2024-01-22T12:49:27-06:00 2022-12-31 990 2022-01-01 473793197 Southeast Volusia Healthcare Corporation SOUT 3864245000 401 Palmetto Street New Smyrna Beach FL 32168 Lynn C Addiscott Assistant Secretary 4073572349 2024-01-22 Lynn Addiscott 999009999 0 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z AdventHealth New Smyrna Beach Dennis Hernandez MD 401 Palmetto Street New Smyrna Beach FL 32168 155132977 0 1071 X https://www.adventhealth.com/hospital/adventhealt X 2015 FL The provision of medical care to the community served through the operation of a 109 bed hospital. 10 5 1006 130 14279 55 139923 1025942 147305258 154010051 307226 2824 0 0 147752407 155038817 99341 113980 0 0 39635616 49497532 0 0 0 112911362 112985755 152646319 162597267 -4893912 -7558450 95534012 96734555 31043922 32397331 64490090 64337224 X Adventist Health System Sunbelt Healthcare Corporation and all its subsidiary organizations were established by the Seventh-Day Adventist Church to bring a ministry of healing and health to the communities served. Our mission is to extend the healing ministry of Christ.The hospital and healthcare system whose parent is Adventist Health System Sunbelt Healthcare Corporation is known as AdventHealth. AdventHealth seeks to be widely respected as a consumer-focused organization that engages individuals in their health by delivering wholistic, best practice care across a connected, comprehensive continuum of services. With Christ as our example, AdventHealth cares for and nurtures people: our employees, our communities, our healthcare professionals, and those who trust us for care and healing. 0 0 152402152 113980 153995772 Operation of a 109-bed acute care hospital located in Volusia County. In the current year there were 6,031 patient admissions, 27,822 patient days, 102,655 outpatient visits, and 47,012 physician practice patient visits. 152402152 1 1 0 1 0 0 0 0 0 0 1 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 1 X 0 0 1 1006 1 1 1 0 0 0 0 0 0 0 0 0 0 0 X 10 5 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 0 0 0 X Kenneth Zill 3864245000 401 Palmetto Street New Smyrna Beach FL 32168 X Prince Stacy Director 0.30 50.00 X 0 511803 96747 Weis David Director (Beg. 10/22) 0.50 50.00 X 0 523042 117147 Gregory PhD Audrey Dir/Chair/CEO CFN Reg 4.50 45.50 X X 0 1335554 231534 Noseworthy Gordon Ed Director (End 8/22) 0.50 50.00 X 0 893017 38939 Storch Glenn Director 0.30 0.00 X 253 0 0 Tauber Jean Director (Beg 4.22) 0.30 0.00 X 253 0 0 Lynch Dawn Director/CNO 50.00 0.00 X 0 243895 40949 Harrison Stanley Director 0.30 0.00 X 253 0 0 Decarli MD Antonio Director 1.30 0.00 X 32850 0 0 Crews Rebecca Director 0.30 0.00 X 253 0 0 Chavez Efren Director (Beg 2/22) 0.30 0.00 X 253 0 0 Zill Kenneth CFO-Hospital Facility (Beg 8/22) 50.00 0.00 X 0 197889 60178 Domayer Cory CFO-Hospital Facility (End 8/22) 5.00 45.00 X 0 391294 107461 Hernandez MD Dennis CEO-Hospital Facility/Secretary 50.00 0.00 X 0 532859 96290 Goldman MD David CMO-Hospital Facility 50.00 0.00 X 0 361991 104331 Bauer Khelsea COO - Hosp Facility 50.00 0.00 X 0 290479 42197 Conklin Melanie EF-RN StaffFlex 50.00 0.00 X 209507 0 0 Evolga Nancy Dir - Human Resources 25.00 25.00 X 189493 0 18303 Fuller Donna EF-Asst. Nurse Manager 50.00 0.00 X 166965 0 26993 Noah Beth EF-Asst. Nurse Manager 50.00 0.00 X 166496 0 26464 Templeman David Dir - Pharmacy 50.00 0.00 X 200526 0 27079 Ottati David Former Dir/Chair AH CFN Reg 0.00 50.00 X 0 3686151 220120 Rathbun Mark Former CFO 0.00 50.00 X 0 335470 55828 Thomas Debora Former Regional CFO 0.00 50.00 X 0 817018 101436 Celano Patricia Former Regional CCO 0.00 50.00 X 0 1713469 157405 967102 11833931 1569401 76 1 1 0 AMN Healthcare Inc 2735 Collections Center Chicago IL 60693 Medical Staffing Services 6862704 AYA Healthcare Dept 3519 PO BOX 123519 Dallas TX 75312 Medical Staffing Services 2868191 Halifax Health Medical Center 303 N Clyde Morris Blvd Daytona Beach FL 32114 Outpatient Oncology Services 2861095 Volusia Anesthesiology Associates 2411 Old Samsula Road Port Orange FL 32128 Anesthesiology Services 1838172 FIDE LLC 624 GRASSMERE PK STE 16 Nashville TN 37211 Medical Staffing Services 872266 37 X 15196 969900 40846 1025942 Net Patient Revenue 622110 148101977 148101977 Reimb of Exp-TE Affiliate 622110 4195478 4195478 Cafeteria Revenue 622110 789060 789060 Rent from TE Affiliates 622110 432670 432670 Medical Office Building 622110 228352 228352 262514 248235 14279 154010051 77984 77984 19000 37347 56813 -37347 -37813 -75160 -75160 155038817 153995772 14279 2824 X 113980 113980 1973301 1973301 34420749 34420749 1475000 1428403 46597 8265926 7914224 351702 3362556 3256329 106227 150999 150999 50949 50949 6393 6393 56884664 51373739 5510925 48477 48477 2520428 1518279 1002149 9571108 9021991 549117 3235603 3235603 76068 76068 42226 42226 427368 427368 4893433 4893433 947941 873416 74525 Medical Supplies 27720438 27720438 Repairs & Maintenance 3536385 3536385 State Tax Indigent Asse 2638320 2638320 UBI Taxes -122 -122 235077 29495 205582 162597267 152402152 10195115 0 X 2152 2033 2081167 3063453 16411681 16896894 3289884 3148010 2841396 2612690 93859788 28592794 68319718 65266994 2588014 5744481 95534012 96734555 7372213 7628767 23671709 24768564 31043922 32397331 X 64490090 64337224 64490090 64337224 95534012 96734555 X -7558450 -344905 7750489 X X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 3475 3475 0 Part II-B, Line 1: American Hospital Association and Florida Hospital Association Dues 21924803 21924803 40269477 11010106 29259371 29960620 17312707 12647913 1704888 269981 1434907 65266994 Other Receivables 702869 Receivable from Third Parties 2731428 Right of Use Asset-Operating Lease 2310184 5744481 Accrued Interest Payable 4055 Credit Balances in A/R 733366 Due to Related/Affiliated Org. 3629351 Interco Alloc of TE Bond Proceeds 14428041 Operating Lease Liability 2320738 Other Deferred Revenue 889162 Other Liabilities 1227440 Payable to Third Parties 1536411 24768564 X Part X, Line 2: The filing organization is a subsidiary organization within AdventHealth. The consolidated financial statements of AdventHealth contain the following FIN 48 (ASC 740) footnote: Please note that dollar amounts are in thousands. Healthcare Corporation and its affiliated organizations, other than North American Health Services, Inc. and its subsidiary (NAHS), are exempt from state and federal income taxes. Accordingly, Healthcare Corporation and its tax-exempt affiliates are not subject to federal, state or local income taxes except for any net unrelated business taxable income. NAHS is a wholly owned, for-profit subsidiary of Healthcare Corporation. NAHS and its subsidiary are subject to federal and state income taxes. NAHS files a consolidated federal income tax return and, where appropriate, consolidated state income tax returns. All taxable income was fully offset by net operating loss carryforwards for federal income tax purposes; as such, there is no provision for current federal or state income tax for the years ended December 31, 2022 and 2021. NAHS also has temporary deductible differences of approximately $18,200 and $33,000 at December 31, 2022 and 2021, respectively, primarily as a result of net operating loss carryforwards. At December 31, 2022, NAHS had net operating loss carryforwards of approximately $10,000, expiring in 2023 through 2026. Deferred taxes have been provided for these amounts, resulting in a net deferred tax asset of approximately $4,500 and $8,100 at December 31, 2022 and 2021, respectively. NAHS remeasured its deferred tax assets and liabilities based on the rates at which they are expected to reverse in the future, which is generally 21%. A full valuation allowance has been provided at December 31, 2022 and 2021 to offset the deferred tax asset since Healthcare Corporation has determined that it is more likely than not that the benefit of the net operating loss carryforwards will not be realized in future years. The Income Taxes Topic of the Accounting Standards Codification (ASC) (ASC 740) prescribes the accounting for uncertainty in income tax positions recognized in financial statements. ASC 740 prescribes a recognition threshold and measurement attribute for the financial statement recognition and measurement of a tax position taken, or expected to be taken, in a tax return. There were no material uncertain tax positions as of December 31, 2022 and 2021. 1 1 X 1 X 1 X 1 1 1 0 1 0 4638712 4638712 0.02850 14095305 4995804 9099501 0.05600 18734017 4995804 13738213 0.08450 407625 407625 0.00250 38789 38789 0.00020 446414 446414 0.00270 19180431 4995804 14184627 0.08720 1 5404869 743124 29547553 33696258 -4148705 X 1 1 1 1 AdventHealth New Smyrna Beach 401 Palmetto Street New Smyrna Beach FL 32168 www.adventhealth.com/hospital/adventhe 4054 X X X Southeast Volusia Healthcare Corporation 1 0 0 1 X X X X X X X X X 22 1 0 0 1 X See Part V, Page 8 X X 1 20 1 See Part V, Page 8 0 1 X 200.000000000000 400.000000000000 X X X X X 1 1 X X X X 1 X See Part V, Page 8 X See Part V, Page 8 X See Part V, Page 8 X X X X X X 1 X 0 X X X X 1 X 0 0 Southeast Volusia Healthcare Corporation Part V, Section B, Line 5: Southeast Volusia Healthcare Corporation, d/b/a AdventHealth New Smyrna Beach (AHNSB or the Hospital) operates a hospital in Volusia County, Florida with a total of 109 licensed beds. For purposes of its 2022 Community Health Needs Assessment, the Hospital defined its community as its primary service area from which 75% of its patients come. As a part of its efforts to ensure broad community-based input into the CHNA process, the Hospital participated in the Volusia/Flagler Counties CHNA Collaborative (the Collaborative) to help guide the Hospital through the assessment process. The Collaborative included representation from the Hospital, public health experts and the broad community with intentional representation from low-income, minority and other underserved populations. The Collaborative collected input directly from the community and community stakeholders, including individuals working in organizations that address the needs and interests of the community. Primary data was collected through a community survey, stakeholder interviews, and focus groups. A total of 50 stakeholders participated in the Collaborative and included the following organizations which specifically address the needs of the medically underserved, low-income and minority members of the Hospital's community. SMA Healthcare, providing behavioral health services,Addiction Education Foundation,African American Entrepreneurs Association, Inc.,Black Homeschoolers of Central Florida,Carver Center,CATALYST Global Youth Initiatives, Inc.,Chisholm Community Center in Deland,Department of Health in Volusia County,Department of Health in Flagler County,Early Learning Coalition of Flagler and Volusia,Easterseals Northeast Central Florida,Family Life Center,Flagler Cares/One Voice for Volusia,Flagler County Free Clinic,Flagler County School Board,Flagler NAACP,Flagler OARS,Flagler Sheltering Tree,Food Brings Hope,Halifax Urban Ministries,Healthy Start Coalition of Flagler and Volusia Counties,Jesus Clinic,United Way of Volusia/Flagler Counties,Volusia County Schools, andVolusia/Flagler Coalition for the Homeless. Southeast Volusia Healthcare Corporation Part V, Section B, Line 7d: The Hospital has adopted a policy that addresses the public posting requirements of the Community Health Needs Assessment. Under this policy, the Community Health Needs Assessment Reports must be posted on the Hospital's website at least until the date the Hospital facility has made widely available on its website its two subsequent Community Health Needs Assessment Reports. The Hospital will also make a paper copy of its Community Health Needs Assessment Report available for public inspection upon request and without charge, at least until the date the Hospital facility has made available for public inspection its two subsequent Community Health Needs Assessment Reports. Southeast Volusia Healthcare Corporation Part V, Section B, Line 11: Southeast Volusia Healthcare Corporation d/b/a AdventHealth New Smyrna Beach will be referred to in this document as AdventHealth New Smyrna Beach or "The Hospital". The Hospital is a wholly owned subsidiary of Adventist Health System Sunbelt Healthcare Corporation (AHSSHC). AHSSHC is the 501(c)(3) parent organization of a hospital and healthcare system known as AdventHealth. In January 2019, every wholly-owned entity of AHSSHC adopted the AdventHealth system brand. Our identity has been unified to represent the full continuum of care our system offers. Any references to our prior Community Health Needs Assessments (CHNAs) or prior Community Health Plans (CHPs) will utilize our new name for consistency. AdventHealth New Smyrna Beach is included in the Central Florida Division of AdventHealth. Central Florida Division - North Region (the Division) includes AdventHealth Daytona Beach, AdventHealth DeLand, AdventHealth Fish Memorial, AdventHealth New Smyrna Beach, AdventHealth Palm Coast, and AdventHealth Waterman. The Central Florida Division includes 14 hospitals.This is the third-year update for AdventHealth New Smyrna Beach's 2020-2022 Community Health Plan/Implementation Strategy. The Hospital developed this plan and posted it in May 2020 as part of its 2019 Community Health Needs Assessment process.For the development of both the Community Health Needs Assessment and the Community Health Plan/Implementation Strategy, AdventHealth New Smyrna Beach worked to define and address the needs of low-income, minority and underserved populations in its service area.The 2019 Community Health Needs Assessment used primary data interviews and surveys; secondary data from local, regional, and national health-related sources; and Hospital prevalence data to help the Hospital determine the health needs of the community it serves.Once the data was gathered, the primary issues identified in the community health needs assessment were prioritized by community and Hospital stakeholders, who then selected key issues for the Hospital to address in its 2020-2022 Community Health Plan. The third-year progress on the Community Health Plan is noted below. The narrative describes the prioritized issues identified in 2019 and gives an update on the strategies addressing those issues. There is also a description of the identified issues that the Hospital did not address. AdventHealth New Smyrna Beach chose five priorities for its 2020-2022 Community Health Plan: 1. Adult & Youth Behavioral Health 2. Cardiovascular Diseases & Diabetes 3. Barriers to Accessing Health Care Services 4. Healthy Eating & Physical Activity 5. Social and Economic Issues (Social Determinants of Health) Priority 1: Adult & Youth Behavioral Health 2019 Description of the Issue:Alcohol Use - Heavy/Binge drinking has increased slightly from 2010 to 2016. The percent is highest for White individuals. - Volusia County alcohol-suspected motor vehicle crashes and traffic crash injuries rates have decreased since 2014 but are slightly higher than Florida. - Alcohol-suspected traffic crash deaths increased between 2015 and 2016 in Volusia County and the Volusia County rate is higher than Florida. - The percent of student alcohol use has been decreasing since 2008 but remains slightly higher than Florida. Smoking and Substance Misuse - Volusia County's rate of opioid-involved overdose hospitalizations increased from 2015 to 2017 and is higher than Florida's. The rate of death from opioid overdoses increased in the last year and now exceeds the Florida rate. - The percent of Volusia County adults who smoke is higher than Florida (the difference is statistically significant). - The percent of Volusia County middle and high school students using marijuana decreased between 2016 and 2018 but remains higher than Florida. - Reported cigarette use among Volusia County middle and high school students has declined, but both rates remain higher than Florida. Mental Health - The percent of Volusia County adults who had 14 or more poor mental health days in the last month is higher than Florida (the difference is statistically significant). - The percent of Volusia County adults with a depressive disorder is higher than Florida (the difference is statistically significant for Hispanic population). - Volusia County's suicide rate is increasing and is higher than Florida's. - Volusia County's age 19-21 rate of hospitalizations for self-inflicted injuries has increased but is lower than Florida's. 2022 Update: The AdventHealth New Smyrna Beach Community Health Plan has two desired goal statements under the Adult & Youth Behavioral Health priority. 1. Establish a multi-agency referral and communication management system in Volusia/Flagler County to effectively connect individuals in need to behavioral health care services.2. Increase the number of individuals who have access to Tobacco Cessation support.Goal 1: Establish a multi-agency referral and communication management system in Volusia/Flagler County to effectively connect individuals in need to behavioral health care services.Objective 1: The first objective is a Divisional initiative and appears on multiple community health plans of Hospitals in the Central Florida Division of AdventHealth, the same division as the reporting Hospital. The Hospitals partnered on this initiative because of a shared CHNA priority. The objective is to support the development of a pilot project to connect health and behavioral health systems through the utilization of a referral and communication management technology system to be launched by the end of year two. This objective is managed at a Divisional level and outcomes are reported at a Divisional level; however, all funding is specific to the reporting Hospital. The Hospital's support provides funding to Flagler Cares, a local not-for-profit, which focuses on increasing capacity and coordination for health and human services programs, for the planning and implementation of a digital solution to facilitate referrals to behavioral health services to increase access to care and improve health. The Hospital met the objective. Flagler Cares launched the Linking Individuals to Network of Care (LINC) Flagler Volusia referral management system in August 2021 with an initial focus on behavioral health services. During 2022, twenty-eight organizations participated in the network and 999 referrals were sent through the system.Goal 2: Increase the number of individuals who have access to Tobacco Cessation support.Objective 1: The first objective is to increase the number of individuals participating in free Tools to Quit tobacco cessation programs by more than 10% over the number of participants in 2019 (58 in 2019). The objective is managed by the Division; however, the Hospital provides in-kind resources and all outcomes reported are specific to the reporting Hospital. The Northeast Florida Area Health Education Center (NEFAHEC) tobacco cessation programs provide free intervention therapies to quit smoking tobacco. Through a partnership with NEFAHEC, a local chapter of the national Area Health Education Center (AHEC) organization, we will increase the number of individuals participating in the classes by providing connection points to NEFAHEC's classes through social media posts and internal resources. NEFAHEC is a community focused organization that develops and implements community-based health promotion activities and education programs, which targets the underserved. As it relates to our relationship with NEFAHEC, we are partnering with NEFAHEC to provide community members the tools and resources to assist with tobacco cessation.The Hospital did not meet its set metric. In 2022, there were eight individuals referred for cessation classes, one individual who enrolled in services and one individual who attended services. Over the three-year plan, 51 individuals participated in NEFAHEC's tobacco cessation program. In-person classes were delayed due to COVID-19 social distancing precautions and when classes pivoted to virtual, the agency was not consistent in capturing attendance numbers.See Continuation 2 Southeast Volusia Healthcare Corporation Part V, Section B, Line 13h: Effective March 1, 2020, the filing organization's hospital facility (or facilities) augmented their Financial Assistance Policy with a COVID-19 Financial Grace Addendum. Pursuant to the COVID-19 Financial Grace Addendum, uninsured patients treated for COVID-19 related evaluations are to receive free or discounted care depending on the patient's cooperation in submitting necessary financial assistance information. Insured patients tested for COVID-19 are not expected to have out-of-pocket expenses based on insurance community response to waive patient financial responsibility. If a payer unexpectedly fails to waive patient responsibility for COVID-19 related testing, the filing organization will not balance bill patients for any out-of-pocket expenses related to COVID-19. In addition, patients with existing payment plans are provided opportunities for reducing their monthly payments. Part V, Section B, Line 11 - Continuation 2 Priority 2: Cardiovascular Diseases & Diabetes 2019 Description of the Issue:Cardiovascular Diseases - The Years of Potential Life Lost (YPLL) rate for Volusia County increased from 2014 to 2017 and is higher than Florida. - The Volusia County death rate for heart failure is higher than Florida. - Volusia County's hospitalization rate for Congestive Heart Failure is higher than Florida's and the rate for Black individuals is much higher. - The Volusia County hospitalization rate for coronary heart disease is higher than Florida and the rate for Black individuals is higher than the rate for all. - The Volusia County death rate for coronary heart disease is higher than Florida. - The Volusia County hospitalization rate for stroke is higher than Florida and the rate for Black individuals is higher than other groups.- The Volusia County death rate for stroke is higher than Florida and the rate for Black individuals is higher than other groups. Diabetes - The death rate from diabetes increased between 2016 and 2017 and is higher in Volusia County than in Florida. The rate is highest for Black individuals. - The rate of preventable hospitalizations for adults under 65 from diabetes is increasing and higher than Florida.2022 Update: The AdventHealth New Smyrna Beach Community Health Plan has three desired goal statements under the Cardiovascular Diseases & Diabetes priority. 1. Reduce the incidence of diabetes among youth2. Provide CREATION Life educational sessions for area residents.3. Actively participate in community gardens to encourage healthy eating and address poor nutrition. Goal 1: Reduce the incidence of diabetes among youthObjective 1: The first objective is to implement a diabetes education program for 75% of third graders in identified elementary schools during the 2020-2021 school year. This objective is managed at a Divisional level; however, all funding and outcomes are specific to the reporting Hospital. The school-based diabetes program provides educational programming to third graders at an identified at-risk school in the New Smyrna Beach area. The Hospital did not meet the objective because the original program was taken offline due to COVID-19. Instead in year three, the Hospital supported Volusia County Schools FACT (Families and Community Together) Fair at New Smyrna Beach High School. The Hospital provided diabetes screenings and health education to over 300 students and families. Goal 2: Provide CREATION Life educational sessions for area residents.Objective 1: The first objective is that 75% of CREATION Life session attendees will demonstrate an improvement in knowledge and/or attitude after completing a session (sessions provided four times per year, for 100 participants annually). The CREATION Life program is funded and deployed through AdventHealth New Smyrna Beach and all outcomes are specific to the reporting Hospital. The CREATION Life program is a series of educational and wellness sessions focused on eight health principals: Choice, Rest, Environment, Activity, Trust, Interpersonal relationships, Outlook, and Nutrition. The Hospital met its set metric of 100 participants annually. In 2022, diabetes education was provided to 31 individuals and of those, 100% demonstrated an improvement in knowledge and/or attitude. This included diabetes community classes, diabetes screenings and health education as well as diabetes support groups at the Hospital.Goal 3: Actively participate in community gardens to encourage healthy eating and address poor nutrition. Objective 1: The first objective is to assess the opportunity to partner with community organizations to provide fresh produce to area residents and develop an action plan by end of year one. The Community Garden Partnership initiative is managed by the Division. The Community Garden Partnership initiative aims to create partnerships with other community organizations including existing community gardens, to provide fresh produce to area residents. The Hospital did not meet its set metric. Due to COVID-19, the original program was paused. Despite not meeting the objective, the goal was achieved in other ways. The Hospital was able to encourage healthy eating through an initiative with the Boys & Girls Clubs. The initiative provides funding to the Boys & Girls Club to support the purchase of healthy snacks (fresh fruit and whole grain snacks) for children. Additionally, the Hospital donated Garden Towers to the Boys & Girls Clubs and members grew fresh greens, and prepared fresh salads with the produce.Priority 3: Barriers to Accessing Health Care Services 2019 Description of the Issue:- Volusia County rate of health resources per population are lower than Florida in the categories of physicians, internists, OB/GYN and pediatricians. - Volusia County has a higher percentage of births covered by Medicaid than Florida. Rates for Black and Hispanic individuals are higher. - The percent of Volusia County adults with a personal doctor is lower than Florida. - Volusia County has a lower ratio of primary care physicians, dentists, and mental health providers to population than Florida.2022 Update: The AdventHealth New Smyrna Beach Community Health Plan has one desired goal statement under the Barriers to Accessing Health Care Services priority. Goal 1: Improve health and social outcomes for Community Care program participants.Objective 1: The first objective is to increase new admissions to the Community Care program by over 5% annually (70 in 2019). The Community Care Program is a Divisional initiative, which is funded and deployed through AdventHealth New Smyrna Beach. All outcomes are specific to the reporting Hospital. The Community Care program provides education, support and care coordination through an interdisciplinary team serving the most vulnerable patients identified by AdventHealth New Smyrna Beach. The team provides home visits at no charge, focusing on educating patients and families on preventative care and reducing barriers related to the social determinants of health. The Hospital met its set metric of new program enrollee with 69 new patients served in 2022. Recognizing the scope of services offered through the program and the needs of the population it serves, the Hospital has determined that it will maintain rather than increase capacity. By doing so, the Community Care program can ensure the level of care needed for individual patients can be achieved. In alignment with the Barriers to Accessing Health Care services priority, the hosted a Narcan Education & Distribution Event at Speedway's Rockville event. During the event 137 Narcan kits and 500 VRA band aids were distributed. Narcan nasal spray is the first nasal formulation of naloxone to be FDA approved for the treatment of known or suspected opioid overdose.Objective 2: The second objective is a funding initiative. This objective to provide $3,000 in support annually to provide services to the targeted top 5% of self-pay New Smyrna Beach vulnerable population. The initiative is funded solely through the reporting Hospital and does not appear on other community health plans within the Central Florida Division. This support provides resources to expand the capacity of the Community Care program. The Hospital did not meet its set metric with zero dollars provided because the Community Care team is unable to provide additional services without hiring additional staff. Despite the Community Care team's ability to expand the program's capacity, they continued to serve vulnerable patients. In support of Community Care patients, the Hospital provided approximately 800 items including nonperishable food items, hygiene, and cleaning products during the Week of Caring 2022.Objective 3:The third objective is to assess the need to provide a Whole Health Coordinator to make home visits and to educate Community Care patients regarding available health care benefits, community resources and referrals. Perform screenings to reveal medical, psychosocial, and spiritual needs of assigned members and connect to relevant resources and referrals. Assess the need by end of year one and provide Whole Health Coordinator by the end of year two. The Whole Health Coordinator effort is deployed through AdventHealth New Smyrna Beach and all outcomes are specific to the reporting Hospital. The Whole Health Coordinator assessment process included an analysis of current capacity and resources and an examination of anticipated outcomes if the new position was created. The Hospital met its set metric in 2021. The Hospital assessed the need to provide an additional Whole Health Coordinator and, as a result, it was determined an additional coordinator was not needed. No additional assessments were conducted in 2022.See Continuation 3 Part V, Section B, Line 11 - Continuation 3 Priority 4: Healthy Eating & Physical Activity 2019 Description of the Issue:- Over 70% of Volusia County middle and high school students lack vigorous physical activity and the percent increased from 2014 to 2016. The percent is better than Florida. - The percent of Volusia County adults who are sedentary increased from 2007 to 2016 and is now higher than Florida. - The percent of Volusia County middle and high schoolers who were obese increased significantly from 2014 to 2016. - The percent of Volusia County adults who are obese increased between 2013 and 2016 and the percent is now higher than Florida. - Injury deaths are increasing and higher than Florida. 2022 Update: The AdventHealth New Smyrna Beach Community Health Plan has one desired goal statement under the Healthy Eating & Physical Activity priority. Goal 1: Increase physical activity and healthy eating among vulnerable residents.Objective 1: The first objective is to provide mentorship and education about healthy eating and physical activity to 75% of Boys & Girls Clubs members at two area clubs four times annually. This objective, a Divisional initiative which appears on multiple community health plans of Hospitals in the Central Florida Division of AdventHealth, is funded and deployed through AdventHealth New Smyrna Beach and all outcomes are specific to the reporting Hospital. The Boys & Girls Clubs education initiative is focused on providing at least four education sessions a year to club participants to increase their understanding of healthy eating and physical activity. The Hospital met its set metric of providing four education sessions reaching club participants with four sessions provided. The second metric for the objective was met of reaching 75% of the club members four times annually. Four educational programs on mental activity game, water conservation, recycling, and nutrition were provided to club members at the Oretha Bell/New Smyrna Beach Club and the Jeep Beach/Edgewater Club. Additionally, the Hospital supported the City of New Smyrna Beach Mayor's Fitness Challenge. There were 150 challenge participants. In 2022, the group lost 578.56 lbs and 330 inches. Total glucose went down 503 and total cholesterol went down 1,301. The winning male lost 18.1% of his body weight and lost a total of 45.1 lbs. The winning female lost 14.86% body weight and lost a total of 27.8 lbs. Lab services were provided in-kind by the Hospital.Objective 2: The second objective is a Divisional initiative and appears on multiple community health plans of Hospitals in the Central Florida Division of AdventHealth, the same division as the reporting Hospital. The Division chose this initiative because of a shared CHNA priority. This objective, to provide $4,000 in financial support annually to the Boys & Girls Clubs, as part of strategic partnership, is to provide daily fresh fruit and whole grain snacks to club members. The objective is funded through the Hospital and all outcomes are specific to the reporting Hospital, however the initiative is managed by the Division. This initiative provides financial support so that youth participating in local Boys & Girls Clubs can have access to daily healthy snacks. The Hospital met its set metric of providing funding support with $4,000 dollars provided. The provided funding was able to make up for a shortfall in the USDA grant Boys & Girls Clubs of Volusia/Flagler uses to provide Oretha Bell/New Smyrna Beach and the Jeep Beach/Edgewater Boys & Girls Club members with daily fresh fruit and whole grain snacks. Priority 5: Social and Economic Issues (Social Determinants of Health) 2019 Description of the Issue:-Volusia County's median household income is lower than Florida's. - Volusia County's percent of individuals and individuals below age 18 below poverty are both slightly higher than Florida's. - The Volusia County percent of elementary and middle school students eligible for free/reduced price lunches is higher than Florida (a proxy measure for low income). - The Volusia County high school graduation rate is lower than Florida. - The Volusia County percent of adults limited by physical, mental, or emotional problems is higher than Florida (difference is statistically significant). - Volusia County's food insecurity rate is higher than Florida's. - Volusia County's per capita income is lower than Florida's. - Over 30% of Volusia County households spend more than 30% of their income on housing and workers in 8 of the top 20 industries in Volusia County are estimated to be housing burdened based on average hourly wage. - The Volusia County number of individuals counted during the Point-In-Time count was higher in 2019 than in 2018. - The Volusia County number of homeless students has been increasing since 2016. - Volusia County's percent of single parent households is higher than Florida's.2022 Update: The AdventHealth New Smyrna Beach Community Health Plan has one desired goal statements under the Social and Economic Issues (Social Determinants of Health) priority. Goal 1: Increase access to income and health insurance coverage for vulnerable individuals.Objective 1: The first objective is a shared initiative between AdventHealth New Smyrna Beach, AdventHealth Fish Memorial and AdventHealth Daytona Beach. These Hospitals are part of the Central Florida Division of AdventHealth, the same division as the reporting Hospital. The Hospitals partnered on this initiative because of a shared CHNA priority. This objective, to provide access to a SOAR Processor (Supplemental Security Income/Social Security Disability Insurance [SSI/SSDI] Outreach, Access, and Recovery) through partnership to assist eligible Community Care patients with submitting successful applications for SSI/SSDI benefits (to including income and Medicaid/Medicare), is funded through all Hospitals, however reported outcomes are specific to the reporting Hospital. This initiative provides access to a certified SOAR processor who assists vulnerable patients of the Community Care program to apply for SSI/SSDI benefits to increase their income and obtain medical coverage. The Hospital met its set metric referring seven Community Care patients to SOAR in 2022. The SOAR Processor (SSI/SSDI Outreach, Access, and Recovery) through partnership with Flagler Cares SOAR assists eligible patients to apply for and obtain SSI/SSDI benefits (to including income and Medicaid/Medicare).Community Needs Not Chosen by AdventHealth New Smyrna:The primary and secondary data in the Community Health Needs Assessment identified multiple community issues. The Hospital and community stakeholders used the following criteria to narrow the larger list to the priority areas noted above:1. How acute is the need? (based on data and community concern)2. What is the trend? Is the need getting worse?3. Does the Hospital provide services that relate to the priority? 4. Is someone else - or multiple groups - in the community already working on this issue? 5. If the Hospital were to address this issue, are there opportunities to work with community partners? Based on this prioritization process, the Hospital did not choose the following community issues:1. The Years of Potential Aging-related issues The data collected for individuals 65 and older did not demonstrate significant negative trends or negative comparison to state data. The only indicator of concern noted was suicide rate for individuals over 65 which will be addressed through the prioritization of adult behavioral health. There are numerous initiatives in place to provide services to this target population. 2. Child & Adolescent Issues The most significant childhood issues are addressed through other priority issues (behavioral health, access to services, healthy eating, and physical activity) 3. Communicable & Infectious Diseases The data collected did not demonstrated significant negative trends or comparison data. Many issues noted in the indicators of concern will be address through the prioritization of Access to Health Care Services. 4. Crime, Domestic Violence & Child Abuse The data collected did not demonstrate significant negative trends or negative comparison to state data. Many issues noted in the indicators of concern will be address through the prioritization of Social and Economic Issues. 5. Early Childhood There are significant efforts already in place to address this target population. 6. Women's Health, Prenatal Care & Birth Outcomes There are significant efforts already in place to address this target population. Many of the indicators of concern will be addressed through the prioritization of Access to Health Care Services. Schedule H, Part V, Section B, Line 7a and 10a: Line 7a:The CHNA Report can be found at URL:https://www.adventhealth.com/community-health-needs-assessmentsLine 10a:The hospital's most recently adopted implementation strategy can be found at URL:https://www.adventhealth.com/community-health-needs-assessments Schedule H, Part V, Section B, Line 16a, 16b, and 16c: The Financial Assistance Policy can be found at URL:https://www.adventhealth.com/legal/financial-assistanceThe Financial Assistance Policy Application can be found at:https://www.adventhealth.com/legal/financial-assistanceThe Plain Language Summary is available at:https://www.adventhealth.com/legal/financial-assistance Part V, Section B, Line 8-10a: The filing organization adopted a Community Health Needs Assessment Report by 12/31/2022 and was in the process of developing its Community Health Needs Implementation Strategy at that time. The filing organization's 2023-2025 Community Health Needs Implementation Strategy is documented in a written report called the "Community Health Plan". The Community Health Plan (CHP) describes how the filing organization plans to meet its identified prioritized health needs or identifies the health need as one the filing organization does not intend to specifically address and provides an explanation as to why the filing organization does not intend to address that health need. The filing organization's 2023-2025 CHP was adopted by May 15, 2023 and is posted on the hospital facility's website. 8 1 - AdventHealth Medical Group Phy Clinic 600 Palmetto Street New Smyrna Beach FL 32168 Physician Clinic 2 - AdventHealth Medical Group Phy Clinic 600 Palmetto Street Suite C New Smyrna Beach FL 32168 Physician Clinic 3 - AdventHealth Medical Group Phy Clinic 125 Florida Memorial Pkwy Suite 2600 New Smyrna Beach FL 32168 Physician Clinic 4 - AdventHealth Medical Group Phy Clinic 125 Florida Memorial Pkwy Suite 2200 New Smyrna Beach FL 32168 Physician Clinic 5 - AdventHealth Medical Group Phy Clinic 125 Florida Memorial Pkwy Suite 2500 New Smyrna Beach FL 32168 Physician Clinic 6 - AdventHealth Medical Group Phy Clinic 125 Florida Memorial Pkwy Suite 2500A New Smyrna Beach FL 32168 Physician Clinic 7 - AdventHealth Medical Group Phy Clinic 125 Florida Memorial Pkwy Suite 2700 New Smyrna Beach FL 32168 Physician Clinic 8 - AdventHealth Medical Group Phy Clinic 501 Live Oak Street Ste B New Smyrna Beach FL 32168 Physician Clinic Part I, Line 3c: Under the Hospital facility's Financial Assistance Policy, an individual is eligible for a 100% reduction from applicable charges if the individual's household income is at or below 200% of the current Federal Poverty Guidelines. Alternatively, a patient may also qualify for a 100% reduction from charges when the unpaid portion of a patient's bill exceeds 25% of the individual's annual household income and where the total annual household income is less than 500% of the Federal Poverty Guidelines. Medicare recipients may also be eligible for financial assistance under the Hospital's Financial Assistance Policy depending upon the individual's income and resources. Resources are generally defined as assets such as money in checking or savings accounts, stocks, and bonds. Part I, Line 6a: The filing organization was a wholly owned subsidiary of Adventist Health System Sunbelt Healthcare Corporation (AHSSHC) during its current tax year. During the current year, AHSSHC served as a parent organization to 30 tax-exempt 501(c)(3) hospital organizations and a number of other health care facilities that operated in 10 states within the U.S. The system of organizations under the control and ownership of AHSSHC is known as "AdventHealth".All hospital organizations within AdventHealth collect, calculate, and report the community benefits they provide to the communities they serve. AdventHealth organizations exist solely to improve and enhance the local communities they serve. AdventHealth has a system-wide community benefits accounting policy that provides guidelines for its health care provider organizations to capture and report the costs of services provided to the underprivileged and to the broader community. Each AdventHealth hospital facility reports their community benefits to their Board of Directors and strives to communicate their community benefits to their local communities. Additionally, the filing organization's most recently conducted community health needs assessment and associated implementation strategy can be accessed on the filing organization's website. Part I, Line 7: The amounts of costs reported in the table in line 7 of Part I of Schedule H were determined by utilizing a cost-to-charge ratio derived from Worksheet 2, Ratio of Patient Care Cost-to-Charges, contained in the Schedule H instructions. Part III, Line 2: The amount of bad debt expense reported on line 2 of Section A of Part III is recorded in accordance with Healthcare Financial Management Association Statement No. 15. Discounts and payments on patient accounts are recorded as adjustments to revenue, not bad debt expense. Part III, Line 3: Methodology for Determining the Estimated Amount of Bad Debt Expense that May Represent Patients who Could Have Qualified under the Filing Organization's Financial Assistance Policy: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 post-discharge 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 eligible for the most generous financial assistance under the filing organization's Financial Assistance Policy. As determined by the filing organization, a nominal amount of such a patient's bill is written off as bad debt expense, while the remaining portion of the patient's bill is considered 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 community benefit as charitable hospitals exist to provide such care in pursuit of their purpose of meeting the need for emergency medical care services available to all in the community. Part III, Line 4: Financial Statement Footnote Related to Accounts Receivable and Allowance for Uncollectible Accounts:The financial information of the filing organization is included in a consolidated audited financial statement for the current year.The applicable footnote from the attached consolidated audited financial statements that addresses accounts receivable, the allowance for uncollectible accounts, and the provision for bad debts can be found on pages 8 and 9. Please note that dollar amounts on the attached consolidated audited financial statements are in thousands. Part III, Line 8: Costing Methodology: Medicare allowable costs were calculated using a cost-to-charge ratio.Rationale for Including a Medicare Shortfall as Community Benefit:As a 501(c)(3) organization, the filing organization provides emergency and non-elective care to all regardless of ability to pay. All hospital services are provided in a non-discriminatory manner to patients who are covered beneficiaries under the Medicare program. As a public insurance program, Medicare provides a pre-established reimbursement rate/amount to health care providers for the services they provide to patients. In some cases, the reimbursement amount provided to a hospital may exceed its costs of providing a particular service or services to a patient. In other cases, the Medicare reimbursement amount may result in the hospital experiencing a shortfall of reimbursement received over costs incurred. In those cases where an overall shortfall is generated for providing services to all Medicare patients, the shortfall amount should be considered as a benefit to the community. Tax-exempt hospitals are required to accept all Medicare patients regardless of the profitability, or lack thereof, with respect to the services they provide to Medicare patients. The population of individuals covered under the Medicare program is sufficiently large so that the provision of services to the population is a benefit to the community and relieves the burdens of government. In those situations where the provision of services to the total Medicare patient population of a tax-exempt hospital during any year results in a shortfall of reimbursement received over the cost of providing care, the tax-exempt hospital has provided a benefit to a class of persons broad enough to be considered a benefit to the community. Despite a financial shortfall, a tax-exempt hospital must and will continue to accept and care for Medicare patients. Typically, tax-exempt hospitals provide health care services based upon an assessment of the health care needs of their community as opposed to their taxable counterparts where profitability often drives decisions about patient care services that are offered. Patient care provided by tax-exempt hospitals that results in Medicare shortfalls should be considered as providing a benefit to the community and relieving the burdens of government. Part III, Line 9b: The hospital filing organization's collection practices are in conformity with the requirements set forth in the 2014 Final Regulations regarding the requirements of Internal Revenue Code Section 501(r)(4)-(r)(6). No extraordinary collection actions (ECA's) are initiated by the hospital filing organization in the 120-day period following the date after the first post-discharge billing statement is sent to the individual (or, if later, the specified deadline given in a written notice of actions that may be taken, as described below). Individuals are provided with at least one written notice (notice of actions that may be taken) and a copy of the filing organization's Plain Language Summary of the Financial Assistance Policy that informs the individual that the hospital filing organization may take actions to report adverse information to credit reporting agencies/bureaus if the individual does not submit a Financial Assistance Application Form (FAA Form) or pay the amount due by a specified deadline. The specified deadline is not earlier than 120 days after the first post-discharge billing statement is sent to the individual and is at least 30 days after the notice is provided. A reasonable attempt is also made to orally notify an individual about the filing organization's Financial Assistance Policy and how the individual may obtain assistance with the Financial Assistance application process. If an individual submits an incomplete FAA Form during the 240-day period following the date on which the first post-discharge billing statement was sent to the individual, the hospital filing organization suspends any reporting to consumer credit reporting agencies/bureaus (or ceases any other ECA's) and provides a written notice to the individual describing what additional information or documentation is needed to complete the FAA Form. This written notice contains contact information including the telephone number and physical location of the hospital facility's office or department that can provide information about the Financial Assistance Policy, as well as contact information of the hospital facility's office or department that can provide assistance with the financial assistance application process or, alternatively, a nonprofit organization or governmental agency that can provide assistance with the financial assistance application process if the hospital facility is unable to do so. If an individual submits a complete FAA Form within a reasonable time-period as set forth in the notice described above, the hospital filing organization will 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, Line 8: Reconciliation of Schedule H Reported Medicare Surplus/(Shortfall) to Unreimbursed Medicare Costs Associated with the Provision of ServicesTo All Medicare Beneficiaries:The Medicare revenue and allowable costs of care reported in Section B of Part III of Schedule H are based upon the amounts reported in the filing organization's Medicare cost report in accordance with the IRS instructions for Schedule H. On an annual basis, the filing organization also determines its total unreimbursed costs associated with providing services to all Medicare patients. Unreimbursed costs are considered a community benefit to the elderly and are combined into an annual Community Benefit Statement prepared by AdventHealth. The primary reconciling items between the Medicare surplus/(shortfall) shown on line 7 of Section B of Part III of Schedule H and the filing organization's unreimbursed costs of services provided to all Medicare patients are as follows:- Medicare surplus/(shortfall) shown on line 7 of Section B of Schedule H: $ (4,148,705)- Difference in costing methodology: (1,540,579)- Unreimbursed costs incurred for services provided to Medicare patients that are not included in the organization's Medicare cost report: (15,085,886) -------------Total Unreimbursed costs of serving all Medicare patients per the filing organization's communitybenefit reporting $ (20,775,170)As indicated above, the primary differences between the Medicare surplus/(shortfall) reported on Schedule H, Part III, Section B, line 7 and the filing organization's portion of the Company's annual community benefit statement is due to a difference in the costing methodology and differences in the population of Medicare patients within the calculation. The cost methodology utilized in calculating any Medicare surplus/(shortfall) for purposes of the annual community benefit reporting is based upon the cost-to-charge ratio outlined in Worksheet 2 of the Schedule H instructions. The same cost-to-charge ratio is used to determine the costs associated with services provided to charity care patients and Medicaid patients as reported in Schedule H, Part I, line 7. In addition, the Medicare cost report excludes services provided to Medicare patients for physician services, services provided to patients enrolled in Medicare HMOs, and certain services provided by outpatient departments of the filing organization that are reimbursed on a fee schedule. The Company's own community benefit statement captures the unreimbursed cost of providing services to all Medicare beneficiaries throughout the organization. Part VI, Line 2: The Hospital conducts community health needs assessments (CHNA) every three years. Its 2022 CHNA was adopted by its governing board by December 31, 2022, the end of the Hospital's taxable year in which it conducted the CHNA. The Hospital's 2022 CHNA complied with the guidance set forth by the IRS in Final Regulation Section 1.501(r)-3. In addition to the CHNA discussed above, a variety of practices and processes are in place to ensure that the filing organization is responsive to the health needs of its community.Such practices and processes involve the following:1. A hospital operating/community board composed of individuals broadly representative of the community, community leaders, and those with specialized medical training and expertise;2. Post-discharge patient follow-up related to the on-going care and treatment of patients who suffer from chronic diseases; 3. Sponsorship and participation in community health and wellness activities that reach a broad spectrum of the filing organization's community; and 4. Collaboration with other local community groups to address the health care needs of the filing organization's community. Part VI, Line 3: The Financial Assistance Policy (FAP), Financial Assistance Application Form (FAA Form), and the Plain Language Summary of the Financial Assistance Policy (PLS) of the filing organization's hospital facility are transparent and available to all individuals served at any point in the care continuum. The FAP, FAA Form, PLS, and contact information for the hospital facility's financial counselors are prominently and conspicuously posted on the filing organization's hospital facility's website. The website indicates that a copy of the FAP, FAA Form, and PLS is available and how to obtain such copies in the primary languages of any populations with limited proficiency in English that constitute the lesser of 1,000 individuals or 5% of the members of the community served by the hospital facility (referred to below as LEP defined populations). Signage is displayed in public locations of the filing organization's hospital facility, including at all points of admission and registration and the Emergency Department. The signage contains the hospital facility's website address where the FAP, FAA Form, and PLS can be accessed and the telephone number and physical location that individuals can call or visit to obtain copies of the FAP, FAA Form and PLS or to obtain more information about the hospital facility's FAP, FAA Form and PLS. Paper copies of the hospital facility's FAP, FAA Form and PLS are available upon request and without charge, both in public locations in the hospital facility and by mail. Paper copies are made available in English and in the primary languages of any LEP defined populations. The filing organization's hospital facility's financial counselors seek to provide personal financial counseling to all individuals admitted to the hospital facility who are classified as self-pay during the course of their hospital stay or at time of discharge to explain the FAP and FAA Form and to provide information concerning other sources of assistance that may be available, such as Medicaid. A paper copy of the hospital facility's PLS will be offered to every patient as a part of the intake or discharge process. A conspicuous written notice is included on all billing statements sent to patients that notifies and informs recipients about the availability of financial assistance under the filing organization's financial assistance policy, including the following: 1) the telephone number of the hospital facility's office or department that can provide information about the FAP and the FAA Form; and 2) the website address where copies of the FAP, FAA Form and PLS may be obtained. Reasonable attempts are made to inform individuals about the hospital facility's FAP in all oral communications regarding the amount due for the individual's care. Copies of the PLS are distributed to members of the community in a manner reasonably calculated to reach those members of the community who are most likely to require financial assistance. Part VI, Line 4: AdventHealth New Smyrna Beach is a faith-based, not-for-profit healthcare organization with a mission of extending the healing ministry of Christ with skill and compassion. It is a 109-bed full-service hospital providing inpatient and outpatient services as well as 24-hour emergency and critical care. It is a member of AdventHealth, the largest Protestant not-for-profit hospital system in the nation and works to provide exceptional, patient-focused care to the Edgewater, New Smyrna Beach, and Oak Hill communities. The hospital is fully accredited by the Joint Commission on Accreditation of Healthcare Organizations.With the mission of Extending the Healing Ministry of Christ, AdventHealth New Smyrna Beach provides whole person care to heal the body, mind and spirit. It promotes the health of the community by providing health screenings, community education lectures, health fairs, community support groups, CREATION Life seminars, and supplies to the community free clinic. Services offered at the hospital include Cancer Care, Diabetes Care, Heart Care, Home Care, Hospice Care, Imaging Services, Lab Services, Neurology Care, Orthopedic Care, Sports Medicine & Rehab Care, Surgical Care, Urgent and Emergency Care.During 2022, the Hospital's patient percentage population was made up of the below payors with the remaining percentage of the patients being covered under commercial insurance. In 2022, about 85.0% of the Hospital's in-patients were admitted through the Hospital's Emergency Department. - Medicare Patients 62.7% - Medicaid Patients 7.5% - Self-Pay Patients 4.8% The demographic makeup of the Hospital's community is as follows: - Population 66,823 - Population Over 65 33.1% - Poverty (Below 100% FPL) 10.3% - Highschool Graduation Rate 92.6% - Uninsured Adults 9.4% - Food Insecurity Rate 16.0% - Pop. with Low Food Access 60.6% Part VI, Line 5: The provision of community benefit is central to AdventHealth New Smyrna Beach's mission of service and compassion. Restoring and promoting the health and quality of life of those in the communities served by the Hospital is a function of "extending the healing ministry of Christ and embodies the Hospital's commitment to its values and principles. The Hospital commits substantial resources to provide a broad range of services to both the underprivileged as well as the broader community. In addition to the community benefit and community building information provided in Parts I, II and III of this Schedule H, the Hospital captures and reports the benefits provided to its community through faith-based care. Examples of such benefits include the cost associated with chaplaincy care programs and mission peer reviews and mission conferences. During the current year, Hospital provided $242,232 of benefit with respect to the faith-based and spiritual needs of the community in conjunction with its operation of a community hospital. The Hospital also provides benefits to its community's infrastructure by investing in capital improvements to ensure that facilities and technology provide the best possible care to the community. During the current year, the Hospital expended $1,840,709 in new capital improvements. As a faith-based mission-driven community hospital, the Hospital is continually involved in monitoring its community, identifying unmet health care needs and developing solutions and programs to address those needs. In accordance with its conservative approach to fiscal responsibility, surplus funds of the Hospital are continually being invested in resources that improve the availability and quality of delivery of health care services and programs to its community. Part VI, Line 6: The filing organization is a part of a faith-based healthcare system of organizations whose parent is Adventist Health System Sunbelt Healthcare Corporation (AHSSHC). The system is known as AdventHealth. AHSSHC is an organization exempt from federal income tax under IRC Section 501(c)(3). AHSSHC and its subsidiary organizations operate 49 hospitals throughout the U.S., primarily in the Southeastern portion of the U.S. AHSSHC and its subsidiaries also operate 10 nursing home facilities and other ancillary health care provider facilities, such as ambulatory surgery centers and diagnostic imaging centers. As the parent organization of AdventHealth, AHSSHC provides executive leadership and other professional support services to its subsidiary organizations. Professional support services include among others IT, corporate compliance, legal, reimbursement, risk management, and tax as well as treasury functions. Certain support services, such as human resources, payroll, A/P, and supply chain management are provided pursuant to a shared services model by AHSSHC to its subsidiary organizations. The provision of these executive and support services on a centralized basis by AHSSHC provides an appropriate balance between providing each AdventHealth subsidiary hospital organization with mission-driven consistent leadership and support while allowing the hospital organization to focus its resources on meeting the specific health care needs of the community it serves. The reader of this Form 990 should keep in mind that this reporting entity may differ in certain areas from that of a stand-alone hospital organization due to its inclusion in a larger system of healthcare organizations. As a part of a system of hospital and other health care organizations, the filing organization benefits from reduced costs due to system efficiencies, such as large group purchasing discounts, and the availability of internal resources such as internal legal counsel. Each AdventHealth subsidiary pays a management fee to AHSSHC for the internal services provided by AHSSHC. As a result, management fee expense reported by an AdventHealth 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 AdventHealth as a whole. The reader is directed to visit the web-site of AdventHealth at www.adventhealth.com to learn more about the mission and operations of AdventHealth. Part VI, Line 7: The filing organization does not file an annual community benefit report with any state agencies. 1 SunSystem Development Corp dba AdventHealth New Smyrna Beach Foundation 401 Palmetto Street New Smyrna Beach FL 32168 592219301 501(c)(3) 0 73451 Cost General Administrative Support Provision of General Administrative Support Boys & Girls Clubs of Volusia Flagler Counties Inc 101 North Woodland Boulevard Ste 400 DeLand FL 32720 593158162 501(c)(3) 8480 0 General Support Flagler Cares Inc 2561 Moody Boulevard STE 206 Palm Coast FL 32137 474145174 501(c)(3) 32049 0 General Support 3 0 Part I, Line 2: 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. X X X X X 1 1 0 1 0 0 0 0 0 0 0 Ottati David Former Dir/Chair AH CFN Reg 0 990100 0 268500 0 2427551 0 166400 0 53720 0 3906271 0 104040 Celano Patricia Former Regional CCO 0 586288 0 120334 0 1006847 0 109292 0 48113 0 1870874 0 52483 Gregory PhD Audrey Dir/Chair/CEO CFN Reg 0 890725 0 0 0 444829 0 187400 0 44134 0 1567088 0 0 Noseworthy Gordon Ed Director (End 8/22) 0 567885 0 154950 0 170182 0 16400 0 22539 0 931956 0 0 Thomas Debora Former Regional CFO 0 478627 0 140091 0 198300 0 70810 0 30626 0 918454 0 48080 Weis David Director (Beg. 10/22) 0 406063 0 87239 0 29740 0 71453 0 45694 0 640189 0 13066 Hernandez MD Dennis CEO-Hospital Facility/Secretary 0 378212 0 94050 0 60597 0 53962 0 42328 0 629149 0 12133 Prince Stacy Director 0 375226 0 71245 0 65332 0 65529 0 31218 0 608550 0 37080 Domayer Cory CFO-Hospital Facility (End 8/22) 0 314846 0 60646 0 15802 0 65018 0 42443 0 498755 0 0 Goldman MD David CMO-Hospital Facility 0 290586 0 57676 0 13729 0 61760 0 42571 0 466322 0 0 Rathbun Mark Former CFO 0 268737 0 52962 0 13771 0 16400 0 39428 0 391298 0 0 Bauer Khelsea COO - Hosp Facility 0 174526 0 17043 0 98910 0 11007 0 31190 0 332676 0 0 Lynch Dawn Director/CNO 0 200439 0 31133 0 12323 0 11667 0 29282 0 284844 0 0 Zill Kenneth CFO-Hospital Facility (Beg 8/22) 0 147468 0 21814 0 28607 0 8936 0 51242 0 258067 0 0 Templeman David Dir - Pharmacy 178296 0 17092 0 5138 0 10054 0 17025 0 227605 0 0 0 Conklin Melanie EF-RN StaffFlex 206177 0 2782 0 548 0 0 0 0 0 209507 0 0 0 Evolga Nancy Dir - Human Resources 165629 0 16199 0 7665 0 9043 0 9260 0 207796 0 0 0 Fuller Donna EF-Asst. Nurse Manager 140957 0 7177 0 18831 0 8100 0 18893 0 193958 0 0 0 Noah Beth EF-Asst. Nurse Manager 139052 0 6690 0 20754 0 7820 0 18644 0 192960 0 0 0 Part I, Line 1a The filing organization is a part of the system of healthcare organizations known as AdventHealth. Members of the filing organization's executive management team that hold the position of Vice-President or above are compensated by and on the payroll of Adventist Health System Sunbelt Healthcare Corporation (AHSSHC), the parent organization of the healthcare system known as AdventHealth. AHSSHC is exempt from federal income tax under IRC Section 501(c)(3). The filing organization reimburses AHSSHC for the salary and benefit cost of those executives on the payroll of AHSSHC. At the direction of AHSSHC, and in accordance with the reserved powers in the filing organization's governing documents, the executive team listed on Part VII provides services to the filing organization. First-class or charter travel: Pursuant to the AdventHealth system-wide general policy regarding business travel, no reimbursement will be provided for any additional cost incurred with respect to first-class or charter air travel beyond the cost of a regular coach airfare. As a means of providing additional business travel reimbursement for those members of the AHSSHC senior executive management team that travel frequently on behalf of AdventHealth, a special annual travel allowance is provided for those executives. As AdventHealth operates 49 hospitals in 9 states, the senior leadership of AHSSHC travel extensively and often visit multiple hospital locations in different states as a part of a single business trip. The special travel allowance can provide reimbursements to the executive for such items as the purchase of air travel upgrade coupons, to cover the cost differential between coach and first-class travel, or to cover the cost of a charter flight. The special travel allowance benefit was originally authorized by and codified into a policy by the AHSSHC Board Compensation Committee (the Committee), an independent body of the AHSSHC Board of Directors, who also approves the annual cap on the amount of the allowance. The special travel allowance has an annual cap of $24,000 for members of the Leadership Executive Team (13 AdventHealth Cabinet members and the AdventHealth Multi-State CFO) and $15,000 for AdventHealth Corporate Office Senior Vice Presidents, Regional CEO's, and Division Chief Officers (generally 50 - 55 individual executives). A Regional CEO for AdventHealth is a member of the Board of Directors of the filing organization. The Regional CEO is considered a common law employee of and is on the payroll of AHSSHC. While the special travel allowance benefit is an AHSSHC compensation policy and practice, the cost of providing this benefit is allocated to and either wholly or partially reimbursed by the filing organization. Accordingly, the filing organization has checked the box in Schedule J, Part I, line 1a for first-class or charter travel since it has wholly or partially paid for the cost of providing this benefit. Those executives who receive the special travel allowance are responsible for tracking the expenses reimbursable under the special travel allowance and must submit such expenses on their accountable plan expense report. A report on charter travel is provided to the AHSSHC Board Compensation Committee at each meeting. Any taxable reimbursements made to executives under the special travel allowance arrangement are treated as taxable compensation to the executive. Travel for companions: AHSSHC has a Corporate Executive Policy that provides a benefit to allow for a traveling AHSSHC executive to have his or her spouse accompany the executive on certain business trips each year. Typically, reimbursement is only provided to certain executive leaders and is usually limited to one business trip per year beyond the annual AdventHealth President's Council business meeting and other meetings where the spouse is specifically invited. The AHSSHC Corporate Executive Spousal Travel Policy was originally approved and reviewed by the AHSSHC Board Compensation Committee, an independent body of the AHSSHC Board of Directors. All spousal travel costs reimbursed to the executive are considered taxable compensation to the executive. Tax Indemnification and gross-up payments: AdventHealth has a system-wide 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 by the filing organization's CEO and CFO. Additionally, employees at the Director level and above are eligible for gross-up payments on gifts received for board of director services. Discretionary spending account: Occasional discretionary spending amounts are periodically provided to eligible executives who attend annual business meetings such as the AdventHealth President's Council, CFO Conference or the CMO/CNO business meeting. Payments provided to each executive are considered taxable compensation to the executive. Housing allowance or residence for personal use: AHSSHC has a Corporate Executive Policy that addresses assistance to executives who have been relocated by the company during the year. Relocation assistance provided to executives may include relocation allowances to assist with duplicate housing expenses. Relocation assistance is administered per AHSSHC policy by an external relocation company. All taxable reimbursements made to executives in connection with relocation assistance are treated as wages to the executive and are subject to all payroll withholding and reporting requirements. Part I, Line 3 The individual who serves as the CEO of the filing organization is appointed and compensated by Adventist Health System Sunbelt Healthcare Corporation (AHSSHC). Compensation and benefits provided to this individual are determined pursuant to policies, procedures, and processes of AHSSHC that are designed to ensure compliance with the intermediate sanctions laws as set forth in IRC Section 4958. AHSSHC has taken steps to ensure that processes are in place to satisfy the rebuttable presumption of reasonableness standard as set forth in Treasury Regulation Section 53.4958-6 with respect to its active executive-level positions. The AHSSHC Board Compensation Committee (the Committee) serves as the governing body for all executive compensation matters. The Committee is composed of certain members of the Board of Directors (the Board) of AHSSHC. Voting members of the Committee include only individuals who serve on the Board as independent representatives, who hold no employment positions with AHSSHC and who do not have relationships with any of the individuals whose compensation is under their review that impacts their best independent judgment as fiduciaries of AHSSHC. The Committee's role is to review and approve all components of the executive compensation plan of AHSSHC. As an independent governing body with respect to executive compensation, it should be noted that the Committee will often confer in executive sessions on matters of compensation policy and policy changes. In such executive sessions, no members of management of AHSSHC are present, other than the Chief People Officer, who remains at the request of the Chairman/committee to provide assistance/information as needed. The Committee is advised by an independent third-party compensation advisor. This advisor prepares all the benchmark studies for the Committee. Compensation levels are benchmarked with a national peer group of other not-for-profit healthcare systems and hospitals of similar size and complexity to AdventHealth and each of its affiliated entities. The following principles guide the establishment of individual executive compensation: - The salary of the President/CEO of AdventHealth will not exceed the 50th percentile of comparable salaries paid by similarly situated organizations; and - Other executive salaries shall be established using market medians. The compensation philosophy, policies, and practices of AHSSHC are consistent with the organization's faith-based mission and conform to applicable laws, regulations, and business practices. As a faith-based organization sponsored by the Seventh-day Adventist Church (the Church), AHSSHC's philosophy and principles with respect to its executive compensation practices reflect the conservative approach of the Church's mission of service and were developed in counsel with the Church's leadership. Part I, Line 4b As discussed in Line 1a above, executives on the filing organization's management team that hold the position of Vice-President or above are compensated by and on the payroll of Adventist Health System Sunbelt Healthcare Corporation (AHSSHC), the parent organization of the healthcare system known as AdventHealth. In recognition of the contribution that each executive makes to the success of AdventHealth, AdventHealth provides supplemental executive retirement benefit plans to eligible executives. As the supplemental executive retirement benefit plans were updated in 2020 and certain individuals still participate as grand-fathered participants in certain plans, the narrative below discusses all plans in which there were any participants in 2022. The SERP III plan effectively replaces the prior SERP II plan, the Executive Flex Benefit Program Plan, and the Senior Executive Death Benefit Plan for qualified executives except for certain grandfathered executive employees. SERP III Plan: The SERP III plan provides eligible executives a percentage of their base pay, which is credited to a deferred compensation account. The plan also provides for compensation deferral and selection of life insurance coverage and long-term care insurance. To be eligible to participate in the SERP III plan, executives must be on the AHSSHC corporate payroll and be either a CEO of an AdventHealth entity, an AHSSHC Vice President (VP) or VP of an AdventHealth entity with a base salary of at least $305,000 in 2022 (adjusted annually by the same percentage as IRC Section 401(a)(17) limit increases), or other leader specifically approved by the AdventHealth President. Eligible executives do not include grandfathered executives, meaning those executives who would satisfy all the eligibility requirements of the SERP II plan prior to Dec 31, 2027, had the plan not been amended and restated as of Jan. 1, 2020. Contribution credits will be established and maintained by class year accounts for each participant using tiered contribution credit percentages of annual base compensation. Contribution credit percentages range between 15% and 19% of base compensation. Contribution credits will be made each quarter in 25% increments with reductions in contributions if the executive is also a grandfathered FLEX participant (see below). SERP III provides for a class year vesting and payment schedule (7 years for each class year) with respect to amounts accumulated in the executive's deferred compensation account. Upon attainment of a normal retirement age (age 62), or upon certain other circumstances as defined in the SERP III plan document, all deferred amounts are paid immediately to the participant. For any executives working beyond the normal retirement age, future employer contributions will be made quarterly from SERP III directly to the participant as a taxable cash bonus. SERP II Plan: The SERP II plan is a defined benefit, non-tax-qualified deferred compensation plan for certain executives who have provided lengthy service to AdventHealth and/or to other Seventh-day Adventist Church hospitals or health care institutions. Under the provisions of the SERP II plan, benefits are provided to qualifying executive participants on a pro-rata schedule beginning with 20 years of service as an employee of AdventHealth and/or another hospital or health care institution controlled by the Seventh-day Adventist Church and who satisfy certain other qualifying criteria. Eligible employees are restricted to those executives who, as of January 1, 2020, satisfied, or if employment continues, will satisfy the eligibility requirements of SERP II prior to December 31, 2027. This supplemental executive retirement plan (SERP II) was designed to provide eligible executives with the economic equivalent of an annual income beginning at normal retirement age equal to 60% of the average of the participant's three, five or seven highest years of base salary from AdventHealth active employment inclusive of income from all other Seventh-day Adventist Church healthcare employer-financed retirement income sources and investment income earned on those contributions through social security normal retirement age as defined in the plan. The number of years included in highest average compensation is determined by the individual's year of entry to SERP II and by the individual's year of entry to the AdventHealth Executive FLEX Benefit Program. FLEX Plan: The Flex Plan was originally designed to provide eligible executives an opportunity to select from among a variety of supplemental benefits, including a split dollar life insurance policy and long-term care insurance, to individually tailor a benefits program appropriate to each executive's needs. In 2020, the Flex Plan was amended to exclude employed executives who are hired or promoted after a certain date from being eligible to participate in the Flex Plan except for certain insurance coverage features of the plan. The Flex Plan provides eligible participants a pre-determined benefits allowance credit that is equal to a percentage of the executive's base pay from which the cost of mandatory and elective employee benefits is deducted. The benefits allowance credit percentage for any plan year shall not be greater than the maximum dollar amount or the percentage of compensation as determined by the AdventHealth Benefits Administration Committee. For grandfathered eligible employees, the annual pre-determined Flex allowance is contributed and any funds that remain after the cost of mandatory and elective benefits are subtracted are, at the employee's option, contributed to either an IRC 457(f) deferred compensation account or to an IRC 457(b) eligible deferred compensation plan. Upon attainment of age 65, all previous 457(f) deferred amounts are paid immediately to the participant and any future employer contributions are made quarterly from the Plan directly to the participant. The Plan provides for a class year vesting schedule (2 years for each class year) with respect to amounts accumulated in the executive's 457(f) deferred compensation account. Distributions could also be made from the executive's 457(f) deferred compensation account upon attainment of age 65 or upon an involuntary separation. The account will be forfeited by the executive upon a voluntary separation. With respect to grandfathered participants, the Flex Plan documents define eligible employees to include the Chief Executive Officers of AdventHealth entities and Vice Presidents of all AdventHealth entities whose base salary was at least equal to the Internal Revenue Code Section 401(a)(17) compensation limit each year. Schedule J, Part I, Line 4b continued: FLEX Plan FLEX Plan SERP II SERP III Contr. Distr.* Contr./Distr. Contr. Ottati, David $ 150,000 $ 140,915 $ 2,256,444 $ 0 Celano, Patricia $ 92,892 $ 60,594 $ 913,228 $ 0 FLEX Plan FLEX Plan SERP II SERP III Contr. Distr.* Contr./Distr. Contr. Gregory, Audrey $ 0 $ 0 $ 0 $ 171,000 Noseworthy, G. Ed $ 70,508 $ 70,508 $ 35,929 $ 0 Thomas, Debora $ 74,910 $ 48,092 $ 102,171 $ 0 Weis, David $ 45,712 $ 13,071 $ 0 $ 15,441 Hernandez, MD, Dennis $ 41,012 $ 14,220 $ 0 $ 17,049 Prince, Stacy $ 49,129 $ 50,371 $ 0 $ 0 Domayer, Cory $ 0 $ 0 $ 0 $ 48,618 Goldman, David $ 0 $ 0 $ 0 $ 45,360 * Including Investment Earnings Form 990, Part V, Line 1a: The parent corporation and sole top-tier member of Southeast Volusia Healthcare Corporation (the filing organization) is Adventist Health System Sunbelt Healthcare Corporation (AHSSHC). AHSSHC is a Florida, not-for-profit corporation that is exempt from federal income tax under Internal Revenue Code (IRC) Section 501(c)(3). AHSSHC has established a shared service center to centralize the Accounts Payable (A/P) function for all AHSSHC subsidiary organizations. The filing organization has entered "0" in Part V, Line 1a because the filing organization no longer issues Form 1099 returns, rather, all such returns are filed by and under the name and EIN of AHSSHC as the payor subject to the information reporting requirements of Section 6041. The facts and circumstances support a position that AHSSHC, as a payor on behalf of its subsidiary organizations in a shared service environment, will have sufficient management and oversight in connection with the subsidiary organizations' payments to meet the standard set forth in Treas. Reg. Section 1.6041-1(e). AHSSHC will not merely be making payments at the direction of its subsidiary organizations. Accordingly, AHSSHC is considered the payor subject to the information reporting requirements of Section 6041. Form 990, Part VI, Section A, line 6 Southeast Volusia Healthcare Corporation (SEVHC) has one member. The sole member of the filing organization is Adventist Health System Sunbelt Healthcare Corporation. Adventist Health System Sunbelt Healthcare Corporation (AHSSHC) is a Florida, not-for-profit corporation that is exempt from federal income tax under Internal Revenue Code (IRC) Section 501(c)(3). There are no other classes of membership in the filing organization. Form 990, Part VI, Section A, line 7a The sole member of the filing organization is AHSSHC. The Board of Directors of the filing organization are appointed by the sole member, AHSSHC, who has the right to elect, appoint or remove any member of the Board of Directors of the filing organization. Form 990, Part VI, Section A, line 7b AHSSHC, as the sole member of the filing organization, has certain reserved powers as set forth in the Bylaws of the filing organization. These reserved powers include the following: a) to approve or disapprove the executive and/or administrative leadership of the Hospital and their salaries; b) to adopt, amend, restate, and repeal the Articles of Incorporation or Bylaws of the filing organization and the medical staff Bylaws; c) to set limits and terms for the borrowing of funds; d) to approve or disapprove the annual operating and capital budgets of the filing organization; e) to direct the placement of funds and capital of the filing organization; f) to approve or disapprove certain purchases or sales of personal property or real property equal to or in excess of established dollar thresholds; g) to establish general guiding policies, to implement quality assessment, improvement and utilization review programs; and h) to approve the appointment of an auditing firm and election of the fiscal year for the filing organization. Form 990, Part VI, Section B, line 11b The filing organization's current year Form 990 was reviewed by the Board Chairman, the Board Finance Committee Chair, the CEO, and the CFO prior to its filing with the IRS. The review conducted by the Board Chairman, the Board Finance Committee Chair, the 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 conflicts of interest, any member of the Board of Directors of the filing organization or any principal officer of the filing organization (i.e. Interested Persons) must disclose the existence of any financial interest with the filing organization and must be given the opportunity to disclose all material facts concerning the financial interest/arrangement to the Board of Directors of the filing organization or to any members of a committee with board delegated powers that is considering the proposed transaction or arrangement. Subsequent to any disclosure of any financial interest/arrangement and all material facts, and after any discussion with the relevant Board member or principal officer, the remaining members of the Board of Directors or committee with board delegated powers shall discuss, analyze, and vote upon the potential financial interest/arrangement to determine if a conflict of interest exists. According to the filing organization's Conflict of Interest Policy, an Interested Person may make a presentation to the Board of Directors (or committee with board delegated powers), but after such presentation, shall leave the meeting during the discussion of, and the vote on, the transaction or arrangement that results in a conflict of interest. Each Interested Person, as defined under the filing organization's Conflict of Interest Policy, shall annually sign a statement which affirms that such person has received a copy of the Conflict of Interest policy, has read and understands the policy, has agreed to comply with the policy, and understands that the filing organization is a charitable organization that must primarily engage in activities which accomplish one or more of its exempt purposes. The filing organization's Conflict of Interest Policy also requires that periodic reviews shall be conducted to ensure that the filing organization operates in a manner consistent with its charitable purposes. Form 990, Part VI, Section B, line 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 AdventHealth. The audited consolidated financial statements of AdventHealth and of the AdventHealth "Obligated Group" are filed annually with the Municipal Securities Rulemaking Board (MSRB). The "Obligated Group" is a group of AHSSHC subsidiaries that are jointly and severally liable under a Master Trust Indenture that secures debt primarily issued on a tax-exempt basis. Unaudited quarterly financial statements prepared in accordance with Generally Accepted Accounting Principles (GAAP) are also filed with MSRB for AdventHealth on a consolidated basis and for the grouping of AdventHealth subsidiaries comprising the "Obligated Group". The filing organization does not generally make its governing documents or conflict of interest policy available to the public. Form 990, Part VII, Section A, Column (E) & (F): For those Board of Director members (not including physician members of the board), officer(s) and key employees who devote less than full-time to the filing organization (based upon the average number of hours per week shown in column (B) on page 7 of the return) the compensation amounts shown in columns (E) and (F) on page 7 were provided in conjunction with that person's responsibilities and roles in serving in an executive leadership position as an employee of Adventist Health System Sunbelt Healthcare Corporation. Physician members of the Board of Directors received compensation from related organizations as a result of providing various medical services to those related entities. Form 990, Part VIII, Lines 7a, b and c: The amount shown in Part VIII, Line 7c(i) of the Form 990 represents an allocated share of capital gain/(loss) from a system wide, corporate administered, investment program. Form 990, Part IX, line 11g AdventHealth Management Fees: Program service expenses 0. Management and general expenses 3,149,629. Fundraising expenses 0. Total expenses 3,149,629. Billing & Collection Services: Program service expenses 0. Management and general expenses 919,232. Fundraising expenses 0. Total expenses 919,232. AdventHealth Shared Service Fee: Program service expenses 0. Management and general expenses 1,442,064. Fundraising expenses 0. Total expenses 1,442,064. Transcription Services: Program service expenses 29,769. Management and general expenses 0. Fundraising expenses 0. Total expenses 29,769. Recruiting: Program service expenses 160,573. Management and general expenses 0. Fundraising expenses 0. Total expenses 160,573. Environmental Services: Program service expenses 440,863. Management and general expenses 0. Fundraising expenses 0. Total expenses 440,863. Food Service Contracts: Program service expenses 550,649. Management and general expenses 0. Fundraising expenses 0. Total expenses 550,649. Professional Fees: Program service expenses 772,449. Management and general expenses 0. Fundraising expenses 0. Total expenses 772,449. Miscellaneous Purchased Services: Program service expenses 6,073,834. Management and general expenses 0. Fundraising expenses 0. Total expenses 6,073,834. Purchased Medical Services: Program service expenses 16,378,626. Management and general expenses 0. Fundraising expenses 0. Total expenses 16,378,626. Payments to Healthcare Professional: Program service expenses 26,966,976. Management and general expenses 0. Fundraising expenses 0. Total expenses 26,966,976. Form 990, 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. Form 990, Part XI, line 9: Transfer to Tax-Exempt Parent -661,600. Allocation from tax-exempt parent with respect to debt 126,149. Transfer from tax-exempt affiliate 8,000,000. Donation from Foundation 285,940. Form 990, Part XII, Line 3b: Although the taxpayer is not required to undergo an audit as set forth in the Single Audit Act and OMB Circular A-133, the taxpayer is part of a controlled group of organizations that comprise a consolidated financial statement audit. The controlled group's parent is Adventist Health System Sunbelt Healthcare Corporation (AHSSHC), a 501(c)(3) organization. The system of healthcare entities owned and controlled by AHSSHC is known as AdventHealth. For the year ended December 31, 2022, AdventHealth will file a consolidated Single Audit which will include all entities that are part of the controlled group. Accordingly, the taxpayer has checked yes to the questions on Part XII, line 3a and 3b. AdventHealth Ashville Inc (5922 - 123122) 900 Hope Way Altamonte Springs FL 32714 921144574 Future Operation of Hospital & Related Services NC 501(c)(3) Line 3 Adventist Hlth System Sunbelt Hlthcare Corp 1 AdventHealth Family Medicine Rural Health Clinics Inc 187 PR 4060 Lampasas TX 76550 271858033 Operation of Rural Health Clinics & Medical Services FL 501(c)(3) Line 3 Metroplex Adventist Hospital Inc 1 AdventHealth Foundation fka 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 1 AdventHealth Home Care East Florida LLC 770 West Granada Blvd 319 Ormond Beach FL 32174 833768458 Inactive FL 501(c)(3) Line 10 Memorial Hlth Systems Inc 1 AdventHealth Hospice Care East Florida Inc 770 West Granada Blvd 304 Ormond Beach FL 32174 833748461 Inactive FL 501(c)(3) Line 10 Memorial Hlth Systems Inc 1 AdventHealth Kansas City Foundation 7315 E Frontage Road Merriam KS 66204 480868859 Fund-raising for Tax-exempt hospitals KS 501(c)(3) Line 7 Shawnee Mission Medical Center Inc 1 AdventHealth North Polk Inc 3100 E Fletcher Ave Tampa FL 33613 593231322 Inactive FL 501(c)(3) Line 12a, I University Community Hospital Inc 1 AdventHealth Palm Coast Parkway Inc fka AH East Florida Inc 900 Hope Way Altamonte Springs FL 32714 882288563 Future Operation of Hospital & Related Services FL 501(c)(3) Line 3 Adventist Hlth System Sunbelt Hlthcare Corp 1 AdventHealth Polk North Inc 40100 US Highway 27 N Davenport FL 33837 841793121 Operation of Hospital & Related Services FL 501(c)(3) Line 3 Adventist Hlth System Sunbelt Hlthcare Corp 1 AdventHealth Polk South Inc 410 South 11th Street Lake Wales FL 33853 834672945 Operation of Hospital & Related Services FL 501(c)(3) Line 3 Adventist Hlth System Sunbelt Hlthcare Corp 1 AdventHealth Ransom Memorial Inc 1301 S Main Street Ottawa KS 66067 830976641 Operation of Hospital & Related Services KS 501(c)(3) Line 3 Adventist Hlth Mid-America Inc 1 AdventHealth Riverview Inc 14055 Riveredge Drive Ste 150 Tampa FL 33637 870901094 Future Operation of Hospital & Related Services FL 501(c)(3) Line 3 Adventist Hlth System Sunbelt Hlthcare Corp 1 AdventHealth Senior Care Inc 900 Hope Way Altamonte Springs FL 32714 841817046 Operation of Physician Practices & Medical Services FL 501(c)(3) Line 3 Adventist Hlth System Sunbelt Hlthcare Corp 1 AdventHealth South Overland Park Inc 7820 W 165th Street Overland Park KS 66223 364595806 Operation of Hospital & Related Services KS 501(c)(3) Line 3 Adventist Hlth Mid-America Inc 1 AdventHealth University Inc 671 Winyah Drive Orlando FL 32803 593069793 Education/Operation of School FL 501(c)(3) Line 2 Adventist Hlth SystemSunbelt Inc 1 AdventHealth West Florida Ambulatory Services Inc 14055 Riveredge Drive Ste 250 Tampa FL 33637 471881744 Support of Imaging Center & Home Health Subsidiaries FL 501(c)(3) Line 12b, II Adventist Hlth System Sunbelt Hlthcare Corp 1 AdventHealth West Florida Imaging Inc 14055 Riveredge Drive Ste 250 Tampa FL 33637 843225135 Imaging & Testing FL 501(c)(3) Line 3 AdventHealth West Florida Ambulatory Services Inc 1 Adventist Bolingbrook Hospital 500 Remington Blvd Bolingbrook IL 60440 651219504 Operation of Hospital & Related Services IL 501(c)(3) Line 3 Adventist Midwest Health 1 Adventist Care Centers - Courtland Inc 730 Courtland Street Orlando FL 32804 205774723 Operation of Home for the Aged/Hlthcare Delivery FL 501(c)(3) Line 10 Sunbelt Hlth Care Centers Inc 1 Adventist GlenOaks Hospital 701 Winthrop Avenue Glendale Heights IL 60139 363208390 Operation of Hospital & Related Services IL 501(c)(3) Line 3 Adventist Midwest Health 1 Adventist Health Mid-America Inc 9100 W 74th Street Shawnee Mission KS 66204 521347407 Support of Affiliated Hospital KS 501(c)(3) Line 12c, III-FI Adventist Hlth SystemSunbelt Inc 1 Adventist Health Partners Inc 5101 S Willow Springs Rd Suite B101 La Grange IL 60525 364138353 Operation of Physician Practices & Medical Services IL 501(c)(3) Line 3 Adventist Midwest Health 1 Adventist Health System Georgia Inc 1035 Red Bud Road NE Calhoun GA 30701 581425000 Operation of Hospital & Related Services GA 501(c)(3) Line 3 Adventist Hlth System Sunbelt Hlthcare Corp 1 Adventist Hlth System Sunbelt Hlthcare Corp 900 Hope Way Altamonte Springs FL 32714 592170012 Management Services FL 501(c)(3) Line 12a, I N/A 0 Adventist Hlth SystemSunbelt Inc 900 Hope Way Altamonte Springs FL 32714 591479658 Operation of Hospitals & Related Services FL 501(c)(3) Line 3 Adventist Hlth System Sunbelt Hlthcare Corp 1 Adventist Hlth SystemTexas Inc 11801 S Freeway Burleson TX 76028 742578952 Leasing Personnel to Affiliated Hospital TX 501(c)(3) Line 12c, III-FI Adventist Hlth System Sunbelt Hlthcare Corp 1 Adventist Midwest Health 120 North Oak Street Hinsdale IL 60521 362276984 Operation of Hospitals & Related Services IL 501(c)(3) Line 3 Adventist Hlth SystemSunbelt Inc 1 AHP Specialty Care NFP 5101 S Willow Springs Rd Suite B101 La Grange IL 60525 811105774 Operation of Physician Practices & Medical Services IL 501(c)(3) Line 3 Adventist Midwest Health 1 AHS Midwest Management Inc 500 Remington Blvd Bolingbrook IL 60440 363354567 Operation of Physician Practice Management IL 501(c)(3) Line 12a, I Adventist Hlth System Sunbelt Hlthcare Corp 1 Apopka Health Care Properties Inc 305 E Oak Street Apopka FL 32703 510605694 Lease to Related Organization GA 501(c)(3) Line 12c, III-FI Sunbelt Hlth Care Centers Inc 1 Bert Fish Medical Center Auxiliary Inc 401 Palmetto Street New Smyrna Beach FL 32168 591054892 Volunteer support services FL 501(c)(3) Line 10 Southeast Volusia Healthcare Corp 0 Bradford Heights Health & Rehab Center Inc (11-122222) 485 North Keller Road 250 Maitland FL 32751 205782342 Inactive - Wind-Down KY 501(c)(3) Line 10 Sunbelt Hlth Care Centers Inc 1 Burleson Nursing & Rehab Center Inc 301 Huguley Blvd Burleson TX 76028 205782243 Operation of Home for the Aged/Hlthcare Delivery TX 501(c)(3) Line 10 Sunbelt Hlth Care Centers Inc 1 Chickasaw Health Care Properties Inc 250 S Chickasaw Trail Orlando FL 32825 510605681 Lease to Related Organization GA 501(c)(3) Line 12c, III-FI Sunbelt Hlth Care Centers Inc 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 1 Coalition For Physician Well-Being Inc 900 Hope Way Altamonte Springs FL 32714 463477012 Provide support for Physician well-being FL 501(c)(3) Line 10 Adventist Hlth System Sunbelt Hlthcare Corp 1 Courtland Health Care Properties Inc 730 Courtland Street Orlando FL 32804 510605682 Lease to Related Organization GA 501(c)(3) Line 12c, III-FI Sunbelt Hlth Care Centers Inc 1 Creekwood Place Nursing & Rehab Center Inc (11-12622) 485 North Keller Road 250 Maitland FL 32751 205782260 Inactive - Wind-Down KY 501(c)(3) Line 10 Sunbelt Hlth Care Centers Inc 1 Dairy Road Health Care Properties Inc 7350 Dairy Road Zephyrhills FL 33540 510605684 Lease to Related Organization GA 501(c)(3) Line 12c, III-FI Sunbelt Hlth Care Centers Inc 1 East Orlando Health & Rehab Center Inc 250 S Chickasaw Trail Orlando FL 32825 205774748 Operation of Home for the Aged/Hlthcare Delivery FL 501(c)(3) Line 10 Sunbelt Hlth Care Centers Inc 1 Fletcher Hospital Inc 100 Hospital Drive Hendersonville NC 28792 560543246 Operation of Hospital & Related Services NC 501(c)(3) Line 3 Adventist Hlth System Sunbelt Hlthcare Corp 1 FLNC Inc 3355 E Semoran Blvd Apopka FL 32703 205774761 Operation of Home for the Aged/Hlthcare Delivery FL 501(c)(3) Line 10 Sunbelt Hlth Care Centers Inc 1 Florida Hospital Dade City Inc 13100 Fort King Road Dade City FL 33525 822567308 Operation of Hospital & Related Services FL 501(c)(3) Line 3 Adventist Hlth System Sunbelt Hlthcare Corp 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 1 Florida Hospital Medical Group Inc 2600 Westhall Lane 4th Floor Maitland FL 32751 593214635 Operation of Physician Practices & Medical Services FL 501(c)(3) Line 3 Adventist Hlth SystemSunbelt Inc 1 Florida Hospital Ocala Inc 1500 SW 1st Avenue Ocala FL 34471 824372339 Operation of Hospital & Related Services FL 501(c)(3) Line 3 Adventist Hlth System Sunbelt Hlthcare Corp 1 Florida Hospital Physician Group Inc 12470 Telecom Dr 100 Tampa FL 33637 462021581 Operation of Physician Practices & Medical Services FL 501(c)(3) Line 3 Adventist Hlth System Sunbelt Hlthcare Corp 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 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 1 Florida Radiology Imaging at Lake Mary LLC 2600 Westhall Lane 4th Floor Maitland FL 32751 550789387 Imaging & Testing FL 501(c)(3) Line 3 Florida Hospital Medical Group Inc 1 Fountain Inn Nursing & Rehab Center Inc 4501 Waterman Way Tavares FL 32778 472180518 Operation of Home for the Aged/Hlthcare Delivery FL 501(c)(3) Line 10 Sunbelt Hlth Care Centers Inc 1 Helen Ellis Memorial Hospital Auxiliary Inc 1395 S Pinellas Ave Tarpon Springs FL 34689 592106043 Fund-raising for Tax-exempt hospital/foundation FL 501(c)(3) Line 12c, III-FI N/A 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 7 N/A 0 Hinsdale Hospital Foundation 120 North Oak Street Hinsdale IL 60521 521466387 Fund-raising for Tax-exempt hospital IL 501(c)(3) Line 7 Midwest Hlth Foundation 0 Hospice of the Comforter Inc 480 W Central Parkway Altamonte Springs FL 32714 592935928 Operation of Hospice FL 501(c)(3) Line 10 The Comforter Health Care Group Inc 1 In-Motion Rehab Inc (11-122722) 485 North Keller Road 250 Maitland FL 32751 208023411 Inactive KS 501(c)(3) Line 12b, II Sunbelt Hlth Care Centers Inc 1 Lake County Health Care Properties Inc (11-122822) 485 North Keller Road 250 Maitland FL 32751 813923985 Lease to Related Organization GA 501(c)(3) Line 12c, III-FI Sunbelt Hlth Care Centers Inc 1 Memorial Health Systems Foundation Inc 305 Memorial Medical Pkwy 212 Daytona Beach FL 32117 311771522 Fund-raising for Tax-exempt hospital FL 501(c)(3) Line 7 N/A 0 Memorial Health 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 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 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 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 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 1 Metroplex Clinic Physicians Inc 2201 S Clear Creek Road Killeen TX 76549 113762050 Physician Healthcare services to the community TX 501(c)(3) Line 3 Metroplex Adventist Hospital Inc 1 Midwest Health Foundation 120 North Oak Street Hinsdale IL 60521 352230515 Fund-Raising for Supported Exempt Hospitals IL 501(c)(3) Line 7 N/A 0 Mills Health & Rehab Center Inc(11-12622) 485 North Keller Road 250 Maitland FL 32751 205782320 Inactive - Wind-Down KY 501(c)(3) Line 10 Sunbelt Hlth Care Centers Inc 1 Mission Strategies of Georgia Inc 485 North Keller Road 250 Maitland FL 32751 900866024 Provision of support to the nursing home division GA 501(c)(3) Line 12b, II Sunbelt Hlth Care Centers Inc 1 Missouri Adventist Health Inc 9100 W 74th Street Shawnee Mission KS 66204 431224729 Support Health Care Services MO 501(c)(3) Line 12d, III-O Adventist Hlth Mid-America Inc 1 Osceola Health Care Properties Inc 485 North Keller Road 250 Maitland FL 32751 813165729 Lease to Related Organization GA 501(c)(3) Line 12c, III-FI Sunbelt Hlth Care Centers Inc 1 Overland Park Nursing & Rehab Center Inc 6501 West 75th Street Overland Park KS 66204 205774821 Operation of Home for the Aged/Hlthcare Delivery KS 501(c)(3) Line 10 Sunbelt Hlth Care Centers Inc 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 1 Portercare Adventist Health System (630 YE) 9100 E Mineral Circle Centennial CO 80112 840438224 Operation of Hospitals & Related Services CO 501(c)(3) Line 3 Adventist Hlth System Sunbelt Hlthcare Corp 1 Princeton Health & Rehab Center Inc (11-12622) 485 North Keller Road 250 Maitland FL 32751 205782272 Inactive - Wind-Down KY 501(c)(3) Line 10 Sunbelt Hlth Care Centers Inc 1 Princeton Homecare Services LLC (81 - 123122) 602 Courtland Street 310 Orlando FL 32804 814196648 Home Health Care Servcies FL 501(c)(3) Line 10 Princeton Prof Services Inc 1 Princeton Professional Services Inc 601 E Rollins Street Orlando FL 32803 591191045 Provision of Healthcare Services FL 501(c)(3) Line 10 Adventist Hlth System Sunbelt Hlthcare Corp 1 Quality Circle for Healthcare Inc 900 Hope Way Altamonte Springs FL 32714 263789368 Healthcare Quality Services FL 501(c)(3) Line 12a, I Adventist Hlth System Sunbelt Hlthcare Corp 1 Redmond Park Hospital LLC 501 Redmond Road NW Rome GA 30165 581123037 Operation of Hospital & Related Services GA 501(c)(3) Line 3 Adventist Hlth System Sunbelt Hlthcare Corp 1 Resource Personnel Inc 485 North Keller Road 250 Maitland FL 32751 208040875 Provide administrative support to tax exempt nursing homes FL 501(c)(3) Line 12b, II Sunbelt Hlth Care Centers Inc 1 Rocky Mountain Adventist Hlthcare Foundation (630 YE) 960 E Harvard Avenue Ste 230 Denver CO 80210 840745018 Fund-raising for Tax-exempt hospital CO 501(c)(3) Line 7 N/A 0 Rollins Brook Community Care Corp 2201 S Clear Creek Road Killeen TX 76549 461656773 Support Operation of Hospital TX 501(c)(3) Line 12a, I Adventist Hlth SystemSunbelt Inc 1 San Marcos Nursing & Rehab Center Inc 1900 Medical Parkway San Marcos TX 78666 205782224 Operation of Home for the Aged/Hlthcare Delivery TX 501(c)(3) Line 10 Sunbelt Hlth Care Centers Inc 1 Shawnee Mission Hlth Care Properties Inc 485 North Keller Road 250 Maitland FL 32751 813914908 Lease to Related Organization GA 501(c)(3) Line 12c, III-FI Sunbelt Hlth Care Centers Inc 1 Shawnee Mission Health Care Inc 6501 West 75th Street Overland Park KS 66204 480952508 Lease to Related Organization KS 501(c)(3) Line 12c, III-FI Sunbelt Hlth Care Centers Inc 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 1 South Pasco Health Care Properties Inc 38250 A Avenue Zephyrhills FL 33542 510605679 Lease to Related Organization GA 501(c)(3) Line 12c, III-FI Sunbelt Hlth Care Centers Inc 1 Southeast Volusia Healthcare Corp 401 Palmetto Street New Smyrna Beach FL 32168 473793197 Operation of Hospital & Related Services FL 501(c)(3) Line 3 Adventist Hlth System Sunbelt Hlthcare Corp 1 Southwest Volusia Health Services Inc 1055 Saxon Blvd Orange City FL 32763 593281591 Medical Office Building for Hospital FL 501(c)(3) Line 12a, I Southwest Volusia Hlthcare Corp 1 Southwest Volusia Healthcare Corp 1055 Saxon Blvd Orange City FL 32763 593149293 Operation of Hospital & Related Services FL 501(c)(3) Line 3 Adventist Hlth SystemSunbelt Inc 1 Spring View Health & Rehab Center Inc (11-122222) 485 North Keller Road 250 Maitland FL 32751 205782288 Inactive - Wind-Down KY 501(c)(3) Line 10 Sunbelt Hlth Care Centers Inc 1 Sunbelt Health & Rehab Center - Apopka Inc 305 East Oak Street Apopka FL 32703 205774856 Operation of Home for the Aged/Hlthcare Delivery FL 501(c)(3) Line 10 Sunbelt Hlth Care Centers Inc 1 Sunbelt Health Care Centers Inc 485 North Keller Road 250 Maitland FL 32751 581473135 Management Services TN 501(c)(3) Line 12b, II Adventist Hlth System Sunbelt Hlthcare Corp 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 1 Tarrant County Health Care Properties Inc 301 Huguley Blvd Burleson TX 76028 510605677 Lease to Related Organization GA 501(c)(3) Line 12c, III-FI Sunbelt Hlth Care Centers Inc 1 The Comforter Health Care Group Inc 605 Montgomery Road Altamonte Springs FL 32714 271857940 Support Services to Related Hospice FL 501(c)(3) Line 12c, III-FI Adventist Hlth System Sunbelt Hlthcare Corp 1 Tri-County Nursing and Rehab Center Inc 1290 Celebration Blvd Kissimmee FL 34747 472219363 Operation of Home for the Aged/Hlthcare Delivery FL 501(c)(3) Line 10 Sunbelt Hlth Care Centers Inc 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 7 N/A 0 University Community Hospital Inc 3100 E Fletcher Ave Tampa FL 33613 591113901 Operation of Hospitals & Related Services FL 501(c)(3) Line 3 Adventist Hlth System Sunbelt Hlthcare Corp 1 West Florida Health Home Care Inc 13601 Bruce B Downs Blvd Ste 110 Tampa FL 33613 593686109 Home Health Services GA 501(c)(3) Line 10 AdventHealth West Florida Ambulatory Svcs Inc 1 Zephyr Haven Health & Rehab Center Inc 38250 A Avenue Zephyrhills FL 33542 205774930 Operation of Home for the Aged/Hlthcare Delivery FL 501(c)(3) Line 10 Sunbelt Hlth Care Centers Inc 1 Zephyrhills Health & Rehab Center Inc 7350 Dairy Road Zephyrhills FL 33540 205774967 Operation of Home for the Aged/Hlthcare Delivery FL 501(c)(3) Line 10 Sunbelt Hlth Care Centers Inc 1 Fletcher Hospital Surgical Ventures LLC 9131 Anson Way Ste 304 Raleigh NC 27615 861482646 Indirect Interest in Surgery Center NC N/A 0 0 Florida Hospital DMERT LLC 500 Winderley Place Ste 324 Maitland FL 32751 202392253 Medical Equipment FL N/A 0 1 Florida Hospital Home Infusion LLP 500 Winderley Place Ste 226 Maitland FL 32751 593142824 Home Infusion Services FL N/A 0 1 Functional Neurosurgical Ambulatory Surgery Ctr LLC 11 W Dry Creek Circle 120 Littleton CO 80120 464426708 Surgery Center CO N/A 0 0 M&O Orlando MOB I LLC 1919 N Orange Ave Ste E Orlando FL 32804 844259138 Operation of Medical Office Building DE N/A 0 0 OnPoint OBGYN LLC (21-123122) 7780 S Broadway 280 Littleton CO 80122 873522453 Healthcare Services CO N/A 0 0 PAHS OnPoint Imaging LLC 9205 S Broadway Highlands Ranch CO 80129 833275105 Imaging Center CO N/A 0 0 PAHS OnPoint Urgent Care LLC 9100 E Mineral Circle Centennial CO 80112 832465331 Urgent Care Center CO N/A 0 0 Princeton Homecare Services LLC (11-8122) 602 Courtland Street 310 Orlando FL 32804 814196648 Operation of Home Health Agency FL N/A 0 0 Surgery Center of Rome LP 501 Redmond Road NW Rome GA 30165 200390305 Surgery Center GA N/A 0 0 The Bariatric Center of Kansas City LLC 9100 W 74th Street Merriam KS 66204 823025378 Surgery Center KS N/A 0 0 Urgent Care Centers of Brevard County LLC 2600 Westhall Lane Maitland FL 32751 844261523 Urgent Care Centers FL N/A 0 1 AdventHealth Orlando Network Inc (11 - 41922) 900 Hope Way Altamonte Springs FL 32714 862639185 Inactive FL N/A C 1 AdventHealth Professional Staffing Inc (11 - 12822) 900 Hope Way Altamonte Springs FL 32714 880742779 INACTIVE FL N/A C 1 AdventHealth Tampa Network Inc (11 - 41922) 900 Hope Way Altamonte Springs FL 32714 862666178 Inactive FL N/A C 1 AdventHealth Team Members Inc (11 - 12822) 900 Hope Way Altamonte Springs FL 32714 880763664 INACTIVE FL N/A C 1 AdventHealth Value Based Bundle Management LLC (61-123122) 101 Southhall Lane Ste 150 Maitland FL 32751 873487910 Medical Contracting and Billing FL N/A C 1 Altamonte Medical Plaza Condominium Association Inc 601 East Rollins Street Orlando FL 32803 592855792 Condo Association FL N/A C 1 Apopka Medical Plaza Condominium Association Inc 601 East Rollins Street Orlando FL 32803 593000857 Condo Association FL N/A C 1 Battle Creek Adventist Hospital 900 Hope Way Altamonte Springs FL 32714 381359189 Inactive MI N/A C 1 Florida Hospital Flagler Medical Offices Association Inc 60 Memorial Medical Parkway Palm Coast FL 32164 262158309 Condo Association FL N/A C 1 Florida Hosp Hlth Village Property Owner's Assoc Inc 550 E Rollins Street 7th Floor Orlando FL 32803 821748255 Condo Association FL N/A C 1 Florida Hospital Healthcare System Inc 101 Southhall Lane Ste 150 Maitland FL 32751 593215680 PHSO / CIN FL N/A C 1 Florida Medical Plaza Condominium Association Inc 601 East Rollins Street Orlando FL 32803 592855791 Condo Association FL N/A C 1 Kissimmee Multispecialty Clinic Condominium Association Inc 201 Hilda Street Suite 30 Kissimmee FL 34741 593539564 Condo Association FL N/A C 1 Midwest Management Services Inc 9100 West 74th Street Shawnee Mission KS 66204 480901551 Inactive KS N/A C 1 North American Health Services Inc & Sub 900 Hope Way Altamonte Springs FL 32714 621041820 Holding Co. TN N/A C 1 Ormond Prof Associates Condo Assoc Inc (430 year end) 770 W Granada Blvd Ste 101 Ormond Beach FL 32174 592694434 Condo Association FL N/A C 1 Park Ridge Property Owner's Association Inc 1 Park Place Naples Road Fletcher NC 28732 030380531 Condo Association NC N/A C 1 Park Ridge Condominium #1 Unit Owners Association Inc 1 Park Place Naples Road Fletcher NC 28732 010584623 Condo Association NC N/A C 1 Surgicare of Rome Inc 501 Redmond Rd Rome GA 30165 200376307 Holding Company GA N/A C 1 Redmond Park Health Services Inc 501 Redmond Rd Rome GA 30165 621330078 Holding Company GA N/A C 1 The Garden Retirement Community Inc 485 North Keller Road Ste 250 Maitland FL 32751 593414055 Real Estate Rental FL N/A C 1 Winter Park Medical Office Building I Condo Assoc Inc 601 East Rollins Street Orlando FL 32803 452228478 Condo Association FL N/A C 1 0 1 1 0 0 0 0 0 0 0 0 0 1 0 0 1 1 0 1 AdventHealth Foundation Inc B 73451 Amount Given Adventist Health System Sunbelt Healthcare Corporation B 661600 Amount Given AdventHealth Foundation Inc C 285940 Amount Received Adventist Health System Sunbelt Healthcare Corporation M 1351000 % of Facility's Oper. Exp. Adventist Health System Sunbelt Healthcare Corporation - Shared Services M 1442064 % of Facility's Oper. Exp. Adventist Health System Sunbelt Healthcare Corporation dba AIT M 5952567 % of Facility's Oper. Exp. Adventist Health System Sunbelt Healthcare Corporation P 5986927 Cost Adventist Health SystemSunbelt Inc dba AdventHealth Centra Care P 1359029 Cost Adventist Health SystemSunbelt Inc dba AdventHealth Orlando P 1426528 Cost Florida Hospital Healthcare Partners Inc P 15176251 Cost Florida Hospital Medical Group Inc P 537640 Cost Memorial Health Systems Inc P 8289527 Cost Memorial Hospital - Flagler Inc P 250563 Cost Memorial Hospital - West Volusia Inc P 59498 Cost Southwest Volusia Healthcare Corporation P 55208 Cost Tarpon Springs Hospital Foundation Inc P 786640 Cost Adventist Health SystemSunbelt Inc dba AdventHealth Centra Care Q 1361840 Cost Adventist Health SystemSunbelt Inc dba AdventHealth Orlando Q 1420942 Cost Florida Hospital Healthcare Partners Inc Q 14937406 Cost Florida Hospital Medical Group Inc Q 538514 Cost Memorial Health Systems Inc Q 8302869 Cost Memorial Hospital - Flagler Inc Q 264443 Cost Memorial Hospital - West Volusia Inc Q 60051 Cost Southwest Volusia Healthcare Corporation Q 67271 Cost Memorial Health Systems Inc S 8000000 Amount Received