TY 2013 Form 990

(A) Name and Title	(B) Average hours per week (list any hours for related organizations below dotted line)	(C) Position (do not check more than one box, unless person is both an officer and a director/trustee)	(E) Reportable compensation from related organizations (W- 2/1099-MISC)
(1) Carlson Ronald........................................................................ Director	1.00 .......................3.00	X		950	0
(2) Cauley DMin Michael F........................................................................ Director	1.00 .......................3.00	X		950	0
(3) Craig Carlos........................................................................ Director	1.00 .......................3.00	X		950	0
(4) Davidson James R........................................................................ Director	1.00 .......................3.00	X		2,025	0
(5) Griffith Jr Buford........................................................................ Director	1.00 .......................3.00	X		2,025	0
(6) Grove Rodney A........................................................................ Director (end 10/13)	1.00 .......................3.00	X		425	0
(7) Hagele Elaine M........................................................................ Director	1.00 .......................3.00	X		2,025	0
(8) Hayes Alta Sue........................................................................ Director	1.00 .......................3.00	X		950	0
(9) Houmann Lars D........................................................................ Director	35.00 .......................15.00	X		1,670,927	240,916
(10) Jernigan PhD Donald L........................................................................ Director/CEO	1.00 .......................50.00	X	X	1,621,076	100,888
(11) Johnson MD Mark........................................................................ Director	1.00 .......................3.00	X		950	0
(12) Knutson J Deryl........................................................................ Director	1.00 .......................3.00	X		2,025	0
(13) Lemon Thomas L........................................................................ Vice Chairman/Director	1.00 .......................3.00	X		2,247	0
(14) Livesay MDiv Donald E........................................................................ Chairman/Director	1.00 .......................3.00	X		2,247	0
(15) Moore MDiv Larry R........................................................................ Vice Chairman/Director	1.00 .......................3.00	X		2,247	0
(16) Morel Hubert J........................................................................ Director	1.00 .......................3.00	X		950	0
(17) Pichette Ray........................................................................ Director	1.00 .......................3.00	X		950	0

(A) Name and Title	(B) Average hours per week (list any hours for related organizations below dotted line)	(C) Position (do not check more than one box, unless person is both an officer and a director/trustee)	(E) Reportable compensation from related organizations (W- 2/1099-MISC)	(F) Estimated amount of other compensation from the organization and related organizations
(18) Reiner Richard K........................................................................ Director	1.00 .......................50.00	X					0	1,662,894	59,355
(19) Robinson Randy........................................................................ Director	1.00 .......................3.00	X					0	2,025	0
(20) Scott Glynn CW........................................................................ Director	1.00 .......................3.00	X					0	2,025	0
(21) Shaw Terry D........................................................................ Director	1.00 .......................50.00	X	X				0	1,692,632	243,317
(22) Smith DMin PhD Ron C........................................................................ Vice Chair/Sec/Director	1.00 .......................3.00	X					0	2,247	0
(23) Thurber Gary........................................................................ Director (beg 11/13)	1.00 .......................3.00	X					0	1,800	0
(24) Webb Gil........................................................................ Director (beg 1/13)	1.00 .......................3.00	X					0	1,075	0
(25) Werner Thomas L........................................................................ Director	1.00 .......................3.00	X					0	1,450	0
(26) Banks David P........................................................................ Senior VP - FH	50.00 .......................0.00			X			0	719,499	130,106
(27) Cummings Jr Desmond........................................................................ Exec VP - FH	50.00 .......................0.00			X			0	459,922	35,899
(28) Dodds Sheryl D........................................................................ Senior VP - FH	50.00 .......................0.00			X			0	479,340	66,291
(29) Fulbright Robert D........................................................................ Senior VP - FH	50.00 .......................0.00			X			0	526,092	103,310
(30) Goodman Todd A........................................................................ Senior VP - FH	50.00 .......................0.00			X			0	474,756	70,747
(31) Hilliard Douglas W........................................................................ Senior VP - FH	50.00 .......................0.00			X			0	455,188	89,418
(32) Hurst Jeffry D........................................................................ Senior VP - FH	50.00 .......................0.00			X			0	439,125	63,338
(33) Moorhead MD John David........................................................................ Senior VP - FH	50.00 .......................0.00			X			0	848,448	38,980
(34) Owen Terry R........................................................................ Senior VP - FH	50.00 .......................0.00			X			0	674,300	89,304
(35) Paradis J Brian........................................................................ Exec VP - FH	50.00 .......................0.00			X			0	980,046	180,121
(36) Reed MD Monica P........................................................................ Senior VP - FH	50.00 .......................0.00			X			100	936,001	121,060
(37) Soler Eddie........................................................................ CFO - FL Divison	50.00 .......................0.00			X			0	1,607,117	145,119
(38) Bittner MD Hartmuth........................................................................ Medical Director	56.00 .......................0.00				X		1,126,611	0	24,210
(39) Lee MD Kathy........................................................................ Physician	70.00 .......................0.00				X		899,103	0	27,367
(40) Eubanks Jr MDWilliam Stephen........................................................................ Executive Director of Academic Surgery	54.00 .......................0.00				X		800,256	0	25,888
(41) Jones MDPhillip E........................................................................ Physician	55.00 .......................0.00				X		751,766	0	36,342
(42) Torres MDRamon M........................................................................ Physician	60.00 .......................0.00				X		699,636	0	37,738
(43) Grim-Marcarelli Karen........................................................................ Former key employee	50.00 .......................0.00					X	0	430,707	47,740
(44) Hamilton Connie A........................................................................ Former key employee	0.00 .......................0.00					X	0	288,005	25,976
(45) Herrin Arlene K........................................................................ Former key employee	50.00 .......................0.00					X	0	318,773	64,724

(A) Name and business address	(B) Description of services	(C) Compensation
BRASFIELD & GORRIE LLC200 Colonial Ctr Pwy Ste 200Lake MaryFL32746	Construction Services	33,397,878
CERNER CORPORATION2800 Rockcreek ParkwayKansas CityMO64117	Technology Support Solutions	23,149,641
ROBINS & MORTON400 SHADES CREEK PARKWAY Ste 200BIRMINGHAMAL35209	Construction Services	12,025,514
KOOSHAREM CORPORATION24223 Network PlaceChicagoIL60673	Staffing	10,262,255
CC STAFFING INC6551 Park of Commerce BvdBoca RatonFL33437	Staffing	5,683,674
2 Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization 470

Do not include amounts reported on lines 6b, 7b, 8b, 9b, and 10b of Part VIII.	(A) Total expenses	(B) Program service expenses	(C) Management and general expenses	(D) Fundraising expenses
1	Grants and other assistance to governments and organizations in the United States. See Part IV, line 21	21,092,831	21,092,831
2	Grants and other assistance to individuals in the United States. See Part IV, line 22
3	Grants and other assistance to governments, organizations, and individuals outside the United States. See Part IV, lines 15 and 16	322,771	322,771
4	Benefits paid to or for members
5	Compensation of current officers, directors, trustees, and key employees ....	11,645,470		11,645,470
6	Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) ....
7	Other salaries and wages	1,045,615,727	1,023,138,100	22,477,627
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....	39,359,530	36,971,445	2,388,085
9	Other employee benefits .......	250,674,843	241,665,949	9,008,894
10	Payroll taxes ...........	78,523,247	76,635,339	1,887,908
11	Fees for services (non-employees):
a	Management ......
b	Legal .........	11,051,629		11,051,629
c	Accounting ...........	598,302		598,302
d	Lobbying ...........
e	Professional fundraising services. See Part IV, line 17
f	Investment management fees ......
g	Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O) ........	295,876,111	228,444,330	67,431,781
12	Advertising and promotion ....	17,365,365		17,365,365
13	Office expenses .......	100,140,840	74,779,820	25,361,020
14	Information technology ......	17,197,328	14,504,859	2,692,469
15	Royalties ..
16	Occupancy ...........	60,209,302	60,091,131	118,171
17	Travel ............	6,916,041	3,195,565	3,720,476
18	Payments of travel or entertainment expenses for any federal, state, or local public officials ......
19	Conferences, conventions, and meetings ....	1,400,515	948,806	451,709
20	Interest ...........	62,015,874	62,015,874
21	Payments to affiliates .......
22	Depreciation, depletion, and amortization .....	158,464,070	158,464,070
23	Insurance ..............	28,439,787	28,086,506	353,281
24	Other expenses. Itemize expenses not covered above (List miscellaneous expenses in line 24e. If line 24e amount exceeds 10% of line 25, column (A) amount, list line 24e expenses on Schedule O.)
a	Medical Supplies	533,065,885	533,065,885
b	Repairs/Maintenance	70,035,765	70,035,765
c	Assessments	38,222,536	38,222,536
d	UBI Tax	11,784		11,784
e	All other expenses	82,278,652	9,160,041	73,118,611
25	Total functional expenses. Add lines 1 through 24e	2,930,524,205	2,680,841,623	249,682,582	0
26	Joint costs. Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation. Check here if following SOP 98-2 (ASC 958-720).

Part X Balance Sheet Check if Schedule O contains a response or note to any line in this Part X ..............
	1	Cash–non-interest-bearing .............	104,616	1	103,380
2	Savings and temporary cash investments .........	1,559,001,735	2	2,022,267,786
3	Pledges and grants receivable, net ...........		3
4	Accounts receivable, net .............	421,785,860	4	444,928,441
5	Loans and other receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of Schedule L ..................
			5
6	Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), persons described in section 4958(c)(3)(B), and contributing employers and sponsoring organizations of section 501(c)(9) voluntary employees' beneficiary organizations (see instructions) Complete Part II of Schedule L
			6
7	Notes and loans receivable, net .............		7
8	Inventories for sale or use ..............	73,594,192	8	73,801,169
9	Prepaid expenses and deferred charges ..........	29,239,839	9	23,917,484
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	3,710,045,242
b	Less: accumulated depreciation .....	10b	1,825,123,249	1,777,349,745	10c	1,884,921,993
11	Investments—publicly traded securities ..........		11
12	Investments—other securities. See Part IV, line 11 .....	278,044,188	12	277,802,883
13	Investments—program-related. See Part IV, line 11 .....		13
14	Intangible assets ...............	34,901,310	14	33,144,645
15	Other assets. See Part IV, line 11 ...........	2,125,977,661	15	2,277,923,008
16	Total assets. Add lines 1 through 15 (must equal line 34)......	6,299,999,146	16	7,038,810,789
	17	Accounts payable and accrued expenses .........	211,662,358	17	253,635,420
18	Grants payable .................		18
19	Deferred revenue ................		19
20	Tax-exempt bond liabilities .............	3,620,560,952	20	3,967,083,441
21	Escrow or custodial account liability. Complete Part IV of Schedule D..		21
22	Loans and other payables to current and former officers, directors, trustees, key employees, highest compensated employees, and disqualified
	persons. Complete Part II of Schedule L..........		22
23	Secured mortgages and notes payable to unrelated third parties ..		23
24	Unsecured notes and loans payable to unrelated third parties ....		24
25	Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17-24). Complete Part X of Schedule D....................	232,589,914	25	301,647,617
26	Total liabilities. Add lines 17 through 25.........	4,064,813,224	26	4,522,366,478
		Organizations that follow SFAS 117 (ASC 958), check here and complete lines 27 through 29, and lines 33 and 34.
27	Unrestricted net assets ..............	2,233,704,874	27	2,514,344,365
28	Temporarily restricted net assets ...........	1,481,048	28	2,099,946
29	Permanently restricted net assets ...........		29
	Organizations that do not follow SFAS 117 (ASC 958), check here and complete lines 30 through 34.
30	Capital stock or trust principal, or current funds ........		30
31	Paid-in or capital surplus, or land, building or equipment fund .....		31
32	Retained earnings, endowment, accumulated income, or other funds		32
33	Total net assets or fund balances ...........	2,235,185,922	33	2,516,444,311
34	Total liabilities and net assets/fund balances ........	6,299,999,146	34	7,038,810,789

- TIN:

SCHEDULE A
(Form 990 or 990EZ)

Department of the Treasury
Internal Revenue Service

Public Charity Status and Public Support

Complete if the organization is a section 501(c)(3) organization or a section 4947(a)(1) nonexempt charitable trust.

Attach to Form 990 or Form 990-EZ. right arrow

See separate instructions.
right arrow

Information about Schedule A (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2013

Open to Public
Inspection

Name of the organization

Adventist Health SystemSunbelt Inc

Employer identification number

59-1479658

Part I

Reason for Public Charity Status (All organizations must complete this part.) See instructions.

The organization is not a private foundation because it is: (For lines 1 through 11, check only one box.)

A church, convention of churches, or association of churches described in section 170(b)(1)(A)(i).

A school described in section 170(b)(1)(A)(ii). (Attach Schedule E.)

A hospital or a cooperative hospital service organization described in section 170(b)(1)(A)(iii).

A medical research organization operated in conjunction with a hospital described in section 170(b)(1)(A)(iii). Enter the hospital's name, city, and state:

An organization operated for the benefit of a college or university owned or operated by a governmental unit described in

section 170(b)(1)(A)(iv). (Complete Part II.)

A federal, state, or local government or governmental unit described in section 170(b)(1)(A)(v).

An organization that normally receives a substantial part of its support from a governmental unit or from the general public described in section 170(b)(1)(A)(vi). (Complete Part II.)

A community trust described in section 170(b)(1)(A)(vi). (Complete Part II.)

An organization that normally receives: (1) more than 331/3% of its support from contributions, membership fees, and gross

receipts from activities related to its exempt functions—subject to certain exceptions, and (2) no more than 331/3% of

its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses

acquired by the organization after June 30, 1975. See section 509(a)(2). (Complete Part III.)

An organization organized and operated exclusively to test for public safety. See section 509(a)(4).

An organization organized and operated exclusively for the benefit of, to perform the functions of, or to carry out the purposes of one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2). See section 509(a)(3). Check the box that describes the type of supporting organization and complete lines 11e through 11h.

Type I

Type II

Type III - Functionally integrated

Type III - Non-functionally integrated

By checking this box, I certify that the organization is not controlled directly or indirectly by one or more disqualified persons other than foundation managers and other than one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2).

If the organization received a written determination from the IRS that it is a Type I, Type II, or Type III supporting organization, check this box ..................................................

Since August 17, 2006, has the organization accepted any gift or contribution from any of the
following persons?

(i) A person who directly or indirectly controls, either alone or together with persons described in (ii)

Yes

and (iii) below, the governing body of the supported organization? ................

11g(i)

(ii) A family member of a person described in (i) above? ......................

11g(ii)

(iii) A 35% controlled entity of a person described in (i) or (ii) above? ................

11g(iii)

Provide the following information about the supported organization(s).

(i) Name of supported organization	(ii) EIN	(iv) Is the organization in col. (i) listed in your governing document?		(v) Did you notify the organization in col. (i) of your support?		(vi) Is the organization in col. (i) organized in the U.S.?		(vii) Amount of monetary support
(i) Name of supported organization	(ii) EIN	Yes	No	Yes	No	Yes	No	(vii) Amount of monetary support


Total

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990EZ.

Cat. No. 11285F

Schedule A (Form 990 or 990-EZ) 2013

Page 2

Part II

Support Schedule for Organizations Described in Sections 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi)
(Complete only if you checked the box on line 5, 7, or 8 of Part I or if the organization failed to qualify under Part III. If the organization fails to qualify under the tests listed below, please complete Part III.)

Section A. Public Support

Calendar year (or fiscal year beginning in)		(a) 2009	(b) 2010	(c) 2011	(d) 2012	(e) 2013	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") ....
2	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf.......
3	The value of services or facilities furnished by a governmental unit to the organization without charge..
4	Total. Add lines 1 through 3
5	The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f)..
6	Public support. Subtract line 5 from line 4.

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2009	(b) 2010	(c) 2011	(d) 2012	(e) 2013	(f) Total
7	Amounts from line 4..
8	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources...
9	Net income from unrelated business activities, whether or not the business is regularly carried on..
10	Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.)..
11	Total support (Add lines 7 through 10).

Gross receipts from related activities, etc. (see instructions) ..................

First five years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a 501(c)(3) organization, check this box and stop here................................................. right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2013 (line 6, column (f) divided by line 11, column (f)) .........

Public support percentage for 2012 Schedule A, Part II, line 14 ...............

16a

33 1/3% support test—2013. If the organization did not check the box on line 13, and line 14 is 33 1/3% or more, check this box
and stop here. The organization qualifies as a publicly supported organization ....................... right arrow

33 1/3% support test—2012. If the organization did not check a box on line 13 or 16a, and line 15 is 33 1/3% or more, check this
box and stop here. The organization qualifies as a publicly supported organization ..................... right arrow

17a

10%-facts-and-circumstances test—2013. If the organization did not check a box on line 13, 16a, or 16b, and line 14
is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here. Explain
in Part IV how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported
organization ..................................................... right arrow

10%-facts-and-circumstances test—2012. If the organization did not check a box on line 13, 16a, 16b, or 17a, and line
15 is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here.
Explain in Part IV how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly
supported organization ................................................ right arrow

Private foundation. If the organization did not check a box on line 13, 16a, 16b, 17a, or 17b, check this box and see
instructions ..................................................... right arrow

Schedule A (Form 990 or 990-EZ) 2013

Page 3

Part III

Support Schedule for Organizations Described in Section 509(a)(2)
(Complete only if you checked the box on line 9 of Part I or if the organization failed to qualify under Part II. If the organization fails to qualify under the tests listed below, please complete Part II.)

Section A. Public Support

Calendar year (or fiscal year beginning in)		(a) 2009	(b) 2010	(c) 2011	(d) 2012	(e) 2013	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .
2	Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose......
3	Gross receipts from activities that are not an unrelated trade or business under section 513..
4	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...
5	The value of services or facilities furnished by a governmental unit to the organization without charge..
6	Total. Add lines 1 through 5.
7a	Amounts included on lines 1, 2, and 3 received from disqualified persons...
b	Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year.
c	Add lines 7a and 7b..
8	Public support (Subtract line 7c from line 6.)

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2009	(b) 2010	(c) 2011	(d) 2012	(e) 2013	(f) Total
9	Amounts from line 6...
10a	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
b	Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.
c	Add lines 10a and 10b.
11	Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on.
12	Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.) ..
13	Total support. (Add lines 9, 10c, 11, and 12.)..

First five years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a 501(c)(3) organization,
check this box and stop here............................................. right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2013 (line 8, column (f) divided by line 13, column (f)) .........

Public support percentage from 2012 Schedule A, Part III, line 15 ...............

Section D. Computation of Investment Income Percentage

Investment income percentage for 2013 (line 10c, column (f) divided by line 13, column (f)) ......

Investment income percentage from 2012 Schedule A, Part III, line 17 .............

19a

33 1/3% support tests—2013. If the organization did not check the box on line 14, and line 15 is more than 33 1/3%, and line 17 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization ........ right arrow

33 1/3% support tests—2012. If the organization did not check a box on line 14 or line 19a, and line 16 is more than 33 1/3% and line 18 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization ..... right arrow

Private foundation. If the organization did not check a box on line 14, 19a, or 19b, check this box and see instructions ..... right arrow

Schedule A (Form 990 or 990-EZ) 2013

Page 4

Part IV

Supplemental Information. Provide the explanations required by Part II, line 10; Part II, line 17a or 17b; and Part III, line 12. Also complete this part for any additional information. (See instructions).

Facts And Circumstances Test

Explanation

Schedule A (Form 990 or 990-EZ) 2013

Additional Data

Software ID:
Software Version:

- TIN:

Schedule B
(Form 990, 990-EZ,
or 990-PF)

Department of the Treasury
Internal Revenue Service

Schedule of Contributors

Attach to Form 990, 990-EZ, or 990-PF.

Information about Schedule B (Form 990, 990-EZ, or 990-PF) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2013

Name of the organization

Adventist Health SystemSunbelt Inc

Employer identification number

59-1479658

Organization type (check one):

Filers of:

Section:

Form 990 or 990-EZ

501(c)( ) (enter number) organization

4947(a)(1) nonexempt charitable trust not treated as a private foundation

527 political organization

Form 990-PF

501(c)(3) exempt private foundation

4947(a)(1) nonexempt charitable trust treated as a private foundation

501(c)(3) taxable private foundation

Check if your organization is covered by the General Rule or a Special Rule.
Note. Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions.

General Rule

For an organization filing Form 990, 990-EZ, or 990-PF that received, during the year, $5,000 or more (in money or
property) from any one contributor. Complete Parts I and II.

Special Rules

For a section 501(c)(3) organization filing Form 990 or 990-EZ that met the 33¹/3% support test of the regulations
under sections 509(a)(1) and 170(b)(1)(A)(vi) and received from any one contributor, during the year, a contribution of the
greater of (1) $5,000 or (2) 2% of the amount on (i) Form 990, Part VIII, line 1h, or (ii) Form 990-EZ, line 1. Complete Parts I and II.

For a section 501(c)(7), (8), or (10) organization filing Form 990 or 990-EZ that received from any one contributor,
during the year, total contributions of more than $1,000 for use exclusively for religious, charitable,
scientific, literary, or educational purposes, or for the prevention of cruelty to children or animals. Complete Parts I, II, and
III.

For a section 501(c)(7), (8), or (10) organization filing Form 990 or 990-EZ that received from any one contributor,
during the year, contributions for use exclusively for religious, charitable, etc., purposes, but these contributions did
not total more than $1,000. If this box is checked, enter here the total contributions that were received during
the year for an exclusively religious, charitable, etc., purpose. Do not complete any of the parts unless the General Rule
applies to this organization because it received nonexclusively religious, charitable, etc., contributions of $5,000 or more
during the year ......................... Arrow Bullet

Caution. An organization that is not covered by the General Rule and/or the Special Rules does not file Schedule B (Form 990,
990-EZ, or 990-PF), but it must answer “No” on Part IV, line 2, of its Form 990; or check the box on line H of its
Form 990-EZ or on its Form 990PF, Part I, line 2, to certify that it does not meet the filing requirements of Schedule B (Form 990,
990-EZ, or 990-PF).

For Paperwork Reduction Act Notice, see the Instructions
for Form 990, 990-EZ, or 990-PF.

Cat. No. 30613XSchedule B (Form 990, 990-EZ, or 990-PF) (2013)

Schedule B (Form 990, 990-EZ, or 990-PF) (2013)

Page 2

Name of organization Adventist Health SystemSunbelt Inc

Part I	Contributors (see instructions). Use duplicate copies of Part I if additional space is needed.
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
RESTRICTED	RESTRICTED RESTRICTED RESTRICTED RESTRICTED, RESTRICTEDRESTRICTED	$RESTRICTED	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
Schedule B (Form 990, 990-EZ, or 990-PF) (2013)

Schedule B (Form 990, 990-EZ, or 990-PF) (2013)

Page 3

Name of organization Adventist Health SystemSunbelt Inc

Part II	Noncash Property (see instructions). Use duplicate copies of Part II if additional space is needed.
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
Schedule B (Form 990, 990-EZ, or 990-PF) (2013)

Schedule B (Form 990, 990-EZ, or 990-PF) (2013)

Page 4

Name of organization
Adventist Health SystemSunbelt Inc

Employer identification number

59-1479658

Part III

Exclusively religious, charitable, etc., individual contributions to section 501(c)(7), (8), or (10) organizations
that total more than $1,000 for the year. Complete columns (a) through (e) and the following line entry.
For organizations completing Part III, enter the total of exclusively religious, charitable, etc.,
contributions of $1,000 or less for the year. (Enter this information once. See instructions.) Arrow Bullet

$
Use duplicate copies of Part III if additional space is needed.

(a) No.
from
Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a) No.
from
Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a) No.
from
Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a) No.
from
Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

Schedule B (Form 990, 990-EZ, or 990-PF) (2013)

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE C
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Political Campaign and Lobbying Activities

For Organizations Exempt From Income Tax Under section 501(c) and section 527
SchCMd Bullet

Complete if the organization is described below. SchCMd Bullet

Attach to Form 990 or Form 990-EZ.
SchCMd Bullet

See separate instructions. SchCMd Bullet

Information about Schedule C (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2013

Open to Public
Inspection

If the organization answered "Yes" to Form 990, Part IV, Line 3, or Form 990-EZ, Part V, line 46 (Political Campaign Activities), then
Round Bullet

Section 501(c)(3) organizations: Complete Parts I-A and B. Do not complete Part I-C.
Round Bullet

Section 501(c) (other than section 501(c)(3)) organizations: Complete Parts I-A and C below. Do not complete Part I-B.
Round Bullet

Section 527 organizations: Complete Part I-A only.
If the organization answered "Yes" to Form 990, Part IV, Line 4, or Form 990-EZ, Part VI, line 47 (Lobbying Activities), then
Round Bullet

Section 501(c)(3) organizations that have filed Form 5768 (election under section 501(h)): Complete Part II-A. Do not complete Part II-B.
Round Bullet

Section 501(c)(3) organizations that have NOT filed Form 5768 (election under section 501(h)): Complete Part II-B. Do not complete Part II-A.
If the organization answered "Yes" to Form 990, Part IV, Line 5 (Proxy Tax) or Form 990-EZ, Part V, line 35c (Proxy Tax), then
Round Bullet

Section 501(c)(4), (5), or (6) organizations: Complete Part III.

Name of the organization

Adventist Health SystemSunbelt Inc

Employer identification number

59-1479658

Part I-A

Complete if the organization is exempt under section 501(c) or is a section 527 organization.

Provide a description of the organization’s direct and indirect political campaign activities in Part IV.

Political expenditures .................................... SchCMd Bullet

Volunteer hours ........................................

Part I-B

Complete if the organization is exempt under section 501(c)(3).

Enter the amount of any excise tax incurred by the organization under section 4955 ......... SchCMd Bullet

Enter the amount of any excise tax incurred by organization managers under section 4955 ...... SchCMd Bullet

If the organization incurred a section 4955 tax, did it file Form 4720 for this year? ..............

Yes No

Was a correction made? .........................................

Yes No

If "Yes," describe in Part IV.

Part I-C

Complete if the organization is exempt under section 501(c), except section 501(c)(3).

Enter the amount directly expended by the filing organization for section 527 exempt function activities SchCMd Bullet

Enter the amount of the filing organization's funds contributed to other organizations for section 527 exempt function activities ................................... SchCMd Bullet

Total exempt function expenditures. Add lines 1 and 2. Enter here and on Form 1120-POL, line 17b.. SchCMd Bullet

Did the filing organization file Form 1120-POL for this year? ..........................

Yes No

Enter the names, addresses and employer identification number (EIN) of all section 527 political organizations to which the filing
organization made payments. For each organization listed, enter the amount paid from the filing organization’s funds. Also enter the amount of political contributions received that were promptly and directly delivered to a separate political organization, such as a separate segregated fund or a political action committee (PAC). If additional space is needed, provide information in Part IV.

(a) Name	(b) Address	(c) EIN	(d) Amount paid from filing organization's funds. If none, enter -0-.	(e) Amount of political contributions received and promptly and directly delivered to a separate political organization. If none, enter -0-.

For Paperwork Reduction Act Notice, see the instructions for Form 990 or 990-EZ.

Cat. No. 50084S

Schedule C (Form 990 or 990-EZ) 2013

Page 2

Part II-A

Complete if the organization is exempt under section 501(c)(3) and filed Form 5768 (election under section 501(h)).

A Check SchCMd Bullet

if the filing organization belongs to an affiliated group (and list in Part IV each affiliated group member's name, address, EIN, expenses, and share of excess lobbying expenditures).
B Check SchCMd Bullet

if the filing organization checked box A and "limited control" provisions apply.

Limits on Lobbying Expenditures (The term "expenditures" means amounts paid or incurred.)		(b) Affiliated group totals
1a	Total lobbying expenditures to influence public opinion (grass roots lobbying) ......
b	Total lobbying expenditures to influence a legislative body (direct lobbying) .......
c	Total lobbying expenditures (add lines 1a and 1b) ...................
d	Other exempt purpose expenditures ........................
e	Total exempt purpose expenditures (add lines 1c and 1d) ...............
f	Lobbying nontaxable amount. Enter the amount from the following table in both columns.
	If the amount on line 1e, column (a) or (b) is:The lobbying nontaxable amount is:
	Not over $500,00020% of the amount on line 1e.
	Over $500,000 but not over $1,000,000$100,000 plus 15% of the excess over $500,000.
	Over $1,000,000 but not over $1,500,000$175,000 plus 10% of the excess over $1,000,000.
	Over $1,500,000 but not over $17,000,000$225,000 plus 5% of the excess over $1,500,000.
	Over $17,000,000$1,000,000.

g	Grassroots nontaxable amount (enter 25% of line 1f) .................
h	Subtract line 1g from line 1a. If zero or less, enter -0-. ................
i	Subtract line 1f from line 1c. If zero or less, enter -0-. ................
j	If there is an amount other than zero on either line 1h or line 1i, did the organization file Form 4720 reporting section 4911 tax for this year? ......................................	Yes No

4-Year Averaging Period Under Section 501(h) (Some organizations that made a section 501(h) election do not have to complete all of the five columns below. See the instructions for lines 2a through 2f on page 4.)
Lobbying Expenditures During 4-Year Averaging Period
	Calendar year (or fiscal year beginning in)	(a) 2010	(b) 2011	(c) 2012	(d) 2013	(e) Total

2a	Lobbying nontaxable amount

b	Lobbying ceiling amount (150% of line 2a, column(e))

c	Total lobbying expenditures

d	Grassroots nontaxable amount

e	Grassroots ceiling amount (150% of line 2d, column (e))

f	Grassroots lobbying expenditures

Schedule C (Form 990 or 990-EZ) 2013

Page 3

Part II-B

Complete if the organization is exempt under section 501(c)(3) and has NOT filed Form 5768 (election under section 501(h)).

For each "Yes" response to lines 1a through 1i below, provide in Part IV a detailed description of the lobbying activity.

(a)

Yes

(b)

Amount

During the year, did the filing organization attempt to influence foreign, national, state or local legislation, including any attempt to influence public opinion on a legislative matter or referendum, through the use of:

Volunteers? .........................................

Paid staff or management (include compensation in expenses reported on lines 1c through 1i)? ....

Yes

Media advertisements? ....................................

Mailings to members, legislators, or the public? .........................

Publications, or published or broadcast statements? .......................

Grants to other organizations for lobbying purposes? .......................

Direct contact with legislators, their staffs, government officials, or a legislative body? ........

Rallies, demonstrations, seminars, conventions, speeches, lectures, or any similar means? ......

Yes

9,335

Other activities? ..........................

Yes

401,592

Total. Add lines 1c through 1i ...............................

410,927

Did the activities in line 1 cause the organization to be not described in section 501(c)(3)? .....

If "Yes," enter the amount of any tax incurred under section 4912 .................

If "Yes," enter the amount of any tax incurred by organization managers under section 4912 .....

If the filing organization incurred a section 4912 tax, did it file Form 4720 for this year? .......

Part III-A

Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6).

Yes

Were substantially all (90% or more) dues received nondeductible by members? ................

Did the organization make only in-house lobbying expenditures of $2,000 or less? ................

Did the organization agree to carry over lobbying and political expenditures from the prior year? ..........

Part III-B

Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6) and if either (a) BOTH Part III-A, lines 1 and 2, are answered "No" OR (b) Part III-A, line 3, is answered “Yes."

Dues, assessments and similar amounts from members .....................

Section 162(e) nondeductible lobbying and political expenditures (do not include amounts of political
expenses for which the section 527(f) tax was paid).

Current year .........................................

Carryover from last year ....................................

Total ............................................

Aggregate amount reported in section 6033(e)(1)(A) notices of nondeductible section 162(e) dues .

If notices were sent and the amount on line 2c exceeds the amount on line 3, what portion of the excess does the organization agree to carryover to the reasonable estimate of nondeductible lobbying and political expenditure next year? ................................

Taxable amount of lobbying and political expenditures (see instructions) ..............

Part IV

Supplemental Information

Provide the descriptions required for Part l-A, line 1; Part l-B, line 4; Part l-C, line 5; Part II-A (affiliated group list); Part II-A, line 2; and Part ll-B, line 1. Also, complete this part for any additional information.

Return Reference	Explanation
Part II-B, Line 1:	The corporation reimbursed traveling expenses and paid fees to retain the services of four consulting firms which performed lobbying activities on behalf of the corporation. The four firms were William Filan, John Andrew Kane, Dick Batchelor, and Johnson & Blanton and were paid a total of $283,365 during the year. Additionaly, dues were paid to the American Hospital Association, Florida Hospital Association, Illinois Hospital Association, Texas Hospital Association, Association of Organ Procurement and the Metropolitan Chicago Healthcare Council who use a portion of the dues to conduct lobbying activities.
Part II-B 1(b)	During 2013 salary expense of $21,845 was incurred for paid staff engaged in lobbying activities.

Return Reference

Explanation

Part II-B, Line 1:

The corporation reimbursed traveling expenses and paid fees to retain the services of four consulting firms which performed lobbying activities on behalf of the corporation. The four firms were William Filan, John Andrew Kane, Dick Batchelor, and Johnson & Blanton and were paid a total of $283,365 during the year. Additionaly, dues were paid to the American Hospital Association, Florida Hospital Association, Illinois Hospital Association, Texas Hospital Association, Association of Organ Procurement and the Metropolitan Chicago Healthcare Council who use a portion of the dues to conduct lobbying activities.

Part II-B 1(b)

During 2013 salary expense of $21,845 was incurred for paid staff engaged in lobbying activities.

Schedule C (Form 990 or 990EZ) 2013

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE D
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Financial Statements

Complete if the organization answered "Yes," to Form 990,
Part IV, line 6, 7, 8, 9, 10, 11a, 11b, 11c, 11d, 11e, 11f, 12a, or 12b
SchDMd Bullet

Attach to Form 990. SchDMd Bullet

See separate instructions. SchDMd Bullet

Information about Schedule D (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2013

Open to Public Inspection

Name of the organization

Adventist Health SystemSunbelt Inc

Employer identification number

59-1479658

Part I

Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if the organization answered "Yes" to Form 990, Part IV, line 6.

		(a) Donor advised funds	(b) Funds and other accounts
1	Total number at end of year .........
2	Aggregate contributions to (during year) ...
3	Aggregate grants from (during year) .....
4	Aggregate value at end of year ........

Did the organization inform all donors and donor advisors in writing that the assets held in donor advised
funds are the organization's property, subject to the organization's exclusive legal control? ............

Yes No

Did the organization inform all grantees, donors, and donor advisors in writing that grant funds can be
used only for charitable purposes and not for the benefit of the donor or donor advisor, or for any other purpose conferring impermissible private benefit? ...................................

Yes No

Part II

Conservation Easements. Complete if the organization answered "Yes" to Form 990, Part IV, line 7.

Purpose(s) of conservation easements held by the organization (check all that apply).

Preservation of land for public use (e.g., recreation or education) Preservation of an historically important land area

Protection of natural habitat Preservation of a certified historic structure

Preservation of open space

Complete lines 2a through 2d if the organization held a qualified conservation contribution in the form of a conservation easement on the last day of the tax year.


a	Total number of conservation easements .......................	2a
b	Total acreage restricted by conservation easements ..................	2b
c	Number of conservation easements on a certified historic structure included in (a) .....	2c
d	Number of conservation easements included in (c) acquired after 8/17/06, and not on a historic structure listed in the National Register ....................	2d

Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during
the tax year SchDMd Bullet

Number of states where property subject to conservation easement is located SchDMd Bullet

Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and
enforcement of the conservation easements it holds? .............................

Yes No

Staff and volunteer hours devoted to monitoring, inspecting, and enforcing conservation easements during the year
SchDMd Bullet

0.00

Amount of expenses incurred in monitoring, inspecting, and enforcing conservation easements during the year
SchDMd Bullet

$ 0

Does each conservation easement reported on line 2(d) above satisfy the requirements of section 170(h)(4)(B)(i) and section 170(h)(4)(B)(ii)? .......................................

Yes No

In Part XIII, describe how the organization reports conservation easements in its revenue and expense statement, and
balance sheet, and include, if applicable, the text of the footnote to the organization’s financial statements that describes
the organization’s accounting for conservation easements.

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets.
Complete if the organization answered "Yes" to Form 990, Part IV, line 8.

If the organization elected, as permitted under SFAS 116 (ASC 958), not to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide, in Part XIII, the text of the footnote to its financial statements that describes these items.

If the organization elected, as permitted under SFAS 116 (ASC 958), to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide the following amounts relating to these items:

(i)

Revenues included in Form 990, Part VIII, line 1 ........................ SchDMd Bullet

(ii)

Assets included in Form 990, Part X .............................. SchDMd Bullet

If the organization received or held works of art, historical treasures, or other similar assets for financial gain, provide the
following amounts required to be reported under SFAS 116 (ASC 958) relating to these items:

Revenues included in Form 990, Part VIII, line 1 .......................... SchDMd Bullet

Assets included in Form 990, Part X ............................... SchDMd Bullet

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 52283D

Schedule D (Form 990) 2013

Page 2

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)

Using the organization’s acquisition, accession, and other records, check any of the following that are a significant use of its collection items (check all that apply):

Public exhibition

Loan or exchange programs

Scholarly research

Other

Preservation for future generations

Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIII.

During the year, did the organization solicit or receive donations of art, historical treasures or other similar
assets to be sold to raise funds rather than to be maintained as part of the organization’s collection?........

Yes No

Part IV

Escrow and Custodial Arrangements. Complete if the organization answered "Yes" to Form 990,
Part IV, line 9, or reported an amount on Form 990, Part X, line 21.

Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................

Yes No

If "Yes," explain the arrangement in Part XIII and complete the following table:


c	Beginning balance .................................	1c
d	Additions during the year ..............................	1d
e	Distributions during the year .............................	1e
f	Ending balance ...................................	1f

Did the organization include an amount on Form 990, Part X, line 21? .....................

Yes No

If "Yes," explain the arrangement in Part XIII. Check here if the explanation has been provided in Part XIII ........

Part V

Endowment Funds. Complete if the organization answered "Yes" to Form 990, Part IV, line 10.

		(a)Current year	(b)Prior year	b (c)Two years back	(d)Three years back	(e)Four years back
1a	Beginning of year balance ....	16,590,057	15,730,537	15,221,113	14,810,178	14,077,615
b	Contributions ........	79,461	79,402	121,143	30,263	57,189
c	Net investment earnings, gains, and losses	808,853	780,118	753,535	720,592	696,088
d	Grants or scholarships .....				339,920	117,114
e	Other expenditures for facilities and programs ........	355,621		365,254
f	Administrative expenses ....					-96,400
g	End of year balance ......	17,122,750	16,590,057	15,730,537	15,221,113	14,810,178

Provide the estimated percentage of the current year end balance (line 1g, column (a)) held as:

Board designated or quasi-endowment SchDMd Bullet

80.590 %

Permanent endowment SchDMd Bullet

19.410 %

Temporarily restricted endowment SchDMd Bullet

0 %

The percentages in lines 2a, 2b, and 2c should equal 100%.

Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes

(i) unrelated organizations ........................

3a(i)

(ii) related organizations ........................

3a(ii)

Yes

If "Yes" to 3a(ii), are the related organizations listed as required on Schedule R? .........

Yes

Describe in Part XIII the intended uses of the organization's endowment funds.

Part VI

Land, Buildings, and Equipment. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11a. See Form 990, Part X, line 10.

Description of property		(b)Cost or other basis (other)	(c) Accumulated depreciation	(d) Book value
1a	Land .................	203,979,362		203,979,362
b	Buildings ................	1,307,372,501	559,940,643	747,431,858
c	Leasehold improvements ............
d	Equipment ................	1,961,099,638	1,207,816,161	753,283,477
e	Other .................	237,593,741	57,366,445	180,227,296
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).).......				1,884,921,993

Schedule D (Form 990) 2013

Page 3

Part VII

InvestmentsOther Securities. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11b. See Form 990, Part X, line 12.

(a) Description of security or category (including name of security)		(b)Book value	(c) Method of valuation: Cost or end-of-year market value
(1)Financial derivatives
(2)Closely-held equity interests
Other








Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)

Part VIII

InvestmentsProgram Related. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11c. See Form 990, Part X, line 13.

(a) Description of investment		(b) Book value	(c) Method of valuation: Cost or end-of-year market value









Total. (Column (b) must equal Form 990, Part X, col.(B) line 13.)

Part IX

Other Assets. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11d. See Form 990, Part X, line 15.

(a) Description				(b) Book value
(1) Funds Held in Trust				187,813,714
(2) Other Current Receivables				13,713,472
(3) Due From Related Parties and Affiliates				51,172,975
(4) Donor Restricted Assets				12,874
(5) Deferred Charges and Costs				21,527,216
(6) Long-term Investments				76,701,365
(7) Other Non-Current Assets				9,802,145
(8) Receivable - Interco Alloc of Tax-Exempt Bond Proceeds				1,898,273,607
(9) Receivable from Third Party				18,741,273
(10) Assets Held for Sale				164,367
Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........				2,277,923,008

Part X

Other Liabilities. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11e or 11f. See Form 990, Part X, line 25.

1.(a) Description of liability		(b) Book value
Federal income taxes
Accounts Receivable - Credit Balances		9,071,974
Payable to Third Party		115,496,411
Due to Related-Affiliated Entities		21,888,546
Other Current Liabilities		6,503,240
Other Non-Current Liabilities		141,566,952
Notes and Loans Payable		174,174
Leases Payable		6,946,320


Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)		301,647,617
2. Liability for uncertain tax positions In Part XIII, provide the text of the footnote to the organization's financial statements that reports the organization's liability for uncertain tax positions under FIN 48 (ASC 740). Check here if the text of the footnote has been provided in Part XIII ..................................................

Schedule D (Form 990) 2013

Page 4

Part XI Reconciliation of Revenue per Audited Financial Statements With Revenue per Return Complete if the organization answered 'Yes' to Form 990, Part IV, line 12a.
1	Total revenue, gains, and other support per audited financial statements .......		1
2	Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a	Net unrealized gains on investments ..........	2a
b	Donated services and use of facilities .........	2b
c	Recoveries of prior year grants ...........	2c
d	Other (Describe in Part XIII.) ............	2d
e	Add lines 2a through 2d .....................		2e
3	Subtract line 2e from line 1.....................		3
4	Amounts included on Form 990, Part VIII, line 12, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b .	4a
b	Other (Describe in Part XIII.) ...........	4b
c	Add lines 4a and 4b.......................		4c
5	Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) ......		5

Part XII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return. Complete if the organization answered 'Yes' to Form 990, Part IV, line 12a.
1	Total expenses and losses per audited financial statements ...........		1
2	Amounts included on line 1 but not on Form 990, Part IX, line 25:
a	Donated services and use of facilities ..........	2a
b	Prior year adjustments ..............	2b
c	Other losses ................	2c
d	Other (Describe in Part XIII.) ............	2d
e	Add lines 2a through 2d......................		2e
3	Subtract line 2e from line 1.....................		3
4	Amounts included on Form 990, Part IX, line 25, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b ..	4a
b	Other (Describe in Part XIII.) ............	4b
c	Add lines 4a and 4b.......................		4c
5	Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) ......		5

Part XIII

Supplemental Information

Provide the descriptions required for Part II, lines 3, 5, and 9; Part III, lines 1a and 4; Part lV, lines 1b and 2b;
Part V, line 4; Part X, line 2; Part XI, lines 2d and 4b; and Part XII, lines 2d and 4b. Also complete this part to provide any additional information.

Return Reference	Explanation
Part II, Line 9:	The filing organization has recorded the land conservation easement on its financial statements as a Property, Plant, and Equipment Asset. The conservation easement generates no revenue and the filing organization did not incur any expense in 2013 related to the maintenance and monitoring of the conservation easement.
Part V, Line 4:	All endowment funds are held by related 501(c)(3) exempt foundations. These endowment funds have been established for a variety of purposes in support of related tax-exempt hospitals. All of the foundation's permanently restricted endowment funds are required to be retained permanently either by explicit donor stipulation or by the Florida Uniform Prudent Management of Institutional Funds Act.
Part X, Line 2:	The filing organization is a subsidiary organization within Adventist Health System (AHS). The consolidated financial statements of AHS contain the following FIN 48 footnote: Please note that dollar amounts are in thousands. Healthcare Corporation and its affiliated organizations, other than North American Health Services, Inc. and its subsidiaries (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. For the years ended December 31, 2013 and 2012, unrelated business income activities conducted by Healthcare Corporation and its tax-exempt affiliates did not generate a material amount of combined federal, state and local income tax. NAHS is a wholly owned, for-profit subsidiary of Healthcare Corporation. NAHS and its subsidiaries are subject to federal and state income taxes. NAHS files a consolidated federal income tax return and, where appropriate, consolidated state income tax returns. For the years ended December 31, 2013 and 2012, NAHS generated taxable income of approximately $500 and $2,100, respectively. This taxable income was fully offset by net operating loss carryforwards for federal income tax purposes. Although one state in which NAHS conducts business has suspended the utilization of net operating loss carryforwards for the year ended December 31, 2013, no material state income tax liability resulted. Accordingly, there is no provision for current federal or state income tax for the years ended December 31, 2013 and 2012. NAHS also has temporary deductible differences of approximately $65,000 and $64,800 at December 31, 2013 and 2012, respectively, primarily as a result of net operating loss carryforwards. At December 31, 2013, NAHS had net operating loss carryforwards of approximately $64,200 of which $21,000 will expire in 2023, with the remaining $43,200 expiring beginning in 2018 through 2026. Some of these net operating losses are subject to the separate return limitation year rules. Deferred taxes have been provided for these amounts, resulting in a net deferred tax asset of approximately $24,700 and $24,600 at December 31, 2013 and 2012, respectively. A full valuation allowance has been provided at December 31, 2013 and 2012, respectively, to offset the deferred tax asset since Healthcare Corporation has determined that it is more likely than not that the benefit of the net operating loss carryforwards will not be realized in future years. The Income Taxes Topic of the ASC (ASC 740) prescribes the accounting for uncertainty in income tax positions recognized in financial statements. ASC 740 prescribes a recognition threshold and measurement attribute for the financial statement recognition and measurement of a tax position taken or expected to be taken in a tax return. There were no material uncertain tax positions as of December 31, 2013 and 2012.

Schedule D (Form 990) 2013

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE F(Form 990)

Department of the Treasury
Internal Revenue Service

Statement of Activities Outside the United States

Complete if the organization answered "Yes" to Form 990,Part IV, line 14b, 15, or 16. Right pointing arrow large image

Attach to Form 990. Right pointing arrow large image

See separate instructions. Right pointing arrow large image

Information about Schedule F (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2013

Open to Public Inspection

Name of the organization
Adventist Health SystemSunbelt Inc

Employer identification number

59-1479658

Part I

General Information on Activities Outside the United States. Complete if the organization answered "Yes" to Form 990, Part IV, line 14b.

For grantmakers.Does the organization maintain records to substantiate the amount of its grants and

other assistance, the grantees’ eligibility for the grants or assistance, and the selection criteria used

to award the grants or assistance? ...............................

Yes

For grantmakers. Describe in Part V the organization’s procedures for monitoring the use of its grants and other assistance outside the United States.

Activites per Region. (The following Part I, line 3 table can be duplicated if additional space is needed.)

(a) Region		(d) Activities conducted in region (by type) (e.g., fundraising, program services, investments, grants to recipients located in the region)	(e) If activity listed in (d) is a program service, describe specific type of service(s) in region	(f) Total expenditures for and investments in region
	Central America and the Caribbean	Grantmaking		167,169
	Central America and the Caribbean	Meetings		8,116
	Central America and the Caribbean	Program Services	Medical Care Mission Trips	14,040
	East Asia and the Pacific	Grantmaking		31,258
	East Asia and the Pacific	Meetings		7,331
	East Asia and the Pacific	Program Service	Travel expenses related to grantmaking	31,058
	Europe (including Iceland and Greenland)	Meetings		18,396
	Europe (including Iceland and Greenland)	Program Services	Surgical Care	58,931
	Middle East and North Africa	Meetings		50,692
	Middle East and North Africa	Program Services	Education/Learning	21,423
	North America (which includes Canada and Mexico, but not the U.S.)	Meetings		14,729
	North America (which includes Canada and Mexico, but not the U.S.)	Program Services	Surgical Care	59,543
	North America (which includes Canada and Mexico, but not the U.S.)	Program Services	Speech Therapy	13,772
	Russia and Neighboring States	Program Services	Medical supplies and equipment	400
	South America	Grantmaking		16,207
	South America	Meetings		2,767
	South America	Program Services	Medical/dental clinics	48,766
	South America	Program Services	Surgical Care	31,480
	South America	Program Services	Mission trips and Conferences. Medical supplies and other donated supplies.	85,241
	South Asia	Meetings		600
	Sub-Saharan Africa	Grantmaking		108,137
	Sub-Saharan Africa	Program Services	Mission trips	121,363
3a	Sub-total .....			336,299
b	Total from continuation sheets to Part I ...			575,120
c	Totals (add lines 3a and 3b)			911,419

For Paperwork Reduction Act Notice, see the Instructions for Form 990.Cat. No. 50082W Schedule F (Form 990) 2013

Schedule F (Form 990) 2013

Page 2

Part II

Grants and Other Assistance to Organizations or Entities Outside the United States. Complete if the organization answered "Yes" to Form 990, Part IV, line 15, for any recipient who received more than $5,000. Part II can be duplicated if additional space is needed.

(c) Region	(d) Purpose of grant	(e) Amount of cash grant	(f) Manner of cash disbursement	(g) Amount of non-cash assistance	(h) Description of non-cash assistance	(i) Method of valuation (book, FMV, appraisal, other)
Central America and the Caribbean	Medical Supplies or Equipment	10,400	Check			Book
Sub-Saharan Africa	General Support	108,137	Electronic Funds			Book
Central America and the Caribbean	Medical Supplies or Equipment			7,590	Medical Equipment	Book
Central America and the Caribbean	Medical Supplies or Equipment			112,738	Medical Equipment	Book
East Asia and the Pacific	Medical Supplies or Equipment			31,258	Medical Supplies	Book
South America	Medical Supplies or Equipment			16,207	Medical Supplies	Book
Central America and the Caribbean	General Support	36,441	Electronic Funds			Book

Enter total number of recipient organizations listed above that are recognized as charities by the foreign country, recognized as tax-exempt by the IRS, or for which the grantee or counsel has provided a section 501(c)(3) equivalency letter .... MediumBullet

Enter total number of other organizations or entities ....................... MediumBullet

Schedule F (Form 990) 2013

Schedule F (Form 990) 2013Page 3

Part III

Grants and Other Assistance to Individuals Outside the United States. Complete if the organization answered "Yes" to Form 990, Part IV, line 16.

Part III can be duplicated if additional space is needed.

(a) Type of grant or assistance		(b) Region	(c) Number of recipients	(d) Amount of cash grant	(e) Manner of cash disbursement	(f) Amount of non-cash assistance	(g) Description of non-cash assistance	(h) Method of valuation (book, FMV, appraisal, other)

Schedule F (Form 990) 2013

Page 4

Part IV

Foreign Forms

Schedule F (Form 990) 2013

Page 5

Part V

Supplemental Information
Provide the information required by Part I, line 2 (monitoring of funds); Part I, line 3, column (f) (accounting method; amounts of investments vs. expenditures per region); Part II, line 1 (accounting method); Part III (accounting method); and Part III, column (c) (estimated number of recipients), as applicable. Also complete this part to provide any additional information (see instructions).

ReturnReference	Explanation
Part I, Line 2:	Foreign grants are generally non-cash donations of medical equipment and supplies to assist foreign health care providers in fulfilling their mission of providing health care services to the populations they serve. The foreign health care providers are often hospitals and/or clinics operated and/or sponsored by or affiliated with the Seventh-Day Adventist Church. The foreign hospitals/clinics may be located in remote and/or underserved villages and townships of developing countries. Grants are typically made to other U.S. charitable organizations or foreign entities recognized as charitable by the foreign country in which they are located. As a result of the nature of the grants as non-cash medical equipment and supplies and the fact that most grants are made indirectly through other U.S. or foreign charitable organizations, the filing organization has not established specific procedures for monitoring the use of grant funds outside the United States.

Schedule F (Form 990) 2013

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE H (Form 990)

Department of the Treasury
Internal Revenue Service

Hospitals

Complete if the organization answered "Yes" to Form 990, Part IV, question 20.
MediumBullet

Attach to Form 990. MediumBullet

See separate instructions.
MediumBullet

Information about Schedule H (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2013

Open to Public Inspection

Name of the organization

Adventist Health SystemSunbelt Inc

Employer identification number

59-1479658

Part I

Financial Assistance and Certain Other Community Benefits at Cost

Yes

Did the organization have a financial assistance policy during the tax year? If "No," skip to question 6a ...

Yes

If "Yes," was it a written policy? .......................

Yes

If the organization had multiple hospital facilities, indicate which of the following best describes application of the financial assistance policy to its various hospital facilities during the tax year.

Applied uniformly to all hospital facilities Applied uniformly to most hospital facilities Generally tailored to individual hospital facilities

Answer the following based on the financial assistance eligibility criteria that applied to the largest number of the organization's patients during the tax year.

Did the organization use Federal Poverty Guidelines (FPG) as a factor in determining eligibility for providing free care?

If "Yes," indicate which of the following was the FPG family income limit for eligibility for free care:

Yes

100% 150% 200% Other %

Did the organization use FPG as a factor in determining eligibility for providing discounted care? If "Yes," indicate

which of the following was the family income limit for eligibility for discounted care: .........

Yes

200% 250% 300% 350% 400% Other %

If the organization used factors other than FPG in determining eligibility, describe in Part VI the income based criteria for determining eligibility for free or discounted care. Include in the description whether the organization used an asset test or other threshold, regardless of income, as a factor in determining eligibility for free or discounted care.

Did the organization's financial assistance policy that applied to the largest number of its patients during the tax year provide for free or discounted care to the "medically indigent"? ..............

Yes

Did the organization budget amounts for free or discounted care provided under its financial assistance policy during the tax year? ............................

Yes

If "Yes," did the organization's financial assistance expenses exceed the budgeted amount? ......

If "Yes" to line 5b, as a result of budget considerations, was the organization unable to provide free or discountedcare to a patient who was eligibile for free or discounted care? ..............

Did the organization prepare a community benefit report during the tax year? ..........

Yes

If "Yes," did the organization make it available to the public? ..............

Yes

Complete the following table using the worksheets provided in the Schedule H instructions. Do not submit these worksheets with the Schedule H.

Financial Assistance and Certain Other Community Benefits at Cost

Financial Assistance and Means-Tested Government Programs		(c) Total community benefit expense	(d) Direct offsetting revenue	(e) Net community benefit expense	(f) Percent of total expense
a	Financial Assistance at cost (from Worksheet 1) ..	159,241,205		159,241,205	5.430 %
b	Medicaid (from Worksheet 3, column a) ....	447,754,923	272,912,109	174,842,814	5.970 %
c	Costs of other means-tested government programs (from Worksheet 3, column b) .
d	Total Financial Assistance and Means-Tested Government Programs .	606,996,128	272,912,109	334,084,019	11.400 %
Other Benefits		14,872,017	242,882	14,629,135	0.500 %
e	Community health improvement services and community benefit operations (from Worksheet 4) ..	14,872,017	242,882	14,629,135	0.500 %
f	Health professions education (from Worksheet 5) ..	44,214,551	10,872,205	33,342,346	1.140 %
g	Subsidized health services (from Worksheet 6) ..
h	Research (from Worksheet 7)	3,592,650	2,313,507	1,279,143	0.040 %
i	Cash and in-kind contributions for community benefit (from Worksheet 8)	14,318,590		14,318,590	0.490 %
j	Total. Other Benefits ..	76,997,808	13,428,594	63,569,214	2.170 %
k	Total. Add lines 7d and 7j .	683,993,936	286,340,703	397,653,233	13.570 %

For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2013

Schedule H (Form 990) 2013

Page

Part II

Community Building Activities Complete this table if the organization conducted any community building activities during the tax year, and describe in Part VI how its community building activities promoted the health of the communities it serves.

		(c) Total community building expense	(d) Direct offsetting revenue	(e) Net community building expense	(f) Percent of total expense
1	Physical improvements and housing
2	Economic development
3	Community support
4	Environmental improvements
5	Leadership development and training for community members
6	Coalition building
7	Community health improvement advocacy	20,305,216	5,590,095	14,715,121	0.500 %
8	Workforce development	398,209	9,075	389,134	0.010 %
9	Other
10	Total	20,703,425	5,599,170	15,104,255	0.510 %

Part III

Bad Debt, Medicare, & Collection Practices

Section A. Bad Debt Expense

Yes

Did the organization report bad debt expense in accordance with Heathcare Financial Management Association Statement No. 15? ..........................

Yes

Enter the amount of the organization's bad debt expense. Explain in Part VI the methodology used by the organization to estimate this amount. ......

122,803,958

Enter the estimated amount of the organization's bad debt expense attributable to patients eligible under the organization's financial assistance policy. Explain in Part VI the methodology used by the organization to estimate this amount and the rationale, if any, for including this portion of bad debt as community benefit. ......

6,129,440

Provide in Part VI the text of the footnote to the organization’s financial statements that describes bad debt expense or the page number on which this footnote is contained in the attached financial statements.

Section B. Medicare

Enter total revenue received from Medicare (including DSH and IME).....

682,661,267

Enter Medicare allowable costs of care relating to payments on line 5.....

773,834,903

Subtract line 6 from line 5. This is the surplus (or shortfall)........

-91,173,636

Describe in Part VI the extent to which any shortfall reported in line 7 should be treated as community benefit.Also describe in Part VI the costing methodology or source used to determine the amount reported on line 6.Check the box that describes the method used:

Cost accounting system Cost to charge ratio Other

Section C. Collection Practices

Did the organization have a written debt collection policy during the tax year? ..........

Yes

If "Yes," did the organization’s collection policy that applied to the largest number of its patients during the tax year contain provisions on the collection practices to be followed for patients who are known to qualify for financial assistance? Describe in Part VI.......................

Yes

Part IV

Management Companies and Joint Ventures(owned 10% or more by officers, directors, trustees, key employees, and physicians—see instructions)

(a) Name of entity	(b) Description of primary activity of entity	(c) Organization's profit % or stock ownership %	(d) Officers, directors, trustees, or key employees' profit % or stock ownership %	(e) Physicians' profit % or stock ownership %
11 San Marcos MRI LP	Imaging Center	55.000 %	0 %	45.000 %
22 Central Texas Ambulatory Endoscopy	Endoscopy Center	18.800 %	0 %	81.200 %
33 Surgical Center at Sun'N Lake LLC	Ambulatory Surgery	50.000 %	0 %	50.000 %
44 Surgery Management Associates of Kissimmee LLC	Management/Admin	30.000 %	0 %	70.000 %
55 Celebration Surgery Management LLC	Management/Admin	40.000 %	0 %	60.000 %
6
7
8
9
10
11
12
13

Schedule H (Form 990) 2013

Page

Part VFacility Information

Section A. Hospital Facilities (list in order of size from largest to smallest—see instructions) How many hospital facilities did the organization operate during the tax year?12 Name, address, primary website address, and state license number									Other (Describe)	Facility reporting group
1	Florida Hospital Orlando 601 E Rollins Street Orlando,FL32803 www.floridahospital.com/orlando 4369	X	X	X	X		X	X	Therapy Center, EPS Cath Lab	A
2	Florida Hospital Celebration Health 400 Celebration Place Celebration,FL34747 www.floridahospital.com/celebration-h 4369	X	X		X			X	Therapy Center	A
3	Florida Hospital Altamonte 601 E Altamonte Drive Altamonte Springs,FL32701 www.floridahospitalaltamonte.com 4369	X	X		X			X	Cancer Center, therapy, non professional svces	A
4	Florida Hospital East Orlando 7727 Lake Underhill Road Orlando,FL32822 www.floridahospitaleast.com 4369	X	X		X			X		A
5	Winter Park Memorial Hospital 200 N Lakemont Avenue Winter Park,FL32822 www.floridahospital.com/winter-park-m 4369	X	X		X			X		A
6	Adventist La Grange Memorial Hospital 5101 S Willow Springs Road La Grange,IL60525 www.keepingyouwell.com/almh/ 0005017	X	X		X		X	X		A
7	FH Heartland Medical Center 4200 Sun N Lake Blvd Sebring,FL33872 fhheartland.org 4171	X	X					X		A
8	Florida Hospital Kissimmee 2450 North Orange Blossom Trail Kissimmee,FL34744 www.floridahospital.com/kissimmee 4369	X	X		X			X		A
9	Central Texas Medical Center 1301 Wonder World Dr San Marcos,TX78666 ctmc.org 000556	X	X					X		B
10	Florida Hospital Apopka 201 N Park Avenue Apopka,FL32703 www.floridahospitalapopka.com 4369	X	X		X			X		A
11	FH Heartland Medical Center Lake Placid 1210 US 27 N Lake Placid,FL33852 fhheartland.org 4171	X	X					X	Senior Behavioral Unit	A
12	Florida Hospital Wauchula 533 W Carlton Street Wauchula,FL33873 fhheartland.org 4239	X	X			X		X	Skilled Nursing	B

Schedule H (Form 990) 2013

Page

Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)

	GROUP A
Name of hospital facility or facility reporting group

If reporting on Part V, Section B for a single hospital facility only: line number of
hospital facility (from Schedule H, Part V, Section A)

Yes

Community Health Needs Assessment (Lines 1 through 8c are optional for tax years begining on or before March 23, 2012)

During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 9....................

Yes

If "Yes," indicate what the CHNA report describes (check all that apply):

A definition of the community served by the hospital facility

Demographics of the community

Existing health care facilities and resources within the community that are available to respond to the health needs of the community

How data was obtained

The health needs of the community

Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups

The process for identifying and prioritizing community health needs and services to meet the community health needs

The process for consulting with persons representing the community’s interests

Information gaps that limit the hospital facility’s ability to assess the community’s health needs

Other (describe in Part VI)

Indicate the tax year the hospital facility last conducted a CHNA: 20 13

In conducting its most recent CHNA, did the hospital facility take into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If "Yes," describe in Part VI how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted ....................

Yes

Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Part VI................................

Yes

Did the hospital facility make its CHNA report widely available to the public? .............

Yes

If "Yes," indicate how the CHNA report was made widely available (check all that apply):

Hospital facility’s website (list url):

Other website (list url):

Available upon request from the hospital facility

Other (describe in Part VI)

If the hospital facility addressed needs identified in its most recently conducted CHNA, indicate how (check all that apply as of the end of the tax year):

Adoption of an implementation strategy that addresses each of the community health needs identified through the CHNA

Execution of the implementation strategy

Participation in the development of a community-wide plan

Participation in the execution of a community-wide plan

Inclusion of a community benefit section in operational plans

Adoption of a budget for provision of services that address the needs identified in the CHNA

Prioritization of health needs in its community

Prioritization of services that the hospital facility will undertake to meet health needs in its community

Other (describe in Part VI)

Did the hospital facility address all of the needs identified in its most recently conducted CHNA? If "No," explain in Part VI which needs it has not addressed and the reasons why it has not addressed such needs ........

Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)? ...........................

If "Yes" to line 8a, did the organization file Form 4720 to report the section 4959 excise tax? ......

If "Yes" to line 8b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $

Schedule H (Form 990) 2013

Page

Part VFacility Information (continued)

Financial Assistance Policy			Yes	No
9	Did the hospital facility have in place during the tax year a written financial assistance policy that:
	Explained eligibility criteria for financial assistance, and whether such assistance includes free or discounted care?	9	Yes
10	Used federal poverty guidelines (FPG) to determine eligibility for providing free care?...........	10	Yes
	If "Yes," indicate the FPG family income limit for eligibility for free care: 200.000000000000% If "No," explain in Part VI the criteria the hospital facility used.
11	Used FPG to determine eligibility for providing discounted care?.................	11	Yes
	If "Yes," indicate the FPG family income limit for eligibility for discounted care: 400.000000000000% If "No," explain in Part VI the criteria the hospital facility used.
12	Explained the basis for calculating amounts charged to patients?.................	12	Yes
	If "Yes," indicate the factors used in determining such amounts (check all that apply):
a	Income level
b	Asset level
c	Medical indigency
d	Insurance status
e	Uninsured discount
f	Medicaid/Medicare
g	State regulation
h	Residency
i	Other (describe in Part VI)
13	Explained the method for applying for financial assistance?...................	13	Yes
14	Included measures to publicize the policy within the community served by the hospital facility?.......	14	Yes
	If "Yes," indicate how the hospital facility publicized the policy (check all that apply):
a	The policy was posted on the hospital facility’s website
b	The policy was attached to billing invoices
c	The policy was posted in the hospital facility’s emergency rooms or waiting rooms
d	The policy was posted in the hospital facility’s admissions offices
e	The policy was provided, in writing, to patients on admission to the hospital facility
f	The policy was available upon request
g	Other (describe in Part VI)
Billing and Collections
15	Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained actions the hospital facility may take upon non-payment?.......	15	Yes
16	Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP:
a	Reporting to credit agency
b	Lawsuits
c	Liens on residences
d	Body attachments
e	Other similar actions (describe in Section C)
17	Did the hospital facility or an authorized third party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?..........	17		No
	If "Yes," check all actions in which the hospital facility or a third party engaged:
a	Reporting to credit agency
b	Lawsuits
c	Liens on residences
d	Body attachments
e	Other similar actions (describe in Section C)

Schedule H (Form 990) 2013

Page

Part VFacility Information (continued)

Indicate which efforts the hospital facility made before initiating any of the actions listed in line 17 (check all that apply):

Notified individuals of the financial assistance policy on admission

Notified individuals of the financial assistance policy prior to discharge

Notified individuals of the financial assistance policy in communications with the individuals regarding the individuals’ bills

Documented its determination of whether individuals were eligible for financial assistance under the hospital facility’s financial assistance policy

Other (describe in Section C)

Policy Relating to Emergency Medical Care

Yes

Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that requires the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?..........

Yes

If "No," indicate why:

The hospital facility did not provide care for any emergency medical conditions

The hospital facility’s policy was not in writing

The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Part VI)

Other (describe in Part VI)

Charges to Individuals Eligible for Assistance under the FAP (FAP-Eligible Individuals)

Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.

The hospital facility used its lowest negotiated commercial insurance rate when calculating the maximum amounts that can be charged

The hospital facility used the average of its three lowest negotiated commercial insurance rates when calculating the maximum amounts that can be charged

The hospital facility used the Medicare rates when calculating the maximum amounts that can be charged

Other (describe in Part VI)

During the tax year, did the hospital facility charge any FAP-eligible individual to whom the hospital facility provided emergency or other medically necessary services more than the amounts generally billed to individuals who had insurance covering such care? ............................

If "Yes," explain in Part VI.

During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? .........................

If "Yes," explain in Part VI.

Schedule H (Form 990) 2013

Page

Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)

	GROUP B
Name of hospital facility or facility reporting group

If reporting on Part V, Section B for a single hospital facility only: line number of
hospital facility (from Schedule H, Part V, Section A)

Yes

Community Health Needs Assessment (Lines 1 through 8c are optional for tax years begining on or before March 23, 2012)

During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 9....................

Yes

If "Yes," indicate what the CHNA report describes (check all that apply):

A definition of the community served by the hospital facility

Demographics of the community

Existing health care facilities and resources within the community that are available to respond to the health needs of the community

How data was obtained

The health needs of the community

Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups

The process for identifying and prioritizing community health needs and services to meet the community health needs

The process for consulting with persons representing the community’s interests

Information gaps that limit the hospital facility’s ability to assess the community’s health needs

Other (describe in Part VI)

Indicate the tax year the hospital facility last conducted a CHNA: 20 13

Yes

Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Part VI................................

Did the hospital facility make its CHNA report widely available to the public? .............

Yes

If "Yes," indicate how the CHNA report was made widely available (check all that apply):

Hospital facility’s website (list url):

Other website (list url):

Available upon request from the hospital facility

Other (describe in Part VI)

If the hospital facility addressed needs identified in its most recently conducted CHNA, indicate how (check all that apply as of the end of the tax year):

Adoption of an implementation strategy that addresses each of the community health needs identified through the CHNA

Execution of the implementation strategy

Participation in the development of a community-wide plan

Participation in the execution of a community-wide plan

Inclusion of a community benefit section in operational plans

Adoption of a budget for provision of services that address the needs identified in the CHNA

Prioritization of health needs in its community

Prioritization of services that the hospital facility will undertake to meet health needs in its community

Other (describe in Part VI)

Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)? ...........................

If "Yes" to line 8a, did the organization file Form 4720 to report the section 4959 excise tax? ......

If "Yes" to line 8b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $

Schedule H (Form 990) 2013

Page

Part VFacility Information (continued)

Financial Assistance Policy			Yes	No
9	Did the hospital facility have in place during the tax year a written financial assistance policy that:
	Explained eligibility criteria for financial assistance, and whether such assistance includes free or discounted care?	9	Yes
10	Used federal poverty guidelines (FPG) to determine eligibility for providing free care?...........	10	Yes
	If "Yes," indicate the FPG family income limit for eligibility for free care: 200.000000000000% If "No," explain in Part VI the criteria the hospital facility used.
11	Used FPG to determine eligibility for providing discounted care?.................	11	Yes
	If "Yes," indicate the FPG family income limit for eligibility for discounted care: 400.000000000000% If "No," explain in Part VI the criteria the hospital facility used.
12	Explained the basis for calculating amounts charged to patients?.................	12	Yes
	If "Yes," indicate the factors used in determining such amounts (check all that apply):
a	Income level
b	Asset level
c	Medical indigency
d	Insurance status
e	Uninsured discount
f	Medicaid/Medicare
g	State regulation
h	Residency
i	Other (describe in Part VI)
13	Explained the method for applying for financial assistance?...................	13	Yes
14	Included measures to publicize the policy within the community served by the hospital facility?.......	14	Yes
	If "Yes," indicate how the hospital facility publicized the policy (check all that apply):
a	The policy was posted on the hospital facility’s website
b	The policy was attached to billing invoices
c	The policy was posted in the hospital facility’s emergency rooms or waiting rooms
d	The policy was posted in the hospital facility’s admissions offices
e	The policy was provided, in writing, to patients on admission to the hospital facility
f	The policy was available upon request
g	Other (describe in Part VI)
Billing and Collections
15	Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained actions the hospital facility may take upon non-payment?.......	15	Yes
16	Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP:
a	Reporting to credit agency
b	Lawsuits
c	Liens on residences
d	Body attachments
e	Other similar actions (describe in Section C)
17	Did the hospital facility or an authorized third party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?..........	17		No
	If "Yes," check all actions in which the hospital facility or a third party engaged:
a	Reporting to credit agency
b	Lawsuits
c	Liens on residences
d	Body attachments
e	Other similar actions (describe in Section C)

Schedule H (Form 990) 2013

Page

Part VFacility Information (continued)

Indicate which efforts the hospital facility made before initiating any of the actions listed in line 17 (check all that apply):

Notified individuals of the financial assistance policy on admission

Notified individuals of the financial assistance policy prior to discharge

Notified individuals of the financial assistance policy in communications with the individuals regarding the individuals’ bills

Documented its determination of whether individuals were eligible for financial assistance under the hospital facility’s financial assistance policy

Other (describe in Section C)

Policy Relating to Emergency Medical Care

Yes

If "No," indicate why:

The hospital facility did not provide care for any emergency medical conditions

The hospital facility’s policy was not in writing

The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Part VI)

Other (describe in Part VI)

Charges to Individuals Eligible for Assistance under the FAP (FAP-Eligible Individuals)

Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.

The hospital facility used its lowest negotiated commercial insurance rate when calculating the maximum amounts that can be charged

The hospital facility used the average of its three lowest negotiated commercial insurance rates when calculating the maximum amounts that can be charged

The hospital facility used the Medicare rates when calculating the maximum amounts that can be charged

Other (describe in Part VI)

If "Yes," explain in Part VI.

During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? .........................

If "Yes," explain in Part VI.

Schedule H (Form 990) 2013

Page

Part V

Facility Information (continued)

Section C. Supplemental Information for Part V, Section B.Provide descriptions required for Part V, Section B, lines 1j, 3, 4, 5d, 6i, 7, 10, 11, 12i, 14g, 16e, 17e, 18e, 19c, 19d, 20d, 21, and 22. If applicable, provide separate descriptions for each facility in a facility reporting group, designated by "Facility A," "Facility B," etc.
Form and Line Reference	Explanation
Part V, Section B	Facility Reporting Group A
Facility Reporting Group A consists of:	- Facility 1: Florida Hospital Orlando, - Facility 2: Florida Hospital Celebration Health, - Facility 3: Florida Hospital Altamonte, - Facility 4: Florida Hospital East Orlando, - Facility 5: Winter Park Memorial Hospital, - Facility 6: Adventist La Grange Memorial Hospital, - Facility 8: Florida Hospital Kissimmee, - Facility 7: FH Heartland Medical Center, - Facility 10: Florida Hospital Apopka, - Facility 11: FH Heartland Medical Center Lake Placid
Facility 1 -- Florida Hospital Orlando Part V, Section B, line 3:	Florida Hospital (FH) is a 2,409 bed medical complex in Central Florida with seven separate hospital campuses. FH serves the residents of Central Florida (primarily serving the residents of Orange, Osceola, Seminole and Lake Counties) but also draws patients from other parts of the Southeastern United States, the Caribbean and South America. The 7-campus hospital health system is the largest healthcare provider in Central Florida and the nation's largest Medicare provider with FH being the second largest employer in the area. All of the seven campuses of FH operate under a single hospital license. Florida Hospital Orlando (FHO) is a 1,177 acute-care bed hospital and medical center founded in 1908. It is Florida Hospital's flagship hospital and is the largest campus in the Florida Hospital system. FHO has 957 acute care beds, 59 adult psychiatric beds, 10 comprehensive medical rehabilitation beds, 28 Level II Neonatal Intensive Care Unit beds, and 53 Level III Neonatal Intensive Care Unit beds. Special services include an adult and pediatric bone marrow transplant program, adult open-heart surgery, as well as organ programs for adult and pediatric kidney transplants and adult liver and pancreas transplants. This campus also serves as a Baker Act receiving center and offers specialty care in the areas of digestive health; hyperbaric medicine and wound care; fetal diagnostics; pain medicine; pediatric hematology/oncology; respiratory care; women's services; and surgical oncology. FHO is also home to institutes for: cancer; diabetes; translational research; cardiology; orthopedics; and neuroscience. In 2012, FHO admitted 53,945 patients; completed 34,131 surgeries; delivered 2,608 babies; saw 97,806 patients in the emergency department; and cared for 170,650 patients on an outpatient basis.Florida Hospital (all campuses) conducted its 2013 Community Health Needs Assessment (CHNA) in two parts: a regional health needs assessment for Orange, Seminole and Osceola Counties in Central Florida, followed by separate assessments focused on and tailored to each of the seven campuses of FH. Three not-for-profit clinical hospitals within Central Florida, namely FH, Orlando Health, and Lakeside Behavioral Health, together with the Florida Department of Health in Orange County, collaborated to conduct the regional tri-county health needs assessment. This was the first ever multi-hospital, public health department joint community health needs assessment. These four organizations also collaborated with other community agencies under the umbrellas of "Healthy Orange Florida" in Orange County, "Healthy Seminole" in Seminole County, and "Community Vision" in Osceola County. Healthy Seminole is an 81-member affiliation of representatives from FH, local government, social service, and educational organizations within Seminole County. The Health Council of East Central Florida, Inc. (the Health Council), a regional quasi-government health planning agency, was contracted with to assist with data collection and analysis. The Health Council conducted over 70 key stakeholder interviews with individuals representing the broad interests of the tri-county area. Key stakeholders for the tri-county assessment included individuals with special knowledge of or interest in public health (i.e., health departments); individuals/organizations serving or representing the interests of medically underserved, low-income, and minority populations; persons who represented the broad interests of residents served by the hospitals; and individuals representing large employers and employee interests. A total of 72 stakeholders representing 44 social service and health care organizations were interviewed and completed a questionnaire aimed at identifying health barriers, assets, resources, and needs within the region. As a part of its efforts to ensure broad community-based input into the CHNA process, FH formed a Community Health Needs Assessment Committee (CHNAC). The CHNAC was comprised of external community members/stakeholders and senior FH leaders. The community members in particular provided strong representation of low-income, minority and underserved populations. Listed below are several examples of community organizations represented on the CHNAC: * Hebni Nutrition Consultant a nutritionist who works in the local African American community;* The University of Central Florida School of Medicine primary care physician training;* Winter Park Health Foundation a local non-profit organization that develops and funds school health and older adult programs; * Orange County Public Schools serves children of all ages and ethnicities, including those who are homeless and/or eligible for free or reduced lunch programs; and * Gracia Anderson Foundation a local non-profit organization that funds social service projects.
Facility 1 -- Florida Hospital Orlando Part V, Section B, line 4:	The filing organization collaborated with two other not-for-profit hospitals, namely Orlando Health and Lakeside Behavioral Health, to create a Community Health Needs Assessment for Orange, Osceola, and Seminole Counties. The Community Health Needs Assessment describes the health of Central Floridians for the purpose of planning interventions relevant to the community.
Facility 1 -- Florida Hospital Orlando Part V, Section B, line 5d:	The Hospital has adopted a policy that addresses the public posting requirements of the Community Health Needs Assessment. Under this policy, the Community Health Needs Assessment Report must be posted on the Hospital's website by the end of the year in which it is conducted. The Hospital will make a copy of its Community Health Needs Assessment Report available upon request. The Hospital will also make a paper copy of the Community Health Needs Assessment Report available for public inspection at the Hospital facility.
Facility 1 -- Florida Hospital Orlando Part V, Section B, line 6i:	As a part of its Community Health Needs Assessment, the filing organization conducted an extensive and thorough analysis and prioritization of its significant identified health needs. Please see our discussion in Part V, Section B, line 7.Each of the filing organization's hospital facilities adopted its initial Community Health Needs Assessment by 12/31/13 and was in the process of developing its community health needs implementation strategy. The filing organization's implementation strategy will be documented in a written report called the "Community Health Plan". The Community Health Plan (CHP) will describe how the filing organization's hospital plans to meet its identified prioritized health needs or will identify the health need as one the filing organization's hospital does not intend to specifically address and provide an explanation as to why the filing organization's hospital does not intend to address that health need. In accordance with Proposed Regulation Section 1.501(r)-3(e)(2), each of the filing organization's hospital's CHP will be adopted no later than May 15, 2014.
Facility 1 -- Florida Hospital Orlando Part V, Section B, line 7:	As described in our response to Schedule H, Part V, Section B, line 3, Florida Hospital (FH) formed a Community Health Needs Assessment Committee (CHNAC) to review primary and secondary data collected by the tri-county assessment. The tri-county data, hospital utilization data, and stakeholder interviews were reviewed and analyzed by each of the FH campus committees and the CHNAC. Each FH hospital campus established a campus-specific committee to review data and to determine campus health need priorities based on the intensity of the need, current community initiatives addressing the health need, FH's capacity to impact the issue, and the opportunity for collaboration with other hospitals and community partners. The CHNAC and each local hospital campus committee used a decision tree process to review identified health issues and assist in the priority selection process. This process resulted in 14 areas of health concern in Orange County. These 14 prioritized health needs were: 1) Diabetes; 2) Heart disease; 3) Obesity; 4) Maternal and child health; 5) Cancer; 6) Sexually transmitted diseases; 7) Substance abuse; 8) Mental health; 9) Chronic disease management; 10) Violent crime; 11) Health literacy; 12) Single parent households; 13) Motor vehicle collisions; and 14) Access to care. The Florida Hospital Orlando (FHO) local hospital campus committee recognized that while all 14 issues impact the health of the campus hospital's community, it was important to focus on specific areas of impact over a defined period of time if sustainable change is to be accomplished. Final priority selection resulted in the following three key priorities for Florida Hospital Orlando:* Heart disease* Mental health* Access to care The following identified health needs were not selected for top priority based on the following: * Diabetes, obesity, cancer and chronic disease management - Risk factors for diabetes, obesity and cancer mirror that of risk factors for heart disease; efforts to reduce, control, and prevent heart disease has the potential to positively impact the incidence and prevalence of these related chronic conditions. Chronic disease management techniques and principles will also be used in addressing heart disease.* Sexually transmitted diseases and substance abuse - The FH Orlando campus does not currently have service lines in these areas. Plans are in place to continue to work with other local agencies and community based organizations to promote these programs. Additionally, efforts to contribute to the mental health and well-being of Orlando residents will impact these areas.* Violent crime, single parent households and motor vehicle collisions - These priorities are not core competencies of Florida Hospital Orlando. However, FHO will continue to support the efforts of local law enforcement agencies, organizations like Harbor House of Central Florida, and other organizations that are committed to community mobilization, education, and support services.* Maternal and child health - This issue will be addressed via efforts to impact mental health concerns across the lifespan. * Health literacy - The principle of health literacy is embedded into FHO's chronic disease self-management program efforts as we seek to educate the community on health resources. FHO also aims to strengthen the relationship with organizations that offer primary care, dental and obstetric service. Internally, FHO is working to ensure comprehensive discharge education.
Facility 1 -- Florida Hospital Orlando Part V, Section B, line 14g:	The filing organization has developed a patient-friendly summary version of its financial assistance policy (FAP). The filing organization's FAP provides that each of its hospital facilities will post the patient-friendly summary version of its FAP on the Hospital's website. In addition, the FAP of each of the Hospital facilities states that signage regarding the availability of the Hospital facility's FAP will be visible at points of admission and registration, including the emergency department.
Facility 1 -- Florida Hospital Orlando Part V, Section B, line 20d:	In determining the maximum amount that can be charged to financial assistance policy-eligible individuals for emergency or other medically necessary care, the Hospital uses the following methodology:The Hospital identifies all commercial payors that had any activity with the Hospital during the taxable year. For those identified commercial payors, an average of the negotiated commercial insurance rates is determined. The average of all of the negotiated commercial insurance rates for those identified commercial payors determines the maximum amount that can be charged to patients eligible under the Hospital's financial assistance policy.
Facility 2 -- Florida Hospital Celebration Health Part V, Section B, line 3:	Florida Hospital (FH) is a 2,409 bed medical complex in Central Florida with seven separate hospital campuses. FH serves the residents of Central Florida (primarily serving the residents of Orange, Osceola, Seminole and Lake Counties) but also draws patients from other parts of the Southeastern United States, the Caribbean and South America. The 7-campus hospital health system is the largest healthcare provider in Central Florida and the nation's largest Medicare provider with FH being the second largest employer in the area. All of the seven campuses of FH operate under a single hospital license. The Florida Hospital Celebration Health (FHCH) campus is a 172-bed, state-of-the-art hospital that serves as a showcase of innovation and excellence in healthcare. Established in 1997, Florida Hospital Celebration Health was designed to serve as a cornerstone of health in the Disney-planned community of Celebration, Florida. In 2012, FHCH served 67,721 patients in the emergency department; 75,967 patients via outpatient treatment; 13,518 patients on an inpatient basis; delivered 2,110 babies; and performed 8,141 surgeries.Florida Hospital (all campuses) conducted its 2013 Community Health Needs Assessment (CHNA) in two parts: a regional health needs assessment for Orange, Seminole and Osceola Counties in Central Florida, followed by separate assessments focused on and tailored to each of the seven campuses of FH. Three not-for-profit clinical hospitals within Central Florida, namely FH, Orlando Health, and Lakeside Behavioral Health, together with the Florida Department of Health in Orange County, collaborated to conduct the regional tri-county health needs assessment. This was the first ever multi-hospital, public health department joint community health needs assessment. These four organizations also collaborated with other community agencies under the umbrellas of "Healthy Orange Florida" in Orange County, "Healthy Seminole" in Seminole County, and "Community Vision" in Osceola County. Healthy Seminole is an 81-member affiliation of representatives from FH, local government, social service, and educational organizations within Seminole County. The Health Council of East Central Florida, Inc. (the Health Council), a regional quasi-government health planning agency, was contracted with to assist with data collection and analysis. The Health Council conducted over 70 key stakeholder interviews with individuals representing the broad interests of the tri-county area. Key stakeholders for the tri-county assessment included individuals with special knowledge of or interest in public health (i.e., health departments); individuals/organizations serving or representing the interests of medically underserved, low-income, and minority populations; persons who represented the broad interests of residents served by the hospitals; and individuals representing large employers and employee interests. A total of 72 stakeholders representing 44 social service and health care organizations were interviewed and completed a questionnaire aimed at identifying health barriers, assets, resources, and needs within the region. As a part of its efforts to ensure broad community-based input into the CHNA process, FH formed a Community Health Needs Assessment Committee (CHNAC). The CHNAC was comprised of external community members/stakeholders and senior FH leaders. The community members in particular provided strong representation of low-income, minority and underserved populations. Listed below are several examples of community organizations represented on the CHNAC: * Hebni Nutrition Consultant a nutritionist who works in the local African American community;* The University of Central Florida School of Medicine primary care physician training;* Winter Park Health Foundation a local non-profit organization that develops and funds school health and older adult programs; * Orange County Public Schools serves children of all ages and ethnicities, including those who are homeless and/or eligible for free or reduced lunch programs; and * Gracia Anderson Foundation a local non-profit organization that funds social service projects.
Facility 2 -- Florida Hospital Celebration Health Part V, Section B, line 4:	The filing organization collaborated with two other not-for-profit hospitals, namely Orlando Health and Lakeside Behavioral Health, to create a Community Health Needs Assessment for Orange, Osceola, and Seminole Counties. The Community Health Needs Assessment describes the health of Central Floridians for the purpose of planning interventions relevant to the community.
Facility 2 -- Florida Hospital Celebration Health Part V, Section B, line 5d:	The Hospital has adopted a policy that addresses the public posting requirements of the Community Health Needs Assessment. Under this policy, the Community Health Needs Assessment Report must be posted on the Hospital's website by the end of the year in which it is conducted. The Hospital will make a copy of its Community Health Needs Assessment Report available upon request. The Hospital will also make a paper copy of the Community Health Needs Assessment Report available for public inspection at the Hospital facility.
Facility 2 -- Florida Hospital Celebration Health Part V, Section B, line 6i:	As a part of its Community Health Needs Assessment, the filing organization conducted an extensive and thorough analysis and prioritization of its significant identified health needs. Please see our discussion in Part V, Section B, line 7.Each of the filing organization's hospital facilities adopted its initial Community Health Needs Assessment by 12/31/13 and was in the process of developing its community health needs implementation strategy. The filing organization's implementation strategy will be documented in a written report called the "Community Health Plan". The Community Health Plan (CHP) will describe how the filing organization's hospital plans to meet its identified prioritized health needs or will identify the health need as one the filing organization's hospital does not intend to specifically address and provide an explanation as to why the filing organization's hospital does not intend to address that health need. In accordance with Proposed Regulation Section 1.501(r)-3(e)(2), each of the filing organization's hospital's CHP will be adopted no later than May 15, 2014.
Facility 2 -- Florida Hospital Celebration Health Part V, Section B, line 7:	As described in our response to Schedule H, Part V, Section B, line 3, Florida Hospital (FH) formed a Community Health Needs Assessment Committee (CHNAC) to review primary and secondary data collected by the tri-county assessment. The tri-county data, hospital utilization data, and stakeholder interviews were reviewed and analyzed by each of the FH campus committees and the CHNAC. Each FH hospital campus established a campus-specific committee to review data and to determine campus health need priorities based on the intensity of the need, current community initiatives addressing the health need, FH's capacity to impact the issue, and the opportunity for collaboration with other hospitals and community partners. The CHNAC and each local hospital campus committee used a decision tree process to review identified health issues and assist in the priority selection process. This process resulted in 14 areas of health concern in Osceola County. These 14 prioritized health needs were: 1) Heart Disease; 2) Obesity; 3) Cancer; 4) Diabetes; 5) Asthma; 6) Maternal and child health; 7) Mental health; 8) Substance abuse; 9) Dental care; 10) Affordable healthcare; 11) Housing affordability; 12) Homelessness; 13) High unemployment; and 14) Single parent households. The Florida Hospital Celebration Health (FHCH) local hospital campus committee recognized that while all 14 issues impact the health of the campus hospital's community, it was important to focus on specific areas of impact over a defined period of time if sustainable change is to be accomplished. Final priority selection resulted in the following three key priorities for Florida Hospital Celebration Health:* Obesity* Diabetes* Maternal and child healthThe following identified health needs were not selected for top priority based on the following: * Heart disease, asthma and cancer - As obesity is a contributing factor to these three chronic diseases; a reduction in obesity should contribute to a reduction in complications due to these chronic diseases and have the potential to delay or eradicate the onset of heart disease, asthma, or cancer. * Dental care, substance abuse and mental health - The FH Celebration Health campus does not currently have service lines in these areas. Plans are in place to continue to work with other local agencies and community based organizations to promote these programs.* Housing affordability, homelessness, high unemployment and single parent households - These priorities are not core competencies of Florida Hospital Celebration Health. However, FHCH will continue to support the efforts of local law enforcement agencies, organizations like Harbor House of Central Florida, and other organizations that are committed to community mobilization, education, and support services.* Affordable healthcare - FHCH is an active supporter of health care for the uninsured in Osceola County and was one of the founders of the four-facility network of Federally Qualified Health Centers in the county. Further, the principle of affordable healthcare is embedded into FHCH's multiple Florida Hospital programs and efforts to educate the community on health resources.
Facility 2 -- Florida Hospital Celebration Health Part V, Section B, line 14g:	The filing organization has developed a patient-friendly summary version of its financial assistance policy (FAP). The filing organization's FAP provides that each of its hospital facilities will post the patient-friendly summary version of its FAP on the Hospital's website. In addition, the FAP of each of the Hospital facilities states that signage regarding the availability of the Hospital facility's FAP will be visible at points of admission and registration, including the emergency department.
Facility 2 -- Florida Hospital Celebration Health Part V, Section B, line 20d:	In determining the maximum amount that can be charged to financial assistance policy-eligible individuals for emergency or other medically necessary care, the Hospital uses the following methodology:The Hospital identifies all commercial payors that had any activity with the Hospital during the taxable year. For those identified commercial payors, an average of the negotiated commercial insurance rates is determined. The average of all of the negotiated commercial insurance rates for those identified commercial payors determines the maximum amount that can be charged to patients eligible under the Hospital's financial assistance policy.
Facility 3 -- Florida Hospital Altamonte Part V, Section B, line 3:	Florida Hospital (FH) is a 2,409 bed medical complex in Central Florida with seven separate hospital campuses. FH serves the residents of Central Florida (primarily serving the residents of Orange, Osceola, Seminole and Lake Counties) but also draws patients from other parts of the Southeastern United States, the Caribbean and South America. The 7-campus hospital health system is the largest healthcare provider in Central Florida and the nation's largest Medicare provider with FH being the second largest employer in the area. All of the seven campuses of FH operate under a single hospital license. The Florida Hospital Altamonte (FHA) campus is a 376-bed, acute-care community hospital located in Altamonte Springs, Florida. It was established in 1973 as the first satellite campus of Florida Hospital. Since its establishment, Florida Hospital Altamonte has been providing state-of-the-art healthcare to its community, a 15-zip code area surrounding Altamonte Springs, and remains the largest satellite campus in the Florida Hospital system. FHA cares for more than 168,000 patients a year, including 67,000 emergency patients and 20,000 inpatients, with 2,000 baby deliveries and performs approximately 10,000 surgical cases and 79,000 outpatient procedures making it the largest and most comprehensive hospital in Seminole County.Florida Hospital (all campuses) conducted its 2013 Community Health Needs Assessment (CHNA) in two parts: a regional health needs assessment for Orange, Seminole and Osceola Counties in Central Florida, followed by separate assessments focused on and tailored to each of the seven campuses of FH. Three not-for-profit clinical hospitals within Central Florida, namely FH, Orlando Health, and Lakeside Behavioral Health, together with the Florida Department of Health in Orange County, collaborated to conduct the regional tri-county health needs assessment. This was the first ever multi-hospital, public health department joint community health needs assessment. These four organizations also collaborated with other community agencies under the umbrellas of "Healthy Orange Florida" in Orange County, "Healthy Seminole" in Seminole County, and "Community Vision" in Osceola County. Healthy Seminole is an 81-member affiliation of representatives from FH, local government, social service, and educational organizations within Seminole County. The Health Council of East Central Florida, Inc. (the Health Council), a regional quasi-government health planning agency, was contracted with to assist with data collection and analysis. The Health Council conducted over 70 key stakeholder interviews with individuals representing the broad interests of the tri-county area. Key stakeholders for the tri-county assessment included individuals with special knowledge of or interest in public health (i.e., health departments); individuals/organizations serving or representing the interests of medically underserved, low-income, and minority populations; persons who represented the broad interests of residents served by the hospitals; and individuals representing large employers and employee interests. A total of 72 stakeholders representing 44 social service and health care organizations were interviewed and completed a questionnaire aimed at identifying health barriers, assets, resources, and needs within the region. As a part of its efforts to ensure broad community-based input into the CHNA process, FH formed a Community Health Needs Assessment Committee (CHNAC). The CHNAC was comprised of external community members/stakeholders and senior FH leaders. The community members in particular provided strong representation of low-income, minority and underserved populations. Listed below are several examples of community organizations represented on the CHNAC: * Hebni Nutrition Consultant a nutritionist who works in the local African American community;* The University of Central Florida School of Medicine primary care physician training;* Winter Park Health Foundation a local non-profit organization that develops and funds school health and older adult programs; * Orange County Public Schools serves children of all ages and ethnicities, including those who are homeless and/or eligible for free or reduced lunch programs; and * Gracia Anderson Foundation a local non-profit organization that funds social service projects.
Facility 3 -- Florida Hospital Altamonte Part V, Section B, line 4:	The filing organization collaborated with two other not-for-profit hospitals, namely Orlando Health and Lakeside Behavioral Health, to create a Community Health Needs Assessment for Orange, Osceola, and Seminole Counties. The Community Health Needs Assessment describes the health of Central Floridians for the purpose of planning interventions relevant to the community.
Facility 3 -- Florida Hospital Altamonte Part V, Section B, line 5d:	The Hospital has adopted a policy that addresses the public posting requirements of the Community Health Needs Assessment. Under this policy, the Community Health Needs Assessment Report must be posted on the Hospital's website by the end of the year in which it is conducted. The Hospital will make a copy of its Community Health Needs Assessment Report available upon request. The Hospital will also make a paper copy of the Community Health Needs Assessment Report available for public inspection at the Hospital facility.
Facility 3 -- Florida Hospital Altamonte Part V, Section B, line 6i:	As a part of its Community Health Needs Assessment, the filing organization conducted an extensive and thorough analysis and prioritization of its significant identified health needs. Please see our discussion in Part V, Section B, line 7.Each of the filing organization's hospital facilities adopted its initial Community Health Needs Assessment by 12/31/13 and was in the process of developing its community health needs implementation strategy. The filing organization's implementation strategy will be documented in a written report called the "Community Health Plan". The Community Health Plan (CHP) will describe how the filing organization's hospital plans to meet its identified prioritized health needs or will identify the health need as one the filing organization's hospital does not intend to specifically address and provide an explanation as to why the filing organization's hospital does not intend to address that health need. In accordance with Proposed Regulation Section 1.501(r)-3(e)(2), each of the filing organization's hospital's CHP will be adopted no later than May 15, 2014.
Facility 3 -- Florida Hospital Altamonte Part V, Section B, line 7:	As described in our response to Schedule H, Part V, Section B, line 3, Florida Hospital (FH) formed a Community Health Needs Assessment Committee (CHNAC) to review primary and secondary data collected by the tri-county assessment. The tri-county data, hospital utilization data, and stakeholder interviews were reviewed and analyzed by each of the FH campus committees and the CHNAC. Each FH hospital campus established a campus-specific committee to review data and to determine campus health need priorities based on the intensity of the need, current community initiatives addressing the health need, FH's capacity to impact the issue, and the opportunity for collaboration with other hospitals and community partners. The CHNAC and each local hospital campus committee used a decision tree process to review identified health issues and assist in the priority selection process. This process resulted in 14 areas of health concern in Seminole County. These 14 prioritized health needs were: 1) Obesity; 2) Diabetes; 3) Cancer; 4) Heart Disease; 5) Substance abuse; 6) Mental health; 7) Maternal and child health; 8) Stroke; 9) Asthma; 10) Affordable healthcare; 11) Motor vehicle collisions; 12) Physical activity among youth; 13) Marijuana use among youth; and 14) Housing affordability. The Florida Hospital Altamonte (FHA) local hospital campus committee recognized that while all 14 issues impact the health of the campus hospital's community, it was important to focus on specific areas of impact over a defined period of time if sustainable change is to be accomplished. Final priority selection resulted in the following two key priorities for Florida Hospital Altamonte:* Obesity* Access to Affordable HealthcareThe following identified health needs were not selected for top priority based on the following: * Diabetes, cancer, heart disease, stroke, and asthma - As obesity is a risk factor in all of these chronic diseases; a reduction in obesity has the potential to delay or eradicate the onset of diabetes, heart disease, as well as asthma, stroke or cancer. * Physical Activity among youth will also be addressed via efforts to reduce and prevent childhood obesity.* Substance abuse, mental health, marijuana use among youth and maternal and child health - The FH Altamonte campus does not currently have service lines in these areas. Plans are in place to continue to work with other local agencies and community based organizations to promote these programs.* Motor vehicle collisions and housing affordability - These priorities are not core competencies of Florida Hospital Altamonte. However, FHA will continue to support the efforts of local law enforcement agencies, organizations like Harbor House of Central Florida, and other organizations that are committed to community mobilization, education, and support services.
Facility 3 -- Florida Hospital Altamonte Part V, Section B, line 14g:	The filing organization has developed a patient-friendly summary version of its financial assistance policy (FAP). The filing organization's FAP provides that each of its hospital facilities will post the patient-friendly summary version of its FAP on the Hospital's website. In addition, the FAP of each of the Hospital facilities states that signage regarding the availability of the Hospital facility's FAP will be visible at points of admission and registration, including the emergency department.
Facility 3 -- Florida Hospital Altamonte Part V, Section B, line 20d:	In determining the maximum amount that can be charged to financial assistance policy-eligible individuals for emergency or other medically necessary care, the Hospital uses the following methodology:The Hospital identifies all commercial payors that had any activity with the Hospital during the taxable year. For those identified commercial payors, an average of the negotiated commercial insurance rates is determined. The average of all of the negotiated commercial insurance rates for those identified commercial payors determines the maximum amount that can be charged to patients eligible under the Hospital's financial assistance policy.
Facility 4 -- Florida Hospital East Orlando Part V, Section B, line 3:	Florida Hospital (FH) is a 2,409 bed medical complex in Central Florida with seven separate hospital campuses. FH serves the residents of Central Florida (primarily serving the residents of Orange, Osceola, Seminole and Lake Counties) but also draws patients from other parts of the Southeastern United States, the Caribbean and South America. The 7-campus hospital health system is the largest healthcare provider in Central Florida and the nation's largest Medicare provider with FH being the second largest employer in the area. All of the seven campuses of FH operate under a single hospital license. The Florida Hospital East Orlando (FHEO) campus is a 265-bed full-service community hospital and has been serving East Orange County residents since it was acquired in 1990. In 2012, FHEO saw 15,284 inpatients; 70,738 outpatients; 83,037 emergency cases; and performed 5,007 surgeries annually.Florida Hospital (all campuses) conducted its 2013 Community Health Needs Assessment (CHNA) in two parts: a regional health needs assessment for Orange, Seminole and Osceola Counties in Central Florida, followed by separate assessments focused on and tailored to each of the seven campuses of FH. Three not-for-profit clinical hospitals within Central Florida, namely FH, Orlando Health, and Lakeside Behavioral Health, together with the Florida Department of Health in Orange County, collaborated to conduct the regional tri-county health needs assessment. This was the first ever multi-hospital, public health department joint community health needs assessment. These four organizations also collaborated with other community agencies under the umbrellas of "Healthy Orange Florida" in Orange County, "Healthy Seminole" in Seminole County, and "Community Vision" in Osceola County. Healthy Seminole is an 81-member affiliation of representatives from FH, local government, social service, and educational organizations within Seminole County. The Health Council of East Central Florida, Inc. (the Health Council), a regional quasi-government health planning agency, was contracted with to assist with data collection and analysis. The Health Council conducted over 70 key stakeholder interviews with individuals representing the broad interests of the tri-county area. Key stakeholders for the tri-county assessment included individuals with special knowledge of or interest in public health (i.e., health departments); individuals/organizations serving or representing the interests of medically underserved, low-income, and minority populations; persons who represented the broad interests of residents served by the hospitals; and individuals representing large employers and employee interests. A total of 72 stakeholders representing 44 social service and health care organizations were interviewed and completed a questionnaire aimed at identifying health barriers, assets, resources, and needs within the region. As a part of its efforts to ensure broad community-based input into the CHNA process, FH formed a Community Health Needs Assessment Committee (CHNAC). The CHNAC was comprised of external community members/stakeholders and senior FH leaders. The community members in particular provided strong representation of low-income, minority and underserved populations. Listed below are several examples of community organizations represented on the CHNAC: * Hebni Nutrition Consultant a nutritionist who works in the local African American community;* The University of Central Florida School of Medicine primary care physician training;* Winter Park Health Foundation a local non-profit organization that develops and funds school health and older adult programs; * Orange County Public Schools serves children of all ages and ethnicities, including those who are homeless and/or eligible for free or reduced lunch programs; and * Gracia Anderson Foundation a local non-profit organization that funds social service projects.
Facility 4 -- Florida Hospital East Orlando Part V, Section B, line 4:	The filing organization collaborated with two other not-for-profit hospitals, namely Orlando Health and Lakeside Behavioral Health, to create a Community Health Needs Assessment for Orange, Osceola, and Seminole Counties. The Community Health Needs Assessment describes the health of Central Floridians for the purpose of planning interventions relevant to the community.
Facility 4 -- Florida Hospital East Orlando Part V, Section B, line 5d:	The Hospital has adopted a policy that addresses the public posting requirements of the Community Health Needs Assessment. Under this policy, the Community Health Needs Assessment Report must be posted on the Hospital's website by the end of the year in which it is conducted. The Hospital will make a copy of its Community Health Needs Assessment Report available upon request. The Hospital will also make a paper copy of the Community Health Needs Assessment Report available for public inspection at the Hospital facility.
Facility 4 -- Florida Hospital East Orlando Part V, Section B, line 6i:	As a part of its Community Health Needs Assessment, the filing organization conducted an extensive and thorough analysis and prioritization of its significant identified health needs. Please see our discussion in Part V, Section B, line 7.Each of the filing organization's hospital facilities adopted its initial Community Health Needs Assessment by 12/31/13 and was in the process of developing its community health needs implementation strategy. The filing organization's implementation strategy will be documented in a written report called the "Community Health Plan". The Community Health Plan (CHP) will describe how the filing organization's hospital plans to meet its identified prioritized health needs or will identify the health need as one the filing organization's hospital does not intend to specifically address and provide an explanation as to why the filing organization's hospital does not intend to address that health need. In accordance with Proposed Regulation Section 1.501(r)-3(e)(2), each of the filing organization's hospital's CHP will be adopted no later than May 15, 2014.
Facility 4 -- Florida Hospital East Orlando Part V, Section B, line 7:	As described in our response to Schedule H, Part V, Section B, line 3, Florida Hospital (FH) formed a Community Health Needs Assessment Committee (CHNAC) to review primary and secondary data collected by the tri-county assessment. The tri-county data, hospital utilization data, and stakeholder interviews were reviewed and analyzed by each of the FH campus committees and the CHNAC. Each FH hospital campus established a campus-specific committee to review data and to determine campus health need priorities based on the intensity of the need, current community initiatives addressing the health need, FH's capacity to impact the issue, and the opportunity for collaboration with other hospitals and community partners. The CHNAC and each local hospital campus committee used a decision tree process to review identified health issues and assist in the priority selection process. This process resulted in 14 areas of health concern in Orange County. These 14 prioritized health needs were: 1) Diabetes; 2) Heart disease; 3) Obesity; 4) Maternal and child health; 5) Cancer; 6) Sexually transmitted diseases; 7) Substance abuse; 8) Mental health; 9) Chronic disease management; 10) Violent crime; 11) Health literacy; 12) Single parent households; 13) Motor vehicle collisions; and 14) Access to healthcare. The Florida Hospital East Orlando (FHEO) local hospital campus committee recognized that while all 14 issues impact the health of the campus hospital's community, it was important to focus on specific areas of impact over a defined period of time if sustainable change is to be accomplished. Final priority selection resulted in the following two key priorities for Florida Hospital East Orlando:* Obesity* DiabetesThe following identified health needs were not selected for top priority based on the following: * Heart disease, cancer, and chronic disease management - As obesity is a contributing factor to these two chronic diseases; a reduction in obesity should contribute to a reduction in complications due to these chronic diseases and have the potential to delay or eradicate the onset of heart disease or cancer. * Sexually transmitted diseases, substance abuse, mental health and maternal and child health - The FH East Orlando campus does not currently have service lines in these areas. Plans are in place to continue to work with other local agencies and community based organizations to promote these programs.* Violent crime, single parent households, motor vehicle collisions and housing affordability - These priorities are not core competencies of Florida Hospital East Orlando. However, Florida Hospital East Orlando will continue to support the efforts of local law enforcement agencies, organizations like Harbor House of Central Florida, and other organizations that are committed to community mobilization, education, and support services.* Health literacy and access to care - The principle of health literacy is embedded into Florida Hospital East Orlando's chronic disease self-management program efforts as we seek to educate the community on health resources. Florida Hospital East Orlando also aims to strengthen its relationships with organizations that offer primary care, dental, and obstetrics services.
Facility 4 -- Florida Hospital East Orlando Part V, Section B, line 14g:	The filing organization has developed a patient-friendly summary version of its financial assistance policy (FAP). The filing organization's FAP provides that each of its hospital facilities will post the patient-friendly summary version of its FAP on the Hospital's website. In addition, the FAP of each of the Hospital facilities states that signage regarding the availability of the Hospital facility's FAP will be visible at points of admission and registration, including the emergency department.
Facility 4 -- Florida Hospital East Orlando Part V, Section B, line 20d:	In determining the maximum amount that can be charged to financial assistance policy-eligible individuals for emergency or other medically necessary care, the Hospital uses the following methodology:The Hospital identifies all commercial payors that had any activity with the Hospital during the taxable year. For those identified commercial payors, an average of the negotiated commercial insurance rates is determined. The average of all of the negotiated commercial insurance rates for those identified commercial payors determines the maximum amount that can be charged to patients eligible under the Hospital's financial assistance policy.
Facility 5 -- Winter Park Memorial Hospital Part V, Section B, line 3:	Florida Hospital (FH) is a 2,409 bed medical complex in Central Florida with seven separate hospital campuses. FH serves the residents of Central Florida (primarily serving the residents of Orange, Osceola, Seminole and Lake Counties) but also draws patients from other parts of the Southeastern United States, the Caribbean and South America. The 7-campus hospital health system is the largest healthcare provider in Central Florida and the nation's largest Medicare provider with FH being the second largest employer in the area. All of the seven campuses of FH operate under a single hospital license. The Winter Park Memorial Hospital (WPMH) campus is a 322-bed acute-care facility that primarily serves the residents of northeastern Orange and southeastern Seminole Counties. WPMH began caring for patients in February 1995 when it first opened its doors to the public. In 2000, Florida Hospital Winter Park Memorial was fully acquired by the Florida Hospital system. Services provided by Winter Park Memorial include: 24-Hour emergency department with Express Care and the area's only senior emergency room; The Baby Place Central Florida's only boutique hospital for women and babies; cancer institute; cardiology; critical care; diagnostic imaging; diabetes education; educational classes and support groups; endoscopy; Longevity Medicine Institute; in and outpatient surgery including minimally invasive and robotic surgery; laboratory; orthopedic institute; pediatrics; rehabilitation & sports medicine; sleep disorders center; and women's health. Every year, WPMH treats more than 150,000 patients, including in 2012 46,175 patients in the emergency department; 16,945 inpatients admitted; 74,271 outpatients; 2,776 babies delivered; and 9,124 surgeries performed.Florida Hospital (all campuses) conducted its 2013 Community Health Needs Assessment (CHNA) in two parts: a regional health needs assessment for Orange, Seminole and Osceola Counties in Central Florida, followed by separate assessments focused on and tailored to each of the seven campuses of FH. Three not-for-profit clinical hospitals within Central Florida, namely FH, Orlando Health, and Lakeside Behavioral Health, together with the Florida Department of Health in Orange County, collaborated to conduct the regional tri-county health needs assessment. This was the first ever multi-hospital, public health department joint community health needs assessment. These four organizations also collaborated with other community agencies under the umbrellas of "Healthy Orange Florida" in Orange County, "Healthy Seminole" in Seminole County, and "Community Vision" in Osceola County. Healthy Seminole is an 81-member affiliation of representatives from FH, local government, social service, and educational organizations within Seminole County. The Health Council of East Central Florida, Inc. (the Health Council), a regional quasi-government health planning agency, was contracted with to assist with data collection and analysis. The Health Council conducted over 70 key stakeholder interviews with individuals representing the broad interests of the tri-county area. Key stakeholders for the tri-county assessment included individuals with special knowledge of or interest in public health (i.e., health departments); individuals/organizations serving or representing the interests of medically underserved, low-income, and minority populations; persons who represented the broad interests of residents served by the hospitals; and individuals representing large employers and employee interests. A total of 72 stakeholders representing 44 social service and health care organizations were interviewed and completed a questionnaire aimed at identifying health barriers, assets, resources, and needs within the region. As a part of its efforts to ensure broad community-based input into the CHNA process, FH formed a Community Health Needs Assessment Committee (CHNAC). The CHNAC was comprised of external community members/stakeholders and senior FH leaders. The community members in particular provided strong representation of low-income, minority and underserved populations. Listed below are several examples of community organizations represented on the CHNAC: * Hebni Nutrition Consultant a nutritionist who works in the local African American community;* The University of Central Florida School of Medicine primary care physician training;* Winter Park Health Foundation a local non-profit organization that develops and funds school health and older adult programs; * Orange County Public Schools serves children of all ages and ethnicities, including those who are homeless and/or eligible for free or reduced lunch programs; and * Gracia Anderson Foundation a local non-profit organization that funds social service projects.
Facility 5 -- Winter Park Memorial Hospital Part V, Section B, line 4:	The filing organization collaborated with two other not-for-profit hospitals, namely Orlando Health and Lakeside Behavioral Health, to create a Community Health Needs Assessment for Orange, Osceola, and Seminole Counties. The Community Health Needs Assessment describes the health of Central Floridians for the purpose of planning interventions relevant to the community.
Facility 5 -- Winter Park Memorial Hospital Part V, Section B, line 5d:	The Hospital has adopted a policy that addresses the public posting requirements of the Community Health Needs Assessment. Under this policy, the Community Health Needs Assessment Report must be posted on the Hospital's website by the end of the year in which it is conducted. The Hospital will make a copy of its Community Health Needs Assessment Report available upon request. The Hospital will also make a paper copy of the Community Health Needs Assessment Report available for public inspection at the Hospital facility.
Facility 5 -- Winter Park Memorial Hospital Part V, Section B, line 6i:	As a part of its Community Health Needs Assessment, the filing organization conducted an extensive and thorough analysis and prioritization of its significant identified health needs. Please see our discussion in Part V, Section B, line 7.Each of the filing organization's hospital facilities adopted its initial Community Health Needs Assessment by 12/31/13 and was in the process of developing its community health needs implementation strategy. The filing organization's implementation strategy will be documented in a written report called the "Community Health Plan". The Community Health Plan (CHP) will describe how the filing organization's hospital plans to meet its identified prioritized health needs or will identify the health need as one the filing organization's hospital does not intend to specifically address and provide an explanation as to why the filing organization's hospital does not intend to address that health need. In accordance with Proposed Regulation Section 1.501(r)-3(e)(2), each of the filing organization's hospital's CHP will be adopted no later than May 15, 2014.
Facility 5 -- Winter Park Memorial Hospital Part V, Section B, line 7:	As described in our response to Schedule H, Part V, Section B, line 3, Florida Hospital (FH) formed a Community Health Needs Assessment Committee (CHNAC) to review primary and secondary data collected by the tri-county assessment. The tri-county data, hospital utilization data, and stakeholder interviews were reviewed and analyzed by each of the FH campus committees and the CHNAC. Each FH hospital campus established a campus-specific committee to review data and to determine campus health need priorities based on the intensity of the need, current community initiatives addressing the health need, FH's capacity to impact the issue, and the opportunity for collaboration with other hospitals and community partners. The CHNAC and each local hospital campus committee used a decision tree process to review identified health issues and assist in the priority selection process. This process resulted in 14 areas of health concern in Orange County. These 14 prioritized health needs were: 1) Diabetes; 2) Heart disease; 3) Obesity; 4) Maternal and child health; 5) Cancer; 6) Sexually transmitted diseases; 7) Substance abuse; 8) Mental health; 9) Chronic disease management; 10) Violent crime; 11) Health literacy; 12) Single parent households; 13) Motor vehicle collisions; and 14) Access to care. The Winter Park Memorial Hospital (WPMH) local hospital campus committee recognized that while all 14 issues impact the health of the campus hospital's community, it was important to focus on specific areas of impact over a defined period of time if sustainable change is to be accomplished. Final priority selection resulted in the following three key priorities for Winter Park Memorial Hospital:* Obesity* Diabetes* Chronic disease management The following identified health needs were not selected for top priority based on the following: * Heart disease and cancer - As obesity is a contributing factor to these chronic diseases; a reduction in obesity should contribute to a reduction in complications due to these chronic diseases and have the potential to delay or eradicate the onset of heart disease or cancer. * Sexually transmitted diseases, substance abuse, and mental health - The Winter Park Memorial Hospital campus does not currently have service lines in these areas. Plans are in place to continue to work with other local agencies and community based organizations to promote these programs. * Violent crime, single parent households and motor vehicle collisions - These priorities are not core competencies of Winter Park Memorial Hospital. However, WPMH will continue to support the efforts of local law enforcement agencies, organizations like Harbor House of Central Florida, and other organizations that are committed to community mobilization, education, and support services.* Health literacy and access to care - The principle of health literacy is embedded into WPMH's chronic disease self-management program efforts as we seek to educate the community on health resources. WPMH also aims to strengthen the relationship with organizations that offer primary care, dental and obstetric service. Internally, WPMH is working to ensure comprehensive discharge education.* Maternal and child health - Florida Hospital Winter Park will continue to partner with other community-based organizations to seek opportunities for collaboration on best practice programs addressing maternal and child health.
Facility 5 -- Winter Park Memorial Hospital Part V, Section B, line 14g:	The filing organization has developed a patient-friendly summary version of its financial assistance policy (FAP). The filing organization's FAP provides that each of its hospital facilities will post the patient-friendly summary version of its FAP on the Hospital's website. In addition, the FAP of each of the Hospital facilities states that signage regarding the availability of the Hospital facility's FAP will be visible at points of admission and registration, including the emergency department.
Facility 5 -- Winter Park Memorial Hospital Part V, Section B, line 20d:	In determining the maximum amount that can be charged to financial assistance policy-eligible individuals for emergency or other medically necessary care, the Hospital uses the following methodology:The Hospital identifies all commercial payors that had any activity with the Hospital during the taxable year. For those identified commercial payors, an average of the negotiated commercial insurance rates is determined. The average of all of the negotiated commercial insurance rates for those identified commercial payors determines the maximum amount that can be charged to patients eligible under the Hospital's financial assistance policy.
Facility 6 -- Adventist La Grange Memorial Hospital Part V, Section B, line 3:	Adventist La Grange Hospital (the Hospital or the filing organization) is one of four not-for-profit related hospital organizations located in the western and southwestern suburbs of Chicago. Each of these four hospitals is a part of Adventist Health System (AHS). AHS is a health care system primarily consisting of tax-exempt 501(c)(3) hospital organization that operate 44 hospitals in 10 states within the US. The four related hospital organizations located in Chicago, collectively called Adventist Midwest Health (AMH), are clinically integrated, share overlapping communities, and are tied together by common mission, values, and vision. As the four hospitals are located in the same Metropolitan Service Area, the hospitals collaborated in 2013 to conduct a joint Community Health Needs Assessment (CHNA). The four related hospital organizations are Adventist GlenOaks Hospital, Adventist Hinsdale Hospital, Adventist Bolingbrook Hospital, and Adventist Health System/Sunbelt, Inc., dba Adventist La Grange Memorial Hospital. In conducting its 2013 joint CHNA, the four AMH hospitals collected primary and secondary data using a number of data collection methodologies. Adventist GlenOaks Hospital, Adventist Hinsdale Hospital, and Adventist La Grange Memorial Hospital partnered with the Metropolitan Chicago Healthcare Council to conduct its primary research, consisting of telephone surveys, focus groups, and written surveys. A list of recommended participants to be included in the focus groups was provided by the Metropolitan Chicago Healthcare Council. Participants included representatives of public health, individuals who work with low-income, minority or other medically underserved populations, and those who work with persons with chronic disease conditions.
Facility 6 -- Adventist La Grange Memorial Hospital Part V, Section B, line 4:	The Community Health Needs Assessment conducted by Adventist La Grange Memorial Hospital (the Hospital) was based upon the Hospital's involvement and enrichment of those who live within DuPage County, Illinois. The CHNA was conducted in conjunction with related hospitals in the Chicago Metropolitan area: Adventist Hinsdale HospitalAdventist Bolingbrook HospitalAdventist GlenOaks Hospital
Facility 6 -- Adventist La Grange Memorial Hospital Part V, Section B, line 5d:	The Hospital has adopted a policy that addresses the public posting requirements of the Community Health Needs Assessment. Under this policy, the Community Health Needs Assessment Report must be posted on the Hospital's website by the end of the year in which it is conducted. The Hospital will make a copy of its Community Health Needs Assessment Report available upon request. The Hospital will also make a paper copy of the Community Health Needs Assessment Report available for public inspection at the Hospital facility.
Facility 6 -- Adventist La Grange Memorial Hospital Part V, Section B, line 6i:	As a part of its Community Health Needs Assessment, the filing organization conducted an extensive and thorough analysis and prioritization of its significant identified health needs. Please see our discussion in Part V, Section B, line 7.Each of the filing organization's hospital facilities adopted its initial Community Health Needs Assessment by 12/31/13 and was in the process of developing its community health needs implementation strategy. The filing organization's implementation strategy will be documented in a written report called the "Community Health Plan". The Community Health Plan (CHP) will describe how the filing organization's hospital plans to meet its identified prioritized health needs or will identify the health need as one the filing organization's hospital does not intend to specifically address and provide an explanation as to why the filing organization's hospital does not intend to address that health need. In accordance with Proposed Regulation Section 1.501(r)-3(e)(2), each of the filing organization's hospital's CHP will be adopted no later than May 15, 2014.
Facility 6 -- Adventist La Grange Memorial Hospital Part V, Section B, line 7:	Following data collection and analysis, the AMH hospitals formed a Community Health Needs Assessment Committee (CHNAC) to review the data collected and to formulate the determination of health priorities using a systematic approach that relied heavily on a decision tree priority selection process. Initial health needs priority analysis and selection resulted in identifying the following health needs as initial priorities:* Chronic disease prevention (hypertension, blood cholesterol)* Youth Services* Cancer Treatment* Violence Prevention* Access to Healthcare Services * Awareness of Services* Behavioral Health and Substance Abuse* Diabetes* Pneumococcus Vaccination. The CHNAC narrowed the above initially identified health needs priorities using a priority selection process that considered the following:1) Do the AMH hospitals have the ability to effectively meet the need?2) Is the service already offered in a manner that supports need within and outside of AMH's community?3) Is the need a high-impact priority?4) Do the AMH hospitals have the resources to address the priority? Upon final health needs priority selection, the CHNAC chose the following four priorities for the AMH hospitals:* Access to Healthcare Services (lack of insurance and lack of awareness of services)* Influenza vaccinations* Pneumococcus vaccinations* Hypertension The following identified health needs were not selected for top priority based on the following.* The prevention and management of chronic care issues in relation to heart disease (blood cholesterol levels) - after much discussion the CHNAC decided that this was a commonly available prevention measure at most surrounding providers. It is also frequently a part of community health fairs and routine physician visits. * Behavioral health and substance abuse - Adventist Midwest Health provides comprehensive inpatient programs for behavioral health (Adventist GlenOaks Hospital and Adventist Hinsdale Hospital) and outpatient programs for both behavioral health and substance abuse (Adventist Hinsdale Hospital). Serving the Adventist Midwest Health community, the AMH hospitals support local county initiatives to bring these necessary services to those in need.
Facility 6 -- Adventist La Grange Memorial Hospital Part V, Section B, line 14g:	The filing organization has developed a patient-friendly summary version of its financial assistance policy (FAP). The filing organization's FAP provides that each of its hospital facilities will post the patient-friendly summary version of its FAP on the Hospital's website. In addition, the FAP of each of the Hospital facilities states that signage regarding the availability of the Hospital facility's FAP will be visible at points of admission and registration, including the emergency department.
Facility 6 -- Adventist La Grange Memorial Hospital Part V, Section B, line 20d:	In determining the maximum amount that can be charged to financial assistance policy-eligible individuals for emergency or other medically necessary care, the Hospital uses the following methodology:The Hospital identifies all commercial payors that had any activity with the Hospital during the taxable year. For those identified commercial payors, an average of the negotiated commercial insurance rates is determined. The average of all of the negotiated commercial insurance rates for those identified commercial payors determines the maximum amount that can be charged to patients eligible under the Hospital's financial assistance policy.
Facility 7 -- Florida Hospital Kissimmee Part V, Section B, line 3:	Florida Hospital (FH) is a 2,409 bed medical complex in Central Florida with seven separate hospital campuses. FH serves the residents of Central Florida (primarily serving the residents of Orange, Osceola, Seminole and Lake Counties) but also draws patients from other parts of the Southeastern United States, the Caribbean and South America. The 7-campus hospital health system is the largest healthcare provider in Central Florida and the nation's largest Medicare provider with FH being the second largest employer in the area. All of the seven campuses of FH operate under a single hospital license. Florida Hospital Kissimmee (FHK) is a not-for-profit hospital with 83 acute care beds and an emergency department and has been part of the Florida Hospital system since 1993. FHK offers comprehensive inpatient and outpatient services including emergency care; cancer treatment including radiation therapy; imaging services including PET, MRI, CT, nuclear, mammography, and ultrasound; a designated primary stroke center; digestive health; and surgical specialties to Osceola County residents. In 2012, FHK saw 43,067 patients in the emergency department; 26,336 patients for outpatient treatment; admitted 5,188 patients; and performed 2,124 surgeries. FHK provides holistic care body, mind and spirit and is committed to providing a personalized patient experience for all patients.Florida Hospital (all campuses) conducted its 2013 Community Health Needs Assessment (CHNA) in two parts: a regional health needs assessment for Orange, Seminole and Osceola Counties in Central Florida, followed by separate assessments focused on and tailored to each of the seven campuses of FH. Three not-for-profit clinical hospitals within Central Florida, namely FH, Orlando Health, and Lakeside Behavioral Health, together with the Florida Department of Health in Orange County, collaborated to conduct the regional tri-county health needs assessment. This was the first ever multi-hospital, public health department joint community health needs assessment. These four organizations also collaborated with other community agencies under the umbrellas of "Healthy Orange Florida" in Orange County, "Healthy Seminole" in Seminole County, and "Community Vision" in Osceola County. Healthy Seminole is an 81-member affiliation of representatives from FH, local government, social service, and educational organizations within Seminole County. The Health Council of East Central Florida, Inc. (the Health Council), a regional quasi-government health planning agency, was contracted with to assist with data collection and analysis. The Health Council conducted over 70 key stakeholder interviews with individuals representing the broad interests of the tri-county area. Key stakeholders for the tri-county assessment included individuals with special knowledge of or interest in public health (i.e., health departments); individuals/organizations serving or representing the interests of medically underserved, low-income, and minority populations; persons who represented the broad interests of residents served by the hospitals; and individuals representing large employers and employee interests. A total of 72 stakeholders representing 44 social service and health care organizations were interviewed and completed a questionnaire aimed at identifying health barriers, assets, resources, and needs within the region. As a part of its efforts to ensure broad community-based input into the CHNA process, FH formed a Community Health Needs Assessment Committee (CHNAC). The CHNAC was comprised of external community members/stakeholders and senior FH leaders. The community members in particular provided strong representation of low-income, minority and underserved populations. Listed below are several examples of community organizations represented on the CHNAC: * Hebni Nutrition Consultant a nutritionist who works in the local African American community;* The University of Central Florida School of Medicine primary care physician training;* Winter Park Health Foundation a local non-profit organization that develops and funds school health and older adult programs; * Orange County Public Schools serves children of all ages and ethnicities, including those who are homeless and/or eligible for free or reduced lunch programs; and * Gracia Anderson Foundation a local non-profit organization that funds social service projects.
Facility 7 -- Florida Hospital Kissimmee Part V, Section B, line 4:	The filing organization collaborated with two other not-for-profit hospitals, namely Orlando Health and Lakeside Behavioral Health, to create a Community Health Needs Assessment for Orange, Osceola, and Seminole Counties. The Community Health Needs Assessment describes the health of Central Floridians for the purpose of planning interventions relevant to the community.
Facility 7 -- Florida Hospital Kissimmee Part V, Section B, line 5d:	The Hospital has adopted a policy that addresses the public posting requirements of the Community Health Needs Assessment. Under this policy, the Community Health Needs Assessment Report must be posted on the Hospital's website by the end of the year in which it is conducted. The Hospital will make a copy of its Community Health Needs Assessment Report available upon request. The Hospital will also make a paper copy of the Community Health Needs Assessment Report available for public inspection at the Hospital facility.
Facility 7 -- Florida Hospital Kissimmee Part V, Section B, line 6i:	As a part of its Community Health Needs Assessment, the filing organization conducted an extensive and thorough analysis and prioritization of its significant identified health needs. Please see our discussion in Part V, Section B, line 7.Each of the filing organization's hospital facilities adopted its initial Community Health Needs Assessment by 12/31/13 and was in the process of developing its community health needs implementation strategy. The filing organization's implementation strategy will be documented in a written report called the "Community Health Plan". The Community Health Plan (CHP) will describe how the filing organization's hospital plans to meet its identified prioritized health needs or will identify the health need as one the filing organization's hospital does not intend to specifically address and provide an explanation as to why the filing organization's hospital does not intend to address that health need. In accordance with Proposed Regulation Section 1.501(r)-3(e)(2), each of the filing organization's hospital's CHP will be adopted no later than May 15, 2014.
Facility 7 -- Florida Hospital Kissimmee Part V, Section B, line 7:	As described in our response to Schedule H, Part V, Section B, line 3, Florida Hospital (FH) formed a Community Health Needs Assessment Committee (CHNAC) to review primary and secondary data collected by the tri-county assessment. The tri-county data, hospital utilization data, and stakeholder interviews were reviewed and analyzed by each of the FH campus committees and the CHNAC. Each FH hospital campus established a campus-specific committee to review data and to determine campus health need priorities based on the intensity of the need, current community initiatives addressing the health need, FH's capacity to impact the issue, and the opportunity for collaboration with other hospitals and community partners. The CHNAC and each local hospital campus committee used a decision tree process to review identified health issues and assist in the priority selection process. This process resulted in 14 areas of health concern in Osceola County. These 14 prioritized health needs were: 1) Heart Disease; 2) Obesity; 3) Cancer; 4) Diabetes; 5) Asthma; 6) Maternal and child health; 7) Mental health; 8) Substance abuse; 9) Dental care; 10) Affordable healthcare; 11) Housing affordability; 12) Homelessness; 13) High unemployment; and 14) Single parent households. The Florida Hospital Kissimmee (FHK) local hospital campus committee recognized that while all 14 issues impact the health of the campus hospital's community, it was important to focus on specific areas of impact over a defined period of time if sustainable change is to be accomplished. Final priority selection resulted in the following three key priorities for Florida Hospital Kissimmee:* Obesity* Diabetes* Heart diseaseThe following identified health needs were not selected for top priority based on the following: * Asthma and cancer - As obesity is a contributing factor to these chronic diseases; a reduction in obesity should contribute to a reduction in complications due to these chronic diseases and have the potential to delay or eradicate the onset of asthma or cancer. * Dental care, substance abuse, mental health and maternal and child health - The FH Kissimmee campus does not currently have service lines in these areas. Plans are in place to continue to work with other local agencies and community based organizations to promote these programs.* Housing affordability, homelessness, high unemployment and single parent households - These priorities are not core competencies of Florida Hospital Kissimmee. However, FHK will continue to support the efforts of local law enforcement agencies, organizations like Harbor House of Central Florida, and other organizations that are committed to community mobilization, education, and support services.* Affordable healthcare - FHK is an active supporter of health care for the uninsured in Osceola County and was one of the founders of the four-facility network of Federally Qualified Health Centers in the county. Further, the principle of affordable healthcare is embedded into FHK's multiple Florida Hospital programs and efforts to educate the community on health resources.
Facility 7 -- Florida Hospital Kissimmee Part V, Section B, line 14g:	The filing organization has developed a patient-friendly summary version of its financial assistance policy (FAP). The filing organization's FAP provides that each of its hospital facilities will post the patient-friendly summary version of its FAP on the Hospital's website. In addition, the FAP of each of the Hospital facilities states that signage regarding the availability of the Hospital facility's FAP will be visible at points of admission and registration, including the emergency department.
Facility 7 -- Florida Hospital Kissimmee Part V, Section B, line 20d:	In determining the maximum amount that can be charged to financial assistance policy-eligible individuals for emergency or other medically necessary care, the Hospital uses the following methodology:The Hospital identifies all commercial payors that had any activity with the Hospital during the taxable year. For those identified commercial payors, an average of the negotiated commercial insurance rates is determined. The average of all of the negotiated commercial insurance rates for those identified commercial payors determines the maximum amount that can be charged to patients eligible under the Hospital's financial assistance policy.
Facility 8 -- FH Heartland Medical Center Part V, Section B, line 3:	Florida Hospital Heartland in Sebring and Florida Hospital Lake Placid (the FHH Hospitals), located in Highlands County, Florida, operate under a single hospital license. Collectively, these two hospitals serve the residents of Highlands County, which includes the cities of Sebring, Lake Placid and Avon Park. Highlands County has an estimated population of 102,000 permanent residents, with an approximate increase of an additional 35,000 seasonal residents during the winter months. Highlands County's residents comprised the fifth-oldest population in the US in 2012. Florida Hospital Heartland in Sebring and Florida Hospital Lake Placid conducted a joint Community Health Needs Assessment (CHNA) in 2013. The CHNA was conducted through a collaborative community health needs assessment process that included the Highlands County Health Department, the Community Health Improvement Planning Committee (CHIP) of Highlands County, Samaritan's Touch free clinics in Sebring, the Highlands County Rural Health Network, Highlands Regional Medical Center, and Central Florida Health Care (a federally qualified health center). The CHNA process included the collection of both primary and secondary data. Primary data consisted of community surveys and direct stakeholder input, particularly with respect to representatives from the CHIC Committee. With respect to the process of gathering and analyzing both primary and secondary health needs assessment data, the collaborative team relied significantly on the CHIP Committee due to its broad representation of the communities served by the FHH Hospitals. The CHIPS Committee is composed of a number of representatives from organizations that serve the medically underserved, low-income populations and those with chronic disease needs. Among others, the following organizations were represented on the CHIC Committee:Highlands County Department of Health;Tri-County Human Services;Salvation Army;Florida Department of Health;Healthy Start Coalition;Children's Services Council; andHeartland Rural Health Network. The CHIP members represent public health, the broad community and people who are low-income, minorities or otherwise undeserved. Their mission is to improve the health of communities through education and the promotion of healthy lifestyles; build partnerships to maximize resources; and provide access to quality health care to all of the people in Highlands County regardless of ability to pay. The FHH Hospitals also established a Community Health Needs Assessment Committee (CHNAC) to analyze the health data collected and prioritize key issues for the FHH Hospitals to address.
Facility 8 -- FH Heartland Medical Center Part V, Section B, line 4:	Florida Hospital Heartland in Sebring and Florida Hospital Lake Placid conducted a joint Community Health Needs Assessment (CHNA) in 2013. The CHNA was conducted through a collaborative community needs assessment process with the hospitals, Highlands County Health Department, the Community Health Improvement Planning Committee (CHIP) of Highlands County, Samaritan's Touch free clinics in Sebring, the Highlands County Rural Health Network, Highlands Regional Medical Center, and Central Florida Health Care (a federally qualified health center).
Facility 8 -- FH Heartland Medical Center Part V, Section B, line 5d:	The Hospital has adopted a policy that addresses the public posting requirements of the Community Health Needs Assessment. Under this policy, the Community Health Needs Assessment Report must be posted on the Hospital's website by the end of the year in which it is conducted. The Hospital will make a copy of its Community Health Needs Assessment Report available upon request. The Hospital will also make a paper copy of the Community Health Needs Assessment Report available for public inspection at the Hospital facility.
Facility 8 -- FH Heartland Medical Center Part V, Section B, line 6i:	As a part of its Community Health Needs Assessment, the filing organization conducted an extensive and thorough analysis and prioritization of its significant identified health needs. Please see our discussion in Part V, Section B, line 7.Each of the filing organization's hospital facilities adopted its initial Community Health Needs Assessment by 12/31/13 and was in the process of developing its community health needs implementation strategy. The filing organization's implementation strategy will be documented in a written report called the "Community Health Plan". The Community Health Plan (CHP) will describe how the filing organization's hospital plans to meet its identified prioritized health needs or will identify the health need as one the filing organization's hospital does not intend to specifically address and provide an explanation as to why the filing organization's hospital does not intend to address that health need. In accordance with Proposed Regulation Section 1.501(r)-3(e)(2), each of the filing organization's hospital's CHP will be adopted no later than May 15, 2014.
Facility 8 -- FH Heartland Medical Center Part V, Section B, line 7:	Florida Hospital Heartland in Sebring and Florida Hospital Lake Placid (the FHH Hospitals) established a Community Health Needs Assessment Committee (CHNAC) to review and analyze primary and secondary data collected and to formulate determinations of the top health needs of their communities. The CHNAC worked with community partners consisting of the local Health Department, Samaritan's Touch Clinic and the Community Health Improvement Planning Committee. Health needs priorities were based upon each identified health need's severity, the scope of the need, the FHH Hospitals' ability to address the need, and other community resources that may be already addressing the health issue. The health need priority selection process resulted in the identification of the following top 12 focus areas: 1) Access to healthcare; 2) Medical home shortage; 3) Cancer; 4) Heart disease and stroke; 5) Motor vehicle deaths; 6) Diabetes; 7) Chronic lower respiratory disease; 8) Need for health promotion; 9) HIV/AIDS; 10) Pregnancy, prenatal care and newborn care; 11) Pediatric services; and 12) Mental health/substance abuse.The CHNAC recognized that while all 12 issues impact the health of the FHH Hospitals' communities, it was important to focus on specific areas of impact over a defined period of time if sustainable change is to be accomplished. Final priority selection resulted in the selection of the following four key priorities for the FHH Hospitals:* Cancer* Heart disease and stroke* Diabetes* Access to healthcareThe following identified health needs were not selected for top priority based on the following:* Medical home shortage, pregnancy, prenatal care and newborn care: These issues will be addressed though efforts to address access to healthcare.* Motor vehicle deaths, chronic lower respiratory disease, HIV/AIDS and mental health/substance abuse: There are already other advocacies and organizations in place to address these issues.* Need for health promotion: This issue will be addressed through efforts to address diabetes.* Pediatric services: There are internal efforts in place to update the existing pediatric unit.
Facility 8 -- FH Heartland Medical Center Part V, Section B, line 14g:	The filing organization has developed a patient-friendly summary version of its financial assistance policy (FAP). The filing organization's FAP provides that each of its hospital facilities will post the patient-friendly summary version of its FAP on the Hospital's website. In addition, the FAP of each of the Hospital facilities states that signage regarding the availability of the Hospital facility's FAP will be visible at points of admission and registration, including the emergency department.
Facility 8 -- FH Heartland Medical Center Part V, Section B, line 20d:	In determining the maximum amount that can be charged to financial assistance policy-eligible individuals for emergency or other medically necessary care, the Hospital uses the following methodology:The Hospital identifies all commercial payors that had any activity with the Hospital during the taxable year. For those identified commercial payors, an average of the negotiated commercial insurance rates is determined. The average of all of the negotiated commercial insurance rates for those identified commercial payors determines the maximum amount that can be charged to patients eligible under the Hospital's financial assistance policy.
Facility 10 -- Florida Hospital Apopka Part V, Section B, line 3:	Florida Hospital (FH) is a 2,409 bed medical complex in Central Florida with seven separate hospital campuses. FH serves the residents of Central Florida (primarily serving the residents of Orange, Osceola, Seminole and Lake Counties) but also draws patients from other parts of the Southeastern United States, the Caribbean and South America. The 7-campus hospital health system is the largest healthcare provider in Central Florida and the nation's largest Medicare provider with FH being the second largest employer in the area. All of the seven campuses of FH operate under a single hospital license. The Florida Hospital Apopka (FHAP) campus is a 50-bed acute-care community hospital located in Apopka, Florida. In 2012, FHAP cared for nearly 60,000 patients, including 35,709 emergency cases, 16,301 outpatient visits, and 2,974 inpatient visits. Services offered by Florida Hospital Apopka include but are not limited to: rehabilitation services; intensive and progressive care units; 50 acute care beds; a 24-hour emergency department; imaging services; a women's diagnostic center; home health services; cardiac diagnosis services; and a sleep lab. Services not provided at Florida Hospital Apopka are provided at other campuses and ground and air transportation are available to ensure all patients can access the appropriate level of care.Florida Hospital (all campuses) conducted its 2013 Community Health Needs Assessment (CHNA) in two parts: a regional health needs assessment for Orange, Seminole and Osceola Counties in Central Florida, followed by separate assessments focused on and tailored to each of the seven campuses of FH. Three not-for-profit clinical hospitals within Central Florida, namely FH, Orlando Health, and Lakeside Behavioral Health, together with the Florida Department of Health in Orange County, collaborated to conduct the regional tri-county health needs assessment. This was the first ever multi-hospital, public health department joint community health needs assessment. These four organizations also collaborated with other community agencies under the umbrellas of "Healthy Orange Florida" in Orange County, "Healthy Seminole" in Seminole County, and "Community Vision" in Osceola County. Healthy Seminole is an 81-member affiliation of representatives from FH, local government, social service, and educational organizations within Seminole County. The Health Council of East Central Florida, Inc. (the Health Council), a regional quasi-government health planning agency, was contracted with to assist with data collection and analysis. The Health Council conducted over 70 key stakeholder interviews with individuals representing the broad interests of the tri-county area. Key stakeholders for the tri-county assessment included individuals with special knowledge of or interest in public health (i.e., health departments); individuals/organizations serving or representing the interests of medically underserved, low-income, and minority populations; persons who represented the broad interests of residents served by the hospitals; and individuals representing large employers and employee interests. A total of 72 stakeholders representing 44 social service and health care organizations were interviewed and completed a questionnaire aimed at identifying health barriers, assets, resources, and needs within the region. As a part of its efforts to ensure broad community-based input into the CHNA process, FH formed a Community Health Needs Assessment Committee (CHNAC). The CHNAC was comprised of external community members/stakeholders and senior FH leaders. The community members in particular provided strong representation of low-income, minority and underserved populations. Listed below are several examples of community organizations represented on the CHNAC: * Hebni Nutrition Consultant a nutritionist who works in the local African American community;* The University of Central Florida School of Medicine primary care physician training;* Winter Park Health Foundation a local non-profit organization that develops and funds school health and older adult programs; * Orange County Public Schools serves children of all ages and ethnicities, including those who are homeless and/or eligible for free or reduced lunch programs; and * Gracia Anderson Foundation a local non-profit organization that funds social service projects.
Facility 10 -- Florida Hospital Apopka Part V, Section B, line 4:	The filing organization collaborated with two other not-for-profit hospitals, namely Orlando Health and Lakeside Behavioral Health, to create a Community Health Needs Assessment for Orange, Osceola, and Seminole Counties. The Community Health Needs Assessment describes the health of Central Floridians for the purpose of planning interventions relevant to the community.
Facility 10 -- Florida Hospital Apopka Part V, Section B, line 5d:	The Hospital has adopted a policy that addresses the public posting requirements of the Community Health Needs Assessment. Under this policy, the Community Health Needs Assessment Report must be posted on the Hospital's website by the end of the year in which it is conducted. The Hospital will make a copy of its Community Health Needs Assessment Report available upon request. The Hospital will also make a paper copy of the Community Health Needs Assessment Report available for public inspection at the Hospital facility.
Facility 10 -- Florida Hospital Apopka Part V, Section B, line 6i:	As a part of its Community Health Needs Assessment, the filing organization conducted an extensive and thorough analysis and prioritization of its significant identified health needs. Please see our discussion in Part V, Section B, line 7.Each of the filing organization's hospital facilities adopted its initial Community Health Needs Assessment by 12/31/13 and was in the process of developing its community health needs implementation strategy. The filing organization's implementation strategy will be documented in a written report called the "Community Health Plan". The Community Health Plan (CHP) will describe how the filing organization's hospital plans to meet its identified prioritized health needs or will identify the health need as one the filing organization's hospital does not intend to specifically address and provide an explanation as to why the filing organization's hospital does not intend to address that health need. In accordance with Proposed Regulation Section 1.501(r)-3(e)(2), each of the filing organization's hospital's CHP will be adopted no later than May 15, 2014.
Facility 10 -- Florida Hospital Apopka Part V, Section B, line 7:	As described in our response to Schedule H, Part V, Section B, line 3, Florida Hospital (FH) formed a Community Health Needs Assessment Committee (CHNAC) to review primary and secondary data collected by the tri-county assessment. The tri-county data, hospital utilization data, and stakeholder interviews were reviewed and analyzed by each of the FH campus committees and the CHNAC. Each FH hospital campus established a campus-specific committee to review data and to determine campus health need priorities based on the intensity of the need, current community initiatives addressing the health need, FH's capacity to impact the issue, and the opportunity for collaboration with other hospitals and community partners. The CHNAC and each local hospital campus committee used a decision tree process to review identified health issues and assist in the priority selection process. This process resulted in 14 areas of health concern in Orange County. These 14 prioritized health needs were: 1) Diabetes; 2) Heart Disease; 3) Cancer; 4) Maternal and child health; 5) Sexually transmitted diseases; 6) Substance abuse; 7) Mental health; 8) Violent crime; 9) Single parent households; 10) Motor vehicle collisions; 11) Health literacy; 12) Chronic Disease Management; 13) Obesity; and 14) Access to healthcare. The Florida Hospital Apopka local hospital campus committee recognized that while all 14 issues impact the health of the campus hospital's community, it was important to focus on specific areas of impact over a defined period of time if sustainable change is to be accomplished. Final priority selection resulted in the following two key priorities for Florida Hospital Apopka:* Obesity* Chronic Disease ManagementThe following identified health needs were not selected for top priority based on the following: * Diabetes, heart disease, and cancer - As obesity is a contributing factor to these three chronic diseases; a reduction in obesity should contribute to a reduction in complications due to these chronic diseases and have the potential to delay or eradicate the onset of diabetes, heart disease, or cancer. * Maternal and child health, sexually transmitted diseases, substance abuse, and mental health - The FH Apopka campus does not currently have service lines in these areas. Plans are in place to continue to work with other local agencies and community based organizations to promote these programs.* Violent crime, single parent households, and motor vehicle collisions - These priorities are not core competencies of Florida Hospital Apopka. However, FH Apopka will continue to support the efforts of local law enforcement agencies, organizations like Harbor House of Central Florida, and other organizations that are committed to community mobilization, education, and support services.* Health literacy and access to care - The principle of health literacy is embedded into FH Apopka's chronic disease self-management program efforts as we seek to educate the community on health resources. FH Apopka also aims to strengthen the relationship with Community Health Centers, a Federally Qualified Health Center (FQHC) in Apopka that offers primary care, dental and obstetric service.
Facility 10 -- Florida Hospital Apopka Part V, Section B, line 14g:	The filing organization has developed a patient-friendly summary version of its financial assistance policy (FAP). The filing organization's FAP provides that each of its hospital facilities will post the patient-friendly summary version of its FAP on the Hospital's website. In addition, the FAP of each of the Hospital facilities states that signage regarding the availability of the Hospital facility's FAP will be visible at points of admission and registration, including the emergency department.
Facility 10 -- Florida Hospital Apopka Part V, Section B, line 20d:	In determining the maximum amount that can be charged to financial assistance policy-eligible individuals for emergency or other medically necessary care, the Hospital uses the following methodology:The Hospital identifies all commercial payors that had any activity with the Hospital during the taxable year. For those identified commercial payors, an average of the negotiated commercial insurance rates is determined. The average of all of the negotiated commercial insurance rates for those identified commercial payors determines the maximum amount that can be charged to patients eligible under the Hospital's financial assistance policy.
Facility 11 -- FH Heartland Medical Center Lake Placid Part V, Section B, line 3:	Florida Hospital Heartland in Sebring and Florida Hospital Lake Placid (the FHH Hospitals), located in Highlands County, Florida, operate under a single hospital license. Collectively, these two hospitals serve the residents of Highlands County, which includes the cities of Sebring, Lake Placid and Avon Park. Highlands County has an estimated population of 102,000 permanent residents, with an approximate increase of an additional 35,000 seasonal residents during the winter months. Highlands County's residents comprised the fifth-oldest population in the US in 2012. Florida Hospital Heartland in Sebring and Florida Hospital Lake Placid conducted a joint Community Health Needs Assessment (CHNA) in 2013. The CHNA was conducted through a collaborative community health needs assessment process that included the Highlands County Health Department, the Community Health Improvement Planning Committee (CHIP) of Highlands County, Samaritan's Touch free clinics in Sebring, the Highlands County Rural Health Network, Highlands Regional Medical Center, and Central Florida Health Care (a federally qualified health center). The CHNA process included the collection of both primary and secondary data. Primary data consisted of community surveys and direct stakeholder input, particularly with respect to representatives from the CHIC Committee. With respect to the process of gathering and analyzing both primary and secondary health needs assessment data, the collaborative team relied significantly on the CHIP Committee due to its broad representation of the communities served by the FHH Hospitals. The CHIPS Committee is composed of a number of representatives from organizations that serve the medically underserved, low-income populations and those with chronic disease needs. Among others, the following organizations were represented on the CHIC Committee:Highlands County Department of Health;Tri-County Human Services;Salvation Army;Florida Department of Health;Healthy Start Coalition;Children's Services Council; andHeartland Rural Health Network. The CHIP members represent public health, the broad community and people who are low-income, minorities or otherwise undeserved. Their mission is to improve the health of communities through education and the promotion of healthy lifestyles; build partnerships to maximize resources; and provide access to quality health care to all of the people in Highlands County regardless of ability to pay. The FHH Hospitals also established a Community Health Needs Assessment Committee (CHNAC) to analyze the health data collected and prioritize key issues for the FHH Hospitals to address.
Facility 11 -- FH Heartland Medical Center Lake Placid Part V, Section B, line 4:	Florida Hospital Heartland in Sebring and Florida Hospital Lake Placid conducted a joint Community Health Needs Assessment (CHNA) in 2013. The CHNA was conducted through a collaborative community needs assessment process with the hospitals, Highlands County Health Department, the Community Health Improvement Planning Committee (CHIP) of Highlands County, Samaritan's Touch free clinics in Sebring, the Highlands County Rural Health Network, Highlands Regional Medical Center, and Central Florida Health Care (a federally qualified health center).
Facility 11 -- FH Heartland Medical Center Lake Placid Part V, Section B, line 5d:	The Hospital has adopted a policy that addresses the public posting requirements of the Community Health Needs Assessment. Under this policy, the Community Health Needs Assessment Report must be posted on the Hospital's website by the end of the year in which it is conducted. The Hospital will make a copy of its Community Health Needs Assessment Report available upon request. The Hospital will also make a paper copy of the Community Health Needs Assessment Report available for public inspection at the Hospital facility.
Facility 11 -- FH Heartland Medical Center Lake Placid Part V, Section B, line 6i:	As a part of its Community Health Needs Assessment, the filing organization conducted an extensive and thorough analysis and prioritization of its significant identified health needs. Please see our discussion in Part V, Section B, line 7.Each of the filing organization's hospital facilities adopted its initial Community Health Needs Assessment by 12/31/13 and was in the process of developing its community health needs implementation strategy. The filing organization's implementation strategy will be documented in a written report called the "Community Health Plan". The Community Health Plan (CHP) will describe how the filing organization's hospital plans to meet its identified prioritized health needs or will identify the health need as one the filing organization's hospital does not intend to specifically address and provide an explanation as to why the filing organization's hospital does not intend to address that health need. In accordance with Proposed Regulation Section 1.501(r)-3(e)(2), each of the filing organization's hospital's CHP will be adopted no later than May 15, 2014.
Facility 11 -- FH Heartland Medical Center Lake Placid Part V, Section B, line 7:	Florida Hospital Heartland in Sebring and Florida Hospital Lake Placid (the FHH Hospitals) established a Community Health Needs Assessment Committee (CHNAC) to review and analyze primary and secondary data collected and to formulate determinations of the top health needs of their communities. The CHNAC worked with community partners consisting of the local Health Department, Samaritan's Touch Clinic and the Community Health Improvement Planning Committee. Health needs priorities were based upon each identified health need's severity, the scope of the need, the FHH Hospitals' ability to address the need, and other community resources that may be already addressing the health issue. The health need priority selection process resulted in the identification of the following top 12 focus areas: 1) Access to healthcare; 2) Medical home shortage; 3) Cancer; 4) Heart disease and stroke; 5) Motor vehicle deaths; 6) Diabetes; 7) Chronic lower respiratory disease; 8) Need for health promotion; 9) HIV/AIDS; 10) Pregnancy, prenatal care and newborn care; 11) Pediatric services; and 12) Mental health/substance abuse.The CHNAC recognized that while all 12 issues impact the health of the FHH Hospitals' communities, it was important to focus on specific areas of impact over a defined period of time if sustainable change is to be accomplished. Final priority selection resulted in the selection of the following four key priorities for the FHH Hospitals:* Cancer* Heart disease and stroke* Diabetes* Access to healthcareThe following identified health needs were not selected for top priority based on the following:* Medical home shortage, pregnancy, prenatal care and newborn care: These issues will be addressed though efforts to address access to healthcare.* Motor vehicle deaths, chronic lower respiratory disease, HIV/AIDS and mental health/substance abuse: There are already other advocacies and organizations in place to address these issues.* Need for health promotion: This issue will be addressed through efforts to address diabetes.* Pediatric services: There are internal efforts in place to update the existing pediatric unit.
Facility 11 -- FH Heartland Medical Center Lake Placid Part V, Section B, line 14g:	The filing organization has developed a patient-friendly summary version of its financial assistance policy (FAP). The filing organization's FAP provides that each of its hospital facilities will post the patient-friendly summary version of its FAP on the Hospital's website. In addition, the FAP of each of the Hospital facilities states that signage regarding the availability of the Hospital facility's FAP will be visible at points of admission and registration, including the emergency department.
Facility 11 -- FH Heartland Medical Center Lake Placid Part V, Section B, line 20d:	In determining the maximum amount that can be charged to financial assistance policy-eligible individuals for emergency or other medically necessary care, the Hospital uses the following methodology:The Hospital identifies all commercial payors that had any activity with the Hospital during the taxable year. For those identified commercial payors, an average of the negotiated commercial insurance rates is determined. The average of all of the negotiated commercial insurance rates for those identified commercial payors determines the maximum amount that can be charged to patients eligible under the Hospital's financial assistance policy.
Part V, Section B	Facility Reporting Group B
Facility Reporting Group B consists of:	- Facility 9: Central Texas Medical Center, - Facility 12: Florida Hospital Wauchula
Facility 9 -- Central Texas Medical Center Part V, Section B, line 3:	Central Texas Medical Center (CTMC) is a 178-bed community hospital providing a wide range of complex healthcare services located in San Marcos, Texas. CTMC is one of two hospitals in Hays County and provides a wide range of healthcare services. CTMC's primary service area is identified as the cities of Lockhart, San Marcos, Kyle and Wimberley. The secondary service area is Hays County (location of the cities of San Marcos, Kyle and Wimberley) and Caldwell County (location of the city of Lockhart). Caldwell County is served by one critical access hospital. While the demographics of Hays and Caldwell counties are similar, the cities located in CTMC's primary service area (San Marcos, Kyle, Lockhart and Wimberley) are quite diverse. Wide variations exist in the median household income, percentage of residents below the Federal Poverty Level, ethnicity and education. In conducting its 2013 Community Health Needs Assessment (CHNA), CTMC solicited input from numerous stakeholders from throughout Hays and Caldwell Counties in an effort to gain a thorough understanding of the unique health needs in its primary and secondary service area. Stakeholder organizations were identified as such because they provide resources and/or programs that promote or enhance the health needs of residents in the primary and secondary service areas. Primary data was gathered through interviews and surveys. The goal of this process was to distinguish prevalent health issues impacting residents in the primary and secondary service areas, identify community programs and/or services currently being offered to address the health needs of the population, and recognize gaps that prohibited or limited access to services or disrupt the continuity of care. Many of these organizations offer services that specifically target low-income populations, minority populations, the medically underserved or those with chronic disease needs. As a part of its efforts to ensure broad community-based input into the CHNA process, CTMC established a Community Health Needs Assessment Committee (CHNAC). The CTMC Community Health Needs Assessment Committee is comprised of individuals who represent multiple communities and embody diverse community programs, services and organizations. Each member not only brings a rich understanding of the primary and secondary service areas but are also "subject matter experts" in a variety of areas including public health, mental health, government, education, non-profit, agencies/advocacy groups, faith-based organizations, and the medical community. Community members of the CHNAC represented the following organizations: * Hays County Health Department; * Healthy Communities Collaborative;* Texas State University - San Marcos;* Faith Community Nurses of Hays County (FCNOHC); * San Marcos Consolidated Independent School District (SMCISD); * Women, Infants and Children (WIC) Program; * San Marcos City Council; * Hays County Commissioners Court;* Area Agency on Aging of the Capital Area;;* Schieb (Mental Health Services);* Community Action, Inc. (CAI); * Wimberley EMS; and * Live Oak Health Partners.
Facility 9 -- Central Texas Medical Center Part V, Section B, line 5d:	The Hospital has adopted a policy that addresses the public posting requirements of the Community Health Needs Assessment. Under this policy, the Community Health Needs Assessment Report must be posted on the Hospital's website by the end of the year in which it is conducted. The Hospital will make a copy of its Community Health Needs Assessment Report available upon request. The Hospital will also make a paper copy of the Community Health Needs Assessment Report available for public inspection at the Hospital facility.
Facility 9 -- Central Texas Medical Center Part V, Section B, line 6i:	As a part of its Community Health Needs Assessment, the filing organization conducted an extensive and thorough analysis and prioritization of its significant identified health needs. Please see our discussion in Part V, Section B, line 7.Each of the filing organization's hospital facilities adopted its initial Community Health Needs Assessment by 12/31/13 and was in the process of developing its community health needs implementation strategy. The filing organization's implementation strategy will be documented in a written report called the "Community Health Plan". The Community Health Plan (CHP) will describe how the filing organization's hospital plans to meet its identified prioritized health needs or will identify the health need as one the filing organization's hospital does not intend to specifically address and provide an explanation as to why the filing organization's hospital does not intend to address that health need. In accordance with Proposed Regulation Section 1.501(r)-3(e)(2), each of the filing organization's hospital's CHP will be adopted no later than May 15, 2014.
Facility 9 -- Central Texas Medical Center Part V, Section B, line 7:	CTMC formed a Community Health Needs Assessment Committee (CHNAC) to review primary and secondary data collected and to formulate the determination of health priorities using a systematic approach that relied heavily on a decision tree priority selection process. The decision tree format assisted the CHNAC in focusing on those needs that CTMC would have the ability to influence through the implementation or expansion of programs, services, or other actions, and that may be the focus of other community resources/organizations that may be already addressing the need in some way. The CHNAC used a Priority Selection Report tool to assist in the review of data collected and prioritization of the top areas of significant community need for CTMC's community. The top needs identified included: * Improved healthcare access for uninsured, low-income adults; * Timely access to healthcare professionals, especially primary care physicians and mental health professionals; * Health promotion programs emphasizing the value of making healthier lifestyle choices; * Disease prevention and treatment programs focused on cardiovascular disease, diabetes, and cancer; * Respiratory disorders; * Limited transportation resources, especially transportation for healthcare services; and * Teen pregnancy prevention and support services. After careful review and consideration, it was determined that CTMC has the resources and infrastructures to most effectively address the following (in order of priority): * Accessing the right level of care, in the right setting, at the right time: rate of uninsured; * Timely access (including afterhours care) to Healthcare Professionals, especially primary care; accessing care close to home when care is needed; * Healthier management of lifestyle/making good choices in the areas of nutrition, weight management, exercise, smoking, alcohol use and sexually transmitted infections (STIs); * Prevalence and/or enhanced outpatient management of heart disease/congestive heart failure (CHF) and related conditions/risk factors such as hypertension; and* Prevalence and/or enhanced outpatient management of diabetes; programs to address anticipated growth of diabetes and related conditions; Through a Community Health Plan, CTMC will develop several desired or expected outcomes for each of the selected priorities, evaluate how current services could be expanded or improved to meet targeted outcomes and/or envision potential new projects that will address the identified needs. Projects will be vetted and finalized; quantifiable goals will be established along with tracking mechanisms to record progress and achievement of defined outcomes. The following identified health needs were not selected for top priority based on the following:* Prevalence of Respiratory Disorders including asthma and COPD and access to programs/services that reduce "rescue care". CTMC does not currently have the infrastructure to support programs that focus on respiratory diseases. * Timely access to local Mental Health Services including treatment for substance abuse. CTMC did not select this identified health need as a priority as there are other community programs that are already addressing this need through other agencies in the community. Nor does CTMC have the expertise or professional staff to address mental health services. Currently, all patients that present at CTMC with behavioral health conditions, including substance abuse, are transferred to another facility once medically stabilized * Prevalence of some cancer-related conditions and timely access to screening services and treatment. CTMC offers screening and related services specifically for breast cancer however CTMC does not offer clinical programs necessary for the treatment of cancer including oncology and radiation services. CTMC will continue to support community screening programs, especially breast cancer screening. * Limited transportation resources, especially transportation for healthcare and related services. CTMC does not have the infrastructure to address transportation needs that are prevalent throughout the counties we serve. A future goal would be to design targeted healthcare services that are offered in satellite locations throughout the service area to make access to care closer to home and lessen reliance on transportation services. * Reduced Teen Pregnancy Rates; support services including healthcare for pregnant teens. CTMC has a very robust obstetrics program including a neonatal ICU. Teen mothers frequently access these services. CTMC also offers free childbirth education services including breastfeeding/lactation consultation but will rely on other community programs to fully address this need.
Facility 9 -- Central Texas Medical Center Part V, Section B, line 14g:	The filing organization has developed a patient-friendly summary version of its financial assistance policy (FAP). The filing organization's FAP provides that each of its hospital facilities will post the patient-friendly summary version of its FAP on the Hospital's website. In addition, the FAP of each of the Hospital facilities states that signage regarding the availability of the Hospital facility's FAP will be visible at points of admission and registration, including the emergency department.
Facility 9 -- Central Texas Medical Center Part V, Section B, line 20d:	In determining the maximum amount that can be charged to financial assistance policy-eligible individuals for emergency or other medically necessary care, the Hospital uses the following methodology:The Hospital identifies all commercial payors that had any activity with the Hospital during the taxable year. For those identified commercial payors, an average of the negotiated commercial insurance rates is determined. The average of all of the negotiated commercial insurance rates for those identified commercial payors determines the maximum amount that can be charged to patients eligible under the Hospital's financial assistance policy.
Facility 12 -- Florida Hospital Wauchula Part V, Section B, line 3:	Florida Hospital Wauchula (FHW) is a 25-bed hospital specializing in emergency and outpatient care located in Hardee County, Florida. Florida Hospital Wauchula opened in 1993, a year after the closing of Hardee County's only (other) hospital. Since then, not only has FHW set the pace for healthcare in Hardee County, in 2000 it also became the first Critical Access Hospital (CAH) in the State of Florida. To be designated as a CAH in Florida, a hospital must be located in a rural area and be at least 35 miles from the nearest other hospital. Hardee County is a socio-economically disadvantaged, rural, agricultural county that is also designated as a health professional shortage area by the US Department of Health and Human Services. To ensure that input was solicited from the medically underserved, low-income and minority populations, FHW gathered input from a number of key stakeholder organizations in the community. Input was gathered from the Hardee County Primary Health Care Network, a public/private partnership that provides health care to the working poor. The Hardee County Primary Health Care Network includes Central Florida Health Care, a federally qualified health care center, the Hardee County Health Department, Pioneer Medical Center, FHW, and a pharmacy. The Network provides services to Hardee County residents who have no insurance or are not eligible for Medicare, Medicaid, or other government programs. FHW also gathered input from other key stakeholder organizations/agencies including the Hardee County Health Department and Central Florida Health Care. As noted above, Central Florida Health Care is a federally qualified health care center and provides services to everyone in the community, including undocumented and other underserved populations. Over 51% of the Board of Central Florida Health Care is comprised of clinic users. Florida Hospital Wauchula also established a Community Health Needs Assessment Committee (CHNAC). Input was solicited from all members of the CHNAC. The CHNAC was comprised of community representatives and members of the Florida Hospital Wauchula Board.
Facility 12 -- Florida Hospital Wauchula Part V, Section B, line 5d:	The Hospital has adopted a policy that addresses the public posting requirements of the Community Health Needs Assessment. Under this policy, the Community Health Needs Assessment Report must be posted on the Hospital's website by the end of the year in which it is conducted. The Hospital will make a copy of its Community Health Needs Assessment Report available upon request. The Hospital will also make a paper copy of the Community Health Needs Assessment Report available for public inspection at the Hospital facility.
Facility 12 -- Florida Hospital Wauchula Part V, Section B, line 6i:	As a part of its Community Health Needs Assessment, the filing organization conducted an extensive and thorough analysis and prioritization of its significant identified health needs. Please see our discussion in Part V, Section B, line 7.Each of the filing organization's hospital facilities adopted its initial Community Health Needs Assessment by 12/31/13 and was in the process of developing its community health needs implementation strategy. The filing organization's implementation strategy will be documented in a written report called the "Community Health Plan". The Community Health Plan (CHP) will describe how the filing organization's hospital plans to meet its identified prioritized health needs or will identify the health need as one the filing organization's hospital does not intend to specifically address and provide an explanation as to why the filing organization's hospital does not intend to address that health need. In accordance with Proposed Regulation Section 1.501(r)-3(e)(2), each of the filing organization's hospital's CHP will be adopted no later than May 15, 2014.
Facility 12 -- Florida Hospital Wauchula Part V, Section B, line 7:	Florida Hospital Wauchula (FHW) established a Community Health Needs Assessment Committee (CHNAC) to review and analyze primary and secondary data collected and to formulate determinations of the top health needs of its community. Health needs priorities were based upon each identified health need's severity, the scope of the need, the FHW's ability to address the need, and other community resources that may be already addressing the health issue. The health need priority selection process resulted in the identification of the following top 12 focus areas: 1) Access to health care & medical home; 2) Cancer; 3) Heart disease and stroke; 4) Motor vehicle deaths; 5) Diabetes; 6) Chronic lower respiratory disease; 7) Health promotion; 8) HIV/AIDS; 9) Pregnancy/prenatal care/newborn; 10) Mental health/substance abuse; 11) Immunizations numbers; 12) Dental care.The CHNAC recognized that while all 12 issues impact the health of FHW's community, it was important to focus on specific areas of impact over a defined period of time if sustainable change is to be accomplished. Final priority selection resulted in the selection of the following four key priorities for Florida Hospital Wauchula:* Cancer* Diabetes* Heart disease and stroke* Access to healthcare & medical homeThe following identified health needs were not selected for top priority based on the following:* Motor vehicle deaths, chronic lower respiratory disease, HIV/AIDS, pregnancy/prenatal care/newborn, pediatric services, mental health/substance abuse and immunizations: There are already other advocacies and organizations in place to address these issues.* Health promotion: This issue will be addressed through efforts to address diabetes.* Dental care: This issue will be addressed though efforts to address access to healthcare.
Facility 12 -- Florida Hospital Wauchula Part V, Section B, line 14g:	The filing organization has developed a patient-friendly summary version of its financial assistance policy (FAP). The filing organization's FAP provides that each of its hospital facilities will post the patient-friendly summary version of its FAP on the Hospital's website. In addition, the FAP of each of the Hospital facilities states that signage regarding the availability of the Hospital facility's FAP will be visible at points of admission and registration, including the emergency department.
Facility 12 -- Florida Hospital Wauchula Part V, Section B, line 20d:	In determining the maximum amount that can be charged to financial assistance policy-eligible individuals for emergency or other medically necessary care, the Hospital uses the following methodology:The Hospital identifies all commercial payors that had any activity with the Hospital during the taxable year. For those identified commercial payors, an average of the negotiated commercial insurance rates is determined. The average of all of the negotiated commercial insurance rates for those identified commercial payors determines the maximum amount that can be charged to patients eligible under the Hospital's financial assistance policy.
Part V, Section B, Line 5a	Each hospital facility's CHNA report was made widely available through the following websites:Facility 1 -- Florida Hospital Orlandohttps://www.floridahospital.com/sites/default/files/florida_hospital_orlando_-_2013_chna.pdfFacility 2 -- Florida Hospital Celebration Healthhttps://www.floridahospital.com/sites/default/files/florida_hospital_celebration_health_-_2013_chna.pdfFacility 3 -- Florida Hospital Altamontehttps://www.floridahospital.com/sites/default/files/florida_hospital_altamonte_-_2013_chna_0.pdfFacility 4 -- Florida Hospital East Orlandohttps://www.floridahospital.com/sites/default/files/florida_hospital_east_orlando_-_2013_chna.pdfFacility 5 -- Winter Park Memorial Hospitalhttps://www.floridahospital.com/sites/default/files/florida_hospital_winter_park_memorial_-_2013_chna.pdfFacility 6 -- Adventist La Grange Memorial Hospitalhttp://www.keepingyouwell.com/Portals/33/docs/Community%20Benefits/Adventist%20La%20Grange%20Hospital%202013%20CHNA.pdfFacility 7 -- Florida Hospital Kissimmeehttps://www.floridahospital.com/sites/default/files/florida_hospital_kissimmee_-_2013_chna.pdfFacility 8 -- FH Heartland Medical Centerhttps://www.floridahospital.com/sites/default/files/pdf/florida_hospital_heartland_2013_chna.pdfFacility 9 -- Central Texas Medical Centerhttp://www.ctmc.org/Portals/7/docs/Community%20Benefits/CTMC%20CHNA%202013.pdfFacility 10 -- Florida Hospital Apopkahttps://www.floridahospital.com/sites/default/files/florida_hospital_apopka_-_2013_chna.pdfFacility 11 -- FH Heartland Medical Center Lake Placidhttps://www.floridahospital.com/sites/default/files/pdf/florida_hospital_lake_placid_2013_chna.pdfFacility 12 -- Florida Hospital Wauchulahttps://www.floridahospital.com/sites/default/files/pdf/florida_hospital_wauchula_-_2013_chna.pdf

Schedule H (Form 990) 2013

Page

Part VFacility Information (continued)

Section D. Other Health Care Facilities That Are Not Licensed, Registered, or Similarly Recognized as a Hospital Facility (list in order of size, from largest to smallest) How many non-hospital health care facilities did the organization operate during the tax year?136
Name and address		Type of Facility (describe)
1	Florida Hospital Cancer Institute 2501 N Orange Avenue Suites 139 181 Orlando,FL32804	Cancer Center
2	Florida Hospital Orlando Pathology Lab 2855 N Orange Avenue Orlando,FL32803	Lab Services
3	Florida Hospital Rehabilitation and Spor 5165 Adanson Street Orlando,FL32804	Therapy Center
4	Florida Hospital Cancer Institute - Kiss 1300 West Oak Street Kissimmee,FL34741	Cancer Center
5	Florida Hospital Cancer Care Center 2100 Glenwood Drive Winter Park,FL32792	Radiation Oncology
6	Family Health East Orlando Women's Pavil 7975 Lake Underhill Road Suite 100 Orlando,FL32822	Women's Health Clinic
7	Florida Hospital Kidney Stone Center 2501 N Orange Avenue Suite 121 Orlando,FL32804	Outpatient Services
8	Florida Hospital Altamonte Imaging Cente 661 E Altamonte Drive Suite 112 Altamonte Springs,FL32701	MRI/CT
9	Florida Hospital Altamonte Ambulatory Su 661 E Altamonte Drive Suite 110 Altamonte Springs,FL32701	Outpatient Surgery Center
10	Florida Hospital Altamonte Medical Plaza 661 E Altamonte Drive Suite 110 112 Altamonte Springs,FL32701	Physician Clinics
11	Florida Hospital Medical Plaza 2501 N Orange Avenue Orlando,FL32804	Physician Clinics
12	Florida Hospital Center for Behavioral H 501 E King Street 1st Floor Orlando,FL32803	Med/Psych
13	Florida Hospital Transplant Center 2415 N Orange Avenue Suite 700 Orlando,FL32804	Organ Tissue/Transplant Center
14	FRi Princeton 235 E Princeton Street Suite 100 Orlando,FL32804	Imaging Center
15	Florida Hospital Advanced Nuclear Imagin 328 Spruce Street Orlando,FL32803	Radiology Services
16	Florida Hospital Surgery Center East Or 258 S Chickasaw Trail Suite 100 Orlando,FL32825	Outpatient Surgery
17	Florida Hospital Celebration Health Outp 410 Celebration Place Suite 408 Celebration,FL34747	Outpatient Surgery Center
18	Loch Haven OBGyn Group 235 E Princeton Street Suite 200 Orlando,FL32804	Physician Clinics
19	FHCC - Lake Buena Vista #2 12500 S Apopka Vineland Rd Orlando,FL32836	Urgent care Clinic
20	Florida Hospital Gamma Knife 2501 N Orange Ave Suite 101 S Orlando,FL32804	Gamma Knife
21	FRi Lake Mary 775 Primera Blvd Suite 1031 Lake Mary,FL32746	Imaging Center
22	Adventist Paulson Rehab - Willowbrook 619 Plainfield Road Willowbrook,IL60521	Rehabilitation Center
23	Florida Hospital Altamonte Imaging Cente 894 E Altamonte Drive Suite 1100 Altamonte Springs,FL32701	Radiology Services
24	FHHMC Cardiology Associates 4638 Sun n Lake Blvd Sebring,FL33872	Outpatient Phys Clinic
25	Florida Hospital Rehabilitation & Sports 8701 Maitland Summit Blvd Orlando,FL32810	Therapy Center
26	Surgical Center at Sun N' Lake LLC 4240 Sun n Lake Blvd Sebring,FL33872	Outpatient Surgery
27	Florida Hospital Altamonte Pain Medicine 711 East Altamonte Drive Suite 100 Altamonte Springs,FL32701	Pain Medicine
28	Florida Hospital Rehabilitation & Sports 7975 Lake Underhill Road Suite 345 Orlando,FL32822	Therapy Center
29	Florida Hospital Center for Thrombosis 2566 Lee Road Winter Park,FL32789	Thrombosis Center
30	Central Texas Ambulatory Endoscopy 1303 Wonder World Dr San Marcos,TX78666	Endoscopy Services
31	FHCC - SANFORD 4451 West 1st Street Sanford,FL32771	Urgent care Clinic
32	FHCC - WATERFORD 250 N Alafaya Trail Suite 135 Orlando,FL32825	Urgent care Clinic
33	Winter Park Memorial Hospital Women's Ce 1925 Mizell Ave Suites 105 107 Winter Park,FL32792	Women's Health Clinic, Imaging
34	FRi Oviedo 8000 Red Bug Lake Road Suite 120 Oviedo,FL32765	Imaging Center
35	Florida Hospital Altamonte Mammography C 661 E Altamonte Drive Suite 130 Altamonte Springs,FL32701	Imaging Center
36	FHCC - WINTER GARDEN 3005 Daniels Road Winter Garden,FL34787	Urgent care Clinic
37	FRi Waterford Lake 12301 Lake Underhill Rd Suite 113 Orlando,FL32828	Imaging Center
38	FHCC - WINTER PARK 3099 Aloma Avenue Winter Park,FL32792	Urgent care Clinic
39	Family Health Center Winter Park 2950 Aloma Ave Suite 100 Winter Park,FL32792	Physician Clinics, Medicine Specialists, Surgical Specialists
40	FHHMC SeaScape Imaging & Laboratory OP C 2950 Alt US 27 S Sebring,FL33870	Outpatient Imaging Center & Laboratory
41	FHCC - ORANGE LAKE 8201 W Irlo Bronson Highway Kissimmee,FL34747	Urgent care Clinic
42	FHCC - ALTAMONTE 440 W Highway 436 Altamonte Springs,FL32714	Urgent care Clinic
43	CTMC Hospice 1315 IH 35 North San Marcos,TX78666	Hospice services
44	Florida Hospital Center for Sleep Disord 501 E King Street 2nd Floor Orlando,FL32803	Sleep Disorder Center
45	FHCC - LEE ROAD 2540 Lee Road Winter Park,FL32789	Urgent care Clinic
46	Florida Hospital Rehabilitation & Sports 711 E Altamonte Drive Suite 200 Altamonte Springs,FL32701	Therapy Center
47	Adventist La Grange Family Medical Cente 5201 S Willow Springs Road Suite 300 La Grange,IL60525	Family Medical Center
48	FHCC - DR PHILLIPS 8014 Conroy-Windermere Rd Suite 104 Orlando,FL32835	Urgent care Clinic
49	La Grange Cancer Treatment Pavilion 1325 Memorial Dr La Grange,IL60525	Cancer Center/Wound Care Facility
50	FHCC - COLONIAL TOWN 630 North Bumby Ave Orlando,FL32803	Urgent care Clinic
51	FHCC - MT DORA 9015 US Highway 441 Mount Dora,FL32757	Urgent care Clinic
52	FHHMC Center Priority Health Care 4200 Sun n Lake Blvd Sebring,FL33872	Outpatient Phys Clinic
53	FH Wauchula Pioneer Medical Center 515 Carlton Street Wauchula,FL33873	Outpatient Phys Clinic
54	FHCC - RDV 8701 Maitland Summit Blvd Maitland,FL32810	Urgent care Clinic
55	FHCC - HUNTERS CREEK 3293 Greenwald Way North Kissimmee,FL34741	Urgent care Clinic
56	FHCC - SAND LAKE 2301 Sand Lake Road Orlando,FL32809	Urgent care Clinic
57	FHCC - KISSIMMEE 4320 W Vine Street Kissimmee,FL34746	Urgent care Clinic
58	Florida Hospital Rehabilitation & Sports 8000 Red Bug Lake Road Suite 140 Oviedo,FL32765	Therapy Center
59	FHCC - AZALEA PARK 509 S Semoran Blvd Orlando,FL32807	Urgent care Clinic
60	FHCC - OnsiteBusiness Health Services 901 N Lake Destiny Road Suite 400 Maitland,FL32750	Onsite Services
61	FHCC - OVIEDO 8010 Red Bug Road Oviedo,FL32765	Urgent care Clinic
62	FHCC - CLERMONT 15701 State Road 50 Suite 101 Clermont,FL34711	Urgent care Clinic
63	Florida Hospital Rehab and Sport Medicin 2005 Mizell Ave Winter Park,FL32792	Therapy Center
64	Medical Plaza - Florida Hospital Kissimm 2400 North Orange Blossom Trail Kissimmee,FL34744	Physician Clinics
65	FHCC - UNIVERSITY 11550 University Blvd Orlando,FL32817	Urgent care Clinic
66	Florida Hospital Rehab and Sports Medici 100 Waymont Court Suite 120 Lake Mary,FL32746	Therapy & Hearing Center
67	Florida Hospital Sleep Disorder Center - 1925 Mizell Avenue Suite 200 Winter Park,FL32792	Sleep Center
68	FHCC - LONGWOOD 855 S US Highway 17-92 Longwood,FL32750	Urgent care Clinic
69	FHHMC Family Practice Center 1006 W Pleasant Street Avon Park,FL33825	Outpatient Phys Clinic
70	Family Health Center East 7975 Lake Underhill Road Suite 200 Orlando,FL32822	Physician Clinics
71	Florida Hospital Rehabilitation & Sports 615 E Princeton St Suite 104 Orlando,FL32803	Therapy Center
72	FHHMC Pulmonary and Critical Care Specia 4409 Sun n Lake Blvd Suite E Sebring,FL33872	Outpatient Phys Clinic
73	Florida Hospital Urology Surgery Center 1812 N Mills Ave Orlando,FL32803	Physician Clinics
74	FHHMC Interventional Cardiology 6325 US 27 North Suite 202 Sebring,FL33872	Outpatient Phys Clinic
75	FHHMC Heartland Women's Health 37 Ryant Blvd Sebring,FL33870	Outpatient Phys Clinic
76	Florida Hospital Rehabilitation & Sports 201 Hilda Street Suite 12 Kissimmee,FL34741	Therapy Center
77	San Marcos MRI LP 1330 Wonder World Dr San Marcos,TX78666	Imaging Services
78	FHCC - CONWAY 5810 S Semoran Blvd Orlando,FL32822	Urgent care Clinic
79	Celebration Hand Therapy 410 Celebration Place Suite 300 Celebration,FL34747	Therapy Center
80	FHHMC Therapy Center 6325 US Hwy 27 N Sebring,FL33870	Outpatient Physical Therapy
81	Florida Hospital Rehabilitation & Sports 205 N Park Avenue Suite 110 Apopka,FL32703	Therapy Center
82	Florida Hospital Diabetes Institute 2415 N Orange Ave Suite 501 Orlando,FL32804	Diabetes
83	Eden Spa 2501 N Orange Ave Suite 186 Orlando,FL32804	Therapy and other personal services
84	CTMC Rehab Services 1340 Wonder World Dr San Marcos,TX78666	OP Rehab Services
85	FHHMC Wound Care 4143 Sun N Lake Blvd Sebring,FL33872	Wound Care
86	Florida Hospital Rehabilitation & Sports 2520 N Orange Avenue Suite 100 Orlando,FL32804	Therapy Center
87	FHHMC Women's Wellness Center Sebring 4240 Sun n Lake Blvd Sebring,FL33872	Outpatient Phys Clinic
88	Florida Hospital Rehabilitation and Spor 1603 S Hiawassee Road Orlando,FL32835	Therapy Center
89	FHHMC Highlands Surgical Associates 4301 Sun n Lake Blvd Suite 103 Sebring,FL33872	Outpatient Phys Clinic
90	Florida Hospital Laboratory - Orlando 2501 N Orange Avenue Suite 370 Orlando,FL32804	Lab Services
91	FHHMC Family Medicine Specialist & OP La 2315 US Highway 27 North Avon Park,FL33825	Outpatient Phys Clinic & Laboratory
92	CTMC Home Health 2007 Medical Parkway San Marcos,TX78666	Home Health services
93	FHHMC Sleep Lab 4301 Sun N Lake Blvd Sebring,FL33872	Sleep Lab
94	FHHMC Center for Infectious Disease 4409 Sun n Lake Blvd Suite E Sebring,FL33870	Outpatient Phys Clinic
95	FHHMC ENT Specialist 4325 Sun n Lake Blvd Suite 102 Sebring,FL33872	Outpatient Phys Clinic
96	FHHMC Family Medicine Associates 5909 US Hway 27 N Ste 102 Sebring,FL33870	Outpatient Phys Clinic
97	FHHMC Seascape Internal Medicine Sebring 2950 Alt US 27 South Suite B Sebring,FL33870	Outpatient Phys Clinic
98	FHHMC Therapy Center Lake Placid 1210 US 27 N Lake Placid,FL33852	Outpatient Physical Therapy
99	Darden Onsite 1000 Darden Center Drive Orlando,FL32837	Employer Onsite Clinic
100	FHHMC CareNow 4421 Sun n Lake Blvd Suite B Sebring,FL33872	Outpatient Phys Clinic
101	FHHMC Psychiatric Services 4023 Sun n Lake Blvd Sebring,FL33872	Outpatient Phys Clinic
102	Florida Hospital Sleep Disorder Center - 203 N Park Avenue Suite 106 Apopka,FL32703	Sleep Center
103	FHHMC Urology Specialist 4215 Sun N Lake Blvd Sebring,FL33872	Outpatient Phys Clinic
104	FHHMC Priority Health Care 1210 US Highway 27 N Lake Placid,FL33852	Outpatient Phys Clinic
105	FH Wauchula The Therapy Center 1330 Hwy 17 S Wauchula,FL33873	Outpatient Physical Therapy
106	Florida Hospital Laboratory - Lucerne Te 1723 Lucerne Terrace Orlando,FL32806	Lab collection
107	FHHMC Internal Medicine Specialist 6801 US Hwy 27 North Suite B-2 Sebring,FL33870	Outpatient Phys Clinic
108	FHHMC Highlands Surgical Associates Lake 1352 US 27 North Lake Placid,FL33852	Outpatient Phys Clinic
109	FHCC - WESLEY CHAPEL 5504 Gateway Boulevard Wesley Chapel,FL33544	Urgent care Clinic
110	FHHMC Psychiatric Services 1346 US Highway 27 S Lake Placid,FL33852	Outpatient Phys Clinic
111	FHHMC Family Care of Lake Placid 201 US Hway South Lake Placid,FL33852	Outpatient Phys Clinic
112	Siemens Onsite 4400 N Alafaya Trail MC Q1-240 Orlando,FL32826	Employer Onsite Clinic
113	FHHMC Cardio-Pulmonary 4635 Sun N Lake Blvd Sebring,FL33872	Cardio Pulmonary Rehab
114	FH Wauchula Hardee Family Medicine 522 W Carlton Street Wauchula,FL33873	Outpatient Phys Clinic
115	Florida Hospital Laboratory - Altamonte 661 East Altamonte Drive Suite 131 Altamonte Springs,FL32701	Lab Services
116	FHHMC Outpatient Laboratory 6801 US Hwy 27 N Suite C -1 Sebring,FL33872	Outpatient Laboratory
117	Florida Hospital Laboratory - Palm Sprin 631 Palm Springs Drive Suite 113 Altamonte Springs,FL32701	Lab collection
118	Florida Hospital Hearing Center East Or 7975 Lake Underhill Road Suite 300 Orlando,FL32822	Hearing Center
119	Wyndham Onsite 6277 Sea Harbor Dr Orlando,FL32821	Employer Onsite Clinic
120	Florida Hospital Laboratory - Winter Par 1925 Mizell Ave Suite 100 Winter Park,FL32792	Lab Services
121	FH Wauchula Sleep Lab & Wound Care 457 W Carlton St Wauchula,FL33873	Sleep Lab
122	FHHMC Gastroenterology & Women's Wellnes 1352 US 27 North Lake Placid,FL33852	Outpatient Phys Clinic
123	FHHMC Gastroenterology Center Sebring 4421 Sun n Lake Blvd Suite B Sebring,FL33872	Outpatient Phys Clinic
124	OCG Onsite 450 E South Street Orlando,FL32802	Employer Onsite Clinic
125	Center for Pediatric & Adolescent Medici 15502 Stoneybrook West Parkway Suite 2- Winter Garden,FL34787	Pediatric Center / Outpatient Services
126	CTMC OP Lab and Radiology 151 Kirkham Circle Kyle,TX78640	OP lab, rehab & medical imaging
127	FHW Cardiology Associates 463 Carlton Street Wauchula,FL33873	Outpatient Phys Clinic
128	Florida Hospital Laboratory - Tavares 1769 David Walker Drive Tavares,FL32778	Lab collection
129	Waterman Onsite 1000 Waterman Way Tavares,FL32778	Employer Onsite Clinic
130	FHHMC Diabetes Center 4023 Sun N Lake Sebring,FL33872	Diabetes Center
131	FH Wauchula Womens Wellness Center 526 W Carlton Street Wauchula,FL33873	Outpatient Phys Clinic
132	FHHMC Family Medicine Center of Lake Pla 1352 US 27 North Lake Placid,FL33852	Outpatient Phys Clinic
133	FHHMC Neurology 4421 Sun n Lake Blvd Suite B Sebring,FL33872	Outpatient Phys Clinic
134	Florida Hospital Women's CenterLactatio 2520 N Orange Avenue Suite 103 Orlando,FL32804	Lactation Center, Birthing Classes
135	Total Healthcare Management 1000 Universal Studios Plaza 3 Orlando,FL32819	Employer Onsite Clinic
136	FHHMC Lake Placid Wound Care 1352 US Hwy 27 N Lake Placid,FL33852	Wound Care

Schedule H (Form 990) 2013

Page

Part VI

Supplemental Information

Provide the following information.

1	Required descriptions. Provide the descriptions required for Part I, lines 3c, 6a, and 7; Part II and Part III, lines 2, 3, 4, 8 and 9b.
2	Needs assessment. Describe how the organization assesses the health care needs of the communities it serves, in addition to any CHNAs reported in Part V, Section B.
3	Patient education of eligibility for assistance. Describe how the organization informs and educates patients and persons who may be billed for patient care about their eligibility for assistance under federal, state, or local government programs or under the organization’s financial assistance policy.
4	Community information. Describe the community the organization serves, taking into account the geographic area and demographic constituents it serves.
5	Promotion of community health. Provide any other information important to describing how the organization’s hospital facilities or other health care facilities further its exempt purpose by promoting the health of the community (e.g., open medical staff, community board, use of surplus funds, etc.).
6	Affiliated health care system. If the organization is part of an affiliated health care system, describe the respective roles of the organization and its affiliates in promoting the health of the communities served.
7	State filing of community benefit report. If applicable, identify all states with which the organization, or a related organization, files a community benefit report.

Form and Line Reference	Explanation
Part V, Section B	Facility Reporting Group A
Facility Reporting Group A consists of:	- Facility 1: Florida Hospital Orlando, - Facility 2: Florida Hospital Celebration Health, - Facility 3: Florida Hospital Altamonte, - Facility 4: Florida Hospital East Orlando, - Facility 5: Winter Park Memorial Hospital, - Facility 6: Adventist La Grange Memorial Hospital, - Facility 8: Florida Hospital Kissimmee, - Facility 7: FH Heartland Medical Center, - Facility 10: Florida Hospital Apopka, - Facility 11: FH Heartland Medical Center Lake Placid
Facility 1 -- Florida Hospital Orlando Part V, Section B, line 3:	Florida Hospital (FH) is a 2,409 bed medical complex in Central Florida with seven separate hospital campuses. FH serves the residents of Central Florida (primarily serving the residents of Orange, Osceola, Seminole and Lake Counties) but also draws patients from other parts of the Southeastern United States, the Caribbean and South America. The 7-campus hospital health system is the largest healthcare provider in Central Florida and the nation's largest Medicare provider with FH being the second largest employer in the area. All of the seven campuses of FH operate under a single hospital license. Florida Hospital Orlando (FHO) is a 1,177 acute-care bed hospital and medical center founded in 1908. It is Florida Hospital's flagship hospital and is the largest campus in the Florida Hospital system. FHO has 957 acute care beds, 59 adult psychiatric beds, 10 comprehensive medical rehabilitation beds, 28 Level II Neonatal Intensive Care Unit beds, and 53 Level III Neonatal Intensive Care Unit beds. Special services include an adult and pediatric bone marrow transplant program, adult open-heart surgery, as well as organ programs for adult and pediatric kidney transplants and adult liver and pancreas transplants. This campus also serves as a Baker Act receiving center and offers specialty care in the areas of digestive health; hyperbaric medicine and wound care; fetal diagnostics; pain medicine; pediatric hematology/oncology; respiratory care; women's services; and surgical oncology. FHO is also home to institutes for: cancer; diabetes; translational research; cardiology; orthopedics; and neuroscience. In 2012, FHO admitted 53,945 patients; completed 34,131 surgeries; delivered 2,608 babies; saw 97,806 patients in the emergency department; and cared for 170,650 patients on an outpatient basis.Florida Hospital (all campuses) conducted its 2013 Community Health Needs Assessment (CHNA) in two parts: a regional health needs assessment for Orange, Seminole and Osceola Counties in Central Florida, followed by separate assessments focused on and tailored to each of the seven campuses of FH. Three not-for-profit clinical hospitals within Central Florida, namely FH, Orlando Health, and Lakeside Behavioral Health, together with the Florida Department of Health in Orange County, collaborated to conduct the regional tri-county health needs assessment. This was the first ever multi-hospital, public health department joint community health needs assessment. These four organizations also collaborated with other community agencies under the umbrellas of "Healthy Orange Florida" in Orange County, "Healthy Seminole" in Seminole County, and "Community Vision" in Osceola County. Healthy Seminole is an 81-member affiliation of representatives from FH, local government, social service, and educational organizations within Seminole County. The Health Council of East Central Florida, Inc. (the Health Council), a regional quasi-government health planning agency, was contracted with to assist with data collection and analysis. The Health Council conducted over 70 key stakeholder interviews with individuals representing the broad interests of the tri-county area. Key stakeholders for the tri-county assessment included individuals with special knowledge of or interest in public health (i.e., health departments); individuals/organizations serving or representing the interests of medically underserved, low-income, and minority populations; persons who represented the broad interests of residents served by the hospitals; and individuals representing large employers and employee interests. A total of 72 stakeholders representing 44 social service and health care organizations were interviewed and completed a questionnaire aimed at identifying health barriers, assets, resources, and needs within the region. As a part of its efforts to ensure broad community-based input into the CHNA process, FH formed a Community Health Needs Assessment Committee (CHNAC). The CHNAC was comprised of external community members/stakeholders and senior FH leaders. The community members in particular provided strong representation of low-income, minority and underserved populations. Listed below are several examples of community organizations represented on the CHNAC: * Hebni Nutrition Consultant a nutritionist who works in the local African American community;* The University of Central Florida School of Medicine primary care physician training;* Winter Park Health Foundation a local non-profit organization that develops and funds school health and older adult programs; * Orange County Public Schools serves children of all ages and ethnicities, including those who are homeless and/or eligible for free or reduced lunch programs; and * Gracia Anderson Foundation a local non-profit organization that funds social service projects.
Facility 1 -- Florida Hospital Orlando Part V, Section B, line 4:	The filing organization collaborated with two other not-for-profit hospitals, namely Orlando Health and Lakeside Behavioral Health, to create a Community Health Needs Assessment for Orange, Osceola, and Seminole Counties. The Community Health Needs Assessment describes the health of Central Floridians for the purpose of planning interventions relevant to the community.
Facility 1 -- Florida Hospital Orlando Part V, Section B, line 5d:	The Hospital has adopted a policy that addresses the public posting requirements of the Community Health Needs Assessment. Under this policy, the Community Health Needs Assessment Report must be posted on the Hospital's website by the end of the year in which it is conducted. The Hospital will make a copy of its Community Health Needs Assessment Report available upon request. The Hospital will also make a paper copy of the Community Health Needs Assessment Report available for public inspection at the Hospital facility.
Facility 1 -- Florida Hospital Orlando Part V, Section B, line 6i:	As a part of its Community Health Needs Assessment, the filing organization conducted an extensive and thorough analysis and prioritization of its significant identified health needs. Please see our discussion in Part V, Section B, line 7.Each of the filing organization's hospital facilities adopted its initial Community Health Needs Assessment by 12/31/13 and was in the process of developing its community health needs implementation strategy. The filing organization's implementation strategy will be documented in a written report called the "Community Health Plan". The Community Health Plan (CHP) will describe how the filing organization's hospital plans to meet its identified prioritized health needs or will identify the health need as one the filing organization's hospital does not intend to specifically address and provide an explanation as to why the filing organization's hospital does not intend to address that health need. In accordance with Proposed Regulation Section 1.501(r)-3(e)(2), each of the filing organization's hospital's CHP will be adopted no later than May 15, 2014.
Facility 1 -- Florida Hospital Orlando Part V, Section B, line 7:	As described in our response to Schedule H, Part V, Section B, line 3, Florida Hospital (FH) formed a Community Health Needs Assessment Committee (CHNAC) to review primary and secondary data collected by the tri-county assessment. The tri-county data, hospital utilization data, and stakeholder interviews were reviewed and analyzed by each of the FH campus committees and the CHNAC. Each FH hospital campus established a campus-specific committee to review data and to determine campus health need priorities based on the intensity of the need, current community initiatives addressing the health need, FH's capacity to impact the issue, and the opportunity for collaboration with other hospitals and community partners. The CHNAC and each local hospital campus committee used a decision tree process to review identified health issues and assist in the priority selection process. This process resulted in 14 areas of health concern in Orange County. These 14 prioritized health needs were: 1) Diabetes; 2) Heart disease; 3) Obesity; 4) Maternal and child health; 5) Cancer; 6) Sexually transmitted diseases; 7) Substance abuse; 8) Mental health; 9) Chronic disease management; 10) Violent crime; 11) Health literacy; 12) Single parent households; 13) Motor vehicle collisions; and 14) Access to care. The Florida Hospital Orlando (FHO) local hospital campus committee recognized that while all 14 issues impact the health of the campus hospital's community, it was important to focus on specific areas of impact over a defined period of time if sustainable change is to be accomplished. Final priority selection resulted in the following three key priorities for Florida Hospital Orlando:* Heart disease* Mental health* Access to care The following identified health needs were not selected for top priority based on the following: * Diabetes, obesity, cancer and chronic disease management - Risk factors for diabetes, obesity and cancer mirror that of risk factors for heart disease; efforts to reduce, control, and prevent heart disease has the potential to positively impact the incidence and prevalence of these related chronic conditions. Chronic disease management techniques and principles will also be used in addressing heart disease.* Sexually transmitted diseases and substance abuse - The FH Orlando campus does not currently have service lines in these areas. Plans are in place to continue to work with other local agencies and community based organizations to promote these programs. Additionally, efforts to contribute to the mental health and well-being of Orlando residents will impact these areas.* Violent crime, single parent households and motor vehicle collisions - These priorities are not core competencies of Florida Hospital Orlando. However, FHO will continue to support the efforts of local law enforcement agencies, organizations like Harbor House of Central Florida, and other organizations that are committed to community mobilization, education, and support services.* Maternal and child health - This issue will be addressed via efforts to impact mental health concerns across the lifespan. * Health literacy - The principle of health literacy is embedded into FHO's chronic disease self-management program efforts as we seek to educate the community on health resources. FHO also aims to strengthen the relationship with organizations that offer primary care, dental and obstetric service. Internally, FHO is working to ensure comprehensive discharge education.
Facility 1 -- Florida Hospital Orlando Part V, Section B, line 14g:	The filing organization has developed a patient-friendly summary version of its financial assistance policy (FAP). The filing organization's FAP provides that each of its hospital facilities will post the patient-friendly summary version of its FAP on the Hospital's website. In addition, the FAP of each of the Hospital facilities states that signage regarding the availability of the Hospital facility's FAP will be visible at points of admission and registration, including the emergency department.
Facility 1 -- Florida Hospital Orlando Part V, Section B, line 20d:	In determining the maximum amount that can be charged to financial assistance policy-eligible individuals for emergency or other medically necessary care, the Hospital uses the following methodology:The Hospital identifies all commercial payors that had any activity with the Hospital during the taxable year. For those identified commercial payors, an average of the negotiated commercial insurance rates is determined. The average of all of the negotiated commercial insurance rates for those identified commercial payors determines the maximum amount that can be charged to patients eligible under the Hospital's financial assistance policy.
Facility 2 -- Florida Hospital Celebration Health Part V, Section B, line 3:	Florida Hospital (FH) is a 2,409 bed medical complex in Central Florida with seven separate hospital campuses. FH serves the residents of Central Florida (primarily serving the residents of Orange, Osceola, Seminole and Lake Counties) but also draws patients from other parts of the Southeastern United States, the Caribbean and South America. The 7-campus hospital health system is the largest healthcare provider in Central Florida and the nation's largest Medicare provider with FH being the second largest employer in the area. All of the seven campuses of FH operate under a single hospital license. The Florida Hospital Celebration Health (FHCH) campus is a 172-bed, state-of-the-art hospital that serves as a showcase of innovation and excellence in healthcare. Established in 1997, Florida Hospital Celebration Health was designed to serve as a cornerstone of health in the Disney-planned community of Celebration, Florida. In 2012, FHCH served 67,721 patients in the emergency department; 75,967 patients via outpatient treatment; 13,518 patients on an inpatient basis; delivered 2,110 babies; and performed 8,141 surgeries.Florida Hospital (all campuses) conducted its 2013 Community Health Needs Assessment (CHNA) in two parts: a regional health needs assessment for Orange, Seminole and Osceola Counties in Central Florida, followed by separate assessments focused on and tailored to each of the seven campuses of FH. Three not-for-profit clinical hospitals within Central Florida, namely FH, Orlando Health, and Lakeside Behavioral Health, together with the Florida Department of Health in Orange County, collaborated to conduct the regional tri-county health needs assessment. This was the first ever multi-hospital, public health department joint community health needs assessment. These four organizations also collaborated with other community agencies under the umbrellas of "Healthy Orange Florida" in Orange County, "Healthy Seminole" in Seminole County, and "Community Vision" in Osceola County. Healthy Seminole is an 81-member affiliation of representatives from FH, local government, social service, and educational organizations within Seminole County. The Health Council of East Central Florida, Inc. (the Health Council), a regional quasi-government health planning agency, was contracted with to assist with data collection and analysis. The Health Council conducted over 70 key stakeholder interviews with individuals representing the broad interests of the tri-county area. Key stakeholders for the tri-county assessment included individuals with special knowledge of or interest in public health (i.e., health departments); individuals/organizations serving or representing the interests of medically underserved, low-income, and minority populations; persons who represented the broad interests of residents served by the hospitals; and individuals representing large employers and employee interests. A total of 72 stakeholders representing 44 social service and health care organizations were interviewed and completed a questionnaire aimed at identifying health barriers, assets, resources, and needs within the region. As a part of its efforts to ensure broad community-based input into the CHNA process, FH formed a Community Health Needs Assessment Committee (CHNAC). The CHNAC was comprised of external community members/stakeholders and senior FH leaders. The community members in particular provided strong representation of low-income, minority and underserved populations. Listed below are several examples of community organizations represented on the CHNAC: * Hebni Nutrition Consultant a nutritionist who works in the local African American community;* The University of Central Florida School of Medicine primary care physician training;* Winter Park Health Foundation a local non-profit organization that develops and funds school health and older adult programs; * Orange County Public Schools serves children of all ages and ethnicities, including those who are homeless and/or eligible for free or reduced lunch programs; and * Gracia Anderson Foundation a local non-profit organization that funds social service projects.
Facility 2 -- Florida Hospital Celebration Health Part V, Section B, line 4:	The filing organization collaborated with two other not-for-profit hospitals, namely Orlando Health and Lakeside Behavioral Health, to create a Community Health Needs Assessment for Orange, Osceola, and Seminole Counties. The Community Health Needs Assessment describes the health of Central Floridians for the purpose of planning interventions relevant to the community.
Facility 2 -- Florida Hospital Celebration Health Part V, Section B, line 5d:	The Hospital has adopted a policy that addresses the public posting requirements of the Community Health Needs Assessment. Under this policy, the Community Health Needs Assessment Report must be posted on the Hospital's website by the end of the year in which it is conducted. The Hospital will make a copy of its Community Health Needs Assessment Report available upon request. The Hospital will also make a paper copy of the Community Health Needs Assessment Report available for public inspection at the Hospital facility.
Facility 2 -- Florida Hospital Celebration Health Part V, Section B, line 6i:	As a part of its Community Health Needs Assessment, the filing organization conducted an extensive and thorough analysis and prioritization of its significant identified health needs. Please see our discussion in Part V, Section B, line 7.Each of the filing organization's hospital facilities adopted its initial Community Health Needs Assessment by 12/31/13 and was in the process of developing its community health needs implementation strategy. The filing organization's implementation strategy will be documented in a written report called the "Community Health Plan". The Community Health Plan (CHP) will describe how the filing organization's hospital plans to meet its identified prioritized health needs or will identify the health need as one the filing organization's hospital does not intend to specifically address and provide an explanation as to why the filing organization's hospital does not intend to address that health need. In accordance with Proposed Regulation Section 1.501(r)-3(e)(2), each of the filing organization's hospital's CHP will be adopted no later than May 15, 2014.
Facility 2 -- Florida Hospital Celebration Health Part V, Section B, line 7:	As described in our response to Schedule H, Part V, Section B, line 3, Florida Hospital (FH) formed a Community Health Needs Assessment Committee (CHNAC) to review primary and secondary data collected by the tri-county assessment. The tri-county data, hospital utilization data, and stakeholder interviews were reviewed and analyzed by each of the FH campus committees and the CHNAC. Each FH hospital campus established a campus-specific committee to review data and to determine campus health need priorities based on the intensity of the need, current community initiatives addressing the health need, FH's capacity to impact the issue, and the opportunity for collaboration with other hospitals and community partners. The CHNAC and each local hospital campus committee used a decision tree process to review identified health issues and assist in the priority selection process. This process resulted in 14 areas of health concern in Osceola County. These 14 prioritized health needs were: 1) Heart Disease; 2) Obesity; 3) Cancer; 4) Diabetes; 5) Asthma; 6) Maternal and child health; 7) Mental health; 8) Substance abuse; 9) Dental care; 10) Affordable healthcare; 11) Housing affordability; 12) Homelessness; 13) High unemployment; and 14) Single parent households. The Florida Hospital Celebration Health (FHCH) local hospital campus committee recognized that while all 14 issues impact the health of the campus hospital's community, it was important to focus on specific areas of impact over a defined period of time if sustainable change is to be accomplished. Final priority selection resulted in the following three key priorities for Florida Hospital Celebration Health:* Obesity* Diabetes* Maternal and child healthThe following identified health needs were not selected for top priority based on the following: * Heart disease, asthma and cancer - As obesity is a contributing factor to these three chronic diseases; a reduction in obesity should contribute to a reduction in complications due to these chronic diseases and have the potential to delay or eradicate the onset of heart disease, asthma, or cancer. * Dental care, substance abuse and mental health - The FH Celebration Health campus does not currently have service lines in these areas. Plans are in place to continue to work with other local agencies and community based organizations to promote these programs.* Housing affordability, homelessness, high unemployment and single parent households - These priorities are not core competencies of Florida Hospital Celebration Health. However, FHCH will continue to support the efforts of local law enforcement agencies, organizations like Harbor House of Central Florida, and other organizations that are committed to community mobilization, education, and support services.* Affordable healthcare - FHCH is an active supporter of health care for the uninsured in Osceola County and was one of the founders of the four-facility network of Federally Qualified Health Centers in the county. Further, the principle of affordable healthcare is embedded into FHCH's multiple Florida Hospital programs and efforts to educate the community on health resources.
Facility 2 -- Florida Hospital Celebration Health Part V, Section B, line 14g:	The filing organization has developed a patient-friendly summary version of its financial assistance policy (FAP). The filing organization's FAP provides that each of its hospital facilities will post the patient-friendly summary version of its FAP on the Hospital's website. In addition, the FAP of each of the Hospital facilities states that signage regarding the availability of the Hospital facility's FAP will be visible at points of admission and registration, including the emergency department.
Facility 2 -- Florida Hospital Celebration Health Part V, Section B, line 20d:	In determining the maximum amount that can be charged to financial assistance policy-eligible individuals for emergency or other medically necessary care, the Hospital uses the following methodology:The Hospital identifies all commercial payors that had any activity with the Hospital during the taxable year. For those identified commercial payors, an average of the negotiated commercial insurance rates is determined. The average of all of the negotiated commercial insurance rates for those identified commercial payors determines the maximum amount that can be charged to patients eligible under the Hospital's financial assistance policy.
Facility 3 -- Florida Hospital Altamonte Part V, Section B, line 3:	Florida Hospital (FH) is a 2,409 bed medical complex in Central Florida with seven separate hospital campuses. FH serves the residents of Central Florida (primarily serving the residents of Orange, Osceola, Seminole and Lake Counties) but also draws patients from other parts of the Southeastern United States, the Caribbean and South America. The 7-campus hospital health system is the largest healthcare provider in Central Florida and the nation's largest Medicare provider with FH being the second largest employer in the area. All of the seven campuses of FH operate under a single hospital license. The Florida Hospital Altamonte (FHA) campus is a 376-bed, acute-care community hospital located in Altamonte Springs, Florida. It was established in 1973 as the first satellite campus of Florida Hospital. Since its establishment, Florida Hospital Altamonte has been providing state-of-the-art healthcare to its community, a 15-zip code area surrounding Altamonte Springs, and remains the largest satellite campus in the Florida Hospital system. FHA cares for more than 168,000 patients a year, including 67,000 emergency patients and 20,000 inpatients, with 2,000 baby deliveries and performs approximately 10,000 surgical cases and 79,000 outpatient procedures making it the largest and most comprehensive hospital in Seminole County.Florida Hospital (all campuses) conducted its 2013 Community Health Needs Assessment (CHNA) in two parts: a regional health needs assessment for Orange, Seminole and Osceola Counties in Central Florida, followed by separate assessments focused on and tailored to each of the seven campuses of FH. Three not-for-profit clinical hospitals within Central Florida, namely FH, Orlando Health, and Lakeside Behavioral Health, together with the Florida Department of Health in Orange County, collaborated to conduct the regional tri-county health needs assessment. This was the first ever multi-hospital, public health department joint community health needs assessment. These four organizations also collaborated with other community agencies under the umbrellas of "Healthy Orange Florida" in Orange County, "Healthy Seminole" in Seminole County, and "Community Vision" in Osceola County. Healthy Seminole is an 81-member affiliation of representatives from FH, local government, social service, and educational organizations within Seminole County. The Health Council of East Central Florida, Inc. (the Health Council), a regional quasi-government health planning agency, was contracted with to assist with data collection and analysis. The Health Council conducted over 70 key stakeholder interviews with individuals representing the broad interests of the tri-county area. Key stakeholders for the tri-county assessment included individuals with special knowledge of or interest in public health (i.e., health departments); individuals/organizations serving or representing the interests of medically underserved, low-income, and minority populations; persons who represented the broad interests of residents served by the hospitals; and individuals representing large employers and employee interests. A total of 72 stakeholders representing 44 social service and health care organizations were interviewed and completed a questionnaire aimed at identifying health barriers, assets, resources, and needs within the region. As a part of its efforts to ensure broad community-based input into the CHNA process, FH formed a Community Health Needs Assessment Committee (CHNAC). The CHNAC was comprised of external community members/stakeholders and senior FH leaders. The community members in particular provided strong representation of low-income, minority and underserved populations. Listed below are several examples of community organizations represented on the CHNAC: * Hebni Nutrition Consultant a nutritionist who works in the local African American community;* The University of Central Florida School of Medicine primary care physician training;* Winter Park Health Foundation a local non-profit organization that develops and funds school health and older adult programs; * Orange County Public Schools serves children of all ages and ethnicities, including those who are homeless and/or eligible for free or reduced lunch programs; and * Gracia Anderson Foundation a local non-profit organization that funds social service projects.
Facility 3 -- Florida Hospital Altamonte Part V, Section B, line 4:	The filing organization collaborated with two other not-for-profit hospitals, namely Orlando Health and Lakeside Behavioral Health, to create a Community Health Needs Assessment for Orange, Osceola, and Seminole Counties. The Community Health Needs Assessment describes the health of Central Floridians for the purpose of planning interventions relevant to the community.
Facility 3 -- Florida Hospital Altamonte Part V, Section B, line 5d:	The Hospital has adopted a policy that addresses the public posting requirements of the Community Health Needs Assessment. Under this policy, the Community Health Needs Assessment Report must be posted on the Hospital's website by the end of the year in which it is conducted. The Hospital will make a copy of its Community Health Needs Assessment Report available upon request. The Hospital will also make a paper copy of the Community Health Needs Assessment Report available for public inspection at the Hospital facility.
Facility 3 -- Florida Hospital Altamonte Part V, Section B, line 6i:	As a part of its Community Health Needs Assessment, the filing organization conducted an extensive and thorough analysis and prioritization of its significant identified health needs. Please see our discussion in Part V, Section B, line 7.Each of the filing organization's hospital facilities adopted its initial Community Health Needs Assessment by 12/31/13 and was in the process of developing its community health needs implementation strategy. The filing organization's implementation strategy will be documented in a written report called the "Community Health Plan". The Community Health Plan (CHP) will describe how the filing organization's hospital plans to meet its identified prioritized health needs or will identify the health need as one the filing organization's hospital does not intend to specifically address and provide an explanation as to why the filing organization's hospital does not intend to address that health need. In accordance with Proposed Regulation Section 1.501(r)-3(e)(2), each of the filing organization's hospital's CHP will be adopted no later than May 15, 2014.
Facility 3 -- Florida Hospital Altamonte Part V, Section B, line 7:	As described in our response to Schedule H, Part V, Section B, line 3, Florida Hospital (FH) formed a Community Health Needs Assessment Committee (CHNAC) to review primary and secondary data collected by the tri-county assessment. The tri-county data, hospital utilization data, and stakeholder interviews were reviewed and analyzed by each of the FH campus committees and the CHNAC. Each FH hospital campus established a campus-specific committee to review data and to determine campus health need priorities based on the intensity of the need, current community initiatives addressing the health need, FH's capacity to impact the issue, and the opportunity for collaboration with other hospitals and community partners. The CHNAC and each local hospital campus committee used a decision tree process to review identified health issues and assist in the priority selection process. This process resulted in 14 areas of health concern in Seminole County. These 14 prioritized health needs were: 1) Obesity; 2) Diabetes; 3) Cancer; 4) Heart Disease; 5) Substance abuse; 6) Mental health; 7) Maternal and child health; 8) Stroke; 9) Asthma; 10) Affordable healthcare; 11) Motor vehicle collisions; 12) Physical activity among youth; 13) Marijuana use among youth; and 14) Housing affordability. The Florida Hospital Altamonte (FHA) local hospital campus committee recognized that while all 14 issues impact the health of the campus hospital's community, it was important to focus on specific areas of impact over a defined period of time if sustainable change is to be accomplished. Final priority selection resulted in the following two key priorities for Florida Hospital Altamonte:* Obesity* Access to Affordable HealthcareThe following identified health needs were not selected for top priority based on the following: * Diabetes, cancer, heart disease, stroke, and asthma - As obesity is a risk factor in all of these chronic diseases; a reduction in obesity has the potential to delay or eradicate the onset of diabetes, heart disease, as well as asthma, stroke or cancer. * Physical Activity among youth will also be addressed via efforts to reduce and prevent childhood obesity.* Substance abuse, mental health, marijuana use among youth and maternal and child health - The FH Altamonte campus does not currently have service lines in these areas. Plans are in place to continue to work with other local agencies and community based organizations to promote these programs.* Motor vehicle collisions and housing affordability - These priorities are not core competencies of Florida Hospital Altamonte. However, FHA will continue to support the efforts of local law enforcement agencies, organizations like Harbor House of Central Florida, and other organizations that are committed to community mobilization, education, and support services.
Facility 3 -- Florida Hospital Altamonte Part V, Section B, line 14g:	The filing organization has developed a patient-friendly summary version of its financial assistance policy (FAP). The filing organization's FAP provides that each of its hospital facilities will post the patient-friendly summary version of its FAP on the Hospital's website. In addition, the FAP of each of the Hospital facilities states that signage regarding the availability of the Hospital facility's FAP will be visible at points of admission and registration, including the emergency department.
Facility 3 -- Florida Hospital Altamonte Part V, Section B, line 20d:	In determining the maximum amount that can be charged to financial assistance policy-eligible individuals for emergency or other medically necessary care, the Hospital uses the following methodology:The Hospital identifies all commercial payors that had any activity with the Hospital during the taxable year. For those identified commercial payors, an average of the negotiated commercial insurance rates is determined. The average of all of the negotiated commercial insurance rates for those identified commercial payors determines the maximum amount that can be charged to patients eligible under the Hospital's financial assistance policy.
Facility 4 -- Florida Hospital East Orlando Part V, Section B, line 3:	Florida Hospital (FH) is a 2,409 bed medical complex in Central Florida with seven separate hospital campuses. FH serves the residents of Central Florida (primarily serving the residents of Orange, Osceola, Seminole and Lake Counties) but also draws patients from other parts of the Southeastern United States, the Caribbean and South America. The 7-campus hospital health system is the largest healthcare provider in Central Florida and the nation's largest Medicare provider with FH being the second largest employer in the area. All of the seven campuses of FH operate under a single hospital license. The Florida Hospital East Orlando (FHEO) campus is a 265-bed full-service community hospital and has been serving East Orange County residents since it was acquired in 1990. In 2012, FHEO saw 15,284 inpatients; 70,738 outpatients; 83,037 emergency cases; and performed 5,007 surgeries annually.Florida Hospital (all campuses) conducted its 2013 Community Health Needs Assessment (CHNA) in two parts: a regional health needs assessment for Orange, Seminole and Osceola Counties in Central Florida, followed by separate assessments focused on and tailored to each of the seven campuses of FH. Three not-for-profit clinical hospitals within Central Florida, namely FH, Orlando Health, and Lakeside Behavioral Health, together with the Florida Department of Health in Orange County, collaborated to conduct the regional tri-county health needs assessment. This was the first ever multi-hospital, public health department joint community health needs assessment. These four organizations also collaborated with other community agencies under the umbrellas of "Healthy Orange Florida" in Orange County, "Healthy Seminole" in Seminole County, and "Community Vision" in Osceola County. Healthy Seminole is an 81-member affiliation of representatives from FH, local government, social service, and educational organizations within Seminole County. The Health Council of East Central Florida, Inc. (the Health Council), a regional quasi-government health planning agency, was contracted with to assist with data collection and analysis. The Health Council conducted over 70 key stakeholder interviews with individuals representing the broad interests of the tri-county area. Key stakeholders for the tri-county assessment included individuals with special knowledge of or interest in public health (i.e., health departments); individuals/organizations serving or representing the interests of medically underserved, low-income, and minority populations; persons who represented the broad interests of residents served by the hospitals; and individuals representing large employers and employee interests. A total of 72 stakeholders representing 44 social service and health care organizations were interviewed and completed a questionnaire aimed at identifying health barriers, assets, resources, and needs within the region. As a part of its efforts to ensure broad community-based input into the CHNA process, FH formed a Community Health Needs Assessment Committee (CHNAC). The CHNAC was comprised of external community members/stakeholders and senior FH leaders. The community members in particular provided strong representation of low-income, minority and underserved populations. Listed below are several examples of community organizations represented on the CHNAC: * Hebni Nutrition Consultant a nutritionist who works in the local African American community;* The University of Central Florida School of Medicine primary care physician training;* Winter Park Health Foundation a local non-profit organization that develops and funds school health and older adult programs; * Orange County Public Schools serves children of all ages and ethnicities, including those who are homeless and/or eligible for free or reduced lunch programs; and * Gracia Anderson Foundation a local non-profit organization that funds social service projects.
Facility 4 -- Florida Hospital East Orlando Part V, Section B, line 4:	The filing organization collaborated with two other not-for-profit hospitals, namely Orlando Health and Lakeside Behavioral Health, to create a Community Health Needs Assessment for Orange, Osceola, and Seminole Counties. The Community Health Needs Assessment describes the health of Central Floridians for the purpose of planning interventions relevant to the community.
Facility 4 -- Florida Hospital East Orlando Part V, Section B, line 5d:	The Hospital has adopted a policy that addresses the public posting requirements of the Community Health Needs Assessment. Under this policy, the Community Health Needs Assessment Report must be posted on the Hospital's website by the end of the year in which it is conducted. The Hospital will make a copy of its Community Health Needs Assessment Report available upon request. The Hospital will also make a paper copy of the Community Health Needs Assessment Report available for public inspection at the Hospital facility.
Facility 4 -- Florida Hospital East Orlando Part V, Section B, line 6i:	As a part of its Community Health Needs Assessment, the filing organization conducted an extensive and thorough analysis and prioritization of its significant identified health needs. Please see our discussion in Part V, Section B, line 7.Each of the filing organization's hospital facilities adopted its initial Community Health Needs Assessment by 12/31/13 and was in the process of developing its community health needs implementation strategy. The filing organization's implementation strategy will be documented in a written report called the "Community Health Plan". The Community Health Plan (CHP) will describe how the filing organization's hospital plans to meet its identified prioritized health needs or will identify the health need as one the filing organization's hospital does not intend to specifically address and provide an explanation as to why the filing organization's hospital does not intend to address that health need. In accordance with Proposed Regulation Section 1.501(r)-3(e)(2), each of the filing organization's hospital's CHP will be adopted no later than May 15, 2014.
Facility 4 -- Florida Hospital East Orlando Part V, Section B, line 7:	As described in our response to Schedule H, Part V, Section B, line 3, Florida Hospital (FH) formed a Community Health Needs Assessment Committee (CHNAC) to review primary and secondary data collected by the tri-county assessment. The tri-county data, hospital utilization data, and stakeholder interviews were reviewed and analyzed by each of the FH campus committees and the CHNAC. Each FH hospital campus established a campus-specific committee to review data and to determine campus health need priorities based on the intensity of the need, current community initiatives addressing the health need, FH's capacity to impact the issue, and the opportunity for collaboration with other hospitals and community partners. The CHNAC and each local hospital campus committee used a decision tree process to review identified health issues and assist in the priority selection process. This process resulted in 14 areas of health concern in Orange County. These 14 prioritized health needs were: 1) Diabetes; 2) Heart disease; 3) Obesity; 4) Maternal and child health; 5) Cancer; 6) Sexually transmitted diseases; 7) Substance abuse; 8) Mental health; 9) Chronic disease management; 10) Violent crime; 11) Health literacy; 12) Single parent households; 13) Motor vehicle collisions; and 14) Access to healthcare. The Florida Hospital East Orlando (FHEO) local hospital campus committee recognized that while all 14 issues impact the health of the campus hospital's community, it was important to focus on specific areas of impact over a defined period of time if sustainable change is to be accomplished. Final priority selection resulted in the following two key priorities for Florida Hospital East Orlando:* Obesity* DiabetesThe following identified health needs were not selected for top priority based on the following: * Heart disease, cancer, and chronic disease management - As obesity is a contributing factor to these two chronic diseases; a reduction in obesity should contribute to a reduction in complications due to these chronic diseases and have the potential to delay or eradicate the onset of heart disease or cancer. * Sexually transmitted diseases, substance abuse, mental health and maternal and child health - The FH East Orlando campus does not currently have service lines in these areas. Plans are in place to continue to work with other local agencies and community based organizations to promote these programs.* Violent crime, single parent households, motor vehicle collisions and housing affordability - These priorities are not core competencies of Florida Hospital East Orlando. However, Florida Hospital East Orlando will continue to support the efforts of local law enforcement agencies, organizations like Harbor House of Central Florida, and other organizations that are committed to community mobilization, education, and support services.* Health literacy and access to care - The principle of health literacy is embedded into Florida Hospital East Orlando's chronic disease self-management program efforts as we seek to educate the community on health resources. Florida Hospital East Orlando also aims to strengthen its relationships with organizations that offer primary care, dental, and obstetrics services.
Facility 4 -- Florida Hospital East Orlando Part V, Section B, line 14g:	The filing organization has developed a patient-friendly summary version of its financial assistance policy (FAP). The filing organization's FAP provides that each of its hospital facilities will post the patient-friendly summary version of its FAP on the Hospital's website. In addition, the FAP of each of the Hospital facilities states that signage regarding the availability of the Hospital facility's FAP will be visible at points of admission and registration, including the emergency department.
Facility 4 -- Florida Hospital East Orlando Part V, Section B, line 20d:	In determining the maximum amount that can be charged to financial assistance policy-eligible individuals for emergency or other medically necessary care, the Hospital uses the following methodology:The Hospital identifies all commercial payors that had any activity with the Hospital during the taxable year. For those identified commercial payors, an average of the negotiated commercial insurance rates is determined. The average of all of the negotiated commercial insurance rates for those identified commercial payors determines the maximum amount that can be charged to patients eligible under the Hospital's financial assistance policy.
Facility 5 -- Winter Park Memorial Hospital Part V, Section B, line 3:	Florida Hospital (FH) is a 2,409 bed medical complex in Central Florida with seven separate hospital campuses. FH serves the residents of Central Florida (primarily serving the residents of Orange, Osceola, Seminole and Lake Counties) but also draws patients from other parts of the Southeastern United States, the Caribbean and South America. The 7-campus hospital health system is the largest healthcare provider in Central Florida and the nation's largest Medicare provider with FH being the second largest employer in the area. All of the seven campuses of FH operate under a single hospital license. The Winter Park Memorial Hospital (WPMH) campus is a 322-bed acute-care facility that primarily serves the residents of northeastern Orange and southeastern Seminole Counties. WPMH began caring for patients in February 1995 when it first opened its doors to the public. In 2000, Florida Hospital Winter Park Memorial was fully acquired by the Florida Hospital system. Services provided by Winter Park Memorial include: 24-Hour emergency department with Express Care and the area's only senior emergency room; The Baby Place Central Florida's only boutique hospital for women and babies; cancer institute; cardiology; critical care; diagnostic imaging; diabetes education; educational classes and support groups; endoscopy; Longevity Medicine Institute; in and outpatient surgery including minimally invasive and robotic surgery; laboratory; orthopedic institute; pediatrics; rehabilitation & sports medicine; sleep disorders center; and women's health. Every year, WPMH treats more than 150,000 patients, including in 2012 46,175 patients in the emergency department; 16,945 inpatients admitted; 74,271 outpatients; 2,776 babies delivered; and 9,124 surgeries performed.Florida Hospital (all campuses) conducted its 2013 Community Health Needs Assessment (CHNA) in two parts: a regional health needs assessment for Orange, Seminole and Osceola Counties in Central Florida, followed by separate assessments focused on and tailored to each of the seven campuses of FH. Three not-for-profit clinical hospitals within Central Florida, namely FH, Orlando Health, and Lakeside Behavioral Health, together with the Florida Department of Health in Orange County, collaborated to conduct the regional tri-county health needs assessment. This was the first ever multi-hospital, public health department joint community health needs assessment. These four organizations also collaborated with other community agencies under the umbrellas of "Healthy Orange Florida" in Orange County, "Healthy Seminole" in Seminole County, and "Community Vision" in Osceola County. Healthy Seminole is an 81-member affiliation of representatives from FH, local government, social service, and educational organizations within Seminole County. The Health Council of East Central Florida, Inc. (the Health Council), a regional quasi-government health planning agency, was contracted with to assist with data collection and analysis. The Health Council conducted over 70 key stakeholder interviews with individuals representing the broad interests of the tri-county area. Key stakeholders for the tri-county assessment included individuals with special knowledge of or interest in public health (i.e., health departments); individuals/organizations serving or representing the interests of medically underserved, low-income, and minority populations; persons who represented the broad interests of residents served by the hospitals; and individuals representing large employers and employee interests. A total of 72 stakeholders representing 44 social service and health care organizations were interviewed and completed a questionnaire aimed at identifying health barriers, assets, resources, and needs within the region. As a part of its efforts to ensure broad community-based input into the CHNA process, FH formed a Community Health Needs Assessment Committee (CHNAC). The CHNAC was comprised of external community members/stakeholders and senior FH leaders. The community members in particular provided strong representation of low-income, minority and underserved populations. Listed below are several examples of community organizations represented on the CHNAC: * Hebni Nutrition Consultant a nutritionist who works in the local African American community;* The University of Central Florida School of Medicine primary care physician training;* Winter Park Health Foundation a local non-profit organization that develops and funds school health and older adult programs; * Orange County Public Schools serves children of all ages and ethnicities, including those who are homeless and/or eligible for free or reduced lunch programs; and * Gracia Anderson Foundation a local non-profit organization that funds social service projects.
Facility 5 -- Winter Park Memorial Hospital Part V, Section B, line 4:	The filing organization collaborated with two other not-for-profit hospitals, namely Orlando Health and Lakeside Behavioral Health, to create a Community Health Needs Assessment for Orange, Osceola, and Seminole Counties. The Community Health Needs Assessment describes the health of Central Floridians for the purpose of planning interventions relevant to the community.
Facility 5 -- Winter Park Memorial Hospital Part V, Section B, line 5d:	The Hospital has adopted a policy that addresses the public posting requirements of the Community Health Needs Assessment. Under this policy, the Community Health Needs Assessment Report must be posted on the Hospital's website by the end of the year in which it is conducted. The Hospital will make a copy of its Community Health Needs Assessment Report available upon request. The Hospital will also make a paper copy of the Community Health Needs Assessment Report available for public inspection at the Hospital facility.
Facility 5 -- Winter Park Memorial Hospital Part V, Section B, line 6i:	As a part of its Community Health Needs Assessment, the filing organization conducted an extensive and thorough analysis and prioritization of its significant identified health needs. Please see our discussion in Part V, Section B, line 7.Each of the filing organization's hospital facilities adopted its initial Community Health Needs Assessment by 12/31/13 and was in the process of developing its community health needs implementation strategy. The filing organization's implementation strategy will be documented in a written report called the "Community Health Plan". The Community Health Plan (CHP) will describe how the filing organization's hospital plans to meet its identified prioritized health needs or will identify the health need as one the filing organization's hospital does not intend to specifically address and provide an explanation as to why the filing organization's hospital does not intend to address that health need. In accordance with Proposed Regulation Section 1.501(r)-3(e)(2), each of the filing organization's hospital's CHP will be adopted no later than May 15, 2014.
Facility 5 -- Winter Park Memorial Hospital Part V, Section B, line 7:	As described in our response to Schedule H, Part V, Section B, line 3, Florida Hospital (FH) formed a Community Health Needs Assessment Committee (CHNAC) to review primary and secondary data collected by the tri-county assessment. The tri-county data, hospital utilization data, and stakeholder interviews were reviewed and analyzed by each of the FH campus committees and the CHNAC. Each FH hospital campus established a campus-specific committee to review data and to determine campus health need priorities based on the intensity of the need, current community initiatives addressing the health need, FH's capacity to impact the issue, and the opportunity for collaboration with other hospitals and community partners. The CHNAC and each local hospital campus committee used a decision tree process to review identified health issues and assist in the priority selection process. This process resulted in 14 areas of health concern in Orange County. These 14 prioritized health needs were: 1) Diabetes; 2) Heart disease; 3) Obesity; 4) Maternal and child health; 5) Cancer; 6) Sexually transmitted diseases; 7) Substance abuse; 8) Mental health; 9) Chronic disease management; 10) Violent crime; 11) Health literacy; 12) Single parent households; 13) Motor vehicle collisions; and 14) Access to care. The Winter Park Memorial Hospital (WPMH) local hospital campus committee recognized that while all 14 issues impact the health of the campus hospital's community, it was important to focus on specific areas of impact over a defined period of time if sustainable change is to be accomplished. Final priority selection resulted in the following three key priorities for Winter Park Memorial Hospital:* Obesity* Diabetes* Chronic disease management The following identified health needs were not selected for top priority based on the following: * Heart disease and cancer - As obesity is a contributing factor to these chronic diseases; a reduction in obesity should contribute to a reduction in complications due to these chronic diseases and have the potential to delay or eradicate the onset of heart disease or cancer. * Sexually transmitted diseases, substance abuse, and mental health - The Winter Park Memorial Hospital campus does not currently have service lines in these areas. Plans are in place to continue to work with other local agencies and community based organizations to promote these programs. * Violent crime, single parent households and motor vehicle collisions - These priorities are not core competencies of Winter Park Memorial Hospital. However, WPMH will continue to support the efforts of local law enforcement agencies, organizations like Harbor House of Central Florida, and other organizations that are committed to community mobilization, education, and support services.* Health literacy and access to care - The principle of health literacy is embedded into WPMH's chronic disease self-management program efforts as we seek to educate the community on health resources. WPMH also aims to strengthen the relationship with organizations that offer primary care, dental and obstetric service. Internally, WPMH is working to ensure comprehensive discharge education.* Maternal and child health - Florida Hospital Winter Park will continue to partner with other community-based organizations to seek opportunities for collaboration on best practice programs addressing maternal and child health.
Facility 5 -- Winter Park Memorial Hospital Part V, Section B, line 14g:	The filing organization has developed a patient-friendly summary version of its financial assistance policy (FAP). The filing organization's FAP provides that each of its hospital facilities will post the patient-friendly summary version of its FAP on the Hospital's website. In addition, the FAP of each of the Hospital facilities states that signage regarding the availability of the Hospital facility's FAP will be visible at points of admission and registration, including the emergency department.
Facility 5 -- Winter Park Memorial Hospital Part V, Section B, line 20d:	In determining the maximum amount that can be charged to financial assistance policy-eligible individuals for emergency or other medically necessary care, the Hospital uses the following methodology:The Hospital identifies all commercial payors that had any activity with the Hospital during the taxable year. For those identified commercial payors, an average of the negotiated commercial insurance rates is determined. The average of all of the negotiated commercial insurance rates for those identified commercial payors determines the maximum amount that can be charged to patients eligible under the Hospital's financial assistance policy.
Facility 6 -- Adventist La Grange Memorial Hospital Part V, Section B, line 3:	Adventist La Grange Hospital (the Hospital or the filing organization) is one of four not-for-profit related hospital organizations located in the western and southwestern suburbs of Chicago. Each of these four hospitals is a part of Adventist Health System (AHS). AHS is a health care system primarily consisting of tax-exempt 501(c)(3) hospital organization that operate 44 hospitals in 10 states within the US. The four related hospital organizations located in Chicago, collectively called Adventist Midwest Health (AMH), are clinically integrated, share overlapping communities, and are tied together by common mission, values, and vision. As the four hospitals are located in the same Metropolitan Service Area, the hospitals collaborated in 2013 to conduct a joint Community Health Needs Assessment (CHNA). The four related hospital organizations are Adventist GlenOaks Hospital, Adventist Hinsdale Hospital, Adventist Bolingbrook Hospital, and Adventist Health System/Sunbelt, Inc., dba Adventist La Grange Memorial Hospital. In conducting its 2013 joint CHNA, the four AMH hospitals collected primary and secondary data using a number of data collection methodologies. Adventist GlenOaks Hospital, Adventist Hinsdale Hospital, and Adventist La Grange Memorial Hospital partnered with the Metropolitan Chicago Healthcare Council to conduct its primary research, consisting of telephone surveys, focus groups, and written surveys. A list of recommended participants to be included in the focus groups was provided by the Metropolitan Chicago Healthcare Council. Participants included representatives of public health, individuals who work with low-income, minority or other medically underserved populations, and those who work with persons with chronic disease conditions.
Facility 6 -- Adventist La Grange Memorial Hospital Part V, Section B, line 4:	The Community Health Needs Assessment conducted by Adventist La Grange Memorial Hospital (the Hospital) was based upon the Hospital's involvement and enrichment of those who live within DuPage County, Illinois. The CHNA was conducted in conjunction with related hospitals in the Chicago Metropolitan area: Adventist Hinsdale HospitalAdventist Bolingbrook HospitalAdventist GlenOaks Hospital
Facility 6 -- Adventist La Grange Memorial Hospital Part V, Section B, line 5d:	The Hospital has adopted a policy that addresses the public posting requirements of the Community Health Needs Assessment. Under this policy, the Community Health Needs Assessment Report must be posted on the Hospital's website by the end of the year in which it is conducted. The Hospital will make a copy of its Community Health Needs Assessment Report available upon request. The Hospital will also make a paper copy of the Community Health Needs Assessment Report available for public inspection at the Hospital facility.
Facility 6 -- Adventist La Grange Memorial Hospital Part V, Section B, line 6i:	As a part of its Community Health Needs Assessment, the filing organization conducted an extensive and thorough analysis and prioritization of its significant identified health needs. Please see our discussion in Part V, Section B, line 7.Each of the filing organization's hospital facilities adopted its initial Community Health Needs Assessment by 12/31/13 and was in the process of developing its community health needs implementation strategy. The filing organization's implementation strategy will be documented in a written report called the "Community Health Plan". The Community Health Plan (CHP) will describe how the filing organization's hospital plans to meet its identified prioritized health needs or will identify the health need as one the filing organization's hospital does not intend to specifically address and provide an explanation as to why the filing organization's hospital does not intend to address that health need. In accordance with Proposed Regulation Section 1.501(r)-3(e)(2), each of the filing organization's hospital's CHP will be adopted no later than May 15, 2014.
Facility 6 -- Adventist La Grange Memorial Hospital Part V, Section B, line 7:	Following data collection and analysis, the AMH hospitals formed a Community Health Needs Assessment Committee (CHNAC) to review the data collected and to formulate the determination of health priorities using a systematic approach that relied heavily on a decision tree priority selection process. Initial health needs priority analysis and selection resulted in identifying the following health needs as initial priorities:* Chronic disease prevention (hypertension, blood cholesterol)* Youth Services* Cancer Treatment* Violence Prevention* Access to Healthcare Services * Awareness of Services* Behavioral Health and Substance Abuse* Diabetes* Pneumococcus Vaccination. The CHNAC narrowed the above initially identified health needs priorities using a priority selection process that considered the following:1) Do the AMH hospitals have the ability to effectively meet the need?2) Is the service already offered in a manner that supports need within and outside of AMH's community?3) Is the need a high-impact priority?4) Do the AMH hospitals have the resources to address the priority? Upon final health needs priority selection, the CHNAC chose the following four priorities for the AMH hospitals:* Access to Healthcare Services (lack of insurance and lack of awareness of services)* Influenza vaccinations* Pneumococcus vaccinations* Hypertension The following identified health needs were not selected for top priority based on the following.* The prevention and management of chronic care issues in relation to heart disease (blood cholesterol levels) - after much discussion the CHNAC decided that this was a commonly available prevention measure at most surrounding providers. It is also frequently a part of community health fairs and routine physician visits. * Behavioral health and substance abuse - Adventist Midwest Health provides comprehensive inpatient programs for behavioral health (Adventist GlenOaks Hospital and Adventist Hinsdale Hospital) and outpatient programs for both behavioral health and substance abuse (Adventist Hinsdale Hospital). Serving the Adventist Midwest Health community, the AMH hospitals support local county initiatives to bring these necessary services to those in need.
Facility 6 -- Adventist La Grange Memorial Hospital Part V, Section B, line 14g:	The filing organization has developed a patient-friendly summary version of its financial assistance policy (FAP). The filing organization's FAP provides that each of its hospital facilities will post the patient-friendly summary version of its FAP on the Hospital's website. In addition, the FAP of each of the Hospital facilities states that signage regarding the availability of the Hospital facility's FAP will be visible at points of admission and registration, including the emergency department.
Facility 6 -- Adventist La Grange Memorial Hospital Part V, Section B, line 20d:	In determining the maximum amount that can be charged to financial assistance policy-eligible individuals for emergency or other medically necessary care, the Hospital uses the following methodology:The Hospital identifies all commercial payors that had any activity with the Hospital during the taxable year. For those identified commercial payors, an average of the negotiated commercial insurance rates is determined. The average of all of the negotiated commercial insurance rates for those identified commercial payors determines the maximum amount that can be charged to patients eligible under the Hospital's financial assistance policy.
Facility 7 -- Florida Hospital Kissimmee Part V, Section B, line 3:	Florida Hospital (FH) is a 2,409 bed medical complex in Central Florida with seven separate hospital campuses. FH serves the residents of Central Florida (primarily serving the residents of Orange, Osceola, Seminole and Lake Counties) but also draws patients from other parts of the Southeastern United States, the Caribbean and South America. The 7-campus hospital health system is the largest healthcare provider in Central Florida and the nation's largest Medicare provider with FH being the second largest employer in the area. All of the seven campuses of FH operate under a single hospital license. Florida Hospital Kissimmee (FHK) is a not-for-profit hospital with 83 acute care beds and an emergency department and has been part of the Florida Hospital system since 1993. FHK offers comprehensive inpatient and outpatient services including emergency care; cancer treatment including radiation therapy; imaging services including PET, MRI, CT, nuclear, mammography, and ultrasound; a designated primary stroke center; digestive health; and surgical specialties to Osceola County residents. In 2012, FHK saw 43,067 patients in the emergency department; 26,336 patients for outpatient treatment; admitted 5,188 patients; and performed 2,124 surgeries. FHK provides holistic care body, mind and spirit and is committed to providing a personalized patient experience for all patients.Florida Hospital (all campuses) conducted its 2013 Community Health Needs Assessment (CHNA) in two parts: a regional health needs assessment for Orange, Seminole and Osceola Counties in Central Florida, followed by separate assessments focused on and tailored to each of the seven campuses of FH. Three not-for-profit clinical hospitals within Central Florida, namely FH, Orlando Health, and Lakeside Behavioral Health, together with the Florida Department of Health in Orange County, collaborated to conduct the regional tri-county health needs assessment. This was the first ever multi-hospital, public health department joint community health needs assessment. These four organizations also collaborated with other community agencies under the umbrellas of "Healthy Orange Florida" in Orange County, "Healthy Seminole" in Seminole County, and "Community Vision" in Osceola County. Healthy Seminole is an 81-member affiliation of representatives from FH, local government, social service, and educational organizations within Seminole County. The Health Council of East Central Florida, Inc. (the Health Council), a regional quasi-government health planning agency, was contracted with to assist with data collection and analysis. The Health Council conducted over 70 key stakeholder interviews with individuals representing the broad interests of the tri-county area. Key stakeholders for the tri-county assessment included individuals with special knowledge of or interest in public health (i.e., health departments); individuals/organizations serving or representing the interests of medically underserved, low-income, and minority populations; persons who represented the broad interests of residents served by the hospitals; and individuals representing large employers and employee interests. A total of 72 stakeholders representing 44 social service and health care organizations were interviewed and completed a questionnaire aimed at identifying health barriers, assets, resources, and needs within the region. As a part of its efforts to ensure broad community-based input into the CHNA process, FH formed a Community Health Needs Assessment Committee (CHNAC). The CHNAC was comprised of external community members/stakeholders and senior FH leaders. The community members in particular provided strong representation of low-income, minority and underserved populations. Listed below are several examples of community organizations represented on the CHNAC: * Hebni Nutrition Consultant a nutritionist who works in the local African American community;* The University of Central Florida School of Medicine primary care physician training;* Winter Park Health Foundation a local non-profit organization that develops and funds school health and older adult programs; * Orange County Public Schools serves children of all ages and ethnicities, including those who are homeless and/or eligible for free or reduced lunch programs; and * Gracia Anderson Foundation a local non-profit organization that funds social service projects.
Facility 7 -- Florida Hospital Kissimmee Part V, Section B, line 4:	The filing organization collaborated with two other not-for-profit hospitals, namely Orlando Health and Lakeside Behavioral Health, to create a Community Health Needs Assessment for Orange, Osceola, and Seminole Counties. The Community Health Needs Assessment describes the health of Central Floridians for the purpose of planning interventions relevant to the community.
Facility 7 -- Florida Hospital Kissimmee Part V, Section B, line 5d:	The Hospital has adopted a policy that addresses the public posting requirements of the Community Health Needs Assessment. Under this policy, the Community Health Needs Assessment Report must be posted on the Hospital's website by the end of the year in which it is conducted. The Hospital will make a copy of its Community Health Needs Assessment Report available upon request. The Hospital will also make a paper copy of the Community Health Needs Assessment Report available for public inspection at the Hospital facility.
Facility 7 -- Florida Hospital Kissimmee Part V, Section B, line 6i:	As a part of its Community Health Needs Assessment, the filing organization conducted an extensive and thorough analysis and prioritization of its significant identified health needs. Please see our discussion in Part V, Section B, line 7.Each of the filing organization's hospital facilities adopted its initial Community Health Needs Assessment by 12/31/13 and was in the process of developing its community health needs implementation strategy. The filing organization's implementation strategy will be documented in a written report called the "Community Health Plan". The Community Health Plan (CHP) will describe how the filing organization's hospital plans to meet its identified prioritized health needs or will identify the health need as one the filing organization's hospital does not intend to specifically address and provide an explanation as to why the filing organization's hospital does not intend to address that health need. In accordance with Proposed Regulation Section 1.501(r)-3(e)(2), each of the filing organization's hospital's CHP will be adopted no later than May 15, 2014.
Facility 7 -- Florida Hospital Kissimmee Part V, Section B, line 7:	As described in our response to Schedule H, Part V, Section B, line 3, Florida Hospital (FH) formed a Community Health Needs Assessment Committee (CHNAC) to review primary and secondary data collected by the tri-county assessment. The tri-county data, hospital utilization data, and stakeholder interviews were reviewed and analyzed by each of the FH campus committees and the CHNAC. Each FH hospital campus established a campus-specific committee to review data and to determine campus health need priorities based on the intensity of the need, current community initiatives addressing the health need, FH's capacity to impact the issue, and the opportunity for collaboration with other hospitals and community partners. The CHNAC and each local hospital campus committee used a decision tree process to review identified health issues and assist in the priority selection process. This process resulted in 14 areas of health concern in Osceola County. These 14 prioritized health needs were: 1) Heart Disease; 2) Obesity; 3) Cancer; 4) Diabetes; 5) Asthma; 6) Maternal and child health; 7) Mental health; 8) Substance abuse; 9) Dental care; 10) Affordable healthcare; 11) Housing affordability; 12) Homelessness; 13) High unemployment; and 14) Single parent households. The Florida Hospital Kissimmee (FHK) local hospital campus committee recognized that while all 14 issues impact the health of the campus hospital's community, it was important to focus on specific areas of impact over a defined period of time if sustainable change is to be accomplished. Final priority selection resulted in the following three key priorities for Florida Hospital Kissimmee:* Obesity* Diabetes* Heart diseaseThe following identified health needs were not selected for top priority based on the following: * Asthma and cancer - As obesity is a contributing factor to these chronic diseases; a reduction in obesity should contribute to a reduction in complications due to these chronic diseases and have the potential to delay or eradicate the onset of asthma or cancer. * Dental care, substance abuse, mental health and maternal and child health - The FH Kissimmee campus does not currently have service lines in these areas. Plans are in place to continue to work with other local agencies and community based organizations to promote these programs.* Housing affordability, homelessness, high unemployment and single parent households - These priorities are not core competencies of Florida Hospital Kissimmee. However, FHK will continue to support the efforts of local law enforcement agencies, organizations like Harbor House of Central Florida, and other organizations that are committed to community mobilization, education, and support services.* Affordable healthcare - FHK is an active supporter of health care for the uninsured in Osceola County and was one of the founders of the four-facility network of Federally Qualified Health Centers in the county. Further, the principle of affordable healthcare is embedded into FHK's multiple Florida Hospital programs and efforts to educate the community on health resources.
Facility 7 -- Florida Hospital Kissimmee Part V, Section B, line 14g:	The filing organization has developed a patient-friendly summary version of its financial assistance policy (FAP). The filing organization's FAP provides that each of its hospital facilities will post the patient-friendly summary version of its FAP on the Hospital's website. In addition, the FAP of each of the Hospital facilities states that signage regarding the availability of the Hospital facility's FAP will be visible at points of admission and registration, including the emergency department.
Facility 7 -- Florida Hospital Kissimmee Part V, Section B, line 20d:	In determining the maximum amount that can be charged to financial assistance policy-eligible individuals for emergency or other medically necessary care, the Hospital uses the following methodology:The Hospital identifies all commercial payors that had any activity with the Hospital during the taxable year. For those identified commercial payors, an average of the negotiated commercial insurance rates is determined. The average of all of the negotiated commercial insurance rates for those identified commercial payors determines the maximum amount that can be charged to patients eligible under the Hospital's financial assistance policy.
Facility 8 -- FH Heartland Medical Center Part V, Section B, line 3:	Florida Hospital Heartland in Sebring and Florida Hospital Lake Placid (the FHH Hospitals), located in Highlands County, Florida, operate under a single hospital license. Collectively, these two hospitals serve the residents of Highlands County, which includes the cities of Sebring, Lake Placid and Avon Park. Highlands County has an estimated population of 102,000 permanent residents, with an approximate increase of an additional 35,000 seasonal residents during the winter months. Highlands County's residents comprised the fifth-oldest population in the US in 2012. Florida Hospital Heartland in Sebring and Florida Hospital Lake Placid conducted a joint Community Health Needs Assessment (CHNA) in 2013. The CHNA was conducted through a collaborative community health needs assessment process that included the Highlands County Health Department, the Community Health Improvement Planning Committee (CHIP) of Highlands County, Samaritan's Touch free clinics in Sebring, the Highlands County Rural Health Network, Highlands Regional Medical Center, and Central Florida Health Care (a federally qualified health center). The CHNA process included the collection of both primary and secondary data. Primary data consisted of community surveys and direct stakeholder input, particularly with respect to representatives from the CHIC Committee. With respect to the process of gathering and analyzing both primary and secondary health needs assessment data, the collaborative team relied significantly on the CHIP Committee due to its broad representation of the communities served by the FHH Hospitals. The CHIPS Committee is composed of a number of representatives from organizations that serve the medically underserved, low-income populations and those with chronic disease needs. Among others, the following organizations were represented on the CHIC Committee:Highlands County Department of Health;Tri-County Human Services;Salvation Army;Florida Department of Health;Healthy Start Coalition;Children's Services Council; andHeartland Rural Health Network. The CHIP members represent public health, the broad community and people who are low-income, minorities or otherwise undeserved. Their mission is to improve the health of communities through education and the promotion of healthy lifestyles; build partnerships to maximize resources; and provide access to quality health care to all of the people in Highlands County regardless of ability to pay. The FHH Hospitals also established a Community Health Needs Assessment Committee (CHNAC) to analyze the health data collected and prioritize key issues for the FHH Hospitals to address.
Facility 8 -- FH Heartland Medical Center Part V, Section B, line 4:	Florida Hospital Heartland in Sebring and Florida Hospital Lake Placid conducted a joint Community Health Needs Assessment (CHNA) in 2013. The CHNA was conducted through a collaborative community needs assessment process with the hospitals, Highlands County Health Department, the Community Health Improvement Planning Committee (CHIP) of Highlands County, Samaritan's Touch free clinics in Sebring, the Highlands County Rural Health Network, Highlands Regional Medical Center, and Central Florida Health Care (a federally qualified health center).
Facility 8 -- FH Heartland Medical Center Part V, Section B, line 5d:	The Hospital has adopted a policy that addresses the public posting requirements of the Community Health Needs Assessment. Under this policy, the Community Health Needs Assessment Report must be posted on the Hospital's website by the end of the year in which it is conducted. The Hospital will make a copy of its Community Health Needs Assessment Report available upon request. The Hospital will also make a paper copy of the Community Health Needs Assessment Report available for public inspection at the Hospital facility.
Facility 8 -- FH Heartland Medical Center Part V, Section B, line 6i:	As a part of its Community Health Needs Assessment, the filing organization conducted an extensive and thorough analysis and prioritization of its significant identified health needs. Please see our discussion in Part V, Section B, line 7.Each of the filing organization's hospital facilities adopted its initial Community Health Needs Assessment by 12/31/13 and was in the process of developing its community health needs implementation strategy. The filing organization's implementation strategy will be documented in a written report called the "Community Health Plan". The Community Health Plan (CHP) will describe how the filing organization's hospital plans to meet its identified prioritized health needs or will identify the health need as one the filing organization's hospital does not intend to specifically address and provide an explanation as to why the filing organization's hospital does not intend to address that health need. In accordance with Proposed Regulation Section 1.501(r)-3(e)(2), each of the filing organization's hospital's CHP will be adopted no later than May 15, 2014.
Facility 8 -- FH Heartland Medical Center Part V, Section B, line 7:	Florida Hospital Heartland in Sebring and Florida Hospital Lake Placid (the FHH Hospitals) established a Community Health Needs Assessment Committee (CHNAC) to review and analyze primary and secondary data collected and to formulate determinations of the top health needs of their communities. The CHNAC worked with community partners consisting of the local Health Department, Samaritan's Touch Clinic and the Community Health Improvement Planning Committee. Health needs priorities were based upon each identified health need's severity, the scope of the need, the FHH Hospitals' ability to address the need, and other community resources that may be already addressing the health issue. The health need priority selection process resulted in the identification of the following top 12 focus areas: 1) Access to healthcare; 2) Medical home shortage; 3) Cancer; 4) Heart disease and stroke; 5) Motor vehicle deaths; 6) Diabetes; 7) Chronic lower respiratory disease; 8) Need for health promotion; 9) HIV/AIDS; 10) Pregnancy, prenatal care and newborn care; 11) Pediatric services; and 12) Mental health/substance abuse.The CHNAC recognized that while all 12 issues impact the health of the FHH Hospitals' communities, it was important to focus on specific areas of impact over a defined period of time if sustainable change is to be accomplished. Final priority selection resulted in the selection of the following four key priorities for the FHH Hospitals:* Cancer* Heart disease and stroke* Diabetes* Access to healthcareThe following identified health needs were not selected for top priority based on the following:* Medical home shortage, pregnancy, prenatal care and newborn care: These issues will be addressed though efforts to address access to healthcare.* Motor vehicle deaths, chronic lower respiratory disease, HIV/AIDS and mental health/substance abuse: There are already other advocacies and organizations in place to address these issues.* Need for health promotion: This issue will be addressed through efforts to address diabetes.* Pediatric services: There are internal efforts in place to update the existing pediatric unit.
Facility 8 -- FH Heartland Medical Center Part V, Section B, line 14g:	The filing organization has developed a patient-friendly summary version of its financial assistance policy (FAP). The filing organization's FAP provides that each of its hospital facilities will post the patient-friendly summary version of its FAP on the Hospital's website. In addition, the FAP of each of the Hospital facilities states that signage regarding the availability of the Hospital facility's FAP will be visible at points of admission and registration, including the emergency department.
Facility 8 -- FH Heartland Medical Center Part V, Section B, line 20d:	In determining the maximum amount that can be charged to financial assistance policy-eligible individuals for emergency or other medically necessary care, the Hospital uses the following methodology:The Hospital identifies all commercial payors that had any activity with the Hospital during the taxable year. For those identified commercial payors, an average of the negotiated commercial insurance rates is determined. The average of all of the negotiated commercial insurance rates for those identified commercial payors determines the maximum amount that can be charged to patients eligible under the Hospital's financial assistance policy.
Facility 10 -- Florida Hospital Apopka Part V, Section B, line 3:	Florida Hospital (FH) is a 2,409 bed medical complex in Central Florida with seven separate hospital campuses. FH serves the residents of Central Florida (primarily serving the residents of Orange, Osceola, Seminole and Lake Counties) but also draws patients from other parts of the Southeastern United States, the Caribbean and South America. The 7-campus hospital health system is the largest healthcare provider in Central Florida and the nation's largest Medicare provider with FH being the second largest employer in the area. All of the seven campuses of FH operate under a single hospital license. The Florida Hospital Apopka (FHAP) campus is a 50-bed acute-care community hospital located in Apopka, Florida. In 2012, FHAP cared for nearly 60,000 patients, including 35,709 emergency cases, 16,301 outpatient visits, and 2,974 inpatient visits. Services offered by Florida Hospital Apopka include but are not limited to: rehabilitation services; intensive and progressive care units; 50 acute care beds; a 24-hour emergency department; imaging services; a women's diagnostic center; home health services; cardiac diagnosis services; and a sleep lab. Services not provided at Florida Hospital Apopka are provided at other campuses and ground and air transportation are available to ensure all patients can access the appropriate level of care.Florida Hospital (all campuses) conducted its 2013 Community Health Needs Assessment (CHNA) in two parts: a regional health needs assessment for Orange, Seminole and Osceola Counties in Central Florida, followed by separate assessments focused on and tailored to each of the seven campuses of FH. Three not-for-profit clinical hospitals within Central Florida, namely FH, Orlando Health, and Lakeside Behavioral Health, together with the Florida Department of Health in Orange County, collaborated to conduct the regional tri-county health needs assessment. This was the first ever multi-hospital, public health department joint community health needs assessment. These four organizations also collaborated with other community agencies under the umbrellas of "Healthy Orange Florida" in Orange County, "Healthy Seminole" in Seminole County, and "Community Vision" in Osceola County. Healthy Seminole is an 81-member affiliation of representatives from FH, local government, social service, and educational organizations within Seminole County. The Health Council of East Central Florida, Inc. (the Health Council), a regional quasi-government health planning agency, was contracted with to assist with data collection and analysis. The Health Council conducted over 70 key stakeholder interviews with individuals representing the broad interests of the tri-county area. Key stakeholders for the tri-county assessment included individuals with special knowledge of or interest in public health (i.e., health departments); individuals/organizations serving or representing the interests of medically underserved, low-income, and minority populations; persons who represented the broad interests of residents served by the hospitals; and individuals representing large employers and employee interests. A total of 72 stakeholders representing 44 social service and health care organizations were interviewed and completed a questionnaire aimed at identifying health barriers, assets, resources, and needs within the region. As a part of its efforts to ensure broad community-based input into the CHNA process, FH formed a Community Health Needs Assessment Committee (CHNAC). The CHNAC was comprised of external community members/stakeholders and senior FH leaders. The community members in particular provided strong representation of low-income, minority and underserved populations. Listed below are several examples of community organizations represented on the CHNAC: * Hebni Nutrition Consultant a nutritionist who works in the local African American community;* The University of Central Florida School of Medicine primary care physician training;* Winter Park Health Foundation a local non-profit organization that develops and funds school health and older adult programs; * Orange County Public Schools serves children of all ages and ethnicities, including those who are homeless and/or eligible for free or reduced lunch programs; and * Gracia Anderson Foundation a local non-profit organization that funds social service projects.
Facility 10 -- Florida Hospital Apopka Part V, Section B, line 4:	The filing organization collaborated with two other not-for-profit hospitals, namely Orlando Health and Lakeside Behavioral Health, to create a Community Health Needs Assessment for Orange, Osceola, and Seminole Counties. The Community Health Needs Assessment describes the health of Central Floridians for the purpose of planning interventions relevant to the community.
Facility 10 -- Florida Hospital Apopka Part V, Section B, line 5d:	The Hospital has adopted a policy that addresses the public posting requirements of the Community Health Needs Assessment. Under this policy, the Community Health Needs Assessment Report must be posted on the Hospital's website by the end of the year in which it is conducted. The Hospital will make a copy of its Community Health Needs Assessment Report available upon request. The Hospital will also make a paper copy of the Community Health Needs Assessment Report available for public inspection at the Hospital facility.
Facility 10 -- Florida Hospital Apopka Part V, Section B, line 6i:	As a part of its Community Health Needs Assessment, the filing organization conducted an extensive and thorough analysis and prioritization of its significant identified health needs. Please see our discussion in Part V, Section B, line 7.Each of the filing organization's hospital facilities adopted its initial Community Health Needs Assessment by 12/31/13 and was in the process of developing its community health needs implementation strategy. The filing organization's implementation strategy will be documented in a written report called the "Community Health Plan". The Community Health Plan (CHP) will describe how the filing organization's hospital plans to meet its identified prioritized health needs or will identify the health need as one the filing organization's hospital does not intend to specifically address and provide an explanation as to why the filing organization's hospital does not intend to address that health need. In accordance with Proposed Regulation Section 1.501(r)-3(e)(2), each of the filing organization's hospital's CHP will be adopted no later than May 15, 2014.
Facility 10 -- Florida Hospital Apopka Part V, Section B, line 7:	As described in our response to Schedule H, Part V, Section B, line 3, Florida Hospital (FH) formed a Community Health Needs Assessment Committee (CHNAC) to review primary and secondary data collected by the tri-county assessment. The tri-county data, hospital utilization data, and stakeholder interviews were reviewed and analyzed by each of the FH campus committees and the CHNAC. Each FH hospital campus established a campus-specific committee to review data and to determine campus health need priorities based on the intensity of the need, current community initiatives addressing the health need, FH's capacity to impact the issue, and the opportunity for collaboration with other hospitals and community partners. The CHNAC and each local hospital campus committee used a decision tree process to review identified health issues and assist in the priority selection process. This process resulted in 14 areas of health concern in Orange County. These 14 prioritized health needs were: 1) Diabetes; 2) Heart Disease; 3) Cancer; 4) Maternal and child health; 5) Sexually transmitted diseases; 6) Substance abuse; 7) Mental health; 8) Violent crime; 9) Single parent households; 10) Motor vehicle collisions; 11) Health literacy; 12) Chronic Disease Management; 13) Obesity; and 14) Access to healthcare. The Florida Hospital Apopka local hospital campus committee recognized that while all 14 issues impact the health of the campus hospital's community, it was important to focus on specific areas of impact over a defined period of time if sustainable change is to be accomplished. Final priority selection resulted in the following two key priorities for Florida Hospital Apopka:* Obesity* Chronic Disease ManagementThe following identified health needs were not selected for top priority based on the following: * Diabetes, heart disease, and cancer - As obesity is a contributing factor to these three chronic diseases; a reduction in obesity should contribute to a reduction in complications due to these chronic diseases and have the potential to delay or eradicate the onset of diabetes, heart disease, or cancer. * Maternal and child health, sexually transmitted diseases, substance abuse, and mental health - The FH Apopka campus does not currently have service lines in these areas. Plans are in place to continue to work with other local agencies and community based organizations to promote these programs.* Violent crime, single parent households, and motor vehicle collisions - These priorities are not core competencies of Florida Hospital Apopka. However, FH Apopka will continue to support the efforts of local law enforcement agencies, organizations like Harbor House of Central Florida, and other organizations that are committed to community mobilization, education, and support services.* Health literacy and access to care - The principle of health literacy is embedded into FH Apopka's chronic disease self-management program efforts as we seek to educate the community on health resources. FH Apopka also aims to strengthen the relationship with Community Health Centers, a Federally Qualified Health Center (FQHC) in Apopka that offers primary care, dental and obstetric service.
Facility 10 -- Florida Hospital Apopka Part V, Section B, line 14g:	The filing organization has developed a patient-friendly summary version of its financial assistance policy (FAP). The filing organization's FAP provides that each of its hospital facilities will post the patient-friendly summary version of its FAP on the Hospital's website. In addition, the FAP of each of the Hospital facilities states that signage regarding the availability of the Hospital facility's FAP will be visible at points of admission and registration, including the emergency department.
Facility 10 -- Florida Hospital Apopka Part V, Section B, line 20d:	In determining the maximum amount that can be charged to financial assistance policy-eligible individuals for emergency or other medically necessary care, the Hospital uses the following methodology:The Hospital identifies all commercial payors that had any activity with the Hospital during the taxable year. For those identified commercial payors, an average of the negotiated commercial insurance rates is determined. The average of all of the negotiated commercial insurance rates for those identified commercial payors determines the maximum amount that can be charged to patients eligible under the Hospital's financial assistance policy.
Facility 11 -- FH Heartland Medical Center Lake Placid Part V, Section B, line 3:	Florida Hospital Heartland in Sebring and Florida Hospital Lake Placid (the FHH Hospitals), located in Highlands County, Florida, operate under a single hospital license. Collectively, these two hospitals serve the residents of Highlands County, which includes the cities of Sebring, Lake Placid and Avon Park. Highlands County has an estimated population of 102,000 permanent residents, with an approximate increase of an additional 35,000 seasonal residents during the winter months. Highlands County's residents comprised the fifth-oldest population in the US in 2012. Florida Hospital Heartland in Sebring and Florida Hospital Lake Placid conducted a joint Community Health Needs Assessment (CHNA) in 2013. The CHNA was conducted through a collaborative community health needs assessment process that included the Highlands County Health Department, the Community Health Improvement Planning Committee (CHIP) of Highlands County, Samaritan's Touch free clinics in Sebring, the Highlands County Rural Health Network, Highlands Regional Medical Center, and Central Florida Health Care (a federally qualified health center). The CHNA process included the collection of both primary and secondary data. Primary data consisted of community surveys and direct stakeholder input, particularly with respect to representatives from the CHIC Committee. With respect to the process of gathering and analyzing both primary and secondary health needs assessment data, the collaborative team relied significantly on the CHIP Committee due to its broad representation of the communities served by the FHH Hospitals. The CHIPS Committee is composed of a number of representatives from organizations that serve the medically underserved, low-income populations and those with chronic disease needs. Among others, the following organizations were represented on the CHIC Committee:Highlands County Department of Health;Tri-County Human Services;Salvation Army;Florida Department of Health;Healthy Start Coalition;Children's Services Council; andHeartland Rural Health Network. The CHIP members represent public health, the broad community and people who are low-income, minorities or otherwise undeserved. Their mission is to improve the health of communities through education and the promotion of healthy lifestyles; build partnerships to maximize resources; and provide access to quality health care to all of the people in Highlands County regardless of ability to pay. The FHH Hospitals also established a Community Health Needs Assessment Committee (CHNAC) to analyze the health data collected and prioritize key issues for the FHH Hospitals to address.
Facility 11 -- FH Heartland Medical Center Lake Placid Part V, Section B, line 4:	Florida Hospital Heartland in Sebring and Florida Hospital Lake Placid conducted a joint Community Health Needs Assessment (CHNA) in 2013. The CHNA was conducted through a collaborative community needs assessment process with the hospitals, Highlands County Health Department, the Community Health Improvement Planning Committee (CHIP) of Highlands County, Samaritan's Touch free clinics in Sebring, the Highlands County Rural Health Network, Highlands Regional Medical Center, and Central Florida Health Care (a federally qualified health center).
Facility 11 -- FH Heartland Medical Center Lake Placid Part V, Section B, line 5d:	The Hospital has adopted a policy that addresses the public posting requirements of the Community Health Needs Assessment. Under this policy, the Community Health Needs Assessment Report must be posted on the Hospital's website by the end of the year in which it is conducted. The Hospital will make a copy of its Community Health Needs Assessment Report available upon request. The Hospital will also make a paper copy of the Community Health Needs Assessment Report available for public inspection at the Hospital facility.
Facility 11 -- FH Heartland Medical Center Lake Placid Part V, Section B, line 6i:	As a part of its Community Health Needs Assessment, the filing organization conducted an extensive and thorough analysis and prioritization of its significant identified health needs. Please see our discussion in Part V, Section B, line 7.Each of the filing organization's hospital facilities adopted its initial Community Health Needs Assessment by 12/31/13 and was in the process of developing its community health needs implementation strategy. The filing organization's implementation strategy will be documented in a written report called the "Community Health Plan". The Community Health Plan (CHP) will describe how the filing organization's hospital plans to meet its identified prioritized health needs or will identify the health need as one the filing organization's hospital does not intend to specifically address and provide an explanation as to why the filing organization's hospital does not intend to address that health need. In accordance with Proposed Regulation Section 1.501(r)-3(e)(2), each of the filing organization's hospital's CHP will be adopted no later than May 15, 2014.
Facility 11 -- FH Heartland Medical Center Lake Placid Part V, Section B, line 7:	Florida Hospital Heartland in Sebring and Florida Hospital Lake Placid (the FHH Hospitals) established a Community Health Needs Assessment Committee (CHNAC) to review and analyze primary and secondary data collected and to formulate determinations of the top health needs of their communities. The CHNAC worked with community partners consisting of the local Health Department, Samaritan's Touch Clinic and the Community Health Improvement Planning Committee. Health needs priorities were based upon each identified health need's severity, the scope of the need, the FHH Hospitals' ability to address the need, and other community resources that may be already addressing the health issue. The health need priority selection process resulted in the identification of the following top 12 focus areas: 1) Access to healthcare; 2) Medical home shortage; 3) Cancer; 4) Heart disease and stroke; 5) Motor vehicle deaths; 6) Diabetes; 7) Chronic lower respiratory disease; 8) Need for health promotion; 9) HIV/AIDS; 10) Pregnancy, prenatal care and newborn care; 11) Pediatric services; and 12) Mental health/substance abuse.The CHNAC recognized that while all 12 issues impact the health of the FHH Hospitals' communities, it was important to focus on specific areas of impact over a defined period of time if sustainable change is to be accomplished. Final priority selection resulted in the selection of the following four key priorities for the FHH Hospitals:* Cancer* Heart disease and stroke* Diabetes* Access to healthcareThe following identified health needs were not selected for top priority based on the following:* Medical home shortage, pregnancy, prenatal care and newborn care: These issues will be addressed though efforts to address access to healthcare.* Motor vehicle deaths, chronic lower respiratory disease, HIV/AIDS and mental health/substance abuse: There are already other advocacies and organizations in place to address these issues.* Need for health promotion: This issue will be addressed through efforts to address diabetes.* Pediatric services: There are internal efforts in place to update the existing pediatric unit.
Facility 11 -- FH Heartland Medical Center Lake Placid Part V, Section B, line 14g:	The filing organization has developed a patient-friendly summary version of its financial assistance policy (FAP). The filing organization's FAP provides that each of its hospital facilities will post the patient-friendly summary version of its FAP on the Hospital's website. In addition, the FAP of each of the Hospital facilities states that signage regarding the availability of the Hospital facility's FAP will be visible at points of admission and registration, including the emergency department.
Facility 11 -- FH Heartland Medical Center Lake Placid Part V, Section B, line 20d:	In determining the maximum amount that can be charged to financial assistance policy-eligible individuals for emergency or other medically necessary care, the Hospital uses the following methodology:The Hospital identifies all commercial payors that had any activity with the Hospital during the taxable year. For those identified commercial payors, an average of the negotiated commercial insurance rates is determined. The average of all of the negotiated commercial insurance rates for those identified commercial payors determines the maximum amount that can be charged to patients eligible under the Hospital's financial assistance policy.
Part V, Section B	Facility Reporting Group B
Facility Reporting Group B consists of:	- Facility 9: Central Texas Medical Center, - Facility 12: Florida Hospital Wauchula
Facility 9 -- Central Texas Medical Center Part V, Section B, line 3:	Central Texas Medical Center (CTMC) is a 178-bed community hospital providing a wide range of complex healthcare services located in San Marcos, Texas. CTMC is one of two hospitals in Hays County and provides a wide range of healthcare services. CTMC's primary service area is identified as the cities of Lockhart, San Marcos, Kyle and Wimberley. The secondary service area is Hays County (location of the cities of San Marcos, Kyle and Wimberley) and Caldwell County (location of the city of Lockhart). Caldwell County is served by one critical access hospital. While the demographics of Hays and Caldwell counties are similar, the cities located in CTMC's primary service area (San Marcos, Kyle, Lockhart and Wimberley) are quite diverse. Wide variations exist in the median household income, percentage of residents below the Federal Poverty Level, ethnicity and education. In conducting its 2013 Community Health Needs Assessment (CHNA), CTMC solicited input from numerous stakeholders from throughout Hays and Caldwell Counties in an effort to gain a thorough understanding of the unique health needs in its primary and secondary service area. Stakeholder organizations were identified as such because they provide resources and/or programs that promote or enhance the health needs of residents in the primary and secondary service areas. Primary data was gathered through interviews and surveys. The goal of this process was to distinguish prevalent health issues impacting residents in the primary and secondary service areas, identify community programs and/or services currently being offered to address the health needs of the population, and recognize gaps that prohibited or limited access to services or disrupt the continuity of care. Many of these organizations offer services that specifically target low-income populations, minority populations, the medically underserved or those with chronic disease needs. As a part of its efforts to ensure broad community-based input into the CHNA process, CTMC established a Community Health Needs Assessment Committee (CHNAC). The CTMC Community Health Needs Assessment Committee is comprised of individuals who represent multiple communities and embody diverse community programs, services and organizations. Each member not only brings a rich understanding of the primary and secondary service areas but are also "subject matter experts" in a variety of areas including public health, mental health, government, education, non-profit, agencies/advocacy groups, faith-based organizations, and the medical community. Community members of the CHNAC represented the following organizations: * Hays County Health Department; * Healthy Communities Collaborative;* Texas State University - San Marcos;* Faith Community Nurses of Hays County (FCNOHC); * San Marcos Consolidated Independent School District (SMCISD); * Women, Infants and Children (WIC) Program; * San Marcos City Council; * Hays County Commissioners Court;* Area Agency on Aging of the Capital Area;;* Schieb (Mental Health Services);* Community Action, Inc. (CAI); * Wimberley EMS; and * Live Oak Health Partners.
Facility 9 -- Central Texas Medical Center Part V, Section B, line 5d:	The Hospital has adopted a policy that addresses the public posting requirements of the Community Health Needs Assessment. Under this policy, the Community Health Needs Assessment Report must be posted on the Hospital's website by the end of the year in which it is conducted. The Hospital will make a copy of its Community Health Needs Assessment Report available upon request. The Hospital will also make a paper copy of the Community Health Needs Assessment Report available for public inspection at the Hospital facility.
Facility 9 -- Central Texas Medical Center Part V, Section B, line 6i:	As a part of its Community Health Needs Assessment, the filing organization conducted an extensive and thorough analysis and prioritization of its significant identified health needs. Please see our discussion in Part V, Section B, line 7.Each of the filing organization's hospital facilities adopted its initial Community Health Needs Assessment by 12/31/13 and was in the process of developing its community health needs implementation strategy. The filing organization's implementation strategy will be documented in a written report called the "Community Health Plan". The Community Health Plan (CHP) will describe how the filing organization's hospital plans to meet its identified prioritized health needs or will identify the health need as one the filing organization's hospital does not intend to specifically address and provide an explanation as to why the filing organization's hospital does not intend to address that health need. In accordance with Proposed Regulation Section 1.501(r)-3(e)(2), each of the filing organization's hospital's CHP will be adopted no later than May 15, 2014.
Facility 9 -- Central Texas Medical Center Part V, Section B, line 7:	CTMC formed a Community Health Needs Assessment Committee (CHNAC) to review primary and secondary data collected and to formulate the determination of health priorities using a systematic approach that relied heavily on a decision tree priority selection process. The decision tree format assisted the CHNAC in focusing on those needs that CTMC would have the ability to influence through the implementation or expansion of programs, services, or other actions, and that may be the focus of other community resources/organizations that may be already addressing the need in some way. The CHNAC used a Priority Selection Report tool to assist in the review of data collected and prioritization of the top areas of significant community need for CTMC's community. The top needs identified included: * Improved healthcare access for uninsured, low-income adults; * Timely access to healthcare professionals, especially primary care physicians and mental health professionals; * Health promotion programs emphasizing the value of making healthier lifestyle choices; * Disease prevention and treatment programs focused on cardiovascular disease, diabetes, and cancer; * Respiratory disorders; * Limited transportation resources, especially transportation for healthcare services; and * Teen pregnancy prevention and support services. After careful review and consideration, it was determined that CTMC has the resources and infrastructures to most effectively address the following (in order of priority): * Accessing the right level of care, in the right setting, at the right time: rate of uninsured; * Timely access (including afterhours care) to Healthcare Professionals, especially primary care; accessing care close to home when care is needed; * Healthier management of lifestyle/making good choices in the areas of nutrition, weight management, exercise, smoking, alcohol use and sexually transmitted infections (STIs); * Prevalence and/or enhanced outpatient management of heart disease/congestive heart failure (CHF) and related conditions/risk factors such as hypertension; and* Prevalence and/or enhanced outpatient management of diabetes; programs to address anticipated growth of diabetes and related conditions; Through a Community Health Plan, CTMC will develop several desired or expected outcomes for each of the selected priorities, evaluate how current services could be expanded or improved to meet targeted outcomes and/or envision potential new projects that will address the identified needs. Projects will be vetted and finalized; quantifiable goals will be established along with tracking mechanisms to record progress and achievement of defined outcomes. The following identified health needs were not selected for top priority based on the following:* Prevalence of Respiratory Disorders including asthma and COPD and access to programs/services that reduce "rescue care". CTMC does not currently have the infrastructure to support programs that focus on respiratory diseases. * Timely access to local Mental Health Services including treatment for substance abuse. CTMC did not select this identified health need as a priority as there are other community programs that are already addressing this need through other agencies in the community. Nor does CTMC have the expertise or professional staff to address mental health services. Currently, all patients that present at CTMC with behavioral health conditions, including substance abuse, are transferred to another facility once medically stabilized * Prevalence of some cancer-related conditions and timely access to screening services and treatment. CTMC offers screening and related services specifically for breast cancer however CTMC does not offer clinical programs necessary for the treatment of cancer including oncology and radiation services. CTMC will continue to support community screening programs, especially breast cancer screening. * Limited transportation resources, especially transportation for healthcare and related services. CTMC does not have the infrastructure to address transportation needs that are prevalent throughout the counties we serve. A future goal would be to design targeted healthcare services that are offered in satellite locations throughout the service area to make access to care closer to home and lessen reliance on transportation services. * Reduced Teen Pregnancy Rates; support services including healthcare for pregnant teens. CTMC has a very robust obstetrics program including a neonatal ICU. Teen mothers frequently access these services. CTMC also offers free childbirth education services including breastfeeding/lactation consultation but will rely on other community programs to fully address this need.
Facility 9 -- Central Texas Medical Center Part V, Section B, line 14g:	The filing organization has developed a patient-friendly summary version of its financial assistance policy (FAP). The filing organization's FAP provides that each of its hospital facilities will post the patient-friendly summary version of its FAP on the Hospital's website. In addition, the FAP of each of the Hospital facilities states that signage regarding the availability of the Hospital facility's FAP will be visible at points of admission and registration, including the emergency department.
Facility 9 -- Central Texas Medical Center Part V, Section B, line 20d:	In determining the maximum amount that can be charged to financial assistance policy-eligible individuals for emergency or other medically necessary care, the Hospital uses the following methodology:The Hospital identifies all commercial payors that had any activity with the Hospital during the taxable year. For those identified commercial payors, an average of the negotiated commercial insurance rates is determined. The average of all of the negotiated commercial insurance rates for those identified commercial payors determines the maximum amount that can be charged to patients eligible under the Hospital's financial assistance policy.
Facility 12 -- Florida Hospital Wauchula Part V, Section B, line 3:	Florida Hospital Wauchula (FHW) is a 25-bed hospital specializing in emergency and outpatient care located in Hardee County, Florida. Florida Hospital Wauchula opened in 1993, a year after the closing of Hardee County's only (other) hospital. Since then, not only has FHW set the pace for healthcare in Hardee County, in 2000 it also became the first Critical Access Hospital (CAH) in the State of Florida. To be designated as a CAH in Florida, a hospital must be located in a rural area and be at least 35 miles from the nearest other hospital. Hardee County is a socio-economically disadvantaged, rural, agricultural county that is also designated as a health professional shortage area by the US Department of Health and Human Services. To ensure that input was solicited from the medically underserved, low-income and minority populations, FHW gathered input from a number of key stakeholder organizations in the community. Input was gathered from the Hardee County Primary Health Care Network, a public/private partnership that provides health care to the working poor. The Hardee County Primary Health Care Network includes Central Florida Health Care, a federally qualified health care center, the Hardee County Health Department, Pioneer Medical Center, FHW, and a pharmacy. The Network provides services to Hardee County residents who have no insurance or are not eligible for Medicare, Medicaid, or other government programs. FHW also gathered input from other key stakeholder organizations/agencies including the Hardee County Health Department and Central Florida Health Care. As noted above, Central Florida Health Care is a federally qualified health care center and provides services to everyone in the community, including undocumented and other underserved populations. Over 51% of the Board of Central Florida Health Care is comprised of clinic users. Florida Hospital Wauchula also established a Community Health Needs Assessment Committee (CHNAC). Input was solicited from all members of the CHNAC. The CHNAC was comprised of community representatives and members of the Florida Hospital Wauchula Board.
Facility 12 -- Florida Hospital Wauchula Part V, Section B, line 5d:	The Hospital has adopted a policy that addresses the public posting requirements of the Community Health Needs Assessment. Under this policy, the Community Health Needs Assessment Report must be posted on the Hospital's website by the end of the year in which it is conducted. The Hospital will make a copy of its Community Health Needs Assessment Report available upon request. The Hospital will also make a paper copy of the Community Health Needs Assessment Report available for public inspection at the Hospital facility.
Facility 12 -- Florida Hospital Wauchula Part V, Section B, line 6i:	As a part of its Community Health Needs Assessment, the filing organization conducted an extensive and thorough analysis and prioritization of its significant identified health needs. Please see our discussion in Part V, Section B, line 7.Each of the filing organization's hospital facilities adopted its initial Community Health Needs Assessment by 12/31/13 and was in the process of developing its community health needs implementation strategy. The filing organization's implementation strategy will be documented in a written report called the "Community Health Plan". The Community Health Plan (CHP) will describe how the filing organization's hospital plans to meet its identified prioritized health needs or will identify the health need as one the filing organization's hospital does not intend to specifically address and provide an explanation as to why the filing organization's hospital does not intend to address that health need. In accordance with Proposed Regulation Section 1.501(r)-3(e)(2), each of the filing organization's hospital's CHP will be adopted no later than May 15, 2014.
Facility 12 -- Florida Hospital Wauchula Part V, Section B, line 7:	Florida Hospital Wauchula (FHW) established a Community Health Needs Assessment Committee (CHNAC) to review and analyze primary and secondary data collected and to formulate determinations of the top health needs of its community. Health needs priorities were based upon each identified health need's severity, the scope of the need, the FHW's ability to address the need, and other community resources that may be already addressing the health issue. The health need priority selection process resulted in the identification of the following top 12 focus areas: 1) Access to health care & medical home; 2) Cancer; 3) Heart disease and stroke; 4) Motor vehicle deaths; 5) Diabetes; 6) Chronic lower respiratory disease; 7) Health promotion; 8) HIV/AIDS; 9) Pregnancy/prenatal care/newborn; 10) Mental health/substance abuse; 11) Immunizations numbers; 12) Dental care.The CHNAC recognized that while all 12 issues impact the health of FHW's community, it was important to focus on specific areas of impact over a defined period of time if sustainable change is to be accomplished. Final priority selection resulted in the selection of the following four key priorities for Florida Hospital Wauchula:* Cancer* Diabetes* Heart disease and stroke* Access to healthcare & medical homeThe following identified health needs were not selected for top priority based on the following:* Motor vehicle deaths, chronic lower respiratory disease, HIV/AIDS, pregnancy/prenatal care/newborn, pediatric services, mental health/substance abuse and immunizations: There are already other advocacies and organizations in place to address these issues.* Health promotion: This issue will be addressed through efforts to address diabetes.* Dental care: This issue will be addressed though efforts to address access to healthcare.
Facility 12 -- Florida Hospital Wauchula Part V, Section B, line 14g:	The filing organization has developed a patient-friendly summary version of its financial assistance policy (FAP). The filing organization's FAP provides that each of its hospital facilities will post the patient-friendly summary version of its FAP on the Hospital's website. In addition, the FAP of each of the Hospital facilities states that signage regarding the availability of the Hospital facility's FAP will be visible at points of admission and registration, including the emergency department.
Facility 12 -- Florida Hospital Wauchula Part V, Section B, line 20d:	In determining the maximum amount that can be charged to financial assistance policy-eligible individuals for emergency or other medically necessary care, the Hospital uses the following methodology:The Hospital identifies all commercial payors that had any activity with the Hospital during the taxable year. For those identified commercial payors, an average of the negotiated commercial insurance rates is determined. The average of all of the negotiated commercial insurance rates for those identified commercial payors determines the maximum amount that can be charged to patients eligible under the Hospital's financial assistance policy.
Part V, Section B, Line 5a	Each hospital facility's CHNA report was made widely available through the following websites:Facility 1 -- Florida Hospital Orlandohttps://www.floridahospital.com/sites/default/files/florida_hospital_orlando_-_2013_chna.pdfFacility 2 -- Florida Hospital Celebration Healthhttps://www.floridahospital.com/sites/default/files/florida_hospital_celebration_health_-_2013_chna.pdfFacility 3 -- Florida Hospital Altamontehttps://www.floridahospital.com/sites/default/files/florida_hospital_altamonte_-_2013_chna_0.pdfFacility 4 -- Florida Hospital East Orlandohttps://www.floridahospital.com/sites/default/files/florida_hospital_east_orlando_-_2013_chna.pdfFacility 5 -- Winter Park Memorial Hospitalhttps://www.floridahospital.com/sites/default/files/florida_hospital_winter_park_memorial_-_2013_chna.pdfFacility 6 -- Adventist La Grange Memorial Hospitalhttp://www.keepingyouwell.com/Portals/33/docs/Community%20Benefits/Adventist%20La%20Grange%20Hospital%202013%20CHNA.pdfFacility 7 -- Florida Hospital Kissimmeehttps://www.floridahospital.com/sites/default/files/florida_hospital_kissimmee_-_2013_chna.pdfFacility 8 -- FH Heartland Medical Centerhttps://www.floridahospital.com/sites/default/files/pdf/florida_hospital_heartland_2013_chna.pdfFacility 9 -- Central Texas Medical Centerhttp://www.ctmc.org/Portals/7/docs/Community%20Benefits/CTMC%20CHNA%202013.pdfFacility 10 -- Florida Hospital Apopkahttps://www.floridahospital.com/sites/default/files/florida_hospital_apopka_-_2013_chna.pdfFacility 11 -- FH Heartland Medical Center Lake Placidhttps://www.floridahospital.com/sites/default/files/pdf/florida_hospital_lake_placid_2013_chna.pdfFacility 12 -- Florida Hospital Wauchulahttps://www.floridahospital.com/sites/default/files/pdf/florida_hospital_wauchula_-_2013_chna.pdf

Schedule H (Form 990) 2013

Additional Data

Software ID:
Software Version:

- TIN:

Schedule I
(Form 990)

Department of the Treasury
Internal Revenue Service

Grants and Other Assistance to Organizations,
Governments and Individuals in the United States

Complete if the organization answered "Yes," to Form 990, Part IV, line 21 or 22.
lBullet

Attach to Form 990
lBullet

Information about Schedule I (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2013

Open to Public
Inspection

Name of the organization
Adventist Health SystemSunbelt Inc

Employer identification number
59-1479658

Part I

General Information on Grants and Assistance

Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' eligibility for the grants or assistance, and
the selection criteria used to award the grants or assistance? ....................................

Yes No

Describe in Part IV the organization's procedures for monitoring the use of grant funds in the United States.

Part II

Grants and Other Assistance to Governments and Organizations in the United States. Complete if the organization answered "Yes" to
Form 990, Part IV, line 21, for any recipient that received more than $5,000. Part II can be duplicated if additional space is needed.

(a) Name and address of organization or government	(b) EIN	(c) IRC Code section if applicable	(d) Amount of cash grant	(e) Amount of non-cash assistance	(f) Method of valuation (book, FMV, appraisal, other)	(g) Description of non-cash assistance	(h) Purpose of grant or assistance
(1) ADVENTIST CARE CENTERS - COURTLAND INC 730 COURTLAND ST ORLANDO,FL32804	20-5774723	501(c)(3)	147,564				General Support
(2) ALLIANCE OF THE SPACE COAST INC DBA Florida Abolitionist PO BOX 536832 ORLANDO,FL32853	59-3178045	501(c)(3)	10,000				General Support
(3) AMERICAN CANCER SOCIETY INC 601 W COLONIAL DR ORLANDO,FL328047007	13-1788491	501(c)(3)	19,500				General Support
(4) AMERICAN HEART ASSOCIATION INC 1101 NORTHCHASE PKWY SE STE 1 MARIETTA,GA30067	13-5613797	501(c)(3)	111,661				General Support
(5) AMERICAN LUNG ASSOCIATION OF SOUTHEAST INC 851 OUTER RD ORLANDO,FL32814	59-0662271	501(c)(3)	17,500				General Support
(6) AMERICAN NATIONAL RED CROSS PO BOX 905890 CHARLOTTE,NC282905890	53-0196605	501(c)(3)	20,000				General Support
(7) APOPKA HIGHLAND SEVENTH DAY ADVENTIST CHURCH 340 VOTAW RD APOPKA,FL327034393	59-3166917	501(c)(3)	6,000				General Support
(8) BEACON NETWORK INC PO BOX 2547 ORLANDO,FL328022547	27-4894580	501(c)(3)	7,500				General Support
(9) CASA DE MEXICO DE LA FLORIDA CENTRAL INC 400 S ORANGE AVE 9TH FLOOR ORLANDO,FL32801	59-3428138	501(c)(3)	10,000				General Support
(10) CELEBRATION FOUNDATION INC 610 SYCAMORE ST CELEBRATION,FL34747	59-3370753	501(c)(3)	51,000				General Support
(11) CENTRAL FLORIDA CHAMBER for PERSONS WITH DISABILITIES LLC 3201 E COLONIAL DR UNIT A20 ORLANDO,FL328035174	26-4201627	Other	28,000				General Support
(12) CENTRAL FLORIDA FAMILY HEALTH CENTER INC 2400 STATE ROAD 415 SANFORD,FL32771	59-1741286	501(c)(3)	45,000				General Support
(13) CENTRAL FLORIDA PARTNERSHIP INC PO BOX 1234 ORLANDO,FL32804	33-1202266	501(c)(6)	100,245				General Support
(14) CENTRAL FLORIDA PEDIATRIC SOCIETY INC 1890 SEMORAN BLVD WINTER PARK,FL32792	23-7422278	501(c)(3)	10,000				General Support
(15) CENTRAL FLORIDA REGIONAL HEALTH INFORMATION ORGANIZATION INC 3208-C EAST COLONIAL DRIVE ORLANDO,FL328035127	20-8145032	501(c)(3)	174,505				General Support
(16) CENTRAL FLORIDA YOUNG MEN'S CHRISTIAN ASSOCIATION 433 N MILLS AVENUE ORLANDO,FL328035721	59-0624430	501(c)(3)	17,000				General Support
(17) CENTRAL TEXAS HEALTHCARE COLLABORATIVE 1301 WONDER WORLD DR SAN MARCOS,TX78666	45-3739929	501(c)(3)	1,447,713				Provision of Indigent Care
(18) CENTRAL TEXAS MEDICAL CENTER FOUNDATION 1301 WONDER WORLD DR SAN MARCOS,TX78666	74-2259907	501(c)(3)		84,206	Book	Provision of general administrative support	General Support
(19) Champion for Children Foundation of Highlands County Inc 419 E Center Avenue Sebring,FL33870	65-0444941	501(c)(3)	6,250				General Support
(20) CHILDREN'S HOME SOCIETY OF FLORIDA 1485 S SEMORAN BLVD SUITE 1448 WINTER PARK,FL327925533	59-0192430	501(c)(3)	7,500				General Support
(21) CITY OF ALTAMONTE SPRINGS 150 CRANES ROOST BLVD STE 2200 ALTAMONTE SPRINGS,FL32701	59-6000263	GOVT	15,000				General Support
(22) CITY OF WINTER PARK 401 S PARK AVE WINTER PARK,FL32789	59-6000454	GOVT	10,000				General Support
(23) COMMUNITY BASED CARE OF CENTRAL FLORIDA INC 4001 PELEE ST ORLANDO,FL328173100	01-0631375	501(c)(3)	29,672				General Support
(24) COMMUNITY PRESBYTERIAN CHURCH IN CELEBRATION FL INC 511 CELEBRATION AVE CELEBRATION,FL34747	91-1822890	501(c)(3)	15,000				General Support
(25) COMMUNITY VISION INC LEADERSHIP ASSOCIATION OF OSCEOLA 704 GENERATION PT APT 101 KISSIMMEE,FL347445918	59-2896657	501(c)(3)	26,000				General Support
(26) DOMINOUSA NATIONAL DOMINO FEDERATION USA PO BOX 526 SANFORD,FL327720526	83-0465521	501(c)(3)	15,000				General Support
(27) DOWNTOWN COLLEGE PARK PARTNERSHIP INC PO BOX 547744 ORLANDO,FL32854	23-7250533	501(c)(3)	13,500				General Support
(28) EAST ORLANDO HEALTH & REHAB CENTER INC 250 SOUTH CHICKASAW TRAIL ORLANDO,FL32825	20-5774748	501(c)(3)	1,440,600				General Support
(29) FLNC INC 3355 E SEMORAN BLVD APOPKA,FL32703	20-5774761	501(c)(3)	2,211,000				General Support
(30) FLORIDA BAPTIST CHILDRENS HOMES INC 7748 SW 95TH TER MIAMI,FL331567506	59-0657326	501(c)(3)	12,500				General Support
(31) FLORIDA CHAMBER OF COMMERCE INC PO BOX 11309 136 SOUTH BRONOUGH STREET TALLAHASSEE,FL32302	59-0248200	501(c)(6)	350,000				General Support
(32) Florida Conference Association of Seventh-Day Adventist dba Better Living C PO Box 3092 Lake Placid,FL33862	59-6137501	501(c)(3)	6,000				General Support
(33) FLORIDA CONFERENCE OF SEVENTH-DAY ADVENTISTS 351 S STATE ROAD 434 ALTAMONTE SPRINGS,FL327143824	59-0806975	501(c)(3)	7,000				General Support
(34) Florida Hospital Waterman Inc 1000 Waterman Way Tavares,FL32778	59-3140669	501(c)(3)	376,695				General Support
(35) FLORIDA INTERFAITH INSTITUTE DBA INTERFAITH COUNCIL OF CENTRAL FLORIDA PO BOX 3310 WINTER PARK,FL32790	45-5420165	501(c)(3)	30,000				General Support
(36) FLORIDA PRIDE LLC DBA USSSA PRIDE 611 LINE DR KISSIMMEE,FL347444457	27-1302554	Other	10,000				General Support
(37) FOREST LAKE ACADEMY 500 EDUCATION LOOP APOPKA,FL327036176	59-0816443	501(c)(3)	12,000				General Support
(38) FOREST LAKE EDUCATION CENTER 1275 LEARNING LOOP LONGWOOD,FL32779	59-3143238	501(c)(3)	8,394				General Support
(39) FOREST LAKE SDA CHURCH 515 HARLEY LESTER LANE APOPKA,FL32703	59-2885433	501(c)(3)	15,250				General Support
(40) FOUNDATION FOR ORANGE COUNTY PUBLIC SCHOOLS INC 445 W AMELIA ST STE 901 ORLANDO,FL328011153	59-2788435	501(c)(3)	25,000				General Support
(41) FOUNDATION FOR SEMINOLE STATE COLLEGE OF FLORIDA INC 1055 AAA DRIVE STE 209 LAKE MARY,FL327465072	23-7033822	501(c)(3)	83,333				General Support
(42) GR8 TO DON8 INC 968 MOSS TREE PL LONGWOOD,FL32750	27-1946207	501(c)(3)	10,000				General Support
(43) GRACE MEDICAL HOME INC 51 PENNSYLVANIA STREET ORLANDO,FL328062938	28-1817966	501(c)(3)	100,000				General Support
(44) GREATER ORLANDO CHAMBER OF COMMERCE INC DBA ORLANDO REGIONAL CHAMBER OF COM PO BOX 1234 ORLANDO,FL328021234	59-0272107	501(c)(6)	50,000				General Support
(45) HABITAT FOR HUMANITY OF GREATER ORLANDO AREA INC 4116 SILVER STAR RD ORLANDO,FL328084636	59-2789167	501(c)(3)	20,000				General Support
(46) HARBOR HOUSE OF CENTRAL FLORIDA INC PO BOX 680748 ORLANDO,FL32868	59-1712936	501(c)(3)	5,500				General Support
(47) HEALTH CARE CENTER FOR THE HOMELESS INC 232 N ORANGE BLOSSOM TRL ORLANDO,FL32805	59-3185020	501(c)(3)	115,000				General Support
(48) HEALTHY START COALITION OF ORANGE COUNTY INC 600 COURTLAND ST STE 565 ORLANDO,FL32804	59-3125675	501(c)(3)	20,000				General Support
(49) HEALTHY START COALITION OF OSCEOLA COUNTY INC PO BOX 701995 ST CLOUD,FL34770	59-3212535	501(c)(3)	15,000				General Support
(50) HEART OF FLORIDA UNITED WAY INC 1940 TRAYLOR BLVD ORLANDO,FL32804	59-0808854	501(c)(3)	55,297				General Support
(51) Heartland Triathlon of Highlands County Inc 1200 Highlands Drive Lake Placid,FL33852	45-2232127	501(c)(3)	11,000				General Support
(52) HEBNI NUTRITION CONSULTANTS INC 2009 WEST CENTRAL BLVD ORLANDO,FL32805	59-3258397	501(c)(3)	10,000				General Support
(53) Highlands County Health Department 7205 S George Boulevard Sebring,FL33875	59-3502843	Gov't	60,750				Medical care
(54) HISPANIC BUSINESS INITIATIVE FUND OF FLORIDA INC 3201 E COLONIAL DR UNIT A20 ORLANDO,FL32803	59-3341405	501(c)(3)	24,000				General Support
(55) HISPANIC CHAMBER OF COMMERCE METRO ORLANDO INC 3201 E COLONIAL DRIVE ORLANDO,FL32803	59-3103840	501(c)(6)	22,250				General Support
(56) HOPE NOW INTERNATIONAL INC PO BOX 181173 CASSELBERRY,FL327181173	27-4498303	501(c)(3)	10,000				General Support
(57) HOSPICE OF THE COMFORTER FOUNDATION INC 496 W CENTRAL PKWY ALTAMONTE SPRINGS,FL327142415	27-1858033	501(c)(3)	10,000				General Support
(58) IDIGNITY INC DBA INDIGNITY 424 E CENTRAL BLVD 199 ORLANDO,FL328011923	01-0921490	501(c)(3)	25,000				General Support
(59) IVANHOE VILLAGE INC 1605 ALDEN RD ORLANDO,FL328031861	26-1797406	501(c)(3)	7,000				General Support
(60) JOBS PARTNERSHIP OF FLORIDA INC 4900 MILLENIA BLVD ORLANDO,FL328396053	59-3612893	501(c)(3)	10,000				General Support
(61) JUNIOR ACHIEVEMENT OF CENTRAL FLORIDA INC PO BOX 917197 ORLANDO,FL32891	59-0972112	501(c)(3)	88,000				General Support
(62) KIDS BEATING CANCER INC 615 E PRINCETON ST STE 400 ORLANDO,FL32803	59-3136203	501(c)(3)	8,000				General Support
(63) KIDS HOUSE OF SEMINOLE INC 5467 NORTH RONALD REGAN BLVD SANFORD,FL32773	59-3415005	501(c)(3)	18,500				General Support
(64) La Grange Memorial Hospital Foundation 5101 South Willow Springs Road La Grange,IL60525	30-0247776	501(c)(3)		254,903	Book	Provision of general administrative support	General Support
(65) LAKESIDE BEHAVIORAL HEALTHCARE INC 1800 MERCY DRIVE STE 302 ORLANDO,FL32808	59-2301233	501(c)(3)	1,417,298				General Support
(66) LIFEWORK LEADERSHIP 1220 E CONCORD ST Orlando,FL328035453	37-1592618	501(c)(3)	10,000				General Support
(67) MARCH OF DIMES FOUNDATION 341 N MAITLAND AVE STE 115 MAITLAND,FL32751	13-1846366	501(c)(3)	15,000				General Support
(68) MENTAL HEALTH ASSOCIATION OF CENTRAL FLORIDA INC 1525 E ROBINSON ST ORLANDO,FL32801	59-0816432	501(c)(3)	14,153				General Support
(69) MILLS FIFTY MAIN STREET CORPORATION 1200 WEBER ST ORLANDO,FL328033334	80-0203856	501(c)(3)	6,500				General Support
(70) NEW IMAGE YOUTH CENTER INC 212 S PARRAMORE AVE ORLANDO,FL32805	56-2482818	501(c)(3)	15,000				General Support
(71) NOMEL INCTHE BIG HOUSE 1544 LANE PARK CUTOFF TAVARES,FL327786117	27-3982168	Other	20,000				General Support
(72) OAKWOOD UNIVERSITY 7000 ADVENTIST BLVD NW HUNTSVILLE,AL35896	63-0366652	501(c)(3)	10,000				General Support
(73) ORANGE COUNTY BOARD OF COUNTY COMMISSIONERS dba HEALTH AND FAMILY SERVICES PO BOX 38 ORLANDO,FL32802	59-6000773	GOVT	8,000				General Support
(74) ORANGE COUNTY BRANCH NATIONAL ASSOCIATION FOR THE ADVANCEMENT OF COLORED PE PO BOX 618285 ORLANDO,FL328618285	59-6196714	Other	10,000				General Support
(75) ORLANDO JUNIOR ACADEMY 30 E EVANS STREET ORLANDO,FL32804	26-2325009	501(c)(3)	456,500				General Support
(76) ORLANDO SCIENCE CENTER INC 777 E PRINCETON STREET ORLANDO,FL32803	59-0896343	501(c)(3)	1,007,500				General Support
(77) ORLANDOORANGE COUNTY CONVENTION & VISITOR'S BUREAU INC VISITORS BUREAU INC6700 FORUM DRIVE SUITE 100 ORLANDO,FL328218087	59-2395248	501(c)(6)	10,000				General Support
(78) OSCEOLA COUNTY COUNCIL ON AGING INC 700 GENERATION POINT KISSIMMEE,FL34744	59-1595398	501(c)(3)	48,622				General Support
(79) PRIMARY CARE ACCESS NETWORK INC 101 S WESTMORELAND DR ORLANDO,FL328052258	46-1817605	501(c)(3)	10,000				General Support
(80) PTA FLORIDA CONGRESS EDGEWATER SR HIGH SCHOOL PTA 3100 EDGEWATER DR ORLANDO,FL328043722	23-7106540	501(c)(3)	10,000				General Support
(81) RACE TIME SPORTS INC 478 E ALTAMONTE DRIVE STE 108-716 ALTAMONTE SPRINGS,FL327014628	26-2379573	Other	7,500				General Support
(82) RESCUE OUTREACH MISSION OF CENTRAL FLORIDA INC 1515 INTERNATIONAL PKWY STE 2031 LAKE MARY,FL327467635	59-2876415	501(c)(3)	6,500				General Support
(83) RONALD MCDONALD HOUSE CHARITIES OF CENTRAL FLORIDA INC 1030 N ORANGE AV WINTER PARK,FL327894709	59-3211250	501(c)(3)	11,000				General Support
(84) ROTARY CLUB OF WINTER GARDEN PO BOX 770096 WINTER GARDEN,FL347770096	59-6140005	501(c)(6)	10,000				General Support
(85) RUNWAY TO HOPE INC 189 S ORANGE AVE ORLANDO,FL328013261	27-3272616	501(c)(3)	6,000				General Support
(86) Samaritan Touch Care Center Inc 3015 Herring Avenue Sebring,FL33870	02-0773338	501(c)(3)	270,833				Medical care
(87) SEMINOLE COUNTYLAKE MARY REGIONAL CHAMBER OF COMMERCE INC 1055 AAA DR STE 153 LAKE MARY,FL32746	59-3646781	501(c)(6)	15,000				General Support
(88) SHEPHERDS HOPE INC 4851 S APOPKA VINELAND RD ORLANDO,FL328193128	59-3420727	501(c)(3)	116,500				General Support
(89) South Florida State College 600 W College Drive Avon Park,FL33825	59-1218159	Gov't	18,215				General Support
(90) SOUTHERN ADVENTIST UNIVERSITY PO BOX 370 COLLEGEDALE,TN37315	62-0536733	501(c)(3)	118,000				General Support
(91) STRENGTHEN ORLANDO INC 400 SOUTH ORANGE AVE 6TH FLOOR ORLANDO,FL328013360	27-1964941	501(c)(3)	21,000				General Support
(92) SUNBELT HEALTH & REHAB CENTER - APOPKA INC 305 EAST OAK ST APOPKA,FL32703	20-5774856	501(c)(3)	473,040				General Support
(93) Sunsystem Development Corporation 900 HOPE WAY ALTAMONTE SPRINGS,FL32714	59-2219301	501(c)(3)	28,000	4,808,401	Book	Provision of general administrative support	General Support
(94) SUSAN G KOMEN BREAST CANCER FOUNDATION 1350 ORANGE AVE STE 260 WINTER PARK,FL32789	75-2854957	501(c)(3)	10,000				General Support
(95) THE FOUNDATION FOR SUCCESS INC DBA SOS (SUPPORT OUR SCHOLARS) PO BOX 1985 WINTER PARK,FL327901985	26-0711355	501(c)(3)	10,000				General Support
(96) The School Board of Highlands County 426 School Street Sebring,FL33870	56-6000654	Gov't	10,800				Senior Eeucation
(97) THE SCHOOL BOARD OF ORANGE COUNTY FLORIDA ORANGE COUNTY PUBLIC SCHOOLS 445 WEST AMELIA STREET ORLANDO,FL32801	59-6000771	Gov't	7,000				General Support
(98) UCF ATHLETICS ASSOCIATION INC PO BOX 163555 ORLANDO,FL328163555	56-2334448	501(c)(3)	5,500				General Support
(99) UNITED GLOBAL OUTREACH INC 2301 N ORANGE AVE ORLANDO,FL328045510	03-0511875	501(c)(3)	95,000				General Support
(100) UNIVERSAL ORLANDO FOUNDATION INC 1000 UNIVERSAL STUDIOS PLAZA ORLANDO,FL32819	59-3510383	501(c)(3)	15,000				General Support
(101) UNIVERSITY OF CENTRAL FLORIDA FOUNDATION INC 12424 RESEARCH PARKWAY STE 140 ORLANDO,FL32826	59-6211832	501(c)(3)	165,000				General Support
(102) US DREAM ACADEMY INC 5950 SYMPHONY WOODS RD COLUMBIA,MD21044	59-3514841	501(c)(3)	10,000				General Support
(103) VALENCIA COLLEGE FOUNDATION INC 190 S ORANGE AVE ORLANDO,FL328013204	23-7442785	501(c)(3)	214,500				General Support
(104) WALT DISNEY PARKS AND RESORTS US INC PO BOX 403337 ATLANTA,GA30384	95-2412883	Other	10,000				General Support
(105) WINTER GARDEN HERITAGE FOUNDATION INC PO BOX 770657 WINTER GARDEN,FL347770657	59-3201766	501(c)(3)	7,500				General Support
(106) WINTER PARK CHAMBER OF COMMERCE PO BOX 280 WINTER PARK,FL32790	59-0514615	501(c)(6)	15,100				General Support
(107) WINTER PARK HEALTH FOUNDATION INC 220 EDINBURGH DR WINTER PARK,FL32792	59-0669460	501(c)(3)	67,500				General Support

Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................ Bullet Image

Enter total number of other organizations listed in the line 1 table ........................ . Bullet Image

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50055P

Schedule I (Form 990) 2013

Page 2

Part III

Grants and Other Assistance to Individuals in the United States. Complete if the organization answered "Yes" to Form 990, Part IV, line 22.
Part III can be duplicated if additional space is needed.

(a)Type of grant or assistance	(b)Number of recipients	(c)Amount of cash grant	(d)Amount of non-cash assistance	(e)Method of valuation (book, FMV, appraisal, other)	(f)Description of non-cash assistance

Part IV

Supplemental Information. Provide the information required in Part I, line 2, Part III, column (b), and any other additional information.

Return Reference

Explanation

Part I, Line 2:

Grants are generally made to related organizations that are exempt from Federal Income Tax under 501(c)(3), other 501(c)(3) organizations that are a part of the group exemption ruling issued to the General Conference of Seventh-Day Adventists, or to other local or local affiliate of national charitable organizations whose purposes are healthcare-related. 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.

Schedule I (Form 990) 2013

Additional Data

Software ID:
Software Version:

- TIN:

Schedule J
(Form 990)

Department of the Treasury
Internal Revenue Service

Compensation Information

For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
SchJMediumBullet

Complete if the organization answered "Yes" to Form 990, Part IV, line 23.
SchJMediumBullet

Attach to Form 990. SchJMediumBullet

See separate instructions.
SchJMediumBullet

Information about Schedule J (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2013

Open to Public Inspection

Name of the organization

Adventist Health SystemSunbelt Inc

Employer identification number

59-1479658

Part I

Questions Regarding Compensation

Yes

Check the appropiate box(es) if the organization provided any of the following to or for a person listed in Form
990, Part VII, Section A, line 1a. Complete Part III to provide any relevant information regarding these items.

First-class or charter travel Housing allowance or residence for personal use

Travel for companions Payments for business use of personal residence

Tax idemnification and gross-up payments Health or social club dues or initiation fees

Discretionary spending account Personal services (e.g., maid, chauffeur, chef)

If any of the boxes in line 1a are checked, did the organization follow a written policy regarding payment or reimbursement or provision of all of the expenses described above? If "No," complete Part III to explain....

Yes

Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all
directors, trustees, officers, including the CEO/Executive Director, regarding the items checked in line 1a? ..

Yes

Indicate which, if any, of the following the filing organization used to establish the compensation of the
organization's CEO/Executive Director. Check all that apply. Do not check any boxes for methods
used by a related organization to establish compensation of the CEO/Executive Director, but explain in Part III.

Compensation committee Written employment contract

Independent compensation consultant Compensation survey or study

Form 990 of other organizations Approval by the board or compensation committee

During the year, did any person listed in Form 990, Part VII, Section A, line 1a with respect to the filing organization or a related organization:

Receive a severance payment or change-of-control payment? ................

Yes

Participate in, or receive payment from, a supplemental nonqualified retirement plan? .........

Yes

Participate in, or receive payment from, an equity-based compensation arrangement? .........

If "Yes" to any of lines 4a-c, list the persons and provide the applicable amounts for each item in Part III.

Only 501(c)(3) and 501(c)(4) organizations only must complete lines 5-9.

For persons listed in Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the revenues of:

The organization? ...........................

Any related organization? .........................

If "Yes," to line 5a or 5b, describe in Part III.

For persons listed in Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the net earnings of:

The organization? ...........................

Yes

Any related organization? .........................

If "Yes," to line 6a or 6b, describe in Part III.

For persons listed in Form 990, Part VII, Section A, line 1a, did the organization provide any non-fixed
payments not described in lines 5 and 6? If "Yes," describe in Part III ............

Were any amounts reported in Form 990, Part VII, paid or accured pursuant to a contract that was
subject to the initial contract exception described in Regulations section 53.4958-4(a)(3)? If "Yes," describe
in Part III .............................

If "Yes" to line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50053T

Schedule J (Form 990) 2013

Page 2

Part II

Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees. Use duplicate copies if additional space is needed.

For each individual whose compensation must be reported in Schedule J, report compensation from the organization on row (i) and from related organizations, described in the
instructions, on row (ii). Do not list any individuals that are not listed on Form 990, Part VII.
Note. The sum of columns (B)(i)-(iii) for each listed individual must equal the total amount of Form 990, Part VII, Section A, line 1a, applicable column (D) and (E) amounts for that individual.

(A) Name and Title		(B) Breakdown of W-2 and/or 1099-MISC compensation			(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)	(F) Compensation reported as deferred in prior Form 990
(A) Name and Title		(i) Base compensation	(ii) Bonus & incentive compensation	(iii) Other reportable compensation	(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)	(F) Compensation reported as deferred in prior Form 990
(1)Houmann Lars DDirector	(i) (ii)	0 911,606	0 302,898	0 456,423	0 197,919	0 42,997	0 1,911,843	0 166,425
(2)Jernigan PhD Donald LDirector/CEO	(i) (ii)	0 988,725	0 329,269	0 303,082	0 13,850	0 87,038	0 1,721,964	0 0
(3)Reiner Richard KDirector	(i) (ii)	0 913,142	0 302,898	0 446,854	0 13,850	0 45,505	0 1,722,249	0 0
(4)Shaw Terry DDirector	(i) (ii)	0 911,185	0 302,898	0 478,549	0 197,919	0 45,398	0 1,935,949	0 166,425
(5)Banks David PSenior VP - FH	(i) (ii)	0 491,217	0 143,179	0 85,103	0 92,125	0 37,981	0 849,605	0 71,324
(6)Cummings Jr DesmondExec VP - FH	(i) (ii)	0 206,078	0 161,711	0 92,133	0 13,850	0 22,049	0 495,821	0 0
(7)Dodds Sheryl DSenior VP - FH	(i) (ii)	0 338,264	0 79,967	0 61,109	0 46,110	0 20,181	0 545,631	0 27,818
(8)Fulbright Robert DSenior VP - FH	(i) (ii)	0 390,500	0 92,530	0 43,062	0 59,765	0 43,545	0 629,402	0 30,682
(9)Goodman Todd ASenior VP - FH	(i) (ii)	0 334,119	0 76,600	0 64,037	0 35,277	0 35,470	0 545,503	0 30,690
(10)Hilliard Douglas WSenior VP - FH	(i) (ii)	0 337,130	0 77,415	0 40,643	0 50,012	0 39,406	0 544,606	0 28,115
(11)Hurst Jeffry DSenior VP - FH	(i) (ii)	0 314,445	0 74,749	0 49,931	0 33,362	0 29,976	0 502,463	0 12,709
(12)Moorhead MD John DavidSenior VP - FH	(i) (ii)	0 484,295	0 114,746	0 249,407	0 13,320	0 25,660	0 887,428	0 61,794
(13)Owen Terry RSenior VP - FH	(i) (ii)	0 405,673	0 114,238	0 154,389	0 56,611	0 32,693	0 763,604	0 35,827
(14)Paradis J BrianExec VP - FH	(i) (ii)	0 640,946	0 215,324	0 123,776	0 133,188	0 46,933	0 1,160,167	0 104,404
(15)Reed MD Monica PSenior VP - FH	(i) (ii)	0 456,189	0 128,556	100 351,256	0 83,311	0 37,749	100 1,057,061	0 59,656
(16)Soler EddieCFO - FL Divison	(i) (ii)	0 554,099	0 184,101	0 868,917	0 111,495	0 33,624	0 1,752,236	0 86,340
(17)Bittner MD HartmuthMedical Director	(i) (ii)	1,119,067 0	56 0	7,488 0	8,750 0	15,460 0	1,150,821 0	0 0
(18)Lee MD KathyPhysician	(i) (ii)	394,009 0	466,056 0	39,038 0	13,850 0	13,517 0	926,470 0	0 0
(19)Eubanks Jr MDWilliam StephenExecutive Director of Academic Surge	(i) (ii)	622,162 0	140,077 0	38,017 0	8,599 0	17,289 0	826,144 0	0 0
(20)Jones MDPhillip EPhysician	(i) (ii)	592,770 0	137,500 0	21,496 0	13,850 0	22,492 0	788,108 0	0 0
(21)Torres MDRamon MPhysician	(i) (ii)	591,374 0	96,303 0	11,959 0	13,850 0	23,888 0	737,374 0	0 0
(22)Grim-Marcarelli KarenFormer key employee	(i) (ii)	0 249,704	0 48,819	0 132,184	0 21,039	0 26,701	0 478,447	0 6,362
(23)Hamilton Connie AFormer key employee	(i) (ii)	0 0	0 0	0 288,005	0 13,850	0 12,126	0 313,981	0 0
(24)Herrin Arlene KFormer key employee	(i) (ii)	0 246,146	0 35,185	0 37,442	0 37,509	0 27,215	0 383,497	0 25,443

Schedule J (Form 990) 2013

Page 3

Part III

Supplemental Information

Provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 3, 4a, 4b, 4c, 5a, 5b, 6a, 6b, 7, and 8, and for Part II.
Also complete this part for any additional information.

Return Reference	Explanation
Part I, Line 1a	The filing organization is a part of the system of healthcare organizations known as Adventist Health System (AHS). Members of the filing organization's executive management team that hold the position of Vice-President or above are compensated by and on the payroll of Adventist Health System Sunbelt Healthcare Corporation (AHSSHC), the parent organization of AHS. AHSSHC is exempt from federal income tax under IRC Section 501(c)(3). The filing organization reimburses AHSSHC for the salary and benefit cost of those executives on the payroll of AHSSHC that provide services and are on the management team of the filing organization. Travel for companions: AHSSHC has a Corporate Executive Policy that provides a benefit to allow for a traveling AHSSHC executive to have his or her spouse accompany the executive on certain business trips each year. Typically, reimbursement is only provided to Vice Presidents and above and is usually limited to one business trip per year beyond the annual AHS President's Council business meeting and other meetings where the spouse is specifically invited. The AHSSHC Corporate Executive Spousal Travel Policy was originally approved and reviewed by the AHSSHC Board Compensation Committee, an independent body of the AHSSHC Board of Directors. All spousal travel costs reimbursed to the executive are considered taxable compensation to the executive. Tax Indemnification and gross-up payments: AHS has a system-wide policy addressing gross-up payments provided in connection with employer-provided benefits/other taxable items. Under the policy, certain taxable business-related reimbursements (i.e. taxable business-related moving expenses, taxable items provided in connection with employment) provided to any employee may be grossed-up at a 25% rate upon approval of the filing organization's CEO and CFO. Additionally, employees at the Director level and above are eligible for gross-up payments on gifts received for board of director services. Discretionary spending account: A nominal discretionary spending amount was provided in the current year to all eligible executives who attend the annual AHS President's Council business meeting ($500 per executive) or the annual AHS CFO Conference business meeting ($300 per executive). Other discretionary spending accounts may be provided in connection with other AHS sponsored conferences but typically does not exceed $200 per participant. With respect to the AHS President's Council meeting, eligible executives may include AHSSHC Vice Presidents and above and all AHSSHC subsidiary organization CEOs and Regional CFOs. The payment provided to each executive was considered taxable compensation to the executive. Health or social club dues or initiation fees: AHSSHC has a Corporate Executive Policy that addresses business development expenditures. Under this policy, certain AHS eligible executives may be reimbursed for member dues and usage charges for a country club or other social club upon authorization. Club memberships must be recommended by the CEO of the AHS hospital organization and approved by the Chairman of the Board of Directors of the organization. In addition, the proposed membership must be approved annually by the AHSSHC Board Compensation Committee, an independent committee of the Board of Directors of AHSSHC. Eligible executives are limited to certain senior level executives (hospital organization CEOs, the CEO of the nursing home division of AHS, senior vice presidents at three large hospital organizations, regional CEOs and CFOs and the president and senior vice presidents of AHSSHC). In the current year, for this filing organization, one executive was eligible to receive reimbursement for club fees. Each AHS executive who is approved for a club membership must submit an annual report to the AHSSHC Board Compensation Committee that describes how the membership benefited their organization during the preceding year.
Part I, Line 3	The individual who serves as the CEO of the filing organization is compensated by Adventist Health System Sunbelt Healthcare Corporation (AHSSHC) for that individual's role in serving as the CEO of the entire system of 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 53.4958-6 with respect to its active executive-level positions. The AHSSHC Board Compensation Committee (the Committee) serves as the governing body for all executive compensation matters. The Committee is composed of certain members of the Board of Directors (the Board) of AHSSHC. Voting members of the Committee include only individuals who serve on the Board as independent representatives of the community, who hold no employment positions with AHSSHC and who do not have relationships with any of the individuals whose compensation is under their review that impacts their best independent judgment as fiduciaries of AHSSHC. The Committee's role is to review and approve all components of the executive compensation plan of AHSSHC. As an independent governing body with respect to executive compensation, it should be noted that the Committee will often confer in executive sessions on matters of compensation policy and policy changes. In such executive sessions, no members of management of AHSSHC are present. The Committee is advised by an independent third party compensation advisor. This advisor prepares all the benchmark studies for the Committee. Compensation levels are benchmarked with a national peer group of other not-for-profit healthcare systems and hospitals of similar size and complexity to AHS and each of its affiliated entities. The following principles guide the establishment of individual executive compensation: - The salary of the President/CEO of AHS will not exceed the 40th percentile of comparable salaries paid by similarly situated organizations; and - Other executive salaries shall be established using market medians. The compensation philosophy, policies, and practices of AHSSHC are consistent with the organization's faith-based mission and conform to applicable laws, regulations, and business practices. As a faith-based organization sponsored by the Seventh-day Adventist Church (the Church), AHSSHC's philosophy and principles with respect to its executive compensation practices reflect the conservative approach of the Church's mission of service and were developed in counsel with the Church's leadership.
Part I, Lines 4a-b	During the year ending December 31, 2013, Connie A. Hamilton received severance payments in the amount of $288,425. Pursuant to the AHSSHC Corporate Executive Policy governing executive severance, severance agreements for executives operating at the Vice President level and above are entered into upon eligibility to facilitate the transition to subsequent employment following an involuntary separation from employment with AHS. As discussed in Line 1a above, executives on the filing organization's management team that hold the position of Vice-President or above are compensated by and on the payroll of Adventist Health System Sunbelt Healthcare Corporation (AHSSHC), the parent organization of a healthcare system known as Adventist Health System (AHS). In recognition of the contribution that each executive makes to the success of AHS, AHS provides to eligible executives participation in the AHS Executive FLEX Benefit Program (the Plan). The purpose of the Plan is to offer eligible executives an opportunity to elect from among a variety of supplemental benefits, including deferred compensation benefits taxable under Internal Revenue Code (IRC) Section 457(f), to individually tailor a benefits program appropriate to each executive's needs. The Plan provides eligible participants a pre-determined benefits allowance credit that is equal to a percentage of the executive's base pay from which is deducted the cost of mandatory and elective employee benefits. The pre-determined benefits allowance credit percentage is approved by the AHSSHC Board Compensation Committee, an independent committee of the Board of Directors of AHSSHC. Any funds that remain after the cost of mandatory and elective benefits are subtracted from the annual pre-determined benefits allowance are contributed, at the employee's option, to either an IRC 457(f) deferred compensation account or to an IRC 457(b) eligible deferred compensation plan. Upon attainment of age 65, all previous 457(f) deferred amounts are paid immediately to the participant and any future employer contributions are made quarterly from the Plan directly to the participant. The Plan documents define an employee who is eligible to participate in the Plan to generally include the Chief Executive Officers of AHS entities and Vice Presidents of all AHS entities whose base salary is at least $218,000. The Plan provides for a class year vesting schedule (2 years for each class year) with respect to amounts accumulated in the executive's 457(f) deferred compensation account. Distributions could also be made from the executive's 457(f) deferred compensation account upon attainment of age 65 or upon an involuntary separation. The account is forfeited by the executive upon a voluntary separation. In addition to the Plan, AHS has instituted a defined benefit, non-tax-qualified deferred compensation plan for certain executives who have provided lengthy service to AHS and/or to other Seventh-Day Adventist Church hospitals or health care institutions. Participation in the plan is offered to AHS executives on a prorata schedule beginning with 20 years of service as an employee of AHS and/or another hospital or health care institution controlled by the Seventh-Day Adventist Church and who satisfy certain other qualifying criteria. This supplemental executive retirement plan (SERP) was designed to provide eligible executives with the economic equivalent of an annual income beginning at normal retirement age equal to 60% of the average of the participant's three, five or seven highest years of base salary from AHS active employment inclusive of income from all other Seventh-Day Adventist Church healthcare employer-financed retirement income sources and investment income earned on those contributions through social security normal retirement age as defined in the plan. The number of years included in highest average compensation is determined by the individual's year of entry to the SERP and by the individual's year of entry to the AHS Executive FLEX Benefit Program. Flex Plan Flex Plan/ SERP 457(b) CY CY Employer CY Contrib./ Distributions Contrib. Distributions* Payment ------------------------------------------------------- Houmann, Lars D. $ 184,069 $ 186,831 $232,784 $ 0 Jernigan, Ph.D., Donald L. $ 210,224 $ 192,724 $ 0 $ 0 Reiner, Richard K. $ 191,096 $ 173,596 $194,730 $ 0 Shaw, Terry D. $ 184,069 $ 179,354 $268,802 $ 0 Banks, David P. $ 78,276 $ 71,361 $ 0 $ 0 Cummings, Jr., Desmond $ 15,219 $ 15,219 $ 23,597 $ 0 Dodds, Sheryl D. $ 49,760 $ 27,830 $ 0 $ 0 Fulbright, Robert D$ 45,916 $ 30,698 $ 0 $ 0 Goodman, Todd A. $ 38,927 $ 36,173 $ 0 $ 0 Hilliard, Douglas W$ 36,163 $ 28,130 $ 0 $ 0 Hurst, Jeffry D. $ 37,013 $ 15,499 $ 0 $ 0 Moorhead, MD, John David $ 88,282 $ 199,636 $ 0 $ 0 Owen, Terry R. $ 60,262 $ 42,792 $ 75,619 $ 0 Paradis, J. Brian $ 119,345 $ 104,458 $ 0 $ 0 Reed, MD, Monica P.$ 69,461 $ 59,687 $276,818 $ 0 Soler, Eddie $ 97,645 $ 103,782 $745,939 $ 0 Grim-Marcarelli, Karen $ 24,690 $ 7,426 $ 94,824 $ 0 Herrin, Arlene K. $ 28,759 $ 25,456 $ 0 $ 0 * Including Investment Earnings
Part I, Line 6	The filing organization's physician compensation formula is designed to result in total compensation that would be reasonable for each physician. The filing organization utilizes national survey productivity, cost, and compensation data in formulating all aspects of the compensation plan. Physician compensation contractual agreements include a ceiling or reasonable maximum on the amount a physician may earn. The filing organization's employed physicians enter into a written agreement that requires the physicians to provide medical care to individuals who are referred by the filing organization. The filing organization's compensation arrangement does not use a method of compensation that is based upon a percentage of the organization's net income. Under the compensation arrangement, physician base salary, including any additional compensation based on a percentage of the practice/location net revenue, is documented as being within a range of Fair Market Value.

Schedule J (Form 990) 2013

Additional Data

Software ID:
Software Version:

- TIN:

Schedule K
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Information on Tax Exempt Bonds

Complete if the organization answered "Yes" to Form 990, Part IV, line 24a. Provide descriptions,
explanations, and any additional information in Part VI.
SchKMediumBullet

Attach to Form 990. SchKMediumBullet

See separate instructions.
SchKMediumBullet

Information about Schedule K (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2013

Open to Public
Inspection

Name of the organization
Adventist Health SystemSunbelt Inc

Employer identification number
59-1479658

Part I

Bond Issues

(a) Issuer name		(b) Issuer EIN	(c) CUSIP #	(d) Date issued	(e) Issue price	(f) Description of purpose	(g) Defeased		(h) On behalf of issuer		(i) Pool financing
(a) Issuer name		(b) Issuer EIN	(c) CUSIP #	(d) Date issued	(e) Issue price	(f) Description of purpose	Yes	No	Yes	No	Yes	No
A	Highlands County Health Facilities Authority	52-1313569	431022FR8	10-18-2005	64,943,086	2005A, Refund FL 1993A&B, TN 1993 and Tarrant 1993 all issued 10/20/1993		X		X		X
B	Highlands County Health Facilities Authority	52-1313569	431022GN6	10-18-2005	106,410,063	2005B, Refund Orange 2000, Tenn 2000, and Tarrant 2000 all issued 8/31/2000		X		X		X
C	Highlands County Health Facilities Authority	52-1313569	431022HG0	10-18-2005	63,434,535	2005C, Refund Colorado 2001 issued 3/28/2001		X		X		X
D	Highlands County Health Facilities Authority	52-1313569	431022HH8	10-18-2005	102,220,000	2005D, Expand/refurbish facilities, purchase equipment		X		X		X
	Highlands County Health Facilities Authority	52-1313569	431022HUD	06-14-2006	205,156,000	2006C, Expand/refurbish facilities, purchase equipment		X		X		X
	Colorado Health Facilities Authority	84-0752932	19648AAV7	11-15-2006	249,501,424	2006D&E, Refnd Highland, Tarrant 98 iss 12/17/98, Highland iss 03D 10/7/03		X		X		X
	Colorado Health Facilities Authority	84-0752932	19648ACG8	11-15-2006	30,371,450	2006F, Refund 1995 Bonds issued 6/8/1995		X		X		X
	Highlands County Health Facilities Authority	52-1313569	431022JZ6	12-20-2006	212,464,496	2006G, Refund Highlands 2002 issued 12/19/02 and Orange 2002 issued 7/10/02		X		X		X
	Highlands County Health Facilities Authority	52-1313569	431022KK7	08-08-2007	366,445,000	2007A B C D, Expand/refurbish facilities, purchase equipment		X		X		X
	Highlands County Health Facilities Authority	52-1313569	431022QZ8	12-16-2008	68,000,000	2008A, Expand/refurbish facilities, purchase equipment		X		X		X
	Kansas Development Finance Authority	48-1066589	48542ABX8	07-08-2009	325,394,417	2009C, Ref 96/05&97/05 iss 1/13/05, 03A 1/16/03, 08B 12/19/08, exp facility		X		X		X
	Kansas Development Finance Authority	48-1066589	48542ACY5	10-01-2009	102,271,154	2009D, Refund Highlands 07C, 8/8/07 & expand/refurbish facilities/purc equip		X		X		X
	Highlands County Health Facilities Authority	52-1313569	431022SP8	11-16-2009	190,752,502	09E & 08B Conv, Ref Orange 91/01 10/11/01, 92/03 5/15/03, 08B 12/19/08		X		X		X
	Highlands County Health Facilities Authority	52-1313569	431022SG8	11-16-2009	177,240,000	2005I Conv, Refund Highlands 05I 12/22/05 & expand/refurbish facilities		X		X		X
	Highlands County Health Facilities Authority	52-1313569		12-17-2010	57,000,000	2010A, Expand/refurbish facilities, purchase equipment		X		X		X
	Orange County Health Facilities Authority	52-1378595		12-22-2010	25,000,000	2010B, Expand/refurbish facilities, purchase equipment		X		X		X
	Kansas Development Finance Authority	48-1066589		12-22-2010	25,000,000	2010C, Expand/refurbish facilities, purchase equipment		X		X		X
	Colorado Health Facilities Authority	84-0752932		12-22-2010	25,000,000	2010D, Expand/refurbish facilities, purchase equipment		X		X		X
	Highlands County Health Facilities Authority	52-1313569		12-30-2010	225,000,000	2010E, Expand/refurbish facilities, purchase equipment		X		X		X
	Highlands County Health Facilities Authority	52-1313569		11-16-2011	80,000,000	2011A, Expand/refurbish facilities		X		X		X
	Highlands County Health Facilities Authority	52-1313569		03-21-2012	294,985,000	2012A, AR Program - Refund 2009 A-F AR Program		X		X		X
	Highlands County Health Facilities Authority	52-1313569		07-25-2012	115,015,000	2012B, AR Program - Expand/refurbish facilities, purchase equipment		X		X		X
	Kansas Development Finance Authority	48-1066589	48542ADG3	08-29-2012	310,952,245	2012A - Refund Or-1995; H-02,03C,05H,06B,07B,07D,08A; C-2004B; K-2004C		X		X		X
	Highlands County Health Facilities Authority	52-1313569	431022TL6	08-29-2012	348,320,000	2012B-F - Refund Or-1995; H-02,03C,05H,06B,07B,07D,08A; C-2004B; K-2004C		X		X		X
	Highlands County Health Facilities Authority	52-1313569		08-29-2012	125,000,000	2012G&H - Refund Highlands 2005I Conversion Bonds		X		X		X
	Highlands County Health Facilities Authority	52-1313569	431022TR3	11-08-2012	232,125,000	2012I - Refunded Volusia 1994-A; Highlands 2004A, 2005E, 2005F, 2005G		X		X		X
	Highlands County Health Facilities Authority	52-1313569		09-18-2013	485,000,000	2013A B C, Expand/refurbish facilities, purchase equipment		X		X		X

Part II

Proceeds

	A		B		C		D
	1 Amount of bonds retired . . . . . . . . . . . . . .	22,185,000		18,350,000		10,130,000		9,480,000
2 Amount of bonds legally defeased . . . . . . . . . . .	1,510,000		16,155,000		19,265,000		12,255,000
3 Total proceeds of issue . . . . . . . . . . . . . .	64,943,086		106,410,063		63,434,535		102,220,000
4 Gross proceeds in reserve funds . . . . . . . . . . . .
5 Capitalized interest from proceeds . . . . . . . . . . .
6 Proceeds in refunding escrows . . . . . . . . . . . .
7 Issuance costs from proceeds . . . . . . . . . . . .	926,709		1,532,450		928,933		1,500,000
8 Credit enhancement from proceeds . . . . . . . . . . .	5,560,382
9 Working capital expenditures from proceeds . . . . . . . . .
10 Capital expenditures from proceeds . . . . . . . . . . .	100,720,000		68,000,000		12,004,967		100,720,000
11 Other spent proceeds . . . . . . . . . . . . . .	64,016,377		104,877,613		62,505,602		210,608,121
12 Other unspent proceeds . . . . . . . . . . . . . .	178,610,000				178,610,000
13 Year of substantial completion . . . . . . . . . . . .	1993		2000		2001		2005
	Yes	No	Yes	No	Yes	No	Yes	No
14 Were the bonds issued as part of a current refunding issue? . . . . .	X			X		X		X
15 Were the bonds issued as part of an advance refunding issue? . . . . .		X	X		X			X
16 Has the final allocation of proceeds been made? . . . . . . . .	X		X		X		X
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? . . . . . . . . . . . . . .	X		X		X		X

Part III

Private Business Use

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
1 Was the organization a partner in a partnership, or a member of an LLC, which owned property financed by tax-exempt bonds? . . . . . . .		X		X		X		X
2 Are there any lease arrangements that may result in private business use of bond-financed property? . . . . . . . . .		X		X		X		X

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50193E

Schedule K (Form 990) 2013

Page 2

Part III

Private Business Use (Continued)

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
3a Are there any management or service contracts that may result in private business use of bond-financed property? . . . . . . . . . . . .	X		X		X		X
b If "Yes" to line 3a, does the organization routinely engage bond counsel or other outside counsel to review any management or service contracts relating to the financed property?	X		X		X		X
c Are there any research agreements that may result in private business use of bond-financed property? . . . . . . . . . . . . . . .	X		X		X		X
d If "Yes" to line 3c, does the organization routinely engage bond counsel or other outside counsel to review any research agreements relating to the financed property?	X		X		X		X
4 Enter the percentage of financed property used in a private business use by entities other than a section 501(c)(3) organization or a state or local government . .	0.200 %		0.200 %		0.100 %		0.300 %
5 Enter the percentage of financed property used in a private business use as a result of unrelated trade or business activity carried on by your organization, another section 501(c)(3) organization, or a state or local government . . . . . . .	0.100 %
6 Total of lines 4 and 5 . . . . . . . . . . . . .	0.100 %		0.200 %		0.100 %		0.300 %
7 Does the bond issue meet the private security or payment test? . . . . .		X		X		X		X
8a Has there been a sale or disposition of any of the bond financed property to a nongovernmental person other than a 501(c)(3) organization since the bonds were issued?. . . . . . . . . . . . . . . . .		X		X		X		X
b If "Yes" to line 8a, enter the percentage of bond-financed property sold or disposed of.	0.080 %		0.080 %		0.370 %		0.370 %
c If "Yes" to line 8a, was any remedial action taken pursuant to Regulations sections 1.141-12 and 1.145-2? . . . . . . . . . . . . .		X		X		X		X
9 Has the organization established written procedures to ensure that all nonqualified bonds of the issue are remediated in accordance with the requirements under Regulations sections 1.141-12 and 1.145-2? . . . . . . .	X		X		X		X

Part IV

Arbitrage

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
1 Has the issuer filed Form 8038-T? . . . . .		X		X		X		X
2 If "No" to line 1, did the following apply? . . . .
a Rebate not due yet? . . . . . . . .		X		X		X		X
b Exception to rebate? . . . . . . . .	X		X		X		X
c No rebate due? . . . . . . . .		X		X		X		X
If you checked "No rebate due" in line 2c, provide in Part VI the date the rebate computation was performed
3 Is the bond issue a variable rate issue? . . . .		X		X		X		X
4a Has the organization or the governmental issuer entered into a qualified hedge with respect to the bond issue?		X		X		X		X
b Name of provider . . . . . . . . .
c Term of hedge . . . . . . . . . .
d Was the hedge superintegrated? . . . .
e Was the hedge terminated? . . . . . .

Schedule K (Form 990) 2013

Page 3

Part IV

Arbitrage (Continued)

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
5a Were gross proceeds invested in a guaranteed investment contract (GIC)? . . . . . . . . .		X		X		X		X
b Name of provider . . . . . . . . .
c Term of GIC . . . . . . . . . .
d Was the regulatory safe harbor for establishing the fair market value of the GIC satisfied? . . . . .
6 Were any gross proceeds invested beyond an available temporary period? . . . . . . . .		X		X		X		X
7 Has the organization established written procedures to monitor the requirements of section 148? . . .	X		X		X		X

Part V

Procedures To Undertake Corrective Action

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
Has the organization established written procedures to ensure that violations of federal tax requirements are timely identified and corrected through the voluntary closing agreement program if self-remediation is not available under applicable regulations?	X		X		X		X

Part VI

Supplemental Information. Provide additional information for responses to questions on Schedule K (see instructions).

Return Reference	Explanation
Part III, Line 8c	Highlands County Health Facilities Authority 2012A, AR Program: A sale of bond-financed assets in 2006 was identified in early 2013. The taxpayer has paid off the bonds related to this asset sale and filed a VCAP request pursuant to Notice 2008-31, 2008-11 IRB 592, on October 25, 2013.
Part III, Line 8c	Highlands County Health Facilities Authority 2012B, AR Program: A sale of bond-financed assets in 2006 was identified in early 2013. The taxpayer has paid off the bonds related to this asset sale and filed a VCAP request pursuant to Notice 2008-31, 2008-11 IRB 592, on October 25, 2013.
Part III, Line 8c	Kansas Development Finance Authority 2012A: A sale of bond-financed assets in 2003 was identified in July 2013. The taxpayer has paid off the bonds related to this asset sale and filed a VCAP request pursuant to Notice 2008-31, 2008-11 IRB 592, on October 15, 2014.
Part III, Line 8c	Highlands County Health Facilities Authority 2012B-F: A sale of bond-financed assets in 2003 was identified in July 2013. The taxpayer has paid off the bonds related to this asset sale and filed a VCAP request pursuant to Notice 2008-31, 2008-11 IRB 592, on October 15, 2014.

Schedule K (Form 990) 2013

Additional Data

Software ID:
Software Version:

- TIN:

Schedule K
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Information on Tax Exempt Bonds

Complete if the organization answered "Yes" to Form 990, Part IV, line 24a. Provide descriptions,
explanations, and any additional information in Part VI.
SchKMediumBullet

Attach to Form 990. SchKMediumBullet

See separate instructions.
SchKMediumBullet

Information about Schedule K (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2013

Open to Public
Inspection

Name of the organization
Adventist Health SystemSunbelt Inc

Employer identification number
59-1479658

Part I

Bond Issues

(a) Issuer name		(b) Issuer EIN	(c) CUSIP #	(d) Date issued	(e) Issue price	(f) Description of purpose	(g) Defeased		(h) On behalf of issuer		(i) Pool financing
(a) Issuer name		(b) Issuer EIN	(c) CUSIP #	(d) Date issued	(e) Issue price	(f) Description of purpose	Yes	No	Yes	No	Yes	No
A	Highlands County Health Facilities Authority	52-1313569	431022FR8	10-18-2005	64,943,086	2005A, Refund FL 1993A&B, TN 1993 and Tarrant 1993 all issued 10/20/1993		X		X		X
B	Highlands County Health Facilities Authority	52-1313569	431022GN6	10-18-2005	106,410,063	2005B, Refund Orange 2000, Tenn 2000, and Tarrant 2000 all issued 8/31/2000		X		X		X
C	Highlands County Health Facilities Authority	52-1313569	431022HG0	10-18-2005	63,434,535	2005C, Refund Colorado 2001 issued 3/28/2001		X		X		X
D	Highlands County Health Facilities Authority	52-1313569	431022HH8	10-18-2005	102,220,000	2005D, Expand/refurbish facilities, purchase equipment		X		X		X
	Highlands County Health Facilities Authority	52-1313569	431022HUD	06-14-2006	205,156,000	2006C, Expand/refurbish facilities, purchase equipment		X		X		X
	Colorado Health Facilities Authority	84-0752932	19648AAV7	11-15-2006	249,501,424	2006D&E, Refnd Highland, Tarrant 98 iss 12/17/98, Highland iss 03D 10/7/03		X		X		X
	Colorado Health Facilities Authority	84-0752932	19648ACG8	11-15-2006	30,371,450	2006F, Refund 1995 Bonds issued 6/8/1995		X		X		X
	Highlands County Health Facilities Authority	52-1313569	431022JZ6	12-20-2006	212,464,496	2006G, Refund Highlands 2002 issued 12/19/02 and Orange 2002 issued 7/10/02		X		X		X
	Highlands County Health Facilities Authority	52-1313569	431022KK7	08-08-2007	366,445,000	2007A B C D, Expand/refurbish facilities, purchase equipment		X		X		X
	Highlands County Health Facilities Authority	52-1313569	431022QZ8	12-16-2008	68,000,000	2008A, Expand/refurbish facilities, purchase equipment		X		X		X
	Kansas Development Finance Authority	48-1066589	48542ABX8	07-08-2009	325,394,417	2009C, Ref 96/05&97/05 iss 1/13/05, 03A 1/16/03, 08B 12/19/08, exp facility		X		X		X
	Kansas Development Finance Authority	48-1066589	48542ACY5	10-01-2009	102,271,154	2009D, Refund Highlands 07C, 8/8/07 & expand/refurbish facilities/purc equip		X		X		X
	Highlands County Health Facilities Authority	52-1313569	431022SP8	11-16-2009	190,752,502	09E & 08B Conv, Ref Orange 91/01 10/11/01, 92/03 5/15/03, 08B 12/19/08		X		X		X
	Highlands County Health Facilities Authority	52-1313569	431022SG8	11-16-2009	177,240,000	2005I Conv, Refund Highlands 05I 12/22/05 & expand/refurbish facilities		X		X		X
	Highlands County Health Facilities Authority	52-1313569		12-17-2010	57,000,000	2010A, Expand/refurbish facilities, purchase equipment		X		X		X
	Orange County Health Facilities Authority	52-1378595		12-22-2010	25,000,000	2010B, Expand/refurbish facilities, purchase equipment		X		X		X
	Kansas Development Finance Authority	48-1066589		12-22-2010	25,000,000	2010C, Expand/refurbish facilities, purchase equipment		X		X		X
	Colorado Health Facilities Authority	84-0752932		12-22-2010	25,000,000	2010D, Expand/refurbish facilities, purchase equipment		X		X		X
	Highlands County Health Facilities Authority	52-1313569		12-30-2010	225,000,000	2010E, Expand/refurbish facilities, purchase equipment		X		X		X
	Highlands County Health Facilities Authority	52-1313569		11-16-2011	80,000,000	2011A, Expand/refurbish facilities		X		X		X
	Highlands County Health Facilities Authority	52-1313569		03-21-2012	294,985,000	2012A, AR Program - Refund 2009 A-F AR Program		X		X		X
	Highlands County Health Facilities Authority	52-1313569		07-25-2012	115,015,000	2012B, AR Program - Expand/refurbish facilities, purchase equipment		X		X		X
	Kansas Development Finance Authority	48-1066589	48542ADG3	08-29-2012	310,952,245	2012A - Refund Or-1995; H-02,03C,05H,06B,07B,07D,08A; C-2004B; K-2004C		X		X		X
	Highlands County Health Facilities Authority	52-1313569	431022TL6	08-29-2012	348,320,000	2012B-F - Refund Or-1995; H-02,03C,05H,06B,07B,07D,08A; C-2004B; K-2004C		X		X		X
	Highlands County Health Facilities Authority	52-1313569		08-29-2012	125,000,000	2012G&H - Refund Highlands 2005I Conversion Bonds		X		X		X
	Highlands County Health Facilities Authority	52-1313569	431022TR3	11-08-2012	232,125,000	2012I - Refunded Volusia 1994-A; Highlands 2004A, 2005E, 2005F, 2005G		X		X		X
	Highlands County Health Facilities Authority	52-1313569		09-18-2013	485,000,000	2013A B C, Expand/refurbish facilities, purchase equipment		X		X		X

Part II

Proceeds

	A		B		C		D
	1 Amount of bonds retired . . . . . . . . . . . . . .	22,185,000		18,350,000		10,130,000		9,480,000
2 Amount of bonds legally defeased . . . . . . . . . . .	1,510,000		16,155,000		19,265,000		12,255,000
3 Total proceeds of issue . . . . . . . . . . . . . .	64,943,086		106,410,063		63,434,535		102,220,000
4 Gross proceeds in reserve funds . . . . . . . . . . . .
5 Capitalized interest from proceeds . . . . . . . . . . .
6 Proceeds in refunding escrows . . . . . . . . . . . .
7 Issuance costs from proceeds . . . . . . . . . . . .	926,709		1,532,450		928,933		1,500,000
8 Credit enhancement from proceeds . . . . . . . . . . .	5,560,382
9 Working capital expenditures from proceeds . . . . . . . . .
10 Capital expenditures from proceeds . . . . . . . . . . .	100,720,000		68,000,000		12,004,967		100,720,000
11 Other spent proceeds . . . . . . . . . . . . . .	64,016,377		104,877,613		62,505,602		210,608,121
12 Other unspent proceeds . . . . . . . . . . . . . .	178,610,000				178,610,000
13 Year of substantial completion . . . . . . . . . . . .	1993		2000		2001		2005
	Yes	No	Yes	No	Yes	No	Yes	No
14 Were the bonds issued as part of a current refunding issue? . . . . .	X			X		X		X
15 Were the bonds issued as part of an advance refunding issue? . . . . .		X	X		X			X
16 Has the final allocation of proceeds been made? . . . . . . . .	X		X		X		X
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? . . . . . . . . . . . . . .	X		X		X		X

Part III

Private Business Use

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
1 Was the organization a partner in a partnership, or a member of an LLC, which owned property financed by tax-exempt bonds? . . . . . . .		X		X		X		X
2 Are there any lease arrangements that may result in private business use of bond-financed property? . . . . . . . . .		X		X		X		X

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50193E

Schedule K (Form 990) 2013

Page 2

Part III

Private Business Use (Continued)

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
3a Are there any management or service contracts that may result in private business use of bond-financed property? . . . . . . . . . . . .	X		X		X		X
b If "Yes" to line 3a, does the organization routinely engage bond counsel or other outside counsel to review any management or service contracts relating to the financed property?	X		X		X		X
c Are there any research agreements that may result in private business use of bond-financed property? . . . . . . . . . . . . . . .	X		X		X		X
d If "Yes" to line 3c, does the organization routinely engage bond counsel or other outside counsel to review any research agreements relating to the financed property?	X		X		X		X
4 Enter the percentage of financed property used in a private business use by entities other than a section 501(c)(3) organization or a state or local government . .	0.200 %		0.200 %		0.100 %		0.300 %
5 Enter the percentage of financed property used in a private business use as a result of unrelated trade or business activity carried on by your organization, another section 501(c)(3) organization, or a state or local government . . . . . . .	0.100 %
6 Total of lines 4 and 5 . . . . . . . . . . . . .	0.100 %		0.200 %		0.100 %		0.300 %
7 Does the bond issue meet the private security or payment test? . . . . .		X		X		X		X
8a Has there been a sale or disposition of any of the bond financed property to a nongovernmental person other than a 501(c)(3) organization since the bonds were issued?. . . . . . . . . . . . . . . . .		X		X		X		X
b If "Yes" to line 8a, enter the percentage of bond-financed property sold or disposed of.	0.080 %		0.080 %		0.370 %		0.370 %
c If "Yes" to line 8a, was any remedial action taken pursuant to Regulations sections 1.141-12 and 1.145-2? . . . . . . . . . . . . .		X		X		X		X
9 Has the organization established written procedures to ensure that all nonqualified bonds of the issue are remediated in accordance with the requirements under Regulations sections 1.141-12 and 1.145-2? . . . . . . .	X		X		X		X

Part IV

Arbitrage

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
1 Has the issuer filed Form 8038-T? . . . . .		X		X		X		X
2 If "No" to line 1, did the following apply? . . . .
a Rebate not due yet? . . . . . . . .		X		X		X		X
b Exception to rebate? . . . . . . . .	X		X		X		X
c No rebate due? . . . . . . . .		X		X		X		X
If you checked "No rebate due" in line 2c, provide in Part VI the date the rebate computation was performed
3 Is the bond issue a variable rate issue? . . . .		X		X		X		X
4a Has the organization or the governmental issuer entered into a qualified hedge with respect to the bond issue?		X		X		X		X
b Name of provider . . . . . . . . .
c Term of hedge . . . . . . . . . .
d Was the hedge superintegrated? . . . .
e Was the hedge terminated? . . . . . .

Schedule K (Form 990) 2013

Page 3

Part IV

Arbitrage (Continued)

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
5a Were gross proceeds invested in a guaranteed investment contract (GIC)? . . . . . . . . .		X		X		X		X
b Name of provider . . . . . . . . .
c Term of GIC . . . . . . . . . .
d Was the regulatory safe harbor for establishing the fair market value of the GIC satisfied? . . . . .
6 Were any gross proceeds invested beyond an available temporary period? . . . . . . . .		X		X		X		X
7 Has the organization established written procedures to monitor the requirements of section 148? . . .	X		X		X		X

Part V

Procedures To Undertake Corrective Action

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
Has the organization established written procedures to ensure that violations of federal tax requirements are timely identified and corrected through the voluntary closing agreement program if self-remediation is not available under applicable regulations?	X		X		X		X

Part VI

Supplemental Information. Provide additional information for responses to questions on Schedule K (see instructions).

Return Reference	Explanation
Part III, Line 8c	Highlands County Health Facilities Authority 2012A, AR Program: A sale of bond-financed assets in 2006 was identified in early 2013. The taxpayer has paid off the bonds related to this asset sale and filed a VCAP request pursuant to Notice 2008-31, 2008-11 IRB 592, on October 25, 2013.
Part III, Line 8c	Highlands County Health Facilities Authority 2012B, AR Program: A sale of bond-financed assets in 2006 was identified in early 2013. The taxpayer has paid off the bonds related to this asset sale and filed a VCAP request pursuant to Notice 2008-31, 2008-11 IRB 592, on October 25, 2013.
Part III, Line 8c	Kansas Development Finance Authority 2012A: A sale of bond-financed assets in 2003 was identified in July 2013. The taxpayer has paid off the bonds related to this asset sale and filed a VCAP request pursuant to Notice 2008-31, 2008-11 IRB 592, on October 15, 2014.
Part III, Line 8c	Highlands County Health Facilities Authority 2012B-F: A sale of bond-financed assets in 2003 was identified in July 2013. The taxpayer has paid off the bonds related to this asset sale and filed a VCAP request pursuant to Notice 2008-31, 2008-11 IRB 592, on October 15, 2014.

Schedule K (Form 990) 2013

Additional Data

Software ID:
Software Version:

- TIN:

Schedule K
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Information on Tax Exempt Bonds

Complete if the organization answered "Yes" to Form 990, Part IV, line 24a. Provide descriptions,
explanations, and any additional information in Part VI.
SchKMediumBullet

Attach to Form 990. SchKMediumBullet

See separate instructions.
SchKMediumBullet

Information about Schedule K (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2013

Open to Public
Inspection

Name of the organization
Adventist Health SystemSunbelt Inc

Employer identification number
59-1479658

Part I

Bond Issues

(a) Issuer name		(b) Issuer EIN	(c) CUSIP #	(d) Date issued	(e) Issue price	(f) Description of purpose	(g) Defeased		(h) On behalf of issuer		(i) Pool financing
(a) Issuer name		(b) Issuer EIN	(c) CUSIP #	(d) Date issued	(e) Issue price	(f) Description of purpose	Yes	No	Yes	No	Yes	No
A	Highlands County Health Facilities Authority	52-1313569	431022FR8	10-18-2005	64,943,086	2005A, Refund FL 1993A&B, TN 1993 and Tarrant 1993 all issued 10/20/1993		X		X		X
B	Highlands County Health Facilities Authority	52-1313569	431022GN6	10-18-2005	106,410,063	2005B, Refund Orange 2000, Tenn 2000, and Tarrant 2000 all issued 8/31/2000		X		X		X
C	Highlands County Health Facilities Authority	52-1313569	431022HG0	10-18-2005	63,434,535	2005C, Refund Colorado 2001 issued 3/28/2001		X		X		X
D	Highlands County Health Facilities Authority	52-1313569	431022HH8	10-18-2005	102,220,000	2005D, Expand/refurbish facilities, purchase equipment		X		X		X
	Highlands County Health Facilities Authority	52-1313569	431022HUD	06-14-2006	205,156,000	2006C, Expand/refurbish facilities, purchase equipment		X		X		X
	Colorado Health Facilities Authority	84-0752932	19648AAV7	11-15-2006	249,501,424	2006D&E, Refnd Highland, Tarrant 98 iss 12/17/98, Highland iss 03D 10/7/03		X		X		X
	Colorado Health Facilities Authority	84-0752932	19648ACG8	11-15-2006	30,371,450	2006F, Refund 1995 Bonds issued 6/8/1995		X		X		X
	Highlands County Health Facilities Authority	52-1313569	431022JZ6	12-20-2006	212,464,496	2006G, Refund Highlands 2002 issued 12/19/02 and Orange 2002 issued 7/10/02		X		X		X
	Highlands County Health Facilities Authority	52-1313569	431022KK7	08-08-2007	366,445,000	2007A B C D, Expand/refurbish facilities, purchase equipment		X		X		X
	Highlands County Health Facilities Authority	52-1313569	431022QZ8	12-16-2008	68,000,000	2008A, Expand/refurbish facilities, purchase equipment		X		X		X
	Kansas Development Finance Authority	48-1066589	48542ABX8	07-08-2009	325,394,417	2009C, Ref 96/05&97/05 iss 1/13/05, 03A 1/16/03, 08B 12/19/08, exp facility		X		X		X
	Kansas Development Finance Authority	48-1066589	48542ACY5	10-01-2009	102,271,154	2009D, Refund Highlands 07C, 8/8/07 & expand/refurbish facilities/purc equip		X		X		X
	Highlands County Health Facilities Authority	52-1313569	431022SP8	11-16-2009	190,752,502	09E & 08B Conv, Ref Orange 91/01 10/11/01, 92/03 5/15/03, 08B 12/19/08		X		X		X
	Highlands County Health Facilities Authority	52-1313569	431022SG8	11-16-2009	177,240,000	2005I Conv, Refund Highlands 05I 12/22/05 & expand/refurbish facilities		X		X		X
	Highlands County Health Facilities Authority	52-1313569		12-17-2010	57,000,000	2010A, Expand/refurbish facilities, purchase equipment		X		X		X
	Orange County Health Facilities Authority	52-1378595		12-22-2010	25,000,000	2010B, Expand/refurbish facilities, purchase equipment		X		X		X
	Kansas Development Finance Authority	48-1066589		12-22-2010	25,000,000	2010C, Expand/refurbish facilities, purchase equipment		X		X		X
	Colorado Health Facilities Authority	84-0752932		12-22-2010	25,000,000	2010D, Expand/refurbish facilities, purchase equipment		X		X		X
	Highlands County Health Facilities Authority	52-1313569		12-30-2010	225,000,000	2010E, Expand/refurbish facilities, purchase equipment		X		X		X
	Highlands County Health Facilities Authority	52-1313569		11-16-2011	80,000,000	2011A, Expand/refurbish facilities		X		X		X
	Highlands County Health Facilities Authority	52-1313569		03-21-2012	294,985,000	2012A, AR Program - Refund 2009 A-F AR Program		X		X		X
	Highlands County Health Facilities Authority	52-1313569		07-25-2012	115,015,000	2012B, AR Program - Expand/refurbish facilities, purchase equipment		X		X		X
	Kansas Development Finance Authority	48-1066589	48542ADG3	08-29-2012	310,952,245	2012A - Refund Or-1995; H-02,03C,05H,06B,07B,07D,08A; C-2004B; K-2004C		X		X		X
	Highlands County Health Facilities Authority	52-1313569	431022TL6	08-29-2012	348,320,000	2012B-F - Refund Or-1995; H-02,03C,05H,06B,07B,07D,08A; C-2004B; K-2004C		X		X		X
	Highlands County Health Facilities Authority	52-1313569		08-29-2012	125,000,000	2012G&H - Refund Highlands 2005I Conversion Bonds		X		X		X
	Highlands County Health Facilities Authority	52-1313569	431022TR3	11-08-2012	232,125,000	2012I - Refunded Volusia 1994-A; Highlands 2004A, 2005E, 2005F, 2005G		X		X		X
	Highlands County Health Facilities Authority	52-1313569		09-18-2013	485,000,000	2013A B C, Expand/refurbish facilities, purchase equipment		X		X		X

Part II

Proceeds

	A		B		C		D
	1 Amount of bonds retired . . . . . . . . . . . . . .	22,185,000		18,350,000		10,130,000		9,480,000
2 Amount of bonds legally defeased . . . . . . . . . . .	1,510,000		16,155,000		19,265,000		12,255,000
3 Total proceeds of issue . . . . . . . . . . . . . .	64,943,086		106,410,063		63,434,535		102,220,000
4 Gross proceeds in reserve funds . . . . . . . . . . . .
5 Capitalized interest from proceeds . . . . . . . . . . .
6 Proceeds in refunding escrows . . . . . . . . . . . .
7 Issuance costs from proceeds . . . . . . . . . . . .	926,709		1,532,450		928,933		1,500,000
8 Credit enhancement from proceeds . . . . . . . . . . .	5,560,382
9 Working capital expenditures from proceeds . . . . . . . . .
10 Capital expenditures from proceeds . . . . . . . . . . .	100,720,000		68,000,000		12,004,967		100,720,000
11 Other spent proceeds . . . . . . . . . . . . . .	64,016,377		104,877,613		62,505,602		210,608,121
12 Other unspent proceeds . . . . . . . . . . . . . .	178,610,000				178,610,000
13 Year of substantial completion . . . . . . . . . . . .	1993		2000		2001		2005
	Yes	No	Yes	No	Yes	No	Yes	No
14 Were the bonds issued as part of a current refunding issue? . . . . .	X			X		X		X
15 Were the bonds issued as part of an advance refunding issue? . . . . .		X	X		X			X
16 Has the final allocation of proceeds been made? . . . . . . . .	X		X		X		X
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? . . . . . . . . . . . . . .	X		X		X		X

Part III

Private Business Use

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
1 Was the organization a partner in a partnership, or a member of an LLC, which owned property financed by tax-exempt bonds? . . . . . . .		X		X		X		X
2 Are there any lease arrangements that may result in private business use of bond-financed property? . . . . . . . . .		X		X		X		X

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50193E

Schedule K (Form 990) 2013

Page 2

Part III

Private Business Use (Continued)

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
3a Are there any management or service contracts that may result in private business use of bond-financed property? . . . . . . . . . . . .	X		X		X		X
b If "Yes" to line 3a, does the organization routinely engage bond counsel or other outside counsel to review any management or service contracts relating to the financed property?	X		X		X		X
c Are there any research agreements that may result in private business use of bond-financed property? . . . . . . . . . . . . . . .	X		X		X		X
d If "Yes" to line 3c, does the organization routinely engage bond counsel or other outside counsel to review any research agreements relating to the financed property?	X		X		X		X
4 Enter the percentage of financed property used in a private business use by entities other than a section 501(c)(3) organization or a state or local government . .	0.200 %		0.200 %		0.100 %		0.300 %
5 Enter the percentage of financed property used in a private business use as a result of unrelated trade or business activity carried on by your organization, another section 501(c)(3) organization, or a state or local government . . . . . . .	0.100 %
6 Total of lines 4 and 5 . . . . . . . . . . . . .	0.100 %		0.200 %		0.100 %		0.300 %
7 Does the bond issue meet the private security or payment test? . . . . .		X		X		X		X
8a Has there been a sale or disposition of any of the bond financed property to a nongovernmental person other than a 501(c)(3) organization since the bonds were issued?. . . . . . . . . . . . . . . . .		X		X		X		X
b If "Yes" to line 8a, enter the percentage of bond-financed property sold or disposed of.	0.080 %		0.080 %		0.370 %		0.370 %
c If "Yes" to line 8a, was any remedial action taken pursuant to Regulations sections 1.141-12 and 1.145-2? . . . . . . . . . . . . .		X		X		X		X
9 Has the organization established written procedures to ensure that all nonqualified bonds of the issue are remediated in accordance with the requirements under Regulations sections 1.141-12 and 1.145-2? . . . . . . .	X		X		X		X

Part IV

Arbitrage

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
1 Has the issuer filed Form 8038-T? . . . . .		X		X		X		X
2 If "No" to line 1, did the following apply? . . . .
a Rebate not due yet? . . . . . . . .		X		X		X		X
b Exception to rebate? . . . . . . . .	X		X		X		X
c No rebate due? . . . . . . . .		X		X		X		X
If you checked "No rebate due" in line 2c, provide in Part VI the date the rebate computation was performed
3 Is the bond issue a variable rate issue? . . . .		X		X		X		X
4a Has the organization or the governmental issuer entered into a qualified hedge with respect to the bond issue?		X		X		X		X
b Name of provider . . . . . . . . .
c Term of hedge . . . . . . . . . .
d Was the hedge superintegrated? . . . .
e Was the hedge terminated? . . . . . .

Schedule K (Form 990) 2013

Page 3

Part IV

Arbitrage (Continued)

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
5a Were gross proceeds invested in a guaranteed investment contract (GIC)? . . . . . . . . .		X		X		X		X
b Name of provider . . . . . . . . .
c Term of GIC . . . . . . . . . .
d Was the regulatory safe harbor for establishing the fair market value of the GIC satisfied? . . . . .
6 Were any gross proceeds invested beyond an available temporary period? . . . . . . . .		X		X		X		X
7 Has the organization established written procedures to monitor the requirements of section 148? . . .	X		X		X		X

Part V

Procedures To Undertake Corrective Action

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
Has the organization established written procedures to ensure that violations of federal tax requirements are timely identified and corrected through the voluntary closing agreement program if self-remediation is not available under applicable regulations?	X		X		X		X

Part VI

Supplemental Information. Provide additional information for responses to questions on Schedule K (see instructions).

Return Reference	Explanation
Part III, Line 8c	Highlands County Health Facilities Authority 2012A, AR Program: A sale of bond-financed assets in 2006 was identified in early 2013. The taxpayer has paid off the bonds related to this asset sale and filed a VCAP request pursuant to Notice 2008-31, 2008-11 IRB 592, on October 25, 2013.
Part III, Line 8c	Highlands County Health Facilities Authority 2012B, AR Program: A sale of bond-financed assets in 2006 was identified in early 2013. The taxpayer has paid off the bonds related to this asset sale and filed a VCAP request pursuant to Notice 2008-31, 2008-11 IRB 592, on October 25, 2013.
Part III, Line 8c	Kansas Development Finance Authority 2012A: A sale of bond-financed assets in 2003 was identified in July 2013. The taxpayer has paid off the bonds related to this asset sale and filed a VCAP request pursuant to Notice 2008-31, 2008-11 IRB 592, on October 15, 2014.
Part III, Line 8c	Highlands County Health Facilities Authority 2012B-F: A sale of bond-financed assets in 2003 was identified in July 2013. The taxpayer has paid off the bonds related to this asset sale and filed a VCAP request pursuant to Notice 2008-31, 2008-11 IRB 592, on October 15, 2014.

Schedule K (Form 990) 2013

Additional Data

Software ID:
Software Version:

- TIN:

Schedule K
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Information on Tax Exempt Bonds

Complete if the organization answered "Yes" to Form 990, Part IV, line 24a. Provide descriptions,
explanations, and any additional information in Part VI.
SchKMediumBullet

Attach to Form 990. SchKMediumBullet

See separate instructions.
SchKMediumBullet

Information about Schedule K (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2013

Open to Public
Inspection

Name of the organization
Adventist Health SystemSunbelt Inc

Employer identification number
59-1479658

Part I

Bond Issues

(a) Issuer name		(b) Issuer EIN	(c) CUSIP #	(d) Date issued	(e) Issue price	(f) Description of purpose	(g) Defeased		(h) On behalf of issuer		(i) Pool financing
(a) Issuer name		(b) Issuer EIN	(c) CUSIP #	(d) Date issued	(e) Issue price	(f) Description of purpose	Yes	No	Yes	No	Yes	No
A	Highlands County Health Facilities Authority	52-1313569	431022FR8	10-18-2005	64,943,086	2005A, Refund FL 1993A&B, TN 1993 and Tarrant 1993 all issued 10/20/1993		X		X		X
B	Highlands County Health Facilities Authority	52-1313569	431022GN6	10-18-2005	106,410,063	2005B, Refund Orange 2000, Tenn 2000, and Tarrant 2000 all issued 8/31/2000		X		X		X
C	Highlands County Health Facilities Authority	52-1313569	431022HG0	10-18-2005	63,434,535	2005C, Refund Colorado 2001 issued 3/28/2001		X		X		X
D	Highlands County Health Facilities Authority	52-1313569	431022HH8	10-18-2005	102,220,000	2005D, Expand/refurbish facilities, purchase equipment		X		X		X
	Highlands County Health Facilities Authority	52-1313569	431022HUD	06-14-2006	205,156,000	2006C, Expand/refurbish facilities, purchase equipment		X		X		X
	Colorado Health Facilities Authority	84-0752932	19648AAV7	11-15-2006	249,501,424	2006D&E, Refnd Highland, Tarrant 98 iss 12/17/98, Highland iss 03D 10/7/03		X		X		X
	Colorado Health Facilities Authority	84-0752932	19648ACG8	11-15-2006	30,371,450	2006F, Refund 1995 Bonds issued 6/8/1995		X		X		X
	Highlands County Health Facilities Authority	52-1313569	431022JZ6	12-20-2006	212,464,496	2006G, Refund Highlands 2002 issued 12/19/02 and Orange 2002 issued 7/10/02		X		X		X
	Highlands County Health Facilities Authority	52-1313569	431022KK7	08-08-2007	366,445,000	2007A B C D, Expand/refurbish facilities, purchase equipment		X		X		X
	Highlands County Health Facilities Authority	52-1313569	431022QZ8	12-16-2008	68,000,000	2008A, Expand/refurbish facilities, purchase equipment		X		X		X
	Kansas Development Finance Authority	48-1066589	48542ABX8	07-08-2009	325,394,417	2009C, Ref 96/05&97/05 iss 1/13/05, 03A 1/16/03, 08B 12/19/08, exp facility		X		X		X
	Kansas Development Finance Authority	48-1066589	48542ACY5	10-01-2009	102,271,154	2009D, Refund Highlands 07C, 8/8/07 & expand/refurbish facilities/purc equip		X		X		X
	Highlands County Health Facilities Authority	52-1313569	431022SP8	11-16-2009	190,752,502	09E & 08B Conv, Ref Orange 91/01 10/11/01, 92/03 5/15/03, 08B 12/19/08		X		X		X
	Highlands County Health Facilities Authority	52-1313569	431022SG8	11-16-2009	177,240,000	2005I Conv, Refund Highlands 05I 12/22/05 & expand/refurbish facilities		X		X		X
	Highlands County Health Facilities Authority	52-1313569		12-17-2010	57,000,000	2010A, Expand/refurbish facilities, purchase equipment		X		X		X
	Orange County Health Facilities Authority	52-1378595		12-22-2010	25,000,000	2010B, Expand/refurbish facilities, purchase equipment		X		X		X
	Kansas Development Finance Authority	48-1066589		12-22-2010	25,000,000	2010C, Expand/refurbish facilities, purchase equipment		X		X		X
	Colorado Health Facilities Authority	84-0752932		12-22-2010	25,000,000	2010D, Expand/refurbish facilities, purchase equipment		X		X		X
	Highlands County Health Facilities Authority	52-1313569		12-30-2010	225,000,000	2010E, Expand/refurbish facilities, purchase equipment		X		X		X
	Highlands County Health Facilities Authority	52-1313569		11-16-2011	80,000,000	2011A, Expand/refurbish facilities		X		X		X
	Highlands County Health Facilities Authority	52-1313569		03-21-2012	294,985,000	2012A, AR Program - Refund 2009 A-F AR Program		X		X		X
	Highlands County Health Facilities Authority	52-1313569		07-25-2012	115,015,000	2012B, AR Program - Expand/refurbish facilities, purchase equipment		X		X		X
	Kansas Development Finance Authority	48-1066589	48542ADG3	08-29-2012	310,952,245	2012A - Refund Or-1995; H-02,03C,05H,06B,07B,07D,08A; C-2004B; K-2004C		X		X		X
	Highlands County Health Facilities Authority	52-1313569	431022TL6	08-29-2012	348,320,000	2012B-F - Refund Or-1995; H-02,03C,05H,06B,07B,07D,08A; C-2004B; K-2004C		X		X		X
	Highlands County Health Facilities Authority	52-1313569		08-29-2012	125,000,000	2012G&H - Refund Highlands 2005I Conversion Bonds		X		X		X
	Highlands County Health Facilities Authority	52-1313569	431022TR3	11-08-2012	232,125,000	2012I - Refunded Volusia 1994-A; Highlands 2004A, 2005E, 2005F, 2005G		X		X		X
	Highlands County Health Facilities Authority	52-1313569		09-18-2013	485,000,000	2013A B C, Expand/refurbish facilities, purchase equipment		X		X		X

Part II

Proceeds

	A		B		C		D
	1 Amount of bonds retired . . . . . . . . . . . . . .	22,185,000		18,350,000		10,130,000		9,480,000
2 Amount of bonds legally defeased . . . . . . . . . . .	1,510,000		16,155,000		19,265,000		12,255,000
3 Total proceeds of issue . . . . . . . . . . . . . .	64,943,086		106,410,063		63,434,535		102,220,000
4 Gross proceeds in reserve funds . . . . . . . . . . . .
5 Capitalized interest from proceeds . . . . . . . . . . .
6 Proceeds in refunding escrows . . . . . . . . . . . .
7 Issuance costs from proceeds . . . . . . . . . . . .	926,709		1,532,450		928,933		1,500,000
8 Credit enhancement from proceeds . . . . . . . . . . .	5,560,382
9 Working capital expenditures from proceeds . . . . . . . . .
10 Capital expenditures from proceeds . . . . . . . . . . .	100,720,000		68,000,000		12,004,967		100,720,000
11 Other spent proceeds . . . . . . . . . . . . . .	64,016,377		104,877,613		62,505,602		210,608,121
12 Other unspent proceeds . . . . . . . . . . . . . .	178,610,000				178,610,000
13 Year of substantial completion . . . . . . . . . . . .	1993		2000		2001		2005
	Yes	No	Yes	No	Yes	No	Yes	No
14 Were the bonds issued as part of a current refunding issue? . . . . .	X			X		X		X
15 Were the bonds issued as part of an advance refunding issue? . . . . .		X	X		X			X
16 Has the final allocation of proceeds been made? . . . . . . . .	X		X		X		X
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? . . . . . . . . . . . . . .	X		X		X		X

Part III

Private Business Use

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
1 Was the organization a partner in a partnership, or a member of an LLC, which owned property financed by tax-exempt bonds? . . . . . . .		X		X		X		X
2 Are there any lease arrangements that may result in private business use of bond-financed property? . . . . . . . . .		X		X		X		X

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50193E

Schedule K (Form 990) 2013

Page 2

Part III

Private Business Use (Continued)

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
3a Are there any management or service contracts that may result in private business use of bond-financed property? . . . . . . . . . . . .	X		X		X		X
b If "Yes" to line 3a, does the organization routinely engage bond counsel or other outside counsel to review any management or service contracts relating to the financed property?	X		X		X		X
c Are there any research agreements that may result in private business use of bond-financed property? . . . . . . . . . . . . . . .	X		X		X		X
d If "Yes" to line 3c, does the organization routinely engage bond counsel or other outside counsel to review any research agreements relating to the financed property?	X		X		X		X
4 Enter the percentage of financed property used in a private business use by entities other than a section 501(c)(3) organization or a state or local government . .	0.200 %		0.200 %		0.100 %		0.300 %
5 Enter the percentage of financed property used in a private business use as a result of unrelated trade or business activity carried on by your organization, another section 501(c)(3) organization, or a state or local government . . . . . . .	0.100 %
6 Total of lines 4 and 5 . . . . . . . . . . . . .	0.100 %		0.200 %		0.100 %		0.300 %
7 Does the bond issue meet the private security or payment test? . . . . .		X		X		X		X
8a Has there been a sale or disposition of any of the bond financed property to a nongovernmental person other than a 501(c)(3) organization since the bonds were issued?. . . . . . . . . . . . . . . . .		X		X		X		X
b If "Yes" to line 8a, enter the percentage of bond-financed property sold or disposed of.	0.080 %		0.080 %		0.370 %		0.370 %
c If "Yes" to line 8a, was any remedial action taken pursuant to Regulations sections 1.141-12 and 1.145-2? . . . . . . . . . . . . .		X		X		X		X
9 Has the organization established written procedures to ensure that all nonqualified bonds of the issue are remediated in accordance with the requirements under Regulations sections 1.141-12 and 1.145-2? . . . . . . .	X		X		X		X

Part IV

Arbitrage

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
1 Has the issuer filed Form 8038-T? . . . . .		X		X		X		X
2 If "No" to line 1, did the following apply? . . . .
a Rebate not due yet? . . . . . . . .		X		X		X		X
b Exception to rebate? . . . . . . . .	X		X		X		X
c No rebate due? . . . . . . . .		X		X		X		X
If you checked "No rebate due" in line 2c, provide in Part VI the date the rebate computation was performed
3 Is the bond issue a variable rate issue? . . . .		X		X		X		X
4a Has the organization or the governmental issuer entered into a qualified hedge with respect to the bond issue?		X		X		X		X
b Name of provider . . . . . . . . .
c Term of hedge . . . . . . . . . .
d Was the hedge superintegrated? . . . .
e Was the hedge terminated? . . . . . .

Schedule K (Form 990) 2013

Page 3

Part IV

Arbitrage (Continued)

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
5a Were gross proceeds invested in a guaranteed investment contract (GIC)? . . . . . . . . .		X		X		X		X
b Name of provider . . . . . . . . .
c Term of GIC . . . . . . . . . .
d Was the regulatory safe harbor for establishing the fair market value of the GIC satisfied? . . . . .
6 Were any gross proceeds invested beyond an available temporary period? . . . . . . . .		X		X		X		X
7 Has the organization established written procedures to monitor the requirements of section 148? . . .	X		X		X		X

Part V

Procedures To Undertake Corrective Action

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
Has the organization established written procedures to ensure that violations of federal tax requirements are timely identified and corrected through the voluntary closing agreement program if self-remediation is not available under applicable regulations?	X		X		X		X

Part VI

Supplemental Information. Provide additional information for responses to questions on Schedule K (see instructions).

Return Reference	Explanation
Part III, Line 8c	Highlands County Health Facilities Authority 2012A, AR Program: A sale of bond-financed assets in 2006 was identified in early 2013. The taxpayer has paid off the bonds related to this asset sale and filed a VCAP request pursuant to Notice 2008-31, 2008-11 IRB 592, on October 25, 2013.
Part III, Line 8c	Highlands County Health Facilities Authority 2012B, AR Program: A sale of bond-financed assets in 2006 was identified in early 2013. The taxpayer has paid off the bonds related to this asset sale and filed a VCAP request pursuant to Notice 2008-31, 2008-11 IRB 592, on October 25, 2013.
Part III, Line 8c	Kansas Development Finance Authority 2012A: A sale of bond-financed assets in 2003 was identified in July 2013. The taxpayer has paid off the bonds related to this asset sale and filed a VCAP request pursuant to Notice 2008-31, 2008-11 IRB 592, on October 15, 2014.
Part III, Line 8c	Highlands County Health Facilities Authority 2012B-F: A sale of bond-financed assets in 2003 was identified in July 2013. The taxpayer has paid off the bonds related to this asset sale and filed a VCAP request pursuant to Notice 2008-31, 2008-11 IRB 592, on October 15, 2014.

Schedule K (Form 990) 2013

Additional Data

Software ID:
Software Version:

- TIN:

Schedule K
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Information on Tax Exempt Bonds

Complete if the organization answered "Yes" to Form 990, Part IV, line 24a. Provide descriptions,
explanations, and any additional information in Part VI.
SchKMediumBullet

Attach to Form 990. SchKMediumBullet

See separate instructions.
SchKMediumBullet

Information about Schedule K (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2013

Open to Public
Inspection

Name of the organization
Adventist Health SystemSunbelt Inc

Employer identification number
59-1479658

Part I

Bond Issues

(a) Issuer name		(b) Issuer EIN	(c) CUSIP #	(d) Date issued	(e) Issue price	(f) Description of purpose	(g) Defeased		(h) On behalf of issuer		(i) Pool financing
(a) Issuer name		(b) Issuer EIN	(c) CUSIP #	(d) Date issued	(e) Issue price	(f) Description of purpose	Yes	No	Yes	No	Yes	No
A	Highlands County Health Facilities Authority	52-1313569	431022FR8	10-18-2005	64,943,086	2005A, Refund FL 1993A&B, TN 1993 and Tarrant 1993 all issued 10/20/1993		X		X		X
B	Highlands County Health Facilities Authority	52-1313569	431022GN6	10-18-2005	106,410,063	2005B, Refund Orange 2000, Tenn 2000, and Tarrant 2000 all issued 8/31/2000		X		X		X
C	Highlands County Health Facilities Authority	52-1313569	431022HG0	10-18-2005	63,434,535	2005C, Refund Colorado 2001 issued 3/28/2001		X		X		X
D	Highlands County Health Facilities Authority	52-1313569	431022HH8	10-18-2005	102,220,000	2005D, Expand/refurbish facilities, purchase equipment		X		X		X
	Highlands County Health Facilities Authority	52-1313569	431022HUD	06-14-2006	205,156,000	2006C, Expand/refurbish facilities, purchase equipment		X		X		X
	Colorado Health Facilities Authority	84-0752932	19648AAV7	11-15-2006	249,501,424	2006D&E, Refnd Highland, Tarrant 98 iss 12/17/98, Highland iss 03D 10/7/03		X		X		X
	Colorado Health Facilities Authority	84-0752932	19648ACG8	11-15-2006	30,371,450	2006F, Refund 1995 Bonds issued 6/8/1995		X		X		X
	Highlands County Health Facilities Authority	52-1313569	431022JZ6	12-20-2006	212,464,496	2006G, Refund Highlands 2002 issued 12/19/02 and Orange 2002 issued 7/10/02		X		X		X
	Highlands County Health Facilities Authority	52-1313569	431022KK7	08-08-2007	366,445,000	2007A B C D, Expand/refurbish facilities, purchase equipment		X		X		X
	Highlands County Health Facilities Authority	52-1313569	431022QZ8	12-16-2008	68,000,000	2008A, Expand/refurbish facilities, purchase equipment		X		X		X
	Kansas Development Finance Authority	48-1066589	48542ABX8	07-08-2009	325,394,417	2009C, Ref 96/05&97/05 iss 1/13/05, 03A 1/16/03, 08B 12/19/08, exp facility		X		X		X
	Kansas Development Finance Authority	48-1066589	48542ACY5	10-01-2009	102,271,154	2009D, Refund Highlands 07C, 8/8/07 & expand/refurbish facilities/purc equip		X		X		X
	Highlands County Health Facilities Authority	52-1313569	431022SP8	11-16-2009	190,752,502	09E & 08B Conv, Ref Orange 91/01 10/11/01, 92/03 5/15/03, 08B 12/19/08		X		X		X
	Highlands County Health Facilities Authority	52-1313569	431022SG8	11-16-2009	177,240,000	2005I Conv, Refund Highlands 05I 12/22/05 & expand/refurbish facilities		X		X		X
	Highlands County Health Facilities Authority	52-1313569		12-17-2010	57,000,000	2010A, Expand/refurbish facilities, purchase equipment		X		X		X
	Orange County Health Facilities Authority	52-1378595		12-22-2010	25,000,000	2010B, Expand/refurbish facilities, purchase equipment		X		X		X
	Kansas Development Finance Authority	48-1066589		12-22-2010	25,000,000	2010C, Expand/refurbish facilities, purchase equipment		X		X		X
	Colorado Health Facilities Authority	84-0752932		12-22-2010	25,000,000	2010D, Expand/refurbish facilities, purchase equipment		X		X		X
	Highlands County Health Facilities Authority	52-1313569		12-30-2010	225,000,000	2010E, Expand/refurbish facilities, purchase equipment		X		X		X
	Highlands County Health Facilities Authority	52-1313569		11-16-2011	80,000,000	2011A, Expand/refurbish facilities		X		X		X
	Highlands County Health Facilities Authority	52-1313569		03-21-2012	294,985,000	2012A, AR Program - Refund 2009 A-F AR Program		X		X		X
	Highlands County Health Facilities Authority	52-1313569		07-25-2012	115,015,000	2012B, AR Program - Expand/refurbish facilities, purchase equipment		X		X		X
	Kansas Development Finance Authority	48-1066589	48542ADG3	08-29-2012	310,952,245	2012A - Refund Or-1995; H-02,03C,05H,06B,07B,07D,08A; C-2004B; K-2004C		X		X		X
	Highlands County Health Facilities Authority	52-1313569	431022TL6	08-29-2012	348,320,000	2012B-F - Refund Or-1995; H-02,03C,05H,06B,07B,07D,08A; C-2004B; K-2004C		X		X		X
	Highlands County Health Facilities Authority	52-1313569		08-29-2012	125,000,000	2012G&H - Refund Highlands 2005I Conversion Bonds		X		X		X
	Highlands County Health Facilities Authority	52-1313569	431022TR3	11-08-2012	232,125,000	2012I - Refunded Volusia 1994-A; Highlands 2004A, 2005E, 2005F, 2005G		X		X		X
	Highlands County Health Facilities Authority	52-1313569		09-18-2013	485,000,000	2013A B C, Expand/refurbish facilities, purchase equipment		X		X		X

Part II

Proceeds

	A		B		C		D
	1 Amount of bonds retired . . . . . . . . . . . . . .	22,185,000		18,350,000		10,130,000		9,480,000
2 Amount of bonds legally defeased . . . . . . . . . . .	1,510,000		16,155,000		19,265,000		12,255,000
3 Total proceeds of issue . . . . . . . . . . . . . .	64,943,086		106,410,063		63,434,535		102,220,000
4 Gross proceeds in reserve funds . . . . . . . . . . . .
5 Capitalized interest from proceeds . . . . . . . . . . .
6 Proceeds in refunding escrows . . . . . . . . . . . .
7 Issuance costs from proceeds . . . . . . . . . . . .	926,709		1,532,450		928,933		1,500,000
8 Credit enhancement from proceeds . . . . . . . . . . .	5,560,382
9 Working capital expenditures from proceeds . . . . . . . . .
10 Capital expenditures from proceeds . . . . . . . . . . .	100,720,000		68,000,000		12,004,967		100,720,000
11 Other spent proceeds . . . . . . . . . . . . . .	64,016,377		104,877,613		62,505,602		210,608,121
12 Other unspent proceeds . . . . . . . . . . . . . .	178,610,000				178,610,000
13 Year of substantial completion . . . . . . . . . . . .	1993		2000		2001		2005
	Yes	No	Yes	No	Yes	No	Yes	No
14 Were the bonds issued as part of a current refunding issue? . . . . .	X			X		X		X
15 Were the bonds issued as part of an advance refunding issue? . . . . .		X	X		X			X
16 Has the final allocation of proceeds been made? . . . . . . . .	X		X		X		X
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? . . . . . . . . . . . . . .	X		X		X		X

Part III

Private Business Use

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
1 Was the organization a partner in a partnership, or a member of an LLC, which owned property financed by tax-exempt bonds? . . . . . . .		X		X		X		X
2 Are there any lease arrangements that may result in private business use of bond-financed property? . . . . . . . . .		X		X		X		X

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50193E

Schedule K (Form 990) 2013

Page 2

Part III

Private Business Use (Continued)

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
3a Are there any management or service contracts that may result in private business use of bond-financed property? . . . . . . . . . . . .	X		X		X		X
b If "Yes" to line 3a, does the organization routinely engage bond counsel or other outside counsel to review any management or service contracts relating to the financed property?	X		X		X		X
c Are there any research agreements that may result in private business use of bond-financed property? . . . . . . . . . . . . . . .	X		X		X		X
d If "Yes" to line 3c, does the organization routinely engage bond counsel or other outside counsel to review any research agreements relating to the financed property?	X		X		X		X
4 Enter the percentage of financed property used in a private business use by entities other than a section 501(c)(3) organization or a state or local government . .	0.200 %		0.200 %		0.100 %		0.300 %
5 Enter the percentage of financed property used in a private business use as a result of unrelated trade or business activity carried on by your organization, another section 501(c)(3) organization, or a state or local government . . . . . . .	0.100 %
6 Total of lines 4 and 5 . . . . . . . . . . . . .	0.100 %		0.200 %		0.100 %		0.300 %
7 Does the bond issue meet the private security or payment test? . . . . .		X		X		X		X
8a Has there been a sale or disposition of any of the bond financed property to a nongovernmental person other than a 501(c)(3) organization since the bonds were issued?. . . . . . . . . . . . . . . . .		X		X		X		X
b If "Yes" to line 8a, enter the percentage of bond-financed property sold or disposed of.	0.080 %		0.080 %		0.370 %		0.370 %
c If "Yes" to line 8a, was any remedial action taken pursuant to Regulations sections 1.141-12 and 1.145-2? . . . . . . . . . . . . .		X		X		X		X
9 Has the organization established written procedures to ensure that all nonqualified bonds of the issue are remediated in accordance with the requirements under Regulations sections 1.141-12 and 1.145-2? . . . . . . .	X		X		X		X

Part IV

Arbitrage

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
1 Has the issuer filed Form 8038-T? . . . . .		X		X		X		X
2 If "No" to line 1, did the following apply? . . . .
a Rebate not due yet? . . . . . . . .		X		X		X		X
b Exception to rebate? . . . . . . . .	X		X		X		X
c No rebate due? . . . . . . . .		X		X		X		X
If you checked "No rebate due" in line 2c, provide in Part VI the date the rebate computation was performed
3 Is the bond issue a variable rate issue? . . . .		X		X		X		X
4a Has the organization or the governmental issuer entered into a qualified hedge with respect to the bond issue?		X		X		X		X
b Name of provider . . . . . . . . .
c Term of hedge . . . . . . . . . .
d Was the hedge superintegrated? . . . .
e Was the hedge terminated? . . . . . .

Schedule K (Form 990) 2013

Page 3

Part IV

Arbitrage (Continued)

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
5a Were gross proceeds invested in a guaranteed investment contract (GIC)? . . . . . . . . .		X		X		X		X
b Name of provider . . . . . . . . .
c Term of GIC . . . . . . . . . .
d Was the regulatory safe harbor for establishing the fair market value of the GIC satisfied? . . . . .
6 Were any gross proceeds invested beyond an available temporary period? . . . . . . . .		X		X		X		X
7 Has the organization established written procedures to monitor the requirements of section 148? . . .	X		X		X		X

Part V

Procedures To Undertake Corrective Action

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
Has the organization established written procedures to ensure that violations of federal tax requirements are timely identified and corrected through the voluntary closing agreement program if self-remediation is not available under applicable regulations?	X		X		X		X

Part VI

Supplemental Information. Provide additional information for responses to questions on Schedule K (see instructions).

Return Reference	Explanation
Part III, Line 8c	Highlands County Health Facilities Authority 2012A, AR Program: A sale of bond-financed assets in 2006 was identified in early 2013. The taxpayer has paid off the bonds related to this asset sale and filed a VCAP request pursuant to Notice 2008-31, 2008-11 IRB 592, on October 25, 2013.
Part III, Line 8c	Highlands County Health Facilities Authority 2012B, AR Program: A sale of bond-financed assets in 2006 was identified in early 2013. The taxpayer has paid off the bonds related to this asset sale and filed a VCAP request pursuant to Notice 2008-31, 2008-11 IRB 592, on October 25, 2013.
Part III, Line 8c	Kansas Development Finance Authority 2012A: A sale of bond-financed assets in 2003 was identified in July 2013. The taxpayer has paid off the bonds related to this asset sale and filed a VCAP request pursuant to Notice 2008-31, 2008-11 IRB 592, on October 15, 2014.
Part III, Line 8c	Highlands County Health Facilities Authority 2012B-F: A sale of bond-financed assets in 2003 was identified in July 2013. The taxpayer has paid off the bonds related to this asset sale and filed a VCAP request pursuant to Notice 2008-31, 2008-11 IRB 592, on October 15, 2014.

Schedule K (Form 990) 2013

Additional Data

Software ID:
Software Version:

- TIN:

Schedule K
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Information on Tax Exempt Bonds

Complete if the organization answered "Yes" to Form 990, Part IV, line 24a. Provide descriptions,
explanations, and any additional information in Part VI.
SchKMediumBullet

Attach to Form 990. SchKMediumBullet

See separate instructions.
SchKMediumBullet

Information about Schedule K (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2013

Open to Public
Inspection

Name of the organization
Adventist Health SystemSunbelt Inc

Employer identification number
59-1479658

Part I

Bond Issues

(a) Issuer name		(b) Issuer EIN	(c) CUSIP #	(d) Date issued	(e) Issue price	(f) Description of purpose	(g) Defeased		(h) On behalf of issuer		(i) Pool financing
(a) Issuer name		(b) Issuer EIN	(c) CUSIP #	(d) Date issued	(e) Issue price	(f) Description of purpose	Yes	No	Yes	No	Yes	No
A	Highlands County Health Facilities Authority	52-1313569	431022FR8	10-18-2005	64,943,086	2005A, Refund FL 1993A&B, TN 1993 and Tarrant 1993 all issued 10/20/1993		X		X		X
B	Highlands County Health Facilities Authority	52-1313569	431022GN6	10-18-2005	106,410,063	2005B, Refund Orange 2000, Tenn 2000, and Tarrant 2000 all issued 8/31/2000		X		X		X
C	Highlands County Health Facilities Authority	52-1313569	431022HG0	10-18-2005	63,434,535	2005C, Refund Colorado 2001 issued 3/28/2001		X		X		X
D	Highlands County Health Facilities Authority	52-1313569	431022HH8	10-18-2005	102,220,000	2005D, Expand/refurbish facilities, purchase equipment		X		X		X
	Highlands County Health Facilities Authority	52-1313569	431022HUD	06-14-2006	205,156,000	2006C, Expand/refurbish facilities, purchase equipment		X		X		X
	Colorado Health Facilities Authority	84-0752932	19648AAV7	11-15-2006	249,501,424	2006D&E, Refnd Highland, Tarrant 98 iss 12/17/98, Highland iss 03D 10/7/03		X		X		X
	Colorado Health Facilities Authority	84-0752932	19648ACG8	11-15-2006	30,371,450	2006F, Refund 1995 Bonds issued 6/8/1995		X		X		X
	Highlands County Health Facilities Authority	52-1313569	431022JZ6	12-20-2006	212,464,496	2006G, Refund Highlands 2002 issued 12/19/02 and Orange 2002 issued 7/10/02		X		X		X
	Highlands County Health Facilities Authority	52-1313569	431022KK7	08-08-2007	366,445,000	2007A B C D, Expand/refurbish facilities, purchase equipment		X		X		X
	Highlands County Health Facilities Authority	52-1313569	431022QZ8	12-16-2008	68,000,000	2008A, Expand/refurbish facilities, purchase equipment		X		X		X
	Kansas Development Finance Authority	48-1066589	48542ABX8	07-08-2009	325,394,417	2009C, Ref 96/05&97/05 iss 1/13/05, 03A 1/16/03, 08B 12/19/08, exp facility		X		X		X
	Kansas Development Finance Authority	48-1066589	48542ACY5	10-01-2009	102,271,154	2009D, Refund Highlands 07C, 8/8/07 & expand/refurbish facilities/purc equip		X		X		X
	Highlands County Health Facilities Authority	52-1313569	431022SP8	11-16-2009	190,752,502	09E & 08B Conv, Ref Orange 91/01 10/11/01, 92/03 5/15/03, 08B 12/19/08		X		X		X
	Highlands County Health Facilities Authority	52-1313569	431022SG8	11-16-2009	177,240,000	2005I Conv, Refund Highlands 05I 12/22/05 & expand/refurbish facilities		X		X		X
	Highlands County Health Facilities Authority	52-1313569		12-17-2010	57,000,000	2010A, Expand/refurbish facilities, purchase equipment		X		X		X
	Orange County Health Facilities Authority	52-1378595		12-22-2010	25,000,000	2010B, Expand/refurbish facilities, purchase equipment		X		X		X
	Kansas Development Finance Authority	48-1066589		12-22-2010	25,000,000	2010C, Expand/refurbish facilities, purchase equipment		X		X		X
	Colorado Health Facilities Authority	84-0752932		12-22-2010	25,000,000	2010D, Expand/refurbish facilities, purchase equipment		X		X		X
	Highlands County Health Facilities Authority	52-1313569		12-30-2010	225,000,000	2010E, Expand/refurbish facilities, purchase equipment		X		X		X
	Highlands County Health Facilities Authority	52-1313569		11-16-2011	80,000,000	2011A, Expand/refurbish facilities		X		X		X
	Highlands County Health Facilities Authority	52-1313569		03-21-2012	294,985,000	2012A, AR Program - Refund 2009 A-F AR Program		X		X		X
	Highlands County Health Facilities Authority	52-1313569		07-25-2012	115,015,000	2012B, AR Program - Expand/refurbish facilities, purchase equipment		X		X		X
	Kansas Development Finance Authority	48-1066589	48542ADG3	08-29-2012	310,952,245	2012A - Refund Or-1995; H-02,03C,05H,06B,07B,07D,08A; C-2004B; K-2004C		X		X		X
	Highlands County Health Facilities Authority	52-1313569	431022TL6	08-29-2012	348,320,000	2012B-F - Refund Or-1995; H-02,03C,05H,06B,07B,07D,08A; C-2004B; K-2004C		X		X		X
	Highlands County Health Facilities Authority	52-1313569		08-29-2012	125,000,000	2012G&H - Refund Highlands 2005I Conversion Bonds		X		X		X
	Highlands County Health Facilities Authority	52-1313569	431022TR3	11-08-2012	232,125,000	2012I - Refunded Volusia 1994-A; Highlands 2004A, 2005E, 2005F, 2005G		X		X		X
	Highlands County Health Facilities Authority	52-1313569		09-18-2013	485,000,000	2013A B C, Expand/refurbish facilities, purchase equipment		X		X		X

Part II

Proceeds

	A		B		C		D
	1 Amount of bonds retired . . . . . . . . . . . . . .	22,185,000		18,350,000		10,130,000		9,480,000
2 Amount of bonds legally defeased . . . . . . . . . . .	1,510,000		16,155,000		19,265,000		12,255,000
3 Total proceeds of issue . . . . . . . . . . . . . .	64,943,086		106,410,063		63,434,535		102,220,000
4 Gross proceeds in reserve funds . . . . . . . . . . . .
5 Capitalized interest from proceeds . . . . . . . . . . .
6 Proceeds in refunding escrows . . . . . . . . . . . .
7 Issuance costs from proceeds . . . . . . . . . . . .	926,709		1,532,450		928,933		1,500,000
8 Credit enhancement from proceeds . . . . . . . . . . .	5,560,382
9 Working capital expenditures from proceeds . . . . . . . . .
10 Capital expenditures from proceeds . . . . . . . . . . .	100,720,000		68,000,000		12,004,967		100,720,000
11 Other spent proceeds . . . . . . . . . . . . . .	64,016,377		104,877,613		62,505,602		210,608,121
12 Other unspent proceeds . . . . . . . . . . . . . .	178,610,000				178,610,000
13 Year of substantial completion . . . . . . . . . . . .	1993		2000		2001		2005
	Yes	No	Yes	No	Yes	No	Yes	No
14 Were the bonds issued as part of a current refunding issue? . . . . .	X			X		X		X
15 Were the bonds issued as part of an advance refunding issue? . . . . .		X	X		X			X
16 Has the final allocation of proceeds been made? . . . . . . . .	X		X		X		X
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? . . . . . . . . . . . . . .	X		X		X		X

Part III

Private Business Use

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
1 Was the organization a partner in a partnership, or a member of an LLC, which owned property financed by tax-exempt bonds? . . . . . . .		X		X		X		X
2 Are there any lease arrangements that may result in private business use of bond-financed property? . . . . . . . . .		X		X		X		X

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50193E

Schedule K (Form 990) 2013

Page 2

Part III

Private Business Use (Continued)

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
3a Are there any management or service contracts that may result in private business use of bond-financed property? . . . . . . . . . . . .	X		X		X		X
b If "Yes" to line 3a, does the organization routinely engage bond counsel or other outside counsel to review any management or service contracts relating to the financed property?	X		X		X		X
c Are there any research agreements that may result in private business use of bond-financed property? . . . . . . . . . . . . . . .	X		X		X		X
d If "Yes" to line 3c, does the organization routinely engage bond counsel or other outside counsel to review any research agreements relating to the financed property?	X		X		X		X
4 Enter the percentage of financed property used in a private business use by entities other than a section 501(c)(3) organization or a state or local government . .	0.200 %		0.200 %		0.100 %		0.300 %
5 Enter the percentage of financed property used in a private business use as a result of unrelated trade or business activity carried on by your organization, another section 501(c)(3) organization, or a state or local government . . . . . . .	0.100 %
6 Total of lines 4 and 5 . . . . . . . . . . . . .	0.100 %		0.200 %		0.100 %		0.300 %
7 Does the bond issue meet the private security or payment test? . . . . .		X		X		X		X
8a Has there been a sale or disposition of any of the bond financed property to a nongovernmental person other than a 501(c)(3) organization since the bonds were issued?. . . . . . . . . . . . . . . . .		X		X		X		X
b If "Yes" to line 8a, enter the percentage of bond-financed property sold or disposed of.	0.080 %		0.080 %		0.370 %		0.370 %
c If "Yes" to line 8a, was any remedial action taken pursuant to Regulations sections 1.141-12 and 1.145-2? . . . . . . . . . . . . .		X		X		X		X
9 Has the organization established written procedures to ensure that all nonqualified bonds of the issue are remediated in accordance with the requirements under Regulations sections 1.141-12 and 1.145-2? . . . . . . .	X		X		X		X

Part IV

Arbitrage

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
1 Has the issuer filed Form 8038-T? . . . . .		X		X		X		X
2 If "No" to line 1, did the following apply? . . . .
a Rebate not due yet? . . . . . . . .		X		X		X		X
b Exception to rebate? . . . . . . . .	X		X		X		X
c No rebate due? . . . . . . . .		X		X		X		X
If you checked "No rebate due" in line 2c, provide in Part VI the date the rebate computation was performed
3 Is the bond issue a variable rate issue? . . . .		X		X		X		X
4a Has the organization or the governmental issuer entered into a qualified hedge with respect to the bond issue?		X		X		X		X
b Name of provider . . . . . . . . .
c Term of hedge . . . . . . . . . .
d Was the hedge superintegrated? . . . .
e Was the hedge terminated? . . . . . .

Schedule K (Form 990) 2013

Page 3

Part IV

Arbitrage (Continued)

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
5a Were gross proceeds invested in a guaranteed investment contract (GIC)? . . . . . . . . .		X		X		X		X
b Name of provider . . . . . . . . .
c Term of GIC . . . . . . . . . .
d Was the regulatory safe harbor for establishing the fair market value of the GIC satisfied? . . . . .
6 Were any gross proceeds invested beyond an available temporary period? . . . . . . . .		X		X		X		X
7 Has the organization established written procedures to monitor the requirements of section 148? . . .	X		X		X		X

Part V

Procedures To Undertake Corrective Action

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
Has the organization established written procedures to ensure that violations of federal tax requirements are timely identified and corrected through the voluntary closing agreement program if self-remediation is not available under applicable regulations?	X		X		X		X

Part VI

Supplemental Information. Provide additional information for responses to questions on Schedule K (see instructions).

Return Reference	Explanation
Part III, Line 8c	Highlands County Health Facilities Authority 2012A, AR Program: A sale of bond-financed assets in 2006 was identified in early 2013. The taxpayer has paid off the bonds related to this asset sale and filed a VCAP request pursuant to Notice 2008-31, 2008-11 IRB 592, on October 25, 2013.
Part III, Line 8c	Highlands County Health Facilities Authority 2012B, AR Program: A sale of bond-financed assets in 2006 was identified in early 2013. The taxpayer has paid off the bonds related to this asset sale and filed a VCAP request pursuant to Notice 2008-31, 2008-11 IRB 592, on October 25, 2013.
Part III, Line 8c	Kansas Development Finance Authority 2012A: A sale of bond-financed assets in 2003 was identified in July 2013. The taxpayer has paid off the bonds related to this asset sale and filed a VCAP request pursuant to Notice 2008-31, 2008-11 IRB 592, on October 15, 2014.
Part III, Line 8c	Highlands County Health Facilities Authority 2012B-F: A sale of bond-financed assets in 2003 was identified in July 2013. The taxpayer has paid off the bonds related to this asset sale and filed a VCAP request pursuant to Notice 2008-31, 2008-11 IRB 592, on October 15, 2014.

Schedule K (Form 990) 2013

Additional Data

Software ID:
Software Version:

- TIN:

Schedule K
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Information on Tax Exempt Bonds

Complete if the organization answered "Yes" to Form 990, Part IV, line 24a. Provide descriptions,
explanations, and any additional information in Part VI.
SchKMediumBullet

Attach to Form 990. SchKMediumBullet

See separate instructions.
SchKMediumBullet

Information about Schedule K (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2013

Open to Public
Inspection

Name of the organization
Adventist Health SystemSunbelt Inc

Employer identification number
59-1479658

Part I

Bond Issues

(a) Issuer name		(b) Issuer EIN	(c) CUSIP #	(d) Date issued	(e) Issue price	(f) Description of purpose	(g) Defeased		(h) On behalf of issuer		(i) Pool financing
(a) Issuer name		(b) Issuer EIN	(c) CUSIP #	(d) Date issued	(e) Issue price	(f) Description of purpose	Yes	No	Yes	No	Yes	No
A	Highlands County Health Facilities Authority	52-1313569	431022FR8	10-18-2005	64,943,086	2005A, Refund FL 1993A&B, TN 1993 and Tarrant 1993 all issued 10/20/1993		X		X		X
B	Highlands County Health Facilities Authority	52-1313569	431022GN6	10-18-2005	106,410,063	2005B, Refund Orange 2000, Tenn 2000, and Tarrant 2000 all issued 8/31/2000		X		X		X
C	Highlands County Health Facilities Authority	52-1313569	431022HG0	10-18-2005	63,434,535	2005C, Refund Colorado 2001 issued 3/28/2001		X		X		X
D	Highlands County Health Facilities Authority	52-1313569	431022HH8	10-18-2005	102,220,000	2005D, Expand/refurbish facilities, purchase equipment		X		X		X
	Highlands County Health Facilities Authority	52-1313569	431022HUD	06-14-2006	205,156,000	2006C, Expand/refurbish facilities, purchase equipment		X		X		X
	Colorado Health Facilities Authority	84-0752932	19648AAV7	11-15-2006	249,501,424	2006D&E, Refnd Highland, Tarrant 98 iss 12/17/98, Highland iss 03D 10/7/03		X		X		X
	Colorado Health Facilities Authority	84-0752932	19648ACG8	11-15-2006	30,371,450	2006F, Refund 1995 Bonds issued 6/8/1995		X		X		X
	Highlands County Health Facilities Authority	52-1313569	431022JZ6	12-20-2006	212,464,496	2006G, Refund Highlands 2002 issued 12/19/02 and Orange 2002 issued 7/10/02		X		X		X
	Highlands County Health Facilities Authority	52-1313569	431022KK7	08-08-2007	366,445,000	2007A B C D, Expand/refurbish facilities, purchase equipment		X		X		X
	Highlands County Health Facilities Authority	52-1313569	431022QZ8	12-16-2008	68,000,000	2008A, Expand/refurbish facilities, purchase equipment		X		X		X
	Kansas Development Finance Authority	48-1066589	48542ABX8	07-08-2009	325,394,417	2009C, Ref 96/05&97/05 iss 1/13/05, 03A 1/16/03, 08B 12/19/08, exp facility		X		X		X
	Kansas Development Finance Authority	48-1066589	48542ACY5	10-01-2009	102,271,154	2009D, Refund Highlands 07C, 8/8/07 & expand/refurbish facilities/purc equip		X		X		X
	Highlands County Health Facilities Authority	52-1313569	431022SP8	11-16-2009	190,752,502	09E & 08B Conv, Ref Orange 91/01 10/11/01, 92/03 5/15/03, 08B 12/19/08		X		X		X
	Highlands County Health Facilities Authority	52-1313569	431022SG8	11-16-2009	177,240,000	2005I Conv, Refund Highlands 05I 12/22/05 & expand/refurbish facilities		X		X		X
	Highlands County Health Facilities Authority	52-1313569		12-17-2010	57,000,000	2010A, Expand/refurbish facilities, purchase equipment		X		X		X
	Orange County Health Facilities Authority	52-1378595		12-22-2010	25,000,000	2010B, Expand/refurbish facilities, purchase equipment		X		X		X
	Kansas Development Finance Authority	48-1066589		12-22-2010	25,000,000	2010C, Expand/refurbish facilities, purchase equipment		X		X		X
	Colorado Health Facilities Authority	84-0752932		12-22-2010	25,000,000	2010D, Expand/refurbish facilities, purchase equipment		X		X		X
	Highlands County Health Facilities Authority	52-1313569		12-30-2010	225,000,000	2010E, Expand/refurbish facilities, purchase equipment		X		X		X
	Highlands County Health Facilities Authority	52-1313569		11-16-2011	80,000,000	2011A, Expand/refurbish facilities		X		X		X
	Highlands County Health Facilities Authority	52-1313569		03-21-2012	294,985,000	2012A, AR Program - Refund 2009 A-F AR Program		X		X		X
	Highlands County Health Facilities Authority	52-1313569		07-25-2012	115,015,000	2012B, AR Program - Expand/refurbish facilities, purchase equipment		X		X		X
	Kansas Development Finance Authority	48-1066589	48542ADG3	08-29-2012	310,952,245	2012A - Refund Or-1995; H-02,03C,05H,06B,07B,07D,08A; C-2004B; K-2004C		X		X		X
	Highlands County Health Facilities Authority	52-1313569	431022TL6	08-29-2012	348,320,000	2012B-F - Refund Or-1995; H-02,03C,05H,06B,07B,07D,08A; C-2004B; K-2004C		X		X		X
	Highlands County Health Facilities Authority	52-1313569		08-29-2012	125,000,000	2012G&H - Refund Highlands 2005I Conversion Bonds		X		X		X
	Highlands County Health Facilities Authority	52-1313569	431022TR3	11-08-2012	232,125,000	2012I - Refunded Volusia 1994-A; Highlands 2004A, 2005E, 2005F, 2005G		X		X		X
	Highlands County Health Facilities Authority	52-1313569		09-18-2013	485,000,000	2013A B C, Expand/refurbish facilities, purchase equipment		X		X		X

Part II

Proceeds

	A		B		C		D
	1 Amount of bonds retired . . . . . . . . . . . . . .	22,185,000		18,350,000		10,130,000		9,480,000
2 Amount of bonds legally defeased . . . . . . . . . . .	1,510,000		16,155,000		19,265,000		12,255,000
3 Total proceeds of issue . . . . . . . . . . . . . .	64,943,086		106,410,063		63,434,535		102,220,000
4 Gross proceeds in reserve funds . . . . . . . . . . . .
5 Capitalized interest from proceeds . . . . . . . . . . .
6 Proceeds in refunding escrows . . . . . . . . . . . .
7 Issuance costs from proceeds . . . . . . . . . . . .	926,709		1,532,450		928,933		1,500,000
8 Credit enhancement from proceeds . . . . . . . . . . .	5,560,382
9 Working capital expenditures from proceeds . . . . . . . . .
10 Capital expenditures from proceeds . . . . . . . . . . .	100,720,000		68,000,000		12,004,967		100,720,000
11 Other spent proceeds . . . . . . . . . . . . . .	64,016,377		104,877,613		62,505,602		210,608,121
12 Other unspent proceeds . . . . . . . . . . . . . .	178,610,000				178,610,000
13 Year of substantial completion . . . . . . . . . . . .	1993		2000		2001		2005
	Yes	No	Yes	No	Yes	No	Yes	No
14 Were the bonds issued as part of a current refunding issue? . . . . .	X			X		X		X
15 Were the bonds issued as part of an advance refunding issue? . . . . .		X	X		X			X
16 Has the final allocation of proceeds been made? . . . . . . . .	X		X		X		X
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? . . . . . . . . . . . . . .	X		X		X		X

Part III

Private Business Use

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
1 Was the organization a partner in a partnership, or a member of an LLC, which owned property financed by tax-exempt bonds? . . . . . . .		X		X		X		X
2 Are there any lease arrangements that may result in private business use of bond-financed property? . . . . . . . . .		X		X		X		X

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50193E

Schedule K (Form 990) 2013

Page 2

Part III

Private Business Use (Continued)

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
3a Are there any management or service contracts that may result in private business use of bond-financed property? . . . . . . . . . . . .	X		X		X		X
b If "Yes" to line 3a, does the organization routinely engage bond counsel or other outside counsel to review any management or service contracts relating to the financed property?	X		X		X		X
c Are there any research agreements that may result in private business use of bond-financed property? . . . . . . . . . . . . . . .	X		X		X		X
d If "Yes" to line 3c, does the organization routinely engage bond counsel or other outside counsel to review any research agreements relating to the financed property?	X		X		X		X
4 Enter the percentage of financed property used in a private business use by entities other than a section 501(c)(3) organization or a state or local government . .	0.200 %		0.200 %		0.100 %		0.300 %
5 Enter the percentage of financed property used in a private business use as a result of unrelated trade or business activity carried on by your organization, another section 501(c)(3) organization, or a state or local government . . . . . . .	0.100 %
6 Total of lines 4 and 5 . . . . . . . . . . . . .	0.100 %		0.200 %		0.100 %		0.300 %
7 Does the bond issue meet the private security or payment test? . . . . .		X		X		X		X
8a Has there been a sale or disposition of any of the bond financed property to a nongovernmental person other than a 501(c)(3) organization since the bonds were issued?. . . . . . . . . . . . . . . . .		X		X		X		X
b If "Yes" to line 8a, enter the percentage of bond-financed property sold or disposed of.	0.080 %		0.080 %		0.370 %		0.370 %
c If "Yes" to line 8a, was any remedial action taken pursuant to Regulations sections 1.141-12 and 1.145-2? . . . . . . . . . . . . .		X		X		X		X
9 Has the organization established written procedures to ensure that all nonqualified bonds of the issue are remediated in accordance with the requirements under Regulations sections 1.141-12 and 1.145-2? . . . . . . .	X		X		X		X

Part IV

Arbitrage

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
1 Has the issuer filed Form 8038-T? . . . . .		X		X		X		X
2 If "No" to line 1, did the following apply? . . . .
a Rebate not due yet? . . . . . . . .		X		X		X		X
b Exception to rebate? . . . . . . . .	X		X		X		X
c No rebate due? . . . . . . . .		X		X		X		X
If you checked "No rebate due" in line 2c, provide in Part VI the date the rebate computation was performed
3 Is the bond issue a variable rate issue? . . . .		X		X		X		X
4a Has the organization or the governmental issuer entered into a qualified hedge with respect to the bond issue?		X		X		X		X
b Name of provider . . . . . . . . .
c Term of hedge . . . . . . . . . .
d Was the hedge superintegrated? . . . .
e Was the hedge terminated? . . . . . .

Schedule K (Form 990) 2013

Page 3

Part IV

Arbitrage (Continued)

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
5a Were gross proceeds invested in a guaranteed investment contract (GIC)? . . . . . . . . .		X		X		X		X
b Name of provider . . . . . . . . .
c Term of GIC . . . . . . . . . .
d Was the regulatory safe harbor for establishing the fair market value of the GIC satisfied? . . . . .
6 Were any gross proceeds invested beyond an available temporary period? . . . . . . . .		X		X		X		X
7 Has the organization established written procedures to monitor the requirements of section 148? . . .	X		X		X		X

Part V

Procedures To Undertake Corrective Action

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
Has the organization established written procedures to ensure that violations of federal tax requirements are timely identified and corrected through the voluntary closing agreement program if self-remediation is not available under applicable regulations?	X		X		X		X

Part VI

Supplemental Information. Provide additional information for responses to questions on Schedule K (see instructions).

Return Reference	Explanation
Part III, Line 8c	Highlands County Health Facilities Authority 2012A, AR Program: A sale of bond-financed assets in 2006 was identified in early 2013. The taxpayer has paid off the bonds related to this asset sale and filed a VCAP request pursuant to Notice 2008-31, 2008-11 IRB 592, on October 25, 2013.
Part III, Line 8c	Highlands County Health Facilities Authority 2012B, AR Program: A sale of bond-financed assets in 2006 was identified in early 2013. The taxpayer has paid off the bonds related to this asset sale and filed a VCAP request pursuant to Notice 2008-31, 2008-11 IRB 592, on October 25, 2013.
Part III, Line 8c	Kansas Development Finance Authority 2012A: A sale of bond-financed assets in 2003 was identified in July 2013. The taxpayer has paid off the bonds related to this asset sale and filed a VCAP request pursuant to Notice 2008-31, 2008-11 IRB 592, on October 15, 2014.
Part III, Line 8c	Highlands County Health Facilities Authority 2012B-F: A sale of bond-financed assets in 2003 was identified in July 2013. The taxpayer has paid off the bonds related to this asset sale and filed a VCAP request pursuant to Notice 2008-31, 2008-11 IRB 592, on October 15, 2014.

Schedule K (Form 990) 2013

Additional Data

Software ID:
Software Version:

- TIN:

Schedule L
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Transactions with Interested Persons

Complete if the organization answered
"Yes" on Form 990, Part IV, lines 25a, 25b, 26, 27, 28a, 28b, or 28c,
or Form 990-EZ, Part V, line 38a or 40b.
MediumBullet

Attach to Form 990 or Form 990-EZ. MediumBullet

See separate instructions.
MediumBullet

Information about Schedule L (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2013

Open to Public Inspection

Name of the organization

Adventist Health SystemSunbelt Inc

Employer identification number

59-1479658

Part I

Excess Benefit Transactions (section 501(c)(3) and section 501(c)(4) organizations only).
Complete if the organization answered "Yes" on Form 990, Part IV, line 25a or 25b, or Form 990-EZ, Part V, line 40b.

1(a) Name of disqualified person	(c) Description of transaction	(d) Corrected?
1(a) Name of disqualified person	(c) Description of transaction	Yes	No

Enter the amount of tax incurred by organization managers or disqualified persons during the year under section 4958. ........................... Bullet Image

Enter the amount of tax, if any, on line 2, above, reimbursed by the organization ....... Bullet Image

Part II

Loans to and/or From Interested Persons.
Complete if the organization answered "Yes" on Form 990-EZ, Part V, line 38a, or Form 990, Part IV, line 26; or if the organization reported an amount on Form 990, Part X, line 5, 6, or 22

(a) Name of interested person	(b) Relationship with organization	(c) Purpose of loan	(d) Loan to or from the organization?		(e)Original principal amount	(f)Balance due	(g) In default?		(h) Approved by board or committee?		(i)Written agreement?
(a) Name of interested person	(b) Relationship with organization	(c) Purpose of loan	To	From	(e)Original principal amount	(f)Balance due	Yes	No	Yes	No	Yes	No






Total ...... $

Part III

Grants or Assistance Benefitting Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 27.

(a) Name of interested person	(b) Relationship between interested person and the organization	(c) Amount of assistance	(d) Type of assistance	(e) Purpose of assistance

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.

Cat. No. 50056A

Schedule L (Form 990 or 990-EZ) 2013

Page 2

Part IV

Business Transactions Involving Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 28a, 28b, or 28c.

(a) Name of interested person	(b) Relationship between interested person and the organization	(c) Amount of transaction	(d) Description of transaction	(e) Sharing of organization's revenues?
(a) Name of interested person		(c) Amount of transaction	(d) Description of transaction	Yes	No
(1) Jenola Bradwell	Family of board member	53,440	Employee Compensation		No
(2) Karen Tilstra	Family of key employee	117,006	Consulting		No
(3) Clifton Scott	Family of board member	69,385	Employee Compensation		No

Part V

Supplemental Information
Provide additional information for responses to questions on Schedule L (see instructions).

Return Reference	Explanation

Schedule L (Form 990 or 990-EZ) 2013

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE O
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or to provide any additional information.
MediumBullet

Attach to Form 990 or 990-EZ.
MediumBullet

Information about Schedule O (Form 990 or 990-EZ) and its instructions is at
www.irs.gov/form990.

OMB No. 1545-0047

2013

Open to Public
Inspection

Name of the organization

Adventist Health SystemSunbelt Inc

Employer identification number

59-1479658

Return Reference	Explanation
Form 990, Part VI, Section A, line 2	Lars Houmann and Terry Owen - Family Relationship
Form 990, Part VI, Section A, line 4	The Bylaws of the filing organization were amended in 2013 as follows. Clarification was added to the definition of the Member noting that the sole member, AHSSHC, may act through its Board of Directors, an Executive Board or committees. A new provision has been added to the Bylaws to provide that a quorum shall be deemed to exist where the majority of the members of the Board of Directors, executive committee or other committee are present.
Form 990, Part VI, Section A, line 6	Adventist Health System/Sunbelt, Inc. (the filing organization) has one member. The sole member of the filing organization is Adventist Health System Sunbelt Healthcare Corporation. Adventist Health System Sunbelt Healthcare Corporation (AHSSHC) is a Florida, not-for-profit corporation that is exempt from federal income tax under Internal Revenue Code (IRC) Section 501(c)(3). There are no other classes of membership in the filing organization.
Form 990, Part VI, Section A, line 7a	The sole member of the filing organization is AHSSHC. The Board of Directors of the filing organization are appointed by the sole member, AHSSHC, who has the right to elect, appoint or remove any member of the Board of Directors of the filing organization.
Form 990, Part VI, Section A, line 7b	AHSSHC, as the sole member of the filing organization, has certain reserved powers as set forth in the Bylaws of the filing organization. These reserved powers include the following: a) to approve and disapprove the executive and/or administrative leadership of the filing organization, and their salaries; b) to approve and disapprove the operating Bylaws of the filing organization; c) to set limits and terms for the borrowing of funds; d) to approve or disapprove major building programs and/or purchase or sale of personal property or real property equal to or in excess of One Million dollars; e) to approve or disapprove the annual operating and capital budgets of the filing organization; f) to direct the placement of funds and capital of the filing organization; and g) to establish general guiding policies.
Form 990, Part VI, Section B, line 11	The filing organization's current year Form 990 was reviewed by the Chief Financial Executive subsequent to its filing with the IRS. The review conducted by the Chief Financial Executive did not include the review of any supporting workpapers that were used in preparation of the current year Form 990, but did include a review of the entire Form 990 and all supporting schedules.
Form 990, Part VI, Section B, line 12c	The Conflict of Interest Policy of the filing organization applies to members of its Board of Directors and its principal officers (to be known as Interested Persons). In connection with any actual or possible conflict of interests, any member of the Board of Directors of the filing organization or any principal officer of the filing organization (i.e. Interested Persons) must disclose the existence of any financial interest with the filing organization and must be given the opportunity to disclose all material facts concerning the financial interest/arrangement to the Board of Directors of the filing organization or to any members of a committee with board delegated powers that is considering the proposed transaction or arrangement. Subsequent to any disclosure of any financial interest/arrangement and all material facts, and after any discussion with the relevant Board member or principal officer, the remaining members of the Board of Directors or committee with board delegated powers shall discuss, analyze, and vote upon the potential financial interest/arrangement to determine if a conflict of interest exists. According to the filing organization's Conflict of Interest Policy, an Interested Person may make a presentation to the Board of Directors (or committee with board delegated powers), but after such presentation, shall leave the meeting during the discussion of, and the vote on, the transaction or arrangement that results in a conflict of interest. Each Interested Person, as defined under the filing organization's Conflict of Interest Policy, shall annually sign a statement which affirms that such person has received a copy of the Conflict of Interests policy, has read and understands the policy, has agreed to comply with the policy, and understands that the filing organization is a charitable organization that must primarily engage in activities which accomplish one or more of its exempt purposes. The filing organization's Conflict of Interest Policy also requires that periodic reviews shall be conducted to ensure that the filing organization operates in a manner consistent with its charitable purposes.
Form 990, Part VI, Section B, line 15	The filing organization's CEO, other officers and key employees are not compensated by the filing organization. Such individuals are compensated by the related top-tier parent organization of the filing organization. Please see the discussion concerning the process followed by the related top-tier parent organization in determining executive compensation in our response to Schedule J, Line 3.
Form 990, Part VI, Section C, line 19	The filing organization is a part of the system of healthcare organizations known as Adventist Health System (AHS). Each year, AHS publishes an annual report document that includes a financial report for the relevant year as well as a community benefit report. The financial report and community benefit report are presented on a consolidated basis and represent all of the activities, results of operations, and financial position at year-end of the entire AHS system. In addition, the audited consolidated financial statements of AHS and of the AHS "Obligated Group" are filed annually with the Municipal Securities Rulemaking Board (MSRB). The "Obligated Group" is a group of AHSSHC subsidiaries that are jointly and severally liable under a Master Trust Indenture that secures debt primarily issued on a tax-exempt basis. Unaudited quarterly financial statements prepared in accordance with Generally Accepted Accounting Principles (GAAP) are also filed with MSRB for AHS on a consolidated basis and for the grouping of AHS subsidiaries comprising the "Obligated Group". The filing organization does not generally make its governing documents or conflict of interest policy available to the public.
Part VII, Section A	For those Board of Director members who devote less than full-time to the filing organization (based upon the average number of hours per week shown in column (B) on page 7 of the return) the compensation amounts shown in columns (E) and (F) on page 7 for Don Jernigan, Lars Houmann, Richard Reiner, and Terry Shaw, were provided in conjunction with that person's responsibilities and roles in serving in an executive leadership position within Adventist Health System (AHS). Don Jernigan, Richard Reiner,and Terry Shaw devote approximately 50 hours per week in conjunction with serving in their respective executive leadership position within AHS. Lars Houmann devotes approximately 35 hours a week to the filing organization and the remainder of time is devoted to his leadership position within AHS.
Form 990, Part IX, line 11g	Payments to Healthcare Professionals: Program service expenses 138,879,884. Management and general expenses 0. Fundraising expenses 0. Total expenses 138,879,884. Professional Fees: Program service expenses 78,318,121. Management and general expenses 393,675. Fundraising expenses 0. Total expenses 78,711,796. Purchased Medical Services: Program service expenses 4,839,493. Management and general expenses 0. Fundraising expenses 0. Total expenses 4,839,493. Environmental Services: Program service expenses 1,500,936. Management and general expenses 0. Fundraising expenses 0. Total expenses 1,500,936. Transcription Services: Program service expenses 227,732. Management and general expenses 0. Fundraising expenses 0. Total expenses 227,732. Recruiting: Program service expenses 218,629. Management and general expenses 0. Fundraising expenses 0. Total expenses 218,629. Food Service Contracts: Program service expenses 514,780. Management and general expenses 0. Fundraising expenses 0. Total expenses 514,780. Region Support Services: Program service expenses 0. Management and general expenses 2,384,623. Fundraising expenses 0. Total expenses 2,384,623. Miscellaneous Purchased Services: Program service expenses 3,944,755. Management and general expenses 3,312,023. Fundraising expenses 0. Total expenses 7,256,778. AHS Management Fees: Program service expenses 0. Management and general expenses 54,443,434. Fundraising expenses 0. Total expenses 54,443,434. Billing & Collection Services: Program service expenses 0. Management and general expenses 6,898,026. Fundraising expenses 0. Total expenses 6,898,026.
Form 990, Part XI, line 9:	Transfer to tax-exempt affiliates -23,280,543. Transfer to tax-exempt parent -15,787,382. Donated Property 1,564,941. SWAP loss amortization 60,536. Allocations from Tax-exempt Parent with respect to Debt 6,706,068. Transfer for expenses -190,764. Gifts 16,443,053. Other -33,074. Interest in Foundation 1,357,351. Rounding 1.
Part X, Line 2	The amounts shown on line 2 of Part X of this return include the filing organization's interest in a central investment pool maintained by Adventist Health System Sunbelt Healthcare Corporation, the filing organization's top-tier parent. The investments in the central investment pool are recorded at market value.

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.

Cat. No. 51056K

Schedule O (Form 990 or 990-EZ) 2013

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE R
(Form 990)

Department of the Treasury
Internal Revenue Service

Related Organizations and Unrelated Partnerships

Complete if the organization answered "Yes" on Form 990, Part IV, line 33, 34, 35b, 36, or 37.
MediumBullet

Attach to Form 990. MediumBullet

See separate instructions.
MediumBullet

Information about Schedule R (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2013

Open to Public Inspection

Name of the organization

Adventist Health SystemSunbelt Inc

Employer identification number

59-1479658

Part I

Identification of Disregarded Entities Complete if the organization answered "Yes" on Form 990, Part IV, line 33.

(a) Name, address, and EIN (if applicable) of disregarded entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Total income	(e) End-of-year assets	(f) Direct controlling entity
(1) Florida Radiology Imaging at Lake Mary LLC (1113-22513) 875 Concourse Parkway 150 Maitland,FL32751 55-0789387	Imaging & Testing	FL	3,050,215	0	Adventist Health SystemSunbelt Inc

Part II

Identification of Related Tax-Exempt Organizations Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related tax-exempt organizations during the tax year.

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	(g) Section 512(b)(13) controlled entity?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	Yes	No
(1) Adventist Bolingbrook Hospital 500 Remington Blvd Bolingbrook,IL60440 65-1219504	Operation of Hospital & Related Services	IL	501(c)(3)	Line 3	Adventist Hlth SystemSunbelt Inc	Yes
(2) Adventist Care Centers - Courtland Inc 730 Courtland Street Orlando,FL32804 20-5774723	Operation of Home for the Aged/Hlthcare Delivery	FL	501(c)(3)	Line 9	Sunbelt Hlth Care Centers Inc		No
(3) Adventist GlenOaks Hospital 701 Winthrop Avenue Glendale Heights,IL60139 36-3208390	Operation of Hospital & Related Services	IL	501(c)(3)	Line 3	Adventist Hlth SystemSunbelt Inc	Yes
(4) Adventist Hinsdale Hospital 120 North Oak Street Hinsdale,IL60521 36-2276984	Operation of Hospital & Related Services	IL	501(c)(3)	Line 3	Adventist Hlth SystemSunbelt Inc	Yes
(5) Adventist Hlth Mid-America Inc 9100 W 74th Street Shawnee Mission,KS66204 52-1347407	Hlthcare Related Services	KS	501(c)(3)	Line 11a, I	Adventist Hlth SystemSunbelt Inc	Yes
(6) Adventist Hlth Partners Inc 1000 Remington Blvd Ste 200 Bolingbrook,IL60440 36-4138353	Operate out-patient physician clinics	IL	501(c)(3)	Line 3	AHS Midwest Management Inc		No
(7) Adventist Hlth System Affiliated Benefit Trust 900 Hope Way Altamonte Springs,FL32714 26-6422966	Promotion of Hlthcare	FL	501(c)(3)	Line 11a, I	Adventist Hlth System Sunbelt Hlthcare Corp		No
(8) Adventist Hlth System Sunbelt Hlthcare Corp 900 Hope Way Altamonte Springs,FL32714 59-2170012	Management Services	FL	501(c)(3)	Line 11a, I	N/A		No
(9) Adventist Hlth SystemGeorgia Inc 1035 Red Bud Road Calhoun,GA30701 58-1425000	Operation of Hospital & Related Services	GA	501(c)(3)	Line 3	Adventist Hlth System Sunbelt Hlthcare Corp		No
(10) Adventist Hlth SystemSunbelt Inc 900 Hope Way Altamonte Springs,FL32714 59-1479658	Operation of Hospital & Related Services	FL	501(c)(3)	Line 3	Adventist Hlth System Sunbelt Hlthcare Corp		No
(11) Adventist Hlth SystemTexas Inc 602 Courtland Street Orlando,FL32804 74-2578952	Leasing Personnel to Affiliated Hospital	TX	501(c)(3)	Line 11c, III-FI	Adventist Hlth System Sunbelt Hlthcare Corp		No
(12) Adventist University of Health Sciences Inc (630 Year End) 671 Lake Winyah Drive Orlando,FL32803 59-3069793	Education/Operation of School	FL	501(c)(3)	Line 2	Adventist Hlth SystemSunbelt Inc	Yes
(13) AHS Midwest Management Inc 1000 Remington Blvd Ste 200 Bolingbrook,IL60440 36-3354567	Operation of Physician Practice Mgmt	IL	501(c)(3)	Line 11a, I	Adventist Hlth SystemSunbelt Inc	Yes
(14) AHSCentral Texas Inc 1301 Wonder World Drive San Marcos,TX78666 74-2621825	Provide Office Space - Medical Professionals	TX	501(c)(3)	Line 11c, III-FI	Adventist Hlth System Sunbelt Hlthcare Corp		No
(15) Apopka Hlth Care Properties Inc 305 E Oak Street Apopka,FL32703 51-0605694	Lease to Related Organization	GA	501(c)(3)	Line 11c, III-FI	Sunbelt Hlth Care Centers Inc		No
(16) Battle Creek Adventist Hospital 1000 Remington Blvd Ste 200 Bolingbrook,IL60440 38-1359189	Inactive	MI	501(c)(3)	Line 3	Adventist Hlth SystemSunbelt Inc	Yes
(17) Bolingbrook Hospital Foundation 1000 Remington Blvd N Entrance 2nd Bolingbrook,IL60440 90-0494445	Fund-raising for Tax-exempt hospital	IL	501(c)(3)	Line 7	Midwest Hlth Foundation		No
(18) Bradford Heights Hlth & Rehab Center Inc 950 Highpoint Drive Hopkinsville,KY42240 20-5782342	Operation of Home for the Aged/Hlthcare Delivery	KY	501(c)(3)	Line 9	Sunbelt Hlth Care Centers Inc		No
(19) Burleson Nursing & Rehab Center Inc 301 Huguley Blvd Burleson,TX76028 20-5782243	Operation of Home for the Aged/Hlthcare Delivery	TX	501(c)(3)	Line 9	Sunbelt Hlth Care Centers Inc		No
(20) Caldwell Hlth Care Properties Inc 1333 West Main Princeton,KY42445 51-0605680	Lease to Related Organization	GA	501(c)(3)	Line 11c, III-FI	Sunbelt Hlth Care Centers Inc		No
(21) Cedar Crag Terrace Inc (630 Year End) (11-72213) Rt 5 Box 900 Manchester,KY40962 61-1120442	Operation of Home for the elderly-disabled	KY	501(c)(3)	Line 7	Memorial Hospital Inc		No
(22) Central Texas Hlthcare Collaborative 1301 Wonder World Drive San Marcos,TX78666 45-3739929	Support Operation of Hospital	TX	501(c)(3)	Line 11a, I	Adventist Hlth SystemSunbelt Inc	Yes
(23) Central Texas Medical Center Foundation 1301 Wonder World Drive San Marcos,TX78666 74-2259907	Fund-raising for Tax-exempt hospital	TX	501(c)(3)	Line 7	Adventist Hlth SystemSunbelt Inc	Yes
(24) Chickasaw Hlth Care Properties Inc 250 S Chickasaw Trail Orlando,FL32825 51-0605681	Lease to Related Organization	GA	501(c)(3)	Line 11c, III-FI	Sunbelt Hlth Care Centers Inc		No
(25) Chippewa Valley Hospital & Oakview Care Center Inc 1220 Third Avenue West Durand,WI54736 39-1365168	Operation of Hospital & Related Services	WI	501(c)(3)	Line 3	Adventist Hlth SystemSunbelt Inc	Yes
(26) Cobb Medical Associates LLC 3949 South Cobb Drive SE Smyrna,GA30080 58-2617089	Operation of Physician Practices & Medical Services	GA	501(c)(3)	Line 3	Emory-Adventist Inc		No
(27) Courtland Hlth Care Properties Inc 730 Courtland Street Orlando,FL32804 51-0605682	Lease to Related Organization	GA	501(c)(3)	Line 11c, III-FI	Sunbelt Hlth Care Centers Inc		No
(28) Creekwood Place Nursing & Rehab Center Inc 683 E Third Street Russellville,KY42276 20-5782260	Operation of Home for the Aged/Hlthcare Delivery	KY	501(c)(3)	Line 9	Sunbelt Hlth Care Centers Inc		No
(29) Dairy Road Hlth Care Properties Inc 7350 Dairy Road Zephyrhills,FL33540 51-0605684	Lease to Related Organization	GA	501(c)(3)	Line 11c, III-FI	Sunbelt Hlth Care Centers Inc		No
(30) East Orlando Hlth & Rehab Center Inc 250 S Chickasaw Trail Orlando,FL32825 20-5774748	Operation of Home for the Aged/Hlthcare Delivery	FL	501(c)(3)	Line 9	Sunbelt Hlth Care Centers Inc		No
(31) Emory-Adventist Inc 3949 South Cobb Drive Smyrna,GA30080 58-2171011	Operation of Hospital & Related Svcs	GA	501(c)(3)	Line 3	Adventist Hlth SystemSunbelt Inc	Yes
(32) Fletcher Hospital Inc 100 Hospital Drive Hendersonville,NC28792 56-0543246	Operation of Hospital & Related Svcs	NC	501(c)(3)	Line 3	Adventist Hlth System Sunbelt Hlthcare Corp		No
(33) FLNC Inc 3355 E Semoran Blvd Apopka,FL32703 20-5774761	Operation of Home for the Aged/Hlthcare Delivery	FL	501(c)(3)	Line 9	Sunbelt Hlth Care Centers Inc		No
(34) Florida Hospital Healthcare Partners Inc (130-123113) 301 Memorial Medical Parkway Daytona Beach,FL32117 46-2354804	Operation of Physician Practices & Medical Services	FL	501(c)(3)	Line 3	Adventist Hlth SystemSunbelt Inc	Yes
(35) Florida Hospital Medical Group Inc 900 Winderley Place Maitland,FL32751 59-3214635	Operation of Physician Practices & Medical Services	FL	501(c)(3)	Line 3	Adventist Hlth SystemSunbelt Inc	Yes
(36) Florida Hospital Physician Group Inc (21-123113) 14055 Riveredge Drive Ste 250 Tampa,FL33637 46-2021581	Operation of Physician Practices & Medical Services	FL	501(c)(3)	Line 3	Adventist Hlth System Sunbelt Hlthcare Corp		No
(37) Florida Hospital Waterman Inc 1000 Waterman Way Tavares,FL32778 59-3140669	Operation of Hospital & Related Services	FL	501(c)(3)	Line 3	Adventist Hlth System Sunbelt Hlthcare Corp		No
(38) Florida Hospital Zephyrhills Inc 7050 Gall Blvd Zephyrhills,FL33541 59-2108057	Operation of Hospital & Related Services	FL	501(c)(3)	Line 3	Adventist Hlth SystemSunbelt Inc	Yes
(39) Foundation for Shawnee Mission Medical Center Inc 9100 W 74th Street Shawnee Mission,KS66204 48-0868859	Fund-raising for Tax-exempt hospital	KS	501(c)(3)	Line 11a, I	Shawnee Mission Medical Center Inc		No
(40) GlenOaks Hospital Foundation 701 Winthrop Avenue Glendale Heights,IL60139 36-3926044	Fund-raising for Tax-exempt hospital	IL	501(c)(3)	Line 7	Midwest Hlth Foundation		No
(41) Helen Ellis Memorial Hospital Auxiliary Inc 1395 S Pinellas Ave Tarpon Springs,FL34689 59-2106043	Fund-raising for Tax-exempt hospital/foundation	FL	501(c)(3)	Line 11c, III-FI	Tarpon Springs Hospital Foundation Inc		No
(42) Helen Ellis Memorial Hospital Foundation Inc 1395 S Pinellas Ave Tarpon Springs,FL34689 59-3690149	Fund-raising for Tax-exempt hospital	FL	501(c)(3)	Line 11c, III-FI	Tarpon Springs Hospital Foundation Inc		No
(43) Hinsdale Hospital Foundation 7 Salt Creek Lane Suite 203 Hinsdale,IL60521 52-1466387	Fund-raising for Tax-exempt hospital	IL	501(c)(3)	Line 7	Midwest Hlth Foundation		No
(44) In-Motion Rehab Inc 602 Courtland Street Ste 200 Orlando,FL32804 20-8023411	Therapy services to tax exempt nursing homes	KS	501(c)(3)	Line 11b, II	Sunbelt Hlth Care Centers Inc		No
(45) Jellico Community Hospital Inc 188 Hospital Lane Jellico,TN37762 62-0924706	Operation of Hospital & Related Services	TN	501(c)(3)	Line 3	Adventist Hlth System Sunbelt Hlthcare Corp		No
(46) Johnson County Community Care Corporation (11-5613) 11801 South Freeway Burleson,TX76028 45-2793120	Support Operation of Hospital	TX	501(c)(3)	Line 11a, I	Adventist Hlth SystemSunbelt Inc	Yes
(47) La Grange Memorial Hospital Foundation 5101 S Willow Springs Rd La Grange,IL60525 30-0247776	Fund-raising for Tax-exempt hospital	IL	501(c)(3)	Line 7	Midwest Hlth Foundation		No
(48) Memorial Hlth Systems Foundation Inc 770 West Granada Blvd Ormond Beach,FL32174 31-1771522	Fund-raising for Tax-exempt hospital	FL	501(c)(3)	Line 7	Memorial Hlth Systems Inc		No
(49) Memorial Hlth Systems Inc 301 Memorial Medical Parkway Daytona Beach,FL32117 59-0973502	Operation of Hospital & Related Services	FL	501(c)(3)	Line 3	Adventist Hlth SystemSunbelt Inc	Yes
(50) Memorial Hospital - West Volusia Inc 701 West Plymouth Avenue Deland,FL32720 59-3256803	Operation of Hospital & Related Services	FL	501(c)(3)	Line 3	Memorial Hlth Systems Inc		No
(51) Memorial Hospital Flagler Inc 60 Memorial Medical Parkway Palm Coast,FL32164 59-2951990	Operation of Hospital & Related Services	FL	501(c)(3)	Line 3	Memorial Hlth Systems Inc		No
(52) Memorial Hospital Inc 210 Marie Langdon Drive Manchester,KY40962 61-0594620	Operation of Hospital & Related Services	KY	501(c)(3)	Line 3	Adventist Hlth System Sunbelt Hlthcare Corp		No
(53) Merriam Hlth Care Properties Inc 9700 West 62nd Street Merriam,KS66203 36-4595806	Lease to Related Organization	KS	501(c)(3)	Line 11c, III-FI	Sunbelt Hlth Care Centers Inc		No
(54) Metroplex Adventist Hospital Inc 2201 S Clear Creek Road Killeen,TX76549 74-2225672	Operation of Hospital & Related Services	TX	501(c)(3)	Line 3	Adventist Hlth System Sunbelt Hlthcare Corp		No
(55) Metroplex Clinic Physicians Inc 2201 S Clear Creek Road Killeen,TX76549 11-3762050	Physician Hlthcare services to the community	TX	501(c)(3)	Line 3	Metroplex Adventist Hospital Inc		No
(56) Metroplex Hospital Inc 900 Hope Way Altamonte Springs,FL32714 46-1256516	Future Operation of Hospital & Related Svcs	FL	501(c)(3)	Line 3	Adventist Hlth System Sunbelt Hlthcare Corp		No
(57) Midwest Hlth Foundation 120 North Oak Street Hinsdale,IL60521 35-2230515	Support of subsidiary Foundations	IL	501(c)(3)	Line 11b, II	N/A		No
(58) Mills Hlth & Rehab Center Inc 500 Beck Lane Mayfield,KY42066 20-5782320	Operation of Home for the Aged/Hlthcare Delivery	KY	501(c)(3)	Line 9	Sunbelt Hlth Care Centers Inc		No
(59) Mission Strategies of Georgia Inc 3949 S Cobb Drive Smyrna,GA30080 90-0866024	Provision of support to the nursing home division	GA	501(c)(3)	Line 11b, II	Sunbelt Hlth Care Centers Inc		No
(60) Mission Strategies Inc 602 Courtland Street Ste 200 Orlando,FL32804 20-5982365	Provision of support to the nursing home division	KS	501(c)(3)	Line 11b, II	Sunbelt Hlth Care Centers Inc		No
(61) Missouri Adventist Hlth Inc 9100 W 74th Street Shawnee Mission,KS66204 43-1224729	Support Hlth Care Services	MO	501(c)(3)	Line 11d, III-O	Adventist Hlth Mid-America Inc		No
(62) North Regional EMS Inc 188 Hospital Lane Jellico,TN37762 26-2653616	EMS Services	TN	501(c)(3)	Line 9	Jellico Community Hospital Inc		No
(63) Ormond Beach Memorial Hospital Auxiliary Inc 301 Memorial Medical Parkway Daytona Beach,FL32117 59-1721962	Volunteer support services	FL	501(c)(3)	Line 11c, III-FI	Memorial Hlth Systems Inc		No
(64) Overland Park Nursing & Rehab Center Inc 6501 West 75th Street Overland Park,KS66204 20-5774821	Operation of Home for the Aged/Hlthcare Delivery	KS	501(c)(3)	Line 9	Sunbelt Hlth Care Centers Inc		No
(65) Paragon Hlth Care Properties Inc 950 Highpoint Drive Hopkinsville,KY42240 51-0605686	Lease to Related Organization	GA	501(c)(3)	Line 11c, III-FI	Sunbelt Hlth Care Centers Inc		No
(66) Pasco-Pinellas Hillsborough Community Hlth System Inc 2400 Bedford Road Orlando,FL32803 20-8488713	Operation of Hospital & Related Services	FL	501(c)(3)	Line 3	Adventist Hlth System Sunbelt Hlthcare Corp		No
(67) Portercare Adventist Hlth System (630 Year End) 2525 S Downing Street Denver,CO80210 84-0438224	Operation of Hospital & Related Services	CO	501(c)(3)	Line 3	Adventist Hlth System Sunbelt Hlthcare Corp		No
(68) Portland Nursing & Rehab Center Inc (11-6513) 215 Highland Circle Drive Portland,TN37148 20-5774842	Operation of Home for the Aged/Hlthcare Delivery	TN	501(c)(3)	Line 9	Sunbelt Hlth Care Centers Inc		No
(69) Princeton Hlth & Rehab Center Inc 1333 West Main Princeton,KY42445 20-5782272	Operation of Home for the Aged/Hlthcare Delivery	KY	501(c)(3)	Line 9	Sunbelt Hlth Care Centers Inc		No
(70) Princeton Professional Services Inc 601 E Rollins Street Orlando,FL32803 59-1191045	Provision of Hlthcare Services	FL	501(c)(3)	Line 9	Adventist Hlth System Sunbelt Hlthcare Corp		No
(71) Quality Circle for Hlthcare Inc 900 Hope Way Altamonte Springs,FL32714 26-3789368	Hlthcare Quality Services	FL	501(c)(3)	Line 11a, I	Adventist Hlth System Sunbelt Hlthcare Corp		No
(72) Resource Personnel Inc 602 Courtland Street Ste 200 Orlando,FL32804 20-8040875	Provide administrative support to tax exempt nursing homes	FL	501(c)(3)	Line 11b, II	Sunbelt Hlth Care Centers Inc		No
(73) Rocky Mountain Adventist Hlthcare Foundation (630 Year End) 2525 South Downing Street Denver,CO80210 84-0745018	Fund-raising for Tax-exempt hospital	CO	501(c)(3)	Line 7	PorterCare Adventist Hlth System		No
(74) Rollins Brook Community Care Corp 2201 S Clear Creek Road Killeen,TX76549 46-1656773	Inactive	TX	501(c)(3)	Line 11a, I	Adventist Hlth SystemSunbelt Inc	Yes
(75) Russellville Hlth Care Properties Inc 683 East Third Street Russellville,KY42276 51-0605691	Lease to Related Organization	GA	501(c)(3)	Line 11c, III-FI	Sunbelt Hlth Care Centers Inc		No
(76) San Marcos Hlth Care Properties Inc 1900 Medical Parkway San Marcos,TX78666 51-0605693	Lease to Related Organization	GA	501(c)(3)	Line 11c, III-FI	Sunbelt Hlth Care Centers Inc		No
(77) San Marcos Nursing & Rehab Center Inc 1900 Medical Parkway San Marcos,TX78666 20-5782224	Operation of Home for the Aged/Hlthcare Delivery	TX	501(c)(3)	Line 9	Sunbelt Hlth Care Centers Inc		No
(78) Shawnee Mission Hlth Care Inc 6501 West 75th Street Overland Park,KS66204 48-0952508	Lease to Related Organization	KS	501(c)(3)	Line 11c, III-FI	Sunbelt Hlth Care Centers Inc		No
(79) Shawnee Mission Medical Center Inc 9100 W 74th Street Shawnee Mission,KS66204 48-0637331	Operation of Hospital & Related Services	KS	501(c)(3)	Line 3	Adventist Hlth Mid-America Inc		No
(80) South Central Nursing Homes Properties Inc 900 Hope Way Altamonte Springs,FL32714 59-3686109	Management Support	GA	501(c)(3)	Line 11d, III-O	South Central Inc		No
(81) South Central Nursing Homes Inc 602 Courtland Street Orlando,FL32804 61-1242373	Management Support	KY	501(c)(3)	Line 11d, III-O	South Central Inc		No
(82) South Central Properties III Inc 900 Hope Way Altamonte Springs,FL32714 59-3692860	Real Estate	GA	501(c)(2)		South Central Nursing Homes Properties Inc		No
(83) South Central Properties IV Inc 900 Hope Way Altamonte Springs,FL32714 59-3692862	Real Estate	GA	501(c)(2)		South Central Nursing Homes Properties Inc		No
(84) South Central Properties VI Inc 900 Hope Way Altamonte Springs,FL32714 59-3692857	Real Estate	GA	501(c)(2)		South Central Nursing Homes Properties Inc		No
(85) South Central Properties Inc 900 Hope Way Altamonte Springs,FL32714 59-3651692	Real Estate	GA	501(c)(2)		South Central Nursing Homes Properties Inc		No
(86) South Central Inc 602 Courtland Street Orlando,FL32804 59-3689740	Management Support	GA	501(c)(3)	Line 11c, III-FI	N/A		No
(87) South Pasco Hlth Care Properties Inc 38250 A Avenue Zephyrhills,FL33542 51-0605679	Lease to Related Organization	GA	501(c)(3)	Line 11c, III-FI	Sunbelt Hlth Care Centers Inc		No
(88) Southwest Volusia Hlth Services Inc 1055 Saxon Blvd Orange City,FL32763 59-3281591	Medical Office Building for Hospital	FL	501(c)(3)	Line 11a, I	Southwest Volusia Hlthcare Corp		No
(89) Southwest Volusia Hlthcare Corp 1055 Saxon Blvd Orange City,FL32763 59-3149293	Operation of Hospital & Related Services	FL	501(c)(3)	Line 3	Adventist Hlth SystemSunbelt Inc	Yes
(90) Specialty Physicians of Central Texas Inc 1301 Wonder World Drive San Marcos,TX78666 20-8814408	Physician Hlthcare services to the community	TX	501(c)(3)	Line 3	Adventist Hlth SystemSunbelt Inc	Yes
(91) Spring View Hlth & Rehab Center Inc 718 Goodwin Lane Leitchfield,KY42754 20-5782288	Operation of Home for the Aged/Hlthcare Delivery	KY	501(c)(3)	Line 9	Sunbelt Hlth Care Centers Inc		No
(92) Sunbelt Hlth & Rehab Center - Apopka Inc 305 East Oak Street Apopka,FL32703 20-5774856	Operation of Home for the Aged/Hlthcare Delivery	FL	501(c)(3)	Line 9	Sunbelt Hlth Care Centers Inc		No
(93) Sunbelt Hlth Care Centers Inc 602 Courtland Street Ste 200 Orlando,FL32804 58-1473135	Management Services	TN	501(c)(3)	Line 11b, II	Adventist Hlth System Sunbelt Hlthcare Corp		No
(94) SunSystem Development Corp 900 Hope Way Altamonte Springs,FL32714 59-2219301	Fund Raising for Affiliated Tax-Exempt Hospitals	FL	501(c)(3)	Line 7	Adventist Hlth System Sunbelt Hlthcare Corp		No
(95) Tarpon Springs Hospital Foundation Inc 1395 S Pinellas Ave Tarpon Springs,FL34689 59-0898901	Operation of Hospital & Related Services	FL	501(c)(3)	Line 3	University Community Hospital Inc		No
(96) Tarrant County Hlth Care Properties Inc 301 Huguley Blvd Burleson,TX76028 51-0605677	Lease to Related Organization	GA	501(c)(3)	Line 11c, III-FI	Sunbelt Hlth Care Centers Inc		No
(97) Taylor Creek Hlth Care Properties Inc 718 Goodwin Lane Leitchfield,KY42754 51-0605678	Lease to Related Organization	GA	501(c)(3)	Line 11c, III-FI	Sunbelt Hlth Care Centers Inc		No
(98) The Volunteer Auxiliary of Florida Hospital - Flagler Inc 60 Memorial Medical Parkway Palm Coast,FL32164 59-2486582	Volunteer support services	FL	501(c)(3)	Line 11c, III-FI	Memorial Hospital Flagler Inc		No
(99) Trinity Nursing & Rehab Center Inc 9700 West 62nd Street Merriam,KS66203 20-5774890	Operation of Home for the Aged/Hlthcare Delivery	KS	501(c)(3)	Line 9	Sunbelt Hlth Care Centers Inc		No
(100) University Community Hospital Foundation Inc 3100 E Fletcher Ave Tampa,FL33613 59-2554889	Fund-raising for Tax-exempt hospital	FL	501(c)(3)	Line 11a, I	University Community Hospital Inc		No
(101) University Community Hospital Specialty Care Inc 3100 E Fletcher Ave Tampa,FL33613 59-3231322	Inactive	FL	501(c)(3)	Line 11a, I	University Community Hospital Inc		No
(102) University Community Hospital Inc 3100 E Fletcher Ave Tampa,FL33613 59-1113901	Operation of Hospital & Related Services	FL	501(c)(3)	Line 3	Adventist Hlth System Sunbelt Hlthcare Corp		No
(103) West Kentucky Hlth Care Properties Inc 500 Beck Lane Mayfield,KY42066 51-0605676	Lease to Related Organization	GA	501(c)(3)	Line 11c, III-FI	Sunbelt Hlth Care Centers Inc		No
(104) Zephyr Haven Hlth & Rehab Center Inc 38250 A Avenue Zephyrhills,FL33542 20-5774930	Operation of Home for the Aged/Hlthcare Delivery	FL	501(c)(3)	Line 9	Sunbelt Hlth Care Centers Inc		No
(105) Zephyrhills Hlth & Rehab Center Inc 7350 Dairy Road Zephyrhills,FL33540 20-5774967	Operation of Home for the Aged/Hlthcare Delivery	FL	501(c)(3)	Line 9	Sunbelt Hlth Care Centers Inc		No

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50135Y

Schedule R (Form 990) 2013

Page 2

Part III

Identification of Related Organizations Taxable as a Partnership Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a partnership during the tax year.

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Predominant income(related, unrelated, excluded from tax under sections 512-514)	(f) Share of total income	(g) Share of end-of-year assets	(h) Disproprtionate allocations?		(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?		(k) Percentage ownership
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity		(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No
(1) Appalachian Therapy Services LLC 100 Hospital Drive Hendersonville,NC28792 20-2463851	Therapy Staffing	NC	N/A
(2) Clear Creek MOB Ltd 2201 S Clear Creek Rd Killeen,TX76549 74-2609195	Real Estate	TX	N/A
(3) Endoscopy Center at Porter LLC 1001 South Park Drive Littleton,CO80120 20-5855038	Medical Services	CO	N/A
(4) Florida Hospital DMERT LLC 2450 Maitland Center Pkwy Ste 200 Maitland,FL32751 20-2392253	Medical Equipment	FL	N/A
(5) Florida Hospital Home Infusion 2450 Maitland Center Pkwy Ste 200 Maitland,FL32751 59-3142824	Home Infusion Services	FL	N/A
(6) KCCCSMMC Cancer Center LLC (11-4813) 9100 W 74th Street Shawnee Mission,KS66204 27-0909763	Equipment Rental	KS	N/A
(7) PAHSUSP Surgery Centers LLC 15305 Dallas Pkwy Ste 1600 LB 28 Addison,TX75010 26-3057950	Medical Services	CO	N/A
(8) San Marcos MRI LP 1330 Wonder World Dr Ste 202 San Marcos,TX78666 77-0597972	Imaging & Testing	TX	Adventist Hlth SystemSunbelt Inc	Related	59,067	257,475		No			No	55.000 %
(9) Shawnee Mission Open MRI LLC 9100 W 74th Street Box 2923 Shawnee Mission,KS66201 27-0011796	Imaging & Testing	KS	N/A

Part IV

Identification of Related Organizations Taxable as a Corporation or Trust Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a corporation or trust during the tax year.

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Type of entity (C corp, S corp, or trust)	(f) Share of total income	(g) Share of end-of-year assets	(h) Percentage ownership	(i) Section 512(b)(13) controlled entity?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Type of entity (C corp, S corp, or trust)	(f) Share of total income	(g) Share of end-of-year assets		Yes	No
(1) Altamonte Medical Plaza Condominium Association Inc 601 East Rollins Street Orlando,FL32803 59-2855792	Condo Association	FL	Adventist Hlth SystemSunbelt Inc	C	122,842	36,925	58.000 %	Yes
(2) Apopka Medical Plaza Condominium Association Inc 601 East Rollins Street Orlando,FL32803 59-3000857	Condo Association	FL	Adventist Hlth SystemSunbelt Inc	C	27,868	17,851	89.000 %	Yes
(3) CC MOB Inc 2201 S Clear Creek Road Killeen,TX76549 74-2616875	Real Estate Rental	TX	N/A	C					No
(4) Central Texas Medical Associates 1301 Wonder World Drive San Marcos,TX78666 74-2729873	Physician Clinics	TX	Adventist Hlth SystemSunbelt Inc	C			100.000 %	Yes
(5) Central Texas Provider's Network 1301 Wonder World Drive San Marcos,TX78666 74-2827652	Physician Hospital Org.	TX	Adventist Hlth SystemSunbelt Inc	C	1,949	41,671	100.000 %	Yes
(6) Florida Hospital Flagler Medical Offices Association Inc 60 Memorial Medical Parkway Palm Coast,FL32164 26-2158309	Condo Association	FL	N/A	C					No
(7) Florida Hospital Healthcare System Inc 602 Courtland Street Orlando,FL32804 59-3215680	PHO/TPA	FL	Adventist Hlth SystemSunbelt Inc	C	144,583,515	49,147,811	100.000 %	Yes
(8) Florida Medical Plaza Condo Association Inc 601 East Rollins Street Orlando,FL32803 59-2855791	Condo Association	FL	Adventist Hlth SystemSunbelt Inc	C	771,033	207,096	78.000 %	Yes
(9) Florida Memorial Health Network Inc 770 W Granada Blvd Ste 317 Ormond Beach,FL32174 59-3403558	Physician Hospital Org.	FL	N/A	C					No
(10) Huguley Alliance Foundation 11801 South Freeway Fort Worth,TX76115 75-2642209	Inactive	TX	Adventist Hlth SystemSunbelt Inc	C		136,191	100.000 %	Yes
(11) Kissimmee Multispecialty Clinic Condominium Association Inc 201 Hilda Street Suite 30 Kissimmee,FL34741 59-3539564	Condo Association	FL	Adventist Hlth SystemSunbelt Inc	C	51,521		54.400 %	Yes
(12) Midwest Management Services Inc 9100 West 74th Street Shawnee Mission,KS66204 48-0901551	Real Estate Rental	KS	N/A	C					No
(13) Metroplex Adventist Hospital CRNA (11-111113) 2201 S Clear Creek Road Killeen,TX76549 26-0760794	Support hospital - provide allied health professionals	TX	N/A	C					No
(14) North American Health Services Inc & Subs 111 N Orlando Avenue Winter Park,FL32789 62-1041820	Lessor/Holding Co.	TN	N/A	C					No
(15) Ormond Professional Condo Association (430 Year End) 770 W Granada Blvd Ste 101 Ormond Beach,FL32174 59-2694434	Condo Association	FL	N/A	C					No
(16) Park Ridge Property Owner's Association Inc 1 Park Place Naples Road Fletcher,NC28732 03-0380531	Condo Association	NC	N/A	C					No
(17) Porter Affiliated Hlth Services Inc dba Diversified Affiliated Hlth Svcs 2525 S Downing Street Denver,CO80210 84-0956175	Healthcare Services	CO	N/A	C					No
(18) San Marcos Regional MRI Inc 1301 Wonder World Drive San Marcos,TX78666 77-0597968	Holding Company	TX	Adventist Hlth SystemSunbelt Inc	C	1,595	11,464	100.000 %	Yes
(19) The Garden Retirement Community Inc 602 Courtland Street Ste 200 Orlando,FL32804 59-3414055	Real Estate Rental	FL	N/A	C					No
(20) University Community Health Insurance Company SPC Ltd (11-32813) C/O AON Insurance Managers PO Box Grand Cayman CJ	Captive Insurance	CJ	N/A	C					No
(21) UCH Services Inc (11-61213) 3100 East Fletcher Ave Tampa,FL33613 59-3508454	Management Company	FL	N/A	C					No
(22) Winter Park Medical Office Building I Condo Assoc Inc 200 Lakemont Ave Winter Park,FL32792 45-2228478	Physician Clinics	FL	Adventist Hlth SystemSunbelt Inc	C	161,654	8,367	52.000 %	Yes

Schedule R (Form 990) 2013

Page 3

Part V

Transactions With Related Organizations Complete if the organization answered "Yes" on Form 990, Part IV, line 34, 35b, or 36.

Note. Complete line 1 if any entity is listed in Parts II, III, or IV of this schedule.

Yes

1 During the tax year, did the orgranization engage in any of the following transactions with one or more related organizations listed in Parts II-IV?

a Receipt of (i) interest (ii) annuities (iii) royalties or (iv) rent from a controlled entity . . . . . . . . . . . . . . . . . . . . . . .

Yes

b Gift, grant, or capital contribution to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

c Gift, grant, or capital contribution from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

d Loans or loan guarantees to or for related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

e Loans or loan guarantees by related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

f Dividends from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

g Sale of assets to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

h Purchase of assets from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

i Exchange of assets with related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

j Lease of facilities, equipment, or other assets to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

k Lease of facilities, equipment, or other assets from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

l Performance of services or membership or fundraising solicitations for related organization(s) . . . . . . . . . . . . . . . . . . . .

Yes

m Performance of services or membership or fundraising solicitations by related organization(s) . . . . . . . . . . . . . . . . . . . .

Yes

n Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) . . . . . . . . . . . . . . . . . . . . .

o Sharing of paid employees with related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

p Reimbursement paid to related organization(s) for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

q Reimbursement paid by related organization(s) for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

r Other transfer of cash or property to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

s Other transfer of cash or property from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

If the answer to any of the above is "Yes," see the instructions for information on who must complete this line, including covered relationships and transaction thresholds.

(a) Name of related organization	(b) Transaction type (a-s)	(c) Amount involved	(d) Method of determining amount involved
(1) Adventist Health System Sunbelt Healthcare Corporation	B	15,787,382	Actual Amount Given
(2) Adventist Health System Sunbelt Healthcare Corporation	C	76,232	Actual Amount Received
(3) Adventist Health System Sunbelt Healthcare Corporation	M	54,275,946	% of Facility's Operating Exp
(4) Adventist Health System Sunbelt Healthcare Corporation	P	149,124,649	Cost
(5) Adventist Health System Sunbelt Healthcare Corporation	Q	10,499,736	Cost
(6) Adventist Health System Sunbelt Healthcare Corporation dba AHSIS	M	15,153,303	% of Facility's Operating Exp
(7) Adventist Health System Sunbelt Healthcare Corp dba Sunbelt Medical Mgmt	J	86,640	Cost
(8) Adventist Health System Sunbelt Healthcare Corp dba Sunbelt Medical Mgmt	P	289,426	Cost
(9) Adventist Health System Sunbelt Healthcare Corp dba Sunbelt Medical Mgmt	Q	726,450	Cost
(10) Adventist Bolingbrook Hospital	L	619,738	Cost
(11) Adventist Bolingbrook Hospital	P	111,607	Cost
(12) Adventist Bolingbrook Hospital	Q	76,240	Cost
(13) Adventist Care Centers Courtland Inc	B	147,564	Actual Amount Given
(14) Adventist GlenOaks Hospital	L	572,921	Cost
(15) Adventist GlenOaks Hospital	P	55,151	Cost
(16) Adventist GlenOaks Hospital	Q	117,470	Cost
(17) Adventist Health Partners Inc	J	377,252	FMV Rental Rate
(18) Adventist Health Partners Inc	L	501,748	Cost
(19) Adventist Health Partners Inc	P	2,970,511	Cost
(20) Adventist Health System Affiliate Benefit Trust	C	14,000,000	Actual Amount Received
(21) Adventist Health System Georgia Inc	L	537,022	Cost
(22) Adventist Hinsdale Hospital	L	4,181,245	Cost
(23) Adventist Hinsdale Hospital	P	18,073,769	Cost
(24) Adventist Hinsdale Hospital	Q	3,190,735	Cost
(25) Adventist University of Health Sciences	J	2,199,732	Cost
(26) Adventist University of Health Sciences	P	318,932	Cost
(27) Adventist University of Health Sciences	Q	17,673,173	Cost
(28) Adventist University of Health Sciences	R	4,671,209	Cost
(29) AHS Midwest Management Inc	P	867,704	Cost
(30) AHSCentral Texas Inc	K	138,947	Cost
(31) Central Texas Healthcare Collaborative	B	1,447,713	Actual Amount Given
(32) Central Texas Medical Center Foundation	B	84,206	Actual Amount Given
(33) Central Texas Medical Center Foundation	C	257,104	Actual Amount Received
(34) Central Texas Providers Network	Q	54,316	Cost
(35) East Orlando Health & Rehab Center Inc	B	1,440,600	Actual Amount Given
(36) Emory-Adventist Inc	A	277,153	FMV Interest Rate
(37) Emory-Adventist Inc	S	950,400	Principal Loan Amount
(38) Fletcher Hospital Inc	L	571,032	Cost
(39) Fletcher Hospital Inc	R	478,831	Cost
(40) FLNC Inc	B	2,211,000	Actual Amount Given
(41) Florida Hospital Healthcare System Inc	A	243,257	FMV Rental Rate
(42) Florida Hospital Healthcare System Inc	M	114,093,082	Claims Reimb Plus FMV Fee
(43) Florida Hospital Healthcare System Inc	Q	13,081,033	Cost
(44) Florida Hospital Medical Group Inc	B	24,565,644	Actual Amount Given
(45) Florida Hospital Medical Group Inc	A	6,415,163	FMV Rental Rate
(46) Florida Hospital Medical Group Inc	K	320,974	Cost
(47) Florida Hospital Medical Group Inc	L	3,055,586	Cost
(48) Florida Hospital Medical Group Inc	M	55,193,272	Cost Plus Appropriate %
(49) Florida Hospital Medical Group Inc	P	4,576,634	Cost
(50) Florida Hospital Medical Group Inc	Q	4,465,593	Cost
(51) Florida Hospital Medical Group Inc	R	6,890,424	Cost
(52) Florida Hospital Waterman Inc	B	376,695	Actual Amount Given
(53) Florida Hospital Waterman Inc	L	1,241,823	Cost
(54) Florida Hospital Waterman Inc	P	106,153	Cost
(55) Florida Hospital Waterman Inc	Q	171,794	Cost
(56) Florida Hospital Zephyrhills Inc	L	1,180,761	Cost
(57) Florida Hospital Zephyrhills Inc	Q	81,590	Cost
(58) Jellico Community Hospital Inc	L	800,096	Cost
(59) La Grange Memorial Hospital Foundation	B	254,903	Actual Amount Given
(60) La Grange Memorial Hospital Foundation	C	1,094,432	Actual Amount Received
(61) Memorial Health Systems Inc	L	1,798,465	Cost
(62) Memorial Hospital - Flagler Inc	L	1,346,517	Cost
(63) Memorial Hospital - West Volusia Inc	L	1,159,050	Cost
(64) Memorial Hospital - West Volusia Inc	P	67,695	Cost
(65) Memorial Hospital Inc	L	630,533	Cost
(66) North American Health Services Inc dba Elm Creek Property Management	P	76,564	Cost
(67) Pasco-Pinellas Hillsborough Community Health System Inc	C	141,216	Actual Amount Received
(68) Pasco-Pinellas Hillsborough Community Health System Inc	L	312,783	Cost
(69) Princeton Professional Services Inc	J	232,698	Cost Plus Appropriate Margin
(70) Shawnee Mission Medical Center Inc	L	1,298,393	Cost
(71) Southwest Volusia Healthcare Corporation	L	1,140,469	Cost
(72) Southwest Volusia Healthcare Corporation	P	84,785	Cost
(73) Southwest Volusia Healthcare Corporation	Q	279,501	Cost
(74) Specialty Physicians of Central Texas Inc	B	4,000,000	Actual Amount Given
(75) Specialty Physicians of Central Texas Inc	Q	414,160	Cost
(76) Sunbelt Health & Rehab Center Apopka Inc	B	473,040	Actual Amount Given
(77) Sunbelt Health Care Centers Inc	J	318,757	Cost
(78) Sunsystem Development Corporation	B	4,836,401	Actual Amount Given
(79) Sunsystem Development Corporation	C	19,205,554	Actual Amount Received
(80) Sunsystem Development Corporation	Q	3,672,066	Cost
(81) Sunsystem Development Corporation	R	5,186,508	Cost
(82) Tarpon Springs Hospital Foundation	L	155,027	Cost
(83) University Community Hospital Inc	B	2,000,000	Actual Amount Given
(84) University Community Hospital Inc	L	2,960,650	Cost
(85) University Community Hospital Inc	Q	128,462	Cost

Schedule R (Form 990) 2013

Page 4

Part VI

Unrelated Organizations Taxable as a Partnership Complete if the organization answered "Yes" on Form 990, Part IV, line 37.

Provide the following information for each entity taxed as a partnership through which the organization conducted more than five percent of its activities (measured by total assets or gross revenue) that was not a related organization. See instructions regarding exclusion for certain investment partnerships.

(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(e) Are all partners section 501(c)(3) organizations?		(f) Share of total income	(g) Share of end-of-year assets	(h) Disproprtionate allocations?		(i) Code V?UBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?
(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	Yes	No	(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code V?UBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No

Schedule R (Form 990) 2013

Page 5

Part VII

Supplemental Information

Provide additional information for responses to questions on Schedule R (see instructions).

Return Reference	Explanation

Schedule R (Form 990) 2013

Additional Data

Software ID:
Software Version:

1	Briefly describe the organization’s mission or most significant activities: Operation of 12 acute-care hospitals & related healthcare services.
2	Check this box
3	Number of voting members of the governing body (Part VI, line 1a) ........	3	24
4	Number of independent voting members of the governing body (Part VI, line 1b) .....	4	18
5	Total number of individuals employed in calendar year 2013 (Part V, line 2a) ......	5	25,798
6	Total number of volunteers (estimate if necessary) .............	6	4,113
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ........	7a	10,648,196
b	Net unrelated business taxable income from Form 990-T, line 34 .........	7b	1,390,027

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	8,143,760	6,676,943
9	Program service revenue (Part VIII, line 2g) .........	3,052,566,284	3,159,694,997
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	32,324,587	35,537,972
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	22,908,437	23,309,569
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)...................	3,115,943,068	3,225,219,481
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...	23,414,566	21,415,602
14	Benefits paid to or for members (Part IX, column (A), line 4).....	0	0
15	Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10)	1,378,955,690	1,425,818,817
16a	Professional fundraising fees (Part IX, column (A), line 11e).....	0	0
b	Total fundraising expenses (Part IX, column (D), line 25) 0
17	Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e)....	1,463,590,734	1,483,289,786
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	2,865,960,990	2,930,524,205
19	Revenue less expenses. Subtract line 18 from line 12.......	249,982,078	294,695,276
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	6,299,999,146	7,038,810,789
21	Total liabilities (Part X, line 26).............	4,064,813,224	4,522,366,478
22	Net assets or fund balances. Subtract line 21 from line 20.....	2,235,185,922	2,516,444,311

Sign Here

	Signature of officer	Date

	Type or print name and title


4a	(Code: ) (Expenses $ 2,680,841,623 including grants of $ 21,415,602 ) (Revenue $ 3,169,747,834 )
	Operation of 12 acute care hospitals with 157,184 patient admissions, 762,076 patient days and 1,255,545 outpatient visits in the current year. In addition to hospital operations, the corporation provides medical care through a number of other activities such as urgent care centers, physician clinics, home health services, hospice services, sleep centers, wound centers, therapy and rehab.

4b	(Code: ) (Expenses $ including grants of $ ) (Revenue $ )












4c	(Code: ) (Expenses $ including grants of $ ) (Revenue $ )












4d	Other program services (Describe in Schedule O.)
	(Expenses $ including grants of $ ) (Revenue $ )
4e	Total program service expenses2,680,841,623

1b	Sub-Total................
c	Total from continuation sheets to Part VII, Section A....
d	Total (add lines 1b and 1c)............	4,277,472	16,317,386	2,068,154

				(A) Total revenue	(B) Related or exempt function revenue	(C) Unrelated business revenue	(D) Revenue excluded from tax under sections 512-514
1a	Federated campaigns..1a
b	Membership dues....1b
c	Fundraising events....1c
d	Related organizations...1d		4,151,355
e	Government grants (contributions)1e		2,436,862

f	All other contributions, gifts, grants, and similar amounts not included above1f		88,726

g	Noncash contributions included in lines 1a-1f:$
h	Total. Add lines 1a-1f.......			6,676,943
			Business Code
2a	Patient Revenue		900099	3,085,283,859	3,078,796,903	6,486,956
b	Cafeteria/Vending Rev.		900099	17,921,477	17,374,236	547,241
c	Management Fee		900099	14,669,894	14,014,515	655,379
d	Rent from Exemp Affiliates		531120	9,399,558	9,399,558
e	Gift Shop		900099	7,436,410	7,362,667	73,743
f	All other program service revenue .			24,983,799	23,079,307	1,904,492
g	Total. Add lines 2a–2f........			3,159,694,997
3	Investment income (including dividends, interest, and other similar amounts).......			16,667,039			16,667,039
4	Income from investment of tax-exempt bond proceeds..			202,559			202,559
5	Royalties...........			332,057			332,057
		(i) Real	(ii) Personal
6a	Gross rents	4,242,878	209,742
b	Less: rental expenses	1,193,479	2,277
c	Rental income or (loss)	3,049,399	207,465
d	Net rental income or (loss).......			3,256,864		980,385	2,276,479
		(i) Securities	(ii) Other
7a	Gross amount from sales of assets other than inventory	13,868,003	10,644,298
b	Less: cost or other basis and sales expenses	0	5,843,927
c	Gain or (loss)	13,868,003	4,800,371
d	Net gain or (loss)..........			18,668,374			18,668,374
8a	Gross income from fundraising events (not including $ of contributions reported on line 1c). See Part IV, line 18 ..
	a
b	Less: direct expenses ...b
c	Net income or (loss) from fundraising events..
9a	Gross income from gaming activities. See Part IV, line 19 ...
	a
b	Less: direct expenses ...b
c	Net income or (loss) from gaming activities...
10a	Gross sales of inventory, less returns and allowances .
	a
b	Less: cost of goods sold ..b
c	Net income or (loss) from sales of inventory..
Miscellaneous Revenue			Business Code
11a	Equity earnings from related enti		900099	10,861,654	10,861,654
b	EHR Revenue		900099	8,898,128	8,898,128
c	Investment in Subs		900099	-39,134	-39,134
d	All other revenue ....
e	Total. Add lines 11a–11d ......			19,720,648
12	Total revenue. See Instructions......			3,225,219,481	3,169,747,834	10,648,196	38,146,508


				(A) Beginning of year		(B) End of year
1	Cash–non-interest-bearing .............			104,616	1	103,380
2	Savings and temporary cash investments .........			1,559,001,735	2	2,022,267,786
3	Pledges and grants receivable, net ...........				3
4	Accounts receivable, net .............			421,785,860	4	444,928,441
5	Loans and other receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of Schedule L ..................
					5
6	Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), persons described in section 4958(c)(3)(B), and contributing employers and sponsoring organizations of section 501(c)(9) voluntary employees' beneficiary organizations (see instructions) Complete Part II of Schedule L
					6
7	Notes and loans receivable, net .............				7
8	Inventories for sale or use ..............			73,594,192	8	73,801,169
9	Prepaid expenses and deferred charges ..........			29,239,839	9	23,917,484
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	3,710,045,242
b	Less: accumulated depreciation .....	10b	1,825,123,249	1,777,349,745	10c	1,884,921,993
11	Investments—publicly traded securities ..........				11
12	Investments—other securities. See Part IV, line 11 .....			278,044,188	12	277,802,883
13	Investments—program-related. See Part IV, line 11 .....				13
14	Intangible assets ...............			34,901,310	14	33,144,645
15	Other assets. See Part IV, line 11 ...........			2,125,977,661	15	2,277,923,008
16	Total assets. Add lines 1 through 15 (must equal line 34)......			6,299,999,146	16	7,038,810,789
17	Accounts payable and accrued expenses .........			211,662,358	17	253,635,420
18	Grants payable .................				18
19	Deferred revenue ................				19
20	Tax-exempt bond liabilities .............			3,620,560,952	20	3,967,083,441
21	Escrow or custodial account liability. Complete Part IV of Schedule D..				21
22	Loans and other payables to current and former officers, directors, trustees, key employees, highest compensated employees, and disqualified
	persons. Complete Part II of Schedule L..........				22
23	Secured mortgages and notes payable to unrelated third parties ..				23
24	Unsecured notes and loans payable to unrelated third parties ....				24
25	Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17-24). Complete Part X of Schedule D....................			232,589,914	25	301,647,617
26	Total liabilities. Add lines 17 through 25.........			4,064,813,224	26	4,522,366,478
	Organizations that follow SFAS 117 (ASC 958), check here and complete lines 27 through 29, and lines 33 and 34.
27	Unrestricted net assets ..............			2,233,704,874	27	2,514,344,365
28	Temporarily restricted net assets ...........			1,481,048	28	2,099,946
29	Permanently restricted net assets ...........				29
	Organizations that do not follow SFAS 117 (ASC 958), check here and complete lines 30 through 34.
30	Capital stock or trust principal, or current funds ........				30
31	Paid-in or capital surplus, or land, building or equipment fund .....				31
32	Retained earnings, endowment, accumulated income, or other funds				32
33	Total net assets or fund balances ...........			2,235,185,922	33	2,516,444,311
34	Total liabilities and net assets/fund balances ........			6,299,999,146	34	7,038,810,789

1	Was the organization a U.S. transferor of property to a foreign corporation during the tax year? If "Yes,"the organization may be required to file Form 926, Return by a U.S. Transferor of Property to a Foreign Corporation (see Instructions for Form 926)......................................	Yes	No
2	Did the organization have an interest in a foreign trust during the tax year? If "Yes," the organization may be required to file Form 3520, Annual Return to Report Transactions with Foreign Trusts and Receipt of Certain Foreign Gifts, and/or Form 3520-A, Annual Information Return of Foreign Trust With a U.S. Owner (see Instructions for Forms 3520 and 3520-A).......................................	Yes	No
3	Did the organization have an ownership interest in a foreign corporation during the tax year? If "Yes," the organization may be required to file Form 5471, Information Return of U.S. Persons with Respect to Certain Foreign Corporations. (see Instructions for Form 5471)..............................	Yes	No
4	Was the organization a direct or indirect shareholder of a passive foreign investment company or a qualified electing fund during the tax year? If “Yes,” the organization may be required to file Form 8621, Information Return by a Shareholder of a Passive Foreign Investment Company or Qualified Electing Fund. (see Instructions for Form 8621)...............................................	Yes	No
5	Did the organization have an ownership interest in a foreign partnership during the tax year? If "Yes," the organization may be required to file Form 8865, Return of U.S. Persons with Respect to Certain Foreign Partnerships. (see Instructions for Form 8865)....................................	Yes	No
6	Did the organization have any operations in or related to any boycotting countries during the tax year? If "Yes," the organization may be required to file Form 5713, International Boycott Report (see Instructions for Form 5713)................................................	Yes	No