FAMILY MEDICINE |
| DR DESAI | ||||
| 305 MEMORIAL MEDICAL PKWY 307 | DAYTONA BEACH | FL | 32117 | CARDIOVASCULAR SERVICES |
| FHMMC AT THE PAVILION-DR GAINES | ||||
| 5535 S WILLIAMSON BLVD700 | PORT ORANGE | FL | 32128 | FAMILY MEDICINE |
| FHMMC AT THE PAVILION-DR S KARAKOSSIAN | ||||
| 5535 S WILLIAMSON BLVD700 | PORT ORANGE | FL | 32128 | FAMILY MEDICINE |
| FHMMC AT THE PAVILION-DR V KARAKOSSIAN | ||||
| 5535 S WILLIAMSON BLVD700 | PORT ORANGE | FL | 32128 | FAMILY MEDICINE |
| DR B AND R PECK | ||||
| 305 MEMORIAL MEDICAL PKWY 401 | DAYTONA BEACH | FL | 32117 | FAMILY MEDICINE |
| DR MALAN AND DR TREECE | ||||
| 127 FLORIDA MEMORIAL PKWY 2500 | NEW SMYRNA BEACH | FL | 32168 | FAMILY MEDICINE |
| DR FISHER-CARNE | ||||
| 125 FLORIDA MEMORIAL PKWY 2700 | NEW SMYRNA BEACH | FL | 32168 | FAMILY MEDICINE |
| DR KELLER | ||||
| 126 FLORIDA MEMORIAL PKWY 2600 | NEW SMYRNA BEACH | FL | 32168 | INTERNAL MEDICINE |
Supplemental Information Detail SupplementalInformationDetail (14 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 6A: | THE FILING ORGANIZATION IS A WHOLLY OWNED SUBSIDIARY OF ADVENTIST HEALTH SYSTEM SUNBELT HEALTHCARE CORPORATION (AHSSHC). AHSSHC SERVES AS A PARENT ORGANIZATION TO 24 TAX-EXEMPT 501(C)(3) HOSPITAL ORGANIZATIONS THAT OPERATE 44 HOSPITALS IN TEN STATES WITHIN THE U.S. THE SYSTEM OF ORGANIZATIONS UNDER THE CONTROL AND OWNERSHIP OF AHSSHC IS KNOWN AS "ADVENTIST HEALTH SYSTEM" (AHS).ALL HOSPITAL ORGANIZATIONS WITHIN AHS COLLECT, CALCULATE, AND REPORT THE COMMUNITY BENEFITS THEY PROVIDE TO THE COMMUNITIES THEY SERVE. AHS ORGANIZATIONS EXIST SOLELY TO IMPROVE AND ENHANCE THE LOCAL COMMUNITIES THEY SERVE. AHS HAS A SYSTEM-WIDE COMMUNITY BENEFITS ACCOUNTING POLICY THAT PROVIDES GUIDELINES FOR ITS HEALTH CARE PROVIDER ORGANIZATIONS TO CAPTURE AND REPORT THE COSTS OF SERVICES PROVIDED TO THE UNDERPRIVILEGED AND TO THE BROADER COMMUNITY. ON AN ANNUAL BASIS, THE COMMUNITY BENEFITS OF ALL AHS ORGANIZATIONS ARE CONSOLIDATED AND REPORTED IN THE AHS ANNUAL REPORT DOCUMENT PREPARED BY AHSSHC (EIN 59-2170012). |
| PART I, LINE 7: | THE AMOUNTS OF COSTS REPORTED IN THE TABLE IN LINE 7 OF PART I OF SCHEDULE H WERE DETERMINED BY UTILIZING A COST-TO-CHARGE RATIO DERIVED FROM WORKSHEET 2, RATIO OF PATIENT CARE COST-TO-CHARGES, CONTAINED IN THE SCHEDULE H INSTRUCTIONS. |
| PART 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:SELF-PAY PATIENTS MAY APPLY FOR FINANCIAL ASSISTANCE BY COMPLETING A FINANCIAL ASSISTANCE APPLICATION FORM (FAA FORM). IF AN INDIVIDUAL DOES NOT SUBMIT A COMPLETE FAA FORM WITHIN 240 DAYS AFTER THE FIRST BILLING STATEMENT IS SENT TO THE INDIVIDUAL, AN INDIVIDUAL MAY BE CONSIDERED FOR PRESUMPTIVE ELIGIBILITY BASED UPON A SCORING TOOL THAT IS DESIGNED TO CLASSIFY PATIENTS INTO GROUPS OF VARYING ECONOMIC MEANS. THE SCORING TOOL USES ALGORITHMS THAT INCORPORATE DATA FROM CREDIT BUREAUS, DEMOGRAPHIC DATABASES, AND HOSPITAL SPECIFIC DATA TO INFER AND CLASSIFY PATIENTS INTO RESPECTIVE ECONOMIC MEANS CATEGORIES. INDIVIDUALS WHO EARN A CERTAIN SCORE ON THE SCORING TOOL ARE CONSIDERED TO QUALIFY AS NON-STATE CHARITY PATIENTS. AN AMOUNT UP TO $1,000 OF SUCH A PATIENT'S BILL IS WRITTEN OFF AS BAD DEBT EXPENSE, WHILE THE REMAINING PORTION OF THE PATIENT'S BILL IS CONSIDERED TO BE NON-STATE CHARITY. THE AMOUNT WRITTEN OFF AS BAD DEBT EXPENSE FOR THOSE PATIENTS WHO POTENTIALLY QUALIFY AS NON-STATE CHARITY USING THE SCORING TOOL IS THE AMOUNT SHOWN ON LINE 3 OF SECTION A OF PART III. RATIONALE FOR INCLUDING CERTAIN BAD DEBTS IN COMMUNITY BENEFIT:THE FILING ORGANIZATION IS DEDICATED TO THE VIEW THAT MEDICALLY NECESSARY HEALTH CARE FOR EMERGENCY AND NON-ELECTIVE PATIENTS SHOULD BE ACCESSIBLE TO ALL, REGARDLESS OF AGE, GENDER, GEOGRAPHIC LOCATION, CULTURAL BACKGROUND, PHYSICIAN MOBILITY, OR ABILITY TO PAY. THE FILING ORGANIZATION TREATS EMERGENCY AND NON-ELECTIVE PATIENTS REGARDLESS OF THEIR ABILITY TO PAY OR THE AVAILABILITY OF THIRD-PARTY COVERAGE. BY PROVIDING HEALTH CARE TO ALL WHO REQUIRE EMERGENCY OR NON-ELECTIVE CARE IN A NON-DISCRIMINATORY MANNER, THE FILING ORGANIZATION IS PROVIDING HEALTH CARE TO THE BROAD COMMUNITY IT SERVES. AS A 501(C)(3) HOSPITAL ORGANIZATION, THE FILING ORGANIZATION MAINTAINS A 24/7 EMERGENCY ROOM PROVIDING CARE TO ALL WHOM PRESENT. WHEN A PATIENT'S ARRIVAL AND/OR ADMISSION TO THE FACILITY BEGINS WITHIN THE EMERGENCY DEPARTMENT, TRIAGE AND MEDICAL SCREENING ARE ALWAYS COMPLETED PRIOR TO REGISTRATION STAFF PROCEEDING WITH THE DETERMINATION OF A PATIENT'S SOURCE OF PAYMENT. IF THE PATIENT REQUIRES ADMISSION AND CONTINUED NON-ELECTIVE CARE, THE FILING ORGANIZATION PROVIDES THE NECESSARY CARE REGARDLESS OF THE PATIENT'S ABILITY TO PAY. THE FILING ORGANIZATION'S OPERATION OF A 24/7 EMERGENCY DEPARTMENT THAT ACCEPTS ALL INDIVIDUALS IN NEED OF CARE PROMOTES THE HEALTH OF THE COMMUNITY THROUGH THE PROVISION OF CARE TO ALL WHOM PRESENT. CURRENT INTERNAL REVENUE SERVICE GUIDANCE THAT TAX-EXEMPT HOSPITALS MAINTAIN SUCH EMERGENCY ROOMS WAS ESTABLISHED TO ENSURE THAT EMERGENCY CARE WOULD BE PROVIDED TO ALL WITHOUT DISCRIMINATION. THE TREATMENT OF ALL AT THE FILING ORGANIZATION'S EMERGENCY DEPARTMENT IS A COMMUNITY BENEFIT. UNDER THE FILING ORGANIZATION'S 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 TO BE COMMUNITY BENEFIT AS CHARITABLE HOSPITALS EXIST TO PROVIDE SUCH CARE IN PURSUIT OF THEIR PURPOSE OF MEETING THE NEED FOR EMERGENCY MEDICAL CARE SERVICES AVAILABLE TO ALL IN THE COMMUNITY. |
| PART III, LINE 4: | FINANCIAL STATEMENT FOOTNOTE RELATED TO ACCOUNTS RECEIVABLE AND ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS:THE FINANCIAL INFORMATION OF THE FILING ORGANIZATION IS INCLUDED IN A CONSOLIDATED AUDITED FINANCIAL STATEMENT FOR THE CURRENT YEAR.THE APPLICABLE FOOTNOTE FROM THE ATTACHED CONSOLIDATED AUDITED FINANCIAL STATEMENTS THAT ADDRESSES ACCOUNTS RECEIVABLE, THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS, AND THE PROVISION FOR BAD DEBTS CAN BE FOUND ON PAGES 6 AND 7. PLEASE NOTE THAT DOLLAR AMOUNTS ON THE ATTACHED CONSOLIDATED AUDITED FINANCIAL STATEMENTS ARE IN THOUSANDS. |
| PART III, LINE 8: | COSTING METHODOLOGY: MEDICARE ALLOWABLE COSTS WERE CALCULATED USING A COST-TO-CHARGE RATIO. |
| PART III, LINE 9B: | THE HOSPITAL FILING ORGANIZATION'S COLLECTION PRACTICES ARE IN CONFORMITY WITH THE REQUIREMENTS SET FORTH IN THE 2012 PROPOSED 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 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) THAT INFORMS THE INDIVIDUAL THAT THE HOSPITAL FILING ORGANIZATION MAY TAKE ACTIONS TO REPORT ADVERSE INFORMATION TO CREDIT REPORTING AGENCIES/BUREAUS IF THE INDIVIDUAL DOES NOT SUBMIT A FINANCIAL ASSISTANCE APPLICATION FORM (FAA FORM) OR PAY THE AMOUNT DUE BY A SPECIFIED DEADLINE. THE SPECIFIED DEADLINE IS NOT EARLIER THAT 120 DAYS AFTER THE FIRST BILLING STATEMENT IS SENT TO THE INDIVIDUAL AND IS AT LEAST 30 DAYS AFTER THE NOTICE IS PROVIDED. IF AN INDIVIDUAL SUBMITS AN INCOMPLETE FAA FORM DURING THE 240-DAY PERIOD FOLLOWING THE DATE ON WHICH THE FIRST BILLING STATEMENT WAS SENT TO THE INDIVIDUAL, THE HOSPITAL FILING ORGANIZATION SUSPENDS ANY REPORTING TO CONSUMER CREDIT REPORTING AGENCIES/BUREAUS AND PROVIDES A WRITTEN NOTICE TO THE INDIVIDUAL DESCRIBING WHAT ADDITIONAL INFORMATION OR DOCUMENTATION IS NEEDED TO COMPETE THE FAA FORM. THIS WRITTEN NOTICE INCLUDES A COPY OF THE HOSPITAL FILING ORGANIZATION'S PLAIN LANGUAGE SUMMARY OF THE FINANCIAL ASSISTANCE POLICY (PLS) AND INFORMS THE INDIVIDUAL THAT THE HOSPITAL FILING ORGANIZATION MAY ENGAGE IN ADVERSE REPORTING TO CONSUMER CREDIT REPORTING AGENCIES/BUREAUS IF THE FAA FORM IS NOT COMPLETED BY A SPECIFIED DEADLINE WHICH IS NO EARLIER THAN THE 240-DAY PERIOD FOLLOWING THE DATE ON WHICH THE FIRST BILLING STATEMENT WAS SENT TO THE INDIVIDUAL OR, IF LATER, 30 DAYS AFTER THE WRITTEN NOTICE IS PROVIDED. IF AN INDIVIDUAL SUBMITS A COMPETE FAA FORM WITHIN THE 240-DAY PERIOD AFTER THE FIRST BILLING STATEMENT IS SENT, THE HOSPITAL FILING ORGANIZATION WILL SUSPEND ANY ADVERSE REPORTING TO CONSUMER CREDIT REPORTING AGENCIES/BUREAUS UNTIL A FINANCIAL ASSISTANCE POLICY ELIGIBILITY DETERMINATION CAN BE MADE. |
| SUPPLEMENTAL SCHEDULE TO SCHEDULE H, PART III, SECTION B | RECONCILIATION OF SCHEDULE H REPORTED MEDICARE SURPLUS/(SHORTFALL) TO UNREIMBURSED MEDICARE COSTS ASSOCIATED WITH THE PROVISION OF SERVICESTO ALL MEDICARE BENEFICIARIES:THE MEDICARE REVENUE AND ALLOWABLE COSTS OF CARE REPORTED IN SECTION B OF PART III OF SCHEDULE H ARE BASED UPON THE AMOUNTS REPORTED IN THE FILING ORGANIZATION'S MEDICARE COST REPORT IN ACCORDANCE WITH THE IRS INSTRUCTIONS FOR SCHEDULE H. ON AN ANNUAL BASIS, THE FILING ORGANIZATION ALSO DETERMINES ITS TOTAL UNREIMBURSED COSTS ASSOCIATED WITH PROVIDING SERVICES TO ALL MEDICARE PATIENTS. UNREIMBURSED COSTS ARE REPORTED AS A COMMUNITY BENEFIT TO THE ELDERLY AND ARE INCLUDED IN THE CONSOLIDATED ADVENTIST HEALTH SYSTEM (AHS OR THE COMPANY) COMMUNITY BENEFITS REPORT CONTAINED IN THE AHS ANNUAL REPORT DOCUMENT. THE PRIMARY RECONCILING ITEMS BETWEEN THE MEDICARE SURPLUS/(SHORTFALL) SHOWN ON LINE 7 OF SECTION B OF PART III OF SCHEDULE H AND THE FILING ORGANIZATION'S UNREIMBURSED COSTS OF SERVICES PROVIDED TO MEDICARE PATIENTS AS REPORTED IN THE AHS COMMUNITY BENEFIT REPORT ARE AS FOLLOWS:- MEDICARE SURPLUS/(SHORTFALL) SHOWN ON LINE 7 OF SECTION B OF SCHEDULE H: $ 3,773,318- DIFFERENCE IN COSTING METHODOLOGY: (7,368,175)- UNREIMBURSED COSTS INCURRED FOR SERVICES PROVIDED TO MEDICARE PATIENTS THAT ARE NOT INCLUDED IN THE ORGANIZATION'S MEDICARE COST REPORT: (4,468,459) -------------TOTAL SURPLUS/(SHORTFALL) COSTS OF SERVING ALL MEDICARE PATIENTS PER THE FILING ORGANIZATION'S COMMUNITY BENEFIT REPORTING: $(8,063,316)AS INDICATED ABOVE, THE PRIMARY DIFFERENCES BETWEEN THE MEDICARE SURPLUS/(SHORTFALL) REPORTED ON SCHEDULE H, PART III, SECTION B, LINE 7 AND THE FILING ORGANIZATION'S PORTION OF THE COMPANY'S ANNUAL COMMUNITY BENEFIT STATEMENT IS DUE TO A DIFFERENCE IN THE COSTING METHODOLOGY AND DIFFERENCES IN THE POPULATION OF MEDICARE PATIENTS WITHIN THE CALCULATION. THE COST METHODOLOGY UTILIZED IN CALCULATING ANY MEDICARE SURPLUS/(SHORTFALL) FOR PURPOSES OF THE ANNUAL COMMUNITY BENEFIT REPORTING IS BASED UPON THE COST-TO-CHARGE RATIO OUTLINED IN WORKSHEET 2 OF THE SCHEDULE H INSTRUCTIONS. THE SAME COST-TO-CHARGE RATIO IS USED TO DETERMINE THE COSTS ASSOCIATED WITH SERVICES PROVIDED TO CHARITY CARE PATIENTS AND MEDICAID PATIENTS AS REPORTED IN SCHEDULE H, PART I, LINE 7. IN ADDITION, THE MEDICARE COST REPORT EXCLUDES SERVICES PROVIDED TO MEDICARE PATIENTS FOR PHYSICIAN SERVICES, SERVICES PROVIDED TO PATIENTS ENROLLED IN MEDICARE HMOS, AND CERTAIN SERVICES PROVIDED BY OUTPATIENT DEPARTMENTS OF THE FILING ORGANIZATION THAT ARE REIMBURSED ON A FEE SCHEDULE. THE COMPANY'S OWN COMMUNITY BENEFIT STATEMENT CAPTURES THE UNREIMBURSED COST OF PROVIDING SERVICES TO ALL MEDICARE BENEFICIARIES THROUGHOUT THE ORGANIZATION. |
| PART VI, LINE 2: | AS REPORTED IN SCHEDULE H, PART V, SECTION B, LINES 1-8, THE HOSPITAL CONDUCTED ITS INITIAL COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) DURING 2013. ITS INITIAL CHNA WAS ADOPTED BY ITS GOVERNING BOARD BY DECEMBER 31, 2013, THE END OF THE HOSPITAL'S TAXABLE YEAR IN WHICH IT CONDUCTED THE CHNA. THE HOSPITAL'S INITIAL CHNA COMPLIED WITH THE GUIDANCE SET FORTH BY THE IRS IN PROPOSED REGULATION SECTION 1.501(R)-3. IN ADDITION TO THE CHNA DISCUSSED ABOVE, A VARIETY OF PRACTICES AND PROCESSES ARE IN PLACE TO ENSURE THAT THE FILING ORGANIZATION IS RESPONSIVE TO THE HEALTH NEEDS OF ITS COMMUNITY.SUCH PRACTICES AND PROCESSES INVOLVE THE FOLLOWING:1. A HOSPITAL OPERATING/COMMUNITY BOARD COMPOSED OF INDIVIDUALS BROADLY REPRESENTATIVE OF THE COMMUNITY, COMMUNITY LEADERS, AND THOSE WITH SPECIALIZED MEDICAL TRAINING AND EXPERTISE;2. POST-DISCHARGE PATIENT FOLLOW-UP RELATED TO THE ON-GOING CARE AND TREATMENT OF PATIENTS WHO SUFFER FROM CHRONIC DISEASES; 3. SPONSORSHIP AND PARTICIPATION IN COMMUNITY HEALTH AND WELLNESS ACTIVITIES THAT REACH A BROAD SPECTRUM OF THE FILING ORGANIZATION'S COMMUNITY; AND 4. COLLABORATION WITH OTHER LOCAL COMMUNITY GROUPS TO ADDRESS THE HEALTH CARE NEEDS OF THE FILING ORGANIZATION'S COMMUNITY. |
| PART VI, LINE 3: | THE FINANCIAL ASSISTANCE POLICY (FAP) OF THE FILING ORGANIZATION'S HOSPITAL FACILITY IS TRANSPARENT AND AVAILABLE TO ALL INDIVIDUALS SERVED AT ANY POINT IN THE CARE CONTINUUM. THE FAP, THE FINANCIAL ASSISTANCE APPLICATION FORM (FAA FORM), THE PLAIN LANGUAGE SUMMARY OF THE FINANCIAL ASSISTANCE POLICY (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. SIGNAGE IS DISPLAYED IN THE FILING ORGANIZATION'S HOSPITAL FACILITY AT ALL POINTS OF ADMISSION AND REGISTRATION, INCLUDING THE EMERGENCY DEPARTMENT. THE SIGNAGE CONTAINS THE HOSPITAL FACILITY'S WEBSITE ADDRESS WHERE THE FAP AND THE FAA FORM CAN BE ACCESSED AND THE TELEPHONE NUMBER AND PHYSICAL LOCATION THAT INDIVIDUALS CAN CALL OR VISIT WITH ANY QUESTIONS ABOUT THE FAP OR THE APPLICATION PROCESS. 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. THE FILING ORGANIZATION'S HOSPITAL FACILITY'S FINANCIAL COUNSELORS SEEK TO PROVIDE PERSONAL FINANCIAL COUNSELING TO ALL INDIVIDUALS ADMITTED TO THE HOSPITAL FACILITY WHO ARE CLASSIFIED AS SELF-PAY DURING THE COURSE OF THEIR HOSPITAL STAY OR AT TIME OF DISCHARGE TO EXPLAIN THE FAP AND FAA FORM AND TO PROVIDE INFORMATION CONCERNING OTHER SOURCES OF ASSISTANCE THAT MAY BE AVAILABLE, SUCH AS MEDICAID. A COPY OF THE HOSPITAL FACILITY'S PLS AND FAA FORM IS DISTRIBUTED TO EVERY INDIVIDUAL BEFORE DISCHARGE FROM THE HOSPITAL FACILITY. ADDITIONALLY, A COPY OF THE PLS IS INCLUDED WITH AT LEAST THREE BILLING STATEMENTS THAT ARE SENT TO THE INDIVIDUAL DURING THE 120-DAY PERIOD AFTER THE FIRST BILLING STATEMENT IS SENT. INDIVIDUALS ARE INFORMED ABOUT THE HOSPITAL FACILITY'S FAP IN ALL ORAL COMMUNICATIONS REGARDING THE AMOUNT DUE FOR THE INDIVIDUAL'S CARE. |
| PART VI, LINE 4: | THE FILING ORGANIZATION OPERATES 2 HOSPITALS IN VOLUSIA COUNTY, FLORIDA; FLORIDA HOSPITAL MEMORIAL MEDICAL CENTER (MEMORIAL), A 277-LICENSED BED FACILITY AND FLORIDA HOSPITAL OCEANSIDE (OCEANSIDE), A 81-LICENSED BED FACILITY. ADDITIONALLY, THE FILING ORGANIZATION SERVES ITS COMMUNITIES WITH IMAGING SERVICES, AND LABORATORY SERVICES THROUGHOUT EAST CENTRAL FLORIDA. MORE THAN 400 PHYSICIANS HOLD PRIVILEGES AT THE FILING ORGANIZATION'S FACILITIES AND COMBINED, THE FILING ORGANIZATION EMPLOYS MORE THAN 2,100 INDIVIDUALS. THERE IS AN AFFILIATE HOSPITAL AND TWO OTHER HOSPITALS WITHIN A RADIUS OF 20 MILES OR LESS FROM MEMORIAL AND OCEANSIDE. APPROXIMATELY 62% OF THE FILING ORGANIZATION'S PATIENTS DURING 2014 WERE MEDICARE PATIENTS, ABOUT 9% WERE MEDICAID PATIENTS, 5% WERE SELF-PAY, AND THE REMAINING PERCENTAGE WERE PATIENTS COVERED UNDER COMMERCIAL INSURANCE. FOR 2014 ABOUT 58% OF THE HOSPITAL'S IN-PATIENTS WERE ADMITTED THROUGH THE HOSPITAL'S EMERGENCY DEPARTMENT.MEMORIAL IS VOLUSIA COUNTY'S NEWEST AND MOST COMPREHENSIVE FACILITY. ITS NEW FACILITY FEATURES THE AREA'S ONLY ENDOVASCULAR/HYBRID OPERATING ROOM WHERE PATIENTS ARE DIAGNOSED AND TREATED IN ONE LOCATION FOR A VARIETY OF HEART AND ENDOVASCULAR CONDITIONS; THE AREA'S ONLY SIEMENS SOMOTOM 64-SLICE CT SCANNER FOR FASTER, PAINLESS DIAGNOSES OF HEART CONDITIONS AND STROKES USING 50 PERCENT LESS RADIATION; AND A NEWLY EXPANDED EMERGENCY DEPARTMENT FEATURING "NO WAIT" SERVICES. MEMORIAL SERVES A POPULATION OF APPROXIMATELY 297,000 PEOPLE IN THE HOSPITAL'S PRIMARY MARKET. DAYTONA BEACH IS THE REGIONAL COMMERCIAL AND CULTURAL HUB OF DELTONA-DAYTONA BEACH-ORMOND BEACH AREA. THE CITY IS AN INTEGRAL SEGMENT OF THE INTERSTATE HIGHWAY 4 CORRIDOR WITH SPECIALIZED INDUSTRIES IN AEROSPACE, AUTOMOTIVE, AND MANUFACTURING. THE WEIGHTED AVERAGE HOUSEHOLD INCOME, BASED ON POPULATION, IN THE PRIMARY MARKET IS APPROXIMATELY $41,000, WITH AN ESTIMATED 71,000 OVER THE AGE OF 65. HIGH SCHOOL GRADUATES ACCOUNT FOR APPROXIMATELY 87% OF VOLUSIA COUNTY WITH AN ESTIMATED 21% HAVING A BACHELOR'S DEGREE OR HIGHER. IT IS ESTIMATED THAT 13% OF THE INDIVIDUALS RESIDING IN VOLUSIA COUNTY LIVE BELOW THE POVERTY LEVEL AND THE UNEMPLOYMENT RATE IS ABOUT 7%.OCEANSIDE HAS A LONG HISTORY OF COMMUNITY SUPPORT AND SERVICES WHICH INCLUDES MEDICAL/SURGICAL CARE AND THE OPERATION OF PENINSULA REHABILITATION CENTER, VOLUSIA COUNTY'S ONLY INPATIENT REHABILITATION CENTER. IT ALSO OFFERS AN OUTPATIENT REHAB UNIT, IMAGING SERVICES, LABORATORY SERVICES, AND CARDIOPULMONARY SERVICES. |
| PART VI, LINE 5: | THE PROVISION OF COMMUNITY BENEFIT IS CENTRAL TO THE FILING ORGANIZATION'S MISSION OF SERVICE AND COMPASSION. RESTORING AND PROMOTING THE HEALTH AND QUALITY OF LIFE OF THOSE IN THE COMMUNITIES SERVED BY THE FILING ORGANIZATION IS A FUNCTION OF "EXTENDING THE HEALING MINISTRY OF CHRIST" AND EMBODIES THE FIING ORGANIZATION'S COMMITMENT TO ITS VALUES AND PRINCIPLES. THE FILING ORGANIZATION COMMITS SUBSTANTIAL RESOURCES TO PROVIDE A BROAD RANGE OF SERVICES TO BOTH THE UNDERPRIVILEGED AS WELL AS THE BROADER COMMUNITY. IN ADDITION TO THE COMMUNITY BENEFIT INFORMATION PROVIDED IN PARTS I, II AND III OF THIS SCHEDULE H, THE HOSPITAL CAPTURES AND REPORTS THE BENEFITS PROVIDED TO ITS COMMUNITY THROUGH FAITH-BASED CARE. EXAMPLES OF SUCH BENEFITS INCLUDE THE COST ASSOCIATED WITH CHAPLAINCY CARE PROGRAMS AND MISSION PEER REVIEWS AND MISSION CONFERENCES. DURING THE CURRENT YEAR, THE FILING ORGANIZATION PROVIDED $652,675 OF BENEFIT WITH RESPECT TO THE FAITH-BASED AND SPIRITUAL NEEDS OF THE COMMUNITY IN CONJUNCTION WITH ITS OPERATION OF 2 COMMUNITY HOSPITALS. THE FILING ORGANIZATION ALSO PROVIDES BENEFITS TO ITS COMMUNITY'S INFRASTRUCTURE BY INVESTING IN CAPITAL IMPROVEMENTS TO ENSURE THAT FACILITIES AND TECHNOLOGY PROVIDE THE BEST POSSIBLE CARE TO THE COMMUNITY. DURING THE CURRENT YEAR, THE FILING ORGANIZATION EXPENDED $18,878,172 IN NEW CAPITAL IMPROVEMENTS. AS A FAITH-BASED MISSION-DRIVEN COMMUNITY HOSPITAL, THE FILING ORGANIZATION IS CONTINUALLY INVOLVED IN MONITORING ITS COMMUNITY, IDENTIFYING UNMET HEALTH CARE NEEDS AND DEVELOPING SOLUTIONS AND PROGRAMS TO ADDRESS THOSE NEEDS. IN ACCORDANCE WITH ITS CONSERVATIVE APPROACH TO FISCAL RESPONSIBILITY, SURPLUS FUNDS OF THE HOSPITAL ARE CONTINUALLY BEING INVESTED IN RESOURCES THAT IMPROVE THE AVAILABILITY AND QUALITY OF DELIVERY OF HEALTH CARE SERVICES AND PROGRAMS TO ITS COMMUNITY. |
| PART VI, LINE 6: | THE FILING ORGANIZATION IS A PART OF A FAITH-BASED HEALTHCARE SYSTEM OF ORGANIZATIONS WHOSE PARENT IS ADVENTIST HEALTH SYSTEM SUNBELT HEALTHCARE CORPORATION (AHSSHC). THE SYSTEM IS KNOWN AS ADVENTIST HEALTH SYSTEM (AHS). AHSSHC IS AN ORGANIZATION EXEMPT FROM FEDERAL INCOME TAX UNDER IRC SEC. 501(C)(3). AHSSHC AND ITS SUBSIDIARY ORGANIZATIONS OPERATE 44 HOSPITALS IN 10 STATES THROUGHOUT THE U.S., PRIMARILY IN THE SOUTHEASTERN PORTION OF THE U.S. AHSSHC AND ITS SUBSIDIARIES ALSO OPERATE 16 NURSING HOME FACILITIES AND OTHER ANCILLARY HEALTH CARE PROVIDER FACILITIES, SUCH AS AMBULATORY SURGERY CENTERS AND DIAGNOSTIC IMAGING CENTERS. AS THE PARENT ORGANIZATION OF THE AHS SYSTEM, AHSSHC PROVIDES EXECUTIVE LEADERSHIP AND OTHER PROFESSIONAL SUPPORT SERVICES TO ITS SUBSIDIARY ORGANIZATIONS. PROFESSIONAL SUPPORT SERVICES INCLUDE AMONG OTHERS CORPORATE COMPLIANCE, LEGAL, HUMAN RESOURCES, REIMBURSEMENT, RISK MANAGEMENT, AND TAX AS WELL AS TREASURY FUNCTIONS. THE PROVISION OF THESE EXECUTIVE AND SUPPORT SERVICES ON A CENTRALIZED BASIS BY AHSSHC PROVIDES AN APPROPRIATE BALANCE BETWEEN PROVIDING EACH AHS SUBSIDIARY HOSPITAL ORGANIZATION WITH MISSION-DRIVEN CONSISTENT LEADERSHIP AND SUPPORT WHILE ALLOWING THE HOSPITAL ORGANIZATION TO FOCUS ITS RESOURCES ON MEETING THE SPECIFIC HEALTH CARE NEEDS OF THE COMMUNITY IT SERVES. THE READER OF THIS FORM 990 SHOULD KEEP IN MIND THAT THIS REPORTING ENTITY MAY DIFFER IN CERTAIN AREAS FROM THAT OF A STAND-ALONE HOSPITAL ORGANIZATION DUE TO ITS INCLUSION IN A LARGER SYSTEM OF HEALTHCARE ORGANIZATIONS. AS A PART OF A SYSTEM OF HOSPITAL AND OTHER HEALTH CARE ORGANIZATIONS, THE FILING ORGANIZATION BENEFITS FROM REDUCED COSTS DUE TO SYSTEM EFFICIENCIES, SUCH AS LARGE GROUP PURCHASING DISCOUNTS, AND THE AVAILABILITY OF INTERNAL RESOURCES SUCH AS INTERNAL LEGAL COUNSEL. EACH AHS SUBSIDIARY PAYS A MANAGEMENT FEE TO AHSSHC FOR THE INTERNAL SERVICES PROVIDED BY AHSSHC. AS A RESULT, MANAGEMENT FEE EXPENSE REPORTED BY A AHS SUBSIDIARY ORGANIZATION MAY APPEAR GREATER IN RELATION TO MANAGEMENT FEE EXPENSE THAT MAY BE REPORTED BY A SINGLE STAND-ALONE HOSPITAL. THE SINGLE STAND-ALONE HOSPITAL WOULD LIKELY REPORT COSTS ASSOCIATED WITH MANAGEMENT AND OTHER PROFESSIONAL SERVICES ON VARIOUS EXPENSE LINE ITEMS IN ITS STATEMENT OF REVENUE AND EXPENSE AS OPPOSED TO REPORTING SUCH COSTS IN ONE OVERALL MANAGEMENT FEE EXPENSE. AS THE REPORTING OF THE FORM 990 IS DONE ON AN ENTITY BY ENTITY BASIS, THERE IS NO SINGLE FORM 990 THAT CAPTURES THE PROGRAMS AND OPERATIONS OF AHS AS A WHOLE. THE READER IS DIRECTED TO VISIT THE WEB-SITE OF AHS AT WWW.ADVENTISTHEALTHSYSTEM.COM TO LEARN MORE ABOUT THE MISSION AND OPERATIONS OF AHS AND TO ACCESS AHS'S ANNUAL REPORT THAT CONTAINS FINANCIAL DATA AS WELL AS COMMUNITY BENEFIT REPORTING FOR THE ENTIRE SYSTEM. |
| PART VI, LINE 7: | THE ANNUAL COMMUNITY BENEFIT REPORT CONTAINED IN THE ANNUAL REPORT PREPARED BY ADVENTIST HEALTH SYSTEM SUNBELT HEALTHCARE CORPORATION (AHSSHC) ON BEHALF OF THE ENTIRE AHS SYSTEM OF HEALTHCARE ORGANIZATIONS IS NOT FILED WITH ANY STATE AGENCIES. |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (1) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable (7 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Recipient EINRecipientEIN | IRC SectionIRCSectionDesc | Non Cash AssistanceNonCashAssistanceAmt | Valuation Method UsedValuationMethodUsedDesc | Non Cash AssistanceNonCashAssistanceDesc | Purpose Of GrantPurposeOfGrantTxt | Cash GrantCashGrantAmt |
|---|---|---|---|---|---|---|---|---|---|---|
| MEMORIAL HEALTH SYSTEMS FOUNDATION INC | ||||||||||
| 301 MEMORIAL MEDICAL PKWY | DAYTONA BEACH | FL | 32117 | 311771522 | 501(C)(3) | $91,259 | COST | GENERAL ADMINISTRATIVE SUPPORT | PROVISION OF GENERAL ADMINISTRATIVE SUPPORT | |
| AMERICAN CANCER SOCIETY INC | ||||||||||
| 1737 N CLYDE MORRIS BLVD 140 | DAYTONA BEACH | FL | 32117 | 131788491 | 501(C)(3) | GENERAL SUPPORT | $6,250 | |||
| ORMOND BEACH CHAMBER OF COMMERCE INC | ||||||||||
| 165 W GRANADA BLVD | ORMOND BEACH | FL | 32174 | 590618671 | 501(C)(6) | GENERAL SUPPORT | $17,500 | |||
| ORMOND MAIN STREET INC | ||||||||||
| PO BOX 2917 | ORMOND BEACH | FL | 32175 | 596000398 | 501(C)(3) | GENERAL SUPPORT | $5,525 | |||
| BETHUNE-COOKMAN UNIVERSITY | ||||||||||
| 640 MARY MCLEOD BETHUNE | DAYTONA BEACH | FL | 32114 | 590704726 | 501(C)(3) | GENERAL SUPPORT | $30,000 | |||
| FLORIDA STATE UNIVERSITY FOUNDATION | ||||||||||
| 1200 W ISB BLDG 600 101 | DAYTONA BEACH | FL | 32114 | 596152180 | 501(C)(3) | GENERAL SUPPORT | $6,250 | |||
| INDIGO CHRISTAIN JUNIOR ACADEMY | ||||||||||
| 401 N WILLIAMSON BLVD | DAYTONA BEACH | FL | 32114 | 593000385 | 501(C)(3) | GENERAL SUPPORT | $20,000 | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 6 | Total501c3OrgCnt |
| Total Other Org | 1 | TotalOtherOrgCnt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINE 2: | FormAndLineReferenceDesc |
| Explanation | GRANTS ARE GENERALLY MADE ONLY TO RELATED ORGANIZATIONS THAT ARE EXEMPT FROM FEDERAL INCOME TAX UNDER IRC SECTION 501(C)(3), OR TO OTHER LOCAL CHARITABLE COMMUNITY ORGANIZATIONS, OR TO OTHER 501(C)(3) ORGANIZATIONS THAT ARE A PART OF THE GROUP EXEMPTION RULING ISSUED TO THE GENERAL CONFERENCE OF SEVENTH-DAY ADVENTISTS. ACCORDINGLY, THE FILING ORGANIZATION HAS NOT ESTABLISHED SPECIFIC PROCEDURES FOR MONITORING THE USE OF GRANT FUNDS IN THE UNITED STATES AS THE FILING ORGANIZATION DOES NOT HAVE A GRANT MAKING PROGRAM THAT WOULD NECESSITATE SUCH PROCEDURES. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Travel For Companions | Yes (X) | TravelForCompanionsInd |
| Idemnification Gross Up Pmts | Yes (X) | IdemnificationGrossUpPmtsInd |
| Discretionary Spending Acct | Yes (X) | DiscretionarySpendingAcctInd |
| Written Policy Ref T And E Expnss | Yes (1) | WrittenPolicyRefTAndEExpnssInd |
| Substantiation Required | Yes (1) | SubstantiationRequiredInd |
| Severance Payment | Yes (1) | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (1) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (23 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| LARS HOUMANN | ||||||||||||||
| DIR/CHAIRMAN (BEG 2/14) | $0 | $937,569 | $0 | $320,728 | $0 | $281,636 | $0 | $204,363 | $0 | $31,036 | $0 | $1,775,332 | $0 | $175,971 |
| SANDRA K JOHNSON | ||||||||||||||
| DIRECTOR | $0 | $433,574 | $0 | $123,124 | $0 | $98,977 | $0 | $57,096 | $0 | $51,175 | $0 | $763,946 | $0 | $34,102 |
| KENNETH MATTISON | ||||||||||||||
| DIRECTOR | $0 | $361,810 | $0 | $98,544 | $0 | $83,147 | $0 | $49,545 | $0 | $41,955 | $0 | $635,001 | $0 | $34,476 |
| ED NOSEWORTHY | ||||||||||||||
| DIRECTOR | $0 | $332,621 | $0 | $86,736 | $0 | $122,348 | $0 | $59,240 | $0 | $35,002 | $0 | $635,947 | $0 | $38,752 |
| RON RASMUSSEN MD | ||||||||||||||
| DIRECTOR | $0 | $440,737 | $0 | $18,000 | $300 | $681 | $0 | $13,905 | $0 | $21,187 | $300 | $494,510 | $0 | $0 |
| JULIE SCHNEIDER MD | ||||||||||||||
| DIRECTOR | $0 | $498,907 | $0 | $472,151 | $300 | $451 | $0 | $14,105 | $0 | $7,301 | $300 | $992,915 | $0 | $0 |
| MICHAEL SCHULTZ | ||||||||||||||
| CHAIRMAN/DIR (END 2/14) | $0 | $680,160 | $0 | $212,115 | $0 | $424,929 | $0 | $118,966 | $0 | $43,832 | $0 | $1,480,002 | $0 | $114,908 |
| LEWIS SEIFERT | ||||||||||||||
| DIRECTOR | $0 | $498,252 | $0 | $133,548 | $0 | $107,171 | $0 | $94,223 | $0 | $42,137 | $0 | $875,331 | $0 | $72,738 |
| EDDIE SOLER | ||||||||||||||
| DIRECTOR (BEG 2/14) | $0 | $569,242 | $0 | $191,731 | $0 | $209,084 | $0 | $115,434 | $0 | $37,771 | $0 | $1,123,262 | $0 | $92,874 |
| DARYL TOL | ||||||||||||||
| DIRECTOR/CEO | $0 | $492,319 | $0 | $134,465 | $0 | $89,073 | $0 | $89,323 | $0 | $46,049 | $0 | $851,229 | $0 | $65,638 |
| ELIZABETH WEAGRAFF | ||||||||||||||
| DIRECTOR | $0 | $272,818 | $0 | $57,564 | $300 | $34,992 | $0 | $41,485 | $0 | $39,241 | $300 | $446,100 | $0 | $15,373 |
| DEBORA THOMAS | ||||||||||||||
| REGION CFO | $0 | $321,893 | $0 | $78,059 | $0 | $42,605 | $0 | $36,226 | $0 | $52,159 | $0 | $530,942 | $0 | $9,850 |
| DARLINDA COPELAND | ||||||||||||||
| COO | $0 | $292,627 | $0 | $45,847 | $0 | $42,980 | $0 | $31,626 | $0 | $31,229 | $0 | $444,309 | $0 | $12,766 |
| MICHELE GOEB-BURKETT | ||||||||||||||
| CNO | $0 | $209,871 | $0 | $34,956 | $0 | $7,980 | $0 | $13,643 | $0 | $34,688 | $0 | $301,138 | $0 | $0 |
| RONALD JIMENEZ | ||||||||||||||
| CMO | $0 | $314,077 | $0 | $51,657 | $0 | $43,565 | $0 | $30,770 | $0 | $36,399 | $0 | $476,468 | $0 | $14,350 |
| REYNALDO J RUEDA RIOS MD | ||||||||||||||
| PHYSICIAN | $189,858 | $0 | $55,115 | $0 | $174 | $0 | $8,342 | $0 | $5,965 | $0 | $259,454 | $0 | $0 | $0 |
| NUBIA FONSECA ORTIZ MD | ||||||||||||||
| PHYSICIAN | $185,129 | $0 | $50,761 | $0 | $172 | $0 | $11,713 | $0 | $11,863 | $0 | $259,638 | $0 | $0 | $0 |
| WILLIAM COLLINS | ||||||||||||||
| MEDICAL PHYSICIST | $192,342 | $0 | $100 | $0 | $2,831 | $0 | $10,109 | $0 | $6,705 | $0 | $212,087 | $0 | $0 | $0 |
| NIXON GUTIERREZ | ||||||||||||||
| MEDICAL PHYSICIST | $188,251 | $0 | $100 | $0 | $370 | $0 | $10,118 | $0 | $16,837 | $0 | $215,676 | $0 | $0 | $0 |
| MARSHALL HUGHEY | ||||||||||||||
| DIRECTOR OF PHARMACY | $152,427 | $0 | $12,042 | $0 | $8,285 | $0 | $6,620 | $0 | $13,954 | $0 | $193,328 | $0 | $0 | $0 |
| DAN WOLCOTT | ||||||||||||||
| FORMER VP | $0 | $245,156 | $0 | $27,117 | $0 | $25,096 | $0 | $26,708 | $0 | $41,400 | $0 | $365,477 | $0 | $11,832 |
| NIGEL HINDS | ||||||||||||||
| FORMER CFO | $0 | $233,698 | $0 | $42,469 | $0 | $37,186 | $0 | $28,304 | $0 | $35,967 | $0 | $377,624 | $0 | $19,058 |
| MARK LAROSE | ||||||||||||||
| FORMER CEO | $0 | $0 | $0 | $0 | $0 | $426,432 | $0 | $14,105 | $0 | $14,947 | $0 | $455,484 | $0 | $69,265 |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 1A | THE FILING ORGANIZATION IS A PART OF THE SYSTEM OF HEALTHCARE ORGANIZATIONS KNOWN AS ADVENTIST HEALTH SYSTEM (AHS). MEMBERS OF THE FILING ORGANIZATION'S EXECUTIVE MANAGEMENT TEAM THAT HOLD THE POSITION OF VICE-PRESIDENT OR ABOVE ARE COMPENSATED BY AND ON THE PAYROLL OF ADVENTIST HEALTH SYSTEM SUNBELT HEALTHCARE CORPORATION (AHSSHC), THE PARENT ORGANIZATION OF AHS. AHSSHC IS EXEMPT FROM FEDERAL INCOME TAX UNDER IRC SECTION 501(C)(3). THE FILING ORGANIZATION REIMBURSES AHSSHC FOR THE SALARY AND BENEFIT COST OF THOSE EXECUTIVES ON THE PAYROLL OF AHSSHC THAT PROVIDE SERVICES AND ARE ON THE MANAGEMENT TEAM OF THE FILING ORGANIZATION. TRAVEL FOR COMPANIONS: AHSSHC HAS A CORPORATE EXECUTIVE POLICY THAT PROVIDES A BENEFIT TO ALLOW FOR A TRAVELING AHSSHC EXECUTIVE TO HAVE HIS OR HER SPOUSE ACCOMPANY THE EXECUTIVE ON CERTAIN BUSINESS TRIPS EACH YEAR. TYPICALLY, REIMBURSEMENT IS ONLY PROVIDED TO VICE PRESIDENTS AND ABOVE AND IS USUALLY LIMITED TO ONE BUSINESS TRIP PER YEAR BEYOND THE ANNUAL AHS PRESIDENT'S COUNCIL BUSINESS MEETING AND OTHER MEETINGS WHERE THE SPOUSE IS SPECIFICALLY INVITED. THE AHSSHC CORPORATE EXECUTIVE SPOUSAL TRAVEL POLICY WAS ORIGINALLY APPROVED AND REVIEWED BY THE AHSSHC BOARD COMPENSATION COMMITTEE, AN INDEPENDENT BODY OF THE AHSSHC BOARD OF DIRECTORS. ALL SPOUSAL TRAVEL COSTS REIMBURSED TO THE EXECUTIVE ARE CONSIDERED TAXABLE COMPENSATION TO THE EXECUTIVE. TAX INDEMNIFICATION AND GROSS-UP PAYMENTS: AHS HAS A SYSTEM-WIDE POLICY ADDRESSING GROSS-UP PAYMENTS PROVIDED IN CONNECTION WITH EMPLOYER-PROVIDED BENEFITS/OTHER TAXABLE ITEMS. UNDER THE POLICY, CERTAIN TAXABLE BUSINESS-RELATED REIMBURSEMENTS (I.E. TAXABLE BUSINESS-RELATED MOVING EXPENSES, TAXABLE ITEMS PROVIDED IN CONNECTION WITH EMPLOYMENT) PROVIDED TO ANY EMPLOYEE MAY BE GROSSED-UP AT A 25% RATE UPON APPROVAL OF THE FILING ORGANIZATION'S CEO AND CFO. ADDITIONALLY, EMPLOYEES AT THE DIRECTOR LEVEL AND ABOVE ARE ELIGIBLE FOR GROSS-UP PAYMENTS ON GIFTS RECEIVED FOR BOARD OF DIRECTOR SERVICES. DISCRETIONARY SPENDING ACCOUNT: A NOMINAL DISCRETIONARY SPENDING AMOUNT WAS PROVIDED IN THE CURRENT YEAR TO ALL ELIGIBLE EXECUTIVES WHO ATTEND THE ANNUAL AHS PRESIDENT'S COUNCIL BUSINESS MEETING ($500 PER EXECUTIVE) OR THE ANNUAL AHS CFO CONFERENCE OR CMO/CNO BUSINESS MEETING ($300 PER EXECUTIVE). OTHER DISCRETIONARY SPENDING ACCOUNTS MAY BE PROVIDED IN CONNECTION WITH OTHER AHS SPONSORED CONFERENCES BUT TYPICALLY DO NOT EXCEED $200 PER PARTICIPANT. WITH RESPECT TO THE AHS PRESIDENT'S COUNCIL MEETING, ELIGIBLE EXECUTIVES MAY INCLUDE AHSSHC VICE PRESIDENTS AND ABOVE AND ALL AHSSHC SUBSIDIARY ORGANIZATION CEOS AND REGIONAL CFOS. THE PAYMENT PROVIDED TO EACH EXECUTIVE WAS CONSIDERED TAXABLE COMPENSATION TO THE EXECUTIVE. |
| PART I, LINE 3 | THE INDIVIDUAL WHO SERVES AS THE CEO OF THE FILING ORGANIZATION IS COMPENSATED BY ADVENTIST HEALTH SYSTEM SUNBELT HEALTHCARE CORPORATION (AHSSHC) FOR THAT INDIVIDUAL'S ROLE IN SERVING AS THE CEO. COMPENSATION AND BENEFITS PROVIDED TO THIS INDIVIDUAL ARE DETERMINED PURSUANT TO POLICIES, PROCEDURES, AND PROCESSES OF AHSSHC THAT ARE DESIGNED TO ENSURE COMPLIANCE WITH THE INTERMEDIATE SANCTIONS LAWS AS SET FORTH IN IRC SECTION 4958. AHSSHC HAS TAKEN STEPS TO ENSURE THAT PROCESSES ARE IN PLACE TO SATISFY THE REBUTTABLE PRESUMPTION OF REASONABLENESS STANDARD AS SET FORTH IN TREASURY REGULATION 53.4958-6 WITH RESPECT TO ITS ACTIVE EXECUTIVE-LEVEL POSITIONS. THE AHSSHC BOARD COMPENSATION COMMITTEE (THE COMMITTEE) SERVES AS THE GOVERNING BODY FOR ALL EXECUTIVE COMPENSATION MATTERS. THE COMMITTEE IS COMPOSED OF CERTAIN MEMBERS OF THE BOARD OF DIRECTORS (THE BOARD) OF AHSSHC. VOTING MEMBERS OF THE COMMITTEE INCLUDE ONLY INDIVIDUALS WHO SERVE ON THE BOARD AS INDEPENDENT REPRESENTATIVES OF THE COMMUNITY, WHO HOLD NO EMPLOYMENT POSITIONS WITH AHSSHC AND WHO DO NOT HAVE RELATIONSHIPS WITH ANY OF THE INDIVIDUALS WHOSE COMPENSATION IS UNDER THEIR REVIEW THAT IMPACTS THEIR BEST INDEPENDENT JUDGMENT AS FIDUCIARIES OF AHSSHC. THE COMMITTEE'S ROLE IS TO REVIEW AND APPROVE ALL COMPONENTS OF THE EXECUTIVE COMPENSATION PLAN OF AHSSHC. AS AN INDEPENDENT GOVERNING BODY WITH RESPECT TO EXECUTIVE COMPENSATION, IT SHOULD BE NOTED THAT THE COMMITTEE WILL OFTEN CONFER IN EXECUTIVE SESSIONS ON MATTERS OF COMPENSATION POLICY AND POLICY CHANGES. IN SUCH EXECUTIVE SESSIONS, NO MEMBERS OF MANAGEMENT OF AHSSHC ARE PRESENT. THE COMMITTEE IS ADVISED BY AN INDEPENDENT THIRD PARTY COMPENSATION ADVISOR. THIS ADVISOR PREPARES ALL THE BENCHMARK STUDIES FOR THE COMMITTEE. COMPENSATION LEVELS ARE BENCHMARKED WITH A NATIONAL PEER GROUP OF OTHER NOT-FOR-PROFIT HEALTHCARE SYSTEMS AND HOSPITALS OF SIMILAR SIZE AND COMPLEXITY TO AHS AND EACH OF ITS AFFILIATED ENTITIES. THE FOLLOWING PRINCIPLES GUIDE THE ESTABLISHMENT OF INDIVIDUAL EXECUTIVE COMPENSATION: - THE SALARY OF THE PRESIDENT/CEO OF AHS WILL NOT EXCEED THE 40TH PERCENTILE OF COMPARABLE SALARIES PAID BY SIMILARLY SITUATED ORGANIZATIONS; AND - OTHER EXECUTIVE SALARIES SHALL BE ESTABLISHED USING MARKET MEDIANS. THE COMPENSATION PHILOSOPHY, POLICIES, AND PRACTICES OF AHSSHC ARE CONSISTENT WITH THE ORGANIZATION'S FAITH-BASED MISSION AND CONFORM TO APPLICABLE LAWS, REGULATIONS, AND BUSINESS PRACTICES. AS A FAITH-BASED ORGANIZATION SPONSORED BY THE SEVENTH-DAY ADVENTIST CHURCH (THE CHURCH), AHSSHC'S PHILOSOPHY AND PRINCIPLES WITH RESPECT TO ITS EXECUTIVE COMPENSATION PRACTICES REFLECT THE CONSERVATIVE APPROACH OF THE CHURCH'S MISSION OF SERVICE AND WERE DEVELOPED IN COUNSEL WITH THE CHURCH'S LEADERSHIP. |
| PART I, LINES 4A-B | DURING THE YEAR ENDING DECEMBER 31, 2014, MARK LAROSE RECEIVED SEVERANCE PAYMENTS IN THE AMOUNT OF $421,964. PURSUANT TO THE AHSSHC CORPORATE EXECUTIVE POLICY GOVERNING EXECUTIVE SEVERANCE, SEVERANCE AGREEMENTS FOR EXECUTIVES OPERATING AT THE VICE PRESIDENT LEVEL AND ABOVE ARE ENTERED INTO UPON ELIGIBILITY TO FACILITATE THE TRANSITION TO SUBSEQUENT EMPLOYMENT FOLLOWING AN INVOLUNTARY SEPARATION FROM EMPLOYMENT WITH AHS. AS DISCUSSED IN LINE 1A ABOVE, EXECUTIVES ON THE FILING ORGANIZATION'S MANAGEMENT TEAM THAT HOLD THE POSITION OF VICE-PRESIDENT OR ABOVE ARE COMPENSATED BY AND ON THE PAYROLL OF ADVENTIST HEALTH SYSTEM SUNBELT HEALTHCARE CORPORATION (AHSSHC), THE PARENT ORGANIZATION OF A HEALTHCARE SYSTEM KNOWN AS ADVENTIST HEALTH SYSTEM (AHS). IN RECOGNITION OF THE CONTRIBUTION THAT EACH EXECUTIVE MAKES TO THE SUCCESS OF AHS, AHS PROVIDES TO ELIGIBLE EXECUTIVES PARTICIPATION IN THE AHS EXECUTIVE FLEX BENEFIT PROGRAM (THE PLAN). THE PURPOSE OF THE PLAN IS TO OFFER ELIGIBLE EXECUTIVES AN OPPORTUNITY TO ELECT FROM AMONG A VARIETY OF SUPPLEMENTAL BENEFITS, INCLUDING DEFERRED COMPENSATION BENEFITS TAXABLE UNDER INTERNAL REVENUE CODE (IRC) SECTION 457(F), TO INDIVIDUALLY TAILOR A BENEFITS PROGRAM APPROPRIATE TO EACH EXECUTIVE'S NEEDS. THE PLAN PROVIDES ELIGIBLE PARTICIPANTS A PRE-DETERMINED BENEFITS ALLOWANCE CREDIT THAT IS EQUAL TO A PERCENTAGE OF THE EXECUTIVE'S BASE PAY FROM WHICH IS DEDUCTED THE COST OF MANDATORY AND ELECTIVE EMPLOYEE BENEFITS. THE PRE-DETERMINED BENEFITS ALLOWANCE CREDIT PERCENTAGE IS APPROVED BY THE AHS BOARD COMPENSATION COMMITTEE, AN INDEPENDENT COMMITTEE OF THE BOARD OF DIRECTORS OF AHSSHC. ANY FUNDS THAT REMAIN AFTER THE COST OF MANDATORY AND ELECTIVE BENEFITS ARE SUBTRACTED FROM THE ANNUAL PRE-DETERMINED BENEFITS ALLOWANCE ARE CONTRIBUTED, AT THE EMPLOYEE'S OPTION, TO EITHER AN IRC 457(F) DEFERRED COMPENSATION ACCOUNT OR TO AN IRC 457(B) ELIGIBLE DEFERRED COMPENSATION PLAN. UPON ATTAINMENT OF AGE 65, ALL PREVIOUS 457(F) DEFERRED AMOUNTS ARE PAID IMMEDIATELY TO THE PARTICIPANT AND ANY FUTURE EMPLOYER CONTRIBUTIONS ARE MADE QUARTERLY FROM THE PLAN DIRECTLY TO THE PARTICIPANT. THE PLAN DOCUMENTS DEFINE AN EMPLOYEE WHO IS ELIGIBLE TO PARTICIPATE IN THE PLAN TO GENERALLY INCLUDE THE CHIEF EXECUTIVE OFFICERS OF AHS ENTITIES AND VICE PRESIDENTS OF ALL AHS ENTITIES WHOSE BASE SALARY IS AT LEAST $224,000. THE PLAN PROVIDES FOR A CLASS YEAR VESTING SCHEDULE (2 YEARS FOR EACH CLASS YEAR) WITH RESPECT TO AMOUNTS ACCUMULATED IN THE EXECUTIVE'S 457(F) DEFERRED COMPENSATION ACCOUNT. DISTRIBUTIONS COULD ALSO BE MADE FROM THE EXECUTIVE'S 457(F) DEFERRED COMPENSATION ACCOUNT UPON ATTAINMENT OF AGE 65 OR UPON AN INVOLUNTARY SEPARATION. THE ACCOUNT IS FORFEITED BY THE EXECUTIVE UPON A VOLUNTARY SEPARATION. IN ADDITION TO THE PLAN, AHS HAS INSTITUTED A DEFINED BENEFIT, NON-TAX-QUALIFIED DEFERRED COMPENSATION PLAN FOR CERTAIN EXECUTIVES WHO HAVE PROVIDED LENGTHY SERVICE TO AHS AND/OR TO OTHER SEVENTH-DAY ADVENTIST CHURCH HOSPITALS OR HEALTH CARE INSTITUTIONS. PARTICIPATION IN THE PLAN IS OFFERED TO AHS EXECUTIVES ON A PRORATA SCHEDULE BEGINNING WITH 20 YEARS OF SERVICE AS AN EMPLOYEE OF AHS AND/OR ANOTHER HOSPITAL OR HEALTH CARE INSTITUTION CONTROLLED BY THE SEVENTH-DAY ADVENTIST CHURCH AND WHO SATISFY CERTAIN OTHER QUALIFYING CRITERIA. THIS SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP) WAS DESIGNED TO PROVIDE ELIGIBLE EXECUTIVES WITH THE ECONOMIC EQUIVALENT OF AN ANNUAL INCOME BEGINNING AT NORMAL RETIREMENT AGE EQUAL TO 60% OF THE AVERAGE OF THE PARTICIPANT'S THREE, FIVE OR SEVEN HIGHEST YEARS OF BASE SALARY FROM AHS ACTIVE EMPLOYMENT INCLUSIVE OF INCOME FROM ALL OTHER SEVENTH-DAY ADVENTIST CHURCH HEALTHCARE EMPLOYER-FINANCED RETIREMENT INCOME SOURCES AND INVESTMENT INCOME EARNED ON THOSE CONTRIBUTIONS THROUGH SOCIAL SECURITY NORMAL RETIREMENT AGE AS DEFINED IN THE PLAN. THE NUMBER OF YEARS INCLUDED IN HIGHEST AVERAGE COMPENSATION IS DETERMINED BY THE INDIVIDUAL'S YEAR OF ENTRY TO THE SERP AND BY THE INDIVIDUAL'S YEAR OF ENTRY TO THE AHS EXECUTIVE FLEX BENEFIT PROGRAM. FLEX PLAN FLEX PLAN/ SERP 457(B) CY CY EMPLOYER CY CONTRIB./ DISTRIBUTIONS CONTRIB. DISTRIBUTIONS* PAYMENT ------------------------------------------------------- MICHAEL H. SCHULTZ $122,361 $139,877 $166,686 $ 0 KENNETH MATTISON $ 52,267 $ 45,750 $ 0 $ 0 DEBORA H. THOMAS $ 39,621 $ 9,852 $ 0 $ 0 LARS HOUMANN $190,258 $207,319 $ 36,491 $ 0 SANDRA K. JOHNSON $ 60,491 $ 40,169 $ 21,376 $ 0 LEWIS A. SEIFERT $ 80,118 $ 73,668 $ 0 $ 0 EDDIE SOLER $101,329 $126,261 $ 61,129 $ 0 DARLINDA G. COPELAND $ 35,021 $ 12,769 $ 0 $ 0 ELIZABETH WEAGRAFF $ 27,380 $ 15,379 $ 0 $ 0 ED NOSEWORTHY $ 45,135 $ 47,739 $ 55,623 $ 0 DARYL TOL $ 75,218 $ 66,756 $ 0 $ 0 RONALD JIMENEZ $ 34,165 $ 14,354 $ 0 $ 0 NIGEL HINDS $ 19,399 $ 22,626 $ 0 $ 0 DAN WOLCOTT $ 12,603 $ 13,923 $ 0 $ 0 *INCLUDING INVESTMENT EARNINGS |
Schedule L IRS990ScheduleL
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp
Name Of Interested NameOfInterested
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | GERI MANLEY | PersonNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Relationship Description | FAMILY MEMBER OF KEY EMPLOYEE | RelationshipDescriptionTxt |
| Transaction | $38,792 | TransactionAmt |
| Transaction | EMPLOYEE COMPENSATION | TransactionDesc |
| Sharing Of Revenues | 0 | SharingOfRevenuesInd |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (11 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 2 | CHARLES D. HOOD, JR. AND NANCY LOHMAN - BUSINESS RELATIONSHIP |
| FORM 990, PART VI, SECTION A, LINE 6 | MEMORIAL HEALTH SYSTEMS, INC. (THE FILING ORGANIZATION) HAS ONE MEMBER. THE SOLE MEMBER OF THE FILING ORGANIZATION IS ADVENTIST HEALTH SYSTEM/SUNBELT, INC. ADVENTIST HEALTH SYSTEM/SUNBELT, INC.(AHSSI) IS A FLORIDA, NOT-FOR-PROFIT CORPORATION THAT IS EXEMPT FROM FEDERAL INCOME TAX UNDER INTERNAL REVENUE CODE (IRC) SECTION 501(C)(3). THERE ARE NO OTHER CLASSES OF MEMBERSHIP IN THE FILING ORGANIZATION. |
| FORM 990, PART VI, SECTION A, LINE 7A | THE SOLE MEMBER OF THE FILING ORGANIZATION IS AHSSI. THE BOARD OF DIRECTORS OF THE FILING ORGANIZATION ARE APPOINTED BY THE SOLE MEMBER, AHSSI, WHO HAS THE RIGHT TO ELECT, APPOINT OR REMOVE ANY MEMBER OF THE BOARD OF DIRECTORS OF THE FILING ORGANIZATION. |
| FORM 990, PART VI, SECTION A, LINE 7B | AHSSI, AS THE SOLE MEMBER OF THE FILING ORGANIZATION, HAS CERTAIN RESERVED POWERS AS SET FORTH IN THE BYLAWS OF THE FILING ORGANIZATION. THESE RESERVED POWERS INCLUDE THE FOLLOWING: A) TO APPROVE AND DISAPPROVE THE EXECUTIVE AND/OR ADMINISTRATIVE LEADERSHIP OF THE FILING ORGANIZATION, AND THEIR SALARIES; B) TO ADOPT, AMEND, RESTATE, AND REPEAL THE ARTICLES OF INCORPORATION OR BYLAWS OF THE FILING ORGANIZATION; C) TO SET LIMITS AND TERMS FOR THE BORROWING OF FUNDS; 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 OF THE FILING ORGANIZATION; F) TO DIRECT THE PLACEMENT OF FUNDS AND CAPITAL OF THE FILING ORGANIZATION; G) TO ESTABLISH GENERAL GUIDING POLICIES, TO IMPLEMENT QUALITY ASSESSMENT, IMPROVEMENT AND UTILIZATION REVIEW PROGRAMS; H) TO APPROVE THE APPOINTMENT OF AN AUDITING FIRM AND ELECTION OF THE FISCAL YEAR FOR THE FILING ORGANIZATION; AND I) TO ESTABLISH A PROCESS FOR ADDRESSING PATIENT GRIEVANCES. |
| FORM 990, PART VI, SECTION B, LINE 11 | THE FILING ORGANIZATION'S CURRENT YEAR FORM 990 WAS REVIEWED BY THE BOARD CHAIRMAN, BOARD FINANCE COMMITTEE CHAIR, CEO AND BY THE CFO PRIOR TO ITS FILING WITH THE IRS. THE REVIEW CONDUCTED BY THE BOARD CHAIRMAN, BOARD FINANCE COMMITTEE CHAIR, CEO AND THE CFO DID NOT INCLUDE THE REVIEW OF ANY SUPPORTING WORKPAPERS THAT WERE USED IN PREPARATION OF THE CURRENT YEAR FORM 990, BUT DID INCLUDE A REVIEW OF THE ENTIRE FORM 990 AND ALL SUPPORTING SCHEDULES. |
| FORM 990, PART VI, SECTION B, LINE 12C | THE CONFLICT OF INTEREST POLICY OF THE FILING ORGANIZATION APPLIES TO MEMBERS OF ITS BOARD OF DIRECTORS AND ITS PRINCIPAL OFFICERS (TO BE KNOWN AS INTERESTED PERSONS). IN CONNECTION WITH ANY ACTUAL OR POSSIBLE CONFLICT OF INTERESTS, ANY MEMBER OF THE BOARD OF DIRECTORS OF THE FILING ORGANIZATION OR ANY PRINCIPAL OFFICER OF THE FILING ORGANIZATION (I.E. INTERESTED PERSONS) MUST DISCLOSE THE EXISTENCE OF ANY FINANCIAL INTEREST WITH THE FILING ORGANIZATION AND MUST BE GIVEN THE OPPORTUNITY TO DISCLOSE ALL MATERIAL FACTS CONCERNING THE FINANCIAL INTEREST/ARRANGEMENT TO THE BOARD OF DIRECTORS OF THE FILING ORGANIZATION OR TO ANY MEMBERS OF A COMMITTEE WITH BOARD DELEGATED POWERS THAT IS CONSIDERING THE PROPOSED TRANSACTION OR ARRANGEMENT. SUBSEQUENT TO ANY DISCLOSURE OF ANY FINANCIAL INTEREST/ARRANGEMENT AND ALL MATERIAL FACTS, AND AFTER ANY DISCUSSION WITH THE RELEVANT BOARD MEMBER OR PRINCIPAL OFFICER, THE REMAINING MEMBERS OF THE BOARD OF DIRECTORS OR COMMITTEE WITH BOARD DELEGATED POWERS SHALL DISCUSS, ANALYZE, AND VOTE UPON THE POTENTIAL FINANCIAL INTEREST/ARRANGEMENT TO DETERMINE IF A CONFLICT OF INTEREST EXISTS. ACCORDING TO THE FILING ORGANIZATION'S CONFLICT OF INTEREST POLICY, AN INTERESTED PERSON MAY MAKE A PRESENTATION TO THE BOARD OF DIRECTORS (OR COMMITTEE WITH BOARD DELEGATED POWERS), BUT AFTER SUCH PRESENTATION, SHALL LEAVE THE MEETING DURING THE DISCUSSION OF, AND THE VOTE ON, THE TRANSACTION OR ARRANGEMENT THAT RESULTS IN A CONFLICT OF INTEREST. EACH INTERESTED PERSON, AS DEFINED UNDER THE FILING ORGANIZATION'S CONFLICT OF INTEREST POLICY, SHALL ANNUALLY SIGN A STATEMENT WHICH AFFIRMS THAT SUCH PERSON HAS RECEIVED A COPY OF THE CONFLICT OF INTERESTS POLICY, HAS READ AND UNDERSTANDS THE POLICY, HAS AGREED TO COMPLY WITH THE POLICY, AND UNDERSTANDS THAT THE FILING ORGANIZATION IS A CHARITABLE ORGANIZATION THAT MUST PRIMARILY ENGAGE IN ACTIVITIES WHICH ACCOMPLISH ONE OR MORE OF ITS EXEMPT PURPOSES. THE FILING ORGANIZATION'S CONFLICT OF INTEREST POLICY ALSO REQUIRES THAT PERIODIC REVIEWS SHALL BE CONDUCTED TO ENSURE THAT THE FILING ORGANIZATION OPERATES IN A MANNER CONSISTENT WITH ITS CHARITABLE PURPOSES. |
| FORM 990, PART VI, SECTION B, LINE 15 | THE FILING ORGANIZATION'S CEO, OTHER OFFICERS AND KEY EMPLOYEES ARE NOT COMPENSATED BY THE FILING ORGANIZATION. SUCH INDIVIDUALS ARE COMPENSATED BY THE RELATED TOP-TIER PARENT ORGANIZATION OF THE FILING ORGANIZATION. PLEASE SEE THE DISCUSSION CONCERNING THE PROCESS FOLLOWED BY THE RELATED TOP-TIER PARENT ORGANIZATION IN DETERMINING EXECUTIVE COMPENSATION IN OUR RESPONSE TO SCHEDULE J, LINE 3. |
| FORM 990, PART VI, SECTION C, LINE 19 | THE FILING ORGANIZATION IS A PART OF THE SYSTEM OF HEALTHCARE ORGANIZATIONS KNOWN AS ADVENTIST HEALTH SYSTEM (AHS). EACH YEAR, AHS PUBLISHES AN ANNUAL REPORT DOCUMENT THAT INCLUDES A FINANCIAL REPORT FOR THE RELEVANT YEAR AS WELL AS A COMMUNITY BENEFIT REPORT. THE FINANCIAL REPORT AND COMMUNITY BENEFIT REPORT ARE PRESENTED ON A CONSOLIDATED BASIS AND REPRESENT ALL OF THE ACTIVITIES, RESULTS OF OPERATIONS, AND FINANCIAL POSITION AT YEAR-END OF THE ENTIRE AHS SYSTEM. IN ADDITION, THE AUDITED CONSOLIDATED FINANCIAL STATEMENTS OF AHS AND OF THE AHS "OBLIGATED GROUP" ARE FILED ANNUALLY WITH THE MUNICIPAL SECURITIES RULEMAKING BOARD (MSRB). THE "OBLIGATED GROUP" IS A GROUP OF AHSSHC SUBSIDIARIES THAT ARE JOINTLY AND SEVERALLY LIABLE UNDER A MASTER TRUST INDENTURE THAT SECURES DEBT PRIMARILY ISSUED ON A TAX-EXEMPT BASIS. UNAUDITED QUARTERLY FINANCIAL STATEMENTS PREPARED IN ACCORDANCE WITH GENERALLY ACCEPTED ACCOUNTING PRINCIPLES (GAAP) ARE ALSO FILED WITH MSRB FOR AHS ON A CONSOLIDATED BASIS AND FOR THE GROUPING OF AHS SUBSIDIARIES COMPRISING THE "OBLIGATED GROUP". THE FILING ORGANIZATION DOES NOT GENERALLY MAKE ITS GOVERNING DOCUMENTS OR CONFLICT OF INTEREST POLICY AVAILABLE TO THE PUBLIC. |
| PART VII, SECTION A | FOR THOSE BOARD OF TRUSTEE MEMBERS (EXCLUDING PHYSICIAN MEMBERS) WHO DEVOTE LESS THAN FULL-TIME TO THE FILING ORGANIZATION (BASED UPON THE AVERAGE NUMBER OF HOURS PER WEEK SHOWN IN COLUMN (B) ON PAGE 7 OF THE RETURN) THE COMPENSATION AMOUNTS SHOWN IN COLUMNS (E) AND (F) ON PAGE 7 WERE PROVIDED IN CONJUNCTION WITH THAT PERSON'S RESPONSIBILITIES AND ROLES IN SERVING IN AN EXECUTIVE LEADERSHIP POSITION WITHIN ADVENTIST HEALTH SYSTEM. PHYSICIAN MEMBERS OF THE BOARD OF DIRECTORS RECEIVED COMPENSATION FROM RELATED ORGANIZATIONS AS A RESULT OF PROVIDING VARIOUS MEDICAL SERVICES TO THOSE RELATED ENTITIES. |
| FORM 990, PART XI, LINE 9: | ALLOCATIONS WITH RESPECT TO TAX-EXEMPT DEBT 120,208. TRANSFER TO TAX-EXEMPT PARENT CORPORATION -1,258,857. CHANGE IN INVESTMENT IN RELATED FOUNDATION 713,493. GIFTS - TEMPORARILY RESTRICTED 100,000. ROUNDING 1. |
| PART X, LINE 2 | THE AMOUNTS SHOWN ON LINE 2 OF PART X OF THIS RETURN INCLUDE THE FILING ORGANIZATION'S INTEREST IN A CENTRAL INVESTMENT POOL MAINTAINED BY ADVENTIST HEALTH SYSTEM SUNBELT HEALTHCARE CORPORATION, THE FILING ORGANIZATION'S TOP-TIER PARENT. THE INVESTMENTS IN THE CENTRAL INVESTMENT POOL ARE RECORDED AT MARKET VALUE. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (103 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Controlled OrganizationControlledOrganizationInd | Direct Controlling NADirectControllingNACd |
|---|---|---|---|---|---|---|---|---|---|---|---|
| ADVENTIST BOLINGBROOK HOSPITAL | |||||||||||
| 500 REMINGTON BLVD | BOLINGBROOK | IL | 60440 | 651219504 | OPERATION OF HOSPITAL & RELATED SERVICES | IL | 501(C)(3) | LINE 3 | ADVENTIST HLTH SYSTEMSUNBELT INC | Yes (1) | |
| ADVENTIST CARE CENTERS - COURTLAND INC | |||||||||||
| 730 COURTLAND STREET | ORLANDO | FL | 32804 | 205774723 | OPERATION OF HOME FOR THE AGED/HLTHCARE DELIVERY | FL | 501(C)(3) | LINE 9 | SUNBELT HLTH CARE CENTERS INC | Yes (1) | |
| ADVENTIST GLENOAKS HOSPITAL | |||||||||||
| 701 WINTHROP AVENUE | GLENDALE HEIGHTS | IL | 60139 | 363208390 | OPERATION OF HOSPITAL & RELATED SERVICES | IL | 501(C)(3) | LINE 3 | ADVENTIST HLTH SYSTEMSUNBELT INC | Yes (1) | |
| ADVENTIST HLTH MID-AMERICA INC | |||||||||||
| 9100 W 74TH STREET | SHAWNEE MISSION | KS | 66204 | 521347407 | HLTHCARE RELATED SERVICES | KS | 501(C)(3) | LINE 11A, I | ADVENTIST HLTH SYSTEMSUNBELT INC | Yes (1) | |
| ADVENTIST HLTH PARTNERS INC | |||||||||||
| 1000 REMINGTON BLVD STE 200 | BOLINGBROOK | IL | 60440 | 364138353 | OPERATE OUT-PATIENT PHYSICIAN CLINICS | IL | 501(C)(3) | LINE 3 | AHS MIDWEST MANAGEMENT INC | Yes (1) | |
| ADVENTIST HLTH SYSTEM SUNBELT HLTHCARE CORP | |||||||||||
| 900 HOPE WAY | ALTAMONTE SPRINGS | FL | 32714 | 592170012 | MANAGEMENT SERVICES | FL | 501(C)(3) | LINE 11A, I | 0 | N/A | |
| ADVENTIST HLTH SYSTEM GEORGIA INC | |||||||||||
| 1035 RED BUD ROAD | CALHOUN | GA | 30701 | 581425000 | OPERATION OF HOSPITAL & RELATED SERVICES | GA | 501(C)(3) | LINE 3 | ADVENTIST HLTH SYSTEM SUNBELT HLTHCARE CORP | Yes (1) | |
| ADVENTIST HLTH SYSTEMSUNBELT INC | |||||||||||
| 900 HOPE WAY | ALTAMONTE SPRINGS | FL | 32714 | 591479658 | OPERATION OF HOSPITAL & RELATED SERVICES | FL | 501(C)(3) | LINE 3 | ADVENTIST HLTH SYSTEM SUNBELT HLTHCARE CORP | Yes (1) | |
| ADVENTIST HLTH SYSTEMTEXAS INC | |||||||||||
| 11801 S FREEWAY | BURLESON | TX | 36028 | 742578952 | LEASING PERSONNEL TO AFFILIATED HOSPITAL | TX | 501(C)(3) | LINE 11C, III-FI | ADVENTIST HLTH SYSTEM SUNBELT HLTHCARE CORP | Yes (1) | |
| ADVENTIST HINSDALE HOSPITAL | |||||||||||
| 120 NORTH OAK STREET | HINSDALE | IL | 60521 | 362276984 | OPERATION OF HOSPITAL & RELATED SERVICES | IL | 501(C)(3) | LINE 3 | ADVENTIST HLTH SYSTEMSUNBELT INC | Yes (1) | |
| ADVENTIST UNIVERSITY OF HEALTH SCIENCES INC (630 YEAR END) | |||||||||||
| 671 LAKE WINYAH DRIVE | ORLANDO | FL | 32803 | 593069793 | EDUCATION/OPERATION OF SCHOOL | FL | 501(C)(3) | LINE 2 | ADVENTIST HLTH SYSTEMSUNBELT INC | Yes (1) | |
| AHS MIDWEST MANAGEMENT INC | |||||||||||
| 1000 REMINGTON BLVD STE 200 | BOLINGBROOK | IL | 60440 | 363354567 | OPERATION OF PHYSICIAN PRACTICE MGMT | IL | 501(C)(3) | LINE 11A, I | ADVENTIST HLTH SYSTEMSUNBELT INC | Yes (1) | |
| AHSCENTRAL TEXAS INC | |||||||||||
| 1301 WONDER WORLD DRIVE | SAN MARCOS | TX | 78666 | 742621825 | PROVIDE OFFICE SPACE - MEDICAL PROFESSIONALS | TX | 501(C)(3) | LINE 11C, III-FI | ADVENTIST HLTH SYSTEM SUNBELT HLTHCARE CORP | Yes (1) | |
| APOPKA HLTH CARE PROPERTIES INC | |||||||||||
| 305 E OAK STREET | APOPKA | FL | 32703 | 510605694 | LEASE TO RELATED ORGANIZATION | GA | 501(C)(3) | LINE 11C, III-FI | SUNBELT HLTH CARE CENTERS INC | Yes (1) | |
| BATTLE CREEK ADVENTIST HOSPITAL | |||||||||||
| 1000 REMINGTON BLVD STE 200 | BOLINGBROOK | IL | 60440 | 381359189 | INACTIVE | MI | 501(C)(3) | LINE 3 | ADVENTIST HLTH SYSTEMSUNBELT INC | Yes (1) | |
| BOLINGBROOK HOSPITAL FOUNDATION | |||||||||||
| 1000 REMINGTON BLVD N ENTRANCE 2ND | BOLINGBROOK | IL | 60440 | 900494445 | FUND-RAISING FOR TAX-EXEMPT HOSPITAL | IL | 501(C)(3) | LINE 7 | MIDWEST HLTH FOUNDATION | 0 | |
| BRADFORD HEIGHTS HLTH & REHAB CENTER INC | |||||||||||
| 950 HIGHPOINT DRIVE | HOPKINSVILLE | KY | 42240 | 205782342 | OPERATION OF HOME FOR THE AGED/HLTHCARE DELIVERY | KY | 501(C)(3) | LINE 9 | SUNBELT HLTH CARE CENTERS INC | Yes (1) | |
| BURLESON NURSING & REHAB CENTER INC | |||||||||||
| 301 HUGULEY BLVD | BURLESON | TX | 76028 | 205782243 | OPERATION OF HOME FOR THE AGED/HLTHCARE DELIVERY | TX | 501(C)(3) | LINE 9 | SUNBELT HLTH CARE CENTERS INC | Yes (1) | |
| CALDWELL HLTH CARE PROPERTIES INC | |||||||||||
| 1333 WEST MAIN | PRINCETON | KY | 42445 | 510605680 | LEASE TO RELATED ORGANIZATION | GA | 501(C)(3) | LINE 11C, III-FI | SUNBELT HLTH CARE CENTERS INC | Yes (1) | |
| CENTRAL TEXAS HLTHCARE COLLABORATIVE | |||||||||||
| 1301 WONDER WORLD DRIVE | SAN MARCOS | TX | 78666 | 453739929 | SUPPORT OPERATION OF HOSPITAL | TX | 501(C)(3) | LINE 11A, I | ADVENTIST HLTH SYSTEMSUNBELT INC | Yes (1) | |
| CENTRAL TEXAS MEDICAL CENTER FOUNDATION | |||||||||||
| 1301 WONDER WORLD DRIVE | SAN MARCOS | TX | 78666 | 742259907 | FUND-RAISING FOR TAX-EXEMPT HOSPITAL | TX | 501(C)(3) | LINE 7 | 0 | ||
| CHICKASAW HLTH CARE PROPERTIES INC | |||||||||||
| 250 S CHICKASAW TRAIL | ORLANDO | FL | 32825 | 510605681 | LEASE TO RELATED ORGANIZATION | GA | 501(C)(3) | LINE 11C, III-FI | SUNBELT HLTH CARE CENTERS INC | Yes (1) | |
| CHIPPEWA VALLEY HOSPITAL & OAKVIEW CARE CENTER INC | |||||||||||
| 1220 THIRD AVENUE WEST | DURAND | WI | 54736 | 391365168 | OPERATION OF HOSPITAL & RELATED SERVICES | WI | 501(C)(3) | LINE 3 | ADVENTIST HLTH SYSTEMSUNBELT INC | Yes (1) | |
| COBB MEDICAL ASSOCIATES LLC | |||||||||||
| 3949 SOUTH COBB DRIVE SE | SMYRNA | GA | 30080 | 582617089 | OPERATION OF PHYSICIAN PRACTICES & MEDICAL SERVICES | GA | 501(C)(3) | LINE 3 | EMORY-ADVENTIST INC | Yes (1) | |
| COURTLAND HLTH CARE PROPERTIES INC | |||||||||||
| 730 COURTLAND STREET | ORLANDO | FL | 32804 | 510605682 | LEASE TO RELATED ORGANIZATION | GA | 501(C)(3) | LINE 11C, III-FI | SUNBELT HLTH CARE CENTERS INC | Yes (1) | |
| CREEKWOOD PLACE NURSING & REHAB CENTER INC | |||||||||||
| 683 E THIRD STREET | RUSSELLVILLE | KY | 42276 | 205782260 | OPERATION OF HOME FOR THE AGED/HLTHCARE DELIVERY | KY | 501(C)(3) | LINE 9 | SUNBELT HLTH CARE CENTERS INC | Yes (1) | |
| DAIRY ROAD HLTH CARE PROPERTIES INC | |||||||||||
| 7350 DAIRY ROAD | ZEPHYRHILLS | FL | 33540 | 510605684 | LEASE TO RELATED ORGANIZATION | GA | 501(C)(3) | LINE 11C, III-FI | SUNBELT HLTH CARE CENTERS INC | Yes (1) | |
| EAST ORLANDO HLTH & REHAB CENTER INC | |||||||||||
| 250 S CHICKASAW TRAIL | ORLANDO | FL | 32825 | 205774748 | OPERATION OF HOME FOR THE AGED/HLTHCARE DELIVERY | FL | 501(C)(3) | LINE 9 | SUNBELT HLTH CARE CENTERS INC | Yes (1) | |
| EMORY-ADVENTIST INC | |||||||||||
| 3949 SOUTH COBB DRIVE | SMYRNA | GA | 30080 | 582171011 | OPERATION OF HOSPITAL & RELATED SVCS | GA | 501(C)(3) | LINE 3 | ADVENTIST HLTH SYSTEMSUNBELT INC | Yes (1) | |
| FLETCHER HOSPITAL INC | |||||||||||
| 100 HOSPITAL DRIVE | HENDERSONVILLE | NC | 28792 | 560543246 | OPERATION OF HOSPITAL & RELATED SVCS | NC | 501(C)(3) | LINE 3 | ADVENTIST HLTH SYSTEM SUNBELT HLTHCARE CORP | Yes (1) | |
| FLNC INC | |||||||||||
| 3355 E SEMORAN BLVD | APOPKA | FL | 32703 | 205774761 | OPERATION OF HOME FOR THE AGED/HLTHCARE DELIVERY | FL | 501(C)(3) | LINE 9 | SUNBELT HLTH CARE CENTERS INC | Yes (1) | |
| FLORIDA HOSPITAL HEALTHCARE PARTNERS INC | |||||||||||
| 770 WEST GRANADA BLVD 101 | ORMOND BEACH | FL | 32174 | 462354804 | OPERATION OF PHYSICIAN PRACTICES & MEDICAL SERVICES | FL | 501(C)(3) | LINE 3 | ADVENTIST HLTH SYSTEMSUNBELT INC | Yes (1) | |
| FLORIDA HOSPITAL MEDICAL GROUP INC | |||||||||||
| 2600 WESTHALL LN | MAITLAND | FL | 32751 | 593214635 | OPERATION OF PHYSICIAN PRACTICES & MEDICAL SERVICES | FL | 501(C)(3) | LINE 3 | ADVENTIST HLTH SYSTEMSUNBELT INC | Yes (1) | |
| FLORIDA HOSPITAL PHYSICIAN GROUP INC | |||||||||||
| 14055 RIVEREDGE DRIVE STE 250 | TAMPA | FL | 33637 | 462021581 | OPERATION OF PHYSICIAN PRACTICES & MEDICAL SERVICES | FL | 501(C)(3) | LINE 3 | ADVENTIST HLTH SYSTEM SUNBELT HLTHCARE CORP | Yes (1) | |
| FLORIDA HOSPITAL WATERMAN INC | |||||||||||
| 1000 WATERMAN WAY | TAVARES | FL | 32778 | 593140669 | OPERATION OF HOSPITAL & RELATED SERVICES | FL | 501(C)(3) | LINE 3 | ADVENTIST HLTH SYSTEM SUNBELT HLTHCARE CORP | Yes (1) | |
| FLORIDA HOSPITAL ZEPHYRHILLS INC | |||||||||||
| 7050 GALL BLVD | ZEPHYRHILLS | FL | 33541 | 592108057 | OPERATION OF HOSPITAL & RELATED SERVICES | FL | 501(C)(3) | LINE 3 | ADVENTIST HLTH SYSTEMSUNBELT INC | Yes (1) | |
| FOUNDATION FOR SHAWNEE MISSION MEDICAL CENTER INC | |||||||||||
| 9100 W 74TH STREET | SHAWNEE MISSION | KS | 66204 | 480868859 | FUND-RAISING FOR TAX-EXEMPT HOSPITAL | KS | 501(C)(3) | LINE 11A, I | SHAWNEE MISSION MEDICAL CENTER INC | Yes (1) | |
| FOUNTAIN INN NURSING & REHAB CENTER INC(1024-123114) | |||||||||||
| 602 COURTLAND ST STE 200 | ORLANDO | FL | 32804 | 472180518 | OPERATION OF HOME FOR THE AGED/HLTHCARE DELIVERY | FL | 501(C)(3) | LINE 9 | SUNBELT HLTH CARE CENTERS INC | Yes (1) | |
| GLENOAKS HOSPITAL FOUNDATION | |||||||||||
| 701 WINTHROP AVENUE | GLENDALE HEIGHTS | IL | 60139 | 363926044 | FUND-RAISING FOR TAX-EXEMPT HOSPITAL | IL | 501(C)(3) | LINE 7 | MIDWEST HLTH FOUNDATION | 0 | |
| HELEN ELLIS MEMORIAL HOSPITAL AUXILIARY INC | |||||||||||
| 1395 S PINELLAS AVE | TARPON SPRINGS | FL | 34689 | 592106043 | FUND-RAISING FOR TAX-EXEMPT HOSPITAL/FOUNDATION | FL | 501(C)(3) | LINE 11C, III-FI | 0 | ||
| HELEN ELLIS MEMORIAL HOSPITAL FOUNDATION INC | |||||||||||
| 1395 S PINELLAS AVE | TARPON SPRINGS | FL | 34689 | 593690149 | FUND-RAISING FOR TAX-EXEMPT HOSPITAL | FL | 501(C)(3) | LINE 11C, III-FI | 0 | ||
| HINSDALE HOSPITAL FOUNDATION | |||||||||||
| 7 SALT CREEK LANE SUITE 203 | HINSDALE | IL | 60521 | 521466387 | FUND-RAISING FOR TAX-EXEMPT HOSPITAL | IL | 501(C)(3) | LINE 7 | MIDWEST HLTH FOUNDATION | 0 | |
| HOSPICE OF THE COMFORTER INC | |||||||||||
| 480 W CENTRAL PARKWAY | ALTAMONTE SPRINGS | FL | 32714 | 592935928 | OPERATION OF HOSPICE | FL | 501(C)(3) | LINE 9 | THE COMFORTER HEALTH CARE GROUP INC | Yes (1) | |
| HOSPICE OF THE COMFORTER FOUNDATION INC | |||||||||||
| 480 W CENTRAL PARKWAY | ALTAMONTE SPRINGS | FL | 32714 | 271858033 | FUND RAISING FOR AFFILIATED TAX-EXEMPT HOSPICE | FL | 501(C)(3) | LINE 7 | THE COMFORTER HEALTH CARE GROUP INC | Yes (1) | |
| IN-MOTION REHAB INC | |||||||||||
| 602 COURTLAND STREET STE 200 | ORLANDO | FL | 32804 | 208023411 | THERAPY SERVICES TO TAX EXEMPT NURSING HOMES | KS | 501(C)(3) | LINE 11B, II | SUNBELT HLTH CARE CENTERS INC | Yes (1) | |
| JELLICO COMMUNITY HOSPITAL INC | |||||||||||
| 188 HOSPITAL LANE | JELLICO | TN | 37762 | 620924706 | OPERATION OF HOSPITAL & RELATED SERVICES | TN | 501(C)(3) | LINE 3 | ADVENTIST HLTH SYSTEM SUNBELT HLTHCARE CORP | Yes (1) | |
| LA GRANGE MEMORIAL HOSPITAL FOUNDATION | |||||||||||
| 5101 S WILLOW SPRINGS RD | LA GRANGE | IL | 60525 | 300247776 | FUND-RAISING FOR TAX-EXEMPT HOSPITAL | IL | 501(C)(3) | LINE 7 | MIDWEST HLTH FOUNDATION | 0 | |
| LAKE COUNTY HEALTH CARE PROPERTIES INC(1017-123114) | |||||||||||
| 602 COURTLAND ST STE 200 | ORLANDO | FL | 32804 | 472179868 | LEASE TO RELATED ORGANIZATION | FL | 501(C)(3) | LINE 11C, III-FI | SUNBELT HLTH CARE CENTERS INC | Yes (1) | |
| MEMORIAL HLTH SYSTEMS FOUNDATION INC | |||||||||||
| 770 WEST GRANADA BLVD | ORMOND BEACH | FL | 32174 | 311771522 | FUND-RAISING FOR TAX-EXEMPT HOSPITAL | FL | 501(C)(3) | LINE 7 | 0 | ||
| MEMORIAL HLTH SYSTEMS INC | |||||||||||
| 301 MEMORIAL MEDICAL PARKWAY | DAYTONA BEACH | FL | 32117 | 590973502 | OPERATION OF HOSPITAL & RELATED SERVICES | FL | 501(C)(3) | LINE 3 | ADVENTIST HLTH SYSTEMSUNBELT INC | Yes (1) | |
| MEMORIAL HOSPITAL - WEST VOLUSIA INC | |||||||||||
| 701 WEST PLYMOUTH AVENUE | DELAND | FL | 32720 | 593256803 | OPERATION OF HOSPITAL & RELATED SERVICES | FL | 501(C)(3) | LINE 3 | MEMORIAL HLTH SYSTEMS INC | Yes (1) | |
| MEMORIAL HOSPITAL FLAGLER INC | |||||||||||
| 60 MEMORIAL MEDICAL PARKWAY | PALM COAST | FL | 32164 | 592951990 | OPERATION OF HOSPITAL & RELATED SERVICES | FL | 501(C)(3) | LINE 3 | MEMORIAL HLTH SYSTEMS INC | Yes (1) | |
| MEMORIAL HOSPITAL INC | |||||||||||
| 210 MARIE LANGDON DRIVE | MANCHESTER | KY | 40962 | 610594620 | OPERATION OF HOSPITAL & RELATED SERVICES | KY | 501(C)(3) | LINE 3 | ADVENTIST HLTH SYSTEM SUNBELT HLTHCARE CORP | Yes (1) | |
| MERRIAM HLTH CARE PROPERTIES INC | |||||||||||
| 9700 WEST 62ND STREET | MERRIAM | KS | 66203 | 364595806 | LEASE TO RELATED ORGANIZATION | KS | 501(C)(3) | LINE 11C, III-FI | SUNBELT HLTH CARE CENTERS INC | Yes (1) | |
| METROPLEX ADVENTIST HOSPITAL INC | |||||||||||
| 2201 S CLEAR CREEK ROAD | KILLEEN | TX | 76549 | 742225672 | OPERATION OF HOSPITAL & RELATED SERVICES | TX | 501(C)(3) | LINE 3 | ADVENTIST HLTH SYSTEM SUNBELT HLTHCARE CORP | Yes (1) | |
| METROPLEX CLINIC PHYSICIANS INC | |||||||||||
| 2201 S CLEAR CREEK ROAD | KILLEEN | TX | 76549 | 113762050 | PHYSICIAN HLTHCARE SERVICES TO THE COMMUNITY | TX | 501(C)(3) | LINE 3 | METROPLEX ADVENTIST HOSPITAL INC | Yes (1) | |
| METROPLEX HOSPITAL INC | |||||||||||
| 900 HOPE WAY | ALTAMONTE SPRINGS | FL | 32714 | 461256516 | FUTURE OPERATION OF HOSPITAL & RELATED SVCS | FL | 501(C)(3) | LINE 3 | ADVENTIST HLTH SYSTEM SUNBELT HLTHCARE CORP | Yes (1) | |
| MIDWEST HLTH FOUNDATION | |||||||||||
| 120 NORTH OAK STREET | HINSDALE | IL | 60521 | 352230515 | SUPPORT OF SUBSIDIARY FOUNDATIONS | IL | 501(C)(3) | LINE 11B, II | 0 | N/A | |
| MILLS HLTH & REHAB CENTER INC | |||||||||||
| 500 BECK LANE | MAYFIELD | KY | 42066 | 205782320 | OPERATION OF HOME FOR THE AGED/HLTHCARE DELIVERY | KY | 501(C)(3) | LINE 9 | SUNBELT HLTH CARE CENTERS INC | Yes (1) | |
| MISSION STRATEGIES OF GEORGIA INC | |||||||||||
| 3949 S COBB DRIVE | SMYRNA | GA | 30080 | 900866024 | PROVISION OF SUPPORT TO THE NURSING HOME DIVISION | GA | 501(C)(3) | LINE 11B, II | SUNBELT HLTH CARE CENTERS INC | Yes (1) | |
| MISSOURI ADVENTIST HLTH INC | |||||||||||
| 9100 W 74TH STREET | SHAWNEE MISSION | KS | 66204 | 431224729 | SUPPORT HLTH CARE SERVICES | MO | 501(C)(3) | LINE 11D, III-O | ADVENTIST HLTH MID-AMERICA INC | Yes (1) | |
| NORTH REGIONAL EMS INC | |||||||||||
| 188 HOSPITAL LANE | JELLICO | TN | 37762 | 262653616 | EMS SERVICES | TN | 501(C)(3) | LINE 9 | JELLICO COMMUNITY HOSPITAL INC | Yes (1) | |
| ORMOND BEACH MEMORIAL HOSPITAL AUXILIARY INC | |||||||||||
| 301 MEMORIAL MEDICAL PARKWAY | DAYTONA BEACH | FL | 32117 | 591721962 | VOLUNTEER SUPPORT SERVICES | FL | 501(C)(3) | LINE 11C, III-FI | 0 | ||
| OVERLAND PARK NURSING & REHAB CENTER INC | |||||||||||
| 6501 WEST 75TH STREET | OVERLAND PARK | KS | 66204 | 205774821 | OPERATION OF HOME FOR THE AGED/HLTHCARE DELIVERY | KS | 501(C)(3) | LINE 9 | SUNBELT HLTH CARE CENTERS INC | Yes (1) | |
| PARAGON HLTH CARE PROPERTIES INC | |||||||||||
| 950 HIGHPOINT DRIVE | HOPKINSVILLE | KY | 42240 | 510605686 | LEASE TO RELATED ORGANIZATION | GA | 501(C)(3) | LINE 11C, III-FI | SUNBELT HLTH CARE CENTERS INC | Yes (1) | |
| PASCO-PINELLAS HILLSBOROUGH COMMUNITY HLTH SYSTEM INC | |||||||||||
| 2600 BRUCE B DOWNS BLVD | WESLEY CHAPEL | FL | 33544 | 208488713 | OPERATION OF HOSPITAL & RELATED SERVICES | FL | 501(C)(3) | LINE 3 | ADVENTIST HLTH SYSTEM SUNBELT HLTHCARE CORP | Yes (1) | |
| PORTERCARE ADVENTIST HLTH SYSTEM (630 YEAR END) | |||||||||||
| 2525 S DOWNING STREET | DENVER | CO | 80210 | 840438224 | OPERATION OF HOSPITAL & RELATED SERVICES | CO | 501(C)(3) | LINE 3 | ADVENTIST HLTH SYSTEM SUNBELT HLTHCARE CORP | Yes (1) | |
| PRINCETON HLTH & REHAB CENTER INC | |||||||||||
| 1333 WEST MAIN | PRINCETON | KY | 42445 | 205782272 | OPERATION OF HOME FOR THE AGED/HLTHCARE DELIVERY | KY | 501(C)(3) | LINE 9 | SUNBELT HLTH CARE CENTERS INC | Yes (1) | |
| PRINCETON PROFESSIONAL SERVICES INC | |||||||||||
| 601 E ROLLINS STREET | ORLANDO | FL | 32803 | 591191045 | PROVISION OF HLTHCARE SERVICES | FL | 501(C)(3) | LINE 9 | ADVENTIST HLTH SYSTEM SUNBELT HLTHCARE CORP | Yes (1) | |
| QUALITY CIRCLE FOR HLTHCARE INC | |||||||||||
| 900 HOPE WAY | ALTAMONTE SPRINGS | FL | 32714 | 263789368 | HLTHCARE QUALITY SERVICES | FL | 501(C)(3) | LINE 11A, I | ADVENTIST HLTH SYSTEM SUNBELT HLTHCARE CORP | Yes (1) | |
| RESOURCE PERSONNEL INC | |||||||||||
| 602 COURTLAND STREET STE 200 | ORLANDO | FL | 32804 | 208040875 | PROVIDE ADMINISTRATIVE SUPPORT TO TAX EXEMPT NURSING HOMES | FL | 501(C)(3) | LINE 11B, II | SUNBELT HLTH CARE CENTERS INC | Yes (1) | |
| ROCKY MOUNTAIN ADVENTIST HLTHCARE FOUNDATION (630 YEAR END) | |||||||||||
| 7995 E PRENTICE AVE 204 | GREENWOOD VILLAGE | CO | 80111 | 840745018 | FUND-RAISING FOR TAX-EXEMPT HOSPITAL | CO | 501(C)(3) | LINE 7 | 0 | ||
| ROLLINS BROOK COMMUNITY CARE CORP | |||||||||||
| 2201 S CLEAR CREEK ROAD | KILLEEN | TX | 76549 | 461656773 | INACTIVE | TX | 501(C)(3) | LINE 11A, I | ADVENTIST HLTH SYSTEMSUNBELT INC | Yes (1) | |
| RUSSELLVILLE HLTH CARE PROPERTIES INC | |||||||||||
| 683 EAST THIRD STREET | RUSSELLVILLE | KY | 42276 | 510605691 | LEASE TO RELATED ORGANIZATION | GA | 501(C)(3) | LINE 11C, III-FI | SUNBELT HLTH CARE CENTERS INC | Yes (1) | |
| SAN MARCOS HLTH CARE PROPERTIES INC | |||||||||||
| 1900 MEDICAL PARKWAY | SAN MARCOS | TX | 78666 | 510605693 | LEASE TO RELATED ORGANIZATION | GA | 501(C)(3) | LINE 11C, III-FI | SUNBELT HLTH CARE CENTERS INC | Yes (1) | |
| SAN MARCOS NURSING & REHAB CENTER INC | |||||||||||
| 1900 MEDICAL PARKWAY | SAN MARCOS | TX | 78666 | 205782224 | OPERATION OF HOME FOR THE AGED/HLTHCARE DELIVERY | TX | 501(C)(3) | LINE 9 | SUNBELT HLTH CARE CENTERS INC | Yes (1) | |
| SHAWNEE MISSION HLTH CARE INC | |||||||||||
| 6501 WEST 75TH STREET | OVERLAND PARK | KS | 66204 | 480952508 | LEASE TO RELATED ORGANIZATION | KS | 501(C)(3) | LINE 11C, III-FI | SUNBELT HLTH CARE CENTERS INC | Yes (1) | |
| SHAWNEE MISSION MEDICAL CENTER INC | |||||||||||
| 9100 W 74TH STREET | SHAWNEE MISSION | KS | 66204 | 480637331 | OPERATION OF HOSPITAL & RELATED SERVICES | KS | 501(C)(3) | LINE 3 | ADVENTIST HLTH MID-AMERICA INC | Yes (1) | |
| SOUTH CENTRAL INC | |||||||||||
| 900 HOPE WAY | ALTAMONTE SPRINGS | FL | 32714 | 593689740 | MANAGEMENT SUPPORT | GA | 501(C)(3) | LINE 11C, III-FI | 0 | N/A | |
| SOUTH PASCO HLTH CARE PROPERTIES INC | |||||||||||
| 38250 A AVENUE | ZEPHYRHILLS | FL | 33542 | 510605679 | LEASE TO RELATED ORGANIZATION | GA | 501(C)(3) | LINE 11C, III-FI | SUNBELT HLTH CARE CENTERS INC | Yes (1) | |
| SOUTHWEST VOLUSIA HLTH SERVICES INC | |||||||||||
| 1055 SAXON BLVD | ORANGE CITY | FL | 32763 | 593281591 | MEDICAL OFFICE BUILDING FOR HOSPITAL | FL | 501(C)(3) | LINE 11A, I | SOUTHWEST VOLUSIA HLTHCARE CORP | Yes (1) | |
| SOUTHWEST VOLUSIA HLTHCARE CORP | |||||||||||
| 1055 SAXON BLVD | ORANGE CITY | FL | 32763 | 593149293 | OPERATION OF HOSPITAL & RELATED SERVICES | FL | 501(C)(3) | LINE 3 | ADVENTIST HLTH SYSTEMSUNBELT INC | Yes (1) | |
| SPECIALTY PHYSICIANS OF CENTRAL TEXAS INC | |||||||||||
| 1301 WONDER WORLD DRIVE | SAN MARCOS | TX | 78666 | 208814408 | PHYSICIAN HLTHCARE SERVICES TO THE COMMUNITY | TX | 501(C)(3) | LINE 3 | ADVENTIST HLTH SYSTEMSUNBELT INC | Yes (1) | |
| SPRING VIEW HLTH & REHAB CENTER INC | |||||||||||
| 718 GOODWIN LANE | LEITCHFIELD | KY | 42754 | 205782288 | OPERATION OF HOME FOR THE AGED/HLTHCARE DELIVERY | KY | 501(C)(3) | LINE 9 | SUNBELT HLTH CARE CENTERS INC | Yes (1) | |
| SUNBELT HLTH & REHAB CENTER - APOPKA INC | |||||||||||
| 305 EAST OAK STREET | APOPKA | FL | 32703 | 205774856 | OPERATION OF HOME FOR THE AGED/HLTHCARE DELIVERY | FL | 501(C)(3) | LINE 9 | SUNBELT HLTH CARE CENTERS INC | Yes (1) | |
| SUNBELT HLTH CARE CENTERS INC | |||||||||||
| 602 COURTLAND STREET STE 200 | ORLANDO | FL | 32804 | 581473135 | MANAGEMENT SERVICES | TN | 501(C)(3) | LINE 11B, II | ADVENTIST HLTH SYSTEM SUNBELT HLTHCARE CORP | Yes (1) | |
| SUNSYSTEM DEVELOPMENT CORP | |||||||||||
| 900 HOPE WAY | ALTAMONTE SPRINGS | FL | 32714 | 592219301 | FUND RAISING FOR AFFILIATED TAX-EXEMPT HOSPITALS | FL | 501(C)(3) | LINE 7 | ADVENTIST HLTH SYSTEM SUNBELT HLTHCARE CORP | Yes (1) | |
| TAKOMA REGIONAL HOSPITAL INC (630 YEAR END) | |||||||||||
| 401 TAKOMA AVE | GREENEVILLE | TN | 37743 | 510603966 | OPERATION OF HOSPITAL & RELATED SERVICES | TN | 501(C)(3) | LINE 3 | ADVENTIST HLTH SYSTEMSUNBELT INC | Yes (1) | |
| TAKOMA REGIONAL HOSPITAL FOUNDATION INC (710-123114) | |||||||||||
| 401 TAKOMA AVE | GREENEVILLE | TN | 37743 | 471334302 | FUND RAISING FOR AFFILIATED TAX-EXEMPT HOSPITAL | TN | 501(C)(3) | LINE 7 | TAKOMA REGIONAL HOSPITAL INC | Yes (1) | |
| TARPON SPRINGS HOSPITAL FOUNDATION INC | |||||||||||
| 1395 S PINELLAS AVE | TARPON SPRINGS | FL | 34689 | 590898901 | OPERATION OF HOSPITAL & RELATED SERVICES | FL | 501(C)(3) | LINE 3 | UNIVERSITY COMMUNITY HOSPITAL INC | Yes (1) | |
| TARRANT COUNTY HLTH CARE PROPERTIES INC | |||||||||||
| 301 HUGULEY BLVD | BURLESON | TX | 76028 | 510605677 | LEASE TO RELATED ORGANIZATION | GA | 501(C)(3) | LINE 11C, III-FI | SUNBELT HLTH CARE CENTERS INC | Yes (1) | |
| TAYLOR CREEK HLTH CARE PROPERTIES INC | |||||||||||
| 718 GOODWIN LANE | LEITCHFIELD | KY | 42754 | 510605678 | LEASE TO RELATED ORGANIZATION | GA | 501(C)(3) | LINE 11C, III-FI | SUNBELT HLTH CARE CENTERS INC | Yes (1) | |
| THE COMFORTER HEALTH CARE GROUP INC | |||||||||||
| 605 MONTGOMERY ROAD | ALTAMONTE SPRINGS | FL | 32714 | 271857940 | LEASE TO RELATED ORGANIZATION | FL | 501(C)(3) | LINE 11C, III-FI | ADVENTIST HLTH SYSTEM SUNBELT HLTHCARE CORP | Yes (1) | |
| THE VOLUNTEER AUXILIARY OF FLORIDA HOSPITAL - FLAGLER INC | |||||||||||
| 60 MEMORIAL MEDICAL PARKWAY | PALM COAST | FL | 32164 | 592486582 | VOLUNTEER SUPPORT SERVICES | FL | 501(C)(3) | LINE 11C, III-FI | 0 | ||
| TRI-COUNTY NURSING AND REHAB CENTER INC(1030-123114) | |||||||||||
| 602 COURTLAND ST STE 200 | ORLANDO | FL | 32804 | 472219363 | OPERATION OF HOME FOR THE AGED/HLTHCARE DELIVERY | FL | 501(C)(3) | LINE 9 | SUNBELT HLTH CARE CENTERS INC | Yes (1) | |
| TRINITY NURSING & REHAB CENTER INC | |||||||||||
| 9700 WEST 62ND STREET | MERRIAM | KS | 66203 | 205774890 | OPERATION OF HOME FOR THE AGED/HLTHCARE DELIVERY | KS | 501(C)(3) | LINE 9 | SUNBELT HLTH CARE CENTERS INC | Yes (1) | |
| UNIVERSITY COMMUNITY HOSPITAL FOUNDATION INC | |||||||||||
| 3100 E FLETCHER AVE | TAMPA | FL | 33613 | 592554889 | FUND-RAISING FOR TAX-EXEMPT HOSPITAL | FL | 501(C)(3) | LINE 11A, I | 0 | ||
| UNIVERSITY COMMUNITY HOSPITAL SPECIALTY CARE INC | |||||||||||
| 3100 E FLETCHER AVE | TAMPA | FL | 33613 | 593231322 | INACTIVE | FL | 501(C)(3) | LINE 11A, I | UNIVERSITY COMMUNITY HOSPITAL INC | Yes (1) | |
| UNIVERSITY COMMUNITY HOSPITAL INC | |||||||||||
| 3100 E FLETCHER AVE | TAMPA | FL | 33613 | 591113901 | OPERATION OF HOSPITAL & RELATED SERVICES | FL | 501(C)(3) | LINE 3 | ADVENTIST HLTH SYSTEM SUNBELT HLTHCARE CORP | Yes (1) | |
| WEST FLORIDA HEALTH HOME CARE INC FKA SOUTH CENT NURS HOME PROP(11-1114) | |||||||||||
| PO BOX 1289 | TAMPA | FL | 33601 | 593686109 | WILL BE OPERATING HOME HEALTH AGENCY | GA | 501(C)(3) | LINE 11D, III-O | ADVENTIST HLTH SYSTEM SUNBELT HLTHCARE CORP | Yes (1) | |
| WEST KENTUCKY HLTH CARE PROPERTIES INC | |||||||||||
| 500 BECK LANE | MAYFIELD | KY | 42066 | 510605676 | LEASE TO RELATED ORGANIZATION | GA | 501(C)(3) | LINE 11C, III-FI | SUNBELT HLTH CARE CENTERS INC | Yes (1) | |
| ZEPHYR HAVEN HLTH & REHAB CENTER INC | |||||||||||
| 38250 A AVENUE | ZEPHYRHILLS | FL | 33542 | 205774930 | OPERATION OF HOME FOR THE AGED/HLTHCARE DELIVERY | FL | 501(C)(3) | LINE 9 | SUNBELT HLTH CARE CENTERS INC | Yes (1) | |
| ZEPHYRHILLS HLTH & REHAB CENTER INC | |||||||||||
| 7350 DAIRY ROAD | ZEPHYRHILLS | FL | 33540 | 205774967 | OPERATION OF HOME FOR THE AGED/HLTHCARE DELIVERY | FL | 501(C)(3) | LINE 9 | SUNBELT HLTH CARE CENTERS INC | Yes (1) | |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (8 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Direct Controlling NADirectControllingNACd |
|---|---|---|---|---|---|---|---|
| APPALACHIAN THERAPY SERVICES LLC | |||||||
| 100 HOSPITAL DRIVE | HENDERSONVILLE | NC | 28792 | 202463851 | THERAPY STAFFING | NC | N/A |
| CLEAR CREEK MOB LTD | |||||||
| 2201 S CLEAR CREEK RD | KILLEEN | TX | 76549 | 742609195 | REAL ESTATE | TX | N/A |
| ENDOSCOPY CENTER AT PORTER LLC | |||||||
| 1001 SOUTH PARK DRIVE | LITTLETON | CO | 80120 | 205855038 | MEDICAL SERVICES | CO | N/A |
| FLORIDA HOSPITAL DMERT LLC | |||||||
| 2450 MAITLAND CENTER PKWY STE 200 | MAITLAND | FL | 32751 | 202392253 | MEDICAL EQUIPMENT | FL | N/A |
| FLORIDA HOSPITAL HOME INFUSION LLP | |||||||
| 2450 MAITLAND CENTER PKWY STE 200 | MAITLAND | FL | 32751 | 593142824 | HOME INFUSION SERVICES | FL | N/A |
| PAHSUSP SURGERY CENTERS LLC | |||||||
| 15305 DALLAS PKWY STE 1600 LB 28 | ADDISON | TX | 75010 | 263057950 | MEDICAL SERVICES | CO | N/A |
| SAN MARCOS MRI LP | |||||||
| 1330 WONDER WORLD DR STE 202 | SAN MARCOS | TX | 78666 | 770597972 | IMAGING & TESTING | TX | N/A |
| SHAWNEE MISSION OPEN MRI LLC | |||||||
| 9100 W 74TH STREET BOX 2923 | SHAWNEE MISSION | KS | 66201 | 270011796 | IMAGING & TESTING | KS | N/A |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (19 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Direct Controlling NADirectControllingNACd | Entity TypeEntityTypeTxt | Controlled OrganizationControlledOrganizationInd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Share Of Total IncomeShareOfTotalIncomeAmt | Share Of EOY AssetsShareOfEOYAssetsAmt | OwnershipOwnershipPct |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| ALTAMONTE MEDICAL PLAZA CONDOMINIUM ASSOCIATION INC | |||||||||||||
| 601 EAST ROLLINS STREET | ORLANDO | FL | 32803 | 592855792 | CONDO ASSOCIATION | FL | N/A | C | Yes (1) | ||||
| APOPKA MEDICAL PLAZA CONDOMINIUM ASSOCIATION INC | |||||||||||||
| 601 EAST ROLLINS STREET | ORLANDO | FL | 32803 | 593000857 | CONDO ASSOCIATION | FL | N/A | C | Yes (1) | ||||
| CC MOB INC | |||||||||||||
| 2201 S CLEAR CREEK ROAD | KILLEEN | TX | 76549 | 742616875 | REAL ESTATE RENTAL | TX | N/A | C | Yes (1) | ||||
| CENTRAL TEXAS MEDICAL ASSOCIATES | |||||||||||||
| 1301 WONDER WORLD DRIVE | SAN MARCOS | TX | 78666 | 742729873 | PHYSICIAN CLINICS | TX | N/A | C | Yes (1) | ||||
| CENTRAL TEXAS PROVIDER'S NETWORK | |||||||||||||
| 1301 WONDER WORLD DRIVE | SAN MARCOS | TX | 78666 | 742827652 | PHYSICIAN HOSPITAL ORG. | TX | N/A | C | Yes (1) | ||||
| FLORIDA HOSPITAL FLAGLER MEDICAL OFFICES ASSOCIATION INC | |||||||||||||
| 60 MEMORIAL MEDICAL PARKWAY | PALM COAST | FL | 32164 | 262158309 | CONDO ASSOCIATION | FL | N/A | C | Yes (1) | ||||
| FLORIDA HOSPITAL HEALTHCARE SYSTEM INC | |||||||||||||
| 602 COURTLAND STREET | ORLANDO | FL | 32804 | 593215680 | PHO/TPA | FL | N/A | C | Yes (1) | ||||
| FLORIDA MEDICAL PLAZA CONDO ASSOCIATION INC | |||||||||||||
| 601 EAST ROLLINS STREET | ORLANDO | FL | 32803 | 592855791 | CONDO ASSOCIATION | FL | N/A | C | Yes (1) | ||||
| FLORIDA MEMORIAL HEALTH NETWORK INC | |||||||||||||
| 770 W GRANADA BLVD STE 317 | ORMOND BEACH | FL | 32174 | 593403558 | PHYSICIAN HOSPITAL ORG. | FL | C | Yes (1) | MHS MHF MHWV OR SWVHC | $26,806 | $286,177 | 0.25000 | |
| HUGULEY ALLIANCE FOUNDATION (11-8414) | |||||||||||||
| 11801 SOUTH FREEWAY | FORT WORTH | TX | 76115 | 752642209 | INACTIVE | TX | N/A | C | Yes (1) | ||||
| KISSIMMEE MULTISPECIALTY CLINIC CONDOMINIUM ASSOCIATION INC | |||||||||||||
| 201 HILDA STREET SUITE 30 | KISSIMMEE | FL | 34741 | 593539564 | CONDO ASSOCIATION | FL | N/A | C | Yes (1) | ||||
| MIDWEST MANAGEMENT SERVICES INC | |||||||||||||
| 9100 WEST 74TH STREET | SHAWNEE MISSION | KS | 66204 | 480901551 | REAL ESTATE RENTAL | KS | N/A | C | Yes (1) | ||||
| NORTH AMERICAN HEALTH SERVICES INC & SUBS | |||||||||||||
| 900 HOPE WAY | ALTAMONTE SPRINGS | FL | 32714 | 621041820 | LESSOR/HOLDING CO. | TN | N/A | C | Yes (1) | ||||
| ORMOND PROF ASSOCIATES CONDO ASSOC'N INC (430 YR END) | |||||||||||||
| 770 W GRANADA BLVD STE 101 | ORMOND BEACH | FL | 32174 | 592694434 | CONDO ASSOCIATION | FL | C | Yes (1) | MEMORIAL HLTH SYSTEMS INC | $735 | $415 | 0.79900 | |
| PARK RIDGE PROPERTY OWNER'S ASSOCIATION INC | |||||||||||||
| 1 PARK PLACE NAPLES ROAD | FLETCHER | NC | 28732 | 030380531 | CONDO ASSOCIATION | NC | N/A | C | Yes (1) | ||||
| PORTER AFFILIATED HLTH SERVICES INC DBA DIVERSIFIED AFFILIATED HLTH SVCS | |||||||||||||
| 2525 S DOWNING STREET | DENVER | CO | 80210 | 840956175 | HEALTHCARE SERVICES | CO | N/A | C | Yes (1) | ||||
| SAN MARCOS REGIONAL MRI INC | |||||||||||||
| 1301 WONDER WORLD DRIVE | SAN MARCOS | TX | 78666 | 770597968 | HOLDING COMPANY | TX | N/A | C | Yes (1) | ||||
| THE GARDEN RETIREMENT COMMUNITY INC | |||||||||||||
| 602 COURTLAND STREET STE 200 | ORLANDO | FL | 32804 | 593414055 | REAL ESTATE RENTAL | FL | N/A | C | Yes (1) | ||||
| WINTER PARK MEDICAL OFFICE BUILDING I CONDO ASSOC INC | |||||||||||||
| 200 LAKEMONT AVE | WINTER PARK | FL | 32792 | 452228478 | PHYSICIAN CLINICS | FL | N/A | C | Yes (1) | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | Yes (1) | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | Yes (1) | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (1) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (1) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | Yes (1) | SharingOfFacilitiesInd |
| Paid Employees Sharing | 0 | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (1) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (1) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (20 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| MEMORIAL HOSPITAL FLAGLER INC | ||
| Q | $1,388,901 | COST |
| MEMORIAL HOSPITAL FLAGLER INC | ||
| N | $2,083,760 | COST |
| MEMORIAL HOSPITAL FLAGLER INC | ||
| A | $339,574 | COST |
| FLORIDA MEMORIAL HEALTH NETWORK INC | ||
| P | $922,094 | COST |
| MEMORIAL HOSPITAL WEST VOLUSIA INC | ||
| N | $1,781,078 | COST |
| MEMORIAL HOSPITAL WEST VOLUSIA INC | ||
| Q | $919,370 | COST |
| SOUTHWEST VOLUSIA HEALTHCARE CORPORATION | ||
| N | $1,850,135 | COST |
| SOUTHWEST VOLUSIA HEALTHCARE CORPORATION | ||
| Q | $423,234 | COST |
| MEMORIAL HEALTH SYSTEMS FOUNDATION INC | ||
| Q | $64,405 | COST |
| MEMORIAL HEALTH SYSTEMS FOUNDATION INC | ||
| B | $91,259 | ACTUAL AMOUNT GIVEN |
| MEMORIAL HEALTH SYSTEMS FOUNDATION INC | ||
| C | $125,870 | ACTUAL AMOUNT RECEIVED |
| FLORIDA HOSPITAL ZEPHYRHILLS INC | ||
| N | $127,734 | COST |
| ADVENTIST HEALTH SYSTEMSUNBELT INCDBA FLORIDA HOSPITAL | ||
| P | $967,410 | COST |
| ADVENTIST HEALTH SYSTEMSUNBELT INCDBA FLORIDA HOSPITAL | ||
| M | $1,749,916 | COST |
| ADVENTIST HEALTH SYSTEM SUNBELT HEALTHCARE CORPORATION | ||
| B | $1,258,857 | ACTUAL AMOUNT GIVEN |
| ADVENTIST HEALTH SYSTEM SUNBELT HEALTHCARE CORPORATION | ||
| M | $2,536,266 | % OF FACILITY'S OPERATING EXP. |
| ADVENTIST HEALTH SYSTEM SUNBELT HEALTHCARE CORPORATION DBA AHS IS | ||
| M | $7,386,515 | % OF FACILITY'S OPERATING EXP. |
| ADVENTIST HEALTH SYSTEM SUNBELT HEALTHCARE CORPORATION | ||
| P | $8,354,918 | COST |
| ADVENTIST HEALTH SYSTEMSUNBELT INC | ||
| M | $442,911 | % OF FACILITY'S EHR REVENUE |
| ADVENTIST HEALTH SYSTEM SUNBELT HEALTHCARE CORPORATION | ||
| C | $217,222 | ACTUAL AMOUNT RECEIVED |
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