2025-11-13T19:25:57-06:00 2024-12-31 990 2024-01-01 593149293 SOUTHWEST VOLUSIA HEALTHCARE CORPORATION SOUT 3869175000 1055 SAXON BOULEVARD ORANGE CITY FL 32763 LYNN C ADDISCOTT ASSISTANT SECRETARY 4073572317 2025-11-06 0 2024 2025-03-06 01:10:19Z ADVENTHEALTH FISH MEMORIAL ERIC LUNDE 1055 SAXON BOULEVARD ORANGE CITY FL 32763 331688269 0 X WWW.ADVENTHEALTH.COM/HOSPITAL/ X 1992 FL THE PROVISION OF MEDICAL CARE TO THE COMMUNITY SERVED THROUGH THE OPERATION OF A 253 BED HOSPITAL. 15 10 1562 276 56844 0 716234 4731930 276086929 320756668 1012888 6199671 0 0 277816051 331688269 385137 234187 0 0 85628444 103360027 0 0 0 166002398 166448620 252015979 270042834 25800072 61645435 307567270 366535848 82231445 81302310 225335825 285233538 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 251166467 234187 320699824 THE ORGANIZATION'S EXEMPT PURPOSE INCLUDES THE PROVISION OF MEDICAL CARE TO THE SURROUNDING COMMUNITY THROUGH THE OPERATION OF A 253-BED INPATIENT FACILITY & A RELATED OUTPATIENT FACILITY PROVIDING AMBULATORY SURGERY, DIAGNOSTIC RADIOLOGY, (INCLUDING MRI AND CT SCANNERS), LABORATORY SERVICES AND PHYSICAL THERAPY. THERE WERE 12,483 PATIENT ADMISSIONS, 53,131 PATIENT DAYS, 129,101 OUTPATIENT VISITS, AND 74,961 PHYSICIAN PRACTICE PATIENT VISITS DURING THE CURRENT YEAR. 251166467 1 1 0 1 0 0 0 0 0 0 1 0 0 0 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 1562 1 1 1 0 0 0 0 0 0 0 0 0 0 0 X 15 10 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 0 0 1 1 X JENNIFER AMBS 3869175090 1055 SAXON BOULEVARD ORANGE CITY FL 32763 X OTTATI DAVID FORMER OFFICER 0.00 50.00 X 0 2778371 224088 GREGORY PHD AUDREY DIR/CHAIR/CEO CFN REGION 5.50 44.50 X X 0 1701959 253636 CELANO PATRICIA FORMER KEY EMPLOYEE 0.00 50.00 X 0 1760793 156227 DEININGER ROBERT FORMER OFFICER 0.00 50.00 X 0 1127788 153725 BROWN LORENZO DIRECTOR/CEO-HOSPITAL/W.VOLUSIA MKT 37.50 12.50 X X 0 824372 91371 GLASS KYLE CFO-HOSP/W.VOLUSIA MKT (END 01/2024) 37.50 12.50 X 0 740695 131566 KNYCH MD STEPHEN CMO - REG & HOSPITAL FACIL 40.00 10.00 X 0 643856 83710 LUNDE ERIC DIRECTOR 0.30 50.00 X 0 550333 116000 BAKER CRAIG DIRECTOR 0.30 50.00 X 0 499213 102919 CALLA MD SHRISH DIRECTOR 0.30 50.00 X 0 527507 54265 CHILSON APRIL COO - HOSPITAL FACILITY 50.00 0.00 X 0 359133 48513 AMBS JENNIFER CFO-HOSP/W.VOLUSIA MKT (BEG 02/2024) 37.50 12.50 X 0 361632 45288 JOHNSON MICHELE CNO - HOSPITAL FACILITY 50.00 0.00 X 0 312020 48637 PHO QUAN PHARMACY DIRECTOR 50.00 0.00 X 223427 0 27513 TAYLOR HEATHER ASSISTANT NURSE MGR 50.00 0.00 X 187222 0 33586 FOGG MICHAEL EXEC. DIRECTOR - OPERATIONS 50.00 0.00 X 180840 0 30560 CIFELLI MARK PHARMACIST 50.00 0.00 X 189397 0 16713 SUH BARBARA PHARMACIST 50.00 0.00 X 182467 0 18700 GUPTA MD VISHAL DIRECTOR (END 12/2024) 0.40 0.30 X 2285 0 0 BOWMAN MD KURT DIRECTOR 0.30 0.30 X 1610 0 0 BAHL MD RAJIV DIRECTOR 0.30 0.30 X 310 0 0 DEL CARMEN RODRIGUEZ MARIA DIRECTOR (BEG 02/2024) 0.30 0.30 X 310 0 0 LONG DALE DIRECTOR 0.30 0.30 X 310 0 0 NORTHEY PATRICIA DIRECTOR 0.30 0.30 X 310 0 0 PATTERSON PAT DIRECTOR 0.30 0.30 X 310 0 0 RITCHEY JEFF DIRECTOR 0.30 0.30 X 310 0 0 VARGAS YOALY DIRECTOR 0.30 0.30 X 310 0 0 WANAMAKER JOHN DIRECTOR 0.30 0.30 X 310 0 0 FOLEY DOUG DIRECTOR (END 02/2024) 0.30 0.30 X 0 0 0 969728 12187672 1637017 197 1 1 0 CROTHALL HEALTHCARE INC 1500 LIBERTY RIDGE DRIVE 210 WAYNE PA 19087 CLEANING & BIO MED MAINTENANCE SERVICES 3406875 USAP OF FLORIDA INC 851 TRAFALCAR COURT SUITE 200E MAITLAND FL 32751 ANESTHESIOLOGY SERVICES 3255810 MPLT HEALTHCARE PO BOX 737086 DALLAS TX 75373 MEDICAL SERVICES 1617828 MORRISON HEALTHCARE PO BOX 102289 ATLANTA GA 30368 NUTRITION SERVICES 1432665 ALL STAR RECRUTING LOCUMS LLC PO BOX 936725 ATLANTA GA 33073 HEALTHCARE STAFFING 1390073 56 X 3757 4728173 4731930 NET PATIENT REVENUE 622110 314144323 314087479 56844 REIMB OF EXP- TE AFFILIATE 622110 4370268 4370268 CAFETERIA REVENUE 622110 1093846 1093846 GIFT SHOP REVENUE 622110 418362 418362 SETTLEMENT REVENUE 622110 374793 374793 355076 355076 320756668 4148580 4148580 2033041 18050 0 0 2033041 18050 2051091 2051091 331688269 320699824 56844 6199671 X 234187 234187 2566218 3275 2562943 73637326 73637326 3273821 3212060 61761 17482739 17009638 473101 6399923 6279188 120735 215854 215854 73361 73361 451873 451873 70666034 59127886 11538148 224037 224037 4474682 3088878 1385804 10475098 9598318 876780 6256154 6256154 156095 156095 284081 284081 1307593 1307593 11740387 11740387 1937088 1846145 90943 MEDICAL SUPPLIES 36504796 36504796 STATE TAX INDIGENT ASSE 11573069 11573069 REPAIRS & MAINTENANCE 9644446 9644446 463972 103121 360851 270042834 251166467 18876367 0 2030 801 86324933 150252895 31502264 31131477 3873836 4283337 10236004 11799785 318852212 165225428 160650008 153626784 51000 583967 283328 14394228 15106441 307567270 366535848 22093147 26410360 60138298 54891950 82231445 81302310 X 225260218 285233538 75607 0 225335825 285233538 307567270 366535848 X 61645435 -107843 -1639879 X X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 8876 8876 0 PART II-B, LINE 1: DUES WERE PAID TO THE AMERICAN HOSPITAL ASSOCIATION AND THE FLORIDA HOSPITAL ASSOCIATION. 21210170 21210170 175416688 78284553 97132135 111464089 79307585 32156504 10761265 7633290 3127975 153626784 DUE TO RELATED 1853511 PAYABLE TO THIRD PARTIES 4367614 CREDIT BALANCES IN A/R 1244933 OTHER DEFERRED REVENUE 831185 ACCRUED INTEREST PAYABLE 7728 INTERCO. ALLOC OF TE BOND PROCEEDS 42560033 OPERATING LEASE LIABILITY 2390120 OTHER LIABILITIES 1636826 54891950 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. THE PROVISION FOR FEDERAL AND STATE INCOME TAX FOR THE YEARS ENDED DECEMBER 31, 2024 AND 2023 IS APPROXIMATELY $1,619 AND $1,140, RESPECTIVELY. THE INCOME TAXES TOPIC OF THE ACCOUNTING STANDARDS CODIFICATION (ASC) 740, INCOME TAXES (ASC 740) PRESCRIBES THE ACCOUNTING FOR UNCERTAINTY IN INCOME TAX POSITIONS RECOGNIZED IN FINANCIAL STATEMENTS. ASC 740 PRESCRIBES A RECOGNITION THRESHOLD AND MEASUREMENT ATTRIBUTE FOR THE FINANCIAL STATEMENT RECOGNITION AND MEASUREMENT OF A TAX POSITION TAKEN, OR EXPECTED TO BE TAKEN, IN A TAX RETURN. THERE WERE NO MATERIAL UNCERTAIN TAX POSITIONS AS OF DECEMBER 31, 2024 AND 2023. 1 1 X 1 X 250.000000000000 1 X 1 1 1 0 1 0 13261284 13261284 0.04910 37534146 19246935 18287211 0.06770 50795430 19246935 31548495 0.11680 45283 45283 0.00020 92023 92023 0.00030 137306 137306 0.00050 50932736 19246935 31685801 0.11730 1 18411156 922788 40141316 44786547 -4645231 X 1 1 1 ORANGE CITY SURGICAL LLC OUTPATIENT SURGICAL CENTER 0.51000 0.00000 0.49000 1 1 ADVENTHEALTH FISH MEMORIAL 1055 SAXON BLVD ORANGE CITY FL 32763 WWW.ADVENTHEALTH.COM/HOSPITAL/ADVENTHE 4408 X X X ADVENTHEALTH FISH MEMORIAL 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 23 1 SEE PART V, PAGE 8 0 1 X 250.000000000000 400.000000000000 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 ADVENTHEALTH FISH MEMORIAL PART V, SECTION B, LINE 5: SOUTHWEST VOLUSIA HEALTHCARE CORPORATION, D/B/A ADVENTHEALTH FISH MEMORIAL (AHFM OR THE HOSPITAL) OPERATES A HOSPITAL IN VOLUSIA COUNTY, FLORIDA WITH A TOTAL OF 253 LICENSED BEDS. FOR PURPOSES OF ITS 2022 COMMUNITY HEALTH NEEDS ASSESSMENT, THE HOSPITAL DEFINED ITS COMMUNITY AS ITS PRIMARY SERVICE AREA FROM WHICH 70% OF ITS PATIENTS COME. AS A PART OF ITS EFFORTS TO ENSURE BROAD COMMUNITY-BASED INPUT INTO THE CHNA PROCESS, THE HOSPITAL PARTICIPATED IN THE VOLUSIA/FLAGLER COUNTIES CHNA COLLABORATIVE (THE COLLABORATIVE) TO HELP GUIDE THE HOSPITAL THROUGH THE ASSESSMENT PROCESS. THE COLLABORATIVE INCLUDED REPRESENTATION FROM THE HOSPITAL, PUBLIC HEALTH EXPERTS AND THE BROAD COMMUNITY WITH INTENTIONAL REPRESENTATION FROM LOW-INCOME, MINORITY AND OTHER UNDERSERVED POPULATIONS. THE COLLABORATIVE COLLECTED INPUT DIRECTLY FROM THE COMMUNITY AND COMMUNITY STAKEHOLDERS, INCLUDING INDIVIDUALS WORKING IN ORGANIZATIONS THAT ADDRESS THE NEEDS AND INTERESTS OF THE COMMUNITY. PRIMARY DATA WAS COLLECTED THROUGH A COMMUNITY SURVEY, STAKEHOLDER INTERVIEWS, AND FOCUS GROUPS. A TOTAL OF 50 STAKEHOLDERS PARTICIPATED IN THE COLLABORATIVE AND INCLUDED THE FOLLOWING ORGANIZATIONS WHICH SPECIFICALLY ADDRESS THE NEEDS OF THE MEDICALLY UNDERSERVED, LOW-INCOME AND MINORITY MEMBERS OF THE HOSPITAL'S COMMUNITY. SMA HEALTHCARE, PROVIDING BEHAVIORAL HEALTH SERVICES,ADDICTION EDUCATION FOUNDATION,AFRICAN AMERICAN ENTREPRENEURS ASSOCIATION, INC.,BLACK HOMESCHOOLERS OF CENTRAL FLORIDA,CARVER CENTER,CATALYST GLOBAL YOUTH INITIATIVES, INC.,CHISHOLM COMMUNITY CENTER IN DELAND,DEPARTMENT OF HEALTH IN VOLUSIA COUNTY,DEPARTMENT OF HEALTH IN FLAGLER COUNTY,EARLY LEARNING COALITION OF FLAGLER AND VOLUSIA,EASTERSEALS NORTHEAST CENTRAL FLORIDA,FAMILY LIFE CENTER,FLAGLER CARES/ONE VOICE FOR VOLUSIA,FLAGLER COUNTY FREE CLINIC,FLAGLER COUNTY SCHOOL BOARD,FLAGLER NAACP,FLAGLER OARS,FLAGLER SHELTERING TREE,FOOD BRINGS HOPE,HALIFAX URBAN MINISTRIES,HEALTHY START COALITION OF FLAGLER AND VOLUSIA COUNTIES,JESUS CLINIC,UNITED WAY OF VOLUSIA/FLAGLER COUNTIES,VOLUSIA COUNTY SCHOOLS, ANDVOLUSIA/FLAGLER COALITION FOR THE HOMELESS. ADVENTHEALTH FISH MEMORIAL 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. ADVENTHEALTH FISH MEMORIAL PART V, SECTION B, LINE 11: SEE LINE 11 FOOTNOTE BELOW. SCHEDULE H, PART V, SECTION B, LINE 7A: THE CHNA REPORT FOR ADVENTHEALTH FISH MEMORIAL CAN BE FOUND AT URL:HTTPS://WWW.ADVENTHEALTH.COM/COMMUNITY-HEALTH-NEEDS-ASSESSMENTS SCHEDULE H, PART V, SECTION B, LINE 10A: THE HOSPITAL'S MOST RECENTLY ADOPTED IMPLEMENTATION STRATEGY CAN BE FOUND AT:HTTPS://WWW.ADVENTHEALTH.COM/COMMUNITY-HEALTH-NEEDS-ASSESSMENTS SCHEDULE H, PART V, SECTION B, LINE 11: SOUTHWEST VOLUSIA HEALTHCARE CORPORATION DBA ADVENTHEALTH FISH MEMORIAL WILL BE REFERRED TO IN THIS DOCUMENT AS ADVENTHEALTH FISH MEMORIAL OR "THE HOSPITAL". THE HOSPITAL IS A WHOLLY OWNED SUBSIDIARY OF ADVENTIST HEALTH SYSTEM SUNBELT HEALTHCARE CORPORATION (AHSSHC). AHSSHC IS THE 501(C)(3) PARENT ORGANIZATION OF A HOSPITAL AND HEALTHCARE SYSTEM KNOWN AS ADVENTHEALTH.THIS IS THE SECOND-YEAR UPDATE FOR THE HOSPITAL'S 2023-2025 COMMUNITY HEALTH PLAN/IMPLEMENTATION STRATEGY. THE HOSPITAL DEVELOPED THIS PLAN AND POSTED IT IN MAY 2023 AS PART OF ITS 2022 COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS. FOR THE DEVELOPMENT OF BOTH THE COMMUNITY HEALTH NEEDS ASSESSMENT AND THE COMMUNITY HEALTH PLAN/IMPLEMENTATION STRATEGY, ADVENTHEALTH FISH MEMORIAL WORKED TO DEFINE AND ADDRESS THE NEEDS OF LOW-INCOME, MINORITY AND UNDERSERVED POPULATIONS IN ITS SERVICE AREA. THE COMMUNITY HEALTH NEEDS ASSESSMENT USED PRIMARY DATA INTERVIEWS AND SURVEYS; SECONDARY DATA FROM LOCAL, REGIONAL, AND NATIONAL HEALTH-RELATED SOURCES; AND HOSPITAL PREVALENCE DATA TO HELP THE HOSPITAL DETERMINE THE HEALTH NEEDS OF THE COMMUNITY IT SERVES. ONCE THE DATA WAS GATHERED, THE HEALTH ISSUES IDENTIFIED IN THE COMMUNITY HEALTH NEEDS ASSESSMENT WERE PRIORITIZED BY COMMUNITY AND HOSPITAL STAKEHOLDERS, WHO THEN SELECTED KEY PRIORITIES FOR THE HOSPITAL TO ADDRESS IN ITS COMMUNITY HEALTH PLAN. THE SECOND-YEAR PROGRESS ON THE COMMUNITY HEALTH PLAN IS NOTED BELOW. THE NARRATIVE DESCRIBES THE PRIORITIES IDENTIFIED IN 2022 AND GIVES AN UPDATE ON THE STRATEGIES ADDRESSING THOSE PRIORITIZED NEEDS. THERE IS ALSO A DESCRIPTION OF THE IDENTIFIED NEEDS THAT THE HOSPITAL DID NOT PRIORITIZE TO ADDRESS. THE HOSPITAL'S CHOSEN PRIORITIES ARE LISTED BELOW:1. BEHAVIORAL HEALTH: DRUG AND SUBSTANCE USE2. EARLY CHILDHOOD EDUCATION3. COMMUNITY ENGAGEMENT IN AVAILABLE RESOURCES AND SERVICES PRIORITY 1: BEHAVIORAL HEALTH: DRUG AND SUBSTANCE USE 2022 DESCRIPTION OF THE PRIORITY: FENTANYL DEATHS IN VOLUSIA COUNTY INCREASED 2.5% FROM 2013 TO 2019, AND OPIOID-RELATED DEATHS DOUBLED FROM 2019 TO 2020. COMPARED TO THE STATE, VOLUSIA COUNTY HAS HIGHER RATES OF SUBSTANCE OVERDOSE DEATHS PER 100,000, INCLUDING FENTANYL, COCAINE, HEROIN, AND METH. VOLUSIA COUNTY ALSO HAS HIGHER RATES THAN THE STATE FOR VAPING (TOBACCO AND MARIJUANA), ALCOHOL, BINGE DRINKING AND MARIJUANA USE. AWARENESS OF AND THE NEED TO ADDRESS SUBSTANCE USE, AS WELL AS A GROWING FENTANYL CRISIS, HAS BEEN INCREASING IN THE COUNTRY. 2024 UPDATE: GOAL 1.1: PARTNER WITH VOLUSIA RECOVERY ALLIANCE TO INCREASE AWARENESS, REDUCE STIGMA, AND CONNECT PEOPLE IN NEED TO OUTREACH AND EDUCATION. OBJECTIVE 1.1.1: BY DECEMBER 31, 2025, HOLD 10 NARCAN EDUCATION & DISTRIBUTION EVENTS WITH THE VOLUSIA RECOVERY ALLIANCE AT THE HOSPITAL AND WITH LOCAL COMMUNITY AND FAITH PARTNERS. (FAITH COMMUNITY STRATEGY) BY THE END OF 2024, THE HOSPITALS HELD TEN NARCAN EDUCATION & DISTRIBUTION EVENTS. THE EVENTS WERE PROMOTED THROUGH SOCIAL MEDIA AND PRESS RELEASE FLYERS WITHIN THE HOSPITALS AND THE COMMUNITY. VOLUSIA RECOVERY ALLIANCE, FOCUSED ON COORDINATING PEER-DRIVEN SERVICES THAT PROVIDE SUBSTANCE USE RECOVERY RESOURCES TO THE LOCAL COMMUNITY, SERVED AS A COMMUNITY PARTNER BY PROVIDING NARCAN, EDUCATIONAL MATERIALS AND STAFF FOR THE EVENTS. DISCUSSIONS ON FUTURE EVENTS ARE IN PROGRESS. OVER 6,000 INDIVIDUALS HAVE BEEN SERVED THROUGH THE EVENTS. ADDITIONALLY, ADVENTHEALTH CASE MANAGERS, COMMUNITY CARE AND NURSING STAFF USE THE WHOLE HEALTH HUB, A COLLECTION OF ORGANIZATIONS PROVIDING COMMUNITY CARE, TO REFER PATIENTS TO VOLUSIA RECOVERY ALLIANCE FOR FURTHER CARE. GOAL 1.2: ALIGN WITH DEI COUNCIL TO IMPACT LIVER DISEASE IMPROVE PATIENT ACCESS TO LIVER DISEASE RELATED CARE AND EDUCATION. (DEI) OBJECTIVE 1.2.1: FORM PARTNERSHIP WITH COMMUNITY-BASED ORGANIZATIONS SERVING THIS POPULATION TO INCLUDE SHEPHERD'S HOPE FOR CONTINUUM OF CARE FOR THIS PATIENT POPULATION. ENGAGE WITH COMMUNITY PARTNERS FOR IMPROVED NUTRITIONAL OPTIONS AND ONGOING EDUCATION TO PREVENT OR MITIGATE ONGOING DISEASE AND ITS COMPLICATIONS. BY DECEMBER 31, 2025, PARTNER WITH SHEPHERD'S HOPE AND OTHER LOCAL ORGANIZATIONS TO HOST 4 COMMUNITY ENGAGEMENT PROGRAMS. THE HOSPITAL SELECTED THE PRIMARY AREA OF HEPATOBILIARY DISEASE OR LIVER DISEASE AND THE FACTORS THAT GUIDED THAT SELECTION PRIMARILY FOR THE FACT THAT LOOKING OVER THE PAST THREE YEARS, THESE PATIENTS WITH A BILIARY DISEASE WERE UNINSURED OR UNDERINSURED AND THEY SHOWED A HIGHER PERCENTAGE OF READMISSIONS AS WELL AS COMPLICATIONS AFTER THEIR TREATMENT. THE LIVER PROGRAM WAS ESTABLISHED THROUGH A KELLOGG GRANT. THESE PATIENTS ARE IDENTIFIED BASED ON THEIR DIAGNOSIS, AND THEY ARE PULLED OUT FROM THE CENSUS BY OUR CARE MANAGEMENT TEAM AND SENT TO OUR PROGRAM NAVIGATOR FOR FOLLOW UP. WE FOUND THAT BY CONNECTING THESE PATIENTS WITH OUTPATIENT SERVICES, OUTPATIENT MEDICAL CARE AND OUTPATIENT PARACENTESIS, THEY CAN GO ON WITH THEIR LIVES IN A MUCH MORE CONSTRUCTIVE FASHION, AND NOT HAVE TO BE ADMITTED TO THE HOSPITAL. THE LIVER PROGRAM'S NAVIGATOR WAS SUCCESSFUL IN HELPING PATIENTS WITH THEIR LIVER TRANSPLANTS. AT THE END OF 2024, THE HOSPITAL CONCLUDED THE LIVER PROGRAM. OBJECTIVE 1.2.2: HOST PRESENTATIONS RECOMMENDING THE WHOLE HEALTH HUB (WHH) FOR ADVENTHEALTH TEAM MEMBERS TO BECOME FAMILIAR WITH. WHH IS A FREE WEBSITE THAT IS EASY FOR CONSUMERS TO CONNECT WITH QUALITY ORGANIZATIONS THAT CAN PROVIDE HELP WHEN IT IS NEEDED MOST. FREE AND LOW-COST SERVICES IN THE GEOGRAPHIC AREA INCLUDE FOOD, HOUSING, BABY AND MEDICAL SUPPLIES, TRANSPORTATION, ADDICTION AND RECOVERY, FINANCIAL ASSISTANCE, ADOPTION AND FOSTER CARE, EDUCATION, FINDING WORK, LEGAL AID. PRESENTATIONS WILL ENCOURAGE TEAM MEMBERS TO REGISTER FOR TRAINING THROUGH THE ADVENTHEALTH LEARNING NETWORK AND REFER PATIENTS TO WHOLE HEALTH HUB. BY DECEMBER 31, 2025, HOST 11 PRESENTATIONS FROM A BASELINE OF 2 TO PROMOTE AND INCREASE THE USE OF WHOLE HEALTH HUB AMONG TEAM MEMBERS. BY THE END OF 2024, ADVENTHEALTH FISH MEMORIAL HOSTED 11 PRESENTATIONS ON THE WHOLE HEALTH HUB FOR THEIR TEAM MEMBERS AND UTILIZED THEIR INTERNAL ADVENTHEALTH LEARNING NETWORK TO PROVIDE A LEARNING COURSE ON THE WHOLE HEALTH HUB. ** SEE CONTINUATION SCHEDULE H, PART V, SECTION B, LINE 11 CONTINUATION GOAL 1.3: IMPROVE ACCESS TO BEHAVIORAL HEALTH SERVICES IN WEST VOLUSIA COUNTY. OBJECTIVE 1.3.1: PARTNER WITH PROJECT OPIOID TO HOST A SUMMIT IN WEST VOLUSIA MAPPING PATHWAYS TO CARE, IDENTIFY GAPS AND NECESSARY CAPACITY TO PRESENT TO VOLUSIA COUNTY, LSF HEALTH SYSTEMS AND DEPARTMENT OF CHILDREN & FAMILIES FOR FUNDING. THIS INITIATIVE HAS SHIFTED FOCUS. IN 2024, A SMA HEALTHCARE PEER SPECIALIST JOINED ADVENTHEALTH DELAND AND ADVENTHEALTH FISH MEMORIAL TO WORK WITH PATIENTS WHO ENTER THE ER WITH SUBSTANCE USE PROBLEMS. BY ALLOWING PATIENTS AN OPPORTUNITY TO SHARE AND SPEAK WITH SOMEONE WHO "WALKS IN SIMILAR SHOES" IT ALLOWED PATIENTS TO FEEL SAFER STARTING DIALOGUE AND ACCEPT SUPPORT/CONNECTIONS. IN 2024, 18 PATIENTS WERE REFERRED TO SMA PEER SUPPORT. PRIORITY 2: EARLY CHILDHOOD EDUCATION 2022 DESCRIPTION OF THE PRIORITY: THE ASSESSMENT SHOWED THAT THE PERCENTAGE OF YOUTH READY FOR KINDERGARTEN AT ENTRY HAS DECLINED IN VOLUSIA COUNTY, ALTHOUGH IT'S STILL HIGHER THAN THAT OF THE STATE. ACCORDING TO PUBLIC DATA, ONLY 50.2% OF TODDLERS ARE ENROLLED IN PRESCHOOL, WHICH HELPS PREPARE YOUTH FOR KINDERGARTEN AND BEYOND. THE HOSPITAL PRIORITIZED EARLY CHILDHOOD EDUCATION BECAUSE OF THE FOUNDATION IT PROVIDES FOR BETTER HEALTH AND LONG-TERM OUTCOMES FOR ALL RESIDENTS. 2024 UPDATE: GOAL 2.1: INCREASE THE PROPORTION OF CHILDREN WHO PARTICIPATE IN HIGH-QUALITY EARLY CHILDHOOD EDUCATION PROGRAMS. (HEALTHY PEOPLE 2030) OBJECTIVE 2.1.1: BY DECEMBER 31, 2025, PARTNER WITH THE EARLY LEARNING COALITION OF FLAGLER & VOLUSIA COUNTIES (ELCFV) TO HOST THREE EDUCATIONAL EVENTS WITH INVITED EXPERTS WHO WILL DISCUSS THE IMPORTANCE OF EARLY LEARNING. THESE EVENTS WILL BE USED AS AN OPPORTUNITY FOR ALL FAMILIES IN ATTENDANCE TO ENROLL THEIR CHILDREN IN SERVICES OFFERED BY ELCFV, INCLUDING FLORIDA'S VOLUNTARY PREKINDERGARTEN (VPK) PROGRAM. RESEARCH SHOWS THAT WHEN LEARNING IS PART OF A GAME, FUN ACTIVITY, OR EVERYDAY ROUTINE, INFORMATION STICKS LONGER. THROUGH FLORIDA'S VOLUNTARY PREKINDERGARTEN (VPK) PROGRAM, CHILDREN CAN LEARN ALL DEVELOPMENTAL DOMAINS THROUGH PLAY. THE EIGHT DOMAINS INCLUDE: PHYSICAL HEALTH, APPROACHES TO LEARNING, SOCIAL AND EMOTIONAL DEVELOPMENT, LANGUAGE AND COMMUNICATION, EMERGENT LITERACY, MATHEMATICAL AND SCIENTIFIC THINKING, SOCIAL STUDIES AND THE ARTS, AND MOTOR DEVELOPMENT. FAMILIES WILL HAVE THE OPPORTUNITY TO ENROLL IN THE 3TS. THE 3TS PROGRAM IS COMPRISED OF FREE RESOURCES DESIGNED TO HELP PARENTS UNDERSTAND HOW IMPORTANT THEIR ROLE IS IN THEIR CHILD'S BRAIN DEVELOPMENT. BY THE END OF 2024, ADVENTHEALTH FISH MEMORIAL PARTNERED WITH THE EARLY LEARNING COALITION OF FLAGLER AND VOLUSIA COUNTIES (ELCFV) TO HOLD THREE EDUCATIONAL EVENTS FOR 60 INDIVIDUALS ON EARLY LEARNING. ELCFV WORKS TO ENHANCE CHILDREN'S SCHOOL READINESS BY PROVIDING OPPORTUNITIES FOR QUALITY EARLY LEARNING, WHILE STRENGTHENING FAMILY STABILITY FOR A HEALTHY COMMUNITY. THE HOSPITAL PROVIDED THE MEETING SPACE AND PROMOTED THE EVENT THROUGH SOCIAL MEDIA AND FLYERS AT PEDIATRICIAN OFFICES. OBJECTIVE 2.1.2: BY DECEMBER 31, 2025, PARTNER WITH THE EARLY LEARNING COALITION OF FLAGLER & VOLUSIA COUNTIES TO PROVIDE APPROXIMATELY 3,600 SUMMER TAKE HOME BAGS TO VPK STUDENTS TO PREVENT SUMMER READING LOSS IN PREPARATION FOR KINDERGARTEN. IN 2024, ADVENTHEALTH WOMEN AND CHILDREN'S SERVICES PARTNERED WITH THE EARLY LEARNING COALITION OF FLAGLER AND VOLUSIA COUNTIES (WORKING TO ENHANCE CHILDREN'S SCHOOL READINESS BY PROVIDING OPPORTUNITIES FOR QUALITY EARLY LEARNING, WHILE STRENGTHENING FAMILY STABILITY FOR A HEALTHY COMMUNITY) TO PROVIDE $10,000 TO PURCHASE AND DISTRIBUTE 3,600 SUMMER TAKE HOME BAGS FOR ELCFV VPK STUDENTS. THE SUMMER TAKE HOME BAGS INCLUDE STORYBOOKS, TOYS FOR DEVELOPMENT, A TRACKER TO HELP PARENTS VIEW BRAIN DEVELOPMENT MILESTONES, AND COMMUNITY RESOURCE INFORMATION TO HELP SUPPORT PARENTS. IT ALSO INCLUDES INFORMATION ON LOCAL LIBRARY LOCATIONS, SCREEN TIME GUIDELINES, AND HEALTHY LIFESTYLE ADVICE. GOAL 2.2: INCREASE THE PROPORTION OF CHILDREN WHO ARE DEVELOPMENTALLY ON TRACK AND READY FOR SCHOOL. (HEALTHY PEOPLE 2030) OBJECTIVE 2.2.1: BY DECEMBER 31, 2025, PARTNER WITH EARLY LEARNING COALITION OF FLAGLER & VOLUSIA COUNTIES TO OFFER THREE PARENT INFORMATION SESSIONS DEDICATED TO THE IMPORTANCE OF DEVELOPMENTAL SCREENINGS BOTH THROUGH SCHOOL READINESS AND HELP ME GROW WHICH PROVIDE TOOLS TO MOVE CHILDREN FORWARD IN THEIR SKILLS OUTSIDE OF THE CLASSROOM. THIS INITIATIVE AND THE OUTCOMES ARE SHARED ACROSS MULTIPLE FACILITIES IN THE EAST FLORIDA DIVISION. THIS INCLUDES ADVENTHEALTH DELAND, ADVENTHEALTH FISH MEMORIAL, ADVENTHEALTH NEW SMYRNA BEACH, AND ADVENTHEALTH PALM COAST. BY THE END OF 2024, THE HOSPITALS CONDUCTED THREE PARENT INFORMATION SESSIONS WITH A TOTAL OF 50 ATTENDEES. THE HOSPITALS CONTRIBUTED $10,000 TO THIS INITIATIVE. OBJECTIVE 2.2.2: BY DECEMBER 31, 2025, PARTNER WITH EARLY LEARNING COALITION OF FLAGLER & VOLUSIA COUNTIES TO OFFER THREE CLINICAL PROVIDER INFORMATION SESSIONS DEDICATED TO THE IMPORTANCE OF DEVELOPMENTAL SCREENINGS BOTH THROUGH SCHOOL READINESS AND HELP ME GROW WHICH PROVIDE TOOLS TO MOVE CHILDREN FORWARD IN THEIR SKILLS OUTSIDE OF THE CLASSROOM. THIS INITIATIVE AND THE OUTCOMES ARE SHARED ACROSS MULTIPLE FACILITIES IN THE EAST FLORIDA DIVISION. THIS INCLUDES ADVENTHEALTH DELAND, ADVENTHEALTH FISH MEMORIAL, ADVENTHEALTH NEW SMYRNA BEACH, AND ADVENTHEALTH PALM COAST. THE HOSPITALS MET WITH THE EARLY LEARNING COALITION OF FLAGLER AND VOLUSIA COUNTIES TO STRATEGIZE HOSTING LUNCH AND LEARN SESSIONS TO ENGAGE PHYSICIANS AND THEIR OFFICES. NO INFORMATION SESSIONS HAVE BEEN HOSTED YET, BUT DISCUSSIONS CONTINUE. GOAL 2.3: INCREASE THE PROPORTION OF CHILDREN WITH A DEVELOPMENTAL DELAY WHO RECEIVE SPECIAL SERVICES TO MEET THEIR DEVELOPMENTAL NEEDS BY 48 MONTHS OF AGE. (HEALTHY PEOPLE 2030) OBJECTIVE 2.3.1: PARTNER WITH EASTERSEALS NORTHEAST CENTRAL FLORIDA OFFERING BEHAVIORAL INTERVENTION SERVICES. BY DECEMBER 31, 2025, PROVIDE 5 INFORMATION SESSIONS ON THE P.L.A.Y. PROJECT TO EXPAND THE SCOPE AND REACH OF SERVICES. THE P.L.A.Y. PROJECT IS AN AUTISM TRAINING AND EARLY INTERVENTION PROGRAM, AND EASTERSEALS OFFERS P.L.A.Y. THERAPY AT THEIR AUTISM CENTER OF EXCELLENCE (A.C.E.). PARTNER DONATIONS ALLOW THEM TO SERVE MORE CHILDREN AGES 18 MONTHS TO 6 YEARS WITH GAINING LANGUAGE AND SOCIAL SKILLS. THIS INITIATIVE AND THE OUTCOMES ARE SHARED ACROSS MULTIPLE FACILITIES IN THE EAST FLORIDA DIVISION. THIS INCLUDES ADVENTHEALTH DELAND, ADVENTHEALTH FISH MEMORIAL, ADVENTHEALTH NEW SMYRNA BEACH, AND ADVENTHEALTH PALM COAST. IN 2024, THE HOSPITAL FUNDED THE FAMILY INTENSIVE TRAINING (FIT) PROGRAM. THIS PROGRAM IS FOCUSED ON AIDING PARENTS WITH CHILDREN ON WAITLISTS FOR SERVICES OR SIMPLY WITHOUT ACCESS TO BEHAVIORAL HEALTH SERVICES SO THEY CAN LEARN SKILLS TO AID THEIR NEURODIVERGENT CHILD PRIOR TO ACCESSING HEALTHCARE AIDED ASSISTANCE. THE PROGRAM OFFERS 10-12 TAILORED PARENT TRAINING SESSIONS WITH A BOARD-CERTIFIED BEHAVIORAL ANALYST FOR UP TO 10 FAMILIES. FIT WAS CREATED BY A CRITICAL NEED IDENTIFIED BY THE ABA AND PEDIATRIC THERAPY CLINICIANS AND CASE MANAGERS IN WORKING WITH THE EARLY CHILDHOOD CENTER STUDENTS. THE HOSPITAL PROVIDED $2,000 FOR THIS PROGRAM. BY THE END OF 2024, THE HOSPITALS PROVIDED A TOTAL OF FOUR INFORMATION SESSIONS. PRIORITY 3: COMMUNITY ENGAGEMENT IN AVAILABLE RESOURCES AND SERVICES 2022 DESCRIPTION OF THE PRIORITY: DATA IN THE ASSESSMENT HIGHLIGHTED HOW COMPLICATED THE HEALTH CARE SYSTEM CAN BE TO UNDERSTAND AND NAVIGATE, EVEN FOR THOSE WHO WORK WITHIN THE INDUSTRY. MANY STAKEHOLDERS DISCUSSED HOW DISCONNECTED DIFFERENT PARTS OF THE HEALTH CARE SYSTEM ARE, LEADING TO A LACK OF CARE COORDINATION BETWEEN DIFFERENT PROVIDERS AND A LOW AWARENESS IN THE COMMUNITY OF WHAT SERVICES AND RESOURCES ARE AVAILABLE. WORD-OF-MOUTH TENDS TO BE THE BEST METHOD TO SHARE INFORMATION, ESPECIALLY IN PRIORITY POPULATIONS. ** SEE CONTINUATION SCHEDULE H, PART V, SECTION B, LINE 11 CONTINUATION 2024 UPDATE: GOAL 3.1: INCREASE ACCESS TO INCOME AND HEALTH INSURANCE COVERAGE FOR VULNERABLE INDIVIDUALS. OBJECTIVE 3.1.1: PROVIDE ACCESS TO A SOAR PROCESSOR (SSI/SSDI OUTREACH, ACCESS, AND RECOVERY) THROUGH PARTNERSHIP WITH FLAGLER CARES SOAR TO ASSIST 180 ELIGIBLE COMMUNITY CARE PATIENTS TO APPLY FOR AND OBTAIN SSI/SSDI BENEFITS (INCLUDING INCOME AND MEDICAID/MEDICARE) BY DECEMBER 31, 2025. ADVENTHEALTH FISH MEMORIAL REFERRED FIVE PATIENTS TO FLAGLER CARES SOAR PROGRAM. OF THE FIVE APPLICANTS, THREE WERE SUCCESSFUL, ONE WAS UNSUCCESSFUL, AND ONE IS STILL ENROLLED AND RECEIVING SERVICES FROM FLAGLER CARES SOAR PROCESSORS. IN 2024, SUCCESSFUL APPLICANTS WERE AWARDED $54,590 IN BACKPAY AND AWARDED $4,581 IN MONTHLY BENEFITS. THE HOSPITAL PROVIDED $10,833 TO FUND THE SOAR PROCESSOR'S POSITION. GOAL 3.2: INCREASE SOCIAL AND COMMUNITY SUPPORT TO IMPROVE HEALTH AND SOCIAL OUTCOMES FOR UNDERSERVED POPULATIONS. (HEALTHY PEOPLE 2030) OBJECTIVE 3.2.1: INCREASE THE NUMBER OF AREA NON-PROFIT ORGANIZATIONS TRAINED ON THE WHOLE HEALTH HUB AND THUS ADDED TO THE WHOLE HEALTH HUB'S TRUSTED NETWORK. THE WHOLE HEALTH HUB IS A FREE WEBSITE THAT ALLOWS ANYONE TO SEARCH FOR AND CONNECT TO A WIDE VARIETY OF SOCIAL SERVICES BASED ON THEIR LOCATION. BY DECEMBER 31, 2025, WE WILL INCREASE THE NUMBER OF CLAIMED NON-PROFIT ORGANIZATIONS TO 30 FROM A BASELINE OF 18. (DEI-AHDB, AHD, AHFM, AHNSB, AHPC) EIGHTEEN NONPROFIT ORGANIZATIONS ARE CLAIMED ON THE WHOLE HEALTH HUB AS OF DECEMBER 31, 2024. ADVENTHEALTH FISH MEMORIAL HAS IDENTIFIED AND INVITED ADDITIONAL LOCAL NONPROFIT ORGANIZATIONS TO JOIN THE WHOLE HEALTH HUB AND WILL WORK WITH FINDHELP TO SCHEDULE TRAININGS TO INTERESTED ORGANIZATIONS. FINDHELP IS A SOCIAL CARE NETWORK THAT USES THEIR TECHNOLOGY TO POWER THE WHOLE HEALTH HUB. OBJECTIVE 3.2.2: INVITE FAITH COMMUNITIES TO JOIN THE WHOLE HEALTH HUB AND PROMOTE USE OF THE PLATFORM TO HELP INDIVIDUALS FIND FREE AND LOW-COST SERVICES/RESOURCES IN THE COMMUNITY. BY DECEMBER 21, 2025, WE WILL INCREASE THE NUMBER OF CLAIMED FAITH-BASED NON-PROFIT ORGANIZATIONS TO 12 FROM A BASELINE OF 6. (FAITH COMMUNITY STRATEGY) SIX FAITH-BASED NONPROFIT ORGANIZATIONS ARE CLAIMED ON THE WHOLE HEALTH HUB AS OF DECEMBER 31, 2024. ADVENTHEALTH FISH MEMORIAL WILL CONTINUE TO COLLABORATE WITH HOSPITAL CHAPLAINS TO IDENTIFY AND INVITE ADDITIONAL LOCAL FAITH-BASED ORGANIZATIONS TO JOIN THE WHOLE HEALTH HUB. FINDHELP, A SOCIAL NETWORK THAT USES THEIR TECHNOLOGY TO POWER THE WHOLE HEALTH HUB, SERVED AS A COMMUNITY PARTNER. OBJECTIVE 3.2.3: PROVIDE MENTORSHIP AND EDUCATION FOUR TIMES ANNUALLY TO SUPPORT IMPROVED HEALTH TO 75% OF BOYS & GIRLS CLUBS OF VOLUSIA AND FLAGLER MEMBERS AT NINE AREA CLUBS. THIS INITIATIVE AND THE OUTCOMES ARE SHARED ACROSS MULTIPLE FACILITIES IN THE EAST FLORIDA DIVISION. THIS INCLUDES ADVENTHEALTH DELAND, ADVENTHEALTH FISH MEMORIAL, ADVENTHEALTH NEW SMYRNA BEACH, AND ADVENTHEALTH PALM COAST. IN 2024, THE HOSPITALS PROVIDED MENTORSHIP AND EDUCATION FOUR TIMES. THE EDUCATION CENTERED AROUND WATER SAFETY, EARTH DAY, AND TEENAGE MENTAL HEALTH. THE BOYS AND GIRLS CLUBS OF VOLUSIA/FLAGLER COUNTIES IS AN ORGANIZATION THAT INSPIRES AND ENABLES ALL YOUNG PEOPLE TO REACH THEIR FULL POTENTIAL. OBJECTIVE 3.2.4: PROVIDE $4,000 ANNUALLY TO SUPPORT THE BOYS & GIRLS CLUBS OF VOLUSIA AND FLAGLER AS PART OF A REGIONAL STRATEGIC PARTNERSHIP TO PROVIDE DAILY FRESH FRUIT AND WHOLE GRAIN SNACKS TO CLUB MEMBERS AT EACH CLUB (THERE ARE CURRENTLY NINE CLUBS IN TOTAL). THIS INITIATIVE AND THE OUTCOMES ARE SHARED ACROSS MULTIPLE FACILITIES IN THE EAST FLORIDA DIVISION. THIS INCLUDES ADVENTHEALTH DELAND, ADVENTHEALTH FISH MEMORIAL, ADVENTHEALTH NEW SMYRNA BEACH, AND ADVENTHEALTH PALM COAST. IN 2024, ADVENTHEALTH FISH MEMORIAL PROVIDED $4,000 TO THE BOYS AND GIRLS CLUBS OF VOLUSIA/FLAGLER COUNTIES, AN ORGANIZATION THAT INSPIRES AND ENABLES ALL YOUNG PEOPLE TO REACH THEIR FULL POTENTIAL. THE FUNDS WERE USED TO PROVIDE HEALTHY SNACKS OF FRESH FRUIT AND WHOLE GRAINS TO CLUB PARTICIPANTS AT TWO LOCATIONS, LAKE HELEN AND DELTONA. GOAL 3.3: INCREASE THE NUMBER OF STATE HEALTH DEPARTMENTS (AND/OR HOSPITALS) THAT REPORT USING SOCIAL MARKETING IN HEALTH PROMOTION AND DISEASE PREVENTION PROGRAMS. (HEALTHY PEOPLE 2030) OBJECTIVE 3.3.1: PROVIDE CONTENT (I.E., COMMUNITY HEALTH PROGRAM REPORTS) ONCE PER YEAR FOR VOLUSIA AND FLAGLER COLLABORATIVE COMMUNITY HEALTH IMPROVEMENT PLAN WHICH IS REPORTED ON THE PUBLIC FACING WEBSITE MYSIDEWALK. THIS INITIATIVE AND THE OUTCOMES ARE SHARED ACROSS MULTIPLE FACILITIES IN THE EAST FLORIDA DIVISION. THIS INCLUDES ADVENTHEALTH DELAND, ADVENTHEALTH FISH MEMORIAL, ADVENTHEALTH NEW SMYRNA BEACH, AND ADVENTHEALTH PALM COAST. ADVENTHEALTH FISH MEMORIAL PROVIDED CONTENT FOR THE VOLUSIA AND FLAGLER COLLABORATIVE COMMUNITY HEALTH IMPROVEMENT PLAN. BY THE END OF 2024, TWO UPDATES WERE POSTED ON MYSIDEWALK, A PLATFORM TURNING DATA INTO POWERFUL INSIGHTS THAT GUIDE COMMUNITIES TOWARD A BETTER TOMORROW. OBJECTIVE 3.3.2: COLLABORATE WITH ADVENTHEALTH COMMUNICATIONS TO PUBLISH FOUR COMMUNITY PARTNER STORIES ABOUT HEALTH PROMOTION AND DISEASE PREVENTION PROGRAMS ANNUALLY ON SOCIAL MEDIA PLATFORMS, ELEVATING OUR PARTNERS TO DEVELOP CAPACITY FOR COMMUNITY ADVOCACY AT LARGE. THIS INITIATIVE AND THE OUTCOMES ARE SHARED ACROSS MULTIPLE FACILITIES IN THE EAST FLORIDA DIVISION. THIS INCLUDES ADVENTHEALTH DAYTONA BEACH, ADVENTHEALTH FISH MEMORIAL, ADVENTHEALTH NEW SMYRNA BEACH, AND ADVENTHEALTH PALM COAST. BY THE END OF 2024, TEN COMMUNITY PARTNER STORIES WERE PUBLISHED ON THE HOSPITALS SOCIAL MEDIA PLATFORMS. GOAL 3.4: EXPAND PIPELINE PROGRAMS THAT INCLUDE SERVICE LEARNING OR EXPERIENTIAL LEARNING COMPONENTS IN PUBLIC HEALTH SETTINGS (I.E., WORKFORCE DEVELOPMENT). (HEALTHY PEOPLE 2030) OBJECTIVE 3.4.1: BY DECEMBER 31, 2025, PARTNER WITH FLAGLER AND VOLUSIA COUNTY SCHOOLS, ADVENTHEALTH EDUCATION, AND ADVENTHEALTH SIMULATION LAB (SIMS) TO PROVIDE FOUR EDUCATIONAL OPPORTUNITIES ANNUALLY TO INCREASE AWARENESS AND INSPIRE WORKFORCE DEVELOPMENT ACROSS SECTORS. THIS INITIATIVE AND THE OUTCOMES ARE SHARED ACROSS MULTIPLE FACILITIES IN THE EAST FLORIDA DIVISION. THIS INCLUDES ADVENTHEALTH DELAND, ADVENTHEALTH FISH MEMORIAL, ADVENTHEALTH NEW SMYRNA BEACH, AND ADVENTHEALTH PALM COAST. BY THE END OF 2024, THE HOSPITALS PROVIDED FOUR EDUCATIONAL OPPORTUNITIES, REACHING OVER 100 STUDENTS. THE HOSPITALS PARTNERED WITH SEVERAL ORGANIZATIONS INCLUDING THE JUNIOR CHAMBER OF COMMERCE, THE PACE CENTER FOR GIRLS, AND VOLUSIA COUNTY SCHOOLS. GOAL 3.5: ELIMINATE VERY LOW FOOD SECURITY IN CHILDREN. (HEALTHY PEOPLE 2030) OBJECTIVE 3.5.1: PARTNER WITH LOCAL NONPROFITS AS WELL AS FAITH COMMUNITIES (I.E., HALIFAX URBAN MINISTRIES, LOCAL CHURCHES) TO FUND FOOD PROGRAMS AND FOOD DRIVES. BY DECEMBER 31, 2025, PARTNER WITH BACKPACK BUDDIES TO SERVE 800 CHILDREN. (FAITH ACCOUNTABILITY) IN 2024, ADVENTHEALTH FISH MEMORIAL PROVIDED FOOD TO 800 CHILDREN IN PARTNERSHIP WITH BACKPACK BUDDIES, AN ORGANIZATION FOCUSED ON ELIMINATING FOOD INSECURITY FOR SCHOOL-AGED CHILDREN AND FAMILIES. GOAL 3.6: ALIGN WITH DEI COUNCIL TO IMPACT SEPSIS PROVIDE COMMUNITY EDUCATION TO BUILD AWARENESS OF SEPSIS. SEPSIS HAPPENS WHEN AN INFECTION YOU ALREADY HAVE IN YOUR SKIN, LUNGS, OR SOMEWHERE ELSE TRIGGERS A CHAIN REACTION THROUGHOUT YOUR BODY. (DEI) OBJECTIVE 3.6.1: PROVIDE SEPSIS EDUCATIONAL MATERIALS TO THE COMMUNITY UTILIZING CDC CONTENT IN BUILDING AWARENESS OF SEPSIS PREVENTION AND SYMPTOMS. ANYONE CAN GET AN INFECTION, AND ALMOST ANY INFECTION CAN LEAD TO SEPSIS. IN 2024, ADVENTHEALTH FISH MEMORIAL PROVIDED A "SEPSIS (DISEASE SPECIFIC) ZONE TOOL EDUCATION" WHICH WAS GIVEN TO PATIENTS IN THEIR DISCHARGE PACKETS AND EDUCATION WAS PROVIDED EACH SHIFT WHILE THE PATIENT IS ADMITTED. PRIORITIES NOT ADDRESSED BY THE HOSPITAL:THE COMMUNITY HEALTH NEEDS ASSESSMENT IDENTIFIED MULTIPLE HEALTH NEEDS THROUGH THE COLLECTION OF PRIMARY AND SECONDARY DATA. AFTER REVIEWING THE DATA, THE HOSPITAL AND COMMUNITY STAKEHOLDERS CONDUCTED A PRIORITIZATION PROCESS. LISTED BELOW ARE THE PRIORITIES NOT ADDRESSED AND THE REASON WHY THEY WERE NOT SELECTED TO BE ADDRESSED. 1. MENTAL HEALTH: THE MENTAL HEALTH NEEDS OF THE COMMUNITY ARE SIGNIFICANT, BUT THE HHNAC DID NOT PERCEIVE THE ABILITY TO IMPACT THE ISSUE WITH EXISTING HOSPITAL RESOURCES AT THIS TIME. 2. HOUSING AND INCOME: THE HHNAC DID NOT PERCEIVE THE ABILITY TO HAVE A MEASURABLE IMPACT ON THESE ISSUES WITHIN THE THREE YEARS ALLOTTED FOR THE COMMUNITY HEALTH PLAN WITH THE CURRENT RESOURCES AVAILABLE TO THE HOSPITAL AT THIS TIME. SCHEDULE H, PART V, SECTION B, LINE 16A,B,C: THE FINANCIAL ASSISTANCE POLICY FOR THE HOSPITAL CAN BE FOUND AT URL:HTTPS://WWW.ADVENTHEALTH.COM/LEGAL/FINANCIAL-ASSISTANCETHE FINANCIAL ASSISTANCE POLICY APPLICATION FOR THE HOSPITAL CAN BE FOUND AT:HTTPS://WWW.ADVENTHEALTH.COM/LEGAL/FINANCIAL-ASSISTANCETHE PLAIN LANGUAGE SUMMARY FOR THE HOSPITAL IS AVAILABLE AT:HTTPS://WWW.ADVENTHEALTH.COM/LEGAL/FINANCIAL-ASSISTANCE 8 1 - ORANGE CITY SURGICAL LLC 1053 MEDICAL CENTER DRIVE SUITE 201 ORANGE CITY FL 32763 AMBULATORY SURGERY CENTER 2 - ADVENTHEALTH MEDICAL GROUP PHY CLINIC 910 WILLISTON PARK POINT SUITE 1000 LAKE MARY FL 32746 PHYSICIAN CLINIC 3 - ADVENTHEALTH MEDICAL GROUP PHY CLINIC 1565 SAXON BOULEVARD SUITE 201 DELTONA FL 32725 PHYSICIAN CLINIC 4 - ADVENTHEALTH MEDICAL GROUP PHY CLINIC 2885 WELLNESS AVENUE ORANGE CITY FL 32763 PHYSICIAN CLINIC 5 - ADVENTHEALTH MEDICAL GROUP PHY CLINIC 1061 MEDICAL CENTER DRIVE SUITE 203 ORANGE CITY FL 32763 PHYSICIAN CLINIC 6 - ADVENTHEALTH MEDICAL GROUP PHY CLINIC 1061 MEDICAL CENTER DRIVE SUITE 212 ORANGE CITY FL 32763 PHYSICIAN CLINIC 7 - ADVENTHEALTH MEDICAL GROUP PHY CLINIC 1061 MEDICAL CENTER DRIVE SUITE 205 ORANGE CITY FL 32763 PHYSICIAN CLINIC 8 - ADVENTHEALTH MEDICAL GROUP PHY CLINIC 1061 MEDICAL CENTER DRIVE SUITE 300 ORANGE CITY FL 32763 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 250% OF THE CURRENT FEDERAL POVERTY GUIDELINES (FPG). UNINSURED PATIENTS WITH HOUSEHOLD INCOMES THAT EXCEED 250% OF THE FPG BUT ARE LESS THAN 401% ARE GRANTED A 98% DISCOUNT ON APPLICABLE BALANCES. INSURED PATIENTS WITH OUT-OF-POCKET BALANCES WITH HOUSEHOLD INCOMES BETWEEN 250% AND 400% OF THE FPG MAY RECEIVE A 75% DISCOUNT FROM APPLICABLE CHARGES. ALTERNATIVELY, A PATIENT MAY ALSO QUALIFY FOR A 100% REDUCTION FROM CHARGES WHEN THE UNPAID PORTION OF A PATIENT'S BILL EXCEEDS 25% OF THE INDIVIDUAL'S ANNUAL HOUSEHOLD INCOME AND THE PATIENT'S TOTAL ANNUAL HOUSEHOLD INCOME DOES NOT EXCEED 400% OF FPG. MEDICARE RECIPIENTS MAY ALSO BE ELIGIBLE FOR FINANCIAL ASSISTANCE UNDER THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY DEPENDING UPON THE INDIVIDUAL'S INCOME AND RESOURCES. RESOURCES ARE GENERALLY DEFINED AS ASSETS SUCH AS MONEY IN CHECKING OR SAVINGS ACCOUNTS, STOCKS, AND BONDS. PART I, LINE 6A: THE FILING ORGANIZATION WAS A WHOLLY OR PARTIALLY OWNED SUBSIDIARY OF ADVENTIST HEALTH SYSTEM SUNBELT HEALTHCARE CORPORATION (AHSSHC) DURING ITS CURRENT TAX YEAR. DURING THE CURRENT YEAR, AHSSHC SERVED AS A PARENT ORGANIZATION TO 33 TAX-EXEMPT 501(C)(3) HOSPITAL ORGANIZATIONS AND OTHER SUBSIDIARY HEALTH CARE ORGANIZATIONS THAT OPERATED IN 12 STATES WITHIN THE U.S. THE SYSTEM OF ORGANIZATIONS UNDER THE CONTROL AND OWNERSHIP OF AHSSHC IS KNOWN AS "ADVENTHEALTH". ALL HOSPITAL ORGANIZATIONS WITHIN ADVENTHEALTH COLLECT, CALCULATE, AND REPORT THE COMMUNITY BENEFITS THEY PROVIDE TO THE COMMUNITIES THEY SERVE. ADVENTHEALTH ORGANIZATIONS EXIST SOLELY TO IMPROVE AND ENHANCE THE LOCAL COMMUNITIES THEY SERVE. ADVENTHEALTH HAS A SYSTEM-WIDE COMMUNITY BENEFITS ACCOUNTING POLICY THAT PROVIDES GUIDELINES FOR ITS HEALTH CARE PROVIDER ORGANIZATIONS TO CAPTURE AND REPORT THE COSTS OF SERVICES PROVIDED TO THE UNDERPRIVILEGED AND TO THE BROADER COMMUNITY. EACH ADVENTHEALTH HOSPITAL FACILITY REPORTS THEIR COMMUNITY BENEFITS TO THEIR BOARD OF DIRECTORS AND STRIVES TO COMMUNICATE THEIR COMMUNITY BENEFITS TO THEIR LOCAL COMMUNITIES. ADDITIONALLY, THE FILING ORGANIZATION'S MOST RECENTLY CONDUCTED COMMUNITY HEALTH NEEDS ASSESSMENT AND ASSOCIATED IMPLEMENTATION STRATEGY CAN BE ACCESSED ON THE FILING ORGANIZATION'S WEBSITE. PART I, LINE 7: THE AMOUNTS OF COSTS REPORTED IN THE TABLE IN LINE 7 OF PART I OF SCHEDULE H WERE DETERMINED BY UTILIZING A COST-TO-CHARGE RATIO DERIVED FROM WORKSHEET 2, RATIO OF PATIENT CARE COST-TO-CHARGES, CONTAINED IN THE SCHEDULE H INSTRUCTIONS. PART III, LINE 2: THE AMOUNT OF BAD DEBT EXPENSE REPORTED ON LINE 2 OF SECTION A OF PART III IS RECORDED IN ACCORDANCE WITH HEALTHCARE FINANCIAL MANAGEMENT ASSOCIATION STATEMENT NO. 15. DISCOUNTS AND PAYMENTS ON PATIENT ACCOUNTS ARE RECORDED AS ADJUSTMENTS TO REVENUE, NOT BAD DEBT EXPENSE. PART III, LINE 3: METHODOLOGY FOR DETERMINING THE ESTIMATED AMOUNT OF BAD DEBT EXPENSE THAT MAY REPRESENT PATIENTS WHO COULD HAVE QUALIFIED UNDER THE FILING ORGANIZATION'S FINANCIAL ASSISTANCE POLICY:UNINSURED AND INSURED PATIENTS MAY APPLY FOR FINANCIAL ASSISTANCE BY COMPLETING A FINANCIAL ASSISTANCE APPLICATION FORM (FAA FORM). IF AN UNINSURED INDIVIDUAL DOES NOT SUBMIT A COMPLETED FAA FORM WITHIN 240 DAYS OF RECEIVING THEIR FIRST POST-DISCHARGE BILLING STATEMENT, THEY MAY STILL BE CONSIDERED FOR PRESUMPTIVE ELIGIBILITY. THIS DETERMINATION CAN BE MADE THROUGH THE USE OF THIRD-PARTY SCORING TOOLS, WHICH CLASSIFY PATIENTS INTO GROUPS BASED ON ECONOMIC MEANS. USING THE SCORING RESULTS, INDIVIDUALS MAY BE DEEMED ELIGIBLE FOR FINANCIAL ASSISTANCE. IN SUCH CASES, A PERCENTAGE OF THEIR ACCOUNT BALANCE CAN BE DISCOUNTED IN ACCORDANCE WITH THE FILING ORGANIZATION'S FINANCIAL ASSISTANCE POLICY. DEPENDING ON THE DETERMINATION, A NOMINAL PORTION OF THE PATIENT'S BILL MAY BE WRITTEN OFF AS BAD DEBT EXPENSE, WHILE THE REMAINING BALANCE IS CLASSIFIED AS CHARITY. THE AMOUNT CATEGORIZED AS BAD DEBT EXPENSE FOR PATIENTS WHO QUALIFY UNDER PRESUMPTIVE ELIGIBILITY GUIDELINES IS REPORTED ON LINE 3 OF SECTION A IN PART III. THE FILING ORGANIZATION RECOGNIZES THAT SOME PATIENTS MAY FACE BARRIERS THAT PREVENT THEM FROM COMPLETING AN APPLICATION WITHIN THE 240-DAY FINANCIAL ASSISTANCE PERIOD. THESE BARRIERS MAY INCLUDE LACK OF COOPERATION OR EXTENUATING CIRCUMSTANCES BEYOND THE PATIENT'S CONTROL. TO ADDRESS SUCH SITUATIONS, THE FILING ORGANIZATION PARTNERS WITH AN INTERNAL REVENUE CODE SECTION 501(C)(3) THIRD-PARTY ORGANIZATION TO FORGIVE DEBT ONCE A PATIENT'S ACCOUNT HAS COMPLETED THE BAD DEBT PROCESS. THIS ENSURES THAT INDIVIDUALS FACING GENUINE HARDSHIP STILL HAVE ACCESS TO FINANCIAL RELIEF, EVEN IF THEY ARE UNABLE TO COMPLY FULLY WITH THE FORMAL FAA PROCESS. RATIONALE FOR INCLUDING CERTAIN BAD DEBTS IN COMMUNITY BENEFIT:THE FILING ORGANIZATION IS DEDICATED TO THE VIEW THAT MEDICALLY NECESSARY HEALTH CARE FOR EMERGENCY AND NON-ELECTIVE PATIENTS SHOULD BE ACCESSIBLE TO ALL, REGARDLESS OF AGE, GENDER, GEOGRAPHIC LOCATION, CULTURAL BACKGROUND, PHYSICIAN MOBILITY, OR ABILITY TO PAY. THE FILING ORGANIZATION TREATS EMERGENCY AND NON-ELECTIVE PATIENTS REGARDLESS OF THEIR ABILITY TO PAY OR THE AVAILABILITY OF THIRD-PARTY COVERAGE. BY PROVIDING HEALTH CARE TO ALL WHO REQUIRE EMERGENCY OR NON-ELECTIVE CARE IN A NON-DISCRIMINATORY MANNER, THE FILING ORGANIZATION IS PROVIDING HEALTH CARE TO THE BROAD COMMUNITY IT SERVES. AS A 501(C)(3) HOSPITAL ORGANIZATION, THE FILING ORGANIZATION MAINTAINS ONE OR MORE 24/7 EMERGENCY ROOM(S) PROVIDING CARE TO ALL WHOM PRESENT. WHEN A PATIENT'S ARRIVAL AND/OR ADMISSION TO THE FACILITY BEGINS WITHIN THE EMERGENCY DEPARTMENT, TRIAGE AND MEDICAL SCREENING ARE ALWAYS COMPLETED PRIOR TO REGISTRATION STAFF PROCEEDING WITH THE DETERMINATION OF A PATIENT'S SOURCE OF PAYMENT. IF THE PATIENT REQUIRES ADMISSION AND CONTINUED NON-ELECTIVE CARE, THE FILING ORGANIZATION PROVIDES THE NECESSARY CARE REGARDLESS OF THE PATIENT'S ABILITY TO PAY. THE FILING ORGANIZATION'S OPERATION OF A 24/7 EMERGENCY DEPARTMENT THAT ACCEPTS ALL INDIVIDUALS IN NEED OF CARE PROMOTES THE HEALTH OF THE COMMUNITY THROUGH THE PROVISION OF CARE TO ALL WHOM PRESENT. CURRENT INTERNAL REVENUE SERVICE GUIDANCE THAT TAX-EXEMPT HOSPITALS MAINTAIN SUCH EMERGENCY ROOMS WAS ESTABLISHED TO ENSURE THAT EMERGENCY CARE WOULD BE PROVIDED TO ALL WITHOUT DISCRIMINATION. THE TREATMENT OF ALL AT THE FILING ORGANIZATION'S EMERGENCY DEPARTMENT IS A COMMUNITY BENEFIT. UNDER THE FILING ORGANIZATION'S FINANCIAL ASSISTANCE POLICY, EVERY EFFORT IS MADE TO OBTAIN A PATIENT'S NECESSARY FINANCIAL INFORMATION TO DETERMINE ELIGIBILITY FOR FINANCIAL ASSISTANCE. HOWEVER, NOT ALL PATIENTS WILL COOPERATE WITH SUCH EFFORTS AND A FINANCIAL ASSISTANCE ELIGIBILITY DETERMINATION CANNOT BE MADE BASED UPON INFORMATION SUPPLIED BY THE INDIVIDUAL. IN THIS CASE, A PATIENT'S PORTION OF A BILL THAT REMAINS UNPAID FOR A CERTAIN STIPULATED TIME PERIOD IS WHOLLY OR PARTIALLY CLASSIFIED AS BAD DEBT. BAD DEBTS ASSOCIATED WITH PATIENTS WHO HAVE RECEIVED CARE THROUGH THE FILING ORGANIZATION'S EMERGENCY DEPARTMENT SHOULD BE CONSIDERED COMMUNITY BENEFIT AS CHARITABLE HOSPITALS EXIST TO PROVIDE SUCH CARE IN PURSUIT OF THEIR PURPOSE OF MEETING THE NEED FOR EMERGENCY MEDICAL CARE SERVICES AVAILABLE TO ALL IN THE COMMUNITY. PART III, LINE 4: FINANCIAL STATEMENT FOOTNOTE RELATED TO ACCOUNTS RECEIVABLE AND ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS: THE FINANCIAL INFORMATION OF THE FILING ORGANIZATION IS INCLUDED IN A CONSOLIDATED AUDITED FINANCIAL STATEMENT FOR THE CURRENT YEAR. THE APPLICABLE FOOTNOTE FROM THE ATTACHED CONSOLIDATED AUDITED FINANCIAL STATEMENTS THAT ADDRESSES ACCOUNTS RECEIVABLE, THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS, AND THE PROVISION FOR BAD DEBTS CAN BE FOUND ON PAGES 8 - 10. PLEASE NOTE THAT DOLLAR AMOUNTS ON THE ATTACHED CONSOLIDATED AUDITED FINANCIAL STATEMENTS ARE IN THOUSANDS. PART III, LINE 8: MEDICARE ALLOWABLE COSTS WERE CALCULATED USING A COST-TO-CHARGE RATIO. RATIONALE FOR INCLUDING A MEDICARE SHORTFALL AS COMMUNITY BENEFIT: AS A 501(C)(3) ORGANIZATION, THE FILING ORGANIZATION PROVIDES EMERGENCY AND NON-ELECTIVE CARE TO ALL REGARDLESS OF ABILITY TO PAY. ALL HOSPITAL SERVICES ARE PROVIDED IN A NON-DISCRIMINATORY MANNER TO PATIENTS WHO ARE COVERED BENEFICIARIES UNDER THE MEDICARE PROGRAM. AS A PUBLIC INSURANCE PROGRAM, MEDICARE PROVIDES A PRE-ESTABLISHED REIMBURSEMENT RATE/AMOUNT TO HEALTH CARE PROVIDERS FOR THE SERVICES THEY PROVIDE TO PATIENTS. IN SOME CASES, THE REIMBURSEMENT AMOUNT PROVIDED TO A HOSPITAL MAY EXCEED ITS COSTS OF PROVIDING A PARTICULAR SERVICE OR SERVICES TO A PATIENT. IN OTHER CASES, THE MEDICARE REIMBURSEMENT AMOUNT MAY RESULT IN THE HOSPITAL EXPERIENCING A SHORTFALL OF REIMBURSEMENT RECEIVED OVER COSTS INCURRED. IN THOSE CASES WHERE AN OVERALL SHORTFALL IS GENERATED FOR PROVIDING SERVICES TO ALL MEDICARE PATIENTS, THE SHORTFALL AMOUNT SHOULD BE CONSIDERED AS A BENEFIT TO THE COMMUNITY. TAX-EXEMPT HOSPITALS ARE REQUIRED TO ACCEPT ALL MEDICARE PATIENTS REGARDLESS OF THE PROFITABILITY, OR LACK THEREOF, WITH RESPECT TO THE SERVICES THEY PROVIDE TO MEDICARE PATIENTS. THE POPULATION OF INDIVIDUALS COVERED UNDER THE MEDICARE PROGRAM IS SUFFICIENTLY LARGE SO THAT THE PROVISION OF SERVICES TO THE POPULATION IS A BENEFIT TO THE COMMUNITY AND RELIEVES THE BURDENS OF GOVERNMENT. IN THOSE SITUATIONS WHERE THE PROVISION OF SERVICES TO THE TOTAL MEDICARE PATIENT POPULATION OF A TAX-EXEMPT HOSPITAL DURING ANY YEAR RESULTS IN A SHORTFALL OF REIMBURSEMENT RECEIVED OVER THE COST OF PROVIDING CARE, THE TAX-EXEMPT HOSPITAL HAS PROVIDED A BENEFIT TO A CLASS OF PERSONS BROAD ENOUGH TO BE CONSIDERED A BENEFIT TO THE COMMUNITY. DESPITE A FINANCIAL SHORTFALL, A TAX-EXEMPT HOSPITAL MUST AND WILL CONTINUE TO ACCEPT AND CARE FOR MEDICARE PATIENTS. TYPICALLY, TAX-EXEMPT HOSPITALS PROVIDE HEALTH CARE SERVICES BASED UPON AN ASSESSMENT OF THE HEALTH CARE NEEDS OF THEIR COMMUNITY AS OPPOSED TO THEIR TAXABLE COUNTERPARTS WHERE PROFITABILITY OFTEN DRIVES DECISIONS ABOUT PATIENT CARE SERVICES THAT ARE OFFERED. PATIENT CARE PROVIDED BY TAX-EXEMPT HOSPITALS THAT RESULTS IN MEDICARE SHORTFALLS SHOULD BE CONSIDERED AS PROVIDING A BENEFIT TO THE COMMUNITY AND RELIEVING THE BURDENS OF GOVERNMENT. PART III, LINE 9B: THE HOSPITAL FILING ORGANIZATION'S COLLECTION PRACTICES ARE IN CONFORMITY WITH THE REQUIREMENTS SET FORTH IN THE 2014 FINAL REGULATIONS REGARDING THE REQUIREMENTS OF INTERNAL REVENUE CODE SECTION 501(R)(4)-(R)(6). NO EXTRAORDINARY COLLECTION ACTIONS (ECA'S) ARE INITIATED BY THE HOSPITAL FILING ORGANIZATION IN THE 120-DAY PERIOD FOLLOWING THE DATE AFTER THE FIRST POST-DISCHARGE BILLING STATEMENT IS SENT TO THE INDIVIDUAL (OR, IF LATER, THE SPECIFIED DEADLINE GIVEN IN A WRITTEN NOTICE OF ACTIONS THAT MAY BE TAKEN, AS DESCRIBED BELOW). INDIVIDUALS ARE PROVIDED WITH AT LEAST ONE WRITTEN NOTICE (NOTICE OF ACTIONS THAT MAY BE TAKEN) AND A COPY OF THE FILING ORGANIZATION'S PLAIN LANGUAGE SUMMARY OF THE FINANCIAL ASSISTANCE POLICY THAT INFORMS THE INDIVIDUAL THAT THE HOSPITAL FILING ORGANIZATION MAY ENGAGE IN CERTAIN SPECIFIC ECAS, INCLUDING THE SELLING OF DEBT TO A THIRD PARTY, IF THE INDIVIDUAL DOES NOT SUBMIT A FINANCIAL ASSISTANCE APPLICATION FORM (FAA FORM) OR PAY THE AMOUNT DUE BY A SPECIFIED DEADLINE. THE SPECIFIED DEADLINE IS NOT EARLIER THAN 120 DAYS AFTER THE FIRST POST-DISCHARGE BILLING STATEMENT IS SENT TO THE INDIVIDUAL AND IS AT LEAST 30 DAYS AFTER THE NOTICE IS PROVIDED. A REASONABLE ATTEMPT IS ALSO MADE TO ORALLY NOTIFY AN INDIVIDUAL ABOUT THE FILING ORGANIZATION'S FINANCIAL ASSISTANCE POLICY AND HOW THE INDIVIDUAL MAY OBTAIN ASSISTANCE WITH THE FINANCIAL ASSISTANCE APPLICATION PROCESS. IF AN INDIVIDUAL SUBMITS AN INCOMPLETE FAA FORM DURING THE 240-DAY PERIOD FOLLOWING THE DATE ON WHICH THE FIRST POST-DISCHARGE BILLING STATEMENT WAS SENT TO THE INDIVIDUAL, THE HOSPITAL FILING ORGANIZATION SUSPENDS ANY ECA'S AND PROVIDES A WRITTEN NOTICE TO THE INDIVIDUAL DESCRIBING WHAT ADDITIONAL INFORMATION OR DOCUMENTATION IS NEEDED TO COMPLETE THE FAA FORM. THIS WRITTEN NOTICE CONTAINS CONTACT INFORMATION INCLUDING THE TELEPHONE NUMBER AND PHYSICAL LOCATION OF THE HOSPITAL FACILITY'S OFFICE OR DEPARTMENT THAT CAN PROVIDE INFORMATION ABOUT THE FINANCIAL ASSISTANCE POLICY, AS WELL AS CONTACT INFORMATION OF THE HOSPITAL FACILITY'S OFFICE OR DEPARTMENT THAT CAN PROVIDE ASSISTANCE WITH THE FINANCIAL ASSISTANCE APPLICATION PROCESS OR, ALTERNATIVELY, A NONPROFIT ORGANIZATION OR GOVERNMENTAL AGENCY THAT CAN PROVIDE ASSISTANCE WITH THE FINANCIAL ASSISTANCE APPLICATION PROCESS IF THE HOSPITAL FACILITY IS UNABLE TO DO SO. IF AN INDIVIDUAL SUBMITS A COMPLETE FAA FORM WITHIN A REASONABLE TIME-PERIOD AS SET FORTH IN THE NOTICE DESCRIBED ABOVE, THE HOSPITAL FILING ORGANIZATION WILL TAKE ALL AVAILABLE MEASURES TO REVERSE ANY ECAS AGAINST THE INDIVIDUAL AND WILL NOTIFY THE INDIVIDUAL IN WRITING WITHIN 60 DAYS AFTER RECEIVING THE COMPLETE FAA FORM OF THE ELIGIBILITY DETERMINATION AND THE BASIS FOR THE DETERMINATION. 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: $ (4,645,231)- DIFFERENCE IN COSTING METHODOLOGY: 1,857,763- UNREIMBURSED COSTS INCURRED FOR SERVICES PROVIDED TO MEDICARE PATIENTS THAT ARE NOT INCLUDED IN THE ORGANIZATION'S MEDICARE COST REPORT: (4,066,227) -------------TOTAL UNREIMBURSED COSTS OF SERVING ALL MEDICARE PATIENTS PER THE FILING ORGANIZATION'S COMMUNITYBENEFIT REPORTING $ (6,853,695)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 WILL CONDUCT 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 MAY, UPON PATIENT REQUEST, PROVIDE PERSONAL FINANCIAL COUNSELING TO PATIENTS WHO ARE CLASSIFIED AS UNINSURED TO EXPLAIN THE FAP AND FAA FORM AND TO PROVIDE INFORMATION CONCERNING OTHER SOURCES OF ASSISTANCE THAT MAY BE AVAILABLE, SUCH AS MEDICAID. A PAPER COPY OF THE HOSPITAL FACILITY'S PLS WILL BE OFFERED TO EVERY PATIENT AS A PART OF THE INTAKE OR DISCHARGE PROCESS. A CONSPICUOUS WRITTEN NOTICE IS INCLUDED ON ALL BILLING STATEMENTS SENT TO PATIENTS THAT NOTIFIES AND INFORMS RECIPIENTS ABOUT THE AVAILABILITY OF FINANCIAL ASSISTANCE UNDER THE FILING ORGANIZATION'S FINANCIAL ASSISTANCE POLICY, INCLUDING THE FOLLOWING: 1) THE TELEPHONE NUMBER OF THE HOSPITAL FACILITY'S OFFICE OR DEPARTMENT THAT CAN PROVIDE INFORMATION ABOUT THE FAP AND THE FAA FORM; AND 2) THE WEBSITE ADDRESS WHERE COPIES OF THE FAP, FAA FORM AND PLS MAY BE OBTAINED. REASONABLE ATTEMPTS ARE MADE TO INFORM INDIVIDUALS ABOUT THE HOSPITAL FACILITY'S FAP IN ALL ORAL COMMUNICATIONS REGARDING THE AMOUNT DUE FOR THE INDIVIDUAL'S CARE. COPIES OF THE PLS ARE DISTRIBUTED TO MEMBERS OF THE COMMUNITY IN A MANNER REASONABLY CALCULATED TO REACH THOSE MEMBERS OF THE COMMUNITY WHO ARE MOST LIKELY TO REQUIRE FINANCIAL ASSISTANCE. PART VI, LINE 4: LOCATED IN VOLUSIA COUNTY, SOUTHWEST VOLUSIA HEALTHCARE CORPORATION, D/B/A ADVENTHEALTH FISH MEMORIAL (AHFM OR THE HOSPITAL), OPERATES A 253-BED HOSPITAL FACILITY IN ORANGE CITY, FLORIDA. THE HOSPITAL IS ONE OF 7 HOSPITALS IN FLAGLER, LAKE, AND VOLUSIA COUNTIES THAT COMPRISE THE ADVENTHEALTH EAST FLORIDA DIVISION. THE HOSPITAL DEFINES ITS COMMUNITY AS THE PRIMARY SERVICE AREA, THE AREA IN WHICH 75-80% OF ITS PATIENT POPULATION LIVES. THIS INCLUDES FOUR ZIP CODES ACROSS VOLUSIA COUNTY. FOR OVER 30 YEARS, ADVENTHEALTH FISH MEMORIAL HAS SERVED THE WEST VOLUSIA AREA AND SURROUNDING COMMUNITIES BY PROVIDING THE FOLLOWING COMPREHENSIVE HEALTHCARE SERVICES: CANCER CARE, DIABETES CARE, HEART AND VASCULAR CARE, HOME CARE, HOSPICE CARE, IMAGING SERVICES, LAB SERVICES, NUTRITIONAL AND DIETETIC SERVICES, ORTHOPEDIC CARE, SPORTS MEDICINE AND REHAB CARE, SURGICAL CARE, EMERGENCY AND URGENT CARE, WOMEN AND CHILDREN SERVICES AND WOUND CARE. DURING 2024, THE HOSPITAL'S PATIENT PERCENTAGE POPULATION WAS MADE UP OF THE BELOW PAYORS WITH THE REMAINING PERCENTAGE OF THE PATIENTS BEING COVERED UNDER COMMERCIAL INSURANCE. IN 2024, ABOUT 88.6% OF THE HOSPITAL'S IN-PATIENTS WERE ADMITTED THROUGH THE HOSPITAL'S EMERGENCY DEPARTMENT. - MEDICARE PATIENTS 53.3% - MEDICAID PATIENTS 10.2% - SELF-PAY PATIENTS 5.7% THE DEMOGRAPHIC MAKEUP OF THE HOSPITAL'S COMMUNITY IS AS FOLLOWS: - POPULATION 143,548 - POPULATION OVER 65 18.4% - POVERTY (BELOW 100% FPL) 10.6% - HIGH SCHOOL GRADUATION RATE 89.7% - UNINSURED ADULTS 10.7% - FOOD INSECURITY RATE 14.1% - POP. WITH LOW FOOD ACCESS 63.4% PART VI, LINE 5: THE PROVISION OF COMMUNITY BENEFIT IS CENTRAL TO ADVENTHEALTH FISH MEMORIAL'S MISSION OF SERVICE AND COMPASSION. RESTORING AND PROMOTING THE HEALTH AND QUALITY OF LIFE OF THOSE IN THE COMMUNITIES SERVED BY THE HOSPITAL IS A FUNCTION OF "EXTENDING THE HEALING MINISTRY OF CHRIST AND EMBODIES THE HOSPITAL'S COMMITMENT TO ITS VALUES AND PRINCIPLES. THE HOSPITAL COMMITS SUBSTANTIAL RESOURCES TO PROVIDE A BROAD RANGE OF SERVICES TO BOTH THE UNDERPRIVILEGED AS WELL AS THE BROADER COMMUNITY. IN ADDITION TO THE COMMUNITY BENEFIT AND COMMUNITY BUILDING INFORMATION PROVIDED IN PARTS I, II AND III OF THIS SCHEDULE H, THE HOSPITAL CAPTURES AND REPORTS THE BENEFITS PROVIDED TO ITS COMMUNITY THROUGH FAITH-BASED CARE. EXAMPLES OF SUCH BENEFITS INCLUDE THE COST ASSOCIATED WITH CHAPLAINCY CARE PROGRAMS AND MISSION PEER REVIEWS AND MISSION CONFERENCES. DURING THE CURRENT YEAR, THE HOSPITAL PROVIDED $335,957 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 $4,717,160 IN NEW CAPITAL IMPROVEMENTS. AS A FAITH-BASED MISSION-DRIVEN COMMUNITY HOSPITAL, THE HOSPITAL IS CONTINUALLY INVOLVED IN MONITORING ITS COMMUNITY, IDENTIFYING UNMET HEALTH CARE NEEDS AND DEVELOPING SOLUTIONS AND PROGRAMS TO ADDRESS THOSE NEEDS. IN ACCORDANCE WITH ITS CONSERVATIVE APPROACH TO FISCAL RESPONSIBILITY, SURPLUS FUNDS OF THE HOSPITAL ARE CONTINUALLY BEING INVESTED IN RESOURCES THAT IMPROVE THE AVAILABILITY AND QUALITY OF DELIVERY OF HEALTH CARE SERVICES AND PROGRAMS TO ITS COMMUNITY. PART VI, LINE 6: THE FILING ORGANIZATION IS A PART OF A FAITH-BASED HEALTHCARE SYSTEM OF ORGANIZATIONS WHOSE PARENT IS ADVENTIST HEALTH SYSTEM SUNBELT HEALTHCARE CORPORATION (AHSSHC). THE SYSTEM IS KNOWN AS ADVENTHEALTH. AHSSHC IS AN ORGANIZATION EXEMPT FROM FEDERAL INCOME TAX UNDER IRC SECTION 501(C)(3). AHSSHC AND ITS SUBSIDIARY ORGANIZATIONS OPERATE 51 HOSPITALS THROUGHOUT THE U.S., PRIMARILY IN THE SOUTHEASTERN PORTION OF THE U.S. AHSSHC AND ITS SUBSIDIARIES ALSO OPERATE OTHER ANCILLARY HEALTH CARE PROVIDER FACILITIES, SUCH AS AMBULATORY SURGERY CENTERS AND DIAGNOSTIC IMAGING CENTERS. AS THE PARENT ORGANIZATION OF ADVENTHEALTH, AHSSHC PROVIDES EXECUTIVE LEADERSHIP AND OTHER PROFESSIONAL SUPPORT SERVICES TO ITS SUBSIDIARY ORGANIZATIONS. PROFESSIONAL SUPPORT SERVICES INCLUDE AMONG OTHERS IT, CORPORATE COMPLIANCE, LEGAL, REIMBURSEMENT, RISK MANAGEMENT, AND TAX AS WELL AS TREASURY FUNCTIONS. CERTAIN SUPPORT SERVICES, SUCH AS HUMAN RESOURCES, PAYROLL, A/P, AND SUPPLY CHAIN MANAGEMENT ARE PROVIDED PURSUANT TO A SHARED SERVICES MODEL BY AHSSHC TO ITS SUBSIDIARY ORGANIZATIONS. THE PROVISION OF THESE EXECUTIVE AND SUPPORT SERVICES ON A CENTRALIZED BASIS BY AHSSHC PROVIDES AN APPROPRIATE BALANCE BETWEEN PROVIDING EACH ADVENTHEALTH SUBSIDIARY HOSPITAL ORGANIZATION WITH MISSION-DRIVEN CONSISTENT LEADERSHIP AND SUPPORT WHILE ALLOWING THE HOSPITAL ORGANIZATION TO FOCUS ITS RESOURCES ON MEETING THE SPECIFIC HEALTH CARE NEEDS OF THE COMMUNITY IT SERVES. THE READER OF THIS FORM 990 SHOULD KEEP IN MIND THAT THIS REPORTING ENTITY MAY DIFFER IN CERTAIN AREAS FROM THAT OF A STAND-ALONE HOSPITAL ORGANIZATION DUE TO ITS INCLUSION IN A LARGER SYSTEM OF HEALTHCARE ORGANIZATIONS. AS A PART OF A SYSTEM OF HOSPITAL AND OTHER HEALTH CARE ORGANIZATIONS, THE FILING ORGANIZATION BENEFITS FROM REDUCED COSTS DUE TO SYSTEM EFFICIENCIES, SUCH AS LARGE GROUP PURCHASING DISCOUNTS, AND THE AVAILABILITY OF INTERNAL RESOURCES SUCH AS INTERNAL LEGAL COUNSEL. THE FILING ORGANIZATION PAYS A MANAGEMENT FEE TO AHSSHC FOR THE SERVICES PROVIDED BY AHSSHC. AS A RESULT, MANAGEMENT FEE EXPENSE REPORTED BY THE FILING ORGANIZATION MAY APPEAR GREATER IN RELATION TO MANAGEMENT FEE EXPENSE THAT MAY BE REPORTED BY A SINGLE STAND-ALONE HOSPITAL. THE SINGLE STAND-ALONE HOSPITAL WOULD LIKELY REPORT COSTS ASSOCIATED WITH MANAGEMENT AND OTHER PROFESSIONAL SERVICES ON VARIOUS EXPENSE LINE ITEMS IN ITS STATEMENT OF REVENUE AND EXPENSE AS OPPOSED TO REPORTING SUCH COSTS IN ONE OVERALL MANAGEMENT FEE EXPENSE. AS THE REPORTING OF THE FORM 990 IS DONE ON AN ENTITY-BY-ENTITY BASIS, THERE IS NO SINGLE FORM 990 THAT CAPTURES THE PROGRAMS AND OPERATIONS OF ADVENTHEALTH AS A WHOLE. THE READER IS DIRECTED TO VISIT THE WEBSITE OF ADVENTHEALTH AT WWW.ADVENTHEALTH.COM TO LEARN MORE ABOUT THE MISSION AND OPERATIONS OF THE FILING ORGANIZATION. SCHEDULE H, PART VI, LINE 7: THE FILING ORGANIZATION DOES NOT FILE AN ANNUAL COMMUNITY BENEFIT REPORT WITH ANY STATE AGENCIES. 1 ADVENTHEALTH FOUNDATION DBA ADVENTHEALTH FISH MEMORIAL FOUNDATION 1055 SAXON BLVD ORANGE CITY FL 32763 592219301 501 (C)(3) 0 104244 BOOK GENERAL ADMINISTRATIVE SUPPORT PROVISION OF GENERAL ADMINISTRATIVE SUPPORT FLAGLER CARES INC 2561 MOODY BLVD SUITE 211 FLAGLER BEACH FL 32136 474145174 501 (C)(3) 12567 0 GENERAL SUPPORT BACKPACK BUDDIES PROGRAM 167 N INDUSTRIAL DR ORANGE CITY FL 32763 842829244 501 (C)(3) 19750 0 GENERAL SUPPORT GATEWAY CENTER FOR THE ARTS 880 N HWY 17/92 DEBARY FL 32713 593527410 501 (C)(3) 7500 0 GENERAL SUPPORT HUNGER FIGHT INC 2935 DAWN ROAD JACKSONVILLE FL 32207 461338834 501 (C)(3) 15000 0 GENERAL SUPPORT ROTARY CLUB OF DEBARY DELTONA FLORIDA INC 1640 DR MARTIN LUTHER KING BLVD DELTONA FL 32725 591709444 501 (C)(4) 5500 0 GENERAL SUPPORT STETSON UNIVERSITY INC 421 NORTH WOODLAND BOULEVARD UNIT 8278 DELAND FL 32723 590624416 501 (C)(3) 68625 0 GENERAL SUPPORT 6 1 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 OFFICER 0 1067695 0 1185417 0 525259 0 179406 0 44682 0 3002459 0 150000 GREGORY PHD AUDREY DIR/CHAIR/CEO CFN REGION 0 953677 0 630015 0 118267 0 215714 0 37922 0 1955595 0 0 CELANO PATRICIA FORMER KEY EMPLOYEE 0 659665 0 657381 0 443747 0 153777 0 2450 0 1917020 0 92892 DEININGER ROBERT FORMER OFFICER 0 676238 0 316510 0 135040 0 119120 0 34605 0 1281513 0 58154 BROWN LORENZO DIRECTOR/CEO-HOSPITAL/W.VOLUSIA MKT 0 444112 0 241900 0 138360 0 55750 0 35621 0 915743 0 50845 GLASS KYLE CFO-HOSP/W.VOLUSIA MKT (END 01/2024) 0 456699 0 84897 0 199099 0 91936 0 39630 0 872261 0 0 KNYCH MD STEPHEN CMO - REG & HOSPITAL FACIL 0 411587 0 108215 0 124054 0 59177 0 24533 0 727566 0 38739 LUNDE ERIC DIRECTOR 0 359642 0 136187 0 54504 0 79221 0 36779 0 666333 0 0 BAKER CRAIG DIRECTOR 0 356140 0 115761 0 27312 0 71075 0 31844 0 602132 0 0 CALLA MD SHRISH DIRECTOR 0 300846 0 210679 0 15982 0 17727 0 36538 0 581772 0 0 CHILSON APRIL COO - HOSPITAL FACILITY 0 266522 0 67375 0 25236 0 17431 0 31082 0 407646 0 0 AMBS JENNIFER CFO-HOSP/W.VOLUSIA MKT (BEG 02/2024) 0 299227 0 49539 0 12866 0 18516 0 26772 0 406920 0 0 JOHNSON MICHELE CNO - HOSPITAL FACILITY 0 225770 0 59039 0 27211 0 16538 0 32099 0 360657 0 0 PHO QUAN PHARMACY DIRECTOR 206424 0 12615 0 4388 0 5803 0 21710 0 250940 0 0 0 TAYLOR HEATHER ASSISTANT NURSE MGR 160936 0 2923 0 23363 0 8944 0 24642 0 220808 0 0 0 FOGG MICHAEL EXEC. DIRECTOR - OPERATIONS 161197 0 8642 0 11001 0 9162 0 21398 0 211400 0 0 0 CIFELLI MARK PHARMACIST 188476 0 830 0 91 0 7778 0 8935 0 206110 0 0 0 SUH BARBARA PHARMACIST 178032 0 1824 0 2611 0 6798 0 11902 0 201167 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 LISTED IN PART VII THAT ARE ON THE PAYROLL OF AHSSHC. AT THE DIRECTION OF AHSSHC, AND IN ACCORDANCE WITH THE RESERVED POWERS IN THE FILING ORGANIZATION'S GOVERNING DOCUMENTS, THE EXECUTIVE TEAM LISTED ON PART VII PROVIDES SERVICES TO THE FILING ORGANIZATION. FIRST-CLASS OR CHARTER TRAVEL: PURSUANT TO THE ADVENTHEALTH SYSTEM-WIDE GENERAL POLICY REGARDING BUSINESS TRAVEL, NO REIMBURSEMENT WILL BE PROVIDED FOR ANY ADDITIONAL COST INCURRED WITH RESPECT TO FIRST-CLASS OR CHARTER AIR TRAVEL BEYOND THE COST OF A REGULAR COACH AIRFARE. AS A MEANS OF PROVIDING ADDITIONAL BUSINESS TRAVEL REIMBURSEMENT FOR THOSE MEMBERS OF THE AHSSHC SENIOR EXECUTIVE MANAGEMENT TEAM THAT TRAVEL FREQUENTLY ON BEHALF OF ADVENTHEALTH, A SPECIAL ANNUAL TRAVEL ALLOWANCE IS PROVIDED FOR THOSE EXECUTIVES. AS ADVENTHEALTH OPERATES 51 HOSPITALS IN 9 STATES, THE SENIOR LEADERSHIP OF AHSSHC TRAVEL EXTENSIVELY AND OFTEN VISIT MULTIPLE HOSPITAL LOCATIONS IN DIFFERENT STATES AS A PART OF A SINGLE BUSINESS TRIP. THE SPECIAL TRAVEL ALLOWANCE CAN PROVIDE REIMBURSEMENTS TO THE EXECUTIVE FOR SUCH ITEMS AS THE PURCHASE OF AIR TRAVEL UPGRADE COUPONS OR TO COVER THE COST DIFFERENTIAL BETWEEN COACH AND FIRST-CLASS TRAVEL. THE SPECIAL TRAVEL ALLOWANCE BENEFIT WAS ORIGINALLY AUTHORIZED BY AND CODIFIED INTO A POLICY BY THE AHSSHC BOARD COMPENSATION COMMITTEE (THE COMMITTEE), AN INDEPENDENT BODY OF THE AHSSHC BOARD OF DIRECTORS, WHO ALSO APPROVES THE ANNUAL CAP ON THE AMOUNT OF THE ALLOWANCE. THE SPECIAL TRAVEL ALLOWANCE HAS AN ANNUAL CAP OF $33,500 FOR SENIOR AND SYSTEM EXECUTIVE VICE PRESIDENTS (GENERALLY 18 ADVENTHEALTH EXECUTIVE VICE PRESIDENTS) AND THE MULTI-STATE CFO, $20,000 FOR SYSTEM SENIOR VICE PRESIDENTS, REGIONAL CEO'S AND DIVISION CHIEF OFFICERS (GENERALLY 50-60 INDIVIDUAL EXECUTIVES) AND $7,500 FOR OTHER EXECUTIVES WHOSE ROLE REQUIRES EXTENSIVE TRAVEL (CURRENTLY 4), AS APPROVED BY THE ADVENTHEALTH CEO. THE ADVENTHEALTH SYSTEM CEO DOES NOT HAVE AN ANNUAL CAP. A REGIONAL CEO 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. 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. HEALTH OR SOCIAL CLUB DUES OR INITIATION FEES: AHSSHC HAS A CORPORATE EXECUTIVE POLICY THAT ADDRESSES BUSINESS DEVELOPMENT EXPENDITURES. UNDER THIS POLICY, TO ENCOURAGE EXECUTIVES TO ESTABLISH AND CULTIVATE STRONG WORKING RELATIONSHIPS WITH THE MEDICAL COMMUNITY AND OTHER LEADERS IN THE COMMUNITY AND INDUSTRY, CERTAIN ADVENTHEALTH EXECUTIVES MAY BE REIMBURSED FOR MEMBER DUES AND USAGE CHARGES FOR A COUNTRY CLUB OR OTHER SOCIAL CLUB UPON AUTHORIZATION. CLUB MEMBERSHIPS MUST BE APPROVED BY THE ADVENTHEALTH PRESIDENT/CEO INITIALLY AS WELL AS ON AN ANNUAL BASIS. EACH ADVENTHEALTH EXECUTIVE WHO IS APPROVED FOR A CLUB MEMBERSHIP MUST SUBMIT AN ANNUAL REPORT DESCRIBING HOW THEY USED THE MEMBERSHIP TO BENEFIT THEIR ORGANIZATION DURING THE PRECEDING YEAR SO THAT THE ADVENTHEALTH PRESIDENT/CEO CAN DETERMINE IF CONTINUANCE OF THE CLUB MEMBERSHIP FURTHERS THE BUSINESS INTERESTS OF ADVENTHEALTH. IN THE CURRENT YEAR, FOR THIS FILING ORGANIZATION, ONE EXECUTIVE LISTED IN PART VII RECEIVED REIMBURSEMENT FOR CLUB FEES. WHILE THE CLUB DUES MEMBERSHIP IS AN AHSSHC COMPENSATION POLICY AND PRACTICE, THE COST OF PROVIDING THIS BENEFIT IS ALLOCATED TO AND REIMBURSED IN WHOLE OR IN PART BY THE FILING ORGANIZATION. ACCORDINGLY, THE FILING ORGANIZATION HAS CHECKED THE BOX IN SCHEDULE J, PART I, LINE 1A FOR HEALTH OR SOCIAL CLUB DUES SINCE IT HAS WHOLLY OR PARTIALLY PAID FOR THE COST OF PROVIDING THIS BENEFIT. 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 2024. THE SERP III PLAN EFFECTIVELY REPLACES THE PRIOR SERP II PLAN, THE EXECUTIVE FLEX BENEFIT PROGRAM PLAN, AND THE SENIOR EXECUTIVE DEATH BENEFIT PLAN FOR QUALIFIED EXECUTIVES EXCEPT FOR CERTAIN GRANDFATHERED EXECUTIVE EMPLOYEES. SERP III PLAN: THE SERP III PLAN PROVIDES ELIGIBLE EXECUTIVES A PERCENTAGE OF THEIR BASE PAY, WHICH IS CREDITED TO A DEFERRED COMPENSATION ACCOUNT. THE PLAN ALSO PROVIDES FOR COMPENSATION DEFERRAL AND SELECTION OF LIFE INSURANCE COVERAGE AND LONG-TERM CARE INSURANCE. TO BE ELIGIBLE TO PARTICIPATE IN THE SERP III PLAN, EXECUTIVES MUST BE ON THE AHSSHC CORPORATE PAYROLL AND BE EITHER A CEO OF AN ADVENTHEALTH ENTITY, AN AHSSHC VICE PRESIDENT (VP) OR VP OF AN ADVENTHEALTH ENTITY WITH A BASE SALARY OF AT LEAST $345,000 IN 2024 (ADJUSTED ANNUALLY BY THE SAME PERCENTAGE AS IRC SECTION 401(A)(17) LIMIT INCREASES), OR OTHER LEADER SPECIFICALLY APPROVED BY THE ADVENTHEALTH PRESIDENT. ELIGIBLE EXECUTIVES DO NOT INCLUDE GRANDFATHERED EXECUTIVES, MEANING THOSE EXECUTIVES WHO WOULD SATISFY ALL THE ELIGIBILITY REQUIREMENTS OF THE SERP II PLAN PRIOR TO DEC 31, 2027, HAD THE PLAN NOT BEEN AMENDED AND RESTATED AS OF JAN. 1, 2020. CONTRIBUTION CREDITS WILL BE ESTABLISHED AND MAINTAINED BY CLASS YEAR ACCOUNTS FOR EACH PARTICIPANT USING TIERED CONTRIBUTION CREDIT PERCENTAGES OF ANNUAL BASE COMPENSATION. CONTRIBUTION CREDIT PERCENTAGES RANGE BETWEEN 15% AND 19% OF BASE COMPENSATION. CONTRIBUTION CREDITS WILL BE MADE EACH QUARTER IN 25% INCREMENTS WITH REDUCTIONS IN CONTRIBUTIONS IF THE EXECUTIVE IS ALSO A GRANDFATHERED FLEX PARTICIPANT (SEE BELOW). SERP III PROVIDES FOR A CLASS YEAR VESTING AND PAYMENT SCHEDULE (7 YEARS FOR EACH CLASS YEAR) WITH RESPECT TO AMOUNTS ACCUMULATED IN THE EXECUTIVE'S DEFERRED COMPENSATION ACCOUNT. UPON ATTAINMENT OF A NORMAL RETIREMENT AGE (AGE 62), OR UPON CERTAIN OTHER CIRCUMSTANCES AS DEFINED IN THE SERP III PLAN DOCUMENT, ALL DEFERRED AMOUNTS ARE PAID IMMEDIATELY TO THE PARTICIPANT. FOR ANY EXECUTIVES WORKING BEYOND THE NORMAL RETIREMENT AGE, FUTURE EMPLOYER CONTRIBUTIONS WILL BE MADE QUARTERLY FROM SERP III DIRECTLY TO THE PARTICIPANT AS A TAXABLE CASH BONUS. SERP II PLAN: THE SERP II PLAN IS A DEFINED BENEFIT, NON-TAX-QUALIFIED DEFERRED COMPENSATION PLAN FOR CERTAIN EXECUTIVES WHO HAVE PROVIDED LENGTHY SERVICE TO ADVENTHEALTH AND/OR TO OTHER SEVENTH-DAY ADVENTIST CHURCH HOSPITALS OR HEALTH CARE INSTITUTIONS. UNDER THE PROVISIONS OF THE SERP II PLAN, BENEFITS ARE PROVIDED TO QUALIFYING EXECUTIVE PARTICIPANTS ON A PRO-RATA SCHEDULE BEGINNING WITH 20 YEARS OF SERVICE AS AN EMPLOYEE OF ADVENTHEALTH AND/OR ANOTHER HOSPITAL OR HEALTH CARE INSTITUTION CONTROLLED BY THE SEVENTH-DAY ADVENTIST CHURCH AND WHO SATISFY CERTAIN OTHER QUALIFYING CRITERIA. ELIGIBLE EMPLOYEES ARE RESTRICTED TO THOSE EXECUTIVES WHO, AS OF JANUARY 1, 2020, SATISFIED, OR IF EMPLOYMENT CONTINUES, WILL SATISFY THE ELIGIBILITY REQUIREMENTS OF SERP II PRIOR TO DECEMBER 31, 2027. THIS SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP II) WAS DESIGNED TO PROVIDE ELIGIBLE EXECUTIVES WITH THE ECONOMIC EQUIVALENT OF AN ANNUAL INCOME BEGINNING AT NORMAL RETIREMENT AGE EQUAL TO 60% OF THE AVERAGE OF THE PARTICIPANT'S THREE, FIVE OR SEVEN HIGHEST YEARS OF BASE SALARY FROM ADVENTHEALTH ACTIVE EMPLOYMENT INCLUSIVE OF INCOME FROM ALL OTHER SEVENTH-DAY ADVENTIST CHURCH HEALTHCARE EMPLOYER-FINANCED RETIREMENT INCOME SOURCES AND INVESTMENT INCOME EARNED ON THOSE CONTRIBUTIONS THROUGH SOCIAL SECURITY NORMAL RETIREMENT AGE AS DEFINED IN THE PLAN. THE NUMBER OF YEARS INCLUDED IN HIGHEST AVERAGE COMPENSATION IS DETERMINED BY THE INDIVIDUAL'S YEAR OF ENTRY TO SERP II AND BY THE INDIVIDUAL'S YEAR OF ENTRY TO THE ADVENTHEALTH EXECUTIVE FLEX BENEFIT PROGRAM. FLEX PLAN: THE FLEX PLAN WAS ORIGINALLY DESIGNED TO PROVIDE ELIGIBLE EXECUTIVES AN OPPORTUNITY TO SELECT FROM AMONG A VARIETY OF SUPPLEMENTAL BENEFITS, INCLUDING A SPLIT DOLLAR LIFE INSURANCE POLICY AND LONG-TERM CARE INSURANCE, TO INDIVIDUALLY TAILOR A BENEFITS PROGRAM APPROPRIATE TO EACH EXECUTIVE'S NEEDS. IN 2020, THE FLEX PLAN WAS AMENDED TO EXCLUDE EMPLOYED EXECUTIVES WHO ARE HIRED OR PROMOTED AFTER A CERTAIN DATE FROM BEING ELIGIBLE TO PARTICIPATE IN THE FLEX PLAN EXCEPT FOR CERTAIN INSURANCE COVERAGE FEATURES OF THE PLAN. THE FLEX PLAN PROVIDES ELIGIBLE PARTICIPANTS A PRE-DETERMINED BENEFITS ALLOWANCE CREDIT THAT IS EQUAL TO A PERCENTAGE OF THE EXECUTIVE'S BASE PAY FROM WHICH THE COST OF MANDATORY AND ELECTIVE EMPLOYEE BENEFITS IS DEDUCTED. THE BENEFITS ALLOWANCE CREDIT PERCENTAGE FOR ANY PLAN YEAR SHALL NOT BE GREATER THAN THE MAXIMUM DOLLAR AMOUNT OR THE PERCENTAGE OF COMPENSATION AS DETERMINED BY THE ADVENTHEALTH BENEFITS ADMINISTRATION COMMITTEE. FOR GRANDFATHERED ELIGIBLE EMPLOYEES, THE ANNUAL PRE-DETERMINED FLEX ALLOWANCE IS CONTRIBUTED AND ANY FUNDS THAT REMAIN AFTER THE COST OF MANDATORY AND ELECTIVE BENEFITS ARE SUBTRACTED ARE, AT THE EMPLOYEE'S OPTION, CONTRIBUTED TO EITHER AN IRC 457(F) DEFERRED COMPENSATION ACCOUNT OR TO AN IRC 457(B) ELIGIBLE DEFERRED COMPENSATION PLAN. UPON ATTAINMENT OF AGE 65, ALL PREVIOUS 457(F) DEFERRED AMOUNTS ARE PAID IMMEDIATELY TO THE PARTICIPANT AND ANY FUTURE EMPLOYER CONTRIBUTIONS ARE MADE QUARTERLY FROM THE PLAN DIRECTLY TO THE PARTICIPANT. THE PLAN PROVIDES FOR A CLASS YEAR VESTING SCHEDULE (2 YEARS FOR EACH CLASS YEAR) WITH RESPECT TO AMOUNTS ACCUMULATED IN THE EXECUTIVE'S 457(F) DEFERRED COMPENSATION ACCOUNT. DISTRIBUTIONS COULD ALSO BE MADE FROM THE EXECUTIVE'S 457(F) DEFERRED COMPENSATION ACCOUNT UPON ATTAINMENT OF AGE 65 OR UPON AN INVOLUNTARY SEPARATION. THE ACCOUNT WILL BE FORFEITED BY THE EXECUTIVE UPON A VOLUNTARY SEPARATION. WITH RESPECT TO GRANDFATHERED PARTICIPANTS, THE FLEX PLAN DOCUMENTS DEFINE ELIGIBLE EMPLOYEES TO INCLUDE THE CHIEF EXECUTIVE OFFICERS OF ADVENTHEALTH ENTITIES AND VICE PRESIDENTS OF ALL ADVENTHEALTH ENTITIES WHOSE BASE SALARY WAS AT LEAST EQUAL TO THE INTERNAL REVENUE CODE SECTION 401(A)(17) COMPENSATION LIMIT EACH YEAR. FLEX PLAN FLEX PLAN SERP II SERP III CONTR. DISTR.* CONTR./DISTR. CONTR. OTTATI,DAVID $ 160,890 $ 159,135 $ 284,107 $ 0 GREGORY,AUDREY $ 0 $ 0 $ 0 $ 197,198 CELANO,PATRICIA $ 135,261 $ 98,573 $ 264,822 $ 0 DEININGER,ROBERT $ 113,099 $ 61,584 $ 0 $ 10,504 BROWN,LORENZO $ 60,234 $ 53,935 $ 0 $ 0 GLASS,KYLE $ 0 $ 0 $ 0 $ 73,420 KNYCH,STEPHEN $ 63,661 $ 40,977 $ 0 $ 0 LUNDE,ERIC $ 0 $ 0 $ 0 $ 60,705 BAKER,CRAIG $ 0 $ 0 $ 0 $ 53,943 * INCLUDING INVESTMENT EARNINGS PART V, LINE 1A: THE PARENT CORPORATION AND SOLE TOP-TIER MEMBER OF SOUTHWEST 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 SOUTHWEST VOLUSIA HEALTHCARE CORPORATION (SVHC) HAS ONE MEMBER. THE SOLE MEMBER OF SVHC IS ADVENTIST HEALTH SYSTEM SUNBELT, INC. ADVENTIST HEALTH SYSTEM SUNBELT, INC. (AHSS) 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 SVHC. FORM 990, PART VI, SECTION A, LINE 7A THE SOLE MEMBER OF SVHC IS AHSS. THE BOARD OF DIRECTORS OF SVHC ARE APPOINTED BY THE SOLE MEMBER, AHSS, WHO HAS THE RIGHT TO ELECT, APPOINT OR REMOVE ANY MEMBER OF THE BOARD OF DIRECTORS OF SVHC. FORM 990, PART VI, SECTION A, LINE 7B AHSS, 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 APPOINT AND REMOVE THE DIRECTORS AND ALL OFFICERS AND ADMINISTRATORS OF THE FILING ORGANIZATION, 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 APPROVE OR DISAPPROVE THE ANNUAL OPERATING AND CAPITAL BUDGETS OF THE FILING ORGANIZATION; D) TO APPROVE THE APPOINTMENT OF AN AUDITING FIRM AND ELECTION OF THE FISCAL YEAR FOR THE FILING ORGANIZATION; E) TO APPROVE OR DISAPPROVE MATERIAL CHANGES IN SERVICES OFFERED BY THE FILING ORGANIZATION; F) TO APPROVE OR DISAPPROVE CAPITAL EXPENDITURES IN EXCESS OF $1,000,000; G) TO APPROVE OR DISAPPROVE THE SALE, PURCHASE, DONATION, OR OTHER CONVEYANCE OF PERSONAL PROPERTY WITH A VALUE IN EXCESS OF $1,000,000 NOT OTHERWISE APPROVED IN THE CURRENT CAPITAL OR OPERATING BUDGETS; H) THE AUTHORITY TO REQUIRE THE FILING ORGANIZATION'S ADHERENCE TO POLICIES ADOPTED BY THE MEMBER OR AHSSHC; I) THE AUTHORITY TO SECURE NAMING RIGHTS AND TO DIRECT THE PLACEMENT OF FUNDS AND CAPITAL AND THE MAKING OF GIFTS, SPONSORSHIPS, DONATIONS, LOANS AND TRANSFERS OF FUNDS OR OTHER ASSETS BY THE FILING ORGANIZATION IN EXCESS OF $100,000; J) TO APPROVE OR DISAPPROVE THE SALE, DONATION, OR OTHER TRANSFER OF REAL PROPERTY WITH A VALUE IN EXCESS OF $1,000,000; K) TO APPROVE OR DISAPPROVE THE IMPLEMENTATION OF NON-TRADITIONAL, NON-HEALTHCARE RELATED ACTIVITIES; L) TO APPROVE OR DISAPPROVE THE SELECTION OF THE FILING ORGANIZATION'S GROUP PURCHASING ORGANIZATION(S); M) TO APPROVE OR DISAPPROVE ANY JOINT VENTURE OR PARTNERSHIP IN WHICH THE FILING ORGANIZATION WOULD BE A MEMBER OR PARTNER; N) TO APPROVE THE IT SYSTEMS USED BY THE FILING ORGANIZATION; AND O) THE AUTHORITY TO REQUIRE THE FILING ORGANIZATION'S ADHERENCE TO THE SYSTEM-WIDE NAMING NOMENCLATURE ADOPTED BY THE MEMBER OR AHSSHC; P) THE AUTHORITY TO SET LIMITS AND TERMS FOR ANY AND ALL TYPES OF FINANCIAL TRANSACTIONS EXCEEDING $100,000 FOR ANY SINGLE OR RELATED PROJECTS INCLUDING, WITHOUT LIMITATION, BORROWING OF FUNDS, ANY TYPE OF FINANCING, ANY BANKING ACTIVITIES, ACCOUNTS RECEIVABLE SECURITIZATION, SALE OF ACCOUNTS RECEIVABLE, LETTERS OF CREDIT, CREDIT LINES, TAX EXEMPT AND TAXABLE DEBT PROGRAMS AND STRUCTURES, ANY TRANSACTIONS PERMITTED BY THE FINANCIAL DOCUMENTS AND FINANCIAL STRUCTURE OF AHSSHC AND ANY OF ITS AFFILIATED ORGANIZATIONS, AND ANY OTHER FINANCING TRANSACTIONS NOT IDENTIFIED HEREIN, AND Q) TO APPROVE OR DISAPPROVE PERFORMANCE/QUALITY IMPROVEMENT AND CASE MANAGEMENT PROGRAMS. FORM 990, PART VI, SECTION B, LINE 11B THE FILING ORGANIZATION'S CURRENT YEAR FORM 990 WAS REVIEWED BY THE BOARD CHAIRMAN, BOARD FINANCE COMMITTEE CHAIR, CEO AND BY THE CFO PRIOR TO ITS FILING WITH THE IRS. THE REVIEW CONDUCTED BY THE BOARD CHAIRMAN, BOARD FINANCE COMMITTEE CHAIR, CEO AND THE CFO DID NOT INCLUDE THE REVIEW OF ANY SUPPORTING WORKPAPERS THAT WERE USED IN PREPARATION OF THE CURRENT YEAR FORM 990, BUT DID INCLUDE A REVIEW OF THE ENTIRE FORM 990 AND ALL SUPPORTING SCHEDULES. FORM 990, PART VI, SECTION B, LINE 12C 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. PART VII, SECTION A: 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. 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 PAYMENTS TO HEALTHCARE PROFESSIONALS: PROGRAM SERVICE EXPENSES 26,590,989. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 26,590,989. PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 3,182,807. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,182,807. PURCHASED MEDICAL SERVICES: PROGRAM SERVICE EXPENSES 19,195,100. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 19,195,100. ENVIRONMENTAL SERVICES: PROGRAM SERVICE EXPENSES 1,551,769. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,551,769. TRANSCRIPTION SERVICES: PROGRAM SERVICE EXPENSES 55,420. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 55,420. RECRUITING: PROGRAM SERVICE EXPENSES -122,614. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES -122,614. FOOD SERVICE CONTRACTS: PROGRAM SERVICE EXPENSES 16,921. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 16,921. MISCELLANEOUS PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 8,657,494. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 8,657,494. ADVENTHEALTH MANAGEMENT FEES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 7,528,728. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 7,528,728. BILLING & COLLECTION SERVICES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 1,382,216. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,382,216. ADVENTHEALTH SHARED SERVICE FEE: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 2,627,204. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,627,204. FORM 990, PART XI, LINE 9: TRANSFER TO TOP-TIER TAX-EXEMPT PARENT -1,645,235. ALLOCATION FROM TAX-EXEMPT PARENT WITH RESPECT TO DEBT 14,891. RESTRICTED FUNDS TRANSFERRED TO OPERATING -9,537. ROUNDING 2. 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, 2024, ADVENTHEALTH WILL FILE A CONSOLIDATED SINGLE AUDIT WHICH WILL INCLUDE ALL ENTITIES THAT ARE PART OF THE CONTROLLED GROUP. 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. ADVENTHEALTH BOND CLINIC FKA ADVENTHEALTH PCP NETWORK INC (722 - 1231 900 HOPE WAY ALTAMONTE SPRINGS FL 32714 333559943 OPERATION OF MEDICAL CLINICS & HEALTH CARE SERVICES FL 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 INC 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 HEALTH AND HOSPICE INC FKA HOSPICE OF THE COMFORTER INC 2600 WESTHALL LANE 2ND FLOOR MAITLAND FL 32751 592935928 OPERATION OF HOME HEALTH & HOSPICE SERVICES FL 501(C)(3) LINE 10 THE COMFORTER HEALTH CARE GROUP INC 1 ADVENTHEALTH KANSAS CITY FOUNDATION 7315 E FRONTAGE ROAD MERRIAM KS 66204 480868859 FUND-RAISING FOR TAX-EXEMPT HOSPITAL KS 501(C)(3) LINE 7 SHAWNEE MISSION MEDICAL CENTER INC 1 ADVENTHEALTH PALM COAST PARKWAY INC 1 ADVENTHEALTH WAY PALM COAST FL 32137 882288563 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 PORT CHARLOTTE INC (112124 - 12312024) 2500 HARBOR BLVD PORT CHARLOTTE FL 33952 332257010 FUTURE OPERATION OF HOSPITAL & RELATED SERVICES FL 501(C)(3) LINE 3 ADVENTIST HLTH SYSTEM SUNBELT HLTHCARE CORP 1 ADVENTHEALTH PRIMARY CARE NETWORK INC 900 HOPE WAY ALTAMONTE SPRINGS FL 32714 932208118 OPERATION OF PHYSICIAN PRACTICES & MEDICAL SERVICES FL 501(C)(3) LINE 3 ADVENTIST HLTH SYSTEM SUNBELT HLTHCARE CORP 1 ADVENTHEALTH PRIMARY HEALTH DIVISION INC (930 - 12312024) 900 HOPE WAY ALTAMONTE SPRINGS FL 32714 335016341 INACTIVE FL 501(C)(3) LINE 12A, I ADVENTIST HLTH SYSTEMSUNBELT INC 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 9330 US HIGHWAY 301 S RIVERVIEW FL 33637 870901094 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 TEAM MEMBER SERVICES INC (1021 - 12312024) 900 HOPE WAY ALTAMONTE SPRINGS FL 32714 331797512 FUTURE PROFESSIONAL EMPLOYER ORGANIZATION FL 501(C)(3) LINE 12C, III-FI ADVENTIST HLTH SYSTEM SUNBELT HLTHCARE CORP 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 CARE CENTERS - COURTLAND INC (11 - 872024) 900 HOPE WAY ALTAMONTE SPRINGS FL 32714 205774723 OPERATION OF HOME FOR THE AGED/HLTHCARE DELIVERY FL 501(C)(3) LINE 10 SUNBELT HLTH CARE CENTERS INC 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 SYSTEM GEORGIA INC 1035 RED BUD ROAD NE CALHOUN GA 30701 581425000 OPERATION OF HOSPITALS & 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 EMPLOYEE LEASING OF PERSONNEL TO AFFILIATED HOSPITALS TX 501(C)(3) LINE 12C, III-FI ADVENTIST HLTH SYSTEM SUNBELT HLTHCARE CORP 1 AHS MIDWEST MANAGEMENT INC 5101 S WILLOW SPRINGS RD LA GRANGE IL 60525 363354567 EMPLOYEE LEASING OF PERSONNEL TO SUPPORTED HOSPITALS IL 501(C)(3) LINE 12C, III-FI ADVENTIST HLTH SYSTEM SUNBELT HLTHCARE CORP 1 APOPKA HEALTH CARE PROPERTIES INC (11 - 2172024) 900 HOPE WAY ALTAMONTE SPRINGS FL 32714 510605694 LEASE TO RELATED ORGANIZATION GA 501(C)(3) LINE 12C, III-FI SUNBELT HLTH CARE CENTERS INC 1 BURLESON NURSING & REHAB CENTER INC (11 - 10152024) 900 HOPE WAY ALTAMONTE SPRINGS FL 32714 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 (11 - 2172024) 900 HOPE WAY ALTAMONTE SPRINGS FL 32714 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 (11 - 2172024) 900 HOPE WAY ALTAMONTE SPRINGS FL 32714 510605682 LEASE TO RELATED ORGANIZATION GA 501(C)(3) LINE 12C, III-FI SUNBELT HLTH CARE CENTERS INC 1 DAIRY ROAD HEALTH CARE PROPERTIES INC (11 - 2172024) 900 HOPE WAY ALTAMONTE SPRINGS FL 32714 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 (11 - 10152024) 900 HOPE WAY ALTAMONTE SPRINGS FL 32714 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 HOSPITALS & RELATED SERVICES NC 501(C)(3) LINE 3 ADVENTIST HLTH SYSTEM SUNBELT HLTHCARE CORP 1 FLNC INC (11 - 872024) 900 HOPE WAY ALTAMONTE SPRINGS FL 32714 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 14055 RIVEREDGE DRIVE STE 250 TAMPA FL 33637 462021581 OPERATION OF PHYSICIAN PRACTICES & MEDICAL SERVICES FL 501(C)(3) LINE 3 ADVENTIST HLTH SYSTEM SUNBELT HLTHCARE CORP 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 (11 - 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