TY 2018 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)
(1) HAFFNER PHD RANDALL...................................................................... DIR/CHAIRMAN	0.10 ................. 50.00	X	0	2,960,838	312,821
(2) AGUILERA RONALD...................................................................... DIRECTOR	0.10 ................. 0.20	X	0	1,645	0
(3) ARQUILLA VENANZIO...................................................................... DIRECTOR	0.10 ................. 0.20	X	0	0	0
(4) EASTMAN LINDA...................................................................... DIRECTOR	0.10 ................. 0.20	X	0	0	0
(5) GRAY JR MARSHALL...................................................................... DIRECTOR	0.10 ................. 0.20	X	0	0	0
(6) GUTH MD SCOTT...................................................................... DIRECTOR (BEG 1/18)	2.90 ................. 0.20	X	20,750	0	0
(7) HAWKINS RONNIE...................................................................... DIRECTOR	0.10 ................. 0.20	X	0	0	0
(8) HOLDER BILL...................................................................... DIRECTOR	0.10 ................. 0.20	X	0	0	0
(9) MARTINEZ MD CARLOS...................................................................... DIRECTOR (BEG 1/18)	0.10 ................. 3.60	X	0	25,500	0
(10) O'CONNOR PETER...................................................................... DIRECTOR	0.10 ................. 4.40	X	0	0	0
(11) SCOTT GLYNN...................................................................... DIRECTOR	0.10 ................. 2.40	X	0	2,295	0
(12) SHARON MD GREG...................................................................... DIRECTOR (END 12/18)	0.10 ................. 4.90	X	0	33,313	0
(13) SNYDER BRENT G...................................................................... DIRECTOR	0.10 ................. 50.00	X	0	1,483,334	182,333
(14) THORDARSON THOR...................................................................... DIR/PRES/SEC/COO	10.00 ................. 40.00	X	844,895	8,815	41,853
(15) VALENTINE II MDIV MAURICE...................................................................... DIRECTOR/VICE CHAIR	0.10 ................. 0.20	X	0	2,395	0
(16) WRIGHT JONATHAN...................................................................... DIRECTOR	0.10 ................. 0.20	X	0	0	0
(17) YANG MD ERIC...................................................................... DIR/INTERIM CMO (BEG 7/18, END 12/18)	25.00 ................. 0.20	X	0	475,676	15,291

(A) Name and Title	(B) Average hours per week (list any hours for related organizations below dotted line)	(E) Reportable compensation from related organizations (W- 2/1099-MISC)	(F) Estimated amount of other compensation from the organization and related organizations
(18) PROVINCE STEVEN........................................................................ PRES/CEO HINSDALE	50.00 .......................0.00	X				454,519	0	33,647
(19) MURRILL MICHAEL L........................................................................ PRES/CEO LA GRANGE	50.00 .......................0.20	X				331,532	0	41,637
(20) MATHIS REBECCA........................................................................ VP/CFO HINSDALE/LA GRANGE	50.00 .......................0.20	X				274,389	9,214	43,567
(21) MAYCOCK ADAM........................................................................ VP/COO HINSDALE/LA GRANGE	50.00 .......................0.00		X			234,112	0	38,405
(22) CHEN MD BONNY........................................................................ VP/CMO HINSDALE/LA GRANGE (END 7/18)	25.00 .......................0.00		X			241,846	494	41,899
(23) MURPHY MARY........................................................................ CNO HINSDALE/LA GRANGE	50.00 .......................0.20		X			273,506	15,346	23,703
(24) RUSSELL DONALD........................................................................ EVP/CHIEF HR OFFICER	25.00 .......................25.00			X		604,299	190,721	42,678
(25) CHRISTIAN BRUCE........................................................................ PRES/CEO GLENOAKS/BOLINGBROOK	0.00 .......................50.00			X		476,749	120,521	33,401
(26) CARROLL RICHARD........................................................................ VP/CMO GLENOAKS/BOLINGBROOK	0.00 .......................50.00			X		455,632	32,014	37,797
(27) ROEHR RICHARD........................................................................ VP SYSTEM SERVICES	50.00 .......................0.00			X		303,691	0	44,162
(28) RADIVOJEVIC VLADIMIR........................................................................ VP/COO GLENOAKS/BOLINGBROOK	0.00 .......................50.00			X		261,450	0	43,059
(29) CRANE DAVID........................................................................ FORMER REGIONAL CEO	0.00 .......................0.00				X	0	444,098	8,528
(30) GOEBEL MICHAEL J........................................................................ FORMER CEO	0.00 .......................0.00				X	0	304,850	19,994

(A) Name and business address	(B) Description of services	(C) Compensation
COMPASS GROUP USA INC PO BOX 102289 ATLANTA,GA30368	FOOD SERVICE	12,974,975
POWER CONSTRUCTION COMPANY LLC 8750 W BRYN MAWR AVE STE 500 CHICAGO,IL60631	CONSTRUCTION SERVICES	4,954,132
PT SOLUTIONS HOLDINGS LLC PO BOX 441146 KENNESAW,GA30160	THERAPY SERVICES	3,607,877
MIDWEST ANESTHESIA PARTNERS LLC 387 SHUMAN BLVD STE 240W NAPERVILLE,IL60563	ON CALL SERVICES	3,279,329
TRIMEDX LLC PO BOX 636129 CINCINNATI,OH45263	CLINICAL ENGINEERING SERVICES	1,959,814
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 93

- 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.
right arrow

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

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2018

Open to Public
Inspection

Name of the organization

ADVENTIST MIDWEST HEALTH

Employer identification number

36-2276984

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 12, 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 (Form 990 or 990-EZ).)

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 agricultural research organization described in 170(b)(1)(A)(ix) operated in conjunction with a land-grant college or university or a non-land grant college of agriculture. See instructions. Enter the name, city, and state of the college or university:

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 in lines 12a through 12d that describes the type of supporting organization and complete lines 12e, 12f, and 12g.

Type I. A supporting organization operated, supervised, or controlled by its supported organization(s), typically by giving the supported organization(s) the power to regularly appoint or elect a majority of the directors or trustees of the supporting organization. You must complete Part IV, Sections A and B.

Type II. A supporting organization supervised or controlled in connection with its supported organization(s), by having control or management of the supporting organization vested in the same persons that control or manage the supported organization(s). You must complete Part IV, Sections A and C.

Type III functionally integrated. A supporting organization operated in connection with, and functionally integrated with, its supported organization(s) (see instructions). You must complete Part IV, Sections A, D, and E.

Type III non-functionally integrated. A supporting organization operated in connection with its supported organization(s) that is not functionally integrated. The organization generally must satisfy a distribution requirement and an attentiveness requirement (see instructions). You must complete Part IV, Sections A and D, and Part V.

Check this box if the organization received a written determination from the IRS that it is a Type I, Type II, Type III functionally integrated, or Type III non-functionally integrated supporting organization.

Enter the number of supported organizations ...............................

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

(i) Name of supported organization	(ii) EIN	(iv) Is the organization listed in your governing document?		(v) Amount of monetary support (see instructions)	(vi) Amount of other support (see instructions)
(i) Name of supported organization	(ii) EIN	Yes	No	(v) Amount of monetary support (see instructions)	(vi) Amount of other support (see instructions)


Total

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

Cat. No. 11285F

Schedule A (Form 990 or 990-EZ) 2018

Page 2

Part II

Support Schedule for Organizations Described in Sections 170(b)(1)(A)(iv), 170(b)(1)(A)(vi), and 170(b)(1)(A)(ix)
(Complete only if you checked the box on line 5, 7, 8, or 9 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) 2014	(b) 2015	(c) 2016	(d) 2017	(e) 2018	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grant.") ..
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) 2014	(b) 2015	(c) 2016	(d) 2017	(e) 2018	(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 VI.)..
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 section 501(c)(3) organization, check this box and stop here........................................ right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2018 (line 6, column (f) divided by line 11, column (f)) .........

Public support percentage for 2017 Schedule A, Part II, line 14 ...............

16a

33 1/3% support test—2018. 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—2017. 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—2018. 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 VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported
organization ..................................................... right arrow

10%-facts-and-circumstances test—2017. 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 VI 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) 2018

Page 3

Part III

Support Schedule for Organizations Described in Section 509(a)(2)
(Complete only if you checked the box on line 10 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) 2014	(b) 2015	(c) 2016	(d) 2017	(e) 2018	(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) 2014	(b) 2015	(c) 2016	(d) 2017	(e) 2018	(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 VI.) ..
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 section 501(c)(3) organization,
check this box and stop here............................................. right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2018 (line 8, column (f) divided by line 13, column (f)) .........

Public support percentage from 2017 Schedule A, Part III, line 15 ...............

Section D. Computation of Investment Income Percentage

Investment income percentage for 2018 (line 10c, column (f) divided by line 13, column (f)) ......

Investment income percentage from 2017 Schedule A, Part III, line 17 .............

19a

331/3% support tests—2018. 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—2017. 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) 2018

Page 4

Part IV

Supporting Organizations

(Complete only if you checked a box on line 12 of Part I. If you checked 12a of Part I, complete Sections A and B. If you checked 12b of Part I, complete Sections A and C. If you checked 12c of Part I, complete Sections A, D, and E. If you checked 12d of Part I, complete Sections A and D, and complete Part V.)

Section A. All Supporting Organizations

Yes

Are all of the organization’s supported organizations listed by name in the organization’s governing documents?
If "No," describe in Part VI how the supported organizations are designated. If designated by class or purpose,
describe the designation. If historic and continuing relationship, explain.

Did the organization have any supported organization that does not have an IRS determination of status under section 509(a)(1) or (2)? If "Yes," explain in Part VI how the organization determined that the supported organization was described in section 509(a)(1) or (2).

Did the organization have a supported organization described in section 501(c)(4), (5), or (6)? If "Yes," answer (b) and (c) below.

Did the organization confirm that each supported organization qualified under section 501(c)(4), (5), or (6) and satisfied the public support tests under section 509(a)(2)? If "Yes," describe in Part VI when and how the organization made the determination.

Did the organization ensure that all support to such organizations was used exclusively for section 170(c)(2)(B) purposes? If "Yes," explain in Part VI what controls the organization put in place to ensure such use.

Was any supported organization not organized in the United States ("foreign supported organization")? If “Yes” and if you checked 12a or 12b in Part I, answer (b) and (c) below.

Did the organization have ultimate control and discretion in deciding whether to make grants to the foreign supported organization? If “Yes,” describe in Part VI how the organization had such control and discretion despite being controlled or supervised by or in connection with its supported organizations.

Did the organization support any foreign supported organization that does not have an IRS determination under sections 501(c)(3) and 509(a)(1) or (2)? If “Yes,” explain in Part VI what controls the organization used to ensure that all support to the foreign supported organization was used exclusively for section 170(c)(2)(B) purposes.

Did the organization add, substitute, or remove any supported organizations during the tax year? If “Yes,” answer (b) and (c) below (if applicable). Also, provide detail in Part VI, including (i) the names and EIN numbers of the supported organizations added, substituted, or removed; (ii) the reasons for each such action; (iii) the authority under the organization's organizing document authorizing such action; and (iv) how the action was accomplished (such as by amendment to the organizing document).

Type I or Type II only. Was any added or substituted supported organization part of a class already designated in the organization's organizing document?

Substitutions only. Was the substitution the result of an event beyond the organization's control?

Did the organization provide support (whether in the form of grants or the provision of services or facilities) to anyone other than (i) its supported organizations, (ii) individuals that are part of the charitable class benefited by one or more of its supported organizations, or (iii) other supporting organizations that also support or benefit one or more of the filing organization’s supported organizations? If “Yes,” provide detail in Part VI.

Did the organization provide a grant, loan, compensation, or other similar payment to a substantial contributor (defined in section 4958(c)(3)(C)), a family member of a substantial contributor, or a 35% controlled entity with regard to a substantial contributor? If “Yes,” complete Part I of Schedule L (Form 990 or 990-EZ) .

Did the organization make a loan to a disqualified person (as defined in section 4958) not described in line 7? If “Yes,” complete Part I of Schedule L (Form 990 or 990-EZ).

Was the organization controlled directly or indirectly at any time during the tax year by one or more disqualified persons as defined in section 4946 (other than foundation managers and organizations described in section 509(a)(1) or (2))? If “Yes,” provide detail in Part VI.

Did one or more disqualified persons (as defined in line 9a) hold a controlling interest in any entity in which the supporting organization had an interest? If “Yes,” provide detail in Part VI.

Did a disqualified person (as defined in line 9a) have an ownership interest in, or derive any personal benefit from, assets in which the supporting organization also had an interest? If “Yes,” provide detail in Part VI.

10a

Was the organization subject to the excess business holdings rules of section 4943 because of section 4943(f) (regarding certain Type II supporting organizations, and all Type III non-functionally integrated supporting organizations)? If “Yes,” answer line 10b below.

10a

Did the organization have any excess business holdings in the tax year? (Use Schedule C, Form 4720, to determine whether the organization had excess business holdings).

10b

Schedule A (Form 990 or 990-EZ) 2018

Page 5

Part IV

Supporting Organizations (continued)

Yes

Has the organization accepted a gift or contribution from any of the following persons?

A person who directly or indirectly controls, either alone or together with persons described in (b) and (c) below, the governing body of a supported organization?

11a

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

11b

A 35% controlled entity of a person described in (a) or (b) above? If “Yes” to a, b, or c, provide detail in Part VI.

11c

Section B. Type I Supporting Organizations

Yes

Did the directors, trustees, or membership of one or more supported organizations have the power to regularly appoint or elect at least a majority of the organization’s directors or trustees at all times during the tax year? If “No,” describe in Part VI how the supported organization(s) effectively operated, supervised, or controlled the organization’s activities. If the organization had more than one supported organization, describe how the powers to appoint and/or remove directors or trustees were allocated among the supported organizations and what conditions or restrictions, if any, applied to such powers during the tax year.

Did the organization operate for the benefit of any supported organization other than the supported organization(s) that operated, supervised, or controlled the supporting organization? If “Yes,” explain in Part VI how providing such benefit carried out the purposes of the supported organization(s) that operated, supervised or controlled the supporting organization.

Section C. Type II Supporting Organizations

Yes

Were a majority of the organization’s directors or trustees during the tax year also a majority of the directors or trustees of each of the organization’s supported organization(s)? If “No,” describe in Part VI how control or management of the supporting organization was vested in the same persons that controlled or managed the supported organization(s).

Section D. All Type III Supporting Organizations

Yes

Did the organization provide to each of its supported organizations, by the last day of the fifth month of the organization’s tax year, (i) a written notice describing the type and amount of support provided during the prior tax year, (ii) a copy of the Form 990 that was most recently filed as of the date of notification, and (iii) copies of the organization’s governing documents in effect on the date of notification, to the extent not previously provided?

Were any of the organization’s officers, directors, or trustees either (i) appointed or elected by the supported organization(s) or (ii) serving on the governing body of a supported organization? If "No," explain in Part VI how the organization maintained a close and continuous working relationship with the supported organization(s).

By reason of the relationship described in (2), did the organization’s supported organizations have a significant voice in the organization’s investment policies and in directing the use of the organization’s income or assets at all times during the tax year? If "Yes," describe in Part VI the role the organization’s supported organizations played in this regard.

Section E. Type III Functionally-Integrated Supporting Organizations

Check the box next to the method that the organization used to satisfy the Integral Part Test during the year (see instructions):

The organization satisfied the Activities Test. Complete line 2 below.

The organization is the parent of each of its supported organizations. Complete line 3 below.

The organization supported a governmental entity. Describe in Part VI how you supported a government entity (see instructions)

Activities Test. Answer (a) and (b) below.

Yes

Did substantially all of the organization’s activities during the tax year directly further the exempt purposes of the supported organization(s) to which the organization was responsive? If "Yes," then in Part VI identify those supported organizations and explain how these activities directly furthered their exempt purposes, how the organization was responsive to those supported organizations, and how the organization determined that these activities constituted substantially all of its activities.

Did the activities described in (a) constitute activities that, but for the organization’s involvement, one or more of the organization’s supported organization(s) would have been engaged in? If "Yes," explain in Part VI the reasons for the organization’s position that its supported organization(s) would have engaged in these activities but for the organization’s involvement.

Parent of Supported Organizations. Answer (a) and (b) below.

Did the organization have the power to regularly appoint or elect a majority of the officers, directors, or trustees of each of the supported organizations? Provide details in Part VI.

Did the organization exercise a substantial degree of direction over the policies, programs and activities of each of its supported organizations? If "Yes," describe in Part VI. the role played by the organization in this regard.

Schedule A (Form 990 or 990-EZ) 2018

Page 6

Part V

Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations

Check here if the organization satisfied the Integral Part Test as a qualifying trust on Nov. 20, 1970 (explain in Part VI). See instructions. All other Type III non-functionally integrated supporting organizations must complete Sections A through E.

	Section A - Adjusted Net Income		(A) Prior Year	(B) Current Year (optional)
1	Net short-term capital gain	1
2	Recoveries of prior-year distributions	2
3	Other gross income (see instructions)	3
4	Add lines 1 through 3	4
5	Depreciation and depletion	5
6	Portion of operating expenses paid or incurred for production or collection of gross income or for management, conservation, or maintenance of property held for production of income (see instructions)	6
7	Other expenses (see instructions)	7
8	Adjusted Net Income (subtract lines 5, 6 and 7 from line 4)	8

	Section B - Minimum Asset Amount		(A) Prior Year	(B) Current Year (optional)
1	Aggregate fair market value of all non-exempt-use assets (see instructions for short tax year or assets held for part of year):	1
a	Average monthly value of securities	1a
b	Average monthly cash balances	1b
c	Fair market value of other non-exempt-use assets	1c
d	Total (add lines 1a, 1b, and 1c)	1d
e	Discount claimed for blockage or other factors (explain in detail in Part VI):
2	Acquisition indebtedness applicable to non-exempt use assets	2
3	Subtract line 2 from line 1d	3
4	Cash deemed held for exempt use. Enter 1-1/2% of line 3 (for greater amount, see instructions).	4
5	Net value of non-exempt-use assets (subtract line 4 from line 3)	5
6	Multiply line 5 by .035	6
7	Recoveries of prior-year distributions	7
8	Minimum Asset Amount (add line 7 to line 6)	8

	Section C - Distributable Amount		Current Year
1	Adjusted net income for prior year (from Section A, line 8, Column A)	1
2	Enter 85% of line 1	2
3	Minimum asset amount for prior year (from Section B, line 8, Column A)	3
4	Enter greater of line 2 or line 3	4
5	Income tax imposed in prior year	5
6	Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions)	6

Check here if the current year is the organization's first as a non-functionally-integrated Type III supporting organization (see instructions)

Schedule A (Form 990 or 990-EZ) 2018

Page 7

Part V

Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations (continued)

Section D - Distributions		Current Year
1 Amounts paid to supported organizations to accomplish exempt purposes
2 Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in excess of income from activity
3 Administrative expenses paid to accomplish exempt purposes of supported organizations
4 Amounts paid to acquire exempt-use assets
5 Qualified set-aside amounts (prior IRS approval required)
6 Other distributions (describe in Part VI). See instructions
7Total annual distributions. Add lines 1 through 6.
8 Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI). See instructions
9 Distributable amount for 2018 from Section C, line 6
10 Line 8 amount divided by Line 9 amount

Section E - Distribution Allocations (see instructions)		(i) Excess Distributions	(ii) Underdistributions Pre-2018	(iii) Distributable Amount for 2018
1 Distributable amount for 2018 from Section C, line 6
2 Underdistributions, if any, for years prior to 2018 (reasonable cause required-- explain in Part VI). See instructions.
3 Excess distributions carryover, if any, to 2018:
a From 2013.......
b From 2014.......
c From 2015.......
d From 2016.......
e From 2017.......
fTotal of lines 3a through e
g Applied to underdistributions of prior years
h Applied to 2018 distributable amount
i Carryover from 2013 not applied (see instructions)
j Remainder. Subtract lines 3g, 3h, and 3i from 3f.
4Distributions for 2018 from Section D, line 7:
$
a Applied to underdistributions of prior years
b Applied to 2018 distributable amount
c Remainder. Subtract lines 4a and 4b from 4.
5 Remaining underdistributions for years prior to 2018, if any. Subtract lines 3g and 4a from line 2. If the amount is greater than zero, explain in Part VI. See instructions.
6 Remaining underdistributions for 2018. Subtract lines 3h and 4b from line 1. If the amount is greater than zero, explain in Part VI. See instructions.
7 Excess distributions carryover to 2019. Add lines 3j and 4c.
8 Breakdown of line 7:
a Excess from 2014......
b Excess from 2015.....
c Excess from 2016.....
d Excess from 2017.....
e Excess from 2018.....

Schedule A (Form 990 or 990-EZ) (2018)

Schedule A (Form 990 or 990-EZ) 2018

Page 8

Part VI

Supplemental Information. Provide the explanations required by Part II, line 10; Part II, line 17a or 17b; Part III, line 12; Part IV, Section A, lines 1, 2, 3b, 3c, 4b, 4c, 5a, 6, 9a, 9b, 9c, 11a, 11b, and 11c; Part IV, Section B, lines 1 and 2; Part IV, Section C, line 1; Part IV, Section D, lines 2 and 3; Part IV, Section E, lines 1c, 2a, 2b, 3a and 3b; Part V, line 1; Part V, Section B, line 1e; Part V Section D, lines 5, 6, and 8; and Part V, Section E, lines 2, 5, and 6. Also complete this part for any additional information. (See instructions).

Facts And Circumstances Test

Return Reference	Explanation

Schedule A (Form 990 or 990-EZ) 2018

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.

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2018

Name of the organization

ADVENTIST MIDWEST HEALTH

Employer identification number

36-2276984

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, contributions totaling $5,000 or more (in money or other property) from any one contributor. Complete Parts I and II. See instructions for determining a contributor's total contributions.

Special Rules

For an organization described in section 501(c)(3) 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), that checked Schedule A (Form 990 or 990-EZ), Part II, line 13, 16a, or 16b, and that received from any one contributor, during the year, total contributions 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 an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor,
during the year, total contributions of more than $1,000 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 an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor,
during the year, contributions exclusively for religious, charitable, etc., purposes, but no such contributions totaled 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. Don't complete any of the parts unless the General Rule applies to this organization because it received nonexclusively religious, charitable, etc., contributions totaling $5,000 or more during the year ......... Arrow Bullet

Caution. An organization that isn't covered by the General Rule and/or the Special Rules doesn't 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 doesn't 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) (2018)

Schedule B (Form 990, 990-EZ, or 990-PF) (2018) Page 2

Name of organization ADVENTIST MIDWEST HEALTH

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	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) (2018)

Schedule B (Form 990, 990-EZ, or 990-PF) (2018)

Page 3

Name of organization ADVENTIST MIDWEST HEALTH		Employer identification number 36-2276984

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) (2018)

Schedule B (Form 990, 990-EZ, or 990-PF) (2018)

Page 4


Name of organization ADVENTIST MIDWEST HEALTH			Employer identification number 36-2276984
Part III Exclusively religious, charitable, etc., contributions to organizations described in section 501(c)(7), (8), or (10) that total more than $1,000 for the year from any one contributor. 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.) $ 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) (2018)

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

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2018

Open to Public
Inspection

If the organization answered "Yes" on 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" on 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" on Form 990, Part IV, Line 5 (Proxy Tax) (see separate instructions) or Form 990-EZ, Part V, line 35c (Proxy Tax) (see separate instructions), then
Round Bullet

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

Name of the organization

ADVENTIST MIDWEST HEALTH

Employer identification number

36-2276984

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 (see instructions for definition of “political campaign activities")

Political campaign activity expenditures (see instructions) .................................................................... SchCMd Bullet

Volunteer hours for political campaign activities (see instructions) ..................................................................

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-.
1
2
3
4
5
6

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

Cat. No. 50084S

Schedule C (Form 990 or 990-EZ) 2018

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 separate instructions for lines 2a through 2f.)
Lobbying Expenditures During 4-Year Averaging Period
	Calendar year (or fiscal year beginning in)	(a) 2015	(b) 2016	(c) 2017	(d) 2018	(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) 2018

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 on 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)? ........

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? ..................

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

Yes

64,564

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

64,564

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, lines 1 and 2 (see instructions), and Part ll-B, line 1. Also, complete this part for any additional information.

Return Reference	Explanation
PART II-B, LINE 1:	DUES WERE PAID TO THE AMERICAN HOSPITAL ASSOCIATION AND ILLINOIS HOSPITAL ASSOCIATION.

Schedule C (Form 990 or 990EZ) 2018

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," on 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

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2018

Open to Public Inspection

Name of the organization

ADVENTIST MIDWEST HEALTH

Employer identification number

36-2276984

Part I

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

		(a) Donor advised funds	(b) Funds and other accounts
1	Total number at end of year .........
2	Aggregate value of contributions to (during year)
3	Aggregate value of 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" on 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 7/25/06, 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, handling of violations, and enforcing conservation easements during the year
SchDMd Bullet

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

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" on 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)

Revenue included on 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:

Revenue included on 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) 2018

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" on 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


b	If "Yes," explain the arrangement in Part XIII and complete the following table:		Amount
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, for escrow or custodial account liability? ...

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" on Form 990, Part IV, line 10.

		(a)Current year	(b)Prior year	(c)Two years back	(d)Three years back	(e)Four years back

1a	Beginning of year balance ....	2,757,867	2,776,135	1,847,820	1,709,572	1,641,940
b	Contributions ...			2,500,224	90,685
c	Net investment earnings, gains, and losses	351,461	349,939	158,502	67,588	67,632
d	Grants or scholarships ...
e	Other expenditures for facilities and programs ...	424,288	368,207	1,730,411	20,025
f	Administrative expenses ....
g	End of year balance ......	2,685,040	2,757,867	2,776,135	1,847,820	1,709,572

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

Board designated or quasi-endowment SchDMd Bullet

Permanent endowment SchDMd Bullet

100.000 %

Temporarily restricted endowment SchDMd Bullet

The percentages on 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" on 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" on Form 990, Part IV, line 11a. See Form 990, Part X, line 10.

Description of property		(a) Cost or other basis (investment)	(b) Cost or other basis (other)	(c) Accumulated depreciation	(d) Book value

1a	Land .....	17,131,811		17,131,811
b	Buildings ....	490,156,092	303,570,703	186,585,389
c	Leasehold improvements
d	Equipment ....	303,469,328	263,953,607	39,515,721
e	Other .....	40,778,073	7,908,382	32,869,691
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).)..				276,102,612

Schedule D (Form 990) 2018

Page 3

Part VII

InvestmentsOther Securities. Complete if the organization answered "Yes" on 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........
(3)Other
(A)
(B)
(C)
(D)
(E)
(F)
(G)
(H)
Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)

Part VIII

InvestmentsProgram Related. Complete if the organization answered 'Yes' on 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

(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 13.)

Part IX

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

(a) Description				(b) Book value
(1) OTHER RECEIVABLES				446,426
(2) DUE FROM RELATED				19,825,828
(3) BENEFICIAL INTEREST IN FOUNDATION				10,484,311
(4) INTERCOMPANY RECEIVABLE				152,799,452
(5) OTHER ASSETS				1,323,319
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........				184,879,336

Part X

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

1.(a) Description of liability	(b) Book value
(1) Federal income taxes
DUE TO AFFILIATED	9,507,319
PAYABLE TO THIRD PARTIES	43,820,370
CREDIT BALANCES IN A/R	6,707,406
INTERCO. ALLOC. OF TE BOND PROCEEDS	249,793,003
LEASES PAYABLE	2,380,220
OTHER NONCURRENT LIABILITIES	9,584,677
OTHER LIABILITIES	4,691,272
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)	326,484,267
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) 2018

Page 4

Part XI Reconciliation of Revenue per Audited Financial Statements With Revenue per Return Complete if the organization answered 'Yes' on 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 (losses) 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' on 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 V, LINE 4:

ALL ENDOWMENT FUNDS ARE HELD BY THE FOLLOWING RELATED 501(C)(3) EXEMPT FOUNDATIONS: HINSDALE HOSPITAL FOUNDATION (HHF): FORMED AND MAINTAINED EXCLUSIVELY TO FURTHER THE EXEMPT PURPOSE OF AMITA HEALTH ADVENTIST MEDICAL CENTER HINSDALE. HHF HELD ASSETS IN PERMANENT ENDOWMENT FUNDS DURING THE CURRENT YEAR. HHF'S ENDOWMENT CONSISTS OF THREE INDIVIDUAL FUNDS ESTABLISHED TO SUPPORT THE HOSPITAL'S OPLER CANCER CENTER AND CANCER CENTER NURSE NAVIGATION PROGRAM. LA GRANGE MEMORIAL HOSPITAL FOUNDATION (LMHF): FORMED AND MAINTAINED EXCLUSIVELY TO FURTHER THE EXEMPT PURPOSE OF AMITA HEALTH ADVENTIST MEDICAL CENTER LA GRANGE. LMHF'S PERMANENT ENDOWMENT CONSISTS OF A SCHOLARSHIP FUND ESTABLISHED TO SUPPORT NURSING SCHOLARSHIPS.

PART X, LINE 2:

THE FILING ORGANIZATION IS A SUBSIDIARY ORGANIZATION WITHIN ADVENTHEALTH. THE CONSOLIDATED FINANCIAL STATEMENTS OF ADVENTHEALTH CONTAIN THE FOLLOWING FIN 48 (ASC 740) FOOTNOTE: PLEASE NOTE THAT DOLLAR AMOUNTS ARE IN THOUSANDS. HEALTHCARE CORPORATION AND ITS AFFILIATED ORGANIZATIONS, OTHER THAN NORTH AMERICAN HEALTH SERVICES, INC. AND ITS SUBSIDIARY (NAHS), ARE EXEMPT FROM STATE AND FEDERAL INCOME TAXES. ACCORDINGLY, HEALTHCARE CORPORATION AND ITS TAX-EXEMPT AFFILIATES ARE NOT SUBJECT TO FEDERAL, STATE OR LOCAL INCOME TAXES EXCEPT FOR ANY NET UNRELATED BUSINESS TAXABLE INCOME. NAHS IS A WHOLLY OWNED, FOR-PROFIT SUBSIDIARY OF HEALTHCARE CORPORATION. NAHS AND ITS SUBSIDIARY ARE SUBJECT TO FEDERAL AND STATE INCOME TAXES. NAHS FILES A CONSOLIDATED FEDERAL INCOME TAX RETURN AND, WHERE APPROPRIATE, CONSOLIDATED STATE INCOME TAX RETURNS. ALL TAXABLE INCOME WAS FULLY OFFSET BY NET OPERATING LOSS CARRYFORWARDS FOR FEDERAL INCOME TAX PURPOSES; AS SUCH, THERE IS NO PROVISION FOR CURRENT FEDERAL OR STATE INCOME TAX FOR THE YEARS ENDED DECEMBER 31, 2018 AND 2017. NAHS ALSO HAS TEMPORARY DEDUCTIBLE DIFFERENCES OF APPROXIMATELY $53,000 AND $55,700 AT DECEMBER 31, 2018 AND 2017, RESPECTIVELY, PRIMARILY AS A RESULT OF NET OPERATING LOSS CARRYFORWARDS. AT DECEMBER 31, 2018, NAHS HAD NET OPERATING LOSS CARRYFORWARDS OF APPROXIMATELY $54,500, EXPIRING BEGINNING IN 2022 THROUGH 2026. DEFERRED TAXES HAVE BEEN PROVIDED FOR THESE AMOUNTS, RESULTING IN A NET DEFERRED TAX ASSET OF APPROXIMATELY $13,400 AND $14,100 AT DECEMBER 31, 2018 AND 2017, RESPECTIVELY. NAHS REMEASURED ITS DEFERRED TAX ASSETS AND LIABILITIES BASED ON THE RATES AT WHICH THEY ARE EXPECTED TO REVERSE IN THE FUTURE, WHICH IS GENERALLY 21%. A FULL VALUATION ALLOWANCE HAS BEEN PROVIDED AT DECEMBER 31, 2018 AND 2017 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, 2018 AND 2017. ON DECEMBER 22, 2017, THE UNITED STATES ENACTED TAX REFORM LEGISLATION COMMONLY KNOWN AS THE TAX CUTS AND JOBS ACT (ACT), RESULTING IN SIGNIFICANT MODIFICATIONS TO EXISTING LAW. CERTAIN PROVISIONS WILL IMPACT TAX-EXEMPT ORGANIZATIONS, INCLUDING REVISIONS TO TAXES ON UNRELATED BUSINESS ACTIVITIES, EXCISE TAXES ON COMPENSATION OF CERTAIN EMPLOYEES, AND VARIOUS OTHER PROVISIONS. THE REGULATIONS NECESSARY TO IMPLEMENT THE LAW HAVE NOT YET BEEN PROMULGATED, AND THE ULTIMATE OUTCOME OF THESE REGULATIONS AND THE IMPACT TO THE SYSTEM CANNOT BE DETERMINED PRESENTLY. THE SYSTEM WILL CONTINUE TO REVIEW AND ASSESS THE IMPACT OF THE LEGISLATION TO THE CONSOLIDATED FINANCIAL STATEMENTS, BUT DOES NOT EXPECT THAT THE IMPACT WILL BE SIGNIFICANT.

Schedule D (Form 990) 2018

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" on Form 990, Part IV, question 20.
MediumBullet

Attach to Form 990.
MediumBullet

Go to www.irs.gov/Form990EZ for instructions and the latest information.

OMB No. 1545-0047

2018

Open to Public Inspection

Name of the organization

ADVENTIST MIDWEST HEALTH

Employer identification number

36-2276984

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 60000.0000000000 %

If the organization used factors other than FPG in determining eligibility, describe in Part VI the criteria used 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) . . .	757,162		757,162	0.140 %
b	Medicaid (from Worksheet 3, column a) . . . . .	64,850,634	55,974,904	8,875,730	1.700 %
c	Costs of other means-tested government programs (from Worksheet 3, column b) . .
d	Total Financial Assistance and Means-Tested Government Programs . . . . .	65,607,796	55,974,904	9,632,892	1.840 %
Other Benefits
e	Community health improvement services and community benefit operations (from Worksheet 4).
f	Health professions education (from Worksheet 5) . . .	16,326,617	3,976,825	12,349,792	2.360 %
g	Subsidized health services (from Worksheet 6) . . . .
h	Research (from Worksheet 7) .
i	Cash and in-kind contributions for community benefit (from Worksheet 8) . . . .	458,000		458,000	0.090 %
j	Total. Other Benefits . .	16,784,617	3,976,825	12,807,792	2.450 %
k	Total. Add lines 7d and 7j .	82,392,413	59,951,729	22,440,684	4.290 %

For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2018

Schedule H (Form 990) 2018

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	(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	238,519	238,519	0.050 %
8	Workforce development
9	Other
10	Total	238,519	238,519	0.050 %

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. ......

20,384,316

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. ......

665,546

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).....

134,402,684

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

154,222,822

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

-19,820,138

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 HINSDALE SURGICAL CENTER LLC	SURGICAL SERVICES	23.450 %	0 %	56.310 %
2
3
4
5
6
7
8
9
10
11
12
13

Schedule H (Form 990) 2018

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?2Name, address, primary website address, and state license number (and if a group return, the name and EIN of the subordinate hospital organization that operates the hospital facility)
1	AMITA HLTH ADVENTIST MED CTR HINSDALE 120 NORTH OAK STREET HINSDALE,IL60521 WWW.AMITAHEALTH.ORG 0000976	X	X	X		X
2	AMITA HLTH ADVENTIST MED CTR LA GRANGE 5101 S WILLOW SPRINGS ROAD LA GRANGE,IL60525 WWW.AMITAHEALTH.ORG 0005017	X	X	X	X	X

Schedule H (Form 990) 2018

Page 4

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)

	AMITA HLTH ADVENTIST MED CTR HINSDALE
Name of hospital facility or letter of facility reporting group

Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A):

Yes

Community Health Needs Assessment

Was the hospital facility first licensed, registered, or similarly recognized by a state as a hospital facility in the current tax year or the immediately preceding tax year?........................

Was the hospital facility acquired or placed into service as a tax-exempt hospital in the current tax year or the immediately preceding tax year? If “Yes,” provide details of the acquisition in Section C...............

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 12......................

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 significant 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

The impact of any actions taken to address the significant health needs identified in the hospital facility's prior CHNA(s)

Other (describe in Section C)

Indicate the tax year the hospital facility last conducted a CHNA: 20 16

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 Section C how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted .................

Yes

6 a

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

Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................

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): SEE STATEMENT

Other website (list url):

Made a paper copy available for public inspection without charge at the hospital facility

Other (describe in Section C)

Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. ..............

Yes

Indicate the tax year the hospital facility last adopted an implementation strategy: 20 17

Is the hospital facility's most recently adopted implementation strategy posted on a website?.........

Yes

If "Yes" (list url): SEE STATEMENT

If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ......

10b

Describe in Section C how the hospital facility is addressing the significant needs identified in its most recently conducted CHNA and any such needs that are not being addressed together with the reasons why such needs are not being addressed.

12a

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)?...............................

12a

If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........

12b

If "Yes" on line 12b, 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) 2018

Page 5

Part VFacility Information (continued)

Financial Assistance Policy (FAP)

	AMITA HLTH ADVENTIST MED CTR HINSDALE
Name of hospital facility or letter of facility reporting group

Yes

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 included free or discounted care?

Yes

If “Yes,” indicate the eligibility criteria explained in the FAP:

Federal poverty guidelines (FPG), with FPG family income limit for eligibility for free care of 200.000000000000% and FPG family income limit for eligibility for discounted care of 600.000000000000%

Income level other than FPG (describe in Section C)

Asset level

Medical indigency

Insurance status

Underinsurance discount

Residency

Other (describe in Section C)

Explained the basis for calculating amounts charged to patients?.................

Yes

Explained the method for applying for financial assistance?...................

Yes

If “Yes,” indicate how the hospital facility’s FAP or FAP application form (including accompanying instructions) explained the method for applying for financial assistance (check all that apply):

Described the information the hospital facility may require an individual to provide as part of his or her application

Described the supporting documentation the hospital facility may require an individual to submit as part of his or
her application

Provided the contact information of hospital facility staff who can provide an individual with information about the
FAP and FAP application process

Provided the contact information of nonprofit organizations or government agencies that may be sources of
assistance with FAP applications

Other (describe in Section C)

Was widely publicized within the community served by the hospital facility?........

Yes

If "Yes," indicate how the hospital facility publicized the policy (check all that apply):

The FAP was widely available on a website (list url):

SEE STATEMENT

The FAP application form was widely available on a website (list url):

SEE STATEMENT

A plain language summary of the FAP was widely available on a website (list url):
SEE STATMENT

The FAP was available upon request and without charge (in public locations in the hospital facility and by mail)

The FAP application form was available upon request and without charge (in public locations in the hospital facility
and by mail)

A plain language summary of the FAP was available upon request and without charge (in public locations in the
hospital facility and by mail)

Individuals were notified about the FAP by being offered a paper copy of the plain language summary of the FAP, by
receiving a conspicuous written notice about the FAP on their billing statements, and via conspicuous public displays or
other measures reasonably calculated to attract patients' attention

Notified members of the community who are most likely to require financial assistance about availability of the FAP

The FAP, FAP application form, and plain language summary of the FAP were translated into the primary language(s)
spoken by LEP populations

Other (describe in Section C)

Schedule H (Form 990) 2018

Page 6

Part VFacility Information (continued)

Billing and Collections

	AMITA HLTH ADVENTIST MED CTR HINSDALE
Name of hospital facility or letter of facility reporting group

Yes

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 all of the actions the hospital facility or other authorized party may take upon nonpayment?..................................

Yes

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:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Deferring, denying, or requiring a payment before providing medically necessary care due to nonpayment of a previous
bill for care covered under the hospital facility's FAP

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

None of these actions or other similar actions were permitted

Did the hospital facility or other authorized 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?............

If "Yes," check all actions in which the hospital facility or a third party engaged:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Deferring , denying, or requiring a payment before providing medically necessary care due to nonpayment of a previous
bill for care covered under the hospital facility's FAP

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 19. (check all that apply):

Provided a written notice about upcoming ECAs (Extraordinary Collection Action) and a plain language summary of the
FAP at least 30 days before initiating those ECAs

Made a reasonable effort to orally notify individuals about the FAP and FAP application process

Processed incomplete and complete FAP applications

Made presumptive eligibility determinations

Other (describe in Section C)

None of these efforts were made

Policy Relating to Emergency Medical Care

Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that required 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 Section C)

Other (describe in Section C)

Schedule H (Form 990) 2018

Page 7

Part VFacility Information (continued)

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

	AMITA HLTH ADVENTIST MED CTR HINSDALE
Name of hospital facility or letter of facility reporting group

Yes

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 a look-back method based on claims allowed by Medicare fee-for-service during a prior 12-month period

The hospital facility used a look-back method based on claims allowed by Medicare fee-for-service and all private health insurers that pay claims to the hospital facility during a prior 12-month period

The hospital facility used a look-back method based on claims allowed by Medicaid, either alone or in combination with
Medicare fee-for-service and all private health insurers that pay claims to the hospital facility during a prior 12-month
period

The hospital facility used a prospective Medicare or Medicaid method

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 Section C.

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 Section C.

Schedule H (Form 990) 2018

Page 4

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)

	AMITA HLTH ADVENTIST MED CTR LA GRANGE
Name of hospital facility or letter of facility reporting group

Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A):

Yes

Community Health Needs Assessment

Was the hospital facility first licensed, registered, or similarly recognized by a state as a hospital facility in the current tax year or the immediately preceding tax year?........................

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 12......................

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 significant 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

The impact of any actions taken to address the significant health needs identified in the hospital facility's prior CHNA(s)

Other (describe in Section C)

Indicate the tax year the hospital facility last conducted a CHNA: 20 16

Yes

6 a

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

Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................

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): SEE STATEMENT

Other website (list url):

Made a paper copy available for public inspection without charge at the hospital facility

Other (describe in Section C)

Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. ..............

Yes

Indicate the tax year the hospital facility last adopted an implementation strategy: 20 17

Is the hospital facility's most recently adopted implementation strategy posted on a website?.........

Yes

If "Yes" (list url): SEE STATEMENT

If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ......

10b

12a

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)?...............................

12a

If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........

12b

If "Yes" on line 12b, 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) 2018

Page 5

Part VFacility Information (continued)

Financial Assistance Policy (FAP)

	AMITA HLTH ADVENTIST MED CTR LA GRANGE
Name of hospital facility or letter of facility reporting group

Yes

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 included free or discounted care?

Yes

If “Yes,” indicate the eligibility criteria explained in the FAP:

Federal poverty guidelines (FPG), with FPG family income limit for eligibility for free care of 200.000000000000% and FPG family income limit for eligibility for discounted care of 600.000000000000%

Income level other than FPG (describe in Section C)

Asset level

Medical indigency

Insurance status

Underinsurance discount

Residency

Other (describe in Section C)

Explained the basis for calculating amounts charged to patients?.................

Yes

Explained the method for applying for financial assistance?...................

Yes

Described the information the hospital facility may require an individual to provide as part of his or her application

Described the supporting documentation the hospital facility may require an individual to submit as part of his or
her application

Provided the contact information of hospital facility staff who can provide an individual with information about the
FAP and FAP application process

Provided the contact information of nonprofit organizations or government agencies that may be sources of
assistance with FAP applications

Other (describe in Section C)

Was widely publicized within the community served by the hospital facility?........

Yes

If "Yes," indicate how the hospital facility publicized the policy (check all that apply):

The FAP was widely available on a website (list url):

SEE STATEMENT

The FAP application form was widely available on a website (list url):

SEE STATEMENT

A plain language summary of the FAP was widely available on a website (list url):
SEE STATMENT

The FAP was available upon request and without charge (in public locations in the hospital facility and by mail)

The FAP application form was available upon request and without charge (in public locations in the hospital facility
and by mail)

A plain language summary of the FAP was available upon request and without charge (in public locations in the
hospital facility and by mail)

Notified members of the community who are most likely to require financial assistance about availability of the FAP

The FAP, FAP application form, and plain language summary of the FAP were translated into the primary language(s)
spoken by LEP populations

Other (describe in Section C)

Schedule H (Form 990) 2018

Page 6

Part VFacility Information (continued)

Billing and Collections

	AMITA HLTH ADVENTIST MED CTR LA GRANGE
Name of hospital facility or letter of facility reporting group

Yes

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Deferring, denying, or requiring a payment before providing medically necessary care due to nonpayment of a previous
bill for care covered under the hospital facility's FAP

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

None of these actions or other similar actions were permitted

If "Yes," check all actions in which the hospital facility or a third party engaged:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Deferring , denying, or requiring a payment before providing medically necessary care due to nonpayment of a previous
bill for care covered under the hospital facility's FAP

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 19. (check all that apply):

Provided a written notice about upcoming ECAs (Extraordinary Collection Action) and a plain language summary of the
FAP at least 30 days before initiating those ECAs

Made a reasonable effort to orally notify individuals about the FAP and FAP application process

Processed incomplete and complete FAP applications

Made presumptive eligibility determinations

Other (describe in Section C)

None of these efforts were made

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 Section C)

Other (describe in Section C)

Schedule H (Form 990) 2018

Page 7

Part VFacility Information (continued)

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

	AMITA HLTH ADVENTIST MED CTR LA GRANGE
Name of hospital facility or letter of facility reporting group

Yes

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 a look-back method based on claims allowed by Medicare fee-for-service during a prior 12-month period

The hospital facility used a prospective Medicare or Medicaid method

If "Yes," explain in Section C.

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 Section C.

Schedule H (Form 990) 2018

Page 8

Part V

Facility Information (continued)

Section C. Supplemental Information for Part V, Section B. Provide descriptions required for Part V, Section B, lines 2, 3j, 5, 6a, 6b, 7d, 11, 13b, 13h, 15e, 16j, 18e, 19e, 20e, 21c, 21d, 23, and 24. If applicable, provide separate descriptions for each hospital facility in a facility reporting group, designated by facility reporting group letter and hospital facility line number from Part V, Section A (“A, 1,” “A, 4,” “B, 2,” “B, 3,” etc.) and name of hospital facility.
Form and Line Reference	Explanation
AMITA HLTH ADVENTIST MED CTR HINSDALE	PART V, SECTION B, LINE 5: ADVENTIST MIDWEST HEALTH, D/B/A AMITA HEALTH ADVENTIST MEDICAL CENTER HINSDALE (THE HOSPITAL) CONDUCTED A COMMUNITY HEALTH NEEDS ASSESSMENT THAT WAS ADOPTED BY ITS BOARD OF DIRECTORS BY 12/31/16. THE COMMUNITY HEALTH NEEDS ASSESSMENT WAS CONDUCTED ON BEHALF OF THE FILING ORGANIZATION AS PART OF A LARGER PROJECT SPONSORED BY THE METROPOLITAN CHICAGO HEALTHCARE COUNCIL (MCHC) AND DONE BY PROFESSIONAL RESEARCH CONSULTANTS, INC. (PRC). PRC IS A NATIONALLY-RECOGNIZED HEALTHCARE CONSULTING FIRM WITH EXTENSIVE EXPERIENCE CONDUCTING COMMUNITY HEALTH NEEDS ASSESSMENTS. THE HOSPITAL'S COMMUNITY HEALTH NEEDS ASSESSMENT GATHERED BOTH QUANTITATIVE AND QUALITATIVE DATA. QUALITATIVE DATA INCLUDED PRIMARY RESEARCH GATHERED THROUGH AN ONLINE KEY INFORMANT SURVEY OF VARIOUS COMMUNITY STAKEHOLDERS. THE ONLINE KEY INFORMANT SURVEY WAS DESIGNED AND EXECUTED TO SOLICIT INPUT FROM THOSE INDIVIDUALS WHO NOT ONLY HAD A BROAD INTEREST IN THE HEALTH NEEDS OF THE HOSPITAL'S COMMUNITY, BUT ALSO REPRESENTED THE NEEDS OF LOW-INCOME, MINORITY, AND OTHER MEDICALLY UNDER-SERVED POPULATIONS. PARTICIPANTS WERE CHOSEN BECAUSE OF THEIR ABILITY TO IDENTIFY PRIMARY CONCERNS OF POPULATIONS WITH WHOM THEY WORKED, AS WELL AS THE COMMUNITY OVERALL.PARTICIPANTS INCLUDED REPRESENTATIVES OF THE FOLLOWING ORGANIZATIONS: A SAFE HAVEN FOUNDATION AUSTIN CHILDCARE PROVIDERS NETWORK BETTER HEALTH NETWORK CHICAGO DEPARTMENT OF PUBLIC HEALTH DOMINICAN UNIVERSITY HEALTH SERVICES DUPAGE COUNTY HEALTH DEPARTMENT DUPAGE FEDERATION ON HUMAN SERVICES REFORM ELMHURST CUSD 205 ENLACE CHICAGO EVERTHRIVE ILLINOIS GROWING HOME, INC. HOUSING FORWARD ILLINOIS DEPARTMENT OF PUBLIC HEALTH, BELLWOOD REGIONAL OFFICE LORETTO HOSPITAL METROPOLITAN CHICAGO HEALTHCARE COUNCIL NAPERVILLE SCHOOL DISTRICT 203 NEW MOMS, INC. OAK PARK ELEMENTARY SCHOOL DISTRICT OAK PARK TOWNSHIP SENIOR SERVICES PCC COMMUNITY WELLNESS CENTER PEOPLE'S RESOURCE CENTER PLOWS COUNCIL ON AGING SAINT ANTHONY HOSPITAL ST. BERNARD HOSPITAL AND HEALTH CARE CENTER STICKNEY PUBLIC HEALTH DEPARTMENT ST. JOSEPH SERVICES TEAMWORK ENGLEWOOD UNITED WAY OF METROPOLITAN CHICAGO UNIVERSIDAD POPULAR VILLAGE OF ADDISON WEST HUMBOLDT PARK DEVELOPMENT COUNCIL WEST SIDE WOMEN
AMITA HLTH ADVENTIST MED CTR LA GRANGE	PART V, SECTION B, LINE 5: ADVENTIST MIDWEST HEALTH, D/B/A AMITA HEALTH ADVENTIST MEDICAL CENTER LA GRANGE (THE HOSPITAL) CONDUCTED A COMMUNITY HEALTH NEEDS ASSESSMENT THAT WAS ADOPTED BY ITS BOARD OF DIRECTORS BY 12/31/16. THE COMMUNITY HEALTH NEEDS ASSESSMENT WAS CONDUCTED ON BEHALF OF THE FILING ORGANIZATION AS PART OF A LARGER PROJECT SPONSORED BY THE METROPOLITAN CHICAGO HEALTHCARE COUNCIL (MCHC) AND DONE BY PROFESSIONAL RESEARCH CONSULTANTS, INC. (PRC). PRC IS A NATIONALLY-RECOGNIZED HEALTHCARE CONSULTING FIRM WITH EXTENSIVE EXPERIENCE CONDUCTING COMMUNITY HEALTH NEEDS ASSESSMENTS. THE HOSPITAL'S COMMUNITY HEALTH NEEDS ASSESSMENT GATHERED BOTH QUANTITATIVE AND QUALITATIVE DATA. QUALITATIVE DATA INCLUDED PRIMARY RESEARCH GATHERED THROUGH AN ONLINE KEY INFORMANT SURVEY OF VARIOUS COMMUNITY STAKEHOLDERS. THE ONLINE KEY INFORMANT SURVEY WAS DESIGNED AND EXECUTED TO SOLICIT INPUT FROM THOSE INDIVIDUALS WHO NOT ONLY HAD A BROAD INTEREST IN THE HEALTH NEEDS OF THE HOSPITAL'S COMMUNITY, BUT ALSO REPRESENTED THE NEEDS OF LOW-INCOME, MINORITY, AND OTHER MEDICALLY UNDER-SERVED POPULATIONS. PARTICIPANTS WERE CHOSEN BECAUSE OF THEIR ABILITY TO IDENTIFY PRIMARY CONCERNS OF POPULATIONS WITH WHOM THEY WORKED, AS WELL AS THE COMMUNITY OVERALL.PARTICIPANTS INCLUDED REPRESENTATIVES OF THE FOLLOWING ORGANIZATIONS: A SAFE HAVEN FOUNDATION AUSTIN CHILDCARE PROVIDERS NETWORK BETTER HEALTH NETWORK CHICAGO DEPARTMENT OF PUBLIC HEALTH DOMINICAN UNIVERSITY HEALTH SERVICES DUPAGE COUNTY HEALTH DEPARTMENT DUPAGE FEDERATION ON HUMAN SERVICES REFORM ELMHURST CUSD 205 ENLACE CHICAGO EVERTHRIVE ILLINOIS GROWING HOME, INC. HOUSING FORWARD ILLINOIS DEPARTMENT OF PUBLIC HEALTH, BELLWOOD REGIONAL OFFICE LORETTO HOSPITAL METROPOLITAN CHICAGO HEALTHCARE COUNCIL NAPERVILLE SCHOOL DISTRICT 203 NEW MOMS, INC. OAK PARK ELEMENTARY SCHOOL DISTRICT OAK PARK TOWNSHIP SENIOR SERVICES PCC COMMUNITY WELLNESS CENTER PEOPLE'S RESOURCE CENTER PLOWS COUNCIL ON AGING SAINT ANTHONY HOSPITAL ST. BERNARD HOSPITAL AND HEALTH CARE CENTER STICKNEY PUBLIC HEALTH DEPARTMENT ST. JOSEPH SERVICES TEAMWORK ENGLEWOOD UNITED WAY OF METROPOLITAN CHICAGO UNIVERSIDAD POPULAR VILLAGE OF ADDISON WEST HUMBOLDT PARK DEVELOPMENT COUNCIL WEST SIDE WOMEN
AMITA HLTH ADVENTIST MED CTR HINSDALE	PART V, SECTION B, LINE 7D: THE HOSPITAL HAS ADOPTED A POLICY THAT ADDRESSES THE PUBLIC POSTING REQUIREMENTS OF THE COMMUNITY HEALTH NEEDS ASSESSMENT. UNDER THIS POLICY, THE COMMUNITY HEALTH NEEDS ASSESSMENT REPORTS MUST BE POSTED ON THE HOSPITAL'S WEBSITE AT LEAST UNTIL THE DATE THE HOSPITAL FACILITY HAS MADE WIDELY AVAILABLE ON ITS WEBSITE ITS TWO SUBSEQUENT COMMUNITY HEALTH NEEDS ASSESSMENT REPORTS. THE HOSPITAL WILL ALSO MAKE A PAPER COPY OF ITS COMMUNITY HEALTH NEEDS ASSESSMENT REPORT AVAILABLE FOR PUBLIC INSPECTION UPON REQUEST AND WITHOUT CHARGE, AT LEAST UNTIL THE DATE THE HOSPITAL FACILITY HAS MADE AVAILABLE FOR PUBLIC INSPECTION ITS TWO SUBSEQUENT COMMUNITY HEALTH NEEDS ASSESSMENT REPORTS. IN ADDITION, COPIES OF THE CHNA REPORT WERE MAILED AND/OR E-MAILED TO COMMUNITY PARTNERS WHO PARTICIPATED IN THE CHNA PROCESS. PARTNERS WERE ALSO PROVIDED LINKS TO THE WEBSITE FOR DISSEMINATION TO THEIR MAILING LISTS AND RESPECTIVE CONSTITUENTS.
AMITA HLTH ADVENTIST MED CTR LA GRANGE	PART V, SECTION B, LINE 7D: THE HOSPITAL HAS ADOPTED A POLICY THAT ADDRESSES THE PUBLIC POSTING REQUIREMENTS OF THE COMMUNITY HEALTH NEEDS ASSESSMENT. UNDER THIS POLICY, THE COMMUNITY HEALTH NEEDS ASSESSMENT REPORTS MUST BE POSTED ON THE HOSPITAL'S WEBSITE AT LEAST UNTIL THE DATE THE HOSPITAL FACILITY HAS MADE WIDELY AVAILABLE ON ITS WEBSITE ITS TWO SUBSEQUENT COMMUNITY HEALTH NEEDS ASSESSMENT REPORTS. THE HOSPITAL WILL ALSO MAKE A PAPER COPY OF ITS COMMUNITY HEALTH NEEDS ASSESSMENT REPORT AVAILABLE FOR PUBLIC INSPECTION UPON REQUEST AND WITHOUT CHARGE, AT LEAST UNTIL THE DATE THE HOSPITAL FACILITY HAS MADE AVAILABLE FOR PUBLIC INSPECTION ITS TWO SUBSEQUENT COMMUNITY HEALTH NEEDS ASSESSMENT REPORTS. IN ADDITION, COPIES OF THE CHNA REPORT WERE MAILED AND/OR E-MAILED TO COMMUNITY PARTNERS WHO PARTICIPATED IN THE CHNA PROCESS. PARTNERS WERE ALSO PROVIDED LINKS TO THE WEBSITE FOR DISSEMINATION TO THEIR MAILING LISTS AND RESPECTIVE CONSTITUENTS.
AMITA HLTH ADVENTIST MED CTR HINSDALE	PART V, SECTION B, LINE 11: THE INFORMATION PROVIDED BELOW EXPLAINS HOW THE HOSPITAL FACILITY ADDRESSED IN 2018 THE SIGNIFICANT HEALTH NEEDS IDENTIFIED IN ITS 2016 COMMUNITY HEALTH NEEDS ASSESSMENT, AND ANY SUCH NEEDS THAT WERE NOT ADDRESSED AND THE REASONS WHY SUCH NEEDS WERE NOT ADDRESSED. THE HOSPITAL FACILITY CONDUCTED A COMMUNITY HEALTH NEEDS ASSESSMENT BY 12/31/16 AND ADOPTED AN IMPLEMENTATION STRATEGY TO ADDRESS THE SIGNIFICANT HEALTH NEEDS IDENTIFIED IN THE 2016 COMMUNITY HEALTH NEEDS ASSESSMENT IN 2017 PRIOR TO MAY 15, 2017. THE COMMUNITY HEALTH NEEDS ASSESSMENT FOR AMITA HEALTH ADVENTIST MEDICAL CENTER HINSDALE (AHH OR THE HOSPITAL) WAS COMPLETED IN 2016. THE 2016 COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) WAS CONDUCTED ON BEHALF OF THE HOSPITAL BY PROFESSIONAL RESEARCH CONSULTANTS, INC. (PRC) IN COOPERATION WITH THE METROPOLITAN CHICAGO HEALTH COLLABORATIVE (MCHC) AND OTHER PARTNERING HOSPITALS. THE SERVICE AREA FOR THE HOSPITAL IS COMPRISED OF 88 RESIDENTIAL ZIP CODES BASED ON PATIENT ORIGIN. A COMPLETE DESCRIPTION OF SAMPLE SIZE AND SURVEY DESIGN IS AVAILABLE IN THE FULL REPORT FOUND ONLINE AT: WWW.AMITAHEALTH.ORG/ABOUT-US/COMMUNITY-BENEFIT/AMITA-HEALTH-ADVENTIST-MEDICAL-CENTER-HINSDALE.DESCRIPTION OF DEMOGRAPHICIN THE HINSDALE HOSPITAL SERVICE AREA, THE POPULATION IS SLIGHTLY OLDER WITH 15.2% BEING OVER 65 AS COMPARED TO 13.9% IN ILLINOIS. THE HINSDALE HOSPITAL REGION IS SLIGHTLY MORE DIVERSE THAN AVERAGE, 18.5% OF THE POPULATION IS HISPANIC AS COMPARED TO 16.7% IN ALL OF ILLINOIS. THE COMMUNITY'S SOCIAL DETERMINANTS ARE POSITIVE, HAVING LESS POVERTY, LESS UNEMPLOYMENT AND A BETTER EDUCATED COMMUNITY THAN AVERAGE (PAGE 40). 6.9% OF THE POPULATION LIVES AT OR BELOW 100% OF THE POVERTY LEVEL AND 18.6% (INCLUSIVE) ARE AT OR BELOW 200% OF THE POVERTY LEVEL, REPRESENTING 168,845 INDIVIDUALS. IT IS MOST OFTEN THESE INDIVIDUALS THAT HAVE DIFFICULTY ACCESSING SERVICES AND HAVE POORER OVERALL HEALTH, AND SO OUR EFFORTS TO PROVIDE THE COMMUNITY WITH NEEDED SERVICES WAS DIRECTED IN MOST CASES TOWARDS THIS POPULATION. PRIORITY ISSUES IDENTIFIED IN THE CHNA: MENTAL HEALTH/SUBSTANCE ABUSE THE AHH SERVICE AREA IS ABOUT AVERAGE IN TERMS OF ITS MENTAL HEALTH INDICATORS, BUT FOR LOW INCOME AND THE UNINSURED THERE IS A MARKED LACK OF ACCESSIBILITY. KEY INFORMANTS CITE LACK OF MENTAL HEALTH SERVICES AS THEIR TOP CONCERN BECAUSE OF THE RIPPLE EFFECT ON THE COMMUNITY. ACTION TAKEN:- ACTIVE PARTNERS WITH IMPACT DUPAGE, AN INITIATIVE BY THE DUPAGE COUNTY HEALTH DEPARTMENT. THE WORK HAS INCLUDED A VARIETY OF ISSUES BUT MENTAL HEALTH WAS THE BIGGEST. BY DECEMBER 31, 2017, IT IDENTIFIED COMMON SUBJECTIVE AND OBJECTIVE QUALITY INDICATORS FOR DUPAGE COUNTY BEHAVIORAL HEALTH TREATMENT PROVIDERS.- CONTINUED TO WORK WITH IMPACT DUPAGE TO INCREASE AMOUNTS OF MEDICATIONS COLLECTED BY THE DUPAGE COUNTY RXBOX PROGRAM TO NEARLY 2 TONS THRU 2018, AS REPORTED BY DCHD ENVIRONMENTAL HEALTH SERVICES STAFF. THIS EFFORT IS ONGOING IN ORDER TO FIGHT AGAINST OPIOID ADDICTION AMONG YOUTH. - AMITA HEALTH ADVENTIST MEDICAL CENTER HINSDALE HELPS LEAD CAMP ERIN AND TOMMY'S KIDS SUMMER CAMP. BOTH ARE FOR CHILDREN AND TEENS, AND DESIGNED TO PROVIDE GRIEF EDUCATION AND EMOTIONAL SUPPORT. THROUGH OUR SUPPORT AND OTHER COMMUNITY-BASED ORGANIZATIONS, THE CAMP IS FREE OF CHARGE TO ALL CHILDREN. DIABETESTYPE II DIABETES IS MORE PREVALENT IN LOW INCOME AND UNINSURED POPULATIONS. DIABETES CONTRIBUTES TO HEART DISEASE AND STROKE, AND REQUIRES ONGOING AND EXPENSIVE CARE. THIS IS CLOSELY RELATED TO OBESITY, LACK OF EXERCISE AND POOR NUTRITION. ACTION TAKEN: - AMITA HEALTH ADVENTIST MEDICAL CENTER HINSDALE PARTNERED WITH ACCESS DUPAGE ON THE DEVELOPMENT OF A SELF-MANAGEMENT PROGRAM FOR LOW INCOME DIABETIC PATIENTS.- AMITA HEALTH ADVENTIST MEDICAL CENTER HINSDALE PROVIDED NURSES AT COMMUNITY EVENTS IN 2018 TO PROVIDE DIABETIC EDUCATION. NUTRITION, PHYSICAL ACTIVITY AND WEIGHTNUTRITION, PHYSICAL ACTIVITY AND WEIGHT IS CLOSELY LINKED TO THE INCIDENCE OF TYPE II DIABETES. CURIOUSLY, ACCORDING TO THE US DEPARTMENT OF AGRICULTURE 26.7% OF INDIVIDUALS IN DUPAGE COUNTY HAVE LOW FOOD ACCESS. MORE INFORMATION IS NEEDED AND HAS BEEN REQUESTED ABOUT THIS ISSUE. ACTION TAKEN: - ACTIVE MEMBER AND FUNDER OF FORWARD DUPAGE ($25,000 FROM HINSDALE), WHICH LEADS THE HEALTHY CHILD CARE PROJECT, DESIGNED TO CREATE ENVIRONMENTS FOR STAFF, CHILDREN AND THEIR FAMILIES THAT PROMOTE HEALTHY HABITS AND THAT COMBAT CHILDHOOD OBESITY. THE PARTNERSHIP ALSO INCLUDES WORKING WITH THE DUPAGE COUNTY HEALTH DEPARTMENT. AMITA REPRESENTATIVES ALSO SERVE ON ITS BOARD OF DIRECTORS TO HELP OVERSEE PLANNING AND INTERVENTIONS RELATED TO INCREASED PHYSICAL ACTIVITY AND NUTRITION IN THE COUNTY. FORWARD HAS SERVED OVER 1,600 CHILDREN FROM 20 DIFFERENT CHILD CARE CENTERS IN THE COUNTY SINCE STARTING IN 2014. ADDITIONALLY, FORWARD HAS WORKED WITH 8 HOSPITALS IN 2018 TO IMPROVE FOOD AND BEVERAGE OFFERINGS. - DIETITIANS HAD A NUTRITION TABLE AT THE GLENDALE HEIGHTS HEALTH AND SAFETY FAIR WHERE EDUCATION HANDOUTS WERE PROVIDED IN BOTH ENGLISH AND SPANISH ON GENERAL, CHILD, AND VEGETARIAN NUTRITION. IN ADDITION, COMPLIMENTARY BANANAS AND ORANGES WERE HANDED OUT, WHICH WERE SUPPLIED BY THE FOOD AND NUTRITION DEPARTMENT (DIETARY). SEE CONTINUATION
AMITA HLTH ADVENTIST MED CTR LA GRANGE	PART V, SECTION B, LINE 11: THE INFORMATION PROVIDED BELOW EXPLAINS HOW THE HOSPITAL FACILITY ADDRESSED IN 2018 THE SIGNIFICANT HEALTH NEEDS IDENTIFIED IN ITS 2016 COMMUNITY HEALTH NEEDS ASSESSMENT, AND ANY SUCH NEEDS THAT WERE NOT ADDRESSED AND THE REASONS WHY SUCH NEEDS WERE NOT ADDRESSED. THE HOSPITAL FACILITY CONDUCTED A COMMUNITY HEALTH NEEDS ASSESSMENT BY 12/31/16 AND ADOPTED AN IMPLEMENTATION STRATEGY TO ADDRESS THE SIGNIFICANT HEALTH NEEDS IDENTIFIED IN THE 2016 COMMUNITY HEALTH NEEDS ASSESSMENT IN 2017 PRIOR TO MAY 15, 2017. THE COMMUNITY HEALTH NEEDS ASSESSMENT FOR AMITA HEALTH ADVENTIST MEDICAL CENTER LA GRANGE (THE HOSPITAL) WAS COMPLETED IN 2016. THE 2016 COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) WAS CONDUCTED ON BEHALF OF THE HOSPITAL BY PROFESSIONAL RESEARCH CONSULTANTS, INC. (PRC) IN COOPERATION WITH THE METROPOLITAN CHICAGO HEALTH COLLABORATIVE (MCHC) AND OTHER PARTNERING HOSPITALS. THE SERVICE AREA FOR THE HOSPITAL IS COMPRISED OF 35 RESIDENTIAL ZIP CODES BASED ON PATIENT ORIGIN. A COMPLETE DESCRIPTION OF SAMPLE SIZE AND SURVEY DESIGN IS AVAILABLE IN THE FULL REPORT FOUND ONLINE AT WWW.AMITAHEALTH.ORG/ABOUT-US/COMMUNITY-BENEFIT/AMITA-HEALTH-ADVENTIST-MEDICAL-CENTER-LA-GRANGE. DESCRIPTION OF DEMOGRAPHICIN THE LA GRANGE HOSPITAL SERVICE AREA, THE POPULATION IS SLIGHTLY OLDER AND 31.7% OF THE POPULATION IS HISPANIC, A HIGH PERCENTAGE AS COMPARED TO 16.7% IN ILLINOIS AND 17.4% IN THE US. THE COMMUNITY'S SOCIAL DETERMINANTS ARE CHALLENGING, HAVING MORE POVERTY, MORE UNEMPLOYMENT AND A LESS EDUCATED COMMUNITY THAN AVERAGE IN COMPARISON TO THE MCHC REGION AND THE STATE. NEARLY 17% OF THE POPULATION LIVES AT OR BELOW 100% OF THE POVERTY LEVEL AND 36% ARE AT OR BELOW 200% OF THE POVERTY LEVEL, REPRESENTING 1,845,816 INDIVIDUALS. IN THE ASSESSMENT, IT IS MOST OFTEN THESE INDIVIDUALS THAT HAVE DIFFICULTY ACCESSING SERVICES AND HAVE POORER OVERALL HEALTH, AND SO OUR EFFORTS TO PROVIDE THE COMMUNITY WITH NEEDED SERVICES WAS DIRECTED IN MOST CASES TOWARDS THIS POPULATION. PRIORITY ISSUES IDENTIFIED IN THE CHNA: MENTAL HEALTH/SUBSTANCE ABUSE/TOBACCO USE IN THE LA GRANGE HOSPITAL COMMUNITY, 18.6% OF THE RESIDENTS REPORT FAIR OR POOR MENTAL HEALTH AS COMPARED TO 13.2% IN THE MCHC REGION AND 11.9% IN THE US. IN ADDITION, 31.9% OF RESIDENTS REPORT SYMPTOMS OF CHRONIC DEPRESSION AS COMPARED TO 26 % IN THE MCHC REGION. ACCESS TO MENTAL HEALTH SERVICES IS MOST DIFFICULT FOR THOSE IN A LOWER SOCIOECONOMIC STATUS. THE CHNA IDENTIFIED A SLIGHTLY HIGHER DEATH RATE WITH CIRRHOSIS OF THE LIVER. SIMILAR TO MENTAL HEALTH, COMMUNITY STAKEHOLDERS REPORT DIFFICULTY GAINING ACCESS TO SUBSTANCE ABUSE TREATMENT FOR LOW INCOME RESIDENTS AS A PRIORITY. IN THE LA GRANGE HOSPITAL COMMUNITY, 18% OF RESIDENTS REPORT LIVING WITH SOMEONE WHO SMOKES AT HOME AS COMPARED TO 13.75% IN THE MCHC REGION AND 12.75% IN THE US. ACTION TAKEN:- THE HOSPITAL FINANCIALLY SUPPORTED PILLARS COMMUNITY HEALTH (FORMERLY THE COMMUNITY NURSE HEALTH CENTER) WITH A DONATION TO LAUNCH THE LIVING ROOM IN CONJUNCTION WITH THE NATIONAL ALLIANCE ON MENTAL ILLNESS (NAMI) METRO SUBURBAN AND COMMUNITY MEMORIAL FOUNDATION. THE PROGRAM HELPED 275 PEOPLE GAIN ACCESS TO MENTAL HEALTH CARE AND AVOID HOSPITALIZATION IN ITS FIRST YEAR. 90% OF PEOPLE WHO SEEK THEIR MENTAL HEALTH AND ADDICTIONS SERVICES ARE ABLE TO CONNECT WITH A THERAPIST OR CASE MANAGER WITHIN 24 HOURS.- THROUGH A 2-YEAR GRANT PROVIDED BY AMITA HEALTH ADVENTIST MEDICAL CENTER LA GRANGE TO THE COMMUNITY NURSE HEALTH CENTER STARTING IN 2018, GOALS WERE SET TO INTEGRATE MENTAL HEALTH SCREENINGS DURING PRIMARY CARE VISITS FOR BOTH YOUTH (4-11 YEARS) AND ADOLESCENTS/ADULTS (12 YEARS THRU ADULT). EIGHTY-FOUR PERCENT OF THOSE SCREENED POSITIVE FOR MENTAL HEALTH NEEDS WERE GIVEN A DOCUMENTED FOLLOW-UP PLAN. - SUPPORTED PILLARS' CRISIS/SASS TEAM WHICH HELPS MANAGE PERSONAL AND FAMILY EMERGENCIES DUE TO DEPRESSION, SUICIDAL BEHAVIOR, AND MENTAL ILLNESS; FAMILY CONFLICT AND DOMESTIC ABUSE; ACUTE ALCOHOL AND DRUG ISSUES; AND SUDDEN TRAUMAS. DIABETESTHE PREVALENCE OF TYPE II DIABETES HAS RISEN SHARPLY FROM 8.5% IN 2009, 12.6% IN 2012 AND 15.4% IN 2015. IT IS MOST PREVALENT IN THOSE OVER 65 AND THOSE WITH INCOMES LESS THAN 200% OF THE FEDERAL POVERTY LEVEL. DIABETES IS CLOSELY RELATED TO HEART DISEASE, STROKE, KIDNEY DISEASE, AND LIFESTYLE FACTORS SUCH AS NUTRITION AND EXERCISE. ACTION TAKEN:- THE HOSPITAL CONTINUED ITS PARTNERSHIP WITH PILLARS COMMUNITY HEALTH TO PROVIDE CHRONIC DISEASE MANAGEMENT THAT INCLUDES OBESITY, HYPERTENSION AND CHOLESTEROL SCREENING AND TREATMENT TO LOW-INCOME AND UNDERINSURED INDIVIDUALS. - THROUGH A 2-YEAR GRANT PROVIDED BY AMITA HEALTH ADVENTIST MEDICAL CENTER LA GRANGE TO PILLARS COMMUNITY HEALTH STARTING IN 2018, A GOAL WAS GIVEN TO REDUCE THE PERCENTAGE OF PATIENTS AGES 18-75 YEARS OF AGE WITH DIABETES WHO HAD HEMOGLOBIN A1C>9.0% FROM 28% TO 19%. TWENTY PERCENT OF THE PATIENTS AGED 18-75 WITH DIABETES HAD A1C GREATER THAN 9.0% AT THE END OF 2018. NUTRITION, PHYSICAL ACTIVITY AND WEIGHTTHE PREVALENCE OF OBESITY IS INCREASING, 22.9% IN 2009 TO 29.2% IN 2015. GOOD NUTRITION AND EXERCISE ARE LACKING ESPECIALLY AMONGST LOW INCOME RESIDENTS. ACTION TAKEN:- THE HOSPITAL OFFERED THE FREE ACT II SENIOR CLUB, WHICH IS A SERIES OF ACTIVITIES AND EVENTS FOR THE AREA'S SENIOR POPULATION. THE HOSPITAL ALSO PARTICIPATED IN WELLNESS SCREENINGS, OFFERED EXERCISE PROGRAMS AND TIPS FOR HEALTHY LIVING, PROVIDED MEDICAL BILLING ASSISTANCE, PROVIDED MEDICARE UPDATES, AND ARRANGED EDUCATIONAL PROGRAMS AND TRIPS. THERE WERE OVER 40 PARTICIPANTS THROUGHOUT THE YEAR. IN ADDITION, THE HOSPITAL HOSTED AND COORDINATED THE AGING WELL NEIGHBORHOOD RESOURCE FAIR FOR 200 PARTICIPANTS AND FALL PREVENTION FAIR WITH 130 PARTICIPANTS. - THE HOSPITAL'S FOOD AND NUTRITION DEPARTMENT PARTICIPATED IN THE FARMERS MARKET, PROVIDING PATRONS THE OPPORTUNITY TO LEARN ABOUT NUTRITION AND HEALTHY EATING, AS WELL AS TO CONSULT WITH A DIETITIAN. AN AVERAGE OF 75 PEOPLE WERE SERVED AT EACH WEEKLY MARKET MAY-OCTOBER. - THE HOSPITAL SPONSORED THE ANNUAL GREATER LA GRANGE YMCA REINDEER RUN 5K, A HEALTH AND WELLNESS EVENT THAT RAISES FUNDS FOR THE LOCAL YMCA. AS WELL AS SPONSORSHIP, SEVERAL OF OUR OUTPATIENT PHYSICAL THERAPISTS PROVIDED FREE STRETCHING TO PARTICIPANTS BEFORE AND AFTER THE EVENT. - THE HOSPITAL SPONSORED THE LA GRANGE ROTARY RUN FOR PIE, AN ANNUAL HEALTH AND WELLNESS EVENT TO RAISE MONEY FOR THE ROTARY CLUB. SEE CONTINUATION
AMITA HLTH ADVENTIST MED CTR HINSDALE	PART V, SECTION B, LINE 16J: THE FILING ORGANIZATION USES MULTIPLE METHODS OF COMMUNICATING ITS MISSION OF PROVIDING CARE TO ALL WHO NEED IT REGARDLESS OF ABILITY TO PAY. SIGNS POSTED AT REGISTRATION CLEARLY POINT OUT THAT CHARITY CARE OR FINANCIAL ASSISTANCE IS AVAILABLE. REGISTRATION IS EDUCATED ON PROVIDING FINANCIAL ASSISTANCE POLICY INFORMATION AND FORMS TO PATIENTS. THE MAIN WEBSITE FOR ALL SYSTEM HOSPITALS FEATURES INFORMATION ON HOW TO APPLY FOR FINANCIAL ASSISTANCE ON-LINE. IN THE HOSPITAL SETTING, WE EMPLOY FINANCIAL COUNSELORS WHO ARE AVAILABLE TO WORK WITH PATIENTS AND WE ALSO HAVE MEDICAID APPLICATION SPECIALISTS TO ASSIST PATIENTS THAT MAY QUALIFY. IN ADDITION, ALL BILLS AND STATEMENTS INCLUDE INFORMATION REGARDING FINANCIAL ASSISTANCE.
AMITA HLTH ADVENTIST MED CTR LA GRANGE	PART V, SECTION B, LINE 16J: THE FILING ORGANIZATION USES MULTIPLE METHODS OF COMMUNICATING ITS MISSION OF PROVIDING CARE TO ALL WHO NEED IT REGARDLESS OF ABILITY TO PAY. SIGNS POSTED AT REGISTRATION CLEARLY POINT OUT THAT CHARITY CARE OR FINANCIAL ASSISTANCE IS AVAILABLE. REGISTRATION IS EDUCATED ON PROVIDING FINANCIAL ASSISTANCE POLICY INFORMATION AND FORMS TO PATIENTS. THE MAIN WEBSITE FOR ALL SYSTEM HOSPITALS FEATURES INFORMATION ON HOW TO APPLY FOR FINANCIAL ASSISTANCE ON-LINE. IN THE HOSPITAL SETTING, WE EMPLOY FINANCIAL COUNSELORS WHO ARE AVAILABLE TO WORK WITH PATIENTS AND WE ALSO HAVE MEDICAID APPLICATION SPECIALISTS TO ASSIST PATIENTS THAT MAY QUALIFY. IN ADDITION, ALL BILLS AND STATEMENTS INCLUDE INFORMATION REGARDING FINANCIAL ASSISTANCE.
SCHEDULE H, PART V, SECTION B, LINE 7A	EACH HOSPITAL FACILITY'S CHNA REPORT WAS MADE WIDELY AVAILABLE THROUGH THE FOLLOWING WEBSITES:FACILITY 1 -- AMITA HLTH ADVENTIST MED CTR HINSDALEHTTPS://WWW.AMITAHEALTH.ORG/ABOUT-US/COMMUNITY-BENEFIT/AMITA-HEALTH-ADVENTIST-MEDICAL-CENTER-HINSDALE FACILITY 2 -- AMITA HLTH ADVENTIST MED CTR LA GRANGEHTTPS://WWW.AMITAHEALTH.ORG/ABOUT-US/COMMUNITY-BENEFIT/AMITA-HEALTH-ADVENTIST-MEDICAL-CENTER-LA-GRANGE
SCHEDULE H, PART V, SECTION B, LINE 10A:	EACH HOSPITAL FACILITY'S MOST RECENTLY ADOPTED IMPLEMENTATION STRATEGY WAS MADE WIDELY AVAILABLE THROUGH THE FOLLOWING WEBSITES:FACILITY 1 -- AMITA HLTH ADVENTIST MED CTR HINSDALE HTTPS://WWW.AMITAHEALTH.ORG/ABOUT-US/COMMUNITY-BENEFIT/AMITA-HEALTH-ADVENTIST-MEDICAL-CENTER-HINSDALE FACILITY 2 -- AMITA HLTH ADVENTIST MED CTR LA GRANGE HTTPS://WWW.AMITAHEALTH.ORG/ABOUT-US/COMMUNITY-BENEFIT/AMITA-HEALTH-ADVENTIST-MEDICAL-CENTER-LA-GRANGE
SCHEDULE H, PART V, SECTION B, LINE 16A,B,C:	EACH HOSPITAL'S FINANCIAL ASSISTANCE POLICY CAN BE FOUND AT:FACILITY 1 -- AMITA HLTH ADVENTIST MED CTR HINSDALE WWW.AMITAHEALTH.ORG/PATIENT-RESOURCES/PAY-YOUR-BILL/PRICE-ESTIMATES/ADVENTIST-FORMS-AND-POLICY-INFORMATIONFACILITY 2 -- AMITA HLTH ADVENTIST MED CTR LA GRANGEWWW.AMITAHEALTH.ORG/PATIENT-RESOURCES/PAY-YOUR-BILL/PRICE-ESTIMATES/ADVENTIST-FORMS-AND-POLICY-INFORMATIONEACH HOSPITAL FACILITY'S FINANCIAL ASSISTANCE POLICY APPLICATION WAS MADE WIDELY AVAILABLE THROUGH THE FOLLOWING WEBSITES:FACILITY 1 -- AMITA HLTH ADVENTIST MED CTR HINSDALE WWW.AMITAHEALTH.ORG/PATIENT-RESOURCES/PAY-YOUR-BILL/PRICE-ESTIMATES/ADVENTIST-FORMS-AND-POLICY-INFORMATIONFACILITY 2 -- AMITA HLTH ADVENTIST MED CTR LA GRANGEWWW.AMITAHEALTH.ORG/PATIENT-RESOURCES/PAY-YOUR-BILL/PRICE-ESTIMATES/ADVENTIST-FORMS-AND-POLICY-INFORMATIONEACH HOSPITAL FACILITY'S PLAIN LANGUAGE SUMMARY IS AVAILABLE AT:FACILITY 1 -- AMITA HLTH ADVENTIST MED CTR HINSDALE WWW.AMITAHEALTH.ORG/PATIENT-RESOURCES/PAY-YOUR-BILL/PRICE-ESTIMATES/ADVENTIST-FORMS-AND-POLICY-INFORMATION FACILITY 2 -- AMITA HLTH ADVENTIST MED CTR LA GRANGEWWW.AMITAHEALTH.ORG/PATIENT-RESOURCES/PAY-YOUR-BILL/PRICE-ESTIMATES/ADVENTIST-FORMS-AND-POLICY-INFORMATION
SCHEDULE H, PART V, SECTION B, LINE 11: CONTINUATION FOR HINSDALE	OTHER IDENTIFIED HEALTH ISSUES ACCESS TO HEALTHCARE SERVICES ACCESS TO HEALTHCARE SERVICES IS THE MOST PROBLEMATIC FOR THOSE IN VERY LOW AND LOW INCOME CATEGORIES, THOSE WITHOUT INSURANCE AND THOSE WITH MEDICAID. THE SURVEY IDENTIFIED THAT 72% OF THOSE OVER 65 HAVE A SPECIFIC SOURCE OF ONGOING CARE, SIMILAR TO THE MCHC REGION BUT LESS THAN ILLINOIS AT 80%. THIS MAY BE A LOYALTY ISSUE, LIKELY NOT THE INABILITY TO ACCESS CARE. ACTION TAKEN:- SINCE 2017, THE HOSPITAL HAS BEEN IN A PARTNERSHIP WITH DISPENSARY OF HOPE. BY WORKING WITH THE PHARMACEUTICAL SUPPLY CHAIN, THE DISPENSARY OF HOPE SUPPORTS THE OUTPATIENT PHARMACY BY PROVIDING FREE MEDICATION TO LOW-INCOME AND CHRONICALLY ILL INDIVIDUALS WHO ARE UNDERINSURED. OUR PHARMACISTS PROVIDE FREE CONSULTATIONS AND OFFICE HOURS FOR DISPENSING THE MEDICATION.- THE HOSPITAL PROVIDED FREE OR FOR A NOMINAL FEE FAMILY CLASSES THAT INCLUDED INFANT AND CHILD CPR; BREASTFEEDING; NATURAL CHILDBIRTH; INFANT MASSAGE; VBAC (VAGINAL BIRTH AFTER CESAREAN); PREPARED CHILDBIRTH MARATHON; LAMAZE CHILDBIRTH EDUCATION CLASS; THE HAPPIEST BABY ON THE BLOCK; AND, POSTPARTUM WELLNESS WORKSHOP.- AMITA HEALTH ADVENTIST MEDICAL CENTER HINSDALE PROVIDED $220,521 IN FUNDING TO ACCESS DUPAGE TO SUPPORT LOW-INCOME, UNDERINSURED COMMUNITY MEMBERS. -- ACCESS DUPAGE ENROLLEES TYPICALLY PAY A MODEST FEE FOR A SILVER ACA PLAN. -- EACH PATIENT RECEIVES A PRIMARY CARE PHYSICIAN OR A CLINIC THAT PROVIDES ONGOING PRIMARY CARE. COPAYMENTS TEND TO COST NO MORE THAN FIFTEEN DOLLARS FOR PRIMARY CARE SERVICES. -- ACCESS DUPAGE HELPS SECURE SPECIALISTS FOR ALL ENROLLEES. -- MAJORITY OF THE LAB AND DIAGNOSTIC SERVICES ORDERED BY PCP OR REFERRED SPECIALISTS ARE COVERED BY THE PROGRAM AND AVAILABLE AT A LOCAL HOSPITAL FOR A FIVE DOLLAR COPAYMENT PER TEST. -- PRESCRIPTIONS ORDERED BY THE PCP OR REFERRED SPECIALISTS ARE COVERED BY THE PROGRAM AND AVAILABLE AT SELECT DUPAGE COUNTY PHARMACIES FOR COPAYMENTS RANGING FROM TEN DOLLARS TO FIFTY DOLLARS. GENERIC MEDICATIONS COVERED BY ACCESS DUPAGE SHOULD COST NO MORE THAN TEN DOLLARS AND MAY BE LESS EXPENSIVE IF PATIENTS FREQUENT PHARMACIES OFFERING LOWER COST PHARMACY PROGRAMS. CANCERTHE AGE ADJUSTED DEATH RATE FOR FEMALE BREAST CANCER IS 24.2 AS COMPARED TO ILLINOIS AT 22.8 AND THE US AT 21.3. ACTION TAKEN:- THE HOSPITAL IS WORKING TOWARD HELPING TO ELIMINATE COLORECTAL CANCER AS A MAJOR PUBLIC HEALTH PROBLEM IN THOSE 50 AND OLDER WITH THE 80% BY 2018 PLEDGE. TOGETHER WITH THE AMERICAN CANCER SOCIETY AND THE NATIONAL COLORECTAL CANCER ROUNDTABLE, EACH AMITA HOSPITAL PLEDGED TO EMBRACE THE SHARED GOAL OF REGULARLY SCREENING 80 PERCENT OF ADULTS IN THIS AGE GROUP FOR CANCER BY 2018. MORE THAN 1,000 ORGANIZATIONS ACROSS THE COUNTRY HAVE ALSO TAKEN THE PLEDGE. IN 2018, THE AMITA HEALTH CANCER INSTITUTE HINSDALE HOSTED A COLON CANCER SCREENING DAY TO OFFER FREE SCREENINGS.- PROVIDED FREE MAMMACARE, AN INTERNATIONALLY RECOGNIZED STANDARD FOR BREAST EXAMINATION. DURING THE CLASSES, COMMUNITY MEMBERS PRACTICE ON LIFELIKE BREAST MODELS, ALLOWING THEM TO FEEL THE DIFFERENCE BETWEEN THE TEXTURES OF NORMAL TISSUES AND LUMPS. - CHARGE A NOMINAL FEE OF $25 FOR SMOKING CESSATION CLASSES THAT RUN FOR EIGHT CONSECUTIVE WEEKS. HEART DISEASE AND STROKEALTHOUGH A TOP CONCERN FOR THE KEY INFORMANTS, THE DATA DOES NOT INDICATE THAT THIS IS A PRIORITY. THE AGE ADJUSTED DEATH RATES FOR HEART DISEASE AND STROKE ARE WELL BELOW COMPARISONS. IT MAY BE THAT COMMENTERS ARE NOTING A LOGICAL INCREASE DUE TO THE AGING POPULATION. ACTION TAKEN: - THE HOSPITAL CONTINUED ITS PARTNERSHIP WITH THE DUPAGE HEALTH COALITION. PATIENTS ARE ABLE TO RECEIVE HEALTHCARE SERVICES THAT TREAT HEART DISEASE AND STROKE.- THROUGHOUT THE YEAR, AMITA HEALTH, INCLUDING THE HOSPITAL, PROVIDED FREE FLU VACCINES, LEG CIRCULATION SCREENINGS, BLOOD SUGAR CHECKS, BLOOD PRESSURE CHECKS, BODY FAT ANALYSIS AND A STROKE RISK ASSESSMENT IMMUNIZATION AND INFECTIOUS DISEASESAMONG ADULTS AGED 65 AND OVER, 49.3% HAVE HAD FLU VACCINES AS COMPARED TO 56.6% IN THE MCHC REGION AND 58.6% IN ILLINOIS. THIS OPPORTUNITY CAN BE ADDRESSED WITHIN EMPLOYED PHYSICIAN GROUPS AS WELL AS IN THE COMMUNITY. ACTION TAKEN:- THE HOSPITAL PARTNERED WITH THE DUPAGE HEALTH COALITION IN ORDER TO PROVIDE FREE OR LOW-COST SERVICES THAT TREAT INFECTIOUS DISEASES OR PREVENT THEM THROUGH IMMUNIZATIONS.ISSUES CONSIDERED, BUT NOT ADDRESSED: PRIORITIES WHICH WE HAVE CHOSEN NOT TO SPECIFICALLY ADDRESS IN OUR COMMUNITY INCLUDE FAMILY PLANNING, SEXUALLY TRANSMITTED DISEASES, ORAL HEALTH/DENTAL CARE AND HEARING AND VISION PROBLEMS. FAMILY PLANNING IS A SERVICE WHICH IS PROVIDED IN OUR COMMUNITY BY PRIVATE PHYSICIANS, FQHCS AND SOCIAL SERVICE AGENCIES, AND ARE EASILY ACCESSIBLE TO THE GENERAL PUBLIC. SEXUALLY TRANSMITTED DISEASES ARE ALSO COVERED BY SOCIAL SERVICE AGENCIES AND PHYSICIANS IN THE COMMUNITY. ORAL HEALTH/DENTAL CARE WAS EXPLORED AS A POTENTIAL COMMUNITY BENEFIT. HOWEVER, IT WAS DETERMINED THAT LOCAL FQHCS PROVIDE DENTAL SERVICES AND MEMBERS OF THE COMMUNITY HAVE ACCESS TO THESE SERVICES. THE LOWEST PRIORITY, HEARING AND VISION PROBLEMS, HAS NOT BEEN IDENTIFIED BY OUR COMMUNITY PARTNERS AS AN UNMET NEED.
SCHEDULE H, PART V, SECTION B, LINE 11: CONTINUATION FOR LA GRANGE	OTHER COMMUNITY ISSUES ADDRESSEDACCESS TO HEALTHCARE SERVICES MORE RESIDENTS HAVE COVERAGE THAN IN THE PAST, BUT 24.4% OF THOSE BELOW 200% OF THE FEDERAL POVERTY LIMIT DO NOT HAVE INSURANCE COVERAGE AND HAVE DIFFICULTY ACCESSING CARE. ACTION TAKEN:- THE HOSPITAL PARTNERED WITH THE ILLINOIS PUBLIC HEALTH INSTITUTE TO SURVEY AND OUTREACH TO THE COMMUNITY REGARDING THE ISSUES AROUND AFFORDABLE FOOD ACCESS AND FOOD DESERTS. - THE HOSPITAL CONTINUED TO PROVIDE MEDICAID/MEDICARE ENROLLMENT SERVICES TO COMMUNITY MEMBERS AT NO COST DIRECTLY FROM THE FACILITY. CANCERTHE PREVALENCE OF CANCER HAS INCREASED IN THE LA GRANGE HOSPITAL COMMUNITY FROM 4.4% IN 2012 TO 6.5% IN 2015 EVEN AS SCREENINGS FOR PROSTATE, FEMALE BREAST AND CERVICAL CANCERS HAVE INCREASED SLIGHTLY.ACTION TAKEN: - THE HOSPITAL PROVIDED FREE MAMMACARE, AN INTERNATIONALLY RECOGNIZED STANDARD FOR BREAST EXAMINATION. DURING THE CLASSES, COMMUNITY MEMBERS PRACTICE ON LIFELIKE BREAST MODELS, ALLOWING THEM TO FEEL THE DIFFERENCE BETWEEN THE TEXTURES OF NORMAL TISSUES AND LUMPS. - THE HOSPITAL CHARGES A NOMINAL FEE OF $25 FOR SMOKING CESSATION CLASSES THAT RUN FOR EIGHT CONSECUTIVE WEEKS. - THE HOSPITAL LED THE S-ANON & ICAN SUPPORT GROUPS, WHICH SERVE CANCER SURVIVORS AND FAMILY & FRIENDS WITH SEXUAL ADDICTION.HEART DISEASE AND STROKEALTHOUGH CITED AS A TOP CONCERN, THE DATA FOR LA GRANGE HOSPITAL IS ABOUT AVERAGE OR BELOW AVERAGE FOR HEART DISEASE AND STROKE. HOWEVER, WITH THE PREVALENCE OF TYPE II DIABETES RISING INCIDENCE FOR HEART DISEASE AND STROKE WILL LIKELY INCREASE. ACTION TAKEN:- THROUGHOUT THE YEAR, THE HOSPITAL DIRECTLY PROVIDED FREE FLU VACCINES, LEG CIRCULATION SCREENINGS, BLOOD SUGAR CHECKS, BLOOD PRESSURE CHECKS, BODY FAT ANALYSIS AND STROKE RISK ASSESSMENTS THROUGHOUT THE SERVICE AREAS. - THE HOSPITAL PROVIDED FREE COMMUNITY SUPPORT WITH CAREGIVERS AND STROKE SURVIVORS. THE AGE RANGES FROM 50'S - 90'S. HIV/AIDS/STDTHE PREVALENCE OF HIV/AIDS IN THE LA GRANGE HOSPITAL AREA IS RELATIVELY HIGH AT A RATE OF 558.5/100,000 AS COMPARED TO THE MCHC REGION AT 449.1/100,000 AND ILLINOIS AT 300.1/100,000. ACTION TAKEN:- THE HOSPITAL CONTINUED ITS PARTNERSHIP WITH PILLARS COMMUNITY HEALTH WITH THEIR EFFORTS TO PROVIDE HIV/AIDS/STD TESTING, TREATMENT AND COUNSELING TO LOW-INCOME AND UNDERINSURED INDIVIDUALS. IMMUNIZATION AND INFECTIOUS DISEASESTHE SURVEY NOTED POSITIVE PROGRESS IN THE PERCENTAGE OF SENIORS RECEIVING FLU VACCINES AND PNEUMONIA VACCINES, BUT FEWER ARE COMPLETING A HEPATITIS B VACCINATION SERIES. ACTION TAKEN:- THE HOSPITAL CONTINUED ITS PARTNERSHIP WITH COMMUNITY PILLARS HEALTH TO PROVIDE IMMUNIZATION AND INFECTIOUS DISEASES TREATMENT TO LOW-INCOME AND UNDERINSURED CHILDREN AND ADULTS. INFANT HEALTH AND FAMILY PLANNINGTHE LA GRANGE HOSPITAL COMMUNITY HAS A HIGHER PERCENTAGE OF LOW BIRTHWEIGHT BABIES AT 8.9% AS COMPARED TO ILLINOIS AT 4.0% AND THE US AT 8.0%. INFANT DEATH RATES ARE HIGHER AS WELL AT 6.7% COMPARED TO 6.3% IN ILLINOIS AND 6.0% IN THE US. ACTION TAKEN:- THE HOSPITAL PROVIDED CLASSES FOR FREE OR FOR A NOMINAL FEE TO COMMUNITY MEMBERS, INCLUDING: INFANT AND CHILD CPR CLASSES; BREASTFEEDING SUPPORT GROUPS; BREAST PUMP RENTALS; EVERYTHING YOU NEED TO KNOW ABOUT PREPARED CHILDBIRTH, BREASTFEEDING AND WELL BABY CARE, AND, INJURY AND VIOLENCE. - THROUGH A 2-YEAR GRANT PROVIDED BY AMITA HEALTH ADVENTIST MEDICAL CENTER LA GRANGE TO PILLARS COMMUNITY HEALTH STARTING IN 2018, A GOAL WAS GIVEN THAT NO MORE THAN 5% OF BIRTHS TO HEALTH CENTER PATIENTS WILL BE LESS THAN 2,500 GRAMS. AT THE END OF 2018, 0% OF THE BIRTHS OF HEALTH CENTER PATIENTS WERE LESS THAN 2,500 GRAMS. INJURY & VIOLENCE THERE IS A HIGHER RATE OF HOMICIDE AND VIOLENT CRIME IN THE LA GRANGE HOSPITAL AREA THAN IN THE MCHC REGION OR IN ILLINOIS. A HIGHER THAN AVERAGE NUMBER OF RESIDENTS REPORT BEING A VICTIM OF VIOLENCE CRIME AS WELL. ACTION TAKEN:- THE HOSPITAL PARTNERED WITH THE ILLINOIS PUBLIC HEALTH INSTITUTE TO PROVIDE SUPPORT TO SOCIAL WORKERS SO THAT THEY MAY BETTER SUPPORT SURVIVORS OF VIOLENT CRIMES. COMMUNITY ISSUES IDENTIFIED AND NOT ADDRESSED:- POTENTIALLY DISABLING CONDITIONS ALTHOUGH AN IDENTIFIED COMMUNITY NEED, THE HOSPITAL PROVIDES EXTENSIVE SERVICES IN A CLINICAL SETTING. DUE TO THE LACK OF FUNDING, THE HOSPITAL WAS NOT ABLE TO CREATE AN EXTERNAL COMMUNITY BENEFIT PROGRAM.- CHRONIC KIDNEY DISEASE NO FURTHER PROGRAMMING WAS CREATED, AS THE HOSPITAL'S INTERNAL PLAN FOR UNDERINSURED OR UNINSURED PATIENTS WAS ADOPTED AS DESCRIBED: IF THE PATIENT IS DIAGNOSED WITH END STAGE RENAL DISEASE (ESRD) THEY BECOME ELIGIBLE FOR MEDICARE REGARDLESS OF AGE. IF FURTHER THEY HAVE NO EMPLOYER SPONSORED PLAN THEN MEDICARE BECOMES PRIME AND COVERS DIALYSIS RIGHT AWAY AS SOON AS ALL OF THE PAPERWORK IS DONE. IF THE PATIENT IS NOT MEDICARE ELIGIBLE THEN PUBLIC AID BECOMES PRIME AND COVERS THE TREATMENTS. LASTLY IF THE PATIENT IS NOT ELIGIBLE FOR EITHER MEDICARE OR PUBLIC AID (GENERALLY ONLY UNDOCUMENTED ALIENS MEET THIS CRITERIA SO IT IS RARE) THEN USUALLY THERE ARE FUNDS AVAILABLE THROUGH THE NATIONAL KIDNEY FOUNDATION ETC. THE SOCIAL WORKERS ASSOCIATED WITH THE DIALYSIS CENTERS PROVIDE THE REFERRALS AND EDUCATION. - FAMILY PLANNING - THIS IS A SERVICE ALREADY PROVIDED IN THE HOSPITAL'S COMMUNITY BY PRIVATE PHYSICIANS, FQHCS, AND SOCIAL SERVICE AGENCIES. - ORAL HEALTH/DENTAL CARE - IT WAS DETERMINED THAT THE LOCAL FQHCS PROVIDE DENTAL SERVICES AND THIS IS NOT A COMPETENCY OF THE HOSPITAL. - HEARING AND VISION PROBLEMS - THIS WAS NOT IDENTIFIED BY OUR COMMUNITY PARTNERS AS AN UNMET NEED.

Schedule H (Form 990) 2018

Page 9

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?33
Name and address		Type of Facility (describe)
1	1 - AMITA CANCER INSITUTE-HINSDALE 1 SALT CREEK LANE HINSDALE,IL60521	CANCER TREATMENT CENTER
2	2 - ADVENTIST HEART & VASCULAR 908 ELM ST SUITE 404 HINSDALE,IL60521	VASCULAR INTERVENTION CENTER
3	3 - HINSDALE IMAGING CENTER 1 SALT CREEK LANE HINSDALE,IL60521	IMAGING CENTER
4	4 - WESTMONT IMAGING CENTER 6311 S CASS AVE WESTMONT,IL60559	IMAGING CENTER
5	5 - NEW DAY CENTER FOR ADDICTIONSOPTIONS 740 PASQUINELLI DR SUITE 104 WESTMONT,IL60559	BEHAVORIAL HEALTH
6	6 - HEALTH CARE AT HOME 5101 S WILLOW SPRINGS RD 2ND FLOOR LA GRANGE,IL60525	HOME HEALTH CARE
7	7 - ST THOMAS HOSPICE & PALLIATIVE CARE 119 E OGDEN AVE SUITE 111 HINSDALE,IL60521	HOSPICE CARE
8	8 - ADVENTIST LAB PARTNERS 2434 WOLF ROAD WESTCHESTER,IL60154	LAB SERVICE CENTER
9	9 - ADVENTIST LAB PARTNERS 908 N ELM ST SUITE 116 HINSDALE,IL60521	LAB SERVICE CENTER
10	10 - ADVENTIST LAB PARTNERS 908 N ELM ST SUITE 210 HINSDALE,IL60521	LAB SERVICE CENTER
11	11 - ADVENTIST LAB PARTNERS 5101 S WILLOW SPRINGS RD 2ND FLOOR LA GRANGE,IL60525	LAB SERVICE CENTER
12	12 - ADVENTIST LAB PARTNERS 412 63RD ST DOWNERS GROVE,IL60516	LAB SERVICE CENTER
13	13 - ADVENTIST PAULSON PEDIATRIC REHAB 222 E OGDEN AVE HINSDALE,IL60521	OUTPATIENT REHABILITATION FACILITY
14	14 - ADVENTIST LAB PARTNERS 630 E NORTH AVENUE CAROL STREAM,IL60188	LAB SERVICE CENTER
15	15 - PT SOLUTIONS OF SALT CREEK 12 SALT CREEK LN 325 HINSDALE,IL60521	PHYSICAL THERAPY
16	16 - ADVENTIST LAB PARTNERS 15720 SOUTH ROUTE 59 PLAINFIELD,IL60544	LAB SERVICE CENTER
17	17 - ADVENTIST PAULSON REHAB - WILLOWBROOK 619 PLAINFIELD RD WILLOWBROOK,IL60527	REHABILITATION CENTER
18	18 - ADVENTIST HINSDALE FAMILY MEDICAL CENTER 135 N OAK ST HINSDALE,IL60521	FAMILY MEDICINE CENTER
19	19 - ADVENTIST LAB PARTNERS 130 N OAK ST HINSDALE,IL60521	LAB SERVICE CENTER
20	20 - ADVENTIST LAB PARTNERS 2323 63RD ST WOODRIDGE,IL60517	LAB SERVICE CENTER
21	21 - ADVENTIST LA GRANGE FAMILY MEDICAL CENTER 5201 S WILLOW SPRINGS ROAD SUITE 300 LA GRANGE,IL60525	FAMILY MEDICAL CENTER
22	22 - ADVENTIST LAB PARTNERS 6311 S CASS AVE WESTMONT,IL60559	LAB SERVICE CENTER
23	23 - ADVENTIST LAB PARTNERS 644 S WEBER RD ROMEOVILLE,IL60446	LAB SERVICE CENTER
24	24 - ADVENTIST LAB PARTNERS 550 E BOUGHTON RD BOLINGBROOK,IL60440	LAB SERVICE CENTER
25	25 - ADVENTIST LAB PARTNERS 6283 S ARCHER AVE CHICAGO,IL60638	LAB SERVICE CENTER
26	26 - ADVENTIST LAB PARTNERS 396 REMINGTON BLVD SUITE 141 BOLINGBROOK,IL60440	LAB SERVICE CENTER
27	27 - ADVENTIST LAB PARTNERS 5207 MAIN ST DOWNERS GROVE,IL60515	LAB SERVICE CENTER
28	28 - ADVENTIST LAB PARTNERS 105 E BURLINGTON AVE RIVERSIDE,IL60546	LAB SERVICE CENTER
29	29 - ADVENTIST LAB PARTNERS 235 REMINGTON BLVD STE G7 BOLINGBROOK,IL60440	LAB SERVICE CENTER
30	30 - AMITA WOODRIDGE IMAGING & THERAPY CTR 2363 63RD ST WOODRIDGE,IL60517	IMAGING & OP REHABILITATION CENTER
31	31 - ADVENTIST LAB PARTNERS 2425 W 22ND ST SUITE 104 OAKBROOK,IL60523	LAB SERVICE CENTER
32	32 - ADVENTIST LAB PARTNERS 333 CHESTNUT ST SUITE 204 HINSDALE,IL60521	LAB SERVICE CENTER
33	33 - ADVENTIST LAB PARTNERS 303 ARMY TRAIL ROAD SUITE 410B BLOOMINGDALE,IL60108	LAB SERVICE CENTER

Schedule H (Form 990) 2018

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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 I, LINE 3C:	EVERY UNINSURED PERSON, REGARDLESS OF INCOME, RECEIVES AN AUTOMATIC 15% DISCOUNT OFF OF CHARGES. PERSONS WHO EARN LESS THAN 600% OF THE FEDERAL POVERTY GUIDELINES ARE GIVEN MORE SIGNIFICANT DISCOUNTS, DEPENDING ON THEIR INDIVIDUAL SITUATIONS. FEDERAL POVERTY LEVEL - 0-200% UNINSURED PATIENT DISCOUNT - 95%FEDERAL POVERTY LEVEL - 201-300% UNINSURED PATIENT DISCOUNT - 75%FEDERAL POVERTY LEVEL - 301-600% UNINSURED PATIENT DISCOUNT - 74%FEDERAL POVERTY LEVEL - > 600% UNINSURED PATIENT DISCOUNT - 74%
PART I, LINE 6A:	THE FILING ORGANIZATION WAS A WHOLLY OWNED SUBSIDIARY OF ADVENTIST HEALTH SYSTEM SUNBELT HEALTHCARE CORPORATION (AHSSHC) DURING ITS CURRENT TAX YEAR. DURING THE CURRENT YEAR, AHSSHC SERVED AS A PARENT ORGANIZATION TO 24 TAX-EXEMPT 501(C)(3) HOSPITAL ORGANIZATIONS AND A NUMBER OF OTHER HEALTH CARE FACILITIES THAT OPERATED IN 10 STATES WITHIN THE U.S. THE SYSTEM OF ORGANIZATIONS UNDER THE CONTROL AND OWNERSHIP OF AHSSHC IS KNOWN AS "ADVENTHEALTH". ALL HOSPITAL ORGANIZATIONS WITHIN ADVENTHEALTH COLLECT, CALCULATE, AND REPORT THE COMMUNITY BENEFITS THEY PROVIDE TO THE COMMUNITIES THEY SERVE. ADVENTHEALTH ORGANIZATIONS EXIST SOLELY TO IMPROVE AND ENHANCE THE LOCAL COMMUNITIES THEY SERVE. ADVENTHEALTH HAS A SYSTEM-WIDE COMMUNITY BENEFITS ACCOUNTING POLICY THAT PROVIDES GUIDELINES FOR ITS HEALTH CARE PROVIDER ORGANIZATIONS TO CAPTURE AND REPORT THE COSTS OF SERVICES PROVIDED TO THE UNDERPRIVILEGED AND TO THE BROADER COMMUNITY. EACH ADVENTHEALTH HOSPITAL FACILITY REPORTS THEIR COMMUNITY BENEFITS TO THEIR BOARD OF DIRECTORS AND STRIVES TO COMMUNICATE THEIR COMMUNITY BENEFITS TO THEIR LOCAL COMMUNITIES. ADDITIONALLY, THE FILING ORGANIZATION'S MOST RECENTLY CONDUCTED COMMUNITY HEALTH NEEDS ASSESSMENT AND ASSOCIATED IMPLEMENTATION STRATEGY CAN BE ACCESSED ON THE FILING ORGANIZATION'S WEBSITE. THE FILING ORGANIZATION IS INCLUDED IN THE SUBMISSION OF THE ANNUAL NONPROFIT HOSPITAL COMMUNITY BENEFIT PLAN REPORT WITH THE ATTORNEY GENERAL'S OFFICE OF THE STATE OF ILLINOIS. THIS REPORT IS PREPARED ON A CONSOLIDATED BASIS AND INCLUDES DATA FOR ADVENTIST MIDWEST HEALTH, ADVENTIST GLENOAKS HOSPITAL, AND ADVENTIST BOLINGBROOK HOSPITAL. THESE HOSPITAL ORGANIZATIONS ARE ALL RELATED ORGANIZATIONS.
PART I, LINE 7:	THE FOLLOWING COSTING METHODOLOGIES WERE USED: -CHARITY AT COST - A COST TO CHARGE METHODOLOGY BASED ON THE MOST RECENTLY FILED MEDICARE COST REPORT WAS USED TO CALCULATE COSTS.-UNREIMBURSED MEDICAID - COSTS ARE CALCULATED USING THE MOST RECENTLY FILED MEDICAID COST REPORT.-OTHER BENEFITS - COSTS ARE DETERMINED BY ACTIVITY REPORTED IN ACCORDANCE WITH GUIDELINES PUBLISHED BY THE CATHOLIC HEALTH ASSOCIATION. COSTS COULD INCLUDE THE VALUE OF HOURLY WAGES, COSTS OF MATERIALS, VALUE OF SPACE LOANED TO COMMUNITY GROUPS FOR MEETINGS, AND INDIRECT COSTS WHERE APPLICABLE.
PART II, COMMUNITY BUILDING ACTIVITIES:	COMMUNITY BUILDING ACTIVITIES INCLUDE PROGRAMS THAT IMPROVE THE COMMUNITY'S HEALTH AND SAFETY BY ADDRESSING THE ROOT CAUSES OF HEALTH PROBLEMS, SUCH AS POVERTY, HOMELESSNESS AND ENVIRONMENTAL HAZARDS. PARTICIPATION IN COLLABORATIVE COMMUNITY EFFORTS TO PROMOTE PUBLIC HEALTH INITIATIVES IS ALSO INCLUDED, SUCH AS ENGAGEMENT IN COALITIONS AND ADVOCACY FOR HEALTH IMPROVEMENT. THESE ACTIVITIES STRENGTHEN THE COMMUNITY'S CAPACITY TO PROMOTE THE HEALTH AND WELL-BEING OF ITS RESIDENTS BY OFFERING THE EXPERTISE AND RESOURCES OF THE HEALTH CARE ORGANIZATION. ADVENTIST MIDWEST HEALTH HOSPITALS ENGAGE IN A VARIETY OF COMMUNITY-BUILDING ACTIVITIES WHICH ULTIMATELY IMPROVE THE HEALTH AND WELL-BEING OF THE COMMUNITIES WE ARE PRIVILEGED TO SERVE, EVEN THOUGH THEY ARE NOT SPECIFIC HEALTH ACTIVITIES.
PART III, LINE 2:	AFTER SATISFACTION OF AMOUNTS DUE FROM INSURANCE AND REASONABLE EFFORTS TO COLLECT FROM THE PATIENT HAVE BEEN EXHAUSTED, THE FILING ORGANIZATION FOLLOWS ESTABLISHED GUIDELINES FOR PLACING CERTAIN PAST-DUE PATIENT BALANCES WITHIN COLLECTION AGENCIES, SUBJECT TO THE TERMS OF CERTAIN RESTRICTIONS ON COLLECTION EFFORTS AS DETERMINED BY AMITA HEALTH. ACCOUNTS RECEIVABLE ARE WRITTEN OFF AFTER COLLECTION EFFORTS HAVE BEEN FOLLOWED IN ACCORDANCE WITH THE FILING ORGANIZATION'S POLICIES.
PART III, LINE 3:	METHODOLOGY FOR DETERMINING THE ESTIMATED AMOUNT OF BAD DEBT EXPENSE THAT MAY REPRESENT PATIENTS WHO COULD HAVE QUALIFIED UNDER THE FILING ORGANIZATION'S FINANCIAL ASSISTANCE POLICY: THE FILING ORGANIZATION PROACTIVELY WORKS TO PRESUMPTIVELY ASSESS AND GRANT CHARITY TO ALL UNINSURED PATIENTS. THE HOSPITAL SCREENS ALL UNINSURED PATIENTS AGAINST CREDIT SCORE DATA IN ORDER TO PRESUMPTIVELY APPLY ITS FINANCIAL ASSISTANCE POLICY. BASED ON THIS PROCESS, APPROXIMATELY 96% OF THE UNINSURED PATIENT POPULATION IS DEFINED AS ELIGIBLE FOR A PARTIAL CHARITY ADJUSTMENT ON THEIR ACCOUNTS. THE AVERAGE DISCOUNT GIVEN TO THE UNINSURED PATIENT POPULATION IS 81%. IN PRIOR YEARS, PROACTIVE EFFORTS WERE LIMITED TO ONLY THOSE ACCOUNTS WITH BALANCES > $5,000. UNDER THAT SCENARIO, IT WAS ESTIMATED THAT 1/3 OF OUR BAD DEBT PLACEMENTS MAY HAVE BEEN ELIGIBLE FOR CHARITY CARE DISCOUNTS. WITH A MORE COMPREHENSIVE PRESUMPTIVE CHARITY PROGRAM, MANY MORE ACCOUNTS ARE GRANTED CHARITY EARLIER IN THE PROCESS AND PRIOR TO BAD DEBT PLACEMENT. THEREFORE, IT IS ESTIMATED THAT APPROXIMATELY 10% OF OUR CURRENT BAD DEBT PLACEMENTS WOULD BE ELIGIBLE FOR ADDITIONAL CHARITY IF A FULL PRESUMPTIVE CHARITY PROCESS WAS CONDUCTED ACROSS 100% OF OUR SELF-PAY AFTER INSURANCE ACCOUNTS. DISCOUNTS AND PAYMENTS ARE NOT INCLUDED IN BAD DEBT EXPENSE IN THE FINANCIAL STATEMENTS UNLESS THE PAYMENT IS A RECOVERY OF AMOUNTS PREVIOUSLY WRITTEN OFF AS BAD DEBT. RECOVERIES ARE CLASSIFIED AS A DECREASE TO BAD DEBT EXPENSE. RATIONALE FOR INCLUDING CERTAIN BAD DEBTS IN COMMUNITY BENEFIT: THE FILING ORGANIZATION IS DEDICATED TO THE VIEW THAT MEDICALLY NECESSARY HEALTH CARE FOR EMERGENCY AND NON-ELECTIVE PATIENTS SHOULD BE ACCESSIBLE TO ALL, REGARDLESS OF AGE, GENDER, GEOGRAPHIC LOCATION, CULTURAL BACKGROUND, PHYSICIAN MOBILITY, OR ABILITY TO PAY. THE FILING ORGANIZATION TREATS EMERGENCY AND NON-ELECTIVE PATIENTS REGARDLESS OF THEIR ABILITY TO PAY OR THE AVAILABILITY OF THIRD-PARTY COVERAGE. BY PROVIDING HEALTH CARE TO ALL WHO REQUIRE EMERGENCY OR NON-ELECTIVE CARE IN A NON-DISCRIMINATORY MANNER, THE FILING ORGANIZATION IS PROVIDING HEALTH CARE TO THE BROAD COMMUNITY IT SERVES. AS A 501(C)(3) HOSPITAL ORGANIZATION, THE FILING ORGANIZATION MAINTAINS A 24/7 EMERGENCY ROOM PROVIDING CARE TO ALL WHOM PRESENT. WHEN A PATIENT'S ARRIVAL AND/OR ADMISSION TO THE FACILITY BEGINS WITHIN THE EMERGENCY DEPARTMENT, TRIAGE AND MEDICAL SCREENING ARE ALWAYS COMPLETED PRIOR TO REGISTRATION STAFF PROCEEDING WITH THE DETERMINATION OF A PATIENT'S SOURCE OF PAYMENT. IF THE PATIENT REQUIRES ADMISSION AND CONTINUED NON-ELECTIVE CARE, THE FILING ORGANIZATION PROVIDES THE NECESSARY CARE REGARDLESS OF THE PATIENT'S ABILITY TO PAY. THE FILING ORGANIZATION'S OPERATION OF A 24/7 EMERGENCY DEPARTMENT THAT ACCEPTS ALL INDIVIDUALS IN NEED OF CARE PROMOTES THE HEALTH OF THE COMMUNITY THROUGH THE PROVISION OF CARE TO ALL WHOM PRESENT. CURRENT INTERNAL REVENUE SERVICE GUIDANCE THAT TAX-EXEMPT HOSPITALS MAINTAIN SUCH EMERGENCY ROOMS WAS ESTABLISHED TO ENSURE THAT EMERGENCY CARE WOULD BE PROVIDED TO ALL WITHOUT DISCRIMINATION. THE TREATMENT OF ALL AT THE FILING ORGANIZATION'S EMERGENCY DEPARTMENT IS A COMMUNITY BENEFIT. UNDER THE FILING ORGANIZATION'S FINANCIAL ASSISTANCE POLICY, EVERY EFFORT IS MADE TO OBTAIN A PATIENT'S NECESSARY FINANCIAL INFORMATION TO DETERMINE ELIGIBILITY FOR FINANCIAL ASSISTANCE. HOWEVER, NOT ALL PATIENTS WILL COOPERATE WITH SUCH EFFORTS AND A FINANCIAL ASSISTANCE ELIGIBILITY DETERMINATION CANNOT BE MADE BASED UPON INFORMATION SUPPLIED BY THE INDIVIDUAL. IN THIS CASE, A PATIENT'S PORTION OF A BILL THAT REMAINS UNPAID FOR A CERTAIN STIPULATED TIME PERIOD IS WHOLLY OR PARTIALLY CLASSIFIED AS BAD DEBT. BAD DEBTS ASSOCIATED WITH PATIENTS WHO HAVE RECEIVED CARE THROUGH THE FILING ORGANIZATION'S EMERGENCY DEPARTMENT SHOULD BE CONSIDERED COMMUNITY BENEFIT AS CHARITABLE HOSPITALS EXIST TO PROVIDE SUCH CARE IN PURSUIT OF THEIR PURPOSE OF MEETING THE NEED FOR EMERGENCY MEDICAL CARE SERVICES AVAILABLE TO ALL IN THE COMMUNITY.
PART III, LINE 4:	FINANCIAL STATEMENT FOOTNOTE RELATED TO ACCOUNTS RECEIVABLE AND ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS:THE FINANCIAL INFORMATION OF THE FILING ORGANIZATION IS INCLUDED IN A CONSOLIDATED AUDITED FINANCIAL STATEMENT FOR THE CURRENT YEAR.THE APPLICABLE FOOTNOTE FROM THE ATTACHED CONSOLIDATED AUDITED FINANCIAL STATEMENTS THAT ADDRESSES ACCOUNTS RECEIVABLE, THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS, AND THE PROVISION FOR BAD DEBTS CAN BE FOUND ON PAGE 7 AND 8. PLEASE NOTE THAT DOLLAR AMOUNTS ON THE ATTACHED CONSOLIDATED AUDITED FINANCIAL STATEMENTS ARE IN THOUSANDS.
PART III, LINE 8:	COSTING METHODOLOGY: MEDICARE ALLOWABLE COSTS WERE CALCULATED USING A COST-TO-CHARGE RATIO. RATIONALE FOR INCLUDING A MEDICARE SHORTFALL AS COMMUNITY BENEFIT:AS A 501(C)(3) ORGANIZATION, THE FILING ORGANIZATION PROVIDES EMERGENCY AND NON-ELECTIVE CARE TO ALL REGARDLESS OF ABILITY TO PAY. ALL HOSPITAL SERVICES ARE PROVIDED IN A NON-DISCRIMINATORY MANNER TO PATIENTS WHO ARE COVERED BENEFICIARIES UNDER THE MEDICARE PROGRAM. AS A PUBLIC INSURANCE PROGRAM, MEDICARE PROVIDES A PRE-ESTABLISHED REIMBURSEMENT RATE/AMOUNT TO HEALTH CARE PROVIDERS FOR THE SERVICES THEY PROVIDE TO PATIENTS. IN SOME CASES, THE REIMBURSEMENT AMOUNT PROVIDED TO A HOSPITAL MAY EXCEED ITS COSTS OF PROVIDING A PARTICULAR SERVICE OR SERVICES TO A PATIENT. IN OTHER CASES, THE MEDICARE REIMBURSEMENT AMOUNT MAY RESULT IN THE HOSPITAL EXPERIENCING A SHORTFALL OF REIMBURSEMENT RECEIVED OVER COSTS INCURRED. IN THOSE CASES WHERE AN OVERALL SHORTFALL IS GENERATED FOR PROVIDING SERVICES TO ALL MEDICARE PATIENTS, THE SHORTFALL AMOUNT SHOULD BE CONSIDERED AS A BENEFIT TO THE COMMUNITY. TAX-EXEMPT HOSPITALS ARE REQUIRED TO ACCEPT ALL MEDICARE PATIENTS REGARDLESS OF THE PROFITABILITY, OR LACK THEREOF, WITH RESPECT TO THE SERVICES THEY PROVIDE TO MEDICARE PATIENTS. THE POPULATION OF INDIVIDUALS COVERED UNDER THE MEDICARE PROGRAM IS SUFFICIENTLY LARGE SO THAT THE PROVISION OF SERVICES TO THE POPULATION IS A BENEFIT TO THE COMMUNITY AND RELIEVES THE BURDENS OF GOVERNMENT. IN THOSE SITUATIONS WHERE THE PROVISION OF SERVICES TO THE TOTAL MEDICARE PATIENT POPULATION OF A TAX-EXEMPT HOSPITAL DURING ANY YEAR RESULTS IN A SHORTFALL OF REIMBURSEMENT RECEIVED OVER THE COST OF PROVIDING CARE, THE TAX-EXEMPT HOSPITAL HAS PROVIDED A BENEFIT TO A CLASS OF PERSONS BROAD ENOUGH TO BE CONSIDERED A BENEFIT TO THE COMMUNITY. DESPITE A FINANCIAL SHORTFALL, A TAX-EXEMPT HOSPITAL MUST AND WILL CONTINUE TO ACCEPT AND CARE FOR MEDICARE PATIENTS. TYPICALLY, TAX-EXEMPT HOSPITALS PROVIDE HEALTH CARE SERVICES BASED UPON AN ASSESSMENT OF THE HEALTH CARE NEEDS OF THEIR COMMUNITY AS OPPOSED TO THEIR TAXABLE COUNTERPARTS WHERE PROFITABILITY OFTEN DRIVES DECISIONS ABOUT PATIENT CARE SERVICES THAT ARE OFFERED. PATIENT CARE PROVIDED BY TAX-EXEMPT HOSPITALS THAT RESULTS IN MEDICARE SHORTFALLS SHOULD BE CONSIDERED AS PROVIDING A BENEFIT TO THE COMMUNITY AND RELIEVING THE BURDENS OF GOVERNMENT.
PART III, LINE 9B:	IT IS THE POLICY OF THE FILING ORGANIZATION TO OFFER PATIENTS A PAYMENT PLAN AND/OR CHARITY ASSISTANCE WHEN IT BECOMES KNOWN OR EVEN SUSPECTED THAT A PATIENT NEEDS FINANCIAL ASSISTANCE. SIGNS AND BROCHURES ARE POSTED IN FACILITY REGISTRATION AREAS. FINANCIAL COUNSELORS ARE NOTIFIED AND EVERY ATTEMPT IS MADE TO CONTACT AND WORK WITH THE PATIENT OR THEIR FAMILY TO HELP THEM COMPLETE A FINANCIAL ASSISTANCE APPLICATION WITH COMPASSION AND DIGNITY. FINANCIAL COUNSELORS WORK WITH PATIENTS TO HELP DETERMINE IF THERE ARE ANY THIRD-PARTY PAYORS WHICH MAY BE AVAILABLE TO HELP THE PATIENT MEET THEIR OBLIGATIONS. THE HOSPITAL WORKS WITH THE PATIENT TO DETERMINE IF THEY ARE ELIGIBLE FOR FEDERAL PROGRAMS INCLUDING MEDICAID, STATE FUNDED PROGRAMS INCLUDING CRIME VICTIMS, ALTERNATIVE INSURANCE INCLUDING COBRA, WORKER'S COMPENSATION AND OR OTHER SPECIALIZED GRANT PROGRAMS SUCH AS OUR MAMMOGRAPHY GRANT PROGRAM FOR LOW INCOME WOMEN. IN THE EVENT NO THIRD-PARTY PROGRAMS ARE IDENTIFIED, THE HOSPITAL THEN WORKS WITH THE PATIENT TO HELP THEM APPLY FOR FINANCIAL ASSISTANCE DISCOUNTS AND PAYMENT PLANS. IN ADDITION, ALL BILLS AND STATEMENTS INCLUDE INFORMATION REGARDING FINANCIAL ASSISTANCE.
PART VI, LINE 2:	THE FILING ORGANIZATION'S HOSPITALS CONDUCTED COMMUNITY HEALTH NEEDS ASSESSMENTS (CHNAS) THAT WERE ADOPTED BY THE FILING ORGANIZATION'S GOVERNING BOARD BY DECEMBER 31, 2016. BOTH HOSPITAL'S 2016 CHNA COMPLIED WITH THE GUIDANCE SET FORTH BY THE IRS IN FINAL REGULATION SECTION 1.501(R)-3. IN ADDITION TO THE CHNA DISCUSSED ABOVE, A VARIETY OF PRACTICES AND PROCESSES ARE IN PLACE TO ENSURE THAT THE FILING ORGANIZATION IS RESPONSIVE TO THE HEALTH NEEDS OF ITS COMMUNITIES.SUCH PRACTICES AND PROCESSES INVOLVE THE FOLLOWING:1. HOSPITAL OPERATING/COMMUNITY BOARDS COMPOSED OF INDIVIDUALS BROADLY REPRESENTATIVE OF EACH COMMUNITY, COMMUNITY LEADERS, AND THOSE WITH SPECIALIZED MEDICAL TRAINING AND EXPERTISE;2. POST-DISCHARGE PATIENT FOLLOW-UP RELATED TO THE ON-GOING CARE AND TREATMENT OF PATIENTS WHO SUFFER FROM CHRONIC DISEASES; 3. SPONSORSHIP AND PARTICIPATION IN COMMUNITY HEALTH AND WELLNESS ACTIVITIES THAT REACH A BROAD SPECTRUM OF THE FILING ORGANIZATION'S COMMUNITIES; AND 4. COLLABORATION WITH OTHER LOCAL COMMUNITY GROUPS TO ADDRESS THE HEALTH CARE NEEDS OF THE FILING ORGANIZATION'S COMMUNITIES.
PART VI, LINE 3:	THE FINANCIAL ASSISTANCE POLICY (FAP), FINANCIAL ASSISTANCE APPLICATION FORM (FAA FORM), AND THE PLAIN LANGUAGE SUMMARY OF THE FINANCIAL ASSISTANCE POLICY (PLS) OF THE FILING ORGANIZATION'S HOSPITAL FACILITIES ARE TRANSPARENT AND AVAILABLE TO ALL INDIVIDUALS SERVED AT ANY POINT IN THE CARE CONTINUUM. THE FAP, FAA FORM, PLS, AND CONTACT INFORMATION FOR EACH HOSPITAL FACILITY'S FINANCIAL COUNSELORS ARE PROMINENTLY AND CONSPICUOUSLY POSTED ON EACH OF THE FILING ORGANIZATION'S HOSPITAL FACILITY'S WEBSITES. THE WEBSITES INDICATE THAT A COPY OF THE FAP, FAA FORM, AND PLS IS AVAILABLE AND HOW TO OBTAIN SUCH COPIES IN THE PRIMARY LANGUAGES OF ANY POPULATIONS WITH LIMITED PROFICIENCY IN ENGLISH THAT CONSTITUTE THE LESSER OF 1,000 INDIVIDUALS OR 5% OF THE MEMBERS OF THE COMMUNITY SERVED BY EACH HOSPITAL FACILITY (REFERRED TO BELOW AS LEP DEFINED POPULATIONS). SIGNAGE IS DISPLAYED IN PUBLIC LOCATIONS OF THE FILING ORGANIZATION'S HOSPITAL FACILITIES, INCLUDING AT ALL POINTS OF ADMISSION AND REGISTRATION AND THE EMERGENCY DEPARTMENT. THE SIGNAGE CONTAINS EACH HOSPITAL FACILITY'S WEBSITE ADDRESS WHERE THE FAP, FAA FORM, AND PLS CAN BE ACCESSED AND THE TELEPHONE NUMBER AND PHYSICAL LOCATION THAT INDIVIDUALS CAN CALL OR VISIT TO OBTAIN COPIES OF THE FAP, FAA FORM AND PLS OR TO OBTAIN MORE INFORMATION ABOUT EACH HOSPITAL FACILITY'S FAP, FAA FORM AND PLS. PAPER COPIES OF EACH HOSPITAL FACILITY'S FAP, FAA FORM AND PLS ARE AVAILABLE UPON REQUEST AND WITHOUT CHARGE, BOTH IN PUBLIC LOCATIONS IN EACH HOSPITAL FACILITY AND BY MAIL. PAPER COPIES ARE MADE AVAILABLE IN ENGLISH AND IN THE PRIMARY LANGUAGES OF ANY LEP DEFINED POPULATIONS. THE FILING ORGANIZATION'S HOSPITAL FACILITIES' FINANCIAL COUNSELORS SEEK TO PROVIDE PERSONAL FINANCIAL COUNSELING TO ALL INDIVIDUALS ADMITTED TO THE HOSPITAL FACILITY WHO ARE CLASSIFIED AS SELF-PAY DURING THE COURSE OF THEIR HOSPITAL STAY OR AT TIME OF DISCHARGE TO EXPLAIN THE FAP AND FAA FORM AND TO PROVIDE INFORMATION CONCERNING OTHER SOURCES OF ASSISTANCE THAT MAY BE AVAILABLE, SUCH AS MEDICAID. A PAPER COPY OF THE HOSPITAL FACILITY'S PLS WILL BE OFFERED TO EVERY PATIENT AS A PART OF THE INTAKE OR DISCHARGE PROCESS. A CONSPICUOUS WRITTEN NOTICE IS INCLUDED ON ALL BILLING STATEMENTS SENT TO PATIENTS THAT NOTIFIES AND INFORMS RECIPIENTS ABOUT THE AVAILABILITY OF FINANCIAL ASSISTANCE UNDER THE FILING ORGANIZATION'S FINANCIAL ASSISTANCE POLICY, INCLUDING THE FOLLOWING: 1) THE TELEPHONE NUMBER OF THE HOSPITAL FACILITY'S OFFICE OR DEPARTMENT THAT CAN PROVIDE INFORMATION ABOUT THE FAP AND THE FAA FORM; AND 2) THE WEBSITE ADDRESS WHERE COPIES OF THE FAP, FAA FORM AND PLS MAY BE OBTAINED. REASONABLE ATTEMPTS ARE MADE TO INFORM INDIVIDUALS ABOUT THE HOSPITAL FACILITY'S FAP IN ALL ORAL COMMUNICATIONS REGARDING THE AMOUNT DUE FOR THE INDIVIDUAL'S CARE. COPIES OF THE PLS ARE DISTRIBUTED TO MEMBERS OF THE COMMUNITY IN A MANNER REASONABLY CALCULATED TO REACH THOSE MEMBERS OF THE COMMUNITY WHO ARE MOST LIKELY TO REQUIRE FINANCIAL ASSISTANCE.
PART VI, LINE 4:	THE FILING ORGANIZATION CURRENTLY OPERATES 2 HOSPITAL FACILITIES, AMITA HEALTH ADVENTIST MEDICAL CENTER HINSDALE AND AMITA HEALTH ADVENTIST MEDICAL CENTER LA GRANGE. BOTH LOCATED IN ILLINOIS, THESE FACILITIES ARE MAJOR HEALTHCARE PROVIDERS IN THE COMMUNITIES THEY SERVE. AMITA HEALTH ADVENTIST MEDICAL CENTER HINSDALE (AHH) IS LOCATED IN HINSDALE, ILLINOIS. IT CURRENTLY OPERATES A HOSPITAL FACILITY AND IS LICENSED FOR 261 BEDS. IN ADDITION TO OPERATING A HOSPITAL, AHH ALSO OPERATES A CANCER TREATMENT CENTER, 2 IMAGING CENTERS, 2 OUTPATIENT REHABILITATION FACILITIES, 1 BEHAVIORAL HEALTH CENTER, 1 VASCULAR INTERVENTION CENTER, AND 1 FAMILY HEALTH MEDICINE CENTER. AHH IS A CRUCIAL COMMUNITY AND REGIONAL ASSET. IT IS THE ONLY TEACHING HOSPITAL IN DUPAGE COUNTY, ILLINOIS. MANY OF THE MEDICAL STAFF MEMBERS HOLD TEACHING POSITIONS AT CHICAGO'S PREMIER MEDICAL SCHOOLS AND ACADEMIC MEDICAL CENTERS, AND PARTICIPATE IN MEDICAL RESEARCH STUDIES AND CLINICAL TRIALS. PLEASE SEE OUR RESPONSE TO FORM 990 PART III, LINE 4A FOR A DETAILED EXPLANATION OF THE SERVICES AND PROGRAMS OFFERED BY AHH.IN THE HOSPITAL SERVICE AREA, THE POPULATION IS SLIGHTLY OLDER WITH 15.2% BEING OVER 65 AS COMPARED TO 13.9% IN ILLINOIS. THE HINSDALE HOSPITAL REGION IS SLIGHTLY MORE DIVERSE THAN AVERAGE, 18.5% OF THE POPULATION IS HISPANIC AS COMPARED TO 16.7% IN ALL OF ILLINOIS. THE COMMUNITY'S SOCIAL DETERMINANTS ARE POSITIVE, HAVING LESS POVERTY, LESS UNEMPLOYMENT AND A BETTER EDUCATED COMMUNITY THAN AVERAGE (PAGE 40). 6.9% OF THE POPULATION LIVES AT OR BELOW 100% OF THE POVERTY LEVEL AND 18.6% (INCLUSIVE) ARE AT OR BELOW 200% OF THE POVERTY LEVEL, REPRESENTING 168,845 INDIVIDUALS. APPROXIMATELY 44.6% OF AHH'S PATIENTS DURING 2018 WERE MEDICARE PATIENTS, ABOUT 9.8% WERE MEDICAID PATIENTS, ABOUT 1.2% WERE SELF-PAY PATIENTS, AND THE REMAINING PERCENTAGE WERE PATIENTS COVERED UNDER COMMERCIAL INSURANCE. IN 2018, ABOUT 53.6% OF AHH'S IN-PATIENTS WERE ADMITTED THROUGH AHH'S EMERGENCY DEPARTMENT.AMITA HEALTH ADVENTIST MEDICAL CENTER LA GRANGE (AHLG) IS A 222-BED FACILITY PROVIDING OUTPATIENT AND INPATIENT PRIMARY CARE, TRAUMA CARE AND WELLNESS SERVICES TO RESIDENTS OF CHICAGO'S WESTERN SUBURBS. AHLG IS A LEADER IN OFFERING COMPREHENSIVE ONCOLOGY SERVICES, ORTHOPEDIC SERVICES, ADVANCED CARDIAC CARE, WOMEN'S HEALTH AND MATERNITY CARE, EMERGENCY, GERIATRIC AND MANY OTHER SPECIALTIES THAT CATER TO THE COMMUNITIES IT SERVES. THE COMMUNITIES SERVED BY AHLG CONTAIN A HIGH SENIOR POPULATION. TO ADDRESS THE UNIQUE NEEDS OF ITS SERVICE AREA, AHLG OFFERS A BROAD SPECTRUM OF SERVICES DESIGNED TO MEET THE DIVERSE NEEDS OF AGING ADULTS. IN THE LA GRANGE HOSPITAL SERVICE AREA, THE POPULATION IS SLIGHTLY OLDER AND 31.7% OF THE POPULATION IS HISPANIC, A HIGH PERCENTAGE AS COMPARED TO 16.7% IN ILLINOIS AND 17.4% IN THE US. THE COMMUNITY'S SOCIAL DETERMINANTS ARE CHALLENGING, HAVING MORE POVERTY, MORE UNEMPLOYMENT AND A LESS EDUCATED COMMUNITY THAN AVERAGE IN COMPARISON TO THE MCHC REGION AND THE STATE. NEARLY 17% OF THE POPULATION LIVES AT OR BELOW 100% OF THE POVERTY LEVEL AND 36% ARE AT OR BELOW THE 200% OF THE POVERTY LEVEL, REPRESENTING 1,845,816 INDIVIDUALS. APPROXIMATELY 55.1% OF AHLG'S PATIENTS DURING 2018 WERE MEDICARE PATIENTS, ABOUT 10.6% WERE MEDICAID PATIENTS, ABOUT 1.8% WERE SELF-PAY PATIENTS, AND THE REMAINING PERCENTAGE WERE PATIENTS COVERED UNDER COMMERCIAL INSURANCE. IN 2018, ABOUT 80.9% OF ALGH'S IN-PATIENTS WERE ADMITTED THROUGH THE HOSPITAL'S EMERGENCY DEPARTMENT.
PART VI, LINE 5:	THE PROVISION OF COMMUNITY BENEFIT IS CENTRAL TO THE FILING ORGANIZATION'S MISSION OF SERVICE AND COMPASSION. RESTORING AND PROMOTING THE HEALTH AND QUALITY OF LIFE OF THOSE IN THE COMMUNITIES SERVED BY THE FILING ORGANIZATION IS A FUNCTION OF "EXTENDING THE HEALING MINISTRY OF CHRIST AND EMBODIES THE FILING ORGANIZATION'S COMMITMENT TO ITS VALUES AND PRINCIPLES. THE FILING ORGANIZATION COMMITS SUBSTANTIAL RESOURCES TO PROVIDE A BROAD RANGE OF SERVICES TO BOTH THE UNDERPRIVILEGED AS WELL AS THE BROADER COMMUNITY. IN ADDITION TO THE COMMUNITY BENEFIT AND COMMUNITY BUILDING INFORMATION PROVIDED IN PARTS I, II AND III OF THIS SCHEDULE H, THE FILING ORGANIZATION CAPTURES AND REPORTS THE BENEFITS PROVIDED TO ITS COMMUNITY THROUGH FAITH-BASED CARE. EXAMPLES OF SUCH BENEFITS INCLUDE THE COST ASSOCIATED WITH CHAPLAINCY CARE PROGRAMS AND MISSION PEER REVIEWS AND MISSION CONFERENCES. DURING THE CURRENT YEAR, THE FILING ORGANIZATION PROVIDED $1,595,070 OF BENEFIT WITH RESPECT TO THE FAITH-BASED AND SPIRITUAL NEEDS OF THE COMMUNITY IN CONJUNCTION WITH ITS OPERATION OF COMMUNITY HOSPITALS. THE FILING ORGANIZATION ALSO PROVIDES BENEFITS TO ITS COMMUNITY'S INFRASTRUCTURE BY INVESTING IN CAPITAL IMPROVEMENTS TO ENSURE THAT FACILITIES AND TECHNOLOGY PROVIDE THE BEST POSSIBLE CARE TO THE COMMUNITY. DURING THE CURRENT YEAR, THE FILING ORGANIZATION EXPENDED $36,374,157 IN NEW CAPITAL IMPROVEMENTS. AS FAITH-BASED MISSION-DRIVEN COMMUNITY HOSPITALS, THE FILING ORGANIZATION IS CONTINUALLY INVOLVED IN MONITORING ITS COMMUNITIES, IDENTIFYING UNMET HEALTH CARE NEEDS AND DEVELOPING SOLUTIONS AND PROGRAMS TO ADDRESS THOSE NEEDS. IN ACCORDANCE WITH ITS CONSERVATIVE APPROACH TO FISCAL RESPONSIBILITY, SURPLUS FUNDS OF THE FILING ORGANIZATION ARE CONTINUALLY BEING INVESTED IN RESOURCES THAT IMPROVE THE AVAILABILITY AND QUALITY OF DELIVERY OF HEALTH CARE SERVICES AND PROGRAMS TO ITS COMMUNITIES.
PART VI, LINE 6:	THE FILING ORGANIZATION IS A PART OF A FAITH-BASED HEALTHCARE SYSTEM OF ORGANIZATIONS WHOSE PARENT IS ADVENTIST HEALTH SYSTEM SUNBELT HEALTHCARE CORPORATION (AHSSHC). THE SYSTEM IS KNOWN AS ADVENTHEALTH. AHSSHC IS AN ORGANIZATION EXEMPT FROM FEDERAL INCOME TAX UNDER IRC SECTION 501(C)(3). AHSSHC AND ITS SUBSIDIARY ORGANIZATIONS OPERATE 44 HOSPITALS THROUGHOUT THE U.S., PRIMARILY IN THE SOUTHEASTERN PORTION OF THE U.S. AHSSHC AND ITS SUBSIDIARIES ALSO OPERATE 11 NURSING HOME FACILITIES AND OTHER ANCILLARY HEALTH CARE PROVIDER FACILITIES, SUCH AS AMBULATORY SURGERY CENTERS AND DIAGNOSTIC IMAGING CENTERS. THE FILING ORGANIZATION IS ALSO A COVERED AFFILIATE OF A JOINT OPERATING COMPANY THAT DOES BUSINESS UNDER THE NAME OF AMITA HEALTH. AMITA HEALTH HAS BEEN RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS A TAX-EXEMPT ORGANIZATION UNDER IRC SECTION 501(C)(3). AMITA HEALTH PROVIDES VARIOUS MANAGEMENT AND EXECUTIVE SUPPORT SERVICES TO THE FILING ORGANIZATION. THE PROVISION OF THESE EXECUTIVE AND SUPPORT SERVICES ON A CENTRALIZED BASIS BY AMITA HEALTH AND BY AHSSHC PROVIDES AN APPROPRIATE BALANCE BETWEEN PROVIDING THE HOSPITAL ORGANIZATION WITH MISSION-DRIVEN CONSISTENT LEADERSHIP AND SUPPORT WHILE ALLOWING THE HOSPITAL ORGANIZATION TO FOCUS ITS RESOURCES ON MEETING THE SPECIFIC HEALTH CARE NEEDS OF THE COMMUNITY IT SERVES. THE READER OF THIS FORM 990 SHOULD KEEP IN MIND THAT THIS REPORTING ENTITY MAY DIFFER IN CERTAIN AREAS FROM THAT OF A STAND-ALONE HOSPITAL ORGANIZATION DUE TO ITS INCLUSION AS A COVERED AFFILIATE OF AMITA HEALTH AND AS PART OF A LARGER SYSTEM OF HEALTHCARE ORGANIZATIONS. AS A PART OF A SYSTEM OF HOSPITALS AND OTHER HEALTH CARE ORGANIZATIONS, THE FILING ORGANIZATION BENEFITS FROM REDUCED COSTS DUE TO SYSTEM EFFICIENCIES, SUCH AS LARGE GROUP PURCHASING DISCOUNTS, AND THE AVAILABILITY OF INTERNAL RESOURCES SUCH AS INTERNAL LEGAL COUNSEL. AS A RESULT, MANAGEMENT FEE EXPENSE REPORTED BY THE FILING ORGANIZATION MAY APPEAR GREATER IN RELATION TO MANAGEMENT FEE EXPENSE THAT MAY BE REPORTED BY A SINGLE STAND-ALONE HOSPITAL. THE SINGLE STAND-ALONE HOSPITAL WOULD LIKELY REPORT COSTS ASSOCIATED WITH MANAGEMENT AND OTHER PROFESSIONAL SERVICES ON VARIOUS EXPENSE LINE ITEMS IN ITS STATEMENT OF REVENUE AND EXPENSE AS OPPOSED TO REPORTING SUCH COSTS IN ONE OVERALL MANAGEMENT FEE EXPENSE. AS THE REPORTING OF THE FORM 990 IS DONE ON AN ENTITY BY ENTITY BASIS, THERE IS NO SINGLE FORM 990 THAT CAPTURES THE PROGRAMS AND OPERATIONS OF ADVENTHEALTH OR OF AMITA HEALTH AS A WHOLE. THE READER IS DIRECTED TO VISIT THE WEB-SITE OF ADVENTHEALTH AT WWW.ADVENTHEALTH.COM TO LEARN MORE ABOUT THE MISSION AND OPERATIONS OF ADVENTHEALTH AND TO ACCESS WWW.AMITAHEALTH.ORG TO LEARN MORE ABOUT THE VISION AND SERVICES PROVIDED BY ALL ITS LOCATIONS.
PART VI, LINE 7, REPORTS FILED WITH STATES	IL

Schedule H (Form 990) 2018

Additional Data

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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," on Form 990, Part IV, line 21 or 22.
lBullet

Attach to Form 990.
lBullet

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2018

Open to Public
Inspection

Name of the organization
ADVENTIST MIDWEST HEALTH

Employer identification number
36-2276984

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 Domestic Organizations and Domestic Governments. Complete if the organization answered "Yes" on 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 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 noncash assistance	(h) Purpose of grant or assistance
(1) AGING CARE CONNECTIONS 111 W HARRIS AVE LA GRANGE,IL60525	36-2721289	501(C)(3)	22,500				GENERAL SUPPORT
(2) COMMUNITY NURSE HEALTH ASSOCIATION 23 CALENDAR AVE LA GRANGE,IL60525	36-2170869	501(C)(3)	78,500				MEDICAL CARE FOR UNINSURED
(3) DUPAGE HEALTH COALITION 511 THORNHILL DRIVE SUITE M CAROL STREAM,IL60188	36-4448208	501(C)(3)	220,521				GENERAL SUPPORT
(4) HINSDALE HOSPITAL FOUNDATION 7 SALT CREEK LANE HINSDALE,IL60521	52-1466387	501(C)(3)		401,201	COST	GENERAL ADMINISTRATIVE SUPPORT	PROVISION OF GENERAL ADMINISTRATIVE SUPPORT
(5) LA GRANGE MEMORIAL HOSPITAL FOUNDATION 5101 SOUTH WILLOW SPRINGS RD LA GRANGE,IL60525	30-0247776	501(C)(3)		168,065	COST	GENERAL ADMINISTRATIVE SUPPORT	PROVISION OF GENERAL ADMINISTRATIVE SUPPORT
(6) LAKE UNION CONFERENCE OF SEVENTH DAY ADVENTIST PO BOX 287 BERRIEN SPRINGS,MI49103	38-1474933	501(C)(3)	8,868				GENERAL SUPPORT
(7) THE DUPAGE COMMUNITY FOUNDATION 300 WOODCREEK DR 310 DOWNERS GROVE,IL60515	36-3978733	501(C)(3)	25,000				GENERAL SUPPORT
(8) CHICAGO ZOOLOGICAL SOCIETY 3300 GOLF RD BROOKFIELD,IL60005	36-2167016	501(C)(3)	25,000				GENERAL SUPPORT
(9) ILLINOIS CONFERENCE OF SEVENTH DAY ADVENTIST 619 PLAINFIELD RD WILLOWBROOK,IL60527	36-2277365	501(C)(3)	40,000				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) 2018

Page 2

Part III

Grants and Other Assistance to Domestic Individuals. Complete if the organization answered "Yes" on 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 noncash assistance	(e) Method of valuation (book, FMV, appraisal, other)	(f) Description of noncash assistance

(1)
(2)
(3)
(4)
(5)
(6)
(7)

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 ONLY TO RELATED ORGANIZATIONS THAT ARE EXEMPT FROM FEDERAL INCOME TAX UNDER 501(C)(3), OR TO OTHER 501(C)(3) ORGANIZATIONS THAT ARE A PART OF THE GROUP EXEMPTION RULING ISSUED TO THE GENERAL CONFERENCE OF SEVENTH-DAY ADVENTISTS, OR TO OTHER 501(C)(3) COMMUNITY ORGANIZATIONS INVOLVED IN HEALTH-RELATED CAUSES. 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) 2018

Additional Data

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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" on Form 990, Part IV, line 23.
SchJMediumBullet

Attach to Form 990.
SchJMediumBullet

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2018

Open to Public Inspection

Name of the organization

ADVENTIST MIDWEST HEALTH

Employer identification number

36-2276984

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 on 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 on 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), 501(c)(4), and 501(c)(29) organizations must complete lines 5-9.

For persons listed on 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," on line 5a or 5b, describe in Part III.

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

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

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

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

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

Were any amounts reported on 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" on 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) 2018

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 on 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 in column (B) reported as deferred on 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)
1HAFFNER PHD RANDALL DIR/CHAIRMAN	(i) (ii)	0 ------------- 1,220,923	0 ------------- 745,145	0 ------------- 994,770	0 ------------- 265,119	0 ------------- 47,702	0 ------------- 3,273,659	0 ------------- 201,612
2SNYDER BRENT G DIRECTOR	(i) (ii)	0 ------------- 738,163	0 ------------- 401,708	0 ------------- 343,463	0 ------------- 135,669	0 ------------- 46,664	0 ------------- 1,665,667	0 ------------- 110,994
3THORDARSON THOR DIR/PRES/SEC/COO	(i) (ii)	596,055 ------------- 0	208,791 ------------- 0	40,049 ------------- 8,815	14,849 ------------- 0	27,004 ------------- 0	886,748 ------------- 8,815	0 ------------- 7,591
4YANG MD ERIC DIR/INTERIM CMO (BEG 7/18, END 12/18	(i) (ii)	0 ------------- 240,000	0 ------------- 0	0 ------------- 235,676	0 ------------- 14,849	0 ------------- 442	0 ------------- 490,967	0 ------------- 0
5PROVINCE STEVEN PRES/CEO HINSDALE	(i) (ii)	364,427 ------------- 0	0 ------------- 0	90,092 ------------- 0	14,849 ------------- 0	18,798 ------------- 0	488,166 ------------- 0	0 ------------- 0
6MURRILL MICHAEL L PRES/CEO LA GRANGE	(i) (ii)	300,247 ------------- 0	15,390 ------------- 0	15,895 ------------- 0	14,849 ------------- 0	26,788 ------------- 0	373,169 ------------- 0	0 ------------- 0
7MATHIS REBECCA VP/CFO HINSDALE/LA GRANGE	(i) (ii)	264,066 ------------- 0	0 ------------- 0	10,323 ------------- 9,214	14,742 ------------- 0	28,825 ------------- 0	317,956 ------------- 9,214	0 ------------- 8,134
8MAYCOCK ADAM VP/COO HINSDALE/LA GRANGE	(i) (ii)	211,780 ------------- 0	0 ------------- 0	22,332 ------------- 0	11,452 ------------- 0	26,953 ------------- 0	272,517 ------------- 0	0 ------------- 0
9CHEN MD BONNY VP/CMO HINSDALE/LA GRANGE (END 7/18)	(i) (ii)	222,353 ------------- 0	0 ------------- 0	19,493 ------------- 494	19,607 ------------- 0	17,419 ------------- 4,873	278,872 ------------- 5,367	0 ------------- 402
10MURPHY MARY CNO HINSDALE/LA GRANGE	(i) (ii)	263,981 ------------- 0	0 ------------- 0	9,525 ------------- 15,346	14,324 ------------- 0	9,379 ------------- 0	297,209 ------------- 15,346	0 ------------- 13,561
11RUSSELL DONALD EVP/CHIEF HR OFFICER	(i) (ii)	392,762 ------------- 0	190,040 ------------- 0	21,497 ------------- 190,721	14,849 ------------- 0	27,829 ------------- 0	646,977 ------------- 190,721	0 ------------- 13,202
12CHRISTIAN BRUCE PRES/CEO GLENOAKS/BOLINGBROOK	(i) (ii)	394,796 ------------- 0	59,925 ------------- 13,204	22,028 ------------- 107,317	15,192 ------------- 0	18,209 ------------- 0	510,150 ------------- 120,521	0 ------------- 107,317
13CARROLL RICHARD VP/CMO GLENOAKS/BOLINGBROOK	(i) (ii)	383,678 ------------- 0	0 ------------- 0	71,954 ------------- 32,014	14,849 ------------- 0	22,948 ------------- 0	493,429 ------------- 32,014	0 ------------- 25,736
14ROEHR RICHARD VP SYSTEM SERVICES	(i) (ii)	292,891 ------------- 0	0 ------------- 0	10,800 ------------- 0	14,849 ------------- 0	29,313 ------------- 0	347,853 ------------- 0	0 ------------- 0
15RADIVOJEVIC VLADIMIR VP/COO GLENOAKS/BOLINGBROOK	(i) (ii)	250,685 ------------- 0	0 ------------- 0	10,765 ------------- 0	14,186 ------------- 0	28,873 ------------- 0	304,509 ------------- 0	0 ------------- 0
16CRANE DAVID FORMER REGIONAL CEO	(i) (ii)	0 ------------- 0	0 ------------- 0	0 ------------- 444,098	0 ------------- 0	0 ------------- 8,528	0 ------------- 452,626	0 ------------- 0
17GOEBEL MICHAEL J FORMER CEO	(i) (ii)	0 ------------- 0	0 ------------- 19,011	0 ------------- 285,839	0 ------------- 0	0 ------------- 19,994	0 ------------- 324,844	0 ------------- 59,698

Schedule J (Form 990) 2018

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	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 THE FILING ORGANIZATION. THE FILING ORGANIZATION IS A PART OF THE SYSTEM OF HEALTHCARE ORGANIZATIONS KNOWN AS ADVENTHEALTH (AH). THE TOP-TIER PARENT OF ADVENTHEALTH IS ADVENTIST HEALTH SYSTEM SUNBELT HEALTHCARE CORPORATION (AHSSHC). AHSSC IS EXEMPT FROM FEDERAL INCOME TAX UNDER IRC SECTION 501(C)(3). AS PART OF AH, THE FILING ORGANIZATION ADHERES TO CERTAIN AHSSHC POLICIES REGARDING ITS EXECUTIVES. TRAVEL FOR COMPANIONS: AHSSHC HAS A CORPORATE EXECUTIVE POLICY THAT PROVIDES A BENEFIT TO ALLOW FOR A TRAVELING EXECUTIVE TO HAVE HIS OR HER SPOUSE ACCOMPANY THE EXECUTIVE ON CERTAIN BUSINESS TRIPS EACH YEAR. TYPICALLY, REIMBURSEMENT IS ONLY PROVIDED TO CERTAIN EXECUTIVE LEADERS AND IS USUALLY LIMITED TO ONE BUSINESS TRIP PER YEAR BEYOND THE ANNUAL ADVENTHEALTH PRESIDENT'S COUNCIL BUSINESS MEETING AND OTHER MEETINGS WHERE THE SPOUSE IS SPECIFICALLY INVITED. THE AHSSHC CORPORATE EXECUTIVE SPOUSAL TRAVEL POLICY WAS ORIGINALLY APPROVED AND REVIEWED BY THE AHSSHC BOARD COMPENSATION COMMITTEE, AN INDEPENDENT BODY OF THE AHSSHC BOARD OF DIRECTORS. ALL SPOUSAL TRAVEL COSTS REIMBURSED TO THE EXECUTIVE ARE CONSIDERED TAXABLE COMPENSATION TO THE EXECUTIVE. TAX INDEMNIFICATION AND GROSS-UP PAYMENTS: ADVENTHEALTH HAS A SYSTEM-WIDE POLICY ADDRESSING GROSS-UP PAYMENTS PROVIDED IN CONNECTION WITH EMPLOYER-PROVIDED BENEFITS/OTHER TAXABLE ITEMS. UNDER THE POLICY, CERTAIN TAXABLE BUSINESS-RELATED REIMBURSEMENTS (I.E. TAXABLE BUSINESS-RELATED MOVING EXPENSES, TAXABLE ITEMS PROVIDED IN CONNECTION WITH EMPLOYMENT) PROVIDED TO ANY EMPLOYEE MAY BE GROSSED-UP AT A 25% RATE UPON APPROVAL BY THE FILING ORGANIZATION'S CEO AND CFO. ADDITIONALLY, EMPLOYEES AT THE DIRECTOR LEVEL AND ABOVE ARE ELIGIBLE FOR GROSS-UP PAYMENTS ON GIFTS RECEIVED FOR BOARD OF DIRECTOR SERVICES. DISCRETIONARY SPENDING ACCOUNT: A NOMINAL DISCRETIONARY SPENDING AMOUNT WAS PROVIDED IN THE CURRENT YEAR TO ALL ELIGIBLE EXECUTIVES WHO ATTEND THE ANNUAL ADVENTHEALTH PRESIDENT'S COUNCIL BUSINESS MEETING ($500 PER EXECUTIVE) OR THE ANNUAL ADVENTHEALTH CFO CONFERENCE OR CMO/CNO BUSINESS MEETING ($300 PER EXECUTIVE). OTHER DISCRETIONARY SPENDING ACCOUNTS MAY BE PROVIDED IN CONNECTION WITH OTHER ADVENTHEALTH SPONSORED CONFERENCES BUT TYPICALLY DO NOT EXCEED $200 PER PARTICIPANT. THE PAYMENT PROVIDED TO EACH EXECUTIVE WAS CONSIDERED TAXABLE COMPENSATION TO THE EXECUTIVE. HOUSING ALLOWANCE OR RESIDENCE FOR PERSONAL USE: IN PRIOR YEARS, AHSSHC PROVIDED HOUSING ASSISTANCE IN THE FORM OF A SHARED EQUITY INTEREST IN A RESIDENCE TO ELIGIBLE EXECUTIVES WHO WERE EXPECTED TO LIVE WITHIN THE IMMEDIATE PROXIMITY OF HOSPITAL FACILITIES LOCATED IN HIGH-COST COMMUNITIES. AS WITH ALL AHSSHC CORPORATE EXECUTIVE POLICIES, THE HOUSING BENEFIT POLICY WAS ORIGINALLY AUTHORIZED AND APPROVED BY THE AHSSHC BOARD COMPENSATION COMMITTEE, AN INDEPENDENT COMMITTEE OF THE AHSSHC BOARD OF DIRECTORS. THIS HOUSING ASSISTANCE POLICY WAS RETIRED IN 2018. AT THE TIME OF THE HOUSING ASSISTANCE POLICY'S RETIREMENT, THERE WAS ONLY ONE ELIGIBLE EXECUTIVE THAT IS LISTED ON PART VII OF THIS RETURN THAT REMAINS A PARTICIPANT IN THIS PROGRAM. THE APPROPRIATE ANNUAL DOLLAR AMOUNT OF THE HOUSING BENEFIT PROVIDED TO THE REMAINING ELIGIBLE EXECUTIVE IS TREATED AS TAXABLE COMPENSATION TO THE EMPLOYEE.
PART I, LINE 3	THE FILING ORGANIZATION IS A COVERED AFFILIATE OF THE JOINT OPERATING COMPANY, ALEXIAN BROTHERS-AHS MIDWEST REGION HEALTH CO. D/B/A AMITA HEALTH (AMITA). AMITA UTILIZES VARIOUS COMPARABILITY DATA IN ESTABLISHING COMPENSATION FOR THOSE EXECUTIVES THAT PERFORM SERVICES FOR AMITA AND FOR ONE OR MORE COVERED AFFILIATES. COMPARABILITY DATA UTILIZED INCLUDES COMPENSATION SURVEYS AND STUDIES AND THE FORMS 990 OF OTHER UNRELATED COMPARABLE ORGANIZATIONS. AMITA ALSO HAS A COMPENSATION COMMITTEE THAT APPROVES ALL RELEVANT EXECUTIVE COMPENSATION. THE COMPENSATION OF THE FILING ORGANIZATION'S CEO WAS DETERMINED AND APPROVED BY AMITA'S EXECUTIVE COMPENSATION COMMITTEE.
PART I, LINES 4A-B	LINE 4A: DURING THE YEAR ENDING DECEMBER 31, 2018, MICHAEL GOEBEL AND DAVID CRANE RECEIVED SEVERANCE PAYMENTS IN THE AMOUNTS OF $205,488 AND $444,433 RESPECTIVELY. 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 ADVENTHEALTH. LINE 4B: CERTAIN INDIVIDUALS LISTED ON FORM 990, PART VII, SECTION A, LINE 1A RECEIVED COMPENSATION IN 2018 FROM ADVENTIST HEALTH SYSTEM SUNBELT HEALTHCARE CORPORATION (AHSSHC), THE PARENT ORGANIZATION OF A HEALTHCARE SYSTEM KNOWN AS ADVENTHEALTH. BEGINNING IN 2018, CERTAIN EXECUTIVE EMPLOYEES WHO WERE PREVIOUSLY ON THE PAYROLL OF AHSSHC WERE TRANSFERRED TO THE PAYROLL OF THE FILING ORGANIZATION. CERTAIN EXECUTIVES WHO WERE PARTICIPANTS IN AHSSHC'S NON-QUALIFIED DEFERRED COMPENSATION PLAN RECEIVED TAXABLE AMOUNTS FROM THE PLAN IN 2018. A DESCRIPTION OF THE PLAN FOLLOWS. IN RECOGNITION OF THE CONTRIBUTION THAT EACH EXECUTIVE MAKES TO THE SUCCESS OF ADVENTHEALTH, ADVENTHEALTH PROVIDES TO ELIGIBLE EXECUTIVES PARTICIPATION IN THE ADVENTHEALTH 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 A SPLIT DOLLAR LIFE INSURANCE POLICY AND LONG-TERM CARE INSURANCE, 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 ADVENTHEALTH ENTITIES AND VICE PRESIDENTS OF ALL ADVENTHEALTH ENTITIES WHOSE BASE SALARY IS AT LEAST $250,000. 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, ADVENTHEALTH HAS INSTITUTED A DEFINED BENEFIT, NON-TAX-QUALIFIED DEFERRED COMPENSATION PLAN FOR CERTAIN EXECUTIVES WHO HAVE PROVIDED LENGTHY SERVICE TO ADVENTHEALTH AND/OR TO OTHER SEVENTH-DAY ADVENTIST CHURCH HOSPITALS OR HEALTH CARE INSTITUTIONS. PARTICIPATION IN THE PLAN IS OFFERED TO ADVENTHEALTH EXECUTIVES ON A PRO-RATA SCHEDULE BEGINNING WITH 20 YEARS OF SERVICE AS AN EMPLOYEE OF ADVENTHEALTH AND/OR ANOTHER HOSPITAL OR HEALTH CARE INSTITUTION CONTROLLED BY THE SEVENTH-DAY ADVENTIST CHURCH AND WHO SATISFY CERTAIN OTHER QUALIFYING CRITERIA. 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 ADVENTHEALTH ACTIVE EMPLOYMENT INCLUSIVE OF INCOME FROM ALL OTHER SEVENTH-DAY ADVENTIST CHURCH HEALTHCARE EMPLOYER-FINANCED RETIREMENT INCOME SOURCES AND INVESTMENT INCOME EARNED ON THOSE CONTRIBUTIONS THROUGH SOCIAL SECURITY NORMAL RETIREMENT AGE AS DEFINED IN THE PLAN. THE NUMBER OF YEARS INCLUDED IN HIGHEST AVERAGE COMPENSATION IS DETERMINED BY THE INDIVIDUAL'S YEAR OF ENTRY TO THE SERP AND BY THE INDIVIDUAL'S YEAR OF ENTRY TO THE ADVENTHEALTH EXECUTIVE FLEX BENEFIT PROGRAM. ADDITIONALLY, ADVENTHEALTH HAS ADOPTED A SENIOR EXECUTIVE DEATH BENEFIT (SEDB) PLAN IN RECOGNITION OF THE CONSIDERABLE AGE AND SERVICE REQUIREMENTS IN THE SERP. THE SEDB PLAN PROVIDES A BENEFIT IN AN AMOUNT EQUAL TO THE AMOUNT THE EXECUTIVE'S BENEFIT WOULD HAVE BEEN UNDER THE SERP PLAN ASSUMING THAT, ON THE DATE OF THE EXECUTIVE'S DEATH (AND NOT BEFORE), THE EXECUTIVE SATISFIED THE LAST OF THE ELIGIBILITY REQUIREMENTS OF THE SERP PLAN WITH PRESENT VALUE RECOGNIZING AN EARLY BENEFIT COMMENCEMENT. AN ELIGIBLE EXECUTIVE BECOMES A PARTICIPANT IN THE SEDB PLAN IF THE EXECUTIVE DIES PRIOR TO TERMINATION OF EMPLOYMENT, PROVIDED THE EXECUTIVE HAS NOT SATISFIED ALL OF THE ELIGIBILITY REQUIREMENTS OF SERP AS OF THE EXECUTIVE'S DATE OF DEATH BUT WOULD HAVE SATISFIED ALL OF THOSE REQUIREMENTS WITHIN FIVE (5) YEARS FOLLOWING DEATH HAD THE EXECUTIVE LIVED AND CONTINUED EMPLOYMENT. THE SEDB PLAN WAS REVIEWED AND APPROVED BY THE AHSSHC BOARD COMPENSATION COMMITTEE, AN INDEPENDENT BODY OF THE AHSSHC BOARD OF DIRECTORS. FLEX PLAN FLEX PLAN/ SERP 457(B) CY CY EMPLOYER CY CONTRIB./ DISTRIBUTIONS* CONTRIB. DISTRIBUTIONS* PAYMENT ------------------------------------------------------- RICHARD CARROLL, MD $ 0 $ 32,014 $ 0 $ 0 BONNY CHEN $ 0 $ 494 $ 0 $ 0 MICHAEL GOEBEL $ 0 $ 76,842 $ 0 $ 0 RANDALL HAFFNER, PHD $250,270 $ 267,057 $ 657,852 $ 0 REBECCA MATHIS $ 0 $ 9,214 $ 0 $ 0 MARY MURPHY $ 0 $ 15,346 $ 0 $ 0 BRENT G. SNYDER $139,320 $112,373 $ 144,701 $ 0 THOR THORDARSON $ 0 $ 8,815 $ 0 $ 0 BRUCE CHRISTIAN $ 0 $ 0 $ 0 $ 107,317 DONALD RUSSELL $ 0 $ 11,737 $ 178,984 $ 0 *INCLUDING INVESTMENT EARNINGS

Schedule J (Form 990) 2018

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 990-EZ or to provide any additional information.
MediumBullet

Attach to Form 990 or 990-EZ.
MediumBullet

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2018

Open to Public
Inspection

Name of the organization

ADVENTIST MIDWEST HEALTH

Employer identification number

36-2276984

Return Reference	Explanation
PART III, LINE 4A - CONTINUATION FOR AMITA HEALTH HINSDALE	AMITA HEALTH HINSDALE CLINICAL INSTITUTES AMITA HEALTH CANCER INSTITUTE & OUTPATIENT CENTER: AMITA HEALTH HINSDALE INCLUDES THE AMITA HEALTH CANCER INSTITUTE & OUTPATIENT CENTER (THE CENTER), WHICH OPENED IN HINSDALE IN FEBRUARY 2016. THE 54,000-SQUARE-FOOT CENTER PROVIDES A CENTRALIZED LOCATION FOR PATIENTS ON THEIR JOURNEY FROM DIAGNOSIS TO RECOVERY, CONSOLIDATING INTO ONE FACILITY A COMPREHENSIVE RANGE OF SERVICES FORMERLY SCATTERED ACROSS AMITA HEALTH HINSDALE AND AMITA HEALTH LA GRANGE. PATIENTS VISITING THE CENTER CAN SEE THEIR PHYSICIAN, HAVE LAB WORK PERFORMED, AND RECEIVE CHEMOTHERAPY AND RADIATION TREATMENTS IN A COMFORTING, HEALING ENVIRONMENT FEATURING STATE-OF-THE-ART TECHNOLOGY. HAVING A COMPREHENSIVE ARRAY OF SERVICES UNDER ONE ROOF FACILITATES COORDINATION OF TREATMENT AMONG MULTIDISCIPLINARY TEAM MEMBERS WHILE SAVING TIME AND REDUCING STRESS FOR PATIENTS. THE CENTER'S DESIGN AND ITS EMPHASIS ON PATIENT CONVENIENCE REFLECT THE INPUT OF CANCER SURVIVORS, PHYSICIANS AND ASSOCIATES CALLED UPON FOR THEIR IDEAS AS PLANS FOR THE FACILITY WERE DEVELOPED. THE FACILITY'S FIRST FLOOR IS DEDICATED TO CANCER TREATMENT, AND ITS SECOND FLOOR OFFERS OUTPATIENT IMAGING SERVICES, SUCH AS MAMMOGRAPHY, ULTRASOUND AND X-RAY. THE FACILITY HAS SEPARATE ENTRANCES FOR THE TWO DIFFERENT GROUPS OF PATIENTS IT SERVES. THE CENTER FEATURES TWO LINEAR ACCELERATORS FOR RADIATION TREATMENT AND 28 CHEMOTHERAPY INFUSION CHAIRS, INCLUDING 17 IN PRIVATE ROOMS, FOUR IN SEMI-PRIVATE ROOMS, AND SEVEN IN COMMUNITY ROOMS DESIGNED TO FOSTER PATIENT-TO-PATIENT SUPPORT AND COMMUNICATION. THE CENTER ALSO HAS 21 EXAM ROOMS FOR DOCTOR-PATIENT CONSULTATIONS, A TESTING LABORATORY AND A PHARMACY SPECIALIZING IN CHEMOTHERAPY. ANOTHER CONVENIENCE IS THE CENTER'S WELLNESS HOUSE OFFICE. WELLNESS HOUSE IS A NOT-FOR-PROFIT ORGANIZATION THAT OFFERS AN EXTENSIVE ARRAY OF SUPPORT SERVICES FOR PEOPLE LIVING WITH CANCER. THE OFFICE REFLECTS THE CENTER'S FOCUS ON PROVIDING "ADJACENCIES, OR CLOSELY RELATED SERVICES, IN ONE CONVENIENT SETTING. OTHER ADJACENCIES OFFERED AT THE FACILITY INCLUDE NUTRITION COUNSELING AND GENETIC COUNSELING. AMITA HEALTH HINSDALE SERVICES DIAGNOSTIC SERVICES: AMITA HEALTH HINSDALE'S DIAGNOSTIC SERVICES INCLUDE THE LATEST TECHNOLOGY AND PRACTICES, WHICH ARE ACCREDITED BY NATIONALLY AND STATE RECOGNIZED AGENCIES AND ASSOCIATIONS, SUCH AS THE ILLINOIS EMERGENCY MANAGEMENT AGENCY, THE AMERICAN COLLEGE OF RADIOLOGY, THE COLLEGE OF AMERICAN PATHOLOGISTS, THE CLINICAL LABORATORY IMPROVEMENT AMENDMENTS AND THE JOINT COMMISSION. DIAGNOSTIC SERVICES OFFERED INCLUDE: -- DIAGNOSTIC IMAGING (GENERAL X-RAY, CT, MRI, PET, ULTRASOUND, NUCLEAR MEDICINE) -- BREAST-CARE SERVICES (SCREENING AND 3-D DIAGNOSTIC MAMMOGRAPHY, BREAST BIOPSY ULTRASOUND, STEREOTACTIC BREAST BIOPSY, BONE DENSITOMETRY, GENETIC COUNSELING, MAMMACARE BREAST SELF-EXAMINATION INSTRUCTIONS) -- CARDIOLOGY (CARDIAC CATHETERIZATION, ELECTROPHYSIOLOGY, ELECTROCARDIOGRAMS [EKGS], STRESS TESTING, ECHOCARDIOGRAPHY, HOLTER MONITORING OF ARRHYTHMIAS) -- PULMONARY DIAGNOSTICS (ARTERIAL BLOOD GAS ANALYSIS) -- GASTROENTEROLOGY (COLONOSCOPY, BRONCHOSCOPY) -- LABORATORY/PATHOLOGY (CHEMISTRY, MICROBIOLOGY, HEMATOLOGY, HISTOLOGY, CYTOLOGY, PHLEBOTOMY, TRANSFUSION SERVICES) EMERGENCY DEPARTMENT: EMERGENCY MEDICAL CARE IS PROVIDED 24/7 FOR ALL AGES AND TYPES OF PATIENTS, REGARDLESS OF THEIR ABILITY TO PAY FOR SUCH SERVICES. OUTPATIENT SERVICES PERFORMED IN 2018: -- 3,795 OUTPATIENT SURGERIES -- 61,555 DIAGNOSTIC IMAGES, INCLUDING GENERAL X-RAY, CT, MRI, PET, ULTRASOUND, NUCLEAR MEDICINE AND OTHERS -- 733,927 LABORATORY TESTS -- 27,110 EMERGENCY ROOM VISITS.
PART III, LINE 4A - FOR AMITA HEALTH LA GRANGE	AMITA HEALTH ADVENTIST MEDICAL CENTER LA GRANGE (AMITA HEALTH LA GRANGE, OR THE HOSPITAL) IS A 222-BED ACUTE-CARE HOSPITAL IN LA GRANGE, ILLINOIS, THAT HAS SERVED THE HEALTHCARE NEEDS OF THE LA GRANGE COMMUNITY AND SURROUNDING AREAS SINCE 1955. LOCATED AT 5101 SOUTH WILLOW SPRINGS ROAD, AMITA HEALTH LA GRANGE IS A FULL-SERVICE HOSPITAL THAT INCLUDES A MEDICAL OFFICE BUILDING ON ITS CAMPUS IN LA GRANGE, AS WELL AS THE AMITA HEALTH CANCER INSTITUTE & OUTPATIENT CENTER IN HINSDALE. IN ADDITION TO CANCER CARE, OTHER SPECIALTY CARE AND SERVICES OFFERED BY THE HOSPITAL INCLUDE CLINICAL RESEARCH TRIALS, EMERGENCY SERVICES, ENDOCRINOLOGY, GERIATRICS, GASTROENTEROLOGY, HEART AND VASCULAR, HOME HEALTH, HOSPICE, IMAGING, INTERVENTIONAL RADIOLOGY, LAB SERVICES, NEUROLOGY, OBSTETRICS, ORTHOPEDICS, PASTORAL CARE, PEDIATRICS, PHYSICAL REHABILITATION, RHEUMATOLOGY, SLEEP DISORDERS, SURGICAL SERVICES, UROLOGY, WOMEN'S CARE AND WOUND CARE. THE HOSPITAL HAS AN IMAGING FACILITY IN WESTCHESTER, ILLINOIS, AND OPERATES AN OUTPATIENT PHYSICAL REHABILITATION SITE IN WILLOWBROOK, ILLINOIS, IN PARTNERSHIP WITH PT SOLUTIONS. THE HOSPITAL HAS A 16-BED ACUTE INPATIENT REHABILITATION UNIT THAT INCLUDES AN APARTMENT WHERE THERAPISTS TRAIN PATIENTS TO RESUME DAILY LIVING ACTIVITIES. A 2016 EXPANSION AND RENOVATION OF THE HOSPITAL'S EMERGENCY DEPARTMENT INCREASED THE NUMBER OF TREATMENT BAYS FROM 16 TO 23. EACH BAY IS A PRIVATE ROOM ENCLOSED WITH SOLID WALLS AND A DOOR, INSTEAD OF THE THIN CURTAINS THAT HAD SEPARATED BAYS IN THE OLD EMERGENCY DEPARTMENT. THE NEW EMERGENCY DEPARTMENT ALSO FEATURES A FAST-TRACK AREA FOR PATIENTS WITH MORE-MINOR EMERGENCIES TO DECREASE WAIT TIMES FOR THOSE PATIENTS AND TO FREE UP EXAM ROOMS FOR MORE-SERIOUS CASES. THROUGH THE YEARS, AMITA HEALTH LA GRANGE HAS BUILT NUMEROUS PARTNERSHIPS WITH COMMUNITY ORGANIZATIONS TO ADDRESS LOCAL HEALTHCARE NEEDS. ADDRESSING THE NEEDS OF OLDER ADULTS IS A KEY FOCUS FOR THE HOSPITAL, WHICH SERVES A LARGE MEDICARE POPULATION. AMITA HEALTH LA GRANGE HAS A SPECIAL COLLABORATIVE RELATIONSHIP WITH SISTER HOSPITAL AMITA HEALTH ADVENTIST MEDICAL CENTER HINSDALE (AMITA HEALTH HINSDALE) IN HINSDALE, ILLINOIS. ABOUT TWO MILES SEPARATE THE HOSPITALS, AND BECAUSE OF THEIR PROXIMITY TO EACH OTHER, THEY HAVE WORKED TO INTEGRATE THEIR SERVICES AND TO WORK COLLABORATIVELY INSTEAD OF COMPETING AGAINST EACH OTHER. THE HOSPITALS SHARE THE SAME SENIOR MANAGEMENT TEAM, DEPARTMENT LEADERS, AND MEDICAL STAFF, AND THEY PARTNERED TO DEVELOP THE AMITA HEALTH CANCER INSTITUTE AND OUTPATIENT CENTER, WHICH OPENED IN 2016 IN HINSDALE. THE INTEGRATION PROCESS HAS REDUCED OPERATING COSTS FOR THE TWO HOSPITALS, AND THEY HAVE REINVESTED THE SAVINGS TO EXPAND AND ENHANCE SERVICES. THE TWO HOSPITALS ALSO OPERATE A FAMILY-PRACTICE RESIDENCY PROGRAM IN WHICH MEDICAL-SCHOOL GRADUATES SERVE THEIR RESIDENCIES, DOING CLINICAL ROTATIONS, CARING FOR 18,000 PATIENTS ANNUALLY -- INCLUDING MANY MEDICAID RECIPIENTS -- AT A PRIMARY-CARE CLINIC AT AMITA HEALTH HINSDALE, AND PROVIDING OBSTETRICAL SERVICES AT A DUPAGE COUNTY HEALTH DEPARTMENT CLINIC IN WESTMONT. THE PROGRAM IS A CONSISTENT SOURCE OF FAMILY-PRACTICE PHYSICIANS FOR THE COMMUNITY. AMITA HEALTH LA GRANGE IS CERTIFIED BY THE JOINT COMMISSION AND THE AMERICAN HEART ASSOCIATION/AMERICAN STROKE ASSOCIATION AS A PRIMARY STROKE CENTER AND HAS RECEIVED NATIONAL QUALITY APPROVAL FROM THE JOINT COMMISSION. THE BLUE CROSS AND BLUE SHIELD ASSOCIATION HAS AWARDED ITS BLUE DISTINCTION CENTER+ DESIGNATION TO THE HOSPITAL FOR DELIVERING SAFE, HIGH-QUALITY AND COST-EFFICIENT MATERNITY CARE. IN DECEMBER 2017, AMITA HEALTH LA GRANGE EARNED A FIVE-STAR RATING - THE HIGHEST POSSIBLE - IN RATINGS POSTED ON THE CENTERS FOR MEDICARE & MEDICAID SERVICES' HOSPITAL COMPARE WEBSITE. THE HOSPITAL EARNED AN "A," THE HIGHEST POSSIBLE SCORE, IN THE SPRING 2017 AND FALL 2017 EDITIONS OF THE LEAPFROG GROUP'S BIANNUAL HOSPITAL SAFETY GRADE STUDY. IN ADDITION, AMITA HEALTH LA GRANGE WAS RATED AS HIGH-PERFORMING IN TWO ADULT PROCEDURES/CONDITIONS (CHRONIC OBSTRUCTIVE PULMONARY DISEASE AND HEART FAILURE) IN U.S. NEWS & WORLD REPORT'S 2017-2018 BEST HOSPITALS REPORT. ALSO IN 2017, AMINO, A SAN FRANCISCO-BASED HEALTHCARE DATA COMPANY, RANKED AMITA HEALTH LA GRANGE 11TH IN THE COMPANY'S RANKINGS OF THE CHICAGO AREA'S TOP 12 BEST VALUE HOSPITALS. IN 2018, AMITA HEALTH LA GRANGE TREATED 7,843 INPATIENTS, PERFORMED 1,532 INPATIENT SURGERIES AND DELIVERED 137 BABIES. THE HOSPITAL'S MEDICAL STAFF INCLUDES 728 PHYSICIANS REPRESENTING MORE THAN 606 MEDICAL AND SURGICAL SPECIALTIES. AMITA HEALTH LA GRANGE PROVIDES CARE FOR ALL, INCLUDING THE FINANCIALLY DISADVANTAGED, UNINSURED, UNDERINSURED, HOMELESS AND THOSE WHO RECEIVE PUBLIC AID. IN 2018, AMITA HEALTH LA GRANGE PROVIDED $1,320,568 OF CHARITY CARE AT COST. THIS WAS IN ADDITION TO $5,433,186 IN COMMUNITY EDUCATION COSTS, INCLUDING THE HOSPITAL'S RESIDENCY PROGRAM, $86,000 IN OTHER COMMUNITY BENEFITS SERVICES, $1,858,783 OF BAD DEBT EXPENSE AT COST, AND $3,134,497 OF UNREIMBURSED MEDICAID AT COST. ABOUT ADVENTIST MIDWEST HEALTH THE TOP-TIER PARENT OF THE FILING ORGANIZATION, ADVENTIST HEALTH SYSTEM SUNBELT HEALTHCARE CORPORATION, OWNS A REGIONAL HEALTH SYSTEM WHICH INCLUDES A NETWORK OF FOUR NOT-FOR-PROFIT HOSPITALS AND THEIR OUTPATIENT-BASED HEALTHCARE FACILITIES OPERATING IN CHICAGO'S WESTERN SUBURBS. THE FOUR NOT-FOR-PROFIT CHICAGO HOSPITALS TAKE A HOLISTIC APPROACH TO WELLNESS, ADDRESSING THE PHYSICAL, MENTAL, SOCIAL AND SPIRITUAL NEEDS OF THE PEOPLE IT SERVES. THE FOUR HOSPITALS AND OTHER FACILITIES ARE INTEGRAL TO THE FABRIC OF THEIR COMMUNITIES. THE HOSPITALS PARTNER WITH LOCAL CIVIC ORGANIZATIONS AND BUSINESSES TO BRING STATE-OF-THE-ART TREATMENTS AND PREVENTIVE HEALTHCARE SERVICES CLOSE TO WHERE PEOPLE LIVE AND WORK. AS PART OF ADVENTHEALTH, THE LARGEST, NOT-FOR-PROFIT PROTESTANT HOSPITAL SYSTEM IN THE NATION, THE FILING ORGANIZATION IS GROUNDED IN CHRISTIAN VALUES AND COMMITTED TO EXTENDING THE HEALING MINISTRY OF CHRIST. THE FILING ORGANIZATION WELCOMES PATIENTS FROM ANY RELIGIOUS DENOMINATION AS WELL AS PATIENTS WHO DO NOT ASCRIBE TO ANY RELIGION. IN FEBRUARY 2015, AMH AND ALEXIAN BROTHERS HEALTH SYSTEM (ABHS) FORMED A JOINT OPERATING COMPANY (JOC). A JOC ALLOWS SEPARATE OWNERS TO INTEGRATE OPERATIONS TO ACHIEVE A COMMON GOAL WHILE MAINTAINING SEPARATE OWNERSHIP OF ASSETS. IT ALSO ALLOWS AMH AND ABHS TO WORK IN UNISON WHILE PRESERVING THE ADVENTIST AND CATHOLIC IDENTITIES AND MISSION PRIORITIES THAT DEFINE AMH AND ABHS, RESPECTIVELY. IN APRIL 2015, ALEXIAN BROTHERS-AHS MIDWEST REGION HEALTH CO., D/B/A AMITA HEALTH, WAS ANNOUNCED AS THE NEW NAME OF THE JOC. THE NAME AMITA IS INSPIRED BY THE MEANING IT HAS IN SEVERAL LANGUAGES -- FRIENDSHIP IN ITALIAN, HONESTY AND TRUTH IN HEBREW, AND SPIRITUAL LIGHT AND BOUNDLESSNESS IN HINDI. THE NAME REFLECTS AMITA HEALTH'S FAITH-BASED CALL TO HEALING, ITS CORE VALUES, AND THE COMPASSION AND DEDICATION THAT ITS CAREGIVERS SHOW EVERY DAY TO PATIENTS, THEIR FAMILIES AND EACH OTHER.
PART III, LINE 4A - CONTINUATION FOR AMITA HEALTH LA GRANGE	AMITA HEALTH LA GRANGE CLINICAL INSTITUTES AMITA HEALTH CANCER INSTITUTE & OUTPATIENT CENTER: AMITA HEALTH LA GRANGE INCLUDES THE AMITA HEALTH CANCER INSTITUTE & OUTPATIENT CENTER (THE CENTER), WHICH OPENED IN HINSDALE IN FEBRUARY 2016. THE 54,000-SQUARE-FOOT CENTER PROVIDES A CENTRALIZED LOCATION FOR PATIENTS ON THEIR JOURNEY FROM DIAGNOSIS TO RECOVERY, CONSOLIDATING INTO ONE FACILITY A COMPREHENSIVE RANGE OF SERVICES FORMERLY SCATTERED ACROSS AMITA HEALTH HINSDALE AND AMITA HEALTH LA GRANGE. PATIENTS VISITING THE CENTER CAN SEE THEIR PHYSICIAN, HAVE LAB WORK PERFORMED, AND RECEIVE CHEMOTHERAPY AND RADIATION TREATMENTS IN A COMFORTING, HEALING ENVIRONMENT FEATURING STATE-OF-THE-ART TECHNOLOGY. HAVING A COMPREHENSIVE ARRAY OF SERVICES UNDER ONE ROOF FACILITATES COORDINATION OF TREATMENT AMONG MULTIDISCIPLINARY TEAM MEMBERS WHILE SAVING TIME AND REDUCING STRESS FOR PATIENTS. THE CENTER'S DESIGN AND ITS EMPHASIS ON PATIENT CONVENIENCE REFLECT THE INPUT OF CANCER SURVIVORS, PHYSICIANS AND ASSOCIATES CALLED UPON FOR THEIR IDEAS AS PLANS FOR THE FACILITY WERE DEVELOPED. THE FACILITY'S FIRST FLOOR IS DEDICATED TO CANCER TREATMENT, AND ITS SECOND FLOOR OFFERS OUTPATIENT IMAGING SERVICES, SUCH AS MAMMOGRAPHY, ULTRASOUND AND X-RAY. THE FACILITY HAS SEPARATE ENTRANCES FOR THE TWO DIFFERENT GROUPS OF PATIENTS IT SERVES. THE CENTER FEATURES TWO LINEAR ACCELERATORS FOR RADIATION TREATMENT AND 28 CHEMOTHERAPY INFUSION CHAIRS, INCLUDING 17 IN PRIVATE ROOMS, FOUR IN SEMI-PRIVATE ROOMS, AND SEVEN IN COMMUNITY ROOMS DESIGNED TO FOSTER PATIENT-TO-PATIENT SUPPORT AND COMMUNICATION. THE CENTER ALSO HAS 21 EXAM ROOMS FOR DOCTOR-PATIENT CONSULTATIONS, A TESTING LABORATORY AND A PHARMACY SPECIALIZING IN CHEMOTHERAPY. ANOTHER CONVENIENCE IS THE CENTER'S WELLNESS HOUSE OFFICE. WELLNESS HOUSE IS A NOT-FOR-PROFIT ORGANIZATION THAT OFFERS AN EXTENSIVE ARRAY OF SUPPORT SERVICES FOR PEOPLE LIVING WITH CANCER. THE OFFICE REFLECTS THE CENTER'S FOCUS ON PROVIDING "ADJACENCIES, OR CLOSELY RELATED SERVICES, IN ONE CONVENIENT SETTING. OTHER ADJACENCIES OFFERED AT THE FACILITY INCLUDE NUTRITION COUNSELING AND GENETIC COUNSELING. AMITA HEALTH LA GRANGE SERVICES DIAGNOSTIC SERVICES: AMITA HEALTH LA GRANGE'S DIAGNOSTIC SERVICES INCLUDE THE LATEST TECHNOLOGY AND PRACTICES, WHICH ARE ACCREDITED BY NATIONALLY AND STATE RECOGNIZED AGENCIES AND ASSOCIATIONS, SUCH AS THE ILLINOIS EMERGENCY MANAGEMENT AGENCY, THE AMERICAN COLLEGE OF RADIOLOGY, THE COLLEGE OF AMERICAN PATHOLOGISTS, THE CLINICAL LABORATORY IMPROVEMENT AMENDMENTS AND THE JOINT COMMISSION. DIAGNOSTIC SERVICES OFFERED INCLUDE: -- DIAGNOSTIC IMAGING (GENERAL X-RAY, CT, MRI [INCLUDING OPEN MRI], PET, ULTRASOUND, NUCLEAR MEDICINE) -- BREAST-CARE SERVICES (SCREENING AND 3-D DIAGNOSTIC MAMMOGRAPHY, BREAST BIOPSY ULTRASOUND, STEREOTACTIC BREAST BIOPSY, BONE DENSITOMETRY, GENETIC COUNSELING, MAMMACARE BREAST SELF-EXAMINATION INSTRUCTIONS) -- CARDIOLOGY (CARDIAC CATHETERIZATION, ELECTROPHYSIOLOGY, ELECTROCARDIOGRAMS [EKGS], STRESS TESTING, ECHOCARDIOGRAPHY, HOLTER MONITORING OF ARRHYTHMIAS) -- PULMONARY DIAGNOSTICS (ARTERIAL BLOOD GAS ANALYSIS) -- GASTROENTEROLOGY (COLONOSCOPY, BRONCHOSCOPY) -- LABORATORY/PATHOLOGY (CHEMISTRY, MICROBIOLOGY, HEMATOLOGY, HISTOLOGY, CYTOLOGY, PHLEBOTOMY, TRANSFUSION SERVICES) EMERGENCY DEPARTMENT: EMERGENCY MEDICAL CARE IS PROVIDED 24/7 FOR ALL AGES AND TYPES OF PATIENTS, REGARDLESS OF THEIR ABILITY TO PAY FOR SUCH SERVICES. OUTPATIENT SERVICES PERFORMED IN 2018: -- 2,610 OUTPATIENT SURGERIES -- 50,261 DIAGNOSTIC IMAGES, INCLUDING GENERAL X-RAY, CT, MRI, PET, ULTRASOUND, NUCLEAR MEDICINE AND OTHERS -- 179,210 LABORATORY TESTS -- 31,811 EMERGENCY ROOM VISITS. INPATIENT REHABILITATION SERVICES PERFORMED IN 2018: -- 515 INPATIENTS WERE TREATED
FORM 990, PART VI, SECTION A, LINE 6	ADVENTIST MIDWEST HEALTH (THE FILING ORGANIZATION) HAS ONE MEMBER. THE SOLE MEMBER OF THE FILING ORGANIZATION IS ADVENTIST HEALTH SYSTEM/SUNBELT, INC. (AHSSI). AHSSI IS A FLORIDA, NOT-FOR-PROFIT CORPORATION THAT IS EXEMPT FROM FEDERAL INCOME TAX UNDER INTERNAL REVENUE CODE (IRC) SECTION 501(C)(3). THERE ARE NO OTHER CLASSES OF MEMBERSHIP IN THE FILING ORGANIZATION.
FORM 990, PART VI, SECTION A, LINE 7A	THE MEMBERS OF THE BOARD OF DIRECTORS (GOVERNING BOARD) OF THE FILING ORGANIZATION ARE APPOINTED BY THE CORPORATE MEMBER, ADVENTIST HEALTH SYSTEM/SUNBELT, INC. THE CORPORATE MEMBER IS ENTITLED TO ELECT NOT LESS THAN EIGHTEEN (18) AND NO MORE THAN TWENTY THREE (23) VOTING MEMBERS TO THE BOARD OF DIRECTORS OF THE FILING ORGANIZATION PURSUANT TO THE PROVISIONS OF THE BYLAWS, SUBJECT TO THE RATIFICATION OF THE AMITA HEALTH BOARD OF DIRECTORS.
FORM 990, PART VI, SECTION A, LINE 7B	THE FILING ORGANIZATION IS ONE OF TWO MEMBERS AND IS A COVERED AFFILIATE OF THE JOC KNOWN AS AMITA HEALTH. THE OTHER MEMBER OF AMITA HEALTH IS ALEXIAN BROTHERS HEALTH SYSTEM. THE SOLE MEMBER OF THE FILING ORGANIZATION IS ADVENTIST HEALTH SYSTEM/SUNBELT, INC. (AHSSI). THE TOP-TIER PARENT OF AMH IS AHSSHC (SPONSOR). THE GOVERNING DOCUMENTS OF THE FILING ORGANIZATION PROVIDE FOR CERTAIN RESERVED POWERS TO EXERCISE FINANCIAL, MANAGERIAL, AND OPERATIONAL AUTHORITIES OVER THE FILING ORGANIZATION BY AHSSHC, AS SPONSOR, BY AHSSI AS MEMBER, BY BOTH MEMBERS OF THE JOC, NAMELY, AMH AND ALEXIAN BROTHERS HEALTH SYSTEM (MEMBERS), AND BY THE BOARD OF DIRECTORS OF THE JOC. CERTAIN GOVERNANCE POWERS ARE RESERVED TO AHSSI AS THE MEMBER OF THE FILING ORGANIZATION. THESE RESERVED POWERS INCLUDE THE ALTERATION, RESTATEMENT OR REPEAL OF THE ARTICLES OF INCORPORATION, BYLAWS OR MISSION STATEMENT OF THE FILING ORGANIZATION, PROVIDED THAT SUCH ACTIONS ARE NOT INCONSISTENT WITH THE JOC BYLAWS OR THE AFFILIATION AGREEMENT AND THE APPOINTMENT OF THE FILING ORGANIZATION'S BOARD OF DIRECTORS, SUBJECT TO THE RATIFICATION OF THE JOC BOARD OF DIRECTORS. FINANCIAL AUTHORITIES RESERVED TO THE SPONSOR, THE BOARD OF DIRECTORS OF THE JOC, AND BY BOTH MEMBERS OF THE JOC INCLUDE THE APPROVAL OF ANY DISPOSITION OF THE FILING ORGANIZATION'S ASSETS AND ANY INTERNAL TRANSFER OF THE FILING ORGANIZATION'S ASSETS. THE SPONSOR, THE BOARD OF DIRECTORS OF THE JOC, AND BOTH MEMBERS OF THE JOC MAY APPROVE SUCH DISPOSITIONS OR TRANSFERS UP TO ESTABLISHED ASSET DOLLAR VALUES AS SET FORTH IN THE BYLAWS OF THE FILING ORGANIZATION. ANNUAL OPERATING AND CAPITAL BUDGETS OF THE FILING ORGANIZATION MUST BE RATIFIED BY BOTH SPONSORS OF THE JOC. THE BOARD OF DIRECTORS OF THE JOC MUST APPROVE ANY CAPITAL EXPENDITURE TO BE MADE BY THE FILING ORGANIZATION IN EXCESS OF $10 MILLION. OPERATIONAL AUTHORITIES RESERVED TO THE BOARD OF DIRECTORS OF THE JOC INCLUDE THE DETERMINATION OF THE SERVICES TO BE PROVIDED BY THE FILING ORGANIZATION, INCLUDING THE AUTHORITY TO DIRECT THE EXPANSION, REDUCTION AND CONSOLIDATION OF CLINICAL PROGRAMS, PATIENT CARE SERVICES AND ADMINISTRATIVE CAPABILITIES OR OTHER MAJOR CHANGES IN THE OPERATION OF THE FILING ORGANIZATION.
FORM 990, PART VI, SECTION B, LINE 11B	THE FILING ORGANIZATION'S CURRENT YEAR FORM 990 WAS REVIEWED BY THE BOARD CHAIRMAN, BOARD FINANCE COMMITTEE CHAIR, CEO AND BY THE CFO PRIOR TO ITS FILING WITH THE IRS. THE REVIEW CONDUCTED BY THE BOARD CHAIRMAN, BOARD FINANCE COMMITTEE CHAIR, CEO AND THE CFO DID NOT INCLUDE THE REVIEW OF ANY SUPPORTING WORKPAPERS THAT WERE USED IN PREPARATION OF THE CURRENT YEAR FORM 990, BUT DID INCLUDE A REVIEW OF THE ENTIRE FORM 990 AND ALL SUPPORTING SCHEDULES.
FORM 990, PART VI, SECTION B, LINE 12C	THE CONFLICT OF INTEREST POLICY OF THE FILING ORGANIZATION APPLIES TO MEMBERS OF ITS BOARD OF DIRECTORS AND ITS PRINCIPAL OFFICERS (TO BE KNOWN AS INTERESTED PERSONS). IN CONNECTION WITH ANY ACTUAL OR POSSIBLE CONFLICT OF INTERESTS, ANY MEMBER OF THE BOARD OF DIRECTORS OF THE FILING ORGANIZATION OR ANY PRINCIPAL OFFICER OF THE FILING ORGANIZATION (I.E. INTERESTED PERSONS) MUST DISCLOSE THE EXISTENCE OF ANY FINANCIAL INTEREST WITH THE FILING ORGANIZATION AND MUST BE GIVEN THE OPPORTUNITY TO DISCLOSE ALL MATERIAL FACTS CONCERNING THE FINANCIAL INTEREST/ARRANGEMENT TO THE BOARD OF DIRECTORS OF THE FILING ORGANIZATION OR TO ANY MEMBERS OF A COMMITTEE WITH BOARD DELEGATED POWERS THAT IS CONSIDERING THE PROPOSED TRANSACTION OR ARRANGEMENT. SUBSEQUENT TO ANY DISCLOSURE OF ANY FINANCIAL INTEREST/ARRANGEMENT AND ALL MATERIAL FACTS, AND AFTER ANY DISCUSSION WITH THE RELEVANT BOARD MEMBER OR PRINCIPAL OFFICER, THE REMAINING MEMBERS OF THE BOARD OF DIRECTORS OR COMMITTEE WITH BOARD DELEGATED POWERS SHALL DISCUSS, ANALYZE, AND VOTE UPON THE POTENTIAL FINANCIAL INTEREST/ARRANGEMENT TO DETERMINE IF A CONFLICT OF INTEREST EXISTS. ACCORDING TO THE FILING ORGANIZATION'S CONFLICT OF INTEREST POLICY, AN INTERESTED PERSON MAY MAKE A PRESENTATION TO THE BOARD OF DIRECTORS (OR COMMITTEE WITH BOARD DELEGATED POWERS), BUT AFTER SUCH PRESENTATION, SHALL LEAVE THE MEETING DURING THE DISCUSSION OF, AND THE VOTE ON, THE TRANSACTION OR ARRANGEMENT THAT RESULTS IN A CONFLICT OF INTEREST. EACH INTERESTED PERSON, AS DEFINED UNDER THE FILING ORGANIZATION'S CONFLICT OF INTEREST POLICY, SHALL ANNUALLY SIGN A STATEMENT WHICH AFFIRMS THAT SUCH PERSON HAS RECEIVED A COPY OF THE CONFLICT OF INTEREST POLICY, HAS READ AND UNDERSTANDS THE POLICY, HAS AGREED TO COMPLY WITH THE POLICY, AND UNDERSTANDS THAT THE FILING ORGANIZATION IS A CHARITABLE ORGANIZATION THAT MUST PRIMARILY ENGAGE IN ACTIVITIES WHICH ACCOMPLISH ONE OR MORE OF ITS EXEMPT PURPOSES. THE FILING ORGANIZATION'S CONFLICT OF INTEREST POLICY ALSO REQUIRES THAT PERIODIC REVIEWS SHALL BE CONDUCTED TO ENSURE THAT THE FILING ORGANIZATION OPERATES IN A MANNER CONSISTENT WITH ITS CHARITABLE PURPOSES.
FORM 990, PART VI, SECTION B, LINE 15	THE FILING ORGANIZATION'S CEO, OTHER OFFICERS AND KEY EMPLOYEES ARE ON THE PAYROLL OF THE FILING ORGANIZATION, HOWEVER THE COMPENSATION PACKAGE OF THESE EXECUTIVES IS DETERMINED BY THE JOINT OPERATING COMPANY, ALEXIAN BROTHERS-AHS MIDWEST REGION HEALTH CO. DBA AMITA HEALTH. AS NOTED IN OUR RESPONSE TO PART VI, SECTION A, LINE 7B, THE FILING ORGANIZATION IS A COVERED AFFILIATE IN THE JOC KNOWN AS AMITA HEALTH. PLEASE SEE THE DISCUSSION CONCERNING THE PROCESS FOLLOWED BY AMITA HEALTH IN DETERMINING EXECUTIVE COMPENSATION IN OUR RESPONSE TO SCHEDULE J, LINE 3.
FORM 990, PART VI, SECTION C, LINE 19	THE FILING ORGANIZATION IS A PART OF THE SYSTEM OF HEALTHCARE ORGANIZATIONS KNOWN AS ADVENTHEALTH. THE AUDITED CONSOLIDATED FINANCIAL STATEMENTS OF ADVENTHEALTH AND OF THE ADVENTHEALTH "OBLIGATED GROUP" ARE FILED ANNUALLY WITH THE MUNICIPAL SECURITIES RULEMAKING BOARD (MSRB). THE "OBLIGATED GROUP" IS A GROUP OF AHSSHC SUBSIDIARIES THAT ARE JOINTLY AND SEVERALLY LIABLE UNDER A MASTER TRUST INDENTURE THAT SECURES DEBT PRIMARILY ISSUED ON A TAX-EXEMPT BASIS. UNAUDITED QUARTERLY FINANCIAL STATEMENTS PREPARED IN ACCORDANCE WITH GENERALLY ACCEPTED ACCOUNTING PRINCIPLES (GAAP) ARE ALSO FILED WITH MSRB FOR ADVENTHEALTH ON A CONSOLIDATED BASIS AND FOR THE GROUPING OF ADVENTHEALTH SUBSIDIARIES COMPRISING THE "OBLIGATED GROUP". THE FILING ORGANIZATION DOES NOT GENERALLY MAKE ITS GOVERNING DOCUMENTS OR CONFLICT OF INTEREST POLICY AVAILABLE TO THE PUBLIC.
PART VII, SECTION A	FOR THOSE BOARD OF DIRECTOR MEMBERS (NOT INCLUDING PHYSICIAN MEMBERS OF THE BOARD) WHO DEVOTE LESS THAN FULL-TIME TO THE FILING ORGANIZATION (BASED UPON THE AVERAGE NUMBER OF HOURS PER WEEK SHOWN IN COLUMN (B) ON PAGE 7 OF THE RETURN) THE COMPENSATION AMOUNTS SHOWN IN COLUMNS (E) AND (F) ON PAGE 7 WERE PROVIDED IN CONJUNCTION WITH THAT PERSON'S RESPONSIBILITIES AND ROLES IN SERVING IN AN EXECUTIVE LEADERSHIP POSITION WITHIN ADVENTHEALTH OR AMITA HEALTH. PHYSICIAN MEMBERS OF THE BOARD OF DIRECTORS RECEIVED COMPENSATION FROM RELATED ORGANIZATIONS AS A RESULT OF PROVIDING VARIOUS MEDICAL SERVICES TO THOSE RELATED ENTITIES.
PART VIII, LINES 7B AND 7C:	THE AMOUNT SHOWN IN PART VIII, LINE 7C(I) OF THE FORM 990 REPRESENTS AN ALLOCATED SHARE OF CAPITAL GAIN/(LOSS) FROM A SYSTEM WIDE, CORPORATE ADMINISTERED, INVESTMENT PROGRAM.
FORM 990, PART IX, LINE 11G	PAYMENTS TO HEALTHCARE PROFESSIONALS: PROGRAM SERVICE EXPENSES 13,174,441. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 13,174,441. PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES -267,108. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES -267,108. PURCHASED MEDICAL SERVICES: PROGRAM SERVICE EXPENSES 8,046,444. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 8,046,444. ENVIRONMENTAL SERVICES: PROGRAM SERVICE EXPENSES 7,556,698. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 7,556,698. RECRUITING: PROGRAM SERVICE EXPENSES 32,424. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 32,424. FOOD SERVICE CONTRACTS: PROGRAM SERVICE EXPENSES 7,509,600. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 7,509,600. OTHER PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 26,976,525. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 26,976,525. AHS MANAGEMENT FEES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 14,329,467. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 14,329,467.
PART X, LINE 2	THE AMOUNTS SHOWN ON LINE 2 OF PART X OF THIS RETURN INCLUDE THE FILING ORGANIZATION'S INTEREST IN A CENTRAL INVESTMENT POOL MAINTAINED BY ADVENTIST HEALTH SYSTEM SUNBELT HEALTHCARE CORPORATION, THE FILING ORGANIZATION'S TOP-TIER PARENT. THE INVESTMENTS IN THE CENTRAL INVESTMENT POOL ARE RECORDED AT MARKET VALUE.
FORM 990, PART XI, LINE 9:	ALLOCATIONS TO TAX-EXEMPT PARENT WITH RESPECT TO DEBT -876,419. INTEREST IN FOUNDATION -2,046. TRANSFER TO TOP-TIER TAX-EXEMPT PARENT -3,922,428. TRANSFER FOR EXPENSES -160,261. ROUNDING -1.

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

Cat. No. 51056K

Schedule O (Form 990 or 990-EZ) 2018

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

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2018

Open to Public Inspection

Name of the organization

ADVENTIST MIDWEST HEALTH

Employer identification number

36-2276984

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

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)ADVENTHEALTH FOUNDATION SHAWNEE MISSION 9100 W 74TH STREET SHAWNEE MISSION,KS66204 48-0868859	FUND-RAISING FOR TAX-EXEMPT HOSPITAL	KS	501(C)(3)	LINE 7	SHAWNEE MISSION MEDICAL CENTER INC	Yes
(2)ADVENTHEALTH UNIVERSITY INC FKA ADV UNIV OF HLTH SCIENCES INC 671 LAKE WINYAH DRIVE ORLANDO,FL32803 59-3069793	EDUCATION/OPERATION OF SCHOOL	FL	501(C)(3)	LINE 2	ADVENTIST HLTH SYSTEMSUNBELT INC	Yes
(3)ADVENTHEALTH RANSOM MEMORIAL INC (619-123118) 1301 S MAIN STREET OTTAWA,KS66067 83-0976641	OPERATION OF HOSPITAL & RELATED SERVICES	KS	501(C)(3)	LINE 3	ADVENTIST HLTH MID-AMERICA INC	Yes
(4)ADVENTIST BOLINGBROOK HOSPITAL 500 REMINGTON BLVD BOLINGBROOK,IL60440 65-1219504	OPERATION OF HOSPITAL & RELATED SERVICES	IL	501(C)(3)	LINE 3	ADVENTIST MIDWEST HEALTH	Yes
(5)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 10	SUNBELT HLTH CARE CENTERS INC	Yes
(6)ADVENTIST GLENOAKS HOSPITAL 701 WINTHROP AVENUE GLENDALE HEIGHTS,IL60139 36-3208390	OPERATION OF HOSPITAL & RELATED SERVICES	IL	501(C)(3)	LINE 3	ADVENTIST MIDWEST HEALTH	Yes
(7)ADVENTIST HLTH MID-AMERICA INC 9100 W 74TH STREET SHAWNEE MISSION,KS66204 52-1347407	SUPPORT OF AFFILIATED HOSPITAL	KS	501(C)(3)	LINE 12C, III-FI	ADVENTIST HLTH SYSTEMSUNBELT INC	Yes
(8)ADVENTIST HLTH PARTNERS INC 2601 NAVISTAR DR BLDG 4 FINANCE LISLE,IL60532 36-4138353	OPERATION OF PHYSICIAN PRACTICES & MEDICAL SERVICES	IL	501(C)(3)	LINE 3	AHS MIDWEST MANAGEMENT INC	Yes
(9)ADVENTIST HLTH SYSTEM SUNBELT HLTHCARE CORP 900 HOPE WAY ALTAMONTE SPRINGS,FL32714 59-2170012	MANAGEMENT SERVICES	FL	501(C)(3)	LINE 12A, I	N/A		No
(10)ADVENTIST HLTH SYSTEM GEORGIA 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	Yes
(11)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	Yes
(12)ADVENTIST HLTH SYSTEMTEXAS INC 11801 S FREEWAY BURLESON,TX76028 74-2578952	LEASING PERSONNEL TO AFFILIATED HOSPITAL	TX	501(C)(3)	LINE 12C, III-FI	ADVENTIST HLTH SYSTEM SUNBELT HLTHCARE CORP	Yes
(13)ADVENTIST MIDWEST HEALTH 120 NORTH OAK STREET HINSDALE,IL60521 36-2276984	OPERATION OF HOSPITAL & RELATED SERVICES	IL	501(C)(3)	LINE 3	ADVENTIST HLTH SYSTEMSUNBELT INC	Yes
(14)AHP SPECIALTY CARE NFP 2601 NAVISTAR DR BLDG 4 FINANCE LISLE,IL60532 81-1105774	OPERATION OF PHYSICIAN PRACTICES & MEDICAL SERVICES	IL	501(C)(3)	LINE 3	AHS MIDWEST MANAGEMENT INC	Yes
(15)AHS MIDWEST MANAGEMENT INC 2601 NAVISTAR DR BLDG 4 FINANCE LISLE,IL60532 36-3354567	OPERATION OF PHYSICIAN PRACTICE MGMT	IL	501(C)(3)	LINE 12A, I	ADVENTIST MIDWEST HEALTH	Yes
(16)AHSCENTRAL TEXAS INC 1301 WONDER WORLD DRIVE SAN MARCOS,TX78666 74-2621825	PROVIDE OFFICE SPACE - MEDICAL PROFESSIONALS	TX	501(C)(3)	LINE 12C, III-FI	ADVENTIST HLTH SYSTEM SUNBELT HLTHCARE CORP	Yes
(17)ALEXIAN BROTHERS-AHS MIDWEST REGION HLTH CO DBA AMITA HLTH 2601 NAVISTAR DR BLDG 4 FINANCE LISLE,IL60532 47-2360513	JOINT OPERATING COMPANY	IL	501(C)(3)	LINE 12B, II	N/A		No
(18)APOPKA HLTH CARE PROPERTIES INC 305 E OAK STREET APOPKA,FL32703 51-0605694	LEASE TO RELATED ORGANIZATION	GA	501(C)(3)	LINE 12C, III-FI	SUNBELT HLTH CARE CENTERS INC	Yes
(19)BATTLE CREEK ADVENTIST HOSPITAL 900 HOPE WAY ALTAMONTE SPRINGS,FL32714 38-1359189	INACTIVE	MI	501(C)(3)	LINE 3	ADVENTIST HLTH SYSTEMSUNBELT INC	Yes
(20)BOLINGBROOK HOSPITAL FOUNDATION 500 REMINGTON BLVD BOLINGBROOK,IL60440 90-0494445	FUND-RAISING FOR TAX-EXEMPT HOSPITAL	IL	501(C)(3)	LINE 7	MIDWEST HLTH FOUNDATION		No
(21)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 10	SUNBELT HLTH CARE CENTERS INC	Yes
(22)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 10	SUNBELT HLTH CARE CENTERS INC	Yes
(23)CALDWELL HLTH CARE PROPERTIES INC 1333 WEST MAIN PRINCETON,KY42445 51-0605680	LEASE TO RELATED ORGANIZATION	GA	501(C)(3)	LINE 12C, III-FI	SUNBELT HLTH CARE CENTERS INC	Yes
(24)CENTRAL TEXAS HLTHCARE COLLABORATIVE 1301 WONDER WORLD DRIVE SAN MARCOS,TX78666 45-3739929	SUPPORT OPERATION OF HOSPITAL	TX	501(C)(3)	LINE 12A, I	ADVENTIST HLTH SYSTEMSUNBELT INC	Yes
(25)CHICKASAW HLTH CARE PROPERTIES INC 250 S CHICKASAW TRAIL ORLANDO,FL32825 51-0605681	LEASE TO RELATED ORGANIZATION	GA	501(C)(3)	LINE 12C, III-FI	SUNBELT HLTH CARE CENTERS INC	Yes
(26)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
(27)COURTLAND HLTH CARE PROPERTIES INC 730 COURTLAND STREET ORLANDO,FL32804 51-0605682	LEASE TO RELATED ORGANIZATION	GA	501(C)(3)	LINE 12C, III-FI	SUNBELT HLTH CARE CENTERS INC	Yes
(28)CREEKWOOD PLACE NURSING & REHAB CENTER INC 107 BOYLES DRIVE RUSSELLVILLE,KY42276 20-5782260	OPERATION OF HOME FOR THE AGED/HLTHCARE DELIVERY	KY	501(C)(3)	LINE 10	SUNBELT HLTH CARE CENTERS INC	Yes
(29)DAIRY ROAD HLTH CARE PROPERTIES INC 7350 DAIRY ROAD ZEPHYRHILLS,FL33540 51-0605684	LEASE TO RELATED ORGANIZATION	GA	501(C)(3)	LINE 12C, III-FI	SUNBELT HLTH CARE CENTERS INC	Yes
(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 10	SUNBELT HLTH CARE CENTERS INC	Yes
(31)EMORY-ADVENTIST INC 900 HOPE WAY ALTAMONTE SPRINGS,FL32714 58-2171011	INACTIVE	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	Yes
(33)FLNC INC 3355 E SEMORAN BLVD APOPKA,FL32703 20-5774761	OPERATION OF HOME FOR THE AGED/HLTHCARE DELIVERY	FL	501(C)(3)	LINE 10	SUNBELT HLTH CARE CENTERS INC	Yes
(34)FLORIDA HOSPITAL DADE CITY INC 13100 FORT KING ROAD DADE CITY,FL33525 82-2567308	OPERATION OF HOSPITAL & RELATED SVCS	FL	501(C)(3)	LINE 3	ADVENTIST HLTH SYSTEM SUNBELT HLTHCARE CORP	Yes
(35)FLORIDA HOSPITAL HEALTHCARE PARTNERS INC 770 WEST GRANADA BLVD 101 ORMOND BEACH,FL32174 46-2354804	OPERATION OF PHYSICIAN PRACTICES & MEDICAL SERVICES	FL	501(C)(3)	LINE 3	ADVENTIST HLTH SYSTEMSUNBELT INC	Yes
(36)FLORIDA HOSPITAL MEDICAL GROUP INC 2600 WESTHALL LANE 4TH FLOOR MAITLAND,FL32751 59-3214635	OPERATION OF PHYSICIAN PRACTICES & MEDICAL SERVICES	FL	501(C)(3)	LINE 3	ADVENTIST HLTH SYSTEMSUNBELT INC	Yes
(37)FLORIDA HOSPITAL OCALA INC 1500 SW 1ST AVENUE OCALA,FL34471 82-4372339	OPERATION OF HOSPITAL & RELATED SVCS	FL	501(C)(3)	LINE 3	ADVENTIST HLTH SYSTEM SUNBELT HLTHCARE CORP	Yes
(38)FLORIDA HOSPITAL PHYSICIAN GROUP INC 12470 TELECOM DR 100 TAMPA,FL33637 46-2021581	OPERATION OF PHYSICIAN PRACTICES & MEDICAL SERVICES	FL	501(C)(3)	LINE 3	ADVENTIST HLTH SYSTEM SUNBELT HLTHCARE CORP	Yes
(39)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	Yes
(40)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
(41)FLORIDA RADIOLOGY IMAGING AT LAKE MARY LLC (222-123118) 2600 WESTHALL LANE 4TH FLOOR MAITLAND,FL32751 55-0789387	IMAGING & TESTING	FL	501(C)(3)	LINE 3	FLORIDA HOSPITAL MEDICAL GROUP INC	Yes
(42)FOUNTAIN INN NURSING & REHAB CENTER INC 485 NORTH KELLER ROAD 250 MAITLAND,FL32751 47-2180518	OPERATION OF HOME FOR THE AGED/HLTHCARE DELIVERY	FL	501(C)(3)	LINE 10	SUNBELT HLTH CARE CENTERS INC	Yes
(43)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
(44)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 12C, III-FI	N/A		No
(45)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 7	N/A		No
(46)HINSDALE HOSPITAL FOUNDATION 120 NORTH OAK STREET HINSDALE,IL60521 52-1466387	FUND-RAISING FOR TAX-EXEMPT HOSPITAL	IL	501(C)(3)	LINE 7	MIDWEST HLTH FOUNDATION		No
(47)HOSPICE OF THE COMFORTER INC 480 W CENTRAL PARKWAY ALTAMONTE SPRINGS,FL32714 59-2935928	OPERATION OF HOSPICE	FL	501(C)(3)	LINE 10	THE COMFORTER HEALTH CARE GROUP INC	Yes
(48)HOSPICE OF THE COMFORTER FOUNDATION INC 480 W CENTRAL PARKWAY ALTAMONTE SPRINGS,FL32714 27-1858033	INACTIVE	FL	501(C)(3)	LINE 7	THE COMFORTER HEALTH CARE GROUP INC	Yes
(49)IN-MOTION REHAB INC 485 NORTH KELLER ROAD 250 MAITLAND,FL32751 20-8023411	THERAPY SERVICES TO TAX EXEMPT NURSING HOMES	KS	501(C)(3)	LINE 12B, II	SUNBELT HLTH CARE CENTERS INC	Yes
(50)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
(51)LAKE COUNTY HEALTH CARE PROPERTIES INC 485 NORTH KELLER ROAD 250 MAITLAND,FL32751 81-3923985	LEASE TO RELATED ORGANIZATION	GA	501(C)(3)	LINE 12C, III-FI	SUNBELT HLTH CARE CENTERS INC	Yes
(52)MEMORIAL HLTH SYSTEMS FOUNDATION INC 305 MEMORIAL MEDICAL PKWY 212 DAYTONA BEACH,FL32117 31-1771522	FUND-RAISING FOR TAX-EXEMPT HOSPITAL	FL	501(C)(3)	LINE 7	N/A		No
(53)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
(54)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	Yes
(55)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	Yes
(56)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	Yes
(57)MERRIAM HLTH CARE PROPERTIES INC 9700 WEST 62ND STREET MERRIAM,KS66203 36-4595806	LEASE TO RELATED ORGANIZATION	KS	501(C)(3)	LINE 12C, III-FI	SUNBELT HLTH CARE CENTERS INC	Yes
(58)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	Yes
(59)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	Yes
(60)MIDWEST HLTH FOUNDATION 120 NORTH OAK STREET HINSDALE,IL60521 35-2230515	SUPPORT OF SUBSIDIARY FOUNDATIONS	IL	501(C)(3)	LINE 12B, II	N/A		No
(61)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 10	SUNBELT HLTH CARE CENTERS INC	Yes
(62)MISSION STRATEGIES OF GEORGIA INC 485 NORTH KELLER ROAD 250 MAITLAND,FL32751 90-0866024	PROVISION OF SUPPORT TO THE NURSING HOME DIVISION	GA	501(C)(3)	LINE 12B, II	SUNBELT HLTH CARE CENTERS INC	Yes
(63)MISSOURI ADVENTIST HLTH INC 9100 W 74TH STREET SHAWNEE MISSION,KS66204 43-1224729	SUPPORT HLTH CARE SERVICES	MO	501(C)(3)	LINE 12D, III-O	ADVENTIST HLTH MID-AMERICA INC	Yes
(64)ORMOND BEACH MEMORIAL HOSPITAL AUXILIARY INC 301 MEMORIAL MEDICAL PARKWAY DAYTONA BEACH,FL32117 59-1721962	VOLUNTEER SUPPORT SERVICES	FL	501(C)(3)	LINE 12C, III-FI	N/A		No
(65)OSCEOLA HEALTH CARE PROPERTIES INC 485 NORTH KELLER ROAD 250 MAITLAND,FL32751 81-3165729	LEASE TO RELATED ORGANIZATION	GA	501(C)(3)	LINE 12C, III-FI	SUNBELT HLTH CARE CENTERS INC	Yes
(66)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 10	SUNBELT HLTH CARE CENTERS INC	Yes
(67)PARAGON HLTH CARE PROPERTIES INC 950 HIGHPOINT DRIVE HOPKINSVILLE,KY42240 51-0605686	LEASE TO RELATED ORGANIZATION	GA	501(C)(3)	LINE 12C, III-FI	SUNBELT HLTH CARE CENTERS INC	Yes
(68)PASCO-PINELLAS HILLSBOROUGH COMMUNITY HLTH SYSTEM INC 2600 BRUCE B DOWNS BLVD WESLEY CHAPEL,FL33544 20-8488713	OPERATION OF HOSPITAL & RELATED SERVICES	FL	501(C)(3)	LINE 3	ADVENTIST HLTH SYSTEM SUNBELT HLTHCARE CORP	Yes
(69)PORTERCARE ADVENTIST HLTH SYSTEM (630 YEAR END) 9100 E MINERAL CIRCLE CENTENNIAL,CO80112 84-0438224	OPERATION OF HOSPITAL & RELATED SERVICES	CO	501(C)(3)	LINE 3	ADVENTIST HLTH SYSTEM SUNBELT HLTHCARE CORP	Yes
(70)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 10	SUNBELT HLTH CARE CENTERS INC	Yes
(71)PRINCETON PROFESSIONAL SERVICES INC 601 E ROLLINS STREET ORLANDO,FL32803 59-1191045	PROVISION OF HLTHCARE SERVICES	FL	501(C)(3)	LINE 10	ADVENTIST HLTH SYSTEM SUNBELT HLTHCARE CORP	Yes
(72)QUALITY CIRCLE FOR HLTHCARE INC 900 HOPE WAY ALTAMONTE SPRINGS,FL32714 26-3789368	HLTHCARE QUALITY SERVICES	FL	501(C)(3)	LINE 12A, I	ADVENTIST HLTH SYSTEM SUNBELT HLTHCARE CORP	Yes
(73)RESOURCE PERSONNEL INC 485 NORTH KELLER ROAD 250 MAITLAND,FL32751 20-8040875	PROVIDE ADMINISTRATIVE SUPPORT TO TAX EXEMPT NURSING HOMES	FL	501(C)(3)	LINE 12B, II	SUNBELT HLTH CARE CENTERS INC	Yes
(74)ROCKY MOUNTAIN ADVENTIST HLTHCARE FOUNDATION (630 YEAR END) 7995 E PRENTICE AVE 204 GREENWOOD VILLAGE,CO80111 84-0745018	FUND-RAISING FOR TAX-EXEMPT HOSPITAL	CO	501(C)(3)	LINE 7	N/A		No
(75)ROLLINS BROOK COMMUNITY CARE CORP 2201 S CLEAR CREEK ROAD KILLEEN,TX76549 46-1656773	SUPPORT OPERATION OF HOSPITAL	TX	501(C)(3)	LINE 12A, I	ADVENTIST HLTH SYSTEMSUNBELT INC	Yes
(76)RUSSELLVILLE HLTH CARE PROPERTIES INC 683 EAST THIRD STREET RUSSELLVILLE,KY42276 51-0605691	LEASE TO RELATED ORGANIZATION	GA	501(C)(3)	LINE 12C, III-FI	SUNBELT HLTH CARE CENTERS INC	Yes
(77)SAN MARCOS HLTH CARE PROPERTIES INC 1900 MEDICAL PARKWAY SAN MARCOS,TX78666 51-0605693	LEASE TO RELATED ORGANIZATION	GA	501(C)(3)	LINE 12C, III-FI	SUNBELT HLTH CARE CENTERS INC	Yes
(78)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 10	SUNBELT HLTH CARE CENTERS INC	Yes
(79)SHAWNEE MISSION HLTH CARE INC 6501 WEST 75TH STREET OVERLAND PARK,KS66204 48-0952508	LEASE TO RELATED ORGANIZATION	KS	501(C)(3)	LINE 12C, III-FI	SUNBELT HLTH CARE CENTERS INC	Yes
(80)SHAWNEE MISSION HLTH CARE PROPERTIES INC 485 NORTH KELLER ROAD 250 MAITLAND,FL32751 81-3914908	LEASE TO RELATED ORGANIZATION	GA	501(C)(3)	LINE 12C, III-FI	SUNBELT HLTH CARE CENTERS INC	Yes
(81)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	Yes
(82)SOUTH PASCO HLTH CARE PROPERTIES INC 38250 A AVENUE ZEPHYRHILLS,FL33542 51-0605679	LEASE TO RELATED ORGANIZATION	GA	501(C)(3)	LINE 12C, III-FI	SUNBELT HLTH CARE CENTERS INC	Yes
(83)SOUTHEAST VOLUSIA HEALTHCARE CORP 401 PALMETTO STREET NEW SMYRNA BEACH,FL32168 47-3793197	OPERATION OF HOSPITAL & RELATED SERVICES	FL	501(C)(3)	LINE 3	ADVENTIST HLTH SYSTEM SUNBELT HLTHCARE CORP	Yes
(84)SOUTHWEST VOLUSIA HLTH SERVICES INC 1055 SAXON BLVD ORANGE CITY,FL32763 59-3281591	MEDICAL OFFICE BUILDING FOR HOSPITAL	FL	501(C)(3)	LINE 12A, I	SOUTHWEST VOLUSIA HLTHCARE CORP	Yes
(85)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
(86)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
(87)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 10	SUNBELT HLTH CARE CENTERS INC	Yes
(88)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 10	SUNBELT HLTH CARE CENTERS INC	Yes
(89)SUNBELT HLTH CARE CENTERS INC 485 NORTH KELLER ROAD 250 MAITLAND,FL32751 58-1473135	MANAGEMENT SERVICES	TN	501(C)(3)	LINE 12B, II	ADVENTIST HLTH SYSTEM SUNBELT HLTHCARE CORP	Yes
(90)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	Yes
(91)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	Yes
(92)TARRANT COUNTY HLTH CARE PROPERTIES INC 301 HUGULEY BLVD BURLESON,TX76028 51-0605677	LEASE TO RELATED ORGANIZATION	GA	501(C)(3)	LINE 12C, III-FI	SUNBELT HLTH CARE CENTERS INC	Yes
(93)TAYLOR CREEK HLTH CARE PROPERTIES INC 718 GOODWIN LANE LEITCHFIELD,KY42754 51-0605678	LEASE TO RELATED ORGANIZATION	GA	501(C)(3)	LINE 12C, III-FI	SUNBELT HLTH CARE CENTERS INC	Yes
(94)THE COMFORTER HEALTH CARE GROUP INC 605 MONTGOMERY ROAD ALTAMONTE SPRINGS,FL32714 27-1857940	LEASE TO RELATED ORGANIZATION	FL	501(C)(3)	LINE 12C, III-FI	ADVENTIST HLTH SYSTEM SUNBELT HLTHCARE CORP	Yes
(95)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 12C, III-FI	N/A		No
(96)TRI-COUNTY NURSING AND REHAB CENTER INC 485 NORTH KELLER ROAD 250 MAITLAND,FL32751 47-2219363	OPERATION OF HOME FOR THE AGED/HLTHCARE DELIVERY	FL	501(C)(3)	LINE 10	SUNBELT HLTH CARE CENTERS INC	Yes
(97)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 10	SUNBELT HLTH CARE CENTERS INC	Yes
(98)UNIVERSITY COMMUNITY HOSPITAL FOUNDATION INC 3100 E FLETCHER AVE TAMPA,FL33613 59-2554889	FUND-RAISING FOR TAX-EXEMPT HOSPITAL	FL	501(C)(3)	LINE 12A, I	N/A		No
(99)UNIVERSITY COMMUNITY HOSPITAL SPECIALTY CARE INC 3100 E FLETCHER AVE TAMPA,FL33613 59-3231322	INACTIVE	FL	501(C)(3)	LINE 12A, I	UNIVERSITY COMMUNITY HOSPITAL INC	Yes
(100)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	Yes
(101)WEST FLORIDA HEALTH INC 14055 RIVEREDGE DRIVE TAMPA,FL33637 47-1881744	HOLDING COMPANY	FL	501(C)(3)	LINE 10	ADVENTIST HLTH SYSTEM SUNBELT HLTHCARE CORP	Yes
(102)WEST FLORIDA HEALTH HOME CARE INC 13601 BRUCE B DOWNS BLVD STE 110 TAMPA,FL33613 59-3686109	HOME HEALTH SERVICES	GA	501(C)(3)	LINE 10	WEST FLORIDA HEALTH INC	Yes
(103)WEST KENTUCKY HLTH CARE PROPERTIES INC 500 BECK LANE MAYFIELD,KY42066 51-0605676	LEASE TO RELATED ORGANIZATION	GA	501(C)(3)	LINE 12C, III-FI	SUNBELT HLTH CARE CENTERS INC	Yes
(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 10	SUNBELT HLTH CARE CENTERS INC	Yes
(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 10	SUNBELT HLTH CARE CENTERS INC	Yes

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

Cat. No. 50135Y

Schedule R (Form 990) 2018

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	(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 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) CLEAR CREEK MOB LTD 2201 S CLEAR CREEK RD KILLEEN,TX76549 74-2609195	REAL ESTATE	TX	N/A
(2) FLORIDA HOSPITAL DMERT LLC 500 WINDERLEY PLACE STE 324 MAITLAND,FL32751 20-2392253	MEDICAL EQUIPMENT	FL	N/A
(3) FLORIDA HOSPITAL HOME INFUSION LLP 500 WINDERLEY PLACE STE 226 MAITLAND,FL32751 59-3142824	HOME INFUSION SERVICES	FL	N/A
(4) FUNCTIONAL NEUROSURGICAL AMBULATORY SURGERY CTR LLC 11 W DRY CREEK CIRCLE 120 LITTLETON,CO80120 46-4426708	SURGERY CENTER	CO	N/A
(5) PRINCETON HOMECARE SERVICES LLC 1050 FORRER BLVD KETTERING,OH45420 81-4196648	OPERATION OF HOME HEALTH AGENCY	FL	N/A
(6) SAN MARCOS MRI LP 1330 WONDER WORLD DR STE 202 SAN MARCOS,TX78666 77-0597972	IMAGING & TESTING	TX	N/A
(7) THE BARIATRIC CENTER OF KANSAS CITY LLC (628-123118) 9100 W 74TH STREET MERRIAM,KS66204 82-3025378	SURGERY CENTER	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	(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	N/A	C			Yes
(2) APOPKA MEDICAL PLAZA CONDOMINIUM ASSOCIATION INC 601 EAST ROLLINS STREET ORLANDO,FL32803 59-3000857	CONDO ASSOCIATION	FL	N/A	C			Yes
(3) CC MOB INC 2201 S CLEAR CREEK ROAD KILLEEN,TX76549 74-2616875	REAL ESTATE RENTAL	TX	N/A	C			Yes
(4) CENTRAL TEXAS MEDICAL ASSOCIATES 1301 WONDER WORLD DRIVE SAN MARCOS,TX78666 74-2729873	INACTIVE	TX	N/A	C			Yes
(5) CENTRAL TEXAS PROVIDERS NETWORK 1301 WONDER WORLD DRIVE SAN MARCOS,TX78666 74-2827652	PHYSICIAN HOSPITAL ORG.	TX	N/A	C			Yes
(6) FLORIDA HOSPITAL FLAGLER MEDICAL OFFICES ASSOCIATION INC 60 MEMORIAL MEDICAL PARKWAY PALM COAST,FL32164 26-2158309	CONDO ASSOCIATION	FL	N/A	C			Yes
(7) FLORIDA HOSP HLTH VILLAGE PROPERTY OWNER'S ASSOC INC 550 E ROLLINS STREET 7TH FLOOR ORLANDO,FL32803 82-1748255	CONDO ASSOCIATION	FL	N/A	C			Yes
(8) FLORIDA HOSPITAL HEALTHCARE SYSTEM INC 101 SOUTHHALL LANE STE 150 MAITLAND,FL32751 59-3215680	PHSO	FL	N/A	C			Yes
(9) FLORIDA MEDICAL PLAZA CONDOMINIUM ASSOCIATION INC 601 EAST ROLLINS STREET ORLANDO,FL32803 59-2855791	CONDO ASSOCIATION	FL	N/A	C			Yes
(10) FLORIDA MEMORIAL HEALTH NETWORK INC 770 W GRANADA BLVD STE 317 ORMOND BEACH,FL32174 59-3403558	PHYSICIAN HOSPITAL ORG.	FL	N/A	C			Yes
(11) KISSIMMEE MULTISPECIALTY CLINIC CONDOMINIUM ASSOCIATION INC 201 HILDA STREET SUITE 30 KISSIMMEE,FL34741 59-3539564	CONDO ASSOCIATION	FL	N/A	C			Yes
(12) LN HEALTH PARTNERS INC 550 E ROLLINS STREET 6TH FLOOR ORLANDO,FL32803 81-3556903	INACTIVE	FL	N/A	C			Yes
(13) MIDWEST MANAGEMENT SERVICES INC 9100 WEST 74TH STREET SHAWNEE MISSION,KS66204 48-0901551	INACTIVE	KS	N/A	C			Yes
(14) NORTH AMERICAN HEALTH SERVICES INC & SUB 900 HOPE WAY ALTAMONTE SPRINGS,FL32714 62-1041820	LESSOR/HOLDING CO.	TN	N/A	C			Yes
(15) ORMOND PROF ASSOCIATES CONDO ASSOC'N INC (430 YEAR END) 770 W GRANADA BLVD STE 101 ORMOND BEACH,FL32174 59-2694434	CONDO ASSOCIATION	FL	N/A	C			Yes
(16) PARK RIDGE PROPERTY OWNER'S ASSOCIATION INC 1 PARK PLACE NAPLES ROAD FLETCHER,NC28732 03-0380531	CONDO ASSOCIATION	NC	N/A	C			Yes
(17) PORTER AFFILIATED HEALTH SERVICES INC 2525 S DOWNING STREET DENVER,CO80210 84-0956175	HEALTHCARE SERVICES	CO	N/A	C			Yes
(18) SAN MARCOS REGIONAL MRI INC 1301 WONDER WORLD DRIVE SAN MARCOS,TX78666 77-0597968	HOLDING COMPANY	TX	N/A	C			Yes
(19) THE GARDEN RETIREMENT COMMUNITY INC 485 NORTH KELLER ROAD STE 250 MAITLAND,FL32751 59-3414055	REAL ESTATE RENTAL	FL	N/A	C			Yes
(20) WINTER PARK MEDICAL OFFICE BUILDING I CONDO ASSOC INC 601 EAST ROLLINS STREET ORLANDO,FL32803 45-2228478	CONDO ASSOCIATION	FL	N/A	C			Yes

Schedule R (Form 990) 2018

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 .....................

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) ............................

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

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

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

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) ............................

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	3,922,428	ACTUAL AMOUNT GIVEN
(2) ADVENTIST HEALTH SYSTEM SUNBELT HEALTHCARE CORPORATION	M	4,890,175	% OF FACILITY'S OPERATING EXPENSE
(3) ADVENTIST HEALTH SYSTEM SUNBELT HEALTHCARE CORP DBA AHS INFORMATION SERVICE	M	14,980,575	% OF FACILITY'S OPERATING EXPENSE
(4) ADVENTIST HEALTH SYSTEM SUNBELT HEALTHCARE CORPORATION	P	14,364,808	COST
(5) ADVENTIST HEALTH SYSTEM SUNBELT HEALTHCARE CORP DBA AHS INFORMATION SERVICE	P	182,911	COST
(6) ADVENTIST BOLINGBROOK HOSPITAL	P	7,532,589	COST
(7) ADVENTIST BOLINGBROOK HOSPITAL	Q	31,979,183	COST
(8) ADVENTIST GLENOAKS HOSPITAL	P	6,629,102	COST
(9) ADVENTIST GLENOAKS HOSPITAL	Q	34,334,067	COST
(10) ADVENTIST HEALTH PARTNERS INC	P	4,415,532	COST
(11) ADVENTIST HEALTH PARTNERS INC	Q	3,839,277	COST
(12) AHS MIDWEST MANAGEMENT INC	P	688,746	COST
(13) AHS MIDWEST MANAGEMENT INC	Q	7,164,079	COST
(14) AHS MIDWEST MANAGEMENT INC	M	13,908,373	OPEN TO CONFIRM
(15) HINSDALE HOSPITAL FOUNDATION	B	401,201	ACTUAL AMOUNT GIVEN
(16) HINSDALE HOSPITAL FOUNDATION	C	3,585,024	ACTUAL AMOUNT RECEIVED
(17) LA GRANGE MEMORIAL HOSPITAL FOUNDATION	B	168,065	ACTUAL AMOUNT GIVEN
(18) LA GRANGE MEMORIAL HOSPITAL FOUNDATION	C	604,299	ACTUAL AMOUNT RECEIVED
(19) NORTH AMERICAN HEALTH SERVICES INC	P	181,868	COST
(20) NORTH AMERICAN HEALTH SERVICES INC	L	61,000	COST
(21) ADVENTIST BOLINGBROOK HOSPITAL	L	18,895,206	PERCENTAGE OF REGIONAL COSTS
(22) ADVENTIST GLENOAKS HOSPITAL	L	12,909,624	PERCENTAGE OF REGIONAL COSTS
(23) AHS MIDWEST MANAGEMENT INC	L	14,067,462	PERCENTAGE OF REGIONAL COSTS
(24) ALEXIAN BROTHERS - AHS MIDWEST REGION HEALTH CO	R	1,689,793	JOC AFFILIATION AGREEMENT

Schedule R (Form 990) 2018

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) 2018

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) 2018

Additional Data

Software ID:
Software Version:

1	Briefly describe the organization’s mission or most significant activities: THE PROVISION OF MEDICAL CARE TO THE COMMUNITY THROUGH THE OPERATION OF TWO HOSPITALS.
2	Check this box
3	Number of voting members of the governing body (Part VI, line 1a) ........	3	17
4	Number of independent voting members of the governing body (Part VI, line 1b) .....	4	9
5	Total number of individuals employed in calendar year 2018 (Part V, line 2a) ......	5	3,638
6	Total number of volunteers (estimate if necessary) .............	6	827
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ........	7a	1,366,925
b	Net unrelated business taxable income from Form 990-T, line 34 .........	7b	712,037

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	884,721	887,064
9	Program service revenue (Part VIII, line 2g) .........	520,717,469	525,679,727
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	3,828,882	1,027,796
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	466,767	319,031
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)	525,897,839	527,913,618
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...	875,820	990,074
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)	217,559,360	211,514,198
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)....	300,117,768	310,334,387
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	518,552,948	522,838,659
19	Revenue less expenses. Subtract line 18 from line 12.......	7,344,891	5,074,959
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	663,595,260	640,448,880
21	Total liabilities (Part X, line 26).............	395,747,520	375,686,061
22	Net assets or fund balances. Subtract line 21 from line 20.....	267,847,740	264,762,819

Sign Here

	Signature of officer	Date

	Type or print name and title


4a	(Code: ) (Expenses $ 456,047,448 including grants of $ 990,074 ) (Revenue $ 524,438,735 )
	AMITA HEALTH ADVENTIST MEDICAL CENTER HINSDALE (AMITA HEALTH HINSDALE, OR THE HOSPITAL) IS A 261-BED ACUTE-CARE HOSPITAL IN HINSDALE, ILLINOIS, THAT HAS SERVED THE HEALTHCARE NEEDS OF HINSDALE AND SURROUNDING AREAS FOR MORE THAN 100 YEARS. LOCATED AT 120 NORTH OAK STREET, AMITA HEALTH HINSDALE IS A FULL-SERVICE HOSPITAL THAT INCLUDES A LEVEL III NEONATAL INTENSIVE CARE UNIT AND THE AMITA HEALTH CANCER INSTITUTE & OUTPATIENT CENTER IN HINSDALE. THE HOSPITAL HAS ADDITIONAL SPECIALTIES IN BEHAVIORAL MEDICINE, CARDIOLOGY, NEUROSCIENCES AND ORTHOPEDICS. IT HAS EXPANDED ITS NEUROSCIENCES AND BEHAVIORAL MEDICINE PROGRAMS AND HAS BECOME A LEADER IN ROBOTIC SURGERY PROGRAMS, INCLUDING MAKO ROBOTIC-ARM ASSISTED SURGERIES FOR PARTIAL KNEE, TOTAL HIP AND TOTAL KNEE REPLACEMENTS, AND DA VINCI ROBOTIC GYNECOLOGICAL SURGERIES. OTHER SERVICES OFFERED BY THE HOSPITAL INCLUDE OPEN HEART SURGERY, EMERGENCY SERVICES, ENDOCRINOLOGY, GASTROENTEROLOGY, GERIATRICS, HOME HEALTH, HOSPICE, IMAGING, INTERVENTIONAL RADIOLOGY, OUTPATIENT SERVICES, A PAIN CENTER, PEDIATRIC SERVICES, PHYSICAL REHABILITATION, RHEUMATOLOGY, SLEEP DISORDERS, SURGICAL SERVICES, UROLOGY, VASCULAR LAB SERVICES AND WOMEN'S CARE. THE HOSPITAL OPERATES AN IMAGING CENTER IN WESTMONT AND WOODRIDGE, ILLINOIS; AN OUTPATIENT BEHAVIORAL HEALTH SITE IN WESTMONT; AND AN OUTPATIENT ADOLESCENT MENTAL HEALTH SITE IN WESTMONT. IN PARTNERSHIP WITH PT SOLUTIONS, THE HOSPITAL ALSO OPERATES AN OUTPATIENT PHYSICAL REHABILITATION SITE IN HINSDALE. A FIXTURE IN HINSDALE SINCE 1904, AMITA HEALTH HINSDALE PLAYS AN ACTIVE ROLE IN THE COMMUNITY, SPONSORING A VARIETY OF EVENTS AND PROVIDING WELLNESS SERVICES FOR THE VILLAGE'S EMPLOYEES. THE HOSPITAL HAS A SPECIAL COLLABORATIVE RELATIONSHIP WITH SISTER HOSPITAL AMITA HEALTH ADVENTIST MEDICAL CENTER LA GRANGE (AMITA HEALTH LA GRANGE) IN LA GRANGE, ILLINOIS. ABOUT TWO MILES SEPARATE THE HOSPITALS, AND BECAUSE OF THEIR PROXIMITY TO EACH OTHER, THEY HAVE WORKED TO INTEGRATE THEIR SERVICES AND TO WORK COLLABORATIVELY INSTEAD OF COMPETING AGAINST EACH OTHER. THE HOSPITALS SHARE THE SAME SENIOR MANAGEMENT TEAM, DEPARTMENT LEADERS, AND MEDICAL STAFF, AND THEY PARTNERED TO DEVELOP THE AMITA HEALTH CANCER INSTITUTE AND OUTPATIENT CENTER, WHICH OPENED IN 2016 IN HINSDALE. THE INTEGRATION PROCESS HAS REDUCED OPERATING COSTS FOR THE TWO HOSPITALS, AND THEY HAVE REINVESTED THE SAVINGS TO EXPAND AND ENHANCE SERVICES. THE TWO HOSPITALS OPERATE FAMILY-PRACTICE RESIDENCY PROGRAMS IN WHICH MEDICAL-SCHOOL GRADUATES SERVE THEIR RESIDENCIES, DOING CLINICAL ROTATIONS. THE PROGRAMS ARE A CONSISTENT SOURCE OF FAMILY-PRACTICE PHYSICIANS FOR THE COMMUNITY PROVIDING A FULL SCOPE OF PRIMARY CARE SERVICES. DURING 2018, OVER 16,700 PATIENTS WERE CARED FOR AT THE AMITA HEALTH LAGRANGE FAMILY MEDICINE CENTER AND ALMOST 17,500 PATIENTS AT THE AMITA HEALTH HINSDALE FAMILY MEDICINE CENTER, INCLUDING MANY MEDICAID RECIPIENTS AT BOTH CENTERS. THE AMITA HEALTH LAGRANGE FAMILY MEDICINE CENTER ALSO PROVIDES OBSTETRICAL CARE AT A LOCAL FEDERALLY QUALIFIED HEALTH CENTER IN LAGRANGE (PILLARS COMMUNITY HEALTH). AMITA HEALTH HINSDALE IS AWARDED MAGNET NURSING DESIGNATION BY THE AMERICAN NURSES CREDENTIALING CENTER, CERTIFIED BY THE JOINT COMMISSION AND THE AMERICAN HEART ASSOCIATION/AMERICAN STROKE ASSOCIATION AS A PRIMARY STROKE CENTER, AND HAS RECEIVED NATIONAL QUALITY APPROVAL FROM THE JOINT COMMISSION. THE BLUE CROSS AND BLUE SHIELD ASSOCIATION HAS AWARDED ITS BLUE DISTINCTION CENTER + DESIGNATION TO AMITA HEALTH HINSDALE FOR DELIVERING SAFE, HIGH-QUALITY AND COST-EFFICIENT CARDIAC CARE AND MATERNITY CARE. IN 2018, AMITA HEALTH HINSDALE EARNED A FIVE-STAR RATING -THE HIGHEST POSSIBLE- POSTED ON THE CENTERS FOR MEDICARE & MEDICAID SERVICES' HOSPITAL COMPARE WEBSITE. THE HOSPITAL ALSO EARNED AN "A," THE HIGHEST POSSIBLE SCORE, IN THE SPRING 2018 AND FALL 2018 EDITIONS OF THE LEAPFROG GROUP'S BIANNUAL HOSPITAL SAFETY GRADE. IN 2018, AMITA HEALTH HINSDALE ALSO EARNED HEALTHGRADE'S PATIENT SAFETY EXCELLENCE AWARD. AMITA HEALTH HINSDALE IS RANKED 11TH IN THE CHICAGO AREA AND 13TH IN ILLINOIS IN U.S. NEWS & WORLD REPORT'S LATEST BEST HOSPITALS REPORT, EARNING RECOGNITION FOR HIGH PERFORMANCE IN TWO ADULT SPECIALTIES (GASTROENTEROLOGY & GI SURGERY AND UROLOGY) AND FOUR ADULT PROCEDURES/CONDITIONS (AORTC VALVE SURGERY, HEART FAILURE, HIP REPLACEMENT, AND KNEE REPLACEMENT). IN 2018, AMITA HEALTH HINSDALE TREATED 11,714 INPATIENTS, PERFORMED 2,421 INPATIENT SURGERIES, AND DELIVERED 2,357 BABIES. AMITA HEALTH HINSDALE'S MEDICAL STAFF INCLUDES ALMOST 700 PHYSICIANS REPRESENTING 75 MEDICAL AND SURGICAL SPECIALTIES. AMITA HEALTH HINSDALE PROVIDES CARE FOR ALL, INCLUDING THE FINANCIALLY DISADVANTAGED, UNINSURED, UNDERINSURED, HOMELESS AND THOSE WHO RECEIVE PUBLIC AID. IN 2018, AMITA HEALTH HINSDALE PROVIDED $436,594 OF CHARITY CARE AT COST. THIS WAS IN ADDITION TO $6,916,606 IN COMMUNITY EDUCATION COSTS, INCLUDING THE HOSPITAL'S RESIDENCY PROGRAM AND $372,000 IN OTHER COMMUNITY BENEFITS SERVICES, $8,992,292 OF UNREIMBURSED MEDICARE COSTS TO PATIENTS, $3,434,573 OF BAD DEBT EXPENSE AT COST, AND $5,741,233 OF UNREIMBURSED MEDICAID AT COST. ABOUT ADVENTIST MIDWEST HEALTH THE TOP-TIER PARENT OF THE FILING ORGANIZATION, ADVENTIST HEALTH SYSTEM SUNBELT HEALTHCARE CORPORATION, OWNS A REGIONAL HEALTH SYSTEM WHICH INCLUDES A NETWORK OF FOUR NOT-FOR-PROFIT HOSPITALS AND THEIR OUTPATIENT-BASED HEALTHCARE FACILITIES OPERATING IN CHICAGO'S WESTERN SUBURBS. THE FOUR NOT-FOR-PROFIT CHICAGO HOSPITALS TAKE A HOLISTIC APPROACH TO WELLNESS, ADDRESSING THE PHYSICAL, MENTAL, SOCIAL AND SPIRITUAL NEEDS OF THE PEOPLE IT SERVES. THE FOUR HOSPITALS AND OTHER FACILITIES ARE INTEGRAL TO THE FABRIC OF THEIR COMMUNITIES. THE HOSPITALS PARTNER WITH LOCAL CIVIC ORGANIZATIONS AND BUSINESSES TO BRING STATE-OF-THE-ART TREATMENTS AND PREVENTIVE HEALTHCARE SERVICES CLOSE TO WHERE PEOPLE LIVE AND WORK. AS PART OF ADVENTHEALTH, THE LARGEST, NOT-FOR-PROFIT PROTESTANT HOSPITAL SYSTEM IN THE NATION, THE FILING ORGANIZATION IS GROUNDED IN CHRISTIAN VALUES AND COMMITTED TO EXTENDING THE HEALING MINISTRY OF CHRIST. THE FILING ORGANIZATION WELCOMES PATIENTS FROM ANY RELIGIOUS DENOMINATION AS WELL AS PATIENTS WHO DO NOT ASCRIBE TO ANY RELIGION. IN FEBRUARY 2015, AMH AND ALEXIAN BROTHERS HEALTH SYSTEM (ABHS) FORMED A JOINT OPERATING COMPANY (JOC). A JOC ALLOWS SEPARATE OWNERS TO INTEGRATE OPERATIONS TO ACHIEVE A COMMON GOAL WHILE MAINTAINING SEPARATE OWNERSHIP OF ASSETS. IT ALSO ALLOWS AMH AND ABHS TO WORK IN UNISON WHILE PRESERVING THE ADVENTIST AND CATHOLIC IDENTITIES AND MISSION PRIORITIES THAT DEFINE AMH AND ABHS, RESPECTIVELY. IN APRIL 2015, ALEXIAN BROTHERS-AHS MIDWEST REGION HEALTH CO., D/B/A AMITA HEALTH, WAS ANNOUNCED AS THE NEW NAME OF THE JOC. THE NAME AMITA IS INSPIRED BY THE MEANING IT HAS IN SEVERAL LANGUAGES -- FRIENDSHIP IN ITALIAN, HONESTY AND TRUTH IN HEBREW, AND SPIRITUAL LIGHT AND BOUNDLESSNESS IN HINDI. THE NAME REFLECTS AMITA HEALTH'S FAITH-BASED CALL TO HEALING, ITS CORE VALUES, AND THE COMPASSION AND DEDICATION THAT ITS CAREGIVERS SHOW EVERY DAY TO PATIENTS, THEIR FAMILIES AND EACH OTHER.

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 expenses456,047,448

1b	Sub-Total................
c	Total from continuation sheets to Part VII, Section A....
d	Total (add lines 1b and 1c)...........	4,777,370	6,111,069	1,004,775

1a	Federated campaigns..		1a
b	Membership dues..		1b
c	Fundraising events..		1c
d	Related organizations		1d	820,122
e	Government grants (contributions)		1e	66,942

f	All other contributions, gifts, grants, and similar amounts not included above		1f

g	Noncash contributions included in lines 1a - 1f:$
h Total. Add lines 1a-1f.......		887,064

		Business Code
2a	NET PATIENT REVENUE	622110	472,723,119	471,481,153	1,241,966
b	MANAGEMENT SVCS TO RELATED	622110	45,932,292	45,932,292
c	PROF. OFFICE BUILDING/EMP. HOUSIN	622110	1,942,013	1,942,013
d	SHARE OF JOC INCOME	622110	1,689,793	1,689,793
e	CAFETERIA REVENUE	622110	1,400,751	1,400,751
f	All other program service revenue.		1,991,759	1,974,825	16,934
g	Total. Add lines 2a–2f ....		525,679,727

3 Investment income (including dividends, interest, and othersimilar amounts) ......			2,141,308			2,141,308
4 Income from investment of tax-exempt bond proceeds
5 Royalties...........
		(ii) Personal	(i) Real
6a	Gross rents	116,277	257,295
b	Less: rental expenses	8,252	64,197
c	Rental income or (loss)	108,025	193,098
d	Net rental income or (loss)......			301,123		108,025	193,098
		(ii) Other	(i) Securities
7a	Gross amount from sales of assets other than inventory	308,784
b	Less: cost or other basis and sales expenses	630,279	792,017
c	Gain or (loss)	-321,495	-792,017
d	Net gain or (loss).....			-1,113,512			-1,113,512
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..
Business Code			Miscellaneous Revenue
11a	EHR REVENUE		622110	17,908	17,908
b
c
d	All other revenue ....
e	Total. Add lines 11a–11d ......			17,908
12	Total revenue. See Instructions......			527,913,618	524,438,735	1,366,925	1,220,894

1	Grants and other assistance to domestic organizations and domestic governments. See Part IV, line 21	990,074	990,074
2	Grants and other assistance to domestic individuals. See Part IV, line 22
3	Grants and other assistance to foreign organizations, foreign governments, and foreign individuals. See Part IV, line 15 and 16.
4	Benefits paid to or for members
5	Compensation of current officers, directors, trustees, and key employees ....	2,361,077		2,361,077
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	174,467,439	138,621,514	35,845,925
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....	5,460,800	4,352,312	1,108,488
9	Other employee benefits .......	16,794,697	13,341,298	3,453,399
10	Payroll taxes ...........	12,430,185	9,906,982	2,523,203
11	Fees for services (non-employees):
a	Management ......
b	Legal .........	660,890		660,890
c	Accounting ...........	326,148		326,148
d	Lobbying ...........
e	Professional fundraising services. See Part IV, line 17
f	Investment management fees ......	405,187		405,187
g	Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O)	77,358,491	63,029,024	14,329,467
12	Advertising and promotion ....	84,217		84,217
13	Office expenses .......	9,412,088	7,150,446	2,261,642
14	Information technology ......	22,296,029	19,869,176	2,426,853
15	Royalties ..
16	Occupancy ...........	8,508,453	8,508,453
17	Travel ............	741,227	69,873	671,354
18	Payments of travel or entertainment expenses for any federal, state, or local public officials .
19	Conferences, conventions, and meetings ....
20	Interest ...........	7,966,786	7,966,786
21	Payments to affiliates .......
22	Depreciation, depletion, and amortization ..	28,274,931	28,274,931
23	Insurance ...	4,327,056	4,288,639	38,417
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	97,403,842	97,403,842
b	OTHER JOC COSTS	24,945,791	24,945,791
c	STATE TAX INDIGENT ASSE	21,062,420	21,062,420
d	UNRELATED BUSINESS INCO	31,832		31,832
e	All other expenses	6,528,999	6,265,887	263,112
25	Total functional expenses. Add lines 1 through 24e	522,838,659	456,047,448	66,791,211	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).

1	Cash–non-interest-bearing ........			8,193	1	7,468
2	Savings and temporary cash investments .........			83,201,498	2	86,963,772
3	Pledges and grants receivable, net ......				3
4	Accounts receivable, net .............			76,279,090	4	66,654,808
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 ........			11,639,439	8	10,435,128
9	Prepaid expenses and deferred charges ......			12,429,464	9	13,089,164
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	851,535,304
b	Less: accumulated depreciation	10b	575,432,692	267,687,236	10c	276,102,612
11	Investments—publicly traded securities .				11
12	Investments—other securities. See Part IV, line 11 .....			447,998	12	451,833
13	Investments—program-related. See Part IV, line 11 ..			810,000	13	210,000
14	Intangible assets ...............			1,654,759	14	1,654,759
15	Other assets. See Part IV, line 11 ...........			209,437,583	15	184,879,336
16	Total assets. Add lines 1 through 15 (must equal line 34)...			663,595,260	16	640,448,880

17	Accounts payable and accrued expenses .....	55,489,952	17	48,894,016
18	Grants payable ...		18
19	Deferred revenue .........	368,799	19	307,778
20	Tax-exempt bond liabilities .........		20
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	339,888,769	25	326,484,267
26	Total liabilities. Add lines 17 through 25..	395,747,520	26	375,686,061

	Organizations that follow SFAS 117 (ASC 958), check here and complete lines 27 through 29, and lines 33 and 34.
27	Unrestricted net assets	259,437,800	27	256,478,205
28	Temporarily restricted net assets ...........	4,808,906	28	4,805,560
29	Permanently restricted net assets	3,601,034	29	3,479,054
	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 ...........	267,847,740	33	264,762,819
34	Total liabilities and net assets/fund balances ........	663,595,260	34	640,448,880